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RF-13-650Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 188422 Permit Number: RF -4 -13 -650 Scheduled Inspection Date: June 14, 2013 Inspector: Rodriguez, Jorge Owner: BALDWIN, CATHERINE Job Address: 126 NE 106 Street Miami Shores, FL 33138- Project: <NONE> Contractor: SEAMLESS GUTTER MASTER Permit Type: Roof Inspection Type: Final Work Classification: Gutters Phone Number Parcel Number 1121360050060 Phone: (305)817 -8814 Building Department Comments GUTTER INSTALLATION 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. June 13, 2013 For Inspections please call: (305)762 -4949 Page 5 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 Permit Type: BUILDING JOB ADDRESS: /z 4,4*.57" City: Miami Shores County: Folio/Parcel #: TECMEV'Mli AFR 0 2013 AV FBC 20 Permit No. W 9 (150 Master Permit No. ROOFING Miami Dade Zip: Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): C.P►'be -T (k-e— 1- At P Phone #: Address: 0 `2,(40 N • E City: M i 00 61 •C' io s State: Zip: 3 fl 3 E Tenant/Lessee Name: Phone #: Email: C. —Sd,4 114 CONTRACTOR: Company Name: Se A-wr L SS G- e��e 4�� O q2hone #: Address: 4 3 r u L 4 4® 5 City: k A L-47-04 State: t° Zip: 3 30 4 Qualifier Name: eus Y L Yom_, o Phone #: St. u° 1..55 — 5'7—gt 3 State Certification or Registration #: � � Certificate of Competency #: ®� �� o em",LtSSvief t1/4-irevT & hatm4 i t_ COV+l Contact Phone #: � 5 — �� 7 "g'� � Email Address: DESIGNER: Architect/Engineer: Phone #: • Value of Work for this Permit: $ 9 /4 0 0 Type of Work: DAddition UAlteration Description; of Work: Square/Linear Footage of Work: 2 7 UNew ORepair/Replace ❑Demolition Color thru tile: Submittal Fee $ Permit Fee $ icoiO CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ /014.00 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 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 g Signature Owner or Agent The foregoing instrument was acknowledged before me this The forego ; g ms ent was acknowl ed before *e day of , 20 _, by day of Ai Y�J� 1 , 20 1 J, by Y ' who is personally known to me or who has produced who i ersonally known to ` o me or who has duced As identification and who did take an oath. it D 1t to< tification and who did take an oath. NOTARY PUBLIC. LIC: Structural Review Sign: Print: My Commi My Comm �: Commission # EE 12651 =; , F „, , ,,,,, Bonded j roug h Nahona i Notary (Revised 5 /2 /2012)(Revised 3/12/2012) XRevised 06 /10 /2009)(Revised 3 /15 /09)(Revised 7/10/2007) Zoning Clerk Sea es Gutter Miami -Dade County: 305- 817 -8814 Martin County: 561 - 255 - 5293 Broward County: 954- 404 -0725 www.seamlesseuttersfl.com PROPOSAL / CONTRACT SUBMITTED TO: APR 032013 vv®®® V11a ® ®A8e ®.e0 Salesman: Date: " p Licensed•& Miami - Dade: Broward: Palm Beach: Martin County: We have workers Insured CC# 098500239 11- AL17275 -X 2010 -03888 MCNS6074 compensation. WT BE PERFORMED AT: f Ad re City, State IUdkiiNI 1 Igibikv� u�s ® jivINf a 31® 1 - ®III ® ® NI _;;,,;glil15Er. �.rig _ ® ®_ __® INSPIII . <` �� ® 11 n® ®®1rr11111®111111 2111111Etiellif1151111:11111111111011111111111111111111111111 111111111111011 III Iii1111311111111 TOTAL FOOTAGE 2 c' 7 t 1. ~ TOTAL DOWNSPOUT GUARANTEE ON LABOR ❑ 2 Yi:s. ` ❑ 5 Yrs. Permit: $ Anticipated Installation Date GUTTER COLOR WHITE ❑ IVORY BRONZE 13 L. GRAY El CLAY ❑ GREEN ❑CREAM ❑: BROWN ❑ GRAY E3 D. GRAY COPPER EGG SHELL OWNSPOUT COLOR WHITE ❑ CREAM El IVORY 13 BROWN ❑— BRONZE ❑ GRAY L. GRAY [21 D. GRAY CLAY 13 COPPER GREEN 13 EGG SHELL 3X4 ❑ 2X3 ❑4X5 CONDUCTOR HEAD 20 YEAR WARRANTY ON MATERIAL TOTAL $ DEPOSIT $ BALANCE $ 7 Paid By: ❑rc ieck # Cash '9s - f 13 Date •, • sal accepted zedSignatu 13 Credit Card / Client Signatu By signing this proposal you accept the terms set forth in this contract. Orders cancelled after THREE days will have a $50.00 administration fee plus any applicable permit and material charges. Any changes during or after the project may result in additional cost. Unless stated, all gutters are installed with spikes & ferrules. All repairs are put on a 4 -6 week lead time for scheduling. We are not responsible for any damages or repairs associated with walking on an old or damaged roof. If protect is not paid in full upon completion, a lien will be placed on property plus a $99 administration fee. 1,- BBB wo" s Gutter I‘llasters, Inc Miarni-Dade Couniy: 305-817-8814 Martin County: 561-255-5293 Broward County: 954-404-0725 virww.seamlesseuttersfIcom PROPOSAL / CONTRACT SUBMITTED TO: 4„ Name 4 k Address f , V 4 City, State Phone ESTIMATE: Salesman: Date: WOR Addrese City, State Licensed& Insured Miami- Dade: CC# 09B500239 Broward: 11-AL17275-X Paint Beach: 2010-03888 Martin County: MCNS6074 We have workers compensation. ,TI?BE PERFORMED AT: Anticipated Installation Date WHITE EJ IVORY 1:11 BRONZE CI L. GRAY LI CLAY EJ GREEN lj CREAM BROWN 1:1 GRAY — El D. GRAY 1:11 COPPER EGG SHELL bowNspourcotoR WHITE LI IVORY 13 BRONZE 1:31 L. GFtAY [ji CLAY [ji GREEN 3 X 4 D4X5 EJ CONDUCTOR HEAD Ej CREA144 ▪ BROWN GRAY D. GRAY COF'PER EGG SHELL • 2 X 3 TOTAL FOOTAGE L).7- % 7 TOTAL DOWNSPOUT 3 GUARANTEE ON LABOR 2 Yr5. Yrs. Permit: $ 20 YEAR WARRANTY ON MATERIAL TOTAL $ DEPOSIT $ Paid By: Ertfieck # — er Cash rizedSigna, tur BALANCE $ Ei Credit Card /„", 'Client Signature By signing this proposal you accept the terms set forth in this contract. Orders cancelled after THREE days will have a 550.00 administration fee plus any applicable permit and material charges. Any changes during or after the project may result in additional cost. Unless stated, all gutters are installed with spikes & ferrules. All repairs are put on a 4-6 week lead time for scheduling. We are not responsible for any damages or repairs associated with walking on an old or damaged roof. If project is not paid in full upon completion, a lien will be placed on property plus a $99 administration fee. 1C1 Mar, 21. 2013 10:22AM No. 3190 P. 1 c oidv CERTIFICATE Of • LIAB'ILITY' INSURANCE . DATE (MM,pD/YYTY) 03/21/2013 THIS CERTIFICATE IS ISSUED AS .A MATTER OF INFORMATION ONLY AND' CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND. OR ALTER •THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A. CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed. if 'SUBROGATION IS WAIVED, subject to the terns and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder'in Lieu of such endorsement(s)• PRODUCER' .305639 -2425 JCA CONSULTANT, INC 4615 NW 72nd AVENUE . #100 MIAMI;'FLORIDA 33186 . • INSURED Seamless Gutter Masters Ind. 1711 West.38th.Piade #1105 Hialeah, 'Florida 33012 305- 639 -2427 CONTACT .NAME, ' JUC PRONE No. Eat): 305 - 639 -2425 E-MAIL ADDRESS. T iA c, No): 305 -639 -2427 INSURER(S) AFFORDING COVERAGE INSURER A: Atlantic Specialty Lines Of Florida • •IN$URER B • INSURER C INSURER .D : INSURER E INSURER F : COVERAGES CERTIFICATE NUMBERS , 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.C.ONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIPICATE 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 PAIDCLAIMS. INSR ADDL BUHR EXP TYPE OF INSURANCE INSR taal POLICY NUMBER I M /DDryyyy) IbtM/DO •OENERAL LIABILITY • NAIC • A COMMERCIAL GENERAL LIABILITY CLAIMS-MADE I y I OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: ' POLICY I JFGT 1-7 LOC AUTOuOBILE LIABILITY ANY AUTO ALL AUTOS owNED , HIRED AUTOS UMBRELLA LIAB •EXCESS UM) SCHEDULED AUTOS NON -OWNED AUTOS 3DN4835 D2/21/2013 LIMITS 02/21/2014 EACH OCCURRENCE PREMISE NTED ar•1,, ,MED EXP•(Any one person) PERSONAL S. ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP /OP AGO COMBINED SINGLE LIMIT (Fa accident) BODILY INJURY (Per person) 01 000 000 0100,000 s 5.000 s 1.000.000 $ 1,000.000 $ 1,000.000 S 0 s BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ DED RETENT ON $ WORKERS COMPENSATION AND EMPLOYERS unse,rrY . .ANY•PROPRIETOR ARTNec /EXECUTIVE OFFICERMIEMBER ExCLumo? I I In NH) (My nd�Itonr DESCRIPTION OP OPERATIONS below dCQUR CLAIMS-MADE N /A' EACH OCCURRENCE S AGGREGATE • $ TWD STATU- $ OTH- ER E.L. EACH ACCIDENT . • $ E_L DISEASE _ EA EMPLAYFF,S,_ $ E.L. DISEASE = POLICY LIMIT DESCRIPTION OP OPERATIONS / LOCATIONS /VEHICLE$ (Attu*R ACORD 101, Additional Romarus'SCbadole, Ir mare space is requttees) Schedule in Master: .. ' Gutter: Installation • •• • • • CERTIFICATE HOLDER 305 -756 -8972 • • Miami• Shores'Village Biiilding Dept 10050 NE'2nd Avenue Miami Shores,Floride 33138 ' CANCELLATION- • SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE, • • THE EXPIRATION' DATE THEREOF, NOTICE WILL BE. DELIVERED IN ACCORDANCE WITH•THE POLICY PROVISIONS.. •' . AUTHOR6ED REPRESENTAIV Josie •Arrieta ACORD 25.(2010105) • {0. 1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name -and logo are xegitered marks of ACORD• • ANNE M. G AN PY O N P.O. Box 3353, West Palm Beach, FL 33402 -3353 CONSTITUTIONAL TAX COLLECTOR www.taxcollectorpbc.com Tel: (561) 355 -2272 Serving Flaw Hearn Cowry **LOCATED AT"* 1711 W 38TH PL STE 1105 HIALEAH, FL 33012 -7033 TYPE OF BUSINESS 81 -0084 GUTTERS & DOWNSPOUTS - OWNER IRECEIPT #/DATE PAID AMT PAID BILL # B12.547075 - 08/10/12 CERTIFICATION # 1 DEL RIO ELBYN SR $33.00 I 840070461 This document is valid only when receipted by the Tax Collector's Office. SEAMLESS GUTTER MASTERS INC SEAMLESS GUTTER MASTERS INC 1711 W 38TH PL STE 1105 HIALEAH, FL 33012 -7033 nJI1nIIIII IInI111nJ11 IIInIL B3 - 36 STATE OF FLORIDA PALM BEACH COUNTY 2012/2013 LOCAL BUSINESS TAX RECEIPT LBTR Number: 201003888 EXPIRES: SEPTEMBER 30.2013 This receipt does not constitute a franchise, agreement, permission of authority to perform the services or operate the business described herein when a franchise, agreement or other county commission, state or federal permission of authority is required by county, state of federal law. constnETQATog Board BUSINESS CERTIFICATE OF COMPETENCY 09BS00239 SEAMLESS GUTTER D.B.A.: DEL RIO ELBYN certified urxler the CERTIFICATE OF COMPETENCY BR' WARD ELBYN DEL RIO ALUMINUM SPECIALTY MESS GUTTE CC# 11 -AL- 17275 -X Expires 8/31/2014 TERS INC Ref. 25801952 Ctrl# 14 -18829 SEAMLESS GUTTER MASTERS, INC Pzor =d wwt d� �« 4,,,a9es. Ph: 305 - 817 -8814 CeII: 786 - 991 -4205 Ph: 561- 255 -5293 Fax: 305 - 817 -8816 Our Company will install seamless rain gutters at the best price in the market. At $3.00 per foot and $40.00 per downspout (10 feet). We offer the best quality materials in the market (ABC Supply, Englert and Service Partners) giving a 20 years warranty on their products. We will beat any written estimate by a legitimate competition making us the top rian gutter company in South Florida. • 5 YEARS WARRANTY ON INSTALLATION • COLORS AVAILABLE • GREAT CUSTOMER SERVICE • SERVING: DADE, BROWARD, PALM BEACH MARTIN, FLORIDA KEYS • WE HAVE WORKERS, COMPENSATION Licensed & Insured Dade# 09BS00239 Broward # 11- AL17275 -X Palm Beach # 2010 -03888 Martin # S6074 Seiva Vet Rio CEO 642357-8 .. BVSIL y� 1711 W 38 PL 33012 HIALEAH, 0 eRAKESS GUTTER 1$A5r7Eks. ' BUILDING CONTRACTOi 'TINS IS ra LOCAL WANNESS TAX. DOES • NOT TIM HOLDER TO VIOLATE ANY M ANG LAWS LW: W1E m vim gr ux a. WIE swots .- PAYMENT HECOLAW ISIONWADE COMM TAX • 08/10/2012 60020000179 000045.00 SEE OTHER SEM 00 NOT FORWARD SEAMLESS GUTTER MASTERS INC ELBYN DEL RIO PRES 1711 W 38 P 1105 HIALEAHFL33012 DO NOT FORWARD SEAMLESS GUTTER MASTERS INC EL$YN DEL RIO PRES 1711 W 38 PL 1105 HIALEAH FL 33012 1111 1P1+ 1ttllllltiiiintallltll1'1111.rut iilt1ltlUlttt1169 AGIONICICY SEARENT•01 RERO CERTIFICATE OF LIABILITY INSURANCE 1 Data Peacasakkg hanwsume Ammar, kw 1 ADP Elaidavtad NJ 07088 mow seamen 6i71'Ia LRAMS Me 1711w2BmPL FL33012 11 4 CERRFICATE 10 MAD AS A RATTER OF WFOINVOKNI MY A10 CONFERS NO RIGHTS IWON ' HOLOBL MIS CERuFCA1E DOES NOT AN731114 _EOM OR AUER DE COVERAGE AtFORDED BY TIE MACRE MIME anweas -cam f &- Ekkkefiekl Casualty M MICA afar • c INSURERW o f assuammusma E nrNWE BEER laSUED1011E mama rENEED ABOVE FORME POLEt:YE DRNICATER NOTRONSIEUREE MW RE, DR comma OF ANY commas OR ODER ROCULENTINITH RESPECT TD EMI NNW BE REM CO NIAY POEM TIE DIENNEEAFFERRE Or TIE PCRXIES DEEMED KRAMER AGGREGATE E1Y �>�EKDSYi+ARS �N1 i!�'E ,E� 1iN? � 1{ faranta "MOP 41131ERN.11111RUIT i CUUMSMIRSIE OCCUR �--nw� M c AtWAUTO A.L.fnaf. DAfmof3 SCHEMUlaDAIROS HaVEDAMOS RODOVIREDIMMNI POURYIRIMOBR LIMO fO s =paw ray otoplises0 GENBULARBRBDUE $ $ COMEINEDSINGIEUDIE s f s PROPERTY **MOE rersoeleme OARRUELUSIMUST R/MAUR, ' A Anoa.ar -Ent aUTOCINIX Ea*cc ASH $ E7 t 1AUAILirY oc ❑ CIAMIESIMIOE . s ERCHOCCURREICE s AORRESODE s s s VOORMERISCOMPBORDION RSIDESUMOVERWIalialia MIALdasaritaaral r►f. n owe 1 0196-2l744 11/71012 XI IX' EI-EACHACIDOENT s s MOW El. DISEASE -EA '1 YEE, s aLQ - P06CVL.Nt . $ MAN 1t1E AK EMISCIMMOOROPOPIDUMORSH.00010118/ValletintalatOSIONSAUDEDBTENODROSURVOSPEIDMMORDONS CANCELIAWRI City Of Miami Shores 10050 NE 2qd Ave Miami Shores Fl 33138 IUDEIHEREO*111EMISURID D lMIL R1DMM. SO ff Bfrriar'+ea- IID B tfDUErEFGeafef m.eaff OIDI6. IWO= MD COMMON OR MOM Waif KIND UPON IHR OMER, al DOOM OR EIEDREBENIIMED iNillOREBDISIFIESENTAME 25() ®1880.009 ACORD COIRKMATiON. AIS NOW rasereal. The MOM f ACCVW dii•••■••""eititia CEICIVICATE OF UABILMF INSURANCE I "07572033 ORR 01101ROME ISSUWAOLTIER OF IWORMITION OW/ mai =MRS MO twOR Ita oaaaamo AMR co ARWOOD or TM toptiL ROWER. COROCIORIR OIMS NOT igaila OR miaow affcaumanovenim UM it SEAMS GUMP MASTERS, 1711 W. �U4 PLACE 1105 COVERADES DIEDOUCIMOIMITIVIODUNINQUIDAMINNIONDISSINDIDIVEINSUNDIMADD MIME- CONTIMIOUVITMODIMACINIDAICIPSIMETANOING I MRIMARM. UM OR COMM OF NIT CONTRACT OR OftatOWIMOR Raliatr to MACH MS =MOM INN Olf MIND at AWY ATIMODO arDEPOLICNIS NIDUBJECT TOPJLINNIEFINT. ENOLUDONSAID comootato OF WON ROWEL AMMAR- ITUITIMMAININDRANESEEDRODUCEDIATPAIDCIAND. 3.3 3 13 - • • City Of Miami Shores exeruessreglatersuouswenvau.aoswanima *mom= toomeneacEsswermouslammistrunuagovarvasweetesszonsu. iweensposuausonateumenswaratenembipornerigesupsvammaRect . 10050 NE 2nd Ave Miami Shores FL 33138 assamate KaatAfirmo A=RO325(2109ffili • . 3 1 aptommeitagtocommum AlltIgharsommod. TheACORDaamseadlogrearenniskiedsunesufACOND oz. • t• 4 • 71. • ••• •• .5. •