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ELC-14-104Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-205967 Scheduled Inspection Date: October 16, 2014 Inspector: Devaney, Michael Owner: , Job Address: 555 NE 87 Street Miami Shores, FL Project: <NONE> Contractor: FLORIDA POWER CONNECTION CORP * tcunamg uepartment comments ADDITIONAL OUTLETS LIGHTING ALSO REPLACE ANY DAMAGE OUTLETS AND CHECK EXITS AND EMERGENCY LIGHTS Permit Number: ELC-1-14-104 Permit Type: Electrical - Commercial Inspection Type: Final Work Classification: Addition/Alteration Phone Number (305)326-9308 Parcel Number 1132060200970 INSPECTOR COMMENTS False Inspector Comments Passed El --- Failed Correction Needed Re -Inspection Fee No Additional Inspections can be scheduled until re -inspection fee is paid. Phone: (786)299-7372 October 15, 2014 For Inspections please call: (305)762-4949 Page 3 of 29 j " Miami Shores Village g Y : , Building Department MAY 13 201 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BY° ONIS PHONE NUMBER: (305) 762.4949 FBC 20 DING Permit No. _ PERMIT APPLICATION Master Permit No. Permit Type: Electrical JOB ADDRESS: /v` 677 13 7 07 - City: Miami Shores,rr�� County: Miami Dade Zip: `- Folio/Parcel#: ) i '�Qd -o - 0 i' LD Is the Building Historically Designated: Yes OWNER: Name (Fee Simple Titleholder AddrPcc- r �1 C' Aln-,) 9& g� NO X Flood Zone: : 33- 3 S13;x City: (✓\)`$w�� State: Zip: 3 Tenant/Lessee Name: Phone#:, Email: State Certification or a 'stration . ( I - Certificate of Competency #: Contact Phone#: Email Address: " DESIGNER: Architect/Engineer: Phone; Value of Work for this Permit: $ 9j(000 ' Square/Linear Footage of Work: Type of Work: OAddress ,UAIteration P Submittal Fee $ Permit Fee $ /1�� • ®� Scanning Fee $ Radon Fee $ Notary $ raisin Eclu. 'on Fee $ Double Fee $ Stru Review $ zip: �� I (0S - Z M i CCF $ CO/CC $ DBPRBond $ Techno TOTAL FEE NOW DUE $ 1 —9 ]� • ® M f J Bondkig 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 COlVIlAENCEMENT:' 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 wi be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded no 'ce comment ust be posted at the job site for the first inspection which occurs seven (7) days after the building permits is . In t sen of cfi,posted notice, the inspection will not be approved and a reinspection fee will be charged. SignaturL- Contract The fore oing instrument was tt acknowledged befbw me this ay of 20 t4, by <1 V" pill , who is personally known to m�r who has produced — (A as identification and who did take an oath. Signature Owner or Agent The foregomg instrument was acknowledged beore me this - day of , 20 . 't, by C,. A7 who irso y kno me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: sip: Print: Print•. My CommissionW.. MY COWIMISSO 4 My ,XpffkES May 31,201 APPROVED BY l� ���" P— Plans Examiner Structural Review (Revised 3/12/2012)(ReAsed 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) Commission # EE 79436 Bonded Through National Notary Assn. Zoning Clerk 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: (3005) 762.4949 BUILDING . PERMIT APPLICATION Permit Type: JOB ADDRESS: N9 FBC 20 Permit No. / Master Permit No 6 / C [� L S", --?- V -h S'F City: Miami Shores County: Miami Dade Zip: Folio/Pa=W. Is the Building Historically Designated: Yes NO now Zone. 3 OWNER: Name (Fee Simple Titleholder): r r (3v 1, 00Z D 106 Address: /,S- /,S A.) W Z "0 !� city: Mf a 04 ! Sca: Tenant/i.essee Name: C; J- 0 .r e.j , Phone#: -3 c 3 17 - CONTRACTOR: Company City: Wvt V Qualifier Name• oa t Pho State Certification o/rr Registration t Certificate of Competency # _ Contact Phone#: r72(p aqq—f-!3 12. Email Address: +tag emon DESIGNER: Architect/Engineer. Phone#: Value of Work for this Permit: $ ('®��' SquardLlnear Footage of Work: Type of Work: DAddress OAlteration QNew lace Description of Work: >�� j„T� 9�x' �- C�Ci OEM A i/ ME Submittal Fee $ U Permit Fee $ b0 ®AOR CCF $ COICC $ Senning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Traini gUbcastion Fee $ TernaMgy Fe $ Double Fee $ Stractaral Review $ ��yy TOTAL FEE NOW DUE"1- 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 EWROVEMENTS 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of comment ust be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued.r,�7 cof such posted notice, the inspection will not be approved and a reinspection fee will be charged ' Signature a Signature Owner or Agent Contractor The foregoing instrument was acknowledged before this 1,0 d' The foregoing instrument was acknowledged jieforeme this ; day of ��� , 20 L, by � 4a69 G �wh y of20 , by \ �f4'n �' - I who is personally known to me or who has produced o is��=wnto or who has produced / - / As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: /Z/ -C ' My Commissio sOHAADEDWARDBANCHEZ I C., C4Mmisstotl 1 EE 683211 Exptres July 13, 2017 EmdedTtauT Fahln noe0361019 NotaI�ifphrrl 7lg ]1p�j�1 My coni Expires ay 30 �Oi'S Commission # EE 79436 Bonded Through National Notary AM. APPROVED BY Plans Examiner Structural Review (Revised 3/12/2012)(Revised 07/10/W)(Revised 06/10/2009)(Revised 3/15/09) 492, zoning Clerk i 904119 Y;- 1 SEC. 'HYPE OF, B�$INES� 1 Ow►uE�t 196 ELEC C NTRAN-l" FLORI© FOdUER COIVAIE�iIQiN CORP x a EC775.U0 2Q'{� iy75.00 k4?a ce�tifieat%e of Idt, "46mm Ho ` f RECEIP�°NO.ebOYBlt1�j18d+�1 r` s- f �$(QFCJW�l�IIIOY�1� ..y `ay h^ Y 10.STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 MENDEZ, JUAN M FLORIDA POWER CONNECTION 660 E 60 ST HIALEAH FL CORP 33013 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you bette For information about our services, please log onto www.myfloridalicense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and learn more about the 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. Thank you for doing business in Florida, and congratulations on your new license! DETACH (850) 487-1395 AC72350. STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD SEW L12081502667 ,%.ciAug. 14. 2014 2: l OPMrlFLTIE FIRST INS. GROUP �COR�� INSURANCE °' 7275 �P-,x,1,;�n'r' PRODUCER-. First InSuranee Group THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 90987 SW 40 St ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Miami, FL 33185 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE GE AFFORDED Bl! THB POLICIES BELOW. Phone (305)221-7878. Fax (30554-7090 INSURERS AFFORDING COVERAGE NAIC # INSURED FLORIDA POWER CONNECTION CORP ~ INSURER& ASCENDANT INSURANCE _ 4155 SW 116 Ave INSURER 8_ AMTRUST INS CO Miami, FL 33165- muR INSURER E: COVERAM. INSURER F: "vr��ca yr uvaulumm - U51 ED HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR'FHE POLICY PERIOD INDICATED. NOTWITFISTANDING ANY REQUIREMENT, TERMOR MN13MON OFANY 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 TERIUIS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES- AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAM. iR ADu L TYLE OF INSURANCE POLICY NUMBER O 7 LIMITS L1ABRfIY © COMMERC EACH OCCURRENCE 1.00 IAL 0 GENt7ZAL LIABILITY I-1 ❑ ❑ CLAIMS MADE ❑ OCCUR ❑ —�. .�_ — GENT_AGGREGATE UIWTAPPLIES PER..PRODUCTS Cl POLICY El PROJECT C3 LOC GL 377884 08/10/14 08/10/15 PK SES oocnrenoe MED EXP (AnY Om per) PERSONAL a ADv INJURYFl _ 1 GENERAL AGGREGATE 1 - COMP/OP AGG 1 ❑ ❑ ❑ AUTOMOBILE LUUNU{Y ❑ ANY AUTO ❑ ALL OWNED AUTOS ❑ SCHEDULEDAUT08 ❑ HIREDAUTOS ❑ NON OWNED AUTOS GARAGE LIABILITY Cl ANYAUTO ❑ �IIBREuA LIAR ury Cl OCCUR El CLAM MADE El ❑ RETENTION S -- -• COMBINED SINGLE LIMIT fit} BODILY INJURY mwpaf a) _ BODILYINJURY (P- ROWMO PROPERTY DAMAGE AUTO ONLY-F'AACClDENT -- 07HERTHAN EAACC AUTO ONLY: AGG EACH OCCURRENCE AGGREGATE — g _ ... �..... � • Hw�;TUZ4017 08/08/14 08/08/15 L1 WC STATU- ❑ aTH ANY PROPRIETOR / PARTNER I EXECUTIVE OILY mff s OFFICER /MEMBER EXCLUDED? y E.L. EACH ACCIDENT ffy-SP E.L. DMEASE . FA EMPLOYEE SPF L PROVISIONS below E.L. DIS8wE - POLICY LpNiT OTHER -- DESCRIPTION OF OPEmiwNs I LOCATIM I VE79CLES I EXCLUSIONS ADDED BY ENDOtiBELKIEaITr SPECIAL PROVLSIOAIS LECTRICAL WORK. G �w SINCE 1574 .e CERTIFICATE HOLDER MIAMI SHORES VILLAGE BUILDING DEPARTMENT 10050 NE 2ND AVENUE MIAMI SHORES FLORIDA 33138 100,000 �n BIR CANCELLATION M{A O WULD ANY OF 7'HE ABOIM DESCRIBED POLjMS BECANCELLED BEFORE THE 305 2217878 ELIPIRATNKN 30 DATE E THEN NOTHE TICE IS THE INSURER WILL ENDKAVOR TO MAIL. THE IEFT, BUT FAROM TO DO SD SHALLD T10LDER.IVAisF� ,Twm OR OM OF ANY KIND UPON THE INSURjak FTS A bq ATV/ER— RALPH N RODRIGUEZ