EL-16-714 4
Permit NO: EL-3-16-714 -
�suO' S Miami Shores Village Permit Type:Electrical-Residential
10050 N.E.2nd Avenue NE
r... p,. Werk Classification. Alteration
P e rilworul I"t
' - Miami Shores,FL 33138-0000 Permit Status:APPROVED
Phone: (305)795-2204
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issue Date:3125/2016 Expiration: 09/21/2016
Project Address Parcel Number Applicant
9879 NE 13 Avenue 1132050090490
Miami Shores, FL Block: Lot: JACQUELINE BARRANTES
Owner Information Address Phone Cell
JACQUELINE BAkRANTES 9879 NE 13 Avenue (917)698-2863
MIAMI SHORES FL 33138-
9879 NE 13 Avenue
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone
Valuation: $ 38,000.00
TURNPIKE ELECTRIC CORP (786)712-1024
Total Scl Feet: 0
Type of Work:REMODEL OF EXISTING HOME AND ADDITI Available Inspections:
Additional Info: Inspection Type:
Classification:Residential
Review Electrical
Scanning: 1
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $22.60 Invoice# EL-3-16-59064
DBPR Fee $19.95
DCA:Fge $19.95 03/25/2016 Check#: 1980 $ 1,388.70 $50.00
Education Surcharge $7.60 03/18/2016 Check#: 1975 $50.00 $0.00
Notag Fee $5.00
Permii:Fee-Additions/Alterations $1,330.00
Scanning Fee $3.00
Te&ology Fee $30.40
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Total: $1,438.70
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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.
I
OWNERS AFFIDAVIT: I ertify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
:construction and z ove-named contractor to do the work stated.
i
March 25, 2016
Autho ed Signature. er / Applicant / Contractor / Agent Date
Building. Department Copy
March 25, 2016 1
Miami Shores Village
Building Department .MAN 1.0 2015-
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
{ Tel: (305)795-2204 Fax:(305)756-8972 IFY:
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 201,j
BUILDING Master Permit No.
PERMIT APPLICATION Sub Permit No. �'✓�)`�•'�11y
❑BUILDING -AILECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING MECHANICAL PUBLIC WORKS ❑ CHANGE OF CANCELLATION SHOP
CONTRACTOR DRAWINGS
4
JOB ADDRESS: �0 �_I /j C j
i
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Constructionnn''Type: 2 Flood Zone: BFE: FFE: °
OWNER: Name(Fee Simple Titleholder): 2 a �l�C,�i Yrs k1 trJ Phone#: r � P 63
Address: "I q At 13 /14 �
City: Ak(, c"-3 V 1sYy) State: zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: jUmV)AF—Irc IC_ rn4 p Phone#: —1hp• 7 t Z 10 2-4
Address: _92-15 NVU (pSC sfi C ILA IA4, 1 -7*- S4-7- 3245
City: M I of m ► ` , State: 1 Zip:
Qualifier Name: StCr�1�C� V e 1a^Zq t 1�,Z Phone#:
!State Certification or Registration#: 04 certificate,of.Competency#:
DESIGNER:Architect/Engineer. • _ Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ ')O d Square/Linear Footage of Work: 1
Type of Work: ❑ Addition ICI Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Descriptio of Work: )� e, M 0 4 G170*-Y 0-yell cid-4,110h
�'.'�T9 ra��t w[;7.5, t a4;�Vim' r. �'- ( y . r'�."4,.'ry,..••4'..`�f...^'?
'.'i �r�" i? ' '4 •.,rM :I'i .. � rr 1Y � arra,... -! 1 'gat rpt � t, �'+�
Specify color of color..thru#ale -"-`•�� ,.�F� z 'k
Submittal Fee$ `� Permit Fee$ ���®� CCF$ �
Scanning Fee$ O Radon Fee$ ,�( r DBPR$ G Notary$ Q
Technology Fee$�G Td Training/Education Fee$ GD Double Fee$ 0
Structural Reviews$ 0 Bond$
TOTAL FEE NOW DUE$
— (Revised02/24/2014) ,,,
4' lqk
Bondi ng'Co pant's Name(if applicable) "
Bonding Company's Address i
I
City State Zip
Mortgage Lender's Name(if applicable)
Mortgage Lender's Address
i
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;thea of such poste notice, the
inspection will not be approved and a reinspection fee will be charged.
1
r / + tirl R t r
Signature , Signature
NER rAGENT O ACTOR
The fore ing instrum nt was acknowledged before me this The foregoing instr ent as acknowledged before this
20 o04� by U �4 day of 20 by
�44 J
IGN�}t�5",who• onally kno $,.11 Y,"I �t/4`Iwho is personally known to
me or who has produced as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
six Sign: `
Int: Print: `a— J RU
Seal: �,vv Notary Public State of Florida '= MY COIMMISSgN•FF037423
Seal: EXPIRES Novembw is 2o1s
Joanna M Feliciano 1407)W-0163
2 • My Commission FF 082753 Fiarwwrar�t�rvw owe
Expires 01112/2018
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
i 1,vuvcrcNurt KEN LAWSON, SECRETARY
STATE OF FLORIDA
r DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION �s
ELECTRICAL CONTRACTORS LICENSING BOARD
�!Cl..3004836
The ELECTRICAL CONTRACTOR
Named below IS CERTIFIED
Under the provisions.of Chapter 489 FS.
Expiration date: AUG 31, 2016
VELAZQUEZ, STERLING �a a
TURNPIKE ELECTRIC CORP.:
•
004749
Local Busin'ess,Tax-fleceipt . :
Miami-Dade: ,county; State of Florida.
-THIS IS"NOT BILL, := DO NOT PAY
6899802 '
LIBT
BUSINESS NAME/wCA-Inow J RECEIPT NO.., ,EXPIRES.
T1IRNPI'KE ELECTRIC CORP RENEWAL SEPTEMBER 3O 2016
7275:NW-68 ST'9 7175441.
Vr -ro - - -- Must be displayed at place.af business ;
•MIAMI FL 33166 Pursuant t6 County Code:
Chapter 8A=An.9&10 1.
{
OWNER,,; SEC.TYPE OF BUSINESS' PAYMENT RECEIVED
TURNPIKE ELECTRIC CORP 196 ELECTRICAL CONTRACTOR By TAX COLLECTOR
-IC13004836
Worker(S) t $75.00 09/17/2015
. CREDITCARD-15-046855
ThiAocai Business Tax Receipt only confirms payment of the local Business Tait.The Receipt is not a license,
permit,of a certification of the holder'aquallfications,to do business. Holder must comply with any governmental ?
for nongovernmental regulatory laws and requirements which apply to the business.-
---The RECEIPT N0.above must be displayed on all commercial vehicles—Miitni-Bede Code Sec 8a-276.
For more'udormation,visitwww.miemidade.govhaxcollector
i
DATE(MMIDD/YYYY).: -.. CER`1 IFICATE OF LIABILITY INSURANCE 03x23716
--
__ __ __ _.-_ ..__.
THIS CERTIFICATE IS ISSUED AS A MA`i a'ER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVEL Y OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSUR ACE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER;ANS;THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an AD I,TIONAL INSURED,the poiicy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to,. '
the terms and conditions of the policy,certain f,alicies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsemeno
PRODUCER CONTACT LILIANA
NAME -- _
Sunflowers Insurance Group Inc PHDNa (305)553-4949 (AAic,.,Noj (305)553-4958
I A/G.No Fxtl......_ ._
11401 SW 40th St.Ste 311. t_AQDRESS:_ sunflowersins(.hve com
Miami,FL 33165 INSURER(Sj AFFORDING COVERAGE ..._.. ...... ', NAIC k
Phone 305 553.4949 Fax 305j553 4958 INsWRER A._ ASCENDANT COMMERCIAL INSURANCE
......_ ._ ) . . _. _ .._...:_
!. INSURED 1.INSURER B; PROGRESSIVE
TUR _ .
NPIKE ELECTRIC CORP INSURER AM TRUST NORTH AMERICA INSURANCE
_._..__ - -
7275 NW 68 ST SUITE 9 INSURER o
MIAMI,FL 33166 PROJECT No 11411 I.NSURER_E
.....
... ______
COVERAGESCERT"+I ICATE NUMBER REVISION NUMBER
_._... - .
T'HfS IS TO CERTIFY THAT THE POLICIES OF 1 ISURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD'
INDICATED. NOTWITHSTANDING ANY REOUII•SMCNT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH
HIS
CERTIFICATE MAY BE ISSUED OR MAY PER IAN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH PO"ACIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
Y EiP
INSR N TYPE OF INSURANCE AC>IiSUBRI POLIQY NUMBER ( MOLIC/YEFF LMM7D0lYYYYj LIMITS
LTR ..._ _ _._ EL R VEND; (..
GENERAL LIABILITY EACH OCCURItENGE_„_, __i_s 000 000.00
DAMAGE TO RENTED + 100,000.00
COMMERCIAL GENERA!_LIABILITY , i,PRFMISFS_;,Ep occurroneel $-
CLAIMS-MADE 1/, OCCUR '+ I MED EXP(Any,one person) 5 5,000.00
GL-38665-0
A N•I 11/16/2015 11116/2016 1 000:000.00
PERSONAL &ADV INJURY _
GENFRALAGGREGATE $ 2,000,000.00
PI'200UC I S•COMP/OW AGG $ 1,000,000.00
vF::Nt AGGREGATE LIMIT APPLIES PER $..... ..........
J,POLICY PRO-
I ___. 1_..... _._....... ..
COMBINED SINGLE LIMIT
I EA accidenj)._
AUTOMOBILE LIABILITY i' I $ ,..
BODILY INJURY(Per person) $ 100,000,00
ANYAUTO
AlL OWNED SCHEDULED ( + 01422463-0 BOOILY INJURY(Per scc aent' $ 300 000.00
B AUTO5 �! Au?os ! 03J13/2016 3 03/13!2017 .....
NON-OWNED PROPERTY DAMAGE $ 100 000:00
'
HIRED AUTOS AUTOS i : (Per atc,gant} __
.. : ... . _ _....... ._
$
......
..-:. UMBRELLA LIAR :_.....:OCCUR ” EACH OCCURRENCE....
r
C EXCESS LIAR GCAIMS MADE f j AGGREGATE $
LLQ RE —_... ___...._..
._..,. ...__...._.....,,:. _.-....... -iNf 5?MTU ._..OTtI
WORKERS COMPENSATION „ TORY LIMITS
AND EMPLOYERS'LIABILITY YIN ER71
ANY PROPRIETOR)PARTNERIEXECUTTVE WG-63755-1 E.L EACH AC V ENT $ 100,000.00
E3 I OFFICER/MEMBER EXCLUDED? ti A :Y : 12/1012015 :12110/2016
I? E.L. ISEASE EA EMPLOYEE$ 100,000.00
(Mandatory m NMI ( Y -.- _ _
It yyes.drsrxsbe undor E.0 DISEASE POLICY Y LIMIT i 500.000.00
.._DESCRIPTION OF OPERATIONS below _ _ .... ..............._ !..... _....—_._._... ...___. __ ..... ._ -... -.-...
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DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHW ES (Attach ACORD 101,Additional Remarks Schedule,if more space is required)
ELECTRICAL CONTRACTOR-LICENSE fI}MBER: EC13004836
_.
___ .... _�_._......_....... _ ._....._..__._ .................. ..._......__.......... ___. ....._ _.
CERTIFICATE WOLDER CANCELLATION
1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Miami Shores Village Bldg 0- t i THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
10050 NE 2 Ave
Miami Shores,FL 33138 AUTHORIZED REPREs ATIVE
............. _.....__v.___.._.
1 10 ACORD CORPORATION. Ail rights reserved.
ACORD 25(2010/06)OF a ACORD name and logo are registered marks of ACORD
t