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CC-13-31 (2)Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL r Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-187953 Permit Number: CC -1-13-31 Scheduled Inspection Date: March 25, 2013 Inspector: Bruhn, Norman Owner: HOLDINGS LLC, PAJOVI Job Address: 559 NE 87 Street Miami Shores, FL 33142 - Project: <NONE> Contractor: UNIVERSAL HOME REMODELING INC 13uncling Department comments Permit Type: Commercial Construction Inspection Type: Final Building Work Classification: Alteration Phone Number Parcel Number 1132060200990 Phone: (954)709-6659 RE FRAME STORE FRONT (WEST SIDE) AND REPLACE Infractlo Passed Comments GLASS WITH TEMPERED INSPECTOR COMMENTS False UNIT# 575 NE 87 ST March 22, 2013 For Inspections please call: (305)762-4949 Page 47 of 48 Inspector Comments Passed f2l Failed Correction Needed Re -Inspection Fee No Additional Inspections can be scheduled until re -inspection fee is paid. March 22, 2013 For Inspections please call: (305)762-4949 Page 47 of 48 3(PI13}pc JS B DING Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fag: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762A949 PERMIT APPLICATION Permit Type: BUILDING JOB ADDRESS: S 1 r 14.E- : -1 0 xcmn' Sv T.._, f JAP4 u FBC 3 Permit No. Master Permit No. ROOFING City: Miami Shores County: `moi. 6NF- Miami Dade Zip: -S%\s Folio/Parcel#: Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): oAO n*A B 4 ESC Phonet `32L • "I 30i-` Address: VS' \Y ( • • `22 if - City: aw A fm State: F Lo Zip: Tenant/Lessee Name: —r A t 4 L !` C - Phona#: b .k 6 1 • 102 ) Email: CONTRACTOR: Company Name:hone#: Address: V1240-1 tj L-A.— CLL? 5Lr):. City: State: q—,A C, zip: 3332 Qualifier Name:" Phone#: Q State Certification or Registration #: C // CV1. K ( 9"E Y Certificate ofCompetency #: Contact Phone# - A U DESIGNER: Architect/Engineer. Address: Value of Work for this Permit: $t 4 bU()— SquareAAnear Footage of Work: Type of Work: OAddition OAlteration ONew ggepairlReplace Description of Work: ODemolition COIOT thru tlx: Submittal Fee $ Permit Fee Scanning Fee $ CCF $ CO/CC $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ Technology Fee $ TOTAL FEE NOW DUE $ `% 1 • rY)_ GAMA, 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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. 11WARNING 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: Asa 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 propedy 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 h posted notice, the inspection will not be approved and a reinspectiona ll charged Signature Si Owner or Agent Contractor f- The foregoing instrument was ac owledged before me this day ofJ, 20, by 1P ry .liLli , who Is personally known to me or who hasfmdneed des;deptific_?tinn nnd_vAm4d take -an oath. The foregoing instrument was acknowledged before me this dayof :S -Al-)— . 20Gby1VaSV- ({ \Aq G 41C¢, who is personally known to 16e`o ced as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: GGC Sign. Print: • .`' Print: r7T-iWgflwTT"1ftR My Commission int CoWSSIONNDD888887 tg " My Commission >txag:laay ti,m>3 kirCommission# LE075890 ExP 'fts. MAIC. 201201S APPROVED BY / "`J J' Plans Examiner Zoning Structural Review Clerk Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) Permit No: 13-31 Job Name: January 8, 2012 Building Critique Sheet Page 1 of 1 1) Provide a plan showing the location of the work with a description of the scope. The repairs must be completed to match the original store front Product approval. Provide that approval and identify the appropriate details. P , Ilnf 8EI011 J y `; 11-3206-020-0990Folio Property Address 559 NE 87 ST Owner Name(s) PAJOVI HOLDINGS INC Mailing Address 1515 NW 22 ST MIAMI FL 33142-7413 Primary Zone 6200 COMMERCIAL - ARTERIAL Use Code 0011 RETAIL OUTLET Beds/Baths/Half 0/2/0 Floors 1 Living Units 0 Adj. Sq. Footage 5,366 Lot Size 13,000 SQ FT Year Built 1960 Legal Description EL PORTAL SEC 4 PB 12-56 LOTS 20 THRU 23 INC BLK 23 LOT SIZE 100.000 X 130 OR 20761-3436 0902 2 (2) OR 20761-3436 0902 02 20030-4665 Current Previous Year 2012 2011 Land Value 234,000 234,000 Building Value 223,316 226,602 Market Value 457,316 460,602 Assessed Value 457,316 460,602 Current Previous Year 2012 2011 Homestead 0 0 2nd Homestead 0 0 Senior 0 0 Veteran Disability 0 Civilian Disability 0 iWidow(er) 0 0 Disclaimer: MIAMI-DADE COUNTY OFFICE OF THE PROPERTY APPRAISER PROPERTY SEARCH SUMMARY REPORT Honorable Pedro J. Garcia Property Appraiser A Aerial Photography 2012 N d TWO tori: slue .> Current Previous Year 2012 2011 Exemption/Taxable Exemption/Taxable County 0 / $457,316 0 / $460,602 School Board 0 / $457,316 0 / $460,602 City 0 / $457,316 0 / $460,602 Regional 0 / $457,316 0 / $460,602 Date Amount Recording Qualification Code Book -Page 9/2002 510,000 20761-3436 Deeds which include more than one parcel 9/2001 0 20030-4665 Sales which are disqualified as a result of examination of the deed The Office of the Property Appraiser and Miami -Dade County are continually editing and updating the tax roll and GIS data to reflect the latest property information and GIS positional accuracy. No warranties, expressed or implied, are provided for data and the positional or thematic accuracy of the data herein, its use, or its interpretation. Although this website is periodically updated, this information may not reflect the data currently on file at Miami -Dade County's systems of record. The Property Appraiser and Miami -Dade County assumes no liability either for any errors, omissions, or inaccuracies in the information provided regardless of the cause of such or for any decision made, action taken, or action not taken by the user in reliance upon any information provided herein. See Miami -Dade County full disclaimer and User Agreement at http://www,miamidade.gov/info/disclaimer,asp. Property information inquiries, comments, and suggestions email: pawebmail@miamidade.gov GIS inquiries, comments, and suggestions email: gis@miamidade.gov Generated on: Tuesday, January 08, 2013 A & A DESIGN GROUP, INC. CONSULTING ENGINEERS January 4, 2013 Building Official City of Miami Shores Building Department Phone: 561-706-5161 Email: 1)iianabidiantii.vahsro.coin 22636 Blue Fin Trail, Boca Raton, FL 33428 Re: 575 N.E. 87th Street, Miami Shores, Florida Dear Building Official: Please be advised that on January 3, 2013 we have inspected the exterior aluminum framing store front damages. We recommend repair framing by connected each members with 1" X 1" X '/4" aluminum strap angle with #12 aluminum screw each side of the connections and anchor top and bottom framing to ceiling and floor with 3/8"diameter TAPCON min. 5" long @ 12" O.C. with epoxy and installed tempered impact glasses. If you should have any further questions please feel free to contact us at the above number. Sincerely, A & A DESIGN GROUP, INC. Consulting Engineers CA. Lie. No: 29225 Reza Javidan, PE Florida Professional Engineer # 60223 1/7/13 Proof of Coverage WX- VLGRIDA- DEPARTMENT OF #INANCIAL'SIAVICES WC Home WC Databases CFO Home Exemption Detail Page This database was last updated Sunday, January 06, 2013 12:11 AM. Return, to 1MVIOUS Pagp ral,;l 7a; :11 t- '3.; w. 2-kf, YPq ANGELICA DUTRA PR Feb 142010 Feb 14 20112 Construction CIck Here to View Activities Listed on DMI1200 ILMEFISAL FI 99YOWAK ANGELICA DUM VP May 15 2002 Dec 312003 Construction Click Here to View Activities Listed on LWERSAL FLOOR AW-E-rA DUTRA FIR Sep 10 2012 W 10 2014 Construction CUck Here to View Actufts Listed on E(ermtjpn LWERSAL fJ F410CELNG ANGELICA DUTRA PR Jul 211997 Dec 311999 Construction Click Here to View Activities Listed ;n er LNWERSAL TLE CARPET BY AfjGr31CA NC ReWm,:to..Seavch.Page. BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895 — 954-831-4000 VALID OCTOBER 1, 2012 THROUGH SEPTEMBER 30, 2013 DBA: Business Name: UNIVERSAL HOME REMODELING INC Owner Name: DUTRA, ANGELICA A Business Location: 19251 N GARDENIA AVE WESTON Business Phone: 954-709-6659 Receipt #: GEGENERAL CONTRACTOR ( CERTBusinessType:GENERAL CONTRACTOR) Business Opened:10/11/2012 State/County/Cert/Reg: CGC 1515 515 Exemption Code: Rooms Seats Employees Machines Professionals 1 For Vending Business Only Number of Machina-q• v.._.:.._ r..__. Tax Amount Transfer Fee NSF Fee a •ter-• Penalty Prior Years Collection Cost Total Paid 27.00 0.00 0.00 0.00 1 0.00 27.00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Broward County and is non -regulatory in nature. You must meet all County and/or Municipality planning WHEN VALIDATED and zoning requirements. This Business Tax Receipt must be transferred when the business is sold, business name has changed or you have moved the business location. This receipt does not indicate that the business is legal or that it is in compliance with State or local laws and regulations. Mailing Address: UNIVERSAL HOME REMODELING INC 19251 N GARDENIA AVE WESTON, FL 33332 Receipt #OIC -12-00000414 Paid 10/11/2012 27.00 2012 -2013 II@IIAICQc TAv n=^112-11 "r CCE09U72012_U0000jpg - Cimail Page I of I DBPR - DI 'tR1A.ANG1'1_1C'AA: Doing BLISinessAs: UNIVERSAL 110MI Licensee Information me: DUTRAr ANGELICA A (Primary Name) UNIVERSAL HOME REMODELING INC. (DB 19251 N GARDENIA AVE WESTON Florida 33332 BROWARD Matlma- License Information Certified General Contractor Ra Cert General Licersin CGC1515515 Current,Active 05/29/2008 08/311/2014 Special Qualifications Qualification Effective Construction Business 05/29/2008 e a M P! a; r, a httns://mal ]-attachment. gonvieusercontent com/affichment/?iii=2&.ik--decRO773h3&,view---.qt . 9/7/2012 NOTICE OF COMMENCEMENT A RECORDED COPTPAUST BE POSTED ON THE JOB SiTE AT TIME•OF FIRST MPECMON PERMIT NO EDc C %. f TAX FOUO NO. STATE OF FLORIDA: . COUNTY OF MIAMI-DADE: THE UNDERSIGNED hereby gives notice that ImproverneMs win be made to certain real property, and In aboordance witi Chapter 71 ,Florida Statutes, the following information provided In this Notice of Commencement. CFtp! 2013Rra 181014 OR Sk 28521 Ps 0170; tlas) RECORDED 03107/2013 15:25:57 HARVEY RUVINr CLERK OF COURT MIAMI-DADE COUNTY? FLORIDA LAST PAGE Space above reserved for use of recording office 3. Owners) name'and address: Interest in property: ---- Name and address of fee simple titleholder. 1 and phone 5. Surety: (Payment bond required by owner fr)7, if any) Name, address and phone number. Amount of bond $_,Lr/ 6. Lender's name and address: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, t9 (LYF`9@l, i:C1119 Yid O s _ Name, address and phone number: '/N-§kFMYCERMythothisisr.fafFli+rs+ljfMe f,c'e, 8. In addition to himself, Owners designates the following 713.13(1)@), Florida Statutes. Name, address and phone number. Qf 9. Expiration date of this Notice of Commencement the wpWon deft Is 1 year from the data of recording wiew a dWoent date Is specmeO WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT 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. Signature(s) of Owner(s) or Owner(s)' Authorized Officer/Director/Partner/Manager Prepared By 0" I O -V f/ -IfIffP6 Prepared By Print Name Print Name Tltle/ofnce Pqm r Ha ` 4-ritieiofnae - STATE OF FLORIDA COUNTY OF MIAMI -DARE The fo ing in'sjjum was acknowledged before me this 7 day of By P I dividualiy, or as for Persbhally known, or duced the following type .ofidenti ication: Signature of Notary Public: Print Name: x WRIFICAM0N PURSUANT TO SECTION 22A& FLORIDA WATtYM RICHARD EDWARD SA Under penalties of pejury, I declare that I have read the foregoing and= : - Commasion # DD8889 that the facts stated in it are true, to the best of my knowledge and belief. Expires Julf 13, 2013 Signatures ,w./ner(ss)) or O orized Officer/Director/Partner/Menager who signed above: By aaoi e2 ands aro V / '7f rig ,)7%c9 F%%t r. 09-10— JEFF a a OF oT a CHMPMOACIALOPPICIM DEPARTMENT OF DIVISION OF W&06F4i lei:,= . •'- fe CiM!!=lCATE OF MOM TO BE EItEIlEP1' MIN tLONIA W4'BitM COMPUMT10H LAW * .ee CONSTRUCTION INDUSTRY EXEMPTION This certifies #hat the. individual listed below ltas Glected to be exempt fmm Ronda Wolkem, Compensation law. EFFECTIVE DATA 0911012012 PERS(N: DUTRA FEIN 800819948 BUSINESS NAME AND ADDRESS: UNi<tIERSAL HIM RBIIODELIM INC 19281 N BARDEN=A AVE WESTON FL 33332 SCOPES OF BUSIW5W OR TRAM 1- LICENSED GENERAL. CONTRWTOR EXPIRATION DATE- 0911012014 tNPeaTM Phut to !ROW +440 . 0010 F.S., ao dfic-or of a mpowma who -oleo) exompil•o frem wa oam try.nial a t•r 0ka d staoioa wt ff ItisManaeyedra0ateeseFlt) at Cew$easena uWar this eM m. Parweet to eeaplar 440.05(12i f.S.r CertllksW of ontloo oe be exe"t.. apply any wfrkte theawpeoftheb"s" of trade ffeted an ate aothce of stettleo to be exempt. PWOW to COW "11.0603% F.&. 110M d elect!" to to exwapt at emwfwm ofelotlieotobeexew" tbdt be $&)go to w twas 11. of ear (halo a w the flffeg of Ike one* or'' ft dretweee as tke cetiifkow Ne perm" emee ao tae eolke wcmtftfeeteaoloaysctlareqewapatt1n[e actttar ter isvteeee of a AceWl1cft.. Tim diviirrrateet shelf raefta a earNt ma a Gay tw Eat Tsilsre dt tta peteao seated ap the cerci kw to meet as rowtomem e# this settle. a19sTIONS? (110) 413-1009 CM -252 CERTIFICATE OF ELECTION TO BE EXEIUPT REVISIO 01-11 PLEASE CUT OUT TRE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF RASA DEPARTMENT OPPWANCIAL SERwcfs CONSTRUCTIM IAIGiWay AOMOF EXCTION MOM f FLORIDA CO PONATION LAW EFFECTIVE 08/10/2012 EXPIRATION DATE: *9/10/201:4 PERSON ANGELICA Otr1'RA Feft $00818840 BUSINESS NAA E AND ADDRESS: UMMAL Hone FUMtiC MO INC 19261 a GARDE14A AVE NfW kn, Ft 33332 4-i" De"1e e,,• lT ' IMPORTANTQPursuanttoDow440.0514}. PA, an officer of a corporation wbo elect$ eaentptien from !itis chapter by fftisr0 a certificate of electhmLunderibisSeetionmaynotrecover !retrofits or flontpensadw under this O chept>rr: Pursuant' % Dow 441 05(129, F.&, Cortificaas of election to beNexempt.. eD* omy wiittin the scope of ttte business or trdfe listed onRfifelot" of election to be exempt, E Pursuant to Chapter 44405413L ES.. Notions 4felection to be exempt and certificates of election to be exempt shed be subject to revocation It. at any time after the Min# of the ratite or the issrwnce of the eartifbxde, the Denson owned on to notice or eertificaeto ra Cotrger met ft rooAremeets of this section for ismiomca of a certificate. The departtrlant SSI revoke a certificate at any time for faikee of the person named an the certificate to moat the Mwoments of ties section 0195TIN Sfaf (8501 413-1609 a Carry bottom pordon on ft job, keep t"w pwdoln for yow meards. DWC-252 CERTIFICATE OF ELECTION TO BE EXEIM i*V 01-11 1"I atIZVI1 11:dL y54ybbd555 COVER ALL INSURANCE PAGE 01/01 CERTIFICATE OF LIABILITY INSURANCE10310712013tm-mi"'w "") POLICIES. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATEDOESNOTAFFIRMATIVELYORNEGATIVELYAMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCIESBELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZEDREPRESENTATIVEORPRODUCER, AND THE CERTIFICATE HOLDER, IMPOR the certI1100 a holder Is an ADDITIONAL INSURE e p is*) must be endorsed. If SUBROGATION IS WAM, subject to the temts and conditions ofthe policy, eenain policies may require an andorsenrent A Statement on this certificate does notconfer rights to thecertificateholderinlieuofsuchendorsemena). PRODUCER Cover All Insurance 0006 6800 W. Mon is Blvd Ma este FL 33083 CPP0005740/-00 IDENT I URANCI: COMPANY INSURED INSURM a- UNIVERSAL HOME REMODELING INC INSUMc . 18251 N. GARDENIA AVE INSURM o PR(00 COMMP AQQ IDOD D00 NESTON FL 33332 SURER P w Vtr.Awk;* CERTIFICATE NUMBER: REVISION NUMBER: — THIS ISTO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OFANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATEMAYBEISSUEDORMAYPERTAIN, 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. NS TYPE OP INSURANCE AURL SURN POLICYNUMIAR lam 090712012 LI1rR6 0 LLEAMUTY XCIAL OOG R(—AL LIABIUTY CLAWS -MOR XOCCUR PtFJ10WY,aA17V CPP0005740/-00 09107/2013 eA H Occu c 0.000M O Rt D $100,009 MED go WV ens n 6000 INJURY1000 000 Gam, 000 000 L AGWkqqaF LIMITAPP PER! P P PR(00 COMMP AQQ IDOD D00 S AUTOMOBILE UABiLTTY ANY pAUTO g DUAUTOSAUTOS : HIREDAU'f05 NAUTO-OgVYNED D 8 BODILY INJURY (PM person) 9 BODILY INJURY (Pwsw4dom $ P P AMAf3E S S uMOReLLA UAB FXCSSS LUIS 00" RACHOCCURROCE I GATE WORKERS COMPENSATIONWCANDWLOYWLIAqAB'RAY Y F i 8R fOLUOFD7 C nWFYII I deeelbe tender 1 F NlA STA - 0 C ACCIDENT I,SEASE . EA EMPLOYER P LIMB DESCRIPTION OF OPERATIONS! LOCATIONS! YEHIOLES (Au=hAOOR0101, Wluond Rwnerkt Snhedul4 Ime» epwe h requiI I OE'NERAL CONTRACTOR CITY OF MIAMI SHORES BUILDING DEPT IMO NE 20d Ave Mlaml Shores ACORD 25 (2010105) SHOULD ANY OF TMH D6eCR ED POLE THE EVIRATION FREOF, NOTICE ACCORDANCI YVITH TME Y PROVISIONS. Std: - a1. 1988.2010 A( The ACORD nuw and logo are registered mark. of ACORD DANCELLED REFORM PE D IVRRBb rN All rights reaemd.