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WS-06-1179Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 nspection Number: INSP -16613 Permit Number: WS -5 -06 -1179 Inspection Date: April 11, 2013 Inspector: Rodriguez, Jorge Owner: PEINADO, ULISES Job Address: 391 NE 103 Street Miami Shores, FL 33138 -2432 Project: <NONE> Contractor: EMERALD MASONRY CORP Permit Type: Windows/Shutters Inspection Type: Final Work Classification: Window /Door Replacement Phone Number (305)498 -0577 Parcel Number 1121360130290 Phone: 305 - 754 -0042 Buildin Department Comments CHANGE EXISTING WINDOW TO DOOR Passed \ii4. Inspector Comments Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until For Inspections please call: (305)762 -4949 April 12, 2013 Page 1 of 1 BUILDING 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 20 JAN 3 yv�� Permit No. \j O \ \ R PERMIT APPLICATION Master Permit No. Permit Type: UILDING JOB ADDRESS: " ►, fl `Z 1 O 2 Sb City: Miami Shores County: ROOFING Miami Dade Zip: � 13 8 Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): `,0 .\ 1 S e S c? ACC C,� ( (Lfe(\2ckPhone#: Address: :30& o 6\00i o 3 Si— City: .e5 State: Zip: 3 2 Tenant/Lessee Name: Phone #: Email: CONTRACTOR: Company Name: �,e Ct• 5� f vl T .� Phone #: 5�' 2( ' 2—cAZ Address: \C-3(6V1 \ N -* City: ✓l <<C ✓l ,-A , state: Qualifier Name: 6k •' S • ' State Certification or Registration #: LQ� t 6 1 6 t � 1 5 Certificate of Competency #: ` - Contact Phone #: Email Address: \` 'C1 i e '� e��� Y�S'4 i �cTIO�'1 �r� c om DESIGNER: Architect/Engineer: Phone #: Ziipp:: CADqN Phone#: Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: DAddition n OAlteration DNew Rep • /Replace ODemolition Description of Work: e0Ace. C. c L T1 C Color thru tile: ********* * * * * * * * * * * * ** * * * * * * * * * * ** * * * * *F * * * * * * * * * * * * * * * * * * * *** * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ 1 S(D • o0 CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ 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 FT ECTRICAL 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 properly 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 � e approved and a reinspection fee will be charged. tl Signature Owner or Agent Signature \J-kk-A Contractor The foregoing instrument was acknowledged efore me this The foregoing instrument was acknowledged ibeforT me this day of - , 201 J, by U4ye5 'tve..40 Ei te( gd day of , 20 , by \ACE- 71 1.(1 v ),,es who is pers� known to me or who has produced who personally know trine or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Print: My Commission Expires: 0 Pia , Melanie James ? °•' MCOMMISS1O, #EE144681 %, ,. it EXPIRES NOV. o18,, 2y015 * * * * * * * * * * * * * * * * * * * * * ** �kN�'P�kik- +T I P** *+ k*4 *+ k*********************** **+ M**+ k***+ k**** ****+M****+k******* i.d Sign: Print: °� -1`•s Gilda Pcreda My Commission .G, eCOMMISSION #EE 144691 ' 4 EXPIRES: DEC. 07 2015 p WWW.AARONNOTARY,com APPROVED BY Plans Examiner Structural Review (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06110/2009)(Revised 3115/09) Zoning Clerk Miami Shores Vtiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CHANGE OF CONTRACTOR / ARCHITECT Permit N. - 1U` t Qwner S.Nance (Fee Simple Title Holder) Owr�e s Address: City: a?"a gne #: State : Zip Code Job Address (Of where work is being done): : ,` f \c 2j State: Florida Zip Code: P, 3( 3 City: Miami Shores Contractor's Company Name: > 4? Addres : t(0 \i'\ City: c4\ \Gv\dc1`e-- State: Qualifier's Name : Y \? k\u' Mo \-e Lic. Number: _ y- -7 5 hone #: ° ;5a3 Zip Code: cv Architect/ Engineer of Record Name: Phone #: Address: City: State: Zip Code: Describe Work: ' W:o bt,,J t , ( I hereby certify that the work has been abandoned and/or the contractor /architect is unable or unwilling to complete the contract. I hold the Building Official and the Miami Shores harmless for all legal involvement. Signature wnerorAgent The foregoing ins ment was aknowledged bef e me this3Qday of �....rw 013,by ,81:› Who is per��nalk.now to me or who has produced as indentification. Notary Public: Sign: Seal: .�o,`AY B ela nie James ,o. _ � ` asCOMMISSItiEE144681 a4°; EXPIRES. NOV. 18,2015 4Fir:i` WWW.AARONNOTARY.com Signature Contractor or Arcfitect The foregoing instrument was aknowledged before me this day of 2013y who is personals kn.to me o who has produced as indentification. Notary Public* Sign: Seal: "� Glide Pereda Y P�j ; ; . COMMISSI0N#EE144691 149 EXPIRES: DEC. 07,2015 47,F„1;;••• WWW.AARONNOTARY.com MM E7� � bleak an•Ing and steps 5/" stucco return to matcl aslj•acent exterior • • • • •If no t1 %d cell is. • "• ' 'found!`ac&d•1 #5 jr; • filled cejl, drilled f "• • • •into exist.rv,/ hilti •• •• • epoxy.... • • • •••• •s•• • • • • • •••• • • • • •• •• •• • • • • • •• • • • Exist $::cant wall. •••• • tnterior••Ye„furrinc• • strips &T&Y" drywall Exerior: cement plaster finish aprox %" Door system threshold — aluminum 5/" X oak transition P Exterior / 1,/ Interior 6' -4" existing masonry opening FLOOR PLAN / 8" / Exist. wall Porto) 7100 Biscayne Blvd, Suite 308 Miami FL 33138 / AR- 0017864 7.306.758.2858 F,305;758.2855 Info@ppeslmcom:, PROJECT New Exterior Door CLIENT INFORMATION: Mr. Ulises Peisade 391 NE 103rd Street Miami Shores FL 33138 T. 305.4980577 ulises391 @yahoo.com ISSUE DATE REVISION DATE DRAWN BY: AC PROJECT ft. 2005-67 CHECKED BY: GP SCALE AS NOTED DRAWING: sk -1 +/— 6' -4" existing masonry opening a0 If no filled cell is found, add 1 #5 in filled cell, drilled 8" into exist w/ hilti epoxy. window removed, new product approved exterior door installed • • • • • • • • •••• • •• • • • • • • •••• • • • • •;24' +•tied splitt• • • • ,Where requirtd •••• •• •• \ • • • • ••• •••• •••• • • • • • ScD •••• •••• • I • N • • • • • • •' , • • •• • • • • ` •ak•• • • •••• exist. foundation wall beam 4' -4" existing window Exist. 6' -4" existing masonry opening LFloor Elevation ixist. — wall Grade Elevation ELEVATION 2' -4" knee wall porta) 7100 Biscayne Blvd, Suite 306 MIaM FL 33138 f AR-0017854 7.305.7882688 F.305.7582835 PROJECT New Exterior Door CLIENT INFORMATION: Mr. Ulises Pelnado 391 NE 103rd Street Miami Shores FL 33138 T. 305.4980577 uitses391 @yahoo.com ISSUE DATE REVISION DATE DRAWN BY: AC PROJECT*: 2005 - 67 CHECKED BY: GP SCALE: AS NOTED DRAW NG: sk -2 Existing He beam unchanged Return Stucco to match existing New double swing door — bearing current notice of acceptance from Miami —Dade County • ••p4=1•instaljed .fyer •N.9.A. ana•' •• �riQriufacturer • •• ‘pecificatio. a.. • • • •••• •• •• • • • •••• ••txis4ing focItjrwwall •••• • • • • •• • • • • • ••• •P • ••• • • Exterior Interior •••• • • • • .\ ••••r CO T SECTION porto) 7100 Biscayne Blvd, State 308 Miami FL 33138 / AR -0017854 T.305.7582858 F.305.7582855 lnfo@pododesipnARSio New Exterior Door CLIENT INFORMATION: Mr. Ulses Peinado 391 NE 103rd Street Miami Shores FL 33138 T. 305.49805n ullses391@yehoo.com ISSUE DATE REVISION DATE DRAWN BY: AC PROJECTS: 2005-67 CHECKED BY GP SCALE: AS NOTED DRAWING: sK -3 • • •.• • • • fiat • im T21fqffl • 4,04Y 1 • BY: M1AM'DADE • • • • ••• • •• ••• • • • • • • • • • • • •• ••• BUILDING CODE COMPLIANCF•OFtailit 44x ' ' • PRODUCT CONTROL DIVISION • • •• • • • • • ••• •• •• • • • • • •• • • NOTICE OF ACCEPTANCE (NOA) • • PGT Industries P.O. Box 1529 Nokomis, FL 34274 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by Miami -Dade County Product Control Division and accepted by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Series SWD -101 Outswing Aluminum French Door - Impact APPROVAL DOCUMENT: Drawing No. 971, titled "French Door -X, XX ", sheets 1 through 4 of 4, prepared, signed and sealed by Robert L.Clark, P.E., dated 4/13/01, bearing the Miami -Dade County Product Control Revision Stamp with the Notice of Acceptance number and expiration date by the Miami -Dade County Product Control Division. MISSILE IMPACT RATING: Large and Small Missile Impact LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement "Miami -Dade County Product Control Approved'Thnless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, thcn it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA revises NOA # 01-.0417.04 and, consists of this page 1 as well as approval document mentioned above. The submitted documentation was reviewed by Theodore Berman, P.E. S- o��lrf/ E COUNTY, FLORIDA 41t{O -DADS LAGLER BUILDING FLAGLEit3TREET, SUITE 1603 MIAMI, F ORIDA 33130 -1563 (305) 315 -2901 FAX (305) 375 -2908 NOA No 02 -0701.12 Expiration Date: November 22, 2006 Approval Date: July 12, 2002 Page 1 • 7 1/2" — X XX 37.500 7 1/2" 5 1/2" 13.5' 95.750 • • • •• • • • • • • 7 •1/2" 13.5" TYP. MAX. 5 1/2' • •• ••• At4X ' • •• SEALANT ON • •• • • FRAME CORNERS sLIN•CENTER • • • & PANEL CORNERS TIP. HEAD & SILL •••• • 7 1/2" — 71.750 444 95.750 l 2 POINT \ LOCK 7.,4.1 OPTION 7 1/2' 2" 13.5' LARGE MISSLE IMPACT DOORS 1.) GLAZING: .401/464 LAMINATED W /1NTERLAYER (MONSANTO OR DUPONT) 2.) CONFIGURATIONS: X, XX J.) DES,GN PRESSURE RATING: 3o) 464 LAM.: +75 P.S.F. —75 P.S.F. 3b) 401 LAM.: +60 P.S.F. —60 P.S.F. 4.) ANCHORS: MAX. 7 1/2' FROM CORNERS (HEAD & SILL) MAX. 5 1/2" FROM CORNERS (JAMB) MAX. SPACING AT HEAD & SILL: 13.000 MAX. SPACING AT JAMB: 13.500 5.) NO SHUTTERS REQUIRED 6.) REFERENCE TEST REPORT: FTL -2241 7.) FOR LOCKING ASSEMBLY OPTION — SEE SHEET J OF 4 13.5' / 1 TYp. MAX. 7 2 " -- t / 13" MAX. SEALANT ON ON CENTER FRAME CORNERS TYP. HEAD & SILL & PANEL CORNERS I I 5 1/2. 1 7 1/2" ---1 Robert L Clark, P.E. RE. #39712 Structural PRODUCT REVISE0 at complying with the Florida Oohliog Code Acceptance No 02- 0701.12 F.apirat Date I1 Ma Dade Pradati Castro! D. PRODUCT RENEWED ACCEFIANCE N. CI F —G1it 1.01{ I::CPIKATlON DA1T. 1Vo -t�t1 C tiZ 1 loo 6 fly \54,5 1. PROIR VT 0ON1FilL lfV1$W N t tiRDD ti CY/DC COMPUdMCE O}'NC1i Revisions: D) odded 2pt. lock info Talonmcca Della. Haig; Ratio= V64 nand .aa * Deched .otu t Angela: 3 I' Smtea /NodeI: SWD -101 1070 Technology Dr. Nokomis, FI. 34275 INDUSTRIES Material: Description: Raved By. Dole: Chkd BY: Dale: French Door — X, XX D.B. 11/17/00 POT NO: VENDOR NO: Scale: Sheol: Drawing No. Oman ey D.B. Daly /16/98 1X 1a4 971 Rev: D • • • • • • • • ".D.750 • • • • •• • .250 -- MAX. SHI M SPACE ROUGH OPENING SEE SHEET 3 FOR ANCHORS ROUGH OPENING 1.272 • •• • • • • •••. 4.000•• • • •••• 34.625 TYP. BOTH PANELS ACTIVE PANEL, 71.750 EXTERIOR .250 MAX. SHIM SPACE INACTIVE PANEL 3.000 --{ • • • • • •• •• • • • • • • 93.625 • •• • • • •• • • •••• • • •a •• • • • • • MAX. SHIM 250 SPACE i 1.479 84 3/4" DAYLIGHT LOPENING .489 EXTERIOR 25" DAYUGHT OPENING VERTICAL_ SECTION INTERIOR 1.489 .250 t MAX. SHIM SPACE } 3.000 --I \� ROLtGH OPENING HORIZONTAL. SECTION INTERIOR ROUGH OPENING 1.480 PRODUCT REVISED saeozatriag en114 the FIor41a Buidttg Cod AoapbaeeNo02 -e bt.12 Expiration Date J CE, e M1a I Dada Product Coat !Whim PRODUCT RENEWED ACCEPTANCE Nn Get- 041• bl1 EXPIRATION OAIL hroaEM PEP ) 7 By ,Siun� 1 ., L1aANd' yl PROM )L t)0JCEOfi'f('E IRO DING t QO Redstone: 0) added 2 pt. lock info Tolerances lidos Hotel; Frocehns f 1/54 oeamei .00 t Devi d .070 t MgWr 21. 2 6) Material: Ro rt' /1� /Clark, P.E. R..sd Ely: Dote: Chkd By: Dote: P. #39712 OA a /ty /00 Structural °tor D.B. Dotal /1698 Serfes /Modeh SWD -10. Description: 1070 Technology Dr. Nokomis, Fl. 34275 ,T_ INDUSTRIES French Door — Devotions.. POT NO: - VENDOR NO Scotto Sheet: Drawing No. Rev: 2674 971 D G •• • 1/8 ANN. .090 --y 3/16 ANN. �I 3/16 ANN. .090 J /16 ANN. -- jr JI 1.489 .250 � I 3.000 --1 .250 —11. 3.000 -- MAX. SHIM F NAX. SHIM SPACE SPACE .401' LAM. W /MONSANTO SAPLEX PYB INTERLAYER OR .401' LAM. W/OUPONT BUTALITE INTERLAYER SEE NOTE J ON SHEET 1 DESIGN PRESSURE RATING: *60 De, 3 POINT LOCK ASSY, 2 POINT LOCK ASSY, 4 Robert L. Clark, P.E. #39712 1.489 .464' LAM. W /MONSANTO SAELEX PYB INTERLAYER OR .464' LAM. W /OUPONT BUTALTE INTERLAYER SEE NOTE J ON SHEET L DESIGN PRESSURE RATIHG: 175 pal, PRODUCT RIWISEa n xetapiylo$ with the PMrlde Itaidieg Code AocYryeeee No 02- 401.12 E2p1r010u Date 1 0 Mewl de Ptodad Coetml Divide° PikODUCT RENEWED ACCEPPIEN.. [-'7 —o4r1 oLi meet -kr4 DATE No'E UdEft 2112ODb ii5 I Sk41 .1 . • luau ct- VlfloeL wamtd ant oom xtltirscS Revisions: 0) added 2 pt. lock info %,!/ Te1oenee0 Unless holed: rrcc0ona : 1 /64 Decimal .02 [ Deohd .OW t Mpuion A 1' Series /Model: swD -101 1070 Technology Dr. Nokomis, Ft. 34275 INDUSTRIES oledol• Read By: Dote: D.8. 11/17/00 Ptktrn By. Chkd By. Dote: 0.8. 00185/16/98 Description: French Door — Exploded /Clazinq PUT NO: VENDOR N0: Scale: Sheet: Drorkp No. 3014 971 Raw. G uccural • • •• • • • �I!�7M ..• ••• • I /4' TAPCON © TYP. HEAD /12 © MICK • �li>1 • • • • • • -I L- . •• •• • • • TYP. JAPD • •••• • • • • • •••s • • • • • • •• • • • • ••• • • • • •• • • • tl= TYP. HEAD I/! TAPCON TYP. JAMB l/ LOW TO STAR. y• • 1 OMR MUST TR NSWO? Se2AR 4 • '.. • r.en • TYP. SILlr ITEM DESCRIPTION 1 DOOR HEAD SILL 2 OCOR JAMB (HINGED) 3 DOOR ASTRAGAL 4 .2:50 x .187 FINSEAL STRIP 5 DOOR W -STRIP CHANNEL 6 FRAME JAMB 7 �FR-AME HEAD � 8 GL/ZINC BEAD (ROLL FORM) 9 OL'TSWING THRESHOLD 10 5/16x18 THREADED ROD 11 TRUSS CLAMP 12 5/16x1/16 TRUSS WASHER 13 5/16x18 TRUSS NUT 14 FRAME SCR. COVER CAP 15 STRIKE PLATE 16 STRIKE PLATE INSERT 17 10x3/4 SCR. FLT. HD. PHIL 18 HINGE ASS'Y. 19 10x 625 FLT. HD PHIL 20 10x 1 2 FLT. HD. PHIL. 21 TCP B07 . SLIDE BOLT LOCK 22 6x1 /2 FLT. HO. PHIL. 23 8x1 1/2 SCR. PN HD. QUAD. 24 SEAM SEALER 25 LOCK SUPPORT ASS'Y. 26 6x3 /4 ELT. HD. PHIL. 27 .200 x .190 QLON 28 315 x 19 29 3 POINT LOCK ASS 'Y. 30 LOCK ACTIVE 31 LCCK DUMMY 32 DEAD -BOLT LOCK .33 .491 LAM. W /MONSANTO 34 SILICONE 35 112 Ph. Pn. SMS 36 11.4"' 4' TAPCON 37 .401 LAM. W /DUPONT 38 .454 LAM. W DUP NT 39 .4.54 LAM. W MONSANTO 40 2 POINT LOCK ASSY. 41 18 x .75 Ph. FI. Tek V QTY. /DESCRIPTION VENDOR 60375 60376 60377 67924G 60379 60380 60411 65170 61069M 8 (2 /eoch door top & bot. roil- 6TRODA 60378M 7WASHA 7JNUTA 41722W 7955X 41721 4 1 /door top & bot. rail) 8 2 /eo. door top & bot. rail 8 2 /ea. door top & bot. roil 8 2 /eo. door top & bot. roil))) ALUMAX ALUMAX ALUMAX SCHLEGEL CORP. ALUMAX ALUMAX ALUMAX FLORIDA SCREEN ALUMAX FASTEC INDUSTRIAL ALUMAX FASTEC INDUSTRIAL FASTEC INDUSTRIAL PGT INDUSTRIES CAMCORP PGT INDUSTRIES VENDOR # AF -10375 AF -10376 AF -10377 FS7924 -187 AP -10379 AF -10380 AF- 12376 AF -12375 AF -10378 41722W 41721 710.34A 7FRMOW 71058FP 71ox12PPW 41720 7612FW 78112A 6SM55W 4UBLOK 7634F 60200K 6 300 FD3PTAY 6 (3 frame iambs) 26 6 /hinge - hinge -door jamb 30 5 /hinge &hinge -frame iamb 2 1 ® top /bot. of Lh. astraaal 4 2 slide bolt locks) 12 6 /head & sill) .3 1 /lock) 6 2 /lock suoDort assY.) 5 1 /astragals,fr. iambs & head) 1 o. w.• I = • b 1 ® r.h. astragal 1 ® r.h. astro.al 1 ® Ji. astragal 1 ® r.h. astro•al 7LOKAP 710KIP 7BLAP MERCHANTS FASTENER NATIONWIDE IND. MERCHANTS FASTENER MERCHANTS FASTENER 62899C PGT INDUSTRIES MERCHANTS FASTENER FASTEC INDUSTRIAL SCHNEE MOREHEAD PGT INDUSTRIES FASTEC INDUSTRIAL SCHLEGEL CORP. SCHLEGEL CORP. PCT INDUSTRIES HARLOC HARLOC HARLOC H.P.G. DOW CORNING 41720 51.45504 4UBLOK 200X190 375x190 FD3PTAY 100 • 880 820 899 1 (® r.h. astragal) 7834FPT H.P.G. H P.C. H.P.G. PGT INDUSTRIES SPENCER PRODUCTS #;7°1 Robert L. Clark, PE. RE. #39712 Structural PRODUCT REVISED PRODUCT RENtIWt D as complying with the Florida Balding Code ACYT.!`TANCt. N..6.1— 0 I-1 l'�• 'OM Acceptance No 02- 0701.12 / Expiration ihh !! 1W ] L' ION OAl4. Ndoer4l • 22,2a (2 B7 /• ' t6>rzt� st Bada atat PraOract BY 1544 1 . �L.a..gLY� Dislike I1 K PNOCIU: - 7 Revisions D) added 2 pt. lock info Tobmnees Lh,M. toted• n«6mne f t /64 Drawl .» f Oeo d .022 Aw9'"'an 1 I' Material: Rend By' IOote: 0.8. 11/17/00 Dram By: D.B. C,kd By: 'Dots Dot2/76/98 SeAee/Modek sw0 -101 Description: French Door — Anchorage /B.O.M. 1070 Technology Dr. Nokomis, Fl. 34275 INDUSTRIES PGT NO: VENDOR NO: Scale: Sheet Drawing No. 4D14 971 Rev. 0 Permit Receipt Permit Number: WS -5 -06 -1179 Invoice Number: WS -5 -06 -24834 Applicant: ULISES PEINADO Company Name: Date 05/25/2006 Payment Type CheckNum Check 164 Amount $167.15 Total Payment: $167.15 Thursday, May 25, 2006 Page 1 of 1 Issue Date: 5/17/2006 Owner's Name: ULISES PEINADO Permit Type: Windows /Shutters Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 11/01/2006 Work Classification: Window /Door Replacement .lob Address: 391 103 Street NE Miami Shores Village, FL 33138- Contractor(s) Phone Primary Contractor HOME OWNER Yes Comments: CHANGE EXISTING WINDOW TO DOOR Additional Information Type of Work: DOOR No of Openings: 1 Additional Info: Classification: Residential In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. Fees Due CCF Education Surcharge Notary Fee Permit Fee Scanning Fee Technology Fee Total: Amount $1.80 $0.60 $5.00 $150.00 $6.00 $3.75 $167.15 Building Department File Copy aa 47' /e a Applicant Signature Parcel #: Block: Section: Permit Status: APPROVED Permit Number: WS -5 -06 -1179 Phone: (305)498 -0577 1121360130290 Lot: PB: Total Square Feet: 0 Total Valuation: $ 2,200.00 Required Inspections Window Door Attachment Shutter Attachment Final Shutters Final Invoice Number WS -5-06 -24834 Total: Amt Due $167.15 Amt Paid 4IAY 2 5 PAID NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. Miami Shores Village Building Department 10350 N:E:2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. 676 !/ 7/ Job Name A/• Date C94 BUILDING CRITIQUE SHEET .4.24o0 12.44 v v.eri t rre,40 ,i2. 442 6 s lea Co n6�,e, Z � ! o s7 A.Gcom 7.e.vi4.e0 4, •1. S-7,+" re Pio rl-1 b,�, Atale)Cr iadel4 ( 47 DC 4.6 ©/2 �.&Z.h.p r e .4 aC • 7./f6 o eve , Reviewer: Claudio Grande C.B.O 305 -795 -2204 Ext 1430 Miami Shores Village Building Department ve5 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 MOICIMER L 1 1 P> Te • (305) 795.2204 Fax: (305) 756.8972 BUILDING (SAY ®5 2006 fig Permit No.11U5OG PERMIT APPLICATION , i Master Permit No. FBC 2004 Y• °_° Permit Type (circle): Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) t T'eS Awl/mi.? Phone # l )493 5 - C.)° 7 1 Owner's Address 39/ /1,4e— /O J ./7-- C-C l City /_, ,7 63 State Zip lay Tenant/Lessee Name fii Phone # Ai, Job Address (where the work is being done) j NE- / City Miami Shores Village County . Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name (ce/i14iZ. r�'�ir'�/ �) Phone # Contractor's Address City State Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) 6 a 16o /)o b2-74v Value of Work For this Permit $ 2 420e Phone # 3 or 7S-0 244 Square / Linear Footage Of Work: //A Type of Work: DAddition Alteration ew ❑ Repair/Replace e Describe Work: � C %�i „000-x IAA 690,.? 1 * * * * * * * * * * * * * * * * * ** * * * * * * * ** *,k * ** * ** ** * * * ** * * ** * *, *** * *** ** *** * * * * ** ** ** ** ** * * *,* Submittal Fee $ Permit Yee Q . CCF $ 1 ° CO /CC Notary $ . (X. -Training/Education Fee $ d • Technology Fee $ 3° 7 Scanning $ C - CXJ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ 1 % .. ) S See Reverse side -* MAY 2 5 PAID C064 C 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 CONDmONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is 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 ag ,roved and a reinspection fee will be charged. Signatur6} Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this 5 The foregoing instrument was acknowledged before me this day of ). 24 by 0 t ses P-oracto day of , 20 , by who is person known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Print: 441 Mabel Varga s mission a, 2I CAI My Commission Ex ' ires: Sign: Print: My Commission Expires: ** * ** ** * *** * * *** * * * * ** * * *** * * ** .. ******************,***:****************** * *** * * * * * * * * * * * * * ** *** *** * ** * ** APPLICATION APPROVED BY: (Revised 02/08/06) Plans Examiner Engineer Zoning VILLAGE OF MIAMI SHORES OWNER BUILDER DISCLOSURE STATEMENT NAME: 4//is-6---s to ur ita DATE:. ®1' Oro‘ ADDRESS: 39/ a✓-- /d3/0-42 S — Do hereby petition. the Village of Miami. Shores.to act as my own contractor pursuant to the laws of the State of Florida, F.S 489.1.03(7). And I have read and understood the following disclosure statement, which entitles me to work as my own contractor; I further understand that I as the owner must appear in person to complete all applications. State Law requires construction to be done by a licensed contractor. You have applied for a permit under an exception to the law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a bne- family or two- family residence. You may also build or improve a comniercial` building at a cost of $25,000.00 or less. The building must be for your own use and occupancy. It may not be built for sale or lease: If you sell or lease a building you have built yourself within one year after the construction is complete, the law will presume that you built for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as a contractor. It is your responsibility to make sure the people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any .person working on your building who is not licensed Must work under your supervision and must be employed by you, which means.thatyou must deduct F.I.C.A and with - holdings tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, buildings codes and zoning regulations. Please read and initial each paragraph. 1. I hold title to the above property and I am planning on doing this construction Initial 2. I understand that as an owner - builder I must abide by all zoning ordinances and building regulations in effect at the time of permit application Initial M 3: .I have an understanding of the 2004 FBC & FRC and understand that this department and its inspectors are there to help enforce and interpret the code. There is a copy of the code in this office for review. Initial ug 4. I' understand that the building official and inspectors are not there to design, alter or give advice on how to meet code —. only if the structure meets the minimum code. Initial i 5. I understand that as an owner - builder, that any contractor disputes with sub - contractors and myself must be handled in a civil court with the advice of an attorney. The department will not mitigate`any contract disputes. Initial 6. I understand that if I compensate any person or company for work performed they are required to have a business license in the county. If for any reason they do not posses a business license I will be responsible and liable for any wrong doing from this unlicensed company-or person. Initial 7. h understand that if any person gets injured on my construction project—they are entitled to workmen's compensation. And if they do not posses a workmen's policy I could be held liable for all doctor and related cost which could include loss of wages during recovery from injury. Initial 8. I. understand that under state and local laws I can not do any Electrical, Plumbing, Heating, Air & Roof work on my property with out first .obtaining the proper permits by licensed contractors. Was acknowledged before me this day of BY O1i , 20 06:;. who was personally known to me or who has Produced there License or as identification. 11 . ��t :'...�s�•; ivi aijfa1 Vet Commissbon 1D23 ' 1 13, )pig f ''cam °/011'1 Af alit!te f ttd111g Co„ Inc NOTAR Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 — I -lc) Inspection Number: INSP - 187757 Permit Number: EL -2 -13 -308 Scheduled Inspection Date: April 10, 2013 Inspector: Devaney, Michael Owner: PEINADO, ULISES Job Address: 391 NE 103 Street Miami Shores, FL 33138 -2432 Project: <NONE> Contractor: WORLD ELECTRICAL CONSTRUCTION Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number (305)498 -0577 Parcel Number 1121360130290 Phone: (954)213-5663 Building Department Comments ELECTRICAL INSTALALTION FOR TWO BOTDOOR LIGTH FIXTURES AND ONE SWITCH PER CODE 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 CREATED AS REINSPECTION FOR INSP- 185951. '7/62,0 /y April 10, 2013 For Inspections please call: (305)762 -4949 Page 17 of 28 Miami Shores Village EL-2-13 - 3 0 8 Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING Permit No. + 3-- 3f)g PERMIT APPLICATION FBC 20 Permit Type: Electrical OWNER: Name t(Fee Simple Titleholder): U \ c, �,G 5 PC1/4;101 Phone #: Address: 2 ` h� ((- l 0,.S Satot City: \j\ M t k5 eS State: 1 Zip: 3S Tenant/Lessee Name: Phone #: Email: Master Permit No. (S 0 '' 1 119 be �7l JOB ADDRESS: �;`rl, I r ` l a-3 (S+ C- --k City: Miami Shores County: Miami Dade Zip: 138 Folio/Parcel #: Is the Building Historically Des' ted: Yes NO Flood Zone: CONTRACTOR: Company Name: WC:21*LP£ELe ON t b 5T7WCt hone #: Address: 01F47 t) W y 4744 Shr.g4rr R City: `�°'� 1 State: igl zip: -33/6t Qualifier Name: a.e.e7 4 7: 14R.,C JL Phone #: 9f4 2l3 -9447 State Certi*tion or Registration #: 6h bbe' 295 f Certificate of Competency #: Contact Phone #: ( 9 94) 2.9 3 -- �� X 3, Email Address: GANN* c,4 LL€ e— 024,441-- • C. col. DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ +�w''`� =.� % Square/Linear Footage of Work: Type of Work: Address OAl ration DNew ORepair/Replace Description of Work: K■ T' c. .H E @h► . f A t MO ► -'€ D1L ODemolition +x+x*.x.x.x.x•x*•x* *•x•x * * * *** * **: x• xa•* *Fees:**•x•x•x***•r**** *•x *+ x*• x** *.xm * ***x..x*.x+x *•x.x ***.x ** Submittal Fee $ Permit Fee $ / d, ' a 10 0 CCF $ CO /CC $ Scanning Fee $ Radon Fee $ ' DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ 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 FT.FCTRICAL 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permits issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee.wijl be charged. Signature Owner or Agent The fore oing instrument was acknowledged befor me this day of , 201 3, by U1, kt Se S , t,, t to who is personally known to me or who has produced .Signature Q,. Contractor n The for oing instr ' day C o t A l a 20 `e3by t &✓ € 17. Aid, who is personally know to me or who has produced as identification an : who did take an oath. As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: APPROVED BY • ial7ie .iarlles T,OMMi$SION #EE 144681 EXPIRES! NOV. 18,2015 s ai o`` WWW.AARONNOTARY.com NOTARY "P Sign: Print: aC: �'e�s, GiIda Pereda :. My Commission Expire& • ��:COMMISSI0N EE 144691 ��` -•'c EXPIRES: DEC. 07, 2015 •,,°a;;e� WWWAARONNOTARY.com Z45/j P, Plans Examiner Zoning Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) 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 Permit No. 1 Master Permit No. ' 5 ' OLQ - t r 7q BUILDING PERMI.T APPLICATION FBC 20 F2.3 , Im b Permit Type: Electrical OWNER: Name (Fee Simple Titleholder): \ e Pi y� � 11�� Phone #: Address: r Acr, E \O City: VN\ M '�r� Tenant/Lessee Name: Email: State: Zip: -=;L '3g Phone#: JOB ADDRESS: City: Folio/Parcel #: 33r I \(), i o 3 S\- Miami Shores County: Miami Dade zip: 331 38 Is the Building Historically Designated: Yes NO k Flood Zone: CONTRACTOR: Company Name: V'O66 ;' e-� / i" C ,5 e- _'hone #: Address: _ V . A D Q L D Ec ),, coy, $.1.7,13c,-1-‘0 a d u . . C - ( ( c V uo ( 4 S• city: staters Zip: 3 31 (r, Qualifier Name: E e. is pt-Nteoitee, Phone#:9C *- 3i3- SAO3 State Certification or Registration #: IDO 1..°(1 $ Certificate of Competency #: Contact Phone#: 154 - t I • C G 2 . ; S Email Address: Z s 1 tar 11.. G Q. M p,. 6 t.. CO DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ 40 o Square/Linear Footage of Work: Type of Work: ❑Address iteration °New ORepair/Replace °Demolition Description of Work: etx,c, t A. w,vis. turtLiwrigo va Focg» 'TWO go 0 obiZ. L1614? 1= s4 Tul s, A,u®' c%A.) cue Peg- . Ce0t **** ********** **** ***** **********+x**** Fees***+ x+ x+ x************ ************* ******** ***** Submittal Fee $ Permit Fee $ CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ S halo Bonding Company's Name (if applicable) i 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 FT.F,CT.RICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFF'IDAVIT: 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 Owner or Agent Contractor g instrument was acknowledged before me,this 5 The foregoing instrument was acknowledged before me this 19 .LA6il, iO 15 , by 0 i•.SC' .S Wfi, day oft ' VI')(20 131 who is personally known to me or who has produced Pkiabii/ ! who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC /? Sign: Print: My Commission Expires: APPROVED BY t`ilda Pereda pe; :COMMISSION EE 144691 V EXPIRES: DEC. 07, 2015 WWW.AAR0NN0TARY.com //fin, 1' . r • ITARY PUBLIC: as identification and who did take an oath. Sign: Print My Comm* I 4 HMO 4l/ t ELVIRA G. RODRIGUEZ a My Comm. Expires Jun 9, 2014 a!,!. # DD 964339 Bonded Through National Notary Assn. -41 **** x***** ******* **, x* *+ x*********** *****, x**+ x* ********* **** *****+s****+x***s:*+x******* /f/L--Z°, Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Zoning Clerk 612839 -1 THIS IS NOT A SILL - DO NOT PAY RENEWAL Butiffinrieriali CONSTRUCTION LLC STATE 995 8560 NW 64 ST 33166 UNIN DADE COUNTY OMNI ELECTRICAL CONSTRUCTION LL '",CAL CONTRACTOR WORKER'S TJB8 [t3 ONLY A LOCAL. ELISOLESS LIOES NOTPERMIT n E HOLDER STINO R FO ma r O mu n CONING LAWS OF THE COUNTY OR 181185 NOR DOES IT EXEMPT 144E HOLDER FROM ANY OTHER PERLIT OR LJOENBE REOLIREO 411 LAW 14l18IL T 18 RAOLOEAAN OUALI C*. 14ONtl FAYEENT RECESSED 4. �OUNTY TAX COLLECTO 60040000146 000075.00 SEE OTHER SIDE DO NOT FORWARD 639136 -1 WORLD ELECTRICAL CONSTRUCTION LLC ANDRES MELO 8560 NW 64 ST MIAMI FL 33166 ! ll1Flf }�lliJl� }!�!!JI /�t }it�JiJ �1ltl }i}i�l}l �ii1 }1l li ilJ}}[!! 121 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD (850) 487 -1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399 -0783 ARCHER, GEORGE T WORLD ELECTRICAL CONSTRUCTION LLC 6511 NOVA DR. #189 DAVIE FL 33317 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 rwa w.myforidallcense.crom There you can find more information about our divisions and the regulations that Impact you, subscribe to department newsletters and learn 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 licenser STATE OF FLORIDA AC #" ` 6 "2 5 8 8 9 DEFARTMEN ` 'G8'' sus II SSA " PROFESSIONAL REGULATION 002995 0912 128031824 A 1 DETACH HERE ion eat+ �® �sc>�iaimsm oP tax:4B9 to 2014 L2DE0 90 =209 TI MIS DOCUMENT LAS A COLORED BACKGROUND • MICROPRINTING NEMARK "' PATENTED PAPER DATE BATCH NUMBER ICi STATE OF FLORIDA ALSCOi TRACTORS LIC ' 08/09/2012 128031824 00 2995 The ELECTRICAL CONTRACTOR Named below IS CERTIFIED Under the provisions of Chain Expiration date: >AUG "31, 2014 ►TION SE l `L"i208tl9022 ARCHER, GEORGE T WORLD ELECTRICAL CONSTRUCTION 8560 NW 64TH STREET FL 33186°; Rim( SCOTT GOVERNOR fI! P1 AY AS REQUIRED BY LAW ACORN CERTIFICATE OF LIABILITY INSURANCE kl..-�� DATE(MP/90MYY)l7 2/13/2013 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 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 Ileu of such endorsement(s). PRODUCER Gil, Garden, Avetrani Insurance Group 10689 N. Kendall Drive Suite 208 Miami FL 33176 CONTACT Marta Barrionuevo NAME: /NCNB: (305)630-4777 FAX No): (305)279 -3022 ADDRESS :martab @ggaig.com INSURERS) AFFORDING COVERAGE NAIC 9 INSURERA:FCCI Commercial Ins. Co. UABIJTY COMMERCIAL GENERAL LIABILITY INSURED World Electrical Construction LLC, DBA: WECO 8560 NW 64 Street Miami FL 33166 INSURER B :Guarantee Insurance Co . GL00090372 INSURERC: 8/1/2013 INSURER D: $ 1,000,000 INSURER E : $ i 000 INSURER F : COVERAGES CERTIFICATE NUMBER:CL1282003023 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. ILIR TYPE OF INSURANCE IN SR � POLICY NUMBER (M�D//YYYYY) (MMIODI ) LIMITS A GENERAL X UABIJTY COMMERCIAL GENERAL LIABILITY GL00090372 8/1/2012 8/1/2013 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES PREMISES (Ea occurrence) $ i 000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 5,000 PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENII AGGREGATELIMIT APPUESPER: X 1 POLICY n JE a n LOC PRODUCTS - COMP/OP AGG $ 1,000,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS _ SCHEDULED AUTOS NON -OWNED AUTOS COMBINED SINGLE UMIT (Ea accident) i $ BODILY INJURY (Per person) BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA UAB EXCESS UAB _ OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I RETENT ON $ $ B WORKERS COMPENSATION AND EMPLOYERS' LABILITY Y IN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? I (Mandatory In NH) 11 yes, describe under DESCRIPTION OF OPERATIONS below N / A G9rIC301004126-112 8/14/2012 8/14/2013 r WCY LIMITS STATU- I I O R E.L EACH ACCIDENT $ 1,000,000 $ 1.000,000 $ 1 , 000 , 000 E.L DISEASE - EA EMPLOYEE E.L DISEASE - POLICY UMIT DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, K more space Is required) CERTIFICATE HOLDER CANCELLATION Miami Shores Village 10050 NE 2nd Ave. Miami Shores, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORED REPRESENTATIVE Joe Avetrani /MNB ACORD 25 (2010/05) INS025 (201005).01 ©1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD