EL-13-2485Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-225907 Permit Number: EL -11-13-2485
Scheduled Inspection Date: January 06, 2015 Permit Type: Electrical - Residential
Inspector: Devaney, Michael
Owner: POZO, JAMES AND YAMILETH
Job Address: 11028 NW 2 Avenue
Miami Shores, FL 33168-4304
Project: <NONE>
Contractor: KLEAN POWER ELECTRIC INC
Building Department Comments
Inspection Type: Final
Work Classification: Addition/Alteration
Phone Number
Parcel Number 1121360020260
REINSTALL AND RELOCATE OF THE SWITCH AND _
OUTLETS
INSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-225840. CREATED AS
E�t REINSPECTION FOR INSP-202385. Inside is O. K.
Service is not to code.
Add switch and fixture at each back door.
Failed ❑ Put breaker lock on disch washer breaker.
01/05/2015
Cancelled by James (Owner)
Correction ❑
Needed
Re -Inspection �� 7"a /
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
January 05, 2015 For Inspections please call: (305)762-4949 Page 34 of 45
4 , .I
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tei: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
BUILDING
PERMIT APPLICATION
Permit Type: Electrical
NOV Q 17,013 I
"BY .�---- �-
F'BC 20
Permit No. EI / 3 — :,,9 z -1s --
Master Permit No.[ 3`62��
JOB ADDRESS: i 10 aO �V f
City: Miami Shores County: Miami Dade Zip:
Folio/ParceW (I Pkv Dov.�2'0 O
Is the Building Historically Designated: Yes NO Flood Zone:
OWNER: Name (Fee Simple Titleholder): �] Q�'�1 es P0205 s Phone#:. 4780 2.34' 690e -
Address: 0200 -SW t(o -M—r?-
City: W&WIL, State: FL Zip: 215 t'A 5
Tenantdxssee Name: Phone#:
Email:
D
CONTRACTOR: Company Name: K LeaV, 16 W Qr t6A-6G ( VICE Phone#:
Address: 01 '5 W eo CT (t4
,�.(� 9
City: 50Q 1 � L 9� Lit. vn G State: 1FL zip: 5 2)1 3
Qualifier Name: C'�U c tt -Y -Yyto A . f-� 0 nso Phone#: _
State Certification or Registration #: QC 1-300'20(08 Certificate of Competency #:
Contact Phone#: 1390 42 -Co — 0'13(0 Email Address: AJ -F A `1—'W i n 1P.4-fD
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: $ - �. O a $quare/L,inear Footage of Work:
Type of Work: ❑Address D//Alteration ONew ®Repair/Replace ODemolition
Description of Work:l�%ry// �> ���dfir�r rs�IIZ-e scvic�i 4lio�ou7�
Submittal Fee $ Permit tree �`e r %-, F $ CO/CC $
Scanning Fee $
Notary $
Radon Fee $
DBPR $ Bond $
Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
i
TOTAL FEE NOW DUE $
Bonding Company's Name (i€ applicable)
Bonding Company's Address
City State
zip
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 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 iO4?fr- 1020 _
Owner or Agent
Signature
Contractor
The foregoing instrument was acknowledged bef a me this ' " The foregoing instrument was acknowledged before me this
day of , 20 �� , by •r• � day of Cb,6 bQr , 20 -0, by (()l IN11 '10 14'
who is person known to me or who has prole who is personally known to me or who has produced
As identification �m&who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission
APPROVED BY
STATE OF FLORA
ION # EE028862
,it e'13
Plans Examiner
Structural Review
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
0
Zoning
Clerk
115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895 — 954-831-4000
VALID OCTOBER 1, 2014 THROUGH SEPTEMBER 30,2015
E)BA:
Business Name: KLEAN POWER ELECTRIC INC
Owner Name: ANGEL ALONSO GUILLERMO
Business Location- 5101 SW 160 AVE
SOUTHWEST RANCHES
Business Phone: 954-252-1535
Rooms Seats
INumber of Machines- For Vend
Employees
I
fr. 9fffCfKiCkL / AjARms / coNTr,
Business Type: (ELECTRICAL CONTRACTOR)
Business Opened:io/ii /2004
State/County/Cert/Reg:EC13002068
Exemption Code:
Machines Professionals
Vanrfinn T- I
Tax Amount
Transfer Fee NSF Fee
Penalty
Prior Years
Collection Cost Total paid
a
E
27.00
0.00
0.00
-0.00
"
0.00 27.00
a7 .00
THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS
THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Broward County and is
non -regulatory in nature. You must meet all County and/or Municipality planning
WHEN VALIDATED and zoning requirements. This Business Tax Receipt must be transferred when
the business is sold, business name has changed or you have moved the
business location, This receipt does not indicate that the business is legal or that
it is incompliance with State or local laws and regulations.
Mailing Address;
ANGEL ALONSO GUILLERMO
5101 SW 160 AVE
SOUTHWEST RANCHES, FL
33331
2014 -2015
Receipt #0IA-13-00007565
Paid 09/30/2014 27.00
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
ELECTRICAL CONTRACTORS LICENSING BOARD (850)487-1395
1940 NORTH MONROE STREET
TALLAHASSEE FL 32399-0783
ALONSO, GUILLERMO A
KLEAN POWER ELECTRIC INC
5101 SW 160TH AVENUE
SOUTHWEST RANCHES FL 33331
Congratulations! With this license you become one of the needy
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 better. For information about our services, please log onto
www.myfioridaiicense.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 HERE
RICK SCOTT, GOVERNOR
STAT
DEPARTMENT OF BUSINEI
ELECTRICAL CONT
The`ELCt.;.TKIGAL CON T RAC FOR
Named below IS CERTIFIED
1!.•4—♦I,. r.. .. .0 f11-4— AWN Ve
KEN LAWSON, SECRETARY
IA
:ESSIONAL REGULATION
LENSING BOARD
ISSUED: 09/04/2014 [DISPLAY AS REQUIRED BY LAW
Tr
SEQ # L1409040002713
1171
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