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RC-14-2107Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-234716 Permit Number: RC -9-14-2107 Scheduled Inspection Date: May 15, 2015 Inspector: Rodriguez, Jorge Owner: PETERSEN, CARSTEN Job Address: 1209 NE 98 Street Miami Shores, FL Project: <NONE> Contractor: THE NOWALK GROUP LLC iiunamg uepanment comments RENOVATION OF EXISTING KITCHEN, INCLUDING A DIVISION FOR A NEW LAUNDRY ROOM. RENOVATION OF EXISTING BATHROOMS INCLUDING ACCESS FROM BEDROOMS 1 AND 3 THE ADDITION OF NEW BATHROOM IN BEDROOM. MODIFYING SOME INTERIOR NON LOAD BEARING PARTITION WALLS Installation OF PORCELAIN TILE AROUND THE HOUSE. Permit Type: Residential Construction Inspection Type: Final Building Work Classification: Alteration Phone Number (305)807-2221 Parcel Number 1132050090230 INSPECTOR COMMENTS False Phone: (561)299-1611 Passed Inspector Comments Failed Correction Needed ❑ Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. May 14, 2015 For Inspections please call: (305)762-4949 Page 27 of 27 Nis Miami Shores Villages 61 1'2J �° Building Department artment JAN 15 2015 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 '` Tel: (305) 795-2204 Fax: (305) 756-8972 - INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20 BUILDING Master Permit No. da to i PERMIT APPLICATION Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING �VISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: City: Miami Shores County: Miami Dade Zip: 531340 Folio/Parcel#: j r3 2® -soy ?Q 3 o Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): CA rLS htV A a►B Phone#: Address: _/ '? NE 7'r 31' City: fu?447 e —540aE9 State: Zip: 3313J9 Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: Air /1OO(et eUl k Phone#: Address: i11f �y uj 3& 5fi City: If0/dA_t Sp"A !2 S State: fL Zip: -3306 S' Qualifier Name: DC-P/Al".5 AkwZ_ Phone#:ffiL_ f®01 -2/_j f State Certification or Registration #: C fn 1j 710 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ - Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace El Demolition Description of Work: ;! eeo pk.4f oo sri i mase �d. -w-tts cod i%&_s _rAPS' Specify color,Wolok thru tile: ' Submittal Fee $ Permit Fee $� CCF $ CO/CCY$ Scanning Fee $ ° 06 Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ y TOTAL FEE NOW DUE $ V (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 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 o commenceme t must posted at the job site for the first inspection which occurs seven (7) days after the building permit is iss d. In the ab ence of ch posted notice, th inspection will not be approv a reinspection fee will be charged. A Signature �--✓"" `'�A-� ignatu OWNER or AGENT The foregoing instrument was acknowledged before me this The f egoing instrumen/was ac9bwledged before me this day of ITA0 �� day of '�A 1J 20 by 0 >' RS d o is personally known M €2'° 2: who is personally known t me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign: 1 Print., oY�'•• e, -Notary Ilc - State o Florldif Seal: § ;? My comm. Expires May 24, 2016 Commission # EE 201973 as me or who has produced identification and who did take an oath. NOTARY PUBLIC: Print: Seal: Comm. Expires May 24, 2016 Commisew # EE 201973 as APPROVED BY 6 Ae Plans Examiner Zoning Structural Review Clerk (Revisedo2/24/2014) -D aEP 42 6 2014 T`Y . 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 FBC 201 0 Master Permit No.11CL —2-1 0� Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 12-011 /ll R ( 51 City: Miami Shores County: Miami Dade Zip: 1 Folio/Parcel#: %i- 32-05 oof •- oz 30 is the Building Historically Designated: Yes NO OccupancyType: -1 Load: Construction Type: V -d Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): CAa6'f&N AE-rgfl--s OD4 Phone#: Address: /2-®9 IVE !M -S'f � City: �iP/xh7 9 s!®&,e�g State: `rc Zip: Tenant/Lessee Name: Phone#: Email: r �+ CONTRACTOR: Company Name:%e_ V�c�J'�J�� �dt��%� Phone#: Address: 1�0�3 MW 11491\ City: Y�,jA- State: rtZip: '7 S3 0 Qualifier Name:�R K h�S � 1'�.� Phone#: State Certification or Registration #: Certificate of Competency #: DESIGNER: Architect/Engineer: AV -"i%1 1W ���y� i�/L� aa�� Ph_one#: 70/ - 6 � Address: &!W Al U-) / � �� City: RL wj� 44 tate: AZZip: 3-102 Value of Work for this Permit: $ Square/Linear Footage of Work: 3W0 Type of Work: �j Addition 14 Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: i E Vav1�aC 1 r 7gr�11 _ ��/,J c- ®r�Ui SiUtj �2 q �" Room 2eWOVAu d -f • C -XE 5t* -V j 90tk4kaek S. -VrV cLez6o�g C4eCCEs %moi , yam d�! �r� 'tip -41(x- �uo4 f�azcs�a ✓ W4 L(5 Specify color o color thru >ti Submittal Fee $_ uV Permit Fee $ 2-110 • l � CCF $ 4 . (-0 Q CO/CC $ Scanning Fee $ W Radon Fee $ �1 �- DBPR $ > J° G Notary $ Technology Fee $_ �� °rr��11 0 Training/Education Fee $ 0 Double Fee $ Structural Reviews $ Bond $ ®® TOTAL FEE NOW DUE $0, z9- Coll r (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 issue in the Ince of,�such posted notice, the inspection will not be approved and a reinspection fee will be charged. ��' OWNER or AGENT The foregoing instrument was acknowledged before me this i day of -56'd_20 / , by ; wh _ sona 11 y known--to-3 me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign:_ Print: Seal: REYNA REYES sBawboughistsolmu= MY COMMISSION #ff20�EXPIRES: JUN 07,2016 The for oing instrumeint w�, s acknowledged before me this day of 20 6 , by 17i 1i5 Nwl - . who i ersonally known toy as me or who has produced identification and who did take an oath. NOTARY PUBLIC: Print: - W80011 RKWAAEYES SeaI:Y COMMISSION #M20800 EXPIRES: JUN 07, 2016` through 181 66 It-suanoe as APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 MERAZ, DENNIS M THE NOWALK GROUP, LLC 7118 NW 38TH STREET CORAL SPRINGS FL 33065 Congratulationsl With this ocens-e you become one orlIT nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. 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.myfloridalicense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and learn more about the Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! RICK SCOTT, GOVERNOR DETACH HERE KENLAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD 1 CCC1514701 I I Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2016 71 M ISSUED: 07/2712014 BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895 — 954-831-4000 VALID OCTOBER 1, 2014 THROUGH SEPTEMBER 30, 2015 DBA: THE NOWALK GROUP LLC Receipt e:GENERALICONTRACTOR Business Name: Business Type: Owner Name: DENNIS MERAz Business Opened:04/16/2014 Business Location: 10232 NW 47 ST State/County/Cert/Reg:CGC1514701 SUNRISE Exemption Code: Business Phone: Rooms Seats Employees Machines Professionals 3 i For Vending Busin Number of Machines: Tax Amount Transfer Fee I NSF Fee I Penalty I Prior Years I Collection Cost 27.00 0.00 1 0.00 1 0.00 I 0.00 0.00 Total Paid 27.00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Broward County and Is non -regulatory in nature. You must meet all County and/or Municipality planning WHEN VALIDATED and zoning requirements. This Business Tax Receipt must be transferred when the business Is sold, business name has changed or you have moved the business location. This receipt does not indicate that the business is legal or that It is in compliance with State or local laws and regulations. I 1 Mailing Address: THE NOWALK GROUP LLC 10232 NW 47 ST :i SUNRISE, FL 33351 2014 -2015 Receipt #1CP-13-00013326 Paid 08/22/2014 27.00 ACOR"' CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 11/10/2014 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 endorsement(s). PRODUCER Phone: (904) 730-0600 Fax: (904) 731-7072 DONOVAN INSURANCE INC P O BOX 24960 JACKSONVILLE FL 32241-4960 CONTACT Donovan Insurance Inc NAME: -- PHONE FAX (AIC, No, EA);_- (_9_04) 730-0600 ac Ne : (9(904)) 731-7072 E -MAIL -_-_- ADDRESS: INSURERS) AFFORDING COVERAGE NAIC # INSURER A F C B & I Fund 90119 INSURER B Agency Lic#: L044912 INSURED THE NOWALK GROUP LLC INSURER C 10232 NW 47TH STREET FORT LAUDERDALE FL 33351 INSURER D: INSURER E INSURER F 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, TYPE OF INSURANCE GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE _J OCCUR GEWL AGGREGATE LIMIT APPLIES PER: POLICY 1 SRO ET C LOC AUTOMOBILE LIABILITY - ANY AUTO ALLOWNED SCHEDULED AUTOS AUTOS HIREDAUTOS NON -OWNED AUTOS UMBRELLA LIAB I OCCUR POLICY NUMBER LIMITS EACH OCCURRENCE MED. EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) (Per acaaern7 EACH OCCURRENCE EXCESS UAB I DED RETENTIONAGGREGATE CLAMS -MADE — $ _ II WORKERS COMPENSATION - -- OTF L A AND EMPLOYERS' LIABILITY 106-56162 07/16/14 07/16/15 TORY LIMITS ANY PROPRIETORIPARTNERIEXIIECUTIVE YIN E.L. EACH ACCIDENT OFFICERIMEMBER EXCLUDED? NIA-� _ ----� (MandatoIn NH) E.L. DISEASE -EA EMPLOYEE If yea, describe under _DESCRIPTION OF OPERATIONS below E . DISEASE -POLICY LIMIT - DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Akach ACORD 101, Additional Remarks Schedule, if more space Is required) License Number: CGC1514701 CFRTIFICATF 14OLDFR CANCELLATION $ 1,000,0 $ 1,000,0 $ 1.000.0 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shores Village Building Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 10050 Northeast 2nd Avenue ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores, Florida 33138 AUTHORIZED REPRESEWATM Attention: Agz;�� Blake A. Shewmaker ACORD 25 (2010/05) ©1988-2010 ACORD CORPOKATIUN. All rignts reservea. The ACORD name and logo are registered marks of ACORD