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EL-19-393Permit NO.: EL -tit' -19-393 Miami Shores Village Permit Type: Electrical - Residential 10050 NE 2 Ave Miami Shores FL 33138 if (flf 0 Lf work Classification: Addition/Alteration 305-795-2204 Permit status: Approved Issuei te:02-AS/2019 1 Expiration: 08/26/2019 Location Address Parcel Number 431 NE 100TH ST, Miami Shores, FL 33138 1132060170500 Contacts ERIN HALLORAN Owner JULIO ELECTRIC CORP Contractor 451 NE 91 ST, MIAMI SHORES, FL 33138 JULIO REYNOSO Other: 3522623193 Business: 7863467597 Ins ettion Re uests: Description: AS PER PLANS RUNNING ELLROOM TO NEW Valuation: $ 3,000.00ti5 fiG 4949 MASTER SUITE BATHS KICHEN DINNING BEDROOMSINSTALLING RECESSED LIGHTING REPLATLETS Total Sq Feet: 500.00 Fees Amount Application Fee - Other $50.00 CCF $1.80 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.60 Permit Fee $55.00 Scanning Fee $3.00 Technology Fee $2.63 Total: $117.03 Building Department Copy Payments Date Paid Amt Paid Total Fees $117.03 Credit Card 02/25/2019 $67.03 Credit Card 02/20/2019 $50.00 Amount Due: $0.00 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 work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above named contractor to do the work stated. /-\ . I\ 0n Authorized Signature: Owner / Applicant / Contractor / Agent Date February 25, 2019 Page 2 of 2 Miami Shores Village RECEIVED Building Department FEB 2 0 2019 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 / Tel: (305) 795-2204 Fax: (305) 756-8972 l`I/11 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 201 BUILDING Master Permit No. — -37 PERMIT APPLICATION Sub Permit No. 61 ❑BUILDING V(ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR JOB ADDRESS: -q 31 N E 100'-"' — freefi DRAWINGS City: Miami Shores County: Miami Dade Zip: folio/Parcel#: ( i 32 o loo ( -70500 Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: EFE: FFE: OWNER: Name (Fee li Simple Titleholder): Er I n (jrain Phone#: TU -t (7d -- //V Address: `l 3 I N� 1 D& h Sire + City: norh I S iyyes State: EL Zip: 33 139 Tenant/Lessee Name: ni A Phone#: +r T Email: Hal 10y-A(n ' �6y\ eM�1 t • C 0M CONTRACTOR: Company Name: t� S��L`(7L( C_ �"` "'�� Phone#;/ Address: _3 ( SW City: �1 �2�r i�G State: Zip: ©�3. Qualifier Name: Phone#'3�i� 75�Z State Certification or Registration #: DESIGNER: Architect/Engineer: Add Certificate of Competency M _ Phone#: City: State: Zip: Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: ❑ Addition T7rAlteration ❑ New ❑ Repair/Replace ❑ Demolition Specify color of color thru tile: Submittal Fee $ Scanning Fee $ Technology Fee $_ Structural Reviews $ (Revised02/24/2014) Permit Fee $ Radon Fee $ Training/Education Fee $ CCF $_ DBPR $ CO/CC $ Notary $ Double Fee $ Bond $ / TOTAL FEE NOW DUE $� 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 I 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 OWNER or AGENT The foregoing instrumept was acknowledged before me this _2 day of 1 tD 20 �, by �( `t H Q I ICY IN , who is personally known to me or who has produced n t I u -, S -C as identification and who did take an oath. NOTARY PUBLIC: Sign: MY Print: COMMISSION # GG 044602 _* *` Seal: %F ; ; Bonded Thru Notary Public Underwriters Signature _ /4� CONTRACTOR The foring insument w4s acknowledged before me this day of 7al'/a'l?A20 , by 'ALO w is personally known to Z me or who ha produced b . -/ c_ as identification and who did take an oath. NOTARY Print: Seal: MY COMMISSION # FF964134 q APPROVED BY + Plans Examiner Zoning Structural Review Clerk (Revisedo2/24/2014) 't • � �. "'� -' -a .✓' .> ,Fy *- - `rl- s"s- 1 ti r 1. f ai= �' ` "{- Y a °` ^ 'i 'K i �-�' ,i � �� t ` ,. ,SJ 4 .� P. L rr � ♦ `w 4 d ..a�y ,•r J a , RIEtC SCOTT ; GQ�/ERNC?Ft , ,w `, "•' �`,� ,10NATHAI�I ZACHEtvI SECRET + Fl nda- r '•r's,�'�„',�- � °4�'R+�*r.r ,+,''tf>r r ,4 ger f.,,, � � _ �J 4^.��- f' 'y ,` �r =�� 'F "* — « � � +. a, `t , "'� ° �..- ` { r * •..r �' i-�' .rx R 4. S y4 .re { 'i.. t . f r t ' s t''R.i } } r 4 + J _ m'f � 1.p '� d" .! ♦^.. r . Y .< �.,r^ *"-.t'� L- yy ` 4J 4 + ` lY.. .. � ' v I �• - ♦ � S •.,`�'A '� Tom!♦' ,� ." • �j/y� � d r a x � f �S • rert r *r( �^•t, Y +. �.w.+ `� 'a" �� S 4r�: ,i 4 $ � r J 4 * 4 ..r ...- ��. 'R �: ,} . w9` k _ 4 ' OFA FLORI D A r ♦ ;a .STATE r r v tw - <� 'K }r r *•i ,� ` tr r R sF ♦ d 'DEPARTMENT,OFBUSIN F'ESSIONAUREGULATION" * - ELE -TRhCA NG + ' -BOARD. � THE ELECTRI - � tS pNQER�THE +PROM T UTES" ," 4 4 ff. s - r -• r � }' T y ' 4 � - 3 Al y + r < r L � r r EXRATI ,31, 2020 Always verify licenses online at MyF,loridal,icenSe,com R' i ;bo not aIter. this:document inany form �` f F'- w ,� , "' t ° : �,+ a; q � � • r : . F r r ` .'� � R . r d � This is you"r license It isunlawful .for.ariyone°other than°Afte,licensee to use this document. <� 1r ,!tisr f r* f�- s ❑ � 7 r '�. � � e. 3 a} �'r -. sk � iy i •.y Yf � 'i f a< A• ` y-fa.+«4 R, .} r � ti . rr .s R' - STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD 2601 BLAIR STONE ROAD TALLAHASSEE FL 32399-0783 (850) 487-1395 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! BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., R"rn. A-100, Ft. Lauderdale; FL 33301-1895 — 954431-4000 VAUD OCTOBER 1,1201S THROUGH SEPTEMSER 310,1019 "i7'ULIO ELS-MRIC CORI? ROCaipt #:EL18C"T'RICAL/ALARMS/CMOWMMA Businsas Hartle: Business Type_ (UNLIMITED MASTER ELE rRIc2 ) OwnerName:omio ELsmic CORP &ainessOpenedio7/13/2004 Bemuse Lotation: 3'06 I SW 31 CT StathtouIIty/corbReg.-EC13006274 MIAMII DADE COUNTY '` Exernptiort Ciede: BusineesPhone: 786-39,6-759997 r, En, ' : , MadnInes ProfnsioruIf .. :ear ViusMrq beutMw� onby _ Number ofhuchines: , VOW ... Type; - Tax AnnOunt 7rarsrer Feu._ ...NSFFes - �,- peri{1yy...;.y; Piior Yeas COFIeWanCoenTotal Paw. 27.00 o.00 0.00{ 0.00. 27.00 THIS RECEIPT MUST BE POSTED CONSPIC )OUSLY IN YOUR PLACE OF BUSINESS TM BECOMES'.A TAX RECEIPT This tax is levied for rhe pftlage,of doing business within amward County and is nonaegulax" in nature. You must meet all Couray andior mumopallfy planning wHEN VALIDATED and Z011mil r6WnamerNs. The Business Tare ReossiFt must Ira transfenad when the business is sold, business ranee has changed or you have moved the business Ration. TMs reee 1pt' does not indicate that the busness is legal or that it is in c omPiianoe with State or lel laws aril regulations: Melling Address: JULIA ELECTRIC CORP Receipt OO.LA-17-00007877 3861 SW 31 CT Pai4 07/14)2018 27-.00- HOLLYWOOD, FL .33023 201811.- 2019 �Opf1'sllrR' �i`"'"�n�r�ii' r, �wrerrc►i�i�ne.""f'T�v r.r-.