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RC-12-2336r Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 190681 Permit Number: RC -12 -12 -2336 Scheduled Inspection Date: May 07, 2013 Inspector: Bruhn, Norman Owner: ROSA, LOUIS Job Address: 1172 NE 103 Street Miami Shores, FL 33138 -2652 Project: <NONE> Contractor: BLANCO DESIGN INC Permit Type: Residential Construction Inspection Type: Final Building Work Classification: Alteration Phone Number Parcel Number 1132050190040 Phone: (954)243 -8197 Building Department Comments REPLACE WINDOWS AND DOORS REPLACE KITCHEN CABINETS PATCH EXISTING EXTERIOR AND INTERIOR WALLS AND STUCCO Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. May 06, 2013 For Inspections please call: (305)762 -4949 Page 18 of 28 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 U��ING PERMIT APPLICATION Permit Type: BUILDING o Permit No. FBC Z�--a __C# t Master Permit No. ROOFING JOB ADDRESS: 1 raZ. NE 10'17 S s- City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes NO Flood Zone: - OWNER: Name (Fee Simple Titleholder): 1P eQSde l 11 a. S.J )` V'l) Phone #: Clam Z` 1� 31 IV Address: 5. koci 31- City: tai 59ne.-t Tenant/Lessee Name: �a State: Zip: -77-?,t'')47` Phone #: LtP. Email: CON 'I(ACTOR: Company Name: 97 kC &C �� i� �� Phone #: oNti, ti l'� `f3 ( °k4. Address: eS`-1 t,- t o 11' City: N1 , S�f State: Zip: "77-51-", " Qualifier Name: S2 e. Phone #: '`t', sk1 State Certification or Registration #: C t Ye e)21-10c1 Certificate of Competency #: Contact Phone #: Email Address: DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ 1 00(➢ .'r ' Lkg � Square/Linear Footage of Work: Type of Work: ❑Addition teration ONew ORepair/Replace UDemolition Description of Work: WE■J 6cc " tVl t=Rt Yrr■ to A. (C i` r.ew./'r Color thru tile: 9 e2t ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ /j"Oe" ° CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ D- Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City S 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 notiy of commencement and construction lien law brochure will be delivered to the person whose property is subject to at achm Aso, a certified copy of the recorded notice of commencement t posted at the job site for the first inspection whi / oc n (7) days after the building permit is issued. In the o, `such posted notice, the inspection will not be app. v � > a �< reanspection fee will be charged. ./11r, A / Signature The f• o' =+ day of a , by Owner or Agent trument was before m Uri wh. 's personally known to +u e or who has produced Signature Contractor The trument w ackn 1., day of , 201 by As identification and who did take an oath. NOTARY ' UBLIC: Sign: Print: My Commission E .1 My Comm. E,ca+re5 e . ;. °a Commission # EE 128810ssn. '�'F �` Bonded Through National Notary w, o is personally kno o me or who has produced as identification and , o did take an oath. NOT LIC: ' Sign: Print: .A My Commission E CLA State of got, Public • 3, 2` My Comm. ExP+ 128810 Commission # EE Bonded Through Nabonat Notary A`. *********************************************** * * * * * * * * * * * * * * * * * * * * * * * ** * * * * ** APPROVED BY Plans Examiner Structural Review (Revised 5 /2/2012XRevised 3/12/2012) )(Revised 06 /10 /2009XRevised 3 /15 /09XRevised 7/10/2007) ** * * * * * * * * * * * * * * * * * * * * * * * * ** Zoning Clerk Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION FBC 20 Permit No. t-L1 Master Permit No. Permit Type: Electrical JOB ADDRESS: 1172 NE 103 St. City: Miami Shores County: Miami Dade zip: 33138 Folio/Parcel#: Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): SLF Residential Investors phone: 954-243-8187 Address: 54 NE 100 St. City: Miami Shores Tenant/Lessee Name: NIA Email: N/A Slate: FL. zip: 33138 Phonett: CONTRACTOR: Company Nome: FineteCh, phone#: 305-216-6364 Address: 6102 SW 14th St City: Miami State: FL. Qualifier Name: "LS Sanches State Certification Contact Phone#: Zip: 33144 Ftenet 305-216-6364 Registration #: EC 1300 2008 Certificate of Competency #: Email Address: info@rnetech.us vl. DESIGNER: Architect/Engineer: Phone#: ,t ., . Value of Work for tIs1 1 1 t: $ ,f,---\, , Square/linear Footage of Work: k_2.0 Jr- .,,,i- Type of Work4.2,4bd(tra$ -14Alteratim °New CIRepair/RepLice IDemolition Dosed • of w 2 new outlets, relocate 1 switch and 1 new smoke detector connected to existent smoke detector system No alt$ tonal 'Mad .„> ********411*****************************Fees***********************InP ***************** Submittal Fee $ Permit Fee $ >3 e CCF $ - CO/CC $ _ Scanning Fee $ Radon Fee $ DBPR $ Bond Notary $ Train' ring/Education Fee $ Technology Fee $ 81•0.,) 11I1. 1 4 CAVonntaft-msal /3htsv.4aasr, gt Bonding Company's Name (if applicable) NIA Bondinn Cb +r:, -!!y's Address City State Zip Mortgage Lender's Name (if applicable) NIA 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 Mice .' f commencement and construction lien law brochure will be delivered to the person whose property is subject to attac l ,�a certified copy of the recorded notice of commencement ' , be posted at the job site for the first inspection which , -dr,, (7) days after the building permit is issued In the such posted notice, the inspeciio, %, not a appr� ; % reinspction fee will be charged Si' al: r _ Theft r x !r v! rgrl :+r. day of who' The foregoing instrument was acknowledged before me this It 2 day of In ..y..►, ,c. ' by who is Eby : +! r+ to me or who has produced NOT Q v f UB11-° otida teof An erase ..76810015 !on # EE ..1 Assn• (led iw°all` Na v as identification and who did take an oath. Sign: Print: My Commission Expires: NOTARY PUBLIC: Structural Review (Revised 3/12/2012)(Revised 07/10107)(Revised 06/10/2009XRevised 311/09) Zoning Clerk 1111 iami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIPT PERMIT* tC. 1 ►21)6 DATE: o) 1 Eteo( )(3 1, 9eiocknna4 Contractor 0 Owner o Architect Picked 2 sets of plans an Address: Owl( uak INemslotA QyiyedliOn ilk KM- From the building department on this date in order to have corrections done to plans And /or get County stamps. I understand e plans need to be brought back to Miami Shores Village Building D = ¢ : ntinue . e ng process. Acknowledged b PERMIT CLERK INITIAL: RESUBMITTED DATE: PERMIT CLERK INITIAL: Miami Shores \lillage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No: RC12 -2336 Job Name: Page 1 of 1 Building Critique Sheet Revision 0 1. The permit application is incomplete. Provide a completed application. 2. The plans submitted must be from a licensed architect or engineer. This is a level 2 alteration. 3. The plans must identify all of the proposed changes. Norman Bruhn 305.762.4859 Stopped Review 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. Jan. 8. 2013 5:58PM WESTLAND SOUTH INS AOOItII5 No.2212 P. 1 YlpOppO®OIDRO+Q6.0.1,11 A9Sh 4+ PRODUCER Westland South Insurance 2605 NW 97th Ave MIAMI, FL 33172 INSURED co LTR (305)593-0600 BLANC3 DESIGN,INC 54 NE 100•STREET MIAMI SHORES.FL,33138 1/8/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS 140 RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, COMPANTE _ _ ....., . _... „ ...,...^,�,. AF'�ORDlNG COVERAGE .. CO AV GRANADA INSURANCE COMPANY ~ COMPANY B COMPANY c COMPANY D 12 — 2..3 3co C ES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE a 1 _• �_y 4 THIS IS TO CERTIFY THAT THE POLI 1 FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT W TH RESPECT TO WHICH THIS CERTIFICATE MAY' BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 1S SUBJECT TO ALL THE TERMS, EXCLUSIONS ANC CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TY3E OF HISURANCB POLICY NUIW3ER POLICY EFFECTIVE GATE (MM/DO/ Y) POLICY EXPIRATION DATE (MM7DDlYY) GENERAL LgBLn"t 1'1 COMMERCIAL GENERAL LABILITY 0186FL00029461 CLAIMS !MOE re j OCCUR ❑ OWNER'S & CCNTRACTOR 5 PROT 9/13/2012 9/13/2013 AUTOMOBI•„ E LIABILEY ANY ALTO ALL OWN b AUTOS SCHEDULED A.JTOS HIRED AUTOS NON,OWNED• AUTOS LIMITS GENERAL AGGREGATE $ 2,000,000 PRODUCTS -COMP/OP AGG, $ PERSONAL & ADV. INJURY $ 1,000,000 , •EACH OCCUINC _ 9zQOOd000 FIRE DAMAGE (Any ono Firs) $ 100,000 MED EXP (Art D one Person) $ 6,000 COMBINED SINGLE LIMIT BODILY INJURY (Per person) BODILY INJURY (Per accident) FROPERTYDAMAGE $ :$ S AUTO ONLY- EA ACCIDENT $ OTHER THAN AUTO ONLY: E. EACH ACCIDENT $ AGGREGATE _.. --•-- - ,e1 EACH OCCURRENCE $ AGGREGATE i STATUTORY LIMITS 111 EACH ACCIDENT $ DISEASE. PO:ICY LIMIT $ DISEASE EACH EMPLOYEE $ :a..v, •f.rL. DESCRIPTION OF OPERATIONSILOCATION3NEHICLESISPECIAL TtEMS GENERAL. CONTRACTOR MIAMI SHORES VILLAGE 10050 NE SECOND AVENUE MIAMI SHORES FLORIDA 33138 -2302 w It +.... p 1 'AL'41 . [.i Viii 9t4r1� ,�,ss,,,oi lus r •;F�: it vt - It'i r f,i '1f UTIF71 ., : 1 I` SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTI=ICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY IGND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE HOMERO LAVERNIA ISM ENDIUMMELASE tielffi 2 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 Permit Type: BUILDING JOB ADDRESS: I/ NE /03 " FBC 20 t Permit No. Master Permit No. t ROOFING City: Miami Shores County: Miami Dade Zip: "2i '3 Folio/Parcel #: Is the Building Historically Designated: Yes NO n Flood Zone: OWNER: Name (Fee Simple Titleholder): SL-t9 teLe3 aen n 'VC'N & S Phone #: (-kVA 24' Address: Ss-t Lie City: ice' e.k."., s v State: c Zip: '3'3 Tenant/Lessee Name: Phone #: Email: CONTRACTOR: Company Name: 'lam. • Phone #: 9"4-, Address: 'St-c t' try® i City: rM, SI" dine > State: Zip: k Qualifier Name: Phone #: State Certification or Registration #: (6`-cr-)ck, Certificate of Competency #: Contact Phone #: 4 (ZL 3 -13'l 1>r Email Address: cYs. -cAr `% +c3:) CP • Cc-z-^" DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ ° 110190, Square/Linear Footage of Work: Type of Work: DAddition ❑Alteration UNew IRepair/Replace Description of Work: ° 2e f'\ c\ ce 3 4 ODemolition AP-Ce .�r-c r, e •� CsA�o r.e r s rnfrzttW P ,o.nruzao2 Crt CK Coar+t t (2J fo crc e`>.. %`C'.+, \, -rc■\ 4 t,1 ueco e _. t•"pC1®aC `,Tid+ CPPevr c e lV1. �kog Color thru tie: * * * ** * * * * * * * * * * * * * * * * * * * * * * * *, * * * * ** Fees * * ** ******* **** * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ v d`' Permit Fee $ c y CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 0ZZ+ 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 deli eyed to the person sted at the job site posted notice, the whose property is subject to attach for the first inspection whic inspection wil Signatur t. Also, a certified copy of the recorded notice of commencement . ust b s seven (7) days after the building permit is issued. In th ab d a reinspection fee will be charged. Signature Owner or Agent on actor The foregoing instrument was acknowledged before me this lb The foregoing instrument was acknowledged before me this/ day of , 20/C, b5 11 I Cat a te(_, day of d , 20 byS43714* -1 01A4f77 who is personally known to me or who has produced l who is personally known to me or who has produced r c-- -(D As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: I■r■AOPP,0 �'. :O'; *************************** APPROVED BY 4.-="3 .yam.yg?.. ** Y &:: tai ***1;4sWises Ov:** ** * ** ** *fir *** * * * ***** * *** *** * Y****:F*u*°irr�r �Y�c� ***fie NOTARY PUBLIC: Sign: Print: My Commission Expires: 111111,���,/ 6. •' `� •':mod% co. c� te: O = t/i : m - ° J S.. vya "'' LL _ 4.y OP: o .� Eu.r:O Illlltt`\0\\\ Plans Examiner Zoning �� /11111 tttO% Structural Review (Revised 5 /2 /2012XRevised 3/12/2012) )(Revised 06 /10 /2009XRevised 3 /15 /09)(Revised 7/10/2007) Clerk NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION fl-C) )a-033e.0 PERMIT NO. Wc. t cl TAX FOUO NO. STATE OF FLORIDA: COUNTY OF MIAMI-DADE: THE UNDERSIGNED hereby gives notice that Improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information Is provided in this Notice-of Commencement. MOH INUMEM Mil Min CFP4 2013R00 15883 OR Bk 28433 Ps 0959f (1ss) RECORDED 01/08/2013 12:1329 HARVEY RUVINv CLERK OF COURT MIAMI-DADE COUNTY? FLORIDA LAST PAGE Space above reserved for use of recording office 1. Legal description of property and street/address: 1112 NE 103 ST 1 filuctirvkt .51ture. SaN32X 2. Description of improvement IYVTrruCilt ,rtemo ae\. <exAckce...errr- ,8eAtot 3. Owner(s) name and address: Interest in property: fwv•-ve- ecvvvryk, es-cu-t, • Name and address offee simple titfeholder 4. Contractor's name, address and phone number 1, tkie- 100 5. Surety: (Payment bond required by owner from contractor, if any) Name, address and phone number ›c.— Amount of bond $ S. Lender's name and address: 74-, 7. Persons within the State of Florida designated by Owner upon whom notices Section 713.13(1)(a)7., Florida Statutes, Name, address and phone number. '=30//tt. 1,1-10" clot Ate_ S1.4 tW 100 >W1 8. In addition to himself, Owners designates the following person(s) to receive a 713.13(1)(b), Florida Statutes. Name, address and phone number • ' lA "-1,7"rbar or other documents may be served as provided by copy of the Lienor's Notice as provided in Section 9. Expiration date of this Notice of Commencement (the expiration date m the date of recording unless a different date Is specified) WARNING TO OWNER: ANY PAYMENTS MADE BYTHE OWNER AFTER THE EXPIRA N OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 7 PART I, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY 2, - '.TICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND -,'.-BTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORD! -'1<■• MMENCEMENT. Signature(s) of Own Prepared By Print Name TMe/Office cer/Director/Partner/Manager Prepared By Print Name Title/Office STATE OF FLORIDA COUNTY OF MIAMI-DADE The for ent By ‘, I Individually, or ID as for Personally known, or laproduced the following 'type of identification: Signature of Notary Public: Print Name: (SEAL) ABIELGAILONBIRSUANMIEMAitargrajaglawumm Under penalties of perjury, I declare that 1 have read the foregoing and that the facts stated in it are true, to the best of my knowledge and belief. re Me this day of .)1100 rinfirarr""Weingirlinffl MO" Notary Public - State of Florida My Comm Expires Sep 23.2015 Commission # EE 128810 Bonded Through National Notary Assn. -Wr Nar- v. -ter ,,• • • • Signature(s) of Owner(s) or Owner(s)'s Authorized Officer/Director/Partner/Manager who signed above: By By 123.01-52 PAGE3 StIO Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 December 10, 2012 Permit No: RC12 -2336 Building Critique 1) Provide plans signed and sealed by a licensed architect or engineer. 2) Identify the level of alteration per the FBC Existing. 3) Provide an electrical and plumbing permit application. 4) The scope of work on the plans does not match the plans or the permit application. Provide a detailed scope of work. 5) Provide the wind load design criterion. 6) Provide the design wind loads for each opening. 7) Identify the dotted line wall type shown on the plan but not on the schedule. STOPPED REVIEW Norman Bruhn CBO 305 - 762 -4859 Plumbing Critique — Rafael Hernandez 1) Pending plumbing application. Electrical Critique — Michael Devaney 1) Pending electrical application. 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. PERMIT #: c0/1 01c,r{{ Miami Shores Vaiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIPT DATE: 12 /1, /11 t. Contractor .Owner o Architect Picked up 2 sets of plans and (other) TUN-NI iNt (J Address: I n Z NC- /b; ") S 1" 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 Departme o ' inue permitting process. Acknowledged by: !r � PERMIT CLERK INITIAL: RESUBMITTED DATE: 21t PERMIT CLERK INITIAL: Miami Shores Village Building Department 10050 N E 2nd Avenu iami M Shores. Florida 3313 Tel: (305) 795 770 Fai: (305) 756 897 Permit NoleG /Z -23) Job Name 9� PLUMBING CRITIQUE SHEET I, EXIST. BEDROOM #1 ®E MASTER BATH EXIST. CLOSET EGRESS ESCAPE EXIST. BEDROOM #2 EXIST. DINING ROOM ®E EXIST. LIVING AREA CEILING HT.` 0.3• TYP. EXIST. KITCHEN SD INDICATES 120 VOLTS HARDWIRED SMOKE & ONE SD / CARBON MONOXIDE COMBINATION WITH BATTERY BACK —UP REQUIRED. NOTES: — Smoke Detectors within living unit shall be interconnected. — Smoke Detectors to be installed ahead of all switches and shall be connected to bathroom or kitchen lighting circuits. - I BUILT-IN CLOSET Kr- axes E)OSTING OPENING. SEE WALL LEGEND NEW BEDROOM 2' -8' X IV -B' HOLLOW CORE SWING DOOR 1' UNDERCUT EXIST. ENTRANCE EGRESS ESCAPE 74 x 50 -5/8" H.R. EXISTING SCOPE OF WORK - NEW 10' -0" WALL ENCLOSEMENT - NEW DOOR FOR NEW BEDROOM - RELOCATE 1 SWITCH + 2 NEW OUTLETS - ONE (1) NEW INTERCONNECTED Bd - REPLACE DAMAGED KITCHEN TO GARAGE DOOR - REPLACE TILE AT MASTER BATH WALLS WITH NEW PORCELAIN OVER EXISTING CEMENT BD. (SOME PATCHING MAY BE REQUIRED) NOTE: NO ADD0ONAL LOADS — REUSE EXIST. CIRCUITS N = NEW E = EXISTING TO REMAIN R = RELOCATED 38' X SO' DOOR TO BE REPLACED EXIST. ONE CAR GARAGE OCCUPANCY: R -3 CODE: FBC 21110 ALTERATION LEVEL: LEVEL I NOTE:ALL NEW RECEPTACLES TO BE TAMPERED RESISTANT & ARC FAULT WHERE REQUIRED NO ADDITIONAL LOADS — REUSE EXIST. CIRCUITS ELECTRICAL LEGEND (USE THOSE THAT APPLY) $ 120/240 V., 20_A18., SINGLE POLE 0GHT SWITCH. • SURFACE MOUR)EI14 4478IXTURE, 100W MAIL 80 120., V., DUPLEX" RkGEPYACLE, GROUNDING TYPE, U.O.N. MOUNTED 80_; *F8 ▪ EXIST 200 AMP' MAIN es EP TO REMAIN AS IS O A N .EATON AT O Lh TO BE�BONN 8080ODE READY <,p 7 NOTES: ` C. <, 1.- NO ADDINONAL LOADS�+-REEUSSE EEIS'T'' /''�EI..Ft77C,O11S 1.- ALL LIGHT SWITCHES ARE TO BE NSSAeLEy AT 48' 3.- ALL LIGHTING FIXTURES TO BE SELECTED/ BY THE N = NEW E = EXISTING TO REMAIN R = RELOCATED SECTION "A" TYPICAL PARTITION vuc.3/8'.r -0• WALL LEGEND EXISTING STRUCTURAL EXTERIOR WALL: 8' NOM. THICKNESS CJI.U. WALL TO REMAIN. 80811NG INTERIOR NON - BEARING PARTITION TO RERAN. NEW 1/2. GYP. BD. EACH SIDE OVER 212 WOW STUDS 0 19' OR 24" 0.0 - PLAN MAY NOT USE ALL SHOWN - ALL SYMBOLS W NOT NECCESARILY APPEAR 08 THIS LEGEND. 12s�� Miami Shores Viflago APPROVED BY DATE TONING DEPT BLDG DEPT SUBJECT TO CO ,)PLl ,NCE WYT1 I Al L FM1:11.AI_ STALL" AND CCI ■NT`( fr � E e r - , 6)y 2 7 / y 2 ;7 ? `5 of I PROPOSED 3RD BEDROOM is N REVISION BY: 0) 0 1) 1) 0 C — U ID 8 °' d � o 88 : oo._ m ' E c 954) 243 -8197 ROPOSED KITCHEN REMODEL FOR OLARTE RESIDENCE LTC: CBC1258709 DRAWN SO CHECKED 80 DATE 1202.12 SCALE JOB. NO. SHEET OF A -1 SHEETS Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 1 -g 33% Inspection Number: INSP - 183378 Permit Number: PL-12-12-2422 Scheduled Inspection Date: April 17, 2013 Inspector: Hernandez, Rafael Owner: ROSA, LOUIS Job Address: 1172 NE 103 Street Miami Shores, FL 33138 -2652 Project: <NONE> Contractor: FINETECH INC Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132050190040 Phone: (305)267 -3785 Building Department Comments PLUMBING FOR KITCHEN REMODEL Infractio Passed Comments INSPECTOR COMMENTS False Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments April 16, 2013 For Inspections please call: (305)762 -4949 Page 4 of 32 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 FBC 2010 I BUILDING o@ Permit N I ) 9 ,A1R-5 PERMIT APPLICATION Master Permit No. Re. 1'L - n36 DEC 2 12012 Permit Type: PLUMBING JOB ADDRESS: \ n'Z 14- 10'7 Zip: `� l'�ai� City: Miami Shores County: Miami Dade p: Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): 51.-.? ee aeN11' 41 fiaitscol, Phone#: aSll 2'B 11(1N. Address: S4 M 100 S1- City: ✓` tCA,N S\Ag`rt) State: zip: %313% Phone#: 7e.... �r X Tenant/Lessee Name: Email: CONTRACTOR: Company Name: D\ K2 4k MOs -Sett CO -P Phone#: 30S - z.S 0 � Address: V.S5O �2)1SC'%b`1P)4 r3W0. S. ZlI Val '.� City: t9 D4:c ft M t b o-'t l State: E < Zip: p: 3 Qualifier Name: VEl -So N ail-L4R4 0 01 Pr') Phone#: 'OS- A361,$2S.)- jL, Z �- Certificate of Competency #: State Certification or Registration #: �'t- ,►L�" Email Address: C7 e-V-414�6 p1/�'Z. (2 7d�g• c o ; . Contact Phone #: 7o S 0°17-50 ` DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ V gOD Square/Linear Footage of Work: Type of Work: Address UAlteration ONew ❑Repair/Replace CI Demolition Description of Work: -' 2%Q It( Z - rCWA2A S we.V. i OW i Or — - ` 1 - QPP 5.t» IS OraAr O®+N - AXrrtJ4g) '11:) ki(%K (mit% . ************ **** ** ******** *** * *** ****** pees * *** a+ x************** * *****+x**** * ************ Submittal Fee $ Permit Fee $ (3 ®2 CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ (00 • 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 w the issuance of a building permit with an estimate) value exceeding $2500, the applicant must promise in good faith that a copy ooze notice of commencement and construction lien l,' w brochur: will be delivered to the person whose property is subject to art, nt. Also, a certified copy of the recorded notice of commence e` t must be posted at the job site for the first inspection w 'c i , rs seven (7) days after the building permit i ue #/ In the ..snce of such posted notice, the inspection will no 7, , r 0 and a rein , will be charged. A oar Signature /�` Signature Owner or Agent The foregoing instrument was . • , led • before m- _ day of la ,201,g,by a A . 1411 ,i . w _ ' pe .onall wn to me or who has produced II ho is personally known to me or who has produced F -0- C- ��� !'V . As identification and who did take an oath. as identification and who did take an oath. NOTAR ; _ iUBLIC: - ' NOTARY PUBLIC: A.voltheilip Con . ctor The foregoing instrument was ackn wle a before me this 11 day of Dec t ,201t. ,by a..01,',,, Sign: Print: My Commission Expire Sign: Qty, a:.% Print: My Com pees ******************************************************* ****** ********* *********m u• ************* * * * * ******** ** APPROVED BY 2 -2-c- l Fns Examiner Zoning Structural Review (Revised3 /12/2012)(Revised 07 /10 /07)(Revised 06110 /2009)(Revised 3/15/09) Clerk Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 187731 Permit Number: EL -3 -13 -557 Scheduled Inspection Date: May 06, 2013 Inspector: Devaney, Michael Owner: ROSA, LOUIS Job Address: 1172 NE 103 Street Miami Shores, FL 33138 -2652 Project: <NONE> Contractor: FINETECH INC Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132050190040 Phone: (305)267 -3785 Building Department Comments NEW 200 AMPS SERVICE Infractio Passed Comments INSPECTOR COMMENTS False Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments May 06, 2013 For Inspections please call: (305)762 -4949 Page 17 of 48 3)22111/43 luiS Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 7952204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION Permit Type: Electrical JOB ADDRESS: 1172 NE 103 St. FBC20 r Permit No.E.l Master Permit No. City: Miami Shores County: Miami Dade zap: 33138 Folio/Parcel#: Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): SLF Residential Investors per#: 954- 243 -8187 Address: 54 NE 100 St. City: Miami Shores Tenant/Lessee Name: N/A Email: N/A State: FL rap: 33138 Phone CONTRACTOR: Company Name: Finetech, Inc, Address: 6102 SW 14th St. phone#; 305-216-6364 City: Miami State: FL Zip: 33144 Qualifier Name: Luis Sanchez phone#: 305 - 216 -6364 State Certification or Registration #: EC 1300 2008 Certificate of Competency #: Contact phone#: Email Address: info@fineteCh.us DESIGNER Architect/Engineer : Phone#: Value of Work for this Permit $ 1 Square/Linear Footage of Work: Type of Work: °Address °Alteration ONew URepair/Replace Description of Work: New 200 Amp. service °Demolition ****************** ******+ *** mar ******+r*+ **** *111***311***s **e *** r+ * ***s************* Submittal Fee $ Permit Fee $ /f rm® CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 159 • l Bonding Company's Name (if applicable) N/A Bonding Company's Address City State zip Mortgage Lender's Name (if applicable) N/A 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. "WARMING 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 A a ;lifted copy of the recorded notice of comme A'' must be posted at the job site for the first inspection which , ' 'sev days after the building permit' is issued In the of such posted notice, the inspection will no a`„j, ection fee will be charged Signature Owner or Agent Signature Contractor The foregoing instrument was acknowledged More me this t q day of_geelfedj, 20011 by ho is personally known ,to me or who has produced as identification and who did take an oath. NOTARY PUBLIC. //2 02 Plans Examiner Zoning Structural Review Clerk (Revised 3/12/2012)(Revised 07 /10/07)(Revised 0611 )(Revised 3/15/09) Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 nspection Number: I NS P- 187650 Permit Number: EL -12 -12 -2423 I Inspection Date: May 06, 2013 Inspector: Devaney, Michael Owner: ROSA, LOUIS Job Address: 1172 NE 103 Street Miami Shores, FL 33138 -2652 Project: <NONE> Contractor: DIAZ & RUSSELL CORP Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132050190040 Building Department Comments ELECTRICAL WORK FOR KITCHEN REMODEL Infractio Passed Comments INSPECTOR COMMENTS False Passed Inspector Comments CREATED AS REINSPECTION FOR INSP- 183386. Failed / 4 � 20, ( 3 Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until For Inspections please call: (305)762 -4949 May 06, 2013 Page 1 of 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 PERMI.T APPLICATION FBC 20 Permit No. Master Permit No. x'.12.. — 1336 DEC 21Z 1Z Permit Type: Electrical OWNER: Name (Fee Simple Titleholder): 54 P 'eaS\ c ecsItA I IAN j VD'1 S Phone#: GVS ?'k �\ Address: INSeit 1.1e" 109 h City: ®fi,,o1,AN9 0/Wei State: Tenant/Lessee Name: VA Email: 14 Zip: 3 \ Phone #: JOB ADDRESS: \Oa. 1OS City: Miami Shores County: Miami Dade Zip: t3S Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: F j i/'1 Q 1 eG 4,, r/lJc. , Phone #: 3 ©3 - z-(4 _b 3 r° `' , Address: 6(02 5w / 0¢GA 5?' City: li(.0 4 M .1- State: Pt- Zip: 3-3 W % . Qualifier Name: A v, S S'Q NG h e Phone #: 30S — 2 ( '6.5 6 ri • State Certification or Registration #: E C (3 0 0 T. O 01 S Certificate Competency #: N Contact Phone #: Email Address: 1 O i . 1! -eci► • d 5 . DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: °Address °Alteration °New ORepair/Replace Description of Work: • Z 2 / CLeio a.tte jt•Jelki of c€.� ?t O e Ac t , Gm @ a_ 'Ms • Pro 4 1�s Q. Kx-rakin °Demolition **** x** ***• x*x: ******* ****** *****+ x* ****44 Fees********* ***+ x+ x********* ******+x*** *********** Submittal Fee $ Permit Fee $ "-4 ' . ' CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ ' ) C Bonding Company's Name (if applicable) AC Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) W 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 an, Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection wh • curs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be 4. !: o/ /, and a rein ' • l be charged. AIM Signature � �' Owner or Agent The for in instrument was a day of��� / , 201 ', by who 's to me or who has produced The foregoing ins ent w acknowledged before me this day of 0 / Z , 20 1'24 by , ho is personally known to me or who has produced s identification and who did take an oath. NOTA Sign: Print: My Commission Expires: APPROVED BY �� f �, 2� ...5 ?4 0C Plans Examiner as identification and who did take an oath. NOTARY PUBLIC: Sign: °r '` . *i •'Y Print: My Conunission Expires: ODRIGUEZ # EE 98149 Zoning Structural Review Clerk (Revised 07 /10 /07)(Revised 06/10/2009)(Revised 3/15/09) 538337 -7 BUSINESS NAME / LOCATION FINETECH INC 6102 SW 14 ST 33144 WEST MIAMI FIRST -CLASS U.S. POSTAGE I PAID MIAMI, FL PERMIT NO. 231 THIS IS NOT A SILL - DO NOT PAY RENEWAL RECEIPT NO. 562138-9 STATE# EC13002008 OWNER FINETECH INC Sec. Type of Business WORKER/S milpAigErRicAL CONTRACTOR BUSINO DOES SNOT A P881ATIaTHE NOLDER TO VIOLATE ANY 8X181180 REGULATORY OR ZONING LAWS OF THE DO NOT FORWARD COUNTY OR CITIES. NOR COE8 IT EXEMPT THE HOLDER FROM ANY OTHER PERMIT OR .CENSE REWIRED OT CERTTIFICATIOON8OFF FINETECH INC `SONS. HOLDERS 0 SU CA. LUIS SANCHEZ PRES 6102 SW 14 ST PANgENT " C, ,'N,,YTAX WEST MIAMI FL 33144 07/17/2012 60140000346 000045.00 SEE OTHER SIDE 11111111 11 III II111 / III J11I1J1It I111II11t11111,II,1111Ii1tH II STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD (850) 487 -1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399 -0783 SANCHEZ, LUIS FINETECH INC 6102 SW 14TH STREET WEST MIAMI FL 33144 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 better; For information about our services, please log onto www.myfloridalicense.com. There you can find more Information about our divisions and the regulations that impact 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!! STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION EC13002008 48/02/12 118207711 CERTIFIED ELECTRICAL CONTRACTOR SANCHEZ IUIS FINETECH INC AC # 3q6 IS CERTIFIED '.m r t_e provisions of ^.t,. 433 :mow` Expiration ante: AUG 31., 2014 L_20.- .33:233 624396 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGU ELECTRICAL CONTRACTORS LICENSING BOARD : 2C80202338 ':. LICENSE NBR_. 08/02/2012 118207711 EC13002008; 1' he ELECTRICAL CONTRACTOR Named,below IS CERTIFIED Under the provisions of Chapte Expiration date: AUG ,31, 2014'`, SANCHEZ, T,;03szY` "FINETECH INC... 6102 SW 14TH S7 WEST MIAMI • • GOVERNOR •• FL 3314,4 KEN SEC- SPLAY ASRE¢VIRED BY LAW _ ., R p® DATE (MM/DDIYY) CERTIFICATE OF LIABILITY INSURANCE 09/17/12 PRODUCER Insurance Marketing Network THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 501 N. Krome Avenue ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLIC ES BELOW.. Homestead, FL 33030 Phone (305)248 -5000 Fax (305)248 -1000 INSURERS AFFORDING COVERAGE NAIC # INSURED Finetech, Inc 6102 SW 14th Street Miami, FL 33144- INSURER A: Western Heritage insurance Company INSURER B: Florida Citrus Business Industry Fund INSURER C: INSURER 0: INSURER E: COVERAGES INSURER F: THE POLICIES OF INSURANCE USTED 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 LTR ADD'L INSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MMIDD/YY) LIMITS A • GENERAL LIABILITY SCP0919337 09/21/12 09/21/13 EACH OCCURRENCE 1,000,000 In COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES (Ea occurence) 50,000 MED EXP (Any one person) 5,000 1. 111 CLAIMS MADE iii OCCUR PERSONAL & ADV INJURY 1,000,000 . GENERAL AGGREGATE 2,000,000 GEN L AGGREGATE LIMIT APPLIES PER: ❑ POLICY Ell PROJECT ❑ LOC PRODUCTS - COMP /OP AGG 2,000,000 B ❑ AUTOMOBILE LIABILITY ❑ ANY AUTO ❑ ALL OWNED AUTOS ❑ SCHEDULED AUTOS ❑ HIRED AUTOS COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) • NON OWNED AUTOS • PROPERTY DAMAGE (Per accident) AUTO ONLY - EA ACCIDENT • ❑ GARAGE LIABILITY • ANY AUTO OTHER THAN EA ACC • AUTO ONLY: AGG EXCESS/UMBRELLA LIABIUTY EACH OCCURRENCE AGGREGATE II OCCUR ❑ CLAIMS MADE ❑ DEDUCTIBLE ❑ RETENTION $ B WORKERS EMPLOYERSOLIABIUTY COMPENSATION AND ANY PROPRIETOR/ PARTNER / EXECUTIVE OFFICER / MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below 106 -50509 09/21 /12 09/21 /13 Q • ERH TORY LIMITS E.L. EACH ACCIDENT 100,000 E.L. DISEASE - EA EMPLOYEE 100,000 E.L. DISEASE - POLICY UMIT 500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS / CANCELLATION Miami Shores Village hall 10050 NE 2nd Ave. Miami Springs, Fl. 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CA CELLE' BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WIL NDE • 'OR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE LD ' NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO o BLIG ON OR UABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR R -' ` E ' NTATIVES. AUTHORIZED REPRESENTATIVE ._. •■•-,w /SAf1ff71AT1A ►1 4 flea ACORD 25 (2001/08) QF