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EL-15-532 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-235952 Permit Number: EL-3-15-532 Scheduled Inspection Date: June 05, 2015 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: MOLINA,ADRIANA Work Classification: Alteration Job Address: 1059 NE 98 Street Miami Shores, FL 33138-2505 Phone Number (305)213-5070 Parcel Number 1132050180230 Project: <NONE> Contractor: ALL ABOUT CONSTRUCTION INC. Phone: (786)487-6133 Building Department Comments REPLACE KITCHEN OUTLETS (REFRIGERATOR, Infractio Passed Comments DISHWASHER, HOOD, COOKTOP, MICROWAVE-OVEN INSPECTOR COMMENTS False 2 SMALL APPLIANCES GFCI)AND INSTALL 5 SMOKE DETECTORS BATTERY AND INTERCONNECTING Inspector Comments Passed ED/ CREATED AS R ON FOINSP-235771. Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. June 05, 2015 For Inspections please call: (305)762-4949 Page 12 of 27 4 �st!O1 s y� Miami Shores Village '3 l7it Tyjae EIID ie; 1 Residential c� g 10050 N.E.2nd Avenue NE _ W0*C/o,iiii rt [> "8ttitNl Miami Shores, FL 33138-0000 Plait Status:APl ROVEl Phone: (305)795-2204 FLOR.oA Expiration: 09/29/2015 Issue Date:4*g01 Project Address Parcel Number Applicant 1059 NE 98 Street 1132050180230 ADRIANA MOLINA Miami Shores, FL 33138-2505 Block: Lot: Owner Information Address Phone Cell I ADRIANA MOLINA 1059 NE 98 Street g MIAMI SHORES FL 33138- (305)213-5070 1059 NE 98 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone $ 1,500.00 ALL ABOUT CONSTRUCTION INC. (786)487-6133 Valuation: Total Sq Feet: 0 Type of Work:REPLACE KITCHEN OUTLETS(REFRIGERAT Available Inspections: Additional Info: Inspection Type: Classification:Residential Review Electrical Scanning: 1 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.20 Invoice# EL-3-15-54754 DBPR Fee $2.25 04/02/2015 Credit Card $ 110.70 $50.00 DCA Fee $2.25 Education Surcharge $0.40 03/11/2015 Credit Card $50.00 $0.00 Permit Fee-Additions/Alterations $150.00 Scanning Fee $3.00 Technology Fee $1.60 Total: $160.70 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I cer^that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zonin I F er ore, I authorize the above-named contractor to do the work stated. April 02, 2015 Authorized S Owner / Applicant / Contractor / Agent Date Building Dpartment Copy April 02, 2015 1 Miami Shores Village cIvED 7 Building Department MA 1 2015 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 BY- INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20�� BUILDING Master Permit No.F PERMIT APPLICATION Sub Permit NO. L�- ❑BUILDING ❑D ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [-]RENEWAL ❑PLUMBING ❑ MECHANICAL F-1 PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP ,,/ CONTRACTOR DRAWINGS A JOB ADDRESS: �C��J � JR 57- ' City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: JJ Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): Adt-�Czj7� �` U (o ��` Phone#: Address: ASI City: i% State: Zip: Tenant/Lessee Name: Phone#: Email: {� CONTRACTOR:Company Name: Ail A-tmir �i��7Tti��'n� �� Phone#: Address: . �� /::27 S% City: A State: �L— Zip: 3/ Qualifier Name: r�GA-- 1d0 ��C% 0� Phone#: State Certification or Registration#: Certificate of Competency M DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ O ' Square/Linear Footage of Work: Type of Work: ❑ Addi^tio[n Iteration ❑�New � ❑ Repair/Replace El Demolition Description ��of//Work:�� e-c rG>"el-7 / l^7 T-ej Specify color of color thru tile: Submittal Fee$ Permit Fee$ /� O `[%'G� 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) 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 reinspection fee will be charged. ' ,t Signature Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 1�day of Mare h 20 1'55 by day of 20 by Adr►caora Motlnq .who is personally known to ti'"LN', ✓,who is personally known to me or who has produced n 1DrkW-.( (ItQrjoSe as me or who has produced as identification and who did take an oath. identification and who did n oath. NOTARY PUBLIC: NOTARY PUBLIC: uYut, AMAT FERNANDEZ Sign Sign: Notary Public-State of Florida Print: ` ••TA • Print: v�,M »'_`-My Com xpires Aug 25,2015 EE 103 05 Seal: 'V• s -''''°�� Bonded Through National Notary Assn. MY Comm.WON + Seal: ember 9,2018 No.FF 158152 *******�r* � ****s***.s*** •�ww�* �********�*r******sss�*:s**a******�s***a:***:*****rw**x****s**** '••.PUe��:•' ls— APPROVED��T ••�•�•• •' Plans Examiner Zoning fill41' Structural Review Clerk (Revised02/24/2014) —-- I' oil �a CDLI qS 4MT w �„*�;a2!c...ct a malar Ye a bCteat +s consw t to arty 4tbr�tr Fast I-gaw-f xit as STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD (850)487-1395 •"�.� 1940 NORTH MONROE STREET-. TALLAHASSEE FL 32399-0783 TEXIDOR,ARNALDO ANTONIO ALL ABOUT CONSTRUCTION INC. 13375 NE 4 CT NORTH MIAMI FL 33161 Congratulations! With this license you become one of the nearly - ^ one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers,from boxers to barbeque restaurants, } - STATE OF F10RIDA_ and they keep Florida's economy strong. s DERARTMI.N),-QF BUSINESSAND 11 PROFS �.PULATION Every day we work to improve the way we do business in order to z EC13005547�s t6 `,�pg/Q5/2014 ' serve you better. For information about our services,Tease log onto kF � _ www.myfloridalicense.com. There you can find more informationr it • about our divisions and the regulations that impact you,subscribe `CERTIFIED lCJ4L7 RACT+OR i to department newsletters and learn more about the Departments i 17EXIDOR, i4tVTONI_;Q wq' t+ initiatives. ty ALL-ABOtJT C NSRUCT10A1 INC t; Our mission at the Department is:License Efficiently,Regulate Fairly f! We constantly strive to serve you better so that you can serve your f f customers. Thank you for doing business in Florida, i .JS CERTIFIED under the provisions afi -C .489 Fs and congratulations on your new license! Fio,rae�s xuc_31,2016 unoeo5ooa2rse `- DETACH HERE RICK SCOTT GOVERNOR KEN LAWSON,SECRETARY STATE Of FLORIDA.. DEPARTMENT OF 13USIAESS AND PROFESSIONAL REGULATION ELECTRICAL- CQNTRi4CTORS LICENSING BOARD _ EC13005547 -,ADDITIONAL BUSINESS, QUAIJf qN The ELECTRICAL CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. -" wewe Expiration date: AUG 31,,2016-. TEXIDQR,ARNALDO ANTQIaffO .. ALLABOUT CONSTRUCT ON INC. � x s 1.3375.NE 4-C7- NORTH MIA-Mit <-FL 33161 . ;' 002314 Local Business Tax Receipt Miami-Dade County, State of FloridaL 13 T:1 THIS is NOTA BILL - DO NOTPAY 6652896 BUSINESS NAMIE/I.00ATION RECEIPT NO. EXPIRES AU.ABOUT CONSTRUCTION INC RENEWAL SEPTEMBER 30, 2015 465 NW 127 ST 6923883 Must be displayed at place of business NORTH MIAMI FL 33168 Pursuant to County Code Chapter 8A-Art.9&70 OWNER SEC.TYPE OF BUSINESS PAYMENT RECEIVED ALL ABOUT CONSTRUCTION IK 196 SPEC ELECTRICAL CONTRACJOR BY TAX COLLECTOR EC13005547 ' $45.00 07/18/2014 Worker(s) 1 LHECK21-14-025056 coafilms p&Vww of the Local BWom Tax The Receipt is met a 1'1cease. Ibis Local BmsinnTm Receipt owlll s lificsom to do bmsimess.Bolder moat comply with Balt 90 po"mWora cerlificNi"of the holder which to ffie busisess or ognyuvermnemW regmlatorY IeWsw ir!qulrenreSts.�, apply Tbe'RECFJPT M0:above NuaflRe B ayed Code Sec ow ►Cia1 iro6�cles-Mi�i-Dsds tta-II6 For sseeamltor � .. , L ne CERTIFICATE OF LIABILITY INSURANCE 17/15/2014` THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING WSURER(Sh AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: N the certificate holder is an ADDITIONAL INSURED,the pohcy(les)must be endorsed. N 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 endorsement(s). PRODUCER uDWACT NAW NEW LAW INSURANCE PHONE (305]887-0711 1030 E 4th Ave LCFAr_,,,:(305)884-2411 ADDRm,newlawinsurance@aol.com Hialeah, FL 33010 CUSTOMERR e1S111ERM AFFORDING COVENAGE NAICa INSURED ALL ABOUT CONSTRUCTION INC .INSURER A:GRANADA INSURANCE 465 NW 127TH STREET INSURER B: NORTH MIAMI, FL 33168 INSURER C: (305) 298-9307 INSURER D: 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. TM TYPE OF INSURANCE ADDL SUOR POLICY EFF POLICY EXP INSR VWD POLICY NUMBER LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,660,000 A COMMERCIAL GENERAL LIABILITY PREMISES Ea ocaererxe S 100,000 jCLAIMS-MADE FIOCCUR MED EXP(Any one person) $ 5,000 500.00 DEDUCTIBLE 0185FL00050483 06/25/14 06/25/15 PERSONAL a ADV INJURY $ 1,000,000 PROPERTY DAMAGE GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMIP/OP AG $ 2,000,000 POLICY PRO LOC $ AUTOMOBILE LIABIUTY COMBINED SINGLE LIMIT (Ea acme I) $ ANYAUTO BODILY INJURY(Per person) S ALL OWNED AUTOS BODILY INJURY(Per acadent) $ SCHEDULED AUTOS PROPERTY DAMAGE S HIRED AUTOS (Par accident) NON-OWNED AUTOS $ S UMBRELLA UABOCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIMS-MADE AGGREGATE is DEDUCTIBLE $ RETENTION $ 1 1$ WORKERS COMPENSATION WC STATU- OTH-! AND EMPLOYERS'LIABILITY YIN TORY LIM ANY PROPWETORMARTNERIEXECU7NE OFFICERA/EWER EXCLUDED? NIA E.L.EACH ACCIDENT S (SOB'Ia NN) F-L DISEASE-EA EMPLOY $ B describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space 8 required) ELECTRIC WORK WITHIN BUILDINGS CERTIFICATE HOLDER CANCELLATION Miami Shores Village SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Building Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 10050 NE 2nd Avenue ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores,FL 33138 Fax:(305)756.8972 AUTHORIZED �R-,EIPRESENTATIVE ®1988-2009 ACORD CORPORATION. All rights reserved. ACORD25(2009/09) The ACORD name and logo are registered marks of ACORD �►co CERTIFICATE OF LIABILITY INSURANCE °ATEM �..-� 03/1099/2015/2015 Y' 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 poiley(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 endorsement(s). PRODUCER CONTACT NAME: Automatic Data Processing Insurance Agency,Inc. PHONE Na Exfl: I FAc No: 1 Adp Boulevard ADDRESS: Roseland,NJ 07068 INSURER(S)AFFORDING COVERAGE MAIC# INSURER A: NorGUARD Insurance Company 31470 INSURED INSURER B ALL ABOUT CONSTRUCTION INC INSURER C: 465 Nw 127 Street North Miami,FL 33168 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 319954 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- INLTR SR AUIUL TYPE OF INSURANCE SUBB POLICY EFF INSD WVD POLICY NUMBER MM?DDIYY ICY EXPLIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 3 CLAIMS-MADE 7 OCCUR PREMISES(Ea occurratce) s MED EXP(Any one person) S PERSONAL 3 ADV INJURY I GEN'_AGGREGATE LIMIT APPLIES PEIt GENERAL AGGREGATE S POLICY 1-1JPECT F7LOC PRODUCTS-COMPKOP AGG S OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S, Ea accident) ANY AUTO BODILY INJURY(Per person) S ALL OWNED SCHEDULED AUTOS AUTOS BODY INJURY(Per accident) $ NON-OWNED PROPERTY HIRED AUTOS DAMAGE $ AUTOS Per acCZd I S UMBRELLA LIAROCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ g WORKERS COMPENSATION X PER OTFH AND EMPLOYERS'LIABILITY YIN STATUTE ER A ANY PROPRIETORIPARTNERtEXECUTIVE E1-EACH ACCIDENT $ 100,000 OFFICER,'MEMBER EXCLUDED) NIA N ALWC676329 0511212014 0511212015 IMamlatory in NH) E.L.DISEASE-EA EMPLOYEJ S 100,000 It yes.describe under 500;OOA DESCRIPTION OF OPERATIONS belaw E-L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS:LOCATIONS 1 VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached H nwre space is required) ELECTRICAL WORTS WITHIN BUILDINGS EC13005547 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami ShOTCB Village THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN g ACCORDANCE WITH THE POLICY PROVISIONS.. Attn:Building Department 10050 NE 2nd Avenue Miami Shores,FL 33138 AUTHORIZED REPRESENTATIVE l sem..-I AOc 1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD