EL-14-2387 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-236637 Permit Number: EL-10-14-2387
Scheduled Inspection Date: October 07, 2015 Permit Type: Electrical - Residential
Inspector: Devaney, Michael
Inspection Type: Final
Owner: YANCES, CLAUDIA Work Classification: Alteration
Job Address:500 NE 93 Street
Miami Shores, FL Phone Number (786)314-9909
Parcel Number 1132060141110
Project: <NONE>
Contractor: JIP ELECTRIC SERVICES CORP Phone: (786)399-5871
Building Department Comments
KITCHEN/BATH REMODELING Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-236539. Add receptacle to end
EE� of counter.
Fixed appliances need breaker locks.
Label panel.
Failed
Correction ❑ �, /�, �
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
October 06, 2015 For Inspections please call: (305)762-4949 Page 11 of 60
Miami Shores Village
Building Department
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,LO
BUILDING4 3c
PERMIT APPLICATION Sub Permit No.
❑BUILDING (`ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
Lis
F-1PLUMBING [:] MECHANICAL [:]PUBLIC WORKS [:] CHANGE OF CANCELLATION SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: o0 C1 sqy&t-t
City: Miami Shores County: Miami Dade Zip: 33138
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
imple tleholder): daujia "(0y-)Ces Phone#:
Address: I936E2- 15 hcy- I A V. APT. A 1 Q(D7
City: H I a W'I State: EL Zip: 3 3 I 2-fl
Tenant/Lessee Name: Phone#:
Email: C�a ucl ict -Ya r-k--e S (a korn2L -
CONTRACTOR:Company Name: k Phone#: '
Address: Ll 69 56J 3 2 Q
City: Cl/-) State: Zip:
Qualifier Name: �f�p cCt VI 'C,, d Phone#:
State Certification or Registration#: 0C 1 3 y 1/0'?6 Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ Uy Square/Linear Footage of Work:
Type of Work: El Addition El Alteration ❑ New Repair/Replace El Demolition
Description of Work: h
Specify color of color thru tile:
.—r-\� fie'
Submittal Fee$ !::JJ Permit Fee$ CCF$ CO/CC$ 0
Scanning Fee$ �- Radon Fee$ R
DBPR r�) —Notary$
Technology Fee$ S- Go —Training/Education Fee$ 1 (4 � Double Fee$
Structural Reviews Q) 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.
Signature Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument w s acknowledged before me this
day of Q/'--r0t0tn/ 20 (! by day of 6 � V— 20 by
who is ersonally known to r Cie ciJ vdlfo is personally known to
mg or who has produced as me or who/as produced as
identification and who did take an oath. identification and who did take an oath.
IC: NOTARY PUBL '' • MARYURIS D PZEE171"
B
#.; MY COMMISSION AE X RES FebruarySign: Sign: sssoisa
Print: ,\ •res Apr S.2017 Print:
Commission N EE 003000 Jr
Seal: tooBonded Through NsdOntl IYohry Afse Seal:
************************************************************************************************************
APPROVED BY,44 i; `lG�C T� Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
ELECTRICAL CONTRACTORS LICENSING BOARD (850) 487-1395
1940 NORTH MONROE STREET
TALLAHASSEE FL 32399-0783
CANCIO,GEORGE JR
JP ELECTRIC SERVICES CORP �►°
1825 PONCE DE LEON BLVD UNIT 469 b
CORAL GABLES FL 33134
Congratuiationsl With this license you become one of the nearly
one million Fioridians 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, DEPARTMIT OF BUSINESS AND
and they keep Florida's economy strong. PROFIP—ft SAI*REGULATION
Every day we work to improve the way we do business in order to EC13004020 SUEQ ` 05/28/2014
serve you better. For information about our services,please log onto
www.myfloiidalleense.com. There you can find more information CERTIFIED EkE TR[CAI GONTI ACTOR
about our divisions and the regulations that impact you,subscribe CANCIO,GEAR Jf2 ,5 r
n newsletters and learn more about the De artment's
et p
to department JP ELECTRIC
initiatives. } r
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!
ExpiraHorSdeta..AUG,31;20'f6. .:_. ._ L14Q528o001.O6J
DETACH HERE
..._............ ..
............... ---... _ . ..........
RICK SCOTT,GOVERNOR KEN LAWSON,SECRETARY
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
ELECTRICAL CONTRACTORS LICENSING BOARD
EC13004020
The ELECTRICAL CONTRACTOR
Named below IS CERTIFIED ` `
Under the provisions of Chapter 489 FS.
Expiration dater AUG 3112016
;F
�<
- w �4
CANCIO; GEORGE JR
JP ELECTRIC.SERVICES _x
4636 SOUTHWEST2
WEST PARK Ft3b23 ,
t
Y � �
M ■
.. -_ > _
.. .: ".. .. -..-....... .u...ri5 t. ..*�_.:. ......n..,....< . .......+fir.'.. .ar��.'.... vim.-.�'.
012154
Local Business Tax Receipt
Miami-Dade County, State of Florida
-THIS IS NOTA BILL - DO NOT PAY "I.LBTI)
6337661
BUSINESS NAME/LOCATION RECEIPT NO. EXPIRES
JP ELECTRIC SERVICES CORP RENEWAL SEPTEMBER 30, 2015
DOING BUS IN DADE CO 8804749 Must be displayed at place of business
MIAMI FL 33000 Pursuant to County Code
Chapter 8A-Art,9&10
OWNER SEC.TYPE OF BUSINESS
196 ELECTRICAL CONTRACTOR PAYMENT RECEIVED
1P ELECTRIC SERVICES CORP BY TAX COLLECTOR
Worker(s) 3 EC13004020 $75.00 07/15/2014
ECHECK-14-139713
This Local Business Tax Receipt only confirms payment of the Local Business Tax.The Receipt is not a license,
permit,or a certification of the holder's qualifications,to do business.Holder mast comply with any governmental
or nongovernmental regalatory laws and requirements which apply to the business.
The RECEIPT N0.above must be displayed on all commercial vehicles-Miami-Dada Code Sec 8a-276.
For more information,visit
i
.4iC tOR f3DAT"k?(MMIDDIYYYY)
ERTIF CATE OF LIABILITY INSURANCE C i! BLIT ENSU J
10/23/14 li ;
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),AUTIHORIZED i
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: Ifthe certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed, If SUBROGATION IS WAIVED,subject to
j 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 endorsemengs).
- .. -........-- --._,......,- CONTACT
PRODUCER MARIA ALMOLDA
NAME:..
Blanco Insurance Associated Inc. _PHONE
( O No.IEXq; (305)888 0524 I FAX No); (780)272-0044 I
1460 E.4th Ave. j EDORE maria@blancomsurance.com I
ADDRESS:.
i Hialeah,FL 33010 INSURERS)AFFORDING COVERAGE
Phone (305)888.0524 Fax (305)883-6218 INSURER A; SCOTTSDALE INSURANCE CO, j
INSURED INSURERS PROGRESSIVE
JP ELECTRIC SERVICES CORP. INSURER c ESSEX INSURANCE CO
4636 sw 32 Dr 3 D INSURER .
.....
West Park,FL 33023 !iNsuRER E; 1
.__...._ _. ..... _J_INSURERF: __...__.. _..1 ... .
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 TERM$, j
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR „. . ADDLSUBRI POLICY EFF i PO{{,,ICY EXP
TYPE OF INSURANCE ;INSR i WYD POLICY NUMBER (MWDDIYYYY),I.(MMlIJDIYYYY) LIMITS
GENERAL LIABILITY
EACHOCCURRENCE $ 1,000,000.00
-- I 1 DAMAGE TO RENTED j
COMMERCIAL GENERAL LIABILITY j j ! PREMISES jEa occutrence).,,,,_I $ 100,000.00
CLAIMS-MADE OCCUR
1
j CPS203' 174 j i I MEo ExP(My one person)
A _I $ 5,000.00 .I
N N 1 07/18/2014107/18/2015
PERSONALSADVINJURY j $ 1,000,000.00 j
�J J GENERAL AGGREGATE I.$""2.000,000.00
1 GEN'LAGGREGATE LIMIT APPLIES PER: j iPRODUCTS,COMPIOPAGG $ 1,000,000.00
Lel"PoucY ❑ cT L Loc '. i.$
_.
