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EL-15-1246Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-235355 Permit Number: EL -5-15-1246 Scheduled Inspection Date: May 27, 2015 Permit Type: Electrical - Residential Inspector: Devaney, Michael Owner: LIMA, ANTONIO Job Address: 530 NE 96 Street Miami Shores, FL 33138 Project: <NONE> Contractor: SERVICE AMERICA ENTERPRISE INC Building Department Comments Inspection Type: Final Work Classification: Alteration Phone Number Parcel Number 1132060140691 Phone: (954)979-1100 ELECTRICAL WORK FOR A/C HOOK UP. TO REPLACE Infractio Passed comments PERMIT EL11-27 1 INSPECTOR COMMENTS False Inspector Comments Passed • r i Failed Correction Needed ❑ /c Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. May 26, 2015 For Inspections please call: (305)762-4949 Page 22 of 26 Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Parcel Number Applicant 530 NE 96 Street 1132060140691 ANTONIO LIMA Miami Shores, FL 33138 Block: 54 Lot: 9 Owner Information Address Phone Cell ANTONIO LIMA 969 NE 92 Street (154)974-4464 MIAMI SHORES FL 33138- 1319 ESMERALDA BUENOS AIRES AR Contractor(s) Phone Cell Phone SERVICE AMERICA ENTERPRISE INC (954)979-1100 of Work: ELECTRICAL WORK FOR A/C HOOK UP Tonal Info: ,ification: Residential nine: 1 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 $3.00 Technology Fee $0.80 Total: $108.60 In consideration of the issuance to pertaining thereto and in std confo accepting this permit I a e rest required for ELE RIC LUMB OWNERS AF 1 1 c construction n ma. F Buildi g May 26, 2015 Valuation: $ 180.00 Total Sq Feet: 0 Pay Date Pay Type Amt Paid Amt Due Invoice # EL -5-15-55702 05/26/2015 Credit Card $ 108.60 $ 0.00 Available Inspections: Inspection Type: Final Review Electrical of thi permi I agree to perform the work covered hereunder in compliance with all ordinances and regulations t e pla s, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In 3or a work done by either myself, my agent, servants, or employes. I understand that separate permits are HA AL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. e r oing information is accurate and that all work will be done in compliance with all applicable laws regulating orize th bove-named contractor to do the work stated. May 26, 2015 / Applicant / Contractor / Agent Date it Copy Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City Zip State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify tht 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 ELECTRIC; PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, 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 CO AMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPE TY. 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 obsencj of such posted notice, the inspection will not be approved and a reinspection fee will be charged. I Signatur'A — ap OWNER or AGENT CONTRACTdR The fo egoing instrrumme ft was acknowledged before me this day of V j( 20 rby JUAN B MONTERO who is personally known to me or who has produced as The foregoing instrument was acknowledged before me this day of 20by TODD PERLMUTT �' w _ o, is personally known to me or who has produced identification and who did take an oath. identification and who did take an NOTARY PUBLIC: NOTARY PUBLIC: Sign: Print: cc MY COMMISSION #FF143215 Seal: =*i * a y cor�r.+.tssior! a ri- X7d55 •, E 'PIRE5, November 9, 2017 EXPIRES July 20, 2018 BonpedThruWary Rubiictjf4w (iters APPROVED BY elm 1/ Plans Examiner Zoning i Structural Review — _ Clerk (Rev1sed02/24/2014) 0512112015 11:37 9549773591 PERMITS PAGE 03/05 STATE OF FLORfDA DEPARTMENT OF BUSINESS AND PROFESSIONA4 REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD (850)487.-1395 4940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 PERLMUTTER, TODD SERVICE AMERICA ENTERPRISE INC 2756 NW 83 CT FORT LAUDERDALE FL 33309 Congratulationsl With this Ileense ou 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.myfloridalicence.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 Depertment'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, end congratulations on your new tiaensel DETACH HERE STATE OF FLORIDA I N : DEPARTMENT•©F.-,BUSINESS AND PROFEftt`�.WL'' is %ULATION 1: { 1tG0002822 ((, r 1 ;Q6/10/2014 • J+i�'�� �••�4v '�+A -��� i-,'r•?sir"'` 1 c@RTIFIED I=e dam' e ! Pt=RI.I1ItUTTE't1 h e;1•,,J• ' SERVFCEAMI n • ,,1'S-C-E,RTIFI,E;0 agd9r•the provlsloa3 of Ch.489 PS. +�i.I" •�f18REFlQe19':rAl•?G31.2016 . L1A081000C1586 , RICK SCOTT, GOVERNOR KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL, RL:GULATION ELECTRICAL CONTRACTORS I,ICENSTNG BOARD 1ECo002822 The ELECTRICAL CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489FS. Expiration date: AUG 31, 2076 2755 N•WV63 CT FOOT LAUDERPAL-E^' ' "OL:,3;3.3,01 WIN ( •i'nv5'n,`.'..j. � -.:'it; _'5i:-�g ani ��2�•:�.;e,-. �.':y''�_.�:.;. P0.t`4 '.. , „o: � . ::, .. ;. y,�: �:::, "'+i:: � ' . ••\ . v<'+•': ^ •� is `;., •' ' 1 �•'^., '•; ■ ' a•",��� '�.:iy' ..q '-}A�`�T�^-y. . I�+�4 ..'L��v 'k�'^iii. ••'F~��! ^•' G\•. 'r�'`'�'••' A�• �• 1� � 1a i •fes ......�.,::i.,t .._T � ..:.''';;+;•e :•}��, �••r:i . ti:.ti � �'•'�..�k,•'�.^" . � ;.��' v •.. _...'ri.': i ISSUED: 06A 0/2014 D1SPL.AYAS REQUIRED BY LAW SEQ# L140SIOM0158S 05/22/2015 13:06 9549773591 PERMITS PAGE 01101 000148 Local Business Tax Receipt Miami—Dade County. State of Florida THIS IS NOTA BILL — 00NOTPAY 5637162 INUMNLU NAMMOCATiem SEWCE AMERICA ENTERPRISE INC DOING allS IN DADE CO MIAMI FL 33000 LBT t�eC�rt*r Iwo. EXPIRES RENEWAL 6$748rz2 SEPT'EMRER 30, 201 E Must be tlls pletyed at Place of business Pureuent to County Code Chapter 8A Art, a& 10 OWArEfi "0. TYpE op Ruawma SERVICE AMERICA FMERPAISE INC 188 ELI:C'('RICAL CONTRACTOFI PAYMMr Rbt:EN6D Worker(s) I E00002822 13Y TAX COLLJ s roR $75.013 09/19/2014 This LftI eahmpse r" Rer+eFptanlY canWms pp6�yy��ee CHECK21-14074812 of riaonlik a,, CediflC°troa al the koidar s gaafifiwtlan to ma de h+left l�aagg, Oman e< Tax aom I � is Rata limms, Antal ragalatory levee Ra M4IUhameftwMvk Rp*to tha hln;6aw'R 9 qRy Aavernmentei The RECEIPT N0, ah0ya mW be displayed Cm all ftweMial vehicles_ Md_ Bade COdg See Rft_M' Fere►aYe lnfermeBap, gghk�yleeler • AC AUS CERTIFICATE OF LIABILITY INSURANCE �� 10/25/2015 ATE D10/21/2014Y) 10/21/2014 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(s). PRODUCER LOCKTON COMPANIES 444 W. 47TH STREET, SUITE 900 KANSAS CITY MO 64112-1906 (816)960-9000 CCOONNTACT PHONE FVC No E_L ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC Y# X GEN'L INSURER A: Zurich American Insurance Company 16535 N INSURED SERVICE AMERICA ENTERPRISE, INC. INSURER B: American Giiarantee and Liall. Ins. Co. 1342222 2755 NW 63RD COURT FORT LAUDERDALE FL 33309 INSURERC: INSURER D : INSURER E: MED EXP (Anv oneperson) INSURER F: PERSONAL & ADV INJURY $ 1,000,000 COVERAGES 7 CERTIFICATF NIIMRFR• 11AGQ041 0PVIRIr1A1 AIIIM=12. YYYYYYv 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 CONTRACT OR 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 ADDL SUBR POLICY NUMBER MM/DDY EFF EXP POLICY LIMITS A X GEN'L COMMERCIAL GENERAL LIABILITY CLAIMS MADE X OCCUR N N GL06555467-05 10/25/2014 10/25/2015 EACH OCCURRENCE DAMAGE TO RENTED PREMISES Ea occurrence $ 1 000 000 MED EXP (Anv oneperson) PERSONAL & ADV INJURY $ 1,000,000 AGGREGATE LIMIT APPLIES PER: POLICY PRI D LOC OTHER: GENERAL AGGREGATE $ 5,000,000 PRODUCTS - COMP/OP AGG s 2,000,000 $ A AUTOMOBILE X X LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED N N BAP6555466-05 10/25/2014 10/25/2015 COMBINED SINGLE LIMIT $ (Ea accident) 1,000,000 BODILY INJURY (Per person) $ xxxxxxx BODILY INJURY Per accdent PROPERTY DAMAGE (Per Ac6trient) $ YXXY-XXX $XXXXXXX B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE N N AUC 6555463-05 10/25/2014 10/25/2015 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 DED I X I RETENTION $ $0 $ xxxxxxx WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA NOT APPLICABLE STATUTE ER E.L. EACH ACCIDENT $ xxxxxxx E.L. DISEASE - EA EMPLOYEE $ XXxxyM E.L. DISEASE - POLICY LIMIT 1 $ XXXXXXX DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) THIS CERTIFICATE SUPERSEDES ALL PREVIOUS CERTIFICATES. Evidence of Coverage. Eric Nerenberg—CFC056891 & Todd Perlmutter-EC0002822 11498961 Miami Shores Village 10050 NE Second Ave. Miami Shores FL 33138 CELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 0 19RR-201d ACORD CORPORATION_ All riahts reserved ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD 05122/2015 14:59 9549773591 PERMITS PAGE 01101 CERTIFICATE OF LIABILITY INSURANCEDATB(MMbanyYYI THIS CERTIFICATE IS ISSUED 1 9/22/2019 AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE BOLDER. 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(Sh AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IM111 PORTANT; If the corflfiCcato holder Is an ADDITIONAL INSURED, the terms and condthe P0llcy(I0$) must be endorsed. If SUBROGATION IS WAIVED, subject to itions of the Palley, certain policies may require an endorsement A statement on this certificate certificate holder In lieu of such andorsement(s). does not confer rlglTts to the PRODUDR CON90 t1in, A Marab&MaL,axaat;a Agency LT.0 Ce AMI=i DT NAME 1000 Coxvoraeo Drive PHONE (954} 903-2.627 I.— ate 400 �rUa VAX -85S6 (954) 938-8586 Fort LaudereRle Ft, 33334 ADDROAA, INSURED Service ftgrica Enterprise, 7;ao. 2759 NPr 63rd Court Ft. Lauderdale FL 33309.1711 —" - vTBItTIFICATE NUMBER: Cert: xa 47831 REVISION NUMBER:: TWIS I$ TO CERTIFY HAT THE f'OLIC1@S OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OP ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY HE 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. 4 TYPE; OF INSURANCE Em MMmC Exp COMMERCIAL GENERAL LIABILITY POLICY IVl1MB8R LIMrr$ CWMS-mADE 0 OCCUR I EACH OCCURRENCE (E[t4eeurr3aal S 2`6 AL>KiHW�ATE� LIMIT APPLIES PER: POUCY ED wt PERSONAL 8 ADV INJURY $ M LOC GENERALAGGREpATE � QTHER• PRODUCTS . COMP/OP App S AUTOMOBILE LIABILITY 8 ANY AUTO OOMattl D SINt,LE LIMIT B AtL1TQ08 RD SCHEpULED BODILY INJURY (Par pmw) S HIRED AUTOs NED AUTOS BODILY INJURY (Fer aealdara) S tporRERTM AMAGE S _ cafdpntl UMBRBLI.A LIAl� OCCUR S 3=433LIAB __..... I-.-.._--• _ Aoccas 4.vMI-MSATION AND EMPLOnr4r LIABI4rry N/A 2014730929909 12/31/201412/3 0919CRIPTION OF Op�ATIONS / LOOATION$ / V@NICLES (ACORD 9Gl, Atltlklannl Ramartrn Sahufe, m1 bn atlschod Irtnam A aea Ia Re: Toad Perlmutter xC000282a r p mqulrod) Proof of 7:nanxsnca only. ML -1 eTAOseo v:.Z7.age 10050 NE Second ave, 24Ya31i Shores FL 332.38 S s. 000, 000 1,000,000 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUD REPRESENTATIVE ZPIR— ACORD 25 (2014/01)41988-2014 ACI The ACORD name and logo are registered marks Of ACORD