RC-14-364•
It/
WILDING
Miami Shores Village
Building Department
90050 M.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
PERMIT APPLICATION
FBC20Lk)
Permit No.
Master Permit No. RC .I
Permit Type: (BUIL) ROOFING
JOB ADDRESS: I 41"?) 141AL 110 t 1
Miami Shores County: Miami Dade
Foho/Parce : CO3 .Ov3G
Is the Buildhig Historically mated: Yes NO V
Tv: 33168
Flood Zone:
OWNER: Name (Fee Simple Titleholder): xI 1� l Iw FERTI nat o► L► P Phcareit;
Address: OACWOOD S.v n 05CI - �
city: HOLLY UJI O State:
Tenant/Lessee Name: MA
Email:
Phoned:
4
CONTRACTOR: Company Name: r, C. A35cG, I lyG
Address: 14811 SW91. .
city: lutl>1 : FL
QualifierName. EMlLAO C060Tro
State Certification or Registration #:
ContactPl : -18G 2.G 8793 Email Address:
DESIGNER: Architect/Engineer: EM 11-10 CAST KO' f. E. •
•
Phone: 305 480 7
zip: 35134
Phoned:
c eofcoanP
Phone# '',S 480 ?8e;
Value of Workfor this Permit: $ 71) Square/Linear Footage of Work:
°New arr/RePlace
INscriptUon of Work t ' T4 11-1E g1&C%T REMOVATIONI ckk
_ oa (s o f Le L41° -°t— eAteft'DL zidioL
Type of Work: °Addition °Alteration
c C5 1
lition
efetQa
r.��
Color thm tiler
Submittal Fee $ Permit Fee $ CCF $ CO/CC $
Summing Fee$ b" Radon Fee $ DBPR $ Bond $
Training/Education Fee $ Technology Fee $
Structural Review $
TOTAL FEE NOW DUE $
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 212818 Permit Number: RC -2 -14 -364
Scheduled Inspection Date: May 22, 2014
Inspector: Rodriguez, Jorge
Owner:
Job Address: 143 NW 110 Street
Miami Shores, FL 33168-
Project: <NONE>
Contractor: E.0 & ASSOCIATES INC
Permit Type: Residential Construction
Inspection Type: Final
Work Classification: Alteration
Phone Number
Parcel Number 1121360030530
Phone: (305)480 -7886
Building Department Comments
AFTER THE FACT RENOVATION KITCHEN
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.
May 21, 2014
For Inspections please call: (305)762 -4949
Page 28 of 37
, Bonding Company's Name (if applicable) 14 IA
Bonding Company's Address
City State jet Zip
Mortgage Lender's Name (if applicable) i�l /H
Mortgage Lender's Address
City State Tap
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 AMR 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 budding permit is issued In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged
or Agent
The fomgoing roment was ac !edged me this,°A�`
day of EC1021011i 204 by
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:.
Sign:
Print
My Commissi
Signature
Contractor
The foregoing instrument was acknowledged before me thisaZ2
daYof
* * *****r **v
APPROVED BY
c x 1(1 l Cs)
aSpPpe k
€:P• °' . pt JANICE AIMEE MATOS
t'1 MY COMMISSION #FF011193
ry�@4704e EXPIRES • 123, 217
** s * * *** * * *s
,f,r�i4v
J `
rvi :e.ccm
20J— y o a dzo .
me or who has produced
as identification
NOTARY PUBLIC:
****
Plans Examiner
Structural Review
(Revised 3I1Zf2012)(Revised 07n0107XRevtsed O6n0r2OO9 )(Revised 3115109)
ddi: SOLER
Notary Pudio, State of Flodda
X814
My ea matka Daliss Ai . t2, 2019
Sign: -
Print:
My Commission Expires:
PO6. /2. a 'i6
**** * * * * *ww***** ***** * * * * *, ** ***w****
/C
Clerk
Aitt0,4042,4,-
Action Taken by Written Consent
of the General Partner of IH2 Property Florida, L.P.
February 27, 2013
IH2 Property GP LLC, a Delaware limited liability company (the "General Partner"), as
the general partner of 1112 Property Florida, L.P., a Delaware limited partnership (the
"Partnership "), acting without a meeting pursuant to Section 17- 405(d) of the Delaware Revised
Uniform Limited Partnership Act, (6 Del. C §17-101, elm.) .) (the "Act'), hereby takes the
following action by unanimous written consent as of the date set forth above:
WHEREAS, Roman Pavlik has been retained to provide certain services to the
Partnership; and
WHEREAS, the General Partner desires to grant Roman Pavlik the authority to take
certain actions on behalf of the Partnership.
NOW, THEREFORE, BE IT RESOLVED, that Roman Pavlik be, and he hereby is,
authorized and directed to do and perform, or cause to be done and performed, all acts and things
and to make, execute and deliver, or cause to be made, executed and delivered (including by
granting a power of attorney with respect to), all contracts (including purchase agreements in
respect of one to four unit homes located in the State of Florida), deeds, deeds of trust,
mortgages, leases, rental agreements, property management agreements, utility bonds,
assignments of rents and leases, and such other instruments or documents, in each case, in the
name and on behalf of the Partnership that may be necessary to carry out the day -to -day business
of the Partnership.
IN WITNESS WHEREOF, the undersigned has signed this written consent as of the date
first written above.
GENERAL PARTNER:
IH2 PROPERTY GP LLC
By:
Name: Devin Peterson
Title: Managing Director and Vice President
CERTIFICATE OF LIABILITY INSURANCE
DATE (MWDDIYYYY)
02/25114
THIS CERTIFICATE IS ISSUED AS A MAT1ER OF INFoRmATON 'ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS
CERTIF LTh DOES NOT AFFiRmAtivELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW 'MR CERTIFICATE OF iNspRAticE -DOES NOT CONSTITUTE A CONTRACT BET 1 THE ISSUING iNstiREROA AUTHORIZED
REPRESOITAIEVE OR PRODUCER;ANb THE CERTIICATE HOLDER.
IMPORTANT: ` f
the ce'rt)Raate holder Is an INSURED, the 1 t(DY( es) mast be endorsed, IT SUBROGATION IS WAIVED, subject to
the ter! end � of the i cy certain policies may require an endorsement A statement on this certHirate does not confer rights to the
certificate holder in Neu of such endorsemert0I).
PRODUCER •
Flats Bankers Insurance
7278 SW B Street
MEami, FL 33144
Ph to . (305268 -6493 .y
INSURED
EC. & Msodates, Inc
14811 S V 9 Is
MIAMI, FL 33194 -
(305) 480-7884
Fax (305)262 -0679
WACT
NE
MARIA ALONSO
I(C No Exq: (305) 266.6993- I catL Noh (305)262-M79
79
AADDAREESSc munduneurtusuannurBineurance.COCI1
PRODUCER
CUSTOMPTIIDik
ThssufteRto AFFORDING COV iAGE
INSURER : FEDERATED NATIONAL INSURANCE.
NAIC, S
INSURER B:
INSURER C -:
INSURER D :
INSURERS :
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 COh1DMON 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 ALI, THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
L'IR riPeoFgauRANcE ADDLiNER
DB4ERALUABILITY
• COMItERaAL GENERAL LIABILITY
Q
clAuds-mADE ® OCCUR
GENLAGGREGATE LIMIT APPLIES PER
• POLICY D piR& El LOG
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• ANVAUTO
• ALLOWNED AUTOS
flSCHEDULED AUTOS
o t DAUTOS
D ION-OWNED
AUTC
0
POLICY NUMBER
EFF
LICY
PO
i_(6�NIDD
<EACHNCE
DAMAGE P T1Esacaarence)
MED EXP (Any one person)
PERSONAL 8 ADV INJURY
GENERAL AGGREGATE
PRODUCTS - COMPIOP AGO
OOMEIINIID SINGLE UNIT
(Ear)
BODILY INJURY {Parpen on)
BODILY INJURY (Perident)
PROPERTY DAMAGE
(Per )
1:000.00
100.010.00
5.000.00
1,000.000.00
1,000.000.00
1,07.000:00
0 UMBRELLA IBB o
p
EXCESS LMB ❑ CS
a DEDUCTIBLE
WORKERS COMPENSATION
AND stiptOYEL4' LIA;BIUTY
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PRCPRETORiP�1NFR tnuEN
AqN�Y
OFRCERIEME EREXCLUDE?
paroosorystras
1 ePFION.OF OPERATIONS betas
to
AGGREGATE
❑- TTORRYtiftrTS n. ER
EL EACH ACCIDENT
EL DISEASE * EA EMPLOYE
EL DISEASE -POUCY UNIT
w�cl��rllF -EC�E
HOLDEli-
CITY OF MIAMI SHORES BUILDING DEPARTMENT
10050 NE 2 AVE
MIAMI SHORES, FL 33138
CANCELLATION
SHOULD ANYOF THE ABOVE DESCRIBED POLICIES BE QED BEFORE
THE EXPIRATION DATE THEREOF, Notice WILL BE DELIVERED psi
ACCORDANCE WITH H TFIE POLICY PREVISIONS
AUTHORIZED REPRESENTATIVE
ACORD 2!i { ) Q
01988 -2009 ACORD CORPORATION. AD riffs reserved
The ACORD rourreand loge are registered marks of ACORD
JEFF ATWATER STATE OF FLORIDA
CHIEF FINANCIAL OFFICER
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: 7/2/2013 EXPIRATION DATE: 7/2/2015
PERSON: CASTRO EMILIO
FEIN: 650130087
BUSINESS NAME AND ADDRESS:
E C & ASSOCIATES INC
14811 SW 9 LANE
MIAMI FL 33194
SCOPES OF BUSINESS OR TRADE:
LICENSED RESIDENTIAL
CONTRACTR
Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may
not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be eampt... apply only within the scope
of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of
election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or
certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure 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
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD
LICENSE NUMBER
. RR28281-1510
The RESIDENTIAL CONTRACTOR
Named below FTAS REGISTERED
Under the Orel/Whine, of Chapter 48$,FS.
F,xptratao( dater AUG 31, 2015
ONDIVIDIJAL.MUST.NIEETALL LOCAL LICENSING.
QUIRENIENTS PRIOR,TO TRAC!`Ji IN ANY' EA)
CASTRO, EMILIO DE JESUS
EG &ASSOCIATES-INO
145t1SW
NIIAN(I FL 33t'4'4- 2911'x,
RICKSCOTT
GOVERNOR
ISSUED,. 07121/2013 SELLS L1307210000736
DISPLAY AS REQUIRED BY LAW
0
ytuftwat.
KEN LAWSON
SECRETARY
CTQB
Construcidno Trades Qualifying Board
USINESS CERTIFICATE OF COMPETENCY
0003
0044
0055
QUALIFYING TRADE(S)
RESIDENTIAL (COUNTY)
ROOFING
SWIMMING POOL
Miami Shores Viiiage
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
FEBUARY 18, 2014
Permit No: RC14 -364
Building Critique Review
1. Correction to the plans must be original and should be clouded in. The address for
the building needs to be corrected.
2. The plans provided show a new side door, and landing on the west side of the
master bedroom. Provide structural detail and specification for the opening. Also reflect
scope of work on the permit application.
3. The description of work on the permit application is for a kitchen only.
4. Comments provided based on the plans and the information provided. You may
want to check copies of permit records in the village for compliance.
Ismael Naranjo
Building Official
Plan review is not complete, when all Items above are corrected, we will do a complete
plan review.
If any sheets are voided, replace them with new revised sheets and place behind the most
current page.
Miami Shores Vuiiage
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
3(WW1lLf
Permit No: RC, -36 y
Structural Critique Sheet
Page 1 of 1
STOPPED REVIEW
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.
Mehdi Asraf