Loading...
CC-12-589Wain Miami Shores Village g Building Department 05 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 B ING RECEIVED Permit No. C'Cl 525-9 PERMIT APPLICATION APR 0 5 2012 master Permit No. RECEIVED APR 9 § e81g FBC 20 BY: Permit Type: BUILDING ROOFING OWNER: Name (Fee Simple Titleholder): h 5\iG 1 L. L. C . Phone#: Address: O U luoop GUfQ City: n Tenant/Lessee Name: �,'4 v2 J S vr£S Oil �i2 / Phone#: .3/ 3 30CS Email:, /S(A'lC.-E • ocJ/-ANC C: J/ 4:9A2S �00 0 State: (� . Zip: ��D--CD 1411- JOB ADDRESS: YV /IMF Z 4d A fro City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes CONTRACTOR: Company Name: r N dA? #V b" ;ir l Phone#: OS 1? Addres: ! 01 / /Y-G✓ City: 1 AC T$ ,C C.'7A.—d0 $ State: i.� Qualifier Name: CA''l✓/n/ 22/LK- State Certification or Registration #: Contact Phone#: DESIGNER: Architect/Engineer: Email Aaaress: Flood Zone: Zip: 3.3 / Cc:I Phone#: 7&G Certificate of Competency #: y •34ov.• ce •w Phone#: Value of Work for this Permit: $ . 4/00'`J` Square/Linear Footage of Work: /Ye ,ti i1r?)'ft.. „•,'Type of Work: Addition ration New ❑Repair/Replace ❑ Pemoliti �.". •�','Description of Work: ,aci-41€•� /✓��1/ c� e.e �e.i.✓c .c �/-ie/ A/ S , ' ,. Gc- / / / Stvie , / lr f �� j~ / — 3�- r�(P''= cf '/ f�c c R--- ' . a/1Sulimittal Fee $''L� c�pD� Permit Fee $ ��'; .CCF"$ §'' coicc $ fnii:niiii ‘1‘.. - It ko Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ F Bonding Company's Name (if applicable) A Bonding Company's Address City - State . 4^, Zip \t/ Mortgage Lender's Name (if applicable) Mortgage Lender's Address • s 3 I City State Zip • IF Application is hereby made to obtain a permit to do the work and installationsas 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC' applicable laws regulating construction and zoning. Tli..: !':; • ) 1.) A.) 4 i .. 1 j "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 .'- ".1 ,.`�``'' Notice to pigiicccant: 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 p o `"efty is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the'f. T inspection which occurs seven' (7) days after the building permit is issued. In the absence of such posted notice, the d yy inspectio wil of : sproved and a reinspeciion fee will be charged. ' OWNER'S AFFIDAVIT: I certify that all the foregoing information' is accurate and that all work will be done in compliance with all APPROVED BY Sig a �. • wner or A en The foregoing instrument was acknowledged before mf this day of ,20,a,by •C arsb-/gyi, who is persi9inown to me or `ro Signature Contractor The foregoing, instrument was acknowledged before me this �� Ill(n cday of''i'�l�l`I,"` , 20 �by who is personally known to me or wh M1 - ,6 C as identification an o did take an oath. As identification and who did take an oath. NOTAY,' UBLIC:.\ •,, 3t Sign: .7:') Print: My Commission Expires: :.\.,0000‘..\II0N111sols1/141011,112./..r/ =z• II,•• cn; 9se i9ODD 783459 : �•0:/;6°°edhN e�y **********************************' '�j' : �lJT1tletsa. /// ll STATE 01,%.‘ miner Structural Review NOTARY;PUBLIC: ..<• I Sign: - ',Print: ai° V j My Commission Expires: 3. 0O 1111 !�9A / 1\9 •••�1 SIpN•ylytc///i •- • +aa6,2 7S9 • • a>•� ,• fQ��2 #DD783459 **********************************"tv, n asp • OQ\�% Clerk (Revised 07/10/07)(Revised 06/ 10/2009)(Revi sed 3/15/09) frtifa y st� �±n f `� <�1,,�`�'{,���; ������STAT,•E;OF,�1=L�RIDA•.,�i�;�_ �r,,�y�-.�x�"�`�i` �t��� c3 t3..-..•� L.,. ./ 1. - v.ti r v..-�.�'-:,i . �.ti .- ram, •v��� . . r� lit i'l i¢�.se� ')� }; _'rtr} ' • -i' . "7Y DEPARTMENT; OF BUSINESS A1s7D PROFESSIONAL REC+UL iTION:� x `� ' �� ` � � R-1 :1 ,�(ssi} ,, CONSTRUCTION INDUSTRY}' LqI CEN} SINGtBO- ARD'o � ? w..E� ` f, w,-- ' !�iyylk" �4k//..,, t� :°"3ji �y'-,.t4�7' f }la. 7f yl T{1•'�>aL}']-* 1}'S5�?Il'ks�11Y �+y�2 :BC�i��l;'�J �A .'Rf `•4 .it. �Y -]-F �}t. SEeL 10090103`8-121': �.'T'�.?!J � "t}��� LICENSEr wNBR'� �{g�.-_ ,1. .ti /�N e ":�'�Eii 4.3:: �°-�P`..-�. y�.641 y� c`,t e'/d'` Ivry';` i �'��,�," � �` `S'.��! c� \.../ r � iY'�fY..,.. \ �`""t f 2:S +'1 j ;�* BATCH NUMBER F ►i'- :.�(�+.r:Jj. i's✓,fit�iF•j►i.%.<.;I+rifts4.s•.%lalk�"'�:.�1•Y.ri..'=%/� st �ffi.- '..` ++t7;C.:A;F}y�.'� i3-i•1�.'L�%3:xttir"j :T`.•' {Ai•%�:��,/'3ijb\R'./,gt1 CGC15.0440 s ` 1 tom'r �� ''` xa ��' K i� ,, r ;y, � ... f� ,mil V.a t �1,,, �IIt►i�k •' . 7� yi 1y P:4'? t•" \.r.►j.IW.Y ss .�.�'VG •-iiVV=jJ,��/ ;`'.rqA'la:Acl��!e%OJ'(���+ere�s�rr%j�}��sirjsi3�k��'�iitr�r(�0,'f�p��1�5'u3#*I t?� :x fi. rg j}�x+_ti1 +i+c•}Sc :�t ' ±ri¢). I\iti �-�ta 3 "�:`vY'C-.-tf�-�ly'Y Ei6Y'1'LVFiI t'L•y''. !w t� _�: 5'H`�y L� .� '. 1\\ 613 "-4:-4c Ak I MIAMI-DADE COUNTY ' +TAX COLLECTOR 140 W. FLAGLER ST. r 1st FLOOR 4 MIAMI, FL 33130 ..*`�1 �±,�Y'�rti?a•�. �::.�. sty `_ �w►.r__ wr • 2011 LOCAL BUSINESS TAX RECEIPT 2012 MIAMI-DADE COUNTY - STATE: OF FLORIDA EXPIRES SEPT. 30,, 2012 MUST BE DISPLAYED AT PLACE OF BUSINESS PURSUANT TO COUNTY' CODE CHAPTER.8A - ART. 9 & 10 629935-8 BUSINESS NAME t LOCATION VINWARD CONSTRUCTION CORP 1011 NW 207 ST 33169 MIAMI GARDENS OWNER VINWARD CONSTRUCTION CORP Sec. Type of Business 196 GENERAL BUILDING CONTRACTOR THIS IS ONLY A LOCAL BUSINESS TAX RECEIPT. IT DOES NOT PERMIT THE HOLDER TO, VIOLATE ANY T EXISTING REGULATORY OR ZONING LAWS OF THE. #. COUNTY OR CRIES. NOR DOES IT EXEMPT THE HOLDER FROM ANY OTHER '-PERMIT OR LICENSE REQUIRED BY LAW. THIS 1S NOT A CERTIFICATION OF THE HOLDER'S OUALIRCA- TIONS 1 PAYMENT RECEIVED MIALD-DADE COUNTY TAX COLLECTOR: • 09/21/2011 -TFiIS'IS-NOT A'BI1.L = Cid' OT PAST RENEWAL RECEIPT NO. 6422349 STATE* :C6C1504408 FIRST-CLASS U.S. POSTAGE 1' PAID MIAMI, FL PERMIT NO. 231 WORKER/S 3 DO NOT FORWARD VINWARD CONSTRUCTION CORP CALVIN E ROZIER PRES 1011 NW 207 ST MIAMI GARDENS FL 33169 A 02240018001 000045.00 II)IIftJli),,IIIlliftllit IITillflilllI11111I11ut11111IA17M1 LICENSE ITEM CITY OF MIAMI GARDENS 2011 CERTIFICATE OF USE 2012 EXPIRES September 30, 2012 MUST BE DISPLAYED AT PLACE OF BUSINESS DESCRIPTION / RESTRICTIONS CU=005365 c042 Home Office VINWARD CONSTRUCTION CORP 1011 NW 207 ST MIAMI GARDENS, 'FL 33055 CU Business Name/Location 0041996 VINWARD CONSTRUCTION-CORP 1011 NW 207 ST MIAMI GARDENS, .FL,33055 Owner/Corp. Name ROZIER, CALVIN Use as permitted within zone. City of Miami Gardens Enforcement Department 1515 NW-167th ST, Building 5 Suite 200, Miami,Gardens FL,33169 LICENSE ITEM CITY OF MIAMI GARDENS 2011 BUSINESS TAX RECEIPT 2012 EXPIRES September 30, 2012. MUST BE DISPLAYED AT PLACE OF BUSINESS DESCRIPTION / RESTRICTIONS BT-009070 2590 UNCLASSIFIED HOME BASED: GENERAL CONTRACTOR VINWARD CONSTRUCTION CORP 1011 NW 207 ST MIAMI GARDENS, FL 33055' Business Name/Location 0041996 - VINWARD CONSTRUCTION CORP 1011 NW 207 ST MIAMI GARDENS, FL 33055 BT Owner/Corp. Name ROZIER, CALVIN This is an business tax only. It does not permit the payee to viola any existing regulatory or Zoning laws of the City or Miami Dade County. Nor does itexempt the payee from any other tax or perm required by law. This is not a certification,of the payee's qualificat City of Miami Gardens Enforcement Department 1515 NW 167th ST, Building 5 Suite200Miami Gardens FL 33169 FROM :A&D ALL —LINES INS ASSOCIATES FAX NO. :3053872918 Mar. 23 2012 01:01PM P1 AOORQ. CERTIFICATE OF LIABILITY INSURANCE I>NODUCER A&D ALL —LINES INS ASSOC INC 5600 SW 135 Ave Ste 106 Miami, FL 33183 (305)463-6781 INSURED VINWARD CONSTRUCTION, INC. 1011 N.W. 207 ST. MIAMI, FL. 33169 7 — —2399 COVERAGES I)ATF (MM/DOIYYYY) 3/23/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW_ INSURERS AFFORDING COVERAGE INSURER A: WESTERN WORLD INSURANCE CO. INSURER B NAIC# INSURER C: INSURER D: INSURER E: 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 Al -FORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN$R ITR ADM *BAD TYPF OF INSURANCE POLICY NUMBER POLICY CFFECC-7►IVF D(tTF(MM/DDIW) POLICY EXPIRATION DATE(MMIUD/VYI LIMITS A GENERA' LIABILITY CONMFRCIALCENENALLABILITY 11-0233 10/26/11 10/26/12 EACI'I OCCURRENCE $ 1,000,000 X DAMAL,t:TURENTED PREMISES (En nccurence) $ 100,000 n MED EXP (Any une person) $ 5 000 PERSONAL& ADV INJURY , $ 1'1O0O,000 — GENERAL AGOREOAre 9 2,000,000 EM. AGGREGA I E LIMIT APPLIES PER: G— PRODUCTS -COMP/OrAGG S 1,000,000 niPOLICY PRO- JECT� LOC AUTOMODILF I (ABILITY ANYAUTO ALL OWN F.D AUTOS $CHI'_UULEOAUTOS HIRED AUTOS NON-OWNEUAUTUS COMBINED SINGLE LIMII (En:ircidnnt) _ !WILY INJURY (Bar p rson) BODILY INJURY (Pnrargdnnl) PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANYAUTU AU)OONLY -EAACCIDENT S OTHER THAN EA ACC $ AlITOONLY: AOG $ CXCP$S/UMHRELLA LIABILITY EACH OCCURRENCE S OCCUR El CLAIM9MADE AGGRECATF $ DEMJCTIRI.F RETENTION $ $ $ B WORKFRSCOMPENSATIONAND EMPLOYERS' LIABILITY ANY IRra'luLTORIPARTNER/EXECIITIVF aFFIr.ERIAAI:MBeR Exct_UDEO' If yns deserlbeundIK SPI-c.iAL PROVISIONS bellow TORM�ITS WUTA-OthH(- C.L. EACH ACCII)k NT .1 E.L DISF.ASE - EA EMPLOYEE S E.L. DISEASE - POLICY LIMIT $ OTHER OFSr..RIP'I'ION OF OPERATIONS / LOCA'TIUNS /VEHIC,LEs GENERAL CONTRACTOR / EXCLUSIONS ADDED me FNOORSEMENT/ SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION CITY OF MIAMI SHORES BUILDING DEPARTMENT 10050 NE 2ND AVENUE MIAMI SHORES, FL 33138 ACORD 25 (2001/08) SHOUT D ANY OF THE ABOVE DESCRIRF.D POLICIES OE CANCELLED BEFORF TI it EXPIRATION DATE THEREOF, THE I88uING INSURER WILL FNOE.AVOR TO MAIL30 DAYS WRITTEN NO l'II:F TO THE CERTIFICATE HO DER NAM n TO TI IC LEFT, our FAILuHE TO DO 8U SHALL IMPOSF NO OBLIGATION OR LIAO11v�h Y KIND UPON TIIE INSURER, IT$ A01-.Nl'$ OR RF.PRESEN'IATIVES. AUTHORi u REPRESENTATIVF ACORD CORPORATION 1988 ACCORD® CERTIFICATE OF LIABILITY INSURANCE k.....►-- DATE(MMIDD/YYY)) 03/29/2012 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 BETWEENTHE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDmONAL INSURED, the pollcy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the tens 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 1-321-348-3406 1-321-348-3406 WC WCAssociates Insurance Group P.O. Box 331014 Orlando, FL 34786 CT ;aAME: Certificate Verification Department (Iiuc�.No.Ext): 1-321-348-3406 FAX 1-321-348-3406 E-MAIL ADDRESS: INSURER'S) AFFORDING COVERAGE NAIC 8 INSURER A: Lyons Insurance Company 22128 INSURED 1-786-251-2398 1-305-690-6825 Vinward Construction Corp. 1011 NW 207th Street Miami, FL33169 INSURER B : INSURER C: INSURER D : INSURER E: INSURER F : 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 POUCY 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 POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS I� I TYPE OF INSURANCE INSR y iD POUCY NUMBER EFF IMMIDDIYYYY) POLICYY YPY) (MMIDDI LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ PRS (aENTED PREMISES (Ea occurrence) $ 1 CLAIMS -MADE OCCUR MED EXP (My one person) $ PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE $ GENII AGGREGATE LIMIT APPLIES PER: —1 POLICY n JE fl LOC PRODUCTS - COMP/OP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED _ SCHEDULED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY OFFICER/MEMBER ORIOR PARTNER/ VE (Mandatory in NH) If yes:describe under DESCRIPTION OF OPERATIONS notary Y / N N N / A WC71205512-10-26 • 10/26/2011 10/26/1012 WC STATU- OT)-1- TORY LIMITS ER E.L EACH ACCIDENT $ 1,000,000 E.L DISEASE - EA EMPLOYEE $ 1.000.000 E.L DISEASE - POUCY LIMIT $ 1.000.000 DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) Should any of the above policies be cancelled before the expiration date thereof, the issuing company shall mail a 30 day written notice of cancellation torthe certificate holder. CERTIFICATE HOLDER CANCELLATION MIAMI SHORES VILLAGE BUILDING DEPARTMENT 10050 N.E. 2nd Avenue Miami Shores, Florida 33138 ACORD 25 (2010/05) SHOULD ANY OF THE ABOVE DESCRIBED POUCI THE EXPIRATION DATE THEREOF, NOTICE ACCORDANCE WITH THE POLICY PROVISIONS. 4 NCEU.ED BEFORE BE DEUVERED IN ®1988-2010 ACORD COR - a RATION. All rights reserved. The ACORD name and logo are registered marks of ACORD