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EL-16-3308 H P Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-272573 PermitNumber: EL-12-16-3308 Scheduled Inspection Date: December 09,2016 Permit Type: Electrical- Residential Inspector: Devaney, Michael Inspection Type: Final Owner: ASCON,JUANA Work Classification: Addition/Alteration Job Address:875 NE 92 Street Miami Shores, FL Phone Number Parcel Number 1132060050030 Project: <NONE> Contractor: ODETTE ELECTRIC CO Phone: (786)853-4177 Building Department Comments REPAIR WHERE THE EXISTING METER IS FASTENED Infractio Passed Comments TO INSPECTOR COMMENTS False Inspector Comments Passed It Failed Correction Needed Re-Inspection ❑ �- Fee No Additional Inspections can be scheduled until re-inspection fee is paid. December 08,2016 For Inspections please call: (305)762-4949 Page 22 of 31 xH E z 3 Miami Shores Village 10050 N.E.2nd Avenue NE jp ow Miami Shores,FL 33138-0000 33138-000 , Phone: (305)795-2204 - �� W, Expiration: 0612017 Project Address Parcel Number Applicant 875 NE 92 Street 1132060050030 JUANA ASCON Miami Shores, FL Block: Lot: x_ Owner Information Address Phone �e Cell JUANA ASCON 875 NE 92 Street MIAMI SHORES FL 33138- 876 NE 92 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 60.00 ODETTE ELECTRIC CO (786)853-4177 I _. .......::__... .. .. ......._._ _ ,, Total Sq Feet: 0 Type of Work.REPAIR WHERE THE EXISTING METER IS Available Inspections: Additional Info:REPAIR WHERE THE EXISTING METER IS Inspection Type: Classification:Residential Final Scanning:3 Meter Box Alteration Relocation Fire Alarm Service Change Review Electrical Underground W.W. i Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.60 Invoice# EL-12-16-62281 DBPR Fee $2.25 12/08/2016 Check#:154 $ 120.10 $50.00 DCA Fee $2.25 Education Surcharge $0.20 12/06/2016 Cash $50.00 $0.00 Notary Fee $5.00 Permit Fee-Additions/Alterations $150.00 Scanning Fee $9.00 Technology Fee $0.80 Total: $170.10 In consideration of the issuance to me of this perm t, I agree to perform the work covered hereunder in compli ince with all ordinances and regulations pertaining thereto and in strict conformity with the piai s,drawings,statements or specifications submitted to the prol ar authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either m se:f, my agent, servants, or emplcycc I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICA_,WINDOWS,DOORS,ROOFING and SWIMMING POOL wor c. OWNERS AFFIIDANIT: I certify that all the foregoing information is accurate and that all work will be done in com)fiance with all applicable laws regulating construction and zon' . Fath rmore,I authorize the above-named contractor to do the work stated. Decor liber 08, 2016 Auth r na u nor / Applicant / Contractor / Agent )ate Building Department Copy December 08,2016 1 Miami Shores Village - `I Building Department DEC 06 2016 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 B: _ - INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20/'-Y BUILDING Master Permit No. PERMIT APPLICATION Sub Permit No. BUILDING ELECTRIC ❑ ROOFING ❑ REVISION EXTENSION RENEWAL PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF CANCELLATION SHOP _CONTRACTOR DRAWINGS JOB ADDRESS: ? C� ( O� s'�yL City: Miami Shores County: Miami Dade Zip: 3� Folio/Parcel#: Is the Building Historically Designated:Yes NO �— Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: drt OWNER:Name(Fee Simple Titleholder):: LAfid`'A "qS Phone#: 3ZZS--3 ®('—Q 89/ Address: O 75 AJ e- 12- City: 2City: °-L J cc'�,r �6 epS State: PL-»- Zip: 3 3 l 3g Tenant/Lessee Nam C-S A a 0 j e rr 4- Phone#: 0. �+� Email: r 4vS '2-k(&& 0 �ld'ui 1aC°Uy� CONTRACTOR:Company Name: 0 L2W4 , CONT DQW e . Phone#: "�) Address: 3 0 0 092.84-- 3 0 City Fd -State: �L Zip: 3 O I Qualifier Name: Lel.'jS q LkI Phone#: State Certification or Registration#: EG 1300 Certificate of Competency#: 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 ❑ New-1 Repai eplace ❑ Demolition Description of Work: &ur W In @,off t� 1'yL is ;Rq 4o . Specify color of color thru tile: Submittal Fee$ Permit Fee$ I 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) 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 Signature > WNER or AGENT CONTRACTOR The foregoing instrum t was acknowledged before me this The foregoing instrument was acknowledged before me this day of ye& 20,�� ,by tO day of ��ro2Yh[�`21r 20 r ,by /'l,V,0",Iwho is personally known to ', m AV,'JA l A who is personally known to me or who has produced 6��J 4- �� as me or who has produced Y f('�Yls`O as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY P :'►0� MARRIPRANCB JEANRWA ••i MY Commisi;1011 N FF928244 Sign: Sign: -yr. Print: Print (40'� O 63 Print: Seal: Seal: YpNppY PF400 MY( 881DV f FF 2191 ?*. ' EXPIRES:MAO 25,2012 • Bowed TWUNo"i eWWW'A"M APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) ELECTRIC CONTRACTOR uc.�s2-ra 726 East 32 Street Tel.:305-835-8906 Hialeah, FI 33093 Cell.786-853-4177 Fax:305-694-9522 November 30, 2016 FPL 4200 W Flagler Street Miami, Florida 33134 • Reference: Juana Ascon 875 WE 92 Street Miami Shores•Florida•33138 To whom it may concern: The electrician from Odette Electric,Co was at the property located at 875 N.E 92 Street Miami Shores, Florida 33138 and checked the meter that is located on the left hand side of the front of the house, which is in good condition for the electrical service. Please be advised that the electrician never entered the inside of the home and only checked the meter located outside. Sincerely, yr Elizabeth Aguila Odette Electric,Co (786)853-2803 RICK SCOTT,G{VtFkIV{)R y IGEN LAWSON,SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION (ELECTRICAL CONTRACTORS LICENSING BOARD EC13 02055 The ELECTRICAL CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2018 AGUILA, LUSS M QDETTE ELECTRIC COMPARYZINC 300 WEST 30 ST k H IALEAH FL33042 ,. � r Y 13 ISSUED: aas IM016 DISPLAY AS REQUIRED BY LAIN saa� Lt�08tg0�ti1664 r DATE A CERTIFICATE OF LIABILITY INSURANCE 01/006/165116 "�"Y' 01 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 pollcles may require an endorsement A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsemen s. _ PRODUCER C A TERE De Zayas insurance Corp. (305)267-2231- 305 267-2453 10110 SW 107 AVE. TERE(MDEZAYASINSURANCE.COM Miami,FL 33176 R Phone (305)274-1234 Fax (305)274-1238 INSURERS)AFFORDING COVERAGE NAIC0 INSURED INSU A: ASCENDANT COMMERCIAL INSURANCE,INC ODETTE ELECTRIC COMPANY INC INS • ASSOCIATED INDUSTRIES INSURANCE CO,IN 300 W EST 30 ST INSURER C: HIALEAH,FL 33012 INSu R D (786)853.2803 INSURER F COVERAGES 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 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. AD POLICY EFF L SR TYPE OF INSURANCE POLICY NUMBER M P LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 110001000 ® COMMERCIAL GENERAL LIABILITY tPREMISES Ea oma=Mal s 100,000 A ❑❑ ElCLAIMSwMADE ® OCCUR N N GL-351786 12/13/2015 12/13/2016 MED EXP An ane s 5,000 PERSONAL SADV INJURY S 1,000,000 ❑ GENERAL AGGREGATE $ 2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGO $ 1,000,000 11POLICY ❑ PRT ❑ LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S (Es ) ❑ ANY AUTO BODILY INJURY(Per person) S ❑ ALL OWNED AUTOS WA BODILY INJURY(Per accwentl S B ❑ SCHEDULED AUTOS PROPERTY DAMAGE $ ❑ HIRED AUTOS (Peraeddem) ❑ NON-OWNED AUTOS S ❑ a ❑ UMBRELLALIAS ❑ OCCUR EACH OCCURRENCE S ❑ EXCESS LIAR ❑ CLAIMS-MADE WA AGGREGATE S ❑ DEDUCTIBLE S RETENTION S WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY tiY LINUIS B OFF tCEORPIMtFTOPEXAC HERE CUTS l NIA AWC1058037 01IO1/2016 O1IO112017 EL.EACH ACCIDENT $ 1,0001000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYE•$ 1,000,000 I(yyeess daswW-der DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT S 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES(Attach ACORD 101,Addttlonai Remarks Schedule,It more space Is required) ELECTRICAL WORK WITHIN BUILDINGS. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED PO CIES BE C CELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WI BE DE ED iN Miami Shores Village ACCORDANCE WITH THE PO UC 0 ONS. Building Department 10050 NE 2nd Ave AUTHORIZED REPRESENTATIVE Miami Shores Village,FL 33138 Cecilia T Alvarez ®1988-2009 ACO'RD CORPORATION. All rights reserved. ACORD 25(2009109)QF The ACORD name and logo are registered marks of ACORD