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EL-11-1891Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 168832 Scheduled Inspection Date: January 23, 2012 Inspector: Devaney, Michael Owner: PUFF, MARTIN Permit Number: EL -10 -11 -1891 Job Address: 1208 NE 98 Street Miami Shores, FL 33138- Project: <NONE> Contractor: URBAN KO Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alteration Phone Number (786)553 -7400 Parcel Number 1132050090360 Phone: (786)251 -5607 Building Department Comments ELECTRICAL FOR ALTERATION Passed 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- 168683. Need tamper proof receptacles, outside to be tp /wp.Arc fault breakers. January 20, 2012 For Inspections please call: (305)762 -4949 Page 30 of 47 mow Miami Shores Village Building Department g 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 ;' OCT 1 3 2011 Permit Nod. Y& `°17' Master Permit No. /eC— /f/?/Y INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION FBC 20 Permit Type: Electrical OWNER: Name (Fee Simple Titleholder):, V4 7-774J p/ Phone #: ?A 6 1-S3 —74(Z) Address: /Z 0 crJa % qe'o City: State: Zip: 3 3 / 3 Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: /'2C jL'r( 9' City: Miami Shores County: Miami Dade Zip: 3 Folio/Parcel #: Is the Building Historically Designated: Yes CONTRACTOR: Company Name: Address: /8 ?6o /OW / ST NO Flood Zone: Phone #: '}Bc- — 2.1'500°7- City: - 19/1e,( Qualifier Name: A oter State: - State Certification or Registration #: Cif /30 /23 7P Contact Phone #: -2 g1 - 5-6 0 DESIGNER: Architect/Engineer: Email Address: Zip: 33 r 2 Phone #: Certificate of Competency #: 0 1 E 630 ?c,,3 of ban ka Phone #: " Value of Work for this Permit: $ J 00 0 Square/Linear Footage of Work: Type of Work: ❑Address ❑Alteration Description of Work: zjin / () DNew 6,t)041( URepair/Replace ❑Demolition ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * *x ** Fees***********F* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ e atd Permit Fee $ lb' --'F a w9 CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ AIL 110101 Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's N if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection whit occurs seven (7) da s after the building permit is issued. In e a 1. e ce of such posted notice, the inspection will not be ap . ov d an eins. , ton fe ' ill be charged. Owner or Agent Signature f / Contractor The foregoing instrument was acknowledged before me this /rte The fore mg ' s .trument was acknowledged before me this ,OC' day of , 20 .I, by , day ' , 20 7/ , by ✓� who is personally known to me or who has produced o is personally , to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: 4111417t, ENRIQUE CHAU MY COMMISSION D096296$ EXPIRES: January 48, 204 Bwit4114044g141 t Segicia _tea er APPROVED BY / �/� �° 2 / Plans Examiner Zoning NOTARY PUBLIC: Sign: Print: My Commission Expires: Structural Review Clerk (Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09) Nov 01 11 01:32p welter 3055327681 p.2 CITY OF MIAMI BEACH CERTIFICATE OF USE, ANNUAL FIRE FEE, AND BUSINESS TAX RECEIPT 1700 Convention Center Drive Miami Beach, Florida 33139 -1819 TRADE NAME: URBAN KO IN CARE OF: WALTER SCARFO ADDRESS: 220 WASHINGTON AVE, #3D MIAMI BEACH, FL 33139 -7157 A penalty is imposed for failure to keep thls Business Tax Receipt exhibited conspicuously at your place of business. A certificate of Use / Business Tax Receipt issued under this article does not waive or supersede other City laws, does not constitute-City approval of a particular business activity and does not excuse the licensee from all other laws applicable to the licensee's business. This Receipt may be transferred: A. Within 30 days of a bonaffde sate, otherwise a complete annual payment is due. B. To another location within the City If proper approvals and the Receipt are obtained prior to the opening of the new location: Additional Information Storage Locations FROM: CITY OF MIAMI BEACH 1700 CONVENTION CENTER DRIVE MIAMI BEACH, FL 33139 -1819 URBAN 1(0 429 LENOX AVE, #4C06 MIAMI BEACH, FL 33139 -6532 I�tllndlnuHulladu uhlirrlhrrklikirl RECEIPT NUMBER: IkL- 10001171 Beginning: 10/01 /2011 Fires: 09/30/2012 Parcel No: TRADE ADDRESS: 429 LENOX AVE, #4C06 Code 000675 Certlficate of Use/Occupation DESIGNER CERTIFICATE OF USE SQUARE FOOTAGE C_U # OF UNITS Designer FF 400 40 40 Y PRESORTED FIRST CLASS U.S. POSTAGE PAID • MIAMI BEACH, FL PERMIT No 1525 e °Y.?"' `t . v �1. I••' O ``''" • 1'.ek uF,'v�''� , 'b�' Vii. • c.,F+ ` GC'` ' -c -� r,ti',PR, : OF �Y �' .104• Ck:K ikg %� l4 P, ,`JP` �R�wAR��`�f��`l,��i �p�I R1� � . 161,10‘14 R11F. �� tvk �I rst • i• APE` (Gj •1�C��� , C� $s0'' .,iPRp `y G`. kc iL02-1Y`' �p two C'� G,t)M rJ'10P • 15� 11,•e0y..� �j. G{' � 1c� b- tn� ���� "��� c0 �t�R lye° ����Fy?, ; ;` `_ ,t:,2`�Q, 'S 43 Vr�!"�+J,B I � "`j `�RO`'�t`• i ` °.''' ..C��R 121p i3R •ICP C'J��� en�'�SE !01' . �ap� ,,;, �•, �1. �'�'(v yl,�`1� �. ,I .d�`1i`1F14P 1i C.0 � Cwn4� C}R1D P`1l , ORS; ' � . ,EC6ii 21R 5� pt3 /.1/2a p c °tC JI :�r� �I+pE ;,OP ` '-'4 653341 -9 BUSINESS NAME / LOCATION URBAN KO INC 429 LENOX AVE 33139 MIAMI BEACH OWNER URBAN KO INC Sec. Type of Business - 196 ELECTRICAL THIS IS ONLY A LOCAL BUSINESS TAX RECEIPT. IT DOES NOT PERMIT' THE HOLDER TO VIOLATE ANY EXISTING REGULATORY OR COUNTY OR ZONING LAWS CITIES. OF NOR THE HHOOLIER FROM EANYTOTNEH PERb11T OR LICENSE REQUIRED BY LAW. ITHIS ON OF IS ' THE A CERTIFICAT E HOLDERS QUALIFICA• PAYMENT RECEIpVyED LECTOE COUNTY TAX COLLECTOR: 01/03/2011 09010142001 000056.25 SEE OTHER SIDE LOCAL BUSINESS TAX RECEIPT Sys mutiMI DADE COUNTY- STATE OF FLORIDA MUST BE M1DISPPLAYED A PLACE OF BUSINESS: °SUANT TO COUNTY CODE "CHAPTE - 8A---;;ART, 9 FIRST -CLASS U.S. POSTAGE PAID MIAMI, FL PERMIT NO. 231 THIS IS NOT A BILL — DO NOT PAY RENEWAL RECEIPT NO. 680392 -9 CC # 09E000268 4C06 CONTRACTOR WORKER /S ,. 3 DO NOT FORWARD URBAN KO INC WALTER SCARFO PRES 220 WASHIUNGTON AVE #3D MIAMI BEACH FL 33139 IIIiI,IIiiIIIIIi,Ili , illlk IIiIll,li1 llli,IIIIIII1I 11IIlii Sep 28 2011 12:18PM USRINSURRNCENETCORP 788 -293 -3689 p.1 RLF CERTIFICATE OF LIABILITY INSURANCE mil OINVDDRA "`) 09/28/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS 510 RIOHTB 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: 1f the certificate holder Is an ADDITIONAL INSIJRED, the pollcy(lee) must tre •ndoraed. If SUBROGATION 19 WAIVED, subject to the terms and conditions of the polity. certain policies may require an endorsement. A statement on this certificate does not confer lights to the certificate holder In Ileu of such ondorsement(e). t RODUOER USA INSURANCENET CORP PO BOX 770155 MIAMI, FL 33177 '-CONTACT IMMk siq.PH:78 ®283 -3637 EaNak 786 - 293 -3669 ir Swim SERVICEOUSAINSURANCENET.COM INaURER(1ArFO ROME COY IRAQI NAILS IN5UJt RA,ACCIDENT INSURANCE COMPANY 9 1,000,000^ INSURED URBAN KO INC 220 WASHINGTON AVE APT, 3D MIAMI BEACH, FL 33139 INEUFIER G t INSURER C MED EXP (Any one Fermat IM MO: INSURER E 1 PERSONAL SAW/ INJURY INEIVRER R 1 COVERAGES 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 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, LTR A QiNEI{At X TYPE DP SMEAR= LIAMLITT COMMERCIAL ElENERAL LIANLITY ∎ � : � ;, , P• _.OYNUMMER A91522 / .main 05/26/2011 I. • • , e./ 05/2 012 WETS EACH OCCURRENCE 9 1,000,000^ DAMAGETOIiENTEJ PREMISES tSa ocaurrancal 5 100,000 CLAIMS.MADE C DoCUIY MED EXP (Any one Fermat $ 5,000 PERSONAL SAW/ INJURY 9 1,000,000 GENERAL AGOREQATE 9 2,000,000 0EN'L AGGREGATE Limit APPUE$PER: X 1 POLICY n JEL�T -1 LOC PRODUCTS - COMP/OP ADD $ 1,000,000 6 AUTDMOBILSLWDIUTY — ANY AUTO ALL OWNED N REDAUTOS tOHEOULED Ail -OWNED rMENI PUSINGLE JMIT 5 BODILY INJURY (Per pascal) 5 BODILY INJURY (Per eecmeri ) 5 (ParPENTr 5 UNIERELLALIAO ECCaa9LAO _ GCGUR CLAIM$.MADE EACHOCCURRENGE AGGREGATE 5 DED 1 I RETENT ON woman DOSPESSATION AND GMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y r N (Mandatary InNN)E/cCWDEG/ If Yes See, Ibe a+du DEMCIRIPTION OF OPERATION$ below NrA TWO • - TaRY 1 II l R - - E.L. EACH ACCIDENT 9 ILL. DISEASE • EA. EMPLOYEE $ E.L. DISEASE - POLICY LIMIT 5 DESCRIPTION OF OPERATIONS / LOCATIONS] VLHIDLE! (Atteoh ACORD 101, Additional Ramada BpNeelulq If mere spun Is required) ELECTRICAL CONTRACTOR, PAINTING INTERIOR,FURNITURE MFTG OFFICE LOCATION: 429 LENOX AVE SUITE 504 MIAMI BEACH FL 33139 CERTIF1CAT HOLDER CANCELLATION MIAMI SHORES VILLAGE BUILDING DEPARTMENT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 FX: 305- 758 -8972 SHOULD ANY OP THE AbOVC DESCRIBED POLICIES 9E CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN AccORDANCE WITH THE POLICY PROVISIONS. AUTNoRILED RErREe1 NTATIVo ®19884010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010106) The ACORD name and lone are reilstsred marks of ACORD JEFF A TWA TER CHieF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICE DIVISION OF WORKERS' COMPENSATII CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKS CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florid EFFECTIVE DATE: PERSON: FEIN: 1111412011 DE LOS RIOS 205475557 BUSINESS NAME AND ADDRESS: URBAN KO INC 220 WASHINGTON AVE APT 3D MIAMI BEACH FL 33139 -71S7 SCOPES OF BUSINESS OR TRADE: 1- REGISTERED ELECTRICAL CONTRACT EXPIRATION DATE: 11/13/2013 JAVIER uS1('J)NrAna Pussuact to Chapter 449 57.t14 t 5 ar? alicea u? a ,arra?ttioo eteCIS eaenptiva kora this 4L5aytip W4ci,3n rr,a, :tut rdce)ver benefits xr zatnperasate4r, hhaet tltas chepter_ t'ursuuant to Ciiate" 440.1 511PP, F s., t;ertilicates at d., pr 4t seta is6 t71ys ,U trade :;sled oro MI daft“! al tie:iiva r.a tie eaernps. P4ssuiafat to Cttt @tat aap,t) 1131. F.5.. Nato elt,itIon to :I• ?1i 1U Mill+ )e - evoiat3f it AC !A'i 91194 tiller the likattj Itte diatice cif the is5ttan4e t tl centitiyafe na bless meets the trgstaerstross at tuts sesitol tot Issuance of a eetteteeatr, the tfe;tttheleat snafu seaot!e te,tinea sr 1hr cPiAit„ -ate 07 al.c101 ttt+L° t-eriLoiee°i4ents wt 1 t ieoceiEra. OwC-252 CIRTIFeCATE OF ELECTION 70 SE EXEMPT REVtSEEQI C1 -11 PLEASE CUT OUT THE CARD HELOW AND RETAIN FOR F STATE OF €L0RdDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION CONSTRUCTION INDUSTRY CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS° COMPENSATION LAW F LT tF 11/ 14/2011 EXPIRATION DATE: 11/ 13/2013 AARSON: JAVIER OE LOS RIOS 205475557 3USICVESS NAME AND .ADDRESS: _ aLw e 0 Pursuant to Chapter 44C elect$ exewptwn from I- under tats section maw D chapter. Pursuant to Cthapter 44C H eRt~mpt .. apply only twit the ,rablice of election t E Pursuant to Chapter 44n arirt certificates of etec JEFF AT'W'ATER CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' CDMPENSATIOP CERTIFICATE OF ELECTION TO RE EXEMPT FROM FLORIDA WORKER CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below h EFFECTIVE DATE: 11/14/2011 PERSON: FEIN: LOCCIZANO 205475557 BUSINESS NAME AND ADDRESS: URBAN KO INC 220 WASHINGTON AVE APT 30 MIAMI BEACH FL 33139 -7157 SCOPES OF BUSINESS OR TRADE: 1- REGISTERED ELECTRICAL CONTRACT elected to be exempt from Florida EXPIRATION ©ATE, 11/13/2013 PATRICIA A 941PtJRWAMT: 'drseiet 10 Charter 440 115S144 t . are gilict±r 01 a 4arparaGge !the egetts exempt two Allis ctib�SteT Feeei06 OW eat rrc0rar bIgelits Or t:ale¢ertfat4hm Oder this cheater. Parsl4ant to Chapter 140_051(1V. F-S., Certificates 01 eI 5c©pe 0i the fiasfeesa at trete listed ere the Antics o•P election to be eireetpl. P ©relearn to thspter 440-05“3i r,5., tralt`4ri steno i to by PIIatpt suite be sebRecl to revocation if as nap beset Wet the filing of lite entire. or the issolete 0 Itle tertilatite rte ta■gre erects the teglireeteels of ails setti0n Ivr ;ssgaece GI a certificate, fiat department stall woke 4 c namel ae era enrolkite UP Medi ire te49iremeets u! this section. DWr -152 CERTIFICATE OF ELECTION TO BE EXEMPT FIEVISED 01-11 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FU1 4 T 11/13/2013 STATE OF FLORIDA n EPARTMENT OF FINANCIAL SERVICES DIV/SION OF WORKERS* COMPENSATION CONSTRUCTION INDUSTRY CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS° COMPENSATION LAW EFFECTIVE: 11/14/2011 EXPIRATION DATE: PERSON; PATRICIA A LOCCIZANO i= E.161f: 20547 5557 B !USfI ESS NAME AND ADDRESS] Pursuant to ChaptFr 440,0° eleet3 exemption from L. under this section may nO1 D chapter, Pursuant to Chapter 440,.0E H exempt_ apply only wrttharr E the notice of election to t R E Put-Stant to Chapter 440,45 and cel'td Imes of elect of JEFF ATWATER STATE OF FLORIDA CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICE DIVISION OF WORKERS' COMPENSATh * CERTIFICATE OF ELECTION TO RE EXEMPT FROM FLORIDA VVORKE CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Floridi EFFECTIVE DATE: PERSON: 11/1412011 EXPIRATION DATE: W1312013 SCARFO WALTER FEIN: 205475557 BUSINESS NAME AND ADDRESS: URBAN KO INC 220 WASHINGTON AVE APT 30 MIAMI BEACH FL 33139-7157 SCOPES OF BUSINESS OR TRADE: 1- REGISTERED ELECTRICAL CONTRACT PAPElfiTtoilT- ikuvsuaar to Crigiel 441) fl4 F S. ori Oficeir 06 a fmtxtteliDa Avng iti4C1111 ifilta Otis k;t1aPtel $et;to too nal letto@er benefits Q1 eotiverisation vide US chApleo Pursuant 10 CDaYtel 4114045412? FS, LertifiCtihrs t ,ety:Ipte JI the Cht4 int g.t, ui !Rade tistoj 6r, the Rogict 41 41441198 14 De esecttpt. Pri rQ ChiPter 44O-U3& VS:, Nutig eleclourt De eteroPI Alhil De sotijee! to (evoi.aitioa t! st artio time iitett the Mimi 41 UI Utc I e issoarice of tit fertilitgale tohger tileelS the tegtptemehts ol tht$ staion for isoolote sO 4 “miltcale. !h 4tit LitiatO re4taliii 4 named on the ceiliticeir to nee trie requ,iietnento ol Mitt, section OIA0C- 252 CERTIRCATE OF ELECTION TO BE EXEMPT PRASE D 01-11 PLEASE CUT OUT TME CARD BELOW AND RETAIN FOR FL STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS° COMPENSATION CONSTRUCTION INDUSTRY CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS" COMPENSATION LAW .F.FECT[VE: 11/14/2011 EXPIRATION DATE: 11/13/2013 PERSON: WALTER G SCARF° 205475557 5USAESS NAME AND ADDRESS: K.0 C ri Pursuant to Chapter 440_ elects example!' tTtifft tit • under INS section may r D chapter. Pursuant to Chapter 440,1 1. exempt_ apply orniv with ft the notice of election to R E PurSiant to Charger 440.1 ono certificates of electo Nov 01 11 01:32p welter MIAMI -DADE COUNTY TAX COLLECTOR 140 W. FLAGLEFI ST. 1st FLOOR MIAMI, FL 33130 3055327681 2011 MUNICIPAL CONTRACTOR'S 2012 TAX RECEIPT MIAMI -DADE COUNTY - STATE OF FLORIDA PURSUANT TO COUNTY CODE SEC. 10 -24 EXPIRES SEPT. 30, 2012 RECEIPT NO. 02- 6803929 BUSINESS NAME/LOCATION URBAN KO INC 429 LENOX AVE OWNER :URBAN KO INC THIS IS NOT A BILL — DO NOT PAY CC NO: 09E000268 RESTRICTED TO THE CITY OF: MIAMI BEACH Receipt holder must register In the city where work Is to be done. PAYMENT RE:CENED MIAMI -DADS COUNTY TAX �F� `11/2011 02220012002 000077.65 p. 1 FIRST -CLASS U.S. POSTAGE PAID MIAMI, FL PERMIT NO. 231 RECEIPT HOLDER MAY DO BUSINESS AS A CONTRACTOR AS SPECIFIED HEREON. ELECTRICAL CONTRACTOR DO NOT FORWARD URBAN KO INC WALTER SCARFO PRES 220 WASHINGTON AVE #3D MIAMI BEACH FL 33139 1 ilIJ11l111,111 111, 111, 11% 5, 1„111,1111111I11111111,J1,11111 66 653341-9 BUVISANAMbi tfTION 429 LENOX AVE 33139 MIAMI BEACH °WAN KO INC sec110e evert!' CAL BSTAY I .I U INSSS TAX RECEPTIT DOES NOT PERMIT THE HOLDER TO VIOLATE ANY EXISTING REGULATORY OR ZONING LAWS OF THE .COUNTY OR CITIES. NOR 00ES rr EXEMPT THE HOLDER FROM ANY OTHER PERMIT ENSE REQUIRED BY tAW.TTHIS IS NOT A CERTIFICATION OF THE HOLDERS QUALIFICA- TIONS. PAYMENT RECEIVED MIAAIFOAOE COUNTY TAX COUECTOR10 /11/2011 02220.012001 000049.50 SEE OTHER SIDE HIS IS NOT A BILL - DO NOT PAY RENEWAL CONTRACTOR 4C06 FIRST -CLASS U.S. POSTAGE PAID MIAMI, FL PERMIT NO. 231 680392-9 CC 411E4R0026a WORKER /S 3 DO NOT FORWARD URBAN KO INC WALTER SCARFO PRES 220 WASHINGTON 30 FL 33139 11111, I, 11„ I, 11, J11, 1, 11 ,1J,,1.11,1L13.,1L,11111,L1,1N A °® CERTIFICATE OF LIABILITY INSURANCE °��,28,`"°�Q°'m"' 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 WAIVED, subject to the terns 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 USA INSURANCENET CORP PO BOX 770158 MIAMI, FL 33177 CONTACT NAIVE: PH:786- 293 -3637 R, sic* 78 &293 -3669 SERVICE @USAINSURANCENET.COM INSURER(S) AFFORDING COVERAGE NAIC# NNSURERA:ACCIDENT INSURANCE COMPANY UABILITY COMMERCIAL GENERAL LIABILITY INSURED URBAN KO INC 220 WASHINGTON AVE APT. 3D MIAMI BEACH, FL 33139 INSURER B A91522 INSURER C: 05/25/2012 INSURER D $ 1,000,000 INSURER E` $ 100,000 INSURER F : COVERAGES 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 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. INNSSR LTR TYPE OF INSURANCE ADI)LSUER INSR WVD POUCYNUMBER POLICY EFF (MMJDDlYYYYI POLICY EXP (6NWD>M'YYYI LRATS A GENERAL X UABILITY COMMERCIAL GENERAL LIABILITY A91522 05/25/2011 05/25/2012 EACH OCCURRENCE $ 1,000,000 p E $ ) $ 100,000 CLAIMS -MADE X OCCUR MED EXP (My one ) $ 5,000 PERSONAL RADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE X POLICY LIMIT APPLIES PER LOC PRODUCTS - COMP/OP AGG $ 1,000,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL AUTOS® HIRED AUTOS PULED NON -OWNED COMBINED accident) LIMIT $ BODILY INJURY (Per person) $ BODILY INJURY (Per acoldent) $ (Per a DAMAGE $ $ UMBRELLA LIAR EXCESS LBIe OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ $ DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LW WLnY U R ANY PROPRIEfORIPARTNEREXEC I1VE Y / N OFFICERMEMBEREXCLUDED? ❑ (Mandatory In NH) If yes, desabe under DESCRIPTION OF OPERATIONS below NIA WC STATU- OTH- TORY LIMITS ER EL EACH ACCIDENT $ EL DISEASE -EA EMPLOYEE $ EL DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Adder Remaik s Schedule, B more space Is ntqulred) ELECTRICAL CONTRACTOR, PAINTING INTERIOR,FURNITURE MFTG OFFICE LOCATION: 429 LENOX AVE SUITE 504 MIAMI BEACH FL 33139 CERTIFIC MIAMI SHORES VILLAGE BUILDING DEPARTMENT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 FX: 305- 756 -8972 THE SHOULD ON DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZEDREPRESENTATIVE ,67,..--°` ACORD 2512010/051 O 1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are realstered marks of ACORD PDF created with FinePrint pdfFactory trial version http : / /www.fineprint.com 7 OCT 072011 APPENDIX 13-D ffietive March 1,20041 1:712 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 11009 -08 Residential Component Prescriptive ! 8 ALL CUMATE ZONES Cornpdance with Method B of Chapter 11 of the Rorhth Building Code, Residential, orSubchapter 13.6 of the Florida Building Code, Building, may be demonstrated by the use of Form 11008 for single -and multiple -family residences of three stories or ass In height, additions to existing residential buildings, renovations to existing residential buildings, new heating, cooling, and water heating systems in existing buildings, and site - added components of manufactured homes and manufactured bnitdings.To comply, a building must meet or exceed all dine energy efficiency requirements on Table 11B-1 and all applicable mandatory requiremenfs sumrrtartzed in Table 116-2 of thls form. If a building doss not co mpiv vdh method, t may still comply under Mlethod A of Citapter 11 PROJECT NAME AND ADDRESS: s 1.:1 %env tt•F rh° orSubctapthr 13 6 ofthe appw.duIe rxade. BURLIER: Co r ii C.: O/1 C � 1 NW PERMITTING OFFICE: M� &. 8 hotre. V; Vt46* 04/5 . Door: a pa. R. 3 ( OWNER: ti l t * rya j , r F ° PERMIT NO.:I 1 1 1 1 1 1 1 1 1 JURISDICTION NO: EAV3[l6 0 . Mew txlrhtnit Lion irrciuding additions vvtdch htcorporate any of the following features cannot comply using this method: skylights or othernanvertical roof glass, glass areas In excess of 16 percent of conditioned floor area, and electric resistance heat (See Notes 10 Table 1113-1 on page 2). 2.R11 In all the applicable spaces of the 'To Be installed° column on °Table 116.1 with the information requested. All To Be hulled" values must be equal to or more efficient than the required levels. 3.Complete page 1 based on the "To Be Installed" column Information. 4.Read °Minimum Requirements for All Packages", Table 11B-2 and check each box to indicate your Intent to comply with ail applicable items. 5. Read, sign and date the Prepared By" certification statement at the bottom of page 1. The owner or owners agent must also sign and date the form. 1. New construction, addition, or sedating tutilding 2. Single -family detached or multiple - family attached 3. if multiple - family -No. of units covered by this submission 4. Is this a worst case? (yes/no) 5. Conditioned floor area (sq. ft.) 6. Glass type and area a. U -factor b. SHGC c. Glass area 7 - _Percentage of glass tofloor area 8. Floor type, area or perimeter, and insulation: a. Slab -on -grade (R-value) b. Wood, raised (R- value) c. Wood, common (R- value) d. Concrete, raised (R-value) e. Concrete, common (R-value) 9. Wall type, area and Insulation: a. Exterior: b. Artjacene 1. Masonry (Insulation R-value) 2. Wood frame (Insulation R-value) 1. Masonry (Insulation R- value) 2. Wood frame (Insulation R- value) 10. Ceiling type, area and insulation: a. Under attic (Insulation R- value) b. Single assembly (Insulation R-value) 11. Air distribution system: Duct insulation, location Test repmt required if dncc in tmconditioaed space 12. Cooling system: (Type, L� �� Y t, :.: u A.C., gas, none) 13. Heating system: (Types heat lump, elec. strip, nat. gas, LP -Gas, gas h.p., room or PTAC, none) 14. PrograrnmorAe t n.:.c*�! ►..� rr .+!d.± �.. Vin.. � : 15. Not water system: ( Types: elec., nat. gas, LP -gas, solar, beat rec., ded. heat pump, other, none) Please Print CK 1.R. Mir tN6.LI4. 2. $.FAM. 3. `^ 4, N 5. 6a. • 6b. a 9,r sq. ft. 7. t at TO % 8a. R= Nit lin.ft. 8b. R= sq.ft. 8c. R= - eft. 8d. R= Sq.f . 8e. R= sq.ft. 8a -1. R= Sa-2. R= 9b-1. R= 9b-2. R= 10a. R= 10b. R= 11a R= v .-�. sq.ft. sq. ft 11 b.Teat report attached? Yes 12a Type: 12b. SEER/EER: 12c. Capacity: 13a. Type: 13b. HSPFJCOP /AFUE: 13c. Capacity: 14. Yes No No 15a Type: 15b. EF: I hereby certify that the Plans and spedfpttons covered by the cakvianon are in complianne with the - DATE /a " Review el plans and spy covered by tab wleulanun balm annudiante will the Rodda Energy Code. n completed, this building cos ire b to compltance In r an 8i m..,..",.• 77141.: 4L- 1 i hurab ,, uiy mat uw Inaiiie,y o in with ForMti r Woe: OWNER AGENT: DATE DATE 2007 FLORIDA BUILDING CODE - BUILDING 13 -D.23 • APPENDIX 13-0 '1' TABLE 118-1 REOUIREMENTS (SeeNote1) AU climate Zones BUILDING COMPONENT PERFORMANCE CRITERIA INSTALLED VALUES: Windows (see Note 2): U- Faaor= 0.85 SH(2 =0.35 %ofCFAa =16% U- Factor= .4t SHGC = • 'S �1I1 % of CFA = ti 7 (O Exterior door type Wood or insulated Type: Wad – Ext. and Adj. (see Note 3): Fume Mass (see Note 3) interior of wart Exterior ofwaik' R-13 R-8 R4 R -Value R•Value R -Value = r4- Electric resistance heat (See Note 10) Not allowed Csttings (see Notes 3 & 4) R=30 R -Value = Floors: Slab-on-grade Over weed spaces (see Nate 3) No requirement R-13 R -Vedue Hat water systems (storage type) Electric (see Nate 5): Gas Med (eee Note 6): 40 gal EF= 0.92 50 gal: EF= 0.90 40 gat EF= 0.59 50 tel: EF= 0.58 Gallons = EF= Gallons. EF= Ar conditioning systems (w Note 7) SEER =13.0 SEER = Heat pump systems (see Note 8) SEER =13.0 HSPF = 7.7 SEER = HSPF Gas furnaces AFUE = 7B% AFUE _ Islasam 09furnaces AFUE = 78% AFUE= Programmable themrostat (see Note 10) Duchrorlc (see Note 9) Uncondidored space' Conditioned space Unvented attic assembly per R808.4 with htsrdation at the roof plate Must be installed on aB HVAC systems. R-8. TESTED NA R-4.2 Air Handler location: Unconditioned attic' or garage Conditioned space or Unvented eiSa air per R808.4 with insulation el the roof plane Requires test report No duct test required Installed? Yes No Locate= Unconditioned space R-Velue Test report Conditioned space R -Value (NO test report required) Location: Test report r�– (1) Earh - - tin the As -Built home must meet or exceed each of the applicable performance criteria in order to comply with this code using this method; oth- erwise Method -A compliance must be used. - - (2) Windows and doors qualifying as glazed fenestration areas must comply with both the maximum U-Factor and the matimwn 91(GC (Solar Heat Gain Ceeitident) criteria and have a needmun total window area equal to or less than 16% of the conditioned floor area (Cl), A otherwise Method A must be used for compliance. Exerptiwls 1. Ad- ditions of 600 square feet (56 m2) or less may have maximum glass to CM of 50 percent 2. Renovations with new windows under a 2 toot overhang whose lower edge does or single parted with a diffuser. (3) R-Values are for insulation material only as applied in accordance with manufacturers' installation instruction. For mass walla, the "interior of wall° retpdrement (R-6) must be met except if at least 50% of the R-4 insulation value required for the °exterior of weir Is installed eaderior of, or integral to, the wait_ (4) Attic knee wafts shall be insulated to same level as ceilings and shall have a positive means of maintaining insulation in place. Such means may Include rigid insulation hoard nr air harrier cheat nwtariele aAanu tnau batmen' to the Men nate* lit most wan fnrnhen nn tod,te _ -.._ -' _. -- (6) For other natural gas storage volume, minimum EF= 0.67 - (0.0019 ' volume). (7) For all conventional units with capacities greater than 30,000 Bto/ht For Small-Duct, High-Vstoraty units, Space Constrained units, and units with capacities less than 30.000 Btulhr see Table 13- 607.AB.3.2A of the reoitio ottr7wrty Cu ble, Building, or Table N1107.AB.3.2A of the Florida Building Code, Residential (8) For all conventional units with capacities greater than 30,000 Btu/ht For Snail -Duct, High - Velocity unfts, Space Constrained units. and units with capacities less than (i)) All ducts and air handlers shall be either located in conditioned space or tested by a Class 1 BERS rater to be "substantially' leak free. `Substantially leak free" shall mean distribution system air leakage to outdoors no greater than 3 cfm per 100 square feet of conditioned door area at a pressure differentiae of 25 Pascal (0.10 In. wc.) across the •' •. - - • •• •• •• •• •• .c �Nlil uu .tie 11/ ,uelmld unto an existing air distribution system C.. part of an addition or renovation. Such duds shall either be insulate! to R-6 or be installed in conditioned space. jn existing btdldurtys. TABLE 116.2 RRNIMUM REQUIREMENTS FOR ALL PACKAGES COMPONENTS 1 SECTION t REQUIREMENTS • Exterior Windows & Doors N1108.A8.1.1 Max .3 tdmis4.R window azeax .5 c inVe jt door moo. Sole & Top Plates N1108AB.121 Sole plates and penetrations through top plates of extet orwalls must be sealed. Recesse,::.V ' N1106AB.124 Type IC rated with no penetrations (two alternatives allowed). Multistory Homes N1108A13.125 Air battier on ter of floor cavity between floors. a.a,tm&ol row admen ductwork. Water Healers N1112.AB.3 Comply witha requirements in TableP11112AB. 3. Satohordearlynartced drcuttb reatcer eteotrtcorcula , -.. --- _ -- - -- __ - - - - -' -_ - - _ . �:..uay.: for vest= Spas & heated pods rust have covers (except solar heated). Noncommercial pools oast have a pmnp timer. Gas I SwimiSlnn Porte A Ssuas T NI it, AR 7 ?t A .1.g P.M haatara ens-40 halm .nint.m.n, tho.nws annktnno ..r Tae+ Mr.* ro....... ww,.1 f......w....i.�n w...» . �s.1...... IV / It10A6.1d Hat Water Pipes N1112.AB.5 Shower Heeds 141117 on e n HVAC Duct Constriction. I N1110.AB HVACConmois j N1107.A8.2 Insulation N regtdred for hot water circulating systems (including heal recovery wits). ••,re then 7 G memos em. name An w• —. All duct% fillings. mechanical equipment and plenum embers shall be mechanically attached. seated, insulated and installed in accordance with t w we=lls riff aa^w..• nil /in en to a minimum of i Separate readily able manual or automatic thermostat for each system. 201., t f4VhFun seuuoe+uwa a.vvc— ssuigl.Liii�iu COI�RAIN JoN�s WIND LOADS CALCULATION PUFF RESIDENCE WINDOWS AND DOORS RENOVATION 1208 NE 98TH STREET MIAMI, FLORIDA 33138 COLTRAIN & JONES, ARCH. 535 SW 8TH STREET, SUITE 100 MIAMI FLORIDA, 33130 June 3, 2011 .7%4? Puff Residence 1208 NE 98 Street Miami 33138 Windows Wind Pressures ASCE7 -05 h= 15 ft Mean roof high (up to 15ft use 15ft) V= 146 mph 1= 1.00 ASCE 7 -05, table 6.1 Kh= 0.85 ASCE 7 -05, table 6.3 Kzt= 1.00 ASCE 7 -05, section 6.5.7.2 Kd= 0.85 ASCE 7 -05, table 6.4 qh = 39.4 psf Gcpi = ±0.18 gh=0. 00256(Kz)(Kzt)(Kd)(VVl Area, ft2 -Gcp -4 -Gcp -5 +Gcp -Gcp4 -Gcp5 10 = -1.10 -1 1 00 _ -1.10 : -1.40 -1.34 15 -1.07 -1.34 0.97 -1.07 20 - 1.05 -1.29 0.95 -1.05 ; - 1.29 30 -1.02 -1.23 0.92 -1.02 -1.23 HIP ROOF Wall Design Pressure, psf ZONE 5 ZONE 4 :+46,5 ; - 62.2 +46.5 -50.4, +45.2 - 59.8 +45.2 -49.2 0.30 -58.0 +44.4 -48.3 +44.4 - +43.1 - 55.6 +43.1 -47.1 Roof Design Pressure, psf area, ft` +Gcp -Gcp1 -Gcp2 -Gcp3 ZONE 1 ZONE 2 ZONE 3 10 0.30 -1.00 -1.80 -2.80 +18.9 -46.5 +18.9 -78.0 +18.9 -117.3 20 0.27 -0.97 -1.59 -2.29 +17.7 -45.3 +17.7 -69.7 +17.7 -97.2 50 0.23 -0.93 -1.31 -1.61 +16.1 -43.7 +16.1 -58.7 +16.1 -70.5 100 0.20 -0.90 -1.10 -1.10 +15.0 -42.5 +15.0 -50.4 +15.0 -50.4