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EL-17-2258Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 29 NE 102 Street Miami Shores, FL 33138- Owner Information Permit Permit NO. EL -9-17-2258 Permit Type: Electrical - Residential Work Classification: Low Voltage Permit Status: APPROVED Issue Date: 912612017 Expiration: 03/25/2018 Address Parcel Number 1132060131650 Block: Lot: Applicant CHRISTIAN ULVERT Phone Cell CHRISTIAN ULVERT 29 N 102 Street MIAMI SHORES FL 33138- (305)336-3631 29 N 102 Street MIAMI SHORES FL 33138- Contractor(s) Phone J & I ELECTRICAL SERVICE CORP (305)609-9215 Cell Phone Valuation: Total Sq Feet: $ 1,250.00 0 Type of Work: INSTALLATION RECESSED LIGHT AND USB Additional Info: INSTALLATION RECESSED LIGHT AND USB Classification: Residential Scanning: 3 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee - Additions/Alterations Scanning Fee Technology Fee Total: Amount $1.20 $2.25 $2.25 $0.40 $150.00 $9.00 $1.60 $166.70 Pay Date Pay Type Amt Paid Amt Due Invoice # EL -9-17-65106 09/19/2017 Credit Card $ 50.00 $ 116.70 09/26/2017 Credit Card $ 116.70 $ 0.00 Available Inspections: Inspection Type: Review Electrical Review Electrical 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: certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zonthe ore, I authoe the above-named contractor to do the work stated. Autho - zed SignAppfycrant / Contractor / Agent Buildin - Department Copy September 26, 2017 September 26, 2017 Date 1 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 BUILDING PERMIT APPLICATION Zi BUILDING IX1 ELECTRIC ❑ ROOFING PLUMBING ❑ MECHANICAL PUBLIC WORKS JOB ADDRESS: 2q vI('i (62- 6) 144 RRECD EI V c1:a19"-.,ED SEP 191017 SIN` i FBC 201L1 2258- Master Permit No. ,\ �� Sub Permit No. ❑ REVISION ❑ CHANGE OF CONTRACTOR ❑ EXTENSION ❑RENEWAL ❑ CANCELLATION ❑ SHOP DRAWINGS City: Miami Shores County: Folio/Parcel#: // — Z 06 —013— /650 Occupancy Type: Load: OWNER: Name (Fee Simple Titleholder): Address: AA ;; V11z I ,,l!�pQ�' City: IvA 4 t 606Y1 - Miami Dade Zip: 313 f Is the Building Historically Designated: Yes NO Construction Type: Flood Zone: ri -ioth ' vt(i(1 - f - State: Tenant/Leff?'/Name: I Email: 1 ( 01 � vkvb77 e 91/4finot Nvo CONTRACTOR: Company Name: Address: q -q 50 l.j w t 2 ST Z Z E Ec-Tte ( e BFE: FFE: Phone#OOS 33t - 3&3 Phone#: Zip: 3 3/.38 5t5aVi Phone#: 3O 60 2/5 City: Al / AIS / State: re— Zip: ' 77 O 5 5 Qualifier Name: MAN L. -It C-- 1, /AJ/lp.- S Phone#: 3605 60 9 90.,/� State Certification or Registration #: 6C- - /300e/ g 70 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ ) 2 Ste. Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New Description of Work: 9 N " r c :5 i ❑ Repair/Replace ❑ Demolition (0- S@CCc ) L• G Au r, Specify color of color thru tile: Submittal Fee $ Permit Fee $ /-1d'e#' CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ TOTAL FEE NOW DUE$ I ( G • 0 (Revised02/24/2014) Bonding Company's Name (if applicable) � M 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 O or AGENT NER The foregoing instrument was acknowledged before me this 1b" day of , ,20 1'by l�L , who is personally known to me or who has produced Lt4 identification and who did take an oath. NOTARY PUBLIC: Sign: Print. as MARILYN CRAIG MY COMMISSION #FF135132 J/ •. ;� off,: EXPIRES July 4, 2018 //�, �, Floridallota Servlce.com S *********************** APPROVED BY (Revised02/24/2014) Signaturercw,e,.7tSb CONTRACTOR The foregoing instrumennj was acknowledged before me this day of , t95 f , 20 / ) , by r who is personally know to me or who has produced as identification and who d NOTARY PUBLIC: Sign: Print: Seal: id take_ an oath. :4,4"47'.' ,,Y 1=-� _es+rn MARILYN CRAIG MY COMMISSION #FF135132 EXPIRES July 4, 2018 07) 398-0153 FloridallotayService.com rc ************************************************************************************ "ZS 7�'!'Plans Examiner Zoning Structural Review Clerk STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION . ELECTRICAL CONTRACTORS LICENSING BOARD (850) 487-1395 2601 BLAIR STONE ROAD TALLAHASSEE FL 32399-0783 LINARES MANUEL JOSE J & I ELECTRIC SERVICE CORP 11710 TAFT STREET PEMBROKE PINES FL 33026 CongratulationsWith this license you become one of the nearly one mon 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 ) DEPARTMENTOF BUSINESS AND restaurants, and they keep Florida's economy strong. ,,..