The URL can be used to link to this page

EL-14-1633Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-216770 Scheduled Inspection Date: November 06, 2014 Inspector: Devaney, Michael Owner: , KALYANI VENTURES, LLC Job Address: 30 NW 92 Street Miami Shores, FL 33138 - Project: <NONE> Permit Number: EL -7-14-1633 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition/Alteration Phone Number Parcel Number 1131010170210 Contractor: LYNCO FIRE & ALARM CORP Phone: (305)335-7824 Building Department Comments INSTALL NEW VANITY AND CEILING LIGHTS TO Infractio Passed comments REPLACE EXISTING ONES. REPLACE GFCI BREAKERS. I INSPECTOR COMMENTS False Inspector Comments Passed Yl Failed Correction ❑ Needed Re -inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. November 05, 2014 For Inspections please call: (305)762-4949 Page 7 of 36 OWNER: Name (Fee Simple Titleholder): r� 'V! p •Phone#: `-1 /— Address: ✓&f' City: i�% State: Zip: !9 j Tenant/Lessee Name: Phone#: ��s s�®so/ Email: CONTRACTOR: Company Name:T,f f4dW 4" % Phone#: _e?(I!C QQ !K::'G6 Address: �1��s City: A State: Zip: :O.S/& Qualifier Name: 7SIFIft Phone#:30S7 33C n 67ZU State Certification or Registration M DESIGNER: Architect/Engineer: Certificate of Competency #: CK Moo `3`i 6``7 Address: City: State: Value of Work for this Permit: $ 5,AO. Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace Description of Work: /fig n� `�'�rv� T74 ~Q 0 A►/>x9ei .4 i ice.OF 7:'✓ f� Specify color of color thru tile: Submittal Fee $ -Il) Permit Fee $ f 0'2ap p,040 Scanning Fee $ Radon Fee $ Technology F(ee Structural Reviews $. (Revised02/24/2014) Training/Education Fee $ Zip: ❑ Demolition CCF $ CO/CC $ _ DBPR $ Notary $, Double Fee $ _ Bond $ TOTAL FEE NOW DUE $ 1 ! S 6 Miami Shores Village BuildingDepartment 014 p JUL 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305)762-4949 FBC 200 BUILDING Master Permit No d= L4- ibbl PERMIT APPLICATION sub Permit No ❑BUILDING PgELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 3 ep N, W , City: Miami Shores County: 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): r� 'V! p •Phone#: `-1 /— Address: ✓&f' City: i�% State: Zip: !9 j Tenant/Lessee Name: Phone#: ��s s�®so/ Email: CONTRACTOR: Company Name:T,f f4dW 4" % Phone#: _e?(I!C QQ !K::'G6 Address: �1��s City: A State: Zip: :O.S/& Qualifier Name: 7SIFIft Phone#:30S7 33C n 67ZU State Certification or Registration M DESIGNER: Architect/Engineer: Certificate of Competency #: CK Moo `3`i 6``7 Address: City: State: Value of Work for this Permit: $ 5,AO. Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace Description of Work: /fig n� `�'�rv� T74 ~Q 0 A►/>x9ei .4 i ice.OF 7:'✓ f� Specify color of color thru tile: Submittal Fee $ -Il) Permit Fee $ f 0'2ap p,040 Scanning Fee $ Radon Fee $ Technology F(ee Structural Reviews $. (Revised02/24/2014) Training/Education Fee $ Zip: ❑ Demolition CCF $ CO/CC $ _ DBPR $ Notary $, Double Fee $ _ Bond $ TOTAL FEE NOW DUE $ 1 ! S 6 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: 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. Signatur V OWNER or AGEN The foregoing instrument was acknowledged before me this ' 2 day of 20 / by who is personally known to me or who has produce identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: 0tli1 III/q/,/i Slwf= Sign: \\\este Print:='<r:'`��p�\\C,' Seal : a Notary public State of Florida o Seal: Joanna M Feliciano y*g, any CommissionFF 082753 "Q-OFA� EXp"s01/1212018 .. APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) [SIIC��S�� I-B31-11 Ac✓oRv CERTIFICATE OF LIABILITY INSURANCE 10/04/20933 THUS 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. THUS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(Sh AUTHOR® REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If tate certitacste hour Is an ADDITIONAL INSURED, the p lIcy(les) most be endonaii. H SUBROGATION IS WAIVED, subject to the temps and conditions of the policy, certain popes may reqube an ondomement. A statement on this corbWo to does not corder rights to the certificate holder In Ran of such endmseme s . PRODUCER Pham: 884-76!