RF-10-521Project Address
10619 10 Place
Miami Shores, FL 33138 -2103
Owner Information
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204
Fees Due
CCF
Education Surcharge
Permit Fee - Repairs
Scanning Fee
Technology Fee
Total:
Amount
$1.20
$0.40
$100.00
$3.00
$1.60
$106.20
Building Department Copy
Address
Expiration: 09/28/2010
Parcel Number
,s.
1122320280580
Block: Lot:
AGUSTIN & NORMA AYUSO
10619 10 Place
MIAMI SHORES FL 33138 -2103
0 --
Contractor(s)
GUTTERMANS SERVICES INC
•
Phone Cell Phone
(305)301 -0729
Authorized Signature: Owner / Applicant / Contractor / Agent
Phone
Valuation:
Total Sq Feet:
Type of Work: Gutters
Additional Info:
Classification: Residential
Pay Date Pay Type
Invoice # RF -3 -10 -37426
03/29/2010 Check #: 900
04/05/2010 Check #: 903
Amt Paid Amt Due
$ 50.00 $ 56.20
$ 56.20 $ 0.00
Applicant
AGUSTIN & NORMA AYUSO
Cell
$ 2,000.00
113
Available Inspections:
Inspection Type:
Final
1
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
Date
April 05, 2010 1
Inspection Number: INSP - 139186
Scheduled Inspection Date: April 07, 2010
Inspector: Bruhn, Norman
Owner: AYUSO, AGUSTIN & NORMA
Job Address: 10619 NE 10 Place
Miami Shores, FL 33138 -2103
Project: <NONE>
Contractor: GUTTERMANS SERVICES INC
Building Department Comments
INSTALLATION OF RAIN GUTTERS AND DOWSPOTS
Passed 44
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
April 06, 2010
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
For Inspections please call: (305)762-4949
Permit Number: RF -3 -10 -521
Permit Type: Roof
Inspection Type: Final
Work Classification: Gutters
Phone Number ()_
Parcel Number 1122320280580
Phone: (305)301 -0729
Page 7 of 16
BUILDING
PERMIT APPLICATION
FBC 2004
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Permit Type (circle): Building Ro A ofmg
Owner's Name (Fee Simple Titleholder) 41 UST r. eV0g014
Owner's Address /O (9' No 10 r PLet c e-
City 1 (a n.i 5 Or el State ( L
u S O Phone #
Zip 3 3 (3 S
110 3■0111/ 11
MAR 2'd 2010 LW
Permit No. RT 1 0 - S2-1
Master Permit No.
7fi7-o_5 - 002 5'
Tenant/Lessee Name Phone #
Job Address (where the work is being done) / (q NE to / - W i (‘ F 33/3g
City Miami Shores Village County Miami -Dade Zip
FOLIO / PARCEL #
Is Building Historically Designated YES NO
Contractor's Company Name 607TerMQ a7 3 €), Phone # � a ) ,l 0 - 2-c7
Contractor's GJ' w or's Address P 'S (y
(
Cit 1 '(roY)-1; State I Zip V/
Qualifier Name . j O Y C ZU / (- C Phone #064 4 / —
State Certificate or Registration No. 0 Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
Value of Work For this Permit $ i 56
Type of Work:
Describe Work:
❑Addition
Submittal Fee $
['Alteration
Permit Fee $
Square / Linear Footage Of Work: 1
New
❑ Repair/Replace
❑ Demolition
******** * * * * * * * * * * * * * * * * * * * * * * * * * * ** *** Fees************* * * * **** **** ** **** ** **** *** * * ***
CCF $ CO /CC
Notary $ Training/Education Fee $ Technology Fee $
Scanning $ Radon $ DPBR $ Zoning $
Bond $ Code Enforcement $ Double Fee $
Structural Review. $ Total Fee Now Due $ . J ) ° 90
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 ANFH)AVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the
inspection will not be approved and a reinsfection fee will be charged.
Signature
NOTARY PUBLIC:
(Revised 07/10/07)
Owner or A
The foregoing instrument was ac 'owledged before me this The The foreg • in ins ment was acknow edged before me this
day of a L ° , 20 0 ci, by $ WO g vf'l c 4 c i (4 ' 4 , day of 0 , 2010, by '' 6 i
who is . sonally known to me or who has produced who is personally knowbto me or who has produced ` '
---- A id .....1 ...L...
did an oath. identification and who did take an oath.
NOTARY PUBLIC:
Sign: .,:: FFLORIDA
• G st
Print C � �,. , I'f ,; is � 9 x371 S E 12, 2012
s„ I Expires: ir ta es v : o Rpo6jas7/ 2-12'alZ
My Commidailx7 BOSDING CO., Thie My Commission E
144"Commi*Cirssi:71"DD79321
APPLICATION APPROVED BY: 40 ree55/6 BONDED =II AMANTic BONDING CO., BC, Plans Examiner
Sign:
Print: C /j;
Zoning
Engineer
ALEX SINK
EFFECTIVE DATE:
PERSON:
ZULUAGA
FEIN: 651179334
BUSINESS NAME AND ADDRESS:
GUTTERMAN'S SERVICES INC
938 SW 149 CT
MIAMI FL 33194
SCOPES OF BUSINESS OR TRADE:
1- GUTTER INSTALLATION
DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09 -06
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: 11/19/2009 EXPIRATION DATE: 11/19/2011
PERSON: JORGE E ZULUAGA
FEIN: 651179334
BUSINESS NAME AND ADDRES
GUTTERMAN'S SERVICES INC
938 SW 149 CT
MIAMI, FL 33194
SCOPE OF BUSINESS OR TRADE:
1- GUTTER INSTALLATION
DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 014-06
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
CONSTRUCTION INDUSTRY EXEMPTION
This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law.
11/19/2009 EXPIRATION DATE: 11/19/2011
JORGE E
IMPORTANT: Pursuant to Chapter 440 . 05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this
section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(12 ►, F.S., Certificates of election to be exempt... apply only Within the
scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05(131, F.S., Notices of election to be exempt and certificates of
election to be exempt shall be subject to revocation it at Any time 'aftet'the filing of the notice or the issuance of the certificate, the person named on the notice or
certificate no longer meets the requirements of this section for issuance of a certificate. The 'department shall revoke a certificate at any time for failure of the person
named on the certificate to meet the requirements of this section.
QUESTIONS? (850) 413- 1 E
PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE
CUT HERE
IMPORTANT
11 - 19 -2009
* *
F Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who
elects exemption from this chapter by filing a certificate of election
L under this section may not recover benefits or compensation under this
D chapter.
Pursuant to Chapter 440.05(12), F.S., Certificates of election to be
exempt.. apply only within the scope of the business or trade listed on
E the notice of election to be exempt
R
E Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt
and certificates of election to be exempt shall be subject to revocation
if, at any time after the filing of the notice or the issuance of the
certificate, the person named on the notice or certificate no longer meets
the requirements of this section for issuance of a certificate. The
department shall revoke a certificate at any time for failure of the
person named on the certificate to meet the requirements of this
section.
* Carry bottom portion on the job, keep upper portion for your records.
QUESTIONS? (850) 413 -1609
0049
GG
QUALIFYING TRADE(S)
METAL GUTTER /DWNS
Herminio Gonzalez P.E.
Secretary of the Board
Miami-Dade herein.
ami -Dade CowdY retains all property i9
3t _
0Z. J'
SEE OTHER SIDE
DO NOT FORWARD
GUTTERMANS INC
JORGE E ZULUAGA PRES
op ` 938 SW 149 CT
MIAMI FL 33194
MIAMt -D ID tOONTY
TAX COLLECTOR
144 W. FLAGLER ST.
1st FLOOR
MIAMI, FL 33130
RECEIPT NO.
Receipt holder must
register in the city
where work is to be
done.
PAYMENT RECEIVED
," r 0`2001
- 02210002001
000040.00
Ittllteflltfnllltlftrl
B MANS / SERVICS INC
938 SW 149 CT
OWNER : GUTTERMANS SERVICES INC
RESTRICTED TO THE
CITY OF
CORAL GABLES
MUNICIPAL CONTRACTOR'S 2010
TAX RECEIPT
MIAMI -DADE COUNTY - STATE OF FLORIDA
PURSUANT TO COUNTY CODE SEC. 10-24
EXPIRES SEPT. 30, 2010
03 - 5325006 ._ RO s T' A BIU g AY
DO NOT FORWARD
GUTTERMANS SERVICES INC
JORGE E ZULUAGA PRES
938 SW 149 CT
MIAMI FL 33194
34
1tr il.ilffft 1fI11r ft1er Tul ,Ilflf,r1ILl,fittf1lflft1f1.
ZULUAGA JORGE
ASS
TAGE
;PL
MIT NO 231
FIRST -CL
U.S. POST
PAID
MIAMI,
PERMIT . NI
RECEIPTHOLDER MAY DO
BUSINESS AS A CONTRACTOR
AS SPECIFIED HEREON.
SPECIALTY BUILDING CONTRACTOR
CTQB
Construction Trades Qualifying Board
BUSINESS CERTIFICATE OF COMPETENCY
03BS00490
GUTTERMAN'S SERVICES INC
D.B.A.:
CERTIFICATE OF INSURANCE
PRODUCER
S.G. & Assoc Ins Brokers, Inc
9999 Sunset Drive
Suite 102
Miami, FL 33173
INSURED
Gutterman's Services, Inc
938 SW 149th Court
Miami, FL 33194
ISSUE DATE 3/29/2010
THIS CERTIFICATE IS 'ISSUED AS A MATTER OF INFORMATION ONLY AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
DOES NOT AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE
POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
COMPANY A Lloyd's of London
LETTER
COMPANY B N/A
LETTER
COMPANY C N/A
LETTER
COMPANY D N/A
LETTER
COMPANY E N/A
LETTER
COVERAGES
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 POUCIES DESCRIBED
HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY
PAID CLAIMS.
55
LTR
A
8
C
D
E
TYPE OF
INSURANCE
GENERAL LIABILITY
PERSONAL LIABILrrY
EXCESS LIABILITY
PROPERTY
POLICY
NUMBER
TCNROi2138
POLICY
EFFECTIVE DATE
5/1/2009
POLICY
EXPIRATION DATE
5/1/2010
SURPLUS LINES AGENT VIRGINIA C. PHILLIPS UCENSES A206695
13577 FEATHERSOUND DRIVE PO BOX 17089 CLEARWATER, FLORIDA 33762
CERTIFICATE HOLDER
CITY OF MIAMI SHORES
10050 NE 2 AVENUE
Miami, FL 33178
LIMITS
GENERAL AGGREGATE
PRODUCTS -COM /OP AGG.
PERSONAL & ADV. INJURY
EACH OCCURRENCE
DAMAGE PREM RENTED TO YOU
MED EXPENSE (Any one person)
COMBINDED SINGLE UNIT
MEDICAL PAYMENTS TO OTHERS
EACH OCCURRENCE
AGGREGATE
BUILDING
CONTENTS
LOSS OF USE
600,000
300,000
300,000
300,000
50,000
5,000
DESCRIPTION OF OPERATIONS / VEHICLES / SPECIALTY ITEMS
Sheet Metal Work outside
THIS INSURANCE IS ISSUED PURSUANT TO THE FLORIDA SURPLUS LINES LAW. PERSONS INSURED BY SURPLUS LINES
CARRIERS DO NOT HAVE THE PROTECTION OF THE FLORIDA GUARANTY ACT TO THE EXTENT OF ANY RIGHT OF RECOVERY
FOR THE OBLIGATION OF AN INSOLVENT UNLICENSED INSURER.
SURPLUS LINES INSURERS' POLICY RATES AND FORMS ARE NOT APPROVED BY ANY FLORIDA REGULATORY
AGENCY.
Should any of the above described policies be cancelled before the expiration date,
the company shall endeavor to mall 30 days written notice to the certificate holder
named to the left, but !allure to mall such notice shall Impose no obligation or liability
of any kind upon the company, Its agents, or representatives.
AUTHORIZED SIGNATURE
42255
03/29/2010 11 :42 3052799006
SG ASSOC INS BROKERS
PAGE 01/01
R.C1O -52)
..
S erv i ce;I nc;
r gOffilfilog RAN **** ....
• • : .. •
CUSTOMER ACIv; n NOfrnq Hirt ••,'•
ADDRESS I '66 I i= I ® - 7 " PktteATM • _ I .....•
ADDRESS
CITY /STATE/ZIPCODE ream ' S oe F. ^ • •
HOMEPHONENVORK/CELL ( 3 t I '3 ql •• • ••••••
/-y /10
er g ,
COLOR
6" GUTTERS 03 Hof y
DOWNSPOUTS -D 0 JAW(/
TOTAL FEET 113
Luikr
c,1 c
Seera
In event it becomes necessary for Gutterman s Services, Inc., to employ the services of an attorney, to effect collection of the amount or
balance due, under this contract, purchaser agrees to pay sellers reasonable attorney's fees and all expenses incident thereto. When executed
and signed by both parties, this proposal becomes a contract.
Gutterman s Services, Inc., will honor a f e. Year guarantee upon completion of installation of your seamless gutter system. This guarantee
covers the installation and materials. Our suppliers guarantees the baKed on enamel finish for wears against cracKing, chipping or
peeling, We will repair or replace any part necessary if it is a direct result of faulty worKmanship or faulty materials. We do not cover
damage due to neglect or IacK of proper maintenance. We do not cover damages that have occurred from abuse or acts of nature.
THIS ESTIMATE IS VALID FOR ONE MONTH
Amount I / j ✓ C
Tax
Subtotal
Less Deposit
Total 1/
CUSTOMER GUTTERMAN'S SERVICES, INC.
W
0
N
W
O
0
J
938 SW 149 COURT - MIAMI - FL - 33194 PHONE 305 3010729 - CELL 786 4860515 - FAX 305 4853925
VI
R.C1O -52)
..
S erv i ce;I nc;
r gOffilfilog RAN **** ....
• • : .. •
CUSTOMER ACIv; n NOfrnq Hirt ••,'•
ADDRESS I '66 I i= I ® - 7 " PktteATM • _ I .....•
ADDRESS
CITY /STATE/ZIPCODE ream ' S oe F. ^ • •
HOMEPHONENVORK/CELL ( 3 t I '3 ql •• • ••••••
/-y /10
er g ,
COLOR
6" GUTTERS 03 Hof y
DOWNSPOUTS -D 0 JAW(/
TOTAL FEET 113
Luikr
c,1 c
Seera
In event it becomes necessary for Gutterman s Services, Inc., to employ the services of an attorney, to effect collection of the amount or
balance due, under this contract, purchaser agrees to pay sellers reasonable attorney's fees and all expenses incident thereto. When executed
and signed by both parties, this proposal becomes a contract.
Gutterman s Services, Inc., will honor a f e. Year guarantee upon completion of installation of your seamless gutter system. This guarantee
covers the installation and materials. Our suppliers guarantees the baKed on enamel finish for wears against cracKing, chipping or
peeling, We will repair or replace any part necessary if it is a direct result of faulty worKmanship or faulty materials. We do not cover
damage due to neglect or IacK of proper maintenance. We do not cover damages that have occurred from abuse or acts of nature.
THIS ESTIMATE IS VALID FOR ONE MONTH
Amount I / j ✓ C
Tax
Subtotal
Less Deposit
Total 1/
CUSTOMER GUTTERMAN'S SERVICES, INC.
W
0
N
W
O
0
J
938 SW 149 COURT - MIAMI - FL - 33194 PHONE 305 3010729 - CELL 786 4860515 - FAX 305 4853925