EL-14-1067Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-212994 Permit Number: EL -5-14-1067
Scheduled Inspection Date: October 29, 2014 Permit Type: Electrical - Residential
Inspector: Devaney, Michael Inspection Type: Final
Owner: GOMEZ-BASSOLS, ISABEL Work Classification: Generator
Job Address: 137 NE 92 Street
Miami Shores, FL 33138- Phone Number
Parcel Number 1132060133170
Project: <NONE>
Contractor: WORLD ELECTRICAL CONSTRUCTION SERVICE CORP. Phone: (954)213-5663
Building Department Comments
NEW GENERATOR
INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction ❑
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
October 28, 2014 For Inspections please call: (305)762-4949 Page 3 of 46
I
BUILDING
t, "u —
Miami Shores Village nGw--m.
Building Departmenta�
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
MAY 2 2 2014
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
PERMIT APPLICATION
❑BUILDING ELECTRIC ❑ ROOFING
FBC 20 fir_.
Master Permit No.!�
Sub Permit No. _ . _
❑ REVISION ❑ EXTENSION ❑RENEWAL
F-1 PLUMBING ❑ MECHANICAL F-] PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 1257 rC1,^
City: Miami Shores Countv: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (fee Simple Titleholder): %4 tw-A— ti 9*%j one#:
Address:
ah ft$
City: AM G --'A- 1 VvAAV _- State: 1=11LL. Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: Voct o 41 Cop? Ooh. /ate 6&0,4& Rhone#:
Address: 13 7 /Lf -a , oVa .4 7 -
City:
City: "#I ow p.0, ► State: PE Zip
Qualifier Name: 64%Ll h�o sC' (41�••�..� Phone#: re"
State Certification or Registration #: Certificate of Competency #: _
DESIGNER: Architect/Engineer: Phone#:
Address: City: qh__ State: zip"--
Value
ipsValue of Work for this Permit: $ e Square/Linear Footage of Work:
Type of Work: ❑ Addition Alteration ❑ New �A Repair/Replace ❑ Demolition
Description of Work: ��1{ �/�H -'V
Specify color of color thru tile:
Submittal Fee $ Permit Fee $
Scanning Fee $
Technology Fee $
Structural Reviews $
(Revised02/24/2014)
Radon Fee $
Training/Education Fee $
e0CCF $,
DBPR $
CO/CC $
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ _
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
'T
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 approved and a reinspection fee will be charged.
00,
Signatu Signature
OWNE or GENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
21 day of 20 /`T , by
rte— , who is personally known to
me or who has produced as
identification and who did take an oath.
NOT
Sign
Prini
Seal
day of 2nvg - , 20 A� . by
who is personally known to
me or who has produced ":::--sem �--- as
identification and who did take an oath.
NOTARY PUBLIC:
Seal:
i
APPROVED B _ TcrB y
d4
Plans Examiner
�/
Zoning
Structural Review
Clerk
(Revised02/24/2014)
Detail by Entity Nww
I I
Flori0a Profit CorpowLon
WORLD ELECTRICAL CONSTRUCTION SERMCE, CORP.
Filing Information
FEYEIN Number
Date Filed
state
status
Effective Date
Priincipal AddWss
6511 NOVA DR.
189
DAME, FL 33317
6511 NOVA DR.
189
DAME, FL 33317
ARCHER, GEORGE T
6511 NOVA DR.
189
DAVIE, FL 33133
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RENEWAL SEPTE SE 30 2011
CORP
631369 A&At ba atgiac8 of business
3343 Sift 27 TER
Purau me to coumy. code
M - t, FL 33933
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WORLD ELECTRICAL: 196 ELECTRICAL
CQNsTRCICT$$ sERvr-E CORP CONTRACTOR
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t1#' i•:
JEFF ATWATER
CHEF F CIAL OFFICER
..CERTIFICATE OF ELECTION TO BE EXELIpT FROM FLORIDAWORKERS. COMMSATION
LAW
CONSTRUCTION INDUSTRY EXEpAFMON
This Certifies that the Individual fisted 681oxf has elected tD be exempt from Flotilla Workers' Compensation latae.
EFFEC DATE: 51112014
PERSON: ARCHER
FEIN: 483529854
BUSINESS NAME AND
WORLD ELECTRICAL CONSTF
3143 SW 27TH TERRACE
MIAMI FL
ELECTRICAL WIRING
WITHIN BUIL
33133
EXPIRATION DATE: 4/30/2016
GEORGE
Pwsuantto Chapter 440.0X14}, F.S., an oto cf a cWp0MWM who e e firottt ft cdtaPier hY a o9 election undar this stolon may
rang reoover Ian or cmnp Son under Usis dWPW Pausuarct to C Sr440.08(92), F.S., Certftt by of
of buainess or trade gated on the notice of a htn to be W r43L Flaunt to anon tta n to .. apply only tsithht Ute scope
etec9lisn to he exempt shall be stdgect to � m ChaPt� 440,05(13}, F.S:, NoUcas of etffOUon to be exempt and of
ceat#%aie no
longar meets lite r QnY tftrt aUerthe Ming of the notkre or ata iewu of the , the frarsort nw mW on Me "Once or
titrsttm* of this a x*w tft Ofa . The st1a11 mice e at any thr� forfaYura Ute
person named an fhe to to rtteat the r M*&- tents of we"=.
L}FS— -Dtfl'-252 CERTIFICATE OF EI-ECTiON To 0E Ua4PT REVISED 07-12
QUMIONS?
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License Mailing:
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License Informatton
License Type:
Rank:
License Number:
Status:
Licensure Date:
Expires:
3143 SW 27 TERR
MIAMI FL 33133
DADE
'g4o MoLth HaDr*e RMOL lifthaffigg FL 3239,Qpara iGt �eriter ;: CUStOnw Contact center:
The State Of Florida is &I AA(EEO ernployer.Iraq A 2007 20 ALO State of Fp&aar, no 12_M e
Under Florida law, ermfladdreSse, are public records, If you do not went your email address released in response to a pubk- records
request, do not send electronic: rrmil to this entity, instead,
Questicontact the office by Phone Or by traditional MR. If you have any
licensedons, Please contact 850.487.1395. *�Fursua nt to Section 455,275(j), Florida Statutes. effective October i, 2012, licensees
under Chapter 455, F,S- rmst Provide the Departrnent with an email address if they v n T e provided
used for Official cOnTrUnication with the licensee, he have ane. he rialls; rov my t*
however addresses are public record, If you do not wish to supply e if you are affected by this*change,
Page to deternape nal
lM* A9* M
address, Please Provide the rLepart"nt with an email address Which can be rrude oval to the public. Please see bur Qrso
511/M4
R=
.1395
Of 1 5/111201410:50 I M
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
51"/,y
Permit No: Oi 4 -- l o 6 j
9`� � dam•
Structural Critique Sheet
Page 1 of 1
STOPPED REVIEW
Plan review Is not complete, when all Items above are corrected, we will do a complete plan review.
If any sheets are voided, remove them from the plans and replace with new revised sheets and Include one
set of voided sheets in the re -submittal drawings.
Mehdi Asraf