Loading...
FW-12-16-3481, 1490 NE 101st St5�{ORE,y Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 °Ek F<ORiDP Phone: (305)795-2204 Permit NO. FW-12-16-3481 Permit Type: Fence/Wall Permit Work Classification: Wire Fence Permit Status: APPROVED Issue Date: 1/6/2017 1 Expiration: 07/0 /2017 Project Address Parcel Number Applicant 1490 NE 101 Street 1132050350030 Miami Shores, FL 33138-2613 Block: Lot: LUMA SHORES LLC Owner Information Address Phone Cell LUMA SHORES LLC 3128 DOWNS COVE Road (863)557-7629 i WINDERMERE FL 34786- 3128 DOWNS COVE Road WINDERMERE FL 34786- Contractor(s) Phone Cell Phone GOMEZ & SON FENCE (305)471-8922 Approved: Comments: Date Approved: Date Denied: Type of Construction: Wire Fence Classification: Residential Fees Due Amount CCF $0,60 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.20 Permit Fee - Wire & Wood $130.00 Scanning Fee $3.00 Technology Fee $0.80 Total: $138.60 Additional Info: TEMPORARY FENCE Scanning: 1 Valuation: $ 1,000.00 Total Sq Feet: 130 Pay Date Pay Type Amt Paid Amt Due Invoice # FW-12-16-62488 01/06/2017 Check #: 1001 S 138.60 $ 0.00 Avaname Inspections: Inspection Type: Final Review Planning Review Building 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 zoni g. Futnermor,, I authorize the above -named contractor to do the work stated. January 06, 2017 4----Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy January 06, 2017 1 )rye-�f•�� iami Shares Village 06C z 2et6 Building Department �Y: 10050 I'vZ2nd Avenue, PALImiShorLn, Fasfida 3�13 F Tel: 0 s 795 22 Fax: ('305) 7556-872 INSPECnON LINE PHONE NUMMP- (305) 762-4949 1`#3C 20`t BUILDING Master Permit No,4w �W TS PERMIT APPLICATION Sub Permit No, -- --- OPtt MBING 0 MECHANICAL, [3PU&ICWORKS 0 CHANGE OF C3 CANaLLATION n Smop CONTRACTOR DRAWINGS 1490 NE 101 sit Street the 9 tili$ ti+ csrecahy Designated. Yes LkwpanviType: toad: Corc ruc,un Hype: _ .__ Foo:Zone: EFE: fFE: OWNER: Names fee Sant le Tzt ntslrlcr MsiiC �tle re L (M R o r c U,�, • 8 557-76 Addrr3s- 3128 DoWnsCove Road ,Windermere>WM' F� . 347 ��, Iip. CONTRACTOR-, Company Name:.. iiiy: �,,...� <<,� . ­ W______ Witte° Qua tfiet Name: � P S.atr Cez'tifit�tarz r�r Reis€rat�trt :.,�, �, �..�,.._..,_„,�..t c�3ifita:r_ r�E trsmcncq �: DESIGNER. Ar&fiteti/Eneineer- Ate' lrew State. Zip: Value of Work for t1 wis P*rmit: 5 � W Q St�var�jLanc�r €dotage of Work 1 �C� Type of W*rk � Addition ,t tera ion 0 New s� � . Re 1 ._.., ,oa`srJe{lac I liem-ditas Specify color of color thru tile_ Subrftittal Fee S . Permit Fee a .. Y_ .�, �,,w.__. — . C $_ � cola s — Scanning Fee $ Radon Fice $ _ _ ..� _ ,. DSPR a Notary Techrwi y Fee5 _.__. _ Traa3tin$j d tion F e,e 5 _. Double F, $ .Stzutttrrai i+ OTAL FEE NOW DUE Aopita� on s5 hvebym"e toottain a Verm'"O wOrk and SnszA-'Lr,;Ws3s t certifV'h3* P4 work of in='Uazicno`t , cornf"enced prior to *he &uwlce of a V'afrm"- 2re- :h.-, 411 work VAIJ be peiorpted to meet th't e ag 'evir'i'v W=uCtiOn in 'INS jurr-riCtiOn. I unc'emstane T*W a ;cpj3r3tc permit rn' , be secured tbtfCTRjC' pLU�*,aINC. Sr%S, PURNACIS, WILMS, HEATERS. TANKS,AIR C0.401TIONCPSj%... PDCL�' OWNER'S AFFIDAVIT'. I certify ,hat a,! ;fie foregoing in.ormx6on k Xcurate and thx'4 work wj'j Do ft*. in con-�Pfiaqce wi-!t au "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPElm. IF YOU INTEND 10 094-AIN FMANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." A' *dtc to Applicont, Aa cancUrion to Me izoc;uc � a P-1, va"t- exceedh'v "Q1 rhr vPP!k'cn: mw--- in goodfairt, chm a copy of VW 0014ce0f C0MMVKf9rfW and cotnvuttmn ken i'dw broctlure vvi,7 be -,tep'-non wft'-w pm, ef-Y is suz�w. W onachmen't A.'W, a cef-if4ed CV-/ Of the recorded tW.;ccqf com-merxemert m'et or po;rcd or r,-,r job j,-x or the fi= "noftZAan W-luch aocufs �;�rr ,71 dar, c,*_-,- -,je NOX�V per is isucd. It, rjfC atr�f;Cee ',4Ch VQ'Zt-d nat4c' zj'sv ifrs-pecti= WN nor be'app-nwed and c r ^iar ft e WX be ebarged OWNER or AGENT The for -ng inaruf1tentwas akcknow!edzed before -me nil, k-� Mc W W.110 I= prodvct-t ;de-tekZon as wno dic take an o=ti. NarARY Pusuc: jell, APPR=D 8Y NUKAWTOOM MY MAMM t FF 0;%17 DWS: ftmbcr 14,2017 " Nfty0utkWMftiW% TON-1 RACTOR wa, -XkA0w)e',C0d before me this 0Y 0! - zo by WhO is P-M<M'Jy known to me or utho ha- orodured idt0f6rt at;dn -fe Who de take �,,n oeth, NOTARY PUSUC: I t jV pla*%� I "Miner —4� a Miarn; S?,*rt, Village Building Department 10OW N-C,2nd Avenue Miami Shores, notio 1-413,g Tek (3M) 1 95,2204 fain (30,S) 7565,8972 OWMCROUILOER_�O UR£S!�AnmENT - — --- - - - _-_ 111.11 atSiY.141rXiaw vie low—ta d1f4mwe surf --rat, WMVII entllft M to weak as my L_dm'-,andlthaz f m �,h, &,ner mitz" W.Vew in Pemonto comp4le all a=rkafmns State LAreQI4re5cOAttfIA*'OA-'* W=* bya!i'tfMebw, The , fa. M_ IA -..build oeamTr.-V. ro—emial bi"W"s 3."4 lot your OW10,19 -bo is -or. jk4'lhlro -Wt wV01 under VC40 W;Wr`,41z0'tIM A%M be OmPbYied bYyo-, . hkb fft4m t*Nt You must deduct Vw and pfrwdr s.�r5€ttx' toffipeutian far that empwyvr"ItZ rww. Vaut oiViltaVe latwti, 01410ame,, baVd=Vzode% arA togu4t)",_ Mease seam .nand initiad e;ich paTaWaph, 1 '�OO&MN VV. I&oe iaw fvqumn tom'foctim 10 be don" tn a -wvM-ed ttRltaasFar any k--r;qVfIk'd for m Owe'bwkler oftrfat UndVf ZA 'r:Inctmm aver th�' I oo " h�'*;) ktwm 1 art to bC'U&Vd ty a wut-Aha or sho to, n mt 17"fum a kcezrd coet'ano, to assume fesPamag*' 6fk.Mt4tIW h I&murd tw bw to at NceftW ­FtOfW and to HST kAs of keme rwrtbon on pvrrettt am At'ktl iritta3 a. ta," wadot 1"Awom aaw fare*faf two WWPC It V* CWdo V;W, en t&�,d S75,OW Tat bulvjift ax !aN'd�c must be to, _V 4.tP '�t be b.M 6,iwbxlsntufar ono"o-M f0f I�Dlt:w kaaw. ifa W"nr- �y ftvoeete tPW I hwe bWft at WbItAMIUay impl*-`ed Myleff z =M or iea"Od ld�**� I Velt, after 6e CW%&UUdbW t' I:ZMVVfir, tN $.'+W'AM OfIeW,_ th= i built ar Vibl-wrtiAlty ;mjnV.Vd 4 fv'WL. of lez.— O"a'jxV%d tiku, Z5 di'*,n' cm�ift V" Vie WWI an wileenam. Pcrso, wx'I'n my (OnImtor of w womiw Der sore -takrJoe, my 6v;"C!'&e' Tk ,c V-44 �XXr4r-ioQtC W�Ofe, Mt, Vhj-� kncvfn to mw 0wlo -Las mm- 0 p KATH"100M UYCM=M#FFOW7 &,-Aw Th. Nawy P4wc UA-xb- Detail by Entity Name Page 2 of 2 Detail by Entity Name Florida Limited Liability Company LUMA SHORES LLC. Filing Information Document Number L15000023795 FEI/EIN Number 47-3064918 Date Filed 02/09/2015 Effective Date 02/09/2015 State FL Status ACTIVE Principal Address 3128 DOWNS COVE ROAD WINDERMERE, FL 34786 Mailing Address 3128 DOWNS COVE ROAD WINDERMERE, FL 34786 Reqistered Agent Name & Address ALLEGRE, MARC H 3128 DOWNS COVE ROAD WINDERMERE, FL 34786 Authorized Person(s) Detail Name & Address Title MGR ALLEGRE, MARC H 3128 DOWNS COVE ROAD WINDERMERE, FL 34786 Title MGR ALLEGRE, LUCILLE S 3128 DOWNS COVE ROAD WINDERMERE, FL 34786 Annual Reports Report Year Filed Date 2016 03/06/2016 Document Images 0310612016 -- A.NNUAL REPORT Vier image in PDF tort at 11 -- iorda_l mited Lia i?ily View image in PD= `onnai http://search. sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entit... 12/29/2016 1 r �..Ev. •� 25 � ♦ NE IOet STREET / 1 / / 1 gl YALKIVERT, LINE7-7 R THESE TWO -REO ° I ARE PREFERRED-% 0 5' Ib' 32' IN 1100101 0 ME SCALE: 111(o' = 1'-0' 7REE5 IN TH15 4F ):.✓E TO BE REMc •••••• I< , �� ` 6 • • • s " REQUIRES L'NvSr-A J ,> ��� f�i • I SINGLE 5TORY , /• / v b j'fi `•' .a/ /.i•� y' / / / / / / / AE .Ion �! .••. / /•�P, (WE[),I�T I E/ % • ri / / / / i / / / / / �� DE iEI NEB FEt'yo ELEv. -140' ELE✓. •9 5 W 1 1 UA_) ► —5 Ei15T:N I f 1 i - _ •------------- — — — — C — _,— — — — — —Rio I W— T � 1 SE- W-.__ MOST SOUTHERLY CORNER LOT 1, BLOCK 1 \ (PB. 114, PG, 46) F.I.P. 1 /2' (NO CAP) \ 0.10' WEST R=50.00' (C) \ L-85.55' (C) R=50.00' Tan=57.55' LOT 2 BLOCK 1 �98"02'O8" R=25.00' L=43.12' F.I.P. 1/2" PLAT BOOK 114-46 L=21.56' Tan=23.01' (N0 CAP) Tan=11.50' �49'2¢'52. I v 4' HIGH �49'24'52" o CBS WALL `5' ? 858•E „ ! N87'33'59"W 71.69' (R&M) 1 �ol� '0&'v PC O 6 E l�GGv. G0 ' \ 0 • • • i • • a��`�yy'}1� •sss• ••••\• . • •vi • 00 N �zs • • • • �!s ` • s•!ss !s•• •s• �O� ••!•� !s•ss• �••••.0 0+ 0� O 0� 4. • • • • • •ss•• s••s • • v. y9 �• y i / o?l SURVEYOR'S NOTES: SECTION 1) DATE OF FIELD SURVEY: 7\ F.I.R. 1/2- (NO CAP) 0.15' EAST 0.18' NORTH 0 SECTION 3) ACCURACY The accuracy obtained by field measurement methods and office calculations of closed geometric figures meets and exceeds the Minimum Technical Standards requirement for Suburban Area (Linear: 1 foot in 7,500 feet) as defined in Rule 5J-17.051 of the Florida Administrative Code. Elevations of well identified features as depicted on the Survey Map were measured to an estimated vertical position accuracy of 1/100 of a foot on hard surfaces and 1/10 of a foot on ground surfaces. Well identified features as depicted on the Survey Map were measured to an estimated horizontal position accuracy of 1/10 of a foot. This Map of Survey is intended to be displayed at a scale of One inch equals Thirty feet or smaller. <7C a v � G0S 96 p6' c+ �I �J PC0 S 9 0' fLColl", 6 Vim. CO��PS� GAG/ICJ � 1. The date of completion of original field Survey was on July 31, 2008. SECTION 2) LEGAL DESCRIPTION: Lots 3 Block 1, of "DUNNINGS WATERWAY", according to the Plot thereof, as recorded in Plat Book 114, Page 46 of the Public Records of Miami —Dade County, Florida. SECTION 4) SOURCES OF DATA: North arrow direction is based on an assumed Meridian. 1­� cc Z 0 15 30 SCALE 1"=30' Bearings as shown hereon are based upon the Nort Nesterly Boundary line of the Subject Site with an assumed bearing of N57'17'54"E, said line to be considered a well established and monumented line. This property appears to be located in Flood Zone "A=" with a Base Flood Elevation of 10.0 Feet and "VE" with a Base Flood Elevation of 11.0 Feet, as per Federal Emergency Management Agency (FEMA) Community Number 1206`_2 (Village of Miami Shores), Map Panel No. 0306, Suffix L, Map Revised Date: September 11, 2009. SECTION 5 - TOWNSHIP 53 SOU H -RAINGE 42 EAST LOCATION MAP NOT TO SCALE Benchmark B-26—RA. Elevation: + 17.23 feet. Located at NE. 104th Street (Biscayne Canal) and US 1 Highway (Biscayne Blvd.), Miami —Dade County, Florida. SECTION 5) LIMITATIONS: Since no other information were furnished other than that is cited in the Sources of Data, the Client is hereby advised that there may be legal restrictions on the Subject Property that are not shown on the Survey Map that may be found in the Public Records of Miami —Dade County. The Surveyor makes no representation as to ownership or possession of the Subject Property by any entity or individual that may appear on the Public Records of this County. No excavation or determination was made as to how the Subject Property is served by utilities. No improvements were located, other than those shown. No underground foundations, improvements and/or utilities were located or shown hereon. SECTION 6) CLIENT INFORMATION: This Boundary Survey was prepared at the insistence of and certified to: DVS, LLC. SECTION 7) SURVEYOR'S CERTIFICATE: I hereby certify: That this "Boundary Survey" and the Survey Map resulting therefrom was performed under my direction and is true and correct to the best of my knowledge and belief and further, that said "Boundary Survey" meets the intent of the applicable provisions of the "Minimum Technical Standards for Land Surveying in the State of Florida", pursuant to Rule 5J-17.051 through 5J-17.052 of the Florida Administrative Code and its implementing law, Chapter 472.027 of the Florida Statutes. H A D O N N E CORP. , a Florida Corporation Florida Certificate of Authorization Number LB7097 (Warranty Deed dated December 23, 2005, recorded in Official Records Book Legal Description was furnished by client. By: ----------------------------------- 24142, Page 1706, Miami— Dade County Records.) Plat of "DUNNING'S WATERWAY', according to the plat thereof, as recorded in Plat Book Jose Senas, PSM Signature Date: Registered Surveyor and Mapper LS5938 Containing 15,475 Square Feet or 0.36 Acres, more or less, by calculations. 114, at Page 46 of the Public Records of Miami —Dade County, Florida. State of Florida Property Address: All elevations shown hereon are based on the National Geodetic Vertical Datum of 1929, NOTICE: Not valid without the signature and original raised seal of a Florida Licensed 1490 NE 101st STREET, MIAMI, FL 33138 and a Benchmark supplied by Miami —Dade County, Pu.,lic Works and Waste Management Surveyor and Mapper. Additions or deletions to Survey Maps by other than the signing party Folio No.: 1 1-3205-035-0030 Department. are prohibited without the written consent of the signing party. LEGEND AND ABBREVIATIONS REVISIONS MAP O� BOUNDARY SURVEY \ H A D O N N E Job No.: 13111 oN AIU I of Field Book: FJLJ. N11 ° E ° °p'uN w, 1490 NE 101 STREET MIAIMI, FL LAND SURVEYORS AND MAPPERS DRAWN BY: �;�° - R °K„° , , �, IN - ° P� for ��IFIPROFESSIONAL 1985 NW. 88th Court, Suite 202, Doral, Florida, 33172 CHECKED BY: JS c.e. 9UL°NCµ i •...v - c —IN i I -I 11LINI1 NA1/ s. R;a DVS LLC. ph.: 305.266.1188 • fax: 305.207.6845 • www.hadonne.com - 1 /1 •••• • •••• • • • a •••• • eenerni Ne1e5 10' Max 1-5/B" Gai.v Dome Cap Galy Post (Driven into the Ground) Aluminum Ties 2-1/2" Galy, Dome Cap 2-1/2" Galy l Terminal/ Pull Post �• •• 2-1/2" Tension Bands 01000 Tension Bay- • • • • •• • • 2'3/8" x 11-1/2 Ga x 72" Galy. Chain link Fence Fab}ricT Tr No Revs ion/Issc Dale ��mVO1i1�Z Ot JU Q . 10505 NW 22nd Sl Mic ni, Florida 33"7? Plia nc: (305j 471 —8922 Fax (303) 471—&925 w.g o.mertence.cJm Tempo-ary Fence 6' High Ccly. Temporary Chain link Fence mr. 9j 17/7013 ��� 111 I 1 1 b NTS Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION Permit Type: BUILDING JOB ADDRESS: 1490 NE 101 STREET DEC ;3 2014 FBC 20 t 0 Permit No. 2-V>2- 1 Master Permit No. ROOFING City: Miami Shores Countv: Miami Dade Zip: 33138 Folio/Parcel#: Is the Building Historically Designated: Yes NO ✓ Flood Zone: i /i �L/�✓yL� �GLL OWNER: Name (Fee Simple Titleholder): ✓ HI �l Phone#: 786'V2.3 %f 7 Address: 1 7 L 2- City: 1i l4 •:wr �5>:n.-e_ State: Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: Gomez & Son Fence Corp. Phone#: (305) 471-8922 Address: 10805 NW 22 Street C;ty: Miami State: FL Zip. 33172 Qualifier Name: Caridad Gomez Phone#: (305) 471-8922 State Certification or Registration #: Certificate of Competency #: 000016587 Contact Phone#: (305) 471-8922 Email Address: egomez@gomezfence.com DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $1,000.00 SquarefL,inear Footage of Work: ' V Type of Work: ❑Addition ❑Alteration P&W ❑Repair/Replace ❑Demolition Description of Work: Fence Nlr- j C)�� Color thru tile: Submittal Fee $ Permit Fee $w ` W CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ j 7 /— TOTAL FEE NOW DUE $ Bondin.- Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State 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. "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 pennit with an estimated vakce esreeding $2500, the applicant trust promise in good faith that a copy of the notice of commencement and construction lien law brochure Brill be delivered to the person whose property, is subject to attachment. Also, a certified copy of the recorded notice pjcommencement nntst be posted at the job site for the first inspection tit ltich occurs seven (7) days after the building pert it is r med. In the absence of such posted notice, the inspection will no he approved and a reinspection fee will be charged. Signature Signature b / / b //Owner\Agent C& ctor The foregoing instrument was acknowledged before me this o2y The foregoing instrument was acknowledged before me this 30 day of K)QVeWLW. 20 A. by _'Q'CA,CrC1VV%!&-_, day of December .20 —,by Caridad Gomez who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: — 1✓t My Commission Ex pir s: �w 1S%%J2t,J,.,. Denise a �oL% ? ��COP,;'filS°I;:'.jEE190048 a c °a 1. c;i',,.17,2016 pz' trytir/t�.l4s?C INOTARY.tom •nu.• Sigtis.T v tMiw\.( 1 , Print: Isabel Paneque Commission My Commis: on Expires: — " i ) v e-�� �� al,k.l Vaneque nhF ' i''`°; F ) C N�• 7E_21Q755 off:_,, , ;r•?:'j'E:F% ::_'Lr 23,2016 '««u,•� w.AARONNOTARY.com APPROVED BY T Plans Examiner I I Zoning Structural Review (Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) Clerk CTQB Construction Trades Qualifying Board BUSINESS CERTIFICATE OF COMPETENCY -. 000 15587 � D.B.A.: i GOMEZ CARIDAD Is certified under the provisions of Chapter 10 of Miami -Dade County VALID FOR CONTRACTING UNTIL 09/3012016 001180 Local Business Tax Receipt Miami —Dade County, State of- Florida —THIS IS NOT BILL — DO NOT PAY 7150378 [ LI BUSINESS NAME/LOCATION RECEIPT NO. / EXPIRES RENEWAL GOMEZ,& SON FENCE CORP 6215 ' 10805 NW �22 ST 1496215 SEPTEMBER 30, a2015 SWEETWATER FL 33172 Must be displayed at place of business Pursuant to County Code Chapter SA Art, 9`&`10 OWNER SEC. TYPE OF BUSINESS GOMEZ & SON FENCE CORP 196 SPECIALTY BUILDING CONTRACTOR PAYMENT RECEIVED Workers), 10 000016587 13Y TAX COLLECTOR $45.00 07/28/2014 FPPU02-14-014692 This Local Business Tax Receipt only confines payment of the Local Business Tax. The eceipt is not a license, permit or a certification of the holder's 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—Oade Code Sec Ba-276. For more information, visit www miamidede govftaxcollector Municipal Contractor's Tax Receipt Miami -Dade County, ;State of Florida =THIS IS NOT A BILL — DO NOT PAY CC NO. 000016587 M C BUSINESSNAME/LOCATION RECEIPT NO_ EXPIRES GOMEZ & SON FENCE CORP NEW BUSINESS i 10805 NW 22 ST PTEMBER 30 2015 SWEETWA TER, FL 33172 7459806 SEMust be displayed at place of business Pursuant to County Code Chapter 8A - Art. 9 & 10 OWNER TYPE OF BUSINESS PAYMENT RECEIVED GOMEZ & SON FENCE CORP SPECIALTY BUILDING CONTRACTOR PAYMEBY NT COLLECTOR 175.00 08/27/2014 0224-14-006659 MtAMIpADE For more information, visit www.miamidade govRaxcolloctor Policy Number. CPS198585 Date Entered: 11 21/2014 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/O0lY'rYY) .1 21/2014 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 1NSURER(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 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 andorsement(s). PRODUCER CONTACT A KEY KNOWLEDGE INSURANCE, INC. NME: Maria ads.__.__. PHONE g54 9101-C S. W, 19TH. PLACE r ( ) 382-5259 a HO1{954}382-0080 ADO RIESS: mryals@keyknowledgeins . com FORT LAUDERDALE, FL. 33324 _. INSURED Gomez & Son Fence Corp. 10805 NW 22 ST MIAMI, FL 33172 COVFRAr;FS reormr•nre unu sees. _ INSURER($) AFFORDING COVERAGE I NgtD s SURFR A: SCOTTSDALE INSURANCE COMPANY 41_297_ SURER 8-SCOTTSDALE INSURANCE COMPANY 41297 SURER C: SCOTTSDALE INSURANCE COMPANY •41297 SURER Dom. 1URER E : •._. .�—. .. —.__... SURER F : �_ 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. ___._. LTR I TYPE OF INSURANCE 'SUh3 POLICY YYYI . POLICY yi ITS N96 0 POLICY NUMBER MMA)DP/YYY ; MM/ODIYYY ( LIMITS A I COMMERCIAL GENERAL LIABILITY OCCURRENCE S CLAIMS -MADE OCCUR _ DAMAGE TO RENTED POO - CPS1968585 jot/24/2014 oz/z4/zD1s IPREMISESlEaacurrpncg�s100.00p_ i i MED EXP jAnv one parson) S I O OOO I PERSONAL d AOV LNJURY S I9,0 000 �GEN2 AGGREGATE LIMIT APPLIES PER; ( POLICY LOC i I GENERAL AGGPEG, T : S 2 , 000 JECT �. PRODUCTS;COMP70P AD G -S 2 O0iOOO_, OTHER: S AUTOMOBILE LIABILITY c I COMBINED SINGLE LIMIT i jEa acUdantt s _ ANY AUTO '.N/A I BODILY WJURY {Per pereanj ALL OS SCHEDULED } 'v AUTOS AUTOS I f1 BODILY INJURY acckfanglS NON -OWNED '?, rR —_.—'- H N2E0 AUTOS AUTOS DAMAGE �S .A4MAG (Porac dan . L. ractidenll ._ S B UMHREL LA LIAR OCCUR. ' EACH OCCURRENCE I 5 , OOO , OOQ_ _ ' ' IXBS0037621 �02/24/2015 4t q EXCESS LIAR - CLgIM3-MADE J02/24/2014 [AGGREGATE t DED RETENTIONS WORKERS COMPENSATION PER OTN- IAND EMPLOYERS' LIABILITY i i I I STATUTE Y7N� i f__. ...,_._.. ANY PROPRIETORIPARTNERIEXECUTNE E.L. EACH ACCIDENT S OFFICERIMEMSER EXCLUDED? NIA; N/A I----------�-� _ .(Mandataryin NH) 'LOYEE E.L. DISEASE �EA EMPI S Il yes, describe under — _ ` •DESCRIPTION OF OPERATIONS bebw E.L. DISEASE.- POLICY LiM1T I S C Contractors Equipment I ! ICPS198585 02/24/2014 02/24/2015 'LIMIT 1,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS VEM ICLES (ACORD 101, Additional Remarks Schedule, may be altachad it mon apace Is required) 14-029R Supply, Install and Repair Chain Link Fencing " This policy contains blanket additional insured and waiver of subrogation " Miami Shores Village Building Department 10050 NE 2 Avenue Miami Shores Village, FL, 33138 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 A. RYALS, AGED m 1988-2014 ACORD CORPORATInAi Au ,W e­ sue.,.,,,.., ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD Pmduceduwxi Forms Boss Plus scMware,were.FormsBoss.comlmpressivePublishing 800.208.1977 AC° ry "lam r r; r DAVEtuxvoortYYJ CE ;.a C � #wry IL TY i t T ,a'�i� _.._ll..__111/21/2014 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, t" policy(ies) must 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 cartiticate holder in lieu of such endorsament(s). PRODUCER Gil, Garden, ,SAvetranl Insurance Group 10689 N, Kendall Drive Suite 20$ Miami EI 3317ti CONTACT YcRL'Ii 1L' CO.CiEi._ AME• _ PHONE (305) 630_g777 M N ,; (305)274-3022 AAX flu. EMAIL COi:al@ 3i COM OREss: Y �9 S INSURER(S) AFFORDING Cay£RAG`e INSURERA:Bri efield Employers Ins. Co. INSURED Gomez & Son Fence Corp 10805 N.W. 22nd St, Miami FL 33172 IN5URER e INSURER C: -10701 INSURER D : :NSURER E: -_ 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. LIMPS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 1NSR T = TYPEOFINSURANCE O_S POUCYNUMBER POLICY EFF CY EXP ."'PODUII LIMITS i 3ENERAL LIABtLnY CO)RdERWL GENERAL LIABILITY I CLA.0,4.+RDE ❑OCCUR _ } ] ? S i EACH OCCURRENCE S PR�TA ocrsarancei i S MED EXP (Any one pw,s_ i PERSONAL G ADV 4NJURY _ 1 S GENEJLti AGGREGATE PRODUCTS . COMPIO GG Y $ } S GENL AGGREGATE LMWT APPLIES PER; PDucr! PRO LOG yP AUTOMOBILE ` _ LIABILITY ANY AUTO ALLOSiNED ' AUTOS HIRED AUTOS ' 1 NON-OWNED1 AUTOS } I i jl I CON8174ED E L SINGLIM)T E ecc BODILY INJURY (Per Pom i) S BODILY NJURY(Per PROPERTY DAVAGE Para t S S UMa ,A 1.).Aa EXCE56 LIAR OCCUR f.UUFMS_MADEI EACH O: CURRENCE S AGGREGATE S CEO RETENTIONS 5 ' A ' WORKERS COMPENSATION AND EMPLOYERS` LIABILITY YIN ANY PROPMETO"ARTNERJEXECUTIVE OFFICERIMEMSER"=UOEDi N (Mandatory in NH) Of yam, dimw u DESCRIPTION OF OPERATIONS Wow_ I NIA) i } 890-15681 ` /1/2814 I all/aois X t TYYC STA7U- OTIi- E.L. EACH ACCIDENTS .._..._._,�. 1,000,000 EL_ OlSEASE - EA EMKOYE9 _... _ S 1,000,P00 E.L. DISEASE - POLICY UMn I S 1 D 00 0(i 0 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 10t, Add!donal Remuks Scheduls, i} mare apace la rcRuirao} CTQB # 000016587 Miami Shares Village Building Department 10050 NE 2nd Avenue Miami Shares, EL 33138 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 Frank Gil/YC ACORD 25 (2010/05) ©1988-2010 ACORD CORPORATION. Alt rights reserved. iNRD�Snn+nn=:m Thn .ArnPrI na ­4Innn —1— of Art,%Qr)