EL-14-2082Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
zoo/
Inspection Number: INSP-241657 Permit Number: EL -9-14-2082
Scheduled Inspection Date: August 19, 2015
Inspector: Devaney, Michael
Owner: ALAN CORONADO, LISA AYUSO
Job Address: 461 NE 101 Street
Miami Shores, FL 33138-2448
Project: <NONE>
Contractor: AJL ELECTRIC INC
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Addition
Phone Number
Parcel Number 1132060170670
Phone: 305-895-4971
Building Department Comments
INTERIOR SWITCHES / OUTLETS/ HI RATS.
Infractlo 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
August 19, 2015
For Inspections please call: (305)762.4949
Page 39 of 39
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
1RECETV1P7D
SEP 242014
FBC 20
BUILDING Master Permit No 4 2O�
PERMIT APPLICATION Sub Permit No.E1 — ILL -20 B 2.
El BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
f
JOB ADDRESS: ( NCS t 0 f s
City: Miami ShoresCounty: Miami Dade Zip: '5 (92 O
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): t-(7-4 u c. -,:,Phone#: 50C 03 7 Y 7
Address: L4 I 6 N1(a I,0 (�� Alt 2 ca2
City: lce_tya t ✓ tit. o V€. State: El zip:33 1
Tenant/Lessee Name: Phone#:
Email: �J 7%
CONTRACTOR: Company Name: ANS d, ' • E C-71 Phone#: 501 C q ` r /
Address: /2- Sri j (96 kLe %.u) * 6
City: N"'" HA. at �( tate: P 1 Zip: 331 g
Qualifier Name: 4i,t,/14014(1ls�j)0 �� Phone#:
State Certification or Re istration #0� � & 3 Certificate of Competency #:
Registration � � P cY
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this rmit: $ `- 5 Square/Linear Footage of Work: ��- OV7
Type of Work: Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: 1 irN. te y` `o '- 5 — t ` -CLoS / 0 u T1-'e1s /A 1 12 �-
Specify color of color thru tile:
�.®� 7, f,
Submittal Fee $ Permit Fee $ CCF $ CO/CC $ 0
Scanning Fee $ Radon Fee $ DBPR $ Notary $ `1'
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $ t el'S ` 5c0
(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 a•, oved and a reinspection fee will be charged.
/Signature �— o
OWNER or AGENT
Signature i
The foregoing instrument was acknowledged before m this The foregoing instru
111 day of , 20 i , by
tet' --A , who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
as
APPROVED BY
(Revised02/24/2014)
day of
4erfyl
me or who has produced as
identification and who did take an oath.
CONTRACT
t w_fs acknowledged beforeee this
,20 r ,by
VN T:N4ho is personally known to
Sign: `�✓�/ '-
Print: V
Seal:
R/ ►moi 'di Plans Examiner
Structural Review
Zoning
Clerk
JUUb'lb
Local Business Tax Receipt
Miami—Dade County, State of Florida
—THIS IS NOTA BILL — DO NOT PAY
1929745
BUSINESS NAME/LOCATION
AIL ELECTRIC INC
12408 N BAYSHORE DR
NORTH MIAMI FL 33181
OWNER
AIL ELECTRIC INC
Worker(s) 1
RECEIPT NO.
RENEWAL
2037000
EXPIRES
SEPTEMBER 30, 2015
Must be displayed at place of business
Pursuant to County Code
Chapter 8A — Art. 9 & 10
SEC. TYPE OF BUSINESS
196 ELECTRICAL CONTRACTOR
EC13002089
PAYMENT RECEIVED
BY TAX COLLECTOR
$45.00 07/09/2014
CREDITCARD-14-025530
This Local Business Tex Receipt only confirms payment of the Local Business Tax. The Receipt is not a license,
permit. or a certification of the holder's qualifications, to do business. Holder 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 more information, visitwww,miamidade.nov/taxcollector
RICK SCOTT, GOVERNOR
KEN LAWSON, SECRETAR`r
STATE OF FLORIDA
DEPARTMENT OF -BUSINESS AND PROFESSIONAL REGULATION
ELECTRICAL CONTRACTORS LICENSING BOARD
LICENSE NUMBER
EC13002089
The ELECTRICAL CONTRACTOR
Named below IS CERTIFIED
Under the provisions of Chapter 489 FS.
Expiration date: AUG 31, 2016
LUPO, ANTHONY J JR
A J L ELECTRIC INC
12555 BISCAYNE,3LVD -#828"
NORTH MIAMI FL 33181
ISSUED: 06/09/2014
DISPLAY AS REQUIRED BY LAW
SEQ # L1406090001182
0.c 1 4- Zo8]\
F(oti/A
tq -zo-36)L 1 c- S-27
STATE OF FLORIDA
DEPARMENT OF BUSINESS AND PROFESSIONAL REGULATION
ELECTRICAL CONTRACTORS LICENSING BOARD
The ELECTRICAL CONTRACTOR
Named Wow IS CERTIFIED
Under this provisions or Chapter 489 FS.
Expiration diet AUG 31,2016
OLIZNIA14, _ENRIQUE
AOC ELECTRIC, INC.
14780SW ES AVENUE
AMAMI - FL 33176
'',:,0...,,
,'.... < •.e. - '' ' ZQ.- 't,:: " e'' ...AT -,:N4h ' ,t ,
ISSUEck 08/1192014
DISPLAY AS REQUIRED BYLAW
City of Hialeah
Business Tax Receipt
Mayor Carlos Hernandez
SEG ft LAM
201546
No: 238210-54 (01D-1731-807) Amount $ 150,00
'Meyerson, firmer corp. listed here has paid the business tax required to engagein or operate the hOsineaS4PecilledstIbiect to the
regulations anti restrictions of the City of Hialeah, Florida
Owner: TOMAS CURBELO
Type °fibs/new: Electrical Contractors and Other Wiring Installation Contractors
AGC ELECTRIC INC
2660 W 79 ST
E 33016
Valida oartzs
Business Location:
2660 W 79 ST
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CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
BELOW: THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(s), Airmix
REPRESENTATIVE OR PRODUCER, AND THE .CERTIFICATE HOLDER,
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IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the-policy(tes) must be endorsed. If •SUBROGATION 15 WAIVED, Ittibleoitto
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PRODUCER
Brown & Brown of Florida, Inc.
1.01 BW oiC� Creek Rd 4130
FL Lauderdale, FL 33310.8727
ChristopherM. Moore, CPCU
CONTACT _ _
P , 964-n64222 Nok
984,4784$8
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wilvailitA FORDING *OVERAGE
INSURER A:.Amerisure insurance Company
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INSURED A G C`Electric, Inc.
26601 West 78th Street
Hialeah, FL 33018
INSURER a:AanerisureMutual his. Co.
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THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED At3OVE-FOR THE POLICY PERIOD' -
INDICATED. NOTWITHSTANDING ANY REQUIREMENT;, TERM OR GONDm0N Of ANY CONTRACT OR OTHER DOCUMENT 'WITH RESPECT TQ-WI1ICH THIs
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED. HEREIN 1S SUBJECT TO ALL TJIE Tom;.
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DERCRtPTION OF GPBRAT s I LOcATICNB /VEHICLES (ACORD 101, Addklonffi Remarks Sohoduro, may 6e aUeehedf m *is ) �r
Ref: Barry Unive , Weber Hall Ph '1 A Common Area Renovation 11300 NE 2
Ave, Miami ShoresL. 33161
The Umbrella Is over the GL, Auto and Employers Liability.
STOEBRO
Stab Bros. Construction
Company
580 NE $2nd Street
Miami` Shores,FL 33138
CANCELLATION
SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED Bi
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED:REPRESENTATIVE
ACORD 25 (2014101)
07198&2014 ACORD CORPORATION. Af,rlghts reserved.
The ACORD name and logo are registered marks of ACORD