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EL-15-1831 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-240776 Permit Number: EL-7-15-1831 Scheduled Inspection Date: August 07, 2015 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Ty��e�?"dlf: Owner: Work Classification: Temp for Cafis� Job Address:501 NE 96 Street Miami Shores, FL 33138-2735 Phone Number (305)333-7700 Parcel Number 1132060171550 Project: <NONE> Contractor: MV ELECTRICAL SERVICES Phone: (305)216-0677 Building Department Comments INSTALL ELECTRICAL TEMPORARY SERVICES BY Infractio Passed Comments WORK INSPECTOR COMMENTS False nT spector Comments Passed Failed ' Correction ❑ Needed Re-Inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid. August 07, 2015 For Inspections please call: (305)762-4949 Page 35 of 42 L 54 `sN°REs r, Miami Shores Village ` Rom#"r,, ) $ tTti r Residential 10050 N.E.2nd Avenue NE INvrfcGasStffLafiC3fi ramie fir C0rr1ru+�tie�rll Miami Shores,FL 33138 0000P , r BlT1lff':,?`tc3tuv#APA62 ED Phone: (305)795-2204 fiCORtPF "m '[ „ pa T129/2 Expiration: 01/25/2016 Project Address Parcel Number Applicant 501 NE 96 Street 1132060171550 Miami Shores, FL 33138-2735 Block: Lot: RECAMIER2 LLC Owner Information Address Phone Cell L:REICA.MIER; LLC 1001 BRICKELL BAY Drive (305)333-7700 MIAMI FL 33131- £ Contractors) Phone Cell Phone Valuation: $ 1,500.00 MV ELECTRICAL SERVICES (305)216-0677 Total Sq Feet: 0 1 Type of Work: INSTALL ELECTRICAL TEMPORARY SERVIC Available Inspections: Additional Info: Inspection Type: Classification:Residential Final Scanning:2 Review Electrical Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.20 DBPR Fee Invoice# EL-7-15-56424 $2.00 07/22/2015 Credit Card $50.00 $63.20 DCA Fee $2.00 Education Surcharge $0.40 07/29/2015 Credit Card $63.20 $0.00 Permit Fee-Additions/Alterations $100.00 Scanning Fee $6.00 Technology Fee $1.60 Total: $113.20 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,MECHANIQAL,WINDOWS,DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: Ice ify th all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zo in u rmor , I authorize the above-named contractor to do the work stated. July 29, 2015 Authorized Si at e:Owne / Applicant / Contractor / Agent Date Building Department Copy July 29, 2015 1 Miami Shores Village Building Department JUL 21- 2015 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(30S)762-4949 FBC 2019 BUILDING Master Permit No. PERMIT APPLICATION Sub Permit No. F l_I S-- 1 �3 S� ❑BUILDING ;K ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: / C�'f' City: Miami Shores County: Miami Dade Zip: `3 a /138 . Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: XOWNER:Name(Fee Simple Titleholder): 9-CCGIV►'� ICf L C- Phone#: -;o .32 3 7 7 CC) Address: 2 S 3 k) LJ z � City: i v,.— If S i�c✓/ State: L Zip: 3 13 k Tenant/Lessee Name: I Phone#: Email: VEL'S +o rl � h�-�(� r/ ►L a Cry►� CONTRACTOR:Company Name: SPy01 � f 00/ 7✓ pone : F- Address: e-r City: 1 '/e_ 1W/ State: r" Zip: 63 0/1-5— Qualifier Name: '-i U UaltylPS Phone#: State Certification or Registration#: 6(f 13 o 0S(P 0 S Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: /` City: State: Zip: Value of Work for this Permit:$ �'S 00. 0 0 Square/Linear Footage of Work: � Type of Work: ❑ Addition/ ¢❑ Alteration ® New IDRepair/Replace ❑ Demolition Description of Work: �i?�{ -e-�eC�i-1 aW r6�,i�0Ila o Specify color of color thru tile: Submittal Fee$ Permit Fee$ ! �'�� CCF$ I �� CO/CC$ Scanning Fee$ 61 Radon Fee$ 2 .� Com_ DBPR$ e�) Notary$ Technology Fee$ - ©� Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) Bonding Company's Name(if applicable) Bonding Company's Address City State Zip 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 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. 4 Signature-44V — ignature V 2L CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument 2 was acknowledged before me this Z day of AL) ��/ 20 15, by c9 day of �L) 20b . y Wo-7,—Personally w � known to c,"':!l K;5 /who is personally known�o or��who�produced ,JLC� �— as me or who has produced as intt'ficatjon and hw o did take an oat identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: S %, Sign: Print ` 67588 ��. ,_ s �' . Print: %* Seal: = c�:�o° p q_= Seal: � Ibtxy SWm . c APPROVED B ZZ.,)''A X/.0—Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Detail by Entity Name Page 1 of 2 # E Detail by Entity Name Florida Limited Liability Company RECAMIER2, LLC Filing Information Document Number L13000048436 FEI/EIN Number 42-1774635 Date Filed 04/02/2013 State FL Status ACTIVE Last Event LC AMENDMENT Event Date Filed 09/10/2013 Event Effective Date NONE Principal Address BRICKELL BAY OFFICE TOWER 1001 BRICKELL BAY DR - STE 1712 MIAMI, FL 33131 Changed: 09/10/2013 Mailing Address 9471 Baymeadows Road, Suite 404 Jacksonville, FL 32256 Changed: 01/13/2014 Registered Agent Name &Address FRANCIS M. BOYER, ESQ. BOYER LAW FIRM, P.L. 9471 BAYMEADOWS ROAD, SUITE 404 JACKSONVILLE, FL 32256 Authorized Person(s) Detail Name &Address Title MGRG GRIMBERT, DAVID 1001 BRICKELL BAY DR - STE 1712 MIAMI, FL 33131 Annual Reports http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... 7/22/2015 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION EC 13005608 ISSUED: 06/23/2014 CERTIFIED ELECTRICAL CONTRACTOR VALDES, MARIO A M V ELECTRICAL SERVICES INC IS CERTIFIED under the provisions of Ch.489 FS. Expiration date:AUG 31,2016 L1406230000813 000ns7 Local Business Tax Receipt Miami—Dade County, State of Florida -THIS IS NOTA BILL - DO NOT PAY 5772380 RECEIPT NO. EXPIRES BUSINESS NApAE/LOCATION RENEWAL MV ELECTRICAL SERVICES INC RSEPTEMBER 30, 2015 18311 NW 82 CT 6019046 Must be displayed at place of business Pursuant to County Code MIAMI FL 33015 Chapter 8A-Art.9&10 SEC.TYPE OF BUSINESS PAYMENT RECEIVED OWNER 196 ELECTRICAL CONTRACTOR BY TAX COLLECTOR MV ELECTRICAL SERVICES INC EC13005608 $93.75 01/07/2015 Worker(s) 1 CREDITCARD-1 5-014983 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 nongovenunental regulatory laws and requirements which apply to the business. The RECEIPT ND.above must be displayed on all commercial vehicles-Miami-Dade Code Sac lla-27& For more information,visit www miamidadIIaov/ta_xco1129M ACCM& CERTIFICATE OF LIABILITY INSURANCE OATt`"WJ°°'YY"") 07!21!2015 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 tNSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed. H SUBROGATION IS WAIVED,subject to the tarns 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 NAME; ESTHER VIDAL MUTUAL INTEREST ASSURANCE P" 305-860-2003 ;FAx 306-860-0907 1295 CORAL WAY L .MUTUALA COM SUITE 3 1NSURER(S)AFFORDING COVERAGE MAIC r MIAMI, FL 33145 IN A:ASCENDANT UNDERWRITERS INSURED M.V.ELECTRICAL SERVICES, INC msumRa:CASTLEPOINT FLORIDA INSURANCE CO. -- - - - a1SUWA c: 18311 NW 82ND COURT INauaeR°` MIAMI, FL 33015 a1SURER E _- MISURER 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 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. LMR, TYPE OF INMURAWS POLICY NUMBER Lt�I�EXP I LENTS A G&MMUL LIAatUTY GLl33643-4 (09/23120109123/2015 4 ;EACH OCCURRENCE s _ 1 0w 000 X i COMMERCIAL GENERAL LIABILITY PREMISES(Ee owAywKe $ 100,0 00 CLAIMS-MASC OCCUR I I !,_MED EXP(Any-Pew) s 5 000 PERSONAL&ADV INJURY $ 11000,000 GENERAL AGGREGATE f 1 ()0O 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG S 1,000,000 POLICY P LOC I ; AUTOMDauELVIeNiTY GU 80INED ANY AUTO BODILY INJURY(Pr person) ALL AUSCTr ED ODDLY PI„URY 014w n=dwnt)I S NON-ONED PROPERTYHIREDAUTOS AUTOS � i Per_gccydeMl $ $ LIMMELIA LIAa --�OCCUR ! EACH OCCURRENCE EXCESSLiAi I CLANKS-MAGE I AGGREGATE S DED I I RETENTIONS $ 8 WGIIKiRSCOMPISrMATiON WCP761465700 11011112014 10!1112015 vMC STATU- ; oTH- AND NOPLOYERS'UAaYJTY ANY PROPMEYORMARTNEPJEXECUTfVE YIN OFFICERJMEMBER EXCLUDED? NJA E.L.EACH ACCIDENT S 100.0w ( M NN) El.DISEASE-EA EMPLOYEE S _ 1100,0w if yyeeIPTIO a OF OPERATIDNS below E.L.DISEASE•POLICY LIMIT S 500,000 Eest de woe OF i DESCIUPTION OF OPERATIONS J LOCATIONS I V00CLES(AIUoh ACORD 101.AddWo"Rwwrks SehoduK N mom op000 Is ELECTRICAL WORK CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED PODS BE CANCELLED BEFORE MIAMI SHORES VILLAGE THE RXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN BUILDING DEPARTMENT ACCORDANCE MTN THE POLICY PROV181ONS. 10050 NE 2ND AVE AunloRlzEO EPRESpITA MIAMI SHORES, FL 33138 ®1988 2010 ACORD CORPORATION. All dghls reserved. ACORD 251201WO51 The ACORD name and loco ars reaistared marks of ACORD