Loading...
EL-18-1925Building Department Copy Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Perm ■ Permit NO. EL-7-18-1925 Permit Type: Electrical - Residential Work Cass/float/on: Addition/Alteration Permit Status: APPROVED Date: 7/19/2018 Expiration: 01/15/2019 Parcel Number Applicant 145 NE 101 Street Miami Shores, FL 33138- 1132060131940 Block: Lot: PHILIP & LISSET KEATING Owner Information Address Phone Cell PHILIP & LISSET KEATING 145 NE 101 Street MIAMI SHORES FL 33138- (305)336-1715 145 NE 101 Street MIAMI SHORES FL 33138- Contractor(s) Phone NEC ELECTRIC SOLUTIONS CORP (305)926-3097 Cell Phone Valuation: Total Sq Feet: $ 1,500.00 0 Type of Work: KITCHEN RENOVATION 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 $1.20 $2.25 $2.00 $0.40 $150.00 $3.00 $1.60 $160.45 Pay Date Pay Type Invoice # EL-7-18-68257 07/17/2018 Credit Card 07/19/2018 Credit Card Amt Paid Amt Due $ 50.00 $ 110.45 $ 110.45 $ 0.00 Available Inspections: Inspection Type: Final Meter Box Alteration Relocation Fire Alarm Service Change Review Electrical W. W. Underground 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 certify that all the foregoing information is accurate and that all ork will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do e w. ated. 141 Authorized Signature: Owner / Applicant / Con July19,2018 Date July 19, 2018 1 BUILDING PERMIT APPLICATION ❑ BUILDING ZLECTRIC ❑PLUMBING ❑ MECHANICAL JOB ADDRESS: 145 NE 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 Master Permit No. Sub Permit No. ❑ ROOFING ❑ REVISION ❑ PUBLIC WORKS ❑ CHANGE OF CONTRACTOR 1'3 FBC 20 1-* Rc 12 11024 ED 9 - I q2*5 ❑ EXTENSION RENEWAL ❑ CANCELLATION ❑ SHOP DRAWINGS City: Miami Shores Folio/Parcel#: Is the Building Historically Designated: Yes Occupancy Type: Load: Construction Type: Flood Zone: BFE: County: Miami Dade OWNER: Name (Fee Simple Titleholder): V1-i1 to Address: I45 NE- fi\ S.T' City: MIS SVAppieS State: Phone#: Zip: 3$15 NO FFE: Zip: '.31 sP Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: NEC.. rGutz0ZCI \J •Phone#: 3 *S t 23ZO5 7 Address: ` e' O S N.) b $ Cif City: /At. AP 4A\ Qualifier Name: 1tc1KAti/ j.'f'ken State: Pk/ Zip: 33 J �1 52.6 :Sv97 State Certification or Registration #: EC If>00 $4'3 DESIGNER: Architect/Engineer: Address: Value of Work for this Permit: $ 1 1;0 0 Type of Work: ❑ Addition ❑ Alteration Phone#: Certificate of Competency #: Phone#: City: State: Zip: Square/Linear Footage of Work: ❑ New Repair/Replace Description of Work: 1/4‹,1 T Gk`tev n Demolition Specify color of color.thru tile: Submittal Fee $ S . a). Permit Fee $ Scanning Fee $ Radon Fee .$ Cs Technology Fee $ Training/Education Fee $ Structural Reviews $ (Revised02/24/2014) CCF $ CO/CC $ DBPR $ 2.- 2S - y Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE$ IIO' ?5 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 atlthe 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 approvedd a reinspection fee will be charged. Signatur OWNE or AGENT The foregoing instrument was acknowledged befo e me t S day of Jv L( 1.% € , who is personally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: ,20 l , MARIE JOSEE TAPIA • € MY COMMISSION'NFF146953 +� ? EXPIRES July 31 , 2018 OF rti,. APPROVED BY re • ,. .ONTRA T1' ;. s The foregoing instrument was acknowledged before me this by Id) day of . �� 20 l� by Hit L , who is personally known to as me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: . **************** fans Examiner Structural Review <•,•. IYIARIE u'`•-r �: .. jPl MY COMMISSION #Ff 146`-i`•''' EXPIRES July r i C; 31 �. lao7l 311a-dAi Zoning Clerk (Revised02/24/2014) Mkt es o-ypPn" *,.. A. 11.11141/4, .. WM. 10.0 gip. Local Busi ness Tax Fcei pt M iam i -Dade County, State of Florida THIS IS NOT A BILL - DO NOT PAY 7258819 8,25 