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EL-14-1534 . cl — 3 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-216055 PermitNumber: EL-7-14-1534 Scheduled Inspection Date: December 23,2015 Permit Type: Electrical- Residential Inspector: Devaney, Michael Inspection Type: Final Owner: FABLE, ELISE Work Classification: Addition/Alteration Job Address:941 NE 91 Terrace Miami Shores, FL 33138-3219 Phone Number Parcel Number 1132060030050 Project: <NONE> Contractor: TRUE POWER ELECTRIC CONTRACTOR INC Phone: (305)335-8496 Building Department Comments THE BATHROOM NEW PANEL infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. December 22,2015 For Inspections please call: (305)762-4949 Page 3 of 59 003944 Local Business Tax Receipt Miami-Dade County, State of Florida -THIS IS NOTA BILL - DO NOT PAY LBT 6668090 �_7 f_j BUSINESS NAME/LOCATION RECEIPT NO. EXPIRES TRUE POWER ELECTRICAL CONTRACTOR INC RENEWAL SEPTEMBER 30, 2016 8326 SW 37 ST 6940143 Must be displayed at place of business MIAMI FL 33155 Pursuant to County Code Chapter BA-Art.9&10 OWNER SEC.TYPE OF BUSINESS PAYMENT RECEIVED 196 ELECTRICAL CONTRACTOR TRUE POWER ELECTRICAL CONTRACTOR BY TAX COLLECTOR Worker(s) 1 EC13004509 $75.00 07/21/2015 CHECK21-15-102101 This Local Business Tax Receipt only confirms payment of the local Business Tax.The Receipt is not a license, permit,or a certification of the holder's qualifications,to do business.Holder must comply with any governmental or nongovernmental regulatory laves and requirements which apply to the business. The RECEIPT NO.above must be displayed on all commercial vehicles-Miami-Dade Coda Sac 6a-276. Far more information,visit www.miamidade.govAoxcollecmr MUM at,vr r, vvvt=rnrvvrr-- __-- 1KcTq'l3Kvtrn1UrW,_Z=V.rtt IP(rcT STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD A- EC13004509 � ' The ELECTRICAL CONTRACTOR - s Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31. 2016 VIERA, LUIS • ' "" TRUE POWER ELECTRICAL CONTRACTOR INC. 8326 SW 37TH STREET MIAMI FL 33155 ISSUED 07/0312014 DISPLAY AS REQUIRED BY LAW SEC)# L1407030001378 erm Aw Miami Shores Village y ril resia� tia 10050 N.E.2nd Avenue NE0� �� ••• Miami Shores,FL 33138-0000 Phone: (305)795-2204 I , c 717J2A15 Expiration: 01/03/2016 Project Address Parcel Number Applicant 941 NE 91 Terrace 1132060030050 MONTANA 13 HOLDINGS III LLC Miami Shores, FL 33138-3219 Block: Lot: Owner Information Address Phone Cell MONTANA 13 HOLDINGS III LLC 970 SOUTH SHORE Drive MIAMI BEACH FL 33141- 970 SOUTH SHORE Drive MIAMI BEACH FL 33141- Contractor(s) Phone Cell Phone Valuation: $ 2,800.00 TRUE POWER ELECTRIC CONTRACT (305)335-8496 . .. _. .,, Total Sq Feet: 0 Type of Work:THE BATHROOM NEW PANEL Available Inspections: Additional Info: Inspection Type: Classification:Residential Final Scanning:3 Meter Box Alteration Relocation Fire Alarm Service Change Underground W.W. Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.60 Invoice# EL-7-14-52303 DBPR Fee $6.30 07/07/2015 Check#:1051 $860.40 $0.00 DCA Fee $6.30 Education Surcharge $0.60 Permit Fee-Additions/Alterations $420.00 Scanning Fee $3.00 Technology Fee $2.40 Work without Permit Fee $420.00 Total: $860.40 In consideration of the issuance to me of this permit, I agree to peth or e work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings sta m nts or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work do b eit e myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WI OW ,D RS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing inf of is ac rate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore,I authorize the a n ed co ra r to do the work stated. July 07, 2015 Authorized Signature:Owner / ApplicA Date Building Department Copy July 07,2015 1 Miami Shores Village g �1 E Building Department JUL 10 2014 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 BY. 2 _ INSPECTION.LINEPHQIVII NUMBER:(305)762-4949 FBC 20)0 BUILDING t Master Permit Nod- � PERMIT APPLIt.AMN Sub Permit No. L 14 ❑BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL r_1 PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: gli f a I :E6R_ t �j City: Miami Shores County: Miami Dade Zip: 3-3)-S Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: /n� > Flood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholder): �G )S F A E L F- Phone#: /� a Address: `moi I �j01�C j� 2 City: 1� I J f cwp_ State: Zip: _�J 13 Tenant/Lessee Name: Phone#: Email: _Cl—1SE F713 RCAO Y1l ; CONTRACTOR:Company Name: t' �:t p.,W9Y' �-�. ��' Phone#: 205 _3g _Sj 3 q Address: O?J�G sw City: /��- /�^� State: �� Zip: Qualifier Name: LSV l Ae-4 Phone#: State Certification or Registration M Fee 3o o Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ 22 co Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Specify color of color thru tile: Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ l I TOTAL FEE NOW DUE$ p 6d —C 0 (Revised02/24/2014) Bonding Company's Name(if applicable) a 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 app einspection fee will be charged. Signature Signature OW or AGENT CONTRACTOR The foregoing instr ent was acknowledged before me this The fore oing ins ument was acknowledged before me this day of 1 20 by day of JW'> l ,20 by = � A WIZIRwho i personalllknown to !� I�/ e ,who ifpersonall nown to me or who has produced JJ 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: Q ?ANS �d'C/ Print: w` YANELLE ALONSO Seal: �` "' .� YANELLE Seal:i' My COMMISS8 1. �' My COMMISSION#FF063728 EXPIRES Oct7 x-10, PEXPIRES October 16.2017 (407)398-0153 Fiorld" (407)388.0153 FIorldaNl t I * *x� APPROVED B y'_ $ /2? Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD (850) 487-1395 " AT• 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 VIERA, LUIS TRUE POWER ELECTRICAL CONTRACTOR INC. 8326 SW 37TH STREET MIAMI FL 33155 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 rangeIi= STATE OF FLORIDA from architects to yacht brokers,from boxers to barbeque restaurants, DEPARTMENT OF BUSINESS AND and they keep Florida's economy strong. PROFESSIONAL REGULATION Every day we work to improve the way we do business in order to EC13004509 ISSUED: 07/03/2014 serve you better. For information about our services,please log onto www.myfloridalicense.com. There you can find more information CERTIFIED ELECTRICAL CONTRACTOR about our divisions and the regulations that impact you,subscribe VIERA,LUIS to department newsletters and learn more about the Department's TRUE POWER ELECTRICAL CONTRACTOR I 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. Thank you for doing business in Florida, IS CERTIFIED under the provisions of Ch.489 FS. and congratulations on your new license! Expiration date AUG31,2016 L1407MD001378 DETACH HERE RICK SCOTT, GOVERNOR KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD 'T EC13004509 a The ELECTRICAL CONTRACTOR N �;; Named below IS CERTIFIED �/A7 we Under the provisions of Chapter 489 FS. Expiration date: AUG 31,2016 VIERA, LUIS TRUE POWER ELECTRICALCONTRACTOR INC. 8326 SW 37TH STREET MIAMI FL 33155 ISSUED: 07/03/2014 DISPLAY AS REQUIRED BY LAW SEa# L1407030001378 t STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD E013004509- The ELECTRICAL CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. W Expiration date: AUG 31,2016 ®�� LJ VIERA, LUIS TRUE POWER ELECTRICAL CONTRACTOR INC. 83263 SW 37TH STREET MIAMI FL 33155 � 1 ISSUED: 07/03/2014 DISPLAYAS REQUIRED BY LAW SEQ# L1407030001378 003023 Local Business Tax Receipt 1 Miami--Dade County, State of Florida -THIS IS NOTA BILL - D0`10TPAY 6668090 BUSINESS NAME/LOCATION RECEIPT NO. TRUE POWER ELECTRICAL CONTRACTOR INC RIIEWAL EXPIRES 8326 SW375T SEPTEMBER 30, 2015 MIAMI FL 33155 8940143 OWNER SEC.TYPE OF BUSINESS TRUE POWER ELECTRICAL CONTRACTOR 196 ELECTRICAL CONTRACTOR PAYMENT RECEIVEo Worker(s) 1 EC13004509 8Y TAX COUECTOR 875.00 07/18/2014 CHECK21-14-025925 This Local Business Tax Receipt only confines payment of the Local Business Tax.The Receipt is not a license, Permitarace"'fleationofthsholder'squalificeNoas,todobusiness. Holdermustcomptywiptisnoth a license, or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPTNB.above must be displayed on all commercial vehicles-Miami4ade Code Sec 6a-276. For more information,visit www.miamidade aoyAucali to A o® CERTIFICATE OF LIABILITY INSURANCE ° D°"""'' 077/02/110211 5 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(Sb AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER IMPORTANT. if the csrdRcate holder Is an ADDITIONAL INSURED,the polcy(les)mtreI be endorsed. ff SUBROGATION IS WAIVED,subject to the term and conditions of the policy,certain policies rosy require an endorsement A statement on this certificate does not confer rights to the certlftcate holder In Ihm of such endo s). PRODUCER NAME CONCT X(Omara Garcia Super Insurance Service,Inc. PHONE (305)26'1-3443- F No: (305)262-5946 7855 SW 40 St AIL ep-tis: supenrisauto@gmail.com Miami,FL 33155 DucER ER ED Phone (305)262-3443 Fax (305)262-5946 IIsuRHgS)AFFORDING COVERAGE NAIC A INSURED INSURER A: GRANADA INSURANCE COMPANY True Power Electrical Contractor,Inc INSURER B: PROGRESSIVE EXPRESS 8326 sw 37 st INSURER C: Miami,FL 33155 INSURER D: ASCENDANT UNDERWRITERS (305)335-8496 INSURER E: 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 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. INSR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE =TIUB11 POLICY NUMBER LIMITS GENERAL LL48HJTY FJACH occuRRENCE $ 1,0()0,000.00 TU HEWED ® COMMERCIAL GENERAL LIABILITY PREMISES ma omurrence $ 100,000.00 ❑ ❑ CLAIMS-MADE ® OCCUR 0185FLOD020507 MED EXP(Any Rte person) $ 5,000.00 A ❑ Y N 07/29/2014 07!29/2015 PERSONAL&ADV INJURY $ 1,000.000.00 ❑ GENERAL AGGREGATE $ 2,000,000.00 GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $ 2,000,000.00 ❑ Policy ❑ Z O- ❑ LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea aeddern) ® ANY AUTO BODILY INJURY(Per person) $ ❑ ALL OWNED AUTOS 07867645-2 BODILY INJURY(Per $ B ❑ SCHEDULED AUTOS Y N 03/04/2015 03/04/2016 PROPERTY DAMAGE $ ❑ HIRED AUTOS (Pert sedde ❑ NON-OWNEDAUTOs $ ❑ $ ❑ UMBRELLA LIAR ❑OCCUR EACH OCCURRENCE $ ❑ EXCESS UAB ❑CLAIMS MADE AGGREGATE $ ❑ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATIONW R uTH- AND EMPLOYERS'LIABILITY - D ANY PROMEiM�PA uoE Ur�YN N/A WC-317600 07/30/2014 07/30/2015 EL EACH ACCIDENT $ 1,000,000 (Mandatory in NH) ELL DISEASE-EA EA $ 1,000,000 under COT OF OPERATIONS bebw J EL DISEASE-POLICY UNIT I $ 1,000,000 DESCRIPTION OF OPERATIONS 1 LOCATION I VENICIES(Attach ACOR)1a1,AddMonW Remolm Schedub,B more space M mquNeM ELECTRICAL WORK License No.EC13004509 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCR03ED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN MIAMI SHORES VILLAGE BLDG DEPT ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2ND AVE MIAMI SHORES,FL 33138 AUTHORED REPRESENTATA/E J ®1988-2009 ACORD CORPORATION. All rights nerved. ACORD 25(2009109)QF The ACORD name and logo are registered marks of ACORD