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RC-13-2612• ' 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 RECEIVED NOV 1 FBC 2013 BUILDING Permit No. rr Master Permit No. 12-0 - b 12 PERMIT APPLICATION Permit Type: JOB ADDRESS: 1OG �( N E Ai AVE City: Miami Shores ROOFING County: Miami Dade zip: 33 13S Folio/Parcel #: 1(— 223 "L' 2. C 32-40 Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): 4444 tll+'i� 1 19`7 (—LC Phone#: C --4243 Address: .204700 4/6 3Q A kt #.3,e City: A State: PL_ Tenant/Lessee Name: // NIA Email: 4U5TAVID 1A)DEV _ C1 'g® Phone#: Phone#: 305 - 4(06 -" Zir3. Zo 2 3- 300'')353 CONTRACTOR: Company Name: M. l 1J e=, Pthl. C.®asS11 OCflC*+ CO., Address: 2 C7 ®O L So 3/ City: A`EAPV 454 Qualifier Name: 17L,E -L 11- State Certification or Registra tion #: C�Jc73 C) Contact Phone#: Email Address: l)ST�� DE �E %0 . �M DESIGNER: Architect/Engineer: �t Phone#: Value of Work for this Permit: $ co ce Square/Linear Footage of Work: Type of Work: ❑Addition ❑Alteration UNew Atepair/Replace ❑Demolition Description of Work: LACE- 140CAVO Chibc iCT'S Iba th2comS C/{) I W D x-ru 4 State: Ft-. Zip: _33/8 /- Phone#: ^f7 66 -4243 Certificate of Competency #: Color thru tile: * ***at ** ***** * * * ************************Fees * * * * *41 ** ******** ** +x+x************ **** *** ** ** Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 3 6'7 q CCF $ DBPR $ Technology Fee $ CO /CC $ Bond $ 06 Bonding Company's Name (if applicable) Bonding Company's Address City State Zip opt Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip pih 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 FT.ECTRICAL 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven ( days after the building permit is issued. In the absence of such posted notice, the inspection will not be � pproved and a reinspec ' n fee will be charged. Owner or Agent The foregoing instrument was acknowledged before me this 4 day of 11606 4).... , 2015 , by Wtat 1D (2:0(4)OOV)S'- I , who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Si Print: ` My Commission Expiraesx ...... ; FCBLIC r , Gustavo Gomez ssi on# EE0184 80 gl$k*ffigpgk8 gg>$$$gg�•%•n` P lcAB.UNGD.LN1G8CO3 2.,0111 . * APPROVED BY Signature Contractor The foregoing instrument was acknowledged before me this 2 day of i4®0E 113 R, 20 i3, by 4l%ne. 11.. , who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Print: 6ritb5Phb b01412- NOTARY IitiBLIGs laiE OF FLORIDA My Commission Expireac.��,%,, Gustavo Gomez Commission # EE018480 Expires: AUG. 18, 2014 'an THE' ATLANTIC BONDING CO.,INC., ** *****+kffi*********** *** **+ k***k **+k *+k*+N***M*****4 ********** *F**+k **Ne,Ie***** Plans Examiner Structural Review (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06/10/2009)(Revised 3/15/09) Zoning Clerk PERMIT # 12-C A3 -'(.0 +2- ` CONTRACTOR: '.i e, N 114kAX Y2 CC St, SUBMITTAL DATE: ADDRESS: 1 06S9 1'1---- I I A\, A-104-1 i PA\IC, -0-1 Jti iS l L C NAME: RESUBMITAL DATES: PROJECT TYPE: 11.1-1-64z43-z, ' rmove J``i ZONING FIRE STRUCTURAL IMPACT FEES c; %/ 1 ELECTRICAL /-, HRSIDERM // 113 PLUMBING NOC MECHANICAL BLD`GG_ y 6-1 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. �1 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) D. COPY OF WORKERS COMPENSATION (EITHER CERTIFICATE OR EXCEMPTION) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICE OF COMPETENCY OF QUALIFIER B. 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: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 COMPLETE CONTRACTOR'S INFORMATION BUSINESS NAME: Ali I c‘"2- e B''GiloAk1 BUSINESS ADDRESS: 2CqCC ) Au 3 63 CITY rc t7Lv24 STATE FL ZIP CODE 33180 c BUSINESS PHONE: �`Ji 4E)6 `424'314 2FAX NUMBER ( S) 4 6 —C /3. CELL PHONE ( ) QUALIFIER'S NAME: M165/J671- 12012--- QUALIFIER'S LIC NUMBER: CCIC CT7 32, C E -MAIL ADDRESS (IF APPLICABLE): tOb-c © 14./ C V Pe 23.. i; M Created on 3119109 BY MLDV I RV 3126109 MLDV FH1, DO 'UM N HAS A COLORED" BACKGROUND ,^ia71CROPRIN•IN •LINEMARK' PATENTED 'PAPER 42062 :0772 DATE BATCH NUMBER rac (For the protection of our professional license holders, this license contahis:hidden security featLfres to prevent' counterfeiting. Unauthorized reproduction is strictly prohibited and will be prosecuted to the fullest extent of the law.) The Department of Business'nd Professional Regulation (DBPR)I issues licenses for many licensed businesses and practitioners in the State of Florida. DBPR is changing the way you interact with state government Many of DBPR's services are available online at www.MyFloridaLicense.com. We encourage you to utilize these services to make address changes, licensing changes or to renew your license. Name changes require legal documentation verifying the name change, which must be mailed to DBPR. An original, a certified copy, or a duplicate copy of an original or certified copy of a document that shows the legal name change will be accepted, unless DBPR has a question about tyre authenticity of the document. If applicable, DBPR will send a renewal notice to your last known address prior to the expiration date on your license. If you. have not received your renewal notice, please can our Customer Contact Center at 850.487.1395 or email us at callcenter@dbcr.state.fi.us. Please refer to your profession's governing statutes and administrative codes for further information regarding renewals. These may be viewed online at www.MvFlorida.comidbcr. <Revised 10/30/2007> CITY OF AVENTURA COMMUNITY DEVELOPMENT DEPARTMENT 19200 WEST COUNTRY CLUB DRIVE AVENTURA, FL 33180 305 - 466 -8942 August 29, 2013 WEINTRAUB RUIZ CONSTRUCTION CO 20900 NE 30 AVE 318 AVENTURA FL 33160 This is your local Business Tax Receipt for the City of Aventura. Please post in a conspicuous place at the business location to avoid penalty. Do not remit payment as this is not a bill. Business Name: Location: Recipient Name: Description: Issue Date: Fees Paid: Restrictions: CITY OF AVENTURA, FLORIDA LOCAL BUSINESS TAX RECEIPT FOR PERIOD 10/13 - 09/14 Receipt 14- 00017033 Expires September 30, 2014 WEINTRAUB RUIZ CONSTRUCTION CO 20900 NE 30 AVE 318 AVENTURA FL 33160 305 -466 -4243 WEINTRAUB RUIZ CONSTRUCTION CO CONTRACTOR - GENERAL BUILDING August 29, 2013 247.50 �' °® CERTIFICATE OF LIABILITY INSURANCE DATE(i2D 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 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: If the certificate 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). PRODUCER COMMERC/AL BROKERS LLC 5835 Blue Lagoon Drive, #304 Miami FL 33126 CONTACT Malin Martinez NAME: Maylin PHCIN E5: (305) 403 -4070 I FAX No): (305) 403 -4072 AAD IESS.mmartinez @scbinsurance.com INSURER(S) AFFORDING COVERAGE NAIC # INSURERA :Evanston Insurance Company 35378 INSURED Weintraub Ruiz Construction Corp 20900 NE 30th Avenue, #318 Aventura FL 33180 INSURER B : 3C04672 INSURER C: 8/8/2014 INSUREtD: $ 1,000,000 INSURER E : $ 50,000 INSURER F: $ 1,000 COVERAGES CERTIFICATE NUMBER:CL138103309 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. NO1WITHSTANDING ANY REQUIREMENT, TERM OR CONDITION 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 ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSi LTR TYPE OF INSURANCE ADDL. INSR SUER VIVO POLICY NUMBER POLICY EFF ,fNMJDDIYYYY)_(MM$DDIVYYYL POLICY EXP LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY X 3C04672 8/8/2013 8/8/2014 EACH OCCURRENCE $ 1,000,000 PROEM SES (Ea N occurrence) $ 50,000 MED EXP (Any one person) $ 1,000 I CLAIMS-MADE X OCCUR PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 1,000,000 GENt AGGREGATE LIMIT APPLIES PER POLICY n ACT n LOC AUTOMOBILE — — LIABILITY ANY AUTO ALL OS OV ED HIRED AUTOS — _ _ SCHEDULED AUTOS NON -OWNED AUTOS COMBNED SINGLE LIMIT tEe acident) $ BODILY NJURY (Per person) $ BODILY NJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LAB EXCESS UAB _ OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ $ DED I I RETENT ON $ WORKERS COMPENSATION AND EMPLOYERS' LIABWTY Y J N ANY PROPRIETOR/PARTNER/DECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N JA I TORY LIMITS I 10TH- ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) Certificate holder is listed as an additional insured with regards to the General Liability policy. CERTIFICATE HOLDER CANCELLATION Miami Shores Village Building Department 110050 NE 2nd Avenue Miami Shores, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE M Martinez/MAYLIN �rY i-� e � v Ad ///��� ^. w.�. ti ACORD 25 (2010105) INS025 (201005) 01 O 1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 705028 -9 • THIS IS AJOT A BILL - Do NOT PAY NEW FIRST -CLASS U.S. POSTAGE PAID MIAMI, FL PERMIT NO. 231 suYWYNOPONTRUCTION CORP318STATE7330 732675 -4 20900 NE 30 AVE 33180 CITY OF AVENTURA °NTRAUB RUIZ CONTRUCTION CORP . BUILDING CONTRACTOR an 18 ONLY A LOCAL. 1 BUSINESS TAX RECEIPT. T DOES NOT PENNIIT THE HOWER TO VIOLATE G REGULATORY OAR ZONING LAWS OF 1148 COUNTY OR CUES. NOR DOES PERINT M IT MEDI FOR THE ANY OTHER NOREOUwEG W. THIS IS THE B LDER'S OUAL9!RCA.. PAYS RECEIVED 81Atat0AOE COUNTY TAX -10/10/2012 02250015001 00004.5.00 SEE OTHER SIDE WORKER /S 1 DO NOT FORWARD WEINTRAUB RUIZ CONTRUCTION CORP ABRAHAM WEINTRAUB PRES 20900 NE 30 AVE 318 AVENTURA FL 33180 �tt1# tr aJIart1l , is* jt,ittttaattrttHs lit II, ll t i attY tr 1 % TRANSFER OF BUSINESS/OWNER NEW BUSINESS NAME (PLEASE PRINT) PURCHASER NAME (PLEASE PRINT) PURCHASER SIGNATURE SELLER NAME (PLEASE PRINT) SELLER SIGNATURE INFORMATION REGARDING YOUR LOCAL BUSINESS TAX. RECEIPT THE TAX COLLECTOR MUST BE NOTIFIED IN WRITING IF THERE IS A CHANGE OF OWNERSHIP, BUSINESS LOCATION, TRADE NAME OR ANY OTHER CHANGE FROM THAT WHICH IS SHOWN ON THIS RECEIPT. CALL (305) 270 -4949. IF RECEIPT IS LOST OR DESTROYED ONLY ONE (1) DUPLICATE RECEIPT WILL BE ISSUED. LOCAL BUSINESS TAXES ARE SUBJECT TO CHANGE ACCORDING TO LAW. VISIT WWW.MIAMIDADE.GOV A CERTIFICATE OF USE AND / OR CITY.BUSINESS TAX RECEIPT MAY ALSO BE REQUIRED. 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. 01 -27 -2012 EFFECTIVE DATE: PERSON: 01/27/2012 RUIZ FEIN: 272504927 BUSINESS NAME AND ADDRESS: WEINTRAUB RUIZ CONSTRUCTION CORP 20900 NE 30TH AVE., SUITE 318 AVENTURA FL 33180 SCOPES OF BUSINESS OR TRADE 1- CONTRACTOR PROJECT MANAGER, CO EXPIRATION DATE: 01 MIGUEL /26/2014 IMPORTANT: Pursuant to Chapter 440 .' 05(14), F.S., an officer of a corporation who elects exemption from this chapter by, filing a certificate of electron ender this section may not recover benefits ar compensation under this chapter. Pursuant to Chapter 440:05(12); F.S., Certificates of election to be exempt... 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: DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01 -11 QUESTIONS? (850) 413 -160 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION CONSTRUCTION INDUSTRY CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW EFFECTIVE: 01/27/2012 EXPIRATION DATE: 01/28/2014 PERSON: MIGUEL RUIZ FEiN: 272504927 BUSINESS NAME AND ADDRESS: WEINTRAUB RUIZ CONSTRUCTION CORP I 20900 NE 30TH AVE., ', SUITE 318 AVENTURA, Fl. 33180 .. ". SCOPE OF BUSINESS OR TRADE 1- CONTRACTOR.PROJECT MANAGER, CO IMPORTANT 0 Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who L under this section may not recover benefits or compensation under this D chapter. H Pursuant to Chapter 440.05(12), 'F.S., Certificates of election to be exempt.. apply only within the scope of the business or trade listed on the notice of election to be exempt E 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 shalt revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section: elects exemption from this chapter by filing a certificate of election CUT HERE QUESTIONS? (850) 413-1809 Carry bottom portion on the job, keep upper portion for your records. DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01-11 1Ii i F! I IJ J ��i j+I CERTIFICATE OF LIABILITY INSURANCIE DEC 10 2n13 I 12/10/2013 , Date Producer. Lion Insurance Company 2739 U.S. Highway 19 N. Holiday, FL 34691 (727) 938 -5562 This Certificate Is Issued as matter of Information only and ct nfers no rights upon the Certificate W`.. 'This Certificate does not amend, extend or alter the coverage afford i Insurers Affording Coverage NAIL # Insured: South East Personnel Leasing,'Inc. & Subsidiaries 2739 U.S. Highway 19 N. Holiday, FL 34691 Insurer Lion Insurance Company 11075 Insurer B: Insurer C: Insurer D: Insurer E: Coverages The policies of Insurance listed 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 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. Aggregate limits shown may have been reduced by paid claims. INSR LTR ADDL INSRD Type of Insurance Policy Number Policy Effective Date (MM/DD/YY) Policy Expiration Date (MM/DD/YY) Limits GENERAL LIABILITY Commercial General Liability Claims Made Occur ]=1 Each Occurrence $ Damage to rented premises (EA occurrence) $ Med Exp $ Personal Adv Injury $ General aggregate limit applies per J Policy [] Project ❑ LOC General Aggregate $ Products - Comp /Op Agg $ AUTOMOBILE ■ LIABILITY Any Auto All Owned Autos Scheduled Autos Hired Autos Non -Owned Autos Combined Single Limit (EA Accident) $ Bodily Injury (Per Person) $ Bodily Injury (Per Accident) $ Property Damage (Per Accident) $ EXCESS/UMBRELLA LIABILITY ROccur ❑ Claims Made Deductible Each Occurrence Aggregate A Workers Compensation and Employers' Liability Any proprietor /partner /executive officer /member excluded? No If Yes, describe under special provisions below. WC 71949 01/01/2013 01/01/2014 X I WWrC Statu- I 1ETTH- E.L. Each Accident $1,000,000 E.L. Disease - Ea Employee $1,000,000 E.L. Disease - Policy Limits $1,000,000 Other Lion Insurance Company is A.M. Best Company rated A- (Excellent). AMB # 12616 Descriptions of Operatlons/Location&Vehicles /Exclusions added by Endorsement/Special Provisions: Client ID: 84-65 -810 Coverage only applies to active employee(s) of South East Employee Leasing Services, Inc. that are leased to the following "Client Company": Weintraub Rutz Construction Corp. Coverage only applies to Injuries incurred by South East Personnel Leasing, Inc & Subsidiaries active employee(s;, while working in: FL. Coverage does not apply to statutory employee(s) or independent contracbor(s) of the Client Company or any other entity. A list of the active employee(s) leased to the Client Company can be obtained by faxing a request to (727) 937 -2138 or by calling (727) 938 -5562. Project Name: FAX(305) 756-8972. ISSUE 12 -10-13 (EP) Been Date 3/22/2012 CERTIFICATE HOLDER CANCELLATION VILLAGE OF MIAMI SHORES BLDG DEPT. 10050 NE 2ND AVE. MIAMI SHORES, FL 33138 Should any of the above described policies be cancelled before the expiration date thereof, the issuing Insurer will endeavor to mail 30 days written notice to the certificate holder named to the left, but failure to do so shall Impose no obligation or liability of any kind upon the insurer, its agents or representatives. e Miami Shores Vitiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 November 22, 2013 Permit No: RC13 -2612 Building Critique Review 1. FBC. 2010, SECTION 105.3.5,...EVERY EMPLOYER AS CONDITION TO RECEIVING A BUILDING PERMIT, SHOW PROOF THAT IT HAS SECURED COMPENSATION FOR ITS EMPLOYEES AS PROVIDED IN SEC440.10 AND 440.38. FLORIDA STATUTE. 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, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Electronic Articles of Organization Florida Limited Liability Company Article I The name of the Limited Liability Company is: AAM INVESTMENTS, LLC L10000047285 FILED 8:00 AM May 03 2010 Sec. Of State thampton NOV 1 3 2013 Article II B Y` The street address of the principal office of the Limited Liability Company is: 20900 NE 30TH AVE 318 AVENTURA, FL. 33180 The mailing address of the Limited Liability Company is: 20900 NE 30TH AVE 318 AVENTURA, FL. 33180 Article III The purpose for which this Limited Liability Company is organized is: ANY AND ALL LAWFUL BUSINESS. Article IV The name and Florida street address of the registered agent is: MARCELO BORODOWSKI 20900 NE 30TH AVE 318 AVENTURA, FL. 33180 Having been named as registered agent and to accept service of process for the above stated limited liability company at the place designated in this certificate, I hereby accept the appointment as registered agent and agree to act in this capacity. I further agree to comply with the provisions of all statutes relating to the proper and complete performance of my duties, and I am familiar with and accept the obligations of my position as registered agent. Registered Agent Signature: MARCELO BORODOWSKI Article V The name and address of managing members /managers are: Title: MGRM MARCELO BORODOWSKI 20900 NE 30TH AVE #318 AVENTURA, FL. 33180 US Signature of member or an authorized representative of a member Signature: MARCELO BORODOWSKI L10000047285 FILED 8:00 AM May 03 2010 Sec. O1 State thampton RECEIVED NOV 19 2013 0 CG J 2 0 V W CO v 0 z W IN3 ANY AND ALL CLOTH AND RUBBER TED CONDUCTORS TO BE REPLACERBW_gr KITCHEN: REPLACE CABINETS, PLUMBING FIXTURES AND APPLIANCES AND RECEPTACLES s —t t " BATHROOM: REPLACE PLUMBING FIXTURES AND FINISHES I I ■ 10 -0° 211 -2° I °P i 3' -5° k3a-2 °k 6' k 4' -6° k 4'-1° k 10' -0i III II 10659 Ne 11 Ave, Miami Shores ° 1 __jf f � i __.,_ BATHROOM S • • `' �± '' Q • _. _ IU _ _ •I LOAD CALCULATION Watts � °i I r-r KITCHEN ICI Imo ICI Cp° 1500x 3VA 4,500 Cooking unit 12000 Water heater 3,000 II 9'-4. Dishwasher 1500 I j Washing machine 1,500 ' i Dryer machine 5,000 � ° p... N� , Small appliances 2 -20AMP 3 000 = Total 30,500 �� 3A COW ° 13 —7 M First 1Q KVA @100% (10,000) co 111 Total 20,500 Remainder @40% 8,200 4' -1" 7 —6° Total 28,700 16' -0° Air Conditioner 10,000 Total 38,700 ° 9 —10 ® BATHROOM REPLACE PLUMBING FIXTURES AND FINISHES ~♦ %240V AMPS 161 MEW vs OWNER: AAM INVESTMENTS, LLC 43 W a ®� a ‘1. DATE: JOB ADDRESS: 10659 NE 11 AVE, Miami Sho i SCOPE OF WORK: REMODEL BATHROOMS AID ICHEN s a i PERMIT: o m OTES: 0 CG J 2 0 V W CO v 0 z W 1 C' 9 99 99 GFI GFI ir.y 11 GFI 0 0 D'sh— Washer p GFI p FRIDGE 7' `-N NO POINT ALONG COUNTER TO BE MORE THAN I 2 FEET FROM G.E I PROTECTED RECEPTACLE I I PUT P tE UNDER S = KITCHEN GFI L // 1 1" .)-A,AA- i ADD SMOKE/CARBON MONOXIDE DETECTORS ANY AND ALL CLOTH AND RUBBER INSULATED CONDUCTORS TO BE REPLACED. BATHROOM RECEPTACLE ON 20 AMP CKT AND 6.F.I PROTECTED PRIOR fib INSTALLATION OF ROUGH ELEi.TnIC WIrIN© CHECK NAMc.PLATE DATA OF A/C EQUIPMENT, HOT WATER HEATERS ANU OTHER EQUIPMENT TO OBTAIN RREC! WIRE SIZES AND OvERCURRENT PROTECTION. Eieetki T $ERV!CE CAPACITY ° � 4 12L P °M ED. SUBJECT TO ELECTRICAL INSPECTION. NO POINT ALONG COUNTER TO BE MORE THAN 2 FEET FROM G.F..I PROTECTED RECEPTACLE PUT DM RECEPTACLE UNDER SINK. ALL FIXED APPLIANCES ON DEDICATED CKTS. MOM ACI. id.° hroi, vr; AND G.EI PROTECTED BATHROOM GFI BATHROOM RECEPTACLE OAS 2u IMP (;KT AND G.EI PROTECTED OI "U.vi--k GFI 99 16' 99 99 //