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EL-16-935 r Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-257952 Permit Number: EL-4-16-935 Scheduled Inspection Date: May 03,2016 Permit Type: Electrical- Residential Inspector: Devaney, Michael Inspection Type: Final Owner: AUSTER, NANCY Work Classification: Alteration Job Address:700 NE 94 Street Miami Shores, FL Phone Number Parcel Number arce Nu be 1132060141730 Project <NONE> Contractor. E S C ELECTRICAL SERVICE INC. Phone: (305)525-1701 Building Department Comments REPLACED DAMAGED METER ENCLOSURE WITH NEW Infractlo Passed Comments ONE ACCORDING TO FPL LETTER. INSPECTOR COMMENTS False II Inspector Co er is Passed i Failed i Correction Needed Re-inspection Fee No Additional Inspections can be scheduled until reins ction fee is aid Pe p For Inspections lease call: 305 762-4949 l p ( ) May 02,2016 Page 16 of 33 Miami Shores Village 10050 N.E.2nd Avenue NE y 1 Miami Shores,FL 33138-0000 v . s�,� Phone: (305)795-2204 � z Expiration: 10/11/2016 Project Address Parcel Number Applicant 700 NE 94 Street 1132060141730 NANCY AUSTER Miami Shores, FL Block: Lot: Owner Information Address Phone Cell NANCY AUSTER 700 NE 94 ST MIAMI SHORES FL 33138-2915 Contractor(s) Phone Cell Phone Valuation: $ 750.00 E&C ELECTRICAL SERVICE INC. (305)525-1701 (786)302-1175 �-�� --x�-- Total Sq Feet: 0 Type of Work:REPLACED DAMAGED METER ENCLOSURE WI Available Inspections: Additional Info: Inspection Type: Classification:Residential Review Electrical Scanning:3 Review Electrical W.W. Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.60 Invoice# EL-4-16-59316 DBPR Fee $2.25 04/13/2016 Check#:1223 $115.10 $50.00 DCA Fee $2.25 Education Surcharge $0.20 04/07/2016 Credit Card $50.00 $0.00 Permit Fee-Additions/Alterations $150.00 Scanning Fee $9.00 Technology Fee $0.80 Total: $165.10 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. F rmore,I authorize the above-named contractor to do the work stated. April 13,2016 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy April 13,2016 1 � b Miami Shores Village RFCRIVFD k� ` G A 0,7 ' 161 Building Department 3x 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 BY: Tel:(305)795-2204 Fax:(305)756-8972 .- J INSPECTION LINE PHONE NUMBER:(305)762-4949 L r tt FBC 20 j q BUILDING Master Permit NoIEUG —93S PERMIT APPLICATION Sub Permit No. F-1 BUILDING M/ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: -7 420 JZ ,A_-' City: Miami Shores County: Miami Dade Zi -7/.Te Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): &A/✓U/ AUs 7&X Phone#: Address: "7 CSV di 8' f V J'�'46ZV' City: Al IA-ftt' S40x'er State Pt. Zip: 3213$ Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: 05 C �C�"G7�Z/G�L i-L-YZA01c s Phone#: 784 -I/7.r Address: /5"3 y'$ ,l/.✓ //�' 72'.yL2•9-C.G" City: h'J/fI'h"/ State: F-'6- Zip: 33194"" Qualifier Name:_,�afLe Phone#: State Certification or Registration#: 6G /300 4 SY7 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ ? $'0 . Of Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Descri tion of Work: Ce/ ua .0 17VA21419 4 Specify color of color thru tile: Submittal Fee$ r710-'00 ' Permit Fee$ CCF$ 00^ CO/CC$ Scanning Fee$!;�,_'Ci3 Radon Fee$, a� DBP $R$ d•�S Notary Technology Fee$ 0 , Training/Education Fee$ 0. 20DoubleFee$ 59 Structural Reviews$ Bond$ .1 TOTAL FEE NOW DUE$ 1157- I n (Revised02/24/2014) l 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. In the absence 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 G f b day of A G ,20 fes,by —yam day of f3.do�/� .20 .by who is personally known to jr&rd who is personally 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: n. Print: Print: CJS Seal: NOTARY PUBLIC Seal: NOTA PUBLIC IMASTATE OF FLORIDA STATE OF FLORIDA Comm#EE831436 Ccnnn#EES31438 E*rn 6/30/2016 EXP1101119 8130/2616 APPROVED B �+jX;4LP/k Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) ****o Sprint L 1 < Search Important information regarding February 19, 2016 at 0 17 PM Espahol View In Browsu Information valid as of 02/1912016 IL-00:00 A Login PayBill' Fftxom UMCY AUSM Account X X-X6263 alt ST FL 33138 FC " rn to ymr nulter eadosure nqutred Your meter enclosure,which Wits,the alleaft meter at theg address referenced above,is in need of permanent repairs. While FPL owns the 61WnC rriete4 as a Customer,You own the ter enclosure and am responsiblefor Jts repairs. ; Please contact a licensed electrical contractor to repair the meter enclosure and obtain the permits and electrical inspection that may uIred by your local government. You or your Contractor can call us at LM)-ZZRZM to Khedule an appointment to disconnect your power to Complete M4 needed parmarwrit repairs.,»and recomedservice when the repairs and InSpection Inspectionare completed.The electrical Inspection,If r"ulmd by the local authority,must be reported to FPL befbre we can scheduleappointment and reinstall the meWr.During this time, your electric bill amount will be esbmated, that repairs must be complead by a of"Ur efectrk servite. Thank you in advance for taking action to ensure the fteftd repoirs are completed soon-we look forward to working with you to resolve this mattec View OVACM See how uWre cuoWnfte ateft ImproveImprovenumas Map T wwWng Oprefereftoes ._t0 i. :: ,_ y pr . 5N�.REs r• �� ... a.. Miami shores Village Building Department fiIORIA�' 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. ✓ OPY OF LOCAL BUSINESS TAX RECEIPT r�/ C C. Y OF LIABILITY INSURANCE* D. L, 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: E46 j'e"Ice BUSINESS ADDRESS: 15-3 f8 s4 ;f9AAZ;f9/AZCITY fn/A4,4 STATE ZIP 33 Iff BUSINESS PHONE: a.f :5'LC- /7 o l FAX NUMBER(794 3 3�- '"1/2 CELL PHONE 3®2 -//7,r QUALIFIER'S NAME: /Ode QUALIFIER'S LIC NUMBER: 6 6 1300 4 .5'0 RICK SCOTT,GOVERNOR KEN LAWSON,SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD EC13006547 The ELECTRICAL CONTRACTOR Named below IS CERTIFIED Igo Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2016 . , BARROSO, JOSE E &C ELECTRICAL SEFA 8334 NW 56THy �. . DORAL v ` •� ISSUED: 02/02/2015 DISPLAY AS REQUIRED BY LAW SEQ# L1502020000538 Local Business Tax Receipt Miami—Dade County, State of FloridaLBT -THIS IS NOT A BILL-DO NOT PAY 5240627 BUSINESS NAME/LOCATION RECEIPT NO. EXPIRES E&C ELECTRICAL SERVICE RENEWAL SEPTEMBER 30, 2016 INC 5476940 Must be displayed at place of business 15398 SW 19 TERR Pursuant to County Code MIAMI, FL 33185 Chapter 8A-Art.9&10 OWNER SEC.TYPE OF BUSINESS PAYMENT RECEIVED E&C ELECTRICAL SERVICE INC 196 ELECTRICAL BY TAX COLLECTOR CONTRACTOR 85.00 08/25/2015 Worker(s) 12 04E000109 CHECK21-15-117409 This Local Business Tax Receipt only confirms payment of the Local Business Tax.The Receipt is not a license, permit,or a certification of the holders qualification,to do business.Holder must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT N0.above must be displayed on all commercial vehicles-Miami-Dade Code Sec 8a-276. For more ivdormation,visit www.mismidade govitemollector � AC+L?ltt� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 03/15/2016 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 endorsement(s). PRODUCER CONTACT Maria NAME: Blanco Insurance Assoc.,Inc. PHONE . (305)888-0524 a No): (305)883-6218 1462 E 4 Ave ADDRESS: maria@blancoinsurance.com Hialeah,FL 33010 INSURERS AFFORDING COVERAGE NAIC# ►NSURERA: Wesco Insurance Company INSURED INSURERB: Progressive Express Insurance Company E&C Electrical Services,Inc. INSURERC: Commerce and Industry 15398 sw 19 