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BPP-13-0201Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 185080 Scheduled Inspection Date: July 25, 2013 Inspector: Rodriguez, Jorge Owner: FLEITES, DANNELLE Job Address: 131 NE 110 Street Miami Shores, FL 33161- Project: <NONE> Contractor: MCKENZIE CONSTRUCTION CORP duuamg ueparltment comments SWIMMING POOL Permit Number: BPP -2 -13 -201 Permit Type: Pools/Whirlpools /Hot Tubs Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1121360040200 INSPECTOR COMMENTS False Phone: (305)245 -2700 July 25, 2013 For Inspections please call: (305)762 -4949 Page 3 of 33 Inspector Comments Passed Failed Correction Needed ❑ Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. July 25, 2013 For Inspections please call: (305)762 -4949 Page 3 of 33 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION Permit Type: JOB ADDRESS: BUILDING Ne 1105+V4 F__ P On�� FBC 20 P Permit No. Master Permit No, ) 3 — Z01 ROOFING City: Miami Shores County: a Miami Dade Zip: Folio/Parcel #: / J I cog C-) a, Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple /T yTitleholder): 4 -6 r �Z L7-V 0,0_0, d e,'-& Phone #: . -ft Address: 1 --5 ) AL — J I ® city: A)-11&4yti M & g__S state: / e> -n -to( 'ct Zi1x 1 Tenant/Lessee Name: Phone #: Email: CONTRACTOR: Company Name: C k^ Q L -S (YC. it A Nh6ne #: -3 e.5® -7.99'6 ® Address- A3 7_5�® S LO , / 2(n City: State: C �'O1^ c1t. Qualifier Name: 11A I""Kxkn' 3 C Phone #: 3- �r Ce ? State Certification or Registration #: U UN L Q d Certificate of Compete cy #: Contact Phone#: 31) 9 f' ce 7 Email Address: �� � /� gyo DESIGNER: Architect/Engineer: f n o_,P Phone #: _M04 a13 Y IQ Y3 S'— Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: OAddition OAlteration O&W ORepair/Replace ODemolition Description of Work: Color thru tile: Submittal Fee $ ermit Fee $ CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ -" — TOTAL FEE NOW D $ 291 -SD Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State zip 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. "WARMING 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 att went. Also, a certified copy of the recorded notice of commencement must be posted at the job site ,for the first inspection whit o s even (7) days after the building permit is issuec�j In the absence of such posted notice, the inspection will not be appr reinspection fee will be charged. �j� , or Agent The foregoing ins t as acknowledged befo e me this° day of r by MCI e maIia , who is pers#� to kown me or who has produced As identification and who did take an oath. NOTARVPUBLIC: Sign: Print:. My Commission Expires: ;:i+'�r .,, MARIA ACOSTA +� My COMMISSION # EE 141764 EXPIRES: December 10, 2015 7 3f, Bonded Thm Pueuc APPROVED BY The foregoing instrument was acknowled ed before me, this day of , 20 31— by , who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: t1 a ow 7: My Commission Expires: .. a MNiiSSION # EE 141764 Vron. 2f}t! Plans Examiner P1 / Zoning Structural Review Clerk (Revised 3/12/2. 012)( Revised' 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Return to: CHRISTOPHER P. KELLEY, P.A. 11098 Biscayne Boulevard, Suite 205 Miami, FL 3$161 Instrument Prepared By: CHRISTOPHER P. KELLEY, Esquire 11098 Biscayne Boulevard, Suite 205 Miami, FL 33161 Folio No. 11- 213"04 -0200 CF N 201280929593 OR 8k 2E415 Pss 2441 - 2442. Mass) RECORDED 12/26!2112 13-04:35- DEED DOC TAX 24052.00 HARVEY RUVIN, CLERK. OF COURT MIAMI -DADS CWHTYY FLORIDA WARRANTY DEED THIS INDENTURE, Made this L! day of December, 2012, Between, DANNELLE FLEITES, a single woman, as GRANTOR, and JORGE HERNANDEZ and CATALINA RUSSEK, husband and wife, whose post office address is 131 NE_ 110 Street, Miami, 133161, GRANTEE, WITNESSETH, That said GRANTOR, for and in consideration of the sum of Ten and No/100 ($10.00) Dollars, and other good and valuable considerations to said GRANTOR in hand paid by said GRANTEE, the receipt whereof is hereby acknowledged, has granted, bargained and sold to the said GRANTEE, and GRANTEE'S heirs and assigns forever, the following described land, situate, lying and being in Miami -Dade County, Florida to -wit: Lot 21, in Block 1, of COLLEGE HEIGHTS, according to the Plat therecf, as recorded in Plat Book 41, at Page 8, of the Public Records of Miami -Dade County, Florida SUBJECT TO: Applicable zoning and/or restrictions and prohibitions imposed by governmental authority; Conditions, Restrictions limitations, reservations, easements, and other matters appearing on records, if any; Utility easements of record, taxes for the year 2013 and subsequent years. and said GRANTOR does hereby fully warrant the title to said land, and will defend the same against the lawful claims of all persons whomsoever. IN WITNESS WHEREOF, GRANTOR has hereunto set her hand and seal the day and year first above written. Signed, sea ed,.afd defrvered in our presence: , f JZp�g�C�t�:9- DANNELLE FLPJMS Grantor 1' 3301 NE 1 st Avenue, Apt. L301 Print �y'" Miami, FL 33137 Witness SORAINTOi m' LP.=My Print Name STATE OF FLORIDA } COUNTY OF MIAMI-DADE } I HEREBY CERTIFY that on this day, before me, an officer duly authorized in the State *and County aforesaid to take acknowledgments, personally appeared DANNELLE FLEiTES, who produced . _ 4 0e. as identification, and who executed the foregoing instrument and acknowledged before me that she executed the same. WITNESS my hand and official seal iVk5�Zounty and State aforesaid this Z �ay of December, 2012. FU CT , State of L A at Large My Commission Expires � py2tPlAtd Book28415/Page2441 CFN #20120929593 Page 1 of 2 NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO �?MTAX FOLIO NO. STATE OF FLORIDA: COUNTY OF MIAMI-DADE: original fiL-d iii this THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and In accordance with Chapter 713, Florida Statutes, the followIffij-111461*01b", is provided. In this Notice of Commencement HAR\,'EY PRUVIN and 2. Description of Improvement. 3. Owneqs) name and address: interest In property: Name and address of fee simple titleholder: 4. Contractor's name address and phoneinumbE CFN 2013ROO7709? OR Bk 28477 Ps 28955 (fps) RECORDED 02/06/2013 15930 '44 HARVEY RUVINY CLERK OF COURT MIAMI—DADE COUNTYt FLORIDA LAST PAGE A, COUWY OF LAW to CAR of A70 20—X- cum 'RO I g A E�RK, * �,171y Courts GOD Space above reserved for use of recording office 5. Surety: (Payment bond required by owner from contractor, If any) Name, address and phone number Amount of bond $1 6. Lender's name and address: 7. Persons within the State of 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, address and phone number. 8. In addition to himself, Owners designates Pe following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. I k Name, address and phone number.,- 6L-st-N 9. Expiration date of this Notice of Commencement: - Me expiration defte is 1 year from the date of recording unless a different date Is specified) WARNING TO OWNER: ANY PAYMENT E THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED T BY ' IMPROPER PAYMENTS UNDER C 71 PART 1, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR I PR IMPROVEMENTS TO YOUR PRO A CE, OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE YOU N FIRST INSPECTION. IF YOU I IND N FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK C M OR RECORDING YOUR NO E ENCEMENT. Signatures) of OwneA 0 Authorized Officer/Director/Partner/Manager Prepared 13v Prepared By Print Name '22fit'%�R�� a Print Name Title/Office &1 17/ Title/Office STATE OF FLORIDP(/ COUNTY OF MlIbADE I The foregoing join I merit was g I ackricIpIp day of t1ged before me this By —fflv-r I ❑ lIni—crividuall as ror -r + � I for ❑ produce" ollowing type of Identifica Personal f-11 onal�known, n re of Notary Public- u' Print Name: (SEAL) MARIA ACOSTA VERIFICATION m6� TION 9242& FLORIDA STATUTES MY COMMISSION# EE 1,4176 4 Under penalties of as 0 p -5 that I have read the foregoing and EXPIRES: December 10, 20115 facts that the facts scat t BOded Thm Notmt Putlip Unden to the best of my knowledge and belief. c SIgnature(s) o wn/a o er(s)'s Authorized Officer/Director/Partner/Manager who signed above: BY By 12&01-62 PX/O 3MO // pr February 25, 2013 F Village of Miami Shores Building Department Re: 131 NE 110 Street — Permit # BPP -2 -13 -201— HRS Approval To whom it may concern, This letter shall serve as a clear understanding with the Village of Miami Shores that although the swimming pool plans have been APPROVED by the Health Department in form of a signed letter, we are still required to provide an approval stamp by HRS on the official signed and sealed Office and Job Copy of the engineered swimming pool plans. Thank you in advance for your consideration and cooperation in reference to this matter. We shall provide the HRS APPROVAL STAMP on the engineered plans in a timely manner. Best regards, +a�fael Gutierr z McKenzie Construction C/O Swimming Pool Plans Processing 131 NE 110 Street Miami Shores, FL 33161 Direct # 305.215.5426 Rick Scott Governor Rafael Gutierrez 131 NE 110 Street Miami, FL 33161 RE: Contingency Letter Application Document No: AP1095623 Centrax Permit Number: 13- SC- 1452509 OSTDS Number: 131 NE 110 St Miami, FL 33161 Lot:21 Block:1 Dear Applicant: February 20, 2013 Subdivision: College Heights John H. Armstrong, MD, FACS Surgeon General & Secretary This will acknowledge receipt of an application dated 01/28/2013 for a permit to use an existing onsite sewage treatment and disposal system located on the above referenced property. From a review of your completed application, it has been determined your existing system is adequate for the proposed use. This permit is granted for the construction of a new swimming pool. There will be no increase in sewage flow or characteristics and no impact on the unobstructed area. * * * * * * * * * * * * * * * * * * ** .APPROVED * * * * * * * * * * * * * * * * * * * ** If you have any questions on this matter, please call our office at (786) 315 -4444. Enclosures cc: Sincerely, Lj G strid Edwards, Engineer Supervisor III Miami -Dade County Health Department 1725 NW 167 St, Opa Locka, FL 33056 Phone: (305) 623 -3500. Fax: (305) 623 -3645 . http: / /www.MyFloridaEH.com Outdoor Living Miami LLC OutdoorLivingMiami.com Telephone # 305.215.5426 McKenzie Construction Licensed & Insured CGC 060895 Outdoor Living Miami LLC, a Florida corporation herein referred to as "Representative ", McKenzie Construction herein referred to as "Builder" and the party named below herein referred to as "Owner ", do hereby agree to all of the terms and conditions of this two page agreement as per the approved plans and as follows: Name: Company: Address: /��� Municipality: lLaAAA ear ll Cell #: 7l - 3 �"�°, 02�� j Home # Email: ] Consultation Residential ] Commercial ] Renovation ] New Construction The following items shall be included in the design and approved plans including all materials and labor: engineered Plans jOuilding Permits n Plumbing Electric Demolition j'�Swimming Pool Deck ] Gazebo ] Terrace /f Fencing ] Dr' eway n p ] Spa )� /�� ] Solar Panels Filtration ] Landscaping t�OC O t x " Y� V s i w _ �Y In. -1-,0 1\ Aa _I e n d J _ I- I "o - - -. , Payment Schedule: Total Amount Due: 02 Deposit: B lance Due: L) eck ] Cash ] Credit Owner agrees to pay the balance $ 6-131) Upon q $ Upon $ Upon $ Upon $ Upon ue as follows: Notice of Cancellation: You may cancel this transaction without penalty within three business days from the above date. To cancel this transaction, email or deliver a signed and dated coy of a written notice no later than midnight of the third business day. Date of Acceptance: / / Deposit Check #: Owner Acceptance: Print Name: '5�e° Builder's All checks are made payable to "Outdoor Living Miami" unless agreed to otherwise by both parties. Thank you for your business To: Bullciing O -pt F.Sx- 2 oP 3 20'13 -02 -07 'I S:a8:a6 (OMT) 178 04640429 From: Ca-1. M.K ®nzla .Report Viewer https: / /apps8.Rdfs. con /crreportviewer /reportViewer.aspx ?data... :................ ,;,......... 100% JEFF ATWATER CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF 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: 217/2013 EXPIRATION DATE: 2/7/2015 PERSON: MCKENZIE GAVIN FEIN: 421684568 BUSINESS NAME AND ADDRESS: MCKENZIE CONSTRUCTION LLC 3700 PRAIRIE AVENUE MIAMI BEACH FL 33140 SCOPES OF BUSINESS OR TRADE: LICENSED GENERAL CONTRACTOR Pulauant to CAepter440.08(141, F S., an orticerof a ootporeliore eroho elects e>�nppiion Irom This chapter by fillet a cedi0cal9 of electbn under this seeimn m8y not recover berre0l8 or coirwemadon and8t Nis chapter. Porsusnl to Chapler440.06(12). F.6.. CetWicate8 0(818cGon W be e■empl.. app@ onbb w3hin the scope of the busu7eaa a tlede furled on 01e ralke of elec0on to be ea<emp� Pweuant a Chapter 440.06((13), F.6, Nolkes � elec0on to be exempt and eedTiealea of obctlon m bo oxompt ahatl bo eubJxt to rwomtlon B, at mry tlmo aftor tln ttl6g ottho rotko a tfw lasuanw ei tho coiBNatg tln poison namod on tho nmlao a eorltllGOto no bn6pr rclootA tlw rogltlromo11I91#ttely eoGlrn for Nauotra of a oo RiCato. ilex Ooparfmont 91evY faYOko a oodCloeto a[ any lsao /atallJm Mtiw person named on Na CerOfiCele to meal Uee requirem�da of Nis secl'an. DFS- 172 -DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 07 -12 QUESTIONS? (650)113 -1608 1 of 2 2/7/13 9:51 AM t Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 NOTICE OF REQUIREMENTS RESIDENTIAL SWIMMING POOL, SPA AND HOT TUB SAFETY ACT I (We) ac kn wl �� TT th t a new swimming pool, spa or hot tub will be constructed or installed at /31 MP Y/ -c.z+ Miami Shores, FL, and hereby affirm that one of the following methods will be used to meet the requirements of Chapter 515, Florida Statues and the Florida Building Code R4101.17. Please initial the method(s) to be used: The pool will be equipped with an approved safety pool cover that comp lies with ASTM F1346 -91. (Submit Manufacturer's Specifications). A continuous, one -piece (child) barrier meeting the requirements of Florida Building Code R4101.17.1.15 will protect the pool perimeter. The plans shall show the fence location and method of attachment, including one end that shall not be removable without the aid of tools. (Submit Manufacturer's Specifications). A combination of non- dwelling-walls and fences (screen enclosure, child fence, masonry fence walls, chain link or wood fence, etc.) will protect t he pool perimeter. The plans must specify t he type . and locatiozAny on dwelling walls. Florida Building-Code, R4101.17.1' ombin ation of protection which incorporates dwelling walls with openings directly into the pool perimeter and all windows and doors will be equipped with exit alarms complying with Florida Building Code, R4101.17.1.9 (Submit Manufacturer's Specifications), Any combination of protection which incorporates dwelling walls with openings directly into the pool perimeter and all doors will be equipped with a self- latching device with positive mechanical latching/locking installed a min. 54° above the threshold. If this option is selected, submit plans showing all types and location of all perimeter protection. The plans must also show the location and type of all openings, and the hardware type for each location. (Submit Manufacturer's Specifications). In accordance with the Code, the pool may not be filled with water witho compliance with the Private Swimming Pool Safety Requirements, and upon expiration of a ermit, the pool shall be presumed to be unsafe. I understand that not having one of the ab e ' stalled will constitute a violation of Chapter 515, F.S ., an d will be considered as comm' ng misdemeanor of the second degree; nishabl as provided in Section 775.082 or Section 5.0 S . This form must be signed by the lag t and the prime contractor. COK-TRACTb RV5.WATURE AND DATE OVAWVVAATURE AND DATE yt- kov AA ` NO, NOTARY PUBLIC a MAFilAA MA 1; s p1Y ComMMION # EE 1417$4 'j :,f E gae r 10, 2015 i Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 SWIMMING POOL OWNER'S CERTIFICATION Date / Ll Miami Shores Village Building & Zoning Department Attention: Building Official certify that I am the legal owner of the roperty described as 1z4 -' , located at In accordance with Section 33 -12(fl, Code of Metropolitan Dade County, I certify that understand and agree that the swimming pool to be constructed at the above address cannot be used or filled with water until separate permit has been obtained for an approved safety barrier, and such barrier erected, inspected and approved. I further understand that this certification, however, does not elimir0te the need for obtaining a permit and erecting and approved barrier prior to final ins ti nd use of the pool Legal Owner. Note: This certification is to be submitted with a swimming pool permit apblication in duplicate. F % =_;?,� Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida .33138 Tel: (305) 795.2204 Fax: (305) 756:8972 RESTRICTIVE COVENANT PROTECTIVE POOL ENCLOSURE KNOW ALL MEN BY THESE PRESENTS: WHEREAS, the undersigned O v Q. a VL istare the fee simple owner(s) of the following described property Address: 131 �U l�� 5l , fie, A Whereas, the undersigned owner(s) and bei rn Miami Shor Village, Florida: 49.5. f 3316 desire to utilize said Lot(s) as a single building site, and the undersigned owner(s) do(es) hereby declare and agree as follows: I. That the property will not be used in violation of any ordinances of Miami Shores Village or Miami -Dade County now in effect or hereinafter enacted. II. That the purpose of the covenant is to induce Miami Shores Village to issue a permit for a pool where the required enclosure is not on the subject property where the pool is located. III. That if any of our adjoining neighbors remove any portion of their fence or wall, or if our /my property shall fail to meet code requirements for pool barriers, we, as owners will immediately install a protective enclosure to meet code requirements and will obtain a permit for such fence. IV. That, I /we, as owner(s) hold Miami Shores Village harmless for any negligence or injury that results from not having the enclosure. V. If enclosure. belongs to said property, I agree to maintain & or replace said enclosure in the event that is damaged or removed by any case. NOW, THEREOF, for good and valuable consideration, the undersigned do(es) hereby declare that he/she will not convey or cause to be conveyed the title to the above property without requiring the successor in title to abide by all terms and conditions set forth herein. FURTHER, the undersigned declare(s) that this covenant is intended and shall constitute a restrictive covenant concerning the use, enjo ent and title to the above property and shall constitute a covenant running with the land and shall be binding upon the un ned, his/her successors and assigns and may only be released by Miami Shores Village, or its successors, in a r ce of said Village then in effect. & PRINT OWNER SING & PRINT that n his la rsonally appeared before me�W Jam_ and has produced ID 4 s identification and he/she awl that he/she executed the foregoing, freely and voluntarily, there in expressed. TO AND SUBSCRIBED before me on this —A—day of .20 Uft, NOTARY PUBLIC STATE OF FLORIDA (Revised 05/2209 MpR1AAC0�A MY GOMNN ssim # EE 141164 •�bN Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIPT PERMIT #: bfV 1� Qf)l . DATE: la 0 Contractor o Owner o Architect P ets of plans and (oth ) Address: (31 l 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 Departmer t to con)nue permuting Acknowledged by: PERMIT CLERK INI RESUBMITTED DATE: PERMIT CLERK INITIAL: ,� - L 1 Miami Shores Village Building Department 1000 N E 2nd Avenu Miami Shores. Florida 3313 Tel: (305) 795 220 Fa-x: (305) 756.897 Permit No.� Job Name PLUMBING CRITIQUE SHEET �T- I-� .r r' Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No: 12 -201 Job Name: February 13, 2013 1) Provide hrs approval Norman Bruhn CBO 305 - 762 -4859 Building Critique Sheet 1sT P&Z Critique Sheet 1 sT Page 1 of 1 1. POOL EQUIPMENT CANNOT BE LOCATED IN REQUIRED 10 FT SIDE YARD EDGE. Plumbing Critique Sheet 1s 1. Provide hrs approval 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. STOPPED REVIEW Jun 14 02 09:16p P.1 ! FAX TO: a-i-rnt: FROM- � FAX: - %�" -~ $� PEES: PHONE- DATE:..f REF: (}URGENT (t FOR REVIEW 0 PLEASE COMMENT 0 PLEASE REPLY a143. Ck 1313. vm.c� Jun 14 02 09:22p p,2 k.�c #:.63a.47�:�: :.: ;... STATE,.�F .FLORIDA 3 OF -BUS-MESS 'Al PROFBSSIONAI,= RBGDlATION WNSMeTION - INDUSTRY:.. LSCSNSING BOARD. SEQ#x,�- 2082506t5i Jun 14 02 09;23p p.3 F rytx'• AT V �•�1, 4 : 01p1• • • ' ' " . • 2013 Q ;`•`.: �`<' U.S. POSTAGE i ,-'f ..'.5' }•` a,: •'. I vT•!'}F'-YT' f�/7avA PAID MIAW, FL ."MESS PERMIT NO 231 4165395 THIS IS NOT A 134U' _ DO NOT PAY RENEWAL � 434968-4 ou NZA11, co ��YOUCTION CORP TAT CG O6b 895 239SO SW 169 AVE 33031 UNIN MADE COUNTY OWNER 14CKENZIE CONSTRUCTION CORP NORKERJS sm Ot Bnslnesss 196 GENERAL BUILDING CONTRACTOR 1 THIS RS ONLY A LOOM. oUSOM DOE$ WT071+EFgfN' 71 . E.7 To661M- l�TelY AM Of4 OF 7W oo NOT FC►NWaVID . wuwlr OA gT1F8 NoR now rrMGUA.W MCKENZIE CONSTRUCTION CORP PERW OR IS MW 2RTHURSF 169 CKENZIE PRIES ,Room S MIAMI FL 33031 PATtl NAMMAMCOMYTAX COUECTM 08/30/2012 000075 00D1 i> fa��stt��t��t: ssruss}:. ��ss��sssi�s }stt4�s�rss�;ss�68 L SEE OTHER SIDE Jun 14 02 09:23p „' ,aFF ATWATER STATE OF FLORIDA OMF Fes. OFFIGIR DEPARTMENT OF FINANCIAL SERVICES. DIVISION OF WORKERS' COMPENSATIok CER'T'IFICATE OF EEECiION TO BE EKBW FIiM RIBA VANO ll W SATIM! LAW CONSTRUCTION INDUSTRY EXEmfrnON Phis certifies that the individual listed below has aleeWd to he exempt from Rorida Wo keW Cempens0 im lawn. EFFECTIVE . DATI« 12/2812011 PERSON: MCKENZIE FEIN SM027002 BUSINESS NAME AND ADDRESSi MCKMIE cONS>'M=10N OORP 23M .SW WIM AVE HOIWAT W FL 33"1 -3519 SCOPES OF BUSINESS OR TRADE: 1- carpentry- Instal l s" an EXPIRATION DATE 12127120113 ARTHUR F 2- concrete or cement :lark Jun 14 02 09:22p 10!1112912 10:45 CERTIFICATE OF LIABILITY INSURANCE PROMMM UWM IlMM UAqwCy :bv 12lG E Al U& SPULMA . & z pompano swc%K3 o ACKEUMCONSTURM CORP. 23850 SCI IWR AVL RO MES TAD FL 33Qi1 P.1 I saw- IWI%M PONQU"VM A HATTER OF OFORMATKM rS UPON THE CER I PWJRM AFFORDM CMEn E , „ AlEnwB8ma awy Co uislmFta a: _.._. 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