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EL-14-417-,Z77 5 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-220208 Permit Number: EL -3-14-417 Scheduled Inspection Date: September 25, 2014 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: ADAM SHEPARD, ALISON ANTROBUS Work Classification: Alteration Job Address: 295 NE 95 Street Miami Shores, FL 33138- Phone Number Parcel Number 1132060133970 Project: <NONE> Contractor: TURNPIKE ELECTRIC CORP Phone: (786)712-1024 Building Department Comments INSTALLATION OF OUTLETS LIGHTS SWITCHES AND Infractio Passed comments REPLACEMENT OF PANEL I INSPECTOR COMMENTS False Inspector Comments Passed 121 Failed Correction ❑ Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. September 24, 2014 For Inspections please call: (305)762-4949 Page 34 of 34 Miami Shares Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tet: (305) 793.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING ING PERMIT APPLICATION Permit Types Electrical JOB ADDRESS: '5 Algf7 MA 201 Permit No. �/ // `" L/17 Master Permit No, & 1 ?? '9_ q 6- 5-1r e en- -/ City: MiaW_Shares County: _ .Miami ilade Zip: FoliotPel#: Is the Building Mstarically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): Li /) 477Lf''f>& Phone#: :316 2 0 City: .C -l/ r �5,1gz, ✓l es State:- Tenants Name: Phone#: Email: CONTRACTOR: Company": 7 052 p tlLk C-; , & CMt CPhone# _ @��r( - (0 2q Address: :t -K.) City: ( ffL%M\ Qualififf Name: < State Certification Contact Phone#: �— zip: -_1� t CS DESIGNER: ArchitectiTzzinew.. Phone#: Value of Work for this Permit: $ �, L7V.J • O Square/Linear Footage of Fork: Type of "Work: DAddress i n ONew Repair�R1epj Description of Worl : -HU S 1`��L .� d� [j �'� 1 tCi'Z +aarorr��wr�r�c$�arf�arw�r,��r,�e�•err*s,►a��e��r�F;�,�,ir,��r,�,aa��+rpt,�wa�a�+ae�a�t,��,sa�,e�,r,�,ae�,rrr+�,g,�rr4*�r Submittal Fee S-��) •D� Permit Fee $ 1,6Y',&y CCF $ COlCC $ Scanning Pee S Radon Fee $ 1 DBPR S Bond Notary S Training/Education Fee $ Technology Fee S Double Fee $ Structural Review S TOTAL FEE NOW DUE $ d . Bonding Company's Name (if applicable) Bonding Company's Address City state Zip Mortgage Lender's Name (if appli(able) Mortgage Lender's Address City state Zip Application is hereby made to obtain a permit to do the work and instdIations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work grill be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK. PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is acute 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 $2500, the applicant must promise in goad faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a cerffled copy of the recorded notice of commeneem t must be post at the job site for the first inspecti®n which occurs seven (?) days after the building permit is issued. In the a s ce u% steel notice, the inspection will not be approved and a rei pection fee kill be charged. Signa Signature Owner or Agent tractor The foregoing instrument was acknowledged before me this(_ The foregoing instrument aAm rm,ledged before me this 1 � day of , 20 Lt, by A fae2 4,1 X7_6 by 5 day of rj ,� , 20 6�, by who is personally known to me or who has produced who is persomlly known to me or who has As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission E 4 Notary Public State of Florida Miriam E Quiros %MMy Co nmission EE 880091 l Expires 04/28/2017 APPROVED BYice/ Plans Examiner Structural Review (Revised R112012XRcviwd 071l"7XR"i$W OW10/2009XRQVLw t Yl S/09) as identification and who did take an oath, NOTARY PUBLIC: Sign:�� Print: w }vw5wri :Notary Public State or Ronda Miriam E Quiros MY Commission EE 880091 Expires 04r18/2017 Zoning Clerk Miami shoresVillage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION FORM ALL CONTRACTORS MUST PROVIDE COPIES OF LICENCES AND INSURANCES EACH TIME A PERMIT IS SUBMITTED OR THE VILLAGE MAY MAINTAIN A FILE WITH YOUR INFORMATION FOR A $30.00 FEE PER YEAR. IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A.y COPY OF QUALIFIER'S STATE LIC CARD B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF LIABILITY INSURANCE (CERTIFICATE HOLDER TO BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKERS COMPENSATION (EITHER CERTIFICATE OR EXEMPTION) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICE OF COMPETENCY OF QUALIFIER B. -r--'COPY OF MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT C. COPY OF LIABILITY INSURACE (CERTIFICATE HOLDER MUST BE MIAMI SHORES VILLAGE BLDG DEPI�' D. COPY OF WORKER COMP INSURANCE (EITHER CERTIFICATE OR EXEMPTION) YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE HOLDER AS FOLLOW: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 COMPLETE CONTRACTOR'S INFORMATION BUSINESS NAME: T(Il (Pt «,e 6-( G -M f c - BUSINESS ADDRESS: I Pow'. 'S.l � CITY 0. Ga. �+PS STATE —T(— ZIP CODE 313 BUSINESS PHONE: (:I) �t� Z QO2 FAX NUMBER JOS `C Cl q CtS CELL PHONE QUALIFIER'S NAME: �V�vt� C%1.12j- QUALIFIER'S LIC NUMBER: i�: C (-kt E-MAIL ADDRESS (IF APPLICABLE): ,tU*l \f\ R %\ Cp Q ? -Art C� YQ( l a0 • C o`M Created on 3N9109 BY MLDV I RV 31209 MLDV STATE OF FLORIDA Vm."m DEPARTMENT OF BUSINESS AND PROFESSIONAL $EGULATION ELECTRICAL CONTRACTORS LICENSING BOARD 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 VELAZQUEZ, STERLING TURNPIKE ELECTRIC CORP. 770 PONCE DE LEON 303 CORAL GABLES FL 33134 (850) 487-1395 STATE OF FLORIDA AC# 6 la I L07 Congratulations! With this license you become one of the nearly one million DEPARTMENT OF BUSINESS AND Floridians licensed by the Department of Business and Professional Regulation. PROFESSIONAL REGULATION Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. EC13004836 07/02/12 128000630 Every day we work to improve the way we do business in order to serve you better. For information about our services, please log onto www.mytloridalicense.com. CERTIFIED ELECTRICAL CONTRACTOR There you can find more information about our divisions and the regulations that VELAZQUEZ, STERLING impact you, subscribe to department newsletters and learn more about the TURNPIKE ELECTRIC CORP. Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. IS CERTIFIED under the provisions of ch.489 Fs Thank you for doing business in Florida, and congratulations on your new license! Expiration data, AUG 31, 2014 L12010201293 DETACH HERE-,. '16 ft •, ' " THIS DOCIIMI NT HAS'A COLORED'BACKGRO.UND • MICROPRINTING • LINEMARK- PATENTED PAPER 1 r 6181107 DEPART METRICAL BREGULATIONAEQ# L12070201293 The ELECTRICAL CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2014 VELAZQUEZ, STERLING TURNPIKE ELECTRIC CORP. 770 PONCE DE LEON 303 CORAL GABLES FL 33134 RICK SCOTT GOVERNOR DISPLAY AS REQUIRED BY LAW KEN LAWSON SECRETARY 001804 Local Business Tax Receipt Miami—Dade County, State of Florida T"S 1S NOT A 811.1.- DO NOT PAY 6899802 1 BUSINESS NAME/LOCATION RECEIPT NO. EXPIRES TURNPIKE ELECTRIC CORP RENEWAL SEPTEMBER 30, 2014 770 PONCE DE LEON BLV 3038 7176441 - -- Must be displayed at place of business CORFU.. CABLES FL 33134 - - Pursuan"o County -Code - Chapter BA - Art. 9 & 10 OWNER SEC. 4 IPE OF BUSINESS TURNPIKE ELECTRIC CORP 196 EL+, (:TRICAL CONTRACTOR PAYMENT RECEIVED BY TAX cat_t.EcroR Worker(s) 1 EC1300 =6 $49.50 10/15/2013 CREDITCARD-14-000825 This Local Business Tax Receipt only cmdirms payment of the Local Business Tax. Theis not a license, permit, or a cerifiefalion of the holder'squalificatiam to do business. Holder am comply governmental or nongovernmental regaletmy laws and requiremems which applyto the business, The RECEIPT NO. above most be displayedan all commercial vehicles- Miami -Dada Code Sec Sa-M For more hdormation, visit wyAit.MWMidadaaov/taximilactar