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RC-17-480 Perm v6 RC4 i" Miami Shores Village Tjr �f� fof dorMtrac fon 10050 N.E.2nd Avenue NE ditloo/Altqq on, Miami Shores,FL 33138-0000 Phone: (305)795 2204 'tt t/ + v t£„ ��IrD Expiration: 09/19/2017 Issue 3J312017 p� Project Address Parcel Number Applicant 600 NE 97 Street 1132060171680 Miami Shores, FL 33138-2471 Block: Lot: EDUARDO J GONZALEZ Owner Information Address Phone Cell EDUARDO J GONZALEZ 600 NE 97 Street (786)459-2356 MIAMI SHORES FL 33138- 600 NE 97 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 10,000.00 UNEKUAL INC (305)331-3102 . . Total Sq Feet: 300 t Approved:In Review Available Inspections: Comments: Inspection Type: Date Approved::In Review Final PE Certification Date Denied: Drywall Type of Construction:ENLARGEMENT OF MASTER BATT- Occupancy:Single Family Miscellaneous Stories: Exterior: Window Door Attachment Front Setback: Rear Setback: Tie Beam Left Setback: Right Setback: Final Bedrooms: Bathrooms: Framing Plans Submitted:Yes Certificate Status: Insulation Certificate Date: Additional Info:ENLARGEMENT OF MASTER BATH Truss Insp Columns Bond Retum: Classification:Residential Foundation Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Window and Door Buck CCF $6.00 Fill Cells Columns DBPR Fee Invoice# RC-2-17-63060 Fill Lathe $4.50 02/24/2017 Credit Card $50.00 $310.00 DCA Fee $4,50 Review Electrical Education Surcharge $2.00 03/23/2017 Credit Card $310.00 $0.00 Review Mechanical Notary Fee $5.00 Review Mechanical Permit Fee $300.00 F.Termite Letter Scanning Fee $30.00 F.Elevation Certificate Technology Fee $8.00 Review Building Total: $360.00 Review Plumbing Review Plumbing Review Plumbing Declaration of Use Review Structural 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. O S AFFIDAVIT: I certify that a oregoing information is accurate and that all work will be done in compliance with all applicable laws regulating co struction and zoning. Futhermore,I authoriz the above-named contractor to do the work stated. March 23,2017 r .Owner / Applicant / Contractor / Agent Date Building Department Copy March 23,2017 1 -� Miami Shores Village Building Department VI CPT& 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 _ Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 5T L/- FBC 201LA BUILDING Master Permit No. RC. lam' �{�® PERMIT APPLICATION Sub Permit No. (BUILDING D?ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL PLUMBING RMECHANICAL [—]PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: GOO WE '176t City: Miami Shores County: Miami Dade zip: 33138 Folio/Parcel#: 41-3106-017-1680`nn-3106'01}`1680 Is the Building Historically Designated:Yes NO Occupancy Type:IIKii�EM1oad: S9—ul Construction Type:CAV 'fvVjsi[ Flood Zone: _BFE: FFE: OWNER:Name Fee Simple Titleholder): / Phone#: '" -<13+10 Address: 9 Q City: C State: Zip: �J Tenant/Lessee Name: Phone#: Email: L' CONTRACTOR:Company Name: UNWAL. Inc Phone#: 305S331-3102 Address: 2 400 6ir Ckell Ayf 1604f 3060 r City: AiAVMi State: rloyP JC.. Zip: 2312,q Qualifier Name: A•W0910 G-JAI"y OL Phone#: 30S-33f�31o�. State Certification or Registration#: C OC 1 1 606?q Certificate of Competency#: DESIGNER:Architect/Engineer: Ce boY Tellesn City Phone#: '764-682-F011 Address: 2,640 Orimycy City: COOPW City State: PL Zip: 3302(g Value of Work for this Permit:$ 40.000 Square/Linear Footage of Work: 300 S:ff Type of Work: ❑ Addition X AlterationAA,, ElNew ❑ Repair/Replace El Demolition Description of Work: Fwo_wk�y5#tfflAf of AdJey 60011 4nd 11010v ft4yywey to imaAev l9etllwo. Specify color of color thru tile: 2(l Submittal Fee$ CbP>Ps)�' Permit Fee$ ✓v0CCF$ l CO/CC$ Scanning Fee$ —SO Radon Fee$ 0 •J` Q DBPR$ J .S Q Notary$ :!3 Technology Fee$ 15 Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ �� 0 , (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: -1 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$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. in the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature g - _ Signature OWNER or GENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing i trum�rentt was acknowledged before me this day of 20 l�' by .ddayy of '1�� 20 by UGY 04 -d'(dr I o is personally known to JMCACI �C.�rd Uq`I�iiss pe sonally known to me or who has produced7-�&-C7 me or who has producedZu Q-- identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: SignC*$q---r: Print: Print: FMJ,6 ,'r:1cl'. LiSeal: MAHARAI K GONZALE� Seal: ::qt . .: COMMIS6i0hMISSION my#GG Og4602 y; �'g O(pIRE3:NwerlberartdIRES:November2,2020 �?' Bond�iltwNolmryPuvLciJna ed Notary Publ(c Underwriters _'' ********************************* ****** ****** ******************************************************** APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Property Search Application- Miami-Dade County Page 1 of 1 VIV OFMCE 9F THE PROPERTY Al PPRAISER Summary Report Generated On:2/24/2017 Property Information � r• q fl Folio: 11-3206-017-1680 Property Address: 600 NE 97 ST Miami Shores,FL 33138-2471 JODY C DIAMOND41 3 ` 11. Owner EDUARDO J GONZALEZ 4 600 NE 97 ST Mailing Address MIAMI SHORES,FL 33138 USA Primary Zone 1000 SGL FAMILY-2101-2300 SQ 0101 RESIDENTIAL-SINGLE Primary Land Use FAMILY:1 UNIT � � Beds/Baths I Half 3/210 3 � . Floors Living Units 1 t Actual Area 3,180 Sq.Ft allet a '•`y °• Living Area 2,238 Sq.Ft Adjusted Area 2,677 Sq.Ft Taxable Value Information Lot Size 13,000 Sq.Ft 2016 2015 2014 Year Built 1955 County Exemption Value $0 $50,000 $50,000 Assessment Information Taxable Value 1 $505,628 $159,158 $157,499 Year 2016 2015 2014 School Board Land Value $324,852 $311,696 $273,240 Exemption Value $0 $25,000 $25,000 Building Value $176,723 $176,906 $172,495 Taxable Value 1 $505,628 $184,158 $182,499 XF Value $4,053 $3,961 $3,994 City Market Value 1 $505,628 $492,563 $449,729 Exemption Value $0 $50,000 $50,000 Assessed Value $505,628 $209,158 $207,499 Taxable Value 1 $505,628 $159,158 $157,499 Regional Benefits Information Exemption Value $0 $50,000 $50,000 Benefit Type 2016 2015 2014 Taxable Value 1 $505,628 $159,158 $157,499 Save Our Homes Assessment Cap Reduction $283,405 $242,230 Sales Information Homestead Exemption $25,000 $25,000 Previous Price OR Book- Qualification Description Second Homestead Exemption 1 $25,0001 $25,000 Sale Page Note:Not all benefits are applicable to all Taxable Values(i.e.County, 01/11/2017 $865,000 30384-3784 Qual by exam of deed School Board,City,Regional). Financial inst or"In Lieu of 12/07/2015 $553,400 29883-3012 Forclosure"stated Short Legal Description 07/01/1996 $165,000 17291-1436 Sales which are qualified MIAMI SHORES SEC 4 AMD PB 15-14 03/01/1988 $125,000 13608-2769 Sales which are qualified LOTS 9&10 BLK 100 LOT SIZE 100.000 X 130 OR 17291-1436 0796 1 The Office of the Property Appraiser is continually editing and updating the tax roll.This website may not reflect the most current information on record.The Property Appraiser and Miami-Dade County assumes no liability,see full disclaimer and User Agreement at hfp://www.miamidade.gov/info/disclaimer.asp Version: http://www.miamidade.gov/propertysearch/ 2/24/2017 02/24/2017 1 State of Florida County of Miami-Dade Before me this day personally appeared Alejandro Guglfotta who, bei`g duty sworn,deposes and says. That he or she w 11 be the only person working on the project locate(at 600 NE 97 St, Miami Shores,FL 33. 38 Sworn to(or affirmed)and subscribed before me this 24`"of February,2017, by�� e r 6 ' , a 9 " P 'rsonally know OR Produce Identificatio 6 -814 A Type of Identifi4ation Produce1C�Y( Ca 11eY1� V �[ Print,Type or Stamp Name of Nota a MAHARAI K.GONZALE ' M1'AMMMISSION GQ = EXPIRES:November Z 20 ended P►w 40t2ryIsm tsuhG R n4jerwrlters; w�r.e • 'Ung • • 353 $p wa, d.w» t y I Ise@u 9i: z d A i . �RES Di M AV .... Illegal" tam' shores "' lllage Building Department IO10050 N.E.2nd Avenue 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. Signatur . Ow&r State of Florida County of Miami-Dade The foregoing was acknowledge before me this ?N day of y-e-b 20_1:97 By16 CLL) f O -6-1MZ 0 G71_Z- who is personally known tome or has produced �n GN `2-klQjV_47_—3Z3 —0 as identification. Notgawlw�:> 69210_�R MAKMRAI K.GONZALF-Z SEAL: :i�"'~"s •. M.,COMMISSION#00 Oh 602 'r�.; EJfPIRE9:November 2,2020 eters `±; .o Bonded Tiw Notary Public U 1 , �®�9 ones ave®s" Miami shores illage Building Department fi�ORN� 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: {305) 756.8972 CONTRACTORS' I TIO IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. ✓ COPY OF QUALIFIER'S STATE LICENCES B. ✓ COPY OF LOCAL BUSINESS TAX RECEIPT C._COPY OF LIABILITY INSURANCE* D. _�COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICATE OF COMPETENCY OF QUALIFIER B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF STATE REGISTERED CONTRACTOR LICENSE OR MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT, D. COPY OF LIABILITY INSURACE* E. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit) *YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE AS FOLLOW: Certificate Holder: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 Certificate must specify the description of operations or contractor license number. ••mmmm■mm•■mm■mmm■■mmm■■■■mmmmmmmmsmmmmmmmmmmmmmmmmmmm■■m•■amm■■mmmmmmmmmmmmmmmmmmmmmmmmmmi BUSINESS NAME: Vyle kvz►l , IIA C BUSINESS ADDRESS: 1-400 6yi-JO Lve Suite 3060 CITYfo VMi STATE zip-33129 BUSINESS PHONE: ( 30S 331^31'0-. FAX NUMBER(,) CELL PHONE (_� QUALIFIER'S NAME: A1'JCA#jJV0 Cyyj;0�49, QUALIFIER'S LIC NUMBER: Cae 9260671 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 2801 BLAIR STONE ROAD TALLAHASSEE FL 32399-0733 GUGLIOTTA,ALEJANDRO A UNEKUAL, INC 2400 BRICKELL AVE, SUITE 306D MIAMI FL 33120 Congratulations! With this license you become rine oY 9 one million Floridians licensed by the Departrnc r, ,)' Professional Regulation. Our professionals and tiusine s ra,rqi, ,DRIDA from architects to yacht brokers,from boxers to ba•bequ- ' i = t�" i E g tF BUSINESS AND restaurants,and they keep Florida's economy strong � t r ���`:'�" NAL !REGULATION Every day we work to improve the way we do business in o:rei CEL. 9 LIED. 0710712016 to serve you better.. For information about our services pleol e tog onto wwwmyfloridalicense.com There you can find mc;re CERTIFIED BUILDING CONTRACTOR Information about our divisions and the regulations that rmpac! GI#GLIOTTA,ALEJANDROA you,subscribe to department newsletters and learn more about UNEKUAL,INC the Departments initiatives, Our mission at the Department Is License Efferently,Regulate Fairly.We oonstantiy strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, IS CERTIFIED under the provisions or Ch-469 FS and congratulations on your new lige! F,ppo n Uo ALIC 3' 2015 `rte a DETACH HERE RICK SCOTT,GOVERNOR KEN L.AWSON,SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD i7 . ,tCf g -TheBUIIII ...Adg Under 1 t FS. a Expltallon a SIN ew'L a VAW Vrw �, x y �° 07107=16 DISPLAY At REQUIRED BY LAW sEQ 0 t,t , � MIDD/YYYY) DATE IM �.... CERTIFICATE OF LIABILITY INSURANCE 2/DATE(M 7 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 have ADDITIONAL INSURED provisions or 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 endorsements. PRODUCER CONTACT NAME: Certificate Team ACentria, Inc-Miami 305-223-2533 FAX 305-220-0765 8700 W. Flagler Street E-MAIL Suite 270 .MiamiCerts@Acentda.com Miami FL 33174 INSURERS AFFORDING COVERAGE NAIC# INSURERA:Western World Ins Co 13196 INSURED UNEKINC-01 INSURERS: Unekual, Inc. INSURERC: 2400 Brickell Ave Suite 306D Miami FL 33129 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:764295936 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. INTSRR TYPE OF INSURANCE ADDLSUBR POLICY EFF POLICY EXP LIMITS INSD WVD POLICY NUMBER MM/DDIYYYY MM/DDNYYY A X COMMERCIAL GENERAL LIABILITY NPP8353796 7/18/2016 7/18/2017 EACH OCCURRENCE $1,000,000 CLAIMS-MADE F OCCUR DAMAGE (RENTED PREMISESS Ea occurrence) $100,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'LAGGREGATELIMIT APPLIES PER: GENERAL AGGREGATE $1,000,000 POLICY❑PRO- JECT 7 LOC PRODUCTS-COMP/OP AGG $1,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY( AUTOS ONLY AUTOS Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED 1 1 RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) License#CBC1260679 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shores Village Bldg Dept THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 10050 NE 2nd Avenue ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores FL 33138 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 26(2016/03) The ACORD name and logo are registered marks of ACORD 6/29/2015 Report Viewer • r' /1 100% JEFF AT WATER R mac+ 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: 8/22/2015 EXPIRATION DATE: 8/21/2017 PERSON: GUGLIOTTA ALEJANDRO A FEIN: 462022220 s BUSINESS NAME AND ADDRESS: UNEKUALINC 2400 BRICKELL AVE MIAMI FL 33129 SCOPES OF BUSINESS OR TRADE: LICENSED RESIDENTIAL CONTRACTR J Pursuard to Chapter 440.05(14),F.S.,an officer of a copoabonwho eleols exemption from this chapter bbyy filing a certiflcale of eiection under this section may mat recover bereflts or conpersatiom order tgh chapter.Plrsua4 to Chapter 440.05(12).F.S..Cent cafes of election to be exempt...apply only \ vritiun tl1e scope ofthe brsiress o trade listed on tre rctice ofelectlan to be exempt Ramal to Chapter 440.0.5(13),F.S.Notices of election bobs 1 exempt and certificates of election to be exempt shall be subject to revocation If,at"time after tie filing ofthe notice or the issuance of the certificate, { tte person rtarned on the nmdce o certificate no longer meets the regndremenN of this section for Issuance of a certificate.The department shall rewke a DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS?(850)413-1609 i 8 g3 a q 7 https://apps8.fidfs.com/crreportviewertreportViewer.aspx?data=kdvpginc9D703gH6TER6ePl KMZ%2fSz5bXKYfBxkrekeESoPVyl v4NPOPN42XeirOR... 1/2 011570 Local Business Miami--Dade County, State of Florida THIS IS NOT A BILL - DO NOT PAY -1293 BUSINESS NAME&OCATION RECEIPT NO. EXPIRES UNEKUALINC RENEWAL SEPTEMBER 3 , 2017 2400 BRICKELL :AVE #3061) 7435574 Must be displayed at place of business MIAMI FL 33129 Pursuant to County Code Chapter 8A - Art. 9 & 10 OWNER SEC. TYPE OF BUSINESS IJINEKLIALINC 190 SUB-BUILDING CONTRACTOR PAYMENT RECEIVED 10 ALEJANDRO A GUGLIOTA CRC1330854 BY TAX COLLECTOR f Er( 1 45.00 07/22 '2016 REDITCARD-16-043201 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. Bolder 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 a-276. For more information,visit www.miamida e, ovlt fill ctor DBPR- TELLEZ, CESAR AUGUSTO, Architect Page 1 of 1 10:26:22 AM 224/2017 Licensee Details Licensee Information Name: TELLEZ, CESAR AUGUSTO (Primary Name) Main Address: 2640 BRIM WAY COOPER CITY Florida 33026 County: BROWARD License Mailing: LicenseLocation: License Information License Type: Architect Rank: Architect License Number: AR96999 Status: Current,Active Licensure Date: 03/25/2014 Expires: 02/28/2019 Special Qualifications Qualification Effective Alternate Names View Related License Information View License Complaint 2601 Blair Stone Road,Tallahassee FI.32399 :: Email:Customer ContactCenter :: Customer Contact Center: 350.487.1395 The State of Florida is an AA/EEO employer.Cal vriaht 2007-2010 State of Florida.PrIVarY Statement Under Florida law,email addresses are public records.If you do not want your email address released in response to a public-records request,do not send electronic mail to this entity.Instead,contact the office by phone or by traditional mail.If you have any questions,please contact 850.487.1395.*Pursuant to Section 455.275(1),Florida Statutes,effective October 1,2012,licensees licensed under Chapter 455,F.S.must provide the Department with an email address if they have one.The emails provided may be used for official communication with the licensee.However email addresses are public record.if you do not wish to supply a personal address,please provide the Department with an email address which can be made available to the public.Please see our Chante 455 page to determine if you are affected by this change. https://www.myfloridalicense.com/LicenseDetail.asp?SID=&id=793AD I OA1 EOBEOAE86... 2/24/2017