EL-13-2030Miami Shores Village
Building Department
10050 NX 2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 76 64949
BUILDING ND74
PERMIT APPLICATION
FBC 20
Pere 203
Mauer Permit No.2-1,3-.17-79
Permit Type: Electrical
OWNER: Name (Fee Simple Titleholder): SLP Residential Investors FL LLC2� _ g?� ( oP-
Addiess:4120 W�orings Creek PKW7C !
City: _Plano State: 'Texas ?: 7502
Tenant
JOB ADDREW: 2 99S_
City: _ Miami ShoresCounty: Miami Zip:
Folio/Parcelk
Is the Building Historically Designated: Yes NO x Flood Zoce: bf,- _
CONTRACTOR: Company Name-- Industrial Electrical Systems Corp Phone#: 305 228-1384.
Address: 10257_ . NW 9th St: Cir 205
City, Miami State: FT. Zip: Aa, 72
Qualifiier Name: Nestor I. Corvea Phone#. 305 228-1384
State Certification or Registration #: EC13 0 02182 Certificate of Competency #:
Contactl'honet 305 228-1384 ,Address: iesfloridaocomcast.net
DESIGNER: Architect/Engineer: Phone#:
Valine of Work for this Permit: $ 4, 800.00 Squ uWLinear FeAW of Work:
Type of Work: OAddress DAlteration ONew dRepair/Replace ODemoiition
Description of Work: Remodeling according to approved pians
Submittal Fee $- t ' 00, Permit Fee $ CCF $ CO(CC $
Smuing Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training)Education Fee $ Teehnology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ •
k
Borg Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
zip
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 AFFiDAVff- I certify that all the foregoing information is accurate and that alll 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
IM[PROVENWISM TO YOUR PROPERTY, IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT."
Notice to Applicatt- As a condition to the issuance of a building permit with an estimated value exceeding $25M the applicant must
promise in good faith that a ropy of the notice of commencement and construction lien law brochure will be delivered to the persona
whose property a subject to anwhmmt. Also, a certified copy of the recorded notice of commencement insist be posted at the job site
for the first inspection which occurs ven (7) days after the building permit a issued In the absence of such posted notice, the
inspeciiaa will not be approved a reinspection fee will be charged.
Signature Signature : , � �
Ow&r or Agent Contractor
The to in instrumenta�7rjfbefore me
�tA
day o by
is y known to or who has produced
As idendf cation and who did take an oath,.
NO
Sign
Priv
My
APPROVED BY
(Revised 0711097)Revised MiMM)(Revised 3n sm
The foregoing instrument was acknowledged before me this cr6th
day of September , 20 13, by Nestor I. Corvea ,
:/t t�.j.T'- LITq a t a.r A77=it
—as
NOTARY
Sign:
Print Francisco P. Morales
no" lamblia - swe d ftd
My Comm. Expires Nov tt, 0
Commission # FF OHM
My Commission Expires: 11/17/2017
Plans Examiner Zomig
Structural Review Clint
STATE O FLORIDA
OF BUSINESS AND PROFESSIONAL REGULATION
r'ELECTRICALCONTRACTORS ! !
1940 NORTH MCMM033
TALLAHASSEE FL 32399-0783
CORVEA, NESTOR I
INDUSTRIAL
SRW 99TH T IC L#SY05EMS CORP
MIAMI FL 33172
Congyratuiat± YN'�t i3t�ens+a beo�ae tine t� rte�ty ori rr:is
F� �� the �e� � Bus�ess � Pe��s+osta# Reguta�t,
pee p S atM range from architet�s to yacht brmcers, €Torn
boxers to barbeque restaur, and � keep Fkxida's econtany strong.
Every day we work to improve the way we do business in order to serve you better.
For information about our services, Please log ants: www.myfloridaticense.com.
There you can find more in€ormation about our divisions and the regulations that
impact you, subscrle lo departmerit newsletters and learn more about the
Dep nerd's initiatives.
Our mission at the Department is: License Efficiently, ntiyr, Regulate Fairly. We
constantly strwe to serve you better so that you can serve your customers. 1
Thank you for doing business in Florida, and congratulations on your new Ticense!
DETACH HERE
STATE OF FLORIDA
(850) 487-1.395
STATE OF FLORIDA AC # r b 6? 2 0 9
STDEPAR OF SUSIMMS AM
PROFESSIONAL REGULATION
EC13002182 06%19/12 118190668
CERTIFIED ; ELS RICAL. CONTRACTOR
CORVEA, NESTORI I
INDUSTRIAL; ELECTRICAL -SYSTEMS CO
IS CERTIFIED under the provisions of ch.489 vs
xxpirattoo date: AUG 31, 2014 L12061901266
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
ELECTRICAL CONTRACTORS LICENSING BOARD SEQ#L12061901266
LICENSE NBR
061iF 2012 1181.90668 INC13002182
Tne zLrcTRICAL Get mwRA.CToR
Named below IS CERTIFIED
Under the provisions of Chapter 489 FS.
Expiration date: AUG 31, 2014
CORVRA. NEMR I
INDUSTRIAL ELECTRICAL SYSTEMS CORP
1100297 NW 9TH ST CIR FL205
RICK SCOTT KEN LAWSON
GOVERNOR SECRETARY
DISPLAY ASREQUIRED BY LAIN
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THIS CERTIRCATEM 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 CERTIFICATEOF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSWNG IISUREINS1.AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the covd8cateho is an ADDI MALNYSURED. the polcypesI must be endwsed. N SUBROGATIONIS WAIVED. suit to
the tenne and conditions of the policy, certain policies may nxp" an endorsement. A stetemem on tale cardlicate does not confer rWft to the
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PAYC M INSURANCE AGENCY INC
210705
210705 P:()- F:(888)443-6112
P O BOX 33015
SAN ANTONIO TX 78265
POLICY NUI
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(888)-443-6112
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INBURM APPOIiOM COYERAW MAIC s
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INDUSTRIAL ELEC'T'RICAL SYSTEMS CORP
16257 N.W. 9TH STREET CIR. APT. 205
MIAMI FL 33172
INSURERA: Twin City Fire Ins Co
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INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT ON OTHER DOCUMENT WITH RESPECT TO WHICH THIS'
Ci3t1IEICATE MAY BE ISSUED OR #AAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICUM OWNUBED HEREIN IS SU&IE3T TO ALL THE TERMS.
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41`-=!ITWATF1 V" - CANCEi_I-ATUM
Village of Miami 'Shores
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
10050 NE 2ndA.Ve
BEFORE THE EXRRATIWN DATE THEREOF, NOTICE WILL BE
Miami Shores, FL. 33138
DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
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Fax: 305 756-8972
v 7'9T�-�U9 AGS}!iD b-VIU�i1:A,! R7Nt. IAN .
ACORD 21is (2M/09) The ACORD rwnw and. Jogo are registered marks of ACORD