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EL-13-29Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 184336 Permit Number: EL- 1 -13 -29 Scheduled Inspection Date: January 17, 2013 Permit Type: Electrical - Residential Inspection Type: Final Owner: GARCIA, CARLOS Work Classification: Alteration Job Address: 262 NE 97 Street Miami Shores, FL 33138- Inspector: Devaney, Michael Project: <NONE> Contractor: ALLIED ELECTRICAL SERVICES INC Phone Number Parcel Number 1132060134000 Phone: (786)566 -0863 Building Department Comments UPGRADE PANEL Infractio Passed Comments INSPECTOR COMMENTS False Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments / Crly./.2e,9 January 16, 2013 For Inspections please call: (305)762 -4949 Page 18 of 22 Return to: RAPID TITLE SERVICES CO. 1175 N.E. 125th ST, S-512 North Miami, FL 33161 Instrument Prepared By CHRISTOPHER P. KELLEY, Esquire 11098 Biscayne Boulevard, Suite 205 Miami, FL 33161 Folio No. 11- 3206 - 013 -4000 111111111111111111111111111111111111111 111111 CFN 2O1.2R0933874 OR 8k 28417 Pa 39131 Ups) RECORDED 12/27/2012 11 :48119 DEED DOC TAX 2 :532.00 HARVEY RUVIN: CLERK OF COURT MIAMI -DADE COUNTY: FLORIDA LAST PAGE WARRANTY DEED THIS INDENTURE, Made this2 /"'day of Peet-, #. , 2012, Between, CHRISTINA A. PAUL, f/k/a CHRISTINA A. McGINLEY, and GEORGE AMAR PAUL, fVkla AMAR PAMENDRA, wife and husband, GRANTORS, and CARLOS A. GARCIA, whose post office address is 262 NE 97 Street. Miami Shores. FL 33138, GRANTEE, WITNESSETH, That said GRANTORS, for and in consideration of the sum of Ten and No /100 ($10.00) Dollars, and other good and valuable considerations to said GRANTORS in hand paid by said GRANTEE, the receipt whereof is hereby acknowledged, have granted, bargained and sold to the said GRANTEE, and GRANTEE's heirs and assigns forever, the following described land, situate, lying and being in Miami -Dade County, Florida to -wit: The West % of Lot 4, and all of Lot 5, Block 30, AMENDED PLAT OF MIAMI SHORES SECTION NO. 1, according to the Plat thereof, as recorded in Plat Book 10, at Page 70, of the Public Records of Miami -Dade County, Florida SUBJECT TO: Applicable zoning and /or restrictions and prohibitions imposed by governmental authority; Conditions, Restrictions limitations, reservations, easements, and other matters appearing on records, if any; Utility easements of record, taxes for the year 2012 and subsequent years. and said GRANTORS do hereby fully warrant the title to said land, and will defend the same against the lawful claims of all persons whomsoever. IN WITNESS WHEREOF, GRANTORS have hereunto set their handstd seals the day and year first above written. Si and delivered in our presence: fitness Name Print Na Name CORISTOlonvri P WPT!PAr Print Name STATE OF FLORIDA COUNTY OF MIAMI -DADE CHRISTINA A. PAUL Grantor f/k/a CHRISTINA A. McGINLEY 1015 NE 93 Street Miami Shores, FL 33138 GEORGE R PAUL f/k/a AMAR PAMENDRA 1015 NE 93 Street Miami Shores, FL 33138 Grantor I HEREBY CERTIFY that on this day, before me, an officer duly authorized in the State and County aforesaid to take acknowledgments, personally appeared CHRISTINA A. PAUL and GEORGE AMAR PAUL, who produced Fn2 and FM- , respectively, as identification, and who executed the foregoing instrument and acknowledged before me that they executed the same. WIThESS my hand and official seal in the Cou d State last afore id this a /4-day of 4-e , 2012. My Commission Expires: Aga -tar 6arcta Book284171Page3913 CFN #20120933874 Page 1 of 1 Miami Shores Village 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 FBC20 (� BUILDING Permit No. 13 �2 i PERMIT APPLICATION Permit Type: Electrical JOB ADDRESS: 242 416— g% ST Master Permit No. City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: r OWNER: Name (Fee Simple Titleholder): L t)� { s NFU ti4 Phone #: 'l T '7��//4 S Address: 1 X11 411 gr City: . 1117111 / State: -1(//7, Zip: 3 :( 3' Tenant/Lessee Name: Phone #: Email: / / p CONTRACTOR: Company Name: i /4ii / -E(,f! V,ii/ J V i C'Ctt- j -.((°. - Phone #: 11 4 ` 5. 4Z ft) Address: /p tic N City: %�%�f// State: / Qualifier Name: ,S t'Pv{_' ?pi/Ye- State Certification or Registration #: P /3P /'Y 732._ Contact Phone #: /Q " Lib-(--t)65 Email Address: Zip: 33 Phone #: 7 d G6 - Gr4i ` 144 Certificate of Competency #: /2— )tler e_ & AQc eige.4 i "1-/ Sr'D (:e24 . th-% DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: 0 Type of Work: DAddress DAlteration $ 000. Square/Linear Footage of Work: New L epair/Replace Description of Work: r hid AAA, 214/ ❑Demolition u r9 akt.. :. o n 3!1 'a 'Nag rttL fits' —. - ) iM K.' 43 rtfkaimovir:.) na °4: : *+ x* ******x: ***** x: *+x*********** * ******** Fees**** *****;44***a* ****** 47.7 *" sus m ** Submittal Fee $ 5.° 'LID Permit Fee $ /.O d'0'U CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ Technology Fee $ r TOTAL FEE NOW DUE $ 1 r Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip 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, BOIT ERS, 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 A TTORNEY 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 mus ,e posted at the job site for the first inspection whic occurs seven (7) days after the building permit is issued. In the absenc ' of s -, ch posted notice, the inspection will not be app\ve+ and a re fee will be charged. w Signature er or Agent The foregoing instrument was acknowledged before me this day o/ UV,,,el y, 20 13 , by cji g,�u.S 6� , A , who is personally known to me or who has produced r/ ( As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commissio ** ** * * ** * ** APPROVED B Signatu The fore day of Contractor ®g instrument was ackno ledged before me /'U , 20(3, ; ' - " ,Q who is personally known to me or who has produced as identification and who did take an oath. NOTARY C: Sign: /k r' r „ Print: w ;;:;,L-. + e ? res Apr. 5, 2015 �. .. _ My Commission EVENS B. WAGNAC Notary Public - Florida State of ,(Revised �► ' ' — — _— — lans Examiner Zoning Structural Review (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09) Clerk "'AN— 11,...Frik Car CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 12/27/12 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 poiicy(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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER Accredited Insurance 6099 Hollywood Blvd Hollywood, FL 33024 Phone (954)964-5444 Fax (954)964 -0772 CONTACT NAME: PHONE FAX No). (954)964.5444 (A/C No) (954)9640772 4Atc. ,x AADDRESS: insureyourhome©aol.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: GRANADA INSURANCE INSURER B : 524210 INSURED Allied Electrical Services, Inc 10 NE 64 St Miami, FL 33138- (786) 566 -0863 INSURER • 12/09/2013 INSURER D : $ 1,000,000.00 INSURER E : DAMAGE TO RENTED PREMISES (Ea occurrence) INSURER F : MED EXP (Any one person) 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. NOTWfTHSTANDING 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 15 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POUCIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADD IN WAND, SUBR POLICY NUMBER POLICY EFF (MM/DD/YYYY) 12/09/2012 POLICY EXP IMM/DD/YYYYL UMITS A GENERAL LIABILITY Y 0185FL000132164 12/09/2013 EACH OCCURRENCE $ 1,000,000.00 1,/ COMMERCIAL GENERAL LIABILITY • ❑ CLAIMS -MADE d OCCUR ❑ DAMAGE TO RENTED PREMISES (Ea occurrence) $ 100, 000.00 MED EXP (Any one person) $ 5,000.00 PERSONAL & ADV INJURY $ 1,000,000.00 ❑ GENERAL AGGREGATE $ 2,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER ❑ POLICY ❑ T ❑ LOC PRODUCTS - COMP /OP AGG $ 2,000,000.00 (Ea aaccidntSINGLE OMIT $ AUTOMOBILE LIABILITY ❑ ANY AUTO ALL OWNED SCHEDULED ❑ AUTOS ❑ AUTOS BODILY INJURY (Per person) $ BODILY INJURY (Per accident' $ PROPERTY DAMAGE (Per accident) $ HIRED AUTOS NON -OWNED ❑ AUTOS $ • ❑ EACH OCCURRENCE $ UMBRELLA LIAB ❑ OCCUR • EXCESS LIAR ❑ CLAIMS -MADE AGGREGATE $ • DED ❑ RETENTION $ $ WORKERS COMPENSATION EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNEWEXECUTIVE OFFICER/MEMBER EXCLUDED? ((- (Mandatory In NH) N / A • TO STIMIT ER TORY LIMITS ❑ ER E.L. EACH ACCIDENT $ EL DISEASE - EA EMPLOYEE $ If yes, escribe ands 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 VILLAGE OF MIAMI SHORES BUILDING DEPARTMENT 10050 NE 2ND AVENUE MIAMI SHORES, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 26 (2010/05) CIF © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 1,asTimb \ 0 3w 12,o-a. Dv e-Y- vme. )5011 C3) 411 (3) *1-) -n.tJ-cu • TELI 3-an z-L Z- rnftifryi -y-tr-te 11..2.0(„.0t3_4/000 Eiks1r.vh16. zitkic,c) , \\1W \SOT 1,oncl (1,t,4eft cc.) )11 \ ex is-vms 1(,nek prtu_vots kAtt, 4reo, is 4Ale_ Qop‹._, v.)or11-1 Allied Electrical Services, Inc. ipierre@alliedzi=ncalservices.net ER #13014732 PRJWCES 6. INLEff Note Public, State of 1:1:. .1ft Commission# EE .81169 My comm. eXpiraS Apr. 4.• ::::*,4':