EL-13-2376Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-212703
Scheduled Inspection Date: May 20, 2014
Inspector: Devaney, Michael
Owner: DIAMOND, LILIAN
Job Address: 1614 NE 105 Street A-10
Miami Shores, FL
Project: <NONE>
Contractor: AP POWER ELECTRIC CORP
Permit Number: EL -10-13-2376
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Alteration
Phone Number
Parcel Number
1122300530100
Phone: (954)822-4496
lsunamg Department comments
KTICHEN AND BATHROOM REMODEL ELECTRIC Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed -
Failed
Correction
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
May 19, 2014 For Inspections please call: (305)762-4949 Page 50 of 52
t Miami Shores Village
1 Building Department
p rtment
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fam (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
BUILDING
PERMIT APPLICATION
Permit Type: Electrical
FBC 20 P
Permit No. .
Master Permit No._LII- " SG
JOB ADDRESS:
City: Miami Shores County: Miami Dade Zip: _
Folio/ParceW.
Is the Building Historically Designated: Yes NO //
Flood Zone:
OWNER: Name (Fee Simple Titleholder): GY� " Phone#:
Chr. State:
TCMVLAMW Name:
bo
CONTRACTOR: Company Name:P
Address:
City:
Qualifier Name: "O. 6 T tq
�MJA
State Certification or Registration #: Z L_( Certificate o Competency #-
Contact Phone. 3Z- 3 0 -L oo E.Address•
DESIGNER: Architect/Engineer. f
Phone#•
Value of Work for this Permit: ,90 - Square/Linear Footage of Work:
Type of Work: DAddress (]Alteration ONew ORepair/Replace ODerimolition
Description of Work: ka 17—,i
Bonding Company's Name (if applicable)
Bonding Company's Address
City State zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State
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 C0MN[ENCEMENT."
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 deltvered 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_ l ��0 A/6Si ore
»t
Owner or Agent
The foregoing instrument was acknowledged before me this 1XV
day of ®c �Obty . 2013
who is personally known to me or who has produced F,() kr f
L- n ,�w- ` As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
-tl-
Print: vvW (S 5 -, &
My Commission Expires:
Contractor
The foregoing instrument was acknowledged before me this
day of ® 20 /t� by /
who ' �wwnOyto me or who;ltas produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
(Votary Public, State of Florida
Commission# EE 107488 My
My corhm. expires June 28, 2015
APPROVED BY �j�%� 1,069-6 Plans Examiner
IUXviarplacovs
-71 y q
1
Zoning
Structural Review Clerk
(Revised 3/12/2012)(RvAsW 07/10/07XRevised 06/10R009)(Rv isW 3/15/09)
12/20/2012 09:14AM 9545854846 AP POWER ELECTRIC PAG.
01
i ; =STATE 1' FLORIDA
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At. • ! r�M OF . 5 11 = T e , As: a ]p&0FXSSj0XKL• 4_r 1{i t O h r
COMMACTORS
1940 NORTH KONRog �3
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467-13-95
TALUMMSEN FL 32399-0783
!RECTOR
POWERAP O
3758 OW 16TH STREET
FORT LAMRRDALz
C:ongratulational With this rwenw you become one of the nearly one million
Floridians licensed by the Department of Business and Professfonal Regulation.
Our professionals and buainesaw range from architects to yacht brokers, from
boxers to berbegtm restaurants, and they keep Florida's economy strong.
Every day we work to improv® the way we do business in order to serve you better,
For inforrneVan about our services, please log onto www.rnytioddaltaenae.aorn.
There you can find more infbrrnation about our divisions and the regulations that
impact you, subscribe to department newsletters and loam more about the
Deparbnent's initiatives.
Our mission at the Dgnrtment is: License Efficiently, Regulate Fairly. We
constantly •strive to serve you better so that you can some your customers.
Thank you for doing businees In Florida, and congratulations on your now licensel
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Worker(s) I ICE000121 0227-13-001617
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INSURANCE NOW AGENCY
PAGE 01/01
CERTIFICATE OF LIABILITY INSURANCE
10/29/2013
THIS CERTIFICATE 18 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 WSiUiNG IMWRER(S). AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER,
IMPORTANT- If the Certiticats holder In an ADDITIONAL INSURED, the poliMaa) must be endorW. If SUBROGATION 18 WAIVED, subject to
the terms and conditions of the oollcy, certain policies may require an endorsement. A atatenlarit on this certiticet)9 does not confer rights to the
Certificate holder in lieu of Such sndorsem e .
PR=CER 786-57314485 786-573-4486
Nrn Ma leen Blandon
P"ONEB IL Ns 786-573-4486
Insurance NOW Agency786-57314485
12915 SW 132 Street suite 4
ma leen insurancenowa en .cam
PRpDp`
Miami, FL 33186
INKIRERMAPMMODVERAM NAK s
PREJ -LOO.
MED EXP (Argy wo persm B
INGU MA: Voterri HedtM Insurance
AP Power Electric Corp.
wsUR>Re,
INSURER 0:
3758 SW 16 Street
INSUAMD:
Fort Lauderdale, FL 33312
a1SURER E
WSURER
COVERAGES CERTIFICATE NLIMRPM! PIAMA [1N NIIMRFR!
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOWATH8TANDINO ANY REQUIREMENT, TERRA 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,
QtCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
ILTR I L sum
TYPE OF INSURANCE POUDY mimmm FJFFF LIMITS
10050 NE 2nd AVE
GENERAL LLAMLrrY
Miami Shores, FL 33138
av1TloRMo
ayle n Blandon
FAX:305-7 6-8972
EACH OCCURRENGE S
A
v/ owmeRCIALOENERALLIAMLITY
CWM9-MADE 7 OCCUR
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MED EXP (Argy wo persm B
FERSONALSADVINJURY $
SOP0929397
0311812013
03/1612014
OENERALAGGREOATE z2.000-000
OEMI. AGGREGATE LIMIT APPLIES PER:
PRODUCTS-CDMP/OP Age $
7ROUCY P a LOC
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AUTOMOBILE
UAWLM
ANY AUTO
COMBINEDSINGLELIMIT S
( )
BODILY INJURY OWPerwq) i
ALL OWNER AUFOS
SCHEDULED AUTOS
F4RED AUTOS
BODILY INJURY (Per amderd) S
PROPERTY DAMAGE S
(per-CIdB)II}
NON.OWNED AUTOS
$
$
1JAMM LLA LAD OGCUr:
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EXCESS LIAR GLgIMS.MA_DE
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WORKERS COMPENSATIONVUC
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AND EMPLOYERS• LIASILnY
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(Mgod�dary k1 NN)
IDESCRIPPTN9'o
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F -L DISEASE - KA BMPLOYE S
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DEBCRIP710N QF OPERATIONS! LOCATUk115 / VEHICLES (Attacfl AcoRD 101. Ad4lHmiai ReM9tks S"�?..tA a mwe sptoa is RKeI�
CERTIFICATE HOLDER CANCELLATION
Miarn4 Shores Village
SHOULD ANY OF THE POLICIES BE CANCELLED BEFORE
Building Department
p
THE EXPInATi OTICE WILL BE DILIVERED IN
ACCORDANCE ONS.
Z#P
10050 NE 2nd AVE
Miami Shores, FL 33138
av1TloRMo
ayle n Blandon
FAX:305-7 6-8972
QD 7 gyszwl A res
RD CORPORATION. AM 1i9rdS erved.
ACORD 25 (2009108) The ACORD name and logo are regWered n181 of ACO