terrace INSURER D: INSURER E: Miami FL 33185 305 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. ?NSR ADDTYPE OF INSURANCE L UBR POLICY NUMBER MMMJPOLICY EFF MPEXP IMIDDI LIMITS LTR GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000.00 DAMAGE TO RENTEIY-- X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 100,000.00 CLAIMS-MADE OCCUR MED EXP(Any one person) $ 5,000.00 A WPP1373832 05/25/2015 05/25/2016 PERSONAL&ADV INJURY $ 1,000,000.00 GENERAL AGGREGATE $ 2,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1,000,000.00 X POLICY 71 JEr_T 71 PRO LOC $ AUTOMOBILE LIABILITY Ea COMBINEDBBIitSINGLE LIMIT 1,000,000.00 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED B AUTOS AUTOS 04356403-5 09/23/2015 09/23/2016 BODILY INJURY(Per accident) $ X NON-OWNED PROPPE�Ra TYDAMAGE $ HIRED AUTOS AUTOS (par. UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 5,000,000.00 C X EXCESS UAB CLAIMS-MADE BE011237568 05/25/2015 05/25/2016 AGGREGATE $ 5,000,000.00 DED I I RETENTION$ $ WORKERS COMPENSATION I WC STALIMTU- I OTH- AND EMPLOYERS'LIABILITY Y/N ER ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,K more space is required) ELECTRICAL CONTRACTOR. E&C ELECTRICAL SERVICE,INC 15398 SW 19 TERRACE,MIAMI,FL.33185 License#:EC13006547 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE MIAMI SHORES VILLAGE BLDG DEPT. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 10050 NE 2ND AVE ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE MIAMI SHORES FI 33138 ACORD 25(2010106) ©1988-2010 ACORD CORPORATION.All rights reserved., The ACORD name and logo are registered marks of ACORD ACCMEP CERTIFICATE OF LIABILITY INSURANCE DATE(MM{DD/YYYY) 03/15/2016 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 endorsement(s). PRODUCER CO E Sarai Medina -NAMEmmanuel Insurance&Associates,Inc. A No Ftl: (305)693-0003 ac No): (305)691-4381 2370 E 8TH AVE EMAILADDREss: sarai@emmanuelinsurance.com INSURER(S)AFFORDING COVERAGE NAIC# HIALEAH FL 33013-4236 INSURER A: Bridgefield Employers Insurance Company 10701 INSURED INSURER B: E&C ELECTRICAL SERVICE INC INSURER C: INSURER D: 15398 SW 19TH TERRACE INSURER E: MIAMI FL 33185 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. INSIR TYPE OF INSURANCE POLICY EFF - LIC EXP LTR INSR WVD POLICY NUMBER MM/DD MM/D LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ CLAIMS-MADE F__1 OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ :3 E POLICY J RO LOC AUTOMOBILE LIABILITY COMBINED SIN LE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS PROPERTYt DAMAGE $ HIRED AUTOS NON-OWNED per accidenAUTOS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LUAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION WC STAT OTH- RY L IT ER AND EMPLOYERS!LIABILITY 1,000,000.00 ANY PROPRIETOR/PARTNER/EXECUTIVE Y❑ N/A Y 0830-51299 07/17/2015 07/17/2016 E.L.EACH ACCIDENT $ A OFFICER/MEMBER EXCLUDED? 1,000,000-00 (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under 1,000,000.00 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,K more space Is required) ELECTRICAL CONTRACTOR. CERTIFICATE HOLDER CANCELLATION Miami Shores Village Bldg Dept. 10050 NE 2nd Ave. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Miami Shores,Fl.33138 ACCORDANCE WITH THE POLICY PROVISIONS. D REPRESENTA ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD . • ••• • •.• A R D. 2 201 `,�y��R�� �� � . ... . . . . ... Bim• � 1� fD . . . . V. . 000K Pgm :.* :* *. Sit op aO� AM .. . . . . . ... .. PAW W Z cn CITYo � � �,v W 0 M � LLI o ull LM ZD Q � ML 12- pz i cleopy a 0 a I`y o z IJ d CL �- 1 vptt5O�o SOL ftDDass 70o ,16 Rqs' �s",Tx f Y-r � �� New PVc, 1 3313 @CC.E:C GAA- �t1`�IL/t��17n e C�JAN CN c.L0110AZ. c,w-ti S L .Z_rA)S7;1'z c. LIXOM ,,�t2✓1 E c c3o0 Sysmw -r - �