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EL-16-258Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Pertt anit, Work Parcel Number NO. EL -2-1 - ► E1e trlcai - Restdentllai' aessttication: Alteration tus: AP VED Expiration: 08/07/2016 Applicant 1050 NE 105 Street Miami Shores, FL 33138-2106 1122320280060 Block: Lot: PHILIPPE ALLUARD Owner Information Address Phone CeII PHILIPPE ALLUARD 2655 S LEJUENE Road CORAL GABLES FL 33134- 2655 S LEJUENE Road CORAL GABLES FL 33134- Contractor(s) PARDIME ELECTRIC INC Phone Cell Phone Valuation: Total Sq Feet: $ 6,000.00 1800 Type of Work: INSTALL NEW WIRING AND RECEPTACLES Additional Info: Classification: Residential Scanning: 1 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee - Additions/Alterations Scanning Fee Technology Fee Total: Amount $3.60 $3.38 $3.38 $1.20 $225.00 $3.00 $4.80 $244.36 Pay Date Pay Type Invoice # EL -2-16-58506 02/09/2016 Credit Card $ 194.36 $ 50.00 02/01/2016 Check #: 5006 $ 50.00 $ 0.00 Amt Paid Amt Due Available Inspections: Inspection Type: Review Electrical 1 In consideration of the issuance to me of this permit, 1 agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the pl .- ., drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for wrk done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHAN CAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFF construction an that all the for re, I authori going e the nformation is accurate and that all work will be done in compliance with all applicable laws regulating bove-named contractor to do the work stated. Authorize •' ignature: Owner / !Applicant / Contractor / Agent Building Department Copy February 09, 2016 Date February 09, 2016 1 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 nspection Number: INSP-273205 Permit Number: EL -2-16-258 Inspection Date: December 16, 2016 Inspector: Devaney, Michael Owner: ALLUARD, PHILIPPE Job Address: 1050 NE 105 Street Miami Shores, FL 33138-2106 Project: <NONE> Contractor: PARDIME ELECTRIC INC Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alteration Phone Number Parcel Number 1122320280060 Building Department Comments INSTALL NEW WIRING AND RECEPTACLES IN COVERED TERRACE. REMODEL BATHROOM, FAMILY AND SITTING ROOMS. TOTAL 72 OUTLETS. Infractio Passed Comments INSPECTOR COMMENTS False Passed Inspector Comments /; /'oe 2 / e-//, l 11' Failed Correction Needed Re -Inspection Fee No Additional Inspections can be scheduled re -inspection fee is paid. until For Inspections please call: (305)762-4949 December 16, 2016 Page 1 of 1 tVe :4 4/ A9\14/1tk BU LDING PERMIT APPL CATION ❑ BUILDING keELECTRIC ▪ PLUMBING ❑ MECHANICAL JOB ADDRESS: /0 CD ' C.% City: Miami Shores 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 ❑ ROOFING ❑ PUBLIC WORKS or st FEB 0 1 2015 5..�..i1 FBC 2 ►Lt Master Permit No.'C/ J ^ / c2 Sub Permit No. L.10 -- ,S8' ❑ REVISION ❑ EXTENSION ❑ RENEWAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS County: / 7 aa.Miami Dade Zip: 3 / 3e Folio/Parcel#: P. St. - °2.5' *- 0 Q (2O Is the1�Building Historically Designated: Yes NO A/ V Occupancy Type: eZ Load: Construction Type: —1 Flood Zone: OWNER: Name (Fee Simple Titleholder): /i/hipe `J Ll Address: / O D / V E /OS city: Mari i 940<F1 Tenant/Lesspi ame: Email: State: BFE: FFE: Phone#: 0 77. JS 3J Zip: 3 /3? Phone#: &!LLSo • / VC / CONTRACTOR: Company Name: Ca l5'"C -AV Phoneel)k—A t VIV$© Addre s: " ::*- t 6) A� NIA -ANA--- " State Certification or Registration #: RJ 1 -...Certificate of Competency #: 003p` :%1 DESIGNER: Ar hitect/Engineer: �r771VVr ,TA /T#4VA1/ 4(clirrt!T talc Phone#: 3aJ c)'v 91�1 v Address: on30 .SI Ai foR IPS % City:ncDN„% 6 tate: Zip: 33/33 Value of Work for this Permit: $ k4ig 6 Do 00-Q Type of Work: g Addition IYAlteration City: Qualifier Name: State: �1 l� Zip: 3a,(952---, Phone#: Square/Linear Footage of Work: ❑ New ❑ Repair/Replace Demolition Description of Work: 1" d. ♦ ,-_ _ �l:< �_� 1 . //i e WNG ,PANIC) IWO n T7//1/C Pow. iivs704, zievorarbscvl. 7t,77_ Tarri Specify color of color thru tile: d Submittal Fee $ Permit Fee $ 2.0,11-3/(147 CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ (� �] 2 TOTAL FEE NOW DUE $ I I 1 • ✓10 (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 z 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 certifie '. opy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days ' er; the building permit is issued. In the absence of such posted notice, the inspection will not be (;� •rov, d aji reinspection f will,•e charged. Signature OWNER or - The foregoing instrument was acknowledged before me this / I day of iebey- , 20 %, by ph, /, 7e j%J oaf , who is personally known to me or who has produced f9z identification and who did take an oath. NOTARY PUBLIC: Sian: Print: Seal: as i4 ef ore4 Notary Public State of Florida Joanna M Feliciano y,My Commission FF 082753 Penpor Expires 01/12/2018 *.* ,* APPROVED BY (Revised02/24/2014) The foregoing instrument was acknowledged before me this v- day ofJRNU P V- , 20 \G , by 31t1c0N SN; wjo is personally known to L�� me or who has produced '�0C\-'J Tas identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: ******************** Plans Examiner Notary Public State of Florida Sindia Alvarez My Commissien FF 156750 Expiras 0 /)3//�2O18,ha Zoning Structural Review Clerk STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD 4-1 . ENSU NUMBER The ELECTRICAL CONTRACTOR Named below HAS REGISTERED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2016 (INDIVIDUAL MUST MEET ALL LOCAL LICENSING REQUIREMENTS PRIOR TO CONTRACTING IN ANY AREA) SMITH, OLEY JACKSON PARDIME ELECTRIC INC 24625 SW 127 AVENUE HOMESTEAD FL 33032 ISSUED: 08/21/2014 DISPLAY AS REQUIRED BY LAW CTB Construction Trades Qualifying Board BUSINESS CERTIFICATE OF COMPETENCY 000014837 PARDIME ELECTRIC INC 'D.B.A.: SMITOLEY JACKSON Is certified under the provisions of Chapter 10 of Miami -Dade County fALID FOR CONTRACTUNTil f?9t3612 i'17 SEQ # L1408210002030 r , w Local Business Tax Receipt Miami—Dade County, State of Florida -THIS IS NOT A BILL - DO NOT PAY 1208347 BUSINESS NAME/LOCATION PARDIME ELECTRIC INC 24625 SW 127 AVE MIAMI, FL 33032 OWNER PARDIME ELECTRIC INC Worker(s) MIAMI= Ena RECEIPT NO. RENEWAL 1208347 SEC. TYPE OF BUSINESS 196 ELECTRICAL. CONTRACTOR 1 000014837 LBT EXPIRES SEPTEMBER 30, 2016 Must be displayed at place of business Pursuant to County Code Chapter 8A - Art. 9 & 10 PAYMENT RECEIVED BY TAX COLLECTOR 75.00 09/30/2015 0224-15-006482 This Local Business Tax Receipt only confines payment of the Local Business Tax. The Receipt is not a license, permit. or a certification of the holders 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, visit www miamidade gov/taxcollector ® A QCERTIFICATE OF LIABILITY INSURANCE DATE (MM/D2 015 ) 10/22/2015 THIS CEIfiT1FitATE 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 International Insurance Center, Inc. 7990 SW 117 Avenue Suite 209 Miami FL 33183 CONTACT Ana sle Simon NAME: y PHONE(305)279-5446 a/c No): (305)279-4045 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURERA:Nationwide Insurance Company COMMERCIAL GENERAL LIABILITY INSURED Pardime Electric Inc. dba Clear Light Electric 24 625 SW 127TH AVE Homestead FL 33032 INSURER B : ACP5945204135 INSURERC: 9/13/2016 INSURER D : $ 1,000,000 INSURER E : $ 100,000 INSURERF: •CL1592201734 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 LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POUCY NUMBER POUCY EFF IMM/DD/YYYY) POUCY EXP IMM/DD/YYYY) UMITS X COMMERCIAL GENERAL LIABILITY ACP5945204135 9/13/2015 9/13/2016 EACH OCCURRENCE $ 1,000,000 DA AGE TO PREM SES (Ea occuED ence) $ 100,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 1,000 PERSONAL 8, ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GE X 'L AGGREGATE POLICY OTHER: LIMIT APPLIES JECT PER: LOC PRODUCTS - COMP/OPAGG $ 2,000,000 $ AUTOMOBILE UABIUTY ANY AUTO ALL OWNED AUTOS HIRED AUTOS SCHEDULED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA UAB EXCESS UAB _ OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ $ DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' UABIUTY ANY PROPRIETOR/PARTNER/EXECUTIVEN OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N / A STATUTEPER OTH- R E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Electrical Contractor Electrical Construction CERTIFICATE HOLDER CANCELLATION Miami Shores Village Building Department 10050 NE 2nd Avenue Miami Shores, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Edward Cabassa/CF ACORD 25 (2014/01) INS025 (201401) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACGRbe CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 07/22/2015 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(ies) must be endorsed. H 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 Automatic Data Processing Insurance Agency, inc. 1 Adp Boulevard Roseland, NJ 07068 CONTACT NAME: (AGN No. EMI: (AIC, No): ADDRESS: INSURERIS) AFFORDING COVERAGE NAM 5 INSURER A : NorGUARD insurance Company 31470 INSURED PARDIME ELECTRIC INC 24825 S W 127th Ave Homestead, FL 33032 INSURER 8 : INSURER C : INSURER 0 • INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 368076 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. ILTR TYPE OF INSURANCE 1AINSD SMD l POUCY NUMBER (MM�IDPrYYYY) (MM POLICY DIY YY) . UMITS COMMERCIAL GENERAL LIABIUTY , OCCUR 'I I I tt I ' EACH OCCURRENCE 5 CLAIMS -MADE 1 DAMAGE TO RENTED 1 PREMISES (Ea occurrence) $ lMED EXP (My one person) S ' PERSONAL 8 ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES POLICY i JE PER _ LOC 1 i GENERAL AGGREGATE S PRODUCTS -COMP/OPAGG S OTHER S AUTOMOBILE LIABILITY ANY AUTO 1 ALL OWNED T SCHEDULED AUTOS . AUTOS -OWNED -OWNED I , ,, . COMBINED SINGLE LIMIT $ (Ea accident) BODILY INJURY (Per person) $ i i BODILY INJURY (Per accident) S HIRED AUTOS NON I AUTOS PROPERTY DAMAGE S (Per accident) I 1 L— UMBRELLA UAB 1 EXCESS UAB + OCCUR 1 CLAIMS -MADE i' � I ++ I j t EACH OCCURRENCE S AGGREGATE S DED • 1 1 RETENTION S i S WORKERS COMPENSATION 1ANDEMPLOYERS'LWBIIJTY A IOFFICERMIEEB EXCLUDED mammon,inNH) 1If es, describe ander OF OPERATIONS ECUTIVE YPr /N NIA 1 , N I PAWC667009 !06/05%2015 06/06/2016 I i X , PER [ OTH- I STATUTE t ER E1. EACH ACCIDENT $ 1�+� below E L. DISEASE - EA EMPLOYEES 10100,000mammon, E L DISEASE - POLICY LIMIT 5 �� !DESCRIPTION i I I DESCRIPTION OF OPERATIONS 1 LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attactled it more space a required) Electrical Contractor Electrical Construction CERTIFICATE HOLDER CANCELLATI Miami Shores Village Building Department 10050 N. E. 2nd Avenue Miami Shores, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE A@ 1988-2014 ACORD CORPORATION. All rights reserved.