EL-14-1831 (2) 2 t/_ -
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-236138 Permit Number: EL-8-14-1831
Scheduled Inspection Date: June 05, 2015 Permit Type: Electrical - Residential
Inspector: Devaney, Michael
Inspection Type: Final
Owner: MICHELLE, DANILO DI Work Classification: Alteration
Job Address:9145 NE 4 Avenue
Miami Shores, FL 33138
Phone Number
Project: <NONE> Parcel Number 1132060140080
Contractor: ARTELC CORP Phone: (787)347-5040
Building Department Comments
INTERIOR REMODEL KITCHEN AND 3 BATHROOMS Infractio Passed Comments
INSPECTOR COMMENTS False
04/28/2015
REVISION: SERVICE CHANGE
Inspector Comments
Passed El
Failed s
Correction
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
June 05,2015 For Inspections please call: (305)762-4949
Page 25 of 27
Miami Shores Village
Building Department FEBa72
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. j� - lq_`0 22-6
PERMIT APPLICATION Sub Permit No. IHI a 3 1
❑BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [-]RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS41"
HANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: L7a n o j,1 I-II aj2 qS N AV-P__
Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name(Fee Simple Titleholder): �3Q 11 i 10 'b o as C&@ -7.9LA- `T`r'
f o- Phone#: "t
Address: 9 / to r e-dW t✓I &rn ps )
City:_t-pyam e S State: Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: l` 6 �L C Phone#:
Address:
City: / Ah State: Zip:
Qualifier Name: / Phone#:
State Certification or Registration#: Certificate of Competency M
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ l SCD c�a Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition
24Z4? (Ew
Description of Work:
1L4LX_V c.QJtnL,lc, _ XZa 6471 nu f _ Acl?`eeAc=7 Ci-7e
Specify color of color thru tile:
Submittal Fee$ Permit Fee$� � CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE
(Revised02/24/2014)
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 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 co encement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is ije�djlna absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature Signature
NER or AG NT 7\vNN;RACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument as acknowledged before me this
day of 20 R S by �_day of /g 120 /1- by
��.1,I1za �1a llke K, who is personally known to 4 rely Mccl-e who is personally known to
me or who has produced as me or who has produced as
identification and who did take an oath. identifica ; an w $n ISJ!320501
t= 1SSION#Et~NOTARY PUBLIC: NOTARY PU MY 8 A)A 23.2
Sign: Sign:
Print: c��o_ 01e_`tt _ Print:
Seal: *z" JAVIER Seal:
ORTIZ
MY COMMISSION#EE132253
EXPIRES SePtember21,2015
APPROVED BY /S— Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
age: 2 of 11 02/27/2015 11 : 02 AM TO: 13057568972 FROM: Edwin Berrios
ONE #78035347344
ACCM 0 CERTIFICATE OF LIABILITY INSURANCE /23/2015
k.1--1
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERT W'CATE HOLDER. THIS
T
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 PRODUCED,AND THE CERTIFICATE HOLDER. to
the
IMPORTANT. N the catiu stn bottle!Is an ADDITIONAL INSURED, policy{iea)must I endareed. If SUBROGATION IS WAIVED,suts)ect
the terms and condi8ons of the paiitoy,Ce Iain pOWes rosy require an en nt. A enwt an the does not c�Iter rights to
cetuacate hoider in Iter of such endomement s.
PRODUCER iackie Ortega
)Porten Insurance, Inc. Pr I , (305)445-3535 (466)415-Deas
355 Palermo Ave. ackie.ort: a#fortuninsarance.ctml
covP�AoaRM r
Coral Gables FL 33134-6607 ; A*%WFRB Insurance Co.
DISMIED MugymaRetailFirst Insurance COMP&AY
Artelc Corp
8013006110 INSURER 0:
12055 Sof 99 St INSURE"
Miami FL 33186 R
COVERAGES CER nFICATE NUMBER;CI:,1461806405 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
AVOL PONM
INM TYPE OF INSURAHCL R Ll T9
GWIEPAL LIABi M EACH OCCt.,IRRENCE $ 1,0 '
A CWMERCtAL GENERAL LIABILITY tSES rEa ocwrranoel.. $ 100,000
rA CLAWS-MADE ®OCCUR 4250140017321 /9/2014 /9/201s MW ap A $ 5,000
PERSONAL s ADV W IURY S. 1,000,00
GENERAL AGMEGATE S 2,000,000
GEWL AGGREGATE UNLIT APPLIES PER PRODUCTS•COMPFOP AGG $ 2,000,00
i so S
AUTOMONL E LULWAJW
ANY AUTO 80MY INJURY(P'psraon) $
ALL OVO&D SCHEDULED $BOf?dLY Itd&1RY(Par 8od4enl)
AUTOS AUTOS 5
HIRED AUTOS ANU�SWAYe®
$
UA1NA GLIA WOOCCUR EACH OCCURRENCE $
EXCESS UAB CLAIMS-MADE AGGREGATE $
a
$ WORKINIS COMPENSATION
AND EMPLOYMM'LL4811 Y
ANY PROPRIETORPPART� Y7N EL EACH ACCIDENT $ __. 100,000
OFFtCERAAEEABER EXCLUDEQ4 N/A
FF ayaala t 2047480 r9ra01a /9/2015 E.L.DIS -EA EMPLOY' $W _ 100,000
QESCRIPTION VOPERATIONS f Y r E.L.DISEASE-POLICY LWt $ 30910(j,0
2nland Marine 6250140017321 /9/2014 /9/2015 SMO Toots:U d:WOW
tom:
- -,
DESCRIPTION OF OPERATKM S/LOCATION$/YEta M IA 0h A40RO Yat, .I Remark.s3olw®dWm It mom apsae I.toodreo
ECMCEMAIM
SHOULD ANY OF Ifle ABOVE IMSCit 90 POUCIEZS Be CANIXLj EI3 BLFOIIE
THE 004RATlt N DATE THEREOF, NOTICE 181 LL BE ojm"ERED IN
Miami Shores Village ACCORDANCE WITH THE POLICY PROVISION&
Building Departs:sent
10050 ME 2 Ave. AUTHOPMEDREPREEIENTAym
Miami Shores, FL 33135
Rector Fort6a/I9:
ACORD 25(2010M) 019W2010 ACORD CORPORATION. AN dghte nmwrved.
INIP"19 m1rom m 'Th-t►Mprt n®,»n m,wi iewvto a,w vontAstmro,l as.u4ra ed 6I`rt44t1
`S��RFs� Miami shores Village
�e
"" Building Department
yry'eNO�� 10050 N.E.2nd Avenue
�I�RI�A Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
CHANGE OF CONTRACTOR / ARCHITECT
Permit N.
Owner's Name(Fee Simple Title Holder): 0/f rte Phone#: 7;V-7,S0
Owner's Address: at,-AJ .&L -1 45t
City: �>r,,�L 5�i� .s State: l�� Zip Code l 3�
Job Address (Of where work is being done):
City: Miami Shores State:_Florida Zip Code:
Contractor's Company Name: ;r. J-1 rne" Phone#: 3 Zai Zl
Address: 0&:3�e - 6
City: F C Ga �c �d� State dam=C Zip Code: '1- r '
Qualifier's Name: Lic. Number:
Architect/ Engineer of Record Name: Phone#:
Address:
City: State: Zip Code:
Describe Work: '
1 hereby certify that the work has been abandoned and/or the contractor/architect
is unable or unwilling to complete the contract. 1 hold the Building Official and the
Miami Shores harmless of all le ifinvolvem It-`
�j � s
' a Signature
Signature � ��,�-��_ �
Ag
Ow ��jjr or ent
Contractor fir Architect ✓
The foregoing instru:: me
nt was aknowledged before me The foregoing instrument aknowledged, efore
this day of 0 20�b. k . j 01 `�!l`G this day of ,20 by
Who is personally known to me or who has produced who is personally known to me or who has produced
n cation. i �-�� =i ��'��o�' "- as indentification.
YOU To NS -- ---
,..• Notary Publi�------ ---- _
Notary Pu _I " MMISSIONMEE192038
Sign: 23.2018 Sign: I
Seal ,1t33 AOM --�
MELISSA RAMIREZ
-ter% c-State of Florida
6C�Comm.Expires Feb 17,2019
-''" 'Commission#t FF 173217
Local Business Tax Receipt
Miami—Dade County, State of Florida
—THIS IS NOTA BILL — DO NOT PAY �_LBT )
7171246
BUSINESS NAME&OCATION RECEIPT NO. EXPIRES
ARTELC CORP RENEWAL SEPTEMBER 30, 2015
12055 SW 99 ST 7450108 Must be displayed at place of business
MIAMI FL 33186 Pursuant to County Code
Chapter 8A—An.9&10
OWNER SEC.TYPE OF BUSINESS
ARTELC CORP 196 ELECTRICAL CONTRACTOR PAYMENT RECEIVED
BY Y TAX COLLECTOR
Worker(s) $75.00 08/26/2014
CREDITCARD-14-033977
This Local Business Tax 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 govemmental
or nongovernmental regulatory laws and requirements which apply to the business.
The RECEIPT N0.above must be displayed on all commercial vehicles—Miami—Dade Code Sec Ba-276.
For more information,visit www.miamidade.govHexcallector
r
RICK SCOTT, GOVERNOR KEN LAWSON, SECRETARY
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION � tac }r�
ELECTRICAL CONTRACTORS LICENSING BOARD
EC13006110
The ELECTRICAL CONTRACTOR .
Named below IS CERTIFIED
Under the provisions of Chapter 489 FS.
Expiration date: AUG 31, 2016
0
MATEOS,ARNALDO NILO
ARTELC CORP. '
12055 SW 99TH STREET
MIAMI FL 33186 -
ISSUED: 05/22/2014 DISPLAY AS REQUIRED BY LAW SEO# L1405220000581
iami Shores Village
C� �
ullding Department1
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
By
Tel:(305)795-2204 Fax:(305)756-89727
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20 l0
BUILDING Master Permit No.
PERMIT APPLICATION Sub Permit No.3-7 l=1Y — [j31
❑BUILDING ELECTRIC ❑ ROOFING P<REVISION ❑ EXTENSION [:]RENEWAL
❑PLUMBING ❑ MECHANICAL F-]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: q S U)i _ 411A Aoy
City: Miami Shores County: Miami Dade Zip: 31 -6 v:-
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type:
`p�1 Flood Zone: BFE: FFE:
OWNER: Name(Fee Simple Titleholder): i.�e� 0,, �1"�;c Phone#: aj2t 3�?t sy�
Address: kQG
City: State: Zip: 331'3
Tenant/Lessee Name: Phone#:
Email: /
CONTRACTOR:Company Name: / � e 1 L Phone#: 3TU- 1 4-1 Z
Address: /20s-.S C%-z
City: cwt/ ,� /'State:, L Zip:
Qualifier Name:Ai-q 6- l C�r w �/�Ga��c'S Phone#:
State Certification or Registration#: r=C 1-3406116 Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: — C.�•A��1.c,� 1 �� vrrr�:.o �av�r► 1 �.,. irin,'
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ . �� CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
.�Yiy,Ydl;r
r ; .
Technology Fee$ Training/Education Fee$ Double Feel--!"-.....
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 t1fb absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature Signature
OWNER orA NT CONTRA OR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
2-4 day of � "e—'V 120 ��J , by _�day of r`i ,20 ij- , by
-rPay1 t� MICt Fta ,who is,personally known to ,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: Sign:
Print: Print:
Notmy'Public state of
. lr-d)
Sindia AMarez S l►W ~�
Seal: ion Seal: 9v�
My Cos 09/ W2 is 1b6750 ,,.••
� Expires 0Bro3/2018
Ogg
APPROVED BY /�,� �S C p13�5 Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)