The URL can be used to link to this page

EL-15-893 Inspection Worksheet �Z Miami Shores Village 1 S 10050 N.E.2nd Avenue Miami Shores, Fl- Phone: LPhone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-232644 Permit Number: EL-4-15-893 Scheduled Inspection Date: May 06,2016 Permit Type: Electrical- Residential Inspector: Devaney, Michael Inspection Type: Final Owner: SUB LLC,SRP TRS Work Classification: Addition/Alteration Job Address:10540 NE 2 Place Miami Shores,FL 33138- Phone Number (954)671-1400 Parcel Number 1122310130540 Project <NONE> Contractor. VICON ELECTRIC INC Phone: 954-486-7010 Building Department Comments KITCHEN/BATH REMODEL tnfractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed E�r Failed4K. Correction Needed Re-Inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid May 05,2016 For Inspections please call: (305)762-4949 Page 3 of 28 K l 1 3 Miami Shores Village \ �3 10050 N.E.2nd Avenue NE Miami Shores,FL 33138-0000 3 3 Phone: (305)79-r-2204 F� �0 Expiration: 1 112312015 Project Address Parcel Number Applicant 10540 NE 2 Place 1122310130540 SRP TRS SUB LLC Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell SRP TRS SUB LLC FL (954)671-1400 Contractor(s) Phone Cell Phone Valuation: $ 3,000.00 VICON ELECTRIC INC 954-486-7010 Total Sq Feet: 0 Type of Work:KITCHENBATH REMODEL Available Inspections: Additional Info: Inspection Type: Classification:Residential Final Scanning:1 Meter Box Alteration Relocation Fire Alarm Service Change Review Electrical Underground W.W. Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.80 Invoice# EL-4-15-55217 DBPR Fee $3.38 05/27/2015 Check#:7126 $189.56 $50.00 DCA Fee $3.38 Education Surcharge $0.60 04/16/2015 Check#:7069 $50.00 $0.00 Permit Fee-Addrdons/Alterations $225.00 Scanning Fee $3.00 Technology Fee $2.40 Total: $239.56 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. Futhermore,I authorize the above-named contractor to do the work stated. ply May 27,2015 Authorized Sig ature:Owner / Applicant / Contractor / Agent Date Building Department Copy May 27,2015 1 i Miami Shores Village7APR CE Building Department1 201510050 N.E.2nd Avenue,Miami Shores,Florida 33138Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(30S)762-4949 FBC 20 ((� BUILDING Master Permit No.Ric,-Al -_I5' a 1 PERMIT APPLICATION Sub Permit No. ❑BUILDING 0 ELECTRIC F-1 ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 10540 NE 2nd Place City Miami Shores County Miami Dade zip:3 3 3 Folio/Parcel#: I I - �,djj - 013 - OSLI.C) Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: 5Rp ja SLa nC OWNER:Name(Fee Simple Titleholder): Phone#: Address:700 W. Cypress Creek Suite C-103 City: Fort Lauderdale State: Florida zip: 33309 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: Vicon Electric Phone#: 954-972-8027 Address: 520 SW 63rd Terrace City: Margate State: FLorida Zip: 33068 Qualifier Name: Glen Grant phone#: 954-972-8027 State Certification or Registration#: EC-000-2072 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address City: State: Zip: Value of Work for this Permit:$ DO<) Square/Linear Footage of Work: Type of Work: ❑ i `Addition Alteration ❑ New 1:1Repair/Replace ❑ Demolition Description of Work: )t ti "ek% bo�� (re.r"r�11Pj' Specify color of color thru tile: Submittal Fee$. � 'co Permit Fee$ �f o�� CCF$ cO/cc$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ QQ Q TOTAL FEE NOW DUE$ �7 N (Revised02/24/2014) 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 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 ection fee will be charged. Signature Signature ;OWN GENT CONTRACTOR The foregoing instrumwas acknowledged before me this The foregoing instrument was acknowledged before me this day of 3 .20 )-Is- .by day of M�tC./.� ,20/ by 4o.-r Cup ,who is pe I ow to Vw is ersonally known 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: Sign: dv Sign: Print: Print: oqP 9� Seal: a; Notary Public-State of Florida FIRE PREMy co►�Nssion Expires Nov 7,2017: Seal: A �, ION#EE�21Connission#FF 55651 - EXMarch 20�^� PUbI APPROVED BY Plans Examiner Zoning Structural Review Clerk (RevisedO2/24/2014) _ 'ami Shores Village FxC �� 1 v% EV S U ilding Department 00I 4 2015 E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:-(3D5)76Z-0949 �FBC 20 BUILDING Master Permit No.�c�c� PERMIT APPLICATION Sub Permit No F-1 BUILDING ©ELECTRIC ❑ ROOFING REVISION ❑EXTENSION ❑RENEWAL ❑PLUMBING ❑MECHANICAL []PUBLIC WORKS ❑CHANGE OF ❑CANCELLATION [�SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 10540 NE 2 PL City: Miami Shores County: Miami Dade Z10 i alio/Parcel#:11-2231-013-0540 Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: SFE; FFE: OWNER:Name(Fee Simple Titleholder):SRP TRS SUB LLC Phone#: Address:2700 W CYPRESS CREEK RD D 118 city: FORT LAUDERDALE State: FL Zip: 33309 Tenant/Lessee Name: Phone#. Email: CONTRACTOR:Company Name: Micon Electric Phone#:: Address: 520 SW 63rd Tetrad City: Margate State: Florida 33068 Qualifier Name: Glen Grant Phone#: State Certification or Registration#: ECO002072 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Z(p: Value of Work for this Permit:$ 10 0 Square/Linear Footage of Work: Type of Work: ❑ Addition CK Alteration ❑ New ElRepair/Replace ❑ Demolition Description of Work:�eC' ,, C j !'e'N) 1 n Specify color of color thru tile: Submittal Fee$ Permit Fee$ 1®y CCF$ oo/cc$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ TrainkWEducatkm Fee$ Double Fee$ Structural Reviews$ Bond$ (ReWsedoT/24/2014) TOTAL FEE NOW DUE$ b 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. 1 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$25W, the applicant must promise in good falth that a copy of the notice of commencement and construction lien low brochure will be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the jab site for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged , Signature Signature NER .aia—�— or AGENT CONTRACTOR The foregoi strument was acknowledged before me this The foregoing instrument was acknowledged before me this 9 _day of 11 20 1 S "by q day of 20 by is rsonally known Cl&n Cs rcan who rsonaify known me or who has produced as me or who has produced as Identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC- NOTARY PUBLIC: Sign' Sign: Print: �� e -�33� ?>' Print: Seal 1PHYePLG1 ii NADINE AUSTERFIELD cl ;<l° u°' Notary Public-State of Florida Seal: o� �' NADINE AUSTERFIELD My commission Expires Nov 7,2017 * Notary Public-State of Florida J v, Commission FF 55651 My Commission Expires Nov 7,2017 j a�? �. °F+i° A'$ g aF Fro Comm?sslon, FF 55651 s**r**s**** s** *ssss**s*ssss****ss **:tiers*�i*ssss**ss*rsssss*sss *rsssis*sss* APPROVED BY � Plans Examiner Zoning Structural Review Clerk (ReviseM2/24/2014) I A CERTIFICATE OF LIABILITY INSURANCE1 3/19/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND COQ NO RIGHTS THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFF�IATWEL.Y OR NEGA7NELY AMEND, EXTEND OR ALTER' CO�AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN E WSUING WSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND 711E CERTIFICATE HOLDER i IMPORTANT: if the certlUcats homer ft an ADDITIONAL 11ORED,the les)must be endorsed. 0 SUBROGATION IS WANED,subject to the terms and condWorts of the poft7,certeln poems may regWm an endomemeft A saftmerd on do cmtif(a u does not conferrW is to the cwWkmb holder In f8B of such andorsemerift i Reyes Coverage Insurance v'd Raano 5900 Hiatus Road - Tamarac FL 33321 dra oke esc ra com 13228 0WUR13MAPR ARAM NAIf:O INSURED A: ss ciated Industries Ins. Co. 23140 Vicconon Electric, Inc 520 SN 63 Terrace $: esco In urancel o Margate FL 33068 BSC: I JUSUPERE: COVERAM CERTIFICA'M NUMSER:1434441687 ER: THIS IS TU CERTIFY THAT THE POLICIES OF WWRANCE UWM MOW HAVE BEEN ISSUED TQ THE INSURED AC30VE FUR THE POI ICY 1�G4�F1CA�! �2 Pi�i �1N31JRAPAFFORUED�81f TFIE POLK�ES�DE5CR1� �SU�� TO ALL,THE TERINfi,EXCLUSION$AND CUND1710NS OF SUCH POLICIES.LfC48T3 SHOWN t#AY HAVE�REDUCED PAS CLAIMS. 'ip TrPE 0I:B p p PpiCY i U16T8 8 .LIAB®ITY Y WPP11S5789-00 /19/2015 3!19/2016 H� 51,000,000 X COMMERCIAL GENERAL UARU Y a OCCUR Qb i rt $50,000 p� VpWBm $10,000 PERSONAL&ADVM.WRY $1,000,000 AGGREGATE $2,000,000 GENLAGGREQATELOUT APPLES PER: -COMPl3PAGG $2.000,000 POLICY M LOC g AUTONG81LEUABRM OMMMSOMELMOT S ANY AUTO ALL OWNED AUTOS somYip $ ILYtNJURY(Pera tQ $ PULED-AUTOS HIRED AUTOS POOPEMOAMAGE $ NON AUTOS $ 5_ UlASRELLAUAaOCCUR EACHOCCUIVEWCE . excess UAB HWAISMADEA"IEGAM 5 OE10UCT1SLE S RETENTION A AWC1038107 11/20/2014 11/20/2015 X 5 AND "SPLAAMUM YIN OTHI 1Y inExtXU�9 El MIA E L EACH!ACCIT 5500,000 ELL.MEASE EMPLOYE $500,000 N �TtUfSte1GW EL OL A,9E-POLtCYLmr s5oo.000 Dt01CR7PT10N OPeRAT1OIM/U)CATIODI$/1 V ACORD t09,A Selo,B mo t o space fs req-rad) License no. EC0002072 CERTIFICATE HOLDER CANCELLATION 30 Das Notice / 10 Das for Non-Pa SHOULD ANY OF THE ABOVE 18010BED POUCWS BE CANCELLED BEFORE THE EXPIRATION DATE Tii NOTICE WILL BE tN:i N Bt ACCORDANCE W[TH THE POLICY ONB WW Miami Shores Village Building Department 10050 N.E. 2nd Avenue AUTHOSSEDAn Miami Shores FI, 33138 1 ®1 Act CORPORATIM n.r es Via. ACORL1.26(2009M) The AGORD name and Igo we regletered mals of ACORD