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EL-16-268 Miami Shores Village 10050 N.E.2nd Avenue NE � � Miami Shores FL 33138-0000 .4 Phone: (305)795-2204 Expiration: 08/02f2016 Project Address Parcel Number Applicant 9533 NE 2 Avenue 1132060133910 DVS LLC Miami Shores, FL 33138-0000 Block: Lot: Owner Information Address Phone Cell DVS LLC 9400 NE 2 Avenue (305)756-3711 MIAMI FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 2,000.00 TRUE POWER ELECTRIC CONTRACT (305)335-849 Total Sq Feet: 0 Type of Work:PROVIDE FOUR OUTLETS,TWO SWITCHS, Available Inspections: Additional Info: Inspection Type: Classification:Residential Review Electrical Scanning:1 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.20 DBPR Fee $2 25 Invoice# EL-2-16-58516 DCA Fee $2.25 02/04/2016 Credit Card $ 110.70 $50.00 Education Surcharge $0.40 02/01/2016 Credit Card $50.00 $0.00 Permit Fee-Additions/Alterations $150.00 Scanning Fee $3.00 Technology Fee $1.60 Total: $160.70 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,Qthat MECHANICAL,WI DOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT* cth forego1 inld is accurate and that all work will be done in compliance with all applicable laws regulating construction and zo ' g Frize med contractor to do the work stated. February 04,2016 Autho Signa ,—cant / ontractor / Agent Date Building Depart nit Copy February 04,2016 1 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-252540 Permit Number: EL-2-16-268 Scheduled Inspection Date: February 10,2016 Permit Type: Electrical- Residential Inspector: Devaney, Michael Inspection Type: Final Owner: , Work Classification: Alteration Job Address:9533 NE 2 Avenue Miami Shores, FL 33138-0000 Phone Number (305)756-3711 Parcel Number 1132060133910 Project <NONE> Contractor. TRUE POWER ELECTRIC CONTRACTOR INC Phone: (305)335-8496 Building Department Comments PROVIDE FOUR OUTLETS,TWO SWITCHES, ONE Infractio Passed comments EXIST LIGHTS AND ONE EMERGENCY LIGHTS INSPECTOR COMMENTS False Inspector Comments Passed 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 33 of 44 4 Miami Shores Village " Building Department L FEB 02 16 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 201* BUILDING Master Permit No. CC- /.�7 -Z?-8� PERMIT APPLICATION Sub Permit No. EL - 16 -Z66 ❑BUILDING .�ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP o� 1 CONTRACTOR DRAWINGS JOB ADDRESS: 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): /1 /1 ne#: Address: Z®/ //' City: !/ �� '!®l�f� State: - l/-e Zip: �U Tenant/Lessee Name: _W/S*yf_/ 0 e® Phone#:630 , g303- ao /,9.e Email: M/G?4LeZ CONTRACTOR:Company Name 1 pye Pnuieir 6 &l�1 gt l 661 io/✓c7o" 0'✓ Phone#: -30S7-3/6 — /3f- Address: 9-126 5 VV 3 2 'S 7- Ci NI �'F M l State: / f 7- City: 1 dQ Zip: /5 Qualifier Name: L t/Ls )//C-rea r rPJ Phone#: ?a Q5- 3/8 - 6)34- State - 3/8 - 6)34- State Certification or Registration#:- &C /:3 0O 4 S Q 7 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ �,a Z)o ON Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ,// ❑ Demolition Description of Work: Pf-0 V, ej G! Pf41 f 10• LLE/ A -ICA J ci S ' ;r//� C - aeDo If Specify color of color thru tile: Submittal Fee$ Permit Fee$ CCF$ ,/'o �!� ° CO/CC$ Scanning Fee$ Radon Fee$ .'225 DBPR$ 2-.S c Notary$ Technology Fee$ !. 60 Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ Flo (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$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which cum-seven-f7) days after the building permit is issued. In the absence of such posted notice, the inspection will e a o and a reinspection fee •1 be charged. Signature Signature OW14ER or EN CONTRACTOR The foregoing instrument was acknowledged before me this The forregoin strumyp ennt�was acknowledged before me this day of 20 �� ,by oZ ( day of l X` N 20 15 ,by who is personally known to UIS ($'i .who is personally knownto me or who has produced f7&_ - L— as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: Q NOTARY PUBLIC: Sign:_,�- Sign. Print: <.JY/ �f r2r 'J _ Print A- Seal: Seal: 0-t' PATRICIA I DIAZ Y peat,% JIM;:AMPLIN a. jr` COMMISSION#FF 001293 Notary PubFlorida EXPIRES:Mardi 20,2017 My Comm.E3 2017 m p'P S Thru 9u*Note Swim " �s** • * * * **sx�s�s�*�s**sir*m**ws�* » a� x� �xx� �x * * * APPROVED BY Plans Examiner Zohi g� Structural Review Clerk (Revised02/24/2014) FEB/01/2016/MON 04:07 PM FAX No, P, 001/001 A `a`' CERTIFICATE OF LIABILITY INSURANCE °A'��'�"D°'�"'"' 02/01/16 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOL.DM THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED HY THE POLICIES BELOW, THIS CF.}rIFICATIE 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 fr.an ADDITIONAL.INSURED,the poifcy(les)must he endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain Policies may require an endorsement A statement on this cerUl4cate does not confer rights to the certificate holder in Ileu of such endorsement(s). PRODLICBR T SUPER INSURANCE SERVICES INC Super Insurance Service,Inc. H (3 262-3443 TV.No (305)262.5946 7855 SW 40 St superinsmainagmail com Miami.FL 33155 rNs 9APPORDI o ERAGH NAICS Phone 305 262-3443 Fax (305)262-5946 URBRA I CAPITOL SPECIALTY INSURANCE CORP INSUREb f • IN9U B f PTi0t3RESSNE EXPRESS TRUE POWER ELECTRICAL CONTRACTOR INC 'N TIRE . NORGUARD INSURANCE COMPANY 8326 sw 37 at INSURER 0 1 Miami,FL 33155 (305)335-8496 TNSu E COVERAGES CERTIFICATE NUMBEINSURER P I R: REVISION NUMBER; THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUR[_b 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 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 CLANS. WSB NPL?OP INSURANOE ADDL9UBR B PO CY AMID POUCYNUAA ER W UAUTS GENERAL LIABILITY EACH OCCURRfiNCfi ffi 1,000.000.00 ® commeRCIALGENERALLMLiTY E $ 100,000.00 El ❑ CLAIMS-MADE ® OCCUR A ❑ y 0185FL00020507 07/2012018 0-1/29!2016 MED EXP(Any am pmm) a 5.000.00 PERSONAL&ADv URY S 1,000,000.00 ❑ GE &4g2LEGATE s 2,000,000,00 ® POLY GEN L LICy ❑ PRO GATE WRO-umrAPPLES PER: PRODUCTS-COMP/OP AW8 2,000,ODMOO ❑ LOC $ AUTOMOBILE UASIUTY Mt1 (WOLF Lralrr ANYAUTO 1,000,0 .00 [ ALL GINNED 8CHfiDlIL,6D O7SS7SaS-1 BODILYINJURY(Perpmw) s 00 B ❑ AUTOS El AUTOs 03/Q4=15 03!04/2018 BODLY INJURY(Per awiden $ ® HIRED AUTOS NED © AUTOS AUTOS P OPER AMAGE $ . ❑ UMBRELLALJ40 ❑OCCUR 6ACH NCE 5 ❑ EXCESS LAB ❑CLASM.MADE AGGREGATE DED RL' N WORKERS COMPENaAT10M WC A AND EMPLOYER&'L U01UTY YIN ANY ROPR�TORIPgB p O ECUTNE TRWC680603 C MFF EMBR EXCL fiD? a NIA O7/$O/2dI$ OT/3O/ZQ1B E.L,EACH ACCWraM $ 1,000,WO.00 anda"in yy�es aaQr 6.L.DIS; E- EMPLOYE S 1,000,000.00 ES�R(P N OF OPERA'nON w-9-w- E.L.DISEASE.POLICY LIMIT I $ 1 000,000.00 DESCRIPTION OF AERATIONS/LOCATIONS 1 VEHICLE(Attach ACORD 101,AddI#anid kq=rke SoploWe,Irmore SPGR ie 19gldf" Electrical Contractor License OEC13004509 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES Tag CANCELLED BEFORE Miami Shores Village THE EXPIRATION DATE THLREOP,NOTICE WILL BE DELIVERED IN 10050 NE 2nd Avenue ACCORDANCE=WITH THE POLICY PROVISIONS. Miami Shores Village.FL 33138 AUTHORIZED REPRESENTATIVE XCORD 26(2010/05)QF ®1988-2010 ACORD CORPORA'T'ION. AU rights reserved, The ACORD flame and logo are registered marks DI ACORD Water and Sewer PO Box 330.316 0 3575 S.Lejeune Road MIAMI•® Miami,Florida 33233-0316 ® VERIFICATION FORM T 305.665-7471 HI OT VALID WITHOUT A PAID INVOICE AND EXPIRES ONE YEAR FROM THE DATE ON FORM miamidade.gov ATLAS PAGE: E-S INV#: 15463 FORM#: 201653603 DATE: 1/4/2016 NAME OF OWNER: TORO FAMILY CHIROPRACTIC PROPERTY ADDRESS: 9533 NE 2 AVE 912 PROPOSED USAGE I CHIROPRACTIC OFFICE PER PLANS NO. OF UNITS: REPLACES: PREVIOUS RETAIL PER PTXA USAGE I NO. OF UNITS: PROPERTY LEGAL: 153 416 53 42 MIAMI SHORES SEC 1 AMD PB 10-70 LOTS 10&i I BLK 29 FOLIO NUMBER: 11.3206-013.3910 GALLONS PER DAY INCREASE: 94 PROPOSED FLOW. 188 PREVIOUS SQUARE FOOTAGE: 940 NEW CONSTRUCTION PREVIOUS FLOW. 94 PROPOSED SQUARE FOOTAGE: 940 d INTERIOR RENOVATION ADOPTED FLOW: 0 CRITICAL HABITAT SEWER ONLY THIS IS TO CERTIFY THAT THE MIAMI-DADE WATER AND SEWER DEPARTMENT DOES HAVE A(N)_12 INCH WATER MAIN ABUTTING THE SUBJECT LEGALLY DESCRIBED PROPERTY. WE ARE WILLING TO SERVE THE SUBJECT PROPERTY.(OR,IF'WAALL HAVE",UPON PROPER CONVEYANCE AND PLACEMENT INTO SERVICE OF WATER FACILITIES BY THE DEVELOPER UNDER AGREEMENT WITH THE DEPARTMENT,(AGREEMENT ID# NIA) SUBJECT TO PROHIBITIONS OR RESTRICTIONS OF GOVERNMENTAL AGENCIES WAVING JURISDICTION OVER MATTERS OF WATER SUPPLY OR WITHDRAWAL. , Deidra Lewis•New Business BY. Representative IGNATURE OF REPRE E ATIVE AUTHORIZED BY NEW BUSINESS COMMENTS: W CC'S$130.66 VF$75.00 WSC$90.00 TOTA DUE$295.86 THIS IS TO CERTIFY THAT THE MIAMI-DARE WATER AND SEWER DEPARTMENT DOES NOT HAVE A(N) INCH GRAVITY SEWER MAIN ABUTTING THE SUBJECT LEGALLY DESCRIBED PROPERTY. WE ARE WILLING TO SERVE THE SUBJECT PROPERTY,(OR,IF"WILL HAVE",UPON PROPER CONVEYANCE AND PLACEMENT INTO SERVICE OF SEWER SEWER FACILITIES BY THE DEVELOPER UNDER AGREEMENT WITH THE DEPARTMENT, (AGREEMENT ID#NIA). SUBJECT TO PROHIBITIONS OR RESTRICTIONS OF GOVERNMENTAL AGENCIES HAVING JURISDICTION OVER MATTERS OF SEWAGE DISPOSAL. FURTHERMORE. APPROVAL OF ALL SEWAGE FLOWS INTO THE DEPARTMENT'S SYSTEM MUST BE OBTAINED FROM D.E.R.M. THE ANTICIPATED DAILY WATER AND/OR SEWAGE FLOW FOR THIS PROJECT WILL BE:NINETY FOUR 1941 GALLONS PER DAY INCREASE. Deidra Lewis-New Business BY: _ Representative �4SIIT �OREPRE NTA IVE AUTHORIZED BY NEW BUSINESS COMMENTS: SEPTIC TANK HRS APPROVAL AP-1216084 THIS VERIFICATION LETTER CERTIFIES THE AVAILABILITY OF A WATER AND/OR SEWER MAIN ONLY,AND IT DOES NOT GUARANTEE THE EXISTENCE OF A WATER SERVICE LINE OR OF A SEWER LATERAL WITH SUFFICIENT DEPTH TO SERVE THE PROPERTY. FOR ADDITIONAL INFORMATION CALL 786.268.524915295.SHOULD IT BECOME NECESSARY TO INSTALL A SERVICE LINE ANOIOR A SEWER LATERAL WASO REQUIRES THAT THE DEVELOPER RETAINS SERVICES FROM DESIGNERS AND CONTRACTORS WITH SKILL SETS FOR DESIGNING,BUILDING AND CONNECTING TO PUBLIC WATER AND SEWER SYSTEMS. CONTACT NAME: ERIC SCHACK Printed On:114/2010 NB: a dra Lewis CONTACT PHONE: 5 3 L 2:38:13 PM hlj. AUTHORIZED RY