„, PROFESSIONAL REGULATION Every day we work to improve the way we do business in order to serve you better, For information about our services, please log onto www.myfloridalicense.com, There you can find more information about our divisions and the regulations that impact you. subscribe to department newsletters and team more about the Department's initiatives, Our mission at the Department is. License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! RICK SCOTT, GOVERNOR EC13004970 ISSUED: 09/08/2016 CERTIFIED ELEO.TRICAL CONTRACTOR LINARES, MANUEL JOSE , - J & 1 ELECTRIC SERVICE•CORP.* • IS CERTIFIED under the provsions of Ch 489 FS EVIrail00 date • AUG 31, 208 L 160900003, 20 DETACH HERE KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD 'LICENSE NUMBER1 EC13004970 ADDITIONAL BUSINESS QUALIFICATION The ELECTRICAL CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2018 LINARES, MANUEL JOSE J & I ELECTRIC SERVICETORP: 4950 NW 192ND STREET— • MIAMI GARDENS flU33055 ISSUED: 09/08/2016 DISPLAY AS REQUIRED BY LAW SEC/ # L1609080003120 011446 Local Business Tax Receipt Miami -Dade County, State of Florida -THIS IS NOT A BILL -DO NOT PAY 6521612 BUSINESS NAME/LOCATION & I ELECTRIC SERVICE CORP 4950 NW 192 ST MIAMI FL 33055 OWNER & I ELECTRIC SERVICE CORP Worker(s) RECEIPT NO, RENEWAL 6791983 EXPIRES SEPTEMBER 30, 2018 Must be displayed at place of business Pursuant to County Code Chapter SA - Art. 9 & 10 SEC. TYPE OF BUSINESS 196 ELECTRICAL CONTRACTOR ECI3004970 PAYMENT RECEIVED BY TAX COLLECTOR $75.00 07/11/2017 CREDITCARD—I 7-046332 This Local Business Tax Receipt only confirms payment ef the Local Business Tax, The Receipt is not a license, permit Or N 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-275. Fot more information, visit vilooktniernifiedeignettakdat ACORE) CERTIFICATE OF LIABILITY INSURANCE i....----- DATE(MM/DD/YYYY) 09/01/2017 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. T;1IS 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 have ADDITIONAL INSURED provisions or 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 J&A Insurance Services, Inc SW 133 CT Miami, FL 33186 CONTACT Alina Jimenez NAME: (C. PHONE . Ext), 786-518-2989 FAX No), 786-518-2973 (A/12918 E -n DRESS: jainsuranceservices@gmail.com INSURER(S)AFFORDINGCOVERAGE NAIC# INSURER A: Ascendant Commercial Insurance 13683 INSURED J & 1 Electric Service Corp 4950 NW 192 St Carol City FL 33055 INSURERB: Associated Industries Insurance Company, Inc. 213140 INSURERC: Maxum Indemnity Company 26743 INSURER D : $ 1,000,000 INSURER E : INSURER F: X COVERAGES CERTIFICATE NUMBER: 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 1 S D DDL SVD W POLICY NUMBER (MUBR POLICY EFF /DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS C )( COMMERCIAL GENERAL LIABILITY BDG0091891-02 04/05/2017 04/05/2018 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ 100 000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE POLICY OTHER: LIMIT APPLIES E�X J PER: LOCPRODUCTS GENERAL AGGREGATE $ 2,000,000 -COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE X LIABILITY AUTO AOUTOS ONLY HIRED AUTOS ONLY PIP -PD X X AUTOSWNED ULED NON -OWNED AUTOS ONLY COMP-COLL CA -36306-3 08/22/2017 08/22/2018 O C BII EDt) SINGLE LIMIT a accANY $ 100,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENT ON $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N y N/A AWC1074424 01/08/201701/08/2018 SPER TATUTE X H OTH- ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Electrical Work Within Building CERTIFICATE HOLDER A Miami Shores Building Department 10050 NE 2 AVE Miami Shores, FL 33138 I 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 ik ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CITY COPY Lighting Floor Plan •••• • • •••• • • •• • • • • • • • •• • • • • • • • • • • • � t� • a • •• corn °;,, ' . +� '' • L.r.•r.g root • • • v••.• !11I L_1 U I i Main Etntr3n*-e Recessed Lighting USB Oulets 411 Outdoor wall sconces Security Cameras Garage Facing the pool Exterior Lighting Front of the house Back of the house 29 NE 102 Street nn 'In