Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
PL-16-18
Project Address Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Permit Permit NO. PL -1-16-18 Permit Type: Plumbing - Residential Work Classification: Addition/Alteration Permit Status: APPROVED Issue Date: 11712016 Expiration: 07/05/2016 Parcel Number Applicant 9701 BISCAYNE Boulevard Miami Shores, FL 33138- 1132060143320 Block: Lot: MARIA GABRIELA ALE CASTRC Owner Information MARIA GABRIELA ALE CASTRO Address 9701 BISCAYNE Boulevard MIAMI SHORES FL 33138-2540 9701 BISCAYNE Boulevard MIAMI SHORES FL 33138-2540 Phone Cell Contractor(s) AA MAGIC PLUMBING INC Phone (305)981-8197 Cell Phone Valuation: $ 12,000.00 Total Sq Feet: 955 Type of Work: PLUMBING FOR 2 STORY ADDITION Type of Piping: Additional Info: Bond Return : Classification: Residential Scanning: 1 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $7.20 $6.30 $6.30 $2.40 $420.00 $3.00 $9.60 $454.80 Pay Date Pay Type Amt Paid Amt Due Invoice # PL -1-16-58235 01/07/2016 Check #: 1261 $ 404.80 $ 50.00 01/06/2016 Cash $ 50.00 $ 0.00 Available Inspections: Inspection Type: Top Out Final Review Plumbing Underground 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 ELECTRICALfPLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFID : I II the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction anoning. amore, : uthorize the above-named contractor to do the work stated. January 07, 2016 Authorized Signa re: Owner / Applicant / Contractor / Agent Building Dep - rtment Copy Date January 07, 2016 1 2016-02-23 15:49 Gil, Garden, Avetran 123 » 1 800 685 7530 P 1/1 ACOREP CERTIFICATE OF LIABILITY INSURANCE `� DATE IMMIDDIYYYY) 2/9/2016 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 pollcy(las) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the pollcy, 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 Gil, Garden, Avetrani Insurance Group 10689 N. Kendall Drive Suite 208 Miami FL 33176 CONTACT NAME: Martha Salazar PHONE (305)630-4777 Fax NIC. No a (AIC. No]: (303) 779-3074 E-MAIL mealatcar@99 al com aoDReBs: g !NW RERIS)AFFORDING COVERAGE NAICI INSURER A:Soottedale Ina. Co. COMMERCIAL GENERAL UABILITY INSURED A.A. MAGIC PLUMBING, INC 11350 SW 52 TERRACE MIAMI FL 33165 INSURER eRetallFiret Insurance Company INSURER C: INSURER U: 1,000,000 INSURER E : INSURER F: CLAIMS -MADE CERTIFICATE NUMBER:CL15924074 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TC) 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. INSR LTR TYPE OP INSURANCE AODL men SUER wen - POLICY NUMBER POLICY !FP I MMIOgIYYYYI POUCYEXP l MMIDgfYYYYI LIMITS X COMMERCIAL GENERAL UABILITY 1,000,000 A CLAIMS -MADE X OCCUR EACH OCCURRENCE DAMAGE TO RENTED S 100,000 LNVAT 2/10/2016 2/10/2017 PREMISES IEaoccurrence) MED EXP S S 5,000 (Any one Fergon) PERSONAL & ADV INJURY 1,000,000 GEM AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE s S 2 ,000,000 X POLICY JECT LOC PRODUCTS - COMP/OP AGO S 1,000,000 OTHER 5 AUTOMOBILE LIABIUTY COMBINED SINGLE LIMIT IEe aocEenll s ANY AUTO ALL OWNED SCHEDULED BODILY INJURY (Per person) 5 AUTOS AUTOS NON -OWNED BODILY INJURY (Per eccloenl) 5 HIRED AUTOS AUTOS PROPERTY DAMAGE (Per accident) s $ UMBRELLA LIAR - OCCUR EACH OCCURRENCE 5 EXCESS UAE CLAIMS -MADE AGGREGATE 5 DED RETENT ON s 5 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN _ STATUTE R ERH ANY PROPRIETORIPARTNERIEXECUTIVE EXCLUDEO7 NIA E.L.OFFICERIMEMBER EACH ACCIDENT 5 100,000 B I Wndatory In NH) It yea, describe antler 0520-51692 9/16/2015 9/16/2016 E.L. DISEASE - EA EMPLOYEE 5 100,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT 5 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Scllacule, may be allacIIud 11 mare apace 1a required) Plumbing CFRT1f:Ir7ATc um rico _ _ TION Miami Shores Village 10050 NE 2 Avenue Miami Shores, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Joe Avetrani/CD ACORD 25 (2014101) INS02S (201401) ® 1988-2014ACORD CORPORATION. All rights reserved. The ACORD name and Togo are registered marks of ACORD RC t - LO2c L 16-11 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 BUILDING PERMIT APPLICATION ❑BUILDING ❑ ELECTRIC ❑ ROOFING El PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS JOB ADDRESS: 9701 BISCAYNE BLVD City: 1 AWN 0 6 2015 FBC 2010 Master Permit No. RC -15-1024 Sub Permit No. P1--( to '-1 B ❑ REVISION ❑ CHANGE OF CONTRACTOR ❑ EXTENSION ❑ RENEWAL ❑ CANCELLATION ❑ SHOP DRAWINGS Miami Shores County: Miami Dade Zip: 33138 Folio/Parcel#:11-3206-014-3320 Is the Building Historically Designated: Yes NO X Occupancy Type: R-3 Load: Construction Type: V Flood Zone: X OWNER: Name (Fee Simple Titleholder): JOSE G. CASTRO & MARIA G. ALE Address: 9701 BISCAYNE BLVD BFE: FFE: Phone#: 305-582-2836 City: MIAMI SHORES State: FL Tenant/Lessee Name: N/A Email: info@r-method.net Phone#: Zip: 33138 CONTRACTOR: Company Name: Address: 1 1 50 ti A S'.c.! 5 2- T (� Phone#: c95 -7.-g111-4 City: M t (-Ci State: PL Ala,uJ1 Aard 096 Phone#: Qualifier Name: c/ /a qt �p� State Certification or Registration #: CrC.. d/.'7 .2 D / 7.cCertificate of competency #: DESIGNER: Architect/Engineer: JOSE RUBEN JIMENEZ; ARCHITECT - Phone#: 3051582=2836` Zip: c•rb 1. «oc'9si--gict'7 Address: 300 OAKWOOD LANE SUITE 100 City: HOLLYWOOD State: FL Zip: 33020 Value of Work for this Permit: $ �21 c)OO. u� Square/Linear Footage of Work: 955 ADDITION / 655 ALT. Type of Work: 0 Addition ❑■ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: The owners are proposing to do a 955 SF. two story addition ( 600 SF - First Floor & 355 SF - Second Floor) on the NE corner of the existing residence and renovate approximately 655 SF (550 SF First Floor & 105 SF -Second Floor) of their existing Ytesldence; t a«ray, r • Specify color of coldrsei _conk -4, thru,•tile: ,_ Submittal Fee $ ��„-, rte. Permit Fee $ �z Scanning Fee $ 3 Radon Fee $ 6.30 Technology Fee $ `l . 6.0) Training/Education Fee $ Structural Reviews $ (Revised02/24/2014) T 4 04 S�• ccF $ c • ;2CO �s , ,T CO/CC $, Iptnq 7 ay. .. T . - •{)i) O DBPR�$ ICJ 30 Notary $ f . yb Double Fee $ I' Bond $ TOTAL FEE NOW DUE $ 4-04 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 WNERorAGENT Signature 14/ ,U, 0, NTRACTOR .+ The foregoing instrument was acknowledged before me this The foregoing inst • ment was acknowledged before me this day of IWYJNYIW , 20 1S , by /7 day of .42iber , 20 f,� , by ),fad -e L- C7 • GA5.4-ry , who is per known to eLifl ,4 /1S0 , who is personally known to me or who has produced as me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: , NAT ALIE CEPERO as Notary Public - State of Florida -I My Comm. Expires Dec 19, 2018 Commission # FF 152862 Bonded fir.tailAUO identification and who did take an oath. NOTARY PUBLIC: as Sign: v" ' (./f;r/` , Seal: ' CORALIA M. TOLEDO MY COMMISSION 1 ffiil1564 EXPIRES: Mrt2l, 2016 tti **************** APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) RICK SCOTT, doVERNdlit--- LICENSE NUMBER KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL. REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD - •, CFC1428995 - • The PLUMBING CONTRACTOR 4 ''4..,, 7:: Narriect below IS CERTIFIED:: - ::: - _ ' '• - , •-., 1. 'Under the:Provisioris of Chapter 489 FS. ---;,--.4..i.,. trExPiraikin-dafe: -AUG '31-.2016 - • -- ''''' 41,-,' '' 4 '--'-' ''N'1" -. . ...... ....d, '-... .,,., .... , ,,,,,., '',... •,......7 re, . " _4.. ,.1.,.- .„,... ,. .4/ K.A! KIAGIC-INC-ANC> ' - -- ,-- — --..--,....4-4,- _,,:_•-•- ,...., -- ,s.. ,...... ............ - -•-..,-,*: 11350'SW-52.TERRACE 1 -w4-4 ,--,--'''. .7t., ''' ---e.,,, • ./>1 ' M IAM le - -5',..- —F-1: 33165,,Tz ------..-... - :Z* '"-:'--‘--- --NNY,......- . ,.., ., .../ .0..., .." „„,.. ..1..- -.............-.- ''' •, S, : ...,,,.> .,..- • * -,,re.! 1'` ...- I': .4,M4 _ "N'k, " Nk.. ''S:•!' ...." '4, •4 ae-,-.e..e'''' : ,;:''j'.. -- ' _ , . 1""•ft ''.1.,;$L.%,,t,...N. .!4Al. ISSUED: 08/17/2014 DISPLAY AS REQUIRED BY LAW 0 INAVi \-1 SEQ # L1408170002598 F Local Business Tax Receipt Miami—Dade County, State of Florida. -THIS IS NOTA BILL - DO NOT PAY 7166220 BUSINESS NAME/LOCATION A.A. MAGIC PLUMBING INC 11350 SIN 52 TER MIAMI, FL 33165 RECEIPT NO. RENEWAL 7444673 LST EXPIRES SEPTEMBER 30, 2016 Must be displayed at place of business Pursuant to County Code Chapter BA - Art. 9 & 10 OWNER 'Nk SEC TYPE OF BUSINESS I / PAYMENTRECEIVED kA.[MAGIC PLUMBING INC 196 PLUMBING BY TAX COLLECTOR C/O ALA, IN ALFONSO CONTRACTOR CFC1428995'..--- Workers) 1 .75 00 08/27/2015 0224-15-005854 ." f / This Local Business Tax Receipt only conffma payment of the Local Business Tax. Tte Receipt is not a license, ,f permit or a certification of the Bolder s quslifications}, to do business. Holder must comply with any governmental i /' / or, nongovemmental regulatory laws and iagoirementa wh h apply to the business. i rr` 1 The RECEIPT NO. eblove be delayed wall com ercial ve&ricles - Miami -Dade Code Sec8a-276. miami a ar eo r � � \ - - - i k.„_„! / For more infooiation, visit www d d� hex Ilecre .... -A,, __ ACC)RE ...- CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 01/06/16 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 Florida Bankers Insurance 7278 SW 8 Street Miami, FL 33144 Phone (305)266-6493 Fax (305)262-0679 CONTACT MARTA ALONSO NAME: (A/C No Ext)• (305)266-6493 FAX No): (305)262-0679 E-MAIL ADDRESS• marta@floridabankersinsurance.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : WESTERN WORLD INSURANCE COMPANY N INSURED AA MAGIC PLUMBING INC 11350 SW 52 Nd Terrace Miami, FL 33165- 305 INSURER B : 02/10/2015 INSURER C: EACH OCCURRENCE INSURER D : n COMMERCIAL GENERAL LIABILITY ❑ CLAIMS -MADE n OCCUR ❑ INSURER E : $ 100,000.00 INSURER F : $ 5,000.00 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. INSR TYPE OF INSURANCE ADDLSUBR INSR- WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS A GENERAL LIABILITY N N KHSFT-Q 02/10/2015 02/10/2016 EACH OCCURRENCE $ 1,000,000.00 n COMMERCIAL GENERAL LIABILITY ❑ CLAIMS -MADE n OCCUR ❑ DAMAGE TO PREMISES (Ea occu RENTED $ 100,000.00 MED EXP (Any one person $ 5,000.00 PERSONAL & ADV INJURY $ 1,000,000.00 ❑ GENERAL AGGREGATE $ 2,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: Ni POLICY ❑ PRO ❑ LOC .IFf:T PRODUCTS - COMP/OP AGG $ 1,000,000.00 $ AUTOMOBILE LIABIUTY • ANY AUTO ALL OWNED SCHEDULED ❑ AUTOS ❑ AUTOS HIRED AUTOS NON -OWNED ❑ IN AUTOS • ❑ COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ ❑ UMBRELLA LIAB ❑ OCCUR ❑ EXCESS LIAB ❑ CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ ❑ DED ❑ RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABIUTY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A • TORY LAM TS ❑ OTH- ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) PLUMBING CONTRACTOR LIC # CFC1428995 CERTIFICATE HOLDER CANCELLATION I MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2nd AVE MIAMI SHORES, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ' ACORD 25 (2010/05) OF © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 2016-01-06 13:19 Gil Garden Avetrani 123 » 1 800 685 7530 P 1/1 AcoRLf CERTIFICATE OF LIABILITY INSURANCE `.------- DATE(MMIDD/YYYY) 1/6/2016 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(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terns and conditions of the policy, certain policies may require an endomement A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER Gil, Garden, Avetrani Insurance Group 10689 N. Kendall Drive Suite 208 Miami FL 33176 CONTACT NAME: Martha Salazar w/c No. ern): (305) 630-4777 (PAX AIC, NO]: (303)179-3077 EMAIL msalasar@ ai com ADDRl88: g INSURER'S) AFFORDING COVERAGE NAICl/ INSURERA :RetailFiret Insurance Company INSURED A.A. MAGIC PLONKING, INC 11350 Sgt 52 TERRACE MIAMI FL 33165 INSURER S : INSURER C: INSURER D: INSURER! : INSURER F: COVERAGES ;CL ..-.....N umora: 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. INSR LTR TYPE OF INSURANCE ADDI. INSD SUER WWI POLICY NUMBER POLICY EPP IMMIDDIYYYYI POLICY !XI. IMM/DDIYYYYI LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 3 , CLAIMS-MADEOCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) 5 MED EXP (Any one person) 5 PERSONAL & ADV INJURY 5 GEN'L AGGREGATE LIMIT APPLIES O - PER GENERAL AGGREGATE 3 POLICY JECT LOC PRODUCTS - COMP/OP AGO 5 OTHER 5 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accidenll 3 ANY AUTO ALL OWNED ^ SCHEDULED BODILY INJURY (Per psrran) 3 _ AUTOS AUTOS NON -OWNED BODILY INJURY (Per eccIdanl) 5 - HIRED AUTOS AUTOS PROPERTY DAMAGE (Per accident) 3 3 UMBRELLA LIAB_ EXCESS LIAR OCCUR EACH OCCURRENCE 5 CLAIMS -MADE AGGREGATE 5 DED REPENT ON 3 5 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Yl 11 R ER POTH - STATUTE ER A ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? NIA E.L. EACH ACCIDENT 3 100,000 'Mandatory In NH) II yes, describe under 0520-51897 9/16/2015 9/16/2016 E.L. DISEASE - EA EMPLOYEE 5 100,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT 5 500,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, AddIllonsl Rama,Ms 8cllstlula, IMF Os Mantled Il mors specs Is rsqu red) Plumbing CERTIFICATE HnI nFR _______ _ _ Miami Shores Village 10050 NE 2 Avenue Miami Shores, EL 33138 ACORD 2642014/01) INS0261201401 J SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WrTH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Joe Avetrani/CD ®1988-2014 ACORD CORPORATION. Ail rights reserved. The ACORD name and logo are registered marks of ACORD