DEMO-11-840 �S y
RVu u.„ Miami shores Village
� Mo Building Department
R�p► 10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305)756.8972
RECEIPT
PERMIT#: �:. '` �� DATE: h l 1
/Contractor
❑ Owner
❑Architect
Picked up 2 sets of plans and (other) z
Address: )(' 10 P"J�E—
From the building department on this date in order to have corrections done to plans
And/or get County stamps. I and . hat the plans need to be brought back to Miami
Shores Village Building Dep rt t o c n n permitting process.
Acknowledged by:
PERMIT CLERK INITIAL:
RESUBMITTED DATE:
PERMIT CLERK INITIAL:
Miami Shores Village a
Buildin g Department
artment
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795.2204 Fax:(305)756.8972 A a.
INSPECTION'S PHONE NUMBER:(305)762.4949
BUILDING Permit No.
PERMIT APPLICATION Master Permit No.
FBC 20
Permit Type: BUILDING ROOFING
OWNER:Name(Fee Simple Titleholder): CtOU'de • Phone#:
Address: 16 10 tor srree4
City: l t M 1 state: t1L Zip:
Tenant/Lessee Name: Phone#:
Email:
JOB ADDRESS: 16 10 U E- tT
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:
Is the Budding Historically Designated:Yes NO X Flood Zone:
CONTRACTOR:Company Name:^klars da c% (atu u b LL.C, Phone#: (q 80 -m-L 1 a`1 c
Address: S48 S11CW1 AVWAU. SL1-be QC2.
city: 1-A`a M I State: fk— zip: 33131
Qualifier Name: LLAI f!lkn k1a WA k ® Phone#:
State Certification or Registration#: cez,C 15 ®`d b Certificate of Competency#:
Contact Phone#: C 18 C) 7-7-7,1 13 )C Email Address:
DESIGNER:Architect/Engmeer: Phone#:
Value of Work for this Permit:$ Square/Linear'Footage of Work:
Type of Work: DAddition ❑Alteration ONew ❑Repair/Replace Demolition
Description of Work: e .. mo wAt ow ® eact t1i viA r—A"ein 6 VOeO ltS ®b r�- ,
'S tat A t-OVA tin
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$
f
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
P Pe P� � g
' for CAL WO PLUMBING SIGNS
construction m this jurisdiction. I understand that a separate permit must be secured ELECTRICAL WORK, ,
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$2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law b Kure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of c nc t must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is iss n t en of such posted notice, the
inspection will not be approved and a reinspection fee will be charged
Signature Signature
Owner or Age t ntractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this.
day of Qa ,20-R—,by Gluyd� IBMV4 day of D a ,20 11 ,by �l� 1 ,
who is personally o me or ho has produced who is rsonally to me or who has produced
As identi anon and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC•
WAYNE SUVENS
Sign: Sign: A SLAVER
otarY to of FlOrlft
Print: Wa mission Expims Jul 22,2011 Print: of Florida
Commission#DD 897481 Y Ion n nqXres Jul 2Z,2011
My Commission Ex eomi Throu h National Note A My Co s S:Commission#DD 897481
'Bonded Throucth National Notary Asim.
sk sja 9k���=k��k�k�ass�k�sa�e�a$c��$z$a$a�a$afa$a�k�k�k�k�$z$e�a$Q¢$c$a$a$a seek$sqa$aa�aagga��k gssg�csggs�a�wksie�k�:i��kak�k�9k�k�ek�Ie�R��ss�R«k�'s�sk�k��k�k8cok'k�kagsFOk ski�Qa4•�k�k�k=k��
kXagaga$e
APPROVED BY Plans Examiner Zoning
Structural Review , Clerk
(Revised(Y7/10/07)(Revised 06/10/2009)(R"ised 3/15/09)
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395
' 1940 NORTH MONROE STREET
��a►are ` TALLAHASSEE FL 32399-0783
NARANJO, LUIS FELIPE
-THE MARSHA GROUP, LLC
88488 BRICKELL AVENUE SUITE 602
- ----------.___- --- .. ........---------- ----- ----- ------------
Congratulationsl With this license you became one of the nearly one milC
PAM
3
_
Fltmdians bcensed by the Depart►rrent of Business and Professio nai R egulation.
Our professionals and businesses range from arothiteds to yacht brokers,from f _ -
boxers to barbeque restaurants,and they keep Florida's economy strong. '
Every day we work to improve the way we do busing in order to serve you better.
For information about our services,please log onto www.mytiorldallicensecom. y 4
There you can find more information about our divisions and the regulations that
impact you,subscribe to department newsletters and learn more about the • ti
Department's initiatives.
Our mission at the Department is:Ucense Efficaentty,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 licensel
i
a DETACH HERE i y
az?. .-a '` ✓ y,, jt - ;.. �s ^-?.°�:a'-°`.._ •'�... &`s �3 r '�" °.'�P'ri�hf jd ' SN'J sF ._,-Id aa�-, `sue°}r-
MEN
r�Tj'
�:r�,». - ✓ise as k� � W64 1 <•' ° Q
q 'e ei° NON
'if `
yI'1h _ a
°-.—.a.� r ;r a,5.e � '�'�,. '� ""+'b�, 5= °v� - - e ,�y.'fw�'rw'. ",—.. ,��-�r�,-_ a'- •--=''.�s
CERTIFICATE OF LIABILITY INSURANCE 50
o5rovl,
THIS CERTIFICATE IS ISSUED AS A MATTER OF WORMATION ONLY AND COWERS NO RIGIM UPON THE CERTIFICATE NOLM R THIS
CERTIFICATE DOES NOT AFFMATIVELY OR NEGATIVELY AMEM.WSW OR ALTER THE COVERAGE AFFOWED BY THE POLICIES
BELOW THIS CERTIFICATE OF MMIRANICE DOES NOT CONSTITUTE A CONTRACT SETWIEII THE ISONIG DMIJI qS),AUTHORIZED
PJPMENTATIVE OR PROMER,AND THE CERTIFICATE HOLDER
IMIK=M. a the cwdbcoft hahhx is an ADDITIONAL tNSIRED,the pollcypa)must be endorsed.IfSURROGATIONISVAVECksubjectto
the boo slid cona$tlons of the pollM certain pucks may retltdre an endorsomnt A sUbmaten misdate does not cotfleir rights to the
cue hostler In Net of such ergarsementfsA
PRODUCER CONTACT
WAAM
USA GwvmEd I mmn)WI A kwurEum Agency F
IAMOL Not
5841&W.I37thAVe.
Narrd,FL':3W83 PRODUCER
Phorre )3 Fax (305)3 344 LSE miucs
wsuRER A: Amt Ureaar=Company
The Nersha Gmup L L C p :
848 SddW Amm#60L n C:
Warrd,FL 33131 rr o
BOUFIERE:
F:
CAS CER11WRTE N l NUMOM
THF,S I►TO CEW"THAT THE POLICIES OF INSURANCE LISTEQ BE.CW HAVE BEEN ISSIJED TO THE I NAMED ABOVE FOR THE POLMY F W_W_
INDICATED. NCTVff fSTANOlNG ANY REQt HWKE JT.TEMA OR Chi OFANY CONTRACTOR OTHER OOCUMENT V0M RESPECT TO WHICH THIS
ATE MAY BE ISSN OR MAY PERTAK THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HE IM IS SUBJECT TO ALL THE TERMS,
EXCLUSnO AND COMMONS OF SUCH POLICIES.LlMMI SHOWN MAY HAVE BEEN lMJCED BY PAN?CLAIMS
LTR TYr OF tY RRM Loam
GENERAL UABn nY EACH OCCURRENCE $ 1,000,000
0 Co ta&G Ar.uAsm ,.: $ 1 ,006
❑ ❑ � ® occuR AGL MW EICP' ow $ 5,000
A ❑ o�oarzolo X11 PERSONAL&NNOLRW $ 1,000.000
❑ GENERAL AGGRSEGAX $ 2,000,000
GO& TELMTPPPLESPER: PRODUCTS-C PAGG $ 2,000,000
❑ Pal p M p LOc $
AUTONNXX3LE UAB L11Y CO L Wr $
❑ ANYAUM somyNWRJRY(Papefw* $
❑ ALLOWNWNRCS ODDLY KKRYtPw $
❑ SCHEMUMAUM W DPA AGE
❑ IAUTOS
❑ N O*N4%VN®NJ= $
❑ $
❑ UUMM A Las ❑OCCUR EAM $
El I LM p CUMS 4AM AGGREGATE $
❑ $
lTEfElmpm s $
WORPMRSCOMPSM710H WasTATU orEr
MID�LOYER&LAiARM Yr
JAW
AW NrA EL'r r r $
(mandatwy in Mfl _E.LmssqsE.rAE%wLoypj$
C OPERATK=Wm Fa -PDL�Y l9fArr $
D=Rli=OFOMRA=MILOCAT rV IA hAt 101, opt ute.ttmcie regidre�
Geiaai C or
CERTIFICATE HOLDER CAN(ELIATION
SHOLRD ANY OF THE ABOVE DESCRISM POLICIES BE C:ANNCELJ.E
THE CATION DATE THEREOF.NOTICE VALL BE DELIVERED W
Iuvtla W Shores Vdiage ACCORDANCE E WFIN THE POLXY
Bting Dad
10050 N.E.2nd AVefwe AUTIUNCREDREPREMENTA710
Kmffd Shores,Fl.33138
0 1OW049 ACORD tORPORATNONI. All 0oft resarved.
ACORD 25'(AMMS)OF The ACORD name and logo are registered nuMm of ACORD
CERTIFICATE OF LIABILITY INSURANCE 5/011
prod„: Lion Insurance Company This certificate is issued as a mate Information only and confers no rights
2739 U.S. Highway 19 N. upon the Certificate Holder. This Certificate does not amend,extend or alter
Holiday, FL 34691 the coverage afforded by fire poles below.
(727)93$-5562 1 Insurers Affording Coverage NAIL
=neared: South East Personnel Leasing, Inc. Instaerk UonImranceComla" 11075
2739 U.S. Highway 19 N. Insurer B:
Holiday, FL 34691 Insurer c:
Insmr D:
Instaer E:
Coverages
Thapofides n surance ti w have n to it aed abmre Itm p WcY n cat any recpnremem term or w on any axsract a r respect to r
this certificate may be issued or map pertain,ttre irtauance afforded bythe polices described Mein is subject to all the terms.exclusions,and conditions of such policies.Aggregate Omits
shown may trove been reduced by
paid claims.
INSR ADDL Pormy Effective Poky Expiration Data Limits
LTR OC 0 Type of Insurance Policy Number Date
(MM/DDNY) (MM/DDNY)
GENERAL LIABILITY Each Occurrence
Commerraal General Liability
Claims Made ❑ Occur occurrence)arerred premises(EA
t Mod Exp
aggregate ttrtit appt;es per. Personal Adv�y
Policy Project ® LOC General Aggregate
Products-ConplOp Agg
UTOMOBILE LIABILrrY Combined Single Limit
Arry Auto (EA AcadeM
'I
t3o�ly Injury
A9 Owned Autos
Scheduled Autos per Person)
1-fired Autos BMN kw
Non-Owed Autos {Per Accident)
Properq/Darnage
(Per Accidem)
EXCESS/UMBRELLA L44BILITY EaO Occurrence
Occur ❑Cal me Made Aggregate
Deductible
A Workers Compensation and WC 71949 01101/2011 011012012 X Wo Slat, OTH
Employee y to t Lands ER'
Arry proprietor4winedexecu6ve officerimerriber E.L.Each Accident 81,000,000
excluded?
E.L.Disease-Ea Employee 81,000,0
If Yes,describe under special prmsons halals+.
E.L.Disease-Policy Carets 81,000.000
Oftr Lim Insurance Company Is A.M.Beet Company rated A-(Excellent). AMB#12616
Descriptions of OperatiormaAcatiot'LSNotdcM sfExckmlons added by EndorserneirdfSpecial Provisions: Croft M. 80-65-984
Coverage only applies to active employees)of South East Persormel Leasing,Inc.that are leased to the following"Client Company":
The Marsha Group,LLC
Coverage only applies to injuries incurred by South East Personnel Leasing,Inc.active ernployee(s) ,while working in Florida.
Coverage does not apply to statutory employee(s)or independent contractor(s)of the Client Company or any other entity.
A list of the active employee(s)leased to the Client Company can be obtained by faxing a request to(727)937-2138 or by calling(727)938-5562.
Project Name:
FAX 786-866-6455/ISSUE 05-09-11(TD)
Begin Date:l 21 1111
CERTIFICATE HOLDER CANCELLATION
VILLAGE OF MIAMI SHORES BUILIDNG DEPARTMENT Should ary of the above described policies be cancelled before ffie expiration date thereof,the issuing insurer wii
oMeavorto mail 30 days rw tten notice tD the certificate holder named to tare tek butfaiGue to do so shall impose no
obligation or liabifity of ary IoM upon the imwer,its agents or represettafives.
10050 NE 2ND AVENUE
MIAMI SHORES, FL 331313e+' M �
tW
a " �1j €1ii�SLE VlKL �f1T�U � r y
KA
�`sC
�w� �{ p
�"{�18-1918
'1S�1t3II� Nei°'latr?.��±t�Tc�TA�FEE PLAID: $4'39� , � won thohdderftm
x
A
y I =N
� r
11
Tt '�1"'�
TQ_t 91F3
..f- ,��` r'�� �� �"��z,-F�s�-a w -r `^z�C_ra!'��"r xir `�'�°t�«�k>•����.�' � °� ��'�.� � .dk..Y i
w
}... w
Y
lilt I .VA-ML
NOTICE: Tfft.�
`iERTIFICA- t him c�itHtcate must`as
�+. ..
F19t aAFf �a = ". :S.W., '�Memo.4 Ftocttr
BUSINESS.IkAt E NAht ILA
DATE.Issu 9 t9 l i
04N1"I t911 TO2i'I
VALID FRS ., _
ACCOUNT N11141 SM-44885 t?4 B9B
SERIJICE;�CJIDRE�.S 848.131 .1.�V
A1'F'13011ED
RE$TRICTIQI ; c
k�7C �A t[ E�
NAME
t1.S POSTAGE
R 01W,
PAIL?
NO fit
54 10-
ptFl14_ =
r
THIS tS NOVA'S►[L-€O NOT PAY.
_ — 6729'x8 RECPt'N 700296-7
builk S Nt E/COCA QN
M SHA 6ROUP.:LtC THE STATfB C$DIB11870'
848 BR:ICKtLL AVE 602 "
3333I I�ILI .:. <
ot +
NAltSHA CROUP LtC THE
804�+T"o Bi)$1.11 IG I #RKE S►
.rats tr;
f
xo�t �OR
NOT FoESwARo
MARSHA GROUP LLC THE
LUIS FELIPE NARANJO MGR e
848 BRICKELL AVE 602
MIAMI FL 33131
12/OSf f1
027004001 18
411004�5
3 1 2-1 11 l_,a,
1 115, G Miami shores V
o,,, ,,,,, Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
�R,�A Tel: (305) 795.2204
Fax: (305) 756.8972
Permit No: 11-840
Job Name:
May 12, 2011 Page 1 of 1
Building Critique Sheet
1) Plans must be approved by Miami dade DERM.
2) All permit applications must be submitted prior to any further review.(electric, plumbing,
mechanical)
3) The scope of work exceeds demolition.
STOPPED REVIEW
Plan review is not complete, when all items above are corrected, we will doa 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.
Norman Bruhn CBO
305-795-2204
R�x
Miami shores Village
Lo�� Building Department
�'�pR�pp►. 10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
RECEIPT
PERMIT#: DATE:
I,
• Contractor
• Owner
•Architect
Picked up 2 sets of plans and (other)
Address:
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 Department to continue permitting process.
Acknowledged by:
PERMIT CLERK INITIAL:
RESUBMITTED DATE:
PERMIT CLERK INITIAL: