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EL-18-2087Miami Shores Village 10050 N.E. 2nd Avenue NW Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Permit Permit NO. EL-8-18- fl ? Permit Type: Electrical - Residential' Work Classification: Service Change Permit Status: APPROVED Issue Date: 8129/2018 Expiration: 02/25/2019 Parcel Number Applicant 101 NW 102 Street Miami Shores, FL 33150- 1131010220050 Block: Lot: JACQUES BARBERA Owner Information Address Phone Cell JACQUES BARBERA 101 NW 102 Street MIAMI SHORES FL 33150- (305)696-2031 101 NW 102 Street MIAMI SHORES FL 33150- Contractor(s) Phone Cell Phone ALES GROUP ELECTRICAL CONTRA( (786)223-6096 Valuation: Total Sq Feet: $ 1,200.00 0 Type of Work: NEW UNDERGROUND ELECTRICAL SERVICE Additional Info: NEW UNDERGROUND ELECTRICAL SERVICE Classification: Residential Scanning: 3 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 $9.00 $1.60 $166.45 Pay Date Pay Type Invoice # EL-8-18-68456 08/29/2018 Credit Card 08/06/2018 Check #: 14070 Amt Paid Amt Due $ 116.45 $ 50.00 $ 50.00 $ 0.00 Available Inspections: Inspection Type: Review Electrical I 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: certify that all the foregoing i formation is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoni - •. uthermore, I authorize the ab . e-named contractor to do the work stated. Auth August 29, 2018 wner / Applican / Contractor / Agent Date Building ' epartment Cop August 29, 2018 1 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Ave, Miami Shores, Florida 33138 Tel: 305-795-2204 Fax: 305-756-8972 Inspection Number: INSP-001430-2018 Permit Number: EL-8-18-2087 Scheduled Inspection Date: November 06, 2018 Inspector: DeVaney, Michael Owner: JACQUES BARBERA Address: Project: 101 NW 102 ST Miami Shores , FL 33150 Contractor: ALES GROUP ELECTRICAL CONTRACTORS RAMON LORENTE Permit Type: Electrical - Residential Inspection Type: Electrical Final Work Classification: Service Change Phone Number: 3056962031 Parcel Number: 1131010220050 Phone Number: 7862236096 Building Department Comments NEW UNDERGROUND ELECTRICAL SERVICE Checklist Item General Comments Passed False Comments 10/22/2018- SERVICE IS OVERHEAD , NOT UNDERGROUND . WHAT ISNPECTION DO YOU WANTS? Passed Failed Correction Needed Re -Inspection Fee No Additional Inspections can be scheduled until re -inspection fee is paid. Inspector Comments fvo2, /e November 05, 2018 For Inspections please call: 305-762-4949 Page 13 of 53 00\ BUILDING PERMIT APPLICATION ❑BUILDING ELECTRIC 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 RECEIVED AUG 0 6 patg C 201 Master Permit No. E 8 - 2-C 4 Sub Permit No. ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL PUBLIC WORKS JOB ADDRESS: o1 L•13 ❑ CHANGE OF CONTRACTOR ❑ CANCELLATION SHOP D GS City: Miami Shores County: Miami Dade Zip: 3J lSO Folio/Parcel#: t\ - 31 O 1 _ 0'D. ra -.00 SO Is the Building Historically Designated: Yes NO K Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): ai EQUE.S G [p �V-tL'1t Phone#: .73 3 -59 c"R Address:'1O1, N w A 02 STEE-T City: 1 Pr1-k' S*O V S State: F l o RA C• As Zip: 33150 Tenant/Lessee Name: Phone#: Email: LBC� r \ (ve S� I'r5 CONTRACTOR: Company Name: ALES If2-O i, LOG, GoIJ7 O Address: CI6 S V ! 70AVE, t^/ City: Al/j4 /�-/ / // State: r L. Qualifier Name: i2A14-10 /`( L 0 /ZE A1 State Certification or Registration #: eC C7 0 0 / 2 g Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: _ City: State: Zip: Value of Work for this Permit: $ / 2® o xi - Type of Work: ❑ Addition ❑ Alteration Description of Work: Phone#: 7'6 2 2 3 ._ 6o 96 Zip: 3 3 /4 4 Phone#: 3Q S- 2/ q- 4 o 6 Square/Linear Footage of Work: ❑ New Repair/Replace ❑ Demolition Aie AA/ UiJO er 2 D o d f-/O C L C c TIC. / cA--L Specify color of color thru tile: Submittal Fee $ Permit Fee $ / d ePe4 G CCF $ CO/CC $ cs1 Scanning Fee $ Radon Fee $ 2- - c):" DBPR $ 2 - Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ C TOTAL FEE NOW DUE $ ( (� • l • (T S (Revised02/24/2014) 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 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 Signature OWNER or AGENT The foregoing instrument was acknowledged before me this CONTRACTOR The foregoing instrument was acknowledged before me this „.2D.. day of T3LX1e... , 20 ` , by 2' day of J - , 20 by SAS cR vt:.-' gAQ 'n', , who is personally known to .1 q M eiv L r(N re.- , who is Ily known o me or who has produced as me or who has produced identification and who did take an oath. identification and who did take an oath. NOTARY PU NOTARY PUBLIC: Sign: / Sign: Print: Sea : ✓it G6c loiuteYEL eNkt, JOSE ANGEL GONZALEZ MY COMMISSION # GG59470 %„ me EXPIRES: January 03, 2021 as Print: A riarGI Cp.1'ravdA Seal: ADRIANA GIRARD! MY COMMISSION # GG140466 EXPIRES: September 04, 202I **************************************************************** ***** **** ********************** APPROVED BY /. Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) 7/31/2018 Property Search Application - Miami -Dade County Summary Report Property Information Folio: 11-3101-022-0050 Property Address: 101 NW 102 ST Miami Shores, FL 33150-1231 Owner JACQUES BARBERA Mailing Address 101 NW 102 ST MIAMI SHORES, FL 33150 USA PA Primary Zone 0800 SGL FAMILY - 1701-1900 SQ Primary Land Use 0101 RESIDENTIAL - SINGLE FAMILY : 1 UNIT Beds / Baths / Half 5/3/0 Floors 1 Living Units 1 Actual Area 3,169 Sq.Ft Living Area 3,120 Sq.Ft Adjusted Area 2,816 Sq.Ft Lot Size 9,207 Sq.Ft Year Built 1944 Assessment Information Year 2018 2017 2016 $202,779 Land Value $202,779 $202,779 Building Value $255,569 $238,379 $239,592 XF Value $708 $717 $726 Market Value $459,056 $441,875 $443,097 Assessed Value $459,056 $441,875 $443,097 Benefits Information Benefit Type 2018 2017 2016 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description GOLD CREST A SUB PB 21-56 LOT 13 AND BLK 1 E1/2 OF LOT 14 LOT SIZE 85.250 X 108 OR 12076-1715 0284 1 Generated On : 7/31/2018 Taxable Value Information 20181 20171 2016 County Exemption Value $0 $0 $0 Taxable Value $459,056 $441,875 $443,097 School Board Exemption Value $0 $0 $0 Taxable Value $459,056 $441,875 $443,097 City Exemption Value $0 $01- $0 Taxable Value $459,056 $441,875 $443,097 Regional Exemption Value $0 $0 $0 Taxable Value $459,056 $441,875 $443,097 Sales Information Sale Previous Price QR Pa 9e Book Qualification Description 02/23/2016 $577,500 29977-4314 Qual by exam of deed 06/24/2015 $323,400 29711-4758 Financial inst or "In Lieu of Forclosure" stated 01/27/2015 $301,100 29481-3300 Financial inst or "In Lieu of Forclosure" stated 08/01/2005 $470,000 23744-4075 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: STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD LICENSE NUMBER The ELECTRICAL CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS Expiration date AUG 31 2018 LORENTE RAMON ALES GROUP ELECTRICAL CONTRACTORS 896 SW TCTH AVENUE MIAMI FL 33144 ISSUED 08 20'6 DISPLAY AS REQUIRED BY LAW SEQ # L1608100001993 004327 Local Business Tax Receipt Miami -Dade County, State of Florida -THIS IS NOT A BILL - DO NOT PAY 6950886 BUSINESS NAME/LOCATION ALES GROUP ELECTRICAL CONTRACTORS 896 SW 70TH AVE MIAMI FL 33144 OWNER ALES G 0 P'�:. RECEIPT NO. EXPIRES RENEWAL SEPTEMBER 30, 2019 7226574 SEC. TYPE OF BUSINESS 196 ELECTRICAL CONTRACTOR EC0001288 Must be displayed at place of business Pursuant to County Code Chapter 8A - Art. 9 & 10 PAYMENT RECEIVED BY TAX. COLLECTOR S75.00 07i31i2018 Workers; 1 CREDITCARD-18-058402 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 holders qualifications, to do business. Holder must comply with any governmental 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 8a-276. For more information, visit www.miamidade gov taxcollector A� t CERTIFICATE OF LIABILITY INSURANCE' 8/2/2018 ) 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 I - ANDYS ASSURANCE AGENCIES 1 1441 W Flagler St Miami, FL 33135 License#:A223890 CONTACT NAME. AND/ RODRIGUE2 JR ac,No.EXi. (305) 642-8407 (a.No):(305) 643-5969 -MAIL ADOREssandyjr@andysassurance.com 1 INSURERIS) AFFOROING COVERAGE NAICA INSURER A:CATLIN SPECIALTY INS CO INSURED ALES GROUP INC D/B/A ALES GROUP GENERAL CONTRACTORS D/B/A ALES GROUP ELECTRICAL CONTRACTORS 896 SW 70 AVENUE MIAMI, FL. 33144 rnvronnrc. ...-..�.......— ........_- INSURERS ' INSURER C' INSURER D: INSURER E INSURER F : --_ . -- -- INGv rJI VIV. IV UIVIDC;K: 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 LTR TYPE OF INSURANCE ADOL INSD SUER wv0 POLICY NUMBER POLICY EFF (MMIDD/YYYY)SMM/DD/YYYY) POLICY EXP LIMITS X I COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000 000 I CLAIMS•MADE I X I OCCUR UAMAGt IL/ H NItU PREMISES (Es occurrence). $ 100,000 MEDEXP (Anyone person) $ 5,000 A 1000113719 01/03/18 01/03/19 PERSONAL EADVINJURY • 1,000,000 $ GEN'L X AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE- .$ 2,000,000 P POLICY i MT I LOC PRODUCTS - COMP/OP AGG $ 2', 000,000 OTHER: $ I AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT {Ea accidenq s I A ANYAUTO 'ALL OWNED SCHEDULED BODILY INJURY (Per person) $ A AUTOS A AUTOS NON -OWNED BODILY INJURY (Per accident) $ H HIRED AUTOS AUTOS PROPERTY DAMAGE (Per accident) $ $ `_ UMBRELLA ,LIAB EXCESS LIAB OCCUR EACH OCCURRENCE _ $ CLAIMS -MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIe PER I STATUTE OTH- ER ANY PROPRIETORIPARTNERIEXECUTIVE EXCLUDED? EXCDEDT ( NIA E.L. EACH ACCIDENT $ (Mandatory In NN) It yes, describe under E.L. DISEASE - EAEMPLOYEi $. D DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule. may be attached It more space is required) Concrete Construction (91560), Electrical Work (92478), General Contractor (91580) & Subcontracted Work 01585), Plumbing (98482), Tile/Stone/Marble Work (99746) License# EC0001288 r Gl?TICIrATC uni mac) - Miami Shores Village Building Department 10050 NE 2 Avenue Miami Shores, F1 33138 SHOULD ANY OF THE ABOVE DESCRIBED PO CIES BE CANCELLED BEFORE THE EXPITION DATE THEREOF, NOTIWILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIO ©19:8-2013 ACORD CO PO ION. All rights reserved. ACORD25(2013/04) The ACORD name and logo are registered marks ACORD JIMMY PATRONIS CHIEF FINANICAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 1/2/2018 EXPIRATION DATE: 1/2/2020 PERSON: LORENTE RAMON FEIN: 592157712 BUSINESS NAME AND ADDRESS: ALES GROUP INC ALES GROUP GENERAL CONTRACTORS/ ALES GROUP ELECTRICAL CONTRACTORS 896 SW 70TH AVE MIAMI FL 33144 SCOPE OF'BUSINESS OR TRADE: Licensed General Contractor Licensed Electrical Contractor IMPORTANT: 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 certificate at any time for failure of the person named on the certificate to meet the requirements of this section. DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS? (850)413-1609 ALCS GROUP ELECTRICAL CONTRACTORS 896 SW 70TH AVE, MIAMI, FL 33144 PHONE 305-545-6950 FAX 305.262-1389 LICENSE #EC0001288 alesgroupec@gmail.com Date: 8/16/18 State of Florida County of Miami Dade Before me this personally appeared Ramon Lorente who being sworn, deposes and says: That he or she will be the only person working on the project located /0 / 4/W /0,,2 Sf eQ t iA"...et //d4O s F. 3 3 /54") Swo2to (or affirm) d) and subcribed before me this /4 day of Al 5-- , 204e, by Personally Know 0r Produces Identification Type of Identification Produced l/ Print, Type or Stamp Name of Notary ADRIANA GIRARD! MY COMMISSION # GG 140466 EXPIRES: September 04, 2021 New 772-Alcd AV Yri!,,o, vie__s_ Dxy, 0 PERMIT#: Miami Shcres Village APPROVED BY DATE ZONING DEPT bLDG DEPT ---- • C)14- Ade/67e SUBJECT 10 CCNIPLIANCE WITH ALL FEDERAL STATE AN er..UN'i Y RULES AND REGULATIONS F7P4 FOle RECEIVED AUG 0 6 2010 ' • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • aLecri2.1,4L P1CTRICALC0NTRACTORS UC # EC0012138 /3/fai3e-/2„Ar lezt_a_W_/02. ST itfil/f/tri 57-re>72..2 r is/ re22 : 4 Z--E,s2JGLec, C6-6-17: s gq4 teti 7(7,4v-&- '1-fJd/ FZ..3/ c x.i/4 rc : • 896 $W 70TH AVENUE MIAMI, FL 33144 RAMON LORENTE (OUAUFIER) 786-2234096 ADRIANA GIRARDI MY COMMISSION # GG140466 XPIRES: September 04, 2021 • -4 ../.` 1 OF 3 • .. / •• •• • di •. • .• • . . • q . • •.• •• • • • • • • • .... •••• . .. . • • • saamte • • • EGT/2./ c1 % c c'v- (3E vt/ Tf-i rt E 7oL Lo i.Y& ' . l - 2 � �-le st E L E c T7ZarG /E7e / Z c7/2 4 • N, r2 p5 c ` ?1Api¢/ZT. 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Fla. Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full-time employees, including the owner, must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if: 1. The officer owns at least 10 percent of the stock of the corporation, or in the case of an LLC, a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State, Division of Corporations; and 3. The corporation is registered and listed as active with the Florida Department of State, Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use day labor, part-time employees or subcontractors for your project. The contractor has provided an affidavit stating that he or she will be the only person allowed to work on your project. In these circumstances, Miami Shores Village does not require verification of workers' compensation insurance coverage from the contractor's company for day labor, part-time employees or subcontractors. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: Owner State of Florida County of Miami -Dade The foregoing was acknowledge before me this 2 day of ,20 6 . By ZS AC QUJS B 4 who is personally known to me or has produced ?t,v ✓k A kY1 a 44 - Notary: SEAL: as identification. .""tt, ADRIANA GIRARDI MY COMMISSION #GGI40466 EXPIRES: September 04, 2021