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MC-18-1215
k Permit NO, MC-5-18-1215 o,� Miami Shores Village Permit Type:Mechanical-Commercial 10050 N.E.2nd Avenue NE ellPri ' WOrk Cias5fiCatiorj.'AIC Replacement Miami Shores,FL 33138-0000 Permit Status:APPROVED Phone: (305)795-2204 Fr0iDp Issue Date:5/23/2018 Expiration: 11/1912018 Project Address Parcel Number Applicant 725 NE 91 Street Number: 3-D 1132060440170 1 RENE&MARIBEL MEDINA Miami Shores, FL Block: Lot: Owner Information Address Phone Cell RENE&MARIBEL MEDINA 725 NE 91 Street (305)812-7493 MIAMI SHORES FL 33138- 725 NE 91 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 2,400.00 GARP CONSTRUCTION GROUP INC (305)506-5068 _..._, _ ..,_. ..... .� Total Sq Feet: 0 Tons:2 r Available Inspections: Additional Info:REPLACE A/C UNIT Inspection Type: Classification:Commercial Final Approved:In Review Review Mechanical Comments: Date Approved:: In Review Date Denied: Type of Work:REPLACE A/C UNIT Scanning:3 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.80 DBPR Fee Invoice# MC-5-18-67460 $2.00 05/23/2018 Credit Card $67.80 $50.00 DCA Fee $2.00 Education Surcharge $0.60 05/07/2018 Credit Card $50.00 $0.00 Permit Fee $100.00 Scanning Fee $9.00 Technology Fee $2.40 Total: $117.80 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunderin compliance with all ordinances and regulations pertaining thereto and in strict conn r ity with the plans,drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume r sp sibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRI PLU I MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFI I ce at all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction a ning. F more, I authorize the above-n med contractor to do the work stated. May 23, 2018 Aut ized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy May 23, 2018 1 i Inspection Worksheet Miami Shores Village. 10050 N.E.2nd Avenue Miami Shores, FIL Phone: (305)795-2204 Fax: (305)756-8972 i Inspection Number: INSP-303478 Permit Number: MC-5-18-1215 Scheduled Inspection Date: May 24, 2018 Permit Type: Mechanical'- Commercial Inspector: Perez,JanPierre Inspection Type: Final M Owner: MEDINA, RENE& MARIBEL Work Classification: A/C Replacement Job Address:725 NE 91 Street 3-D Miami Shores, FL Phone Number (305)812-7493 Parcel Number 1132060440170 Project: <NONE> Contractor: GARP CONSTRUCTION GROUP INC Phone:,(305)506-5068 Building Department Comments REPLACE A/C UNIT Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction Needed Re-Inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid. 3 r t May 23,2018 For Inspections please call: (305)762-4949 Page 14 of 26 Miami Shores Village ` RECEIVED ry� Building Department S`v` �� 10050 N.E.2nd Avenue, Miami Shores,Florida 33138 MAY 0 7 2016 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 (� FBC 20f::� II BUILDING Master Permit No. M(` l2k C PERMIT APPLICATION sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [:]RENEWAL ❑PLUMBING EAMECHANICAL [:]PUBLICWORKS [:] CHANGE OF [] CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS I JOB ADDRESS: City: Miami Shores County: ! Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: l ,, ,� •Flood Zone: BFE: n K12- OWNER: j7, '�/� Ute- �V�— Phone#: /V 0 Z, OWNER:Name(Fee SiF.mple Titleholder): 1 �K (/l.te Address,: � "✓ k) ,F- f 'S+ --tt - 4 City: f� 0�.( 1.0 ^�S State: ��— Zip: 373 I O Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: Vr-- li (JYl kPhone#: Address: Lj Y0 •T City: r State: �..— Zip: / 2 Qualifier Name: ��\�/1 QQ r Q, 7i Phone#: Y(G��% State Certification or Registration#: Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: C/ L/ City: State: Zip: Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: ElAddition ElAlteration El New aRepair/Replace ❑ Demolition Description of Work. c�Y) i Specify color of color thru tile: Submittal Fee$ Permit Fee$ t1 i CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) i I Bending CBmpany'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, I 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 attachm t. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first-inspection which cur se en (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be appro a and r inspection fee will be charged. t Signature Signature OWNER or AGENT CON ACTOR The foregoing instrument was acknowledged before me this The foregoing instru ent w s acknowledged before me this 2-74day of ✓► 20 I R by day of n 20 0 by �Jke �h-�Q who is personally known to �7�Wt�-!�L?�Q.2 who is personally known to me or who hasp as me or who has produced r.�Nir'i�"'••,, FERNANOOARIASJR •••'Nr' •••,, FERNANDOARIASJR identification an v� ' taktlo�+ry�'aQ6c.-State otFlorida identification and who di t dtlNotaryPublic-StateotFlorida Commission#GG 17 t ion#GG 179009 NOTARY PUBLIC. �<< . My Co ay 19,2022 NOTARY PUBLIC: My Comm.Expires May 19,2022 �d throoyh National Note Asan. gond tional Notary Assn. Si l S' n: Print: c�✓' �.—�dD Prin : —fir Seal: Seal' , **r****r*****s*****r***r***********�***r*�r• ***************s*****�************r***>«***sr**�**s******s***** i APPROVED BY (/ 'PI s Examiner Zoning Structural Review Clerk (Revised02/24/2014) 5/3/2018 Property Search Application-Miami-Dade County —aRTIYR 'w APPRAISER 0 F22 F I C" E "'F THE PROPEi j Summary Report Generated On:5/3/2018 Property Information Y r f Folio: 11-3206-044-0170 Property Address: 725 NE 91 ST UNIT: 3D { °' 3 Miami Shores,FL 33138-3243 r �`�• Owner MARIBEL MEDINA '' RENE MEDINA 1507 SW 143 PLo, Mailing Address , MIAMI,FL 33184 USA xe — 5000 HOTELS&MOTELS- 4' PA Primary Zone � . .� � � � �'�•_ GENERAL `' �f Prima Land Use 0407 RESIDENTIAL-TOTAL VALUE *� ry :CONDOMINIUM-RESIDENTIAL Beds/Baths I Half 0/0/0 Floors 0 Living Units 0 Actual Area Sq.Ft '` -0 Aerial eh of aphy ` Living Area 672 Sq.Ft Taxable Value Information Adjusted Area 672 Sq.Ft 20171------7 2016 2015 Lot Size 0 Sq.Ft County Year Built 1949 Exemption Value $0 $0 $0 Assessment Information Taxable Value 1 $101,282 $92,075 $73,660 Year 2017 2016 2015 School Board Land Value $0 $0 $0 Exemption Value $0 $0 $0 Building Value $0 $0 $0 Taxable Value $101,283 t $92,075 $73,660 XF Value $0 $0 $0 City Market Value $101,283 $92,075 $73,660 Exemption Value $0 $0 $0 Taxable Value $101,282 $92,075 $73,660 Assessed Value $101,282 $92,075 $73,660 Regional Benefits