The URL can be used to link to this page

EL-13-1794Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-224206 Scheduled Inspection Date: December 02, 2014 Inspector: Devaney, Michael Owner: CURZON, ANDREW Job Address: 10050 NE 12 Avenue Miami Shores, FL Project: <NONE> Contractor: METRO ELECTRIC SERVICE INC suuamg uepanment comments -t7 Permit Number: EL -8-13-1794 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition/Alteration Phone Number Parcel Number 1132050190370 Phone: 305-945-1991 ELECTRICAL WORK FOR TWO BATHROOMS AND Infractio Passed comments KITCHEN REMODEL I INSPECTOR COMMENTS False Inspector Comments PassedCREATED AS REINSPECTION FOR I NSP -1 96889. 26 nOv 14 L Move mop sink from in front of panel. Failed Correction Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. December 01, 2014 For Inspections please call: (305)762-4949 Page 33 of 36 Miami 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 JOB ADDRESS: IQOE5b I City: Miami Shores Foho/Parcel#: l I® k Is the Building Historically Designated: Yes _ OWNER: Name (Fee Simple Titleholder): Address: Ci FBC 20 D SME1:1 AUG U , Z63 BY-. 000mmooamaooma°ameoo Permit No. 11 Master Permit No. f 2) — )Tj.2.. Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: Address: City: Qualifier Name: l� State Certification or Registration #: fTc Contact Phone#: ?®S - 9w- —7W �l am DESIGNER: Architect/Engineer. 7Phone#:}�� Rtp 3 09 Value of Work for this Permit: $ b 1 square/Linear Footage of Work: Type of Work: ❑Address teration ONew epair/Replace Descriptio of Work: _ A A LU C,l ®n _ _ Submittal Fee Scanning Fee $ Permit Fee $ CCF $ CO/CC $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ DBPR $ Bond Technology Fee $ TOTAL FEE NOW DUE $ ��®d 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 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 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. Signature,K caner or Agent n p3 The fore oing instrument was acknowledged before me this47'-0 day o 20D by who is personally known to me or who has produced (�AA LtkN As identification and who did take an oath. NOTARY PUBLIC: Sign: n Print: (a rl tl My Commission Expires: APPROVED BY Notary Public State of Florida Diane Schwartz My Commission EE 195926 Signature S Contractor The foregoing instrument was acknowledged before me this day of -J-4 (+ .20 L3 , by oufo 's srr tv wis pe onally known to me who has produced as identification and who did take an oath. -7"P/9'" Plans Examiner Structural Review (Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009XRevised 3/15/09) NOTARY PUBLIC: A Na"WWW"MIFF My Commission Notary Public State of T r� Diane 2L t Fl°rida 05/06)2016 Clerk ,4coRLfCERTIFICATE OF LIABILITY INSURANCEF7/10/2013 DATDD TYPE OF INSURANCE ADDLSUBR NSR 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 pollcy(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 Ileu of such endorsement(s). PRODUCER BB Insurance Marketing Inc 11870 W. State Road 84, C-15 Ft. Lauderdale FL 33324 NAME: Pattv Cadton Ext 306 PAHfONE -452A/C No : -45 2-0450 E-MAIL ADDRESS:P bimi. INSURER(S) AFFORDING COVERAGE NAIC # Y INSURER A:Scottsdale Ins Co 31848 INSURED METRO -2 INSURER B:Flodda Citrus&lndustries Fund INSURER C: Metro Electric Service, Inc. 21407 NE 38th Avenue Aventura FL 33180 INSURER 0: INSURER E : INSURER F: GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO- LOC ',VV=F%M%7C,0 VCKI It II.A It NUIYItltK: 17Q7R'A777Q RFVI-CIC]N NI IMRFR- 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. I TR TYPE OF INSURANCE ADDLSUBR NSR WVD POLICY NUMBER MMNDY YY POLICYEXP LIMITS A GENERAL LIABILITY MMERCIAL GENERAL LIABILITY Pki CLAIMS -MADE a OCCUR Y 31848 12/17/2012 2/17/2013 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence$50,000 MED EXP (Any one person) $5,000 PERSONAL& ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO- LOC PRODUCTS - COMP/OP AGG $1,000,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS COMBINED SINGLE DMIT Ea accident $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident P ( ) $ PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ $ B WORKERS COMPENSATION EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A 106-47548 2/2013 2/2014 X WCC TATU- O R- AND TQBY LIMITS E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYE $1,000,000 E.L. DISEASE - POLICY LIMIT 1 $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, K more space is required) Electrical contractor located at 15050 NE 20 Ave. N Miami, FL 33181. Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores 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 a .:; .+ -. IS DOGIJIVIEGJT HASrA COLORED B iG G OI�ND� rMIGROPRINTIN'"G L�1,�4,�,q¢ NI -ED PY�RER ._ LORIDA DEPAR BUSINESS AND PROFESSIONAL REGULATION CAL CONTRACTORS LICENSING BOARD SEWL1208220302-2 i J22Z2 127009316 EC.060385 T--:ELECTRICA,L CONTRACTOR Naared b-416 v ; IS CERTIFt D Under the provisions of Chapter:489 FS. Expiration date: AUG31, 2014 SARROW,..DOUGLAS METRO.ELECTRIC SERVICE, INC. 1885-B NE 149TH STREET NORTH.... MIAMI FL 33181 'RICK 'SCOTT GOVERNOR REN LAWSON DISPLAY AS REQUIRED BY LAW SECRETARY Tial Issued Date: 10/1/2012 Expiration Date: 9/30/2013 Business Tax Receipt #: BT -001900 METRO ELECTRIC SERVICE INC 21407 NE 38 AVE AVENTURA, FL 33180 City of North Miami 776 N.E.125 Street • North Miami. FL 33161 • 305-893-6511 Business Tax Receipt/Certificate of Use ELECTRICAL CONTRACTOR Business Name ! Address: METRO ELECTRIC SERVICE INC 15050 NE 20 AVE, SUITE 111 / NORTH MIAMI, FL 33181 ( 2A— Michael A. Etienne, Esquire, City Clerk NON -TRANSFERABLE . POST INA CONSPICUOUS PLACE • NON -TRANSFERABLE X�017396-3 THIS IS NOT A BILL- DO NOT PAY aUME'RIJ EHROPS"SERVICE INC 15050 NE 20 AVE 33181 NORTH MIAMI OWNER METRO ELECTRIC SERVICE INC '1197 9M CAL CONTRACTOR THIS IS ONLY A LOCAL BUSINESS TAX RECEIPT. R DOES :NOT FERIIT THE HOLDER TO VIOLATE ANY MaSTING REGULATORY OR ZONING LAWS OF THE COUNTY OR CITIES. NOR DOES IT EXEMPT THE HOLDER FROM ANY OTHER eta': FIRST-CLASS U.S. POSTAGE PAID MIAMI, FL PERMIT NO. 231 K11MCNAL RECEIPECG, 't� IiC. 0517396-3 STATES u ®G zas WORKER/S 10 DO NOT FORWARD REQUIRED BY LAMTHIS IS METRO ELECTRIC SERVICE INC THE HOLDF S QU ARCA ABRAHAM NARKES MGRM TIONS. 7 Cncn uc ,Pn AVC D2P"Tffl&M0f BUSI-NE99 "D RS PR2ENSIN"SSIONI somw ALT REGULATTOSE CUTMEWTOICWL120822030: 1Q8/23/,20X2_ji27009i1;& :,JM000-38JS_ Thi, &AWRICAL CONTRACTOR Named belco xg agR!rxtzzD. tender the provisions of CMter 489 FS. zzpimti*n date; AUG 31, 2014 -SAARM DOUGLAS Rem bac-Hic SEMCE, nqc. 188S4 NN 149TH STIRENT NORTH ST-va FL 33181 RICK SCOTT MW LAWOOK 00VE2NOR SECRETARY DUIR 00 ........ City of North Miami L{ F H A 718 N.S_126 Sb'SWt - NOM V.*.ZMi. FL 33161 NFM" I MI 30ra 893-6511 iR Business Tax ReceipVCertificate of Use rf, • 4 eua: =Ar P 2D13 RMD 'I fm MLAA S_ PERWK0.231 017-396-3 JAMELWIMERVIcr= INC 15050 HE 20 AVE 33181 NORTH MIAMI "ARRO ELECTRIC SERVICE INC 60�V;VgMCAL CONTRACTOR aaewll• wr P STATE MSF( ___ --I- - WOVER/S METRO ELECTRIC SERVICE IN' 1 R. ABRAPAMI NARKES mORN Mon IZACR Ur -ra A%X P/L id << 22420690q OTH13313 UAW W% IL-90-ELOZ vrom:Jaxera r'razier FaxID: Date:8/1b/ZO1:3 11:19 AM CERTIFICATE OF LIABILITY INSURANCE DATE(MMlD DlYYYY} 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 pollcy(ies) 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 endorsements . PRODUCER BB Insurance Marketing Inc 11870W. State Road 84, C-15 Ft. Lauderdale FL 33324 CONTACT NAME: r1lon Ext,306 PHO";wrp:g o_ c 140).954-4,52-0450 E-MAIL ADDREss: a b ' i INSURER(S) AFFORDING COVERAGE MAIC P INSURER A:SQQttsdale Ins Co_ _ INSURED — METRO -2— -- Metro Electric Service, Inc. 21407 NE 38th Avenue Aventura FL 33180 INsuRER B INSURERC: INSURER D: INSURER E : INSURER F COVERAGES CERTIFICATE NUMBER: 1438203135 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED AB VE 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 POklCIES 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 INSR - POLICY NUMBER POLICY EFF /D POLICY EXP y LIMITS 4 GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS•MADE a OCCUR Y 31M 211712012 2/17/2013 EACH OCCURRENCE $1,00.000 97 PRM occurrence $50.0 MED EXP (Any one person) $5,000 PERSONAL & ADV IN IURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'LA GGREGATE LIMIT APPLIES PER: X I POLICY PRO El LOC PRCDUCTS - COMP/OP AGS $1,00.000 $ AUTOMOBILE LYIBMY AW AUTO ALL OWNED SCHEDULED AUTOS AUTOS MOW -OWNED HIRED ALTOS AUTOS Ea accident) $ BODILY INAURY (Per person) $ BODILY INJURY (Per accident) $ P PROPERTY DAMAGE $ UMBRELLA LIABOCCUR EXCESS UAB CLAIMS -MADE k EACH OCCURRENCE $ R�y AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY on PROPRIEfORIPARTNERCKECUTIVE Y I N OFFICFJ2fMEMEER E�cil�u7fD^ (Mana—y in NF0 II Yes, da—be under DE OF OPERATIONS glow N 1 A 08.47548 013 14 X TORY LINT H E.L. EACH ACCIDENT $1.00.000 - E L. DISEASE- EA EMPLOYE $1,000,000 E.L. DISEASE• POLICY LIMIT $1 000,000 DESCRIPTION OF OPERATIONS I LOCATIONS t VEHICLES (Attach ACORD 101, Additional Remarks Schedule, It more ailace Is required) Electrical contractor located at 15050 NE 20 Ave. N Miami, FL 33181. CERTIFICATE HOLDER CANCELLATION 01 010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN Miami Shores Village Building Department 10050 N.E.2nd Avenue ACCORDANCE WRH THE POLICY PROVISIONS. Miami Shores FL 33138 AUTHORum SENTATIVE 01 010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD