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RC-15-119 (2) Miami Shores Village 1 FEB 0 5 2015 Building Department BY: �3 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 1 BUILDING Master Permit Noi.,, PERMIT APPLICATION Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [:]RENEWAL ❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: City: 4 Miami Shores County: Miami Dade Zip: CX01 Folio/Parcel#://°-,V,3/; -6011-1W/ is the Building Historically Designated"Yes NO Occupancy Type: /1� Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): /.l,5�V-7 A/ //,7 B Phone#: -,;?3 7 9jY,.I. Address: City: ®"9d3'!/ r StateZip: �� l Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: 4e7/ 6 '�/ At1jej6V 7,r) Phone#: Address:/_5 6 f,1 City:. " v9 Stater- Zip: See- ` Qualifier Name: ° /l�/G �i.� Phone#: � '�� �eW9'I State Certification or Registration#: 4�" 1,51-1610-4,57q Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ 74 Cf lf• 10Square/Linear Footage of Work:_ 230 §! VE Type of Work: ❑ Addition Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: Z)OK- Specify color of color thru tile: Submittal Fee$ Permit Fee$ 2 IJCJ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ i 3G.r (Revised02/24/2014) r Bonding Company's Name(if applicable) Bonding Company's Address r City State Zip 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 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 reinspection fee will be charged. Signature Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this ---44-=day of��f'��d�t raj' ,20 layC J� &day of '20 A� ,by *Gbg r/A,o %01nn!i�,wh Is personally kn wn- A4-1A) A1L A/�who i ersonally know to me or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: ' Sig i Si Print: YP�wt PAT ICIA � ® Print: - =_• _ •: MY COMMISSIC�1�'Y fid , PATRICIA I� IiIO Seal: ; "q� EXPIRES April-10,2015 Seal, ;=oe S ®1', c- dFt ="; *= MY ComMISSION#EE082191 53 F100claMolaryssw,0e.com �� `off, au7 3s 9 . ril 10 2015 t } op EXPIRES Ap CFF� (407);3V-0153 F1oddalloWryServ1Ce.c0m *+kik*�k�k+k*�kekakak�k�k�k�k�k�kakskakak�kt��k* *�kKeskM�kskN�ffi�k�ki*�t**+k�k�k*�k�kN��k�k&�k�U*�k�k�k**�k�kM4%�&�k�kffi�k �k�k�k�U�k*�k>ta*�k�F*�k+k�k�k�k�k�K*�k�k�k4�e*�k�k�k qZ(LAPPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) i ORE fti'P_ f C, Miami shores Village SOW Building Department OR 10050 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305)756.8972 Notice to Owner - Workers' Compensation Insurance Exemption 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-time 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. 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.. Therefore,you may be personally liable for the worker compensation iniuries of any person allowed to work under this permit. Please check with your insurance carrier since most property insurance policies DO NOT cover this type of liability. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. OwnerContractorhG\�tlef• Signature• _ r,, Signature: � ..� State of Florida State of Florida County of Miami-Dade County of Miami-Dade The forego' g was acknowledge before me this a7i__56.11 The foregoing was acknowledge before me thi day of ,20/��. day of ,`,,/,�/i?d ,20 ByI ;V116-e-114-) /,� By who i� a y own a or has produced who 'T-pe ovally know me or has produced as identis` �Y P✓B. EN® _ d No SEAL: q off. MY COM ISSION 0 EE012191 SEAL: "' ' PATRICIA J REN® i a`zm .'Fcv ',4 EPI ES April 10,2015 , IVIY COMMISSION (aa7}s9 ai53 FloddallotaryServlce.com EXPIRES April 10,2015 (407)39""0153 FlorldallotaryServW,com • e CERTIFICATE OF LIABILITY INSURANCE oarE t19/1/YYYY) 122/19/14 THIS CERTIFICATE IS ISSUED ASA 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 COME:NTA NACT Blaize&Tyson Insurances PHDNe : (954)989-9324 FAX No): (954)989-5998 5955 SW 21st Street -MAILADDRESSa anny@blaizeandtyson.com Hollywood,FL 33023 INSURER(S) AFFORDING COVERAGE NAIC# Phone (954)989-9324 Fax (954)989-5998 INSURERA: ACCIDENT INSURANCE COMPANY 1254678 INSURED INSURER B: DECOTA CONSTRUCTION,INC INSURER C: 201 NE 2nd Ct INSURER D: DANIA,FL 33004- (954)608-5578 INSURER E: INSURER F: 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. IL,RSR TYPE OF INSURANCE AD UBR POLICY EFF POLICY EXP LIMITS 11111111 WvO POLICY NUMBER MM/DD MM/DOIYYYY GENERAL UABIL17Y EACH OCCURRENCE $ 1,000,000.00 Q COMMERCIAL GENERAL LIABILITY PREM SES EaEoccu NTEencs $ 100,000.00 ❑ ❑ A CLAIMS-MADE 0 Y Y 10!27/2014 10/27/2015 OCCUR CPP0006749-02 MED EXP(Any one person $ 5,000.00 ❑ PERSONAL&ADV INJURY $ 1,000,000.00 ❑ GENERAL AGGREGATE $ 2,000,000.00 GEN•L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP(OP AGG $ 2,000,000.00 R1 POLICY ❑ PRO ❑ LOC $ AUTOMOBILE LIABILITY Ea,..,d,.tSINGLE LIMIT $ ❑ ANY AUTO BODILY INJURY(Per person) $ ❑ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ❑ AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ ❑ ❑ AUTOS Per accident ❑ UMBRELLA LIAB ❑OCCUR EACH OCCURRENCE $ ❑ EXCESS LIAB ❑CLAIMS-MADE AGGREGATE $ ❑ DED ❑ RETENTION$ $ WORKERS COMPENSATION ❑WRY LAT T [:]ER AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? NIA A (Mandatory in NH) F E.L.DISEASE-EA EMPLOYE $ If Yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) GENERALCONTRACTOR LICENSE#CGC1516657 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE MIAMI SHORES VILLAGE BUILDING DEPT THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN 10050 NE 2ND AVE ACCORDANCE WITH THE POLICY PROVISIONS. MIAMI SHORES,FL 33138 AUTHORIZED REPRESENTATIVE ©1888-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05)CIF The ACORD name and logo are registered marks of ACORD acngrauaaonst 'VViO'tails11Cen5� becof�hf:one 4dihsimTVjf :iSr'tia3S°;Y:r:.:1:;s.': ti:12.17'd '1^,i . ::.r .�.r,r(:��cici::4•,..+.:.:,:::' one mlflion Floridians licensed by Department of Business and Professional Regulation. Ous professionals and businesses rangel,v nom architects to yacht brokers,from boxers to bed*que restaurants, STATE OF..FI.ORIDA and they keep Florida's economy strong. DEPARTME +F BUSINESS AND ; PROF �GULATION Every day we work to improve the `` :!:, '• serve u be F p way we do business in order to CGs;1516657,,.: ;�LL= x : '07/23/2014 Yo tter or informati services, lea on about our please log Onto ;,^?'•,. ;;:_::,':e.{ •�:-. www.myfloridaticensecom. There you can ford more information t. ••�:; '•; .- about our divisions and the regubtlons that impact you,subscribe CERTIFIED Gly, �.GaM�'l �R to department newsletters and le8un more about the De .z 1 ILCHIAN,N}ti 1''•� i�: ''`"`:` •+ " : initiatives_ partmenrs :<. DtCOTA Corgi Our mission at the Department Is:License Efficiently,Regulate Fairly. StrWe to serve We constantly You better so that you your Y can serve GtBtonrerS. Thank you for doing business in FkAda, ES GERTt ..'under the,•prbv.Isions of Ch.aea.FS. ., '.• '" and congratulations on your new license! :; ;Auo 2m�.' .. " ttiaoTz3000,48a :. .:. . DETACH HERE ........_. RICK SCOTT,GOVERNOR __._ .. ............_.. _.__._ .. ...� —.._ _.... _. KEN LAWSON,SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION.INDUSTRY LICENSING BOAK0. CGC1548657 The GENERAL CONTRACTOR •`:::.: :;.;.; Named below IS CERTIFIED Udder the'provisions of Chapter'489 FS. 00ration daze: AUG 31;2016 JM -WAi®r! •' .. . • +:;.:,;.:.;•..k•.. • ® � : -DENS' RUCTIS W 4 NA= y , tifv. .I' wn w.pHw«• .nl,C1.•. ,:., QJ ti.. �..' ism 1 o.'• . :..,.ice�f...., ISSUED'. 0723!2014 DISPLAYAS REQUIRED BY LAW SEQ# t,140723ootr1494 BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave.,, Rm. A-100, Ft. Lauderdale, FL 33301-1898— 954-831-4000 VALID OCTOBER 1,2014 THROUGH SEPTEMBER 30,2015 DBA: Receipt :180-8718 GENERAL CONTRACTOR (GENER) Business Name:DE COTA CONSTRUCTION INC Business Type:CONTRACTOR) Owner Name:NASRIN NILCHIAN Business Opened:01/27/2009 Business Location: 1502 S FEDERAL HWY State/County/Cert/Reg:CGC1516657 DANIA BEACH Exemption Code: Business Phone:954-608-5578 Rooms Seats Employees Machines Professionals 1 For Vending Business Only (dumber of Machines: Vending Type: Tax Amount Transfer Fee I NSF Fee Penalty Prior Years_ Collection Cost Total Paid 27.00 3.00 0.00 0.00 0.00 0.00 30.00 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. Mailing Address: NASRIN NILCHIAN Receipt: #13B-13-00011209 1502 S FEDERAL HWY Paid 09/29/2014 30.00 DANIA, FL 33004 2®14 ® 2015 JEFF ATWATER �'M1'sanwa 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 law. EFFECTIVE DATE: 1/15/2015 EXPIRATION DATE: 1/14/2017 PERSON: NILCHIAN NASRIN FEIN: 810668349 BUSINESS NAME AND ADDRESS: DECOTA CONSTRUCTION INC 201 NE 2 CT DANIA, FL 33004 DANIA FL 33004 SCOPES OF BUSINESS OR TRADE: LICENSED GENERAL CONTRACTOR Pursuant to Chapter 440.05(14),F.S.,an officer of a corporation who elects exemption from this chapter by filing a certificate ate of election under this section may not recover benefits or compensation under this chapter.Pursuant to Chapter 440.05(12),F.S.,Certificates 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 any time after the filing of the notice or the Issuance of the certificate, 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 DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS?(850)413-1609 OR i Miami shores Village Lke,- -� Building Department ZOR`1pA 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner — Workers' Compensation Insurance Exemption 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-time 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. 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.In these circumstances,Miami Shores Village does not require verification of workers'compensation insurance coverage from the contractor's company. Therefore,you may be personally liable for the worker compensation injuries of any person allowed to work under this permit Please check with your insurance carrier since most property insurance policies DO NOT cover this type of liability. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Owner / Contractor Print Name: �) '! Print Name: A �4^� All Signature: Signature: State of Florida) State of Florida) County of Miami-Dade) JC � County of Miami-Dade) / Sworn t d subscrib d before m is Sworn to d subscribe before m t s day o ,20 day o 20�. By4 t B �lTr 21911 J RENO, (SEAL m - —.- ;' RUM=i RENO Type of entific �' ' -c Type of Identification pr = r (407)39153 FlorideNotaryServlce.com Aoary°' E)ftP'IRApril 10,2015 (407)39 -0153 FiorldalloteryServkm.com + CongrattJla'S+oAS1 111fl11i'hflS Y1C61'Iv�you�'Cbl'!i�brtS tlS�'�611'6td4�i' .,r:;7;.'a?vn•3w@Y::t:.�3..:•:r•r?a•�:a'tri+�.2?:�:�:�+moa: .;.,::;e.�.�':+•>�,;rq;�,;�::.:r.t.a.:,:;�::�:•o.::;:e:....::...:;�.•s�,;t•- one million Floridians licensed b tl� — y e Department of Busirre.Ss and Professional Regulatlon_ Our professionals and businesses range front architects to Yacht bmkerst from boxers to b8 STATE OF..FLORIDA x and k Florida s rbeque restaurants :; DEPARTME• .E BUSINESS AND �p economy strong. y PROF UTATION Every day we work to improve the way we da business in order to CG 95 16657, `=�: r,�'-07/23=14 Serve you better_ For information about our services,please log onto s,°?`:u '`--1 04'•':-: www m floridalicsnse. y �::•; ', - :.Aij Y com. These you can find more information CERTIFIED C'ON' about our divisions and the regulations that impact you,suhacribe to department n am more about the Department's NILCHtAAt Nei Ra eW3184ters and ie a e._.,, ;.. initiatives- DECOTA CO : TlvlQl�ll +>-; : Our mission pa ts;License Efficiently,Regulate f=airly, at the De ttment' •:,;,. .�,::.•�:L? ���:;::;s.�.�- We eonstantiy Strive to serve you better so that you can serve your customers. Thank you for doing business in Florida. °"- and COngraatulatlons on r5 GERTIFI�p•.under the,provls�oes of Ch,4sa.t;.S. your new license! ,Esq,&a1imra�:'n1t637<2ot8'.'.. , . . L440723000434 ....:'!s:Y6.. r.:?.r <•.�;cr'':;.}sd..:�Gfi":.A(.r:.r�•.t:';i��`.jk:.*i•�:Y.. .,..:•J+qct:'•:�.`';=�%�' DETACH HERE r...........RICK SCOTT,GOVERNOR KEN_.•.. _._..:...... .. .. ...:....I._...._.:. ..I.. ......._..._.._._N,SECRETARY - ;' STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTI010 INDUSTRY LICENSING BOARD, Nn 14' •CGCt546657 The GENE RAI_CONTRACTOR �hJ. Na;ined•belowIS CERTIFIED • '°:::;'"::; Udder the'prvvisioris of Chapter•489 FS, X4 " ' �• •;,: 10 iori date: AUG 31; 2016 ,.t • ray�.+. .... ..t Y' Z-1 a ❑ NILf:.HtANx••N,4ISRIN •' .•:•.'�'•� • .. ;`.'�,,:. ,.;.•: ._. .. • • � . , :. ' • DE,i O,'�A (J�IS'fRU.iTId` E!—" �,;.;,:: • ' �+ R •' . nW n ...�' ,)_ '� '• vefr _ n•J-YS ... -°Y�'�+Y:'• f • Y .•".y. � S,/k��,•e,._ ..+.e. .��9+!. .. . .�.�.:'1.Y "ief.:.''• v'W i:.^k�i.'Y7..:.`1a'y,•+{n,'y i. ,t,��•-•,w. „... ,J r. ,' • 4,.. aty��yy': •�"R•�{�T(,IL n'`„':M. jE+ W,1 :j :SJ'.� y .Y ,.h' ry'.+,t yy .•r• — 4. J "'.. �,,�,r. •:3' .�'iv,» 1 --krt. :.mss..,' . •f/..'�...'•�....l�i v-.�'�•..rf—'_vpl,E4'' "•IJI,�'•+;"••i•`.'�'My 4l• •Y "+e �� �V• •\+�:Apr,, '.,♦ :.,• .•�vp�t, • •Y,1,.'' ,��•'.''•,�. • •• 1. Y� • _ ..Ai......•J:i.-.w.•nel�� 8•{V1•y 'v��w�r••,• .•:vti �Y ..,e ' +IP �I•• •p ` � 1g�••'`I^ 4 ISSUED: ••_._� +r..,:•� .. res 6•irniL.•• �, ''S Y.i. �'.`'.�!_.r•'...•..S•:t,.._v.�,,4�.tri. •y+�• ...... ... -�... •`. ...+,• 072312014 DISPLAY AS REQUIRED BY LAW SEQ# L140723o001494 BROWAR® COUNTY LOCAL MS1 ANESS-TA�C R€CE J' ` 115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895—954-831-4000 VALID OCTOBER 1,2014 THROUGH SEPTEMBER 30,2015 DBA: Receipt#:GENERBAL CONTRACTOR (GE'ERI Business Name:DECOTA CONSTRUCTION INC Business Type:CONTRACTOR) Owner Name:NASRIN NILCHIAN Business Opened:01/27/2009 Business Location:1502 S FEDERAL HWY State/County/Cert/Reg:CGC1516657 DANIA BEACH Exemption Code: Business Phone:954-608-5578 Rooms Seats Employees Machines Professionals 1 For Vending Business only Number of Machines: Vending Type: Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paid 27.00 3.00 0.00 0.00 0.00 0.00 30.00 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. Mailing Address: NASRIN NILCHIAN Receipt #13B-13-00011209 1502 S FEDERAL HWY Paid 09/29/2014 30.00 DANIA, FL 33004 2014 - 2015 ' CERTIFICATE OF LIABILITY INSURANCE DATE 119DIYYYI) 122/19/14 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 pollcy(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 CONAME:NTACT Blaize&Tyson Insurances PHONE (954)989-9324 a Noll: (954)989-5998 5955 SW 21st Street -MAILDDRESS, anny@blaizeandtyson.com Hollywood,FL 33023 INSURER(S)AFFORDING COVERAGE NAIC# Phone (954)989-9324 Fax (954)989-5998 INSURERA: ACCIDENT INSURANCE COMPANY 1254678 INSURED INSURER B DECOTA CONSTRUCTION,INC INSURER C: 201 NE 2nd Ct INSURER D: DANIA,FL 33004 (954)608-5578 INSURER E: INSURER F: 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 ADD UBR POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MM/DD MM/DDIYYYYI GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000.00 0 COMMERCIAL GENERAL LIABILITY PREMISES TO RENTED $ 100,000.00 F-] F-] CLAIMS-MADE0 OCCUR CPP0006749-02 MED EXP(Any one person $ 5,000.00 A 7 Y Y 10/27/2014 10/27/2015 PERSONAL BADV INJURY $ 1,000,000.00 ❑ GENERAL AGGREGATE $ 2,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $ 2,000,000.00 D POLICY ❑ PRO- ❑ LOC COMBINED SINGLE LIMIT $ AUTOMOBILE LIABILITY Ea accident $ ❑ ANY AUTO BODILY INJURY(Per person) $ ❑ AAtLL OWNED OS ❑ SCPHHE ULED BODILY INJURY(Per accident) $ F-1 HIRED AUTOS ❑ NON-OWNED PPOac JTYnDAMAGE $ ❑ ❑ $ ❑ UMBRELLA LIAB ❑OCCUR EACH OCCURRENCE $ ❑ EXCESS UAB ❑CLAIMS-MADE AGGREGATE $ ❑ DED ❑ RETENTION$ $ WORKERS COMPENSATION ❑WC STIAITU-ITS ❑OTH- AND EMPLOYERS'LIABILITY Y/N ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) F-1 E.L.DISEASE-EA EMPLOYE $ Mes describe under RRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) GENERAL CONTRACTOR LICENSE#CGC1516657 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE MIAMI SHORES VILLAGE BUILDING DEPT THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN 10050 NE 2ND AVE ACCORDANCE WITH THE POLICY PROVISIONS. MIAMI SHORES,FL 33138 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105)QF The ACORD name and logo are registered marks of ACORD 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 law. EFFECTIVE DATE: 1/15/2015 EXPIRATION DATE: 1/14/2017 PERSON: NILCHIAN NASRIN FEIN: 810668349 BUSINESS NAME AND ADDRESS: DECOTA CONSTRUCTION INC 201 NE 2 CT DANIA,FL 33004 DANIA FL 33004 SCOPES OF BUSINESS OR TRADE: LICENSED GENERAL CONTRACTOR Pursuant to Chapter 440.05(14),F.S.,an officer of a corporation who efts 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.,Certificates 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 any time after the filing of the notice or the Issuance of the certificate, 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 DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS?(850)413-1609 ♦5 ORES Gi lo„ Miami shores V L. ��� Building Department �LOR`IDp' 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner - Workers' Compensation Insurance Exemption 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-time 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. 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.In these circumstances,Miami Shores Village does not require verification of workers' compensation insurance coverage from the contractor's company. Therefore, oy u may be ers ll p ona v liable for the worker compensation miunes of any_person allowed to work under this permit. Please check with your insurance carrier since most property insurance policies DO NOT cover this type of liability. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Owner Contractor Print Name: .� Print Name: 4114.5�je_e A//e' ^ e Signature: o Signature: '--� State of Florida) State of Florida) County,of Miami-Dade) �� County of Miami-Dade) Sworn t nd subscrib d before m s Sworn to d subscribe before m s 11,912, day o ,20 day o 420�' By t B FRENA (SEAL ®pg� Py/� ATRICIA 14EPdta T e of ent*ic t. c 1 fm QAIRT e of Identification pr a' (407)39`0153 FloridallotaryService.com L--�Z�®r,,vF EXPIRES April 10,2015 )39';-0153 FlorldaNatory;,®rvlce.com JEFF ATWATER CHIEF RUNCIAL 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 tistad below has elected to be exempt from Florida Workers'Compensation law. EFFECTIVE DATE: 1/15/2015 EXPIRATION DATE: 1/14/2017 PERSON: NILCHIAN NASRIN FEIN: 810568349 BUSINESS NAME AND ADDRESS: DECOTA CONSTRUCTION INC 201 NE 2 CT DANIA,FL 33004 DANIA F- 33004 SCOPES OF BUSINESS OR TRADE: LICENSED GENERAL CONTRACTOR Pursuant to Chapter 440.M14),F.S.,an ofrkw of a dation who al &T exemption from this chapter by fflirtg a eerrtitieate of election under the section may not recover benefrta or rrompensat}on undue this chapter,Pursuant to Chapter 440.M 12),F.S..Cenpioates of election to be exempt...apply nM wilt"the SCope of the business or trade rued Dn the notice of 0e to to Ese exempt Pursuant Chapter 440.05(13),F.S..Notices election to Only exempt and 00rtdcatss of election to be axe .shall be mp' trs be the penton named on the notice or cerlfiaate ns saber revocalart if,at any lane atter the ftfing of me notice or the issuance of the+ertrcate, longer m Y.the mquhernwft of"S section for issuancs of a Ow0cate.The department std revoke a DFS-F2--DWC-262 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QuesnoNs?(8W)4T3-jso9 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 law. EFFECTIVE DATE: 1/15/2015 EXPIRATION DATE: 1/14/2017 PERSON: JAFARMADAR HOSSEIN FEIN: 810668349 BUSINESS NAME AND ADDRESS: DECOTA CONSTRUCTION INC 201 NE 2 CT DANIA FL 33004 SCOPES OF BUSINESS OR TRADE: LICENSED GENERAL CONTRACTOR Pursuant to Chapter 440.05(14).F.S.,an officer of a corporation who elects exemption from this chapter by filing a c:argflcate of election under this section may riot recover benefits or compensation under this chapter.Pursuant to Chapter 440.05(12),F.S..Certificates of election to be exempt...apply only within the scope of the business or trade fisted 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 shalt be subject to revocation N,at any time after the filing of the notice or the issuance of the certificate. 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 DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS?($50)413-1609 1 Miami Shores Village � � r JAN 20 201 BuRding Department _ 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 - `R Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(30S)762-4949 FBC 209® BUILDING Master Permit No.?) PERMIT APPLICATION Sub Permit No. OBUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 124 N E 111 th Street City: Miami Shores County: Miami Dade Zia: Folio/Parcel#:11-2136-004-0101 Is the Building Historically Designated:Yes NO X Occupancy Type: 10 Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder):Quentin Tommie Phone#:772-237-9346 Address:124 NE 111th Street City: Miami Shores State: FLS .. zlp: 33161 Tenant/Lessee Name: Phone#: Email: gtommiel@gmail.com �� �' �� t�?;°' tAly CONTRACTOR:Company Name: Decota Construction �' 954-923-6004 Phone#: 1502 S. Federal Highway Address: City. Dania Beach State: FL Zip: 33004 Qualifier Name: Nasrin Nilchain Phone#: 954-923-6004 State Certification or Registration#: CGC1516657 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State Zip: Value of Work for this Permit:$ q D o P . p p Square/Linear Footage of Work: , 'tea SI iE Type of Work: ❑ Addition 7 Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: Kitchen Remodel Specify color of color thru tile: Submittal Fee$ .'C,71 _Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) Bonding Company's Name(if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) /V 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 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 Signature OVI}iVER or,At3ENT/. i CONTRACTOR J t .r"ra The foregoing Instrume6f was o krt WIe4 g d b f6 me this The foregoing instrument was acknowledged before me this p r., t . 18th day of Decembeir '_y l ; 4 by 18th da of, ecemtr ; 2014 b y Y Joe Jafarmadar Nasrin Nild i�in who' ersonally kno n to 6� � �/ o p„r onally kn n to me or who has produced as me or who has produced"' %: as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: — •. e.1. � Print: Print: Seal: MY COMMISSION#EE082191 Seal: 0 147Y COMMISSIOPI i#EE082191 90:F�4--- EXPIRES April 10,2015 "".''c� o?P' EXPIRES April 10,2015 (407)39:4153 FloridallotarySerow.00m (407)39::.,153 FloridallotarySerAm.°om APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revisedo2/24/2014) 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 20 BUILDING Master Permit No. PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑EXTENSION ❑RENEWAL PLUMBING [] MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF [:]CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 124 NE 111th Street City: Miami Shores County: Miami Dade Zia: Folio/Parcel#:11-2136-004-0101 is the Building Historically Designated:Yes NO Occupancy Type: 10 Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder):Quentin Tommie Phone#:772-237-9346 Address:124 NE 111th Street City: Miami Shores state: Fir; zip: 33161 -, Tenant/Lessee Name: Phone#: tommie1 mai .com Email: Q �gl CONTRACTOR:Company Name: Paul Jackson Plumbing � Yjr Phone.: 9`x-444-6227 Address: 801 NW 2nd Avenue ` X City: Hallandale state: FL ^' Z;p. 33009 Qualifier Name: Paul Jackson Phone#: 954-444-6227 State Certification or Registration#: CFC 1425703 g Certificate of Competency#: p cY DESIGNER:Architect/Engineer: Phone#: Address: City: State Zip: Value of Work for this Permit:$_ 6',9® • r->c7 Square/Linear Footage of Work: Type of Work: ❑ Addition 0 Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: Kitchen and bathroom remodel Specify color of color thru tile: Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) t Bonding Company's Name(if applicable) Bonding Company's Address City State Zip 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: 1 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 relpection fee will be charged. Signature P Si nature g OWNER or AGENT,-,--,, _,-CQNTRACTO The foregoing ins kr► ent was acowledged before a this The fo egoing Inst ent.wis acknowledged before thiops day o0 by day of - 20 by L I ~ ersonal#y known t r 1� who is sonaily known me or who has produced as me or who has produced as Identification and who did take an oath. identification and who 4take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sig Print: ;.�4•".✓e, PATR IA RENO Print: vP , "�' `� Seal: : '= MY COrfhhISSION#EE082191 Sea(: 9aae @= EXPIRES April 10,2015f. �® (407)3p . :s3 F�� Nom' F`oPNc EXPIRES April 10,2015 •— (407)39'..':.53 FloridallotarySarylca.00M APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) s SgoREs �i Miami shores Village Building Department goal 10050 N.E.2nd Avenue Miami Shores, Florida 33138 +x ®«,e� Tel: (305) 795.2204 tORIDA Fax: (305) 756.8972 FEBRUARY 12, 2015 Permit No: RC-1-15-119 Building Critique Review II �+ Provide a certification of workers compensation for the employees as required under section 105.3.5 of FBC 2010, or an affidavit from Nasrin Nilchian Stating that he will be the only person working on the project. 2. Show the location of the new master bedroom. �t 3. Metal studs supporting cabinets should be a minimum of 20 gages at 16" on center or double 25 gage. 4. Provide details and specifications for the bathroom walls. Reflect all \ components. 5. Provide a window and door schedule. ID the location of each on the floor plan i or elevation. i I i i I Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, replace them with new revised sheets and place behind the most current page. 4 Miami Shores Village ,gNoRs G�` Building DepartmentN MINIM 10050 N.E.2nd Avenue `nye Miami Shores, Florida 33138 ,y iN$a Tel: (305) 795.2204 LORIUA Fax: (305) 756.8972 FEBRUARY 5, 2015 Permit No: RC-1-15-119 PLUMBING — OSVALDO DIAZ �FBCR P2801.1 Provide size of water heater for replacement shall meet equipment efficiencies shall be in accordance with Chapter 4, Florida Building Energy Code. � P BCR P2903.2 Maximum flow and water consumP tion As er Miami-Dade Ord. Sec. 8-31 plumbing fixtures shall meet the local water flow restrictions adopted by Miami- Dade County Water and Sewer (water closet 1.28gpm, lavatory 1.5gpm, shower heads 1.5gpm and kitchen faucets 1.5gpm). Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, replace them with new revised sheets and place behind the most current page. Ens " shores Miami V Building Department �ORIDA 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIPT PERMIT#:� lj— DATE: I 1, �: �...� 4�►�e��l (NAME) Contractor ❑ Owner o Architect Picked up 2 sets of plans and (other) Address: C Gl/f ► P1'UPe1)Y y From the building department on this date in order to have corrections done to plans And/or get County stamps. I understand that the plans need*to be brought back to Miami Shores Village Building Department to continue permitting process. Acknowledged by: (Signature) PERMIT CLERK INITI RESUBMITTEDI l DATE. p PERMIT CLERK INITIAL: a s Miamishore ', latae ♦5K0' s G Building De move 10050 N.E.2nd Avenue y^ y� Miami Shores, Florida 3 re ►r�� Tel: (305) 795.2204AP% LpRjUA Fax: (305) 756.8972 JANUARY 22, 2015 Permit No: RC-1-15-119 Building Critigue Review 1. Provideplans with details and specifications as required under chapter 1 of the Florida Building Code, 2010 and section 8-10 of the Miami Dade County Code. Ismael Naranjo Building Official Plan review Is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, replace them with new revised sheets and place behind the most current page. a -,NC `SR Miamishores Village .93 Building Department Bim, null 10050 N.E.2nd Avenue Miami Shores, Florida 33138 L'=F,fres Ila �`� Tel: (305) 795.2204 OR�A Fax: (305) 756.8972 JANUARY 20, 2015 Permit No: RC-1-15-119 ELECTRICAL REVIEWER COMMENTS Put name and address on plan. Provide riser diagram, panel schedule .and load calculation. Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, replace them with new revised sheets and place behind the most current page. a RC-15-119 124 NE 111 ST 1/20/15 I. FBC 107.2 & Miami-Dade Chapter 8-10 permits. Construction documents shall be of sufficient clarity to indicate the dimensions, location, nature and extent of work proposed and show in detail that it conform to the provisions of this code. 2. FBCR P2801.1 Provide type, size of water heater. 3. FBCR P2708.3 Shower control valves. Individual shower and tub/shower combination valves shall be equipped with control valves of the pressure-balance,thermostatic-mixing or combination pressure-balance/thermostatic-mixing valve types with a high limit stop in accordance with ASSE 1016 or CSA B125.The high limit stop shall be set to limit water temperature to a maximum of 120°F(49°C). In-line thermostatic valves shall not be used for compliance with this section. 4. FBCR P2903.2 Maximum flow and water consumption. As per Miami-Dade Ord. Sec. 8-31 plumbing fixtures shall meet the local water flow restrictions adopted by Miami-Dade County Water and Sewer(water closet 1.28gpm, lavatory 1.5gpm, shower heads 1.5gpm and kitchen faucets 1.Sgpm).