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RC-17-1528 (2)Project Address Miami Shores Village 10050 N.E. 2ncf Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Permit Permit NO. RC -6-17-1528 Permit Type: Residential Construction Work Classification: Alteration Permit Status: APPROVED Issue ,Date: 711412017 Expiration: 01/10/2018 Parcel Number Applicant 1055 NE 105 Street Miami Shores, FL 1122320280810 Block: Lot: NAKUL JATHAR Owner Information Address Phone Cell NAKUL JATHAR 1055 NE 105 Street MIAMI SHORES FL 33138- Contractor(s) DANTES CONSTRUCTION CORP. Phone (305)900-4707 Cell Phone Valuation: $ 30,150.00 Total Sq Feet: , 0 Approved: In Review Comments: Date Approved: : In Review Date Denied: Type of Construction: REMODEL Stories: Front Setback: Left Setback: Bedrooms: 3 Plans Submitted: Yes Certificate Date: Bond Return : FOYER AREA INCLUDIN Occupancy: Single Family Exterior: Rear Setback: Right Setback: Bathrooms: 2 Certificate Status: Additional Info: Classification: Residential Fees Due Bond Type - Owners Bond CCF CO/CC Fee DBPR Fee DCA Fee Education Surcharge Permit Fee Plan Review Fee (Engineer) Scanning Fee Technology Fee Total: Amount $500.00 $18.60 $50.00 $13.57 $13.57 $6.20 $904.50 $120.00 $30.00 $24.80 $1,681.24 Pay Date Invoice # 07/14/2017 06/08/2017 Bond #: 3454 Pay Type RC -6-17-64258 Credit Card Credit Card Amt Paid Amt Due $ 1,631.24 $ 50.00 $ 50.00 $ 0.00 Available Inspections: Inspection Type: Final PE Certification Window Door Attachment Framing Insulation , Drywall Screw i Window and Door Buck Fill Cells Columns Review Electrical Review Electrical Review Planning Review Building Review Building Review Building Review Plumbing Review Structural Review Mechanical 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 construction and zoning. Fu re, I authorize the above-named contractor to do the work stated. Authorized Sign. re: Owner / Applicant / Contractor / Agent Building Department Copy July 14, 2017 Date July 14, 2017 1 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 _1 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20 1L BUILDING Master Permit No. 1 S28 PERMIT APPLICATION Sub Permit No. • BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑ PLUMBING ❑ MECHANICAL ❑ PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 1055 NE 105th St City: Miami Shores County: Miami Dade Zip: Folio/Parcel#:11-2232-028-0810 Is the Building Historically Designated: Yes NO X Occupancy Type: Load: Construction Type: Flood Zone: X BFE: FFE: OWNER: Name (Fee Simple Titleholder): Nakul Jathar Phone#: 301 461 9823 Address: 1055 NE 105th St City: Miami Shores State: FL Zip: 33138 Tenant/Lessee Name: Phone#: Email: nik.jathar@gmail.com CONTRACTOR: Company Name: Dante's Construction phone#: 305 900 4707 Address: 1521 Alton Rd #138 City: Miami BeachState: FL Zip: 33139 Qualifier Name:00t NAS, t. /110-t4 .-IVES..-- Phone#: i State Certification or Registration #: C SG -ISE -32-9'3 Certificate of Competency #: DESIGNER: Architect/Engineer: J. Bonfill & Associates Phone#: 305 598 8383 Address: 7100 SW 99th Ave, Suite 104 City: Miami State: FL Zip: 33173 Value of Work for this Permit: $ 1`6,956 301 fS Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New - • Repair/Replace ❑ Demolition Description of Work: 1) Remodel foyer area including replacing entry door, replace tiling with wood flooring and adding lighting 2) Remodel kitchen including cabinets, appliances, lighting and new flooring 3) Remodel 2nd bathroom including shower, sink and tiling 4) Remodel master bathroom lighting 5) In master bedroom remove window, add french doors. 6) Change to wood flooring in family room. See contractor invoice and engineer plans for specific details on all remodeling Specify color of color thru tile: q Submittal Fee $ Permit Fee $ `0 ' CCF $ �c(:3 CO/CC $ `cks Scanning Fee $ `3 011- C / Notary $ �z� Technology Fee $ �`t' ' Training/Education Fee $ G • 2.0 Double Fee $ N Structural Reviews $ 120 - d Bond $ c O • CC) f TOTAL FEE NOW DUE$ t31 2 L-1- 63 Z'4 (Revised02/24/2014) Radon Fee $ (3 • DBPR $ 13 • S-1 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 applicable laws regulating construction and zoning. in compliance with all "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. OWNER or AGENT Signature CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 7 day of 0441X— , 20 / 7 L, by NA c (41 7.31414 , who is personally known to me or who has produced K, . as me or who has produced 1)i day of Tit,e PflJChaul • C*ed'inek identification and who did take an oath. , who is pe identification and who did take an oath. NOTARY PUBLIC: ``�ttt11111i/1pli NOTARY PUBLIC: tis� WIATT/S0 .1'7 Sign: • � g . 0... Sign: Print: Th0i"he4 1'%7x1 :o a Print: Tho" €S iturts+�6a)) Seal: •* •fie;., Seal: •10...•-•1°N4„„ As` •' ,4 *s**********s*********s******* s*************************s********s************ **** [311 APPROVED BY (Re,ised02/24/2014) Plans Examiner , 20 I i g— by onally known to as ************** / 3//)ning Structural Review Clerk Local Business Tax Receipt Miami—Dade County, State of Florida -THIS IS NOT A BILL - DO NOT PAY 7188026 BUSINESS NAME/LOCATION DANTES CONSTRUCTION CORP 1521 ALTON RD #138 MIAMI BCH, FL 33139 OWNER DANTES CONSTRUCTION CORP C/O MICHAEL CARDINALE PRES Worker(s) mHZI RECEIPT NO. RENEWAL 7469088 SEC. TYPE OF BUSINESS LBT EXPIRES SEPTEMBER 30, 2017 Must be displayed at place of business Pursuant to County Code Chapter 8A - Art. 9 & 10 196 GENERAL BUILDING CONTRACTOR 1 CGC1523273 PAYMENT RECEIVED BY TAX COLLECTOR 45.00 09/13/2016 0222-16-008427 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 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 8a-276. For more information, visit www.miamidade.gov/axcollector ZE8L0006Z80911 # 03S MV1 A8 a HI1103Z1 SV AV1dSIa 91.0Z/6Z/90 :anssi Ltd-££ 1d HOV38 IWt�IW Z# 31S 3fN3nd11O88VVE8L dHOO NOILOflw_SNOO S31NVO SV1OfOO 13VHOIW `31VNIOHVO 602 `L£ Jnv •elep uo1lealdx3 Sd 68V ialdeg0 4o suOIslnoad ayl aapuN a31dIm O SI Molaq PeweN 2JOlOVe±NO0 '1V2IRN2O 3111 Z139Wt1N 3SN3311 08V08 ONISN3OI1 A211SlaNI NOLLOMAISNOO NOI.V1fO32! 1VNOISS3d021d ONV SSJNISf18 JO 1N3W1NVdJa VOINOld AO 31VIS ALIVI3LIOBS 'NOSMV1 N3> NONH3AO9 '11OOS NON ACC) RCP' MICHCAR-02 MPROVENZO CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 06/07/2017 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 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 endorsement(s). PRODUCER License # 1001090 Commercial Insurance.NET LLC 2420 Springer Drive Suite 100 Norman, OK 73069 CO TACT E, PHONE (A/C, No, Ext): (877) 907-5267 FAX No):(405) 366-8817 EMAIILS Certs@commercialinsurance.net INSURED Michael Cardinale DBA Dantes Construction Corporation 1521 Alton Rd. #138 Miami Beach, FL 33139 INSURER(S) AFFORDING COVERAGE INSURER A: United Specialty Insurance Company INSURER B : NAIC # 12537 INSURER C : INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE 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 POLIC ES 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 ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYYI POLICY EXP (MM/DD/YYYY) LIMBS A X COMMERCIAL GENERAL LIABILITY X SI11003B16025-01 07/13/2016 07/13/2017 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR PREMISES tEaEoaut nce) $ 50,000 $ 5,000 MED EXP (Any one person) PERSONAL & ADV INJURY $ 1,000,000 GEN'L X l 1 AGGREGATE LIMIT APPLIES POLICY r 1 aECT OTHER: PER: LOC GENERAL AGGREGATE ' $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ AUTOMOBILE 1 LIABILITY ANY AUTO OWNED AUTOSEONLY AUTOS ONLY SCHEDULED AUTOS p AUTOS ONLY COMBINED SINGLE LIMIT (Ea.acidont) , $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ $ (Peri accRidentDAMAGE $ I UMBRELLA UAB EXCESS LIAB — OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE I $ DED RETENT ON $ $ WORKERS COMPENSATIONPER AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If es, describe under DESCRIPTION OF OPERATIONS below Y / N N / A I STATUTE OTH- 1 ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ I DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Addkional Remarks Schedule, may be attached If more space is requi ed) CGC 1523273 I Certificate Holder is named as additional insured in respects to general liability per written contract requirements. i CERTIFICATE HOLDER CANCELLATION Miami Shores Village 10050 NE 2 ave. Miami Shores, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DEUVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD $ 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: 11/17/2015 PERSON: FEIN: CARDINALE 473077098 BUSINESS NAME AND ADDRESS: DANTES CONSTRUCTION CORP 5305 BISCAYNE BLVD. #109 MIAMI FL SCOPES OF BUSINESS OR TRADE: LICENSED GENERAL CONTRACTOR EXPIRATION DATE: 11/16/2017 MICHAEL D 33137 Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt... apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS? (850)413-1609 Dr:ANTES —CONSTRUCTION— Date: June 7, 2017 State of: Et 04 County of: N6 Before me this day personally appeared ry‘..0100 CgYd'1�,41 ' Who, being duly sworn, deposes and says: That he or she will be the only person working on the project located at o5 N. E l05.0-1 Si- r i ,>-; S)iaYPs,t1, 3713$ Sworn to (or affirmed) and subscribed before me this q1 day of ZN re , 20 t '7 by 'jlln•ss bvevisoa Personally known OR Produced identification Type of identification produced oc`111e4w l , Print, Type, or Stamp Name of Notary Dantes Construction Corp. 1521 Alton Rd. #138 Miami Beach, FL 33139 michael@dantesconstruction.com p 305 900 4707 Miami Shores Village Building Department 10050 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. Signature: Owner State of Florida County of Miami -Dade The foregoing was acknowledge before me this 01 day of SH vat , 20 t ' t . Na 1.11 SaAar By who is personally known to me or has produced •PVrso rM ki h>ewe as identification. Notary: The rrms rr3 ++--So SEAL: ``otittIIIIII// is Marr " `, X:.),. .'r 4574,30.2p s • � $ DfRNTES Invoice —CONSTRUCTION— { Date May 30, 2017 i Invoice # 8900/-1� To: NQV' ' �i a4-hiar Address: 1055 NE 105 St. } Miami Shores FL 33138 Item # Description Total 1 General conditions. Submit permit application to city. Protect all client property from damage/contamination. 2 Remove existing front entry door and wall section per plans. Remove floor tile at existing front porch. Remove exterior face of existing CBS walls at new reinforced filled cells Remove interior partition and section of kitchen ceiling. Remove existing windows in master bedroom. Remove section of existing CBS wall in master bedroom. Provide (1) 20 cu/yd. on-site dumpster for disposal of debris. 3 Provide and install temporary shoring and bracing for structural support during construction per plans. 4 Provide and install new W 10 x 19 steel beam in kitchen per plans. { 5 Provide and install new reinforced masonry columns, new CBS wall sections, new filled cells, and new reinforced concrete beams per plans. Provide and install stucco finish to match existing. 6 Provide and install new reinforced concrete slab per plans. 7 Provide and install new wood framing and plywood soffit in foyer per pans. 7 Provide and install new wall furring, foil -faced rigid foam insulation, and 5/8" drywall and plaster (level 4 finish) in foyer per plans. Patch all holes to match existing ceiling/wall finishes, interior and exterior. 8 Provide and install new wiring and devices in foyer and front entrance. 9 Provide and install new mechanical ductwork and registers per plans. 10 Final clean-up, general labor. f All work is fully licensed and inured Client is responsible for all permit fees. 1 I Thank you for your Business! Dantes Construction Corp. 1521 Alton Rd. #138 Miami Beach, FL 33139 michael@dantesconstruction.com Total: { $ 15,950. p 305 900 4707 • DIRNTES —CONSTRUCTION— Date: May 30, 2017 Invoice#: 8900 To: 0-4}heir Address: 1055 NE 105 St. Miami Shores, FL 33138 Payment Terms are as follows: $ 5000. Due upon contract acceptance. $ 4000. Due within 14 days from project commencement. $ 4000. Due within 21 days from project commencement. $ 2950. Due upon final inspection $ 15950. Total Client is responsible for all permit fees. Client Sign Here: X /0AA-(7- Print Name / Title: X /JGOV- i.-\ i �% w Contractor Sign Here: X Print Name / Title: X Michael Cardinale, president Thank You for Your Business! Date: It \ 2 17 Date: 6/29/2017 Dantes Construction Corp. 1521 Alton Rd. #138 Miami Beach, FL 33139 p 305 900 4707 michael@dantesconstruction.com { ALITY Dpp QDD ,,DES1G Sold To: QUALITY DOOR DESIGN, CORP. SALES &SERVICE SHOWROOM 9838 S.V. 40th Street • Miami, FL 33165 Ph: (305) 229-0229 • Fax: (305) 229-7373 QualityDoorDesign@yahoo.com Name: de nn i r Alf, / KLI t lC(*ia( Address: 1 D55 N •G• 1 O.5" ..ST. ciiyfll t A Irl i Si orb) st: ri� _zip: -J 3` Ph,:3D5.32I- lQF• Cell: t:' 4c fiL Y�t&iJQitN(-M(tt.0 fle---01\A t:op WORK ORDER Date: 1'1 2111 Page #:_ Time: RECEIVED JU6 6 2011 QTY UM . -1 *DESCRIPTION / ITEM # PRICE DISC t AMOUNT 1 2 MOOCI 1Y1-le(lei titi.] N QAC,, -C- .a,r� Lf- •'° 6l'Ze''e Pit -v.t'unci 5••LtiIfrc4mc, -i1"ltji%c60tcI, 1 ge i t•;1 'int. (1 I -i gyp. Lj�1, C it*Gcttc, pry --44-Lin 1,' fi'1 Yl t r� j' 3I all g' °I " .P ubt vJ 15 Li -1-(z- boht-te. aDI►,ci wood - Irnp+ CZ'. (:11 Ct.& S 06 ...,.3 il-e- C30;J J S1 d-C," -c Lk C VI `ciC ("� (i1(_ t./ Or`ny gyp:' ?.t. , x FSO x tr 3T-�.Cc uT., i (IC eG i . i' ti)Ot l') j ,int 'i61;It '1�`; —1-aet 4 ii ium ,,-.'r1Udh t2oi.i _ (, is) ng-j-e� (.S�lcit n tt cs, S-KLi ' 1 IG` v'1G1 1 - �Ut'Ll.�il%i ` } I (a -c v...... 1,,, S ,L, , ^ �. , L iIelec, DP6,ci Ioo 1-r v.,ri•5, - .`.. 1 .1 1 n,i09C:T ' .. _ ;�,rft1fl c1ottb;1t f Gt i`f 1 r fere- ��j x �} .y I - y , Ai t - �i 14 t 1 ` }'' - , . i # . • • • •,•••• • /• 4 .•.••.• • • • • . • • • • • • • • • ••• • • 5"15lo, ..... •••• • • • • • • •• • • • • 1 til Q 6. • . • • • • •• viee ie,5 ' ,TA These prices, specifications and Payment ;Aril! be made as outline. ' 10 Authorized Signa • :„Await: . conditions set both sides of this invoice are satisfactory and hereby accepted !J U__libQ il- _ Subtotal: S'.5 (. (l (� Tax: s 1 r1(,.1 u d P a. $ r� 15 L . 1: 0 PTOTAL: ayment: $ i , ��: llatc: TOTALDU'E: $ 1 IUiqsm? f? D 'i o S USA REPLACEMENT GLASS 1606 West 31 Place • Hialeah, FL 33012 305.216.4554 CUST ACCT* FULL TO CONTR. EST. SALESMAN DATE LEGAL OWNER OF PROPERTY AJrt u J1 'ver CLASS LEGAL OWNERS MAl1NG ADDRESS JOB NAME ADDRESS PHONE JOB STREET ADDRESS CITY LOT NO. BLOCK NO. cm STATE ZIP CONTRACT NO. DATE ENTERED BR. P.0 t. FACT. W.0* DATE TO CREDIT PICK UP ONLY DELIVERY ONLY INSTALL ❑ FRAMES FIRST ❑ COMP. HOLD SCR ❑ COMP. WSCR. ❑ INSTALLATION CHARGES' TYPE NO SEA. TOTALS PERMIT FEE TERMS SUBDMSION COUNTY CONSTRUCTION LOAN 8 SERIES ! FINISH QUAN. SIZE - DESCRIPTION (GIVE al A COLOR & THICKNESS) UNIT UST TOTAL UST •••• • • • • • • •• • • • •••• • • • • •• • • 00041 • • • • • •• • .•-4• • •••• •.4. • • • • • • • • • • • ••r•• • • •• •• • ••1• • I • ••r♦• • • • • • �/� • • i • • • • • • • •• • •• • •• • •• NOTE Matenal will be invoiced upon shipment from this company's warehouse of frame and/or glass. Delivery and /or installation of screening may be withheld for convenience of customer. but this shall in no way affect date of invoice or amount due. If the amount herein is not paid when due. it shall bear interest at the highest legal rate. All costs of collection shall be paid by customer including reasonable attorney's fees. Title to materials delivered and/or installed pursuant to this order shall remain in the name of USA REPLACEMENT GLASS. until same is paid in full, and the purchaser waiver all nght to homestead and other exemption under state law applicable. USA REPLACEMENT GLASS. shall not be responsible for delay in delivery resulting from strikes. labor drfhcutties. unavailability of materials. fire or other casualty, or any cause whatsoever beyond its control_ Prices subject to change without notice. Acceptance of contract subject to approval by credit department. Contract price does not include any window and GSD installation permit fees unless stalled herein. EXTERIOR AND OR INTERIOR PERIMETER CAULKING BY OTHERS. USA REPLACEMENT GLASS SALESMAN X ACCEPTED OFFICER OF THE SELLER Ix ACCEPTED BY PURCHASER PURCHASER BY TITLE IX DATE Sales Cont act Price: Permit Fee: Installation: Delivery: Ener' Surf}l: Tat: Total: Sly Deposit Or Upon Delivery Of Nlatenai 10°e Upon PennitAppro al • •• SFDG Stone Factory Design Group 1605 W 33RD PLACE HIALEAH, FL 33012 Phone # 786 502 2385 Fak # 786 502 2386 www.sfdgusa.com Bill To JENNIFER ALE/ NAKUL JATHAR 1055 NE 105 Street JENNIFER ALE Invoice Date Invoice # 5/12/2017 2614 Quantity Description Rate Amount I 1 f 1 1 Fabrication and Installation of Counter Tops- Snow White Material Included (SM Quartz Istria Polished) Fabrication and Installation of Kitchen Cabinets Stainless Steel Baseboard• Aluminum drawers frame• Canadian Walnut ST Without Handles • •••• • • • • • • • • • •• 4!200.00 • • •5,600.00 • • • • • • I 7 • 1 • • • l•• ° •' • • • • ••• • • • •• l• •... •••• • � • • • • • • • • •• . 41.?11p•°0 • • • • :5!d00i00 - • • • • • • • • • Subtotal $9,800.00 Sales Tax (7.0%) $0.00 Total $9,800.00 Payments/Credits $0.00 Balance Due $9,800.00 1 DIRNTES -CONSTRUCTION— (305) 900-4707 CGC1523273 www. DantesConstruction.com' PROJECT ESTIMATE: PREPARED FOR: PERMIT # DATE: 1055 NE 105 ST. MIAMI SHORES, FL 33138 NAKULJATHAR RC 617 1528 5 -Jul -17 RECEIVED 1Ul 0 6:1017 •••• • • • ♦ ••1• • ••__ •• • • ••: • • •• • •• • • •••• ••3• • • • • 3 • •••• •••• •u••• 4 • • • •• •• • • • • • •••• • • • •• _• • • • item # description company materials labor contract line total ow • •• 1 GC,structural,drywall, electrical Dantes construction/Precision power 0 0 15950 15950 -- 2 plumbing Metropolitan plumbing 250 1750 0 2000 / 3 mechanical southeast mechanical service 200 800 0 1000 /24' 5 kitchen stone factory design group 8000 1800 9800 9800 _. 6 flooring/tile Lowes 1000 1000 0 2000 -- 7 front door Quality Door Design 5006 750 5756 5756 8 master bed door USA Replacement Glass 1100 350 1450 1450 ---1 10 shower glass Avery glass& mirror 600 200 0 800 ---- 11 11 paint by owner 150 0 0 150 --- 12 lighting package by owner 750 0 0 750 ,g 13 appliances by owner 4000 0 0 4000 ,J44 -- PROJECT ESTIMATE TOTAL 43656 . NOTE; THIS IS NOT AN INVOICE. THE PROJECT ESTIMATE TOTAL DOES NOT REFLECT ANY BALANCE DUE. OWNER SIGNATURE R/4xa.04MAft OWNER NAME(PRINT) •413-116017- DATE 4-13-12017DATE NTR CTOR SIGIyA UR Ott(( - Ze)(1 CONTRACTOR PRINT NAME DATE: •• • • • •