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MC-13-157 (2) s 200 2 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 nspection Number: INSP-202412 Permit Number: MC-1-13-157 Inspection Date: November 04,2013 Permit Type: Mechanical - Residential Inspector: Perez,JanPierre Inspection Type: Owner: HOLDINGS IV, LLC, HSL PROPERTY Work Classification: A/C Replacement Job Address:766 NE 96 Street ff " Miami Shores, FL Phone Number Project: <NONE> Parcel Number 1132060142070 Contractor: AIR CONDITIONING BY WORD IND Phone: (305)232-7070 Building Department Comments INSTALL NEW CENTRAL A/C UNIT DUCTING TO ROOMS infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Failed El Correction Needed Re-Inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid. For Inspections please call: (305)762-4949 November 04,2013 Page 1 of 1 Miami Shores village T Building Department Nov I ,z 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel: (305)795.2204 Fax:(305)756.8972 _ INSPECTION'S PHONE NUMBER:(305)762.4949 -- � C* -( � FBC 20 l BUILDING Permit No. /- PERMIT APPLICATION Master Permit No.?==CA�A— eat KO Permit Type: BUILDING ROOFING JOB ADDRESS: A19 City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated:Yes NO Flood Zone: OWNER:Name ee S' 1e Titleholder (F p ) #: m Phone Address City: State: Zip: Tenantaxssee Name: Phone#: Email: CONTRACTOR:Company Name: b !r✓G✓C ����� o� ��Phone#: Zsl 1 Address: l o`l /n tit/ 20 57� City: ate•• ��. Zip: ��- w Qualifier Name: ey.1'-A?e i 2 Z1'e 7z' Phone#: —77-n_..Z,�5-/-231S' State Certification or Registration#: Certificate of Competency#: Contact Phone#: ��Z�/—G''3�1`�r' Email Address: I/1WArtW?_1CCM Q-0/7OV-Cx''y-' DESIGNER:Architect/Engineer: Phone#: Value of Work for this Permit: '5,0 4.®� Square/Linear Footage of Work: Type of Work: DAddition DAlteradon ONew Cepair/Replace OBemolition Description of Work: e k . e 5 4to��� o Q. 0 f lor Y Color. thfu file• z w :� �y�Es:� � �• Submittal Fee$��� Permit Fee$ 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) Bonding Company's Address City State zip Mortgage Lender's Name(if applicable) Mortgage Lender's Address City State zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGNS, WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS and AIR CONDITIONERS,ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspectio4willt e roved an,,d a reinspectiap fee will be charged. Signatur Signature Owner or Agent _5- Contractor 1 The fore o' g instrument was acknowledged before me this 1- The foregoing instrument-w/as acknowledged before me this day of C✓ 2 y le��g�4, clay of / ,.2(I�—,by who is ersonall o e or who has produced who is personally known tome or who has produced As identification and who did take an oath. as identification and who\(AEH d #*,path. \\\\\\ NOTARY PUB NOTARY PUBLIC: \\ .••• .•%%,�� ,Sign: Sign: Print: §T4 Ar r k - A/ Print: 'My Commission Expires: My Commission Expires: `'�,°9.✓ '°" \� SHERI MARTINI ��rfetlllll►It1\��r a,,ra►��p"4�'4 � ��o�I- er • iNy omm.Expires APPROVED BY Commission#►DD 90 dTAraughn�' Zoning Structural Review Clerk (Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) ANATOIJA ENGUMMC SEItVICES, UqC CONSULTING ENGINEERING 555 SOUTH POMPANO PARKWAY POMPANO BEACH, FLORIDA 33069 TELEPHONE: 954-394-5683 OR 954-682-6651 FAX: 954-903-4284 70EC 2 4Email rocastructuraide @bellsouth.net Certificate of Authorization No. 28792 AS BUILT CERTIFICATION City of Miami Shores Building and zoning Department Miami Shores,Fl. RE: Interior Drywall 766 NE 96th street Miami Shores,Florida 33138 Permit# :RC 11-12-2186 Gentlemen: An inspection was made on 10/22/13.I hereby attest the new drywall of this Building is structurally sound and satisfies the referenced project requirements of the 2010 Florida Building Code in effect of this date. December 2013.My Statement is based on the following methodology procedure:visual inspection. DRYWALLS: New %2" gypsum wallboard fastened with 1 '/a" Drywall screws at 12" on center over 1 1/z"XI/2" SP#2 wood furring at 24" on center vertically fastened w/4d cut nails at 16" on some areas of the building walls. I find that all aspects of this system conform to the 2010 Florida Building Code. Should you have any questions or need ant additional information,please do not hesitate to contact me. Best Regards, Carl G. Forbes P.E. #20699 .��`:++►��"�s,r,,, ,• G fi� !er ♦� rj N . 20699 ' .: w rrrr,s iO N A- 111111111101*' �,��, ! 111 I N111 111 OR 8t; 28481 Ps 0991; Ups) RECORDED 02/08/2013 11:09,43 HARVEY RUVINY CLERIC OF COURT NOTICE OF 1IMI-DADE COUNTY? FLORIDA COMMENCEMENT LAST PAGE A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO-129- I o TAX FOUO NO. l' � OO y� STATE OF FLORIDA: COUNTY OF MIAMI-DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Chapter 713,Florida Statutes,the following information is provided in this Notice-of Commencement. p Space above reserved for use of recording office 1.Legal description of prope d street/ dress: � � /i✓ �� c�T kx_a� 2.Description of improvement: 3.Owner(s)name and address: Interest In property: r Name and address of fee simple titleholder: �-.,4.G tra or's name, d and pion n; r: Gr9 5.Surety:(Payment bond squired by owner from contractor,if any} � Name,address and phone number. Amount of bond$ 6.Lender's name and address: 7.Persons within the State of Florida designated by Owner u be se �' prraw Section 713.13(i)(a)7.,Florida Statutes, �o Name,address and phone number. ®!},anal d �®r� Of c3 w. 8.In addition to himself,Owners designates the following pe en 's Notice as i1E 713.13(1)(b),Florida Statutes. HAR EF3E<,of CiraA CM4* '�c ® Name,address and phone number: R+ U. 9.Expiration date of this Notice of Commencement: (the expiration date Is 1 year from the date of recording un►ess a different date is specified). WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTION 713.13.FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION.IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR_RECORDING YOUR NOTICE_O_F_COMMENCEMENT _ - Signature(s)of Ow (s) r Ow er(s)'Authorized Officer/Director/Partner/Manager Prepared BY Prepared By Print Name Print Name Title/Office Title/Office STATE OF FLORIDA- COUNTY OF MIAMI-DADE ! The forgoing Instrument was acknowledg before me this day of By ❑Individually,or as far ersonally known,or produced the following`type of identification: Signature of Notary Public: JIM Print Name: Nota Pubric State of�tida (SEAL) Helse arez e My Commission EE 196011 IRIFIGATI®AI PURSUANT TO SECTION 92x25 FLORIDA STA S �eod`' Expires 05128=16 Under penalties of perjury,I declare that I have read the foregoing and that the facts stated in It are true,to the best of my knowledge and belief. Signature(s)of Owner(s)or Owner(s)'s Authorized Officer/Director/Partner/Manager who signed above: By By 123.01-52 PAGES 3110 fl$A ALL—L.I PIES I PIS ASSOC I ATES FAX PO. :3053872918 Nov. 16 2012 10:11AM Pi/1 CERTIFICATE OF LIABILITY INSURANCE DAttOMADW"YO 21 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION A& ALL—LINES ZNS ASSOC INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ! I HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ' 5640 SW 135 Ave Ste 106 AL R THE COVERAGE AFFORDED BY THE POLICIES BELOW. i Mianki, FL 33183 0 — _ INSURERS AFFORDING COVERAGE NAIC# wruRaCO VINNARD CONSTRUCTION, INC. mtmeKA: WBBTERN WORLD niguRADTCE Co. 1011 N.W. 207 ST. INSURER e: MIAMI, FL. 33169 INSURER C. SURER W. WISER E. COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEd TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.Nalwi THSTANDING ANY REQUIREMENT.TERM OR CONOFMN OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR I MAY PERTAIN,THE INSURANCE AffOROED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.EXCLUSIONS AND CONDITIONS OF SUCH NC-1i.IClE&.ACIGREGATE LIMITS SHOWNMAYHAVE BEEN REDUCF.DBY PAID CLAIMS. I t,R 9 _._. POLICY NUMIH FFF Y Tl Lea1113 . I GtNtNAL LWIL"Y EACn OCCURRENCE 01000. 1 7C 1 cnMM9ac,aLCFNFaAI I weuTY / PR&MIS A tAXMs CLAN5MADt ®vCLR -�_ n"nLxP MPP1322770 10/26/12 10/26/13 PERWN&aAuvmmY A1P000,000. i I (MNMM J4114MOATC It 2,000,000 M'-Nt AGINtEGAIt LmT APPLIES PER: PWMUCM.COMFWAGG $ 1.000,000 POUCY M Pad LOC nIITClADJNtEi•L48RITY COMBINED SINGLE LIMIT S ANYAUTO (Eaa1 Ai I OWNED AUl OS 9OINLY INJURY 9 w SCHEDULED AUTOS tI'�Careotll I M O AUTOS __. ... eoulLr INJt{I4Y � NONN4)WNWAUT0S t ea mnU PRO" Y R)AMAC3F S Cw+wA(A LMLITY AUTOONLY•CAACCIDENT S —~ ANYAUTU OTHERTMAN EAACC S AUTOONLY: ABC & FXCES•9AJNNKELLA LIABILITY EACH DCCURRGNCG $ OCCUR ❑CLAIMSMADS A(hMQATE 9 _ S DEDUCTIBLE S RMNTIDN s $ � 4RKERSCOMPENP.ATIAN AI./ I WWLLtYhw LIABARY �Y M i �Ar 4van+ IC�x�+Acear&:�piTnrR E.I.FACHACCIDENr S B w I mmwAmm on l (9 E.L DISIFASE-EA EMM E S11.01M C L.DLSFASF-POLICY LWI E OTHER fd.^,rhtt+ittamOFn FERaT�N911ncATWNSrvE'HICLESrdcc u►l4tDN$AUp673BVENM3asCU `NTISP6rlAI PROW,KING GEMRAL CONTRACTOR CERTIFICATE MRUMR CANCELLATION CITY OF MIAMI SNORES SHOULD ANY OI•THE ABOVE DZSCf=D POL(GIF8 BE CANCtLLtU DtKM THE EXrr%ATION BUILDING DEPARTMENT DATE THEREOF,THE SSUWC Ra m n m I r�NDEAVOR TO MAIL 30 DAYS wrnlrrN 10030 NE 2ND JI!IV== NOTICC TO 1 H6 I:Eimru;ATF-HOLDER NAMM 10 1 N LOT,aUT FA0.UW TO DD 80 SHALL MIAMI SHORES, FL 33138 WOOF ND t1f1I IGATWN oR L1ADUrrY ANY KINLi j -Tl*INSURER,I'M AWNT;i OR REPRO-$MATNVEB. AUTHORIZED"WRESENTATMC ACOR026(241/09) OACORD CORPORATION 1986 f v 7 /tit I A-ti l 1 5�4 4 2f 6FS - At0L ' ZOO BATHROOM RECEPTACLE ON 20 AMP CKT AND G.F.I PROM ow IL 3 3 o - - 0 I � 4 S OKE/CARSON MONOXIDE DETECTORS NO POINT ALONG COUNTER TO RE MORE THAN 5th ANY AND ALL CLOTH AND RUBBER 2 FEET FROM G.F 1 PROTECTED RECEPTACLE. INSULATED CONDYCTORS TO BE REP' F;6 �Vf NIp. R0� DMt RECEPTACLE UNDER SINK. ALL FIXED APPLIANCES ON DEDICATED CKTS. 6G0?E or woo V. i ' m+cc�r-mr- to/ c-1 ec-l-2 is OF Itb SL L%Plt�t�v 6�tZ�645 70 � �?Ol�all�-G7 D Off! ttzGU t T w T,4(+tfel? GXI 7-M(�p . 7,D AwAAr N// 1yD 4PP/770A1141 .1,44P W/GL %` 4 4 3 #2/0 THHN IN 2" CODUIT. TYPE: FLUSH MOUNTED EXISTING PANEL ENCLOSURE: NEMA 3 VOLTAGE: 10, 120/240 LOCATION: AS SHOWN MAINS: 200 Amp A.I.QS, 10,000 FED FROM: EXISTING LOAD POLE CIR CIR POLE LOAD ELECTRICAL DESCRIPTION WARE (VA) TRIP NO, A B NO. TRIP (VA) WARE DESCRIPTION METER/DISCONEC SMALL APPLIAMCES #12 1500 20 1• 2 2 5000 #8 AHU COMBO NEMA 3R. SMALL APPLIAMCES #12 1500 20 3 4 60 5000 #8 AHU EXIST. PANEL REFRIGERATOR #12 1500 20 5 8 2 2soo #10 DRYER 0 200 AMF DINNING ROOM #12 1000 20 7 8 30 2500 #10 DRYER MCB BATH ROOM GFCI #12 1000 20 9 10 20 960 #12 GENERAL LIGHT #2/0 THHN WATER HEATER #10 2500 2 11 12 20 960 #12 GENERAL LIGHT IN 2" CODUIT. WATER HEATER #10 2500 30 13 14 15 960 #14 LIVING ROOM # 4 THHN GENERAL LIGHTS #14 980 15 15 16 2 2200 #10 CU GENERAL LIGHTS #14 960 15 17 18 30 2200 #10 CU BATH ROOM GFCI #12 1000 20 19 20 20 1500 #12 WASHER 5/8" GROUND CONNECT TO GENERAL LIGHTS #14 960 1s 21 22 15 960 #14 GENERAL LIGHT RODS 6 C.W P. DISHWASHER #12 1000 20 .23 24 z5o 5000 #6 RANGE APART MIN. IF I GENERAL LIGHTS #14 960 15 25 28 5000 #6 RANGE 27 28 29 30 E X I S TAN G RISER DIAGRAM FEEDER: 3 # 2/0 in 2" conduit 11 ' •, v NOV 1 62019 AA 4 PRIOR IV INSTALLir 711 N OF ROUGH ELECTRIC ZING CHE NAMEPLATE DATA OF A/C EQUIP ENT, HOT WATER HEATERS � =RCURRENT EVER EQUIPMENT TO OBTAIN t RECT WIRE SIZE s AND PROTECTION. MIST, 012 (PRplitnED. ` V 55 CT TO t E�3QICAE r lupy N. vo- t Miami Shores Village APPROVED BY DATE ZONING DEPT BLDG DEPT `6 SL E�" 0 CEIMP 1 1p C I rH AIL E-STFa Cc I-v, f H AND RE_G ERAL 10 r fir Pro Er Rc�.d�sS•—:y— n1E- 9 S--• SccsPs` G-� �D 2�',.: t t��.��.J �JA�'�1�'�iG''h t�LIr-I-G�3E0✓�I.GO ^4-c it !to ID on iii r-vh,��� a.y ' O GPI PR , U6 e` ECEPTACLE ON 2O AMP CKT o ,� V Gh PROTMTED � NO POINT � N ADD S.Po KE/CARBON MONOXIDE DETECTORS. 2 FEET ROM®G.F..t PROTECTED RECEPTACLE, r AND ALL CLOTH AND RUBBER PUT DAN RECEPTACLE UNDER SINK. D CONDUCTORS TO BE REPLACED. ALL FIXED APPLIANCES ON DEDICATED CKTS. tnr.,3 45-1- c^p' s* I Ste• L 11 _ E� ►avl,�s s . �-tp rJ£ �11a Ste• SC.a(oE " t vrlc-.' •.r.�1£ c� ,e�1+,�-roc...., �.�-c-h�1'Fio ` 1 1 Ac.F lLi` �rJ +6 ,JE `t 1 v,wbr ;•x s - PAS ' ! J(4-1 2 1 c VINWCON-01 SPONERJ CERTIFICATE OF LIABILITY INSURANCE D 11/161201 Yt� 11/16/2012 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(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 NcaMMe CT Elizabeth Gonzalez Insurance Office of America-LNG PHONE 407 788-3000 FAX 1855 West State Road 434 A/c No Exe: ) (A/C,No):(407)788-7933 Longwood,FL 32750 A'DDR'ESS:Elizabeth.Gonzalez @loausa.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:Association Ins Co 11240 INSURED INSURER B Vinward Construction Corp INSURER C: 1011 NW 207th Street INSURER 0: Miami,FL 33169 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. ILTSR AD L S POLICY EFF POLICY EXP R TYPE OF INSURANCE t SR WVD POLICY NUMBER' MIDD MIDD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY E PREMISES Ea occurrence $ CLAIMS-MADE F—I OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGO $ POLICY PR4 LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS er acddant $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LUU3 HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION ! X WC STATU- I X OTH- AND EMPLOYERS'LIABILITY u/ A ANY PROPRIETOR/PARTNERCECUTIVE Y/N O 013702800 11/16/2012 11116/2013 E.L.EACH ACCIDENT $ 1,000,00 OFFICER/MEMBER EXCLUDED? NIA (Mande—yin NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,K more apace Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Miami Shores 10050 NE 2ND AVENUE I� Miami Shores FL 33138 W/ ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD ,.-., . ... ® ® AC"45356:5.­:..� .,.:.. �;• `&TATS OF FLORIDA t _ .; DLPAR Qsacss" risLi Ta�ort 63.2,112 1 64 :,_ _ SI;c�#L121�09Q�519 ] amd �► ot� Is CI101 ffn�er the-proviso ous cr �hapt s� 8 'S. Expiration date: JUL 31, 2014 F IctOZI$ . (� $DTT$R? 1011 "N " 2�:7 3T] PT r `GARDENS RI+C`8 s�oTyn R� LAwsoN DISPt AY AS;REQUIRED BY LAW ACS Sfi ►TE O _FL(1LIDA. g DRRRT F .81StINSRR�ISPFCR7SIiTION ' MOLD TED Q#L12100902518 LI - NBR 0 4 ~ 2a7 _ = 702641 Tb�e'PJOLD' AS$ SSOt :r : _ Named.'IbaloV IS CR t'1'IFI L tii�@r' the`,Vrovie3 tiYis o Chap + ar=� xpiration date• JVTO 31, Aj t a IiOmik CA 1011 N6� 2 f37TN S'IRB MIAMI COT L � g Rffi�T .LAWSON OOS�RNOR :� >' 3SC�t8TARX DISPLAY AS REQUIRED BY LAW . ' STATIE.OF FLORIDA DT AR O BUSINESS AND PROFEESSI��+7a`�L =GmULATION S i CTION INDUSTRY LXJCLNS B{3�►RI3 SE L12200902506 - LI B NBR 127fl?� 69 :tC16U4t1$. . TYx@ G F3NENAL NT ►,oTOR 1atee3t� `IS CIFt Vi ifader t1a pYOVis3:bns ;oChapt 9 '3. S P ration .date: -:AUG-X31, .2 014= - 33OZI�RCALV LDyd _ `f VTNWA .i C� S? 2UC:.TI�1 T '.CU�2P Oar p'' tiY. 1011 N4T 2o7Tx MI A C3ARDENS FL_3,316 9 - k yy-{� �Tqy- �(• S Q .fir Q �wi7 bRCR :TAY . --- DISPhAYASREQUIRED BY LAW � U S.F'QOTAt3E PAID MOM TGrsa.•tux 231 �� THl31S[dOT A BIU, -DC?�10T PAY RENEWAL 642234-9 - 629935-8 RECEIPT NO, swffimRmwl�OCAMON STATER COCIS04400 VINWARD CONSTRUCTION CORD 1011 NW 207 ST" 33169 MIAMI GARDENS OWAR CONSTRUCTION WORKE3 S sm6 E R i9GENE BUILDING-CONTRACTOR IALXT T 00 NOT FORWARD =WM LAWS OF VM MR VINWARD CONSTRUCT3OPRE CORP Oft imem Wr`A CALVIN E ROZIER d ,, 1011 NW 207 ST PAYS TAX MIAMI GARDENS FL 33169 - } 09/04/2012 117 09010202001 4 SEE OTHER SIDE