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DEMO-15-1432 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-236562 Permit Number: DEMO-6-15-1432 Scheduled Inspection Date: August 27, 2015 Permit Type: Demolition Inspector: Devaney, Michael Inspection Type: Final Owner: , Work Classification: Electric Job Address: 10151 NE 14 Avenue Miami Shores, FL 33138-2674 Phone Number (786)433-1406 Parcel Number 1132050230130 Project: <NONE> Contractor: A CUSTOM ELECTRIC SOLUTION INC Phone: (954)868-6809 Building Department Comments DISCONNECT EXISTING OUTLETS AND SWITCHES Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments PassedET/ Failed C-10 A4 Correction ❑ 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 12 of 44 Permito. DEMO-6-15-143 �Sµo�es Miami Shores Village Permit Type:_DeE7 of t#fit# r>r � 10050 N.E.2nd Avenue NE work ClassifrcatiQn:Building Miami Shores,FL 33138-0000 PerrrtitStatus:APIR ?VEp 4EN o� Phone: (305)795-2204 Is t�sPats,7117/2015 r Expiration: 01/13/201 Project Address Parcel Number Applicant 10151 NE 14 Avenue 1132050230130 CARBONELL NO 3307 LLC Miami Shores, FL 33138-2674 Block: Lot: Owner Information Address Phone Cell CARBONELL NO 3307 LLC 2750 NW 79 Avenue (786)433-1406 MIAMI FL 33122- 2750 NW 79 Avenue MIAMI FL 33122- ....... ...._ .....__. Contractor(s) Phone Cell Phone i Valuation: $ 16,000 00 BOTTOM LINE CONSTRUCTION MANi (954)274-9275 ( Total Sq Feet: 00 Type of Demo:Building Available Inspections: Additional Info:PARTIAL INTERIOR DEMOLITION SEE ENC Inspection Type: Classification:Residential Final Scanning:3 Review Mechanical Review Electrical Review Electrical Review Structural Review Structural Review Building Review Building Review Building Review Building Review Building Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Review Plumbing CCF $9.60 Invoice# DEMO-6-15-55935 DBPR Fee $7.20 07/17/2015 Credit Card $559.00 $50.00 DCA Fee $7.20 Education Surcharge $3.20 06/11/2015 Credit Card $50.00 $0.00 Permit Fee $480.00 Plan Review Fee(Engineer) $40.00 Plan Review Fee(Engineer) $40.00 Scanning Fee $9.00 Technology Fee $12.80 Total: $609.00 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,DOO S, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing inform o ccurate aggl1hat all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above a ntractor do the work stated. July 17, 2015 Authorized Signature:Owner / Applica --4---Agent ate y Building Department Cop July 17, 2015 1 Miami Shores Village BuildingDepartment zz p10050 N.E.2nd Avenue, Miami Shores,Florida 33138Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20///10 [ � BUILDING Master Permit No. ,�L PERMIT APPLICATION Sub Permit ❑BUILDING Q ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL [--]PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 10151 NE 14th Ave. City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 11-3205-023-0130 Is the Building Historically Designated:Yes NO Occupancy Type: SFR Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder):Carbonell #3307 LLC Phone#: 786-433-1406 Address: 2750 NW 79th Av. City: Doral state: FL Zip: 33122 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: A CUSTOM ELECTRIC SOLUTION, INC Phone#: 954-868-6809 Address: 4100 NW 98th Av. City: Sunrise state: FLA Zip: 33351 Qualifier Name: Frank J. Antinelli Phone#: 954-868-6809 State Certification or Registration#: EC-0002954 Certificate of competency M DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ 500. Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration (❑ New I ❑ Repair/Replace Foll Demolition S C Ot?T��S GV�� S L0 V, A Specify ccVor of.cot6i t~h i*je w Submittal Fee$ Permit Fee$ 140010P 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 and a reinspection fee will be charged. Signature Signature .. OWNER or AGENT PZ CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this ,9 day of QTUnc 120 /S by 1 St day of June 120 15 by Axe-f �U clur) who is personally known to Frank J. Antinelli ,personally known to me or who has produced as me or who has produced • as identification and who did take an oath. identification and who d1�a ee an oath. NOTARY PUBLIC: NOTARY PUBLIC: ,- Sign: tC nth Sign: Print: cGn64-4 e naldl Print: MARTIN 0 BERKE ZANDRA C REYNOLDS Notary �'of Flog Seal: ''�"pY`"" -, Seal: My Come.Expinsa Nov 1.201! �o; • •' MY COMMISSION#FF024877 COMISSloe N F#140440 EXPIRES June 6,2017 BgiMd?Ira� _ Aun �•Oi a Florld®Note 8ervlce.com ********* ****************************************************************** APPROVED BY W /L /j✓Z — Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) NORvKC.1932, E,S �oil Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS REGISTRA-nON IF CONTRACTOR ISA FLORIDA STATE CERTIFIED CONTRACTOR A COPY OF QUALIFIER'S STATE LICENCES a COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF LIABILITY INSURANCE* D. COPY OF V%CRIERS CONDENSATION INSURANCE* NVxkers Gompersetion BOV11"TION must have NOTICE TO GIBER form and Con or Affidavit) IF CONTRACTOR HAS A MAM DARE COUNTY CERTIFICATE OF COMPETENCY: A COPY OF CERTIFICATE OF COMPETENCY OF QUAIJAER B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF STATE REGISTERED CONTRACTOR LICENSE OR MAM DARE couNlY muNiaPAL CONTRACTORS TAX RECEIPT. D. COPY OF LIABILITY INSURACE* E COPY OF V�OPo COMDEN,SATION INSURANCE* (Vl ftrs Gorrpmmbon 08VPTI0N must have NOTICE TO O Vf R form and Contractor Affidavit) *YOUR INSURANCE COMPANY NIUST ISSUE A CERTIFICATE AS FOLLO/V. Certificate Holder: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 Certificate must specify thedescription of operations or contractor license number. ■■rrrrrrrrrrrrrrrrrrrr�rrrr.rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr BUSINESS NAIVE: �c'e�/j'wLfiC'/ ttJc"Yy BUSINESSADDRESSIY�V l0 ll`V CITYje&/ l, �STATE 1!5/jZIP 9jJ BUSINESS PHONE &26SFAX NUMBER CELL PHONE U QUALI R EFS S NAME QUALIFIERS LIC NUMBER STATE OF FLORIDA 88� DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION 9F ELECTRICAL CONTRACTORS LICENSING BOARD (850) 487-1395 •IM�n RE � 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 ANTINELLI, FRANK J A CUSTOM ELECTRIC SOLUTION INC 4100 NW 98TH AVE SUNRISE FL 33351 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 STATE OF FLORIDA from architects to yacht brokers,from boxers to barbeque restaurants, DEPARTMENT OF BUSINESS AND and they keep Florida's economy strong. PROFESSIONAL REGULATION Every day we work to improve the way we do business in order to EC0002954 '1,SSUED'' .08/03/2014 serve you better. For information about our services, please log onto www.myfloridalicense.com. There you can find more Information CERTIFIED ELECTRICAL CONTRACTOR about our divisions and the regulations that impact you, subscribe P ANTINELLI FRAS J to department newsletters and learn more about the Department's A CUSTOM ELEC'TRG_. T!LN INC initiatives. - Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, IS CERTIFIED under the provisions of Ch.489 FS. and congratulations on your new license! EXa ration dace Auc 31,2016 L1408030004220 DETACH HERE RICK SCOTT, GOVERNOR KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION . ELECTRICAL CONTRACTORS LICENSING BOARD _ - F nit EC0002954 The ELECTRICAL CONTRACTOR Named below IS CERTIFIED , Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2016 I ANTINELLI, FRANK J A CUSTOM ELECTRIC Sd3L ON INC 4100 NW 98TH AVE SUNRISE ''FI 3335 ISSUED: 08/03/2014 DISPLAY AS REQUIRED BY LAW SEQ# L1408030004220 BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895—954-831-4000 VALID OCTOBER 1,2014 THROUGH SEPTEMBER 30,2015 DBA: Receipt#:E 181-2251 CTRICAL /ALARMS/CONTRACTOR Business Name:A CUSTOM ELECTRIC SOLUTION INC Business Type: (ELECTRICAL CONTRACTOR) Owner Name:FRANK ANTINELLI Business Opened:o3/21/2003 Business Location:4100 NW 98 AVE State/County/Cert/Reg:E00002954 SUNRISE Exemption Code: Business Phone:954-868-6809 Rooms Seats Employees Machines Professionals 2 For Vending Business Only Number of Machines: Vending Type: Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paid 27.00 0.00 0.00 0.00 0.00 0.00 27.00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS 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 that the business is legal or that it is in compliance with State or local laws and regulations. Mailing Address: FRANK ANTINELLI Receipt #1CP-13-00013141 4100 NW 98 AVE Paid 08/21/2014 27.00 SUNRISE, FL 33351 2014 - 2015