The URL can be used to link to this page

EL-16-2601 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL C9 Phone: (305)795-2204 Fax: (305)756-8972 ! J Inspection Number: INSP-270352 Permit Number: EL-9-16-2601 Scheduled Inspection Date: November 03,2016 Permit Type: Electrical- Residential Inspector: Devaney, Michael Inspection Type: Final Owner: GALLO, DARYL Work Classification: Addition/Alteration Job Address:933 NE 99 Street Miami Shores, FL Phone Number (305)756-6217 Project: <NONE> Parcel Number 1132060340250 Contractor: E&C ELECTRICAL SERVICE INC. Phone: (305)525-1701 Building Department Comments INSTALLATION OF OUTLETS,SWITCHES AND LIGHTS Infractio Passed comments ACCORDING TO THE DRAWING INSPECTOR COMMENTS False Inspector Comments PassedEe Failed Correction Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid lovember 02,2016 For Inspections please call: (305)762-4949 Page 30 of 34 ' .- 6-2 6 Miami Shores Village 10050 N.E.2nd Avenue NE Work Qa 0C goy Add ition/Alteration .,b. '"' Miami Shores,FL 33138 0000 r Phone: (305)795 2204 Perr17atd APP!Rt3VED �CORlD�' tserare, ate:1Q13Jt� Expiration: 04/01/2017 Project Address Parcel Number Applicant [933 NE 99 Street 1132060340250 DARYL GALLO Miami Shores, FL Block: Lot: Owner Information Address Phone Cell DARYL GALLO 933 NE 99 ST (305)756-6217 (305)491-2876 MIAMI SHORES FL 33138-2568 Contractor(s) Phone Cell Phone Valuation: $ 2,500.00 E&C ELECTRICAL SERVICE INC. (305)525-1701 (786)302-1175 Total Sq Feet: 0 Type of Work:INSTALLATION OF OUTLETS,SWITCHES A Available Inspections: Additional Info:INSTALLATION OF OUTLETS,SWITCHES A 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 DBPR Fee Invoice# EL-9-16-61415 $2.25 09/21/2016 Credit Card $50.00 $112.30 DCA Fee $2.25 Education Surcharge $0.60 10/03/2016 Check*139 $ 112.30 $0.00 Permit Fee-Additions/Alterations $150.00 Scanning Fee $3.00 Technology Fee $2.40 Total: $162.30 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 ce ify at all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and nin F th ore,I authorize the above-named contractor to do the work stated. October 03,2016 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy October 03,2016 1 Miami Shores Village Building Department7BY: f__ � 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 016 Tel:(305)795-2204 Fax:(305)756-8972 OV-A— INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 BUILDING Master Permit No. /6 — uZ 9 PERMIT APPLICATION Sub Permit No. E` -q-1b -Z601 ❑BUILDING [Z/ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL 7PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP n Q CONTRACTOR DRAWINGS JOB ADDRESS: R 1*3 AIE `7 1 l City: Miami Shores County: Miami Dade Zia: .33/3 Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: p�Construction Type: Flood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholder): D Ak V L- Phone#: Address: q 3 2,05 Jzlezf- City:��/f1' �S' �'�G State: Zip: 1 3/39 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: /'1�L�1 �c��c /�lc�i� � Phone#:----1W6 Address: 'f3 City: .�ilr�l" State: Zip: Qualifier Name:��.x' ® Phone#:_�& State Certification or Registration M mac,.1.a ,6i Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$2y Square/Linear Footage of Work: Type of Work: EJAddition 2--Alteration /Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: --L Specify color of color thru tile: �'1 Submittal Fee$ 0, Permit Fee$ Z�Qo,_®' CCF$ Py CO/CC$ Scanning Fee$ �' Cd ^^ Radon Fee$ 2- DBPR$ Notary$ Technology Fee$ 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$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 re' spection fee will be charged. 1� �O Signature Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this yv�7 day of 20 byay of by "Zwt:g<0,4 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: Seal: NMARYPLIsW Seal: JANKIIIA. SUy AMPA1° STATE OF FLLOPWA NOTARYFtfi C CMRW 0002d08 STATE OF FLONDA Cm"QQ@M APPROVED BY �1�t 9 X-C*C,;P l ns Examiner Zoning Structural Review Clerk (Revised02/24/2014) STATE OF FLORIDA a DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION EC 13006547 ISSUED: 06/22/2016 CERTIFIED ELECTRICAL CONTRACTOR BARROSO,JOSE E&C ELECTRICAL SERVICE INC. IS CERTIFIED under the provisions of Ch.489 FS. Expiration date : AUG 31,2018 L1606220001238 J DATE 1MWDD1YYYYI ACC>R1> CERTIFICATE OF LIABILITY INSURANCE 09/2112016 RIGHTS UPON THE CERTIFICATE HOLDER. THIS INFORMATION ONLY AND CONFERS NO THIS CERTIFICATE IS ISSUED AS A MATTER OF 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, IMPORTANT: if the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If-SuBROGATI61 IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(sl, 1PRODUCER 79ACT "Maria . ........... ........... .......... _ ......... : FAX PHONE (305)888-0524 305)883-6218 Blanco Insurance Assoc,,Inc. -............ 1482E 4 Ave E-MAIL maria@blancoinsurance tom AODRess ........ 4 Hialeah,FL33010 ..... . ..........INSURERS)AffoRDING'COVERAGE ...... NAIC........... o Insurance Company 25011 W`BSC 0 INSURER A: .......... ........... INSURED--- Progressive Express Insurance Company 10193 ................. .......... . ....... . .. INSURER INSUC: Commerce and Indus" 19410 E&C Electrical Services,Inc. ....................................... 15398 sw 19 terrace INSiIRER D ...... ......... ............. .............. .......... ...... Miami FL 33185 306 iNSU.— COVE RAGES CERTIFICATE NUMBER: 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 REQUIRFMIENIT, 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 SHOWY MAY HAVE BEEN REDUCED BY PAID CLAIMS, 1EStP -1--........... ............_................... .......... lkt4k"' 6 Uwaft, LIMITS LTR TYPE OF INSURANCEI POLICY NUMBER fMM/DRLy_yYy1 tMWORMMU— ....................... 1,000t000 EACH OCCURRENCE GENEPALLIABILITY 8A1 S 100,000 X e COMME RC IAL GENERAL LIABILITYPREFta ........... MED EXP(Any or, PGMWI) S 5,000 CLAIMS-MADE X OCCUR .. ........ 05/2512017 PERSONAL&AOV INJURY s 1.040,000 A N N WPP1373832 05/2512016 ............ .............. GENERAL AGGREGATE S 2,000,000 ............... ............ PRODUCTS-COMRIOP ACC 6 1,000,000 G_EN'L AGGREGATE LIMIT APPLIES PER ................... :X POLICY 1 LOC COMBINEINC,LE I.!MIT_ 1,000.000 AUTOMOBILE LIABILITY X. ANY AUI 0 BODILY INJURY IPS roerlson) ........... CHEOuLEP BODILY!NJURY(Per S ALL OM,ED 09123/2015 09/2312016, AUTOS _!F _AUTOS N 04356403-5 NON-OWNEDcm3 $ ................ HIREDAUTOSAUTOS ............... IP P 10.000 P EACH OCCURRENCE 5: UMBRELLA LIAR X OCCUR ............___............. ................. 000,000................ C X EXCESS LIA8 cLAws_mAoe; N N BE011237668 05125/2016 05125/2017.AGGREGATE S 5,000.000 ................ .............- .......... JOED i RETENTION S OTK! TATU X ;WORKERS COMPENSATION TORYIT ............ ..................... �AND EMPLOYERS*LIABILITY y/W 1,000.000 AN"i PROPRIETORIPARTNERiEXECUMVE i-E.L.EACH ACCIDENT ................................-- ---- ................... N 07/17/2016 .OFFICERIMEMBEREXCLU 0830-51299 0 E 0? 4711312013 (Mandatory in NH) E L,DISEASE-EA EMPLOYFE!,S 1'000,000 ................... If ves.dewba tMer E.L.DISEASE POLICY LIMIT F. 1,000,000 DESCRIPTION OF OPERATIONS__10111 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Aftarb ACORD 101,Additional Remarks Schedule,if mom space is t0quired) ELECTRICAL CONTRACTOR.LICENSE#EC 13006547 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE MIAMI SHORES VILLAGE BLDG DEPT, THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2 AVE AUTHORIZED REPRESENTATIVE MIAMI FL 33150 5� ACORD 25(2010105) 0 1988-2010 ACORD CORPORATION.All rights reserved. The ACORD name and logo are registered marks of ACORD