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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