RC-17-2158 (2)Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
BUILDING
PERMIT APPLICATION
Permit Type: Electrical
JOB ADDRESS: f!( Y v 1 0 57 s T
City:
FBC 20Ie(
RECEIVED
SEP 2 8 DV
Permit No.
Master Permit No. la C-A - 2- 1 s2(
FoLto, 0b I '2136,' 005_ e332o
Miami Shores County: Miami Dade Zip:
Folio/Parcel#:
Is the Building Historically Designated: Yes NO / Flood Zone:
OWNER: Name (Fee Simple Titleholder): D L V V 12-A-N L e ®! C Phone#:
Address: 5 kIW lc) S sT
City: pi 64a 5K7n
State: FLOP H DA
Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: AL 5'(t2 cap ELEG, COPT-
Phone#: 766-2.2 -• 66 1e,
Address: S-(p(o s w j"f/f -`l
City: MIA-/- 1 State: FL, Zip: ;3 14 4
Qualifier Name: 124 fO (4 L0 R-Gi' T E
�r Phone#:,�(�—��-�j'�pb�! �o
State Certification or Registration #: E'Ccoot D Certificate of Competency #:
Contact Phone#: Email Address: ES (%DLL p eC e f -cm Co m
DESIGNER: Architect/Engineer: Phone#:
O d
Value of Work for this Permit: $ 3 7 0 P Square/Linear Footage of Work:
Type of Work: ❑Address ❑Alteration ❑New epair/Replace ❑Demolition
Description of Work: T e lu p b(2.4-12 ( L -E G . lj %Z t � � i✓
p711
00) Dz (a el
********************************: ******Fees*******************:x: ***********************
Submittal Fee $ Permit Fee $ I.-mt Dl' CCF $ CO/CC $
Radon Fee $ DBPR $ Bond $
Training/Education Fee $ Technology Fee $
Scanning Fee $
Notary $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $
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 ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 $2500. the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature
70
Owner or Agent
The foregoing instrument was acknowledged before me this CR�Aek.
day of �( , 20 17_, by D rcct LBO
Signature '
Contractor
The foregoing instrument was acknowledged before me this' /417
ih
day of V1i 20 17, by jC► via-1 ,
who is personally known to me or who has produced who is
As iLdenAjati Io l aylow.iktbb�q�d� ke an oath.
CNOTARY_PU$LIC: J
Sign:
Print: /
My Commission Expires:
ack,/o / vt
:i'l
* **** , :****** *******
APPROVED BY
me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
err ..
My Com issi n Expires:
'I�l � �fl � �„�
NO!i Y Public
01,, c • Stan a 1 Z
Florida 1
Conanhion • ff 986412
$** 14,4l 401011AF6 to *i********************************x *************
A z gsAPLj' Plans Examiner
Structural Review
V`" :ice°��; AALIYAH MERCEDES ALVARADO
.,,..:....
MY COMMISSION #FF075410
o EXPIRES December 10, 2017
(407) 398-0t53 FloridallotaryService.com
Zoning
Clerk
(Revised 3/12/2012 )(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
005t74- — -
Local Business Tax Receipt
Miami -Dade County, State of Florida
-THIS IS NOT A BILL - DO NOT PAY
0886
BtNESS NAME/LOCATION
ALES GROUP ELECTRICAL CONTRACTORS
896 SW 70 AVE
MIAMI FL 33144
OWNER
"ALES GROUP INC
Worker(s) I.
RECEIPT NO.
RENEWAL
722667E
EXPIRES
SEPTENIBER 30, 2017
Must be displayed at place of business ,
Pursuant to County Code
Chapter RA - Art. 9 & ib
SEC. TYPE OF BUSINESS -
196 ELECTRICAL CONTRACTOR
EC0001288
PAYMENT AECEtVED
BY TAX COLLECTOR
$75.00 09,07/2016
_ECHECK-16-175623
This Local Business Tax Receipt only confirms payment of the Local Business Tax.. The Receipt is not a license,
permit, or a certification of the holder's qualifications, to do business,` Holder must comply with any governmenta
or nongovernmental regulatory laws and requirements which apply to the business.
The RECEIPT NO, above must be displayed on all commercial vehicles= Miami -Dade Code' Sec Sa-276.
for more information, visit www.miamidade.goyttanQINCtor
AC: C)RL?'
CERTIFICATE OF LIABILITY INSURANCE
DATE (MMtDONYY' )
14/3/2017
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(ies} must 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
ANDYS ASSURANCE AGENCIES
1441 W Flagler St
Miami, FL 33135
License#:A223890
INSURED
ALES GROUP INC
896 SW 70th AVE
MIAMI, FL 33144
NAMEACTANDY RODRIGUEZ JR
PtiJCNo,Extt: (305) 642-8407 iLJCcNo) (305) 643-5969
ADDRESS andyjr@andysassurance.com
INSURER(SI AFFORDING. COVERAGE NAICK
INSURER A CATLIN SPECIALTY INS CO
INSURER 8
INSURER C
INSURER D
INSURER E
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.
: INSR TYPE OF INSURANCE Idrttri Ush ` 1 POLICY e r POLICY EXP
LTR I INSR BAND 1 POLICY NUMBER I(MM/OD/YYYY) (MM/ODNYYY) 1
A
X COMMERCIAL GENERAL LIABILITY
CLAIMS•MADE ' X I OCCUR
GENT. AGGREGATE LIMIT APPLIES PER
PRO- 1
>....XI POLICY 1 JECT i 1 LOC
_. -..; OTHER'
1000113070
LIMITS
EACH OCCURRENCE j s 1, 000,000
' PREMISES O(E EccurNT rrrence) 1 $ 100 , 000
1 MEOEXP(Anyoneperson) I $ 5,000.1
i01/03/17 01/03/18 PERSONAL$ADV INJURY IS 1,000,000
GENERAL. AGGREGATE .$ 2,000,000
PRODUCTS - COMP/OP AGG $ 2,000,000
AUTOMOBILE LIABILITY
i
ANY AUTO
I-- ALL OWNED
AUTOS HIRED AUTOS
SCHEDULED
AUTOS
NON -OWNED
AUTOS
UMBRELLA LUAE
• EXCESS LIAR
1 DED 1 RETENTION
OCCUR
CLAIMS -MADE
YIN i
__�tNlA
!WORKERS COMPENSATION
!AND EMPLOYERS' LIABILITY
;ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED»
(Mandatory In NH)
It yes, describe under
DESCRIPTION OF OPERATIONS below
COMBINED SINGLE LIMIT
a accident)
BODILY INJURY (Per person)
BODILY INJURY (Per accident} 1 S
1Per accident)
IEACH OCCURRENCE
AGGREGATE
E.L EACH ACCIDENT j $
'. E L DISEASE - EA EMPLOYEia $
E L DISEASE - POLICY LIMIT $
PER I OTH-
STATUTE ( iER
!DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORO 101, Additional Remarks Schedule, may be attached if more space is required)
'Concrete Construction (91560), Electrical Work (92478), General Contractor (91580) &
'Subcontracted Work (91585), Plumbing (98482), Tile/Stone/Marble Work (99746)
CERTIFICATE HOLDER
CANCELLATION
Miami Shores Village
Building Department
10050 NE 2 Avenue
Miami Shores, Fl 33138
SHOULD ANY OF THE ABOVE DESC ED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THER NOTICE WILL BE DELIVERED IN
ACCORdi5ANCE WITH THE POLIO OVISIONS.
AUTHOR, ED REPRESENTATIV
1988-2013 ACORD Clt'C f7PORATION. All rights reserved.
ACORD25(2013/04) The ACORD name and logo are registered ma of ACORD
JEFF ATWATER
CHIEF FINANCIAL OFFICER STATE OF FLORIDA
DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORKERSCOMPENSATION
CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW "
CONSTRUCTION INDUSTRY EXEMPTION
This certifies that the individual fisted below has elected to be exempt from Florida Workers' Compensation law.
EFFECTIVE DATE: 1/3/2016 EXPIRATION DATE: 1/2/2018
PERSON: LORENTE RAMON
FEIN: 592157712
BUSINESS NAME AND ADDRESS:
ALES GROUP INC
896 SW 70 AVENUE
MIAMI FL 33144
SCOPES OF BUSINESS OR TRADE:
LICENSED GENERAL LICENSED ELECTRICAL DOOR AND WINDOW
CONTRACTOR CONTRACTOR INSTALLATION
Pursuant to Chapter 440,05(14), F.S,, an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section
may not recover benefits or compensation under this chapter. Pursuant to Chapter 440,05(12), F.S., Certificates of election to be exempt.„ apply only
within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440,05(13), F.S., Notices of election to be
exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate,
the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a
DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS? (850)413-1609
Property Search Application - Miami -Dade County
Page 1 of 1
Summary Report
Property Information
Folio:
11-2136-005-0320
Property Address:
5 NW 105 ST
Miami Shores, FL 33150-1241
Owner
DEBORAH LEONE
Mailing Address
5 NW 105 ST
MIAMI, FL 33150-1241
PA Primary Zone
0800 SGL FAMILY - 1701-1900 SQ
Primary Land Use
0101 RESIDENTIAL - SINGLE
FAMILY : 1 UNIT
Beds / Baths / Half
2/2/0
Floors
1
Living Units
1
Actual Area
1,379 Sq.Ft
Living Area
1,324 Sq.Ft
Adjusted Area
1,242 Sq.Ft
Lot Size
9,225 Sq.Ft
Year Built
1941
Assessment Information
Year
2017
2016
2015
Land Value
$198,007
$166,118
$166,118
Building Value
$89,157
$89,227
$82,267
XF Value
$20,403
$20,403
$13,083
Market Value
$307,567
$275,748
$261,468
Assessed Value
$103,199
$101,077
$90,734
Benefits Information
Benefit
Type
2017
2016
2015
Save Our Homes
Cap
Assessment
Reduction
$204,368
$174,671
$170,734
Homestead
Exemption
$25,000
$25,000
$25,000
Second
Homestead
Exemption
$25,000
$25,000
$25,000
Note: Not all benefits are applicable to all Taxable Values (i.e. County,
School Board, City, Regional).
Short Legal Description
DUNNINGS MIAMI SHORES EXT NO 1
PB 41-51
LOT 16 BLK 203
LOT SIZE 75.000 X 123
OR 12244-2479 0884 1
Generated On : 9/28/2017
Taxable Value Information
2017 2016 2015
County
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$53,199
$51,077
$40,734
School Board
Exemption Value
$25,000
$25,000
$25,000
Taxable Value
$78,199
$76,077
$65,734
City
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$53,199
$51,077
$40,734
Regional
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$53,199
$51,077
$40,734
Sales Information
Previous Sale
Price
OR Book -Page ' Qualification Description
08/01/1984
$65,000
12244-2479 !Sales which are qualified
The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Property Appraiser
and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http://www.miamidade.gov/info/disclaimer.asp
Version:
http://www.miamidade.gov/propertysearch/
9/28/2017