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EL-18-1888Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Permit NO. EL-7-18-1888 Permit Type: Electrical - Residential t n I Work Classification: Pool - Private Permit Status: APPROVED Parcel Number Issue Date: 9/13/2018 1 Expiration: 03/12/2019 Applicant 573 NE 102 Street 1132060171000 Miami Shores, FL Block: Lot: JULIETA TEPPA Owner Information Address Phone Cell JULIETA TEPPA 573 NE 102 Street MIAMI SHORES FL 33138- 573 NE 102 Street FL Contractor(s) Phone Cell Phone VAST SERVICES (305)264-1602 Type of Work: NEW POWER FOR POOL Additional Info: NEW POWER FOR POOL Classification: Residential Scanning: 1 Fees Due Amount CCF $0.00 DBPR Fee $0.00 DCA Fee $0.00 Education Surcharge $0.00 Permit Fee - Additions/Alterations $150.00 Scanning Fee $0.00 Technology Fee $0.00 Total: $150.00 Valuation: $ 750.00 Total Sq Feet: 0 Pay Date Pay Type Amt Paid Amt Due Invoice # EL-7-18-68217 09/13/2018 Check #: 4301 $ 150.00 $ 0.00 Avanauie inspections: Inspection Type: Final Light Niche Bonding Review Electrical Alarms 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, OORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I ce�i at all the fore g� rma i is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. F he orb, I authori t o e- d contractor to do the work stated. Authorized Signature: Building Depa September 13, 2018 ment rl September 13, 2018 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 13 2018 FBC m 14 BUILDING Master Permit No.17 PERMIT APPLICATION Sub Permit No. EJ� (e - 18B8 ❑BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR JOB ADDRESS: f C 1{. z s+ DRAWINGS City: Miami Shores County: Miami Dade Zip: `r Folio/Parcel#: 32-() P01--- 1 0U 0 is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): (�} L ! L `L_ Phone#:: Address: 'T 3 L' City: A In mi State: FL Zip: '53 1 6 Tenant/Lessee Name: Phone#: Email: '� cy CONTRACTOR: Company Name: ca J � ( ww,trt shone#: �w i o L Address: � 1 3vs 42 City: State:...,_ l ��. (� Zip: �'.7 6 Qualifier Name: rk i t-y l(,KIX 1 "1C,tY'<1 It Phone State Certification or Registration #: �� �70' J + V-14 ) Certificate of Competency #: DESIGNER: Architect/Engineer: Address: City: State: r�o r Value of Work for this Permit: $ ( 0Uj Square/Linear Footage of Work: Type of Work: ❑ Addition Descriptiun of yvurk; Zip: Alteration ❑ New Repair/Replace ❑ Demolition 12 Specify color of color thru tile: k '�;D • Gp Submittal Fge $ Permit Fee $ 1znL9'2PV _ CCF $ Scanning Fee $ Technology Fee $ Structural Reviews $ Radon Fee $ Training/Education Fee $ DBPR $ CO/CC $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ co (Revised02/24/2014) Bonding Company's Name (if applicable) Bonding Company's Address 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. in the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Ij i 1 OWNER or AGENT Thet foregoing instrument was acknowledged before me this --i��2- day of , 20 i , by T Lf -who i erso ni to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: �r,t Print: `ilLh �..,.... A Seal: My CCW,iISSION t FF 156797 * * EXPIRES: October 7, 2018 w, .or acn9e�' Budget Nc'3ry Servxa Sl�VF f,`°4 Signature CONTRACTOR The foregoing instrument was acknowledged before me this _ day of �+ r 20 _J_L_, by M(AYl t`l , who is rsona y me or who has produced identification and who did take an oath. NOTARY PUBLIC: as SiRn:_........ .... ... ..... .... 1....... ....._.__- ----- Print: ��� Seal: s NATHME•BA'�SGS� MY COMMISSION f FI' 16797 EXPIRES: October 7, 2018 y' or te�oe Bonded Thou Budget Nobry Servim #+k*i�+i�K+k:k��k yeK#*�kY+ye qr♦. y, {�i�kt**Y$###ki+keh#+F k+k�**V �k*#*#*###'�k'ii Mc �k#*+k*i+i�*4+F+R+k#4+k �k �k###+k+k##*R �k*7�i##�k i�+k###i#i�lklki'#d$�k�#�tt APPROVED B i� �,O Plans Examiner Zoning Structural Review Clerk (Revised02/24/20141 STATE OF FLORIDA ' DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION b. ELECTRICAL CONTRACTORS LICENSING BOARD ns' 2601 BLAIR STONE ROAD TALLAHASSEE FL 32399-0783 MARIN, MICHAEL VAST SERVICES 4497 SW 74 AVE MIAMI EL 33155 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 learn more about the Department's 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! `'ffi. STATE OF F DEPARTMI= "RROFESSi�.C•, EC13007196 1', . CERTIFIED ELEIR'lCF MARIN, MICFiAEL' VAST SERVICE,t•f Y (850) 487-1395 .OF,,BUSINESS AND 4!k]E GULATION SUEDs" 10/16/2016 IS CERTIFIED under..the provislons.of Ch.489 FS, Exivalfondsta_ AUG 31,2018 Lf6�i0763f1Gf}59D. - DETACH HERE RICK SCOTT, GOVERNOR KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD 11111141111131111 EC13007196 The ELECTRICAL ELECTRICAL CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter,489 FS. Expiration date, AUG 31; 2018 ��.