EL-14-514Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 211820 Permit Number: EL -3 -14 -514
Scheduled Inspection Date: May 06, 2014 Permit Type: Electrical - Residential
Inspector: Devaney, Michael Inspection Type: Final
Owner: HART, NEIL Work Classification: Addition
Job Address: 295 GRAND CONCOURSE
Miami Shores, FL 33138 -
Phone Number (305)962 -4547
Parcel Number 1132060133600
Project: <NONE>
Contractor: ELECTRONIC CONTROL SYSTEMS INC Phone: (305)823 -1374
comments
ADD 6 RECEPTACLES FOR LANDSCAPE LIGHTING
(OUTDOOR) INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Corrections
Needed
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
May 05, 2014 For Inspections please call: (305)762 -4949 Page 28 of 37
' Miami Shores Village
Building Department
` -I )
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 MpR
3 Tel: (305) 795.2204 Fax: (305) 756.8972
0A INSPECTION'S PHONE NUMBER: (305) 762.4949 r.
BUILDING
PERMIT APPLICATION
Permit Type: Electrical
JOB ADDRESS: Z -1 6 r
FBC 20 `
Permit No.
Master Permit No.
L
City: Miami Shores County: Miami Dade Zip:
Foho/Parcel #:
Is the Building Historically Designated: Yes
OWNER: Name (Fee Simple
City: ,(A State:
r
NO
Zone:
(3
Tenantlessee Name: Al ' ,�T Phone #: !�a
Email: 6-- C S T (0 CJO(N
CONTRACTOR: Company Name: �� E
Address: (� �.r i t %
City: t_rlaAe A11- -�
Qualifier Name:
)Ot ,IE777
State Certification or Registration #:/� _ (22- �1-1 Certificate of Competency #: /
Contact Phone #: `r, % Email Address: -
DESIGNER: Architect/Engineer. fu I Phone #:
Value of Work for this Permit: $�l.C/ �� Square/Linear Footage of Work:
Type of Work: DAddress
Description of Work:
ONew
Submittal Fee $ Permit Fee $ d o® CCF $ CO /CC $
Scanning Fee $
Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
DBPR $ Bond $
Technology Fee $
TOTAL FEE NOW DUE $ 115, • I 0
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
zip
zip
s
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 ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 Signature
Owner or Agent
The foregoing instrument was acknowledged before me this
day o� 20iy I.s�
by LKt .1.4 AI.51
who is personally known to me or who has produced ��
As identification and who did take an oath.
My Commission Expires:
, - g1uV /6VIV
Commission #
EE 173009 .•' Q-
Contractor
The foregoing instrument was acknowledged before me this C�
day of , 201 by NI;A .,.. i A Ajg ,
who is personally known to me or who has produced r--L- i t
as identification and who did take an oath.
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01111111100\\
APPROVED BY ✓�. /�°/.G1 Plans Examiner Zoning
Structural Review
(Revised 3 /12/2012XRmised 07 /10 /07XRevised 06 /10/2009XRevised 3/15/09)
Clerk
03/17/2014 03:48PM 3058237993 ELECTRONIC CONTROLS PAGE 01/01
e To
4°R° CERTIFICATE OF LIABILITY INSURANCE 1 CAM
THIS CER'n "CATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THR
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 TM ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT! If the oertlflcate holder IS an ADDITIONAL INSURED, the pollaAlw) must be endorsed. If SUBROGATION lS WAIVED. subject to
the terms and conditions of the policy. certain policies nmy require an endorsement. A statement on thls certlfkata does not confer right, to the
cerdficate holder in lieu of such endo,s
PRODUCER
<eyes Coverage Insurance
5900 Hiatus Road
femarac FL 33321
UIRO 7283
Electronic Control Systems, Inc.
6175 NW 167 St. Bay G9
Miami FL 33015
COVERAGE$ CERTIFICATE NUMBER: 1252401535 REVISION NUMBER:
TUja 10 T— nr
INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RE PT CT TO OL H H�YHIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE ENSURANCE AFFORDED BY THE POLICIES DOSCRIBED HEREIN 13 SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
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RE80e1�PT/1n�0NN� OOF OPERATIONS! LOCATIONS! VENIOLEB (Atp,d, AOORo q07. A. B. ,�,b,
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MIAMI SHORES VILLAGE
10050 NE 2ND AVE
MIAMI SHORES FL
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BODILY WJURY(PmrPz=z) S
eooa NJURrIPermo -M $
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SHOULD ANY OF T146 ABOVH CESORUMD POLICIES an OANOHLLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE W" Be DELIVERED IN
ACCORDANCE: WITH THU POLICY PROVISIONS.
AUTROROM REPRESENTATIVE
ao-ll
ACORD 26 (2010fM The ACORD name and logo are registered marks of ACORD
. . . ............ . ................ .-- . . . . ... . ......
When entering your name and address on the payment form, please do not enter any special characters such as
#, or &.
Business Tax Account #1665224 Account details Account history
2014 2013 2012 2011
j _.......... - - -...
...... . 1 . . ....
Paid Paid Paid Paid Paid
Account number: 1665224
Business start date; 08/24/1988
Business address: ELECTRONIC CONTROL
SYSTEMSINC
6175 NW 167 ST G09
MIAMI, FL 33015
Physical business location: UNIN DADE COUNTY
• - .4 V •
Receipt 1665224
Owner(s): ELECTRONIC CONTROL
SYSTEMSINC
6175 NW 167 ST G9
MIAMI, FL 33015
Mailing address: ELECTRONIC CONTROL
SYSTEMSINC
NEIL HART PRES
6175 NW 167 ST G9
MIAMI, FL 33015
IFf Print account application
(PDF)
Paid 2013-07-12 $75=
Contracting 10/01/2013— NAICS code: Receipt #TXHS1 -13-025676
ELECTRICAL 09/30/2014 23821
CONTRACTOR Units: 1
Additional documentation required: EC00o1724 State/County License or Certificate
Print this
bill
https://w-ww.miamidade.county-taxes.com/public/business—tax/accounts/1665224 3/17/2014