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RC-13-632 (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-205022 Permit Number: RC-3-13-632 Scheduled Inspection Date: December 26,2013 Permit Type: Residential Construction Inspector: Rodriguez,Jorge Inspection Type: Final Building Owner: , Work Classification: Alteration Job Address:163 NW 101 Street Miami Shores, FL 33150- Phone Number Parcel Number 1131010230150 . Project: <NONE> Contractor: AKER CONSTRUCTION LLC Phone: (954)934-7126 Building Department Comments REMODEL 2 BATHROOMS EXISTING FIXTURES TO BE Infractio Passed Comments REMOVED AND REPLACED WITH NEW FIXTURES. INSPECTOR COMMENTS False REPLACE WINDOW WITH NEW DOOR. Inspector Comments Passed -� Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. December 26,2013 For Inspections please call: (305)762-4949 Page 17 of 119 Miami Shores Village � �� Building Department \ ' 10050 N.E.2nd Avenue Miami Shores Florida 33138 MAR 2 013 Tel: (305)795.2204 Fax: (305)756.8972 `,►r� ,� INSPECTION'S PHONE NUMBER:(305)762.4949 FBC 20 I O BUILDING Permit No. PERMIT APPLICATION Master Permit No.12,�13 ° Permit Type: BUILDING ROOFING JOB ADDRESS: 163 qu-) 161 3r . City: Miami Shores County: Miami Dade Zip: .3-31 , Folio/Parcel#: i I— '3 I ®1 - ®2 21 — ® I Vb Is the Building Historically Designated:Yes 1 Y Flood Zone: OWNER:Name(Fee Simple Titleholder): L ( ��s I o� ��'' Phone#: `7,'4 ItX 4 77 6!j Address: �� s �':)l ST- City: �'1�'�°✓1 ty�> State. Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: 40_X C �� S- Phone#: �oS�3 0 ' Address: 7150-n qtr' 72D City: QX::� ll'+< < State: '.[f�S-4C� Zip: �t Qualifier Name: A-r1�fn�—__e-, Llcaz r Phonek Z Q(O_C6e0ctz� � State Certification or Registration#: C.GC I ?0 1� Certificate of Competency#: Contact Phonek '-(Ir&9 Email Address: DESIGNER:Architect/Engineer: Phonek Value of Work for this Permit:$ 30.uz-o • c0 Square/Linear Footage of Work: r Type of Work: DAdditionn VAl tion p ONew ORepair/Replace ODemolition Description of Work: „ems *. 'a Lo&4, Cbb K._« �+ S l!�I��.n�t 1�„3,h tJ Jv N��L YL'.►7�eaG�J' ?`1 d?`®" �d� . 3 Color thru tile: Submittal Fee$4v'�� Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$ a s 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 ab e o such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature d afore yl del PtC ✓ .... der �.� The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 27 day of a2 ,20 0,by An A re 5 C64a,.y A c- day of m cxr-c h -.2013,by N,cy la-5 Le'm 12 a�,�e i to who is y own to me o who has produced wh on y mo m who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOT , RAFAEI.BORRERO —�i'? .4 PAY COMMISSION#DD 929019 EXPIRES:January 29,2014 Sign-�Jj I'uMie Underwriter: Sign: Print: °� ;. Print:m- ply Lo My Commission Expires: //� PN'�. R si Expires: W COMMISSION#DD 910499 o EXPIRES:July 23,2013 Bonded Thru Notary Pu*Undenariter, APPROVED BY _l Plans Examiner Zoning Structural Review Clerk ok 5/x('12 ev 12/2012)XRe,i 06/10/2009XRevised 3/15/09)(Revised 7/10/2007) n •••• UMN Miami shores Village L2 Buildin g Department artment �IORU� 10050 N.E.2nd Avenue Miami Shores, Florida 33138 TqI: (305) 795.2204 Fak: (305) 756.8972 CONTRACTORS' REGISTRATION ALL CONTRACTORS MUST PROVIDE COPIES OF LICENCES AND INSURANCES EACH TIME A PERMIT IS SUBMITTED. IF CONTR ACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR:/ A. /COPY OF QUALIFIER'S STATE LICENCES 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 JEITHER CERTIFICATE OR EXCEMPTION) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICE OF COMPETENCY OF QUALIFIER B. COPY OF LOCAL BUSINESS TAX RECEIPT B. COPY OF MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT C. COPY OF LIABILITY INSURACE (CERTIFICATE HOLDER MUST BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKERS COMP INSURANCE(EITHER CERTIFICATE OR EXEMPTION) YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE HOLDER AS FOLLCIW: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES,FL 33138 COMPLETE CONTRACTOR'S INFORMATION BUSINESS NAME: . BUSINESS ADDRESS:`?r- � --;iZ- ITY A) Q STATE 1:7L ZIP CODE -5--3 W BUSINESS PHONE: ( 96 ) ��1�� FAX NUMBER� ) CELL PHONE QUALIFIER'S NAME: QUALIFIER'S LIC NUMBERfjC--�' I t52G-) 7�S E-MAIL ADDRESS(IF APPLICABLE): Created on 3119109 BY MLDV 1 RV 3126109 MLDV 1 RV 6127111 AS AC's& CERTIFICATE OF LIABILITY( INSURANCE DATE(MMfDDIYYYY) ik. ' 03/28/2013 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 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 NAME: Marltza CUervo MA CUERVO INSURANCE GROUP,INC. PHONE 305-956-9992 FA e: 305-956-9727 15927 BISCAYNE BOULEVARD E-MAIL macuervo@bellsouth.net INSURER(S)AFFORDING COVERAGE NAIL# N.MIAMI BEACH FL 33160 INSURER A: ATLANTIC CASUALTY CO. INSURED INSURER B MCX CONSTRUCTION,INC INSURER C: 7545 E.TREASURE DRIVE,APT 3G INSURER D: MIAMI BEACH,FL 33141 INSURER E: INSURER F: 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 POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBRI POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR VIVO POLICY NUMBER Q LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 COMMERCIAL GENERAL LIABILITY I 100,000 PREMISES Me occurrence $ CLAIMS MADE ®OCCUR MED EXP one person) $ 5,000 A L040001621-0 08/22/2012 08/22/2013 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1,000,0()0 POLICY F'RO LOC $ AUTOMOBILE LL481LITY COMBINED SINGLE LIMIT Es acddent) ANY AUTO BODILY INJURY(Per person) $ ALL AUTOS OWNED SCHEDULED BODILY INJURY(Per accident) $ HIRED AUTOS AUTOS ED Pa� DAMAGE $ $ UMBRELLA U AB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DEO RETENTION$ $ WORKERS COMPENSATION STATU- OTH AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE S.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? El NIA (Mandatary in NH) E.L.DISEASE-EA EMPLOY $ N yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS J LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,K more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD A OF THE ABO DESCYitBED POLICIES BE CANCELLED BEFORE MIAMI SHORES VILLAGE THE EXPI TION DATE/THEREOF, NOTICE WILL BE DELIVERED IN 10050 NE SECOND AVE. ACCORDA CE E LILY PROVISIONS. MIAMI SHORES,FL 33138-2382 AUTH A ACORD 25(2010105) 8- 0 ACORD CORPORATION.All rights reserved. The ACORD name and logo are regis er ma AC D sac o� CERTIFICATE OF�...-�' LIABILITY DATE(MMDDYY 03/28/2013 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 policy(ies)must be endorsed. If SUBROGATION IS WANED, 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 NAME: Maritza Cuervo MA CUERVO INSURANCE GROUP,INC. PHONE 305-956-9992 FAX,N01: 305-956-9727 15927 BISCAYNE BOULEVARD E-MAIL macuervo@belisouth.net INSU S AFFORDING COVERAGE NAIC p N.MIAMI BEACH FL 33160 INSURER A: ATLANTIC CASUALTY CO. INSURED INSURER B MCX CONSTRUCTION,INC INSURER C: 7545 E.TREASURE DRIVE,APT 3G INSURER D: MIAMI BEACH,FL 33141 INSURER E; INSURER F: 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 POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. �� TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICDY EFF POLICY EXP GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RE COMMERCIAL GENERAL LIABILITY PREMISES Ea oxurcenoe $ 100.000 CLAIMS-MADE ®OCCUR MED EXP(AM one person) $ 5,000 A L040001621-0 08122/2012 08122/2013 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 1,000,000 GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $ 1'D00,000 POLICY PRO- LOC $ AUTOMOBILE LIABILITY Ee ecdd D $ ANY AUTO BODILY INJURY(Per person) $ AUTOS OWNED AC SCHEDULED BODILY INJURY(Per accideM $ -UTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS er $ UMBRELLA LIAB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ EXCESS LIAB AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION WIC STATU- I OTH ER AND EMPLOYERS•LIABILITY YIN _ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? NIA (Maensdatory In NH) E.L.DISEASE-EA EMPLOYE $ �SCRId PTWN OOF OPERATIONS below E.L.DISEASE-POLICY LIMIT I S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,H more space Is requked) CERTIFICATE HOLDER CANCELLATION SIHOULQ ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE NL CONSULTING CORP. THE P ON DATE THEREOF, NOTICE WILL BE DELIVERED IN NICOLAS LAMPARIELLO A AN WITH THE POLICY PROVISIONS. 163 NW 101 ST. Au RESENTArnE MIAMI SHORES,FL 33150 ACORD 25(2010105) (3K8201 8- 0 ACORD CORPORATION.All rights reserved. The ACORD name and logo are Ist of ACORD n P DAY 20 it,>�`PNIrSS (fI1wC 'T 2tii3 FlRST-CLASS N= Ct7UVI ,T9 QF`FL U.S.POSTAGE �,t3 LESTF ?IFiI=S$1�:30f X13 „' PAID AAPOtJ MUST BE, CE P3i sIESS NMWA FL SL? NT TfiU�LTY-COQ #114PTEt.BA,AR 9&10 PERMIT NO.231 699001-5 THIS IS NOT A BILL—DO NOT PAY RENEWAL BUSINESS NAME t LOCATION RECEIPT NO. 726567-1 MCX CONSTRUCTION INC STATE* CGCISZ0320 7545 E TREASURE DR 3J 33141 NORTH BAY VILLAGE OWNER MCX CONSTRUCTION INC 'T WORKERIS IM ES 2 THIS IS ONLY A LOCAL BUSS TAX RECEII-T:IT DOES NOT PETBHT THE HOLDER TO VIOLATE ANY EXFSTII9T}REGULATORY OR zotaNr; LAWS OF THE DO NOT FORWARD i COUNTY OR CTTIES, NOR Dora IT EXEMPT-THE FROM ANY OTHER OR LICENSE RTiQiflplA BY LAW.THIS is MCX CONSTRUCTION INC NOT A cA��HOLOFA`S WALIFlCA- ANDRES CASTANEDA PRES MGM 7545 E TREASURE DR 3J PAYMENT FM<:BM NORTH BAY VILLAGE FL 33141 6UA6D-DADS COUNTY TAX COLLECTOR: 02/22/2013 02290041.001 3 000156.25 }i$ilk$ I} $ $' $ $}}}:6 $1$4}l$} �T1$} 3 SEE OTHER SIDE a. Wes• • 05-14-2012 JEFF ATWATER STATE OF FLORIDA CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION dF 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: 05/14/2012 EXPIRATION DATE: 05/14/2014 PERSON: CASTANEDA ANDRES FEIN: 275015897 BUSINESS NAME AND ADDRESS: MCX CONSTRUCTION INC 7545 E TREASURE DR APT #3J MIAMI BEACH FL 33141 SCOPES OF BUSINESS OR TRADE: 1- GENERAL CONTRACTOR IMPORTANT. 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 coder this section may not recover benefits or comrousatioa under this chapter. Pursuant to Chapter 440.05(12), F.S., Csrtiffcates of election to be exempt, apply only within the of scope of the business or trade listed on the notice of election to be exempt. Pursaaat to Chapter 440.06113), F.S., Notices of election to be exempt and only within e election to be exempt shall be subject to revocation it, at any time after the filing of the notice or the 13), FS. of the cef OlOce, the person gamed 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 on a the person r named on the certificate to meet the requirements of this section OWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01-11 QUESTIONS? (850) 413-1609 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES IMPORTANT DIVISION OF WORKERS'COMPENSATION F Pursuant to C CONSTRUCTION INDUSTRY hajfter 440.05(14). F.S, an officer of a corporation who CERTIFICATE OF ELECTION To 8E EXEMPT FROM FLORIDA �elects exemption from this chapter by filing a certificate of election WORKERS'COMPENSATION LAW L under this section may not recover benefits or compensation under this , D chapter. EFFECTIVE 05/14/2012 EXPIRATION DATE: 05/14/2014 PERSON: ANDRES CASTANEDA H Pursuant to Chapter 44Q05(12), F.S., Certificates of election to be exempt„. apply only within the scope of the business or trade listed on FEIN: 275015897 E the notice of election to be exempt BUSINESS NAME AND ADDRESS: R MCX CONSTRUCTION INC E Pursuant to Chapter 440 13), F.S., Notices of election Qrq� to be exempt and certificates es of election E TREASURE DR APT t0 be exempt Shall MIAMI BEACH, FL 33141 $3J if, at any time after the filing of the notice orbethe is e o the on certificate, the person ruined 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 SCOPE OF BUSINESS OR TRADE person named on the certificate to meet the requirements of this 1- GENERAL CONTRACTOR section. QUESTIONS? (850) 413-1609 CUT HERE • Ca bottom nY portion on the job, keep upper portion for your records. s OWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01-11 I DBPR - CASTANEDA, ANDRES E; Doing Business As: MCX CONSTRUCTION INC.... Page 1 of 1 11:36:29 AM 2/22/2013 Licensee Details Licensee Information Name: CASTANEDA, ANDRES E (primary Name) MCX CONSTRUCTION INC. (DBA Name) Main Address: 7545 E TREASURE DRIVE APT 33 NORTH BAY VILLAGE Florida 33141 County: DADE License Mailing: LicenseLocation: License Information License Type: Certified General Contractor Rank: Cert General License Number: CGC1520320 Status: Current,Active Licensure Date: 02/08/2012 Expires: 08/31/2014 Special Qualifications Qualification Effective Construction Business 02/08/2012 View Related License Information View License Complaint 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 emplover.Copyright.2007-2010 State.of Florida.Privacy Statement Under Florida law,email addresses are public records.If you do not want your email address released in response to a public-records request,do not send electronic mail 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/LicenseDetail.asp?SID=&id=8422C5485655F00233E... 02/22/2013 r 8TATE OF KoRwA AC# 54 7 5 26? i DEPAWTMOT OF BUSINSSS ;AND ? PROFESSIONAL REWLATION f CGC1520320 0$/08-712 110275890 } CERTIFIED COWAhCTOR CAS TANBD&o �! MM CONSTRUCTION >. i IS CBRTIFIM) dander tU oP Ch.489 88 j amiration date. AVG 31, 202.2 L12020800516 ..r. pna Miami shores Village Building Department �loR 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIPT PERMIT M LC 13 C � )- DATE: lo ❑ Contractor o Owner ❑Architect Picked up 2 sets of plans and (other) Address:_k o W(-� 1W, x From the building department on this date in order to have corrections done to plans And/or get County stamps. I understan at the plans need to be brought back to Miami Shores Village Buildin De p rtm to co tinue permitting process. Acknowledged by: PERMIT CLERK INITIAL: RESUBMITTED DATE: lz PERMIT CLERK INITIAL: �OR�s Miami shores Village ,s;'KC.1933 y Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 l IM Fax: (305) 756.8972 April 8, 2013 Permit No: RC13-632 Building Critique 1. 1) Remove all notes from the plans that do not pertain to this job. 2. 2) Provide the structural details for the altered opening including new filled cells/columns at each side. Structural alterations must comply with the FBC. FBC Existing 707 3. 3) The plans show that the wall being removed is not bearing. Identify all bearing walls in the area of the alteration. Ceiling joist bear in that area or the span is too great. See Village records. FBC Existing 707.4 707.5. 4. 4) The wind load design pressures do not match from the door schedule to the elevation and calculations. 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. Detail by Entity Na>ine Page 1 of 3 Home Contact Us E-Filing Services Document Searches Forms Help Events No Name History Entity Name Search Return to Search Results Detail by Entity Name Florida Profit Cor oration NL CONSULTING,CORP. Filing Information Document Number P08000033251 FEI/EIN Number 262300618 Date Filed 04/01/2008 State or Country FL Status ACTIVE Effective Date 03/31/2008 Last Event REINSTATEMENT Event Date Filed 09/28/2010 Event Effective Date NONE Princloal Address 305 N.State Road Seven Hollywood, FL 33021 Changed:02/25/2013 Mailina Address 305 N.State Road Seven Hollywood, FL 33021 Changed:02/25/2013 Registered Agent Name &Address LAMPARIELLO, NICOLAS 2305 N.State Road Seven Hollywood,FL 33021 Address Changed:02/25/2013 Officer Director Detail Name&Address Title P LAMPARIELLO, NICOLAS 2305 N.State Road Seven Hollywood, FL 33021 Title S http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail/EntityName/domp-... 3/29/2013 NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTICLWFN 2013RO372061 OR k 28624 F's 3257; t 1P9) •� R CORDED 05/10/2013 1332545 PERMIT NO. �! lab b 3 2, TAX FOLIO NO. H RVEY RUVIN? CLERK OF COURT tl Ai1I-DARE COUi1TY, FLORIDA STATE OF ST PAGE FLORIDA A: 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 description of property and street/address: M7 O( s rt r13 wt IT , 7tiEr7 , 2. Description of improvemnt: � �/mac � � 'a "Acka✓ G. 6?1 C,..SC 4e r 3. Own r s)name and address: Interest in property: Name and addfess.of.feesimple titleholder, 4. Contractor's name and a dress: 5. Surety:(Fyaymdnt bond.requirdd by owner from dontractor,if any) 'Name and Address: Amount of bond$ 6.: Lender`s name and address: . 7. Persons within.the�state_gf 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 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 and Address: 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) Y S' . S' n tu ift Owner Print Owner's Name JV L Co yA5 ,,\k,nc, C GHQ'. Prepared by Swom to subscribed before me this `-z day of hk��20 3 Address: Notary Public- Print Note ame: Egap_ir�osA My Com MY CDhMIS310N @DD 914498 D(WHEu:July 23,U2013 III IS&trllB BD nd�ITkui4o>a�YPUb�Utd�wr�s ASS 9a�laral aftal .20,,,_...�_ am of Orad aw Can*Ccurt. room twar � QC. r • Miami Shores Village Building Department G ® 7 213 �( g p 1 3 1 90050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795.2204 Fax:(305)756.8972 INSPECTION'S PHONE NUMBER:(305)762.4949 .ems BUILDING Permit No. PERMIT APPLICATION Master Permit No. �� " °► l© FBC 20 Permit T (BUILD ROOFING OWNER:Name ee imple Titleholder):NL CONSULTING,CORP. Phone#: Address:2305 N STATE ROAD 7 City: HOLLYWOOD State: FL zip: 33021 Tenantdxssee Name: WA Phone#:WA Email: WA JOB ADDRESS: 163 NW 101ST STREET City: Miami Shores County: Miami Dade 4p: 33150 Folio/Parcelk 11-3101-023-0150 t Is the Building Historically Designated:Yes NO X Flood Zone: CONTRACTOR-Company Name: AKER CONSTRUCTION LLC Phone#: (90394-7126 Address: 2450 MADISON STREET City: HOLLYWOOD State: FL Zip: 33020 Qualifier Name: CLAUDIA PUEBLA Phone#: (954)3947126 State Certification or Registration#: CBC 1255559 Certificate of Competency#: WA Contact Phone#: (954)394-7126 Email Address: PERMITS@,AKERSC.COM DESIGNER:Architect/Engineer: WA Phone#: WA Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: ❑Addition Alteration ❑New ❑Repair/Replace ❑Demolition Description of Work: CHANGE OF CONTRACTOR:RC-3-13-632, Interior remodeling Fees Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$ i Bonding Company's Name(if applicable) NIA Bonding Company's Address N/A City NIA State NIA Zip N/A Mortgage Lender's Name(if applicable) N/A Mortgage Lender's Address N/A City N/A State NIA Zip N/A Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGNS, WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS and AIR CONDITIONERS,ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this Z_3 The foregoing instrument was acknowledged before me this day of 'W�L,20P!-,by r11CO Lq S LA#-,PA(-1CU.d , day of F ,20a—,by Cl-WMA PUCP-0 , who is personally known to me or who has produced who is rsonally known o me or who has produced -'� As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY P Sign: E ORIDA Sign: A Print: °"""' Jordan Print: ' "' Jordan Kohn Commission#DD919494 `.-Commission#DD919494 My Commission Expires: .•`Expires: AUG.24 2013 My Commission Expires: = .•`Expires: AUG.24,2013 BONDED THRU ATLANTIC BONDING CO.,INC. BONDED THRU ATLA.N"1'IC BONDING C9.,INC. ikikilask�Mfis��ia�kak�&H+�kdaskXsHa��kSaik��R�k�dA�k�sk��IaB+ iks#Kadaalt�2ikgiig$ss laikdieg�Ia�ksRakaIssk�sk+A�h��das?�8ask8asks lwksRdish�kslasiaskaF�ks knRoA��RsksN�A'+ffixiak�k��H��F+ak�f fiiska�s&�Fsskda�Adaek APPROVED BY Pl aminer Zoning Structural Review Clerk (Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) Property Search-Report binp://giswebmiamida&.gov/PropertyS=cbtpfind&p-btm . . MIAM&DADE COUNTY OFFICE OF THE PROPERTY APPRAISER PROPERTY SEARCH SUMMARY REPORT . Corks Lopez-Ceara P,rqmr#Appraiser Piopetty Informatlow Folio 11-3101-023.0150" �R Property Address 163 NW 101 ST Owner Nam(s) FEDERAL NATIONAL NKNUGr4GE ASSN Mailing Address 14221 DALLAS PARM4AY91000 DALLAS 1X 75254 N Prlmary Zone 0800 SGL FAMLY-1701-1900 SQ al.~ C Use Code 0001 RESIDENTIAL-SINGLE FAMLY f Beds/Bath~ 21110 �" "`� Floors r Uvblg Urdu Ad1ft Footage 1.482 Lot Size 8,025 SO FT - Yner Built 1944 Full Legal won BON MAR PK ADD A RE-SUB PB 24.71 N� aerial Photography 2M2 L0T15&W112OF LOT 14 BLK 2 LOT SIZE 75.000 X 107 Taxable Value Wornratiow- OR 20337-361504 2002 4 Current Previous Previous 2 Assessment Informatlow Year 2013 2012 2011 Current Previous Previone 2 EmwptbW E=nVrwfg Exerrolortif Year 2013 2012 2011 Taxable Taxable Taxable Land Value $72,495 $57,998 X4,440 cowry $0/$175.886 $x$173,479 $0!$179,619 Bulking Value $103,371 $115.483 $115,179 Schod Board x/$175,886 W$173,479 $0/$179,619 Market Value $175,866 $173,479 $179,619 city $01$175,886 1 $QJ$173,479 $0/$179,618 Assessed Value $175.awl $173.4791 $179,619 Reglorted x$175,866 $x$173,479 $0/$179.818 Benefits Infbrnmtiow salle Information: i current Previous Previous 2 Daft Armurd OR Book-PW Qualification Code Benefit Type 2013 2012 2011 212012 $86.100 28067-4775 Deeds to or fromtinartelal hffions 42002 $o 203:17-3615 Sales vddch are disglmHfled as a result of exaMrt on of the deed 2/1973 $34,500 0000.0000 Sales vJdch are qualified Disclaimer: 1ho Office ofdw PropertyAppaaiaer andMarat-Dada Candy am castimmlly editing and tax roll aad(US data to retied do latest property information and Q3 positional accuracy.No warranties,used or implied,are provided for data anddw positional or tivanatie accuracy of the dda havin,its use,or its interpretation.Although this website is periodically updated,this information dte dam cormatly on file at man"ade CoimRy's systems oftecord no Property Appraiser and Mtami-Dade County assumes no liability eitln r for any arum,omissions,or racks in do fidormation provided regardless of tba cause of such or for any decision made, actiontalam,or action not taken by due user in reliance upon any information provided herein.See NLami Dade County full disc arniUser Agmement at tttpJ/wwamiamida 4u,fufol&sclaimecasp. Property information imlmries,comments,and suggestions email:pave gov QS inquiries,comments,and suggestions email:g6@mimnida&.gov Generated on:Arlon Jul 22 2013 d�- (6.4 T 1+ �4'-,'M6PGL) 1 of 1 7/22/2013 1:25 PM Devil by Entity Name bttp://searchsunbi7-org/lnquriry/CorporationSemb/SearchResultDoUdl/ r .. t F5 � Y O`+•da r� � Z t`3 '�53+! _ 't ". � f `Y' u- � .F.. a ,��- +'�' y Detail by Entity Name Florida Profit Corporation ML SO U-TfNf;, C0fzp.. Filing Information Document Number P08000033251 FEVEIN Number 262300618 Date Filed 04101/2008 State FL Status ACTIVE Effective Date 03/31/2008 Last Event REINSTATEMENT Event Date Filed 09128/2010 Event Effective Date NONE Principal Address 2305 N. State Road Seven Hollywood, FL 33021 Changed: 02/25/2013 Mailing Address 2305 N. State Road Seven Hollywood, FL 33021 Changed: 02/25/2013 Registered Anent Name&Address 2305 N. State Road Seven Hollywood, FL 33021 Address Changed: 02/25/2013 OFficer/Directorhail Name&Address Title P State of Rmkb,Dgndffw*of State 1 of 3 7/25/2013 1:24 PM . f ' Lottalrettelmempbygeof COMWW TWO of LLC c1ba Canymm Title CanpwW CFN 20121ROV24720 5602 marquesas arde,suite 103 OR Bk 28413 Pss 0868 - 869s Qpos) o Ste,Fl. 34233 RECORDED 12/24/2012 09144159 M (941)923.6015 HARVEY RW Mr CLERK OF CONT A Return hoc Gram MIAHI-ifAflE Ct TY: FLORIDA -e •• at File No.:4361CTFL/659259 I I Purchase PrIce:$10 8,065.00 �. - SPECIAL WARRANTY DEED g (Corporate Seller) r Sate Florida County of Miami-Dade THIS SPECIAL WARRANTY DEED Is mace the WOV. 21, 2012, between FED@IAL NATIONAL MORTGAGE ASSOCIATION having a business address at: 14721 DALLAS PARKWAY,SUITE 1000, DALLAS,TX 75254 , (RGrarrtor")and NL C€NSULTINGE CORP. having a mailing address of: 19300 W Dbde Hwy,Suite 10,Miami,FL 33,80 ("Graritee"), WITNESSEI'H,that the said Grantor,for and In consideration of the sum of TEN AND NO/100 DOLLARS ($10.00)and other valuable considerations,receipt and suff lency of which is hereby aduwwkdged, has granted,bargained,sold,remised,released,conveyed and confirmed unto,said°GranbW,its 9=essors and assigns forever,following described land,atuabed,"V and being in the County of Miami-Daft,State of Fonds,hawk: ALL OF LOT 15,AND THE WEST 25 FEET OF LOT 14,IN KOCK 2.OF BOWNAR PARK ADDITION,ACCORDING TO THE PLAT THEREOF,AS REWRDED IN PLAT BOOK 24,AT PAGE 71,OF THE PUBLIC RECORDDS OF MAMI-DARE COUNTY FLORIDA. Tax Parcel IdenWication Number: 11-31010230150 suazcT PROPERTY: 163 NW 101 SHEET,MIAMI SHORES,FL 33150 GRANTEE HEREIN SHALL BE PROHIBITED FROM CONVEYING CAPTIONED PROPERTY FOR A SALES PRICE OF GREATER THAN$129,600.00 FOR A PERIOD OF 3 MONTH(S)FROM THE DATE OF THIS DEED. GRANTEE SHALL ALSO BE PROHIBITED FROM ENCUMBERING SUBJECT PROPERTY WITH A SECURITY INTEREST IN THE PRINCIPAL AMOUNT OF GREATER THAN$129,600.00 FOR A PERK OF 3 MONTH(S)FROM THE DATE OF THIS DEED.THESE RESTRICTIONS SHALL RUN WITH THE LAND AND ARE NOT PERSONAL TO GRANTEE. THIS RESTRICTION SHALL TERMINATE IMMEDIATELY UPON CONVEYANCE AT ANY FORECLOSURE SALE RELATED TO A MORTGAGE OR DEED OF TRUST SUBJECT,however,to all reservations,covenants,conditions,restrictions and easements of record and to all applicable zoning ordinances and/or moans or requirements unposed by governmental authorities,if any. Book28413/Page868 CFN#20120924720 Page 1 of 2 Miami shores Village Building Department 10050 N.E.2nd Avenue rpR ► Miami Shores, Florlda 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CHANGE OF CONTRACTOR/ARCHITECT :fermil{N, RC-3.13.632 Pg ;( }@rg N8R@( ? 8 jft F plg);NL CONSULTING CORP (305)986-8022 Owner's Address: 2305 N STATE ROAD 7 City: HOLLYWOOD .State: FL ap Code:33021 Job Address(of where work IS behV done):163 NW 101ST STREET City: Miami Shores State:—Florida Zp Code:33150 CQQhdor's Company Name: AKER CONSTRUCTION LLC Phone#,(954)394-7126 Address: 2450 MADISON STREET City: HOLLYWOOD State:FL Zip Cam;33020 Qualifier's Name: CLAUDIA PUEBLA Lic.Nutter: CBC 1255559 Architect/Engineer of Record Name: ARSHAD VIQAR Phone (786)663-9439 Address: 1175 NE 125TH STREET SUITE 610 City: MIAMI State: FL ap Code: 33161 Describe V drk. INTERIOR REMODELING:Kltchen,.Two Bathrooms&Interior 1 hereby certify that the work has been abandoned andlor the contractorlarchitect Is unable or unwilling to complete the contract. I hold the Building Official and the Miami Shores harmless for all legal Involv e Signatu re Signature ,.,. , The fbmg ft ina mint was aknow�before fne The foregoing inst unmt was Wmowledged before me this g day of 2W-,b �'� this, Z 3f by / 4 � Y Y Who Is p6rsorldy known to am or who ha produced wh bra r known me or who tins pmdumd as Inft8ficati0n, es bitwflcil m. Pu IC•STATE OF FLORIDA Y PUBLIC-STATE OF FLORIDA Jordan Kohn S�Il: Jordan Kohn Commission.0 DD919494 Commission#DD919494 .�•`Expires: AUG.24,2013 Expires: AUG.24,2013 BONDED THRU ATLA.,"nC BONDING CO.,INC BONDED THRU ATLILN f1C BONDING CO.,INC. i .n. Miami shores Village NAP Building Department R 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$30.00 FEE PER YEAR. IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A.—X COPY OF QUALIFIER'S STATE LIC CARD B. X COPY OF LOCAL BUSINESS TAX RECEIPT C. X COPY OF LIABILITY INSURANCE(CERTIFICATE HOLDER TO BE MIAMI SHORES VILLAGE BLDG DEPT) D.—X COPY OF WORKERS COMPENSATION (EITHER CERTIFICATE OR EXEMPTION) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICE OF COMPETENCY OF QUALIFIER B. COPY OF MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT C. COPY OF LIABILITY INSURACE(CERTIFICATE HOLDER MUST BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKER COMP INSURANCE(EITHER CERTIFICATE OR EXEMPTION) YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE HOLDER AS FOLLOW: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES,FL 33138 COMPLETE CONTRACTOR'S INFORMATION BUSINESS NAME: AKER CONSTRUCTION LLC BUSINESS ADDRESS: 2450 MADISON STREET CITY HOLLYWOOD STATE FL ZIP CODE 33020 BUSINESS PHONE: 9 ) 394-7126 FAX NUMBER(9�' ) 903-0448 CELL PHONE(g'4 ) 394-7126 QUALIFIER'S NAME: CLAUDIA PUEBLA QUALIFIER'S LIC NUMBER: CBC 1255559 E-MAIL ADDRESS(IF APPLICABLE): PERMITS@AKERBC.COM CmaW on 3H9109 BY MLDV 1 RV 3126109 MLDV a JEFF ATWATER in CHEF FINANCIAL OFFICER STATE OF FLORIDA 0 DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS'COMPENSATION ro r,r CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS'COMPENSATION LAW CONSTRUCTION 1NQUSTI2Y EXEMPTION # � CU Tars Oen,tks Iha:rM!indivdu31 I'stM tetra had WCCiOa 10 be a=crnpa MCx77 F10nda 1M1dprkerS'COmpCnyaSiOn law W Ep+� EFFECTIVE DATE: 2,2?-2013 EXPIRATION DATE: 222212015 O V) PERSON: MOSHER WILLIAM J " Ill W FEINT 461433043 BUSINESS NAME AND ADDRESS: AKER CONSTRUCTION LLC w 2450 MADISON HOLLY'AOOD FL 33020 zz OH SCOPES OF BUSINESS OR TRADE: HM ?y LICENSED BUILOINIG (A CONTRACTOR +� WM }l ca P,nw,d w GMr u0 W 14/F6 on aiFOw d F 4orW*4n of*o es ownpw tqn rw crovw oy Ewa o aI plwOn vqw s.s woe-wry 04 d AN 160—bM410 W'f*lwin~114I orvw pw7W1111 100400w"007I5$I.F otgww%&M oww 4prrwV--M~ ai IM EvLrrttl a u»e IY.4[i en w ri0o[s aF MKelOn 46�arwp F MFA*M m Free&4 006ti34 F 6.NrocRa elMf[�n W nt�ne+e�pe anC tsM,ucef er WwCan m a r.wq i+aes 0e wge[i CO rrva[Y�n F.al wry i..r a+4rnF eleey toe the name a tlr.esai�ee toe Fr cw'emzaM Pl+w+s raneo mo w roes»a< � '31 eeNke4^ro r/'De�^r•re ry•*V�.w�e d uw s�aK�1x Iwsr,M tF a aMt+ki4e*M Orpr'-xFS Cwa.rw+a a te•x+i.R��p+Tl d^e b,Woe d ar {L N ol.rfnnr�alemwawue +o«rKx wtrw.sMass W tL b w OF1-F3-DY+C-2,2CERTifICATEOFEIECTiONTOSEExE MPTRIEOSED07,17 01JESTiONS11650M73,IW d irI pq I.- >-I BROWA,RD COUNTY LOCAL BUSINESS TAX RECEIPT Hp py+ o 11`5 S Andrews Ave.,Rm A-300.Ft. Lauderdale.FL 33301-1895-954.831-4000 {) MH � M VALID OCTOBER 1,2012 THROUGH SEPTEMBER 30.2013 In 14 00 Ln OBA; Receipt K 190.253947 PIdL' to In a,i Euslnass Name;AKER CONS'TRUCT7011 L:.0 Business TYpe . RRAL CON"ACTOR I►XJ::4 of z eq �,rrwtrTalsl Th t+T .4 V C4 W OWnetNamo:r°t-AQ"!11A u FUEILA OVAI-Ftt:Ft Busin4530pened 12/17/2012 0 rU BuSlns Location:2450 H;DISOY S pw2W y g OH O m HOLLYWOOD Exemption Cade: E+ Business Phone:954-559-9J i6 UH 630 OQ Pi 17, H C L� �C[-1 Boons 3rrRS Erupl05eose N�cnnas Pro4MStonals C+7 t- -A p~{�} EI A 1-4 0 � 7 ,p�010 000. s 0 U Iii O A U Ceti M A U P Nrn100F of I5µ'1 Mas —T-M-14 T/eon Fie NSF Fp0 Por%*Y Fn Yesn_T mon „...TOL P41p r-f 74 ri P41 0 0 H> + U . 2;',C0 r�.0o 0.00 0.00 «a 77.OA Qf� us 1�Q1 L•A pa t7 r.�a a r4 r4 f V H.Q♦7#7 R7�It-I I�7 O 01=ri THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS V+� � f+�to da l THIS BECOME$A TAX RECEIPT TKs talc is WOW fm the doing County ----.—._ _.._..._...._.._._.a�_....__.....,. _..__...,. �md�gC Of nOi business mitten Broward arid r5 nor-regulatory in naturo You roust moot.Vl Colxr'y and'or Munxapahty planning WHEN VALIDATED .arid zoneg reWfavonts This Ruw ss Tax Root must be transtorrrpd wAen the Du511100 15%dd.tlWSh0s3 113IMS has Changed of you have moved th0 buSenm Iocabon This receipt door not indiCate mat the busows3 is legal Or that d i5 in Chrnp4ashoe with State or po0al laws AM rMifahOns } Mailing Addf*ts: i AKSR CONSTRUCrIGN LLC aarospt NOIA-32-00005564 2450 M.AD:SON ST Va1d 02/36/2613 27.00 HOL:,YWOOD, F:, 33020 2012 2013 M1 i CONTRACTOR INFO: LIABILITY INFO: Agent: Fedusa Retail, Inc. #601 li AKER CONSTRUCTION LLC (954)568-1688 2450 MADISON STREET Policy #: IG06AO00483-00 HOLLYWOOD, FL 33020 EFF-EXP-. 12105/12-12/05113 (754)214-0775 (SEE CERTIFICATE) . OF LIABILITY INSURANCE rc^mmmffvm 0712912013 TIM CERTMATE 18 ISM AS A MATTER OF DIFORMATION ONLY AND COBS NO RMTS UPON THE CERTPI CATE HOL WL TMIS u1=111CATE DOER NOT AFFOMTWELY OR NEGATIVELY AMEND.EXTEND OR ALTER THE COVERAGE AFF==BY TmE PODS BELM THIS CERTIFICATE OF INSLMANCE DOES MOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING AMORIZED REI ATIVE OR PRODUCER,AND THE CERTOMTE HOLDER. NnnWAW: Nth*cwWkab hotdw ban ADDrnONAL MUND.Sm po0cWwo mud bed.ff3=t0QAl=l3V#JVEDuajwjo In tamuand bona d the paNcy,cuMn pol dee may nmp*ean mulwommiL A atsftmw*an thb cwfffkabe does not coaft ftm to an ON, A e hdder In Bw of each dal Fedusa Rdst Inc.I1W 404.8412 m61wm 1184 Narth Stale Road 7 wlBem moon eeom FL 3330 OURAWWAFF000MCOWERAM a Phone J§gWISBB AA112DM namaim VISURER 6 Claudia Pud*(QUdlbr I dbe)Aber CostruChm LLC 2450 Nkiffieott St DOUROR 0: HdV*ood,FL 3=11i. wSlUmv: COVERAGES SATE INAk SM- REVISION NUMBER: THIS H TO CERTPY THAT THE POLICIES OF 00UPANCE LNTED BELOW HAVE BEEN ISSLNED TO THE P4LNW HAMED ABOVE FOR TM POLICY PEIVOD OKWATED NOTMeTHRTANOM ANY 09CAMISiENT.TERIrt OR 00NOTION OF ANY CONTRACT OR OTHER DOCLAIEKr VOM REV=TO V*M THN CERTIFICATE MAY BE FOR MRY PERTAIK THE PISURANCE AFIMFD BY THE POLICIES DESCRIBED HEM N SUBJWr 70 ALL THE T G. E0 AND CONMTKM OF SUCH POLKA.UNITS SHOWN NAY HAVE BEEN fEDUrED BY PAD CLAW TYPEOPmagnmm —mmmm ep-ONNUMNER MONM mplam LAere GENERALUANUff EACHOCCUR NCE s 1000WOdA ® COMMEMULGamftummay DAMAWTOREVIED S 100.000.00 wRim ❑ ❑� &§ OCCUR IGiILvx0dB;i�00 eEQEXP am i 5.000.00 A ❑ N N 12 1a 12105 13 P a&Pmwmw S 1.000.000.00 ❑ �AL, TE S 2.000.000.00 GMAOMPAWATEMOTAPPUESPW PROdJGTS-O%*WAW i ZOW.OW.00 ®POLIOY D a ❑ Lac i A111ONOWLE LtASOM tl�r D MY AUTO SOMYnJURY PO a i ❑ AAUTOS ❑ INI � eOdLYeLaRr(PrraeaMenq i ❑ HIM AUTOS ❑ AUTONON a i ❑ UNERELLALWA ❑OCCUR EACH OCCURRINCE i LIAB Q O E AOt A7E i i WORNERS CompaimAim 0WCSIATU ANt EMAY"m Am m YIN ANY EL EACH ACCROU i, MIA m� D E.LL DWEASE-EAENFLOYE i o aF ATgHSeNow EL-vlSEA E-PC=Leer i oP OMMVaRNS/LOCATaxmlVEHMM AOORD 1a,.AadWorAd rte 8dalft V MW$p.a b ra*dna) CERTWICATE HOLDt CANCELLATION SHMILD ANY OF THE AWN 0690FAM POLIOM EL amcg.m BERME Miami Shores VSage Bklg Dept THE EKPRRTM VAU THEFAW,NOT EVALL ME DMJVMW IN 10050 NE and Ave ACCORVANCIFW Miand Stores,FL33138 Aura 01=4910 ACORD CORPORAMA AS rWft ramvad. ACORD= GAF The ACORD Mme amd hW sea mgbWW mallts of ACORD �I 6 cR. 0 /• / • .•- • ••• LIGHTHOUSE POINT BRANCH cc , LIGHTHOUSE POINT, Florida °, y 330649997 Ln _ _ 1158540432 -0097 _r W. V . -� 07/29/2013 (800),275-8777 02:08:25 PM Q' postage $ - 0. Sd` Certified Fee Sales Receipt ° �. 6 Product Sale Unit Final Q .emir 1,_. .� Q'� He Description Qty Price Price J = ° ctedDelivary Fee I],fiL ry� 0 Z1 MIAMI BEACH FL 33141 Zone-1 $0.46 0 orsementRequired) First-Class Mail Letter ° -0 Total Postage 0.50 oz. Scheduled Delivery Day: Tue 07/30/13 Return Rcpt (Green Card) $2.55 M ° �t�'° @@ Certified $3.10 r_1 --- .- - -. - ��9—mot P'L�(_Tlo"j i/'j Label #: 70130600000079459805 0 _ Issue PVI: $6.11 srara, P+4 A( �i`) IQ :, �jLj " i Total: $6.11 Paid by: VISA Account #: XXXXXXXXXW1330 Approval #: 005827 Transaction #: 925 23 903520773 @@ For tracking or inquiries go to USPS.com or call 1-600-222-1811. In a hurry? Self-service kiosks offer quick and easy check-out. Any Retail Associate can shore you how. Order stamps at usps.com/shop or call 1-800-Stamp24. Go to usps.com/clicknship to print shipping labels with postage. For other information call 1-800-ASK-LISPS. wwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwww wwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwww Get your mail when and where you want it with a secure Post Office Box. Sign up for a box online at usps.com/poboxes. wwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwww wwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwww Bill#: 1000305199415 Clerk: 15 All sales final on stamps and postage Refunds for guaranteed services only Thank you for your business wwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwww wwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwww HELP US SERVE YOU BETTER Go to: https://Postalexperience.com/Pos TELL US ABOUT YOUR RECENT POSTAL EXPERIENCE YOUR OPINION COUNTS wwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwww wwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwww Customer Copy dsk.'cAS=Track&Confirm https://tools.usps.com/gofrrackConfirmAction!input.action?tLabeis=70... English cuazarer seMee Uwe Mobno Raplster/Sign In Aw USPS. ' 1" Search USPS.ccm or Track Packages quick Tools Track&Confirm Ship a Package Send Mail Manage Your Mall Shop Business Solutions Find Find USPS Locations aftgk & Confirm Find a ZIP Code- Hold Mail Ch,C,—Tr—.440 kUrDATES I PNWDRTAU YOUR LABEL SERVICE STATUS OF YOUR ITEM DATE&TWE LOCATION FEATURES 701 First-Class MaP Formatted JWy 30,2013,8:55 am MIAMI BEACH,FL SchedIded Delivery Der. 013 MSUT~ Return Receipt DOW USPS Sort JWy 30.2013 MIAMI,FL 33152 Fooft Processed at LISPS July 30,2013,2:05 am MIAMI,FL 33152 OrI&Sort Facility Processed at LISPS July 29,2D13,10.67 pm MIAMI,FL 33152 Origin Sat Facipty Dispatched to sort July 28,2013,8.08 pm POMPANO Facility BEACH,FL 33084 ACOeptolce July 29,2013,2:07 pm POMPANO BEACH,FL 33084 Check on Another Item ~a your label(or receipt)number? Find LEGAL ON USPS.COM ON ADOUT.USPS.COM OTHER USPS SITES Pdmacy Poliq> Govemment Services) About USPS Home> BIMiness Customer malt> Terms of Use t Buy Stamps&Shop> Newsroom> Postal Inspectors r FOIA t Print a Label with Pam> USPS Service Alerts> Inspector General No FEAR Act EEO DIU> Customer Service> Fams&Publications> Postal Explorer> Delivering SoMots to the last Mile Careers) Site Index> 92US ,CCAIf Copyr!00 2013 USPS.All Rights Reserved. 1 of 1 8/7/2013 12:17 PM Date:07/23/2013 MCX Construction Inc ATT:Andres Castaneda 7545 E Treasure Drive APT 3J North Bay Village, FL 33141 To whom it may concern: Please stand advised that you are no longer the permit-holding contractor on the following projects PERMITS: RC-3-13-632(master) EL-3-13-633(electric) PL-3-13-634(plumbing) PT-1-13-43(painting) ADDRESS: 163 NW 101sT STREET,MIAMI SHORES,FL 33150 OWNER: NLCONSULTIN CORP The permits are being transferred to another contractor immediately upon your receipt of this legally required notification. Sincerely, r` Nicolas Lamparlello NL Consulting Corp Miami Shores Village Building Department 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 AUG 2 2013 Tel:(305)795.2204 Fax:(305)756.8972 INSPECTION'S PHONE NUMBER:(305)762.4949 \ BUILDING Permit No. PL3-13-034 PERMIT APPLICATION Master Permit No.RC-3-13432 FBC 20 Permit Type: P UMBIN OWNER:Name(Fee Simple Titleholder):NL CONSULTING,CORP Phone#: Address:2305 N STATE ROAD 7 City: HOLLYWOOD Stare: FL Zip: 33021 Tenant/I.essee Name: NIA Phone#:NIA Email: N/A JOB ADDRESS: 183 NW 101ST STREET City: Miami Shores County: Miami Dade Zip: 33150 Folio/Parcel#: 11-3101-023-0150 Is the Building Historically Designated:Yes NO X Flood Zone: CONTRACTOR:Company Name: SMN PLUMBING CONTRACTOR LLC Phone#:OKI)3 t("�i l Address: 7444 SW 128TH COURT City: MIAMI State: FL Zi 33183 Qualifier Name: SEENAUTH NARAIN Phone#: State Certification or Registration#: CFC 1428108 Certificate of Competency#: ContactPhonelt. 6 3C/Y Y4 Email Address: SMNPLUMBER@AOL.COM DESIGNER:Architect/Engineer: N/A Phone#: N/A Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: (]Address Alteration UNew ORepair/Replace ODemolition Description of Work: CHANGE CONTRACTOR PL-3-13-834 Interior Remodeling Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$ ' Bonding Company's Name(if applicable) NIA Bonding Company's Address NIA City N/A State NIA zip NIA Mortgage Lender's Name(if applicable) NIA Mortgage Lender's Address N/A City N/A State N/A Zip NIA 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. 16WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMINIENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this 71 The foregoing instrument was acknowledged before me this2- day of ,20a—,by /iMUGA5 4M PVF-tP-(-l® day of )U ,20( ,by ��'A-Oit+ MW , who is personally known to me or who has produced who< ersonally known me or who has produced IFWL As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY P7/NOTARY Sign: Sign: Pti BLICGSTATE OF FLORIDA pmt; Jordan Kohn :Commission#DD919494 Print: �e Commission °,, xp:r, : , My Commiss' Expires: .'Expires: AUG-24,2013 My C7;727 xpires: soaiiEn xxr.� ;� c so.�nmc co.,>rrc BONDED THRO ATULMC BONDING CO.,INC, APPROVED BY ''Z' t Plans Examiner Zoning Structural Review Clerk (Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) Miami shores Village I= ism Building Department 10050 N.E.2nd Avenue t0>ta Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CHANGE OF CONTRACTOR/ARCHITECT :flBnnit N, PL-3-13-634 Ones Nam(psi SIIIpte Tf�Hokrer�:NL CONSULTING CORP Phone�(305)986-8022 Owner's Address: 2305 N STATE ROAD 7 City; HOLLYWOOD State: FL Zjp Code:33021 Job AddrW(Of where Work 19 being done):163 NW 101 ST STREET City: Miami Shorn State:—Florida Zip Code:3315o Contractor's Company Name: SNM PLUMBING CONTRACTOR LLC Phone$:(854)394-7126 Address: 7444 SW 128TH COURT City: MIAMI State:FL 71p Code:33183 Qualifiers Name: SEENAUTH NARAIN (.ic.Number CFC 1428106 Architect/Engineer of Record Name: SHAD VIOAR Phone t.(786)663-w9 Address: 1175 NE 125TH STREET SUITE 610 City: MIAMI State: FL Zip Code; 33161 oambe work: PLUMBING FOR INTERIOR REMODELING:Kitchen,Two Bathrooms•&Interior I hereby certify that the work has been abandoned and/or the contractor/architect is unable or unwilling to complete the contract. I hold the Building Official and the Miami Shores harmless for all legal involvement. z . 80ature Signature ` The foreg ft tns6ument was Wm6wledgei before Ire The foregoing instrument was eknowie 4W More me t this A day of W by&��,Vw& this 21—day of &t W by S Y2Y/ , ^- Who is personally known to rile or who ho produmd who �i�nalty known or who has produced C7 Z Apt- as indentiHcation. as to . :Noblrtl Public: lii�dlitrjt3a Sign: NO TAR Y . ST T—E0FkL0 JA � : '..,wary P6'OTARYPLBLIGSTATEOF.LORl .�` Jordan Kohn Seal: Commission#DD91949,i L Jordan Koh AUG.24,2013 ,,,,,°^ Expires; `.-Commission#DD91949.1 BOti�EDTIJRUATLA.\PICBON-INGCO,,INa - ;,"-Expires: ,BUG.24 2013 B0,N'DED THRU ATLA.\'I'IC BONDING CO.,Pic • • 1f LIGHTHOUSE POINT BRANCH • LIGHTHOUSE POINT, Florida 330649997 ® am 1158540432 -0096 c-• •• • - • , 08/09/2013 (800)275-8777 12:33:57 PM .n --- `O Sales Receipt a t% � Product Sale unit d § m � Description Final � Page $ Oty Price Price $ d NIANI FL 33181 Zone-1 $0.46 C3 � � 6 S S First-Class Mail Letter C3 0.30 oz. C3 msa wd k" a Scheduled Delivery Day: Sat 08/10/13 R teryFee 6 r Return Rcpt (Green Card) $2.55 C3 ( orsementR ,rr� 0 @@ Certified b•11 2� �� y� Label #: 70130600000079466704�T0 Postage&Fees S n E3 Issue PVI: $6511 o ----o - y ..�-.. _. - HIALEAH FL 33015 Zone-1 $0.46 rl- PO No, � - First-Class Nail Letter -----._.------ __ 0.30 oz. Scheduled Delivery Day: Sat 08/10/13 Return Rcpt (Green Card) $2.55 @@ Certified $3.10 Label #: 70130600000079466698 "W7 Issue PVI: $6.11 Total: $12.22 Paid by: VISA $12.22 Account #: XXXXXXXXXXXX1330 Approval #: 035320 Transaction #: 920 �� cnaG�rn�a USPS.comW-Track&Confirm httpsJ/tools.usps.com/go/TrackConfirmAction!input.action?d abels=70... Enggeh Customer Service LISPS Mobile Register/Signtn usesc � � Search USPS.kbm or Track Packages Quick Tools Track a confirm Ship a Package Send Mail Manage Your Mail Shop Business Solutions Find Find USPS Locations eB U f4k & Confirm Sc Find e ZIP Ccde'- Hold Moil CharnTVt AjcWDATES BRIMTDETA{ES YOUR LABEL NUMBER SERVICE ST ITEM DATE&TIME LOCATION FEATURES 707 First-Class Mail® DstiVmed August 14,2013,3:58 pm HIALEAH,FL 33015 Scheduled Delivery Day: August 10,2013 Cwmw Mail's Rabun Receipt Notice Left August 12,2013,1225 pm HIALEAH,FL 33015 Processed at USPS August 10,2013,1:25 am MIAMI,FL 33152 Origin Son Facility Depart LISPS Sort August 9,2013 MIAMI,FL 33152 Facility Processed at LISPS August 9,2013,11:44 pm MIAMI,FL 33152 Origin Sort Facility Dispatched to Sort August 9,2013,8:29 pm POMPANO Facility BEACH,FL 33084 Accept— August 9,2013,12:33 pm POMPANO BEACH,FL 33084 Check on Another Item ~a your label(or receipt)number? 6 LEGAL ON USPILCOM ON ABOUTUSPILCOM OTHER USPS SrtEB Privacy Polka> Government Services> Abed USPS Homer Business Customer Galway) Tenuri Buy Stamps&Shop, Newsroom) Postal inspectors) FOIA> Prim a Label with Postage> USPS SeMce Alerts> Inspector General> No FEAR Ad EEO LSla> Customer^service> Forms&Publications) Postal Explorer) Delivering Solutions to the Last Mile) Careers> Site Index @WCQM Copyright®2013 USPS.Ail Rights Reserved. 1 of 1 8/23/2013 8:19 AM I 1 s ' Date:08/08/2013 MAC Enterprises of South Florida Inc ATT:Carl Holley 17640 NW 77th Court Hialeah,FL 33015 To whom it may concern: Please stand advised that you are no longer the permit-holding contractor on the following projects PERMITS: PL-3-13-634(plumbing) ADDRESS: 163 NW 101sT STREET,MIAMI SHORES,FL 33150 OWNER: NL CONSULTIN CORP The permits are being transferred to another contractor immediately upon your receipt of this legally required notification. For information regarding this change of contractor,please contact the previous prime contractor;MCX Construction. Sincerely AicolasLampariello, NL Consulting Corp MEIN au.� Miami shores Village -- Building Department s� R 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. X COPY OF QUALIFIER'S STATE LIC CARD B. X COPY OF LOCAL BUSINESS TAX RECEIPT C. X COPY OF LIABILITY INSURANCE(CERTIFICATE HOLDER TO BE MIAMI SHORES VILLAGE BLDG DEPT) D..X COPY OF WORKERS COMPENSATION (EITHER CERTIFICATE OR EXEMPTION) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICE OF COMPETENCY OF QUALIFIER B. COPY OF MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'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 ■rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrCOMPLETECONTRACTOR'S INFORMATION rrrrrrrrrrrrrrrrrrrrrrrrrrrrrr BUSINESS NAME: SMN PLUMBING CONTRACTOR LLC BUSINESS ADDRESS: 7444 SW 128TH COURT CITY M IAM I STATE FL ZIP CODE 33183 BUSINESS PHONE: 3( 05 ) 322-8242 FAX NUMBER CELL PHONE 3( 05 ) 322-8242 QUALIFIER'S NAME: SEENAUTH NARAIN QUALIFIER'S LIC NUMBER: CFC 1428106 E-MAIL ADDRESS OF APPLICABLE): SMNPLUMBER@AOL.COM Created on 3M9109 BY MU3V 1 RV XAM MWV STATE OF FLORIDA AC# F. 2 S S 4 3 2 DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION i CFC1428106 08/08/12 128032984 P r I CERTIFIED PLUMBING CONTRACTOR t NARAIN, SEENAUTH M SPIN PLUMBING CONTRACTOR LIMITED I i IS CERTIFIED under the provisions of Ch.489 FS Expiration fate: AUG 31, 2014 L12080801457 i STATE OF FLORIDA IMPORTANT DEPARTMENT OF FINANCIAL SERVICES a .n+,, DIVISION OF WORKERS'COMPENSATIONS F Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who CONSTRUCTION INDUSTRY 0 elects exemption from this chapter by filing a certificate of election CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA -% L under this section may not recover benefits or compensation under this WORKERS'COMPENSATION LAW - D chapter. EFFECTIVE: 10/14/2011 EXPIRATION DATE: 10/13/2013 Pursuant to Chapter 440.0502), F.S., Certificates of election to be PERSON: SEENAUTH NARAIN H exempt... apply only within the scope of the business or trade listed on FEIN: 767226707 E the notice of election to be exempt. R BUSINESS NAME AND ADDRESS: E Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt SMN PLOMBING CONTRACTOR LIM17EO LIABILITY COMPANY and certificates of election to be exempt shall be subject to revocation 7444 SW 128TH CT if, at any time after the filing of the notice or the issuance of the MIAMI. FL 33183 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 SCOPE OF BUSINESS OR TRADE: person named on the certificate to meet the requirements of this CERTIFIED PLUMBING CONTRACTOR section. QUESTIONS? (850) 413-1609 MIAMI-DADE COUNTY 2012 LOCAL BUSINESS TAX RECEIPT 2013 FIRST-CLASS TAX COLLECTOR MIAMI-DADE COUNTY-STATE OF FLORIDA U.S.POSTAGE 140 W.FLAGLER ST. EXPIRES SEPT.30,2013 PAID 1st FLOOR MUST BE DISPLAYED AT PLACE OF BUSINESS MIAMI,FL MIAMI,FL 33130 PURSUANT TO COUNTY CODE CHAPTER 8A-ART.9&10 PERMIT NO.231 699295-3 THIS IS NOT A BILL-DO NOT PAY RENEWAL BUSINESS NAME/LOCATION RECEIPT NO. 726852-7 SMN PLUMBING CONTRACTOR LIMITED STATE# CFC1428106 7444 SW 128 CT 33183 UNIN DADE COUNTY OWNER SMN PLUMBING CONTRACTOR LIMITED Sec.Type of Business WORKER/S 196 PLUMBING CONTRACTOR 1 THIS IS ONLY A LOCAL BUSINESS TAX RECEIPT.IT DOES NOT PERMIT THE HOLDER TO VIOLATE ANY EXISTING REGULATORY OR ZONING LAWS OF THE DO NOT FORWARD COUNTY OR CITIES. NOR DOES IT EXEMPT THE HOLDER FROM ANY OTHER PERMIT OR LICENSE NOTUA CERTIFICATION of SMN PLUMBING CONTRACTOR LIMITED THE HOLDERSODU?FICA- T HE N SEENAUTH NARAIN 7444 SW 128 CT PAYMENT RECEIVED MIAMI FL 33183 MIAMI-DADE COUNTY TAX COLLECTOR: 08/08/2012 09010021001 ! 000075.00 !l��Ettl)}i}}II!}?dii}! i}}J�?!1?!IE�iE!}!lt}?ItE1!f}<�� I! SEE OTHER SIDE 11/1.3 2012 10:15 MORGPN IN9-RqNM a 19544670655 NE).345 17001 CERTIFICATE OF LIABILITY INSURANCE A7" THIS CERTIRICATE IS MUED AS A MATTER OF NVORMTION ONLY ARID CONFERS NO FMHTS UPON THE CERTIFICATE HOLDER.THIS CEIMPICATE DOES NOTAWMATIVELY OR NEGAATIVELYAMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS C{s MRCATE OF INSURANCE DOES NOT CMMTUTE A CONTRACT BETWEEN THE MSUM INSURER.(Sj,AUTHORIZED REPRESENTATTa OR PRODUCER,AND Tw CmTIFICATE HOLDER. {tAPORTANT: itin hoWu Men AbD nWL4t•MURBD.*B pMky(i y must be ead* sd.B S<1$ROOATlON IB MItAI1tE0.twbJeetlo ttrettl063•Htfd ot$►e PAY, � �>�An A an tkl8 csr0�4 rtat tSHlfer tiglDS 10� ' aaretkata holdar to fiats of such p0oum Arlawfk lneu mm Group 13155 SW 42nd Sboit,Stft 0107 ` Lftul,FL 33178 Pharr (308y=41Mt Fax (Wb)222.9Nm w A txrv�►a6e SAtG OtSMRA: 43RANWA INSURANCE COWANY , SAS)PLUMNO CONTRACTOR LLC :0190RUt8: 7444 SW 12$Ct Mami,-FL 33183- 0 t ($M322-442 s R• COVERAGES' CERTIFICATE NUMBER: REVISION NUMBEW THIS IS TO CERTIFYT"AT THE POU LIES OF MISURANCE LISTED BELOW NAVE NEE14 ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD MIDICATED. NOTW HSTANM ANY REQUIREMENT,TERM OR CONDl M OF ANY CONTRACT OR OTHER DOM MFW WITH RESPECT TO WHICH THIS CERTIFW S MAY BE ISSUED OR MAY PERTAIM THI:INSURANM AFFORD90 BY THE POLICIES DESCRIBED HEREN M SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDMM Of SUCH POUCIES.LAk M SHOVIDI MAY HAVE BEEN REDUCED HY PAID CLAIMS. LTR TYPE MMURAMM NuIA LIMB GENERALLUMV EAMOCCUMNCE S 100010 ® �1ERAt L�BSlIY AMMTm t S 100,E Q D � 1111089 11!1012012 11110/2813 a are era s 5,000 A PERSONALBAOY MAM S 11000,000 D t3QiERtU AQORE3ATl $ 2,000,000 aMLAGMtECAVEUWrAPPMPER; 1,000,000 D ► O M ❑ L kUTOMOPLE UuRMRY ComwNwowaELDET a r❑ AMAUTO WMY WA)RV(PerPelsattl 5 U ALL OMI M AUTOS 5=yquuKy(parmawG4 S ❑ SMIEQULJ Mve PRO Siff mq A Q : w4wwroa lPa ? Q AUr� S D UMOW LALWB ❑ EAOWRq%MSWA S s t,AB AGGRMATE S ❑ DMUCTMLe s VwRKSOCOOPPISArm A�1 1.OY@RS LYIBEIIY yi AXfPRtIPRlET4ER RJE rFIM MIA ELPJ1Ci1AMMKT $ to> EL DNEAN•EAEIAILOYE 0 tlesCllbe 6 �'" -1 Ww E.L.Q -P"QI.tCY RE S aFaFMTKMiLMATMai EB(Amaeh AO0R0101.A*Mjm N IsragrAmM PLUMBING CONTRACTER CERT(RICATE HOLDER CANCELLATION SHOULD ANY OR THE ABOVE 0E8CRIBED POLICIES M CANCILIX0 BEFORE THE E PIRAIM DATE THEREOF,NOTICR W0.1,BE DELIVERED IN WtmW NE Shores nd Acv t�iePl �ROAMZ WM4 THR POLICY PROV1B1ON8. Miami Shores FL 33163 • AUTHOFaW REPrAMEMTM . ta 1988,2009 ACORD CORPORATION. All rVa reaervocL ACORD 25(mil 4F T1laACORD nor a mW logo ere Elam of ACOR4 I Miami Shores Village Building Department 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 AU G 2, Z 2013 Tel:(305)795.2204 Fax:(305)756.8972 INSPECTION'S PHONE NUMBER:(305)762.4949 - BUILDING Permit No. EL-3-13-633 PERMIT APPLICATION Master Permit No.Rc-3-13-632 FBC 20 Permit Type EleCtTiCal OWNER:Name Simple Titl der):NL CONSULTING,CORP. Phone#: Address:2305 N STATE R 7 City: HOLLYWOOD State: FL Zip: 33021 Tenant/Lessee Name: NIA Phone#:NIA Email: NIA JOB ADDRESS: 163 NW 101ST STREET City: Miami Shores County: Miami Dade Zip: 33150 Folio/Parcel#: 11-3101-023-0150 Is the Building Historically Designated:Yes NO X Flood Zone: CONTRACTOR:Company Name: SUNCOAST POWER&ALARM SERVICE INC Phone#: (954)543-0112 Address: 15041 SW 13TH PLACE City: SUNRISE State: FL Zip: 33326 Qualifier Name: JOHN ANNIS Phone#:IL aqq State Certification or Registration#: EC 13002067 Certificate of Competency#: Contact Phone#: 6010 3014 4-1 t& Email Address: �t<� r�® 10Ek SC + "jh DESIGNER:Architect/Engineer: NIA Phone#: NIA Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: ❑Address Alteration ❑New ❑Repair/Replace ❑Demolition Description of Work: CHANGE OF CONTRACTOR EL-3-13-633 Interior Remodeling Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$ Bonding Company's Name(if applicable) NIA Bonding Company's Address WA City WA State WA Zip NIA Mortgage Lender's Name(if applicable) WA Mortgage Lender's Address WA City N/A State WA Zip wA 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 is ed. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this Z3 The foregoing instrument was acknowledged before me this day of u_,206 ,by W L(yL-'4S l.A-Jnf LFIE4,U day of )tit. ,201,by J V�W PoVMS who is personally known tome or who has produced who personally o o me or who has produced f-uv..)v As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY P Sign: Sign: 140TARY PUBLIC-ST i L Ur r Print' FLORIDA Print: •"" -, Jordan Kohn Jordan Kohn = =Commission#DD9194 My Commissi pires: Commission#,DD919494 My C ssion Expires;, a-Expires: AUG.24 2013 .••`Expires; AUG.24,2013 P BONDID THRU An-9N 17C BO\-DING CO.,INC. BONDED THRU ATI P-N IC BONDING CO.,INC. APPROVED Plans Examiner Zoning Structural Review Clerk (Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) s , Miami shores Village wilding Department ' 10050 N.E.2nd Avenue �R ► Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CHANGE OF CONTRACTOR/ARCHITECT 411ormit N. !�L-343-633 Owner's Name.F"ftple Title Holder):NL CONSULTING CORP Phone#(305)886-8022 CN Met's Address: 2305 N STATE ROAD 7 City: HOLLYWOOD State: FL TIp Cie:33021 Jo Addregs(&Where Work IS beh9 done):163 NW 101ST STREET City: Miami Shom Scat @:�FIodda 4p Cod@:33150 C.ontractar's Company Nome: SUNCOAST POWER&ALARM SERVICE Phone#:(954)394-7126 Address: 15041 SW 13TH PLACE City: SUNRISE State;FL Zip Code;33326 Qualifiers Name: JOHN ANNIS Lie.NUMber; EC 13002067 Architect/Engineer of Record Name: ARSHAD VIQAR Phone P.(786)663-9439 Address: 1175 NE 125TH STREET SUITE 610 C4.- MIAMI State: FL Zip Code: 33161 ctCritle work: ELECTRIC FOR INTERIOR REMODELING:Kitchen,Two Bathrooms&16terior 1 hereby certify that the work has been abandoned and/or the contractorlarchitect is unable or unwilling to complete the contract. I hold the Building Official and the Miami Shores harmless for all legal invohr t. signature' Signature .! rAd 00 Aw The foregoing Instrument Was eknowledged before me The foregoing Instrument eknowledged before me the 73 day of Ac�r .mP by this L 3 day of #vC- Eby , k-,-A^,� Who is persondy knoum to me or Who has produced Who is malty known to me or Who has produced -�� as Indentilicadal. as inc&itl . Y ftn: NO rks: IC-STATE OF FLORIDA OTARY PLBLIC-STATE OF FLORIDA Jo rdan Kohn r:� Jordan Kohn ommission#DD919494 Commission#DD919494 xpires; AUG.24,2013 `' `.'`Exp res: AUG.24 2013 BONDED THRU ATLA NTIC BONDING CO.INC iO,�J TLL;U OP, LIGHTHOUSE POINT BRANCH LIGHTHOUSE POINT, Florida •' 330649997 " 1158540432 -0096 �' s. . ° • • 06f09/2013 (800)275-8777 12:33:57 PM ti A s^ L � � x r A Sales Receipt - � �: •�_� � _,. ,�,,. Product Sale Unit Final u..` Description Qty Price Price �- $0.46 0432 Cr Postage $ P_ �„ � � i'iIANI FL 33181 Zone-1 $0.46 83.10 \�t1�pU S F First-Class tail Letter C3 M RetumReceoFee $2. Q 0.30 oz. p rsementReWked) Scheduled Delivery Day: Sat 08/10/13 C3 eWct�aelireryFae c>b �� Return Rcpt {Green Card} $2.55 D raement Required} $0°0 ^ty @@ Certified $3.10 C3 ib.11 S i79 $ Label #: 70130600000079466704 -D Total Postage ge&Fe $ nnaaamaa M Issue PVT: $6.11 A ---__. FL_—F-.-C---9--C__.$. -1 $ 0.46 HIALEAH FL 33015 Zone _--_-e c 0`85 e First-Class Mail Letter �` ----- ------- --- -----•- ------ ---- ----- --- 0.30 oz. QCCTA Mtotr l � � y`� ' Scheduled Delivery Day: Sat 08/10113 Return Rcpt (Green Card) $2.55 @@ Certified $3.10 Label #: 70130600000079466698 sameaaaa Issue PVI: $6.11 Total: $12.22 Paid by: VISA $12.22 Account #: XXXXXXXXXXXX1330 Approval #: 035320 Transaction M. 920 i -� US �®'-Track&Confirm httpsJ/tools.usps.com/go/TmckConfmnAction-action Er*om customer Service USPS Motaie Registerl S%n M uspsot a � � Search USPS.com or Track Packages Quick Tools Track&Confirrn Ship a Package Send Mail Manage Your Mail Shop Business Solutions Find Find USPS Locations BU Ps Cac "M k & Confirm Find a ZIP Code^' Hold Mail C NI;C$$^'3rxBM'4VDATES PKWY DETAILS YOUR R SERVICE STA AISMEYOUR ITEM DATE&Tau E LOCATION FEATURES 701 04 Ftrst-Class Mail* Delivered August 12,2013,11:44 fan MIAMI,FL 33181 Scheduled Del"Day: August 10,2013 Certlflael Mail's Return Receipt Arrival at Unit August 10,2D13,7153 am MIAMI,FL 33181 Processed at USPS August 10,2013,218 am MIAMI,FL 33152 Origin Sort Facility Depart USPS Sort August 10,2013 MIAMI,FL 33152 Facility Processed at USPS August 9,2013,11:44 pm MIAMI,FL 33152 Origin Sort Facility Dispatched to son August 9,2013,8:29 pm POMPANO Faa:i4ty BEACH,FL 33084 Aasptarice August 9,2013,1232 pm POMPANO BEACH,FL 33084 Check on Another Item What's your label(or receipt)number? LEGAL ON USPS.COM ON ABOUT.USMCOM OTHER USPS SITIES Privacy Policy Govemlent Services) About LISPS Home> Business Customer Gateway> Terms of Use Bury Story&Shop) Newsroom) Postal Inspectors) FOIA> Print a Lebec with Postage> USPS Service Alma> inspector General 1 No FEAR Act EEO Data) Customer Service r Forms&Publications) Postal Explorer> Delivering Solutions to the Last Mile) Careers) Site Index> almSC©" Copyright@ 2013 USPS.Ali Rights Reserved. 1 of 1 8/23/2013 8:22 AM Date:08/08/2013 AJL Electric Inc. ATT:Anthony Lupo 12408 N Bayshore Drive North Miami,FL 33181 To whom it may concern: Please stand advised that you are no longer the permit-holding contractor on the following projects PERMITS: EL-3-13-633(electric) ADDRESS: 163 NW 101sT STREET,MIAMI SHORES,FL 33150 OWNER: NL CONSULTIN CORP For Information regarding this change of contractor,please contact the previous prime contractor,MO(Construction. Since, i NL Consulting Corp n .... a.n� 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. X COPY OF QUALIFIER'S STATE LIC CARD B. X COPY OF LOCAL BUSINESS TAX RECEIPT X INSURANCE CERTIFICATE HOLDER TO BE MIAMI SHORES VILLAGE BLDG DE C. COPY OF LIABILITY I SU ( PT) D. X COPY OF WORKERS COMPENSATION(EITHER CERTIFICATE OR EXEMPTION) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICE OF COMPETENCY OF QUALIFIER B. COPY OF MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'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 COMPLETE CONTRACTOR'S INFORMATION BUSINESS NAME: SUNCOAST POWER &ALARM SERVICE INC BUSINESS ADDRESS: 15041 SW 13TH PLACE clTYSUNRISE STATE FL ZIP CODE 33326 BUSINESS PHONE: 9r 543-0112 FAX NUMBER(954 ) 543-0112 CELL PHONE C2�) 543-0112 QUALIFIER'S NAME: JOHN ANNIS QUALIFIER'S LIC NUMBER: EC 13002067 E-MAIL ADDRESS OF APPLICABLE): JOHN@a SUNCOASTPOWER.COM CreaW on MW BY MLDV I RV 30M MLDV BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S.Andrews Ave.,Rm.A-100,Ft.Lauderdale,FL 33301-1895—954-831AOGO ! VALID OCTOBER 1,2012 THROUGH SEPTEMBER 30,2013 t f Dme:SUNCOAST POWER AND ALARM SERVICE, Receipt#-��I2C LIALAIdMS/CONTRA BUSIne55 Name:INC Business Type* CONTRRCTOR), Owner Name:9Otm R MINIS Business Opened:01/29/2004 Business Location:15041 SW 13 PL State!County/CerUReg'EC33002067 i FT LAUDERDALE Exemption Code: Business Phone:954-423-1321 i Rooms Seats Employees Machines Prolimlonals i 1 For Vesidirrg 8uoinere Only ! Number of machines: Vending Type: Tax Amount Transfer Fee NSF Fee t Penalty Prior Years Cofection Cost Total paid 27.00 3.00' 0.00 s9.7o 1 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Broward County IN x,m I non-regulatory in mature.You must meet all County and/or Municipality planning WHEN VALIDATED and zoning requirements-This Business Tax Receipt must be transferred when 1 the business is sold, business name has changed or you have moved the I business location.This receipt does not indicate that the business is legal Or that ! it is in compliance with State or loco!laws and regulations. i Mailing Address. JOHN R ANNIS Receipt tt02A-11-00005330 15041 SW 13 PL Paid 08/23/2012 29.70 FORT LAIDEP.DAL3, FL 33326 2012 - 2013 AC# 6228732 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD SEQ#L12072601463 DATE BATC14 NUMBER LICENSE NBR 07/26/2012 128018290 8013002067 The ELECTRICAL CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2014 ANNIS, JOHN R SUNCOAST POWER & ALARM SERVICE, INC 15041 SW 13TH PLACE SUNRISE FL 33326 RICK SCOTT KEN LAWSON GOVERNOR SECRETARY DISP.LAY AS_REQUIRED_BY LAW � 07-11-2012 9 gg JEFF ATWATER STATE OF FLORIDA N Cc CHIEF FINAHCnAL OFRCER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION r pQ * * CERTIFICATE OF ELECnON TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW CONSTRUCTION INDUSTRY EXEMPTION IZ u'' �b uj This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. r" p .J 01 S 0 � � EFFECTIVE DATE: 07111!2012 EXPIRATION DATE: 07/11/2014 I H o vi Uzi a p" PERSON- ANNIS JOHN R Z rn r jr o u, a, 5 FEIN: 454478802 7 Z 2to ' ' x BUSINESS NAME AND ADDRESS: Q b SUNCOAST POWER & ALARM SERVICE INC 15041 SW 13TH PLACE SUNRISE FL 33326 SCOPES OF BUSINESS OR TRADE: 1- BURGLAR ALARM INSTALLATION 2- ELECTRICAL WIRING WITHIN BUILD #.w„ IMPORTANT: P-M&M to CUP—440 .551141,F S.,a eltim of a cotywalia who Item evesplion fr.s this drainer by CIO,, •cerhiicate al election nods Mi. - 1—M.nny s.t roc er baselils w c.agwnsafien user this chapler Perna to Chapter 440.951121,F.S.,Unitises of leetine 1a be e—ift- aMly only..ithi.tee 00 nape e1 the 1.1.SL.1 trade lines.ee.cite d eleafee M be a ,Oot Parsaal Is Ch>♦tes 445.051131,F.S.,Ilnlicez of elf0loo to be drip!a4 cenitrcates of elediea to he e-opt shelf be sebi-I Io tea adia 4.al ay if—after the filing of the voice w the isaan«of the cerlifkm,the person neme4 a the notice w Certificate a Innget Reels the regw—eels of his section tar f..—.1 a e 01cate- The &W...still ..vote a certificate I m, f—to,tailors of the Pwsoe : A RV CERTIFICATE OF LIABILITY INSURANCE /212013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTWICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALIM THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUE INSUREDS), AUTHORLZ M REPRESENTATIVE OR PRODUCER,AND THE CERT69CCATE HOLDER. { IMPORTANT. If the certificate holder is an ADDITIONAL INSURED.the pollcy(les)must be Endorsed. If SUBROGATION IS WANED,sweet t� the teems and aarlditlana of the policy,certain policies may require an endorsen namL A statement on this certificate does not canter rights to titter csrBflcate holder In Neu of such endorsenwnt(s). PRODUICER am. Cc mepereial Lines :B=ening Insuralxwe PHONE (954)X173-1466 .(954)493-16fi2 2700 S. Commerce Parkway °" L Suite 309 INSIUMNS1 AFFOROMCOVIEIt4GE NAlcs Weston IPL 33331 INSURERA:NOVa Casualty C _ 2552 INSIIRIED INSURER B ' $i>;7 cmwt: Power Se Alarm Srerv:Lce, Inc WSURER C 15041 SW 13 Plaice INe,RIER D E: E Suarise PL 33326 lNSU1RERF- COVERAGES CERTIFICATE NUMBER:CL12 719032 98 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED FLOW HAVE BEEN ISSUED TO THE INSURED NAINED ABOVE FOR THE POLICY PERIO INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CON13MOI tl OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH TH CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERU EXCLUSIONS AND COM1)iT1ONS OF SUCH POLICES.UMITS SHtllntnl MAY HAVE BEEN REDUCED BY PAID CEAIMS. tYPEOFINSURANCE POLICY NUMBER Pt9L�`I INWyoffyMn LNIFTS GENERAL LIABILmI EACH OCCURRENCE 5 1,000,00 $ VArAME 1:0 COMERCIAL GENERAL LIABILITY SSE. N $ 100,0P A CLAIMS4AADE Q OCCUR D9AW72604 /30/2013 [6130/2014 MED EXP(Arvam y) 5 5,00 PERSONAL&ADV INJURY 6 1,000,0 O GENERAL AGG TE $ 2,000,00 CEArL AGGREGATE LVrr APPLIES PEt PRODWI S-COMPMP AGC, $ 2,000,60 S P41JCY PR{) LOG $ AUTOMOBILE LLABILITY BAti Q LWT ANY ALrW BODILY INJ W(Perpmam) g �O SAS 900ILY INJURY WerB�de nt) S HiREOaur4s AUT03N PRer E $ --i- s � UM1BPELLALIAa OCCUR EACH OCCURRENCE $ i EXCEBaLIAR CLAIMS-UWE 'AGGREGATE 5 O RITE nON $ WORKERS COMPENSATION TV. AND OMPLOVIEW L1ABpJ7Y ANY PROPRIFICIPPARTNER J7NE YEN $ OFRGFPJMW9M EXCLUDED? a NIA Et EACHACCfDBdr lam in NH) t El DISEASE-EA 8WL4YE S I_tyy��,,de ,•e:d� I OESCRIPTCN OF OPERKNONS WOW F.L.DISEASE-POLICY OMIT s e I OE$CraPumoFOpEmn0NSILOCAT10NS!VEHICLES(AIW AACURD101./pdid6wWRemarka 1%lrn m agow isrequiveQ Plealee, refer to looney for termer, canditiotts and exclusions. CERflFIQATE HOWER CANCELLATION SHO ILO ANY OF THE ABOVE DE$CIRISIEM POLIGNES BE CANCELLED BEFORE THE ExPIRArON DATE THiDIEOF, NOTICE wiLL BE DE rvERED rm: Miami Shores Bldg Dept AcxoRDANCEMTN THE OUCYPR0%gSIOW. 10050 NE 2ND A7E Miami Shores FIB 33138 AUT)1ORIZIEDRF.PRSBENTAT11tE J Bradley BruexLing{LP ' ACORD 25(2010105) ®1988-2010 ACORD CORPORATION. All rights mae+ved. IINS029i mmeaw Tha er'ftan name an,4 Gann am ranIcUmwi movke rsf Ar!r�t}f1 I