Loading...
FW-11-675Permit Number: FW -4 -11 -675 J Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 158499 Inspection Date: August 30, 2011 Inspector: Bruhn, Norman Owner: PAZ, EMMANUEL Job Address: 1291 NE 102 Street Miami Shores, FL 33138- Project: <NONE> Contractor: ALL DADE FENCES, INC., Permit Type: Fence/Wall Inspection Type: Final Work Classification: Iron/Ornamental Phone Number (239)565 -3103 Parcel Number 1132050200050 Phone: 786- 229 -8223 Building Department Comments 5' HIGH ALUMINUM FENCE 3 SINGLE GATES 1 -14' ROLLING GATE PENDING NOC 6/8/11 Passe- / ei9or- Inspector Comments CC-- Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until August 30, 2011 For Inspections please call: (305)762 -4949 Page 1 of 1 NOTICE OF COMMENCEMENT A RECORDED �COPPYY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT N O ! DE t t (` i i • Wig -FOLIO NO.1 1 32O b2'D0S6 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. 111111 1111111111 11111 11111 1111111111 1111 1111 CFN 2011R0425995 OR Bk 27738 Fs 1543; (ip91 RECORDED 06/29/2011 111:49:10 HARVEY RUVIN► CLERK OF COURT MIAMI -DADE COUNTY? FLORIDA LAST PAGE 1 Space above reserved for use of recording office 1. L al des .lion of property and street address: l EAtf I2,C f r� ffTR0Ct fgf°D I 41 tSEp P�il�®FS�OA/ erawde P 2. Description of improvement: rife 3. Owner(s) name and .ddress: . 74%1 IrMALEPP i RMATIMOY S�LgG A Wirt 1= Interest in property: .1y / it& • Wear Name and address of fee simple titleholder: 1 4. Contr- clot's name, addre s d pho e umber: 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 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, 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. 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 specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO O =THIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING Y - „ NOTICE OF CO ENCEMENT. Signature(s) of Prepared By Print Name Title /Offic ized Officer /Director /Partner /Manager Prepared By Print Name Title /Office STATE (F FLORIDA COUNTY OF MIAMI -DADE The foregoing instrument was acknowledged before me this 1.5 day of By ❑ Individually, or ❑ as for ❑ Personally known, or ❑ produced the following type of ident is Signature of Notary Public: Print Name: VERIF Und that Signature VIo4a "e,. En el • I /Yl n7 iil \1 V� iTi l (SEAL) .10F0.0 PURSUANT TO SECTION 92.525. FLORIDA STATUTES of perju . - fare that I have read the foregoing and he best of my knowledge and belief. Authorized Officer /Director /Partner /Manager who signed above: EXPIRES: February 27.2014 Bonded Thru Budget Notary Services By NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON f N THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO 14- 11 �1.,AX FOUO NO.1 t -320 02D -06-6 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. L;•al descri lion of prope 111111111111111111111111111111111111111111111 CFN 2011R042599-5 OR Bk 27738 P 1543► (1Ps) RECORDED 06/29/2011 1149:11 i HARVEY F:UV'IHr CLERK OF COURT MIAMI —DADE COUNTY, FLORIDA LAST PAGE Space above reserved for use of recording office and street/address:11tf &1 1 Zr" f Tttvc ' iBo°D 1 SFD PLAT" ®FS io,V 1 . 2. Description of improvement: 3. Owner(s) name and ddress: Interest in property: VA) Name and address of fee simple titleholder: d pho�ye dumber: ' 11 �?t �t�l rile /L) 4. Contr- ctor's name, add 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 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, 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. 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 specified) WARNING TO OWNER ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO O5,TAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING Y - NOTICE OF CO ENNCEMENT. .�RJ"erfsl o .[ett�f.Ta7!91I_11fi:T Signature(s) of Prepared By Print Name Title /Offic STATE F FLORIDA COUNTY OF MIAMI -DADE The foregoing instrument was acknowledged before me this 15 day of ed Officer /Director/Partner /Manager Prepared By Print Name Title /Office By ❑ Individually, or CI as for ❑ Personally known, or ❑ produced the following type of ident Signature of Notary Public: Print Name: (SEAL) VERIF P R. UANT TO SECTION 92.525, FLORIDA STATUTES Un -r penalti of perju I d Aare that I have read the foregoing an that in it a - true, • . he best of my knowledge and Signature By . 2011 %tome e Bolded Thru Budget Notary Services EXPIRES: February 27.2014 F OF FLORIDA. COUNTY OF DADE EBY CERTIFY that this is a trio copy of the uthorized Officer/Director/Pa • - • - • •- -. day of I{ ■ i By Co, FL 111 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 BUILDING PERMIT APPLICATION FBC 20 Permit No. i APR 1 8 2011 p b BY: .............: . �rJ k(o'Th Master Permit No. Permit Type: BUILDING �,ROOFIN /G OWNER: Name (Fee Simple Titleholder): 1/"ifl�C -` / z Address: /2-q/ /Q� S7 City: /ij/ 4 �// 5f /e State: fz-- Tenant/Lessee Name: Phone #: ! — —3 / °3 Phone #: Zip: 35 /JK Email: JOB ADDRESS: I aq 1 NG. 02 atr Q q.+ City: Miami Shores County: Miami Dade Zip:. J !3 8 Folio/Parcel #: Is the Building Historically Designated: Yes CONTRACTOR: Company Name: fit( Dadt NO Flood Zone: Cs, trZC Address: 2 2O '. -oes- �-� City: ±-4.c f� 1 Qualifier Name: S I C1i O I` -eCc4 State Certification or Registration #: Contact Phone #: State: fL- v_012IL mo.ax9.2'an Z�S Zip: 3)(42 2 Phone #: 31 '�� ' 2535 Certificate of Competency #:gSaSOO2&SS •22G-g22.3 Email Address: L RO(Yl &9.0 caldetdeCences.com DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ 1$ 12W • 00 Square/Linear Footage of Work: Type of Work: ❑Addition ❑Alteration New ORepair/Replace Description of Work: 5 a H i9 rig aLUrr n Unn 0' 3- 51 r1GJ I C -- IL r R.01 line ocl --e • 2Jd Demolition r * ** *** * *** ******** *** x**+x *************Fees*** * * *+ *** **m******* *** ****** * * ** :********** pJ Submittal Fee $ � Permit Fee $ CD sQ CCF $ CO /CC $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE Ora • 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 AlFIDAVIT: 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose prope ubject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the , st inspec ion which occurs even (7) days after the building permit is issued. In absence of such posted notice, the inspec ion will not be app ed and a reinspec is n fee will be charged. Own- or Agent the foregoing instrument was acknowledged before me this day of O:pa- `� ([ , 20 iL , by l l n/a/21,( 1 who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission: elk ., * MY COMMISSION # DD 936181 EXPIRES: februai127, 2p14 • Bondediiuu Budget Notary Services Signature Contractor The foregoing instrument was acknowledged before me this S day of ( , 20 I I , by . 1.51 %j o T4 who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: &Win Print: My Commission °ta"'ue4� L1D IANA ROMEAO t "�1 * MY COMMISSION # DD 938181 EXPIRES: Februa 27 2014 4.0Fsoc Bonded Thru Budget Notary services ************************************$************ *** **** ** **** * *****,s* **w****,* ************* ******** *** ** APPROVED BY �`t Plans Examiner (� ( il. 6 Zoning Structural Review Clerk (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION FORM ALL CONTRACTORS MUST PROVIDE COPIES OF LICENCES AND INSURANCES EACH TIME A PERMIT IS SUBMITTED OR THE VILLAGE MAY MAINTAIN A FILE WITH YOUR INFORMATION FOR A $30.00 FEE PER YEAR. IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. COPY OF QUALIFIERS STATE LIC CARD B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF LIABILITY INSURANCE (CERTIFICATE HOLDER TO BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKERS COMPENSATION (EITHER CERTIFICATE OR EXCEMPTIONI IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICE OF COMPETENCY OF QUALIFIER B. COPY OF MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT C. COPY OF LIABILITY INSURACE (CERTIFICATE HOLDER MUST BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKER COMP INSURANCE (EITHER CERTIFICATE OR EXEMPTION) YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE HOLDER AS FOLLOW: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 BUSINESS NAME: COMPLETE CONTRACTOR'S INFORMATION Pitt Dade CAS, Ir -r, BUSINESS ADDRESS: 2:120 l S S CITY H h STATE ZIP CODE 36CD 1 (o BUSINESS PHONE: ( Sao • 2&5S- FAX NUMBER (3l ) 5 2 ` (-/3(Q) CELL PHONE (�acj 22R. E22 3 QUALIFIER'S NAME: IA5 I C( O( 9Ci QUALIFIER'S LIC NUMBER: qg r DS 00 2S9 E -MAIL ADDRESS (IF APPLICABLE): L o IdcdeeCcS .c ory1 Created on 3119109 BY MLDV 1 RV 3126109 MLDV CTQB Construction Trades Qualifying Board BUSINESS CERTIFICATE OF COMPETENCY 98BS00285 ALL DADE FENCE INC D.B.A.: RTEGA I SIA Is certified under the provisions of Chapter 10 of Miami -Dade County VALID FOR CONTRACTING UNTIL09 /30/2012 QUALIFYING TRADE(S) 0018 FENCE 0020 FLOORING 0034 MISC METALS MIAMI -DADE COUNTY TAX COLLECTOR 140 W. FLAGLER ST. 1st FLOOR MIAMI, FL 33130 2010 MUNICIPAL CONTRACTOR'S 2011 FIRST -CLASS TAX RECEIPT U.S. POSTAGE MIAMI -DADE COUNTY - STATE OF FLORIDA PAID PURSUANT TO COUNTY CODE SEC. 10 -24 MIAMI, FL EXPIRES SEPT. 30, 2011 • PERMIT NO. 231 RECEIPT NO. 30- 4306072 CC NO: 98BS00285 BUSINESS NAME / LOCATION ALL DADE FENCES INC 2720 W 78 ST OWNER :ALL DADE FENCES INC SEE BACK OF RECEIPT FOR A LIST OF NON- PARTICIPATING MUNICIPALITIES Receipt holder must register in the city where work is to be done. PAYMENT RECEIVED MIAMI -DADE COUNTY TAX COLLD /20/2010 02250039001 000225.00 MIAMI -DADE COUNTY TAX COLLECTOR 140 W. FLAGLER ST. 1st FLOOR MIAMI, FL 33130 RECEIPT HOLDER MAY DO BUSINESS AS A CONTRACTOR AS SPECIFIED HEREON. SPECIALTY BUILDING CONTRACTOR DO NOT FORWARD ALL DADE FENCES INC ILSIA ORTEGA PRES 2720 W 78 ST HIALEAH FL 33016 1 2010 LOCAL BUSINESS TAX RECEIPT 2011 FIRST -CLASS MIAMI -DADE COUNTY - STATE OF FLORIDA U.S. POSTAGE EXPIRES SEPT. 30, 2011 PAID MUST BE DISPLAYED AT PLACE OF BUSINESS MIAMI, FL PURSUANT TO COUNTY CODE CHAPTER 8A - ART. 9 & 10 PERMIT NO. 231 412348 -5 THIS IS NOT A BILL - DO NOT PAY RENEWAL BUSINESS NAME / LOCATION RECEIPT NO. 430607-2 ALL DADE FENCES INC CC B 98BS00285 2720 W 78 ST 33016 HIALEAH OWNER ALL DADE FENCES INC Sec. 9T pe of Business WORKER /S 16 SPECIALTY BUILDING CONTRACTOR 1 THIS IS ONLY A LOCAL BUSINESS TAX RECEIPT. IT DOES NOT PERMIT THE HOLDER TO VIOLATE ANY EXISTING REGULATORY OR ZONING LAWS OF THE COUNTY OR CITIES. NOR DOES IT EXEMPT THE HOLDER FROM ANY OTHER PERMIT OR LICENSE REQUIRED BY LAW. THIS IS NOT A CERTIFICATION OF THE HOLDER'S QUALIFICA- TIONS. PAYMENT RECEIVED MIA MI•DADE COUNTY TAX COLLECTOR: 08/06/2010 60010000542 000045.00 SEE OTHER SIDE DO NOT FORWARD ALL DADE FENCES INC ILSIA ORTEGA PRES 2720 W 78 ST HIALEAH FL 33016 i1IUI111111113111111111*I11 11113:311:: 11:11111111inI1Il4,1 A ®° CERTIFICATE OF LIABILITY INSURANCE PRODUCER Phone: (954) 828 -9948 Fax (954) 828 -9949 SABAL INSURANCE GROUP, INC. 805 E. BROWARD BLVD., SUITE 303 FORT LAUDERDALE FL 33301 DATE (MM/DD/YYYY) 04/01/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 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 NAIC # INSURED ALL DADE FENCES, INC 2720 WEST 78TH STREET HIALEAH FL 33016 305 -826 -2535 INSURER A: Indian Harbor Insurance Co. 36940 INSURER B: Progressive American Insurance 24252 INSURER C: INSURER D: INSURER E: COVERAGES 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 AGGREGATE UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE I R LTR LT ADD'L INSRC TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE IMMIDDIYY) POLICY EXPIRATION DATE (MMIDDIYY) UMITS AUTHORIZED REPRESENTATIVE A • GENERAL UABIUTY COMMERCIAL GENERAL UABIUTY ESG0026475-02 05/25/10 05/25/11 EACH OCCURRENCE $ 1,000,000 X DAMAGE TO RENTED PREMISES (Ea ocarrence) $ 100,000 CLAIMS MADE X OCCUR MED. EXP (Any one person) $ 1,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GE N L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2,000,000 POLICY X PRO ■ LOC $ B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 08202870 -5 08/16/10 08/16/11 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ _ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY vI N ANYCER/MEETORIEXCLUDRIEXECUTIVE ❑ (Mandatory In N ER EXCLUDED? (Mandatory In NH) If yes, describe under SPECIAL PROVISIONS below I TO RY Y UMI s I 1 OTHER TO AC E.L. EACH ACCIDENT $ E.L. DISEASE -EA EMPLOYEE $ E.L. DISEASE- POLICY OMIT $ OTHER DESCRIPTION OF OPERATIONS /LOCATIONS/VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION Miami Shores Village Building Department SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 10050 NE 2nd Avenue EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO Miami Shores, FL 33138 DO SO SHALL IMPOSE NO OBUGATION OR LIABIUTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE • Attention: ACORD 25 (2009/01) Certificate # 7410 © 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD JEFF ATWATER 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 03 -24 -2011 CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: PERSON: FEIN: 05/04/2011 EXPIRATION DATE: 05/03/2013 ORTEGA ILSIA 650866851 BUSINESS NAME AND ADDRESS: ALL DADE FENCES INC 2720 WEST 78TH ST HIALEAH FL 33016 SCOPES OF BUSINESS OR TRADE: 1- FENCE ERECTION * * 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 this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt... apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05113), F.S., Notices of election to be exempt and certificates of 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 notice or 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 person named on the certificate to meet the requirements of this section. DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01 -11 QUESTIONS? (850) 413 -1609 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION CONSTRUCTION INDUSTRY CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW EFFECTIVE: 05/04/2011 PERSON: ILSIA ORTEGA FEIN: 650866851 BUSINESS NAME AND ADDRESS: ALL DADE FENCES INC 2720 WEST 78TH ST HIALEAH, FL 33016 EXPIRATION DATE: 05/03/2013 SCOPE OF BUSINESS OR TRADE: 1- FENCE ERECTION FO 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 L under this section may not recover benefits or compensation under this D chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt... apply only within the scope of the business or trade listed on the notice of election to be exempt. IMPORTANT H E R E Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of 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 notice or 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 person named on the certificate to meet the requirements of this section. QUESTIONS? (850) 413 -1609 CUT HERE * Carry bottom portion on the job, keep upper portion for your records. DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01 -11 05/23/2011 16:24 FAX 1 800 685 7530 DATA SCAN FIELD SERVICES VJ001 * * * * * * * * * * * * * * * * * * * ** * ** TX REPORT * ** * * * * * * * * * * * * * * * * * * * ** TRANSMISSION OK TX /R% NO 1407 RECIPIENT ADDRESS 93055124360 DESTINATION ID ST. TIME 05/23 16:24 TIME USE 00'18 PAGES SENT 1 RESULT OK Permit No: 11 -675 Job Name: April 19, 2011 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Page 1 of 1 Building Critique Sheet 2nd 1) Provide wind Toad design criteria on plans. (Sheet submitted is for a chain link fence. Provide the wind Toad design criteria on the plan) This may be hand written and signed by the designer. 2) Zoning approval is required. Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305 - 795 -2204 Permit No: 11 -675 Job Name: April 19, 2011 Miami Shores Village Building Department Building Critique Sheet 2nd 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Page 1 of 1 1) Provide wind load design criteria on plans. (Sheet submitted is for a chain link fence. Provide the wind load design criteria on the plan) This may be hand written and signed by the designer. 2) Zoning approval is required. Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, rerrove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305 - 795 -2204 Permit No: 11 -675 Job Name: April 19, 2011 Miami Shores Village Building Department Building Critique Sheet 1) Provide wind load design criteria on plans. 2) Zoning approval is required. 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Page 1 of 1 Plan review is not complete, when all items above are corrected, we will doa complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305 - 795 -2204 Planning and Zoning Criteria Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Issue Date: Not Issued Expires:Not Issued Folio Number:1132050200050 Owner's Name: EMMANUEL PAZ Job Address: 1291 102 Street Miami Shores, FL 33138- Owner's Phone: (239)565 -3103 Total Square Feet: 280 Total Job Valuation: $ 18,280.00 Contractor(s) ALL DADE FENCES, INC., Phone 786- 229 -8223 Primary Contractor Yes Planning and Zoning Criteria and Comments Approved: No Date Denied: 4/18/2011 Comments: NO PART OF GATE, POSTS, COLUMNS OR FENCE MAY EXCEED 5 FEET IN HEIGHT. MUST PROVIDE AN AREAOF NOT LESS THAN 40 SQ FT BEHIND THE FENCE AND ON YOUR PROPERTY FOR TRASH. 04/20/2011 16:00 FAX 1 800 685 7530 DATA SCAN FIELD SERVICES a001 * ** TX REPORT $$$ TRANSMISSION OK TX /RX NO 1292 RECIPIENT ADDRESS 93055124360 DESTINATION ID ST. TIME 04/20 16:00 TIME USE 00'27 PAGES SENT 2 RESULT OK Permit No: 11 -675 Job Name: April 19, 2011 Miami Shores Village Building Department Building Critique Sheet 1) Provide wind Toad design criteria on plans. 2) Zoning approval is required. 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Page 1 of 1 Plan review is not complete, when all items above are corrected, we will doa complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305 - 795 -2204 row LiaLn Planning and Zoning Criteria Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Folio Number:1132050200050 Owner's Name: EMMANUEL PAZ Job Address: 1291 102 Street Miami Shores, FL 33138- Owner's Phone: (239)565 -3103 Total Square Feet: Total Job Valuation: 280 $ 18,280.00 Contractor(s) ALL DADE FENCES, INC., Phone Primary Contractor 786- 229 -8223 Yes Planning and Zoning Criteria and Comments Approved: No Date Denied: 5/19/2011 Comments: NO PART OF GATE, POSTS, COLUMNS OR FENCE MAY EXCEED 5 FEET IN HEIGHT. MUST PROVIDE AN AREAOF NOT LESS THAN 40 SQ FT BEHIND THE FENCE AND ON YOUR PROPERTY FOR TRASH. 5/19/11 MUST PROVIDE AN AREA OF NOT LESS THAN 40 SQ FT BEHIND THE FENCE ALONG THE ALLEY AND ON YOUR PROPERTY FOR TRASH. 1 Planning and Zoning Criteria Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)758 -8972 Folio Number:1132050200050 Owner's Name: EMMANUEL PAZ Job Address: 1291 102 Street Miami Shores, FL 33138- Owner's Phone: (239)565 -3103 Total Square Feet: 280 Total Job Valuation: $ 18,280.00 Contractor(s) ALL DADE FENCES, INC., Phone 786 - 229 -8223 Primary Contractor Yes Planning and Zoning Criteria and Comments Approved: No Date Denied: 5/19/2011 Comments: NO PART OF GATE, POSTS, COLUMNS OR FENCE MAY EXCEED 5 FEET IN HEIGHT. MUST PROVIDE AN AREAOF NOT LESS THAN 40 SQ FT BEHIND THE FENCE AND ON YOUR PROPERTY FOR TRASH. 5/19/11 MUST PROVIDE AN AREA OF NOT LESS THAN 40 SQ FT BEHIND THE FENCE ALONG THE ALLEY AND ON YOUR PROPERTY FOR TRASH. 5/31/11 NEW PLAN OK F.I.P.1/2. BLOCK CORNER 125.00 P F.12.1/2. .16 OAK O=2.5' 5=100' H=35' 28.10' CV •-■„__ CO 0 0 (NI 0 v4- 341 • (.'1 co co '-‘1 CL: AVOCADO 3=20' H=10' 13.5O 5.00' TWO STORY RESIDENCE #1291 F.F. E. =8.84 GAR= 6.58 19.00' Id 2 Id ----33.10' ROYAL POINCIANA 0=3' S=25' H=25' 15.70' O 4 CONCRETE un SIDEWALK c*4 F.I.P.1/21 5. ONC.• WALK ••• 1.2500 OAK OAR 13=0.9' OAK ...,u,.. S=20' =20' N=20' 41 22IPARK WAY {r(-7)1 S7420' H=20' J 4.1) F. t.P. I /2. Prop 1291 COVER SHEET Structural Calculations for Fence Project: Emmanuel Paz 1291 NE 102 St Miami Shores, FL 33138 INFINITY ENGINEERING Infinity Engineering Services, Inc. 14746 SW 60 St Miami, FL 33193 Tel: 786- 287 -3922 www.InfinityEng.us CA# 26963 Michael Brit(); PhD. PE Civil PE# 66360 Emmanuel Paz B, 1291 NE 102 Street, Miami Shores, FL 33138.xmcd 5/17/2011 1 of 2 4 DESIGN WIND LOADING FOR CHAIN LINK FENCE ASCE 7 -05 (MWFRS, h <60 ft ) Z = 15ft V= 75.mph = 0.77 Exposure_Category = "C' Kzt =1.0 Kd = 0.85 Kz = 0.85 qz := 0.00256•Kz•Kzf•Kd.V2•I = 8•psf Pdesign gz'Cf•G = 9.6.psf Cf =1.2 G =1.0 Emmanuel Paz B, 1291 NE 102 Street, Miami Shores, FL 33138.xmcd 5/17/2011 2 of 2