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RC-11-1595 (3)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 4�R PERMIT APPLICATION �l APR 1.1 2012 U By-----±L�_ FBC 2 Permit No. l if jeyl� Master Permit No. Permit Type: BUILDING ROOFING JOB ADDRESS: I I'S I YAD LOI City: _Miami Shores County: Miami Dade Zip: .3,� lSCi Folio/Parcel#: 1 l- 6101 — 023 — O i &V Is the Building Historically Designated: Yes OWNER: Name (Fee Simple Titleholder): Wk WTFAWZPMITI NO " Flood Zone: Tenant/ ,essee Name: Phone#: Email: C4(.8w� CONTRACT04: Company i p y Name: k.� if 6s,..s Phone#: 305— .303 , 10412- Address: 0qZ- Address: $k�l .Sk7 .3Z 44-. City: Qualifier Name: State Certification or Registration #: GC'G 0JUT"754' Certificate of Competency #: 3QS' 30 a-- /09 2 - Contact Phone#: 30.S.30 3 — iC19 2_ Email Address:jax r 44 DESIGNER: Architect/Engineer: — Phone#: --' Value f Work for this Permit: $ 5QQAQ Type tWo`r oif„ V�y�dtton n 6iDesc Ari6,;0q URepair/Replgce , ODemolition Submittal Fee $ Permit Fee 000'A� v CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ ' _I Bonding Company's Name (if applicable) Bonding .Compan}t'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 Owner or A nt The foregoing instrument was acknowledged before me this day of , 20 _L�7by , who is personally known to me or who has pro cedJ,1J-,AJk As identification and who did take an oath. NOTARY Sign: Print: My Commission Signature Contractor The foregoing instrument was acknowledged before me this day of 20 2 by Po , who is personally known to me or who has produce Lf % UM4-. as identification and who did take an oath. NOTARY Sign: _ Print: MY Comm. Expires May 1, 2015 M Cumnd6sioa #EE 89153 y APPROVED BY- J..- Plans Examiner !eex4-- Structural Review (Revised 3/12/2012XRevised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) Expires May 1, 2015 ision #► EE 891;337 Zoning Clerk W.), R 125121 ld� Olin ...� 1 L apv� BY-- ----- R Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CHANGE OF CONTRACTOR / ARCHITECT Permit N. Owner'0 Name (Fee Simple Title Holder): &Amai Vg' eA _ ;Ze Phone #: 303—IVE®7 Z34 Owner' Address: SrloSo City: If State: Zip Code: 33/38° IhI II Job Address (Of where work is being done): / 7S ,040 10 dT City: Miami Shores State:_Flodda Zip Code: 33/5`0 Contractor's Company Name: k0ke, t I ,�_ Phone #:.305– 303-109 z - Address: his" W 3 z • –i� , �, City: A4140AA . State: Zip Code: 33/5' Qualifier's Name: ®rL6;" Lic. Number: Architect/ Engineer of Record Name: — Phone #: Addres11: -- City: State: Zip Code: Descri Work: 1 here by certify that the work has been abandoned and/or the contractorlarchitect is un ble or unwilling to complete the contract. I hold the Building Official and the Miami Shores harmless for all legal involy ment. Signat Ire Ar Signature owner or Agent Contractor orArchitect The for ing ins me t was�aknm o dged before ` The foregoing ins ent s aknowledged efor me 1 j this 1 ay of 2� �-by J ' this day of 2011by o ' rsonall kno to me or who ha rodu I a r onally k own to a or w Tprsindentification. T I �tification. Notary Iu a Notary P bl 0,01 Sign: Sign: U flin Seal' CLAUDIA V. CUBILLOS Seal: °���r p`e�+; Notary Public - State of Florida ""a"�� CLAUDIA V. CUBILLO ��`` s Public - State of Florida • • s My Comm. Expires Sep 23, 2015 :'_*» ,° Notary fifes Sep 23, 2015 ac Commission EE 128810 » •_ My Comm. Exp ' p' ' Commission S EE 128810 Bonded Through National Notary Assn. =:�, °�' g y '�` Bonded Through National Notary Assn• OFFICE COPY Permit Holder Permit # F.B.0 Violation e _z0f If, I Address Date By Building official 40MY ! from the office of REGALANDS PROPERTIES INC. 8650 Biscayne Blvd. El Portal, Florida 33138 tel. 305-458-7134 fax 305-756-9557 email: dancenyreyes@aol.com to the office of Advanced Contractors Roofing & Air Conditioning Corp. Att: Pete & Alex Fernandez 7525 W. 20 Ave. Hialeah, Fl. 33016 March 12, 2012 COMM M7 I �. aiPR 1 1 2012 B Y% ------------ Re: work stopped and cancellation of your contract as general contractor for the property located at 175 NW 101 St. in the city of Miami Shores, Florida (folio # 11-3101-023-0160). Dear Mr. Fernandez, Let this letter serve as official notification that your company, Advanced General Contractors, has been officially fired from the job site referenced above. ' It has come to our attention that several permits were submitted and approved by the City of Miami Shores but were not paid and pick up by your firm Not only is this lack of action unprofessional but if has also significantly affected our relationship with the city. Additionally, the lack of permits and subsequent inspections have caused our company a significant financial hardship as a results of fines and liens levied by the City of Miami Shores as a directly consequence of your actions and business practices. Also, please note that the amounts paid'to your company for services rendered are in no way -comparable to the amount of work performed at the site. As a result, we consider you have been paid for wprk.never completed and for permits that were processed but not paid. Your termination is effective immediately, therefore any further visits to the job site will be considered by our company as trespassing. As per our previous communications with you over the last couple of months, we have forwarded all communications between our companies to our attorney, Mr. Jorge L. Fors, whose address is 1108 Ponce de Leon Blvd., Coral Gables, Florida 33134, with telephone number 305-448-5977. Please be advised that we have instructed our attorney to file suit against your company for all the damages you have caused our firm to incur. Furthermore, our legal counsel will be in touch with corresponding licensing board overseen meneral contractors to file an official comnlaint and claim aminstvour firm. Please govern yourself accordingly. Re pectfally, Danceny Reyes Regalands Properties, Inc. cc: Mr. Jorge L. Fors' PA The foregoing letter and or notice was acknowledge before me this 126 of March, 2042, by Mr. Danceny Reyes on behalf of Regalands Propeties Corp. who is personally known to me and who has produced his Florida Drivers License and who did not take an oath. �`���'''• MONICA P08AOA Notary PtAtlic -State of Florida r My Comm. Expiresy 1,2018 •.,g�� Y� a� ^ Commission 549134-5 'V?-ae s'%ar A ag- _'JA's NOT Pse' RENEWAL "WV%Mf-0MT*UCT10N INCSTA Tse 373112--1 5a95 Sid 32 ST 33355 Y Niff MWE CUUMTV c3 °� � � 4bY6cW� 5Y+1T8s F i hA€tl YYfi4. Buli alma, CONYRACTORs ^su.i`iF+i iL' t{1d A1"? iL41. LUKE SONS CMTRMTIGN INC ESTES LOMZ FRES 58195 sw 32 ST Mi AMI FU 33155 st4+ba0akj,L, tC'7.1 3liI�D�.�2s�1 � 022906102061 1063082,50 59 ..y t STATE OF FLOMDA DFPARTa9F`xNT OF BU Y1ESS � � PR0Fe393s % GUL13 i CONSTRUCTION RY LICEN91WG BOARD 1472 i. "•' The GEXZRAL CCki' RA' Z'P; Named below 19 CERTIFIED U"dels- Lhe pre—,�a.b.a&ja FSY aR'�4i,w sett?E—RzC3C, cORE<STZS L 5€55 ; 312ND Sx Ab3ti011 FL 33355 CHARLIE CRIST E��12� Fa � Tett 1r'%'vidkElC sp°A?v F 549134-5 'V?-ae s'%ar A ag- _'JA's NOT Pse' RENEWAL "WV%Mf-0MT*UCT10N INCSTA Tse 373112--1 5a95 Sid 32 ST 33355 Y Niff MWE CUUMTV c3 °� � � 4bY6cW� 5Y+1T8s F i hA€tl YYfi4. Buli alma, CONYRACTORs ^su.i`iF+i iL' t{1d A1"? iL41. LUKE SONS CMTRMTIGN INC ESTES LOMZ FRES 58195 sw 32 ST Mi AMI FU 33155 st4+ba0akj,L, tC'7.1 3liI�D�.�2s�1 � 022906102061 1063082,50 59 ..y t STATE OF FLOMDA DFPARTa9F`xNT OF BU Y1ESS � � PR0Fe393s % GUL13 i CONSTRUCTION RY LICEN91WG BOARD 1472 i. "•' The GEXZRAL CCki' RA' Z'P; Named below 19 CERTIFIED U"dels- Lhe pre—,�a.b.a&ja FSY aR'�4i,w sett?E—RzC3C, cORE<STZS L 5€55 ; 312ND Sx Ab3ti011 FL 33355 CHARLIE CRIST E��12� Fa � Tett 1r'%'vidkElC sp°A?v 10-09-2010 ALE} SINK STATE OF FLORIDA CHMP FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES . DIVISION OF WORKERS" COMPENSATION CERTIFICATE OF G=OW TO BE EXEMPT FROM FLORIDA WORKEffZ CowMATIgN LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies that the irdvfdual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE./0106/2010 EXPIRATION DATE. 11011Y 2112 PERSON: VILLANUE VA ASEL FEIN: 141516542 BUSINESS NAME AND ADDRESS: LUKE B . SoNS CONSTRIX"ON IIIA 11715 SW 18TH STREET 4507 NIA141 FL 33175 SCOPES OF BUSINESS OR TRADE: t- CaNsTRUcTuN 2- CERTIFIED GENERAL CONTRACTOR 1.4t wb$T: Perusal to C6war Ode) .Oita. 1.3., wo officer o1 a cotTtmann who ejects exemptia6.froal this chapter by fel" a rmmicam of election most this. - w0t¢a stay out eecaysr hemito at cnmpagsetfhn under Ibis chapter_ Porsaatn to C6aptor 444.nfill2t, US., golibrrratas m 8leethm re be exeopl... apply.'. only widtia the. scene. W the bo Aw" at teach fes;" be Me notice W etetlitiA la be exempt Pwwat to Cooper 440.06f13. E.S., NWfags of efertive to be exampf 40 eopilfic4lon' et 018,31" to be "Sao DWI0eminy to remwfeh if, of my time after the iiliag of ftaWne N fba. iasaance at the cettiffa te, lie Berson naeYad..ua iiia eatise f . catinft6ta no laogvt a7aoE9. too ra rameata of Ibis sotttaa for isataata at a connieefo. The dapartmele aban rovoio a cattilicate W my trate for wit" W thin parelor - owed as the colimme to ravel the retiairentama of this seeteoa. - OtNC-252 CEii'I:IFICATE 4F ELECTION 70 BE EXEMPT REVISED 43-06 QU€PONV 18511) 413-4609 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE* STATE CSF FLORIDA DEPARTIVIM OF;F MMAL OPIMMi T UCTION INDUSTRY 6 OF ! � EKEMPT FROM FLORIDAWORKEFW AD EFFECTIVE: 10/08/2010 EXPIRATION PATE: 10/07/2012 PERSOft ABEL VILLANUEVA FEIN: 141918542 BUSINESS NAME AND ADDRES& LUKE a ou C6%STR VIGN tpc 7 17'.6 SW TSTH. STFIfET 48n7 clinic*. rt: J3T75 SCOPE OF BUSINESS OR TRADE I CONSTR40M3 a, rk.RTWIED CEQRAi 104TRAr',OR 11�fPORTANT ,Pursuant to Clropter 441ki1&i941. F,&, an officer of a corporation who efecu exemption from INS chapter by filing a cardficate of election L uo>#er this section my not recover Mies or campP�tsBtian 'ttn�r /}tis Q chww. Pursitmat To Chapter 448051121, F.S.. Ccrtifisates of election Tor tic exempt..: apply only within the scope of tree builine" or trade listed art EE the notice o1 election to be exempt E Pursuant to Chester 440.05t13L F.S.. Notices of election, to be exempt and certifirmas of election to be exempt shell be sTikyect to revocation if, at nay time aftee the tiles of the notice or the issuance at the certilicate, the person named on the notice or certifieglie no IwW maets the requirements of this section for ismarse of a cartifitate: The dellatmett shall revoke a certificate at any time far failure at the person named an the carrificine to meet tine requirements of Seettom Qi�srloNs7 til5i0 413-1609 CUT HERE Carry bottom portion on the job, k -upper portion tot your reword& Dia1C-252 CERTIFICATE OF ELECTION TO BE EXEMPT RE -qD 09-U 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 BUILDING PERMIT APPLICATION FBC 20 Permit T e: BUILDING ROOFING OWNER: Nam (Fee Simple Titleholder): Address: EP,Ga -G-6 16, <K1 City: ,�n-z 7. Tenant/Lessee Name: Email: Z 'I , State: JOB ADDRESS: 7S I- " City: Miami Shores Folio/Parcel#: Is the Building Historically Designated: Yes _ CONTRACTOR: Company Name: Address: � o �! City: 1k115;4-"41,, o Qualifier Name: State Certification or Registration #: Contact Phone# DESIGNER: Architect/Engineer: Value of Work for this Permit: $ Type of Work: ❑Addition Alteration Demos-crrii�ption of Wo k: County: ❑New r, r -a 6` 17�g F . r 20 0 Permit No. Master Permit No. s Zone: ?5 a /� 6 B. !--z� & a®%s- %2Z-- 5;0 -s-Zt/ Zip: 1'5 -.--> ' 74- -,&ep-S ® -926-17 2- &1 Footage of Work: ORepair/Replace ODemolition -Oxp IE Submittal Fee $ Permit Fee $ `'`��==�'.j " CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $_ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ 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 infomition 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 (Ways after the building permit is issued. In the absence of such posted notice, the inspection will not Be approved and are* sp ti n fee will be charged. Signature - Signature Omer or Agent Cod The foregoing instrument V ,as aCigowledged before me this The foregoing instrument was acknow-fecied' ,before me this i �� Z day of .-6e�, � a A , 20 --L� bye' day of t , 20 Y , by r who is personally known to me 61r ho has produced who is personally known to me or who has prod`ded As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: (�' NOTARY PUBLIC: Sign: �— ARIADNA GARCI]A �. �� .� � ARI NA GARCIA Print r f WIRES; MAR 30.2012 pnjl{ EXPIRES: MAR 30.2012 °F onded through 1st tate Insurance My Commis My Co s Eot1d `d through tst State In APPROVED BY (Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) Plans Examiner Structural Review Zoning Clerk I VIII! 11!!1 Intl 11111 Inti 1111111I11111I 1111 NOTICE OF COMMENCEMENT CFF 2 11 RO58733 - A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION OR 8t' 27811 F's 3535; ( 1 P a RECORDED 09/01/2011 11:05:28 HARVEY RUVINY CLERK OF COURT PERMIT NO. _ TAX FOLIO NO. 1t-- 3 10 1 -C)Z'3' Q IpQ MIAMI-DADE COUNTY? FLORIDA LA6T PAr7E STATE OF FLORIDA: COUNTY OF MIAMI-DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following inform Is provided in this Notice of Commencement. AM STOF PI. CUA I HEPE8Y CERTIFY that i 13 a eopy of f m Original riled In this 0:nce 0 ay Of ;j - W40 mY aad ark 7e. i G aJ. od"ly cluds 9� DJ ®6D WE RLL �Q� S � for u cording Of1. legal description of property and street/address: 11S �J _ Qom......• A` At it A n t e_ 2. Description of improvement: 3. Owner(s) name and address: Lt Interest in property: Name and address of fee simple titleholder 4. Contractor's name, address and phone n 5. Surety: (Payment boild required by owner from contractor, if any) Name, address and phone number: Amount of bond $ 6. Lender's name and address: 00M, 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes Name, address and phone number. jtam &U k LUXP A - - 71 8. In additiorl to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. ` /y Name, address and phone number:__ D,�riL iCt...�s R'�•c� �aic..._._� D_./) .Fi /i:�_n /"� 9. Expiration date of this Notice of (the expiration date is 1 year from the date of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Signature(s) of Ow r(s) o r(s)' Authorized Officer/Director/Partner/Manager Prepared By Prepared By Print Name Print Name Title/Office 'G4 Title/Office STATE OF FLORIDA COUNTY OF MIAMI-DADE 14— Th e . oing instrume t was acknowledged before me this �_ day By pfdividually, or nas , c.` !' for ersonally kno , or ❑ produced the following type of identificatio Signature of Notary Public: Print Name: (SEAL) ' .W.-sr" Notary PubBe -Stye of R VERIFICATION PURSUANT TO SECWkIs TION 82525 FLORIDA STATUTES MY COMM. Expires May 1, 2015 Under penalties of perjury, I declare that I have read the foregoing and Commisstos # EE 89183' that the facts stated in it are true, to the best of my knowledge and belief. Signature ) o2�s) wner(s)'s Authorized Officer/Director/Partner/Manager who signed above: By By CERTIFICATE OF LIABILITY INSURANCE Daft 8/18/2011 producer: Lion insurance Company This Certificate Is Issued as a nwtter of Information only and coffers no rights 2739 U.S. Highway 19 N. upon the Certificate Holder. This Cerdftcaha does not amend, extmM or alter Holiday, FL 34691 the coverage worded 61r the policies belO1"' 1 Insurers Affording Coverage MAIC # (727) 938-5562 Insured: South East Employee Leasing Services, Inc. Insurer A: Lion Insurance Company 11075 2739 U.S. Highway 19 N. Holiday, FL 34691 Insurers: Insurer C: Insurer D: Insurer E: Coverages The Po es rararceRated bOIDWr" been ISSUed to the Inmiredromedcy rgarry orco on mVcm*wor oaanert respell INS certificate rrW be Issued or may pertain, the Irnsramnce afforded by the pordes described herein is snbjectto all the tears, e>radons, aid conditions of such poGdes. Aggregate Omits shown may have been reduced by paid claims. INSR ADDL ARD Type of Insurance Policy Number Policy Effective p ate Policy Expiration Date Limits (MM/DD/YY) (MM/DD/YY) GENERAL LIABILITY Ead,Occunence G Commercial General Liability Claims Made 1:1 Occur Damage torented premises (EA oaaarerae) G Mad FV aggregate limit applies per.GmenalAggregate Personal Adv Injury Petiry 1:1Projed 13LOCPnod�is - Connp/OP Agg Pteral TOMOBILE LIABILITY Combined Single umrit AnyAcrto (EA Aoddernt) G Bodily" AG Owned Autos Scheduled Autos perperson) Bodily" Hired Autos Norn4(1ansd Autos (PerAodderd) Property Damage (PerAcdderty EXCESS/UMBRELLA LIABILITY Each O=ereme ❑ Claims Made Aggregate RO=ir Dedndtiible A Workers Compensation and WC 71949 01/01/2011 01/01/2012 X I wO Stalu- OTH Employers' Liability ro Limits ER E.L. Each Accident $1,000,000 Any proprlerodpartnedexecutive officer/member excluded? E.L. Disease - Ea Employee $1,000,000 If Yes, describe under special provisions below. E.L. Disease - Policy Limits $1,0W,000 Other Lion Insurance Company is A.M. Best Company rated A- (Excellent). AMB # 12616 Descriptions of OpamtionsfLocatiorm/VehieWsiExclusiorts added by Endorsement/Special Provisions: Client Io: 84-65-oaz Coverage only applies to active employee(s) of South East Employee Leasing Services, Inc. that are leased to the following "Client Company": Advanced Contractor Rooflng & Air Conditioners Corp. Coverage only applies to injuries Incurred by South East Employee Leasing Services, Inc. active employee(s) , while working In Florida. Coverage does not apply to statutory employee(s) or Independent contractor(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: ISSUE 08-18-11 (SD) Begin uam: 8/11/2011 CERTIFICATE HOLDER CANCELLATION CITY OF MIAMI SHORES Should arrydtleabove described polides be canoded bakm the epireflondata thereof, the Issuing insuerwG endeavor to mail 30 days written retice to the caMeste holder rased to 0e kA butfaidae to do so shallimpose m obligation m Iiabi6tyof arny Mrd upon the Inwer, Its agerts or represetyalives. 10050 NE 2ND AVE MIAMI SHORES, FL 33138 c=s' Policy Number: CLS1578159 Date Entered: 06/22/2011 '4COOR tir CERTIFICATE OF LIABILITY INSURANCEv./M 071" 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 The World Of Insurance, Inc. 15321 3.DIxIE fiDPY SUITE # 204 CONTACT NAME: PHONEc. (786) 573-2221 FAX No: (786) 573-2224 E-MAIL ADDRESS: Jill@theworldofinsurance.com GENERAL LIABILITY MIAMI, FL 33157 INSURERS AFFORDING COVERAGE NAIC # INSURERA:SOUTH GENERAL INSURANCE COMPAN INSURED ADVANCED CONTRACTORS, ROOFING & INSURER 8: INSURER C: AIRCONDITIONING CORP & PEDRO FERNANDEZ INSURER D: 326 S . W 96 CT INSURER E MIAMI, FL 33174 INSURER F: 2/09/2012 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. INSR TYPE OF INSURANCE ADDL INSR UBR 4WD POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MMIDDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 A COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ® OCCUR BAG -1003807 02/09/2011 2/09/2012 DAMAGE TO RENTS PREMISES Ea occurrence)IT_ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL& ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000 POLICY PRO LOC $ AUTOMOBILE LIABILITY SINGLE LIMIT (CE Ea accident $ BODILY INJURY (Per person) $ ANYAUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per acadent NON -OWNED HIRED AUTOS AUTOS N/A UMBRELLA LIAB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR N/A DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETORIPARTNERIEXEWIVE OFFICERIMEMBER EXCLUDED? NIA N/A WC STATU- OTH- TOR LI IT R E.L. EACH ACCIDENT $ (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ If yes, describe under WeOF OPERATIONS below N/A DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, K more space Is required) ROOFING AND GENERAL CONTRACTOR. CFRTIFICATF HAI r1FR CANCELLATION CITY OF MIAMI SHORES 10050 NE 2ND AVE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. MIAMI SHORES, FL 33138 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rgnts reservea. ACORD 26 (2010105) The ACORD name and logo are registered marks of ACORD Produced using Forms Boss Plus software. www.FormsBoss.com; Impressive Publishing 800-208-1977 DBPR - ARRONTE, MGGUEL T; Doing Business As: ADVANCED CONTRACTOR R... Page 1 of 1 7.41.55 AM 8/19/2011 [licensee Details Licensee Information Name: ARRONTE, MIGUEL T (Primary Name) ADVANCED CONTRACTOR ROOFING & AIR CONDITIONERS CORP (DBA Name) Main Address: 2655 COLLINS AVE #410 MIAMI BEACH Florida 33140 County: DADE License Mailing: LicenseLocation: 7525 WEST 24 AVE HIALEAH FL 33016 County: DADE License Information License Type: Certified General Contractor Rank: Cert General License Number: CGC1507972 Status: Current,Active Licensure Date: 10/19/2004 Expires: 08/31/2012 Special Qualifications Qualification Effective Construction Business 10/19/2004 View Related License Information View License Complaint Contact Us :: 1940 North Monroe Street, Tallahassee FL 32399 :: CaII.Center@dbpr.state.fl.us :: Customer Contact Center: 850.487.1395 The State of Florida is an AA/EEO employer. Copyright 2007-2010 State of Florida. Privacy Statement Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public -records request, do not send electronic mail to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions reqarding DBPR's ADA web accessibility, please contact our Web Master at Webmaster@dbpr.state.fl.us. hos://www.myfloridalicense.comALicenseDetail.asp?SID=&id=333EAFD3CB87BO6AB2... 8/19/2011 NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OFRRST INSPECTION PERMIT NO. I — 5C5_TAX FOUO NO. STATE OF FLORIDA: COUNTY OF MIAMI-DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and In accordance with Chapter 713. Florida Statutes, the following Infomiatlon Is provided In this Notice of Commencement of property and 2. Descriatbn of 3.Owner(s) name and address: Interest In property: s Name and address of fee simple titleholder. —+ 4. Contractor's name. address and phone numher_ OR Bk 28084 Ps 2412; flog) RECORDED 04/24/2012 11:58:55 HARVEY RUVINP CLERK OF COURT HIANI-DARE COUNTYP FLORIDA LAST ME Space above reserved for use, of recording o ?A A. PA 211-91 l&I- 1t. j 5. Surety: (Payment bond required by owner from contractor, if any) Name, address and phone number: Amount of bond $ -� 6. Lender's name and address: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1Xa)7., Florida Statutes,' iC44r+b Name,_addmss and Dhone number. 8. In addition to himself, OwA 713.13(1)(b), Florida Statutes. Name, address and phone pu designates the following person(s) to receive a copy of the Uenor's Notice as provided in Section 9. Expiration date of this Notice of Commencement: (tire e>gil oon date is 1 year from the date of recmxWv oftee a different date fs sperms WARNING TO OWNEFL ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF., COM�IENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULfi IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Signatures) of Own (s) olAWAftAuthorized Officer/Director/Partner/Ms Prepared By Prepared E Print Name iJ . Print Name Title/Office /a. TMe/Offlce STATE OF FLORIDA COUNTY OF MIAMI-DADE The foregoing Instrument wpj acknowledged before me this day of WINIvidually, or U for Personally (mown, or Urproducid the following type of identifl lon• ` Signature of Notary Public: Print Name: (SEAL) IFICATION PURSUANT TO SECTION 92.525, FLORIDA STATUTES $ Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in It are true, to the best of my knowledge and belief. :r Signatu ) of Owner(s)'s Authorized Officer/Director/Partner/Manager By By 123 PAQE 9 0 Kq� Orl$ldadbli. dsrd .AA �..,..,._.,. Izfytbelad O"SOL l�ARVEY d1011 �dQsrIQ►Qoai� ra, _. TANASHIA ARNOLD 1144 MOM, POSADA NSW PW* - SW 411 lOrldf My Comm: E.vift"1, got, aoomduuat * EE mob- Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-211933 Permit Number: RC -8-11-1595 Scheduled Inspection Date: September 23, 2014 Permit Type: Residential Construction Inspector: Rodriguez, Jorge ,Inspection Type: Insulation Owner: MAE, FANNIE Work Classification: Addition/Alteration Job Address: 175 NW 101 Street Miami Shores, FL 33150 - Phone Number Parcel Number 1131010230160 Project: <NONE> Contractor: VISTA CONSTRUCTION SERVICES Isunaing uepartment comments BATHROOM AND KITCHEN REMODEL Infractio Passed Comments INSPECTOR COMMENTS False 6/27/2012 STOP WORK ORDER REQUIRED INSP. MISSED AND WORK EXCEEDS PERMIT. NB Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-211863. CREATED AS REINSPECTION FOR INSP-211842. NOT READY Walls only Failed Correction ❑ Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. September 22, 2014 For Inspections please call: (305)762-4949 Page 5 of 32 , 6 , V Jet StreamO Ultra Blowing Insulation Attic and Cavity Wall Card Batts and Blankets When installed in accordance %,Alh the manufacturer's recommendations, Knauf Insulation baits and blankets will provide the full R -value. To obtain an Installed i0sulation shoUld in" "I lion resistance not be Was than: (R -Value) af: r 6.25- R-49 13.75" R-38HD 0,25' R-38 12.00" R-30HD 8.25" R-26 9.001, R-22 6.50" R-21 HD 5.59, R-19 6.25- R-15HD 3.50" R-13 3.50' R-11 3.50" R-8 2.50" 5pecificaton HHA-521 F Framing Adjustment To compensate for framing members, the number of bags per 1,000 sq. (t. of area to be insulated should be as sho-mi belovi E E N Q Gf':-0A ah * De" ... �' Q-tiq C-fficd a IQ:" eemitting pfodUl! fly Tb: C-REENeUARD En',ironmairal lrstw- t9 and the more stringent GREENGRUARD Children & Sctioots eisndard and is verilb,d to he Winatilehyde (me. wnvgFeanguard,org Equipment Required It is recommended that a pneumatic olot-ring machine and a corrugated hose with a minimum N" internal corrugation, a minimum length of 150'. Coils in the hose should net be less than 3F in diameter. Acceptable material feed rate is 5-35 lbsiminute. Recommended feed rat- is I 5- 5 lbilminute. Thermal Performance (Sidewall and Attic Application) The stated thermal resistance (R -value) is prollided by installing in accordance with the manufacturer's instructions. Failure to install the required number of bags per 11.CDO square feet and exceeding the maximum square feet of coverage per bag as recommended by the lab --I will result in lower installed RI -values. Feld blending of this product with other Icase fill insulations is not recommended by the manufacturer. 2X4 29.2 29.4 l R-60 2Y.6 28.9 29.1 Maximum 2y:8 28.6 28.9 Coverage per Bag 2x4 23.0 23.2 R-49 2x6 22.7 22.9 The weight per square 20 22A 22.7 RAalue, f 2x4 20.4 20.6 R-44 2x6 j,20,1 20.3 b0Cover e ss than : 2x8 19.8 20.1 3.50" 2x4 17.3 17A R-38 2x6 17.0 17-2 R-23 2X8 16.7 17.0 0.825 Ibs. 2x4 13.2 13.3-7 R-30 2x6 12.9 13.1 2"x 10" 2x8 12.6 12.9 43.4 bags 2x4 11.3 11.4 R-26 24 11.0 11.2 2x8 10.8 11.0 2-/4 I 9.3 9.5 R-22 2x6 9.1 9.3 2x8 8.8 9.1 2x4 7.9 8.1 Pe -19 2x6 7.7 7.9 2x8 7.4 7.7 2X4 5.3 5.4 R-13 2X6 5.0 5.2 2x8 4.8 5.0 2X4 4.3 4.4 R-11 2x6 4.1 - 43 2x8 3.8 4.1 E E N Q Gf':-0A ah * De" ... �' Q-tiq C-fficd a IQ:" eemitting pfodUl! fly Tb: C-REENeUARD En',ironmairal lrstw- t9 and the more stringent GREENGRUARD Children & Sctioots eisndard and is verilb,d to he Winatilehyde (me. wnvgFeanguard,org Equipment Required It is recommended that a pneumatic olot-ring machine and a corrugated hose with a minimum N" internal corrugation, a minimum length of 150'. Coils in the hose should net be less than 3F in diameter. Acceptable material feed rate is 5-35 lbsiminute. Recommended feed rat- is I 5- 5 lbilminute. Thermal Performance (Sidewall and Attic Application) The stated thermal resistance (R -value) is prollided by installing in accordance with the manufacturer's instructions. Failure to install the required number of bags per 11.CDO square feet and exceeding the maximum square feet of coverage per bag as recommended by the lab --I will result in lower installed RI -values. Feld blending of this product with other Icase fill insulations is not recommended by the manufacturer. "resn, resislal'-e to he tt= G-ia greater to insulating vo.,w I- get the ma4r.ed R-wilie, it is asseivial 'Jial tf-Lts cristilatian be instaiied Ampeity. R -Value' P'30 13'6-- Bags per 1000 SF Maximum Net Minimum Bags/ Maximum To obtain an Initial The number of bags Coverage per Bag Weight per SF Coverage Weight insulation Thickness - per 1,001I square fear comems of this The weight per square Tire weisbLISF Cavity re"kq0"Icc RAalue, f of net area should notI kbag Sutt! Art lest of ltrstatfed tttsutatinn Framing Depth rif: Density b0Cover e ss than : mare than: show Ittabla less then: 2% 4" 3.50" R-15 13 lbs.1cu. ft. 16.4 bags 61.0 sq. ft. 0.525 tbs. 2"x 6' 5.50' R-23 1.8 Ib 'cu. it. 25.8 bags 38.8 sq. ft. 0.825 Ibs. 2"x 8" 725' R-3! 1.8 ibs./cu, ft. 34.0 bags 29.4 sq. ft. 1.088 tbs. 2"x 10" 9.25' R-39 1.8 lbs.1cu. ft. 43.4 bags 23.1 sq, ft. 1388 tbs. "resn, resislal'-e to he tt= G-ia greater to insulating vo.,w I- get the ma4r.ed R-wilie, it is asseivial 'Jial tf-Lts cristilatian be instaiied Ampeity. U .569 tbs. 110071r- 13-0130' P'30 13'6-- 73.3 SF L) Minimum 'Nalls R- at Bags/ Maximum Minimum Initial Settled R-19 5.1 1,000 3F Coverage Weight Installed Thickness - R-111 4.7 he lumber of hags -1 Cameras of this Tire weisbLISF Thickness contents .1 this RAalue, f /,too 5F V rel area bag should Act of inmalied inzitinstalledinsulation bag should Main an insulation Taobtain 5hourd Oct be less cover Insulation should not should Am be kis, a trot emPar mm {R-Valve) Art Than: mare than: he less than Jet Stream Ultra has been installed in conformance their R-63 39.7 33.6 SF .952 lbs. 19.759' 19.750 R-49 23.5 42.5 SF .753 tbs. 16.375" 16.375" R-44 20.9 47,8 SF -LZD tbs. --U,875" - U .569 tbs. 110071r- 13-0130' P'30 13'6-- 73.3 SF L) .437 tbs. 10375- 10.375" 'Nalls R- at Inches Floors (over an unheated crawl space) R- at R-22 9.8 102.2 SF .313 tbs. 7.750' 7.750" R-19 5.1 119.3 SF .268 tbs. 6.750" 6.750' R-13 5.7 175.3 SF A83 tbs. 4.750- 4.750" R-111 4.7 210.8 SF I A52 tbs. 4.000° 4.000" -'!o' N tt- : ec,mro7 1 1 Plf. z;- -1-11 T', 5.=f2,,, T-� �-J 7, -511 n' 4 T.-' I r'�" t 'tr" C E17 -j C W. r._. 'ql -e ; Date 0 W-5 0 0g;? 3" Builder's Insulation Ziatement Jet Stream Ultra has been installed in conformance with the included recommendations to provide a thermal resistance of... U Attic Area it R- at /(0 Inches Sloped Ceilings R- at Inches 'Nalls R- at Inches Floors (over an unheated crawl space) R- at Inches Crawl Space Perimeter_ R- at Inches Date Installed VS IZ-cdl 2-0 Blown; elation has be I i sta led in conformance with the above recommendations to lager, has �n , provide an R -value of: R- sing -- bags of this insulation to cover square feet of area at a minimuU. is e*s 0. inches. II I rate F'.MZ ELIOer isignazffo) Date The coverage information on this AtticfSidawall card applies to the entire United States (including Kinnesota). Knauf Insulation GmbH One Knauf Drive. Shelbyville, IN 46176 Tel: (800) 825-4434 ext 8300 FAX (317) 398-3675 ,,c) 2011 Knauf hisulallon Gmrrbii. Miami Shores Building Dept. 10050 NE 2nd Ave Miami Shores, FL 33138 Current owner 175 NW 101 Street Miami shores, FL 33150 - US POSTAGE. 00.32 srst-Class Mai ed From 33138 11 16 2012 0324 0 61800478 , Permit Number. PL 8-11-1596 Permit Type: Pl$lna,-es _ idential -'r --- R Expiration Date:I� ,�, T g. 3 7 ice„ M }. f CY° $ Date of last Insp X99 r Please contact tl - 1' gg tt ���;��1tal��i9��1�914119�'saip��3�t➢i�3�1��91��!�33����3�=� i FA Miami Shores Building Dept. 10050 NE 28d Ave Miami Shores, FL 33138 j I ti US POSTAGE $00-32 Ftirse-�Tiass Marled F- r- om 8313 111602011A.92 32A 0061800 8 Current Owner 175 NW 101 Street Miami Shores, FL 33150- _ I Permit Number EL -8-11-1617 Permit Type:'Electncal-7—Residential Expiration Date' ^ z r _ Date of last Inst. a i.,3313823-829.9 Please call 77 y 339��tI9�s9&Vd:��!l�li�§�f�39313'ii�il�91��9Ctl3��3��13$���999�� . Miami Shores Building Dept. 10050 NE 2nd Ave Miami Shores, FL 33138 US POSTAGE $00.32 First -Vass iM Wled From 33138 11/16/2012 010 ®0618®0478 Current Owner 175 NW 101 Street Miami Shores, FL 33150 - Permit Number: MC -8-11-1597 Permit Type: Expiration Date� Date of last InstRE E IA P T E `� fay v`3 Please contact t� � 313 B 2 3`C� "15 9 `1 r I i �3➢��I�s��91�1?�!;P�9�13j�a?E�a�tli:�=1�56�Y�4g+�a-� ,a i ---- — _------- --moi _ Miami Shores Building Dept. u mg �. 10 2"M L%% 10950 NE 2nd Ave U P0,5TAGE Miami Shores, FL 33138 .� $ 00.32 r" M le c FrcM33139 11116012 032A 0061800478 Current Owner 175 NW 101 Street Miami Shores, FL 33150 - Permit Number: RC -8-11-1595 Permit Type: F i- ' -r — Expiration Da� o ' l V s>' _ l: 1 Dalte of last Ind °, T T � ;P aa" E �0 0 T K N° C rN' Phase COntaCt 3 -� t' _ i 7 I - 5.iflh111111 h' li-111 yq 111gg{ ;'i ll it Il6i.il i9ili 9 ?91. f-- 0