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RC-13-777 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-199196 Permit Number: RC-4-13-777 Scheduled Inspection Date: September 17, 2013 Permit Type: Residential Construction Inspector: Naranjo, Ismael Inspection Type: Final Owner: JULMISSE, HARRY AND CARMELLE Work Classification: Alteration Job Address:24 NW 109 Street Miami Shores, FL 33168-4315 Phone Number Parcel Number 1121360110190 Project: <NONE> Contractor: ALL FLORIDA CONSTRUCTION SERVICES Phone: (800)245-0125 Building Department Comments STUCCO ENTIRE HOUSE Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. September 17,2013 For Inspections please call: (305)762-4949 Page 31 of 39 Miami Shores Village { Auilding Department APR 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel: (305)795.2204 Fax: (305)756.8972 INSPECTION'S PHONE NUMBER: 30 762.4949 FBC 20 10 BUILDING Permit No. i PERMIT APPLICATION Master Permit No. Permit Type: BUILDING ROOFING JOB ADDRESS: Lo 9 I City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Lt -- e�_L 2)6P l[ — ® 1 Is the Building Historically Designated:Yes NO Flood Zone: OWNER:Name(Fee Simple Titleholder): S Phone#: l 6 6- ® (0 z 4 Address: City: i-ft,A A2 , State: E Zip: Ii Tenant/Lessee Name: Phone#: n e� Email: > n � CONTRACTO F,m,�a a:/r P Address: j d i t City: f-14 T State: Zip: Qualifier Name: o Phone#: �i �'s� �`( 7 State Certification or Registration#: G&C, k9V 9 gVCertificate of Competency#: Contact Phone#: 0 3®Q _ 4d Email Address: LLB 1 0--[ non c C 1 DESIGNER:Architect/Engineer: Phonne#: . Value of Work for this 1'911 nAt: Bonding Company's Name(if applicable) _ Bonding Company's Address ' City State Zip Mortgage Lender's Name(if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGNS, WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS and AIR CONDITIONERS,ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant. As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinsvection fee will be charged. L Signature Signatur Owner or Agent Contractor 4-h 44 The foregoing instrument was ac wledged b fore me s �� The foregoing instrument was acknowledged before me this day of Pf�OL,2013,by vv of V Yid I� , day of L- ,20 ,by W C who is personally known to me or who has produced 1-1" who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOT P SILUEN A CERIUS NOTARY PUBI,IE MY COMMI381e�IV6EE177488 �ILUENADERIUS W REIS March X0.2616 c'" ni'r�:OMMIS$ION#EE177488 Sign: < oom 5A�iggn: f..PIRES March 30 2016 Print: Print: My Commission Expires: \ OEM 8JN OZ L4-T My Commission Expires: APPROVED BY �� Plans Examiner Zoning Structural Review Clerk (Revised 5/2/2012)(Revised 3/12/2012))(Revised 06/10/2009)(Revised 3/15/09)(Revised 7/10/2007) City of North Miami 776 N.E.125 Street • North Miami, FL 33161 • 305-893-6511 ■ ■ MIAMI Business Tax Receipt/Certificate of Use OFFICE:ADMINISTRATIVE OFFICE ONLY FOR CONSTRUCTION Issued Date: 2/12/2013 COMPANY Expiration Date: 9/30/2013 Business Tax Receipt#: BT-004127 Business Name/Address: ALL FLORIDA CONSTRUCTION&ROOFING 666 NE 125 ST,243 SOLUTIONS CAPITAL GROUP,INC. NORTH MIAMI, FL 33161 ALL FLORIDA CONSTRUCTION&ROOFING Michael A.Etienne,Esquire,City Clerk 666 NE 125 ST 243 • RECEIPT NORTH MIAMI,FL 33161 TRANSFERED WHEN BUSINESS IS MOVED! OR SOLD. NON-TRANSFERABLE POST IN A CONSPICUOUS PLACE • NON-TRANSFERABLE Np OFFLQOof5G t�O1A 13 1Al2a OEpON�ss, GGC15699 ko0v`NG PLLF SOI- �O of cr &8g p0 3 Y t{1g prOJ\sx �13p11AOp ,S e C�R�\E.pG3a2�14 � G 5 A CERTIFICATE OF LIABILITY INSURANCE 03/2712013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pollcy(ies)must be endorsed. 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). OONCT PRODUCER NAME Roy Petree ROY R.PETREE,CIC,LUTCF PHC°NE 964 766-6411 F c No: 964 766$412 PETREE INSURANCE SERVICES,INC. AD AID: ROY ETREEINSURANCE.COM 1600 UNIVERSITY DRIVE,STE 20113 wsu AFFORDING COVERAGE NAIC# CORAL SPRINGS,FL.33071 INSURER A:MAXUM INDEMNITY COMPANY INSURED INSURER 8: Solutions Capital Group Inc,dba All Florida Construction&Roofir q6SURER c: Viller Cherlsol INSURER O: 666 N.E.126 STREET,SUITE 243 INSURER E: NORTH MIAMI,FL 33161 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. ILTLTRR TYPE OF INSURANCE D POLICY NUMBER MMM�EFF MN EXP LIMITS X GENERAL LIABILITY EACH OCCURRENCE $1,00 000 X COMMERCIAL GENERAL LIABILITY BDG-0072943-01 PEI NTE ce $ 100,000 CLAIMS-MADE Fx—]OCCUR 310812013 MED EXP(Any are person) $ 5.000 310812014 PERSONAL&ADv INJURY s1,000,000 GENERAL AGGREGATE $ OOO 000 n GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP Am S Z OOO OOO X POLICY 7 PRO LCC $ AUTOMOBILE LIABILITY comm ED I GLE LIMIT a ac hard ANY AUTO BODILY INJURY(Per person) $ ��ED SCHEDULED BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS I AUTOS UMBRELLA LIAR HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE' $ DEO I I RETENTION$ WORKERS COMPENSATION WCSTATU- OTH AND EMPLOYERS'LIABILITY YIN LI, ANY PROPRIETORiPARTNER/EXECUTIVE❑ NIA E.L.EACH ACCIDENT $ OFFICERIMEMBFJ2 IXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMR $ DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,K more space is required) CERTIFICATE HOLDER CANCELLATION City'd Miami Shores Village SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE �n� THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN A& Building dept ACf:ORDANCE WITH THE POLICY PROVISIONS. 1 OM X.E. 2�d Ave, Miami Shores, Florida 33138 AUT3QRqED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 26(2010 105) The ACORD name and logo are registered marks of ACORD a ^ � ^ Date CERTIFICATE OF LIABILITY INSURANCE 3/1M013 Producer: Lion Insurance Company This Certificate is issued as a matter of information only and conkers no rights 2739 U.S. Highway 19 N. upon the Certificate Holder. This certificate+does not amend,extend or attar Holiday, FL 34691 the ooze afforded by the policies bellow. (727)938-5562 Insurers Affording Coverage NAIL# Insured: South East Personnel Leasing, Inc. &Subsidiaries InsiuerA: Llon Insurance Company 11075 2739 U.S. Highway 19 N. Insurers: Holiday, FL 34691 Insurer C: Insurer D: Insurer E: Coverages The es of imrarce fiSWd below have been WWAd tone fmAVd named above forft Policy pedod Irdcaie rg any roodrernank term or conolton of anycmtract orod ej docunertvftraspedtoviftch tie w0cate maybe Iss<ed ormay perm tie lmrance aforded byte policies desaibed Mein is subledw all the Wm,exclusions,and conditions of Bch polldea.Aggregate Iffft shodtm may hum been reduced by paid claims. I ADDL Policy Effective Policy Exphatfon Date umits LTR WSRD Type of tnsurance Policy Number Date (MM/DD/YY) (MM/DD/YY) ENERAL LIABILITY Fkoo xrtence 5 Commercial General Uabiitty Claims Made 0 Otxxtr ) Mod FV Personal Adv Injruy P eral aggregate Omit applies per.loofty project LOC Products-Comp�p Agg TOMOBILE LIABILITY CombtredSk&Umit (EA Acdderip Any'do Bod ly*q At Owned Autos (P-Person) Wedded Autos tUredAdos y +Y Non0wedAutos (PerAoddeM Property Damage (PerAodderd) EXCESSRIMBRELLA LIABILITY EachO=xrem RO=r ❑Mims Made Alai Deductbte A Workers Compensation and WC 71949 01101/2013 -01/01/2014 X I we Stau, OTH- EmployeW Liability tonrundts ER Any proprietar/partnedmocutive officerfmember E.L.Each Acddent $110001000 excluded? NO E.L.Disease-Ea Employee $1.000.0DO If Yes,describe underspecial provisions below. E.L.Disease-Policy Limits Other Lion Insurance Company Is A.M.Best Company rated A-(Excellent:). AMB#12616 Descriptions of Operations/LocationstVehlcteslExclustons added by EndomementfSpecial Provisions: Client ID: 41-65-240 Coverage only applies to acute empbyee(s)of South Fast Empbyee Leasing Services,Inc.that are leased to the following"Client Company: Solutions Capital Group,Inc.dba All Florida Construction Coverage only applies to injuries Incurred by South East Personnel Using,Inc.&Subsldlaries active employees) ,while worldng in Florida. Coverage does not apply to statutory enpby*s)or independent contractor(s)of the Client Company or any other entity. A fist of the active empiyee(s)leased to the Client Cntrpany can be obtained by faxing a request to(727)937-2138 or by calling(727)938-5562. Project Name: FAX:854-NO-2636&305-918-3708/ISSUE 03-08-13(CF) Begin Dam 3 8 2013 CER`riF"TE HOLDER CANCELLATION Shodd any ofthe above describedponesb ecancelled before theworaton dale thereof,rteIssdngirwivrwD �.}�� rdomwtomaU30daysv Menrvdoetotiecerittaahstrollercarvedtotitslet,buthdbxetodososhdtrrsrosano deo obilgailonorliabilWofanyldtdtpattaWexer,ft agasorrepr vas. 1=0 X.E.e AW, ,a %1�ami Shores Village 1 2093 APPROVES BY DATE ZONING DEPT r BLDG DEPT 7` _ SUBJECT ,O CCNIPIYNCE Wl17H ALL FEUERAL STATE ANv C(-IjN,f ril LL:S AND REO Ot be, c ►� i- I �_ ` _ `---� Pte.i t�un��. � = _. _ -L LL