RC-16-2444Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number:INSP-266599 Permit Number: RC -9-16-2444
Scheduled Inspection Date: De ember 2016
Inspector:
Owner: COBAS, SEBASTIAN & BARBARA
Job Address: 821 NE 99 Street
Miami Shores, FL 33138 -
Project: <NONE>
Contractor: MIAMI BEACH COMMUNITY CONTRACTOR
Permit Type: Residential Construction
Inspection Type: Final
Work Classification: Alteration
Phone Number (305)814-8808
Parcel Number 1132060340110
Phone: (305)538-0900
Building Department Comments
KITCHEN CABINETS
Infractio Passed Comments
INSPECTOR COMMENTS
False
Passed e..„,.t,„\k
Failed
Correction
Needed
Inspector Comments
eAt4, 43 115&
Re -Inspection
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
December 22, 2016
For Inspections please call: (305)762-4949
Page 11 of 32
Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit
Permit NO. RC -9-16-2444
Permit Type: Residential Construction
Work Classification: Alteration
Permit Status: APPROVED
Issue Date: 9123/2016
Expiration: 03/22/2017
Parcel Number
Applicant
821 NE 99 Street
Miami Shores, FL 33138-
1132060340110
Block: Lot:
SEBASTIAN & BARBARA COBA
Owner Information
Address
Phone
Cell
SEBASTIAN & BARBARA COBAS
821 NE 99 Street
MIAMI SHORES FL 33138-2566
821 NE 99 Street
MIAMI SHORES FL 33138-2566
Contractor(s) Phone
MIAMI BEACH COMMUNITY CONTRAI (305)538-0900
Cell Phone
(305)814-8808
J
Valuation:
Total Sq Feet:
$ 2,000.00
190
Approved: In Review
Comments:
Date Approved:: In Review
Date Denied:
Type of Construction: KITCHEN CABINETS
Stories:
Front Setback:
Left Setback:
Bedrooms:
Plans Submitted: Yes
Certificate Date:
Bond Return :
Occupancy: Single Family
Exterior:
Rear Setback:
Right Setback:
Bathrooms:
Certificate Status:
Additional Info: KITCHEN CABINETS
Classification: Residential
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Amount
$1.20
$2.00
$2.00
$0.40
$100.00
$9.00
$1.60
Total: $116.20
Pay Date Pay Type
Invoice # RC -9-16-61197
09/23/2016 Credit Card
09/02/2016 Credit Card
Amt Paid Amt Due
$ 66.20 $ 50.00
$ 50.00 $ 0.00
Available Inspections:
Inspection Type:
Final PE Certification
Drywall
Miscellaneous
Window Door Attachment
Tie Beam
Final
Framing
Insulation
Truss Insp
Foundation
Window and Door Buck
Fill Cells Columns
Wire Lathe
Columns
Review Mechanical
Review Electrical
Review Electrical
Review Plumbing
Review Plumbing
F. Termite Letter
F. Elevation Certificate
Review Planning
Review Building
Review Building
Review Building
Declaration of Use
Review Structural
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'AFFIDAVI
constructio ,and z.
at all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
ing. Futhermo
e, I authorize the above-named contractor to do the work stated.
Authorized Sig
/ Applicant /( Contractor // Agent
September 23, 2016
Date
September 23, 2016
1
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
821 NE 99 Street
Miami Shores, FL 33138-
Permi
Permit NO. RC -9-16-2444
Permit Type: Residential Construction
Work Classification: Alteration
Permit Status: APPROVED
Issue Date: 9123/2016
Expiration: 03/22/2017
Parcel Number
1132060340110
Block: Lot:
Applicant
SEBASTIAN & BARBARA COBA
Owner Information
SEBASTIAN & BARBARA COBAS
Address
821 NE 99 Street
MIAMI SHORES FL 33138-2566
821 NE 99 Street
MIAMI SHORES FL 33138-2566
Contractor(s) Phone
MIAMI BEACH COMMUNITY CONTRA( (305)538-0900
CeII Phone
Phone
(305)814-8808
Cell
Valuation:
Total Sq Feet:
$ 2,000.00
190
Approved: In Review
Comments:
Date Approved: : In Review
Date Denied:
Type of Construction: KITCHEN CABINETS
Stories:
Front Setback:
Left Setback:
Bedrooms:
Plans Submitted: Yes
Certificate Date:
Bond Return :
Occupancy: Single Family
Exterior:
Rear Setback:
Right Setback:
Bathrooms:
Certificate Status:
Additional Info: KITCHEN CABINETS
Classification: Residential
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:'
Amount
$1.20
$2.00
$2.00
$0.40
$100.00
$9.00
$1.60
$116.20
I�
Pay Date Pay Type
Invoice # RC -9-16-61197
09/23/2016 Credit Card
09/02/2016 Credit Card
Amt Paid Amt Due
$ 66.20 $ 50.00
$ 50.00 $ 0.00
Building Department Copy
Available Inspections:
Inspection Type:
Final PE Certification
Drywall
Miscellaneous
Window Door Attachment
Tie Beam
Final
Framing
Insulation
Truss lnsp
Foundation
Window and Door Buck
Fill Cells Columns
Wire Lathe
Columns
Review Mechanical
Review Electrical
Review Electrical
Review Plumbing
Review Plumbing
F. Termite Letter
F. Elevation Certificate
Review Planning
Review Building
Review Building
Review Building
Declaration of Use
Review Structural
September 23, 2016
2
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 5* t
FBC 2014
BUILDING Master Permit No. g C
PERMIT APPLICATION Sub Permit No.
BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION RENEWAL
SEP 2 2016
9-651
❑ PLUMBING ❑ MECHANICAL ❑ PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 821 NE 99TH STREET
City:
Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated: Yes NO X
Occupancy Type: RES Load: Construction Type: Flood Zone: NO BFE: FFE:
OWNER: Name (Fee Simple Titleholder): BARBARA & SEBASTIAN COBAS phone#:7864691003
Address:821 NE 99TH STREET
City: MIAMI SHORES State: FL Zip: 33138
Tenant/Lessee Name: N/A Phone#: N/A
Email: BARBARACOBASI@GMAIL.COM
CONTRACTOR: Company Name: PftIAQM1 1(,i 45111.4GT1O1 Cchv 1 tIl4 .4 Phone#: 1%. SI r 1.11 15j
Address: 14425 1,.ALL>G CAy»1e Jco G3" -
City: MIAMI LAg.e.S State: ft.. Zip: 33dU4
Qualifier Name: f" tAtJU1A. .ft>Kl244 Phone#: 30S .en.1405,A . .s,3oO , j
State Certification or Registration #: CreC. #1 151$$0} Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ 200 u Square/Linear Footage of Work: 1 C10
Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition
Description of Work: V lYCH w) CA61lJeTS
Specify color of color thru tile: fcT
Submittal Fee $ �V'CK) Permit Fee $ t(.N ' CCF $ i . 20 CO/CC $ F7.?
Scanning Fee $ 9 . cx, Radon Fee $ 2• • C) DBS�/PRS�$ 2 • CA Notary $ 1v
Technology Fee $ % _ � Training/Education Fee $ 0. 416 Double Fee $ 0
Structural Reviews $ 7 Bond $ /f-�
/(��
TOTAL FEE NOW DUE $ 'C XJ ' 20
(Revised02/24/2014)
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable) QUICKEN LOANS
Mortgage Lender's Address 1050 WOODWARD AVE
City DETROIT State MI
448226
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
OWNER or AGENT
The foregoing instru ent was acknowledged before mee this
30 day
7cc
of Livt 20 ' �.F� , by
13�vho i.41111011
...._
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign.
Print:
Seal:
as
r s
***r_******sI
APPROVED BY
(Revised02/24/2014)
AON1ANA NUNO
Mabry Punk • State of Florida
Comtttulon • FF 985188
* I4Y*meq!41P11 14110 .4,201!0
Bonded throw National otar Assn
0787
to
Signatur
The foregoing instrument was acknowledged before me this
day of 52 (M,! s24— ,20 /6 ,by
k(') r1U-\ �(.(Q—(Q , who is personally known to
me or who has produced L L. F 5 -til 65 381 -Qs
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:—.11_,./q — , ..•
�����"'patio
MARIA VINO
Seal: i,��`I., *,., Notary Public - State of Florida
� 41,--.....--A
' J+` Commission # FF 958005
My Comm. Expir#s May 17, 2020
+4. �� "d';, Bonded Ihr u N a 1 r Assn
**************** ***************
Plans Examiner
Zoning
Structural Review Clerk
Miami Shores Viiiage
Building Department
CONTRACTORS' REGISTRATION
IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR:
A. ✓ COPY OF QUALIFIER'S STATE LICENCES
B. / COPY OF LOCAL BUSINESS TAX RECEIPT
C. ✓ COPY OF LIABILITY INSURANCE*
D. ✓ COPY OF WORKERS COMPENSATION INSURANCE*
(Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit)
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY:
A. COPY OF CERTIFICATE OF COMPETENCY OF QUALIFIER
B. COPY OF LOCAL BUSINESS TAX RECEIPT
C. COPY OF STATE REGISTERED CONTRACTOR LICENSE OR MIAMI DADE COUNTY MUNICIPAL
CONTRACTOR'S TAX RECEIPT.
D. COPY OF LIABILITY INSURACE*
E. COPY OF WORKERS COMPENSATION INSURANCE*
(Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit)
*YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE AS FOLLOW:
Certificate Holder:
MIAMI SHORES VILLAGE BLDG DEPT
10050 NE 2ND AVE
MIAMI SHORES, FL 33138
Certificate must specify the description of operations or contractor license number.
BUSINESS NAME: M t AM 1 'BEAG1 COwsn .oK".t i D f.l Co t anis TO es Li -
BUSINESS ADDRESS: I 14% LAKE aNtLEWCOP Cr. CITY Muto41, LAt STATE FL ZIP 330 (4
BUSINESS PHONE: (3,5 ) $ to( - 40( S
FAX NUMBER ( 31,5 ) giq - 4o 15
CELL PHONE (78(, ) 531 - qq t 5 QUALIFIER'S NAME: M A^i O 0-- Rx2E32.0
QUALIFIER'S LIC NUMBER: CClC. # 151 800-4
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395
2601 BLAIR STONE ROAD
TALLAHASSEE FL 32399-0783
FORERO, MANUELA
MIAMI BEACH CONSTRUCTION CONTRACTORS LLC
14425 LAKE CANDLEWOOD CT
MIAMI LAKES FL 33014
Congratulations! With this license you become one of the nearly
one million Floridians licensed by the Department of Business and
Professional Regulation. Our professionals and businesses range
from architects to yacht brokers, from boxers to barbeque
restaurants, and they keep Florida's economy strong.
Every day we work to improve the way we do business in order
to serve you better. For information about our services, please
log onto www.myfloridaticense.com. There you can find more
information about our divisions and the regulations that impact
you, subscribe to department newsletters and learn more about
the Department's initiatives.
Our mission at the Department is: License Efficiently, Regulate
Fairly. We constantly strive to serve you better so that you can
serve your customers. Thank you for doing business in Florida,
and congratulations on your new license!
RICK SCOTT, GOVERNOR
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND
PROFESSIONAL REGULATION
CGC1518807 .ISSUED: 08/07/2016
CERTIFIED GENERAL CONTRACTOR
FORERO, MANUELA
MIAMI BEACH CONSTRUCTION CONTRACTO
IS CERTIFIED under the provisions of Ch 489 FS
Expuaton owe AUG 31 2018 L160807C302564
DETACH HERE
KEN LAWSON, SECRETARY
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD
LICENSE NUMBER
CGC1518807
The GENERAL CONTRACTOR
Named below IS CERTIFIED
Under the provisions of Chapter 489 FS.
Expiration date: AUG 31. 2018
FORERO, MANUELA
MIAMI BEACH CONSTRUCTION CONTRACTORS LLC
14425 LAKE CANDLEWOOD CT,
MIAMI LAKES FL 33014
002765
Local Business Tax Receipt
Miami—Dade County, State of Florida
-THIS IS NOTA BILL - OO NOT PAY
6741608
BUSINESS NAME/LOCATION
MIAMI BEACH CONSTRUCTION CONTRACTORS LLCRENEWAL
14425 LAKE CANDLEWOOD CT 7015092
MIAMI LAKES FL 33014
RECEIPT NO.
OWNER
MIAMI BEACH CONSTR CONTRS LLC
Worker(s) 1
TLB
T
EXPIRES
SEPTEMBER 30, 2016
Must be displayed at place of business
Pursuant to County Code
Chapter 8A - Art. 9 & 10
SEC. TYPE OF BUSINESS
196 GENERAL BUILDING CONTRACTOR
CGC1518807
PAYMENT RECEIVED
BY TAX COLLECTOR
845.00 08/11/2015
CHECK21-15-114492
This Local Business Tax Receipt only confirms payment of the Local Business Tax. The Receipt is not a license,
permit, or a certification of the holder's qualificafions, to do business Halder must comply with any governmental
or nongovernmental regulatory laws and requirements which apply to the business.
The RECEIPT NO. above must be displayed on all commercial vehicles - Miami -Dade Code Sec 8a-276.
For mare information, visit yvww.miamidade.govitexcollector
5/31/2016
/ 1
Report Viewer
JEFF ATWATER
CHIEF FINANCIAL OFFICER
STATE OF FLORIDA
DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORKERS' COMPENSATION
* ` CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW
CONSTRUCTION INDUSTRY EXEMPTION
This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law.
EFFECTIVE DATE: 3/16/2016 EXPIRATION DATE: 3/16/2018
PERSON: FORERO MANUEL A
FEIN: 464542360
BUSINESS NAME AND ADDRESS:
MIAMI BEACH CONSTRUCTION CONTRACTORS LLC
14425 LAKE CANDLEWOOD CT.
MIAMI FL 33014
SCOPES OF BUSINESS OR TRADE:
LICENSED GENERAL
CONTRACTOR
Pt: suer: to C'uoter 440.05(14). F.S. an officer of a cerpereoon who elects exemption tom Vas chapter br filing a certiicae of election undo' this section
way not scope of the is acc5 a resat n underted hs tic Reselect440 05(12). F.S.. Ce•G1c0hlt oletecicn o be exempt.. apply only
iCen enema. F4rs,ant to Chapter 440.05(131. F.S.. Aotces o' election 10 be
exempt am cer ficates d election 10 be exempt snail be sub.ect 10 revocation if. at any time after the Rog of the soccer or the issuance rt ere certificate.
the web, named on the nonce er certfica'.e ro longer meetthe requirements d this section lor asuance of a cart/Scare. T.ne Cepa Inert setae revoke a
DFS-F2-0WC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13
QUESTIONS? (850)413-1609
IbudbudWIlbudbodboulbudlumilhiudIW
,, P,,, MARIA VINAS
' •1 ws Notary Public - State of Florida
Commission M FF 958005
71,s ` My Comm. Wires May 17, 2020 r
, ,°, Bonded through National Notary Assn 0
Date:
State of Florida
County of Miami Dade
MIAMI BEACH
CONSTRUCTION
CONTRACTORS
MBCC LLC
CGC # 1518807
14425 Lake Candtewood Ct, Miami Lakes, FL 33014
Mobile: 786.539.9915 1 Tele/Fax: 305.819.4015
www.mbcctic.com
Before me this day personally appeared MAch 04...- 1V?.tVO , who being sworn, deposes and
says:
That he or she will be the only person working on the project located at 9t
sTve eir ! % -sricoce L ”18
Sworn to (or affirmed) and subscribed before me this
u \ �o{QJO
day of \92.4" , 20 ( b, by
Personally know
Or produced identification • L
Type of identification produced
Irl iami Shores V
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Notice to Owner — Workers' Compensation Insurance Exem tion
Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05
allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to
obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure:
An employer in the construction industry who employs one or more part-time or full-time
employees. including the owner, must obtain workers' compensation coverage. Corporate officers
or members of a limited liability company (LLC) in the construction industry may elect to be
exempt if:
1. The officer owns at least 10 percent of the stock of the corporation, or in the case of
an LLC, a statement attesting to the minimum 10 percent ownership;
2. The officer is listed as an officer of the corporation in the records of the Florida
Department of State. Division of Corporations; and
3. The corporation is registered and listed as active with the Florida Department of
State, Division of Corporations.
No more than three corporate officers per corporation or limited liability company members are
allowed to be exempt. Construction exemptions are valid for a period of two years or until a
voluntary revocation is filed or the exemption is revoked by the Division.
Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use
day labor, part-time employees or subcontractors for your project. The contractor has provided an affidavit stating that he or she will
be the only person allowed to work on your project. In these circumstances, Miami Shores Village does not require verification of
workers' compensation insurance coverage from the contractor's company for day labor, part-time employees or subcontractors.
BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS
CONTENTS.
Signature:
wner
State of Florida
County of Miami -Dade I
The foregoing was acknowledge�before me this `1 day of � 6 -C , 20 /
13y 7,1134-54-1403 ((Wks who is personally known to me or has produced
1J . L . l _ 1 O - , -fCJ- ' Vfc identification
7�`d
SEAL:
MARIA VIN
Notary Public - State of Florida
�•� Commission # FF 958005
My Comm. Expires May 17, 2020
Bonded through National Notary Assn.
TALLAHASSEE
DE LA PAZ, ALEX
APR ELECTRIC CORP
8183 NW 8TH ST SUITE C-4
MIAMI FL 33126
FL 32399-0783
Congratulations! With this license you become one of the nearly
one million Floridians licensed by the Department of Business and
Professional Regulation. Our professionals and businesses range
from architects to yacht brokers, from boxers to barbeque
restaurants, and they keep Florida's economy strong.
Every day we work to improve the way we do business in order
to serve you better. For information about our services, please
log onto www.myfloridalicense.com. There you can find more
information about our divisions and the regulations that impact
you, subscribe to department newsletters and learn more about
the Department's initiatives.
Our mission at the Department is: License Efficiently, Regulate
Fairly. We constantly strive to serve you better so that you can
serve your customers. Thank you for doing business in Florida,
and congratulations on your new license!
RICK SCOTT. GOVERNOR
='"STATE OF FLORIDA
_
.- DEPARTMENTdOF'BUSINESSAND
4 -'4 -:PROFESSIONAL REGULATION -;-
.._
ER13014093 s "ISSUED: 09/07/2016 —.
--�- WA•- -_,14 ,..
REG'ELECTRICAL- CONTRACTOR
DE:L'A PAZ;"ALEX
APRELECTRIC CORP= „r
(INDIVIDUACMUST MEET ALL!: - --
LICENSING:REQUIREMENTS-PRIOR.---�
TO CONTRACTING:I N:ANYAREA)'--"-----
I AS REGISTERED under the:pro sion sjof Ch:4`89 FS
-� _ •------•..4
Fxpi atio„�•n data.,.AUG.31�2078 1460907,000.1863,
DETACH HERE
KEN LAWSON, SECRETARY
.�«-----►•�w� �.:., , . -- STATE,OF.FLORIDA :
DEPARTMENT OF BUSINS%AND:PROFESSIONAREGULATION
L-
"ECTRICACESCONTRACT LICENSING BOARD```
LICENSE NUMBER
'„ ►
`w.�`:r
.w_:
ER1301409
'
''m
••.
`w#
`� w"'
a
The ELECTRICAL:CONTRACTOR,
.Na'med'b Iow:HAS,REGISTERED
,Under•the provisions.of
�.. CFapte:489;FS-*-w.-
Ex pI�ioh daterAUG,31;20'8,_
*.�•-
' (INDIVIDUAL MUST,MEET,ALL-LOCAL
EQUIREMENTS:PRIOR-TO+CONTRACTING,IN ANY•QRE.,,,
DE"LATAZ=ALEX-^"
APR-,ELECTRIC:CORP•'
8183 NW 8TH,ST'
EL,33126 -'"
0
0
.44
ISSUED: 09/07/2016
4
DISPLAY AS REQUIRED BY LAW SEQ # L1609070001863
PERMIT #: a,c I(0- 2UUU
MIAMI SHORES VILLAGE
APPROVED
BY
DATE
ZONING
STRUCTURAL
ELECTRICAL
PLUMBING
MECHANICAL
MASTER BEDROOM
13 X 16
SMOKE DETECTOR
BLDG.
64i
SUBJECT TO COMPLIANCE WITH ALL F
0
0
ERAL °ED X1126,
SMOKE DETECT
STATE AND COUNTY RULES AND REGUTIOt
MASTER
BATHROOM
0
03)
KITCHEN
16 X 16
SMOKE DETECTOR
oYo
HALLWAY
�/
BATHROOM
LMNO I DINING ROOM
26X17
8
L_
HALLWAY
7X12
SMOKE AND CARBON
MONOXIDE DETECTOR
GARAGE
FAMILY ROOM
17 Xis
SMOKE DETECTOR
CLOSET
BEDROOM 1
12 XIS
BARBARA & SEBASTIAN COBAS
821 NE 99 STREET
MIAMI SHORES, FL 33138
ADD SMOKE/CARBON MONOXIDE DETECTORS.
ANY AND ALL CLOTH AND RUBBER
INSULATED CONDUCTORS TC• BE REPLACED.
2N0 FLOOR
COVV4(Ac4or
2 to/L4-0�3
otu f(, prey AtL•ex 1_ 14- 0-,41---z
C6p
••••
•
• ••••
• • • •
•• • • •••
• • • •
••••
•
•
• •
•••• •
• •
•. • • •
••
• • •• •
••• •• ••••
•
• • •
• • • •
• •
•
.•
•• • • •
• •
•• • •••• • •
•
.•
•• •
6°Y. 1:4* LUIS FERNANDEZ
c* MY COMMISSION t EE 838180
EXPIRES: November 7, 2016
O Roe Seeded Thu Budget Notary Services
SCOPE OF WORK
- Replace existing receptacle and GFCI
20 amp Tamper
- New 6 recessed lights and 2 pendant
lights
- New Arc Fault Braker as required for new
circuit for new recessed lights
Notes:
All circuits are existing 20 amp
Existign smoke detectors inside &
outside sleeping areas
JOB ADDRESS:
821 NE 99 STREET
MIAMI SHORES, FL 33138
DISPOSAL/
3 GFCI DISHWASHER 5 GFCI
RANGE 2, 4
MICROWAVE
5 GFCI
KITCHEN
15 X15
PENDANT LIGHTS
pANTR1
Cg
EFRIGERATOR 12
iQ rl'41 ,,,,r)/116 COUNTER TO BE THAN
PES- � :r G.EI PROTECTED RCEPTACLE
fiM RECEPTACLE UNDER SINK
ALL tIXEL; APPLIANCES ON DEOICATEQ CKTS,
RECESSED LIGHTS
CONTRACTOR:
APR ELECTRIC CORP
08E000914
ER13014093
Ce-e��`•p0.'P��`'� LUIS FERNANDEZ
* . * MY COMMISSION # EE 836160
fF' ` EXPIRES: November 7, 2016
''Fo��`" Bonded Thru Budge( Notary Woes
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