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EL-14-2795 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-241165 Permit Number: EL-12-14-2795 Scheduled Inspection Date: August 12,2015 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: HADDAD, DILCIA Work Classification: Service Change Job Address: 12 NEI 11 Street Miami Shores, FL 33161-7047 Phone Number (786)399-6979 Parcel Number 1121360040020 Project: <NONE> Contractor: ND FLOORING, CORP Phone: (305)877-1969 Building Department Comments INSTALL NEW METER MAIN COMBO 200 AMP WITH Infractio Passed Comments NEW GROUNDING SYSTEM INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. August 11,2015 For Inspections please call: (305)762-4949 Page 34 of 36 1 �-A Miami Shores Village Building Department _i DEC 232 14 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 l FBC 20 L6 BUILDING Master Permit No. Z PERMIT APPLICATION Sub Permit No. ❑BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP Com,, CONTRACTOR DRAWINGS JOB ADDRESS: �� N L I G*, City: Miami Shores County: Miami Dade Zip: J Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: cF�F,E: OWNER: Name(Fee Simple Titleholder):� �CtiC% Phone#: Address: L2- 1)F l 'I(`M S -� City: 1l1V,,"A/ `)1W -0) State: Zip: �� l Tenant/Lessee Name: ( Phone#: Email: �UVt �t GL VACI,L\ Cru6'✓1 CONTRACTOR:Company Name: LL C 2C7-C'el� Phone#: v�� Address: 9.&d S S v W �r� S City: ,ll�' State: 074- Zip: ��✓�� Qualifier Name: P,41CA- Phone#: State Certification or Registration#: —G %3,00 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ® New ❑ Repair/Replace ❑ Demolition Description of Work: Specifypior-of.color thru tile: q - � Submittal le$soG• � 1✓ ®,® b CCF$ 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 Signatur OWNER or AGENT CONTRACTOR The foregoing instrument was ack wled d before me this The for oing instru i t was ackn wle�i ed before this —fes day of `1 � 20 /`t by day of 20 , by J who is personally known to o is personally known to me or who has produced F-/) / as me or who has produced as identification and who did take n oath. identification and w did take ath. NOTARY PUBLI NOTARY PUBLI /, ,• 9 as n Sign: Sign: ..�•per•, TOW WIN Print: ?°• `�- Notary Public-State of Print. EL�n • My Comm.Eaphes Jai 27,2015 ELENA T ALTVATER d••N Y�p"'•4 Seal: '%"9, p�Oa Commission 0 EE 116219 Seal: ��. Notary Public-State of Florida BornFEd 1hA Netier►al Notary Asan. _• ••r My Comm.Expires JW 27,2015 Commission 8 EE 116219 9l APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) n000ss Local Business Tax Receipt Miami-Dade County, State of Florida-- THIS IS NOTA BILL — OO NOT PAY LBT 1649954 BUSINESS NAME1LOCATION RECEIPT NO. EXPIRES ' KEN°��CINC � SEPTEMBER 30, 2015 9305 SW 94 ST 9649954 Must be displayed at plow of business Pursuant to County Code Chapter 8A—Art.9&10 OWNER SEC.TYPE OF BUSINESS WEST KENDALL ELECTRIC INC 196 ELECTRICAL CONTRACTOR PAYMENT RECEIVED EC13001890 BY TAX COLLECTOR Warker(s) 10 $90.00 12/12/2014 CREDITCARD-15-011724 This Lows BushwssTax Racelpt only caafirms papment of Cha Locai Bosiaess Tax The Receipt is no a ficem permit ar a cmtifiwthm of the hoidre"s gwli8w8om,to do busiaass.Ridder must cry wild any gm ammeatal ar elai re8tdatory{sous and tegairemotM which ep{dyta ffie hnsioess. The RECEff NO-above oast be displayed on all iai vehicles—I Code See ib}_M For mare iafarsudim Visit arowa a rr N tt RICK SCOTT,GOVERNOR — KEN LAWSON,SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS ARID PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD E 13001890 The C CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31,2016 ALTVATER, PATRICK 4.r k WEST KENLL ELECTRIC INC 9305 SW 94TH STREET MIAMI FL 33176 ISSUED_ 07/13/2014 DISPLAY AS REQUIRED BY LAW SEQ 1'# L1407130001722 Date: 12/23/2014 Time: 9:56 AM To: 1 800 685 7530 Page: 02 Client#:7899 WESTKEND ACORD.. CERTIFICATE OF LIABILITY INSURANCE DATE /YYYY) 1 2/22 312 3120 0 14 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 WAIVED,subject to 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 endorsem ent(s). PRODUCER NAME: Carissa LaFreniere Cypress Insurance Group PHONE g54 771-0300 FAX9547729424 A1C No Ext: AIC,No: PO Box 9328 EMAIL CarissaLC resslnsurance.Com ADDRESS: yp Fort Lauderdale, FL 33310-9328 @ 954 771-0300 INSURER(S)AFFORDING COVERAGE NAIC 0 1 SURERA:Charter Oak Fire Insurance INSURED West Kendall Electric Inc. INSURERB:Normandy Harbor Insurance Co 9305 SW 94th Street INSURER C Miami, FL 33176-2013 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 CONTRACTOR 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 ADDLSUBR LTR TYPE OF INSURANCE NSR WVD POLICY NUMBER POLICY POLICY EXP LIMITS A GENERAL LIABILITY 16601055X579TCT14 2/2812014 02/28/2015 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY PRREEMIISES(EaocTED nce $100,000 CLAIMS-MADE �OCCUR MED EXP(Any one person) $5,000 PERSONAL d ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY —1P RO- JCT LOC $ AUTOMOBILE LIABILITY COMB IN ED SINGLE LIMIT Ea accident $ ANY AUTO BOD ILY IN JURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS AUTOSWNED PROPERTYDAMAGE $ Per accident UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ B WORKERS COMPENSATION NGFL130916 3/20/2013 03/20/2014 X WCSTATU- OTH- AND EMPLOYERS'LIABILITY Ry ANY CEFUMEMB RJ EXCLUDED? CUTNEY/N NHFL140916 3/20/2014 03/20/201 E.L.EACH ACCIDENT $1,000,000 IER OFFICER/M EMB ER EXCLUDED? ❑ NIA (Mandatory In E.L.DISEASE-EA EMPLOYEE $1 000 000 Byes,describe aundnder � DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space is required) Workers Compensation applies to Florida operations and employees only. Electrical Contracting Lic No. EC 13001890 CERTIFICATE HOLDER CANCELLATION City of Miami Shores Building SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Dept. ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2nd Avenue Miami,FL 33138 AUTHORIZED REPRESENTATIVE O 1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S 190299IM 171920 CL WEST KENDALL ELECTRIC, INC. 9305 S.W.94th Street Patrick fi tvater Miami_Florida 33176 President Tei.(305 596-6240 MIA9,1 S1-I Fax:(305}'596-5 176 APPROVED BY DATE ®ilcia Hadda 12 NE 11'Street ZONING Miami Shores Fi 33162 _ ,STRUCTURAL RE, 1 ELECTRICAL - - Iz- PLUMBING MECHAN:"AL j y BI-DG, i New N ek � �pst�iedvt: SUjJLCT TO G,fsjPLIAN E WIT i ALL F' j STATE F.I'4D COUNTY R' LES AND REGU ATION qc:c lamp 7b4 ice West Rendall Eletria, ( .••; ••; •;• Corporate Seal: :.• • - • . .. . . . . . .. . . . . . . . . . . . .. .. . . . .. •• ... . . . ... . . WEST KENDALL ELECTRIC, INC. 9305 S.W.94th Street Patrick Altvater Miami,Florida 33176 President -TIN el.(3 t.LiO40 E 76 T a 13 Fax: (30 MU u I I ,;'N-ROVLBY DATE JOB AT O"IME 0 " D11cla Hadda �ON,NG Ru 12 NE 11 Street L6 Miami Shores Fl 33162 DEC 2 3 014 DEC olo PLUM-Q!NG %,I IC H A N f4 e vj M eyeo'�, 5 PO F-7 .00 00: 00. 000 West Kendall Elctrip.. (IC.. Corporate Seal: :,. : 0 * •• 0 0 0 0 0 .0 • :0 :0 000