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EL-13-409 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-238060 Permit Number: EL-2-13-409 Scheduled Inspection Date: July 07, 2015 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: AGUIRRE, DIEGO Work Classification: Addition/Alteration Job Address: 254 NW 92 Street Miami Shores, FL Phone Number (305)646-1283 Parcel Number 1131010331260 Project: <NONE> Contractor: PRECISION TECH, INC. Phone: 954-704-8006 Building Department Comments INSTALL OUTLETS IN REAR ROOM OF THE HOUSE AND Infractio Passed Comments REPAIR SERVICE INSPECTOR COMMENTS False Inspector Comments PassedET CREATED AS REINSPECTION FOR INSP-186539. Move 2 smoke detectors and add 1. Outside receptacles need in use covers. Failed Correction Needed 7 ❑ Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. July 06,2015 For Inspections please call: (305)762-4949 Page 17 of 33 Miami Shores Village Building Department T. :Ike 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel: (305)795.2204 Fax: (305)756.8972 INSPECTION'S PHONE NUMBER: (305)762.4949 r` r FBC 20 Q BUILDING Permit No. ) — y I PERMIT APPLICATION Master Permit No. RjC-� r IS Permit Type: Electrical JOB ADDRESS: f fUfJ L �C City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name(Fee Simple Titleholder): W41"01 ZjjQ Phone#: Address: W IJ City: �12l5 State: Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: 2 /FG Phone#: k.. 492 Address: Z© Jam/ ® D `3 City: State:�-� L /9 Zip:3D Qualifier Name: it t]Gy/4P6 42�71 / Phone#: 76p1e Z7�z State Certification or Registration#: GAG/ j(Z_2��1`" Certificate of Competency#: Contact Phone#: 7,a Z:ZG 7 77�Email Address: DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ A!5? 6tle_t ItI40 Square/Linear Footage of Work: Type of Work: ❑Address ❑Alteration ❑New eRepair/Replace ❑Demolition Description of Work: Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$ 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 ELECTRICAL;WORK,PLUMBING, SIGNS, WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS and 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 excedding $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 Age�AJ Contractor The foregoing instrument w acknowledged before me this The foregoing instrument was acknowledged before me this �z� � y da of 2 b day of— 20 y 0 Y e,-'OWW C6 X who is personally known to me or who ha/produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY P NOTARY PUBLIC: Sign: Sign: Print: Print: tA.G. (UGRAHAM My Commission xpires: � N My Commi sipt ,±ires: i-; a1 ff ' $l _ VALTY RAYMORE axe!;Wch 12' hf, " MY COMMISSION*FF020273 %b.t�.�� Bmw.�thuTiv/FdnMs�rarcei _ EXPIRES June 19.2017 come �t** APPROVED BY /L /Z' Plans Examiner Zoning Structural Review Clerk (Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) 4 Miami Shores Village Building Department 2013 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel: (305)795.2204 Fax: (305)756.8972 INSPECTION'S PHONE NUMBER: (305)762.4949 FBC 20 Lo BUILDING Permit No. PERMIT APPLICATION Master Permit No. Permit Type: Electrical 2- 2-)GL;- /-) 1Sb JOB ADDRESS: T2 S City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes NO Flood Zone: OWNER:Name(Fee Simple Title/older): Phony#: Address: City: State: Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: lbsolt antol Phone#: Address: -.7- l0 City: VV*%\A•1MN State: r Zip: 3 1 t9 7 Qualifier Name: Phone#:30 State Certification or Registration#: rtificate of ompetency#: Email Addr s: Ar� Phone#: tM 1 CO 46 nelaitnano� rah _/—, a Footage of Work: ype o ork: Address ❑AlterationJquareALinear ew *epair/Replace ❑Demolition Description of Work: �,1,,� ` '�//Snnt,Cs�r� � � ylk't"J'— Submittal Fee S50 -(YJ Permit Fee$ ��'�''� CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Training/Education Fee$ Technology Fee$ (7DoubleFee$ Structural Review$ TOTAL FEE NOW DUE$ ..,�.';. 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 sta idards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS and 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 excee 'ng $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure w ill 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. Signature4 Signatur��V Owner or A nt Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me thipJ day of_X ,20 >by � �� W day of Gly 20�,by ��!�Jer f MC o t rcr/ who is personally known to me or who has produced t—K-- who is personally known to me or*ho has produced As identification and who did take an oath. as id e \\1 M r II 0 fill//" NOTARY PUBL NOWA VKU WAM NOTARY PUBLIC: `�`�� • WWII Pubk•oft N Pima \ . My Comm.E*M AV I?,ION �� Commb:ba*DO Et4/i1 # uoissiwwoo Ioaew NWS Sign: _ = Sign: Print: = = Print: r i� My Commission Expires: % set r d t'�. .a My Commission Expires: Pte' > ll rSn S�Oa\\\��. ****�:****�x:x:x�x�x�:��x�*�x�:*�*�*�x****:►**�*�*****�x��:�:�*x��x�x*�x��x*�*�:�****x�x�x��:�x*x:�*�:�:*********:x�:x:x:x:x**********x�m*m**�x* _ 2a�3 APPROVEDBY �� ' Plans Examiner Zoning Structural Review Clerk (Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) Total Electrical Enterprises -2011 JEFF ATWATER STATE OF FLORIDA CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVI (VISION OF WORKERS' COMPEN ON * * CERTIFICATE OF ELECTION E EXEMPT FROM FLOR ORKERS' COMPENSATION LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elect exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 09/19/2011 RATION 09/18/2013 PERSON: MC DONALD GILBERT FEIN: 161663313 BUSINESS NAME AND ADDR TOTAL ELECTRICAL ENTERPRIS RPORATION P.O. BOX 97.2210 MIAMI F 33197 SCOPES OF BU ESS OR TRADE: 1- ELECTRICA NTRACTOR IMPORTANT_ want to Chapter 440 . 05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election un this section me t recover benefits or compensation under this chapter. Pursuant to Chapter 440.0502), F.S., Certificates of election c be exempt... apply only wi the scope of 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 certifica of electi o 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 notic cer' le no [eager meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the pe a d on the certificate to meet the requirements of this section. QUESTIONS? (850) 13-1E D -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01-11 AC#6 3 8 5 0 3 6 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD SEQ#L1209200237 - LICENSE NBR rO9l2'0/201211260075831EC13003298 The ELECTRICAL CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2014 MCDONALD, GILBERT L TOTAL ELECTRICAL ENTERPRISES CORPORATION 13015 SW 89PLACE MIAMI FL 33165 RICK SCOTT KEN LAWSON GOVERNOR SECRETARY DISPLAY AS REQUIRED BY LAW Total Electrical Enterprises Corp. M3 IST S. POSTA E I MIAMI,FL PERMIT NO.231 - 1 _ RENEWAL 1588-1 cEIpiNO 513177-6 Bu �� L ENTERPRISES CORP AT EC1300298 19750 2 AVE 33157 UNI DE COUNTY OIRAL ELECTRICAL E SES COR WORKER/S '1TXf&"nCAL CO 1 THIS IS ONLY A LOCAL SUSI N:SS TAX mcam IT DOES NOT PERMIT THE HOLDEN TO VIOLATE ANY EMSTING REGUL.ATMIY OR FORWARD ZONING LAWS OF THE COUNTY OR CITIES. NOR DOES TT EXowr THE HOIDER FROM ANY OTHER RPERM E EDB LAW. TOTAL ELECTRICAL TERPRISES CORP NOT A A GILBERT L MCDONAL RES THE HOLDERS TION:L P 0 BOX 97-2210 PAYMENT MIAMI FL 33197 TAX 09/28/2012 02270050001 f } { 000075.00 t„lill,li,,,,Iti,Il,iiI,11Ii/illt,i,+►ltl�„IItt1! ti I SEE OTHER SIDE �ct P.O.Box 97-2210 IvGamii Li 97 CeB. 7 98 6 ax.3854 F 786.250-5198