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BP-05-1237
Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 183684 Permit Number: BP2005 -1237 Scheduled Inspection Date: January 07, 2013 Inspector: Bruhn, Norman Owner: MATZ, RUBIN Job Address: 9710 NE 2 Avenlue Miami Shores, FL 33138- Project: <NONE> Contractor: ERROL BROWN PAINTING INC Permit Type: Imported Permit Inspection Type: Final Building Work Classification: New Phone Number (786)290 -8815 Parcel Number 1132060132350 Phone: 305 -754 -3606 Building Department Comm nts RESSURE WASH BLDG COMPLETE, REPAIR ALL STUCCO DAMAGE THEN REFLOAT ALL SMOTH STUCCO AREAS. ORIGINAL DESING WILL NOT BE TAMPERED WITH. BLDG WILL THEN BE REPAINTED Infractio Passed Comments INSPECTOR COMMENTS False Passe Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments January 04, 2013 For Inspections please call: (305)762 -4949 Page 21 of 25 T Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 183684 Permit Number: BP2005 -1237 Scheduled Inspection Date: January 07, 2013 Inspector: Bruhn, Norman Owner: MATZ, RUBIN Job Address: 9710 NE 2 Avenue Miami Shores, FL 33138- Project: <NONE> Contractor: ERROL BROWN PAINTING INC Permit Type: Imported Permit Inspection Type: Final Building Work Classification: New Phone Number (786)290 -8815 Parcel Number 1132060132350 Phone: 305 - 754 -3606 Building Department Comments RESSURE WASH BLDG COMPLETE, REPAIR ALL STUCCO DAMAGE THEN REFLOAT ALL SMOTH STUCCO AREAS. ORIGINAL DESING WILL NOT BE TAMPERED WITH. BLDG WILL THEN BE REPAINTED Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. January 04, 2013 For Inspections please call: (305)762 -4949 Page 21 of 25 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 FBC206�asJt Permit No. VS Master Permit No. City: Miami Shores County: Miami Dade zip: 33 t3$ Folio/Parcel #: Is the Building Historically ¶ esignated: Yes NO / Flood Zone: OWNER: Name (Fee Simple Titleholder): 5t**Es Lea t. 1- 1- C1l2vs 'lA-TZ Phone#: l�b)Z9.o -12.81S- Address: 7414 N a. 51ST'R City: 11 .444 I State: �`—L • Zip: 331 37, Tenant/Lessee Name: Phone#: Email: au a *-.NI r( S wsbJr14. nET" CONTRACTOR: Company Name: A,e6 ,1/7Y Phone #: .6"2 6 -/Y6--- f,- Address: City: /77.9 State: 1'42' Zip: 3/ �7' Qualifier Name: " ,y Phone#: �} _ State Certification or Registration #: Certificate of Competency #: elei ? ./‘ 4 . s Contact Phone #: Email Address: DESIGNER: Architect/Engineer: Phone #: Value of Work for this Peres Type of Work: Addition Description of Work: t: $ ❑Alteration Wino/ t Color thru tile: Square/Linear Footage of Work: ❑New ❑Repair/Replace ❑Demolition *+x*+x+x**** * ****** ** x* *+ x*********** *a:**** Fees***** ****x: ***** **** ** ****+x****************** Permit Fee $ 0 Ob • a� CCF $ CO /CC $ Radon Fee $ DBPR $ Bond $ Training/Education Fee $ Technology Fee $ Structural Review $ Submittal Fee $ Scanning Fee $ Notary $ Double Fee $ TOTAL 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 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is iss e In . e absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. The foregoing instrument was acknowledged before me this ; day of , 20 by V � , who is personally known to me or who has produced 1 As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: µNUlUrlr 01$ 8/4 ;11.'s,,,, 03/06/2016 ROTARY PUBLIC.: Fr. CP Comm�3059 # ' . EE1 � ..,.. P. >k *>k>k** hex**** �x mx�>k** ** ****x:** **a� *+xx�>H>k* ** ' It le4r ** x****** ***************>k*** ** :****+>< *axa :>k*****>k ********* A\\ APPROVED BY Plans Examiner Signature '� n'/ Contractor The foregoin instrument was acknowledged before me this day of , 20 by CAW who is personally known to me or who has produced V as identification and wh011Mabrafoath. NOTARY PUBLIC: ,�•� Oer, /.i8 49i�J,``' .:' b:// Xp . '�w �'r Sign: Print: '.fe fission ' My Commission Expires: Zoning Structural Review Clerk (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) MIAMI-DADE COUNTY TAX COLLECTOR 140 W. Fla9ler Street 3313O Miami, Florida Please keep your receipt for future reference. Thank you and have a nice day. 1/3/2013 l ^6 /001TRAM Last Seq• 0001 WI LBT #:11 Local Business Tax CA CHANGE 0019-0001 288652-2 $37.50 $40.00 $2.50 MIAMI -DADE COUNTY TAX COLLECTOR LOCAL BUSINESS TAX SECTION loor 140 W. Flagler St. Miami, Florida 33130 TEMPORARY RECEIPT 2012 -2013 MUNICIPAL CONTRACTOR TAX Local Business Tax #:11288652 -22 State /CC #:000016835 Issued toA E BROWN PAINTING INC SPECIAL Yu BUILDING CONTRACTOR RESTRICTED TO THIS RECEIPT IS ISSUED AS E VIDENCE OF PAYMENT FOR YOUR LOCAL BUSINESS TAX OR PERMIT. YOUR OFFICII� ROCDA45 FROM BE MAILED THE TO YOU WITH VALIDATION DATE ON THIS RECEIPT MIA MI SHORES Payment ax Collector Received a Certified Above Miami -Dade County - - - - - - - - Collector information iamidade. ov taxcollector II 305- 270 -4949. CAL BUSINESS TAX Ibusiness, please notify us in writing. my information shown on this application. l anyone found operating without a paid local business tax, laity provided by law or ordinance (Sec 8A- 176(2)) r City Business Tax Receipt may also be required. to www.miamidade.gov /taxcollector mail make check payable to: ade County Tax Collector W Flager St 14 Floor Miami FL 33130 -4949 fax (305) 372 -6368 ottom portion of this bill for proper validattin. a minimum of 5% will be charged for all' returned checks. THIS (SNOT ABILL — DO NOT PAY RENEWAL 275516 -4 RECEIPT NO. 288652-2 BUSINESS NAME / LOO' TION E BROWN PAINTING INC CC it 000016835 520 NE 51 ST 33137 MIAMI FIRST -CLASS U.S. POSTAGE I PAID MIAMI, FL PERMIT NO. 231 OWNER E BROWN PAINTING I Sec. Type of Business 1ONLY 96 SPCIALTY BAIL THIS IS A L L BUSINESS TAX RECEIPT. IT DOES NOT PERMIT THE HOLDER TO VIOLATE ANY EXISTING REGULATORY OR ZONING LAWS OF THE COUNTY OR CRIES. NOR DOES IT EXEMPT THE HOLDER FROM ANY OTHER PERMIT OR LICENSE REQUIRED BY LAW. THIS IS NOT A CERTIFICATION OF THE HOLDER'S QUALIFICA- TIONS. PAYMENT RECEIVED MIAMI -DADE COUNTY TAX COLLECTOR: 07/16/2012 09010609001 000045.00 SEE OTHER SIDE NC DING CONTRACTOR WORKER /S 1 DO NOT FORWARD E BROWN PAINTING INC ERROL BROWN PRES 520 NE 51 ST MIAMI FL 33137 iNN11, NNiiN, NNii/ NilNl, lNIIN IIIII1IIifIIn11111111 Hill 144111 M1AMHDADE fiERMITTING, PROCESS NO T2012125965 CONTRACTOR: E BROWN PAINTINg INC 520 NE 51 ST MIAMI, FL 33137 TRADESMAN: BROWN ERROL L 520 NE 51 ST MIAMI, FL 33137 REVIEW FEE TYPE CODE 0.0 11805 SW 26 SIRE MIAMI, FL 331 (786) 315 200 MISCELLANEOUS RECI FEE DESCRIPTION BZCR TO08 2 YR RENEWAL-CONTRACTOR BZCR T009 2 YR RENEWAL7WALIFIER TOTAL.: C.* MIAMI-DADE COUNTY BUILDING DEPARTMENT 69/25/2612 12:11 RESISTER : TCPtI939Q CENTRAL CASHIER : MDT TRANSACTION 0: 351269250023 PROCESS PERMIT FEE DUE T2612125965 TOTAL : CHECK TENDERED : TOTAL : CHANGE ISSUED : CHECK 0(S): 1016 $240. $240.16 $246. $6. $240. 240.00 CT B Construction Trades Oualifying Board -),BUSINESS CERTIFICATE OF COMPETENCY 000016835 E BROWN PAINTING INC D.B.A.: BR WN ERROL L Is certified under the provisions of Chapter 10 of Miami-Dade County ACC1R ef CERTIFICATE OF LIABILITY INSURANCE A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED AND THE CERTIFICATE HOLDER. DATE 01/03/93 Y) THIS POLICIES THIS CERTIFICATE IS ISSUED AS CERTIFICATE DOES NOT AFFIRMATIVELY BELOW. THIS CERTIFICATE OF INSURANCE REPRESENTATIVE OR PRODUCER, IMPORTANT: If the certificate holder 18 an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER Eckert Insurance Group 11601 NW 7th Ave. Miami, FL 33168 Phone (305) 685 -5671 Fax (305) 688 -0529 CONTACT NAME: (A/PHONE No. Ext): (305) 685 -5671 FAX .Nor. (305) 688 -0529 E-MAIL ADDRESS: ray@eckertins.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Nova Casualty Company A INSURED Errol Brown 520 NE 51st St Miami, FL 33137 - 3027 (786) 344 -1906 INSURER B : INSURER C : 09AL072256 INSURER D : $ 100,000.00 INSURER E: ❑ ❑ CLAIMS -MADE • OCCUR ❑ INSURER F : $ 5,000.00 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES INDICATED. NOTWITHSTANDING AN CERTIFICATE MAY BE ISSUED OR MAY EXCLUSIONS AND CONDITIONS OF S11CH OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE NSR�VWD POLICY NUMBER (MIN DDY E/YYYYI(MM/IDD/YYYYY)_ 10/12/2012 10/12/2013 LIMITS EACH OCCURRENCE $ 100,000.00 A GENERAL LIABILITY 09AL072256 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 100,000.00 V COMMERCIAL GENERAL LIABILnY ❑ ❑ CLAIMS -MADE • OCCUR ❑ MED EXP (Any one person $ 5,000.00 PERSONAL & ADV INJURY $ 100,000.00 ❑ GENERAL AGGREGATE $ 300,000.00 GEN'L AGGREGATE LIMIT APPLIES PER ❑ POLICY ❑ JE� ❑ LOC PRODUCTS - COMP /OP AGG $ 300,000.00 $ AUTOMOBILE LIABILITY ❑ ANY AUTO ALL OWNED ❑ SCHEDULED ❑ AUTOS ❑ HIRED AUTOS ❑ AUT SWNED ❑ ❑ COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PReenDAMAGE P $ $ • UMBRELLA UAB • OCCUR ' EACH OCCURRENCE $ ❑ EXCESS LIAB • CLAIMS -MADE AGGREGATE $ ❑ DED ❑ RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below y / N N / A WC STATU- OTH- ❑ TORY LIMITS ❑ ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Addltlonal Remarks Schedule, If more space Is required) CERTIFICATE HOLDER CANCELLATION I City of Miami Shores 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 ACORD 25 (2010/05) QF © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD JEFF ATWATER CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION 09-14-2012 * * CERTIFICATE! OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS COMPENSATION LAW * * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: PERSON: FEIN: 09/14/2012 EXPIRATION DATE: 09/14/2014 ,--� BROWN ERROL L 043796940 BUSINESS NAME AND ADDRESS: E BROWN PAINTING INC 520 NE 51ST STREET MIAMI FL 33137 SCOPES OF BUSINESS OR TRADE: 1- PAINTING OR PAPERHANGING IMPORTANT: Pursuant to Chapter 446 . 0$(14), F.S., an officer ,of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or ,compensation under this chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt... apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation it, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requijrements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01 -11 PLEASE CUT OUT THE CARD BELOW QUESTIONS? (850) 413 -161 AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERIES DIVISION OF WORKERS' COMPENS TION CONSTRUCTION INDUSTRY' CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW EFFECTIVE: 09/14/2012 EXPIRATION DATE: 09/14/2014 PERSON: ERROL L BROWN FEIN: 043796940 BUSINESS NAME AND ADDRESS: E BROWN PAINTING INC 520 NE 51ST STREET MIAMI, Fl 33137 SCOPE OF BUSINESS OR TRADE: 1- PAINTING OR PAPERHANGING IMPORTANT F Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who O elects exemption from this chapter by filing a certificate of election L under this section may not recover benefits or compensation under this D chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be H exempt... apply only within the scope of the business or trade listed on E the notice of election to be exempt. R E Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. QUESTIONS? (850) 413 -1609 CUT HERE * Carry bottom portion on the job, keep upper portion for your records. DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01 -11 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): 1 AUG E VED Permit No. aster Permit No. 5 12:-.1 Electric . 1 Plumbing Mechanic Owner's Name (Fee Simple Titleholder) one # Owner's Address ��' �� City /7a,Q State "L.-- Zip / 7. Tenant/Lessee Name Phone # Job Address (where the work is being done) /acme City Miami Shores Village Is Building Historically Designated YES 1 Roofing 5,)-5 /Y7 q--710 taziLot 4e7..g' /7 County _. _.. _._ Miami- Dade Zip NO Contractor's Company Name e. t • �- y' „/Y d��/ `/ Phone # Contractor's Address a5 cam// �7-- City f' /i State ,2 Qualifier State Certificate or Registration No. 2 gc ( "? Zip ,g3i /40/-72/, ,Gdoy Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit Type of Work: ' OAdditio Describe Work: d #-/Yoz ZCO a n ['Alteration ['New O Demolition A a.rA Submittal Fee $ •� Notary $ D ° 00 Training/Education Fee $ 1 - 80 * * * * * ** * *** * *** * * *** * * * * ** *Fees* **** Permit Fee $ /60 o ° Scanning $ Radon $ Code Enforcement $ Structural Plan Review. $ * * * * * * * * * * * * * * * * * * * * ** * CCF$5.4 Technology Fee $ &2 // co /cc 50 Zoning Bon Total Fee ow Due $ 117 . 70 N (Continued on opposite side) 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 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 Signature Ic Signature Owner or Agent / Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 19 day of , 20 , by day of � , 20 by jj Cep Wo T1n. who is personally known to me or who has produced who is personally known to me or who has .roduced As identification and who did take an oath. 014 Divot Lam ' as id NOTARY PUBLIC: NOTARY PUBLIC: Sign: Print: My Commission Expires: Sign: Print: My Commission Expires: _ ' EXPIRES: A114, 2009 Lam; ' sordid Thrj Notary UndRiw# ******************************************************************* ja******,*** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Chc 05/13/03 gPlans Examiner Engineer Zoning NOTICE OF ELECTION TO BE MP7 - Pik 2 NlsYou nmst identify the workers' � dud covers anY non-exempt employees of *sr business. Carrier Name: AFFIDAVIT OF APPLICANT: I hereby certify that the infiunndion contained herein is lane and correct talus best of my knowledge and belief tied this election does not cooed exemption Zip for corporate office' �; liability corporations as provided • §440.02 Florida �; and that any non - exempt' 3 of ibe �` company (LLC) identified in secdon 3 of Ids notice are covered by wreckers' onnpensatica insurance. ERROL BROWN NOTARY STATE OF FLORIDA, COUNTY OF Da8 -. Swom to and subscribed j emet i L 567 / 57 1 2440 Personally Known OR Produced Idenfffication_ TYPe Produced NOTARY SIGNA EA /by( eyz owr :fete.41%'0\ Phase submit completed form, along wi t any and'' lH i +,` apps fee (construction in applicants off) payelde to the W. Distriat Office below that is Ito your x*• e... ilk - p. Administration Trost Find, tothe playa ofb 12381 S. Cleveland. Ave. Salle Ft, Myers FL 33907 Telephone 039) 278 -723 1111 NE 25th Ave. Salk 8401 Ocala FL 34470 Telephone (352)401 - 610 E. Rama Road Pala, 1143 Telephone (850) 453-7 2012 &pile G5rele Suite 0102 Haltom Todlahassee FL 32399 - 161 Telephone (856) 414. 488 -2717 -g 921 N. Davis St. Itaildheg B, Salte FL 32209 T ) 400 West Dahlman St. Room#211 North Tower Orlando FL 32801 Telephone (40712456 499 Northwest 70th Avenue Sate #1.i6 Plantation FL 33317 Tie (954) 3213143 er (954) 3214160 1313 N. Tempe St. Suite 8503 Tony* FL 33602 Tie (813) 221-6506 Is owes NOMOR OPenwssa EXEMPT - moat a1o4 401 NW 2 d Ave. Suite 0321 South Tower Muni FL 33128 T (305) 536-0306 2686 Claqmosit Dr. Possum 01y FL 32405 Telephone (850) 747 -5425 1718 Men Sate 001 Sermota FL 34236 Tidephow 3612 STATE List QN1.1' Efectivdlesuo Date: Exolrailao X01 Nom. Postmark Date: Received Date; 3111 South Bide Hwy. State #123 West Pahm Bead" FL 33405 Telephone (561)8375412 Certij?eiCy I certify the attached is a true and correct copy of the Articles of Incorporation of ERROL BROWN PAINTING INC, a Florida corporation, filed electronically on May 10, 2004 effective May 05, 2004, as shown by the records of this office. I further certify that this is an electronically transmitted certificate authorized by section 15.16, Florida Statutes, and authenticated by the code noted below. The document number of this corporation is P04000075117. Authenticatiot Code: 040510142256- 500035825465 #1 i rS 9— ,7`/641 Given under my hand and the Great Seal of the State of Florida at Tallahassee, the Capital, this the Tenth day of May, 2004 existing to remain to match existing RED MTV[ AUG 1 9 2035 PROPOSED SOUTH ELEVATION PROPOSED EAST ELEVATION SCALE: 3/16' = BLITSTEIN DESIGN ASSOCIATES ecture Interior Design 285 Sevilla Avenue Coral Cables, Fl 33134 (305) 444 -4433 PETER BUTSTEIN UC. NO. AR0007570 project name Proposed Analysis SNORES LANDING 9110 NE. 2nd. AVENUE Mfamt, FL 33135 project number date JULY/20/ 2005 revision drawn by EA. sheet title PROPOSED ELEVATIONS SCALE' 3/16° • sheet number 4 -1 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 8/22/2005 Applicant: SALEHA - Owner: INVESTMENTS, LLC JOB ADDRESS: 9710 NE 2 Contractor ERROL BROWN Local Phone: 305 -754 -3606 Parcel # 1132060132350 Building Permit Permit Number: BP2005 -1237 Page 1 of 1 INVESTMENTS, LLC SALEHA AVE Contractor's Address: 520 NE 51 ST Legal Description: 1 53 41 6 53 42 MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 3-4 & 5 BLK 18 LOT Fees: FEE2005 -11466 FEE2005 -11467 FEE2005 -11468 FEE2005 -11469 FEE2005 -11470 FEE2005 -11471 Description Building Fee CCF Notary Fee Training and Education Fee Technology Fee Scanning Fee Total Fees: Amount $100.00 $5.40 $5.00 $1.80 $2.50 $3.00 $117.70 Total Fees: $117.70 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 2/15 /2006 Construction Value: $9,000.00 Work: RESSURE WASH BLDG COMPLETE, REPAIR ALL STUCCO DAMAGE THEN REFLOAT ALL SMOTH STUCCO AREAS. AUG 2 2 RAID ► l E34- Signed: (INSPECTOR) 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 responisibiliity for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: NOTIC A RECORDED COPY MIST I' PERMIT NO. OF COMMENCEMENT POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION • TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements wilt be made to certain reai property, and in accordance wth Chapter 713, Florida Statures, the following intonation is provided in this Notice of 1. Legal description of property and street/address: /Y4 I 1111 111 CF14 2005R0884-313 OR Ck 237014 Ps 17261 dips) RECORDED 08/22/2005 1 0:11:5' HARVEY RUVIHt CLERK OF COUR MIAMI—DADE COUNTYr FLORIDA LAST P ACIE C i ;1 4 2. Description of improverient: 3. Owner(s) name and ad Interest in property: Name and address of feel simple titleholder. 4. Contractor's name and address: 4 G ix�►'�71t+V .x/20 JE 5. Surety: (Payment bond required by owner from contrastizrElf 4) L.=y that flra is n ± .,4, {•.;, t1= Name and address: xrgrnaf filed in his effica a h ct +: ar re 20 f`JS Amount of bond $ . NITNESS 6. Lender's name and address: -1AEULTY G% 3 7. Persons within the state of Florida designated by Owner upon whore n provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: or other documents may be served as 8. in addition to hirnsetf,1 Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of different d otice of Commencement: (the expiration date is 1 year from the date of recording unless a ON.. Siana +re of Own /� f P t hers Na e d Rabin - r Jf` Sworn to anc supscrioeci before me this • . aav o' AU 4- . NOS—. Notary ubii: LLk Prim Notar'rs_ Name My commission exo!re UTAVIAL ATMMINS . MY COMMISSION t 0+56125 Prepared by p- L oc)Y) Acores::: 7114 5qsf l i t