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EL-16-501 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-257100 PermitNumber: EL-2-16-501 Scheduled Inspection Date:April 19,2016 Permit Type: Electrical- Residential Inspector: Devaney,Michael Inspection Type: Final Owner: PUENTES,ANDRES Work Classification: Service Change Job Address:354 NE 91 Street Miami Shores,FL 33138-3130 Phone Number (786)606-9930 Parcel Number 1132060190220 Project: <NONE> Contractor: ELECTRICAL MASTERS INC Phone:305-265-7996 Building Department Comments CHANGE OVERHEAD SERVICE. FOR UNDERGROUND infractio Passed Comments SERVICE ONLY WIRES. FROM FPL POST TO METER. INSPECTOR COMMENTS False Inspector Comments Passedal Failed Correction Needed ❑ Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid April 18,2016 For Inspections please call: (305)762-4949 Page 23 of 25 R 1 Miami Shores Village 10050 N.E.2nd Avenue NE t Miami Shores,FL 33138-0000 Phone: (305)795-2204a Expiration: 09112/2016 Project Address Parcel Number Applicant 354 NE 91 Street 1132060190220 ANDRES PUENTES Miami Shores, FL 33138-3130 Block: Lot: Owner Information Address Phone Cell ANDRES PUENTES 354 NE 91 Street (786)606-9930 MIAMI SHORES FL 33138- 354 NE 91 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 950.00 ELECTRICAL MASTERS INC 305-265-7996 Total Sq Feet: 0 Type of Work:CHANGE OVERHEAD SERVICE.FOR UNDERG Available Inspections: Additional Info: Inspection Type: Classification:Residential Review Electrical Scanning:3 Review Electrical Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.60 Invoice# EL-2-16.58792 DBPR Fee $2.25 03/16/2016 Credit Card $115.10 $50.00 DCA Fee $2.25 Education Surcharge $0.20 02/24/2016 Credit Card $50.00 $0.00 Permit Fee-Additions/Alterations $150.00 Scanning Fee $9.00 Technology Fee $0.80 Total: $165.10 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in s%ththe th the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I asty for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICALCHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I foregoing information is accurate and that all work will be done in compliance with all applicable taws regulating construction and zoning. orize the above-named contractor to do the work stated. March 16, 2016 Authorized Signature: Applicant / Contractor / Agent Date Building Departme t Copy March 16,2016 1 � , Miami Shores Village RECr � ' APS Building Department 24 016 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 BY: Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 201 BUILDING Master Permit No.---( -Iffso, PERMIT APPLICATION Sub Permit No. ❑BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF [—]CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: *S 5 �/y 1UE i t .& City: Miami Shores County: Miami Dade Zio:3B k Folio/Parcel#: l -"�20�` �,� - ® Is the Building Historically Designated:Yes NO Occupancy Type: t Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): A,[&a!E2 & &c) Phone#: Address: 3S 9 /VC A �t City: ! !M,4A6eY)j 1hCz,0A State: [ Zip: Tenant/Lessee Name: Phone#: 1799 �vffo Email: �� / / CONTRACTOR:Company Name: Ga/.�C lel AgS &IZ 11, C Phone#: Address 0 4 City: State: JrIA Zip: —mv Qualifier Name: Phone#: State Certification or Registration#: ` Certificate of Competency#: M0003 DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New Ei� Repair/Replace ❑ Demolition Description of Work: 4.+ ~ L d pms Specify color if color thru tile: t ,• .: Submittal dee$ ;• iJCCF$ CO/CC$ 0 Scanning Fee f Raa"U.Fee$ DBPPR$$ Notary$ Technology Fee$ 90 Training/Education Fee$ 0. 1.10 Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (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: 1 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 Signature4;4�4� OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 22 day of �rV 20 .by day of r n 20 1(g by 5 who is ersonally no(wpn to O wh is personally known to 4�11 j� 9' �I� me or who has produced aY�``` "` �V 2>, as me or who has produced -6 - /-/ as identification and who did ake an oath13' ( 3G° identification and who did take an oath. Di A� detl�we�y NOTARY PqNi NOTARY PUBLIC: �l 0, TSlq ae0�> �4s Q -S .SSION �� C SiSign: M- P rMt° Print: 'a #FF144306 :o Seal: a1 4 1 0u9h ; i AMII1M �BUCS,1T1PjE�� 1� f{,P' riSS�10'11�# Q�M APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) ELECT-1 OP ID:TC '4 v® CERTIFICATE OF LIABILITY INSURANCE F "03 07 2F s 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: N the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION 18 WANED,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 end s. PRODUCER NpME-ACT Tema R.Cannon, Agent [Sure Insurance Brokers PHONEAIC No gm-305-223-2533 FAX8700 W.Flagler ft;305-220-0765 Miami,FL 33174 t,Suite 270 -MAIL Tema R Cannon, Agent ;ttisrmon isurebrokers.com INSURERS)AFFORDING COVERAGE NAIL 0 INSURERA:Atain In.Co. 17159 "MAED Electrical Masters Inc. msumRs;Associated Industries Iris Co 23140 8400 SW 14TH Street Miami,FL 33144 INS1JRERC: INSURER D 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 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. INSR POLICY EFF LTR TYPE OF INSURANCE POLICY NUMBER LIMITS A X COMMERCIAL GENERAL Lwwu Y EACH OCCURRENCE $ 2,000, CLANAs MADE OCCUR CIr244686 12h7/2016 12(17/2016 DAMAGE TO WTIMU-- PREMISES Ea occurrence) $ 100, BLANKET ADDITIONAL INSURE MED EXP(Any one per) $ 5, PERSONAL BAOVINJURY $ 110001 GEWL AGGREGATE LIMITAPPLIES PER GENERAL AGGREGATE $ 2,000,00( POLICY❑JPERC LOC PRODUCTS-COMPIOP AGG $ 2,000,00( OTHER $ AUTOMOBILE LIABILITY �aaJdant INGLE $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNEDSCHEDULED BODILY INJURY(Per a=klwM $ HIRED AUTOS OS AUTOS U AWNED PROPERTY $ $ UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS UA13 CLAIMS-MADE AGGREGATE $ OED 1 RETENTION$ $ WORKERS COMPEIMTION X AND EMPLOYERS'LIABILITY STATUTE _ ER B ANY PROPRIETORIPARTNERIEXECUTIVE YIN WC1060732 02MI2016 02101=17 E.L.EACH ACCIDENT $ 11000, OFFICERIMEMBER EXCLUDED? 0 N I A (MmrdaMry in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000, K dente under DES OF OPERATIONS bebw EL.DISEASE-POLICY LIMIT $ 1,000, DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,AddWouel Remarks Sdmdut%may be aMathed If more space to requked) ELECTRICAL CONTRACTOR ER 0013057&97EO00003 CERTIFICATE HOLDER CANCELLATION CITYMi1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Miami Shores ACCORDANCE WPrH THE POLICY PROVISIONS. 10050 NE 2 Ave Miami,FL 33138 AUTHORIZED REPItESENTArnE &Av +�o ®1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) This ACORD name and logo ars registered marks of ACORD EXISTING ELECTRICAL SERVICE M AV ITT rrTv�D too —� GARAGE MAR II.20�6 ••••� 0000 0000.. . • • .. • • . AY: • 0000 ..f.•. 3#2/0 IN 2"CONDUIT – •� �so••� RIGID 0000 • 0000.. 0000 ..:..0 I , 000000 s • 0000• 00• • •0000• 00 , 0000.• • • f . • • 0000•. I 0.000 PANEL "A" '••' • 0000 •• • • .• • I I I I EXISTING ELECTRICAL PANEL I I I EXISTING METER COMBO 0 i 150 AMP. MAIN BREAKER I 1 150 MAIN I I I EXISTING GROUNDING 1#4TH WN(CU) 3#1/0 TH W N (CU) IN%CONDUIT PVC IN 2"CONDUIT I Gao �fid•�h'� I I I �--sp N7 CWLl 1 GROUNDING NIVEL ---------------__.__...__.............................-_-.....-___..__.__.________..___.___.____-_..._.__-.------.-....._...__.__._..,................................._.___.__--------_____.___.__-------------_.._-_.-.--------_.--..._-----._.-------_._..--0000.. ING ROD E LECTRICAL REVIE %-DIAMETER _ SHEET 1 DATE PROJECT LOCATION ELECTRICAL MASTERS INC. �< SCALE AS 03 j 08/2016 354 NE 91 ST MIAMI SHORES OSVALDO RODRIGUEz FL.33138 UC.97E000003 8400 SW 14 ST MIAMI FL.33144