The URL can be used to link to this page

EL-14-1910o g1411q "eftMiami Shores Village g Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 BUILDING PERMIT APPLICATION ❑ BUILDING Q ELECTRIC ❑ ROOFING F SEP ® 3 2014 FBC 2010 Master Permit No. _1 '141 /4700 Sub Permit No. ❑ REVISION ❑ EXTENSION ❑ RENEWAL PLUMBING [:]MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF [—]CANCELLATION ❑SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 10639 NE 11 CT City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 11-2232-028-0250 Is the Building Historically Designated: Yes NO X Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): PETION RIVERA phone#: 305-766-2007 Address: 10639 NE 11 CT City. MIAMI SHORES State: SL Zip: 33138 Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: KILOWATT ELECTRIC COMPANY Phone#: 954-975-8200 Address: 1700 NW 22 AVE City: POMPANO BEACH State: FL Qualifier Name: EDDIE FLACK :ip: 33069 954-975-8200 State Certification or Registration #: EC13001961 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $1,629.04 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑■ Repair/Replace ❑ Demolition Description of Work: REPLACE EXISTING METER CAN AND PROPERLY GROUND SERVICE PER FPUAMI METER DEPLOYMENT PROGRAM Specify color of color thru tile: Submittal Fee $ 150 • ()OLa Permit Fee $ r,3 4 CCF $ CO/CC $ Scanning Fee $ ° OZ) Radon Fee $ 2— 1 �2— 6 DBPR $ 5 Notary $ Technology Fee $ IG® Training/Education Fee $ 40 Double Fee $ Structural Reviews $ Bond $ p p TOTAL FEE NOW DUE $ IL 6 (Revised02/24/2014) Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip 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 construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: 1 certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction 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 a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure w' a delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of comm ust be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. ence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. ! Signat �`— Signature OWNER or AGENT The foregoing instrument was acknowledged before me this 1 +�` day of tick v S+ 20 ) L1 . by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: My COMMISSION #FF098435 EXPIRES March 4, 2018 (407) 3880183 APPROVED (Revised02/24/2014) CONTRACTOR The foregoing instrument was acknowledged before me this — day of 20 by who is personally known to mor who has produced as identification and who did take an oath. NOTARY Sign:_ Print: Seal: EXPIRES March 4, 2018 �k*rk Nak �kKe sk�k N��k Ne Nr �k�k*M��k �k �k �k Nak rkBe ek rk �k �k �k�kffirk�Ke �k �k �k+k�k+k ek�k ek+k �k �k �k �k Br�N �k�k �k&�k&�N N�*�rk+k# Plans Examiner Zoning Structural Review Clerk RICK SCOTT, GOVERNOR KEN LAWSQN, SECRETARY _ • STATE'OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION s� ELECTRICAL CQNTRACTORS LICENSING BOARD 1 7--"---- --- • I . The ELECTRICAL CONTRACTOR Named -below IS CERTIFIED = • -Under the- provisions of Chapter 48R FS. Exprration'date:_ACIG 31.,2D1,6 -"► LUVVATT_ELECTWC C 1704 N�tf22�V-•- POMP4FOLB. ACI ISSUED: 0727/2014 DISPLAY AS REQUIRED BYLAW t SEQ # L1407270002899 (For the protection of our professional license holders, this license contains bidden security features to prevent counterfeiting. Unauthorized reproduction is strictly prohibited and will be prosecuted to the fullest extent of the law) The Department of Business and Professional Regulation (DBPR), issues licenses for many licensed businesses and practitioners in the State of Florida R is changing the way you interact with state We encourage government. Many of DBPR's services are available online at www. MvFloridaLicense com We enurage you to utilize these services to make address changes, licensing changes or to renew your license. Name changes require legal documentation verifying the name'change, which must be mailed to the DBPR An ori duplicate copy of an original or certified copy of a document that shows the legal name change will be accepted, unless the D certified ehas ay or a question about the authenticity of the document. If applicable, the DBPR will. send a renewal notice to your last known address or email address renewal notice, please call our Customer Contact Center at of record. If you have not received your 850.487.1395 or online at www. qvFloridaLicense.com/contactus. Please refer to your profession's governing statutes and Administrative codes for further information regarding accessed from our website. renewals. These may be AC# 543.432 11 09-03-14;08;19AM; # 2/ 2 KILOELE-01 STIVIGGS '4%R�r CERTIFICATE OF LIABILITY INSURANCE °"1312014 ' �3rzola THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERIS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT. If the certlflcate holder 19 an ADDITIONAL INSURED, the pollcypes) must he endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an andorsament. A statement on this cartlflcate does not confer rights to the eartlflcate holder in lieu of such endorsomen s . PRODUCER CONTACT Collinsworth, Alter, Fowler & French, LLC 8000 Governors Square Blvd Suite 301 Miami Lakes, FL 33016 8/112015 PHOve 305 9r ) 8227800 %Z: i305) 362 2443 AD 55: INSUREFOI AFFORDING COVERAGE NAIL# PERSONAL 8 AW INJURY $ 1,000,00 IN5URER A:Amerisure Insurance Co 19488 re-COuNOPAGO S 2,000,00 INSURED INSURERS., INSURER C : Kilowatt Electric Company 1700 Northwest 22nd Avenue Pompano Beach, FL 33068 (NSUMMO; INSURER E: INSURER F - Ea acddedIRMT g 4,000,00 RG�I.71V1� I�Vlrl[7CR: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE: LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN ISSUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. �y�rr TYPEOFINSURANCE r,0 P©LILY NUMBER P�o0vw LIMBS A UENERALLIA61LITY X COMMERCIAL 09NERAL UA91LIrY CLAJWWADE a OCCUR X 8114 Add9 Insd X Bllct W01ver of Sub C,EMLAGGREGATELIMITAPPLIESPER: POLICY X PRO• Loc X X GL20OZ738 61=014 8/112015 EACH 00GUAR914012 S 1,000,00 PREMISES Fs eea ms S 300,00 = W (Anywm pereen) S 10,000 PERSONAL 8 AW INJURY $ 1,000,00 GENERAL AGGREGATE s 2,000,00 re-COuNOPAGO S 2,000,00 A AVTnNsoN3lt>: LMI If IY X ANY AUTO AUTOS AALL OMED UTOSU� X HIRED AUTOS X AtOliO EO CA20108661106 6/2/2014 B/ZIZ015 Ea acddedIRMT g 4,000,00 BODILY INJURY (Pel person) S 80MILY INJURY (Peraeddent) S Par azddant 5 A A X UM MILIA t IAB$ OXCM UAB %� OCCUR CLAIMS -MADE NIA X CU20300960902 202677809 61212014 12H/Z013 61212018 12/1/2014 EACH OCCURRENCE 5 1,000,00 AGGREGATE S 1,000,00 DED I X I RETENTIONS AM P_MPLOYEW LIABll.n1' Y) N OFRNGRB MEMBER�aCLUDED? curnle ONyyG��naedotoryleNH) OaS�I OF OPERATNONS below 5 X TT RS�T,IATU oTH E.LEACHACCIDENT 12 500,00 E.LDISEASE -EAEMPLOYE 5 500,00 E,LDISEASE -POLICY LIMIT 13 500100 DESCRunoN OF OPWAMONS I LOCATIONS IVOilOLE5 (Aaadl ACOR0101. AddWan Rellmllca Sahedula, N mere epees is rvqulnd) Re: license number EC13001961 CEwnnCATF Wnl nRla Miami Shores Village auilding Department 10060 NE 2nd Ave Miami Shores, FL 33136 SHOULD ANY OF THE ABOVE DESCRIBED POUCMS BE CANCELLED BEFORE THE EXPIRATION DAYS THEREOF, NOTICE WELL BE DELIVERED IN ACCORDANCE MOTH THE POLICY PROVISIONS. AUTHONZ90 REPRBWATAMW -- AW ®1988-2010 ACORD CORPORATION, All rights rasorved. -- _ ^— "^ -----r I no ^wrcu name ano logo are registered marks of ACORD JOB INFO: 10639 NE 11TH CT MIAMI SHORES, FL. 33138 r I/i SCOPE OF WORK: 2" GRC RISER WITH 3 REPLACE DAMAGED METER CAN AND PROPERLY #210 CU EXISTING f�— BOND SERVICE UNDER FPL AMI METER DEPLOYMENT REMAIN REPLACE DAMAGED 200 AMP METER CAN SEP 0 S 2014 EXISTING 2° GRC WITH 3 f CU FEEDING INTERI05 LOADS TO REMAIN TY co..py ft4 GEC TO TWO 5Wx10ft GRD GG�•Q�` ` w`� RODS ALO �p'C �o GGA �" Pc s� s� P ■n' KILOWATT ELECTRIC CWP/ 1700 NW 22 AVENUE POMPANO BEACH, FL, 33089 EC 13001981 _7 1- 2 Ya 8 7 6 5 4 3 2 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-219700 Scheduled Inspection Date: September 18, 2014 Inspector: Devaney, Michael Owner: RIVERA, PETION Job Address: 10639 NE 11 Court Miami Shores, FL 33138-2122 Project: <NONE> Contractor: KILOWATT ELECTRIC COMPANY Building Department Comments REPLACE EXISTING METER CAN AND PROPERLY GROUND SERVICE PER FPUAMI METER DEPLOYMENT PROGRAM Permit Number: EL -9-14-1910 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Service Change Phone Number Parcel Number 1122320280250 INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-219665. Failed Correction ❑ Needed Re -inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. Phone: (954)975-8200 September 17, 2014 For Inspections please call: (305)762-4949 Page 22 of 33