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EL-13-603Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-234296 Permit Number: EL -3-13-603 Scheduled Inspection Date: May 08, 2015 Permit Type: Electrical - Residential Inspector: Devaney, Michael Owner: RODRIGUEZ, JUAN & SUSAN Job Address: 301 NE 93 Street Miami Shores, FL 33138 - Project: <NONE> Inspection Type: Final Work Classification: Alteration Phone Number Parcel Number 1132060136230 Contractor: ACE ELECTRIC OF SOUTH FLORIDA INC Phone: (954)261-2885 DunaIng UVIMULrnent %,0MMen15 REPLACE OUTLETS AND KITCHEN REMODEL ' ----- INSPECTOR COMMENTS False Inspector Comments Passed® CREATED AS REINSPECTION FOR INSP-191126. CREATED AS REINSPECTION FOR INSP-190973. Failed Correction �✓� Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. May 07, 2015 For Inspections please call: (305)762-4949 Page 33 of 33 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 XELECTRIC ❑ ROOFING NOV 4 oto FBC 20 M Master Permit No. 9-c- 3- i? -(o® Sub Permit No. EL * ? - 1'7 (' 0& ❑ REVISION ❑ EXTENSION PENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: SO( �C 110 Sr' City: Miami Shores County: Miami Dade Zip: 15 Folio/Parcel#: 113 Z ®b c ( 3 (o Z 7b Is the Building Historically Designated: Yes NO Occupancy Type: S'AfM Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): -ImoII , s Phone#: 7&C 'I t " ftq Address: -�o ( NE 13M S;t' City: ika a S Vd," State: Zip: f Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: &4 IEt-Gc. L *F set -Y f' FG~ Phone#: 954 'tel 7,U9' Address: 161LA Sk) 444-4- 0%4+404- city: %4+402City: COOPM, ` 1ht State: �. Zip: 3332 T Qualifier Name: K6_a1,1 1-s4c, Phone#: QSN "Lill 'LAS State Certification or Registration #: foloo t{31f, Certificate of Competency #: DESIGNER: Architect/Engineer: �Wlw L ue `e Phone#: Address: Q 44 ' La 1'J5 bd& City: ag 40oLt, State: e`" 11 Zip: O 01 Value of Work for this Permit: $ Square/linear Footage of Work: Type of Work: ❑ Addition F-1Alteration E:1 New E:1Repair/Replace [:1 Demolition `L Description of Work: U POC MAVO V_ t T oey 16$k0)VL__ Specify color of color thru tile: Submittal Fee $ Permit Fee $ t5l7 ° �Io Scanning Fee $ 3 Radon Fee $ 2, 7-`® Technology Fee $ l ° 6.� Training/Education Fee $ Structural Reviews $ (Revised02/24/2014) CCF $ 1 ' 2C� CO/CC $ DBPR $ 7-- Notary $ ,Li LD Double Fee $ Bond $ %'� TOTAL FEE NOW DUE $ 4 g 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. OWNER oICGENT The foregoing instrument nowledged before me this 17 day of _ I �p20by kp 'A- TH-5 ,,/who is personally known to me or who has produced V, as identification and who did take an oath. Signature CONTRACTOR The forggoing instrument was acknowledged before me this 18 day of SOICEPWt, .20 (`f , by \(91� IStI,, * who is pedally known to me or who has produced identification and NOTARY PUB NOTARY Sign: Sign Print: �— Print _ Seal: °`;��'��o CARLOSGOWALEZ Seal: * MY C MMISSION i FF 120111 ,� P EXPIRES: May 8, 2018 ?�'oFnY B dTln&d0NoWySmJ= ****k&**�*kk**kM*kk&kNkffi*4&k******k*kk**M*k�k*txk***k**kkffikNkM �g e, IA -1 APPROVED BY,f/4i t' Plans Examiner Structural Review (Revised02/24/2014) an oath. Notary Public state of Florida Donald John Tims 'oma My Commission FF 054454 oR Expires 11/12/2017 as Zoning Clerk Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING \IJ` �Vorir,CPf Permit No.1�1:'5b(n PERMIT APPLICATION W�'spiPlaster Permit No. RC - 3 13 601 FBC 20 Permit Type: Electrical OWNER: Name (Fee Simple Titleholder): COIJ ft,0 TX ti` S Phone#: C�� S I Z " Cv� OLI Address: �jl � E �� • City: ' d ) State. Zip: � S ? p o L JOB ADDRESS: 3U I NL 11(ok S-TaL� T City: Miami Shores County: Miami Dade Zip: j3 3 30 Folio/Parcel#: Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: k iLCc*T& 0 F TH FC Phone#: 95-1y . Rd au Address: 1�& _SW fw+jo rC City: cacKa- ems% State: F6— Zip: J's Qualifier Name: AgNA ) CT4 j7w(-- Phone#: 'ISH � Uj 465 State Cert}ficatio N n or Registration #: CG LiUO 3/5 Certificate of Competency #: Contact Phone#: 05-H) g (9 I a-9, 85 Email Address: k en @/ ctC e e l ectr,L-A� I , co A, DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ 900 Square/Linear Footage of Work: 2 0 Type of Work: ❑Address ❑Alteration ❑New *Repair/Replace ❑Demolition Description of Work: I2i'moDcL i(11G q fA) f t"o 61UPJy (G_j jGll'tp J"P TU LC'p0' Submittal Fee $ Permit Fee $ CCF Scanning Fee $ Notary Radon Fee $ CO/CC $ DBPR $ Bond Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) 2zefcoos Yr. - Mortgage Lender's Address City State Zip Zip I 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 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 inspectio tc I I seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will nqt a oved and . spection fee will be charged. / , Signature! \`� Signatureja The fore oing instrumentN54 day of k�, 20 by Agent I Contractor t before me this 4A who is personally known to me or who has producedY� I V J As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: The foregoing i strument was ackqqwled e re me 's day of , 20 �, by ��j O�ho i r1son ly kno o me or who has produced I s I - I a ntification and who did take an oath. N TARY_PUBLIC: _ Sign: Print: My C APPROVED BY 1/1274'4- Plans Examiner Zoning Structural Review (Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) Clerk V CERTIFICATE OF LIABILITY INSURANCE DA 3/28/11°3 'r' PRODUCER Mendez & Associates THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 9953 Pores Blvd. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Pembroke Pines, FL 33024 Phone (954) 436-3776 Fax (866) 461-0503 INSURED Ace Electric Of South Florida, Inc. 10148 SW 49th Manor Cooper City, FL 33328 COVERAGES INSURERS AFFORDING COVERAGE NAIC # INSURER A Federated National Insurance Company INSURER B: Infinity Commercial Auto iNsuRFR c- Ascendant Commercial Ins.. Inc. THE POLICIES OF INSURANCE LISTED 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 OF MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADIYL 13 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DA CY EIDIRA nM UMC A ❑ GENERAL LIABILITY © COMMERCIAL GENERAL LIABILITYDAMAGE ❑ ❑ CLAIMS MADE © OCCUR ❑ ❑ GEN'L AGGREGATE LIMIT APPLIES PER: ® POLICY ❑ PROJECT ❑ LOC GL -0504009974-00 12/10/2012 12/10/2013 EACH OCCURRENCE 1,000,000 TO RENTED 100,000 PREMISES Ea o=ff enc e MED EXP (ArY am fin) 5,000 PERSONAL&ADV INJURY 1,000,000 GENERAL AGGREGATE 2,000,000 PRODUCTS - COMP/OP AGG 2,000,000 B ❑ AUTOMOBILE LIABILITY ❑ ANY AUTO ❑ ALL OWNED AUTOS © SCHEDULED AUTOS HIRED AUTOS ® NON OWNED AUTOS ❑ 509-22966-555-001 12/07/2012 12/07/2013 COMBINED SINGLE LIMIT (Ea acdderd) BODILY INJURY 10,000 (Per person) BODILY INJURY ident) 20,000 (P -accident) PROPERTY DAMAGE 10,000 (Per accident) ❑ GARAGE LIABILITY ❑ ANY AUTO ❑ AUTO ONLY - EA ACCIDENT OTHER THAN EA ACC AUTO ONLY: AGG F]F1OCCUR EXCESS I UMBRELLA LIABILITY ❑ CLAIMS MADE ❑ DEDUCTIBLE ❑ RETENTION $ EACH OCCURRENCE AGGREGATE C WORKERS COMPENSATION AND®WC EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER / MEMBER EXCLUDED? (MandOtpry In NH) Ifyyes describe under SPEGciAL PROVISIONS below WC -62512-2 09/15/2012 09/15/2013 STATU- ❑ OTH- ToRY u u s ER E.L EACH ACCIDENT 1,000,000 EL DISEASE - EA EMPLOYEE 1,000,000 E.LDISEASE - POLICY LIMIT 1,000,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISION8 CERTIFICATE HOLDER CANCELLATION ACUKU 25 (ZUUUMI) RF V 1998-2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL MIAMI SHORES VILLAGE BLDG DEPT_ 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO 10050 NE 2ND AVE THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. MIAMI SHORES, FL 33138 AUTHORRED REPRESENTATIVE ACUKU 25 (ZUUUMI) RF V 1998-2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895 — 954-831-4000 VALID OCTOBER 1, 2012 THROUGH SEPTEMBER 30, 2013 Rere�pt #'ELECTRIOCAL7ALARMS/CONTP Business Name: 401 ACE ELECTRIC OF SOUTH FLORIDA INC , Business Type: (ELECTRICAL CONTRACTOR) Owner Name: Kmem x ISREL Business 0pened:03/18/2011 Business Location: 10148 SW 49 MANOR State/COunty/CerNR09:EC13004315 COOPER CITY Exemption Code: Business Phone: 954-876-9877 Rooms Seats Empioyeas Machines Professionals 4 For Vending Bushmss Only ....—v_ _c u.,..�.t...,�. VAmllna Tena - Tax Amount Transfer Fes NSF Fee Penalty Prior Years Collection Cost 1 Total Paid 27.00 0.00 0.00 0.00 0.00 0.00 27.00