EL-14-1272 Miami Shores Village
Building Department .JAN 27 20 15
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 20
BUILDING Master Permit No. QC. - 12-)3- 2105
PERMIT APPLICATION Sub Permit No. F-L- - IA4- 1272
❑BUILDING OrELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
F-1 PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 5-4CQ N 6 9-:�
City: Miami Shores County: Miami Dade zip: 33i 3$
Folio/Parcel#: /] _ '32_0(0 -004 10 Is the Building Historically Designated:Yes NO
Occupancy Type: Load: ' Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): /V`0.CI i 0. 4bayrlSk Phone#: Z`1O' 98 8• to lob
Address: 53(o UE- 94' S eed
City:_tJA c2vY1% Shored_ State: FL zip:_3NS3'
Tenant/Lessee Name: Phone#:
Email: l� �l
CONTRACTOR:Company Name: r1T�GI1715 (eat )o_Q l \ cr-P. Phone#:
Address:: /2306 &V 23 Terr.
City: /"l//"OMI State: 1%L zip: 33r�5
Qualifier Name: Phone#:
State Certification or Registration#: EC-- I3oa)wly Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: 5 City: State: Zip:
Value of Work for this Permit:$ 1�1� �. Square/Linear Footage of Work:
Type of Work: ❑ Addition Alteration ❑ New ❑ Repair/Re lace
p F-1 Demolition
Description of Work: ` � � `�-' -C
� -�r
0. �r �- oL..�
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ Cy as2 s 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)
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.
Signature Signature
OWNER or A NT CONTRACTOR
'i he foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
-2—(-c day of )OLIAJOLLA20 PS- by 2(t day of aJ uqLZ4 20 15 by
NAG,J'n who is personally known to -FkamCj 06 2 who is personally known to
me or who has produced h # Cv1 Fle_. as me or who has produced Fl- 6L 4�— os2 It- as
identification and who did take an oath. identification and who did take an
NOTARY PUBLIC:- NOTARY PUB C.
Sign: Sign.
Print: Print: - Gie ►1�. __
Seal: =EXFqRES:
TRANA Seal: ,,,
EE872624 MY COMM M.OASTRANA
07,2017 MY COMMISSION#EE872624
EXPIRES:Febr u ry 07,2017
APPROVED BY r � � Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
Miami Shores Village7BY:—
Buildin De artment '4
g p 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 --
Tel:(305)795-2204 Fax:(305)7S6-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20 0D
BUILDING Master Permit No. KC 13 - 97(o 5
PERMIT APPLICATION Sub Permit No. 0-A q - I q; 1,?_'
❑BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING [:] MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
�
r q CONTRACTOR DRAWINGS
JOB ADDRESS: 57(y IyC !7},� 5t"lCef
City: Miami Shores County: Miami Dade Zip: 33l 38
Folio/Parcel#: 1\- 3NP - 0f'7 Is the Building Historically Designated:Yes NO
Occupancy Type: Load: (1 Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): Rrdq kti�d4 Ng dl i Abourr,z k Phone#: 910" W-
Address: J76k )we-. pr4ge ?pad
Lj
City: Chevy (,has- State: Mb Zip: aD�IS'
Tenant/Lessee Name: p Phone#:
Email: ��^^
CONTRACTOR:Company Name: Un��ed. �kp (
C-Wkc "IfcAc�a_s �n( Phone#: 3X- 73l— id`f(
Address: �P5a ft 43rd 5fre�e*
city: Lavierk(r LAkrs State: FL zip: 3330q
Qualifier Name: ?ecn4rd DDC-r. 0 Phone#: 30S_-13t —\)41
State Certification or Registration#: Certificate of Competency#: 1b C_ 660 315
DESIGNER:Architect/Engineer: 0e(V1G(f'C6 a Phone#: 305 — aSS' aw49
Address: City: State: Zip:
Value of Work for this Permit: 0 b Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition
Description of Work: Rr111 ACC e f l'C fC(C.
Specify color of color thru tile: G
Submittal Fee$ Permit Fee CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$. 42
Structural Reviews$ 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 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.
e„
"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.
Signature Signature
Owner or Agent ntractor
The foregoing instrument was acknowledged before me this The foregoinglfnsent was acknowledged before me this
day of ��G ,20 ,by d%-t ��� day of 20 A,by Be(nasiC&-L e d
who is personally known to me or who has produced who is personally known to me or who has produced FL.Elk—
��ess �6eA42P-As identification and who did ath. as identification and who did take an oath.
µr pu
NOTARY PUBLIC: r?`4°` GW . NOTARY PUBLIC:
�'�'��° NICOLEINM"SIMITH
4� T * * MY COMMISSION t EE 1330
iras 51•.'�G ,y EXPIRES:September 27,2015
r
�or t��e BonNdiMuDWtetN�YrySerrNeeSign: r�i4 r: C3 Sign:
Print:� 1�1�-,—j—c 01 o l��(�, a ,` Q Print:
My Commission Expires: My Commission Expires: Q9 Ic>W`t/S
APPROVED BY 7 �� Plans Examiner Zoning
Structural Review Clerk
(Revised3/12/2012)(Revised 07/10/07)(Revised 06(10/2009)(Revised 3/15/09)
STATE OF FLORIDA
=fes DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
ELECTRICAL CONTRACTORS LICENSING BOARD (850) 487-1395
1940 NORTH MONROE STREET
TALLAHASSEE FL 32399-0783
DORELIEN, BERNARD
UNITED ELECTRIC CONTRACTORS INC
3292 NW 43RD ST
LAUDERDALE LAKES FL 33309
STATE OF FLORIDA AC# 5
Congratulations! With this license you become one of the nearly one million DEPARTMENT OF BUSINESS AND:
Floridians licensed by the Department of Business and Professional Regulation. PROFESSIONAL REGULATION
Our professionals and businesses range from architects to yacht brokers,from y ^
boxers to barbeque restaurants, and they keep Florida's economy strong. ER13014443� 03/28/ 2 127016751
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. REG ELECT�tI=CALCONTRACTOR;
There you can find more information about our divisions and the regulations that DORELIEN, ,`$EBNA"RD-
impact you, subscribe to department newsletters and learn more about the UNITED ELEC 7RT ORS INC
Department's initiatives. (INDIVIDUALiUS'r�MEET,°ALL LOCAL
LICENSING 'REQUIPRTOR
Our mission at the Department is: License Efficiently, Regulate Fairly.We TO CONTRACTING �INANY AREA)
constantly strive to serve you better so that you can serve your customers. HAS REGISTERED under' the pro visioaa'of ch.489
Thank you for doing business in Florida,and congratulations on your new license! axprdtioa date: AUG 31, •2014 h12092801877
L
DETACH HERE
DOCUMENT HAS A COLORED . PAPER
ACE STATE OF FLORIDA
6416695
DEPARTMENT OF BUSINESS AND PROFESSIONAL ;REGULATION
ELECTRICAL CONTRACTORS LICENSING BOARD SEQ#L12092801877
LICENSE NBR,
,09/28/2012127016751 ER13 014 4;4 3
The ELECTRICAL CONTRACTORot
� � "
Named below HAS REGISTERED
Under the .provisions of Chap te=r8F'SyyE
Expiration date: AUG 31, 2014-'a-,
(INDIVIDUAL MUST MEET: ALL LOCAL, L LENSING w
REQUIREMENTS PRIOR TO CONTRACTINGZNANYAREA� r
DORELIEN, BERNARD.,
UNITED..ELECTRIC CONTRACTORS INCA '
3292 NW 43RD ST
LAUDERDALE LAKES FL 33309
RICK SCOTT; KEN LAWSON
GOVERNOR SECRETARY
DISPLAY AS REQUIRED BY LAW
CERTIFICATE OF LIABILITY INSURANCEDATE(MMID rrm)
06/16/2014
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 CONTACT
NAME:
Futurity Insurance,Inc. PH 561
AIC No.
o Ext: ( )361-8331 {AIC,No): (561)361-8332
PO Box 4277 ADDRESS:
INSURER(S)AFFORDING COVERAGE NAIC#
Deerfield Beach FL 334424277 INSURER A: Burlington Ins.Co.
INSURED
INSURER B
United Electric Contractors,Inc. INSURER C:
1333 NW 5th Ave INSURER D:
INSURER E;
Ft.Lauderdale FL 33311 INSURER 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAYBE 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.
LTR TYPE OF INSURANCE INSR WND POLICY NUMBER MMIODNYYY MM/DD/YYYY) LIMITS
GENERAL LIABILITY
EACH OCCURRENCE $ 1,000,000
COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $ 100,000
CLAIMS-MADE ®OCCUR MED EXP(Any one person) $ 5,000
A 626BOO6854 01/18/2014 01/18/2015 PERSONAL&ADV INJURY $ 1,000,000
I GENERAL AGGREGATE $ 2,000,000
GEN'LAGGREGATELIMIT APPLIES PER: PRODUCTS-COMPIOPAGG $ 2,000,000
POLICY F : JE O LOC S
AUTOMOBILE LIABILITY
(Ea accident) $
ANY AUTO BODILY INJURY(Per person) $
ALL OWNED SCHEDULED
AUTOS AUTOS BODILY INJURY(Per accident) $
HIRED AUTOS NON-OWNED s
AUTOS (Per accident)
$
UMBRELLALIAB OCCUR EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE AGGREGATE $
DED : RETENTION$ $
WORKERS COMPENSATIONWC STATU- H-
AND EMPLOYERS'LIABILITY YIN TORY LIMITS I ER
ANY PROPRIETORIPARTNERIEXECUTIVE
OFFICERIMEMBEREXCLUDED? N/A E.L.EACH ACCIDENT $
(Mandatory in NH) E.L.DISEASE-FA EMPLOYEE $
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,H more space is required)
Electrical Contractor
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Miarri Shore 305-756-8972 THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
10050 NE 2nd Ave ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHOR REPRESENTATIVE
Miami Shore FL 33138
ACORD 25(2010105) m 1988-2010 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895—954-831-4000
VALID OCTOBER 1,2013 THROUGH SEPTEMBER 30, 2014
DBA:UNITED ELECTRIC CONTRACTORS INC Receipt :ELEC RICAL/ALARMS/CONT TOR
Qij!4jness Name: Business Type: (ELECTRICAL CONTRACTOR)
Owner Name:BERNARD DORELIEN Business Opened:02/22/2010
Business Location: 3292 NW 43RD STREET State%County/Cert/Reg:cc#10-CME-16271-X
LAUDERDALE LAKES Exemption Code:
Business Phone: 305-731-1241
Rooms Seats Employees Machines Professionals
1
For Vending Business Only
Number of Machines: Vending Type:
Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paid
27.00 0.00 0.00 5.400.00 25.00 57.40
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 Municipality 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:
BERNARD DORELIEN Receipt #30A-13-00004445
3292 NW 43RD STREET Paid 12/09/2013 57.40
LAUDERDALE LAKES, FL
33309
2013 2014
F� 1 07-17-2012
JEFF ATWATER STATE OF FLORIDA
CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORKERS' COMPENSATION
* * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW
CONSTRUCTION INDUSTRY EXEMPTION
This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law.
EFFECTIVE DATE: 07/17/2012 EXPIRATION DATE: 07/17/2014
PERSON: DORELIEN BERNARD
FEIN: 36466.6806
BUSINESS NAME AND ADDRESS:
UNITED ELECTRIC CONTRACTORS INC
3292 NW 43RD STREET
LAUDERDALE LAKES FL 33309
SCOPES OF BUSINESS OR TRADE:
1- ELECTRICAL WIRING WITHIN BUILD
IMPORTANT: Pursuant to Chapter 440 . 05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this
section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05112), F.S., Certificates of election to be exempt... apply only within the
scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of
election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or
certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person
named on the certificate to meet the requirements of this section.
QUESTIONS? (850) 413-1609
DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01-11
PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE
STATE OF FLORIDA IMPORTANT
DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORKERS'COMPENSATION F Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who
CONSTRUCTION INDUSTRY 0 elects exemption from this chapter by filing a certificate of election
CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDAy L under this section may not recover benefits or compensation under this
WORKERS'COMPENSATION LAW bK� D chapter.
EFFECTIVE: 07/17/2012 EXPIRATION DATE: 07/17/2014 Pursuant to Chapter 440.05(12), F.S., Certificates of election to be
PERSON: BERNARD DORELIEN H exempt... apply only within the scope of the business or trade listed on
FEIN: 364666806 E the notice of election to be exempt.
R
BUSINESS NAME AND ADDRESS: E Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt
UNITED ELECTRIC CONTRACTORS INC and certificates of election to be exempt shall be subject to revocation
3292 NW 43RD STREET If, at any time after the filing of the notice or the Issuance of the
LAUDERDALE LAKES, FL 33309 certificate, the person named on the notice or certificate no longer meets
the requirements of this section for issuance of a certificate. The
department shall revoke a certificate at any time for failure of the
SCOPE OF BUSINESS OR TRADE: person named on the certificate to meet the requirements of this
1- ELECTRICAL WIRING WITHIN BUILD section.
QUESTIONS? (850) 413-1609
CUT HERE
Carry bottom portion on the job, keep upper portion for your records.
DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01-11
♦ones
Miami shores Village
Building Department
�toRmp 10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Notice to Owner — Workers' Compensation Insurance Exemption
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. 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. In these circumstances,Miami Shores Village
does not require verification of workers' compensation insurance coverage from the contractor's company. Therefore, o�y be
personally liable for the worker compensation injuries of any person allowed to work under this permit. Please check with your
insurance carrier since most property insurance policies DO NOT cover this type of liability.
BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS
CONTENTS.
Owner Contractor
Print Name: Print Name: L�h'C{1ct�C� �t Crl
Signature: 1ASignatu
MME W.M.SMITH ::vr(k, lalr,'•OI .W.M.SMITH
MY COIS�SM t EE 13910
State of Florida) * * State of Flori a) * * MY C,NMNISSION#EE 1331Q4
EXPIRES:Seplembet 21,2015
County of Miami-Dade) '� �F Count of Miami-Dade r`RvIILJP� 9,21"1
'h!p � �dTh�re�tNlrlBia� Y ) +f� A�
Sworn to and subscribed before me t�iis OIth Sworn to and subscribed beforeis
day of M o 20_J�f day of MAV 120 14
By��� By _
(SEAL) (SEAL)
Type of Identification produced Type of Identification produced
CTQB F
Construction Trades Qualftnp Board
BUSINESS CERTIFICATE OF COMPETENCY
10E00031a
UNITED ELECTRIC CONTRACTORS INC
D.B.A.: ,
DOR LIEN BERNARD
Is certified under the provisions of Chapter 10 of Miami-Da
QUALIFYING TRADE(S).
0001 ELECTRICAL
Juliana H.Salas P.E.
Secretary of the Board .nww.miamidade.gov/economy
Mani-Dade County retains all property rights herein.
I ,
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Miami shores CIT V
Building Department omen
10050 N.E.2nd Avenue
Miami Shores, Florida 33138 COPV
Tel: (305) 795.2204 ��ORIDA
Fax: (305) 756.8972
I-V' —
Page 1 of 1
Permit No: TQC 13 --2-��S
Structural Critique Sheet
G,Ak
v v-
STOPPED REVIEW
Plan review is not complete,when all items above are corrected,we will do a complete plan review.
If any sheets are voided, remove them from the plans and replace with new revised sheets and include one
set of voided sheets in the re-submittal drawings.
Mehdi Asraf
,SNORES D
Miami Shores Village
Building Department logo
am
10050 N.E.2nd Avenue
Miami Shores, Florida 33138 Aa~, oy�
Tel: (305) 795.2204 EORIDp'
Fax: (305) 756.8972
Permit No: RC 13 Page 1 of 1
Structural Critique Sheet s�
�-I AV c'[v X&L 0 e 46VtE� (Z6 PC 2 N cZ-
-r o tn.
Co c)(p II CSN D-CA S 1 10 fl}E- 91A.vc7i"fe-� C -izs 7'4-;r
34AvC,�TU AAI_ t;N6j-r/U—Ut- '7o PAFfh7tr %f
e
,C j� 14de--
STOPPED REVIEW
Plan review is not complete,when all items above are corrected,we will do a complete plan review.
If any sheets are voided, remove them from the plans and replace with new revised sheets and include one
set of voided sheets in the re-submittal drawings.
Mehdi Asraf