+..... f Miami Shores Village SHWW AENY OF TW ASOVE r1E3MBMPOUCO eE CANCELLED BEFORE 714E EXPIRATION DAiE THEREOF, NOWE Wa,l BE :OEUVERW 01 Building Department ACCORDANCE IMT44 THE POUCY PROWWOW 100SO N.E. 2nd Ave. . . Miami Shores, F1.33138 AUTHLti�dfl6F'R@$@ATATIVB.. WIND-ZU15 AcoKU WKF OKATION. All norns r4 "G. ACt]RQ 2s (2618tu3y The ACORD nam and lop are ropisftred marks of ACORD ACC?xt1,0 CERTIFICATE OF LIABILITY INSURANCE °/1(/201 2/19/2019 THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIPICATE 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 INSURERISj, AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is anAWTIONAL 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 endorsomsnt(s), PRODUCER CONTACT_ Automatic Data Processing Insurance Agency, Inc. PHONI p{e+G,_Mo 3xej.____._._._................. _... _............ .:_............. ..a..f A Adp Boulevard ADDRESS: Roseland, Ni 67068 - W3URER(3) AFFORDING COVERAGE MAIC d INSURER A::.. TaChaal�y MaUfAnCA Company, (/IG .. ......._.. ....... _._-__.._..... _. _ ------------------------ 42374 -........._ .__.._.. .. INSURED INSURER 8:. JULIO ELECTRIC CORP _..------_.- 3881 SW 31ST CT iNs!RERc�,_ _ _ _ West Park, FL 33023 INSURER D : _ ...... ..... _...... ....... ,... .... _...... ,._.............. _ INSURER F: COVERAGES CERTIFICATE NUMBER: 843916 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 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. . p...-_.........,......,......_-_....,......,..,..:,..,........._....._._.-..A ..._. .. ._— i'POL{CY t:F"F....{-POl1CY M" :..._....._ ._ ... -_. ..............._.._. .. .. LTR TYPE OfINSUIRANCE I Dt._ p POLICY NUMBER MN1-Alta S MMMO I umn COMMERCIAL GENERAL LIABILITY EACH OCC URRENCE i .. CLAIMS-MADE �_ J� OCCUR PREMISES (Ea aaLm mce) $ ._. ..._•.____.........._........ ..... ............ ___------ ._.............. ... ...i MED EXP (Arty one persm) ...:_.... '. rG£NtAGGREGATE PERSONAL & ADV INJURY $ LIMB APPI:IEB PER. �: ( GENERAL AGGREGATE S. ...__ ._._ :. POLICYI JPERCD3T I LOC I PRODUCTS COMPhJP AGt# j f �. OTHER: 1. i.... ! E I $ 1 AUTOMOBILE LIABILITY f AcchdeM) _ ..- _ j ANY AUTO [ ,. - BODILY INJURY (Per p"an) $ ' ALL OWNED .. SCHEDULF.O.. AUTOS { BODILY INJURY (Per addd Ot)' E - - ...AUTOS NON-OWNED. HIRED AUTOS AUTOS i (Per pcxlderelj,� _ 1 I E .UMBRELLA -LIAR OCCUR l _. EACH OCCURRENCE.._.. 8.. EXCESSWB CLAIM"ADE� ! ` ... AGGREGATE E ...... F _...._........ DED RETENTION $ WDRI4iJi3 GOhfPENSAT1gN.. .: I AND EMPLOYERS' LIABILITY f N PER I PTAiUTE......_._....L�R. I ANY PFROPRIETORIPARTNERtEXECJTNE �X l A IOffICEHlMEMBLREKpuDEO? i ' 1 N1A X TWC37322.189 9/06/2018 N E L EACH ACCIDENT E 'i3OOO1QOQ. 9/06/2019 - (MendaOoryt ire NN) E L DISEASE EA EMPLOYEES 1,000,000 I Myes; dAxt169 antler DE�SCR{PTHNJ Of.OPERATIONS •Jekw i ..... __.- ........ .....__. _ _ .... __._....--------------------------- E.L. DISEASE POLICY LIMIT I S 1;000,000 t I I DESCRIPTION OF OPERATIONS I LOCATIONS J VEHICLES IACORO 164; AddlttnrW Remarks SihedolA;;ntay be atlached it more spece Is "Wed) Contractor License: Lie IF EC13008f74 CERTIFICATE HOLDER CANCELLATION Miami Shores Village SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Building Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 10050 N.E. 2nd Ave. AUTHORIZED REPREWWATIVE Miami Shores, Fl. 33138 ASI 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 26 (2014/01) The ACORD name and toga are registered marks of ACORD