The URL can be used to link to this page

EL-16-1160 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-257820 Permit Number: EL-4-16-1160 Scheduled Inspection Date: May 11,2016 Permit Type: Electrical- Residential Inspector: Devaney, Michael Inspection Type: Final Owner: JACK RUFF, NICK D ANGELO Work Classification: Repair Job Address:90 NE 106 Street Miami Shores, FL 33138-2035 Phone Number Parcel Number 1121360060010 Project <NONE> Contractor. ELCON ELECTRIC INC Phone: (954)979-5445 Building Department Comments REPLACE WEATHERHEAD/EMERGENCY PERMIT*NOT Infractio Passed Comments POWER INSPECTOR COMMENTS False Inspector Comments Passed EE/ Failed Correction / Needed Re-Inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid May 10,2016 For Inspections please call: (305)762-4949 Page 17 of 26 Miami Shores Village 10050 N.E.2nd Avenue NE Miami Shores,FL 33138-0000 Phone: (305)795-2204 k= a Expiration:X11101/2016 Project Address Parcel Number Applicant 90 NE 106 Street 1121360060010 NICK D ANGELO JACK RUFF Miami Shores, FL 33138-2035 Block: Lot: Owner Information Address Phone Cell NICK D ANGELO JACK RUFF 90 NE 106 Street MIAMI SHORES FL 33138- 90 NE 106 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone $ 1,250.00 Valuation: ELCON ELECTRIC INC (954)979-5445 (954)961-6806 Total Sq Feet: p Type of Work:REPLACE WEATHERHEAD/EMERGENCY PERM Available Inspections: Additional Info: Inspection Type: Classification:Residential Final Scanning:3 Review Electrical Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.20 Invoice# EL-4-16-59592 DBPR_Fee $2.25 05/05/2016 Check#:123860 $116.70 $50.00 DCA Fep $2.25 Educatipn Surcharge $0.40 04/29/2016 Check*123859 $50.00 $0.00 Permit dee-Additions/Alterations $150.00 Scanning Fee $9.00 Teco."logy Fee $1.60 Total: $166.70 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 zong. Futherm re horize the above-named contractor to do the work stated. May 05,2016 Authorized Signature: r r Applicant / Contractor / Agent Date Building Department Copy May 05,2016 1 Miami Shores Village �, %,;,-f �1 Building Department APR 0 20161 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 2014 s BUILDING Master Permit No. aL d6-• 1160 PERMIT APPLICATION Sub Permit No. F-JBUILDING ❑■ ELECTRIC ROOFING ❑ REVISION ❑ EXTENSION RENEWAL PLUMBING ❑ MECHANICAL [:]PUBLIC WORKS [:] CHANGE OF CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 90 NE 106 ST City Miami Shores County: Miami Dade Zip: Folio/Parcel#:11-2136-006-0010 Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder):NICANGELO Phone#:816-808-8365 Address:90 NE 106 ST City: MIAMI SHORES State: FL Zip: 33138 Tenant/Lessee Name: Phone#: Email:. CONTRACTOR:Company Name: ELCO ELECTRIC, INC Phone#: 954-979-5445 Address: 668 S MILITARY TRAIL City: DEERFIELD State: FL Zip: 33442 Qualifier Name: JAMES MCCONCHIE Phone#: 954-979-5445 State Certification or Registration#: EC0001331 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address City: State: Zip: Value of.W, ,ork for this,.Permit:$1250. Square/Linear Footage of Work*. Type of Work:`. `❑:. Addition D 'Alteration ❑ New © Repair/-Replace ., ❑ Demolition Description Of Work: REPLAC MEATHERHEAD / EMERGENCY PERMIT*NO POWER Specify color of color thru tile: Submittal Fee$ Permit Fee$ A �Pi V4.1 CCF$ 1- 2-0 