EL-14-1351Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-214766 Permit Number: EL -6-14-1351
Scheduled Inspection Date: December 15, 2014 Permit Type: Electrical - Residential
Inspector: Devaney, Michael
Owner: ACOSTA, CECILIO
Job Address: 736 NE 92 Street 2-K
Miami Shores, FL
Project: <NONE>
Inspection Type: Final
Work Classification: Alteration
Phone Number (305)264-8560
Parcel Number 1132060440380
Contractor: CPS ELECTRIC, INC. Phone: 305-607-8221
tiunaing uepanment comments
RELOCATE PANEL 125 A
INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
December 12, 2014 For Inspections please call: (305)762-4949 Page 2 of 25
ulWWWry
B ILDING
LA
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fag: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4945
PERMIT APPLICATION
Permit Type: Electrical
FBC 20
Permit No.
Master Permit No.&,
JOB ADDRESS: (� 0V
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:
Is the Building Historically Designated: Yes NO ,kf:� Flood Zone:
:.zr 10-5 -"f 5 0 7/
City: 2 State:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: (:f40-ClL Phone#:
Address: �� c� �i �� '��3 "� w
City: State: 0 CL-- Zip: 3 ��
Qualifier Name:
State Certification or Registration #: - i ca 0 ®Certificate of Competency #:
Contact Phone#: Email Address: —C-12 Q qMoLd, C
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: $ Ij 0 Square/Linear Footage of Work:
Type of Work: ❑Address ❑Alteration ❑New ARepair/Replace ❑Demolition
Description of Work: 1`1 / Z 5A ,
Submittal Fee $ S Permit Fee $ / Of CCF $ l ,�2- _ CO/CC $
Scanning Fee $ ® Radon Fee $ , DBPR $ a . OL�—_) Bond $ (19
Notary $ (25 Training/Education Fee $ Technology Fee $ I
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ `� G o
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 �' Signature
Owner or Agent Contractor
The foregoing instrument was acknowledged before me, this 6 9 The foregoing instrument was acknowledged before me this_"
day of �. ; Ll, 20 ±' by C e Ci l i O P .A-OS� , day of �' 20 /� , by 6W �� 0 VV'IC )-C)
who is personally known to me or who has produced who is personally known to me or who has produced
As identification and who did take an oath. ! �' as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: i' t-P��i��t_r3'1°r+� Sign: /f�%/��,4�(v`��
Print: Print:��
L� tv1ILTONRO ®3!?1s�t?
My Commissio eS;M co�mrrsslo v #SERO 5 My Co Sao EXPIRES:
SSION # EE I J697?
a EY C EE136473 4 � soCap D 03, 2015
DCCete� 03, F ARr F1, Notmy Discount Assoc. Co.
2015
scovot Assn. Cr R
k9: eY�oY9eeYeY 4�sYsY9t9toY kdt4coY&>yeHdrde4: tk&9r>Fk9ed:4e oY4r4t4e9t9e9:4:�9roY:Y�Y&�t&9eaF9t3::k�Y4r:trk3:ks1rsti4earde3:3e:Y�Yde4r�Y3e9e�&9etYsY4: oF4r�dc�Y4r9rktY&�9toF�rk9r�3e3: Ydr3e3ek�Yk
APPROVED BY /L a Sy �41/,-/Plans Examiner
Structural Review
(Revised 3/12/2012XRevised 07/10/07)(Revised 06/10/2009XRevised 3/15/09)
zoning
06/16/2014 8:24 AN FAX 3057691844
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INSURED C , P. S , XLECTRIC, INC . �-
1600 NK 28 AVE
XXAMi,FL 33125
MENDEZ INSURANCE
X10001/0001
LITY INSURANCE - �VATCCD`)
THIS CERTIFICATE IS ISSUI=D AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERI"FICATE
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ALTER THE 13
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INSURERS AFFORDING
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THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED 70 THE INSURED NAMED ABOVE FOR THE POUCY PERIOO INDICATED. NOTWITHSTANDING
ANY REQUIREMENT. -ERM OR CONDITION OF ANY CO
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIF.$ DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS r=xCLGSIONS AND CONDITIONS OF SUCH
CONTRACT OR O11iER DOCUMENT WITS( RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
POLICIES. AGGREGATE LIMITS SHOWN MAYHAVE BEEN REDUCED BY PAID CLAIMS,
POLICY NUMFleR 1 F IVE p�� y I p 1 N
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CXTY OF MIAMI SHORES
10050 NL 2nd AVE
=AMI SHORES,FL 33168
305-756-8972
:ORD26(2cal/ca)
3/13 09/23/14
06/02/14 106/02/15
►'tRS0NA1 d ADV IN,►URY
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NOTICE r0 THE C IFI W D YS WRIrrCN
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IMPOSE NO ODLIOA ON LIADILITY OF ANY KIND UPON THE INSURER AGENTS OR
REPRESENTATjvpc
1988
74 s ;D&y4 &a exrdowamaw A%auat M, 900,
745 North East 91st Street
Miami Shores, FL 33138
305-759-9069 / FAX 305-759-2101
E-MAIL spe 123@att•net
May 27, 2014
Miami Shores Village
Building Dept.
10050 NE 2nd Avenue
Miami Shores, FL 33138
Dear Sir / Madam:
This letter will serve as your confirmation that "CPS Electric, Inc, / Angel
Romero' has been contracted by the owner of unit 2K, at 736 NE 92 Street,
Miami Shores, Fla, and is fully authorized by the Board of Directors of the
Shores Plaza. East Condominium Association to perform electrical
modification to said unit.
Should you have any questions regarding the enclosed, please feel free to
contact the condominium office.
Sincerely yours,
R bert Gonzalez
President
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