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EL-14-345Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-224734 Scheduled Inspection Date: December 09, 2014 Inspector: Devaney, Michael Owner: ADLER, MARC AND LEANNA CRISTINA Job Address: 374 NE 95 Street Miami Shores, FL 33138 - Project: <NONE> Contractor: AJL ELECTRIC INC Building Department Comments Q J Permit Number: EL -2-14-345 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition Phone Number Parcel Number 1132060136060 Phone: 305-895-4971 NEW ELECTRICAL WORK FOR NEW REAR ADDITION AS Infractio Passed Comments PER PLANS 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 08, 2014 For Inspections please call: (305)762-4949 Page 40 of 48 • - *� .Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 3313 , Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION Permit Type: Electrical �I 5 JOB ADDRESS: � 1%4 ,1 C FEB 2 4 2014 FBC 20 Permit No. e) ) 1-0 3 V_�;_ Master Permit No.`z ) H-�- City: Miami Shores County: 1/ Miami Dade Zip: 3 Folio/Parcel#: Is the Building Historically Designated6) NO Flood Zone: OWNER: Name (Fee 0 City: � 1(LU�r"(�9A°�S State: Zip: �l J51- Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: --A TL :e_ t v 6 m (e= 39S --K_5_- CI Address: (Z—. ) VJV(l 011 &1P City: IV� 1 State: aZip: �Jl Qualifier Name: A /11�t(il (� ��le Phone#: 6-419s-t�'1 s �� State Certification or Registration #: (© 20� Certificate of Competency #: Contact Phone#: Email Address:�L �2� (��� DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ &� (300 Square/Linear Footage of Work: Type of Work: ❑Address ❑Alteration .--)Wew ❑Repair/Replace Description of Work: D 4 z aA A. P=Q Uft P Ohs, Submittal Fee Scanning Fee $ Permit Fee $ CCF $ CO/CC $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ DBPR $ Bond $ Technology Fee $ ❑Demolition TOTAL FEE NOW DUE $ a Bonding Company's Mame (if applicable) Bonding Company's Address City i 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, BEATERS, 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 ap P and a reinspection fee will be charged. JSignature Signature Owner or Agent Con c The foregoing instrument acknowledged before me this The foregoing instrument was acknowledged before me this at day of _ /� 20 / , by � 4 day of �' , 20 / 4 , by who is pally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Z (./ My Commission E: am T- n RLb x 710aip ^F53276 MY COMM'•'' FJCpIRES: mac.: • . who is persgoally known to me or who has produced APPROVED BY /11� �•�/�/ 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: Zoning Clerk AC# 61617 7 7 STATE OF FLORIDA or DEPARTMENT OF BUS.NESS AND PROFESSIONAL REGULATION ELECTRICAL MTRACTORS LICENSING BOARD SEQ#L12061301043 a... +.+cyv" ta7 I.GiC11D11S1J Under the provisions of Chapter, Expiration date: AUG 31, 2014 LUPO, ANTHONY J JR A J L ELECTRIC INC 12555 BISCAYNE BLVD #826 NORTH MIAMI FL 33181 RICK SCOTT GOVERNOR NORTHIMIAMI Issued Date: 10/1/2013 Expiration Date: 9/30/2014 Business Tax Receipt #: BT -002364 A J L ELECTRIC, INC. 12555 BISCAYNE BLVD BOX 826 NORTH MIAMI, FL 33181 DISPLAY AS REQUIRED BY LAW KEN LAWSON SECRETARY City of North Miami 776 N.E.125 Street • North Miami, FL 33161 • 305-893-6511 Business Tax Receipt/Certificate of Use ELECTRICAL CONTRACTOR Business Name / Address: A J L ELECTRIC, INC. 12555 BISCAYNE BLVD, BOX 826 NORTH MIAMI, FL 33181 Michael A. Etienne, Esquire, City Clerk NON -TRANSFERABLE • POST IN A CONSPICUOUS PLACE • NON -TRANSFERABLE 000856 Loci ' win TexR0040" Miami -Dade County, State of Florida THIS 1S NOT A SILL --DO NOT -PAY 1939745 BUSINESS NAPAVLOCATION AIL ELECTRIC INC 1;2408 N BAYSHORE DR NORTH MIAMIFL 33181 KECEIPT'NO. EIREI mlawAu- SEF rEM-BEIR 30, 20'4 20316M Must be dIsplay st. pleas of businses Pursuant to CoaMyCW Chapter BA_ Art. 9`& 10 OWNER SEC. TYPE OF BIWNESS PAYMEWRECEIV91) A1L ELECTRIC INC 196 ELECTRICAL CONTRACTOR BY TAX COLLECTOR Worker(s) 1 EC130D2089 $45.00 09/30/2013 FPPU05-13-004504 This Local Business Tax Receipt roily ixirtfirn+s RaotI Business T®r The is not a license. .. •B ..s a.. �..r4. • a„alifin not toils hnihm . Holnler ad CalaG any 90"nunewel or 02{28/2014 13:25 57q HC 9-(� ?fl #3371 P.001l001 A. Ill Gr -,i no in. T1? "rCERTIFICATE OF LIABILI`fY INSURANCE oA��� 7YPE OF BS�ANCS 05107113 THIS CERTIFICATE iS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO Rlt. F3 UPON THE CERTI --ICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND RJR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INZI RER(n AUTHORIZED REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER. cry vAsarrr XciN c•�- uf+auTr CLAM -MADE vl" IMPORTANT: If the CONIftals holder is an ADDITIONAL INSURE[I, me pant yties) mud be ertdorsed. If SUB TION is Mail subj to the tafths and dons of the policy, cartain Wttalas may require an endersemerd. A statement on this oertific.ate does not wffer rigids to tate corttflaate holder in Rou of such andorsement $ EACH 0C` SN=. S 1.000, PRODUC x 954-616-1 NAMEL w -t; a,,:,.,,, QR3 p n} S 51001 Roebuck Associates Insurance 95a -615-i$$ PRONE ,: F ,� Exchange LLCfu;l 5$99 S university Drive, 301 Davis, FL 33328 ADDRESS. Roebuck Associates MURFRISt Arr2n * COVEF GS N=6 wsu�A_Nova .Casualty Insurance Co. MURED AJL Electric InC, . iNsu Ra:Ouarantse Insurance Company � � 12408 N. Bayshare Drive r4suReR Varrmn Fire Ins. Com an 1 1 I I I I I N. Miami Beach, FL $3181 1MSU,ZE"' 0: rtiCT �v NARY (Par $�it, .et L!;$ PRO�F_iY tlC dw'c I {bar g r,: . `+ F• UMBRELLALIM �`+� C=13VFKAGI6 N rF12T11=1!'ATC PJ1 INIRI_1 - 12CUL4MAM MHUMd:o. TH[S FS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO 7HE INSURED NAMED ABOVE R T -Ht POLICY PEF OD IMN ICATED. NOTWITHSTANDING ANY REQUIREMENT, TEEM OR CONDITION OF ANY CONTRACT OR OTHER OOOUMENT W[TH I E SPECT TO WHICH TM CERMFICATE MAY BE ISSUED OR MAY PERTAIN, THQ INSURANCE AFFORDED BY TKEEE POLICIES DESCRISIED KEREIN IS SUBJ CT TO ALL IME TERMS, EXCLUSKMS AND CONDMONS OF SUCH POUC4ES. LIMITS SHOWN MAY HAVE BEiN REDUCED BY PAID CLAIMS. 7YPE OF BS�ANCS p2=111=1 I gas Lam A cry vAsarrr XciN c•�- uf+auTr CLAM -MADE vl" 1 1 09AL072586 I OS15113 i 05/15114 I EACH 0C` SN=. S 1.000, 5'ENq � ��: • s 1 �, c 1Ee w -t; a,,:,.,,, QR3 p n} S 51001 ��.g��n�},(D�QfC�; VEMLAiW,.A.-1Z L.AT Aro't-E'S .� X POLICY IM t'�w'l+y,n I:/ 4 01, is 4�+'�I AwAkM. ALfrw` EQ N 0vv I �2G %4T45 ,,:,'iw � � 1 1 I I I I I ,P^0ALL � ! I 1aaaxe,-Y;ate $ rtiCT �v NARY (Par $�it, .et L!;$ PRO�F_iY tlC dw'c I {bar g r,: . `+ UMBRELLALIM �`+� X QCCLR C$.FuLS^•.tfi, -a L2118431 05118Pi3 0WISM4 }}5 !$ COwU4A� P10Y6i8 LN1Gi4.rY ti r N tx�na^t?gp,T�C:I ]v<-�IMMS 11 rDE=WM hiA{[11 i I i 3 05/15114 X Ttizv ei� K i E L. EAcrAccc-mT s,OtiEX0.40EW E L '•SF.P-gF EA.EMa�wM.wF*Q1Ijrtea:�OPs�Tt OF ?t�SEs aaio, Adra! Reaaix u, am:IICA M-52 is +ea dmco S+ecfdcal • orjf cfor SHOULD ANY OF THE ABOVE DESCRIBED PQ BE CAMCELLSO 8MM THE. EXPIRATION HATE THEREQF, NOTICE aE DELIVERED IN Miami Shores Village AccopMANCE v mr Tme POLICY P'ROMONS. Building inept 10060 NE 2 Avenue' Atrnjc,Ra>=D a5savrATlV5 Miami Shores, FL 33538 1 cal 1988-2010 ACORD CORPORA PI- All rights reserved. ACORD 25 (2014105) The ACORD name and logo are regiaieyed marks of ACORD 05/18/2014 08:43 CERTIFICATE OF LIABILITY INSURANCE I "M CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON HE CI CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFF BELOW' THIS CERT FICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT !BETWEEN TM ISSUING REPRESENTATWE OR PRODUCER. AND THE CERTIFICATE HOLDER IMPORTANT; If the cert frcate holder is an ADDITIONAL INSL Rte, the policy(iea) must be endorsed, 8 s[IBROGA7 the tends and conditions of the PalcY, certain polities may mqutre an eedorsernent. A statement on this o"Wlcate d certificate holder in lieu of such endorsemengs). PRODUCERg5461ti-18110 CME�T Roeboebuckk Associates Insurance Exchange LLC r�yq�1�1 �lloie: — 5599.5 University Drive, # 301 DAvie, FL 33328 ARMS, Roebuck Associates TNsuRER(Sy AFroTDING cov�E f�� JUL Electric: Inc. - SRA Wesco Insu►rarwe Company 12408 N. Bayshore Drive wsupma: RetailFirst insurance Company N. Miami Reach, FL 33181 wscsRt�c;Mount Vernon Fre Ins Cornna� #3529 P.001/001 OP ID: DATEM MdDINY " LTE HOLDER. THIS By THE POLICIES t(S), AUTHORIZED not confer rights to ttre THIS IS TO CERTIFY THAT THE IF POLICIES OF INSURANC1w LISTED BELOW HAVE BEEN ISSU$D TO THE INSURED NUM NAMMEEMSIDVABOVE OR THE POLICY PERIOD INDICATED. N MAY BE SUED G ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH ECT TO WHICH THIS CERTIFICATE LU31NS MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN !S SU ECT TO ALL THE TERMS, FJCCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID ORIAt8. DESCRV'M OF OPERATLOW ! LOCATM" VBS' ES (AhWh ACORD IVI, AQMWa P,... q s p m"e ;s Miami Shores Village Building Dept. 10050 NE 2 Avenue Miami Shores, FL 33138 ACORD 25 (2010105) SHOULD ANY OF THE ABOVE DESCRBED pOL!CI TE* BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. NOTICE{!MILL BE DEL}NEERED IN WITH TH THE. POLICY PROVISIONS, AUTOMMM RJPR6M3rATM -- ®1988-2010 ACORD CORPORATIO.4. All rights resented, The ACORD name and logo are ragistared marks of ACORD GENERAL LiABQITY '-- WUM"T I LIMAS A X COMMERCIAL GENERAL LLWLTTY CIAWLSJIRADB �X OCCUR i48T5T0o 05/15114 05tifili5it EACN OCCURRENCE S PR 3 „- 8 MED EXP NAL &) IW RY S GEAIERAL At+`GREGeA $ OEM AGGRFOATE LUMT APPLMS PER: PRODUCTS -COMP AGO S X POLICYG LOC $ AWOIEOBR.E LUWR-rrY ANYAUTO cc LA- r BODILY INJURY (Pw ) S BODILY wJt1RY (Per $ PpRPERTY E S ALL O kFO SCHEDULED AUTOS ND MREDAUTOS AUTOS UMBRG. L A LWa X OCCUR S. 05/18/15 E- c't OCCURRENCE g AGGREGATE $ C X EXCESS U48 CLAIMSI4ADE RED RETENTLONS 1184310 05118J14 B WDA COMPENSATION ANDEMKOYFRWLIA2111rYYtN OFFICEOTH ANY PROPRIETORIPARYNER/CeCUTIVE 4RNEMSER FxCLUDEO7 in WO,I.EACHACCIDENT NIA 7540 OSI15i14 S 05115415 X WC Tag E$ EL DISEASE -EA Fami rrncc e ga,aew+tler----1 DESCRV'M OF OPERATLOW ! LOCATM" VBS' ES (AhWh ACORD IVI, AQMWa P,... q s p m"e ;s Miami Shores Village Building Dept. 10050 NE 2 Avenue Miami Shores, FL 33138 ACORD 25 (2010105) SHOULD ANY OF THE ABOVE DESCRBED pOL!CI TE* BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. NOTICE{!MILL BE DEL}NEERED IN WITH TH THE. POLICY PROVISIONS, AUTOMMM RJPR6M3rATM -- ®1988-2010 ACORD CORPORATIO.4. All rights resented, The ACORD name and logo are ragistared marks of ACORD