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EL-17-2268Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Permit Permit NO. EL -9-17-2268 Permit Type: Electrical - Residential Work Classification: Repair Permit Status: APPROVED Issue Date: 9/20/2017 Expiration: 03/19/2018 Parcel Number 150 NE 103 Street Miami Shores, FL 33138 - 1132060131740 Block: Lot: Applicant MAURICIO CRUZ CAROLINA RIC Owner Information Address 150 NE 103 Street MIAMI SHORES FL 33138- 150 NE 103 Street MIAMI SHORES FL 33138- Phone Cell Contractor(s) ELEKRON ELECTRIC INC Phone (786)423-5230 CeII Phone Valuation: Total Sq Feet: $ 750.00 0 Type of Work: SERVICE RISER REPAIR Additional Info: Classification: Residential Scanning: 3 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee - Additions/Alterations Scanning Fee Technology Fee Total: Amount $0.60 $2.25 $2.25 $0.20 $150.00 $9.00 $0.80 $165.10 Pay Date Pay Type Amt Paid Amt Due Invoice # EL -9-17-65118 09/20/2017 Credit Card $ 165.10 $ 0.00 Available Inspections: Inspection Type: Final 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: 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. - . ermo -, I auth e the above-named contractor to do the work stated. September 20, 2017 Date Authorized S • nature: Owner / Applicant / Contractor / Agent Building Department Copy September 20, 2017 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 _ FBC 201 �( BUILDING Master Permit No.T L (o"s PERMIT APPLICATION Sub Permit No. ❑BUILDING 0 ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL El PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 150 NE 103 Street City: Miami Shores County: Miami Dade Zip: 33138 11-3206-013-1740 X Folio/Parcel# Is the Building Historically Designated: Yes NO Occupancy Type: Load` Construction Type: Flood Zone: OWNER: Name (Fee Simple Titleholder): Mauricio Cruz Address: 150 NE 103 Street City: BFE: FFE: Phone#: (954) 471-6497 Miami Shores Tenant/Lessee Name: N/A State: FL 33138 Zip Email: cruzmauricio@gmail.com Phone#: CONTRACTOR: Company Name: Elekron Electric Inc Address: 3641 SW 25 Terrace (786) 423-5230 Phone#: Miami FL 33133 City: State: Zip: Rodrigo Moreno (786) 423-5230 Qualifier Name: Phone#:. • • ER 13014704 11•E000549 State Certification or Registration #: Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: 750.00 Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration Service Riser Repair Description of Work: ❑ New 0 Repair/Replace 0 Demolition Specify color of colo' thMir>fe?a `&4w Submittal Fee $ Scanning Fee $ Technology Fee $ At 11• :;•.) -)lATc: t:c- Mr i#"Perm ;F /_5'm,ea 2. (..)11.)t.:\ Structural Reviews $ (Revised02/24/2014) Radon Fee $ Training/Education Fee $ CCF $ DBPR $ 8rJ";f!F;,�Nta► Double Fee $ Bond $ TOTAL FEE NOW DUE $ i / ( 6 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. CONT CTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 2044^ day of St pit 4,00-e7 , 20 () , by 201" day of SspfcM (9-f. , 20 who i rsonally kno MGu✓�ciO 04.1 who ., llod"i•y U ihlX►U ho is personally know � me or who has produced as me or who has produced '—` as Signature Signature itAUP-.1c'^° C-42 OWNER or AGENT by identification and who did take an oath. NOTARY P Sign: Print: Seal: UC: Lu 6G-talkt(G ********** Lucia Vanessa Fonseca NOTARY PUBUC STATE OF FLORIDA identification and who did take an oath. NOTARY PUBLIC: Sign: \,/ Print: Seal: C; tc,14-1cCi Lucia Vanessa Fonseca NOTARY PUBLIC #¢ STATE OFFLORIDA SSINfi Expires 9/30/2019 !APirets 9/30/2019 APPROVED BY %ARD ‘�Pi ' Plans Examiner (Revised02/24/2014) Zoning Structural Review Clerk CIQB Conat :ton Trades O.0 [if$ it cINESR CERTIFICATE OF CO' E.EKRON ELECTRIC D. B A.: MORENO RODRIGO is certified under the provisions of Chapter 1 Ct o i -D e Caun STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD 2601 BLAIR STONE ROAD TALLAHASSEE FL 32399-0783 MORENO, RODRIGO ELEKRON ELECTRIC, INC. 3641 SW 25 TERRACE MIAMI FL 33133 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 from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. 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 learn 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 STATE OF FLORIDA DEPARTMENT•OF,BUSINESS AND PROFESSIONAL43EGULATION ER13014704. ISSUED ' 09/08/2016 REG `ELECTRICAL-CONTRA"Crt6 . MORENO, RODRIGO ELEKRON ELECTRIC=IIVC? 4, . (INDIVIDUAL MUST. MEET,ALC :LOCAL LICENSING REQUIREMENTS;PRIOR TO CONTRACTING -IN ANYAREA) HAS REGISTERED under -the provisions of Ch.489 FS Expiration date AUG 31 2018 L1609080003156 (850) 487-1395 DETACH HERE KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSINGBOARD LICENSE NUMBER ER13014704 The ELECTRICAL CONTRACTOR Named below HAS REGISTERED "`"'• Under the provisions of Chapter 484 FS "'•- •- -- `y-' ~ Expiration date- AUG 31, 2018 g• (INDIVIDUAL MUST MEET ALL LOCAL LICENSING-- •REQUIREMENTS -PRIOR TOSCONTRACTING-IN ANY AREA) MORENO, RODRIGO. ELEKRON ELECTRIC, INCA • ' ,4t 3641 SW 25 TERRACES MIAMI - FL 33113y ` �- ‘r ISSUED: 09/08/2016 DISPLAY AS REQUIRED BY LAW SEQ # L1609080003156 008716 Local Business Tax Receipt Miami -Dade County, State of Florida —THIS IS NOT A BILL — DO NOT PAY 6940408 BUSINESS NAME/LOCATION ELEKRON ELECTRIC INC OPERATING IN DADE COUNTY MIAMI FL 33999 OWNER ELEKRON ELECTRIC INC Worker(s) 1 RECEIPT NO. RENEWAL 7216187 LBT EXPIRES SEPTEMBER 30, 2018 Must be displayed at place of business Pursuant' to County Code Chapter 8A — Art. 9 & 10 SEC. TYPE OF BUSINESS 196 ELECTRICAL CONTRACTOR 11E000549. PAYMENT RECEIVED BY TAX COLLECTOR $75.00 07/10/2017 CREDITCARD-17-045628 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 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-278, For more information, visit www.miamidade.govltaxcollector cct.Rt),, CERTIFICATE OE LIABILITY INSURANCE ..�.-- DATE (MM/GDlYYYY) 09/20/2017 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 E & L Insurance Services 1241 SW 27th Ave. Miami, FL 33135 CONTACT NAME: ENRIQUE RUIZ PHONE A/C. No. Ext); (305) 541-1002 FANo: (305) 541-0250 ADDRFESS: eruiz@eandlinsurance.com A INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : WESTERN WORLD INSURANCE COMPANY LIABILITY OCCUR INSURED ELEKRON ELECTRIC, INC 3641 SW 25 Terrace Miami FL 33133 INSURER B : INFINITY MSNMG INSURER c : BERKSHIRE HATHAWAY GUARD 02/18/2018 INSURER 0 : $ 1,000,000.00 INSURER E : CLAIMS -MADE INSURER F: DAMAGE TO RENTED PREMISES (Ea occurrence) 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 ITR. TYPE OF INSURANCE NSD BR WVD POLICY NUMBER POLICY EFF (MMIDD/YYYY) POLICY EXP (MMIDDJVYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY OCCUR N N MSNMG 02/18/2017 02/18/2018 EACH OCCURRENCE $ 1,000,000.00 CLAIMS -MADE �/ X DAMAGE TO RENTED PREMISES (Ea occurrence) $ 100,000.00 MED EXP (Any one person) $ 5,000.00 PERSONAL & ADV INJURY $ 1,000,000.00 GEN'L X .._...,... AGGREGATE LIMIT APPLIES PER: POLICY 1PRO- JECT I 1 LOC OTHER: GENERAL AGGREGATE $ 2,000,000.00 PRODUCTS - COMP/OP AGG $ 1,000,000.00 BI/PD/P&AI DED $ 500.00 BALL AUTOMOBILE ..... LIABILITY ANY AUTO OS AUTOS HIRED AUTOS SCHEDULED AUTOS NON -OWNED AUTOS N N 509-80001-8225-001 09/19/2017 09/19/2018 COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ 250,000.00 ,_ V BODILY INJURY (Per accident) $ 500,000.00 PROPERTY DAMAGE $ 100,000.00 — $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ I AGGREGATE $ DED RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) It yes, describe under DESCRIPTION OF OPERATIONS Y i N NIA N ELWC849525 07/14/2017 07/14/2018 X PERTUTE ETH E.L. EACH ACCIDENT $ 500,000 Y E.L. DISEASE - EA EMPLOYEE $ 500,000 below E.L. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS f LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Electrician CERTIFICATE HOLDER CANCELLATION Miami Shores Village Building Department 10050 NE 2 Avenue Miami Shores, FL 33138 SHOULD ANY OF THE ABOVE DE THE EXPIRATION TE THE ACCORDANCE WI T E POLIC IBED POLICIES B • . CELLED BEFORE OF, NOTICE WIL DELIVERED IN PROVISIONS. AUTHORIZED REP SENTATIVE ACORD 25 (2014/01) ©1988-201'4 ACORD COORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD