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EL-12-1042 Inspection Worksheet Miami a Shores Village -, 9 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (306)756-8972 Inspection Number: INSP-174527 Permit Number: EL-6- - p 12 1042 Scheduled Inspection Date: August 21,2013 Permit Type: Electrical- Residential Inspector: Devaney, Michael yp Inspection Type: Final Owner: LLERENA, MARK Work Classification: Pool - Private Job Address: 1550 NE 103 Street Miami Shores, FL 33138- Phone Number (786)981-1301 Parcel Number 1132050310110 Project: <NONE> Contractor: AQUARAMA POOL INC Phone: (954)529-4552 Building Department Comments ELECTRICAL FOR POOL /Inspector Comments Passed Failed Correction Needed ❑ Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. August 20,2013 For Inspections please call: (305)762-4949 Page 2 of 39 k 7 Miami Shores Village g Building Department JUN 0 6 Z0 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel: (305)795.2204 Fax:(305)756.8972 BY; INSPECTION'S PHONE NUMBER: (305)762.4949 1 _(2=X_ i BUILDINGI --�OL1 Z- Permrt No. PERMIT APPLICATION Master Permit No. � FBC 20 Permit Type: Electrical ��®® OWNER:Name(Fee Simple Titleholder): tl�- �L`��C�� Phone#: C�6i�- �/ V Address 5—so (� Ci i��.LAA'e t-1� City: State: -d-�- Zip: P ` Tenant/Lessee Nae: Phone#: Email: �t�- C CA- ' JOB ADDRESS: nil City: Miami Shores County: Miami Dade Zip: r:3 6 Folio/Parcel#: J %- -3 2-cD S-- �-!5 .r — ® 1 t o Is the Building Historically Designated:Yes NO Flood Zone: CONTRACTOR:Company Name: -\/MC- �--�� /� Phone#: -1 4f&-;;L3 17 Address: S 1 '13 ,5T_ City: State: zip: 3) 5 Qualifier Name: ort Lk-D Phone#: 96-.4 —rJ;fo State Certification or Registration#: �J��1$ Certificate of Com eten y#: Contact Phone#: �o� (D�� r1��P Email Address: DESIGNER:Architect/Engineer: 1 moi- Q ax Cs J I Phone#: Value of Work for this Permit:$ /500 Square/Linear Footage of Work: Type of Work: OAddress OAlteration lew ORepair/Replace ODemolition Description of Work: "Po 0 C.°l�-i-dZ► CA v� Submittal Fee$ Permit Fee$ .70Ga '6*41 CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$ S' d • 1 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 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 ap roved and a reinspection fee will be charged. Signature Signature�_ d r2tr!�� Owner or Agent Contractor The foregoing instrument was acknowledged before me this A® The foregoing instrument was acknowledged before me this 10 day of ,20 l a,by /_7Qex 4 • �Gl 7Q, day of�,20�,by i��--� who is person own to or who has produced who is personally known to me or who has produced�V-F L N6�-�ad-�-or�� As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign:I:A2,ap� Print: t Print: 04 =1 My Commission Expires: �AMAYI�� My Co � es: DAMAYI VERSA nN. MY COMMISSION t EE()88066 *: A MY COMMISSION#EE 08@086 EXPIFIES:A fill 2018 ;a EXPIRES:Apdl 1,2015 ' Bonded 7Feu N ubno Uttd®Wters APPROVED BY 12- ans Examiner Zoning Structural Review Clerk (Revised 07/10107)(Revised 06/10/2009)(Revised 3/15/09) STATE OF FLORIDA OF RGORLATION DEPAR TCOSgJ& ICSAllRLENINB SEWL11072500210 - LICENSE NBR 07/25/2011 10047.9538 JEC13004787 The ELECTRICAL CONTRACTOR Named below IS CERTIFIED Under the provisions of `Chapter 489 FS. Expiration date: AUG 31, 2012 MORENO, ROBERTO YORXELECTRIC CORP. 2As 177 W 13. STREET FL 33145 KEN LAWSON RICK SCOTT SECRETARY GOVERNOR DISPLAY AS REQUIRED BY LAW _ AU = b STATE OF FLORIDA - ;. .. b, DEPARTM OF BUSINESS AND PROFESSIONAL REGIILATION ELECTRICAL CONTRACTORS LXqENSING BOARD $EQ#Llflo822o:0280 - LICENSE NBR - 09#/22 .20x10 110$043194 EC0002713 The: ELECTRICAL CONTRACTOR: Named below, IS CERTIFIED under the provisions of `.Chapter 489 FS. $lcpiraton date: AUG 31, 2012 DRAKE. ROUNDEL Ia YORK 'ELECTJZIC CORP 2517-:SW $T FL 33145 MIAMI C�IARLIE LIE_ CSARLI : CRIST- SECRETARY OOVSRNOR {SPLAY AS REQUIRED BY LAW. 05-12-2011 '�,'OL Y�tO°f•, • JEFF ATWATER STATE OF FLORIDA CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 05/12/2011 EXPIRATION DATE: 05/11/2013 PERSON: MORENO ROBERTO FEIN: 223918884 BUSINESS NAME AND ADDRESS: YORK ELECTRIC CORP 2517 SW 13 STREET MIAMI FL 33145 SCOPES OF BUSINESS OR TRADE: 1- ELECTRICAL CONTRACTOR IMPORTANT, Pursuant to Chapter 440 . 05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to he exempt... apply only within the scope of the 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 certificates of election to be exempt shall be subject to revocation if, at any time alter the filing of the notice or the issuance of the certificate, the person named on the notice or certitipto no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named bn the certificate to meet the requirements of this section. - QUESTIONS? (850) 413-1609 OWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01-11 PLEASE CUT OUT THE CARO BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA IMPORTANT DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS'COMPENSATION O Pursuant to Chapter 440.0504), F.S., an officer of a corporation who CONSTRUCTION INDUSTRY elects exemption from this chapter by filing a certificate of election CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA L under this section may not recover benefits or compensation under this WORKERS'COMPENSATION LAW D chapter. EFFECTIVE: 05/12/2011 EXPIRATION DATE: 05/11/2013 Pursuant to Chapter 440.05112), F.S., Certificates of election to be PERSON: ROBERTO MORENO H exempt... apply only within the scope of the business or trade listed on FEIN: 223918884 E the notice of election to be exempt. R BUSINESS NAME AND ADDRESS: E Pursuant to Chapter 440.0503), F.S., Notices of election to be exempt YORK ELECTRIC CORP and certificates of election to be exempt shall be subject to revocation 2517 SW 13 STREET if, at any time after the filing of the notice or the issuance of the MIAMI. FL 33145 certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the SCOPE OF BUSINESS OR TRADE. person named on the certificate to meet the requirements of this 1- ELECTRICAL CONTRACTOR Section. QUESTIONS? 1850) 413-1609 CUT HERE * Carry bottom portion on the job, keep upper portion for your records. DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01-11 I","A WER, U :." 1`%, 7 2 w-6 EI v a 46S SWALLOW DR UNfT 3 M11wS FL M166 DOB-.02-26-INS SEX: I SUM fFXPMS: 13 Resr: fUMACED SAFE.DRIVEF4 con"t~a vc, " 45obaIpty lesi requir-aEa 1,a r AD CITY LD1t LOCAL BiiSINESS TAXRECEIPT. 20 FIRST-CLASS Td�f trOLLGTf1R A+IIANIt C3ADE GOUNT1f STAU.S.POSTAGE SIO vNi FCALiST EXPIRES SST 3Ettf! PAID #sE l+-YQIITE 15FtAYfwE)14x PI Ate ( "tS � AAIAMI,FL �� PF.Renrr NO.za# 606004-0 THIS IS NOT A SINN_—DO NOT PAY R RENEWAL BUSINESS NAME!LOCATION RECEIPT No, 632173-1 YORK ELECTRIC CORP STATE* EG0002713 2517 SW 13 ST 33145 MIAMI OWNER ' YORK ELECTRIC CORP Sec, of Business WORKER/S 196 ELECTRICAL CONTRACTOR I THIS IS ONLY A LOCAL BUSINESS TAX RECEIPT.IT DOES NOT PERMT THE HOLDER TO VIOLATE ANY OR ZEXMTM ONING LA uS OF TM DO NOT FORWARD COUNTY OR CITIES. NOR DOES IT MWJAPT THE HOLDER FROM MY OTHER PEPMT LICENSE REQUIREDB LAW TM IS YORK ELECTRIC CORP NOT M HowER's QUA�LIFIsa ELIO MOREJON PRES 'YIDNS' 2517 SW 13 ST PAYMENT RECENED MIAMI FL 33145 MIAMI-RADE COUNTY TAX COLLECTOR: 07/11/2011 09010148001 000045.00 Its 111311l„stllsl:slslsis131111,Isls,sfill lII...)II... �sI SEE OTHER SIDE BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S.Andrews Ave., Rm.A-100.Ft. Lauderdale, FL 33301-1 S95—954-831-4000 VALID OCTOBER 1,2011 THROUGH SEPTEMBER 30,2012 181-3123 ��:YORK ELECTRIC CORP BuSh1@13S T t �CTRICAL/ALARM3/CONITR� Business Name: Type:(ELECTRICAL CONTRACTOR) Owner Name:RONDEL L DRAKE t3u8MeseOpened:06/28/2007 Business L 0aUon,2517 W 13 ST StatefCounty/Cert/Reg:EC0002713 MIAMI DADE COUNTY Exemption Code:XQNEXEMPT Business Phone:305-815-2735 Roams seats Employees Machines Prof"lonals 3 For vemOng ewslneas only Number of Machines: Vending Type: Tax Amount NSF Fee Penalty Prior Years WWW Goat Total Pall 27.00 0.00 0.00 2.70 0.00 1 0.00 29.70 s THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Broward County and is non-regulatory In nature.You must meet all County ardor Municipality planning WHEN VALIDATED and zoning requirements.This Busirmss''ax Receipt must be transferred when the business is sold, business name has changed or you have moved the business location.This recut does not indicate that the business is legal or that It Is in compliance with State or local laws and regulations. Mailing Address: YORK ELECTRIC CORA Receipt #05A-11-00000526 2517 W 13 ST Paid 10/24/2011 29.70 MIAMI, FL 33145 20117-2012-