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EL-14-2112 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-225692 Permit Number: EL-9-14-2112 Scheduled Inspection Date: December 23, 2014 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: GAIQUI, MARITZA Work Classification: Pool - Private Job Address: 1450 NE 101 Street Miami Shores, FL Phone Number Parcel Number 1132050240040 Project: <NONE> Contractor: NOVOA ELECTRICAL CONTRACTOR Phone: (786)287-4220 Building Department Comments RECONNECTION OF POWER TO NEW POOL LIGHT Infractio Passed comments INSPECTOR COMMENTS False Inspector Comments PassedCREATED AS REINSPECTION FOR INSP-225463. CREATED AS E REINSPECTION FOR INSP-223298. CREATED AS REINSPECTION FOR INSP-220835. CREATED AS REINSPECTION FOR INSP-220482. No rough inspection and every thing covered. Need to check bonding of light niche Failed ❑ and new railings 12 nov. 2014 Canceled not ready just approved bonding today.. Correction , Needed Re-inspection /lev Fee No Additional Inspections can be scheduled until re-inspection fee is paid. December 22,2014 For Inspections please call: (305)762-4949 Page 24 of 30 Miami Shores Village CEAVED Building Department MAY Q 9 2biPi g p WOO 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 BY'Tel: (305)795.2204 Fax:(305)756.8972 INSPECTION'S PHONE NUMBER:(305)762.4949 FBC 20 BUILDING Permit No. PERMIT APPLICATION Master Permit No.&Dj?/y Permit Type: BUILDING ROOFING JOB ADDRESS: ®��C3 �• G• /Of City: Miami Shores County: Miami Dade Zip: 33/3 a Folio/Parcel#: Is the Building Historically Designated:Yes NO I,"" Flood Zone: OWNER: Name(Fee Simple Titleholder): 9 'fldZ�7"�� •Qom,//• Phone#: '6A32'��°� Address: City: w;aop? &69g* State: GiO, zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: �� i`"'/i�/� f Phone#:30 Address: 11-720 City: W., State: !!p, Zip: Qualifier Name:- Qy� �� Phone#: �J`� `�C136 State Certification or Registration#: 61Ioe, 4924116_0 Certificate of Competency#: Contact Phone#:7- y/Z-/'e7�- Email Address: A Q 4(6 VqV4/,0,426-4 • UD^e DESIGNER:Architect/Engineer: Phone#: Value of Work for this Permit:$el oao o Square/Linear Footage of Work: � O Type of Work: ❑Addition ❑Alt ation � ❑New (� 'r/Replace �D`Demolition D criTtion of Work: ��_�/C' x U�� Q�too L61,v?-,e Color thru tile: x:r.******Fees:x:x:x*:x:xx:x Submittal Fee$L t-_-7P© Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ r TOTAL FEE NOW DUE$ 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 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 approved and a reinspection fee will be charged. 7 � ., Signature Ne Wim'' 2A aAlayl Signature weer or gent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this-1— day his1day of MA4 20 H ,by MArrLA (00wa... day of Mr, 20 ,by u�C�4�ew. who ' ersonally known me or who has produced who is a kno to me or who has produced t e 'fication and who did take an oath. as identification and who did take an oath. NOTARY PUB C: NOTAR>PUBLIC: Sign: Sign: Print: ON�� 11 Pri / PaY P0B( tE6 11, 44 My o ission Expires: ° Mt*'SAoolo Co o POW tties oQ minae d APPROVED BY G lans Examiner Zoning Structural Review Clerk (Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) Miami Shores Village � '� �P Building Department 2 9 204 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Pay. Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 F�S 20 BUILDING Master Permit No. —6910 PERMIT APPLICATION Sub Permit No._s-/ /L/® f-1116 ❑BUILDING 06LCTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP / CONTRACTOR DRAWINGS JOB ADDRESS: W 'e /o/ City: Miami Shores County: Miami Dade Zip: -1-3/ 3 Folio/Parcel#: //-3 ®�-(J �`/`®� Is the Building Historically Designated:Yes NO Occupancy Type: Load: , QConstruction )Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): /�-l�dU T74 6 iayy' Phone#: Address: /1V/0/ City: Inlami 70jo5 State: Zip: 3-5/39 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: O w0c, &C-h('J CCd CM17 ' cAdz;S Phone#: 3.3 2 a Address: City: 1G/4Gti State: F1 Zip: 336/�2 Qualifier Name: 6sV4,1 © Phone#: �d� � 3'�3Y State Certification or Registration#: /c/ /3_�- 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: Specify color of color thru tile: Submittal Fee$ Permit Fee$ /.S Os iIP® CCF$ ^`-� CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ .c�t"J Notary$ Technology Fee$ '(Z3 r-\ Training/Education Fee$ G - 2n Double Fee$ 0 Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) t 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 Signature OWNER or AGENT CONTRACTOR The foregoing instrurrAnt was acknowledged before me this The foregoing instrument was acknowledged before me this 7 delay of dam 20 by daffy of��7+°iL ,20 1 by Q/ri ,who is personally known to 25yak/6 IWQ0/ems ,who is personally known to me or who has produced f L b4 le ZZ5-4'i-�Lv3?0 as me or who has produced as identification and who' kPA'WWidentification anC Tk&4"Ii6JV*1WU-PADR0N MY COMMISSION E EE2010� MY COMMlS3lOM EE201098 NOTARY PUBLIC: ; EXPIRES May 28.2018 NOTARY PUBLIC: 3seo�SS EXPIRES May 28.2018 fl 185 Si Sin: Q� Print: Print: c+ (.2u v14nc�222— i' ul Seal: � � � Seal:, 4juf (�-'u APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) � F f r � 'BUSINESS CERWICATEOFy t f mfl OSVALDO S of mpw loafs Lca _ r ."} norlois Mal El r—CTR1 ,L ase KED 1AwS�N,SECR�SARY s-�p'f E pF D R9 EN NG Bpp11 RD SCOL GoveRNpR pF BUCdNRaC pRg 41G R��K DEppR EMEC�R�GAL G Y PREM ER�soa3�9� A�-CpNT STAR FS. GPl uc,NGSN AN EGSRIG p'S REG hapteC A�1.�0- FzP`C�1 Che ed aelow�15xons 031 Zp1�s S�ME Cp CON Q Un��onpdate- P NDN FREE S pR14 EXp1ra REQS ORg1 �DOs © O� NC n ��Qo���oop3oa3 00" Opts SSC S.. 2 SE F`33p1OV1RE�6Y �p,W p91VIV, 1SSUEu. � i I CERTIFICATE OF LIABILITY INSURANCE DATE @ifd w "1� 09/26/2014 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($), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL_INSURED, the polioy(ias)must be endorsed.If SUBROGATION IS WAIVED, subject to tho terms and conditions of the policy,certain policies may require an endorveme>nt.A statement on this certificate does not confer rights to the certifcAtl;hostler In lieu of such endorsement(s), PRODUCER CONTACT- V cieta Khouri Prover Insurance Agency PHONE 305 261-2559 F G Na: (305)261-6277 13911 SW 42 St#113 F- Lam: infoOpowerinsurancefl-mm INSunmsl AFFomko Co A+GH NAIL 8 Miami FL 33175 DISURERA. SCOTTSDALEINSLIRANCECO INSURED INSURER 6; PROGRESSIVE NOVOA ELECTRICAL.CONTRACTORS INsuRERe: ASSOCIATED INTERNATIONAL INSURANCE CO, 1580 W.38 PLACE#3 WgUREn b- CASTLEPOINT INSURANCE CO BISURER E t HIALEAH FE- 33412 INAUkMF: 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 THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED SY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.PMITS SHOWN MAY HAVE BEEN REDUCED pY PAID CLAIMS. T"SRUSRLTR TYPE OF INSURANCE PQ=Y NUMBER POLICY EFF POLICY LWITS GENERALUAMMY EACHOCCURRENOE S 1,000,000 X COMMERCIAL GENERAL LIABILITY P MI ES 92 0=r M S 100,000 CLAIMS-MADE ID OCCUR MEP E7LP A ora Oeraon) $ 5,000 A CPS19980$4 08113/2014 '0611312D15 I PwroNALaAovINJuRY s 1,000,000 GENERALAGGFe0ATE S 2,000,000 GEN',AGGREGATE LIMIT APPLIES PER PRODUCT'S-COMPW AOG S 2,000,000 POLICY 71 PRO- LOC s AUTOMOBILE LIAEs.IIYaB1NED SINGLE UMrr sccid�n 3 1,000,000 ANY AUTO BODILY INJURY(Per person) E B AULL TOS ED X �o�SULEO 022549521 08113/2014 06/13!2015. BODILY INJURY raaccklmu) S X FgREDAUTOS X p°UTpN-O,y" D oAMAve• $ UMBRELLA LIAB OCCUR EACH OCCURRENCE S 5,000,000 C EXCESS MAS CLAIMSMADE XOBW5253014 06/1312014 00/13/2015 AGGREGATE $ 5,000,000 DED I I RETENTION $ WORKERS COMPENSATION C STATUE OTH AND EMPLOYERS'LIARL" Y 1 N T ANYPROPRIETORIPARTNERIBXECUTivS WCP760428503 08/21/14 081x1115 E,L.EACHACCIDE�IT $ 1000,00.0 D (MaG�E�ryin EMNN�EXCLUDED? NIA r=.LDISFASE-EA9MPL0YFE $ 1,000,000 Ky�ydetxalDe undsr RATIONS bdavr E.L DISeA0E•POLICY LIMIT S 1,000,000 DESCPoP710N OF OPE ' DE9CWPTION OF OPERATIONS/LOCATIONS/VEFIICLEB(A�ch ACORD 701,AgdlBvnal Rmnarl;!!seTleAfafa.I�mora spots fe rov,aroo) , ""ELECTRICAL CONTRACTORS CC#07EO0027r** STATE REGISTRATION#ER13013797 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE D92CRIBED POLICIES 13E CANCELLED BEFORE Miami Shores Village BLDG DEPT THE EVIRATION DATE THEREOF, NOTICE YJIL.L BE DELIVERED IN 10050 NE 2 Avenue ACCORDANCE WITH THE POLICY PROVISIONS. AUTHOMED REPR VENTAYWE Miami Shares FL 33138 r {� , , ACORD 25(2010105) 0 ISSS-2010 ACORD CORPORAYION.All rights reserved. Tfia ACORD name and logo are reglsteralld marks of ACORD Sep 30 2014 9:17AM Novoa Electrical 303-824.2839 page 2 RICK SGG7Ta 0OlfLRI�C?k° ^._... _, __ .,.._._ . ._._........... .,.. .,....... —,..—.... ..._ ,�.., ...... KEN lAWSON,SWRETAFtY } . A. P IU N Ilio. pRF1' I . 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