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EL-02-22-433Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address Parcel Number 920 NE 95TH ST, Miami Shores, FL 33138 1132060070010 Contacts Chad Ritch Owner D & R ELECTRICAL CONTRACTOR LLC Contractor 920 NE 95 ST DAVE BARNEY HENRIQUEZ 1875 NW 190 TER, MIAMI GARDENS, FL 33056 Business: 3057882015 dandr.electrical@hotmail.com Inspection Requests: Description: LOW VOLTAGE ONLY . WIRING FOR CABLE TV, Valuation: $ 5,600.00E a �' DATA, AUDIO AND CCTV 3�$ a R Total Sq Feet: 0.00 f Fees Amount Application Fee - Other $50.00 CCF $3.60 DBPR Fee $2.94 DCA Fee $2.00 Education Surcharge $1.20 Permit Fee $146.00 Scanning Fee $9.00 Technology Fee $4.90 Total: $219.64 Building Department Copy Payments Date Paid Amt Paid Total Fees $219.64 Credit Card 02/17/2022 $50.00 Credit Card 03/25/2022 $169.46 Credit Card 03/25/2022 $0.18 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 c struc - n and zoning. Futhermore, I authorize the above named contractor to do the work stated. Auth4md Signature: Owner / Applicant / Contractor / Agent Date March 25, 2022 Page 2 of 2 Miami Shores Tillage Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 BUILDING PERMIT APPLICATION D BUILDING rE-] ELECTRIC ❑ ROOFING FVQ 17 �O22 FBC 20� Master Permit No. C L 6 2-- C 2-- q33 Sub Permit No ❑ REVISION ❑ EXTENSION ❑RENEWAL [PLUMBING ❑ MECHANICAL ®PUBLIC WORKS 0 CHANGE OF (] CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 920 NE 95TH ST City: _ _ Miami Shores County: Miami Dade zip: 33138 Folio/Parcel#: 11-3206-007-0010 Is the Building Historically Designated: Yes NO x_ Occupancy Type: go�­ Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): CHAD RYAN RITCH Phone#: Address: 920 NE 95TH ST City: Miami Shores State: FL Zip: 33138 Tenant/Lessee Name: Phone#: Email: �1►�i1�1�,tL�CYiLgt}�pi�(i�i�.CG�1 - CONTRACTOR: Company Name: D&R Electrical Contractor LLC. Phone#: (305)788-2015 Address: 1875 NW 190 Terrace City: Miami Gardens State: Florida Zip; 33056 Qualifier Name: Dave HenriqueZ Phone#: p, State Certification or Registration #: ER13014803 Certificate of Competency 0: -E 0 0 I _ DESIGNER: Architect/Engineer: Address: City: hone#: Value of Work for this Permit: $ 5600 1�— Square/Linear Footage of Work: Type of Work: ❑ Addition [I Alteration ❑✓ New ❑ Repair/Replace Description of Work: LOW VOLTAGE ONLY, WIRING FOR CABLE TV DATA AUDIO and CCTV Zip: ❑ Demolition Specify color of color thru tile: F7 Submittal Fee $ Scanning Fee $ Technology Fee $i Structural Reviews $ (Revised02/24/2014) Permit Fee $ Radon Fee $ Training/Education Fee $ CCF $_ _ CO/CC $ . DBPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ 1 G `] , J�-,! 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 ` L OWNER or AGENT The foregoing instrument was acknowledged before me this day of120 22— by who Is personally known to moor who has produced identification and who did take an oath. NOTARY PUBLIC: Sign: paniela Cohen Print: ul tC !J _ Commission # GO 198866 .._r` 74 en')) Seal: ,.,� Bonded thlu Aaron Notary as Signature I ±CORACT RThe foregoing instru�mWedged before me this �b day of �i'CAMI"LY 20 aI by —,who is personally known to me r who has produced _ as identification and who did take an oath. NOTARY PUBLIC: Sign: Daniela Cohen Print:�°�``� - Expires: March 21, 2022 Seal: r�''•Up-�A3 ,��' one N t Aaron Notary APPROVED BY� l `'l��� Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Property Search Application - Miami -Dade County Page 1 of 1 R. OFFICE OF THE PROPERTY APPRAISER Summary Report Property Information Folio: 11-3206-007-0010 920 NE 95 ST Property Address: Miami Shores, FL 33138-2518 CHAD RYAN RITCH Owner JESSICA MARIE BUCK RITCH _..... _-_.._...._......._._...................... ................. ................. ....... ............_....... __.............. _............ __.._................................ 920 NE 95 ST Mailing Address MIAMI SHORES, FL 33138 USA PA Primary Zone .......... __________ ___............................................. _.................. ....... 1100 SGL FAMILY - 2301-2500 SQ _.... ............,.................. _...................................._........................ ........... ................ _.... 0066 VACANT RESIDENTIAL: Primary Land Use EXTRA FEA OTHER THAN PARKING Beds / Baths / Half 0/0/0 Floors 0 Living Units 0 Actual Area 0 Sq.Ft Living Area 0 Sq.Ft Adjusted Area . .............. _____......... _...... ...._....