�-?:sir,, , • MARIN, MICHAEL VAST SERVICES 7202 SVtf 42ND ST MIAMI ISSUED: 1011612016 DISPLAY AS REQUIRED BY LAW SEQ # L.1610160000590 NM441 k MM Miami -Dade County, State ot Florida -THIS IS NOT A OIL, - DO NOT PAY 7160102 BUSINESS NAME&OCATION RECEIPT NO VAST SERVICES RENEWAL 7302 SIN 42 ST 7437539 M AN FL 33155 A EXPIRES SEPTEMBER 30, 2018 Mun, be disolayed at place of business PIvsljwlt to Couniy Com- Chapt ter PA -Art, j & 10 OWNER SEC. TYPE Or BUSINESS VAST ELECTRICAL CONTPACTORPAYMEN-FRECEIVED TAX CILLECTUR C FILECTRIC.At CONTRArTop. &AICLiAEL AAARM, QUALIFIER- - JEC1.100719S.'_ Worker(s) 2 S,.75.V-01 '07/'n"23 17 rREDITCARD-11 7--043293 ?'Ns Local Business Tax Receipt only confirms paymantof.he Leca! Business Tax. TbP Receipt is not a Pcrmit, or a cartificzaien of the to do bissin"s. Hulder mast comply with Any or tongovernmeniai fegulatory Jews and reilt6tements; wfich app;y to the bilsiness. The RECEIPT W above must be displayed an all coamovaial vehicles - Miami -Dada Cade Sac 8a-V6, For more in'trinotion, visit ArmnAm vkUx pqgr ll�w r kdosdee. DATE (MWDDiYYY`0 +,.�. CERTIFICATE OF LIABILITY INSURANCE i 1 05/31/18 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, li the cetliiicats holder is an ADDITIONAL INSURED, the pollcy(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 CONTACT - ._.__._---_- NAME: Abby Torres Great Florida Insurance - Pinecrest PHONE 305 256-0616 Ft-AX "..._..__—� _ —_-- W� fxti —� ................ _._ _..._,_.._.�_1i , No►: (86) 52?- E-MAIL1889 12745 S. QIXe Highway Abby_legacy3insurance.com .. ........- -- ---- --- Pinecrest, FL 33156 INSURERS) AFFORDING COVERAGE NAIG # Phone 1305) 256-0616 ----- Fax (786) 522 1889 _ f t�suR£RA CiLm 8, orster Specialty Inc Cc 31348 . --- — -- _ ...._. _. INSURED _INSURER B United States Liability Insurance 25895 _... ._... ...._._-._ Vast Electrical Contra or,, Inc./DBA Va3t Services INSURER C Technology Insurance Company Inc 39071 7302 S.W, 42nd Street i_.INsuR£RD: Travelers"125666 ._.. Miami, F133155 INSURER COVERAGES CERTIFICATE NUMBER: _ _ _ REVISION NUMBER: THIS S 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 ILTR'_.. TYPE Of INSURANCE )ADDLSUBRi - POLICYIYEFF I_ POLICY YY} -^� ----- -- -- -INSR WUpy_.._._._.—POLICY NUMBER .. LtRtM(DD _ LIMITS _ GENERAL LIABiL.iTY I .. -- -. ... 1 EACH OCCURRENCE s..,..1,000,000 00 DAMAGE TO RENTED f' COMMERCIAL GENERAL LIABILITY ` 100,000-00 L PREMISES (Ea occrurence $ { I AIM niaoe ✓ OCCUR Y I Y 'BAK-30151-2 MEDEXP(Any one person $ 10,000.00 1 _._ A 06f21/2018 06I2912019 i PERSONAL & ADV INJURY S 1,000,000.00 - GENERAL AGGREGATE s 2,000,000.00 _ GEY AGGREGATE REGRTE uM'T APPLIES PER: € PRODUCTS - COMPlOP AGG I s 2,000,000.00 Vi PRO I _...._ AUTOMOBILE LIABILITY — j COMBINED SINGLE LIMIT _ _CI a acclen __._...__ $ _.... AtlY AUTO BODILY INJURY (Per person) $ j ALL OWNED SCHEDULED AUTOS AUTOS I BODILY INJURY (Per accident s i 1...! ; HiRECAUTO„ NON -OWNED -- c I 1 PROPERTY DAMAGE t_ .- AUTOS ? Peraceidantj $ i UMBRELLA LIAS yr OCCUR B L _= EXCESS LIAR L J CLAIMS -MADE _ _. _ �.._.. -�RETENTIONS ' ' XL/5724348 ; Y N I 1 05/09/2018 — ._.. E4CH OCCURRENCE ..----- ............. 05109/2019 ?AGGREGATE { .___._ $ 5 000 000 00 $ 5,000,000.00 $ I WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN j ' WC STATU. -r�I OTH- ANY PROPRIETOR/PARTNER/EXECUTIVE C OFF C. R/MEMBER EXCLUDED? I I TWC3656535 N I A I Y i 09/1612017 F L. EACH ACCIDENT ' 09/1612018 r =--- - $ 1,000,000,00 - --- {Maeda Pry r= NH) Y f/yyes oascnbe under CESCRIPTI C.�F OPERATIONS trelow EL. DISEASE- EA EMP OYE r--- $ 1 000,000.00 _ _. _ -....._.,._,,.._ ,N E L DISEASE - POLICY LIMIT $ 1,000,000.00 __.._......_........_.µ.... .__ D Fidelity Coverage ' 106835158 1 11/21/2017 11121t2018 f Limits $1,0(}0,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) Electrical Contractor CGC#1525586 EC*13007196 Certificate Holder is Additional Insured in respect to the General Liability Policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shores Village I THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Building Deparrrrent ACCORDANCF. WITH THE POLICY PROVISIONS. 10050 NE 2nd Avenue _..-. ___..—---......... —_----_...._......._...._.._.._..__. i AUTHORIZED REPRESENTATIVE Miami Shores. FL 33138 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) QF The ACORD name and logo are registered marks of ACORD