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DEMO-15-689a--* r-) I Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-231105 Permit Number. DEMO -3-15-689 Scheduled Inspection Date: April 07, 2015 Permit Type: Demolition Inspector: Diaz, Osvaldo Inspection Type: Final Owner: , Porto Cabral LLC Work Classification: Plumbing Job Address: 500 NE 92 Street Miami Shores, FL Phone Number Parcel Number 1132060141200 Project: <NONE> Contractor: GMP CONTRACTORS Phone: (786)443-3548 comments TAKE OFF SINK INSPECTOR COMMENTS False Inspector Comments Passed P Failed Correction r `ry Needed L"3 Re -Inspection ❑ �� - f S Fee �— No Additional Inspections can be scheduled until (� _ re -inspection fee Is paid f� W April 06, 2015 For Inspections please call: (305)762-4949 Page 29 of 63 1* 6 , 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 BUILDING PERMIT APPLICATION [BUILDING [ ELECTRIC [:] ROOFING FBC 20 10 Master Permit No. W mh I S 5 Sub Permit No.Dl�=bo [:] REVISION [:] EXTENSION [:]RENEWAL [PLUMBING [ MECHANICAL [:]PUBLIC WORKS [:] CHANGE OF [ CANCELLATION [ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 500 NE 92 street City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Porto Cabral LLC Phone#: Address:500 NE 92 street City: Miami Shores State: FL Zip: 33138 Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: Caballeros Corp/GMP Contractors Phone#: 786"443-3548 Address: 13500 SW 250 St City: HomesteadState: FL Zip. 33092 Qualifier Name: Isaac Caballero Phone#: State Certification or Registration t CFC 1428995 Certificate of Competency #: CFC 1428225 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 FE -1 Demolition Description of Work: Take off sink Specify color of color thru tile: Submittal Fee $ ` Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Educ eMon Fee $ Structural Reviews $ _ Double Fee $ Bond $ TOTAL FEE NOW DUE $ -y. Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City Zip 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 of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issr the absence of such posted notice, the Inspection will not be approved and a reinspection fee will be charged. OWNER or AGENT The foregoing instrum7-ft s acknowledged before me this �day of Lp7 20 by I �( (14 ck) 01, who is personally known to 1 me or who has produced a y ll , C as identification and who did take an oath. CONTRACTOR The foregoing Instrumenh was acknowledged before me this day of 20 ) S , by SSA / / 1 t�who is personally known to me or who has produced % 1aL as identification and who did take an oath. NOTARY PUBLIC: Sign Sign Print: ®/ Print• MY COMM%SJON I rr I== Pu& LIRA MIRABAI Seal: * 12, 2018 Seal: ° COMMISSION 9 FF 159697 EXPIRES: January �°>sorFt��`�e eom�I'thn►9►rcSe mi '" EXPIRES: January 12, 2019 '184 F04MIM Thru Budge! Wary Suft #################################C#################################################################### APPROVED BY /2 Plans Examiner Zoning Structural Review Clerk s""�...- DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION �= CONSTRUCTION INDUSTRY LICENSING BOARD ` 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 CABALLEIRO, ISAAC GMP CONTRACTORS 13500 SW 250TH #924733 HOMESTEAD FL 33092 Congratulations! With this license you become one of the 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 vwvw.myttoridalicense.com. There you can find more Information about our divisions and the regulations that impact you, subscribe to department newsletters and team 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! DETACH HERE RICK SCOTT, GOVERNOR (850) 487-1395 -.�O � STATE OF FLORIDA DEPARTMENT OF BUSINESS AND .;`a PROFESSIONAL REGULATION CFC 1428225 ISSUED: 07/20/2014 CERTIFIED PLUMBING CONTRACTOR CABALLEIRO, ISAAC GMP CONTRACTORS IS CERTIFIED under the provisions of Ch.489 FS. Expiration date -. AUG 31. 2016 L1407200001SM KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD CFC1428225 The PLUMBING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2016 CABALLEIRO, ISAAC GMP CONTRACTORS 13500 SW 250TH #924733 HOMESTEAD FL 33092 1� 002045 Local Business Miami -Dade County, -THIS IS NOTA BILL 6640412 BUSINESS NAME/LOCATION GMP CONTRACTORS OPERATING IN DADE COUNTY Tax Receipt State of Florida - DO NOT PAY BT `tee "" NO' EXPIRES Imam 6911110 SEPTEMBER 30,201s Must be displayed at Place of business Pursuant to County Code Chapter BA - Art, 9 & 10 OWNER SEC, TYPE OF BUSINESS CABALLEIRO CORP 196 PLUMBING CONTRACTOR CEMED Worker(s) 1 CFC1428225 BY TT XCOV-EEOR $75.00 09/17/2014 GiECK21-14-069853 This local Business7ax Receiln 001Y confirms paywat of the local p�i6 ora9ovem"ficstiOn of the me ' MPL' tory fews a medications, to do boslness. Holderinast B�inessTarc TIM Recoq3tfly wrth anis nota ygov arMNww The eE WT V0. above must be displayed on eregm►eme�ds which'�IdY to the basimmm ll rchd vehicles - miammude Code Sec sa-M Formare wannadan, VISIT www muactidadn nnute�. d MAR/26/2015/THU 03;42 PM FAX No, P,001/001 CERTIFICATE OF LIABILITY INSURANCE "ATe111 D" '11 03/2®/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE C9R-nFICAT9 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 8ETWEEN THE ISSUING INSURER(S), AMORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT': If the certificate hotder is an ADDITIONAL INSURED, the policy(fes) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsemanL A statement on this certificate does not confer rights to the certificate holder in Rea of such endorsement(a). PRODUCER CONTNAMACT .IAL Insurance Se[Vices PHO E 954 958-0878 pdX 954 958-0873 141 E. Commercial Blvd. ADD;MSS: mvaillarlCOUrtMaOLCOm INBUREMal AFFORDING COVERAGE NAIC 8 Fort Lauderdale FL $3334 INsuRERA: MAXUM INDEMNITY COMPANY 26743 INsuRRO INSURER 0: Caballelro Corp dba: GMP Contractors INSURLR C: 13500 SW 250th St 924733 Homestead FL 33092 AnY,iCaA ACs. � �_____ INSURER D: INSURER E INSURER F rPOT F1GATP NUMBER- REVISION NUMBER• THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUSD 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 ADDL SUeR POLICY EPp POLICY UP LTR rYPI_ OP INSURANCE: rNS0 wV0 FOLICY NUMBER fmmia=m (MAt2s=LIMITS X COMMERCIAL GENERAL LIABILITY CLAIMS-MAOX El OCCUR EACH OCCURRENCE $ 1,000,000 PREMISES Edamirence $ 100,000 MED EXP (Any one n $ 5,000 A BDG0071475-09 02/01/2015 02/04/2018 pERsONALaAovINdURY $ 1,000,000 G> idIL AGGREGATE LIMIT APPLIES PE{a X POLICY Q TE LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S ANY AUTO Ea accident BODILY INJURY (Per parson) $ SCHEDULED BODILY INJURY (Per acciderd) $ AA�VSYNED HERWNED HIRED AUTOS AUTOS PROPER DAMAGE $ UMBRELLA LIAR OCCUR EXCESS WAD EACHOCCURRENCE S AGGRfoGAT6 $ CLAW&MADE OF.O RETENTIONS WORKSRB COMPl:NWION H- $ AND EMPLOYERS WANI.F Y YIN STATM SUR'ANY OFPIC99FVooa*d8FkFXCLUb907 ECUTlvE ❑ NIA ML EACH ACCIDENT $ (Mandatory In NN) IfaR d ON OF E.L DISEASE . F.4 EMPLOYE $ E.L. DISEASE - POLICY LIMIT S OPERATIONS helaw DESORrPTION OF OPERATIONS I LOCATIONS I VRQCLES (ACORD 101. Additlanal Remarks Schedale, may be attached H mors apses is regWred) License 0 05C 14213225 CERTIMrATP 14ni n;zw Miami Shores Village 10050 NE 2 Ave Miami Shores, FL 33138 Fax: 305-y59-8972 ACORD 25 (2014101) SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCEL LRD BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHOR12RD REPRESENTATIVE @ 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ag a - JEFF ATWATER CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation taw. EFFECTIVE DATE: 5/1/2015 EXPIRATION DATE: 4/30/2017 PERSON: CABALLEIRO ISAAC FEIN: 711003637 BUSINESS NAME AND ADDRESS: CABALLEIRO'S CORP GMP CONTRACTORS 13500 SW 250 ST HOMESTEAD FL 33092 SCOPES OF BUSINESS OR TRADE: LICENSED GENERAL LICENSED PLUMBING HEATING, VENTILATION, CONTRACTOR CONTRACTOR AIR-COND Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(12), F.S., Certiicates of election to be exempt.. apply only within the scope of the business or trade listed on the notice of election to be exempt Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at anytime atter the filling of the notice or the issuance of the cerh'fic at% the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a cerlifitate at DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS? (850)413-1609 Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner — Workers' Compensation Insurance Exemption QXR Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full -rime employees, including the owner, must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if - 1 . f: 1. The officer owns at least 10 percent of the stock of the corporation, or in the case of an LLC, a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State, Division of Corporations; and 3. The corporation is registered and listed as active with the Florida Department of State, Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use day labor, part-time employees or subcontractors for your project. The contractor has provided an affidavit stating that he or she will be the only person allowed to work on your project. In these circumstances, Miami Shores Village does not require verification of workers' compensation insurance coverage from the contractor's company for day labor, part-time employees or subcontractors. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. State of Florida County of Miami -Dade The foregoing was acknowledge before me this day of Grp , 20 /5— By 5— By 110 t k an 'k— who is personally known to me or has produced I)Y /l L as identification. Notary: ,moo wqc 1SSION # F� 158611 R 12, 2019 SEAL: * E}(pIRES: M Ng ,y moo: BMW CABALLEROS CORPORATION GMP CONTRACTORS . 03/25/15 State of Florida County of Dade Before me this day personally appeared Isaac Caballero who, being duly sworn, deposes and says: The contractor has provided and affidavit stating that he or she will be the only person allowed work on your project. Sworn to (or affirmed) and subscribed before me this 25 day of March, 2015 by Isaac Caballero. Personally Know Or Produced Identification /fit I)K /F(, Type of Identificatoion produced Print ,Type or p Name of Notary LMA MRM * MY COk@uIISSION # FF 159697 EXPIRES: January 12, 2019 �4%,4*0Q Bon WThrU B0W N0VrY$MAW