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RC-12-803 (2) Lb Miami Shores Village i 2012 JUL 0 5 Building Department 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel: (305)795.2204 Fax:(305)756.8972 INSPECTION'S PHONE NUMBER:(305)762.4949 BUILDING Permit No. PERMIT APPLICATION Master Permit No. � FBC 20 Permit Type: Electrical �^ � OWNER:Name(Fee Simple Titleholder):_ke� E#M&CI Phonek Q-/� Z5-2_070D Address:9f�Z NC— 9M"O' u City: l 1 G 0,111' Seco/tiS State: E—G Zip: .?�13F Tenant/I.essee Name: Phonek Email: JOB ADDRESS: N 4— 10 4 d City: Miami Shores County: Miami Dade Zip: 33/3t Folio/Parcelk Is the Building Historically Designated:Yes NO Flood Zone: CONTRACTOR:Company Name:W f)m 0_Q;_: C aIV-r— Phonek V8 6 s), 70d Address: /2t7 [G S u✓ l CO-Si- C i/L. A;- i � City: 0 i o,v,%i State: EPA 11pre I rn Zip: '33 i is 6 9 ualifier Name: C)r-t S+� ��"` VRIVII;L Phone#: 494, S 02 j�/()`D 9 State Certification or Registration#: R—C (3V9 9 rf& 4 Z Certificate of Competency#: Contact Phonek }s(® a'�' ���y . Email Address: DESIGNER:Architect/Engineer: Phonek Value of Work for this Permit:$ ��0o Square/Linear Footage of Work: Type of Work: ❑Address ❑A.Iteration ❑New ❑Repair/Replace ❑Demolition Description of Work: E ,b e ���aea$a$agag :��x�xx����x��x���x�ux�x�xxxx�Fees���axax�xaax��xaaxaxax�aaaxx�n���x����ax�x:xx�xx�xx��s�� Submittal Fe Permit Fee$ l'✓ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$ ` � 1 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 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. SignatureSignature Owner or Agent0311J Jim A R�? Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of ,20 � Y/ by [ I-1, J cl V ,(�=1, day of To L ,2012 ,by , who i ersonall me or who has produced who is personally known to me or who has produced - As 11 As identifi`fit ���'h"p(,111/S64�take an oath. as identification and who did take an oath. NOTARY PUBLIC: jOXp `r`�',; NOTARY PU ERNESTO E RMo93a199 Sign: ' Co = Sign: ES OCT� 19 2013 s st State lasers= Print: %�t�`•''. l„��� �� Print: My Commission Expires: �ai� F(ORlQP���``` My Commission Expires: 0� q• ��� liI/INI►INIII $aa�sdakskskakak�ksk�Is�kskskskskikikakak akaf:sk�k?k�kHasksk�k�Ia�kBaskskak�k+kKasksk+kskskskskskskak�k�kiksksk��IaakBsskskakikakak�ksksk8ask�lsakakskHi�kskskflssksksIaskskskakakNisk�k+kH:Ba�kskskskskak�kakiksk�k�k�ksk APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) r S �RF`s - txc.-93a Miami shores Village JUL 0 62012 "" ""'�' ' Building Department 10050 N.E.2nd Avenue �("pR{pp► Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CHANGE OF CONTRACTOR I ARCHITECT Permit N. ELJ 2-®Vf Z Owner's Name(Fee Simple Title Holder)�E-l/)+1'n sS�LI Phone#: 396-2 S'Z- a )900 Owner's Address: 362 106 WUj'" City: mieL ml, Shorts State : rL. Zip Code: 135 Job Address(of where work is being done): 9 2 IV& q2 NG 6h--1ff-Lt— City: Miami Shores State:—Florida Zip Code: 33138 Contractor's Company Name: \A60 m e Phone#: :J%* S015 7a�0 5� Address: sui ti o ST e-ta— , Nor-4, City: VA 1 a w.T State: PC— Zip Code: 3 31 8 f- Qualifier's Name : Qre-s Lic. Number: 9c o 3004CP Y-Z Architect/Engineer of Record Name: Phone#: Address: City: State: Zip Code: Describe Work: CAWG Z^, 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 for all legal involvement. Signature Signature eg2:��, owner or Agent Contractor or Architect The foregoing instrument was aknowledged before me The foregoing instrument was aknowledged before me thisQ—day of`16�1,20M4y(X � °V��'�"t this d day of 20ltby Who is personally known to me or who`��` � �����.,P who is personally known to me or who has produced �aS ig a as indentification. Notary Public, ��41j Notary Pu EWs a �0WN Sign: �c Sign: ls Seal: '''''�,�IfS1U8`1`b```\`��`\� Seal: 8d throughtStabelt�utBnCe MIAMI-DADE COUNTY 2011 LOCAL BUSINESS TAX RECEIPT 2012 FIRST-CLASS TAX COLLECTOR MIAMI-DADE COUNTY-STATE OF FLORIDA U.S.POSTA 3E 140 W.FLAQLER ST. EXPIRES SEPT.30,2012 PAID 1st FLOOR MUST BE DISPLAYED AT PLACE OF BUSINESS i MIAMI,FL MIAMI,FL 33130 PURSUANT TO COUNTY CODE CHAPTER 8A-ART.9&10 PERMIT NO.231 678761-9 THIS IS NOT A 13ILL.—DO NOT PAY DUPLICATE BUT FJSMAtLQATON INC CC 4pEC?Ej%%04672706116-1 112016 SW 110 ST CIRCLE NORTH 33186 UNIN DADE COUNTY '7% N ELECTRIC INC '1 "iMMICAL CONTRACTOR WORKEI/S THIS Hi ONLY A LOCAL BUSINESS TAX RECEIPT.IT DOES NOT PERMIT THE HOLDER TO VIOLATE ANY E�NOLAWSO�REGULATORY THE DO NOT FORWARD COUNTY OR CITIES. NOR DOES IT EXEMPT THE HOLDER FROM ANY OTHER PERMIT OR LICENSE REQUIRED BY LAW.THIS IS W D N ELECTRIC INC TTHHETHOLDER'SQ CERTIFICATION ORESTE WONG TIONS. 12016 SW 110 ST CIR N PAYMENT RECEIVED NIANI FL 33186 MIAMI-DADE COUNTY TAX COLLECTOR. 01/17/2011 60030000497 000000.00 13 SEE OTHER SIDE 03-04-2011 JEFF ATWATER STATE OF FLORIDA CHIEF FINMCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION CERTIFICATE OF ELECTION TO RE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 03/04/2011 EXPIRATION DATE: 03/03/2013 PERSON: WONG ORESTES FEIN: 203305200 BUSINESS NAME AND ADDRESS: NO ELECTRIC INC 12016 SW 110 ST CIRCLE FIRTH Mimi FL 33186 SCOPES OF BUSINESS OR TRADE: 1- CERTIFIED ELECTRICAL CONTRACTO IMPORTANT: Personal to Chapter 440 . 061141, F.S., an officer of a corporation who elects exemption from this chapter by tiling a certificate of election ander this section may not recover benefits or compensation ander this chapter. Pursaent to Chapter 440.051121, F.S., Certificates of election to be exempt... apply only within the scope of the business or trade listed on the notice of election to be exempt. Pmsuaut to Chapter 440.051131, F.S., Notices of election to be exempt and certificates of election to be exempt shell be subject to revocation if, at any time after the filing of the notice or the Issuance of the certificate, the person named on the notice or cenifleete no longer meets the requirements of this section for issuance of a,certificate. The department shall revoke a certificate at any time for failure of the person named an the certificate to meet the requirements of this section. QUEST ONS? (850) 413-1609 DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01-11 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA IMPORTANT DEPARTMENT OF FINANCIAL SERVICES DMSION OF WORKERS COMPENSATUM Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who CONSTR=ION INDUSTRY O elects exemption from this tempter by filing a certificerte of election CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA L under this section may not recover benefits or compersation under this WORKERS'COMPENSATION LAW D chapter. EFFECTIVE: 03/04/2011 EXPIRATION DATE: 03/03/2013 Pursuant to Chapter 440.05(12), F.S., Certificates of election to be PERSON: ORESTES WONt1 H exempt- apply only within the scope of the business it trade listed on FEIN: 203308200 R the notice of election to be exempt BUSINESS NAME AND ADDRESS: E Pursuant to Chapter 440.05113), F.S., Notices of election to be exempt WDM ELECTRIC INC and certificates of election to be exempt shall be sub,ect to revocation 12016 SW 110 ST CIRCLE NORTH if, at any time after the filing of the notice or the issuance of the MIAMI, FL 33186 certificate, the person named on the notice or certifiarte no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the SCOPE OF BUSINESS OR TRADE: person nmtted an the certificate to meet the requirements of this I- CERTIFIED ELECTRICAL CONTRACTO Section. QUESTIONS? 1850) 413-1809 CUT HERE Carry bottom Portion on the job, keep upper portion for your records, STATE OF FLORIDA DEPARTMENT OF BUSINESS AND rROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD (850) 437-1395 1940 NORTH MONROE STREET •��owe `• TALLAHASSEE FL 32399-0783 WONG, ORESTES WDM ELECTRIC, INC. 12016 SW 110TH STREET CIRCLE NORTH MIAMI FL 33186 4TATE OF Congratulations! With this license you become one of the nearly one million �,J � II;g S Floridians licensed by the Department of Business and Professional Regulation. s a Our professionals and businesses range from architects to yacht brokers,from A * «TION, boxers to barbeque restaurants,and they keep Florida's economy strong. RC]3004 ?2:' 02/0/11 100197.971 Every day we work to improve the way we do business in order to serve you better. For information about our services,please log onto www.myfloridalicense.com. CN9rTIFIED:,,ELECTR:E'= CONTRACTOR There you can find more information about our divisions and the regulations that WONG, . ORSSTBS - impact you,subscribe to department newsletters and learn more about the i 'i ECTRIC, INC, Department's initiatives. Our mission at the Department is: License Efficiently,Regulate Fairly.We constantly strive to serve you better so that you can serve your customers. =g �ERTI VIED un"r the provi:dons of,ch.489 so Thank you for doing business in Florida,and congratulations on your new license! aQ� 3r11024200734 sreetolT:aa+ee;:. DETACH HERE AC# STATE-.Of FLORIDA- = I A FAR s p p f 3 F$GgLa I0 - _ CTtI C �Rpif: ORS L1I0Z 020 0'X 33 • 02 02 2t 31_ )U-0797�._`_RC130d4472 ___ TiiIDEO #: C 'RACTt�R =Under the p v Ione of ChapF Expiration date: AUG 31, 2012: - ,/�� `a �" j -_ 13t - r k•,rt t i I i -;adv � ,. xpiwavtiTE _ 0*A' y 4 M �� - T2fl34 ft STREET MIAMI FL 33 r �"♦ '°`. L t--n,�.; {�-e,'''�i'd'��'s�.. �'d n :'$ Ljk�' o+' 6�8+>'� .fk'b-; 71i: r�'tal�z /,�,"�76i �'Fd� t�Wit':+ S .tks"�{� �� 3',}-. {� Jul, .�5. 2012 10: 23AM FLORIDA BANKERS INSURANCE No, 6809 P. 1/1 .�Ps �°A:.# (MraDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE DATE 07/05/12 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 policyges)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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: MARTA ALOSNO Florida Bankers Insurance A/ONNo.Ext): (305)266-6493 FAX WC No): (305)262-0679 7278 SW 8 Street E-MAIL ADDRESS: merleC oridabankersinsunance.com Miami,FL 33144 INSURER(S)AFFORDING COVERAGE NAIC Phone (305)266-6493 Fax (305)262-0679 INSURER A: AMERCIAN VEHICLE INSURANCE COMPANY INSURED INSURER B WDM Electric Inc INSURER C: 12016 SW 110 St Circle North INSURER D: Miami,FL 33186- (305)598-4875 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFYTHAT 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 WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAYHAVE BEEN REDUCED BY PAID CLAIMS. INSR ADOL UB POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WYD POLICY NUMBER MM/D MMlDD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 300,000.00 ® COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 100,000.00 PREMISES Es occurrence $ A F-1 ❑ CLAIMS MADE OCCUR GL-0504007129-00 03/15/2012 03/152013 MED EXP(Any one person) $ 5,000.00 ❑ PERSONAL&ADV INJURY $ 300,000.00 ❑ GENERAL AGGREGATE $ 300,000.00 GEN'-AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 300,000.00 0 POLICY ❑ JECOT ❑ LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident F-1ANYAUTO BODILY INJURY(Per person) $ ❑ AUTOS ALL OWNED ❑ AUCTOESULED BODILY INJURY(Per accident) $ ❑ HIRED AUTOS ❑ AUTOOSWNED PROPERTY DAMAGE $ Per accident ❑ ❑ $ ❑ UMBRELLA LIAB ❑OCCUR EACH OCCURRENCE $ ❑ EXCESS LIAB ❑CLAIMS-MADE AGGREGATE $ ❑ DED ❑ RETENTION$ $ WORKERS COMPENSATION YIN ❑WC STATU ❑OTH- AND EMPLOYERS'LIABLL.ITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT OFFICER/MEMBEREXCLUDED? ❑ N/A $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYE'$ If es,describe undo DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE MIAMI SHORES VILLAGE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN 10050 NE 2 AVE ACCORDANCE WITH THE POLICY PROVISIONS. MIAMI SHORES,FL 33138 AUTHORIZED REPRESENTATIVE 305-756-8972 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05)QF The ACORD name and logo are registered marks of ACORD Miami Shores Village f ` I g i MAY 16 012 Building Department 331 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel: (305)795.2204 Fax: (305)756.8972 INSPECTION'S PHONE NUMBER:(305)762.4949 BUILDING Permit No. �1 PERMIT APPLICATION Master Permit No. K-..��� — 5 FBC 20 (t:> Permit Type: Electrical OWNER:Name(Fee Simple Titleholder): ggaa,4!5. Phone#: Address: 3�2- `12 AA, City: W rc477 0 .9110/ts State: zip: -3?j-s3 Tenant/LesppseeName: Phone#: 21"-212-OS00 0✓ Email: 11� � �C2 �19�a P C�rS +r ll� '�i��a'3Sy-�aP/gyp. JOB ADDRESS: 3 C2 /�1 ti� !�Izl—y City: Miami Shores County: Miami Dade Zip: 2 Folio/Parcel#: Is the Building Historically Designated:Yes NO Flood Zone: CONTRACTOR:Company Name: UV �/�L7ric�� �0��'"��/OrS 11ZA*—" Phone#: �'��3 3��Z Address: 29W IVi,..-, /03 5�rtc City: C State: Ale zip: 3 3 J%-/7' Qualifier Name: TO►^ .- G ria a o-a s Phone#: 6^ 6 R 3 " 3 3'9 2- Ij State Certification or Registration#: � f 30/�42-175 Certificate of Competency#: 0419000'11-ie Contact Phone#: Email Address: t�`l�t vii r os v!y�j►ov S DESIGNER:Architect/Engineer: Phone#: Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: ❑Address DAlteration ONew 0QRepair/Replace. ❑Demolition Description of Work: 12e_12Iacc C*IAW, Oak 42GM Co C cly'latPS, SS'An�{�eS Submittal Fee$ (�� Permit Fee$ 4r&-' CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$ 1 0 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 ins c which occurs seven (7) days after the building permit is issued. In thea ence of such posted notice, the inspection will of a approved d einspection fee will be charged. .i Signature Signature Owner or Agent Contractor S The forego g instrument was ac owledg d before thi The foregoing i^nstrunt wasacknowledged before me this �/ —t day o ,20�by day of ' '`4'�! ,20!L by M2' 59 �1 w o is pe onally nown to or who has produced o is personally known to me or who has produced•1� (� • identification and who did take an oath. as identification and whR,,4 4A19'A itn*h. NOTAR PUBLIC: NOTARY PUBLIC. ��;• •, o�.dog Sign: 105 Sign: Print ��p0D1 is-State o1 FIo2o�5 Print vi•W' W • �. P�+PU " �10 m Expires 12ag10 'moi' ...... ••'` `��� My Commission Expires: - ``�•` ¢;�y�omm-Isslon#10 a1Nolaty assn My Commission Expires: nde APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) MIAMI-DADE COUNTY 2011 MUNICIPAL CONTRACTOR'S 2012 FIRST-CLASS TAX COLLECTOR TAX RECEIPT a _ n 140 W.FLAGLER ST. U.S.POSTAGE i + t!>I 3c V4 W 'f1 "0 m O MIAMI-DADE COUNTY-STATE OF FLORIDA PAID $ o ' C) ''' C M m M rn �i 1st FLOOR PURSUANT TO COUNTY CODE SEC. 10-24 MIAMI,FL e $ 70 0 ..m 0A Z x m Z � T MIAMI,FL 33130 EXPIRES SEPT.30,2012 -3 � M m `� r $ O t7 C2 :9W PERMIT NO.231 ■ D THIS IS NOT A BILL-DO NOT PAY e 1 y ' C Ij RECEIPT NO. 30-6759816 CC NO: 09E000438 M O W� w Z m y e� R m In M BUSINESS NAME/LOCATION RECEIPT HOLDER MAY DO o m o W Q > D °' Z BUSINESS AS A CONTRACTOR v m m C to "I .► -1 JN ELECTRICAL CONTRACTORS LLC AS SPECIFIED HEREON. m C-2 r v>' -+ m m " 2811 NW 103 ST Ma:� m — 70 5 n OWNER :JN ELECTRICAL CONTRACTORS LLC Vie = m M �. o D US US C y CD SEE BACK OF RECEIPT FOR ELECTRICAL CONTRACTOR �� � O r ° b -4 c n A LIST OF NONPARTICIPATING n W r Ip w 0 °—' , MUNICIPALITIESk a -n r ` M mar V n A m N n m Receipt holder must DO NOT FORWARD a _O register in the citym g 0 � My A 0 Cr Z O O where work is to be JN ELECTRICAL CONTRACTORS LLC a a=_ (A IL -4 < ft done. JORGE E SALGUEIROS MGRM = o 0 O 8 V7 2811 NW 103 ST 9 W s Z ao Q MIAMI FL 33147 K^ m d M Z PAYMENT RECEIVED ea a n N /A MIAMCOUNTY TAX m y m co �, 0 M N co-029/2011 :a a xD 02210017002 ` 000200.00 a Ittlltttllttt1m�o,m�s Vt"O'„T1 6 O yn 00,nA i1t1tr a MroOmZCr 0M CD I ..— _ — — ..Mz ,� e C rOOM '' N _ MIAMI-DADE COUNTY 2011 LOCAL BUSINESS TAX RECEIPT 2012 FIRST-CLASS i �"„ -o � >0 TAX COLLECTOR MIAMI-DADE COUNTY-STATE OF FLORIDA U.S.POSTAGE :e M' '� — 140 W.FLAGLER ST. EXPIRES SEPT.30,2012 PAID p ,�, .0 r D 1st FLOOR MUST BE DISPLAYED AT PLACE OF BUSINESS MIAMI,FL In (j) `' O C m N MIAMI,FL 33130 PURSUANT TO COUNTY CODE CHAPTER SA-ART.9&10 PERMIT NO.231 r O G) THIS IS NOT A BILL-DO NOT PAY 648993-4 RENEWAL m CL m ^� 0� BUSINESS NAME/LOCATION RECEIPT NO. 675981-6 ,0 ".,�iS', tA1 Z JN ELECTRICAL CONTRACTORS LLC CC # 09E000438., 5rcl) c 2811 NW 103 ST W} 0 33147 UNIN DADE COUNTYa Q W z C rn- OWNER n r z10 JN ELECTRICAL CONTRACTORS LLC N m D 0 O my c Z Sec.Type of Business WORKER/S m n ^v IIA -+ �96 ELECTRICAL CONTRACTOR 1 w �� ,/' THIS IS NLY A L AL _ BUSINESS TAX RECEIPT.IT r /Owl =1—{ � � � DOES NOT PERMIT THE 0 -i1 L.. O HOLDER TO VIOLATE ANY EXISTINGREGULATORY OR Q D CIO ZONING LAWS OF THE DO NOT FORWARD ..f _ COUNTY OR CITIES. NOR Q, +-` M A CIS DOES IT EXEMPT THEHOLDER MWM Y OTHER PERMIT FROR OM AN LICENSE REQUIRED BY LAW.THIS IS NOT A CERTIFICATION OF JN ELECTRICAL CONTRACTORS LLC - Q�, n THE HOLDER'S QUALIFlCA- JORGE E SALGUEIROS MGRM i' d N 913 2811 NW 103 ST 00 PAYMENT RECEIVED MIAMI FL 33147 1 0 m a MIAMI-DADE COUNTY TAX 17 COLLECTOR: dt�.�' 08/29/2011 I 44 02210017001 I -c 000075.00 lltllltliltl,��iJ1111,1Jill III till 111111111111tilltlt�llattll 05/15/2012 02:24 5617905392 PETEZPry 01/01 ACKM& CERTIFICATE OF LIABILITY INSURANCE FRODW 05114/12 T11[S CERTEFiCATE 15 ISSUED AS A ATAT ER OF INFORMATION Nor0wast Age Wes,tnc. ONLY AND CONFER$ NO RIGHTS UPON THE cmwm E 6467 Main$asst.Ste 104 HoLtIlUt 'M$ CIERTIFtCATE DOSS NOT AWND. WM OR Williams ilio.NY 14221 ALTtRt THE COVERAGE AFFORDED BY THE i+OLIGEB BELOW. 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