DEMO-15-293 MORES . Miami Shores Village .
5 nc.•a
ems+ 10050 N.E.2nd Avenue NE
Miami Shores,FL 33138-0000 t f
11Z.Y,�,�,pi
Phone: (305)795-2204 x .,
ExpiratiOR
on: 09/07/2015
Project Address Parcel Number Applicant
9935 NE 13 Avenue 1132050090470
Miami Shores, FL 33138-2634 Block: Lot: FABIANO SILVEIRA AGUILAR M
Owner Information Address Phone Cell
FABIANO SILVEIRA AGUILAR MARIANA 9935 NE 13 Avenue
--- MIAMI SHORES FL 33138-2634
9935 NE 13 Avenue
MIAMI SHORES FL 33138-2634
Contractor(s) Phone Cell Phone Valuation: $ 500.00
GENESIS ELECTRIC, INC (754)638-1564 Total Sq Feet: 0
Type of Demo:Electric Available Inspections:
Additional Info:DEMO EXISTING ELECTRIC TO PREPARE F Inspection Type:
Classification:Residential
Final
Scanning: 1
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $0.60
Invoice# DEMO-2-15-54454
DBPR Fee $2.00 02/10/2015 Credit Card $50.00 $58.60
DCA Fee $2.00
Education Surcharge $0.20 03/11/2015 Credit Card $58.60 $0.00
Permit Fee $100.00
Scanning Fee $3.00
Technology Fee $0.80
Total: $108.60
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 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. Futhermore, I authorize the above-na ed contra do the work stated.
March 11, 2015
Authorized Signature:Owner / Applicant / Co tr ctor / Agent Date
Building Department Copy
March 11,2015 1
r� Miami Shores Village
RECEI��
Building Department SEs cis
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel:(305)795-2204 Fax: (305)756-8972 BY:
INSPECTION LINE PHONE NUMBER:(305)762-4949
F-BC 2010
BUILDING Master Permit No. IJCf V l0-1� - 1q 3
PERMIT APPLICATION Sub Permit Nva A 0 1t:;- D9 3
❑BUILDING YELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
/ CONTRACTOR / DRAWINGS
JOB ADDRESS: �✓T L f �� �1" /.G/�i /�rJ�'
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name(Fee Simple Titleholder): �:_4 6aANo S 6t P�A A 6-U%Z Q'/Q Phone#: 5 'z23( fbj3
Address: )? 4 Zo 6fAIV' AA/ T
City: _1_P AARAC.., State: EL Zip:
Tenant/Lessee Name: / / Phone#:
Email: F'A&A/yJ ��(:✓�l�q��UI(,pQ( ��'IA�L -COM
CONTRACTOR:Company Name: �EJu�S'�S �G.Ee�`.�2.� �r� Phone#: 75'Y-7_Hl
Address: 16e_10 e-3�141LL/i/1
City: Al, GA6irr�J.�itd�4GE State: Zip: r3clic)t1�
Qualifier Name: L.c�,`l�l�� /`J[l3J2,' yT" Phone#: Ivry Zy� �6
State Certification or Registration#: ZFC Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ o�c>c Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace demolition
Description of Work: dO�iss o .65r stz!!!c
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ 1 U 0 •a U CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
(Revised02/24/2014)
Bonding Company's Name(if applicable) t
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.
zoo -"ew-
SignatureSignature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of Gh r ?20 l S by st day of 41J21,1a(?-.1 120 15 by
Vek�LA kI UIO ho is personally known to LL)t_) Ja-In iq l&-,Q' who is personally known to
me or o has produ d ���( as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
SignSign:
Print: y-v 1VtU Print: aiaDrq
CARMEN ESTHER'USINO
L4 .
KIMBERLY A MARSeal: :` ._ °�;':_�: • Seal: MY COMMISSION I!.f 1P2586My COMMISSION#FF046931 EXPIRES:October 1,2017
EXPIRES August 19,2017 B=WThruNOWYPubkUmWwritn
•'..f OF Fes..
40 398-0153 Roridallotaryservice.com
******** **********************************************************************************
APPROVED BY 4� Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
STATE OF FLORIDA
- DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
ELECTRICAL CONTRACTORS LICENSING BOARD (850}487-1395
'*ARE 1940 NORTH MONROE STREET
TALLAHASSEE FL 32399-0783
ALBRIGHT,WILLIAM J
GENESIS ELECTRIC INC
6810 OAKHILL
NORTH LAUDERDALE FL 33068
Congratulations! V1ith this Ticense you eG—come one of the nearly -- -
one million Floridians licensed by the Department of Business and
PRegulation. Our professionals and businesses range =_ STATE OF FLORIDA
Professional
from architects to yacht brokers,from boxers to barbeque restaurants, .i DEPARTMENT OF BUSINESS AND
and they keep Florida's economy strong-
PROFESSIONAL REGULATION
Every day we work to improve the way we do business in order to EC13003501 ISSUED: 07/28/2014
serve you better. For information about our services,please log onto
www.myfloridalicense.com. There you can find more information CERTIFIED ELECTRICAL CONTRACTOR
about our divisions and the regulations that impact you,subscribe ALBRIGHT,WILLIAM J
to department newsletters and team more about the Departments GENESIS ELECTRIC INC
initiatives.
Our mission at the Department is:License Efficiently,Regulate fairly.
We constantly strive to serve you better so that you can serve your IS CERTIFIED under the provisions or Ch.489 FS.
customers. Thank you for doing business in Florida, Expbatim date:AUG 31,2016 L14072MM1235
and congratulations on your new license!
DETACH HERE
RICK SCOTT,GOVERNOR KEN LAWSON,SECRETARY
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
ELECTRICAL CONTRACTORS LICENSING BOARD
EC13003501
The ELECTRICAL CONTRACTOR
Named below IS CERTIFIED
Under the provisions of Chapter 489 FS.
Expiration date: AUG 31, 2016
Dm
ALBRIGHT,WILLIAM J fi
GENESIS ELECTRIC INC 06 .'
6810 OAKHILLNORTH LAUDERDALE FL 33068
ISSUED: 0712812014 DISPLAY AS REQUIRED BY LAW SEQ# L1407280001235
BROWARD-COUNTY LOCAL BUSINESS TAX RECEIPT
115 S_Andrews Ave., Rm.A-1 00. Ft. Lauderdale, FL 33301-1895—954831-4000
r VALID OCTOBER 1,2014 THROUGH SEPTEMBER 30,2015
DBA: Receipt*181-1 I5 3 ELECTRICAL/ALARM/CONTRACTOR
Business Name:cl rssls > cTRic INC Business Type:(ELECTRICAL CONTRACTOR)
Owner Name:wILLIAM J ALBRIMT/4uAL BusinessOpened:07/12/1999
Business Location:6810 OAMILL S County/CertfReg:EC13003501
NORTH LAUDERDALE Exemption Code:
Business Phone:9 54-4 0 3-4 62 0
Rooms Seats Employees Machines Professionals
1
For Vending Business Only
Number of Machines: Vending Type:
Tax Amount Transfer Fee NSF Ft1E!!Sd
Prior Years Collection Cost Total Paid
27.00 0.00 0.00 0.00 27.00
THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS
THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Broward County and is
non-regulatory in nature.You must meet all County and/or Mtncipality Planning
WHEN VALIDATED and zoning requirements.This Business Tax Receipt must be transferred when
the business is sold, business name has changed or you have moved the
business location.This receipt does not indicate that the business is legal or that
it is in compliance with State or local laws and regulations-
Mailing Address:
WILLIAM J ALBRIGHT/QUAL Receipt #03A-13-00009975
6810 OAKHILL Paid 08/21/2014 27.00
N LAUDERDALE, FL 33068
2014 - 2015
CERTIFICATE OF LIABILITY INSURANCE 1/2112015
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.. THIS
CERTIFICATE DOES 1401 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($), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)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 sn lieu of such endorsement(s).
CORAL FINANCIAL GROUP
__` -3°; -:.• (954) 3i5-2600 • (954)345-2614
9764 West Sample Road
coral finl( aol.com
�,, ,-
Coral Springs, FL 33065-3942 _
1;\3:1RE Ri 5: 4KE C1Nt>iMu iDVERACl NASC#
MOUNT VERNON
GENESIS ELECTRIC, INC na.. , v, ASCENDENT
6810 OARHILL
NORTH LAUDERDALE, FL 33068-3720 u,.,..
f OVERAC-ES C:ERTiFjCATE NUNABER. REVISION Fd'UMIBER:
":i'" IS T j tpr fHr ri 11 '?ES€";r lVS 'ht.^J;;£ LISTE., BF,OW HAVE 2E t N tSSaE.: 1 a4 INSURED NAME nE. .:' i t,` Tee:
INDiCA;EC dL}i v Iota i NC3LRfia AN4 RE',00RF.hdEN1, TCRkI OR COND11ION OF ANY'.ONTRACT Or,01HER DOGUMI-NT Vil,ii RL,#'EC.:': T. a`H!Ch 141S
CERTIVICA"', : ':L4Y SE ISSULD ?;R MAY PERTAIN. THE INSURANCE AFFOW),E, HY "+til= POLICIES C)ESCRIBEG HE_R#:'.IN IS S-,BJO-1 +0
EXCLI,!SIOP.S r NCr r.t...v
LTR
X - ,000,000
F 100,000
CL25878 0 12'16,'14 12r`16f15 5,400
4 1,000, 000
2,000,000
1,000,000
A'. 1,
.-, ... 117 _ ...... .. ......._: _....._ ....__ _.....
h ti N 03/„i '14 03,^11;' 5
_.. 312092 100,000
B Y ., e
,Un.,..et Ji}tt Aro;
100,000
r :
500,000 ;
w,rr :.I•.rd:.
ELECTRICAL CONTRACTING LIC## EC13003501 -
{..EJR i'IisATC. -'OLi3ER CANCELLATION
CITY OF MIAMI SHORES VILLAGE ��� �• •w't� �_' r W ..�Utr c 3. r�; ._ ..�', v._,=..'�
10050 NE 2ND AVE ?HF, EXPIRATION, DATE THCREOF NOT,CE a,#4 cEDVEREC ,N
MIAMI SHORES, FL 33238
AU s,r..r'i. i i r t'F 1'a
r
?988?.1k41't L7 C ERROR; it N Ail i. -
t i:.OR Dr,e ACORD t;,;,i 1r, :S(',[i 7., t ”{@'P_e^t ir•;c.;[i�:O LS ..
I
t