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EL-18-3111Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address —� Permit NO.: EL-10-18-3111 Permit #VR Number., 100354 Permit Type: Electrical - Residential I Work Classification: Repair Issue Date:10/12/2018 Parcel Number 1 9100 NW 1ST AVE, Miami Shores, FL 33150 1131010160060 Contacts Permit Status: Approved Expiration: 04/08/2019 PRISCILLA REYES Owner 91001 CORZO UNLIMITED ELECTRIC INC Contractor RAFAEL MARTIN Business: 7862082154 Description: SAFETY CHECK FOR RECONNECT Valuation: $ 850.00 Inspection Requests: 4949 Total Sq Feet: 0.00 Fees Amount Application Fee - Other $50.00 CCF $0.60 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.20 Permit Fee $50.00 Scanning Fee $3.00 Technology Fee $2.50 Total: $110.30 Payments Date Paid Amt Paid Total Fees $110.30 Credit Card 10/09/2018 $50.00 Credit Card 10/12/2018 $60.30 Amount Due: $0.00 Building Department Copy In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS IDAVIT: I c tha 11 the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating struction an , ing. thermore, I authorize the above named contractor to do the work stated. Signature: Owner J /// Applicant / Contractor / Agent Date October 12, 2018 Page 2 of 4 v �~ �21\ Miami � �!� Shores Village cT o 9 2 ,$ 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 FBC 20 6 +'h BUILDING Master Permit No.EL 1 % - 311 T PERMIT APPLICATION Sub Permit No. ❑BUILDING (RiLECTRIC Q •ROOFING ❑ REVISION ❑ EXTENSION []RENEWAL r_jPLUMBING ❑ MECHANICAL E3PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP I CONTRACTOR DRAWINGS JOB ADDRESS: __ G I C Vy C & �,`� Oy .ems City: Miami Shores County: Miami Dade Zio: 2) `� t Folio/Parcel#: 1 `? 0 1- �1a(�--ie)bf j/ Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: OWNER: Name (Fee Simple Titleholder): City: " Ut (- Tenant/Lessee Name: Email: I r( I S C. ) tv Flood Zone: BFE: FFE: /_ "- �� Phone#: �t% " J �+t; State: Zip: Phone#: L CONTRACTOR: Company Name: ..CC' (2- 0 W 0 l f-r— d(Phone#: Address: /vr City: ��� YJ-�-t� l(i✓ 1/1, Qualifier Name: di i`-1 zip. b Phone#: & State Certification or Registration M _ C l -3 IP'o `4 U Certificate of Competency #: DESIGNER: Architect/Engineer: Address: City: State: Zip: Value of Work for this Permit: $ G CJ Square/Linear Footage of Work: Type of Work: El Addition El Alteration ❑ New u Repair/Replace ❑ Demolition Description of Work: �cs HC C K ��. e.,a Specify color of color thru the: Submittal Fee $ S 1 Permit Fee $ l®GPilP6-2 CCF $ Scanning Fee $ Technology Fee Structural Reviews $ Radon Fee $ Training/Education Fee $ DBPR $ CO/CC $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ (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 Zip 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 AGE NTRACTOR The foregoing instrument was ' acknowledged before me this day of �G/T'�E� 20 %/--' by .� 15Ci��Gs �&Vij who is personally known to me or who has produced 17b7iltl all eeI7S6- as identification and who d d taken oat . 213 ��� �tf3/--10 NOTARY Sign: Print:►"r °u:`, SARA M LOPEZ . �`..: Notary RuDlic - State of FioridF 9 ' o` Commission if GG 259883 Seal: '?or r�o° My Comm. Expires Sep 18, 2022 Bonded through National Notary Assn. The foregoing instrument was acknowledged before me this day of �0`�p'/ 20 IJ by who is personally known to me or who has produced identification and who did take an oath. NOTARY Sign: Print: n'� r o'"• �►* 5 tAMLOPEZ Seal: :+�; Notary Public - State of Florida Commission p GG 259883 "? My Comm. Expires Sep 18, 2022 Bonded through National Notary Assn. ssssrssrssssssrsrssss rsssssssrssssssrsssssrsrrssssssssi APPROVED B Plans Examiner as ssssssssssssr Zoning 11 Structural Review (Revised02/24/2014) Clerk pF RICK SCOTT, GOVERNOR JONATHAN ZACHEM, SECRETARY Floridpr STATE OF FLORIDA DEPARTMENT OF BUSINESS:ANDzPROFESSIONAL REGULATION 4-0t'< ' . RACTORSiLICENSING BOARD ELECTRICAL�CO,Y4�s� �.� THE ELECTRICAL CONTRA_CTOR;HEREIN=IS CER-TIF. ED UNDER THE ��_�. Cif? �, ,^�: c } t�• l�y `' " PROVISIONS OF�CHAPTER,489 FLORID STATUTES fMARTr .:;RAFAE CORZO ..W NLIMITEDYE --EC*TRIC- INC. ` `= 9,361:;8NW*24':PL-i4CE EMBROKEtPINESo3302'4 ca LICENSE-4 ER. EC13004896 EXPIRATIONd. E:�AUGU 'T 31, 2020 Always verify licenses online at MyFloridaLicense.com 0 �0 Do not alter this document in any form. This is your license. It is unlawful for anyone other than the licensee to use this document. ■ BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm. A-100, Ft. Lapderdale, FL 33301-1895 — 954-831-4000 VALID OCTOBER 1, 2018 THROUGH SEPTEMBER 30, 2019 DBA: Business Name: CORZO UNLIMITED ELECTRIC INC Owner Name: RAFAEL MARTIN Business Location: 9318 NW 24 PL HOLLYWOOD Business Phone: 786 208-2154 Receipt #:ELECTRICAL/ALARMS/CONTRACTOR Business Type:(CERT ELECTRICAL CONTR) Business Opened:o9/27/2013 State/County/Cert/Reg:EC13 0 04 8 9 6 Exemption Code: Rooms Seats Employees Machines Professionals 1 For Vending Business Only Numhpr of Machines Vendina Tvne: Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paid 27.00 0.00 0.00 0.00 0.00 0.00 27.00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Broward County and is non -regulatory in nature. You must meet all County and/or Municipality planning WHEN VALIDATED and zoning requirements. This Business Tax. Receipt must be transferred when the business is sold, business name has changed or you have moved the business location. This receipt does not indicate that the business is legal or that it is in compliance with State or local laws and regulations. Mailing Address: CORZO UNLIMITED ELECTRIC INC Receipt #lCP-17-00019794 9318 NW 24 PL Paid 08/14/2018 27.00 PEMBROKE PINES, FL 33024 07/31/2018 Effective Date 2018 - 2019 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YY1'Y) 10/4/2018 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: N the certificate holder Is an ADDITIONAL INSURED, the policy(les) 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 NAME: CJG INSURANCE CORP PHONo EM: (305) 221-8099 ,� No: (305) 221-8049 12525 W Okeechobee Road L Hialeah Gardens, FL 33018 ADDRESS: carmen@cjginsurance.com INSURED Corzo Unlimited Electric Inc. 9318 NW 24 PL. PEMBROKE PINES, FL 33024 305-747-6927 INSURER(S) AFFORDING COVERAGE INSURER A: Granada Insurance INSURER B : INSURER D : INSURER E : COVFRAGFS CERTIFICATE NLIMRFR- RFVISl )N NIIMRFR 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 L INSD IN suBR wvo POLICY NUMBER MM/DD/YYYY MMIOD LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE 1 -- I OCCUR PREMISES Ea occurrence $ 100,000 MED EXP (Any one Perron) $ 5,000 A x Y 0185FL00090467-0 12/16/17 12/16/18 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 RPOLICYr JECOT LOC PRODUCTS - COMP/OPAGG $ 2r000,000 $ OTHER: AUTOMOBILE LIABILITY Ee accident $ BODILY INJURY (Per person) $ ANYAUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ NON -OWNED HIRED AUTOS AUTOS P PROPERTY DAMAGr_$ Per accident $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN STATUTE I I ER EA_ EACH ACCIDENT $ ANY PROPRIETORIPARTNERIEXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? NIA E.L. DISEASE - EA EMPLOYEE $ )Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) ELECTRICAL WORK r'FRTIFIr.ATF Hnl nf=P r:ANr:FI 1 ATInKI Miami Shores Village Hall SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 10050 NW 2 Ave THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores, FL 33138 AUTHORIZED REPRESENTATIVE 01988-2014 ACORD CORPORATION. All rights reserved. ACORD25(2014/01) The ACORD name and logo are registered marks of ACORD ACC>RV CERTIFICATE OF LIABILITY INSURANCE DATE(MNUDD/YYY1r) 10/04/2018 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 Estrella #132 CONTAc NAME: YUSLEIDY ARIAS AX PHONE (305) 599-1333 F No): (305) 599-1662 9561 NW 41 Street ADDRESS: YULY.ARIAS ESTRELLAINSURANCE.COM INSURERS AFFORDING COVERAGE NAIC M INSURERA: AmTrust North America Miami, FL 33178 INSURED INSURER B : INSURERC: CORZO UNLIMITED ELECTRIC,INC INSURER D : 9318 NW 24 PL INSURER E : INSURER F : Pembroke Pines FL 33024- 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 INSURANCEADDLSUBR POLICY NUMBER POLICY EFF MM/DD POLI Y E P MNVDO LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EACH OCCURRENCE $ PREMISES Ea occurrence $ _ MED EXP (Any one person) $ PERSONAL & ADV INJURY S GENt AGGREGATE LIMIT APPLIES PER: POLICY ❑ JETEILOC OTHER: GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ S AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS COMBINED SINGLE LIMIT Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PRO R DAMAGE Per accident $ UMBRELLA LIAB EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE S AGGREGATE $ DED RETENTION$ S A WORKERS COMPENSATION AND EMPLOYERS' LJABIUrrY YIN ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICER/MEMBEREXCLUDED? ❑Y (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA Y TWC3735564 09/30/2018 09/30/2019 STATUTE ERH EL. EACH ACCIDENT s 500,000.00 E.L. DISEASE - EA EMPLOYEE $ 500,000.00 E.L. DISEASE - POLICY LIMIT $ 500,000.00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICL.ES (ACORD 101, Additional Remarks Schedule, maybe attaehad if more space Is required) ELECTRICAL WIRING EC13004896 CERTIFICATE HOLDER Miami Shores Village Hall 10050 Northeast2nd Avenue Miami Shores ACORD 25 (2014101) 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 Yusleidy Arias FL 33138 ©1988-tC D CORPORATION. All rights reserved. The ACORD name and logo are registered marks of Miami -Dade Official Records - Print Document Page 1 of 3 Prepared by and return to: Ricardo A Rodriguez Lyon Title Company 900 W. 49th Street Suite 505 Hialeah, FL 33012 305-908-8686 File Number: 2018-08-03-1 Will Call No.: Parcel Identification No. 11-3101-016-0060 Above This Line For Recording Warranty Deed (STATUTORY FORM - SECTION 689.02, F.S.) CFN 201BRO582538 OR EK 31153 R9s 330E-3310 (31`9s) RECORDED 09/24/201:' 14:53e07 DEED DOC TAX $2r526.00 HARVEY RUVIN , CLERK, OF COURT IIAMI-DADE COUNTY, FLORIDA This Indenture made this 5th day of September, 2018 between Alfredo Mora, a single man whose post office address is 285 NE 51 Street, Apt 1, Miami, FL 33137 of the County of Miami -Dade, State of Florida, grantor*, and Carmen Reyes, an unremarried widow and Priscilla Reyes, a married woman whose post office address is 4300 NE 2 Avenue, Miami, FL 33137 of the County of Miami -Dade, State of Florida, grantee*, Witnesseth that said grantor, for and in consideration of the sum of TEN AND NO/100 DOLLARS ($10.00) and other good and valuable considerations to said grantor in hand paid by said grantee, the receipt whereof is hereby acknowledged, has granted, bargained, and sold to the said grantee, and grantee's heirs and assigns forever, the following described land, situate, lying and being in Miami -Dade County, Florida, to -wit: Lot 6, Miami Shores Manor, according to the map or plat thereof, as recorded in Plat Book 45, Page 13, of the Public Records of Miami -Dade County, Florida. Subject to taxes for 2018 and subsequent years; covenants, conditions, restrictions, easements, reservations and limitations of record, if any. and said grantor does hereby fully warrant the title to said land, and will defend the same against lawful claims of all persons whomsoever. * "Grantor" and "Grantee" arc used for singular or plural, as context requires. In Witness Whereof, grantor has hereunto set grantor's hand and seal the day and year first above written. Signed, sealed and delivered in our presence: 1. AACQ0'� - r --+ Witness Name: t Book31153/Page3308 CFN#20180582538 DoubleTtmee Page 1 of 3 https://www2.miami-dadeclerk.comIPublic-RecordsIPrintDocument.aspx?QS=YaoUfOzx... 10/ 19/2018 Miami -Dade Official Records - Print Document Page 2 of 3 State of Florida County of Miami -Dade The foregoing instrument was acknowledged before me this 5th day of September, 2018 by Alfredo Mora, who [j is personally known or [X] has produced a driver's license as identification. [Notary Seal]wi otary Public RODRIQUE,Z �1 10N*FFpapsg4 rinsedName: 1 r c�✓cQo P-� Y < <j(•�Z.we 07, 2an � y Commission Expires: / %/ Zy Warranty Deed (Statutory Form) - Page 2 DoubleTime® Book31153/Page3309 CFN#20180582538 Page 2 of 3 https://www2.miami-dadeclerk.comIPublic-RecordsIPrintDocument.aspx?QS=YaoUfOzx... 10/ 19/2018 Miami -Dade Official Records - Print Document Page 3 of 3 OR BK 31153 PG 3310 LAST PAGE MIAMI SHORES VILLAGE Building Department 10050 NE 2 Ave, Miami Shores FI, 33138 Tel: 305-795-2204- Fax: 305-756-8972 Permit No. REOC-8-18-2332 Certificate of Re -Occupancy Address: 9100 NW 1 Avenue City: Miami Shores State: FL Zip: 33138- This certificate verges that the reference property has been inspected by Miami Shores Village and has been determined to presently comply with schedule of regulations of Miami Shores Land and Development Code pertaining solely to the requirement that each one -family dwelling is used and intended to be used for a one -family dwelling purpose only; however, this certificate does not constitute any representation or warranty as to the condition of the dwelling or other structures on the premises described herein, or any aspect of such condition, and interested persons are advised and encouraged to make their own inspections of the premises in order to determine the condition thereof. Building Approval: .Jo%.w� 41 -J Book31153/Page3310 CFN#20180582538 Page 3 of 3 https://www2.miami-dadeclerk.com/Public-Records/PrintDocument.aspx?QS=YaoUfOzx... 10/ 19/2018