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EL-16-1768 Permit NO. EL-6-16-1768 Miami Shores Village 10 t Permit Type: Electrical-Residential 10050 N.E.2nd Avenue NW ���� ' Work ClasitiGatiOn:Alteration i Miami Shores,FL 33138-0000 �PePermit Status:APPROVED Phone: (305)795-2204 FCORlD4' Issue Date: 716/2016 Expiration: 0102/2017 Project Address Parcel Number Applicant 101 NW 99 Street 1131010220380 Miami Shores, FL 33150- Block: Lot: JOANNE LABOSSIERE Owner Information Address Phone Cell JOANNE LABOSSIERE 101 NW 99 Street (305)235-7223 MIAMI SHORES FL 33150- 101 NW 99 Street MIAMI SHORES FL 33150- Contractor(s) Phone Cell Phone Valuation: $ 3,000.00 SPARK ELECTRIC INC (786)286-8235 Total Sq Feet: 0 Type of Work:UPDATE AND REPLACE PANEL BOX.RELOC Available Inspections: Additional Info: Inspection Type: Classification:Residential Review Electrical Scanning:3 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.80 DBPR Fee Invoice# EL-6-16-60333 $3.38 07/06/2016 Check#: 1048 $ 195.56 $50.00 DCA Fee $3.38 Education Surcharge $0.60 06/24/2016 Check#: 1042 $50.00 $0.00 Permit Fee-Additions/Alterations $225.00 Scanning.Fee $9.00 Technology Fee $2.40 Total:V $245.56 :T ti .J 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 andain 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. OWN ERS`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 zo ' Fut rmore,I authorize the above-named contractor to do the work stated. lj July 06, 2016 Authorized Si ature:Owner / Applicant / Contractor / Agent Date Building Department Copy July 06,2016 1 Miami Shores Village RIECEIVED Building Department N 24 2016 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 BY Tel:(305)795-2204 Fax:(305)756-8972 _ INSPECTION LINE PHONE NUMBER:(305)762-4949 FBc 201 y�— BUILDING Master Permit No._tic-�-Ib-I( PERMIT APPLICATION Sub Permit No.U-IC- 19 ❑BUILDING Q ELECTRIC M ROOFING M REVISION M EXTENSION MRENEWAL ❑PLUMBING M MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 101 N.W. 99 St City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated:Yes NO X Occupancy Type: resident Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder):Joanne Labossiere Phone#:305 494 0488 Address: 101 N.W. 99 St City: Miami Shores State: Florida Zip: 33150 Tenant/Lessee Name: Phone#: Email: Joanne.101@hotmaii.com CONTRACTOR:Company Name: SPARK ELECTRIC INC. Phone#: 786 286 8235 Address: 10357 S.W. 26 St City: MIAMI State: FLORIDAD Zip: 33150 Qualifier Name: VICTOR MORALES Phone#: 786 286 8235 State Certification or Registration#: EC-13006743 Certificate of Competency M DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$3,000 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New Mill Repair/Replace ❑ Demolition Description of Work: Update and replace panel box. Relocate and upgrade service meter box and change it over to underground. Install and connect the A/C units. Install new smoke detectors and provide panel fables Provide the new load calculation for the house. Specify color of color thru tile: Submittal Fee$ LC)I\,) Permit Fee$ CCF$ W c� CO/CC$ Scanning Fee$ �- �c) Radon Fee$ 3 DBPR$ 3- �l7 Notary$ 10 Technology Fee$c;�• '�40 Training/Education Fee$ kD- GQ) Double Fee$_ Structural Reviews$ 0 Bond$ G TOTAL FEE NOW DUE$ / ' C—;(0 (Rev1sed02/24/2014) r � Y 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 approved and a reinspection fee will be charged. 12G - VAo -7;t Syy Signature Signature ll OWNER or AGENT CONT 4011 The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before/me this day of [�U�� 20 t ,by 1�` day of U 20 �/o by )00.-AA/t.Q. �.6Dssle/e,who Is .ersonally known to V�C�Q�MOWS MOM ,who is personally known to me or who has produced �►� Lr&eT e- as me or who has produced FL as identification and who did take an oath. identification who did take an oath. NOTARY PUBLIC: NOTARY PUB C Sign:. Sign: �•girp4'gi� IDOLIDIA VAZ-Uutf- Print: ? 01; Pr nt: RICHARnJAYInMaWL Seal: L�O __� EXPIRES February 07.20117 Seal: MYCOMMISSION�RE18657778-0153 FloridallotaryService.com EMRES:APR 03,X17 °� Banded thtouph 1st We Insurance ************************************************************************************************************ APPROVED BY ��lJ`Lr�i Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) b to l t Ur rLUKIUA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD (850)487-1395 " .E•�� 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 MORALES MOYA, VICTOR SPARK ELECTRIC INC 12140 SW 202 STREET,APT 3214 MIAMI FL 33177 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 "" . STATE OF FLORIDA from architects to yacht brokers,from boxers to barbeque restaurants, DEPARTMENT OF BUSINESS AND and they keep Florida's economy strong. PROFESSIONAL REGULATION Every day we work to improve the way we do business in order to EC13006743 ISSUED: 05/20/2015 serve you better. For information about our services,please log onto www.myfloridalicense.com. There you can find more information CERTIFIED ELECTRICAL CONTRACTOR about our divisions and the regulations that impact you,subscribe MORALES MOYA,VICTOR to department newsletters and learn more about the Department's SPARK ELECTRIC INC, initiatives. - Our mission at the Department is:License Efficiently,Regulate Fairly. We constant)y strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, IS CERTIFIED under the provisions of Ch.489 FS. and Congratulations on your new license! Expiret on date:Aur.31,2016 0505200000477 DETACH HERE RICK SCOTT,GOVERNOR KEN LAWSON,SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION s ELECTRICAL CONTRACTORS LICENSING BOARD o s EC13006743 The ELECTRICAL CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2016 ^- f { MORALES MOYA,VICTOR ' . SPARK ELECTRIC INC. ,. 10357 SW 126TH STREET_r MIAMI FL 33165; E 1 ISSUED: 05/20/2015 _ DISPLAY AS REQUIRED BY LAW SEG# L1505200000477 003709 Local Business Tax Receipt Miami-Dade County, State of Florida -THIS IS NOTA,BILL - DO NaTFAY LBT 7186643 BUSINESS NAMMOCATION RECEIPT NO. EXPIRES SPARK ELECTRIC INC RENEWAL SEPTEMBER 30, 2096 10357 SW 26 ST 7467567 Must be displayed at place of business M AMI FL 33165 Pursuant to County Code Chapter 8A-Art.9&10 OWNER SEC.TYPE OF BUSINESS SPARK ELECTRIC INC 196 ELECTRICAL CONTRACTOR PAYMENT RECEIVED EC73006743 BY TAX COLLECTOR Workers) 2 $75.00 09/08/2015" CREDITCARD-15-044543 This Local Business Tax Receipt oily confirms payment of the Local Business Tax.The Receipt.is not a license, pe, or s certification of the holder's qualifications,to de business.Holder must comply with any govetrsnental w nongovernmental regulatory Ism and regairemeals which apply to the business. The RECEIPT NO.above nmst be displayed on all ceaunerciel vehicles-Miami-Dade Code Sec 88-V& For arra information,visit wwwapiamidade.awAsxcoltectar ATE '`� !9 CERTIFICATE OF LIABILITY INSURANCE D6/13/220 6n 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(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 CONTACT NAME: Floridian Coastline Group PHONE.,,, (954)302-453l AC.No,:(954)692-3941 2450 E Commercial Blvd MAIL ADDRESS: Suite 203 INSURER(S)AFFORDING COVERAGE NAIC III Ft Lauderdale FL 33308 INSURER A ALL RISK INSURED INSURER B AMTRUST SPARK ELECTRIC INC INSURER C: 10357 SW 26TN STREET INSURER D: MIAMI, FL 33165 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER-CL1562902259 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. ILSR DLSUBR POU POLIC TYPE OF INSURANCE POLICY NUMBER ID- EFF POLICY P LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS MADE OCCUR DAMAZ`'�Tb E 100,000 PREMISES Rscaxrence) S 06/29/2015 06/29/2016 MED EXP(Any one person) $ 5,000 A 542023352-0 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY❑JJEE� [:1 LOC PRODUCTS-COMP/OP AGG E 2,000,000 OTHER: $ AUTOMOBILE LIABILITY MBINE ING E LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident $ UMBRELLA LIABOCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS-RMDE AGGREGATE $ DED RETENTI N $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE _ER_ _ ANY PROPRIETOR/PARTNERIEXECUTIVE Y/N 3630618 01/28/2016 01/28/2017 E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? F-1 NIA B (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached K more space is required) LICENSE#EC13006743 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shores Village THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Building Department ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2nd AVENUE MIAMI SHORES, FL 33138 AUTHORIZED REPRESENTATIVE Juan Carlos Cruz/ANA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS025 f9014n1 i