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RC-16-2553 ' RC-9-16-2563 Miami Shores VillageM 1 t7i i 3e a itieutiai Constru on 10050 N.E.2nd Avenue NEs Wfark Cfi ��JCt� �tf? at�n •••• """M Miami Shores,FL 3313&0000 P�e 1 in ##n to $.AP ROVES Phone: (305)795-22041 212W201 6 Expiration: 06/27/2017 Project Address Parcel Number Applicant 735 NE 91 Street Number: 2-E 1132060440140 Miami Shores, FL Block: Lot: EDERLY RODRIGUES LIMA Owner Information Address Phone Cell EDERLY RODRIGUES LIMA 735 NE 91 Street MIAMI SHORES FL 33138- 735 NE 91 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 750.00 ZARABYSON CONSTRUCTION INC (786)525-0559 Total Sq Feet: 5 Approved:In Review Available Inspections: Comments: Inspection Type: Date Approved::In Review Final PE Certification Date Denied: Window Door Attachment Type of Construction:REPLACE DOORS AND TOP CABIN Occupancy:Other Framing Stories: Exterior: Insulation Front Setback: Rear Setback: Drywall Screw Left Setback: Right Setback: Window and Door Buck Bedrooms: Bathrooms: Fill Cells Columns Plans Submitted:Yes Certificate Status: Review Planning Certificate Date: Additional Info: Review Plumbing Review Structural Bond Return: Classification:Residential Review Mechanical Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Review Electrical CCF $0.60 Review Building DBPR Fee $2.00 Invoice# RC-9-16-61354 Review Building DCA Fee $2.00 12/29/2016 Credit Card $69.60 $50.00 Education Surcharge $0.20 09/15/2016 Credit Card $50.00 $0.00 Notary Fee $5.00 Permit Fee $100.00 Scanning Fee $9.00 Technology Fee $0.80 Total: $119.60 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 constructs nd zoning. F hermore,I authorize the above-named contractor to do the work stated. December 29, 2016 Authorized S' ature:Owner / Applicant / Contractor / Agent Date Building Department Copy December 29,2016 1 Miami Shores Village T?T;-�FTIVED >� �b BUllding Department N 15 2016 10050 N.E.2nd Avenue,Miami Shores, Florida 33138 IY:Tel:(305)795-2204 Fax:(305)756-8972 - \ INSPECTION LINE PHONE NUMBER:(305)762-4949 744 FBC 201 �-I — BUILDING Master Permit No. PERMIT APPLICATION Sub Permit No. 'BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: _? Ami �2+ IN City: Miami Shores County: Miami Dade Z.1 Zip: 3 3/3 Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE`: FFE: OWNER:Name Fee Simple Titleholder): &0� Phone#: Address: City: l IqI E� State: h4r� Zip: Tenant/Lessee/Name: Phone#: Email: �. �/ QZ�- y 4Aig e > CONTRACTOR:Company Name: Y-CA ��' �'��'c GVL' d 1V � � id o , �°`Phone#: /0 oos-i Address: ,, 7 3-C S a-2 / e. City: �/eg l4 a^ State: ���d�d �i Zip: ?�3 17 -7 9 Qualifier Name: L64'5 ¢'d�I � "� Phone#: 7K-4P ®ZJ Y-9 State Certification or Registration#: (f 1,5-0 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ ( Square/Linear Footage of Work: i Type of Work: ❑ Addition ❑ Alteration ❑ New ;9kRepair/Replace ❑ Demolition Descri tion of Work: 1 V_e- 10 V Specify color of color thru tile: Submittal Fee$ Permit Fee CCF$ CO/CC$ Scanning Fee$ - 0� Radon Fee$ ��� DBPR$ " Notary$ Technology Fee$ Q" Training/Education Fee$ V ' ZO Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ — • �O (Revised02/24/2014) s � 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 issu . In the aPsence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. 6 Signature L(Ie (, �I?� Se ignature LbO/� ER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of .20 �D by r4 dray of �p^-PMbP2 ,20 �� by w o is personally known to room ri vel ✓'co ,who is personally known to me r 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: Sign: n !, , V Sign: O&D Print: pQl, f nkw C7 Print: O -�— Seal: Seal: Wit' .40 Notary Public State of Florida Notary Public State of F"a Peggy Otano +4 Peggy Otano V1a� My Commission FF 20819 +a My Commission FF 208819 VI N/ Wates 06/12/2019 '4 p Expires 05/1212019 APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 2601 BLAIR STONE ROAD TALLAHASSEE FL 32399-0783 FUNDORA, CARLOS ZARABYSON CONSTRUCTION INC 18735 SW 124TH AVE MIAMI FL 33177-0321 Congratulations! With this license you become one of the nearly -- - - -- - ----------- - - -- one million Floridians licensed by the Department of Business and a STATE OF FLORIDA Professional Regulation. Our professionals and businesses range from architects to yacht brokers,from boxers to barbeque DEPARTMENT-OF BUSINESS AND restaurants,and they keep Florida's economy strong. PROFESS IO NAL REGULATION Every day we work to improve the way we do business in order CGC1507148 ISSUED: 09/11/2016 to serve you better. For Information about our services, please to onto www.myflorldalicense.com. There you can find more CERTIFIED GENERAL CONTRACTOR information about our divisions and the regulations that impact FUNDORA,CARLOS you,subscribe to department newsletters and loam more about ZARABYSON CONSTRUCTION'INC the Departments initiatives. F Our mission at the Department is:License Efficiently, Regulate Fairly.We constantly strive to serve you better so that you can IS CERTIFIED under the provisions or Ch.489 FS. serve your customers. Thank you for doing business in Florida, IS CER TIdatI AUG n er ua.489 F . and congratulations on your new license! 27 DETACH HERE RICK SCOTT,GOVERNOR KEN LAWSON,SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD - CGC1507148 z The GENERAL CONTRACTOR . Named below IS CERTIFIED Under the provisions of Chapter 489 FS. WE Expiration date: AUG 31, 2018 -- FUNDORA, CARLOS ZARABYSON CONSTRUCTd0N1NC 18735 SW 124TH AVE - � k - MIAMI FL-33177-70 ISSUED: 09/11/2016 �� DISPLAY AS REQUIRED BY LAW SEQ# 1-1609110003027 Local Business Tax Receipt Miami—Dade County, State of Florida LBT-THIS IS NOT A BILL-DO NOT PAY 5706511 BUSINESS NAME/LOCATION RECEIPT NO. EXPIRES ZARABYSON CONSTRUCTION RENEWAL SEPTEMBER 30, 2016 INC 5951653 18735 SW 124 AVE Must be displayed at place of business MIAMI, FL 33177 Pursuant to County Code Chapter 8A-Art.9&10 OWNER SEC.TYPE OF BUSINESS PAYMENT RECEIVED ZARABYSON CONSTRUCTION INC 196 GENERAL BUILDING BY TAX COLLECTOR CONTRACTOR 82.50 10/06/2015 Worker(s) 1 CGC1507148 0229-16-000109 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 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 8a-276. IAM ADE For more information,visit www.miamidade.ciov/taxcollecto �il21' * r_, RIVER LICENSE E CARLOS w FUNDORAACOSTA 18735 SW 124TH AVE ;'' MIAMI,FL 33177-3102 DOB:08-24-1959 SEX:M iSSUFD:07-t7.2014 HGT:5.10 0$-r4-2022 SSE: ""ED: 1,2-19-20 Cau SAFE DRIVER Operavon of a motor vehicle constitutes consent 10 eny sv5rhty test mci—ed by bw. STATE OF FLORIDA ;° DEPARTMENT OF BUSINESS AND PROFcSSIONAL REGULATION CGC1507148 ISSUED: 08/10/2014 CERTIFIED GENERAL CONTRACTOR FUNDORA,CARLOS -- •� ZARABYSON CONSTRUCTION INC IS CERTIF -D-under the provisions of Ch:489 FS F Expiration dae-AUG 31,2016""^ L1408100002411 ` CERTIFICATE OF LIABILITY INSURANCE DATB(MMI myYYY) 09/1 412 01 6 T110S 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 policy0es)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 RMNTE:ACT Lucia Estrella PHONE (305)226-8727 Accurate i FAX No): (305)226-8767 8300 West Flagler Suite 114 AOD E luciaestrella@beltsouth.net Miami,FL 33144 INSURERS AFFORDING COVERAGE NAic# Phone (305)226-8727 Fax (305)226-8767 INSURERA: Torus National Insurance Company INSURED INSURER B: Zarabyson Construction Inc INSURERC: 18735 SW 124th Ave INSURER D: INSURER E: Miami FL 33177- 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. NOTtVITHSTANDING 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 SUBJECTTO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD ISUBRPOLICY EFF POLICY EXP LTR TYPE OF INSURANCE 1 POLICY NUMBER MMIDD AMOUR LIMITS 0 COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000.00 ❑ CLAIMS MADE Q OCCUR TO PREM SNTCD ES Ea occurrrence $ 100,000.00 MED EXP(Anyone person) $ 5,000.00 A ❑ PCCM105128 11/30/2015 11/30/2016 PERSONAL&ADV INJURY $ 1,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s 2,000,000.00 POLICY ❑ PRO ❑ LOC OTHER JECT PRODUCTS-COMPIOPAGG s 1,000,000.00 ❑ AUTOMOBILE LIABILITY Ea acicirydeDntSINGLE LIMIT $ ❑ ANY AuTo BODILY INJURY(Per person) s ALL OWNED SCHEDULED ❑ AUTOS 0 AUTOS BODILY INJURY(Per accident) $ ❑ HIREDAUTOS ❑ NONP 808R�YnDAMAGE $ ❑ ❑ $ ❑ UMBRELLA UAB ❑OCCUR EACH OCCURRENCE ' $ ❑ EXCESS LIAB ❑CLAIMS-MADE AGGREGATE $ ❑ DED ❑ RETENTIONS s WORKERS COMPENSATIONYIN ❑p ❑OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNERIEXECUT OFFICERIMEMBER EXCLUDED? NIA E.L.EACH ACCIDENT $ (Mandatory in NH) N yes,describe under E.L.DISEASE-EA EMPLOYE€S DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Certified General Contractor CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOmogo E ANCELLED BEFORE Miami Shores Village THE EXPIRATION DATE THEL RED IN Building Department ACCORDANCE WITH THE P10050 NE 2nd Avenue AUTHORIZED REPRESENTATIVE Miami Shores,FL33138 305-756-8972 Lucia Estrella ©1988-20ION. All rights reserved. ACORD 25(2014101)QF The ACORDegistered marks of ACORD 7t3014,16, ReportViewer JEFF ATWATER CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS'COMPENSATION •"CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS'COMPENSATION LAW'" CONSTRUCTION INDUSTRY EXEMPTION This certifies that the Individual listed below has elected to be exempt from Florida Workers'Compensation law. EFFECTIVE DATE: 5/23/2016 EXPIRATION DATE: 5/23/2018 PERSON: FUNDORA CARLOS FEIN: 203585602 BUSINESS NAME AND ADDRESS: ZARABYSON CONSTRUCTION,INC 18735 SW 124 AV MIAMI FL 33177 SCOPES OF BUSINESS OR TRADE: LICENSED GENERAL CONTRACTOR Plaeuanl ro Chapter 440.1K(1�,F,9.,an abicer da oorporeilan whoelecla exempUan from lhia cher by f➢inga�erti6cete detectlon unors this sedlm maayy rmt recover hob ar oanP�seBcn order thin cleyfer.PurBu�tto Ct�pterd90.0.5('12I.F.S.Cer6@cafes ddeedm m 6e ef�ni�L.�piY�Y wtikntheawpad6e buahess ar trmta gored on hie�tltadele�enrobeexempt P�caisMroChapter 440.05(1 FLS,NOEcaedde�anrohe exempt aMeerfip�d elemtan robe exempt s1aFI be sutlactroreaamem H,marry OmeaBer fie811ng d0e�cea the i�ancadfhsar�feate. the perew�nametl athe mllta ar�rd0emarplm�r meets thareq�iremeNs dOde secttonGr tasuarcedaeeNOema.The d@Aerbner66f1e0 revatcee cF • DFSF2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS?(WWO)413,1t09 Zarabison Construction Inc, 18735 SW 126th Avenue Miami FL 33177 -ph 786.525.0599 Sept 16th,2016 State of Florida County of Miami-Dade Before me this day personally appeared Carlos Fundora Acosta who, being duly sworn,deposes and says: That he will be the only person working on the project located at:735 NE 911t ST Apt 2E, Miami Shores, FL, 33138 f Swor t (or ed)and subscribed before me this�4 day ofS4 X2016 By Personally know / ,t OR Produced Identification � U/ too 22.0 Type of Identification Produced -r-L DdLJ22`S Lk M4 4 Prim ,Jor Stamp Name of Notary oda % Notary Public State of Florida • Pe99y otano My Commission FF 206619 q 'df Expires 05/12/2019 ~ ,5�1oREs Gil s� Miami shores Village Building Department 10050 N.E.2nd Avenue �L0R'jpP► 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: wner State of Florida County of Miami-Dade The foregoing was acknowledge before me this s :> day of— r1 s 20 Bya �? 7� 70(5Q6 J—l AAP, who is personally known to me or has produced '@.(OE y2_ 'Q as identification. Ivp �0r%, Nctary Ptjokc State of Flonda Sindia Alvarez My Commission FF 156750 SEAL: Expires09/0912G18 ACCARV CERTIFICATE OF LIABILITY INSURANCE DATE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS i 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: N the certificate holder Is an ADDITIONAL INSURED,the pollcypes)must be endorsed If SUBROGATION IS WAIVED,subject to the terns and conditions of the policy,certain policies may require an endorsement A statement on this cergflcate does not confer rights to the certificate holder In Hou of such endorsement(s). PRODUCER Coll CT LUC18 Estrella Accurate PHONE . (305)226-8727 ac Not: (305)228.8787 8300 West Flagler Suite 114 luciaestrepa®bellsouth.net Miami,FL 33144 INSURERM AFFORDING COVERAGE NAlc e Phone (305)226-8727 Fax (305)226-8767 INSURER A: Torus National Insurance Company INSURED INSURER B- Zarabyson Construction Inc INSURER C: 18735 SW 124th Ave INSURER D INSURER E: Miami FL 33177- 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. INEXCLUSIONS TYPE OF INSURANCE ADDLl4UBR (MU POLICY NUMBER MM/UDD EFFO EXP LIMITS © COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000.00 ❑ CLAIMS-MAGE Q OCCUR PR13ES RENTED e Es $ 100,000.00 El A ❑ PCCM105128 11l3012016 11/30!2017 MED EXP(Anone person) $ 5,000.00 PERSONAL 8 ADV INJURY S 1,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s 2,000.000.00 ©POLICY ❑ JECT ❑ LOC PRODUCTS-COMPIOPAGG $ 1,000,000.00 ❑ OTHER S AUTOMOBILE UABILM E MBW DIS IINGLE LIMIT ❑ ANY AUTO BODILY INJURY(Per person) $ ❑ ALL © AUTOSUL� BODILY INJURY(Per accident $ ❑ HIRED AUTOS [:] S AUT SD PI�OPERY DAMAGE $ ❑ ❑ $ ❑ UMBRELLA LIAR ❑OCCUR EACH OCCURRENCE $ ❑ EXCESS UAB ❑CLAIMS-MADE AGGREGATE S ❑ OED 0 RETENTION S WORKERS COMPENSATION AND EMPLOYERS LIABILITY Y f N ❑OwE 09H7 ANY PROPRIETORIPARTNERIEXEC E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? N I A (Mandatory In NH) EL DISEASE-EA EMPLOYEE S If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedut%N more space 1s required) Certified General Contractor 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 Department ACCORDANCE WITH THE POLI r ROVISIONS. 10050 NE 2nd Avenue AUTHORIZED REP Miami Shores,FL 33138 305-756-8972 Lucia Estrella &ame CORPORATION. All-rights reserved. ACORD 25(2014101)QF AClogo are registered marks of ACORD =Lrca�l business Tax Receipt j Wham€-Dade County,State Of Florida „ TMFSI'S NOT AOU-DO NOT PAV 5706511` `•f j su�uass�+�r�ocw>tiow „o. � 9 � ZARA1 Y50N COMM lG"(NC SEPT 18735 SW 124 AVE sss�e�s Nwwp. +� MIAMI(1.33177 P f tr,y say.TV"cw 6�- O a N INC 196 GENOXAOVSOERAL. 16 . F RR �. f�. �✓t x �,$ $ f. p" � dIWl � � 1oa,at�tfsaeoltl} ', . .. .. . . . .. or LOCATION SKETCH N.T.S. o .. �-, .. • • • • • • .. . 90 NE 92 NEW BACKSPLAS ')'7 I' q g _o„.s,_.tea • • • • • •• • • L —J I \\ p�E 92wD 5T - • • • • • • • • • rgrl E 9.1 I Z ;x LOCATION KITCHEN ELEVATION w i. SITE O — 0 25'-2" Q —i LLI � ;r { K CL QU) �T --FT----TT—�----� 1 rn U `\ I I Lu Z m I" I j l I I I SCOPE OF WORK ITCHE I I EXIST. I I I - ----� ti Z I I KITCHENII I I EXIST. II EXIST I I w- REPLACE EXISTING KITCHEN BACKSPLASH I I 0, STORAGE i i BATHROOM �C I V II N TILES IN KIND. - REPLACE TOP AND BOTTOM CABINETS IN � ,' � � , I" ° ° I o �I I K==I I __ KIND. z I o o ExIST. I I I 1 Ig EXIST. DINING � CLOSET I ROOM o E/J I I (EXIST) 1 1 _ REVISIONS NOTE: �( I I \ / I I I rrN"� 11 CLOSET IT. I i No. DESCRIPTION U i 1 1 _ IIwQI 11 1- THERE IS NOT ELECTRICAL NOR PLUMBING WORK WITHIN THE SCOPE OF THIS PROJECT. I I I I SMOKE 2- ALL EXISTING KITCHEN WALL OUTLETS c j I 11 I I DETETOR DESIGN BY: E.F. SHALL BE GFCI PROTECTED. I I II (TYP•) DRAWN BY: E.F. I IIIII � r y REVISED BY: E.F. EXIST. LIVING ROOM I 1 IIIII I I I IIIII W LEGAL DESCRIPTION: I I I IIS a: SHORES PLAZA EAST CONDO UNIT 2E - 1ST FLOOR UNDIV .01745% INT IN COMMON ELEMENTS EXIST. BEDROOM 1 I .rz CLERKS FILE 73R213197 OR 19435-1727 1200 1 I I I I w COC 23533-3160 06 2005 1 THE PUBLIC RECORDS OF MIAMI DADE COUNTY, FLORIDA. ENTRANCE II I I cv J I ----- --LL----� EXIST. FLOOR PLAN DATE:12-13-2016 SCALE: 3/16" = 1'-0" SCALE:ASSFIQIMV NOTE: THIS PLAN IS NOT CONSIDERED COMPLETED UNTIL SIGNED AND SEALED BY THE SHEET: SP-1 1 E.O.R AND REVIEWED AND APPROVED BY THE CORRESPONDING PERMITTING AGENCIES 1