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EL-14-2050Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-221265 Scheduled Inspection Date: October 09, 2014 Inspector: Devaney, Michael Owner: TIMS, DONALD & MELANIE Job Address: 301 NE 93 Street Miami Shores, FL 33138 - Project: <NONE> Contractor: ACE ELECTRIC OF SOUTH FLORIDA INC Building Department comments REPLACE AND UPGRADE EXISTING ELECTRICAL SERIVCE TO 200 AMP METER MAIN. UPGRADE GROUNDING ELECTRODE SYSTEM Permit Number: EL -9-14-2050 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Service Change Phone Number Parcel Number INSPECTOR COMMENTS False Inspector Comments Passed 0— 0— 1 07 Failed Correction ❑ Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. 1132060136230 Phone: (954)261-2885 October 08, 2014 For Inspections please call: (305)762-4949 Page 39 of 40 BUILDING PERMIT APPLICATION Miami Shores Village 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 ® ELECTRIC ❑ ROOFING FW107 M7 IT SEP 10 2014 T3Ye FBC 2010 Master Permit No. Sub Permit No. ❑ REVISION ❑ EXTENSION ❑ RENEWAL PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 301 NE 93rd Street City: Miami Shores County: Miami Dade Zip: Follo/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): 9 ) �� \ �l ems-- Phone#: Qc2ptl Address: 301 NE 93rd Street City; Miami Shores State: Florida Zip; 33138 Tenant/Lessee Name: NA Phone#: NA Email: CONTRACTOR: Company Name: Ace Electric of South Florida Inc. Phone#: 954-878-9877 Address: 10148 SW 49th Manor City; Cooper City State: Florida Zip; IWIM 333A Qualifier Name: Kenneth Isrel phone#: 954261-2885 State Certification or Registration #: EC 13004315 Certificate of Competency #: DESIGNER: Architect/Engineer: NA Phone#: Address: City: State: Zip: Value of Work for this Permit: $ 2000 Square/Linear Footage of Work: 0 Type of Work: ❑ Addition ❑ Alteration ❑ New Al Repair/Replace ❑ Demolition Description of Work: Replace and upgrade existing electrical service to 200amp Meter Main. Upgrade grounding electrode system. Specify colour of color thru tile: Submittal Fee Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Radon Fee $ cid 45LC, DBPR $ s Notary $ �5 y 0� Technology Fee $ e Training/Education Fee $ 0.40 Double Fee $ Q) Structural Reviews $ Bond $ TOTAL FEE NOW DUE $ (Revisedo2/24/2014) Bonding Company's Name (if applicable) NA Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City Zip 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 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: I 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 will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the Inspection will not be approv and a reins ection fee will be charged. The foraegoing instrument was acknowledged before me this �1 � c11 `day oyf� c ��►. _, 20 I y , by I o®hci Ick �t3 f iY) I YVI 5 , who is personally known to me or who has produced Identification and who did take an oath. !NOTARY PUBLIC: Sign: Print: �?llVlZ �`�'✓L Seal: v';, ANNETTE ISREL MY COMMISSION # EE144960 EXPIRES November 08, 2015 as S.ignatur CONTRACTOR The foregoing instrument was acknowledged before me this _ day of fZ 1� . 20 ty • by V -0-4%41N � 5 .� , who is personally known to me or who has produced 4�ct-- lr�y -. as identification and who did take an oath. 0� NOTARY! PUBLIC: ��,� �• ''��°� o� '' Sign: ®�� °�� "'' m = Seal. ssssssssssss ssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssss APPROVED BY T E / 5'B� Plans Examiner Zoning Structural Review (Revised02/24/2014) Clerk Existing 1-1/2" pipe & 3-1/0 to inside panel #4 grounding electrode SEP 16 2014 Ace Electric of South � � - •• �� ^ Job Address: EC13004315 301 NE 93rd Street 10148 SW 49th Manor Miami Shores, Florida 33138 Cooper City, Florida 3332 ' (954)878-9877 New 3 #3/0, in 2" rigid j extended above ti S, RU:;TURAL ELE`TRX V`, PLUKRING ;MECHAN ,1 200amp Meter/Main 20 Cir9zU* i', MAGE 150amp Breaker feeding e.Xistiq p§nei9M&jdeR1LES AND REGULA utilities ground bar cold water pipe 5/8" x 10' Ground bar To: Building Department - Miami Shores Page 2 of 5 2014-08-26 16:54:03 (GMT) From: Annette Isrel u- .. . f i. ALL CONTRACTORS MUST PROVIDE -COPES OF LICENCES AND:INSURANCES EACH TIME A PERMIT IS SUBMITTED OR THE VILLAGE MAY MAINTAIN A FILE WITH YOUR INFORMATION FOR Al$30.00 FEE PER YEAR. "�`= #N i f rx. A. __COPY OF QUALIFIERS. -STATE LIC. CARD B. COPD OF LOCAL BUSINESS TAX -RECEIPT C... COPY `OF LIABILITY INSURANCE'&ERTIFICATE HOLDER TO BEMI SHORES 'VILL�aGE BLDG DEEn D. COPY 'OF WORKERS COMPENSATION tEITHER:CERCIFICAtTE OR EXCEMPTIUN! A. CO.PY OF CERTIFICE OF COMPETENCY OF QUALIFIER B. COPY OAF MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S'TAXRECEIPT- C.. COPY :OF LIABILITY INSURACE (CERTIFICATE HOLDER MIST BE MIAMI SHORES VILLAf E mgg €3EPTt D, COPY -QF WORKER COMP INSURANCE. JE[[H99 C RTIFICATE ORMMPTIONI YOUR-INJURANCE-COMP A6. FOLLOW: MIAMI SHORES VILLAGE SLOG DDEPT 10050 NE 2ND AVE MIAMLSMCiRES,.FL 33133 ®asaaaamaaaaaasmam,aaa.sessrmamaa.asamasooksamamago aaaagaaa.aaasamrmzam-.0all t.asawasall soamass1;6.0.a,4 COMPLETE CONTRACTOR'S INFORMATION BUSINESS NAME. BUSINESS-APDRESS:--loi-Lo,t - Or a _. ZELL PHONE Eli) w f$UA►LIFIER'S L.ICI' UMBER: ... E . L.ADDR,ESS'It -A ICABLE): _C-p- CreaW on 3H9M BY VLDV t RV 3f2G1Q9 MWV ZfectriCal-Contractor *EC13004335 Lice'a t menu Select the function .you wish to perform. Press "Sack" to return to tEae main menu. Ucam Issf ced To: OSA Name: Wp-,n_e Status. Origirially •UCenrAd On: Explms On: tt?:ostc gaats)s iag �t . CLntal_c £ r: ISIM $s KEKNffTff NO" ACE BLECtRZC OF SOUTH DRZ®A ZNC Cuffer#4 Aed ve 249%Sia('2Q�9 :{mrrsf�d/m�') 48`212016 Qtnmldd/yyyy } _.__.......__..._._....._._...._ ' i�rin�iarns cr View 'Ay'��.�ririn U}n�j '�tsu_acson Mack Tft,to . �t lSh'Et0'FridARs58s• .... _ :'J ' 2 'i C;n>q .e r._r::r Nn•<• .......:. iJfN19s' i'a0*tuAi i8 t P✓1707E bfe Tilii�G TCLW'68. TP 7� d0 %!�Y 1CpRd Y�4'�Mfi S 7tiC�tf 1q l Tp a'y:Dd&t teards r¢Atart, of mmamft ma tt aAre &44. trfeas, cwMM the offm W �M or by tr 00ml rzwl. ltv6u b8rov a.