FW-10-434Inspection Number: INSP - 139295 Permit Number: FW- 3- 10-434
Scheduled Inspection Date: April 05, 2010
Inspector: Bruhn, Norman
Owner: DEVELOPMENT GROUP, REALTY
Job Address: 68 NW 100 Street
Miami Shores, FL 33150-
Project: <NONE>
Contractor: RAUSA BUILDERS INC
Building Department Comments
FENCE LEGALIZE EXISTING FENCE POOL HAS ITS
OWN CHILD PROTECTION
Passed,ii
Failed
Correction
Needed
Re- Inspection
Fee
April 02, 2010
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
e(__
For Inspections please call: (305)762 -4949
Permit Type: Fence/Wall
Inspection Type: Final
Work Classification: Wire Fence
Phone Number
Parcel Number 1131010180460
Phone: (305)554 -5711
Inspector Comments
CREATED AS REINSPECTION FOR INSP- 138232. Fence must enclose
pool around yard. West side needs fence. NB
Page 11 of 18
Project Address
68 100 Street
Miami Shores, FL 33150-
Owner Information
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138-0000
Phone: (305)795 -2204
REALTY DEVELOPMENT GROUP
1342 84 Avenue
DORAL FL 33126-
Contractor(s)
RAUSA BUILDERS INC
Phone CeII Phone
(305)554-5711 (305)970 -7253
Approved: Yes
Comments: THE ZONING CODE REQUIRES A 4 FOOT FENCE AROUND THE YARD WITH THE POOL THE F
Date Approved: 3/17/2010: Yes
Date Denied:
Type of Construction: Wire Fence
Classification: Residential
Additional Info:
Fees Due
CCF
Education Surcharge
Permit Fee - Wire & Wood
Scanning Fee
Technology Fee
Work without Permit Fee
Total:
Amount
$0.60
$0.20
$100.00
$3.00
$0.80
$100.00
$204.60
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.
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
Address
Parcel Number
1131010180460
Block: Lot:
Phone
Pay Date Pay Type
Invoice # FW -3 -10 -37319
03/25/2010 Credit Card
03/17/2010 Check #: 2585
Amt Paid Amt Due
$ 154.60 $ 50.00
$ 50.00 $ 0.00
Applicant
REALTY DEVELOPMENT GROUI
Valuation:
Total Sq Feet:
$ 500.00
38
March 25, 2010
Date
Expiration: 09/20/2010
CeII
Available Inspections:
March 25, 2010 1
Inspection Type:
Final
Foundation
03/25/2010 14:20
3052208920
L SEA OTHER SIDE
3059707253
DO NUT FUHWAHL
RAUSA RLLTL MFRS CORP
NELSON' HERNANDEZ PRES
4039 SW 142 AVE
MIAMI FL 33175
r„ ii. ,, „ ii,,,I „i,i, :alt, ►�„ia�1,1�,7�l,t
PAGE 01
BUILDING
PERMIT APPLICATION
FBC 20
Permit Type: BUILDING ROOFING
Owner's Name (Fee Simple Titleholder) P61 f /A Phone #
Owner's Address 27 20 SO 7(9- Sr 0/2
S
City /Wien/ State / Z Zip 35
Tenant/Lessee Name LJ/0 cA - J Phone #
Email CdL 1h / 9' g S y A d 0 D. G 0/
Job Address (where the work is being done)
City Miami Shores Village County Miami -Dade Zip
FOLIO / PARCEL #
Contractor's Company Name
Contractor's Address 40 q 5
City r r c414
Qualifier Name !v e l$'. ro
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
3 / So %' g 0
68 Ntt, /00
Permit No[F 10
Master Permit No.
si
Is Building Historically Designated YES NO - Flood Zone
g4 g ,1 c\ evj t . Cq.Phone #
/ `I Z core
State ft • Zip 23 1 - 7S
✓1" G►v. chZ
3a_ s="- 9Z2 7
3
30 - 5`5 4--_57 / /
Phone # 30,C- 1'7 ° - - 77.5,
State Certificate or Registration No. G G, C / rl Co 3 p Certificate of Competency No.
Contact Phone 3 05 1 7 0 2 5 3 E -mail
Architect/Engineer's Name (if applicable) Phone #
Square / Linear Footage Of Work: 3 3 L f
Value of Work For this Permit $ .
Type of Work: ❑Addition ❑Alteration
Describe Work: £A/ C
® D0 L. #.45 /,7"..5 ® w/ i C4/4 "// n 7 (' 774
New ❑ Repair/Replace
*,****** * * * * * * * * * * * * * * *` * * * * * * * * * * * * * ** F *** * * * * * * *` * * * * * * * * * * * * * * ***` **
Submittal Fee $ " NW() Permit Fee $ / U ' O dQ CCF $ 0� (aQ CO /CC $
Notary $ Training/Education Fee $ 0'20 Technology Fee $ 0 0
Scanning $ 0( Radon $ DPBR $ Bond $
Violation date:
Structural Review. $ Total Fee Now Due $ 1 4' (.�
See Reverse side -
lc/SEWED
GEAR i 7 2I)1t
❑ Demolition
Bonding Company's Name (if applicable)
Bonding Company's Address
City
Mortgage Lender's Name (if applicable) ) c-T f; /4,UC /,G 4 CZ- c
Mortgage Lender's Address $ 7 7 0 S 7J ? 20 sr / /j
City State
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 WO R K, 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 certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days a the building permit is issued. In the absence of such posted notice, the
inspection will not . approved and a reinspection fe, = ill be charged.
Owner or Agent
The foregoing instrument was acknowledged before me this
day of 10 , 20 ID , by
who is ' ersonally known to me or who has produced
identification and who did take an oath.
Print: - -- ) 0He. fief no r092
My Commission Expires:
APPROVED BY
(Revised 07 /10 /07)(Revised 06/10/2009)
State
NOT
Sign:
MARTA HERNANDEZ
MY COMMISSION # DD 803097
EXPIRES: July 2, 2012
f Plans Examiner
Engineer
Zip 3 3/7
Contractor
The foregoing instrument was acknowledged before me this
day of 1 , 20 0 , by
who is personally known to me or who has produced
' dentification and who did take an oath.
Print: n20r
My Commission Expires: Y
4 • . o MARTA HERNANDEZ
MY COMMISSION # DD 897
EXPIRES: July 2, 2012
°t* Tha8ulgetad
(7,c3 Zoning
Clerk checked
Plann nd ring Criteria
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit NO. FW -3 -10 -434
a II
Expires:
Folio Number:1131010180460
Owner's Name: REALTY DEVELOPMENT GROUP
Job Address: 68 100 Street
Miami Shores, FL 33150-
Owner's Phone:
Total Square Feet:
Total Job Valuation:
Contractor(s)
Primary Contractor
Planning and Zoning Criteria and Comments
Approved: Yes Date Approved: 3/17/2010 : Yes
Comments: THE ZONING CODE REQUIRES A 4 FOOT FENCE AROUND THE YARD WITH THE POOL. THE FENCE IS
APPROVED FOR HEIGHT AND LOCATION, BUILDING OFFICIAL TO VERIFY FENCE MEETS REQUIREMENT FOR POOL
FENCE.
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Fence
Height (ft)
Terminal Post
Dimensions
(in inches)
(o.d. X wall thickness)
Line Post Dimensions
(in inches)
(o.d. X wall thickness)
Terminal Post
Concrete
Foundation Size
(diameter X depth)
(in inches)
Line Post Concrete
Foundation Size
(diameter X depth)
(in inches)
)Upto4
23/8x0.042
15/8x0.047
10x24
8x24
Over 4 to 5
2 3/8 x 0.042
1 7/8 x 0.055
10 x 24
8 x 24
For SI: 1 inch = 25.4 mm.
NOTES:
1. This table is applicable only to fences with unrestricted airflow.
.1. •Fabric: 12 % gauge minimum.
•3 • • tensior>, bars: Use one less than the height of the fence in feet evenly spaced.
• • .• Fabric ties: Mast minimum the same gauge of the fabric.
5b ' ie Spacing on the Top Rail: Five ties between posts evenly spaced.
11. a i 'ie:Specing on Line Posts: One less than height of the fence in feet, evenly spaced.
•,EI e t+opraie or top tension wire shall be used.
• 8" Br mdstbe used at Terminal Posts if top tension wire is used instead of Top Rail.
L&. _ :PostApecirig:,1 0 foot (3m) on center maximum.
Se embedded to within 6 inches (152 mm) from bottom of the foundation.
rd, g rffllow the contour of the land, the bottom of the fence may clear the contour of the ground by up to 5 inch
m 7 vftllout increasing table values to the next higher limit.
• .
4� TOPtOPrERTIES WITH POOLS:
If the fence is to meet the criteria as a pool barrier, the fence shall not be climbable and all rails must be placed facing
the inside of the property. Pedestrian gates shall have self- closing and latching devices installed at the minimum of 54"
above ground. For further details see Section R4401.7.1 of FBC.
CONCURRED
Created on 5/22/2009 MLDV
Li,4 /3
tv a-06 GOr't P
—s GoNly �! eeNC,Q
460 A* 110,144 -
CHAIN LINK FENCE DESIGN DETAIL
(ACCORDING TO THE F.B.C. SECTION R4408.11)
TABLE R4408.11
CHAIN LINK FENCE MINIMUM REQUEREMENTS
S - r--- CeN
iami Shores Viiiage
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
P q' ri Shores Village
?`�i�r \MTH ALL FEC)EPAL
Revised on 5/22/2009
M iami Shores Viiiage
Building Department
REQUIREMENTS FOR FENCE PERMIT
❑ $50.00 submittal fee when submitting your permit.
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Permit application must be accompanied by:
2 copies of your survey (not older than 7
p Y Y ( years).
If survey is older than 7 years fill out Survey Affidavit form.
❑ If owner is doing the job, owner must fill and notarize Owner Builders
Disclosure form (This form must be signed and notarized in the building
department only).
❑ Show the proposed size on survey including, required 40 sq ft of garbage
area, location of gates if any, and height (can not exceed.§' ftheigh$)...•
❑ Include wood or chain link specs form (one with each survey). s•••:•
•.••••
•• 411 00 0
...•••
•• •
• ••
• •
000000
• •
•...•.
•
•
•..•••
00000
• •
0000
• • • •
• 000000
0
000000
NOTICE: • • • • • •
ALL OTHER TYPES OF FENCES WHICH DO NOT COMPLY WITH ESPECIF4CA .****• • • • • • •
MENTIONED ABOVE, MUST PROVIDE 2 SIGNED AND SEALED ARCHITECTURAL OR ••••
ENGINEERING DESIGNED DRAWINGS, OR MIAMI DADE COUNTY PRODUCT APPROVALS.
0 Cp
LOT -92 17 '95
•
•
•
•
• •
• •
•
(E STORY
fES. 068
I OARN3E ElEV.
LOT - 55
BLOCK -S
BOUNDARY SURVEY
GRAPHIC SCALE
0 10 20 40
a
LOT-10
BLOCKS
(IN FEE7)
1 INCH o20 FEET
80°410
GAL DESCRIPTION:
LOCATION SKETCH SCA
5582 PEW. 7th S7REETSUITE 202
MIAMI FLORIDA 23128
TELEPHONE: (905) 284.2880
FAX: (3O5) 284-0229
DRAWN BY: LILY
B.C.
F.LP
NO CAP
4043
(7__L (At
LOr•10
BLOC! -
• • • •• .•_ ! • •••
• von p uruel� ors nt. : � • • ' ,•
WAND SURVEYORS • • • • • • • • • • •
SKEET ND. 1 OF 1
F.I.P 1/2°
140 CAP
F.I.P 12"
NO CAP t
LOT-15
,BLOCK •
LEGAL NOTES TO ACCOMPANY SKETCH OF SURVEY (SURVEY):
EXAMINATIONS OF TI2 ABSTRACT OF TITLE WILL HAVE TO BE MACE TO DETERMINE
RECORDEDINSTRUMENTS, IP ANY, AFFECTING THE PROFERTY.
-TES SURVEY IS SUBJECT TO DEDICATIONS, LHITATTONS. RESTRICTIONS,
RESERVATIONS OR EASEMENTS OF RECORD.
.LEGAL DESCRIPTION PROVIDED BY CLIENT OR ATTESING TITLE COMPANY.
-BOUNDARY SURVEY MEANS A CRANING AMY OR AORAPMCREPRESENTATION OP THE
SURVEY WORN PEtFORMED W THEF:E/D. COUL0 SE DRAWN AT A SHOWN SCALE AND
OR NOT TO SCALE
- EASEMENTS AS SHOWN ARE PER PLAT BOOK UNLESSOTHERIMSE NOTED.
. TFE TERMINVCRO40H0EYP MEANS MIELE ON AND ABOVE GROUND ENCROACHMENT.
- ARCMTECTS SHALL VERIFY ZONING REGULATIONS RESTRICTIONS AND SL:TBACKS AND
THEY WIL 8E RESPONSIBLE OP SUBWTTOLO PLOT PLANS WITH TIE CORRECT MFORMAIION
POR 1509 APPROVAL FOR AUTHORTVA TO AU785511I?S IN A MEW CONSTRUCTIONS,
UNLESS OTHERWISE NOTED, ICS FIRM HIS NOTATT9Q'TED TOLOO4IEPOOTI0 AMIOR e
Za ELF:
LOT- 57
BLOCK • 5
all
FOLJNDATIONB
-FENCE OYWNERSHP NOTOETERM9NE0.
- THIS RAN OF SURVEY, HAS BEEN WEPAREDFOR I140EXCLUSIVE USE OF IUE EM IIISOO _. BLOCK VAL [.
NAMED HEREON. DM CERTIFICATE DOES NOT EXTEND TO ANY UNNAMED PARTY.
- THE AMP FLOOD MAPS HAVECESIOM' ATED THE IQRENOESCRMEDLAND TORE SITU/MEOW mum:.
175.00•
LOT -15
BLOCK-6
A11:13dOH1d S,b13NMO
NO 30N3d 5t7 V H11M
30V1d31=1 1SflV4 1:13NMO 1 11YM
/30N3d 3AOVN31I SIdO9HOI3N di
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T O M : : IP COMIAOTVIPMWUSUPPOC 1 2 0 0 8 2 . 2 1 0 2 { D A T E OPRI M' 0841•T009 - 020 18 0100.
X FENCE.
BASE ROOD ELEVADOM NM FEET, i H c = , .vut Hni tPIENAN S EWEN.T” ET - Feer.
O/S - OFFSET.
LOT -IS
98000.5
p =n.
WM • MVO,. C DETIO i'FRx1CAL MOM
F.I.P 12°
NO CAP
LOT
BLOCK -5
LOT- 20
BLOCKS
PROPERTY ADDRESS:
WNW 100 ST
MIAMI SHORES, FL 33150
CERTIFICATIONS:
REALTY DEVELOPMENT GROUP
DLT HOLDINGS, LLC
DLT FINANCIAL, LLC
A. H3deb N •eL
NO DON :d 8 Ed +al
- Wald IS111/1
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( ° I tg t V IIkVEI? f .6'$E7U{ E.f MBOSSED SEAL OF THE
N IN OOREvA,1
:91,ROPMeing,i
OVERHEAD
RES. RESIDENCE.
PLANTER .
PROPERTY LTA IE.
POINT OF COMIVIIIS CURVE. s. P. SET IRON PIPE L. B. 9e049.
POINT OF CURVE.
POINT OF TAN.MY POINT OF REM. CURVE
MAMMY . OTILITY POLE.
RECORDED DIST...
OF LOT 13, BLOCK 5, OF NAVARRO
RDING TO THE PLAT THEREOF AS RECORDED IN THE PLAT BOOK 12,
AGE 59, OF THE PUBLIC RECORDS OF MIAMI -DADE COUNTY, FLORIDA.
SURVEYOR'S NOTES:
1). IF SHOWN, BEARINGS ARE REFERRED TO AN ASSUMED MERIDIAN, BY SAID PLAT IN THE
DESCRIPTION OF THE PROPERTY. IF NOT, THEN BEARINGS ARE REFERRED TO COUNTY,
TOWNSHIP MAPS.
2). ALL ELEVATIONS SHOWN ARE REFERRED TO NATIONAL GEODETIC VERTICAL DATUM OF 1929
MIAMI -DADE COUNTY BENCH MARK • N-4444. LOCATOR NO. 3100
ELEVATION 10.79 FEET OF N.G.V.D. OF 1929
3). THIS IS A SPECIFIC PURPOSE SURVEY.
4). THE CLOSURE IN THE BOUNDARY SURVEY IS ABOVE 1:7500 FT.
I HEREBY CERTIFY: THAT Th00 BOUNDARY SURVEY" OF THE PROPERTY DESCRIBED HEREON,
AS RECENTLY SURVEYED AND DRAWN UNDER MY SUPERVISION, COMPLIES WITH THE MINIMUM
TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF PROFESSIONAL LAND
SURVEYORS IN CHAPTER 51017 -B, FLORIDAADMINISTRATIVE CODE PURSUANT TO 472027,
FLORIDA STATUTES.
L I V E CENTER LINE.
CENTRAL ANGLE.
WOOD FEN..
0 0.4
TRAFFIC FLOW
L E :N.T.S.
11.00.10.0.10. 102.13 211.619.111g
L
Viviana Cubillos
Building Department
10050 NE Second Ave
Miami Shores, FL 33138 -2382
Ms. Curbillos:
On 3/18/2010 I forwarded an email from the contractor on this permit with the insurance
and license information. I wonder I you were able to print them. I am attaching them to
this fax but I'm not sure how they came out since they are a bit light.
Please let me know.
Yours truly
Dosammq
ai MAR 2 4 2010
•
BY-
Carlos de la Torre
30,E - 97 -9
ca /9s1tr& Y
Fax 305- 756 -8972 and mailed
Re: Fence Permit FW -3 -10 -434
68 NW 100 ST
60/
Return to:
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
IBM To
REALTY DEVELOPMENT GROUP
1342 NW 84 Avenue
DORAL, FL 33126-
Date
03/17/2010
03/17/2010
03/17/2010
03/17/2010
03/17/2010
Wednesday, March 17, 2010
Fee Name
Permit Fee - Wire & Wood
CCF
Education Surcharge
Technology Fee
Scanning Fee
Invoice
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
For Inspections please call: (305)762-4949
Invoice Number: FW -3 -10 -37319
Invoice Date: March 17, 2010
Permit Number: FW- 3- 10-434
Bond Number:
Comments:
Fee Type
Calculated
Calculated
Calculated
Calculated
Fixed
Total Fees Due:
Fee Amount
$100.00
$0.60
$0.20
$0.80
$3.00
$104.60
Payments
Date Pay Type Check Number Amount Paid Change
03/17/2010 Check
2585 $50.00 $0.00
Total Paid:
$50.00
Total Due: $54.60 I
ACCRA. CERTIFICATE OF LIABILITY INSURANCE DATE (N 01YT)
i .
1 1/09/2009
PRCOUCFR 305 227 - 0082 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
FONTAINEBLEAU INSURANCE CONSULTANTS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
I 8250 W FLACLER ST #118 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
MIAMI, FL 33144 ALTER THE COVERAG ? AFFORDED BY THE POLICIES BELOW.
INSURED
AUIOMORE F MAW ITY
ANY AUTO
I AI .1 OWNER AUTOS
$L"NcOUL >UTOS
HIPEO AUTOS
NON OWNED AUTOS
GARAGE LIABILITY
j ANY ALITO
EXCESS LIAFILITY
UGC UN I_ ... j CLAIMS MADE
II' , DEDUCTIBLE
i RETENTION A
RAUSA BUILDERS INC
4039 SW 142 AVE
MIAMI, FL 33175
WORKERS COIAPENS ATION AND
I EMPLOYERS' LIABILITY
^
CERTIFICATE HOLDER I X ADOrWNAL INSURED, INSURER tETTER: CANCELL,ATION
ACOHD 25 -S (7;971
INSUREF S AFFORDING COVERAGE
INSURER A' ACCIDENT IN SURANCE COMPANY
INSURER B
INSURER C.
INSURER O:
INSURER £:
COVERAGES
THE POLICIES OF iNSUHANCE. LISTED BELOW HAVE BEEN ISSUED TO THE INSI RED NAMED ABOVE FOR THE t 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 T :RMS. EXCLUSIONS AND CONOIT DIN OF SUCH
POLICIES. AGGREGATE Loa in SHOWN MAY HAVE BEEN REDUCED BY PAID CI AIMS.
MR INSURANCE I (( OLIC EFFECTIVE PO EXPIRATI )N --
17JI..;__ TYPE OF INSUR POLICY NUMBER P
1 nnic Y nJAtmlTlvvl nn I LE Y rMMmnLr t 1 � UNITS
GENERAL UABRJTY
1 EACH OCCURRENCE 1,000,000
A X I. C . c./InIMEHDIAL GENERAL t!ARE ITY: AGL85510 10/07/2009 . 10/0712011 FIRE DANULGE(APY we re) 5 100,000
L..._..._ I CtaUASMADE , _ X I AIED EUP TAPY ,1/11, pErsxl. i5 5.000
1 _ _ PERSONAL P. R
ADV INJJ" , $ 1 01)0.000
I—_f GENERALAGGREGAIt s 2000.000
__GEli'L AGGREGATE LIMIT APPLIES PER. I PRODUCTS • COMPrOP AGO 5 2,000000
X I POLK:Y I 1 . J[Ci ■ < LOC
OTHER
DESCRIPTION OF OPERATION S/LOCATIONSNENICLESJE$CLUS10N8 ADDPD BV ENDORSEAIENTSPEOAL PHOVISIONE
CERTIFICATE HOLDER IS NAMED ADDITIONAL INSURED AS REGARDS TO THE L LABILITY INf URANCE.
COM81AED SINGLE LI',F
(Ea accMNsN
BODILY INJURY
er PUlgc.)
BODILY INJJRY
{Per acddert)
PROPERTY DAMAGE
(Per Hoc:O i)
` AUTO ONLY EA ACCLOE-N." S
I OTHER THAN EAA_C _S AUTO oaiLY:
EACH OCCURRENCE
W C L MIT GTN
TORY LIMITS
F.L. EACH ACCIDENT S
E.L DISEASE • EA EMPLOYEE 1
DISEASE POLICY IMP 5
{
—
SHOULD ANY OF IRE ABOVE DESCF IRED POLICIES BE CANCELLED a2 i HE EXPIRATION
DATE THEREOF, THE ISSUING INSU RER WILL ENDEAVOR TO MAA. _=D__ DAYS YIP17: TH
NOTICE TO THE CERTIFICATE ROLE ER NAMED TO ThE LEFT. BUT LAI1 LIRE TO 1)0 SO SHALL
IMPOSE NO OBUGATION OR LIAR1, MY OF ANY RPM UPOt, TRS(Iamt RER. ITS AOSNrs 4R
REPRESENTATIVES.
AUTROM:AD REPRESENTATIVE 45 5
•
_ .. _ cp.:AC. �RD CCI)1 PO-RATIOP1 196
THE POUICESOF:NSIIRANCE I..S11,1) RH OW HAVE BEEN ISSUED U1 HE INSUR,EUNAMEDABOVE
ANY REOJIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH
MAY PERTAIN. THE INSURANCE AFFORDED SY THE POLICIES DESCRIBED HERETI IS SUBJECT
POLICIES AGGREGATE L'555 s■OWN MAY HAVE BEEN RSDUCEU by FAIR OIAIMS
TNSR AST _.... .. _. -
LTR ]VSR D TYPE OF INSURANCE POUCY NUMBER
FOR THE ROL'.CY PERIOD :NC:;:. TED. NOTV/:THSTAN.J1NC
RESPECT TO W -ITT THIS LFRPFCA II MAY RE ISSUED OR
TO AL. -ME. IFRMS 5501. USOL, -N I L( ■1TI I :ijNS of Soo,
P .. UI Y EXPIRATIC V
pOp9 OA (MN5OD5YY! LIMITS _
F ACM 000t.RRENLE 1
DAMAGE: TO HLR IET
FRE MISER ,1 ac.,,
MEDEA' A0YOnn o01''u; 1 _.
Ih_RSONAL 8 AU ,... IR. I.
GLYEHA. AGGREGATE
PROC,L,T5 0OMPr0P AGL S
()UNSEAL LABILITY
-
COMMERG11 ,.E5 ERA: 1.ACI.'."
'1LA IVSAIADE CG._ JP
•
CETEL AGGREGATE LDPI'f APP.IFS PER
POLICY JECT j 1I.O0
DATE THEREOF. THE ISSUING INSI RER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
LAUTOMOBM1P 5IABIUTY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED A OTOS
HIRED AUTOS
NON OWNED AUTOS
COMBINE D SINGLE UIMI I t
Ea 8w10P11
RODII A n,JR
.Pqr ;Lemon.
50041 TOUR'
O'er acO00n11
. PROPER DAMAGE
' , PO, ucode,,':
GARAGE LIABILITY
I ANY AUTO
; AUTO ONLY . EA ACLIDE N' 5 .......
OTHER THAN E. r.CC. ? b
AUTO ONLY ALA;
{ EXCESSIUMBRELLA LIABIUTY
OCCUR - 044155 MADE ■
1
: DEDUCTIBLE
RETENTION y
EACH CCCJRRENCE 5
I AGGRE ,ATE
S
-
r
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
A ; 0W1C301001261 -109
ANY PROPRI E TOR/PAR TNEFVE xEC1, 1:VE
:OFICER/MEMBEREXCLUD1- D'
'hye555POVIS10"
9 PEGAL PROVIS:ON3 Ca:cx
10/23/09 10/23/111
.AA. S . ALI, Oro.
TORY L IM,' E. A . E R .
E ,- 550 ,ACCIDEN 1 1,000,000.
'•- -' - -
t - ii4 CMFLrre :1,000,
E . .111 P15000 I M' 51,000,000.
: OTHER
DESCRIPTION OF OPERATIONS 'LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Remodeling Contractor
AcORD CERTIFICATE OF LIABILITY INSURANCE oP18 Dz DATFIMMDDrYYYY)
RAUSA 1 � il/09�09
PRODUCER
Emmanuel Insurance Agency
Sarai Medina
2370 E 8 Ave
Hialeah FL 33013
Phone:305 -693 -0003
INSURED
COVERAGES
ACORD 25 (2001108)
4039 SW 142
Miami FL 333175
Pax: 305-691-4381
THIS CERTIFICATE IS ISSL ED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO 1_IGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICA t DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE At FORDED BY THE POLICIES BELOW.
INSURERS AFFORDING C04 ERAGE
INSURER .A Guarantee Ins. Co.
INSURER
INSUREH
INSURER .T_.
INSURER E
NAIC 0
11398
SHOULD ANY OF THE ABOVE DES( RIBEO POUCIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF. THE ISSUING INSI RER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
•
NOTICE TO THE CERTIFICATE HOL TER NAMED TO THE LEFT, BUT FAILURE T000 BO SHALL
DEPOSE NO OBUGATION OR LIABI ITV OF ANY KIND UPON THE INSURER. ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
Sarai Medina
r, Arnan [:nRPORATION 1988
AcORD CERTIFICATE OF LIABILITY INSURANCE oP18 Dz DATFIMMDDrYYYY)
RAUSA 1 � il/09�09
PRODUCER
Emmanuel Insurance Agency
Sarai Medina
2370 E 8 Ave
Hialeah FL 33013
Phone:305 -693 -0003
INSURED
COVERAGES
ACORD 25 (2001108)
4039 SW 142
Miami FL 333175
Pax: 305-691-4381
THIS CERTIFICATE IS ISSL ED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO 1_IGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICA t DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE At FORDED BY THE POLICIES BELOW.
INSURERS AFFORDING C04 ERAGE
INSURER .A Guarantee Ins. Co.
INSURER
INSUREH
INSURER .T_.
INSURER E
NAIC 0
11398
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487 -1395
1940 NORTH MONROE STREET
TALLAHASSEE FL 32399 -0783
HERNANDEZ, NELSON
RAUSA BUILDERS INC
4039 SW 142ND AVE
MIAMI
FL 33175
Congratulations! With this license you become one of the nearly one million
Floridians licensed by the Department of Business and Professional Regulation.
Our professionals and businesses range from architects to yacht brokers, from
boxers to barbeque restaurants, and they keep Florida's economy strong.
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.
Thera you can find more Information about our divisions and the regulations that
impact you subscribe to department newsletters and learn more about the
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.
Thank you for doing business In Florida, and congratulations on your new license!
x. Y
STATE OF FLORIDA
„ DEPARTMENT O
'?•r:� PROFESSIONA
CGC1510038 08
CERTIFIED OPE RA
HERNANDEZ, LHO
•RAUSA BUILDERS I
IS CERTIFIED under th
aspitattom :detar AIIO 31,
DETACH HERE
ACS 3928343
BATCH NUMBER
08 19
F'L 3317q
HEXt1JODE7 . NELSox.
RAU ;A SI1IL s
403S I SW 142 k AVE •
The t1?.`:CoNTRA TO0
Named; bexaw`ag cEETIFIEW
Under :the pxri�ri»ioae• of $
Expiration dates AUG 31.:.201
:CHARLIE .CPIS.T
GdrERNOR
DE •
x.4.S
TA'T pF FI*ORIDA
.Y LICENSIING BOOAARDLkT Ol+
Pt.AAVA LAW
AGO 39283L
BUSINESS AND
REGULATION
19/08 088037141
CONTRACTOR
C
provisions of Ch.489 P
010 L00081902412
EQ# L0800190241:
CHARLES; W. DRAGO
SECRETARY