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ELC-19-1165Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address 1-11 V(�"j n Issue Date: 09/06/2019 Parcel Number 1700 NE 105TH 5T 414, Miami Shores, FL 33138 1122300500710 Contacts Permit NO.: ELC-05-19-1165 Permit Type: Electrical - Commerl Work Classification: Ait+eration Permit status: Approved Expiration: 03/04/2020 ANA PEDREGUERA Owner SONDER ELECTRIC SERVICE INC Contractor 1700 NE 105 ST 414, MIAMI SHORES, FL 33138 REYNERIO GONZALEZ Home: 786-380-8254 11780 SW 18 ST #420, MIAMI, FL 33175 Business: 3052163546 SONDER11@GMAIL.COM Description: KITCHEN OUTLETS AND GFI REPLACE CEILING Valuation: $ 2,950.00 Inspection Requests: LIGHTS 305'762-4949 TotalSq Feet: 160.00 Fees Amount Application Fee - Other $50.00 CCF $1.80 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.60 Permit Fee $50.00 Scanning Fee $3.00 Technology Fee $2.50 Total: $111.90 Payments Date Paid Amt Paid Total Fees $111.90 Credit Card 09/06/2019 $61.90 Check # 1550 05/21/2019 $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 acc ate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authori4Ahe*-4ovpna d contractor to do the work stated. Authorized Signature: Owner / Contractor / / Agent Date September 06, 2019 ' Page 2 of 2 ,J Z Q H � 1'io Ha1Juan Carlos Fernandez oyss�� i Chief Estimator Z Po Box: 140625 Coral Gables, 33114 Office: (305) 359-3492 - Cell: (305) 968-1625 C p Entail: KoAnouvilleCC.com ri 3NOUVILL a;I CONSULTING AND CONSTRUCTION, LLC Miami Shores Village Building Department MAY 212019 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 201q � BUILDING Master Permit No.c(-(3�"kpt —k3s PERMIT APPLICATION Sub Permit No. �'L OS-1q -" 6S ❑ BUILDING] ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION RENEWAL LP ❑PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: cc /V / / 0 S S� �� Id `//I/ City: Miami Shores County: Miami Dade Zip: 33 13 dp Folio/Parcel#: # Z-230 050 (p-/ O Is the Building Historically Designated: Yes NO ✓ Occupancy Type: Load: Construction Type: Flood Zone: BFE: FIFE: OWNER: Name (Fee Simple Titleholder): Phone#: Address:: Aug ! -rf-sl—f/vg City: State: y1 69a 0.4 Zip: 33 1 3; Tenant/Le see Name: 4 Phone#: '7F6 - 3yo7Fscy Email: rj- t-c CONTRACTOR: Company Name: JCl n rlC Phone#: Address:'' II10Z Z f 9W � T S t qt City: am ( L Zip: 3 3� Qualifier Name: i Stat Phone#: S"Zt 6 3546 State Certification or Regis ation #: Q D D I S3 OCR Certificate of Competency #: ©®F— ©©Q 4V%, DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: n . o Value of Work for this Permit: $�� C Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition ption of WoH%�.' Specify color of color thru tile: Submittal Fee $ SL . Permit Fee $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ CCF $_ DBPR $ CO/CC $ Notary $ Double Fee $ Bond $ / �( TOTAL FEE NOW DUE $ (U L? (Revi sed02/24/2014) 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.1/� Signature Signatu OWNER or AGENT The foregoing instrument was acknowledged before ime this 1 1 n day of S 20 1, by i !{, c'✓ � who is person j known to me or who has produced The foregoing instrument was acknowledged before me this 4rJday of 20 l9 by who is personally known to as me or who has produced identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: as `�ti P0.Y , Sign: o YLNIS GUi8jLA Sign: Print: *i= C is io �u 1 9 Print: '�9rFOF y • o in. xpires un , �. _ 1 ° Ramon Martinez F,��, Seal: "' "' Bonded t rough iValional i`o(ary /a Seal: 1�y so NOTARY PUBLIC CV i +STATE OF FLORIDA Comm# FF95001260 R**1sEt0*0 **********************************************************************sfhkf **a********s* APPROVED BYlans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Miami -Dade County - Building and neighborhood Compliance Office Page 1 of 1 Contractor Number: Contractor name: Address: City, St, Zip: Phone: Other Phone: Fax: Email: D/B/A: Contractor Status: Contractor License Information OOE000469 SONDER ELECTRIC SERVICE INC 10221 SW 87 ST MIAMI (305)216-3546 (786) 254-7677 SONDER11@BELLSOUTH.NET ACTIVE FL 33173 Class Category Category Description IExpiration Date ELEC 1 ELECTRICAL r 09/30/2019 CONTRACTOR INQUIRY COMPLETE BCCO Contractor Inquiry and Complaint Search I BCCO Home Page I State License Search Menu • Home I About I Phone Directory I Privacy I Disclaimer © 2001 Miami -Dade County. All rights reserved. http://egvsys.metro-dade.com: 1608/WW WSERV/ggvt/BNZAW 941.DIA?CNTR=00E000... 5/21 /2019 ii I orni Fri ni n .qTix Rn.r:p.i rat Miami --Dade County, State of Florida -THIS IS NOT A BILL - DO NOT PAY i 4384624 a BUSINESS NAM EILOCA TION SONDER ELECTRIC SERVICE INC 10221 SW 87TH ST MIAMI, FL 33173 OWNER SONDER ELECTRIC SERVICE INC Worker(s) 2 RECEIPT NO EXPIRES RENEWAL SEPTEMBER 30, 2019 4576154 Must be displayed at place of business Pursuant to County Code Chapter 8A - Art. 9 & 10 SEC. TYPE OF BUSINESS PA YENT 196 ELECTRICAL BY TAX CORLLECTOR CONTRACTOR 75.00 08/06/2018 OOE000469 0206-18-000422 This Local Business Tax Receipt only con"rms payment of the local Business Tax. The Receipt is not a license, perm t, or a certi "cation of the holder's quali "cations, to do business. Holder must comply with any governmental or nongovernmental regulatory laws and requirements which appl y to the business. The APT NO above must be displayed on all commercial vehicles - Miami -Dade Code Sec 8a-276. M For more inforniation,vi sit wLNw.njanjdade.gov/taxcoI I ector Muni ci pal Contractor's Tax Recei pt Miami -Dude County, State of Florida -THIS IS NOT A BILL -DO NOT PAY • • Il:ill•.• BUSINESS NAM ElLOCA TION RECEIPT NO. EXPIRES SONDER ELECTRIC SHZv10E INC 10221EPTEMBER 3 0 , 2 019 SW87TH SrST 7548224 MIAMI, FL 33173 Pursuant to County Code Sec 10-24 OWNER TYPE OF BUSINESS SONDER E.ECfR1C SEI:UCE INC ELECTRICAL CONTRACTOR P A Y M ENT RECEIVED BY TAX COLLECTOR 200.00 08/ 0612018 0206-18-000422 This receipt is not valid in the following Municipalities Aventura, Dora], Hialeah, Key Biscayne, Miami Cerdens, Miami Lakes, Palmetto Bay, Pinecrest, Sunny Isles Beach, Town of Outler Bay MIAM Fbr more informatiolnn, visit www,rrdar�rdade. ,1 < -- gov/talccd(_ectgf ACORrn CERTIFICATE OF LIABILITY INSURANCE `--�"1 FMTE(MM/DD/YYYY) 05/17/19 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 Amtrust Insurance Group COANTACT M : pHONE (305)275 0810 FAX, No): (305)275 0890 8100 SW 81 Drive, Ste 280 E-MAIL info@amtrustinsurance.net INSURERS AFFORDING COVERAGE NAIC # Miami, FL 33143 INSURER A: Scottsdale Insurance Company Phone (305) 275-0810 Fax (305) 275-0890 INSURED INSURER B: Am Trust North America INSURER C : Sonder Electric Service, Inc. INSURER D : 10221 SW 87 St INSURER E : Miami, FL 33173- (305) 218-7574 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, THEINSURANCE 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 ADD UBR POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP MM/DD/YYYY LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY ❑ ❑ CLAIMS -MADE Z OCCUR 0 Primary & Non -Contributory Y Y CPS2687465 06/30/2018 O6/30/2019 EACH OCCURRENCE $ 1,000,000.00 AGE To0 PRE SES Ea occurrence) $ 100,000.00 MED EXP (Any one person) s 5,000.00 PERSONAL & ADV INJURY $ 1,000,000.00 n BlanketA.l. & Waiver GENERAL AGGREGATE s 2,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: 0 POLICY ❑ PRO- jECT ❑ LOC PRODUCTS-COMPIOP AGG $ 1,000,000.00 $ B AUTOMOBILE LIABILITY ❑ ANY AUTO ALL OWNED ❑ SCHEDULED © AUTOS AUTOS NON -OWNED ❑ HIRED AUTOS ❑ AUTOS ❑ ❑ COMBINED SINGLE LIMB Eaccident a $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident $ PROPERTY DAMAGE Per accident $ $ ❑ UMBRELLA LIAB ❑OCCUR ❑ EXCESS LIAB ❑ CLAIMS -MADE EACHOCCURRENCE $ AGGREGATE $ ❑ DED ❑ RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTNE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) ❑Y H yes, describe under DESCRIPTION OF OPERATIONS below N / A N AWC1050043 06/30/2018 06/30/2019 ❑ WC STATU- © OTH- E.L. EACH ACCIDENT -- $ 1,000,000.00 E.L. DISEASE - EA EMPLOYE s 1,000,000.00 E.L. DISEASE - POLICY LIMIT $ 1,000,000.00 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) ELECTRICAL CONTRACTOR I i L;tK I IHL;A I HOLDER CANCELLATION Miami Shores Village Buidling Department 10050 NE 2nd Ave Miami Shores, FL 33138 ACORD 25 (2010105) QF 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 01988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD