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CC-13-122Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 190212 Permit Number: CC- 1- 13-122 Scheduled Inspection Date: April 30, 2013 Inspector: Rodriguez, Jorge Owner: Job Address: 157 NE 97 Street Miami Shores, FL 33138- Project <NONE> Contractor: PRECISION ART CORP Permit Type: Commercial Construction Inspection Type: Final Building Work Classification: Alteration Phone Number (954)553 -0553 Parcel Number 1132060132350 Phone: (786)325 -7755 Building Department Comments ADD INTERIOR PARTITION. AFTER THE FACT 02/08/2013 - PENDING OCCUPATIONAL 02/15/2013 - RECEIVED 04/29/2013 - I CLOSED THE PERMIT BY MISTAKE. Infractlo 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. April 30, 2013 For Inspections please call: (305)762 -4949 Page 17 of 20 ACORDTM CERTIFICATE OF LIABILITY INSURANCE 1 DATE (M amrr) 2/07/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(ies) must be endorsed. 11 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 Advanced Insurance Underwriters 3250 N. 29th Avenue Hollywood, FL 33020 NOCT E 954 963-6666 FAX 9549641438 ` °' Eie: FA, Nor. E-MAIL INSURER(S) AFFORDING COVERAGE NAIL # INSURERA: Association insurance Company 11240 INSURED Precision Art Corporation 777 NE 62nd Street Miami, FL 33138 INSURER B : GLP012859600 INSURER C 06/15/2013 INSURER D: $1,000,000 INSURER E $100,000 INSURER F : $ 5,000 COVERAGES 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 POL CIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLLAIMS. L TYPE OF INSURANCE > L' POLICY NUMBER 1M MD/YYYY) ( /DD/YYYY) L A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY GLP012859600 06/1512012 06/15/2013 EACH OCCURRENCE $1,000,000 PREMISES (Ea a xtance) $100,000 MED EXP (Any one person) $ 5,000 CLAIMS -MADE OCCUR PERSONAL. &ADVINJURY $1,000,000 X PD Dad: $1,000 GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP /OP AGG $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: 7 POLICY n 782,-. n LOC $ AUTOMOBILE _ LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS SCHEDULED NON-OWNED AUTOS CO BIINED SINGLE LIMIT BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE PE $ UMBRELLA UAB EXCESS UAB _ OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ $ DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' UABIUTY ANY FIPC WIVE ER EXCLUDED? ECi1TNE (Mandatory In NH) If yes, DESCRId ON OF OPERATIONS be4ow `a' / N N / A TU I WC S ATU I I OT ER E.L EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, It more space le required) Certificate Haider is Included as Additional Insured. CERTIFICATE HOLDER CANCELLATION Miami Shores Village Building Department 10050 NE 2nd Ave Miami, FL 33138 ACORD 25 (2010105) 1 of 1 #S956949/M884627 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 t1-1 L © 1988.2010 A RD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD MMB 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 �asl e 3 - b312/621 B II,DING PERMIT APPLICATION FBC 20tc Permit No. Ca 13— I Master Permit No. Permit Type: BUILDING ROOFING JOB ADDRESS: City: Miami Shores County: Miami Dade Zip: 33i 3 Folio/Parcel #: l l -- .3206- 013 -- 23 S• Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): 5 4o 2E-5 LAisD t tqg LLsG Phone #: ( )241) -8(3 1 S Address: q'..7-10 N .. 24D AVE NU City: - I o A,t r State: 'fib_. Zip: 1 1 Tenant/Lessee Name: Phone #: Email: CONTRACTOR: Company Name: 17IZ E, Ll 5 r re) AV,4 Cow P Address: T71 N)F (oZN' . S .k ,c cgiz City: In 1 Am , State: V L Zip: 3) S J Qualifier Name: CO •ki LA WQert‘i Phone #: 1%lo -32 S °77 ss State Certification or Registration #: C &C. 1 6 Z.0 5 2-1 Certif cate of Competency #: Contact Phone #: 14)(0-3 2S"1) 5 5 Email Address: ?s' t C 1 S i, N A 2� C3• w P� Z • C 1 ,M- DESIGNER: Architect/Engineer: �Jb +At- Ai +1 i, Phone #: '3® 5 -111 - -3Zd L/ . o o 4. Value -of Work for this P-ermit:_p iip Li r vt, Type of Work: ❑Addition (Alteration �a New ❑`Repair/Replace ❑Demolition Description of Work: 1 h -%- r7. Y /,1Z 441a " X4 l I 1 r S/-1,■16A • 3N) ! % ( fll• 4€ a. _ --& VACS' -PE, RZw;�� No 1vic,1,At .itc(,.� j W. fivrr;,, 1l q-C-k, rt cAL. 1 1�� 4i ^C,�c.rl) tot L Phone #: 5j5 Color thru tile: e ** * * * * * * * * * * * * * * * * *** * *** * * * * * * ** ** **Fees***** Submittal Fee $ Permit Fee $ ,$ �CF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ S-52.-- Structural Review $ TOTAL FEE NOW DUE $ \ ' qi 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 com 'ncement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. I t e abse e of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature The forcgoin day of who is Owner ent was acknowledged befor me this 2 20 t U, by .Jbp.x4, or who has produced identification and ‘WO y � ® • 4�SSIO NF .; . • �.