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DEMO-15-618
Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-230688 Permit Number: DEMO -3-15-618 Scheduled Inspection Date: April 07, 2015 Permit Type: Demolition Inspector: Devaney,.Michael Inspection Type: Final Owner: , Porto Cabral LLC Work Classification: Electric Job Address: 500 NE 92 Street Miami Shores, FL Phone Number Parcel Number 1132060141200 Project: <NONE> Contractor: CITY ELECTRICAL ENGINEERING Phone: (786)738-1135 Building Department Comments DISCONNECT THE POWER IN AREAS OF DEMOLITION Infractio Passed Comments INSPECTOR COMMENTS False Passed t Failed Correction ❑ Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. Inspector Comments April 06, 2015 For Inspections please call: (305)762-4949 Page 25 of 63 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 MAR 2`0 2 15 i BY: FBC 20 10 BUILDING Master Permit No. Demo-3-/S®S/2 PERMIT APPLICATION Sub Permit No. ®' fen t ❑BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS [:]CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: N E qV- :3 ree- City: Miami Shores / County: Miami Dade Zip: 33138 Folio/Parcel#: 1 / -320 6 -®14 —12- ®Q Is the Building Historically Designated: Yes NO X_ Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): 1` Q r 1 U L(4 0 }-1} L 1-4 t✓ Phonej_-L J `7(.d i s Ui C Address: 1�t) r) w F q 2 s Tg eeT City: %"f f M-1-4 t S h ®�'e S State: EL/ Zip: a� I 3(?- Tenant/Lessee Name: Email: CONTRACTOR: Company Name: /C'CA` (_ 1V o Cf0 hone# /,is Address: V City: State: Zip: L� Qualifier Name: �F (n e -o s r fp C ia) z Phone#: _ o 3r State Certification or Registration #: Certificate of Competency #: [ ®z) 2 l DESIGNER: Architect/Engineer: Phone#: Address: City: State: Value of Work for this Permit: $^ 4 Square/Linear Footage of Work: Zip: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace Demolition A e Description of Work: 06-S COof e t �� L% Darn,2f I n ct re 3 ®F ®ewv / � T'i`ll a Specify color of color thru tile: Submittal Fee $ �:L_ Permit Fee $ �Pm® CCF $ CO/CC $ Scanning Fee $ Technology Fee Structural Reviews $ (Revised02/24/2014) Radon Fee $ Training/Education Fee $ DBPR $ Notary Double Fee $ Bond $ TOTAL FEE NOW DUE $ ro 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 be approved and a reinspection fee will be charged. P �' wa,OWNER r!aa! The fore ping instru ent was acknowledged before me this da of?I �� 20 _[ by �� Q(L who is personally known to me or who has produced _& n i 6(1j: P, , ` as identification and who did take an oath. NOTARY Signature CONTRACTOR The fore oing instrument was ackno ledged before me this day of 20 AS , by RA*C/SCa ��y Z , who is personally known to me or who has produced 60.4 -CIA- 0/",- as identification and who did take an oath. NOTARY Sign: Sign: Print: o a PS ✓1 / Print: bI&Ad e e IV 14 ft. C-- Seal: n nv Notary Public State of Florida Seal: ro ern Lourdes M Hernandez FF 031222 $ 100 Pe' ® d""el Notary Public State of Florida Lourdes M Hernanr'ez My Commission fres 0812912017 °d ®a F100 My Commission FF 031222 Expires 08/29/2017 +k�k�Nb�k�k*�� +r r��s�x��x��s*a***x�+��w+�+s+x+►a�x�s�*�s��s*sx��a�e��a��x�x APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Detail by Entity Name A PORTO CABRAL LLC ilirdc Information Document Number FE11EIN Number Date Filed State Status Princir)al Address I SE 3RD AVENUE 299_0 MIAMI, FL 33131 L14000186436 NONE 12/05/2014 FL ACTIVE 1 SE 3RD AVENUE 2900 MIAMI, FL 33131 Reqkqtered nt Name & Address MARX & FRANKEL PA 1 SE 3RD AVENUE 2900 MIAMI, FL 33131 Title MGR HENARES PORTO, RICARDO SE 3RD AVENUE, SUITE 2900 %MJAW, FL 33131 ��- -- - W -C No Annual Reports Filed Document I -1.2..,'0512014 —Florida Limited Liability I View image in PDF format I Page I of 2 http:Hsearch.sunbiz.orgllnquirylCorporationSearchISearchResultDetail?inquirytype=Entity... 