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DEMO-15-751
Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-231493 Permit Number: DEMO-4-15-751 Scheduled Inspection Date: July 30, 2015 Permit Type: Demolition Inspector: Devaney, Michael Inspection Type: Final Owner: TAVARES, TIERES Work Classification: Electric Job Address: 10050 NE 12 Avenue Miami Shores, FL Phone Number (305)244-2356 Parcel Number 1132050190370 Project: <NONE> Contractor: SENTECH ELECTRIC, INC. Phone: 954-327-1881 Building Department Comments REMOVE ALL NECESSARY OUTLETS AND WIRE FOR Infractio Passed Comments DEMO. INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. July 29,2015 For Inspections please call: (305)762-4949 Page 9 of 40 Miami Shores Village =o�Pp�. ROGER ROYCE . * MY COMMISSION f FF 036830 EXPIRES:July 27,2017 Building Department r•9TF�OF;"e�� Bonded Thru Budget Notary Services 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 I'� Tel: (305)795-2204 Fax:(305)756-8972 �� 5 INSPECTION LINE PHONE NUMBER:(305)762-4949 RECET�T '1[—' FBC 20 BUILDINGAPR 2 2015 Master PermitNo.D� ( 5- �58 PERMIT APPLICATION Sub Permit No. 1 )(—: M0 5 V �S I LBY: ❑BUILDING R]�EnCTRIC ❑ ROOFING REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP G� CONTRACTOR DRAWINGS JOB ADDRESS: of� i 7 'L' 412 City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 1/ __21 7 G?i— U fl�s the Building Historically Designated:Yes-NO Occupancy Type: • Load: Construction Type: Flood Zone: BF/E�: FIFE: OWNER: Name(Fee Simple Titleholder): ,, ' 0 jj— Ahone#: Address:_/ City: =S�r�i State: / Zip: ..3313 Tenant/Lessee Name: Phone#: Email: G CONTRACTOR:Company Name: Sentech Electric, Inc. Phone#:Ort Address: 7027 W. Broward Blvd. Suite 177 City: Plantation State: FL Zip: 33317 Qualifier Name: John E McVey Phone#: 954-240-1897 State Certification or Registration#: EC13001142 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$% LIy Square/Linear Footage of Work..i Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace L{3 Demolition Description of Work: !B 64MI/'I'4� d& /�/C%S Cc`�S �P f>c>1 �Z� /��c/'D Cu1 V J CZ Dale . Specify color ho-f/�color thru tile: Submittal Fee$ Permit Fee$ /�O��o�ll CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ (1 TOTAL FEE NOW DUE$ y (Revised02/24/2014) 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, 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 reinspect" ill be charged. At � , Signature Signature tIL OWNER or AGENT CONTRACTOR r The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 02- day of A-PTZI L 20 J1C, by ��-� day of 1''40 r'c 20 15 by ASM ANDD IC�IFL ,who is personally known to ws h k c J �y awl- �/ who i' rsonall known to me or who has produced FL��T<f- kAa�s me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: L Sign: Sign: Print: Print: Seal: Nota ryPubic State of Florida Seal: ROGER BOYCE Sindia Alvarez MY Commission FF 156750 MY COMMISSION tl FF 036830 CW ti Expires 09/03/2018EXPIRES:July 27,2017 v'"'FOF 0.oa° Bonded Thru Budget Notary Services APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) SNORBs logo Miami Shores Village Building Department �ORIDA 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. COPY OF QUALIFIER'S STATE LICENCES B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF LIABILITY INSURANCE* D. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER Affidavit) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICATE OF COMPETENCY OF QUALIFIER B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF STATE REGISTERED CONTRACTOR LICENSE OR MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT. D. COPY OF LIABILITY INSURACE* E. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER Affidavit) *YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE AS FOLLOW: Certificate Holder: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES,FL 33138 Certificate must specify the description of operations or contractor license number. ............................................................................................ BUSINESS NAME: • -le h C-/ec leic_ `mac Jj,E/°T7 BUSINESS ADDRESS: rc' -I G� '�% c 1c�n � 1�d CITY/;or, Vie, �/�+t,., STATE /`'L ZIP 33i 7 BUSINESS PHONE: ( FAX NUMBER 175-4- CELL 7S4fCELL PHONE V� QUALIFIER'S NAME: �k1hi, Zl QUALIFIER'S LIC NUMBER: QCT/3Cr/4 KII;K SITU 1 1,CiUVtKNUK KEN LAWSUN,StUKt IAKY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD EC13001142 The ELECTRICAL CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2016 MCVEY, JOHN EDWARD SENTECH ELECTRIC INC 7027 WEST BROWARD BLVD STE 177 PLANTATION FL 33317-2208 • ISSUED: 08/1712014 DISPLAY AS REQUIRED BY LAW SEQ# L1408170003782 i 001195 Local Business Tax Receipt Miami—Dade County, State of Florida -THIS IS NOTA BILL - DO NOT PAY \,LBT--,/ 3890259 BUSINESS NAME/LOCATION RECEIPT NO. EXPIRES SENTECH ELECTRIC INC RENEWAL SEPTEMBER 30, 2015 DOING BUSINESS IN DADE COUNTY 4061123 Must be displayed at place of business Pursuant to County Code Chapter 8A-Art.9&10 O!"/NER SEC.TYPE OF BUSINESS PAYMENT RECEIVED SEN TECH ELECTRIC INC 196 ELECTRICAL CONTRACTOR BY TAX COLLECTOR Worker(s) 10 EC13001142 $75.00 09/30/2014 CHECK21-14-084938 This Local Business Tax Receipt only confirms payment of the Local Business Tax.The Receipt is not a license, permit,or a certification of the holders qualifications,to do business. Holder must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT N0.above must be displayed on all commercial vehicles-Miami-Dade Code Sec 6a-276. for more information,visit www.miamidade.movitaxcollector i A� CERTIFICATE OF LIABILITY INSURANCE 4/1/20 5'"'1'' THIS CERTIFICATE IS 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. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endomement(s). PRODUCER Co NTACT Debra Neumann, CIC Tequesta Agency, Inc. dba PHONE (561)746-4546 FAXC. (S61)7C6-9599 Tequesta Insurance Advisors EMAILAppgFSS,dneumann@tequestainsurance.com 218 S US Hwy 1, Ste 300 INSURERS AFFORDING COVERAGE NAIC 0 Tequesta FL 33469 INSURERA:FCCI Insurance Company 0178 INSURED INSURER B National Trust Ins Co. 20141 Sentech Electric, Inc. INSURER C: 7 02 7 W. Broward Blvd. INSURER 0: Suite 177 INSURER E: Plantation FL 33317 INSURER F: COVERAGES CERTIFICATE NUMBER:2015-16 Std Master REVISION NUMBER: 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, TERM 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. NSR ADUILSUBR POLICY EFF POLICY EXP TR TYPE OF INSURANCE POLICY NUMBER MM/D M DD/YYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TURERTEU- X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 300,000 A CLAIMS-MADE ❑X OCCUR L0015003-3 /1/2015 /1/2016 MED EXP(Any one penton) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1,000,000 iEcT F__1 POLICYFX PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLELIMIT Ea acc dent ANY AUTO BODILY INJURY(Per person) $ ALL OWNEDSCHEDULED AUTOS AUTOS BODILY INJURY(Per accidenq $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE S AUTOS Per accident $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 B EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DEO I X I RETENTION$ 10,000 UM0016072-3 /1/2015 /1/2016 $ A WORKERS COMPENSATIONX WC STATU OTH- AND EMPLOYERS'LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT S 500,000 OFFICER/MEMBER EXCLUDED? � N/A — (Mandatory In NH) C15A-70196 /25/2015 /25/2016 E.L.DISEASE-EA EMPLOYE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,H more space Is required) Contractor's License #EC13001142 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Miami Shores Village ACCORDANCE WITH THE POLICY PROVISIONS. Building Department AUTHORIZED REPRESENTATIVE 10050 NW 2nd Ave Miami Shores, FL 33138 p Mark Kasten/DEBBIE ACORD 25(2010105) ©1988-2010 ACORD CORPORATION. All rights reserved. IN3n25 oninnF)m Tho A(^r1Rr1 name anef Innn aro mnlefamrl marlre of ACnpn