The URL can be used to link to this page

ELC-14-2753 L ® Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-242240 Permit Number: ELC-12-14-2753 Scheduled Inspection Date: August 27,2015 Permit Type: Electrical -Commercial Inspector: Devaney, Michael Inspection Type: Final Owner: , Work Classification: Addition/Alteration Job Address:9723 NE 2 Avenue Miami Shores, FL 33138- Phone Number (305)949-9049 Parcel Number 1132060134210 Project: <NONE> Contractor: AP POWER ELECTRIC CORP Phone: (954)822-4496 Building Department Comments ELECTRICAL WORK AS PER PLANS Infractio Passed comments INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-241304. CREATED AS E�r REINSPECTION FOR INSP-225362. Label panels and install 1 exit fixture. Failed Correction ,;z t Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. August 26,2015 For Inspections please call: (305)762-4949 Page 33 of 44 r Miami Shores Village Building Department 17ZM4 , 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 2000 BUILDING Master Permit No. C C PERMIT APPLICATION Sub Permit No.�/�7 �7�� ❑BUILDING 2LECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL [—]PUBLIC WORKS CHANGE OF CANCELLATION ❑ SHOP � + CONTRACTOR DRAWINGS i JOB ADDRESS: ZZ 7 P 2, City: Miami Shores County: Miami Dade Zip: Folio/Parcel#:IZ 326(. 13 ®q,21 0 Is the Building Historically Designated:Yes NO � Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): 6n 6r 97A 3 V6- 2- RLI® Phone#: ,'?Jl-'A y? -q6.1(1 Address: Zr/6 3 S f City:Alorik State: R&rP19r., Zip: -3-3/6a— Tenant/Lessee 3'3/6ZTenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: ��L-.% e--r" Phone#: .3a > > ( " D(o S-7 Address: 3 7SP� S . 16, 5+- city: F�. State: Zip: 33'3 ,1 Qualifier Name: Alec.Abr, 14r 7_c,l,R, yPhone#:. •3a 5-. 9-7 L- t(e►_.Z.7 e r� State Certification or Registration M L'--1,13014 q 3 y Certificate of Competency#: P o DESIGNER:Architect/Engineer: s�-Pi►c'-, Phone#: ?s 6;/c(-3�6 Address:619/ Vglt AltJ City:PIA& o- State: f(- Zip: 33 7 17 . Value of Work for this Permit:$ Z/, �'�• ` ® Square/Linear Footage of Work: Type of Work: ❑ Addition Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: /C-e--, Specify color of color thru tile: L q Submittal Fee$ , . C Permit Fee$ � �`r�� CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ �CA °'I ko (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 ap r ved and a reinspection fee will be charged. Signature Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this tw day of GQM JP- ,20 Iq by day of Q ,20 by who is personally known to ,who is personally known to or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: ``�q*trlllll►�aprrs NOTARY PUBLIC• TE q0 4Vo', •�Myd5SfpN ��j iii Sign: ��N 15, gnSi 4e Print: I1 Q '1-= s print: WF I aeg" Zr '•.° GELKA ACUNA Seal: s9 '��0;8h1stState�: ' Q- ' Seal: . i O ' ? MY COMMISSION#FF155823 ��i`I r'ISTkT"r* .,`' ;E,o EXPIRES September 1,2018 (407)398-0153 FloridallotaryService.com APPROVED BY tans Examiner Zoning Structural Review Clerk (Revised02/24/2014) OR �trC.I932 mill Egoism Miami Shores Village Building Department �xORriDp' 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 may be personally liable for the worker compensation injuries of any person allowed to work under this permit 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 AND UNDERSTAND ITS CONTENTS. Ovvmer ntractor Print Name: D+ 1 �( � . Print Name: 14 e �, r d l i; Signature: Signature: I State of Florida) State of Florida) County of Miami-Da ) County of Miami-Dade) Sworn t and subscrib d before me this /6 Sworn to and subscribed before me this 7 day of e G ,20_LV___ day of 6e e__ —,20_/ By By ACUNA Y COMMISSION#FF1 SM3 (SEAL) IQ (SEAL) -'r: ION Type of I eri on fMUWePt6rPbQr 1,2019 Type of I Florida °° EXPIRES September 1 ,2018 FlotidaN� ►3arvl�e.c®m STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD (850)4871395 ,we. 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 ARZOLA,HECTOR A AP POWER ELECTRIC CORP 3758 SW 16TH STREET FORT LAUDERDALE FL 33812 Congratulations! With this license you become one of the nearly one million Fioridimis licensed by the Department of Business and Professronal Regulation. Our professionals and businesses range S'T'ATE OF FLORIDA from architects to yacht brokers,from boxers to barbeque restaurants, DEPARTME. QF BUSINESS AND and they keep Florida's economy strong• PROFEflA1«<fEGULATIQN Every ay we do business In order to ER13014434 ��109/2''�/2i�14 Eve d we work to improve the way I �.�:'�`? ' `: ••.` . � • serve you better. For information about our services,please og onto +° www.myfloridalloonse.com. There you can find more Information REG ELECTRIECh h1Tf?RC�'f713 ; about our dlvisions and the tegulations that impact you,subscribe ARZOLA,H ,7 i '.•G,?'.° M'. to department newsletters and learn mom about the Department's AP POWER M " �• ' �: Initiatives. (INDIVIDUAL • ,i�.� ��•;_,.; (INDIVID 1ALAL Our mission at the Department is:License Efficiently,Regulate Fairly. LICENSING REdWiFtkICR We constantly strive to serve you better so that you can serve your Td•CONTRACTiNt`fla fl -I-: Jai A� customers. Thank you for doing business In Florida, HAS*REGISTERal) under t6 provleloht,of Cn.490 FS. And congratulations on your new license! sx'at +d�le Au[+31,201a 1140d8002524 DETACH HERE RICK SCOTT,GOVERNOR KEN LAWSON,SECRETARY STATE OF FLORIDA DEPARTLECCTOF RICALCONTRACTCORSLICENSINGBQNAL R RDl'JiLA3IOiV 'C FR13014434 The ELECTRICAL CONTRACTOR Named below HAS REGISTERED Under the provisions of Chapter 489 FS. Expir ori date: AUG 31,2016 (INDIVIDUAL MUST MEET ALL FOCAL.LICENSING REQUIREMENTS PRIOR TO•E4h7'RA15.1 tIN ANY AREA) � ARZOLA,HECTOR A ,;= AP'POWER ELECTRIC t?rt7'0 u.:.,,• :;a Vf116Th EEf. :<4- "'T��' m:° �.<�.. "° • 3758 S STR . .. FOFtT.LAUDtRM-P-4""' 33312 . Sero...e _ :... a. .ii, t�~t'•.� • " r ISSUED; DV241414 DISPLAY AS REQUIRED BY LAW SEQ# L1409240002524 m Local Business Tax Receipt Miami—Dade County, State of Florida THIS IS NOT A BILL-DO NOT PAY 8879556 LI BD �TT BUSINESS NAME/LOCATION RECEIPT NO. EXPIRES AP POWER ELECTRIC CORP RENEWAL SEPTEMBER 30, 2015 DOING BUSINESS IN DADE 7154727 COUNTY Must be displayed at place of business Pursuant to County Code Chapter 8A-Art,9&10 OWNER SEC.TYPE OF BUSINESS AP POWER ELECTRIC CORP 196 ELECTRICAL PAYMENT RECEIVED C/O HECTOR ARZOLA PRESCONTRACTOR BY TAX COLLECTOR 75,00 09/17/2014 Worker(s) 1 10E000121 CREDITCARD-14-037873 This Local Business Tax Ram{glt only confirms payment of Ike Local Business Tax.The Receipt is eat a Hcense, permit,or a eaAfication of the holder`s queliiRcations,to do tush ms.Holder mast comply with any goveaeaellml or mineovemammal regulatory laws and taquiremems which apply to the hasinms. M� The RECEIPT NO.above mast be displayed on all commarclel vehicles-Miami-Dade Code Sec 85-27& Far more leforemticn,visit www.miamidsde aoy Ycnliwefm I Municipal Contractor`s Tax Receipt Miami—Dade County,State of Florida -THIS IS NOT A BILL-DO NOT PAY M.- CC NO: l OE000121 BUSINESS NAMEILOCATION RECEIPT NO. WIRES AP POWER ELECTRIC CORP NEW BUSINM SEPTEMBER 30 2015 DOING BUSINESS IN DADE COUNTY 74MO4 Must he displayed at place of business Pursuant to County Code Chapter BA-Art 9&10 OWNER TYPE OF BUSINESS PAYMENT RECEIVED AP POWER ELEL-TRIC CORP ELECTRICAL CONTRACTOR BY TAX COLLECTOR C/O HECTOR AR70LA PRES 200.00 09/19/2014 0225-14005658 MI®oFor more irdomuMon,visit www.Mamidede.oavftsxeoilecmr CERTIFICATE OF LIABILITY INSURANCE 12/11/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEQATIVEL.Y AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSWNG INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER IMPORTANT: If the Certiflcats holder Is an ADOMONAL INSURED,the Policy(Ms)must be endorsed. N SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,cwWn pogroms may require an sndersanant. A ata»mant an this cartirmots does not Confer rights to the awdlicate how In lieu of ouch PRODUCER 786-573-4485 786-573.4486 =76T MaMeen Blandon Insurance NOW Agency P&L rm 7W573-"85 No,786-573-4486 12915 SW 132 Sb%t suite 4-B M&MNLhieri Insurancenowagency.com Miami, FL 33186 AProamDle covm!►oa 1UIC 9 DuKhTm 80AMA: Insurance Co. AP Power Electric Corp. e: 3758 SW 16 Street sC: Fort Lauderdale, FL 33312 a : slit a 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 CLAW. LTR TYPE aF alBtNW= LBOTS GENRALLUSILnY EACbiOCCURRENCE $1.000-000 A CDw ERcIAL GENERAL LimuTY DAMAGE TO PRIONSES O=xwml ' 6100,000 CWMSMADE ©OCCUR MEDEXP oro .55,000 SCP0929397 03/18/2014 03/18/2015 PEISONALSADVIMAM a GENERALAGOREGATE s2.000,000 GENT.AGGREGATE LIMIT APPLIES PER: PRODUCTS-OOMPI3PAW a POLICY LOC a AYTOIIOaLB LIAMUW COMBINED SINGLE LUT a AN ALL OOBVVNED SMLY KKW(Pw prta:) S SCHEDULED AUTOS drBODILY INJURY(PW aode) a HIREDAUTOS PROPERTY DAMAGE a (Peraodar:q NON-OWNED AUTOS a a UMBRELLA LUe OCCUR EACH OCCURRENCE a EXCESS IUB CLAIMS4ADEAGGREGATE a DEDUCTIBLE a RETENTION a WORKER11 CbMPDISATION MO A AND EMPLOYERS'uAmurY ANY PROPRIETOWPARTNEWEXECUTIVEED7 NIA Y N E.L.OFFMatumBER EL EACH ACCIDENT $ , toldeUD �ss DISEASE-EA EMPLOYE S DEStXsI OF 4PERATI EL DISEASE-POLICY LUT 18 I J DESCIft"ONOPOPERATM31LOCATIONSIVSKICLU(Atheb ACORp 101.AddMaW Remerb Sehed�de,r mei epee Y mgdwdl Electrical Contractor CERTIFICATE HOLDER CANCELLATION Miami Shores Village SHOULD ANY OF THE ABOVE OESCRIEIED POLICES BE CANCELLED BEFORE Building Department THE EXPIRATION DATE TMs. NOTICE WILL BE DMA4ERED IN 18050 N.E.2nd Avenue ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores,FL 33138 sseNTATnrs ' Mayleen Blandon Fax:305-75"972 `- M 1OW2009 ACORD CORPORATION. AN rights reserved. ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD JEFF ATWATER owls CHIEF FINANCIAL OFFICER STATE OF FLORIDA 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: 4/13/2014 EXPIRATION DATE: 4/12/2016 PERSON: ARZOLA HECTOR A SR FEIN: 271635909 BUSINESS NAME AND ADDRESS: AP POWER ELECTRIC CORP 3758 SW 16 ST FORT LAUDERDALE FL 33312 SCOPES OF BUSINESS OR TRADE: LICENSED ELECTRICAL CONTRACTOR Pursuant to Chapter 440.05(14),F.S.,an officer of a corporation who elects exemption from this chapter by firing a certificate of election under this section may not recover benefits or compensation under this chapter.Pursuant 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 election to be exempt Pursuant to Chapter 440.05(13),F.S.,Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if,at any time after the filing of the notice or the issuance of the 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 fime for failure of the Person named on the certificate to meet the requirements of this section. DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 07-12 QUESTIONS?(850)413-1609