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EL-10-11331 1 Protect Address Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Parcel Number Applicant 9835 NE 4 Avenue Road Miami Shores, FL 33138- 1132060170180 Block: Lot: JAMES CANARY Owner Information Address Phone Cell JAMES CANARY 9835 NE 4 AVE RD MIAMI SHORES FL 33138 -2438 Contractor(s) SCORPIO ELECTRIC INC Phone Cell Phone (305)665 -2879 (305)281 -7567 Valuation: Total Sq Feet: $ 2,100.00 0 1 Type of Work: ELECTRICAL Additional Info: SERVICE UPGRADE Classification: Residential Scanning: 1 Fees Due CCF Education Surcharge Permit Fee - Additions/Alterations Scanning Fee Technology Fee Total: Amount $1.80 $0.60 $225.00 $3.00 $2.40 $232.80 Pay Date Pay Type Amt Paid Amt Due Invoice # EL -6 -10 -38237 07/01/2010 Check #: 4242 $ 232.80 $ 0.00 Available Inspections: Inspection Type: Final Meter Box Alteration Relocation Fire Alarm Service Change Underground W. W. 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 construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy July 01, 2010 Date July 01, 2010 1 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION FBC 20 liaaitIVEn Ati JUN z 2010 Permit No. Master Permit No. BY: ... X0-1133 Permit Type: ELECTRICAL Owner's Name (Fee Simple Titleholder) 14iAo S e.\\ Phone # 30S Vt 0 4, 0 g , Owner's Address 1 S5 S' 1Ll efo City t it $a-ate 5 State Tenant/Lessee Name Entail e-C o ste. -`1. 0 eAk S o A3"0/1 «- (M • Job Address (where the work is being done) City Miami Shores Village FOLIO / PARCEL # Zip 3 3 l 9 Phone # County Miari -Dade Zip Ia Building Historically. Designated YES NO Zone Contractor's Company Name ��A + '/c 4'i Phone # ^ 6 -/ 7 f Contractor's Address 6 El- . 7 a ' S1 City A.,_..144 r 1 State e t Zip `3 /, 47 ' Qualifier Name / t! s e }-,z. Phone # State Certificate or Registration No. 6-4. em 0 6." Certificate of Competency No. (3 00 0 / f '9 Contact Phone f- c f "74-'6' Architect/Engineer's Name (if applicable) 77rr 7 E -mail Phone # Value of Work For this Permit $ Type of Work: [Addition Describe Work: ieo Square / Linear Footage Of Work: DAlteration :New - Repair/Replace 11 46 tO, 4 06-4//..e... Demolition * * * * * * * ** * *** * * ***** * * Fees * * ** *t** * ** **** * * * *** * *** * *** ***** Submittal Fee $ Permit Fee $�`' CCF $ CO /CC $ Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Bond $ Double Fee $ Violation date: Structural Review. Total Fee Now Due $ k� See Reverse side 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 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 re- inspection fee will be charged. Signature The fo day o' who is • , Signature 94) er or Agent Contractor owl g before 1 this The fore Ding instrument was acknowle ged before me ligi it ay of ,20I by ®" ' ` Viii m _ instnmient s a 20 tby onally known to me or who has produced NOT ` Y PUBLIC: Sign: Print: My Commission Expires: ificationand who did take an oath. I r . ** * * * *+ * * ** *fir * ** APPROVED BY * AI ,.Q °..�c900 * * * * * * * * ** *ink *A 7 -Tans Examiner ho is p tsonally known to N TAR Engineer (Revised 07 /10 /07)(Revised 06/10/2009) Sign: • 11 e or who has produced cation and who did take an oath. PUBLIC:' r� r Print: �'-� a C-4644.106 :Expii� My Commission erti "'' o.� r� sy, Ic;., G. �RQt*�°'l�'ICAaCs vio op **************** r * * * * * * * * * * * * * * * *** * * * * * * * * * * ** Zoning; Clerk checked SUBJECT TO CCMPLIANCE STATE ANI) CCURIN 42e--/-4-iaa,gag,„6 50 Cr 3 /Ar.) 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TIJar 2oa 4 .• •• • • • • • •• icoAfk4 tbiii": • • PO- • • •• • 114 ai, --34C07.0 Ja x iGfrOC /1Q 12 )0 • ••• °• • 41jjP • • • • • • • • • .• • • 0.0 000 .. • ••. • • • • ••• • • • • • ••• • • • • • • • ••• • • • • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • Celli) !t) 4,hc 1 )1,6- 6 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No: QS= 42 /0,— Job Name: &--1.57;(4.1"- Page 1 of 1 ELECTRIC Critique Sheet 90f04-1,-,e2/., 9c,'to i /el Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Mike Devaney 305 - 795 -2204 PPL Payment Coupon / 610101200004454240000831901956650000008010101 General Mail Facility Miami. FL. 33188 -0001 B 01012 0000831901 0 8 01 01 01 Please mail this portion with your check DANIELLA QUINTERO 9835 NE 4TH AVENUE RD MIAMI SHORES FL 33138 Cust. No.: 445424 Inv. No.: 831901 Payment Due upon Receipt Amount Due This Invoice 566.59 WO Reference #: 4839 -49 -875 Make check payable to FPL in US funds and mail payment to address below FPL GENERAL MAIL FACILITY MIAMI FL 33188 -0001 Florida Power & Light Company INVOICE Customer Name and Address DANIELLA QUINTERO 9835 NE 4TH AVENUE RD MIAMI SHORES FL 33138 Federal Tax ID#: 59- 0247775 Customer Number: Invoice Number: Invoice Date: 445424 831901 06/14/2010 B 01012 0000831901 0 8 01 01 01 Please Retain This Portion for your Records CURRENT CHARGES AND CREDITS Customer No: 445424 Invoice No: 831901 DESCRIPTION QUANTITY PRICE AMOUNT DSB- SMO- BURIED SV'"VVMS`* WMS (9835 NE 4 AVENUE RD) WR #3865307 4839 -49 -875 1 566.59 566.59 For Inquiries Contact: ALEX MARTINEZ Phone: (305) 770 -7979 Total Amount Due $566.59 Payment Due upon Receipt Florida Power & Light Company General Mail Facility Miami, FL. 33188 -0001 CQ . 6655 $W 42 ST MIAMI FL 3:155 A v iVrf 5C - PI - EUECTRiC MANUEL MORATD PRES 6655 SW 4.2 ST MI ' : 3:41.55 tOW CERTIFICATE OF LIABILITY PRODUCER MARTINEZ INSURANCE INC 8585 Sunset Dr. Suite 106 Miami, FL 33143 305 273-7477 INSURED Scorpio Electric, INC. 6855 SW 42nd Street Miami, Fl 33155 DATE (MMIDO/YYYY) INSURANCE 2/5/2010 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 NAICN INSURER A: The Hartford INSURER 5: INSURER C: INSURER D: INSURER E COVERAGES 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 '1'0 ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE L)MITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CERTIFICATE HOLDER VILLAGE OF MIAMI SHORES. 10005 NE 2nd Avenue. Miami Shores,F1.33138 ACORD 28(2001 /08) SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL IMPOSE NO OBLIGATION 0 LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES 1 AUTHORIZED REPRE ' OE ©AC0 11-717----ORATION iSS8 POLICY NUMBER PA I Y F ERIE INSURANCE , jMIuI1 D1YY1 POAYYMMF00 N 1 C ' r i LIMITS LTR R A $!P 1 TYPE OF GENERAL LIABILITY ~� i � � COMMERCIAL GENERAL LIABILITY ( _ 01 44961697 1/27/2010 EACH OCCURRENCE 5 GARAGE -' NTED PREMISES (EA o Irencej $ 300,01g_ MED EXP (Any one pinion) 1 $ j 0 , XY iL 1 CLAIMS MADE OCCUR I 1 1 01/27/2011 PERSONAL BADVINJURY $ 30Q,000 $ 600,000 S 60Q,1O00 GENERAL AGGREGATE PRODUCTS - COMP/OP AGG I GEML AGGREGATE LIMIT APPLIES PER: I POLICY 1578f i LOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS COMBINED SINGLE LIMIT (EA aGlde++l) $ r _� (Per BODIL INJURY $ _ _- BODILY INJURY (Per accident) S 1 PROPERTY DAMAGE (Per=Mont) $ GARAGE LIABILITY ANYAUTO AUTO ONLY - EA ACCIDENT $ THAN EA ACC $ I - FFF ---- -- OTHER AUTO ONLY: r I $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE S AGGREGATE $ OCCUR n CLAIMS MADE I DEDUCTIBLE I RETENTION S $ $ OTH $ WORXERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORPARTIIBRIIXECUTIVE OFFICER/M UM% EXCLU0207 H c'roscnbe under PROVISIONS below WC STATU- I I TORYLIMITS I ER $ _1 El. EACH ACCIDENT E.L. DISEASE • EA EMPLOYEIL$ S E.L. DISEASE - POLICY LIMIT SPECIAL OTHER .w DESCRIPTION ELECTRICAL OF OPERATIONS I LOCATIONS I VEHICLES 1 EXCWSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS CONTRACTOR CERTIFICATE HOLDER VILLAGE OF MIAMI SHORES. 10005 NE 2nd Avenue. Miami Shores,F1.33138 ACORD 28(2001 /08) SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL IMPOSE NO OBLIGATION 0 LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES 1 AUTHORIZED REPRE ' OE ©AC0 11-717----ORATION iSS8 12-03 -2009 ALEX SINK STATE OF FLORIDA caaffaf= FthiAP CIAL oiITICE93 DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: PERSON: FEIN: 1210312009 EXPIRATION DATE: 12/03/2011 MORATO MANUEL E 991717274 BUSINESS NAME AND ADDRESS: SCORPIO ELECTRIC INC 8866 S.M. 42 STREET MIAMI FL 33166 SCOPES OF BUSINESS OR TRADE: 1- REGISTERED ELECTRICAL CONTRACT * IMPORTANT: Pursuant 10 Chapter 44 05(14), f.S., an officer of a corporation oho elects exemption from this chapter by filing a certificate of election under this section may not recover bane, its or compensation under this chapter. Pursuant to Cbb a er 44a.QM1'J r c lanrrr• . —� Ac# 3'9231 F8 UAt STATE OF FLORIDA DEPART ELECTRICALSCONTRACT ©RSRLICENSINGLBOARDLATZON Z�%�= ++4�`"��' SEW 1.08081601183 .13!11( 1 NttMf3ER 108/16/20081070527186 ER0005258 The ELECTRICAL CONTRACTOR Named below HAS REGISTERED Under the provisions of Chapter 489 FS. Expiration date. AUG 31, 2010 (INDIVIDUAL MUST MEET ALL LOCAL LICENSING REQUIREMENTS PRIOR TO CONTRACTING IN ANY AREA) MORATO MANUEL SCORPI6 ELECTRIC INC 6855 SW 42ND ST MIAMI FL 33155 -4755 CHARLIE CRIST GOVERNOR DISPLAY AS REQUIRED BY LAW CHARLES W. DRAGO SECRETARY Coristruction t Trades Qualifying Bbard BUSINESS Ction CA- E OF CO 000011238 MP�TENC% SCORPIO ELECTRIC INC D.B.A. IMORA TO MANUEL certified under the Provisions of Chapter 10 of M ami -Dade Countjr QUALIFYING TRAD'E(;S)` 0001 ELE"CTRICAL- emimo Gonzalez lez E S ` y� r, Secretary of the Board Mram,-Bade County retains all property tights: herein. www:miamidade.goNDuildingcode