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EL-15-505Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-232960 Permit Number: EL -3-15-505 Scheduled Inspection Date: April 21, 2015 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: RUIZ, ZACORY & SARA Work Classification: Service Change Job Address: 133 NW 101 Street Miami Shores, FL Phone Number (305)968-6063 Parcel Number 1131010220160 Project: <NONE> Contractor: STARQUEST INC Phone: (305)233-2753 duuaing uepartment comments SERVICE REPAIR & CHANGE TO UNDERGROUND IPassed Comments INNSPECSPEC TOR COMMENTS False Inspector Comments Passed -� l Failed Correction ❑ Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid April 20, 2015 For Inspections please call: (305)762-4949 Page 54 of 56 BUILDING PERMIT APPLICATION Miami Shores Village 77�-�v-, - _-- MAR 0 voBuildin 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 FBC 20 [(-�J Master Permit No. E -C -i 5—S �5 ❑BUILDING 0ELECTRIC ❑ ROOFING ❑PLUMBING ❑ MECHANICAL [-]PUBLICWORKS Sub Permit No. ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: � /V h/ /©/ S -r' f -e City: Miami Shores County: Miami Dade Zip: 3 31 S -C Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder):�01 Z Phone#: ?0 �01 Address: 13 .3 /® 1 S� City: ri r 6-n' _k " �e S State: FL Zip: } S Tenant/Lessee Name: Email: CONTRACTOR: Company Name: -,> Address: i9 LI) L/ 0 _'r w City: / I k 9- M Qualifier Name: / )1C & .�o S_ a33 292- Zip: 52 Zip: 3 94 Phone#: 30S� 77L &/8'� State Certification or Registration #: f C. 13 o o 1 2 6 J Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ d CSO (7 Type of Work: ❑ Addition ❑ Alteration Description of Work: S B u _J�-t Oo Square/Linear Footage of Work: ❑ New R�zepair/Replace F ❑ Demolition Specify color of color thru tile: Submittal Fee $ Permit Fee $. ,��®�L��' CCF $ CO/CC $ Scanning Fee $ Technology Fee $ Structural Reviews $ (Revised02/24/2014) Radon Fee $ Training/Education Fee $ DBPR $ Notary $, Double Fee $ _ Bond $ TOTAL FEE NOW DUE $ Q 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 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 OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this (:�) day of M'��r_1_11-4 20 IS by -7-cye-1 J?o I l who is personally known to me or who has produced t D as The foregoing instrument was acknowledged before me this L day of F"c 20 eS by ;�.UZy11 who is personally known to me or who has produced 1!51c- r identification and who did take an oath. identification and who did take an oath. as NOTARY PUBLIC: NOTARY PU6,kJPiiiii111,, .,, INN Sign: Sign: ` i —�- NINO- Print: _ ,.IFlv DIM It- Print:- NdTAP PU9LIC seal:Commission # ' Seal: ' �'' Commission # EEIM59.• �Q �� �9'.EE113059IN , ' oQ �. it zell /s`" APPROVED BY f&S I(IAlZ Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. COPY OF QUALIFIER'S STATE LICENCES B. COPY OF LOCAL BUSINESS TAX RECEIPT C. _COPY OF LIABILITY INSURANCE* D. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER Affidavit) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICATE OF COMPETENCY OF QUALIFIER B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF STATE REGISTERED CONTRACTOR LICENSE OR MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT. D. . COPY OF LIABILITY INSURACE* E. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER Affidavit) *YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE AS FOLLOW: Certificate Holder: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 Certificate must specify the description of operations or contractor license number. BUSINESS NAME: BUSINESS ADDRESS: 1 `i �F S �� CITY �✓�L STATE ZIP BUSINESS PHONE: () ' FAX NUMBER6- CELL PHONE () QUALIFIER'S NAME: QUALIFIER'S LIC NUMBER: E6 13 ® 6 116 RICK SCOTT, GOVERNOR KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD EC13001861 rhe ELECTRICAL CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2016 ISSUED: 05/29/2014 DISPLAY AS REQUIRED BY LAW 006074 Local Business Tax Receipt Miami—Dade County, State_ of Florida. -THIS IS NOT A BILL - DO NOT PAY 4185534 M' SEQ # L1405290002888 BUSINESS NAME/LOCATION RECEIPT NO. EiUr1nr.* STARQUEST INC RENEWAL. SEPTEMBER 30, 20.15 14240 SIN 139 CT 43"540 Must be displayed at place of business MIAMI FL 33186 Pursuant to County Code Chapter 8A -Art. 9 & 10 R SEC. TYPEAR BUSINESS PAYMENT RECEIVED OWNER INC 196 ELECTRICAL CONTRACTOR BY rax COLLECTOR STARQUEC13001861 $75.00 07/17/2014 worker(s) 1 CHECK21--14-023197 This Local Business Tax Receipt only &fffimhs payment of the Local Business Tax. The Receipt is not a flow=, permit or a cordo ation-of the holders 0all ications, to do business. Holder Must Comply with e0y.90WOMMOIOI or nongogemmehtai ra@uiatory laws ane requirements which apply to the business. The RECEPT N0. above must be displayed on all commercial vehicles - Mlami-Dade Code Seo 88 -VII. for more informaton, visit wv miamidade.8gy/lexgol, lei 0 STAR001 OP ID: DT 4 R�r CERTIFICATE OF LIABILITY INSURANCE ° 031ATE 051201f �f 1° 03/05/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollcy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemen s . FILER INSURANCE, INC. DUCER 9440 S.W. 77 Avenue Miami„ FL 33156 Mark A. Bluh NAME Mark A. Bluh PHO No . 305-270-2100 1 JAIC, No), 305-270-2195 ACP3006811340 09/15/2014 MSU AFFORDING COVERAGE NAC # INSURERA: Nationwide Insurance Group P�Iss Ea occurrence'ro M026 $ 100,0 INSURED Starquest Inc INSURER B: Technology Insurance Co. 42376 14240 SW 139 Court Miami, FL 33186-5912 INSURERC: GENERAL AGGREGATE $ 2,000,00 PRODUCTS - COMP/OP AGG $ 2,000,000 INSURER D: INSURER E: AUTOMOBILE INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY 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 TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTRNSR TYPE OF INSURANCE DL SUBN POLICY NUMBER POLICY EFF LI Y LIMITS A X COMMERcm GENERAL LIABILITY CLAIMS -MADE X occuR ACP3006811340 09/15/2014 09/15/2015 EACH OCCURRENCE $ 1,000,00 P�Iss Ea occurrence'ro M026 $ 100,0 MED EXP (Arty one Person) $ 5,00 PERSONAL &ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY 1-1 JET LOC OTHER: GENERAL AGGREGATE $ 2,000,00 PRODUCTS - COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNEDX SCHEDULED AUTOS AUTOS NON-0WNED HIRED AUTOS AUTOSPeraccident ACP5926664087 06/16/2014 06/16/2015 COMBINED SINGLE LIMIT $ 500,00 BODILY INJURY (Per person) $ BODILY INJURY (Per acciderd) $ PROPERTY DAMAGE $ $ A X UMBRELLALIAB EXCESS UIA8 X OCCUR CLAIMS -MADE ACP3006811340 09/16/2014 09/15/2015 EACH OCCURRENCE $ 1,000,00 AGGREGATE $ 1,000,00 DED RETENTI N $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE YIN OFFICERIMEMBER EXCLUDED? ElNIA (Mandatory in NH) K es, describe under DESCRIPTION OF OPERATIONS below TWC3429076 09/15/2014 09/15/2015 SPER OTH- X I TATUTE ER E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLO $ 1,000,00 EL DISEASE - POLICY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, xray be attached ff mors space is required) Electrical EC -13001861 CFRTIFICATF NAI nFR CAld"l 1 ATIAN MIAM109 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shores Village THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE W H THE POLICY PROVISIONS. Building Department 10050 N.E. 2nd Avenue Miami Shores, FL 33138 AUTHORIZED REPRESENTATNE 0,01e—, DARYLTORRES-A51 ACORD 26 (2014101) ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AIr C -(k ar���� &C ku- �� o� MAR PANEL A 1 Range 250 2 Refrigerator 3 Ran e 4 W Machine 5 Dryer 230 6 Kitchen fiance outlet 7 9 Water Heater 230 8 Kitchen Appliance Outlet 10 Bath Room GFCI 11 Water Heater 12 Bedroom 1 13 A/C heater 240 14 Bedroom 2 15 A/C healer 16 Living Room 17 A/C com 230 18 D' ' Room 19 A/C ressor 20 a outlet 21 22 Exterior Receptacle GFC1 23 24 25 26 27 28 29 30 31 33 32 34 � 4 35 37 36 x, 4£ r. 38 39 4142 40 � LACS A' CYS � �1;�me Shores voa,1ge "PROVEDD� DATE aloe/�np p© AAP �,J'�� DEPT j pa, -e I R 1�U)G D7PT w1�kY ` ' �' I[t, IECT To COMPLIANCE WITH ALL FEDERAL -v, CnUNTY RUI r -S ANMRif Ul ATIONS AIr C -(k ar���� &C ku- �� o� 4 "! One Family Dwelling Load Calculation at 133 NW 101 Street Miami Shores FL Floor area 1294 Square Feet X 3 va per square foot General Lighting =_3882 va Small Appliance= -3000 va Laundry = 1500 va Refrigerator =_1500 va TOTAL = 9882 va 3000 VA at 100% = 3000 VA 9882 VA - 3000VA =6882 VA at 35%=2065 VA NET LOAD= 5065 VA Range (see Table 220.55) 12,000 VA Dryer Load (see table 220.54) 5,000 VA Water Heater = 4,500 VA A/C 2.5 ton 7500 va heat 7,500 VA NET CALCULATED LOAD= 34,065 VA/240 volt = _141 AMPS Providing a 200 amp service Size Feeder Required (310 5)(8)(6)_2/0 copper `f Bruce Eckel EC# 13001861 Starquest Inc. 305 233-7921 14240 SW 139 CT, Miami FL 33186 Miami Shores Village 10050 N.E. 2nd Avenue NW Miami Shores, FL 33138-0000 Phone: (305)795-2204 rrujec[ riuuress Parcel Number Applicant 133 NW 101 Street 1131010220160 Miami Shores, FL Block: Lot: ZACORY & SARA RUIZ Owner Information Address Phone Cell ZACORY & SARA RUIZ 133 NW 101 Street (305)968-6063 MIAMI SHORES FL 33150- Contractor(s) Phone Cell Phone STARQUEST INC (305)233-2753 of Work: SERVICE REPAIR & CHANGE TO UNDERGRO onal Info: kation: Residential iina: 3 Fees Due Amount CCF $1.20 DBPR Fee $2.25 DCA Fee $2.25 Education Surcharge $0.40 Permit Fee - Additions/Alterations $150.00 Scanning Fee $9.00 Technology Fee $1.60 Total: $166.70 Valuation: $ 2,000.00 Total Sq Feet: 0 Pay Date Pay Type Amt Paid Amt Due Invoice # EL -3-15-54722 03/10/2015 Credit Card $ 50.00 $ 116.70 03/12/2015 Credit Card $ 116.70 $ 0.00 Available Inspections: Inspection Type: Review Electrical In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the fo oing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authortfe th above-named contractor to do the work stated. March 12, 2015 Authorized Signature: Ownjr / Applicant / Contractor / Agent Building Department Copy March 12, 2015 Zacory and Sara Ruiz 133 NW 101st St Miami Shores, FL 33150 PLUMBING Bob's Plumbing Co. Inc. (CC#0000415 L #C 4055 S.W. 89th Ave., Miami 33165 bobsplumbingco ahoo om 305-229-9665 t J -N'101, -3 95 sapprovecl�•- ....... . .. . . ......... . .. ... .. . .... . ...... . .... .... . . .... . LOQ �► 4 Sa i�/I-,—+e,L PLMOINGPLAM Approved ............ 000 0 see 0 ........ . .... 0'5M,,k t . 0 �e Zacory and Sara Ruiz 133 NW 101St St. Miami Shores, FL 33150 Utility 1/ Ede z( 011 C,\ OC -44 A 1t .51,A Garage A ,Wji4' s ELECTRICAL Av 1 a Starquest Inc. (EC13001861) 14240 SW 139th Ct., Miami FL 33186 starquestelect@aol.com 305-775-6183 Dining Kitchen S -Z MW 0 Bathroom 14 AC l�A pF- l oom 2 �N e L-t,� Sc�-L.,jCA- ►4 # Bedroom 1 A/ e ;.V � R��ESS Living v' y� ... .. . .... 51 JL .. . . . ... .. . .... 0000.• 000.0• • • • 0000.. 0000• 0000. .6999. •••••• • • • 000000 PANEL A e,-,5f)�,), 1 Range 250 2 Refrigerator 3 Range 4 Washing Machine 5 Dryer 230 6 Kitchen Appliance outlet 7 Dryer 8 Kitchen Appliance Outlet 9 Water Heater 230 10 Bath Room GFI / SMOKE Detectors 11 Water Heater 12 Bedroom 1 13 A/C heater 240 14 Bedroom 2 15 A/C heater 16 Living Room 17 A/C compressor 230 18 Dining Room 19 A/C compressor 20 Garage outlet 21 22 Exterior Receptacle GFCI 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 �gPar ll�° , VIRGINIA P SMIjFidn,. e po �g�a Notary Public State ° a e My Comm. Expires duCommission 0 EE °�����"°Bonded Through National N U 0000.• 0000 •...•• 0000 0000 0000.. 0000.• • .0094. • • 0000.. 0000. 0000. . 4 0000.• • • • 000.00 • .•4 Zacory and Sara Ruiz 133 NW 101st St Miami Shores, FL 33150 BATHWom RECEPTACLE ON 20 AMP CK -r AND G.F.I PROTEC i ED MAR 2 3 2015 J oma - ADD SMOKE/CARBON MONOXIDE DETECTORS, ANY AND ALL CLOTH AND RUBBER INSULATED CONDUCTORS TO BE REPLACED. NO POINT ALONG COUNTER TO BE MORE THAN 2 FEET FROM G.FI PROTECTED RECEPTACLE. PUT D/W RECEPTACLE UNDER SINK. ALL FIXED APPLIANCES ON DEDICATED CKTS. dop I/ 6 MIAMO SHORES VILLAOE I I APPROVED DATE ZONING ! STRUCTURAL I b � ELECTRICAL C PLUMBING MECHANICAL BLDG. SUBJECT TO COMPLIANCE WITH ALL SEDER cv- STATE AND COUNTY RULES AND REG;JLATI::' '*h� i