Loading...
EL-17-1245Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Permit Permit NO. E L-5-17-1245 Permit Type: Electrical - Residential Work Classification: Alteration Permit Status: APPROVED Issue Date: 8/14/2017 Expiration: 02/10/2018 Parcel Number Applicant 426 GRAND CONCOURSE Miami Shores, FL 1132060170070 Block: Lot: HERIBERTO CRUZ Owner Information Address Phone Cell HERIBERTO CRUZ 1000 NE 96 Street MIAMI SHORES FL 33138- 1000 NE 96 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone JCL ELECTRICAL CORP (305)498-7268 Valuation: Total Sq Feet: $ 5,000.00 0 Type of Work: UPGRADE EXISTING ELECTRICAL SERVICE Additional Info: UPGRADE EXISTING ELECTRICAL SERVICE Classification: Residential Scanning: 1 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee - Additions/Alterations Scanning Fee Technology Fee Total: Amount $3.00 $3.38 $3.38 $1.00 $225.00 $3.00 $4.00 $242.76 Pay Date Pay Type Invoice # EL-5-17-63932 05/05/2017 Credit Card 08/14/2017 Credit Card Amt Paid Amt Due $ 50.00 $ 192.76 $ 192.76 $ 0.00 Available Inspections: Inspection Type: Review Electrical 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. r OWNERS A :. • r: I certify that all the foreg.' g formation is accurate - • that all work will be done in compliance with all applicable laws regulating constructiong. Futher. ore, I ithoriz- he ..ov amed contra • to do the work stated. riz . Signs u -: •wn Ap: icant / Contr- for Agent August 14, 2017 Date Buildin Department Copy August 14, 2017 1 JOB ADDRESS: City: Miami Shores County: Miami Dade Folio/Parcel#: Is the Building Historically Designated: Yes Occupancy Type: Load: Construction Type: Flood Zone: BUILDING PERMIT APPLICATION ❑ BUILDING ELECTRIC 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 ❑ ROOFING Master Permit No._ Sub Permit No. TED MAY BY: FBC 2014 ? C \i- 1 So £L 11-1215 2017 ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS -2f0-(o Cad. w Zip: -3) 8' BFE: FFE: OWNER: Name (Fee Simple Titleholder): iieelOtErelb _(2frV _ Phone#: 10 O 6 - Da. - Address: 544-1-71 E 4.54 D E City: State: Zip: Tenant/Lessee Name: 14 I -A Phone#: Email: attei. t e. ('_r"ilZ' pc, f 5J Ci r. G1,3-e. CONTRACTOR: Company Name: • C • L V- Le_G-v2L Phone# ({lZ ie-60 Address: t (44.60 Sii—)` l 44 A -@ -- C t1NYN C j FL City: (-L.pfv-v\t State: lid Zip: iip ?c G_c/o- Qualifier Name: �c7n\Q_ A ('ti�'`�J&_ce-ki_O Phone ctZ �? State Certification or Registrati TT#: ELl Son6. S Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: Value of Work for this Permit: $ 5090 Type of Work: op 0Addition 1-1Alteration❑ Description of Work: p O) e _ t\3 5"1-NCNO «e A1\ r Ze L.A.M.INC? / eta c _ c ct c.,C0 s State: Zip: Square/Linear Footage of Work: New rr Repair/Replace I 1 Demolition 'N Q. e—e-••• 1/4.3 -/•.3 STALL tW \- 1-4 e.K -17 ej g e_�cS'sA�ol��' Specify color of color thru tile: Submittal Fee $ X pcs ; (\ Permit Fee $ 47- fps CCF $ 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) 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be pos he job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of su posted n tice, the inspection ill not approved and a reinspection fee will be charged. ♦ Signat OWNER or AGENT Signature CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this (---) k day of `! 20 1 by i---yriA day offMa0, 20 1-1, by -471-.d=.l�I$ �-V` , who is personally known to rc AC.0 vV O U , who is personally known to me or who has produced TLDe- (✓ AEN me or who has produced ; V'P f \j C` r'S t- as identification and who did take an NOTARY P identificatio NOTARY P Sign: Print: Seal: nd who did take an oath. C: ******************** APPROVED BY Ap9`Y V' Notary Public State of Florida a Sindia Alvarez • 4:.; a My Commission FF 156750 * o; . *tff7SifS'b8le81¢844******** Sign: Print: Seal: * Plans Examiner Structural Review Y tYPRIETO MY COMMISSION # FF 214031 EXPIRES: March 25, 2019 I '� Bonded Thru Notary Public Underwriters Zoning Clerk (Revised02/24/2014) - RICK scorr, GOVERNOR - —STATE-OVFCORIDA--' KENTAWSONTSECRETARY- DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICALCONTRACTORS LICENSING BOARD 101 LICENSE NUMBER r The ELECTRICAL -CONTRACTOR - Named beloWTISCERTIFIED:, l'Undethfprovisions`of ;Chapter-489-FS:- -'Elpieatiorr date 31;'.2018 CUERVO ,JORGEA,-- XZEN0 • MIAMI -,<„, FL 33177 - 'to Ivor 44%. - r '' '44..10 J SS6EV--06/14/2b16 DISPLAYASREQUIRED-BY LAW ° .1.44 14.7: STATE CiF FLORIDA. , DEPARTMENT.OF BUSINESSAND ,-!PROFE§SqliktirREGUVkTION4 Eb1:3066..575„ "(1.e9UEO06/1:412616": - -.CERTTFIE6 ELECTRICAL 681,14kAg-O-R::- I ° 0 \ IC\ N N -SEQ #-Lf606140001647 li ',--CUERVO, JORGEA 1-,-;'11.84, J.C.L. ELECTRICAL-CORR ,..`...• - -*-'-`- 7-- - - '•:,1-.± -,,,-,, ' - ---"'"'" , ---- , 4 . 1,- ,... ..")••--'', 4-4--,,, -Fr , --,•-- ,, - ...S.. ..- . .0.74, ,...." ,iuor.-n...".,-. 4.... li-CERTIFIED.,,tircIP,,th'ii:Orloviisions,of ..0. - txplititiOrTdate,..AUG 31: 2018 ' .. ..1. *"--- '-"`"`"'1:160i1740001647-...7.:Nol 14 ... ‘. .." 4,M...".' ...'. "'"'—....."...." '— ...0-' ....:.-.. CI \ N N 004069 Local Business Tax Receipt Miami -Dade County, State of Florida -THIS IS NOT A BILL - DO NOT PAY 6114797 BUSINESS NAME/LOCATION C L ELECTRICAL CORP 16460 SW 144 AVE MIAMI FL 33177 OWNER J C I, ELECTRICAL CORP Worker(s) 1 RECEIPT NO. RENEWAL 6377691 EXPIRES, SEPTEMBER-30, 2017 Must be displayed at place of business Pursuant to County Code Chapter 8A - Art. 9 & 10 SEC. TYPE OF BUSINESS 196 ELECTRICAL CONTRACTOR EC13006575 PAYMENT RECEIVED BY TAX COLLECTOR $75.00 09/07/2016 CHECK21-16-119853 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 holders qualifications. to do businesso Holder must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT NO. above must be displayed on all commercial vehicles - Miami -Dade Code Sec 8a-276. For more information. visit yvww.miamidade govkascollectot Acc•Rif CERTIFICATE OF LIABILITY INSURANCE ii......-�" DATE(MM/DD/YYYY) 05/02/2017 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 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). PRODUCER General Insurance Group Corp. 10350 SW 64th St. Miami, FL 33173 Phone (786)280-4113 Fax (305)351-8461 CONTACT Agustin Estil-las NAME: g HONNo. ): (786)280-4113 Fa , No): (305)351-8461 E-MAIL agustin@genins.net INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Capitol Specialty Insurance Corporation 10328 INSURED JCL ELECTRICAL CORP 16460 SW 144 Avenue Miami FL 33177- INSURER B : Ascendant Commercial Insurance 13683 INSURER C : INSURER D 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 LTRINSR TYPE OF INSURANCE ADDLSUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS A n COMMERCIAL GENERAL LIABILITY ❑ CLAIMS -MADE OCCUR CS16001572-01 