EL-14-903 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
nspection Number: INSP-252137 Permit Number: EL-5-14-903
Inspection Date: May 16,2016 Permit Type: Electrical - Residential
Inspector: Devaney, Michael Inspection Type: Final
Owner: CADILLA,ARTURO Work Classification: Pool - Private
Job Address:841 NE 95 Street
Miami Shores, FL Phone Number
Project: <NONE> Parcel Number 1132060142940
Contractor: MB ELECTRIC SERVICE CORP Phone: (786)325-3383
Building Department Comments
NEW SWIMMING POOL ELECTRICAL WORK Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-250607. CREATED AS
REINSPECTION FOR INSP-249601. CREATED AS REINSPECTION FOR
INSP-211773. BY YOSVANY
8 jan 16
Failed Exposed conductors and box is not supported.
2feb16
Exposed conductors and boxes not supported across the back yard.
Correction ❑
Needed
Re-Inspection
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
For Inspections please call: (305)762-4949
May 13,2016 Page 1 of 1
Miami Shores Village
6.d
Building Department MAY 14
10050 N.E.2nd Avenue, Miami Shores,Florida 33138
Tel: (305)795-2204 Fax:(305)756-8972 BY:
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20
BUILDING Master Permit No.82Ppl
PERMIT APPLICATION Sub Permit No.�Q Z/ fd3
❑BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [:]RENEWAL
❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: O ( S l
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: rBFE: FFE:
Artro
OWNER: Name(Fee Simple Titleholder): 6,A i L._ Phone#: 196-r a 5r,-' Z4 b73
Address: ` 1
City:�i"-1 :5 I'or State: V" L Zip: '33 131
Tenant/Lessee Name: Phone#:
Email: �( ,C'
CONTRACTOR:Company Name* IJh C/(.2G J lr i G Phone#: _7196
Address: 3°j SS' PAA) 1 S`C tt
City: ; Gdwle" State: F_d. . Zip:
Qualifier Name: -e os Phone#:
State Certification or Registration#: I E 000 A 0 I Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ 1.5*0 011 Square/Linear Footage of Work:
Type of Work: El Addition ❑ Alteration ®New ❑ Repair/Replace ❑Demolition
Description of Work: fp.(
Specify color of color thru tile:
Submittal Fee$— Permit Fee$ CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Bond$
Notary$ Training/Education Fee$ Technology Fee$
Double Fee$ Structural Review$
TOTAL FEE NOW DUE$ e-�4 1 . (�
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 fee will be charged.
Signature C-41-4-X� l'�,lPg,O,CS- Signature
Owner or Agent Co actor
The foregoing instrument was acknowledged before me t 's The foregoing instrument was acknowledged befo me this
day of _ 20�, by Or. day of�T 20 A by 'vSe 4;vA*7.
who is personally known to me or who has produced who is person y known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUB NOTARY PUBLICil
Sign: Sign:
Print: �t�< pw k�2_ Print: A4 o ✓P��. »�.Z .
My Com i 's ',eYHOSVANY MARTINEZ My Com '
*= MY COMMISSION#EE080681 ;=oiYPo®�ci YI{®S\IANY MARTINEZ
EXPIRES April 04,2015 °_ MY COMMISSION#EE080681
7 198-0 53 FloridallotaryServlce.eom �q'•..•'N' PIR S A�0 04*>k*�2015
*****>x* **>x>k
�y (407)398.0153 Floridallotaryservice.com
APPROVED B /c- ��Y Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)(Revised 5/2/2012)(Revised 3/12/2012))(Revised 06/10/2009)(Revised 3/15/09)(Revised 7/10/2007)
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
ELECTRICAL CONTRACTORS LICENSING BOARD (850) 487-1395
1940 NORTH MONROE STREET
•��nWE TALLAHASSEE FL 32399-0783
MUNOZ, JUSEF P
M.H. ELECTRIC SERVICE CORP
3955 NW 195 ST
MIAMI GARDENS FL 33055
------------
-- -
STATE OF FLORIDA AUS 24 1 8 9 0
Congratulations! With this license you become one of the nearly one million DEPARTMENT OF BUSINESS AND
Floridians licensed by the Department of Business and Professional Regulation. PROFESSIONAL REGULATION
Our professionals and businesses range from architects to yacht brokers,from
boxers to barbeque restaurants,and they keep Florida's economy strong. ER13014793 08/02/12 120036503
Every day we work to improve the way we do business in order to serve you better:
For information about our services,please log onto www.myfloridalleense.com. REG ELECTRICAL CONTRACTOR
There you can find more information about our divisions and the regulations that MUNOZ, JUSEF P
impact you,subscribe to department newsletters and learn more about the M.B. ELECTRIC SERVICE CORP
Department's initiatives. LICCE JSING REQUIREMENTS PRIORCAL
Our mission at the Department is:License Efficiently,Regulate Fairly.We TO CONTRACTING IN ANY AREA)
constantly strive to serve you better so that you can serve your customers. HAS REGISTERED under the provisions of Ch.489
Thank you for doing business in Florida,and congratulations on your new license! 8upisation dates AUG 31, 2014 L12080200261
_ DETACH HERE
NC# 6241890 g STATE OF FLORIDA �s_
DEPAR LATION
OFBUSINESS
SR.ACT'ORSRLICNNSING ARD SE(#L12080200263
- L SNS NBR
108/02/2012 120036503 IER13014793
The ELECTRICAL CONTRACTOR
Named below HAS REGISTERED
Under the provisions of Chapter 489 FS.
Expiration date: AUG 31, 2014 -
(INDIVIDUAL MUST MEET ALL LOCAL LICENSING
REQUIREMENTS PRIOR TO CONTRACTING IN ANY ASA)
MUNOZ, JUSEF P
M.B. ELECTRIC SERVICE CORP
1598 W 73 ST FL 33014
HIALEAH
RICK SCOTT REN LAWSON
GSECRETARY
GOVERNOR
DISPLAY AS REQUIRED BY LAW
09-10-2012
JEFF ATWATER STATE OF FLORIDA
CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORKERS' COMPENSATION
CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW
CONSTRUCTION INDUSTRY EXEMPTION
This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law.
EFFECTIVE DATE: 09/10/2012 EXPIRATION DATE: 09/10/2014
PERSON: MUNOZ JUSEF P
FEIN: 208556856
BUSINESS NAME AND ADDRESS:
M B ELECTRIC SERVICE CORP
7700 W 16TH AVE
HIALEAH FL 33014
SCOPES OF BUSINESS OR TRADE:
1- ELECTRICAL CONTRACTOR
IMPORTANT: Pursuant to Chapter 440 . 0504), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this
section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05112), F.S., Certificates of election to be exempt... apply only within the
scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05113), F.S., Notices of election to be exempt and certificates of
election to be exempt shall be subject to revocation If, at any time after the filing of the notice or the Issuance of the certificate, the person named on the notice or
certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person
named on the certificate to meet the requirements of this section.
DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01-11 QUESTIONS? (850) 413-160
PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE
STATE OF FLORIDA
DEPARTMENT OF FINANCIAL SERVICES F IMPORTANT
DIVISION OF WORKERS'COMPENSATION Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who
CONSTRUCTION INDUSTRY 0 elects exemption from this chapter by filing a certificate of election
CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDAL under this section may not recover benefits or compensation under this
WORKERS'COMPENSATION LAW v D chapter.
EFFECTIVE: 09/10/2012 EXPIRATION DATE: 09/10/2014 Pursuant to Chapter 440.05(12), F.S., Certificates of election to be
PERSON: tIUSEF P MUNOZ H exempt.. apply only within the scope of the business or trade listed on
FEIN: 208556856 R the notice of election to be exempt.
BUSINESS NAME AND ADDRESS: E Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt
M B ELECTRIC SERVICE CORP and certificates of election to be exempt shall be subject to revocation
7700 W 16TH AVE if, at any time after the filing of the notice or the issuance of the
HIALEAH, FL 33014 certificate, the person named on the notice or certificate no longer meets
the requirements of this section for issuance of a certificate. The
department shall revoke a certificate at any time for failure of the
SCOPE OF BUSINESS OR TRADE: person named on the certificate to meet the requirements of this
1- ELECTRICAL CONTRACTOR section.
(QUESTIONS? (850) 413-1609
CUT HERE
I
+� Carry bottom portion on the job, keep upper portion for Your records.
OWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01-11
006566
Local Business Tax Receipt
Miami—Dade County, State of Florida
—THIS IS NOT A BILL—DO NOT PAY
LBT .
7101991
BUSINESS NAME&OCATION RECEIPT NO. EXPIRES
MB ELECTRICSERVICE CORP RENEWAL SEPTEMBE� 30, 2014
3955+M4S5tT 7379753 Must be displayed at place of business
MIAMI GARDENS FL 33055 Pursuant to County Code
Chapter BA—Art.9&10
OWNER SEC.TYPE OF BUSINESS PAYMENT RECEIVED
ELECTRIC SERVICE CORP 196 ELECTRICAL CONTRACTOR pAPABY TAX COLLECTOR
Worker(s) 1 12E000401 $45.00 09/27/2013
TXHS1-13-078985
This Local Business Tau Receipt only confirms payment of the Local Business Tax.The Receipt is not a license,
permit,or a certification of the holder's qualifications,to do business. Holder must comply with any governmental or
nongovernmental regulatory lawe and requirements which apply to the business.
The RECEIPT NO.above mast be displayed on all commercial vehicles.—Mismi—Oade"
,9 Sec fia�276
Far more information,visit www.miamidede.acyAoxcollector
4
•_ DRIVER LICENSE CLASS
M520-435-73-311-0
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Akwo
MW196THST
�6.OH3 SEx 33066-3264
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05/02/2014 11:34 3052792549 WESTSUNSETINSURANCE PAGE 01
CERT11 05 11)2112/1IFICATE OF LIABILITY INSURANCE DAT>^iM JYYYYI
_ 4 _
THIS dtRTIFiCA7E IS•ISSUED AS A MAS OF INFORMATION Oful.lr AR-6'CONFERS NO RIGHTS UPON T14E CERTIFICATE HOLDER. PHIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICiI.S
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN 111E ISSUING INSURER($),AUTHORI2•I:D
REPRESENTATIVI;OR PRODUCER,AND:!THE CERTIFICATE HOLDER,
IMPORTANT: If the certMeate holder is an ADIII TIONAt,INSURED,the pollcy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to
the terms and conditions of the policy,certalitloolicles may require an endorsement A statement on this certificate does not confer rights to the
certificate holder In lieu of suen endorsement(!q.
PRODUCER NAME:CONTACT MAYRArACENDA --
West Sun:?et Insurance Agency 1'wO."LMEc,�xt) (38S)270-6499 nuc No: (30c 279-2549
I MW Sunset Drive,Suite#470 ADDRLESS!,....-WesISLm®bollsUuth.het
Miami,FL 33173 i •.•-•�- __._,.,. _... ... .
INSURER(S).A FOROINA COVERAOE MAIC A
Phone (305)270-6499 fax 279-2549GRANADAA INSURANCE COMPANY - -
-INSURED I INSURER A;
M.B.ELECTRIC SERVICE,CORP I INSURER C:
��N.W. 195 street INSURER b:
MIAMI GARDENS,FL 33105,5 305 _
�..._._.._... _........---- INSURER r: _._......-----•-•-- -
cO11ERAGES CERTW-idATE NUMBER: REVISION NUMBER: _
7WIS 1S TO CERTIFY THAT THE POLICIES OF rWISURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERI;D
INDICATED, NOTWITHSTANDING ANY REQUOEMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH'I SIS
CERTIFICATE MAY BE ISSUED OR MAY PERT1rIf��11,THE INSURANCE AFFORDED BY TH9 POLICIES DESCRIBED HEREnM IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POIItlCIES.LIMITS SHOWN MAY HAy�BEEN REbUcaD By PAID CLAIMS.
� R Alla SUER
11I� TYPE OF INSURANCE IN�tI� POLICY NUMBER yI/plamYY (MMlpplyyy�y LIMITS -- -
GENERAL LIABILITY
COMMERCIAL GENERALLIAmrry AGE --iFE'Nf�17
❑ ❑ CLAIMS-MADS n OCCUR PREM]`SF'`"'-(Fu-geq-Em^-e-)- $_.
A 12-0998 MED EXP(Any one rt S 5,Ot'I).QO
I❑ 08124JZ013 08124!2014 PERSONAL!R ADv INJURY $ 1,0('11,000.00
GI=NERAL AGOREGATE s 2,13(111,0M.00
GFN'L AOCREGtA_TE LIMIT APPLIE1S PER: PRODUCTS•COMPJOP ACaG $ 2,0('1),000.00
❑
POLICY PRO- I LOC - -
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- $
AUTOMOBILE LIABILITY CC) �D SINGLC UNIT $ -
❑
ANY AUTO BODILY INJURY(Per person) 9 - -
❑
AUTOS NED r'� AUTUT0.9 LEO _
❑ HIRED AUTOS I NON-OWNED
PADA Y INJURY(Per nccWertt) $
.I AUTOS O 11aY AMACE $
LI UMBRELLA LIAR OCCUR
LI EXCESS LIAR EACH OCCURRENCE 3
❑CLAlM5•MADE AGGREGATE S
-- _.._.
4VORK@RSCOMPENSATION ......__...._ ._....... $
AND EMPLOYERS'IJADIL1TYWC STATU 0TH- --- -
ANYPROPRIETORJPARTNERJEXEcLrive'" T° L'NI 1 — —
OFMCERJMEMBER EXCLUDED? N J tlt E.L.EACH ACCIDENT $
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bESCtRIPTION OF OPERATIONS bdow — —
----- -- E.L.E.LDISEASE.POLICYLIMIT $
DESCRIPTION OF OPERATIONS I LOCATIONS I VEKICLUO(Aanh ACORD t01,Ad-djj otud Remerka Schedule,If more arAce Is required)
ELECTRICAL CONTRACTOR
CERTIFICATE HOLDER — - CANCELLATION
MIAMI SHORES VILLAGE 4AUTWPRUSENTATIVE
OF TIDE ABOVE DESCRI POUCIES BE CANCEL U It BEFORE
ON DATE THEREOF,NO ILL BE DELIVERED IN
BUILDING DEPT MTH THE POLICY PR oN3.
10050 N.E.2ND AVENUE
MIAMI,SHORES,FL 3;3138ELECTRICAL SERVICE CORP,SLECTRICAL CONTRACTOR
ACORD 2S(2o70/06)OF Lei 198"010 A ORD CORPORATION. All rI91l18reserved.
The ACORD tante and logo are registered Marl-I-,of ACORD
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