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EL-16-3038 �. Miami Shores Village Building Department ' 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`.-' UP16 -- G_ PERMIT APPLICATION Sub Permit No. L— Ito 3038 ❑BUILDING 0 ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION KRENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLICWORKS ❑ CHANGE OF [:] CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: U313t5 i'3 s &= City: Miami Shores County: Miami Dade zip: Folio/Parcel#: _V, 2a®GJ 1!!: -( <2�) Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder):dk�C��6= 0C.t 1"1CA v'jffiLMry:Phone#: Address �la �r�, 1L� �i E z _j City: �__ ".; ��.-c In- State: Zip: Tenant/Lessee Name: Phone#: Email: 1 CONTRACTOR:Company Name: T ` L L hone#:---\%[ Address: St-0 t City: " (-C�L i—I ( State: L7414 1 W, Zip: Qualifier Name: =k I ac p C.,,,tlt a Phone#: State Certification or Registration M �Ck Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ Oa Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: �:�AZtY�k f zr n 9 c,eplac - v,,,; EL ley- 1945 Specify color of color thru tile: Submittal Fee$ EDOr Permit Fee$ Y00,0,0 CCF$ G • CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ (4 - Notary$ Technology Fee$ 1 . (00 Training/Education Fee$ o ® Double Fee$ Or Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ �. 2 (Revised02/24/2014) Bonding Company's Name(if applicable) Bonding Company's Andress 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 day of 20 (C by kk day of `t�� .20 1 C, ,by G who is personally known to (2 (' y �y ,who is personally known to me or who has produce as me or who has produced as identification and whoSANABRIA identification and who did take an oath. wu CARL FF 37673 ••• NOTARY PUBLI °� Commission .res NOTARY PUBLIC: My commissio201� v� AMANDA M.SANTOVENIA July 16, Imay Public--State 01 Plato CoavWSW#GG 031267 Sign: Si My Cen�n.6x�s Nov 29,2020. Print: S Print: Sea[: Sea I: APPROVED BY g4� Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) e STATE OF FLORIDA DEPARTMENT OF BUSINESS AN PROFESSIONAL REGULATION ELtCTRICAL CONTRACTORS LIC LASING BOARD (850) 487-1395 2601 BLAIR STONE ROAD TALLAHASSEE FL 32399-0783 RODRIGUEZ, OSVALDO ELECTRICAL MASTERS INC 8400 SW 14TH ST MIAMI FL 33144 Con ons' With this license you become one of the neatly one milUon i oridians licensed by the Department of Business an Professional Regulation. Our professionals and businesses rongli STATE OF FLORIDA from architects to yacht brokers,from boxers to barbeque DEPARTYWW. ,BUSINESS AND restaurants,and they keep Florida's economy strong. PROFUtATION Eve da we work to improve the waywe do business in order ER0013067 - `"'09/06/2016 to serve you ri u better. For inkirmation about our serviess,please log onto www.myfloridaNcense.com. There you can find more REG ELECTRIC. information about our divisions and the regulations that impact ROt}RICUEZ, �•,M; you,subscribe to department newsletters and learn more about ELECTRICAL s._ the Departments initiatives. (INDIViQt lAL b+i• Our mission at the Department is:License Efficiently,Regulate TO COLICENSING REl: R Fairly.We constantly strive to serve you utter so that you can NTf2PcC I IM0.0 .IIV serve your customers. Thank you for doing business in Florida, •HA9 REGISTERIED under the provisions of•Ch,469 FS, and Congratulations on your new Iioensel g?00im°M,auk 34,2016- DETACH HERE RICK SCOTT,GOVERNOR KEN LAWSON.SECRETARY STATI OF FLORIDA DEPARTMENT OF BUSINES AND PROFESSIONAL REGULAMON ELECTRICAL.COkM AMRS LICENSING BOARD rCFpo1�QS7' The ELECTRICAL CONTRACTOR a .� •: 0 Named below HAS REGISTERED Under the provisions of Chapter'489 FS., �: Expiration date: AUG 31,2018 . (INDIVIDUAL MUST MEET ALL ICISING. .REQUIREMENTS PRIOR T LIG IN ANY AREA) � RODRIGUEZ, VR© ELECTRICAL- IEIA • '$445 i��'2.:AV�.� ..,,, ��,;.`: DISPLAY A REQUIRF-D BY LAW SEQs L1� 164Q i i U ae C7 �: � 3Is1�'uageuuopllaauaaJ Iw fid 'AaeslY1013u++�1'+€ 6�re14xm6 Is��euld'bBeeeu�Pd1lIw' PMiw I C IS Aw 9ulmolNlms131PHAloulei ARM SHL (� � -GO C 9I:z£00-91.-0}z0 r: M N 94OU0160 00'00Z e01a31103 x ai xe y (13A18C3U LN3 W)LVd W12%wwCD7g0 KZB CNI%REU" E7 S93Nisne iO uAi 8314MC 1"'1i4 vz-ai 089 apo0 Alunco oa tuenalud btr 4m -I`Ip'Ihl ri C06) 0 W )-HOZ '0C '8331N31d3S irI£OI o is rn�4 w 00919 S 3 8I d X3 'ON 141303a Noll yoov3 wrN sS3NI9ns £0000=6 :ON 00 Z AVd ION 00-1118 V 10148191t11- P .. 0 4 Ido 0A3045pe0'k un —IWI'1IBJ . U . _ ...._:_.._ V4 V% x8i S,.ol ajuao jed Io dun Vq I r• I Local Busi ness Tax feCei pt Mlami-Dade County, State of FloridaLB7F -THIS IS NOTA MLL-00 NOT PAY i 38075 BUSINESS NAM EILOCATION RECEIPT NO. EXPIRES - ELECTRICAL MASTERS INC RENEWVAL. SEPTEMBER 30, 2017 8400 SUIT 14 ST 3867802 Must be displayed at Place of business MIAMI,FL 33444 Pursuant to County Code Chapter SA-Art.S&16 ' I OWNER SEC.TYPE Of BUSINESS PAVMENT RECEIVED I ELECTRICALMAVERS INC 196 ELECTRICAL. BY TAX CADLLECTOR C014TRACTOR 75.00 09lZ6J206 V4lofker(s) 3 97E000003 0210-184D03216 TIAs UxW B Wfms Tax Rsadptonlyowims pwpTem arlhe Lncd BuslnessTax.Tl efloodptis not aiieattsa, penwil.aacaU"callonofthe hotdoesqusiiftalm,iodobusiness,l•*1wntim affVywill&Wgovnrm Mal a nagauermaerttsl eegela�rylawsandrraquirerteMswhtchspplytotlsabalelnesd 71faFe�9PT110tebauemwtbediepisyedaisllcortrrleroleltehlQee-hUatrf-0aclaCbdeSeeBe-2t8. ft..asUftrad1whvisit ELECT-4 OP Ib:TC Y INSURANCE CERTIFICATE OF LIABILITY �.,,,^... 10111t2016 THIS CERTIFICATE IS I5a uE D AS A MAT rM OF INFORMATION ONLY AMD CONFERG NO RIGHT8 UPON THE CERTIFICATE HOLDER.THIS cewnFICATIE DDES,Nor APFIR!latiAT14AELY OR NEGAATWELY AMEND, EXTEND OR ALTER THE WVERAGE AFFORDED BY THE POUCIEt3 BELOW TNI&CWMFICATE OF MURANCE DOES NOT CON8T ME A COMMUT BETWM THE ANG MISURER(Sh AUTHORFZED REPREITATIVE OR PRODUCER,AMC THE C.NMIFICATE HOLDER. IMPORTANT: N the cw0ftato holder is an ADDITIONAL WWRED,tha Pollcf")anwt Ife endorsed, I SUBIKMTION IS WAIVED,aU*d W tri®t"a afid oondltks of the polky,*wWn Ponc%s mW rocs uNre an eRtl<tOrleernent. A oldwMd on this cmd does not copier rW is to the +gnMcaW haNder In lieu of=wha. Tere"R.Carmo17 , Alpnt !Sue's Inaurartce B 3ps-223�Z+53S � em.305220-0763 SM Vit. SL,Silas 270 Mism.PL 83174 tmm isurebrokere.com Tens FL Carinona, Agent l oo�ravace �i "MM A:Atain Iris,Co. 17159 RasswM Electfto Rualam Inc. :AwwWaW!mass Ins CO 23140 am Sw 14TH Staaat sl o t Mian ml,FL 33144 Feu: 11�L E= INSURER F COVERAGE'S 2MICATIENW819b REMION NU R: 11,118 IS TO a;;MRTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED AWW FOR THE POLICY PERIOD INDICATEA: NOTVNTHSTANDINt3 ANY FtEWIR MENT,'MW OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS cER71FICATaE INAY BE ISSUE[!OR MAY PERTAIK THE INSURANCE AFFORDED BY THE POLICIES DESCRIa3ED HERF.w IS SUBJECT TO ALL THE TERMS, F-XCLUSKwo AND CONDITIONS OF SUCH POUCIES.LIMITS%KrM MAY HAVE amt REDUCR0 BY PAID CLAIMS. pw rim ag PdJCY R uaalis A X cowWtmftGWflWALUA8WW BIACHOCCURRENCE S 2.000,004 ewus-we 7 ori CIP244= 1211712016 12M71aa'Ie ,a Kftk K Is ioa T ADDirlONAI.INWJW Mo EXP Ww ate Pte) i N3, PERSONAL&AoV W.MY S GWL•AQMltEMATE UWr APPLIES PER: GENERAL AGGREGATE Sp ' pp1If`Y E] PRO, LOC PRtODWTs-comMPAGO S 2,OINO, 9 fl AUfitM49gf LIaB urf asi nt S ANYAIn 8WLY INJUW leer pw wl) S KL OOYEMIED lED 9QpILY 1NJimfPer )AVNVMD S P �n $ HIRE Auras S Ut68BLIAUABHcLA!M6-wAw pGa:UR EACHOoGuRwt= I 'Mcklm LM AGMEGATE S a S - x STA ER � � M07$2 8210i1Ze15 O2t0112017 B ANY ARTt�RIEXECU7NE YWCI EXCLU �A E,L.EACttAt:CioEaRT S 1+000, { 1 EL DISEASE-EA EMPLOYEE S S undar ERATKM I LL DISEASE-Poucy I-NIT DSL W 0PERAnrf9l LOQAlWW r V00Ql ES(ACMIM,AddM&IM RMMg is Sdro*Aw,m,be s R mane qWM m MWlksQ Electrical Conbuo Wr-License#ER0013057 rrlRCAjTF HOLDERC TION MLLAMS SHOULD ANY OF THE ABOVE OESCRIM POL MM M CANCEbI.m of vpWF THE EXPIRATION DATE THEREOF, NOTICE WCL W DELIVERED IN wlloga of Miami Shores ACCORDANCI!WITH THE POLICY PtiOVISIOW& 10aM NE 2 Ave. Mland Shores,FL 33138 AUTHOMM FEWIMMMIM M IS M-2014 ACORD CORPORATM All rights pmjved. ACORD 25:(2014101) The ACORD nano and logo are rl:&tered maft of ACORD Miami Shores Village Building Department 10050 N.E.2nd Avenue,Miami Shores, Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 BUILDING Master Permit No.' liq -30 PERMIT APPLICATION sub Permit No.!&, ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION QRENEWAL OPLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: ' QqS WE OLC�- City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: ?5 a06—_3c) \9.q Q®�C) Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): 74� ki' Phone#: Address: lel'qr i 14 City: State: Zip: ??>\S9 Tenant/Lessee Name: Phone#: Email: �_ j� 1 �, � CONTRACTOR:Company Name: ` ;W0k! A 1 ,)C,�\ �l fI CCY�L�1. ne#: Address: *OA�A City: NI-AL (�'�.�t.\ State: FL. Zip: BalAn'1 Qualifier Name: `P1GiUh AA U�i__C52 . Phone#: State Certification or Registration#: CASA ems( Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ A-S o Square/Linear Footage of WlIF k: Type of Work: ❑ Addition ❑ Alteration El New ❑ Repair/Replace ❑ Demolition Description of Work: PL 15-- 1156 Specify color of color thru tile: Submittal Fee$ 5Q Permit Fee$ 27— CCF$ • CP ® CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) t 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,o'car•tified copy of the recorded notice of commence t must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issu n the i e of uch posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature OWNER or AGENT C C The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of _ _ .20 [6 by \day of `C 20 !LL by ` 1 M who is personally known to rP-��r" �,,,>`who is personally known to me or who has produce as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLI NOT PUBLIC: I ��,l�., AMANDA M.SANTOVENIA CARL SANABRIA No/twy�Puplia-S�/at�U�Aoff FIwIda ``O�PpY G�BI�L Conurdulon I so 031" ,o Commission#FF 37673 Sign ;; My Commission Expires Sign: my CIMM. �NOW�� 111 ` Print: Print: Seal: Seal: APPROVED BY _ Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)