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EL-15-1141 5 "1141 mss tMiami Shores Village a ritlt TY )9G c ('.Residential 10050 N.E.2nd Avenue NE iNarkO f a'9 on., Private - Miami Shores,FL 33138-0000 � � �FioxmpPhone: (305)795-2204 i 1 eT7171tal �'�t .r i:PPROVE issue Date-5121/2015 '; Expiration: 11/17/2015 Project Address Parcel Number Applicant 1275 NE 94 Street 1132050100090 JAMES AND JANINE TURK Miami Shores, FL 33138-2946 Block: Lot: Owner Information Address Phone Cell JAMES AND JANINE TURK 2020 N BAYSHORE Drive MIAMI FL 33137- 2020 N BAYSHORE Drive MIAMI FL 33137- Contractor(s) Phone Cell Phone Valuation: $ 1,000.00 CARIBE ELECTRICAL CONTRACTOR 786-412-0067 Total Sq Feet: 0 Type of Work:POOL ELECTRICAL Available Inspections: Additional Info: Inspection Type: Classification:Residential Final Scanning:1 Light Niche Bonding Review Electrical Alarms Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.60 Invoice# EL-5-15-55551 DBPR Fee $4.50 05/14/2015 Credit Card $50.00 $263.60 DCA Fee $4.50 Education Surcharge $0.20 05/21/2015 Check#:008359 $263.60 $0.00 Permit Fee-Additions/Alterations $300.00 Scanning Fee $3.00 Technology Fee $0.80 Total: $313.60 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 re po 'bility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLG, ECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certi tha I e foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhe PLR horize the above-named contractor to do the work stated. May 21, 2015 Authorized Signature:O / Applicant / Contractor / Agent ate Building Department Copy May 21,2015 1 Miami Shores Village 7Y': TNr Building Department 2015 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. c3 PERMIT APPLICATION Sub Permit No. ❑BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [—]RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: o17 s- E '7111 S T City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: S jr# Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholder): �t�.- v Q K. Phone#: Address: Z')5 N N City: fAl cam,.. S. .i�S State: �`- Zip: Tenant/Lessee Name: Phone#: Email: O��/ CONTRACTOR:Company Name: X(-��✓ �( I `--6),AV? /!�U Phone#: d� Z Address: a'�Z�• of 2- S City:( /��G State: A7�_ Zip: Qualifier Name: Get`fit �• � G� �' Phon #�!l� 2 State Certification or Registration#: �� Certificate of Competency : t!:-13 eD DESIGNER:Architect/Engineer: Phon #: Address: City: State: Zip: Value of Work for this Permit:$ 1, /yp Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: e c L C$e e--\:V'I-A �-- Specify color of color thru tile: Submittal Fee$ '60 Permit Fee$�' ^dD CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bon $ TOTAL FEE NO:DUE$ � � Oo (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 oppmved an inspection fee will be charged. Signature Signature �' r ttas R AGENT NTRACTOR The foregoing instruma nowledged before me this The foregoing instrument was acknowledged before me this day of ��`'`� 20 Cr by day of , \ 20 b i aA. 71L R 14 whos perso known to A Si%'3 0 �lqJ�Earn,who is ersonally 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: Ld Prin VLADINR Seal: q,,, Sea =.; MMISS0LOIFO '"tg LUIS GARCIA f MY COi14MISSION i 767 MY COMMISSION#EE 155795 .}'., EXPIRES:August17EXRIRES:December 26,2015WnM Thm Notary Pubinrders Bonded Tluu Ndmy Pint Under ftm APPROVED BY �/\ l�>/Y'o-y Plans Examiner Zoning Structural Review Clerk (RevisedO2/24/2014) ' 'f' DATE 0091)13f"M CERTIFICATE OF LIABILITY INSURANCE I � I I012812095 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO ffidi—M UPON 5iE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AWND,EI FEND 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 cerft;ate holder ban ADDITIONAL INSURED,the pollcy(tes)awn be endorsecL KSUBROGAMONISVWIEDsubject to the terms and conditions of the poky,certain polkles may require an endorsement. Astatement on this ceffflaft does"Cwftr riglasto the certillitutte bokler In Heu of such endorsemsn(s) PRODUCER NAME. T First Ciass It"tance Market (305)441-2997 No> (305)441-6443 4101 NW 9th Street kimc@solcom Miami,FL 33126 INMIRERS)AFFORDING COVERAGE Phone (305)441-2997 Fax (305)441-6443 1 INSURER A.. ATLANTIC CASUALTY INSURANCE COMPANY INSURED imuRER s- PROGRESSIVE INSURANCE COMPANY wsuRER c-, TECHNOLOGY INSURANCE COMPANY CARIBE ELECTRICAL CONTRACTORS INC. 261 WEST 27 ST =—INSURER E HIALEAH,R.ORIDA 33010 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CEM-IFICATE 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 POLICAES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAR)UAIMS. �L� MOK TYPE or-INSURANCE AOMPOUCYNUMBER awirmy Lam 1.000000.00 COMMERCUkL GENMM LI EACH W"11r, E] CLAM64fiADE F6 OCCUR 100,000.00 I MED Eyp{Arg orm Person) $ 6,000.00 iA L039003744 07/2412015 07124/2016 PERSONAL&ADVINJMY i $ 1,0W 000-00 GEWL AGGREGATE LffiW APPLIES PATE s 2,0W.000.00 F� M' 0 POLICY Loc 1OP AGO s 1,000,000.00 OTHER- AUTOMOBILE LIABILITY SINGLE LUT MYINJURY(Per 10,000.00 Per person) ANYAUTO BO ALL OWNED SCHEDULED ILYIN,1URY(Per!U-Aw 3 20,000.00 AUTOS AUTOS 101351787 029WO15 =0=016 HIRED AUTOS ❑ ,MZ WAGE I $ 1(),000,00 AUROS UMBRELLA LIAR 0OCC EACH OCCURRENCE El EXCESS LIAD 0 CLANS-MADE AGATE $ DW ❑ RETENTIONS ViORKERS COMPENSATION AND EVA4.0YEFW LIABILITY YIN ANY PROPRIETORIPARTNERI]EXECUTW&' E L EACH ACCIDENT 1,000,00&GO C OFFICERAWAISER EXCLUDED? IN/Ai TMC3604789 1012512015 1012512016 E.L,DISEASE-EA WtOyf4 s 1,000,000.00 It Vn,describe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT 1,000,0w.00 DESCMPMNOFCPERATMSILOCATIONSIVBHM-ES IA ACORD 161,Ad&Jond Remwits Sdmdul%K mom r is require di ELECTRICAL CONTRACTOR EC-13005489 CERTIFICATE HOLDER CANCELLATION Miami Shores Village F SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 10050 NE 2nd Ave THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN THE POLICY PROVIIOVISIONS. 4A Miami Shores,33138 ©13 -2014 ACORD CORPORATION, Atl fights fssOmd- ACORD 25120141M)QF The ACORD name and logo are nMistered marks of ACORD local business Tax 4op# Miami-Dade County,State of Florida THIS IS NOTABILL-DO NOT PAY :o L 3461183` BUSINESS NAME/LOCATION RECEIFr N0. y EXPIRE$ CARIBE ELECTRICAL RENEWAL SEPTEtVf$ER�O, 2016 CONTRACTOR INC 3615433 IUlu 261'W 27 ST st be displayer}at placa.of.busiitass Pursuant.to County Code HIALEAH,FL 33010 Chapter SA-ArL 9&:10 OWNER SEC.TYRE OF BUSINESS `.pAYN1ENT RECEIVED CARIBE ELECTRICAL CONTRACTOR 196 ELECTRICAL BY TAX COLLECTOR INC CONTRACTOR FI inin Fini IFRnA AI[AI IFIFR 45.00 07/20/2015 Worker(s) 1 EC13005489 CHECK21-1''.x100445 This Local Bad Tax Receipt only confirats payment of the Local Business TwLMte Receipt is not a license, permit,or a certification of the holders qualifications,to do business.Holder mast complywith any governmental or nongovernmental regulatatyfaws and requirements which apply to the business. The RECEIPT N0.above must be displayed an all commercial vehicles'-NGami-Dade Code Sac 80-276. MIAMMAOM For more information,visit wwwaniamidade oaxM icwlhutor