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EL-15-2824 permit neo. EL-11-15-2824 se�oREs�® Miami Shores Village Permit Type:Electrical -Residential 10050 N.E.2nd Avenue NW Work Classification:Alarm Miami Shores,FL 33138-0000 P e Phone: (305)795-2204 Permit Status:APPROVED 20� FLORII?A rssue_ t , ttt21 Expiration: /04/2016 Project Address Parcel Number Applicant 189 NW 99 Street 1131010230340 EDDIE ALVARADO ANDRES GAI Miami Shores, FL 33138- Block: Lot: 14 Owner Information Address Phone Cell EDDIE ALVARADO ANDRES GARCIA 189 NW 99 Street (786)298-8386 (305)610-6272 MAIMI SHORES FL 33150- 189 NW 99 Street MAIMI SHORES FL 33150- Contractor(s) Phone Cell Phone MASTEC NORTH AMERICA, INC 305-257-3095 Valuation: $ 0.00 a Total Sq Feet: 0 1 Type of Work:ALARM Available Inspections: Additional Info: Inspection Type: Classification:Residential Review Electrical Scanning:0 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due DBPR Fee $0.00 Invoice# EL-11-15-57681 DCA Fee $0.00 07/22/2015 Check#: 132128 $55.00 $0.00 Permit Fee-Additions/Alterations $55.00 Total: $55.00 Applicant Copy For Inspections, Call (305) 762-4949 or Log on at https://bidg.miamishoresvillage.com/cap/. Requests must be received by 3 pm for following day inspections. NOTICE: In addition to the requirements of this permit, there may be AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER additional restrictions applicable to this property that may be found in GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT the public records of this county. DISTRICTS,STATE AGENCIES,OR FEDERAL AGENCIES. November 06,2015 2 14 a sTe c UNIFORM NOTICE OF A LOIN VOLTAGE-ALARM SYSTEM PROJECT Owner's or Customer's Name: 1 ( yay aO Owner's or Customer's Address: ($_� OW ql� 44- City: i Glrv% _ State: F�— Zip Code:, 33 60 Phone Number: D?8 I.P- Za- 2,5 �P E-mail Address: -e-d I ZO Y !AahbO.(-by-rL NOV 2015 Contractor's Name: MasTec North America j; Contractor's Address: 10400 NW 37TH TERRACE City: DORAL State: FL Zip Code: 33178 Phone number: 786 270-4096 Contractor's License Number: EC0002759 Date Project Completed: 10-11- 2_015 Scope of Work: Install Burglar Alarm Label Permit Number: A `1 5-0444 Notice is hereby given that a low-voltage alarm system project has been completed at the. address specified above. I certify that all of the forgoing information is true and accurate. I Si (ature of Owner,Tenant, Contractor, or Authorized Representative 2016 details - Business Tax Account MASTEC NORTH AMERICA INC - TaxSys - Mia... Page 1 of 1 - f stiff. Tax Collector Home Search Reports Shopping Cart Please do not include any special characters in"the name,address,and e-mail field such as#, &,hyphens,comma dashes. We have moved.Our new address is: 200 NW 2nd Ave,Miami,FL 33128 The information contained herein does not constitute a title search or property ownership. 2015 Tax Bills are Payable on Sunday,November 1,2015. 2016 Details—Business Tax Acayint MAS"I"EC NORTH Business Tax Account#6713748 Account details Account history 2016 26--15 [ µ.....2O14._ .... . .._20.13._...Y._ . .r 201._2...... .x..............2.0.1._1 . PAID PAID PAID PAID PAID PAID Account number: 6713748 Owner(s): MASTEC NORTH AMERICA INC Business start date: 10/01/2010 7221 E MARTIN LUTHER KING Business address: MASTEC NORTH AMERICA INC BLVD 10441 SW 187 ST TAMPA, FL 33619 MIAMI,FL 33157 Mailing address: MASTEC NORTH AMERICA INC Physical business location: UNIN DADE COUNTY ROBERT HERNANDEZ QLFR 7221 E MARTIN LUTHER KING BLVD TAMPA,FL 33619 '" Print account application (PDF) Receipts AnO Occupations Receipt T PAID 2015-08-17$75.00 Contracting 10/01/2015 NAICS code: Receipt#CREDITCARD-15-041205 = Print ELECTRICAL —09/30/2016 23821 this bill CONTRACTOR Units:5 Additional documentation required:ECO002759 State/County License or Certificate https://www.miamidade.county-taxes.com/public/business_tax/accounts/6713748 11/5/2015 s AC R CERTIFICATE OF LIABILITY INSURANCE DATE(MMMDMW) 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 endorsoment(s). CT PRODUCER NAME: MARSH USA,INC. PHONEFAX TWO ALLIANCE CENTER Arc Not: 3560 LENOX ROAD,SUITE 24M IMPRESS: ATLANTA,GA 30326 Atte:AVante.CerRequW@mmsh.com 1 Fax:212-946.4321 UNSU S AFFORDING COVERAGE NAM 0 605106-Cas-15-16 MASAD INSURER A:ACE American Insurance Company 22667 INSURED MasTeC North America,Inc. INSURER B:Indemnity Ins Co Of North America 43575 Admced Technologies INSURER C:Commerce And Industry Ins Co 19410 10400 NW 37th Tern INSURER D;ACE Fire Undemrilers Co 20702 Doral,FL 33178 INSURER E:Agri General Insurance Company 2757 INSURER F COVERAGES CERTIFICATE NUMBER: ATL-003929594-02 REVISION NUMBER:6 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. tLIMITS L R TYPE OF INSURANCE US R POLICY NUMBER MSD EFF POLICY A X COMMERCIAL GENERAL LIABILITY XSL 627397359 09115/2015 09115/2016 EACH OCCURRENCE $ 1,750,000 CLAIMS-MADE D OCCUR PREM SE RENTEDTO $ 250,000 X SIR:$250,000 MED EXP(Any one person) 3 SELF INSURED PERSONAL&ADV INJURY $ 1,750,000 GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 20,000,00D X POLICY a•ECT LOC PRODUCTS-COMPIOPAGG $ 6,000.000 OTHER $ A AUTOMOBILE LIABILITY ISA HM58M 09/1512015 09/16/2016 COMBINED SINGLE LIMIT $ 5,000,000 Ea accident XANYAUTO X BODILY INJURY(Per Person) $ ALL OWNED SCHEDULED BODILY INJURY(Per aeddent) $A �O NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS r de $ X UMBRELLA LIAR X OCCUR BE 020688007 09115/2015 091152016 EACH OCCURRENCE $ 5,0D0,0D0 EXCESS LIAR CLAIMS-MADE AGGREGATE $ 51000.000 DED RETENnoNS $ B WORKERS COMPENSATION WLR C46599571(AOS) WON 152016 X STATUTE ER AND EMPLOYERS'LIABILITY A ANY PROPMETORIPARTNERIEXECUTIVE YM N r A WLR 048569563(AZ,CA,MA) 09!15/21115 091152016 E L EACH ACCIDENT $ 2,000,000 OFFICERIMEMBER EXCLUDED? A (Mandamry In N!Q WC 048589613(FL GA,NC,T)) 091152015 09/1512016 E L DISEASE-EA EMPLOYEE $ 2,000,000 It yes,describe under SIR:$1.5M for FL,NC.TX1$1 M for GA 2,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ D Workers Compensalbn SCF C48589601(M) 09115/2015 09/15/2016 2,000,000 E Workers Compensation WLR C48589595(TN) 09/15/2015 09/152016 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached H more space is required) Re:Oue ier.Robert Hemamdez and License#EC-0002759. CERTIFICATE HOLDER CANCELLATION Mama Shores Village SHOULD ANY OF THE ABOVE DESCR[SED POLICIES BE CANCELLED BEFORE 10050 NW 2nd Ave• THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Miaml Shores Village,FL 33138 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORDED REPRESENTATIVE of Marsh USA Inc. Manashi Mukher)ee �rLauodt.: ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD