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ELC-15-336Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-228918 Scheduled Inspection Date: March 13, 2015 Inspector: Devaney, Michael Owner: , Job Address: 650 NE 88 Terrace Miami Shores, FL 33138 - Project: <NONE> Permit Number: ELC-2-15-336 Permit Type: Electrical - Commercial Inspection Type: Final Work Classification: Addition/Alteration Phone Number (305)868-8203 Parcel Number 1132060110190 Contractor: B AND B ELECTRICAL CO Phone: (305)970-5667 Building Department Comments CHANGE ELECTRICAL OUTLETS, HIGH HATS infractio Nassea comments FIXTURES. I INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-228323.OLabel panel. Have a ladder on site to check A. H. U. and A. C. C. U..Also make sure a 120volt receptacle is near each unit. Failed Correction Needed ❑ Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. March 12, 2015 For Inspections please call: (305)762-4949 Page 22 of 38 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: (30S) 762-4949 BUILDING PERMIT APPLICATION ❑BUILDING E ELECTRIC ❑ ROOFING FBC 20 (0 Master Permit No. Sub Permit No. ❑ REVISION ❑ EXTENSION ❑RENEWAL PLUMBING F_� MECHANICAL ❑PUBLIC WORKS [:]CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 4 c ® e— j fc^ City Miami Shores "'J County Miami Dade Zia: :313135. Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder)- �--q �1 hone#: � (SS ZS ( Address: n & e VIS g��( I`�- L� I vc- L City: 1 -�Cy1 State: pt Zip: Tenant/Lessee Name: Email: CONTRACTOR: Company Name: Address: _ of 0,2 / !jij -7 7 City: 9 ��L-1 Qualifier Name: ) 34r- 4`1 Phone#: �B State Certification or Registration #:� 7 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: ❑ Addition Alteration ❑ New ❑ Repair/Replace ❑ Demolition. Specify color of color thru tile: Submittal Fee $ Permit Fee $ %®�� CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ TOTAL FEE NOW DUE $ (Revised02/24/2014) Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address Zip 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 on 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 reinspe ion fee will be charged. Signature Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this day of e M 20 by I -r-- L:6 , who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign:_ Print: Sea k * MY COMMISSION # EE 842217 EXPIRES: October 10, 2016 NU.-. O' 80WTiW tJ4agryS The foregoing instrument was acknowledged before me this 0 day of 20, by who is personally known to me or who has producedL lC�L�iG identification and who did take an oath. NOTARY PUBLIC: YP°° Lori C. Nords Sign: m°oma Print:meq',¢fRFWIRES:AUG.05,2016 °0hena0m, .COM Seal: APPROVED BY /�JZ !tPlans Examiner Zoning Structural Review Clerk (Revised02/24/2014) STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD (850) 487-1395 1940 NORTH MON ROE STREET TALLAHASSEE FL 32399-0783 BERUVIDES, EULALIO I BAND B ELEC., CO 18021 NORTH WEST 77TH COURT HIALEAH FL 33015 .................... _ n attonsl this license you come one of this nearty one mUilon Flarldians 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 FlodcWs economy strong.. Every day we Mork to improve the way we do business in order to serve you better. For information about our services, please log onto WWW myfloridalicense eom. Thereyou can find more information about our divisions and the r ulations that Impact you, subscribe to department newsletters an�team more about the Departments Initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constant strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new lic ehsal DETACH HERE ISSUED: '09/10120'14 DISPLAY AS REQUIRED BY LAW SEQ•# L1409100002402 AC RC)P' CERTIFICATE OF LIABILITY INSURANCE THE POUC1E6 OF MURANM LWTLD BELOW HAVE SM GWADTO THE INSURED NANEOA3Ci1iE FOR Tte P0Ut2Y Pt:lilOb NRXrM hKMMM%"nN0 ANY F*aAA8AENTTMW0RC0NDMVW OFANY CONTRACT OR 0YMM OOC1MPT Wn4t M81 ROM WHICH YM CEAMFICA E MAY EW NWID OR MAY PERTAIN, TM9 KWRAMMAFFMUM NYTILE POW611 DWOMM HEWN ISGUBJECT70ALLtRIOTGOO, 9X0LUW0WANDC0NDfrMS OF SUCH P'OI-IDMS. AGGRBMTHUMM SHOWN tWW HAVE a FWXIDW IVY PM CLAWL MQAL�CeIt Global Insurance and Fkmndial Servim, Inc. 0175 NW 1J3 57 9 fE #00 Mlaml Laker;, Fi 33014 PH- (305) 512-8721 FAX: (306) 6124869 TNN« CERTIFICATE i 15WIM MA IIu rM OF 1NFOIFAi11=K ONAI.Y AND COWS NO RltlM UPON THE OBVIFICATE N06DRgl "figt`.811,'1'MATL DOES NOTMAEND, EATM OR ALM WE COWIPLAW AFFORDED BY THE POUCM BELOW. IN4t3116MEsA1�FOR17W1e r�E N1UC a IpeL►Nm 0 AM B .I;i.,6C.00 18021 NW 77 CT MIAMI ,IFI.33015 wmWrm.A: AWENCOM pZ—m m ASCRO T true: IMUNKIK 1-91 THE POUC1E6 OF MURANM LWTLD BELOW HAVE SM GWADTO THE INSURED NANEOA3Ci1iE FOR Tte P0Ut2Y Pt:lilOb NRXrM hKMMM%"nN0 ANY F*aAA8AENTTMW0RC0NDMVW OFANY CONTRACT OR 0YMM OOC1MPT Wn4t M81 ROM WHICH YM CEAMFICA E MAY EW NWID OR MAY PERTAIN, TM9 KWRAMMAFFMUM NYTILE POW611 DWOMM HEWN ISGUBJECT70ALLtRIOTGOO, 9X0LUW0WANDC0NDfrMS OF SUCH P'OI-IDMS. AGGRBMTHUMM SHOWN tWW HAVE a FWXIDW IVY PM CLAWL A 99NI ILL L LMNU Y OX0VVAt.9DWt&LltBLffV CLAIM Lune © W= t3�'N'1.+t00PE01RlEL,tI�TAPPi®Fet#; tl Pd1CyQmwr nLOO GL -78520-1.3 02/10014 02119W5 elkilHQ N[� a f i IGO, ►ti0 t91P anNOe�) i �. P@ABQIfALiAOVAlA1ft1' a i,00G PF�CTB-CIt1,�1DPMG0 8 7.ODD. AL)"NNNLQ L.IASUff AAAI AM ALLt>AMt�Atf70e AMS IOREDAiI1Cl8 IA7IVOWlNDAt1SCe t� 1�• i gpp�y y a +tet GANA= L m"m HANYmm AU7Ot11S-Y-EAh4QOFJR FAJICC AUTO LLA MAt m cLAtrre o®ucnaLrt: tl�teNsnu Lum OCCURR 8 � a ' • a g � halo AIw�Cir�RIL*ro= 0Ac eRM WRMA N5041w WC -128882 0113=113 0112/2116 t - E1,EI�ilAflG®@lf a 1. a t,00U ELECTRICAL \Allege of MlwW Sham Miett►i Shares. F133138 owmaAwaptmAUCYBOP.AtNtBlDmm" ee cmimmm ett omri m trutAy" No, T07M Gt'JCt=NM MDUM NAM 707M LEFt.OUT RWW TO 00 90 SHALL A40RuiA710N GR LtA�,ffYOFANY I�IMON't!� tAAI!lt�, tfbAliEliteata 10000000IF—p—Z-77� CERTIFICATE OF LIABILITY INSURANCE PRODUCER INSK LTR Global Insurance and Financial Services, Inc. TYPE OF I!ELRANCE 6175 NW 153 ST STE 100 DA Miami Lakes, Fl 33014 LIMBS A PH: (305) 512-9721 FAX- (305) 512-9889 GENERAL UABIUTY 21 COMMERCIAL GINE14ft LIM1.11"Y CILMMS MAW M OCCUR GL -76520-1.3 02/19/2016 INSURED FACHOCCURRENCE S 1,00000 BAND B ELEC.CO mwEv(Anycnap=o,) 510M 18021 NW 77 CT GENEER&AGGREGATE 2,000,000 MIAMI, FL 33015 License # ER0008778 PRODUCTS - ODMPIOPAGG 110001000 Lois 11IR Z? A C1 THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TOTHE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REOUIRB4ENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT Tia WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCEAFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TOALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED By PAID CLAIMS. INSK LTR mnn WMI TYPE OF I!ELRANCE POLr-YNUMBE-R DA MEM LIMBS A GENERAL UABIUTY 21 COMMERCIAL GINE14ft LIM1.11"Y CILMMS MAW M OCCUR GL -76520-1.3 02/19/2016 02/19/2016 FACHOCCURRENCE S 1,00000 $ 100,(X0 mwEv(Anycnap=o,) 510M PSiSONAL&ADV INJURY 1,00DX0 GENEER&AGGREGATE 2,000,000 PRODUCTS - ODMPIOPAGG 110001000 GEMAGGRVA'TE LIMITAPPUES PER: n POLICYPROJECT LOC AUTOMOBILE LLASUM ANY AUTO lI /SINGLE UNT ALLOWNED AUTOS SCHEDULED AUTOS {Per p�r3an} HIRED AUTOS NON-OWNEDAUTOS d=)RY $ P. LAY rMAG2 $ GARAGE LIMLffy AUTO ONLY - EAACCIDENT $ OTHER THAN EAACC $ A ONLY: ANYAUTO XECESUM13RELLA LIABILITY _ 1 OCCUR El 0WAS MADE EACH OCCURRENCE $ AGGREGATE $ RDEDUCTIBLE jStj!arEFjF*tViAENSATION AND 71 NMI= LIMITS AccioENT 1$ 1,000,0 E.LEAw00 my PRDPRIETCIRJPARTNERJEXEGUTtVE 01/23t2015 01)23/2016 B OFF 9 , dawfibe under SaDiAL PROVISIONS below WC -125862 11 ELDISEASE-EA&KOYSE WOX0 $ E.L DISEASE - POLICY UMrT I $ 110min OTHER 7 3570MUSKRWAD1 ELECTRICAL .............. -- . .. . .. .. . ............... ..... . . ...... . ....... . ................... .. - . . .......................... . ... . . ............... I ............... - ................ . . . ...... . .... CERTIFICATE Village Of Miami Shores SHOULD ANY OFTHE ASOVE DESCRIBED POLICIES SECANCELUMBEFORE THE EXPIRATION DATE THEREOF, THE MUM INSURER WILL ENDEAVOR TO MAIL 45 DAYS WRITTEN NOME TO THE CERTIFICATE ROM NAMED TO THE LEK BUT FAILURE TO DO 90 SHALLWPM NO OSUGAnoN OR UAS OF ANY MD UPON THE INSURER, IT OR