*(57 u19, 26 ' o/ •*° NOTARY PUBLIC: Sign: Print: My Commission Expir s: • wp.s ; • #EE 209881 • Q ��'' ' �ondedth •• �� agar SeL• �•`°* APPROVED BY Signature Co s ctor '( , The fore oing instrument was acknowledged before me this C/ JJ day of (BVy..c9't� , 20 It, by ' I - VQ � / who is personally khown to me or who has .roduced as identification and who take a2.?? NOTARY PUBLIC: A,, BORSky,,, /� Sign: • �M�s soc, ;:r. Z Print: i'��. `f' Plans Examiner Structural Review My Commission xpire12 , : E 209881 f , """9 • th gyp*• ' U� �: Na * * * * * ** (Revised 5 /2 /2012XRevised 3/12/2012) XRevised 06 /10 /2009)(Revised 3 /15 /09XRevised 7/10/2007) � r 14 1li149! Zoning Clerk STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487 -1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399 -0783 LAFFERTY, COREY J PRECISION ART CORP. 777 NE 62ND STREET SUITE C412 MIAMI FL 33138 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.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 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! LICENSE NUMBER STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CGC1520521 ISSUED: 01/08/2013 CERTIFIED GENERAL CONTRACTOR LAFFERTY, COREY J PRECISION ART CORP. IS CERTIFIED under the provisions of Ch.489 FS. Expiration date : AUG 31, 2014 L1301080000390 The Department of State is leading the commemoration of Florida's 500th anniversary in 2013. For more information, please go to www.VivaFlorida.org. DETACH HERE STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD The GENERAL CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2014 LAFFERTY, COREY J PRECISION ART CORP. 777 NE 62ND STREET SUITE C412 MIAMI FL 33138 RICK SCOTT ISSUED: 01/08/2013 SEQ lit L1301080000390 KEN LAWSON SECRETARY JEFF ATWATER CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 7/17/2012 EXPIRATION DATE: 7/17/2014 PERSON: LAFFERTY COREY J FEIN: 800465338 BUSINESS NAME AND ADDRESS: PRECISION ART CORP 777 NE 62ND ST SUITE # C412 MIAMI FL 33138 SCOPES OF BUSINESS OR TRADE: LICENSED GENERAL CONTRACTOR Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt.. apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the Issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. DFS- F2 -DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 07 -12 QUESTIONS? (850)413 -1809 Document Name: Sessionl R /LDTL aTmg of 4litmt FCN: CM CUST 451755 BUSS LICENSE HOLDER NAME PRECISION ART CORP ADDR 1 777 NE 62 ST #C412 ADDR 2 CTY /ST MIAMI FL PHONE ZIP 33138 202302 DTL 2 LICENSE DETAIL BUSINESS DATA BUSS. PRECISION ART CORP ADDR 1 777 NE 62 ST #C412 ADDR 2 CTY /ST MIAMI FL PHONE 786 3257755 ZIP 33138 HOLDS LICENSE INFORMATION TYPE 0070 00 ADMINISTRATIVE OFFICE STATUS 0 ACTIVE USER HOLD SYSTEM HOLD C CU /AU HOLD APPLICATION DATE 11013 MEMO N RATE CODE M017 LICENSE ISSUE DATE LICENSE CREATE DATE 11013 LICENSE EXPIRATION DATE DISCOUNT: IND AMT T/C CODE ENF. BOARD NOTIF. N LOC FORMS 00 STICKERS 00 BILLING INFORMATION BILLING CYCLE... AN BILL CODE.. CO NXT BILL DTE 11013 AMT 131.00 LST BILL DTE AMT 131.00 BAL BILL 780919 SPECIAL APPLIC N C.U. /A.U. REQ Y S \ r :ENT OFFICIAL Date: 1/10/2013 Time : 1:51:24 PM DEPARTMENT OF FINANCE / Accounting Division (305) 4161357 / Mailing Address: P.O. BOX 330708 Miami, FL 33233 -0708 RC13 -122 157 NE 97 ST 01/24/2013 Provide Miami Dade County Fire approval. Provide Miami Dade County DERM /PERA. Miami Shores Viiiage Building Department RECEIPT PERMIT #: C C i —, 2'Z DATE: `/ Z S� Contractor ❑ Owner ❑ Architect. Picked up 2 sets of plans and (other) Address: ) S 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 From the building department on this date in order to have corrections done to plans And /or get County stamps. I understand that the plans need to be brought back to Miami Shores Village Building Depart r nt t• c� inue permitting process. ,71•1 Acknowledged by: PERMIT CLERK INITIAL: cc irS% RESUBMITTED DATE: 13 PERMIT CLERK INITIAL: STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487 -1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399 -0783 LAFFERTY, COREY J PRECISION ART CORP. 777 NE 62ND STREET SUITE C412 MIAMI FL 33138 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better. For information about our services, please log onto www.myfloridalicense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and 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! LICENSE NUMBER CGC1520521 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CGC1520521 ISSUED: 01/08/2013 CERTIFIED GENERAL CONTRACTOR LAFFERTY, COREY J PRECISION ART CORP. IS CERTIFIED under the provisions of Ch.489 FS. Expiration date : AUG 31 2014 L1301080000390 The Department of State is leading the commemoration of Florida's 500th anniversary in 2013. For more information, please go to www.VivaFiorida.org. DETACH HERE STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD The GENERAL CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2014 LAFFERTY, COREY J PRECISION ART CORP. 777 NE 62ND STREET SUITE C412 MIAMI FL 33138 RICK SCOTT GOVERNOR ISSUED: 01/08/2013 SEQ # L1301080000390 DISPLAY AS REOUIRED BY LAW 3 VIVA ft(iMi' KEN LAWSON SECRETARY Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 January 23, 2013 Permit No: CC13 -122 Building Critique 1. Provide Miami Dade County Fire approval. 2. Provide Miami Dade County DERM /PERA. 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.