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CC-18-1489/ s ,.fir L Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address Permit NO.: CC-5-18-1499 Permit IVR Number: 607067 d C, Permit type:: Building (Commercial) _ work ciassificoHort: Alteration V Permit Stotus: Approved issue grate: 10/04/2018 1 Expiration: 03/18/2019 Parcel Number Project 9440 NE 2 AVE, Miami Shores, FL 33138-0000 1132060132780-40 <NONE> Contacts MSVC LLC Owner MSVC LLC Applicant MSVC LLC MSVC LLC 2310 HOLLYWOOD BLVD, HOLLYWOOD, FL 33020 2310 HOLLYWOOD BLVD, HOLLYWOOD, FL 33020 ICON GROUP CONTRACTORS Contractor JUAN CLAVIJO 12205 SW 129 CT, MIAMI, FL 33186 Business: 3055014817 Description: REMODELING PLUMBING, FOR KITCHEN SPACE Valuation: $ 28,880.00 Inspection Requests: ADDING KITCHEN SPACE ADDING OFFICE SPACE AND r-7,62-4949 LIGHTING Total Scl Feet: 600.00 SMOOTHIE EXPRESS Fees Amount CC F $17.40 Certificate of Occupancy (Commercial) $200.00 (Manual) DBPR Fee $13.00 DCA Fee $8.67 Education Surcharge $5.80 P&Z Review Fee $35.00 Permit Fee $866.40 Plan Review Fee (Engineer) $90.00 Planning and Zoning Review Fee (Manual) $15.00 Scanning Fee $30.00 Technology Fee $23.20 Total $1,304.47 Building Department Copy Payments Amt Paid Total Fees $1,304.47 Check # 401 $200.00 Credit Card $1,104.47 Amount Due: $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 andth/atJ� II work will be n compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above named contra9WrX c19Ab9,1"ork st , d Authorized Signature: Owner / Applicant / Contractor / Date October 04, 2018 Page 2 of 4 Miami Shores VillageI 0f�- Building Department T42ots 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY Tel: (305)-795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20 19 BUILDING- _ _-. _ .- Master Permit No. cc E I S_ 1 - 01 PERMIT APPLICATION Sub Permit No. 06LDING ❑ ELECTRIC Q ROOFING i f v ,,REVISION i - ❑ EXTENSION. , W ENEWAL- ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS XHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS .. '7kybe__ JOB ADDRESS: c) V'`1_► City: i -ri.- -s r, rMiami Shores , _ , ffi =County: f t t,-MiamiOade'k a - r� ;. �_ Zip. Folio/Parcel#:rr v o f -v 3-itr. ,ra . , ' ' o- ioi � cis the Building. Historically Designate&Yes r; ci , =NO � s # -)- I ... .. •. _ _. ,. ,. � e �.r. .. a .r .. ♦ ... v 6 - i ... OccupaneyType:� -'Load':", ';f jTT4Cohst`r+uctiori:Type:j I r_i fr)V Flood Zone: i'eil' BFE °t v i FFE:. , V\ -tn� V` i."3•'�.fyfSi i r' '; OWNER: Name (Fee Simple Titleholder): � Phone#i..e1� : JQ F♦•~/• � � �e Address: M.!17�— City: r. State: Zip: Tenant/Lessee Name: , .t '-/ 1CPi2 rri 4 ' =r' �" i phone#: ,I�/r`>L� Email: AAC6k2e—tl IC..,0— I'CJU CONTRACTOR: Company Name: • C�� C�/✓!/i�UP C�/� /1 7C�i'�/_ Phone#: Address:/_ City: "/ ` State: j-t/ Zip: �3)61 Qualifier Name: U (�. �L Phone#: 3qS✓ 3�7- /�� State Certification or Registration # � G ��l r�(7 v Certificate of Come nncy # - 1I r 1 '.r -z,4p. v _ ?:Yn.��i+. i`t•.. t,{ .. ; DESIGNER: Architect/Engineer: f],SL(� (`C����'�c hone#.O Address:}' S� f'� 1vS �yV�1fi�' C�ty.►1� If State:Zip: 333� Value of Work for this Permit: $ Square/Linear Footage of Work: CT g Type of Work: ❑ Addition Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: ft�'�¢� —► -- c'"C G0T- Specify color of .color thru tile. Submittal Fee $ �'C �Rermit'Fe $" . :.�? © ...,CCF,$ .k q-: y 0 _..., CO/CC $_ _ 2 Q O . Scanning Fee $ FU - Radon Fee $ DBPR $ l ' 60 Notary $ © L Technology Fee $ 2—Training/Education Fee $ -' - Double Fee $ Structural Reviews $ 6D Bond $ q'72,, 50, a �; 4 TOTAL -FEE NOW DUE $ \T_n —T 4� (Revised02/24/2014) �O_ `8 l ' *M . ` [0 ' 0 4 9 Y Bonding Company's Name (if applicable) a �. . 4 11 y:i .Y 1'.� a Bonding Company's Address 8c J City —State— Mortgage Lender's Name (if applicable) Mortgage Lender's Address• �a r, .. Zip City , i rn Statett Zip F1 ro e t{ � ; Application is hereby mado_ 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-Vio?k 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 TWICE40RAMPROVEMENTS-TO YOUR PROPERTY. IF YOUANTEND 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 recordednotice of commencement must be -posted at -the -job site for the first in'specti _whic ccurs seven (7) day after the building permit is issued. In th_ e_ absence of such posted notice, -the inspection will not b r_� _ _. _ )� / Signature _ Signature_ The,foregoing-instrum/e�nt was acknowledged before me this The for6g6ing instrument was acknowledged s before me- thi day of _ (yGz2t-Lcicf , 20 , by day of _OAIZ& t 20 -f t by who is personally known to �R lfZit'1-C-[`tq-u ` who is personally known to me or who has produced rbr. �ie:e. .-�_ . as me or who has produced - as identition and who did take an oath. identification and who did take ficaan Oath. _ J S4 surl331 :jrr,1:',5` i C 41 NOTARY PUBLIC: _. - SAlV(���_�,,�� NOTARY PUBLIC: Sign: - _ ' " '.Sign: / Apr._16 2020 Print: =Print• Seal:'AUBLIG Q.,7` Seal:OF- APPROVED BY _ Plans Examiner to V, rU'.,• 0 �';s+` oj',' •., LORf<NA PAOLA GONZALEZ Notary Public — State of Florida t�ohe4�1 • ` Commission # GG 172097),— + o My Comm. Expires Jan2, 2022 ` Bonded through National Notary Assn. rM ? s i # f1 {'), Zoning 1� Structural Review y m �_ .._ ��•—.— _sue � 4 i . - ,, 1 - % e (Revised02/24/2014) _ 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. CGS) F) it F?ct Owner's Name (Fee Simple Title Holder): V �1�'� 1 E .� Phone #: ,% S L:--3 I hk:�; it Owner's Address: City: State : Job Address (Of where work is being done):_ City: Miami Shores Contractor's Company Name: Address: ) 2i 05 Sw City: Ij J'a Qualifier's Name: Arcl Add City. Describe Work: Zip Code:. A/E Z/�(f State: —Florida Zip Phone #: Zip Code:. Lic. Number: S 1 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 7iaShores harmless of all legal i vem nt. Signature Signature .Own r e ont. r or Architect The foregoing struum�e�nt"was akno ledged before me The foregoing instrumen was aknowledged before me this day off TC. ,r ,2d?,by � (-In %LVAD this 3�1 day of O ZX 20%%by L-7 I AlI Who is personally kpown to me or who has produced who is personallyknown to me or who has produced as indentification. lf� \Ve-S �^N CCf- as indentification. Notary Pub i Notary Public: — Sign: Sign: Seal ; ,,�;:� r;' LORDA PAOLA GONZALEZ Seal: ! " Notar Public— State of Florida o�i*Y�"ayy.. ALEX AVIN • - Commission # GG 172097 `� �_ Notary Public State of Florida n• �t My Comm. Expires Jan 2, 2022 • •' Commission # GG 015419 Bonded through National Notary Assn. y o� ml," My Comm. Expires Jul 25, 2020 RICK SCOTT,,GOVERNOR ' , ° t ` 1ON,4THAIV'ZAGHEM, SECRETARY,, v-[ FI dda , �n Wa fi r ' STATE OF FLORIDA } D(?ARTMENTfiOF'BUSiN ri Q FESSIONAL REGULATION �CONSTRU;C y, S E G .BOARD J THE'GENER .,. $ a R :,1S"`CERTUN, _ DEFt:THE t f}- y -PROM IfORID/1 b T: UTES FL 3�f LI S8{1{ -36. EXPIRATI UST 31, 2020' Always verify licenses online -at MyFloridaLicense.com , Do not alter,,this document in any form. This -is ` your, license. It is unlawful for anyone other than the licensee to.,Liwthis document. , 002681 Local Business Tax 4eceipt Miami -Dade County, State of Florida r -THIS(S NOT A BILL - DONOT PAY 6158190 BUSINESS NAMEMOCATION ICON GROUP ENGINEERS LLC 12205 SW 1'29TH CT 3 MIAMI FL 33186 � 11 RECEIPT NO. EXPIRES RENEWAL SEPTEMBER 30, 2019 6313977 Must be displayed at place of business Pursuant to County Code Chapter SA - Art. 9 & 10 OWNER SEC. -0VPE OF BUSINESS PAYMENT RECEIVED ICON GROUP ENGINEERS LLC 196 GENERAL BUILDING CONTRACTOR BY TAX COLLECTOR y _C10"IUAN C CLAVIJO, MANAGER CGC1513648 $75.00 08/28/2018 Worker(s) 3 CHECK21 18-082204 This local Business Tex Receipt only confirms payment of the Local Business Tax. The Receipt is not license). permit, Ora certificationbf the holder's qquaalifications, to do business. Holder must comply with any govemmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT NO. above must be displayed on all commercialvehicle's - Miami -Dads Code Sec 8a-476. For more information, visit vvww.miamidade.g6vRexcoilector Lc CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 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 SUNZ Insurance Solutions, LLC. ID: Howard mmgtA.__T._.__. _ Sondra Kell c/o Howard Leasing Inc. P"C"E 941-761-7704 FAX No: 941-761-7706 6302 Manatee Ave. r!V E-MAIL Bradenton, FL 34209 ADDRESS: Skelle howardleasin inc.com .......... ............................ ......._...__.............................. ...._.........__....................... ._.............._.........._........... ............._._.._.............-INSURER A_...._SUNZ_ insurance_Com.pang..._........................._._.- .. 34762 _.... INSURED INSURER B Howard Leasing, Inc .. . .... _ ......_.. Howard Leasing II, LLC. Howard Leasing III, Inc.; INSURERc ....... _..._ _ ...... ...... ... _ Howard Leasing IV, Inc. Howard Leasing V, Inc. INSURERD: 6302 Manatee Avenue West, Suite K INSURERE: Bradenton FL 34209 INSURER F : COVERAGES CERTIFICATE NUMBER: 44741SaF7 REVISION 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 POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. __._.........._..--------..........._...._—. _........ _..... .......................__...................._............. — - --.......,........__._.._........_._._................................................._............_.........................................._...... INSR ADDL�Sl1BR" LTR TYPE OF INSURANCE ! POLICY NUMBER MM/DDIYYYY MMIDD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY I CLAIMS -MADE OCCUR EACH OCCURRENCE $ DAMAGE To RENTED 171 T_ PREMISES Ea occurrence $ MED EXP (Any one person) ................._­_ ....................... ..............................._......................._.._........_...................._......... $ ........... ........... ................................_............ ..__._................... ........ .............I .... __................ ... _........ --......_.___ ........................_...... ............. PERSONAL & ADV INJURY ................ $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 5 PRO- POLICY JECT LOC HOTHER: . .... ................... ......... ............ _................. ......................_................_—._.._.....-------..._ PRODUCTS - COMPIOP AGG $ $ AUTOMOBILE LIABILITY MBINED SINGLE LIMIT $ ANY AUTO Ea accident BODILY INJURY (Per person) $ OWNED SCHEDULED ....._...._ AUTOS ONLY ............. AUTOS HIRED NON -OWNED � i BODILY INJURY Per accident .............................................._......__........._................_..._................_..__..__.._..___.._..._.... $ — I AUTOS ONLY _.._ AUTOS ONLY i(PeraIccident)$ PROPERTY DAMAGE UMBRELL.ALIAB OCCUR EACH OCCURRENCE $ EXCESSUAB CLAIMS -MADE AGGREGATE $ DED RETENTION $ $ I A WORKERS COMPENSATION WC013-00001-018 5/1/2018 5/1/2019 PER OTH- AND EMPLOYERS' LIABILITY Y ! N ! I . ✓....._STATUTE .....!........_._ Eli......._ ... .._._...._.......... ..... ...... .... ...._..........._...... ---...... ANYPROPRIETORlPARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? FN NIA; j ! E.L. EACH ACCIDENT L............................................_.._................................................ 51,000000 a....__.............._.._._...._... — (Mandatory In NH) I E.L $describe...........................__........_................__.........._ QQQ.0.40.._._. DESCRIPTION OF OPERATIONS below . E.L. DISEASE - POLICY LIMIT ......_�.. __................... $ 1 000.000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Coverage provided for all leased employees but not subcontractors of: ICON GROUP ENGINEERS, LLC Location Effective: 1/18/2017 Project Location: 9440 NE 2 AVE Miami Shores Florida,33138 ••'-•• • •• ••••-• • •• • .vr..�.� tiA l7liCLLM 1 IVIV Miami Shores Village SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Building or artnTHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 10050 N.E. part met Avenue ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shore, FL 33138 AUTHORIZED REPRESENTATIVE Glen J Distefano (V IVtSt$-ZU15 ACVKo CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD 44745967 1 Howard Leasing, Inc. PEO 013 MASTER CERT I receptionisL 1 10/4/2016 12:15:03 PM (EDT) I Page 1 of I Ncor Miami Shores Village RECEIVED • • ��� Building Department MAY 31 201 L� ,r 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 v` �l Tel: (305) 795-2204 Fax: (305) 756-8972 Y: INSPECTION LINE PHONE NUMBER: (305) 762-4949 to v FBC 201-4 BUILDING Master Permit No. C — o' PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION QRENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 9440 NE 2nd Ave City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): MSVC, LLC. ( Oscar Sklar) Phone#: 786-344-8124 Address: City: State: Zip: Tenant/Lessee Name: MCSpence Group Phone#t3057218-0813 Email: CONTRACTOR: Company Name: Centerl Construction LLC. Address: 950 N Krome Ave Suite 200 Phone#: 954-304-7370 City. Homestead state: Florida zip: 33030 Qualifier Name: Tammy Griffin Phone#: 954-304-7370 State Certification or Registration #: Certificate of Competency #: CGC 1523993 DESIGNER: Architect/Engineer: C Space Architecture Designs Phone#: Address:4530 N. Hiatus Rd. Suite 101 City. Sunrise State: FL zip: 33351 b .4-..0 Value of Work for this Permit: $SAQ%_G0_ / Square/Linear Footage of Work: 600 SF Type of Work: ❑ Addition M Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: Remodeling �.� �,�,� �_�-jr �C � � cow � � Specify color of color thru tile: Submittal Fee $ Permit Fee $. ' L 1 O CCF $ '4 d CO/CC $ C� Scanning Fee $ t coo Radon Fee $ �R • DBPR $ (a- . 60 Notary $ Technology Fee Training/Education Fee $ G, Double Fee $ Structural Reviews $ (Revised02/24/2014) Ce. r b - r60p =T1 (:sU , UK) RA Bond $ 1 TOTAL FEE NOW DUE $ I . 1 U4� 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 on 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 inspectio rc rs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not b improved an&p reinspection fee will be charged. Signature. r AGE The foregoing instrument was acknowledged before me this '.3 day of Mau , 20 I'S by 03car U-Lct r who is4gersonally known o me or who has produced identification and who did take an oath. NOTARY PUBLIC: as Signature (_VMTRACTOR The foregoing instrument was acknowledged before me this '7" -S— day of 20 1 , by Tammy Griffin who is personally known to me or who has produced Driver's LIC as identification and who did take an oath. NOTARY PUBLIC: Sign: � Sign: Q Print: (�J� IfCJU ll��. �Gi ?PZ Print: tJ% H /�%Z -W 0 Seal: Seal: KATHERINERODRIGUEZ ' MY COMMISSION # GG 193438 r% °.. Notary Public State et F!oric;a **** *s*�,*A****** ****** '•.FosF;°•• Bonded ThruN M!O bl nden Wis . ?;c�: 88 My Comm. Expires N �'l , c��� i Bonded through idatio Y APPROVED BY Plans Ex; Zoning A101, Structural Review Clerk (Revised02/24/2014) CONS.TR[JCT/,L7N May 17, 2018 State of Florida County of Dade Before me this day personally appeared Tammy Griffin who, being duly sworn, deposes That he or she will be the only person working on the project located at 9440 NE 2nd Ave Miami Shores Florida 33138 Sworn to (or affirmed) and subscribed before me this 01 day of May , 2018. By � AM m v ��2� F•✓ Personally know Or Produced Identification Type of Identification Produced Print, Type or stamp Name of Notary RUTH PRADO a *o Notary Public - State of Roriva _•. Commission # FF 907488 My Comm. Expires Nov 27, 2019 ''°� Bonded through National Notary Assn. 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' compensate rance coverage from the contractor's company for day labor, part-time employees or subcontractors. BY SIGNING Bf OW I U ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Owner State of Florida County of Miami -Dade The foregoing was acknowledge before me this 23 day of May 20 $ M DSC (_ SY_k0.0 Notary: SEAL: who i ersonally known)o me or has produced as identification. KATHERINE RODRIGUEZ My COMMISSION # GG 193438 EXPIRES: March 7, 2022 Bonded T►ru Nagy Pubk underwriters Property Information Folio: 11-3206-013-2780 Property Address: 9400 NE 2 AVE Miami Shores, FL 33138-2703 Owner MSVC LLC Mailing Address 2310 HOLLYWOOD BLVD HOLLYWOOD, FL 33020 PA Primary Zone 6400 COMMERCIAL - CENTRAL Primary Land Use 1111 STORE: RETAIL OUTLET Beds / Baths / Half 0 / 0 / 0 Floors 1 Living Units 0 Actual Area 12,578 Sq.Ft Living Area 12,578 Sq.Ft Adjusted Area 12,370 Sq.Ft Lot Size Year Built 35,425 Sq.Ft 2006 Assessment Information Year 2017 2016 2015 Land Value $921,050 $921,050 $779,350 Building Value $838,848 $687,050 $561,894 XF Value $71,521 $0 $65,288 Market Value $1,831,419 $1,608,100 $1,406,532 Assessed Value $1,768,910 $1,608,100 $1,406,532 Benefits Information Benefit Type 2017 2016 2015 Non -Homestead Cap Assessment Reduction $62,509 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description MIAMI SHORES SEC 1 AMD PB 10-70 LOTS 1-2-3-4- & 5 BLK 21 LOT SIZE IRREGULAR OR 22502-2791-2814 THRU 2819 0704 Generated On : 5/25/2018 Taxable Value Information 2017 2016 2015 County Exemption Value $0 $0 $0 Taxable Value $1,768,9101 $1,608,100 $1,406,532 School Board Exemption Value $0 $0 $0 Taxable Value $1,831,419 $1,608,100 $1,406,532 City Exemption Value $0 $0 $0 Taxable Value $1,768,910 $1,608,100 $1,406,532 Regional Exemption Value $0 $0 $0 Taxable Value $1,768,910 $1,608,1(0 $1,406,532 Sales Information Previous OR Price Book- Qualification Description Sale Page 07/01/2004 $0 22502- Sales which are disqualified as a result of 2787 examination of the deed 07/01/2004 $950,000 22502 Sales which are qualified 2791 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: Detail by Entity Name Page 1 of 2 Florida Department of State DIVISION OF CORPORATIONS rlr _ "" !n� n�frlyd ��we nj"'F1c�rlrEol �vsFa:l�k Department of State / Division of Corporations / Search Records / Detail By Document Number / Detail by Entity Name Florida Limited Liability Company MSVC, LLC Filina Information Document Number L04000045828 FEUEIN Number 20-1311464 Date Filed 06/17/2004 State FL Status ACTIVE Principal Address 2310 HOLLYWOOD BLVD HOLLYWOOD, FL 33020 Mailing Address 2310 HOLLYWOOD BLVD HOLLYWOOD, FL 33020 Registered Aaent Name & Address SKLAR, NEAL IESQ 2310 HOLLYWOOD BLVD HOLLYWOOD, FL 33020 Authorized Person(s) Detail Name & Address Title MGR MSVC MANAGEMENT LLC 2310 HOLLYWOOD BLVD HOLLYWOOD, FL 33020 Annual Reports Report Year Filed Date 2016 01 /22/2016 2017 01 /24/2017 2018 01 /25/2018 Document Images 01/25/2018 — ANNUAL REPORT View image in PDF format http://search. sunbiz. org/Inquiry/CorporationSearch/SearchResult... 5/23/2018 Detail by Entity Name Page 1 of 2 Florida Department of State DIVISION OF CORPORATIONS w�„"_ p.+,n...'�■'�"�, u� nfJ'.rl.� �tr ojFf�r3da wrtfslfr Department of State / Division of Corporations / Search Records / Detail By Document Number / Detail by Entity Name Florida Limited Liability Company MSVC MANAGEMENT, LLC Filing Information Document Number L04000045826 FEUEIN Number 20-1011414 Data Filed 06/17/2004 State FL Status ACTIVE Principal Address 2310 HOLLYWOOD BLVD HOLLYWOOD, FL 33020 Mailina Address 2310 HOLLYWOOD BLVD HOLLYWOOD. FL 33020 Registered Agent Name & Address SKLAR, NEAL IESQ 2310 HOLLYWOOD BLVD. HOLLYWOOD, FL 33020 Authorized Person(s) Detail Name & Address 2310 HOLLYWOOD BLVD HOLLYWOOD, FL 33020 Title MGRM SKLAR, ARI L 2310 HOLLYWOOD BLVD HOLLYWOOD, FL 33020 Title MGRM SKLAR, NEAL I http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResult... 5/23/2018 Detail by Entity Name Page 2 of 2 2310 HOLLYWOOD BLVD HOLLYWOOD, FL 33020 Annual Resorts Report Year Filed Date 2016 01/22/2016 2017 01/11/2017 2018 01/15/2018 Document Images 01/15/2018 —ANNUAL REPORT 01/11/2017 —ANNUAL REPORT 01/22/2016 —ANNUAL REPORT 01/06/2015 -- ANNUAL REPORT 01/10/2014 —ANNUAL REPORT 01 /10/2013 — ANNUAL REPORT 01/04/2012 -- ANNUAL REPORT 01/06/2011 —ANNUAL REPORT 01/06/2010 —ANNUAL REPORT 01/06/2009--ANNUAL REPORT 01/18/2008 -- ANNUAL REPORT 01/29/2007 -- ANNUAL REPORT 01/31/2006 — ANNUAL REPORT 05/09/2005 — ANNUAL REPORT View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format Florida Department of State, Division of Corporations http://search. sunbiz. org/Inquiry/CorporationSearch/SearchResult... 5/23/2018 Oro L�rj Ce4qrWl-ED' CaMrNAIC7-CAR. 1523993A%r"'y� 950 N. Krome Ave., Suite 200, Homestead, Florida 33030Telephone: 954.304.7370 / Toll. Free: t.877.727.5727 Structure Work Materials Compound & Paper Strip $200.00 Structure Work Materials Boxes of Screws $100.00 Structure Work Equipment for digging & cutting concrete $1,500.00 Materials Structure Work Concrete $600.00 Materials Materials Grease Trap $2,000.00 Materials Grease Interceptor I %Z600.00:.: Travel & Gas T'.s5db.00 Insurance *%2;000.00 41 Miscellaneous 0$1,000.00. Trash Removal Disposal of trash $ 1 0 0 0. 00 Company Profit $8,000.00 J Permits Fees TBA $o Impact Fees TBA $0 Total $31,080.00 Note: This price is for the connections inside the premises. If we are required to go outside the premises to connect, the project will be subject to an increase that we are unaware off at this time. Contractor will supply a dumpster for discarding debris. Unit must be cleared upon entering each work area. 2 N 1 iCE/'VTE� MWITI 4CERrIJ=Ie,7 Ca)WMACrdR: 7823993 "Y 950 N. Krome Ave., Suite 200, Homestead, Florida 33030Telephone: 954.304.7370 ! Toll Free:.1.877.727.5727 Customer: Project Address: City: State: Zip: Contractor Lic: i523993 Smoothie Express 9440 NE 2 Ave, Miami Miami Shores Florida 33138 ...... .... ----------- Description .!..Quanti Item Labor Workforce • . $9t000.00 :' 0, ,as • Structure Work Purchase of sheetrock materials. $600.00 Materials Electrical Electrical Outlet G5 $200.00 Materials Structure Work Plywood $300.00 Materials ! Structure Work 2 X 4 $200.00 Materials Structure Work Paint Sealer w I $400.00 t Materials Structure Work Paint ( $600.00 Materials Structure Work Formica $700.00 Materials Structure Work Boxes of Nails ( $100.00 Materials Structure Work Materials Why Nots $80.00 •• X�10"4 ;' CENTE/4 o _ e CERTIF/EO CONTRACTORr Y523993 950 N. Krome Ave., Suite 200, Homestead, Florida 33030 Office: 786.600.7008 Toll Free: 888.907.7097 www.centericonsftuction.com Smoothie Express - Remodeling Contract This Contract is between: Jermaine Smith, 9440 NE 2 Ave, Miami Shores, Florida 33138, 954- 991-1956 (the "Owner"), and Center 1 Construction, 950 N. Krome Ave, Suite 200, Homestead Florida 33030, 9543047370 (the "Contractor"), who is licensed in the state of Florida under license number CGC: 1523993. Project Address: 9440 NE 2 Ave, Miami Shores Florida 33138 Project Description: The Owner of Smoothie Express has hired Center 1 Construction to remodel the existing space at 9440 NE 2 Ave, Miami Shores, FL 33138. The remolding project will consist of the following: 1- Get necessary permits for plumbing and electrical work. We will install new additional walls as listed in the plans. Install 16 gauge metals for the walls, install sheetrock doing finish work on the sheetrock, do all painting of the walls and electrical wires where is needed according to plans in Schedule A. 2- Install new 2x4 electrical boxes according to code, install all new GFI electrical outlets where is needed according to plans listed in Schedule A. 3. Install seven Track Lights, 4- Install one new counter, install new washing sinks according to plans listed in Schedule A. 5- Install new floor according to plans listed in Schedule A. 6. Install new ceiling panel to managers office according to plans listed in Schedule A. 6- Do new plumbing job installing new pipes for the release of water from the sink according to plans listed in Schedule A. 7 - Get all necessary inspections from the city. Center 1 Construction is not responsible to pay for any permit fees, impact fees or city fees. Owner have agreed to only communicate with the assigned Center 1 Construction management team that will be on site or available by phone. Owner will not permit any of its staff to communicate directly with any person or persons of the Center 1 Construction employee labor force. All questions or concerns must be directed to the management of Center 1 Construction. If this happens, Center 1 Construction will have all the rights to call breach of contract and the owner will be responsible for the full amount of the project as a performance fee. Center 1 Construction will introduce all management team to the Owner for any and all necessary communication as needed. After getting all the permits, the project will be completed in 3 to 4 weeks. The 3 to 4 weeks time frame is due to city inspector's schedule availability. The project will begin one day after 50% down payment is made and cleared, 25% down payment at first inspection call and final 25% payment before final inspection call. Payment. Payment shall be made to Center 1 Construction LLC, Homestead, Florida 33030. Jermaine Smith agrees to pay the sum of $18,000.00 as follows: Event and Payment Amount Initial payment $9,000.00 First Inspection Call $4,500.00 Before final Inspection call $4,500.00 CEN r A= CERT/F/EO CONTRACTOR: y523993 950 N. Krome Ave., Suite 200, Homestead, Florida 33030 Office: 786.600.7008 Toll Free: 888.907.7097 www.centerIconstraction.com If any invoice is not paid when due, interest will be added to and payable on all overdue amounts at 7 percent per year, or the maximum percentage allowed under applicable laws, whichever is less. Center 1 Construction shall pay all costs of collection, including without limitation, reasonable attorney fees. In addition to any other right or remedy provided by law, if Jermaine Smith fails to pay for the Services when due, Center 1 Construction has the option to treat such failure to pay as a material breach of this Contract, and may cancel this Contract and/or seek legal remedies. TERMS AND CONDITIONS 1. Licensing Contractor warrants that it's company currently holds a valid license under the laws and statutes of the State of Florida. 2. Time for Performance Contractor shall commence work under this Contract on or before May 02, 2018. Contractor shall be deemed to have substantially commenced work when Contractor moves equipment onto the jobsite. If Contractor fails to substantially commence work within 30 days from the approximate date of commencement, Owner may delay the succeeding payment due to Contractor for a period of time equal to that of the delay in commencement of work. Allowance in approximate commencement and completion dates shall be made for any delays attributable to circumstances beyond Contractor's control. 3. Drawings, Specifications, and Permits The project will be constructed according to the drawings and specifications contained in Schedule A, incorporated into this Contract by reference, which have been examined by Owner and which have been or may be signed by the parties to this Contract. Unless otherwise specifically provided in the drawings or specifications, Contractor will obtain and pay for all required building permits and Owner will pay assessments and charges required by public bodies and utilities for financing or repaying the cost of sewers, storm drains, water service, and other utilities including charges for sewer and storm drain reimbursement, revolving funds, hookup, and other similar charges. Owner will locate and point out the property lines to Contractor, and will engage a licensed land surveyor to provide boundary stakes if Owner is in doubt as to property boundaries. Owner assumes all responsibility for the accuracy of the boundary markers. Owner shall give copies of any restrictions, easements, or rights of way to Contractor before work is commenced. Unless otherwise specified, work does not include any changes or alterations from the drawings or specifications that may be required by any public body, utility, or inspector. Contractor, at Contractor's option, may alter specifications only so as to comply with requirements of CENTER CERT/F/EO CONTRACTOR: f 523993 �` 950 N. Krome Ave., Suite 200, Homestead, Florida 33030 Office: 786.600.7008 Toll Free: 888.907.7097 www.centerlconstmction.com governmental agencies having jurisdiction over same. The cost of any alteration undertaken to comply with any such requirements shall be in addition to the Contract price specified herein. 4. Property Lines Unless otherwise specified, Owner will provide all water, sewer, gas, and electric utilities from the point of entry at Owner's property line or, if metering devices are required, to those devices. In compliance with federal and state law, Owner agrees to make drinking water and toilet facilities available to all workers or to compensate Contractor for the cost of rented facilities. Owner agrees to provide the electricity that Contractor requires at the jobsite to complete the work. 5. Access to Work Owner shall grant free access to work areas for workers and vehicles and shall provide areas for storage of materials and debris. Owner agrees to keep driveways clear and available for movement and parking of trucks during scheduled working hours. Owner shall be responsible for securing all entrances to the jobsite in a manner adequate to prevent persons other than Owner, Contractor, and any authorized workers or material suppliers from gaining access to that site. Contractor shall be responsible, at the end of every workday, for storing all equipment and materials in the facilities provided by Owner. Contractor shall not be liable for damage to driveways, walks, lawns, shrubs, or other vegetation by movement of trucks, workers, equipment, materials, or debris. Contractor shall keep Owner advised as to the hours during which work is scheduled to be performed at the jobsite. If Owner denies access to any worker or supplier of materials during scheduled working hours, then Owner will be deemed in breach of this Contract and subject to liability for any damages caused by the breach. 6. Financing Owner is responsible for obtaining all financing that is or may be necessary to fund the work specified in this Contract. Owner represents that Owner has sufficient funds or has arranged sufficient financing to comply with this Contract. 7. Standard Materials The Contractor has been provided with design plans or specifications attached as Schedule A to this Contract. The Contractor should follow all material standards as set forth in Schedule A. Should there be an issue with supply or availability of certain materials, the Contractor must notify the Owner prior to proceeding with the use of a substitute material. The Owner will not be responsible for any materials or labor charges on unapproved materials. 8. Nonstandard Materials If any materials used under this Contract are to vary from those listed in Paragraph 7, or if the specifications, quality, or color of the materials vary from those listed in that Paragraph, both Contractor and Owner must agree to that variation in a writing titled "Specifications." That CENTER' CERT/F/EO CONTRACTOR: 1523993 ,'.r�,..�� 950 N. Krome Ave., Suite 200, Homestead, Florida 33030 Office: 786.600.7008 Toll Free: 888.907.7097 www.centerIconstmction.com writing must be signed by both Contractor and Owner and must be attached to this Contract and incorporated by reference. 9. Hazardous Materials Unless otherwise specified in this Contract, the removal, disturbance, or transportation of hazardous materials, including asbestos, is not Contractor's responsibility under this Contract. The parties agree that, if Contractor encounters hazardous materials in the course of the Project, Contractor shall stop work immediately and notify Owner who may then retain a qualified Contractor to perform the work. Such work shall be considered Extra Work under Paragraph 13. 10. Work Allowance, Conflict, and Abnormal Conditions There shall be a reasonable allowance on all dimensions specified in work plans. All sizes are outside approximate sizes. If there is any conflict between sketches, renderings, views, pictures, plans, blueprints, etc., and the terms of this Contract, then this Contract shall be controlling. Contractor is not responsible for any existing illegal conditions. Contractor is not responsible for any unusual or abnormal concrete footings, foundations, retaining walls, or piers required, or any unusual depth requirements, such as, but not limited to, conditions caused by poor soil, lack of compaction, hillside, or other slope conditions. Contractor may, but is not obligated to, correct those conditions. All work necessary to correct abnormal conditions that is required by public bodies shall constitute an extra work item and the cost shall be in addition to the Contract price specified herein. 11. Change Orders, Amendments, and Modifications Any subsequent amendment, modification, or Contract, which alters this Contract, and which is signed or initialed by Contractor and Owner, shall be deemed a part of this Contract and shall be controlling in case of conflict with any other provision in Contract. 12. Extra Work and Changes If Owner, Construction Lender, or any public body or inspector directs any modification or addition to the work covered by this Contract, the charge for that extra work shall be determined in advance and the cost shall be added to the Contract price in addition to Contractor's usual fee for overhead and profit. Owner shall make payments for all extra work as that work progresses, concurrently with regularly scheduled payments. Contractor shall do no extra work without the prior written authorization of the Owner. Any authorization for extra work shall show the agreed terms and shall be approved and signed by both parties. 13. Plumbing Unless specifically authorized by this Contract, Contractor shall not change plumbing, gas, waste, or water lines outside of the foundation of an existing building. Unless otherwise specifically provided for, this Contract does not cover work done on cesspools or septic tanks. The Contract price does not include rerouting, relocation, or replacement of vents, pipes, ducts, or conduits not shown, or pipes that may be encountered in areas of alteration or excavation. CENTE/4 rw CERT/F/EO CONTRACTOR: 1523993 ' I 950 N. Krome Ave., Suite 200, Homestead, Florida 33030 Office: 786.600.7008 Toll Free: 888.907.7097 www.centertconstruction.com 14. Electrical Service Unless specifically included in this Contract, electrical work shall not involve a change to any existing service panel other than the addition of circuit breakers or fuse blocks to distribute electric current to new outlets. This Contract does not include changes to existing wiring in areas undisturbed by alterations. All existing electrical wiring systems are assumed to be, and Owner represents them to be, adequate to carry the load imposed by existing work. Any work necessary to correct these existing conditions shall be an extra work item subject to Paragraph 13 of this Contract. 15. Plaster Contractor calls Owner's attention to, and Owner acknowledges, the limitations of patching plaster. While Contractor shall make every effort to match existing textures, colors, and planes, exact duplication is not promised. 16. Filled Ground or Rock Unless this Contract specifically provides otherwise, excavating does not include work on filled ground, ground of inadequate bearing capacity, or rock or any other material not removable by ordinary hand tools. This work shall be an extra work item subject to Paragraph 13 of this Contract. 17. Termite Work Contractor is not obligated to perform any work to correct damage caused by termites or dry rot. Any such work shall be an extra work item subject to Paragraph 13 of this Contract. 18. Removal of Material and Debris Except for items designated by Owner in writing prior to the commencement of construction, Contractor shall dispose of all material removed from structures in the course of alteration. Contractor shall remove all construction debris on termination of work and shall leave the premises in neat, broom -clean condition. 19. Extra Time Contractor shall start and diligently pursue work through to completion, but shall not be responsible for delays caused by any of the following: failure of the issuance of all necessary building permits within a reasonable length of time; funding of loans; disbursement of funds into funding control or escrow; acts of neglect or omission by Owner or Owner's employees or agents; acts of God; stormy or inclement weather; strikes, lockouts, boycotts, or other labor union activities; extra work ordered by Owner; acts of public enemy; riots or civil commotion; inability to secure material through regular recognized channels; imposition of Government priority or allocation of materials; Owner's failure to make payments when due; delays caused by inspection or changes ordered by the inspectors of authorized governmental bodies; acts of independent Contractors; holidays; or any other circumstances beyond Contractor's control. CE/VTER�' CERT/F/EO CpNTRACTORr 7523993 �,% 950 N. Krome Ave., Suite 200, Homestead, Florida 33030 Office: 786.600.7008 Toll Free: 888.907.7097 www. center t constmction.com 20. Damage to Project and Insurance Before any work commences under this Contract, Owner shall procure fire insurance with course of construction, vandalism, and malicious mischief endorsements at Owner's own expense. This insurance shall be for a sum at least equal to the Contract price. Loss under the insurance policy shall be payable to the beneficiary under any deed of trust covering the project. The insurance policy shall name Contractor and all Sub -Contractors as additional insured, and shall protect the interests of the Owner, Contractor, Sub -Contractors, and construction lender. If Owner fails to procure the insurance required under his Paragraph, Contractor shall have the option to procure that insurance as agent for, and at the expense of, Owner. If the project is destroyed or damaged by any accident, disaster, or calamity, such as fire, storm, flood, landslide, subsidence, or earthquake, or by theft or vandalism, any work done by Contractor in rebuilding or restoring the project shall be paid for by the Owner as an extra work item subject to Paragraph 14 of this Contract. If, however, the estimated cost of replacing the work already accomplished by Contractor exceeds 20 percent of the Contract price, Owner shall have the option to cancel this Contract and, if Owner does so, Owner shall pay Contractor the reasonable cost, including usual overhead and a net profit of 10 percent, of all work performed by Contractor before cancellation. 21. Workers Compensation Insurance Contractor shall carry workers compensation insurance to protect Contractor's employees during the progress of the work. Owner shall obtain and pay for insurance against injury to Owner's own employees, persons under Owner's direction, and persons on the jobsite at Owner's invitation. 22. Protection of Owner's Property Owner agrees to remove from the jobsite or to otherwise protect any personal property including, but not limited to, carpets, rugs, drapes, furniture, shrubs, and plantings. Contractor shall not be held responsible for damage to or loss of any items of personal property. 23. Guarantee of Materials and Workmanship Contractor does not guarantee any materials, equipment, assemblies, or units that Contractor has purchased or will purchase as part of the work covered by this Contract. All of these items are subject to manufacturers or processor's guarantees or warranties. 24. Work Stoppage Contractor shall have the right to stop work and keep the job idle if payments are not made to Contractor when due. If the work is stopped, for any reason, for a period of 60 days, then Contractor may, at Contractor's option, on five days written notice, demand and receive payment for all work executed and materials ordered or supplied and any other loss sustained, including Contractor's normal overhead plus a profit of 10 percent of the Contract price. Thereafter, Contractor is relieved from any further liability. If work stops for any reason, Owner shall provide for protection of all material on the premises and shall be responsible for any damage, warpage, racking, or loss of that material. CENTER CERT/F/EO CONTRACTOR: 1523993 �../� 950 N. Krome Ave., Suite 200, Homestead, Florida 33030 Office: 786.600.7008 Toll Free: 888.907.7097 www.centerIconstruction.com 25. Completion and Occupancy Owner agrees to sign and record a Notice of Completion within five days after the project is completed and ready for occupancy. If Owner fails to record the Notice of Completion, then Contractor shall, as Owner's agent, sign and record a Notice of Completion on Owner's behalf. This agency is irrevocable and is an agency coupled with an interest. Contractor may bar occupancy of the project by Owner or anyone else until Contractor has received all payments due under this Contract and until the appropriate Notice of Completion has been recorded. Use and/or occupancy shall constitute completion. If a funding control service is used, then Contractor and Owner agree that the funding control service shall be appointed as Owner's agent to sign and record a Notice of Completion on Owner's behalf. 26. Notice Any notice required or permitted under this Contract may be given by ordinary or electronic mail at the addresses specified in this Contract. If either party changes his or her address, that parry shall provide written notice of the change to the other party. Notice shall be considered received one day after it is deposited in the mail with postage prepaid. 27. Integration Clause This document and all documents incorporated by reference constitute the parties' entire Contract. No other Contracts, oral or written, regarding the work to be performed under this Contract exist between the parties. This Contract shall be construed in accordance with, and governed by, the laws of the State of Florida. 28. Corrective or Repair Work If minor items of corrective or repair work remain to be accomplished by Contractor after the project is ready for occupancy, Contractor shall perform the work expeditiously and Owner shall not withhold any payment pending completion of that work. If major items of corrective or repair work remain to be accomplished after the building is ready for occupancy, and the aggregate cost of that work exceeds one percent of the gross Contract price, then Owner, pending completion of the work, may withhold payment of a sufficient amount to pay for completion of the work, but shall not withhold any greater amount. 29. Arbitration of Disputes Any controversy that develops between Contractor and Owner with regard to matters arising out of, or relating to, this Contract, and that the parties do not promptly resolve, shall be decided by arbitration administered by and in accordance with the Construction Industry Arbitration Rules of the American Arbitration Association unless the parties agree otherwise in writing. This Paragraph shall be specifically enforceable under the prevailing arbitration law. The award rendered by the arbitrators shall be final, and judgment may be entered on it in any court of competent jurisdiction. ..r i. CEf?T/FIFO CC?NTR.4CT4i7: 7523993 �,,./'r 950 N. Krome Ave., Suite 200, Homestead, Florida 33030 Office: 786.600.7008 Toll Free: 888907.7097 www.center l construction.com 30. Attorneys' Fees In the event of any arbitration or litigation arising from this Contract, the prevailing party shall be entitled to recover its costs and reasonable attorneys' fees. 31. Signatories This Contract shall be executed by the Business Owners McSpence Group, Daryl Makenzie, Tashana Spence, Maurice Spence; Smoothie Express One LLC, Jermaine Smith, and by the contractor, Cc ter 1 Constructio . The Contract shall be effective as of signing. Me G p enzie Date t Tashana Spen Date Maurice Spence Sm thie Express Vne LLC J aine Smith Date ` D to May 8, 2018 Date _ TXJ4 _ CERT/F/EO CONTRACTORr VS23993 950 N. Krome Ave., Suite 200, Homestead, Florida 33030 Office: 786.600.7008 Toll Free: 888.907.7097 www.centerlconstruction.com Contract amendments: Structure i- Install storage room doors and wall, 36" by 36 pocket cut out located behind the front counter; painting new managers office and painting of the pre-existing bathroom. Installing crown molding in managers new office. Installing crown molding thru out the entire project/space as instructed/ desired by project manager Jermaine Smith. This will include installing new baseboard as needed. We will also Install the ceiling panel in the office using sheetrock according to plans. Electrical 2- Install new 2x4 box for GFI electrical outlets according to plans listed in Schedule A. Move light switch from inside the pre-existing bathroom to outside of the pre-existing bathroom. Plumbing 3- Cutting of concrete slab, adding a drain to the kitchen area, installing all plumbing in the ground as seen on approved plans. Install one new counter, install new washing sinks according to approved plans. Purchase and install handicapped toilet for pre-existing bathroom. Purchase and install ada sink in pre-existing bathroom. Install hot water line in the pre-existing bathroom. Install hot heating tank. Floor installation 4- Install new floor according to approved plans. We Install new laminated floor behind the counter. 5- Any additional work will be done at an additional agreed upon cost. 6- The business owner has agreed to correct the current plans. 35/50 GPM grease interceptor � 9 Mt 35" (89 cm) 5" 03 cm) 0 o O 0000�0 ®®g® o 0 e o 8.3/4" (22 cm) IN SUBMITTAL Standard Location: indoor Installation: above/below grade Flow Rates / Grease Capacities: 35 GPM (2.2 L/s) /130.5lbs. (59.2 kg) 50 GPM (3.2 Us) /127.6 lbs. (57.9 kg) Liquid Capacity: 20 gal. (75.7 L) Approval a 23" 0 0 o o o o (58 cm) 0 0 0 0 0 0 o c� o o p o0o G o 0 0 -®.a000'0000 �� o0000 0 0 0 0 0 ®o ®o 0 0® o o ®o 0 0 0 0 0 0 0 0 0 0 0 000 000 0 0 0 0 0 0 0 ��®�gyGS 0 O O� po O p o 0 O o O Q ®o�O�0o0 poDo�.p � �o®�oo�000p� ""POP, o ® 0 13-3/4" o®000000 135 cm) . . . . ...... •• • .... % •• • . • • • Weight:49 lbs. (22.2 kg) Connections: 4" (100 mm) FPT inlet/outlet with 4" x 3" (100 mrn x 75 mm) FPT fittings Cover: bolted gas/water tight polypropylene with 1,000 lb. load rating when unit is buried with FCRI riser Signature: Date: Company: Specifying Engineer: Engineering Firm: Options FCR1(xl): , 2-1/8" -12" field cut riser FCRI (x2): ,12" - 25" field cut risers ❑ CC1: membrane clamping collar kit (requires FCRI riser) PP1: pumpout port kit ❑ F32: 3" x 2" (75 mm x 50 mm) FPT fittings (x2) page 1 of 3 Installation Instructions Installation instructions and additional components are included with the interceptor. Read all instructions prior to installation. This interceptor is intended to be installed by a licensed plumber in conformance with all local codes. installation instructions inside — When Installing Interceptor Inside If your dishwashing sink(s) discharges into a floor drain/ sink (drain), you must regulate the flow into the drain to avoid an overflow of water onto the kitchen floor. This can be done by installing a valve or flow restriction can 1 o or similary ' rubberflow row restriction end . • I on the sink piping that discharges into the drain. See drawing above for guidance. For detailed guidance on indirect connections, go to: http//webtools.sch ierprod ucts.com/TechnicaLData/I nd irect_Connections.pdf Flush -to -Grade Burials Flush -to -Grade buried installations (without a riser) are not recommended for heavy foot traffic areas without the use of an internal support system (sold additionally). High Temperature Kitchen Water If water is entering the interceptor at excessive temperature (over 140' F), a drain water tempering valve (DTV) and approved backf low prevention assembly must be installed. Most state and local plumbing codes prohibit water above 140° F being discharged into the sanitary sewer. Water above 140' F will weaken or deform PVC Schedule 40 pipe, poly drainage fixtures like interceptors and erode the coating of cast iron (leading to eventual failure). cold water supply line high temperature effluent ( > 140' F) approved backflow prevention assembly DTV (drain water tempering valve) Interceptor Interceptor • • r • • ••••• directly connected • •; • • indirectly ponnectecL •••• Fully Support • • • Base of Unit Install unit on solid, level surface in • contact with the entire footprint of ;" unit base; for suspended installations design trapeze to support the wet • weight of the unit. Do not partially ' • • support unit or suspend unit using metal U-channel to create a trapeze Support Inlet and Outlet Piping For above grade installations ensure heavy inlet and outlet piping (such as cast iron or long runs) is properly supported or suspended during the entire installation process to prevent connection failure or damage to bulkhead fittings. .. ••••. concreje floor .,; • • �Inte�ceptor • suspended installation pipe supports page 2 of 3 SPECIFICATION Notes 1. 4" FPT inlet/outlet with 4"xX FPT fittings. 2. Unit weight - 49 lbs. (wet weight 216 lbs.) 3. Capacities - Liquid: 20 gal. @35 GPM- Grease:130 lbs. (17.8 gal.) @50 GPM- Grease:127 lbs. (17.3 gal.) 4. Built-in flow control. 5. For gravity drainage applications only. 6. Do not use for pressure applications. 7. Cover placement allows full access to tank for proper maintenance. 8. Vent not required unless per local code. 9. Engineered inlet and outlet diffusers are removable to inspect/clean piping. 10.Integral air relief/ anti -siphon. Engineer Specification Guide Schier Great Basin TM grease interceptor model #GB2 shall be lifetime guaranteed and made in USA of seamless, rotationally -molded polyethylene. Interceptor shall be furnished for above or below grade installation. Interceptor shall be certified to ASME A112.14.3 (type C) and CSA B481.1, with field cut riser system, built-in flow control, built-in test caps and three outlet options. Interceptor flow rate shall be 35 or 50 GPM. Interceptor grease capacity shall be 130 lbs. @ 35 GPM or 127 lbs. @ 50 GPM. Cover shall provide water/gas-tight seal and have minimum 450 lbs. load capacity. Certified Performance Great Basin'"" hydromechanical grease intercep- tors are third party performance -tested and listed by IAPMO to ASME #A112.14.3 and CSA B481.1 grease interceptor standards and greatly exceed requirements for grease separation and storage. They are compliant to the Uniform Plumbing Code, the National Standard Plumbing Code, the National Plumbing Code of Canada, and the International Plumbing Code. 35' • (Optional) Shown with optional 000°000000 0 °000 pumpout port kit A 000°O°O° °O°O°O°O A 23' L — — Outlet'B' Inlet O°o°O o ° °° ° (Standard) °o°o°o°o°ono °o°o°o°o Outlet foot O000000e o000o must face this outlet'C' I direction in all (Optional) I 12-7/16' configurations III--- (� of plain end inlet and outlet {— 0 21-1/2' Cover 01�� in IZL. Note #10 •••• 7 .. ••••. • • • • ••••• _� • ••••• • 5r3l4'invert ••••w •• •• •• •• ••••• neered inlet � • • Static: ater • • outletdiffuaer00000 • • line • •••••• *tl/4' iove•t when usinj4'x3' fittings •• ! • • • Rated Grease Capacites for Units Piped in Series No. of Units Removal Efficiency in Series 97.8% 99%' 2 1 274lbs. 180lbs. `Satisfies Miami DERM 99%efficiency requirements NOTE: Flow rate for 2 GB2 units piped in series is 35 GPM only page 3 of 3 Miami Shores Village RErF—aVED 4 Building Department JAN 2 9 20i9 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 C Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20F4 BUILDING G Master Permit No. Cog _14 1 PERMIT APPLICATION Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING REVISION EXTENSION DRENEWAL ❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS 2rCHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: � y�� �E Enj rt hJf City: Miami Shores County: Miami Dade Zip: ?N Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): � C(x� �€—�Gr Phone#:C` 86s Address: \-�>Q �,bL y oc,A qa�j � City: &14 ulr' QC( State: Zip: Tenant/Lessee Name: / �'/ G ;� G1� I Phon/e#: Email: � , 'e wy, . Coven r,� `A OkY-Y 1 �lV Qq -C3 (0 CONTRACTOR: Company Name: �t5 A1Xylbn Phone#: (3 � tjZ'I' y `d3 C3 Address: �L1 N 1�` -. k �? i City: State: Qualifier Name: rSG� Phone#: State Certification or Registration #: C (l G Certificate of Competency #: _ DESIGNER: Architect/Engineer: Phone#: Address City: Value of Work for this Permit: $ Square/Linear Footage of Work: Zip: '�; �31 Zip: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition a 4 Description of Work: hcjr 6C l.eyl jt for Specify color of color thru tile: Submittal Fee $ Scanning Fee $ Technology Fee $_ Structural Reviews $ Permit Fee $ Radon Fee $ Training/Education Fee $ CCF $ DBPR $ CO/CC $ Notary Double Fee $ 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 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 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 occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be(approveN and a reinspection fee will be charged. The foregoing instrument was acknowledged before me this v�9 day of JWUQN' .20 `C1 , by Mccur y-JA.r whn O z pprsnpaiy k nw= me or who has produced identification and who did take an oath. NOTARY PUBLIC: as Signature v CONTRACTOR The foregoing instrument was acknowledged before me this 1l*day of 20 t9 by Pa+r' &r— 116I'tTariv- who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: gr,G �rT7 Seal: — Se -- ,tc?,. KATHERINE RODRIGUEZ �'� IERIC PITTS MY COMMISSION ;.. „• SSION # GG 193438 = • MY COMMISSION # FF963684 EXPIRES: March 7, 2022 EXPIRES February n 0 * ***************** (a07)398-0'S5 fbritiiNom.rySurvicc APPROVED BY N� Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) 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. *A Owners Name (Fee Simple Ti le Holder):y5�� Own ' Address: 3 O --�C-D lam✓ C�> City: W o State Job Address (Of where work is being done): City: Miami Shores Phone #: Zip Code: 3?r0-2-D State: —Florida Zip Code: Contractor's Company Name: -L P.j J' 6 N61 kvt rl oN ei2o ✓/" Phone #: 304- .SZ 7 8 1O 3 Address: 11 1 NE -1,4 ' City: M State: A:7'L Zip Code: _-431 .3 L Qualifier's Name:. &zx1Ck k l /y.11% ,0 Lic. Number: _CGC 150 ? 139 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 'ling to complete the contract. I hold the Building Official and the iami Shores harmless of all legal involvement. Signature Signature Z Owner ent Contractor or Architect The foregoing instrument was aknowledged before me The foregoing instrument was aknowledgged before me this 01a day oft- v(1,2011,by 01' X c5iMCLI7 this 7-7- day of 20 (!by __Pd�r�►�e�B»ti.�, Who is personally known to me or who has produced who is personally known to me or who has produced as indentification. as indentification. Notary Public: Sign: Seal: s"`" •• KATHERINE RODRIGUEZ a� MY COMMISSION # '•� GG 153438 EXPIRES: Mardi 7, 2022 Thru "q Public UndenmTers Notary Public: r Sign: Seal: ;��`'aY `°�4: ERIC PITTS MY COMMISSION # FF 963684 EXPIRES February 23, 2020 U :L RICK SCOTT, GOVERNOR JONATHAN ZACHEM, SECRETARY d STATE OF FLORIDA DEPARTMENT OF BUSINESSvAt. ):,,R4k0FESSIONAL REGULATION CONST THE G Zoo — flit 78;W? 7-ff1i 't" '*N-,HlA4 L+A)4 C F�430 L SPN,' Eke -iiPIRAT16?�t1TE M iu T 31,2020 Always verify licenses online at MyFlorldal-lcensexorn Do not alter this document in any form. ES THE This Is your license. It Is unlawful for anyone other than the licensee to use this document" Local Business Tax %cei pt aml DadeCounty, State of Florida -THIS IS NOT A BILL - DO NOT PAY 5572012 BUSINESS NAM EILOCA TION IBS CONSTRUCTION GROUP LLC Ill NE 1ST ST 8 FL MIAMI, FL 33138 OWNER ISS CONSTRUCTION GROUP LW "ICK L BRINSON, OUALIFIEA Vcer(s)Tax 'I �, ernrit,or' NO u�; rid RECEIPT NO. RENEWAL 5811857 SEC. TYPE OF 8 198 GENE Must be P C ESS e' x PIRES ABER 30, 019 PAYM ENT RMEIVED BY 14X G(! CTOR � Certificate of Completion Miami Shores Village 10050 N.E. 2nd Ave, Miami Shores, Florida 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 building construction or use. For the following: Description: TENANT BUILD OUT, NEW SMOOTHIE EXPRESS Permit Type Owner Subdivision/Project Construction Type II-B Square Footage Location 9440 NE 2 AVE Miami Shores, FL 331380000 Building (Commercial) MSVC LLC y 1,097.00 Bldg. Permit No. CC-5-18-1489 Contractor IBS CONSTRUCTION GROUP LLC Date Issued 03/29/2019 Occupancy B 9 OCCUPANTS Type Flood Zone X If the building is located in a special flood hazard area documentation of the as -built lowest floor elevation or lowest horizontal structural member has been provided and is retained in the records of Miami Shores Village. This certificate issued pursuant to the requirements of the Florida Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the jurisdiction regulating building construction or use. , Building Officials Approval Not Transferable POST IN A CONSPICUOUS PLACE 1(01tg Ismael Naranjo, CBO Florida Department of Agriculture and Consumer Services Division of Food Safety ANNUAL FOOD PERMIT Chapter 500, Florida Statutes NICOLE "NIKKI" FRIED Rule Chapter 5K-4.020 Florida Administrative Code COMMISSIONER 1 (800) HELP FLA www.FreshFromFlorida.com April 12, 2019 FOOD ENTITY NUMBER: 386977 PERMIT NUMBER: 2019-N-1766760 PERMITTED LOCATION ADDRESS: Mc-spence group lie Smoothie Express Miami Shores 9440 NE 2nd Ave 9440 NE Miami Shores, FL Miami 2nd Ave 33138 - 2703 S Miami Shores, FL 33138 - 2703 The Annual Food Permit is attached below. The attached permit will expire on December 31st. Please detach the lower portion and display it in a conspicuous location as required by Rule 5K-4.020 F.A.C. If there is a change of location from that stated on this permit or if there is a change in business ownership identified above, the permit below is not valid. For information to apply for a new food permit, contact the Florida Department of Agriculture and Consumer Services at 1800-HELP FLA (1-800-435-7352) or visit our website at www.FreshFromFlorida.com. The renewal fee for the Food Permit shall be due annually on January 1. It is the responsibility of the business owner to provide any changes to the billing address. If the renewal fee is not paid by the due date, a late fee of $100 must be paid in addition to the food permit fee before the Department will issue the food permit as specified in Chapter 500.12(4)(b)1, Florida Statutes. FDACS-14414 Rev 05/17 ------------------------------------------------------------------------------------------------------------------------------------------------- °� Department of Agriculture and Consumer Services Division of Food Safety Annual Food Permit 2019 Chapter 500, Florida Statutes NICOLE "NIKKI" FRIED COMMISSIONER FOOD ENTITY NUMBER: 386977 1 (800) HELP FLA www.FreshFromFlorida.com LOCATION: OWNER: Smoothie Express Miami Shores Mc-spence group Ilc 9440 NE 2nd Ave 9440 NE 2nd Ave Miami Shores, FL 33138 - 2703 Miami Shores, FL 33138 - 2703 EXPIRATION DATE: December 31, 2019 This permit must be conspicuously displayed at permitted location and is not transferable. Rule 5K-4.020(2) and 5K-4.020(4)(a) F.A.C. FDACS-14414 Rev 05/17 �N r�ORlDp`y Miami Shores Viliaige Building Department 10050 NE 2 Ave Miami Shores FL 33138 issue Cate: 10/4/2018 INSPECTION REQUESTS: (305)762-4949 or log on at https://bldg.msvfl.gov/energov_prod/selfserviee Requests roust be received by 3:30pm WORK IS ALLOWED: MONDAY THROUGH FRIDAY, 8:OOAM - TOOPM SP,TURDAY 8:OOAM - 6:OOPM, NO WORK IS ALLOWED ON SUNDAYOR HOLIDAYS BUILDING AND ROOFING INSPECTIONS ARE DONE MONDAY THROUGH FRIDAY . NC, iNSPECTION WILL BE MADE UNLESS THE PERMIT CARD IS DISPLAYED AND HAS BEEN APPROVED . PLANS ARE READILY AVAILABLE, IT IS THE PERMITAPPLICANT'S RESPONSIBILITY 10 ENS'URE 'fiHAT WORK IS ACCESSIBLE .AND EXPOSED FOR INSPECTION PURPOSES. NEITHER THE BUILDING OFFICIAL NOR THE CITY SHALL BE LIABLE FOR EXFENSE ENTAILED IN THE REMOVAL OR REPLACEMENT OF ANY MATERIAL. REQUIRED TO ALLOW INSPECTION T)rpe:'Buiding (Commercial) workciass: Alteration Permit Status: Approved Expires: 03/18/2019 POST ON SITE 1132060132780-40 Owner's Name: MSVC LLC Owner's Phone: .yob Address: 9440 NE 2 AVE Total Square Feet: 600 Miami Shores, FL 33138-0000 rota) Job Valuation: $ 28,880.00 Contractor(s) Phone Address !CON CROUP CONTRACTORS (305)501-4817 12205 SW 129 CT, MIAMI, FL 33186 I Description: REMODELING PLUMBING, FOR KITCHEN SPACE ADDING KITCHEN SPACE ADDING OFFICE SPACE AN I LIGHTING SMOOTHIE EXPRESS 14 Jvo"1i v I U ;� F- /�1 d feLU✓1 I ( �/11 L WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING 'rWi E FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMM EN ;EII iEgNT 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. Page 1 of 1 INSPECTION INSPECTION DATE INSP Foundation Sternwall Slab Columns (1st Lift) Columns (2nd Lift) Tie Beam Truss/Rafters Roof Sheathing Bucks Interior Framing a Insulation Ceiling Grid Drywall Firewall Wire Lath Pool Steel Pool Deck Final Pool Final Fence Screen Enclosure Driveway €FDrive--way Base Til n Cap —tl— Roof in Progress Mop in Progress Final Roof Shutters Attachment Final Shutters Rails and Guardrails ADA compliance DOCUMEN Moil Bearing Cert IV Soil Treatment Cert Floor Elevation Survey Reim Unit Mas Cert insulation Certificate Spot Survey Final Survey _ Truss Certification i STRUCTURAL COMMENTS RECORD WINDOWSDOORS INSPECTION DATE INSP Attachment INSPECTION WORKSPUBLIC DATE INSP Excavation ELECTRICAL INSPECTION DATE INSP Temporary Pole 30 Day Temporary Pool Bonding Pool Deck Bonding Pool Wet Niche Underground Footer Ground Slab Wall Rough Ceiling Rough Rough Telephone Rough Telephone Final _ TV Rough TV Final Cable Rough _ Cable Final Intercom Rough Intercom Final Alarm Rough Alarm Final Fire Alarm Rough Fire Alarm Final Service Work With ELECTRICAL COMMENTS INSPECTION DATE INSP■ Final Sprinkler Final Alarm 3; z,;, Oro G'�4 mow. PLUMBING INSPECTION DATE INSIY Rough Water Service 2nd Rough PvL 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 PLUMBING COMMENTS INSPECTION DATE INSP Underground Pipe Rough Ventilation Rough Hood Rough Pressure Test Final Hood Final Ventilation Final Pool Heater Final Vacuum r MECHANICAL COMMENTS C, DERM PROCESS NO.: ��' �� �� , " DATE: �" �f' �IY TIME: .. MUNICIPAL PROCESS/PERMIT NO.: ADDRESS:` COMMENTS: INSPECTOR NAME: ` t t PHONE NO.: INSPECTOR E-MAIL: � ''`� . �"�'``'��`.�L A]PPkoVE SIGNATURE: Kca., V l� ' MUNICIPAL INSPECTION REGUIREMENTS AND RECORD 08/07/2018 MUNICIPAL NO'2018-074543 PRCCESS NO. K2W80-2877 FCLIO: 1132060132780 JOB SITE ADDRESS 9440 NE 2 AVE / PROPOSED USE RETAIL SALES /INTER REMODEL ` � REQUIRED INSPECTIONS INIT DATE * FIRE 0001 FIRE lNEPECTIONS RECOMMENDED � 200 cIRF HYDRANTS a 208 FIRE TCO INSPECTION 209 FIRE FINAL ` � ' ~ ' � / , � � + ` � � y m `� -=