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EL-18-1687Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Permit'NO.: EL-6-18-1681 Permit Type. ^ Electrical - Residential Work Classification: Addition/Alteration PerrmitStaW; Approved Issue t ate:07/05/2018 Expiration: 08/21/2019 Location Address Parcel Number 148 NW 96 ST, Miami Shores, FL 33150 1131010240290 Contacts JOSE CABANILLAS RODRIGUEZ Owner AAA ON TIME ELECTRIC INC Contractor 600 NE 36 ST APT 1917, MIAMI, FL 33187 ROBERT KATZMAN Home: 7867478191 CABASCASITA@GMAIL.COM Business: 7862951748 s Inspection Requests: Description: REPLACE SWITCH AND REMODEL KITCHEN Valuation: $ 1,200.00 Ins 762 49Re 49 Total Sq Feet: 0.00 .J Fees Amount CCF $1.20 Change of Contractor $110.00 DBPR Fee $3.38 DCA Fee $2.25 Education Surcharge $0.40 Permit Fee - Additions/Alterations $225.00 Scanning Fee $3.00 Technology Fee $1.60 Total: $346.83 Payments Date Paid Amt Paid Total Fees $346.83 Credit Card 07/05/2018 $186.83 Credit Card 02/22/2019 $110.00 Credit Card 06/20/2018 $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 construction an zoning. Futhermore, I authorize the above named contractor to do the work stated. Authorized Signature: Owner / Applicant / Contractor / Agent Date February 22, 2019 Page 2 of 2 Miami Shores Village RECET7,7ED )FE2 2 019 Building Department 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 l FBC 201-2[ BUILDING Master Permit No.12 0,1 e "" 1 PERMIT APPLICATION Sub Permit No.�L��; ❑BUILDING ELECTRIC ❑ ROOFING ❑ R ISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: I N�1 y% A City: Miami Shores County: Miami Dade zip: Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: t Flood Zone: BFE: f9 FFE: OWNER: Name (Fee Simple Titleholder): ZOSe, �� _ c �V�a�; \ \ �� Phone#: LA 1 Address: City: kNANN;, Sh YES State: Zip: Tenant/Lessee Name: Phone#: Email: �1A /� CONTRACTOR: Company Name: AAA DN � � �LQ (� C. Phone#: Address: 6U !., 1j % eo fir City: d&—,4 �vl / State: /� Zip: Qualifier Name: Phone#: State Certification or Registration #: ooujD o Z8% 6 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ / 000 Square/Linear Footage of Work: Type of Work: ❑ Addition �2 Alteration ❑ New L 1 ❑Repair/Replace El Demolition Description of Work: Afy r+L ha "J'e Specify color of color thru tile: Submittal Fee $ 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 $ (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 OWNER or AGENT The foregoing instrument was acknowledged before me this day of �P�t► 120 by IY �Se wia1 t1�who is personal`Iy known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign: G Print: Seal: Signature G/ CONT16CTOR The foregoing instrument was acknowledged before me this 21 day of�, 20 by 6C .c who is personally known to as me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign:_ Print: s`, Notary Public - State of Florida Commission x GG 291685 Seal: My Comm. Expires May 4, 2023 Bonded through National Notary Assn. APPROVED BY Plans Examiner as Notary Public - State of Florida Commission it GG 291685 My Comm. Expires May 4, 2023 Bonded through National Notary Assn. Zoning Structural Review (Revised02/24/2014) Clerk $3.5,il :Xtra Services & Fees (check box, add leek ❑ Return Receipt Prardoopy) $ ❑ Return Receipt (electronic) $ ❑ Certified Mall Restricted Delivery $ I ❑ Adult Signature Required $ ❑Adult Signature Restricted Delivery $ 'ostage 0 55 otal Postage and ?,�4",s xb.0 ;enp,a%11�i7o ------ t. NO ity, , ate, ------------- 'ZIP+4a .„ „, • 'I Postma i J Here190, � G �y 14.1 M M 02, 111 Certified Mail service provides the following benefits: ■ A receipt (this portion of the Certified Mail label). for an electronic return receipt, see a retail ■ A unique identifier for your mailpiece. associate for assistance. To receive a duplicate ■ Electronic verification of delivery or attempted return receipt for no additional fee, present this delivery. 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However, the purchase (notavailable at retail). of Certified Mail service does not change the insurance coverage automatically included with certain Priority Mail items. � ■ For an additional fee, and with a proper endorsement on the mailpiece, you may request the following services: - Return receipt service, which provides a record of delivery (including the recipient's signature). You can request a hardcopy return receipt or an electronic version. For a hardcopy return receipt, complete PS Form 3811, Domestic Return Receipt, attach PS Form 3811 to your mailpiece; ■ To ensure that your Certified Mail receipt is accepted as legal proof of mailing, it should bear a USPS postmark. If you would like a postmark on this Certified Mail receipt, please present your Certified Mail item at a Post Office' for postmarking. If you don't need a postmark on this Certified Mail receipt, detach the barcoded portion of this label, affix it to the mailpiece, apply appropriate postage, and deposit the mailpiece. IMPORTANT. Save this receipt for your records. PS Form SHOO, APHI 2015 (Reverse) PSN 7530-OMOO-9047 02-10-19 To: Sunshine Electrical Contractors Corp From: Jose E Cabanillas Re: Open Contractor Permit Cancellation Hello Mr. Mariano Santiesteban, The purpose of this letter is to inform you that for property address 148 NW 96" street Miami Shores, FL 33150 contractor permit no. EL-6-18-1687 will be closed and no longer be using your services. Please confirm acceptance and receipt of this letter by replying to the property address. Sincerely, Jose E. Cabanillas s USPS.com® - USPS Tracking® Results Page 1 of 2 USPS Tracking® FAQs > (https://www.usps.com/fags/uspstracking-faqs.htm) Track Another Package + Tracking Number: 70181130000169565148 Expected Delivery on THURSDAY FEBRUARY 142019(D OV Delivered See Product Information \/ February 14, 2019 at 5:14 pm Delivered, Left with Individual MIAMI, FL 33144 Get Updates \/ Remove X m m a Cr v n X Text & Email Updates u Tracking History u Product Information u See Less ^ https://tools.usps.com/go/TrackConfirmAction?tLabels=70181130000169565148 2/22/2019 USPS.com® - USPS Tracking® Results Page 2 of 2 Can't find what you're looking for? Go to our FAQs section to find answers to your tracking questions. FAQs (https://www.usps.corn/faqs/uspstracking-faqs.htm) m m a v n 77 The easiest tracking number is the one you don't have to know. With Informed Delivery®, you never have to type in another tracking number. Sign up to: • See images* of incoming mail. • Automatically track the packages you're expecting. • Set up email and text alerts so you don't need to enter tracking numbers. • Enter USPS Delivery InstructionsT"' for your mail carrier. Sign Up (https://reg.usps.com/entreg/RegistrationAction_input? *NOTE: Black and white (grayscale) images show the outside, front of letter -sized envelopes and mailpieces tlWWWj3-�ai9tomated equipment. https://tools.usps.com/go/TrackConfirtnAction?tLabels=70181130000169565148 2/22/2019 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CHANGE OF CONTRACTOR / ARCHITECT Permit N. Owner's Name (Fee Simplq Title Holder): J(j � r G'A% Phone #: Ix1Mk� Owner's Address: p City: �L1\0se 3 Job Address (Of where work is being done): State : rL, Zip Code: ( 570 City: Miami Shores State: —Florida Zip Code: Contractor's Company Name: k OI�� J►.Q,1Gt�(, Phone #: 1 l� 1A Q Address: (or, ( IYVJ `�j At"r City: K44 .I State: Zip Code: ,jam Qualifier's Name:. Vd1AlA )% wl,& Lic. Number: Architect/ Engineer of Record Name: Address: City: _ Describe Work: J)Q.- State: Phone #: Zip Code: hereby certify that the work has been abandoned and/or the contractor/architect is unable or unwilling to complete the contract. I hold the Building Official and the Miami Shores harmless of all .legal involvement. Signature Owner or Agent The foregoing instrument was aknowledged before me this _ day of ,20 ,by Who is personally known to me or who has produced Notary Public: Sign: Seal: Signature as indentification. Contractor or Architect The foregoing instrument was aknowledged before me this day of , 20 by who is personally known to me or who has produced Notary Public: Sign: Seal: indentification. `SNORES Miami Shores Village a.... 10050 N.E. 2nd Avenue NW . '... Miami Shores, FL 33138-0000 -�` "'F Phone: (305)795-2204 �r"v� oii Permit Iva EL-6-18-1687 1e Permit Type: Electrical - Residential Work Ctassifrcation: Addition/Alteration Permit Status: APPROVED Issue Date:7151201`8 1 Expiration: 01/0112019 Project Address Parcel Number Applicant 148 NW 96 Street 1131010240290 Miami Shores, FL 33150- Block: Lot: OCA CORP TRS Owner Information Address Phone Cell OCA CORP TRS 148 NW 96 Street MIAMI SHORES FL 33150- 148 NW 96 Street MIAMI SHORES FL 33150- Contractors) Phone Cell Phone SUNSHINE ELECTRICAL CONTRACT( (305)268-4958 e of Work: REPLACE SWITCH AND REMODEL KITCHEN itional Info: REPLACE SWITCH AND REMODEL KITCHEN ssification: Residential nning: 1 Fees Due Amount CCF $1.20 DBPR Fee $3.38 DCA Fee $2.25 Education Surcharge $0.40 Permit Fee - Additions/Alterations $225.00 Scanning Fee $3.00 Technology Fee $1.60 Total: $236.83 Valuation:=1,200.00Total Sq Fee Pay Date Pay Type Amt Paid Amt Due Invoice # EL-6-18-67987 07/05/2018 Credit Card $ 186.83 $ 50.00 06/20/2018 Credit Card $ 50.00 $ 0.00 Avauame Ins Inspection Type: Final Meter Box Alteration Relocation Fire Alarm Service Chanoe 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. OWNERSJAF certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constructiF uthermore, I/authorize the above -named contractor to do the work stated. July 05, 2018 Aut o z Signature: Owner / Applicant / Contractor / Agent Date Buildi g Department Copy July 05, 2018 1 i 0 V BUILDING Miami Shores Village Building Department RECEIVED 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 JUN 2 0 2018 Tel: (305) 795-2204 Fax: (305) 756-8972 QLAI INSPECTION LINE PHONE NUMBER: (305) 762-4949 L_ h PERMIT AP TEILECTR ATION ❑BUIL,PING IC Ej ROOFING �(C Q F1/B�C201'q Master Permit No. I y ' w 13r Cl Sub Permit No. k - l`-r '. ❑ REVISION ❑ EXTENSION ❑RENEWAL r"•,.-LUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION [:]SHOP CONTRACTOR DRAWINGS JOB ADDRESS: I 1 D IV vi R City: Miami Shores County: Miami Dade Zip: —5. ( �— y folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): DC A Co R P TES Phone#N Address: CityA Stater Zipi( Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: c f �`n B;, ,, %� , �7 QVI At N e' �ilX g U�Qt w1 II M C 164hone#: 7 S6 C/V 3 71 /0 Address: t _J 0 O S W d City: Wl(,1.kk State: 7 Zip: > Qualifier Name: MQ �L� S 19 i`l l /:�P Sfe- 6a Phone#: -7 p6 LF((3 9 9'y 7 State Certification or Registration �`-7Yl #: EC 13 C -20 / Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ o 1, 21Gy .�—. Square/Linear Footage.of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition Description of Work: 1� Q �{ ('�� ({ R� Qy�d PJIY►LD&h&?1 4_-r�t(h.&Q Specify color of color thru tile: Submittal Fee $ 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 $ (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 an at 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 &�t� OWNER or AGENT 1 Z, . d-.4 Signature CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this _ day —off 20 /9. —,by day of 20 (R by who is personally known to M rkrOSW,"0,JW1 is personally known to me or who has produced as me or who has produced M AALt4W as identification and who did take an cp oath. identification and who did take an oath. 1 t� e�&j P so !...- CARL09 MRUA NOTARY PUBLIC: # x MY C,:?;1 i sSION 8 FF 217605 � v /j of Liu,,"', im, Go sci Sowry Sonloee Sign:_ G CARLOS PADW Print: Seal: rnn, a -ON W4 Nwviow NOTARY PUBLIC: Sign: Print: AyAw i. Seal: AN1CIEZ -MYt1�0011FEIOglFff1S11b •• EXPIRES: AUG 25, HIS Bonded through 1 St Stabs Insurance APPROVED BY 2b JU,v )&fans Examiner Zoning Structural Review Clerk (Revised02/24/2014) i Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Nouce Io VWner — WorKers" compensation insurance txemation Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full-time employees, including the owner, must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if: 1. The officer owns at least 10 percent of the stock of the corporation, or in the case of an LLC, a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State, Division of Corporations; and 3. The corporation is registered and listed as active with the Florida Department of State, Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use day labor, part-time employees or subcontractors for your project. The contractor has provided an affidavit stating that he or she will be the only person allowed to work on your project. In these circumstances, Miami Shores Village does not require verification of workers' compensation insurance coverage from the contractor's company for day labor, part-time employees or subcontractors. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: . J-109 � Owner State of Florida County of Miami -Dade The foregoing was acknowledge before me this 3/ day of �. 204 �`�r�� B �sU CARLOSMUUA who is perse 11 me or has produced * EXPlktb:..pnl 1 ury fication. / �OF � � Notary: C/a g � �o�►s�! CARLOS PADU A MY COMMISSION 9 FF 217W5 SEAL: a EXPIRES: A46.2019 ��oFF� WdedThU8UdpMWWYSV4Mo SUNSHINE ELECTRICAL CONTRACTOR EC13005807 1300 SW 85 COURT Miami, FL 33144 Phone# 786-443-9590 Date: June 5, 2018 State Of Florida County: Miami Shores Village Miami Shores, FL 33138 Before me this day personally appeared �EX,ri f,VLO 5�,n�2S`te�4 Who being duly sworn, deposes and says: That he or she will be the onl 1 �/o P w' C/ ractor Signature son working in the project located at Sworn to (or affirm) and subscribed before me this By Mao aYIO Sc—tte S 5 day of 3 UA0 20 LY Personally Know Or produced identification Type identification Produced a Print, type or stamp name of Notary ANTONIO E. GOMEZ r*; r MY COMMISSION#FF913115 EXPIRES: AUG 25, 2019 Bonded through tslState !nsurance