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RF-14-2211Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-233092 Permit Number: RF -10-14-2211 Scheduled Inspection Date: April 24, 2015 Permit Type: Roof Inspector: Rodriguez, Jorge Inspection Type: Final Owner: CEBALLOS, FABIO Work Classification: Gutters Job Address: 9510 NW 1 Avenue Miami Shores, FL 33138- Phone Number Parcel Number 1131010240260 Project: <NONE> Contractor: SEAMLESS GUTTER MASTER Phone: (305)817-8814 tsunamg uepartment comments GUTTER INSTALLATION INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-232011. CREATED AS REINSPECTION FOR INSP-221247. Plans and permits missing. Down spouts must drain a minimum of 12" away from the wall. Failed SIDE HOUSE GATE WILL BE OPEN FOR ACCESS NO DOGS No permit on site Correction permit will be in the front of the house Needed ❑ Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. April 23, 2015 For Inspections please call: (305)762-4949 Page 28 of 33 Miami Shores Village Building Department 0cT 8 2014 4 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 rBY: Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 W� w'�57 FBC 20W BUILDING Kjz -M tT- Master Permit No.F t 4 22- PERMIT 2PERMIT APPLICATION Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: ��t 0 I U sT- 4 yam. 5 Com: Miami Shores County: Miami Dade Zip: 33 (SO Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): ��E31p Gam( e!x Phone#: �� 7 - x'1353 Address: f VQ Vu-) ..,Ysr Ave - City: T%,ar-en l 0(2_GS State: �.^r`c � Zip: Tenant/Lessee Name: Phone#: Email: Cco✓- CONTRACTOR: Company Name: ' C'&L✓vt /eSS 601--t-,Ge / /CcbT�l�; TVG - Phone#: Address: fktW _ 92f -r i-c=� 17(( 0) lit' 5T1.= City: 14 &5A (-( State: 9L zip: 3012-- 7033 Qualifier Name:�� �_ '� Phone#: State Certification or Registration #: Certificate of Competency #: (IDS5 � DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ S C, Square/Linear Footage of Work: / Type of Work: ❑ Addition ❑ Alteration ❑ New Z. Repair/Replace ❑ Demolition Description of Work: Specify color of color thru tile: CU4118 Submittal Fee $OD Permit Fee $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews (Revised02/24/2014) CCF DBPR $ CO/CC $ .Notary$_E?. Double Fee $ Bond $ 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 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 reinspection fee will be charged. f Signature Signature 0 ER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of DC'� , 20.2 f • , by day of ®G°7 , 20 /!E by who is personally known to �w 1 w�iersonally known to me or who has produced 7 �as me or who has produced Dze,6 0 A6X F�,AQ identification and who did take an oath. NOTARY PUBLIC: identification and who did take an oath. NOTARY PUBLIC: -rrint.% Print: rY ublic State of Florida =oho" Notary Public State of Florida Seal. Joanna M Feliciano Seal: POQ My Commission FF 08275g Joanna Feliciano � a►° Expires 01/12/2 018 a My Commission FF 082753 VV Expires 01/1212018 � APPROVED BY O� d ,Q Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) f 'TOB ton m9pual BUSINESS CERTIFICATE OF COMPETENCY 09BS00239 ;SEAMLESS GUTTER MASTERS INC D.B.A.; DEL RIO ELBYN of CfimVW 1 Local Business Tax Receipt Miami—Dade County, Mate of Florida THIS -IS NOTABtiA DO NOT PAY 6423578 RECEIPT NO. BUSINESS NAnnErLOCAT INC RENEWAL SEAMLESS GUTTER MAST 6691735 1711 W 38 PL 1105 HW.EAH FL 33012 OWNER SEAMLESS GUTTER MASTERS INC Worker(s) 1 of the Local Business,r The Receipt is eotoa�ll ca of the holders mmomal liticetiow to do business• Holder nit comply with any g This Local Business Tax Receipt Daly confir ms Imilment 1 to the bus,ness. P=; °nnmregulatory laws and requiremauts which appIV or nogg° la ed as all commar°is, vehicles—IIAAta►m Dade Code Sec 8a-376 'The RECEIPT N0. above must he dlsp y ,,,;da aovFtexeat�r For mere hilmmation. v{slt_s L OBTTJ EXPIRES SEPTEMBER 30#20115 Must be displayed at Placa of business Pursuant to County Code Chapter 8A - Art. 9 & 10 SEC. TYPE OF BUSINESS 196 SPECIALTY BUILDING CONTRACTOR 09BS00239 PAYMENT RECEIVED BY TAX COLLECTOR $45.00 08/28/2014 FPPU08-14-007684 Municipal Contractor's Tax Receipt Miami—Dade County, State of Florida -THIS IS NOT A BILL -DO NOT PAY CC NO: 09BS00239 BUSINESS NAME/LOCATION SEAMLESS GUTTER MASTERS INC 1711 W 38 PL 1 105 HIALEAH, FL 33012 MC RECEIPT NO. EXPIRES NEW BUSINESS SEPTEMBER 30, 2015 7456237 Must be displayed at place of business Pursuant to County Code Chapter BA -Art. 9 & 10 OWNER TYPE OF BUSINESS SEAMLESS GUTTER MASTERS INC SPECIALTY BUILDING CONTRACTOR MIAM For more information, visit www rniamidade.gov/texcollector PAYMENT RECEIVED BY TAX COLLECTOR 175.00 10/08/2014 0226-15-000115 tea., vKU CERTIFICATE OF LIABILITY INSURANCE °"�`��`°°""'"' THIS CERTIFICATE IS tSStiED AS A Mu►TTER OF INFORMATION ONLY AND CQNFERS NO RIGHTS UPON THE CERTIFICATE HO/QLDER THIS CERTIFICATE DOES NOT AFF1R#AATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CEOR PR TE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR p/}OpUCER, AND THE CERTIFICATE HOLDER IMPORTANT: If the holder is an ADDITIONAL INSURED, the the terms and comlitions of the pollCY, certain Rom Pogry(h�) must be endorsed. H SUBROGATION IS WAIVED, subject to certMca% holder In lieu of such endomerr nt{ p � require an erBiorsement. A statement on this Certificate does not confer rights to the PRoouc m 305$39-2425305-639-2427 NNW= JCA CONSULTANT. INC 4615 NW 72nd AVENUE #100 PRO .Earl; 305-639-2425 FAX N0): 305-639-2427 MIAMI, FLORIDA 33166 ADDRESS' ANY INSUAERR AFFORDIAG COVERAGE NAIc 9_ INSI/RED INSURERA:Atlantic Specialty Lines Of Florida Seamless Gutter Masters Inc. INSURER B: 1711 West 38th place #1105 BS)RERC: Hialeah, Florida 33012 INS'RER o INSURER E : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BFFN )SSUED INDICATED NOTWI'"""wDING CERTIFICATE MAY E ISSUED OR MAY REQUIREMENT TH. TERM OR E NSU A EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHO R TYPE OF INSURANCE .. - ADDL SUeR GENERAL LIABILF1. ✓ . COMMERCIAL GENERAL LIA L CLAIMS -MAGE ( OCCUR 3D GENL AGGREGATE LIMIT APPLIES PER AUTOMOSILE LABILITY ANY AUTO 5 AUTISM HIRED AUTOS w"ED AND EMPLOYERS' UASILITYY ANY pRppRIETOWPARiNEWpyE YIN �daE%CLUDED? N/A DESCRP7= OF CPERAMOM /LOCATtflM / VEHICLES (ABaab ACORD 101. Addida Mland Shores Building And Zoning 10M NE 2nd Ave Miami Shores FL CONDITION OF ANY CONTRACT OR OTHER EDOCUMENTH RESPECT TO WHICH D NAMED ABOVE FOR THE POLICY PERIOD RANGE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. VYN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY NU1lER POLICY EFF POLICY EXP MAF1 LIMITS EACH OCCURRENCE RENTED 52,QQQ,QQQ P°EMIR SEs E8O=umrm) S100,000 S8543 02012014 02/21/2015 MEDExp (Any M&pgw.) $5,000 PERSONAL &ADV INJURY S1,000,000 GENERAL AGGREGATE S 1,000,000 PRODUCTS -COMP/OPAGG S 1,000,000 $ (Ea a dw 5 NGL U IT S BODILY NAM (Per Person) S BODILY INJURY (Per amwem) S PROPERTY DAMAGE S (Perecctlent) S EACH OCCURRENCE $ AGGREGATE $ S TORY L9jUS OETR EL EACH ACCENT $ EL DISEASE - EA EMPLOYEE S E.L DISEASE -POLICY IT $ ul Remarks+de. Umoro apace to regWrad) ceurcI I AT ^.. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORRED REPRESEOTATME Bernardo Moreira ACORD 25 (2010!06)©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD rmrne and logo are registered marks of ACORD CERTIFICATE�— oF LIABILITY iasuRAnicEP_ TNS SATE ®®SUED /18 A IIiMTQt OF U�OtBiAT[DN ONLY AND COQ NO RIGHTS UFOfU 08R. THIS fI NT11:ICATE I NOT AFfBMATOMLY OR NEGATIVELY A1/1rND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICM8 BELOW. "m A CE`RTSNCATE OE RISURANCE DOES NOT CONSTITUTE A CONTRAt:T BETWEEN THE ISSUING INSURER(8), AUfHORMD OR PRODUCER. AND THE CERTFICATE HOLDER, OI�ORTANT: Ktir ee»IRoMe Imtder Is an wAI1GffiDNL , � pj p) tit 6� �edoaad. B 8UHR03ATNOM lB WAIVED. snble� the tMels End cana1m alft p� �Ph od" mW lr8qUft eD nL A 0n thrs Gaffiams does MM omlfM r%ft t0 d* holdw rn s.0 of End; �dasameAt{e} PRODUCER .fere Ml Perm Agate Insurm a GADup Corp -- (305) 27&1777- FAX Ra 275-1711 CmTAff 9415 Sunset Ddve Suite 151 . MMI, FL 33173 �rn PhWM 30r7 275-1777 Fax 275`1711 ��t w: �fda ! Catnpany N�ic a Seamless Gutter Masters, Inc alsianat e ! 1711 W 3Mh Pim e I` tteah. FL 33012 305 e - COVERAGESF �FE NUMBER REVISION NUMBER; THIS I8 TO CERn irrNS T ND PO.(CIES OF U34ENN( LL4TED BELOW HAVE ISSUED TO THE NAMED ABOVE FOR THE POLICY PERIDO — UlOICATED. NOTWITHSTANDING ANY REOUt+IaIT. TEtAi OR CiIDN OF CONTRACT OR OTHER IDOGJIIIlFlVT WITH RESPECT TO WHICH THIS EXCLUSIONS MAY BE {SSIIID OR MAY PERTA81, THE gVsilRAWCE AFF p gY7HE POLICES DESCRIBED W40 d IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND OF SUCH POLICIES. UTAITS SHOWN MAY H VE BEEN REDUCED BY PAID CLAMS. I 4. 7riE OR paw _ - - -- - GBPOLOW lFAM.L�ABiLRY LWM ! Elco>At LaasnY' y f i =70- !! + i ❑ ❑^'..--Yv::aie ❑ Oft ( l#� rEa Mumnel ❑ ! ; no p o� El amweam IcMLA;II(�1TELlMAPMMSPE[t i i G>BIERAt/ ►TE I a _— I ❑ Poucr ❑ p Lac I I jI ' PRODUMS • COIPW AM 12 - I❑ ALLOVRM os ❑ I 1 80 YMAIMR psr a I( j �60DRr E� IURY (Par : n❑ H�EOAuros p AUrp$ I I 1 I amaati� s _ j I Q LIAB ❑accuR ! ❑ 1 i I I ExEssLow AGGREGA?EI= ---- �lIPLeYHld'LlAB01rY Y/01 j i [� wC ATIf- ❑ i �A I Excite Qie/A1 wCP7Ni143NI800 8/04=418/04/2M6 EL EACH ACCIDENT s AM= r[oao> ovaeA�wNseear I _I I I E'-o�E.EA : 1.000.000.00 . I � FL Os�F-POLICYLDEr s 1.000,000.00 tESCErMNOF D®un 3��oeA7101�1V8tiEL� u�.ohwL"ORo+07.AsaFoylR�aaaetr�l.,Qmo�,.�o.fsn�ute� Gutw Iton GMTWMATE HOLDER Iuun.m .�,unra i Building And Zoning 10050 NE 2nd Ave Mlami Shores FL ACORD = (MMM QF CANCELLATION I SHOULD ANY OF THE ABOVE DESMMM POLICIES BE CANC.I9.LED BEFORE THE EXP MT1OY DATE THFRTM. NOTICE WILL. BE DMJVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ADlHpRM ®1 RD CORPORATION. rlBIlb reserved. The nam and Ingo are maths of ACORD �- Seamless Gutter Miami -Dade County: 305-817-8814 Martin County: 561-255-5293 Broward County: 954-404-0725 6136 www.seamlesseuttersfi.com PROPOSAL / CONTRACT SUBMITTED TO: Name Address City, State Phnnp Date: i - dY' / Licensed & insured Miami- Dade: CC# 098500239 Broward: 11-AL17275-X Palm Beach: 2010-03888 Martin County: MCNS6074 We have workers compensation. WORK TO BE PERFORMED AT: Ad -dress City, State TOTAL FOOTAGE % // ? TOTAL DOWNSPOUT !;:�S 20 YEAR WARRANTY ON MATERIAL GUARANTEE ON LABOR ❑ 2 Yrs. L_J 5 Yrs. Permit: $ Paid By: e ,� �✓ TOTAL $e ; Date pp9ppsal accepted ❑Check # DEPOSIT $ ❑ Cash BALANCE $ ❑ Credit Card By signing this proposal you accept the terms set forth in this contract. Any changes during or after the project may result additional cost. Unless stated, all gutters are installed with spikes & ferrules. All repairs are put on a 4-6 week lead time for scheduling. We are not responsible for any damages for example broken tyles or repairs associated with walking on an old or damage roof. As well as if a wall is hollow and it cracks when installing a downspout, also if your furring cracks do to unexoensive furring we are not responsible.