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EL-14-2010Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 nspection Number: INSP-269581 Permit Number: EL -9-14-2010 Inspection Date: October 24, 2016 Inspector: Devaney, Michael Owner: FREHLING, ROBERT AND NANCY Job Address: 1285 NE 95 Street Miami Shores, FL Project: <NONE> Contractor: ABA ELECTRIC CORP Permit Type: Electrical - Residential Inspection Type: Work Classification: Temp for Construction Phone Number Parcel Number 1132060144020 Phone: (786)304-7377 Building Department Comments TEMPORARY ELECTRIC FOR CONSTRUCTION Infractio Passed Comments INSPECTOR COMMENTS False fit ` l/ 1 Passed Inspector Comments /7Z 1 , P /u m //"-----/ %/.- tel-/ �'G1 lam' Failed Correction Needed Re -Inspection Fee No Additional Inspections can be scheduled re -inspection fee is paid. until October 24, 2016 For Inspections please call: (305)762-4949 Page 1 of 1 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL / Phone: (305)795-2204 Fax: (305)756-8972 — 't !.3 ( I, Inspection Number: INSP-219678 Permit Number: EL -9-14-2010 Scheduled Inspection Date: September 19, 2014 Inspector: Devaney, Michael Owner: FREHLING, ROBERT AND NANCY Job Address: 1285 NE 95 Street Miami Shores, FL Project: <NONE> Contractor: ABA ELECTRIC CORP Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Temp for Construction Phone Number Parcel Number 1132060144020 Phone: (786)304-7377 Building Department Comments TEMPORARY ELECTRIC FOR CONSTRUCTION Infractio Passed Comments INSPECTOR COMMENTS False Passed Failed Correction Needed Re -Inspection Fee No Additional Inspections can be scheduled until re -inspection fee is paid. Inspector Comments September 18, 2014 For Inspections please call: (305)762-4949 Page 17of31 BUILDING PERMIT APPLICATION Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 SEP 152014 FBC 20 Master Permit No. -3 - i 'S&L Sub Permit No. ELI j [ L I O El BUILDING Eg ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION El RENEWAL PLUMBING ❑ MECHANICAL EI PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: I2& 'E • els" salizs. 1►� City: Miami Shores �) County: Miami Dade Zip: 33/->_— Folio/Parcel#: 11- 3006 - D 44` 4vzo Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: D` OWNER: Name (Fee Simple Titleholder): R � `%IA L T ��NG( Phone#: (3) -74z. 344E) Address: 5g" ' • /v*M Aye . City: 411 AM a State: Zip: 3"30)6 Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: j"• Phone#: Address: 17 2-0 '). t1 J • ¶'1'' A -••IE. State: : L City: IA Ain Qualifier Name: 'Pima 5.00 at) eZ State Certification or Registration #: Zip: 33) 721 - Phone#: (7 ) .i)4 ' 73 77 Certificate of Competenc 11 E azo foP� DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ Ii Z O ._..• Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration TM New ElRepair/Replace El Demolition Description of Work: MqO FLY ice- G'rPL FO\t 1S Cld/J Specify color of color thru tile: l Submittal Fee $ Permit Fee $ / 'd e a'0 CCF $ ` CO/CC $ 0 Scanning Fee $ CI • (33 Radon Fee $ 2 •C) DBPR $ Notary $ Technology Fee $ ' G6 Training/Education Fee $ 0 ' 40 Double Fee $ CP Structural Reviews $ to Bond $ 9 TOTAL FEE NOW DUE $ 4 I C . (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. 1 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, t e inspection will not be approved and a reinspection fee will be charged. Signature OWNER or AGENT The foregoing instrument was acknowledged before me this , 20 l`t' , by f2 -0.[ F T)4L AIC, , who is p rsonall no to me or who has produced as identification and who did take an oath. NOTARY PUBLI /(7 day of.fr• Sign: _ Print: CJ 0S 94420t14- Seal: 442 c 14 -Seal: CARLOS SANABRIA Commission 44 FF 37673 My Commission Expires July 18, 2017 ******** ********************* APPROVED BY (Revised02/24/2014) Signature CONTRACTOR The foregoing instrument was acknowledged before me this 10day of — , 20 14 , by }'DJ Frio Piotois. , who is • rscrrially kno , n to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: ��`` � Print: C41C4OS SidA.W't:51U�- Seal: *************************** 57' Plans Examiner .°i,n o,/ CARLOS SANABRIA Commission N FF 37673 My Commission Expires July 18, 2017 Structural Review ********* Zoning Clerk RICK SCOTT, GOVERNOR 1. Named below HAS,REGISTERED - Under the provisions of Chapter 489`FS_ Expiration date: AUG 31, 2016 f r• (INDIVIDUAL MUST MEETALL LOCAL LICENSING REQUIREMENTS PRIOR TO -CONTRACTING IN ANY AREA) STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD KEN LAWSON, SECRETARY LICENSE NUMBER r, ER13014607 The ELECTRICAL: CONTRACTOR -- RODRIGUEZ,FREDY --0.: .,,,,,ABA ELECTRIC, CORP 2-10791',SW 51ST -DRIVE t'1-- :MIAMI::- "-tom .FL 33165 y ISSUED: 07/30/2014 DISPLAY AS REQUIRED BY LAW ---------- - SEQ # L1407300002425 CTQB Construction Trades Qualifying Board BUSINESS CERTIFICATE OF COMPETENCY. 11E000168 ABA ELECTRIC CORP D.B.A.: • •• RI •FREDY Is certified under the provisions of Chapter 10 of Miaml-Dade Coun 0001 0002 0004 QUALIFYING TRADE(S) ELECTRICAL BURGLAR ALARM FIRE ALARM SPECLT 005632 ,Local Business Tax Receip Miami -Dade County, - State of Florida -THIS IS NOT A BILL - DO NOT PAY 6798566 BUSINESS NAME/I.00ATION ABA ELECTRIC CORP 1 1220 SW 99 AVE MIAMI FL 33174 OWNER ARA El'FCTRIC CORP i4orker(s)1 RECEIPT NO. EXPIRES 707EW SEPTEMBER 30, 2015 8 Must be displayed at place of business Pursuant to County Code Chapter 8A - Art 9 & 10 SEC. TlTE OF/BUSINESS 196 ELE#CTRtC/AL CpNTRAGTOR 11E00010 PAYMEN� ECEI� 6i TAX CT4a. 05.00 07/30/2014 COEDITCAI2D-14- 93Q557 �ent of the focal Busiaeds Tax. The Receiptlis nota license, Th4{arxl usiaess TaxReceipt o rem pe perndt or sicertifcetion of the hoI er"s RRcatl 10 do business. Hoide t-compiy'wrttr any govergmeNal or aoeg mal reguthtory I uirem which apply to therb mess. PT �1tl shove [men be di played oo all commercial vehiclss - Miarei DadeCalle Sec 8s-276. Forme nfoana1ion. visit w ww.miamidada gpv/Ioxcolleetor _ Municipal Contractor's Tax Receipt Miami -Dade County, State of Florida -THIS IS NOTA SILL -DO NOT PAY CC NO: 11 E000168 BUSINESS NAMEILOCATION ABA ELECTRIC CORP 1220 SW 99 AVE MIAMI, FL 33174 MIA RECEIPT NO. NEW BUSINESS 7454133 TYPE of BUSINESS ELECTRICAL CONTRACTOR EXPIRES SEPTEMBER 30, 2015 Must be displayed at place of business Pursuant to County Code Chapter 8A — Art. 9'& 10 / For mare istonnadmaildtd PAYMEP( RECEIVED BY TAX COLLECTOR 200.00 09/04/2014 0226-14-006827 yr I1J: JO A� R�6 CERTIFICATE OF LIABILITY INSURANCE DATE 0910412014Y' 09/04/2014 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(fes) 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). PROWLERACT Phone: 305-221-2400 Tropical Insurance Agency Inc.PN 8700 West Flagler St Ste 230 Fax: 305-552-5360 Miami, FL 33174ADDRESS: Nestor G. Rivero, CIC , : NE FAX (A/C, Nob . LICY EXP UMMEDOMTYZ PROO11cER CUSTOMER IDS: ABAEL-1 INSURERS) AFFORDING COVERAGE NAIC 0 INSURED ABA Electric Corp Jose A. Milo Vento 1220 SW 99th Ave Miami, FL 33174 INSURER A : Granada Insurance Company INSURER B: 0185FL00025886 INSURER C 04/12/2015 INSURER D : $ INSURER E : X INSURER F : $ 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. LTR TYPE OF INSURANCE INSR KnID POUCY NUMBER IAIDW1r0Y) EFF LICY EXP UMMEDOMTYZ OMITS X GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY OCCUR 0185FL00025886 04/1212014 04/12/2015 EACH OCCURRENCE $ 1,000,000 X DpRZGEi E$ S gENTE fD l $ 100,000 CLAIMS -MADE X MED EXP (Any one person) $ 1,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT POUCY f TC APPLIES�PER: PRODUCTS - COMPIOP AGG $ 1,000,000 7 pi IjLOC $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMB (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ $ UMBRELLA UAB EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ $ — $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER!MEMBER EXCLUDED? (Mandatory In NH) 11 yes, describe under DES(WPTION OF OPERATIONS Y fN N / A ER TOCPTIM -S T E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space 1s required) Electrical Operation CERTIFICATE HOLDER CANCELLATION MIAMISH Miami Shores Village 10050 N.E 2nd Avenue Miami Shores, FL 33138 SHOULD ANY OF THE OVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRA O ATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORD TH THE POLICY PROVISIONS. AUTH D PR SENTATIVE N for G RI ero, CIC 01988.2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo re registered marks of ACORD R,Y CERTIFICATE OF LIABILITY INSURANCE DATE(MM(DD/YYYY) 9/4/2014 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 pollcy(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 DOPAZO & ASSOCIATES INC 3900 NW 79TH AVE #700 MIAMI FL 33166 NAOMEA°T MAXIMO A DOPAZO FAX PHONE . Ext): 3054708500 No]: IL ADDRESS: MAX r)OPA7O COM INSURER(8) AFFORDING COVERAGE NAIC # INSURER A: FWCJUA LIABILITY COMMERCIAL GENERAL LIABILITY INSURED ABA ELECTRIC CORP 1220 SW 99 AVE MIAMI FL 33174 FEIN: 450647941 INSURER B : INSURER C : INSURER D : $ INSURERS: $ INSURER F • ,...v,vww ,,,wmon. 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 IP,SR TYPE OF INSURANCE ADDL INSR SUBR WV() POLICY NUMBER POLICY EFF (MM/DDIYYYY) POLICY EXP (MMIDO/YYYY) LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES (Ea occurrence) $ CLAIMS -MADE OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: 7 POLICY n j8T n LOC PRODUCTS •• COMP/OP AGO $ $ AUTOMOBILE — -- LIABILITY ANY AUTO_ ALL OWNED AUTOS HIRED AUTOS — - SCHEDULED AUTOS ANON-OWNEDTO CO BINEDtj INGLE LIMIT BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ —_ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENT ON $ $ A WORKERS AND ANY OFFICE/MEMBER (Mandatory If yes, DFSCRIPTION COM*ENSATION EMPLOYERS' PROPRIETOR/PARTNER/EXECUTIVE In NH) describe under OF LIABILITY EXCLUDED? OPERATIONS Mow y/ N N — N / A 70758186 973/2014 9/3/2015 x WC STATU- TORY LIMITS OTH- ER E.L. EACH ACCIDENT $ 500,000.00 — E.L. DISEASE - EA EMPLOYEE $ 500,000.00 E.L. DISEASE - POLICY LIMIT $ 500,000.00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If morn space 1s required) Electrical Operation CANCELLATION Village of Miami Shores Building Department 10050 NE 2nd Ave Miami Shores Village FL 33138 PhonelNumber 3054002662 ACORD 25 (2010/05) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED • IN ACCORDANCE -WITH THE POLICY PROVISIONS, AUTHORIZED REPRESENTATIVE [a rte..✓./? ©1988.2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD