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EL-13-1746Miami Shores Village Building Department 10050 N E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION Permit Type: Electrical FBC 20 Permit No. E I 13- 1'1�b Master Permit No.2r, 13 — I �y JOB ADDRESS: 7 0 1J6 102 J City; Miami Shores County. Miami Dade Zip: 331, Foho/Parcel#: Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee/ Simple Titleholder)) I � 5 - %7 EZ0 � Phone#:� Address: S 5® AJ En /D 2 '_ 1 City: State: I ! Zip Tenant Email: CONTRACTOR: Company Name: �� �" d> %���%Z 1 ��' Phone#: Address• ®/ 5_ U% City: ic�ti�l , State:Z Zip: :3 9 I Qualifier Name: e,0.4 A h< Y$ d'2_13 State Certification or Registration #: FL 13 dV .3 ?_ Certificate of Competency #: Contact Phone#: U1 Email Address: DESIGNER: Architect/Engineer. Phone#: Value of Work for this Permit: $ U0 Square/Linear Type of Work: OAd Description of work: x,�,���,x,�,x�x��,�,�,��aarxx,�,�*��t���r,�w�,r,�,xrn,x,r,�,tF�srr,►,�,r,��r,�����,r�s�,u,�*�r,�*��r�z,�,r,�,�*,r,�,u,�,��x�,�,�a�,aa Submittal Fee $ Permit Fee $ //,✓�® CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ Technology Fee $ TOTAL FEE NOW DUE $... 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I SEX. ig H SA09 DRIVER Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-198747 Permit Number: EL -8-13-1746 Scheduled Inspection Date: September 10, 2013 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: HEGEDUS, IRENE Work Classification: Alteration Job Address: 550 NE 102 Street Miami Shores, FL 33138- Phone Number Parcel Number 1132060171041 Project: <NONE> Contractor: ROP ENTERPRISES CORP Phone: (786)390-8213 Ouuumg ueparImeni %.vmmenis REPLACE BATHROOM LIGHTS AND EXHAUST FAN Infractio Passed Comments INSPECTOR COMMENTS False Passed Failed Correction ❑ Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. Inspector Comments A. w___ �Zcy--- ,6-? 4's?' September 09, 2013 For Inspections please call: (305)762-4949 Page 26 of 31 ROPEN-1 OP ID: DM ACS/�0$ CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) TYPE OF INSURANCE 08/15/2013 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 INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. 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). PRODUCER Phone: 305-455-7250 Global Risk LLC 5959 Blue Lagoon Dr Suite 101 Fax: 305-455-7251 Miami, FL 3326 Eduardo R. Portas CONTACT NAME: PHO No Ext): NE AX, No E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC k 12/01/2012 INSURER A: The Phoenix Insurance Company EACH OCCURRENCE $ 500,000. INSURED ROP Enterprises Corp 8101 SW 104 St INSURER B:CastlePoint Florida Ins Co INSURER C: Miami, FL 33156 INSURER D: GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO LOC INSURER E: $ INSURER F: AUTOMOBILE COVERAGES CERTIFICATE Nl1MRFR I2PVICIntd 1110LIMRI:0. 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 IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDLSUBR INRR WVD POLICY NUMBER POLICY EFF MM DD POLICY EXP MM DD LIMITS A GENERAL LIABILITY X COMMERCIALGENERALLIABILITY CLAIMS -MADE 7 OCCUR 16808207C667PHX12 12/01/2012 12/01/2013 EACH OCCURRENCE $ 500,000. PREMISES(Eaoccurren e $ 300,00 MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 500,00 GENERAL AGGREGATE $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO LOC PRODUCTS - COMP/OP AGG $ 1,000,00 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOSAUTOS COMBINED SINGLE LIMIT Ea accident BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTIONS $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? � (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A WCP761233800 12/01/2012 12/01/2013 WC STATU- 0TH - T RY LIMITS ER _ E.L. EACH ACCIDENT $ 100,00 E.L. DISEASE - EA EMPLOYEE $ 100,00 E.L. DISEASE - POLICY LIMIT $ 500,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Electric -Wiring Buildings 11.4 Miami Shores Village 10050 NE 2nd Ave Miami Shores Village, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD STRUCTURAL INSPECTION DATE INSP Foundation Stemwall Slab Columns 1 st Lift Columns (2nd Lift Tie Beam Truss/Rafters Roof Sheathing— Bucks Windows/Doors Interior Framing Insulation Ceiling Grid Drywall Firewall Wire Lath Pool Steel Pool Deck Final Pool Final Fence Screen Enclosure Driveway Driveway Base Tin Ca Roof in Pro ress Mop in Pro ress Final Roof Shutters Attachment Final Shutters Rails and Guardrails ADA compliance DOCUMENTS Soil Bearing Cert Soil Treatment Cert Floor Elevation Surve Reinf Unit Mas Cert Insulation Certificate S of Surve Final Surve Truss Certification STRUCTURAL COMMENTS LEE ZONING INSPECTION naTF I INSP PLUMBING INSPECTION DATE INSP Zoning Fina{ ZONING COMMENTS Rough Water Service 2nd ROU h Top Out Fire Sprinklers Septic Tank Sewer Hook-up Roof Drains ELECTRICAL Gas INSPECTION DATE INSP LP Tank JTemporary Pole Well 30 Da Tem ora Lawn Sprinklers Pool Bondin Main Drain Pool Deck Bondin Pool Piping Pool Wet Niche Backflow Preventor Underground interceptor Footer Ground Catch Basins Slab Condensate Drains Wall Rou h jHRS Final Ceiling Rough Rough PLUMBING COMMENTS Tele hone Rou h Tele hone Final TV Rou h TV Final Cable Rou h Cable Final Intercom Rough Intercom Final MECHANICAL Alarm Rou h INSPECTION DATE INSP Alarm Final Underground Pipe Fire Alarm Rough Fire A7N A larm Final Rou h Service Work With Ventilation Rough ELECTRICAL COMMENTS Hood Rough Pressure Test Final Hood Final Ventilation Final Pool Heater Final Vacuum 7A ----T- I MECHANICAL COMMENTS