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EL-15-1713 77 z` 09:15a STKI'F_Or- FLOPJDA DEPARTMENT OF BU 1 1E� AND FIR-0 Ei�fCiWAL L��r�� -�39a r=w (8541487 _ �CTRICAL CoKITIR `-•C T ORS L10Ei Si1�1G BOARD •1940 NOR nj REET TA LAHA;5 F- ��=11-32399-0783`3 99-0 f X13 J• HERLWDEZ,CARLOS ALBERTO CARLY ELECTRICAL.SERI4CE,INC. 681)FLAGAMI BOULEVARD MIAMI FL 33144 CongraWWftii this license you beCome one of the nearly am ml>ftorr Floridians licensed►>Y ft Departmer*of I3ersirt�and ; ;s� , STATE OF FLORIDA professional ReplWon. our prcfisstonal and businesses cense u - l�arn architects to yacht broWS,from boxers to barbeque restaurants, F OFESi S'LE09`SAI.REGUI1r4TION l� and they l eep Florida's economy strong. iSSUFt): 08M312014 Every day we atortt to improve#0 way we do business in order to EG130U59�2 serve you better. For information about our services,please tog ordo uv rn'1sf►o�dattcer saco�,. There you can find more irtformauon CER11I=1f D SLEtiTR1CAt CONTRACTOR about our divwons and#m reguMons that Impact you,subscribe HERNANDEZ,CARLOS AL E3ERTO to ep nt newsletters and Ilam more about the Depattrnant's CARLY ELECTRICAL SEtV M INC- irdeathm. Our mission at the Department is:license Efticienft Regulate F916y VVa Con y strive to serve you better so that you cart setae your is CrtiRT1f 1 SD under the Proalsioae ci C�® � eusthmem Thanit you for doing business In Florida. 5aur :Au031.2M and cDrWatuta#ons am your new 11COT1881 DETACH 'HERE KEN LAVMoN,SECRETARY RICK,SCOTT:GOVER14OR g-1 gpTCt mr-_SS AND i•LCCcri_ i GGl3i.:^iri0N . r ECi3aOS942 me ELEC i ICAL ci frRACTOR Tamed iQelcwv ISCER i 1FtED UM1ertY►e provisions of Chapter 489 ES_ F_xpjtatton dafe: AUG 31,2016 e HERMANDE7—CARLOS A BERT o CARL.Y ELECTRICALSERNACE, INC. 680 FiAGAMI BOULEVARD Q>9"I FL 33 UA , ® �R *SUED; 98Jo3120 4 DISPLAY AS REQUIRED BY L.AUV sstI J., L14080300042S7 q 5a p.3 oaoeoa. s_ Local Business Tax Receipt Miami--Dade County, State of .Florida -THIS IS NOT A BILL - 00 NOT PAY 5040761 t (T] BUSINESS HAMMOCATION RECEIPT NO. EXPIRES CrARLYHFCfRICALSERVICE INC RENEWAL SEPTEMBER 30, 2016 680 FMAM1 BLVD 4366796 Must be displayed at place of business MIAMI FL 33144 Pursuant to County Code Chapter 8A-Art.9&10 OtrYIVER BEC.TYPE OR BUSINESS PAYa 040 RECEIVIM CARLY EI ECiRICAL SBtViGE INC 196 ELECTRICAL CONTRACTOR BY TAX oottecrOrl EC13005942 $45.00 08/0311015 Worker(s) Z CRED9CARD-13-039519 ,Us heal Beshm Tax Recelptoaiy covirwa payaleld at the local BoditassTax.The Recalpt is not a Ilaeeae, pa�lttoreaettliioodaaoribelmtdac"su�lit►aetio�s.todabesiaasa.NoidetmasttmmPlgwithaaggnvea�xwNai ar neavverm astal regdabW Imm Bad"**""sts Wh1ah"Ply'D die husiaa m. Tlsa RECk7irrl�.aaoue aaai Ire displarad an all aompterdal rakitdds-aAinmi-ode Wild Sea 6a-m Pormateirdaape6aa.ulsitp-rue mkamld_ adessrRexaallP�TMJf I ' OcL1216 09:16a P.1 DATE(MMMOrr" x+!:79 +j p CERTIFICATE OF LIABILITY" INSURANCE 09/23/15 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. EMEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BE1WEEN THE ISSUINIS INSURER(S), REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the cortlfkate holder Is an A0017IONAL INSURED,the potleypes)must be endorsed. it.SU confer rights o SUBROOPTION IS WAIVED,rights tothe to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does Certificate holder M lieu of such endorsementisi. PRODUCER E MAIKO INSURANCE INC PHONE t305)267-0565 •nlc:(305}266-3515 2138 SW 67 Ave ADD E ;maikoiasuraiLCet�att.aet iiami, FL 33155 "URERIEI AFFORMG COVERAGE MUCO TI INSURER A:ATLANTIC FLORIDA WORCA t iSINS CO, A ION J(TA INSURED CARLY ELECTRICAL SERVICE INC INSURER Is 680 FLAGAM11 BLVD INSURER G: MIAMI FL 33144 INSURER D: INSURER E INSURER F COVERAGES CERTIFICATE NUMBER REVISION NUMBER: THIS IS TO CERTIFY THAT'-'HE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWff r-STANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WH:CI-THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICI=S DESCRIBEC HEREIN IS SUBJECT TO ALL TFE TERMS. I EXCLUSIONS AND CONDTIONS OF SUCH POLICIES.VMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, lees TYPE OF INSURANCE POLICY AUNIBER F MPA ]lYYYY UPARS LT& GENERAL ��ny EAcx accuRRFJ+ICE S 1,000 000 }� CQNWnIAL GENERA_LIABILITY 7S.'ENERA vEa aecnttenoe' $ �8 000 OLAtt73-fAA08 OCCUR (Any a'le P0MaOI S 11000 A L 07000892-3 09/27/15 09/27/16 :aADVINJURY S 1,000,000 AGGREGATE 5 1,090,000 GENT.AGGREGATE LIMIT APPLIES PER: Is -COMP/OP AGG S INCL S POLICY PRS LOC AUTON'OSILE LIABILITY 1 t e eee dart $ BODILY INJURY(Per person) S ANYAUTO ALL 01NNED SCHEDULED 130DILY INJURY(Per 8CcidEnt) $ AUTOS NON-OWNED cad e:tt A HIRED AUTOS AUTOS S UMBRELLAIAB i OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE $ a DED RETENTON$ WO COMPENSATION TO TO ST AND E•dPLOYERS UA9ILITY i 10 0,0 0 0 An'Y MOPROTOMPAIM120.1wounVE 6FR13UB-999ON1410 10 Il/ E.L,FACHACCIDENT B •ownEwmisas ww-uoew LI.I NSA• E.L.DISEASE•EA EM!LOY S 100.000 (Na�ow 41 Yde= 0undar E.L•DISEASE-POLICY LMT 8 500,000 DESCRIPTION OF OPERATIONS below I DESCRIPTION OF O-ERATIONS I LOCATIONS/VEHICLES(Attach ACORO"Ot,AdcW4nai Remarks SG`edule,if more space Is ramired) ELECTRICAL S$RVICES i CERTIFICATE HOLDER CANCELLATION MIAMI SHORES VILLAGE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE BLDG DEPT THE EXPIRATION DATE THEREOF. NOTICE WILL BE DEJVEREO IN 10 050 NE 2ND AVE ACCORDANCE WITH THE POLICY PROVISIONS. KZ MI SHORES FL 331:38 AUTHORIZED RE?RI:SENTATNE 031988-2010 ACORD CORPORATION.'A0 fights Ieselvad. ACORD25(2010108) The ACORD name and logo are registered marks of ACORD Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 nspection Number: INSP-250844 Permit Number: EL-7-15-1713 Inspection Date: January 13, 2016 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: RABINOVICH, IVAN Work Classification: Addition/Alteration Job Address: 10326 NW 1 Avenue Miami Shores, FL 33150-1270 Phone Number (786)436-0329 Parcel Number 1121360131430 Project: <NONE> Contractor: CARLY ELECTRICAL SERVICE Phone: 305-970-6345 Building Department Comments ELECTRICAL OUTLETS FOR NEW KITCHEN CABINETS„ infractio Passed comments NEW SMOKE DETECTORS, UPGRADE SERVICE TO 200 INSPECTOR COMMENTS True AMPS. Inspector Comments Passed y CREATED AS REINSPECTION FOR INSP-249475. CREATED AS I_I REINSPECTION FOR INSP-238672. Need low voltage permit and inspection. Add smoke/carbon monoxide detectors. Failed Dedicated ckt's to be on 20 amp. receptacles, check water heater location. 12 jan 16 Correction ❑ No access at 4:09 p. m.. Needed Re-Inspection ❑ �� J�� Fee No Additional Inspections can be scheduled until re-inspection fee is paid. For Inspections please call: (305)762-4949 January 13,2016 Page 1 of 1 Miami Shores Village Parmit,-Type Electrical-Residential- �T 10050 N.E.2nd Avenue NW WO1><t C11I9SSM10140 Addition/Altell on Miami Shores,FL 33138-0000 Phone: (305)795 2204 Pelt status:APPROVED `oR1°A Expiration: 03/07/2016 is ue'Cfate-919/2015 Ex p� Project Address Parcel Number Applicant 10326 NW 1 Avenue 1121360131430 JG 10326 LAND TRUST Miami Shores, FL 33150-1270 Block: Lot: Owner Information Address Phone Cell JG 10326 LAND TRUST 560 NE 103 Street (786)436-0329 MIAMI SHORES FL 33150- 560 NE 103 Street MIAMI SHORES FL 33150- Contractor(s) Phone Cell Phone Valuation: $ 3,600.00 CARLY ELECTRICAL SERVICE 305-970-6345 Total Sq Feet: 0 Type of Work:ELECTRICAL OUTLETS FOR NEW KITCHEN Available Inspections: Additional Info: Inspection Type: Classification:Residential Final Scanning: 1 Meter Box Alteration Relocation Fire Alarm Service Change Review Electrical Underground W.W. Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $2.40 Invoice# EL-7-15-56281 DBPR Fee $3.38 DCA Fee $3.38 07/09/2015 Credit Card $50.00 $191.16 Education Surcharge $0.80 09/09/2015 Credit Card $ 191.16 $0.00 Permit Fee-Additions/Alterations $225.00 Scanning Fee $3.00 Technology Fee $3.20 Total: $241.16 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 Pat all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. er ore,I authorize the above-named contractor to do the work stated. September 09, 2015 Author! Sig ature:Owner Applicant / Contract / Agent Date Building epartmen py September 09,2015 1 Miami Shores Village Building Department JUL0 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 T� FBC 20 ( � �— BUILDING Master Permit No. 9,C_V7 I5 16t PERMIT APPLICATION Sub Permit No# _ 13 ❑BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP � /L J� CONTRACTOR DRAWINGS JOB ADDRESS: 403 C A- j e, City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: (12-136 0 13 i)® Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: ff_^ Flood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholder): �� I�L�I�J FYI©y�GVI R 5 ILa 'IG Phone#: Address: 5 6O E ��rJ 3 S—t r V City: �v IAM- State: �L Zip: 33138 38 Tenant/Lessee Name: Phone#: Email: a 0 2 ,zPA. CONTRACTOR:Company Name:_ aa cAA A f��L ELGc `(_A L sE ky l C6 Phone#: Address: A 6�O �L&GA/��I Ly City: MIAMI I � A �Sttate: '� Zip: 33 N4 Qualifier Name: _ `.l LDS �ekNANC)Ez Phone#: 505 1 -1�y o"63`4s State Certification or Registration#: �c 13 ®G 5q y Z Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ 60® Square/Linear Footage of Work: Type of Work: ❑ Addition Alteration ❑ New ❑ Repair/-Replace E] Demolition Description of Work: 6 VTV V1 I vW�S O �ODV , 10 Specify color of color thru tile: _ i Submittal Fee$ C;(J Permit Fee$ 2 i� �/��7CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ / TOTAL FEE NOW DUE$ IC�I l (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 AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 01 day of20 by t'A- day of 20 , by VAN 1"1 I�1 NAV I�-I who is personally known to � D5 kA 1(lQ�(l� who is ersonally m o me or who has produced QOF etas me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUB NOTARY PUBLIC: Sign: Sign: Print: Print: =, i Seal. ak*,3y- NANCYHERNANDEZ Seal: ?off Public State of Florida V Commission#FF 16$011 Alvarez Expires February 8,2019 mmission FF 156750 � �` ft"YMT,,F.MI.taq�0003 4019 %; s 09/03/2018 APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)