Loading...
RF-10-1659M iarti ° Sb.�res . Vifl.age .. 10O5ON K0433131 .: •' is (3Q5) 795;•2204 Pax (3Q5) ;„ YNSPECTION,1lONF NUM* (30 766,4 B PERMIT : AM IC FBC 20 Owner's Name co City V F Si Titleholder) 64 )14 .,. Mr 4) 6 ►le e oldl Phone # 7.4 6 (`.: ..2..c34, Job Address Nike tic work is being done) / • City Mini Shores Village County Mlemi= Dada_ .._Zip _ is linfiding I oY Oesiguated .: 4 NO Yikar NMI AreNte a e+ 's Name (if applicable) w •Notary $ ' TrandngfEdueation Fee S ZO/ I6 3:16 ai43 SCLINICA S99SZL95OE N• 3JV3 SOIAYO zap 3 . f3 Scan g$ . Radon S _ .• ••Vigil szz►. v«o -odez . Flood Zone • . co traelor'ti ter , • o►Qf'' *\ t 1 . 'Cc�l-�ers 0. Wi C� t` °e2s '. Contractor's Addr tr8 4 C ° �!�f1r1e m Orwe •pity• W e, _ Stated F1 - 333 la Ca • Zip • (Nailer Name Ctrl® �tf te. • Phone # 1 St 2S G % $N. . State Cez Kate oriRegiseaafion No. Certificate of Cgmpoteney.No. 09E1% oo6s7 Contact Pliane,„_„ „ : P -mail TWO a ra'nSht [gv erS .CO/1 Value of Work For this Permit S t J CO O o.° Sivare•/ L ear rootaffe Of Work; Type of Work: f Addition DAlteration ► ►: ew ai � �'r ' •ion -- : **ii,. or•w •**4* * * i imniis ** eat : !,00*** *4iti Ga4��i ts444: aubmi i kee 0 edit ®� •cci r[:rU fC s: S;SSZLSSbc SZ ;00 GTOZic,T/60 ZIZ seed Application i s harebY e m obtain a permit to do the Work d installations as India*. I Ccetify t no •vvnrk or installation bus con tented prior to tie issuance • of a permit and that all work will be perfmmed to meet the *standards of all laws imitating construction in this don. I understand that a separate permit must be secured far ELECTRICAL WORK, PLYING, SIGNS, WELLS, POOLS, Fi RNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC . ® B R ' S AF A s : I certify that ai, the foregoing ing r Lion is accurate and that all 'Work be dome in. comp l ce wide all applicable laws regula construodon mad zoning ; a4 R 1k71,7f2- �R'" t r,, n7 �. '>� • 1t TR' ITT. !G+ r ! w TC C IZ A .r 7� v e tom: d� a'�F' �. ar. 'z._a `c e a.- .. ^�.` -."�c a Eit-; �, ]i` C'°`�' F �5nZ �°t" y� �'t,.s�r`'$"Za�l' �` �.� J+ii CZ �5a� COMMENCEMENT •MAY • . RESULT IN YOUR PAYING TWICE .. FOR IMPROVEMENTS TO YOUR. .PROPERTY IF YOU INTRNI • TO • O TMI• DANCING, iPONSV`LT WITH YOUR LENDER OR AN ATTORNEY: BEFORE RECORDING IfOUR•NOTICE OF COMMENCEMENT." Notice toApplieant:.4s a condition to the L ,mince e a _building parintt with an .estimated value.erceeding $2500, . applicant must promise in goad' faith ti.at a copy 'of the notice of commenceinent and construction lien law brochure' wilt be deli'v'ered to the person e`N`hooS'�fr r.rs' 7 .- F4 a4`�w`, �ki?a Y �: d3�'Na� b. a€ `:a,, Lt`. f iaa rdt�it;i 's � yt�t,'. �t lt,� f`Sil.e`,s : ;17• =L-2 c a,,.'' ..`.$ !€'s b: T3 r 32-.1 tI L TME'-.iu 2 v y d'a ,U& for the first inspection; h occurs seven (7) days after the building permit, is issued 1 of the absence posted notice, the inspection will not be apve 1 and a r einspection ee `wind be ckarged The foregoing inane:mit was acknowledged bsfore me this / Tie $oa' me • _rent Ins seknowletigod Wore me NB, If - 4saT C � 2110,,b : t 7 , 7 c f A ' 21 Ity Rout a ` la p? nel f!mol d to avr la ho h9_s r*.fadnov. -1 ► is rest i ' 1J r lemv•''n t 'II" aR isrhn' ' e7i' ' ASS ii s ��y/���'/y��" /•}, y,�{yyy -iy d � one a who d oeth, _ es is alleetion who did t a en c,e�: 89O8d2�u�S2S 8 LTAL!C i N0 V pI iX .6 • ************************1** iPa111r9' e dd • lily ib. jamdniesion. oaej Pis, Rohert.Villanneva . t - = .cowMLtsstoN #DD856081 A EXPIRES: JAN. 29; 201 �• VYWW.A cori �• i�i ertoo tittetet6'r ' 01' 7' "dt' L9B� 'E11' 'A$} '�t$l�' . !", ' ' '****"*******0*** • PATRICIA B. REEDER MY COMMISSION #'DD 878398 . EXPIRES: June 27, 2013 • Bonded Yhau Notary Public Uneenvriters rte• Sirmrt SC99ZL9S0£ 113119 saiava Sign: 6Z t4-60 _i�edLE Z =22 2:2 a°i;. Inspection Number: INSP - 151390 Permit Number: RF -9 -10 -1659 Scheduled Inspection Date: October 18, 2010 Inspector: Bruhn, Norman Owner: HUNDERVADT, ROBIN Job Address: 9100 N BAYSHORE Drive Miami Shores, FL 33138- Project: <NONE> Contractor: RAIN SHIELD GUTTERS Building Department Comments Passe�� / 61Kei(, Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments GUTTERS October 15, 2010 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 Permit Type: Roof Inspection Type: Final Work Classification: Gutters Phone Number (305)751 -7624 Parcel Number 1132050010560 Phone: (954)825 -6154 Page 5 of 14 Rain . Shield Gutters Corp. RESIDENTIAL & COMMERCIAL Submitted To Licensed & Insured CC # 09-AL-15291 -X Payment may be ade as folIowsr, A 44 ;064 I Gwee Date 1 I/ 428 Cameron D . Weston, H. 33326 /44) 10 Ph: (954) 825.6154 (786) 704.1889 info@rainshieldgutters.com wwvu.rainshieldgutters.corn Free Estimates Se Habia Espanol We 'propose :10 ;hereby furnish, materi and labor, complete in..accordance with above specifications, for the sum of r dollars ($ 1'4'0 ) 1.. =All material is guaranteed to be as specified and all work will be completed in workmanship like manner to standard practices. 2. Any deviation from above specification involving extra cost will become an extra charge over and beyond the estimate. 3. Customer agrees to pay a 1 1 h %o (18% annual) per month service charge on any unpaid balance of this contract over 30 days past due. 4. Customer agrees to pay all costs and expenses of collection of any unpaid balances due under this contract, including reasonable attorney's fees. 5. This proposal may be wi drawn if not accepted in , days. SALESMAN " CUSTOMER 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. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY (MMIDDIYYYY) POLICY EX? (MMJDDIYYYY) LIMITS A GENERAL LIABILITY N INSURER A: Accident Insurance Company AGL85592 10/08/2009 10/08/2010 EACH OCCURRENCE $ 1,000,000 n COMMERCIAL GENERAL LIABILITY • • CLAIMS -MADE Q OCCUR DAMAGE TO RENTED PREMISES (Ea oocusence) $ 100,000 MED EC: (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 • GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: n POUCY U ERCT • LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ AUTOMOBILE UABIUTY COMBINED SINGLE UMIT (Ea accident) $ II ANY AUTO BODILY INJURY (Per person) $ • ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS $ • HIRED AUTOS • NON -OWNED AUTOS PE MACE (Per ideal) $ $ II • UMBRELLA LIAB • OCCUR • EXCESS UAB • CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ • DEDUCTIBLE • RETENTION $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY y, N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) - ffyes describe under DESCRIPTION OF OPERATIONS below N IA WC STATU- 1 OTH- TORY I EMITS I I FR EL EACH ACCIDENT $ EL DISEASE - EA EMPLOYE $ EL DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Mrs. Bertha Hundevadt 9100 N Bayshore Drive Miami Shores, Fl 786 - 295 - 3206 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE ACCORDANCE WITH THTHEREOF, CY PROVISIONS. DELNER ®IN AUTHORIZED REPRESENTATIVE Alibi ._. A � ® CERTIFICATE OF LIABILITY INSURANCE DATE „ ` o °°""”' 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 policy)ies) 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 Express Service Insurance Agency 900 E. Atlantic Blvd. #10 Pompano Beach, FL 33080 Phone (954)943 -7900 Fax (954)943 -1810 NAME: PHONE FAX E#): (A/C. Not M ADDRESS: PRODUCER CUSTOMER ID It INSURER(S) AFFORDING COVERAGE NAIC ffi INSURED RAIN SHIELD GUTTERS, CORP. 428 Cameron Dr Weston, FL 33326- (786) 704 -1889 INSURER A: Accident Insurance Company INSURER B: INSURER C: INSURER D : INSURER E: INSURER F : COVERAGES CERTIFICATE HOLDER ACORD 26 (2009/09) QF CERTIFICATE NUMBER: CANCELLATION REVISION NUMBER: © 1988 2009 ACORD CORPORATION. AU rights reserved. The ACORD name and logo are registered marks of ACORD