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
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POLICY NUrorHr,R _ I�IgI(�DJ11!,YY �IMU/YY
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8655$27 12/31/2014112/31/21
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GLNL ACORCGAll- LIMITAPNLIFK r'�R
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DESCRIPTIt7N OF OP4w1TIONS I LOCATIONS I VLiIIGLGS (Attach ACORD 101, Addrtlpp„( Remarks -5 Jule, It mare apacr Is roqufrsd)
Named insured: All Year Cooling & Heatfng Inc; Tom Tom Realty Holdings, Inc.; All Year Elea
As rOSpocts General Liability, if required by prior written signed contract, certificate holder is
additionally Insured for both ongoing and completed operations, this insurance Is primary an
contributory, and 8 waiver of Subrogation applies,
Miami Shores Village
10050 N. E. 2nd Avenue
Miami Shores, FL 33138
SHOULD ANY OF TME ADOVE
THE EXPIRATION DATE T
ACCORDANCE WITH THE I
AUTHOxta-a REPRL•'$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
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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
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��•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