The URL can be used to link to this page

ELC-15-1174New Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-234943 Permit Number: ELC-5-15-1174 Scheduled Inspection Date: May 27, 2015 Permit Type: Electrical - Commercial Inspector: Devaney, Michael Inspection Type• Final Owner: MANAGEMENT LLC, ADVANCE Work Classification: Repair CI WE"A Job Address: 9190 BISCAYNE Boulevard Miami Shores, FL Project: <NONE> Contractor: FELIU ELECTRICAL CONTRACTOR INC owwmg uepanrnenz �.ommenzs REMOVE CLIPS & REMOVE OLD AIC AMP HANGING TO CLOSE PERMIT# ELC-14-943 Inspector Com Passed' Failed Correction ❑ Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. Phone Number Parcel Number 1132060100030 INSPECTOR COMMENTS False Phone: (305)607-4447 May 26, 2015 For Inspections please call: (305)762-4949 Page 12 of 26 *, Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Parcel Number Applicant 9190 BISCAYNE Boulevard 1132060100030 Miami Shores, FL Block: Lot: BRITE STONE INVESTMENT LL( Owner Information Address Phone Cell BRITE STONE INVESTMENT LLC 9190 BISCAYNE Boulevard (786)340-7513 MIAMI SHORES FL 33138- 9190 BISCAYNE Boulevard MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone FELIU ELECTRICAL CONTRACTOR IN (305)607-4447 of Work: REMOVE CLIPS & REMOVE OLD A/C AMP H onal Info: ification: Commercial ling: 3 Fees Due Amount CCF $0.60 DBPR Fee $2,25 DCA Fee $2.25 Education Surcharge $0.20 Permit Fee $150.00 Scanning Fee $3.00 Technology Fee $0.80 Total: $159.10 Valuation: $ 400.00 Total Sq Feet: 0 Pay Date Pay Tvpe Amt Paid Amt Due I Invoice # ELC-5-15-55602 05/20/2015 Check #: 8522 $ 159.10 $ 0.00 Available Inspections: Inspection Type: Final 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 AFF!PAV4T'_T_ce_ft4y that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constructiorj e d zq$ , re, I authorize the above-named contractor to do the work stated. 20, 2015 Signature: Owner / Applicant / Contractor / Agent Building Department Copy May 20, 2015 1 AV BUILDING PERMIT APPLICATION Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 2010 Master Permit No. U Fi,-A Sub Permit No. ❑BUILDING OELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL PLUMBING ❑ MECHANICAL [:]PUBLICWORKS [:]CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 9190 Biscayne Blvd. City: Miami Shores County Miami Dade Zip: Folio/Parcel#: 11 32060 100030 Is the Building Historically Designated: Yes NO X Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Brite Stone Investment, LLC Phone#: 305-397-8986 Address: 9559 Collins Avenue, Suite 703 Citi: Surfside State: Florida Zip: 33154 Tenant/Lessee Name: Bank of America Phone#: Email: CONTRACTOR: Company Name:�� C�/��9�Oti�s"i Phone#: 3 �-�P�� t'��✓ % Address:7/�� City: state: Zip: -5—Y1 7 Qualifier Name:��,�i� Phone#: 2OU --6®7 4,14/ 4/ ate Certific on or Registration #:�L // /?d e/ -77 Certificate of Competency M -DESIGNER: Architect/Engineer: a�/L Phone#: Value of Work for this Permit: $ ) " Type of Work: ❑ Addition ❑ Alteration Description of Work: Specify color of color thru tile: Submittal Fee $, Scanning Fee $ City: State: Zip: Square/Linear Footage of Work: ❑ New ❑ Repair/Replace Demolition IE9--Ni Permit Fee $�� ®® CCF $ CO/CC $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ (Revised02/24/2014) DBPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ � . ,in Bonding 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 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 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 b approved and a reinspection fee will be charged. Signatur J✓ Signature o., °✓ OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this / day of(� n 20 t_ ��by At il, a ,(� who is personally known to me or who has produced L- as identification and who did take an oath. NOTARY PU The foregoing instrument was acknowledged before me this _ day of V`"/ 020 i � , by 7o s e— Fe i/ (r, who is personally known to _ me or who has produced identification and who did take an oath. NOTARY PUBLIC: as Sign: 4L% ' Sign: Print: #90/7,4 � L B a@iii�st38� Print: % '�—��pN uq. Seal: � ' =Commission# FF164392 Seal °'b •l!�Yyy��''s� Boris Bomkhov Expires: SEP 30, 2018 ?��CcmmmWon# "164392 '•��,"" idd�� M RIDA N NOTARY. LLC ares: SEP 30, 2018 'c• BONDED THRU 1sT FLORIDA NOTARY�JU �x�x��x�+x�x�x�xaem 1> APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 FELIU, JOSE RAUL FELIU ELECTRICAL CONTRACTOR INC 13245 SW 55TH ST MIAMI FL 33175 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 LICENSE NUMBER 1 DETACH HERE (850) 487-1395 STATE OF FLORIDA 8 DEPARTMENT OF BUSINESS AND -' PROFESSIONAL REGULATION EC 13002477 ISSUED: 08/14/2014 CERTIFIED ELECTRICAL CONTRACTOR FELIU, JOSE RAUL FELIU ELECTRICAL CONTRACTOR INC IS CERTIFIED under the provisions of Ch.489 FS. Expiration date : AUG 31, 2016 L1408140002174 KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD The ELECTRICAL CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2016 FELIU, JOSE RAUL FELIU ELECTRICAL CONTRACTOR INC 13245 SW 55TH ST MIAMI FL 33175 ISSUED: 08/14/2014 DISPLAY AS REQUIRED BY LAW SEQ# L1408140002174 Local Business Tax Receipt Miami—Dade County, State of Florida —THIS IS NOTA BILL — DO NOT PAY 41673 BUSINESS NAME/LOCATION RECEIPT NO. EXPIRES FELIU ELECTRICAL CONTRACTOR INC RENEWAL SEPTEMBER 30, 2015 13245 SW 55 ST 41673 MIAMI FL 33175 Must be displayed at place of business Pursuant to County Code Chapter 8A — Art. 9 & 10 OWNER SEC. TYPE OF BUSINESS PAYMENT RECEIVED FELIU ELECTRICAL CONTRACTOR INC 196 ELECTRICAL CONTRACTOR BY TAX COLLECTOR Worker(s) 10 EC13002477 $75.00 08/28/2014 CHECK21-14-056330 This Local Business Tax Receipt only confirms payment of the Local Business Tax.. The Receipt is not a license, permit or a certification of the holder's qualifications, to do business. Holder must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT N0. above must be displayed on all commercial vehicles — Miami—Dade Code Sec 8a-276. For more Information, visit www.miamidade.gov/toxcollector May 18 2015 10:19AM Pan Am Assurance 305-270-8997 page 2 ACO� CERTIFICATE OF LIABILITY INSURANCE 05/11N'D2N' 05 18201155 M0011000111 (305) 270-1424 Pan Am Assuranceea A8 O'Y., ,inG 9100 Sunset Drive Miami FL 33171-4633 THC$ CERTIFICATE 18 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT ADDEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE .NAIL# NSUREO it MMID' RLECTRICAU CONTRACTOR, INC 13245 SW 55 ST DILAk6I 8L 33175- Lt%ImER k SCOTTSDALB INSVRANCE CO 41297. INSURER a:TBCHNOXAM INSXMMCE CO 42376 INSURER C: I.NSURER D' IHsuRERE: n,nveea,-�kVam THE POLICIES OF INSURANCE USTEI3 BELOW HAVE BEEN BMW TO THE INSURED NAMED ABOVE FOR THE.POWCY PERIOD INDICATED. NOTWITHSTANDIN(d ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT Y4FTii RESPECT TO VMICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE, INSURANCE AFFORDED BY THE POLICIES IZESCRISED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE, UMI78 SHOWN mAy HAVE SEEN REDUCED BY PAID CLAIMS. INSR PAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT TYPE OF INSURANCE POLY WIC OA (1AtUDDIYYI (Ma►MWM LINTS A B 09NERALUABLM / / ! I EACH OCCURRENCE S 1, QOO, 000 Rq=l 3. 'R.20a 6 100,000 S COMMERCLILGENERAL LIAMLRY CLAIMS MADEFE CCCUR CY02151691 03/16/2015 03/16/2016 51000 EMSONAL BADV INJURY a 1.000, 000 GENERALAGGREGATB 8 2,000,000 GEWL AWAEGATE LIMIT APPUES PER: PRODUCTS -O P AGO 8 2,000,000 S POLICY J Re& LOC AUTOMOB"LTANUrf / / / / COMBINED SINGLE LIMIT 8 AHYAUTO (Ea aaddaN BODILY INJURY S ALL OMMED AUTOS / ! / / SCHEDULED ALROS (ParP—M) 90DILYINJIM 8 HIRE7AUrOS / ! / / NON•ONMMAUTOS (Paraocwwo PROPERTY DAMAGE s (Paracomem . GARAGELAIBIUrY AWTO.ONLY-EA ACCIDENT 8 OTHER THAN RAACQ $ ANYAUfO I / ! I AUTO ONLY: AG3 8 EXCEBBAIMBRMU LIABILITY ! / ! / e 8 _ OCCUR � CIADAS KUM. AGGREGATE 8 8 .. 8 RETENTION S. B WOMRSCOMPENSATMAND 'iR7C3419329 07/23/2014 07/23/2015 $ T I EMPLOYERS,LWBILRY ANY.PROPRIETOR/PARTNEIMMC JTIVE ELPJICHa�iDeNT 8 500.000 E.L DEMP - EA EMPLOYEE 8 500 r 000 OFACERAAEMAVIR EXC'WDEW. ! / I ! Ryes dewft wder SPECIAL IONS below E.LOeEASE-Pow-YEM1rr 8 300.000 DESCRIP7WNOFOP8tAT14N>BIORAITHiN9tYENICLE&MMNIONSAWED BY PECUILPROI ON$ t NMCTRICAL COMMCTORS _ .pA rwRTIPInATI Wn1 no* - ramrRI I ATlnw (305) 795-2204 (305) 756-6972 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 6E CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSIN M MMM WILL WIDEAVOR TO MAD - PAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT Miami. Shores Village FAILUM TO NO 20 SNAP. IMPOSE NO 0111.IGATIM OR LIABWTY OF ANY 00 UPON THE Building Departhent DISURER"BAGUITSORRIEPRIMWATNE& AUIICOAQEDIiEPRE8JBtITATILiE /%/j `(J� 10050 NE tad Avenue Miami Shores FL 33138- AC17RD 26 0011=1 V AUUM GVKMK^TIVIV IWO INS026 (01CIBLDB I Pane 1 at 2 May 18 2015 10:19AM Pan Am Assurance 305-270-8997 page 3 IMPORTANT If the certificate holder is an -.ADDITIONAL INSURED, the policy(les) must be endorsed. A statement on this certificate does not confer righty to the certificate holder in lieu of such endorsentent(s). If SUBROGATION IS WAIVED, subject to the terms and condidens of the poky, certalr) policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance an the reverse side of this form does not constitute a contract bat wen the Issuing Insurer(s), authorized representative or producer, and the certificate holes, nor does it affirmatively or negatively emend, extend or alter the coverage afforded by the policies listed thereon. t AWRD26 (200110 INSM(moo)m AMS P"02012 Detail by Entity Name Florida Limited Liability Company ADVANCE FLORIDA MANAGEMENT LLC Filing Information Document Number FEI/EIN Number Date Filed Effective Date State Status Principal Address 9559 collins ave suite 703 surfside, FL 33154 Changed: 01/02/2015 Mailing Address 9559 collins ave suite 703 surfside, FL 33154 Changed: 01/02/2015 POLIAKOVA, ANNA 9559 collins ave suite 703 surfside, FL 33154 Address Changed: 01/02/2015 Authorized Person(s) Detail Name & Address Title MGMR POLIAKOVA, ANNA 9559 collins ave suite 703 surfside, FL 33154 L13000017618 N/A 02/04/2013 02101/2013 FL ACTIVE Page 1 of 2 http://search. sunbiz. org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... 5/18/2015 Detail by Entity Name Annual Reports Report Year Filed Date 2014 03/12/2014 2015 01102/2015 Page 2 of 2 01/02/2015 ANNUAL REPORT View image in PDF format 03/12/2014 ANNUAL REPORT view image in PDF format 02/04/2013 Florida Limited Liability View image in PDF forma—T-7 Comight 0 and Privacy Policies State of Florida, Depailment of State http://search.sunbiz.orglInquirylCorporationSearchISearchResultDetail?inquirytype=Entity... 5/18/2015 Detail by Entity Name Florida Limited Liability Company BRITE STONE INVESTMENT LLC Filing Information Document Number FEI/EIN Number Date Filed Effective Date State Status Principal Address 9559 collins ave suite 703 surfside, FL 33154 Changed: 01/02/2015 Mailing Address 9559 collins ave SUITE 703 surfside, FL 33154 Changed: 01/02/2015 L13000177392 N/A 12/27/2013 01/01/2014 FL ACTIVE advance florida management Ilc 9559 collins ave suite 703 surfside, FL 33154 Name Changed: 01/02/2015 Address Changed: 01/02/2015 Authorized Persons) Detail Name & Address Title MGR ADVANCE FLORIDA MANAGEMENT LLC Page 1 of 2 http://search. sunbiz. org/Inquiry/CorporationSearchISearchResultDetail?inquirytype=Entity... 5/18/2015 Detail by Entity Name 9559 collins ave 703 surfside, FL 33154 Annual Reports Report Year Filed Date 2015 01/02/2015 Document Images Page 2 of 2 01/02/2015 -- ANNUAL REPORT View image in PDF format 12/27/2013 --..,Florida Limited Liability I View image in PDF format Conyright J and Privacy Policies Slake of Fiodda, Department of State http://search. sunbiz. org/Inquiry/CorporationSearchISearchResultDetail?inquirytype=Entity... 5/18/2015 Miami 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 APPLICATION Permit Type: Electrical JOB ADDRESS: FBC 20 Permit No. MAY 0 9 2014 Master Permit No. cle, / 3% City: Miami Shores t County: Miami Dade Zip: be) 1 �b Folio/Parcel#: R - mua-- Glo Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Tenant/Lessee Name: Email: 0,01 V101 r ce-n19 CONTRACTOR: Company Name: _&Z, Phone#. 30J_'6 0-7 41 W 41 -7 Address: /3a.44— 541 4— iT City: 0 State: Qualifier Name: _-AGj e t1. AE11'6f State Certification or Registration #: Contact Phone#: 07 - V 1/417 Email Address: &0_4f V 'hone#: ncy #:,C /3,00,g 6�-7 1 eve .. DESIGNER: Architect/Engineer Phone#: o Value of Work for this Permit: $ Z12 Square/Linear Footage of Work: Type of Work: ❑Address DAlteration ONew gRepair/Replace ODemolition Description of Work: Z C �12CC CL,& 4,,2 L r- A - 4�4 Submittal Fee Scanning Fee $ Permit Fee $ CCF $ CO/CC $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ 1() 9. /® Bonding Cbmpany'gName (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State 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 wAnRt be approved and a reinspection fee will be charged. Owner or Agent The foregoing instrument was acknowledged before me this _ day of *y , 20,a, by _ 4AANA 3"brg— days mho -is personale known to me or who has produced who Sign: Print: My Commission APPROVED BY As identification and who did take an oath. ROBERT PHILUP LISMAN MY COMMISSION #FF001132 EXPIRES March 20.2017 Plans Examiner Structural Review (Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) Contractor instrument was Iacknowledged before me this 20 1`c, by lily known to me or who has produced �l as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: •••''' Y rte, ARLEEN F. L00 My Commission E §e EXPIRES: Mat, r17 Zoning Clerk AC # 6 2 9 2 5 3 9� TATE OF FLORIDA s DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD ' L • ICENSE NBR SEQ# L12082202984 BATCH NUMBER [08/22/20121128049124LEC13002477 The ELECTRICAL CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2014 FELIU, JOSE RAUL FELIU ELECTRICAL CONTRACTOR INC 13245 SW 55TH ST MIAMI FL 33175 RICK SCOTT GOVERNOR DISPLAY AS REQUIRED BY LAW KEN LAWSON SECRETARY 001422 Local Business Tax eint Miami -Dade County, State of Florida -THIS IS NOT A BILL - DO NOT PAY 41673 BUSINESS NArytE/LOCATION FELIU ELECTRICAL CONTRACTOR INC RECEIPT NO. 13245 SW 55 ST RENEWAL MIAMI FL 33175 41673 TT RES SEPTEMBER 30 Must be disPlayed at place of b 2� 14 Pursuant to County Code Chapter BA - Art, 9 & 10 OWNER SEC. TYPE OF BUSINESS FELIU ELECTRICAL CONTRACTOR INC 196 ECTRICAL CONTRACTOR Worker(s) 10 EC13002477 13Y TAENT RECEIVED BY TAX COLLECTOR $75.00 07/22/2013 This Local Business Tax Receipt only confirms TXHS I-13-033859 permit Ora certification of the holders qualifications, to do business. Holder must corn I nongovernmental re payment of the Local Business Tax. The Receipt is not a license, gulatory laws and requirements which apply to the business. The RECEIPT N0. above most be displayed on all commercial vehicles _ comply with any governmental or For more information, Miami -Dade Code Sec Se -276. visit www m'a 'da . ov text 1 ect r ACORD,m CERTIFICATE OF LIABILITY INSURANCE 0DATE 5/0M/DD/Y 05/08/201414 PRODUCER (305) 270-1424 Pan Am Assurance enc Inc Y► 9100 Sunset Drive Miami FL 33173-3433 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED FELIU ELECTRICAL CONTRACTOR, INC 13245 SW 55 ST MIAMI FL 33175— INSURER a SCOTTSDALE INSURANCE CO MNSURERB:TECMOLOGY INSURANCE CO INSURER C: INSURER D: INSURER I- r.r•vr =1 rj-IrN xy 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADD L INSRO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MMIDDPM LIMITS A GENERAL LIABILITY / / / / EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE ❑X OCCUR CPS1561951 03/16/2014 03/16/2015 DAMAGERENTED EMISES occurrence $ 100,000 MED EXP Anyone Person $ 5,000 PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 X POLICYFI JJECT LOC AUTOMOBILE LIABILITY ANY AUTO / % / / COMBINED SINGLE LIMIT $ (Ea accident) BODILY INJURY $ (Per person) ALL OWNED AUTOS SCHEDULED AUTOS / / / / HIRED AUTOS NON -OWNED AUTOS / / / / BODILY INJURY (Per acddent) $ PROPERTY DAMAGE (Per accdderd) $ GARAGE LIABUM AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO / / / / AUTO ONLY: AGG $ EXCESSNMBRELIA LIABILITY / / / / EACH OCCURRENCE $ AGGREGATE $ OCCUR FICLAIMS MADE $ DEDUCTIBLE / / / / $ RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE TWC3363120 07/23/2013 07/23/2014 X I TORYLIMA S ER E.L. EACH ACCIDENT $ 500,000 E.L.DISEASE -EAEMPLOYEE $ 500,000 OFFICER/MEMBEREXCLUDED? ff yes, describe under SPECIAL PROVISIONS below / / / / E.L. DISEASE- POLICY LIMIT $ 500,000 OTHER DESCRIPMON OF OPERATIONSILOCATIONSA/EHICLESID(CLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS ELECTRICAL CONTRACTORS GtK 111-11:A 1 t nuLUtK GANGCLLA I ION (305) 795-2204 (305) 756-8972 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT Miami Shores Village FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY )OND UPON THE Building Department INSURER, ITS AGENTS OR REPRESENTATIVES. 10050 NE 2nd Avenue AUTHORDMDREPRESENTATIVE ale Miami Shores FL 33138- ACORD 25 f2081 /OR) (a ACORn CORPORATION 1999 PEgRwvd by and rctum to: Felix R. Carrillo, Esq. Attorney at Law Law Offices of Carrillo & Carrillo, P.A. 3676 SW 2 Street Miami, FL 33135-1023 d 305-460-6001 File Number: 14-1751RE Will Call No.: CFN: 20140239727 BOOK 29094 PAGE 2011 DATE:04/03/2014 01:13:59 PM DEED DOC 14,400.00 SURTAX 10,800.00 HARVEY RUVIN, CLERK OF COURT, MIA-DADE CTY [space Above This Line For Recording Data] - Warranty Deed This Warranty Deed made this 28th day of March, 2014 between Ninety One Ninety Biscayne, LLC, a Florida Limited Liability Company whose post office address is 9190 Biscayne Blvd., Suite 201, Miami Shores, FL 33138, grantor, and Brite Stone investment LLC, a Florida Limited Liability Company whose post office address is 1160 Kane Concourse, Suite 202, Bay Harbor Islands, FL 33154, grantee: (Whenever used herein the terms "grantor" and "grantee" include all the parties to this instrument and the heirs, legal representatives, and assigns of individuals, and the successors and assigns of corporations, uum and trustees) Witnesseth, that said grantor, for and in consideration of the sum of TEN AND N0/100 DOLLARS ($10.00) and other good and valuable considerations to said grantor in haod paid by said grantee, the receipt whereof is hereby adanowledged, has granted, bargained, and sold to the said grantee, and grantee's heirs and assigns forever., the following described land, situate, lying and being in Miami -Dade County, Florida to -wit: SEE EXHIBIT "A" ATTACHED HERETO AND MADE A PART HEREOF i Parcel Identification Numb6r:11-3206-010-0030 Together with all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining. To Have and to Hold, the same in fee simple forever. And the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple; that the grantor has good right and lawful authority to sell and convey said land; that the grantor hereby folly warrants the title to said land and will defend the some against the lawful claims of all persons whomsoever; and that said land is free of all encumbrances, except taxes accruing subsequent to December 31, 2013. In Witness Whereof, grantor has hereunto set grantor's hand and seal the day and year first above written. DoubleTimee Signed, sealed and delivered in our presence: r' � ��[!li]►Ti1 State of Florida County of Miami -Dade CFN: 20140239727 BOOK 29094 PAGE 2012 Ninety One Ninety Biscayne, LLC ,7 = 'ter Aria] Ajo, Manager (Corporate Seal) The foregoing instrument was acknowledged before me this 28th day of March, 2014 by Ariel Ajo of Ninety One Nmety Biscayne, LLC, on behalf of the corporation. He/she U is personally known to me or W has ced a driver's license as identification. [Notary Seal] Notary Public Warranty Deed - Page 2 Printed Name: FELIX fl. CARMLLO My Commission ' Public - Rde o FWde '�..,r Cammlea�n i Us 00 31, 2016 '9 E l00; \ CFN: 20140239727 BOOK 29094 PAGE 2013 EIIBIT "A" LEGAL DESCRIPTION From the point where the South line of N.E. 92nd Street intersects the Westerly line of Biscayne Boulevard, according to the Plat of SHORES CENTER, recorded in Plat Book 49, Page 42, of the Public Records of Miami -Dade County, Florida, run in a Southwesterly direction along said Westerly lime of Biscayne Boulevard, a distance of 52.07 feet to a concrete monument in said Westerly time of Biscayne Boulevard, for a Point of Beginning. Thence continue in said Southwesterly direction along the Easterly line of Tract "A" of said SHORES CENTER, a distance of 140.15 feet to the Southeast corner of the parcel of land herein described; Thence Westerly, parallel with the North line of said Tract "A", a distance of 200.00 feet to the Southwest corner of the parcel of land herein described; Thence Northerly along a line perpendicular to said North line of said Tract "A", a distance of 150.00 feet to the Northwest corner of the parcel of land herein described; Thence Easterly along said North line of said Tract "A", a distance of 268.14 feet to the point of tangent of a curve having a radius of 25.0 feet; Thence along the arc of said curve for a distance of 56.16 feet, more or less, to the Point of Beginning. Property address: 9190 Biscayne Blvd., Miami Shores, FL 33138 IRS DEPARTMENT OF THE TREASURY INTERNAL REVENUE SERVICE CINCINNATI OH 45999-0023 BRITE STONE INVESTMENT LLC ANNA POLIAKOVAR 1160 KANE CONCOU SE STE 202 BAY HARBOR IS, FL 33154 Date of this notice: 01-06-2014 Employer Identification Number: 46-4422509 Form: SS -4 Number of this notice: CP 575 B For assistance you may call us at: 1-800-829-4933 IF YOU WRITE, ATTACH THE STUB AT THE END OF THIS NOTICE. WE ASSIGNED YOU AN EMPLOYER IDENTIFICATION NUMBER Thank you for applying for an Employer Identification Number (EIN). We assigned you EIN 46-4422509. This EiN will identify you, your business accounts, tax returns, and documents, even if you have no employees. Please keep this notice in your permanent records. When filing tax documents, payments, and related correspondence, it is very important that you use your EIN and complete name and address exactly as shown above. Any variation may cause a delay in processing, result in incorrect information in your account, or even cause you to be assigned more than one EIN. If the information is not correct as shown above, please make the correction using the attached tear off stub and return