EL-15-2033 •
f222L'/ S�;- 1?vy
Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores,FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-254355 Permit Number: EL-8-15-2033
Scheduled Inspection Date: May 18,2016 Permit Type: Electrical- Residential
Inspector. Devaney,Michael
Inspection Type: Final
Owner: CAUCHI, PAUL&MAGDALENA Work Classification: Addition/Alteration
Job Address:131 NE 96 Street
Miami Shores,FL Phone Number
Parcel Number 1132060132590
Project <NONE>
Contractor: FUSE ELECTRICAL INC Phone: (305)970.4379
Building Department Comments
ELECTRIC FOR KITCHEN REMODEL Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-241252 Need the following
E� tamper proof receptacles,
20 amp receptacles for the disch washer,disposal and refrigerator.
4 wire cord on range.
Failed Breaker blank in panel.
Correction
Needed
Re-inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
May 17,2016 For Inspections please call: (305)762-4949
Page 14 of 44
eat za�AIN = d
€<- 3
•5a 3?i
V
Miami Shores Village
10050 N.E.2nd Avenue NE
Miami Shores,FL 33138-0000
a "3 }a
Phone: (305)795-2204 Q ti
� Expiration: 04/261201
Project Address Parcel Number Applicant
131 NE 96 Street 1132060132590
PAUL&MAGDALENA CAUCHI
Miami Shores, FL Block: Lot:
Owner Information Address Phone Cell
PAUL&MAGDALENA CAUCHI 131 96 Street
MIAMI SHORES FL 33138-
131 96 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone Valuation: $ 500.00
FUSE ELECTRICAL INC (305)970-4379 Total Sq Feet: 0
Type of Work:ELECTRIC FOR KITCHEN REMODEL Available Inspections:
Additional Info: Inspection Type:
Classification:Residential Final
Scanning:1 Meter Box
Alteration
Relocation
Fire Alarm
Service Change
Review Electrical
W.W.
Underground
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $0.60 Invoice# EL-845-66691
DBPR Fee $2.25 10/29/2015 Credit Card $159.10 $0.00
DCA Fee $2.25
Education Surcharge $0.20
Permit Fee-Additions/Aiterations $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 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,RO ING a WIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information is a e d tha ork will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore,I authorize the above-named co 0 o fated.
1 L October 29, 2015
Authorized Signature:Owner / Applicant / Con Ctor / Agent Date
Building Department Copy
October 29,2015 1
Miami Shores Village F LCCl L4 SO
Building Department
� AUG 1 2015
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(q
BUILDING Master Permit No.im 1 :5 -
PERMIT
: -PERMIT APPLICATION Sub Permit No. F L- 6-1S- 2Dn
❑BUILDING `ice ELECTRIC ❑ ROOFING ❑ REVISION ❑EXTENSION ❑RENEWAL
❑PLUMBING [:] MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION [:] SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS:
City Miami Shores County: Miami Dade Tin:
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: �yFFE:
OWNER:Name(Fee Simple Titleholder): Phone#: q9 �"- yev
00 n rt, (
Address: t 5 G
City: 1`-'1 i®Cg:�j State: Zip: 331
Tenant/Lessee Name: Phone#:
Email:
ODNTRACTOR:Company Name: FLI°SG 51 C. 1 n C, •
Address: i44 Qrci z- t t�r 1 y e,,
City: H n 11 V vJ Cad State: F"L. Tip: 3n0&1
Qualifier Name:—1-1 rn n CEOzl Cit n Phone#:
State Certification or Registration M F-C- to 5010 Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: G(ty: State: Zip:
Value of Work for this Permit:$ 500 Square/UnearrFF k:
Footage of Wor
Type of Work: ❑ Addition ❑ Alteration ❑ New 9 Repair/Replace ❑ Demolition
Specify color of color thru tile.-
Submittal
ile:Submittal Fee$ Permit Fee$ CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ O °
(ReWsedo2/24/2014)
i
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 wont 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.
1 _
Signature Signature C4r1L--
OWNER or AGENT CTOR
The foregoing instrume twas admowledged before me this The foregoing instrumen was acknowledged before me this
Q0 day ofn U 20 �J .by 2-4 day of ., �-+�111 .20 by
�jM�GC7ACJ�t�.�n �1 `'A�who is personally known to L%Cora' GWO W.who is personally known to
me or who has produced EL beW�V— �.(Q.0Nas' 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: �®k:3,
Print: Print:
Seal: a,9ar Notary Public state or Florida Seal: ,,...,,
Sindia Alvarez DANA POTGIEtER
+� �T My Commission FF 188750 c Notary Public-State of fl0rida
"6006 Expires 0=31201a 'spy My Comm.Expires Noy 11,2017
ssssssssssss ssssass+€sssssssassessss s!r $ssss� iisess ssss$ssssss
APPROVED BY Plans
4- Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
w DATE@1LIIOD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE 8/11/2015
THIS CERTIFICATEW ISSUED AS A MATTER OF INFORMATIONONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATEHOLDER.THS
CERTIFICATE DOES NOT AFFIRMATIVELYOR NEGATIVELYAMENO,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED
REPRESENTATMOR PRODUCER,AND THE CERTIFICATEHOLDER.
IMPORTANT:If firs cartilkabdolderfs an ADDITIONALINSURED.the policy(laspiust be endorsed.If SUBROOATIONIS NMIVED,subjedto
firstemisandcarldifionso►firs pollwperteinpolklemIsymuhemledonemenLA Bt8t6(rlelWil thisce l icatedeesnot conferrightatoMe
carttlicatsfie derin Ter of such andomermnt(s).
PRODUCER CONTACT
NAME
SOUTH FLORIDA CASUALTY PHONE
No (561)533-6144 F")Ne: (561)533-6170
415 North 4th Street E-Mpa
ADDRESS: Elaine@sfcins.n®t
Lantana, FL 33462 INSI)NER(S)APPORDINGCOVERAGE NAM
INSURERA: Wesco Insurance Company 25011
INSURED Fuse Electric Inc. INSURER B: Technology Insurance Company 42376
4950 Sarazen Dr. INSURERC:
Hollywood, FL 33021 INSURERD:
305-970-4379 INSURER E
INSURERF:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BEDW HAVE SEN 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 M SIBJECr TO ALL THE TERMS.
EXCLUSION8ANDCOND)TION S OF SUCH POLICIES.LWIrS StORJMAY HAVEREDUCED BYPAD CLANS.
TYPE OFINSURANCE POLICY EFF POLICY EXP
ane POLICY NUMBER UNITS
GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
R COMMERCIAL GENERAL LIABILITY PREA08E8 ooaamim $ 100,000
CLAIMSd1ADE n OCCUR MEDEXP(Amorep—) $ 5,000
A WPPI067001-03 /2/15 /2/16 PERSONALSADVINARY $ 1,000,000
GENERA. AGGREGATE $ 2,000,000
Gen.AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPUDPAGG $ 2,000,000
X POLICY P7�ECTLOC $
AUTOMOBILELIABILITY COMBIIEDSINGLEUMIT
amideat $
ANYAUTO
BODILYINMRY(Perp—) $
ALL OWNED SCHEDULED BODILY INUURY(Per .Wrd) $
AUTOS AUTOS
NONOWNED PROPERTY DAMAGE $
HIRED AUTOS AUTOS PeremMeM
$
UMBRELLA LIM EACH OCCURRENCE $
EXCESS UAB HCLAIMIPAADE AGGREGATE $
DED RETENTION $ $
WORKERS COMPENSATION WC� STA
AND EMPLOYERVUABILTY Yin X —UNITS I MR fA TNC3492334 /8/15 /8/16 EL EACH ACCIDENT $ 1,000,000
Obndetor"NH) EL DISEASE-EA EMPLOYEE $ 1,000,000
I}yea,deea0e ager
DESCRIPTION OFOPERKnONS b bw a I EL DISEASE-POUCY UMI $ 1,000,000
DESCRIPTION OFOPERATIONSfLOCATIONS/VEHICLES(ATOM ACORD 101,Addifix lR—I.Sd.".ff—epaoe ieiequmm
License #: EC13005070
CERTIFICATE HOLDER CANCELLATION
Miami Shores Village
SHOULD ANY OF THE ABOVE DESCRIBED PCwCEs BE CANCELLED BEFORE
Building Department THE EWIRATION DATE THEREOF, NOTICE WIL BE DELIVERED IN
10050 NE 2nd Ave ACCORDANCEWITHTHE POLICY PROVISIONS.
Miami Shores, FL 33138
AUTHORIZED REPRESENTATIVE
A 4W
01988-2010 ACORD CORPORATION. All rights reserved.
ACORD25(2010005) The ACORD name and logo are registered marks of ACORD
4
BROWARG COUNTY LOCAL BUSINESS TAX RECEIPT
115 S.Andrews Ave., Rm.A-100, Ft. Lauderdale, FL 33301-1895—954-831-4000 ik
VALID OCTOBER 1,2015 THROUGH SEPTEMBER 30,2016
Dom:FUSE ELECTRIC INC ` Receipt#:ELEC RICAL/ALARMS/CONTRACT
Business Name: Business Type:(ELECTRICAL CONTRACTOR >
1=
Owner Name:LZRONozLAtu Business Opened:08/01/2012 '
s Business Location:4950 SARAZEN DR State/County/Cert/Reg•EC13005070
0 HOLLYWOOD Exemption Code:
Business Phone:305-970-4379
s
Rooms seats Employees Machines Professionals
l s
j For Vending Bmhms Only
I; Number of Machines: trending Type:
Tax Mmr-t. Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paid l
27;00 0.001 0.00 0.00 0.00 0.00 27.00
J.
I
y 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
ry non-regulatory in nature.You must meet all County and/or Municipality planning
WHEN VALIDATED and zoning requirements. This Business Tax Receipt must be transferred when
the business is sold, 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.
Mailing Address:
j; FUSE ELECTRIC INC Receipt #05A-14-00009467
4950 SARAZEN DR Paid 09/29/2015 27.00
t
HOLLYWOOD, FL 33021
z
Y
2015 - 2016
10
f .....
... .. .. ............. i°►. .t'`L'"1K!P...._. .. —_ .._... .. _......