__........ _..................._.................................._..................__..............__.........._..........__.._................................................................ 0 Sq.Ft Lot Size 16,441.8 Sq.Ft Year Built 1954 __ Assessment Information Year 2021 2020 2019 _........ _. Land Value $526,059 _._......._.._-._._..___.._...._ $443,392 ... _._....................... ...... $443,392 Building Value $247,275 $250,219 $253,162 XF Value $9,508 $9,569 $9,638 Market Value $782,842 $703,180 $706,192 Assessed Value $713,024 $703,180 $706,192 Benefits Information Benefit iType 20211 2020 2019 Save Our Homes Assessment $69 818 Cap Reduction ___._....... . __.._._..._..._._............................................... Homestead Exemption _... .._............ _-r__..._... $25,0001 $25,000 $25,000 Second Homestead Exemption $25,000 $25,000 $25,000 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). (Short Legal Description 6 53 42 REDDING HEIGHTS SUB PB 45-84 LOT 1 LOT SIZE IRREGULAR OR 18822-1531 10 1999 1 Generated On : 2/17/2022 Taxable Value Information 2021 ......._......._._................2020 2019 .........._......_........_............... .........._.... ............ .... __...................................... ...... _.... ........................................ ___.... __--------- County Exemption Value $50,000 $50,000 $50,000 Taxable Value $663,024 $653,180 $656,192 School Board Exemption Value $25,000 $25,000 $25,000 Taxable Value $688,024 $678,180 $681,192 ....._..._.._._........... ___........... -._,_.......... .........._..............,.......................... __.... ____._.__ City Exemption Value $50,000 $5 ,000 $50,000 Taxable Value $663,024 $653,180 $656,192 Regional ..... ... _..._.....p._,.......... -............................................_......... ........... _......._.._.__......_..__._....._........................._0 __ _ __.._._..__ Exemption Value $50,000 $50,000 $50,000 Taxable Value $663,024 $653,180 $656,192 Sales Information Previous Sale Price OR Book -Page Qualification Description 09/29/2016 $865,000 30255-2534 Qual by exam of deed 08/28/2008 $650,000 26553-0503 Sales which are qualified 10/01/1999 . ........................ __...................._..._..._.........._._..._.......__.._._..._.._.._.._......_._..........._.._..._._.._......__._.._.__._...._.__......._.... 11/01/1995 $243,000 $175,000 18822-1531 17009 5051 Sales which are qualified _ . ._._..... Sales which are qualified The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Property Appraiser and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http://www.miamidade.gov/info/disclaimer.asp https://www.miamidade.gov/Apps/PA/propertysearch/ 2/17/2022 1, 3� —44 13 ... ............. ------------ . .. .... . BY V ':l -r ar c rM2 F7-- r7:-.7 ELECTRICAL LEGEND T­ FO 0 1p rrwm pz, <�LOW VOLTAGE LEGEND 1 cl EQUIPMENT ROOM 13 TV SERVICE DROP is DATA AND TELEPHONE WALL 1­1 U- CEILING DATA A60'Alopy CEILING SPEAKER f r-j�IM Na36 '10 " 1 11 m ON WALL SPEAKER INTERNET SERVICE PROVIDER DATA POINT 1p 0 --con C33 CEILING TV SERVICE DROP �-*�Z l 2 � 3 3 ALL WIRING RUNS TO EQUIPMENT ROOM EL 'TRICAL REVIEW------- E jd!:� -r- -/- 2�1 APPROVEDe��' -EVEL ELECTRICAL. .3S -c " . Ax A -11,Ld EA3 Z LOW VOLTAGE LEGEND FFQJEOUIPMENT ROOM 17 TV SERVICE DROP DATA AND TELEPHONE WALL CEILING DATA SP CEILING SPEAKER ON WALL SPEAKER ISP CEILING TV SERVICE DROP ALL WIRING RUNS TO EQUIPMENT ROOM It LCTRICAL REVIEVVIO,,,r,�Z APPROVE D/VFE- 211D LEVEL ELECTRICAL FLOOR PLAN CTQB Construction Trades Qualifying Board BUSINESS CERTIFICATE OF COMPETENCY' 12E000397 j D & R ELECTRICAL CONTRACTOR LLC D.B.A.: i HEN AVE Is certified under the provisions of Chapter 10 of Miami -Dade County • D LIVER L L,f DAVE BARNEY HENRIQW, 1875 NW 190TH TER � MIAMI GARDENS, FL 33066-0000 t Doe 02-11.1972 Stx M rota- rb2g-dnT3 s r ?'=KF-W£ #s>fvD,, gip: i2-iS7�2p €fi Qneretwn nt a motor — -= cw�. ro rrry xotuiaty tagr 1-4-w d by law Local Business Tax Receipt Miami —Dade County, State of Florida -THIS IS NOT A BILL - DO NOT PAY 7159129 BUSINESS NAME/LOCATION D & R ELECTRICAL CONTRACTOR LLC 1875 NW 190TH TER MIAMI GARDENS, FL 33056 OWNER D & R ELECTRICAL CONTRACTOR LLC r.1r) HFNRI01IF7 IIAVF Mr;RM Worker(s) 1 RECEIPT NO. RENEWAL 7436368 LBT EXPIRES SEPTEMBER 30, 2022 Must be displayed at place of business Pursuant to County Code Chapter 8A - Art. 9 & 10 SEC. TYPE OF BUSINESS PAYMENT RECEIVED 196 ELECTRICAL BY TAX COLLECTOR CONTRACTOR 45.00 09/30/2021 12E000397 0229-21-004632 This Local Business Tax Receipt only confirms payment of the Local Business Tax. The Receipt is not a license, permit or a certification of the holder's qualifications, to do business. Holder must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT NO. above must be displayed on all commercial vehicles - Miami -Dade Code Sec Ba-276. MIMI® For more information, visit www.miamidade govRaxcolleciar Z O W 2 LU 12 W Q in I Q Z WLLJ CID J _ ~ Q Q m ° v—Z, m Z Q Z Z u N p = Z W �-- W 'Q Ln J N u u z ce � :O=N Vi Z w 0 Q 0wt0 �!M 'Q W W W Q Z V M- U. V Q O V W o - co o ce G. (A Z op -i H Z �"` W 0 Q OU' Z Q +a U J e-+ fY1 W p ,Q V F W w a USp �xa W cn �'` N Viz¢ >o 0 O E-- cc W Z �► Qul V .— wr, Z Z a (' LL w� to O ~ Q uce V Z � - - •� m J 0 z C1 W L W V Q Ct W = 3 1— u > ? a Z E.. � Q o W w w a W w m _ LA W Q i— �' a 0 � 0 ACORO� CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 02/11 /2022 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 endorsements . PRODUCER ALL CITY INSURANCE INC. TACT INGRID HERRERA ONME CNA P"o"E . (305)463-9431 F°XNo).(305)436-6797 1400 NW 107th AVE E-MAIL GMAIL@ALLCITYINS.COM SUITE 210 INSURERS AFFORDING COVERAGE NAIC # DORAL FL 33172- INSURER A:US SPECIALTY INSURANCE COMPANY 29599 INSURED I SU E B : C : D&R ELECTRICAL CONTRACTOR LLC -INSURER INSUR RD: 1875 NW 190 TERRACE INSURER E : OPA LOCKA FL 33056- 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE T OCCUR U21AC107302.03 8/21/2021 08/21/2022 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED $ 100,000 MED EXP (Any oneperson) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS COMBINED SINGLE LIMIT BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Par arxident) $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ T TI WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under IPTIOE.L. NIA A WC STATU- OTH- M E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $ DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CONTRACTOR LICENSE# 12E000397 GERTII-ICAI E HULUtR t;ANGtLLAI IUN nr vvawa MIAMI SHORES BUILDING DEPARTMENT 10050 NE 2ND AVE MIAMI SHORES SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. FL 33138- I AUTHORIZED REPRESENTATIVE i ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD •�� v . CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 02/02/2022 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 (les) 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 FrankCrum Insurance Agency, Inc. 100 South Missouri Avenue Clearwater, FL 33756 CONTACT NAME: PHONE A/C, No, Ext : 800 277-1620 X 4800 FAX A/C, No): 727 797-0704 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURER A: Frank Winston Crum Insurance Company 11600 INSURED FrankCrum UC/F D & R Electrical Contractor LLC 100 South Missouri Avenue Clearwater FL 33756 INSURER B: INSURER C: INSURER D: INSURER E: INSURER F: CUVEKA0E5 GEKTIFIGATE NUMBER: USb42U 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 NERD SNUER VD POLICY NUMBER POLICY EFF (MMIDDNYYY) POLICY EXP (MM/DDIYYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP (Any one person) _ $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY F-1 PROJECT aLOC PRODUCTS-COMP/OP AGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO OWNED AUTOS SCHEDULED BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ ONLY AUTOS PROPERTY DAMAGE Per accident $ HIRED AUTOS NON -OWNED ONLY AUTOS ONLY UMBRELLA LIAB OCCUR EACH OCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DEC) RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N WC202200000 01/01/2022 01/01/2023 X PER STATUTE OTH- ERA E.L. EACH ACCIDENT 1 000 000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? a N/A (Mandatory in NH) If yes, describe under E.L. DISEASE -EA EMPLOYEE $t 000 000 DESCRIPTION OF OPERATIONS below 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) Effective 11/02/2020, coverage is for 100% of the employees of FrankCrum leased to D & R Electrical Contractor LLC (Client) for whom the client is reDortino hours to FrankCrum. Coverage is not extended to statutory employees. Miami Shores Village Building Department 10050 NE 2nd Avenue Miami Shores, FL 33138 AUTHORIZED REPRESENTATIVE ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD