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EL-18-181Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 FCORtDp' Permit No. EL-1-18-181 Permit Type: Electrical - Residential Perill'it Work Classification: Addition/Alteration Permit Status: APPROVED issue Date: 2/27I2018 I Expiration: 08/26/2018 Project Address Parcel Number Applicant 349 NE 99 Street 1132060135510 MIAMI SHORES 349 NE 99 STRE Miami Shores, FL 33138 Block: Lot: Owner Information Address Phone Cell MIAMI SHORES 349 NE 99 STREET 349 99 (786)333-9096 ---- MIAMI SHORES FL 33140- Contractor(s) Phone Cell Phone AABAA ELECTRICAL SERVICES COR (305)785-9392 e of Work: KITCHEN REMODELING AND A NEW LIVING itional Info: >sification: Residential nning: 1 Fees Due Amount CCF $3.00 DBPR Fee $2.25 DCA Fee $2.00 Education Surcharge $1.00 Permit Fee - Additions/Alterations $150.00 Scanning Fee $3.00 Technology Fee $4.00 Total: $165.25 Valuation: $ 4,2000.00 Total Sq Feet: 0 Pay Date Pay Type Amt Paid Annt Due Invoice # EL-1-18-66209 01/23/2018 Check #: 1087 $ 50.00 $ 116.25 02/27/2018 Credit Card $ 115.25 $ 0.00 Avaname 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. OWNER AFFIDA\ constructs and zoi that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating lore, I authorize the above -named contractor to do the work stated. February 27, 2018 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy February 27, 2018 BUILDING PERMIT APPLICATION Miami Shores Village I J�N2S�018 Building Department By. 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 201 � Master Permit No. — I Sub Permit IN l '� ❑BUILDING X ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [—]RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: ��/',� y� �29 67J. City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FIFE: OWNER: Name (Fee Simple Titleholder): � 1 m 6&3 4q Nw (7 .s ' Phone#: -'25G 354 53 TL Address:-� 5q bd Cick�ftS Ari I�A � City: 9( iA %-AI Pjch State: Zip: Tenant/Lessee Name: Email: CON' Addr City: Quall hone#: State Certification or Registration #:�� c/ J Certificate of Competency #: • DESIGNER: Architect/Engineer: ne#: Address: City: State: Zip: Value of Work for this Permit: $ i UJl �! Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition Description of Work: Specify color of color thru tile: Submittal Fee $ 5 l Permit Fee $ lr4Pl O0 CCF Scanning Fee $ Technology Fee $ Structural Reviews $ Radon Fee $ Training/Education Fee $ DBPR $ CO/CC $ Notary $ Double Fee $ Bond $ _ TOTAL FEE NOW DUE $ y (Revised02/24/2014) Bonding Company's Name (if applicable) Bonding Company's Addresst_I City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip 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 �ttachment. Al , o certified copy of the recorded notice of commencement must be posted of the job site for the first inspection whicoccurs se n (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be oplKgvand einspection fee will be charged. Signatu or AGENT The foregoing instrument was acknowledged before me this 2-3 day ofA20 L by who is personally known to me or who has produced �--M k'y— as Signature CONTRACTOR The foregoing instrument was acknowledged before me this ig'" I day of—1At4yA9N 20 lit by �,�%2wgJ . PAS who is CLw Known to me or who has produced identification and who did take an oath. identification and who did take an oath. t:111 NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: J I N�� N<'U� "� Print: �eL,)r1,J =,,along t�RytiS Adelyn Rivero Seal}`+f�+"�Y'V1-'YY"„YYY,:'r'r"YY'�Seal: r NOTARY PUBLIC 7� oa "1"0*. Notary Public State of Florida S STATE OF FLORIDA > ^. Sindia Alvarez P v al , FMXyeCooSmmisnsiion FpF 156750 (C'Omm# GQG� 719�0/7�0q *#*#*#**##*#####*##*#### �kF*#�0A�?R"7R*########yk###*##*###########w#Rik#*i'f�M���M��MkM�#######*#*#### APPROVED BY 3S /,%ns Examiner Zoning Structural Review Clerk (Revised02/24/2014) STATE OF FLORIDA f DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 RIVERO, JOAQUIN JESUS AABAA ELECTRICAL SERVICES CORP. 5951 NW 201 LN MIAMI FL 33015 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 tog onto www.myfloridalicense.com. There you can find more information -about our divisions, and the regulations that impact you, subscribe t&department newsletters and Ieam ihbfe about the Department's initiatives. (850) 487-1395 STATE OF FLORIDA DEPARTMENT`,OF:BUSINESS AND PROFES,SIONTAL• REGULATION EC1300653310.' QJ D: ' 06/27/2016 . - CERTIFIED ELECTRICAL CONTRACTOR RIVERO, JOAQWIN-&SjU- "1 7;-.