it to us. Based on the information received from you or your representative, you must file the following form(B) by the date(s) shown. Form 1065 04/15/2015 If you have questions about the form(s) or the due date(s) shown, you can call us at the phone number or write to us at the address shown at the top of this notice. If you need help in determining your annual accounting period (tax year), see Publication 538, Accounting Periods and Methods. We assigned you a tax classification based on information obtained from you or your representative. It is not a legal determination of your tax classification, and is not binding on the IRS. If you want a legal determination of your tax classification, you may request a private letter ruling from the IRS under the guidelines in Revenue Procedure 2004-1, 2004-1 I.R.B. 1 (or superseding Revenue Procedure for the year at issue). Note: Certain tax classification elections can be requested by filing Form 8832, Entity Classification Election. See Form 8832 and its instructions for additional information. A limited liability company (LLC) may file Form 8832, Entity Classification Election, and elect to be classified as an association taxable as a corporation. If the LLC is eligible to be treated as a corporation that meets certain tests and it will be electing S corporation status, it must timely file Form 2553, Election by a Small Business Corporation. The LLC will be treated as a corporation as of the effective date of the S corporation election and does not need to file Form 8832. To obtain tax forms and publications, including those referenced in this notice, visit our Web site at www.irs.gov. If you do not have access to the Internet, call 1-800-829-3676 (TTY/TDD.1-800-829-4059) or visit your local IRS office. d Is Florida Limited Liability Comoanv BRITE STONE INVESTMENT LLC Document Number FEI/EIN Number Date Filed State Status Effective Date L13000177392 NONE 12/27/2013 FL ACTIVE 01/01/2014 1160 KANE CONCOURSE SUITE 202 BAY HARBOR ISLANDS, FL 33154 1160 KANE CONCOURSE SUITE 202 BAY HARBOR ISLANDS, FL 33154 Registered Agent Name & Address POLIAKOVA, ANNA 1160 KANE CONCOURSE 202 BAY HARBOR ISLANDS, FL 33154 Authorized Persons Detail Name & Address Title MGR POLIAKOVA, ANNA 1160 KANE CONCOURSE, SUITE 202 BAY HARBOR ISLANDS, FL 33154 Title MGMR ADVANCE FLORIDA MANAGEMENT LLC 1160 KANE CONCOURSE, SUITE 202 BAY HARBOR ISLANDS, FL 33154 Title MGMR YES LTD WHITFIELD TOWER 3RD FLOOR 4792 CONEY DRIVE BELIZE CITY, BZ 00000 BZ Annual Reports No Annual Reports Filed Document Images 12/27/2013 — Florida Limited LiabifijyF View image in PDF format - S,al r o �i f :cr,:;a, (:ir..7� 1tt ne.:,lC of Sta!:e Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 MAY 12, 2014 Permit No: ELC14-943 ELECTRICAL REVIEWER COMMENTS Is this a residence? Is the wire size and grounding correct? "Via. W Vie. mei( Q'\{�Dut Cn eeetv�ca� fWLM Lao D Plan review is not complete, when all Items above are corrected, we will do a complete plan review. If any sheets are voided, replace them with new revised sheets and place behind the most current page. Property Search Application - Miami -Dade County Page 1 of 7 Address Owner Name Folio SEARCH: 9190 BISCAYNE BLVD PROPERTY INFORMATION Folio: 11-3206-010-0030 Sub -Division: SHORES CENTER Property Address 9190 BISCAYNE BLVD Miami Shores, FL 33138-3224 Owner BRITE STONE INVESTMENT LLC Mailing Address 1160 KANE CONCOURSE #202 BAY HARBOR ISLANDS, FL 33154 Primary Zone 6400 COMMERCIAL - CENTRAL Primary Land Use 2313 FINANCIAL INSTITUTION: OFFICE BUILDING Beds / Baths / Half Floors Living Units Actual Area Living Area 0/0/0 2 0 13,686 Sq.Ft 13,686 Sq.Ft http://www.miamidade.gov/propertysearch/index.html 5/15/2014