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EL-15-339 its Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-235387 Permit Number: EL-2-15-339 Scheduled Inspection Date: May 29, 2015 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: EIRA ROJAS, BENOIT V WIRZ Work Classification: Alteration Job Address:893 NE 96 Street Miami Shores, FL 33138- Phone Number Parcel Number 1132060142690 Project: <NONE> Contractor: ACCURA ELECTRICAL CONTRACTOR INC Phone: 305-827-3827 Building Department Comments REPLACE ELECTRICAL PANEL REMODEL BATHROOM Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-235264. Need the electrical contractor on the job site. Failed Correction /0 Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. May 28, 2015 For Inspections please call: (305)762-4949 Page 21 of 26 y d�� Miami Shores Village 2` Building Department FEB 17 Z015 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 IO BUILDING Master Permit No. Q& 1 PERMIT APPLICATION Sub Permit No.a /,J', 12 ❑BUILDING EZ/ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 213 ue cl& -1 City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholder): r I Ccs 11-:1e.L-� Phone#: Address: p3 q3 k)jF g4p City: 1�� t-�eS State: Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: NeflUnA, e!/ee4 (C-aJ Lam ' Phone#: 36-9 Address: 6/ la-7 /ZZ6 16 7 43 City: P/.IM.[ State: Zip:� !c3�d,/O/S Qualifier Name: /14A Vgel 104rrer-a Phone#:> p State Certification or Registration#: Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ 7 Dom Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New [Repair/Replace �( ❑ Demolition Description of Work: �e )t. Q ri G I , ��1M 1 ��ftA R l-A 11A Specify color of color thru tile: Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) r 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 an reinspection fee will be charged. Signature Signature t OWNER(r/AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 3 dayof20 115 by day of � 20 i� by ` ,who is personally known to MA04c-Sk2ellreA who is personally known to me or who has produced f2k--, ( as me or who has produced P--'—L C---�> as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: lents Sign: '.9-� = Sign: 0 Print: Print: Seal: ;yam:FF��S/a17 Seal: FCQRIDP\\. c �t , APPROVED A /rw.5 Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) oFTKE SAF STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD (850) 487-1395 0"ETA 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 BARRERA, MANUEL P ACCURA ELECTRICAL CONTRACTOR INC 6187 NW 167 ST SUITE H-3 MIAMI LAKES FL 33015 Congratulations! Wth this license you become one of the nearly "�� sa= Y4� one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range "STATE OF FLORIDA from architects to yacht brokers,from boxers to barbeque restaurants, DEPART.M NT O,F BUSINESS AND and they keep Florida's economy strong. PROF I /�" GULATION Every day we work to improve the way we do business in order to EC13t)02953 ,;¢ Q07/13/2014 serve you better. For information about our services, please log onto www.myfloridalicense.com. There you can find more information CERTIFIED;ETQR about our divisions and the regulations that impact you,subscribe to department newsletters and learn more about the Department's ;BARRRRA,'M ACG3lJRA ELE QR:INC initiatives. Our mission at the Department is:License Efficiently, Regulate Fairly. 1r We constantly strive to serve you better so that you can serve your = ' customers. Thank you for doing business in Florida, s,GF1 IED under the provisions of"Cb 489 F.,S and congratulations on your new license! P; o� Cf407130001725 DETACH HERE RICK SCOTT, GOVERNOR KEN LAWSON, SECRETARY STATE:OF FLORIDA . DEPARTMENT OF BUSIA.ESS-AND PROFESSIONAL REGULATION ".. ELECTRICAL-C06�TRACTORS LICENSING BOARD .z r �f r EC130Q2953, The ELECTRICAL CONTRACTOR ` Namedbelow IS CERTIFIED »N Under the provisions:of Chapter 489'FS . ` n °�` Expiiation'date AUG 31_,w2016 ,�, " , 414 BARRERA, MANUELP � ACCURA FLEC`-RIQ6L�C�1 T CTOR I Im 6187 N_W 1.67-$T—- ' w =� r e 5 r�+ y.o4ti�wK4a fhPi'¢CM4 :. µ p,` t. k �jCyq y icci icn• n7i1zi')n1e nICPI AY AR Pr=oi IIRFn RY I AW SEO# L1407130001725 Locals w pYTxEs _ `rx �K e � `' tmYie �IVIIarr1l=D,ad:e 1 H1S D5 7VUT"A SILL 2267326 ' BUSINES"$, t&A EjtXTC "_ ' ec�tr=Ytuo ACCURA.UkTRIC9LCONTRACTOR1NC ' E ��RES 6187NW1675TN3 ; R�NAL SEPT 2015 MIAMI F.L;33'1015: $ Must be lisp"Pa t el of place nf.btls ness. $�; ` F?5rsuahl:to Cnu�tj Code _ . j �, : .•,GhapterBA Art 3�,Rr10 OWNER ' SEC.TYpt OF BUSINESS F ACCURA ELECTRICAL CONTRACTOR INC796 ELEGTl11C�4L CONTRACTOR PAYMENT hECEIVEb' Worker(s):' 7 ;C13002953`. R BY TAX GOLLECTOti::- $75.00 06/05/2014 CHECK21 14-042623 This Local business Tex Receipt onlytohlirms paymont of t ie edbal Business Tax The Receipt'is not a hpensq, permlf?oraxertrficaUonoithe hold Ualiticabons,to do business Holderustcomply With any governmohtgl orn'onguverpmental regutistary law '�i`�requirem�Fl�s w,h�ich a ply to the busm'Eis§ s r b#AR CEIPT Nff�%hove must ird3l;played o r b e Seq @ ' �'+�, '�►�il�,e�re I vehicl8�� For moreahlormation vislt ��a ' � - OP ID: LEGO DATEY)CERTIFICATE OF LIABILITY INSURANCE 0211112015 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 terns 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 endorsement(s). PRODUCER CONTACT Avante Insurance Agency,Inc. PHONE FAX 7490 West Fla or Street A/C No Ext): AC'No): Miami,FL 33144 E-MAIL Gabriela F.Dominguez ADDRESS: PRODUCER ACCUR-1 CUSTOMER ID#: INSURER(S)AFFORDING COVERAGE NAIC# INSURED Accura Electrical Contractor INSURER A:Depositors Insurance Company 42587 Inc. INSURER B:Allied Property&Casualty Ins 42579 Manuel Barrera Qualifier 6187 NW 167 Street H-3 INSURER C:Technology Insurance Company 42376 Miami,FL 33015 INSURER D:Nationwide Ins Co of America 25453 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: 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. ILTR TYPE OF INSURANCE91118- POLICY NUMBER MM/LICY EFF MMIDD/ICY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY ACPGLDO 5954249253 11/1712014 11/17/2015 DAMAGE TO PREMISES Ea.ran.) ance $ 100,00 CLAIMS-MADE 1XI OCCUR MED EXP(Any one person) $ 5,00 PERSONAL 8 ADV INJURY $ 1,000,0 GENERAL AGGREGATE $ 2,000,00 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,00 17 POLICY PRO LOC $ AUTOMOBILE LIABILITY _ COMBINED SINGLE LIMIT $ 1,000,00 A ANY AUTO CPBAPD 5954249253 11117/2014 11/17/2015 (Ea accident) BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ X SCHEDULED AUTOS PROPERTY DAMAGE $ X HIRED AUTOS (PER ACCIDENT) X NON-OWNED AUTOS $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,00 EXCESSLUIB CLAIMS-MADE AGGREGATE $ 1,000,00 B ACPCAP 5954249253 11/17/2014 11117/2015 DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION WC STATU- X OTH- AND EMPLOYERS'LIABILITY TORY LIMITS ER C ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N TWCM9684 11/17/2014 11/17/2015 E.L.EACH ACCIDENT $ 1,000,00 OFFICER/MEMBER EXCLUDED? ❑ N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,0 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,00 D improvement&Bett CPCPPZ 5954249253 11/17/2014 11/17/2015 $1000 Ded 66,90 D Bus Personal Prop �ACPC1312Z 5954249253 11/17/2014 11/17/2015 5%aW&HDED 27,40 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 111,Additional Remarks Schedule,if more space is required) LECTRICA WORK-WITHIN BLDGS incense#E 13002953 CERTIFICATE HOLDER CANCELLATION MIAMISV SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shores Village THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN g ACCORDANCE WITH THE POLICY PROVISIONS. Building Department 10050 N.E.2nd Avenue AUTHORIZED REPRESENTATIVE Miami Shores,FL 33138 ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD