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PL-10-80
Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 133710 Permit Number: PL -10 -80 Scheduled Inspection Date: April 07, 2010 Permit Type: Plumbing - Res! tial Inspector: Hernandez, Rafael Inspection Ty e: Final Owner: NIELSON, ANGELA Work Classification: Poo Job Address: 9302 NW 2 Court Miami Shores, FL 33138- Phone Number Parcel Number 1131010150090 Project: <NONE> Contractor: Dale Plumbing Phone: (786)663 -1804 Building Department Comments El Inspector Comments Passed Failed �1C Correction 6 Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. April 06, 2010 For Inspections please call: (305)762 -4949 Page 4 of 16 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 i nspection Number: INSP - 143956 Permit Number: BPP- 1 -10 -78 Inspection Date: May 28 2010 Permit Type: PoolsfWhirlpools /Hot Tubs Inspector: Bruhn, Norman Inspection Type: Final Owner: NIELSON, ANGELA Work Classification: Addition/Alteration Job Address: 9302 NW 2 Court Miami Shores, FL 33138 - Phone Number Parcel Number 1131010150090 Project: <NONE> Contractor: ALL CONSTRUCTION & DEVELOPER INC Phone: (786)768 -4330 Building Department Comments Inspector Comments Passed CREATED AS REINSPECTION FOR INSP- 142212. CREATED AS REINSPECTION FOR INSP- 141898. CREATED AS REINSPECTION FOR INSP- 133701. NO ACCESS NO ONE HOME Failed NO PERMIT POSTED 4/29/10 JR NICK: PERMIT IN BOX IN REAR. Correction Needed ❑ 1. Repair damaged sidewalk. 2. Gates must be self closing /self latching. Cacelled at counter. NB Final survey required. NB Re- Inspection E-1 )0_�q Fee No Additional Inspections can be scheduled until 0 re- inspection fee is paid For Inspections please call: (305)762 -4949 May 28, 2010 Page 1 of 1 s � Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 i nspection Number: INSP- 143956 Permit Number: BPP- 1 -10 -78 Inspection Date: May 28, 2010 Permit Type: Pools/Whirlpools /Hot Tubs Inspector. Bruhn, Norman Inspection Type: Final Owner: NIELSON, ANGELA Work Classification: Addition/Alteration Job Address: 9302 NW 2 Court Miami Shores, FL 33138- Phone Number Parcel Number 1131010150090 Project: <NONE> Contractor: ALL CONSTRUCTION & DEVELOPER INC Phone: (786)768 -4330 Building Department Comments Inspector Comments Passed El CREATED AS REINSPECTION FOR INSP- 142212. CREATED AS REINSPECTION FOR INSP- 141898. CREATED AS REINSPECTION FOR INSP- 133701. NO ACCESS NO ONE HOME Failed NO PERMIT POSTED 4/29/10 JR NICK: PERMIT IN BOX IN REAR. Correction ❑ Needed 1. Repair damaged sidewalk. 2. Gates must be self closing /self latching. Cacelled at counter. NB Final surrey required. NB Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. For Inspections please call: (305)762 -4949 May 28, 2010 Page 7 of 1 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 I nspectlon Number: INSP - 144484 Permit Number: BPP- 1 -10 -78 Inspection Date: May 26 2010 Permit Type: Pools/Whirlpools /Hot Tubs Inspector: Bruhn, Norman Inspection Type: Survey Final Owner: NIELSON, ANGELA Work Classification Addition/Alteration Job Address: 9302 NW 2 Court Miami Shores, FL 33138- Phone Number Parcel Number 1131010150090 Project: <NONE> Contractor: ALL CONSTRUCTION & DEVELOPER INC Phone: (786)768 -4330 Building Department Comments `? (� Inspector Comments Passed Failed El Correction ❑ Needed Re- Inspection .... 146L iid nal Inspections can be scheduled until re- inspection fee is paid • . ... • •.' ... For For Inspections please call: (305)762 -4949 May 26,'200 0 Page 1 of 1 F oul DAR Y S UR VE Y CALE:1 "= 20' LEGEND: LEGAL DESCRIPTION: if - MONUMENT LINE NGVD =NAnOIYAL GEODETIC VERnCAL DATUM N/D =NAIL & DISC LOT 7 BLOCK 2 "O'DELL MANORS" N. T.S. =NOT TO SCALE Vf a -NUMBER A SUBDIVISION, ACCORDING TO THE PLAT THEREOF OH. = OVERHEAD AS RECORDED IN PLAT BOOK 4 7 PAGE 57, PUBLIC RECORDS OF MIAMI -DADE COUNTY, FLORIDA. O.R.B. - OFFICIAL RECORD BOOK L07 2 BLK 2 PL. = PLANTER c =PROPERTY LINE TOTAL RIW -50' P.C.C. =POINT OF COMPOUND CURVATURE Q (BY PLAT) P.0 =POINT OF CURVE P. T. -POINT OF TANGENCY o FIP] /2" PROPERTY ADDRESS: P.O.C. =POINT OF COMMENCEMENT FIPT 12" 100.00 , (ND t!D) Q P. =POINT o< BEGINN (NO 10) P.P. =POWER POLE 7Q 9302 NW 2ND CT MIAMI FL 33 7 50 P.R.C' 8.68 - , P.GP. = PERMANENT CONTROL POINT ! � ( `fib. P.B. =PLAT BOOK 0.20' { p, PG =PAGE , 8.56 8.60 ,R o. Q Q :. :: CERTfFIED TO: P.R.M. - PERMANENT REFERENCE MONUMENT 37.57' L P.L.S. =PROFESSIONAL LAND SURVEYOR i N 10.00' 23 -70' •61 ' Z e (R) = RECORDED DISTANCE R.R. = RAILROAD R/W =RIGHT -OF -WAY ' O ko R - RADIUS A RCS -RANGE L7 SEC. -SECnON j 13.75' STY. =STORY Sw.. - SIDEWALK 3.42' I SLP. =SET IRON PIPE .50' .SLR =SET IRON ROD M ti T =TANGENT cN a, °j SURVEYORS NOTES: TWO. =TOWNSHIP 4 POOL O U.E. =UTILITY EASEMENT o t, ; �`' i - OWNERSHIP IS SUBJECT TO OPINION OF TITLE U.P. =UTILITY POLE O W.M. =WA METER co 2- EX4MINATION OF THE ABSTRACT OF TITLE WILL D =INTERIOR ANGLE .p `^ i o FF= 17.20 I HAVE TO BE MADE TO DETERMINE RECORDED c = CENTERLINE I q INSTRUMENTS, IF ANY, AFFECTING THIS PROPERTY L I U.H. =UnL/TY HOUSE LOT 16 8LK 2 8.42' I 8.00' 14.30' I 3 -NO UNDERGROUND IMPROVEMENTS WERE LOCATED A/C =AIR CONDInONER PAD ONE STORY RESIDENCE :A 4- ELEI/ATIDNS ARE REFERRED TO NATIONAL GEODETIC _ ASPH ASPHALT O cz, LOT # 2 V VERTICAL DATUM OF 1929 (UNLESS ASSUMED). BLDG. - BUILDING AC_ Cn a =BENCH MARK 4. CBS i C.B. =CATCH BASIN I 5 -THERE MAY BE ADDITIONAL RESTRICTIONS NOT SHOWN cB.s = CONCRETE BLOCK STRUCTURE WALL 6 -00 ' o 27.23' IN THIS SURVEY THAT MAY BE FOUND IN THE COUNTY C.L.F. =CHAIN LINK FENCE ^ 14.30' CONC =CONCRETE 26.20' ��„ r 25.00' PUBLIC RECORDS DW =DRIVEWAY 32 DIST. - DISTANCE + 6 -LEGAL DESCRIPTION PROVIDED BY CLIENT EL. =ELEVAnoN 8.78 ti 7- UNLESS OTHERWISE NOTED RECORDED AND MEASURED F.H. -FIRE HYDRANT I I DATA ARE IN SUBSTANTIAL AGREEMENTS. F.I.P. =FOUND IRON RIPE 4 F.I.R. - FOUND IRON ROD N) a E 9 8-BEFORE ANY CONSTRUCTION THE SET BACKS F.B. =FIELD BOOK .23 - L= F.F. =FINISH FLOOR ELEVAnON MUST BE CHECKED FD. =FOUND Q_20' E Tcz =24 .98 9- THIS SURVEY IS FOR USE AS PER REQUEST FT. =� CON i F7P112' (NO ) D 83 AND NOT FOR ANY OTHER PURPOSE. 03Q2 F.B.C. =FOUND BLOCK CORNER (NO ID) 13.38 16.35 F.D.H. =FOUND DRILL HOLE - - - - - - - =25. 00 I &_s 10 -FLOOD ZONE_ X 8.49 1 1- DATE OF FIELD WORK ___ BASE-- - PANEL____ F.N.D. =FOUND NAIL &H DISC 5' CONC WALK 100. �' 02 -25 -10 - - - - - - - F.N. =FOUND NAIL O GAR. E L . =GARAGE ELEVA77ON 8.90 STRAP 11-3101-075-0090 W.P. =WOOD POLE L.P. =LIGHT POLE o 18.50' PARKWAY L = LENGTH (M) = MEASURED MON. - MONUMENT O.H. W = OVERHEAD WIRE (BB) =Basrs of BEARINGS CARIBBEAN REALTY SUPPORT SERVICES, INC. =SANITARY SEWER MAN -HOLE •• ••• • • • vav • •s .16' ASPHALT ROAD LB 7360 �•• i �•• ••• • • • •• i -WATER VALVE ® • =CAT(• • ••• • _ _ _ __ _ __ __ __ _ • •• auT /.TY �q� ••• :{:= (f�ITY POLE ANCHOR 9.37 9.20 JOB E2- 9302 —R DRAW11 •cl.: •.' • WooO FENCE = cavcrrErE MIAMI DADEIMONROE BROWARD y "I-I:lr =FIRE HYDRANT mCH LINK FENCE. NW 93RD S �.. �, (305) 889 -1100 • (.954) 43� ; 0220 • • . • • • ;� ; • . • fi' „1 FAX (305) 889 -2900 FAA: r9$4) %i8� 727.x' • • • Q . =FEEVa.DN �, = f R PALM BEACII MART /;Z: �ICrE�INDtly1� TrA o �yrcE :.. ' • • • • • • r' ° (561) 741 -4260 (772) 398 —�3 • • = ASPHALT I HEREBY CERnrY• THAT THE BOUNDARY SURVEY OF TEE ABOVE DESCRIED PROPERTY IS TRUE FAX 561 741 -4259 FA 772 398 -6532 AIyD CORRECT TO THE BEST CF MY KNOWLEDGE AND BELIEF AS RECENTLY SURVEYED UNDER MY KARL F. KU A. • =BRASS• • • • PROFESS7OhIAL -L ANFi SUR d MAPPER • • WESTCOAST OPERA NS • • • • -�-• } • • • • � DIRECnON IT IS ALSO MY PROFESSIONAL OPINION THAT THIS SURVEY MEETS THE MINIMUM TECHNICAL CERnFiC,#Tt' I�/c S353 • • • ��• i • ••• • .St M1ARDS SET FORTH BY THE FLORIDA BOARD OF PROFESSIONAL SURVEYORS AND MAPPERS IN COLLIER /LEE (239) 549 - 5 STA7£ [)� FZORIIJA 911 /FAXy.�T a$� =$8 j 1� • : • • • i i i • •• M�" � 61 G -T7 -6 OF 7W FLORIDA ADMIN.'STRAn� COD PURSUANT TO SECnON 472 -027 @ nE TT-k: SURV SHOWN HEREON IS NOT VALID WITHOUT THE SIGNATURE AND TOLL FREE STATE 1F2'DE 1 -866--P 9 6 rc• i • i •i• \ • • • • • • • • • • FLORIDA STATUTES OPJGINAL RAISr'D $PaL OF A FLOPJDA SURVEYOR AND MAPPER 11:/Y�. CAP .Fvs'BEA;ftrF°.£��UPPLiP7:COlM' MAY 6 2010 BY:t=e•e..•++esse m Shores Village APPROVED BY DATE APPROVED h L G DEPT 7 ZONING DEPT B L D G DEPT DGi SUBJECT fo CCMPUANCE WITH ALL FEDERAL STATE AND Cr UN iY RULES AND REGULATIONS 00 •• 09 ... .. .. 00 00 0 0• 0 0 9•♦ 0 0 0 *00 • • 00 : : • : : : 00 0 0 :0 • • a :. • • : : 0 0 ego Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 i nspection Number: INSP - 144484 Permit Number: BPP- 1 -10 -78 Inspection Date: May 26 2010 Permit Type: Pools/Whirlpools/Hot Tubs Inspector: Bruhn, Norman Inspection Type: Survey Final Owner: NIELSON, ANGELA Work Classification: Addition/Alteration Job Address: 9302 NW 2 Court Miami Shores, FL 33138- Phone Number Parcel Number 1131010150090 Project: <NONE> Contractor: ALL CONSTRUCTION & DEVELOPER INC Phone: (786)768 -4330 Building Department Comments Inspector Comments Passed Failed Correction Needed ❑ Re- Inspection ••• • • . .. 'F • • . . ......... . .. ... .. . .... No Additional Inspections can be scheduled until re- inspection fee is paid. 0 00 00 0 ' • • • • For Inspections please call: (305)762 -4949 May 26, 2010 ��� ��� Page 1 of 1 R O U NDAR Y SUR SCALE: I "= 20' LEGEND: LEGAL DESCRIPTION: le =MONUMENT LINE NGVD =NATIONAL GEODETIC VERTICAL DATUM N/D =NAIL & DISC LOT 7 BLOCK 2 "O'DELL MANORS" N r.S. =NOT TO SCALE � O -NUMBER A SUBDIVISION, ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 47 PAGE 57, PUBLIC Oft = OVERHEAD RECORDS OF MIAMI —DADE COUN7 FLORIDA. O.R.B. =OFFICIAL RECORD BOOK LOT 2 BLK 2 PL. =PLANTER f — PROPERTY LINE TOTAL R /W =50' P.0 C =POINT OF COMPOUND CURVATURE Q (BY PLAT) P.C. =POINT OF CURVE P. r -POINT OF TANGENCY FIP7 12 PROPERTY ADDRESS: P.O.C. -POINT OF COMMENCEMENT FIPt /2 100.00 (ND ID) .9302 3D2 A/W 2ND CT MIAMI FL 33 P.Q.B. =POINT OF BEGINNING ' ° Q $ 6B P.R.C. (NO ID) P.P. =POWER POLE 8.70 P. r_ P. = PERMANENT CONTROL POINT 1 p� ` `90. i+ PG. -PAGE BOOK 0.20' I B.$6 ry 8.6Q cfl O. Y J Pw = PARKWAY o O_ P0.00' 23. 70' P.R.M. =PERMANENT REFERENCE MONUMENT ' � � O••. Q Q CERTIFIED TO: 37.67' 38.61 " 3 I = P.L.S. =PROFESSIONAL LAND SURVEYOR 'K . 4 � � � .. � .. =RECORDED DISTANCE _ RRR. =RAILROAD Lb �. 9.03 C :.. O Q R/W =RIGHT —OF —WAY ; n - U Q) R — RADIUS Q f. RGE. =RANGE t SEC. - SECTION 13.75 ' STY. -STORY 3. 42' SWK. - SIDEWALK S.I.P. =SET IRON PIPE 5Q' SLR. =SET IRON ROD :A T = TANGENT ; c.J rn Qz SURVEYORS NOTES: TWP. =TO WNSHIP Q i POOL o d co U.E =UTILITY EASEMENT o w „ �" 7 - OWNERSHIP IS SUBJECT TO OPINION OF TITLE U.P. =UTILITY POLE C W. M. = WATER METER W C I V Cb 2- EX4MINATION OF THE ABSTRACT OF TITLE WILL D = INTERIOR ANGLE .p "' 1 o FF= 17.20' HAVE TO BE MADE TO DETERMINE RECORDED INSTRUMENTS, IF ANY, AFFECTING THIS PROPERTY u.x. -CEN r sE L OT 1 BLK 2 8.42' 1 8.00' 14.30' q 3 -NO U IMPROVEMENTS WERE LOCATED P.P =AIR COND/T7ONER PAD ONE STORY RESIDENCE ASPx. =ASPHALT o #g3D2 �' � 4-ELEVATIONS ARE REFERRED TO NATIONAL GEODETIC BLDG. = BUILDING 4 0 SAC.,, LOT f BLK 2 w" I VERTICAL DATUM OF 7.929 (UNLESS ASSUMED). B.M. =BENCH MARK 4' CBS Ql C.B. = CATCH BASIN ; 5 -THERE MAY BE ADDITIONAL RESTRICTIONS NOT SHOWN C.B.S. = CONCRETE BLOCK STRUCTURE WALL 6.00' o ; t, 27.23' IN THIS SURVEY" THAT MAY BE FOUND IN THE COUNTY catic. _ �vCNRi' FENCE t 25.20' y 14.30' 08.6,85-' 25.00 PUBLIC RECORDS DW = DRIVEWAY 32.17' DIST. =DISTANCE � 6 -LEGAL DESCRIPTION PROVIDED BY CLIENT EL. = ELEVA7700 & 7$ ;� I 7- UNLESS OTHERWISE NOTED RECORDED AND MEASURED F.H. = FIRE HYDRANT N 1 DATA ARE IN SUBSTANTIAL AGREEMENTS. F.LP. F.I.R. — FOUND IRON ROD FOUND IRON RIPE B- BEFORE ANY CONSTRUCTION THE SET BACKS � � � F.S. =FIELD BOOK 4 ��„ C ' L= 9.23 ' MUST BE CHECKED F.F. - FINISH FLOOR ELE FD. =FOUND 0 f T ac =- 2 4 . 9 6 9- THIS SURVEY IS FOR USE AS PER REQUEST U.C. =uaaER coNSrRUCnnv c F ° � AND NOT FOR ANY OTHER PURPOSE. Fr =FEET flPl /2° ( ) D 83 • 54 30 -- F.B.C. -FOUND NAIL & DISC 5' GONG WALK f 00 =FOUND BLOCK CORNER (NO I D) 13.38 1 6.35 - - _ - - - =25. 00 � 10 L006 ZONE- X - -- BASE____ -- P ANEL __0302 F.N.D. .00' I {Y, - -25 -10 F.Q.K. =FOUND DRILL HOLE 8.49 17 - DATE OF FIELD WORK - - - - - - 7':N. =FOUND NAIL 0 GAR. EL. = GARAGE ELEVA77ON 8.90 STRAP 7 7 -3101- 075 -0090 WP. =WOOD POLE L.P. =LIGHT POLE 1 8.50' PARKWAY L = LENGTH (M) — MEASURED K r MOW. =MONUMENT O.x.W = OVERHEAD WIRE ' (Bg) =BASIS OF BEARINGS Z = SANITARY SEWER MAN —HOLE a f CARIBBEAN REALTY SUPPORT SERVICES INC. • • • • a • sylV • • • • • LA P 6' ASPHALT ROAD LB 7360 • • • • • :0 • ® = CA TMHRAMM •• ; +; 9.37 — — — — —. —.— �._ .— — — .— .— . —. —. —. 9.2Q JOB # E2- 9302 -NIQ DRA AN: :.L.* :. • PVLC. • •= tl77L1TY PQlE ANCHOR MIAMI DADE /MONROE BROWARD =Wvw ONCE —C ONCRETE HAJ%UN NW 93RD S 7' (305) 889-1100 (954) J�5- 0220. . ( ) FAaY (9591 ? 438-72:2: • =FIRE HYDRANT 'Sy • • a • =CHAIN UNK FENCE i��. "� • • • • • �`• • FAX 305 889 -2900 • 0.0 EL&VATNIN • • a s • • �° : ' .rt'w.�""'r �, �` • • • • • . �A�c PALM BEACH MART[ilj V LUGIho/IkDAN RIV R .. .. • .. H r �. vvvv —TILE• ••• • ••• t r ` i �'- i. f (56 f) 74f-4260 • ( • 772) 398 -* 6533 =ASPHALT I HEREBY CERTIFY THAT THE BOUNDARY SURVEY OF THE ABOVE DESCRIBED N. PROPERTY IS TRUE FAX ( 56f ) 74 FAX 772 398 -6532 AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF, AS RECENTLY SURVEYED UNDER MY KARL . KU & MAPPER WES'TCOAS'T OPERA tfO1l�5' � • • • WA t • • • ••+ RECrV. IT 15 ALSO MY PROF_- SVQNAL OPINION THAT THIS SURVEY MEETS THE MINIMUM TECHNICAL PROFESSIONAL " -LAND SUSURVEYOR QQ�� CERITFI.ATE Nc 56--J • ••} • • • i so* i !iTANDARDS SET FOR71: BY 7HE FLORIDA BOARD OF PRO, -'T_r MSfONAL SURVEYORS AND MAPPERS IN STATE OF FLORIDA COLLIER /LEE (239) 54�— 5 9 f f �Ff i i { �9�9� • s • s • • • �,,•�, . • • •• • •• •• • • • Y�i" 61 G -17 -6 OF THE FLORIDA ADMIN!STRATI� GODS PURSUANT TO SICTIOt: 4ie - 027 Or THE 7W SURVEY SHOWN HEfk�ON NDT tViilf W77HDUi THE SJGNATURE AND TOLL FREE S TATE S f -86�"� �9 'BILT • • •.• •. • • • s 000 fLOR11M STATUTES. ORIGINAL RAISED 'AL OF A FLORIDA SURit'YOR AND MAPPER 1`". CART rNBEANP..EAL77 — UPPOP.T -COAT MAY 2 6 2010 BY: ....................... Miami Shores Village APPROVED Y DATE ZONING DEPT ° � C � BLDG DEPT p ' SUBJECT iO COMPLIANCE WITH ALL FEDERAL STATE AND C r Uhf MULES AND REGULATIONS s ee on: Ono 0 on • • • • • • • ��� • of • • • • • s • i • • •.• • • i•�•� t 1 t 00 • •i 0 L • U � +V �llr3�!!b' i s P4 OC F /P�r+441 m j ry AW • _ ate' Sx� � /soor� 8• ° {''�> t�n • _ _ •d �a ° � .Q �9• Z9J� •' � '�� O.xsr� fl �' � crJ �5. s►i? yv � N q �?`_ 2.5.0 • ...... llo� �aA�A� �����'�l t�. •� • j p JAN 1 2010 • r • • y .. .: ••• ... :' ' f T ' �t XUA 13CM3SUI dH WUSZ : O T 9000 OT ReW t .� g Miami Shores Village S* 10050 N.E. 2nd Avenue rr fi �i Miami Shores, FL 33138 -0000 g .2, Phone: (305)795- 2204 ` } r. ,�4 .. . .. ....... a ... .. ...n ,?. Expiration: 09 /27/2010 Project Address Parcel Number Applicant 9302 2 Court 1131010150090 ANGELA NIELSON Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell ANGELA NIELSON 9302 2 Court MIAMI SHORES FL 33150 -2213 Contractor(s) Phone Cell Phone Valuation: $ 13,800.00 ALL CONSTRUCTION & DEVELOPER; (786)768 -4330 _..,_ Total Sq Feet: 450 Approved: Yes Available Inspections: Comments: NO DECK IS APPROVED AS PART OF THIS PLAN Inspection Type: Date Approved: 1/21/2010: Yes Fence Date Denied: Final Type of Work: Swimming Pool Occupancy: Private Pool Deck Additional Info: Bond Return : Wall Steel Classification: Residential �J Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Bond Type - Contractors Bond $300.00 Invoice # BPP -1 -10 -36841 CCF $8 Education Surcharge $2.80 01/19/2010 Check #: 1049 $ 150.00 $ 1,225.40 Permit Fee $414.00 04/01/2010 Credit Card $ 1,225.40 $ 0.00 Plan Review Fee (Engineer) $60.00 Bond #: 1951 Scanning Fee $15.00 Submittal Fee $150.00 Technology Fee $11.20 Work without Permit Fee $ 414.00 Total: $1,375.40 In consideration of the issuance to me if this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. April 05, 2010 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy April 05, 2010 1 04 -17 -2009 ALEX SIW STATE OF FLORIDA CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW e e CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Work pensation law. EFFECTIVE DATE: 04117/2008 EXPIRATION DATE: 0411712011 PERSON: CORREDOR MAURICIO FEIN: 208383228 BUSINESS NAME AND ADDRESS: ALL CONStRUCTiON a DEVELOPERS INC 1000 6TH STREET SUITE0200 MIAMI BEACH FL $3138 SCOPES OF BUSINESS OR TRADE: 1- CERTIFIED ORAL CONTRACTOR IMPORTANT: PnvataN to ChWa 440 . 03114 F.S., a cdlcer d a arWWON wM 91=12 oxaptlus frost this chapter by filing a eertlllaU of slogan Bader tkis atria per act Haver bandits or co des seder able chatter. Pars"d M Ckepta 440.03(12! F.S., CatNiatus d deaf" to he sxnrot.- apply rely within a s saps d of business er &a" IistaN a the eerie@ of sienna to be exe"L Paaaet to Chapter 440.031131 F.S., NMtces d electloe to be swap ad caudate of elecda to be tzsw sbau be asbjea to rn esuan a. et my tim dter dw filing of tN usda a aba lssraa of W cerdlicus, an pawn aemnd as the ustla er aardticate ee tenser Rats aN regadem"in d this seat" fa 1=1e"se Of e certeitane. Tke department sball ran=ks a arwiato at nay than for faNm of abe pars" owed a as arwicW to meet the reopikes"ts of ads seal". )WC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09 -06 Qummv (850) 413 -1609 PLEASE-CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA DEPARTMENT OF PINAN=41. 3ERVK = IMPORTANT DIVISION OF WORKEW COMPENSATION F Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who CO "Ma TRtlC91ON INDUSTRY O elects exemption from this chapter by filing a certificate of seection CERTIFICATE OF ELECTION TO BE EXIT FROM FLORIDA L under this section may not recover benefits or compensation under this WORKLM COMPS 4SAT10N LAW D chapter. EFFECTIVE 04/17/2008 EXPIRATION DATE: 04/17/2011 Pursuant to Chapter 440.05(12), F.S., Certificates of election to be PERSON: MAURICIO CORREDOR H exempt— apply only within the scope of the business or trade listed an FEIN 208383228 Ea►B R ALL the notice of election to be exempt ALL CONSTRUCTION NAME AND ADDRESS: E Pur ant to Chapter 440,05(13), F.L. Notices of election to be exempt noon STH STREET a DEVELOPERS WC certificates of election to be exempt shall be subject to revocation tswa E STREET sUITEa2t10 If, at any time after the filing of the notice or the Issuance of the cin Ft 33138 certificate, the person named an the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department stall revoke a certificate at any time for failure of the SCOPE OF BUSINESS OR TRADE person named an the certificate to most the requirements of this I- CERTIFIED GENERAL CONTRACTOR section. QUESTIONS? (850) 413 -1609 CUT HERE • Carry bottom portion on the job, keep upper portion for your records. IC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09 -06 OCT - 20 -2009 08:47 From: To'305661'1302 ?ase:2/2 CERTIFICAn DATEf MM/DDIYY) 01/11/10 PRODUCER USA General InauranCe Corp. TWIS CERTIFICATEi !E ISSUED AS A MATTER CW INFORMAT10N 5941 S W. 137th Ave. ONLY AND COWERS NO RIGHTS UPON THE CERTIFICATE Mlaml, FL 33183 HOLDER. THIS CERTIFICATE WES NOT AMEND, EXTEND OR ER ,_ VERAGE AFFORDED q THE POLIO IE 8 t3ELO Phone (305)386-M Fax (305)38S.6M INSURERS AFFO COVERAGE NAIL p INSURED InC.. AU Construction & Developers INSURER A• ACCIDENT INSU 1 fbO b81 St If200 IN IRER B. MIMI BWh, FL 243139- INSuReR c - (799) 788.4330 INSURER D: _ _ INSURER c' COVERAGES THE POLICIES OF INFiURANG£ L13TED HL4VE BEEN ISSUED TO THE IM$CtREp WAMED MOVE FOR THE POLICY ��D INDICATED. ANY R60UIREhMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER NOTWITHSTANDING DOCUMENT WITH RESPECT t0 WMICH THIS cMTiFICAye MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFM90 Sy THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SVCM POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAW. INS ADD'L TYPE OF INSURANCE POLICY EFREQ71VF POLICY EXPIRATION _ G - POLICY NUMBER TE h M!D n 1r A M►O LIMITS Gl?NEIiAL LIABL MM OCCURRENCE ES oreurreneo) 1,000,000,00 CO& MERCAL GENERAL LIABILITY AGL83180 05115d2009 ® 05115!201 E t�RENT>: 100 X0,00 PREMIS A U n n CLAMS MADE © OCCUR WO EXP (Any one Pow) 5,000,00 ❑ PERSONAL & ADV INJURY 1,000,000,E n GENERAL AGGREGATE 2,000,000,00 GEN'L AGGREGATE LIMIT APPU95 PER: PRODUCTS • COMPIOP AGO 2 000.000,00 ❑ POLICY n PROJECT_ (� LOC AUTOINO B O BIL LIAITY - IA1t3 COMBINED SL v LIMIT ❑ ❑ ALL OWNED AUTOS (� 000l�ntl U U SCHHDULED AUTOS BODILY INJURY n HIRED AUTOS (Per per8on ❑ NON OWNED AUTOS BODILY INJURY ❑ (Par vxtdont) U PROPERTY DAMAGE (Per nocklent) QARAQE LIABILITY - AUTO ONLY! EA ACCIDENT U ANYAUTO ❑ OTHER THAN EA ACC AUTO ONLY: AGO EXGE651 UMBRELLA I•"Am EACH OCCURRENCE n ❑ OCCU ❑ CLARE MADE AGATE n RETENTION $ WORIOU COMPENSATION.A D EMPLOYERS' LIABILRY ❑ T ANY PROPRIETOR / PARTNER EXECUTIVEYIN ER OFFICER / MEMBER EXCLUDED? Ll. EACH ACCIDENT (Mandatory In NMI u yyi�n�:,�d�a+orl�a or E.L. DISEASE . EA E I.OYEE &HER PR0IASION3 below E L. OTHER DISEASE • POLICY LIMIT • • .. DESCRIPTION OF OPERATIONS 1 LOCATION8 VEHICLES I EXCLUSIONS AJ Q BY oNDDRBI?I119 SPECIAL PROVISIONS CERTI FICATE HOLDER - CANCE LLATION -- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELUW BHPORE THE I. EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL Miami Shores Village- Building Department 30 DAY$ t mrrEN NOTICE TO THE CQRTIPICAT6 HOLDER NAMED TO TREFT, BUY FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR UAWLITY ,� OF ANY KIND UPON THE wSuRER, IT$ ACMM OR RESENTATIVES. 10050 N.E. 2 Avenue, Miami Shores, Florisa 33138 AUTHORItED 11EPR@SBNTATIIlE' - i ACORD 26 (2009/D1} QF 1988 -7.008 AC CORPO TION, AtI rlght6 reserved. The ACORD norm and loge are reVisterod rrkLrks of ACORD BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm. A -100, Ft. Lauderdale, FL 33301 -1895 — 954 - 831 -4000 _ n VALID OCTOBER 1, 2009 THROUGH SEPTEMBER 30, 201 DBA: Receipt # 180 -7976 Business Name: ALL CONSTRUCTION & DEVELOPERS INC Business Type GENERAL CONTRACTOR (GErls ki, Owner Name MAURICO CORREDOR CONTRACTOR) Business Location: 7222 TAFT ST Business Opened: 04/27/2007 HOLLYWOOD State /County /Cert(Reg: CGC1513259 aaaN Business Phone: Exemption Code NONEXEMPT - Rooms Seats Employees Machines Professionals 3 For Vending Business Only r� {Number of Machines: Vending Type: ' Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paid 27.00 0.00 0.00 2.70 0.00 0.00 29.70 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 WHEN VALIDATED non - regulatory In nature. You must meet all County andtor Municipality planning and zoning requirements. This Business Tax Receipt must be transferred when m the business is sold, business name has changed or you have moved the v business location. This receipt does not indicate that the business is legal or that Cd Mailing Address: it is in compliance with State or local laws and regulations. c 0 ALL CONSTRUCTION & DEVELOPERS INC Receipt #14A- 09- 00000182 m 1000 5 ST #200 Paid 10/05/2009. 29.70 g MIAMI BEACH, FL 33139 m - 0 rn C) rn 0 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION b ' CONSTRIICTION INDUSTRY LICENSING BOARD (850) 487 -1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399 -0783 CORREDOR, MAURICIO ALL CONSTRUCTION & DEVELOPERS INC 5401 COLLINS AVENUE APT #520 MIAMI BEACH FL 33140 -2535 Congratulations! With this license you become one of the nearly one million STATE OF FLORIDA AC# 394245 DEPARTMENT OF BUSINESS AND Floridians licensed by the Department of Business and Professional Regulation. _ PROFESSIONAL BUSNESS REG Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. CGC1513 2 5 9 08/25/08 0 8 7 010 2 5 4 Every day we work to improve the way we do business in order to serve you better. For information about our services, please log onto www.myfloridalicense.com. CERTIFIED GENERAL CONTRACTOR There you can find more information about our divisions and the regulations that CORREDOR, MAURICIO Impact you, subscribe to department newsletters and learn more about the ALL CONSTRUCTION & DEVELOPERS IN Department's 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 IS CERTIFIED under the provieione of ch.489 FS Thank you for doing business in Florida, and congratulations on your new license! ,expiration aat.i AUG 31, 2010 L 080e2 5 0 1 082 DETACH HERE AC# 39 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD SEQ# L08082501082 L ICENSE NB �08M 25 2008 087010254 CGC1513259 The GENERAL CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter UVFS. Expiration date: AUG 31, 2010 CORREDOR, MAURICIO ALL CONSTRUCTION & DEVELOPERS INC 5401 COLLINS AVENUE APT #520 MIAMI BEACH FL 33140 -2535 CHARLIE CRIST CHARLES W. DRAGO GOVERNOR SECRETARY DISPLAY AS REQUIRED BY LAW i To: Nick F f AX Fax number: 954- 367 -6895 a From: Arlenis Silvera Fax number: 305 - 756 -8972 MIAMI SHORES VILLAGE silveraa @miamishoresvillag BLDG DEPT -- - -. _ - - -- - .... ......... .._ 10050 NE 2 ND AVE Date: April 1, 2010 Miami Shores, FI 33138 Phone 305- 795 -2204 Regarding: Missing License and Insurance 3 WWW. MIAMISHORESVILLAGE.COM PAGES : 1 with cover. Phone number for follow -up: 305- 762- 4858DIRECT LINE Hi Nick: I am missing the following licenses and insurance: All Construction - Occupational license, Liability Insurance and Notice of commencement. Faraday electric - Occupational license, Liability Insurance, State License and Workers Comp Insurance Dale Plumbing - Liability Insurance Arlenis Silvera Permit Clerk Miami Shores Village Phone: 305.795.2204 04/01/2010 12:09 FAX 1 800 685 7530 DATA SCAN FIELD SERVICES 0001 TX REPORT *s* TRANSMISSION OR T% /R% NO 4848 RECIPIENT ADDRESS 919543676895 DESTINATION ID ST. TIME 04/01 12:09 TIME USE 00'48 PAGES SENT 1 RESULT OK }........_._.._..................... ... .......... ... To: Nick 'WAF Fax number: 954-367-6895 17 From: Arlenis Silvera Fax number: 305-756-8972 MIAMI SHORES VILLAGE Sliveraa@miamishoresvillage.com BLDG DEPT - - ------- 10050 NE 2 "Q AVE Date: April 1,, 2010 Miami Shores, F1 33138 Phone 305-795-2204 Regarding: Missing License and Insurance WWW. M IAMISHORESVILLAGE.COM ............... - PAGES 1 with cover. Phone number for follow-up: 305-762-4858DIRECT LINE ............. ........... . ............. . . . . .. i. .......... ... . ....... ..... ... .. Hi Nick: I am missing the following licenses and insurance: All Construction - Occupational license, Liability Insurance and Notice of commencement. Faraday electric - Occupational license, Liability Insurance, State License and Workers Comp Insurance Dale Plumbing - Liability Insurance Arlenis Silvera Miami Shores Village / " Building Department JAN 1 9 20 10 M050 N.E.2nd Avenue, Miami Shores, Florida 33138 ,. ---- Teh (305) 7952204 Fax: (305) 756.8972 BUILDING Permit No. PERMIT APPLICATION Master Permit No._ 1 — �79. FBC 2004 Permit Type (circle): Building Roofing Owner's Name (Fee Simple Titleholder) _ C_ H A c>r 9 A N k J Phone # Owner's Address q30 2. 01 VV 2 C -- City N c P� !h 1 S 4u 4 P5 State L zip TenanvLessee Name Phone # q o 9 - 6 7 A q Job Address (where the work is being done) " 1 5 302 N W 2 C `( City Miami Shores VillM County Miami -Dade zip FOLIO / PARCEL # Is Building Historically Designated YES NO Contractors Co Name t ' Com pany X411 � r�r �riy�,�ta � ��� one# �?� 7, Yc�,a 6 Contractor's Address D '— City '04 State �_ zip �p l Qualifier Name AMJ 94 Phone # "1 State Certificate or Registration N G / 5 7 Z J 5 Certificate of Competency No. 5 Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ c/b Square / Linear Footage Of Work: Type of work: ❑Addition ❑Alteration []New ' ❑,Repair/Replace ❑ Demolition Describe Work: 41 1 -t r �� Te h r n/s� SPA — r 01A _0064 dZ 1 4-C oPs Submittal Fee Permit Fee $ CCF $ -4 0 _ C ICC Notary $ Training/Education Fee $ Technology Fee $ 1 Scanning o Radon $ DPBR $ Zoning $ Bond Code Enforcement $ able Fee $ Structural Review. $ Q ee Now Due S ? ��� See Reverse side -+ OCCO UA N Bonding Company's Name (if applicable) Bonding Company's Address City State zip 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 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 cert;led 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 a issued In the absence of such posted notice, the inspection wild not rZ4Linspectionfee will be charged U a &A _ Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged fore ged before me this � The oing instrument was acknowledged before, me this day o 20 by I�b l�1C fi �Aday of 20 l Q , b M A VA t ew b e o Y Y� who is personally known tome or who has produced IQ who is known to me or who has produced As identification and who did take an oath. as identification d who did take oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: G°"n Print: Print: Florida Noma assn , Mc My Commission Expires: My Commission Exp' APPLICATION APPROVED BY: �l(� /t1 �/� �' kru G r Plans Examiner Engineer . Zoning (xeViwa 07/10W) To: 30%61 ? 7L Pe ae : 2/2 CE OF LIAEt Lrff INSL ANCf VATS (talNDOM) PRODUCER USA General I 1/11/10 Corp. � T CERTWICATE w. ISSUED AS A MATTER OF INFORIIAATION 5841 S W 137th Ave. ONLY AND Cc NFERS ;40 RIGHTS UPON THE CERTIRCATE MIMI. Fl. 33183 HOLDER. CERTIFICATE OOEt; NOT AMEND. EXTENI) OR Phone i ER ERAGE AFFORDW Y THE POLICIE BELOW. Fax (305)38 4R3 INSURERS APFO COVERAGE NAIL # INsuRM Inc.. AU Conshuction & Ur --v*pem INSURER A ACCIbENT IlJSU 1000 5th St #200 INSURER S. MlaN B6aah. FL 33139- uvSUkeR c i (786) 7ee -4M MURER 0: COVERAGES INSURER — --* -- THE POLICIES CF INSURANCE DA LISTED HAYS BEEN ISSUED TO TM INSURED NAMED ABOVE FOR TI 1 ANY REQUIREMENT. TERM OR CONDITION OF APIY CANT) TO OR OTHER DO(AIAtENT POLICY Pi:RlOD INDICATED. NormyHSTANDM MAY PERTAIN. THE IN..URANCE WITH RESPECT TO WHICH TN b CFRTiFrAYE MAY BE ISSUED OR AWOZMO 3Y THE POLICIES DESCRIBED HEREIN 13 SUB IECT TO AL THE TERM, EXCLUSION* AND �DMIONS Of sUCM POLICIES. AGGREGATE LBI ITS -SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INS ADD0 - TYPE OF 81341MANCQ Paucy F PPECTNE r�L EXPIRATION GENERAL LIABILITY POLICY NfJMBEIt TE f, p{I� 1ppfyY QAT �vDgtYYYYJ LINTS ® COMMERCIAL C+ -NERAL LIABILITY EACH OCCURRENCE 9,000,000,00 nn CLAIMs © AGL83180 05/15/2009 05/1512010 P ' 100,000.w A ❑ MED exa (qtr nnc Pte,,,) 5, 000,00 n - PERSONAL & AM INJURY 9 ,000,Q00,Q0 GENERAL AGGREGATE' 2,000.000.(}0 I F 0 1 AGG REGATE LIMIT AEI IE$ PER: pRODUCTa • COMPJO' AGO 2000,000,00 OLICY n PRClJECT (� LOC MOBILE LIABILITY - ANYAUTO CC*MNED SINGLE LIMIT ALL OWNED AUTOS SCHEDULED Auros BODILY INJURY HIRED AUTos (Per neraon NON OWNED AUTOS BODILY INJURY L{ PROPERTY DAMAGE GARAGE LIABILITY _. eocider� U 1 -1 ANY AUTO AUTO ONLY - EA ACCIDENT ❑ OTHER THAN EA ACC AUTO ONLY: AGO EXCESS J UMBRELLA LIABILITY Y EACH OCCURRENCE ❑ OCCUR (� ❑ CL MADE EACH U DEDUCTIBLE C RETENTION $ �� WORIa:RS QOMPENSATtCN.ANO EMPLOYMrUmury ANY PROPRIETOR /PARTNER / C- 7(ECUTIVE O �� MEMBER MLUDED7 E.L. EACH ACME14T IMa y In NH) E.L. DISEASE - EA EMPLOYEE It yye�a Rho urdw wPEC 1A do L PROVISIONS below ®THt E.L. DISEASE - POLICY LIMIT OF OPERATIONS t LOCATIOAIS t VEHICLES 1 EXCLUSIONS AOtp ®Y ENDORSEMENT J SPECIAL PROVISIONS - CERTI FICATE "GI CANCE LLATION SHOULD ANY CW THE ABOVE DESCR UO POLICIES BE CANCELLED 19EFORE THE EXPIRATION DATE TFIEREOF, THE ISSUING INSURER WILL ENDE°AvOR TO MAIL Miami Shores Village- Building Department 30 DAY$ WRITTEN NOTICE TO THE C IRTIFICATSHOLDER NAMED To THE"11 OUT FAILURE TO 00 SO SHALL IMPOSE NO OBUGATION OR LIABILITY 10050 N.E. 2" Avenue, Miami Shores, FlDrisa 33138 of AnIY UPON TH MISURaR, IT$ AGENTS OR RESE NTATIVES. AIJTNORIXEO RMff=WATIVE — I ACORD 28 (ZO89/01) QF - 1999E 2009 AC C " TION. All dohts restrvgrl, The A,CORD narria and 1090 are registered marks of ACORD BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm. A -100, Ft. Lauderdale, FL 33301 -1895 — 954- 831 -4000 VALID OCTOBER 1, 2009 THROUGH SEPTEMBER 30, 2010 DBA: Receipt #: 180-7976 Business Name: ALL CONSTRUCTION & DEVELOPERS INC Business Type: GENERAL CONTRACTOR (GRIl . g Owner Name: ptAURICO CORREDOR CONTRACTOR) Business Location' 7222 TAFT ST Business Opened: 04/27/2007 M HOLLYWOOD StatelCounty /CertlReg: CGC1513259 N Business Phone: Exemption Code - , NONEXEMPT • Rooms Seats Employees Machines Professionals 3 For Vending Business Only rh Number of Machines: Vending Type: ' t Tax Amount Transfer Fee NSF Fee Penalty Prior Years Colfection Cost Total Paid \ 27.00 0.00 0.00 2.70 1 . 0.00 0.00 29.70 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 WHEN VALIDATED non - regulatory in nature. You -must meet -all County andtorMuft4paiity planning f 0 and zoning requirements. This Business Tax Receipt must be transferred when m the business is sold, business name has changed or you have moved the - 0 business location. This receipt does not indicate that the business Is legal or that 06 Mailing Address: it is in compliance with State or local laws and regulations. c 0 ALL CONSTRUCTION & DEVELOPERS INC Receipt #14A -09- 00000182 N 1000 5 ST #200 Paid 10/05/2009. 29.70 MIAMI BEACH, FL 33139 c ci 0) 0 rn 0 CT'QB QUALIFYING TRADE(S)� Construction Trades Qualifying Boarol 0001 ELECTRICAL BUSINESS CERTIFICATE OF COMPETENCY 4 = 09EO00348 FARADAY ELECTPM#U- CONTRACTOR IIdC D.Q.A.. HemBnio Go the B P.E. ` Se of the award wvnv. NGanlf-Dade -Dade Cowdy retains an Property rights heroin. MWHdHdeyovA)W1dngeode ew . JEAN- ABLES FRITZ M Is certified undertfte provisions of Chapter 10 of Miami -Dade County d t � o STATE OF FLORIDA AC# 4 5 DsAIi OF 517SINESS AND _ �Rflt`1�S10NAt. RgGIILATIO'N - o M130- 51 OS /'ZS /09 080455670 Ri;G_ ELI=F.ICAI+ CONTRACTOR JEAN CgpRLE3 r. F1EiIZ MYTRO F�►�A ZCTRICAL CONTRACTOR IN a ( PRIOR C RSS03JU LICSINO AREA) TO CI?1A CT I I1dG li . SIGNA TURE HAI3 RXaST== reader the provisions of ck,.489 Ssgiiratiwa. AUG 31, 2010 L09052600188 ST OFFINkNCIALSERVICES. IMPORTANT s CWPENSATION SIO7N OF WORKER TRY E1NPT I O Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who TRUCTIO IIII1S FROMFLORDA - elects exemption from this chapter by filing a certificate of election ` CMMFICATE OF ELEC TO BE EX 6 L under this section may not recover benefits or compensation under this WORKERS 61pENSATION LAW EXpIEtATION DATE • 8 8 / 22 / 2011 D chapter. j EFFECTIVE: 06/22/2008 j Pursuant to Chapter 440.05(12), F.S., Certificates of election to be PERSON FItITZ JEAN ALES exempt.. apply only within the scope of the business or trade listed on 30OS48280 E the notice of election to be exempt FEIN i R 4 BUSINESS NAME AND ADDRESS: i E Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt FARADAY ELECTRICAL CONTRACTOR INC and certificates of election to be exempt shall be subject to• revocation 3s9a WEST KAUANOALE BLVD if, at any time after the filing of the notice or the issuance of the II HOLLYWOOD, FL 33023 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 SGL3PE OF BUSINESS OR TRA person named on the certificate to meet the requirements of this I I_ REGISTERED ELECTRICAL CONTRACT section. QUESTIONS? (850) 413 -1609 _ ""• K _. e_ ■ ?4•ii. ° °' - `:t:a 4i.:$$:G:Gi } /e:'S::'v2:$:i 'L C I E - _ w� ?p': :::2$H .I-(?p •e °? }s... :if i ` ?: L:: :: =? �:�f -: H. �L' ?•'. + ?::f..? / .; WS.v}Y.,.S, : }?. y.,vJ,., .. 4 v n ::•;L:L}2 }.v:. e • �$ [ {'. :, .. a. $?< :v- f.- : >::;Tr? h:• },.: . .•114? r ' ' +: \L v vii:} \v. i + =" Y:: •s•.•i $3}Y : ?Y. $$ � :$::a:::•$ $- .i._: .::`•::..::: :'R::,}:i:y�:L: {.:. ..�ri •: \•: ISSUE .;...:......, i-:::?::.. + ::.:iw:._:.._:.:_;..:- :...._.. ... � :. / :, :..n.. ?• .$:E +•:: +: 4.r ?::•:_? UEDATE E.: ........... ... ..;..i ... ...x ._ �...:.....:::::. i'{-::::: E...vl. �:•. v: x::. r?::: h• EL•:.. i:•: ve.+<:::.+- �.. :>.••i%•:i}:: ? ? ?:vX ?Et {�-.•.•.• + .. PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND ALL UNIVERSE INSURANCE CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS 20328 NW 2ND AVENUE CERTIFICATE DOES NOT AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. MIAMI, FL 33169 COMPANIES AFFORDING COVERAGE COMPANY LETTER A WESTERN WORLD Insurance Company INSURED COMPANY FARADAY ELECTRICAL CONTRACTORS INC LETTER B COMPANY 3999 W HALLANDALE BLVD LETTER C MIRAMAR, FL 33023 COMPANY LETTER D COMPANY LETTER E .4}:hL }: +?: ?:fi: v:: S:' i:: �$ t�t:: d? 2•'.t: :$: ? :$: :'r'.ai ?iE:: ?'' : :i E : ?iS � +? ::•: :$CS<L:� ? ..:Cv. • x: ?i:� ?:•E�.•.v..}..v < :?::::E. .. }v ::v. :. ... 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CO TYPE OF INSURANCE POLICY NUMBER POLICY POLICY LIMITS LTR EFFECTIVE DATE EXPIRATION DATE GENERAL LIABILITY GENERALAGGREGATE 600, 000 A NPP1217069 04/13/2009 04/13/2010 PRODUCTS -COM OPAGG 30 PERSONAL & ADV. INJURY EACH OCCURRENCE 300,000 FIRE DAMAGE one fire 50, 000 MED. EOENSE one rson rj 000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT BODILY INJURY (Per Person BODILY INJURY erAccider PROPERTY DAMAGE EXCESS LIABILITY EACH OCCURRENCE AGGREGATE WORKERS COMPENSATION STATUTORY LIMITS AND EACH ACCIDENT EMPLOYERS' LIABILnY DISEASE -POLICY LIMIT DISEASE -EACH EMPLOYEE DESCRIPTION OF OPERATIONS / VEHICLES / SPECIALTY ITEMS ELECTRICAL WORK . ?: ?::vim•:: ?.::.:•++< ::...:: :. ? .:.::............ ::•• :: } }; . : '. ...:.i•: ALE:} ::: E•7: �: ... 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Should any of the above described policies be cancelled before the expiration date, the company shall endeavor to mail 30 days written notice to the certificate holder named to the left, but failure to mall such notice shall impose no obligation or liability of any kind upon the company, its agents, or represen AUTHORIZED REPRESENTATIVE - � Ir • •::•:: •: ::•x:::::x•. }• :: <•: �::..•: - -v :•.::.;:: :r.: ::- a:�•.:: ::, :;;:::�:- rr.. .... :... .r- :......... .:.:. .a.......?. ... <•:: � -: =: ::?:•x••.:::: ::. ?r.. .:3. - .. ..,:•::::.- rr..: v :::.: ::- :•:..:....<. ::•::.. ❖• :; :::••:• .................:...:::................a.......:..... ..,....::.::.__:..7h::- ::: -:�.. :..7: a`�#£ vv::::E:•.,••..•. r. ax...• : .:.v ?.:v -n: •': °':Ess. i ,L ix : . :x t.x..:ii'= :i: ::E7? - ..yy�y�.. -:::: •: v: r.v.•::.•r.:•• Lvvsv:: ...: v$... _... ._ -x: ••:: vv::: x::: {v: tv >:::::i.•r:4 s:::. :-: +r .. •v:?l�:.v _.}:: ._.e.r,..: ? :Y ?:;$: :v..l�•:F$ ?.•�::• �•:.:::::: \.v._._v :.:: \:_. ....}n....:.. 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If you have any further questions or concerns regarding this matter please call Ryan Sanders at (949)999-6724 or Raymond Orsini at (305) 558-5211. Thank you for all you help. / Z an Yo Re® World as agent for as Servicing agent for wner of Recw�y an S dens Asset Manager — WAMUMP Morgan Chase REO World Inc. 14 Corporate Plaza Drive, Suite 120 Newport Beach, CA 92660 ph: 949.999.6724 fx: 949.999.6771 em: RvanS()Reowori.com ACKNOWLEDGMENT State of California County of ) On before me, 6y rZ5 (insert name and title of the officer) personally appeared mi✓t ,..►�t a who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is /are subscribed to the within instrument and acknowledged to me that he /she/they executed the same in his /her /their authorized capacity(ies), and that by his /her /their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. RIS O COMM. #1754690 N*a Public • Calft"is z 0foge Countp i om, Eires Ju1.1,201 T Signature (Seal) i MAR 1. 6 2.0,10 0 w ... • . ,.,, de11 M iami hore V illage , Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 SWIMMING POOL OWNER'S CERTIFICATION Date 2� is � Miami Shores Village Building & Zoning Department Attention: Building Official ,4 &Ve C- Power O�' � f I certify that I am the legal owne of the property described as 0 (3® L �- C T , located at IA, Ai 14 VS In accordance with Section 33- 12(f), Code of Metropolitan Dade County, I certify that I understand and agree that the swimming pool to be constructed at the above address cannot be used or filled with water until separate permit has been obtained for an approved safety barrier, and such barrier erected, inspected and approved. I further understand that this certification, however, does not eliminate the need for obtaining a permit and erecting and approved barrier prior to final inspection and use of the pool. Legal Owner /)° �j lc Wit A �� ,� A/ Iq Note: This certification is to be submitted with a swimming pool pe it applica 'qtr icata. 51A ..... `Q ! C �� t�i��� � 7 5 "10 RES NINE 11211" 3a is Miami S hores Village Building Department .o 10050 N.E.2nd Avenue �ORIDA Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 NOTICE OF REQUIREMENTS RESIDENTIAL SWIMMING POOL, SPA AND HOT TUB SAFETY ACT I (We) acknowledge that a new swimming pool, spa or hot tub will be constructed or installed at Miami Shores, FL, and hereby affirm that one of the following methods will be used to meet the requirements of Chapter 515, Florida Statues and the Florida Building Code R4101.17. Please initial the method(s) to be used: The pool will be equipped with an approved safety pool cover that comp lies with ASTM F1346 -91. (Submit Manufacturer's Specifications). A continuous, one -piece (child) barrier meeting the requirements of Florida Building Code R4101.17.1.15 will protect the pool perimeter. The plans shall show the fence location and method of attachment, including one end that shall not be removable without the aid of tools. (Submit Manufacturer's Specifications). A combination of non - dwelling walls and fences (screen enclosure, child fence, masonry fence walls, chain link or wood fence, etc.) will protect t he pool perimeter. The plans must specify t he type and location of all non dwelling walls. Florida Building Code, R4101.17.1 Any combination of protection which incorporates dwelling walls with openings directly into the pool perimeter and all windows and doors will be equipped with exit alarms complying with Florida Building Code, R4101.17.1.9 (Submit Manufacturer's Specifications). ' combination of protection which incor n walls with openings directly into the pool perimeter and all doors will be equipped with "elf-latching device ' positive mechanical latching/locking installed a min. 54" above the thresho Is selected, submit plans showing all types and location of all perimeter protection. The plans must also show the location and type of all openings, and the hardware type for each location. (Submit Manufacturer's Specifications). In accordance with the Code, the pool may not be filled with water without compliance with the Private Swimming Pool Safety Requirements, and upon expiration of the permit, the pool shall be presumed to be unsafe. I understand that not having one of the above installed will constitute a violation of Chapter 515, F.S ., an d will be considered as mmitting a misdemeanor of the second degre , punishable as ro ided in Section 775.082 oMS 75. 3 F,S . This fo mu be signed by th er /agent d the me contractor. y^ CON TOR'S SIGNATURE AND DATE OWNS 'S AND DATE C(� f � r c��d "� IC I KC �� CONTRACT 'S N ME (PLEASE PRINT) OWNER'S NA 4E (PLEAS, P5 T) NOTAqTPUbLIC ''•• NOTARYOIL-I'C = p fVvtary P ll W State of Florida Me An %wet _i • m cV MY Commisaistn DDS a o c° �_ E c 95591 0 es i 7/10 s ®v'A '> , b .� C)- ,.,. „ u . �P ' shores V illag e "M11" "M11" Mlama y Building Department ` 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RESTRICTIVE COVENANT PROTECTIVE POOL ENCLOSURE KNOW ALL MEN BY THESE PRESENTS: WHEREAS, the undersigned ' —T,1 Cry islare the fee simple owner(s) of the following described property situated and being in Miami Shores Village, Florida: Address: C1 _; )\J 2 - (5 c) 2 Whereas, the undersigned owner(s) desire to utilize said Lot(s) as a single building site, and the undersigned owner(s) do(es) hereby declare and agree as follows: I. That the property will not be used in violation of any ordinances of Miami Shores Village or Miami -Dade County now in effect or hereinafter enacted. II. That the purpose of the covenant is to induce Miami Shores Village to issue a permit for a pool where the required enclosure is not on the subject property where the pool is located. III. That if any of our adjoining neighbors remove any portion of their fence or wall, or if our /my property shall fail to meet code requirements for pool barriers, we, as owners will immediately install a protective enclosure to meet code requirements and will obtain a permit for such fence. IV. That, I/we, as owner(s) hold Miami Shores Village harmless for any negligence or injury that results from not having the enclosure. V. If enclosure belongs to said property, I agree to maintain & or replace said enclosure in the event that is damaged or removed by any case. NOW, THEREOF, for good and valuable consideration, the undersigned do(es) hereby declare that he/she will not convey or cause to be conveyed the title to the above property without requiring the successor in title to abide by all terms and conditions set forth herein. FURTHER, the undersigned declare(s) that this covenant is intended and shall constitute a restrictive covenant concerning the use, enjoyment and title to the above property and shall constitute a covenant running with the land and shall be binding upon the undersigned, his/her successors and assigns and may only be released by Miami Shores Village, or its successors, in accordance of said Village then in effect. OWNER SIGN & PRINT OWNER SIN PRINT N r — T PLANc'� rN� I Hereby Ce Y appe (l"lC rtify on this ay personal) a ared before me and has produced ID # �� . as identification and he/she acknowledge that he/she executed the foregoing, freely and voluntarily, for purposes there in expressed. j 65" c� SWORN TO AND SUBSCRIBED before me on this day of N 0 T A RV PUBL k Q9 F d (Revised 05/2209 = a • �': o If op ' o mom.. It O e � • o .moo: + FLEPARTMENT OF liljiL�ALT Charlie Crist Ana M. Viamonte Ros, M.D., M.P.H. Governor State Surgeon General February 26, 2010 Terry Ball 9302 NW 2 Ct Miami, FL 33175 RE: Contingency Letter Application Document No: AP952737 Centrax Permit Number: 13 -SC- 1121399 OSTDS Number: 9302 NW 2 Ct Miami, FL 33175 Lot: 1 Block: 2 Subdivision: Dear Applicant: This will acknowledge receipt of an application dated 02/16/2010 for a permit to use an existing onsite sewage treatment and disposal system located on the above referenced property. 1. -There is no increase in sewage flow, change in characteristics compromising the integrity or function of the system installation. 2. -This project entails: ".NEW POOL IN BACK YARD " From a review of your completed application, it has been determined that your existing system is adequate for the proposed use: " APPROVED ". G/P If you have any questions on this matter, please call our office at (305) 625 -2500. Sincerely, Joseph Piverger, Engineer Specialist II Enclosures cc: Miami -Dade County Health Department 1765 NW 167 St, Opa Locka, FL 33056 Phone: (305) 625 -2500 Fax: (786) 315 -2090 r�'ND�S ♦ tKG �3a G �Cf olls Miami shores Village Building Department Jrj� 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIPT PERMIT #: l �"� DATE: DL I, �;v V W X k ,Contractor • Owner • Architect Picked up 2 sets of plans and (other) Address: 9 ?)(:) ; )4 �') g C:1: From the building department on this date in order to have corrections done to plans And /or get County stamps. I understand that the plans need to be brought back to Miami Shores Village Building Department to continue permitting process. Acknowledged by: PERMIT CLERK INITIAL: C2k RESUBMITTED DATE: F? i mod® PERMIT CLERK INITIAL: 03/12/2010 16:35 FAX 1 800 685 7530 DATA SCAN FIELD SERVICES 121001 * T% REPORT s *s TRANSMISSION OR T% /RX NO 4740 RECIPIENT ADDRESS 919545347617 DESTINATION ID ST. TIME 03/12 16:33 TIME USE 01'27 PAGES SENT 1 RESULT OR t � Y �A M iami h oreS V illage ears uild a 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No: 10 -�� J ob Name F-1 , 2010 Page 1 of 1 Buiidiing ritique Sheet r 1r t .�� /"/!s7 s i.l7.r• G/� /,�r sc�. /tr. r J 1A0 Acae4e aVdL Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. Job Name PLUMBING CRITIQUE SHEET Planning and Zoning Criteria Miami Shores Village Permit No. B P P - 1 - 10 - 78 10050 N.E. 2nd Avenue , tfii Lift y{ 7i 3: } �'& i F✓f - �L Miami Shores, FL 33138-0000 y s a - Phone: (305)795 -2204 Fax: (305)756 -8972 W 5 issue Date: Not Issued Expires :Not I $fie Folio Number) 131010150090 Owner's Name: ANGELA NIELSON Owner's Phone: Job Address: 9302 2 Court Total Square Feet: 450 Miami Shores, FL 33138- Total Job Valuation: $ 13,800.00 Contractors) Phone Primary Contractor Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 1/21/2010: Yes Comments: NO DECK IS APPROVED AS PART OF THIS PLAN Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: I NSP- 133701 Permit Number: l3PP- 1 -10 -78 Scheduled Inspection Date: April 29 2010 Permit Type: Pools/Whirlpools /Hot Tubs Inspector: Rodriguez, Jorge Inspection Type: Final Owner: NIELSON, ANGELA Work Classification Addition /Alteration Job Address: 9302 NW 2 Court Miami Shores, FL 33138- Phone Number Parcel Number 1131010150090 Project: <NONE> Contractor: ALL CONSTRUCTION & DEVELOPER INC Phone: (786)768 -4330 Building Department Comments Inspector Comments Passed E:1 KO Failed R_ C) © � Correction Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. April 28, 2010 For Inspections please call: (305)762 -4949 Page 6 of 22 � ill ♦ 5 K' E S L Miami Shores Village s oon . a ,,, Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 J�LOR Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No: 10 -Ir Job Name :F_s , 2010 Page 1 of 1 Building / V ritique Sheet / Ille e'4 aw / r Grzl ! •u C� o /� cmAaue © '� Cie .e� � d= 1 i c % e , - t+e, Plan review is no t comp ete, / � w en we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO rw 9 L5 305 - 795 -2204 ') �� 03/23/2010 11:44 FAX 1 800 685 7530 DATA SCAN FIELD SERVICES 2001 T% REPORTsx TRANSMISSION OK TX /R% NO 4795 RECIPIENT ADDRESS 919543676895 DESTINATION ID ST. TIME 03/23 11:43 TIME USE 00'42 PAGES SENT 1 RESULT OK �l i, `•• f t S� OR S G t ' AK M iami bhores Village L � building e a en sta ntse� 10050 N.E.2nd Avenue Miami Shares, Florida 33138 NOR1��° Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No: 10 -�� Job Name :?-- , 2010 Page 1 of 1 Building ritique Sheet 1 G I 4 LC&& ` oe II I F S, 1N1 I i I � � � I I I PVI i Sho res 11 Age COVED �e �� r ; ► 1 e lent II JAN 1 9 20 0 I III g p I �!: f �� '� 0 :05044 ti n y enoe,l harm hdr ,Flo "da'3�3'� t38 Tel ;l (�05) 95.204 Fag: (305)1756.8172 INSP ' Y, O1��'' HO NUMBE 762.4949 �e � � �, I i� (305 ' IY � I . I , • r _ z z J B i Permit No 1® I P L I� , P TPF'�LIC'�C�►� S� as er Permit' II� t N 0 Fs'o- r' t Type P I L e . �. P i r I' I I, Own x'p Name (Fee Simple Titl ®ho�k���l bwn 's 30 D�JI; '�' i P I city Ant Si+ui I e t/Lessee Name 1I . , j Phone # � get 6 � , I I i it ', i I - I' I Ili i I .Iob I' ddr til _ ' I s where es w 'rk' ( �s 1�e City d ty; T I�) , r Miami. Sh V' o' }� ty ' -Dad Zi I L I "r� P I! Sri I 1 )I�, I �FOI;} O L PARCEL '# � I, I l �� � ai �, � l � �1'. 1l Is B ding Historically Designated YES NO Flood Z 1 Cont zj actor's Company Name I �d" v►s igt nrtt. i Ale - Ph I ne # �L�fa 6,� /,�i G{ Con ctoes Address A/ 7 ri}( City /�f /!d �`!� s' G A Q erl'41ame+@ "' I� °'�� 4� �� r ' ��{ Pton� ✓8' ®!� Stag ertxficaW or Registr tion No. ' FC Iqy, Certifica of Co npetgncy No i Con bt Phone �� � I �� I E- � V ArC tegt&n&eer ° shame (if appt�eable) h i#i # .h L. , i Vat of Vigor � � Fr �. � o this � rmit $ I, la uar II I , e' / L ear Fibotn a Of W rk: �q _ g °J T of G�'ork. di • a [ Q -,pair/Replace Uemohtion yp . - �Ad on dAtte ti New Dest be Work: a j� 5 v I i I , I '�s+?4edr4rdr�zsk�Y�r�' dadr�Vstrirai �+� I ��t3t4nkda�adi,, � r B4.'dr9i9i 4rde4eAr4iVe�ryiak 4idi3r4a yY I .�i '. p Sub Pee$ it t Fe ; '►� �. e C $ CO /CC $ o ee rainin d' I afI u n $ TIC] oto F ee '6 Not Scab ing $ �1' Rode" 'i I1P lr $ Bo, d � Dou le Fee $ i� 1� Ala d dated r � i I .I' I Stru tural I i � I 1 'T tal Fe Novak Due $ 00- i � 'side ,� S e Reverse h I; i t i t Bonding Company's'Naine (if applicable) Bonding Cbmpiny's Addi`e$s i .City State Zip 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 jurisdictiion..I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC..... OWNF,,R'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." i s Notice to Applicant. As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection wh * h occu seven (7) days after the building permit is issued. In the absence of such posted notice, .the inspection will not be ap ro ed and a inspection fee will be charged. Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowled d befor this day of � 20 l�V�' 11 I�� IN' day of aoP t 9 -'� , 20 10 , by '' , nk all who is personally known to me or who has produced FL I D who is pe ltiification and who did take an oath. OTA.RY PUBL N TARY UBLIC: 1�1 , 1 ,Sign: Sign: ,,anA nT � P�;RM Print: A Print: My Commission Expires: My Commission Expires: #'IDD i g$P. 23: �y` �OTHRUAj�le,NT[CBONDIN�C9.��"' BONN tk�lt�k9e8e��Yotrdr9esc *dezF4nY�4e9ede3esk�ic 4e9roYie4eeY 9e�Ytk koY9c�rk4roYeYdedrdr k9:4::W9: dr4roYnY drde9e4r�9e4e4z�tr���dt�Y Je4e: Yda��kde3e9e4eaFsFoY��Y�YoY3e9r�Y�k�Y *�F��F�Y3r4o4eeY &�Y *eYde�Y4e APPROVED BY l ea , — t& - Plans Examiner Zoning Engineer Clerk checked (Revised 07 /10 /07)(Revised 06/10/2009) X33 3 31�L , y13ti1 �3 3 Miami Shores Village 10050 N.E. 2nd Avenue Ow Miami Shores, FL 33138 -0000 � F' X3 Phone: (305)795 -2204 �•••, Ld Expiration: 09127/2010 Project Address Parcel Number Applicant 9302 2 Court 1131010150090 Miami Shores, FL 33138- Block: Lot: ANGELA NIELSON Owner Information Address Phone Cell ANGELA NIELSON 9302 2 Court MIAMI SHORES FL 33150 -2213 Contractor(s) Phone Cell Phone Valuation: $ 1,000.00 Dale Plumbing (786)663 -1804 _.. .. .... .. .._. _ _.— Total Sq Feet: 0 Type of Work: FINISH POOL & SPA PLUMBING Available Inspections: Type of Piping: Inspection Type: Additional Info: Final Bond Return Classification: Residential Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.60 Education Surcharge $0.20 InvOlce # PL -1 -10 -36843 Permit Fee - Additions/Alterations $225.00 0410112010 Credit Card $ 229.60 $ 50.00 Scanning Fee $3.00 01/19/2010 Check* 1049 $ 50.00 $ 0.00 Submittal Fee $50.00 Technology Fee $0.80 Total: $279.60 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated April 05, 2010 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy April 05, 2010 1 04/02/2010 11:28 9543676895 PAGE 03104 Rpr 01 21110 1:00Phl RESPaNSIVE IIYSuElRnMCE 30562 181El1 p.r- CERTIFICATE O LIABILITY INSURANC �"c�`,o, n0 '' P WWA MR RaWol" Insumnw AoW Ina 7►aa CNIUIFICATU IS IsatIE AN A MATTM OF INFORMATION 7'04 1lI nu 6 NW Z7 AY�. u„a Q Oh L.Y AND CONPORR 1 70 NQ R1t3M1'I'E UPON TFE OLRilF7CATI: 11 HOLDER. THS CERM40AIII D AMEND. NOT . EXTEND OR Moil, f Ny 7M L' ;13M ALURTNO Phony OR 021-8111 Fox OW 6214:101: VaI)RERS 1iffOMMO COVERAOR NAIL ift A MOM= DALES PLWBIN(S CO. INSU . TAPOO UNDERWRiTER8 1154 NW 87th W69 N su�ER c: Nlami, FL $3160- n . 305 >PIi;UIUIlR E: S "M M=ESOF bJS1lMINO>: L18T VE AEE1V IMIMO TO THU INSURE>a WW=AB= FOR THZ P01.10Y PQ ICO MCAT!!C. WrWM,*TANW -4 ANY Re s9lEb:ENT. TERM OR CONM r" OF AM CONTRACTOR OTHER DOOMM WITH RELq=10 W CH THm mi?Pgr A e MAYME' RIALIED OR MAY PERTAIN. THE M4W= AFFOROW dY 771E POLIO UKUPRMD FIRM V to MJW=r TO ALL TM TOOMI, III)MLIMCMU MID DONWIMM CW SUCH POL=E a. AO *UCATE aKeWN MAY HAvt MEIN REWMI) SY PAID Cl p>If16s. ii ill AWL TYPE OIL INSURANCE rOLItiY ranYf�t TYyy PcILI lY LQOlIl7b OBERAL LIARKJTV EAM ooaum" m 300 5]0009MCM EQYLUX 07W=09 07!2712014 W9 s ( O F 60,400.00 ❑❑ NWDR ❑ aoOWe LIED EXP (Any tms pomm) 5000,00 A [] ❑ PERSO" &AM INJURY ❑ GENIFA1.AWN903A ef70 000,00 004L ARIIAMA'tE LIIATAi'PUIESPER2 PAom=m-QOmpm#AQd POLICY PRO,IIMT ED I= AU'rofJ16BILE LUi�R1Y C�lSq�p LOAT © ANYAUTC alsomm ❑ ALLOWOMAVII10 E00<l•Y INJURY ❑ ❑❑ SCHEDWWAU7'08 14MM AtYYna RODILY RULM ❑ NGN GyYHlD/1IJTDE �Pe►acd�aii ® PROP6M7Y DAMAGE SARAOE UAEILITY' AUTO ONLY - CA AWDENT ❑ Cl ANY AUTO mHHR T}IAN IlA ❑ AUTPONLY: Ass IEXCM E UA1 M61 A LIAEfUN FA0I.1 OCCURliCMZ ❑ ❑ OCCUR ® a A%M M405 ADO E V All ❑ o _ ❑ IFt7'I:I�1TION EM?60Y/lW6l1 mLF AID YIN ❑ TATU• Ij 91m ANY R1rORAlITOR �taICUTfi/E Ei. E:4CH RC'I:I�NF OFFlCII1t /MLMeER Ctli'!7 a of EL DWAIIE - EA I:MPLME EJ.. dISI3ASL - POLIRY iD�iaT trtl�'U: O�CI�lRI1Dl+ICPDpl�ATICt1ES LCO'AT10NSt1tEfUCLOB P7t�EgoNSAOf�11► Yta +IOSilsa»tGMrr3PECWi.FI�Vi81�g4 PLUMSING, RESIDENI'IA:. OR COMMER CIAL. CIERTIFIOATL NDE.OER OAIIOELLATIQN aHCUL,D ANY OF" AQQYi DFsCRIEED POLOOi!!0 8R Gm ce.Lea slat n TMI: LRXP IRATION DATA THWIiN P. THE OWING InUmo 1KKjL PUMvm TO MAL MIAMI SHORE YILLACE �, Y ]BUT V JMT T TI am t ML � N D �1 H TO MI M I F 3 3 1 AVENUE OF Ate+ MN0 UPON 7W INUR Ta A9508 OR REt'RLi�'�fTATIVINI. �1Y MIAMI, FL 3313Q R6ARtiEIIt'A AG01W 26 (W ca D1tAT tit Tint ACJ]RD �. >ntd � aster r�6leled III01rts Of AO� e Pp " - 4n •, S Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL C L Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 140993 Permit Number: PL- 1 -10 -80 Scheduled Inspection Date: April 21, 2010 Permit Type: Plumbing - Residential Inspector: Hernandez, Rafael Inspection Type: Final Owner: NIELSON, ANGELA Work Classification: Pool - Private Job Address: 9302 NW 2 Court Miami Shores, FL 33138- Phone Number Parcel Number 113101015009 Project: <NONE> Contractor: Dale Plumbing Phone: (786)663 -1804 Building Department Comments Inspector Comments Passed Failed Correction Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. April 20, 2010 For Inspections please call: (305)762 -4949 Page 29 of 30 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 133709 Permit Number: EL- 1 -10 -79 Scheduled Inspection Date: April 22, 2010 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: NIELSON, ANGELA Work Classification: Pool - Private Job Address: 9302 NW 2 Court Miami Shores, FL 33138- Phone Number Parcel Number 113101015009 Project: <NONE> Contractor: FARADAY ELECTRICAL CONTRACTO INC Phone: (954)394 -6260 Building Department Comments Inspector Comments Passed Failed Correction Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. April 21, 2010 For Inspections please call: (305)762 -4949 Page 3 of 25 u i t � D s« Miami Shores Village ��� 10050 N.E. 2nd Avenue y , Miami Shores, FL 33138-0000 Phone: (305)795 2204 a Expiration: 27/201 Project Address Parcel Number Applicant 9302 2 Court 1131010150090 Miami Shores, FL 33138 Block: Lot: ANGELA NIELSON Owner Information Address Phone Cell ANGELA NIELSON 9302 2 Court MIAMI SHORES FL 33150 -2213 Contractor(s) Phone Cell Phone Valuation: $ 1,000.00 FARADAY ELECTRICAL CONTRACTO (954)394 -6260 __ ............ ... _.__._ _.... ,.... _. ..... _- _.,...... Total Sq Feet: 0 Type of Work: FINISH POOL & SPA ELECTRIC Available Inspections: Additional Info: Inspection Type: Classification: Residential Final Light Niche Alarms Bonding Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.60 Invoice # EL -1 -10 -36842 Education Surcharge $0.20 04/01/2010 Credit Card $ 229.60 $ 50.00 Permit Fee - Additions/Alterations $225.00 Scanning Fee $3.00 01/19/2010 Check #: 1049 $ 50.00 $ 0.00 Submittal Fee $50.00 Technology Fee $0.80 Total: $279.60 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 taws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated April 05, 2010 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy April 05, 2010 1 Mia Shores Village EC EEWED Building Department JAN 19 2010 10050 N. .2nd Avenue, Miami Shores, Florida 33138 ®m�Y - - - -ae Tel (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305). 762.4949 BUILDING Permit No. E L 10 — '�9 PERMIT APPLICATION Master Permit Nc . FBC 20 Permit Type: ELECTRICAL Owner's Name (Fee Simple Titleholder) C A A P 6A Phone # Owner's Address a SO Z N W AC City C� (1� J� o $ } g ¢c, State Zip 33I's o Tenant/LesseeName Phone# ' -9qq —67a Y Email Job Address (where the work is being done) 0 15 kJ W 9- C City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO Flood Zone Contractor's Company Name < ne # Contractor's Address City e '�'Y V��l ef— . S tate Zip + Qualifier Name S Phone # State Certificate or Registration No. Certificate of Competency No. q" (7 (1 /. Contact Phone E -mail Architect/Engineer's Name (if applicable) Phone # 626 O Value of Work For this Permit $ /o o o Square / Linear Footage Of Work: Type of Work: DAddition ❑Altera on New Repair/R lace El Demolition - - J- -'- b� � Describe Work: 6;jgL I P-,r-nz Enisb P ool � C n -f S � la c• c Submittal Fee $ _ Permit Fee $� CCF $ CO /CC $ Notary $ Training/Education Fee $ D Technology Fee $ D Scanning $ .A'\ Radon $ DPBR $ Bond $ Double Fee $ Violation date: ^^�� Structural Review. $ Total Fee Now Due $ oQq (Qt See Reverse side �> Bonding Company's Name (if applicable) Bonding Company's Address City State Zip 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 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 be delivered to the person whose property is subject to attachment. Also, a certied copy of the recorded notice of commence en t m t osted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In th bsen posted notice, the inspection will not be a roved and a - inspection fee will be charged. Signature Sign Owner or Agent 4aoWrePc1ged O The foregoing instrument was ackknowwledged before me thiss �� Thedeg ing a before me this day of , 201Q, by N . ed 1 9 A " n `� � , y of WW-P-%(�f , 20 t V, by FIZ ('Z fC>�Cf[c�cSi�1 Kit who is personally known to me or who has produced FL who is personally known to me or who has produce { As identifil�Q who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: ���`\v�r> tii��� `�►�uiuni����� NOTARY PUBL C: �� �� �� /i S VA g� a /// Sign: 0 � \ . Q - - Sign: ��C'• Print: .�0��' '�S`' S : _c� = Print: My Commission Expires:' % / /s `\\` My Commission Expires: // /i���� annum ��hinnnlm���� APPROVED BY 7U Plans Examiner Zoning Engineer Clerk checked (Revised 07 /10 /07)(Revised 06/10/2009) 04/02/2010 11:28 9543676895 i PAGE 02/04 MIAMI - DADE COUNTY - STATE OF FLORIDA LOCAL BUSINESS TAX RENEWAL 6486180 2009 RECEIPT # 67245 -+0 CERT OF COMP # 09£000348 BUSINESS LOCATION: SUS. COMMENCEMENT DATE 06!2009 DOING BUS IN DADE CO 5 1 5 9 6 R CONTRACTOR AM 2 WORKERJS OCL TAX 75 °00 OWNER I CORP. ra, G3 �i � Y ECO . DEV . FARADAY ELECTRICAL CONTRACTOR INC PXT IRIS F 1pa �:'k�`" eas PHONE #: 954 980 -6128 ITT 001*1f , ' ' r' IA - N' OR 'BEFORE. SEPT 30TH FARADAY ELECTRICAL CONTRACTOR e C AMOUNT• 75.0.0 I %FRITZ M JEAN CHARLES PRES 10640 LAGO WELLEBY DR PENALTIES OCT - 10% 82.50 SUNRISE FL 33351 AFTER DUE DATE NOV�15x 86.25 DEC --20% 90.00 20090706 114 JAN - �2�X 9 .75 r FEB -25Y. 4 100.0 193. - 75 DUIR RE, . APPMAY(ON IS HEREBY MADE fOR A LWAL RUMNESA TAX lZ6L;�IPT Ole 1 T� E P - P I O'R s 'i(C A•R L G' AL B aI S I NE SS TA XES. PERMT FOR THE S1JM"S PROFEWWN OR 00r" ATION erESCR16� 'CURRENT YEAR TAXES :'A'RE. •DUE : NOW . PAY PROMPTLY +MEM. I HAVE BEBN WFOR6® OFAU 20MG REOMMOM MIMED ON TU ' A Y fi I U F U'RTIPt•E R . �' E NA L T I'E S` . •IWO REM". MAT THE INFpip/AMN IS TRUE AND MRREOT. i . 00007500 00000000 SIGNATURE REQUIRED ` SEE 'NSTRUC"nONS ON REVERSE SIDE jq ma ._ _ r.• + G !t x� r iii•. - .. 04/02/2010 11:28 9543676895 PAGE 04/04 CERTIFICATE OF LIABILITY INSURANCE F DATE (MMIDO/Y1M +� 04/02 PRODUCER All Universe Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 20328 N.W. 2nd Ave. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR North Miami, FL 33169 ALTER THE COVERAGE AFFORD BY THE PO LICIES B ELOW. Phone (305 )653 - 7 359 Fax (306)653 - 7343 INSUR AFFORDING COVERAGE NAIL # INSURED FARADAY ELECTRICAL CONTRACTORS INC INSUR A: WESTERN WOR INSURANCE CO. 3999 W Hallandale Blvd INSURER B: ' MIRAMAR, FL 33023- INS C : INSUR D: (954) 980 -8123 IN SURER E' — CO V ERAGE S TH6 POLICIES OF INSURANCE LISTED HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWrrHSTANOING 1 ANY REQUIREMENT, TERM 09 CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE NIAY 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, AGGREGATE LIMITS SHO WN MAY HAVE BEEN R EDUCE D BY PAID CLAIMS. MR AWL POLICY Erwson to POLICY Ewwwtft JLTA j0kD TYPE OF INSURANC POLICY NUM1 3_ER DATE Mmm DATE mmio LIMITS GENERAL LIABILITY EACH OCCURRENCE 300000 COMMERCIAL GENERAL LIABILITY AMAGE T TED 500001 ® NPP1217069 04/13/2009 04/13/2010 PREMISES occurrence ❑ CLAIMS MADE ®OCCUR M E XP (Any One p erson) 5000 A ` t jj E� PER SONAL & AD V INJ 300000 ❑ GENERAL AGGREGATE 6 00000 GEN'LAGGREGA7 t QMITAPPLIES PER: PRODU - CO MP /OP AGG 30 0000 ❑ POLICY ❑ PRO ❑ LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ❑ ANY AUTO (Ea acdderl0 ❑ ALL OWNED AUTOS BODILY INJURY ❑ ❑ SCHEDULED AUTOS Per person) HIRED AUTOS BODILY INJURY ❑ NON OWNED AUTOS (Per acdde" ❑ PROPERTY DAMAGE ❑ (Per accident) GARAGE LIABILITY AUTO O NLY - EA ACCIDEN ❑ U ANY AUTO OTHER THAN EA ACC AUT ONLY: AG G EXCESS / UMBRELLA LIAB ILITY EACH O CCURRE N CE ❑ I ❑ OCCUR ❑ CLAIMS MADE AGGREGATE I{] DEDUCTIBLE Cl RET ENTION S WORKERS COMPENSATION AND ❑ WC STATU- ❑ OTH- EMPLOYERS' LIABILITY YIN TO MIT E ANY PROPRIETOR / PARTNER / EXECUTIVE E. EACH ACCIDENT OFFICER / MEMBER EXCLUDED7 (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE If , CesWlle andg E.L. DISE45C - POLICY LIMIT SPECIAL PROVISION below OTHER pESCRIPTION OF OPERATIONS/ LOCA71ONS /VEHICLES ICLES / EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS ELECTRICAL WORK C ERTIFI C ATE HOLDE CANCE LLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TH� EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL MIAMI SHORES VILLAGE 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO 10050 NE SECOND AVE THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF A KIND UPON THE INSURER, ITS ADEN S OR REPRESENTATIVES. SHORES, FL 33138 - 2382 TEL (305) 795 - 2204 AUTHORIZED REPRES ME FAX: (305) 756-8972 _ JEAN R MESADIEI,� A 25 (2009101) QF W - .pi 1988 -2009 AGGlIffCOWORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD f :: �:•: ii+': E: �: �i::: 2�:•':' �' ii: �: e:: is�:{: L�::': L•:•:;:.:• Y• IXO�.;•:• k•'?.+:::}.•: fi:•: S:: n •.•r.•:.•.•r. ..•.•a: > ......... ..... 101 i ::.•. ......6.1-....:...:.: v::::: ISSUE DATE ODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND ALL UNIVERSE INSURANCE CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS 20328 NW 2ND AVENUE CERTIFICATE DOES NOT AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. MIAMI, FL 33169 COMPANIES AFFORDING COVERAGE COMPANY LETTER A WESTERN WORLD Insurance Company INSURED COMPANY FARADAY ELECTRICAL CONTRACTORS INC LETTER B COMPANY 3999 W HALLANDALE BLVD LETTER C MIRAMAR, FL 33023 COMPANY LETTER D COMPANY LETTER E �::•::_::: a::.::::: e2;.?::.??:•>?:. xx•>: L••??:•? x::: oii:.:.: •r:2.: :. <.•.- :::::.r.::r : <.::•: •...: :::... ............................... ' : :::•' L^ is::>:::::::::;. 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S•} 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. CO TYPE OF INSURANCE POLICY NUMBER POLICY POLICY LIMITS LTR EFFECTIVE DATE EXPIRATION DATE GENERAL LIABILITY A NPP1217069 04/13/2009 04/13/2010 GENERAL AGGREGATE 600,000 PRODUCTS -COM OP AGG. PERSONAL & ADV. INJURY EACH OCCURRENCE - 300 , 000 FIRE DAMAGE OM one flre50 MED. 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N: Sbi "SS ?L•:r{3- Sv >i: ::FivL:i.W.: •F.R .•.: ..................... <..n ....:. `<. ........•.•.•x: rr.L:::v..,•: ryx•:::.,• ;•:.•: r' ,s F,. v f..s.•::T�: CTQB Construction Trades Qualifying Board BUSINESS CERTIFICATE OF COMPETENCY' FARADAY ELECTRICAL CONTRACTOR INC "' +r0 JEAN- AkLES FRITZ M * N Is certified under the provisions of Chapter 10 of Miami -Dade N � , : STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES STATE OF FLORIDA AI✓ 4 4' .1 "N, .� �, DIVISION OF WORKERS' COMPENSATION CONSTRUCTION INDUSTRY DEPARTMENT OF BUSINESS A M CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA PROFESSIONAL RRGULATION WORKERS' COMPENSATION LAW R130�9251 a5/26�09 880465674 EFFECTIVE: 06/22/2009 EXPIRATION DATE: 06/22/201 ., 'PERSON: FRITZ JEAN - CHARLES RV ELECTRICAL CONTRACTOR FEIN: 300548280 y� Y► r� ..«S r' FRITZ T�4 � � � � BUSINESS NAME AND ADDRESS. �` A�A�' ELECTRICAL <:CONTRACTOR IN -- FARADAY ELECTRICAL CONTRACTOR INC (INDIViDUAL MUST W iT ALL LOCAL _ X999 WEST HALLANDALE BLVD LICSIG . HOLLYWOOD, ,FL 33023 TO CO *T�ACtIT?4 IN A*Y AREA W RXGISTER D 4nov r the gr©visi©ns of dti.489 xxpirati?A haze; AUG 31, 201Q i,o9052600j88 i SCOPE OF BUSINESS OR TRADE: 1- REGISTERED ELECTRICAL CONTRACT 4.. I QUALIFYING TRADE(S) 0001 ELECTRICAL f M!® HermiNo Gonzalez P.E. // Secretary of the Board A""""" "FAM'% Miami -Dade County retains W property rights heren www. miamitlatle. govlbui Itlingcotle { STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS` COMPENSATION CONSTRUCTION INDUSTRY CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW EFFECTIVE: 06/22/2009 EXPIRATION DATE: 06/22/2011 PERSON: FRITZ JEAN- CHARLES FEIN: $00548280 BUSINESS NAME AND ADDRESS: .FARADAY ELECTRICAL CONTRACTOR INC 3999 WEST HALLANDALE BLVD HOLLYWOOD, FL 33023 SIG TURF SCOPE OF BUSINESS OR TRADE: / i REGISTERED ELECTRICAL CONTRACT I Inspection Worksheet Miami Shores Village ' 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 141741 Permit Number: EL- 1 -10 -79 Scheduled Inspection Date: April 28, 2010 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: NIELSON, ANGELA Work Classification: Pool - Private Job Address: 9302 NW 2 Court Miami Shores, FL 33138- Phone Number Parcel Number 113101015009 Project: <NONE> Contractor: FARADAY ELECTRICAL CONTRACTO INC Phone: (954)394 -6260 Building Department Comments Inspector Comments Passed Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. April 27, 2010 For Inspections please call: (305)762 -4949 Page 20 of 22