-7171 Customews Ruta Its. Agency 1830 S.E. 44h Avenue Fax- 954-768-71 . , FL 33316`n Re mon ma+hEFax a, ADORM AF> o IG t�II>macm NAICA I A:"Scottsdala hmurance Co 41287 003URED Lynco Flus 81 Alarm Corp. Jeffrey N. Lynn 138 ale Blvd Blvd Sults 313 N. Miami Belach. FL 33181 UNWRERS. C: 0MURERD: INSURERE: I RF: JW"d1=11 16'.!=s�; '.� l '. •.. I i. 1— -f- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE 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. ffm LTR ROM StUR HL Pa 11:1f NUtl POLICY OF POLICY EXP nuns A aLLL48U ry �GENERAL UABtLnY CLAIMSMADE EKOCCUR STSM Os/20P1013 09P 14 EACHs 1.000.000 IJAMMUETORENTED PREM s ea m 8 100,0001 MEDEXP(kw0wpww)e b PERSONALBAININJURY $ 1,000 GENERALAGGREGATE $ 2.000, GEMLAGGREGATEUWAPPLIESPER: X Poucr LOC PRODUCTS-COMPMPAGS $ $ AUTOMOBI E LIare.11Y ANYAUTO H SCHEDULED AirrOS AUTWBODILY HIREDAUTOS ar�:ld b SOMYINAMONWPOMM)ALLOWNED INJURY (Perste S S S UNEIRELLAtJABHC0WMmS-VAW CWEMN OCC RRENCE S AGGREGATE S Om RETENTION $ 1N0RI(ER9COMPENSATION ��YIN OFFMERNAM9 3ER EXCLUDED? U dtwytntn � oPEw►nOM NIA VMCSTATI � UW E E.L. EACH AGENT $ F.1 DISEASE -EA $ E.L. DBEASE-POUCY LIMIT $ A A Last Key Coverage 1878759 CP31876739 010=21113 09/20/2013 09 14 ICMWAgg 09/201 14 $IMWSM 26,00( u=AmwnGNOFOPMTOWILOCAMMIVMGCLBB~ACORD14",AdOWndFinneftSdwdule6ffmomisrequbeo ALARMS AND ALARM SYSTEMS — nq9TALLhT1W,SEAVICING OR REPAIR MIAMI S Miami Shores wage Fax#305.768.8972 10080 NE 2nd Ave Miami Shores, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED B� THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROMONS. V(Vx--n Y7- J e,% -X, ---...... �.,.�.......�, 1 nvauumi name ime logo are fegistoyed merits of ACORD CERTIFICATE OF LIABILITY INSURANCE Roo 7/28/20144 THIS CERTIFICATEIS 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 pollcy(les) must be endorsed. If SUBROGATIONIS 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 PAYCHEX INSURANCE AGENCY INC CONTACT NAME: PHONE (AIC, ()Vc,No>: (888) 443-6112 210705 P: F: (888) 443-6112 PO BOX 33015 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAICC SAN ANTONIO TX 78265 INSURERA: Twin City Fire Ins Co INSURED INSURER B: INSURER C: LYNCO FIRE & ALARM CORP. INSURER D: 13899 BISCAYNE BLVD STE 313 INSURER E: MIAMI FL 33181 INSURER F: t.ert 1 Irt%,A 1 r- NUm=11: REVISION NUMRER• 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 77PEOFINSURANCE ADDZ SUBR POLICYNUMBER POLICYEFF D POLICYEXP LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑OCCURTO EACH OCCURRENCE $ RENTED PRAEM SES Ea occurrence) $ MED EXP (Any one person) $ PERSONAL $ ADV INJURY $ EN'L AGGREGATE LIMIT APPLIES PER: POLICY JECT ❑ LOC GENERAL AGGREGATE $ PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident ) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ S UMBRELLA LIAB d OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED RETENTION$ $ PIORBERSCOWENSA770NPER ANDEdIPLOYER3'LIABILI9Y OTH- X STATUTE ER A ANY PROPRIETO"ARTNERIEXECUTNE YIN OFFICERlMEMBER EXCLUDED? (M-datoryIn Nit El MIA76 WEG DF9547 05/16/2014 05/16/2015 E.L. EACH ACCIDENT $100,000 E.L. DISEASE -EA EMPLOYEE 1100, 000 If yes, describe under DESCRIPTION OF OPERATIONS Blow E.L. - DISEASE POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VENCLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Those usual to the Insured's Operations. Re: State License Number EC13003767. CERTIFICATE HOLDER CANCELLATION ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED Miami Shores Village BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Building Department AUTHORIZED REPRESENTATIVE 10050 NE 2ND AVE MIAMI SHORES, FL 33138 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD