Loading...
EL-14-2045l Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 uo_s$�]D Inspection Number: INSP-224285 Permit Number: EL -9-14-2045 Scheduled Inspection Date: December 08, 2014 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: , Work Classification: Alteration Job Address: 1090 NE 92 Street Miami Shores, FL Phone Number (305)987-0644 Parcel Number 1132050270410 Project: <NONE> Contractor: JLP ELECTRICAL SERVICES INC Phone: (305)725-8388 tiunai comments KITCHEN REMODEL ADD Refrigerator OUTLET AND ' -""'" MOVE DISPOSAL DISH WASHER OUTLET INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-224203. Add 2 receptacles on EEr back side of counter 6"below top on each end . Dryer to have 4 wire receptacle. Disposal to have 20 amp. receptacle. Failed ❑ Pot breaker lock on disch wascher breaker. Correction Needed ' Re -Inspection Fee No Additional Inspections can be scheduled until re -inspection fee is paid. December 05, 2014 For Inspections please call: (305)762-4949 Page 17 of 29 Miami Shores Village Building Department SEP 19 2014 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Ems' Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC ^201® BUILDING Master Permit No. n 'tel -- go PERMIT APPLICATION Sub Permit NoJLi I Iq - `>'s ❑BUILDING g/ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL F-1 PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF [:]CANCELLATION ❑ SHOP CONTRACTOR JOB ADDRESS: loq 0 �j C 1� Z -5V City: Miami Shores County: Miami Dade Zip: DRAWINGS Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): �G tl l n C�� �� �; ,n—Phone#: W) 06'+A Address: 160 (_a M U- � � -mak City: 0%, V%f 'i 'S'Oorb-" State: Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: �UZ je AeGTe Jeyl/f��S Lf�,r Phone#: yFzyz� z �� �2 r l Address: �if"�! 2 C"� // -� 7 7�� City: State: �C' Zip: �.7� .� !6�Z1& Qualifier Name:�C0S ,�////��' Phone#: State Certification or Registration #: ���/ �� Certificate of Competency #: oz—J�7r DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ G V Square/Linear footage of Work: IOU S Type of Work: ❑ Addition ES- Alteration ❑ New ❑ Repair/rrReplace ❑ Demolition Description of Work: �ii(� .Ai ��mod�O AA a `e-F(Id�e-cv"�Qr OLAEV CA 11 Movib C)ONV Specify color of color thru tile: Submittal Fee $ rnfl� Permit Fee $ CCF $ < C�C� CO/CC $ Scanning Fee $ ° Radon Fee $ DBPR $ Notary $ Technology Fee $ °�� Training/Education Fee $ Double Fee $ Structural Reviews $ G Bond $ g 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 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 whicp occurs s ven (7) days after the building permit is issued. In the absent of osted notice, the inspection will not be apprAyeed a►� r 4igspection fee will be charged. Signature t t/ - V WNER or AGENT The foregoing instru ent was acknowl ged before me this a" �6 dayof20 1L4, by �1N'N W . j)[�A-e e I who is personally known to me or who has produced 'FL DZ- - as identification and who did take an oath. NOTARY PUBLIC: Sign: //�� Print: �Ar£i.�� 'A- -0\cg Signatu The foregoing instrument was acknowledged before me this dayof20 by i n rc,l1 D who is personally known to me or who has produced identification and who did take an oath. NOTARY P LIC i Sign: U Print: U1S' cis__ as Seal: Seal: =p�PaY,P°B</� WISFER"EZ A EVELYN ARTOLA MY COMMISSION # EE 838180 Notary Public, State of Florida * * EXPIRES: November 7, 2016 Commission# EE 187448 "lq,FaF wp\ Banded Thru Budget Novy SeMms f APPROVED BY`4 _� 19 9 0' Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) RICK SCOTT, GOVERNOR ER13014772 KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD The ELECTRICAL CONTRACTOR Named below HAS REGISTERED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2016 (INDIVIDUAL MUST MEETALL LOCAL LICENSING REQUIREMENTS PRIOR TO CONTRACTING IN ANYAREA) PINERO, JOSE L JLP ELECTRICAL SERVICES, INC. 19477 NW 56 PL MIAMI GARDENS FL 33055 ISSUED: 06/19/2014 DISPLAY AS REQUIRED BY LAW 0f SEC) # L1406190001179 utoa aanl a-ydDraroprro au aopuan11:s y :le r+ 33eld1Q3j19W2p!J0I jAW ,S031A.IaS 111=102911PW3o luatutmdaa aql usiA 10 loeluo3 aseald 'sat qua luaumlano;l alels pue slopuaA 1133ml3q 1 suoi13M.11111 pauilruealls 3Aeq g3Tgm s311TAwe luatuain id paz►lelluao apyAojels 5utlloddns stool epuoi j 3o alE1S Inoqe Ino pull os pso rsdaarp day us jo aar o/slung or daltlolluoa•mpzro ursulp•,tt6t6ill. t/ :19 ,ClislaA[Q iailddnS 3o aolgjp s,aoiAlaS Iuouta2uueW jo luituueda(1aql IIsiA .io;oeluoo aseald `sassouTsnq pau ro-uaurom J' pue kluouiTu 1191us s,epuo13 se Ilam se `sasudiama ss3utsnq 1191913& ep!10IJ 103 S311iunuoddo oituouwa pug ssouisnq Inge Ino putt o j_ 002425 Local Business Tax Receipt Miami—Dade County, State of Florida -THIS IS NOT A BILL - DO NOT PAY 7022908 BUSINESS NAMFULOCATION RECEIPT NO. EXPIRES JLP ELECTRICAL SERVICE INC RENEWAL SEPTEMBER 30, 2015 19477 NW 56 PL 7298987 Must be displayed at place of business MIAMI FL 33055 Pursuant to County Code Chapter BA - Art 9 & 10 OWNER SEC. TYPE OF BUSINESS PAYMENT RECEIVED JLP ELECTRICAL SERVICE INC 196 ELECTRICAL CONTRACTOR BY TAX COLLECTOR Worker(s) 1 12E000224 $75.00 07/16/2014 CHECK21-14-020876 wwel R.m:wwoe Tav Ti.n Rowuiwt is n t a 1ir — ACC M0 CERTIFICATE OF LIABILITY INSURANCEDArE (MMIDDIYYYY) . ...... .......... ... 1 09/18/14 fRiS CERTIFICATE i6 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. -. .. .... .. ­­­.............. . ...... ­...­..'.' ­.............. ... . ........... ....... ...... ........ *,ANf. .-if ifie certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the poftc). certain policies may require an endorsement. A statement an this certificate does not confer rights to the certificate hokler In Neu of such endorsemenqs). PRODUCERCONTAI MARIA ALMOLDA Blanco Insurance Associated Inc. ....................... .. ----------- -- -- PHONE Ext};.._. .. (305)888-0524 a -0044 )272 ...... .. .... . ............. . ....... 1460 E. 4th Ave. -MAIL nvda@bWncWnwance.com ... ..... ............. Hialeah, FL 33010 ...... . .............. . .. ... Phone (305)888-0524 Fax INSURER A: GRANADA ........ ... ......... .. ........ ...... f INSURED i— ­ - -------..._.__..._................._.............--------•--...... .. ..... ...... JLP ELECTRICAL SERVICES INC i—IN 19477 NW 56 PL ik"'AMPRAI .......... ­­._ ..... ... .......................................... MIAMI GARDENS. FL33055 (786) 942A192 ............... ............. .. . . . .... ......... . ............ ...... . ... .. ....... L INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: IS *6_CERTIFY *THATTHE POLICIES'OF NdSURANCE�LISTED iki HAVE BEEN ISSUED f6 THE INSURED NAMED ABOVE —F-O- R"-T-H'­E­P­0'L­IC*'Y'* PERIOD* INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR COMMON OF ANY CONTRACTOR 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, a EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. !!NSR I LTR 11 TYPE OF INSURANCE JADDI tfUBRiPOLIO t ?o­L!cY_NU' MBER ­ POUC EXP GENERAL LIABILITY Sa COMMERCIAL GENERAL LIABILITY A i E] 0 CLANS -MADE W O=M El GEWL AGGREGATE LIMIT APPLIES PER: 0 6d PR 0 LOC jEe T i AUTOMOBILE LL481UTY ❑ANY AUTO I ALL UTOS ❑AUTOS OWNED SCHEDULED ❑ A - HIREOAUTOS ❑ NAUTONOSOWMED ............... ....... ... .... ...... UMBRELLA LIAR [D OCCUR rl Excess u4B n n AIM-UAnr N IN 20185FL00036200 I U Ppp....U_fq�� ....... ... WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRETORIPARTI N CUTIVE_ (MaOFFIndatwy In Mil . CERWIEMBER EXCLUDED?11 1 NIA N 06/14/2014 0511412015.. DAMAGE TO RENTED 1� .i moi ME9 W ("­P1q.P.a_.)........._x.....5.004.00..,..... PERSONAL & ADV INJURY $ 100,000.00 ........ ...... -.1 1 �....... $ 1,000,000.00 ...........1 1.-...... � .... GENERAL AGGREGATE •--._.._$___2,000,000.00 PRODUCTS - compiop AGG ............. $ 2,000,000.00 .. ........... .. ..... ...... ... ............ .. . . ............ ii� SINGLE LIMIT ............... SWILYIWURY(Pw person} ­ ... . ...... $ BODILY INJURY (Per accident) ...... .................... ....... $ --.__.......__....1 $ ............... ...... ....... .. ... ............ . ........ DESCROMONOFOPEItATIONSILOCATR)14SIVEI#CLES (AttaO ACORD 1101, Additional Remadw SahedWe. If more space Is req*ed) ELECTRICAL WORK - WITHING BUILDING. CERTIFICATE HOLDER City of Miami Shores 10050 NE 2nd ave Miami Shores, Fl. 3313ts ACORD 25 (2010/06) QF E.L. DISEASE - EA CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESMATIVE MARIA ALM J 0 ORD CORPORATION. All rights reserved. he RD name and logo are registered marks of ACORD PLEASE CUT OUT CARD BELOW AND RETA N FOR FUTURE REFERENCE r STATE OF FLORIDA I DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS` COMPENSATION F CONSTRUCTION INDUSTRY EXEMPTION aO CERIt MIM CW EULCMN TO BE EUNIFrFROM FLORM r L VOUNOs•COMPefS TMIAW D OFFECINE D IL 40=4 EXP RATM DAM 424rJUS pogm Pato Lose L [N [ FM 4600easr E [R BUSNMNAWEANDADDREM .ILP B.EMIMCAL SERVICES INC [ E U;47TNW 6EPL I IRM CAROM FL 33M SM—ES OF BttW4M OR TRA ELECTRICAL DMF2-DWC-252 CERTIFICATE OF ELECTION To BE EXEMPT REQ ism BT t2 Purawd b Chapter"0;04%)4 FS, an otRcerof a empoteow who etetxs exempt[= from this chapterbyOng a eeANcete of election unci" this sec§ort way not remw Dertffs of conwartsaftnurAwthtschapter. q Pww- t to Chapter 44Ot Qgt2). F.&, CscWkaWs of eiedion to [ he exempt_ apply Q* vAthk the swpe at the buwmss or Nada fisted ort the notice of ebKftc to be exempt I PumLot b Chapter"G-W3)F.S.. NofieasofetlecruxD to he exempt and oarfeates of ekbcrm I* be, exempt than to sahjtmf to mvocafi= it at any, Hme after the On of the notice Orth& tars Ofthe cW0001k go person awned an the nam or—'sate—bv-meafsthis WTAwnwft at tots seWonftrtsawnceataceditdaThe dam[ahajcmvohe [ acardfieaOa at MW time for ftHim of am persm tamed at ate carte to mart; the. mqubmwft of aft saca►- G flk C FA QUESTIONS? (85m)413 -IMS Miami shoresVillage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner - Workers' Compensation Insurance Exemption Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full-time employees, including the owner, must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if: 1. The officer owns at least 10 percent of the stock of the corporation, or in the case of an LLC, a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State, Division of Corporations; and 3. The corporation is registered and listed as active with the Florida Department of State, Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers' compensation exemption. in these circumstances, Miami Shores Village does not require verification of workers compensation insurance coverage from the contractor's company. Therefore. you maybe ersonall liable for the worker com ensation in'uries of an erson allowed to work under this ermit. Please check with your insurance carrier since most property insurance policies DO NOT cover this type of liability. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE CONTENTS. Owner Print Name: J h n� t� Signature: State of Florida ) County of Miami -Dade) Sworn to,apd subscribed before me this day of��`%� , 20 yP JAY 000 By JV#P/ v t# 1SS10�1#06M Print Name: State of Florida ) County of Miami -Dade) Sworn to and subscri ed day of By J(T AND ITS iVCHW JAY IQJ= M MY COMMlS M #MffiM (SEAL) o BMW WfC1-ATX/ABonded throagh iet State Insurance