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PL-18-1253'.O1iEs y Miami Shores Village - " 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 CORIDp Permit NO. pL-5-18-1253 ■ e t Permit Type: Plumbing - Residential Work Classification: Pool - Private Permit Status: APPROVED Issue bate: 5/14/2018 j Expiration: 1Ill 0/2018 Project Address Parcel Number Applicant 1569 NE 104 Street 1122320320160 Miami Shores, FL Block: Lot: ALAIN & CARLY GONZALEZ �n�wnm�m n�n�snosw�n �iw...._ Owner Information Address Phone Cell ALAIN & CARLY GONZALEZ 1569 NE 104 Street (786)277-9756 MIAMI SHORES FL 33138- 1569 NE 104 Street MIAMI SHORES FL 33138- Contractors) Phone Cell Phone FLORIDIAN POOLS RESURFACING, It (954)818-8489 Type of Work: INSTALL NEW PIPING TO CONNECT TO NE Type of Piping: Additional Info: Bond Return : Classification: Residential Scanning: 1 Fees Due Amount CCF $2.40 DBPR Fee $3.38 DCA Fee $2.25 Education Surcharge $0.80 Notary Fee $5.00 Permit Fee $225.00 Scanning Fee $3.00 Technology Fee $3.20 Total: $245.03 Valuation: $ 3,500.00 Total Sq Feet: 50 Available Inspections: Inspection Type: Main Drain Final Rough Review Plumbing Pay Date Pay Type Amt Paid Amt Due Invoice # PL-5-18-67500 05/14/2018 Credit Card $ 195.03 $ 50.00 05/10/2018 Credit Card $ 50.00 $ 0.00 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. F themrore-1 authorize the a e named contractor to do the work stated. May 14, 2018 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy May 14, 2018 1 BUILDING PERMIT APPLICATION 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 FBC 2 �_� >�— '�' ` � Master Permit No �51_ Sub Permit No ll�� ��3 ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION GIRENEWAL PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: I S( ' C t' �''T II ! ^ �7 City: Miami Shores County: Miami Dade Zip: -3 Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): (n� nConstruction AlPa C� I ^� Q\� /��-� (�,, (� Phone#: 7 d T7 7 Address: 19061 Q '�;- • I DL/1-1 Sl City: P i n4-I 1 5wo ri,�� State: Ft Zip: Tenant/Lessee Name: Email hone#: CONTRACTOR: Company Name: �WM OW400L �•`'t' i �l.f��l/I !) Phone#: q✓ T'IRI iS b Address: " Lf ! J %4 aAft, City: l,4-T Qualifier Name: State Certification or Registration #: DESIGNER: Architect/Engineer: te: Zip: ��) y J - hone#: O i �i` I Q RfG' Certificate of Competency #: Address: City: Value of Work for this Permit: $ - d O C)o Square/Lin Type of Work: ❑ Addition t Descr//iip�pt�io�n �of(Work: I n�I �. C P l/t/�-Y ❑ Alteration ❑ New -L,,L 0F 7/ 0 Pi p ►Iv Phone#: State: Zip: Footage of Work: bL) Lj l— it/Replace ❑ Demolition Specify color of color thru tile: Submittal Fee $ �' W Permit Fee $ aZ� CCF $ CO/CC $ Scanning Fee $ Radon Fee $ d�-� DBPR $ �' 3� Notary $ ott, Technology Fee Structural Reviews $ Training/Education Fee $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ I_C1 ' CJ (Revised02/24/2014) Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Zi 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 JaW brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded otice mm cement must be posted at the job site for the first inspection which occurs seven (7) days after the building permi is ' sued. In th absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. t Signature OWNER or AGENT The foregoing instrument was acknowledged before me this day of n"�Q �_, 20 �. by -'Z.b',u(A personally known to who has produced n and who did take an oath. ARY PUBLIC: i:: � v Signatu CONTRACTOR The foregoi instrume t was acknowledged before me th day A 20 wh personall�y�— known as me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign:_ Print: y Seal: APPROVED BY �/� Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) RICK SCOTT, GOVERNOR KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION Names ceiuw is �cm i irmu Under the proVm*m of Chapber 489 FS. Expimlion date: AUG 31, 2018 USHER-DAMS;MCKYF FLORIDIAN POOLS R4 -jN6,INC, 77 6634 BLUE BAYtl LAKE WORTH .e, 7 7 1-N Ml 7 MUM: 07118M16 DISPLAY AS REQUIRED BY LAW SEQ # L1607180000916 ANNE M. GANNON CONSTITUTIONAL TAX COLLECTOR Seraittg Palm Beach Co" Serving you. P.O. Box 3353, West Palm Beach, FL 33402-3353 www.pbctax.com Tel: (561) 355-2264 "LOCATED AT" 6634 BLUE BAY CIR LAKE WORTH, FL 33467 TYPE OF BUSINESS OWNER CER1rFICATION P I RECBPT WDATE PAID AW PAID BILL i 23*M SWIM W. POOL YMN E!W CE 3 USHER DAVIS VIM CPC1458625 I UIT700214 - OSM17 $27.50 B40170367 This docurnerlt is valid only when receipted by the Tax Colledoes Office. STATE OF FLORIDA PALM BEACH COUNTY 2017=18 LOCAL BUSINESS TAX RECEIPT FLORIDIAN POOLS RESURFACING INC FLORIDIAN POOLS RESURFACING INC 6634 BLUE BAY CIR LAKE WORTH, FL 33467 LBTR Number: 201580260 EXPIRES: SEPTEMBER 30, 2018 This receipt grants the privilege of engaging in or managing arry business profession or occupation within its jurisdiction and MUST be corgkuouslY displayed at the place of business and in such a manner as to be open to the view of the public. A CERTIFICATE OF LIABILITY INSURANCE °" 0 20 8Yr' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER_ THIS CERTIFICATE DOES NOT AFFIRMATPIEL.Y OR NEGATIVELY AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. TWS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BEiWEEN THE ISSUING NSURER(S� AUiHORl2£D REPRESENTATNE OR PRODUCER, AND THE CERiiFl(ATE HOLDEL IiIPORTA F. If the aalilica- holder is an ADDITIONAL INSURED, the pWwy(Ues) nwst have ADOFFNMAL N NtED pr rAdons or be endorsed, If SUBROGATION IS WMV®, ="md to the terms and 000ditions of the porky. owtain porkies may regluis aft endomernwiL A an this ceAirkaI does not konfw rights to the cuffieats holder in rou of such endorse mmt(s). PRODUCER aoNrwcT FLg. Holdam hisuram PHONELA& No. ca (561) 434 4451 F"Tr Na (561) 434.3505 3830 Jog Road Lake worth, FL 33467 AFPOROBm COVERAGE Mac o Phone (561) 434-4A51 Fax (561) 434-3505 INSURER A : NaUtikIS 17370 INSURED INSURER 8 - Fkxidian Pools ResurfadM IoC INSURER C : 6634 BUIE BAY CIRCLE INSURER E : LAKE Wom FL 33467 INSURER F COVERAGES CERTi 9 CATE NUMBER: REVISION NUMBER THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN OWED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUIMENT WiTH RESPECT TO WHICH THIS CERTIFICATE MAY BE iSSUED OR MAY PERTAIN, THE NSURANCE AFFORDED BY THE POLICIES DESCR03M HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAD CLAIMS I R TYPE OF INSURANCE POLICYPOLICT Y POLICY EXP A © COMMERCIAL GENERAL LIABILITY ❑ CtwWS41ADE 0 ocg1R N N 1800343 04/14/2018 04/14/2019 EACH OCCURRENCE $ 1,000,000.00 DAMAGETORIaRM PREMISES aammence $ 100,000.00 LINED ExP (AM one PSI S 5,000.00 El PERsoNAI a ADv euuRY S 1.000.000.00 GENL AGGREGATE LRMT APPLES PER POLICY ❑ � ❑ LOC ❑ OTHER GENERAL AGGREGATE $ 2,000,000.00 PRODUCTS -COMPIOPAGG $ 1.000.000-00 i AUTONOBi.E LIA13 LRT ❑ ANY AUTO CrNNED SCHEDULED ❑ ]AUTOS ONLY ❑ AUTOS ❑ ❑ NON-OWNEDPROPERTY AUITOS ONLY AUTOS ONLY ❑ E LWT (Ea acadani!) i BODILY KIL RY (Pv person) $ BODILY INJURY (Per acodm-d) i acddenR��� i i ❑ UIZIRELLA LEAS ❑ OCCUR ❑ EXCESS LIMB ❑ cmiesi1ADE EAM OCCURRENCE i AGGREGATE i DED 0 RETENTION i WORMERS COMPENSATION AND 9PLDVERS' LMBRIIY Y F N OFFICER/MEMBER EXCL I in o ` OF OPERATIONS OESt�PTgN tads, N F A ❑PER OTIt E-I- EACH ACCIDENT i EL DISEASE - EA EMPLOYE i E1 OLSFecc _ POLJC1f LAei S SON OF OPERATIONS F LOCATIONSF VEHICLES QUtwh ACORD 101, Additional raahaaris ScbadmW I more spa= is raquis" Swinwrim Pool Slufacahg UCK I NMI:A I t MJLIMM MkIII Shares Village BLUI&T9 Dept. 10050 NE 2rTd Ave (Miami Shores FL 33138 ACORD 25 (ZMSM) OF iNT11[hZIIFA J;:I SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BORE THE EXPIRATION DATE TtiER[-0F, NOi10E WELL BE DHJVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 0198&M5 ACORD CORPORATION. AN rights reserved. The ACORD name and bgo are registered marks of ACORD JIMMY PATRONIS CHIEF FINANICAL 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: 8/26/2017 PERSON: RICKY DAVIS FEIN: 275367464 BUSINESS NAME AND ADDRESS: FLORIDIAN POOLS RESURFACING, INC. 6634 BLUE BAY CIR LAKE WORTH, FL 33467 SCOPE OF BUSINESS OR TRADE: licensed Pod Contractor swiev&g Pod Co Minction- Not lion or Sleet A Drivers EXPIRATION DATE: 8/26/2019 EMAIL: FLORIDIANIPOOLS@AOL.COM IMPORTANT_ Phnsuant to Chapter 440.W14), F.S- an Officer of a corporation who elects exernptian from this chapter by IRV a certificate of election under this section may not recover benefits or compensation render 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 fisted on the notice of election to be exempt Pumiant 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 ding 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 issue of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requmements of this section. DFS-F2-0WG252 CERTIFICATE OF ELECTION TO HE EXEMPT REVISED 08-13 QUESTIONS? (850)413-1609 Proof of Coverage Page 1 of 1 WC Mobile App 4tiC (ionic Employer Detail Page 'This database was last updated Thursday, May 10, 2018 12:08 AM. Carrier Location Information Return to Search Page Employer Information Employer Name Employer Type FLORIDIAN POOLS RESURFACING INC 1CORPORATION Coverage History INo Coverage History Exemption Listings Exemption Holder Name - Click on the name(s) below to view more detailed information TRICKY DAVIS VCKY USHER-DAVIS Owner Election Listings No Owner Election of Coverage Listings Search Our Data CFO Home NAICS Code N/A Employer Name History Employer Name Name Type Change Date IFLORIDIAN POOLS RESURFACING INC (Legal Current IReturn to Search Page https://apps8.fldfs.com/proofofcoverage/EmployerDetail.aspx?EmpID=001322442 5/10/2018 Proof of Coverage Page 1 of 1 WC Mobile App WC 1101nc Search Our Data CF0 11oate Exemption Detail Page This database was last updated Thursday, May 10, 2018 12:08 AM. rReturn to Previous Page Exemption Details Name ITitle lEffectiveDate `Termination Date Exemption Type —Business Activities Employer Name I Click Here to View FLORIDIAN VICKY USHER- DAVIS Aug 16 2017 Aug 16 2019 Construction Activities Listed on POOLS RESURFACING I Exemption INC "Termination may be through the revocation of the exemption, or expiration of the exemption. '"The exemption only applies to the business activities listed on the exemption. Return to Search Page https:Happs8.fldfs.com/proofofcoveragelExemptionDetail.aspx?pr_person_id=XO0207586 5/10/2018 Floridian Pools Resurfacing, Inc. Licensed & Insured florid ian 1 pools@aol.com CPC1458625 954-818-8489 561-967-6900 Date: State of County of{�� YU Before me this day personally appeared ���� who, being duly sworn, deposes and says: That he or she will be th- only person working on the,project located at: Signature Sw'bfn to (or affirmed) and subscribed before me this 1y day of "W 20 �9 , by i � `lf � �G-[�"(Yq, �l�S Personally known Or Produced Identification Type of Identification Produce E�,2 \EE 1. �, � a mils, �uLI 2 Print, Type or Stamp Name of Notary Seal: NotaryPublic State of Flodde K : Sindia Alvarez { '��y a My Commission FF 156750 4 ?pf"� Expires09103/2018 Notice to Owner — Workers' Co Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 ation 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 - I. 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 C'()NTFNTC Signature: Owner State of Florida County of Miami -Dade The foregoing was acknowledge before me this day of ( , 20 By ALI Iy (-� �(`J ��� who is personally known to me or has produced �L NIL k as identification. Notary: RY p4 NOWY Public State Of rlonua D acP �;r SEAL: a gyCo Alvarez My Commission FF 156750 Expir*b 0910312018 Miami Shores Villagec�vED Building Department JA 17 019 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 BY. INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20 BUILDING Master Permit No' aP� 1 `� PERMIT APPLICATION Sub Permit No. p-/ --� F-IBUILDING ❑ ELECTRIC ROOFING REVISION ❑ EXTENSION RENEWAL [R�LUMBING [:]MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 1 .5� Al, �' 7 City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: //2 2-3 zb 3 _2O /ro4!5) Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: ���! '�' OWNER: Name (Fee Simple Titleholder):( Phone#: Address: City: /7/aj/ _4©1as State: 4-1 Zip: 32132 Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name:: /f� ,4 Address: � G (� / /v � Y<C%, City: /' -I--- Qualifier Nam C- State Certification or Registration #: DESIGNER: Architect/Engineer: Address: Value of Work for this Permit: $ Type of Work: ❑ Addition Description of Work: ❑ Alteration :,�/ P) ne#:.5 1G33- J�1ff Zip: hone#:_�-3 of Competency #: _ Phone#: City: ' Square/Linear Foota a of Work: ElNew Repair/Replace j --� ,-i' Zip: ❑ Demolition Specify color of.color` t�iru'tiiie: 'p +, '1-CR-.,fit, F. ,. r•. � Submittal Fee $ . _ _.Permit Fee $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) Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) _ Mortgage Lender's Address City State Zip 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` OWNER or AGENT The foregoing instrument was acknowledged before me this 15 day of fie-0vA20 161 by �(J h 16 /# who is personally known to me or who has produced as Signature The foregoing instrument was acknowledged before me this �V day of 20 J % by � •r' ^QVh—d a personally known to me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: JSign: Print: .4NA `/te a. Re"l- iV Print: `-J Seal: Seal: VNIMIAGARCIA =P)Notary tate of Flonda --A Il��i�9 erez s*=nGG191084+;� o?2022 '•o;,.. '�, �iA�L%ftmflw APPROVED BY Plans Examiner Zoning (Revised02/24/2014) Structural Review Clerk Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CHANGE OF CONTRACTOR / ARCHITECT Permit N. Owner's Name (Fee Simple Title Holder):_W/4z // 60n -2,a? Owner's Address: 1569 N. 457 /O 41P S� City: �IDr1*; fQ ' State Phone #: % I _ Z 77 Zip Code: 33 /S r fob Address (Of where work is being done): City: zMiami Shores ✓ State:-, F orida Zip Code: Contractor's Company Name: ;c/o/u.04an0 1,00el Phone#: Address: 6063V -/?lu-e Za, &, .� City: (�q 6e 4zt^°-A State: Zip Code: .3A Y6-? Qualifier's Name: Lic. Number: Architect/ Engineer of Record Name: Address: City: Describe Work: State: Phone #: Zip Code: hereby certify that the work has been abandoned and/or the contractor/architect is unable or unwilling to complete the contract. I hold the Building Official and the Miami Shores harmless of all legal involvement. Signature _ Owner or Agent The foregoing instrument was aknowledged before me this day of lu 44 ,20 ,by �✓ 1 S Wh is personally known to or who has produced Notary Public: Sign: Notary Public State of Florida Ana Maria Perez My Commission GG 191084 Expires 02/28/2022 Signature as indentification. Contractor or Architect The foregoing instrument was aknowledged before me this day of , 20 by who is personally known to me or who has produced Notary Public: Seal: as indentification. .1 t REICH RODRIGUEZ Clarissa A. Rodriguez, Esq. E-mail: carissa@reichrodriguez.com Direct: 786-420-6142 November 26, 2018 VIA FEDERAL EXPRESS Floridian Pools Resurfacing, Inc. Mr. Rickie Lee Davis Mrs. Vicky Usher -Davis c/o Gavin Caddy, Esq. Gavin D. Caddy, P.A. 919 W. Las Olas Blvd. Fort Lauderdale, FL 33312 Shoreview Center 9999 N.E. 2nd Avenue Suite 204 Miami Shores, FL 33138 Main: 786-420-6235 Fax: 786-420-6281 www.reichrodriguez.com Re: Confirmation of Termination of Pool Construction Contract Dear Mr. & Mrs. Davis: On behalf of my client Alain Gonzalez, this letter serves as formal written confirmation of the termination of the of pool construction contract with Floridian Pool Resurfacing, Inc. ("Floridian Pool") for the property located at 1569 NE 104"' Street, Miami Shores, FL (the "Project"), effective as of July 26, 2018. On July 23, 2018, Mr. Gonzalez e-mailed you both his request to meet and discuss significant problems with the Project. A copy of the e-mail is enclosed with this letter for your reference. The problems with the Project included, but were not limited to, substandard installed work that failed to meet code requirements, structural damage to the pool deck, and extensive delay of the Project past the completion date in the contract. During the meeting that occurred on July 26, 2018, you both advised Mr. Gonzalez that you were unable to proceed and uninterested in continuing with the Project pursuant to the contract. Mr. Gonzalez accepted your termination of contract on July 26, 2018, and e-mailed a confirmation of the termination of the contract. A copy of the July 26, 2018 e-mail is also enclosed with this letter. Accordingly, the contract was terminated as of that date by Floridian Pool, and Mr. Gonzalez confirmed the termination of the contract, as he believed that termination was also appropriate, caused by Floridian Pool's breach. On August 16, 2018, Mr. Gonzalez provided you and Floridian Pool with formal notice of his construction defect claim. Floridian Pool's disastrous foam installation, improper trenching of the pool deck, and significant delays (apparently caused by shortage of personnel and improper oversight) caused unacceptable project delay and considerable damage. Although the contract was terminated by Floridian Pool, you proposed a "Change Order," dated September 10, 2018, in an attempt to remedy the situation you created. The Change Order, however, reflects your inability or unwillingness to complete the Project in a proper or timely manner (e.g., proposing 14 days to install rebar when the standard timeframe is two to three days). Given that you have taken no affirmative steps to resolve the construction defect claim or provided any assurance you will do so, Mr. Gonzalez no longer has any faith in your company's ability to complete the Project, and he is preparing to proceed with his legal options. Nothing in this letter is intended to act as a waiver, and all rights and remedies under applicable Florida law are hereby preserved in full. Please govern yourself accordingly. Yours truly, Clarissa A. Rodriguez Encl. cc: Alain Gonzalez (via email only) FEDEX - DHL - UPS - USPS UHAUL AUTHORIZED DEALER 9480 NE 2ND AVENUE MIAMI SHORES, FL 3313B 305.456.8662 Shipment -------------------- FedEx Express Saver [flat rate] Ship To: c/o Gavin Caddy, Esq Gavin D. Caddy, P.A. 919 W LAS OLAS BLVD FORT LAUDERDALE, FL 33312-7150 Package ID: 96243 12.53 Contents: DOCUMENTS Tracking #: 784017568236 Expected arrival: Fri 11/30 04:30 PM Shipment----- ------- - USPS First Class Mail Ship To: c/o Gavin Caddy, Esq Gavin D. Caddy, P.A. 919 W LAS OLAS BLVD FORT LAUDERDALE, FL 33312-7150 Package ID: 96250 9.39 Tracking 4: 9414710200883960921794 Certified [$4.50] Return Receipt [$3.80] 9590940301305077401863 SUBTOTAL 21.92 TAX 0.00 TOTAL 21.92 TEND American Expres 21.92 ((T`�otal shipments: 2 g � i�,;1� I.,,{i .•� - �i'. ` . , Elizabeth [[ 1MV27 018 #39589 10:49 AM Workstation: 0 - Master 3040 CCTran# 828072cl-e270-4464-a78b-47c72led13dc Signa • h � ,6 I, ■ , � O e 1 � (tii r u') I • I a �a - IU F•CL. ti $ ed Mal_ I Fde� ill Extra S Ices & Fees (check box, add fev�es Nat etum Receipt (hardoopy) $ O ❑ Retum Receipt (electronic) $ Postmark C3 ❑CeMlled Mall Restricted Delivery $ Here O ❑Adult Signature Required $ C:3 Adult Signature RestrictedDelivery$- ER P e Er $ -q Total Postage and Fees 0 r=lV1� r C3 .- - e f Apt o.'"�r b ---- IYo. rc�, � --- - -- -- - ---------------------------- 3E9te„ZIP+4 � _t - 1 rl /t