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CC-17-2109Project Address Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Permit Permit NO. CC -8-17-2109 Permit Type: Commercial Construction Work Classification: Alteration Permit Status: APPROVED issue Date: 11/22/2017 Expiration: 05/21/2018 Parcel Number Applicant 9190 BISCAYNE Boulevard Miami Shores, FL 1132060100030 Block: Lot: BRITE STONE INVESTMENT LL( Owner Information Address Phone Cell BRITE STONE INVESTMENT LLC 1160 KANE Concourse BAY HARBOR ISLANDS FL 33154- 1160 KANE Concourse BAY HARBOR ISLANDS FL 33154- Contractor(s) MARAND BUILDERS, INC Phone CeII Phone (904)247-3211 (786)340-7513 Valuation: Total Sq Feet: $ 200,000.00 0 Approved: In Review Comments: Date Approved:: In Review Date Denied: Type of Construction: INTERIOR ALTERATIONS FOR ADP Stories: Front Setback: Left Setback: Plans Submitted: Yes Certification Date: Bond Return : Scanning: 17 Occupancy Load: Exterior: Rear Setback: Right Setback: Certification Status: Additional Info: INTERIOR ALTERATIONS FOR ADA Classification: Commercial Fees Due CCF CO/CC Fee DBPR Fee DCA Fee Education Surcharge Permit Fee Plan Review Fee (Engineer) Scanning Fee Technology Fee Total: Amount $120.00 $200.00 $90.00 $60.00 $40.00 $6,000.00 $120.00 $51.00 $160.00 $6,841.00 Pay Date Pay Type Amt Paid Amt Due Invoice # CC -8-17-64940 08/21/2017 Credit Card $ 200.00 $ 6,641.00 11/22/2017 Credit Card $ 6,641.00 $ 0.00 Available Inspections: Inspection Type: Final PE Certification Window Door Attachment Tie Beam Slab Termite Letter Framing Store Front Attachment Insulation Drywall Screw Window and Door Buck Ceiling Grid Fill Cells Columns Review Electrical Review Electrical Review Structural Review Plumbing Review Building Review Building Review Mechanical Review Planning 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 c that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zo uthermore, I authorize the above-named contractor to do the work stated. orized Signature: Owner / Applicant / Contractor / Agent Building Department Copy November 22, 2017 Date November 22, 2017 1 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756.8972 Inspection Number: INSP-296422 Permit Number: CC -8-17-2109 Scheduled Inspection Date: February 01, 2018 Inspector: Riveron, Alexis Owner: Job Address: 9190 BISCAYNE Boulevard Miami Shores, FL Project: <NONE> Contractor: MARAND BUILDERS, INC Permit Type: Commercial Construction Inspection Type: Final Building Work Classification: Alteration Phone Number Parcel Number 1132060100030 Phone: (904)247..3211 Building Department Comments INTERIOR ALTERATIONS FOR ADA COMPLIANCE; HANDICAP ACCESSIBILITY IN CUSTOMER SERVICE AREAS AND BATHROOMS Passed -N\ Infractio Passed Comments INSPECTOR COMMENTS False Failed Correction Needed Re -inspection Fee No Additional Inspections can be scheduled until re -inspection fee is paid Inspector Comments 1 January 31, 2018 For Inspections please call: (305)762-4949 Page 26 of 39 BUILDING PERMIT APPLICATION*ELECTRIC *BUILDING PLUMBING ArMECHANICAL 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 ❑ ROOFING i PUBLIC WORKS Master Permit No. Sub Permit No. RECEIVED AUG 21 2017 4-e S-41 FBC NIL( 1� -210C1 ❑ REVISION EXTENSION Li RENEWAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 9190 BISCAYNE BLVD Miami Shores, FL 33138-3224 City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 11-3206-010-0030 Occupancy Type: M Load: Is the Building Historically Designated: Yes NO X Construction Type: 2B Flood Zone: X BFE: 8 FFE: 9 OWNER: Name (Fee Simple Titleholder): BRITE STONE INVESTMENT LLC Address: 1160 KANE CONCOURSE #202 Phone#: City: BAY HARBOR ISLANDS, State: FL Tenant/Lessee Name: Bank of America Corporation N.A. Email: Furat.Alazzawi@am.jll.com zip: 33154 Phone#: (954) 540-7664 CONTRACTOR: Company Name: Marand Builders Address: 233 3rd Street N., #201 Phone#: 904.247.3211 City: Jacksonville BeachState: FL zip: 32250 Qualifier Name: Nathan Hayes Phone#: State Certification or Registration #: CGC1515920 Certificate of Competency #: DESIGNER: Architect/Engineer: Infinity Engineering Group, LLC Phone#: 813-380-6930 Address: 1208 E. Kennedy Blvd, Ste 230 City: Tampa State: FL Zip: 33602 Value of Work for this Permit: $ 200,000 Square/Linear Footage of Work: Type of Work: ❑ Addition * Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: Interior alterations for ADA compliance: Handicap accessibility in customer service areas and bathrooms. Specify color of color thru tile: / n Submittal Fee $(�20 • (X 6 Permit Fee $ ' �� CCF $ L� - CO/CC $ G•QO , Oa Scanning Fee $ J ( . 60 Radon Fee $ EDO • XD DBPR $ 10 • Notary $ 0 Technology Fee $ 1 6:4- ( Training/Education Fee $ 10 • am Double Fee $ Structural Reviews $I -3O - OO Bond $ pC ' l I TOTAL FEE NOW DUE $ �/ G l ! • 00 (Revised02/24/2014) Bonding Company's Name (if applicable) N/A Bonding Company's Address N/A City N/A State N/A zip N/A Mortgage Lender's Name (if applicable) N/A Mortgage Lender's Address N/A City N/A State N/A zip N/A 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 OWNER or AGENT The foregoing instrument was acknowledged before me this 62 day of Jur. , 20 1.4 , by 3 1 A, day of {n14y , 20 17 , by rthliis I /J kiR ,J,'who is personal) known to s4�� � , who � pertnnaly known to �/ � y Signature The foregoing instru ent was . nowledged before me this me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Pri . 2 °rik Eottitalov a;'• fi,; Boris Borukhov d' Seal: =_°~ +=:Commission#FF 164392 yi�t .7.1,„ro Expires: SEP 30, 2018 -:;:'oviC, •� BONDEDTHRU ', 1ST FLORIDA NOTARY, LLC **************************** ******************************** me or who has produced as identification and who did take an oath. NOTARY PUBLIC: / Sign: Print: Seal: APPROVED BY (Revised02/24/2014) (l 7 Plans Examiner INIONW,4 Alt AWN. ,,,,,,, oarvPoo„,. Notary Public - State of Florida s Commission • FF 912922 � • ” •= My Comm. Expires Sep 20, 2019 a, npat Bonded through National Notary Assn. �t *** ** Zoning Structural Review Clerk POWER OF ATTORNEY By this instrument, 1, Vadim Nestscheret, MGR of Brite Stone Investment, LLC, of Miami -Dade County, Florida, make, constitute and appoint Anna Poliakova of Miami -Dade, Florida, as my true and lawful attomey-in-fad for me and in my name, place and stead, and on my behalf, and for my use and my benefit: Prepare, sign and file documents for permits with the City of Miami Shores. IN WITNESS WHEREOF, 1. Vadim Nestscheret has hereunto set and subscribed my hand this o+(' day of July, 2017. Signed, sealed and delivered in the presence of: STATE OF FLORIDA COUNTY OF MIAMI-DADE BRITE ST A Florida h STMENT, LLC dy company NESTSCHERET, as MGR Collins Avenue, 0703 Surfside, FL 33154 The foregoing instrument was acknowledged before me this „e. day of JULY 2017 by VADIM NESTSCHERET, as MGR of Brite Stone Investment, LLC who is personally known to me or who has produced as identification an n� wo did/did not take an oath. (SEAL) ROBERT PHILIPUSMIIN t _ MY COMMISSIONS GG 064790 DPIRES: Mardi 20, 2021 �'�or a°*A Bonded Thu Budget Notary Scrim 8/21/2017 Detail by Entity Name 1.310t1 mm_ foctatFlfirvin Department of State / Division of Corporations / Search Records / Detail By Dec lent Number / _trif)r`f:� Detail by Entity Name Florida Limited Liability Company BRITE STONE INVESTMENT LLC Filing Information Document Number L13000177392 FEI/EIN Number N/A Date Filed 12/27/2013 Effective Date 01/01/2014 State FL Status ACTIVE Principal Address 9559 COLLINS AVENUE SUITE 703 SURFSIDE, FL 33154 Changed: 04/28/2016 Mailing Address 9559 COLLINS AVENUE SUITE 703 SURFSIDE, FL 33154 Changed: 04/28/2016 Registered Agent Name & Address us avion inc 9559 COLLINS AVENUE SUITE 703 SURFSIDE, FL 33154 Name Changed: 04/30/2017 Address Changed: 04/28/2016 Authorized Person(s) Detail Name & Address Title MGR US Avion Inc 9559 COLLINS AVENUE CI IITF 7n4 http://search.sunbiz.org/Inqui ry/C or porati onSearc h/Sear chR es ul tD etai I ?i nqui rytype= Enti tyN am e&directi onType= Initial&searchN ameOrder=BR ITESTON EINV... 1/2 8/21/2017 Detail by Entity Name ;t, �,ritd1 �} %)1V 101J 'I � or tl r �! � P rj! rig i jf rj�t! ,'racy of Florida 1$elt.:frf Department of State / Division of Corporations / Search Records / Detail By Document Number / Detail by Entity Name Florida Profit Corporation U.S. AVION, INC. Filing Information Document Number P00000116545 FEI/EIN Number 65-1065499 Date Filed 12/21/2000 State FL Status ACTIVE Last Event CANCEL ADM DISS/REV Event Date Filed 10/28/2008 Event Effective Date NONE Principal Address 9559 COLLINS AVE. SUITE703 SURFSIDE, FL 33154 Changed: 08/04/2004 Mailing Address 9559 COLLINS AVE. SUITE703 SURFSIDE, FL 33154 Changed: 08/04/2004 Registered Agent Name & Address NESTSCHERET, VADIM 9559 COLLINS AVE SUITE703 SURFSIDE, FL 33154 Address Changed: 08/04/2004 Officer/Director Detail Name & Address Title P NESTSCHERET, VADIM 9559 COLLINS AVE. #703 http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?i nqui rytype= EntityName&directionType= Initial&searchN ameOrder=U SAVION %20POOQ .. 1/2 8/21/2017 Property Search Application - Miami -Dade County OFFICE OF THE PROPERTV APPRAIS Summary Report Property Information Folio: 11-3206-010-0030 Property Address: 9190 BISCAYNE BLVD Miami Shores, FL 33138-3224 Owner BRITE STONE INVESTMENT LLC Mailing Address 1160 KANE CONCOURSE #202 BAY HARBOR ISLANDS, FL 33154 USA PA Primary Zone 6400 COMMERCIAL - CENTRAL Primary Land Use 2313 FINANCIAL INSTITUTION : OFFICE BUILDING Beds / Baths / Half 0/0/0 Floors 2 Living Units 0 Actual Area 13,686 Sq.Ft Living Area 13,686 Sq.Ft Adjusted Area 12,809 Sq.Ft Lot Size 39,000 Sq.Ft Year Built 1962 Assessment Information Year 2017 2016 2015 Land Value $2,145,000 $2,042,000 $1,170,000 Building Value $475,000 $108,000 $780,000 XF Value $0 $0 $0 Market Value $2,620,000 $2,150,000 $1,950,000 Assessed Value $2,359,500 $2,145,000 $1,950,000 Benefits Information Benefit Type 2017 2016 2015 Non -Homestead Cap Assessment Reduction $260,500 $5,000 Exemption Value Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description 6 53 42 .88 AC M/L SHORES CENTER PB 49-42 PT TR A BEG 52.07FT SWLY OF X OF S/L NE 92 ST & WLY R/W/L BISC BLVD CONT SWLY140.15FT TH Generated On : 8/21/2017 Taxable Value Information Previous 2017 2016 2015 County Exemption Value $0 $0 $0 Taxable Value $2,359,500 $2,145,000 $1,950,000 School Board Exemption Value $0 $0 $0 Taxable Value $2,620,000 $2,150,000 $1,950,000 City Exemption Value $0 $0 $0 Taxable Value $2,359,500 $2,145,000 $1,950,000 Regional Exemption Value 1 $0 $0 $0 Taxable Value $2,359,500 $2,145,000 $1,950,000 Sales Information Previous OR Sale Price Book- Qualification Description Page 03/28/2014 $2,400,000 29094-Qual by exam of deed 2011 08/01/2007 $1,167,000 25900- Other disqualified 1902 08/01/2007 $0 26493- 1927 Sales which are disqualified as a result of examination of the deed 07/01/2007 $0 25901- 2827 Sales which are disqualified as a result of examination of the deed 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 http://www.miamidade.gov/info/disclaimer.asp Version: STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 HAYES, NATHAN E MARAND BUILDERS, INC. 1261 GREEN CAY AVE ATLANTIC BEACH FL 32233 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better. For information about our services, please log onto www.myftoridalicense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and learn more about the Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! RICK SCOTT, GOVERNOR STATE OF FLORIDA 4.1,1A610 DEPARTMENT:OF; AND PROFESS ONALREGULAT ON CGC1515920 ". ISSUED x'06/15/2016 CERTIFIED GEt ERALCONTRACTORt HAYES, NATHAN -El' ✓ * "' IIARAND BUILDERS, INC IS CERTIFIED under the provisions of Ch.489 FS. Expiration date • AUG 31, 2018 w�oro%0 DETACH HERE L1606150001211 KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD LICENSE NUMBER _. ! . . . �CGC1515920 - _ - - ' _ . ,- . The;GENERAL CONTRACTOR _Name"d below IS CERTIFIED Wider the provisions -of Chapter 489 FS. ;.Expiration date: AUG 31, 2018 . � "'.. HAY,ES;.NATHAN E- - . ------ /./MARAND BUILDERS' INC? 1261! GRE EN:CAY ATI_ANTyIC FL"32233 fj - • • ISSUED: 06/15/2016 DISPLAY AS REQUIRED BY LAW \\. SEQ # L1606150001211 2016-2017 BUSINESS TAX RECEIPT MICHAEL CORRIGAN, DUVAL COUNTY TAX COLLECTOR 231 E. FORSYTH STREET, SUITE130, JACKSONVILLE, FL 32202-3370 Phone: (904) 630-1916, option 3; Fax (904) 630-1432 Website: www.coj.net/tc; Email: taxcollector@coj.net Note — A penalty is imposed for failure to keep this receipt exhibited conspicuously at your place of business. This business tax receipt is furnished pursuant to Municipal Ordinance Code, Chapters 770-772, for the period October 1, 2016 through September 30, 2017. HAYES, NATHAN E MARAND BUILDERS INC 233 N 3RD ST STE 201 JACKSONVILLE BEACH, FL 32250 ACCOUNT NUMBER: 187565 LOCATION ADDRESS: DESCRIPTION: COUNTY RECEIPT DESC: MUNICIPAL RECEIPT DESC: 233 N 3RD ST STE 201 JACKSONVILLE BEACH, FL 32250 QUALIFYING AGENT, CONTRACTORS STATE LICENSE NO.: CGC1515920 QUALIFYING AGENT, CONTRACTORS COUNTY TAX: MC 772.325 MUNICIPAL TAX: TOTAL TAX PAID: VALID UNTIL September 30, 2017 0.00 100.00 100.00 ***ATTENTION*** THIS RECEIPT IS FOR BUSINESS TAX RECEIPT ONLY. CERTAIN BUSINESSES MAY REQUIRE ADDITIONAL STATE LICENSING. This is a business tax receipt only. It does not permit the receipt holder to violate any existing regulatory or zoning laws of the County or City. It does not exempt the receipt holder from any other license or permit required by law. This is not a certification of the receipt holder's qualifications. TAX COLLECTOR THIS BECOMES A RECEIPT AFTER VALIDATION. PAID -5500801.0001-0001 WEB 07/14/2016 100.00 • 1 ACORIA.CERTIFICATE OF LIABILITY INSURANCE (MM/DD/YYYIf)TM 6/01/2017 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 Hood, Hargett & Associates Inc. Post Office Box 30127 Charlotte, NC 28230 704 374-1863 Phone oo CONTACT Cathy Rosenthal X 222 PHONE (AIC, No, Ext); 704 374-1863 FAX (NC, No): 704 376-0184 E-MAIL ADDRESS: cathy@hoodhargett.com g INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Valley Forge Insurance Company 20508 INSURED Marand Builders, Inc. P.O. Box 471668, Charlotte, NC 28247 FL location: 233 N. 3rd St., Suite 201 Jacksonville Beach, FL 32250 INSURER B : Continental Insurance Company 35289 INSURER C: National Fire Ins of Hartford 20478 INSURER D : Continental Casualty Co. 20443 INSURER E: Columbia Casualty Co. 31127 INSURER F : $15,000 • ._fl GMV GJ v-..... .v`.. - ..-...--... 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. LTRR TYPE OF INSURANCE NSR WVD POLICY NUMBER (MM/DD/YYYY) 06/10/2017 07/01/2017 (FF MM/DDY/YYYY) 07/01/2017 07/01/2018 LIMITS EACH OCCURRENCE $1,000,000 A X COMMERCIAL GENERAL CLAIMS -MADE IJABILITY X OCCUR 6042704102 6042704102 PREMISEnEaoccurrence) $500,000 MED EXP (Any one person) $15,000 X Contractual PERSONAL &ADV INJURY $1,000,000 X Includes X,C,U GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE POLICY OTHER: X LIMIT APPLIES PRO - JECT PER: LOC PRODUCTS - COMP/OP AGG $2,000,000 B AUTOMOBILE X X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS X SCHEDULED AUTOS NON -OWNED AUTOS 6042704097 6042704097 06/10/2017 07/01/2017 07/01/2017 07/01/2018 (Es ardent) INGLE LIMIT $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ B X UMBRELLA UAB EXCESS UAB X OCCUR CLAIMS -MADE 6042704147 6042704147 06/10/2017 07/01/2017 07/01/2017 07/01/2018 EACH OCCURRENCE $10,000,000 AGGREGATE $10,000,000 $ DED X RETENTION $O C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N ¥ N / A 642704116 642704116 06/10/2017 07/01/2017 07/01/2017 07/01/2018 X STATUTE OTH- ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT $1,000,000 D E Fidelity Crime Errors and Omissions 596694803 6042805754 06/10/2017 06/10/2017 07/01/2017 07/01/2018 07/01/2017 07/01/2018 $5M@10K ded Occurrence. $2M each act or error $2M aggreg./$10K Deduct DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is requlred) Workers Comp Information: Officers Excludes Francisco Alvarado & Jeannette Alvarado. Nathan E. Hayes - GC License # CGC1515920. Policies include coverage for FL. CERTIFICATE HOLDER CANCELLATION 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 (2014/01) 1 of 1 #S252122/M251263 ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CDR Miami Shores Village 10050 NE 2 Ave, Miami Shores FI, 33138 Tel: 305-795-2204 Fax: 305-756-8972 Building Inspection Department This certificate issued pursuant to the requirements of the Florida Building Code 106.1.2 certifying that at the time of issuance this structure was in compliance with the various ordinances of the jurisdiction regulating build ng construction or use. For the following: Square Footage Description of Work Not Transferable POST IN A CONSPICUOUS PLACE INSPECTION RECORD rJ Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone (305)795-2204 Fax: (305)756-8972 41/>>Ae.C. POST ON SITE Permit NO. CC -8-17-2109 Permit Type: Commercial Construction Work Classification: Alteration INSPECTION REQUESTS: (305)762-4949 or Log on at https://bldg.miamishoresvillage.com/cap REQUESTS ARE ACCEPTED DURING 8:30AM - 3:30PM FOR THEE.FOLLOWING BUSINESS DAY. Requests must be received by 3 pm for following day inspections. Expires: 05/21/2018 2018 Commercial Construction Parcel #:1132060100030 Owner's Name: Owner's Phone: Total Square Feet: Job Address: • • s : :. - . ■ _ '� $ '� 0 Miami Shores, F r is we w... s ..first., Bond Number:11 dill Total Job Valuation: $ 200,000.00 Contractor(s) MARAND BUILDERS, INC Phone t (904)247 - Jots IS ALLOWED: NDAY THROUGH FRIDAY, 8:00AM - 7:OOPM. c URDAY 8:00AM - 6:OOPM. f WORK IS ALLOWED ON SUNDAY OR HOLIDAYS. BUILDING AND ROOFING INSPECTIONS ARE DONE MONDAY THROUGH FRIDAY. //'AtJ fe_f ddl; lya-b ba.r::/ z/7 7" NO INSPECTION WILL BE MADE UNLESS THE PERMIT CARD IS DISPLAYED AND HAS BEEN APPROVED. PLANS ARE READLY AVAILABLE. IT IS THE PERMIT APPLICANT'S RESPONSIBILITY TO ENSURE THAT WORK IS ACCESSIBLE AND EXPOSED FOR INSPECTION PURPOSES. NEITHER THE BUILDING OFFICIAL NOR THE CITY SHALL BE LIABLE FOR EXPENSE ENTAILED IN THE REMOVAL OR REPLACEMENT OF ANY MATERIAL REQUIRED TO ALLOW INSPECTION. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. STRUCTURAL INSPECTION DATE Foundation INSPECTION RECORD INSP Slab Columns (1st Lift) Columns (2nd Lift) Tie Beam Truss/Rafters Roof Sheathing Bucks Interior Framing Insulation Ceiling Grid Drywall Firewall 24112 Wire Lath Pool Steel Pool Deck Final Pool Final Fence Screen Enclosure Driveway Driveway Base Tin Cap J Roof in Progress Mop in Progress Final Roof Shutters Attachment Final Shutters Rails and Guardrails ADA compliance DOCUMENTS Soil Bearing Cert Soil Treatment Cert Floor Elevation Survey Reinf Unit Mas Cert Insulation Certificate Spot Survey Final Survey Truss Certification STRUCTURAL COMMENTS WINDOWS & DOORS INSPECTION DATE INSP Attachment FINAL PUBLIC WORKS INSPECTION' DATE INSP Excavation FINAL ELECTRICAL INSPECTION DATE INSP Temporary Pole 30 Day Temporary Pool Bonding Pool Deck Bonding Pool Wet Niche Underground Footer Ground Slab Wall Rough Ceiling R Rough44_72,... 7 3y/ `g Telephone Rough Telephone Final TV Rough TV F(nal Cable Rough Cable Final Intercom Rough Intercom Final Ala. m Rough Alarm Final Fire Alarm Rough Fire Alarm Final �% Service Work With J �/ '— FINAL i/ .r/J COMMENTS r ,f ELECTRICAL li .OPt ..- '/ 1Z* • INSPECTION DATE INSP Rough Water Service 2nd Rough Top Out Fire Sprinklers Septic Tank Sewer Hook-up Roof Drains Gas LP Tank Well Lawn Sprinklers Main Drain Pool Piping Backflow Preventor Interceptor Catch Basins Condensate Drains HRS Final FINAL PLUMBING COMMENTS MECHANICAL Underground Pipe Rough Gr --id Ventilation Rough Hood Rough Pressure Test Final Hood Final Ventilation Final Pool Heater Final Vacuum Final Sprinkler MECHANICAL COMMENTS