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RC-14-3100
.. _; BUILDING Miami Shores Village C IVTED Building i n a nt JAN 0 5 2 1) 10050 N.11,2ad Avenue, Miami Shame, Plorida 33138 Tel: (309) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBERi (305) 762.4949 Permit No. FBC 201 L-) PERMIT APPLICATION Master Permit No. �R G I L4 "'-2> 1 Is the Bumug Hlstorl"lly Deslgnatail: Yes NO Rood Zone: OWNER: Name (Fee Simple Titleholder): Phone# 76 96 l' W,4-0 Address: 35- /U E 2f3-- �E- City: 114 12J / SeOgf: State: pwfLipfi- Zip: 3313? Tanafid4,, ssee Name: �' / t' CONTRACTOR: Company Nam. E+ D' iC lTuseJ CAS hucri `NL Address: 3 "0 W Sq ST # (03C City: Hl State: zip: Qualifier Name: EU0 tkotum(LD Phone#•_ State Certification Re istration #: CertTcate of Competency #: l Contact Phone#: �A "a" ` 9"t IS' Email Address: � C-r10k (t CCir�O DESIGNER: Architect/Enginew.. tj Ig Phone#: Value of Work for this Permit: 1 5-600,00 Square/Linear F of Work: Type of Work: OAddition DAlteration ONew UE� /Replace 0 9 1. It _I n &I A_ Description of Work: Submittal Fee $ ✓LJ Scanning Fee $ Color thru file: Permit Fee $ CCF $ CO /CC $ Radon Fee $ Notary $ lain (Education Fee $ Double Fee $ Structural Review $ DBPR $ Bond $. Technology Fee $ 3301V ODemolition TOTAL FEE NOW DUE $ 1/• . lrolsft mpaoy's slim (it 4pp11e01e) Ban ft Compaoy'a Address city Statc Zip Mortgage Lender's Nam (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 bas 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 $2$00, the applicant must promise to 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 flrst 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 einspe ' n fee will be charged. Signature Signature caner o Agent Contractor The foregoing instrument was acknowledged before me this �/% � The foregoing instrument was acknowledged before me /th_is day of �� 20 ly by e (29i_�-�d A <����� day of i ci n . 20 by (V A40 �`�_ °ice who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. UtO ITC as identification and who did take an oath. NOTA> UBLIC - NOT Y P Sign. L` Sign: °r Print: l Print: ' ii l41 l�- E11f COON f FF04B174 M" "• A�AII. My Commission Expires: * * y Commission Expires: ' * W ON#FFM174 lacs:ttiatr 8oad�tbretiyBaM �'�sovn'! Y13,Z017 �e� *e���e��w���e�e�+seeeee�ee�e eee ��� eye( w�uee* eeee�eee�ee�e��e�e�eee�eww�rwe�a* eee��� *e�e�ee�e��w�a.�e�����e�� APPROVED BY v3 t ✓\ Plans Examiner Zoning Structural Review Clerk (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06110/2009)(Revised 3/15/09) 1014 licencla do IrstEdacion 001.jpg T:qdw Alu CERTIFMM OF COUP IOBSOOSSO &.,p KITCHEN CAmNET ANC.. D.B.A.: h4s:f/ff wil.gaM lecorWff Wl/u]Onshe--IffirOM04&'AOdPdWlf?projector-- I 1/2/14 busires texrecip 001 jpg 00W_3 Local Business Tax Receipt mwrrii —bad.a Ctlunty, Mate ©f flortda THISIS NOT A BILL - f3t INOT WAY LBT. 7100159 BUSINESS At"MOCATION RECEIPT NO. EXPIRES E & D WCHEN CABWET INC '"SAL SEPTEMBER 3'0,1 2014 �.. 34811W 84 St I03C 7378157 Must be displayed at place of business HIALEAH FL 33018 Pursuent to County Code Chapter 8A -Am 9 &T0 OWNER - BBC. TYPE OF BUSINESS PAYMENT RECBIYBD E& QtOTCHEN CABINET IN SPECIALTY BUILDING CONTRi1CTOR BY TAX COLLECTOR Worke(s) t 106500680 $45.00 07/18/2013 .7MS1 -13- 032105 Tbis,Looal &aabte66 TAX Receipt aaly aosfltms paymio� al ft Leto BasinessTaX. The Reesip<m cot a Roan pearm$ otsa � a�b18 hoida� $ quai[ficAt, erd m do b�teeas. HOlder.mmt eompiY w� �Y 9averameNel or lawsmid mpbementswbich apply to the business The RECEIPT NIL abm mmIM d4played"oa eQ eomruercial vWdAs- AAmi -gAde Csde Ssa 8a-R7B For Umrs ielormatioa tdait httpsJ/ mail. gwgle. comima iUdO /7she =1 #inbaod1435406beM4a0 ?projector -1 1/1 AC40RO CERTIFICATE OF LIABILITY INSURANCE 01'1=17 VTHIS 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 CER TIFICATE HOLDER. if the 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). _'bONTACT PRODUCER NAME?__ fiel Rodriguez Royal Prestige Insmrice Agency PHONE 077 (305) 5124806 -A &�Nlfldk_ _'� _ -- 1275 West 47-Place # 103 ADDRESS. -_- Hialeah, FL 33012 NAI AG_._. C � AfFORPlN1q.99VM!L US Phone Fax (305) 820-2077 INSURER A: Granada Insurance Go. INSURED INSURER _8: E & D Kitchen Cabinet Corp _ENSURER C:_ 6790 West 6 Ct INSURER D:, INSURER E: Hialeah F1 33012 INSURER F: COVERAGES ... REVISION NUMBER. .. . . .... ..... THIS ISFT6CERfl THE POLICIES OF NSORANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. CERTIFICATE EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS_ INSR� TYPE OF INSURANCE (MWOr E% 1 (MILI DW WDM LIMITS GENERAL LIABILITY EACH $ 500,000.00 TO DAMAGE RENTED— $ 500,000-00 COMMERCIAL GENERAL LIABILITY PREMISES (Ea ocotrtenos) CLANS-MADE OCCUR :0 1 85FL 00040082 MED EXP, (Any crie person) $ 5,000.00 10/16/2013 10/1612014 A PERSONAL & ADV INJURY $ 500,000.00 GENERAL AGGREGATE 500,000.00 ii I GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMPIOP AGG, $ 100,000.00 PRO- I $ C NGLE LIMIT M AUTOMOBILE LIABILITY -------- BODILY INJURY (Per person) ;S j ANY AUTO .1, ALL OWNED SCHEDULED I --- - . _4 I __ _ BODILY INJURY (Per accldwd) $ . .-A AUTOS L AUTOS NON-OWNED PROPERTY CE (Po'� M?AMA HIRED AUTOS AUTOS UMBRELLA UAS OCCUR EACHq OCCURRENCE._ EXCESS LIAB CMM§7*69E AGGREGATE $ _ DED I RETENTION$ .. ........ _ WC STATU- 6_TH- WORKERS COMPENSATION T0.Y1IMrrS_ ER.'.. AND EMPLOYERS' LIABILITY YIN I ANY PROPRIETORIPARTNEWEXECUTIVE -11NIA1 E.L. EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYE i (Mandatory In NH) _J,.$ If yes, dawk)s under LOF DESCRIPTION E L DISEASE - POLICY LIMIT, $ A. DFscRtP-noN OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks schedule, if more space Is required) KITCHEN & CABINET INSTALLATION AND REPAIR dERTl .. . .. .......... CANCELLATION FICATEROLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE MIAMI SHORES VILLAGE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. BUILDING DPT 10060 NE 2ND AVE AUTHORIZED REPRESENTATIVE MIAMI SHORES, FL, 33138 . . ..... ... . ....... a 1988-2010 ACORD CORPORATION. All righits, reserved. ACORD 26 (2010106) OF The ACORD name and logo are registered marks of ACORD 1/2/14 vrorled 001 Jpg 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: 2/6/2013 EXPIRATION DATE: 2/6/2015 PERSON: MONTERO ELIO FEIN: 203541551 BUSINESS NAME AND ADDRESS: E & D I(ITCHEN CABINET INC 6790 W 6 CT HIALEAH FL 33012 SCOPES OF BUSINESS OR TRADE: CARPENTRY? NOC Pursuant to Chapter 440.05{14). F.S.. an officer of a corponallon who elects exemption from tit chapter by 9ft a cerdflcete of election under Oft sectlon may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt... apply only witttlrh the scope of the business or trade hated on the notice of e1ectlon to be exempt. Pursuant to Chapter 440.05(13). F.S.. Notices of election to be exempt and certlteatas of election to be exempt shall be subject to revocation t: at any 11mm after the filing of the notice or the issuance of the oertifcate, the person named on the notice or certifate no longer meets the regtdrements of /his section for Issuance of a carHfigte. The department shall revoke a cartlthote at any time for fauure of the person named on the certificate to meet the requirements of this section. DFS- F2 -DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 07 -12 QUESTIONS? (850)413 -1609 httpsJ/ mail.google. comma! V"shre= 1# 4nboWI435406be+=4cO?projector =1 1/1 NOTICE OF COMMENCEMENT CF Est 201 4RO g 12t'008 A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION C3F. EC 2DR }5 F's ' i/4 i t 121a ? RECORDED 01/07/20i4 lserisel2 HARVEY RUWINY CLERK OF COURT MIAMI -DADE COUHTi''r FLORIDA PERMIT NO. TAX FOLIO NO.11- 3206-013 -0240 t AEST PAGE 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. 1. Legal description of property and street / address: 35 NE 82nd Street, Mlaml Shores, FL 33138 Miami Shores Section 1 AMD PB 10 -70 Lots 16 & 16 Book 2 2. Description of improvement: latchen Cabinet Renovaton 3. Owner(s) name and address: CJM Strata& HoWngs, LLC PO BOX 521155, Miami, FL 33152 Interest in property: Owner Name and address of fee simple titleholder: 4. Contractor's name and address: E & D Mchen Cabinet Inc. 3480 W 84th Street, Suite #103C, Hialeah, FL 33018 5. Surety: (Payment bond required by owner from contractor, if any) Name and Address: Amount of bond $ 6. Lender's name and address: NIA 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 and Address: WA 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and Address* 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is4ecified) Slgnatu a of T wner Print Owner's Name . C_ tMA` f C. NO � �e9urk� � �" Prepared by cJM Strategic Holdings, LLC Sworn to and subscribed 6Tfor@@ me his day of 20 !1 ! t k4 6 Address: Notary Public: Print Notary's Napie: t' } M AL y commission explres'� "e °' ••••• c 17g 6' ''f * * EXPMES:August13,2017 MATE OF DA, COUNTY OF DADE "'FOVa °1�Q gdlltru�4gettdotarYicss I HEREBY RTIF that this is a tare copy of the origi t� ,ja ys pn day of AD20 4ITNE S m,',, tend and offxw Seat. HARV 7�' f ERIC ®f G1ic_7u�ft }�a�II�Jd Cowlty Courts Pc , 1 CFN: 20131010387 BOOK 28967 PAGE 3938 ' DATE: 12/27/2013 10:48:55 AM DEED DOC 2,160.00 �* id HARVEY RUVIN, CLERK OF COURT, MIA -DADE CTY This lostcwment Prepared by: A%czft li Law $404 Cypress CeaterDrive, Suite 300 Tatra. Florida 33609 OurFileN umber IPA13 -35454 YAO as a necesmtyr incident to the fulfillment of coaiticas %3 coundood in a fate its eonewitment issued by it. Property Appraisers Parcel LD. (Ferro) Number (s):11- 3206 -013-0240 SPECIAL WARRANTY DEED This Special Warranty Dad, made this . 4 Z013,bbetween RankQadted. NA., formerly known as Bankvaited, tmviag its place ofbudvm at 7315 NW 148th Street: Miami Lakes, Florida 33016 th rebycalled the grantor. to CJM Strategic Holdings, LLC a FlarNa Limited Liabfl ty Company. whom Post Office address w P.O. Box 521155.Mtaml, FL 33152 hereinafter called the grantee, W IT N E S S E T 1kThat gmater. for and in consideaatroa of the sum of 31000 and other valuable considerate, receipt whereof is acbwwIcdz4 by these luesems does grad. > . sell, aliens, mak releases. conveys ad oonR unto gmatee, all that lard situate m �ml � C�, i'lodd% vic Lots 15 and 16, Block 2 of AhUMED PLAT OF MIAMI SHORES SECTION NO. 1, according to the Plat thereof as recorded in Plat Book 10, Page 70, of the Public Records of Want -Dade County, Florida_ Property address 3S NE 92nd Street, Miami Shores. Florida 33138 SEE ATTACHED EXEURM TOGETHER with all dm tencumms, heredhaments and aplautenances thereto belonging or in anywise appmaining. TO HAVE AND TO HOLD do same in fee simple forever: GRANTORS WILL WARRANT AND the said patty of the first part does hereby covenarit with the said party of the second part that, except as above noted, that at the time of the delivery of this deed the premises were free from all encumbrances made by it, and that it will warrant and defend the same against the lawful claims and demands of all persons claiming by, through or under it, but against crone other. 0009aa used Uldu the teener °armor mnt -g •;et� a4 Aye partm to this insona 4 and $0 kk% UW mrmaNd aB nerd aWgm of iadividvale. and rho Swces ms arm assitA+s efcon maGaa.) IN WITNESS WHEREOF. the grantor bas caused tbese presents to be executed in the name, and its cotporate seal to be heretuao affmed, by its ptolnr officer's dreteunto duly authorized, the day and year first above written. Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION FORM ALL CONTRACTORS MUST PROVIDE COPIES OF LICENCES AND INSURANCES EACH TIME A PERMIT IS SUBMITTED OR THE VILLAGE MAY MAINTAIN A FILE WITH YOUR INFORMATION FOR A $30.00 FEE PER YEAR. IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. COPY OF QUALIFIER'S STATE LIC CARD B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF LIABILITY INSURANCE (CERTIFICATE HOLDER TO BE MIAMI SHORES VILLAGE BLDG DEPT) A. V COPY OF CERTIFICE OF COMPETENCY OF QUALIFIER B. 1,/ COPY OF MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT C. COPY OF LIABILITY INSURACE (CERTIFICATE HOLDER MUST BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKER COMP INSURANCE (EITHER CERTIFICATE OR EXEMPTION) YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE HOLDER AS FOLLOW: BUSINESS NAME: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 COMPLETE CONTRACTOR'S INFORMATION BUSINESS ADDRESS: 31 ?0 W q Si # %0 3 C CITY L / P"L i STATE d2 ZIP CODE 3 G BUSINESS PHONE: j 3 13 ST FAX NUMBER (� CELL PHONE ( -7?4 1 �L 'J"/ � QUALIFIER'S NAME: E L-10 416 N QUALIFIER'S LIC NUMBER: E -MAIL ADDRESS (IF APPLICABLE): Created on 3119109 BY NUV 1 RV 3126109 RUV 8 monk! 81 Contractor's Tax Receipt miumi-DadgCuumy. State of Florida -fillet .�1�41� ®LL ®M WrAic a 11 w l ft"Im 1p. EXPIRE R. (11 W�Se�4�Aicta' fi io- t 11 R C4v of tmzmlStam eam, IGiY tr.N �r 4t� Lif1►�lte WAVMM 1164 /w t'.A; u "UG PROPERTY ADDRESS: 35 NE 92nd Street, Miami Shores, FL 33138 PERMIT #: TBA DETAILED SCOPE OF WORK: Remove Old Kitchen Cabinets, Kitchen Sink and Faucets. Install New Kitchen Cabinets with Granite Countertops and Backsplash. Install New Required GFI Electrical Outlets and Install New Kitchen Sink and Faucets. No Drywall or Framing Will be Performed. ADD SMOKE/CARBON MONOXIDE DETECTORS. NO POINT ALONG COUNTER TO BE MORE THAN ANY AND ALL CLOTH AND RUBBER 2 FEET FROM G.FI PROTECTED RECEPTACLE. INSULATED CONDUCTORS TO BE REPLACED. PUT D/W RECEPTACLE UNDER SINK. ALL FIXED APPLIANCES ON DEDICATED CKTS. JAN 0S tots .• ... ••• • • • • • ••• • • • • • • • • • • • • • • • • • • • ••• • • • ••• • • MIAMI SHORES WAGIE i 41 t • riv WWI 1 T KULLJ nwU RLuULn L . ...�.�..- S"- i- I -I_t3 �y j . . ... . . .... .... . ...... . i; ti S"- i- I -I_t3 �y j %- i' r. • ffi 1 i 1 . ........... . . .. . . i; ti 0 � s � %- i' r. • ffi 1 i 1 i i .p. 0 IAV14 •••• • • • • • • • • • i� 341 11.bmp s 4-► *4 F 5--* FT14 38 -W t- nl SO —Y UG NO PINT ALOW COUNTER TO BE MORE THAN 2 FEET FROM G.F..I PROTECTED RECEPTACLE. ALL FIXED AppLIANCES ON DEDICATED CKTS. t httpsl /mail.google.c onYmall /L#W? she= lMnbmd1437024cx 4?projecta' =1 1/2 a a a I� V a N v i