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EL-14-854BUILDING Miami Shores Village Building Department 90050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 C.ID APR 2st 2014 BY:.. FBC 20 Permit No. PERMIT APPLICATION Master Permit No. l � % ^ FS9 Permit Type: Electrical JOB ADDRESS: 1172 NE 103 Street City: Miami Shores County: Miami Dade Zip: 33138 Folio/Parcel #: 11- 3205 - 019 -0040 Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): English Bulldog LLC/ Becker, William F. Address: 1172 NE 103rd Street Phone#: 202- 262 -5268 City: Miami Shores state: Fl zip: 33138 Tenant/Lessee Name: Phone #: Email: CONTRACTOR: Company Name: Shine Electrical Engineering Phone #: 305 - 688 -2000 Address: 3876 NW 125th Street City: Opa Locka state: Fl Zip: 33054 Qualifier Name: Francisco E. Santos phone#: 305 - 688 -0000 State Certification or Registration #: EC0001514 Certificate of Competency #: Contact Phone#: 305 - 688 -2000 Email Address: info @shineelectrical.com DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ ' I (DO ('i ° Square/Linear Footage of Work: Type of Work: ❑Address Alteration ❑New ❑Repair/Replace ❑Demolition Description of Work: Convert FPL Service from Overhead to Underground/Run New Underground Service from FPL Pole to Existing Meter Combo 200 Amps. ** ****w ********** ***m******************F ****** ** ************ * * ** x** * * ********* ****** Submittal Fee $ Permit Fee $_ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ CCF $ CO /CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ I t u - Bolgding 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 Al FII)AVIT: 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 building permit is issued. In the absence of such posted notice, the for the first a on which occu s seve (7) days after the inspection wi t ' e a e • ection ee will be charged. 11111111 4 "‘‘ (' 16 11 A • Signature Owner or Agent The foregoing instrument was acknowledged before me this-2 a day of ' 7' p , 20t3., by W i4VYN 3 ecki • , who is personally known to me or who has produced F L 0 L . As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Exp' Contractor The foregoing ' strument was acknowledged before me this 2S day of = "w .If, 20 , by rams(( E.Sarrivs, who is personally known to melor who has produced as identification and who did take an oath. NOTARY PUBLIC: Print: My Commission Expires:_' =��Q� UerI':�MISSION #EE 94256 +' ' EXPIRES: JUN. 24 2016 r,,q,►,'► % WWW.AAR0NN0TARY.con1 ****+ x******* ********* ***** **** *******+ x****w ******w **+ x*** ******* **+ x+ x****** ************+ x********************** 2a/4/ APPROVED BY / /f 5 28th -7,i Plans Examiner Zoning Clerk Structural Review (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) ThfS aQCUf11CNT IIk S A COLORED BAGKGR19:01), `fJIICRgP INfri:9 (IN NAJ Kswi PA[:ENTf DIP °APED, E OF FLO{ M. TZON SECS L12p 61901293 LICENSE'' DISRLAY AS REQUIRED BY KEN TIAWSON SECRETARY A CERTIFICATE OF LIABILITY INSURANCE DATE I 09/17/13 ,PRODUCER All Motors Insurance 11934 S.W. 8th Street Miami, FL 33184 Phone (305)559 -8818 Fax (305)227 -0977 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERT FICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED SHINE MAINTNANCE ELECTRICAL CONTRCTR CORP DB /A SHINE ELECTRICAL ENGINEER 3876 NW 125 STREET- OPALOCKA, FL 33054 INSURER B : NORMANDY INSURANCE COMPANY INSURER C: LLOYDS INS. CO. INSURER D: PROGRESSIVE INSURANCE CO. 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 POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADD'L INSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMIDDIYY) POLICY EXPIRATION DATE (MMIDD/YY) LIMITS A ❑ GENERAL V ❑❑ ❑ ❑ GEN'L ❑ LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE V OCCUR IJDRU -S 07/27/13 07/27/14 EACH OCCURRENCE 1,000,000 PREMISES TO occurence) 50,000 MED EXP (Any one person) 5,000 PERSONAL &ADVINJURY 1,000,000 GENERAL AGGREGATE 3,000,000 PRODUCTS - COMP /OP AGG 1,000,000 AGGREGATE LIMIT APPLIES PER: POLICY n PROJECT ❑ LOC D ❑ AUTOMOBILE ❑ V ❑ V V ❑ 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) H ❑ GARAGE LIABILITY ❑ ANY AUTO ❑ AUTO ONLY - EA ACCIDENT OTHER THAN EA ACC AUTO ONLY: AGG ❑ EXCESS/UMBRELLA LIABILITY ❑ OCCUR ❑ CLAIMS MADE ❑ DEDUCTIBLE ❑ RETENTION $ EACH OCCURRENCE AGGREGATE B WORKERS•COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER / MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below NHFL130081 09/23/13 09/23/14 ❑ WC STATU- V OTH- TORY LIMITS ER E.L. EACH ACCIDENT 500,000 E.L. DISEASE - EA EMPLOYEE 500,000 E.L. DISEASE - POLICY LIMIT 500,000 C OTHER , • DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS ELECTRICAL CONTRACTOR INCLUDING FIRE & SECURITY SYSTEM, PHONE LINES, ELECTRICAL ENGINEERING CERTIFICATE HOLDER CANCELLATION VILLAGE OF MIAMI SHORES 10050 NE 2 AVE MIAMI SHORES, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL I21E 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 25 (2001/08) QF © ACORD CORPORATION 1988 MEW O P Business s Niteroi- Dade County, State of Florida_ :THIS IS NOT A BILL 00 NOT PAY 4841491= BUSINESS] NAIAE/LOCATION SHINE ELEC RICAI ENGINEERING 3876 NW 125 5T OPA;LOCKA FL 33054 RECEIPT i15 *3r 1, 20~14 d splayed ag place of beefiest Pa-ratien toCopiityCode .' Chapter 8A Art. 9' &'10 OWNER SHINE MAINTENANCE ELECCONTR CORO 1Aforker(s) I SEC: TYPE OF BUSINESS 196 ELECTRICAL CONTRACTOR EC0001514 PAYMENT RECEIVED BY TAX COLLECTOR $45.00` 07/09/2013 ECHECK 13 -004389 This Local Business Tax Receipt only confirms payment of the Local Business Tax. The Receipt is not a license, permit era certification of the holders 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 he displayed on all commercial vehicles — Miami -Dade Cede Sec Ba -276. For more information, visit wwvamiamidade.govltaxcollee or Property Search Application - Miami -Dade County Page 1 of 1 PR ER APPRAISER Summary Report Property information Folio: 11- 3205-019 -0040 Property Address: 1172 NE 103 ST Owner ENGLISH BULLDOG LLC Mailing Address 1172 NE 103 ST MIAMI SHORES , FL 33138 Primary Zone 1100 SGL FAMILY - 2301 -2500 SQ Primary Land Use 0101 RESIDENTIAL - SINGLE FAMILY :1 UNIT Beds / Baths / Half 2/2 / 0 Floors 1 Living Units 1 Actual Area 1,857 Sq.Ft . Living Area 1,515 Sq.Ft Adjusted Area 1,681 Sq.Ft Lot Size 10,531.25 Sq.Ft Year Built 1949 Assessment Information Year 2013 2012 2011 Land Value $192,090 $181,980 $151,650 Building Value $75,645 $126,124 $126,124 XF Value $0 $0 $0 Market Value $267,735 $308,104 $277,774 Assessed Value $267,735 $305,551 $277,774 Benefits Information Benefit Type 2013 2012 2011 Non - Homestead Cap Assessment Reduction $2,553 Note: Not all benefits are applicable to all Taxable Values (i.e. County School Board, City, Regional). Short Legal Description MIAMI SHORES SEC 8 REV PB 43-67 LOT 4 LESS 1N20FT BLK 175 LOT SIZE IRREGULAR OR 18267 -1104 08981 Generated On : 4/18/2014 Taxable Value Information 'ous Sale 2013 20121 2011 County Exemption Value $0 $0 $0 Taxable Value $267,735 $305,551 $277,774 School Board Exemption Value $0 $0 $0 Taxable Value $267,735 $308,104 $277,774 City Exemption Value $0 $0 $0 Taxable Value $267,735 $305,551 $277,774 Regional Exemption Value $0 $0 $0 Taxable Value $267,735 $305,551 $277,774 Sales Information 'ous Sale Price OR goeok- Qualification Description 07/11/2013 $550,000 28746 -3239 Qual by exam of deed 11/30/2012 $275,000 28410 -4956 Qual by exam of deed 08/01/1998 $125,000 18267 -1104 2008 and prior year sales; Qual by exam of deed 08/01/1993 $0 16137 -2244 Qual by exam of deed 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 .govfnfo /disclaimer.asp ( http:// www. miamidade .govfinfo /disclaimer.asp) Version: 1.0.4 http: / /www.miamidade.gov /propertysearch / 4/18/2014 Detail by Entity Name I I I) A i I2 .' :M 1 N n< ; i a H,.\) .N 7 9''yp I I'') .2 I Page 1 of 2 Detail by Entity Name Florida Limited Liability Company ENGLISH BULLDOG LLC Filing Information Document Number L13000095526 FEUEIN Number NONE Date Filed 07/03/2013 State FL Status ACTIVE Effective Date 07/01/2013 Principal Address 1172 NE 103RD STREET MIAMI SHORES, FL 33138 Changed: 08/13/2013 Mailing Address 1172 NE 103RD STREET MIAMI SHORES, FL 33138 Changed: 08/13/2013 Registered Agent Name & Address BECKER, WILLIAM F 13040 NEVADA STREET CORAL GABLES, FL 33156 Authorized Person(s) Detail Name & Address Title MGR BECKER, WILLIAM F 1172 NE 103RD STREET MIAMI SHORES, FL 33138 Title MGR SCHAEFFER, MICHAEL 1172 NE 103RD STREET MIAMI SHORES, FL 33138 http: // search. sunbiz. org / Inquiry /CorporationSearch/ SearchResultDetail /EntityName /flat -11... 4/18/2014 APR 014 BY: L __ FPL GUSH =:'ULLDOG LLC 1172 NE 103 ST MIAMI SHORE ,FL331 "EXISTING ELECTRICAL RISER OUTSIDE EXISTING . METER COMBO 200 AMP 1111 200 A # 4 Cu. (EGC) SIT COP SHINE ELECTRICAL ENGINEERING Master Electrician: ►SCDOE.S(f dos 3873 NW 125 ST o z ignatur =j // 1, OPA LOCIA,FL;33054 ,see AGii TEL 305 688 -2000 Natal' E0009 51 IkieVivihue 0a "NEW ELECTRICAL RISER DIAGRAM " N A,: 6 OUTSIDE PANEL IMM 3-# 3 THHN1THAN IN 1 114 C. wCP 518 GROUND 6' APART MINIMUN METER COMBO 200 AMP PANEL 3 -# 3 THHN IFIVV 1 IN 1 114 C. 618 GROUND r- 6' APART MINIMUM Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 214256 Permit Number: EL -4 -14 -854 Scheduled Inspection Date: June 17, 2014 Inspector: Devaney, Michael Owner: , ENGLISH BULLDOG LLC Job Address: 1172 NE 103 Street Miami Shores, FL 33138 -2652 Project: <NONE> Contractor: SHINE ELECTRIC ENGINEER Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alteration Phone Number Parcel Number 1132050190040 Phone: (305)688 -2000 Building Department Comments CONVERT FPL SERVICE OVER HEAD TO UNDER GROUND. RUN NEW UNDERGROUND SERVICE FROM FPL POLE TO EXISTING METER COMBO 200 AMPS. Infractlo Passed Comments INSPECTOR COMMENTS False Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments June 17, 2014 For Inspections please call: (305)762 -4949 Page 44 of 45