EL-13-2472Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-217083
Scheduled Inspection Date: August 01, 2014
Inspector: Devaney, Michael
Owner: FABRICIO M DE FREITAS, MARCIA H
onor_1e
Job Address: 80 NW 92 Street
Miami Shores, FL 33150 -
Project: <NONE>
Contractor: GENESIS ELECTRIC, INC
eunaing Department comments
Permit Number: EL -10-13-2472
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Alteration
Phone Number
Parcel Number
1131010160090
Phone: (754)638-1564
INSTALL SMOKE DETECTORS UPGRADE GFI OUTLETS Infractio Passed Comments
IN KITCHEN. ADD 2 RECESS LIGHTS IN KTICEHN AND INSPECTOR COMMENTS False
RENO TWO BATHROOMS.
07/29/2014 SEE LAST APPROVED INSPECTION FOR PL.
Inspector Comments
Passed
Failedet go, 6
Correction ❑
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
July 31, 2014 For Inspections please call: (305)762-4949 Page 15 of 21
Miami Shores Village
Building Department,
11050 N.E.2nd Avenue. Miami Shores, Florida 33138 OCT a 13 to
Tel: (305) 795,220. Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
BYoaooe-e-59P — -------
FBC 20t O
BUILDING
PERMIT APPLICATION
Permit Type: Electrical
JOB ADDRESS: �� - _ _ _ _ [ Z-=�- ��/C� C
Permit No.
Master Permit No. L
City: Miami Miami Shores County: Miami Dade zip: 7j3 (Jry
Folio/Parcel#:
Is the Building Historically Designated: Yes NO Flood zone:
OWNER: Name (Fee Simple Titleholder): 1► aC/+ ti" to Phone*:
City: c_ll state: ''L- zip. �!/y
Tenanaessee Name: Phone#:
Email:
CONTRACTOR: Company Name: Phone#: lS,t- Zfk46?A
Address:
City: 44 4�4ffz4kge6r State: k zip. a,7018
{qualifier Name: Phone* -
State Certification or Registration* G7 C je!� OO Z:Eo/ Certificate of Competency #:
Contact Phone#: j%J�S''�Zlrfi -�3/6 Email Address: 9=`te.9i(_eC-C7h'k�
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: $ /'9"d1D -4- Saw—fare/Linear F, of Work:
Type of Work: OAddress ❑Alteration 2� cw dR rMe lace ❑Demolition
YP � P
Submittal Fee $ Perndt Fee $
f'p,
$ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ TrainingjEdtkation Fee
Double Fee $ StnwturW Review•$ _
Technology Fee $
TOTAL FEE NOW DUE $
Bonding ConV uiy's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
zip
City State Zip
Application is hereby made to obtain a permit to do the work and 'installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
constructiin in this jurisdiction. I underst►und that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC.....
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compGantce with all
applicable laws regulating constructionn :and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of building pennit with an estimated value exceeding $2500, the applicant must
promise in goad faith that a cope of the notice of commencement and construction lien law brochure will he delitvred to the person
whose property is subject to attachment Also, a certified copy of the recorded notice of comnencement must be posted at the fob site
for tine first inspection which occurs sewn .(7) days after the building pennit is issued. In tire absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged. .1 / -6.
Signature . &A Cc 4) ®; Signature �C
Owner or Agent Contractor
The fore out instrument was acknowledged before rine this
day of _ by N ft& ,'4 6,��S
Who isrsonally known b me or who has produced
As identification aid who did take an oath.
NOTARY PUBLIC:
The foregoing instrument was acknowledged before me this -,W
day of , 20a, by ),)I I I I wn
who is personally krmwn to me or who has produced
as -identification and wlxi did take anoath.
