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EL-15-1990 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-244774 Permit Number: EL-8-15-1990 Scheduled Inspection Date: October 08, 2015 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: PEREZ, MARTHA Work Classification: Service Change Job Address:785 NE 96 Street Miami Shores, FL Phone Number Parcel Number 1132060142270 Project: <NONE> Contractor: COBRA ELECTRIC CORP Phone: (786)205-0412 Building Department Comments REPLACE EXISTING ELECTRICAL SERVICE TO Infractio Passed Comments INCLUDE OUTSIDE METER & INTERIOR ELECTRICAL INSPECTOR COMMENTS False PANEL Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-244728. cancelled by relvis diaz E�l 786-205-0412 Failed Correction Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. October 07,2015 For Inspections please call: (305)762-4949 Page 11 of 40 44 Miami Shores Village 10050 N.E.2nd Avenue NE 3 � • "" Miami Shores,FL 33138-0000 a� f p ,.. '�ioRiap` Phone: (305)795-2204 " Expiration: 02/14/2016 Project Address Parcel Number Applicant 785 NE 96 Street 1132060142270 MARTHA PEREZ Miami Shores, FL Block: Lot: Owner Information Address Phone Cell MARTHA PEREZ 785 NE 96 ST MIAMI SHORES FL 33138-2519 Contractor(s) Phone Cell Phone Valuation: $ 1,200.00 COBRA ELECTRIC CORP (786)205-0412 Total Sq Feet: 0 Type of Work:REPLACE EXISTING ELECTRICAL SERVICE Available Inspections: Additional Info: Inspection Type: Classification:Residential Review Electrical Scanning: 1 Review Electrical Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.20 Invoice# EL-8-15-56642 DBPR Fee $2.25 08/07/2015 Cash $50.00 $ 110.70 DCA Fee $2.25 Education Surcharge $0.40 08/18/2015 Check#: 1728 $ 110.70 $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 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. Futhermore,I authorize the above-named tractor tQ do the work stated. August 18, 2015 Authorized Signature:Owner / Applicant / Contractor Date Building Department Copy August 18,2015 1 �J' S Miami Shores Village -- 4 * / g Building Department AUG 0 7 2015 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 N BUILDING Master Permit No. F PERMIT APPLICATION Sub Permit No. ❑BUILDING �LECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL [:]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: A/C % 5-1_'� City: Miami Shores County: Miami Dade Zip: / Folio/Parcel#: 32- ID&_ o1 q- 2Z:?D Is the Building Historically Designated:Yes NO ✓ Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: h C OWNER: Name(Fee Simple Tit eholder): A Q& Q Pe Ce Z Phone#: 3 0�7 t / S ` V�✓� �P Address/: A/C 15T. /l/l j City: a yy I S h0 Y"-- S State: Zip: 3 c> Tenant/Lessee Name: Phone#: Email: /� L CONTRACTOR:Company Name: ('_ ea r IQC,TYL C) r2 1 / Phone#: 5- ?? j /- Address: I bgs, Nub 4/1-1'7 Avt City: M kvAi 6nnG,✓dl. s Stater Zip: '3�7,_�- Qualifier Name: /«l✓i S D►UZ Phone#: L- State Certification or Registration#: 66 000 65-/-3 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ Is _�690 . 0" Square/Linear Footage of Work: Type of Work: ElAddition ElAlteration / El New Q Repair/Repla/ce ❑ Demolition Description fof--Work: e �4,U- � +* 'lec p, 4 V c c t Ap I W(it DJ& ✓�-� 'kms I►1-tWio,/ 6LI, Specify color of color thru tile: Submittal Fee$ . (Do Permit Fee$ 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. Signature o., Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of ��> 20 L'� by day of P-2u31 20 V by who is personally known to rZiffLWI S D I A-2 who is personally known to me or who has produced Ft-- QfL.wl?R as me or who has produced 1:": —472114-L- as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: ��IIIII///� NOTARY PUBLIC: i :''•• �'b�/d�� \��NUI Ill/ �i��/i Sign: 'S o _ . o= Sign: - Print: _ =''a o ____ 5 Print: Seal: �✓ �' ••'P'`k\.� Seal: APPROVED BY /�,e �.y Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) 5t OR„FS G loss milli” Miami Shores Village rEe n+ L- �° �� - Building Department �N � �01tiDA 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION FORM ALL CONTRACTORS MUST PROVIDE COPIES OF LICENCES AND INSURANCES EACH TIME A PERMIT IS SUBMITTED OR THE VILLAGE MAY MAINTAIN A FILE WITH YOUR INFORMATION FOR A$30.00 FEE PER YEAR. IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. COPY OF QUALIFIER'S STATE LIC CARD B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF LIABILITY INSURANCE (CERTIFICATE HOLDER TO BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKERS COMPENSATION (EITHER CERTIFICATE OR EXEMPTION) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICE OF COMPETENCY OF QUALIFIER B. COPY OF MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT C. COPY OF LIABILITY INSURACE (CERTIFICATE HOLDER MUST BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKER COMP INSURANCE(EITHER CERTIFICATE OR EXEMPTION) YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE HOLDER AS FOLLOW: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES,FL 33138 easoosaosssoosesasasesaasoesasooaasooasoeeeeeanaseeessonoaasooeas�eeaasa000asoannsnasoseee COMPLETE CONTRACTOR'S INFORMATION BUSINESS NAME: Cobra Electric Corp BUSINESS ADDRESS: 16854 NW 49th AVE CITY Miami Gardens STATE FL ZIP CODE 33055 BUSINESS PHONE: L305 ) 771-7232 FAX NUMBER CELL PHONE(-T86 ) 205-0412 QUALIFIER'S NAME: Relvis Diaz QUALIFIER'S LIC NUMBER: EC13006593 E-MAIL ADDRESS (IF APPLICABLE): relvis@cobraec.com Created on 3119109 BY MLDV I RV 3126109 MLDV �oF STATE OF FLORIDA - ! DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION `�.M. ELECTRICAL CONTRACTORS LICENSING BOARD (850) 487-1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 DIAZ, RELVIS COBRA ELECTRIC CORP. 16854 NW 49TH AVENUE MIAMI FL 33055 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 EC13006593 ISSUED: 03/16/2015 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 DIAZ. RELVIS to department newsletters and learn more about the Department's COBRA ELECTRIC CORP. 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 or Ch.489 FS. and congratulations on your new license! Exp,atcn date AUG3. 2016 u50316co00647 DETACH HERE RICK SCOTT, GOVERNOR KEN LAWSON,SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD EC13006593 The ELECTRICAL CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2016 k%.,L .DIAZ, RELVIS COBRA ELECTRIC CORP. 16854 NW 49TH AVENUE MIAMI FL33055 ISSUED: 03/16/2015 DISPLAY AS REQUIRED BY LAW SEQ# L1503160000647 Local Business Tax Receipt Miami—Dade County, State of Florida -THIS IS NOT A BILL-DO NOT PAY - 7184225 BUSINESS NAME/LOCATION RECEIPT NO. EXPIRES COBRA ELECTRIC CORP RENEWAL SEPTEMBER 30, 2015 16854 NW 49 AVE 7464946 Must be displayed at place of business MIAMI,FL 33055 Pursuant to County Code Chapter 8A—Art.9&10 OWNER SEC_TYPE OF BUSINESS PAYMENT RECEIVED COBRA ELECTRIC CORP 196 ELECTRICAL BY TAX COLLECTOR CIO RELVIS DIAZ PRES CONTRACTOR 75.00 04/17/2015 Worker(s) 2 EC13006593 CREDITCARD-15-028285 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 must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT N0.above must be displayed on all commercial vehicles-Miami-Dade Code Sec Ba-276. Ml o rupgpEY;:] for more information,visit www miamidade gpv/taxcollectu ,.Aug. @7 .2015 01 :44 PM Rolfs Insurance 9542513312 PAGE. 1/ 1 �C'�/Z�• COBRA-1 OP ID:VB `...�-' CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 08/07/2015 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(ies) must be endorsed. If SUBROGATION IS WANED,subject to the terms and condlteu 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 endorsemen s. PRODIX:ER CONTA Rolfe Insurance Services NAME; Rick Rolfe 11011 Sheridan St.#201 PFib,r,j Copper City,FL 93028 ...... - 251-3312 �q'854-...----..... Az 964-241-6772 ADOR is:rick _ INSURER(A)AFFORallo S9)ERAo6 ^ _.... . _ .. NAIL/ _ misuaER A:WESTERN WORLD INS CO 13196 INSIJREp Cobra Electric Corp. _.. ._�__.... 16854 NW 49TH AVENUE INSuR6RB:Normandy Insurance Comal p Miami. FL,33056 RAURERC: — - INSURER D: waURRR E., -.. COVERAGE$ INbURERF: --• 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 REpUIREMENT, 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, LTR TYPE OFINSURANCE `--' POLICY NUMBER •ic YY M LICYIe Y -• .. .. .__.__�,_. •- A X COMMERCIALOENERALUABILITY UMITs ... EACHOCCURRENCE a 1,0D0,00 CLAIMS-MADE OCCUR NPP8278291 ' ""' -I 06/28/2015 06/28/2016 AOETOTtERTE6 PREMISES � " ' "•' -- MISES(Ee ere urronm� s _ 100,00 MED EXP(Any one perwro s Ism( P OEN'L AGGREGATE LIMIT APPLIES d ADV INJURY $ 1,000,E6 PER: •••.-- pOLrY I I Cr7 L� GENERALAOO.... 3 2,000,000 OTH PRODUCTa-COMP/OPAOG S AUTOMOBILE LIABILITY BI/PD Ded – $ 21i ANY AUTO CLEe accida a .NGLE LIMI = A a SCHEDULED BODILY INJURY(Per po.) _ BODILY INJURY(Per-=id3 AUTOS NIRlDAUToB NON-OWNED - ' AUTOS P QPEkt I5AMAa'ff -- S 1)11 UMBRELLA U" f OCCUR EXCESS UAB ,.-• CLAIMS-MADE EACH OCCURRENCE _ AGGREGATt; DED RE ON .. _.... i KSCOMPENSATION i ANP EMPLOYERS't.IABILrry 3 ANY PROPRMTO"ARYNERtExEcuTwE Y/N _ .PER OFFICEA�R EXCLUDED?(Madi-Y ItNH) FIN/A NHFL0038082016 06/28/201 5 Q�/Z8/Q01s E.L.ESAT_CAHTACUTCE IDENT 1 ,000,0 _ D describe under E.L.DISEASE-EA♦rMPLOYEE s 1,000,00 IPTION OF OPERA below E.L.DISEASE-POLICY LIMB S 1,000 00 ►ESCRIPTION OF OPERATIONS(LOCATIONS/VEHICLES(ACORp tot,Add lOonal Remarks schedule.may be attaR mere ere space Is required) Icense NEC13006583; Faxed to 305-756-8972 CERTIFICATE HOLDER CANCELLATION M1ASH01 SHOULD ANY OF THE ABOVE DESCRIBED POLMIEV BE CANCELLED BEFORE Miami Shores Village THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Building Department ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2nd Ave. Miami Shores,FL 33138 AUTHORQEDREPREBENTATIvE 'CORD 25(2014/01) The ACORD name and logo are registered marks of ACORD D CORPORATION. Ali rights reserved. ( LM IJITY I AUG.1 ELECTRICAL RISER DIAGRAM NOT TO SCALE F cop Electrical Contractor:LIC#:EC13006593 Residence: Owner:Julio Pare: Cobra Electric Corp Miami Shores,FL 33138 16854 NW 49th AVE MIAMI GARDENS,FL 33055 785 NE 96th PHONE:305.771-7232 PHONE:305.7755 9.8568 kliami Shcres illage fA�P1rP:-'R V,ED BY DATE Underground LIGDEP T Overhead BLDG DEPT 3-2/0 AWG THHN/THWN SUBJECT f0 CGhIPIJANCE WITH ALL FEDERAL Copper in 2"Rigid Galvanized Conduit,with STATE AND 1;1.1 f r3UI S Ai AND REGULATIONS 2"Weather-head. 1. Size Service: 200A Panel A 200A 2. Conductor Size: 120/240V 1ph Name 1 Copper 3-2/OAWG THHN/THWN 3. a.Meter Main: 200 Copper,and 1#4AWG THHN/THWN Ground in b.Meter Can Only: Q 2"EMT Conduit 200A Meter Combo with Main Brooke Grounding Electrode Conductor Size ❑ #6 2-5/8"x10'Ground ❑ Rods,and attached to x #4 C.W.P ❑ #2 ❑ CONSTRUCTION TYPE: 0 Residential Electrical Contractor Signature: ❑ Mobile Home Relvis Diaz ❑ New Installation PANELAMAIN ` From: MAIN CIRCUIT BREAKER OUTSIDE DESCRIPTION CKTS DESCRIPTION 1a 2a 50A RANGE 1 b 2b 40A OVEN 3a 4a 3b 4b 5a 6a 30A WATER HEATER 5b 6b 60A A/C 7a 8a 7b 8b 9a 10a 20A 2 Pole 9b 10b 20A 2 Pole Well Pump 11a 12a 11b 12b 20A Bathroom GFCI 13a 14a 20A Garage Door 13b 14b 25A 2 Pole A/C Compressor 20A Washer Machine 15a 16a 20A Dinning Room 15b 16b 15A General Lighting & Recept 17a 18a 20A Refrigerator 15A General Lighting & Recept 17b 18b 20A Dishwasher 15A General Lighting & Recept 19a 20a 20A Small Appliances 15A General Lighting & Recept 19b 20b 20A Small Appliances 15A General Lighting& Recept 21a 22a 20A Microwave 15A General Lighting& Recept 21 b 22b 20A 15A General Lighting& Recept 23a 24a 20A 15A General Lighting& Recept 23b 24b 20A SPACE 25a 26a SPACE SPACE 25b 26b SPACE SPACE 27a 28a SPACE SPACE 27b 28b SPACE SPACE 29a 30a SPACE SPACE 29b 30b SPACE C;� TRIC CORP Telephone: (305)771-7232 www.cobraec.com