AUTOMOBILE LIABILITY CEQMBINED SINGLE LIMIT
I ( ( e accipent). $
j Evl] ANY AUTO i BODILY INJURY(Per person) $ 100,000.00
1 ALLOWNED ff I SCHEDULED 01607616-2 ) I
B U AUTOS l J AUTOS 08/24/2014 08/24/2015 BODILY INJURY(Per accident) $ 300,000,00
NON-OWNED
PRpPERdY pAMAGE
El HIRED AUTOS Ll AUTOS i ; (Par,ecd.ant) .. $ 50,000.00 i
❑ .� I PIP.10000 W 1000DE ; $
U UMBRELLA LIAR ��OCCUR J II .._.__ �. EACH OCCURRENCE i $ 1,000,000,00
E MAPXS00003014
C EXCESS LIAR. CJ CLAIMS MADE, N 08/28/2014 f 08/28/2015 AGGREGATE ,; $ 1,000,000,00„
Sr—LI
DED I__J RETENTION$ .._.... _. $
WORKERS COMPENSATION 1—�WC STATU• OTH
AND EMPLOYERS'LIABILITY YIN: L"�. U
,.TORY. MITS... .EB.
....;
ANY PROPRIETORIPARTNERIEXECUTIVE i E.L.EACH ACCIDENT , $
OFFICER/MEMBER EXCLUDED? NIA' I ___.__ ._
(Mandatory in NH) N I i E.L.DISEASE-EA EMPLOY[ $
If yes,describe under `.i ; _ ._ ..._.___..— __,.... . ;
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,N more space Is required)
ELECTRICAL CONTRACTOR,EC13004020
I
.___...............
CERTIFICATE.HQL0 R. ....CANCELLATION _--
_ I_..
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Miami Shores Village THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
10050 N.E.2nd,Avenue,. ACCORDANCE WITH THE POLICY PROVISIONS.
Miami Shores,FI.33138 ..
AUTHORIZED REPRESENTATIVE
MARIA ALMOLDA
TIO All rights reserved.
ACORD 25(2010/05)QF logo are registered marks of ACORD
0R ® CERTIFICATE OF LIABILITY INSURANCE DAT02812D/YYYY)
ACORO
10/28/2014
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 INSURER(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les)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. acN o E : ac No
1 Adp Boulevard ADDRESS:
Roseland,NJ 07068 INSURER(S)AFFORDING COVERAGE NAIC#
INSURER A: CastlePoint Florida Insurance Company 13599
INSURED INSURER 9:
JP ELECTRIC SERVICES CORP INSURER C:
4636 Sw 32nd Dr
West Park,FL 33023 INSURER 0:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 277961 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.
INSR ADDLISUBRI TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY CYEFF MM/DD
Y EXP
LTR IYYYYY LIMITS
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $_
CLAIMS-MADE FIOCCUR PREMISES Ea occurrence $ _
MED EXP(Arty one person) $
PERSONAL&ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $
JEC7
POLICY❑PRO LDC PRODUCTS-COMP/OP AGG $
OTHER: $
AUTOMOBILE LIABILITY COMBINED SINGLETrOr—Es accident) $
ANY AUTO BODILY INJURY(Per person) $
ALL OWNEDSCHEDULED BODILY INJURY(Per accident) $
AUTOS NON-OWNED PROPERTY DAMAGE $
HIRED AUTOS AUTOS Per accident
UMBRELLA LIAR OCCUR EACH OCCURRENCE $
EXCESS LIAR HCLAIMS-MADE AGGREGATE $
DED I I RETENTION$ $
WORKERS COMPENSATION X
OTH-
AND EMPLOYERS'LIABILITY YIN STATUTE ER _
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000
A OFFICER/MEMBER EXCLUDED? N❑N/A N WCP761114602 05/30/2014 05/30/2015 1,000,000
(Mandatory in NH) E.L.DISEASE-EA EMPLOYE $
If yes,describe under 1,000,000
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required)
ELECTRICAL CONTRACTOR EC13004020
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Miami Shores Village ACCORDANCE WITH THE POLICY PROVISIONS.
