PLC-13-2774 (2)V
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number. INSP-204338 Permit Number: PLC -12-13-2774
Scheduled Inspection Date: July 22, 2014 Permit Type: Plumbing - Commercial
Inspector. Diaz, Osvaldo
Inspection Type: Final
Owner: Work Classification: Addition/Alteration
Job Address: 9806 NE 2 Avenue
Miami Shores, FL Phone Number
Project <NONE> Parcel Number 1132060132241
Contractor: IMBURGIA CONSTRUCTION SERVICES, INC. Phone: 3051525-5707
isuumng uepartment comments
STORM DRAINANGE AT MIAMI SHORES CENTER Infractio Passed Comments
INSPECTOR COMMENTS False
Passed
Failed
Correction
Needed
Re -Inspection
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
Comments
��'�'ta-�. S coves � (�- ►�,� ,
July 21, 2014 For Inspections please call: (305)762-4949 Page 2 of 33
CONSULTING ENGINEERING & SCIENCE, INC.
civil Engineers
June 27, X014
Coastal Engineers Environmental Scientists
BuildingO fficial
MIAMI SH ES VILLAGE
10050 N.E. 2nd Avenue
Miami Sho es, Florida 33138
Re: Drainage Improvements
Miami. Shores Center, LLC
Permit No. PLC -12-13-2774
Building Official:
The under igned, as Civil/Site Engineer of Record for the above
reference' permit, hereby states that he has inspected the work in
progress and performed a final inspection after construction was
completed and, based upon those inspections, hereby certifies to
the best of his knowledge and belief, that the on-site paving,
grading and drainage improvements have been completed in
substantial compliance with the approved plans and specifications;
and, in a cordance with applicable Codes and regulations.
Should you have any questions, please call.
Very trul' yours,
;ichard
N LTIN E ZGWE
• t�
ochnc
Senior Vice Presi
Florida P -19833
(13061)
%V110 910.
• 19839 :s
. ° ,a
#L S
STAtS OF : 2
Rk
i
i
10700 N.7dall Drive, Suite 400 • Miami, Florida 33176 • Phone: (305) 378-5555 • Fax: (305) 279.4553
WE
JUL 21
INSPECTION 17
NO.
INSPECTION
DATE
AREASINSPECTED
NAME OF INSPECTOR SIGNATURE
WAR,
VA
!
_-�
t
-
r.
W, d
/„0(_) WS�- 5,9-57-- 5 F 0_?
CONSULTING ENGINEERING & SCIENCE, INC.
Civil Engtneers
June 27, 2014
coastal Engineers Environmental Scientists
Building Official
MIAMI SHORES VILLAGE
10050 N.E. 2nd Avenue
Miami Shores, Florida 33138
Re: Drainage Improvements
Miami Shores Center, LLC
Permit No. PLC -12-13-2774
Building Official:
BY
3
JUL 15 20%
The undersigned, as Civil/Site Engineer of Record for the above
referenced permit, hereby states that he has inspected the work in
progress and performed a final inspection after construction was
completed; and, based upon those inspections, hereby certifies to
the best of his knowledge and belief, that the on-site paving,
grading and drainage improvements have been completed in
substantial compliance with the approved plans and specifications;
and, in accordance with applicable Codes and regulations.
Should you have any questions, please call.
Very truly yours,
CON
.
a�iv.iCii Gil V# %J\/y1111V
Senior Vice Presi
Florida PE -19833
(13061)
G O8MDY
069ti,s,INC
��� �: ` � ���`•. �/' WEdi
K. i • la . y o7A.
�o
cc
SIXTE OF i 4u
10700 N. Kendall Drive, Suite 400 ° Miami, Florida 33176 • Phones (305) 3788868 • Faxi (305) 279.4553
6 tl !4
Miami Shores Village
E
Building Department ,SUN 0 8 2014
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
e • 2204 Fax: (305) 756-8972 L
UUU ONE NUMBER. (305) 762-4949
i�
FBC 20
BUILDING Master Permit No. 19 1.Z 13 Z 171
PERMIT APPLICATION Sub Permit No.
❑ BUILDING
❑ ELECTRIC
❑ ROOFING �N ❑ EXTENSION
❑ RENEWAL
.5(PLUMBING
❑ MECHANICAL
❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION
❑ SHOP
g f 0 Z �
G% �7 ` A CONTRACTOR2 hd dll,0j%W
DRAWINGS
JOB ADDRESS:
City:
Miami Shores
County: Miami Dade Zia:
3 313
Folio/Parcel#:
Is the Building Historically Designated: Yes
NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
,I►? t ii jl*os 4?41gr Lie
OWNER: Name (Fee Simple
Titleholder): ,,A L Phone#:
Address: 2 t / f s S' S�?j -/3 , v
City: /;I ton/ AAAI, / / State: 1=/,v1=/,vrild Zip: 3 �I `f/
Tenant/Lessee Name.:Z G 1 f S" `n S / ke'stmjeAf is Phone#: /yy " "g -
Email: Orl/ �C e� L/I-ciez /7f/L. e, &A*
CONTRACTOR: Company Name: Phone#:
Address: 12 rr5 Rlo! e 410 131W M ep
City:
.9 A00i
Qualifier Name: /, 041f
114
e Z•
State Certification or Registration #: G 4!�e ON/ A P / Certificate of Competency #: _
DESIGNER: Architect/Engineer: e""F L'Val' gjE,*'V er- � Se110nu Phone#:
,ip; '3.31 ;07
1495, gzZ r S70
Address: - , t r City: State: Zip:
Value of Work for thus Permit. $ J w� Square/Unear Footage of Work:
Type of Work: - ❑ Addition ,E Alteration New ❑Repair/Replace E] Demolition
Description of Work: S TP t -,M
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $
(Revised02/24/2014)
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 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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspect' n fee will be charged.
e
4JSignature ! e_ Signature
OWNER or A E CONT CTOR
The foregoing instrument was acknowledged before me this
day of 20 by
wh is pe sonally known�as
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign. T
Print• ( l
Seal:
The foregging instrument was acknowledged befor me this
day of 20 by
�7
who is p rsonally known to
me or who has produc as
identification and who
NOTARY PUBLIC:
Print:
vro, --- -
MYtX ONNFr I X117 Seal:
EXPIRES: �� �
sw�,,,yw
oath. ORIT M1M0UN
MYCQA11SSi0MIfFF064212
EXPIRES: December 14, 2017
�.' id nrcu � FubBe �11
APPROVED BY !S "l % lY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
BUILDD,
PERMIT
Permit Type:
JOB ADDRESS:
Miami Shares ,Village
Building Department.
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 p �, Gt13
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
FBC 201,0
G �1J Permit No.
L�
APPLICATION Master Permit No. � 0 —0`x'17
90002 - 991y0 Nk. 2rod ay&
City: Miami Shores County: Miami Dade Zip: "3 31
13
Foho/Parcel#:
Is the Building Historically Designated: Yes
NO Flood Zone:
Ut
OWNER: Name (Fee Simple Titleholder): ON �Cltok 66 -r -C$ &F4<P o e#: 2 o5'—b" 7 –f
Address: 2 i 0 �-7 / c"T' s' T zee T Ste , -le S a g
City: 1 �'%%J / ✓ �G State: J. ---Zip: 3 3 I
Tenant/Lessee Name::t C /� See 11V e STmv / s Phone#: As,
Email:Pir-��S+G,e %VLCr ► C.eW1
CONTRACTOR: Company Name: MU R 014 Con;t rk& 16 n Phone#: q ` o & 16
Address: 12 67 6 5 816 44 pe awor
City: lVa 4+6 Aol M d moi State: Zip: 3 / f
Qualifier Name: 4L O'/S / OU & 6 44 Phone#• 20S7 CZ -f— 7/4r7
State Certification or Registration #: 4C # WOW Certificate of Competency #:
Contact Phone#: Email Address: /1" t Ph bU E ' 0 s r etf CT 04M
DESIGNER: Architect/Engineer: Col's *(147 o 4 Eqq iMtf 441 sOff Phone#:
�01 0 kwm, INS
Value of Work for this Permit: $ E Square/Linear Footage of Work:
Type of Work: ❑Addition DAlteration / ONew ORepair/Repllacce ODemol_ition
Description of Work:
Submittal Fee $ Permit Fee
Scanning Fee $
Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
f CCF $ CO/CC $
DBPR $ Bond
Technology Fee $
TOTAL FEE NOW DUE $ I; 5 q 0 `p
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"dd.Ilnnce of such posted notice, the
inspection will not be approved and a reinspectionfee will be charged.
61 Signature Signature'
Owner or AL Contractor
The foregoing instrument was acknowledged beforemethis
day ofqn!�Ikr, 20 j3—, by 1•fQr w� �>�'/te21� ,
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign: I G
Print: ox, I ( O\A
My Commission Expires:
APPROVED BY
IJ e,:e�y_ OBIT MIMOUN—�I
My Commission Expires
December 14, 2013
The foreg g instrument was acknow edged bemiv,e this
day of 03 by U (J J
who personally known to me or w o has produced
as identification and who did take an oath.
Structural Review
NOTARY PUBLIC:
Sign:
Print:
My Commission
(Revised 5/2/2012)(Revised 3/12/2012) )(Revised 06/10/2009XRevised 3/15/09)(Revised 7/10/2007)
•, cNANCY
MYCOMMISS10" EF 860780
4.c EXPIRES: Febman, tr
Zoning
Clerk
Miami shores Village
Building Department
) 3 2- 11 VJ RECEIPT
ontractor
ner
o Architect
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
2-11— /el
Picked up 2 sets of l ns and other)
Address: �/ -';7'
From the building department on this date in order to have corrections done to plans
And/or get County stamps. I understand that the plans need to be brought back to Miami
Shores Village Building Department to continue permitting process.
Acknowledged by: /4�
PERMIT CLERK INITIAL: 13—L,
RESUBMITTED DATE:
PERMIT CLERK INITIAL: C�
Miami shores V
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
RECEIPT
PERMIT #:-)OZ -13 L 7 / DATE:
/'�" /" 0,-- �' '
o Owner
o Architect
Picked up 2 sets of plans and (other)
Address:
From the building department on this date in order to have corrections done to plans
And/or get County stamps. I understand that the plans need to be brought back to Miami
Shores Village Building Department to continue permitting process.
Acknowledged by:
PERMIT CLERK I
RESUBMITTED DA
PERMIT CLERK INITIAL: /1-)
Miami shores Vill""ge
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Date: J? --I S - 1 3
Permit No: kc, - 13 - )- q'�-,4
I�—
Plumbing Critique
.FEC. 1 (3 4. 0 Pil- J l a) �-- D &' -1A • 1�,Pp R®\�V-N C- . .
ffi!!�D
Osvaldo "Ozzie" Diaz
Chief Plumbing Inspector
L. 1 A ?Pewe 1
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.
STORMWATER CALCULATIONS
FOR
DRAINAGE IMPROVEMENTS
MIAMI SHORES CENTER
9802-9840 N.E. 2ND AVENUE
IN
MIAMI SHORES , FLORIDA
CONSULTING ENGINEERING & SCIENCE, INC.
10700 N. KENDALL DRIVE, SUITE 400
MIAMI, FLORIDA 33176
PROJECT NO. 13061
NOVEMBER, 2013
C
CONSULTING ENGINEERING & SCIENCE, INC
10700 N. KENDALL DRIVE, SUITE 400
MIAMI, FL. 33176
JOB NAME: MIAMI SHORES CENTER
DESIGN PARAMETERS
EXFILTRATION TRENCH:
JOB NO. 13061
South Florida Water Management District
Exflltration Trench Calculations
TOTAL AREA
L= V
K(HW+2H Du-Du^2+2HDs)+(1.39x10"-4)WDu
WHERE:
L = LENGTH OF TRENCH REQUIRED (FEET)
V = VOLUME TREATED (ACRE -INCHES)
W = TRENCH WIDTH (FEET)
K = HYDRAULIC CONDUCTIVITY (CFS/FT.^2-FT.HEAD)
H = DEPTH TO WATER TABLE (FEET)
Du = NON -SATURATED TRENCH DEPTH (FEET)
Ds = SATURATED TRENCH DEPTH (FEET)
GRATE ELEVATION =
9.90
STRUCTURE INVERT =
-5.10
DESIGN WATER TABLE =
2.00
(October High Water Level)
TRENCH WIDTH =
3.50
CONTRIBUTING AREA =
0.10
RUNOFF RETAINED =
6.75
VOLUME TREATED =
0.68
HYDRAULIC CONDUCTIVITY =
1.20E-04
DEPTH TO WATER TABLE =
7.90
SATURATED TRENCH DEPTH =
7.10
UNSATURATED TRENCH DEPTH =
6.40
LENGTH OF TRENCH REQUIRED = 24.90
LENGTH OF TRENCH PROVIDED = 25.00
� � I
I
PERCOLATION
TEST LOCATION
N.E. 99th STREET
DRAINAGE IMPROVEMENT PLAN
SCALE : 1' = 20'
....:�
a
0 0
p p
I Ip
I Ip
LJp
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p
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61964 1126( '1
i I I
LCOENp' .
.:++ rr.+I..r ♦r O I +� (ESTIMATED)
(MOTES:
231 ; — -- — — — , 1. CONTOUR INTERVAL 1.0 -FOOT.
t
(Exopt as indicat#d)
{ t4 2. DATUM tS MEAN SEA LEVEL.
SCAUE IN MILES c^ NOTE PREPARED FROM USn
_ ( SURVEY DATA
REVISED DESIGN STANDARDS
METROPOUTAN APaaorrt a
DADE COLKry 2/19175 AVERAGE OCTOBER wc.
PUkX WMKS 4/5/72 1/14/77 GROUND WATER LEVEL 2.2
DEPARTMENT 1960-75
SHEET.L of L
S RAO i
ATLANTIC
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OCEAN
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4.5
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- - I -D*Y* RA*4-K AtL 5 YEAR- RETURN PER40D
Figure C-1-3
Phone 954-784-2941
e eral 800-848-1919
Fax 954-784-7875
& TESTING 250 SW 13th Ave Pompano Beach, FL 33069 fed-eng.com
USUAL OPEN - HOLE TEST
DATE: 8/16/12 ORDER #: 12-1790
CLIENT: Barr Architectural Studio
PROJECT: Proposed Drainage
ADDRESS: 160 NE 99th Street, Miami Shores, FL
LOCATION: See Attached Site Sketch EX -1
DIAMETER OF HOLE: 8 inches DEPTH OF HOLE: 15 feet
TESTED BY: SJ/SL
Gallons/Minutes
13
13
12
11
10
10
10
10
Hydraulic Conductivity:
Subsurface Investigation
Death Below Ground Surface
010"
— 016" '
01611—
116"
11611—
316"
316"
— 710"
71011-151011
REPORTED TO: Client
Elapsed Time in Minutes
1
2
3
4
5
10
20
30
K = 1.1 x 10-4 CFS/FT2 - FT. HEAD
Soil Desai tp ion
Topsoil & Vegetation
Dark Brown Sand
Light Gray Sand
Pale Brown Sand w/Some Rock
Light Orangish Brown Sand
Water table elevation: 97" Below Existing Ground Surface*
Keith LeBlanc, P.E.
Federal,En.gineering 44 Testing
Florida Reg: N6, 59394
rP.ii hCgt of A'i1 Ori7afinn f► U71
O MIAMWADE
Construction Material Army Corp American Concrete Miami Dade Florida Department
Engineering Council of Engineers Institute County of Transportation
t
f
c
NE 99th Street
R. O. W. +
Sidewalk t V
• �Ex-1
Vacant Vacant
Lot Lot
Q
Soil Boring Location (Not to scale)
Proposed Drainage
160 NE 99th Street
Miami Shores, Florida
;v+ ed berlow .I8 CNR,TIPIM-
'Il tder the ravisic Gaya cy ' Ch� ep �
x irat�.pn �t®i A00 31, 2
Ule i,��y s y.° � �if
i4'
'�94 I" fi k t " rrF R.
IM
t rii
Lo is
Ib1IiUMIA IMOT $
9822 NE 2= 'AVEN'OTs, ' SVITi #10
�lIAI SHORES., �L 33138 ¢t a
RIt:R S�CCYi'�'
�OVI�RNOR
DISPLAY AS REQUIRED BY LAW
KHN LAWSON
SIPCRETARY
FlRST-CLd1SS
U.S. POSTAGE
PAID
MIAMI, FL
PERMIT NO. 231
673530-3 THIS IS NOT A BILL- DO NOT PAY RENEWAL
BUSINESS NAME / LOCATION RECEIPT NM 700882-4
IMBURGIA CONSTRUCTION SERVICES STATE# C00011601
INC
9822 NE 2 AVE 10
33138 MIAMI SHORES
OWNER
IT14B�URGIA CONSTRUCTION SVCS INC
Sm
196 GENat ERAL BUILDING CONTRACTORRKE7/S
1 ,M 03 g{�p AYRACEW. Lf
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HOLDER TO Y�LAT6 Ap/l
awimuwe�� Once DO NOT FORWARD
REOUAoWC 6Y Law THS R
� TMNCURGIA CONSTRUCTION SERVICES
LOUIS S IMBURGIA JR PRESIDENT
PAYE,MFdMBM 12555 BISCAYNE BLVD 888
CoLuDc"mTA" NORTH MIAMI FL 33181
07/17/2012
60210000043 y7p�j
000045.00!„li11,1111„11111l,,,,it111,I,i,l,111,!„11,1,1„1143N,1
IMBUC01 OP ID: DE
CERTIFICATE OF LIABILITY INSURANCE
D 05107=14YI
05/07/2014
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 endorsome s .
PRODUCER
Tanenbaum Harbor of Florida
2900 SW 148th Avenue
Miramar FL 33027-6605pdL
Manrry Y.Altneu
CONTACT
PHON o
SLPGGLO237M
03/11/2014
INSURER(S) AFFORDING COVERAGE NAIC 0
INSURER A: Sea►► Surplus Lines Ina Co 13804
DAMAGE TO RENTEIT
PREMISES E rus $ 10,
INSURED Imburgla Construction
Services Inc.
Vincent Imburgla
INSURER B: COMM— & Imluaby ComPany 19410
INSURER C: EldclpNeld Employers irs. Co. 10701
INSURER D:
12555 Biscayne Blvd 11888
North Miami, FL 33181
INSURER E :
IN F:
COVERAGES CERTIFICATE AIIIPARFR- 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
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EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
ILTR WSR
TYPE OF INSURANCE-
THE
WITHDSATE THE POLICY PROVISIO E WILL BE DELIVERED IN
Jm
POLICY NUMBER
� EFF
POLICY EXP
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE a OCCUR
X Blanket Al
SLPGGLO237M
03/11/2014
03/11/2015
EACH OCCURRENCE $ 1,000,0001
DAMAGE TO RENTEIT
PREMISES E rus $ 10,
MED EXP (Any one person) $ 510
PERSONAL & ADV INJURY $ 1,000,
X WeWerofSubro
GENERAL AGGREGATE $ 2,00,
GEWL AGGREGATE LIMIT APPLIES PER:
X POLICY PROJECT LOC
PRODUCTS - COMPIOP AGG $ 2,00r
Emp Bon. $ 1,000,004
AUTOMOBILELIABILITYCOMINED
ANY AUTO
ALL OWNED SCHEDULED
AUTOS OS
NON -OWNED
HIRED AUTOS AUTOS
SSI LIMIT(Eagodry
BODILY INJURY (Per person) $ n/
BODILY INJURY (Per accident) $ TI
PROPERTYAMA E $ n/
ER ENT)
B
X
UMBRELLA LIAB
EXCESS LIAB
X
CLAI
OCC9none
BE080610670
03/11/2014
03/11/2015
EACH OCCURRENCE $ 1,00,
AGGREGATE $ 1,000,0
DED X RETENTION $
$
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNEWEXECUTINIA
OFFICERIMEMBER EXCLUDED?
(Mandatory in NH)
If yyesdescribe under
DESCRIPTION OF OPERATIONS below
83052383
03103/2014
03/03/2015
I TORY LIMITSWC STATU- X OTH-
E.L EACH ACCIDENT $ 50010
E.L. DISEASE - EA EMPLOYE $ 500,0
E.L. DISEASE -POLICY LIMIT $ 500,
DESCMPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Addtdonal Remarks Schedule, 8 more apace is required)
Shell (Concrete) Construction
PeOTIerNATe unl neo f1ALUrtFI I ATInW
MIAM138
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Miami Shores Village Bldg Dept
THE
WITHDSATE THE POLICY PROVISIO E WILL BE DELIVERED IN
10050 NE 2nd Avenue
Miami Shores, FL 33138
AUTF1oMZED REPRESENTATIVE
X44
V 188&ZU1U AC;UKU I:UKruKAI WIY. An ngnre reservaa.
ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
1109406 ,-.
4144 Must be displayed at place oibusiness
Pursuant to County Code
Chapter 8A - Art. 9 & 10
OVVMR, SEC. TYPE OR WMINESS
IMBMIA CONSTRUCTION SVCS INC 198 GENERAL 6UI{ DING GONT, CONT,RACTOR PanweNr ttr cetveo
Ct}9 sY rAx CtMCECTQR
Worker(s) 7 GC011131$445.00 07/30/2013
TXHS1-1 4138792
Tills }mesal 8usi�s Tai< Racegdoniy �onfirma p�yma�at tho Litoal B�in� Tic. Tds Rene � not a ticen�,
pamr or a certifloadon of the erg gttalifi otm, to do ba aesa Holder aas8t nomptyWth any govemmamal or
ggngayemme+nal �gnlatoey haasal regai►amants which applyr;to the baslnees.
'The RECEIPT' N0. shove tl�st�s displayed an all oonimierciel veld�lao - NFie�ais4�r
ntwa' hdomiation, visk
3/21/2014
i 6 ,1 1,.Yxqi.
12555 Biscayne Blvd #888
North Miami, FL 33181
305-940-6957 / 305-675-3983
CGC #011061
To:
210 Seventy First Street, Suite 309
Miami Beach, Florida 33141
We are pleased to present the following proposal f�'
��� All work will be performed
in general actor ante with the drawings prepared by CES Consulting Engineering &
Science in Miami, Florida. This scope of works includes materials, labor, and equipment
as required except where otherwise is not noted.
I. List of Drawings
• C-1 Delta 1 01-30-2014
II. Scope of Work
Division 02 — Site Construction
• Complete demolition and removal of exiting walks and slabs
• Complete installation of drainage system
• Including 3 ea. R -W -L tie-ins (MIN AiM LEAMS-- L?ZIS+ I �G)
• All materials, bedding, and compaction included
• Asphalt paving restoration at areas of new construction
Division 03 — Concrete
• Furnish and install 3,000 PSI ready mix w/ welded wire fabric
• Saw -cuts and control joints
Division 09 — Finishes
• Striping at areas of new construction
• SV+ UOAt W+Itt WO'OR Q41ChING Wb i
Imburgia Construction Services, Inc.
12555 Biscayne Blvd #888 North Miami, Florida
Ph. 305-940-6957 Fx. 305-675-3983
1
r ` 1
3/21/2014 2
III. Items Supplied by Owner/GC
• Access to property, 7:30 AM — 5:00 PM (M -F)
• Two copies of signed and approved municipality/county/state permits
• Approved construction documents and specifications
• Contract documents according to above "Scope of Work" and conditions
IV. Notes and Exclusions
• Underground pipe, obstructions or conflicts not noted on plans or relocation
• Permit Fees
• Core Drilling
• Landscapes and sod replacement
V. Notes
• All materials NOT delivered or allocated to job are subject to price increases
thirty days from the submittal of this proposal
• Proposal valid for thirty days
TOTAL: -$42,82S.-ft
4D�VVI
imburgia Construction Services, Inc.
12555 Biscayne Blvd #888 North Miami, Florida
Ph. 305-940-6957 Fx.305-675-3983