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EL-14-509 (2) Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL do r<f Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-243257 PermitNumber: EL-3-14-509 Scheduled Inspection Date:April 12,2016 Permit Type: Electrical-Commercial Inspector. Devaney, Michael Inspection Type: Final Owner: MARTINELLO(PRESIDENT),CHRISTEL Work Classification: Addition/Alteration Job Address:1329 NE 105 Street Miami Shores, FL 33138-2136 Phone Number Parcel Number 1122320270060 Project: <NONE> Contractor: ATLANTIS ELECTRICAL CORP Phone: (305)551-4043 Building Department Comments INSTALL SMOKE DETECTORS, REPLACE ELECTRICAL Infractio Passed Comments PANELS, INSTALL EXTERIOR LAMPS, REPAIR INSPECTOR COMMENTS False ELECTRIC ROOM, REPLACEMENT OF METER AND REPLACE MAIN ELECTRIC. Inspector Comments PassedUT CREATED AS REINSPECTION FOR INSP-242945. CREATED AS REINSPECTION FOR INSP-209083.ACCU disconnects for units 2&4 need to be moved to an accessible location. 9 Sep 15 Failed ❑ As above move accu disconnects for units 2&4. Add receptacle to the right of sinks in units 1 &3 on appliance ckk.. Add arc fault breakers and breaker locks as required. Install parking lot and stairway Correction ❑ lighting. Needed Re-Inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid April 11,2016 For Inspections please call: (305)762-4949 Page 2 of 37 Miami Shores Village M 0 2 2016 Building Department BY: 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 ' INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 ('-A � 3, BUILDING Master Permit No. L4 PERMIT APPLICATION Sub Permit No.7 tLQ-I L sb9 ❑BUILDING OELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS CHANGE OF ❑ CANCELLATION ❑ SHOP `_ CONTRACTOR DRAWINGS JOB ADDRESS: 13ZDI N1u ��5 �JRe.)C City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: „-22.32-d 2"+ -OCAaO Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): C'NXICnnee_ LI,.�.. Phone#: Address: iS-+o nMS �1� SNfte+ City: i 1V%P raLry.. State: F L- Zip: 3SI LG% Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: ;Eko-�Eiaa 04ro. Phone#: 30 5 �,&D(44 Address: 12402-n, SW 20'x' Cf: City: M:awridi State: 'F ksticia Zip: SA Qualifier Name: rrracaLlien Phone#: State Certification or Registration#: Poe—j3W1% Certificate of Competency#: 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 ❑ Repair/Replace ❑ Demolition Description of Work: Specify color of color thru tile: Submittal Fee$ Permit Fee$ � �® CCF$ CO/CC$ Scanning Fee$ m Radon Fee$ DBPR$ Notary$ a Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) e 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 ELECTRICAL WORK,PLUMBING,SIGNS, WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS and 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 Signature _ fi&j Owner or Agent Contractor The foregoing instrument was acknowledged before me this_ The foregoing instrument was acknowledged before me this day of 20 LZ,by i"l"-11 Sir�. day of ,20 V by S,cp P Z- , who is personally nown to me or who has produced wh ersonally cncw o me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBL NOTARY PUBLIC: Sign0Sign:' 7�- �``----__ Print: Print: �a VV�. —d¢� My Commission Expires: My Commission E ems'REBECA M.PAREBECA M.PASTRANA MY COMMISSION 9 E UM24 MY COMMISSION 9 EES72624 sof EXPIRES:Fumy 07.2017 _ - EXPIRES:Fabntwy 07,2017 kk�k�x�k�kkk��kk�R�k�kk��kk � �k��P�kkdkk�k8k�� APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) Miami shores Village "" Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (30S)795.2204 Fax: (305)756.8972 CHANGE OF CONTRACTOR ! ARCHITECT Permit N.EL-3-14-509 Owner's Name(Fee Simple Title Holder):CHARANCE LLC phone##;786-210-7648 Owner's Address: 1070 NEI 19 STREET City; BISCAYNE PARK State. FLORIDA Zip Code: 33161 Job Address (Of where work is being done): 1329 NE 105 STREET City: Miami Shores X State:—Florida Zip Code:33161 Contractor's Company Name: UNITED ELECTRICAL SERVICES WC Phone#:786-797-2188 Adder: 26453 SW 135 CT City: HOMESTEAD State:FL Zip Code:33032 Qualifier's Name: MANUEL O GARCIA Lic. Number: 12E000192-ER13014669 Architect/Engineer of Record Name: Phone#: Address: City: State: Zip Code: Describe Woric I hereby certify that the work has been abandoned and/or the contractorlarchitect is unable or unwilling to complete the contract. I hold the Building Official and the Miami Shores harmless of all legalinvo vement. Signature ... Signature -wner or Agent Contractor or Architect The foregoing instrument was aknowiedged before me The f g instrument was aknowiedged before me this - day of .246, 1 O&.M this jV/ day of ,o?ca ,201,6by re Who is personally known to me or who has produced who is personally known to me or who has produced L=DP. k0"U;-, as indentification. as indentiflcation. Notary Public Notary Pu Sign: Sign: Sed: Y=XiCaA E©UZMAN AW Notary Public State of Florida '� '�= MY COMMiSSiOiVi3T7tt2 '% Sindia Alvarez EXPtREg Feer q�, a My Commission FF 158750 53 WY 21.2tit7 � 'F�po� Expires 09/03!2018 am i ' Miami Shores Village Building PmenDe artt � 10050 N-112nd Avenue,Miami Shores,Florida 3313 Tel:(305)795.2204 Fax:(305)756.8972 INSPECTION'S PHONE NUMBER:(305)762.4949 FBC 20 14 BUILDING Permit No. PERMIT APPLICATION Master Permit NoeC q Permit Type:Electrical JOB ADDRESS: i 31WR N E. MS 4 b. vv�,t'V¢-t• City: Miami Shores County: Miami Dade Zip: 3813$ Folio/Parcel#: f/- Z."Z- 0.).-?- 0 0 6 0 Is the Building Historically Designated:Yes NO Flood Zone: OWNER:Name(Fee Simple Titleholder): C-;%B t 4.^t! L L- L Phone#:?8 G -4 4 3 -SFOt13 Address: 1070 lV 6 /1-9 34. • city: State: Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: Phone#: 7'G ' 7 17- Address: 7-Address: &.5--c-7- city: 7- City: State• F1 Zip: 33©3 2 Qualifier Name• egnceC ?g6 State Certification or Registration#: F"AC- ao A16 69 Certificate of/Co #:AM"/12 Contact Phone#: 706- 7?)- Email Address: fir/jzMI/•Cert- -. DESIGNER:ArchitectfEngineer: LCS%r A. C%nA phone#: '3 O S-7 79 1V Value of Work for fids Permit:$ $A30-1%0. SquardLinear Footage of Work: Type of Work: DAddress ®Alteration ONew MRepair/Replace ODemolition Description of Work: X^44(( &-%-%w jgoL "%Jf-4 cS Z f 1 e��st�r�,t� S•-a�s!l do�!.� .�..�.�.►lt+..d i•r.�rt'n��.ce-d t �zt�,r' a.(•e.�.�-.-«. ro O.�n, •Z..,d mal►�:c,c.►.�...� d>a e��.c s, '��t.a�i..I`��..ti. E<<�,►,� Submittal Fee$S Permit Fee$ F/BGr'r mB CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ TrainkWEducation Fee$ Technology Fee$ Double Fee$ Structural Review$ q TOTAL FEE NOW DUE$ t ` 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 ELECTRICAL WORK,PLUMBING,SIGNS, WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS and 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 c{fter 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 Signature e/ Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of ftM 20—14by 5~ day of W 20 /V-by who is personally known to me or who has produced who is personallyto me or who has produced --� 111111 u1� Nt,, As identification andw`h� ' as identification and who did take an oath. NOTARY PUBLIC: � '' s •.o26, ?oma.,. NOTARY PUBL Sign: �- Sign: r •• Print Priv ' My Commission Expires: y��°rriryll utStAffit MY FeOruery Z1.2f117 eeeeeeeeeeeeeeeeeseasses¢ee�*o**e.*eeees�►aeaa�as�e�e�es*see*e�x��e�4a��s�ese�e�+��asss�as�e�e��ea�:�e��a��e�eee�eee�s�*gee APPROVED BY 3� 1z AAO:elPlans Examiner Zoning Structural Review Clerk (Revised 3/12P2012XRevised(Y7/10/07xRevised 06✓10/2MXRevised 3/15/09) CTQ B Construction Trades Qualifying Board BUSINESS CERTIFICATE OF COMPETENCY R - 12EO00192 UNITED ELECTRICAL SERVICES INC L. D.B.A.: GA CIA MAP NUEL d Is certified under the provisions of Chapter 1 0 of Miami-Dade County VALID FOR CONTRACTING UNTIL 09/30/2015 QUALIFYING TRADE(S) 0001 ELECTRICAL MIAMIf)l1 Charles Ganger P.E . +�'• ., Secretary of the Board r+✓+v nam,dade gov/development STATE OF FLORIDA • DEPARTMENT OF BUSINESS AND z- PROFESSIONAL REGULATION ER13014669 "ISSUED: 08/27/2014 REG ELECTRICAL CONTRACTOR GARCIA.MANUEL<O UNITED ELECTRICAL SERVICES INC. (INDIVIDUAL MUST MEETTALL WQCAL LICENSING REQUIREMEWOT PRIOR TO CONTRACTING IN.ANYAREA) HAS REGISTERED under the provisions of Ch.488 FS. Expires date:AUG 31,2016 L1408270OD4427 RICK SCOTT,GOVERNOR KEN LAWSON,SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD c; ER13014669 The ELECTRICAL CONTRACTOR , Named below HAS REGISTERED Under the provisions of Chapter 489 FS. Expiration date: AUG 31,2016 (INDIVIDUAL MUST MEETALL LOCAL LICENSING REQUIREMENTS PRIOR TO CONTRACTING IN ANY AREA) GARCIA, MANUEL O 0 0 UNITED ELECTRICAL SER%Cb INC. 26453 SW 135TH COURT: 4,.. HOMESTEAD FL.33032 :• 1 . ❑ .L 1 ISSUED: 08127/2014 DISPLAY AS REQUIRED BY LAW SEQ# L1408270004427 006822 Local Business Tax Receipt .Miami—Dade County, State of Florida THIS IS NOT A BILL — DO NOT PAY 6983507 ...I . . kl-LBTI/ SUSWNSS NAMEILOCATUM IFWCE1PT NO. EXPIRES UNtrED ELECTRICAL SE MCES WC RENEWAL SEPTEMBER 30, 2015 26453 SW 135 Cr 7162884 Must be displayed at place of business MAMi FL 33032 Pursuant to County Code Chapter 8A-Art.9&10 t�UN M SEC.T1/PB OF BUSINESS RBt.@IY6D UNITED ELECTRICAL.SERVICES INC 196 ELECTRICAL CONTRACTOR PAYMt3NT BY Tax tx RECE 91 Workers) 1 12E000192 $75.00 08/07/2014 CHECK21-14-044945 This Local Boioess Tax Receipt only ca�n payaot of the Lout Business Tax.Tire Receipt is act a license, pounkor vont ova oertlfl n laws am repah which applyto*abaslaess to do business.RoMermust comptV with any gored The RECEIPT NO.More amt be delayed on aR convowelal vehicles— Cede Sea Be-2J8 For am lotworet;oa visit , .aco r� CERTIFICATE OF LIABILITY INSURANCE DATE`M° W" 01/21/15 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 BELAY. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S).AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER IMPORTANT: Ntla cera fie holder Is an ADDITIONAL INSURED,the pollcy(les)must be endoroe& N SUBROGATION IS WAIVED,subject to the terrne and conditlorw of the policy,certain policies may require an endorsernent. A statment on this certificate does not coder rights to the certificate holder in Hsu of such mss). PRODUCER CONTACT MARTA ALONSO Florida Bankers Insurance IPAWIL (305)266-6493 (305)262-W79 7278 SW 8 Street nsurance•can Miami,FL 33144 AFFORDING COVERAGE Nam o Plane 305)266.6493 Fax 305 2-0679 s1SURER A; FEDERATED NATIONAL INSURANCE CO. INSURED 1NeUMEMB; SOUTHERN INSURANCE CO United ESI Services Inc INSURERC: 26453 SW 135 COURT D: HOMESTEAD,FL.33032 (305)262-6743 INsuRER E: ROMP: 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. I TYPE OF INSURANCE POSY EXP Lam NERAL LIABILITY EACH OCCURRENCE $ 1 000 000.00 DAMAGE TO RENTED © COMMERCIAL GENERAL LIABILITY PR 0) $ 100,000.00 ❑ ❑ CLAIMVAADE ® OCCUR GL-0504008126-02 MED EXP(Ary are r $ 5,000.00 A ❑ N N 101061'1014 10/06/2015 PERSONAL BADV IN,AIRY $ 1,000,000.00 ❑ I GENERAL AGGREGATE $ 2,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000.00 © POLICY ❑ PRO ❑ LOC I $ AUT "LAITY BIN D SINGLE LIMIT ❑ ANY AUTO BODILY INJURY(Per perm) $ B ❑ ALL OWNED ❑ ASCHESDU� BODILY INJURY(Peracc rt) $ F-1HIRED AUTOS ❑ O D $ ❑ UMBRELLA LAB ❑OCCUR EACH OCCURRENCE $ ❑ EXCESS LIAR ❑CLAIMS-MADE AGGREGATE $ DEC)El El RETENTION II $ WORKERS tOMpgrSATIONWC STATU- QTH AND EMPLOYERS'LIABILITY Y I N ANY PROPRIETORIPARTNER EXECUTIVE PWCDOM7-13 E.L.EACH ACCIDENT $ 100,x.00 B Er ExcLUDEDv ❑N/A 11202014 1120/2015 Vis, E.L.DISEASE-EA EMPLOYE $ 100,000.00 DESCRIPTION OF OPERATIONS belay E.L DISEASE-POLICY umrr $ 500,000.00 DMMPTM OF OPERATNM I LOCATIORS I VENICLES(AMHCh ACORD 101,AdMonal Ramada SeheduK B MM space M MWAVOM CC 12E000192 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLEO BEFORE MIAMI SHORES VILLAGE BUILDING DEPT THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN 10050 NE 2 AVE ACCORDANCE WITH THE POLICY PROVISKM. MIAMI SHORES,FL 33138 AUTHOR REPROMMATIVE 0654 11718L UM ®19811-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010108)QF The ACORD name and logo are reglibered marks of ACORD