The URL can be used to link to this page

EL-15-2015 s Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-252679 Permit Number: EL-8-15-2015 Scheduled Inspection Date: February 26,2016 Permit Type: Electrical- Residential Inspector: Devaney, Michael Inspection Type: Final Owner: NEWBAUER,JEFFREY Work Classification: Addition/Alteration Job Address:70 NE 92 Street Miami Shores, FL Phone Number (305)798-0885 Parcel Number 1132060130020 Project: <NONE> Contractor: ECOLECTRIC COMPANY Phone: (305)762-2547 Building Department Comments ELECTRICAL WORK FOR INTERIOR REMODELING lnfractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP 241084. Need arc fault Efl/ breakers,20 amp. receptacles and smoke detectors. Failed Correction Needed Re-Inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid February 25,2016 For Inspections please call: (305)762-4949 Page 12 of 33 ,«M Miami Shores Village 10050 N.E.2nd Avenue NE , Miami Shores,FL 33138-0000 ' pr r t -=EE I any p { Phone: (305)795-2204 a• ' Expiration: 0211792016 Project Address Parcel Number Applicant 70 NE 92 Street 1132060130020 JEFFREY NEWBAUER Miami Shores, FL Block: Lot: Owner Information Address Phone Cell JEFFREY NEWBAUER 70 NE 92 Street (305)799-0885 MIAMI SHORES FL 33138- 70 NE 92 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 6,000.00 ECOLECTRIC COMPANY (305)762-2547 —•- Total Sq Feet: 400 Type of Work:ELECTRICAL WORK FOR INTERIOR REMODE Available Inspections: Additional Info: Inspection Type: Classification:Residential Final Scanning:1 Meter Box Alteration Relocation Fire Alarm Service Change Review Electrical Underground W.W. Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $3.60 Invoice# EL-8-15-56669 DBPR Fee $3.38 08/21/2015 Check#:2999 $244.36 $0.00 DCA Fee $3.38 Education Surcharge $1.20 Permit Fee-Addltions/Alterations $225.00 Scanning Fee $3.00 Technology Fee $4.80 Total: $244.36 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 ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I kirtify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zon' g. u hennore,I authorize the above-named contractor to do the work stated. August 21,2016 Authorized Si ture:Owner / Applicant / Contractor / Agent Date Building Department Copy August 21,2015 1 Miami Shores Village - Building Department AUG 1 1 2015 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 ,v) INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 2014 BUILDING Master Permit No. Rc- is - 48®y PERMIT APPLICATION Sub Permit No. Z — IS— 20 I!'� ❑BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL [--J PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: -7a /I16 VAD 11SV City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: !P SbUfo• O/3- CbatO Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): S£�FRE� Ntl�t,Eil/A NEu3t3AA.l F..sPPhone#: 305-3 TT-CS S Address: 40 RIE. 9099D Sr City: *14A4 I Atiog.-GS State: f=L Zip: 3 s 138 Tenant/Lessee Namer: t Phone#: Email: 'r- y+- we6a..��.a f �nx� . CAW" CONTRACTOR:Company Name: Lco j-EEc; t L 0j:)t®J F2\WY Phone#: Address: /a 1gsm 5Q (t 4 GT City: mob!14AA I State: r—/.- Zip: 7'S j Rte_ Qualifier Name: ARIAM Phone#: Ca_ State Certification or Registration#: FC. 1310 Z)3[a 6_T_Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ C0, O m Square/Unear Footage of Work: f.2� Type of Work: ❑ Addition ja Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of work: £ TIT;t C_41— (A3 b 2.1; 2 L A(TE218 F 2 fiMb j I AJ( r Specify;olor of coldr thru tile: Submittal Fee.$ Permit Fee$ �1 ee m!b CCF$ ... SCO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Rev1sed02/24/2014) 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. 1 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 04A Signature OWNER or A CONTRACTOR The foregoing instrument was acknow edged before me this The foregoing instrument was acknowledged before me this day of 3U1.(.Y .20 l 5 ,by I day of 20 l 5 ,by MtWR&Afxho is personally known to fu IN ,who is personally known to me me ac�etho ^reddeea �-- ideANAGatk and who did take an oath. idemftaticm and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: W 4�&Q Sign: Print: -A+ u Print: �GL�� Ag' tts:I Seal: .off: °.��•: KURT A BIRCHENOUGH Seal: f• •i E(4On MY COMMISSION#FF051900KURT A BIRCHENOUGH ... EXPIRES Se tember 8,2047 •)P MY COMMISSION#FF051900 9 0153 FloridallotaryService.com APPROVED BY /5Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) ECOLCOM-01ECALDERIN CERTIFICATE OF LIABILITY INSURANCE DAA 0111MIDMIM 7/21/2015 THIS CERTIFICATE 18 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(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. N SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in Hsu of such endorsement(s). PRODUCERCT Collinsworth,Alter,Fowler&French,LLC PHONE (305)82Z-7800 FAX N,;(306)362-2443 8000 Governors Square Blvd MiADDRESS:Lakes,FL 33016 INSURERS)AFFORDING COVERAGE NAI:s INSURER A:FCCI Insurance Company 10178 INSURED INSURER B Ecolectric Company DISURER C: 12450 SW 117th Court INSURER D: Miami,FL 33186 INSURER E INSURER 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY LTR TYPE OF INSURANCE POLICY NUMBER EFF POLICY EXP UNITS A X CeMMERCUIL eENERAL uABILITY EACH OCCURRENCE $ 1,000, CLAIMS-MADE OCCUR GL00132884 03101/2015 03/01/2018 DAMAGE TO MITEI-- PREMISES $ 300, X Blanket Add9 Insd MED EXP(Ary one person) $ 5, X Blanket WOS PERSONAL&ADV INJURY $ 1,0w, GEML AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ $000, POLICY a JERC 7 LOC PRODUCTS-COMPIOP AGO $ 2,000, OTHER: $ AUTONOM o LIABILITY COM81 SINGLE LIMIT $ 1,000,000 A X AIRY AUTO CA0020702 03/01/2015 03101/2016 BODILY INJURY(Per person) $ ALL OWNED SCHEDUI W BODILY INJURY(Per smWerd) $ AUTOS AUTOS XHIRED AUTOS X AIS OS ED PROPERTY DAMAG S (Paracdderd) $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 A EXCESS LI49 CLAIMS-MADE UMBOD182582 03101/2015 03101/2016 AGGREGATE $ 1,000,000 DED I RETENTION$ $ WORIGIRSAND�,I��y�LIABILITY TIONXy STATUTE ER A ANY PROPRIEfORIPARTNERIEXECUTIVE YIN pp1WC14AS8287 03/01/2015 03/01/2016 E.LEACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? ® N I A (Mandatory in NH) E.L.DISEASE-EA EMP LO $ 1 r000, WrOF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000, DESCRIPTION OF OPERATIONS I LOCATION I VEHICLES(ACORD 101,AMMonal Rem ft 861"ift malr be attached If more apace Is r"dred) License#EC13003659 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN MIAMI SHORES VILLAGE BLDG DEPT ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2ND AVE Miami Shores,FL 33138 AUTHORIZED REPRESENTATIVE m 1888-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD ecrz� it .f f � - x� 4�i�� e� arS � "✓�.d4d�, °3,r�-' i i ir el ' ,ra PA W.rAx 7/20 +-0450 94 *. led Bax 4 , r es. AiD ' 4 RICK SCOTL-GOVERNOR KEN LA SON.SECRETARY OF BONO TheELECTRICALCOI.VTs.,tACT,. NamedbelowlSZERMFIED., . y L # ,W-SW 1T VQ ISSUED. 08103=14 14 DISPLAYAS REQUIRED BY L L140 263