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EL-17-2720 Permit'NO. EL-11-17-2'720 t �s jO1us c,� Miami Shores Village Permit Type:Electrical-Residential 10050 N.E.2nd Avenue NW ' Work Classification:Alteration Miami Shores,FL 33138-0000 Per Phone: (305)795-2204 Permit Status:APPRO1/ED RiDp Issue Date: 11/22/2017 Expiration: 05/21/2018 Project Address Parcel Number Applicant 29 NW 99 Street 1131010180520 Miami Shores, FL 33150- Block: Lot: QUICK EQUITY BUILDER INC Owner Information Address Phone Cell QUICK EQUITY BUILDER INC 29 NW 99 Street (954)605-7880 MIAMI SHORES FL 33138- 29 NW 99 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 800.00 CONTRACTORS ELECTRICAL SERVI( (786)252-1284 Total Sq Feet: Type of Work:repair and replace switches and gfi Available Inspections: Additional info: Inspection Type: Classification: Residential Review Electrical Scanning: 1 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.60 Invoice# EL-11-17-65665 DBPR Fee $4.50 DCA Fee $3.00 11/15/2017 Cash $50.00 $262.10 Education Surcharge $0.20 11/22/2017 Cash $262.10 $0.00 Permit Fee-Additions/Alterations $300.00 Scanning Fee $3.00 Technology Fee $0.80 Total: $312.10 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,PL MBING,MECHANICAL,WINDOWS,DOORS, ROOFING and SWIMMING POOL work. OWNERS AFF AVIT: ify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constructio zoni thermore,I author the above-named contractor to do the work stated. November 22, 2017 A thorized Signature:Owner / Applicant / Contractor / Agent Date Bw ing Department Copy November 22, 2017 1 CIL3o� � t Miami-Shores Village C vEr� Buildingov 1 zo1z Department s 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 B .Tel:0305)795-2204 Fax:(305)756 8972, INSPECrION UNE PRONE NUMBER:(305)762.4949 FBC 20 BUILDING Master Permit No. PERMIT APPLICATION Sub Permit No. QBUILDING ®,ELECTRIC" Q ROOFING REVISION E]EXTENSION RENEWAL QPLUM131NG O MECHANICAL ©PUBUt'WORKS [D`CHANGE'OF [:]CANCELLATION ❑SHOP _, 55 CONTRACTOR DRAWINGS JO8 ADDRESS: 2 Cl qw Q01 34yek�. Miami Shares County, Miami Dade Tia: 1 d Foifti/ParoetA: is the Buildingllistoriatly Designated:Yes 'NO Occupancy Type: Load: Constru&10n Type: Flood Zone: BFE: FFE: 1As Fee Simple Titlehoider): Lk L .�� Phone#: OWNER:Name I ' —r Address• Y Oty; State: Zip-. Tenant/Lessee Name: Phoned: Email:- CONTRACTOR:company Name:.Contractors Electrical Services, Inc. Phonep (305)233-8382 Address: 6821 SW 147 AVE UMT 3E 33193 . MIAMI State,TL. Zip: ONARDO RODRIGUEZ (786)252-128(3 Quarifier Name: Phoned: C13006559 Cer ificdte of Competency#:. ,State Certification or Registration#: ., DESIGNER:Ar&tect/Engineer: Phoned: Address: _ car- State rip. value of work for this Permit:$ i 0 )l�- Square/Unev Footage of work: -'Type of Work- ,❑ Addition ❑ .Alteration ❑ New Repair/Replace [� Demolition Descrlptlon of work �-i,U]C1 G►�C� f246�Biu Y..i�P S CA►�b\ C'l F1 Ci r Specify color of color thru tile:., Submittal Fee$ _C�o _Permit Fee S 3_PO i Oo a_SCC '� Scanning Fees Radon Fee$. '`-'� DBPRS Notary$ Technology Fee S TrainliWEduation Fee S, Double Fee 5 structural Reviews$ Bond$ TOTAL FEE NOW DUE$ "(30-1 MzvbedW24/2Mi) i Bonding Company's Name(if applicable) Bonding Company's Address aty state Zip Mortgage Lender's Name(if applicable) Mortgage Lende?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 ar permit and)that all work wilt be'performed to•meet the standards of all laws regulating construction in`this jurisdiction. i understand thzt.a separate permit must be.secured for-ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES,BOILERS,HEATERS,TANKS,AIR CONDITIONERS,ETC.-.. OWNER'S AFFIDAvrr: 1 certify that all the.foregoSng information i accurate and that all work will be done in compliance with ail 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 TOIOBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE:RECORDING• YOUR,NOTICE OF COMMENCEMENT."' Notice to Applicant: As o condition to the issuance of a Willing permirwith an estimated valor exceeding 5251)0,the applicant must promise in good faith that a copy of the notice of commencement and construction lien low brochure will be delivered to,the person whose property is subjea to attochment: Also,a certifltd copy of the recorded notice of commencement must be posted of the job she far the first,inspection;whkh occurs seven(7)days after the building permit is iswed In the obs7ce of scrch posted notice, the Inspection will not be opprovrd and apest an fire will bb charged_ ' Signature -Signature i OWNER or AGENT CO OR The f going instrument was acknowledged before me this The foregoing instrument was acknowledged before me this NOVEMBER ,�� 17 by _day of tJtl�t'n t 20 by. day of_, Q RodngueZ who is personalty known to /r�13�/ g. .wha;s personally known to Leona }nvers License 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. r NOTARY PUBLIC- NOTARY PUBLIC: f sign 53gn. Print JILLIAN A TAIPALE f' ` Print: =• J'e Mr COMMISSION 0 FF987003 �' MYCOMM%"#OG Seat: Seal: rZt42tiri< EXPIRES April 27,2020 i. �y py Undnetrrs •,3N41w 1tk~awrJqWyiCe.CdM sss`sssssssusssassssssss �ssss�sssssssYsssssssasss�ssssasssasasssssisissssssssssassssast�sssks�essasssesss APPROVED BY �nExaminer 1, Zoning Structural Review Qeric a (kwhed02124MI41 �) a f r F STATE OF FLORIDA -.G DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD (850) 487-1395 " we 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 RODRIGUEZ, LEONARDO SR CONTRACTORS ELECTRICAL SERVICES, INC. 6821 SW 147TH AVENUE APT 3E MIAMI FL 33193 Congratulations! With this license you become one of the nearly ,.�� one million Floridians licensed by the Department of Business and i,' - •- Professional Regulation. Our professionals and businesses range - STATEOF FLORIDA,�� from architects to yacht brokers,from boxers to barbeque i:Z:DEP,ARTMENT�,OE-BUSINESS AND:- --- restaurants,and they keep Florida's economy strong. ""'PROF,ES- 1.W.L�RE6UtATION "- Every day we work to improve the way we do business in order EC1,3006559 M ISSUE Q 06/21"/2016„ -' to serve you better. For information about our services, please tog onto www.myfloridalicense.com. There you can find more CERTIF.IEUELECTRICA C T ACTO information about our divisions and the regulations that impactRODRIGUEZ"'LEQNARDOSSR,� you, subscribe to department newsletters and learn more about CONTRACTORS,ELECTRICAL SERVICES°I 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, isERTIFIED,underAhe,provisions'oVCh%4'89 FS. and congratulations on your new license! Expr'ationdatec•si zo16— L1606210001582 DETACH HERE RICK SCOTT,GOVERNOR u � KEN LAWSON,SECRETARY STATE OF FLORIDA� � DEPARTMENT«OF BUSINESS ANDPROFESSIONAL=REGULATION . EL`ECTRICAL"CONTRACTORSL"ICENSINCrBOARD EC13006559.r-+' Y. Y«..+ +»+. ., '1. The,ELECTRICAGCONTRACTOR,. Named'6elow.IS'CERTIFIED Unde�,the proyisionsofyChapte89,FS s.+4 xpi(ation'dat6;;AUG:31 2018 RQDRIUUELEONARDO-SR ONTRACTOR3 EL-EC�TRlibAL SER C S;INC. �• 6821>SW,147TH,AVENUEAPT'3E'" �"�" M A�tl[ FL~33 93'"-"`" ».�.... orris 307630 Local Business Tax Receipt p Miami-Dade County, State of Florida } —THIS IS NOT A BILL—DO NOT PAY LBT I .6517248 BUSINESS NAME/LOCATION RECEIPT NO. EXPIRES CONTRACTORS ELECTRICAL SERVICES INC RENEWAL SEPTEMBER 30, 2018 6821 SW 147 AVE 3E 6787585 Must be displayed at place of business f .MIAMI FL 33193 Pursuant to County Code Chapter 8A,-Art.9,§00 I ( OWNER` 1 SEC.TYPE OF BUSINESS COAy CONTRACTORS'ELECTRI AL SERVICES:INr96,ELECTRICAL CONTRACTOR YMENT RECEIVED TAX COLLECTOR C/O RODRIGUEZ LEONARDO"SR"..:R•. .�EC13006553°�::'i + :�`ti •,-4 " •• ' Worker(s) 1 � 875.00'07J0T.��017` •--� t CREDITCAR -17-044735 ef �i r•J r This Local Business Tax Receipt only confirms payment of the Local Busmesa Tax.'The'Receipt is rrcFtcan}re',�; permit,or certification of the holder's qualifications,to do business'Holder must comply with'im governatentai or.nongovernmental ragulatory laws and requirements which apply to the business. The RECEIPT N0.above must be displayed on all,c mmercialmvehicles—Miami—Dade Code Sec. 276 For more information *awww.miamidede.govhaxcollector ACC> CERTIFICATE OF LIABILITY INSURANCE 711/14/2017 TE(MM/DD/YYYY) 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(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 CONTACT NAME: Pablo M Conde A&A Underwriters Inc. PHONE . (305 220-7447 FAX No): (305)220 4821 8778 SW 8th St EAI -MLRESS: pmc@aaunderwriters.com INSURERS AFFORDING COVERAGE NAIC# Miami FL 33174 INSURERA: SCOTTSDALE INSURANCE COMPANY 41297 INSURED INSURER B: RETAILFIRST INSURANCE COMPANY 10700 ' CONTRACTORS ELECTRICAL SERVICES INC. INSURER C: 6821 SW 147th.Ave Ste 3E INSURER D: INSURER E: Miami FL 33193 INSURER F: 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. tNSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MM/DDY EFF POLICY EXP INSn IN= MfDDLIMITS LTR X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE �OCCUR PREMISES Ea occuDAMAGE TO RENT ence $ 100,000 X Blanket Additional Insured MED FRCP(Any one person) $ 5,000 A X Blanket Waiver of Subrogation CPS2742053 09/08/2017 09/08/2018 PERSONAL a ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY 7 PRO- JECT F] LOC PRODUCTS-COMP/OPAGG $ 1,000,000 X OTHER:_Primary and Non-Contribu 1 $ AUTOMOBILE LIABILITY (CEO, SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION X STT UTE OERH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN E.L.EACH ACCIDENT $ 1,000,000 B OFFICER/MEMBEREXCLUDED? Y❑ N/A 520-40493 04/06/2017 04/06/2018 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below 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) License No.EC13006559 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Miami Shores Village ACCORDANCE WITH THE POLICY PROVISIONS. Building Department AUTHORIZED REPRESENTATIVE 10050 NE 2nd Ave Miami Shores FL 33138 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD