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EL-16-513Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 4 op Rc �5 430 () Inspection Number: INSP-269921 Permit Number: EL -2-16-513 Scheduled Inspection Date: November 01, 2016 Inspector: Devaney, Michael Owner: DAIDONE, GLENN Job Address: 339 NE 100 Street Miami Shores, FL Project: <NONE> Contractor: MV ELECTRICAL SERVICES Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alteration Phone Number (305)788-2711 Parcel Number 1132060135360 Phone: (305)216-0677 Building Department Comments ELECTRIC WORK FOR GARAGE CONVERSION ALONG WITH KITCHEN RE -WIRING MAIN PANEL REPLACEMENT 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 CREATED AS REINSPECTION FOR INSP-255680. F P L notified to reconnect service. poi/ November 01, 2016 For Inspections please call: (305)762-4949 Page 24 of 38 Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Permit Permit NO. EL -2-16-513 Permit Type: Electrical - Residential Work Classification: Alteration Permit Status: APPROVED Issue Date: 3111/2016 Expiration: 09/07/2016 Parcel Number Applicant 339 NE 100 Street Miami Shores, FL 1132060135360 Block: Lot: GLENN DAIDONE Owner Information Address Phone Cell GLENN DAIDONE 54 NE 97 Street MIAMI SHORES FL 33138-2331 (305)788-2711 54 NE 97 Street MIAMI SHORES FL 33138-2331 Contractor(s) MV ELECTRICAL SERVICES Phone Cell Phone (305)216-0677 Valuation: Total Sq Feet: $ 7,000.00 0 Type of Work: ELECTRIC WORK FOR GARAGE CONVERSION Additional Info: Classification: Residential Scanning: 1 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Notary Fee Permit Fee - Additions/Alterations Scanning Fee Technology Fee Total: Amount $4.20 $3.68 $3.68 $1.40 $5.00 $245.00 $3.00 $5.60 $271.56 Pay Date Pay Type Amt Paid Amt Due Invoice # EL -2-16-58809 03/11/2016 Credit Card $ 221.56 $ 50.00 02/24/2016 Credit Card $ 50.00 $ 0.00 Available Inspections: Inspection Type: Review Electrical 1 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, DOO; , ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information y- .rate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -nam- • . ractor to do the work stated. Authorized Signature: Owner / Applicant Building Department Copy ontra or Agent March 11, 2016 Date March 11, 2016 1 BUILDING PERMIT APPLI ATION ❑BUILDING teELECTRIC 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 Fire 13 FEB' 24 7015 FBC20 Master Permit No. 12-- e— 15- 3o, Sub Permit No. ELI (0 ❑ EXTENSION ❑RENEWAL ❑ ROOFING ❑ REVISION ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF CONTRACTOR JOB ADDRESS: City: Folio/Parcel#: Miami Shores County: Miami Dade ❑ CANCELLATION ❑ SHOP DRAWINGS Zip: Occupancy Type: )1-27 --013- 5310 Is the Building Historically Designated: Yes Load: —Construction Type: ' Flood Zone: NO BFE:- FFE: OWNER: Name (Fee Simple Titleholder): (tea ,/AAa)1).5 Phone#: X✓ 7O O —P7 Address: .c::) � 1 00 S City: IA ICM,( Si& G5 State: Tenant/Lessee Name: Phone#: Email: Zip: v -?139%. CONTRACTOR: Company Name: t) E I Ec4 tic gQ J GE Address: )S i i 1J W e z C� Phone#: City: l'"t f tivrt k State: �L Zip: 33O 1 S Qualifier Name: NI4kk0 Ucyt0 M- Phone#:(O'S) 2i6 OGaY State Certification or Registration #: EC. 13Oo O b Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ I000 Type of Work: ❑ Addition ❑ Alteration Square/Linear Footage of Work: ❑ New ❑ Repair/Replace Description of Work: 0) t G u) x i/4 -1r.=1/ 1Q Specifyrcolor of color thru tile: Submittal Fee $ C0• � Permit Fee $ ;h'� d CCF $ Scanning Fee $ Radon Fee $ 3 , DBPjR $ 6 �5 Technology Fee $ `� + 6a Training/Education Fee $ / ' `t t J ❑ Demolition 2cvi ups cot v*% -' 1/l CO/CC $ Notary $ a Structural Reviews $ T.) (Revised02/24/2014) Double Fee $ Bond $ TOTAL FEE NOW DUE $ 22 4. 5b 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 ail 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 NER or AGENT Signature CON1rRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of Ja/7 vGirc, 20 /,4 , by �Qj day of rc , 20 'co , by 6/14 me or who has produced who is personally known to identification and who did take an oath. NOTARY PUBLIC: as Sign, Print: 5 801°004Notary Public State of Florida . Joanna M Feliciano MY Commission FF 082753 Fvpires 01112/2018 , who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: *************************************iii******* APPROVED BY (Revised02/24/2014) 41.7.-7-z°,71 Plans Examiner Structural Review o ary ublic - State of Florida My Comm. Expires May 4, 2017 oa°e' Commission # EE 873648 OF Bonded Through National Notary Assn. *************************************** ** ** Zoning Clerk do ACOR©a CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDYYYYY) 02/18/2016 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(ies) 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 endorsament(s). PRODUCER MUTUAL INTEREST ASSURANCE 1295 CORAL WAY SUITE 3 MIAMI,, FL 33145 INSURED M.V. ELECTRICAL SERVICES, INC 18311 NW 82ND COURT MIAMI, FL 33015 CONTACT EST NAME: HER VIRAL PHONE 305-880-2003 r`iuc,Her 305-860-0907 rA.M•tz MUTUALAS OL..CON! ADORES,S,:� __INSURERLS)AFFORDINGCOVERAGE ,T_ NAtC INSURER A:ASCENDANTj_NDERWRITERS INSURER e;CASTLEPOINT FLORIDA INSURANCE CO. mNSuRER c INSURER 0.: INSURER E: INSURER F REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER CERTIFICATE MAY SE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS�.«.._ _ NAMED ABOVE FOR THE POLICY PERIOD DOCUMENT WITIi RESPECT TO 41 -ITCH THIS HEREIN IS SUBJECT TO ALL THE TERMS, ....__,...... ., .:........ _ __rt _ • LIMITS OUCY FF'7—OLICYESP..' PP TYPE OF INSURANCE POLICY NUMBER (MM/DDIYYYY1. (MWDDlYYYY) I RY MIS A i GENERAL UAe1UTY I GL./33643-3 09/23/2015 09/2312018 X COMMERCIAL GENERAL LIATFLITY CLAIMS -MAGE X OCCUR ,s . _r < GEN LAGGREGATE LIMIT APPLIES PER , POLICY JEGi> L - EACH OCCURRENCE 5 1000000 ...100.000 PREMagg 4 s ..... , MED EXP IArTr ane Fersan) .As PERSONAL & ADV INJURY 5 GENERAL AGGREGATE_ s... .... _ PRODUCTS •COMPOP*Go S 5:000 1,000.000 1 00_ 000!0 1.000,000 ; $ .. AUTOMOBILEUABIUTY ANY AUTO teMb N D SINGLE LIMIT 5 EOD:LY INJURY (Per person)_5 mo+ ALL 014T4EO ' SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS OODiLY l"iJURY M a necx) 5 I'PR$iniirr DAMAGE– ' $ , PPEr?S,551ft:t t �.v.. _._..., _ _ 5 --_. .. _ _ _ ..� _ „__-ti UMERELLAUAU OCCUR y EXCESS LIAB CLAIMS -MADE } EACH OCCURRENCE ' S 4 AGGREGATE 5 OED RETENTIONS I ' $ gq 8 woDNensCOM NSA TWC3436248 10111/2015 10/11/2016 AND EMPLOYERS' WBILIIUTY ANY PROPRIETOR/PARTNER/EXECUTIVE c OFFICER1MEMBER EXCLUDED" L � N to `^C STAIN. ' oT>t- IOI+YLIIIS..... ..l<T? ._. , E L EACH ACCIDENT { $ E L DISEASE - EA EMPLOYEE 5 �, ,, SEL DISEASE -POLICY LIMIT 5 100,000 _, 500.000 100,000 (Mandatory in NH) it ee under DESCRIPTIO OF OPERATIONS teems . t DESCRIPTION OP OPERATIONS! LOCATIONS 1 VEHICLES (/Much ACORD 101. Addltlonal Remarks Schedule, If mon space is required) ELECTRICAL WORK MIAMI SHORES BUILDING AND ZONING 10050 NE 2ND AVE MIAMI SHORES, FL, 33138 SHOULD ANY OF THE ABOVE DESCRIBE POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE TH EOF, OTICE WILL BE DELIVERED IN ACCORDANCE WITH THE PO Y PRO SIONS. AUTHORIZED REPRESENT* ACORD 2512010/05) -WTI AI:VKLi I:UKYUKP1rr JN. • The ACORD name and Joao are registered marks of ACORD