EL-13-2265 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-225900 Permit Number: EL-10-13-2265
Scheduled Inspection Date: January 15, 2015 Permit Type: Electrical - Residential
Inspector: Devaney, Michael Inspection Type: Final
Owner: MOWERS,JEFFREY Work Classification: Addition/Alteration
Job Address: 1175 NE 101 Street
Miami Shores, FL 33138- Phone Number
Parcel Number 1132050190230
Project: <NONE>
Contractor: CONNECTIVE ELECTRIC INC Phone: (954)782-7879
Building Department Comments
PROVIDE AND INSTALL NEW LIGHTING AND SWITCHES Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-200626. Need the low voltage
final first.
One receptacle box in the front was covered and needs to be found.
Failed
Correction j
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
January 14, 2015 For Inspections please call: (305)762-4949 Page 21 of 37 I
Miami Shores village " ' '
Building Department
artment ;,c► u 20��
90050 N.E.2nd Avenue,Miami Shores,Florida 33138 'By:
Tel: (305)795.2204 Fag: (305)756.8972
INSPECTION'S PHONE NUMBER: (305)762.4949
FBC 20
BUILDING Permit No4I �3 -' .2`22.5—
PERMIT APPLICATION Master Permit No.
Permit Type: Electrical
JOB ADDRESS: 1175 Nx I o i S ?
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: i - 32 0 S -
Is the Building Historically Designated: Yes NO X Flood Zone:
OWNER: Name(Fee Simple Titleholder): 3 e r e� k a fh er, a Muyf,sPhone#:
Address: 1175 At 101 i T
City: M i p n6 i, SA 0/'Y ,r,/ State: �L Zip:
Tenant/Lessee Name: NIA Phone#:
Email:
CONTRACTOR: Company Name: o I'�/l fes/ e r/ �_/i� n Phone#: c/$`I- :s(Z' 79'7f
Address: 390 7 Ai /= el
City: Yom,,, 13-e C.CA State: F L Zip: �'"506 y
Qualifier Name: M i G h w Yl C a P,n e., I Phone#: 4 S `! - 74 Z —7g�7
State Certification or Registration#: �=`G l 3G G �i 7 �( Certificate of Competency#:
Contact Phone#: `'l5 `f" Z O S 7S•o 1 Email Address:
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: $ /I/ ayd Square/Linear.Footage of Work: 2., w0
Type of Work: ❑Address SIAlteration ONew ORepair/Replace ODemolition
Description of Work: P,-Vy1d 0 Now /"X4015 *n r./ 4 S W/f CA,e 5
Submittal Fee' Permit Fee$ 2 CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Bond$
Notary$ 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 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 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
IlVIPROVEMENTS 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$2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered'tb the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged
Signa ��1 ,c, Signatur
O er or Agent ontractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me thisZ_;�'-
day o ,20� by > �f+.,l /`✓1 c w�f day of �..� 20 (3 by r ( o� o _
who ersonally known o me or who has produced who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign: IZ
Notary Public State of Florida
Print: ++� Print: x
My Commiss n'lE My Commission EE147677
Expires 12/06/2015 My CommissionEXPIRE$Fibnwy pZ,201E
J>a8 083 oom
APPROVED BY i' — �l�i�C�d� Plans Examiner Zoning
Structural Review Clerk
(Revised 3/1212012)(Revised 07/10/07)(Revised 06/102009)(Revised 3/15/09)
STATE OF FLORIDA
DEPARTMENT OF BUSINESS ,AND PROFESSIONAL REGULATION
ELECTRICAL CONTRACTORS LICENSING BOARD
1940 NORTH MONROE STREET (850) 487-1395
TALLAHASSEE FL 32399-0783
CAPONERA, MICHAEL A
CONN$CTIVE ELECTRIC INC
OMP N.
PFEDERAL HWY. #245
POMPANO BEACH FL 33064
Congratulations! With this license you become one of the nearlyn
Floridians licensed by the Department of Business one million
and ProtessionaI Re u!
Our Professionals and range from architects to yacht brokers,from .. `:
boxers to barb restaurants,and
they keep Florida's economy strong.
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For information
work to improve the„may we da business i to serve you bett "y'`' ms's Q `
formation about our services ! n orderer x'.:2.$3”
There you can find more infomtation 103seabouour divisions www and the ldalicense.cam_ '
impact you,Subscribe to de a '
ulation
Department's S initiatives. p rtment newsletters and learn more ab the
s that
Our mission at the Department is.License Efficiently;Regulate �t
constantly strive to serve you better so that you can seryour customers. �`^°o wr rta`r
Than
k you for doing business in Florida,and congratulations on your new license! -4'JCftT:ER2%(.,
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CD
CD 115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-189,5—954-8-31-4000
VALID OCTOBER 1,2013 THROUGH SEPTEMBER 30,2014
CJ i
RBCeipt#.181-3301
Business Name: CONNECTIVE ELECTRIC INC Business Type:ELE;CTRICAL/ALAPYIS/CON 'FOR
(SLECTRtCAL CONTRACTOR)
Owner Name:MICHAEL CAPONERA Business Opened;03I28/2008
Business Location:3907 N FEDERAL HWY STE 245 StatelCounty/Cert/Reg:EC13003789
POMPANO 13E'.ACH Exemption Colde,
Business Phone: 954-782.7879
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Rooms Segts:. ritlsloyees IVIc>tlnas Professionals I
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ForVending BuWhass Only
Number of Machines. Vending Type:
Ld Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Totes Paid
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THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS
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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(hat the buslnass is legal or that
LD I it is in compliance with State or local laws and regulations.
D
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LD Mailing Address:
LD i
iv ! CONNECTIVE ELECTRIC INC Receipt 0028-13-170000055
a, 3907 N FEDERAL HKY STET 245 Paid 10/01/2013 29.70
POMPANO BEACH, FL 33064
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T ': ! 02-09-2012
JEFF ATWATER STATE OF FLORIDA
CHIEF!FINANCIAL OFMCER DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORKERS' COMPENSATION
* CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW
CONSTRUCTION INDUSTRY EXEMPTION
This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law,
EFFECTIVE DATE: 02/09/2012 EXPIRATION DATE- 02/08/2014
PERSON: CAPONERA MICHAEL
FEIN: 260798950
BUSINESS NAME AND ADDRESS:
CONNECTIVE ELECTRIC INC
3907 N FEDERAL HWY STE 245
POMPANO BEACH FL 330134
SCOPES OF BUSINESS OR TRADE:
1- ELECTRICAL CONTRACTOR
IMPIJATANT: Pursuant to Chapter 440 . DS(14), F.S., an officer of a corporation who elecl3 exemption from this chapter by finny a certifitare of election under this
section may not recover baaetits of compensation under this chapter. Pornam to Chapter 440-05(12), F,S., Certificates of election to be exempt... apply only within the
scope of the business or trade listed on the notice of eitcoon to be exempt. pursuant to Chapter 440,05{13). F.S., Norlces of election to be exempt and eertifieates of
:taction to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certilicate, the person named on the notice or
certifieste no longer meets the requirements of this section for issuance of a certifica(e. The department shall revoke a certificate it any time far failure of the person
named on the cenifleate to meet the requirements of inis section.
QUESTIONS? (850) 413-1609
NC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01-11
PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE
STATE OF FLORIDA IMPORTANT
DEP.ARTMEAIT OF FINANCIAL SERVICES
DMSION OF WORKESRCOMPENSATION O Pursuant to Chapter 440.05(74), F.S„ an officer of a Corporation who
CONSTRUCTION INDUSTRY elects exemption from this chapter by filing a certificate of election
CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA L under this Section may not recover benefits or compensation under this
WORKERS'COMPENSATION LAW 0 D chapter.
cFFSCTIVE: 02/09/2012 EXPIRATION DATE: 02/08/2014 pursuant to Chapter 440.05(12), F.S., Certificates of election to be'
PERSON: MICHAEL CAPONERA H exempt.., apply only within the scope of the business or trade listed on
FELL- 28079$950 R
the notice of EIeCTion to be exempt
BUSINESS 1vAM1/lE AND ADDRESS: E Pursuant to Chapter 440.05(131, F.S., Notices of election to be exempt
ovrc'ctrV_ E.ee- :c INC and certificates of election To be exempt shall be subject to revocation
3507 PEOEa:.: .?qwr S-E 2-5 if, at any time after the filing of the notice or the issuance of the
POMPANO 3=-AC-. °: 330se certificate, The person named on the notice or certificate no longer meets
The requirements of this section for issuance of a certificate. The
department shall revoke a certificate at any time for failure of The
SCOP_ OF BUSINESS OR TRADE: person named on the certificate to meet the requirements of this
'- Sk,=C'R;CA: CONTRACTOsi section.
QUESTIONS? (850) 413-1609
CUT HERE
x Carry bottom portion on the job, keep upper portion for your records-
WC-252 CERTIFICATE OF ELeCT10N TO BE EXEMPT REVISED 01-11
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