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EL-09-23-2329Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address 9880 NE 9TH AVE, Miami Shores, FL 33138 Cnntarts Permit NO.: EL-09-23-2329 Permit Type: Electrical -Residential Work Classification: Alteration Permit Status: Approved Issue Date: 10/13/2023 Expiration: 04/15/2024 Parcel Number 1132060142400 JENSSCHWARTE Owner MOODY ELECTRIC INC Contractor 9880 NE 9 AVE, MIAMI SHORES, FL 33138 JOHN B MOODY Other: 3059873741 603 N 21 ST AVE, HOLLYWOOD, 33020 Business: 9543675989 barney@moodyelectric.com Description: INSTALLATION OF 30AMP LINE FOR CHARGING i Valuation: $ 1,650.00 Inspection Requests: CAR 305 762-4949 Total Sq Feet: 0.00 Fees Amount Application Fee - Other $50.00 CCF $1.20 Contractor Registration Fee - First Time $50.00 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.60 Permit Fee $50.00 Scanning Fee $9.00 Technology Fee $10.00 Total: $174.80 Building Department Copy Payments Date Paid Amt Paid Total Fees $174.80 Credit Card 10/13/2023 $74.80 Credit Card 09/26/2023 $50.00 Credit Card 09/21/2023 $50.00 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 AF IDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulajieg-cgZjuction andAc4ing. Futhermore, I authorize the above named contractor to do the work stated. 1yvy\ re N kQ V c Owner / Applicant / Contractor / Agent Date --/3 October 13, 2023 Page 2 of / ENI. : 7 Miami Shores Village P� 3 Building DepartmentX 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 20ao BUILDING Master Permit No. PERMIT APPLICATION sub Permit No. ❑BUILDING Q ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 9880 NE 9th Ave. City: Miami Shores County Miami Dade Zip: Folio/Parcel#:11-3206-014-2400 Is the Building Historically Designated: Yes NO X Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Jens Schwarte Phone#:305-987-3741 Address:9880 NE 9th Ave. City: Miami Shores State: FL Zip: 33138 Tenant/Lessee Name: N/A Phone#: Email: J•w•schwarte@gmail.com CONTRACTOR: Company Name: Moody Electric Phone#: 305-758-2000 Address: 603 N. 21 st Ave. Email: Permits@moodyelectric.com Qualifier Name: John B. Moody Phone#: 305-758-2000 State Certification or Registration M Certificate of Competency #: 22E000393 DESIGNER: Architect/Engineer: N/A Phone#: Address: _Zip: Value of Work for this Permit: $ 1,650.00 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration Q New ❑ Repair/Replace ❑ Demolition Description of work: Installation of 30amp line for charging car. Specify color of color thru Submittal Fee $ Permit Fee $ Scanning Fee $ DCA Fee $ CCF $ CO/CC $ DBPR$ Notary!. Technology Fee $ Training/Education Fee $ Structural Reviews $ P&Z Review $ Double Fee $ Bond $, (Revised04/05/2022) TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) Bonding Company's Address N/A City Mortgage Lenders Name (if applicable) N/A Mortgage Lenders Address N/A City N/A State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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 Signature 61 OWNER or AGENT CONTRACTOR The foregoing instrument was ackno(w�ledged before me this day of rr II ^^ d� � 20 by _c ��� rSCl1VSLl tC who is ersonally known to V. or who has produced identification and who did take an oath. NOTARY PUBLIC: The foregoing instrument was acknowledged before me this 11) day of S_T i hrr' 20 2Z) by John 13. lYlfX YiU who is personally known to as � who has producedas identification and who did take an oath. NOTARY Print: I ' Print: f Seal' '� �. CornrnLsslon;HH 1762 Seal. eECAMUNOZ al: Y Notary Punt: of=! o da �'A`��w2=, 2025 r y`r CommfssfonMHH 429755 OrM1°' BantleA ll"ugw�tNohryt.Mo»� n-° - Mytomm. Expires SeP S, 2027 Bonded through National Notary Assn. 44i4ttti4i#4i###tiii}}}i4443iiti34444i4433i4i444i443R##4i444t4##44t APPROVED BY 40�� %V 1�72,? Plans Examiner Structural Review (Revised04/05/2022) Clerk •`4 ReportOFFICE OF THE PROPERTY APPRAISER Summary Generated On: 09/21/2023 Folio 11-3206-014-2400 - 9880 NE 9AVE Property Address MIAMI SHORES, FL 33138-2510 Owner JENS W SCHWARTE , MEGAN N SCHWARTE Mailing Address 9880 NE 9AVENUE MIAMI SHORES, FL 33138 Primary Zone 1100 SGL FAMILY - 2301-2500 SO Primary Land Use 0101 RESIDENTIAL -SINGLE FAMILY: 1 UNIT Beds I Baths /Half 3/3/0 Floors 1 Living Units 1 Actual Area 1,922 Sq.Ft Living Area 1,574 Sq.Ft Adjusted Area 1,748 Sq.Ft Lot Size 6,780.34 Sq.Ft _ Year Built 1959 •i - - i -- Year 2023 2022 2021 Year 2023 2022 2021 COUNTY Land Value $404,621 $300,771 $185,555 Exemption Value $50,000 S50,000 $50,000 Building Value $196,510 $166,899 $126,730 Taxable Value $204,757 $195,236 $188,094 Extra Feature Value $2,164 $0 S0 SCHOOL HOARD Market Value _ $603,295 $467,670�$312,385 Exemption Value $25,000 S25,000 $25,000 Assessed Value $254,757 $245,236 $238,094 Taxable Value $229,757 $220,236 $213,094 az , "�.e "9/ti sSt .. •. 1CITY Benefit Type 2023 2022 2021 Exemption Value $50,000 S50,000 $50,000 Save Our Homes Assessment $348,538 $222,434 $74,291 Taxable Value $204,757 $195,236 $188,094 Cap Reduction ..REGIONAL. . Homestead Exemption $25,000 $25,000 $25,000 0 - Exemption Value $50.000 550,000 $50,000 Second Exemption $25,000 $25,000 $25,000 Homestead Taxable Value $204,757 $195,236 $188,094 `. Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Previous Price OR Book- Qualification Description ,_. Sale Page 5-6 53 42 08/29/2012 $0 28602-0449 Corrective, tax or QCD; min MIAMI SHORES SEC 3 PB 10-37 consideration ; LOT 1 BLK 72 08/29/2012 $350.000 28267-1265 Qual by exam of deed LOT SIZE 56.670 X 102 11/28/2011 $100 27954-0336 Corrective, tax or QCD; min consideration 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://v .miamidad e.gov/infoldisclaimer.asp MOODY`ELECTRIC INC. www.moodyelectric.com 603 N. 21st Avenue • Hollywood, FL 33020 Tel: (305) 758-2000 Fax: (305) 754-1333 bp'%o -I'eN r. a88o Mja► r i M IMAA& ) P9 q�R Sc- h w A,(LTe. 6,Pxo-Q.o FAA'• CITY COPY u9oQ-!c ; ��u�cce �5 •e-.r,�s 1 ,YtE7ECA MUNOZ �rioH / , ✓ ��� �"• �^ Not,, ?uhlic � State of Florida :5 A R, �.k.� Ly A5e— T© Cmission r s S 42B.20 r ( , My Ca m, Expires Sep B. 2027 , / ^ - ,,�- �� '�ifpA�04•f_4��z ,b i d through National Notary Assn. 1�-Y.(..1L711 -� • • - � ems, } 1 � / 1..� • �, � '�' _ _ _ `1� - -_ - _ _ � �� : - .. . � ♦ •. s-� .. ♦ .. .� .____. _.. -. ...7 - _ �� _ �J ! :: -- i � � � :� - •"fir ^-- .�� i - - —� .-. �tif- _ \ � - i f 1 .. � '.� f j .J - - ��. ^ i i'� I•^ v �/� _ .`� ACCORV CERTIFICATE OF LIABILITY INSURANCE DATE(M 12/23/ 0/YYYY} 2a22 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. IMPO IT: If the carttcate holder Is an ADDInONAL INSUR1215, t e po cy es must be endorsed. If SUBROGATION IS WAIV513, 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 LOUNIACT NAME: Andrew Stenberg _ — _ CMH Risk Partners LLC AiC No, 813 400-2720 A/C No 813 44a-2747 15131 Ogden Loop ADDRESS: certificates@cmhriskpartners.com INSURER(S) AFFORDING COVERAGE NAIC is Odessa FL 33556 INSURERA : FCCI INSURANCE COMPANY 10178 .___.._...._.. .........................._...._............._._. _. _.____----.----_.__ _— _ _ ________-.._-___....__....._.__-----_-_.__.____.____.__ __....__.__— �__ _.___.._.-._.__..._....._____ INSURED INSURER B : FCCI Insurance Company 10178 Moody Electric, Inc. INSURER C : 603 N 21 st Ave INSURER D : INSURER E : .. Hollywood FL 33020 INSURER F : e nvcaAr_Fc f_RRTIFIrATF NIIMF%PR- RF-VISI13N NUMC3ER: 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. ....... _....__.-TYPE OF INSURANCE A00L?5UBR; _._._._.._....._..._`.___ _ LTR ! ' INSD I WVD POLICY NUMBER MMIOD LIMITS MMIDO NYYY) X COMMERCIAL GENERAL LIABILITY i ; EACH OCCURRENCE $ 1,000,000 € i CLAIMS -MADE X OCCUR - ,� ; E, I ES (Ea occurrence) f S PREMISES S 100,000 EXP (Any MED one person) ! 5 5,000 A ; GL100064958-02 12/31/2022 12/31/2023 PERSONAL_&._..A_-DVINJURY ...................................._ 1,000,000 - ^ - .........._...._............... GENT. ACxGREGAT E LIMIT APPLIES PER: � � � GENERAL $2,000,000 _ Q X POLIC`! : € JECT LOC •AGGREGATE PRODUCTS - COMPiOP AGG ' s 2,000,000 OTHER ' S~ AUTOMOBILE LIABILITY iEa acudent; ' $ [i0, 1,0000 X ANY AUTO _ BODILY INJURY (Per person) i $ —' ALL OWNED SCHEDULED i`-_— B AUTOS 1 AUTOS CA100064957 02 .. 1 _ _..-------•------- 12/31 /2022 12/31 /2023 ; BODILY INJURY (Per ac ident)' S •_-- ; NON -OWNED .T { X HIRED AUTOS X :AUTOS i-PROPERTYD (Per arc)cent, I S I ;.. �.S UMBRELLA LIAR i .X OCCUR ' EACH OCCURRENCE I $ !....-.._--------_.................._......._...._...................t.._..........._.........................._._.................__._._. 3,000,000 .(� A ` _ t CLAIMS -MADE UM6100fl64956-fl2 12131/2022 12/31 /2023 ; AGGREGATE 5 ............... 3,000,000 _ .._..._ _.__._..... _ !, DEo RETE�TsoN s ; ! WORKERS COMPENSATION ' UCH - ER AND EMPLOYERS' UAB1LnY Y ! N ; .........__ _ _ _-----.__---_- _ ANY PROPRiETORiPARTN£R!£XECUTIVE OFFtCERIMEMBER EXCLtiDEDI �N ! A E.L. EACH ACCIDENT ! S - -----...__-_........ _..... (Mandatory In NH) `—'' i E L. DISEASE - EA EMPLOYEE $ If yes. deswoe under `DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT S f I I I � DESCRIPTION OF OPERATIONS i LOCATIONS I VEHICLES (ACORD 101, Additlonal Remarks Schedule, may be attached if more apace Is required) Electrical Contractors CERTIFICATE HOLDER j Miami Shores Village - Building Department l 10050 N.E. 2nd Avenue Miami Shores FL 33138 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. AUTHORIZED REPRESENTATIVE ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD MOODY-1 OP ID: I CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDNYYY) 12/21/2022 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 an this certificate does not confer rights to the certificate holder in lieu of such endorsemen s . PRODUCER 561-392.3300 i i AcT Workers Compensation Group WoQrkers Compensation Group--- _._..._._._�_._.__...___...__ _. _. P O Box 410 ' KC. No, E>K : 561-392-3300 ; FAX 61-361-1132 Boca Raton FL 33429-0410 E rc, No:' I E-MAIL :B I su ED o0 y Electric, Inc 603 N. 21st Avenue Hollywood, FL 33020 0701 - _ ..��... I% vialUr4 t tzK: 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. LTRTYPE OF INSURANCE TYPE UBR I POLICY EFF POLICY EXP POLICY NUMBER LIMITS j COMMERCIAL GENERAL LIABILITY! F_. ` EACH OCCURRENCE � ..- ..... —__.._.. CLAIMS -MADE OCCUR ; :DAMAGE TO RENTED _..._. _.. _._...._ _._...... ___._ i ' M D EXP My,one rson...................... i PERSONALS ADV INJURY 3 _ _ _...... GEN L AGGREGATE LIMIT APPLIES PERT ......_ -_ _ POLICY �_ 3 ` GENERAL AGGREGATE �,$ _ JEC7 LQC , PRODUCTS - COMP/OP AGG OTI4ER: ; AUTOMOBILE LIABILITY ANY AU ! ! I COMBINED SINGLE LIMIT cciderAl _.....__._... $ _._.... -._ OWNEDTO ! SCHEDULED AUTOS ONLY AUTOS -A , ; BODILY INJURY (Per oerson) f , BODILY INJURY_(Per accidents S .- p p AUTOS ONLY AUTO$ ONLY i i ; Pe�acu�deT M AMAGE _^ $ - UMBRELLA LIAR OCCUR EXCESS LIAR ` EACH OCCURRENCE $ ._ __...._...._ DED : RETENTION $ IAr.GRECATE Is A ' WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOPJPARTNER/EXECUTIVE Y� f �; ' X �30-29673 , 01101/2023101/0112024 !i PER OTN- � I �� 11000,000 �FFICER/MEMgE}R EXCLUDED? illandetOry in NH N I A i E.L. EACH ACCIDENT 5 _ .1,000,000 if yyeeSs describe under i E.L. DISEASE - EA EMPLOY. DESCRIPTI N F 0 PE RATIONS bei 0, E L. DISEASE - POLICY LIMIT S 11000,000 t t j i I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Electrical Contractors *A blanket waiver of subro aton is provided under workers' compensation in favor of Village of Miami Sores. MIAMIS3 Miami Shores Village Building Department 10050 NE 2nd Ave. Miami Shores, 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 40_� ACORD 25 (2016/03) O 1988-2016 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD