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ELC-10-799Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 163958 Permit Number: ELC -5 -10 -799 Scheduled Inspection Date: October 26, 2011 Inspector: Devaney, Michael Owner: SYLVAIN, FRED Job Address: 9100 NE 2 Avenue Miami Shores, FL 33138- Project <NONE> Contractor: RYAC ELECTRIC COMPANY CORP Permit Type: Electrical - Commercial Inspection Type: Final Work Classification: Addition /Alteration Phone Number (305)759 -6235 Parcel Number 1132060133200 Phone: (305)308 -5061 Building Department Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP- 142697. inspection re -open for final inspection to be approved by fire. ok by MD October 25, 2011 For Inspections please call: (305)762 -4949 Page 8 of 33 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 1,0-1 Inspection Number: INSP - 142697 Permit Number: ELC -5 -10 -799 Scheduled Inspection Date: April 13, 2011 Inspector: Devaney, Michael Owner: SYLVAIN, FRED Job Address: 9100 NE 2 Avenue Miami Shores, FL 33138- Project: <NONE> Contractor: RYAC ELECTRIC COMPANY CORP Permit Type: Electrical - Commercial Inspection Type: Final Work Classification: Addition /Alteration Phone Number (305)759 -6235 Parcel Number 1132060133200 Phone: (305)308 -5061 Building Department Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments April 12, 2011 For Inspections please call: (305)762 -4949 Page 2 of 21 4 Miami Shores Village v3n, " `' B MAY 072O10 Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY: Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2004 Permit Type: Electrical �j�����, Owner's Name (Fee Simple Titleholder) /�� t Owner's Address Moo /tl G City /�'( ( / State Zip Tenant/Lessee Name Permit No. « to — 113 16 1 Master Permit No. 'E L C. 10 —'�qq E -MAIL: ;,/, .e,4 's 4//17 -4- .4 38S - S - (o 7i r Phone # Phone # Job Address (where the work is being done) 9( D ti City /ire ?Ave Miami Shores Villa a County Miami -Dade Zip 33I FOLIO / PARCEL # .;U I° 0/.3— 31i0-r) Is Building Historically Designated YES NO )1 Contractor's Company Name 97r c- f,. Contractor's Address ' ,t 3 5 14/ 3 9 Av Phone # ( 746)x5/ -31/ City r- t State r ,( Qualifier Name 1' c a cr6 4- e os " Phone P # 5 / 4O" c 03e-od00 7t0 State Certificate or Registration No. r2_, / 3 o s Z 57 9 Certificate of Competency No. E -MAIL: Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ %t Square / Linear Footage Of Work: ±a Type of Work: ❑Addition j ['Alteration ['New ❑ Repair/Replace ❑ Demolition Describe Work: tekei -&CAM V&A-0%4411-v% i KiA) /,t rrc 1 12- W,Itsfr I1 ******** *f* *** ****************ssaaaarfr F ** **k***aaraas*** *****x**k*f*s*fr k * * ******** Submittal Fee $ Permit Fee $ ®d t' ew CCF $ 1' BC CO/CC Notary $ Training/Education Fee $ 2' (.V yy-�� Technology Fee $ to .40 Scanning $ 3't�t7 Radon $ � DPBR $ V' Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ (. lS 3 • See Reverse side j Bonding Company's Name (if applicable) Bonding Company's Address City State Zip , Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 .: ted notice, the 4 inspection will not be approved a nspection fee will be charged or Agent The foregoin instrum as acknowledged before me this U day of , 20 L, by 1 fPS44 who is personally known to me or who h As NOTARY P Signature Contractor The foregoing day of who is ent was acknowledged before me this as identification and who did take an oath. Sign: ` ° 95� l Sign: 1r u Print: < ��, i/ %f Print: D8 oberte Ramos Nommission #DD839079 My Commission Expires: 3 _ My Commission • DEC. 10, 2012 11t /AV' ' . E Mtn' ..^gr"nN r7^C.R. Rieieitisis8isiriritir*j4i .**********fir ** iririrt&isisieiaitirkIrki * *kir it* lcft aft***iarkirlciejttcl trauma**** iait9s? nk*R 4rieisisiiicicds3s*****iijEiciclaiai@ic*** APPLICATION APPROVED BY:( /% /2 /e7 r0 Plans Examiner Engineer Zoning (Revised 02/08/06) ALEX SINK STATE OF FLORIDA CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION fe * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW 9e CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE • 09/10/2009 EXPIRATION DATE: 09/10/2011 RICARDO J 09 -10 —2009 PERSON: ACOSTA PEI N: 200554131 BUSINESS NAME AND ADDRESS: RYAC ELECTRIC COMPANY CORP 2843 SW 34TH AVE MIAMI FL 33133 SCOPES OF BUSINESS OR TRADE: 1- ELECTRICAL. CONTRACTOR IMPORTANT: Pursuant to Chapter 440 . OEtt4), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this aeetien may nol recover benefits or compensation ender this chapter. pursuant to Chapter 440.0502), F.S., Certificates of election to be exempt.,, apply only within the scope of the Dullness or trade I ;sled on the entice of election mope election to he :mess shall be snio to revocation If, m do to beaexe pt Pursuant to Chapter 440.05!13}, F.S., Notices of election to be exempt and certificates of certificate no longer meets the requirements of this section for issuance al ae cartit sate tra The tldepartment shallnrevoketra certificate, the parson named ur me notice s or named oa the 'certificate to meet the requirements of this section. certificate at any time for failure of the person WC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09 -06 • • QUESTIONS? (850) 413 -1609 MIAMI -DADE TE: 10/16/2009 IME: 11:43:50 �OUN T : 589783 :E/PT: 502140 -7 TATUSe JSINESS ITEMS: gTEO F.NF'T --CD : TY --ZONE a MIJM►IWI - 6JA1JC .LJYII1 TI PLVIIIIJM LOCAL BUSINESS TAX LB PUBLIC LICENSE INCUIRY RYAC ELECTRIC COMPANY CORP 2843 o v m v a m e . a . y m RENEWAL COMMENCEMENT—DATE: 05/2002 BUSINESS DESCRIPTION: ELECTRICAL CONTRACTOR CC: Q3E000078 MUN —LBT: SAL: WARNING At: = V—YRS: YEAR: 2009 .00 YEAR 2008 .00 gNJJSF•- FROI`1: 481061 -1 TRANSF -TQ: rINAMMucrausirammi TAX COLLECTION DIVISION 140 W. FLAGLER STREET 1 MIAMI, FLORIDA 33130 T YEAR 2010 OCLM910S SW 34 AVE c m ENTRY — DATE: 05/14/2002 ENTRY —TYPE: W PRV —YRS: CURRENT PENALTY: DELOPEN: SVC —CHG: TR?;NSFR: PROCFEE: ADJUST a EXEMPT TOTAL Y PAID DUE =MENU CLEAR =PREY SCR F2 FI 'iHIST F3 =PYMTS . F4 =M RE RECEIPTS =MUN I NO IMPORTANT: THE INFORMATION HEREIN DOES NOT NECrSSARILY CONTAIN ALL PERTINENT FACTS WITH REGARDS TO REAL ESTATE CLOSINGS AND OTHER SIMILAR ACTIVITIES. 4 ;L. Gij :Y w} V ? 2( t 7 .00 45.00 4.50 .00 .00 .00 .00 45.00 45.00 .00 3 S ce:9 s,r� �w � t�S�� .�.� .� C ".�iyy'+'cllk *:�'n•.•'t \`�':: "� °hi.. ': �. ... ?4.t��_`7.,,. :'!'�:�' %ie.�µ.; `��. s.4.„..,4,4&. 1 :,.ku: >folf 2 Q�. 9 +a a "�, •4< ;8e ,', f7,4.$ ♦ - ` s: NSF! t �••''e�.}"..i �``Y`.� r w% d nt., qt �L;�o's' +'!s► �'!y °',,1�5,'• °tiCp;, "i l " *�ji-�'c,'�E!•yy'1.3+y`;Et ti.. <4 • <rj ....... . N J e e,�f a .:ZaY1 , �ti ti _ -r �•(!�C •i r, �r 3�� ec �!'+� Construction Tradas Quinton 13ostri T eliSiNESS CERTIFICATE OF COMPETENCY RY,agc ti • 7.s j.T 7• G .�(7 AW TA tcARy O . .s alined tinder the.piese{ ps 10 of f VA"$ } FOR GOAT. R.ACTNG LJ.N7iL 09f30/2C; I i 0001 QvALrFyrNG TRADE(S) ELEc7RlcAL Resend05-25-10 ; 01 : 29PM; AG��RI7 `� CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DO/YY) 05/25/10 PRODUCER Government Insurance Corp. 18501 Pines Blvd., Suite #205 Pembroke Pines, FL 33029 Phone (954)727 -2999 Fax (954)727 ..2as8 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Ryac Electric Company Corp. 2843 SW 34 Ave Miami, FL 33133 • •. INSURER A National Insurance Co. INSURER e. • INSURER C: INSURER D: INSURER E: • COVERAGES INSURER F: THE POLICIES OF INSURANCE LISTED 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. AGGREGATE uMrrS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. igiAMY!. TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/Y POLICY EXPIRATION DATE MIDDIY LIMITS A ■ GENERAL. LIABILITY .T] COMMERCUU. GENERAL LIABILITY CLAIMS MADE o OCCUR ■ CMG- 000000712 09/17/09 09/17/10 EACH OCCURRENCE 81.000.000 • 'l�r. • R N ED PREMISES (Ea occurenCO $100,000 85,000 MED EXP (Any one person) PERSONAL &ADVINJURY 81,000,000 • GENERAL AGGREGATE 82,000,000 EN'L AGGREGATE LIMIT APPLIES PER; ■ POLICY • PROJECT • LOC PRODUCTS •COMP /OP AGG $1.000,000 B„ ❑ AUTOMOBILE LIABILITY ■ ANY AUTO • ALL OWNED AUTOS ■ SCHEDULED AUTOS ■ HIRED AUTOS ■ NON OWNED AUTOS • ... . .. ■ • ■ • . • ... • • . • -. COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) • BODILY INJURY (Per accident) • PROPERTY DAMAGE (Per accident) AUTO ONLY • EA ACCIDENT .. . _... C, • ❑ GARAGE LIABILITY a ANY AUTO OTHER THAN EA ACC AUTO ONLY: AGG ■ EXCESSIUMBRELLA LIABILITY ■ OCCUR ❑ CLAIMS MADE ❑ DEDUCTIBLE ■ RETENTION S .. ••• •• - • ••••• •• . .. . .... .......... , .. • - • ....... .... : ...,, . .. • ••• . • . • • • • — EACH OCCURRENCE AGGREGATE WC STAT1I- ❑ OLJMIZ ■ 0TH- EL EACH ACCIDENT WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER 1 MEMBER EXCLUDED? ' "' • ' If yes, describe under SPECIAL PROVISIO S below E.L DISEASE • EA EMPLOYEE E.L DISEASE • POLICY LIMIT OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS P_T:DTICl/+ATC NIn• more ANCELLATION MIAMI SHORES BUILDING DEPARTMENT • �___ AC�RO 25 /26nVels% na SHOULD ANY OF THE ErPIRAMON DATE 10 DAYS WRITTEN ABOVE DESCRIBED POUCIE8 BE CANCELLED BEFORE THE ` THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL NOTICE TO THE CERTIFICATE HOLDER NAMED TO URE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABIUTY HE INSURER, ITS AGENTS OR REPRESENTATIVES. THE LEFT, BUT FAI OF ANY KIND UPON AUTHORIZED REPR _ ATIVE �. "' • • • ' • ACORD CORPORATION 19811 MtAMI•DADE MIAMI ■ L7A17t W.:MINTY, FLORIDA FINANCE DEPARTMENT TAX COLLECTION DIVISION 140 W. FLAGLER STREET .,:s;�r� MIAMI, FLORIDA 33130 g; DATE: 10/1/2009 LOCAL BUSINESS TAX LET YEAR: 2010 OCLM91 s 18 : Tll a 11:43:50 PUBLIC LICENSE INQUIRY o ACCOUNT: 569793• -5 RYAC ELECTRIC COMPANY CORP 3643 SW 34 AVE i RECEIPT: 502140-7 RENEWAL COMMENCEMENT—DATER 05/2002 ENTRY —DATE: 05/14/2002 ga. STATUS: ENTRY —TYPE: W BUSINESS ITEMS: BUSINESS DESCRIPTION: PRV —YRS: .00 1 1 ELECTRICAL CONTRACTOR CURRENT: 45.00 PENALTY: 4.50 DELOPEN: .00 STATE: CC: 03E000078 MIJM —LSTa SVC--•CHG: .00 EXEMPT —CD: TRANSFR: .00 CITY—ZONE: PROCFEE: .00 LEGAL: WARN I NS #: ADJUST : —4.50 PREP.' —YRSs YEAR: 2009 .00 YEAR 2008 .00 EXEMPT a .00 TRANSF -• -FROM: 491061-1 TRANSF—TOg Y P PATDPAID 4 : 45.0..x.4 0 DECALS: DUE . .00 F1=MENU CLEAR =PREY SCR F2 =FM: l I ST F3= FYI1TS F4 =MORE RECEIPTS e=6 =MJNINc IMPORTANT: THE INFORMATION HEREIN DOES NOT NECESSARILY CONTAIN ALL PERTINENT FACTS WITH REGARDS TO REAL ESTATE CLOSINGS AND OTHER SIMILAR ACTIVITIES. Resend05-26-10; 02: 08PM; ; 'Aa, °dam° CERTIFICATE OF LIABILITY INSURANCE DA 0 /26/10 ' PRODUCER Government Insurance Corp. 18501 Pines Blvd., Suite #205 Pembroke Pines, FL 33029 Phone (954)727-2999 Fax (954)727 -2888 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC 11 INSURED Ryac Electric Company Corp. 2843 SW 34 Ave Miami, FL 33133 I INSURER National Insurance Co. INSURER Bs INSURER C: INSURER D' INSURER E COVERAGES INSURER F: THE ANY MAY POLICIES. POLICIES REQUIREMENT, PERTAIN, OF INSURANCE LISTED HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. !NOR LTR ADD L imp TYPE OF INSURANCE POLICY NUMBER POUCY EFFECTIVE DATE (MMIDD!YYD 09/17/09 POUCY EXPIRATION DATE (MMfDDIYY) 09/17/10 LIMITS A IN GENERAL LIABILITY GMG- 000000112 EACH OCCURRENCE 'DAMAGE $1 ,000,000 !i II ■ • GEN'LAGGREGATE • COMMERCIAL II GENERAL LIABILITY TO Rff't?I'ED PREMISES (Ee occurence) $100,000 CLAIMS MADE • OCCUR MED EXP (Any one person) $5,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 LIMIT APPLIES PER PRODUCTS - COMP /OP AGG $1,000,000 POUCY • PROJECT 0 LOC 8 • AUTOMOBILE • • • • • LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON OWNED AUTOS COMBINED SINGLE LIMIT (Ea sccldent) BODILY INJURY (Per person) 50D1LY INJURY (Per accident) PROPERTY DAMAGE (Per occident) AUTO ONLY - EA ACCIDENT C GARAGE LIABILITY • ■ ANY AUTO 0 OTHER THAN -EA ACC AUTO ONLY: AGG D — EXCESS/UMBRELLA • I• LIABILITY OCCUR Q CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE AGGREGATE • ■ E WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER / MEMBER EXCLUDED? Eyes, describe under SPECIAL PROVISIONS below INC STATU- OTH - • TORY ■ MIS FC 1 E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L DISEASE- POLICY LIMIT OTHER F DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES! EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROVISIONS 7 6(° 2; k — -3116 CERTIFICATC UM, nen MIAMI SHORES VILLAGE 10050 NE 2 AVE MIAMI SHORES FL 33138 FAX 305 756 -8972 IATTN ARLENE ACORD 26 12001/081 (DF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD CORPORATION 1988