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EL-17-1961Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Permit NO. E Permlt Type t1 irvork.Giassr` atio>n: Lori► Vol 445 NE 94 Street Miami Shores, FL Owner Information Darren Ockert Address Parcel Number 1132060140520 Block: Lot: 445 NE 94th Street Miami Shores FL 33138 Contractor(s) MAGNOLIA DESIGN CENTER Phone (407)340-5216 CeII Phone Perrnit Statu Expiration: 01/29/2018 Darren Ockert 917 573-9022 CeII Valuation: Total Sq Feet: Type of Work: LOW VOLTAGE WIRING 4 TV 4 DATA 20 S 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 $3.60 $3.15 $3.15 $1.20 $210.00 $9.00 $4.80 $234.90 Pay Date Pay Type Amt Paid Amt Due Invoice # EL -8-17-64748 08/01/2017 Credit Card $ 50.00 $ 184.90 08/02/2017 Credit Card $ 184.90 $ 0.00 Available Inspections: Inspection Type: Review Electrical 1 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 AFF AVIV: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction a zing. Futhermore, I authorize the above-named contractor to do the work stated. Authd'rized Signature: Owner / Applicant / Contractor / Agent Building Department Copy August 02, 2017 Date August 02, 2017 1 4X\'' 0 BUILDING PERMIT APPLICATION 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 RECEIVED AUG 0 1 201(._ fC� FBC 2O Master Permit No. -Ytf — g, Ciro —1 ct .cl ❑BUILDING ® ELECTRIC ❑ ROOFING ❑ REVISION Sub Permit No. El_ 11 ^11 (V' ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: `'{ y 5 WE 9 9 RiE �E'ir City: Miami Shores County: Miami Dade Folio/Parcel#: Is the Building Historically Designated: Yes Occupancy Type: Load: Construction Type: Flood Zone: Zip: 3 3 (31S OWNER: Name (Fee Simple Titleholder):DAP.RC rJ G £ Address: 4/4_s- NE ' 4 ST NO BFE: FFE: 5* ?o22 Phone#: —MO City: to t ► Sf401Z&S State: FL_ Zip: 3-t32 Tenant/Lessee Name: Phone#: 9 L - S33 %O 22 Email: s.Ct© r\�o @ Y''‘e• • c-01 CONTRACTOR: Company Name: irYVAGtJt IA 'D%.stbt`' i,z,14Zf�� Address: 11)2.1 Vv1'isSo,Lr Phone#: 401-31.10 ^S21�v City: C:ow State: C -- Qualifier Name: 1a Gto_L tAS %.‘C.Q-\ G'�- Zip: 3111 G i Phone#: `'i 07 '' ` O --`. Z 1, State Certification or Registration #: 2 loco ( t'L Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ S!'00 0 Square/Linear Footage of Work: Type of Work: ❑ Addition Ecj Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: Loo Vo LT-Ao-re_ L)r &G --- i/ i- V , y P 2_0 1 Con) \—QoL Specify color of color thru tile: Submittal Fee $ Permit Fee $ ,R /6'I a'‘')CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ TOTAL FEE NOW DUE $ I 4_410 (Revised02/24/2014) S\Sc eC� c sc,n g°5 9E(:. r FF9i 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. OWNER or AGENT Signature '%•9cLiz- CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of >� c/yt� 20 ( by '' day of 20 ! by lJ�-��- , Irvho is perste yaa+ykiii to , ho is personally known to me or who has produced as me or who has produced v//�--- as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: 00111111110 OOOOO • W w o o •• z.• op= ;C?• u ••a 1;••••' 2 A!! «"• gyp`, �j = • C ,.,� identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: ANGELA VILCHES Notary Public, State of Florida My romrh. caxoirea Sept 23, 2020 ************************************************************************************************************ APPROVED BY (Revised02/24/2014) Plans Examiner Structural Review Zoning Clerk STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION -��- / ELECTRICAL CONTRACTORS LICENSING BOARD (850) 487-1395 "tom-vE" 2601 BLAIR STONE ROAD TALLAHASSEE FL 32399-0783 ASHCRAFT, HARRY CARL IV MAGNOLIA DESIGN CENTER 1821 MISSOURI AVENUE ST. CLOUD FL 34769 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 PROFESSIONAL REGULATION EF20000692 ISSUED: 08/28/2016 CERT ALARM SYSTEM CONTRACTOR I ASHCRAFT, HARRY CARL IV MAGNOLIA DESIGN CENTER IS CERTIFIED under the provisions of Ch.489 FS. Expiration date . AUG 31. 2018 L1608280004610 DETACH HERE KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD LICENSE NUMBER The ALARM SYSTEM CONTRACTOR I Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2018 ASHCRAFT, HARRY CARL IV MAGNOLIA DESIGN CENTER;! 7601 PENN AVE S RICHFIELD MN 55423 ISSUED: 08/28/2016 DISPLAY AS REQUIRED BY LAW SEQ # L1608280004610 CITY OF AVENTURA COMMUNITY DEVELOPMENT DEPARTMENT 19200 WEST COUNTRY CLUB DRIVE AVENTURA, FL 33180 305-466-8942 August 23, 2016 BEST BUY STORE 558 2200 CABOT DR STE 300 ATTN: TAX PARTBNERS LLC LISTE IL 60532 This is your local Business Tax Receipt for the City of Aventura. ,Please post in a conspicuous place at the business location to avoid penalty. Do not remit payment as this is not a bill. Business Name: Location: Recipient Name: Description: Issue Date: Fees Paid: Restrictions: CITY OF AVENTURA, FLORIDA LOCAL BUSINESS TAX RECEIPT FOR PERIOD 10/16-09/17 Receipt 17-00002542 Expires September 30, 2017 BEST BUY STORE 558 21035 BISCAYNE BLVD AVENTURA FL 33180 305-933-9025 BEST BUY STORE 558 MERCHANT - RETAIL August 23, 2016 11,875.60 A� L? CERTIFICATE OF LIABILITY INSURANCE DATE (MWDD/YYYY) 07/18/2017 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 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 • Marsh USA Inc. 333 South 7th Street, Suite 1400 Minneapolis, MN 55402-2400 Attn: Minneapolis.CertRequest@marsh.com 024927-BB-GAWU-17-18 Servic No CONTACT NAME: FAX (N No. Esti: (AICC, No): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Greenwich Insurance Company 22322 INSUREDIN8URER Best Buy Co., Inc. its subsidiaries and including Magnolia Hi-Fi, LLC dba Magnolia Home Theater and dba Magnolia Design Center 7601 Penn Avenue South Richfield, MN 55423 B : XL Insurance Ameltca, Inc. 24554 INSURER C : XL Specialty Insurance Company 37885 INSURER D $ 1,000,000 INSURER E : INSURER F : X COVERAGES CERTIFICATE NUMBER: CHIT REVISION NUMBER: 4 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 LTRINSD TYPE OF INSURANCE ADDL SUBR WVD POLICY NUMBER POLICY EFF (MDDIYYYY) POLICY EXP (MMIDOIYYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY RGE943757205 SIR applies per policy terms & conditions 02/01/2017 02/01/2018 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR DAGE TO D PREMISES (Ea occurrence) $ 1,000,000 MED EXP (Any one person) $ 0 PERSONAL & ADV INJURY $ 1 GEN'L X AGGREGATE POLICY OTHER; LIMIT APPLIES 7ECOT- PER; LOC GENERAL AGGREGATE $ 5,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ B AUTOMOBILE X X LIABIUTY ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY - X SCHEDULED AUTOS NON -OWNED AUTOS ONLY RAD943757405 02/01/2017 02/01/2018 COMBINED SINGLE LIMIT (Ea accident) $ 3,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ C X UMBRELLALUAB EXCESS LIAR X OCCUR CLAIMS -MADE US00052668L117A 02/01/2017 02/01/201810,000,000 EACH OCCURRENCE $ AGGREGATE $ 10,000,000 DED X RETENT ON $10,000 $ B C WORKERS COMPENSATION AND EMPLOYERS' LIABIUTY ANYPROPRIETOR/PARTNER/EXECUTNE OFFICER/MEMBEREXCLUDED? (Mandatory in NH) If yes describe under DESCRIPTION OF OPERATIONS below YIN N N I A RWD943534605 (AOSjExcludingTX] Stop GapEL for ND WA WY PR) p RWR943534705 (AK, WI) 02/01/2017 02/01/2017 02/01/2018 02/01/2018 X PER STATUTE 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 C Excess Workers' Comp/ Employers Liability RWE943534805 (NV, OH) 02/01/2017 02/01/2018 Limit: SIR: Same as above 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Re: Best Buy Co., Inc. its subsidiaries and 7601 Penn Ave S, Richfield, MN 55423. Qualifiers Name: Harry Cad Ashcraft IV License Number: EF20000692 CERTIFICATE HOLDER CANCELLATION Miami Shares Village BLDG Dept. 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 of Marsh USA Inc. Manashi Mukherjee ACORD 25 (2016/03) © 1988-2016 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD