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CC-19-217Miami Shores Village Date Paid Amt Paid 10050 NE 2 Ave $152.90 Miami Shores FL 33138 j 305-795-2204 02/06/2019 $102.90 Issue Date: Location Address Parcel Number 1700 NE 105TH ST 511, Miami Shores, FL 33138 1122300500870 Contacts Permit NO.: CC -01-19-217 Permit Type: Building (Commercial) Work C/ossification: Al erado Permit Status: Approved Expiration: 08/05/2019 ORA CATHERINE VILLA Owner PRECISION FLOORING & DECOR INC Contractor 1700 NE 105 ST 511, MIAMI SHORES, FL 331382145 ALEXANDER EZRA Other: 9253253607 Business: 3054341010 Description: FLOORS REPLACING TO VINYL Valuation: $ 2,214.00 Inspection Requests: 4949 Total Sq Feet: 1,107.00 Fees CCF Commercial Application Fee DBPR Fee DCA Fee Education Surcharge Permit Fee Planning and Zoning Review Fee Scanning Fee Technology Fee Total Amount $1.80 $50.00 $2.00 $2.00 $0.60 $50.00 $35.00 $9.00 $2.50 $152.90 Payments Date Paid Amt Paid Total Fees $152.90 Credit Card 01/30/2019 $50.00 Credit Card 02/06/2019 $102.90 Amount Due: $0.00 Building Department Copy 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. Futhermore, I authorize the above named contractor to do the work stated. re: Owner / Applicant / Contractor / Agent Date February 06, 2019 Page 2 of 2 BUILDING PERMIT APPLICATION Miami Shores Village RECEIVED Building Department JAN 312019 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 201--? Master Permit No. CG --O( " 19 Zl Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL F-1 PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP j'�CONTRACTOR DRAWINGS JOB ADDRESS: �`] I I0/ /06)46f. 6f. -e6f / City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: ) I ZZe es� J 06—>609!76) is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder)_ OCt+,'1%7�- V 1 IQ Phone#: /� `/'`� Add City: a t p W1 1 r 1 U 1--\1.� Zip: 0 Tenant/Lessee Name: Phone#: Email CONTRACTOR: Company Name: 1 •L'1Qt It`brI V ICA c_/edX=Wimhone#:t 1HSit— 10 Address: �� 5* City:co nilEwmn State: T 1 Zip: Qualifier Name: 19 1 6--X P�- 0 e r- �LZ�22Phone#: � State Certification or Registration #: i �?— .)1 " 1199 [ZX Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ ✓`��/ i Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New P Repair/Replace ❑ Demolition Description of Work: Specify color of colora r.�i tide:: `!t Submittal Fee $ PermitFee $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ (Revised02/24/2014) CCF $_ DBPR $ Pt ^� '' �-4ic' :1y!L1tc^i' • `'.'tom: `YtR - ;,� ( 7 ., �. ,fin 1'T r�:'ii� � •7 R' i�:'� talar... .,a:� F i � P CO/CC $ Notary $ Double Fee $ Bond $ j TOTAL FEE NOW DUE $162 : -al 6 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 beforemethis 7 day of 20 1 by kA C • VI IJA who is personally known to me �at�o NOTARY PUBLIC: Signature A 6?k �� CONTRACTOR The ^1foregoing instrument was acknowledged before me this J day of7&N4' 120 tq , by C-4211- yy&y- who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: f,P ( (/(` Sign: Print: S Print: MY COMMISSION # GG075388 Seal: Seal: •., g, EXPIRES March 18.2021 -VNk Notary Pubhc State or Fhxirla Nicole Y Cogen j My Commission GG 275858 a Rd� Expires 11/30/2022 Ali APPROVED BY / Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) 1/30/2019 Property Search Application - Miami -Dade County OFFICE OF THE PROPERTY APPRAISER .&w;. Summary Report Property Information Folio: 11-2230-050-0870 Property Address: 1700 NE 105 ST UNIT: 511 Miami Shores, FL 33138-2145 Owner ORA CATHERINE VILLA Mailing Address 1700 NE 105 ST 511 MIAMI SHORES, FL 33138 USA PA Primary Zone 4900 MULTI -FAMILY - CONDOMINUM Primary Land Use 0407 RESIDENTIAL - TOTAL VALUE : CONDOMINIUM - RESIDENTIAL Beds / Baths / Half 2/2/0 Floors 0 Living Units 0 Actual Area Sq.Ft Living Area 1,154 Sq. Ft Adjusted Area 1,154 Sq. Ft Lot Size 0 Sq.Ft Year Built 1965 Assessment Information Year 2018 2017 2016 Land Value $0 $0 $0 Building Value $0 $0 $0 XF Value $0 $0 $0 Market Value 1 $140,749 $180,448 $138,806 Assessed Value 1 $72,268 $70,782 $69,327 Benefits Information Previous 2018 Benefit Type 2018 2017 2016 Save Our Homes Cap Assessment Reduction $68,481 $109,666 $69,479 Homestead Exemption $25,000 $25,000 $25,000 Second Homestead Exemption $22,268 $20,782 $19,327 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description THE SHORES CONDOMINIUM APT 511 5TH FL UNDIV .0110% INT IN COMMON ELEMENTS CLERKS FILES 64R-124472 Generated On : 1/30/2019 Taxable Value Information Previous 2018 2017 2016 County Exemption Value 1 $47,268 $45,782 $44,327 Taxable Value $25,000 $25,000 $25,000 School Board Exemption Value $25,000 $25,000 $25,000 Taxable Value $47,268 $45,782 $44,327 City Exemption Value $47,268 $45,782 $44,327 Taxable Value $25,000 $25,000 $25,000 Regional Exemption Value 1 $47,268 $45,782 $44,327 Taxable Value $25,000 $25,000 $25,000 Sales Information Previous Price O Book- Qualification Description Sale e Page Corrective, tax or QCD; min 10/05/2015 $68,500 29804-4931 consideration 06/19/2014 $100 29209-3857 Corrective, tax or QCD; min consideration 08/01/2007 $197,000 25843-3647 Sales which are qualified 04/01/2003 $140,000 21158-1020 Sales which are qualified 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: 1/30/2019 Detail by Entity Name of Department of State / Division of Corporations / Search Records / Detail By Document Number / Detail by Entity Name Florida Not For Profit Corporation THE SHORES CONDOMINIUM, INC. Filing Information Document Number 707621 FEI/EIN Number 59-1095398 Date Filed 07/21/1964 State FL Status ACTIVE Last Event AMENDMENT Event Date Filed 06/27/2012 Event Effective Date NONE Principal Address 1700 NORTHEAST 105TH STREET MIAMI, FL 33138 Changed: 04/22/2000 Mailing Address 1700 NORTHEAST 105TH STREET MIAMI, FL 33138 Changed: 04/22/2000 Reaistered Aaent Name & Address Jara & Associates, PA 10271 Sunset Drive Suite # 103 Miami, FL 33173 Name Changed: 01/24/2017 Address Changed: 04/12/2018 Officer/Director Detail Name & Address Title Treasurer STUBBS, PATRICIA 1700 NE 105 ST #211 http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?i nquirytype=En*Name&directionType=lniti al&searchNameOrder=SH ORESCON DO. 1/3 WORT{ REQUEST APPLICATION Owner's Name �� l �tl-f I�1 �� �� C Unit ollowing I hereby request approval from the avill be of rectors for performed by of licensed modification or alteration to my unit that contractor. Electrical work Plumbing work Carpet installation **Windows Tile installation Other work ✓_ Description of the work Before you decide to upgrade your apartment (other than paint or carpet) you must ard of Directors and/or Miami Shores Village. obtain permission from the Bo A copy kof the plans, specifications and permits, and a description and approval ofthlicensed the work to be performed must be submitted for consideration Miami Shores Village Building Department (305-795-2204). It is the owner's responsibility to ensure that the contractor removes all excess construction material or building debris. It cannot be placed in the dumpsters. **Window frames must be gray in color to look like aluminum. Windows must be Two (2) panels over Two (2) panels. Glass must be clear color. 1, as the unit owner acknowledge responsibility for any damage to the building or personal injuries that may occur during the project. The Shores Condominium Inc. its officers and employees are in no way responsible for damage or theft to my apartment or my belongings. (A $200.00 deposit is required and will be refunded if no damage to the property is reported.) I fully understand and agree to the statements made above. 34 Date ni ow 's signature i Approved by: CTC,B Construction Trades ualifying Board BUSINESS CERTIFICATE OF COMPETENC` 15BS00356 PRECISION FLOORING & DECOR INC B.A.: EZRA is certified under the prowalona of Chapter 10 of Miami -Dade County 2019 details - Business Tax Account PRECISION FLOORING & DECOR INC - TaxSys... Page 1 of 2 2018 Annual Tax Bills are scheduled to be mailed on October 31, 2018 and will be payable on November 1, 2018. 2018 3rd Quarter Tax Bills will be payable on December 1, 2018. If paying delinquent real estate taxes (2017 and prior) by mail, acceptable forms of payment are: Cashier's Check, Certified Funds or Money Order. If paying delinquent real estate taxes (2017 and prior) in person, acceptable forms of payment are: Cashier's Check, Certified Funds, Money Order, or Cash. The information contained herein does not constitute a title search or property ownership. Amount due May be subject to change without notice. If you have a deed certified on your account, click the following link for sale information https://miamidade.realtdm.com/public/cases/list 2019 Details — Business Tax Account PRECISION FLOORING & DECOR INC Business Tax Account #7260557 . Account detailsLOU Account history 2019 2018 Paid Paid Account number: 7260557 Mailing address: PRECISION FLOORING & DECOR INC ___._ ... _, ..____ _.._. .........__ _ _._.._ .........__.. .. _ C/O EZRA ALEXANDER QUALIFIER Business start date: 07/23/2018 38 NW 1ST AVE DANIA, FL 33004 Physical business location: UNIN DADE COUNTY Owner(s) PRECISION FLOORING & DECOR INC Business address: PRECISION FLOORING & DECOR INC C/O EZRA ALEXANDER QUALIFIER DOING BUSINESS IN DADE COUNTY 38 NW 1STAVE DANIA, FL 33004 Flags Mobile Business Receipts And Occupations Receipt 7547322 Contracting 10/01/2018-09/30/2019 NAICS code: 238990 I Print this bill Return to Search SPECIALTY BUILDING CONTRACTOR Units: 1 Documentation Required by Occupation State/County License or Certificate Document Received 15BS00355 ............... ..... Receipt 7547327 Non-renewable ............. Multi -Municipal Contractor 10/01/2018-09/30/2019 Units: 1 Print this bill SPECIALTY BUILDING CONTRACTOR Documentation Required by Occupation: Certificate of competency number or state registration number. Document Received: 15BS00355 ® 1997-2019, Grant Street Group. All rights reserved. Help - Contact us - Terms of service - Tax Collector home https://miamidade.county-taxes.com/public/business tax/accounts/7260557 1/30/2019 ococc_e no m- no ACORO CERTIFICATE OF LIABILITY INSURANCE `..-.�� DATE(MMIDD/YYYY) 01/30/2019 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(les) 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 305-477-0444 Combined Underwriters of Miami 8240 N.W. 52 Terr, Suite 408 NC2 TACT MICHAEL ADAM DAVIS PHONEFAX (AIC, No, Ext): 305-477-0444 (AIC, No):305-599-2343 ADDRE S S: Miami, FL 33166 MICHAEL ADAM DAVIS 06/06/2016 06/06/2019 INSURERS AFFORDING COVERAGE NAIC # INSURER A: TRAVELERS INS COMPANY MED EXP (Any oneperson) $ 5'000 INSURED PRECISION FLOORING & DECOR INC EZRA ALEXANDER INSURERS: PROGRESSIVE AMERICAN INS CO 10193 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY ❑ PEST LOC OTHER: 38 NW 1 st Avenue INSURER C: INSURER D: Dania Beach, FL 33004 INSURER E: INSURER F: 02375705-5 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE 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 ILTRA TYPE OF INSURANCE DDL UBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F_X] OCCUR AUTHORIZED REPRESENTATIVE 660-3D194477 06/06/2016 06/06/2019 EACH OCCURRENCE $ 1,000'000 DAMAGE TO RENTED 100,000 P EMI Ea occurr nce $ MED EXP (Any oneperson) $ 5'000 PERSONAL & ADV INJURY $ 1'000'660 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY ❑ PEST LOC OTHER: GENERAL AGGREGATE $ 2'000'000 PRODUCTS-COMP/OPAGG $ 2,000,000 B AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY X AUTOS HIRED NONWNNLY AUTOS ONLY AUTO OO X PIP $10k 02375705-5 08/29/2018 08/29/2019 COMBINED SINGLE LIMIT Ea ac ' $ BODILY INJURY Perperson) $ 100,000 BODILY INJURY Per accident $ 300,000 Pe�acEcRident AMAGE $ 50,000 UMBRELLA LIAB EXCESS LIAB HOCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICERIM�MBER EXCLUDED? (Mandatoryn NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA A PER DTH - TAT T ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) Floor Covering Installation r`FRTIFIr'ATF i4ni nF:p rANrl=l I ATIffN ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE MIAMI SHORES VILLAGE BUILDING THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. DEPARTMENT 10050 NE 2ND AVE. MIAMI SHORES, FL 33138 AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD JEFF ATWATER CHIEF FINANICAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES ONUMM OF WORKERS' COMPENSATION * • CERTIFICATE OF ELECTION TO 13E EXEMPT FROM FLORIDA WORKERS' COMPENSATION CAW « • CONSTRUCTION INDUSTRY EXEMPTION This certifies that the Individual listed below has elected to be exempt ttwn Flotd Workers' Compensation law. EFFECTIVE DATE: 4212017 EXPIRATION DATE: 412112019 PERSON: ALEXANDER EZRA FEIN: 492912756 BUSINESS NAME AND ADDRESS: PRECISION FLOORING & DECOR INC 38 NW 1ST AVE , DANIA FL 33004 SCOPE OF BUSINESS OR TRADE: Fborcowinpihsuthtian- Rea76ae FfodBg- Carpet and Lw.* ateFwany IMPORTANT: PursrwnE to Chapin 440.05(14). F S, an of mr d s eapmaom w4toeleds a>oetrpAlon from Ode chepler by.WM a coNcalo d aledbn under ftus section may not tecover benefits or canpensebon g alw #is ctwpler. Putsuent to ClwpW 440.05(12% F.S.. Cere6cONS Of election b be a aent9 .- appy otdy WMM Ore scope of fie buaiwss er hada ffsled an the m*ced elecbM b be MOTO. Ptasamd b CrMPW 440.05(13►, F.S.. Nneces d alacbm lobs =mpt and carbfmai d alwbw robe exi %- gW be moss tDrowaw m 9, at any ins eller the MM ottha notice a o* kM anCe of the cemkate. the pergaft named on at a�ty 00 nnkAr9 d tltlftnD iUTQK ► �rtted 0r► 2 b mea4M* section �et� of this sofa i c faice .the dgxxhT d shafr revoke a cer0 DFS_F2-0WG252 CERTIFICATE OF ELECTION TO BE EXEMPT REWSED 06-13 QUESTIONS? (850)413-1669 Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner - Workers' Compensation Insurance Exemption Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full-time employees, including the owner, must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if: 1. The officer owns at least 10 percent of the stock of the corporation, or in the case of an LLC, a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State, Division of Corporations; and 3. The corporation is registered and listed as active with the Florida Department of State, Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use day labor, part-time employees or subcontractors for your project. The contractor has provided an affidavit stating that he or she will be the only person allowed to work on your project. In these circumstances, Miami Shores Village does not require verification of workers' compensation insurance coverage from the contractor's company for day labor, part-time employees or subcontractors. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. i Signature: 11—� Owner State of Florida County of Miami -Dade The foregoing was acknowledge before me this day of -:7A1VUA R , 20 j. By ORA (�/• tf ( Ila—, , who is personally known to me er+&s-produftd SEAL: PATRICIA A. STUBBS EXPIRES March 18, 2021 lh REDEI VED JAN 31 1019 tq AM - -- -- D['Dr SJR' !ECT TO COMPLIANCE V F H rjLL FE�'cFi r1•�l �ini�-y CC' R,I PFS zi 0000 0 0 :0040: 1p . . .... ...... ...... . ...... • uv Lay o 'Near :ayei Cobs Fdms — SPC Core Foam iwh oral ) Edge type: micro beveled Limited Warranty: Lifetime residential and 15 year commercial Waterproof. Quick & Simple Installation with Click System. Easy Maintenance. Realistic Wood Grain Texture. Kid Friendly. Stains Resistant. Pet Friendly. Noise Reduction. Durable. Mold Resistant. Scratch Resistant. Installed over most subflooring. All Grade Level Approved (Above, On and Below). Flood -Prone Area Approved. Commercially Rated. Environmentally Friendly. 0000 . . 0000 0000.. 0000.. • 0000.. . 0000.. 0000.. 0000.. 0000 0000 .. .. 0... 60:06 0000.. . . 0000. . . 0 0 0 0 . .. .. . 0000. . 0000.. 0 . . . • . 0 . . 0000. . 0000.. . . .0000. .. . . 0. 0 0 0 Hiadl Traffic Area Approved AC:3 From our SPC - Capri Collection Coffee Shore 8006-7 Higher Density = More Durable RU 4i "T -0-A 1.mm EVA with black PE OVERLAY 17oP,IRRODUCT .00• . . 0000 0000.. 0000.. :0000: 0 0 .. 0 • 0000.. ... • . 77'III I 0� i dl jy}11� :. ., w: • PRECISION FLOORING & DECOR 6e- DATE: q /5[11 STATE OF :im pkv N4 - COUNTY OF: baa4f-b BEFORE ME THIS DAY APPEARED ----------------QA --��------------------------------------------------------ HO IS DULY SWORN, OSES AND SAYS; �) T HE OR SHE WILL BE THE ONLY PERSON WORKING ON THIS PROJECT STARTED AT: SIGNATURE---- ---- ---- ---------- Im SWORN TO (OR AFFIRMED) AND SUBSCRIBED BEFORE ME THIS 6 day of r J 20 ( q personally know or produced identification type of identification -V� Notary Public State of Florida Nicole Y Cogen +� My Commission GG 275858 R� Expires 1 113 012 02 2