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EL-15-1228 'ZC ) y Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-252485 Permit Number: EL-5-15-1228 Scheduled Inspection Date: February 10,2016 Permit Type: Electrical- Residential Inspector: Devaney, Michael Inspection Type: Final Owner: , Work Classification: Alteration Job Address:435 NW 111 Street Miami Shores, FL 33168-3305 Phone Number (305)790-5467 Parcel Number 1121360010790 Project <NONE> Contractor: DAW ELECTRIC, INC Phone: (786)877-3500 Building Department Comments INTERIOR RENOVATION AS PER PLANS. REPAIR Infractio Passed comments SERVICE AND MOVE POOL, REWIRE KITCHEN,WH INSPECTOR COMMENTS False AND AC DISCONNECT. Inspector Comments PassedEz CREATED AS REINSPECTION FOR INSP-252369. Need arc fault breakers and tamper proof receptacles. Failed Correction Needed ❑ �� Re-Inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid February 09,2016 For Inspections please call: (305)762-4949 Page 23 of 44 qa ti Miami Shores Village 10050 N.E.2nd Avenue NW s •• Miami Shores,FL 33138-0000 `a Phone: (305)795-2204 M•. iration: 06127/2016 Project Address Parcel Number Applicant 435 NW 111 Street 1121360010790 SPIN FLIP 1001 LLC Miami Shores, FL 33168-3305 Block: Lot; Owner information Address Phone Cell SPIN FLIP 1001 LLC 435 NW 111 Street (305)790-5467 MIAMI SHORES FL 33168- 5910 SW 74 Street MIAMI 33143- Contractor(s) Phone Cell Phone Valuation: $ 3,900.00 DAW ELECTRIC,INC (786)877-3500 _ Total Sq Feet: 0 Type of Work:INTERIOR RENOVATION AS PER PLANS.R Available Inspections: Additional Info: Inspection Type: Classification:Residential Review Electrical Scanning:1 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $2.40 Invoice# EL-12-15-58200 Change of Contractor Fee $75.00 12/31/2015 Check#:423 $78.00 $0.00 DBPR Fee $3.38 DCA Fee $3.38 Education Surcharge $0.80 Invoice# EL-5-15-55683 Permit Fee-AdditionslAiterations $225.00 05/22/2015 Check#:3222 $50.00 $191.16 Scanning Fee $3.00 05/28/2015 Check#:3233 $191.16 $0.00 Scanning Fee $3.00 Technology Fee $3.20 Total: $319.16 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 that all the foregoing information is accurate&te ork will ne in compliance with all applicable laws regulating construction and zoning. Futhermore,I authorize the above-named contractor stated.4 December 31, 2015 Authorized Signature:Owner / Applicant / Contractor Agent Date Building Department Copy December 31,2015 1 Miami Shores Village Building Department I DEC a Z015 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 2010 BUILDING Master Permit No. R-C-/a -N-Aily� PERMIT APPLICATION Sub Permit No. EL_15-- l ZZS F-1 BUILDING CjSELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION []RENEWAL ❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS VCHANGE OF [:]CANCELLATION ❑ SHOP ,l CONTRACTOR DRAWINGS JOB ADDRESS: '7 3 r /V A/ /// 0 City: Miami Shores County: Miami Dade Zip: 3-3 168 Folio/Parcel#: is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): y/o/pe Q-1,05 too/: Gtz Phone#: '3Of '1906; 101 Address: 59©/ st-d '7Sll*V, City: M/pMt State: /r Zip: 33/5 3 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: Phone#: >36-GtB�D.�tQ,33 Address: 2®20® N _� °=#A/ City. State: �_ Zip: 32A65 Qualifier Name: A6c m Phone#: "l (1411- 9 1.33 State Certification or Registration#:ac. C �c�y�, Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: ,r City: State: Zip: Value of Work for this Permit:$ -.�9 7 1 4 Square/Linear Footage of Work: -0 Type of Work: ❑ Addition ❑ Alteration ❑ New > ❑ Repair/Replace ❑ Demolition Description of Work: NT �lll h�0 ��Y -14 1 ; . Specify color of color thru tile: Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ QQS Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ 8 + Cz (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. 1 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$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. in the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature n10kAA^ �WqNR or AGE CONTRACTOR The foregoing inst ument was acknowledged before me this The foregoing instrument was acknowledged before me this 2.$ 9 day of .0fef/L-/6 f 9 20 IJ{ by �_day of �� .. ,20 US y by Co�I.�Q AtrCO2,�} . rsonaIly known o )tS :a, .M+ s ,who is personally known to -------------------- me or who has produced 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: Sign: Sign: Print: N L y1�,2018 Print: p L3 MY COR�NIIS;ION# 884085 ILIA NA IMAK144 PA-1-0 Se 1: ••��"• Bonded Through N>Aionad tbtary Assn. Seal• � ,� oPA@ E TIRes:March 14,2017 APPROVED BY *-Q1-0G18 Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) ' r Spin Flip 1001, LLC 5901 SW 74St, Suite 410 Miami FL 33143 (305) 7905476 November 3rd 2015 NEW MAX ELECTRIC CORP 1856 N Nob Hill Rd Plantation, FL 33322 Telephone: 954-931-2293 Hereby we want to notify you that from this moment we are changing Electrical Contractor for the property located at 435 NW 111 St, Miami Shores FL, 33168. Please, don't hesitate in calling if further information is needed, rra OnF 01 (305) 7905476 USPS.come-USPS Tracking® 12/16/15,12:54 PM English casts servim uses mobse RsgtsterI sign in NVA S.001 e Customer USPS Tracking® ® He"q s ?We-toheetehelp. Get Easy Tracking Updates> Sign up for My USPS. Tracking Number.701 Expected Delivery Day:Thursday,November 10,2015 Product&Tracking Information Available Actions Postal Product: Feabass: Rmt-Class Mab® Codified Mail- Rat=Receipt Text Updates See trackbg for related Poem:8590840212395246210751 Email Updates DATE 8 TIME STATUS OF ITEM LOCATION November 18,2015,11:16 Delivered FORT am LAUDERDALE,FL 33322 Your l;em w.�e r!PIweT�!a-; tb a,n;;r No—nI,.,19 2016;,FORT LAUDERDALE.FL 333-12. November 17,2015.6:17 Domed USPS Facility MIAMI,FL 33151 Ian November 16,2015,11:38 Arrived at USPS Facility MIAMI,FL 33152 pro Nwernber 18,2015,8:50 Departed Post Office MIAMI,FL 33176 pm November 18,2015,5:15 Ac=ptanw MIAMI,FL 33176 pm Track Another Package Manage Incoming Packages Traddrg(or reeei§number Trade all your padMesitem adashboard. No tradchg mwnbea rhewasary. 701 Track u f4(0 Sign up for My USPS) Copy W®2015 USM AD Rights Reserved. I Search or Enter a Decking Number https://tools.usps.com/go/Tmek0onfrmAcgon?tLaboh;.70IM5W00046485M Page 1 of 1 o Miami Shores Village ""'l" Building Department LAr� p Ry1Dp 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CHANGE OF CONTRACTOR /ARCHITECT Permit N. Owner's Name(Fee Simple Title Holder):!, LL"np--% lont IL, Phone#: 3o5 4y t.'4 Owner's Address: Sq®/ XW7440 s `- i7'E VI' City: A-//A "I State: 4 Zip Code: 13/c/3 Job Address (Of where work is being done): /JW lt1 x-r City: Miami Shores State:—Florida Zip Code: Contractor's Company Name:_ .sJ 4;Agn=4 :-L- _ Phone#: G,-L�6 - � Address: M . Z City: State. L Zip Code: Qualifier's Name: Lksj tr,, Lic. Number: cc- t- ob S44� Architect/Engineer of Record Name: v/ 4 Phone#: Address: City: State: /�� Zip Code: fi�/ Describe Work l/V7�i�i/®� X0?JA0^!? o9_6 ��2 rt,4al t I hereby certify that the work has been abandoned and/or the contractor/architect is unable or unwilling to complete the contract. I hold the Building Official and the Miami Shores harmless of all le I involy ment. Q Signature Signatu r Contractor or Architect The foregoing in ment wfa�knowledged bef a me The foregoing instrument was aknowledged before me this�day of�,20/ ,by 4x4 _ 0 this 10 day of arc— 20(5 by W ersonally kno a or who has produced � r who has produced as indentification. as indentification. Notary Pu 920 cEi. No y Pu Iic Si of flaida 11 gn: ,� Sign: 1-071-ftnint.Expires Feb I Seal: =' �:� Commission#EE 145818 Seal. "'`� LILIANA ARIELA PATO . • , MY CONS Bonded Through National Notary Assn. "" ryao�- Kris: Bch IA,2017 Local Business Tax Receipt Miami—Dade County, State of Florid 5460787 -THIS o5 NI)I' A HkA, DONOT-mAY LBI Z4J$uwaE8* a ^bAEILOCAY1ON agaFORIPT 140. EXPIRES ra w EUCTRIC INC OWNEWnL SEPTEMBER 30, 2016 EC 4t1 lJ1R►2 AVE 301 €€700704 Mty-,t ire dirp:a4ed a{p;o'>�of L�us:noYs DARE FL 33`'60, ftr�ga..ant to ClsurAY C01:6 C:'y9ptn" S.A Art.9 ° bWN�IiM SEC. TYPIE DF RURVNIN S 136 L.L:;CTRiC4,L CC'NTF CTOR BY TAX liars TOIRl D A'.'� E:t<CT+{!C !'� BY TAx Ca�t.I.ECT(]R d EC'3006"93 S45-LIO O 13/1015 CHECK2 I-15-085952 'Clan Loa A 8asixesr T#s tlor.6 pt 0011 WO I" p #of tl�t 6+nca4 R�arinrarTaY T?w 1lacaeipa tY na a tNeaaraaaet pervia.Of as gorl"Catim of$0 hvio"r('84;tia:nti:aet.lodo baslatAs, Hal lea mwtt campfy wsh nay lornrrmw1al of nql Overwsn aw rsg UIetary l me W4 mquar mais VVIN DO alpltlr I D O r baram"41 s The RE121PY W s6oaR m1*5166 41500 sat nal rA mmem ocja i wohicim-Mmm -)ado Code Sao Ra-I'm f Own lrrrar uatlam dNE DAW ELECTRIC 20200 NW 2nd Ave Miami, FL 33169 CEC#13005443 Phone (786)4869933 Date: December 29, 2015 State of: Florida County of: Dade Before me this day personally appeared Derrick Williams who, being duly sworn, deposes and says: Abdul Donate That he will be the only person working on the project located at:435 NW 111th ST. Miami Shores, FL 33168. Sworn to (or affirmed)and subscribed before me this Z 9 day of JE=FH 6ft.2Q�Z by ��i R,Zte/le 09 014,44 J' Personally know OR Produced Identification Type of Identification Produced OLGA et--- ubl -State of t� N9y "N 18 �fI"Mmf3slon OF t 45518 P "�%� Bonded Thro National Aye , Miami shores V axis % Building Department R 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner — Workers' Compensation Insurance Exemption 5 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. f: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 and has acknowledge that he or she will not use day labor,part-time employees or subcontractors for your project.The contractor has provided an affidavit stating that he or she will be the only person allowed to work on your project.In these circumstances,Miami Shores Village does not require verification of workers'compensation insurance coverage from the contractor's company for day labor,part-time employees or subcontractors. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: O State of Florida County of Miami-Dade The foregoing was acknowledge before me this day oOVO M 31 ,20_Ll. BPZ.[a-S goyf, 7A w o is personally kn or has produced en' on. o Pudic.stop of Raft Notary. 1S,2016 LOOMMISSM6 SEAL: Bonded � Thm National Notin Ann. +►° Miami Shores Village 10050 N.E.2nd Avenue NW r z •' Miami Shores,FL 33138-0000 �� l Phone: (305)795-2204 Expiration: 1124/2015 9'. Project Address Parcel Number Applicant 435 NW 111 Street 1121360010790 CAPITAL INVESTMENTS LLC Miami Shores, FL 33168-3305 Block: Lot: Owner Information Address Phone cell CAPITAL INVESTMENTS LLC P.O.BOX 2382 FAIRFAX VA 22031- P.O. BOX 2382 FAIRFAX VA 22031- Contractor(s) Phone Cell Phone Valuation: $ 3,900.00 NEW MAX ELECTRIC CORP (954)931-2293 Total Sq Feet: 0 Type of Work:INTERIOR RENOVATION AS PER PLANS.R Available Inspections: Additional Info: Inspection Type: Classification:Residential Review Electrical Scanning:1 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $2.40 Invoice# EL-6-15-55683 DBPR Fee $3.38 05/22/2015 Check*3222 $50.00 $191.16 DCA Fee $3.38 Education Surcharge $0.80 05/28/2015 Check*3233 $191.16 $0.00 Permit Fee-Additions/Alterations $225.00 Scanning Fee $3.00 Technology Fee $3.20 Total: $241.16 In consideration of the issuance to me of this pe it, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the an;,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit 1 ass43 responsibility all work one by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICA UMBING,ME NICAL, INDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVI I certify t a h fo g ' g information s accurate and that all work will be done in compliance with all applicable laws regulating constructio n zo F -contractor to do the work stated. May 28,2016 rized w r / nt / ontractor / Agent Date Building rt t Copy May 28,2015 1 Miami Shores Village Building Department LBY: AY 2 2 2015 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tet:(305)795-2204 Fax:(305)756-8972 INSPECTION UNE PHONE NUMBER:(305)7624949 F,K 20 10 BUILDING Penna No. /zcij-Ig- Argy PERMIT APP TION Sub Pelvilt No. �-7 LA S — 1'-2--(B ®BUILDING AELECTRIC ❑ ROOFING ❑ REVISION 0 EXTENSION ®RENEWAL [PLUMBING 0 MECHANICAL []PUBLIC WORKS ❑CHANGE OF ❑CANCELLATION ❑SHOP /fi y L CONTRACTOR DRAWINGS JOB ADDRESS: City, Miami Shores County: Miami Dade _zip: Follo/ParceW. ,�l~o��'-�cP "aT�� Is the Building Hilly wed:Yes NO!�- Occupancy Type: Load: Construction Type: Flood Zone: SFE: FFE: OWNER:Na (Fee Simple Titleholder): �� ,{ , ecc Phone#. 71"+ 12/7 Addressed f� Zd� City:-,95 l-,-14State• V Zip:_d d'��I Tenant/Lessee Name: //"� Phone#: 17 Email:-rAk OP lCT CONTRACTOR:Company Name Phone#• 9��a 3 Address: /!Jy✓ T City: 44M.4 State: -- Zip: q� Qualifier Name: ✓ Phone#: �✓ t�� State Certification or Registration M l�®®T6 q r Certificate of Competency#: / DES141NER:Architect/Engineer. AJ%sf 41&&,aaA egool_'— Phone#: Address: City: State: Zip: Value of Work for this Permit:$ Square/Lkww Footage of Work Type of Work: ❑ Addition XOO'Afteration ❑ New ❑ Repair/Replace ❑Demolition Description of Work: 0/G at./ Spec/&color of color thru tile. Submittal Fee$ Permit Fee$ �Z ®o VIA S CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ TraftWEducation Fee$ Double Fee$ summaral Renews$ Bond$ TOTAL FEE NOW DUE$ I�' l Co (Revbed02/24t=4) 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. 1 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$255,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 certPed copy of the recorded notice of commencement must be posted at the fob 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 relaspection 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 !1 day of G ,who is personally /20 57 ,by day of Allo ,20/,. 7 �,,by onally known to C/47/'�o% Zi`�O .who Is personally known to me or who has produced V.}-0 L_ as me or who has produced as Identification and who did take an oath. Identifkation and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC NOTARY PUBLIC: NOTARY PUBLIC STATE OF FLORIDA STATE OF FLORIDA m#EE853894 Com EES53894 Sign: Sign' Print: Print: Seal: STATE OF FLORIDA Seal: • Comm#EES53894 NOTARY PUBUC E*res 219/2017 STATE OF FLORR)A . Comm#E EB5'kr- ssssssassssssressssssssssssssssssssssssssrsssssssssssssssssssssssssssas• ,�ssssssssssssssss APPROVED BY A,*40 Y Plans Examiner toning Structural Review Clerk (RevcseMA4/2014) STATE OF FLORDA 00 RKfmmcr OF MINEM AND C OVAL CATION qwELECTRICAL CONTRACTORS LICENSING BOARD (850)487-1395 18+40 NORTH MONROE STREET TALLAHASSEE FL -0783 ZRO CHARLES J JR P MAX ELECTRIC CORP 619 CLEVELAND AVE SW LARGO FL 34641-Mi afre*dllon FbitdMns tiCielteeA Otr ate 0 aI ana e�b � STATE OF FLORIDA Tran�Meas to> btairens.*=boN o N to bwbm ne P� � n�p andtc"Flamm s eoorton�r strong• Evwydeywowait la Oreway we do btasiom br anderto C-C13�3847 eBrite)�tt bdw. Fwebad air SelWoes.plerwe mb . There 1� wow Ileum�tl0f On !' POW Sts lewn nl10 Aawfsmi n d o ihe� _ NENU C ow Rddslerl atthe .Reodft FW* . « CItlI�OdIB18 )jaitflt tt tM 8861 Fiolida. 18 CBRTIFIRD U"er the ororbtos of ch.489 F8. Gild �r�'r1eIM R��:A11881,� I.t�0081TI DIMACH HERE PJ=SCOTT.GOVERNOR IIEN LAMGM SECRETAW BTM CW FLOIWA O@PART1ll�IT t� AItO IYAI. .AT'1�Id E�EC: LCO�'IRAC.TORIF EC.1.9000617 The ELECTRICAL CONTRACTOR Nawned billow IS CERTIFIED Uri#0 poVk*=of ChOOK 480 FS. EVIladon deli AUG 31.2018 ` • AMM CMAKM NEIRI�RYIAX J.� 336 IEAt 1 - ""�► •� �° CORAU D t18/10�dM�1 DISPLAY AS REQUIRED BYLAW , / L t16Q f 405ft70003'1T4 BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT, 115 S.ArWroem Ave.,Rm.A-100,FL Lame, FL 33301-1895—954-831-4000 VALID OCTO6ER t 2o14 THROUGH so,Eum 3Q,X115 ` - ALARMS/CONTRACTOR 8 8 Name:Nit MAX sLscTRrc CORP SWnow Type:tELSCTRICAL CON77ACTIORt Owner Name:CHARLES J HITO JR 8128111M 011111111&.01/06/2009 BuSkjon Lit:335 NW 100 IN 13003647 CORAL SPRrNW 9aelneW PhDne:954-755-0128 Room Seatm PF*fSodomb 1 BAdwu o* trOtM8ddnW WkenddeblooT Tax Amtptta T=IdW Fee 11WRO IP j► Prior Yeats C*W tt CW TOMd P� 27.00 0.00 0.00 0.00 0.001 0.00 x7.00 THIS RECEIPT MUST B POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT This trot is Wed for ftre pry of chft Mwbtess w9hin Mvvwd Cm*and is ren-"watmY in tubae.You num nmt d Cowty soft Mit phrft WHEN VALIDATED mW zwft rsqukwnerds.This Budmm Tax ReoWO must be homfertad when the bushm is sW. Imsofness ow, has d or you tyre waved the Wmban bcdkm Tft maW does not bwft 6e the fhe ImAhim b kqW or that It Is to ownpb :e wilt Shte or brad taws and NWKM CHARLES J ZITO JR Receipt It01&-13-00006593 335 NW 100 IN Paid 09/05/2014 27.00 CORAL SPRnW, FL 33071 2014 • 11015 C CERTIFICATE OF LIABILITY INSURANCE TINS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONN NO RIGHTS UPON' CERTtFtCATE HOLDEFIL THIS CERTIFICATE DOES NOT AFFFMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF MSURANCE DOES NOT CONSTITUTE A CONTRACT BE WEEN THE 11%UING INSURE10); AUTHOR REI'RESENTAIM OR PRODUCER,AVID THE CERTIFICATE HOLDER. MOKWANT: N the cerdficate holder Is an ADDITIONAL.INSURED,the pok%W)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies nwy require an int. A statenwit on this cerdit to does not confer rights to the certificate holder M Nor of such s PRODUCER BB insurance Marketing ireFAX 10167 W Sunrise Blvd,3rd Floor Plantation FL 33322 APFORDNG COVERAGE NAIL# UMURER A INSURED NEWMA-1 Mum B Zenith Insurance CompAny lam New Max Electric Corp INSURER C: 335 NW 100th Lane VISURERD: Coral Springs FL 33071 wMmER F: COVERAGES CEATIFlCATE NUMBER:839634304 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. im TYPE OF Lmirm GENERAL UABUM Y Y 6804SC930M 12M4=14 21412015 EACH OCCURRENCE S1.0110.000 COMERCIAL GENEIM LMH RY $3W 000 CLAMN-MADE a 0CCUR MED EXP ore S6JW PERSOM&ADV MUR1f $1 GEMMMAGGREQATE 000000 GENL AGGREGATE MrAPPLIES PER: PRODUCTS-COMPIOP AOG $1,0N.000 POIJCY �- Loc $ AUTOMOINLE LIABMY ANY AUTO BODILY MARY(Fwpmm) $ ALLO8MED AUTOS SCHEDULED BODILYw"Y(Perms) $ HIRED AUTOS AUTOS $ UMBRELLA UAB OCCUR EACH OCCURRE14CE S EXCESS LJAB CLASIS.MADE ANTE S B ADV OCOMPENBA Y 2927008501 15 16 X Vic A OTH- Y/N TMV MUM I LER ANY PROPRIETCHWARTNERMMECunw N!A EL EACH ACCtDENT $1000000 OFFI�4EMBER EXCLUDED? pul" m to►81) E.L.DISEASE-EA EMPLO $1 000 000 Under DES�R NOFOPERATKXVS bebar EL DISEASE-POLX:Y LWT I 51000.000 DESCRIPTION OFOPERAT /LACATIO /YEI9CLES(AtMchAC0RD101,AA ffMMspscalangtk" Electrical Contractor. CERTIFICATE HOLDER CANCIELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Miami Shores Village ACCORDANCE WITH THE POLICY PROVISIO. 10050 NW 2nd Ave Miami Shores,FL AuntolD ATNF S_ ®1988-MO ACORD CORPORATION. All rights reserved. ACORD 25(201 ORIS) The ACORD name and logo are registered marks of ACORD