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DGT-16-1920 Perrrrlf . D 4 6-1920 �s+!Os Miami Shores Village ! C'lT 7`yype.' It1 � i2ir##ItIS@6 10050 N.E.2nd Avenue NW a Wrt Clssrrtrwr;Deck 6d" Dock •••• "' Miami Shores,FL 33138-0000Pe nn", , POi7T it �ttw �Rt Ytio� Phone: (305)795-2204 . Expiration: 04/30/2017 Project Address Parcel Number Applicant 141 NW 96 Street 1131010250110 PETER GOLDSMITH Miami Shores, FL 33150- Block: Lot: Owner Information Address Phone Cell PETER GOLDSMITH 141 NW 96 Street MIAMI SHORES FL 33150- 141 NW 96 Street MIAMI SHORES FL 33150- Contractor(s) Phone Cell Phone Valuation: $ 1,800.00 ALUMA PRO ENTERPRISES INC (786)400-0560.. _.._....__. - Total Sq Feet: 345 Approved:In Review Available Inspections: Comments: Inspection Type: Date Approved::In Review Final Date Denied: Foundation Type Const:Wood Deck Additional Info:NEW WOOD DECK REAR PATIO Framing in Progress Classification:Residential Scanning: 1 Review Planning Scanning:1_ Review Planning Review Planning Review Planning Review Building Review Building Review Building Review Structural Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.20 Invoice# DGT-7-16-60544 DBPR Fee $2.63 11/01/2016 Credit Card $262.46 $50.00 DCA Fee $2.63 Education Surcharge $0.40 07/11/2016 Check#:202 $50.00 $0.00 Permit Fee $175.00 Plan Review Fee(Engineer) $120.00 Scanning Fee $9.00 Technology Fee $1.60 Total: $312.46 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,dr gs,s ents or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility,for all wo done by either self, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICA ,WINDOWS,DOORS, OFING and S ING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoin information is accurate and th t al work will be don in compliance with all applicable laws regulating construction and zoning. Futhermore.I authorize the Bove named contractor to do the rk stated. No ember 01, 2016 Authorized Signature:Owner / Applicant / Contractor Date Building Department Copy November 01,2016 1 Miami Shores Village CRT Building Department JUL 11 016 �\ 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 yC>� Tel: (305)795.2204 Fax: (305)756.8972 BY: INSPECTION'S PHONE NUMBER: (305)762.4949 \ �( FBC 2014 Olt BUILDING Permit No. T(a( PERMIT APPLICATION Master Permit No. Permit Type: BUILDING ROOFING JOB ADDRESS: /k.// /V W '_5 T City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: // _q/®/ ®1;1 5 '®// Is the Building Historically Designated:Yes NO Flood Zone: OWNER:Name(Fee Simple Titleholder): e i' Phone#: Address: /44/ AIW 96 A Of City: /4_e� State: Tenant/Lessee Name: Phone#: _?0j Email: 0 CONTRACTOR: Company Name: �Cehone#: Address: Z37­00 'C.v City:-1948 State: Zip: 67�� Qualifier Name: Phone#: State Certification or Registration#: CCS. Certificate of Competency#: Contact Phone#: 7�� TUU -0 g6 e Email Address: .�TP �l U � ���/V'n — DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: ❑Addition ❑Alteration ❑New ❑Repair/Replace ❑Demolition Description`of Work: tlu Q_ �N�A Color thru tile: Submittal Fee$ Permit Fee$_ CCF$ f 2-o CO/CC$ Scanning Fee$ N . Radon Fee$— 7— • �Q _ DBPR$_ Z (J Bond$ Notary$ Training/Education Fee$ Technology Fee$ • CV d Double Fee$ Structural Review$ 1 / TOTAL FEE NOW DUE$_ 2-lo 2 + r`7(0 Bonding Company's Name(if applicable) e .+ 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 person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be post at t e job site for the first inspection which occ en aye-after t building permit is issued. In the absence s c poste notice, the inspection pr d a r ' sp cti n fee will e c arged. Signature Signature Owner r Agent C tractor The foregoing instrumentps acknowledged before me this[ / The foregoin trument was acknowledged before me this day of ,20/b'by fa -eca l� !�IA day of ,20 L-16/,by L j e Tel�o who is personally known to me or who has produce who is personally known to me or who has produced_�� � As identification and who did take an oath. I/-- as identification and who did take an oath. NOTARY PUBLIC: Jdin Raques NOTARY PUBLIC: 01- n NOTARY PUBLIC J RcqunXSign: Sign:STATE OF FLORIDA I,IC cc _ Print: c� h v •• M 4/17/2020 Print: 106 D -� res 4/17 m S M My Commission Expires: My Commission Expires: -n 0 -<2 � C� 1 APPROVED BY �J Plans Examiner Zoning 41y Structural Review Clerk (Revised 5/2/2012)(Revised 3/12/2012)XRevised 06/10/2009)(Revised 3/15/09)(Revised 7/10/2007) STATE OF FLORIDA DEPARTMENT.,QF BUSINESSD PROFESSIO � RGULATIS N }. CGC1523747111212015 } CERTIFIED GEN BTR TELLO,JAIME , 1MA-PRO EN`T q n SL IS.CERTME,D under the provisions of Ch.488 F5. e AUG 2016 LISM20000462 Scanned by CarnScanner Local Business Tax Receipt Miami—Dade County, State of Florida —THIS IS NOT ABILL—DO NOT PAY 7166331 BUSINESS NAME&OCATION RECEIPT NO. EXPIRES ALUMA PRO ENTERPRISES INC RENEWAL SEPTEMBER 30, 2016 13200 NW 43 AVE C 7444794 OPA LOCKA, FL 33054 Must be displayed at place of business Pursuant to County Code Chapter 8A—Art.9&10 OWNER SEC.TYPE OF BUSINESS PAYMENT RECEIVED ALUMA PRO ENTERPRISES INC 196 SUB-BUILDING BY TAX COLLECTOR C/O JAIME TELLO CONTRACTOR 49.50 10/12/2015 Worker(s) 1 CRC1330740 CREDITCARD-16-001642 This Local Business Tex Receipt only confirms payment of the Local Business Tax.The Receipt is nota license, permit are certification of the holders qualifications,to do business.Holder must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT N0.above must be displayed on all commercial vehicles—Miami—Dade Code Sec Be-276. MIAW For more information,visit www.miamidade.gov/taxcollector e STATE OF FLORIDA DEPARTMENT OF BUSINESS AND • PROFESSIONAL REGULATION CGC 152374 y1•. y1 ►.� Y08/30/2016 CERTIFIED GEN :, R TELLO JAIME A ALUMA-PRO EN IS CERTIFIED under the provisions of Ch.489 FS. Expiration date : AUG 31, 2018 L16083000028;i2 Scanned by CamScanner VVOrL: Local Business Tax Receipt Miami-Dade County, State of Florida F1 -THIS IS NOT ABILL-DO NOT PAY ( miIIIIIIiiiB 7166331 BUSINESS NAME/LOCATION RECEIPT NO. EXPIRES ALUMA PRO ENTERPRISES INC RENEWAL SEPTEMBER 30, 2017 13200 NW 43 AVE C 74"794 Must be displayed at place of business OPA LOCM FL 33054 Pursuant to County Code Chapter BA-Art.9& 10 OWNER SEC.TYPE OF BUSINESS PAYMENT RECEIVED ALUMA PRO ENTERPRISES INC 196 SUB-BUILDING CONTRACTOR BY TAX COLLECTOR C/O JAIME TELLO CRC1330740 Worker(s) 1 $49.50 10/03/2016 CREDRCARD-17-000156 This local Business Tax Receipt only confirms payment of the Local Business Tax. The Receipt is not a license, pemd%or a ceri fication of the holders qualifications.to do business. Holder must comply with any governmentd or noolovermadal regulatory laws and requirements which apply to the business. The RECEIPT N0.above mast be displayed on all commercial vehicles-Miami-Dade Code Sac 1t-276. For mare information,visit mmminiamidaft9yAncollactor Scanned by CamScanner 07-11-16;03:32PM;G David Harris Insurance ;305 885-2005 # 1/ 1 AC ® CERTIFICATE OF LIABILITY INSURANCE DATE(MMroD"YYY) 7/11/2016 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 CONTACT Produce= HOUSE The Miami Agency P}IONL (505)605-2055 FAx (3051885-2005 688 South Driva E-MAIL INSURER S APPORDING COVERAGI! NAIC p MIAMI SPRINGS FY, 33166 INSUR0RA:GRAVADA INSURANCE COMPANY INSURED INSURER B ALUMAHIRO ENTERPRISES INC INSURE C: 13200 NW 43RD AVE INSURER v: INSURER E 0PA-LOCRA FL 33054 1 INSUR9A P COVERAGES CERTIFICATE NUMBER:CLI671101410 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURE=D NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REOUIREMENT.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. 0 SUR IN6R TYPE OF INSURANCE VM POLICY QFF P LL Y EXP POLICY NUMBER Mtaioo rir LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 A CLAIMS-MADE $ 100,000 0165>3's.00057370-02 3/6/2016 3/6/2017 MEDm(P Anyonpporson) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 Gf7MLAGGREGATELIMIT APPLIES PER: GENERALAflMEGA7E S 2,000.000 R POLICY©jNCOT 71 Lac OTHER: PRODUCTS-COMWOPAGG $ 2,000,000 AUTOMOBILE LIABILITY Ee e:INED $WNULE LIMIT $ ALLOWNEAUTOD OS AEDULED BODILY INA RY(Parpemn)AVT $ UTOS BODILY INJURY(Pat accidan) $ HIRED AUTOS NON.OWNED AUTOS PROPERTY DAMAGE $ S UMBRELLA OCCUR EACH OCCURRENCE S UMBRE LLA LIAR L,tAB CLAIMS-MAnE AGGREGATE g DED I I RETENTION WORKERS COMPENSATION $ AND EMPLOYERw LIABILTY PERQTH- Y/N ER ANY PROPRIETORIPARTN6R/FA(ECUTIV6 OFFICER/MEMKR EXCLUDW7 N/A E.L,EACH ACCIDENT S (Mm.datory In NH) um., low DISEASE-EA EMPLO $ 0 e,tleacrlbe DESCRIPTION OF OPERATIONS Delew E.L.DISEASE E.POLICY UM1T S DESCRIPTION OP OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Addt lanal Remarks Schedule,maybe attached If more epee Is"Ipad) GC#: CGC1523747 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shores village THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Building Depa7r'tmeat ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2 Ave Miami Sha=az r FL 33138 AUTHOR12E0 REPRE9ENTAPVE coset 5osa/CS �G���� ®9988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered markt of ACORD INS025(aat4ol) Y JEFFATWATER CHIEF FIKANCMLOFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS°COMPENSATION CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS'COMPENSATION LAW CONSTRUCTION INDUSTRY EXBFTION This certifies that the individual listed below has elected to be exempt from Florida Workers'Compensation lash'. EFFECTIVE DATE: 5/212016 EXPIRATION DATE: 5,1212018 1 PERSON: TELLO JAIME A FEIN: 320310793 BUSINESS NAME AND ADDRESS: ALUMA PRO ENTERPRISES INC 3551 EAST 8 LANE HIALEAH FL 33013 SCOPES OF BUSINESS OR TRADE: LICENSED GENERAL CONTRACTOR M Punsu�v;oD�aptar410.WfE•11,F.S,anofPT�?rofseerporaacnwhcele ezenpont�n hi6• a tern,,t:liragace�flcctepfeiectiee unde thieee yon mai•rotr�anerharefNsxhnnpareafimrurprlhl.chapfrsFurruprrm�hap�-19�1QS('�+'.�3 ��ltkat�ufpa�Prm*nheeM�rx �I�mP� , in+�•c 3oope of the cue�a ororadc i�cd on tAe r:vice>q•:k•+c4en tq k.•�.cnpt.rv�y�nirtec Cnavtcr 441 C@,13' FS.,Nat�xs eQ cic:�on-o be >� cawrr:l end arL f:ulcJ of J•aul cq to pc:acr-4a.alar0 oU aub�uc..o rc,wxul:�eI,u c7p,unc n.vr G•iu rhnp nl 17,r rwWx ur lis r�uu�x u ,hc crnl 1 cola, lhnpsroc�namaCart�amttrpBeH'I%ECetRnnlGrA�(n'9b11 IhaR9gnr+rrcnnlsolfhis�Jorfu•aamrcAma+.�trtt:rtp IReAareetnerrtsh�rnrntrsa _; g DFra-F2-D'NG252 CE7:'IFICAT:OF=T4JN TO EIC EXEMPT REVISED 119.13 QUCSTIONS1(0°3)41J-1509 �r, . , 1—O�is Gil Miami shores Village l's u"'M Building Department artment 10050 N.E.2nd Avenue LORIDp' Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner — Workers' Compensation Insurance Exemption Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full-time employees,including the owner,must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if: 1. The officer owns at least 10 percent of the stock of the corporation,or in the case of an LLC,a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State,Division of Corporations;and 3. The corporation is registered and listed as active with the Florida Department of State,Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use day labor,part-time employees or subcontractors for your project.The contractor has provided an affidavit stating that he or she will be the only person allowed to work on your project.In these circumstances,Miami Shores Village does not require verification of workers'compensation insurance coverage from the contractor's company for day labor,part-time employees or subcontractors. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: / Owner State of Florida County of Miami-Dade l The foregoing was acknowledge before me this�day of 6 ,20/. By �� � G�IC S+��� who is personally known to me or has produced as identification. Notary: n Raques wwExpires NOTARY PUBLIC SEAL: STATE OF FLORIDA Comm#FF946106 4/17/2020 ALUMA-PRO ENTERPRISES INC 13200 NW 43 Ave Suite C and D Opa-Locka FI 33054 786-400-0560 DATE: �j State of: -901ZIP^ County Of: AllstM�' Before me this day personally appeared before me who being duly sworn, deposes and says =171t That he will be the only person working on this project located at Sworn to (or affirmed) and subscribed before me this Z-9"' day of 20by Jali personally known ve or produced identification type of identificti —��2 a prin Namp, ty name of notary Y John Roques Q� NOTARY PUBLIC o _STATE OF FLORIDA Comm#FF946106 Expires 4/17/2020 �� � � ��- t�2® ESTIMATE Date Estimate C 1\ \ 6a rotlt `� Sold To: �' �... �� air.�►�l-� Ship To: Tim-`QV— (Z�o ui� Phone: t'Bt:-3 Phone: -I�S V Tl\ Mobile: Mobile: Fax:1 I Fax: Ln # Qty. Description Unit Price Ext. Price 7. � �r uL �Q L'. CC \Atb Sub Total Coro VIGO Sales Taxj 'Z Thank You! S&H TOTAL Conditions Terms Approved by: Date: -T� &, c� -Z, l� - ta20 ESTIMATE Date Estimate p Sold To: ?F-TZm L t,-)s K,1 T C-1 Ship To: Tom, hal t S lr,® "A G—%-" io. 0 -TL 75 Cs 13 L. ?� �) %-0 Phone: Phone: Mobile:1 Mobile• Fed Pax: Ln # Qty. _ `T '._ _ Description Unit Prig Ext. Price VA cis 1 Sub Total Sales Tax 9. 3G3 1 Thank You! S&" �1 ek, -� TOTAL , 2 Conditions z V-\ �-� � ► .- Terms Approved by: date: � J f 1/ i �Y � •'