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RF-14-375Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 208054 Permit Number: RF -2 -14 -375 Scheduled Inspection Date: March 11, 2014 Permit Type: Roof Inspector: Rodriguez, Jorge Inspection Type: Final Owner: MOORE, ERIC Work Classification: Gutters Job Address: 9304 NE 9 Place Miami Shores, FL Phone Number Parcel Number 1132060070080 Project: <NONE> Contractor: WATERTITE GUTTER CO INC Phone: 954- 563 -2207 tsunaing uepartment comments 6" white seamless aluminum gutter and downspout front entry and in back INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. March 10, 2014 For Inspections please call: (305)762 -4949 Page 21 of 38 Miami Shores Village f(►�I . Building Department 10050 N.E.2nd Avenue Miami Shores Florida 33138 Tel: (305) 795.2204 Fag: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 I bill I M 1 Permit No. RECEIVED K!214 FBC 20 L-D PERMIT APPLICATION Master Permit No.-" N - 5`1 5 Permit Type: BUILDING ROOFING ® � JOB ADDRESS: -1 3 ®y � � �1 City: Miami Shores County: Miami Dade Zip: `� 3 13 9 Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder) Address: -! 3o v A) E' f"— City: /'11011%1 Tenant/Lessee Name: Email: o e V G ®fie—, Phone#: ('7 v) a Fz) ' 0 / 3 / State: RZ • Zip: 3 51-3 CONTRACTOR: Compan�yj Nam: (�� `i'� ��� i1�- �^/�° Phone#: Uq 56 3 - -;L w 7 Address: )j I City: FT- Lqje,^ ' le. State: �%+. p: .333 31 Qualifier Name: r -' ® V M PhoneW20 )a 3- 2--w 7 State Certificatio or R gistration #: Certifica41 bf / o�tency #: �. 5 O ®�% Contact Phone#: 190 3:9 Email Address: e✓ f�/ ®'� I��l��� ' �a� DESIGNER: Architect/Engineer: Phone#: �� s Valve of Work for this Permit: $ Yj? Square/I.mear Footage of Work: 50'(0,4U. 4 3 P -` Type of Work: DAddidon DAlteration ONettw A&epair/Replace Description of Work: 6 Lil 4 SeA-rW4-%S Qfi 4 Color thru tile: Submittal Fee $ S CP Permit Fee $ CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ TraininglEducation Fee $ Technology Fee $ Double Fee $ Structural Review $ U G TOTAL FEE NOW DUE $ t - D 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. "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 a roved and a reinspection fee will be charged �[ --✓ f ` Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this 20 ��, by � c- /L'ivr1,2E: w known to or who has produced As identification and who did take an oath. PUBLIC: fly rsion Expires: 181, OVED BY Ig-0 1,7 The foregoing instrument was acknowledged before me thiso" day of , 20& -, by �� Y° , who is rsonally kno to me or who has produced. o Plans Examiner Structural Review (Revisal NIZ2012)(Revised 07 /10/07)(Revised 06/10/2009)(Revised 3/15/09) as identification and who did take an a(S 1 NOTARY PUBLIC: x Print: 2 L, C' d My Commission Expires: lL4i�l� MMMAMP Zoning Clerk QUALIFYING TRADE(S) 0049 META. GUTTEF2IU',i NS r: SesretotY of &* 802nd -ir»u rrexms ade.F *� evre mare 13 CERTIFICATE F LIABILITY 1 URA CE DATE !2 TYPE OF iNSURANCS 3» [ 10/18 THIS CERTIFICATE 13 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. It the certificate holder is an A,DDITi NAL INSURED, the policy (IBS) 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 eertitkate aloes not confer rights to the .certificate holder In lieu of such endoreeme $ . PP400M Corporate Insurance Advisors 1uO 3rd Avenue � CBtiiE3rine Shertelnlieb PROMS (gSt) 315 -5000 �� tasa'axs -sass Ca�erineaciafl.not suite � laoo Ft. Lauderdale FL 33301 _ MSU SI AFFQRDING t VERAGE NAIC e INSURERAM-d- Continent Casualty Co. 0/10/2013 �tsaRert Watertite Gutter Company, Inc. 211 N.E. 32 Court m B:Phileg2 : hia. Insurance Co. $ 1,000,005 wsuRmc -arid efield E l2 rs Ins. Co.. s 100, 000 ML4mo. $ &;uolude INSURER F, _ S 1,000,000 Fort Lauderdale FL 33334 INSU Rat` : GENERAL AGGREGATE THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE U61ED 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 MICH 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. LT R TYPE OF iNSURANCS F4LiCYN M POLICY Ew POLICY LIMITS A t4Eidt?RAL UAet6iTY X COMMI RaCtat GEWRAL LIABILITY CLAIMS-MADE a] OCCUR 4- GL- 000887820 0/10/2013 0I19l24014 EACH OCCURRENCE $ 1,000,005 MMI&EAS ift s 100, 000 MED EXP (A qy0ft,EMV $ &;uolude PERSONAL &AWINJURY S 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEt LAGGREGATEUtmTAPPLIESP€R: x POLICY PRO- LOG PRODUCTS - C1PtOPAGG _ $ 2,000,000 $ B - AUTOMOBILE LIABILITY _ X ANY AUTO ALL .AUTOS D �f�LEO HIR9O AUTOS AUTOS ED tiPAl$9Rf93.H Of18 %2tl3 $311912019 a 8ttt I S 1,000,000 BODILY INJURY (Per parson) $ BCiDlLYRNJURY.(Peracadent) $ PROPERTY DA E .� P B88ic $ 12,000 UMBR6 A LIAB M(CESS.LIAB OCCUR CLANSAIADE EACH OCCURRENCE $ AC�GREWE S O DE RETEtMON$ S O vvowm compeSAnoN Alias tPLOYERS' IJAaA l7Y ANY PROPRIET0PJPARTNEPJEE(ECUTiVE Y f N OFPICE(ialstEA98ER EKCLUDE+3? ® (ts�,�to,y txtatR) WRIm "114 VOPERATIONS 0,10, N!A 30s 609 JilzOaa 11 >2014 wcSTATU —_ E.4, EACH ACCIDENT S 1,000,000 F-L olsEAStr - EA EMPLOYEE s 1,000,000 E.L. TEA5e- POLICY uMiT s 1,000,000 DESCRIPTION CF OPERATIONS I LOCATM$ I VEIIOLES (Attach ACORD 101, Addffl*rM Rentarka Schadula, Ili more space is required) Metal Gutter Fabrication and Installation Contractor. village of Miami Shores Attn: Building E. Zoning Dept. 10050 t1E 2nd Avenue Miami Shores, VL 33138 (20401051 SHOULD ANY OF THE ABOVE D SCRIBE# POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE VWLL BE DELIVERED IN ACCORDANCE iMTK THE POLICY PROVISIONS- Schwartz * * * * %ANGi62, INSfI2fi l9tttt#L5t m Ths tr npn nsrma mrur inns sera raniaf warl rrsark¢ of Ad 8111 Hams 0€�c ��' e 2�-� W Ft, yeti (954) 56-3--207 J Daties (305)-,,,6 54 1140_ .