CO/CC$ Scanning Fee$ G_ C 0 Radon Fee$ DBPR$ c ` Notary$ Technology Fee$ GC3 Training/Education Fee$ 0 Double Fee$ Structural Reviews$ 0 Bond$ 0•• TOTAL FEE NOW DUE$ iCJ (Revised02/24/2014) w 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 estimate va/ a exceeding 2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law o ur will be delivered to the person whose property is subject to attachment Also,a certified copy of the recorded notice of mme c me t m st be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued in t e b enc of uch posted notice, the inspection will not be appr ed and a reinspection fee will be charged. Signature Signature O NER or AGENT O TRACTOR The foregoing instrument was acknowledged before me this The foregoing instrumen as acknowledged before me this 'r)q day of ,201,by day of �A 20 by by ALI CK d1go eZL ,who is personally known to S WNts CA.CC.O'RCiUu ,who is personally known to me or who has produced Q L as me or who has produced haoLo A as identification and who did tak n oath. identification and who did take an oath. ,, ••� Beverly Drouillard NOTARY PUBLIC: +* ��X264352 NOTARY PUBLIC: a� Beverly Drouillard COMM?► C010M N�F244352 s i> J*11,2019 — aPlRES J*11, 2019 MW Aanoaddo my.c a ' �� AaRal�ltotaRr.COM Sig Sign: Print: ® ®R� Print: ®MMY DRWILIJ4R® Seal: Seal: sass**assssa�+era*�au�rese�e��*s.�s***wa�a�ra�xa��:t��e�s�ra�*say*�s�a«s��e�m�sa��*w*e*s**ssss*:e***�x�a�ax�*es��s�ss*ss«***�x«ass APPROVED BY , _ .19At_Xbf Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) KtN LAWOUIN,Or-timr-I"' Rt&K SCOTT,GOVERNOR STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD •'4 •EC0009331 T]ta ELE=CTRICAL CONTRACTOR Ntamed below IS CERTIFIED Uhdor the provisions of Chapter 488 FS. Explrefion date: AUG 31,2018 MCCONCHIE,JAMES P ::„ - ` ; LLCON ELECTRIC INC ......: t. ( s 2385 NE 30TH CT ;`•..' LIGHTHOUSE POINT '`FL 33064 "•' • • ,��• ISSUED: 07/17/2014 DISPLAY AS REQUIRED BY LAW SEQ# L1407170001385 ®ROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S.AnVALID OCTOBER 1,2015 Lauderdale, 000 THROUGH SEPTEMBER 30,2016 Receipt#:181-2961 LECT ICAL/ALARMS/CONTRACT DBA: ELECTRIC INCORPORATED Business Type:(ELECTRICAL CONTRACTOR) Business Name: i ! Owner Name:JAMES P MCCONCHIE Business Opened:05/01/1989 Business Location:668 S MILITARY TRAIL stateiCounty Caion t/ReVC0001331 DEERFIELD BEACH Business Phone:305-979-5445 Rooms Seats Employees Machines Professionals 10 For vending Bushms Only i Number of Machin: Vending Type: NSF Fee Penalty Prior Years Collection Tax Amount Transfer Fee Cost Total Paid 27.00 0.00 0.00 0.00 0.00 0.00 2T.00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Broward County and is non regulatory in nature.You must meet so County and/or Municipality planning WHEN VALIDATED and zoning requirements.This Business Tax Receipt must be transferred when + the business is said, business name has changed or you have moved the business location.This receipt does not indicate that the business is legal or that it is in compliance with State or local laws and regulations. I Mailing Address: i Receipt H10B-14-00010652 ! JAMES P MCCONCHIE Paid 09/04/2015 27.00 i 668 S MILITARY TRAIL 33442 DEERFIELD BEACH, FL I ! 2015 - 2016 f of Client#:65090 , ELCEL lMD1YYYYl ACORM CERTIFICATE OF LIABILITY INSURANCE DATE04/05/2016 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:H the certificate holder Is an ADDITIONAL INSURED,the pollcy(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 GT Michelle A.Kalicharan Gulfshore Insurance-SFI- E ;239 435-7143 m):239 213-2852 1560 Sawgress Corporate Pkwy A"p�; mkalichamn@gulfshominsumnce.com Fort Lauderdale,FL 33323 INSURER(S)AFFORDING COVERAGE NAIL 0 239 261-3646 INSURER A:Amerisure Insurance Co INSURED INSURER B:Commerce&Industry Elcon Electric,Inc. INSURER C:State National Insurance Co 668 S.Military Trail Deerfield Beach,FL E 33442-3023 INSURE : 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. TYPE OF INSURANCE IANDDL SUB POLICY NUMBER M PO Y LIMITS A GENERAL LIABILITY CPP20767520402 0410112016 0410112017 EACH X OCCURRENCE $100,00 PMSETaEE COMMERCIAL GENERAL LIABILITY $1 000 OOO CLAIMS-MADE F—XI OCCUR MED EXP(Arty one person) $1 O 000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE s2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $2,000,000 POLICY X PRO- LOC $ C AUTOMOBILE LI►ELITY QDXFL00010400 0112016 0410112017COMBINED LIMB 1 rw0,0w X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS PeraCddeM B X UMBRELLA LIAB X OCCUR SE041566492 01/2016 0410112017 EACH OCCURRENCE $2 00O 000 EXCESS LIAR CLAIMS-MADE AGGREGATE $2 OOO OOO DED I X RETENTION$O $ A WORKERS COMPENSATION WC209643301 01/2016 04/01/201 X WCsrATU TH- 0 ER AND EMPLOYERS'LIABILITY YIN OFFICEWMEMBER EXCLUDED?ECUTIVE� NIA E.L.EACH ACCIDENT $1,000,0w (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1 00O 000 If Yyes describe nurder DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$1,000,000 A Leased/Rented CPP20757520402 D410112016 0410112017 $50,000 Equipment $1,000 Deductible DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,B more space Is required) License#EC0001331 CERTIFICATE HOLDER CANCELLATION Miami Shores SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Village Building Department ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2nd Avenue Miami,FL 33138 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S989722/M989505 MAK )EL 4(0- 116 RECEIVED EXISTING CONDUIT/WIRE APR 2.9 2016 Mob, TO REMAIN BY: touffrY I SCOPE OF WORK: 1. EXISTING RISER PIPE FOR FPL FEED WAS HIT AND IS DAMAGED. WE WILL REPLACE THE 2°RISER PIPE,WEATHERHEAD AND 2/0 THHN/THWN WIRES AND RECONNECT TO EXISTING METER CAN. ***ALL OTHER EQUIPMENT/CONDUIT/WIRE BEYOND THE METER CAN IS EXISTING TO REMAIN. EXIST EXIST MLO MAIN •••• PANEL BREAKER EXIST • • •0000• 0000• METER 0 0 0 0 •• • 0000 0 • 0 0000•• 0000 0000• • 0000•• • • 0000 •• • • 0000 • •• ••••• • • •00• •• •• 0 - �-w 0 • ••• ^:'Jami S cres illage 00.00• AF r'RO, OED 0 ••• ATE i ••• • 0 • GROUNDING ^ !I^dG DEPT IS EXISTING TO • REMAIN pl Dq DEPT Bever�i Droui Wd colowN., #044352 i ECT O CCMIPI VNCE WITH ALL FEDERAL 7►_ VWM »+2M9 C'r I_,N i`f HULL S AND REGULATIONS o JA LIFT PROJECT: DRAWN SCALE SHEET NO. JAMES M C E BY: e c NICK DANGELO „ ELECTRIC INCORPORATED 90 NE 106 X MIAMI SHORES FL 33138 668 SOUTH MILITARY TRAIL SM NTS 4/27/16 DEERFIELD BEACH, FL 33442 EC000133 + FPL RISER PIPE REPLACEMENT 4 1 l� ti J i I I ~ F cl 1 � , ter- .• • • ... • acGTac •• • • • • • } ... . . . ... . . I 1, • .meq:. r r 1 _ i f i �,; �c t;ra t�', �_ gilts x � s?y�. -T^ ,•� �� • � is /•