The URL can be used to link to this page

EL-19-2810Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Issue Date:12/09/2019 Location Address Parcel Number 726 NE 92ND ST 9L, Miami Shores, FL 33138 1132060440470 Contacts Permit NO.: EL-1 1 -19-2810 Permit Type: Electrical - Residential Work Classification: Alteration Permit Status: Approved Expiration: 06/08/2020 LUIS ENDARA Owner PHIXSER SOLUTIONS LLC Contractor 726 NE 92 ST 9L, MIAMI SHORES, FL 33138 FRANCISCO GONZALEZ Home: 8032125599 4400 SW 160 AVE 1019, MIRAMAR, FL 33027 Business: 7862669306 Description: REPLACE REGULAR OUTLETS FOR GFCI OUTLETS Valuation: $ 500.00 Inspection Requests: 305-762-4949 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 $9.00 Technology Fee $2.50 Total: $116.30 Payments Date Paid Amt Paid Total Fees $116.30 Credit Card 12/09/2019 $66.30 Credit Card 11/22/2019 $50.00 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 AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating-qonstruction and_zoning. Futhermore, I authorize the above named contractor to do the work stated. Authorized Signature: Owner / Applicant / Contractor / Agent Date December 09, 2019 Page 2 of 2 Miami Shores Village No 2 2 Zo�g Building Department Y. 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 B Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 �r� FBC� 20 � BUILDING Master Permit No."1 L Il- «-2e'0`y PERMIT APPLICATION sub Permit No --VI. —_ � �— j!j — 2_9 �-b ❑BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 726 NE 92ND STREET, 9L City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 11-3206-044-0470 Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): LAURA HAAYEN ENDARA TR Phone#:803-212-5599 Address:726 NE 92ND STREET, 9L City: MIAMI SHORES State: FL Zip: 33138 Tenant/Lessee Name: Phone#: Email: Iouisend770@yahoo.com CONTRACTOR: Company Name: 1CS U t so n,5 K Phone#: r�b�� I `✓ Address: W 0 0 s(-3 -AV /— City: I 6V_ State: -'00 Zip: _Z23OL4 Qualifier Name: '�RAVMW Phone#: State Certification or Registration #: EC I _;V03:4- G8 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ 15cp Square/Linear Footage of Work: Type of Work: ❑ Addition [N Alteration ❑ New Repair/R lace ❑ Demolition (I_ - Description of Work: L) �� `3 G�C1 U Lts P Specify color of color //thh�ru tile: c Submittal Fee $ uV Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ TOTAL FEE NOW DUE $ 66 •a n (Revised02/24/2014) Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) N/A Mortgage Lender's Address N/A 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. Signatu &j N4 OWNER or AGENT The foregoing instrument was acknowledged before me this 2—day of NQVW d 20 vl by LAu ENDARA, BY Lu EN ARA under POA who is personally known to me or who has produced FL D/L E536-525-66-259-0 as identification and who did take an oath. NOTARY PUBLIC: Print: Seal: , ,� TOMI KELLY 6 Notary Public, State of Florida Commission# GG 238887 My comm. expires Nov. 29, 2020 Signature if"A CO TRACTOR The foregoing instrument was acl)n_owlledged before me this day of ,I �,20 by L't5C0 is personally known to me or who has produced 3(%VZ L l C4MSe- as identification and who did take an oath. NOTARY PUBLIC: Sign: ///a Print: ,A Seal: �"" MARIA L. HARD Commission #GG222791 My Commission Expires Ma 29 2022 ############################################################### APPROVED BY eFjg:4L/®!✓ J,*lans Examiner Zoning Structural Review Clerk (Revised02/24/2014) S) lorrs PU •t EAST CONDOMINIUM ASSOCIATION'. November 19, 2019 Miami Shores Village Building Dept. 10050 NE 2nd Ave Miami Shores, FL 33138 Dear Sir/Madam, The enclosed is to inform you that the Shores Plaza East Condominium Asso., has authorized "Phixser Solutions, LLC" EC13008748; CFC 1429977; to perform work at unit 9L at 726 NE.92 ST, Miami Shores, FL 33138. Work consisting of "Remove auxiliary sink and cap pipes in kitchen, install GFI outlets in.the bathroom and kitchen, and insure that electrical outlets in the kitchen are up -to -code. Should you have any questions- regarding the enclosed, please feel free to contact our office. Sincerely Carlos Talavera Vice -President 745 NE 91 ST, Miami Shores, FL 33138 (305) 759-9069 info@shoresplazaeastcondo.com 41WE . • -STATE OF FLORIDA DEPARTMENT OF BUSIN FESSIONAL REGULATION w. ELECTRICA t w,Yl ` _ � A. NGBOARD V • IJ E • y s r �•� `�� fir., � � f � w♦ ' w • • a r' �.� iaacs�rr .��'i�l� 1 20 Always verify licenses online at MyFloridaLicense.,corn 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. ❑ T 'r Local Business Tax I:ceil P't Miami -Dade County, State of Florida -THIS IS NOT'A BILL - DO NOT PAY 72866I7 .-' __ ... BUSINESS NAME/LOCATION PHIXSER SOLUTIONS LLC 15271 NW 60TH AVE # 104 MIAMI LAKES FL 33014 OWNER PHIXSER SOLUTIONS LLC VGJO.RGEWRB.: Worker(s) 3 RECEIPT NO. EXPIRES RENEWAL SEPTEM BER'X2020 7575118 Must be displayed -at place of business Pursuant to County Code Chapter 8A - Art. 9 & 10 SEC. TYPE'g5 BUSINESS 196 ELECTRICAL CONTRACTOR EC13008748 PAYMENT RECEIVED BK TAKCOLLECTOR $0.00 4111/2019- CREDITCARD— 19-05-47-55 This Local Business Tax Receipt only confirms payment of the local Business Tax. The Receipt is nova license, permit, or a certification of the holder's qualifications, to do business. Holder must comply with any governn)ental of non go vernmenta I -regulatory laws and requirements which apply to the business. ...:,., + The RECEIPT NO. above must be displayed *on all commercial vehicles - M oh -Dade Cede Sec SA 06 '4 For more information, vomit www.miamidade.yoyAaxcollector CERTIFICATE OF LIABILITY INSURANCE FDAT1/21/2019 Y) 1/21/019 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 have ADDITIONAL INSURED provisions or 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: Wendy DeHollander CoverWallet, Inc. 100 Ave. of the Americas, Floor 16 New York, NY. 10013 NE AX /C No): LPA No, Ell: 646 844-9933 A/C. E-MAIL ADDRESS: customer.service@coverwallet.com INSURERS AFFORDING COVERAGE NAIC 11 INSURER A: NorGUARD Insurance Company 31470 INSURED Phixser Solutions LLC INSURER B INSURER C : 15271 Northwest 60th Avenue INSURER D : Hialeah, FL, 33014 INSURER E : INSURER F : 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 INSURANCE ADDL SUER POLICYNUMBER POLICY EFF MWDDNYYY POLICY EXP MWDDNYYY LIMITS X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 7 OCCUR NXT98LQLA6 00 GL 8/22/2019 8/22/2020 EACH OCCURRENCE $ 1,000,000.00 DAMA E TO RENTED PREMISES Ea occurrence $ 100 000.00 MED EXP (Any one person) $ 10 000.00 PERSONAL & ADV INJURY $ 1,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY jE LOC GENERAL AGGREGATE $ 2,000,000.00 X PRODUCTS - COMP/OP AGG $ 2,000,000.00 $ OTHER: AUTOMOBILE LIABILITY OMBINED SINGLE LIMIT I$ Ea accident BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY r $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICERIMEMBEREXCLUDED? (Mandatory in NH) N/A PHWC068925 10/31/2019 10/31/2020 X STATUTE ERH E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYEE $ 100,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EC13008748 CFC1429977 larl I IrIGA 1 t r1ULUrh GANGGLLA 1 IUN Miami Shores Building Department 10050 NE 2 Ave Miami, FL, 33138 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 @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD