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EL-15-3171Project Address Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Pe mit Permit NO. EL -12-15-3171 Permit Type: Electrical - Residential Work Classification: Addition/Alteration Pennit Status: APPROVED Issue Date:11712016 Expiration: 07/05/2016 Parcel Number Applicant 9701 BISCAYNE Boulevard Miami Shores, FL 33138- 1132060143320 Block: Lot: MARIA GABRIELA ALE CASTRC Owner Information MARIA GABRIELA ALE CASTRO Address 9701 BISCAYNE Boulevard MIAMI SHORES FL 33138-2540 9701 BISCAYNE Boulevard MIAMI SHORES FL 33138-2540 Phone Cell Contractor(s) CJ POWER, LLC Phone Cell Phone (561)201-0735 (561)201-0735 Valuation: $ 8,000.00 Total Sq Feet: 1610 Type of Work: A 955 SF. TWO STORY ADDITION (600SF 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 $4.80 $4.20 $4.20 $1.60 $280.00 $3.00 $6.40 $304.20 Pay Date Pay Type Invoice # EL -12-15-58148 01/07/2016 Check #: 1261 12/23/2015 Credit Card Amt Paid Amt Due $ 254.20 $ 50.00 $ 50.00 $ 0.00 Available Inspections: Inspection Type: Final Meter Box Alteration Relocation Fire Alarm Service Change Review Electrical Underground W. W. 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 ELECTRICK, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFF • IT: I ce 'i_.. construction arad'fo all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating ore, I uthorize the above-named contractor to do the work stated. January 07, 2016 Authorized Sig ature: Owner / Applicant / Contractor / Agent Building De rtment Copy Date January 07, 2016 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 ❑BUILDING ❑■ ELECTRIC ❑ ROOFING El PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS JOB ADDRESS: 9701 BISCAYNE BLVD FBC 2010 Master Permit No. RC -15-1024 Sub Permit No. L (5— 314/ ❑ REVISION ❑ EXTENSION ❑ RENEWAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS City: Miami Shores County: Miami Dade Zip: 33138 Folio/Parcel#:11-3206-014-3320 Is the Building Historically Designated: Yes NO X Occupancy Type: R-3 Load: Construction Type: V Flood Zone: X BFE: FFE: OWNER: Name (Fee Simple Titleholder): JOSE G. CASTRO & MARIA G. ALE Address: 9701 BISCAYNE BLVD Phone#: 305-582-2836 City: MIAMI SHORESState: FL Zip: 33138 Tenant/Lessee Name: NIA Email: info@r-method.net Phone#: CONTRACTOR: Company Name: C) Mum( LLC Address: c g S5 5at1DGLS-cio—\ LvD Phone#: Cs CI I ZQ) - 0 3.5 City: Cc..(fl State: TL Qualifier Name: QLA LUUL State Certification or Registration #: 13004`IC S DESIGNER: Architect/Engineer: JOSE RUBEN JIMENEZ, Address: 300 OAKWOOD LANE SUITE 100 Zip: 32'3 Phone#: Certificate of Competency #: ARCHITECT phone#: -305=582-2836 Value of Work for this Permit: $ cg oo° State: FL Zip: 33020 City: HOLLYWOOD Square/Linear Footage of Work: 955 ADDITION / 655 ALT. Type of Work: ❑■ Addition n Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: The owners are proposing to do a 955 SF. two story addition ( 600, SF - First Floor & 355 SF - Second Floor) on the NE corner of the existing residence and renovate apprro irraaigly;655 SF (550 SF First Floor & 105 SF - Second Floor) of their exist' ngl residence 3,1i.tviA4 Specify color oofjCOolorthru tile: 'D Submittal Fee $ ' Permit Fee $ 2i " 0,0 Scanning Fee $ . T Radon Fee $ Technology Fee $ ! • GO ;# live R�`• �6 .! CCF $ ' �yq" ,� : x =.7C0¢cc $y " • -.s 20 DBPR $ 20 • Notary $ Training/Education Fee $ 1 , Double Fee $ Structural Reviews $ Bond $ (Revised02/24/2014) TOTAL FEE NOW DUE$ 2—C-1- • 26 Bonding Company's Name (if applicable) I - Bonding Company's Address. a. 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 qn 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 OWNER or AGENT The foregoing instrument was acknowledged before me this I day of DPl Aner2-r-' ,20 1 ,by 'Dr. evyt,, 9. C.es-t-ro who is persc ala known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: 1111.4Mi se.._ 1 ************ * 1 APPROVEDBY. (Revised02/24/2014) 1 CEPERO Notary Public - State of Florida • Ary Comm. Expires Dec 19, 2018 _ te r Commission • FF 152862 8U,t" Bonded Through Naticial �÷1i3 Signature CONTRACTOR The foregoing instrument was acknowledged before me this day of O ce CO -36C , 20 �l , by Mar\ OGLi- , who is personally known to me or who has produced `'l_- UAL -1 Urtm .0 Coil\( as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal:: -1 *****************w* * Plans Examiner Structural Review o-.CJQ f1C171) JOYCE JAN ALBERTO Notary Public, State of Florida Commission# FF 131610 A *4011(1620e R8,46,72046 Zoning Clerk STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD (850) 487-1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 WOLF, ALAN D CJ POWER, LLC 11489 COUNTRY SOUND CT BOCA RATON FL 33428 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 DETACH HERE STATE OF"FLORIDA- - - — Z. ---7.....:-....: `- u :1- :DEPARTMENT.OF,BUSINESSAND =`' ` PROFESSIONAL%REGULATION.. : - EC13004765 asC � ISSUED:3 07/27/2014• . - '_ ..:CERTIFIED ELECTRICAL`CONTRACTOR F= :',,WOLF,`ALAN D :. rt fry ;y Vii: ` i .- CJ POWER LLC; 42, r'{a . L, '".-. -� •`-. ,,,1 i •- •+r �f ..tea ° , , I r .. o,., ---. t'I�is CERTIFIED' under the provisions•of„Ch:488 FS" Expiration data .:'AUG 3172016 "-�:-�,.- "L1407270002964„`°}'"”` '', -....,, KEN LAWSON, SECRETARY +GCENSE�NUMBERi EC13004765.. • - STATE OE FLORIDA DEPARTMENT OF -BUSINESS AND'PROFESSIONAL REGULATION' ELECTRICAL CONTRACTORS LICENSING BOARD ; `The ELECTRICAL -CONTRACTOR - .4`___, - .- ,., - -, �` Named below IS CERTIFIED= _a;. -�- , ,_� -L_ '•.. '., -,. p-: Underthe provisions'of•Ch_ apter,489 FS..— �” -,---=-'--.4.--r-- `" - -,.. y , \; V, E f date: -AUG 31 2016 "7 xplra Ion . _ .� ''"1- .I ., ,t -4"-`.��,—,,• .„ ,;, s..,'-.. �.y ,'"..w •-,-,. ` O4 " ;:...,`-k ...., "m` ia' "' ti- ,^ WOLF ALANDs*°_ ' CJ POWER LLCM . 9855 SANDALFOOT BVD APT318_-`1/2 r { t; f .z �:;�. BOCA'RATON,:r-FL33428 ,. _ `` s'=a t • ISSUED: 07/27/2014 DISPLAY AS REQUIRED BY LAW 0 NNE SEQ # L1407270002964 ANNE M. GANNON CONSTITUTIONAL TAX COLLECTOR Serving Palm Beach County Serving you. P.O. Box 3353, West Palm Beach, FL 33402-3353 *LOCATED AT** www.pbctax.com Tel: (561) 355-2264 9855 SANDALFOOT BLVD #318 BOCA RATON, FL 33428 TYPE OF BUSINESS 23-0169 ELECTRICAL CONTRACTOR OWNER CERTIFICATION # RECEIPT #/DATE PAID AMT PAID WOLF ALAN D EC13004765 B15.863923 - 08/19/15 $27.50 This document is valid only when receipted by the Tax Collector's Office. CJ POWER LLC CJ POWER LLC 9855 SANDALFOOT BLVD STE 318 BOCA RATON, FL 33428 11IIn11lnlnlu1111u11 BILL # 840166644 - STATE OF FLORIDA PALM BEACH COUNTY B3 - 1873 2015/2016 LOCAL BUSINESS TAX RECEIPT' LBTR Number: 201249115 EXPIRES: SEPTEMBER 30, 2016 This receipt grants the privilege of engaging in or managing any business profession or occupation within its jurisdiction and MUST be conspicuously displayed at the place of business and in such a manner as to be open to the view of the public. ACORD CERTIFICATE OF LIABILITY INSURANCE DATE() 12/17/2015 POUCY NUMBER PRODUCER CITINSURANCE AGENCY CORP 8390 WEST FLAGLER ST SUITE MIAMI FL 33144 305-228-1533 213 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURED C.J. POWER, LLC 9855 SANDALFOOT BLVD. BOCA RATON, FL 33428 I #318 INSURER& ARCH SPECIALTY INSURANCE COMPANY, INSURER B: TECHNOLOGY INSURANCE COMPANY INSURER C: INSURER D: INSURER E: 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POUCY NUMBER POUCY EFFECTIVE DATE IMM/DD/YY) POUCY EXPIRATION DATE (MM/DDIYYI OMITS A GENERAL UABIUTY COMMERCIAL GENERAL LIABILITY 2015-296 11/24/15 11/24/16 EACH OCCURRENCE $1,000,000 $ 100,000 X FIRE DAMAGE (My one fire) CLAIMS MADE X OCCUR MED EXP (My one person) $ 5,000 PERSONAL BADV INJURY 51,000,000 GENERAL AGGREGATE 000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY n 1-1 PRO- LOC JECT _____1_j2 PRODUCTS - COMP/OP AGG 32,000,000 7 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ _ — PROPERTY DAMAGE (Per accident) $ GARAGE UABIUTY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS UABIUTY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ B WORKERS COMPENSATION AND EMPLOYERS' UABIUTY T W C 3 4 9 4 5 2 7 09/02/15 09/02/16 TORY LAMITS ER E.L EACH ACCIDENT $100,000 E.L. DISEASE - EA EMPLOYEE $500,000 E.L. DISEASE - POLICY LIMIT $100,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS ELECTRICAL APARATUS INSTALLATION, SERVICE AND REPAIR ADDITIONAL INSURED: INSURER LETTER: MIAMI SHORE VILLAGE BLDG DEPT. 10050 NE 2ND AVE MIAMI SHORE, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBUGATION OR UABIUTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENT • ES. AUTHO' • ' • r ATIVE ,, ©ACORD CORPORATION 1988 i c w Fe L 1 G H TING 9855 Sandalfoot Blvd # 318 Boca Raton FL 33428 Tel: (561) 201-0735 Fax: 561-424-8056 www.cjpowerlighting.com To: MIAMI SHORE VILLAGE BUILDING DEPARTMENT 10050 NE 2ND Avenue Miami Shores FL 33138 Authorization Letter I Alan Wolf authorize Danny Garcia to drop and pick up permits on my behalf. Sincerely Alan Wolf Master Electrician CJ POWER' State Of Florida County Of Broward Tho fore dog Inetrunient was acknowledged before, ml thit (c5\- zsOfl 44,onff : • • •i • • ". •- •••• ••••••••• •••• •••• •• • • ••• •• • • • •••••• •• ••• •• • •••• ••• • • ••• • • • • ••• JOYCE JAN ALBERTO Notary Public, State of Florida Commission# FF 131610 My comm. expires June 10, 2018 • • • ••• • • • • • • • • • ••• • • • • • • • • • • • • •• • • • •• •• • • ••• • • r:r1h 1 _ ue $708 hS1--r(2 xc s r,�^;'. rloz a4(rr W.T1 W.± 3 1AJJ V 7:3510H :ct 3i:1 P£ J-1 e ;torr ii M eu,^;:.•A.. r''A 3V 0E00! 1!))11J nodi: ii(>F , 1/•. 1L;ri.rI 'ill! I1f) 1i:fr;U ,LIIT lsrle rpm ,11( l79;1 !fi1[,,�7r �n a►i'J. .. .. . ...... . .. . . . • . • . .. .. . .. ... .. ...... ... . ... . • • .• • • • • •• •• .• • • . .. .. • • • • .... •• • • • ••• • ••• • • • .. •• • • ••••••.. •• • • • • ••• • • • .. .... . •••• • • • • • • t;;;,i l., 1 {Ia7':�r4t'r, 1().A1 fU'1J il•7'TC)`1 C; POWER LIGH TING 9855 Sandalfoot Blvd # 318 Boca Raton FL 33428 Tel: (561) 201-0735 Fax: 561-424-8056 www.cjpowerlighting.com To: MIAMI SHORE VILLAGE BUILDING DEPARTMENT 10050 NE 2N13 Avenue Miami Shores FL 33138 Authorization Letter I Alan Wolf authorize Juan F Bermudez to drop and pick up permits on my behalf Sincerely Alan Wolf Master Electrician CJ POWER The fore piing ins this ay of wl'pidt0. It.utf State Of Florida County Of Sroward before m:9� urnc�nt was acknowledged©�F d,2_ �,`c �� 1~S idc;iit fication. • ••• • •• ••• •• • • • •• • ••• • ••• • • • • • • •• • ••• • ••• • •e. •+ JOYCE JAN ALBERTO Notary Public, State of Florida Commission* FF 131610 My comm. expires June 10, 2018 ••• • • • • ••. • • • • • • • • . ••. • • • . • • • • • •• •• . • • ••• • • • •v• • • • • • • • • • •• •• • • ott ./tr br,se c .A soot3 1":13NITSA93Ct c'7V,IGJillri 37AJJ311 3 JH? i" ?1i`1i ^T U�.tC ceiorc22 a:f'1OVA 3"5: 41'1 060:0; 1a;kl4_# fb+lftl;i''torit t- 1/rir til 7d 'Vf tr, '� ►'r!i �: ,i��aZ:fil'.f�ci (it,[l�. �\I1 Jf 's f_ Ho it ;1 .. • . • • • ••• •• • . • • • . . .. • . . .. ..• .. ... ••. ••• . •.. • • • • • • • • • • • • • • • • • • • •• • • • • • •• • • •• . ••• • ••• • • ••• • • • • ••• • • • • • . • • • • • ••• • • • • • • • • • • • • • •• •• • • • .. •. • • 1 •i.'. • • • ••• s Ho'," r SJ ?V/' )q i 1