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RF-13-2146 s Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-199660 Permit Number: RF-9-13-2146 Scheduled Inspection Date: October 03,2013 Permit Type: Roof Inspector: Rodriguez,Jorge Inspection Type: Final Owner: PADILLA,JORGE AND FELISA Work Classification: Gutters Job Address:92 NW 100 Terrace Miami Shores, FL 33138- Phone Number (305)756-8523 Parcel Number 1131010180370 Project: <NONE> Contractor: CRESPO SEAMLESS GUTTERS AND PAINT CORP Phone: (305)781-2301 Building Department Comments Infractio Passed Comments GUTTERS INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. October 02,2013 For Inspections please call: (305)762-4949 Page 14 of 27 /. fill )1;►,1 � � I 1 '., 1,' II IF 9, !C'1 It! 1 , 1� at' 'ai` , a •;1 1 i s ,, I 1 I 11 L 1 i i I.I. I MT : ,7 7rr. f' 1,77 Q rr; JL; e V � I •. 1111,;,:..; fl r. rV ,_� , �_ r•1..1'i:'.1i',; .. ` _ _. �.._. �i .i l'✓,1 i I: 1.'. �.J:!'1..I i'1 n wi 1 1'W-�'. 1. 6 I�I�11- 4:Ir `I " )Ii�.: ,. 7:�.,. �,... ll.� 111 �� ,f I ', .I7 i , , :�a• , SL,,,-. : ri 1 •.;u :v a i i ,.r, i: _.�i — tom-.�:����� / 1 ''Sl� �\.1.�" rasm s, sR i 1'1 I I a 1 L111. I 116nding Company's Name(if applicable) Brinding Company's Address City State— zip Mor*W Lendees Name(if applicable) Mortgage Ixudees Address city State 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 TAI ECTTUCAL WORK,PLUMBING,SIGNS, WELTS,POOLS,FURNACES,BORIM,HEATERS,TANKS and AIR CONDMONERS,LTC..... .... 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 BVROVEA1ENTS 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 pemut with an estimated value exceeding$250(1. the applicant muff promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be pasted at the job site for the first inspection which occurs seven (7) days after the building permit a issued In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged n S*Wure----Qia Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me tws The 11b" it was ackno we this/ I it was 20 PPLdt'ft*- Of SS g=201&by 0AW—W day of j4y 1�,-U$A day produced 799=# who is personally known to me or who has produced[A 'q�T PM who did take an oath. 1'-0X4AA(J /�as identification and who did take an oath. NOL NOTARY PUBLIC: Sign: sign: Print R ROP4Q Orz ? print. A44 aL44� 10r.1 MY mylrommi MARIA A.RODROM MARIA A.RbDRMU HAI W COMISSION#EE 196i3g COMMISSION EXPIRES:May 6,2016 EXPIRES:May 6,2016 Bonded Thru Notary Pulft UmWwdM APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised 3ft2Ml2)MevLsodO7ttQE7)Mcnmd 066 365(09) Downspouts•Acceo s CrespoGutters Free Estimate Splash Block, xt®nsinsions licensed & Insured Se Habla EspaMol & Paint Corp. Off 305-815.9375 Mv Cell:305-781-2301 Aluminum-®alvaniized-Copper-Stainless Steel-Ali Colors-Installation-Cleaning&Repair www.cresporaingutter.com/Facebook PROPOSAL cresporaingutters@hotmall.com JOB AND MAMMAL DESCRfP770M Customer Name 7' W Addm".0,_ '---°°- R n Guttem 0 r: r� 33156 SEP �� H' Ph: 6'"`�s3ai9� �r�_ G E a remi 2anvzo r C3ownsetts Q912C&M S J13,-C- T CC MP JAh CE W11 H A L F ED R Instant sw tli 12' f 0 ! a e R • IN Labor :. Eft 0 r �. no #Ad SPOMW bww JAY #M ft wwww is vAfiw to Nola �d p�@al�oaee � � SFr ft" ' N/Oft Wdft W06ft by no�to�eeodror�rty Tlte�r�tl� tMbs � ftobwJb my by offt ftft Ow &a#as nwftd byfs bw in L&nob+g ftm ft 01 ateoton ft ft dry cis dW SAW Y bekaola8 an aw AN apao W&Wwastoro O ►bang►a�glonprdoandoMrrr�eaeoary�opatr +oaktobs�ken: halo of1w a rx&V&WNW woolw,ffift Wftft wo a"heft AbttttiWL &3 Yon �� m�r�r Door Customer ®tune: Contractor Slgnsture Date• Amount:., . rax;__w.__�.SubTQtat: "anow MIAMI SHOkt5,FL 3.)1311 ii;-66TI N����������������•■•■•■•■•■■•••, BUSINESS NAME: �Z 2� 10 lea, BUSINESS ADDRESS: Z l taw Se (CITY y STATE ZIP CODE BUSINESS PHONE: � } II°Z � FAX NUMBER(—_) CELL PHONE (--) QUALIFIER'S NAME: QUALIFIER'S LIC NUMBER: rZ S �OZI E-MAIL ADDRESS (IF APPLICABLE): V\ Created on 3119109 BY MLDV I RV 3126109 MLDV I RV 6127111 AS Sep. 20. 2013 10: 24AM No. 2357 P. 1 ' 'CO '' CERTIFICATE OF LIABILITY INSURANCE DATE 02/20113 2/20113YY1ry 3 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 13Y 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 poticypes)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 fieq of such endorsement(s). PRODUCER CONTACT vMAN BRI t OS All City Bird Rd.insurance Agency PHON (305)521758 F No: (305)226.641$ 8475 Bird RoadL sllcitybirdroad�hotmall.00m Miami,FL 33155 INSURER(S)A AFFORDING COVERAGE NAI E Phone (305)552-1758 Fax 305 226-6418 INSURER A: LLOYD'S OJ=LONDON INSURED INSu CRESPO SEAMLESS GUTTER&PAINT CORP. INSURER O: 6281 S.W.58TH.COURT INSURER D: MIAMI,FL 33143 (305)781-2301 INSURER Wal 1000 F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS 15 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY RE4UIREMENT,TERRA OR CONDIi10N OFANY 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 TYPE QF INSURANCE AQOL UHR PO IQY EFF POLICY EXP POI•ICY NUiY16ER MM/D LIMITS GENERAL LIA6ILITY EACH OCCU ENC 1 000 000.00 © COMMERCIAL GENERAL LIABILhY PRMAGE TO RENTED $ 100,000.00 A ❑ ❑ CLAIMS.MADE ® OCCUR CIBFL0003886 MED EXP(An one person) $ 51000.00 ❑ 08/1412013 08/14/2014 PGRSONAL&ADV INJURY $ 1,000,000.00 ❑ GENERAL AGGREGATE $ 2.000,000.00 GERL AGGREGATE LIMIT APPLIE$PER; PRODUCTS•COMPIOP AGG $ 2,000,000.00 POLICY ❑ PRO' ❑ LOG S AUTOMOBILE LIABILrrY 81N SINGLE LIMIT ❑ ANYAUTO BCDILY INJURY(Per perum) $SCHEDULED AL❑ AtUT03 NED ❑ AUTO$ BODILY INJURY(Permided S ❑ HIREpAUTOS ❑ AUTOS NON-OWNM P OPERTYOAMAG $ ❑ ❑ $ ❑ UMBREr LA LIAR ❑OCCUR EACH OCCURRENCE $ ❑ EXCESS LIAR ❑CWMS•MADE AGGREGATE S ❑ DED ❑ ON$ $ WORKERS COMPENSATION TWO 11ATU- 0 AND EMPLOYERS LIABILITY YIN ANY PROPR1ETOR1PARTNERiEXECUTNE 6,L,EACH ACCIDENT S OFACERIMOVIDER E)(CLUDE07 ❑ NIA (o9angatory In NH) 6.L.DISEASE-EA EMPLOYE S ID6SCRIMobtel OP OPERATIONS Wow I;.L.DISEASE-POLICY LIMP $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACCORD 101,Additional Remarks Schodala.If more apace is required) CERTIFICATE HOLDER IS LISTED AS ADDITIONAL INSURED) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE MIAMI SHORES VILLAGE THE(EXPIRATION DATE THUIMOF,NOTICE 1MLL BE DELIVERED IN 10050 NE 2 AVE. ACCORDANCE WITH THE POLICY PROVISIDNs. MIAMI SHORES,FLORIDA 33938 ALIT1)=REP FAX 305-756-8.972 C C IJ�C ACORD 25(2010105)QF (9)1998,2010 ACCORD CORPORATION. All rights reserved. The ACORD name and logo are registered raft of ACORD ma POSTAGE PAN) NlAKFL N0.231 506524-8 IS NOT A BILL-DO Nar PAY RENEWAL RECEIPTHM 529050-7 CRESPO S�EA�MLES GUTTERS & PAINT CC R 123SO0213 CORP 6281 SW 58 CT 33143 UNIN BADE COUNTY CRESPO SEAMLES GUTTERS 8 -PAINT �19b S TY BUILDING CONTRACTOR �RICE�s 7HOl IS ONLY A LOCAL BUBHOW TAX MODEM R t Aso=ry - z L OF ny - -DOWTFOWAIM COUNTY OR CMM NOR DOES R Eater THE HOLDER BOOM AMY OTHER LICENSE "M °t`w. CRESPO SEAMLES GUTTERS 8E PAINT NOT A CEHIRCK THE auurA CORP TIMM CARLOS A CRESPO PRES PAVINWHECENED 6281 SW 58 CT * MIAMI FL 33143 08/28/2012 60000000168 5 000075.00 {aa �taal aaat��a�tata �tsaattitaas� �a� aaaaaaa ,11111#3 o WE OTH RAMS r � P ' b+ e , + _ MAIM ABM m.;3a.ta M•. .e _—tea . i TEOO ` O AL: � wdar�re A m"' ,"o,*j"W�ft a cw cc .w two,..' ta�'„4+v"���Y��tiY,.'•w�::�`• �3 a - "" '.^1.9i: r•..�:,•:,.sue.Caro,n'; ..;ry;y� GMI sw 513 c• 33143 UM DADE COMM cREsPO SE1AHLEs amm a PAxffr awry WOMIER/S law m .� PPO SEMES GUMMS #E }SAW COR CARLOS A CREWC PRES "°c H � CT IM FL 33143 O8/2.8/2B z �'���•�•� ��� 7��Fdd3��8I3a�8i�$ii.�?tY:ia�ii3i 1a3�d��3�,{.8ifi3d2���3dS _ 'm $ 78 ZO'd TE:00 CTOZ-OZ-BSS 01-17-9012 ro N 0 JEFF ATWATE'R STATE OF FLORIDA o CHIEF FINANCIALOFFICIER DEPAR'T'MENT OF FINANCIAL SERVICES w DIVISION OF WORKERS' COMPENSATION 1E CERTIFICATE OF ELECTION TO'BE EX mpir TROM AORIDA WORKERS' COMP�iII1S`iATION LAW N 'x` o - w CONSTRUCTION INDUSTRY EXEMPTION w This- certifies that the Indlyidual listed 6e10w his elected to he exempt from Florlds. Workers' Compensation law. EFFECTIVE DATE. 0111712012 EXPIRATION BATE: 01/16120/4 PERSON: CRESPO CARLOS FEIN: 4640$6393 BUSINESS NAME AND ADDRESS: CRSSPO IM ML835 GUTTERS t4 PAINT CM Asst SW Be COURT Mimi FL 33143 SiCOP" OF BUSINESS OR 'GRADE: 1— Cleanor-Darts Rlaa Yal 1l-- PAINTING 3- GUTTER INSTALLATION nl�OmAaTt P"nuont to chapter 445 . 08114), F.a., ae afllcsr of a catpurrtlee who elects ezemptlen frata thle ckaptlr by tpleg a alrtlliaete a[ election, under This section may net re00YSr bor1111s or casrpeneelia" slid"r Ikle oltsptse. Pma"snt to CMepter 440-91112L F.L. Cartlfiostae o! ®14001111 to be exempt,,. apply only within the were sl the et recd or trade Hued ro the aollce a! elsctlan is he exempt. Fersu*v to Chapter {1401081 F.S., polices of elsslion to he eMempt and certificates 51 election 11 be eatempt obeli be sxbyert to rsea0etden 11, $1 any time sitar the filing Of the 11611se Or the hte"rnea a! th aortlncata, the F"Bor nearad on the notlee at cenlftaste no laager inustt its rogwhesalote of this seatiah far 16191"0" of a certilleste. iko depsgmem "hail revoke " coruttoete at say ties far hilure of the parsan named a"the 0009111114 la meet the r941L9remanll al Ikle legiaa. MESTIONS9 (BBC) 413-1609 OWC-252 MIFICATE OF ELECTION TO BE EXEMPT REVISED 01-11 . . . . . . . . . H O ' H ro 001 o