RC-14-1451Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-215441 Permit Number: RC -7-14-1451
Scheduled Inspection Date: August 08, 2014
Inspector: Naranjo, Ismael
Owner: OLARTE, MARY
Job Address: 9200 NE 12 Avenue
Miami Shores, FL
Project: <NONE>
Contractor: THE NOWALK GROUP LLC
Building Department Comments
Permit Type: Residential Construction
Inspection Type: Final
Work Classification: Repair
Phone Number
Parcel Number 1132050150260
Phone: (561)299-1611
REPAIR TERMITE DAMAGE OF 7LF OF FASCIA AND RE- infractio Passed Comments
PAINT BACK TO SAME COLOR OF HOUSE AS IS INSPECTOR COMMENTS False
Insp ctor C.9mments
Passed
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 13 of 31
BUILDING
PERMIT APPLICATION
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
ME BUILDING ❑ ELECTRIC [, ROOFING
FBC 20/0
Master Permit No.
Z!�4
Sub Permit No.
❑ REVISION ❑ EXTENSION ❑ RENEWAL
]PLUMBING [:]MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION [:] SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 9200 NE 12 AVE
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:11-3205-015-0260 Is the Building Historically Designated: Yes NO
Occupancy Type: ' Fnem�r Load: Construction Type: _ Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): MARY P OLARTE Phone#: 305-751-0884
Address: 9200 NE 12 AVE
City: MIAMI SHORES State: FL Zp: 33138
Tenant/Lessee Name: -NA- Phone#: -NA-
Email---NA-
CONTRACTOR: Company Name: THE NOWALK GROUP Phone#: 561-299-1611
Address: 10232 NW 47TH ST
City: SUNRISE State; FL Zip. 33351
Qualifier Name: o ztj N -S F aAa. Phone#: U q _ 0071
State Certification or Registration #:
of Competency #:
DESIGNER: Architect/Engineer: -NA- Phone#: -NA-
Address: -NA- City: -NA- state: -NA- Zip: -NA-
value of Work for this Permit: $ 1000.00 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New N Repair/Replace ❑ Demolition
Description of Work: REPAIR TERMITE DAMAGE TO 71-F OF FASCIA & PAINT
Specify color of color thru tile:,
Submittal Fee $ Permit Fee $
Scanning Fee $ Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $
(RevM 02/24/2014)
CCF $ CO/CC $
DBPR $
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ b � �)o
Bonding Company's Name (if applicable) -NA-
Bonding Company's Address -NA-
City -NA- State -NA-
Mortgage Lender's Name (if applicable] -NA-
Mortgage Lender's Address -NA-
City -NA- State -NA-
Zip -NA-
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 ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES, BOILERS, HEATERS, TANKS, 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 01 the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will b delive to the person
whose property is subject to attachment Also, a certified copy of the recorded notice of co encement m be pos d at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. 1 the absen of such osted notice, the
inspection will not be approved and a reinspection fee will be charged. P-"
OWNER or AGENT
The foregoing instrument was acknowledged before me this
day o --�'e— . 20 i iJ , by
who is personally known to
me or who has produced ", 06/&4d e ` as
identification and who did take an oath.
NOTARY PUBLIC:
The foregoid instrument
�dav of
before me this
20 1, by
ersonai
who is ly known to
me or who has produced as
Identification and who did take an oath.
NOTARY PUBLIC: NOTARYPL73LIt' T BZ04
J`Co 'd% TSE:, : Nowajk
7 EE082868
r'R.10, 2016
"DWGco,,arM
Structural Review
(RevisedWP4/2014)
Clerk
The Nowalk Group
10232 NW 47th St.
SUNRISE, FL 33351 US
NO ALK
GROL7P
xeeiovmu ®cowmaeuu. em�owa 8o�unox0
ADDRESS
Terminix
Mary Olarte
9200 NE 12th Ave.
Miami, Florida 33138 USA
(561) 299-1611
anowalk@thenowalkgroup.com
Facia Repair (7 Linear Feet) (Labor and Materials) 1.00 500.00 500.00
Repair Window Base (Labor and Materials) 1.00 500.00 500.00
The Nowalk Group will replace and paint 7 linear feet of fascia on the east
side of the property. We will also remove, replace, sand and stain the
window sill board in the widow adjacent to the loft. This estimate does not
include any repairs for concealed damage. If there becomes a need for
additional repair due to concealed damage, The Nowalk Group will submit a
change order for such work.
Accepted By
Accepted Date
Submit a review on our work: www.angieslist.com/review/8267063
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.
A. V COPY OF QUALIFIER'S STATE LIC CARD
B. e"OPY 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 EXEMPTION)
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: TNF N0W ALK GacUP I LLC -
BUSINESS ADDRESS: I®33.1- I00LA) q 7TN ST , CITY SwA S S T -
STATE �'L- ZIP CODE
33351
BUSINESS PHONE: (SG) ) P9 _ f 61 1 FAX NUMBER ( )
CELL PHONE ( ) SA -`n E
QUALIFIER'S NAME: D&A)-�.S SIE" Z -
QUALIFIER'S LIC NUMBER: CG C, (S i' y 70 1
E-MAIL ADDRESS (IF APPLICABLE): d /o erg cc'yl
Created on 3119109 BY MLDV 1 RV 3126109 MLDV
STATE OF FLORIDA
DETACH HERE
RICK SCOTT GOVERNOR
KEN LAWSON.. SECRETARY
. STATE OF FLORIDA .
DEPARTMENT OF-BUSLNESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD
a
CGC151470 i
The GENERAL CONTRACTOR "
- Named° below IS CERTIFIED
Under the provisions of Chapter 439 FS.
Explratiop date. AUG::39, �it44
owl
11IIEE2AZ, DENNIS M g
•
THE NOWALK GROUP -1., =
'
10232 NW 47TH STf�EI=1'
SUNRISE- FL3335
•
QK
ISSUED: 04Hfi=14
DISPLAY AS REQUIRED BYLAW
SEQ # L1404160001068
CERTIFICATE OF LIABILITY INSURANCE
INSR
LTR
TYPE OP INSURRNCEADUL
0710812014
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., N the certificate holder Is an ADDITIONAL INSURED, the polives) must be ondome& N SUBROGATION IS WAIVED, subject to the
terms and conditions of the policy, certain policies may require an endolsemeM. A statement on this certlflcate doss not confer rights to the
certiftate holder In Iteu of such endorsement(s).
PRODUCER
NAAhE ARMANDO FUENTES
A&F INSURANCE GROUT'. INC.
PHONE PAx
W. COMMERCIAL BLVD. SUITE 203
4mIL
FORT LAUDERDALE FL 33309
AODREss: ndafitafmsuranceMpmom
PERSONAL & ADv IAUIIRY $ 1000M
AFFORDING COVERAGE NAIL s
INSURER A : MESA UNDERWRITERS
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PRO 171 LOC
INSURED
The NDWaik Group LLC
INSURER B :
INSURER C:
10232 NW 49 STREET
INSURER D
SUNRISE, FL 33351
INSURER E:
INSURER F:
UVVCmur. i GERTIFIGATE ll umEiER! 121XVIClAA1 hd1INMOD.
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.
INSR
LTR
TYPE OP INSURRNCEADUL
MEIN
POLICY NUMBER
POLICY EFF
POLICY EXP
LIMITS
A
GENERALLIABILITY
x COMMERCIAL GENERAL LIABILITYEMI
CLAIMS -MADE I -' I OCCUR
F-
F!
CN610683
0311802014
0311812015
EACH OCCURRENCE S 1
S Ma gqq0Wj $
MED EXP (Any w* person) $ 5OW
PERSONAL & ADv IAUIIRY $ 1000M
GENERAL AGGREGATE $ 20DOODO
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY PRO 171 LOC
PRODUCTS - COMPIOP AGG $ INCLUDED
$
AUTOMOBILE
Lf48U lYr
ANY AUTO
ALL OWNED
AUTOS AUTOS SCHEDULED
HIRED AUTOS NON -OWNED
AUTOS
1,6INGLE.
LIMIT
D
BODILY INJURY (Per perm) S
BODILY INJURY (Per OMWQ* S
ERTY DAMA $
er acd
$
UMBRELLA I"
EXCESS UAB
HCOMMIAR-MADEE
EACH=URRENCE S
AGGREGATE $
Mn I I RETENTION$
$
WORIM iS CAMPEIMMO51
AND EMPLOYERS' LL491M
ANYOFFICEPROPREMBERIETO%EXCLUDED? � PARTNEWF�fECUT1VE -
iM
(Mandat-yIn119
I/yes, describe under below
N f A
A - O
IAC U
T ER
E L EACH ACCIDENT $
EL DISEASE -EA EMPLOYEE S
EL DISEASE - POLICY LIMIT $
f
r
DESCRIPTION OF OPERATIONS! LOCATIONS / VENICLES (Attwh ACORD 1@l. Addfflmd Remarks Sdhadul N mora spos tsragWroeQ
GENERAL CONTRACTOR
Miami Shores Village Building Departrnent
10050 Northeast 2nd Avenue Miami Shores, Florida 33138
SHOULD ANY OF THE ABOVE DESCRIBED BE BEFORE
THE EXPIRATION DATE TFIEREOf, N WILL BE D IN
ACCORDANCE WIT# POLICY PR
AUTHORIZED
Armando Fuenies.
ACORD 26 (2010111M The ACORD name and logo are roistered marks of ACORD
BRQWARD COUNTY LOCAL BUSINESS TAX RECEIPT
115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895 — 954-831-4000
VALID OCTOBER 1, 2113 THROUGH SEPTEMBER 30, 2014
DBA: TM Not ALK akotrp LLC
ftwoese Na"'.
Owner Name: bans MERAZ
EWslneSS motion:10232 NW 47 ST
SMISE
Receipt *t.1800- sGENERAL c�° cToiz
owners Type:
Business Opened:04116/2014
StatelCo lntytCerURegtCGC1514701
Exemption Code:
Business Phone:
Rooms Sem Employees Machines - Prafessh"Is'
Crorvendini9 Business ter
Number of Machines: Venftg Type.
Tax Anmunt I
Transfer Fee
NSF Fee
Penalty
FWorYears
Coat n Cost
I Total Paw
13.501
0. 644,
.00"
0.00'
0.00"
0.00
13.50
THIS RECEIPT MUST BE POSTED; CONSPICUOUSLYIN YOUR PLACE OF BUSINESS
THIS BECOMES ATAX RECEIPT This tax is Wed for the Privy of doing business wilhin Bmfwd County and is
non -regulatory in nature. You must meet all County and/or Mulicipe ty planting
WHEN VAUDATED and zoning requirements. This .Business Tax Receipt must be transferred when
the business is sold, business name has changed or you have moven the
business location. This receipt does riot indicate that the business is legal or that
it is in compliance with State or local laws and regulations.
Malling Ads:
THE NOWALK GROUP Lift AeceiPE O01C-13-00001941
10232 NW 47 ST Paid 04%2212014 13,, S0
SUM -SE, FL 33351
2013 -2014
i
* * 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: 6/20/2014 EXPIRATION DATE: 6/19/2016
PERSON: NOWALK ADRIAN J
FEIN: 484453460
BUSINESS NAME AND ADDRESS:
THE NOWALK GROUP LLC
10232 NW 47TH ST.
SUNRISE FL 33351
SCOPES OF BUSINESS OR TRADE:
LICENSED GENERAL
CONTRACTOR
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 exempt.. apply only within the scope
of the business or trade listed on the notice of election to be exempL 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
* * 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: 4/23/2014 EXPIRATION DATE: 4/22/2016
PERSON: MERAZ DENNIS M
FEIN: 464453460
BUSINESS NAME AND ADDRESS:
THE NOWALK GROUP LLC
10232 NW 47TH STREET
SUNRISE FL 33351
SCOPES OF BUSINESS OR TRADE:
LICENSED GENERAL CERAMIC TILE, INDOOR WALLBOARD,SHEETROC CONTRACTOR -PROJECT
CONTRACTOR STONE, MA K,DRYWALL, P MANAGER, CO
Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who elects exemption from this chapter by fiMg a certificate or 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 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., Notfc es of election to be exempt and certificates of
election to be exempt shad be subject to revocation H, at any time after the flung 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 c artificate. The departmard 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
JUL 0 8 2014
1:4v
i
/Y,GZY OLAkT�-
73W NE 13Tl AVE.
M zAf4l 5 p0?Z 5, rt . 33138
QCIA R ZPAI� z.. � PAX&Tr
ozc)<-
PERMIT #: �_"
Miami
Shores Village
APPROVED
BY
DATE
ZONING DEPT
BLDG DEPT
SUBJECT TO CCMPUANCE WITH ALL FEDERAL
STATE AND CCUMY RULES ARID REGULATIONS