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EL-15-3082 _PIS-3082 . Miami Shores Village �.;. if Type i: Cteaitial 10050 N.E.2nd Avenue NW � "C Btion .... a�,� Miami Shores,FL 3313&0000 ; . It �� f . , tit Vitus.AP`PR D Phone: (305)795-2204 tss�ue 1 2l'l " Expiration: 1 2 160 1 16 Project Address Parcel Number Applicant 186 NW 106 Street 1121360080080 LAUREN&ALBERTO CORTINA! Miami Shores, FL 33150- Block: Lot: Owner Information Address Phone Cell LAUREN&ALBERTO CORTINAS 186 NW 106 Street MIAMI SHORES FL 33150- Contractor(s) Phone Cell Phone Valuation: $ 1,100.00 JP ELECTRIC SERVICES CORP (786)399-5871 Total Sq Feet: 0 Type of Work:INSTALL FEEDER ROLLING GATE 120 VOL Available Inspections: Additional Info: Inspection Type: Classification:Residential Review Electrical Scanning:1 _j Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.20 DBPR Fee Invoice# EL-12-15-58035 $2'25 12/15/2015 Check#:3599 $ 110.70 $50.00 DCA Fee $2.25 Education Surcharge $0.40 12/14/2015 Check#:3600 $50.00 $0.00 Permit Fee-Additions/Alterations $150.00 Scanning Fee $3.00 Technology Fee $1.60 Total: $160.70 In consideration of the issuance t ,me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict co ormity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume esponsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLU BI NG,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certi :that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zo 'n Futh ore,I authorize the above-named contractor to do the work stated. December 15, 2015 Autho d Si nature:Owner / Applicant / Contractor / Agent Date Building Department Copy December 15,2015 1 7 Miami Shores Village C 11 Building Department DIS 14 2 95 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795.2204 Fax:(305)756.8972 11By: INSPECTION'S PHONE NUMBER:(305)762.4949 S� FBC 20 1 ` BUILDING Permit No. PERMIT APPLICATION Master Permit No. E L I S� Permit Type: Electrical JOB ADDRESS: 186 NW 106 ST City: Miami-Shores County: Miami Dade Zip: 33150 Folio/Parcel#: 11-2136-008-0080 Is the Building Historically Designated:Yes NO Flood Zone: r� OWNER:Name(Fee Simple Titleholder):LAUREN CORTINAS Phone#)6g_5z_ 3�/96e—I Address: 186 NW 106 ST City: WESTPARK State: FL Zip: 33150 Tenant&&ssee Name: Phone#: Email: CONTRACTOR:Company Name: JP ELECTRIC SERVICES CORP Phone#: 786-3995871 Address: 4636 SW 32ND DR City. WESTPARK State: FL Zip: 33023 Qualifier Name: GEORGE CANCIO JR Phone#: 786-3995871 State Certification or Registration#: EC13004020 Certificate of Competency#: Contact Phone#: 786-3995871 Email Address: DESIGNER: Architect/Engineer: Phone#: s Value df yVoirk for this Permit:$ 100 Square/Linear Footage of Work: Type of Work: L3 Address ❑Alteration UNew ORepair/Replace UDemolition 4 Description of Work: INSTALL FEEDER ROLLING GATE 120 VGL'TS 20 AMPS Submittal Fee$ Permit Fee$ /�mo !� CCF$ CIO/CC$ Scanning Fee$ Radon Fee$ DBPR$ _Oond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$ 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 ELECTRICAL WORK,PLUMBING, SIGNS, WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS and 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 inspec n which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not e approved and a r n. ection fee will be charged. i R Signature ' - Signature Owner or Agent Contractor The foregoing instrument was acknowledged befor me this U The foregoing instrument was acknowledged before me this 11 day of n 16 -20 A,by-1,AQ Jeb Elf 1�� day of DECEMBER 20 by GEORGE CANCIO JR who is ersonally known o me or who has produced who i ona�yTcyw_n—eo—eo me or who has produced As identification and who did t as Iden ' 'cation and who did take an oath. NOTARY P ��`��y� SS1 N S A�`•• NOTARY PUBL C ``�V�StP�yh��i'i 20, 20 Sign: ' • •.� Sign: •� �` 9�'� s_ Print: ��Z Print: R URI PAYARES Z*: �..9 I s ��•. Zti0' MFF 933020 Q �f- • M Commission Expires: :� eh•�Qy. My C ssion E re : Y P it APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD (850) 487-1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 CANCIO,GEORGE JR JP ELECTRIC SERVICES CORP �^ 1825 PONCE DE LEON BLVD UNIT 469 b CORAL GABLES FL 33134 Congratulations[ With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range STATE OF FLORIDA from architects to yacht brokers,from boxers to barbeque restaurants, DEPARTMENT OF BUSINESS AND and they keep Florida's economy strong. PROFEs0 0`AL.REGULATION Every day we work to improve the way we do business in order to EC13004020 nI'fiS[1ED 05/28/2014 serve you better. For information about our services,please log onto www.myfloridalicense.com. There you can find more information CERTIFIED EL R� pfG01 I OR about our divisions and the'regulations that impact you,subscribe CANClO;GEOIDR� to department newsletters and learn more about the Department's JP ELECTRIC$ �( E � QrfF initiatives. F" Our mission at the Department is:License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, IS CERTIFIED under the provisions of Ch.469 FS. and congratulations on your new license) pggndate__:_nuca1,zols _ _ _._ ifa45�a000to87 DETACH HERE _.... . .... ....... ............_.._ ...._- RICK SCOTT,GOVERNOR KEN LAWSON,SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD ' EC13004020 The ELECTRICAL CONTRACTOR Named,below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2016 s CANCIO,GEORGE JR "' ■ JP,ELECTRIC SERVICESRYy 4636 SOUTHWEST; 2 RRI. E Y` WEST PARK- ...... ARK .. L23 l ■ ISSUED: 05/28/2014 DISPLAY AS REQUIRED BY LAW sEQ# L1405280001097 001946 Lacal B s"'tness. Tax ReceitMt mjm Dade County, ` State of Flori THIS IS NOTA BILL< - DO NOT PAY i 6337661''_ 0 F^4SlE � + JP ELEUR1C SERVICES CORP R N SEP7EM R 0, 2016 DOING SUS,1N 16ADE Cd 6604749 Must be- - layed'at place of business' MIAMI FL 3�OQ0 Pursuant:fo County Code Chapter BA-Art.'P, &10 o OWNERSEC.T-/PE OF BUSINESS D RECEIVE pAYMBNRECEIVE JP ELECTRIC SERVICES CORP 196 ELECTRICAL CONTRACTOR BY rax T V orker(s) 3 EC73004020 $75.00 07/03/2015 CREDITCARD-15-032739 This U al Business Tax Receipt onlyoopfirms payment of the Local Business Tate.The Receipt is not a license, permit.-Ore certifidatloO of the holQar s ualificationsito do bdslness. Holder mum comply with any governmental or non eV9rnmeMol re ulato la:_a1►qq re utremapte which npJlly to the business -- --- - g_,_ N,.- ry *- d 9 The RECEIPT N0.above must be displayed on all commercial vehicles-Mik*l4a4s Code Sea fie-276. For more Information,visit www.miamidade.goyRdtioollectdr BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895—954-831-4000 VALID OCTOBER 1,2015 THROUGH SEPTEMBER 30,2016 DBA: Receipt#:ELECTRICAL/ALARMS/CONT AC Business Name:JP ELECTRIC SERVICES CARP Business Type:(ELECTRICAL) Owner Name:GEORGE CANCIO JR (QUALIFIER) Business Opened:lo/12/2012 Business Location:4636 SW 32 DR State/County/Cert/Reg:EC13004020 i WEST PARK Exemption Code: . Business Phone: Roomss EmployeesMachines Professionals Seat �. 2 For Vending Susiness only Number of Machines: Vending Type: Tax Amount Transfer Fee NSF Pee Penny Prior Yer Calle ion Cost Total Paid i! 27.00 0.00 0.44 4.00 0.00 0.00 27.40 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Broward County and is non-regulatory in nature. You must meet all County andfor Municipality planning WHEN VALIDATED and zoning requirements. This Business Tax Receipt must be transferred when .x the business is sold, business name has changed or you have moved the business location.This receipt does not indicate that the business is legal or that it is in compliance with State or local laws and regulations. Mailing Address: JP ELECTRIC SERVICES CORP Receipt #ICP-14-00011945 4636 SW 32 AR Paid 07/10/2015 27.00 WEST PARK, FL 33023 2015 - 2016 { A:' M�3�,..:::i..-;,'n '�.. .-r✓.s:,^.<,..srw_-, i .':a' ;;a is K,d,e ".E' .£., `�=_` ' .2.Y .S`u... .. To: Page 2 of 2 2015-12-14 19:35:00(GMT) From:JP ELECTRIC SERVICES CORP AC RQ® CERTIFICATE OF LIABILITY INSURANCE DATE( 12/14/2f015 Y) / �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, 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 terns 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 endorsement(s). PRODUCER CONTACT NAME: PHONE AX Automatic Data Processing Insurance Agency,Inc. Arc INo FA): TFAIC,Noy 1 Adp Boulevard ADDRESS: Roseland,NJ 07068 INSURER(S)AFFORDING COVERAGE NAIL a INSURER A: Amtrust Technology Insurance INSURED INSURER B JP ELECTRIC SERVICES CORP 4636 Sw 32nd Dr INSURERC., West Park,FL 33023 INSURER D: INSURER F: INSURER F COVERAGES CERTIFICATE NUMBER: 424707 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. TOW LTR TYPE OF INSURANCE ADDLIINSD XI MMIDNYYYY MMDDYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR UL 10 NLN I IzU -PREMISES Ea occurrence $ MED EXP(Any one Person) $ PERSONAL 8 ADV INJURY $ GEWL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S - POLICY 0 JPERCOT- LOC PRODUCTS-COMP/OP AGG S OTHER: S AUTOMOBILE LIABILITY UOVIMI $ (Ea accident ANY AUTO 130DILY INJURY(Per person) S ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNEDP AUTOS $ H -Per accident $ UMBRELLA LIAROCCUR EACH OCCURRENCE S EXCESSLUAB HCLAIMS-MADE AGGREGATE S DED RETENTION$ S WORKERS COMPENSATION _ AND EMPLOYERS'LUABIUTY Y/N X STATUTE ER A ANY PROPRIETOR)PARTNERIEXECUTIVEE.L.EACH ACCIDENT $ 1,000,000 OFFICERNEMBEREXCLUDED? a NIA N TWC3470320 05130/2015 05/30/2016 (Mandatory In NH) tt Yyea desenbe under E.L.DISEASE-EA EMPLOYE 5 1,000,000 DES'dRIPTION OF OPERATIONS below E.L.DISEASE-POUGY LIMIT S 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS r VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If mote space Is required) ELECTRICAL CONTRACTOR EC13004020 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCOIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Miami Shores Village Building Department ACCORDANCE WITH THE POLICY PROVISIONS. 10050 N.e.2nd Avenue Miami Shores,FL 33138 AUTHORIZED REPRESENTATIVE ®1988-2014ACORD�CORPORATION.All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD h ACC>RVCERTIFICATE OF LIABILITY INSURANCE °A7rlt(MMIDD/YYYY) � 92114(16 u. 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 F-OLICIES l BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUT HAR)XED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: if the certificate holder is an AppI71ONAl INSURED,the pollcy(ies)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 rlohts to the ( certificate bottler In lieu of such endorsement(s). i PRODUCER CONTACT MARIA ALMOLDA ... Blanco Insurance Associated Inc. aC N (305)888-0524 i F q A9). (786)272-0044 i - ZINo,.Ext} IL 1462E 4 Ave 3 AppRESS; maria@blancoinsurance.com Hialeah,FL 33010 + INSU.RER{S)AEFORDINGCOVERAGE. __ ! NAIC N I .... Phone 305 888 0524 Fax 786 272-0044 INSURER A,: SCOTTSDALE INSURANCE CO 1 . . .. t...._} ..._..................... -- ....--- —._......c.......�. . ...... . _ INSURED INSURER.R:. 1 JP ELECTRIC SERVICES CORP. INSURER . .. l II 4636 sw 32 Dr �.INSURER O_....... . ... _............. West Park,FL 33023 IN4�UR@R E•. .......... INSURER ._... ..... - _ ........_........ j....... 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICIi THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TE RMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. .................._....... - ...... _...... .. INSR I -ADOLSUBR! POLICY EFF i POLICY EXP LTR;..... . TYPE OF INSURANCE.--. ....1INSRI liSN.p.�._......... .).'.Oi.iCY NUMBER............-...._. LIMM(PP/YYYY).{..(MMIDOIYYYY)......_.....- . .. LIMITS .. GENERAL LIABILITY ( EACH OCGURRENCC $ 1,000 OOC).00 i DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY I! j Pli!M1 6S{ Ot3�Nl@0k@} I.$ 100,000 i [❑ ❑ CLAIMS-MADE © OCCUR I MED EXP CPS2245376 {Anxone person} j $ 6.000.0000 WJ i A N � N 07!18!2015 07!18!2016 _ ..._. j❑ .......... ..............._...--- i (PERSONAL 8 ADV INJURY $ 1,000,000.00 I GENERAL AGGREGATE f $ 2,000 000 00 . i❑ _. _..-----; _...__ _ GEN'L AGGREG�AATE LIMIT APPLIES PER i ( PRODUCTS COMPlOP AGG� $ 1,000,000-0s WPOLICY.I_J..PRO-_....._a.._�-�.C. ..3.... ... __........----....._. _..........._......... ......_... . _...__........... ..,._. ...._......... AUTOMOBILE LIABILITY i j COMBINED SINGLE LIMIT F ANY AUTO I BODILY INJURY(Per person) $ ALLOWNED rr--]-1 SCHEDULED I ' i f BODILYINJURY(Peracadeni $ ':❑ AUTOS LI AUTOS NON OWNED f PROPERTY DAMAGE j ❑ HIRED AUTOS ❑ AUTOS i j I I i ._(Per acCidel!1)....................._...._. I $ ... ._ ... ❑ UMBRELLA LiAB — ❑ 1EACH OCURRENCEOCCUR ...... ..LJ_,.EXCESSLIAB_..__,._,_.❑CLAIMS-MADE I i AGGREGATE---- $ ....._._...� _❑ DEC) _❑ RETEN_TION$. �.... ( s ------ _ $ ... ! . ' WORKERS COMPENSATION �..... l {--- n WCSTATU ❑OTW TO(3Y..LIMI.T.S _ ..ER , : AND EMPLOYERS'LIABILITY Y/N ! I I.....__... ............ _........ ........... I ANY PROPRIETORJPARTNEPJEXECUTIVE E.L.EACH ACCIDENT t $ OFFICERIMEMBER EXCLUDED? ""�NIA _......_ _. .._.._._.._S..__.... i (Mandatory In NH) N� C E.L.DISEASE-EA EMPLOYEE$ If yes describe under i j_DESCRIPTION OF OPERATIONS belowi .___. ........ _(_. ._jE L.DISEASE-POLICY LIMIT! $ . ... ........_ DESCRIPTION OF OPERATIONS 1 LOCATIONS!VEHICLES(Attach ACORD 101,Additional Remarks Schadula,If more space Is required) Electrical work within buildings. 3 f CERTIFICATE HOLDER CANCELLATION _.... ......................,....,. ..._._._._.. ------._._................_.............. _.._ --- — — --------- -.__._........-..._.................,-...—-._...__._._._....._. i SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shores Village THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN 10050 N.E.2nd.Avenue,. ACCORDANCE WITH THE POLICY PROVISIONS. s Miami Shores,Fl.33138 _-_...._ 'REPRESENTATIVE __.._..............._ ..........._...._..._ . _ - _..._.----......_.. AUTWORIZEO REPRESENTATIVE _ •–-' i"` MARIA ALMOLDA _ j .. _............._.....__..._...._.... .. ..... ..... ........:._.._. .. ...... . .__...__.... . - -- -- - - - GO RATION. AlFrighis renewed. -- ACORD 25(2010105)QF /' a ACORD name and logo are registered marks of ACORD