Loading...
EL-16-563 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-253861 Permit Number: EL-3-16-563 Scheduled Inspection Date:April 05,2016 Permit Type: Electrical- Residential Inspector. Devaney,Michael Inspection Type: Final Owner. NEGRIN, MARIO Work Classification: Repair Job Address:1 NW 108 Street Miami Shores,FL 33168-4310 Phone Number (305)336-9174 Parcel Number 1121360110320 Project <NONE> Contractor: HIGH POWER ELECTRIC Building Department Comments REPLACE METER CAN Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Failed y� Q Correction Needed ❑ Re-Inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid April 04,2016 For Inspections please call: (305)762-4949 Page 9 of 32 y Miami Shores Village a , 10050 N.E.2nd Avenue NW Miami Shores,FL 33138-0000 + F a ; Phone: (305)795-2204 r Expiration: 0910712016 I '111 4 ' Project Address Parcel Number Applicant 1 NW 108 Street 1121360110320 MARIo NEGRIN Miami Shores, FL 33168-4310 Block: Lot: Owner Information Address Phone Cell MARIO NEGRIN 1 NW 108 Street (305)336-9174 MIAMI SHORES FL 33168-4310 Contractor(s) Phone Cell Phone Valuation: $ 600.00 HIGH POWER ELECTRIC Total Sq Feet: 0 Type of Work:REPLACE METER CAN Available Inspections: Additional Info: Inspection Type: Classification:Residential Final Scanning:1 Review Electrical Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.60 Invoice# EL-3-16-58871 DBPR Fee $2.25 03/02/2016 Credit Card $50.00 $109.10 DCA Fee $2.25 Education Surcharge $0.20 03/11/2016 Credit Card $109.10 $0.00 Permit Fee-Additions/Alterations $150.00 Scanning Fee $3.00 Technology Fee $0.80 Total: $159.10 In consideration of the issuance to me of this permit, I agree to pert the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,stat is or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done b e' er myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDO O RS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing informa a urate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore,I authorize the above-n co ractor to do the work stated. March 11,2016 Authorized Signature:Owner / Applicant / actor / Agent Date Building Department Copy March 11,2016 1 Miami Shores Village ��f� Building Department MAR o1 1s e3 ( 10050 N.E.2nd Avenue,Miami Shores,Florida 33138ILA) s _ .�v. 41zN \ J Tel:(305)795 2204 Fax:(305)756-8972 _ INSPECTION LINE PHONE NUMBER:(30S)762-4949 FBC 20M BUILDING Master Permit No. �..�� PERMIT APPLICATION Sub Permit No. ❑BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP P :5TCONTRACTOR DRAWINGS L JOB ADDRESS: s tel/ OF : City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): Phone#: Address: /l/w w c S City: � �/� SLi[iIBS State: )( G Zip: Tenant/Lessee Name: Phone#: 30 .V6 7� Email: r CONTRACTOR:Company Name: Hili, Pc)uj&' [�Iedr, r_ Phone#: 6 G Address: 9t d AIW q/ C.T City i e State: FG Zip:33"Y' Qualifier Name: -se-so-'s ��rl C4 Phone#: 301r 7 2f c!S7�o State Certification or Registration#: 6Q3Cw 6Z6 l Certificate of Competency M DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ 600 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration El New / - Repair/Replace ❑ Demolition Description of Work: Re.��lcjx& Cofer Specify color of color,thru tile: Submittal Fee$ Permit Fee$ F 1?'®CCF$ ®. v CO/CC$ Scanning Fee$ 3�;` Radon Fee$ DBPR$ Notary$ Technology Fee$ tJ• 6 Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ 0 TOTAL FEE NOW DUE$ 9 (ReAsed02/24/2014) 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,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. n b ence 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 instrument was acknowledged before me this The foregoing instrument was acknowledged before me this �- day of, 4J "- ,20 by day of� '201-6 "by /lO ICLb who is personally known to )x(1.5 who is Dersonally known 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 PUBLIC: NOTARY PUBLIC: Sign: Sign Print: Print Nunez 9i Randy Nunez rft Seal: My CCOMMM m EE 883227 Seal: E 112=18 MOE ?' ############################################################################################################ APPROVED B41 6-11-4,X&11 � /G_ Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) ♦gt1�RFs .... �...� Miami shores Village Building Department ZOR'1� 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. COPY OF QUALIFIER'S STATE LICENCES B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF LIABILITY INSURANCE* D. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICATE OF COMPETENCY OF QUALIFIER B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF STATE REGISTERED CONTRACTOR LICENSE OR MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT. D. COPY OF LIABILITY INSURACE* E. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit) *YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE AS FOLLOW: Certificate Holder: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES,FL 33138 Certificate must specify the description of operations or contractor license number. BUSINESS NAME: H!d\ k F n)wer BUSINESS ADDRESS: K-T CITY i i "STATEE ZIP 33,01F BUSINESS PHONE: (, ) 77S" FAX NUMBER( ) ?0 q"'(241S^ CELL PHONE(,0775—'LSI& QUALIFIER'S NAME: J=SCS 6AVt QUALIFIER'S LIC NUMBER: fc— I3cx)Io 2-6 1 STATE OF LORIDA DEPARTM NT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRIC L CONTRACTORS LICENSING BOARD (850) 487-1395 ��► 1940 NORTH MONROE STREET TALLAHA EE FL 32399-0783 COLINA, JESUS HIGH POWER ELE CTRIC, LLC. 16818 NW 91 CT MIAMI LAKES FL 33018 Congratulationsi With this licani a you become one of the nearly one million Floridians licensed b r the Department of Business and Professional Regulation. Our p fessionals and businesses range STATE OF FLORIDA from architects to yacht brokers,from boxers to barbeque restaurants, DEPARTMENT OF BUSINESS AND and they keep Florida's econom strong. 0 PROFE IQF GULATION Every day we work to improve tt a way we do business in order to EC13006261 X08/20/2014 serve you better. For informatio i about our services,please log onto www.myfloridalicense.com. T iere you can find more information CERTIFIED E C( VTOR about our divisions and the reg tions that impact you,subscribe to department newsletters and learn more about the Department's COLINA JES initiatives. HIGH POWERy Our mission at the Department i :License Efficiently, Regulate Fairly. We constantly strive to serveyo better so that you can serve your ' customers. Thank you for doin business in Florida, IS CERTIFIED under the provisions of Ch.489 FS. and congratulations on your n Iicensel ExphaUon dote:AUG 31,2016 L14082000=14 DETACH HERE RICK SCOTT,GOVERNOR KEN LAWSON,SECRETARY STATE OF FLORIDA EPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD Nit EC13006261 The ELECTRICAL CONTRA TOR Named below IS CERTIFIE Under the provisions of Cha er 489 FS. : Expiration date: AUG 31, 20 6 tq ,. N o COLINA, JESUS HIGH POWI=R ELEC RI 16818 NW 91 MIAMI LAKES _ 18 ISSUED: 082014 DISPLAY AS REQUIRED BY LAW SEQ# L1408200000314 Local Business Tax Receipt Mh mi—Dade County, State of Florida THIS ISNOT ABILL-DO NOT PAY LBT 6482772 DUBIN E/LOCATION RECEIPT NO. EXPIRES HIGH PO R ELECTRIC LLC RENEWAL SEPTEMBER 30, 2016 16818 91CT 8752522 Must be displayed at place of business MIAMI S,FL 33018 Pursuant to County Code Chapter SA-Art.9&10 OWNER SEC.TYPE OF BUSINESS PAYMENT RECEIVED HIGH POV ER ELECTRIC LLC 196 ELECTRICAL BY TAX COLLECTOR CONTRACTOR 45.00 09/29/2015 W0rkers) 1 EC13006261 022415-006394 This Local Bmshmss Tax Receipt ooly codires payment of the Local Bmsinese Tax.The Receipt Is nota license, pemdk or a oerHRcation of the holdoes qualRksatiom to do business.HoMw must complywith any governmental or m agorarm ental regulatory hmas and reguiremems which apply to the busimm The RECEIPT N0.above must be displayed on all commercial vehicles-Miami-Dade Code See Ba-M For more infonmdov,vhdt A 1''OCERTIFICATE OF LIABILITY INSURANCE 03002/22016' 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(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If 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 lieu of such endorsement(s). PRODUCER ALL CITY INSURANCE INC-ACI CONTACT CARMEN RODRIGUEZ 275 FONTAINEBLEAU BLVD. PHONE (305)463-9431 M,0(305)436-6797 SUITE 190 E4MIL GMAIL(d1GMAIL.COM MIAMI FL 33172 PRODUCER in 203083 CUSTOMER 0? N S AFFORDING COVERAGE NAIC S INSURED INSURER ,TRAVELERS INDEMNITY COMPA HIGH POWER ELECTRIC LLC INSURER a 16818 NW 91 CT INSURER C: HIALEAH FL 33018 INSURER 0: - INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER:03 REVISION NUMBER:00 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 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. [NSRTYpE OF INSURANCE AWL SUER POLICY EFF POLICY EXP LIMITS 133LPOLICY NUMBER am= A oENERALLIABILITY 660-7964N36A-15 07/09/2015 07/09/2016 EACH OCCURRENCE 11000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 300,000 CLAIMS-MADE FXI OCCUR MED EXP one $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GIRL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGO $ 2,000,000 7X POLICY PRO. L $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Es seddent) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per acdderrt) $ SCHEDULED AUTOS PROPERTY DAMAGE $ HIRED AUTOS (Per accident) NON-OWNED AUTOS $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAS CLAIMS-MADE AGGREGATE DEDUCTIBLE $ RETENTION S WORKERS COMPENSATION WC STAB OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTNENIA E.L.EACH ACCIDENT OFFICERIMEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE If es des t abler E.L.DI -POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more epee is required) ELECTRICAL CONTRACTOR. EC13006261 CERTIFICATE HOLDER CANCELLATION AI COMMRL MIAMI SHORES VILLAGE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN BUILDING DEPARTMENT ACCORDANCE WITH THE POLICY PROVISIONS. 10060 NE 2nd AVE MIAMI SHORES FL 33138- AUTHORIZEDREPRESENTATIVE ©1988.2008 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD Ac R CERTIFICATE OF LIABILITY INSURANCE °"'E`MMI°°'"Im 03/02/2016 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(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed.If 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 lieu of such endomement(s). PRODUCER GUNTAUT NAME: Automatic Data Processing Insurance Agency,Inc. e-HM�N Ext): uc No): 1 Adp Boulevard ADDRESS: Roseland,NJ 07088 INSURER(S)AFFORDING COVERAGE NAIC 9 plSUIRERA, NorGUARD Insurance Company 31470 INSURED INSURER B: HIGH POWER ELECTRIC LLC INSURER C: 16818 NW 91 CT. Hialeah,FL 33018 INSURER D INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: 346145 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 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. NSR POLICY EW POLICY EXP LTRR TYPE OF INSURANCE POLICY NUMBER (MlWDDfYYYY) (11111W013ftlym LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE F—I OCCUR PREMISES Ea occurrence $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY 7]JERCOT 71 LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED IN9ffU9ff--- Ea accident $ ANY AUTO BODILY INJURY(Per person) $ AULOS ED AUTOS BODILY BODILYINJURY(Peraccident) $ HIRED AUTOS NON-0OWNED Petaa��ntDAMAGE $ UMBRELLA L IAB H OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED T RETENTION$ $ WORKERS COMPENSATION X PER AND EMPLOYERS'LIABILITY YIN STATUTE ER A ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED? ❑Y NIA N HMC639746 01/26/2016 01/26/2017 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEJ$ 100,E DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Aditonal Remarks Schedule,may be abacled I more apace is required) Contractor License:EC13ON261 CERTIFICATE HOLDER CANCELLATION Miami Shores Village SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Building Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN g ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2nd Ave Miami Shores,Florida 33138 AUTHORED REPRESENTATIVE ©1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD 1- REPLACE METER WITH NEW 200 AMP SCOPE OF WORK METER COMBO SAAR 0 9 2016 %jITY - I Py, 0 ELECTRICAL REVIEW NEW APPROVE SATE METER -.- COMBO Tb PL pole e4l r-OW High Power Electric, LLC Mario Negrin 16818 NW91dCT 1 NW 108 ST El Miami Lakes, FL 33018 Miami Shores, FL E 261