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RF-15-1043 Permit NO. RF-5-15-1043 `SNORES Miami Shores Village Permit Type: Roof . � Ey� 10050 N.E.2nd Avenue NW Per m Work Classification:Gutters Miami Shores,FL 33138-0000 it Permit Status:APPROVED Phone: (305)795-2204 FLORIDA Issue Date: 7/8/2015 Expiration: 01/04/2016 Project Address Parcel Number Applicant 80 NW 92 Street 1131010160090 Miami Shores, FL 33150- Block: Lot: MARCIA H BORGES FABRICIO Owner Information Address Phone Cell MAR IA H BORGES FABRICIO M DE 3215 NE 184 Street ---— - NORTH MIAMI BEACH FL 33160- 3215 NE 184 Street NORTH MIAMI BEACH FL 33160- Contractor(s) Phone Cell Phone Valuation: $ 1,350.00 RAINBOW RAIN GUTTERS CO (305)261-0440 Total Sq Feet: 0 Type of Work:Gutters Available Inspections: Additional Info: Inspection Type: Classification:Residential Final Scanning: 1 Review Building Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.20 Invoice# RF-5-15-55404 DBPR Fee $2.00 05/01/2015 Credit Card $50.00 $60.20 DCA Fee $2.00 Education Surcharge $0.40 07/08/2015 Credit Card $60.20 $0.00 Permit Fee-Repairs $100.00 Scanning Fee $3.00 Technology Fee $1.60 Total: $110.20 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 AFFIDAYIT.j 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 z ni Futhermore, I aut rize the ab a-named contractor to do the work stated. July 08, 2015 Aut` zed Signature:Owner / A licant / Contractor / Agent Date Building Department Copy July 08, 2015 1 6i'�� Miami Shores Village ;. % Building Department MAY ox 2015 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY Tel: (305)795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305)762-4949 FBC 2010 BUILDING Master Permit No. �I s "-1043 PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC [ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: City: Miami Shores County: Miami Dade Zip: 3. , Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholder): i l i a 1-6 l Phone#: CIO 2'P5-4 2 j Address: C 7 City: -> State: PZip: 7 C ZZ) Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: E14 « fob Lp ( r ) Ee;Phone#: -(,2 c{- Address: / 4-g0 SLtp (o 'r City: (/,C't--sf-ili[�ti /� State: _ Zip: Qualifier Name: 1,--' C1 -r(-UA C-0e rc AGU,S Phone#: :2x(- aw State Certification or Registr�t on#: Certificate of Competency#: L /a`5 C)U 4- DESIGNER:Architect/Engineer: Phone#: Address: � �' (J L� Z T City:W(C2 M i S6& State:_�Zip: (S�� Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: [:1 Addition ❑ Alteration - / New E] Repair/Replace ❑ Demolition Description of Work: �h,y 1( 12a 1 h lv e-LC _a 4 L -bou-)n ,S Pa c-"7 CQAA m� y � f�'li l�ti cl JAI �Q di usa- ens. -DouD e 12 (afoss Specify color of color thru tile: IC b 10f— 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$(�O - L.�J (Revised02/24/2014) 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: 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 100, OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of Ab✓W , 20 _, by day of 20 5' by y, U E VA.Y4- L L-5't/} /�/ alyew— who is personally known to yyw�� as is personally known to �7 �+ L me or who has produced PC � � as me or who has produced f0) identification and who did take an oath. identification and who dida1ke an oath. NOTARY PUBLIC: NOTARY PUBLIC: i 1 ot ::"�.� LlSSET BETANCOURT Sign: ISSET BET Olaf Sign: rmy MMMIgRION I FF 93 Print: *MV CE)TRES'•January 19rvtces Print: *f a� EXPIRES:January 19,2018 De 90nd@d�U Of F� Seal: °'+Tf�F�� Seal: i APPROVED BY `Ls / j Plans Examiner Zoning j,. Structural Review Clerk (Revised 02/24/2014) MAY 41 2015 OFF: 305.261 .0440 RAI RIBOW 1, ` ` , www.rainbowgutters. net FR A I N G U T T E FZ s stopraindamagenow@hotmail.com COMMERCIAL & RESIDENTIAL CUSTOM ) 0-) b-) \ �� ESTIMATE DATE JOB SIT ADDRESS (� SCHEDULED DATE Sha rQs �r �sy zzZ7 CITY-STATE-ZIP CODE , REFERRAL C HOME PHdNr WORK/OFFICE ILO GLOSS WHITE F-1BROWN F-1MUSKET BROWN LIGHT GREY CLAY F-1 RED F-1 HIGH GLOSS WHITE El CREAM F1 WICKER 1-1 DARK GREY F-1 BRONZE El GALVANIZED EGGSHELL F-1 IVORY F-1 DARK GREEN D COPPER F7 MILL FINISH F-1 COPPERTONE F7 SANDCASTLE El ALMOND � C7y 3 Miami Shores Viiltir.e I APPROVED 3Y DATE (/" ZON1161DEPT .... go BLDG DEPT • so SfJfi,J[-CT TO COMPLIANCE WITH ALL FEDERAL0 ..• •• ' :••••' A1 f AW)CCIt INTY RUf FS AND nF r,L IIATIONS • _ ��.. ••••• .... ...... ��/ I� .. .. • • 1 a . • - . 0 go. 4' 00 tm o GUTTERS FEET LEAD HEAD AMOUNT DOWN SPOUT FEET -7�� TOTAL FEET TAX SUBTOTAL CUSTOMER'S SIGNATURE 7 LESS DEPOSIT RAINBOW RAIN GU ERS.CO. TOTAL DUE S WWW.RAINBOWRAINGUTTERS.NET - - - - - - - - - - - - - - - - - - - - WARRANTY: YEARS ON ALL LABOR AND YEARS ON MATERIALS - - - - - - - - - - - - - - - - - - - - TERMS AND CONDITIONS 1. THE SIGNATURE OF PURCHASER AND RETURNING TO RAINBOW RAIN GUTTERS,CO. THE ORIGINAL (WHITE COPY)WITH AN APPROPRIATE 50% DEPOSIT CONSTITUTES ACCEPTANCE AND CONVERGENCE OF THIS ESTIMATE INTO A CONTRACT. 2. THIS ORDER CONSTITUTES THE ENTIRE AGREEMENT BETWEEN THE PURCASER AND THE VENDOR. NOR REPRESENTATIONS OR AGREEMENTS HAVE BEEN MA E OTHER THAN AS HEREIN STATED. 3. THE PURCHASER AGREESTO PAY ALL COSTS INCURRED FOR COLLECTION INCLUDING REASONABLE ATTORNEYS FEES. 4. CONTRACT PRICE IS DUE IN FULL UPON COMPLETION OF WORK. THEREAFTER, INTEREST ON ANY UNPAID BALANCE WILL ACCRUE ATTHE RATE OF 1.1/2 % PER MONTH. 5. THIS MATERIAL IS SPECIALLY MANUFACTURED AND ORDERED FOR THE PURCHASER THIS ORDER AND SPECIFICATIONS HEREIN IS NOT SUBJECTTO CHANGES UNLESS BY WRITTEN AGREEMENT BETWEEN THE PURCHASER AND VENDOR. •.••• 6. .'Atl WORK IS SUBJECTTO STRIKES,ACCIDENTS AND OTHER DELAYS BEYOND THE •;V TIDORSCOI;ITROL SUCH AS WEATHER UNSUITABLE TO WORK IN E.G.RAIN,THUNDER • %*Tj3RMSlTC.' • •.•••,7. •"PIF PURjC•HASER HAS AGREED TO EXECUTE HIS/HER RIGHTS AS AN OWNER-BUILDER • .*UNLESS S-P-CCIFICALLY CHARGED SEPARATELY FOR SAID PRODUCTS STATED HEREIN. 8. •'THIS OFP3 R-SHALL NOT BE BINDING UPON RAINBOW RAIN GUTTERS,CO.,UNTIL • '••*�-CEPTtD BY ITS PRESIDENT,OR OTHER AUTHORIZED OFFICER HEREOF. • 00• 9. ' v: IT IS UNDERSTOOD AND AGREED THAT RESPONSIBILITY FOR CORRECTIONS,AND/OR ADJUSTMENTS CEASES WITH RAINBOW RAIN GUTTERS,CO.,FOLLOWING THIRTY(30) DAYS AFTER THE DATE OF COMPLETION OF ITS WORK. 10. PRICES QUOTED ARE GUARANTEED FOR THIRTY(30) DAYS. 11. RAINBOW RAIN GUTTERS,CO.,AGREES TO HAVE PRODUCT(S) DESCRIBED HEREIN READY FOR DELIVERY AND/OR INSTALLATION WITHIN: DATE OF ESTIMATE FROM DATE YOUR PARTICULAR CHOICE IN COLOR OF MATERIAL ARRIVES AT OUR SHOP. 2!aun Construction Trades Qualifyinq Board BUSINESS CERTIFICATE OF COMPETENCY wilt #% 06BS00426 RAINBOW RAIN GUTTERS CO D.B.A.: G EVU ARA-ACOSTA KATHY Is certified under the provisions of Chapter 10 of Miami-Dade County Local Business Tax Receipt OT Miami-Daae County, State of Florida 'LB -THIS I', NOT A BILL-CO NOT PAY 5808093 BUSINESS NAMEILOCAT'ION RECEIPT NO EXPIRES RAINBOW RAIN GUTTERS CO R EN Ell,')AL SEPTEMBER 30, 2015 134401 SW 62 ST MIAMI. FL 33183 h,�lu.t l�l�rr t}f hJr.tr>it�a3s Purutt.ant to Cc,nnty Carle Cf, }titer 8A-Ari 9& 10 SEC TYPE OF BUSINESS OWNERPAYCvtENT RECEIVED RAINS)?fid RAIN GUTTERS 19f_r SPECIALTY 613 LDNG EN TAX COLLECTOR CC'1-47RACTOR 75 `�0 09x2"'2014 Workerrs 1 2 0 BSC'042t" 0225-14-005724 This Local Busitwi*Tax Rotoiftonly conhrtos paymentotthe Local Business Tax.The Receipt is nota license, permit,or a certification ofdio,bolder's qualiticatious,to do husiness.Holdet muat comply with any yevetnmeutal or nongovernmental regulatgrytaws and tequireutentswhich apply to the husiness, The RECEIPT N0,above most he displayed on all commercial vehicles-Miami-Dade Code Sec 8a-216. MIAMI,� For store infermatien,visitwtr.w miantidade.goyjtaxcellector Scanned by CamScanner Municipal Contractor's Tax Receipt Miami-bade COL]nty, State of Florida Tfil� I�, N,-,T A ULI t:!,' N; I F-Ay N4 C7 BUSINESS NAME/LOCATION RECEIPT NO, EXPIRE TIW NEW BUSINESS SEPTEMBER 30 2015 �T 7455167 # `& 1 8 OWNER TYPE OF BUSINESS �.... .--r PAYMENT RECEi;t£t'3 BY TAX COLLECTOR Lv MIAMtCArW far more urf®raratioa,visit wkvw m anridode gov?taxcoltocter Scanned by CamScanner o ACC>RO CERTIFICATE OF LIABILITY INSURANCE r°ATE(MM'°D,YYYY) 04 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDERR..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(ies)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 CONTACT NAME, GRICEL GONZALEZ G&E Insurance Consultants,inc. �aHONE ExO•_ (305)228-8988 —__ ac No: _(305)228-8969 9880 S.w.40th Street E-MAIL dcel5620 cocast.net _ADDRESS. 