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EL-13-11 Miami Shores Village q g -sa F�� ' Building Department s J.A�N 0 - 2113 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 ` Tel:(305)795.2204 Fax:(305)756.8972 E�Y m m-m m m------------ INSPECTION'S PHONE NUMBER:(305)762.4949 FBC 20 BUILDING Permit No. I 1 PERMIT APPLICATION Master Permit No. Permit Type: Electrical JOB ADDRESS: l a ? X125 /l A 119 City: Miami Shores County: Miami Dade Zip: 33 J Folio/Parcel#: Is the Building Historically Designated:Yes NO Flood � Zone: OWNER:Name �"[ ^�G//9�� &/Avr1j Phone#: (Fee Simple Titleholder): Address:_ ,10,66 7 Alz //%y0 F City: R1141n z- haleld 1' State: A-^G Zip: 23,139 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: 6/1-e-4 1arele � ,�� Phon ZV5 Address: 79/6 /1/46/ ST City: 14,7?/ State: /--Z zip: Qualifier Name: P/.4/J ®f??�i�// AO®//ZI1Pz Phone#: State Certification or Registration#: AFe1?/26E:5;G7 Certificate of Competency#: Contact Phone#: ! �Email Address: DESIGNER:Architect/Engineer: Phone#: Value of Work for this Permit:$ le;&d Square/Linear Footage of Work: Type of Work: ❑Address ❑Alteration ❑New ❑Repair/Replace ❑Demolition s'y`2 ' Al Submittal Fee$ Permit Fee$ OP°C'*' CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$ v 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 posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature Owner or ent ontractor The foregoing instrument was acknowfedged before me is The foregoing instrument was acknowledged before me this / day of `t ,20�,by !, � ��dayof 20&,byJZ/CL h & �®M�C� --- ,_ w s'�rsonally known tom or who has produced who i personally known to me r who has produced s identification and who did take an oath. as identification and who did take an oath. NOTA BLIC: NOTARY PUBLIC: Sign: oS da Sign: Print: ��.ai1 cu*.. gta'e 23 2p�5 5 Print: C. Q My Commission Expires: `!Aotall pss°' My Commission Exp' s: j onded Shsev9� N gy F S- 0 d W • my ECM am It IN * �� BMW IWO*NOW Am APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) Q STRAENE-01 SSIMEON CERTIFICATE OF LIABILITY INSURANCE DATE(M 4/25//201201YY1� 2 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 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 CONTACT NAME. Collinsworth,Alter,Fowler&French,LLC PHONE 305 822-7800 pb 305 362-2443 8000 Governors Square Blvd c Suite 301 MAIL Miami Lakes,FL 33016 aDORESS. MS S AFFORDING COVERAGE NAIC$ INSURER A:FCC]Commercial Insurance Co 33472 INSURED NsuRERs:FCCI Insurance Company 10178 Strategic Energy Efficiency Associates,Inc. INSURER C: 7516 NW 55th St INSURER 0: Miami,FL 33166 INSURER E: INSURER F 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. POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER D MMOD STS GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 DAMAGE TO REWO A X COMMERCIAL GENERAL LIABILITY X X GL00085504 4/28/2012 4/28/2013 POISES Me oemorence $ 100,000 CLAIMS-MADE Fx—]OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEML AGGREGATE LIMIT ALLIES PER PRODUCTS-COMPIOP AGG $ 2,000,000 POLICY D PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Par accident) $ HIRED AUTOS AUTOS D PRerO xid�eneAMAGE $ $ U6ABRELLALIAB X OCCUR EACH OCCURRENCE $ 3,000,000 B X EXCESS LIAR CLAIMS-MADE UMB00136701 1/27/2012 1/27/2013 AGGREGATE $ 3,000,000 DED I I RETENTION$ $ WORIIO:RS COMPENSATION WC STATU- OTH AND EMPLOYERS LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE YIN E.L.EACH ACCIDENT $ OFFICERIMEMIBER EXCLUDED? El NIA (Mandatory In NH) E.L DISEASE-EA EMPLOYEE $ IF describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONSJ VEHICLES(Attach ACORD 101,Additional Remarks Schedule,N more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shores Village THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2nd Avenue Miami Shores,FL 33138 AUTHORIZED REPRESENTATIVE 4P� ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 2010105 The ACORD name and logo are registered marks of ACORD ( ) 09 9 '°'`°R°® CERTIFICATE OF LIABILITY INSURANCE 2i2i2o 2"""' 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 pollcy(les)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 endorsement(s). PRODUCER CAE CT Karol Kelly Pan American Insurance Group LLC PHONE {305)44$-6441 FAX.Nol:(305)445-6469 At (Aic 150 Alhambra Circle E4ML Suite 925 wsu s AFFORDING COVERAGE NAIC a Coral Gables FL 33134 INSURER ABrid afield Employers Ins Cc INSURED INSURER B Strategic Energy Efficiency Associates, Inc. INSURERC: and Efergy USA, Inc. INSURERD• 7516 NW 55th St INSURER E: Miami FL 33166 INSURER F: COVERAGES- CERTIFICATE NUMBER:CL122201323 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. IN jR TYPE OF INSURANCE ADDL UBR POLICY EFF POU EXP POLICY NUMBER MM/DD MMIDD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RErfrED COMMERCIAL GENERAL LIABILITY E $ CLAIMS-MADE �OCCUR MED EXP one person) $ PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE $ GEM-AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY F1 PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT accident) $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERdTY DAMAGE $ HIRED AUTOS AUTOS UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIMS-MADE AGGREGATE $ DIED I I RETENTION $ A WORKERS COMPENSATION X I WC STATU- I X OTH- AND EMPLOYERS LIABILITY ER ANY PROPRIETOR/PARTNER/EXECUTIVE YIN E.L.EACH ACCIDENT $ 11000,000 OFFICER/MEMBEREXCLUDED7 NIA (Mandatory In NH) 0830268640 /1/2012 /1/2013 EL DISEASE-EA EMPLOYEE $ 1,000,000 B describe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,ff more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Miami Shores Village ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2nd Avenue Miami Shores, FL 33138 AUTHORIZED REPRESENTATIVE Melissa Cruz/MVC ACORD 25(2010105) ©1988-2010 ACORD CORPORATION. All rights reserved. INsn25 rgnlnn,,i n1 The er!nRrt name anA Innn nra rania4araA mnAra of Anni2n STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL. REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD (850) 4-87-:139.5. 1940.. NORTH .MONROE STREET T�r.r.t�aniaSEE. FL 32399-0783 GONZALEZ JUAN ORLANDO STRATE016 ENERGY EFFICIENCY ASSOCIATES INC 12581 SW 78 ST MIAMI FL 33183 SrArE OF Pt,�RItfA 14Ci# .`� � k. t:ongrahrlationsl With.this license you.become one ofthe nesrly one million DEPART IT I+' SIISImas Mb' Floridians Ilcensed by the!Department of Business and Profeonal.Regulation. PROBEggIN�REGULATxOIQ Our professionals and businesses range from architects to yacht brokers,from boxers to-barbeque restaurants,and they keep Florida's economy strong. EC1300405 �, Ot# 12/�12 128037036 Every day we work to improve the way we do business in order to serve you bette Fot Information about our.services.please log onto www.myforidalicense.com. C$RTIFIE ELI There you!can-find more.information about our divisions andd the regulations that GpNZALEL' ,�IiTA11i.0 :3. Impact you,.subscribe to department newsletters and learn more about the SGTNATEeI �EI $CSC EFFIZ'I7ZNC ASSO Department's initiatives. -` Our mission at the Department is:Ucense Efficiently,Regulate Fairly.We constantly strive to serve you better so that you can serve your customers. � _t:$arsiin mower ¢ b at��389 V's Thankyoufordoing business.in Flortda,and congratulations on your now licensel srr,uksem aae. AvC# 1* 2tlgi�os� aox>Q DETACH HERE •• • •BACKGROUND -••- r PAPER STATE OF FLORN A {' DEPARTT 'OF SUSI�E SS AND PitpF 88IO REGULATION ELEC`tnCAL CONTRACTORS T,ICBNSING BOARD SE( .i�120.e12o0210' _. LICEN t 12 22(3:9.2. 280�31709b '4 Eca,3004050,�. `Thy +ECfiL CONTRACTOR. :Named b�1©wS CERTIFSED 17ader the provii�ion8 o:f: chapt9 ' i ! `f Exp�rati4>rl deEt�s AUG 31, 2014 1_`` GONZAL Z Jt?AN ORLANDO. a STRATEGIC BNERGY .BFFCIENCSF A864CIA E6 INC 7516 IOW 55. ,.TREET MIAMI FL 33166 R1 1=1 SCOTT REN' LAWSON GOVERNOR SECRETARY DISPLAY AS REQUIRED BY LAW I FIRST-CLASS U.$�•POSTAGE PAID MIApAI,FL PERMIT NO. 231 THIS IS N©TA BILL bp,M T PAY ` 408695-5 RENEWAL f BUSINESS NAME/LOCATION RECEIPT NO: 426 STRATEGIC ENERGY EFFICIENCY STAtEK 'EC13U04050 ASSOCIATES. INC j 7516 NW 55 ST 33166 UNIN DOE COUNTY D STRATEGIC ENERGY EFPIC .ASSOC INC. See. eOtBusiness WORKER%S 196 ELECTRICAL CONTRACTOR 8 THEI 18 ONLY A LOCAL pBpUUpMNE88 TAX RECEIPT;IT HOLBER'TTO VIOLATE ANY EI�$'17NG REGULATORY OR { mNWG to OP THE DO NOT FORWARD COUNTY.OR CnM NOR HOLOER RRbm nM[DTF¢R FoR; u�EI�E A BYLAw.TH�� STRATEGIC ENERGY EFFICIENCY = MM� ASSOCIATES INC JUAN GONZALEZ PRES =WRECEIVPA 7516 NW 55 ST E TAX MIAMI-.FL 3.3166 COLLECnM 07/17/2012 60030000652 000075.00 h&fitsi Ills 111..1111"Ill'oI Isis iltjI.,l IIItiai��j�� SEE OTHER SIDE II Miami shores Village �S�oeFS G Building Department o,� p1111" 10050 N.E.2nd Avenue i Miami Shores, Florida 33138 V Tel: (305) 795.2204 filpRl*`pP► Fax: (305) 756.8972 January 7, 2013 Permit No: EL13-11 Electrical Critique— Michael Devaney 1) Need panel schedule, riser diagram and load calculation. 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: OR$ 1� s Miami Shores a Villa g s� Building Department soon a 10050 N.E.2nd Avenue `hy� Miami Shores, Florida 33138 ,y Tel: (305) 795.2204 LORIDA Fax: (305) 756.8972 January 7, 2013 Permit No: EL13-11 Electrical Critigue— Michael Devaney 1) Need panel schedule, riser diagram and load calculation. I i i i 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.