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ELC-17-2614Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-296841 Permit Number: ELC-11-17-2614 Scheduled Inspection Date: February 07, 2018 Permit Type: Electrical - Commercial Inspection Type: Final Owner: , TROPICAL CHEVROLET Work Classification: Low Voltage Job Address: 8880 BISCAYNE Boulevard Inspector: Devaney, Michael Miami Shores, FL Project: TROPICAL CHEVROLET Contractor: AJL ELECTRIC INC Phone Number (305)754-7551 Parcel Number 1132060200880 Phone: 305-895-4971 Building Department Comments OUTSIDE DECORATIVE LOW VOLTAGE LIGHTING AROUND PALM TRESS NEAR BISCAYNE BLVD 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 February 06, 2018 For Inspections please call: (305)762-4949 Page 18 of 25 1 Project Address Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Pe mit Permit NO. ELC-11-17-2614 Permit Type: Electrical - Commercial Work Classification: Low Voltage Permit Status: APPROVED Issue Date: 11/7/2017 Expiration: 05/06/2018 Parcel Number Applicant 8880 BISCAYNE Boulevard Miami Shores, FL 1132060200880 " Block: Lot: TROPICAL CHEVROLET Owner Information Address Phone Cell TROPICAL CHEVROLET 8880 BISCAYNE Boulevard MIAMI SHORES FL 33138-3343 (305)754-7551 8880 BISCAYNE Boulevard MIAMI SHORES FL 33138-3343 Contractor(s) AJL ELECTRIC INC Phone 305-895-4971 Cell Phone Valuation: Total Sq Feet: $ 1,200.00 0 Type of Work: OUTSIDE DECORATIVE LOW VOLTAGE LIGH Additional Info: Classification: Commercial Scanning: 3 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $1.20 $2.25 $2.00 $0.40 $150.00 $3.00 $1.60 $160.45 Pay Date Pay Type Amt Paid Amt Due Invoice # ELC-11-17-65537 11/07/2017 Credit Card $ 110.45 $ 50.00 11/02/2017 Credit Card $ 50.00 $ 0.00 Available Inspections: Inspection Type: Review Electrical In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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 zonin� th- more, 1.=utjoiojze the above-named contractor to do the work stated. . November 07, 2017 orized Signature: • �r / /1Applant / Contractor / Agent Building Dep. rtmen Copy Date November 07, 2017 1 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 BUILDING PERMIT APPLICATION ❑ BUILDING $ ELECTRIC ❑ ROOFING ▪ PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS Master Permit No. Sub Permit No. ❑ EXTENSION ❑RENEWAL ❑ REVISION ❑ CHANGE OF `� CONTRACTOR pgd JOB ADDRESS: b 0 51 5 C/34`it•l-i 8L-00 RECEIVED NOV 0 2 2017 FBC 201151 ❑ CANCELLATION ❑ SHOP DRAWINGS City: Miami Shores County: Folio/Parcel#: / 13 c -ISco 02 00 $ Miami Dade zip: 38 1 3 lc— &b 4� Is the Building Historically Designated: Yes Occupancy Type: Load: Construction Type: Flood Zone: OWNER: Name (Fee Simple Titleholder): 1 -Pi CA _ Ch t l rot tit - Address: S$ $U B t S L1'"t'i <- g1•-4-) 0 BFE: Phone#: NO FFE: City: tit t (}M Sk(Tt--S State: r L.o it -t Zip: 3 3 1 S8— 33 y-3 Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: iti'J C -SW C.., Address: !' L5^S$ g L Sr $aZ(o City: N . f( t Ari( State: T LQ-i�-t 17 A Qualifier Name: Phone#:305 - i1J-1-64 echi‘e 3 Lu Po 02_ Zip: 331g( Phone#: 3tJ5 gii'S State Certification or Registration #: E C. 13o -0J-0'85 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ if 0 ' 0,.> Square/Linear Footage of Work: Type of Work: t54Addition ❑ Alteration n New Description of Work: i7 d evt �1'r �e. is -e_i 13 t Sc w�c 13 �d >7. Aitot.c(,10 ❑ Repair/Replace 0 —r s t n E D (ZCo Lo ti,) o kac ❑ Demolition Specify color of color thru tile: Submittal Fee $ 50P7_7(1 Permit Fee $ /_5 4 i> Scanning Fee $ JL Radon Fee $ Technology Fee $ 1 " 152'v Structural Reviews $ c-' (Revised02/24/2014) Training/Education Fee $ CCF $ ~� - CO/CC $ DBPR$ 2 ,25 Notary$ Double Fee $ Bond $ TOTAL FEE NOW DUE$ 1 (0 -, 5 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, 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 ..proved and a reinspection fee will be charged. Signature 414.4 OWNER or AGENT The foregoing instrumentJ was acknowledged before me this ST''day oonf ,4JOilt/SPA- ,20!7 ,by I/l�C�.1G� , who is personally known to me or who has produced Pit-SOYVGjt 1 il)Kas identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: LILIAN CORVEA •, MY COMMISSION 9 FF979085 T�; e, EXPIRES April 05, 2020 1407)3Yl.01b3 FioritallotarySenke.com ************************ Signature The foregoing instrument was acknowledged before me this / 51- day of NO Jedat i f - , 20 17 , by tloJi'U07.. Y LIAO)'i'(ho is personally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: as " KIM KIM ECKHARDT MY COMM'SSInN # FF199225 EXPIRES: February 12, 2019 ********************************************************************************** APPROVED B Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) AJLEL-1 OP ID: TR ACC) CY CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 05/09/2017 TYPE OF INSURANCE 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. UBR IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(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). POLICY EFF JMM/DD/YYYY) PRODUCER Roebuck Associates Insurance Exchange LLC 5599 S University Drive, # 301 Davie, FL 33328 Roebuck Associates CONTACT NAME: A (AJC Ert): Fax (A1C, No): LIABILITY COMMERCIAL GENERAL LIABILITY E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAM s 05/15/2018 INSURER A : Wesco Insurance Company $ 1,000,001 PREMISES ( DAMAGE TOoccurrence) PREMIEa ocrrence) INSURED AJL Electric Inc. 12408 N. Bayshore Drive N. Miami Beach, FL 33181 INSURER B : Normandy Insurance Co CLAIMS -MADE —' INSURER C : United States Liability Ins Co MED EXP (Any one person) $ 5,001 INSURER D : PERSONAL S ADV INJURY INSURER E : INSURER F : $ 2,000,001 GEN'L X COVERAGES CERTIFICATE NUMBER: REVISION NUMB 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 LTR TYPE OF INSURANCE ADDL �d UBR POLICY NUMBER POLICY EFF JMM/DD/YYYY) POLICY EXP JMMIDD/YYYY) LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY WPP114875703 05/15/2017 05/15/2018 EACH OCCURRENCE $ 1,000,001 PREMISES ( DAMAGE TOoccurrence) PREMIEa ocrrence) $ 100,001 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 5,001 PERSONAL S ADV INJURY $ 1,000,001 GENERAL AGGREGATE $ 2,000,001 GEN'L X AGGREGATE POLICY LIMIT APPLIES PRS ^LOC PER: PRODUCTS - COMP/OP AGG $ 2,000,001 $ AUTOMOBILE IJABILRY ANY AUTO ALL OWNED AUTOS HIRED AUTOS _ SCHEDULED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (PER ACCIDENT) $ $ C X UMBRELLA LIAB EXCESS LIAB X OCCUR I CLAIMS -MADE XL1566070B 05/18/2017 05/18/2018 EACH OCCURRENCE $ 2,000,001 AGGREGATE $ 2,000,001 $ DED 1 RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' UABIUTY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y I N N IA NHFL0066282017 05/15/2017 05/15/2018 X WC STATU- TORY LIMITS OTH- ER E.L. EACH ACCIDENT $ 1,000,001 E.L. DISEASE - EA EMPLOYEE $ 1,000,001 E.L DISEASE - POLICY LIMIT $ 1,000,001 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, H more space Is mqulred) EC13002089 N V.1%1" . v.-, . - • . v r v r.. Miami Shores Village g Building Dept. 10050 NE 2 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 25 (2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD r• CPI 1.-/-1V VOL/14, OCI,MCIMrST STATE`OF FLORIDA DEPARTMENT OF BUSINESS -AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD LICENSE NUMBER 'EC13002089 The ELECTRICAL CONTRACTOR Named below .IS CERTIFIED:: Under the provisions oCChapter 489 FS. Expiration date: AUG 31, 2018 LUPO, ANTHONY JFJR A J L ELECTRIC INC - 12555• 'BISCAYNE NORTH MIAMI, -181 - ISSUED: 07/26/2016 DISPLAY AS REQUIRED BY LAW SEQ # L1607260001567 NORTH MIAMI F L U R 1 `D A City of North Miami 776 N.E.125 Street • North Miami, FL 33161 • 305-893-6511 Business Tax/Certificate of Use Receipt Issued Date: 10/1/2017 Expiration Date: 9/30/2018 Business Tax Receipt #: BT -002364 A J L ELECTRIC, INC. 12555 BISCAYNE BLVD BOX 826 NORTH MIAMI, FL 33181 ELECTRICAL CONTRACTOR Business Name / Address: A J L ELECTRIC, INC. 12555 BISCAYNE BLVD, BOX 826 NORTH MIAMI, FL 33181 Michael A. Etienne, Esquire, City Clerk NOTICE: BUSINESS TAX RECEIPT MUST BE TRANSFERED WHEN BUSINESS IS MOVED OR SOLD. NON -TRANSFERABLE • POST IN A CONSPICUOUS PLACE • NON -TRANSFERABLE Local Business Tax Receipt Miami—Dade County, State of Florida -THIS IS NOT A BILL - DO NOT PAY 1929745 BUSINESS NAME/LOCATION AJL ELECTRIC INC 12408 N BAYSHORE DR NORTH MIAMI, FL 33181 OWNER AJL ELECTRIC INC RECEIPT NO. RENEWAL 2037000 SEC. TYPE OF BUSINESS 196 ELECTRICAL CONTRACTOR LBT EXPIRES SEPTEMBER 30, 2018 Must be displayed at place of business Pursuant to County Code Chapter 8A - Art. 9 & 10 PAYMENT RECEIVED BY TAX COLLECTOR dF nn no/rionn17