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EL-15-624Miami 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 No. Z_ PERMIT APPLICATION Master Permit No. FBC 20 Permit Type: MECHANICAL OWNER: Name (Fee Simple Titleholder): TAYLO CLARENCE Phone#: Address: 117 NW 102ND ST. City. MIAMI SHORES Tenant/Lessee Name: _ Email: State: FL Zip: 33138 JOB ADDRESS: 117 NW 102ND ST City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 11-3101-022-0060 Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: ALL YEAR ELECTRIC Phone#: Address: 1345 NE 4TH AVE 854566-4644 City. FORT LAUDERDALE State: FL Zip: 33304 Qualifier Name: RANDY MILLER Phone#: 854-566-466444 State Certification or Registration #: ER0012903 Certificate of Competency #: 84 -CME -1506-X Contact Phone#: 854-566-4644 Email Address: DDANIELS@AYCAIR.COM DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $__.150-00 Square/Linear Footage of Work: Type of Work: ❑Address ❑Alteration ❑New ARepair/Replace ❑Demolition Description of Work: Submittal Fee $. Scanning Fee $ ELECTRICAL WORK PER A/C CHANGEOUT Permit Fee $ CCF $ CO/CC $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 11+ rob Bonding Company's Name (if applicable) N/A Bonding Company's Address City State Mortgage Lender's Name (if applicable) N/A 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 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. a C r SignatureL `i , '� �;` Signature Owner or Aged Contractor The foregoing instrument was ackn wledged before me this 19 The foregoing instrument was acknwledged before me�thhiss 18 , day of MARCH ,20 15 , by C�Qar�/e� �rj dMARCH 20 15 , b ay of _ Y who is ers�ally;—n to me or who has produced who 'spersonally kno to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTAR UBLIC: Sign: Sign: Print: S !� Print- ` + •• r° ,....4A `s My Commissi n� DIMITRIUS A DANIELS My Commiss' res' ,�; rpt DIMITRIUS A DANIELS MY COMMISSION #FF173128 MY COMMISSION #FF173128 a +°P�o. EXPIRES October 30,2018 EXPIRES October 30, 2018 ('407)98&0183 FlorldeNa t" co'cogn� 2bff a APPROVED BY 2-4H4 Plans Examiner Zoning Structural Review Clerk (Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) ,3/19/2015 Property Search Application - Miami -Dade County Address Owner Name Folio SEARCH: 117 NW 102 Sub -Division: GOLD CREST SUB Property Address 117 NW 102 ST Miami Shores, FL 33150-1231 Owner CLARENCE EDWARD TAYLOR JR SOMPA ADHYA TAYLOR Mailing Address 117 NW 102 ST MIAMI SHORES, FL 33150 Primary Zone 0800 SGL FAMILY - 1701-1900 SQ Primary Land Use 0101 RESIDENTIAL - SINGLE FAMILY: 1 UNIT Suite al 1/8 hVlMww.miamidade.gov/propertysearchN# STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL ELECTRICAL CONTRACTORS LICENSING BOARD 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 MILLER, RANDY E ALL YEAR ELECTRIC INC 1345 NE 4TH AVE FT LAUDERDALE FL 33304 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy 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 onto www.myfloridaticense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and learn more about the Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! DETACH HERE RICK SCOTT, GOVERNOR GULATION (850) 487-1395 STATE OF FLORIDA DEPARTMENT -OF BUSINESS AND PROFE'IULATION a034". x09/10/2014 REG EL CTR ,�A,6PgK i RA T. ;R< MILLER, RAN Y ALL YE REL -1 Lsi�„,I�r'� j (INDIVI UAL IV)t1 ; t LICENSING.REQUdWN TO CON RACTING" A4 HAS RE ISTERED under : T. Expiration d to AUG 31. 2016 h STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL ELECTRICAL CONTRACTORS LICENSING B ER0012903 I The ELECTRICAL CONTRACTOR Named below HAS REGISTERED Under the provisions of Chapter 489 FS. r� Expiration date: AUG 31, 2016 (INDIVIDUAL MUST MEET ALL °� ....:. IC REQUIREMENTS PRIOR T. 'I MILLER, RANDY E ECTRIC )I NG IN ANY AREA) ALL YEAR EL 1345 NE 4TH AVE FT LAUDERLIALE -- L 33304 N N. ISSUED: 09/10/2014 DISPLAY AS REQUIRED BY LAW e provisions of Ch.489 FS. L1409100001252 KEN LAWSCON, SECRETARY GULATION RD ❑ o a SEQ # L1409100001252 _....-... _ __....I BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895 — 954-831-4000 This tax is levied for the privilege of doing business within Broward County and VALID OCTOBER 1, 2014 THROUGH SEPTEMBER 30, 2015 DBA: ALL YEAR ELECTRIC INC Receipt#:ELECTRICAL/ALARMS/C Business Name: Business Type- LECTRRICIAN) NTRAOT Owner Name: RANDY E MILLER Business Op@ned:10/03/1996 and zoning requirements. This Business Tax Receipt must be transferred wh Business Location: 1345 NE 4 AVE State/County/Ce(t/Reg:94-CME-1506-X FT LAUDERDALE Exemption Code: Business Phone: 954 - 566 -4644 business location. This receipt does not indicate that the business is legal ort Rooms Seats Employees Machines Professionals 4 i For Vending Business Only ' Number of Machines: Vending Type: Tax Amount Transfer Fee NSF Fee Penalty Prior YearsCailection Cost Total Pa' 27.00 0.00 0.00 0.00 1 0.00 J 0.00 27. 0 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Broward County and is non -regulatory in nature. You must meet all County and/or Municipality plannifig WHEN VALIDATED and zoning requirements. This Business Tax Receipt must be transferred wh n the business is sold, business name has changed or you have moved Ille business location. This receipt does not indicate that the business is legal ort t it Is in compliance with Slate or local laws and regulations. Mailing Address: RANDY E MILLER 1345 NE 4 AVE Receipt #13B-13-00010078 FORT LAUDERDALE, FL 33304 paid 09/03/2014 27.00 2014 -2015 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-232124 Scheduled Inspection Date: April 15, 2015 Inspector: Devaney, Michael Owner: TAYLOR, CLARENCE EDWARD JR AND TBR DA AnuvA Job Address: 117 NW 102 Street Miami Shores, FL 33138 - Project: <NONE> Contractor: ALL YEAR ELECTRIC INC Building Department Comments Permit Number: EL -3-15-624 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alteration Phone Number (703)618-6643 Parcel Number 1131010220060 Phone: (954)566-4644 ELECTRICAL WORK PER A/C CHANGE OUT JInfractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-232025. CREATED AS EE REINSPECTION FOR INSP-231747. CANCELLED BY EMMA 954-566-4644 EXT 318 Failed ❑ EMMA 954-5664644 Correction ❑ Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. April 14, 2015 For Inspections please call: (305)762-4949 Page 19 of 25 s a Miami Shores Village CCF 10050 N.E. 2nd Avenue NW DBPR Fee Miami Shores, FL 33138-0000 DCA Fee Phone: (305)795-2204 Project Address Parcel Number Applicant 117 NW 102 Street 1131010220060 Miami Shores, FL 33138- Block: Lot: CLARENCE EDWARD JR AND S, Owner information Address Phone Cell CLARENCE EDWARD JR AND SOMPA 117 NW 102 Street (703)618-6643 - - -- MIAMI SHORES FL 33138- 117 NW 102 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone ALL YEAR ELECTRIC INC (954)566-4644 e of Work: itional Info: ,sification: Residential nning: 3 Fees Due Amount CCF $0.60 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.20 Permit Fee - Additions/Alterations $100.00 Scanning Fee $9.00 Technology Fee $0.80 Total: $114.60 Valuation: $ 250.00 Total Sq Feet: 00 Pay Date Pay Type Amt Paid Amt Due Invoice # EL -3-15-54872 03/27/2015 Check* 7199 $ 114.60 $ 0.00 Available Inspections: Inspection Type: Review Electrical 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 AF DA certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction d n. Futhermore, I authorize the above-named contractor to do the work stated. March 27, 2015 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy March 27, 2015 1 03/27/2015 12:22PM FAX Client#: 89031 A ACORD. CERTIFICATE OF LIABILITY INSURA THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLY AND CONF=ERS NO RIGHTS L CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVI BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE BOLDER, IMAORTANT: If the cortlflCato holder is an gpp}TjONAL INSURED, t�e poHcy(Ios) must be ettdoraed. the terms and conditions of tho policy, contain policles moy roqulro an endorsement. A statomont on certificato holder In lieu of such endorsomont(s), PNODUM Advanced Insuranco Underwriters, LLC Ntnl;l Nnmc: Certificate Dopa 3250 N. 29th Ave aL"N.. Ext : 954.416.9%80 Hollywood, FL 33020 ao nrLa , cortificatoofins� 6L8b..9 _. -. INSumuiD tNSU" A.lndian Harbor All Year Cooling & Heating Ino IN` URLs U jechnology In 3530 Windmill Ranch Road IkSURL°RC: Woston,FL 33331-1031 _ INSuxcNo, INSUHLx c I .— COVERAGEiS CEINsuHule r� : RTIFICATE NUMBER: THIS IS TO CERTIFY THAI TI IE POLICIES OF INSURANCE LISTED bE INDICA rLD, NOIwIT(•ISTANDING ANY lOW HAVE PEENISSUEDONTRACT 'IO TIIE INSL CERTIFICArt MAY blE ISSUED Oil MAY F-r•tTAIN 'IHh EXCLUSIONS AND CONDITIONS Oh SUCH POLIC,I[S. NSURAN cOR 7FFO urn BYOrrION OF Y[HE P� CIFSIOE5CIva N KR LIMIT, SHOWN MAY HAVE [LEEN 14rDUCEU BY PAID i TYPE Or trVyVNANCE A401. s A G4NtIRAL LIAt116ITY IN31t Ic c POLICY NUrorHr,R _ I�IgI(�DJ11!,YY �IMU/YY X X X COMMLRCIA1 rCNCRA1. I ]ABILITY 8655$27 12/31/2014112/31/21 7 CLnIM:i-MADE I xI OCCUR I X BI/PD pod:25000 Por claim I GLNL ACORCGAll- LIMITAPNLIFK r'�R XJ NULIr,,Y JLC- �1 LOC i AVTOMOWL4LmILI'IY ANY AUTO j ALL OWNFn j Sr..HCDULLD ALITOG Huse:, i RIRFDAUTO$ NON-OWNLU nuros VMBRELLA LIAO I OCCUR — EXCCSx LIAR I I I .�LNWM -MADL w -n Rt rFNTION S 8 WORKERS COMPENSATION — AND 6M�LVY�s LutalLnY TWC3450685 1!01/2015 01/01 CsffICE�1�P�LIMHfARTna•Rrf XECUTIYI• iT / N �++M H E%CLUUhUY I N I A (Mandatory hi NH) If Yrs, dasrrll,,a under inF r,Rtvl ION nr• OPCRAnOy Ixrow -- DESCRIPTIt7N OF OP4w1TIONS I LOCATIONS I VLiIIGLGS (Attach ACORD 101, Addrtlpp„( Remarks -5 Jule, It mare apacr Is roqufrsd) Named insured: All Year Cooling & Heatfng Inc; Tom Tom Realty Holdings, Inc.; All Year Elea As rOSpocts General Liability, if required by prior written signed contract, certificate holder is additionally Insured for both ongoing and completed operations, this insurance Is primary an contributory, and 8 waiver of Subrogation applies, Miami Shores Village 10050 N. E. 2nd Avenue Miami Shores, FL 33138 SHOULD ANY OF TME ADOVE THE EXPIRATION DATE T ACCORDANCE WITH THE I AUTHOxta-a REPRL•'$LNTATIVE V .�i.�xc s.:%rairraa�T.r{.e. ACORD 25 (2010/03) 1 of 1 TIT$ ACORDname and logo are roRlstorod marks of /1CORD8.2010 #S1197000/M1196451 [a 0001/0001 YE CE OATS Ilcl MUFfY 12/31/2014 RAGE AFFORDED BY THE POLICIES ISSUING INSURER(S), AUTHORIZED SUBROGATIpN IS WAIVED, subject to ifs conlricato does not confer rights to tho ac N q):. 954.416.9776 curanco Company ranco Company �UUMENI WITH RtuPC,CT 70 WHICH IRIS HE14EIN iS SUHJECT 10 Al,I THE TERMS, LIMITS $1,000.000 $50,000 _ MLD uxrr (A„y2Mpq,&0„) —tj S$E,xcludod KONAL R nuv INJURY 1000,000 ONLRAI AG0RCGI►A , $2,000,OD0 _ I+H4I0UCTS • CC>MPIOP' AG(9 �s2,0(10,000 GOMDINCU `IINGLL LIMII "— tNn uc. jdt! -- s -- 110011 Y INJURY (1+,V ttwnon) E b —• HC;TI Y INJURY (r+u, �TRiLrintuj ASC Is _ Pfw s LAGH OCCURRLNrF rAO1arI- I I- y i X �WC& A16: 1 UTM 1IU101IMITZ-1 FR- — LF -1 F.ACllnt:t:ll)ENT_ jI51,000,000 C.L. DVWASE • LA I-Mrrl OYCC121000y 1000 ��•I DISCnSI•-rOLICYLIM,r$7,000.000 CAG I c Inc, non CROO12903 TED POLICIES BE CANCELLED BEFOR9 NOTICIE WILL B[ DCLIVERED IN PROVISIONS, Iq.C&A 6y / /- C CORPORATION. All rights resorvod, BGM