NESS NAM EILOC:-'JON NEC ELECTRIC SOLUTIONS CORP 880 SW 68TH CT MIAMI, FL 33144 OY. NER NEC ELECTRIC SOLUTIONS CORP CIO MAIKEL GARCIA QUALIFIER Workers) 3 RECEIPT NO NEW BUSINESS 7545420 SEC TYPE OF BUSINESS 196 ELECTRICAL CONTRACTOR EC13008435 EX PIRES SEPTEMBER 30, 2018 Must be dosplayed at place of busness Pursuant to County Code Chapter BA Art. 9 & 10 PAYM ENT RECEIVED BY TAX COLLECTOR 75.00 06007t2018 0200-18-004421 This Local Busi Hess Tax Receipt only con"rrrs payment d the Local Business Tax. The Noce pt is not a I i cam, perm t, or a oerti "alba) of the holder's quail "cations, to do busi Hess. Fid der mat cor pl y w i th any governmental or nongovernmental regti story I aw s and requi rements w tr ch apply to the bus nest The FECEJ PT NO above must be di spl eyed on ail conrrtrci at veal cI es - M i am -Cade Code Sec 88 -21G For more +riorrrration, visit www marrldede.owlt4 c,Iec d STATE OF FLORIDA DEPARTMENT r OF BUSINESS AND PROFESSIONAL REGULATION EC13008435 ELECTRICAL CONTRACTOR GARCIA BORNEY, MAIKEL NEC ELECTRIC SOLUTIONS.COR,P ture LICENSED UNDER CHAPTER 489 FLORIDA STATUTES EXPIRATION DATE: AUGUST 31, 2020 ISSUED; 06/18/2018 Local Business Tax Fbcei;pt Miami -Dade County,, State of Florida -THIS IS NOTA BILL -DO NOT PAY >7258819 BUSINESS NAM E/LOCA'TION NEC;ELECTRIC SOLUTIONS CORP 880 SW 68TH'CT MIAMI, FL 33144 OWNER NEC ELECTRIC SOLUTIONS CORP C/O MAIKEL GARCIA QUALIFIER', Worker(s) `3 s COUNTY This Local BIM nessTax Ftecelpt onlyoon^rmspayment of the Local Business Tex. The Race(pt Is not alicense, -- pemit, or a cart 'cation d the holder's quel i ^cations, to do business. Hdder met annVY with any poserrrnentel or issngoverrurental reptlatarylawsEMI requlrerentswhich apply tothe Ix/sinew. The FBBPTNQ above met be displayed on all camnercial tetddes -Miami-DadaQ,deSee 8a-216, For mire infomatic .visit weAvnianidadepov/taxcollecti RECEIPT NO. NEW BUSINESS 7545420" SEC. TYPE_ OF BUSINESS EL 1196 • ECTRICAL CONTRACTOR EC13008435 EXPIRES SEPTEMBER 30, 2018 Must be displayed at place of business `Pursuant to County Code Chapter SA - Art. 9 & 10 PA YM ENT RECEIVED BY TAX COLLECTOR 75.00 06/07/2018 0200-18-004421 AR o® CERTIFICATE OF LIABILITY INSURANCE DATE E(MM20 s 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 J&A Insurance Services, Inc 12918 SW 133 Ct Miami, FL 33186 CONTACT Aline Jimenz NAME: (A/CNo. Ext): 786-518-2989 FAX No): 305-233-4289 n DRlEss: jainsuranceservices@gmail.com INSURER(S)AFFORDINGCOVERAGE NAIC# INSURERA: RSUI Covington 13027 INSURED Nec Electric Solutions Corp. 880 S.W. 68 Ct. Coral Gables FL 33144 INSURERB: Normandy Insurance Company 13012 INSURERC: INSURER D : INSURER E : INSURERF: 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 LTR TYPE OF INSURANCE ADOL INSD SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY VBA627506 00 06/13/201806/13/2019 EACH OCCURRENCE $ 1,000,000 DAMAGE TO PREMISES (EaENTED occurrence) $ 100,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L X AGGREGATE POLICY OTHER: LIMIT APPLIES JECT PRO PER: LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ AUTOMOBILE _ LIABILITY ANY AUTO OWNED AUTOS ONLY HIRED _ SCHEDULED AUTOS NON -OWNED AUTOS ONLY COMBINED SINGLE LIMIT (Ea acddent) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB EXCESS LIAB O OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ $ DED RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N / A NHFL0103272018 06/15/201806/15/2019 PER STATUTE X 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 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Electrical wiring within building CERTIFICATE HOLDER CANCELLATION Miami Shores Village 10050 NE 2 Ave Miami Shores Village, 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 ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD