RF-10-1242Project Address
Owner Information
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204
600 NE 98 Street
Miami Shores, FL 33138 -2472
1132060171840
Block: Lot:
CHARLES SAMMONS
1
Address
Parcel Number
CHARLES SAMMONS
600 NE 98 ST
MIAMI FL 33138 -2472
1
Contractor(s)
ABC SEAMLESS RAIN GUTTERS (305)226 -3995
Phone Cell Phone
Fees Due
CCF
Education Surcharge
Permit Fee - Repairs
Scanning Fee
Technology Fee
Total:
Amount
$0.60
$0.20
$100.00
$3.00
$0.80
$104.60
Phone
Type of Work: Gutters
Additional Info: GUTTERS
Classification: Residential
Scanning: 1
Pay Date Pay Type
Invoice # RF -7 -10 -38384
07/19/2010 Credit Card
07/08/2010 Cash
Amt Paid Amt Due
$ 54.60 $ 50.00
$ 50.00 $ 0.00
Applicant
Cell
Valuation:
Total Sq Feet:
$ 1,000.00
300
1
Available Inspections:
Inspection Type:
Final
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.
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
July 19, 2010
Date
July 19, 2010 1
Architect/Engineer's Name (if applicable)
Miami Shores Village
Building Department
10050 N.E:2nd Avenue, Miami. Shores, Florida 33138
Tel (305).795.2204 Fax: (305) 756.8972
INSPECTION'S PRONE NUMBER: (305) 762:494
Phone #
BUILDING Permt V-1 - 12`_1
PERMIT APPLICATION Master Permit No.
FBC 20
Permit Type: BUILDING ROOFING
Name (Fee Simple Titleholder) .C. ? C.S ..S A/4/i. Phone . fd 2. . 7 q y
Owner's Address .. & o . A r •
City RI Oil' Sitar-5 State .. Zip . . 3 te
Tenant/Lessee Name Phone #
Email
Job Address (where the work is being done) (0D () FZ.� c l ) 1
City Miami Shores Villarze County. Miami -Dade Zip
FOLIO / PARCEL #
Is Building Historically Designated YES NO Flood Zone
Contractor's Company Name : AO C_ • S SS Ttl 6 Phone. # ( o) 22_6 -3 q kT
Contractor's Address if 2 /ld _' i 1'l s j •••
City 1 'r State Zip , ` � C� /
Qualifier Name e ea_ J i' ezo Phone
Certificate of Competency No.
State Certificate or Registration No. ® .6 r
,
Contact Phone rte — 2-Y6 P 6 I S I E -mail '. All C 1 . Gv r • S e s ta - ,
Value of Work For this Permft S " 1. 0 0 C'J -
Square / Linear Footage Of Work; . 3
Type of Work: °Addition °Alteration °New /_ . Repair/Replace 0 Demolition
Describe Work:
. — _ S P A - - l moo' -ii Rr 6 t irett .S .S`7'E . 4 V k11 r MFr✓n
' -- vo
Submittal Fee $ _ %�-� Per rnut Fee $ %C' CCF $ n • CO /CC $
Notary $ Training/Education Fee $ C � Technology Fee $
Scanning $ 0 • Radon $ DPBR $ Bond $
Double Fee $ Violation date:
Structural Review. $ Total Fee Now Due $ 54-'0
See Reverse side --->
Bonding Company's Nanie (if applicable)
Bonding Company's Address
City State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State
MUNI ■
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: 1 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 .construct on lien law brochure will be delivered to the person
whose property is subject to attachment.. Also a certif ed copy of the recorded .notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days der the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will-be charged.
Signature
fo _
day
who person
NOT
4
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Sign;
Print:
My Commission Expires:
* * * * * * * **
APPROVED BY ::
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,.-. ma
Plans-Examiner
Engineer
Signs ar
Print: 1 1*
My Commission Expires: Alan f :. 2 10/ °
f _
WM A.:VIGANEGG
0 4-
Notary Publ'le, State of Florida
NV maim. e es-NoV:• 2010
Zoning.
Clerk checked
Owner or Agent
instrument was a owle ed this
1y kn
PUBLIC
(Revised 07 /10 /07)(Revised 06/10/2009)
wn to me or who has produce
As identification and Who did take an oath.
Signature
ntractor ..
The foregoing instrument was acknowledged before me this a:..
day of l j , 20 /0 , b 'F- ArOk 4 4`7eo^i .
ho is personally known to me or who has produced - TV
as identifica on and who did take an oath.
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IN
8725 N.W. 117 St.
Ph: 305 -226 -3995
CUSTOM
B Seamless
C Rain Gutters
Bay #4 • Hialeah, FL 33018
Name r
Address:
City, State APPROVED
(14) � 6
JOB SITE:
Phone
P c-e-rnt ,yryq [!� J[� z° IN EPT
TOTAL FOOTAGE TO DOWNSPOUT
TOTAL $
DEPOSIT $
BALANCE $
CLIENT SIGNATURE:
email abcraingutters @rinsn.com
pr ALUMINUM
❑ COPPER
❑ GALVANIZED
O CREDIT CARD ❑ STAINLESS STEEL
❑ CASH
❑ CHECK
DATE:
96
Date
Time
Customer #:
BY
DATE
SALES REP OA--
5 YEAR GUARANTEE ON LABOR / 20 YEAR GUARANTEE ON MATERIAL
EXCEPT: Damage resulting from accident, misuse. abuse, neglect, or from other than normal and ordinarli use of the product.
TERMS OF PAYMENT: Payment In full due upon completion. Contracts which state a draw cut off date and payment release date are the only exceptions
and must be signed by representatives of both parties. FINANCE CHARGE: Finance charge in amount of the lesser of 1.5% per month (18% per annum),
or the maximum allowed by law. will be added to all invoices that are 30 days past due. APPROVAL: No alterations or additional work shall be performed
unless agreed to by ABC Seamless Rain Gutters, Inc, beforehand, in writing. , e are not . nsible for damage to roof tiles, shingles or fascia boards.
361
/v AUTHORIZED SIGNATURE
Seamless Rain Gutter
Serrta Gonzalez P.E.
Secretary the
of the Board
Miami -Dade County retains all property rights herein.
Construction Trades Qualifying Board
BUSINESS CERTIFICATE OF COMPETENCY
09BS00361
ABC SEAMLESS RAIN GUTTERS INC
D.B.A.:
JIRON"FANOR A
Is certified under the provisions of Chapter 10 of Miami -Dade County
VALID FOR CONTRACTING UNTIL 09/30/2010
QUALIFYING TRADE(S)
0049 METAL GUTTER /DWNS
www.rr arnidade.govlbuildingcode
ALEX SINK
CHIEF FINANCIAL OFFICER
STATE OF FLORIDA
DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORKERS' COMPENSATION
* * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW
CONSTRUCTION INDUSTRY EXEMPTION
This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law.
EFFECTIVE DATE:
PERSON:
FEIN:
BUSINESS NAME AND ADDRESS:
ABC SEAMLESS RAIN GUTTERS INC
9185 N W 112 TERRACE
HIALEAH GARDENS FL 33018
SCOPES OF BUSINESS OR TRADE:
1- GUTTER INSTALLATION
11/02/2009 EXPIRATION DATE 11/02/2011
JIRON FANOR A
264762707
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 thi
section may um recover benefits or compensation under this chapter. Pursuant to Chapter 440.95(12), F.S., Certificates of election to be exempt.. apply only within
scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 4405(13), F.S., Notices of election to be exempt and certificates
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 antic.
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 1
named on the certificate to meet the requirements of this section. QUESTIONS?
OWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09 -06
MIAMI -DADE COUNTY TAX COLLECTOR
140 W. Flagler Street
Miami, Florida 33130
Please keep your receipt for
future reference.
Thank you and have a nice day.
7/19/2010 1300/223/001TRAA 0016 -0001
Last Seq. #:0002 WI LBT #:00 595415 -2
Local Business Tax $201.25
MIAMI -DADE COUNTY TAX COLLECTOR
LOCAL BUSINESS TAX SECTION
140 W. Flagler St. - 1st Floor
Miami, Florida 33130
TEMPORARY RECEIPT
2010 -2011
LOCAL BUSINESS TAX
Local Business Tax #:00595415 -2
State /CC #:09BS00361
Issued to:
ABC SEAMLESS RAIN GUTTERS INC.
Type of Business:
SPECIALTY BUILDING CONTRACTOR
THIS RECEIPT IS ISSUED AS EVIDENCE OF
PAYMENT FOR YOUR LOCAL BUSINESS TAX
OR PERMIT.
YOUR OFFICIAL RECEIPT WILL BE MAILED
TO YOU WITHIN 10 DAYS FROM THE
VALIDATION DATE ON THIS RECEIPT.
Payment Received as Certified Above
Miami -Dade County Tax Collector
7/19/2010 1300/223/001TRAA 0016 -0002
Last Seq. #:0002 WI LBT #:30 595415 -2
Local Business Tax $175.00
CA
CHANGE
MIAMI -DADE COUNTY TAX COLLECTOR
LOCAL BUSINESS TAX SECTION
140 W. Flagler St. - 1st Floor
Miami, Florida 33130
TEMPORARY RECEIPT
2010 -2011
MUNICIPAL CONTRACTOR TAX
Local Business Tax #:30595415 -2
State /CC #:09BS00361
Issued to:
ABC SEAMLESS RAIN GUTTERS INC.
Type of Business:
SPECIALTY BUILDING CONTRACTOR
SEE BACK OF OFFICIAL RECEIPT FOR
NONPARTICIPATING MUNICIPALITIES
$380.00
Payment Received as Certified Above
Miami -Dade County Tax Collector
$3.75
THIS RECEIPT IS ISSUED AS EVIDENCE OF
PAYMENT FOR YOUR LOCAL BUSINESS TAX
OR PERMIT.
YOUR OFFICIAL RECEIPT WILL BE MAILED
TO YOU WITHIN 10 DAYS FROM THE
VALIDATION DATE ON THIS RECEIPT.
THIS IS TO CERTIFYTHAT 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 MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAYHAVE BEEN REDUCED BY PAID CLAIMS.
N il
LTR
TYPE OF INSURANCE
ADM
I SR
SUBT�
WM
POLICY NUMBER
POUCTEFF
(MMIDDIYYYY)
PO
DTs
A
GENERAL UABIITY
INSURED
ABC SEAMLESS RAIN GUTTERS INC
8725 NW 117 St Bay # 4
HIALEAH GARDENS, FL 33018-
(305)828 -0802
INSURER AMERICAN VEHICLE INSURANCE COMPANY
GL -0504004988 -00
05 /1812010
05/182011
EACH OCCURRENCE
$ 1,000,000,00
DAMAGE (Eaourrence)
$ 100.000.00
!] COMMERCIAL GENERAL UASIUTY
MED EXP (Any one person)
$ 5,000.00
• II CLAMS -MADE n OCCUR
PERSONAL & ADV INJURY
$ 1,000.000.00
•
❑
GENERAL AGGREGATE
$ 1,000.000.00
GENT_ AGGREGATE LIMIT APPLIES PER
PRODUCTS - COMPIOP AGG
$ 1,000. 000.00
5 POLICY • ,1EIC p loC
$
AUTOMOBILE UABILITY
• ANY AUTO
CONBIta D SINGLE LIMIT
(Ea accident)
$
BOCILY INJURY (Per person)
$
• ALL OWNED AUTOS
BOULY IWUTN (Per accident)
$
II SCHEDULED AUTOS
PROPERTY DAMAGE
(Per accident)
$
HI
III RED AUTOS
• NON -OWNED ALTOS
$
$
•
. UMBRELLA LIAR 1 °c am
EACH OCCURRENCE
$
■ EXCESS LUIS • CLAIMS'MAOE
AGGREGATE
$
• DEDUCTIBLE
$
$
• RETENTION $
WORKERS COMPENSATION
AND EMPLOYERS' UABLITY Y I N
N / A
I—I WC STATU- iI OTh -
1, TORY UNITS 1 1 ER
E.L. EACH ACCIDENT
$
ANY PROPPETORIPARTNERIEXECUTI VE I I
OFFICER/ NEWER EXCLUDED?
E.L. DISEASE - EA EMPLOYEE
$
(Mandatory In NH)
It yes, describe uncle
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
$
DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required)
MIAMI SHORES VILLAGE BLDG DEPT
10050 NE 2nd AVE
MIAMI SHORES, FL 33138
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE -
Aloccli CERTIFICATE OF LIABILITY INSURANCE
DATE (hOWDDlYYY1)
07/09/10
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: Elite certificate holder Is an ADDITIONAL INSURED, the policy yes) 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 endorsement(s).
PRODUCER
Florida Bankers Insurance
7278 SW 8 Street
Miami, FL 33144
Phone (305)266 -6493 Fax (305)262-0679
CONTACT MARTA ALONDO
(NC No. Ext: (305) 266 -6493- 1 F, No): (305) 262-0679
ADDRESS: marta.rloridabankersinsurance .com
PRODUCER
CUSTOMER IDS:
INSURER(S) AFFORDING COVERAGE
NAIC IF
INSURED
ABC SEAMLESS RAIN GUTTERS INC
8725 NW 117 St Bay # 4
HIALEAH GARDENS, FL 33018-
(305)828 -0802
INSURER AMERICAN VEHICLE INSURANCE COMPANY
INSURERB:
INSURER C :
INSURER D :
INSURER E :
INSURER F :
Jul. 9. 2010 12 :51PM
No.8462 P. 1/1
COVERAGES
CERTIFICATE NUMBER:
REVISION NUMBER:
CERTIFICATE HOLDER
ACORD 25 (2009109) OF
CANCELLATION
@ 1988 -2009 ACORD CORPORATION. All ri ghts rosary
The ACORD name and logo are registered marks of ACORD
Business Name:
ABC SEAMLESS RAIN GUTTERS INC
8725 NW 117 ST 604
HIALEAH GARDENS, FL 33018
Business Type: COMMERCIAL ST
LICENSE
Delinquency Fee: A 10 percent d
each month thereafter with total
NOTES: COMMERCIAL STORA
NO PAINTING OF ANY KIND, MO
INSIDE BUILDING.
City License 0 ial
CITY OF HIALEAH GARDENS
10001 N.W. 87TH AVENUE - HIALEAH GARDENS, FLORIDA 33016
BUSINESS TAX RECEIPT
LICENSE MUST BE EXHIBITED CONSPICUOUSLY AT YOUR PLACE OF BUSINESS
DATE: 10/26/2009
Issued To:
FANOR A JIRON
9185 NW 112 TERRACE
HIALEAH GARDENS, FL 33018
percent fee Is charged for
LAY, NO VEHICLES FOR SALES,
S, ALL WORK SHALL BE DONE
LICENSE YEAR 2009 - 2010
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Inspection Number: INSP- 149151 Permit Number: RF -7 -10 -1242
Scheduled Inspection Date: July 22, 2010
Inspector: Bruhn, Norman
Owner: SAMMONS, CHARLES
Job Address: 600 NE 98 Street
Miami Shores, FL 33138 -2472
Project: <NONE>
Contractor: ABC SEAMLESS RAIN GUTTERS
Building Department Comments
REPLACE RAIN GUTTER SYSTEM ALUMINUM
Passed
Failed
Correction
Needed
Re- lnspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
July 21, 2010
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspector Comments
CREATED AS REINSPECTION FOR INSP- 148052.
For Inspections please call: (305)762 -4949
Permit Type: Roof
Inspection Type: Final
Work Classification: Gutters
Phone Number
Parcel Number 1132060171840
Phone: (305)226 -3995
Page 17 of 17
Inspection Number: INSP - 148052 Permit Number: RF -7 -10 -1242
Scheduled Inspection Date: July 21, 2010
Inspector: Bruhn, Norman
Owner: SAMMONS, CHARLES
Job Address: 600 NE 98 Street
Miami Shores, FL 33138 -2472
Project: <NONE>
Contractor: ABC SEAMLESS RAIN GUTTERS
Building Department Comments
July 20, 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
tx
Permit Type: Roof
Inspection Type: Final
Work Classification: Gutters
Phone Number
Parcel Number 1132060171840
Phone: (305)226 -3995
REPLACE RAIN GUTTER SYSTEM ALUMINUM
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
N e 0 \ - -= 1 ->c e r 70 4 - .
D .D-A- )1 \i
Page 6 of 17