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EL-14-2196 Tf I L) - ) �-o Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-234954 Permit Number: EL-10-14-2196 Scheduled Inspection Date: August 18, 2015 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: NARDECCHIA,VALERIA Work Classification: Alteration Job Address: 1226 NE 93 Street Miami Shores, FL 33138- Phone Number (305)494-6888 Parcel Number 1132050270170 Project: <NONE> Contractor: NEC ELECTRICAL CONTRACTOR INC Phone: (786)389-8116 Building Department Comments INSTALLATION OF LIGHTS AND RECEPTACLES Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed 17—T-1j CREATED AS REINSPECTION FOR INSP-234861. Receptacles missing II [�O II need plans revised. Failed S Correction ❑ Needed 16' Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. August 17,2015 For Inspections please call: (305)762-4949 Page 12 of 38 iami Shores Village �' � Hding Department JUL NIS 50 N.E.2nd Avenue,Miami Shores, Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC M 9 NG Master Permit No. PERMIT APPLICATION Sub Permit No. Ii-1 21 "! ❑BUILDING KILECTRIC ❑ ROOFING /X4 EVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL [-]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP jjL CONTRACTOR DRAWINGS JOB ADDRESS: I c), N �� - -a \ City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): l f t L Fr2k,% N ArZ'0E QCFfi A Phone#: 8051" r Address: / --,)L-a., 9.3 S City: A"-f State: /,7-- L Zip: Tenant/Lessee Name: L gy:;r co Phone#: Email: 2r Phone#: �S CONTRACTOR:Company Name:_� �Ct2[�ci `�.J�`�C'7�+Z. c7-10�' 809a Address: I 1 3 1 et City:�� /k 4 State: L Zip: Qualifier Name: '�t6llC-C-1[ 6^C t Phone#: State Certification or Registration#: 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 Descripti n of Work: %1j '-'k4MP1510 i^ �(a.vj"r, f9�`� �f ' I: Y is Sped f color thru tile: e Submittal Fee$ 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$_� ,(XS (Revised02/24/2014) a ' 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 a Bence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. e � f Signature Signature OWNER or AGENT NTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of �� ,20 �`a by day of �� ,20 1s j , by ev— i2lCdj AZ4 C_0"° ,who is personally known to who is personally known to me or who has produced ;tiv as me or who has produced aT as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Prin Prin G / \\R� Comm.Expires�td.lots Seal: ;.P oa,,, M VAZOUEZ Seal: =r ��� Commission/FF 12iN1 '1. .�•; Notary Public-State of Florida ;' • My Comm.Expires May 18,2018 "' Bonded � `'NetI Notsty Arlt Commission 8 FF 124081 \x**\x**\x**** x **\x Bones* National APPROVED BY � ����t� �✓r Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) • 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 M BUILDING Master Permit No.-Kn--tt-4 ' lso PERMIT APPLICATION Sub Permit No.t�_7 "D q ❑BUILDING FrELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: I9Z City: Miami Shores County: Miami Dade Zip: 15-az�� Folio/Parcel#: C0 6'- to,Z tv/?0 Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: a4j� &?C,& t 4jz< c c,;:W*F.a OWNER: Name(Fee Simple Titleholder): 1,011 A=A4 Phone#: Address: z?_rk N �1�; ack S /� City: -Jjdli 01tOi �State: Zip: 103/96�2 � Tenant/Lessee Name: A61A. Phone#: Email: 110/5 CONTRACTOR:Company Name:_ N EC C'cr=7CM CAS aPTK4C0>'c Phone#: J05 9�'6 09) Address: d05-8 City: A,11At ,/ /` state: L zip: Qualifier Name: AI K--r--L- Ck2 I Phone#: : x C �l/fes State Certification or Registration#: elz (6AQ I y y Certificate of Competency#: EDE O000 05 DESIGNER:Architect/Engineer: L fG'G ZZ;KGli r-&ZfyJ9K Phone#: ,17409Address: Z6 57 oa� I& 0 L1ev City9&7/ ddLe :_�/Zip: �3 Value of Work for this Permit:$ /add oo Square/Linear Footage of Work: 9�50 ;g v;- Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition Description of Work: ��a s j �e�T a�w �-ri-� �-�L WT2. 4Sj_11�j Specify color,of color thrlu tile: Submittal Fee$ .� Permit . 3�`t S� Fee$� � 'c2-1 CCF$ CO/CC$ Scanning Fee$ C-) , a�� Radon Fee$ 39 DBP�Rp$ Notary$ Technology Fee$ � 'COO Training/Education Fee$ C) `i ® Double Fee$ Structural Reviews$ Bond$ 0 TOTAL FEE NOW DUE$JC.� • 9 (Revised02/24/2014) Bonding Company's Name(if applicable) IJIA Bonding Company's Address AlCity State Zip Mortgage Lender's Name(if applicable) A 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 CONTRACTOR iThnoregoing instru nt w�s a�cknnow/ledged be f e•me this The foregoing instrument was acknowledged before me this day of `U 20 by day of F,�c,�,e�� ,20 by p s�C� who is personally known to &^,r- ,who is personally known to me or who has pr duced as me or who has produced as identification and who did take an cmth. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: STATE OF FLORIDA Seal: Flo AAeR�i •2016 Seal: Comte FF030156 WE*rese/23/2017 APPROVED BY S'Lg'G-Y` Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) cr. ... CT "al Board "f BUSINESS GEIMFICATIE OF COMPETENCY 100 34' T 11 Com..CC, 46WRmc - X i1BA• ' fPi dKEL j Z a -At r71 i �3�r Fitt. r w a � a M" 4 fM f #' 1f epi Miatti .Dade C uny,Siatl3 a#Fl6ric6 THIS f5 pgL-I?CA NdT PAY,- 1W. 4 aw H ca cOtv13 r>zAcrOR iNC PI 46 O"R_IaETYPE BtJS11NBsg CrRICAL COi+ , OR INC ELECP +rAL CON7R,gCTf)R PAYMENTRECEIvsD; BY TAX COLLECTOR 200.00 07/2x/2014 0226-1,'W, 6]59 ® Fiiv�re 0 ,100 � 0 ' dun TMS MW#BILL=�b0 101 P{1lY AltN _ Ins' 1172a; PT MBV-RZ _5 SUY t85 � dispiayed at p of twsm A uxCade t SEC.TYPE Cf BUSINESS = " PAYMENT RECEIVED NEC E# CTRICAL CONTRACTOR 196 CTRICAL BY TAX COUACTOR << {)NTRIGTOR 75A 07/25/2014 i 1rlerts) 10E00045 6-14-00#159 is tacat Tex Rpeeipt D*a gf Laml Brmhtess Tax Tba ipa is no Iicens9. oftmk or awe of t§e troldefa oae,�o ftbasbm Nalder mast eomFtls 0 ,r Tim RftONO al;Qjjax be �- �TadeSrxBa-STB. `�1Fp+Reirore� ACC>REP CERTIFICATE OF LIABILITY INSURANCE F 10101 n4 T"CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER,MS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE ROLA+" BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONS71TUT'E A CONTRACT BETWEEN THE ISSUING INSURERIS). AUS REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER UNPORTANT. If the cardfAu to hoklw is an ADDITIONAL INSURED,the polkylln)mtmt be endorsed. If SUBROGATION IS WAIVED,1=141w to the terms and cwtfi tam of the poltcy,eertain Palktes may mqulrs an endomenteM. A statemeM on Ort esrdAcate does not confer dghffi to Hio r In Iteu of such e a Alin Jimenez !$.A In-surance Services,Inc PHONE Eft 786-518-2889 788-518.973 245D SW 137 AVE Suite tO8 jainsuranceserwcesr�mail.ccm A+.ariti. FL33175 INSWURMAcovERAGE '� Ha -- — INsIAMA:Granada Insurance Company18870 WSURER 8: Nec Electrical Contractor Inc MSBIRERC: ,1720 SW 185 CT — INSURM e: Miami FL E: FL 33177 INSLIM 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH YNIS CERTIFICATE NtAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TEWS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF 2 SURANM — POUCY NUAiIBER 11110110=1 Y t LUM A X COMMERCIAL GENERAL iJAt311nY 0185FL 10 1701407'2212015 EACH OCCURRENCE $ 1.�.ow �_a;arS.aeD=_ X OCCUR —._-- -PREMISE o rre S MED EXP one $ '5,040 --- PERSONAL&ADV INJURY S 9. ) vLe- +auREGA-E L7M'.T APPLIES PER GENERAL AGGREGATE i X _ _ T _ LOC PRODUCTS-COAAPIOP AGG S 2.OdQa AUTOMOBILE LIABILITYW IT � — elt� -- — 130DILY INJURY(per p=w) $ 14%=:? _ SCHEDULED S _AUTOS BODILY INJURY(Par nddeM S NON-OWNED AUTOS $ - — UMBRELLA LIAR _ OCCUR EACH OCCURRENCE S EXCESS LIAR CLAIMS-MADE AGGREGATE S ::E7 RETENTION S YORKERS COMPENSATIONPER AND EMPLOYERS'LIABILITYY!N i STAER a"F;:"CEk'dREMBERRfEEXCLUDED?ECU71vE 7 N/A� EL EACH ACCIDENT >a _ (Atartdatory in NH) i i EL DISEASE-EA EMPLOYEE S Dgses� Ender EL DISEASE-POLICY LIMB S *%s �ION Ot OPERATIONS b 'Ow i i DESCFIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 9tH,AddWonW RenuMm SahadWe.mq be aUuhed I moa apace N 1 7-1 Electrical Work -ERTIFICATE HOLDER CANCELLATION CITY OF MIAMI SHORES VILLAGE SHOULD10050 NE 2 ND AVE ,RAS DATE OF , NOTICE WILL BE DELIVERM-0 Miami SHORES, FL 33138 ACCORDANCE WITH THE POLICY PROVISIONS, AMOR¢ED REPREBEWA 1�- ►CORD 25(2014/01) The ACORD name and logo are ©19JM-ZO1a�1CORD ORPQRATION. All rlgl11B1i og registered marls of ACORD Report Viewer Page 1 of 1 d i 9 JEFF ATWATER CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANC14L SERVICES DIVISION OF WORKERS COMPENSATION •`CERTIFICATE OF EIEC'TK3N TO BE EXEMPT FROM FLORIDA WORKERW COINPENSATION LAW' i CONSTRUCTION INDUST"ExEMPT10N This mblm that the mdilliduel listed bel"hes @laded 10 be exempt from Florida tAbrkers'COmpensabon law. EFFECTIVE DATE: 7/25/2014 EXPIRATION DATE: 7/24/2018 PERSON: GARCIA BORNEY MAIKEL FEIN: 273278231 BUSINESS NAME AND ADDRESS: NEC ELECTRICAL CONTRACTOR INC 11720 SW 185 ST Xi MIA'Ml FL 33177 f I SCOPES OF BUSINESS OR TRADE: LICENSED ELECTRICAL CONTRACTOR Puravam to C4aytm440 06(14),Fa.a Gifu ala wa at a elm ham ab oaFter by�p a m+tlt�am�eleCWn un0er tlds esaMn+msy k rol ra�ar b&wft w wmpmam4n anav Dib .PmwaiA fa Capler 440ANin F.B..Cmt�Oo of deNai to 6a e>mmp apW'e�v p 6m awpe 444p of OW bu* s afiaae b6d"09 owe otabcfm lD be OXWWIL PusmiAto 44005(13►F.B..N86M ofebebamw mid om�imbe of decbmitDbe ammp st fibeafteato ma-mom it stmmyame aar®e Gkoalft mon mmee Mat asaftm.6e Pe aame0 eaae m0oem I o em►ayev meat A+e Mtabaea0m br baDame Me Tba W-Wapm m."tau a"Itan Mae i pawn osis),on Cie eery m mamma Mab-cow 6p� H DFS-F24DVNC.252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 07-12 QUESTIONS?(850)4131609 r 0 I i p� y7 I R a dpa g1 pdgY t 4 I t I �t L i httns://aDvs8.fldfs.com/crreDortviewer/renortV iewer.asDx?data=kdvDeinc9D 703 uH6TER6e... 8/4/2014