• - AABAA ELECTRIC_ , > , VI6 %jGORP Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can IS CERTIFIED, under the provisions of Ch.489 FS. serve your customers. Thank you for doing business in Florida, and congratulations on your new license! EsVmtion dale:- AUG 31. 2018 L1606270000690 RICK SCOTT, GOVERNOR LICENSE NUMBER DETACH HERE KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD The ELECTRICAL CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2018 RIVERO, JOAQUIN JESUS AABAA ELECTRICAL SERVICES CORR _ 5951 NW201 LN: ,':_ MIAMI -FL--3301b- �4 ._ Local Busi ness Tax Fbcei pt Miami -Dade County, State of Florida -THIS IS NOT A HILL -DO NOT PAY 4650991 BUSINESS NAM E/LOCATION AABAA ELECTRICAL SERVICES CORP OPERATING IN DADE COUNTY RECEIPT NO. EXPIRES RENEWAL SEPTEMBER 30, 2018 4856010 Must be displayed at place of business Pursuant to County Code Chapter 8A - Art. 9 & 10 OWNER SEC. TYPE OF BUSINESS AABAA ELECTRICAL SVCS CORP 196 ELECTRICAL C/O JOAQUIN RIVERO, PRESIDENT CONTRACTOR Worker(s) EC13006533 PAYM ENT RECEIVED BY TAX COLLECTOR 75.00 08/21/2017 0202-17-004919 This Local Business Tax Receipt on lycon"mispayment tithe Local BusinessTa L The Raceipt is not license, 1>errrit, oracw i"cation of the hdder'squali"cations, to dotxsinm& Heider mrstcornpiywith any govwnmvtai or raVowernr ental regdatarylaws and regcdrementsswhich apply to the business, The R> MPrNQ above mist be displayed on all corrsrrsrrlal vdridas- Miarni-0eda O de Sec ea-27% mtm � %rmoreirdornetion visit i A11. /, CERTIFICATE OF LIABILITY INSURANCE DAT01/18/D/18 01/18/2018 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: H the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. N 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 Mabel Felipe Acceptance Insurance ServicesPH 6887 S.W. 40th St. C , (305) 740-0515 FAQ No): (305) 740 0518 s ADDRl nmbel@acceptanceinsservices.com INSURERS AFFORDING COVERAGE NAIC # Miami, FL 33155 INSURER A : U.S. Specialty Insurance Company A+ XV Phone (305) 740-0515 Fax 305) 740-0518 INSURED INSURER B INSURER C : AABAA Electrical Services, Inc. INSURER D : 5951 NW 201 Ln Miami FL 33015- INSURER E : INSURERF: COVERAGES CERTIFICATE NUMBER: KtVISI(JN NUNttiCK: 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 MAYBE 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. ILTR TYPE OF INSURANCE INSR ADD UB POLICY NUMBER MWDD EFF MMIUDO F LIMITS A © COMMERCIAL GENERAL LIABILITY ❑ CLAIMS -MADE '1�.OCCUR Y Y U18AC102444-00 01/12/2018 01/1212019 EACH OCCURRENCE S 1,000,000.00 AMATO RE PREEMI3(Ea oo�currrrence S 100,000.00 MED EXP (Any one person S 5,000.00 ❑ PERSONAL & ADV INJURY S 1,000,000.00 GEN.L AGGREGATE LIMIT APPLES PER: W POLICY © JECT ❑ LOC ❑ OTHER GENERAL AGGREGATE S 2,00000.00 J PRODUCTS -COMPIOPAGG S 2,000,000.00 $ iAUTOMOBILE LIABILITY ❑ ANY AUTO ALL OWNED SCHEDULED AUTOS ❑ AUTOS HIRED AUTOS ❑} AUTO WINED ❑ ❑ EaMaccidenISINGLE LIMB S BODILY INJURY (Per person) S BODILY INJURY (Per aaadent S POracadeMDAMAGE S S -- { A ❑ UMBRELLA LIAB © OCCUR © EXCESS LiAB ❑ CLAIMS -MADE Y Y U18AC102444-00 01/12/2018 01/12/2019 EACH OCCURRENCE $ 1,000,000.00 AGGREGATE s 1,000,000.00 ❑ DED ❑ RETENTIONS S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUMEE:] OFFICERIMEMBER EXCLUDED? u (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS oeMw N t A f 1 ElSTATUTE ❑ FT ` _ E.L. EACH ACCIDENT S E.L. DISEASE -EA EMPLOYE S E.L. DISEASE- POLICY LIMIT g I r DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Electrical Work Within Buildings Contractor License: EC13006533 CERTIFICATE HOLDER CANCELLATION Miami Shores Village 10050 NE 2nd Ave. Miami Shores, FL. 33138 ACORD 25 (2014101) QF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORED REPRESENTATIVE ©1988 2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD