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CC-11-352INSPECTION RECORD STRUCTURAL INSPECTION Foundation Stemwall Slab INSP ';ZONING INSPECTION Zonin Final ZONING COMMENTS PLUMBING. INSPECTION Columns (1st Lift) Columns (2nd Lift) Tie Beam Truss /Rafters Roof Sheathing Bucks W indows/Doors Interior Framin. 4 Drywall Firewal l Wire Lath Pool Steel Pool Deck Final Pool Final Fence Screen Enclosure Driveway Driveway Base Tin Cap Roof in Progress Mop in Progress Final Roof Shutters Attachment Final Shutters Rails and Guardrails ADA cont•fiance FdNAL DOCUMENTS Soil Bearing Cert Soil Treatment Cert Floor Elevation Surve R.einf Unit Mas Cert Insulation Certificate Spot Survey Final Survey Truss Certification STRUCTURAL COMMENTS f; :E e INSPECTION Temporary Pole 30 Da Tem • ra Pool Bonding Pool Deck Bondin Pool Wet Niche Under. round Foot Slab Wall Footer Ground NEM Roush± grvietliZETIM iikau .. . . - - . +ljII1111111111111111 Intercom Final�,�/ ��y►� Alarm Rou . I l 1611EI ���� rI/l` With 'AGM Fili% ELECTRIC Ceiling R u Tele +hone Final TV Rou. h TV Final Cable Rough _ Cable Final Intercom Rough Fire Alarm Rou Fire Alarm Final Service Work Wit F;f;t1L Rough Water Service Top Out Fire Sprinklers Septic Tank Sewer Hook -up Roof Drains Gas LP Tank Well Lawn S•rinklers Main Drain Pool Pi in Backftow Preventor Interceptor Catch Basins Condensate Drains HRS Final PLUMBING COMMENTS MECHANICAL INSPECTION FIRE Ventilation Rough Hood Rough Pressure Test Final Hood Final Ventilation 111 glanzSIIIMIUMOraillet lHAL Final Pool Heater NSECTION RECORD Miami Shores, Village 10050 N . 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax (305)756 -8972 Expires: 01/02/2012 INSPECTION REQUESTS: (305)762 -4949 or Log on at https :llbldg.miamishoresvillage.com /cap REQUESTS ARE ACCEPTED DURING 8:30AM - 3:30PM FOR THE FOLLOWING BUSINESS DAY. Requests must be received by 3 pm for following day inspections. Commercial Construction Parcel #:1132060132780 -72 Owner's Name: MSVC LLC Job Address: 9472 NE 2 AvenueSuite: 9472 Bond Number: Miami Shores. FL 33138 -0000 Contractor(s) Phone Primary Contractor CRITICAL PATH SERVICES, INC (305)758 -7466 Yes Owner's Phone: Total Square Feet: Total Job Valuation: 1200 $ 80,000.00 WORK IS ALLOWED MONDAY THROUGH SATURDAY, 7:30AM - 6:00PIM. NO WORK IS ALLOWED ON SUNDAY OR HOLIDAYS. BUILDING INSPECTIONS ARE DONE MONDAY THROUGH THURSDAY. ROOFING INSPECTIONS ARE DONE MONDAY THROUGH FRIDAY. NO BUILDING INSPECTIONS DONE ON FRIDAY. NO INSPECTION WILL BE MADE. UNLESS THE PERMIT CARD IS DISPLAYED AND HAS BEEN APPROVED. PLANS ARE READLY AVAILABLE. IT IS TI--/E PERMIT APPLICANT'S RESPONSIBILITY TO ENSURE THAT WORK IS ACCESSIBLE AND EXPOSED FOR INSPECTION PURPOSES. NEITHER THE BUILDING OFFICIAL NOR THE CITY SHALL BE LIABLE FOR EXPENSE ENTAILED IN THE REMOVAL OR REPLACEMENT OF ANY MATERIAL WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND OSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO BTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE OMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Miami -Dade County Building Department e- Permitting Search: is i fade. ,cn, Page 1 of 2 Res.ideat Visitor Business Employee MUNICIPAL INSPECTION REQUIREMENTS AND RECORD 09/17/2011 MUNICIPAL NO.2011- 042495 FOLIO: 1132060132780 JOB SITE ADDRESS 9472 NE 2 AVE PROPOSED USE RETAIL SALES /INTERIOR BUILDOUT LEGAL MIAMI SHORES SEC 1 AMD PB 10-70 LOTS 1- 2 -3-4- & 5 BLK 21 APPLICATION TYPE ALTER INTERIOR 1236 SQFT 1 UNITS 1 FLOORS OWNER NAME MSVC LLC CONTRACTOR QUALIFIER PERMIT TYPE MUNICIPAL BLDG CATEGORIES 0001 MUNICIPAL GENERAL BUILDING DATE: 9/17/2011 PROCESS NUMBER: M2011004343 NEW *AMOUNT PAID 82.00 DERM 1 UP FRONT FEE- 80.00 DERM 1 MIN COMM REV( 90.00 FIRE 30000 ALTERATIONS & 104.00 FIRE 30000 FIRE UPFRT FE 32.00 UPMU 1 UPFRONT FEE F 25.00 6/16/2011 11:52 BNZVVEBI 181106160268 WEBIPAS 82.00 MUNICIPAL INSPECTION REQUIREMENTS AND RECORD 09/17/2011 MUNICIPAL NO.2011- 042495 PROCESS NO. M2011004343 FOLIO: 1132060132780 JOB SITE ADDRESS 9472 NE 2 AVE PROPOSED USE RETAIL SALES /INTERIOR BUILDOUT REQUIRED INSPECTIONS INIT DATE FIRE 0001 FIRE INSPECTIONS RECOMMENDED 200 FIRE HYDRANTS 208 FIRE TCO INSPECTION 211 PRELIMINARY 209 FIRE FINAL Ort-tri MUNICIPAL INSPECTION REQUIREMENTS AND RECORD 09/17/2011 MUNICIPAL NO.2011- 042495 PROCESS NO. M2011004343 FOLIO: 1132060132780 JOB SITE ADDRESS 9472 NE 2 AVE PROPOSED USE RETAIL SALES /INTERIOR BUILDOUT TO SCHEDULE A FIRE INSPECTION, PLEASE VISIT THE WEB AT WVVW.MIAMIDADE.GOV /BUILDING. YOU WILL NEED TO PROVIDE YOUR TEN http: / /egvsys .co.miami- dade.fl.us:1608 /W W W SERV /ggvtBNZAW922.DIA ?PROS =M20... 9/17/2011 NIIANII -DADE FIRE RESCUE DEPARTMENT FIRE INSPECTION REPORT CONTINUATION J� ADDRESS g4' C,,. G' 2 ` DATE Page of 125_01-105 3/08 INSPEG iarni, $40 90050 WE, Avenue i�� �• AAiami Snores, FL 33138 -0000 z u; ...w+ ., `Moe. (300785 -2204 Fax (305)7584972 a L can at h s: / /bidg.mia n lrt 3� `ti S REQUESTS: {305 5 -4' ::30P11A FOR THE fO! ',OWING BUSINESS DAY, R�L71d�a'{`� AF't��1���+�P'i�E�.i i�.t�il#+1� (#:3'��'M nspections. Requests most be received by 3 Om fOr #r #OW3n4) M Parcel # :1 1 3 Commercial ContrUcti0 Name: MS VC LLC Owner's Phone: Job Ad dress Total Square Feet: Total Job Valuation: Primary Contract �R s: BUil+ ING� iNSe TH C(}GH THOS el R DONE G opx THR-7 it Ns N �N INSPECTI PLUMBilG Columns 1St Lift Columns 2nd Lift Tie Beam Windows / r oors Interior Framin. Fire S•rinklerS Roof Drains WAR Pcol Deck Elefdin • Lawn S • rinkters Main Drain Backfldw Preveritor Catch Basins Condensate Drains Screen Enclosure Roof in Pro. ress Shutters Attachment; Rails and Guardrails Tele.hone Final TV Rou. h TV Final Cable iou • h Cable Final Intercom Sou g h Soil Treatment Cert Floor elevation Surve Reinf Unit Mas Cert Insulation Certificate Surve Fire A arm Rou Fire Alarm Final Truss Certification y [' ?" 1, 6 Ventilation Rough Hood Rough Pressure Test '•X T . liL.:.:. .T. INSPE ;.ZION Final $.rir kler real Alarm Certificate of Occupancy Miami Shores Village 10050 NE 2 Ave, Miami Shores FI, 33138 Tel: 305 - 795 -2204 Fax: 305 - 756 -8972 Building Inspection Department This certificate issued pursuant to the requirements of the Florida Building Code 106.1.2 certifying that at the time of issuance this structure was in compliance with the various ordinances of the jurisdiction regulating building construction or use. For the following: Permit Type Owner Subdivision/Project Commercial Construction MSVC LLC Bldg. Permit No. Contractor Date Issued CC -3 -11 -352 CRITICAL PATH SERVICES, INC 09/27/2011 Construction Type INTERIOR REMODEL FOR HAIR SALON Occupancy Load 13 9472 2 Avenue Suite 9472 Miami Shores FL 33138 -0000 Location 9 -// i3uil. ing Officials Approval Norman t3runn, utto Not Transferable POST IN A CONSPICUOUS PLACE PERMIT # cc, )1--PoDz. CONTRACTOR: SUBMITTAL DATE. ADDRESS: tz_ NAME: RESUBMITAL DATES: ZONING STRUCTURAL FIRE IMPACT FEES // 26 (/ ELECTRICAL 1416)4DERM PLUMBING iej ML 1- fr oc LD Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 162101 Scheduled Inspection Date: July 19, 2011 Inspector: Bruhn, Norman Owner: LLC, MSVC Job Address: 9472 NE 2 Avenue 9472 Miami Shores, FL 33138 -0000 Project: <NONE> Contractor: CRITICAL PATH SERVICES, INC Permit Number: CC -3 -11 -352 Permit Type: Commercial Construction Inspection Type: Slab Work Classification: Alteration Phone Number ()_- Parcel Number 1132060132780 -72 Phone: (305)758 -7466 Building Department Comments NEW INTERIOR BUILD OUT FOR HAIR SALON IN EXISTING VACANT BAY Passe Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP- 156543. July 18, 2011 For Inspections please call: (305)762 -4949 Page 18 of 21 PEST CONTROL, INC. NOTICE OF TERMITE PROTECTIVE TREATMENT As REQUIRED BY FLORIDA BUILDING CODE (FBC) 104.2.6 As PER 104.2.6 -IF SOIL CHEMICAL BARRIER METHOD FOR TERMITE PREVENTION IS USED, FINAL EXTERIOR TREATMENT SHALL BE COMPLETED PRIOR TO FINAL BUILDING APPROVAL. DATE OF TREATMENT: / TIME OF TREATMENT: IN 1 d CID APPLICATORS /Veil 1 OUT BUILDER NAME: CZ ZV 6/_)1.1 TREATMENT ADDRESS: 1� J� �-+v 2- JOB #: LOT: BLOCK: UNIT: SPRAY & TAMP 6PRAY NL SPRAY # RESIDENTIAL CHEMICAL:�� 'c e.6 Alvt K MONOLITHIC S/F GALLONS STEM W ALL SF L/F L/F STAGE OF TREATMENT (HORIZONTAL, VERTICAL, ADJOINING SLAB, RETREAT OF DISTURBED AREA ) CHEMICAL: DATE OF TREATMENT: PERIMETER TREATMENT TIME OF TREATMENT: GALLONS L/F APPLICATOR: 300 S. STATE ROAD 7 PLANTA .' DA 33317 954 -584 -8588 1- 800 - 749 -8588 FAX: 954 -584 -6117 `7 / c Ciri�4- 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 No. C.CA PERMIT APPLICATION Master Permit No. FBC 20 Permit Type: BUILDING ROOFING OWNER: Name (Fee Simple Titleholder): SV C .2 Phone #: Address: Z3 ID , -1�7r0 �� f 1JU cx,O( &2 1� City: 4011\1 VVC State: Zip: 33tZC, Tenant/Lessee Name: 1O 1 (OCIA M, v4 Phone #: —1X(o S �5' —7/10 Email: YY\ Q t l . Co -1M JOB ADDRESS: g4E'0 NE 7...n4 AT; City: Miami Shores County: Miami Dade Zip:, 13,Si Folio/Parcel #: 11- 32O(p - O (3 - 2,--n? D Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: t_.1� 14 l c k g04-41 v C-e S Phone #: ,3,) S' xi Address: 221 5 . nu, H-A/ / City: On \ r m State: 1- ZZip: 3313.3 Qualifier Name: C,yi t Go 5 CinCi-rfty Phone #: Z Iq State Certification or Registration #: 1C,. (x,2"1' 1 Certificate of Competency #: Contact Phone #: 3()S Coq D gi 9' Email Address: CSG,,ta^F -c--P oe, ofvfi cal 10414,'i adoskr- m') . CV1 DESIGNER: Architect/ Engineer: " J ..O1r ed-uV ' Phone#: CJSc$ G%o1.S 92 a_ cue. Value of Work for this Permit: $ g`6, ° _ Sq e/Linear Footage of Work: /1200 f- Type of Work: Addition UAlteration ew ORepair/Replace Demolition Description of Work: -e✓ i OY Qx ldt • cx, * * * ****** * * *** *a *** *** * * * * * **** ****Fees******************************************** oa Submittal Fee $ Permit Fee $ OO CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE s$). 0 Bonding Company's Name (if applicable) Bonding Company's Address City _N °F. 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 ETF,CTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDmONERS, 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 . ° %vexed to the person whose prope , 'ect to attachment. Also, a certified copy of the recorded notice of commencement mus posted at the job site for the firs spectio : which occurs seven (7) days after the building permit is issued I ; the absences . u j posted notice, the inspection y l� not. ,� nnroved and a reinspection fee will be charged. Adi ;PI Con•-4to The foregoing instrument was acknowledged before me this / 7 yof ,20.j ,by &C% & Scha ffe( who is personally known to me or who has produced as i+ tification and who did take an oath. NOTARY. gent The foregoing instrument was acknowledged before me this day of _ ; 20 _, by Y who is personally known to me or who has produced As identification and who did take w/ • . th. ��� iii,, NOTARY PUBLIC• ��\����`�� \��1Su�l /,,��'� /• Z. Signature Sign: Print: My Commission Expires: APPROVED BY '5, `\ 'v Sad. co �/tl n���``\ $ODIDmT UeTLA1 ICBONDn(GcO.,UW. NOTARYPUBLIC•ST OFFLO• ssion Expirese••o + "''., Efraim R. Gutierrez - Commission # EE044542 %°axu "'.° Expires: NOV. 22, 2014 • Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Zoning Clerk Permit No: 11 -352 Job Name: April 11, 2011 Miami Shores Viilage 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 1) Provide a licensed contractor and a permit application for the master permit prior to any further reviews. 2) Plans must be approved by Miami dade DERM. 3) Plans must be approved by Miami Dade County WASD. 4) All sub permit applications must be submitted prior to any further review. 5) Corrections for plumbing and mechanical must be completed. 6) Indicate the elevation of the exterior grade with respect to the finished floor. Identify the slope shown on the floor plan at rear doors. 7) Provide a detail of the reception counter showing compliance with the FBC FAC. 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 S1ATE OF FLORIDA, COUNTY OF DADE 1 HEREBY CERTIFY that this is s true ccpy of the of NOTICE of COMMENCEMENT Retum to: (self addressed stamped envelope enclosed) Critical Path Services, Inc. P.O. Box 330429 Mimi, FL 33233 This Instrument Prepared by Critical Path Services, Inc. P.O. Box 330429 Miami, FL 33233 Property Appraisers Parcel Identification Number 11 32060132780 SPACE ABOVE THIS LINE FOR PROCESSING DATA 111111111111131111111 11111 1111111111 1111 1111 +C-FN 2011 R10445562 OR Bk 27747 Ps 4110; (fps) RECORDED 07/07/2011 13 :44:49 HARVEY RUVIN? CLERY. OF COURT MIAMI -DADE COUNTY, FLORIDA LAST PAGE SPACE ABOVE THIS LINE FOR RECORDING DATA NOTICE of COMMENCEMENT 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 section 713.13 of the Florida Statutes, the following information is provided in this NOTICE of COMMENCEMENT. Legal description of property: MIAMI SHORES SEC 1 AMD PB 10-70 LOTS 1- 2 -3-4- & 5 BLK 21 LOT SIZE IRREGULAR OR 22502- 2791 -2814 TI-IRU 2819 0704 Street address of property: 9472 NE 2ND AVE MIAMI SHORES, FL 33138 Description of improvements: Tenant improvement for beauty salon Property Owner Name: MSVC, LLC Property Owner Address: 2310 HOLLYWOOD BLVD. HOLLYWOOD, FL 33020 Owner's interest in property: Owner Fee Shnpie Title Holder Name: Title Holder Address: Contractor Name: Contractor Malting Address: Surety Name: Surety Mailing Address: Lender Name: N/A Lender Mailing Address: N/A MSVC, LLC 2310 HOLLYWOOD BLVD. HOLLYWOOD, FL 33020 Critical Path Services, Inc. 2200 S Dixie Highway, Suite 701, Miami, FL 33133 N/A Amt of Bond N/A N/A Person within the State of Florida designated by Owner upon which notices and other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes. Name Toni Lockhart Address In addition to himself, the Owner designates the following person to receive a copy of the tenors Notice as provided in Section 713.13(1Xb), Florida Statutes. Name Address Expiration date of this Notice of Commencement: This Notice of Commencement expires in one year. 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 1, 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 OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING .IRK OR REC•RDING YOUR NOTICE OF COMMENCEMENT. APPLY NOTARY SEAL HERE 4r t �` (/d r °'l ,�`/�J� rG I Printed Name Owner I have relied upon the following identification of the Affiant: 04/13/2011 15:37 FAX 1 800 685 7530 DATA SCAN FIELD SERVICES 11001 TRANSMISSION OK TX /RX NO RECIPIENT ADDRESS DESTINATION ID ST. TIME TIME USE PAGES SENT RESULT Permit No: 11 -352 Job Name: April 11, 2011 * * * * * ** * * * ** * ** * * * * ** * ** TX REPORT * ** * * * * * * * * * * * * * * * * * * * ** 1276 97865229022 04/13 01'37 4 OK 15:35 (0142mill _ S r4/.- -To Divea,AfitioAlf Miami Shores Village Building Department Building Critique Sheet 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Page 1 of 1 ) Provide a licensed contractor and a permit application for the master permit prior to any further reviews. Plans must be approved by Miami dade DERM. Tans must be approved by Miami Dade County WASD. AN sub permit applications must be submitted prior to any further review. Corrections for plumbing and mechanical must be completed. Indicate the elevation of the exterior grade with respect to the finished floor. Identify the slope shown on the floor plan at rear doors. ") Provide a detail of the reception counter showing compliance with the FBC FAC. 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 Miami Shores Viiiage . Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIPT PERMIT #: (DK"— 7/4,_?S)2 DATE: �/9:717 I ' _ MCI o Contractor o Owner Architect icked up 2 sets of plans and (o her) `> Address: ko,-kui k.L5__ACOlf6 From the building department on this date in order to have corrections done to plans And /or get County stamps. I understand that the plans need to be brought back to Miami Shores Village Building Department to continue permitting process. Acknowledged by: r�s PERMIT CLERK INITIAL: RESUBMITTED DATE: PERMIT CLERK INITIAL: eybi cuu%aK - ,1-1A0d- no wil lac, dog, oy\b\ swcc{ b thh (owo- f GG). c,[1mlt1 Miami Shores Village Building Department A 10050 N.E.2nd Avenue Miami Shores, F1oiida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. CC l i jz Job Name PLUMBING CRITIQUE SHEET 1,,Vif4. L 51-101,. iCtLe, 4 1 Permit NO. CC -3 -11 -352 Issue Date: Not Issued 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 Expires:Not Issued Folio Number:1132060132780 -72 Owner's Name: MSVC LLC Job Address: 9472 2 Avenue Suite: 9472 Miami Shores, FL 33138 -0000 Owner's Phone: ()_ Total Square Feet: Total Job Valuation: $ 30,000.00 0 Contractor(s) RHINO CONSTRUCTION Phone (305)206 -6761 Primary Contractor Yes Planning and Zoning Criteria and Comments Approved: Yes Date Approved: : Yes Comments: APPROVED BY PLANNING BOARD Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 7952204 Fax: (305) 756.8972 Permit No. Job Name Date MECHANICAL CRITIQUE SHEET OLA)--2)F- VV'UV Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIPT PERMIT #: C.) 1 1 nZ-- DATE: Yom" ` 4beti 1, 1.) Contractor ❑ Owner ookdc, crieyrA ❑ Archite Picked up 2 sets of plans and (o er) take) Address: From the building department on this date in order to have corrections done to plans And /or get County stamps. I understand that the plans need to be brought back to Miami Shores Village Building Departmen Acknowledged by: continue permitting process. . ck PERMIT CLERK INITIAL: RESUBMITTED DATE: PERMIT CLERK INITIAL: Rhino Construction 1865 Brickell Avenue A909 Miami, Florida 33129 305- 801 -0651 305 -206 -6761 04/06/11 City of Miami Shores 10050 NE 2nd Avenue Miami Shores, Florida 33138 305 -795 -2207 305 - 756 -8972 FAX To whom it may concern: C011-D52-- Please remove us from the permit application for Dhalia Salon located at 9480 NE 2n° Avenue, Miami Shores, Florida. vd Z17$17-1 79-900 eLo:Loo LL LL idy 94go N 2 AVellule Permit 4 11 -351 IIIiami 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 QUALIFIER'S STATE LIC CARD B. w' 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 EXCEMPTION) 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 COMPLETE CONTRACTOR'S INFORMATION BUSINESS NAME: Cri4ika\ Path Services; Inc BUSINESS ADDRESS: 2.2-00 S. Dixie Hwy, *701 CITY lAi0i STATE ZIP CODE 33133 BUSINESS PHONE: ( 345 ) 856 33 ( 9 FAX NUMBER ( 3()5) g5'' 392l CELL PHONE ( 305 ) 1490 9148 QUALIFIER'S NAME: Craig Sd' -Frei - QUALIFIER'S LIC NUMBER: C GC 052:701 E -MAIL ADDRESS (IF APPLICABLE): CSCIII@Cf -e @ C r( -HCa\ ID-114 CDY1SirlAC.111014 . DWI Created on 3119109 BY MLDV I RV 3126109 MLDV '' N11= '4EIVOU COLL FOR FLAGLER, 57: .LS 1OD IAM 0 '201' LAC -;® .BUSINESS CODE4HA . e 8`r ITHC S NOTsq of4Businei ,GENER k.oNLY�A �LOCALe BUSINESSiTAX.RECEIP -T DOES'ZNO MPERMITS:THE HOLDEN SAESUOLATE. ANY" '.` - ZONMG GAiri of TNE'l COUNTY 30RY cmES 4A%NOR ; 4DOES-R I T.EXEMPTTHE4 SOLDEOM AYOTHER t ERMI OR LICENSE REQUIRE R LAW THIS Si OTYAICETI FICTION 5F' THExHOLDER S OUACIFICA-' a` TIONS PAYMENT - RECEIVED' MIAMI- DADECOUNTY COLLECTOR RAGTOR DO NOT FORWARD CRITICAL PATH SERVICE INC CRAIG SCHAFFER PRES PO BOX 330429 MIAMI FL 33233 la" .i t l �? ?; ?: 1 1 11; 1 3 ?? 1 ?k4 t3 �3Ytf :Ik S1:3 i3t fY3l kSl il13 Y1 !Y YS k .3 Yl iFi. kI t! fsxS�sF. ACORD CERTIFICATE OF LIABILITY INSURANCE DATE oii011 TYPE OF INSURANCE PRODUCER (305) 822 -7800 FAX (305) 558 -4294 Col 1 insworth, Al ter, Fowl er & French LLC P. 0. Box 9315 Miami Lakes, FL 33014 -9315 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERT FICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Critical Path Services, Inc. 2200 South Dixie Highway Suite 701 Miami , FL 33133 INSURER A: Amerisure Mutual Insurance Co 23396 INSURER B: Amerisure Insurance Company 19488 INSURER C: DAMAGE TO RENTED PRFMISFR (Fa nrrurgnrA) INSURER D: INSURER E: MED EXP (Any one person) 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 LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTRANSRD ADD'L TYPE OF INSURANCE POUCY NUMBER POLICY EFFECTIVE DATE (MM/DDNYI 10/01/2010 POUCY EXPIRATION DATE (MM/DD/YYI 10/01/2011 LIMITS EACH OCCURRENCE $ 1,000,000 A GENERAL X LIABILITY COMMERCIAL GENERAL UTABILFFY GL2048252 DAMAGE TO RENTED PRFMISFR (Fa nrrurgnrA) $ 300,000 CLAIMS MADE X1 OCCUR MED EXP (Any one person) $ 10,000 X BLANKET ADDTL INSD PERSONAL & ADV INJURY $ 1,000,000 X BLANKET WOS GENERAL AGGREGATE $ 2,000,000 GEN'L 7 AGGREGATE UMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2,000,000 POLICY I ^ j1367 (- LOC B AUTOMOBILE X X X LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS CA20643 30 10/01/2010 10/01/2011 COMBINED SINGLE UMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA 7 LIABILITY EACH OCCURRENCE $ OCCUR I CLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below WC2048253 10/01/2010 10 /01 /2011 II X TWORV LAMITTS I X `OER EL EACH ACCIDENT $ 1,000,000 EL DISEASE - EA EMPLOYEE $ 1,000,000 E.L DISEASE - POLICY LIMIT $ 1,000,000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CERTIFICATE HOLDER Miami Shores Village Building Department 10050 NE 2nd Avenue Miami Shores, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 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 MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Mi chael Ni el son/SANDYS '' ACORD 25 (2001/08) © ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2001/08) Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 161348 Permit Number: PLC -6 -11 -1153 Scheduled Inspection Date: September 19, 2011 Inspector: Hernandez, Rafael Owner: LLC, MSVC Job Address: 9472 NE 2 Avenue 9472 Miami Shores, FL 33138 -0000 Project: <NONE> Contractor: CABALLERO PLUMBING Permit Type: Plumbing - Commercial Inspection Type: Final Work Classification: Addition /Alteration Phone Number Q_ Parcel Number 1132060132780 -72 Phone: (305)629 -9500 Building Department Comments NEW PLUMBING WORK FOR BEAUTY SALON Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments September 16, 2011 For Inspections please call: (305)762 -4949 Page 12 of 48 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 Type: PLUMBING OWNER: Name (Fee Simple Titleholder): nr-ivc, LL Address: 0.e3 /O i--/ y VV 00 at l Q9 City: ' kvc b S — State: teL Zip: 33 b2 Tenant/Lessee Name: 7 r ® j. —,- Phone #: "777R 3'6 Email: /'' Permit No Master Permit No. IfreS JOB ADDRESS: 97` 7Z N (O 0 ,09'v e City: Miami Shores County: Miami Dade Zip: 3 310 ge Folio/Parcel #: // — „� ®' ° / . ''® Is the Building Historically Designated: Yes NO Flood Zone: ` CONTRACTOR: Company Name: az, L9-<< �A ///,? %7 /it55 Phone#: d aa9'`�� Address: 7.07-2S Ai 44-, 44 '1 g City: "(//4-m i State: /' . Zip: J/ 44 Qualifier Name: 4,1 I Y) /.6 4 fd s J4 Phone#:,, 4' r 6079 ®1 State Certification or Registration #: 0 e 0.6.6928 Certificate of Competency #: Contact Phone#: Email Address: DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ / .3/ 2CC ° ®Cj Square/Linear Footage of Work: Type of Work: ❑Address iteration ONew ORepair/Replace UDemolition Description of Work: A e cti /7/6 6 s 41-1401i&/1 `a" 6 e 4 a cr4 Lo I d Submittal Fee ,00 Permit Fee $ ij q1 217 CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 01 ° �� 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, BOIT,F,RS, HEATERS, TANKS and AIR CONDmONERS, 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 i. inject .. ttachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first i +ection which` occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will and a reinspection fee will be charged. c Signa Signature a gnature lisitc Owner or Agent "L Con ctor The foregoing instrument was ac . owledged before me this 03 The foregoing instrument was acknowledged before e this a/ day of ;T , 20 ®/ , by OS Cam.— See /e , day of VB /`J'e , 20 1/, by ` ArG who is personally known to me ori'ho has produc who is personally known to me or who has produced e. As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: YOUEr MARTINEZ NOTARY PUBLIC: • * t , * MY COMMISSION # EE 053499 EXPIRES: February 18, 2015 F,to• Bonded Thro Budget Notary Semis YLA Li e÷ 1 My Commission Expires: k) 1€3, 7-015 Sign: Print: off" P.e�% ALISA D. LARA My Commission Ex �.` as:� MY COMMISSION # DD 826734 EXPIRES: January 27, 2013 �'grFF� " Bonded Thru Budget Notary Services ** ***** **** * ** ** ** ************ea: *s< *+ x**** *************+ s****** *+ x**e, ****+ x+ x*e<* ***e= ** ****************x *** ***e,e,*** Plans Examiner Zoning APPROVED BY Structural Review Clerk (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Jun. 24. 2011 12:12PM 'suiK11,11 -DADS COUNTY TAX COLLECTOR 140 W. FABLER ST. gat FLOOR • MIAMI, FL SS1s0 No.8242 P. 4 2010 . LOCAL BUSINESS TAX RECEIPT 2011 FIRST-CLAS OAMI -DADS COUNTY - STATE Or'•LOO1DA U.S. POSTM EXPIRES SEPT. 50.2011 , PAID FAUST BE. DISPLAYED AT PLACE OF BUSING ' MIAMI FL PURSUANT TO COUNTY CODE CHAPTER SA • ART. S &'10 . PERMIT ISO. THIS IS NOT A BILL — Do NOT PAY 367547 -2 RENEWAL BUSINESS NAME / LOCAT1O,U RECE'1PT NO. 384292-0 CABALLERO PLUMBING INC STATE* CFC056988 7225 NW 46 ST 33166 UNXN DADE COUNTY OWNER CABALLERO PLUMBING INC Sao. Typo of 4uslaoss 196 PLUMBING CONTRACTOR Ma Ts ONLY • A LOCAL • BUBINE a TAX RECEIPT. IT . DOM'B NOT 9F.RNET. THE =STING NOLDEFI 70 IVEGUULAT 11Y ON COUNTY OA CMS. THE Dori IT a 13 t THE MAW FOR ANY BY LAW. THIS 12 A CERi1FCAT1ON OF THE HOLOEB OIJALARCA• AAYT,7ENT'RECEIVEO �Cran: TAX 010000t b 585 000075.00 SEE OTHER SIDE I • • W©RXER /S 1 DO NOT FORWARD CABALLERO PLUMBING INC JOSE A CABALLERO PRES 7225 NW 46 ST MIAMI FL 33166 LAAHdh i7E ihi &af AJ1 E>f a a, OJ iAWA DAT • •.:cam.`,•; :•!:-'.v i'4' /.•R> ',EN Z. Oil' • l ;oi: • : -- { S:-. +^�,- t. ��i,.,p'' ;• j�e.•I• r tr . f-d y �::: ..;�•; .�.F'::,J::. !:r.R• :t: �.? .a,= ::i, +.:yn�.: 7.iry�i::�,b', = `»^�i,`.i,'..:'r,:.., •r '7•y':j+ - °- v�•,.s ^.rg'ri. »�. },�`nrw, {.., .a. v +� +a •. w.. . �Y.. y�y +�'- ry','''�'f�,,yr��•.•,+;�, $ "¢SY� 1 . •�'y9'x".'• :!i�(4 '2 Pat ''?;•'Yi2 Jul. 14. 2011 9:37AM taikAtlea.oli • j.;,rdetTAXIDOMECT.0 L ivv.zrowte R4i.4c, ...... 78: '081 sfibitseg Asopt titiVAI LE:go:4P lioMET 225FI:NW1f,4.6:61.;$1;1!0, -ir\--rn.y.n)06°)15"-d.al,c5 PY)16 fPp-)r. vatt• xillwry,77,411, 14. • oRsjd • Ir4Pe' Fop aftv;611.- . r • • . • O.S," FOSTAGEI • • •!'sMWAlin-LfL.: di 6 !..tiERM'IT. NO:05. siltirelutit4u4e.,04:61.41,...232 •4 . . . GILL '00 NOT3TAY . ; . 1ALL R 417;IFIATO:tiiilkh .6,1g494:',11PEUM ONLY.FAkei:OrAb36,* ::TAIVFMGAPX, IrPtlY.4;.1 *Dirs4Cfri'Pe7146■1•{Illy, :,10,§latiag'.101Y ollEoutmormoo.,, igouxivi.A.9044Tiga.too_ri : 4 toluoysf,tAtoftlovirrnigiii, p1670,4NOHER PERivattv:Pt ••:'+UICENSE,4 MID•wtaXWOIlls.is;:i atio tainricATION•os ,;4116,,,,,11(3117EPA, .P.021J4IM04"..; :•••••■•••:•"• VIVENPRZCiPIE11:1', 1P2T/111"r C5ktiff7;!:,. , • r- IC44E0.3 ,P1h;* .0)1TO:7Alt9tt42.0:1'1:1•VIC igiti;',A*40010:0,0.05BAC,!: SEE OTHER SIDE :7.24 DO NOT FORWARD CABALLERO PLUMBING INC JOSE A CABALLERO PRES 7225 NW 46 ST MIAMI FL 33166 6.. t 111 iiihjit 1)1 !it n11111111 afill11111 1111111111e ••■•■• ■•••-••■ ......•••••••••••■ • •• 1611 rA"- ;11131toe, 11-liE ;0Xlikiik. II: fe„,. • .1....*„)..3.:;5,....,., 4.:#16, e..14(.1.-:„....,-...-1- a ' c v - • " -1,).1 u" ...c, ....,...; o,, 1.4.1,;.1.!. ..kc'tci::=4:.•7;:, .0.a://::(iR:vr. ' ••r.•:%•:•:., ..,..3. 1 c■,,,r4v. ' .. 449 ,s , . 1. - • ‘"''''.•••,- .,_ • ,id.:40-. .'"? . --'7‘..". ' ''IL*44‘11+,.;#:elt.w"."'S:;:"P41:4VeTtfi:.,1R1:;•}Akl.; '.1b.•”?..:otag,.‘• "/, Wt • -k. — - - .Lietent-41.0. L..p..!":5vT.,.,7f,4'...:VA.C..14 •IPV-..,,. ....01,,v .':An.l ..:-.. .., ,.■ 1..... .. - :.f.t". •'..... cgr........4%.43,7)^..M. •1/4•,... ..... •■''' 4" %,00,i; Otte.,..._,v. 4.73 ,,;44. Ope.4,41."... , ■3....a ,..k.;',W • 44.4',4411;* l'fii\*X,. ineit-.1 "I.'S.' :-A.4)•At '.:),64 .14."... 1.11I,S•tit:41.4. 4....44.'"' Itir'34r't i'4.5.-.1i> 4LAEQ: "A.L:`,:i ' '''',V4./ '://' "'''s 6 m.;•'2.0 1- a os IA 7 . 3 - .4.mj.,WAR:Tn1 ,Yr' 4 L . li:344-SceiA -‘Afea • '1,-,4*.z), iiie,sixpr rWriff7"' ..:4.Phyl,?. k-w•IF,,• . •‘....t,'-x.4V-e"-- , ./1-.a. Z- 1,4$■■■••;u4;.... - _,72r.J k.'& .= A r A10 Jun, 24. 2011 12:12PM No. 8242 P. 3 OP ID: ML 'E' - -'. CERTIFICATE OF LIABILITY INSURANCE DATE /1YYYY) oa/a4r11 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 the tenses and Conditions of the policy, certain policies may require an endorsement. certificate holder in lieu or such endorsement(s). policy(las) must bs endorsed. If SUBROGATION IS WAIVED, subject to A statement on this certificate doss not confer rights to the CONTACT PRODUCER 954 - 883 -2900 Tanenbaum Harbor of Florida 2900 SW 149th Avenue 954- 517 -7400 Miramar, FL 33027.6605 Nina Larraa, CPCU, AAI, CRIS rat Extj 1 t8LC• NOt: E-MAIL ADDRESS: ;MFR ID W CABAPLI INSURERtS) AFFORDING COVERAGE 1 NAIL S INSURED Caballero Plumbing Ino 7225 N.W. 46th Street Miami, FL 33166 1,/11/C101 w "ILO iNsuRER A: smahmvlc InSut3nGt COMpan• INSURER n: COMnItite & Industry Company 19410 INSURER C : INSURER D INSURER E : • INSURER F • NUMLittC: THIS 1S 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. gg 1 TRR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP rNao POLICY NUMBER fMMronrVwv +�,uiurtn/yyyy LIAr1T5 GENERAL LIAW1.ITY EACH OCCURRENCE 1 $ 1,000,000 A —X7 COMMERCIAL GENERAL LIABIUrV • BCP0503 10/04110 10/04/11 p`� T` � (S 100,000 CLAIMS -MADE I—_X OCCU B GEM AGGREGATE LIMIT APPLIES PER: POLICY © -1 LOG AUTOMOBILE L1AERLITY ANY AUTO ALL OWNED AUTOS SCHEDULEDAuros HIRED AUTOS NON OWNEDAUTOS UMBRELLALIAB x EXCESS LAB T REVISION NUMBER; MED EXP (An one person PERSONAL & ADV INJURY GENERA/, AGGREGATE PRODUCTS •COMP/OPAGG $ $ S 5,000 1,000,000 2,000,000 2,000,000 OCCUR CLAIMS -MADE DEDUCTIBLE X RETEMION $ WORKan COMPENSATION AND EMPLOYERS' LIABILITY OFFZER/PMEMT96R EXCLUDED? Y❑ (mandatory RI NH) yeB,©F DESCRIFDON OPE - TIONS below EBU012D1S054 10/04/10 10/04/11 COMBINED SINGLE LIMIT S (Ea accident) f30DILY INJURY (Per parson) BODILY INJURY Per accident) $ PROPERTY DAMAGE (Par accNant) S $ EACH OCCURRENCE LS 1,000,000 1,000,000 AGGREGATE $ N 1 A TORY LI4ITS . OTH- E.L. EACH ACCIDENT ER $ E.L DISEASE - EA EMPLOYE S DESCRIPTION OF OPERATIONS / LOCATIONS / VEHIOLES (Mach AOORO 101, Additional Remarks Schedule, it more One Is requIrad) Commercial Plumber CERTIFICATE HOLDER EL DISEASE - POLICY LIMIT $ CANCELLATION MIAS001 MIAMI SHORES VILLAGE HALL 10050 N.E. 2nd Avenue Miami Shores, FL 33138 SHOULD ANY OFTHEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL. 8E DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2009/09) ®1988 -2009 ACORD CORPORATION. AU rights reserved. The ACORD name and logo are registered marks of ACORD Jun, 24. 2011 12 :11 PM No.8242 P. 2 ` C° CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDlYYYY) • _ 8/24/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATNELY 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 poiicy(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 doss not confer rights to the certificate holder In lieu of such endorsement(s). PRODUC0R Alliance Insurance Solutions LLC CONTACT NAMEt PO Box 1777 St Petersburg, FL 33731 INSURED Progressive Employer Management Company, inc. Progressive Employer Management Company II, Inc. 6407 Parkland Dr Sarasota FL 34243 PHONE (,IUD me get): 727-497-1247 I FAY (A/C. No i 727- 497.178f E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE RAMP INSURER A: SUNZ Insurance Company INSURER B I 34782 INSURER C 1N9uRER D INSURER E : IN . RE- P : COVERAGES CERTIFICATE NUMBER: 10489040 REVISION NUMBER: THIS IS TO CERTIFY THAT THE PouclES 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, OCCLUSIONS AND CONDITIONS OF SIJCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TR TYPE OF INSURANCE IADDL SUER POLICY EPP Kra Wyk POLICY NUMBER (MM/DDIYYYY) GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR GERL A E LIMIT APPLIES PER II II POLICY LICY 1 1_-1 JERCOT n LC AUTOMOBILE LIABILITY A ANYALrtO ALL OWNED HIRED AUTOS AMOSSLn ED AUTOS UMBRELLA LAB EXCESS LIAR DED U RETENTIONS EXP EEAACCMHHpCC7CURRRENCE PREMISEES (EaEccD nonce) LIMITS S MED EXP (Any one person) II $ PERSONAL &ACV INJURY 1$ GENERAL AGGREGATE PRODUCTS - WMP/OPAGO S 3 (CEOaMBItSINGLE LIMIT $ �$ BODILY INJURY Per pawn) BODILY INJURY (Per =kiw:t) $ PROPERTY DAMAGE I $ �mt)eracd® OCCUR CLAIMS -MADE WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIE oRIPARTNERIEXECLRNE E OFFICER/MEMBER EXCLUDED? (Mandatary in NH) if m, aescrlbe under DESCRIPTION OF OPERATIONS below EACH OCCURRENCE AGGREGATE NIA WCPE0000005401 11/1/2010 11/1/2011 DESCRIPTION OF OPERATIONS /LOCATIONS (VENICLE$ (Attach ACORD 101. Additional Remarks Schedule, If morn spaGC Is required) Coverage Provided for ail leased employees but not subcontractors i 1' Caballero Plumbing, Inc. Client Effective: 11/1/2010 _CERTIFICATE HOLDER CANCAN LEC�I.AT1t)N 6539 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shores Village Hall i 1 TORYSLIAMR 1 Icrikl EL EACH ACCIDENT 19 1.000.000 E.L. DISEASE - EA EMPLOYEE 3 1400.1Ioo EL DISEASE - POLICY LIMIT 13 1.000,000 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 10050 Northeast 2nd Avenue ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores FL 33138 AUTHORIZED REPRESENTATIVE Glen J Distefano ©1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered.marks of ACORD CERT NO.: 10499040 CS.IXOT COD's•: MOOD Mackie gellar:do 6/24 /2011 7;53150 AN Page 1 of 1 //Z Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 161339 Scheduled Inspection Date: September 14, 2011 Inspector: Perez, JanPierre Owner: LLC, MSVC Job Address: 9472 NE 2 Avenue 9472 Miami Shores, FL 33138 -0000 Project: <NONE> Contractor: COOLING PROFESSIONALS Permit Number: MC -6 -11 -1152 Permit Type: Mechanical - Commercial Inspection Type: Final Work Classification: A/C Replacement Phone Number () - Parcel Number 1132060132780 -72 Phone: (305)494 -9026 Building Department Comments DUCT WORK AND CONNECTING TO EXISTING PACKAGE UNIT ON ROOF Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments N(`' September 13, 2011 For Inspections please call: (305)762 -4949 Page 6 of 30 1 Protect Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Parcel Number Applicant 9472 NE 2 Avenue Number: 9472 Miami Shores, FL 33138 -0000 1132060132780 -72 Block: Lot: MSVC LLC Owner Information Address Phone Ceti MSVC LLC 2310 HOLLYWOOD Boulevard HOLLYWOOD FL 33020- i Contractor(s) COOLING PROFESSIONALS Phone (305)494 -9026 Cell Phone Tons: Additional Info: CONNECTING TO EXISTING Classification: Commercial Approved: In Review Comments: Date Denied: Scanning: 1 Date Approved: : In Review Type of Work: Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $4.80 $3.60 $3.60 $1.60 $240.00 $3.00 $6.40 $263.00 Pay Date Pay Type Invoice # MC -6 -11 -41297 06/24/2011 Credit Card 08/24/2011 Check #: 1263 Amt Paid Amt Due $ 50.00 $ 213.00 $ 213.00 $ 0.00 Available Inspections: Inspection Type: Final In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. August 24, 2011 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Date August 24, 2011 1 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 Type: MECHANICAL �+ OWNER: Name (Fee Simple Title/ lder): d/ V1 51/6 � £ L°,/ Phone #: Address: 23 10 f b 6 ti u,oac} ! Peo/e Ol71„ City: d' l ® ay y IU ®O J State: AUG 1 9 2011 Y. Permit No. th Master Permit No. CC —3 —1/-3S-2 Zip: 3 0 -0 Tenant/Lessee Name: T /J i' Phone #: l % 376/ 579 Email: JOB ADDRESS: qq7a E a i e City: Miami Shores County: Miami Dade zip: 33 /3e. Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: gadil-‘ AoPes-'59-/o4Wi CONTRACTOR: Company Name: //' %% Phone #:`7" q —ge0(c� Address:) 'n l ' `i'c%J / AU 36 5'74 /07 City: I ag-l/V01 /%' 64724e4-6 / State: Qualifier Name: 6IJ4-C -t i t d �°- State Certification or Registration #: C 02-1 3 4J�,Ce`rtiificate of Competency #: �� �A� / Contact Phone #: , 30...C-4t/V-- 90 � Email Address: &'Ol rive ��5 C� /Kea /j1' ii1 6 DESIGNER: Architect/Engineer: Phone #: Zip: 33/ 6 �^ Phone #: g-7/ 65l2 z Value of Work for this Permit: $ 0 >"- Square/Linear Footage of Work: Type of Work: ClAddress OAlteration ONew ORepair/Replace i]Demolition Description of Work: 2/5'14/ ,f V vYt '- .(/ / etL * * * * * * * * * * * * * * *** * * *** * * * ** * * * * * * * * *. ** ******* * * * * * * * * * * * * * * * * * * ** * * * * * * * ** ** Submittal Fee $ Permit Fee $ 2 01 ` CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 732-- 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 s ' ' to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first ins,: tion whc occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will t .� y d and a reinspection fee will be charged. '+ The foregoing instrument was ackknowl ged before me this for day of S ; 20 r 8 , by 82.44-7--- c� • , day of who is personally known to me or who has produced ho i As identification and w g‘diti ittaktipt,p.n oath. NOTARY PUBLIC: , \ Sign: — Print: My Commission Expires: oing il•ument w�� ackno, led J ,20 ,by '1L known to me or . s has produced ntification and who did take an oath. ZdOZl9p /40 OTARY PUBLIC: - • MN My Commission Ex , 1 Cub1j � kb1ipa23 *********** *, s***a :*******m**,x****** ****** ******* **+x*,s,x**,z**,xs:**x * *** :************ m******** **** ***,xx:*** **** APPROVED BY lans Examiner 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 AIR CONDITIONING REPLACEMENT DATA PERMIT NUMBER: MC This form must accompany ALL air conditioning replacement permit applications. Each unit change -out must be on its own data sheet. Multiple units on single sheets are not acceptable. Job Address (where the work is being done): City: Miami Shores Village County: Miami Dade Zip Code: ALL CONDENSING UNITS MUST BE ON A 4 INCH SOLID CONCRETE SLAB ALL UNITS MUST COMPLY WITH F.E.M.A MINIMUM FLOOD ELEVATION A COPY OF THE CONTRACT IS REQUIRED WITH ALL SUBMITALS ARI (AHRI) DATA SHEET REQUIRED Change Disconnecting means: YES ❑ NO ❑ ARHI Sheet Attached: YES ❑ NO ❑ Contract Attached: YES ❑ UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER AHU or PKG. UNIT MODEL # COND. UNIT MODEL # KW HEAT NOM TONS AHU CU PKG 1) M.C.A AHU CU PKG AHU CU PKG 2) M.O.P AHU CU PKG AHU CU PKG 3) VOLTS AHU CU PKG PKG UNIT / / PKG UNIT / / EER/SEER YES NO REPLACING DUCTS YES NO YES NO REPLACING THERMOSTAT YES NO YES NO NEW 4 "CONCRETE SLAB YES NO YES NO NEW ROOF STAND YES NO YES NO NEW RETURN PLENUM BOX YES NO 1. Minimum Circuit Ampacity (Wire Size): 2. Maximum Overcurrent Protection (Fuse /Breaker Size): 3. Voltage of Circuit (208/240/480): �. 4. Size Disconnecting Means: Contractor's Company Name: Phone: State Certificate or Registration N. Certificate of Competency N. Signature Date: (Qualifier's signature only) DATE BATCH 14UMBER 4MI -DADE COUI C COLLECTOR W. FIAGLER_ST FLOOR MI, FL 33130 64 1099 -7 BUSINESS NAME f LOCATION. COOLING PROFESSIONALS INC 7107 NW 50 ST 3.3166 UNIN'DADE COUNTY OWNER COOLING PROFESSIONALS INC Sec. Type of Business T Ig X96 SAP EC MECHANICAL CONTRACTOR BUSINESS TAX RECEIPT, IT DOES NOT PERMIT THE HOLDER EXISTING GULA RY OR ZONING LAWS OF THE. COUNTY OR CITIES. NOR. :DOES IT EXEMPT TIE F ANY P OR LICENSE BY LAW. THIS IS NOT A CERTIFICATION OF THE HOLDER'S QUALIFICA- TIONS 2010 LOCAL BUSINESS TAX RECEIPT 2011, MIAMI- DADE:COUNTY - STATE OF FLORIDA EXPIRES SEPT,,30, 2011 MUST BE DISPLAYED AT PLACE OF BUSINESS PURSUANT TO COUNTY CODE CHAPTER 8A - ART. 9 & 10 THIS IS NOT A BILL - DO NOT PAY PAYMENT RECEIVED MIAMI DARE COUNTY TAX COLLECTOR: 09/30/2010 02250098001 000075.00 SEE OTHER SIDE FIRST -CLASS U.S. POSTAGE I PAID MIAMI, FL PERMIT NO. 231 RENEWAL RECEIPT NO. 667918-8 STATE# CACO21345 WORKER /S 5 DO NOT FORWARD COOLING PROFESSIONALS INC IGNACIO F VIGO PRES 7107 NW 50 ST MIAMI FL 33166 ,11,,,1,1 „11,,,,11,1,,,1111,1111,1 05 Aug 1211 03:30p MIAMI REST REPAIR 08/12/2011 19:51 3055919589 COMPUPAY 3058636211 p.1 PAL•it. dl! t91 CERTIFICATE OF LIABILITY INSURANCE CIATEINIWawYYTY) 8/12/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ROWER. MIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY MEAD. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THEE ISSUING INSURERIS), AUTHORIZED REPRESENTATIVE OR PRODUCE.. AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder h an ADDITIONAL INSISTED, the policy(lea) must be endorsed. if SUBROGATION IS WAIVED, sub a t to the terns and conditions of the policy, certain policies may regulre an EndOraentenL A aGtement on this cerlIfleato does not confer rights to the CBftifllPte holder IA HMI of Such endoreemant(e). tODUCER - C0MP 7PAY INSURANCE SERVICES, INC. 3450 Lakeside Drive, Suite 400 Kira3mar, FL 33027 COMM mwe Belinda Rivera aMON[ pm. (800) 362 -9519 x7760 a"x+c.Ney(30536'15 -8141 DR sa:WCOCompupay -cam UNITS INSURER A: CaStlegoint Florida Znsurance DURECr Cooling Professionals, Ina. 7107 NW 50th Street Miami, FL 33166 C305)594-3994 Fax: (305) 592 -1956 INSUrteR a c INSURER C : EACH OCCURRENCE INSURER D: DAMAGE 1 1 cc moeme, INSURER E ,paamise$ MED Vtr' , onoroon7 INSURER • I I CLAIMS -MADE [J OCCUR CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INOICATED. 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 PALOCLA . 'R TYPE OF INSURANCE x�� POLICY NUMBER Vim• ./YYEYY ,- I ; a►1�u UNITS GENERAL LIABILITY —1 COMMERCIAL GENERAL UABIUTY EACH OCCURRENCE $ DAMAGE 1 1 cc moeme, 8 ,paamise$ MED Vtr' , onoroon7 S I I CLAIMS -MADE [J OCCUR PERSONALS ADV INJURY 5 j GENERAL AGGREGATE 5 PRODUCTS • COMPIOP AGO 5 GEN'L AGGREGATE LIMIT APPLIES PER POUCYI 1JJraT 1 FLAG 1 �� AUTOMOBILE LUAAILITY ANYAUTO AUTOS AILL GWNLO HIRED AUTOS ULEO NON-OWNED comial SINGLE LIMIT (Ea BOOq.Y INJURY Mel Parson) s a00RY INJURY Mar rodei lot) 5 PPRCPi ; AMAGE $ ...nom UtatIRI:LLA LIAR EXCESS LAB _. OCCUR CLANS-PAVE - EACH DCCUI ENCE AGGREGATE S s DEO 1 i RETENTION S --, rt WORKERS COMPENSATION AND E1APLOYSR&' Lipson, aAY r000RIF.TOI.eEi�RrN:4 4trroll YIN OFFISFR,MEIJSEa ExCt."DC•4r rmmidnav is non Hya daxcibe undo! DtFCIUPTION OF OPERATIONS below P'a WCP760780600 4/7/11 4/7/12 )112:7311:116i- 7L5Tw- --•L ELEACHACCIDENT $ 100,000 E.L, DISEASE • EA EMPLOYEE: 100,000 EL. DISEASE •PoucYLIMIT i 500,000 6ORIPTION OF OEtaT10NG (LOCATIONS I VEHICLES (MAN AGORD tot. Additional Rarivoit Schodulo it more xpacr b Wquirod: ERTIFICATE HOLDER CANCELLATION Miami Shores Village 10050 NE 2nd Avenue Miami Shores, 9'L 33138 SHOULD ANY OF PIS ABOVE OESCR18ED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN ACCORD - THE POLICY PROVISIONS. AU • ' `s ' PREsd :y(T 1988 -209 D ACQRD COR POR;ATICN. Affrights reserved. The ACORN name End logo are registered Marks of ACORO CC D 25 {2010105) Aug 1511 04:49p MIAMI REST REPAIR U0/15 /LUL1 1U:30 N'A3 ".i545404UU0 a 3058636211 0‘.41.1 b1iV s 11vauKAIVI CERTIFICATE OF LIABILITY INSURANCE p.1 c UULI VUt DATE 0118DOiYY'YY) 08115111 THIS CERTIFICATE IS ISSUED AS A MATTER QF LNFORMA' ION 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 POUCIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: lithe certificate holder Isan ADDI'UONAt. INSURED, the policy(ies) must be endorsed. If SUBROGATION_ IS WAIVED, subject to the terms and earrdlUona of the policy, certain policies may requite an endorsement. A :adamant on thIs certificate does not confer rights to the certlflcate holds( Gr lieu of such endarsmeent(s). PRODUCER ' Sclufl rig Insurance I I 901 E Sample Road, Suite 1 H Pompano Beach, FL 33064 . Phone (954)545 -50 Fax (954)545 -5998 INSURED COOLING PROFESSIONAL, INC. 6405 NW 36th Street Suite #107 Virginia Gardeasi. FL 33166 -COVERAGES . GoNTAGT NAME PHONE INSURER A : INSURER B: INSURER C: IN9.ItE.R 0 : CHRIS (954)345-5989 M. Rat schilingirourancogiyahoo.Ccat INSURERS] AFFORDINGEGYERAGE AMERICAN VEHICLE INSURANCE COMPANY 854)545 -5998 NMS NOUN= E: INSURER F : CERTIFICATE NUMBER REVISION NUMBER: THIS IS. TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN rSSVEDTO THE INSURED NAMEDABOVEFORTHEPOLICYPERIOD INDICATED. NORVVITHS TAND/HGANY•REOUIREi14ENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WM CH THIS C EITIFICATH MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDMONS OF SUCH POUCIES. LINTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. • TM 'MEW oNE RANGE t i nnly0 POUCY AMBER GENERAL UABILITY I • COMA ERIAL GENERAL LIABILITY A Q 0 CLAIMSde4AD1: ®OCCUR N N I GL -0504007670 -00 ❑ 3 0 I,�FI1. AGGREGATE LIMIT APPi .IES PER M Q POLICY ❑ LOG AUT'OYOBA.E UABxITY ❑ aNYAUTo ❑ AUAU-OWNED ❑ Afros 171 HNffib AUTOS ❑ MUT O ❑ 0 ❑ 1JMBRELLA IJAB OCCUR ❑ Exam me ❑cam ❑ r D ❑ RETENTIONS YMOW ERSCOMPENSATION mat EIMIOTERS' UABILRY Y! N ANY PROPRETORIPAR1NER/EXECUTIVE N �ss, �ataxy l e Mg la E)OCL UBFl)7 DcSCFa>RTION OF OPERATIONS baton NJA EFF POUCY 07/16/2011 07/16/2012 Lairs • •• is : S 1.000.000.00 .- IO RENTED - -G 100,000.00 MED EXP'tarot one palon) S 5.000 -00 PERSONAL &ADVInUURY S 1,000,000.00 GENERAL AGGREGATE s 2,000.000.00 PRODwors - COW /012 AGG s 2,000,000.00 OA etelogguSINGLE urr S BODILY INJURY par person) t 130011.Y INJURY (Per accident) 1 mad4e+D . OE E EACH OcCuRRENCE S AGGREGATE S ❑ tCRSOlittUis S EL EACH ACCIDENT S EL DISEASE-- EA EMPLOYEE S EL DISEASE - POLICY UNIT S DEIAGRIPTION OF OPERATIONS 1 LOCATIONS i VEIi1CLES (Attach ACORD 1411. Additlorral Remake Schedule, I more space Je rogtind) AIR COMDmONING SYSTEMS, INSTALLATIONS. SERVICE OR REPAIR WITH 1250.00 DEO PER CLAIM ""CERTIFICATE HOLDER IS NOT USTED AS ADDITIONAL INSURED UNDER THIS POLICY""• CERTIFICATE HOLDER CANCELLATION MIAMI SHORES VILLAGE 10050 NE 2ND AVE MIAMI SHORES - FL - 33138 ACORD 25 (7810IO5) QF SHOULD ANY OF THE ABOVE DESCRIBED PP013CIS BE CANCELLED BEFORE 1 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POUCY PROVISIONS. SO1 E. Sam CHRIST �a,„ P , ORPORA110N. 141! lights reserved. r n logo ere registered marks of ACORD 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 APPLICATIO FBC 20 Permit Type: MEGA OWNER: Name (Fee Si N'll Titleholder` 's Address: . r .. 1MA4It•� _ A City: \\ Tenant/Lessee Permit No. JUN 2 z. Master Permit No. City: Miami Shores County: Miami Folio/Parcel #: /i ' 52 0 °-0/3 - Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: (Cg/Q 9 Sb AS S (.O010/0`i d EiI aj Phone #: (305) g/ // y Address- City: fl /-ii-i I L-/- S State: Zip: 33 C1 S Qualifier Name: e®, 1 ii er"I 0- Phone# bs) 4 e .Y ,3isr State Certification or Registration #: C /?-C ,? 3 V Certificate of Competency #: Contact Phonetk) iVl \Address:C-SC cLr 5 DESIGNER: Architect/Engineer: Value of Work for . P Type of Work: UAd Description of Work: *****x *** Submittal Fee $ �.+�,+rc ry Scanning Fee $ Notary $ Double Fee $ Permit Fee $ L CCF CO /CC $ Radon Fee $ DBPR $ Bond $ Training/Education Fee $ Structural Review $ TOTAL FEE NOW DUE $ (0 1-2,7 f ` 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 FTF,CTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDMONERS, 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 s . 'ect to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first i :;section aich occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection , ' Ir,:,. t , 0 1 _1.1 ,, ' ction ee will be charred The foregoing instrument was acknowledged before me this 23 day of Crum , 20 1 l , by who is personally known to me De-1 NASZcdS LAC..5RSsiks identif NOTARY PUBLIC: car- OSc kL %✓ Qr ho has produce Contractor The foregoing instrument was acknowledged �• before me this� , day of Y , 20 ►1 , by liba.Akjilk ication and who did take an oath. Yp N�� Etta, U�o , �+uc 1 MARMEZ le COMMISSION #EE053499 EXPIRES: February 18, 2015 Bonded Biro Budget Notary SWAM "f Sign: FOo�`� Print: t..' l i e4 My Commission Expires: re10. t g p 2b15 APPROVED BY t******** ********** ****rkrk. Nrk: k** **+k+k******* #**********k***** n �t who is pe • pally known to me or who has produced as identification and who did take an oath. NOTAR . PUBLIC: M COMM SS1ON # E 55741 EXPIRES January 17, 2015 FloridallotaiServks.00m s xaminer Structural Review (Revised 07 /10/07)(Revised 06 /10/2009)(Revised 3/15/09) Zoning Clerk Client#: 117016 OSCARSON ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIOD 06/10/2011 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 pollcy(ies) must be endorsed. If SUBROGATION IS WANED, 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 Marsh & McLennan Agency LLC 14750 Palmetto Frontage Road Suite 120 Miami Lakes, FL 33016 CONTACT (NNpA , No, r . 305 823-2777 FAX No: 3058232906 EMAIL A4D' INSURER(S) AFFORDING COVERAGE NAIC S INSURERA:Scottsdale Insurance Company 41297 INSURED Oscar & Sons AIr Conditioning, Inc. 6157 NW 167 Street, #F7 Miami Lakes, FL 33015 pig: Technology Insurance Company, I 42376 INSURER c: Continental Insurance Company 35289 INSURER 0: $1,000,000 0/SURER E : $50,000 $ 5,000 INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POUCIES 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. OMITS SHOWN MAY HAVE BEEN REDUCED BYp PAID LTR TYPE OF INSURANCE INSR vs POLICY NUMBER ( INYYYTY) ECLAIMS. (MM)DDIYYYY) wars A GENERALL'ABIUTY X COMMERCIAL GENERALUABILnY CPS1358343 04128/2011 04/28/2012 EACH OCCURRENCE $1,000,000 RRBQIg i(Ea �Dots....1 $50,000 $ 5,000 CLAIMS -MADE X OCCUR MED ESP (Arty one person) X BI/PD Ded:2,500 PERSONAI. &ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 s2,000,000 GEM. AGGREGATE LIMiT APPLIES PER: n POLICY n JEG n LOC PRODUCTS - COMP/OPAGG $ C AUTOMOBILE _ LIABILRY ANY AUTO ALL OWNED AUTOS HIREDAUTO X ULE ED Am B4023017867 04/28/2011 04128/2012 maaMacctiNdentiED GLE LIMIT $1,000,000 $ Bony INJURY (Per poison) BODLY INJURY (Peradent) PROPERTY DAMAGE P r $ $ A X UMBRELLAUAB EXCESS LIAR OCCUR CLAIMS -MADE XBS0014076 04/28/2011 04/28/2012 EACH OCCURRENCE $1,000,000 $1,000,000 AGGREGATE $ DED ( X RETENnou $10000 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROpPRIETORIPA RTNERIEXECUTNE �Y / N OFFTCERAMEMBER EXDLUDED? ! " I Mandatory in NH) TIONscribe OPERATIONS below N IA TWC3263657 01/08/2011 01/0812012, T0RYYU MRS 1 1ER E.L. EACH ACCIDENT $1,000,000 EL DISEASE - EA EMPLOYEE $1,000,000 $1,000,000 EL DISEASE- POLICY LIMrr DESCRIPTION OF OPERATIONS 1 LOCATIONS /VEHICLES (Math ACORD 151, Additional Remarks Schedule, N more apace s required) Air Conditioning and Refrigeration- Repair and installation. CERTIFICATE HOLDER CANCELLATION Miami Shores Village Building Department 10050 NE 2nd Ave Miami Shares, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) 1 al The ACORD name and logo are registered marks of ACORD #51031152/911008202 LBZM STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD 1940 NORTH MONROE STREET TALLAHASSEE FL 32399 -0783 TIERNEY, ROY M OSCAR & SONS AIR CONDITIONING INC 606 LAKE LARCH LN LAKELAND FL 33805 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 bette For information about our services, please log onto www.myforidalicense.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 Departments 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! (850) 487 -1395 DETACH HERE OSCAR 8 SONS AIR CONDITIONING INC CIRO JIMENEZ PRES 6157 NW 167 ST #F-7 MIAMI FL 33015 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 164374 Permit Number: ELC -6 -11 -1154 Scheduled Inspection Date: September 14, 2011 Inspector: Bruhn, Norman Owner: LLC, MSVC Job Address: 9472 NE 2 Avenue 9472 Miami Shores, FL 33138 -0000 Project: <NONE> Contractor: KLEAN POWER ELECTRIC INC Permit Type: Electrical - Commercial Inspection Type: Final Work Classification: Addition /Alteration Phone Number ()_- Parcel Number 1132060132780 -72 Building Department Comments ELECTRICAL FOR BUILD OUT FOR BEAUTY SALON - DAHLIA SALON Passed Failed Inspector Co Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. /1/ {37/ September 13, 2011 For Inspections please call: (305)762 -4949 Page 28 of 30 A i�1 CERTIFICATE OF LIABILITY INSURANCE 'fi r } 1a ' lj + '/ • DATE (mmWOD/YYYY) 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 this certificate holder Is an ADDITIONAL INSURED, Ma policy(Ies) must be endorsed. If 9UBROGA1ION 16 W IVEO, subject to the terms and conditions of the policy, certain pellicles may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of SUCK ondarsetnent(s). PRODUCER Gil, Garden, .,Vetrani Insurance Group 10699 N. Kendall Drive suite 200 Miami INSURED rr 33176 Rleau Power Electric Inc 6601 SW 80 St #114 Miami COVERAGES AARcuNIALI a =NA L . 1a A e'valo A . Em; (305) 630 -47 77 ADDRESS: -- revnloggaig.a osn PmaxeR 00000706 cuSTDIAPR ID _ ^� INSURER(3) A OROtNIO CDVERAr36 NAM* INSURERA !iTr *Velers commercial Xna , CIO 36131 INSURER aelridgeEjeld Employ° tus• co. 10703. INSURER C : INSURER D : TeX -_�I No): (30s) 27114022 FL 33143 -8154 INSURER E: INSUR €RF: CERTIFICATE NUMEIER:CL1152601715 REVISION NUMBER: THIS IS TO CERTIFY 'THAT THE POLICIES • INSURANCE LISTED BELOW HAVE BEEN ISSUED 7o THE INSURED NAMED ABOVE F •R 'ma P01.101* 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 TERM$, 1rygEXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, LTR TYPE OP INKIRANCE ADEL 8tAsR obi ICY i^' POLICY SIM "' !!VBR N/VD PAY NUMBER JM YY M/DO/YYI IMM/DQMYYY) LIMITS GENERAL LIABILITY X COMMCRUI& MINERAL LABILITY ca.AlM8•MADE ©0001112 GENT. Ar,CRFGA'f E LIMIT APFIICG PEN: Pi)IN'Y r,1 J?o fl LGC AUTOMOBILE LIABILITY ANY AUTO ALL OVVnman AUTOS LY. I•II •UULED AUTOS HIRrr3 AuT(,H NON-VANED AUTOS UMBRELLA LMB excESPS LIAR CCDUC I SAE RETENTION $ 66112A3244B8 8/25/2011 55/25/2012 EACH oCcuRIIENCE 041 FTo nerraU r REMIfeUES COODY0fEntl Mr.r, FXP Any one pnlcan) PEREDNAL 8 ADV INJURY CENEi2AL ACGREDAI Rkg.12t Ts • COMP/OP AAr, OCCUR CLAnALmAItm WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIEi RIPARR'I'NFolExECUTIVC ormeR/MEM R Exc LUDEto (Mandatory 41 NH) its '.r",i�l gr N IF+PCRA r IONS InIcto COMBINED SINGLC 117,117 (Ea auitiont) I It)UIL1' IN.URY (Par porson) BODILY !NJ IRY (Par accident) I'ttOl'tRTY D AIN% )Pea ataidenI) $ 1,000,000 100,000 $ 5,000 1 1,000,000 $ 2,000L000 $ 2,00 0•L000 1 1 1 1•ACH OCCURRENCE At ;GREGATC 1 N/A D530 -42655 0/1/200 8/1/2011 DESCRIPTION OP OPIARATIoNS / LOCATIONS /VEHICLES (Attach ADORD 101, Additional R•marlta Schacht a, If mon spate la requlred) CERTIFICATE HOLDER (305) 756-8972 Miami Shores village 10050 PIE 2n4 Ave Miami Shores, FL 33138 ACORD 25 (2009108) IN8025 rims) CANCELLATION X I.T0R'r .Ine OTH I 1 EACI I /Moll MINT E l D FAh:F . F A FMrt.OYLt E.L. Disen r, F'a1,ICY LIMIT $ $ IF 1 000 000 t..- 1, 000.000 $ 1,000.000 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION BATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THB POLICY PROVISIONS. AUTHORICED REPRESENTATIVE Santiago Rod s rigue/ECA ., - -- » "'Ys:r -• "' .rte:.. s.y .:::, 7 0198a -2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are regMtered marks of ACORD T 1T 'aDVd 8Lt'LLEZTi56 ueTzop uoxTU Nd 8£:E0 TTOZ'fi/Z'unr 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 JUN 4 Ego Permit No. ' CA 69 Master Permit No. Permit Type: Electrical OWNER: Name (Fee Simple Titleholder): Rs v C_ /., L C.. Phone#: Address: Z 3/ ( l Y v1/4,14 b c p \V city: t \ 1n) o /f,�,,,, State: L_- Zip: 333 C 2- Tenant/Lessee Name: 1b fl 1 tocAl mss- Phone#: 7 giq t Y !79 T Finail• `V' 1,59-11)/1 1 IMGt l l- (f>" JOB ADDRESS: 94 i D iv 2 Hv City: Miami Shores County: Miami Dade Zip: 3 1 Folio/Parcel#: 1 -0I3 Z: ra Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: b ► ; rl Address: ' b ci f s 1./ g U 1 s sr U- h i t 11 (1 City 1 Cf M i r 5°C1-0-% State: • P1 . Zip: 3 ) E/ 3 Qualifier Name: Gijiii-ii d 141-1 o 3 0 State Certification or Registration #: Ec / S 0 o a 0 ( k Certificate of Competency #: Contact Phone#: 3 o5° CI 1-0 437-9 Email Address: lc) eAh r 0W L,t 6/etTi.r L -6IV A; L ,6 /4-7 DESIGNER: Architect/Engineer: Phone#: hone#: 3°5-- 94° -1-i3;•9 Phone#: Value of Work for this Permit: $ 0 0 Square/Linear Footage of Work: Type of Work: DAddress ®'Alteration ONew ORepair/Replace Description of Work: whe -e tz t. yt ct j a Demolition :*************************************** F************* ******* * * * *** ** *e******** **e*** Submittal Fee $ Permit Fee $ ��J °��' CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ eiTOTAL FEE NOW DUE $ { 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 N 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 FI.RCTRICAL 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 ..,' . attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first insP1 tion whic ' occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will % be a and a reinspection fee will be charged "INV 111w Own e ent The foregoing instrument was acknowledged before me thin 23 day of 3 tn.lt , 20 ,_, by OsCRir 61X La.,/ who is personally known to me or who has produce (LS UtEk•ST, As identification and who did take an oath. 4)1 A`",c Y * MY COMMISSION # EE 063199 EXPIRES: February 18, 2015 4,fieoFAs) (4 Bolded pm Bo* Nobly Sans Sign: Print: `,1 `� 1 i E' } i r-}► `'1zZ. NOTARY PUBLIC: My Commission Expires: Si 261-- Contractor The foregoing instrument was acknowledged before me this 104 day of -5 , 20 ! ( , by Gcrti itv A. itf,),,s0 who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUB C- Sign: lir Print: L. ro✓1 Gra- My Commission Expires: *************************************************** * * * * * * * * * * * * * * * * *** * * * * * * * *** ** APPROVED BY 0 e°#' ens Examiner / z_ Structural Review (Revised 07 /10/07)(Revised 061102009)(Revised 3/15/09) rv✓1 ""114 GOZLAN • *- COMM . ;! N # DD941999 EXPIR1$3 ? :.ember 19, 2013 Zoning Clerk IT DADS COUNTY CTOR 140 W. FLOM BT. 1st FLOOR 11030, R. 33130 345104 -4 BUSINESS NAME/LOCATION 2010 LOCIU. BUSRIESS TAX RECEIPT $011 MIAMI -DAB SEPT. T� 1 AARIDA MUST BE DISPLAYED AT PLACE OF BUSINESS PURSUANT TO COUNTY CODE CRAFTIER SA • ART. 0 810' THIS IS NOT A1331. - DO NOT PAY RENEWAL =swim 360467 -6 KLEAN POWER ELECTRIC INC STATE* EC13002068 6601 SW 80 ST 114 33143 SOUTH MIAMI OWNER KLEAN POWER ELECTRIC INC Sep iype cBust ieas Tina 12# FageT RICAL CONTRACTOR m 1I DOES sr Na op mum sop PAW U.S. POSTAGE PERMIT NO X11 8 TIMM USICANIORwm COLLECrOfh 000045.00 SEE OTHER SSE WORKER/S 00 NOT FORWARD KLEAN POWER ELECTRIC INC GUILLERMO A ALONSO PRES 6601 SW 80 ST *114 SOUTH MIAMI FL 33143 47 STATE OF FLORIDA DEPARTMENT OF BUSINESSAND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 ALONSO, GUILLERMO ANGEL !CLEAN POWER ELECTRIC INC 6601 SW 80TH STREET SUITE 114 SOUTH MIAMI FL 33143 Congratulations, With this license you become one of the nearly one milNon 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.myfloridalicensaeren. There you can find more Information about our divisions and the regulations that knpact you, subscribe to department newsletters and team 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( DETACH HERE (850) 487-1395 9 April 14, 2011 Miami Shores Village Building Department 10050 NE 2nd Avenue Miami Shores, F133138 S� (v2A u;tu-r- Ref Permit # 11 -352 Salon Dhalia @, 9472 2nd Avenue, Miami Shores, F133138 Dear Building Official, SKLARchitecturt The following are the responses to your plan review comments of the above mentioned project: 1. Provide a licensed contractor and a permit application for the Master permit prior to any further reviews. R= Critical Path Construction will be providing their information to the Village. 2. Plans must be approved by Miami Dade DERM. R= Agreed, we will be handling this. 3. Plans must be approved by Miami Dade County WASD. R= Agreed. 4. All Sub permit applications must be submitted prior to any further review. R= Agreed, G.C. will take care of this. 5. Corrections for plumbing and mechanical must be completed. R= For the Mechanical comment, see the attached letter from the engineer. For the Plumbing comment, we will be providing a permanent cup dispenser for the drinking fountain, see revised plan. 6. Indicate the elevation of the exterior grade with respect to the finished floor. Identify the slope down on the floor plan at rear doors. R= Elevations and slope added, this is not a ramp. It is less than 1 in 20. See updated floor plan. 7. Provide a detail of the reception counter showing compliance with FBC FAC. R= 36" portion of counter now shown, see updated floor plan. hould you have any questions please do not hesitate to contact us. cerely, Ar L. Sklar, Pr-sident CS: Toni Lockhart LEED AP 11 ARCHITECTURE Commercial & Residential Interior Architecture & Design Urban Renovation Architectural Design of Children's Environments Development Consulting 2310 Hollywood Blvd. Hollywood Florida 33020 Tel: 954.925.9292 Fax 954.925.6292 e -mail: mail @sklarchitect.com WEBSITE: www.sklarchitect.com AA 0002849 IB 0000894 NCARB CERTIFIED Ari Sklar, A.I.A. Oscar Sklar, A.I.A. DELTA G CONSULTING ENGINEERS, INC, April 13, 2011 Mechanical Plan Reviewer Miami Shores Village Building Department 10050 NE 2nd Ave. Miami Shores, FL 33138 Re: Dhalia Salon. New Interior Build -Out 9480 NE 2nd Ave Miami Shoes, Fl Permit No.: 11 -352 Dear Sir, Please see below responses to comments for the above referenced project. 1. Need to show exhaust air in outside calcs. Response: Refer to Exhaust Air Calculation and Air Balance Diagram added on plan M -1 under Revision 1. Should you have any questions regarding the above responses, please contact our office at (954) 527 -1112 or by fax at (954) 524 -7505. Sincerely, a E. Villazon, PE elta G Consulting Engineers, Inc. 707 NE 3rd Ave Suite 101, Fort Lauderdale, FL, 33304 Telephone: (954) 527 -1112 Fax: (954) 524-7505 ( A MIAMI• ADD E COUNTY COr os8i IA ez, Maj r INV #: VERIFICATION FORM EXPIRES ONE YEAR FROM DATE ON FORM FORM #: 201129225 DATE: Water and Sewer P. O. Box 330316 • 3071 SW 38th Avenue Miami, Florida 33233 -0316 T 305 - 665 -7471 miamidade.gov 6/14/2011 NAME OF OWNER: PROPERTY ADDRESS: PROPOSED USAGE / NO. OF UNITS: REPLACES: PREVIOUS USAGE / NO. OF UNITS: PROPERTY LEGAL: FOLIO NUMBER: DIiALIA SALON /M2011004343 19472 NE 2 AVE 1236 SF BEAUTY SALON PER PLANS RETAIL (BLT 2006) MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 1- 2 -3-4- & 5 BLK 21 11- 3206 - 013 -2780 GALLONS PER DAY INCREASE: 185 - PREVIOUS FLOW: PROPOSED FLOW: 124 PREVIOUS SQUARE FOOTAGE: 1,236 ❑ NEW CONSTRUCTION 309 PROPOSED SQUARE FOOTAGE 1,236 M INTERIOR RENOVATION THIS IS TO CERTIFY THAT THE MIAMI -DADE WATER AND SEWER DEPARTMENT DOES HAVE A(N) _12_ INCH WATER MAIN ABUTTING THE SUBJECT LEGALLY DESCRIBED PROPERTY. WE ARE WILLING TO SERVE THE SUBJECT PROPERTY, (OR, IF' WILL HAVE ", UPON PROPER CONVEYANCE AND PLACEMENT INTO SERVICE OF WATER FACILITIES BY THE DEVELOPER UNDER AGREEMENT WITH THE DEPARTMENT, (AGREEMENT ID # N/A) SUBJECT TO PROHIBITIONS OR RESTRICTIONS OF GOVERNMENTAL AGENCIES HAVING JURISDICTION OVER MATTERS OF WATER SUPPLY OR WITHDRAWAL. Judy R. Elliott - New Business Representative SIGNATURE OF REPRESENTATIVE AUTHORIZED BY BUSINESS COMMENTS: EXIST PS PREMISE W/ CC'S $257.15 + W/ ALLOC LTR $90 + W/ VF $75 TOTAL $422.15 PLANS REVIEW COMMENTS: CRITERIA: F-4 THIS IS TO CERTIFY THAT THE MIAj DADE WATER AND SEWER DEPARTM T DOES NOT HAVE A(N) = INCH GRAVITY SEWER MAIN ABU G THE SUBJECT LEGALLY DESCRIB • PROPERTY. WE ARE WILLING T ERVE THE SUBJECT PROPERTY, (OR 'WILL HAVE ", UPON PROPER CONV CE AND PLACEMENT INTO SERVICE OF EWER SEWER FACILITIES BY DEVELOPER UNDER AGREEMENT ITH THE DEPARTMENT, (AGREEME # N/A ). SUBJECT TO PROHIBITI. 'S OR RESTRICTIONS OF GOVERN TAL AGENCIES HAVING JURISDICTION 0 R MATTERS OF SEWAGE DISPOSA FURTHERMORE, APPROVAL OF A EWAGE FLOWS INTO THE DEPARTMEN SYSTEM MUST BE OBTAINED FROM .E.R.M. THE ANTICIPATED DAILY TER AND /OR SEWAGE FLOW FOR THIS P JECT WILL BE: ONE HUNDRED EIGHTY ` VE [185] GALLONS PER DAY INC SE. BY: Judy R. Elliott - New Business Representative SIGNATURE OF REPRESENTATIVE AUTHORIZED BY NEW BUSINESS COMMENTS: D.E.R.M. EEOS APP 2011- WDU -PR -02797 (PACKAGE SEWER TREATMENT PLANT DWO #112 APPR UNDER EQCB BO 04 -77) PLANS REVIEW COMMENTS: CONTACT NAME: MARTIN BERMUDEZ CONTACT PHONE (786) 543 -9656 Printed On: 6/14/201 3:43:17 PM Miami Dade Water and Sewer Department New Business Office P.O. Box 330316 Miami, Florida 33233 -0316 3575 South LeJeune Road, Room 114 Miscellaneous Charges ti INACCOUNT WI 'II Permits First 1835 NE Miami Gardens Dr. #282 Miami, FL 33179- — REFERENCE' INVOICE #: 1 131174 DATE: June 16 2011 CUSTID: 1 150282 1 PeopleSof[ Acct ID#: L 7116948924 1 Building Process # : X 2011099219 ] w/s cc's for 1236 sf beauty salon replacing retail @ 9472 ne 2 ave; m2011004343; folio:1132060132780; derm:EEOS Report; vf201129225 — DESCRIPTION ER WATER: N/A j ER SEWER: I N/A j AGMT ID: QTY GPD DESCRIPTION 1 Water Allocation Certificate - Initial 1 Verif Form- non -res existg (Water) 185 Conn Chg - WASD Water Gil. CODE CIS ADJ CD L 6436671- EW1011 6436663- EW101' 6897501 -EW223 UNIT 1 AMOUNT PRICE 90.00 75.00 1.39 - TOTAL: 90.00: 75.00'. 257.15. $422.15 St'2 t tett t (8)IS ?I1313 St 'FM s 1101 6 6L ST '22f7$ s (13d3QN31 )33K1 It&'X s y: d I30tt12 sII MI1 1 tlI@A1 s 83I 16811433 fl i t II 31St9 WATER DEPOSITS: SEWER DEPOSITS: INVOICE NO. 131174 TOTAL: $0.00 $0.00 $422.15 Original In'39 6tlZItKp 6/16/2011 By : P. C. Hernandez Distribution: White- Customer, Yellow- General Office, Pink -Local Office, Gold -New Business Water. Supply Certification Number: 2090 -VF- 201129225 Water Supply Certification Issued Date: 06/15/2011 Building Process Number: M2011004343 Applicant: N/A • Re: Adequate Water Supply Certification Owner /Agent: NEAL I SKLAR ESQ Organization: MSVC LLC 2310 HOLLYWOOD BLVD HOLLYWOOD, FL 33020 The Miami -Dade Water and Sewer Department (Department) has received your request to receive water services to serve the following project which is more specifically described in the attached Agreement, Verification Form, or Ordinance Letter. Project Name: DHALIA SALON /M2011004343 Project Location: 9472 NE 2 AVE Miami Shores Previous Use:1236 SF RETAIL Proposed Use:1236:SSF BEAUTY SALON Previous Ftow :: ;124: (GPD) Eotal,C:alculated Flow;. 309 (GPD) Reserved Flow:. 185 (GPD) The Department has evaluated your request pursuant to Policy CIE -5D and WS -2C in the -County's Comprehensive Development Master Plan and Limiting Condition No. 5. of the South Florida Water Management District Water Use Permit Number 13- 00017 -W. Based on its review of all applicable information, the Department hereby certifies that adequate water supply is available to serve the above described project. This Adequate Water Supply Certification will expire if a building permit is not applied for within 365 days of the date of issuance of said certification. If an Agreement is executed for the proposed project, the certification will remain active with the terms of the Agreement until such time as the building permit is applied for. If a building permit is applied for in accordance with the aforementioned conditions, this certification will remain active with the building' permit process. Furthermore, be advised that this adequate water supply certification does not constitute Department approval for the .proposed projeirt: Additional reviews and approval may be required from sections having jurisdiction over s iecific aspects of this project. Also, be advised that the gallons per day (GPD) flow reserved herein is for water eertifidation purposes only and may not be representative of GPD flows used in calculating connection fees by the Utility providing the service. p:hould you have any,questions regarding this matter, please contact Maria A. Valdes, Chief, Comprehensive , Rlanning And Water,Supply Certification Section, (786) 552 -8198 or via email at mavald @miamidade.gov. 5 Sincerely, Comprehensive Planning And Water Supply Certification Section. 1 9E3A92BB- 2B33- 463B- BB01- 6D62F36ABFFD l MIAMI COUNTY miamidade.gov May 31, 2011 4 Mr. Martin Bermudez 1835 NE Miami Gardens Drive #282 Miami, FL 33179 Department of Environmental Resources Management Plan Review and Development Approvals Division 11 805 SW 26th Street, Ste 124 Miami, Florida 33175-2474 T 786 - 315 -2800 F 786- 315 -2919 RE: Proposed Beauty Salon: Dhalia Salon -Miami Shores Application M2011 343 Dear Mr. Bermudez: This is to acknowledge that the Department of Environmental Resources Management (DERM) has evaluated the scope of your project to discharge future wastewater flow from a proposed 1,236 sf beauty salon to the existing on -site Miami Shores Village Center Wastewater Treatment Plant (WWTP) permitted under Miami -Dade County Permit DWO # 112 and Florida State Permit FLA 478334. At this time, the above mentioned WWTP is not operating and interim continual sewage pump - outs from the plant tanks are required to prevent discharges of untreated wastewater to groundwater. In addition, based on the characterization of the influent to this WWTP, a report is being prepared by Miami Shores Village Center as part of a schedule of compliance required to bring the plant up to standards and back to operation. The DERM acknowledges receipt, on May 27, 2011, of Mr. McDonald's letter addressing DERM's question regarding the characterization of the proposed beauty salon wastewater effluent to be incorporated to the WWTP wastewater characterization. This letter constitutes notice that based on the received information; the above referenced application is considered COMPLETE. The Schedule of Compliance approved by DERM on letter dated April 5, 2011 shall be followed in order to bring the WWTP into a level of operation able to treat the wastewater generated at Miami Shores Village Center, including the wastewater effluent to be generated at the proposed beauty salon, to the level required by their county and state operating permits. If you have any questions, please feel free to contact Mr. Galo Pacheco at (786) 315 -2832 or at pacheg@miamidade.gov, Water & W. wat: " "'ngineering Section Environmental Resources Management C.c.: Oscar Sklar, MSVC George McDonald, P.E.