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EL-16-3077 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-270925 PermitNumber: EL-11-16-3077 Scheduled Inspection Date: November 30,2016 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: VEIRA,JAIME Work Classification: Addition/Alteration Job Address: 114 NE 107 Street Miami Shores, FL 33138- Phone Number (305)890-8487 Parcel Number 1121360070230 Project: <NONE> Contractor: MISTER SPARKY Phone: (954)933-5874 Building Department Comments REPLACED MAIN BREAKER PANEL MUST AND Infractio Passed Comments INSTALLED GROUNDY SYSTEM INSPECTOR COMMENTS False Inspector Comments Passed [21— Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. November 29,2016 For Inspections please call: (305)762-4949 Page 14 of 40 pe/MitIry E�-4'14 ' '"' Miami Shores Villageja � � R, � ia, 10050 N.E.2nd Avenue NE 41l�Ottt " �CSI' 3t? Acit�€ nlAtteratiOn . Miami Shores,FL 33138-0000 �� Phone: (305)795-2204ng Pe'mi*-afS1uS APPROVED_. �CORExpiration: 0 /1 42017 11/'(7 016 Project Address Parcel Number Applicant 114 NE 107 Street 1121360070230 Miami Shores, FL 33138- Block: Lot: JAIME VEIRA Owner Information Address Phone Celt JAIME VEIRA 114 NE 107 Street (305)890-8487 MIAMI SHORES FL 33161- 114 NE 107 Street MIAMI SHORES FL 33161- Contractor(s) Phone Cell Phone Valuation: $ 5,020.00 MISTER SPARKY (954)933-5874 Total Sq Feet: p Type of Work:REPLACED MAIN BREAKER PANEL MUST AN Available Inspections: Additional Info:REPLACED MAIN BREAKER PANEL MUST AN Inspection Type: Classification:Residential Final Scanning:3 Meter Box Alteration Relocation Fire Alarm Service Change Review Electrical W.W. Underground Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $3.60 DBPR Fee Invoke# EL-11-16-62021 $2.64 11/09/2016 Credit Card $50.00 $149.58 DCA Fee $2.64 Education Surcharge $1.20 11/17/2016 Credit Card $ 149.58 $0.00 Permit Fee-Additions/Alterations $175.70 Scanning Fee $9.00 Technology Fee $4.80 Total: $199.58 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 foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constructi and ng. Futhe ore,I authon the above-named contractor to do the work stated. l November 17, 2016 Aut orized Signature:Owns / Appli ant / Contractor / Agent Date Building Dep artm Copy November 17,2016 1 c • Miami Shores Village RFS' -IN ' cl�( Building Department 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 ' -- Tel:(305)795-2204 Fax:(305)756-8972 tin INSPECTION LINE PHONE NUMBER:(305)762-4949 �f FBC 20 1H BUILDING Master Permit No. E, 1 [�p — ✓®4 4 PERMIT APPLICATION Sub Permit No. ❑BUILDING 0 ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: City: Miami Shores County: Miami Dade Zip: 3.31 W Folio/Parcel#: ((- DA 3L_00-1 _0 2 2-,<) Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): --Sa n 6'V— ` e- i r-CQ Phone#: .os —3 l e, o- �1193 Address: 4 NE I0-1' `` S-"' City: 1.,Y1 L'q,,A t S S State: Zip: 33 ((o Tenant/Lessee Name: Phone#: Email: QR-74 CONTRACTOR:Company Name: Mister Sparky Phone#: 954- Address: 1450 SW 3rd Street, Suite A8 City: Pompano Beach �y �State: FL Zip: 33069 Qualifier Name: if rt �`1�'l S -uj Phone#: z CCS State Certification or Registration#: EC1300 '7(,4 7 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ 5®tel® ' Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ] Repair/Replace ❑ Demolition Description of Work: Specify color of color thru tile: Subm"rttal Fee$ 50 Permit Fee$ 1 X�'Xd CCF$ 3 CO/CC$ Scanning Fee$ Radon Fee$ fo DBPR$ 2 •V� Notary$ Technology Fee$ U•80 Training/Education Fee$ i'• z 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 c6mmenced 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 o, erti espy of the recorded notice of commencement must be posted at the job site for the first inspection which Occurs ven (7) d s after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and reinspecti ee will be charged. e Signature Signature /inment WNER o NT CONTRACTOR The foregwas acknowledged before me this The foregoing instrument was acknowledged before me this �``i=ce r ,20f ( .by /(��S"�� day of ��j-Q r-l ,20 ,�o , by ._ who is personally known to l til W F ,who is pers�Ily known to mewho has produced L— 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: � P Sign• Sign: Print: eaYpv Print: YPe Adrienne Epstein 414-%, Adrienne Epstein Seal: CoQ My Commission FF 176009 Seal: o` My Commission FF 176009 'Rorc0.oa Expires 11/13/2018 OF Expires Expires 11/13/2o18 ************************************************************************************************************ W— Z�APPROVED BY �m Plans Examiner Zoning Structural Review Clerk (ReAsed02/24/2014) W712016 Property Search Application-Miami-Dade County OFFICE OF THE PROPERTYAPPRAISER Summary Report Generated On: 11/7/2016 Property Information Folio: 11-2136-007-0230 114 NE 107 ST ' Property Address: Miami Shores,FL 33161-7032Vp Owner JAIME VEIRA VANESSA TARTAK 114 NE 107 ST Mailing Address MIAMI SHORES,FL 33161 USA Primary Zone 1000 SGL FAMILY-2101-2300 SQ Primary Land Use 0101 RESIDENTIAL-SINGLE FAMILY:1 UNIT Beds/Baths/Half 2/1/0 Floors 1Tv Living Units 1 Actual Area 1,397 Sq.Ft '" 0 6T Living Area 1,382 Sq.Ft Adjusted Area 1,294 Sq.Ft Taxable Value Information Lot Size 9,225 Sq.Ft 2016 2015 2014 Year Built 1940 County Assessment Information Exemption Value 1 $50,000 $50,000 $50,000 Year 2016 2015 2014 Taxable Value 1 $208,097 $206,303 $204,269 School Board Land Value $198,007 $163,894 $154,253 Building Value $97,568 $98,318 $96,507 Exemption Value $25,000 $25,000 $25,000 Taxable Value 1 $233,097 $231,303 $229,269 XF Value $3,831 $3,471 $3,509 _ City Market Value $299,406 $265,683 $254,269 Exemption Value $50,000 $50,000 $50,000 Assessed Value $258,097 $256,303 $254,269 Taxable Value 1 $208,097 $206,303 $204,269 Benefits Information Regional Benefit Type 2016 2015 2014 Exemption Value 1 $50,000 $50,000 $50,000 Save Our Homes Cap Assessment Reduction $41,309 $9,380 Taxable Value 1 $208,097 $206,303 $204,269 Homestead Exemption $25,000 $25,000 $25,000 Sales Information Second Homestead Exemption $25,000 $25,000 $25,000 Previous Sale Price OR Book-Page Qualification Description Note:Not all benefits are applicable to all Taxable Values(i.e.County,School 09/16/2016 $435,000 30234-4086 Qual by exam of deed Board,City,Regional). 06/14/2013 $298,500 28686-1951 Qual by exam of deed Short Legal Description 07/01/2006 $436,720 24744-1055 Sales which are qualified DUNNINGS MIAMI SHORES EXT NO 3 1 04/01/1991 $82,000 14968-1796 1 Sales which are qualified PB 42-33 LOT 7 BLK 208 LOT SIZE 75.000 X 123 OR 14968-1796 0491 1 The Office of the Property Appraiser is continually editing and updating the tax roll.This website may not reflect the most current information on record.The Property Appraiser and Miami-Dade County assumes no liability,see full disclaimer and User Agreement at http://www.miamidade.gov/info/disclaimer.asp Version: oT+.. ,tet STATE OF FL . A OEPARTMENT OF GUSIMM AND PROMMONAL RrECULATION r . Lr",- K07667 *=TTtONAI, BUSINESS 1!�,a LLECTRICAL CONTRACTOR .` . ��Jopled bm*46 CERTIFIED S AUG 1,21019 40 VMS,OU THEAST FL ,,LLC 09 A MIST A SFW, L W,64N, FARKLAND " -SAP-ASOTA ft, ' - , DISPLAY A REOWRED 13Y LAW sea 4 a.ISM VM82 ACORO® DATE(MM/DD/YYYY) A CERTIFICATE OF LIABILITY INSURANCE 11/9/2016 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. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les) must be endorsed. If SUBROGATION 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(s). PRODUCER CONTACT Margi EXEC Furey Al Purmort Insurance PHONE (941)924-3808 FAX No):(941)924-8799 3340 Bee Ridge Road ADDRESS: DD RIESS :margi@alpurmort.com INSURERS AFFORDING COVERAGE NAIC# Sarasota FL 34239 INSURERA:FCCI Commercial Insurance Company 33472 INSURED INSURER B Mister Sparky INSURERC: 6409 Parkland Drive INSURER D: INSURER E: Sarasota FL 34243 INSURER F: COVERAGES CERTIFICATE NUMBER:16/17 Master 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. ILN7R TYPE OF INSURANCE A L BR POLICY EFF POLICY EXP LIMITS D POLICY NUMBER MM/DD MM/DDIYYYY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS-MADE �OCCUR DAMAGE ( RENTED 100,000 PREMISES Ea occurrence $ � GL0019175 8/25/2016 8/25/2017 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY PRO- JECT F1 LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: Property damage-single limit $ AUTOMOBILE LIABILITY Ea COMBINED SINGLE LIMIT $ 1,000,000 accident A X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED CA100004912 8/25/2016 8/25/2017 BODILY INJURY(Per accident) $ AUTOS AUTOS HIRED AUTOSNON-OWNED PROPERTY DAMAGE $ AUTOS Per accident PIP-Basic $ 10,000 X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 2,000,000 A EXCESS LIAB HCLAIMS-MADE AGGREGATE $ 2,000,000 DED I X I RETENTION$ 0 UMB0024131 8/25/2016 8/25/2017 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N/A A (Mandatory In NH) 001WC16A75353 8/25/2016 8/25/2017 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached K more space is required) Christopher Crew License #EC13007667 CERTIFICATE HOLDER CANCELLATION (305)756-8972 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Village of Miami Shores THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 10050 NE 2nd Ave NE ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores, FL 33138 AUTHORIZED REPRESENTATIVE Margi Furey/KTHAYX ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025 r2nUnl) I SROWAR® COUNTY LOCAL. BUSINESS TAX RECEIPT 115 S.Andrews Ave., Rm.A-100, Ft. Lauderdale, FL 33301-1895—954-831-4000 VALID OCTOBER 1,2016 THROUGH SEPTEMBER 30,2017 j DBA:MISTER SPARKY Receipt#:181-273C6 PL/ALARMS/CONTRACTOi{ Business Name:LLC SOUTHEAST FLORIDA HOME SERVICES Business Type:(CERTIFIED ELECTRICAL CONTi{) Owner Name:CHRISTOPHER J CREW Business Opened:12/16/2002 Business Location:6409 PARKLAND DR State/County/Cert/Reg:EC13007667 OUT OF COUNTY Exemption Code: Business Phone:954-933-5874 Rooms seats Employees Machines Professionals li 1 For Vending Business Only Number of Machines: Vending Type: Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paid j j 27.00 3.00 0.00 1 0.00 1 0.00 1 0.00 30.00 I I THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS j i j THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Broward County and is non-regulatory in nature.You must meet all County and/or Municipality planning j WHEN VALIDATED and zoning requirements.This Business Tax Receipt must be transferred when the business is sold, 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 laws and regulations. Mailing Address: SOUTHEAST FLORIDA HOME SERVICES LL Receipt #03B-16-00000146 6409 PARKLAND DR Paid 10/12/2016 3.00 SARASOTA, FL 34243 Ii l _ 2016 - 2017 J t712A111/A 13r1 f%^1 ILITV t ^t%A 1 152 10IhIC00 TA%W 100^01121T Al {' f uZl�� 21/0 ED 711 t-;Z:C VA ew,3 2. Nov 9 2016 ev') pq/ ,� _W„� / • • 0000 0•0 0 • 0• . 000 . 0.0. 0.• 0 • 0 . 0000•• 0000 ••••• •• 00• . 0000.•••• , r •000• .000 .0.. 900 . 0 • 0000• 0000. cr• • 0 •• C C • • • 000006 • © Q 0000. r LZ Cf r Q Q to ~ I=— Z � >, § < L LL J; Z < G < Lts MEE ic State of Florida pstein ('IL, ion FF 176009 312018 aj'/4 l Uu V 1 (A,' rr� ..... .. . ...... Y—;�et � ...... . ..... �Y►V� V ELECTRICAL REVIEW APPROVED DATE t'Y1 (Xjr(c-,1 c 13 0,O-76(-7 app°vqy Notary Public State of Florida Adrienne Epstein , Na My Commission FF 176009 e Q or FW Expires 11/13/2018