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RC-13-246Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 188720 Permit Number: RC -2 -13 -246 Scheduled Inspection Date: April 08, 2013 Inspector: Bruhn, Norman Owner: RUBIO MEDEROS, ELIZABETH Job Address: 374 NE 95 Street Miami Shores, FL 33138- Project: <NONE> Contractor: E &D KITCHEN CABINETS INC Permit Type: Residential Construction Inspection Type: Final Building Work Classification: Alteration Phone Number (786)261 -4920 Parcel Number 1132060136060 Phone: (786)262 -2185 Building Department Comments NEW KITCHEN CABINETS AS PER DRAWINGS ATTACHED. 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 6//°( April 05, 2013 For Inspections please call: (305)762 -4949 Page 36 of 42 I11 111111111 11111 11111 11111 11111 11111 1111 IIII NOTICE OF COMMENCEMENT CFN 2013R0149290 OR Bk 28503 Ps 3967; UP s A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION RECORDED 02/25/2013 12:42:59 HARVEY RUVIN, CLERK OF COURT 4 1 k r- 3 6, 0 13 -6 (,6 rIt4iI_PDAAGCr COUNTY, FLORIDA PERMIT NO. 12-e- - 010 TAX FOLIO NO. - STATE OF FLORIDA-. COUNTY OF MIAMI-DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal " *on of roperty and street / address: • • a- 31 N E- 5- T.; AVA-in/ J1-tattfl fri ,i/re 4 A iv. • 11111M3ILImmiaRIMMI■ 2. Description of improvement: cframet-r- tEivatirrrisenu 3. Owner(s) name and address: ell Z. A6 e-T1-1 Ru ED ey1.0 .5 33Y NE err strAiEvr #M-4i swok Interest in property: OgJAWV-. Name and address of fee simple titleholder 4. Contractor's name and address: ft 1:10 441 tej 4.14,,-Piravato, 5. Surety: (Payment bond required by owner from contractor, if any) Name and Address: 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)(a)7., Florida Statutes. Name and Address: 8. In addition to himsetf, Owners designates the following person(s) to receive a copy of the Lienoes Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and Address: 9. Expiration date of this Notice of different date is specifi ) mencement (the expiration date is 1 year from the date of recording unless a , OP ego, nature of 0 er -w Print Owner's Name E//4 .6-eft gulit° 04-edero5 Prepared by Sworn to and subscribed before me this 25 day of i) , 20 13 . Notary Public: Print Notary's Nam My commission expi Address: * MY COMMSSION # EE 852664 EXPIRES: December 12, 2016 reo, ,se Bonded llou Budget Noisy Sots rt,;:p;OW. held end Mal Sed " of and Caum B DING w5L7-1 PERMIT APPLICATION Miami Shores Village Building Department 10039 N,fil,2ed Avenue, Miami Shores, Florida 33135 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 Permit Type: JOB ADDRESS: 34q N E 615" S'1Y1.ir b I FRC 20 Permit No. Master Permit No. f2C-1 ° ,94,4„47 ROOFING City: _ Miami Shores County: Miami Dade retteipareeit Is the Building Historically Designated: Yes NO Flood Zone: Zip: 330 OWNER: Name (Fee Simple Titleholder): ELI 2 1-&7H tail NO MEDEP 5 Phone#: 8 6) a61-40.)-0 Address: 3 N his __$TitE _.. city: lilt Ark I Ho i'(5 state: F 0 1- zap: 33138 Tenant/Lessee Name: Email: � rioted.e't con Phone#: CONTRACTOR: Company Name: Eft- 1) k-littivIv Address: City: ?No W 311 57r if 103E HState: Qualifier Name: Eu 0 741 36 State Certificatio or egistration #: Contact Phone#: �3-- �$ Email Address: DESIGNER: Architect/Engineer: • ( IN 'pcaP 7- (pv� )1'5 LID1- Zip: hone*: Certificate of Competency #: kJarktrdo63tao 330/8 II d Phone #: Value of Work for this Permit: $ e/Linear Footage of Work: Type of Work:, DAddition CiAlteration P- ew ❑kepair/Replace Description of Work: ®Demolition Color thru tile: ********* * ******* ***sb*********$,I****** ee *************6****************************** C Submittal Fee $ 5) Scanning Fee $ Notary $ Permit Fee $ Radon Fee $ Training/Education Fee $ _ Double Fee $ _Structural Review $ TOTAL FEE NOW DUE CCF $ CO /CC $ DBPR $ ._,. Bond $ Technology Fee $ Bonding Company's Namn Cl? applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven 7) days after the building pert is issued. In the absence of such posted notice, the inspection will no be approved and a reinspe tion fee will be charged. Signa Signatilie Owner or Agent Contractor g instrument was acknowledged befo me thi �2�`� The foregoing instrument was acknowledged before me this 20 l3 by E I Uf o /!mss day of F 09 , 20 13, by 'L l a 01\S- r who has produced who is personally known to me or who has produced PL-- h k S as identification and who did take an oath. NOTARY PUBLIC: As identification and who did take an oath. NOTARY PUBLIC: I Sign: tr , Print: My Commission Expires: W ES SOW v�, EXPIRES: 12,2616 '�F�pd�`�O Build Ito13 dN ary$e*as Sign: Print: My Commission Expires: * * MYCOMIAISSION t EE 862861 EXPIRES: December 12, 2016 kompt.e Bonded Am Bidgettic4q8mices wwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwww ww wwwwwww ww wwwwwwwwwwwwwwwwww*wwwwwwwwwwwwwwwwwwwwwwwwwww APPROVED BYg / Plans Examiner Zoning Struetttral Review (Rsvised 3/12/ O12)(Revir+ed U 1ti/b`t)(Pevised 0e/10/30U0(ttevlsed MOMS) Oak Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION FORM ALL CONTRACTORS MUST PROVIDE COPIES OF LICENCES AND INSURANCES EACH TIME A PERMIT IS SUBMITTED OR THE VILLAGE MAY MAINTAIN A FILE WITH YOUR INFORMATION FOR A $30.00 FEE PER YEAR. IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. COPY OF QUALIFIER'S STATE LIC CARD B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF LIABILITY INSURANCE (CERTIFICATE HOLDER TO BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKERS COMPENSATION (EITHER CERTIFICATE OR EXCEMPTIONI IF CONT CTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: e OPY OF CERTIFICE OF COMPETENCY OF QUALIFIER OPY OF MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT t'' COPY OF LIABILITY INSURACE (CERTIFICATE HOLDER MUST BE MIAMI SHORES VILLAGE BLDG DEPTI COPY OF WORKER COMP INSURANCE (EITHER CERTIFICATE OR EXEMPTION) YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE HOLDER AS FOLLOW: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 COMPLETE CONTRACTOR'S INFORMATION BUSINESS NAME: 6 f D IG(`1 C+-tE1J C1t /MIT IN C BUSINESS ADDRESS: k gt ST if-t63( CITY ti/ trig STATE ft, ZIP CODE 3361? BUSINESS PHONE: ( ) FAX NUMBER ( ) Ailk ELL PHONE (440 ) — aI {el- QUALIFIER'S NAME: 111 ON1 MILO QUALIFIER'S LIC NUMBER: 080 0 5-6 V E -MAIL ADDRESS (IF APPLICABLE): I di r ca rd ° a o e 692 Created on 3119109 BY MLDV I RV 3126109 MI.DV ;11 Li flthtt esf:Gfis,' gi 11 E 6, do_ it Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 February 13, 2013 Permit No: RC13 -246 Building Critique 1. Provide a complete and detailed scope of work. Norman Bruhn CBO 305 - 762 -4859 Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised ' sheets and include one set of voided sheets in the re- submittal drawings. ConsUMMAI Trades Qualifying Board ;BUSINESS CERTIFICATE OF COMPETENCY '1 BSO ter 10 of man* NTIL..0 A CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) _ I 02/05/13 r 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 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 Royal Prestige Insurance Agency 1275 West 47 Place # 103 Hialeah, FL 33012 _Phone (305) 512 -8806 INSURED E & D Kitchen Cabinet Corp 6790 West 6 Ct Hialeah Fl 33012 Fax (305) 820-2077 CONTACT Mel Rodriguez NAME: 9 PHONE ,): (305) 512 -8806 -MAIL RE8S: prestlge(nsured ©hotmail.com FAX (NC, No): (305) 820 -2077 INSURERS) AFFORDING COVERAGE INSURER A : Granada Insurance Co I INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: NAIC U 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. N R TYPE OF INSURANCE ADDLSUBR POLICY EFF i POLICY EXP JNSR WVD} POLICY NUMBER ; (MM/DD/YYYY) I (MM/DD/VYYY) GENERAL LIABILITY It COMMERCIAL GENERAL LIABILITY • ❑ CLAIMS -MADE ❑ OCCUR GENII AGGREGATE LIMIT APPLIES PER POLICY Li PRO JECT --1 LOC AUTOMOBILE LIABILITY `J ANY AUTO ALL OWNED AUTOS Li HIRED AUTOS 0185FL 00040082 � O SCHEDULED NON -OWNED Li AUTOS r Li UMBRELLA IJAB Li EXCESS LIAB ❑ OCCUR ❑ CLAIMS -MADE • DED Li RETENTIONS WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER /EXECUTIVE OFFICER/MEMBER EXCLUDED? N / A (Mandatory In NH) L_ If yes describe under DESCRIPTION OF OPERATIONS below 10/16/2012 LIMITS EACH OCCURRENCE $ 500,000.00 DAMAGE TO RENTED 500,000.00 PREMISES (.Ea occurrence) $ MED EXP (Any one person) . $ 5,000.00 3 PERSONAL & ADV INJURY $ 500,000.00 GENERAL AGGREGATE $ 500,000.00 PRODUCTS - COMP/OP AGG $ 100,000.00 $ COMBINED SINGLE LIMIT (Ea accci�d�ent) BODILY INJURY (Per person) BODILY INJURY (Per accident PReraaccident) E $ $ $ $ EACH OCCURRENCE $ AGGREGATE $ $ TORY LIMITS ❑ FR E.L EACH ACCIDENT $ E.L DISEASE - EA EMPLOYE! $ EL DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) KITCHEN & CABINET INSTALLATION AND REPAIR CERTIFICATE HOLDER 1 MIAMI SHORES VILLAGE BUILDING DPT 10050 NE 2ND AVE MIAMI SHORES, FL. 