SGN-13-2585 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-203090 Permit Number: SGN-11-13-2585
Scheduled Inspection Date: November 21, 2013 Permit Type: Sign
Inspector: Rodriguez,Jorge
Inspection Type: Final
Owner: GOLOFARB, IGHAL Work Classification: Addition/Alteration
Job Address:8833 BISCAYNE Boulevard
Miami Shores, FL 33138 Phone Number (305)868-8203
Parcel Number PARC2003-18
Project: <NONE>
Contractor: CESAR ELECTRIC CORPORATION Phone: 305-221-5721
Building Department Comments
PVC LOGO AND LETTER BOND BY EXTENTION HEAVY Infractio Passed Comments
DUTY CONSTRUCTION ADHESIVE INSPECTOR COMMENTS False
FOR MIAMI VAPOR LLC
Inspector Comments
Passed
Failed
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
November 20,2013 For Inspections please call: (305)762-4949 Page 23 of 34
FD
MiaiShores Village IV
Building Department Nov 14 213
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)745.2204 Fax:(305)756.8972
INSPECTION'S PHONE NUMBER:(305)762.4949
�l I1 � � 13 F'BC200
BUILDING Permit No.
PERMIT APPLICATION Master Permit No. --n N 13 ' 85
Permit Type: BUILDING ROOFING
JOB ADDRESS: IIs
City: Miami Shores County: Miami Dade Zip;
Folio/Parcel#:
Is the Building Historically Designated:Yes NO Flood Zone:
OWNER:Name(Fee Simple Titleholder• 38� 1 � Phone#: 2—®
Address:
City: State: Zip:
Tenant/LesseeName: \0lyi l Vwgrs LLC_ Phone#: L4Y ciq�
Email:
CONTRACTOR:Company Name: (®PSA AT/_ F6 �� Phone#:
Address:- t0 s I mj� Av
City: State: Zip:
Qualifier Name: Phone#:
State Certification or Registration#: _ Certificate of Competency#:
Contact Phone#: Email Address:
DESIGNER:Architect/Engineer: Phone#:
D' Value of Work for this Permit:$ SCLD'C10 Square/Linear Footage of Work:
Type of Work: OAddition DAlteration ONew OR air/Replace ODemolition
P J C L o �6_ � 9 ok b C__
9C '
Description of Work:
Color thrru file:
Submittal Fee$ Permit Fee$ CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Bond$
Notary$ Training/Education Fee$ Technology Fee$
Double Fee$ Structural Review$
TOTAL FEE NOW DUE$ b
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 inspe lion which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will no be approved and a reinspection fee will be charged
Signature Signature\�/A
w eis r or Contractor
The, iegoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day ofJ_I0 ,20!L by k t�° day of ) 0 20 5-,by PEDIAAY
who is personally known to me or who has produced who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Si Sip:°
Print:TZ—k Print:r- A,140C L
My Commission Expires: moo, ;;?�e°,c BIBIpNA nN#EJE6017~ My Commission Expires:NOTARY PUBLIC-STATE OF FLORIDA
Maria L. Ndrayes
* * W COMMISS Commission*DD945462
EXPIRES:O , 16 Expires: DEC.30,2013
APPROVED BY 9 d Plans Examiner �/ 5� 3zoning
Structural Review Clerk
(Revised 3/1212012)(Revised 07/10/07)(Revised 06/1=009)(Revised 3/15/09)
n
.... n...� Miami shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
CONTRACTORS' REGISTRATION
ALL CONTRACTORS MUST PROVIDE COPIES OF LICENCES AND INSURANCES EACH TIME A PERMIT IS SUBMITTED.
IF CONTRACTOR IS A FLORI A STATE IRTIFIED CONTRACTOR:
A. COPY OF QUALIFIER'S STATE LICENCES
B. COPY OF LOCAL BUSINESS TAX RECEIPT
C. COPY OF LIABILITY INSURANCE (CERTIFICATE HOLDER TO BE MIAMI SHORES VILLAGE BLDG DEPT)
D. COPY OF WORKERS COMPENSATION,(EITHER CERTIFICATE OR EXCEMPTION)
IF CONTRACTOR HAS A MIAMI DAD COUNTY RTIFICATE OF COMPETENCY:
A. COPY OF CERTIFICE OF COMPETENCY OF QUALIFIER
B. COPY OF LOCAL BUSINESS TAX RECEIPT
B. COPY OF MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT
C. COPY OF LIABILITY INSURACE (CERTIFICATE HOLDER MUST BE MIAMI SHORES VILLAGE BLDG DEPT)
D. COPY OF WORKERS COMP INSURANCE(EITHER CERTIFICATE OR EXEMPTION)
YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE HOLDER AS FOLLOW:
MIAMI SHORES VILLAGE BLDG DEPT
10050 NE 2ND AVE
MIAMI SHORES,FL 33138
COMPLETE CONTRACTOR'S INFORMATION
BUSINESS NAME:
BUSINESS ADDRESS:., 1n 9 ft/a /M #//I— CITY A l
STATE L ZIP CODE /
BUSINESS PHONE: ) r aa21-1 U.I FAX NUMBER( j
CELL PHONE QUALIFIER'S NAME:ac-Lug y
QUALIFIER'S LIC NUMBER: 7(Q 7
E-MAIL ADDRESS (IF APPLICABLE):
Created on 3119109 BY MLDV 1 RV 3126109 MLDV I RV 6127111 AS
STATE OF FLORIDA
DEPARTIUNT OF BUSINESS AND PROFBSSIOZOT. REGULATION
ELECTRICAL CONTRACTORS LICENSING BOARD (85 0) 487-1395
1940 XONROB STREET
• �nma TPT�.At aSgEE FL 32399-0783
PEDRAYES, CESAR.
CESAR ELECTRIC CORPORATION
3634 SW 112 AVENUE
XXI FL 33165
-- - sTArE of f ,.. .
Congratulabonsl wdh�license you one of the nearly one rrtt port aEP t3F':BUSI 3SSS Am
Floridians lick by the Departrnent of Business and Professional Regulation. PROFLSS=ONM, REGUr.&TIOB
Our professionals and bps range frown Wtik cts to yacht brokers,from
boxers to barbeque restaurants,and they keep Flow's economY s[rang. ECO002767 07/29/12 1104 .252
Every day we work m drove the way we do business in order to serve you better.: ELECTRICAL CONTRACTOR
For irrforrrr�n about our s8nnces,phum log onto www.mytiorldalicense-core. CERTIFIED
There you can find more rnfonretfon about our dvimM and the regLdaWM ttta€ PEDRAYES,' CESAR
ct yam,�to deparlrnent newsletters and learn more about the CESAR Er rr 'rC CORPORATION'
Department's infiatives_
our mission at the Depw nr►ent is:license Effidently,Regulate Fairly.We
constantly strive to selver you better so that you can serve mac's r license! - IS �°�� of c$.489 3
Thank you for doing business m Flonda,and congratulations your AM.31, 2014 L12072- 50153.7
DETACH HERE
_ na o
iffi
STATE OF FLORIDA
D.L PBR3 CTRICAL RLOPIECESSNSIONNAL �`SON
$E2,1207250161;
07/25/203.2 113.043.2-526 ECO002767
T'J'a 9'< ICAL CONTRACTOR
Named belcrvy IS CERTIMIFED
Under the prav'1sious of Chapter 489 FS.
Erpi.3ration date: AUG 31, 2014
PEDRAYES- CESAR
CESAR 'e Efiair 'C CORPORATION
3634 SW 112 AVE FL 3336
RICK SCOTT SECRETARY
COVEIME
DISPLAY AS REQCIIRE!?..BY LA1til ..._ _ _ . ._ _. .. ..- .
• • x t
Local Business Tax Receipt
Miami—Dade County, State of Florida
:THIS IS WOT A BILL—OO PIt3T PAY
4895851 BT
BUSINESS NIAMEFLOCAT/om RECEIPT mo ImNRES
CEW ELEC IM CORP MIEWAL SEPTEMBER 30, 2014
3634 SW 712 AVE 5110267 Must be displayed at place of business
MIAMI M 33165 Pursuant to County Code
Chapter 8A—Art:9&10
Oman SEC.TYPE OF BUSINESS PAYMENT RECEIVED
CESAR ELECTRIC CORP 116 ELECTRICAL CONTRACTOR BY TAX COLLECTOR
Workers) 10 EtOOD2767 $75.00 07/02/2013
FPPU06--13-001893
7Uaload TazP"e1PtQ*,oaRrau offhaLwalB Tax Yio>h isawalkasse,
Pwaft or boa efUw homw s todshuslassm Hahlarmu wail lywithaay or
rely tam and mg*eoteats wkicb aWIyto*e bniaess.
Tfm lI1�BPTti�.alreve am�He t$sPlayad Deal!cemarercial vehicles- -Dade Ceda Sectia-276.
For mm hhnm ioav►sh
Oct. 1 b. 2013 4:05PM No. 5914 P. I OP ID:LL
CERTIFICATE OF LIABILITY INSURANCE 1011612013
THIS CERTIFICATE IS ISSUED A$A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.71413
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED SY THE POLICIES
BELOW. THIS CEMFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATWE OR PRODUCER,AND THE CURYWICATE W.DRR.
IMPORTANT. If the certigcate holder is im ADDITIONAL.INSURED,the poi Ies)mat be endorsed. N SUBROGATION IS WANED,subject to
the terms and conditions of the pocky+,certain potktes may require an endorsement, A statement an We cefflicats does not caster rights to the
ceMeate holder In lieu of such ends s.
nnaoUc" Phanot=41117-7M W,or Luis hrsuratrce,Margie Luis
Luis Insurance Fa m 305-061-7756 306.887 7700 P 306487 7755
Ma a LUIS
seer Road mmI iuisinstllancecom
Mla L FL 33188 Aawuc6a GESARw1
PABUS LUIS
01auR Anquaelac saw N
WOUReo Cesar ElecMa Corporation INUIMA.CYPM99 PrOPWW&CiRGUaftl Co
Cesar Pedraps mwma•'Frank Winston Crum htsumnee
3534 SW 112th Avenue
Miami,FL 33165 Illaua>:Ra.
sasu�ao:
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COVERAGES
CERTIFICATE NUMBER.,... , REVISION NUM@ R•
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USM BELOW HAVE BEEN MUEP TO THE INSURED NAMED ABOVE FOR THE 06MOY PEWOD
INDICATED. NOTWITHSTANDING AMf R€GUMEMENT.TERM OR CONDITION OF ANY CONrRACY OR OTHER DOCUMENT VAT"FWSPECY TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICEES DESCRIBED HERI:N aS SUBACT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
INSR t"LlOFtxauw►ace POLICYN not�Y slxn uFara
GUBRAL UAMITr EACH OCCURRENCE s 1000 00
A X cowaRm OEN m I ule uTY FL-1008183.04 09M 82013 09H N2014 .S t ao $ 100.00
Mx Le o EW we an 1 5.00
PMONALBAOVINJURY s 1,000,00
aENERAt AOeI EQATR S 2,000A0
gEnAW TELWTAPPL1aPErt PROpU -c Alin S 2,000100
T PMJCY I I ne F71 LOG $
ANYAUTO eODILYiMAJaYIP�pemal) S
ALLOWNEDALR'OS II�DILYINJURY(PxsaataaL a
SCiieflULEDAUiDS PROPERTY0AW1W- a
HaIEDAU70$ (PawddanU
NON-OWNED AUTOS S
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uaaclannalr aF oneaAtwNa I t.CDATIaaS rvrancLas t AcoaD Let.Ast�eAN aanulw s¢ruaeta nmaa k randrM)
Electrical Contractor.
CERTIFICATE 1r CANCE=LLATION
MIASHOR
SHOULD ANY QJ=THE DE9CRIBEt1 POLICIES BE GANtB LLED BEFORE
THE EXPIRAT= THSW20F. NOT" WILL. BE DELIVERERS IN
ACCO VIftTH OLICY 11t0YIS10NS-
City of Miami Shore
Fax 305-755.8572 AvtaaARm ROW"
10050 NE 2nd Ave PABLO LUIS
Miami Shores,FL 33138
jiMMAGM CORPORATION. All rights reserved.
ACORD 25(2009109) The ACORD name and Logo are registered marks of ACORD
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