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DS-13-1598Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-217370 Permit Number: DS -7-13-1598 Scheduled Inspection Date: August 08, 2014 Permit Type: Driveways/Sidewalks/Slabs Inspector: Naranjo, Ismael Inspection Type: Final Owner: Work Classification: Addition/Alteration Job Address: 9020 NE 8 Avenue Miami Shores, FL Phone Number Parcel Number 11-3206-042-0001 Project: <NONE> Contractor: MIGUEL LOPEZ JR INC Building Department Comments SEAL COAT REASTRIPE AND PATCHING Infractio Passed comments INSPECTOR COMMENTS False Inspector Comments Passed 12/ CREATED AS REINSPECTION FOR INSP-195399. NO PERMIT ON SITE Failed Correction ❑ Needed Re -Inspection Fee No Additional Inspections can be scheduled until re -inspection fee is paid. August 07, 2014 For Inspections please call: (305)762-4949 Page 22 of 31 Ann 0C/ /'4 � rIN (;)\ - or /I LA BUI Miami Shores Village Building Department 10050 NX.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 7614949 Permit Type: BUILDING 71 El T 17 2013 JULIU FBC 20-10 Permit No. Master Permit 114 &Y JOB ADDRESS- 9020 NE 8 Ave City: miatni Shores County: Marrd Dade Zip: Folio/Pa rceW: 11-3206-042-0001 Is the Building Historically Designated: Yes NO - Flood Zone: 33138 OWNER. Nam (Fee simpieritiehdider)- son sUmenholtz Phorw*., (3()5)673-1 9Q Address-. 7014 TH street City: Miarrd Beach State: flodda- Zip: 33139 Tenant/Lessee Name: Phone#: CONTRACTOR: Company Narne: Miguel Lopez J.R. Inc Phone#- (305)884-0767 Address: 7711 NW 74 Ave City: Medley State.,. Flojida. Zip: 33166 Qualifier Name: fAguel LopeZ J.R. Phone#: (305)884-0767 State Certification or Registration #: Cf C 0Certi&= of Competency #: L _ Contact Phonek (786)942-0047 —Email Address: rnannyOldokWidcorn DESIGNER: ArchiteevEngirteer: Phone#. 01 Value of Work for this Permit: $ 5,437.9 S4 F° Footage of Work: 31,137 Type of Work ClAddition DAlteration ClNew Olkepair/Replace UDernolition Dmril*gn of work: SealCoat Reastripe And Patching Color thru (Me: Submittal Fee Permit Swming Fee$ Radon Fee $ DBSys _Bond S Not" $ TridninglEducation Fee $ _ Technology Fee $ Double Fee $ Structural Review $ TDTAL FEE NOW DUE $ Bonding Company's Name (if applicable) Bonding Company's Address City State mortgap Lender's Name (if applicable) 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 tit a separate permit trust be secured for ELECTRICAL WOW 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. TO ! YOUR FAILURE TORECORD A NOTICE COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IWROvEMENTS B PROPERTY. IF . S ! 6_ 6... YOU INTEND O OBTAIN FINANCING, . CONSULT WITII YOUR LENDER OR AN ATTORNEY BEFORE RECORDING !UR NOTICE OF COMMENCEMENT*" Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicont must promise in goad faith.that a copy of the notice of comas cement and construction lien low brochure will be delivered to the person whose prvperty 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 severs (7) dwo after the building permit is issued In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged Owner or Agent The foregoing instrument was aclawwledged before the this -fid day of 4e-.-- 20 . U by e* ae--4 !�—< who is personally known to the or who has produa5d As identification and who did take an oath. NOTARY PUBLIC: Sign: mission Expir =2°. �`� Notary Public - State of Florida Com• . • __ My Comm. Expires Dec 14, 2015 Commission # EE 153231 Bonded Thtoyph National Notary Assn. The foregoing instrument was acini wledg.ed before m •tins day of 20 �, � by 11 . �S r personal who is or who has proJ duces) --as identification and who did take an oath. NOTARY P RLIC: Sign: • Print ev?5 V ••nI1.� My Commission Ex -t �i(anaird Caceres Commission # EE128537 ,,0�•nnJ` E.Ypires: SEP. 08,201S BONDED MU ATLMnC 4oNnL a rn nvn APPROVEDBY ��� N �l 1 � Plans Examiner ironing Structural Review Clerk (Revised 31i212o12)(Re*vixd 07!10)07)(Revhwd 116 t10)2009I(Revised 3/15/09) I JR INC BUSINESS TAX RECEIPT. IT Al' MROAPE GOU!'1TY Mal ?R. =,,: 201 . , I"CC, , BUSINESS TAX. RECEIPT 2013 10UI�u ' DAQ COU , �f STATE OF ORIOA FIRST-CLASS U.S. POSTAGEEI�jHS.SEPT2013 PAID IIOLOEA TO VIOLATE ANY it 'ITW S OMY ENGINEERING U5T E DISPLAYEQAT PIACE OFSINESS IfURS'AA its L'OUNTY COQE CF AFTER 8A - ART. 9 & 10 MIAMI, Ft PERMIT NO. 231 IS ONLY A LOCAL THIS IS NOT A BILL - DO NOT PAY RENEWAL HOLDER FROM AM OTHER 267116--3 BULOPEZ MIGUELnJR INC 7711 NW 74 AVE 33166 MEDLEY ST ATE#ECCUC05.7030 280004-4 OwLOPE�ZtaMIGUEL JR INC BUSINESS TAX RECEIPT. IT DOES NOT PERMIT TILE IIOLOEA TO VIOLATE ANY /S WORKE/S WORKER 'ITW S OMY ENGINEERING CONTRACT IS ONLY A LOCAL HOLDER FROM AM OTHER BUSINESS TAA RECEIPT. IT LOPEZ MIGUEL JR INC NOT A CERT 1flCATION OF 7711 NW 74 AVE DOES NOT PERMIT THE MEDLEY FL 33166 HOLDER TO VIOLATE ANY LATORY OR ZONING LAWS OF THE DO NOT FORWARD COUNTY OR CfTIES. NOR DOES IT EXEMPT THE HOLM FROM A" OTHER LOPEZ MIGUEL JR IN OR LI MIGUEL LOPEZ JR PRES REQRMIT IS NOT A CERTIFICATION OF 7711 NW 74 AVE THE 1wLOERs DiNauFlcA MEDLEY FL 33166 PAYMENT RECEWED MtAN-MADE COUNTY TAX COLLEOTD 07/19/2012 09010079001 it {{ ii jj ii ii ii FF} +j + i� J 000045.00 !ifl�il:��liii0111111 iiji Ill ILL F l ill I 1111 flll;ji}1. AM SEE OTHER SIDE IMI71M!-pl4Dl1 COUNtV 2013. LOCAL BUSINESS TAX RECEIPT 2013 FIRST-CLASS jAICGOLLECTt?R MIASfl-DADE Cr.OWTV=.STATE OF ORIDA U.S. POSTAGE I 140 W F1 tAQLER ST. EXPIRES OEPT.' 30, 201 PAID OOR $7 BE @IS�LAYEQ AT PLACE OF BUSINESS MIAMI, FL Rl1RS11ANT TQ cp.UW C0DE CHAPTER 8A ART. 9 & 10 PERMIT N0.231 209077-7 THIS IS NOT A BILL - 00 NOT PAY RENEWAL INC STATETM80135 219856-2 7711 NW 74 AVE 33166 MEDLEY 0"MEZ MIGUEL JR INC WORKER/S S-JTYo"99hBUILDING CONTRACTOR 1 THIS IS ONLY A LOCAL BUSINESS TAX RECEIPT. IT DOES NOT PERMIT TILE IIOLOEA TO VIOLATE ANY ZAREGULATORYHE ZONING LAV49OT 00 NOT FORWARD COUNTY OR CRIES. NOR DOES IT EXEMPT THE HOLDER FROM AM OTHER REouI�EDBYLAW.THIS °�iS LOPEZ MIGUEL JR INC NOT A CERT 1flCATION OF 7711 NW 74 AVE THE HOLDER'S OUALIFICA- TIONs. MEDLEY FL 33166 PAYMENT RECEIVED MIAWDADE COUNTY TAX COLLECTOR: 07/19/2012 09010078001 ii t jj �j jj 1 ! ! it ii IJ IfiYf 1 000045.00 illi�ll;l�llit 1 fl! iI fl; i 1 1 }titli i;i }ii i SEE OTHER SIDE STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 LOPEZ, MIGUEL JR MIGUEL LOPEZ JR INC 7711 NW 74 AVE MEDLEY FL 33166 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. IJ (850) 487-1395 STATE OF FLORIDA AC# 61924&7 DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CGCO60135 07/09/12 128004717 Every day we work to improve the way we do business in order to serve you better. For information about our services, please log onto www.myfloridelicense.com. CERTIFIED GENERAL CONTRACTOR There you can find more information about our divisions and the regulations that LOPEZ, MIGUEL JR impact you, subscribe to department newsletters and learn more about the MIGUEL LOPEZ JR INC Department's initiatives, Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Is CERTIFIED under the provisions of ch.489 Fs Thank you for doing business in Florida, and congratulations on your new license! Expiration date: AUG 31, 2014 L12070901033 DETACH HERE z THIS DOCUMENT HAS A COLORED -BACKGROUND • MIC ROPRINTING • UNEMARK" PATLNTED PAPER A • STATE OF 8 DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD SEQ# L12070901033 .. LICENSE NBR 107/09/20121128004717 ICGCO6013S The GENERAL CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2014 LOPEZ, MIGUEL JR MIGUEL LOPEZ JR INC 7711 NW 74 AVE MEDLEY RICK SCOTT GOVERNOR FL 33166 r„n— AN, An r1 ^l 11r1rrrn MW t AtA! KEN LAWSON SECRETARY I CTQB '-N Construction Trades Qualifying Board BUSINESS CERTIFICATE OF COMPETENCY El 353 W_-MIGUEL LOPEZ JR, INC , D.B.A.: LOPEZ MIG EL jR Is certified under the provisions of Chapter 10 of Miami -Dade Count) VALID FOR CCINTRACTING UNrIL09130/20113 MIGUL01 OP ID: KD CERTIFICATE OF LIABILITY INSURANCEDATE(MM/DD/YYYY) 07/15/2013 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 Phone: 954-883-2900 2900 W 149thA enuFlorida Fax: 954-517-7400 Miramar, FL 33027-6605 Aline Larraz, CPCU, AAI, CRIS CON ACT NAMME: Nc° No Ext): ac No): E-MAIL ADDRESS. 4OU931203 07/01/2013 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Bridgefleld Employers Ins. Co. 10701 PREMISES Ea occurrence $ 100,00 INSURED Miguel Lopez Jr., Inc. INSURER 13: Transportation Insurance Co. 20494 7711 NW 74th Avenue Miami, FL 33166 Nat'l Fire Ins. Co.of Hartford INSURER C: 20478 INSURER 0: Valley Forge Insurance Co. 20508 INSURER E: $ INSURER F: AUTOMOBILE X 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 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. R SRMM LT TYPE OF INSURANCE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Miami Shores POLICY NUMBER POLICY EFF M//D Ou MM/DD°� LIMITS C GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE III OCCUR a-4p--6� 4OU931203 07/01/2013 07/01/2014 EACH OCCURRENCE $ 1,000,00 PREMISES Ea occurrence $ 100,00 MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRO- LOC POLICY JECT PRODUCTS - COMP/OP AGG $ 2,000,00 $ D AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIREDAUTOS AUTOS 4029240076 07/01/2013 07/01/2014 COEa edEeD SINGLE LIMIT 1,000,00 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ Per e�deTMntDAMAGE $ B X UMBRELLA LIABX EXCESS LIAR OCCUR CLAIMS -MADE 029240112 07/01/2013 07/01/2014 EACH OCCURRENCE $ 5,000,00 AGGREGATE $ 5,000,00 DED I X I RETENTION $ 101000 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTNEY/❑N OFFICER/MEMBEREXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 83042357 07/01/2013 07/01/2014 X TNRY LIMIT OER E.L. EACH ACCIDENT $ 500,00 E.L. DISEASE - EA EMPLOYEE $ 500,00 E.L. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, H more space is required) CFRTIFICATF HAI nFR CANCFI I ATInN CITIF38 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Miami Shores THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 10050 Northeast 2nd Avenue Miami Shores, FL 33138 AUTHORIZED REPRESENTATIVE I a-4p--6� ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD When entering your name and address on the payment form, please do not enter any special characters such as #,or&. Business Tax Account #2090777 ffi Account details Account history 2014 2013 2012 2011 2010 Paid Paid Paid Paid Paid Account number: 2090777 Business start date: 07/01/1989 Business address: LOPEZ MIGUEL JR INC 7711 NW 74 AVE MEDLEY, FL 33166 Physical business location: MEDLEY Receipt 2198562 Contracting 10/01/2013— NAICS code: GENERAL BUILDING 09/30/2014 2389 CONTRACTOR Units: 1 Owner(s): LOPEZ MIGUEL JR INC 7711 NW 74 AVE MEDLEY, FL 33166 Mailing address: LOPEZ MIGUEL JR INC 7711 NW 74 AVE MEDLEY, FL 33166 Print account application (PDF) Paid 2013-07-15 $45.00 Receipt #CREDITCARD-13-002901 Print this bill Additional documentation required: CGC060135 State/County License or Certificate https://www.miamidade.county-taxes.com/public/business_tax/accounts/2090777 3/6/2014 BOUNDARY SURVEY SCALE: 1"=20' FEB 2 7 2014 /A` T -1 al LOCATION SKETCH NOT TO SCALE LEGAL DESCRIPTION: Lot 1, 2 and the East 30.00 feet of Lot 5, less the North 25.00 feet of the East 30.00 feet of Lot 5 for road right of way of *ASBURY PARK' according to the Plat thereof, as recorded in Plat Book 4, at Page 110, of the Public Records of Miami—Dade County, Florida. FLORIDA INTERNATIONAL LAND SURVEYORS, INC. 8300 NW 53rd STREET, SUITE 3CO—t MIAMI, FLORIDA, 33166 (305) 551-4302 I HEREBY CERTIFY: That the attached BOUNDARY SURVEY of the above described properly Is correct to the beat of my knowledge and belief as recently surveyed under my direction, and meets the intent of the Minimum Technical Standards set forth by the Florida Board of Professional Surveyors and Mappers in Chapter 61G17-6. Florida Administrative Code. pursuant to Section 472.027, Florida Statutes. SURVEYOR'S NOTES: 1. Legal description was provided by the owner and/or his representative. 2. Examination of the Abstract of Title will have to be made to determine recorded instruments, If any, affecting the property. 3. Legal description subject to any dedications, limitations, restrictions, reservations or easements of record. 4. Underground improvements and utgiUe% H any, not located. 5. Ownership of fences, If any, not determined. 5. NATIONAL FLOOD INSURANCE PROGRAM DATA: Community No. 120652 Panel No. 0093 J Flood Zone: AE Bose Flood Elevation: 8 feet Firm Date: 07-17-95 7. This survey has been prepared for the exclusive use of the entities named herein and the Certification does not extent to any unnamed party. 8. Not valid unless sealed with an embossed surveyors seal. Mcente Tome _ Reg. Land Surveyor No. 3103 State of Florida FLORIDA INTERNATIONAL LAND SURVEYORS INC. 8300 N.W. 53rd STREET, SUITE 300A, MIAMI, FLORIDA 331 Phone: (305) 468-9650 BOUNDARY SURVEY 9020-9022 N.E. 8 AVENUE MIAMI—DADE COUNTY, FLORIDA GRAWN DATE 11/07/01 Na.484-01 rmD st BLOT: AA I Rev. 946/05 366-05ENV. 09/27/05 SP AIX As Shown OE Cad Owg 366-05 steer 1 of 1 DD ` I h to � I" LO s I Iz N M iz I I L ios coax �oa.r I LL= — — x� eTn �— — LOCATION SKETCH NOT TO SCALE LEGAL DESCRIPTION: Lot 1, 2 and the East 30.00 feet of Lot 5, less the North 25.00 feet of the East 30.00 feet of Lot 5 for road right of way of *ASBURY PARK' according to the Plat thereof, as recorded in Plat Book 4, at Page 110, of the Public Records of Miami—Dade County, Florida. FLORIDA INTERNATIONAL LAND SURVEYORS, INC. 8300 NW 53rd STREET, SUITE 3CO—t MIAMI, FLORIDA, 33166 (305) 551-4302 I HEREBY CERTIFY: That the attached BOUNDARY SURVEY of the above described properly Is correct to the beat of my knowledge and belief as recently surveyed under my direction, and meets the intent of the Minimum Technical Standards set forth by the Florida Board of Professional Surveyors and Mappers in Chapter 61G17-6. Florida Administrative Code. pursuant to Section 472.027, Florida Statutes. SURVEYOR'S NOTES: 1. Legal description was provided by the owner and/or his representative. 2. Examination of the Abstract of Title will have to be made to determine recorded instruments, If any, affecting the property. 3. Legal description subject to any dedications, limitations, restrictions, reservations or easements of record. 4. Underground improvements and utgiUe% H any, not located. 5. Ownership of fences, If any, not determined. 5. NATIONAL FLOOD INSURANCE PROGRAM DATA: Community No. 120652 Panel No. 0093 J Flood Zone: AE Bose Flood Elevation: 8 feet Firm Date: 07-17-95 7. This survey has been prepared for the exclusive use of the entities named herein and the Certification does not extent to any unnamed party. 8. Not valid unless sealed with an embossed surveyors seal. Mcente Tome _ Reg. Land Surveyor No. 3103 State of Florida FLORIDA INTERNATIONAL LAND SURVEYORS INC. 8300 N.W. 53rd STREET, SUITE 300A, MIAMI, FLORIDA 331 Phone: (305) 468-9650 BOUNDARY SURVEY 9020-9022 N.E. 8 AVENUE MIAMI—DADE COUNTY, FLORIDA GRAWN DATE 11/07/01 Na.484-01 rmD st BLOT: AA I Rev. 946/05 366-05ENV. 09/27/05 SP AIX As Shown OE Cad Owg 366-05 steer 1 of 1