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. AUTHORIZED REPRESENTATIVE © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (201W05) QF The ACORD name and logo are registered marks of ACORD .:.A A STATE OP FL BEAARTIEENT FINANCIAL OF WOMEN' I N ELB:TION TO BE EXEMPT FROM SOOP F O. A, CARPENTRY ? Pufamtwooptigroomtt 4i..P oine f w Rd leave Oesolft, ot The /*lamas Of U110100 on II to �. taetas 0 ADM 1N to be pt. EXPIRATION OA 413 E1 33012 to Chootor 44450 Pitallat Da *MOW 440 Amite Una of Pio none or ` * 0-25.2 COITIFICATE OF ELEcnot4 TO EXEMPT NEMSE0 07-12 Miami -Dade County - Local Business Tax - Receipt Details MIAMI -DADE COUNTY Receipt Numb BUSINESS NAME: E & D KITCHEN CABINET INC BUSINESS ADDRESS: 3480 W 84 ST 103C BUSINESS ZIP: 33018 MAILING NAME: E & D KITCHEN CABINET INC Description: SPECIALTY BUILDING CONTRACTOR MESSAGE: This Local Business Tax Has Been Paid USINESS TAX 815 -1 MAILING ADDRESS: MAILING CITY: MAILING STATE: MAILING ZIP: Page 1 of 1 6790 W 6 CT HIALEAH FL 33018 https:// was8exp. miamidade .gov /OCLWeb /OCLLicenseDetail jsp ?ln= 7378151 &bn= E + %26... 2/7/2013 Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 February 13, 2013 Permit No: RC13 -246 Building Critique 1. Provide a complete and detailed scope of work. Norman Bruhn CBO 305 - 762 -4859 Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. A-6Pia-OS 331 A)E q)-sr PE (2-11417- 4t--- /3-g-q-(0 brriuto scoPE- oF (4,011‘ / 3 Wool Ft 35/3F FECM-ZMTLI FEB 1, gatiOvE C fr-Nifietv ckeituasi, te_prlyz7v s/ AD Flutters ima_ /yew Ktr-cflou Cii/LeTc C 10-( cii4A4TE- c)DvItyracibps ,1-Yu) 64-e 5,015 • AThen+u-- A 4) ge& (Ai "CD CTFI ElAz72'/ci7L • 1103 ifbniu rtminv Pkge AJb Dityom 13E iPatil(142Pi ilij4 Lrz tslti evo e fCy2f LOULC-14-- ---t-r-L 7\J C-n-etivC-r- 31 aOtrICE k-N)Lit-C 6-7- TbQPL. 4 : • iL Lit-(E ATATT-W,W 7 PERMIT # (1-2.C13 CONTRACTOR: ,-D SUBMITTAL DATE:. 2, d ( ?' ADDRESS: al (5-1- I - NAME: rn 6,1Pri.--41/D RESUBMITAL DATES: PROJECT TYPE: `� ZONING FIRE STRUC RAL ELECTRICAL .7 .0 i5 IMPACT FEES HRS /DERM PLUMBIN MECHANICAL NOC f BLDG Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)7564972 V27 -2t* Inspection Number: INSP- 188502 Permit Number: EL -2 -13 -247 Scheduled Inspection Date: April 04, 2013 Inspector: Devaney, Michael Owner: RUBIO MEDEROS, ELIZABETH Job Address: 374 NE 95 Street Miami Shores, FL 33138- Project: <NONE> Contractor: CONTRACTORS ELECTRICAL SERVICES Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alteration Phone Number (786)261 -4920 Parcel Number 1132060136060 Phone: (786)252 -1284 Building Department Comments REPLACE KTICHEN CABINETS Infractio Passed Comments INSPECTOR COMMENTS False Passed Failed Correction Needed Re- Inspection Fee Np Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments /ix, ee ( 7 April 03, 2013 For Inspections please call: (305)762 -4949 Page 15 of 26 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: Electrical JOB ADDRESS: 37 / ,45 73 5 FEB �, a _ - - FEB FBC 20/ -- Permit No. E LA 29 1? — Master Permit No. `c� City: Miami Shores County: Miami Dade ! Folio/Parcel #: / "-' ,32.— O ��,� — 6 0 6 0 Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): EC/ 411-6071 avei d /1EP�4SPhone # n 4 ) � I —Y Q ,)tev zip: .33 r3 S 6 Address: (3 St City: M (4019 St-td /tfS Tenant/Lessee Name: Nl� State: R-ar2lOti- Phone#: Zip: 33 J Email. CONTRACTOR: Company Name: Cov71 ks G� ��/' �� CS/ •9 (1° Phone #: 9-e36-z52-4 2 6 y Address: �7 ezt ,•N i tt ,att st)ire 441,1--c-1; 'et. 3 ?193 - �p: 3 C7 /`� 9 g � 5 z r��y Phone#: 7 Ea g� �J ep gaca)-56 3 Contact Phone #: 6 "'262 /26f Email Address: f%t ?CZ 1. 6 Y36' ale-4 DESIGNER: Architect/Engineer: Phone#: City: 11.. (�¢. -.,i State: �� Qualifier Name: to c>,J 4t / 20 M Z State Certification or Registration #.Lr y/ 3 0/ % 2 Z L . Certificate of Competency #: Value of Work for this Permit: $ /j M OC S uare/Linear Footage of Work: ODemolition Type of Work: ❑Address UAlteration J� -- 11 ew p� aepair/Replace Description of Work: `°LC.l%°" «> 5' O/ Ce. !��°° °"`�/�`� • G` /-670 /0‘.1 CCF $ CO /CC $ Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ ,a Sign: Lollaa00103111 Y1 = Sign: Print: Prin 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.RCTRICAL 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 .e posted at th e /. site for the first inspection which occurs seven (7) :.ys after the building permit is issued. In the abse r' such posted ;mice, the inspection will no approved and a r • spec in fee will be charged. Signature r • Owner or gent The foregoing instrument was ac owledged before me this day of la _ AV., 20 B3, by / 246 Fril FoSiQ Ek 9s day of to % ,203, who is persottally known to me or who has produced 9 (IE(L.cC(lC.