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EL-14-1418Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-232408 Scheduled Inspection Date: April 16, 2015 Inspector: Devaney, Michael Owner: MILITANA, JOHN AND ADRIENNE Job Address: 8801 BISCAYNE Boulevard Miami Shores, FL Project: <NONE> Contractor: TRIANGLE ELECTRIC & FIRE LLC Building Department Comments Permit Number: ELC-7-14-1418 Permit Type: Electrical - Commercial Inspection Type: Final Work Classification: Addition/Alteration Phone Number Parcel Number 1132060110160 Phone: (305)592-3011 INSTALL NEW COOLER TO REPLACE ONE IN REAR OF Infractio Passed comments STORE I INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-222283. CREATED AS REINSPECTION FOR INSP-215226. Inside is O. K. Compressor needs a disconnect, 120 volt receptacle and secure the time clock. Failed ❑ 14 2015 Canceled ed the permit card not on the job site. Correction Needed ❑ Re -Inspection ��` � 7, �/✓ Fee No Additional Inspections can be scheduled until re -inspection fee is paid April 15, 2015 For Inspections please call: (305)762-4949 Page 25 of 32 Miami Shores 1 ilia a JUL 02 2 t4 Building apartment BY: 10050: N.E.2nd Avenue, Miami Shores, Florida 33338 Tel: (305) 795-22044 Fax: (305) 755-8972 INSPECTION UNE PHONE NUMBER: (305) 762-4949 FBC 20 BUILDING Master Permit No. 4 — IL 1—q— PER... IT APPLICATION Sub Permit No. �(--C 1`-i � � � k 5 ❑BUILDING- ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑Pt1BLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 8900 Biscyane Blvd City: Miami Shores County Miami Dade Zip: i"I24O011 -01Folio/Parcel#- 60 is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type; Flood Zone: BFE: FFE: OWNER: Name (Fee Simple titleholder): JOHN MILITANA phone#. Address: 8801 BISCAYNE BLVD City: MIAMI SHORES State: FL zip: 33138 Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: 0f"'94lg 47tz�'r° Isv,P , � Phone#: �� +D Address: City: /%y7/."o State: PCZ _ Zip: Qualifier Name: L vac otes" s� � o-, z � � > Phone#: � � � State Certification or Registration #: dt 0 I -R ® 234 -V9— Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City State Zip Value of Work for this Permit: $ Square/Unear Footage of Work:. Type of Work: ❑ Addition ❑ Alteration L ❑g�New Repair/Replace ❑ Demolition e70S- i)escription of Work: Ew-xoa 3 •- colorof color Submittal Fee $ Permit Fee $ l0 tv ' OP Scanning Fee $ Radon Fee $ CCF $ Co/CC $ DBPR $ Notary $ TechnoioSy Fee $ Training/Education Fee $ Double Fee $ Structural Reviews S. Bond $ TOTAL FEE NOW DUE $ (Re*nsed02/24/2014) • Bonding Company's Name (if 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 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, d certif/ed copy of the recorded notice of commencement must be posted at the job site for the first Inspection which occurs seven (7) gays after the building permit Is issued. /n the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Z Signature _ CONTRACTOR The foregoing4struacknowledged before me this The f regoing Instru nt was acknowledged before me this da 2Q/by dayof� . 20by c �,1 A'A, who is personally known to who�is�peirsona�ly known to me or who has produced as me or who has produced 1 �yias identification an o did take an oath. identification and who did take an oath. NOTARY NOTARY PUBLIC - Print: J jk Sri Print v3lUd/Z016 , Seal:Seal: = �A % EW 30 9 ° RUTH A. SYDASH 59,.•®Q,\`�.• f ? • "' �r Puri S,� 4iaf% �s ..• ` •rx*•********* • 1 s• ** s* I* 1ri****a**•m*+x***s**s**s+�saaexa*a e�"****a*ea�eJ>Q . •: My Comm Expires Mar 21.2018 ✓�/�rr�iii��oN o• J�� ,,,F �� Comm ss on p FF 097586 APPROVED B !3 ..i Thrrw N " r• n�i r�roary Examiner inAl a- StrugivipWeview (Rev6ed02/24/2014) Clerk PRODUCER T 6 ww l~ Abacoa Insurance. Group - MIA __.._ POLICY N ER ONEI FAX NAV'ith Street.Suite 2 A GENERAWASILITY COMMERCIAL GENERAL LIABILITY CLAIM8 MADE OCCUR Miami, FL 33120 S1GL.M01503441 ' i L 10/02/2015 Kathleen tancourt $ 1a r _... TIAIN-3 e - 100,00 a...^6r MED EXP orro peraoai $ c..u3rto,II S i,a� ►NQS AAFFORDING _. E 3 _._2,OOOyO INSURED Triangle Meetric Fire LLC PRODUCTS - COMPIOP AGG INSURER A: SVere 10501 Raquel Cano C C C INSURER @ : Gr8nhO State Insurance __-- 93809 � ... 7720 53 St INSURER c : Phlladelphla insurance Co 18058 _ . Miami, FL. 3 COMBINED $MOLE LIMIT (Esacaaent) � 1,000'm BODILY INJURY (Pot person) _ono) BODU.Y INJURY (Pat aaxitloM) INSURER D _ °- PROPCRTY DAMAGE (PER ACCIDENT) a INSURER E : .._. ._.._ B IN URER F, UNISRELL LIAR EXCESS LiAs saws �e+a?e n eases n�n^rerryao e+rc+ un i�tlie�fCaA. �L�/$nL�a�,�i ��)�: NIA mann wv.w-avaw wvwxe .. vwr:. v> v.w...m.®.�. 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, 'PERM 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.. T TYPE OF INSURANCE __.._ POLICY N ER O'TYMP LIMITS A GENERAWASILITY COMMERCIAL GENERAL LIABILITY CLAIM8 MADE OCCUR S1GL.M01503441 ' i 10/0212014 10/02/2015 EACH OCCURRENCE $ 1a r I Ea e - 100,00 a...^6r MED EXP orro peraoai $ PERSONAL S ADV INJURY S i,a� GENERAL AGGREGATE 3 _._2,OOOyO GEN'L AGGREGATE LIMIT APPLIES PER POLICY X LOC PRODUCTS - COMPIOP AGG ffi ..._._ 1100,000 C C C AUTOMOBILE X X LIABILITY ANY AUTO ALLOWNEDAUTOSc SCHEDULED AUTOS HIRED AUTOS NON-OWNEDAUTOS PHPKII63336 PHPKII63336 PHPKII63336 04/2212014 0412212014 0412212014 0412212015 0412212015 041=015 COMBINED $MOLE LIMIT (Esacaaent) � 1,000'm BODILY INJURY (Pot person) _ono) BODU.Y INJURY (Pat aaxitloM) $ PROPCRTY DAMAGE (PER ACCIDENT) a B UNISRELL LIAR EXCESS LiAs OCCUR CLAIMS -MADE NIA C 006226864 01/01/2074 01101/2015 EACH OCCURRENCE AGGREGATE $ „- DEDUCTIBLE ETENTION WO TION AND EMPLOYERS' LIABILITYiRY ANYPROPRIETORIPARTHEIVEXECUTIVE YIN OFMERAAEMBEREXCLWED? (Mandatory In NH) If descrit» uridar DES RIPTM OF OPERA low $ X WC STATU- OTH LI ISS S E.L EACH ACCIDENT _ I �_v.-_. r d 000 S 11000,00 - E.L. DISEASE -EAEM�OYEE E.L DISEASE -POLICY LST $ 1100010 DESCRIPTION OF OPERATIONS I LOCATIONS/ VWCLES {AUauh ACORD 141, Additional Rsmortcs Schedule, If Moro space Is ra411IN 3} Electrical and Tire Alartit Servicing Miami Shores Village 10050 NE grid Ave Miami Shores Village, FL 33938 .ti. .IIx lti: THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED Ilk ACCORDANCE WITH THE POLICY PROVISIONS - AUTHORIZED Kathleen 0 c ' E® lams Shores Wage ��a g uq Building Departr4, ent �lt . BUILDING PERMIT APPLICATION FBC 2001 � Permit Type (circle); �fidmiuElectrical lumbing Owner's Name (Fee Simple Titleholder) i N ZZA 01 Owner's Address City State Tenant/Lessee Name Job Address (where the work City NLanu Shares Is Building Historically Desi County YES NO Contractor's Company Name t T %z Contractor's Address —E- f ®h'-4 i City—mnj F---+- ''Mate d Qualifier Architect/Engineer's Name (if applicable) Architect/Engineer's Address City State $ Value of Work For this Per q s ' t "'4 Square Zip Number of: Bays Stories Families Bi Type of Work: ❑Addition'' gAlteration []New Describe Workl Calculation -Mise Permits County Escrow Fee$ Permit Fee $ W 4 00 Education/Trainiog ee $ Tech $ Scann Code Enforcement $ Bond $ Struct Minus Plans Check Fee $ Fee Totals $ i I 10050 N.E.2nd Avenues Miami Shores, Florida 33138] Tel: (305) 795.�204 Fag: (305) 756.8972 Permit No.� . . ter Permit No.' ) 6 `'P ` ` 7 al Roofm �nic g ?hone # # E e '5C+' .11 Phone # zip age Of Work: 3oms Baths ❑ Repair/Replace ❑ Demolition Notary $ Radon $ (Continued on opposite side) Bonding Company's Name (if applicable) _ Bonding Company's Address CityState MoL tgage 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 PAVING 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." Notre 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. Signatur Signature �LI;- &�l wner o e Contractor The foregoing instrument was acknowledged before me this27 day of� 1 aL4 , 20 NOTARY PUBLIC: Sign:., ,4z4 My The foregoing instrumentiwas acknowledged before me thin 7 day of R . 2� by is personally known to or who has and did take an oath.as lien ' c� ' and NOTARY PUBLIC: Sign: Print: : tc an oath. R MMWo My Comr sio Expires: a � J* 20.2oGA' t4 Cwnnft*n DD220M (Certificate of Competency Holder) State' Certificate or Registration No. Certificate of Competency, No. APPLICATION APPROVED BY: ********************************************** Plans Examiner Chsb/16/03 Zoning ADDENDUM TO BUILDING PERMIT APPLICATION (AN AWNICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING LECTRIC' MECHANICAL ITEM BATH TUB UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM UNIT FEE SPACE HEATERS BIDET LIGHT OUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WINO) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) ORINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR FAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT/3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URIC- WTORS OVER 25-100 HP COOL I NG TOWERS MATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER -REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PIkRPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS iTILITY--SEWER SIGN TIME CLOCK 1T I L I TY -WATER F I XTIIFRES SEPTIC TANK ANTENNA IELAY TELEVISION OUTLETS JRAINFIELO, 4" TILE/RES.`` VIOLATION 'UNP & ABANDON SEPTIC TANK REINSPECTION 30AKAGE PIT CU. FT. 'ATCH BASIN 31SCHAAGE WELL DOMESTIC WELL AREA DRAIN IOOF INLET SOLAR WATER HEATER :IRE STANDPIPE 1001. PIPING _AWN SPRINKLER SYSTEM 14 RANGE RETER SET (GAS) !AS PIPING