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EL-18-790Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Permit Permit NO. EL-3-18-790 Permit Type: Electrical - Residential Work Classification: Alteration Permit Status: APPROVED Issue Date: 4/3/2018 Expiration: 09/30/2018 Parcel Number Applicant 141 NE 102 Street Miami Shores, FL 33138- 1132060131830 Block: Lot: MARGUERITE MERRILL Owner Information Address Phone Cell MARGUERITE MERRILL 141 NE 102 Street MIAMI FL 33138-2324 (786)423-5653 Contractor(s) Phone SOUTH FLORIDA HOOD & ELECTRIC (786)251-8538 Cell Phone Valuation: Total Sq Feet: $ 2,155.00 0 Type of Work: NEW LIGHT FOR CABANA 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 $1.80 $2.25 $2.00 $0.60 $150.00, $3.00 $2.40 $162.05 Pay Date Pay Type Invoice # EL-3-18-66938 04/03/2018 Credit Card Amt Paid Amt Due $ 162.05 $ 0.00 Available Inspections: Inspection Type: 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 that all the foregoing information is acc ate and that all wor will be don? construction and zonin• thermore ed co actoyo do the work Aed. uthorized Signet Owner / Applicant / Cbfitractor / Agent ompliance with all applicable laws regulating April 03, 2018 Date Building D - • artment Copy April 03, 2018 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 El BUILDING RI ELECTRIC ROOFING 0 PLUMBING 0 MECHANICAL 0 PUBLIC WORKS JOB ADDRESS: k,c. /02cA1 City: Miami Shores _ Folio/Parcel#: /1302d6d /3 1 $36 , Is the Building Historically Designated: Yes NO l Occupancy Type: 4 Load: Construction Type: Flood Zone: BFE: ,, FFE: . OWNER: Name (Fee Simple Titleholder): it lc itern/e, ,. Mer{//1 ._ *2 6 • -(ii3 \s-1,s3 Address: / / E . City: /1/11.# 14,/ / State: Tenant/Lessee Name: Phone#: Email: /144(1/Y)gtfrin 5014/1, eair) / CONTRACTOR: Company Name: -/e0/4 /-v ),37/1 aZeX14;/Z Address: MX/ 1,1244(.142,-)D City: 6i)r4wiet-46 Qualifier Name:. State Certification or Registration #: /3 8 I Phone#: Zip: 33/3 E Phone#: State: Zip: 333/1' Phone#: 7134 .947 &or Certificate of Competency #: €C apostifai Phone#: , DESIGNER: Architect/Engineer: Addresi: City: Value of Work for this Permit: $ e2 0:3 Type of Work: 0 Addition 54 Alteration 0 New Description.of.Work:, _ A/1_4_1W . Ctti' AP County: / ; -1-1( FBC 20 I Master Permit No. e7 --(9 3(9) Sub Permit No. 0 6 0 REVISION 0 CHANGE OF CONTRACTOR Miami Dade Zip: t I 0 EXTENSION 0 RENEWAL • CANCELLATION' SHOP DRAWINGS 3'3 bt5 Ali P6Celiie) ,.. , , . , t.4.; • ' ' ••• r ,...).V.; c t1:, W.,.1,..: it 'it. • • 4 „. , 4 ' ( hr cid "Ito Ifim tt,........r,p,,,,,,..4• -.47:4-9e,..r:-. 2 , 1 , v Specify color of color thee, tiler' i Submittal Fee $ Permit Fee $ tre9de;° CCF $ State: Zip: Square/Linear Footage of Work: E Repair/Replace 0 Demolition 14-• c- , 'nice's4. Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ - Double Fee $ rStructural Reviews $ Bond $ TOTAL FEE NOW DUE $ (CO 0 (Revised02/24/2014) t 1t# Bonding Company's Name (if pplicable) 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. Signature OWNER or AGENT - The foregoing instrument was acknowledged before me this al day of YULM7 , 20 ( , by 01 day of_ i ie fri , 20 /6 , by M�rv't 2'c r?LL , who is personally known to �R.� /1✓', / , who is p tonally know jo me or who has produced_ NIP 55� ��01 _ as me or who has produced. as Signature identification and who did take an oath. NOTARY PU Sign: Prin Seal: IC: ELIZ Notary Public - State of Florida Commission = CC 148525 My Comm. Expires Oct 16.2021 Bcrded shrouds Naticral Nov), Assn. * ** ****************** APPROVED B CONTRACTOR The foregoing instrument was'acknowledged before me this identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: r ***************************************************************************** EXPIRES October 27 201O 07)344163 FbndiNnta'YService.oar • /19 Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) o rrlr c yr rs-vrwM DEPARTMENT OF BUSINESSAND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD (850) 487-1395 2601 BLAIR STONE ROAD TALLAHASSEE FL 32399-0783 LINARES, MARK SOUTH FLORIDA HOOD & ELECTRIC CORP 14450 SW 162 ST MIAMI FL 33177 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 leam more about the Departments 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.FLORID. A " m� ' `DEPARTMENT OFBUSINESS AND --- D PROFESSIONAL'$REGUL"ATION —EC13004181 W 4 ISSUED08/14/2016;� ;CERTIFIED ELECTRICAL CONTRACTOR LINARES ;;MARK:.= `s` i" '� ;P; .—' — SOUTLORIDA HOOD4&,ELECTR.ICCORP" y�r= ISCERTIFIED.und the provisions Exp'raUon dale " AUG 31; 2018, ti.- -DETACH HERE KEN LAWSON, SECRETARY ..—.STATE OF FLORIDA,N, ti -.DEPARTMENT,OFQBUSINESS AND • PROFESSIONAL REGULATION' `w ELECTRICAL CONTRACTORS:L"ICENSING BOARD*�"''�,� LICENSE NUMBER '".' x,..,- .Z,.... --,.:7 -,�"""aw o «>..00"..� EC13004181_ ° The -ELECTRICAL CONTRACTOR Named below IS,CERTIFIED w" Under,the provisions of;Chapter 489 ,FS { Ezpirauon date; AUG;31 *,201_»» LINARES "NARK-»»},,�,,- . ", -SOUTH FLORIDAHOOD'"&; ELECTRIC;.CORP„' 1421,RIVERLAND1ROAD7 FORT LAUDERDALE - FL 33312 � '" F""►.LL. gyp`„+ ' ,,V.''`:s` ran { , ISSUED: 08/14/2016 DISPLAY AS REQUIRED BY LAW SEQ # L1608140004594 4 171- BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895— 954-831-4000 VALID OCTOBER 1,2017 THROUGH SEPTEMBER 30, 2018 DBA: Receipt #:ELECTRIC7 CAL/ALARMS/CONTRAC_ Business Name: SOUTH FLORIDA HOOD & ELECTRIC CORP Business Type: YP (ELECTRICAL CONTRACTOR) Owner Name: MARK LINARES Business Location: 1421 RIVERLAND RD FT LAUDERDALE Business Phone: 954-583-1194 Rooms Seats Business Opened:06/10/2009 StatelCounty/CertlReg:EC 13 0 04181 Exemption Code: Employees -Machines Professionals 2 For Vending Business Only Number of Machines: Vending Type: Tax Amount Transfer Fee NSF Fee Penalty Prior Years` . Collection Cost Total Paid 27.00 0.00 0.00 0.00 • 0.00 0.00 27.00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Broward County and is non -regulatory in nature. You must meet all County and/or Municipality planning WHEN VALIDATED and zoning requirements. This Business Tax Receipt must be transferred when the business is sold, business name has changed or you have moved the business location. This receipt does not indicate that the business is legal or that it is in compliance with State or local laws and regulations. Mailing Address: MARK LINARES 1421 RIVERLAND RD FORT LAUDERDALE, FL 33312 Receipt *05C-16-00007110 Paid 09/28/2017 27.00 D/YY) ACO E (MM/D CERTIFICATE OF LIABILITY INSURANCE DATE03/27/1 PRODUCER Ramallo Assurance Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 12955 S.W. 42nd Street ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Miami, FL 33175 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Phone (305)207-1332 Fax (305)207-1343 INSURERS AFFORDING COVERAGE ; NAIC # INSURED South Florida Hood & Electric Corp. LiNsuRER A. Federated National Ins. Comp. INSURER B: 1421 Riverland Rd Ft. Lauderdale Fl 33312 INSURER C: LINSURER D: INSURER E: _1 COVERAGES', ( INSURER F: [— . THE POLICIES, OF INSURANCE LISTED 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 i OLICIES. AGGREGATE LIMITS SHOWN MAY HAVE _BEEN REDUCED BY_ PA_ ID_ CLAIMS. — _ INSR ADM. TYPE OF INSURANCE POLICY NUMBER — POLICY EFFECTIVE I POLICY EXPIRATION LTRrINSRD ;DATE (MMlDD/YY) DATE (MM/DO/YYj LIMITS 1 GENERAL LIABILITY .EACH OCCURRENCE ❑D COMMERCIAL GENERAL LIABILITY — DAMAGE TO RENTED 100,000 j PREMISES (Ea occurence) ❑❑ CLAIMS MADE. ❑ OCCUR MED EXP (Any one person) 5,000 1,000,000! A GL-0000017448-03 06/28/17 06/28/18 PERSONAL & ADV INJURY GENERAL AGGREGATE — 2,000,000 i 1GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS COMP/OP AGG 2,000,0001 2,000,000, ❑ POLICY ❑ PROJECT ❑ LOC AUTOMOBILE LIABILITY ; COMBINED SINGLE LIMIT (Ea accident) �❑ i❑ GARAGE LIABILITY ❑ ❑ ANY AUTO i❑ ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON OWNED AUTOS EXCESS/UMBRELLA LIABILITY ❑ ❑ OCCUR ❑ CLAIMS MADE ❑ DEDUCTIBLE ❑ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER / MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below OTHER r BODILY INJURY `(Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) AUTO ONLY - EA ACCIDENT OTHER THAN EA ACC I ,.__,______ AUTO ONLY: AGG EACH OCCURRENCE AGGREGATE _ 1 '--[1 WC STATU- ❑ OTH- TORY.LIMITS_ ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES / EXCLUSIONS -ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Electrical Contractor License #EC1 3004181 CERTIFICATE HOLDER Miami Shores Villages 10050 NE 2 Ave Miami Shores FL 33138 ACORD 25 (2001/08) QF CANCELLATION,^ SHOULD ANY OF E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE I EXPIRATION DAT THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _10 DAY,S�k1RITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUa ',FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY l OF ANY KIND/UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE © ACORD CORPORATION 1988