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EL-14-25281L1�_ Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-230814 Permit Number: EL -11-14-2528 Scheduled Inspection Date: March 24, 2015 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: BRUZZI, MARCO Work Classification: Service Change Job Address: 10433 NE 6 Avenue Miami Shores, FL Phone Number (786)691-0933 Parcel Number 1122310120180 Project: <NONE> Contractor: CASSIA ELECTRICAL CONTRACTORS INC Phone: (954)650-5840 uunaing uepartment comments SERVICE CHANGE INSPECTOR COMMENTS False March 23, 2015 For Inspections please call: (305)762.4949 Page 44 of 52 Inspector Comments Passed O Failed Correction Needed ❑ Re -Inspection Fee No Additional Inspections can be scheduled until re -inspection fee is paid. March 23, 2015 For Inspections please call: (305)762.4949 Page 44 of 52 r Miami Shores Village ��"� f- ` Building Department NOV 17 2014 10050 N.E.2nd Avenue, Miami Shores, Florida 33138' ° —a Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION UNE PHONE NUMBER: (305) 762-4949 ❑ BUILDING ® ELECTRIC ❑ ROOFING Master Permit No. RC -7-14-1656 Sub Permit No. V- 0 ❑ REVISION ❑ EXTENSION ❑ RENEWAL ❑PLUMBING ❑ MECHANICAL (PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION El SHOP CONTRACTOR DRAWINGS 10B ADDRESS: 10433 NE 6 Ave City: Miami Shores County: Miami Dade zip: 33138 Folio/Parcel#: 11-2231-012-0180 is the Building Historically Designated: Yes NO X Occupancy type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Kiluan. Inc Phone#: Address: 10433 NE 6 Ave. city: Miami Shores State: Florida zip: 33138 Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: Cassia Electrical Contractors, Inc Phone#: (9 54) 650-5840 Address: 8261 NW 48 St. Clty: Lauderhill State: Florida zip: 33351 Qualifier Name: Glenworth Walker Phone#: (954) 650-5840 State Certification or Registration #: EC13005907 Certificate of Competency #: DESIGNER: Architect/Engineer: Joseph S. Dobos Phone#: (954) 380-3616 Address: 3550 Poweriine Rd. City: Oakland Park State: Fl. zip: 33309 Value of Work for this Permit. $ / *VO -6 '6-10 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ® Repair/Replace ❑ Demolition Specify color of corer thru tile: Submittal Fee $ Permit Fee $ /S O leP CCF $ CO/CC $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ _ (Revised02/24/2014) DBPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ �/ r 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 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 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 _-VI Signature \ Signaturp//�� Owner r Agent Contractor The foregoing instrument was acknowledged before me this day of dilulp, by 44 14 X C O /moi Z who is personally known to me or who has produced--4Q-j-/- As roduced j As identification and who did take an oath. NOTARY PUBLIC: Sign: a;, .A• Print: 6�&t O rf- .S• 1 �/ `S My TJ-cTn���P +a APPROVED (Revised 07/l0/07)(ReWwd 06/10/2009XRevised 3/15/09) The foregoing instrument was acknowledged before me this -ZZ day ofZLa fir£ , , 201±, by o't 6tl,4 I-eleei who 's personallyknown me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: G r"t1'e-5* c_ �✓� My CrT �iy�Pubiic State of Florida :° F►aine S Billings �a� My Commission EE 881589 �rd ads Expires 0211212017 r-. e, / it ,V Plans Examiner Zoning Structural Review Clerk f k STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD EC13ON907 'he ELECTRICAL CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. �e Expiration date: AUG 31, 2018 VMLKER, GLENWORTH C CASSIA ELECTRICAL CONTACTORS, INC. , 8261 NW 48TH ST . '.iR LAUOERHILL FL 13351s. -. ■ i • •:' • . •:': :• '•.:'. _.. • ..__.:,�... ;.:.:.._.� <,w:..:: S•L,A, y. .i, • - . ISSUED: 08/13/2014 DISPLAY A5 REQUIRED BYW- SEQ s L1408130002029 RROWARD COUNTY LOCAL BUSINESS TA-RECE1k 115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301•-1895 — 954-831-4000 VALID OCTOBER 1, 2014 THROUGH SEPTEMBER 30, 2015 DBA: CASSIA ELECTRICAL COMRACTORS INC Receipt #:181-25591 l /CONTRAc iz Business Name: Business Type: (ELECTRICAL CoWmACTORI Owner Name: GLENW'Gi2TH WALKER/QUALBuSlness Openeq:10/01/2004 LAV • Business Location: 8XII NW a8 ST State►County/Cert/Reg:EC13005907 a>yRr�zLL Exemption Code: ,. Business Phone: 9S4 -6S0-5840 Rooms seats Employees Machines Professionals 1 For V ing Business Only Number of Machines: ' Tax Amount �tTrWuftrFee tY Vending Type; SF Fee Penaky Prior Years Colledon Cost Total Paid27.00.00 0.00 0.00 0.00 0.00 27.00 ,j 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 in Compliance with State or local Isws and regulations. Mailing Address: OLEMORTH WALKER/WAL 8261 NW 48 ST LADDERRILL , FL 33351 2014 .2015 Receipt #308-13-00002943 Paid 09/03/2014 27.00 _ Fax: (305)7584972 ACCT ©'® CERTIFICATE OF LIABILITY INSURANCEDAERAW I PERIOD INDICATED. NOTWITHSTANDING ANY REOUIREWIENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS a' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE cERTiFICA7e MOLDER. THIS CERTIPICATe DOES NOT AFFIRMATIVELY OR NMATIVELY' AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POWCIE8 BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: It the eertifleate holder Is an ADDITIONAL INSURED, the pollty(les) must be endorsed It SUBROGATION IS WAIVE61 sublea to the terms and eondlNohs of the policy, certain policies may require an endorsement A statement on this certificate does not cohfer rights to the certificate holder In Neu of such endorsema s , monucaa LaPlante Agency w� Jessie Clem9m PNaIE 027)790-9"6_,�,, Ir2ij7et-1a12 2715 State Rd 580 Clearwater, FL 33761 EJIAm.EAIw. eael s Iahtcatltn .com License 11: A149680 Dlsv AFFORDING fiMffl ¢oE NAC Y 07MM01 s IMUNIMA, North Pointe 11 PA Y. tNsuama: ,Normand Harbor - INSURED Cassia Electrical Contractors Inc 8261 NW 48th St INS"M C : _ and Glen Walker tNsusle D. E Lauderhill, FL 33351UR4EER INSURER F: � m a T141818 TO CER YIFY THAT THE POLICIES OP INSURANCE LISTED BELOW HAVE BEEN ISSUED To THE INSURED NAMED ASOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REOUIREWIENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAV BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POL(CIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IlY"n TYPE OF INSURANCE suf8 �� —155LICY EFF POL E _ pDLJCY NUMB R LINFM A GENERAL ""E"n" 3094110169 07MIYt114 07MM01 s EACHDCCURRENCE s 1 000 000 X COMMERCIAL WNERAL UIABMIYV � m a 100 000 �J MEOEr Oq ","Men S 000 CWMS-MADE OCIOUR PERSONAL 8 ADV wjgt 6 --5 1,000,000 _ --• GENSRALAGDREGATE S 2&000 00 Lwl aSMGATE+LINYAPPLIES PER- PRO CTs-COMPfOPAdd ,S 000 000 POLCY LOC g AU MOBILELUUBLDY SW LI R ANY AUTO BMILY INJURY (Per pawn) S ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY ft ftdderI) S HIRED AUTOS � �Q "ED PROPERlV AMAGE S S UMBRELLA LEAKCLA=UK fJ1CH OCGLIRRENOE g E�XCESSLIAa NgMADE ' AGG�G{ZTE S DEO RETENt1aNS ' S B woRNERsCOWERSAn"N NHFL142190 09fz6/2014 AND SVLOYERB' LIABILITY .YIN Q9f M815 AJWC ATU• OTFI- AN Y PROPRIETORIPARTNfFDED7iF�1 curr4E oFFIC@RJlIELIBER EYLINIA U E.L. r ACCIDENT I1 000 000 DscraPT�N ELDISSASS,VAEMPLOYE S 1 OOO,OOO DF oPERAnoNs nm�» E.L. D . POLICY uMIT a 1 000 000 OGSCRIPnOp OF OPERATIONSf LOGA11DMa/LIFJBCLES IAtaen ACORD IV1, Ad�idonal RemmisaeMrdute.'rlmaEeapace is lagWrotl) EIe *,CW Contractor OEC13005007 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shores Village THE WIRATION DATE THEREOF, NOTICE WILL IIB DP.LMERED IN g 10050 NE 2nd Ave ACCORDANCE WITH THE POUCV PROVISIONS. Miami Shores. FL 33136 AVTHORIZBD REPREaEYYAThW — regis ACORD 26 (2010/05) The ACORD name and logo a *, IODe-411.19 AGURD CORPORATION. All rights roserved. re registered *j of ACORD Printed by JLC On JUIy 20, 2014 at 10:54AM F RES DENTIAL .OVERHEAD OR UNDERGROUND SERVICE CHANGE 7M4 B ADmzgsS cq 33 � Fav /_ _ CO :TRACTOR OR OVINER e4 S S 1 cc v;f- i4w".10 f? TYPE OE' SERVICE: UNDERGROUND �OVERHEAD ALL CONDUCTORS SIZED PER NEC ARTICLE =0 ALL UNDERGROUN-D SERVICE CC IVD;:C. ORS.MUST HAVE A WARNIVG RIBBON 1.2 - ABOVE CONDU,'T 300.5 (D} (3) SERVICE ENTRANCE CONDUIT AND WIRE SIZE CU OR ALUMINIUM OVEPH SERVICE CONDUCTORS SHALL COMPLY WITH NEC 230 PART 11 i C-- OT.—.—.—._ ------•— •—•—•---. 1 1 Ai�PR,(}viED E j ELECTRICAL DIVISION 'ANSI. SIZE VOLTAGE R ATING _AWRATING --------------- .---.- .-.-----... i APPROVED BY Lwmlem ELECTRICAL i CONTRACTOR j OR { APP�OVED B t7l1�'Id1 L, Public State of Florida f a Elaine S Wings ML NOTARY S of n Wires 02/12/2017 T% A,M- //— / 7-- / 4