9 m � _ Miami,FL 33165 - _INS OVERAGE NAIC#_ Phone (305)228-8988 - - Fax (305)228-8969 INSURERA: GRANADA INSURANCE INSURED INSURER B: _ RAINBOW RAIN GUTTERS CORP INSURERC: 13440 SW 62 St Apto#G-102 INSURER D: Miami, FL 33183- 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. _ ILTR TYPE OF INSURANCE INR MDUBRI POLICY NUMBER MM/DCD/YYYY POLICY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000.00 FVJ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 100,000-00-:71 00 000.00 PREMISES�a occurrences_ _$ _ A F1 F1 CLAIMS-MADE OCCUR 0185FL00066644 01/28/2015 01/25/2016 MED EXP(Any one person)_ $ 5,000.00_ ❑ ----_---__ _ _ PERSONAL&ADV INJURY $ 1,000,000.00—~ ❑ _-__-_-_ GENERAL AGGREGATE -4-2-,0002000.00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS COMP/OP AGG 1 $ 2,000,000.00 ❑ POLICY ❑ PRO- ❑ LOC _ $ - AUTOMOBILE LIABILITY 1 COMBINED SINGLE LIMIT - _(Ea accident) $ ❑ ANY AUTO BODILY INJURY(Per person) $ ❑ ALL OWNED SCHEDULED --- ---i AUTOS ❑ AUTOS BODILY INJURY(Per accident $ ❑ HIRED AUTOS NON-OWNED -------- -- --- ------- --- PROPERTY DAMAGE 1 ❑ AUTOS SPer accidence-_ $ ❑ UMBRELLA LIAR ❑OCCUR EACH OCCURRENCE $ _— ❑ EXCESS LIAB_ ❑CLAIMS-MADE AGGREGATE _ _ $ ` ❑ DED ❑ RETENTION$ $ — WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N ❑ TS i TORY LIMITS _ ANY PROPRIETOR/PARTNER/EXECUTIVE ELEACH ACCIDENT $ _ OFFICER/MEMBER EXCLUDED? ❑ N/A E.L. (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under - — -- -—-- - DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES - L-- (Attach ACORD 701,Additional Remarks Schedule,if more apace is required) GUTTERS INSTALLATIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE MIAMI SHORES VILLAGE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN BUILDING DEPARTMENT ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2 AVEAUTHORIZED R -- -___-_ --- ---_---� EP EN E MIAMI SHORES FL 33138 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05)QF The ACORD name and logo are registered marks of ACORD ~COD WE t� 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: 6/11/2013 EXPIRATION DATE: 6/11/2015 PERSON: ARAUJO MAYKEL FEIN: 202386242 BUSINESS NAME AND ADDRESS: RAINBOW RAIN GUTTERS CO 13440 SW 62 ST MIAMI FL 33183 SCOPES OF BUSINESS OR TRADE: SHEET METAL WORK- I NSTALLATIO Pnrcrtant 1,�Chaoter 440.0504).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 Gnspter 440:05(12),F s,(;ertmcates of election to i)e exen;,i...appiy•.rr.y u.it ri;;it.6,;:]i.i:c 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 certificate at any time for failure of the person named on the certificate to meet the requirements of this section. DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 07-12 QUESTIONS?(850)413-1609 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: 10/13/2014 EXPIRATION DATE: 10/12/2016 PERSON: GUEVARA-ACOSTA KATHY FEIN: 202386242 BUSINESS NAME AND ADDRESS: RAINBOW RAIN GUTTERS CO 13440SW62 ST MIAMI FL 33183 SCOPES OF BUSINESS OR TRADE: SHEET METAL WORK- Gj I NSTALLATI O 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.,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