10050 N.E.2nd Avenue
Miami Shores,FL 33138 AUTHORIZED REPRESENTATIVE
lIL_
01988-2014 ACORD CORPORATION.All rights reserved.
ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD
Upr A YANGE S
REC�EI�T�
•p N.� q3►-�f �llAMi s4-4�R�S OCT 2 0 2014
$Y: ' 7 -
w Mw OATI-t Tv.B WD ►
�f
� i� k,r j C C •• •••
..... . .. ......
.. . . .. .....
•
Z0 . .
tc L-r.:/ArtoN l ExIce,
r,
<z _rr5 •• • G M!V I"r:.
•
o p W ....
C14
.at �
O ,u
d
LU t% [yp-[� ALL pL�uMI3tN6 �txTVRtnS
W wtt.L R>=i"tA►� (BMs F�-yi7to�i
C)
cc
�x lr+,T,N6 , .}7-
To 1 LST
TS �
• {2��1A,cat�i� •mac lSTtnlro -rt L.1 FoK ME-W Tl LM _
t tl S- AJ�LU,t,4 G TO l L.ET, VA N lT`f
R�QLAca tv� TUB �r
-F7
J� ��'`
�� -
Fl fit 14t T
Q i in w uj cn _
' • • ••Y • Y • •••
�N� �t�/• M•tr9� t.s • • �
• • • • • •
• • • • • • • • • • •
• • • • • • • •••
• • • • • •• • �, ,,z7.y.� i'
ri
7�1 p
5✓' b
1
41 v
1 pp
RoPLAcG� E>t tra'i't N ro
Tt LAS . ext=5-ri N VAN tTY T�
Fa7--MA t N
rro t IaT T27 fzr--- MA t N
t84TJ+f;�ry w i 2.
BATHROOM RECEPTACLE ON 20 AMP CKT
AND 6.F 1 PROTECTED
.. .. • . . •. •. .
fZT`� • • • • • G •
�QST 'ro
nNtA 11�l
•i ••• ••• ••• • G►STtN6
• •
• ••• • • vvfl Y
• • • • • •
• w
Is
�Ti'D N
IL
BATHROOM RECEPTACLE ON 20 AMP CKT
AND G.EI PROTECTED
�..., ELsVA-tloN l
' �x(st'ING
Tt L�
f,eP►Aca t16 Jts t N,
B,�,-rH FOR ---5A0%p5
6dimp
Z`
d
£xtsTIN6 w
VA N tTy
to RF-MA IN
t
woor
a
Tbtt..ET
-.
To REMAIN
obi-4
R'f-=PLA"N6 r?C15TIt4G TI LV , 5HDWER I L1FU ol= BArH TUB
lez 0
dA es N QTS GOcJT E P
010P�Lt1�NC�s
.. . . . .. ... ..
. ... . . . . .. .
.. . . . . . ... ..
J .tl ,
� r
TD RF-MAIN
L '= oP,
P�' - NGS 1
NO POINT ALONG COUNTER TO BE MORE THAN
2 FEET FROM G.FI PROTECTED RECEPTACLE.
PUT D/W RECEPTACLE UNDER SINK.
ALL FIXED APPLIANCES ON DEDICATED CKTS.
ADD SMOKE/CARBON MONOXIDE DETECTORS.
ANY AND ALL CLOTH AND RUBBER
INSULATED CONDUCTORS TO BE REPLACED.