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RF-15-1291Project Address Miami Shores Village 10050 N.E. 2nd Avenue N Miami Shores, FL 33138-0000 Phone: (305)795-2204 Parcel Number Applicant 9717 N MIAMI Avenue 1132060130960 RONNIE MARTIN Miami Shores, FL Block: Lot: Owner Information Address Phone Cell RONNIE MARTIN 9717 N MIAMI AVE MIAMI SHORES FL 33150-1744 Contractor(s) Phone Cell Phone GUTTERMANS SERVICES INC (305)301-0729 of Work: Gutters onal Info: INSTALLATION OF GUTTER AND DOWNSPOU ification: Residential ling: 1 Fees Due Amount CCF $0.60 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.20 Permit Fee - Repairs $100.00 Scanning Fee $3.00 Technology Fee $0.80 Total: $108.60 Valuation: $ 778.00 Total Sq Feet: 216 Pay Date Pay Type Amt Paid Amt Due Invoice # RF -5-15-55756 05/28/2015 Credit Card $ 50.00 $ 58.60 06/03/2015 Credit Card $ 58.60 $ 0.00 Available Inspections: Inspection Type: Final Review Building In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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 arld aoniog—FutNermore,J authorize the above-named contractor to do the work stated. %�) . June 03, 2015 y� � f� � Authoriz d Sign tures Owner / Applicant / Contractor / Agent Date Building Department Copy June 03, 2015 i Miami Shores Village g P� 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 MAY 272015 FBCC201v Master Permit No. Pi V is— 1,291 Sub Permit No. ❑ REVISION ❑ EXTENSION ❑ RENEWAL F-1 PLUMBING [—]MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: I I I I INUN ) 1) I -qe ctm u iso City: Miami Shores Countv: 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): n � '"av Phone#: Address - City: ��° ��� Stater Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: lJV `1C� ti"�1�(15�V�� °�v' Phone#: Address: t�%� �° ��114q 6T City: �. ����°& e State: Zip: (� T Qualifier Name: Jo -o& �uLuaqQ Phone#: State Certification or Registration #: Certificate of Competency M 0 --.3 t3 so(2 �jCI® DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ Square/Linear Footage of Work: Ityoew fC�co-i-' Type of Work: ❑ Addition ❑ Alteration 0 New ❑ Repair/Replace ❑ Demolition Description of Work: N Specify color of color thru tile: Submittal Fee $50 s� Permit Fee $ ' CCF $ Scanning Fee $ Radon Fee $ DBPR $ Technology Fee $ Training/Education Fee $ Structural Reviews $ (Revised02/24/2014) CO/CC $ Notary $ 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. Signature LL OWNER or AGENT The foregoing instrument was acknowledged before me this 3-1 pday of 20 , by UN d N l (L (YI x-71 ^l Who is personally known to me or who has produced P�— f)(EJJr� as Signature CONTRACTOR The foregoing 1 t was acknowledged before me this rume day of 20 / , by 20 ?—J JJ ,who is personally known to me or who has produced �-�c cl 66Pn ° as identification and who did take an oath. `` %11II IIII///,//identification and who did take an oath. NOTARY PUBLIC: oe°`\`` ,,,.,, �°sssl NOTARY PUBLIC: �, ll IY •••t�JPp.v Angelica I. Martinez �� •'',,. ' • ` =a°'=GGtdrd1S510f�#EE144686 /� �'�®�, %�' e�� RES:NOV.08°2015 Sign: 4 4' r _ GE—"— I Sign ��''i•°un;:�' www.AARONNoTARY.com Print: ° .,,° '� � &P V, Print: 1 Q , LJ Seal: Seal: APPROVED BY ( ` Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) W T -77777777 -747 - MAY 2 7 2015 JOB APPOINTMENT Futterman♦ SOO CONTINUOUS RAIN C�VTT�RS USTOMER ADDRESS PHONE INOM9 M I - VCT TO COMPLIANCE WITH ALL Ff D AfJr)(-,OlJNTYRULES AND nF(,Ul'-7, li -j OK) i. .4 4�0r) - !'co", ;iA for Gutterman's Services, Inc. to employ the services of an attorney to effect e4niqc collection of the amount uefdnd�r'tf�., contract, purchaser agrees to pay seller's reasonable. attorney's fees and all expenses incident thereto. 01ginli",d by both parties, this proposal becomes a contract. fl jVj�os, - -1 will honor a five year guarantee upon completion of installation of your continuous gutters system. This ..the I allation and materials. Our suppliers guarantees the baked on enamel finish for twenty years against r pe ing. We will repair or replace any part necessary if It is a direct result of faulty materials. We do not cover to neglect or lack of proper maintenance. We do not cover damages that have occurred from abuse or acts of nature. 6" GUTTERS DOWNSPOUTS TOTAL' FET MONTH Amount - Deposit 6 Total -J- Ivic GUTTEPRAN'S SMVICES, IM. e-mail: infoOrainguttersmiami.net 938 S.W. 149 COURT - MIAMI - FLOPJDA - 33194 From:INEX RISK SRRVICES OF FLORIDA 9542513675 05/28/2015 14:30 #765 P.001/001 i:i . iJIC RJ �,... CERTIFICATE OF LIABILITY INSURANCE_ DATE (MMiDD/YYYYI`-� TYPE OF INSURANCEUBLIABILITYPOLICY GENERAL LIABILITY © COMMERCIAL GENERAL LIABILITY ❑ F-1 CLAIMS MADE © OCCUR ' W! BI/PD $500. Ded. 05/28/15 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS I 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 holler is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terns 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 andorsement(s). PRODUCER S.g. & Associates Insurance Brokers 9999 Sunset Drive, Suite #102 CONTA T Frances Diaz PHONE Exti, (305) 279-9002 ac o . (305) 279-9006 -MNL oUGaginsurancebrokers.com Miami, FL 33173 Phone (305) 279-9002 Fax (305) 279-9006 INSURER(S) AFFORDING COVERAGE NAIL 0 INSURERA: Canopius US Insurance, Inc. INSURED Gutterman's Services, Inc. --- INSURER S INSURER C : 938 SW 149 Ct. INSURER 0: E : Miami, FL 33194- (305) 485-3925 1INSURE INSURERF: P_nVI-RerSGC .+�.,,..�....«.......___ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD ----7 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. I SR LLTT A t TYPE OF INSURANCEUBLIABILITYPOLICY GENERAL LIABILITY © COMMERCIAL GENERAL LIABILITY ❑ F-1 CLAIMS MADE © OCCUR ' W! BI/PD $500. Ded. I N WVD N NUMBER OUS009077512 POLICY EFF 05/01/2015 I MP�CY EXP 05/01/2016 LIMITS _ EACH OCCURRENCE $ 1,000,000.00 DAMAGE O RENTED P I E LEie occurrence)S 100,000.00 MED EXP (Any oneperson) $ 5,000.00 PERSONAL & ADV INJURY $ 1,000,000.00 ❑ GENERAL AGGREGATE $ 2,000,000.00 GEN L AGGREGATE LIMIT APPLIESS PER- ®POLICY ❑PRO- ❑ LOC PRODUCTS - COMP/OP AGG S 1,000,000.00 $ AUTOMOBILE LIABILITY F-1ANY AUTO l!----77 ALL OWNED itJ AUTOS ❑ SCHEDULED AUTOS NON -OWNED ❑HIREDAUTOS AUTOS ❑ II�_ll f t i i i OMBINED SINGLE LIMIT BODILY INJURY (Per person) $ BODILY INJURY (Per accident] $ P P�OPEaE' ant AMAGE <$ $ 1 ❑ UMBRELLA I" ❑ OCCUR F -]EXCESS LIAB ❑ CLAIMS -MADE I N / A I _-- EACH OCCURRENCE $ AGGREGATE lJ DED RETENTION$ WORKERS COMPENSATION AND E9PLOYEFW LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE / N OFFICER/MEMBER EXCLUDED? a (Mandatory In NH) If yes.EL under DEStlasdescribeRIPTION OF OPERATtONS below _ i $ WC STATU- 0TH —i --_ E.L. EACH ACCIDENT $ DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ i I DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Addhtonal Remarks Schedule, H more space is required) Sheet Metal Work CERTIFICATE HOLDER VIIIage of Miami Shores 10050 NE 2nd. Avenue Miami, FL 33138 ACORD 25 (2010/05) QF CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Sergio Sergio D. Gonzalez, Agent V of �O ®1988-20 O CORPOkfATION. All Mg rt The ACORD nam a logo are registered marNs of 6/2/2015 7:53 PM FROM: Fax TO: 3057568972 PAGE: 001 OF 001 CERTIFICATE OF LIABILITY INSURANCE DATEIMMIDD/YYY1r) 6/2/2015 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. THIO CERTIPIGATE OP INOURANCE DOES NOT CONOTITUTE A CONTRACT DETWEEN THE 1000INO INOURER(Gh AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IIUIPORTA►IT. H 1160 oerliAo"a 16o1411or ie an ADDITIONAL INCURCD, the polioy(loo) n+woi 4e endoroed. If CVDRO©ATION 16 WAIVCD, ow6jeoi 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 SUNZ Insurance Solutions, LLC. ID: TLR NAME: Aimee Gra c/o TLR of Bonita, Inc PHONE FAX 700 Central Ave Suite 500 727-520-7676 x222 No: 727-525-3862 St. Petersburg, k 33701 al DRESS: Miami Shores Village Building Department I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 10050 NE 2nd Ave. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Miami Shores FL 33138 ACCORDANCE WITH THE POLICY PROVISIONS. '7 �. Glen J Distefano ©19$$-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD •• .• I ...use f1e-t'."u..ta a./...,. C.-rY I .:/:/:.CSE .C,v .C- "..t Jul—) rvY'+ n♦ , INSURER A. SUNZ Insurance Company 34762 INSURED riseHR TLR of Bonita, Inc dba Enter INSURER B: Aspen Re - London - Best Rating"A" Encore Business Solutions, Inc INSURER C: Catlin Syndicate - Lloyds - Best Ratin "A" and its Subsidiaries 700 Central Ave, Suite 500 INSURER D h Brit Syndicate - Lloyds - Best Ratin "A" St. Petersburg FL 33707 INSURER Ex COVERAGES CERTIFICATE NUMBER: 24921426 E REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION INSURED NAMED ABOVE FOR THE POLICY PERIOD OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES FXe.I 1 I.SIANR ANTI rnNnITInNR nF RI Ir:H Pnl DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, InIFS I Imms SHnWN MAY HAVF :non RFFN RFI)I Ir.Fn RY PAIn rl AIMS LTR TYPE OF INSURANCE a a POLICY NUMBER rMIDDv err �.n n:. h:wY MMtDD M% LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS MADE OCCUR RENTED PAREMAGETO n $ MED EXP (Anyone person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ECT LOC GENERAL AGGREGATE $ PRODUCTS -COMP/OP AGG $ OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ nt 0= NY AUTO LL OWNED SCHEDNON_OULED BODILY INJURY (Per person) $ 5 UTOS AUTOSBODILYINJURY(Peracadant) NED IRED AUTOS AUTOSNON_O PROPERTY DAMAGEAUTOSPer $ JA $ MBRELLA LIAB IR :I0000 LIAR ULAIM.,j.MAUtAGGHtGAtt Fn RFTFNTION $ A WORKERS COMPENSATION O0000001 11 AND EMPLOYERS' LIABILITY 6/1/2015 611/2016 PER OTH- $ ✓ OFFICER/ M MBER EXCLUDE exe�u nye YIN WCPEOO000001 106/1/2015 OFFICER/MEMBER EXCLUDED? u N I A STATUTE ER 6/1/2014 6/1 /2015 e L (Mandatory bh NN) in N) tAC:M AGLWtN I a 1,000,000 Ifyes.descaibeunder DESCRIPTION OF E.LDISEASE-EAEMPLOYE S 1,000,000 OPERATIONS below B Workers Compensation E.L. DISEASE . POLICY LIMIT $ 1,000,000 C Excess Coverage This is for informational purposes D and nothing shall create any right under such reinsurance. DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IACORD 101, Addidanal Remarks SdwdWe, may be attached H more space Is required) Cpvera a Provided for all leased employees but not subcontractors of: Gutterman's Client Epffective: 4/6/2015 Services. Inc. CERTIFICATE HOLDER ,......�...�._.. Miami Shores Village Building Department I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 10050 NE 2nd Ave. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Miami Shores FL 33138 ACCORDANCE WITH THE POLICY PROVISIONS. '7 �. Glen J Distefano ©19$$-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD •• .• I ...use f1e-t'."u..ta a./...,. C.-rY I .:/:/:.CSE .C,v .C- "..t Jul—) rvY'+ n♦ ,