EL-15-3148 J
Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-257587 Permit Number: EL-12-15-3148
Scheduled Inspection Date: April 28,2016 Permit Type: Electrical - Residential
Inspector: Devaney, Michael Inspection Type: Final
Owner: CRAWFORD,JOAN Work Classification: Alteration
Job Address:21 NW 103 Street
Miami Shores, FL 33138- Phone Number
Parcel Number 1121360131130
Project: <NONE>
Contractor: LYNCO FIRE S ALARM CORP Phone: (305)335-7824
Building Department Comments
RE-WORK KTICHEN DUE TO DAMAGE, ADD 8 HI HATS Infractio Passed Comments
LIGHT FIXTURES, REPLACE ALL RECEPTACLES, INSPECTOR COMMENTS False
INSTALL SMOKE DETECTORS
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-257566. CREATED AS
af REINSPECTION FOR INSP-257565. 04/26/2016
CANCELLED BY JEFF
Failed
Correction
Needed
Re-Inspection
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
April 27,2016 For Inspections please call: (305)762.4949 Page 28 of 47
6
Miami Shores Village
9
10050 N.E.2nd Avenue NWS
Miami Shores,FL 33138-0000
` Phone: (305)795-2204 .
3
Expiration: 27/2016
Project Address Parcel Number Applicant
21 NW 103 Street 1121360131130 JOAN CRAWFORD
Miami Shores, FL 33138- Block: Lot:
Owner Information Address Phone cell
JOAN CRAWFORD 21 NW 103 Street
MIAMI SHORES FL 33150-1233
Contractor(s) Phone Cell Phone
Valuation: $4,660.00
LYNCO FIRE&ALARM CORP (305)335-7824
Total Sq Feet: 1300
Type of Work:RE-WORK KTICHEN DUE TO DAMAGE,ADD Available Inspections:
Additional Info: Inspection Type:
Classification:Residential Review Electrical—
Scanning:1
lectricalScanning:1
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $3.00 Invoice# EL-12-15-58119
DBPR Fee $2.25 12/21/2015 Credit Card $50.00 $115.50
DCA Fee $2.25
Education Surcharge $1.00 12/30/2015 Credit Cana $115.50 $0.00
Permit Fee-Addrdons/Aiterations $150.00
Scanning Fee $3.00
Technology Fee $4.00
Total: $165.50
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
req ' RICAL,PLU N MECHANI AL, DOWS,DOORS,ROOFING and SWIMMING POOL work.
O NERS AFFIDAVIT: I certify hat I for tion is accurate and that all work will be done in compliance with all applicable laws regulating
con ction and zoning. Futherm re,I a ntractor to do the work stated.
December 30,2015
Authorized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
December 30,2015 1
Miami Shores Village ; ' ,', ( - - X'rp-
Building Department DEC 21 �0�5
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795.2204 Fax:(305)756.8972
INSPECTION'S PHONE NUMBER:(305)762.4949
BUILDING PermitNo.
PERMIT APPLICATION Master Permit No. �" 3/Y 7-
FBC 20
Permit Type: Electrical �v
OWNER:Name(Fee Sipple Titleholder): °� " A�/ 'I`'��44K® 'L40 Phone#:-3®s'g'gZ —z 2®�
Address: 0 ST
City: &. L K bI 194 State: Zip: 2 ? S
TenantUssee'Nj e:y Phone#:
Email: ®� F���� 1mbYl
JOB ADDRESS: Aly I T th W Le S"T 1 (:)*A. S"Ta a g=
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:
Is the Building Historically Designated:Yes NO ✓ Flood Zone:
CONTRACTOR:Company Name: L.%Sto \;i V_w E ALAfLAA C2Ap Phone#:T0V 335*
Address: 13'�Sga �'�ISCAtiar� �'3.LVC� $y\?La 313
City: 13co Oak& %&C&C u. State: 11 Zip: 1%12-1
Qualifier Name: �'C=1F 1��, a �-�f N1 A3 Phone#:3 OC' 3 3 Y' n 4f I
State Certification or Registration#: CC- t 30 o 3t't 6`'1 Certificate of Competency#:
Contact Phone#: 3 0 5 3 3 r' n tC ni Email Address: 6(_%FFC'C 4R t C -Stf flm W e, G AAA %L- C O M
DESIGNER:Architect/Engineer: Phone#:
Value of Work for this Permit:$ U�660 . ego Square/Linear Footage of Work:
Type of Work: ❑Address ❑Alteration ❑New Mfiepair/Replace ❑Demolition
Description of Work:__ QC- W CD.14 V(c c t.y',J %�%hyg Tom., . r,%4MAC.W. A►.nn Te A 1 %&*7
Rmpteftcr AA.L (Zakwa;popalc Tl.�cr ,� Sn%ut4 4�,ru
Submittal Fee$� Permit Fee$ /j`&i CCF$ N CO/CC$
Scanning Fee$ ` U" U"'� Radon Fee$ w c� CQ
$ ca1� Bond$
rr
Notary$ TraininglEducation Fee$ w Technology Fee$
Double Fee$ C/1 Structural Review$
TOTAL FEE NOW DUE$ 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 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 ee will be charged.
Signa. Signature
4/
Owner or Ag `, Contractor
The foregoing instrument was acknowledged before me this 2' 7 The foregoi instrument was acknowledged before me this
day of_ 0 ,20�,by 0�� CE&ilJ�•0 D , day of �;20/S ,by
who is personally known to me or who has produced who is onally to me or who has produc
identification and who did take an oath. fication and who did take an oath.
II
NOTARY LIC: N T RY P IC.
Sign: Si n
Print: L
Prin=t
Renee L Dail M Commission Expires:
My Commission Expires:6�1�g � �� My commissia,pp tasaes Y P
a Expae•oenmois
APPROVED BY a X A2�4—/�Plans Examiner - zoning
Structural Review Clerk
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SAN ANTONIO TX 78265 A:Twin City Eire Ins co
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LYNCO FIRE & ALARM CORP. Dt
13899 BISCAYNE BLVD STE 313 0E'
MIAMI FL 33181 F:
REVISION COVERAGES CE RTMICATE BEEN ISSUED To THE 9*900ED MED ABOVE FOR THE
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CERiTFICATE HOUR
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE
Miami Shores Village 0 EQU Y E RJE 0 INN WITH THE Y PRovISIONS-
Building Department AT
10050 NE 2ND AVE /44-r,
MIAMI SHORES, FL 33138 a1sW4014 ACORD CORPORATION.All rights resw
ACORD 25(2M4M) The ACORD mwe and NW are reg ed mwks of ACORD
_ LYNCRR OP ID:JC
ACOR04UA'TE
CERTIFICATE OF LIABILITY INSURANCE 11HRIf201S
THE cE;tVFICATE E ISSIJED AS A NIRTTER OF RAFORNK11ON ONLY AND CSS NO MOM UPON THE C8RTFICATE HSR.THE
CERIMME DOES NOT AFFIRMAIWELY OR NEGATIVELY ARY®ND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
POUCMB
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THRS C.ER104CRIE OF �DRANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ESlAl16i
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INlN7'ANT: N De a Iter is an A�a�lAl. .De p �t 6e Onaomed. It SI�QATION K WANED,sui t to
the teaPNrb<and condlEcosof the pots oNhft 11mey an endorsement. AidebroEffiliclidd8cffift to does not C r 10 the
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North Mlwnl Beach,FL 33181 o-
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COVERAGES CERTIFMTE NUMBER: REVISION NUMBER:
THIS E TO CERTIFY THAT THE POLIOS OF INSUIMNCE LUTED BELOW HAVE t 1ISSI TO TM OMMM NAMED ABOVE FOR THE PAY PERM
01MCKTED. NOTAITFBTANOM ANY RECAAFMIAENT.TEW OR CONATION OF ANY CONTRACT OR OTHER DOCLMENT WITH RESPECT TO MW THIS
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ELh>mise :13003 I for FRm Alarms.
CERTIFICATE HOLMR CANCELLATION
t37YMIA
SHOULD ANY OF THE ABOVE DESCIUM PODS BE CAWCELLED lNaOIVE
THE munitATION DATE THEREOF, NOT= VALL BE DELNEMW IN
City of Mleml Shores ACCORDANCE WITH IME POLICY PROVISKM
Building&Zoning Departinerit
10050 N.E.2nd Avenue AVraoROMR@40arATM
Mini SIS,FL 33136 J*4
®108-20'14 ACORD CORPORATION- AR lights
ACORD 25 P1114M) The ACORD name and logo are registered n>lwu of ACORD
RICK SCOTT,GOVERNOR KEN LAWSON,SECRETARY
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
ELECTRICAL CON^xRACTORS LICENSING BOARD
EC'13003787 ADDITIONAL- BUSINESS C1AL ►7 SON
Thi-ELECTRICAL CONTRACTOR
Miriied-below IS:CERTIFIED
Unkiot:A t® Chapter 489,17S.
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pnJon date: AUG 31 2016 r
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LYNidti JEFFREY NEIL
LYNCfl'FIRE 8 N •
1388.9. FSCAYNE B - 513
SUITE 313 . '
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NQR�I'1` IAI'BEACH ' M' .' •
ISSUED: 07/14/2014 DISPLAY AS REQUIRED BY LAW SEQ# L1407140001119
T • -Mobile-e
This message was sent to you by a T-Mobilewifegess phone.
Local Business Tax Racer
Miami—Dada County. State of Flortdaa
=i19.S 19 NOTA BRI - DO NOT PAY3054095
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NAt MILOATPM rdww"tom. EXPIRES
LW=FW s AMM CDW Mwww SEPTEMSER 30, 2016
13M M=W*BLVD 313 14244ft Must be ftowyed at pk=of bu�
NORM MM 6E'UX R 33191 Puaum u County Code
CbapW 8A-Art.9&10
OWUM SBC.TVPB OP BYSt1EW PAYOMM F41CX3WIW
LYNCO FOE&NARM CORP 496 ELECTRICAL OONTRACTOR By rax couLCTCM
W s) 5 EC13003M $45.OD OS/20/2015
CHECK21-15-116030
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LYNCO ALARM CORP.1300 SIMMM Boulevard Sells 313
NOICIVIMMINEACK FLOC 38181
TE3:3OS4147.9M FAM 3@Se47-27iR
STATE LIC S EC13003M
U.L 8100446-W
Navamber 23,2[115(Revlsed 2)
Service Mader Red"
1421 Salt 10r Avenue Suite 223
Miami.Florida 33174
Jin Smith(3 .5)899.16W
JSmith[d Qndcemastsrbvaloha com
MMIM REND1fAT 1 ME TO FIRE AND Hmg"amgm SLETMCA ,
Lyreo Fire&Alarm,EIS Dnr sku%will install new w'93ng and devices as specified below
1. Irk ttuee(3)naw GFCh catuiledop receptacles In the kitchen. One ftht of sink$left and right sift of the stave.
--2. -PtowifttmwmdappbwmkftheackwftpwcockL
3. Install raw*sing for the tallanvig
a. Stave
b. Dishwasher
c. Nya+oweve oven
d. Rolldgeriaor
e. Disposal with switch
4. Install foam(4)new fr hi fast care with wh0e battle trims and LED lon"in Michan,
5. 1 slallrumceft amt in ter of kitchen calling with approved fan box
a. Exieft switches to be reused at the same lawn.
b. Proves row preset skis dimmer for N hats.
6. Irate(3)now hard wired smoite deters with batter buck-up,Interconnected per current rent code.
7. Install four(4)now(°hi hat cam with witte beftle trims and LED in to dining roam cum.
Install new coiling auto Irk car of dingy roomCeft with approved fan box
a. Provide now preset sHkle Omw for to hams and dimmer far carder W over table.
9. Install two light ocelots In the Flari a roan with a switch'p y"located by the egress door.
a. Surlhce conduit or racy will be reqt&W for this InstallatiorL
b. Parer to care frau the nearest lime sounxL
10. Ind ARC font circuit it takers for the two bedroans per current code.
11. Add am row receplecle in each bedroom on exterior wags where none exist.(Wks under house)
12. kistall new GM feceplade iaide of the batunom,an an trdarior wwU area next to the sink.
13. Repiaoe (22)receptacles with self groumiung type. Started style,rimy cow
Notes:
• Electrical Permit is required for the work Ad amciated fees will be billed 10 the Card,to tndtxth Moi er fees,as a
separate Item
• NO corrections of any existing wnV or code violations,atter than mentioned above,have been Incluiled in this crest.
• This quote does not itcktde any plants or bad calculation for the City.
• All Pefchitg Of any are to be made by the.c�erit _
�Y i6are ► in 1 through 13 above have been i cl m tae cost.
• Any l work or
requested by the Client of a tha ft having puisstdio n('The City and the Bectrical
Irepetdal will be billed as additional watt at our cu nord labor rates.
Warrardy: AN kdxw and maters provided by Lynco Fie&Alarm are installed as specilled and is waited for a period of
am year. Wimkolve of )
Talar Cost~ $4.680.00
BalanceDeposit $X33O
Due lin Fid!upon Completion of Work �
$ M4
r � ata m� � .aY ry
bb �� a!
�ww �
ire= tom: Z.21A `1-O
Jeffrey N.Lyrm
President