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RF-12-1366
Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 176211 Permit Number: RF -7 -12 -1366 Scheduled Inspection Date: July 30, 2012 Inspector: Bruhn, Norman Owner: Job Address: Miami Shores, FL 33161- Project: <NONE> Contractor: EXPERT CONSTRUCTION SERVICES COPR Permit Type: Roof Inspection Type: Final Roof Work Classification: Repair Roof Phone Number (305)323 -1964 Parcel Number 1121360110430 Phone: (305)244 -5497 Building Department Comments REPAIRING LEAK IN THE ROOF Inspector Comments passeji-ei)/J Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. July 27, 2012 For Inspections please call: (305)762 -4949 Page 23 of 37 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) 7624949 BUILDING PERMIT APPLICATION Permit Type: BUILDING '.� JOB ADDRESS: City: Miami Shores County: Folio/Parcel#: _1.1 al 3( 0" Permit No. FBC 20 k0 —i2-13(eco Master Permit No. ROOFING Miami Dade Zip: ,.Sj / Is the Building Historically Designated: Yes NO Flood, Zone: /11 711 OWNER: Name (Fee Simple Titleholder): Phonei(330c_)33 ^/7 e Address: °, City: Mi fr9-14 / S/ ( ✓e S State: Tenant/Lessee Name : /1/4 PL Email: it CONTRACTOR: Company Name: e )(Peer row- 5TiecA_Cr? ) S one#: 3L5 24 , e}7 Address: 640 Coo t i d 5-e. ,S1✓e. City: W o 0 01 State: `f ( , Qualifier Name: U State Certification or Registration #: Contact Phone#: 3 os 21 -• .-t/? DESIGNER: Architect/Engineer: Zip: 330 2 Phone#: e'C.132f3117 Certificate of Competency #: Email Address: Phone#: Value of Work for thi Permit: $ 4 4 !' 0 d — S : � Square/Linear Footage of Work. Type of Work: °Addition °Alteration ONew air a' eplace °Demolition Description of Work: ae er.LZ \.Pn.kC- Color thru tile: **** ************ * * * ** *+xw**** **+r�gxs��x*****F ********* �n+ x+ xe�**** t��x ** ** *** **** ** *a��x+x�xa��x** *** Submittal Fee $ 3 Permit Fee $ l00 .O+J CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ Cp '3 Bonding Company's Name (if applicable) /% /A Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) , V /11 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 CONDmONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in complia re with all applicable laws regulating construction and zoning "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged -� T Signature Signature r Own r Agent Contractor The foregoin instrument was acknowledged before me this 9'9 The foregoing instrument was acknowledged before me this It day of 2012 by , day of j t,lt ,20 ` by kaCkAf"�� e(I who is personally known to me or who has produced RA 0 who is personallySown to me or who has produced identification wheAl take an oath. ��° -has • identification and who did take an oath. NOTARY PUBLIC: �• Q`\ �p� �'�,� �'� " Si � NOTARY PUBLIC: Sign: Print: My Commission Expires: . e;%•.•;" -i Commis ' • o ARY PUBI ;1= - N� . EE 113059 Sign: Print: My Commission -MY COMMISSION 4 DD 874407 EXPIRE$: March 26,201S Banded Thru Budget tetary Services ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED BY 77(10e 7 Z3y /L • Plans Examiner Structural Review (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06/10/2009)(Revised 3/15/09) Zoning Clerk 30. lc— fr-7,r7., fvlaml Shores Village APPROVED FONING DEPT •Pd_ DG DEPT BY LJB.J ECT 10 Cc,k1PLIANICE WI n-t ALL FEDERAL N ("LIN f ,d1,1 ANn RPM! 4TIC1KIR Floridalltdhihtg-Code-Ecfition42010 High Velocity Hunicane Zone Uniform Permit Application Form. Section A (General Information) • / Master Pent* No. A/lA Contractor's Name Process No. HIGH-VELOCITY HURRICANE ZONEI ( Job Address ilikked.t."VtewLes 104, O Low Slope O Asphaltic • Shingles ROOF CATEGORY CI Mechanically Fastened Tile 0 Metal Panel/Shingles O Mortar/Adhesive Set Tile O Wood Shingles/Shakes 0 Prescriptive BUR-RAS 150 ROOF TYPE O New Roof 0 Reroofing 0 Recovering Repair 0 Maintenance ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) 7L( • Section B (Roof Plan) Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. include dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets. 2010 FLORIDA BUILDING CODE — RSIflENTIAI SECTION R4402.13 HIGH VELOCITY HURRICANE ZONES — REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS R4402.13.1 Scope. As it pertains to the section, it is the responsibility of roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of the section. The provisions of Section R4402 govem the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner ant the contractor. The owner's initial in the designated space indicates that the item has been explained. 1. Aesthetics-Workmanship: the workmanship provisions of Section R4402 are for the purpose of p ng that the roof system meets the wind resistance and water instruction performance standards. Aesthetics (appearance) are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. 2. Renailing wood decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Section R4403. (The roof deck is usually concealed prior to removing the existing roof system). 3. Common roofs: Common roofs are those which have no visible delineation between neighboring un (Le., townhouses, condominiums, etc.) In buildings with common roofs, the roofing contractor and/or owner should notify the occupants of adjacent units of roofing to be performed. 4. Exposed Ceiling: Exposed, open beam ceilings are where the underside of the roof decking can b r wed from below. The owner may wish to maintain the architectural appearance; therefore, roofing nail penetration of the underside of the decking may not be acceptable. This provides the option of maintaining the appearance. 5. c1 Ponding water: The current roof system and/or deck of the building may not drain well and may cause water to pond (accumulate) in low -lying areas of the roof. Pounding can be an indication of structural distress and may require the review of a professional structural engineer. Pounding may shorten the life expectancy and performance of the new roofing system. Pounding conditions may not be evident until the original roofing system is removed. Pounding conditions should be corrected. 6. Overflow scuppers (wall outlets): It is required that rainwater flows off so that the roof is not oaded from a buildup of water. Perimeter /edge wall or other roof extension may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in accordance with the requirements of Sections R4402, R4403 and R4413. 7. C Ventilation: Most roof structures should have some ability to vent natural airflow through the interior of the structure assembly (the building itself). The existing amount of attic ventilation shall not be reduced. It may be beneficial to consider additional venting which cairesult in extending the service life of the roof. s Signature Date Revised on 7/9/2009 LD le Contractor Si a nature Date DBPR - ENCIO, VLADIMIR; Doing Business As: EXPERT CONSTRUCTION SERVI... Page 1 of 1 Licensee Details Licensee Information Name: Main Address: County: License Mailing: LicenseLocation: License Information License Type: Rank: License Number: Status: Licensure Date: Expires: Special Qualifications Construction Business 1:49:55 PM 7/20/2012 ENCIO, VLADIMIR (Primary Name) EXPERT CONSTRUCTION SERVICES CORP (DBA Name) 6630 COOLIDGE ST HOLLYWOOD Florida 33024 BROWARD Certified Roofing Contractor Cert Roofing CCC1329848 Current,Active 10/14/2011 08/31/2014 Qualification Effective 10/14/2011 View Related License Information View License Complaint 194Q North Monroe Street Tallahassee FL 32399 :: Email: Customer Contact Center :: Customer Contact Center: 850.487.1395 The State of Florida Is an AA/EEO employer. Com /right 2007 -2010 State of Florida, privacy Statement Under Florida law, a -mall addresses are public records. If you do not want your e-mail address released in response to a public - records request, do not send electronic mail to this entity. Instead, contact the office by phone or by traditional mall. If you have any questions, please contact 850..187.1395. https:// www. myfloridalicense .com/LicenseDetail. asp? SID= &id= E7BCEC213819464B991... 7/20/2012 QUESTIONS? 1850) 413 -1SOE 03-04-2011 JEFF ATWATER STATE OF FLORIDA CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW CONSTRUCTION INDUSTRY >;XEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation lave_ EFFECTIVE DATE: PERSON: FEIN: 03104/201/ EXPIRATION DATE 03/03/2013 ENCID 770713446 BUSINESS NAME AND ADDRESS: EXPERT CONSTRUCTION SERVICES CORP 6630 COOLIDGE ST HOLLYWOOD FL 33024 SCOPES OF BUSINESS DR TRADE: 1- CONSTRUCTION VLADIMIR 2— CERTIFIED GENERAL CONTRACTOR F 7/Z136 46 MINIMUM': Pursuant to Chapter 444 , x81141, F.S., eo U1cer at a corporetfen was clods rrxesaption frays this dmapter by Whig e certificate of Mamba toner laic section may not recover benefits or compensation ander this clinger. Persaea1 10 Chapter 440.V5S14 f.5., Certificates of election to ie exempt... apply only wtdr'nt the scope of rho Nosiness or trine listed an the mates at elettiau to toe exempt. Parsaent to Chapter 440.0511a F.S., mattes Ed alectian to be anent sad certificates of (dectlen to be exempt wag he subject to resecatien if, at any time alter the filing of the notice ar the issuance of the certificate, the person eland on the aetice or cdttticate no longer meets Gho requirements of this section for issaante of a certificate. The department Sahli revoke a certificate at any time for failure of the person named et the etrtnieate to genet the requirements el this settles. DWC -252 CERTIFICATE OF ELECTION TO DE EXEMPT REVISED 01 -11 PLEASE CUT OUT THE CARD QUESTIONS? (850) 413- BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA DEPARTMENT OF RNANC1AL SERVICES DIVISION OF WORKERS' COMPENSATION CONSTRUCTION INDUSTRY CERTIFICATE OF ELEGTi00 TO BE E7a1PT FROM FLORIDA WORKERS' COMPENSATION LAW EFFECTIVE 03/04/2011 EXPIRATION DATE: 03/03/2013 PERSON: VLADIMIR ENCIO FEIN: 770713446 BUSINESS NAME AND ADDRESS: EXPERT CONSTRUCTION SERVICES CORP 0830 COOLIDGE ST HOLLYWOOD, FI. 33024 SCOPE OF . BUSINESS OR TRADE 1- CONSTRUCTION 2- CERTIFIED GENERAL CONTRACTOR IMPORTANT FO Pennant to Chapter 440.05(14), F.S, ant officer of a corporation who elects exemption from this chapter by filing a certificate 0 election L under this section may not recover benefits or compensation under this D. r Pursuant to Chapter 440.05(12}. F.S. Certificates of election to be H exempt.. apply only within the scope of the business or trade listed on E the notice 0 election to be exempt E Pursuant to Chapter 440.05{131, ES., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation 11, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer met the requirements of this section for issuance of a certificate The department shall revoke a certificate at any time for 1aihire of the person caned an the certificate to meet the reeiuirensents of this Section. CUT HERE * Carry bottom portion on the job, keep upper portion for your records. DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01 -11 v 6L91z98617g6 a!W!PnIA 0£V£6 ZL. LO OZ 20 07 12 13:37 Vladimir 9549864579 p.1 CITY OF HOLLYWOOD A TREASURY SERVICES DIVISION LOCAL BUSINESS TAX RECEIPTING fi;.... 2600 HOLLYWOOD BLVD, ROOM 103 "-. •' HOLLYWOOD, FL 33020 EXPERT CONSTRUCTION SERVICES 6630 COOLIDGE ST HOLLYWOOD FL 33024 Pogien RP 7/Z/3 6 CITY OF HOLLYWOOD LOCAL BUSINESS TAX RECEIPT - 1579 37967 PRINT DATE:. 9/20/11 THIS IS YOUR LOCAL BUSINESS TAX RECEIPT. PLEASE DETACH AND POST IN A CONSPICUOUS PLACE AT THE BUSINESS LOCATION. PLEASE DO NOT REMIT ANY PAYMENT. THIS tS NOT A BILL. Business Name- Business Location: Business Class: Tax Basis: Receipt Number: Receipt Year. Expiration Date: EXPERT CONSTRUCTION SERVICES 6630 COOLIDGE ST CONTRACTOR/GENERAL 1 WORKER t0WNER) 12 00046629 10/01/11. 09/30/12 NEW CHARGES. (Itemized Below) Base Fee Additional Charges: 190.00 190.00 TOTAL NEW CHARGES: Penalty Amount Previous Balance Due: TOTAL AMOUNT PAID: 190.00 .00 .00 190.00 PURSUANT TO STATE LAW, THE LOCAL BUSINESS TAX IS LEVIED ON THE PRIVILEGE OF DOING BUSINESS WITHIN A CITY'S LIMITS, AND IS NON- REGULATORY IN NATURE. ISSUANCE OF A LOCAL BUSINESS TAX RECEIPT BY THE CITY OF HOLLYWOOD DOES NOT MEAN THAT THE CITY HAS DETERMINED THAT THE EXISTIN OR PROPOSED USE OF A LOCATION IS LAWFUL. ISSUANCE OF A LOCAL BUSINE TAX RECEIPT DOES NOT LEGALIZE OR CONDONE THE NATURE OF THE BUSINE S BEING CONDUCTED IF CONTRARY TO ANY LOCAL, STATE OR FEDERAL LAWS OR RErULATIONS. AC# :.5 2 6 'THIS DOCUMENT HAS A COLORED BACKGROUND :• r:IICRQPRI'3TIIVCa - LINcMARK'K PATErSTED FAPER' DEPAR i4 1 .CO STATE- 0: FLORIDA O -- BIISIL+115SS`. Paw- PR8FSS9I0NAL RLQQLaTI_It• ••• • • - •••SECLi1-1oi4002 -' STRIIGTION. INDUSTRY .LICENS-ING- BOARD • • DATE BATCH NUMBER LIOEN E NBR 10/14;%2011 110114846: . CCC.1329848 The , "ROOFING ' CONTRACTOR ; . Named below- IS ,CERTIFIED- ,. . tinder: the- • .provisions . of Chapter 489. • FS . Expiration date: •AVG •31,. 201Z. ENCItJ EXPERT CON$TRUCT3QN�•SERVSCES:': CORP. 6630- COOLIDGE • ST • :".HOLLYWOOD• •• • • ::-FL 3302.4- RTCR• SCpT•-F•':.-; • :*-GOVERNOR . '•• -KEN.. LAWS-ON • • SEGRETAR t• :. - DISPLAY AS REQUIRED BY LAW - • • y1 L 115 S. Andrews Ave., Rm. A -t00, Ft. Lauderdale, FL 33301- 1895 — 954 -831 -4000 VALID OCTOBER 1, 2031 THROUGH SEPTEMBER 30, 2012 DBA: Business Name: EXPERT CONSTRIICTION SERV . Owner Name: VLADIMIR ENCIo Business Location: 6630 COOLIDGE ST HOLLYWOOD Business Phone: Rooms S Employees 1 Receipt #:1H 0- 240062 Business Type:G � CONTRACTOR • (CONSTRUCTION) Business Opened:03/22/2411 StateiCo u ntylCertlReg :CGC15 ].6 66 S Exemption Code:WNEXEmPT Machines • Professionals For Vending Business Only mbar' of Machines: Vendino Tvpe: Tax Amount Transfer Fee NSF Fee Penally Prior Years Collection Cast Total Paid 27.00 0.00. 0 -00 0.00 0.00 0.00 27 -00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Broward County and is non - regulatory in nature. You must Meet all County andlor Municipality planning WHEN VALIDATED and zoning requirements. This Business Tax Receipt must be transferred when the business is sold, business name has tonged or you have moved the business location. This receipt does not indicate that the business is regal or that It is In compliance with State or local laws and regulations. Mailing Address: VLADIMIR ENCTO 6630 COOLIDGE ST HOLLYWOOD, FL 33024 U.S.A. v 6L9179961796 Receipt *018 -1O- 00004839 Paid 09/19/2011 27.00 MWIPBIA Zii :C ZI. LO OZ AWR1 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 DR PRODUCER, AND THE CERTIFICATE HOLDER. albano Insurance 3058881005 p.1 I� ~ -13fa� CERTIFICATE OF LIAE3ILITY INSURANCE DATE (MMJDD/YYYY) 07113/2012 IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. if SUBROGATION 1S WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER ALBANO INSURANCE#1 398 EAST 33 STREET SUITE 204 Hialeah FL 33013 'yet cT Romina Carrera 'HONE 305-888 -9568 •A1C. N °. eaU: FAX (AJC. No 305 -868 -1005 ADDRESS: albanoinsurance ©hotmal.com INSURER(SJ AFFORDING COVERAGE risuRERA ; United Specialty Comp NAIC* INSURED Expert Construction Srvcs 6630 Coolidge ST Hollywood FL 33024 U' SURER 13 : INSURER C : INSURER D : INSURER E : INSURER F: • REVISION NUMBER: vTHIS 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 'SSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POUCIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL. SUER Ina wvn POLICY NUMBER PDUCYE -F (MMIDDJYYYY) POLICY EXP IMMJDD/YYYYr Limns GENERAL UABIUTY COM 1ERCIALGENERALLIABILITY AGL8008350 EACH OCCURRENCE $ 1,000,000 GEITURENTED- PR MISES /Eaoccurrencei $ 100,000 MED EXP (Arty one person) $ 5,000 CLAIMS -MADE I 1 OCCUR 0110612012 01/06/2013 PERSONAL S ADV INJURY s 1,000,000 GENERAL AGGREGATE S 2,000000 PP.OD'JCTS- CAM° /OPAGG S 2,000,000 Gait AGGREGATELPMt /APPLIESPER; 7 POLICY FT Tar n LOC S AUTOMOBILE LIABILITY ANY AUTO ALL OWNED HIRED AUTOS _ AU IEDULBD AUTTOOS�..D COMBINED �dED SINGLE L•MIT J BODILY INJURY (Per Person) 3 BODILY INJURY {Per accident) 3 (Pm accideen5 $ $ UMBRELLA LIAR EXCESS UAB OCCUR CLAIMS -MADE EACH OCCURRENCE 3 AGGREGATE $ 3 DED 1 1 RETENTIONS WORKERS COMPENSATION AND EMPLOYERS LUIBIU1Y ANY PROPRIETORIPARTNERIEXECUTIVE V� OFFICER'MEMBER EXCLUDED? (Mandatary In NM 11 Tes, describe inner DESCRIPTION OF OPERATIONS below NI A I WC STATU- I 10TH - : TORY LIMITS ER El.. EACH ACCIDENT S ; E.L. DISEASE- EA EMPLOYEE S E.L. DISEASE - POLICY LIMIT 3 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES !Attach ACORD 131, Additional Remarks 5 hedulo,11 more space is required) N I Miami Share Village 210050 NE 2nd Ave Miami, FL 33138 Permit # RF7121366 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES I3E CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REFRESENTATIVE ACORD 25 (2010105) 01988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD