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EL-16-629 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 nspection Number: INSP-256452 Permit Number: EL-3-16-629 Inspection Date: April 08,2016 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: MORERA,JAVIER Work Classification: Alteration Job Address:464 NE 91 Street Miami Shores, FL 33138-3151 Phone Number (305)305-1524 Parcel Number 1132060190030 Project: <NONE> Contractor: ON CALL ELECTRICAL CONTRACTORS INC Phone: (786)388-5880 Building Department Comments RELOCATE ELECTRICAL SERVICE OVER HEAD TO Infractio Passed Comments UNDERGROUND INSPECTOR COMMENTS False TO REPLACE EXPIRED PERMIT# EL 7-1380 Inspector Comments Passed Ek'� CREATED AS REINSPECTION FOR INSP-256322. No one home at 3:00 p. m.. Failed E]_ Correction ❑ Needed l� Re-Inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid For Inspections please call: (305)762-4949 April 07,2016 Page 1 of 1 1 £fit 3�' l� - 13a � 1 't" t �� 'i.s�s xx tai's� ��•' �� ti3rt � ��• '� ��')� � � s� get f z �� i�4�� k ,. Miami Shores Village s 10050 N.E.2nd Avenue NE Miami Shores,FL 33138-0000 , 't Phone: (305)795-2204 _', ,. N', Expiration: ! 05!2016 Project Address Parcel Number Applicant 464 NE 91 Street 1132060190030 JAVIER MORERA Miami Shores, FL 33138-3161 Block: Lot: Owner Information Address Phone Cell JAVIER MORERA 464 NE 91 Street (305)305-1524 MIAMI SHORES FL 33138-3151 464 NE 91 Street MIAMI SHORES FL 33138-3151 Contractor(s) Phone Cell Phone Valuation: $ 800.00 ON CALL ELECTRICAL CONTRACTOI (786)388-5880 Total Sq Feet: 0 Type of Work:RELOCATE ELECTRICAL SERVICE OVER HE Available Inspections: Additional Info: Inspection Type: Classification:Residential Final Scanning:3 Final Review Electrical Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.60 Invoice# EL-3-16-58965 DBPR Fee $2.25 03/09/2016 Credit Card $50.00 $120.10 DCA Fee $2.25 Education Surcharge $0.20 03/22/2016 Credit Card $120.10 $0.00 Notary Fee $5.00 Permit Fee-Additions/Alterations $150.00 Scanning Fee $9.00 Technology Fee $0.80 Total: $170.10 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECT PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AVIT: I rtify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction a tl zoning. thermore,I authorize the a6 named contractor to do the work stated. April 08,2016 Autho 1" / Applicant / Contractor / Agent Date Building Department Copy April 08,2016 1 OFFI�l MAR 0 9COPY tot �>;�l+tt�►1r1 cor�'(� 200�w.Qs Z...�� o., • cowtui)lr 1/a V6%hIPW 4 3 f A I q 4L1I N&J fAWEX A 20o A"%,4 mmw LvcvC aftyt vixL W,G%k►bae •$00 �C • 3 54�D aoa e. to Q�- %so o cat, %sty irAi CA%"*A tkluz Q►swWA111+► rb ulo a�w,4t *4s►o W 0h►-v%b ktr- s ao o v %I%gt- 0."560 36 s�o� �►�.}•1rtvP. 00 46 j—f►l�� /1wi��Jr` ••• •: • ' •' 1 p L • � G,so7 Ia( S109iS�: : : : • APPROVED BY DA60 : : : :• : : : ' : : ZONING DEPT W00 •• • • • ••• • Z„ ��YPu�o2Z2018 t► ` •:• : : : : ':' : : SUBJECT TO COMPLIANCE WITH ALL FEDERAL. • : : : • : STATE AND Cot INN RULES AND REGULA11ONS � ••• • • • ••• • • Irzo c f- D7�P1��•.� fWo4o 1�3\ Miami Shores Village Building DepartmentCErVE�]D MAR09� 10i6 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 $"Y; INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 2014 BUILDING Master Permit No. EL (6-622 PERMIT APPLICATION Sub Permit No. ❑_BUILDING NdELECTRIC ❑ ROOFING ❑ REVISION ❑EXTENSION ❑RENEWAL PLUMBING ❑ MECHANICAL PUBLIC WORKS CHANGE OF CANCELLATION SHOP II--- r .. CONTRACTOR DRAWINGS JOB ADDRESS: 4&"� w Qr TL City: Miami Shores `` County: Miami Dade zip: 33 B Folio/Parcel#: I 0 ' 32Z -0(Q'OOM Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE:�,n FFE: OWNER:Name(Fee Simp a Titleholder)/� PA Phone#: Address: City / , State Zip: Tenant/Lessee Name: Phone#: Email: ylPn e CONTRACTOR:Company Name: WC Uk PAtAAAie., O-ONTII, CTO" 'CAl(� Phone#: -- -%9 q%-+S14 Address: 444 wk). fit' . x. AAr U1 City: tkymoil State: •41 Zip: _3613 Qualifier Name: kA.e1%.1 61tum Phone#: State Certification or Registration#: ei.p0Mq`1'::� Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State Zip: Value of Work for this Permit:$ $00•Co Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: 1 L&%0eA- eA&C XkAA S"vi" we-r *%CO-CL -4o %WW&Gjr%weed.. �c7 Ice-(lax-e, n(W"d jocrM ti's" &L !:3r M Specify color of color thru tile: Submittal Fee$ �b Q Permit Fee$ CCF CO/CC$ Senning Fee$ �'1 C� Radon Fee$ oZ•01 DBPR$ C) .�5 Notary$ •(33 Technology Fee$ Q —Training/Education Fee$ t)•tr-10 Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ 120 . (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;-0 icert#ied copy of the-recorded notice ef-eomrnenee:Hent-must beposted at the job-site --for the first inspectionw I occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be a dand a reinspection fee will be charged. (Signature Signature OW ER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this Z_day of 20 J ,by �► day of Me-ir ,20 `to ,by 5ASJ�@� F'`V7' who is personally known to dt\bS ,who i personally known to me or who has produced OC-�—ZX�t"'J as me or who has produced as Identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: `�,11IIIIIIp1111 NOTARY PUBLIC: yNIS SI(PFi�� ` *j'ASSIONF. Sign: i CP Cr16,?p�A� igr .� Print: A My Seal: #FF 954760 4 g0. EXPIRES:Latch 22,E ��o; eonded nen try�o trnde�rpes /C. ST A'J APPROVED BY �� f6 Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) FROM MUMD,LLP 0 BRON (WEO)MAR 0 2016 11:04IST. 11:80ZNo.0000406007 P 1 DATE(MM/DD/YY) CERTIFICATE OF LIABILITY INSURANCE _ _ 03/09/16 PRODUCER JVS Insurance Agency THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 9600 SW 8th St,Suite 27 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Miami,FL 33174 ALTER THE COVERAGE AFFORDED BY THE POLI IES BELOW. _Phone (305)552-5250 _ Fax (305)552-5292 INSURERS AFFORDING COVERAGE _ NAIC# _ INSURED ONCALL ELECTRICAL CONTRACTORS INC. INSURER A: GRANADA INSURANCE COMPANY 7640 NW 25th Street #105 INSURER B: Miami,FL 33122- INSURER C: _ INSURER D: _ INSURER E: _ COVERAGES INSURER F: THE POLICIES OF INSURANCE LISTED HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING i ANY REQUIREMENT;TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR C MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR AIWL•. TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE Po IC EXPIRATION DATE MMIDD DATE MMrDD LIMITS GENERAL LIABILITY EACH OCCURRENCE 1,000,000 ®COMMERCIAL GENERAL LIABILITY RENTED 0185FL00055700-0 01/10/16 01/10/17 PREMISES Ea occureence 100,000 A El ❑❑ CLAIMS MADE © OCCUR MED EXP(Any one person) 5,000 ❑ PERSONAL&ADV INJURY 1,000,000 ❑ GENERAL AGGREGATE 2,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG 2,000,000 ❑ POLICY ❑PROJECT ❑ LOC AUTOMOBILE LIABILITY 1:1 ANY AUTO COMBINED SINGLE LIMIT Ea accident) ❑ ALL OWNED AUTOS BODILY INJURY ❑ ❑ SCHEDULED AUTOS ❑ HIRED AUTOS (Per person ❑ NON OWNED AUTOS BODILY INJURY ❑ (Per accident) PROPERTY DAMAGE Per accident GARAGE LIABILITY AUTO ONLY-EA ACCIDENT ❑ ❑ ANY AUTO ,E] A OTHER THAN ACC AUTO ONLY: GG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE ❑ ❑ OCCUR ❑ CLAIMS MADE AGGREGATE ❑ DEDUCTIBLE ❑ RETENTION $ WORKERS COMPENSATION AND EMPLOYERV LIABILITY ❑WcRAnA�U-TS_ ❑ 0TH- ANY PROPRIETOR/PARTNER/EXECUTIVE E L.EACH ACCIDENT OFFICER/MEMBER EXCLUDED? If yes,describe under E.L.DISEASE-EA EMPLOYEE SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS ELECTRICAL CONTRACTOR CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE O ED RISE POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE TH E F, SSU IN iN RER WILL ENDEAVOR TO MAIL City of Miami Shores'Village DAYS WR N OTI 0 TH CE FICATE HOLDER NAMED TO 10050 NW 2 Ave THE LEFT,BUT FAILUR D SHAL IM SE NO OBLIGATION OR LIABILITY Miami Shores, FL 33138 OF ANY KIND UPON TH 1 U E N OR REPRESENTATIVES. AUTHORIZED EP S E i r ACORD 2t(2001/08)QF ACORD CORPORATION 1988 JEFF ATYYATM STATE F FLORIDA CHIEF 110104CIALOPIRM DWARTMENT OF FINANCIAL S WMIDN"OPPWOMWCOMPSISATION ••ENMFICATE OF M.ECTM TO BL VMWT FROM FLORIDA WORlMM COMPEWA►TION LAW' CONSTRUCTION NOWITRY EXEMPTION' Tt&Oafte tw the kdMW HdW bWm IOU oWftd to be mmg ftom Fl Ma,V%brk@W CmWnsatim tow. EFFECTM'DATE; VMRATION DATLt 11212018 PERSM GILLts KIWIN Fm 200346M SLMNIM14AWANDADDOW ONCALL SACTRtCAL CONTRACTOR4.INS 7460 NW 7TH ST.,UNIT 111 MIAMI FL SM,26 SCOPES OF BUSOMS OR TRADE.- UCENSMELECTRC& CONTRACTOR to* 44Ukj4j F8. Wv~ tottomft depw by0ftacermomet1 a+WKWAOSecom m*aAmicombeadlo,orcio apoflaff0m ta40 ,PWVWK to,ChOPW 440ASM F.S. CMWANOW of dedca 0 b$6WRPL-SPM 04 r ► d b le atl opt red ao t J t�owqp.tOwwant bo CtWpW44QA(%F.S..MOONS Of tp be SX anti a"i�uarrroee� . ft per nadmd ca ft raPop the t oc .#*000 for bay a e. a ahs ram a F201 C- TdWATE W ItTIMI'M BE MPT REVIM( IMW43 QUO 413 4 s' JOPATMUR ;STATE Int. 1 CMF f "CFF4w DEPARTMEW QF FINANCIAL SERIES .. 4TION LAW•» �� ' �Eft ['FROM FLORIDAFI, CONSTRtdC VW go WW"W aged)etow.has a ed to be exempt from FWft WwkeW0"V9ft8tl0n mw. t FEC'I' DATE: 1&MO IS EMRATM DATE, 112112018 GRI;,IIU BA AORGE. FEIN: 200346752 oUSINESSNAMEAWADDRESS: ONCALL ELECTRICAL CONTRACTORS;M' 7400 NW 7TH ST.,UNIT 111 MIAMI FL 3$128 SQOPES of t1U : UCEIS I`l CTt7IsL' CONTR CTQR :�► ��'��rSriUi'0 !`.�8Y1AitWrfD1�11� `ri 0: .. 1(�• 1.1y..9� #1 9re btx +o to bis mrd n� e.r oe w iia wolot RwNw#fa r4,,0.0g13�FA, C sbl to be e�oa�amt �+eib+tie baeta ` : 0:��+r�ne+ stl�. xtta�r c;� pinnito�► ast ora +*p 069ft r" A9Vft$8000 f*r " Ott -ThO a 0"OAC-92 0ERMWE T 1 TO JOE EXWWK:ft-W8,MWl3 QUE$ 0W WW134,N#