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RC-17-473 Permit No. RC-2-17-473 `5�►ORF,s Miami Shores Village Permit Type:Residential Construction 10050 N.E.2nd Avenue NE ''t WorkCiassifcation:Alteration Miami Shores,FL 33138-0000 Per Permit Status:APPROVED Phone: (305)795-2204 Issue Date:3/7/2017 FExpiration: 09/03/2017 Project Address Parcel Number Applicant 161 NE 106 Street 1121360060380 Miami Shores, FL 33138-2036 Block: Lot: SECTION M INC Owner Information Address Phone Cell [LECTION M INC 3821 EL PRADO Boulevard (786)408-3661 MIAMI FL 33133- 3821 EL PRADO Boulevard MIAMI FL 33133- Contractor(s) Phone Cell Phone Valuation: $ 9,800.00 METRO CONTRACTORS INC (954)410-6364 (786)306-6621 _..,..,.,,.._.,,._ ..._�...___...w._._.... �,� Total Sq Feet: 250 Approved:In Review Available Inspections: Comments: Inspection Type: Date Approved: : In Review Window Door Attachment Date Denied: Framing Type of Construction: KITCHEN&BATHROOM RENOVAT Occupancy:Single Family Insulation Stories: 1 Exterior: Drywall Screw Front Setback: Rear Setback: Final PE Certification Left Setback: Right Setback: Window and Door Buck Bedrooms: Bathrooms: Fill Cells Columns Plans Submitted:Yes Certificate Status: Review Building Certificate Date: Additional Info: Review Planning Review Electrical Bond Return: Classification:Residential Review Plumbing Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Review Structural CCF $6.00 Review Mechanical Invoice# RC-2-17-63052 DBPR Fee $4.41 DCA Fee $4.41 03/07/2017 Check#: 1667 $277.82 $50.00 Education Surcharge $2.00 02/23/2017 Check#: 1649 $50.00 $0.00 Permit Fee $294.00 Scanning Fee $9.00 Technology Fee $8.00 Total: $327.82 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,MECHA WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: re ng information is accurate and that all work will be done in compliance with all applicable laws regulating construct n z ning. Futh r ore, I e e above-named contractor to do the work stated. March 07, 2017 Authorized Signature:Ow scant / Contractor / Agent ate Building Departgent Copy March 07, 2017 1 Miami Shores Village r � � Building Department F 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20tq BUILDING Master Permit No.- PERMIT APPLICATION sub Permit No. e*71LD�INGELECTRIC ROOFING ❑ REVISION ❑ EXTENSIONRENEWAL ❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS Ek CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: j NE /06 s7P_6-6r City: Miami Shores � � County: Miami Dade Zip: / Folio/Parcel#: & 2136"CO6 —C1.380 Is the Building Historically Designated:Yes NO )< Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholder):�CrIVAI M r-A/e• Phone#: 21-7 Ida- Address:-302-1 EL P2AP I> BLvd MIAMI f-fl- 33133 City: MIAMI' State: FL Zip: 331,33 Tenant/Lessee Name: �� Phone#:: A Email: �.�lS�-1 MGr� / (/ Q CONTRACTOR:Company Name: M� Ca�/A �Dn- 'LSC Phone#: 7y6 7 q3 `59cD Address:: /\/Vtf 9 so z-w City:ivlm"I �A00&11 Stater Zip: 330/ Qualifier Name: AM AT S'• SGP x A-e_)bc z- Phone#:`7&6 State Certification or Registration#: CGf C /,!!51-�D3.3-7 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: p City: State: Zip: Value of Work for this Permit:$ 0 DD Square/Linear Footage of Work: z�� f Type of Work: clitionElAlteration ❑ New 9 Repair/Replace ElDemolition Description of WD r : ciN/FC PERMITC15 -1798 . /7C E/U ` EA7J/ 1 TSD ri ENA(zii60 OF CF4, Otn145-rf se ' s S�, 1l�Hniv't ehiW 4 i5 1r G iFmzu 007u c7D2 . Specify color off color thru tile: Submittal Fee$ L-X-,,,Pft D• Permit Fee$ 2� CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ `'I Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ �� Z (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 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 approved and a reinspection fee will be charged. Signature Signature 0 r ENT CONTRACT The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this `�D day of T 2`1 20 1-7 by :kD day of l ' I�C,r7 20 1 , by /,1„n4Cyj S'��E'pT SAgq who is personally known to l T—o 27 c� ,who is personally known to me or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sig Sign. MARY D. Print: APNN MY COMMIS N#FF242221 Print:JW,f _ EXPIRES:9:JUN 21, �"`�— p,AUL NAVARRO / Seal: k onaod through tat State insurance Seal: MY COMMISSION#FF972714 EXPIRES:MAR 20,2020 . OP Bonded:h; �� Miami shores Village �tnr amM Building Department ISR 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel:(30S) 795.2204 Fax:(305) 756.8972 CHANGE OF CONTRACTOR / ARCHITECT Permit N. C I S- 17P-Y Owner's Name (Fee Simple Tide Holder):!9EcTlD" t�M rT1_UC. Phone#: Owner's Address: 302/ C—'L. Pe,"— i"fLuo/ City: M 1*AM State; PL Zip Code: 33/33 Job Address(Of where work is being done): AL/,F l L S/66l City: Miami Shores State:—Florida Zip Code: FANJ col0frwarlow Contractor's Company Name:'?55??H/A) A Yl'lli-!I 4mex. Phone# Address: P3`{o Sw G J' A-LmI`7'3 City: till/M`1 ' State: Pl- Zip Code: 3�1 SOs Qualifier's Name:1'6-/LM A A.A4 Ate►"Ca.- Lic. Number: C61 e b ley Vq a „Architect/ Engineer of Record Name: Phone#: Address: City: State: Zip Code: Describe Work 1 hereby certify that the work has been abandoned and/or the contractorlarchitect is unable or unwilling to complete the contract. 1 hold the Building Official and the Miami Shores harmless of all legal involvement. Signature Signature O er 1 Contractor or Architect The foregoing instrum �' owieclgecl before me The foregoing instrument was aknowledged before me this/ day of �WIW/,2017,by �4MCW S"A this -3/ day of 2 , 20,0 by� MI&A.N00tz- rsona y o me or who has produced ersona too me or who has produced as indentification. as indentifccation. Notary ic: Notary 1c ` MY MMI SION#FF242221 Sign: oigi POWs Sign: EXPIRES:JUN 21 .2019 Bonded'iZ Nnr:S3dId)G . ugh 1st State Insurance Seal: ZZVZ3j#NOISSIWIN00 AIN �' = Seal: thr Z STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD 1940 NORTH MONROE STREET (850)487-1395 TALLAHASSEE FL 32399-0783 FERNANDEZ,AMAT SERGIO METRO CONTRACTOR INCORPORATED 5301 NW 158 TERRACE UNIT 301 MIAMI GARDENS FL 33014 Congratulations! Vft this license you become one of the nearly one million Meidians licensed by the Deoriment of Business and Professional Regulation. our Professionals and businesses range STATE OF FLORIDA from architects to yacht brokers,from boxers to barbeque restaurants,and they keep Florida's economy strong. y DEPARTMENT OF BUSINESS AND PROFES Every day we work to i �46�k REGULATION improve the Way We do business in order I I I to serve you better. For infdrmation about our services,please CGC-1510337 log onto www.myfloridelicense.com I I I � - in6mriallon about our divisions and the regulations that impact CERTIFIEC)GEN&ZAL r ,VOT.,ITRACTOR�, EZ,A1AA-rSER the DePartmeffs infttives. more about j. You,subscribe to department nowslette�s and learn 1 FERNAND METRO CONTRA6-r6h,IN40RP,0WED Our mission at the Department is-Licence Efficiently, Regulate Fairly.We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, I'S CERTIFIED anae'r the Provisions-of Ch.48-9 PS and congratulations on your new license! Ek p1wwn*dM6 AUG31,26fa DETACH HERE RICK SCOTT,GOVERNOR KEN LAWSON, SECRETARY DSTATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD WGIi103V The GENERAL-CONTRACTOR . N6 IpWjS,CE U U J' ` ' TIFIED, rider t E P1 ,n 7ftjeVl�!Oris df-ChElPter 489 FS x �AUG 31,'2018 FERNANDtZ,-"AMAT-'�S15RGIQ I - um -METROCON-TRAICTOR INWRP&ATED' $30!.NW,156',TERRACt,WNIT-40,1 . MIAMI OARDNa=- E 31014 W Mir ISSUED: 06r4wis DISPLAY AS REQUIRED 13Y LAW SEQ# L1606 1 26000j,,,44 004482 Local Business Tax Receipt Miami—Dade County, State of Florida -THIS IS NOT A B:LL-00 NOT PAY 5696407 BUSINESS NAMEILOCATION RECEIPT NO. EXPIRES METRO CONTRACTORSRENEWAL INC SEPTEMBER 30, 2017 14250 NE 4 AVE 5941324 7ust be displayed at place ol business MIAMI 33161 Pursuant to county Code FL Chapter SA-Art.9&10 SEC.TYPE OF BUSINESS OWNERPAYMENT RECEIVED METRO CONTRACTORS INC 196 GENERAL BUILDING CONTRACTOR BY TAX COLLECTOR CGC1510337 $75-00 08/10/2016 Worker(s) t CREDITCARD-1 6-046660 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 holder's qualifications,to do business.Holder must comply with any governmental or"onquyerarngntal regulatory laws and requirements W''ich apply to the business. The RECEIPT NO.above must be displayed an 01 commercial vehicles-Miami-Bade Code Sec 6&-276. For more irformation,visit www-mi M!Jsde uovrtaxco"actor a t f A`v CERTIFICATE OF LIABILITY INSURANCE Fol/20/2017DATE D , 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(les)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 Steve Clein C&C Insurance PHONE854 481.2008 F4X .954704-0507 4AIC No Ft).1921 NW 150 Avenue4MLADDRESS. steve@candcinsurance.com Suite#101 INS REIT AFFORDING COVERAGE NAIC Pembroke Pines FL 33028 INSURER A: Travelers INSURED INSURE B• Technology METRO CONTRACTOR INCORPORATED INSURE C: Ma fre AMAT SERGIO FERNANDEZ INSURER D: 5301 NORTHWEST 158 TERRACE#301 1 SURER E MIAMI GARDENS FL 33054 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 CONTRACTOR 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 TYPE OF INSURANCE DL UBR POLICY MBR POLICY EFF POLICY EXPILTR LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 A CLAIMS-MADE �OCCUR DAMAGE TO RENTED $100 000 "Blanket Add[Insured" Y 3B5576616 0211012017 0211012018 MED EXP(Any oneperson) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s2,000,000 X POLICY❑PO- JET F-1 LOC PRODUCTS-COMP/OP AGG $2,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT(FA CddAQU_ $1,000,000 C ANY AUTO BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED CA160059 0110712017 0110712018 BODILY INJURY(Per acddent) $ AUTOS AUTOS HIREDAUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS $ UMBRELLA LIAR OCCUR EACH OCCURRENCE EXCESS LIAB I CLAIMS-MADE AGGREGATE DED RETENTION S $ WORKERS COMPENSATIONX PER OTH- AND EMPLOYERS'LIABILITY B OFFICER/MEM EANY R PEXC UDED?EC"Y/ N/A AWC1055740 12/0112016 1210112017 E.L.EACH ACCIDENT $1,000,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If es,describe under D RIPTI N F OPERATIONS w E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached H more space Is required) "As required by contract CERTIFICATE HOLDER CANCELLATION VILLAGE OF MIAMI SHORES SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 10050 NE 2ND AVE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. MIAMI SHORES,FL 33138 AUTHORIZED REPRESENTATIVE <> ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD