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RC-10-664Project Address Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 437 NE 102 Street Miami Shores, FL 33138 -2452 1132060170800 Block: 92 Lot: 17 & 18 ALEJANDRO BARRERAS Owner Information Address Contractor(s) ARCO CONSTRUCTION Phone 305 - 892 -6507 Cell Phone Approved: In Review Comments: Date Approved: : In Review Date Denied: Type of Construction: BATH REMODEL Stories: Front Setback: Left Setback: Bedrooms: Plans Submitted: Certificate Date: Bond Retum : Occupancy: Single Family Exterior. Rear Setback: Right Setback: Bathrooms: Certificate Status: Additional Info: Classification: Residential Fees Due CCF DBPR Surcharge Education Surcharge Permit Fee - Additions/Alterations Radon Surcharge Scanning Fee Submittal Fee Submittal Reversal Fee Technology Fee Amount $0.80 $0.15 $0.20 $120.00 $0.15 $8.00 $50.00 ($50.00) $0.80 Total: $127.90 May 06, 2010 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Expiration: 10 /26/2010 ■ Parcel Number Phone Pay Date Pay Type Invoice # RC -4 -10 -37633 04/21/2010 Credit Card 05/06/2010 Check #: 892 Amt Paid Amt Due $ 50.00 $ 77.90 $ 77.90 $ 0.00 Applicant May 06, 2010 Date Cell Valuation: Total Sq Feet: $ 400.00 30 1 Available Inspections: Inspection Type: Final PE Certification Shutter Final Window Door Attachment Tie Beam Slab Termite Letter Framing Insulation Drywall Screw Shutter Attachment Window and Door Buck Ceiling Grid Fill Cells Columns Declaration of Use 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. 1 I A i ° Miami Shores ' o es Village gams L1 BUILDING Permit No. 10 �" PERMIT APPLICATION Master Permit No. FBC20 Permit Type: BUILDING ROOFING f ) 4 O Owner's Name (Fee Simple Titleholder) �f�► rt`ec R„ Phone # 3 OrC / Owner's Address 4 3 4 1 L - d City V( • " State V � Zip 3 1' Imo Tenant/Lessee Name Email Job Address (where the work is being done) City Miami Shores Village FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name A O Q N_ I�� Phone # (�' — $ � �_ Contractor's Address .. _ State,. Zip � Qualifier Name j Phone # C�jo,� J g,cj (e) co 7 State Certificate or Registration No. 126- 1 s I ( ' Certificate of Competency No. 1 City Contact Phone Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ 4000. 00 Square / Linear Footage Of Work: , �// Repair/Replace LA) Demolition Type of Work: ['Addition Describe Work: Building Department 7 A ��?,� f! 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Est ....................... INSPECTION'S PHONE NUMBER: (305) 762.4949 ['Alteration ? . .)r] KS j O off- c r i 6)..T.5. - T County Miami -Dade Zip E -mail ❑New Phone # FL T ******** * * * * * * * * * * * *** * * * * * * * * * *** * * * ** F ees * * ** * * * *, * * ** * * * * * * * * * * * * * * * * * *** * * * * *** ** Submittal Fee $53 AND Permit Fee $ CCF $ 0 •GD CO /CC $ Flood Zone See Reverse side —* Notary $ Training/Education Fee $ 0 •9 Scanning $ 40 Radon $ 0 • t S DPBR $ 6 • IS Bond $ Double Fee $ Violation date: Structural Review. $ Total Fee Now Due $ 1 . Technology Fee $ 0 • O 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 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 reinspection fee will be charged. Signature The fore day of Owner or Agent oing instrument was acknowledged before me this , 20 , by P1 ja ir�O ( aferr ' d�/jday of known to me or who has who is personally p roduced As identification and who did take an oath. NOTARY PUBLIC: Sign: 0 /2 Print: My Commission Expires: APPRO VED BY (Revised 07 /I0 /07)(Revised 06/10/2009) NOTARY PUBLIC4TATE OF FWRIDA =Commission #DD867559 Expires: APR. 02, 2013 BONDED TEN aTc uw � co.la Plans Examiner Engineer ontract Signature oregoing instrument was a NOTARY PUBLIC: Sign: Print: My Commission Expire w edged before me this , 20 , by c r � � e,,SQk7 who is personally known to me or who has pro as identification and who did take an oath. „cgia6 eida NOTARY FORLIC,STATE OP >1r)R + M. Sandra D. Hart Commission #DD867559 Expires APR.02,2013 eaMIM11v CLAIM saamnroCn.M, Zoning Clerk checked 4 Inspection Number: INSP- 141081 Permit Number: PL -4 -10 -665 Scheduled Inspection Date: June 25, 2010 Inspector: Hernandez, Rafael Owner: BARRERAS, ALEJANDRO Job Address: 437 NE 102 Street Miami Shores, FL 33138 -2452 Project: <NONE> Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Contractor: ALADDIN PLUMBING & CONSTRUCTION CORP Building Department Comments June 24, 2010 For Inspections please call: (305)762 -4949 \v Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number (305)754 -8182 Parcel Number 1132060170800 Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments Page 3 of 12 Inspection Number: INSP - 141061 Permit Number: RC -4 -10 -664 Scheduled Inspection Date: June 28, 2010 Inspector: Bruhn, Norman Owner: BARRERAS, ALEJANDRO Job Address: 437 NE 102 Street Miami Shores, FL 33138 -2452 Project: <NONE> Contractor: ARCO CONSTRUCTION Building Department Comments NEW TILES, NEW FIXTURES, REPAIR WALLS AS NEEDED. Passed Failed Correction Needed Re- Inspection Fee June 25, 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 Inspector Comments For Inspections please call: (305)762 -4949 Permit Type: Residential Construction Inspection Type: Final Building Work Classification: Alteration Phone Number (305)754 -8182 Parcel Number 1132060170800 Phone: 305 -892 -6507 Page 8 of 27 Scheduled Inspection Date: June 07, 2010 Inspector: Rodriguez, Jorge Owner: BARRERAS, ALEJANDRO Job Address: 437 NE 102 Street Miami Shores, FL 33138 -2452 Project <NONE> Contractor: ARCO CONSTRUCTION Building Department Comments June 04, 2010 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 141067 Permit Number: RC -4 -10 -664 For Inspections please call: (305)762 -4949 Permit Type: Residential Construction Inspection Type: Drywall Screw Work Classification: Alteration Phone Number (305)754 -8182 Parcel Number 1132060170800 Phone: 305 - 8924507 NEW TILES, NEW FIXTURES, REPAIR WALLS AS NEEDED. Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments W .va so 2 cv$ .ec Page 8 of 24 NOTICE OF COMMENCEMENT CFI 2010R0303467 .OR &ds 27274 Ps 41961 tips) A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION 05/06/2010 11 =03:13 HARVEY RUVIN, CLERK OF COURT MIAMI- DADE.COUNTY, FLORIDA PERMIT NQ. TAX FOLIO NO. LAST PAGE STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal desoiption of property and street / address: 2. Description of improvement: g-tr`ly 3. Owner(s) name and address: iifi' 4t., Interest In property: Name and address of fee simple titleholder. 4. Co naee d Wass: Gc� 04 16c .c 0 3 - 5. Surety: (Payment bond required by owner from 'contractor, if any) Name and Address: Amount of bond $ 6. Lender's name and address: 7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida.Statutes. Name and Addr =ss: 8. In addition to himself, Owners designates the following persons) to receive a copy of the Uenors Notice as in Section 713.13(1)(b), Florida Statutes. Name and Address: — a:( A.., t. . 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording un ess a different date is specified) Print Owner's Name � N�V iZ '� - Prepared by ,G 'c_ ,/ 3P w ( v9 , 20 Ip . Address: 4..19 Sworn to and subscribed before me this 2 day of Notary PubIiO Print Notary's My commission expires: ` Term ,,, • Sandra D. Hart S ian #D ,n � �' Commission #DD8673S9 TISEU 41.0110 SONDISO ilk: APR. O2,20i3 STATE OF FLOR1ft`7A. COUNTY 01: DADE 1 HERFBM CERT/FY that this Is s e Py of the deb of 0ii 6r6 t in,. is op7ce on A.0.21110_ WitNEf HARV kind ?nd Or",iclef Seal. IN, LERK. of Cvcur? a County Courts 0 o.C 111111111111111111111111111111111111111111111 _� 14f1 AO - N i • �IIN.I`16/�[f��ri L�lIIY7l!yO�fil�'�'�•r� i ' •••••• •�_� - •• � - _ Snores ViliFca- (McD ? � ' 0 4u duo <1440 d 4ss& VE.7.01 ®3,qr' 06' jECT fO CCMPI_IANCE WITH ALL FEDEAtt .Y 2In FS' ANniP'CI IQN - �K rib 24?, 4 P 3At D20 RA- aC aQUNDARY SURVEY Scale 1 4 Nt1Ot9_,STM I ( NOlt a , F-33t3f hulk V2 .. OP P �2 3 art vie iliorg...V2 • joCPcTI ON: , Ot- 425 ez.-4 irtiope zo 2.00 s? o r 4sP ?4 •••• • • • 4 • • • • • • • • • aleORN)11,O RE: el-3i NE tog 12-E Ct .5kACKLGS , x .., '3313 trot) g FN 511 f\I N W s=ix cy Ives , TI c.Gs f ND A- A,s T ett t N 1 N7TPPW 1i CTti f s N & r) ?t,un 1 0 ?IN6, F To Nerr.1 TILES. '8VPIN 12 - F+- X 25 n u C D W.S , I PJ 5 U LAT oL9 i 5 , Pc kokii_ h T1-1 CO rL!N Gr N of 0")Cf -camp To 1 c •••• •••• •••• . As •••• 1 : ""1 . • • • • • ••• 4 Inspection Number: INSP - 146731 Scheduled Inspection Date: June 24, 2010 Inspector: Devaney, Michael Owner: BARRERAS, ALEJANDRO Job Address: 437 NE 102 Street Miami Shores, FL 33138 -2452 Project: <NONE> Contractor: LS CURTIS INC Building Department Comments June 23, 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 Clc Permit Number: EL -4 -10 -666 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alteration Phone Number (305)754 -8182 Parcel Number 1132060170800 Phone: 305 -892 -0115 Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments Page 10 of 18 Project Address Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 437 NE 102 Street Miami Shores, FL 33138 -2452 1132060170800 Block: 92 Lot: 17 & 18 ALEJANDRO BARRERAS Owner Information Address ALEJANDRO BARRERAS 437 NE 102 Street MIAMI SHORES FL 33138 (305)754 -8182 Contractor(s) LS CURTIS INC Phone 305 - 892 -0115 Cell Phone Type of Work: ONE GFI 3 HI HATS ONLY Additional Info: ELECTRIC Classification: Residential Fees Due CCF DBPR Surcharge Education Surcharge Permit Fee - Additlons/Alteratlons Radon Surcharge Scanning Fee Technology Fee Total: Amount 00.80 $0.15 $0.20 $150.00 $0.15 $3.00 $0.80 $154.90 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 Expiration: 10 /31/2010 Parcel Number Phone Pay Date Pay Type Amt Paid Amt Due Invoice # EL -4-10 -37635 05/06/2010 Check #: 892 $ 154.90 $ 0.00 Applicant Cell Valuation: Total Sq Feet: $ 400.00 30 Available Inspections: Inspection Type: 1 May 06, 2010 Date May 06, 2010 1 BUILDING PERMIT APPLICATION FBC 20 Permit Type: ELECTRICAL Owner's Name (Fee Simple Titleholder) 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 Permit No. Master Permit No. AP 2 7 0 3 10 Br: \1►d - rAt I r Owner's Address 459 PJ £ 1 �� y T 0 - " City Tenant/Lessee Name Email Contractor's Company Name Submittal Fee $ State &.) G Architect/Engineer's Name (if applicable) L Zip ?,j Job Address (where the work is being done) ' 3 7 j ig /0z City Miami Shores Village County Miami-Dade 1 % r r FOLIO / PARCEL # Is Building Historically Designated YES NO X Flood Zone hone # Phone # Phone # Contractor's Address )1' J ejy Are „4-,,( Citynj {47 , # State Zip 217 / es Qualifier Name 2 i i (-A /7 S Phone # ` �I J — ��2 = -��.� State Certificate or Registration ation No. 4 ( 006 Jr 2 S Certificate of Competency No,C 0 6 K fe7J - - Contact Phone ?76 Vp6 / , t( / E -mail , ,4d9 e. Phone # Vi77 P67 Value of Work For this Permit $ YOa Square / Linear Footage Of Work: Type of Work: DAddition DAlteration :New fej Repair/Replace ❑Demolition Describe Work: Ow) . F i 04,)1e4 * * * * * * * * * * * * *, * * * * * * * * * * * * * * * ** ees ** * * * * * * * *,** * * * * ** * * * * * * * * * * * * * * * * * * * * * * ** Permit Fee $ =Ca CCF $ o . 0 CO /CC $ Training/Education Fee $ 0 .ezo Notary $ Scanning $ _7 .00 Radon $ DPBR $ Double Fee $ Violation date: Structural Review. $ Total Fee Now Due Technology Fee $ 0. SS 0 Bond $ 154- go See Reverse side —4 Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) W (A' Mortgage Lender's Address 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 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 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 re- inspection fee will be charged. Signature Signature ,9 caner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this/`,, day of , 20 , by , day of /,e. / , 20 /eJ , by Jf Kix y , who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission ORA STROUT jQTARY PUBLI - - e 'COMMISSION #000660953 MY COMMISSION EXPIRES APRIL 9, 2011 * * * * * * * * **•* * * * * * ** APPROVED BY (Revised 07 /10 /07)(Revised 06/10/2009) (1 *************************************************** * * * ** ** * * * * * * * *** * * * * ** * * * * * * ** , /Plans Examiner Engineer NOTARY PUBLIC: Sign: Print: My Commissio k FLORA STRO IDA N i AR xpirm MY CO ION #DD0660953 ION EXPIRES APRIL 9, 2011 •I 1 Zoning Clerk checked SEE OTHER SIDE DO NOT FORWARD L S CURTIS INC LEWIS S CURTIS PRES 20341 NE 30 AVE 108 AVENTURA FL 33180 hanii""nuth""ahhnaim""&aq44a - ;<T4T - tAgi: ,148410802.8t ACORD,. CERTIFICATE OF LIABILITY INSURANCE PRODUCER AUTOMATIC DATA PROCESSING INS AGCY 250717 P:(877)287 -1316 F:(888)443 -6112 PO BOX 33015 SAN ANTONIO TX 78265 POURED L. S. CURTIS INC. 20341 NE 30TH AVE APT 108 AVENTURA FL 33180 COVERAGES DATE 903 -08 -201( THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIRCATE HO LDER . THIS CERTIFIC DO S NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE tacummkTivin City Fire Ins Co mans: NSnR C: INSURER D: INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE THE POLICY PERIOD INDICATED. NOTWITH5TANDIN1 ANY REOUIREMIENT. 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 AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTRR' TYPE OP INSt/RAN iOUcY NR MBER f pNIIR I E I I OATE (iI111 Y1 I LIMNS 41ENTAAL UAMUTY { i COMMERCIAL GENERAL UABIUTY CLAIMS MADE U OCCUR t N Y AGGREGATE LUAT APPLIES PER t POLICY i I , T t I LOC Ayiramt HItE UAMUIY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS FIRED AUTOS H NON-OWNED AUTOS ' 1 GARAGE UA6SftW ANY AUTO I 1 EXCESS LIABILITY OCCUR ` j CLAIMS MADE DEDUCTIBLE RETENTION $ WO1Zf S COMPENSATION AND A EIYFPLDYR�s LIABRTTY DINER CERTIFICATE HOLDER Miami Shores Village Building Department 10050 N.E. 2nd Ave. Miami Shores, FL 33238 %CORD 25-S (7197) 176 WEG TR4954 i ADDITIONAL INSURED: INSURBt LETTER: DESCRWTION OF OPEAATIDNBILOCATIONSANJ CTEMDICW $IONS ADDS BY ENDORSEMENDSTECIAL PROVISIONS Those usual to the Insured's Operations. CANCELLAT)ON EACH OCCURRENCE ; E FIRE DAMAGE (My arm Ise) 1 f j MED EXP IAny one Oe,00anl • i If PERSONAL 8 MN INJURY S sGENERAI AGGREGATE $ BODILY INJURY Mar ward (Per seadentl F (Pet RoFERly DAMAGE moderal AUTO ONLY • EA ACCIDENT p 5 EA ACC 5 AGG THAN AUTO ONLY: EACH OCCURRENCE $ AGGREGATE 1 LTH. X 1 T VC STATU• N ORY LIMITS I I ER 05/01/101 05/01/11 EL. EACH ACCIDENT $1,000,00 El. rouse •EAEI 0YEE sl, 000, 00 EL. DISEASE . PDucY UMII `. sl , 0 00 , 00 PRODUCTS • COMPIOP A00 1 8 CCD SINGLE LIMIT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TH EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTK:E 00 DAYS FOR NON- PAYMENT) TO THE CERTIRCAI HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL IMPOSE N0 OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR REPRESENTATIVES. I Ain"M"1 7 1711 74411e ° ACORD CORPORATION 19811 10/26/2009 17:45 3058916367 ACCORD A PRODUCER INSURANCE INDUSTRIES INC 953 NE 125th St N Miami, PL 33161 3 8 1 -2808 Immw L5 CURTIS INCORPORATED 20341 NORTHEAST 30 AVENUE #108 AVENTURA, FLORIDA COVERAGES LTN THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUGY PERIOD INDICATED. NOTWYRISTANDING ANY REaustsmENT. TERM OR C0ND1T10N OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WOK THIS CERTIFICATE MAY BE ISSUED OR MAY PIRTA01. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED mum 13 SUBJECT TO AU. THE TERMS. EXCLUSIONS AND COMMONS OF SUCH POLICIES. AGGREGATE LIMITS STN3WN MAY HAVE BEEN REDUCED BY PAID CLAIMS. �i.l l��i ''H � ) ■ 7 t,, � X1 :jT mos GENERAL um .ITY X COMERCIAL GENERAL LABILITY I CLA48,1 D@ ® OCCUR MNL AGOREOATE UMT AP POP, R � POLICY f l _' LOC AUTOMOUILE LUUNUTY ANYAUTO ALL OWNEDAUTOB SCHEDULED AUTOS MED AUTOS I1O3LOPRIEO AUTOS DARAGE UABILTI ANYAVfO ExcE99 /LAMELLA UMW OCCUR CI CIASFs AADE ERTIF10ATE HOLDER kuctBtit R@T6tiTION • WOF1QRB CAMININSA WWI AND EMPLOYER LIABQAY ARV PROPMEWORPARMISMINAITIVB OIMEAVEASIER t I IN am to OM W Wisp cram ACORD2S(2808101) CERTIFICATE OF LIABILITY INSURANCE Y/ 09ALL65773 INSURAMGE INDUSTRIES THE GBIFICAiE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONPIn NO RIGHT6 UPON THE CERTIFICATE HOLDER. THIS CERTWICATE DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE PQ4ddl5S BELOW. INSURERS AFFORD COVERAGE et k NOVA C&SDALTY cC ANT Ny e: INSURER D a• 10/26/09 DESeRIPTION OP OPERATIONS ILOCATORS SVENICLEB lSICLUB1oNS ACM BY ENCalseilwr t SPECK PROMOS ELECTRICAL WORK — WITHIN BUILDINGS CANCELLATION 10/26/10 1 The ACORD name and It50 are registered masks of ACORD PAGE 37/44 DATE1 01" l 10/24/2099 NAIC# UNITS EA�1 OCCURRENCE • IV wtravinu 1.000.000 100.000 5.000 1.000.000 2 000 Opp_ 2.000.000 Imo 1 P /Any a+• t) ANN. MNUalliv s GENERAL AGORSOATE di M/DUCTS • COMPIOP AGO $ COMBINED SNOW LAW (Er KOWA) OODU.Y N4JURY (Per war) (Pm- PROPERTY DAMAGE 1Pn &Wenn AUTOONLY •IBA ACCIDO+ T RAMC • Y. A0G ds EACH OCCURRENCE AGGREGATE $ 6 $ ( 42IRY1.R. is 14.1. ILLSNMAIMMENT EL. DISEASE -ad 04PLAYBE s 6 6 Dom. POLICY U1dIT s MIAMI SHORES VILLAGE 10050 NORTHEAST 2 AVENUE MIAMI SHORES, FLORIDA 33138 MAO ANY Of INC AYW$ WPM= POW= MI CialeRUAO GM= Ire OMAN 1 DATE TImA6OP. 1N5 OOIM VW= 5111I siosayse TO MI 10 0A1N =11114* Am11m TOM 0414 n mo N0L0®I RAM VS TNB LIFT. OUT MUM 10 CO AO aIALL *WOW 0 OVUOM5410R URQN.IIY 0* ANY KIND UM 1110 IN R. ITS WPM 0* 1101PREBENTATM. TIDE. All MIIMI;reserved. <:Sr' n;;, me' istagfim 437 NE 102 Street Miami Shores, FL 33138 -2452 1132060170800 Block: 92 Lot: 17 & 18 ALEJANDRO BARRERAS Owner Information Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 ALEJANDRO BARRERAS 437 NE 102 Street MIAMI SHORES FL 33138 (305)754 -8182 Contractor(s) Phone ALADDIN PLUMBING & CONSTRUCTI' CeII Phone Type of Work: NEW FAUCET, SINK, TOILET & BATHTUB Type of Piping: PLUMBING Additional Info: BATHROOM REMODEL Bond Retum : Classification: Residential Fees Due CCF DBPR Surcharge Education Surcharge Permit Fee - Additions/Alterations Radon Surcharge Scanning Fee Technology Fee Total: Amount $0.60 $0.15 $0.20 $150.00 $0.15 $3.00 $0.80 $154.90 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 May 06, 2010 /4 AP. Expiration: 10 /31/2010 Phone Pay Date Pay Type Amt Paid Amt Due Invoice # PL -4-10 -37634 05/06/2010 Check #: 892 $ 154.90 $ 0.00 CeII Valuation: Total Sq Feet: $ 800.00 30 1 Available Inspections: Inspection Type: Top Out Re Pipe Main Drain Heater Water Service Water Main Final Lavatory Underground May 06, 2010 Date 1 Tenant/Lessee Name Email Job Address (where the work is being done) City Miami Shores Village FOLIO / PARCEL # 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 VINCISIICED BUILDING Permit No. Pt'l ®--CAS PERMIT APPLICATION Master Permit No. FBC 20 Permit Type: PLUMBING Owner's Name (Fee Simple Titleholder) z ej -,d o /6'� n2... Phone # Owner's Address 43 N6 I [� °� j, �� (� City 1� . e s`\ °Teo State �l.- Zip � � g Phone # County Miami -Dade Is Building Historically Designated YES NO 0 Flood Zone r Contractor's Company Name . ji- // / /r/ A 2/fl j j�X5 Phone # 3 r--- Contractor's Address 4 6 0 /2/ / City �, it n/41-4/0 State C Zip Qualifier Name Q Phone # Contact Phone State Certificate or Registration No. c - O 2 - 6 S of Competency No. Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ _nl .�■ Square / Linear Footage Of Work: Type of Work: ['Addition ['Alteration ['New isTl Repair/Replace ❑Demolition Describe Work: Submittal Fee $ ******* * * * * * * * * * * * * * * * * * * * * * * * * * * ** * ** *F ********* * ** * * * * * ** * * * * * * * * ** * * * * * * * * * ** LO- Permit Fee $ E -mail CCF$ UY (e0 coicc Notary $ Training/Education Fee $ 6 •'' d Technology Fee $ 0- D o Scanning $ - CI) Radon $ DPBR $ Bond $ Double Fee $ Violation date: Structural Review. $ Total Fee Now Due $ 1 5 J LI , o See Reverse side --> Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address 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 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 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 reinspection fee will be charged. Signature The fore day of who is p Sign: Print: Owner or Agent Contra tor oing ' trument was acknowledged before me this . The foregoing instrument was acknowledged before me this , 20 / by day of A, 4i , . / , 20 `v , by D rsonally known to me or who has produced NOTARY PUBLIC: My Commission Expire who is pe sonally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: ID. Hart Commission #DD867559 Expires: APIA. 02, 2013 i u SI7d4W nc swam c Ca.. e3: ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED BY (Revised 07 /10 /07)(Revised 06/10/2009) NOT Plans Examiner Engineer Signature Sign: Print: /c ,utt cliekc AVIARY FVBLIC -61 A H OF FLORIDA My Commission Exp N Sandra D. Hart _Commission # DD867559 Expires: APR. 02, 2013 BONDED I= MANTIC BaRDING02. Zoning Clerk checked AC# 0072 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD 1940 NORTH MONROE STREET TALLAHASSEE FL 32399 -0783 MENESES, ORESTES FELICITO ALADDIN PLUMBING & CONSTRUCTION CORP 660 NW 121ST STREET NORTH MIAMI FL 33168 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.myflorldalicense.com. There 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! 9/13/2008 088064063 The PLUMBING; CONTRACTOR N'aime d below,,I5 ' C ERTIFIED= Under the provisions of Chapter Expiration date: AUG 31, 2010 CHARLIE CRIST GOVERNOR DETACH HERE MENESE S, 01 ESTES FELICITO ALADDIN PLUMBING & CONSTRUCTION CORP 4595 JEFFERSON AVE MIAMI BEACH FL 33140 DISPLAY - AS REOUIRED BY LAW (850) 487 -1395 MI 4000725 STATE OF FLLOR10A DEPARTMENT zOF BUS INESS AND ?ROFESSIONAL REGULATION N CFCO265°27 09/13/08 CERTIFIED PLUMBING COr TRACTOR I+ESE-S', ORESTES'. FELI.CI'0; ALADDIN PLUMBING. & • CON S' `R U C TIO 088064063, DATE BATCH NUMBER LICENSE NBR CHARLES . W. DRAGO SECRETARY "1 ANY MAY POLICIES. i ...anco w ItmoLosAniLc ua I cu ntLSAN flat IlLtN ISSUED TO THE INSURED NAMED ABOVE FOR TI-E POLICY PERIOD INDICATED. NOT WTI HSTANDING REQUIREMENT. TERM OR CONDmON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH 'THIS CERTIFICATE MAY BE ISSUED OR PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED SY PAID CLAIMS, -L LTR NSRC TYPE OF INSURANCE POLICY NUMBER policy EFFEL, rive DATE (MM/DDPM'Y) emu r1oN DATE (MMIDD1YYYY) MOTs GENERAL LIABWTY EACH OCCURRENCE $ COM MERCIAL GENERAL LIABILITY PREMISES (� I afar ce) $ ' CLAIMS MADE OCCUR MED EXP {My one person) $ GEM PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 7 POLICY f JEt:T LOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDU.ED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ — BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per ecoidert) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS 7 / UMBRELLA LIABILITY OCCUR n CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ $ $ A W ERS COMPENSATION AND EMPLOYERS` UABB.f1Y ANY PROPRIEMPARTNER/E,ECUnvE ri I OFFICER/MEMBER EXCLUDED', I (Mandatory If yes describe under SPECLAL PROVISIONS below 019615734 07/24/09 07/24/10 LVC STAN- U I + X,TORY LIMITS ER E.L. EACH ACCIDENT $100040 E.L. DISEASE - EA EMPLOYEE $ 100000 E.L. DISEASE - POLICY LIMIT $500000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Plumbing Contractor From:Ryan Lawrence FaxID:Morrisand Reynolds PRODUCER Morris & Reynolds Inc. 14821 South Dixie Highway Miami FL 33176 Phone :305 -238 -1000 Fax:305 -255 -9643 INsUr COVERAGES CERTIRCATE HOLDER Village of Miami Shores 10050 N.S. 2 Avenue Miami Shores FL 33138 ACORD 25 (2009/01) CERTIFICATE OF LIABILITY INSURANCE Aladdin Plumbing & Construction Corporation Mr. Orestes Mesetes 11700 Northwest 102 Road #10 Medley FL 33178 AGM Page 2 of 2 Date:912/200910:33 AM Page:2 of 2 DATE (MM/DDIYYYY) OP ID 09/02/09 THIS CERTIFICATE IS ISSUED AS A MATTER OF PIFOR TION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURER k INSURER B. INSURER C: INSURER D: INSURER E: Scidgetield Casualty Sae. Co CANCELLATION The ACORD name and logo are registered marks of ACORD NAIC # 10335 SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER YELL ENDEAVOR TO MAL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OP ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. PRODUcER Del Roamio Insurance II Dbe Atmar 2331 N.W. 27th Ave. MamI, R. 33142 Phone .3781 Fax (3O 633.09213 INSURED ALADDIN PLUMBING & CONSTRUCTION CORP, 660 NW 121 Of , FL 33166- (768) 234-0666 COVERAGES a 12. 2010 10:36AM CERTIFICATE OP LIAI.f Y IPISURANCE No.3216_._P 1 DATE N9/1 THE CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGIITS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMENND, EXTEND OR N8URERS AFFORDING COVERAGE INSURRER A: ASCENDENT UNDERWRITERS LLC JN R e tSURER C: INSURER E THE POLICIES OF DURANCE LISTED HAVE BEEN ISSUE) TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD PIDICATED. N0 WTrHBTANDLNG ANY REQUIREMENT, TERM OR COMMON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCEANFORDED BY THE POLICIES DESCRIBED HERE(N IS SUBJECT TO ALL THE TERMS, EXCLUS10Ns AND CONDITMONB OF SUCH rrr POLECIEs. AGGFO3ATE UNITS MOWN MY HAVE BEEN REDUCED BY PAID CLAMS. O MIRAGE LUA8U11Y ❑ ANY ALTO 0 EXCESS/ UMBRELLA LIABILITY ❑ OCCLEI ❑ CLAMS MADE 0 O DEUUGTFBLE ❑ RETENT10N $ EMPLOYE wormy ANY WRJPRErOR / PARTNER / E(ECUTTVE OFFICER /MOM EXCLUDED? I/ , describe SEAL PROVISIONS befeN OTHER CERTIFICATE HOLDER ACORD2S(2009/01) CIF COy of Miami Shores 1305 2379 Fax • 1. EXPIRATION 10/0212010 DESCRIPTION ConmerClel OF OPERATIONS 1 LOCATIONS / VEHICLES/ EXCLUSIONS ADDED BY E t SPECIAL PROVISIONS & Residential Plumbhng AUTH0RIZIE) REPRRR$MTA OCCURRENCE EACH . �rtrr 101001 100 000 MED EXP We one person) r■r PERSONAL 8 ADV INJURY GENERAL AGGREGATE 1 030 000 'ib, ..' t' .[C 1 h}[f !Hf CONNED SINGLE LW BODILY INJURY Per BODILY INJURY (Per =Went) NAIC E.L EACH ACCIDENT E.L. DISEASE - EA EmPLOYEE E.L. DISEASE - POLICY LFY1tr 1000000 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE GANCELLHD BEF ORE THE ?TON GATE TREMOR, THE ISSUING INSURER WILL TO MIS. DAYS MITTEN NOTICE TO THE CERTMCATE HOLDER NAMED TO THE L FT, BUT FAILURE TO 00 SO SHALL WOW NO OBLIGATION OR LIA@IIJTY OF ANY IOND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. 40191M-2009 ACCRD C+ORPORATEXE. All rlg111e resolved. The ACORD name and lop are realstered marks of ACORD tAMI Issued Date: 10/1/2009 Expiration Date: 9/30/2010 Business Tax Receipt #: 09- 99351743 ALADDIN PLUMBING & CONSTR. CORP. 660 NW 121 STREET NORTH MIAMI, FL 33168 City of North Miami 776 N.E.125 Street • North Miami, FL 33161 • 305 - 893 -6511 Business Tax Receipts Business Name / Address: ALADDIN PLUMBING :& CONSTR. CORP. 660 NW 121 STREET NORTH MIAMI, FL 33168 NOTICE: BUSINESS TAX RECEIPT MUST BE = 'RANSFERED'WHEN" BUSINESS iS'MOV'ED OR SOLD. NON- TRANSFERABLE • POST IN A CONSPICUOUS PLACE • NON - TRANSFERABLE