Information Exemption Value $0 $0 $0 Benefit Type 2017 2016 2015 Taxable Value $101,282 $92,075 $73,660 Non-Homestead Cap Assessment Reduction Sales Information Note:Not all benefits are applicable to all Taxable Values(i.e.County,School Board,City,Regional). Previous OR Book- Sale Price PageQualification Description Short Legal Description 10/08/2015 $115,000 29814-1534 Qual by exam of deed SHORES PLAZA EAST CONDO 12/05/2014 $100 29431-3895 Corrective,tax or QCD;min UNIT 3D-2ND FLOOR consideration UNDIV.01786%INT IN COMMON 11/07/2011 $100 27928-0203 Corrective,tax or QCD;min consideration ELEMENTS 03/01/2002 $30,000 20275-3121 Sales which'are qualified CLERKS FILE 73R 213197 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: I t t i l OR 193 ` Miami Shores Village � Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 N� R Tel: (305)795.2204 oRmp Fax:(305)756.8972 AIR CONDITIONING REPLACEMENT DATA r PERMIT NUMBER: MC i This form must accompany ALL air conditioning replacement permit applications. Each unit change-out must be on its own data sheet. Multiple units on single sheets are not acceptable. 1 Job Address(where the work is being done): City: Miami Shores Village County: Miami Dade Zip Code: ALL CONDENSING UNITS MUST BE ON A 4 INCH SOLID CONCRETE SLAB ALL UNITS MUST COMPLY WITH F.E.M.A MINIMUM FLOOD ELEVATION A COPY OF THE CONTRACT IS REQUIRED WITH ALL SUBMITALS AHRI DATA SHEET REQUIRED I Change disconnecting means:YES❑ NOX ARHI Sheet Attached:YES ❑ NO ❑ Contract Attached:YES ❑ 3 UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER AHU or PKG. UNIT MODEL# N E A 2 — COND.UNIT MODEL# �(i �FQ ( 1 b ic�v KW HEAT kW NOM TONS AHU CU PKG 1)M.C.A AHU CU PKG AHU CU PKG 2)M.O.P AHU CU PKG AHU CU PKG 3)VOLTS AHU CU PKG PKG UNIT / / PKG UNIT EER/SEER / y YES 0 REPLACING DUCTS YES YES NO REPLACING THERMOSTAT YES NO YES NO NEW 4"CONCRETE SLAB YES YES NO NEW ROOF STAND" YES Qw YES NO NEW RETURN PLENUM BOX YES 0 1. Minimum Circuit Ampacity(Wire Size): �• 2. Maximum Overcurrent Protection (Fuse/Breaker Size): �© 3. Voltage of Circuit(208/240/480): a�o 4. Size Disconnecting Means: J !_ Contractor's Company Name: ���,,00 �t1 1 Phone: � (/ State Certificate or Re tration o M_ �( Nej Z Certifica a of Co petency No. Signature \111- - 40, Date: ualifier's gnature) (Revised02/24/2014) Ilse Slsau� r�<aga �' t eoadow4r&m t44mtatt w. lire. 745 North East 91 n Street Miami Shores, FL 33138 30S-7S9-9069/; ,------------ E-MAIL 05-759-9069/; - - _---E-MAIL•spel23@att.net j May 3, 2018 Miami Shores Village } Building Dept. 10050 NE 2nd Avenue Miami Shores, FL 33138 Dear Sir/ Madam, This letter will serve as your confirmation, that Garb Construction Group has been contracted by the owner of unit 31), at 725 NE 91 Street, Miami Shores, Florida, 33138, and it is fully authorized by the Board of Directors of the Shores Plaza East Condominium Asso., to perform work in replacing "A/C Compressor Unit" at said apartment. Should you desire any additional information, please feel free to contact our office at your earliest convenience. l Sincerely yours, `OCarra za Treasurer Shores Plaza East Condominium Asso. cc: file ^ 5/7/2018 Detail by Entity Name t jf Uf T i De artrm nt of State / Division of Corporations / Search Records / Detail By Document Number / i Detail by Entity Name Florida Not For Profit Corporation SHORES PLAZA EAST CONDOMINIUM, INC. Filing Information Document Number 726432 FEI/EIN Number 59-0597536 Date Filed 05/17/1973 State FL r Status ACTIVE Principal Address 745 N.E. 91ST ST MIAMI SHORES, FL 33138 Changed: 04/26/2012 Mailing Address 745 N.E. 91 ST ST MIAMI SHORES, FL 33138 Changed: 04/26/2012 Registered Agent Name&Address ZARAGOZA, OSCAR 745 NE 91ST ST MIAMI SHORES, FL 33138 Name Changed: 04/26/2012 1 # Address Changed: 04/26/2012 Officer/Director Detail Name&Address i 1 Title PD DE ROJAS, JORGE 9140 NE 8TH AVE, APT 4H MIAMI SHORES, FL 33138 t ` � r E Title VD r r TALAVERA. CARLOS http://search.sunbiz.org/Inquiry/CorporationSearcWSearchResultDetail?i nqui rytype=EntityName&di rectionType=lnitial&searchNameOrder=SH OR ESPLAZAE... 11/3 5/7/2018 Detail by Entity Name 726 NE 92ND ST,APT 7L I, MIAMI SHORES, FL 33138 r ' Title TD - ZARAGOZA, OSCAR 726 NE 92ND ST, APT 1L MIAMI SHORES, FL 33138 Title SD WARD, DAVID 488 NE 90 ST EL PORTAL, FL 33138 Title D OCAMPO, DAVID 755 NE 91 ST 4F r MIAMI SHORES, FL 33138 i $ Annual Reports t Report Year Filed Date 2016 04/19/2016 2017 04/26/2017 2018 04/27/2018 C Document Images 04/27/2018--ANNUAL REPORT View image in PDF fo€mat j _... ..... ...... ..: 04/26/2017--ANNUAL REPORT View image in PDF format .... 04/19/2016—ANNUAL REPORT View irnage in PDF format . 04012015—ANNUAL REPORTView image in PDF format i .-. __.__.. ._._....._-_............_............_._...... � CA/29/2014--ANN ALREPORT View image in PDF format 0510112013--ANNUAL REPORT, View image in PDF format 04,•'2612012--ANNUAL REPORT View image in PDF format 04/28.'2011—ANNUAL REPORT. View image in PDF fonnat 04/27/2010--ANNUAL REPORT View inmage in PDF format 04/20/2009--ANNUAL REPORT View image in PDF format 1 05/01/2.008--ANNUAL REPORT View image in PDF format f 04/27/2007--ANNUAL REPORT View image in PDF format t __ _. 02/11/2006--ANNUAL REPORT: View itnage in PDF format .. ....,._....... 05/02/2005—ANNUAL REPORTView image in PDF format j ........................:....................................................................................... ........: 09122/2004--ANNUAL REPORT View image in PDF format i ......................................._.....7-............. ...................................... ..........i 0412112004--ANNUAL REPORT View image in PDF format 001,124/2003—ANNUAL REPORT View image in PDF format 04/211/2002--ANNUAL REPORT View image in PDF format ._.. ._.. .... .................. 1 t. 05/14/2001—ANNUAL REPORT View image in PDF fonnat _ .......... ..................... ............................... l 03i20/2000--ANNUAL REPORT View image in PDF format http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResu]tDetai I?inqui rytype=EntityNam a&di rectionType=Initial&searchN ameOrder=SH OR ESPLAZAE... 2/3 l 09RTIFICAT9 OF WARILITY IIa URANG _h�T 1 uI t TIO 44I1TIFIRATR 4-14-699-9 AI-A MATTI✓R AF INFAI-MA319A-- 'f-MA 9-ARTIFIAAT9 WOW T14111 9-PATIFiRATR 909,111 NAT AFFIRMATIV90 @R N919ATIV90 AMP, 99T9NA AIt &TPR TM9- RAURFIARR AFFMAP RY U9 PQW@IR§ 94-AW: THIP RRI1tTIFIRATR OF INMAN1519 PAPA NAT RA OTUTR A RANTRART ARTWUN THR I4AWIN@ INAWRA1(9), ANTHWAR 89-RIMUNTATIV9 OR RUPURPRI ANA TH9 RRIasTIMPATR 1,1009-8, IMRAfdTANT�If 1fl t Ii9I�I� it;ofl AAAITIQNA1,7NURRA,flip 01 —a- I- -)h ht h�~r�AAAITIANA6 INR�Jt .F rJ If AIJr�RMATIAN IA WAIM,uhjuf 0 the fgftt3§,Ing eAndifiAng of Eh0 pAi�A ) Fo in palipj85 moor fAquirs An Rnzr"umsu A I30monf en t a a anifiam hal4ofa xW mil MM F&FRO i00RANC,IN(,, �� ... ....._. ... wI47 MIAMI r R AN(4TRA40 ilwfIPM440"3illl:f ti3 I6ARR(fON5TRW6TiON OWUP 1N(; - 4157 W fA§T;6WITR A _ t114FAJ1 Fh `lIl FFIN 4§W90 Tttl�l� Tca��RTIr=Y Ttl/�T rlA rA�J±�Ifl�r�FiN�I�R�N���:a�i�R c����rih!119+1�T���N Iq�N�y-Tfi Thi INpt�F�i�C1l�M�A���+K flAfi Tli�flit-i�'Y P�hl�►� INAICATAW NP7WITh0TANPJNt9 ANY RIEQWJRF.MP4T, TERM OR €f)NAID N fif ANY iN)KI IT OR OTHFR PI-)POW WITH RWPAT TO Whigii THA CARTIFIAATA MAY dA IAAIJ�P OR MAY PgRTAIN, Dig, IN0IJRAN9P AFFQRDFP AY VIP 1300PI9.4 AFWRIA90 HERRN 14 AWA04T TQ 4j—_Thp TFRMA, F-A0 4640Nt1 ANA 44INAITI06O OF Aut'ti P410144:I-IMITO 00 WN WY HAVIE AP9N RiEWA1EA AY PAJQ 4-AIMP, TYRE CSF I t A -. :d r.Ai,AMEi3r-iIPJ_txFtl�R/�L y/aHINTY - f - + Atls3 T El -- i c �.As�f„FIFcr pEl�b4atT AFM4�i FERi c _ _, v....__ _.... _._. rt7LJGYJl Ci LssDUc;Pd-_ MAish�M3' Ai1Tl�Aii�fblif ilAiililfi+t —__ . r 1 - .___ AMYANTO ADIKYINJURY IparwaAw) 4 lhll l�S3l i6 Y ps�af� o WIN �'I"R'/(P1f AE4019) i HI -D NcERN) 'VITIA CKY AIJT0F3 GNI Y $ UMBRELLA LiA[i LIP.CUR _ EACH t7WJURit - EXCESS UM C!AIMS*AAQE )VU)REAAfi OEo 1MMORKERiCfJMPENSA1Y0N - -AND EMPLOYERS'LIABILITY ANY PROPRIETOWARTNI R/E%EG9JTIVE � E.E.L.EACH ACCIDENT $ 1,000,000.00 A OFFiCERl1AEMER E IMMO9 L�J N/A 60436409 6/14/2017 6/14/2018 �Mw)dmry in NH) E.L_DISEASE-EA EMPLOYEE $ 1,000,000,00 MARCF IIOPERATIONS below E.L.DISEASE.POLICY LIMIT $ 1,000,000.00 I DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Addftlonal Rs+narks ShcedWe,mey be anached If nwfe apace is fequlred) CACIS17062 I I CERTIFICATE HOLDER CANCELLATION MIAMI SHORES HALL BUILDING&ZONING SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 10050 NE 2ND AVE THE EXPIRATION DATE THEREOF, NOTICE WILL BE OELIVEREO IN ACCORDANCE WITH THE POLICY PROVISIONS. -MIAMI SHORES FL 33138 AUTHORIZED REPRESENTATIVE Phone Number: (305)'795-2204 Q 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 26(2016103) The ACORD name and logo are registered marks of ACORD Proof of Coverage Page 1 of 1 1 JIMMY PATRONIS +- OFFICER WC 4lobile App WVC Home Search Our Data CFO Home Employer List Page This database was last updated Tuesday,May 15,2018 12:10 ANI. l II Return to Search Page Federal Employer ID Number Information 1 records found for federal employer id number 453809986. Click the links below the Employer Name column for more detailed information. Record !Employer Name !Employer Address �Cav lExem Eiec __.._._.__._._...__..._._.__..........._..........................................._............__.._...__..........._. ......_. _...— ..._---.._.......__..._.......__..........__..._......._..__....._..............__..........._..._..... 1 GARP CONSTRUCTION GROUP INC 7530 SW 36TH ST,MIAMI,FL 33155 Cov Exem 1 records found for federal employer id number 453809986. { 1 Return to Search Page 4 t 1 } 7 i h l t 3 1 { k https://apps8.fldfs.com/proofofcoverage/EmployerList.aspx 5/15/2018 i 1 , Proof of Coverage Page 1 of 1 t JIMMY PATRONIS FLORIDA'S CHIEF FINANCOFFICER WC'vlobile.App 45•'C ltotne search Oils Data t C;FO Monte Employer Detail Page E This database was last updated•i•uesday.May 15,2018 12:10 AM. Carrier Location Information Return to Search Page z Employer Information Employer Name Employer Type NAICS Code IGARP CONSTRUCTION GROUP INC (CORPORATION 1238160 1 Coverage History Governing Class Effective Detailed Coverage Carrier Office Policy Number. Wrap Code" Date Information Up I 05551 Jun 14 2017 Detailed Coverage FLORIDA WC JOINT 6FR13UB6G43649917 NO ` Information UNDERWRITING ASSOC 17 05551 Jun 14 2016 Detailed Coverage FLORIDA WC JOINT 6FR13UB6G43649916 NO Information UNDERWRITING ASSOC "Represents the Governing Class Code associated with the Named Insured on the policy, as reported by the Insurance Carrier,and is not validated as correct. { Exemption Listings Exemption Holder Name-Click on the name(s)below to view more detailed information FERNANDO ARIAS JAVIER A PEREZ ARIAS, RONNIE ARIAS SERGIO A LUJAN Owner Election Listings No Owner Election of Coverage Listings -........-----.....__.._._ ..l Employer Name History Employer Name Name Type Change Date IGARP CONSTRUCTION GROUP INC I Legal (Current Return to Search Page t d a I I ` r https:Happs8.fldfs.com/proofofcoverage/EmployerDetail.aspx?EmpID=000376309 5/15/2018 Proof of Coverage Page 1 of 1 JIMMY PATRONIS FLORIDA'S F FINANCIAL OFFICER WC;Mobile App WC;Horne Search Onr Data CFO l�lonic 1 Exemption Detail Page This database was last updated Tuesday,May 15,2018 12:10 AM. • � r Return to Previous Page a Exemption Details Name Title Effective Date *Termination Date Exemption Type "Business Activities Employer Name JAVIER•A.PEREZ—� ? Click Here to View GARP ARIAS Mar 8 2018 Mar 17 2020 i Construction Activities Listed on CONSTRUCTION Exemption GROUP INC 1 JAVIER A PEREZ ; Click Here to View GARP ARIAS. VP Mar 18 2016 Mar 18 2018 Construction Activities Listed on CONSTRUCTION 1 Exemption GROUP INC ..._—.__...__.._......._..... ._._...-.---......................._....._....._.........._..._............_._....._..................---._........._...--'--..__...._...---.._..-'--"---_..........._._.............._......._._......................._._.............. JAVIER A PEREZ Click Here to View GARP ARIAS VP Jul 9 2014 Mar 18 2016 Construction Activities Listed on CONSTRUCTION Exemption GROUP INC JAVIER A PEREZ Click Here to View GARP ARIAS VP Mar 12 2014 Jul 9 2014 Construction Activities Listed on CONSTRUCTION Exemption GROUP INC i JAVIER A PEREZ Click Hereto View GARP ARIAS VP Mar 12 2012 Mar 12 2014 I Construction Activities Listed on CONSTRUCTION Exemption GROUP INC *Termination may be through the revocation of the exemption,or expiration of the exemption. I r **The exemption only applies to the business activities listed on the exemption. t r Return to Search Page • r i I https:Happs8.fldfs.com/proofofcoverage/ExemptionDetail.aspx?pr_person_id=002279904 5/15/2018