ELC-15-111 l H -
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-226684 Permit Number: ELC-1-15-111
Scheduled Inspection Date: August 17, 2015 Permit Type: Electrical - Commercial
Inspector: Devaney, Michael Inspection Type: Final
Owner: MANAGEMENT LLC,ADVANCE Work Classification: Addition/Alteration
cl fic"r1A
Job Address:9190 BISCAYNE Boulevard
Miami Shores, FL Phone Number
Parcel Number 1132060100030
Project: <NONE>
Contractor: ECOLECTRIC COMPANY Phone: (305)482-1788
Building Department Comments
REMODEL AS PER PLANS INCLUDING 2 NEW ATMINNSPECS ISPEC Passed Comments
WITH TELLER ASSIT TOR COMMENTS False
Inspector Comments
Passed
Failed
Correction
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
August 14,2015 For Inspections please call: (305)762-4949 Page 1 of 33
Miami Shores Village
Building Department JAN 2 15
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972 IBY:-
INSPECnON
LINE PHONE NUMBER:(30S)762-4949
FBC 201
BUILDING Master Permit No. CJCI 14 ® �� '
PERMIT APPLICATION Sub Permit No. V,GC 1 S® �
❑BUILDING 0 ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION RENEWAL
❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 9190 Biscayne blvd.
Com: Miami Shores County: Miami Dade Zia:
Folio/Parcel#:11-3206-010-0030 Is the Building Historically Designated:Yes NO X
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder):Brite Stone Investment LLC Phone#:305-397-8986
Address:1160 Kane Concourse, Suite 202
city: Bay Harbor Islands state: FL Zip: 33154
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: ��/aG �7 � ��/i"y� � Phone#: 3�_y
Address: 1/1, //
City:— AIUM State: �L Zip:: je-6
Qualifier Name: �G ��� Phone#:
State Certification or Registration#: �/ `��� ��> Certificate of Competency#:
DESIGNER:Architect/Engineer: Infinity Engineering Group LLC Phone#: 813-445-4211
Address:1135 Marbella PLaza Drive city: Tampa state: FL Zip: 33619
Value of Work for this Permit:$ p® Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition
Description of Work: I SL As P&L AAAM /AjC,40_01NF ( 2�N� kr)-e5 W I'11� 7E�(c2 ASsa�
Specify color of color thru tile:
Submittal Fee$Siaw Permit Fee$ 1X29,Od0 CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ I fCJU -90
(Revisedo2/24/2014)
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 on 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.
ef
Signature rfl(tSignature=
OWNER or AGENT CONTRACTOR
Thee(jfo{egoing instru ent was acknowledged before Mme this The foregoing instrument was acknowledged before me this
day of ��f 20 1 /`i by gQ day of -6e-3 20 14 by
AVitr&r 31, lLc1Vl who is personally known to vla Zkkwho is personal) nown to
me or who has produced as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY P�l. LIC: NOTARY PUBLIC:
Sign: Sign:
Print: Print:
,:d..........e ROBE
Seal: ! _ MY COMMISSION#FF001 132 Seal: �s SHNF0JSW
EXPIRES March 20.2017 ` .'{�' M'C0WMM I EE 15W
..'` EXPIRES 13,2016
(40�39&OiSI FloNdallotaryservicexcm , BuidledTlrruNotartr�tlndm ftm
APPROVED BY r Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
007110
Local Business Tax Receipt
Miami—Dade County, State of Ficiriaa
-THIS IS NOTA SILL - DO NOT PAY
6951694 L.BT
.MINKSS NATAIULOCATIQN aeCelrr No. EXPIRES
ECOLEMICCOMPAW IRMIIWAL SEPTEMBER 30, 2075
12450 SW 117 Cf 7227366 Must be displayed at place of business r
MIAMI R 33186 Pursuant to County Code
Chapter 8A–Art a&10
OWNER 'SEC.TYPE 00 BUSINESS PAYMEW r RCCEIVt:O
.ECOLECRUC COMPAIL+Y 196 ELECTRICAL CONTRACTOR BY TAX Ar.=1W
CTOR
Worker(s) 1 EC1300i535 $75,00 08107/2014
CHECK21-14-045098
This Local BusinewTax ReceW malty confirms pa�mecx of&a Late!BuninewTax,The Bvappt is ooz a lhame,
pamdt,*Tv certifimilmofthe bul r-sq'aatifaetaamtodobwimss.Holder—eompSywhpanypwammmul
armnyover mentelragaharylawsWW requiremedbiwGiahapply witic6Lsigm
The RECEIPT NO.shave moat 6adisplaycd coati comarcial v�hicles–>yfranu-�ldo Cote Sea ft-mg.
frormaeiayazma,Ban.viatr d •. •
RICK SCOTT GOVERNOR KEN LAWSON,SECRETARY
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
ELECTRICAL CONTRACTORS LICENSING BOARD s
.fL
EC130a15s5 'p r
The ELECTRICAL CONTRACTOR
Named below IS CERTIFIED
Under the provisions of Chapter 489 FS.
Expiration date: AUG 31,2016
JUNKINS, CLIFF ROBERT ti
ECOLECTRIC COMPANY'
12450 SW 197 COURT
MIAMI FE 33485
ISSUED: 08/05/2014 DISPLAYAS REQUIRED BY LAW SEO L140805OU0.2121
ECOL.COM-01 SSIMEON
AC >KPfX DAIT t=l� "
CERTIFICATE 4F LIABILITY INSURANCE 90> s►2014
THIS CERTIFICATE IS ISSUED AS A 14AT MR OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CER-171FICATE HOLDER,THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORUED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE BOLDER,
IMPORTANT: If the Certificate holder is an ADMONAL INSURED,the pollCy(le9)must be endorsed. If SUBROGATION I$WAIVED,slutr)eet to
Um terms and eoadidons of the policy,certain policies may require an endorsement. A statiemont on this certificate does not confer righta to the
certificate holder in lieu of such endorsement(s),
PRODUCER
A
Collinsworth,Altar,Fowler S French,LLC PNAM>~
NO Governors Square Blvd II, 305 82x-7800 F �:(3N)362.2443
Suite Mlamt Lakes,FL 33016 AOoRl ss:
INSUMM ARFORMNQCOVERACC NAICS
INSURED INGURERA:FCCI Insurance Company 10178
INS UReR s:FCCI Commercial Insurance Co 33472
Ecolectric Company INSUMRG;
12450 SW 117th Court ulsuRErtD
Miami,FL 33186
INSURER F
CERTIFICATE NUMBER
NE
COVERAGES ReR F:
THIS IS TO CERTIFY THATREVISION NUMBER:
THE POLICIES OF INSURANCE LISTED 9ELOW;• VE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT VIl1TN RESPECT TI]WHICH THIS
CERTIFICATE MAY BE CONDITSSUEDIONS
OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES PESCRISED HEREIN IS SUBJECT TO ALL THE TERM$,
ZK EXCLUSIONS AND COWUR OIJS OF SUCH POLICIES LIMITS SHOWN MAY HAVE SEEN REDUCED BY PAID CLAIMS,
TYPE OF neUw►Nce POLICY NUIr13(;IZ .
0049PAL LIABR IY UAlCrB
A 7( COMMfRC1AL GENFaaL Lb481LITY
7
BCH°CCLRRENcE321 1,000,00GL01M0CLAIMS#AE �O` UR 311/20143/1/215 PREMSE ,M
one pvsm) $ ISA
PERSONA4AAAVINJURY E 1,00010
OWL AGGREGATE LIMMAPFUES PER: GENERAL AGGREGATE S 40001
POLICY XPRODUCTS-COMP/OP AGG $ 2,000,00
LOC
AUTOMOBILE LIABILITY S
INED NGLE LIMIT
B X ANYAUTO CA00207023 3/1/2014 3/1/2015 BODILY INJURY(Perp=N) S
SCHEDULEDX WNED BODILY INJUkY(Fe*W*qM) S
tIIRED AUTOS X NON�AUTOS
orS
X UMBRELLA UAe X OCCUR $
B EIICF33llAB CLAQdS.hWDE 000182581 EACHOCCURRE=NCE $ 1,000,00
3f11204a 3/1/2015 AGGREGATE
OE°D RETENTION
> COMP0 5ATION S
AND EMPLOYoz UABarIY IAC STATU- OThh
A ANY PRWRIETOWPARTNERMXECUTIve TIN 100
1WC14AGM7 3hf2EYi4 X
yMMMEM SER E XCLUDED7 n MIA 8/1/2016 EL EACH ACCOENT $ 1,000 0
DESS IPTION OF OPERATIONS below F-L DISEASE-EA EIEipL0 8 1,00u uv
E•L.DISEASE-POLICYLIMIT $ 1,000,00
DESCMPTION OF OPERAmCN6/LOCATIONS i vemcLEs(Atmnh AcoRn 104,A4dfNoeat Ramml�8aneq�ry,R mo:r
Electrical Contractor Waw �qulraQ)
CERTIFICATE HOLK)FR CANCELLATION
SHOULD ANY OF THE ABOVE MCKMEi POLICIES BE CANCELLED BE FORE
City ai Miami Shores ViUaBe THE EXPIRATION DATE THEREOF, NOTICE WILL BE DEL VWp IN
10050 NE 2nd Avenue ACCORDANCE WITH THE POLICY PROVISIONS.
Miami Shores Village,FL 33138
AUnfORiWD REPtM%ENTATM
- 1 Moto 44 4
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