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EL-14-1756Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-223407 Permit Number: EL -8-14-1756 Scheduled Inspection Date: November 25, 2014 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: R gh Owner: , Work Classification: Repair Job Address: 190 NW 103 Street Miami Shores, FL 33150 - Project: <NONE> Contractor: AL'S ELECTRIC tsunaina uepanment comments GFI AT KITCHEN. Phone Number Parcel Number 1131010230010 INSPECTOR COMMENTS False Phone: (305)446-6149 c �l %/H v Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-223288. Add G. F. I. protected E�l receptacle to the right and left of the range. Range receptacle to have 4 wires. Failed Correction Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. November 24, 2014 For Inspections please call: (305)762-4949 Page 22 of 42 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 BUILDING PERMIT APPLICATION ❑BUILDING 0 ELECTRIC ❑ ROOFING FBC 20 Master Permit No�,�� Sub Permit No.�—I� ❑ REVISION ❑ EXTENSION ❑ RENEWAL ❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE"OF ❑ CANCELLATION ❑ SHOP � e CONTRACTOR DRAWINGS JOB ADDRESS: / / L�> /L41 /®3 J� 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): gee o! �� G� t'dQ 1� /" Phone#79 Address:: 3a_ -s-® AJ / city: ` / / State: Tenant/Lessee Name: Email: 1 '?'&f19v2>e0 6 C-45t?!L e#: p: CONTRACTOR: Company Name: AI's Electric Inc Phone#: 305-446-6149 Address: 1426 SW 45 Ave city: Miami State: FI Zip: 33134 Qualifier Name: '�6/ Peri/fd%�,q. Phone#: 305-962-3224 State Certification or Registration #: EC13002332 Certificate of Competency M DESIGNER: Architect/Engineer: Phone#: Address City: —State: )Zip: Value of Work for this Permit: $ ?690. ®C> Square/Linear Footage of Work: 1 / 1 AJre g Type of Work: ❑ Addition ❑ Alteration ( ❑ New Repair/Replace ❑ Demolition Description of Work: l ,r�/1 e A/ Specify color of color thru tile: Submittal Fee $ — VD Permit Fee $ 4_4� Scanning Fee $ Technology Fee Structural Reviews $ (Revised02/24/2014) Radon Fee $ Training/Education Fee $ CCF $ DBPR $ CO/CC $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ 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 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. Signature ' Signature OWN or AGENT CONTRA OR The foregoing instrume t w acknowledged before ome this day of�� 20 ( ` f by IQ p /who is personally known to me or who h s droduced ! 0 k as identification anwho did take a oath. NOTARY PUBLIC Sign; Print: WT(-' 1G BomWWV8 0"*tffy The foregoing instrument was acknowledged before me this 26 day of JULY Albert J DeNicola me or who has produced PKTM 20 14 by who is personally known to identification and who did take an oath. NOTARY PUBLIC: Sign: Print: MART Sea I:Sea I: ;+ ;+"r_ M`t COMSSl0N # EE 194323 - EXPIRE& May 1, 2016 oa IRW B 1 Tina NdWY P&Z UMW*ri M APPROVED BY Plans Examiner Structural Review (Revised02/24/2014) as Zoning Clerk n THIS CERTIFICATE CERTIFICATE DOE: BELOW. THIS CEI REPRESENTATIVE IMPORTANT: If the the tOTM9 and condi certlflCate holder In PRODUCER A&A Underwriters, Ii 8778 SW 8 St Miami, FI 33174 INSURED Al's Electric Inc 1423 SW 45 Ave Coconut Grove COVERAGES THIS IS TO CERTIF INDICATED. NOTUV CERTIFICATE MAY EXCLUSIONS AND C INSR TYPE OI X COMMERCIAL 1 CLAM" A GEN'L AGGREGATE 1 X POL(ey OTHER: AUTOMOBILE LW BILI ANYAUTO X005 NED NIRCD AUTOO UMBRELLA LIAO EXCBSS LIAR DED -- WORKRRS CQMFENSA ANDEMPLOYERS�LgI ANY PR0PR1eTOR/pAR' 2FICER/MEMSER rxa DESCRIPTION OF OPERA ELECTRICAL MIAMI 10050 N Miami S FAX 3011 CERTIFICATE OF LIABILITY INSURANCE DATE(MMMD/YYYY) 07/29/2014 SSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS )T AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES KATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED IRODUCER, AND THE CERTIFICATE HOLDER. '.Ifleate holder Is an ADDITiONAL INSURED, the 011cy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to — Dfof the endopolicr, certain ). les may require an endorsement. A statement on this certificate does not confer rights to the Df such endor6ement{sl. PABLO M CONDE 305-220-7447 INSURANCE COMPANY iSFIRST INSURANCE COMPANY INSURER rnNUREK Q FL 33134 INSURER E. INSURER F: -- "'._ ••�"•"�": REVISION NUMBER: POLICIES ES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD G ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT To WHICH THIS OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED SY PAID CLAIMS. L 9IIR LIABILITY I OCCUR PER: LOC, WPP1173597 00107/20/14 , 07/20/15 MED EXP �.vrnt+c� 3 S EeMBINSp Sll LE LIMB S BODILY INJURY (Pnt ar person) S BODILY INJURT (Pel accwaM) i S �Mm— L S X STA T E NIA 521-Oa333 03/15/14 03/15/15 E.LEAC4ACC47ENT $ 1 E.L. DIS ASP _ EA EMPLOYE !y 1 EL DISEAW -POLICY LIMIT S 1 VEHICLES (ACORo 181, Addtlonal Remarka Sahedlde, may be akaehed 1► more speae is required) TOR LISENCE NO. EC13002332 1 1 000 RES VILLAGE, Ave SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLEP BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN is FL 33138, ACCORDANCE WITH THE POLICY PROVISIONS. 3-8972 AUTHORIZED REPRESENTATIVE ACORD 28 {2013104) ©7888.2013 JACCRA ltt ' � ec ed The rks of ACOc�. P 000700 Loi Mia 12S4 ALS E[ 1423 MIAMI OWNER RICK SCOTi', { I EC13002332 The ELECTRIC Named below H Under the provi Expira8on date: AL'S ELE 1423 SW MIAMI AL'S rote. .0 13002332 Busin'ess Tax Romig ado County, State of . Florida'. THIS. Is NOTA BILL - 06NarPAY TION RECI'i'iIFT NQ. ; INC _ EXPIRES ve ln�wrals.' SEPTEMBER 30,E 2015 'i �r 143 '.. : Must 6e eftp!ayw at plat G of businses 34 A Pumaut;O Cow* Cada Chaptera3A -AIL 9 & 10 ' EEO. TYPE OF BUSINESS c •196 ELECfRic_AL coNTRACr0R PAVIVIEW UNCEIyEQ i EC13002332 sY TAx COLLECraq . . $75.00 07/16/2014 CHECK21-14-020605 9aslassaE><Rar:eiikoNycaatrmsP aflireLeatotl$usise�Tax'ilfe urn Rsaeipt�alolaooeseQ Lmr2diea�antMthe'�bool� qugrkificstioa&taI'MaDWOSAftailo iaess NoGlarmvstcaaq�tywitbaaYG I ry Eaves amt mqairemeOC wbbh spay loft 4ae®ses MeREl�i'0E0 Bl�rea�cbedlspEayadan8llootmmeirialvelatotes-�-�aQsCodsSecBa.7�H. ' �r�oion vlbit' . DETACH HERE KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD Chapter 489 FS_ 1 , 2016 ERT J INC AVE =L 33934 s 18/24/2014 DISPLAY AS REQUIRED BY LAW SEQf L1406240001b68