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CC-12-2379 (2)Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 184793 Permit Number: CC -12 -12 -2379 Scheduled Inspection Date: January 31, 2013 Inspector: Bruhn, Norman Owner: , BARRY UNIVERSITY Job Address: 11300 NE 2 Avenue Dunspuagh Hall Miami Shores, FL 33138 -0000 Project: BARRY UNIVERSITY Contractor: EMERALD CONSTRUCTION CORPORATION Permit Type: Commercial Construction Inspection Type: Final Work Classification: Alteration Phone Number Parcel Number 1121360010160 -16 Phone: (954)241 -2583 Building Department Comments REPLACE 2 LOUVERS IN ROOF Infractio Passed Comments INSPECTOR COMMENTS False passe Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP- 184678. CREATED AS REINSPECTION FOR INSP- 184668. January 30, 2013 For Inspections please call: (305)762 -4949 Page 23 of 31 PERMIT # 110-)16\ C SUBMITTAL DATE: T � CONTRACTOR: L ADDRESS: 9 Lt ` > L L 699 3-1 NAME: p■ RESUBMITAL DATES: !ROJECT TYPE:TbD Ar n e%1 C53 j -- FIRE STRUCTURAL ELECTRICAL PLUMBING MECHANICAL (' IM ACT FEES NOC oured Concrete ° x 2-1/4" Tapcon 6° O.0 14 x 2° SS SMS 6° O.C. 2x. Aluminum Angle Impact Louver FL872 -R4 14x2' SS SMS 6' 0.0 ' Wood Lag Screw @ 6' 0.0 x2xa' Aluminum Angle PANEL SECTI ❑N T 27 -7/8° Wood Buck 54" 162° 54" GENERAL NOTES 1. THIS PRODUCT HAS BEEN EVALUATED AND IS IN COMPLIANCE VITH THE 2010 FLORIDA BUILDING CODE C BC) STRUCTURAL REQUIREMENTS INCLUDING TH ' HIGH VELOCITY HURRICANE ZONE' OIVHZ). 2. PRODUCT ANCHURES SHALL BE AS LISTED AND SPACED AS SHOWN ON DETAILS. ANCHOR EMBEDMENT TO BASE MATERIAL SHALL BE BEYOND WALL DRESSING OR STUCCO. 3. WHEN USED IN THE 'HIGH VELOCITY HURRICANE ZONE' THIS PRODUCT COMPLIES WITH SECTION 1626 OF THE FLORIDA BUILDING CODE AND DOES NOT REQUIRE AN IMPACT RESISTANT COVERING. 4. SITE CONDITIONS THAT DEVIATE FROM THE DETAILS OF THIS DRAWING REQUIRE FURTHER ENGINEERING ANALYSIS BY A LICENSED ENGINEER OT REGISTERED ARCHITECT. 5. MEAN ROOF HT. 20' EXPOSURE 'C' ROOF SLOPE GREATER THAN 10' PSF +42.6 -46.2 -57.0 4' 6" 2° I 'I I I 2° PANEL '` 54° PANEL ELEVATI ❑N z 0 0 13 -0004 NA 1/13/13 .... DRAWING# 13 -0004 1 oft R W R W Building Consultants, Inc. B Consulting and Engineering Services for the Building Industry P.O. Box 230 Valrieo, FL 33595 Phone 813.659.9197 Florida Board of Professional Engineers Certificate of Authorization No. 9813 ' roduct Evaluation Report Report No.: FL- 8723 R4 Date: January 24, ; 2012 Product Category Sub Category Manufacturer Product Name Shutters Bahama Southern Extrusions, Inc. 3401 W. Navy Boulevard Pensacola, FL 32504 Phone 850.432.2485 Facsimile 850.432.2486 Extruded Aluminum Bahama Hurricane Shutter "impact" Scope: This is a Product Evaluation report issued by R W Building Consultants, Inc. and Lyndon F. Schmidt, P.E. (System ID # 1998) for Southern Extrusions, Inc. based on Rule Chapter No. 9N -3, Method 1D of the State of Florida Product Approval, Department of Business & Professional Regulation. RW Building Consultants and Lyndon F. Schmidt, P.E. do not have nor will acquire financial interest in the company manufacturing or distributing the product or in any other entity involved in the approval process of the product named herein. Limitations: 1. This product has been evaluated and is in compliance with the 2010 Florida Building Code structural requirements including the °High Velocity Hurricane Zone ". 2. Product anchors shall be as listed and spaced as shown on details. Anchor embedment to base material shall be beyond wall dressing or stucco. 3. When used in the °High Velocity Hurricane Zone" this product complies with Section 1626 of the Florida Building Code and does not require an impact resistant covering. 4. When used In areas outside of the "HVHZ" requiring wind -bome debris protection this product complies with Section 1609.1.2 of the Florida Building Code and does not require an impact resistant covering. 5. Site conditions that deviate from the details of drawing FL -872.1 require further engineering analysis by a licensed engineer or registered architect 6. Aluminum shutter material shall be 6063 -T6. 7. The Engineer or Architect of Record is responsible for determining the wind Toads for any specific application and to determine that the existing structure is capable of withstanding the Toads imposed by the shutter system. 8. See drawing FL -872.1 for size and design pressure limitations. Supporting Documents: 1. Test Report No. Test Standard CTLA- 1098W -1 TAS 201, 202 & 203 -94 Testing Laboratory Signed by CTLA Ramesh Patel, P.E. 2. Drawing No. Prepared by Signed & Sealed by No. FL -872.1 RW E3uiiciing Consultants, Inc. (CA #9813) Lyndon F. Schmidt, P.E. 3. Calculations Anchoring 4. Qualitv:Assurance Certificate of Participation issued by National Accreditation and Management Institute, certifying that Southern Extrusions, Inc. is manufacturing products within a quality assurance program that complies with ISO/IEC 17020 and Guide 53. Prepared by Stained &:Sealed by RW Building Consultants, Inc. (CA #9813) Lyndon F. Schmidt, P.E. PF 1129 Sheet 1 of 1 Lyndon F. Schmidt, P.E. FL PE No. 43409 1/2512012 Southern Extrusion, Inc. 3401 W. NAVY BLVD. PENSACOLA, FL. 32508 EXTRUDED ALUMINUM BAHAMA HURRICANE SHUTTER IMPACT GENERAL NOTES 1. This product has been evaluated and is in compliance with the 2010 Rorida Building Code (FBC) structural requirements including the "High Velocity Hurricane Zone (HVHZ). 2. Product anchors shall be as listed and spaced as shown on details. Anchor embedment to base material shall be beyond wall dressing or stucco. 3. When used in the "High Velocity Hurricane Zone" this product complies with Section 1626 of the Florida Building Code and does not require an impact resistant covering. 4. When used in areas outside of the "HVHZ" requiring wind borne debris protection this product complies with Section 1609.1.2 of the FBC and does not require an impact resistant covering. 5. Site condltlons that deviate from the details of this drawing require further engineering analysis by a licensed engineer or registered architect. 6. Aluminum shutter material shall be 6063 -T6. 7. The Engineer or Architect of Record is responsible for determining the wind loads for any specific application and to determine that the existing structure is capable of withstanding the loads imposed by the shutter system. TABLE OF CONTENTS SHEET# DESCRIPTION 1 Typical elevation, design pressures & general notes 2 Vertical cross sections masonry & Stud construction 3 Horizontal cress sections masonry & stud comfivction 4 Anchoring locations - stud instafatlon 5 Anchor locotlons - masonry installation 6 BM of materials & components (�--� 57.00° MAX. OVERALL FRAME WIDTH STANDARD MOUNTING BRACKET, SEE NOTE BELOW OPTIONAL PIN LATCH.5EE NOTE BELOW 0 0 0 x88:00 +$pp NOTE THE ELEVATION ABOVE SHOWS BOTH THE STANDARD MOUNTING BRACKET AND THE OPTIONAL PIN LATCH (ONLY ONE IS REQUIRED). F 0 z 0 to 8/03/09 SCAM N.T.S rni!;4 BY JK aas 11t LFS puWE5 NO.: FL -872.1 sm 3 5 n ro s1 w a IISURFACE TO BE PROTECTED 275° MIN. TO FACE OF SURFACE MASONRY WALL OVERTICAL CROSS SECTION y Masonry corsfract on EXTERIOR SHEATHING o 4 z 0 tN DRYWALL 2X FRAMING TO BE DESIGNED BY THE ENGINEER OR ARCHITECT OF RECORD BASED ON WIND LOADS AND THE CLADDING BEING USED. SURFACE TO BE PROTECTED 275 MIN. TO FACE OF SURFACE 2X FRAMING TO BE DESIGNED BY THE ENGINEER OR ARCHITECT OF RECORD BASED ON WIND LOADS AND THE CLADDING BEING USED. °VERTCROSS SECTION ICAL Stud construction to O O Z 9 sr..:E MT S. DWG. GYI K LFs DRAWING N FL -872. 1 stir 2 or 6 a 0 R:\A - Projects \Project Folders \Prof 1101- 1200\pf1129 \D. RWBC Drawings\2010 FBC\FL- 872.1.dwg,13 EXTERIOR SHEATHING MASONRY WALL EDGE DISTANCE C)HONZONIAL CROSS SECTION W/ opti on bracket SURFACE TO BE PROTECTED STUCCO C)HORIZONTAL CROSS SECTION W/ Masonry � bracket EXIERIOR SHEATHING SEE NOTE 1 DRYWALL FRAMED WALL SURFACE TO BE PROTECTED 1 -5/8° MIN. LOCKING PIN MUST EXPEND THROUGH BOTH LEGS OF BRACKET ()HORIZONTAL CROSS SECTION Stud construction W/ standard pin latch MASONRY WALL EDGE DISTANCE - SURFACE TO BE PROTECTED STUCCO /// / / / / / / /;: LOCKING PIN MUST EXTEND THROUGH BOTH LEGS OF BRACKET C)HORIZOAITAL CROSS SECTION Masonry W/ � pin latch NOTE 1: INSTALLERS SHALL INSURE THE SCREWS INSTALLED INTO STUD WALL CONSTRUCTION DO NOT FALL ON STUD INTERFACE JOINTS re 0 N '.4 z 0 t acre: 8/03/09 $0,LE N.T.S BY JK - ar: LF'S DRAMS tills FL -872.1 aim 3 or 6 a csi 075° 6. MAX. ON CENTER -+{ r- OJS THIS SIDE SHOWN ANCHORED WITH STANDARD PIN LATCH ANCHORING LOCATION STUDINSTALLATION mPa THIS SIDE SHOWN ANCHORED WITH OPTIONAL MOUNTING BRACKET UP0A1 TO 2010 FBC am 8/03/09 sue: M.T.S. MFG. er: JK gilt. WO LFS ORAWINO NO4 FL -872.1 r 4 OF 6 A 0.75. I I r 6. mAx. O.C. • THIS SIDE SHOWN ANCHORED WITH STANDARDPIN LATCH (STANDARD BE USED ON MASONRY INSTALLATIONS WHERE THE DP REQUIREMENT IS DP <= S5 P89 ANCHORING LOCATION MASONRY INSTALLATION (TYP.a THIS SIDESHOWN ANCHORED WITH OPTIONAL MOUNTING BRACKET FOR MASONRY 0 O 8A MOUNTING BRACKET- MASONRY 6druded aluminum 6063 -T6 13 MASONRY ANCHOR SCHEDULE CONCRETE CONFORMING TO ACI 301 ANCHOR 1 /4'SAMMYS SSC TAPCON SG EM =1J5 CL =3 ED =125 (3.295 PSI MIN. CONC.) API. P RWTR ®HEAD EM =1.125 CL =3 ED = (3000 PSI MIN. CONC.) t11111H11� 1/4 ALL POINTS SOUD-SEI ANCHOR EM 0.875' CL =3 ED =2 13000 PSI MIN. CONC.) 1ft11WTAPCON EM =1.75 CL =3fr ED= 10 (3192 PSI MBLCONC.) 8 O 2 ANCHOR 1 /4°SAMMYS SSC TAPCON SG DA 1.27 CL =3 ED =2s J 1/4,0 BW RED AA HEAD 2T D EVE O CL =3 ED =1.7 111V11111 1/4' ALL POINTS SOLD-SET ANCHOR FM =ORS' CL =3' ED =2 EM= MINIMUM EMBEDMENT (PENETRATION) CL= MINIMUM CENTER TO CENTER ANCHOR SPACING ED = EDGE DISTANCE °z 8 UPDATE TO 2010 F130 am: 8/03/09 sera: N.T.S.. ONO BY: JK as er LFS O1WWm NW FT_ -872.1 SKEET 5 6 R\A - Projects \Project Folders \Proj 1101 - 1200\ pf1129 \D. RWBC Drawings\2010 FBC\FL- 872.1.dwg, L6 IVU.OF MATERIALS 1 LOUVER 6063 -T6 0.160" ALUM. 2 LOUVER/INSERT 6063- T60.60' ALUM. 3 S1ILE/RAIL6063- T60.060' ALUM. 4 NYLON CORNER KEY NYLON 5 STRUCTURAL ADHESIVE - 6 FEMALE HINGE ALUM. 7 MALE HINGE ALUM. 8 MOUNTING BRACKET WOOD ALUM. 8A MOUNTING BRACKETMASONRY ALUM. 9 LOCKING PIN ALUM. 10 THUMB SCREW STEM. 11 LATCH WOOD ALUM. 1 IA LATCH MASONRY ALUM. 12 3/16" DIA. POP RIVET ALUM. 13 ANCHOR -SEE MASONRY ANCHOR SCHEDULE STEEL 14 VERTICAL SUPPORT BAT ALUM. 15 #12X3.1/2°HOC HEAD SHEET METAL SCREW STEEL 11 LATCH WOOD ALUMINUM 6063 —T6 h t I 6.000' LATCH MASONRY ALUMINUM 6063 —T6 0.750° 0J50° T —r t 1/4 -20 THREAD THRU OLOCKING PIN ALUMINUM 6063 —T6 10° FULL DIA. 0 X1.38' 4.00° 1.38° I-- -1.000' TP 1/4-20 THREAD OMOUNTING BRACKET – WOOD EXTRUDED ALUMINUM 6063 —T6 0J50. — ►i 0.13" 0.450° 1O THUMB SCREW SIELL b r 2.980' 0 .07 ANCHOR –� 129° 0 LOCATION OFEMALE HINGE EXTRUDED ALUMINUM 6063 —T6 0 LOWER 14 VERTICAL SUPPORT SLAT ALUMINUM 6063 —T6 O LOUVER /INSERT EXTRUDED ALUMINUM 2 EXTRUDED 6063 —T6 6063 -T6 0.060° TYP. WALL THK. 0.060° TYP. WALL THK. 1.070° r_ 1.17 ONYLON CORNER KEY S1ILE /R4$L EXTRUDED ALUMINUM 6063 —T6 0.060' TYP. WALL THK. 0.46° OMALE HINGE EXTRUDED ALUMINUM 6063 —T6 1 iE pp dAt ro z 0 cc a 1 is 02/21/07 saa.E: N.TS. owo. Bh JK tor: LFS WAND N04 FL -872.1 6 oF6 rlUILDINm DUNE Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 182279 Permit Number: BPP -11 -12 -2274 Scheduled Inspection Date: February 11, 2013 Inspector: Bruhn, Norman Owner: DIAZ, MARIA Job Address: 245 NE 99 Street Miami Shores, FL 33138- Project: <NONE> Contractor: L A BUILDING CONTRACTORS INC Permit Type: Pools/Whirlpools/Hot Tubs Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132060134550 Phone: (786)287 -0114 Building Department Comments POOL RESURFACING 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. February 08, 2013 For Inspections please call: (305)762 -4949 Page 8 of 30 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 BU ILDINZG 11 PERMIT APPLICATION Permit Type: 6,* JOB ADDRESS: 2-9'5 City: Miami Shores FBC 20 lc Permit No.�`� --PC9` Master Permit No. Folio/Parcel #: COT t5 6 ibt e 33 County: Miami Dade Zip: 3309 Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): Fit Ai 0 ;iti- Phone #: 30Z cl9Q® Address: 745 V r Gri s r City: 14414 I ShOn..E' State: r-e` Zip: 33 f3S Tenant/Lessee Name: Phone #: Email: 1 lam. Q A- B up I C I CONTRACTOR: Company Name: L �� Phone #: Address: So&o 6 L O City: NIA L Qualifier Name: WAD( tiU VL Ufa State Certification or Registration #: &C O I'S FS CI fe 9 Certificate of Competency #: Email Address: State: zip: 336 Q3 Phone #: 2.67 04 Contact Phone #: 7Gk 20? O i t DESIGNER: Architect/Engineer: Phone #: 6 00 a Value of Work for this Permit: $ _ Square/Linear Footage of Work: Type of Work: DAddress Description of Work: iris.. DAllteration /1 UNew loRepair/Replace ODemolition (9( (4 ******* * * * * * ** * *** * * * * * * * * * * ** * *** * ** Fees************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** (Jo Submittal Fee $ Permit Fee $ /( Cd CCF $ CO /CC $ Scanning Fee $ Notary $ Double Fee $ Radon Fee $ DBPR $ Bond $ Training/Education Fee $ Structural Review $ Technology Fee $ TOTAL FEE NOW DUE $ J ?) 't 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 afier the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee;will`he charged. Signature 0 • er or Agent The foregoing instrument was acknowledged before me this day of /V®i/ , 20 /a, by /-'%rd.-t.e"1 D/C _z who is personally known to me or who has produced 0. L, identification and who did take an oath. NOTARY PUBLIC: Signature Contractor The foregoing instrument was acknowledged before me this a `nom day of PPOO , 20 /U-, by ti7 d//1 -,10' dr/1S/4- who i me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: W5 Sign: Print: Print: My Commission Expires: DENNYS RAYMOND Notary Public, State of Florida r^e :' i:9e •.n #DD976738 ites Mar. 30, 2014 My Commission E DENNYS RAYMOND Notary Public, State of Florida Commission #DD976735 My Commission Expires Mar 30, 2014 * * * * * * * * * * * * * * * * * * * * * * * * * * * ** *********************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED BY Plans Examiner Structural Review (Revised 3 /12 /2012XRevised 07 /10 /07)(Revised 06 /10 /2009XRevised 3/15/09) /1d' Zonmg Clerk NOTICE OF COMMENCEMENT 111111111111111111111111111111111111111111111 CFN 2013R0039601s OR Bk 28445 P9 3358; (1ps) RECORDED 01/15/2013 130949 HARVEY RUVIN, CLERK OF COURT MIAMI-DADE COUNTY? FLORIDA A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION LAST PAGE PERMIT NO.ffP ) 6911 AX FOUO NO. I Mg) 134 55° STATE OF FLORIDA: F COUNTY OF MIAMI-DADE: STATE O F C original fileci in THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the fcillowing intAWIRUely is provided in this Notice of Commencement. HARVEY 1. Legal description of property and street/address: 2. Description of improvement ORIDA, COUNTY OF LADE TIFY that Os is 7 cri the of D.0 fiC: 019 6T uttoe 51001C pAye Space above reserved for use of recording office 3. Owner(s) name and address: Interest in property: Name and address of fee simple titleholder: 4. Contractor's name, address and phone number. .W(irf z ot 1 tf 5. Surety: (Payment bond required by owner from contractor, if any) Name, address and phone number: Amount of bond $ 6. Lender's name and address: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(e)7., Florida Statutes, Name, address and phone number: 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name, address and phone number 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT Officer/Director/Partner/Manager Prepared By Print Name Title/Office Signature(s) of Own Prepared By Print Name f-dt tr-m Title/Office STATE OF FLORIDA COUNTY OF MIAMI-DADE iSh The fore ing instrument w acknowledged before me this r, day of By kini-karti . o0/5 dividually, or fa as for Personally known, or la produced the following type of identificati Signature of Notary Public: Print Name: (SEAL) VERIFICATION PURSUANT TO SECTION 92525. FLORIDA STATUTES Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true, • the best of my knowledge and belief. DENNYS Notary Public, Suite Of Florida Commission #DD9713735 My Commission Expires Mar. 30, 2014 Sign of 5 er(s)'s Authorized Officer/Director/Partner/Manager who signed above: By )\ By 123.01-52 PAGE 3 3/10 Dec. 10. 2012 3:02PM FLORIDA BANKERS INSURANCE No, 0745 P. 1/1 A CERTIFICATE OF LIABILITY INSURANCE DATE 12/10/12D 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 poiicy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER Florida Bankers Insurance 7278 SW 8 Street Miami, FL 33144 Phone (305)266 -6493 Fax (305)262-0679 CONTACT NAME: MARTA ALONSO PHONE INC. No, Extl: (305) FAX ) 266 6493 (A/C, No): E-MAIL ADDRESS: martaigfloridabankersinsurance.com PRODUCER CUSTOMER ID #: INSURER(S) AFFORDING COVERAGE NAIL # INSURED L.A BUILDING CONSTRUCTION CORP. 6385 W 24 Ave #35 HIALEAH, FL 33016- (786) 287 -8624 INSURERA: AMERICAN VEHICLE INSURANCE CO. GL- 0504010027 -00 INSURER B : 12/04/2013 INSURER C : $ INSURER : DAMAGE 10 Ft occurrence) (Ea occurrence) INSURER E 100 000.00 INSURER F : MED EXP (Any one person) ERTIFICATE NUMBER: REVISION NUMB THIS IS TO CERTIFYTHAT 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 MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAYHAVE BEEN REDUCED BY PAID CLAIMS. NN ILTR TYPE OF INSURANCE INSR INSR SUER WVD POLICY NUMBER POLICY (MM/DD/WYY) LIMITS A GENERAL LIABILITY n COMMERCIAL GENERAL LIABILITY N GL- 0504010027 -00 12/04/2012 12/04/2013 EACH OCCURRENCE $ 1,000,000.00 DAMAGE 10 Ft occurrence) (Ea occurrence) $ 100 000.00 ❑ ❑ CLAIMS -MADE n OCCUR MED EXP (Any one person) $ 5,000.00 ❑ PERSONAL& ADV INJURY $ 1,000,000.00 • GENERAL AGGREGATE $ 2,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2,000,000.00 0 POLICY • JET • LOC AUTOMOBILE LIABILITY ❑ ANY AUTO ❑ ALL OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ • SCHEDULED AUTOS BODILY INJURY (Per accident) $ • HIRED AUTOS PROPERTY DAMAGE (Per accident) $ ❑ NON -OWNED AUTOS ❑ $ $ UMBRELLA LIAB ❑ OCCUR ❑ EXCESS LIAB ❑ CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ ❑ DEDUCTIBLE ❑ RETENTION $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABLnY Y/N N / A r—I WC STATU- OTH- L I TORY LIMITS I I ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. EACH ACCIDENT $ (Mandatory In NH) If yes, describe unde DESCRIPTION OF OPERATIONS below E.L. DISEASE- EA EMPLOYEE $ E.L. DISEASE- POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) PCD. ICIf.ATr uAI nrs TION MIAMI SHORES VILLAGE 10050 NE 2 AVE MIAMI SHORES, FL 33138 FAX 305 - 756 -8972 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2009/09) QF © 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Licensing Portal - License Search Page 1 of 1 2:23:11 PM 11/30/2012 Data Contained In Search Results Is Current As Of 11/30/2012 02:22 PM. Search Results Please see our glossary of terms for an explanation of the license status shown in these search results. For additional information, including any complaints or discipline, click on the name. License Type Name Certified General Contractor Name Type CRUZ, VLADIMIR Primary Main Address *: 6385 W 24 AVE #35 HIALEAH, FL 33016 Certified General Contractor License Number/ Status/ Expires Rank CGC1515968 Current, Active Cert General 08/31/2014 L A BUILDING CGC1515968 Current, Active CONTRACTORS INC SBA Cert General 08/31/2014 Main Address *: 6385 W 24 AVE #35 HIALEAH, FL 33016 * denotes Main Address - This address is the Primary Address on file. Mailing Address - This is the address where the mail associated with a particular license will be sent (if different from the Main or License Location addresses). License Location Address - This is the address where the place of business is physically located. 1940 North Monroe Street. Tallahassee FL 32399 :: Email: Customer Contact Center :: Customer Contact Center: 850.487.1395 The State of Florida is an AA /EEO employer. Copvright 2007 -2010 State of Florida, Privacy Statement Under Florida law, emall addresses are public records. If you do not want your email address released in response to a public- records request, do not send electronic mall to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions, please contact 850.487.1395. *Pursuant to Section 455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address if they have one. The emails provided may be used for official communication with the licensee. However email addresses are public record. If you do not wish to supply a personal address, please provide the Department with an email address which can be made available to the public. Please see our Chapter 455 page to determine if you are affected by this change. https: / /www.myfloridalicense.com /w111. asp ?mode =2 &search= LicNbr &SID= &brd = &typ= 11/30/2012 iQ • ?qv. {qtr;. .. _.E6s.t 44 Styr, SR1P60sis...I.�f.. . ifiVASMAJ 3.p31r+N • ,voo, utnsi s 4 ee. 0R. 1e7S R,..4t1 S3'i.Ayv4.i.r KSvsrudn.. SJN.4!1.... CH.61b/V... Nlacia:_f :.i4:J e.ncw Mutt. rH£. e.. 'i2 of !,11 I .Au. D? ,.nr 1.1.,8,..ocx., . _.1344¢42£2 . P,.Af oo Mia+,. �soa4c. As c, e1 (0•1q') ?9,) 4. .: 104U .n. it„ ttCGEAS 1.IQ. fr:at,. r;fi1,4 • • srrvsur!u.. vim! N POOL FOR W rr 1; r_!G. __ _.P101.M t...N4?;?S SiiEELE9 ; wr,iptt St1,iM,1IflG POOLS. INC. sw.ar.. 1 of 2 aara ri-7S1. f PROPERTY ADDRESS; LEGAL DESCRIPTION; • CERTIFIED TO; a.— 4 L 12 13 14 15 1 17' 18 19 1.E. 99th STREET f�. LOCATION MAP. NOT TO SCALE. 245 NE 99 Street Miami, Florida Lot 17 & the East 1/2 of Lot the Plat thereof as recorded of Miami Shores Section 1 of Miami Dade County, Florida. M4,RIA DIAZ 33138 16, Block 33 according to in Plat Book 10, Page 10 the public records,of c. — d.— SURVEYOR'S NOTES; 1) The above captioned Property was surveyed and described based on the above Legal Description provided by Client. 2) Berirings if shown are based on an assumed meridian and referenced on the centerline of NIA , NIA , per plat. 3) The lands shown hereon were not abstracted for easements,right of ways or other recorded encumbrances not shown on the plat and the same, if any may not be shown on this section. 4) Foundations and/or footings that may cross beyond the boundary lines of the parcel herein described are not shown 5) Elevation are based on the National Geodetic Vertical Datum 1929. 6) Fence ties are to be the center line of the fence. 7) Wall ties are to face of the wall. 8) Ownership subject to opinion of the Title. 9) Underground utilities are not depicted hereon. 10) Not valid without the signature and original raised seal of a Florida licensed Surveyor and Mapper. 11) This survey was prepared without the benefit of a Title Search; thereof, only those easements on the recorded plat as shown. 12) This survey is prepared to used exclusivly as an aide to obtain Title Insurance, no other warranties are hereby extended. 13) This survey depicted hereon is not covered by professional liability insurance FLOOD ZONE INFORMATION : DATE OF FIRM: 9 -1 1 -2009 COMMUNITY No N/A PANEL: N/A SUFFIX: L FIRM ZONE: X BASEFLOOD ELEVETIONN/ A I HEREBY CERTIFY THAT THIS SURVEY WAS MADE UNDER MY RESPONSIBLE CHARGE AND TO THE BEST OF MY KNOWLEDGE AND BELIEF. THIS SURVEY MEETS THE MIMIMUN TECHNICAL STANDARDS AS SET FORTH BY THE BOARD OF PROFESSIONAL LAND SURVEYORS IN CHAPTER 61G17-6 FLORIDA ADMITRATIVE CODE PERSUANT TO SECTION 472.027 FLORIDA STATUTES. THIS SURVEY DOES NOT REFLECT OR' DETERMINE OWNERSHIP. BENCHMARK No: ELEVATION: KARL F. KUHN PROFESSIONAL LAND SURVEYOR Na 5953 15322 SW 142 Ct Miami, Florida 33177 ., Tel: 305- 238 -4448 Fax: 305 - 253 -2890 TYPE OF PROJECT' BOUNDARY SURVEY SCALE ASSHOWN DA TE1 2_20_12 PROJECT LOCATIONI 245 NE 99 Street DRAWN BY: R/B DRAWN No: CITY, STATE 6 ZIP CODE' MiamX, Florida 33138 movN492 DATE OF FIELD WORK, • • SHEET 1 Ior, 2 la` E.T.P.• ELECTRIC TRANSFORMER PAD F.H. = FIRE HYDRANT F.I.P.■ FOUND IRON PIPE F.N. = FOUND NA L F.I.R.= FOUND IRON BAR F.N.D. = FOUND NAIL & DISK M.D.E= MAINTENANCE DRAINAGE EASE/483T NO ID = NO IDENTIFICATION NUMBER O.R.B.= OFFICIAL RECORDS BOOK P.B. = PLAT BOOK P.C.P.= PERMANENT CONTROL POINT PO = PACE P.O.B.= POINT OF BEGINING P.O.C.. POINT OF P.R.M.= PERMANENT REFERENCE' MONUMENT R ■ RADIUS REC = RECORD RES. • RESIDENCE RAM = RIGHT OF WAY S.I.P. = BET IRON PIPE S.I.R.= SET IRON BAR S.N. = SET NAL STY. = STORY SAW = SIDE WALK U.E. = UTILITY EASEMENT L = CENTER LINE A ■ CENTRAL ANGLE —nr- -= WOOD FENCE —x— a CHAIN LWKFENCE ®■ C.B.S. WALL \ :t ^1 y CUHN 'rt _� F.F PROF SIONAL LAND SURVEYOR Na 5953 15322 SW 142 Ct Miami, Florida 33177 Tel: 305- 238 -444'8 305 - 317 -3658 Fax: 305 - 253 -2890 - TYPE OF PROJECT' • BOUNDARY SURVEY SCALE: As SHOWN CAT E, :E1 2 -2 0 12 PROJECT LOCATION' 245 NE 99 Street DRAWN BY: R/B DRAWN No: CITY, STATE & ZIP CODEI Miami, Florida 33138 2/VP4492 SHEET. Or 2 2