EL-16-1036 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972 C
Inspection Number: INSP-257129 Permit Number: EL-4-16-1036
Scheduled Inspection Date: September 06, 2016 Permit Type: Electrical - Residential
Inspector: Devaney, Michael Inspection Type: Final
Owner: ROSE, CHARLES Work Classification: New
Job Address: 150 NW 108 Street
Miami Shores, FL 33138- Phone Number 954-882-3338
Parcel Number 1121360090050
Project: <NONE>
Contractor: JULIO ELECTRIC CORP Phone: 786/346-7597
Building Department Comments
INSTALL MINI SPLIT UNITS A/C POWER AS PER PLANS Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction
Needed
Re-Inspection
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
September 02,2016 For Inspections please call: (305)762-4949 Page 3 of 29
-4 ., 036
lea RE Miami Shores Village i eilti )
10050 N.E.2nd Avenue NW 111jCICet(it.
Miami Shores,FL 33138-0000
P /t #in,APfROV
Phone: (305)795-2204
F R�
Expiration: 10/31/2016
Project Address Parcel Number Applicant
150 NW 108 Street 1121360090050
CHARLES ROSE
Miami Shores, FL 33138- Block: Lot:
Owner Information Address Phone Celt
CHARLES ROSE 150 NW 108 ST 954-882-3338
Miami Shores 33138
Contractor(s) Phone Cell Phone Valuation: $ 1,200.00
JULIO ELECTRIC CORP 786/346-7597
Total Sq Feet: 0
Type of Work:INSTALL MINI SPLIT UNITS A/C POWER 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 $1.20 Invoice# EL-4-16-59447
DBPR Fee $2'25 05/04/2016 Credit Card $ 110.70 $50.00
DCA Fee $2.25
Education Surcharge $0.40 04/19/2016 Credit Card $50.00 $0.00
Permit Fee-Additions/Alterations $150.00
Scanning Fee $3.00
Technology Fee $1.60
Total: $160.70
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 ELECT A , LUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFIDA IT: I ce a regoing information is accurate and that all work will be done in compliace with all applicable laws regulating
construction and zo ' g. ut e, aut on a the above-named contractor to do the work stated.
May 0 ,2016
Authorized Signature:Owner / Applicant / Contractor / Agent ate
Building Department Copy
May 04,2016 1
Miami Shores Village APR 2,59016
Building Department
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(30S)762-4949
FBC 20
BUILDING Master Permit No. MC i S - 118 35
PERMIT APPLICATION Sub Permit No. aL ifo- w36
❑BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS:
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:_ H- 2136 — 0 t® o M Sols the Building Historically Designated:Yes NO_
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
' 2
OWNER:Name(Fee Simple Titleholder): -e- Phone#: 7 51`J U 3 3
Address: r!� �L�l� 1�6 S
City: State: Zip:
Tenant/Lessee Name: Phone#:
Email: �-
CONTRACTOR:Company Name: \:4i l0 'F KC MO. Phone#:-7c-P TV-1" 7S-,,5 7
Address: ` !� ( l_�) 7 l C-2—
City: Ic State: l 0 a Zip:
Qualifier Name: tA UU " Phone#:71:6
State Certification or Registration#: Certificate of Competency#: h Z�
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ �o��� Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration M New F-1 Repair/Replace ❑ Demolition
Description of Work-
�V v s
Specify color of color thru tile:
Submittal Fee$ - Permit Fee$ 4. /APD CCF$ �A�_� CO/CCI$
Scanning Fee$0.IAZ Radon Fee$ 2 , 2-5 DBPR$ 2 . 2G Notary$
Technology Fee$ "�® Training/Education Fee$ ()` 14 0 Double Fee
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ ® ,
(Revised02/24/2014)
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 a reinspection fee will be charged.
Signature i, Signature
OWNER or AGENT V CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
"&lay of ZO�� by day ofl 20 �� by
who is personally known to Gd' L�S� who is personally known to
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: EN Sign:
Print: �r MY COMMISSION E FF9d4134 Print: {ON1
EXPIRES February 11,2020
Seal: icor .53 RonMNoa� Seal: i•: �'� My COMMISSION#FF964134
EXPiRE3 February 11,2020
1�Or 398.0'53 8anlce.ear
***�*�s�**r�*r*****�******x�•x�rx�r�**********w�*********�x*:x�*�*x�*�***r*r*r*�***s**��***�***x�*x�*w*�rwrw********:
APPROVED BY ��G� /6 Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
STATE OF FLORIDA
DE ARTIUM NT Oh EUSINESS AND PROFESSIONAL REGULATION
ELECTRICALCONTRACTORS LICENSING BOARD (850)487-1395
1940 NORTH MONROE STREET
TALLAHASSEE FL 32399=0783
REYNOSO,;JULIO C
JULIO ELECTRIC CORP.
3861 SW 31 CT
HOLLYWOOD FL 33023::
(ongratulaionst Stith ailsray 'become c►r<e ref the rrearty
-
one million Florfdians licensed by the Department of Business and
Professional Regulation. Our professionals businesses range "AT OF FLORl0
from architects to yacht brokers,from boxers to barbeque restaurants,
and they keep Florida's economy strong. A14N
Every day we work to improve the way we do business in order to EC 1 SQf,1517 7111 t ¢14 f
serve you better. For information about our services,please onto
www.myooridakerme.com. There you can find.more,information ry CERTIFIED E
about our divisions and the ulations that impact you;subscribe r
to department newsletters a team more about the Departments F3�NC)
JULIO OL
initiatives.
Our mission at the Department is:License Efficiently,Regulate Fairly. k l
We constant! strive to serve you better so that you can serve your
customers. Thank you for dog business in Florida,
YS >aTt�reo�n8ea�the p�`aui�}r��s#i 48S�� ..
and congratulations on your new license4s
DETACH HERE
RICK SCOTT,GOVERNOR IGEN LAWSON,SECRETARY
STATE
DEPARTMENTT t3F BU$IOF FLORIDA
ESS AMEN PROFESSIONAL REOUL�4TION
ELECTRICAL CRMCTORS LICENSING SOARD
,
EC43M4-74
TE ECTRICAL w
CONT tACTOR °
Natn6d below IS ERTI RED
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ISSUED: 07116=14 DISPLAY AS REQUIRED BY LAW SEQ# L940716MOM9
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BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT
115 S.Andrews Ave., Rm.A-100,Ft. Lauderdale,FL 33301-1895 95"31-4000
VALID OCTOBER 1,2015 THROUGH SEPTEMBER 30,2016
DBA:JULIO ELECTRIC CORP Re+celpt#:181-3093
L CTR�ICAL/ALARYS/C<?P TRAACT
Business Name: Business Type:(UNLIMITED MAST911 ELKCTRICi )
Owner Name:JULIO ELECTRIC CORP BtisinessOpened:07/13/2004
]Business Location:3861 $W 31 GT StatetCounty/Cert[Reg:EC13006174
MIAMI >f3ADE C(?UATTY Exemption Code:
Business Phone:786-346-7597
Rooms seats temployees', Machines Professionals
For vending'Aushwas only
Number of Machines: V®nding Type:
Tax Amount Transfer Fee NSF Fee Penalty Prior Years Caileciiiart Dost Tata/Paid
27.00 0.00 0.00 11.00 fl00 0.00 27.00
i
i
THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN FOUR PLACE OF BUSINESS
THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Bro3roard County and is
non-regulatory'In nature.You crust meet all County and/or Municipality,planning
VW19N VALIDATED and zoning requirements.This Business Tax Receipt must be transferred n
the business is saki, 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 lam and regulations:'
Malting Address
JULIA ELECTRIC CORP Receipt #IOB-14-00010937
3$61 SW 31T Paid 09/11/201$ 27.00
HOLLYWOOD,. FL 33023
'' 2015 - 2016
A�0 CERTIFICATE OF LIABILITY INSURANCE �"�`�°'"'°°""'�`'
.I OAJ1512015
THIS : TIFICATE 13 ISSUED`A3 A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIF ATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND.EXTEND OR ALTER THE COVERAGE AFFORDED BY TH�POLICIES
BELO THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BE.TVUEE,N THE ISSUING INSURER(S),A , IORIZED
REPRE ENTATWE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORT : If the certificate holder Is an ADDITIONAL INSURED,the polloyfies)must be endorsed. If SUBROGATION IS WAIVED,subject to !.•. '•
1 the to and conditions of the policy,certain policies may require an endorsement. A statement on this ce+t ante does not confer rights to the
cartificati holder In lieu of such endorsement(s).
PRODUCER NAME,
joaeph brac cio
J&J Insu nee Associates PHONE {954)893-5558 FAX ;(954)893-1174
7037-8T SL Linslr�W4acuth.nat
Hollywo FL 33424 INSU s AFFORDING covERA013 NAIC o
Phone 4)893.5558 Fax (954)893-1174 INSURERA: FEDERATED NATIONAL INSURANCE COMPAN`
INSURFA INSURER B
Julio elect COtp INSURE C
3861 sN 3 Gt INSURER D
HOLLYW D FL 33073 INSURER£:
INSURER F: 1
COVERA ES CERTIFICATE NUMBER: REVISION NUMBER: i
THIS IS CERTIFY THATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN t$6UED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICA D. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WFtjcH<THIs
CERTIFI TE MAY BE ISSUED OR MAY PERTTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE 1jEFtW
EXCLUS NS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN KSDUCED BY PAID CLAIMS. s
I R TYPE OF uJSURANCe ADD OR POLICY EFF P
POI.iCYNUMB mmlD LIMITg'I:'.
GENE AL LIABILITY EACH OCCURRENCE I'•1•,000,000.00
N RCUU.GENERAL LIABILITY DPS A M
KA=Aae) $! 100,000-00
A ❑ CLAJMS-MADE J/ OCCUR MED P An mm person) S 16,000.00
CSL-0000012607-03 06(30/2015 06/30/2018-
❑ PERSONAL&ADV INJURY $ -.000,000.00
❑ GENERAL AGGREGATE j °2,000000.00
GEN' GGREGATELIMITAPPUESPER: PRODUCTS-COMPIOPAGO ik 1.,000,000.00
❑ ICY ❑ PR ❑ LOC
AUTO 40811.13 LIABILITYi E8M61D SINGLE LIMIT
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❑ RED AUTOS [I AUT08 or acrrdeR! �'
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❑ 0E99 LIAR ❑CLAWS-MADE 1 i AGGREGATE $•."`.
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DESC IPTION OF OPERATIONS below EL.DISEASE-POLICY wrf $'
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DESCRIP OF OPERATIONS!LOCATIONS IVEHICLES (Attach ACORD 101,Addltianal Remerks Schedule,if moms:pece is required)
electrical rk
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CERTIFI TE HOLDER CANCELLATION
Ji
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 13E CANCELLED BEFORE
city of mismi shores THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVkRED IN
10050 lie 2nd ave ACCORDANCE WITH THE POLICY PR o BIONS, ;: I ,
mlami shores,fl,33138 AUTHORIZED REPRESENTATIVE k.
t
JOSEPH BRACCIO
i
ACORD (2044109)QF ®1988-2014 ACORD CORPORATION. SAI)fights reserved.
The ACORD name and logo are registered•i-Aarks of ACORD
I;
AC /= CERTIFICATE OF LIABILITY NSU NCE
6212616
THIS CERTIFICATE is ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW,THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
t POR ANT: f the certificate holder'Ie an ADDITIO"AL tN U ,t O po laY(les)must be en arsed.If SUBRO .TI is WOW eu dot to
the terms and conditions of the policy,Certain policies may require an endorsement.A statement on this cediBcate does not canter rights to the
certificate holder In lieu of suds endomems s).
CONTACT
PROaLICfR NAME...._,�..
Automatic Data Proceesingi Insurance Agency,lnc, TiuLP,F"I ....... _,-
1 Adp Boulevard ADMESS
Roseland,NJ 07068 a
RIauR 9a a re�ifnolosy S,g t c «tnaar, 42376
nls31r�a INsa,�a�R a .._ .
JULIO ELECTRIC CORP
3861 SW 31ST CT is e
West Park.FL 53023 Rsuarp o'
IR$URER b' . ........,....«
INSURER 5
COVERAGES CERTIFICATE NUMBER. 485M REVISION NUMBER,.
THIS IS TO CERTIFY'THAT THE POLICIES OF i;96Ft eNCE LISTED BELOW HAVE BEEN ISSUER TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INOtCATED,NOTWITHSTANDING ANY REOUIREPMENT,TERM OR CONDITION OF ANY CI`sNTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AF"DED BY THE POLICIES DESCRIBED HEREIN IS SUBJEC 11O ALL THE TERMS:
EMCLU&IONS AND CONDITIONS OF 59CH POLICIES,LM41TS SHOWN MAY HAVE BEEN REDUCED BY PAID Ct.AIMS.
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ALL ELECTRICAL WORKS.Lie.0 EC13006174
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE NSM13ED POLICIES OF CANCELLED BEFORE
THE EXPIRATION DATE YHEREAr, NOT'ItE WILL art DELIVERED IN
Miami Shares Village ACCORDAN"WITH THE POLICY PROVISIONS.
Building Department
90956 N.E.2nd Avenue AUTHORIAEV PXF%ES4WAWA
Miami.FL 33138
R Vt--
01980 2014 ACORD co—Rp—o—VAIWN.Alt rights reserjed.
ACORO 25(2814103) The ACORD name and logo are registered marks of ACORD