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RC-19-969. t -a . � � - -fir- � ,..:�,►�„L� T � �`:.'��w"J�• ;`:*:.J`��,��{9�,�``�#�t�, �t�+•+'' _�; .�� Z.�✓ �'i�' Cert�f�cate of Completion �� `�- Miami Shores Village i 10050 N.E. 2nd Ave, Miami Shores, Florida 33138 ;r Tel: 305-795-2204 Fax: 305-756-8972 Building Inspection Department,w I i Description: REPLACE GFCI'S AND OUTLETS IN KITCHEN AND BATHROOMS, REPLACE LIGHTS FIXTURES KITCHEN & BATHROOMS, REPLACE SINK, TOILET,FAUCET ,VANITY ,SHOWER PAN ,SHOWER VALVES ,PLUMBING FIXTURE; BOTH BATHROOMS, KITCHEN CABINETS ,COUNTER TOPS, FLOORING FOR ENTIRE HOUSE. ;= ' ! • TO REPACE PERMIT RC-7-18-2035 ri Permit Type Building Residential Bldg. Permit No. RC-05-19-969 Y' { Owner Subdivision/Project a .1 ; ' Construction Type V-B SIP., Square Footage iz Location �I 1191 NE 103RD ST df Miami Shores, FL 33138 COBIA LLC Contractor TOP CHOICE RENOVATION, CORP Date Issued 07/23/2020 ' Occupancy Single Family r Type 1,800.00 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 t Ismael Naranjo, CBO Not Transferable POST IN A CONSPICUOUS PLACE r , t"'� r``, _ ,� ::'9•,wt,�¢tidT �,�Y �`•� %�� y may+ i f �^�?�-rg•�t _ ...� L C! �-,j lei '`�� ' 1 t'�•+- �r+. ' `r_!S,. 5.:i`. -a.: .. i' _:- .►,y: ' rhi..```.'_1c Z-Al ...- Jf3:Cl4.X',v.$ _ .. ;.YP�4'?:i ,It, ,f�"+�t_`11� �'S�•, �.K�.L�rf .�: Arlenis Silvera From: Arlenis Silvera Sent: Friday, August 7, 2020 3:48 PM To: sebano1344@hotmail.com' Cc: Sindia Alvarez; Selena Aranda Subject: REV-05-19-974 Dear Applicant, Your permit has been Approved and is available to be paid. INV#8009 Amount Due: $111.10 Please use the link below to make the payment. If you have any questions please call us at 305-795-2204 We will process payment as soon as possible and notify when you can print your Permit. Best Regards, Arlenis Silvera Permit Clerk Supervisor Submit your permit online! Use the link below to get started. http://blds. msvf l.Pov/eners�ov_prod/selfservice#/home Miami Shores Village 10050 NE 2 AVE Miami Shores, FI 33138 305-795-2204 www.miamishoresvillage.com Be Prepared for Hurricane Season! All construction sites should always be maintained free and clear of debris. In the event of a Tropical Storm or Hurricane warning, ALL permit holders are obligated to secure the work site! ALL hazardous objects (especially roofing material) must be I Miami Shores Village Permit: iq —01(a9 E-mail: <,;)E,J?r4-+,1 a 13 44�-�ffl7mA�� Phone: 7?�2 -,39Q , On'f, Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CERTIFICATE OF OCCUPANCY/COMPLETION CHECK LIST Building permit card. Surveys (2 copies) Final as built - Required Items: Elevations of buildings showing all intended setbacks from property lines and other existing structures, Ingress+ Egress, required parking spaces, Wheel stops, stripping, and all paving to exterior. Certificate of Elevation — (Sealed by surveyor). Expiration date required on the form. Certificate of Insulation. Certificate of Soil Treatment (Final treatment -original)\ CHAPTER 2913-5 TERMITE PROTECTION: "This Building has received a complete treatment for the prevention of subterranean termites. Treatment is in accordance with the rules and law as established by the Florida Department of Agriculture and Consumer Services." Health Department Approval Letter (On septic or private water). Note: If the house is on septic tank, approval letter is required from Health Dpt. ❑ Soil Compaction Letter (Density report is required) Final certification letter from the Engineer/Architect (on masonry, trusses, special structure, etc) Backflow preventor certificate (Required on commercial projects only) Declaration of use. (Recorded in Miami -Dade Clerk of Courts) PLEASE NOTE THAT THE SAME ITEMS ARE REQUIRED FOR TEMPORARY CO • Emergency CO (Without 24 Hrs Processing) Additional fee is $80.00. • Temporary CO (Up to 90 days max) $75.00. • Residential CO $150.00 • Residential CC $50.00 • Commercial CO and CC $200.00 t/1 Miami mores YL »tse , A Miami Shores Village rl Building Departmet.t 10D50 NE 2 Ave ryh Miami Shores FL 33139 �ORID�` Issue Date 1212712019 INSPECTION REQUESTS 13061762-4949 or {og on at hM*p iJbldg.—A-goWe"%o,, j"WsNfianke Requests must be reoerved by 3 30pm WORK IS ALLOWED MONDAY THROUGH FRIDAY. E OOAM - 7 OOPM SATURDAY 6 OOAM 0 OoPM NO WORK IS ALLOWED ON SUNDAY OR HOLIDAYS BUILDING AND ROOFING INSPECTIONS ARE DONE MONDAY THROUGH FRIDAY NO INSPECTION WILL BE MADE UNLESS THE PERMIT CARD IS DISPLAYED AND HAS BEEN APPROVED PLANS ARE READILY AVAILABLE IT IS THE PERMIT APPLICANTS RESPONSIBILITY TO ENSURE THAT WORK IS ACCESSIBLE AND EXPOSED FOR INSPECTION PURPOSES NEITHER THE BUILDING OFFICIAL NOR THE CITY SHALL BE LIABLE FOR EXPENSE ENTAILED IN THE REMOVAL OR REPLACEMENT Of ANY MATERIAL REQUIRED TOALLOW INSPECTION Permit No RC-05-19-969 Type. Building (Residential) Wmkclass. Alteration Psmai status. Approved --_ Expires:0612412020 POST ON SITE 1122320310050 Owners Name: Owner's Phone: (786)999-4855 Job Address: 1191 NE 103RD ST Total Square Feet: 1,800 Miami Shores, FL 33138 focal Job Valuation: $ 33.190.00 Contractor(s) Phone Address TOP CHOICE RENOVATION, CORP (786)399-0886 5750 COLLINS AVE 10E, MIAMI BEACH. FL 33140 Description: REPLACE GFCI'S AND OUTLETS IN KITCHEN AND BATHROOMS, REPLACE LIGHTS FIXTURES KITCHE & BATHROOMS, REPLACE SINK, TOILET. FAUCET. VANITY, SHOWER PAN, SHOWER VALVES, PLUMBING FIXTURES IN BOTH BATHROOMS KITCHEN CABINETS .COUNTER TOPS, FLOORING FOR ENTIRE HOUSE TO REPACE PERMIT RC-7-18-2035 ''OpT •FY 1111- WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY 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 FIST INSPECTION - IF Y OUR LENDER OR AN U INTEND TO OBTAIN FINANCING, CONSULT WITH ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Page 1 of 1 0 INSPECTION RECORD INSPECTION Foundation DATE INSP Stemwall Slab Columns (1st lift) Columns (2nd Lift) Tie Beam truss/Rafters Roof Sheathin Bucks Interior Framing Insulation CeilingGrid Drywall Firewall Wire lath Pool Steel Pool Deck Final Pool Final Fence Screen Enclosure Driveway Driveway Base Tin tap In -Progress Roof Installation Roofing Final Shutters Attachment Final Shutters Rails and Guardrails ADA compliance DOCUMENTS Soil Bearing Cert Sod Treatment Cert Floor Elevation Survey Reinf Unit Mas Cert _ Insulation Certificate Spot Survey _ Final Survey _ Truss Certification STRUCTURAL COMMENTS .�. .� l r INSPECTION DAT INSP AttachmenI INSPECTION DATE INSP Excavation INSPECTION DATE INSP Temporary Pole 30 Day Temporary Pool Bonding Pool Deck Bonding Pool Wet Niche Underground Footer Ground Slab Wall Rough Celhng Rough Rough z 70 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 CO MENTs i I INSPECTION RouB__— h_____ _ Waier service 2"' Rough Top Out Fire Sprinklers Septic Sewer Hook-upTank Roof Drains Gas LP Tank W el I Lawn Sprinklers Main Drain Pool Pi in Backflow PreventOr Interceptor Catch Basins Condensate Drains HRS Final Kum SWJ NOG DATE y j COMMENTS IMSP INSPECTION DATE INSP Underground Pipe Rough Ventilation Rough Hood Rough Pressure Test Final Hood Final Ventilation Final Pool Heater r it at Vacuum MECHANICAl. COMMENTS PM i i OT J WCHARD fi. MARCE*U f'L.ORIDA PE #64466 P.O. BOX We HOLIDAY, f'L 34692 PH: (813) 325-9973 EMAIL: RYMARCHUXOYRRIZONXET June 241^, 2020 Miami Shores Village Building Dept. 1050 NE 2nd Ave, Miami Shores, FL 33138 RE: Inspection Report Permit #RC-05-19-969 1191 NE 103rd St. Miami Shores, FL To: Building official, We herewith provide you with the disposition of the building components I inspected on June 1911, 2020. This inspection was for the new deck on the side of the house. Said inspection included but was not limited to: BUILDING INSPECTIONS 01 Deck Final PASS Based upon my examination and findings, I have determined that the construction and installation were factual and performed correctly in compliance with the 2017 Florida Building Code, 61 edition Residential with supplements. Should you need anything additional, feel free to contact me. Sincerely, - W, "j-'^ Richard G. Marceau l �nor— FL PE #64466 (� /� Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address 1191 NE 103RD ST, Miami Shores, FL 33138 Contacts Issue Date:12/27/2019 Parcel Number 1122320310050 Permit NO.: RC-05-19-969 Permit Type: Building (Residential) Work Classification: Alteration Permit Status: Approved Expiration: 06/24/2020 COBIA LLC Owner TOP CHOICE RENOVATION, CORP Contractor 8045 NW 155 ST, MIAMI LAKES, FL 33016 SEBASTIAN TARALLO Mobile: 7869994855 5750 COLLINS AVE 10E, MIAMI BEACH, FL 33140 Business: 7863990886 sebanob44@hotmail.com Description: REPLACE GFCI'S AND OUTLETS IN KITCHEN AND BATHROOMS, REPLACE LIGHTS FIXTURES KITCHEN & BATHROOMS, REPLACE SINK, TOILET, FAUCET, VANITY, SHOWER PAN, SHOWER VALVES, PLUMBING FIXTURES IN BOTH BATHROOMS, KITCHEN CABINETS,COUNTER TOPS, FLOORING FOR ENTIRE HOUSE . TO REPACE PERMIT RC-7-18-2035 Valuation: $ 33,190.00 Inspection Requests: 305-762-4949 Total Sq Feet: 1,800.00 Fees Amount Payments Date Paid Amt Paid 50% Renewal Fee $497.85 Total Fees $497.85 Credit Card 12/27/2019 $497.85 Total: $497.85 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 ce fy that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construct an ning. Futhermore, I authorize the above named contractor to do the work stated. Owner / Applicant / Contractor / Agent Date December 27, 2019 Page 2 of 2 .A Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 BUILDING PERMIT APPLICATION OBUILDING ❑ ELECTRIC ❑ ROOFING Rrr�IvE1) MAY o z Z019 CL4 _H F c01-3- Master Permit No. ILC, -cs- Ig - - t mot' -1 Sub Permit No. ❑ REVISION ❑ EXTENSION [-]RENEWAL ❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 1191NE 103RD ST City: Miami Shores County: Miami Dade Zip: 33138 Folio/Parcel#: 11-2232-031-0050 Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): COBIA LLC Phone#: 786-999-4855 Address: 8045 NW 155 ST City: MIAMI LAKES State: FL Zip: 33016 Tenant/Lessee Name: Phone#: Email CONTRACTOR: Company Name: TOP CHOICE RENOVATION Phone#: 786-399-0886 Address: 5750 COLLINS AVE # 10E City: MIAMI BEACH State: FL Qualifier Name: SEBASTIAN TARALLO Zip: 33140 Phone#: 786-399-0886 State Certification or Registration #: CGC 1519665 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: ?L City: State: Zip: Value of Work for this Permit: $ 33 / F U Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: REPLACE GFCI'S AND OUTLETS IN KITCHEN AND BATHROOMS, REPLACE LIGHTS FIXTURES KITCHEN & BATHROOMS, REPLACE SINK, TOILET, FAUCET, VANITY, SHOWER PAN, SHOWER VALVES, PLUMBING FIXTURES IN Ej,0TH BATHROOMS, KITCHEN CABINETS CQUNTER OPS, F ORING FOR FNTIRF Hni ISF TAD V?afv Qfc—YLN rT '- 2� S . Specify color of color thru tile:, Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ _ CCF $ CO/CC $ DBPR $ Notary $ __. Double Fee $ Bond $ TOTAL FEE NOW DUE $ 14 - / ,-A • Ss (Revised02/24/2014) Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be pproved and a reinspection fee will be charged. Signature Signature 744e It OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this — day of/� '. ll( 20 by l m(AV 'f� 4who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign:_ Print: The foregoing instrument was acknowledged before me this day of 44 2i �_ by who is personally known to me or who has produced identification and who did take an oath. NOTARY P Print: �G�Y�1�I Seal: 01 N. GRECIA M. BERMUDEZ Seal: +� 0,Notary Public • State of Florida Commission X GG 305273 n My Comm, Expires Mar 3, 2023 ******** **** i(44#%lwb61i@k3krhl�NnllRlsk tK* ********************** APPROVED BY / U__J_/L-7l ` 1 Plans Examiner Structural Review N ,.-W N& Notary Public Stab of Fbnda +F Camila Arredondo +� j� My Commission GG 262408 �1o►wv' Expires 09/26/2022 —Zoning Clerk (Revised02/24/2014) 5/2/2019 Property Search Application - Miami -Dade County 4W* OFFICE OF THE PROPERTY APPRAISER Summary Report Property Information Folio: 11-2232-031-0050 Property Address: 1191 NE 103 ST Miami Shores, FL 33138-2651 Owner COBIA LLC Mailing Address 8045 NW 155 ST MIAMI LAKES, FL 33016 USA PA Primary Zone 1100 SGL FAMILY - 2301-2500 SQ Primary Land Use 0101 RESIDENTIAL -SINGLE FAMILY: 1 UNIT Beds / Baths / Half 3/2/0 Floors _ 1 Living Units 1 Actual Area 1,877 Sq.Ft Living Area 1,578 Sq.Ft Adjusted Area 1,728 Sq.Ft Lot Size 10,152.68 Sq.Ft Year Built 1950 Assessment Information Year 2018 2017 2016 Land Value $355,069 $355,069 $355,069 Building Value $101,606 $101,606 $101,606 XF Value $0 $0 $0 Market Value $456,675 $456,675 $456,675 Assessed Value $186,408 $182,574 $178,819 Benefits Information Benefit Type 2018 2017 2016 Save Our Homes Cap Assessment Reduction $270,267 $274,101 $277,856 Homestead Exemption $25,000 $25,000 $25,000 Second Homestead Exemption $25,000 $25,000 $25,000 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description BISCAYNE RIVER HGTS PB 43-73 LOT 1 BILK 2 LOT SIZE 95.780 X 106 OR 18468-1693 02 1999 1 Generated On : 5/2/2019 Taxable Value Information 2018 2017 2016 County Exemption Value 1 $50,000 $50,000 $50,000 Taxable Value $136,408 $132,574 $128,819 School Board Exemption Value $25,000 $25,000 $25,000 Taxable Value $161,408 $157,574 $153,819 City Exemption Value $50,000 $50,000 $50,000 Taxable Value $136,408 $132,574 $128,819 Regional Exemption Value 1 $50,000 $50,000 $50,000 Taxable Value $136,408 $132,574 $128,819 Sales Information Previous Sale Price OR Book -Page Qualification Description 04/17/2018 $415,000 30948-2442 Qual by exam of deed 02/01/1999 $150,000 18468-1693 Sales which are qualified 01/01/1996 $118,000 17069-0703 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 5/2/2019 Detail by Entity Name Div;s;on or Cc Rpr.)RATWT48. 1 Div ;ivat 9f an u!flrtu/ : u,!e of.F"lurid" ..rG'he Deogirtment of State / Division of Corporations /,,Search Records / Detail By Document Number / Detail by Entity Name Florida Limited Liability Company COBIA, LLC Filing Information Document Number L16000092376 FEI/EIN Number APPLIED FOR Date Filed 05/11/2016 Effective Date 05/11/2016 State FL Status ACTIVE Last Event LC AMENDMENT Event Date Filed 12/27/2016 Event Effective Date NONE Principal Address 8045 NW 155TH STREET MIAMI, FL 33016 Changed: 12/27/2016 Mailing Address 8045 NW 155TH STREET MIAMI, FL 33016 Changed: 12/27/2016 Registered Agent Name & Address LOPEZ, ALAN 8045 NW 155TH STREET MIAMI, FL 33016 Authorized Person(s) Detail Name $ Address Title MGR Lopez, Alan 8045 NW 155TH STREET MIAMI, FL 33016 Title MGR http://search.sunbiz.org/lnqui ry/CorporatonSearcIVSearchResultDetaiI?i nqui rytype=EntityN ame&directionType=Initial&searchNameOrder=COBIA%2OLl6000... 1/2 5/2/2019 Detail by Entity Name TORRENS, LUIS 8045 NW 155TH STREET Y MIAMI, FL 33016 Title MGR MARTINEZ, ANTHONY 12856 SW 31ST COURT MIRAMAR, FL 33027 Annual Reports Report Year Filed Date 2017 02/08/2017 2018 04/09/2018 2019 04/29/2019 Document Images 04/29/2019 — ANNUAL REPORT View image in PDF format 04/09/2018 — ANNUAL REPORT View image in PDF format 02/08/2017 — ANNUAL REPORT View image in PDF format 12/27/2016 — LC Amendment View image in PDF format 05/11/2016 — Florida Limited Liability View image in PDF format http://search.sunbiz.org/l nqui rylCorporati onSearcWSearchResul tDetai I?i nqui rytype= Enti tyN am e&di rectionType= lnib al &searchN am eOrder=C OBIA%2OLl6000... 212 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-timc employees, including the owner, must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if: I . The officer owns at least 10 percent of the stock of the corporation, or in the case of an LLC, a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State, .Division of Corporations; and 3. The corporation is registered and listed as active with the Florida Department of State; Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use day labor, part-time employees or subcontractors for your project. The contractor has provided an affidavit stating that he or she will be the only person allowed to work on your project. In these circumstances, Miami Shores Village does not require verification of workers' compensation insurance coverage from the contractor's company for day labor, part-time employees or subcontractors. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: wner State of Florida County of Miami -Dade The foregoing was acknowledge before me this day of 20�. ByY�Q �i who is personally known to me or has produced (� as identification. Notary: tJA 1A9 PI A A.A' Notary Public State Of SEAL: ��% Camils Arredondu c My Commission GG 25i and Expires 09/25=2P l• I TOP 17%:CHOICE R E N O V A T I O N S Date: I JCS oC�� State of County of,�ti-c Before me this day personally appeared -rAaA Ib who, being duly sworn, Deposes and says: That he or she will be the only person working on the project located at: A - 4 0 t-::- I(�V \2D qi prt ` S d-toltz�s Contractor signature I hoe', 33139 Sworn to (or affirmed) and subscribed before me this I By 5 311 S-t'[ L1-vt I- -r4 L Pe=known Or produce identification Type of identification produced day of W Leo . 2018, ��11e4; Camila Arredendo ? ;:Commission#FF163102 =9. o` Expires: SEP 24, 2018 ' OFf��P' BONDEDTHRU .. 15T FLORIDA NOTARY, LLC Print, type or stamp name of notary cry/zo%B Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Permit NO. RC-7-18-2035 Permit Type: Residential Construction Per "' Work Classification: Alteration Permit Status: APPROVED Parcel Number Issue Date: 8/22/2018 1 Expiration: 01/27/2019 Applicant 1191 NE 103 Street 1122320310050 Miami Shores, FL 33138- Block: Lot: COBIA LLC Owner Information Address Phone Cell COBIA LLC 8045 NW 155 Street (786)999-4855 MIAMI LAKES FL 33016- 8045 NW 155 Street MIAMI LAKES FL 33016- Contractor(s) Phone Cell Phone TOP CHOICE RENOVATION, CORP (786)399-0886 In Review Valuation: $ 33,190.00 Total Scl Feet: 1800 Date Approved:: In Review Date Denied: Type of Construction: REPLACE GFCI'S AND OUTLETS II\ Occupancy: Stories: Exterior: Front Setback: Rear Setback: Left Setback: Right Setback: Bedrooms: Bathrooms: Plans Submitted: Yes Certificate Status: Certificate Date: Additional Info: REPLACE GFCI'S AND OUTLETS IN Fees Due Amount Bond Type - Contractors Bond $500.00 CC F $20.40 CO/CC Fee $50.00 DBPR Fee $14.94 DCA Fee $9.96 Education Surcharge $6.80 P&Z Review Fee $0.00 Permit Fee $995.70 Plan Review Fee (Engineer) $90.00 Scanning Fee $15.00 Technology Fee $27.20 Total: $1,730.00 Pay Date Pay Type Amt Paid Amt Due Invoice # RC-7-18-68385 08/22/2018 Check #: 1034 $ 1,530.00 $ 200.00 07/31/2018 Check #: 1025 $ 200.00 $ 0.00 Bond #: 3869 Avanaoie ins Inspection Type: Final PE Certification Window Door Attachment Insulation Drywall Screw Fill Cells Columns Window and Door Buck Review Planning Review Plumbing Review Electrical Review Electrical Review Structural Review Mechanical 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 r sponslbgfor all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLWENG, HANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I ggrtify that,iythe foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning.of uthermo4ol authorize the above -named contractor to do the work stated. August 22, 2018 AuthorlipffZignature:Uwner / Applicant / Contractor / Agent Building Department Copy August 22, 2018 1 DATE: 07/30/2018 77 ice,. F-._.. moms�_ ---_ Ll • • REMODELING CONTRACT PROPERTY FOLIO No: 11-2232-031-0050 PROPERTY ADDRESS: 1191 NE 103RD ST MIAMI SHORES, FL 33138 The following is a contract between Top Choice Renovation "THE CONTRACTOR" and COBIA LLC / ALAN LOPEZ "THE OWNER" for the services listed on the invoice # 387 The contract price shall be $ 33190 and the payment terms as followed: V Payment $ 10.000 2"d Payment $ 10.000 P Payment $ 10.000 41h Payment $ 3.190 CHANGE ORDERS: Any alteration or deviation from the attached invoice # 387 involving extra cost should be in writing and executed by both parties, shall become an extra charge over and above this contract and shall be paid in full before is executed. r 0 °Gs la Q ami Arredondo Com'DissiOr, # FF163102 OWNER SIGNATURE =s. o-,Expires: SEP24,2018 CONTRACTOR SIGNATURE '�CF F1 BONDED THRU NAME: 1�L I ,�E-� 1ST FLORIDA NOTARY ,LLC NAME: A9/U 77��'d DATE: '3D — 0013 z 7- 30 is rtrcr,�. 5161 Collins Ave apt 1002 Miami Beach fl 33140 regalado.juniorCyahoo.com & sebanob44@hotmail.com www.topchoicerenovation.com sebastian 786-399-0886 / Isaac 786-999-4855 Bill To: COBIA LLC / Miami Shores cobiagroupllc@gmail.com MIAMI SHORE Description DEMOLITION REMOVE KITCHEN AND COUNTER TOP REMOVE BASEBAORD REMOVE VANITY REMOVE MIRROR FLOOR INSTALLATION OF RECTIFIED PORCELAIN 1800 SQ FEET MATERIAL AND LABOR MASTER AND GUEST BATHROOM Replace shower, vanity, toilet, shower valves and plumbing fixtures KITCHEN CABINET/COUNTER TOP Replace kitchen cabinets and countertops ELECTRICAL: Replace gfcis and switches in kitchen to comply w code Replace gfci's and switchen in both bathrooms Invoice Invoice No: 387 Date: 07/30/2018 Terms: NET 30 Due Date: 08/29/2018 Quantity Rate Amount 1 $2,500.00 $2,500.00 1 $9,900.00 $9,900.00 1 $13,000.00 $13,000.00 1 $6,500.00 $6,500.00 1 $1,200.00 $1,200.00 1/2 - Invoice 387 - 07/30/2018 Description PLUMBING 1 Replace toilet, sink, faucet, vanity, shower pan liner, shower valve and plumbing fixtures in master and guest bathrooms Subtotal Discount TAX 0% Total PAID E- D Pay Now Balance Due Invoice2go 4 Quantity Rate Amount 1 $2,750.00 $2,750.00 $35,850.00 $2,660.00 $0.00 $33,190.00 $0.00 $33,190.00 2/2 Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. ZCOPY OF QUALIFIER'S STATE LICENCES B. COPY OF LOCAL BUSINESS TAX RECEIPT C. �OPY OF LIABILITY INSURANCE* D. / COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICATE OF COMPETENCY OF QUALIFIER B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF STATE REGISTERED CONTRACTOR LICENSE OR MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT. D. COPY OF LIABILITY INSURACE* E. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit) *YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE AS FOLLOW: Certificate Holder: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 Certificate must specify the description of operations or contractor license number. ............................................................................................ BUSINESS NAME: TOE iW p nX— BUSINESS ADDRESS: `9 47s 4—"��CITY ems/ &eWt E ZIP3�� BUSINESS PHONE:( ,79 ) '?ff0 FAX NUMBER ( ) CELL PHONE ()6�� QUALIFIER'S NAME: QUALIFIER'S LIC NUMBER: C6 C PS/ F46s R, STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION Q, CONSTRUCTION INDUSTRY LICENSING BOARD ,1 rM N'Nr�rf 2601 BLAIR STONE ROAD TALLAHASSEE FL 32399-0783 TARALLO, SEBASTIAN TOP CHOICE RENOVATION, CORP 3690 SW 14TH STREET #6 MIAMI FL 33145 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better For information about our services, please tog onto www.myfloridalicense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and learn more about the Departments initiatives. Our mission at the Department is: License Efficiently. Regulate Fairly We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! RICK SCOTT, GOVERNOR LICENSE NUMBER (850) 487-1395 "► STATE OF FLORIDA '.��`=; DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CGC 1519665 ISSUED: 08/31 /2016 CERTIFIED GENERAL CONTRACTOR TARALLO, SEBASTIAN TOP CHOICE RENOVATION,. CORP IS CERTIFIED under the prOVISIOns of Ch 489 FS Expirst:on owe AUG 31 .318 L160831 "1849 DETACH HERE KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD The GENERAL GUN I HAc I UK Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2018 TARALLO, SEBASTIAN TOP CHOICE RENOVATION, CORP 7005 NW 173 DR #1704 HIALEAH FL 3301.5 ISSUED. 08/31/2016 - DISPLAY AS REOUIRED BY LAW SEO # L1608310001849 020083 Local Business Tax Receipt Miami -Dade County, State of Florida -THIS IS NOT A BILL - DO NOT PAY 7184241 BUSINESS NAME/LOCATION TOP CHOICE RENOVATION CORP 5750 COLLINS AVE 10E MIAMI FL 33140 L B7T RECEIPT NO. EXPIRES RENEWAL SEPTEMBER 30, 2019 7464963 Must be displayed at place of business Pursuant to County Code Chapter 8A - Art. 9 & 10 OWNER SEC. TYPE OF BUSINESS PAYMENT RECEIVED TOP CHOICE RENOVATION CORP. 196 GENERAL BUILDING CONTRACTOR BY TAX COLLECTOR C/O SEBASTIAN TARALLO CGC1519665 $45.00 07/09/2018 Worker(s) 1 CHECK21-18-060997 This Local Business Tax Receipt only confirms payment of the Local Business Tax. The Receipt is not a license, permit, or a certification of the holders qualifications, to do business. Holder must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT No. above must be displayed on all commercial vehicles - Miami -Dade Code Sec 8a-276. For more Information, visit ww miamidade govRexcollector A`ORO® CERTIFICATE OF LIABILITY INSURANCEFDo'M/DDNYYY)M 7/09/18 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 be endorsed. If SUBROGATION IS WAIVED, subject to the terns 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 CONTACT NAME: MARTA ALONSO Florida Bankers Insurance 6874 SW 8 ST PH NE (305)266-6493 A No): (305)262-0679 "MAIL marta@floridabankersinsurance.com INSURERS AFFORDING COVERAGE NAIC # Miami, FL 33144 INSURER A: UNITED SPECIALTY INSURANCE COMPANY Phone (305) 266-6493 Fax (305) 262-0679 INSURED INSURER B : INSURER C : TOP CHOICE RENOVATION CORP INSURER D : 5750 COLLINS AVE APT. 15 H INSURERE: MIAMI BEACH, FL 33140 (305) 970-1520 INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE 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 LTR TYPE OF INSURANCE ADDL UBR POLICY NUMBER POLICY EFF MM/DD/YYY POLICY EXP MM/DD/YYYY LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY ❑ ❑ CLAIMS -MADE 0 OCCUR ❑ N N B# 180662 04/06/2018 04/06/2019 EACH OCCURRENCE $ 1,000,000.00 DAMMISESS AGE(RENTEDEaoccurrence) PRE $ 50 000.00 MED EXP (Any one person) $ 5,000.00 PERSONAL & ADV INJURY $ 1,000,000.00 ❑ GENERAL AGGREGATE $ 2,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: ] POLICY ❑ PRO- ❑ LOC PRODUCTS - COMP/OP AGG $ 2,000,000.00 $ AUTOMOBILE LIABILITY ❑ ANY AUTO ❑ ALL AUTOS OWNED ❑ SCHEDULED AUTOS NON -OWNED ❑ HIRED AUTOS ❑ AUTOS U COMBINED SINGLE LIMIT Ea accident BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ ❑ UMBRELLA LIAB ❑ OCCUR ❑ EXCESS LIAB ❑ CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ ❑ DED RETENTION $ $ WORKERS COMPENSATION EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ (Mandatory In NH) If yyes describe under DES RIPTION OF OPERATIONS below N / A WC STATU-LIMIS OTH- DRYAND R E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Addhlonal Remarks Schedule, If more apace Is required) CERTIFICATE HOLDER CANCELLATION MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 ACORD 25 (2010/05) QF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 01988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD wila. JIMMY PATRONIS CHIEF FINANICAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 4/19/2017 PERSON: SEBASTIAN TARALLO FEIN: 465648743 BUSINESS NAME AND ADDRESS: TOP CHOICE RENOVATION CORP 5750 COLLINS AVE APT 15H MIAMI BEACH, FL 33140 SCOPE OF BUSINESS OR TRADE: Licensed General Contractor EXPIRATION DATE: 4/19/2019 EMAIL: SEBANOB44@HOTMAIL.COM IMPORTANT: Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt... apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. DFS—F2—DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS? (850)413-1609 . Product Descriptions 3MTM Safety -Walk TM Coarse Tapes and Treads - 700 Series The product consists of large abrasive particles bonded by a tough, durable polymer to a dimensionally stable plastic film. The reverse side is coated with a pressure -sensitive adhesive covered by a removable protective liner. Standard Sizes: Refer to Standard Product Chart (Page 2) • Colors: Black #710, Gray #770 • Custom sizes: Available upon request 3MTM Safety-WalkT"" Slip -Resistant General Purpose Tapes and Treads - 600 Series The product consists of abrasive particles bonded by a tough, durable polymer to a dimensionally stable plastic film. The reverse side is coated with a pressure -sensitive adhesive covered by a removable protective liner. Standard Sizes: Refer to Standard Product Chart (Page 2) • Colors: Black #610, Clear #620, Safety Yellow #630, Safety Yellow/Black Stripe #613, and Black with Photo -luminescent (PL) strip #690 • Custom sizes: Available upon request 3MTM Safety-Walklm Slip -Resistant Conformable Tapes and Treads - 500 Series The product consists of abrasive particles bonded by a tough, durable polymer to aluminum foil. The reverse side is coated with a pressure -sensitive adhesive covered by a removable protective liner. The product is designed to stretch and conform to irregular surfaces such as diamond plating or flat surfaces with rivets or screw heads, ladder rungs, etc. Standard Sizes: Refer to Standard Product Chart (Page 2) • Colors: Black #510 and Safety Yellow #530 • Custom sizes: Available upon request 3MTM Safety -Walk TM Slip -Resistant Medium Resilient Tapes and Treads - 300 Series The product consists of dimensionally stable plastic film coated with a textured resilient surface. The reverse side is coated with a pressure -sensitive adhesive covered by a removable protective liner. Standard Sizes: Refer to Standard Product Chart (Page 2) • Colors: Black #310 and Gray #370 Quick Links • Custom sizes and colors: Resource Library Available upon request. Safety Data Sheets (SDS) Video Library 3MT"" Safety-WalkT"" Some of these links lead to web -based Slip -Resistant Fine resources that are not product -specific. Resilient Tapes and Treads - 200 Series The product consists of a fine textured resilient top surface. The reverse side is coated with a pressure -sensitive adhesive covered by a removable protective liner. Standard Sizes: Refer to Standard Product Chart (4ag(j21 •"•; • • Colors: White #280 and Clear #220 000000 . 000000 ••••• • 000000 • Custom sizes: Available upon 0 jgLpe . • • • • • Accessories • .••• . •. ...•• • ..•.. .... .•.•. 3MTM Safety -Walk' Prirner,.•• •••00• 00000* Primer is a solvent -based adhesive.lt istc be applied,to rough or .' porous surfaces before applicatiol of adhesive -backed producjS..;. One quart covers approximately 35 sgLVre feet.; "' • • 0 0 Size:1 quart can : .". :0000' •s•• 3MTM Safety-WalkTm Edge Sealing Compound Edge Sealing Compound is a liquid, solvent -based sealer in a convenient tube applicator. The product seals the exposed edges of Safety -Walk slip -resistant materials, providing extra protection from excessive moisture or liquids. One five -ounce tube seals approximately 75 to 100 linear feet. Size: 5 oz. tube 3MTM Safety-WalkTm Rubber Hand Roller Rubber Hand Roller helps provide a firm bond when Safety -Walk slip -resistant materials are applied. Size: Roller —1 and 3/8 " diameter x 2" wide Overall length — 6" - Standard Product Chart 3MTM Safety-WalkTI Slip -Resistant Tapes and Treads Standard Sizes and Colors Coarse General Purpose Conformable Medium Resilient Fine Resilient 700 Series 600 Series 500 Series 300 Series 200 Series Size Safet Black Black Gray Black Safety Yellow Clear Yellow /Black PL Black Safety Yellow Black Gray White Clear #710 #770 #810 #630 #620 Stripe 80 #510 #530 #310 #370 #280 #220 #613 3/4" x 24' x • • • see 51/2' x x •• • • • ••••• 51/2" 0000 i ••• 6"x24' x x x x x x••• •• • • 2" x 30' x ••• • • •• • • • • • 3"x30' x Osseo@ • •• ••� 4" x 30' x x • • *so • • 8"x30' x x ••• •• • 24' x 30' x x • • • • • • • 3/4"x60' x •• • 0•• 1" x 60' x x x x x x x • •x • x 2"x60' x x x x x x x x x x 3" x 60' x 4"x60' x x x x x x x x x e" x 60' x x x x x x x 12" x 60' x x x x x x x 18" x 60' x x x x 24" x 60' x x x x x 36" x 60' x x x 48" x 60' x x x Custom sizes available upon request for all materials. Customs colors available upon request for Medium Resilient materials. Technical Data Sheet - Revision J, December 2016 . Product Selection Guide Type of 3M" Safety -Walk' Slip -Resistant Tapes and Treads Applications Coarse General Purpose Conformable 500 Medium Resilient Fine Resilient 700 Series 600 Series Series 300 Series 200 Series Farm Machinery x x 0 Construction Equipment Forklifts x x 0 Cherry pickers Steps, stain, and platforms x 0 Recreational Vehicles . • • • • • Snowmobiles • • • • • ATVs x x 0 • • • Garden tractors •• • • • Lawn mowers 000000 •••••• • • • Wet and oily areas x x 0 • • • • • e • • Loading docks 000000 • • Cold storage x x 0 ease • • • • • • Catwalks Platform/ramps • • • • • • 0000 • • Ladders •• •• •••• •• Step stools x 0 • • • Scaffolds : • Airplane decks/cargo holds • • • • • Trains • • • Semi -trailers x x 0 • • • • • Buses • • • • • • • • Ships decks .:see Water skis Surf boards x Jet skis Boots Swimming pools Pool accessories x Diving boards Bath area x x Showers Bathtubs x Conveyors x Pulleys Food service area* x x Machine shops Auto repair shops x Garages X - Recommended for flat or smooth surfaces 0 - Recommended around corners or for irregular surfaces * - Not recommended for application on greasy quarry tiles Technical Data Sheet - Revision J, December 2016 . Typical Properties Type of 3MI Safety -Walk TM Slip -Resistant Tapes and Treads Product Attribute Coarse General Purpose Conformable Medium Resilient Fine Resilient 700 Series 600 Series 500 Series 300 Series 200 Series Color Black #710 Black #610 YellSafety ow #630 Safety Yellow/Black Black PL Strip Black #510 Safety Black #310 Clear #220 #770 Clear #620 Stripe #613 #690 Yellow #530 Gray #370 White #280 Appplied Weight (oz.)/ ft� (9)/m2 5.50 1,700 2.4 730 2.4 730 2.4 730 2.4 730 2.8 850 2.7 830 2.1 640 Minimum Application 40" F (4" C) 40` F (4- C) 40- F (4- C) 40- F (4- C) 40' F (4° C) 40- F (4- C) 40° F (4' C: • • jp° F (10` C) Temperature • • • • • • 3M-SW-29.0 - Maximum Service 175' F 175° F 150° F 1500 F 1500 F 175° F • •175° F i • • • 150O F Temperature (790 C) (79' C) (66- C) (66' C) (66' C) (79° C) • a • • • E79° C) • • (66° C) a • • ASTM E648-10e1 or • • • • • • • • • • (NFPA253) - • • a FlammabilityAverage 630:1.02 • • • • • 000 Critical: -Radiant Flux W/cm2 1.02 1.01 Class 1 1.01 1.01 1.02 • a • • • • 0.37 0000 a 1.01 000 -NFPA Classification Class I Class 1 620: 0.99 Class 1 Class I Class I Class 1 • • • a glass II • a • • • Class 1 • • a 2010 IMO FTP Code, U.S Coast • • • • Annex 1 Parts 2 and 5 Guard • • • a • • • Approval Number:• ----- --- • • • • • • • • 164.117/ • • • • • • 50/0 • • • • • • • • FAA 25.855-F-1- T3003 Aluminum Substrate (Baggage) Pass Pass Pass Pass Pass Pass --- --- FAA 25-853-F-1- T3003 Aluminum Substrate (interior Pass Pass Pass Pass Pass Pass Pass --- surface) ASTM E662-09 or (NFPA258) - Smoke Density (Dm 630: 47 corrected) 47 -Flaming 73 98 620:60 53 90 57 78 177 -Non-Fleming 174 97 40 47 32 65 244 164 Dynamic Coefficient of Friction Coarse General General General Medium Fine Sensor Condition 700 Purpose Purppose ose Purrpp3, Conformable Resilient Resilient Series Black #610 #630, #620 #61 #690 500 Series 300 Series 200 Series Dry 1.05 1.04 1.02 1.02 1.04 1.06 1.29 Rubber Water 1.00 1.02 1.05 1.05 0.94 0.83 0.86 Oil 0.76 0.87 0.90 0.90 0.95 0.31 0.35 Dry 0.65 0.74 0.78 N/A 0.72 0.73 0.66 Leather Water 0.83 1.19 1.14 N/A 1.14 0.77 0.79 Oil N/A N/A N/A N/A N/A N/A N/A Static Coefficient of Friction Coarse General General Purpose General Purpose Conformable#630, Medium Fine Sensor Condition 700 Purpose #613, 500 Series Resilient Resilient Series Black #610 #620 #690 300 Series 200 Series Dry 1.24 1.40 1.30 1.30 1.38 1.06 1.38 Rubber Water 1.14 1.30 1.25 1.25 1.25 0.84 0.81 Oil 1.05 1.17 1.31 1.31 1.28 0.51 0.58 Dry 0.90 1.00 1.05 N/A 1.04 0.81 0.82 Leather Water 1.05 1.64 1.48 N/A 1.46 0.81 0.93 Oil N/A N/A N/A N/A N/A N/A N/A 4 Technical Data Sheet - Revision J, December 2016 . Slip Resistance Coarse General General Purpose General Purpose Conformable Medium Fine DIN9Ger.51130 (2H1/571): Value 700 Pur pose #630, #613 500 Series Resilient Resilient Series Black #610 #620 #690 300 Series 200 Series Friction (dry) R13 - - Volume (mi/dmsq) v8 Chemical Resistance Use this guide to help select the proper 3MTM' Safety-Walkr' Slip -Resistant Tapes and Treads when exposure to chemicals is anticipated. • Fine Resilient Clear may turn cloudy during continuous immersion in water. It will regain clarity after it dries. • • • • • • • • • • • • Colors may be affected by extended exposure to some chemicals. • • • • •..••. . .•••% Type of 3M1 Safety -Walk'"' Slip -Resistant Material e • • e • • • 0 Coarse General Purpose Conformable' dium • • Fine Chemical 700 Series 600 Series 500 Series •' Resilient • • •Resilient• • • • • 300 Series . a 200 Seriao.. Color Black #710 Black #610 Safety Yellow #630 Safety Yellow/Black Black PL Strip Black #510 e Safety • • Mack #310 • e dear #280 Gray #770 Clear #620 Stripe #613 #690 Yellow #530 • � * •Gyy #370 � . •White #2 Water R R R R R R R .. ... R Bleach R R I I R I • •• R R • e• 1% Hydrochloric Acid R R R R R R R • • R 1% Sodium Hydroxide I I NR I I NR R R Detergent (1% Draft R R R NR NR R R R in Water) Soap (1% Ivory Flakes R R R I I R R R in Water) Isopropyl Alcohol R R R I I R R I Motor Oil R R R R R R R R Hydraulic Fluid (Skydro1500B) NR NR R R R I R NR Peanut Oil R R R R R R R R Methyl Ethyl Ketone I I I I I I I NR Mineral Spirits R R NR I I NR NR NR Gasoline (Unleaded) NR NR IC NR NR NR NR NR 25% Sulfuric Acid R R I R R IC R R Water 50% Antifreeze in R R R I R R R R Water Windshield Washer R R R R R R R R Fluid Diesel Fuel R R I I I I NR NR Salt Water R R R R R R R R R - Recommended, generally not continuous immersion I - Recommended for intermittent exposure only IC - Can stand incidental contact, provided cleaning/rinsing is performed after exposure NR - Not recommended Technical Data Sheet - Revision J, December 2016 5 . Surface Preparation Table Surface Solvent Wipe, Strip Floor Finish; Degrease; Wash and Rinse Prime Coat Recommended Bare metal/polyethylene/propylene x No Painted metal or plastic/pointed wo gel- coated fiberglass/epoxy-coated floW x x No Rough or smooth porous concrete x Yes Painted or coated smooth concrete x No Vinyl tile/marble/terrazzo/ceramic x No Quarry 711e4 x 4'es • 1- Use solvent suitable for removing grease and oil. Follow manufacturer's directions for proper handling. . " ' • ' 2 - Use detergent, degreaser or stripping chemical as appropriate. i • • • i • • 3 - Untreated and treated wood must be painted before application of any 3M- Safety -Walk- Slip -Resistant Materials. 4 - Not recommended for use in commercial kitchens. • • • • • • 0 a 0 ' • 000000 0000 Directions for Use 'ease' : '••' ..... • • Surface Preparation Instructions `••••• :••+: 1. Make sure surface is clean, dry, smooth and above minimum application temperature when applying 3"Miaifety-WalkTM Slip -Resistant •' material. Repair or replace any broken or damaged surface. ; ' : • • ••: • Minimum application temperatures: • • • • • Coarse (700 series) 40°F (4°C) • • • • • • • • General Purpose (600 series) 40°F (4°C) • • • • Conformable (500 series) 40°F (4°C) Medium Resilient (300 series) 40°F (4°C) Fine Resilient (200 series) 50OF (10°C) 2. Remove chipped, cracked or peeled paint prior to applying Safety -Walk material. 3. Remove loose residue from surface. 4. If present, floor finish may be removed prior to application. 5. Referring to the "Surface Preparation Table" on page 6, use the appropriate cleaner or solvent wipe to clean the surface. After cleaning, allow surface to dry thoroughly. Priming Instructions 1. Prime clean, dry surfaces with 3M1 Safety-Walklm Primer, especially: a. Uncoated concrete surfaces. b. Coated, painted or porous concrete if surface is excessively rough. c. Other porous surfaces. 2. Priming Instructions a. Properly clean the surface following the "Surface Preparation Table" on page 6. b. Use a paint brush to apply a thin coat of Safety -Walk primer where material is to be placed. c. Allow the primed area to dry thoroughly (no evidence of stickiness or tackiness) before applying Safety -Walk slip -resistant material. Approximate drying time is 15 minutes. Application Instructions Tools Needed: Rubber Hand Roller or Rubber Mallet 1. Individual pieces should be spaced a minimum of 1/2" apart and a maximum of 2" apart. 2. Round the corners of any pieces cut from rolls. 3. Peel protective liner back about 2" from one end and position piece on surface. n. Technical Data Sheet - Revision J, December 2016 - O IMPORTANT NOTE Minimize touching adhesive with fingers. 4. Continue to remove liner. Press firmly in place as liner is removed. 5. For small pieces: Peel liner off piece. Holding piece by its edges, curve it gently with the adhesive side out. Align the middle of the piece over the middle of the target surface and press down. 6. Finally, press into firm contact with surface using a rubber hand roller by starting in middle and rolling out toward edges. 7. For applying 3MT1ASafety-WalkT"' Conformable Tapes and Treads, use a soft-headed rubber mallet to ensure product conformability to surface. Pound edges extra hard. 8. On steps, aooly tread material 1/2" from stair edqe to prevent edqe curl and premature wear. r a•a•• • sees:* • To maintain product effectiveness, the application should be inspected periodically. .. •. : a e a • • •. a •;. • To ensure that 3MTM" Safety -Walk" Slip -Resistant Materials are kept free of dirt and other residue thatar94" j npair functjpnality: e - Coarse, General Purpose and Conformable tapes and treads should be deck brushed regularly. 0000 a a a - Medium and Fine Resilient Treads should be mopped or deck brushed regularly. ' e e a a' : so** 00000 • Use an appropriate degreaser/cleaner for general maintenance to keep material and surrounding surfaces, dictsand grease fwe. a e: e e e • To remove and replace worn or torn material: ***so* 0 a. a e' e. e e • e - Start by pulling up old material. Use of a heat gun may assist in this process. +• •. •. • • • - After removal of old material, use 3MTM" General Purpose Adhesive Remover (08987) or an equivalent product to soften adhesive rasa a: e idue and allow scraping of surface in preparation for product replacement. e • :.. a e a a s Maintenance Instructions Important for Proper Application and Service Life 1. All surfaces must be clean, dry and at recommended temperature before applying product. 2. Rough or porous surfaces must be primed with 3M1 Safety-WalkT'" Primer for proper adhesion. 3. A 3MTM" Safety-WalkTM' Rubber Hand Roller should be used to assure a firm bond when applying all Safety -Walk slip -resistant materials. 4. For extra protection from excessive moisture or liquids, use 3M1 Safety-WalkTm Edge Sealing Compound. Safety -Walk slip -resistant materials are not recommended for continuous immersion in water. 5. 31VITM Safety -Walk' Slip -Resistant Material can be applied on most painted surfaces that are in good condition. The material will adhere as well as the base paint. Painted surfaces must be thoroughly dry before application of any 3M1 Safety -Walk' Slip -Resistant Material. 6. Treated or untreated wood must be painted prior to application of 3MTM Safety -Walk' Slip -Resistant Material. 7. Do not apply 3MTM" Safety -Walk' Slip -Resistant Material over surfaces with constant water contact or moisture seepage. 8. Do not apply 3M1 Safety-WalkTm Slip -Resistant Material over grouting. Avoid cracks in concrete and cracks in any surface. 9. 3MTM" Safety -Walk' Slip -Resistant Materials are not recommended for quarry tile in commercial kitchens due to constant oil exposure. 10. Store product in its original carton, preferably at 40°F (4°C) to 100°F (37.7°C). Humidity range of 40% to 60%. 11. It is recommended to use the product within five years from the date product is received. O IMPORTANT NOTE 3M1 Safety -Walk' Slip Resistant Tapes and Treads Series 200, 300, 500, 600, and 700 have been certified by the National Floor Safety Institute (NFSI) as providing "high traction". A wet static coefficient of friction (SCOF) of greater than 0.60 was chosen by NFSI as the criteria for `high traction" because according to NFSI, floor surfaces maintaining this level of slip resistance when wet have proven to reduce slip -and -fall claims by between 50% and 90%. Technical Data Sheet - Revision J, December 2016 7 O IMPORTANT NOTE 3M1 Safety -Walk' Slip -Resistant Conform able Tapes and Treads — 500 Series is not presently qualified to, nor on the qualified products list associated with, any active Military Specification. 3M I" Safety-WalkT" Slip -Resistant General Purpose Tapes and Treads — 600 Series met, and was on the qualified products list associated with, Military Specification MIL-D-17951 E, which was canceled upon the release of Military Specification MIL-PRF- 24667 C. The 600 Series is not presently qualified to, nor on the qualified products list associated with, any active Military Specification. 3M1 Safety-WalkT"" Coarse Tapes and Treads — 700 Series meets, and is on the qualified products list associated with, Military Specification MIL-PRF-24667 C Type XI Comp PS. Certificate of compliance to this standard is only available via military orders or special product request (SPR). Product Use •••••• Many factors beyond 3M's control and uniquely within user's knowledge and control can affect ilie use and* ic* *nance of �• a 3M product in a particular application. The user is solely responsible for evaluating the produ ct`i ruaetermininp whether �• � is fit for user's particular purpose and adequately maintained. •••••• . • • • Warranty Limited Remedy, and Disclaimer 00000• 3M warrants that each 3M product will be free from defects in material and manufacture for 90•ddys from tht4 to of •••••• purchase from 3M's authorized distributor. 3M MAKES NO OTHER EXPRESS OR IMPLIED WAQRAMES, INCL15DING ANY % IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE.'If a 3111 prodDgudaQs not •••••• conform to this warranty, the sole and exclusive remedy is, at 3M's option, replacement of the $M p%cluct dr refund of t$(&. • •: purchase price. Limitation of Liability: Except to the extent prohibited by law, 3M will not be liable for any As ®r namage" • arising from the 3M product, whether direct, indirect, special, incidental or consequential, regardless of the legal or equitable theory asserted. Limitation of Liability Except where prohibited by law, 3M will not be liable for any loss or damage arising from its products, whether direct, indirect, special, incidental or consequential, regardless of the legal theory asserted. Change Summary For the most current 3M Technical Information available to successfully use this product, please view this Data Sheet electronically and click on the blue underlined links to view the relevant documents. Release J DEC-2016: • Added Colors to 600 Series throughout document. 3M Commercial Solutions 3M Center, Building 220-12E-04 St. Paul, MN 55144 ® 3M 2016. All rights reserved. 3M and Safety -Walk are trademarks of 3M. Used under license in Canada. All other trademarks are property of their respective owners.Please recycle. Revision J, December 2016 Phone 1-800-328-0033 Web 3M.com/Facility