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PL-11-1596Miami 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 BUILDING PERMIT APPLICATION Permit Type: PLUMBING JOB ADDRESS: /V W io° ` T p � 1W1 8 18 2'0112 U r BY.-®®®cw®ono�nncnnnna� FBC Permit No. V IJ— � � y + ° Master Permit N . _ 1 5q�' City: Miami Shores County: Miami Dade Zip: 3 3 ( ago Folio/Parcel#: i I_ 6 1-02-3- Q i C& Is the Building .Historically Designated: Yes OWNER: Name (Fee Simple Address: ��u NO Flood Zone: ot'�-C' City: State: Zip: 3/3,C Tenant/Lessee Name: Phone#: Email: el A-ae.L^, , r -4.,.o t-5 6 -0 CONTRACTOR: Company Name: bay �`�" Phone#: 36� °� 3 Addre s: ��� 1 City: s� State• Zi-�L P Qualifier Name: State Certification or Registration #: C ir6 0 L1N %/ & Certificate of Competency #: Contact Phone#: Email Address: 0'?A_s, tc, t,- —r-2' I CI DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $__ Square/Linear Footage of Work: _ Type of Work: ❑Address, o , OAlteration .t _ ONew ®Renair/ReDlace . Description (opf� Work: l x:b /V-� •V YV Vi � � d�J�F9'. eeta�ta. �. �"� � „srsaea,. ... _Siiia'iiP.`.a 'fIQL9� �l46:�iR ��pa. Fy q"E"•_ % Submi ertrut Fee s CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ a i TOTAL FEE NOW DUE $ 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 is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature J—Z/2?b— OZer or Agen (173 The foregoing instrument was acknowledged before me this day of 20 A, by�,.,�e� , who is personally known to me or who has proliuced GSCsw .�� As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My APPROVED BY li WCA POSADA Notuy pqfflic - state of Flort" My Comm. Expires may 1. 2815 Contractor The foregoing instrument was acknowledged before me this day of , 20 /L, by k, who is pe sonally known to me or who has produced � eije y� as identification and who did take an oath. �,/ Z- Plans Examiner Structural Review (Revised3/12/2012)(Revised 07/10/07)(Revised 06/10/2009XRevised 3/15/09) NOTARY PUBLIC: Sign: 44te�2. Print: dY1 64 My Commission Expires: MOMCA POSADA My Comm. Expires f►ilay 1.2015 Commission # EE 69183 Zoning Clerk Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-220152 Scheduled Inspection Date: September 25, 2014 Inspector: Diaz, Osvaldo Owner: MAE, FANNIE Job Address: 175 NW 101 Street Miami Shores, FL 33150 - Project: <NONE> 1-159, Permit Number: PL -8-11-1596 Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition/Alteration Phone Number Parcel Number 1131010230160 Contractor: ISLAND PLUMBING CO Phone: (305)361-2929 comments PLUMBING WORK FOR BATHROOM AND KITCHEN -SUV . - ..,.......�..w REMODEL. INSTALLATION OF NEW WATER HEATER INSPECTOR COMMENTS False Passed Inspector Comments CREATED AS REINSPECTION FOR INSP-220079. D/W hose not connected requires supply and tall piece leak at lavatory caulk trim tub/shower Failed L>' Correction Needed Re -Inspection Fee No Additional Inspections can be scheduled until re -inspection fee is paid. September 24, 2014 For Inspections please call: (305)762-4949 Page 27 of 34 FROM :MP FAX NO. :7862424457 Apr. 20 2012 08:48AM P4 STATE OF FLORIDA bEPARTMJI OF .BUSINESS JUM 194QTNRUCTTON ,INnUST$Y PROFESSIONAL REGU�LpATION AD W .194 ORT.R M0kjjOE STREETCENSING BOARD LARASSEE FL 32399- (850) 487-1395 . Q783 'UP ASSOCIATEDAEL L CONTRACTORS INC. x.5210 SW 74TH COURT PALMETTO BAY FL 33157 Congrans licensed i ions! Wrth'tFi7S ticonse YOU @co a one of the nearlyone million Floridians so nags 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, Every day we work to improve the way we do business in order to,Serve you better For informatiori. about our services, please I There you can find more information about our divisions toviwwwamd ho �e �j� ons tha impact you, subscribe to department newsletters and team more about the Deparfinent,a 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. Thank you for doing business in Florida, and congratulations on your new licensel FROM :MP FAX NO. :7862424457 Apr. 20 2012 08:47AM P3 WAS GOii�APTtI Ott AdH11wt�R COUP STATE OTAX F 1L 9�Oe8 FOO -CLASS SPSM30 expm N Amp f 30 MR P! sllE>!A MS -POSTAGE PuRguANTyo V'0008QN.AP"R ®Vft AT pLAbj Op, kms.ART. 4 l PSw A . F �Y 5648 1-0 1 ftE4 l;. 'lriT A 5411- 1)r) N(y! pAY RENEWAL 5 Gk CONTRACTORS STATffoPQ8 iylls 589129-7 IS210 SM;74 CT 3 1.57 PALMETTO BAY 115SOCIATEb CONTRACTORS `1[!s CONTRACTOR • WOet2ER/4 a:• r, • MR_ m__ , 09010122.001 000045:00 • Dli9gR ti10i;? • 00 NOT FORWARD N P ASSOCIATED CO'NTPACTOPS MIGUgt PINO PRES ISM sw •PALKETT® SAYCPL 33157 �,.iillay��iAilitOiifrlf�i�eiPifi��ii�l�{ei�►i,l�iidfu/1ir7� FROM :MP FAX NO. :7862424457 Apr. 20 2012 08:46AM P2 CERTIFICATE OF LIABILITY INSURANCE °04;18; 0 2' 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 pollcy(les) must be endorsed. If SUBROGATION IS WANED, subject to the terms and conditions of the policy, Certain policies may require an andorsement. A statement on this Certificate does not confer rights to the certificate holder in lieu of such endorsement(s)- PRODUCM °gyp°T PABLO M CONDE A&A Underwriters, Inc. _ PHONE 305-220-7447 .NaI: 305-220 4821 8796 SW 8 St Miami, FI 33174 �' me aounderwrIters.com INSURER(31 AWORDINGOOVERAft NAICS _ ERA: BUSINESS FIRTS INSURANCE CO 012529 ..... i IN8YRED MP Associated contractors, Inc. 15210 S.W. 74 Ct. INSURERS: ERCI ERD: INSURER E : Miami FI 33157 INSURER P : 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, TERMOR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY 8E 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, TYPE OF INSURANCE AbT)t BUBR POUCYNUMBBt MM P� LIMIT'S eENERAL LVABILITY .(Mm' EACH OCCURRENCE $ r+RE111 n®SEo urtra�ca $ — COMMERCIAL GENERAL UABIUTY CWJAr^ MADE n OCCUR MEDDXP(An me ) $ PERSONAL & ADV INJURY GENERAL AGGREGATE I T $ PRODUCTS-COMROPAGG $ GEWLAGGREGATELIMITAPPLMPGL- POUCY PRo- LOC AUTOMOBILE LIABRITY MrA@IED NOLEMFT ANYpALMOO JOT �Ep� �U7& D IrOS ON.tN HIRED AUTCAa P AUTOS BODILY MtJURY (PM persalt) s 9001LYMWURY(Peracdde+0 $ pE� �.>�S�II)._ S $ UMBRELLA LIAR OCCUR EACH OCCURROM $ M(CESSLL40 W •CMS -MADE AGGREQATE $ DID RETENTION$ $ A wow ERaCOMPENSAATION AND EMPLOYERS'LIABH.ITY YINER BFFICE�WMEMBER�EXCLUDEEDV AVE© ltunr,sltwyInund ff I OF OPERATIONS blow NIA 521-009111 OS -01-11 QS -01-12 X WC STAT V. oTH• EL EACHACpDENT S 1,000,000 EL DISEASE -EAEMPL $ 11000,000 EL -DISEASE -POLIOY OMIT $ 11000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHIOI.Ea (Atbwh ACORD 101, Addllfenal Remarks Sd*dule. R mune epdee Is Nquhad) Miami Shores Village 10050 NE 2nd Ave_ Miami Shores, FI. nvvR- -0 %Amlu,ua7 SHOULD ANY OF THE ABOVE DESOMISED POUOIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 01988-2010 I ne AGUKD name and I090 are reglstered marks of ACORD PDF created with pdfFactory Pro trial version www.ofFactorv.com TION. All rit3 is FROM : MP /� �Lj� FAX NO. :7862424457 Apr. 20 2012 08: 46AM P1 va CERTIFICATE 4F LIABILITY INSURANCEDAT ;2oi"a ' 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($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL. INSURED, the polioy(ias) must be endorsed. If SUBROGATION IS WAIVED, Subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PttODUCER AE Marcy C MAMNEampuzano Fortun Insurance, Inc. P O i1 (305) Q45-353$ (. Nol: Le66►415-0e25 365 Palermo Ave. F,: -MAIL; mezcy.cempuzano@fort=insuraneQ.com cy.ca�puaano@Fortinsurance.com PRODUCER !)OOT 0859 Coral I34blea FL 33134-6607 _ _ ..._._ INSI{RER(S)AFFOROINGCOVERAGE — MAiCA INsuR�D - INSURMA:CNA 1AGUraA00 Comnanv T M. F. Associated Contractors, Inc. 15210 SW 74th Ct LPalmetto Say FL 33157 iINSUREItP: COVERAGES r:FRTIRIrtATIZ MI IIIAR9Ba^T.11 11,111111111A ocanalnsl sn reactco. 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. ILTR TYPE OF INSURANCE--.-.••(feR -• POLICY NUMBER POLICY QPF MIO rr POLICY EXP NIDD -• LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 500,000 A R ComruwRoAL GEaa=RAI_ LIAm ry CLA1WMADE a] OCCUR 8 1079401582 /30/2011 /30/2012 PRE Ls�nc $ 100,000 MED EXP (Any one persm) $ 5,000 PERSONAL&ADV INJURY $ 500,000 _. GENERALAGMEGATE $ 1,000,000 PRODUCTS ;COMP/OP ACTG„ $ ._... „ 1IMP 10.09 S GENrL AGGREGATE LIMIT APPLIES PER X I POLICY LOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIREDALROS CppNEp cNG ups $ BODILY INJURY (Per Deleon) $ WDILY INJURY (PV=ddsn0 $ PROPERTYD�AMAUE '-- - (Per��) $ NON DWNED AUTOS $ S UMBRELLA LIAR HCLA*A54AADE CCOUR EACH OCCURRENCE $ EXCESS LIAR A66REGA7E $ $ RETENTION S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETORIPARTNEWEXECUTNE OFFICERlh9F1vIB6REXCLUDED? NIA WC ATU• 0TH• EL EACH ACCIDENT $ E.L.DISEASE - EA EMPLOYEE$ (Mandatory hlNunnH) DO"AOFO ESGIWP PERA71ONSbelow EL•DISEAW-POUCYUMIY $ DESCRIPTION OF OPERATIONS /LOCATIONS / VENICLOS (Attah ACORD 101, Additional Remarks Schedule, If more Space is re0ulred) d MIAMI SHORES VITAE 10050 NE 2ND AVENUE MIAMI SHORES, FYI 33130 ACORD 25 (2 INS025 (200909) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE V41LL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPRESENTATIVE The ACORD name and I ®1988-2009 ACORD CORPORATION. All rights reserved. logo are registered marks of ACORD FROM :MP FAX NO. :7862424457 Apr. 18 2012 03:06PM P1 0S efouwy soil LWAL >>Zt�saw" TAX RE9=Frr scall FIRST-CLASS '1Ax CTaR 441A#1WA0lE COUNW - STATO CF FLORIDA U-0, POSTAGE a PAID. n OT X130 !AUNT84 D�&fl�,# AT PLA4[ Of NtONO" MIAMI, ISL PUMUAWr YO CbUNTV OODW CNAPM ®A - ART. E m 90 PERMIT NO. 231 $6480.1-8 r HIS rs !10T A UIL.L Dr.) N01 F'AY RENEWAL "WhIfiW CONTRACTOR' s STATMIE 41a0 554129-7 35210 SW-74•CT 331.57 PALMETTO DAY o ' *SSOCIATED CONTRACTORS CONTRACTOR el�/04l20$.,1 040101'R201i1 000044.00 IIS OTME A am WORKER/S 00 NOT P09WARP M P ASSOCIATED CONTRACTORS MIGUEL PINO PRES 15210 SW 74 CT PALMETTO SAY FL 33157 i1►r�%trr'/Irerjf►ie���reetrr�ti►�etD�r�sra'r+p►rt��l�►tfl/i FROM :MP FAX NO. :7862424457 Apr. 18 2012 03:07PM P1 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATXON CONSTRUCTION INDUSTRY LICENSING HOARD 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 PING MIGUEL L MP ASSOCIATED CONTRACTORS INC 15210 SW 74Th COURT PALMETTO SAY FL 33157 .CongratulaHnns! With tlfi9:iicense you become one vf•the nearly on rriiition 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. 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.myfloridalioense.com, There you can find more informatiori about our divisions and the regulations that impact you, subscribe to department newsletters and learn more about the Department's initiatives. Our mission at this Department is: License Efficiently, Regulate Fairly: We constantly strive to serve you better so that you can serve your. customers. Thank you for doing business in Florida, and congratulations on your new licensel nr-rnr%u u[=MC: (850) 487-1395 08/13/2013 10:06 3053619189 ISLAND CONSTRUCTION ,.4C p- �- CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED ASA MATTER OF tNFOR>SMT10111 ONLY AND CONFERS NO RIGHTS UPON THE C CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND. EXTEND OR ALTER THE COVERAGE AFI 13EI.. M THIS CERTIFICATE OF MWRANCI_ DOES NOT CONSTITU11E A CONTRACT BETWEEN THE lSMNG REPRESENTA7M OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the ce Mcale holder is an ADDITIOIO L INSURED, the Ito ft(;eg) mast bo Anaor�. If SUBROGA the terms and conditions of the policy, Certain policies may mquh's an endomo rant. A statement on this certrf jcM oerttftcdbe holder In 11811 of Such andoinernengeh ro DRRooemerInsurance Agency Phone; 954.731.85 KAa JenniferAtenclbla 1752 W. ©ommeL�lat Blvd Fax: 964.731.8438 ,MPR x,,,.954-73i.SSBB A Inc ' P. O. Box 490584 Key Biscayne, FL 33149 c . FCCI v: Cc PAGE 02102 iSLAN 2 OP ID: JA DATr=(tmliuppnYYYj i 07124/2013 KMCATE HOLDER- THIS )1 DED BY THE POLICIES NSURER(S), AUTHORIZED ©N IS WAIVED, subject to, 106 not CDgfOr ttghts to thl* .nu 10 iv VICKI 11-T FKAT THE Po11CIEs OF INSURANCE LiSTSD WOW HAVE BEEN ISSUER i0 lliE INSURm NAMED ABOVE -FO THE POLICY PERIOD INDICATED. NOTVNTHS'TANPING ANY REQUIRLMENT, TRRM OR CONDIITON OF ANY CONTRACT OR OTHER DOCUMENT VWM1RE9PECT TO WHICH TH13 CERTIFICATE MAY BE ISSUED OR LKY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIes DESCRIBED HEREIN IS suiikzar TO ALL THe TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICn;S. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS_ R WMCFwSUgAXM � � POLICYffF IdlD mJ6L'r8 6�ATIY L IJAMI CLAIMSNIADE u cr=R GL�1-AGGREGATE L;mrrAPPLES PSR: POLICY F7 P'M LOC AUTOMOBILE UAMUW B X ANY AWO ZiQs sGHMUL= AUTOS HIRED AUTOS NA3NO—W UMBRELLA L.IAB OCCUR L XCMLIAB t:LAIM.� E R>=TL��nol�a WORXERS COMPENSATOW AHD EN PWYEASLutHnny C ANyPR0FR1EFOR/PARTNBV0(8wTzveYIN� t R EILcLUO-? Ll 01/100012 1 01110=14 I PERSONAL&ADV WJURT 19 1.ow.00d 01108!2013 Ot/08JZ074 BOIIH.Y mNJIJRY (Ptrpe�) $ B0D1LYtWURY(Pgr gr0 S Tr $ S 07123f2018 07/xitZ0M4 EACHOCWRRENCE. $ A00REGATE il$ TF! X WC STATICLrraI PR E.L FA 44 EL. DfSEAft EA VOL S FLQI@-POIJCYLIMrr S IiESORtP'ItdN LJF QPFftAT;QNS l LOCA'm10NS f VeSVCtzs {AtFaem� AOQRD'mot, AtlGltloemm ttemanm su�eame, v mom �m k �Ly� me village of Miami shores is included as additional fsisurad as rte,; red by 077:L1' -"-m c:oatmat, subject to Policy tarns and conditions. addi tional 'AB` r®d status —Y be zesc=ded tf no project iafo=at:.'i on is .eceived!!! MiAM1S2 SHOULD ANY OF THE ABOVE DF -%=MED POUCHill IBE CANCELLED gSFQRE Tam PXPIRATION DATE THEREOF, NOTICE WILL 4E DELIVERED IN Village of Miami Shores ACWRDANC$ MTN 7M POLICY PROVISIONS. 10050 NE 2 Avenue Miami Shores. FL 331313 AUTHORUD REPRESEXIMMW (019 10 ACORD CORPORATION. All tights rewmed. ACORD 25 (2040/0,1) The ACORD name Arid Togo arc mgbstwed marks Of ACORD Wti AGE P ..Alk�tD ?81 $_,q • TM iF NOTA 9 LL - DD NCrr PAY 'RENEWAL, • pus sN rzocAnot� ' rtaa. .466131-3 ..ISLAND „P111M$I618' CD�ANY STATE ••CFC03?4186 ' 328': CRAM8N' BLVD . 205 33149 VI LUBE � OF KEY.: B•ISCAyM - .• oto •' ' • .. .. , .': isLAQm' 1'I:it�rsit�rs : �a�:. • ' • ' WORRER/s CONTRACTOR QO NOT FORWARD ISLAND:, : PLU BINE . cmwANY .WAN C REYES PRES bn :BOX 49Q984 airrrr rnx KEY 11SCAYMEF1. ' 33149 6006fl 225 ' DDDD!15.9D.'�rr��::e�irirrlje�e:•��rtri��rrijr�t�rr�rr%r:#�t:�ti%�rt� ' PAGE 91102 'ACf- 6 15 2'5.3'3 STATE •OF•FLOWDA• :, Dl�€PARTffiSNT oF''BUSI�sSs �D R ? Bg REC�ULATIco- . CONS1`RVCT O�% 1N�3II,4TR G'E ,, AQAF.D >$� LL�OSQs00951 sMRIff F,ZCENSE :NSR ' '':: •a���•o'�'.•aoi�•' is$a�s6 0•.. • os�4a6°. � -. • • Vie..#LmmTNG . CONTIl &root . Named' `b'Dl6w: 'IS. • cBRTIF.ISD - '.€ hddrd -'the•.proviaio4a•••.of-.thapter..!1$9- irat'ioza dates• AII(1..•3S� 2.014 3Iim- •' COMPA�33i 32it .CRAVMN' BLvo-1Sll°IZ73°'' 20S' ' RRx' •BXsCAsxE FL 33149 Km xmsow ,.,.�._. DISL�4Y�►SREQUIRED sE�iRY' P BAAW