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EL-14-2109Miami Shores Village Building Department �SE_p 2 6 2014 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 APPLICATION FBC 20 Permit Type: Electrical Permit No. ZI Z �— 9 .. Master Permit No. MC -8-13-1774 OWNER: Name (Fee Simple Titleholder): JULIA NEGREVERGNE Phone#: Address: 429 NE 99 ST city: MIAMI SHORES state: FL Zip: 33138 Tenant/Lessee Name: Phone#: Email: JOB ADDRESS: 429 N E 99 ST City: Miami Shores County: Miami Dade Zip: Folio/Parcel#:,1-3206-017-Q, Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: ALL YEAR ELECTRIC Phone#: 954-566-4644 Address: 1345 NE 4 AVE �1 RM"0 1111110 _ g Qualifier Name: RANDY MI I FR State Certification or Registration #: Contact Phone#: _954-566-4644 Email Address: of Competency #: DESIGNER: Architect/Engineer: v Phone#: Value of Work for this Permit: $ )`-d c Square/Linear Footage of Work: 33304 Type of Work: ❑Address ❑Alteration ❑New ❑Repair/Replace ❑Demolition Description of Work: ELECTRICAL WORK PER A/C CHANGEOUT Submittal Fee $ a Permit Fee $ 1&47 CCF $ • o CO/CC $ Scanning Fee $ Radon Fee $ 2 • nnD.�BPR $ 2 -0 Bond $ Notary $ Training/Education Fee $ • 2.J ^ Technology Fee $ Double Fee $) Structural Review $ _ TOTAL FEE NOW DUE $ *onLg Company's Name (if applicable) N/A Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) N/A Mortgage Lender's Address City State 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 absenc o such post d notice, the inspection will no be appro ed and a reinspection fee will be charged r Signature A 6 Signa Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day ofSMi , 20 LU, bX I I � l�i t r� �► tip, day of , 20 �L 1, by ennMno 1 I L who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: I Print: My Commission Expires: APPROVED BY aotr""eu�:: ASHLEY JENSSEN *_ 'e MY COMMISSION #FF001816 'boa•• EXPIRES March 19, 2017 (Revised 07/10/07)(Revised 06/1=009)(Revised 3/15/09) o Plans Examiner Structural Review Print: 11,11 I 9 l ► ► My Commission E pis �...N0, ASHLEY JENSSEN 1" 'y MY COMMISSION #FF001816 a EXPIRES March 19, 2017 Zoning Clerk r STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD �we 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.myfloridalicense.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! RICK SCOTT, GOVERNOR ER0012903 The ELECTRICAL: CONTRA Named below HAS-REOISTI U7id& the'pmvisions of Chat -Expiration date: AUG -31,:20 jlN3IVIDUI, • Ri=QUFREN WILLER, RANDY E ALL YEAR ELE�T� 1345; ISE 4TH`AE_ ISSUED: DETACH HERE STA1 STATE OF FL( ADRTM E rX ER0012903 (850) 487-1395 3)INES$ AND ULATION P9/10/2014 MULK, KATY YV. ALL'EAR EL FI. j#NDllf#tUAL _ - "LiCENSING RE :.. -TO CONTRACTIN I-1'f(S-`fCJ-GI,STEIRE6 under t `'P10Visions of Ch 489 S:S- r `' F,otpvatTorl te_; AUG 31, 2g14i• 04091Q0097252_J.; OF FLORIDA' J �4CVY,A�eEAj� . KEN LAWSON, SECRETARY REGULATION DARD 09/10/2014 DISPLAY AS REQUIRED BY LAW SEQ# L1409100001252 2015 details - Business Tax Account ALL YEAR COOLING & HEATING - TaxSys - Br... Page 1 of 1 Records, Taxes & Treasury Div. Home Search Reports Shopping Cart ATTENTION TAXPAYERS: Please be advised of the NON-REFUNDABLE processing fees for credit and debit card transactions. Credit cards are charged 2.55% of the amount charged ($2.00 minimum fee). Domestic Visa Consumer Check cards will be assessed a fee of $3.95 per transaction if you select 'Debit Card'. Thank you. The balance of delinquent 2013 tax accounts that went to Tax Certificates Auction in May, 2014 have been updated with the additional statutory costs related to the auction. These accounts can now be paid (only in full) on- line with qualifying credit card (please be aware of non-refundable processing fees), by mail with a cashier's check or money order, or at the Tax Collector's Office with a cashier's check, money order, or qualifying credit card (please be aware of non-refundable processing fees). Thank you. Business Tax Account #121612 Account details Account history 2015 Paid Account number: 121612 Business start date: 10/01/2014 Business address: ALL YEAR COOLING & HEATING 1345 NE 4 AVE FORT LAUDERDALE, FL 33304 Physical business location: FT LAUDERDALE Owner(s): GRETA B SMITH 1345 NE 4 AVE FORT LAUDERDALE, FL 33304 Mailing address: ALL YEAR COOLING & HEATING 1345 NE 4 AVE FORT LAUDERDALE, FL 33304 Print account application (PDF) Print exemption application (PDF) Paid 2014-10-01 $27.00 CONTRACTORS 10/01/2014-09/30/2015 Units: 1 Receipt #05A-14-00000013 HEATING/AIRCONDITION CONTRACTR Additional documentation required: CAC058160 State Certification OR Broward Cert. of Comp. (each year) https://www.broward.county-taxes.com/public/business tax/accounts/121612 10/1/2014 Miami -Dade County - Building and neighborhood Compliance Office Page 1 of 1 C . Contractor License Information Contractor Number: 08E000413 Contractor name: ALL YEAR ELECTRIC INC Address: 1345 NE 4 AVE City, St, Zip: FORT LAUDERDALE Phone: (954)566-4644 Other Phone: Fax: (954)640-0200 Email: IFARIAS@AYZAIR.COM D/B/A: Contractor Status: ACTIVE FL 33304 Class Category Category Description Expiration Date ELEC 1 ELECTRICAL 09/30/2015 CONTRACTOR INQUIRY COMPLETE Contractor Inguiry and Complaint Search I Home Page I State License Search Menu Home I Using Our Site I About I Phone Dinwory I Privacy I Disclaimer E-mail your mmments or questions to BLDGDeptt�mia dade.gov © 2001 Miami -Dade County. All rights reserved. http://egvsys.miamidade.gov:1608/W W WSERV/ggvt/BNZAW941.DIA?CNTR=08E000413 9/26/2014 rlinntlf• RQAA1 eI I VF ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 1 01/02/2014 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(a). PRODUCER[CONTACT Advanced Insurance Underwriters LLC NAME: AICONN Ext :954 963-6666 FAC, No :9549641438 3250 N. 29th Ave Hollywood, FL 33020 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: The Burlington Insurance Compan 23620 HGL0036935 INSURED INSURER B: Technology Insurance Company 42376 All Year Cooling & Heating Inc 3530 Windmill Ranch Road C: Penn-Amerlca Insurance Company 32859 -INSURER Weston, FL 33331-1031 INSURER D 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 CONTRACTOR 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. INSR LTR TYPE OF INSURANCE ADDLSUBR INSR WVO POLICY NUMBER POLICY EFF M/DD POLICY EXP M/DD LIMITS A GENERAL LIABILITY HGL0036935 2/31/201312/31/201 ENCE $1000000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE I OCCUR DEAACCHHOCCCURRR=D,,,) PREMISES Ea arrDence $50,000 MED EXP (Any one person) $1,000 PERSONAL &ADV INJURY $1,000,000 X BI1PD Ded:25000 GENERAL AGGREGATE $2,000,000 _ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OPAGG $2,000,000 POLICY rx JE a LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accddent BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS PROPERTY DAMAGE Per accident)$ NON -OWNED HIRED AUTOS AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE YIN OFFICERIMEMBER EXCLUDED? FNI (Mandatory In NH) N / A TWC3390601 1/01/2014 01/0112015 X WCSTATU- OTH- E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 C Property PAC7043374 1213112013 12/3112014 See descriptions DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, K more space Is required) Name applies to all policies - All Year Cooling & Heating Inc; Tom Tom Realty Holdings, Inc.; All Year Electric Inc GENERAL LIABILITY: If required by written construction contract, Certificate holder is additionally insured, Blanket waiver of (See Attached Descriptions) Miami Shores Village 10050 N. E. 2nd Avenue Miami Shores, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE n IARR.2010 AC16RD CORPORATION. All riahts reserved. ACORD 25 (2010105) 1 Of 2 The ACORD name and logo are registered marks of ACORD #S1056597/M1056511 CFA