( & As identification and who did take an oath. NOTARY PUBLIC: Signature Contractor The foregoing instrument was ac . owledged before me this ?, who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: .ar nts, L®ETH =IMO My Commission Expires: * ' t , } * MV COSH g EE 8526&t My C EXPIRES: December 12, 2016 p.' BondedTha Bata Noisy Smta s * * *** xis+ *a********* *****1.** .,. ** ** ****** ** * * ** * ** pax * ** * **** ***** * * * * *x+****** ** **** *w*x *** ** * **+xa *** ** ****** ** APPROVED BY Plans Examiner Zoning Clerk ifnl xpireS: FlorldallotetySaroice.com 407) 39 Structural Review (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) „t Ni iami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION FORM ALL CONTRACTORS MUST PROVIDE COPIES OF LICENCES AND INSURANCES EACH TIME A PERMIT IS SUBMITTED OR THE VILLAGE MAY MAINTAIN A FILE WITH YOUR INFORMATION FOR A $30.00 FEE PER YEAR. IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. s/ COPY OF QUALIFIER'S STATE LIC CARD B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF LIABILITY INSURANCE (CERTIFICATE HOLDER TO BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKERS COMPENSATION (EITHER CERTIFICATE OR EXCEMPTION) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: COPY OF CERTIFICE OF COMPETENCY OF QUALIFIER B. COPY OF MIAMI DADE COUNTY MUNICIPALZ6N T RACT0R'S TAX RECEIPT C. COPY OF LIABILITY INSURACE (CERTIFICATE HOLDER MUST BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKER COMP INSURANCE (EITHER CERTIFICATE OR EXEMPTION) YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE HOLDER AS FOLLOW: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 BUSINESS NAME: > rig.AcraitS .g/ I cq. j ae c as, COMPLETE CONTRACTOR'S INFORMATION BUSINESS ADDRESS: 6e �"-'`' / (/4 /0Cile • Si.A 7e . 'J” 4 1 STATE /`" ZIP CODE 33 *3- BUSINESS PHONE: (7?22) Z ?- %L OY FAX NUMBER ( %� '� < 2 ?3 CELL PHONE ?6 c52 %Zt3% QUALIFIER'S NAME: i z°-op -)4)Ji:, QUALIFIER'S LIC NUMBER: oysca9.3- g /42 6 C eciee E -MAIL ADDRESS (IF APPLICABLE): 2 'P--o Created on 3119109 BY MLDV I RV 3126109 MLDV Miami -Dade County - Building and neighborhood Compliance Office Page 1 of 1 Home I Product Control I Contractors Building Officials I Contact us Contractor License Information 09E000563 CONTRACTORS ELECTRICAL SERVICES INC 6821 SW 147TH AVE #3E MIAMI (305) 380 -7295 Contractor Number: Contractor name: Address: City, St, Zip: Phone: Other Phone: Fax: Email: D /B /A: Contractor Status: ACTIVE FL 33193 Class Category Category Description Expiration Date ELEC 1 ELECTRICAL 09/30/2013 ELEC 2 BURGLAR ALARM 09/30/2013 ELEC 4 FIRE ALARM SPECLT 09/30/2013 CONTRACTOR INQUIRY COMPLETE Contractor Inquiry and Comolaint Search I Nome Peas I State License Search Menu • Jig= I Using Our Site I About I Phone Directory I Privacy I Disclaimer E -mail your comments or questions to ELDGDeotOmiamidade.aov © 2001 Miami -Dade County. All rights reserved. http: / /egvsys. metro- dade.com: 1608 / WWWSERV/ ggvtBNZAW941.DIA ?CNTR= 09E000563 2/7/2013 .REtIPT'' NTY »ST`ATEt JT TQ COUN1`Y EXPIRES SEPT., 3Q;, 201 THIS <IS NOT A BILL — DO NOT PAY RECEIPT NO. 30- 6787585 CC NO: 09E000563 BUSINESS NAME I LOCATION CONTRACTORS ELECTRICAL SERVICES INC 6821 SW 147 AVE OWNER :CONTRACTORS ELECTRICAL SERVICES FIRST -CLASS U.S POSTAGE PAID MIAMI, FL PERMIT 231 SEE BACK OF RECEIPT FOR A LIST OF NON - PARTICIPATING MUNICIPALITIES Receipt holder must register in the city where work Is to be done. PAYMENT RECEIVED 60040000006 7000200.00 RECEIPT HOLDER MAY DO BUSINESS AS A CONTRACTOR AS SPECIFIED HEREON. ELECTRICAL CONTRACTOR= DO NOT FORWARD CONTRACTORS ELECTRICAL SERVICES INC LEONARDO RODRIGUEZ 6821 SW 147 AVE 3E MIAMI FL 33193 �}1i!111 Ili F }l711 tliFltt�i}Firt�J�ff Fllfbiif} } }7tlft�lfifif�jJ USINESS TAX RECEIPT COUNTY - STATE OF FWSII7 EXPIRES SEPT.'S . 2013 DISPLAYED AT PLACE OF8USINESS COUNTY CODE CHAPTER SA - ART. S G1 U.S. POSTAGE I PAID MIAMI, FL PERMIT NO. 231 651724 -8 THIS ISNOT ABILL — DO NOT PAY RENEWAL BUSINESS NAME I LOCATION RECEIPT NO. 678758-5 CONTRACTORS ELECTRICAL SERVICES CC * 09E000563 INC 6821 SW 147 AVE 3E 33193 UNIN DADE COUNTY .. OWNER • CONTRACTORS ELECTRICAL SERVICES See. Type of Business WORKER /S 196 ELECTRICAL CONTRACTOR 1 THUS IS ONLY A LOCAL BUSINESS TAX RECIEPT. IT DOES NOT PERMIT THE HOLDER TO VIOLATE ANY EXISTING ZONING LLAW°S�TOF THEE DO NOT FORWARD COUNTY OR CITIES. NOR DOES IT EXEM HER PER CONTRACTORS ELECTRICAL SERVICES PERMIT FROM ANY OTHER SE LICENSE REQUIRED BY LAW. TLs is INC A CERTIFICATION THE HOLD OUAAUFICA LEONARDO RODRIGUEZ TIO"a 6821 SW 147 AVE 3E MIAMI FL 33193• PAYMENT RECEIVED MiAlMIADE COUNTY TAX COLLECTOR 07/19/2012 60040000005 000075.00 SEE OTHER SIDE If.Jh11J FFf /(iti ff•Fitif}IJ7iti FlltiiF 1}}!i }i li} 11Fil Ftt! STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD (850) 487 -1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399 -0783 RODRIGUEZ, LEONARDO SR CONTRACTORS ELECTRICAL SERVICES INC 6821 SW 147TH AVENUE APT MIAMI 93 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better. For information about our services, please log onto www.myfiortdaticense.com. 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 license! DETACH HERE STATE OF FLORIDA ACS .' 6 .4 3 6: 66 4 DEPART "OF BU1fSINESS AiND tyn . PROFESSIONAL - REGULATION ER13014334„` * 110402201 REG ELE <RODRI Z i � � = CONTRACT d -Y. max. z SERVICES .. (INDIVID1ta ' E � ALL Lbw: LICENSI . 4 3 ' '. PRIOR TO CONTRACTING AREA) HAS ,REGISTIMED under -tho provielonte of 4+.489 'bap #ration datei AUG 31, ,2014'. ` kl.2052907.4S6 PHIS DOCUMENT HAS A COLORED BACKGROUND •.MICROPRINTING • LINEMARK`"' PATENTED PAPER "''"" AC# 6143664 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD SEQ#L12052901456 LICENSE NBR I 05/29/2012 110402206 ER1301433i The . ELECTRICAL CONTRACTOR Named below HAS REGISTERED Under the provisions of :_Chapt+, Expiration date: AUG 31, 2014 : MUST. ; MEET ? ALL LO REQUIREMENTS - °PRIOR TO CONTRACT RODRIGUEZ, LEONARDO SR CONTRACTORS FIr.RCTRI CAL. % 5 ER 6821 SW 147TH AVENUE APT 3E MIAMI FL 33193 RICK SCOTT:. GOVERNOR KEN LAWSON SECRETARY DISPLAY AS REQUIRED BY LAW STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD (850) 487 -1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399 -0783 RODRIGUEZ, LEONARDO SR CONTRACTORS ELECTRICAL SERVICES, INC. 6821 SW 147TH AVENUE APT 3E MIAMI FL 33193 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better. For information about our services, please log onto www.mytioridalicense.com 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 license! DETACH HERE STATE of FLORIDA AC# : 6 :.4 3 6 ?..1 °I DEPARTMENT OF AlpsINEss BUSINESS AND 'R.OFESSI0N REGULATION EY120002647 '2 2 110402207 RHO ALARM RO.DRIGUE CONTRACTORS (INDIVIDUAL F. `LICENSING TO CONTRACTI erpis CTOR I SERVICES, Ai.�tr LOCAL S PRIOR 'ANY AREA) HAS;,.RSGISTERED ender the!.provisioae of 94,489 .;mcpirtation date • AIIG 31 , 2014 L12052901443 THIS DOCUMENT HAS A COLORED BACKGROUND •'MICROPRINTING • LINEMARK?' PATENTED PAPER BATCH NUMBER STATE OF FLORIDA ,OF-BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL cONTRAMPRS LICENSING ;.:BOARD. SEQ#L12052901463 LICENSE NBR 05/29/2012' 1.10402207 1-Y1200026• The MARS ALARM SYSTEM CONT1 ACTOR I' Named below .HAS REGISTERED Under the provisions of Chapt Expiration date: AUG 31, 2014 (INDIVIDUAL MUST MEET ALL L REQUIREMENTS PRIOR TO `.CO.. RODRIGUEZ, CONTRACTORS ELECTRICAL SERVI 6821 SW 147TH AVENUE APT 3E MIAMI• FL 33193 DISPLAY AS REQUIRED SY`LAW KEN LAWSON SECRETARY .R" CCIIAi%.%' CERTIFICATE OF LIABILITY INSURANCE DATE (i DDNYYY) 01/28/2013 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(iees) 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 A&A Underwriters, Inc. 2613 8796 SW 8 St Miami, Fl 33174 CONTACT Pablo M Conde PHONE is 305- 220 -7447 c Nob 305-2204821 D Ess: pmc @aaunderwriters.com INSURER(S) AFFORDING COVERAGE NAICR INSURER A: Granada Insurance Company 00334 INSURED Contractors Electrical Services INC 11146 6821 SW 147th. Ave Ste 3E Miami FL 33193 INSURER B : Mapfre Insurance Company of Florida 10805 INSURER c; RetailFirst Insurance Company 10017 INSURER D : $ 1 ,000,000 INSURER E : $ 550 000 INSURER F: $ 1,000 CERTIFICATE NUMBER: 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 INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF (MM/DDIYYYYI POLICY EXP (MM/DD L�nS A GENERAL x LIABILITY COMMERCIAL GENERAL LIABILITY X 0185FL00015442 09/08/12 09/08!13 EACH OCCURRENCE $ 1 ,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 550 000 MED EXP (Arty one person) $ 1,000 CLAIMS -MADE X OCCUR PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP /OP AGG $ 2,000,000 �GEN'L AGGREGATE n l POLICY LIMIT APPLIES !NT- PER LOC B AUTOMOBILE X X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS UM 10/20 X X X SCHEDULED A O-0S EO PIP $10,000 X 4150100003817 11/16/12 11/16/13 COMBINED d) SINGLE LIMIT $ 300,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ $ UMBRELLA LUU3 EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AG s.: GATE $ $ DED RETENTIONS C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE i yN OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes describe under DESCRIPTION OF OPERATIONS below N / A 520 - 40493 04/06/12 04106/1 < )( WC STATU- TORY LIMITS OTH- ER E.L EACH ACCIDENT $ 1,000, 000 E.L DISEASE - EA EMPLOYEE $ 1,000,000 E.L DISEASE - POLICY LIMIT $ 1 �QQQ�QQQ DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, H more space Is required) 1 Miami Shores Village Bldg Dept 10050 NE 2 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. AUTHORIZED REPRESENTATIVE _ ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD PDF created with pdfFactory Pro trial version www.pdffactory.com 1/31/13 wawsuribizorg - Department of State Home Contact Us E-FITIng Services Document Searches Forms Help No Events No Name History Detail by Entity Name Florida Profit Corporation CONTRACTORS ELECTRICAL SERVICES, INC. Entity Name Search I Submit I Filing Information Document Number P09000060048 FEUEIN Number 270563268 Date Filed 07/1412009 State FL Status ACTIVE Principal Address 6821 S.W. 147TI-1 AVENUE STE 3E MIAMI FL 33193 Mailing Address 6821 S.W. 14711-1AVENUE STE 3E MIAMI FL 33193 Registered Agent Name & Address RODRIGUEZ, LEONARDO 6821 S.W. 14711-1 AVENUE STE 3E MIAMI FL 33193 US Officer/Director Detail Name & Address Title PSD RODRIQUEZ, LEONARDO 6821 S.W. 147TH AVENUE STE 3E MIAMI FL 33193 Annual Reports Report Year Filed Date 2010 01/31/2010 n4l4 4 ft4 14 a Put., 4 rwmartiz.org/scrirdskordetesefactiorrDETFIL8tim doc number--PCOMM6034f38tim_carne froopNAMFWD8tcor wab names seq_number--001Xename... 1/2 1/31/13 www.stetbizorg - Departrnent of State zu U II 101ZU I I 2012 02/26/2012 Document Images View image in PDF format I View image in PDF brmat I View image in PDF format I I View image in PDF format I Note: This is not official record. See documents if question or conflict. No Events No Name History Entity Name Search I Submit I www.sunbiz.org/scripts/cordetexe?action=DETFIL&Inq doc number=P09000C600488dnq carne fronNAMFWD&cor web names seq_nutrber=00Nename... 2/2 04- 05 -'13 06:22 FROM- T -312 P0001/0001 F -047 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 13-2 Inspection Number: INSP- 188501 Scheduled Inspection Date: April 04, 2013 Inspector: Hernandez, Rafael Owner: RUBIO MEDEROS, E LIZABETH Job Address: 374 NE 95 Street Miami Shores, FL 33138- Project: <NONE> Contractor: ESTRELLA PLUMBING, INC Permit Number: PL-2 -13 -248 Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number (786)261 -4920 Parcel Number 1132060136060 Phone: (305)333-2217 Building Department Comments REPLACE SINK AND FAUCET INSTALL CONNECTION OF DISHWASHER Infractio Passed Comments INSPECTOR COMMENT$ False Passed Failed CE' Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP - 185434. April 03, 2013 For Inspections please call: (305)762-4949 Page 14 of 26 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 BUILDING Permit No. i 3 ---2M PERMIT APPLICATION Master Permit No. Permit Type: PLUMBING JOB ADDRESS: 37 4 e 5 'T City: Miami Shores County: Miami Dade Zip: 33138' Folio/Parcel#: i i — Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): ELI ZAb f N U t 1" S e na#: (•) - q Address: 3444 _NE 13- sT- City: M IAIM l SW Oi2E- 5 State: 09 P Tenant/Lessee Name: %V `` /Pr Email: Zip: 3313 c? Phone#: /A - CONTRACTOR: Company Name: e`7-31- Eel P utei1 ta4& Pho : -• aw Address: 7001 t) 5 ATE - 116. City: 44 9 r L State: -PL. Qualifier Name: —TO ti i_ J IC State Certification or Registration #: Certificate of Competency #: OPP 034-,XD, Contact Phone#: °° PP BBR Email Address: DESIGNER: Architect/Engineer: Phone#: Zip: Phone#: Value of Work for this Permit: $ 5f O @ 0° Square/Linear Foo9ge of Work: Type of Work: °Address ❑Alteration °New eepair/Replace °Demolition Description of Work: QptPLME SIN lc- AND f i,(ET iNSTA -a- Cj» Coon) DP DISC wfrS 1- Submittal Fee $ - .;, Permit Fee $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ CCF $ CO/CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $3 • 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 r ' 1. p . ction fee will be charged Signature % - Signature s air Owner or gent - �' Contractor p The foregoing instrument was acknowledged beeffo?re me ' The foreg ' instrument was acknow ed bef e/ me this °20 day of R 20 I J. by �J B day of ��'`�?a 20 /3 by jl c' ti4 who is pronally known to me or who has produced rL who isserssay :u +wn to me or who bds produced r-0R-a V ev-s 4\ L' 21.5 As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: 1.4121 1 Sign: Print: Print My Commission Expires: 111N, METH BUCHBINDER My Commission Expires: • * - L * 61Y COMMISSION # EE 852684 EXPIRES: December 12, 2016 * * **** ** * ********* *AMR****** *ip* ******************** *** ****** **** **** * ***** * ***** ** APPROVED BY k 7_41-9 Plans Examiner Zoning Structural Review Clerk (Revised3 /1212012)(Revised 07 /10 /07j(Revised 06/10 /2009)(Revised 3/15/09) DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTICM -INDUSTRY LICENSING BOARD (850) 487-1395 1940 NORTH 140NROE STREET TALLAHASSEE FL 32399-0783 TOLAR, FLOYD L ESTRELLA PLUMBING INC 7001 WEST 35 AVENUE #116 HIALEAH FL 33018 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 tog onto www.myfloridaticense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and learn more about the Departments initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! DETACH HERE STATEOFFLORIDA AC#169979 DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ,nemasmegematetemat Au 569 79 • STATE OF -FLORIDA DEPARTMENT or BUSINESS M PRorsions.,, BOARREGULATI CONSTRUCT/ON INDUSTRY LICRNS .D oEuff L11082401842 DATE BATCH NUMBER LICENSE HEIR 08/24/2011 108242-667 RF0037837 The PLUMBING CO Named below HAS - Under the provis Chapter 489 FS. Expiration date: AUG 31, 2013 (INDIVIDUAL MUST MEET ALL LOCAL _LICENSING REQUIREMENTS PRIOR TO CONTRACTING IN ANY AREA) TOLAR, FLOYD L ESTRELLA PLUMBING INC 7001 WEST 35 AVENUE #116 HIALEAH FL 33018 RICK SCOTT GOVERNOR DISPLAY AS REQUIRED BY LAW KEN LAWSON SECRETARY AX A COUNTY = _$T'A'B PU SUANT TO COUNTY CODE EXPIRES SEPT.'34 2012 RE CEIPT NO. 30- 655161 BUSINESS NAA EILOCAT ESTRELLA'PLUMBING INC 7001Lt 35 AVE OWNER . ESTRELLA Plait$ iS NOT A BILL— CO O COs 0$P0004 ►EE. BACK .OF RECEIPT' FOR i, LIST. - OF MO#- 'ARTICIPATING LtNICIPALITIES , air work dstobe; pavra�atr. . 1/2 12 02220011001 000200.00 PL IN DO HOT FORWARD ESTRELLA PLUMBING INC EDUARDO PEREZ PRES 7001 W 35 AVE 116 HIALEAH FL 33018 Ir,ll,Allrund luhhuh Iluallmi,thu larl MIAMI-DACE COUNTY TAX COLLECTOR 140 W. FLAGI.ER ST. Tot FLOOR fUAMI. FL 33130 20122~ LOCAL BUSINESS TAX RECEIPT " " 2013 M MM-DADE COUNTY -STATE iFFLAR IDA EXPIRES SEPT. 30, 2013 BE DISPLAYED AT PLACE OF BUSINESS ANT TO COUNTY CODE CHAPTER 8A- ART. 9 & 10 THIS IS NOT A BILL —00 NOT PAY 628591 -0 BUSINESS NAME / LOCATION ESTRELLA PLUMBING INC 7001 -W 35 AVE 33018 HIALEAH OWNER ESTRELLA PLUMBING INC Sec. Type Of Business misss 6A <PlMBING TAxoWr HOLDER TO MATE AVE EXISTU 3 REGOLATCOY OR alum COT LAWS OP 'e THE DOES ..ir ETHEPT THE ROWER PROM ANT OTHER PERM OR MEUSE AMMO 8YLAW T 00 HOT A, CERTHIOATANT IHIALETCA- TAMIL PAVAERT HEOEIVEO 4C WCR0E coURIYTAX cuuscraft 07/13/2012 02220011002 000045.00 SEE OTHEFI SIDE CONTRACTOR FIRST -CLASS U.S. POSTAGE g- PAID NAM FL PERANT i 231 RENEWAL frN . 655161 -9 CC it 08P000423 116 WORKER /S DO NOT FORWARD ESTRELLA PLUMBINI3 INC EDUARDO PEREZ PRES 7001 W 35 AVE 116 HIALEAH FL 33018 liF� IIIf�l lll111iFif ill iillli1llit 11111llllFiiiF1ilf tsrra�aes Sim camera= ESS CERTIFICATE OF Ca 08P000423 ;TR -A PLU MING INC CERTIFICATE OF LIABILITY INSURANCE M� MIS TE 18 AS A MATTER OIB.Y AND I►If i2 CER7�lTE DOES tom!' NO MEETS TIE '� TIE A RINELY OR TIESY EXTEND OR ALTER TIE COMA= WOW= BY TIM POLICIES BELOW, TM SATE OF NISIMINEE INES NOT COMMUTE A CONTRACT BERIVEDI TIE REPRESENTATIVE OR PRA AMITE CERTIFICATE *KNOW. EIPORTANT: lithe certificate bidder IBznADININNIAL NEIMED, the tennis poN:yges) meet certificate holchw and 8► m > 6e ea does + to the PRODUCER Tadao Insurance Amt, Inc 9120SW41S NNW FL 33165 (305) 553 -1760 SOURED Estre3a .Inc 7001 W35AW, #116 flialeah, FL 33018 i -9700 f (305)553-1767 • A: to MISIMAPHIE was: PRONESEVE COVERAGES ▪ F: tRTFICATE THE IS TO CER7WY THAT TIE POIAMES OF IINNIRANCE LISTED MOW HAVE BEEN ISSIMO TO THE MIMEO NAIIIED ABOVE FOR THE FOXY PERIOD INDICATED NORIMTH$TANUN6 ANY TERM CB= ANY CONTRACT CO OTHER i1' MN R !" TO WENCH THIS CERTIFICATE MAY BE ISM OR MAY PERTAINS Tim INSURANCE AFFORIMO BY THE PIXICES EMSCRIBED HERM $ SUBJECT TO ALL THE TERMS, OF MIMI P MRS *KIWI NSW HAVE BEEN mann= srPAOCLAM o coy CF NAM SORES 10050 AE 2ND AVENUE MIMS SNORER, FL 3313S ( T4 Malan Atw OF ME 700E E1 PWA71O1 DATE 9 r A AC�ro �'tSiAT All 1E reserved, AC RO 25 PROEM The A nine and kgo awe #fei T'.4. Plumbing , Inc. January 28, 2013 To whom it may concern: I, Floyd L. Tolar Jr., hereby certify that I am a Corporate Officer and the Qualifier for Estrella Plumbing, Inc. I authorize the representatives of Estrella Plumbing to register our company and process any plumbing permit for our company in the City of Miami Shores. If any questions may arise, please feel free to contact me. Sincerely, Floyd L. Tolar Jr. Estrella Plumbing, Inc. Office (305) 226 -6468 Office (305) 303 -1797 Fax (305) 357 -5204 STATE OF FLORID COUNTY OF -�- The fo.p.g fistyvu eept w owledged before me this -76' me or who did take an oath. ve produced My Commission Expires: By: day of who is/are as id 20/. by onali known to cation and who Nam Notary Public, State of Florida 7001 W 35 AVE # 116 - HIALEAH FL 33018 PH (305) 303 -1797 / FX (305) 357 -5204 LICENSE 08P000423 vwsv.sunbizorg - Department of State No Name History Detail by Entity Name Florida Profit Corporation ESTRELLA PLUMBING INC Entity Name Search I Submit I Filing Information Document Number FEI/EIN Number Date Filed State Status Effective Date Last Event P06000107690 205398902 08/17/2006 FL ACTIVE 08/14/2006 AMENDMENT Event Date Filed 08/26/2008 Event Effective Date NONE Principal Address 7001 WEST 35 AVE # 116 HIALEAH FL 33018 Changed 03/28/2009 Mailing Address 7001 WEST 35 AVE # 116 HIALEAH FL 33018 Changed 03/28/2009 Registered Agent Name & Address PEREZ, EDUARDO 7001 WSET 35 AVE # 116 HIALEAH FL 33018 US Name Changed: 02/18/2011 Address Changed: 03/28/2009 Officer/Director Detail Name & Address tawatsunbizorg/scriOsicordet.exe?actiorrDETFILatinq_doc rnarter=M0301a7693&inq cane frorrFNANIFWD8tccr vet) names seq_manbe=0000tiname... 1/3 itp/13 Title, P PEREZ EDUARDO SR 7001 WEST 35 AVE # 116 HIALEAH FL 33018 Title S TOLAR, FLOYD LEE JR 7100 FAIRWAY DR #K-9 MIAMI LAKES FL 33014 Title VP MENDEZ JORGE 16915 NW 51 PL MIAMI GARDEN FL 33055 Annual Reports Report Year Filed Date 2010 03/31/2010 2011 02/18/2011 2012 03/08/2012 Document Images wavwsunbizorg - Department of State View image in PDF format 1 I View image in PDF format I 1 View image in PDF format I 1 View image in PDF format 1 1 View image in PDF format I View image in PDF format 1 1 View image in PDF format ! I View image in PDF format I View image in PDF format! I View image in PDF format 1 I View image in PDF format 1 Note: This is not official record. See documents if question or conflict. Entity Name Search waay.striliz.crg/scriptslccrdel.se?actiorFDETFILEtinq_doc number=P061:00107690&inq came frarFNAMFWD8rocr web manes seq_ownber=a1008.nEene... 2/3 womsunbizorg - Department of State No Name History I Submit wwwsunbizorg/scripts/cordet.exe?actiorFDETFIL&inq doc hunter =Pi 6000107690&inq carry fron NAMFWD &cor web names seq nurnber= 00008kname... 3/3 Miami Shores Vitiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 7952204 Fax: (305) 756,8972 CONTRACTORS' REGISTRATION FORM ALL CONTRACTORS MUST PROVIDE COPIES OF LICENCES AND INSURANCES EACH TIME A PERMIT IS SUBMITTED OR THE VILLAGE MAY MAINTAIN A FILE WITH YOUR INFORMATION FOR A $30.00 FEE PER YEAR. IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. e/ COPY OF QUALIFIER'S STATE LIC CARD B. _. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF LIABILITY INSURANCE (CERTIFICATE HOLDER TO BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKERS COMPENSATION (EITHER CERTIFICATE OR EXCEMPT ION) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. / COPY OF CERTIFICE OF COMPETENCY OF QUALIFIER B. V COPY OF MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT C. lei COPY OF LIABILITY INSURACE (CERTIFICATE HOLDER MUST BE MIAMI SHORES VILLAGE BLDG DEPT) i / /. D. COPY OF WORKER COMP INSURANCE (EITHER CERTIFICATE OR EXEMPTION) YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE HOLDER AS FOLLOW: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 COMPLETE CONTRACTOR'S INFORMATION BUSINESS NAME: ES72- �rG P LU emiQ BUSINESS ADDRESS: ' %'®I J 35- (I CITY frA1 *1 STATE ZIP CODE 33017 BUSINESS PHONE: ( 30 - ) �� {�� '- e4 �q FAX NUMBER (3 ) 354-- 5'eoti CELL PHONE ( ) ('4k QUALIFIER'S NAME: -®�I D L° R L QUALIFIER'S UC NUMBER: ‚L033 7- E-MAIL ADDRESS QF APPLICABLE): Nik Created on 3119109 BY MLDV! RV VAN M DV