EL-08-23-2099Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Permit No.: EL-08-23-2099
Permit Type: Electrical - Residential
Work Clossification: Alteration
Permit5tatus: Approved
Issue Date:09/13/2023 Expiration:03/13/2024
Location Address Parcel Number
1240 NE 97TH ST, Miami Shores, FL 33138 1132050090590
Contacts
KAREN VIDAL Owner RON KURTZ Owner
558 NE 94 ST, MIAMI SHORES, FL 33138
karen.s.vidall@gmail.com RBKACQ@GMAIL.COM
Yosniel Lopez
10423 SW 228 TER, Miami, FL 33190
Business: 7863029335 sdplelectricalservices@gmail.com
Description: INSTALL NEW CABINETS IN KITCHEN. Valuation: $ 500.00 Ins ection Requests:
INSTALATION TO INCLUDE BACKSPLASH . ELECTRICAL WHICH b5:-762-4949.
INCLUDED SMOKE DETECTORS WAS COMPLETED UNDER Total Sq Feet: 232.00
EL-05-21-1194
Fees
Amount
Application Fee - Other
$50.00
CCF
$0.60
DBPR Fee
$2.00
DCA Fee
$2.00
Eduction Surcharge
$0.30
Permit Fee
$50.00
Scanning Fee
$6.00
Technology Fee
510.00
Total:
$120.90
Payments Date Paid Amt Paid
Total Fees $120.90
Credit Card 09/13/2023 $120.90
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 ith all app' le laws
regulating constructio_d zoning. Futhermore, I authorize the above named contractor to do the work stated.
Authorized SjJ96ture: Owner 1 Applicant 1 Contractor / Agent
September 13, 2023 Page 2 of 2
RECEIVED
AUG 2 8 2023
Miami Shores Village
Building Department
.--
INSPECTION LINE PHONENUMBER 13051763J949 --I-VA
FBC 20 2 D
BUILDING Master Permit No C—G� �h_Zi3C�
PERMIT APPLICATION Sub Permit No �——� ` c l
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valve. of Work for this Permit: S Square/Linear Footageol Work,-
Type of Work: -[o •.: t!atTS
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Description cl Work
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5ubmatai Fve 5 60.0' Pcrmll Fee S _ �� `'0 CCF S� COICC S (15
S<annmg Fee S . �F,/_ DCA Fee S _. 2100 DBPR S 2• Notary S
"t:hnolcrf Fee S _I"•tO Training/Edccatlon Fee 5 0.%D _ Double Fee 5 __
Structural Reviews S -_ _. _ ___ P&Z Rewcw S If— Bond S -
TOTAL FEE NOW DUE S 12V-- qD
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Ov.%EF. S 4FFIOAVIT ..... .I . ...: ....... ....... ... ..,_, ... ...c _. ._ -
"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."
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CITY
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PUT DM' RECEPTACLE UNDER SINK. p' D
ALL FIXED APPLIANCES ON DEDICATED CKTS.
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APPROVED �L _DKTE
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Appro Date
Disapproved -Date_
2C 20.
Miami Shores Village Building Department
Zoning Dept. Date
Building Dept —Date �,� L
Subject to compliance with all Federal,
State and County rules and regulations.
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STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
ELECTRICAL CONTRACTORS' LICENSING BOARD
THE ELECTRICAL COMtRACTDR HEREIN rS CERTIFIED UNDER THE
PROVISIONSOF CF!HArl ER M9. ORIDA STATUTES
Atlu'tioml 8'aircK: 4.nliccaHon
SANCHEZ, MANUEL ALEJANDRO
SDVL ELECTRICAL CONTRACTOR INC
1{ 29 S4' 22UH TERRACE
aytl I FL 33190
PtlsJtIV
EICEN%�"1 377—�
EXPIRATION DATE: AUGUST 31, 2024
A ay "ffy6 ftman MIMyFI uceme
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s"' TNs is~license ItN unbwfulWPnyare aherthml tfie llcrosee m use this 4a.m m
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Loco�siness Tax Re640
Miami —Dade County, State of Florida
THi515 NOT A SILL - 00 NOT FAY
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SDPL ELECTRICAL CONTRACTOR INC RENEWAL
10423 SW 228TH TER. 7646155
MIAMI FL 33190-1388
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SDPLELeMICALCONTRACTOR INC 196 ELFCIRICALCONTF
CJOMANUELALF)fLNDRO`iNf,H17.QUAL+IIiR EC11612037
EXPIRES
SEPTEMBER 30, 2023
T lust be displayed at place of business
<. pursuant to County Code
Chnp;er 6A - rant. 9 & 10
'TORT raruisn+a� e+veo
try TAX COLLECT, ON
�33.75 12122J'022
ftrker(s) 2: 1NIT-2.3-221403
T6ls Local l3asigoss TaRRacaipt only conforms payrnmR of the Local The Recoigas note ilcaoso,
pa+ toil Or a csrtilution of the holders nonlifications, is dO bw6siot 8oldocn+ttyl Gllopty with any gbyalflmapial
nr naagoearransrAat iagulatoy laws and raqulremenas whie%apply to the bdsibass.
The RECEIPT NO, above nest be displayed on all cwtXwialvah
Por mars i+dormatian, visit yga+
ACaR 7 6
�. CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DDNYYY)
08/29/2023
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 endorsements .
PRODUCER
CONTACT NAME: Xamet Barreras
PHONE , (786) 539-5989 FAX No): (305) 356-1235
Temax Insurance Inc
AIL
AD""DRRESS: xamet@temaxinsurance.com
7400 SW 50 Ter
INSURERS AFFORDING COVERAGE
NAIL #
# 207
INSURER A: PENN AMER INS CO
32859
Miami FL 33155
INSURED
INSURER B : NORMANDY HARBOR INSURANCE COMPANY IN
13012
INSURER C :
SDPL Electrical Contractors Inc
INSURER D :
10423 SW 228 Ter
INSURER E :
INSURER F :
Miami FL 33190
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.
ILTRR
TYPE OF INSURANCE
ADDL
SUBR
POLICY NUMBER
MMIDQ EFF
POLICY EXP
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE a OCCUR
PAV0414186
01/06/2023
01/06/2024
EACH OCCURRENCE
$ 1,000,000
DAMAGE TO NTED
PREMISES Ea occurrence
$ 100,000
MED EXP (Anyone person)
$ 5,000
I
PERSONAL & ADV INJURY
$ 1,000,000
GEN'L
X
AGGREGATE LIMIT APPLIES PER:
POLICY JECT LOC
OTHER:
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS - COMP/OP AGG
$ 2,000,000
$
AUTOMOBILE LIABILITY
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
COMBINED SINGLE LIMIT
Ea accident
$
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
UMBRELLA LIAR
EXCESS LIAR
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
$
AGGREGATE
$
DED I I RETENTION $
$
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y 1 N
ANY PROPRIETOR/PARTNERIEXECUTiVE
OFFICER/MEMBER EXCLUDED? ❑Y
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
N ! A
NHFL0165512023
01/06/2023
01/06/2024
PER OTH-
STATUTE I I ER
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required)
Contractor license: EC13012037
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Miami Shores Village.
10050 NE 2 Ave
AUTHORIZED REPRESENTATIVE
Miami Shores FL 33138
01988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD