The URL can be used to link to this page

EL-16-661 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FIL b— 44 Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-254642 Permit Number: EL-3-16-661 Scheduled Inspection Date:August 23,2016 Permit Type: Electrical- Residential Inspector: Devaney, Michael Inspection Type: Final Owner: STANDAERT, NATACHA Work Classification: Pool - Private Job Address:576 NE 97 Street Miami Shores, FL 33138- Phone Number (646)460-6061 Parcel Number 1132060171510 Project: <NONE> Contractor: SUNSHINE ELECTRICAL CONTRACTORS CO Phone: (305)268-4958 Building Department Comments POOL ELECTRICAL AND HEAT PUMP CONNECTION 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. August 22,2016 For Inspections please call: (305)762-4949 Page 6 of 36 33 X39 W5 py,� j' mpg': 17 i,X1 66T a'n 1s*!O s q Miami Shores Village w" ft mff 7`,ype Menter 10050 N.E.2nd Avenue NE x„ �. Miami Shores,FL 33138-0000 Phone: (305)795-2204 P Expiration: !1 I 16 Project Address Parcel Number Applicant 576 NE 97 Street 1132060171510 Miami Shores, FL 33138- Block: Lot: NATACHA STANDAERT Owner Information Address Phone Cell NATACHA STANDAERT 576 NE 97 Street (646)460-6061 MIAMI SHORES FL 33138- 576 NE 97 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 800.00 SUNSHINE ELECTRICAL CONTRACT( (305)268-4958A W^ mVWYx Total Sq Feet: 00 Type of Work:POOL ELECTRICAL AND HEAT PUMP CONNE Available Inspections: Additional Info: Inspection Type: Classification:Residential Final Scanning:1 Light Niche Bonding Review Electrical Alarms Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.60 DBPR Fee Invoice# EL-3-16-59002 $4.50 03/22/2016 Check#:1426 $263.60 $50.00 DCA Fee $4.50 Education Surcharge $0.20 03/14/2016 Check#:2059 $50.00 $0.00 Permit Fee-Additions/Alterations $300.00 Scanning Fee $3.00 Technology Fee $0.80 Total: $313.60 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 foreg Informa'on is accura an that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore,I authorize the ab o n me ntr o the work stated. ' March 22,2016 Authorized Signature:Owner / Applicant Contractor / Agent Date Building Department Copy//, March 22,2016 1 'ef:�t i Miami Shores Village rr - Building Department MAR 14 2016 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 NoB&f�6 ey4loe PERMIT APPLICATION Sub Permit No.ti & ,- "d ❑BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL PLUMBING 1-1 MECHANICAL PUBLIC WORKS M CHANGE OF F-�CANCELLATION r-1 SHOP JOB ADDRESS: �NTRACTOR DRAWINGS _s �� i� P �°� ( 7 � City: Miami Shores County Miami Dade Zio• I — FoUo/Parcel#: is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type:_Flood Zo_ne:� BFE: FFE: OWNER:Name(Fee Simple Titleholder): J j & (�.�L�- 'Phone#: /S Q 60(o®e,-1 Address: K T6=)f rzj Ljji- City: State: T L Zip: 9 �� Tenant/Lessee Name: Phone#: Email: / _` CONTRACTOR:Company Name: �h��l P �IIE--lk"81- L�N�-�Phone#: Address: '13 el-- :5, 2,/ G City: Af f �- o _ State* Zip: Qualifier Name: e ✓ � � Phone#: State Certification or Registration#: Certificate of Competency#: DESIGNER:Architect/Engineer: <P 14 Phone#: Address: City: State: Zip: Value of Work for this Permit:$ z Square/Linear Footage of Work: Type of Work: ❑ Addit Alt ation` N ew ElRepair/Replace ❑/ Demolition Description of Work: Specify color of color thru tile: Submittal Fee Permit Fee$ CCF$®" COO CO/CC$ 0 Scanning Fee$ -4:9 Radon Radon Fee$ ' ® OBPR$ Notary$ '? Technology Fee$ t) ' Training/Education Fee$ 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$2=, 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 app"I and a nspection fee will be charged. Signature ' Signature INNER or AGENT CONTRACTOR The foregoing instru acknowledged before me this The foregoing instrument wa cknowledged before me this �Q day of /41 �'� 20 �� .by 7� day of � 20 by ho is personally kn to j' fd Q o is personal kn7----Ox-r�t . yy < me or who has produced ;. �M'�1— -"tib me or who has produced ��z�-",,c Identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC NOTARY PUBUC: F O Sign: -v^z-�,c.cr-� Sign: ,��.,-•z Print: Print: 1 •Yf.4&1—� as s. •a til Comm.Expires Jun 27.2016 ,��P,,(', VIVIANA GARCIA Seal: s = y Seal: w ., Commission#EE 212108 ;a Notary Public-State of Florida Wded Thro' h Natt�al Nay Assn. .=try comm.Expires Jun 27,2018 Commission#EE 21210Assn. �. Through National Notary assess:sssssssssssssssssssssssssssssssssssssssssssssssssssssss ass ssssssssssss APPROVED BY iG Plans Examiner Zoning Structural Review Clerk (Revisea0z/24/2os4) Miami shores V Budding Department 10050 N.E2nd Avenue Miami Shores, Florida 33138 Tel: (305)795.2204 Fa= (305)756.8972 Notice to Owner-Workers' Compensation Insurance Exem on Florida Law requires Workers' Coon Ce , tinder 440 of the Florida Statutes. Fla.•Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this mqWrexnent far 3MY construction project prior to obtaining a building permit pursuant to the Florida Division of Workers'Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full time employees,icehW ng the owner,mast obtain workw'compensation coverage. Corporate officers or members of a limited liability company (L q in the construction industry may elect to be exempt if. L The officer owns at lean 10 percent of the stock of the corporation,or in the case of an LLC,a statement attesting to the minimum l0 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State,Division of Corporations,and I The corporation is registered and listed as active with the Florida Department of State,Division of Corporations, No more than three corporate officers per corporation or limited liability Company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers'coon exemption and bas acbtowk*that he or etre will u� not day labor,Part-time eraployees or motors for your project.The contractor has provided an affidavit stating that he it she will use be the only person allowed to work on your project In dress circumstancce,Miami Shores Village does not require verification of workers'compensation insurance from the contractor's company for day labo4 part-time BY SI&MG BELOW YOU O THAT YOU HAVE READ IMS THIS NOTICE AND UNDERSTAND TTS CONTEMS. Sim State OfFlorida Caenty ofMiami Dade The foregoing was admowledge before me this day of �df_ .20 By ff_aTa C ;9 ST. z Alp e T who is pawnally known to me or has produced ration. Notary: ` �.. ANA HERNANDEZ NotaryV0011,;.State 0-Flegirl SEAL: '�? My Comm.Expires Feb 2.2018 " �� Commission M FF 88137 SUNSHINE ELECTRICAL CONTRACTORS 1300 SW 85 CT:MIAMI,FLORIDA 33144 EC13005807 March 11,2016 State of Florida County of Dade Before this day personally appeared, Mariano J. Santiesteban ,who being duly swom, deposes and says that he will be the only person working at the project location at: 576 NE 97 St, Miami Shores,R.33138. Sworn to and subscribed before me this 10 th day of March,2016 By Mariano J.Santiesteban Personally Imown— Vivian M. Garcia Notary public EE212108 VIVIANA aARCIA NOWY PUM-State 01 Florida • My COMM.E Jo 27,2016 Copes#EE 212108 A CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE 18 ISBIED AS A MATTER OF IBORIIIIATION ONLY AND CONFERS NO RISHTS 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(Sh AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. BIPORTANT. Nth*csrtlHeate holder ban ADDITIONAL INSURED,the po ft(1n)must be endorsed. 989BROGATM11SWAIVED,subjoetto the tends and condigons of the policy,cermtn pies may requite an onftrmrmvL A shsment on this corBfloste dose not confer rights to tho oorOfleato hoWer In Lleu of such andomohrre t(s). PRWUm Msds L Din MS Discosery Enlr.Insurance Agency 718.8918 718-;18@4 10733 N.W.M h SbW mmil .com Mlarnl,FI.33178 OOVERAas e Pham 718-8919 Fax 71841M NUMMA. HUDSON SPECIALTY INS.CO, INSURED' SUNSHINE ELECTRICAL CONTRACTORS,CORP. gamma., 1300 S.W.86 COURT MUM D: MIAMI,FL 33144 I COVE3RAGES NU OM' 84 REVISION NUmIBER: THE O TO CERTIFY THAT THE POLICES OF BISURANCE us=BELOW HAVE BEEN.ISSUED TO THE WSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NormTHSTAHM0 ANY REQUIREMENT,TERM OR CONDITION OF ANYCONTRACT OR OTHER DOCUmENC WITH RESPECT TO WHAM THIS CERTIFICATE MAY BE ISSUED OR MAY PE rAlK THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMEI, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEENAEDUCED BY PANT CLAW I TYPE OP WSURANCELSAPITr CORAL LUML Y EACH CX s 1000 000.00 ® COMMERCIALOENERALLMMW _ $ 100,000.00 A ❑ ❑ E ® OCCUR Y Y CPPOO13125M 04/07/2015 04>n7/2016 1MED EXP are $ 6,x.00 ® P.D.8 B.I.$600. PERSOM&ADV 1UURY $ 11W0,000.00 ❑ GENERALAGGREGATE $ 000.000.00 GeA AGGREGATE LIMITAPPL IES PER: PRODUCTS-COMPIDP AGG $ 1,000,000.00 ❑ POLICY ❑ P ❑ LOC $ AUTOMOSU LUMLIly ❑ AKYAro RODILY YtParr l s 0 MO NED ❑ LED SODLYKIURY(PeraoddM Au Al $ ❑ H�AUPOS ❑ $ ❑ UMSRELLAUAB ❑OCCUR EACH OCCURRENCE $ mxcm LL48 CLAIMS-MADE AGGREGAW $ El PRO [j RE7ENT10N 6 $ VAN WCERS COMPEIBAIM WC B A ANDEMPLOVOWLIMUTY YIN ANY Pry EIr AR IN MMXL EACH ACCDEIT s OFPICEWM l=7CCLUDECUTNE E Eto ❑N 1 A IMrrIaNHI EL DISEASE-EAEMPLOYE $ iDEe OPERATKW hokm E.LDISEA8E-P0.ICYL1M1T $ T- 411OF OPERATIM I LOCATIONS/VEHICLES(A hwh►MORD 101,AdddOasi Remake 8dwdUK If mma apses Is l ELECTRICAL WORK-WITHIN BUILDINGS LICENSE S EC13005807 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED PIES BE CANCE=LLED SORE MIAMI SHORES VILLAGE THE EXPIRATION DATE THEREOF,NOTICEWIL.L BE DELIVERED IN BUILDING DEPARTMENT ACCORD �. ACCORDANCE WITH THE POLICY PROVE1 10080 N.E.2 AVE A YHOF W REPRESOMTIVE MIAMI SHORES VILLAGE,FL.33138 ' 401IS-2010 ACOPACORPORATION. All right revved. ACORD 26(2CMC"QF The MORD name and'lago are isalstm marks Of ACORD 1 MM� Q. Rp colon Local Business Tax Receipt Miami-Dade County, State of Florida -THIS IS NOTA BILL -00 NOT RAY L B 4$60764 HUMNHSH NAMEAOCATION FtecHipr NO. EXPIRES I SUNSHINE ELECTRICAL CONIMCFORS CORP RIEWMAL SEPTEMBER$02016 1300 SIN 85 0 5157 9 Must ba displayed of pleoo of busir." j 1_ MIAMI FI. Pursuom to.Coumv Ccvie ChaPitw RA-Art.9&id BEL`."VPE OF HustNes® O SUNSHMERINE PAYMENT RECEILILECT EQ SUNSl1INFELECTRICALCONIRSCORP '9F£1fCTflIGALCUNTAACI'Ofl BrTAX CU4LEcrOH Workers) l £ctaooaea7 $75.00 08/11/2015 ECHECK-15-159685 ' O This Laaal BaSinow Tea R M1 µeafr amltir+l»haVmcnt blteb Lbael Hu6iabba i'ox,Tho Flobblpl ar alq a Becltae, palmfi,or aabrdticadap o(Iha lreWblb nmlAficmiaas,zn ao healboas.tialMn wast clnnpfy wbh auq gavaminaaml N br aollgavtlrlalienml regnlatorV ihWa nxa re9ahemunls'mrlfae 11bpIV m thb btain b6. Tr tt BE ltTF SRI,bh Y6 eabl Rm aiSplar«M mrL Wfi e C 8/Vtlw.-Wrmrru4lE t@ Coatl Ssb EL-27Ci R Feram.hft atioa.uiaitl �v>nnge¢i4eA.a.mhi+sa+tRaFler v J a J