09/16/2016 09/16/2017 EACH OCCURRENCE $ 1;000,000.00 DAMAGE RENTED PREM SESO(Ea occurrence) $ 100,000.00 MED EXP (Any one person $ 5,000.00 ❑ PERSONAL & ADV INJURY $ 1,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: ❑ POLICY ❑ PRO ❑ JECT LOC ❑ OTHER GENERAL AGGREGATE $ 2,000,000.00 PRODUCTS - COMP/OP AGG $ 1,000,000.00 $ B AUTOMOBILE LIABILITY ❑ ANY AUTO ❑ALL OWNED SCHEDULED AUTOS CA AUTOS CA-32824-6 03/13/2017 03/13/2018 COMBINED SINGLE LIMIT (Ea accident) $ 300,000.00 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ NON -OWNED d HIRED AUTOS CA AUTOS ❑ ❑ PROPERTY DAMAGE (Per accident) $ $ ❑ UMBRELLA LIAB ❑ OCCUR ❑ EXCESS LIAB ❑ CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ ❑ DED ❑ RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / NER ANY PROPRIETOR/PARTNER/EXECUTIVEn N / A ❑ STATUTEPER ❑ OTH- E.L. EACH ACCDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Certified Electrical Contractor EC13006575 CERTIFICATE HOLDER CANCELLATION Miami Shores Village Building Department 10050 NE 2nd Avenue Miami Shores, FL 33138 ACORD 25 (2014/01) QF 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 © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 5/1/2017 Insurance Services ACCPRLF CERTIFICATE OF LIABILITY INSURANCE `..----- DATE(MM/DD/YYYY) 05/01 /2017 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 REPRESENTATNE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: lithe certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to r 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 Automatic Data Processing insurance Agency, Inc. 1 Adp Boulevard Roseland, NJ 07068 CONTACT NAME: ie, Ext): FAX Nok ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC C INSURER A: NorGUARD Insurance Company 31470 INSURED JCL Electrical Corp 16460 SW 144AVE Miami, FL 33177 INSURER B: INSURERC: INSURER D: INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 667871 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 LTR TYPE OF INSURANCE Aumsut INSD K WVD POUCY NUMBER POLICY EFF (MWDDIYYYY) POLICY EXP (MM/DDIYYYY) LIMA COMMERCIAL GENERAL UABILITY EACH OCCURRENCE $ CLAIMS -MADE OCCUR DAMAGE TO KEN rLU PREMISES (Ea occunence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEM_ AGGREGATE POLICY OTHER: LIMIT APPLIES JET PER: LOC GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $ AUTOMOBILE - _ LJABIUTY ANY AUTO ALL OWNED AUTOS HIRED AUTOS - - _ SCHEDULED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per aoddent) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLALIAB EXCESS UAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICREORMRMBEERR EXCLUDED tECUlV (Mandatory In NH) If yes desaibe ender DESCRIPTION OF OPERATIONS below YYN N / A N JCWC876338 02/01/2017 02/01/2018 X PER 01 H- STATUTE ER E.L. EACH ACCIDENT' $ 100,000 E.L. DISEASE - EA EMPLOYEE $ 100,000 E.L. DISEASE - POUCY UMIT $ 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Contractor License: ELECTRICAL CONTRACTOR---EC13008575 CERTIFICATE HOLDER CANCELLATION 1 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 10050 NE 2nd AVE Miami, 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 / (. ,1t 1kW..v ... 1 tIr ACORD 25 (2014/01) A© 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD https://adpia.adp.com/ISExternal/app/index.html?clientid=2437098&requestFrom=run#/home 1/1