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RC-10-228 Miami Shores Village 0, YAM 4 #B , 10050 N.E. 2nd Avenue ' Miami Shores, FL 33138-0000 Phone: (305)795 -2204 :.. _. x Xi Expiration: 2 Project Address Parcel Number Applicant 320 97 Street 1132060135860 Miami Shores, FL Block: Lot: JAMES LEVEROCK Owner i nformation Address Phone Cell JAMES LEVEROCK 1201 NE 85 ST MIAMI FL 33138 -3429 Contractor(s) Phone Cell Phone Valuation: $ 18,000.00 ARENAS CONSTRUCTION (305)300 -3103 Total Sq Feet: 0 iH Approved: In Review For Inspections please call: Comments: (305)762 -4949 Date Approved:: In Review Available Inspections: Date Denied: Inspection Type: Type of Construction: KITCHEN REMODEL Occupancy: Single Family Drywall Stories: Exterior: Final Front Setback: Rear Setback: Framing Left Setback: Right Setback: Insulation Bedrooms: Bathrooms: Plans Submitted: Certificate Status: Certificate Date: Additional Info: Bond Return: Classification: Residential Fees Due Amount Invoice # Invoice Total Amt Paid Amt Due CCF $10.80 RC -2 -10 -37050 Education Surcharge $3.60 $574.80 $574.80 $0.00 Permit Fee - Additions/Alterations $540.00 Check #: 1006 Scanning Fee $6.00 Technology Fee $14.40 Total: $574.80 Building Department Copy March 05, 2010 2 Employer Detail Page Page 1 of 1 N FLORIDA � y DEPARTMENT OF FINANCIAL SERVICES Alex Sink Chief Financial Officcr of Florida FLDFS HOME CONTACT US SEARCH BY SUBJECT HELP EN ESPAAOL SEARCH FLDFS Workers' Comp Home Employer Detail Page About Us This Database was Last Updated: 3141201010:32:31 PM Assessment Rates Return to Query Form Benefit Delivery Process Employer Information Centralized Performance System Employer Na JARENAS CONSTRUCTION INC Ch. 440 FL Statutes Address 71623 N.E. 97 STREET Contact Us icity 71MIAMI Databases State :I FL Zip 138 County Dade Employer Type CORPORATION NAICS Code Directory District Offices No Coverage History EDI Exemption Listings Frequent Questions Click Exemption Holder's Name for Details. History Name Memoranda/Bulletins JORGE G ARENAS Publications OSVALDO PUDOL Related Links WILFREDO SANTIAGO Rules & Forms Safety No Owner Election of Coverage Listings Statistics No Additional Locations What's New Employer Name History aetr,.rmaw„ Employer Name Name Type Change Date Legal Current Retum to Query Form DIVISION OF WORKERS' COMPENSATION (800) 742 -2214 or (850) 413 -1601 J Florida Division of Workers' Compensation - 200 East Baines Street • TaHahessee, Florida 32399.4228 • - Legal Notices �I Under Florida law, e-mail addresses are pAft records. K you do riot want yow a address released do rem to a putrC rewrft request, do M send electron and to this entity. Instep. mftd #ft WW by phone or In wdit hqs: / /secure.R fs.com/WC APPS / Compliance_ poc /wScripts/Employer.op ?EmpH — 00459... 3/5/2010 _ �1 m -'NO - -`� a -tkt ACK AV .1 Com X 'ow .: tai DO NOT FORWARD " cif f IWAAW >s ARENAS CONSTRUCTION INC � JORGE ARENAS PRES ' 623 NE 97 ST MIAMI SHORES FL 33138 toawfto& - - - -- 8a60 4 M W . 9t di" Hillfif iI31f3i31if Hi1liHffHilH Hil981dBfti SEE OTHER SIDE E AC# STATE E7F FC.4RIDA { ] _ TV' E S RO `�Su� TQN L .1tEGUI,ATION RY= CS -.: BO,A.RD r ' �r - �\H[tr 0811030088E 0 : ` . tiu1SN[3 .sue' r � •a � fi . . ' 1 '43 20, 0 8 j* vsj/y,.%pp�.T /y7 I aECU?'.�. b8.lcy�r • a�'- ti'61F€9:,s _�'� iiiiae tl�t d ons xxp date AuG '3 2QQ: �" i � vt a�►2EN1S �tCC31J'TI NC C04��" uu .�t: d` :•.s "" �;;.ifi ss St)I2ES` FL ' C7�RL =TE O"32.I, T = GOVOFt CI313RLES -DRAGO SECRETARY L, �4 litRQ�Y'LAIt1 s . A . DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE- 02/08/10 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pol)cy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such enclorsement(s). PRODUCER CONT NAmE° HERNAN OLIVERA Discount Insurance Network PHONE (A . .. M: (W5) 1399-8755- or 801 N. E. 125 Street E-MAIL North Miami, FL 33161 029ft Phone (305)89"755 Fax '(305) 909-7098 CUSTOMERID* INSURER(S) AFFORDING COVERAGE NAIC ft INSURED INSURER A: UNITED SPECIALTY INSURANCE COMPANY Arenas Contruction Inc INSURER B.' 623 N E 97 STREET INSURER C: MIAMI SHORES, FL 33138 INSURER D: (305) 300-3103 INSURER E: INSU RER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IR— – 9WF — — LT R ADOI. TYPE OF INSURANCE POLICY EFF POLICY EXP GENERAL LIABILITY INSR ylfflL POLICY NUMBER IMMIDDIYYYY) (MNMDrrrM LIMITS EACH OCCURRENCE $ 300,00C 6e COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED ❑ [-] CLAIMS-MADE RJ OCCUR PREMISES (Ea occurrence) $ 100,00E A MED EXP (Any one person) $ 5,0(X FV1 2 YEAR SUNSET CLAUSE 490404 02/0812010 02(08/2011 El PERSONAL & ADV INJURY $ 300,OOC GENERAL AGGREGATE $ 600 ,00E GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 600,00C [-] POLICY ❑ j ❑ Lor, DEDUCTIBLE $ 1,00C AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ❑ ANY AUTO I (Ea accident) ❑ ALL OWNED AUTOS ALL INJURY (Per person) $ ❑ SCHEDULED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE F HIRED AUTOS (Per accident) $ ❑ NON-OWNED AUTOS $ ❑ $ E-1 UMBRELLA LIAB ❑ OCCUR EACH OCCURRENCE E] EXCESS LIAB ❑ CLAIMS-MADE AGGREGA TE $ ❑ DEDUCTIBLE ❑ RETENTION $ $ WORKERS COMPENSATION y 7TA IS ❑ OTH AND EMPLOYERS! LIABILITY YIN LIM 11 T ER ANY PROPRIETORIPARTNER/EXECUTIVE EL. EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? Ll N I A (Mandatory in NH) E.L. DISEASE - EA EMPLOYE S If yes, nder DESCRIPTION OP ERATIONS ERAMONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) CERTIFICATE HOLDER CANCELLATION F SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE MIAMI SHORES VILLAGE BUILDING DEPARTMENT THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORRED REPRESENTATIVE HERMAN OLIVERA ©1888 -2008 ACORD ,40RPORATION. All rights reserved ACORD 26 (2009109) QF The ACORD name arIA logo are registered marks of ACORE NOTICE OF COMMENCEMENT I L :1 1111 LHill 1111 A RECORDED COPY MOST BE POSTED ON THE JOR SITEAT TIME OF RRST INSPECTION _ CIF #±II 2 0:10R10_ 14315711 OR Sk 27201 Ps 06261 QPSY RECORDED 03103x'2010 12:52 :14 PERMIT NO. TAX FOLIO NO. HARVE RUVINP. CLERK OF COURT MIAMI -DADE COUNTYr FLORIDA STATE OF FLORIDA: LAST PAGE COUNTY OF MIAMI -DADE: :THE gNDERSIONED hereby gives:notice that improvements will be made to certain real property, and in acxordance-with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. ... : :SPace.above reserved for use of recording office i. Legal description of property and stre t/address: 2. Description.of improvement: t\ Owners) name and. address:. :Interest In property: Name and address of fee simple titleholder: 4. Contractor's name, address and phone number Ag S -C S` t d i US��, IN �a,C!�1 5. Surety: (Payment bond required by owner from contractor, if any) Name, address and phone number: Amount of bond $ 6. Lender's name and address: 7- Persons within the.State of.Flodda designated Owner upon whom notices or other docurnerrts mayb&served as provided by Section 713.13(1)(a)7., Florida Statutes, Name, address and .phone number: 8. In addition to himself; Owners designates the.following person(s) to receive a copy of. the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. 3 Name, address. and phone number 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date Is specifted) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER TER 713, PART I, SECTION 713.13. FLORIDA STATUTES, AND CAN 'RESULT IN YOUR PAYING TWICE•FOR IM TO YOIJ PR ERTY A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED? ON THE JOB SITE.SEFORE THE . . F) ST IN PECTION.: . YOU I D TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY- .BEFQRE COMMENCING UIIORK v. OR REC RDING Y UR Ti F COMMENCEMENT. Sig he } no )' Aut 'zed icer/Director/Partner /Manager Y By P nt ame :4 &� ec G . Print Name-- t. Office 6 W n of Title /Office STATE OF FLORIDA COUNTY OF MIAM4 -DARE - - The foregoing instrument was acknowle�9ed before me this 3 day of Wndividually, or ❑ as for personally known, or produced the following type.of Identifi tion: Signature.of Notary Public: O Print_Name: 'gt tw (SEAL) s1. m 'S VERIFICATJQN RSlQ1��T0 SE�Tt�N FLf,�IDA STTITE$ Under penalties of perjury, I declare that I have read the foregoing and that the facts stated In It are true, to the best of my knowledge belief. Signature(s) of Owners) or Owner(s)'s Authorized Officer/Director/Partner/Manager who signed above: By B 123.01 -32 PAGE 3 11/07 - lNERNYM n1Fy � cult reel led In oifloiflve on 068, orf `�� , A.O.20 m hand and oflcwSSW VI 'RK �n2w COU* ON&. 14 see W4 S .C. omra� i Miami Shores Village P0 m g 7V m Building Department 4 FEB 1 6 ai iu 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 B Y. _ - - - - - -- INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING Permit No q G � PERMIT APPLICATION Master Permit No. FBC 20 Permit Type lb vcr , .:* Owner's Name (Fee Simple Titleholder) Phone # Owner's Address City "1 � _ State Zip 7 ,ZGZ Tenant/Lessee Name Phone # Email Job Address (where the work is being done �,, Cn City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES O Flood Zone Contractor's Company Name ?•. p.S CA:� S "�j� Phone # 21cr t Contractor's Address (n,22) ax City V\P � State �{_ Zip Qualifier Name _ yo A`1�acs - "� �5 Phone # State Certificate or Registration No. Certificate of Competency No. Contact Phone W 0 r S �® E -mail Architect /Engineer's Name (if applicable) Phone # Value of Work For this Permit $ 101 Square / Linear Footage Of Work: 22-5 Type of Work: ❑Addition Alteration ❑New Repair /Replace ❑ Demolition Describe Work: otko , k Fees 10-0 c/ Submittal Fee $ Permit Fee $ CCF $ - ` CO /CC $ Notary $ Training /Education Fee $ �' Technology Fee $ 14 . Scanning $ Radon $ DPBR $ Bond $ Double Fee $ Violation date: c� Structural Review. $ Total Fee Now Due $ See Reverse side Bonding Company's Name (if applicable) Bonding Company's Address N 00000 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 inq ,ti s cat installation has commenced prior to the issuance of a permit and that all wor ill.; or t s ! laws regulating J p construction in this j urisdiction. I understand that a separate ermiPtnt'S5`t a -u r 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 attac ent. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which o rs seven (7) days after the building permit is issued. In the absence of such posted notice, the ins 3eowinlg l ' not be app oved d a reinspection fee will be charged. Sig Signature b w er or Agent Contractor Th instrument was acknowledged before me this `z The for oing instrument was acknomiledged before mg this day of I 20 t0, by J cc P% �_,1 L e 1r e,`L ec_ t day of 20 Ja by who i personally known to me or who has produced who is personally known t o me or who has p oduced F1 � o v L t C_ As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOT PUBLIC: Sign: G� <° c <., z /�il. Sign: Print: n r c� J A.� Print: My Commission Expi r 6omRitin Ef�tMl►Mr X10 My Commission Expires: APPROVED BY Plans Examiner Zoning Engineer Clerk checked (Revised 07 /10 /07)(Revised 06/10/2009) 0 1 F EB 16 2010 GFV BY� ®®0 �du ------- ---- LIL f° A ✓ f i ) tea • PEP, • "� �✓ �� • ' ;• • Iii mi Shores Village APPRC V A ZONI • • " • LD DEPT .: •... • � • ; SUBJECT TO COMPLIANCE WITH ALL FEDER& `" ^° D COUNTY RULES AND REGULATIONS a� I U Ot 0000 . 00.0 ... 0000.. .. . 0000.. 0000.. .. . . • 0000.. 0000.. • .. 0000 • 0 • s • 9099• 9909 9090•• • 9999 0.906• • . • • • 9.9..9 9900.• •. • • • s • s 0000 m " 'I'll A� ri y i lr ' jf e 9 Low a ti's H h Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 135556 Permit Number: RC -2 -10 -228 Scheduled Inspection Date: March 08, 2010 Permit Type: Residential Construction Inspector: Bruhn, Norman Inspection Type: Final Owner: LEVEROCK, JAMES Work Classification: Kitchen Cabinets Job Address: 320 NE 97 Street Miami Shores, FL Phone Number Parcel Number 113206013586 Project: <NONE> Contractor: ARENAS CONSTRUCTION Phone: (305)300 -3103 Building Department Comments kitchen remodel Inspector Comments Passed C� Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. March 05, 2010 For Inspections please call: (305)762 -4949 Page 13 of 30