NOTARY PUBLIC:
Sign: 11, Sign
Print•/%'1/A Print:
My Commission Exp e0:+ CAMILA A► CRAVES My Commission
*; M
COMMISSION # EE012t389
EXPIRES July 29, 2014
IOAt8Ef11.YA'LEY
W10N#FF0W1
EXPIRES: October 1, 2017
Bonded ihru NdMY Pubo Undembm
APPROVED BY Plans Examit-cr Zx)ning
Structural Review
(Revbed 1/12/'-912)(Revi`ed 07/I0/07)(Revi%ed 06/10/2009)(Revised 311N09)
Clerk
Nov 21 1311:49a Genesis EI
9549569803 p.2
o
STATE OF FLORIDA
DEPARTMNT OF BUSIPBSS AND PROFESSIONAL REGULATION
ELECTRICAL CONTRACTORS LICENSING BOARD (850) 487-1395
1940 NORTH MONROE STREET
TALLAHASSEE FL 32399-0783
ALBRIGHT, WILLIAM JOHN
GENESIS ELECTRIC INC
6610 OAXHILL
NORTH LAMMMALE FL 33468
Congranda8ans! With fins license you become one of the nearly ane mi�ian
Floridians licensed by the De�rbnertt of Business and Pro%ssiorrat Relation.
Our prafes�nals and bt�ittessers range from arctdtects Lo yatdrt brokers, from
boxers to bart�aque restaurants. and ttrey keep Florida's economy strong.
Evsay day we work to improve the way we do business in order to serve you bad
For information about our servrces, please log onto www myfforida8cens&con.
Thera you ran find more information about our divisions and the nsgubabons brat
unpact you, subscribe to department newsletters and leam more about. the
Deparknenrs initiatives.
Our mission at the Department is: License Mciently. Regulate Fairly. We
constantly strive to serve you better so that you can serve your custormers.
Thank you for doing business In Florida, and congratulations on your new Dcenset
L
DETACH HERE
STATE OF. FWAC'# `� 3
DEPARTIMIT 'OF- BbSIkSS -AND .
PR0F9SSI0NAL---PJ3GULATI0N '.
EC13003501 08%17112 12804334
CE:RTIFIWTxc TRICA ,i' --cow-FRACTOR
ALBRIGST; ' IWXLLMM JOHN .
QP=SI,..S .-M=CTRIC INC
IS CgRTjaq= waor tine 30savie3onz:of:,cu.489
zmdxr tion aatxi AUG 31,-2014 MMM701943
AC#. -6.2 7.8 7.. STATE OF FLORIDA
:= •DEP.ARTMM T, •OF • BUSINESS AND PRO,FIBSSIONAL�• REGULATION
ELECTRICAL. CONTRACTORS L CRUSING BOARD
SEt# L3.2os17019c
48 1?12012
4290433.46 WBC1.3003501
The ZLZCTRICAL CONTRACTOR
Named.- below .-IS CLRTIFIED
Under the' provisions of • Chapter 489 . FS.
$xpiration. date: AUG.31, 2014
ALBRiGiiT, .`-WILLI,AM: JOHN- ..
- GEISS9I5SLSCTRIC INC'' .:..
6810 OAKHILL
NORTH .LAUDB'12DImw FL :.33068
RICK SCOTT XEN LAWSON
GOVIMMOR SECRETARY
-------•--l7P_i$Y L$�EQUR�U BY LAW
Nov 21 1311:49a Genesis EI
9549569803 p.3
BROWARD COUNTY LOCAL BUSINESS TALC RECEIPT
jf 118 S. Andrews Ave., Rm. A-1 00, Ft. Lauderdale, FL 33301-1895— 95431-4000
f VALID OCTOBER 1, 2013 THROUGH SEPTEMBER 30, 2014
DBA:GIMSIS 3LECTRIC INC
Business Mame:
Owner Name: WILLIAM J ALBRIGHT/QUAL
Business Location: 6810 OAKH:[LL
NORTH LAT)DERDALE
Business Phone: 954-403-4620
Receipt #: crRic /ALARMS/CONTE
Business TYpe: (ELECTRICAL CONTRACTOR)
Business Opened -.07/12/1999
State/CountylCertfReg:EC13 00 3 S 01
Exemption Code:
Rooms sents EnM10yees Machines Professionals
1
For Vending Business Only
Number of hhlFan:hlns� Yentlina Tune:
7axAmoum
Transfer Fri
mw Fee
Penalty
Prior Years
Colkwoon (dost
Total Paid
27.001
0.001
0.00 1
0.00
1 0.00 1
0.00
27.00
THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS
THIS BECOMES A TAX RECEIPT This tax is levied far the privilege of doing business within Brovaard County and is
non -regulatory in nature. You must meet all County andfor Municipality planning
WHEN VALIDATED wid zonk9 requirements. This Business Tax Receipt must be t wWerred when
the business is sold, business name has changed or you hoe moved the
business looWon. This receipt does not indicate tint the business is legal or that
It is In compliance with State or local lavas and regulations.
Main" Address:
WILLIAM J ALBRIGHT/QUAL Receipt #048-12-00001551
6a10 OAKKILL Paid 09/23/2013 27.00
N LAUDERDALE, FL 33068
2013 .2014
Nov 21 1311:49a Genesis EI
9549569803 p.4
f1q—Vic" !:AT 1.`N'vi;:YYYY
CERTIFICATE OF LIABILITY INSURANCE 11/20/2013
THIS CERTIFICATE IS ISSUED AS A NATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEOATWELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policyjles) must be endorsed. If SUBROGATION IS WAIVED, subject 10
the teens and conditions of the policy. certain policies may require an endorsement. A statarltent on this certificate does not confer riglTt6 to the
Certificate holder in lieu of such endowsemengs)
IROCUCra
CORAL FINANCIAL GROUP
(954) 345-2600 '1
W Sample Rd _ f L. (954) 345-2614
10176
Coral Springs, FL 33065-3942 : 14 coralfinl@aol.cQaL
... _. _..... LNSURERIS) AF{ORDW6 CtriERiA6F NAICR
r�auhfH a CYPRESS PROPERTY & CASULATY INS
RF GENESIS ELECTRIC, INC ---- -
I:,�UI::t::r: SUMMIT HOLDINGS INC •_ .._.. �-
6830 OAKHILL ' r.IIHF `, -_ ... .
NORTH LAUDERDALE, FL 33068-3720 L
•NSIN-4u
I iWtiIF:ir F.� E
COVERAGES
THIS IS TO CFRTIFY THAT THE POLICIES OF IINSURA CE L;STED BELOW HAVE BEEN ISSUED TO THE INSURED NMIE ABOVE NUMBER.
RRTHE POLICY PERIOD
INDICATED. NOTWiTHSTANDM ANY REOUIREMENT. TERPA OR CONDITION OF ANY CONITRACT OR OTHER DOCUMEN1 WITH RESPEC' TO :WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN', THE INSURANCE AFFORDED BY TPE POLICIES DESCRIBED HEREIN 15 SUSJFC:T -0 ALL THE TERMS.
EY.CLUSfCNS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE SEEN REDUCED $Y PAID CLAIIMS
LTR tYPB Of INSURANCE.Ir'JI'I:":Y : >.i; __ _. _.._.... •--•--.. ..
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CCRTIFICATC HOLDER CANCEJ_LATJON
CITY OF MIAml SHORES ,7_LLKGG8 BUILDING I
DEPT SHOULD ANY OF T' -(E AROVE DESCRIBED POLICIES BE CANCELLED EEFORE
'HE EXPIRATION DATE THEREOF NOTSCE 'WILL BE DELIVERED Rh
10050 NE 2ND AVE ACCORDANCE WITH THE POLICY PROD^SIONS
MIAMI SHORES VILLAGE, FL 33160
AUfH'.)Rwrr, ifi'PRF $DIV tAc1:1
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1958-2010 ACORD CORPORATION. Al r ghts rt senfed.
aCORD251201305) The ACORD narne a -in Ic9a are registered marls of :.CORD