�y� ry3a &4v J>sm s ApA sx0 �', Dftm So t, aw web PjasWet 't.aa,......1t................G7..»:.i..i:......,............1.3..<____...14....._.__1 �____nr rir+wea� x.. To: Building Department - Miami Shores Page 4 of 5 2014-08-26 16:54:03 (GMT) From: Annette isrel 9%1 "F LMILITY INSURANCE 08/26/14 PRODUCE Mendez & AQsocl THIS -CERTIFICATE 13 ISSUED AS A MATTER OF INFORMATION 9953 Pines Bind. ONLY ARID CONFERS NO. RIGHTS UPON THE CERTIF.1CATE. HOLDER. THIS CERTIFICATE DOESAOT AMEND, EXTEND OR Pembroke Pines, FL 33024 ALTS THE COVERAGE AFFORDED BY THE IES BELOW. Phone (954) 436.3776' Fax (866) 461-0543 INSURERS AFFORDING COVERAGE NAIL # INSURED Ace EIe.Clric.Of South Florida, Inc. iNSuRERA: Federated National Insurance Company 10148 SW 49th Marta INSURERS: Pr Ive. Insurance Company INSURER ::Asc eridant Commercial Ins„ Inc: j Cooper city, FL 33328 ...... --- COVERAGES THE POLICIES OF INSURANCE LISTED HAVEBEEN.ISSUF.D TQ TIiE.INSUREQ NAMED ABOVE:FOR THE POLICY PERIOD INDICATED.. NOTWITHSTANDING ANY REQUIREMENT, TERM OR -CONDITION-OF ANY CONTRACT•QR DTHER,DOCUMEN'r}ldlT" RESPECT T0.3NHLCti rHi$ CEF?TfFiGA3E MAYBE tSSt1 OF MAY PERTAIN. THE INSURANCEAFFORDED PY THE PQEIJQKPPESCRISED HEREIk s SUBJECT to ALL THE TERMS, EXCLU84ONGAND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INStt JJR AA+7 i maim TYPE OF INSURANCE POLICY'N POLICY RFMCMW DATE tI PdaLICY 7CPdRATiOhi Ye M% LINTS' 80M RAL LIABILITY EACH'OCCIURRENCE 11000,000 Q C0MME.RGIAL.0ENERAL LLr+131LrrY GL -0504011491-00 12110/2013 12110/2044 15 PREMISES Es oc«,rrsr4a 100,000 ❑❑ 'CLANS IAADE ® OCCUR BRED EXP Any one person) 5,w() A ❑ ❑ PERSONAL ILADV INJURY 1,00(f OW ❑ GENERAL AGGREGATE 2,000,000 GEN'LAGGREGATSLIMIT APPLIESPER: PRODUCTS -COMPIOPAGO. 2;000,000 ® POLICY El PROJECT ❑ LOC AUTOMOBiIj5 LL49UW COMBINED SINGLE LIMM ❑ ANY AUTO 01304466-0 0111012014 01/10/201-5 (Es accident) ❑ ALL OWNED AUTOS. S Q ® SCHEDULED AUTOS BODILY INJURY (P®r parson 10,000 ❑ HIRED. -AUT -OS BODILY INJURY(Per 20,000 ❑ NON OWNED AUTOS accident) cid PROPERTY DAMAGE 10;t)OfJ (per acxldent GARAGE.LPX TfY ❑ AUTO ONLY -EA ACCIDENT OTHER THAN EA ACC Q ANY.AUTO AUTO ONLY: A GG EXCESS / UM3RW.LA LIABILITY EACH OCCURRENCE E3 OCCUR ❑ CLAIMS MADE ❑ AG ELATE ❑ DEDUCTIBLE. Q RETENTION $ WORKERS COMPENSATIONAM EMPLOYERIP LIABILITY YIN WC -6251.2-9 09/15 01.3 09/16/2014 ® sRY TA ❑ Tw. C ANY PROPRIETOR I.PARTNER EXECUTIVE it OFFICER /MEMBER EXClltt►Eb# UDEf EACH ACCIDENT 1,000,000 ;i ttQidescatM In AIH) tr � describe under E.L. DISEASE - EA EMPLOYEE 1,000,000 Etr L PROVtSEONS below E.L. DISEASE- POLICY LIMIT 1,000,,00(') OTHER EBCRlPTiObI OF OPERATIA 1 LOCATION3'I VEHICLES I EXCL ADQED BY ENDOR T 1 gPECiAL FRQvlgt®pig CERTIFICATE HOLDER- - —rrap- a vsi SHOULD ANY'OF THE ABOVE DESCRISEMPOUCiES BE CANCELLED BEFORE THE ZMnMIAMI SHQRES VILLAGE BLDG DEPT. p TION DS WRm�Ia NOTICE To THE C.w ,TE HOLLD�vI EQ ToOR -To 1001 0- NE 2ND AVE THE—EEPT, BUT FAILURE TO 00 "$O SHALL NPOSBNo OBUGATKW OR #.tAE€ILJTY MIAMI SHORES, FL "33138 OF ANY KIND, UPON THE INSURER, iTS AGENTS OR rBEPRIA"NTAIWES. "AUTHORIM! W REPRESENTAM6 lf01j GIP tfi7.19S8.2 ACQRD TION. All rights ftSe ed. The ACORD name and logo are registered marcs of ACORD To: Building Department - Miami Shores Page 5 of 5 2014-08-26 16:54:03 (GMT) From: Annette Isrel `To: Building Department ' Fuge 2 of 3 2014-09-16 15:47:55 (GMT) From: Annette Isrel CERTIFICATE OF LIABILITY INSURANCE DATE09/16/14 Y' PRODUCER Mendez & Associates THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 9953 Pines Blvd. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Pembroke Pines, FL 33024 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Phone (954) 436-3776 Fax (866) 461-0503 INSURERS AFFORDING COVERAGE NAIC # INSURED Ace Electric Of South Florida, Inc. INSURERA: Federated National Insurance Company 10148 SW 49th Manor INSURER B: Progressive Insurance Company Cooper City, FL 33328 INSURER c: Ascendant Commercial Ins., Inc. E: COVERAGES THE POLICIES OF INSURANCE LISTED 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 OF MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MWDDIYYYY POLICY EXPIRATION DATE MMIDD LIMITS A ❑ GENERAL LIABILITY Q COMMERCIAL GENERAL LIABILITY ❑❑ CLAIMS MADE 0OCCUR F-1 GL -0504011491-00 12/10/2013 12/10/2014 EACH OCCURRENCE 1,000,000 PREMISES Ea occurrence 100,000 MED EXP (Any one person) 5,000 PERSONAL &ADV INJURY 1,000,000 ❑ GENERAL AGGREGATE 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: Q POLICY ❑ PROJECT ❑ LOC PRODUCTS - COMP/OP AGG 2,000,000 AUTOMOBILE LIABILITY ❑ ANY AUTO ❑ ALL OWNED AUTOS 01304466-0 01/10/2014 01/10/2015 COMBINED SINGLE LIMIT (Ea accident) B F1SCHEDULED AUTOS ❑ HIRED AUTOS BODILY INJURY 10,000 (Per person) BODILY INJURY(Per accident) 20,000 ❑ NON OWNED AUTOS PROPERTY DAMAGE 10,000 (Per accident) ❑ GARAGE LIABILITY ❑ ANY AUTO 1:1OTHER AUTO ONLY - EA ACCIDENT THAN EA ACC AUTO ONLY: AGG ❑ EXCESS / UMBRELLA LIABILITY ❑ OCCUR ❑ CLAIMS MADE EACH OCCURRENCE AGGREGATE ❑ DEDUCTIBLE ❑ RETENTION $ C WORKERS COMPENSATION AND EMPLOYERS'LIABILITY ANY PROPRIETOR / PARTNER / EXECUTIVEY/N OFFICER / MEMBER EXCLUDED? (Mandatory in NH) If yes, deseribe under SPECIAL PROVISIONS below OTHER WC -62512-4 09/15/2014 09/15/2015 ©WC STATU- ❑ OTH- ER E.L. EACH ACCIDENT 1, 000 1,000,000 E.L. DISEASE - EA EMPLOYEE 1 000,000 E.L. DISEASE- POLICY LIMIT 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS State of Florida Electrical Contractor License Number: EC13004315 CERTIFICATF UnI neo i98 -2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE MIAMI SHORES VILLAGE BLDG DEPT. EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO 10050 NE 2ND AVE THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY MIAMI SHORES, FL 33138 OF ANY KIND UPON THE INSURER, ITS AGGEENTT�SOOR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25 (20091011 OF _ ____ ____ _ _ i98 -2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD To: 130 ilding Department .Page 3 of 3 2014-09-16 15:47:55 (GMT) From: Annette Isrel IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER This Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 12009/011 of