The URL can be used to link to this page

ELC-17-448 Permit No. ELC-2-17-448 `SHoaEs`�` Miami Shores Village st Permit Type:Electrical -Commercial a� 10050 N.E.2nd Avenue �'n� ' Wor1c Classification:Addition/Alteration Miami Shores,FL 33138-0000 PPermit Status:APPROVED 'P Phone: (305)795-2204 Issue Date: 2/27/2017 Expiration: 08/26/2017 Project Address Parcel Number Applicant 9190 BISCAYNE Boulevard 1132060100030 Miami Shores, FL Block: Lot: BRITE STONE INVESTMENT LLC Owner Information Address Phone Cell BRITE STONE INVESTMENT LLC 1160 KANE Concourse (786)340-7513 BAY HARBOR ISLANDS FL 33154- 1160 KANE Concourse BAY HARBOR ISLANDS FL 33154- Contractor(s) Phone Cell Phone Valuation: $ 500.00 FELIU ELECTRICAL CONTRACTOR Ih (305)607-4447 Total Sq Feet: 0 Type of Work:REPLACING CLIP AT METER CAN Available Inspections: Additional Info:REPLACING CLIP AT METER CAN Inspection Type: Classification:Commercial Final Scanning:3 Meter Box Alteration Relocation Fire Alarm Service Change Review Electrical W.W. Underground Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.60 DBPR Fee Invoice# ELC-2-17-63017 $2.25 02/27/2017 Cash $55.10 $104.00 DCA Fee $2.25 Education Surcharge $0.20 02/27/2017 Check#: 1123 $54.00 $50.00 Permit Fee $150.00 02/21/2017 Check#: 1166 $50.00 $0.00 Scanning Fee $3.00 Technology Fee $0.80 Total: $159.10 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 AFFIDAVIT: I ify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoni he ore authorize the above named contractor to do the work stated. February 27, 2017 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy February 27, 2017 1 Miami Shores Village Building Department FR9C 2 1 2017 2 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 `V INSPECTION LINE PHONE NUMBER:(305)762-4949 - —' FBC 20 BUILDING Master Permit No.61`�---4'" PERMIT APPLICATION Sub Permit No. ❑BUILDING XELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL F-1 PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP � J v3u CONTRACTOR DRAWINGS JOBADDRESS: I"l l��L City: Miami Shores `\ / 'v\Count : Miami Dade Zi ` Folio/Parcel#: � `- �t�`)�� y\v ~ w'�)U Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FIFE: � OWNER:NameFee Simple Titleholder): I ( p ) Phone#: Address: City: 1 State: Zip: Tenant/Lessee Name: N _ Phone#: Email: CONTRACTOR:Company Name:� !v T/LeG�L t�� RPh ne#: 3d� "-�07 Lr y 7, Address:f3oZG/lrsl� �r ST ,J9//��/-moi City:4416-1-1-01--111 State: /-L Zip: ?3/'7.r Qualifier Name: =noc!e �. �G"lIv Phone#: State Certification or Registration#: EG / Q 0 2 77 Certificate of Competency#: DESIGNER:Architect/Engineer: -W4&9!5- Phone#: Address: City: State: Zip: Value of Work for this Permit:$ S700,-d0 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New .Repair/Replace ❑ Demolition Description of Work: y 4nz- G rx C1101..G . Specify color of color thru tile: Submittal Fee$ F50 Pld Z�• Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ 2 . ZS DBPR$ 2• Notary$ �— Technology Fee Training/Education Fee$ 2 0 Double Fee$ r--- Structural Reviews$ Bond$ TOTAL FEE NO'vV DUE$ �O (Revised02/24/2014) ,Sondin aCompany'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. Signature Signature .P E nv OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before 7me this The foregoing instrument was acknowledged before me this as day of / ( 20 by day of 20 /�'�) by' fr l L K�1� + —6-who is personally known to �C�, / Lk who is personally known to me or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: LL '' Sign: N Print: o I Print: Seal: Seal: AGATA NEtHTCHERET s�''•°y; AGATA NYCHTCHERET MY COMMISSION#GG058231 MY COMMISSION#GG058231 y' EXPI * RES QCg�7h r 7, ''? „ EXPIRES December 27,2020 APPROVED BY / Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) ACO® DATE(MM/DD/YYYY) �� CERTIFICATE OF LIABILITY INSURANCE 2/16/2017 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 Carlos Allen Sr. NAME: Pan Am Assurance Agency PHONE (305)270-1424 Fq/C No):(305)270-8997 9100 Sunset Drive E-MADDRESS:carlos@panamassurance.com INSURERS AFFORDING COVERAGE NAIC M Miami FL 33173-3433 INSURERAScottsdale Insurance Company 41297 INSURED -INSURERS.Technology Insurance Company, Inc. 42376 Feliu Electrical Contractor Inc INSURER C: 13245 SW 55 Street INSURER D: INSURER E: Miami FL 33175 INSURER F: COVERAGES CERTIFICATE NUMBER;CL1681701280 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. INSR LICY EFF POLICY EXP LTR TYPE OF INSURANCE ADDL UBR POLICY NUMBER MMIDD /YYYY MM/DD(YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY CPS2363843 03/16/2016 03/16/2017 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE ❑X OCCUR DAMAGE TO RENTED 100 000 PREMISES Ea occurrence $ MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY❑PRO ❑LOC 2,000,000JECT OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ PROPERTY DAMAGE HIRED AUTOS AUTOS NON-OWNED $ AUTOS Per accident UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ B WOR KERS COMPENSATION TWC3561371 07/23/2016 07/23/2017 PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE I I ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? N/A (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/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached If more apace is required) Electrical Contractors. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shores THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Building & Zoning Department ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2nd Ave Miami Shores, FL 33138 AUTHORIZED REPRESENTATIVE Carlos Allen Sr./DS ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INSn251901AInn Local Business Tax Receipt Miami-Dade County, State of Florida THIS IS NOT ABILL - DONOT PAY 41673 BUSINESS NAMEMOCATION RECEIPT NO. EXPIRES FELIU ELECTRICAL CONTRACTOR INC RENEWAL SEPTEMBER 30, 2017 13245 SW 55 ST 41673 Must be displayed at place of business MIAMI FL 33175 Pursuant to County Code Chapter 8A - Art. 9 & 10 i 1 OWNER SEC. TYPE OF BUSINESS , FELIU ELECTRICAL CONTRACTOR INC 196 ELECTRICAL CONTRACTOR PAYMENT RECEIVED BY TAX COLLECTOR � EC13002477 I Worker(s) 10 $75.00 07/18/2016 CHECK21--16--090737 This Local Business Tax Receipt only confirms payment of the Local Business Tax. The Receipt is not a license, permit,or a certification of the holder's qualifications,to do business. Holder must comply with any governmental or nongovernmental regulators laws and requirements which apply to the business. The RECEIPT N0. above; o as4f lie displayed on all commercial vehicles-Miami-Dade Code Sec$a-276. imGmiation, visit www.miamidade.gt►_&!i.r{-t'!! :� r . . 2/21/2017 Detail by Entity Name } 1 .+w '�'"�S°*''�eu rrrt t�if t`t�t.,drat✓'�f�? rr?lt� o-s„�.t:.�ta Department of Stare / Division of Corporations / Search Records / Detail By Document Number / Detail by Entity Name Florida Limited Liability Company BRITE STONE INVESTMENT LLC Filing Information Document Number L13000177392 FEI/EIN Number N/A Date Filed 12/27/2013 Effective Date 01/01/2014 State FL Status ACTIVE Principal Address 9559 COLLINS AVENUE SUITE 703 SURFSIDE, FL 33154 Changed: 04/28/2016 Mailing Address 9559 COLLINS AVENUE SUITE 703 SURFSIDE, FL 33154 Changed: 04/28/2016 Registered Agent Name&Address advance florida management Ilc 9559 COLLINS AVENUE SUITE 703 SURFSIDE, FL 33154 Name Changed: 01/02/2015 Address Changed: 04/28/2016 Authorized Person(s)Detail Name&Address Title MGR ADVANCE FLORIDA MANAGEMENT LLC 9559 COLLINS AVENUE QI IMP 701 http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=EntityName&directionType=Initial&searchNameOrder=BRITESTON... 1/2 2/21/2017 Detail by Entity Name `SURFSIDE, FL 33154 Annual Reports Report Year Filed Date 2015 01/02/2015 2016 04/28/2016 Document Images 04.2812016--ANNUAL REPORT View image in PDF format 0110212015--ANNUAL REPORT View imagein PDF format . .........-_- . ..........-_------- --1 12127,12013--Florida Limited Liability View image in PDF format http://search.su n biz.org/Inquiry/CorporationSearch/Search ResultDetail?i nquirytype=EntityName&di rectionType=l n itial&search NameOrder-BRITESTO N... 2/2 2/21/2017 Detail by Entity Name r`? 1Jf /) Orgv 1 ,...M 'JXt,tr i,.f l!•' si.¢/rr3/J[ ;?'/l ill%' Department of State / Division of Corporations / Search Records / Detail By Document Number / Detail by Entity Name Florida Limited Liability Company ADVANCE FLORIDA MANAGEMENT LLC Filing Information Document Number L13000017618 FEI/EIN Number N/A Date Filed 02/04/2013 Effective Date 02/01/2013 State FL Status ACTIVE Principal Address 9559 COLLINS AVENUE SUITE 703 SURFSIDE, FL 33154 Changed: 04/28/2016 Mailing Address 9559 COLLINS AVENUE SUITE 703 SURFSIDE, FL 33154 Changed: 04/28/2016 Registered Agent Name&Address POLIAKOVA,ANNA 9559 COLLINS AVENUE SUITE 703 SURFSIDE, FL 33154 Address Changed: 04/28/2016 Authorized Person(s)Detail Name&Address Title MGMR POLIAKOVA,ANNA 9559 COLLINS AVENUE SUITE 703 SURFSIDE, FL 33154 http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=EntityName&directionType=Initial&searchNameOrder=ADVANCEF... 1/2 2/21/2017 Detail by Entity Name Annual Reports Report Year Filed Date 2014 03/12/2014 2015 01/02/2015 2016 04/28/2016 Document Images 04/28/2016 ANNUAL REPORT View image in PDF format 1111-1-1-11-1..........................................................�I ---- 01102/2015 ANNUAL REPORT View irnage in PDF format 03/1212014 ANNUAL REPORT View image in PDF format 0204/20'13 Florida Limited Liability View image in PDF format http://search.sunbiz.org/inquiry/CorporationSearch/SearchResultDetail?inquirytype=EntityName&directionType=lnitial&searchNameOrder=ADVANCEF... 2/2 RICK SCOTT, GOVERNOR DETACH HERE KEN L.AWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD EC1 3002477 The ELECTRICAL CONTRACTOR _ r Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date. AUG 31, 2018 0 FEIle.LIU, JOSE RAUL FELIU ELECTRICAL 13245 SW 55TH ST MIAMI FL .33175 21 ISSUED- 07/19/2016 DISPLAY AS REQUIRED BY LAW SEQ# L1607190001474 2/21/2017 Miami-Dade Official Records-Print Document CFN:20140239727 BOOK 29094 PAGE 2011 DATE:04/03/2014 01:13:59 PM DEED DOC 14,400.00 SURTAX 10,800.00 HARVEY RUVIR CLERK OF COURT,MIA-DADE CTY Prepared by and retum m: Felix R.Carrillo,Esq. Attorney at Law Law Offices of Carrillo&Carrillo,P.A. 3676 SW 2 Street Miami,FL 33135-1023 305-460-6001 File Number: 14-1751RE Will Call No.: [Space Above This Line For Recording Data) Warranty Deed This Warranty Deed made this 28th day of March,2014 between Ninety One Ninety Biscayne,LLC,a Florida Limited Liability Company whose post office address is 9190 Biscayne Blvd.,Suite 201,Miami Shores,FL 33138, grantor,and Brite Stone Investment LLC,a Florida Limited Liability Company whose post office address is 1160 Kane Concourse,Suite 202,Bay Harbor Islands,FL 33154,grantee: (whenever used herein the terms"grantor"and"grant="include all the parties to this instrument and the heirs,legal representatives,and assigns of individuals,and the successors and assigns of wrporstions,vests and trustees) Witnesseth,that said grantor,for and in consideration of the sum of TEN AND N0/100 DOLLARS($10.00)and other good and valuable considerations to said grantor in hand paid by said grantee,the receipt whereof is hereby acknowledged, has granted,bargained,and sold to the said grantee,and grantee's heirs and assigns forever,the following described land, situate,lying and being in Miami-Dade County,Florida to-wit: SEE EXHIBIT"A"ATTACHED HERETO AND MADE A PART HEREOF Parcel Identification Number:11-3206-010-0030 Together with all the tenements,hereditaments and appurtenances thereto belonging or in anywise appertaining. To Have and to Hold,the same in fee simple forever. And the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple;that the grantor has good right and lawful authority to sell and convey said land;that the grantor hereby fully warrants the tide to said land and will defend the same against the lawful claims of all persons whomsoever;and that said land is free of all encumbrances,except taxes accruing subsequent to December 31,2013, In Witness Whereof,grantor has hereunto set grantor's hand and seal the day and year first above written. DoublaTimse CFN:20140239727 BOOK 29094 PAGE 2012 https://www2.miami-dadeclerk.com/OfficialRecords/PrintDocument.aspx?QS=YaoUfOzxryOh*/o2boyCJ DzJSa6uCQxB3NsgJgAVECKDCd/*2bKwxsuppbf... 1/3