3/20/2015 CTQB Construction Trades Qualifyinq Board BUSINESS CERTIFICATE OF COMPETENCY 14E000214 CITY ELECTRIC ENGINEERING= WC D.B.A.: CR e.'RANCISCO Is certified :order the provisions of Chapter 10 of Miami -Dade County VALID FOR CONTRACTING UNTIL 09/3012015 011731 Local Business Tax Receipt Miami -Dade County, State of Florida -THIS IS NOT A BILL - DO NOT PAY 7041700 BUSINESS NAME/LOCATION CITY ELECTRIC ENGINEERING INC 316NW7AVE HOMESTEAD FL 33030 LBT RECEIPT NO_ EXPIRES RENEWAL SEPTEMBER 30, 2015 7318132 Must be displayed at place of business Pursuant to County Code Chapter 8A - Art. 9 & 10 OWNER SEC. TYPE OF BUSINESS CITY ELECTRIC ENGINEERING INC 196 ELECTRICAL CONTRACTOR PAYMENT RECEIVED i4E000214 BY TAX COLLECTOR Worker(s) t $45.00 09/24/2014 CHECK21-14-077051 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 holders 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 6a-276. For more information, visit www.miamidade.govkaxcollector Municipal Contractor's Tax Receipt Miami—Dade County, State of Florida —THIS IS NOT A BILL — DO NOT PAY CC NO: 14E000214 BUSINESS NAME/LOCATION CITY ELECTRIC ENGINEERING INC 316 NW7AVE HOMESTEAD, FL 33030 RECEIPT NO. EXPIRES 7458661 SEPTEMBER 307 2015 Pursuant to County Code Sec 10-24 OWNER TYPE OF BUSINESS CITY ELECTRIC ENGINEERING INC ELECTRICAL CONTRACTOR PAYMENT RECEIVED C/O FRANCISCO CRUZ BY TAX COLLECTOR 200.00 11/21/2014 0241-15-000681 This receipt is not valid in the following Municipalities: Aventura, Doral, Hialeah, Key Biscayne, MIAMI-MMfMiami Gardens, Miami Lakes, Palmetto Bay, Pinecrest, Sunny Isles Beach, Town of Cutter Bay. MM For more information, visit www.miamidade aovltaxcoll rn. AC - r!� CERTIFICATE OF LIABILITY INSURANCE DA�03/19/�15 n 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. N SUBROGATION IS WANED, subject to the terms and conditions of the policy, certain policies may require an andorsemem A statement on this certificate does not confer rights to the cerdficats holder In lieu of such endorsement(s). PRODUCER 1st State Insurance CNAMONTACT COMMERCIAL PHONE (786) 243-9M I ('AMC N,): (786) 243-9888 N 2804 NE 8 St Ste 2024MAILADDRESS.servica@stonerins.crom MSU S AFFORDING COVERAGE NAIL # Homestead, FL 33033 INSURER A : SCOTTSDALE INSURANCE CO Phone (786) 243-9886 Fax (786) 243-9888 INSURED INSURER 13: INFINITY INS CO INSURERC: CITY ELECTRIC ENGINEERING INC INSURER D : 316 NW 7 Ave INSURER E : Homestead, FL 33030 786 AUTOMOBILE LIABILITY ❑ ANY AUTO ❑ ALLOWNED ® AIUUHEOS D ❑ HIREDAUTOS ❑ AUT�WNED ❑ ❑ N INSURERF: 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 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. MSR LTR TYPE OF MSURANCE ADD IN B POLICY NUMBER POLICY EFF D POLICY EXP D UMC A GENERAL LIABILITY 0 COMMERCIAL GENERAL LIABILnY ©❑ CLAIMS -MADE ❑ OCCUR ❑ Y N CPS2105246 10/22/2014 10/22/2015 EACH OCCURRENCE $ 1,000,000.00 GE TO RENTED PREM SES a o=nence $ 100,000.00 MED EXP (Any one parson $ 5,000.00 PERSONAL &ADV INJURY $ 1,000,000.00 ❑ GENERAL AGGREGATE $ 2,000,000.00 GEMLAGGREGATE UMITAPPUESPER: ❑ POLICY ❑ PRO- ❑ LOC PRODUCTS -COMP/OPAGG $ 2,000,000.00 $ B AUTOMOBILE LIABILITY ❑ ANY AUTO ❑ ALLOWNED ® AIUUHEOS D ❑ HIREDAUTOS ❑ AUT�WNED ❑ ❑ N N 509 558326671-001 03/31/2014 03/31/2015 Ewa eBdd D SINGLE UMrr $ 130DILY INJURY (Per parson) $ 100,000.00 BODILY INJURY (Peracddent) $ 30(),000.00 PNON-OPe�a denDAMAGE $ 100,000.00 $ ❑ UMBRELLA LIAB ❑ OCCUR ❑ EXCESS LJAB ❑ CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ ❑ DED ❑ RETENTION $ $ NO COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFRCER/MEMBER EXCLUDED?N (Mandatory In NH) ❑ If yes describe under DESCRIPTION OF OPERATIONS below / A ❑ WC STATU O_ TH UMIT E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POUCY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, I more space Is requb" ELECTRICIAN CERTIFICATE HOLDER CANCELLATION ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) QF The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE MIAMI SHORES VILLAGE BLDG DEPT. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 10050 NE 2 ND AVE ACCORDANCE WITH THE POLICY PROVISIONS. MIAMI SHORES, FL 33138 AUTHORED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) QF The ACORD name and logo are registered marks of ACORD 0 WB JEFF ATWATER CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW CONSTRUCTION INDUSTRY EXEMPTION ;This cer8fies that the Individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 4/17/2014 EXPIRATION DATE: 4/16/2016 PERSON: CRUZ JESUS FEIN: 461051796 BUSINESS NAME AND ADDRESS: CITY ELECTRIC ENGINEERIN( 1140 E MOWRY DR APT 202 HOMESTEAD FL 33030 SCOPES OF BUSINESS OR TRADE: ELECTRICAL WIRING WITHIN BUIL Pursuant to Chapter 440.05(14), F.S. an otfter of a corporaltaa who elefa exemption iron tut chapter by tilting a certificate of election under Ids suction may not meow beneft or compemsatton under this ctmpter. Pursuraud to Chapter 440.5(12). F.S.. CeNficates of election to be exempt.. apply only wWn the scope of the business or trade fisted on the notice of election to be exempt Pursuant to Chapter 440.05(13), F.S., NoBces of election to be exempt and codficatea of election to be exempt std be subject to revocation if, at any time after the tiling of the notice or the Issuance of the ootilloate, the parson named on the notice or certificate no longer meets the requirements of this section for isauerm of a certificate. The department sib revolts a ceditate at any time fortalluee of the person named on to catficate to most the requirements of tht sentlon DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 07-12 QUESTIONS? (850)413-160.9 JEFF ATWATER CHIEF FOCANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * ° CER71RCATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENZA71ON LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies Etat the individual listed Blow has elected to be exempt from Florida Workers' Compensation lawn. EFFECTIVE DATE: • 3/27/2014 EXPIRATION DATE: 3/26/2016 PERSON: CRUZ FRANCISCO FERN: 461051796 BUSINESS NAME AND ADDRESS: CITY ELECTRIC ENGINEERIN( 316 NW 7 AVENUE HOMESTEAD FL 33030 SCOPES OF BUSINESS OR TRADE: ELECTRICAL WIRING WITHIN BUIL Pumumd to Chapter 440.05(141 F.S., an witco of a cormsration who ehetts exero m from Nft chapter by titins a certiftateof election orider tilt semen may not recover bent o cat ponsetion mierthte dmpterRmward to avow 440.05(121 F.S., Cam of election tc be wmmpL• W* o* *Wn fin) scope ofthe business ortrade Dated on "mum of abdon W be exempt. Purmrd to Chi 440.05(13), F.S.. Notims of mat to be wtmWOW cedhiieates of eledw to be exempt did be subject to rewxcamm it at any time after the lift of the rtodce or tha Wsumam of 0m off, the perm torted on the rice or txrtUfloate no tater meets the reciLfterotaft ofthis semen for batmn a of a colilicate, The d613101fr1wtt st l revoke a cartiffmate at any 5rrtefor Uhm ofth e persar norned at the to mad the requtrmmffft of Oils setfon. DFS-F24DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 07-12 QUESTIONS? (&50)413-1130.9 Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner — Workers' Compensation Insurance Exemption F Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full-time employees, including the owner, must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if - 1. f 1. The officer owns at least 10 percent of the stock of the corporation, or in the case of an LLC, a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State, Division of Corporations; and 3. The corporation is registered and listed as active with the Florida Department of State, Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use day labor, part-time employees or subcontractors for your project. The contractor has provided an affidavit stating that he or she will be the only person allowed to work on your project. In these circumstances, Miami Shores Village does not require verification of workers' compensation insurance coverage from the contractor's company for day labor, part-time employees or subcontractors. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. State of Florida County of Miami -Dade The fogoing was acknowledge before me this day of � 20—& , By rA (C 6+ Ed,) ! o g who is personally known to me or has produced RD RI I as idoptification. Notary: an �v�� Notary Public �teolorida Lourdes M Hernaez SEAL: My Commission Fr 031222 ��0, a'40' Expires 0812912017