RC-15-1721 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-248263 Permit Number: RC-7-15-1721
Scheduled Inspection Date: November 24, 2015 Permit Type: Residential Construction
Inspector: Rodriguez, Jorge
Inspection Type: Final
Owner: RUARK,JOHN Work Classification: Alteration
Job Address:9909 NE 4 Avenue Road
Miami Shores, FL Phone Number (410)610-2148
Parcel Number 1132060171310
Project: <NONE>
Contractor: JMEC CONSTRUCTION, LLC Phone: (954)410-4695
Building Department Comments
INSTALL TRAY CEILINGS/FLOORING AS PER PLANS Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
November 23, 2015 For Inspections please call: (305)762-4949 Page 18 of 25
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Miami Shores Village
Building Department ! UL,
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 I
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Tel: (305)795-2204 Fax: (305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
_FBC 2 �
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BUILDING Master Permit No. - 2- 1
PER IT APPLICATION Sub Permit No.
BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
Q/+� r L� CONTRACTOR DRAWINGS
JOB ADDRESS: t�`tel. �Q `� `T `�y4�r[�
City: Miami Shores County: Miami Dade Zip: ��' (�. to
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name(Fee Simple Titleholder) X Phone#: q,11-2— 1 ��y
Address: kR te Plod
/
City: /�I JAA &ZL� State: �L. Zip:
Tenant/Lessee Name: Phone#:
Email:
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CONTRACTOR:Company Name: (fC V Oi0 <LC- Phone#: . `"K
Address: SCO O N W ?,2 9 , &Z CC—
City: zM e2a^--c-e..k.... State: �'` Zip:
Qualifier Name: mil C 1=1 N1�..fS�J7���{ Phone#:454 U K 4idsT
State Certification or Registration#:_ r- Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ 3 r d'O'O Square/Linear Footage of -9-9�
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: ^ ♦ Cfr3l 'L Its
Specify color of colrror�thru tile:
Submittal Fee$ W Permit Fee$ ,Uw ' CCF$ CO/CC$ -
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$ (7,
TOTAL FEE NOW DUE$ I 14 9 eo
(Revised02/24/2014)
Bonding Company's Name(if applicable)
i
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
inspectionwill not be approved and a reinspec ' n ee will be charged.
a
�Signatu Signature
OWNER or AGENT CONTRACTOR
The foregoing instru ent was acknowledged before me this The foregoing instrument was acknowledged before me this
day off 20 I by 7 day of V 20 r J^ by
t-, who is personally known to C-1 44��Sl"L,.,who is personally known 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 PUB C: NOTARY PUBLIC:
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Print: L Gt t�r`a t Print: v
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Seal: moo. % LAURA FARLd Seal: MYCOMMISS #FF 188027
MY COMMISSION#FF 188027 * * EXPIRES:March 16,2019
* EXPIRES:March 16,2019 �'+ o,,,dF Bonded Thru B4d Notary ServW
N'r�or���� Bonded Thru Budge!Notary Servka
***************************** ******************************************************************************
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APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
15NvREs
rs
..,. � ..... Miami Vhores Villa9e
Building Department
�OR1N� 10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
CONTRACTORS' REGISTRATION
IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR:
A. ✓ COPY OF QUALIFIER'S STATE LICENCES
B. L,' /COPY OF LOCAL BUSINESS TAX RECEIPT
C. ✓/COPY OF LIABILITY INSURANCE*
D. t/ COPY OF WORKERS COMPENSATION INSURANCE*
(Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit)
IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY:
A. COPY OF CERTIFICATE OF COMPETENCY OF QUALIFIER
B. COPY OF LOCAL BUSINESS TAX RECEIPT
C. COPY OF STATE REGISTERED CONTRACTOR LICENSE OR MIAMI DADE COUNTY MUNICIPAL
CONTRACTOR'S TAX RECEIPT.
D. COPY OF LIABILITY INSURACE*
E. COPY OF WORKERS COMPENSATION INSURANCE*
(Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit)
*YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE AS FOLLOW:
Certificate Holder:
MIAMI SHORES VILLAGE BLDG DEPT
10050 NE 2ND AVE
MIAMI SHORES, FL 33138
Certificate must specify the description of operations or contractor license number.
BUSINESS NAME: Tin>X (-10111S1-"67)1910 LLL
BUSINESS ADDRESS: D /'y• W 55/i*CITY 40r10'r LA"TATE FL ZIP
BUSINESS PHONE: (q—" )�10 i D FAX NUMBER(
CELL PHONE g�!Ztj0.'40S QUALIFIER'S NAME:
QUALIFIER'S LIC NUMBER:
one million Floridians licensed by the Uepartment of business and ,
Professional Regulation. Our professionals and businesses rangea mss, STATE OF FLORIDA
from architects to yacht brokers,from boxers to barbeque restaurants, DEPARTMENT OF BUSINESS AND
and they keep Florida's economy strong.
PROFESSIC;�4AL AEGULAT IO11
Every day we work to improve the way we do business in order to CGC060569 S g x;06/14/2015
serve you better. For information about our services, please log onto m ff
www.myfloridalicense.com. There you can find more information CERTIFIED GEN�1�#CDNTRQC `OR
about our divisions and the regulations that impact you, subscribe
FINKELSTEINLE 10" OT�TT w
to department newsletters and learn more about the Department's
JMEC CONSTRt1�TIf�N IAC"
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, IS CERTIFIED under the provisions of Ch.489 FS
and congratulations on your new license! Expiration date : AUG 31,2016 L1506140000551
DETACH HERE
RICK SCOTT, GOVERNOR KEN LAWSON, SECRETARY
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTIONINDUSTRY LICENSING BOARD
C0006o569
The GENERAL CONTRACTOR
Narhed:below IS CERTIFIED
Under"the.provsions of Chapter 489 FS. � -"
Expiration date: AUG-31,.2016 "
RNKELSTEtN,. ER1G SCOT ��
JmEE CONSTRt7CT#O � �
-254!",,NW 1ITtW" AN"
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ISSUED: 06/14/2015 DISPLAYAS REQUIRED BY LAW SEQ# L1506140000551
BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT
115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895 — 954-831-4000
VALID OCTOBER 1,2015 THROUGH SEPTEMBER 30, 2016
DBA: Receipt#:180-270179
Business Name; JMEC CONSTRUCTION LLC GENERAL CONTRACTOR (GENERAL°
Business Type:DCONSTRACTOR)} Owner Name:ERIC FINELSTEIN Business Opened:07/01/2015
Business Location: 560 NW 39 AVE State/County/Cert/Reg:CGC060569
COCONUT CREEK Exemption Code:
Business Phone: 954-410-4695
%Z Rooms Seats Employees Machines
Professionals
For Vending Business Only
Number of Machines: Vending Type:
Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paid
27.00 0.00 0.00 0.00 0.00 0.
00 27.00
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:
JMEC CONSTRUCTION LLC Receipt #01A-14-00007441
N39 AVE
COC Paid 07/01/2015 27.00 f`
COCONUT
T CREEK, FL 33066
2015 - 2016
- - EEI -
�. BROVVARD UNIIM( ",L t SINI SS 4 CP�'
City of Coconut Creek
BUSINESST RECEIPT
Name of Business: JMEC CONSTRUCTION, LLC Business ID: 1500000170
Business Address: EXPIRES 9/30/2015
560 NW 39 AVE
COCONUT CREEK, FL 33066
APPLICATION FEE 000000 0000003101 25.00
HOME BASED BUSINESS-OFFICE ONLY 096000 HL11000394 102.10
JMECC-1 OP ID:TR
A�COyRL7" CERTIFICATE OF LIABILITY INSURANCE DATE 07110IDDIYYYY)
07110/2015
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. 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 Neu of such endorsement(s).
PRODUCER CONTACT
Roebuck Associates insurance NAME: Roebuck Associates
Exchange LLC QVC,PHallo Ext):954-616-1800 1 FAx No: 954-616-1888
5599 S University Drive, #301
Davie, FL 33328 ADDRESS:
Roebuck Associates INSURER(S)AFFORDING COVERAGE MAIC*
INSURERA:United Specialty Ins Co.
INSURED JMEC Construction, LLC INSURER 8:
560 NW 39th Avenue INSURERC:
Coconut Creek,FL 33066
INSURER D:
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 AVOL 3UI5H POLICY EFF POLICY EXP
TR TYPE OF INSURANCE ImQn WVD POLICY NUMBER MID MIDD LIMITS
A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,0001
CLAIMS-MADE OCCUR USA4095498 07/03/2015 07/03/2016 PREMISES Ea occurrence $ 100,00
MED EXP(Any one person) $ 5,0
PERSONAL&ADV INJURY $ 1,000,00
GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,0
POLICY �ECT LOC PRODUCTS-COMP/OP AGG $ 1,000,00
OTHER: $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $
Ea accident
ANY AUTO BODILY INJURY(Per person) $
�O OWNED SCHEDULED BODILY INJURY(Per accident) $
NON-OWNED PROPERTY DAMAGE $
HIRED AUTOS AUTOS Per accident
UMBRELLA LIAB OCCUR EACH OCCURRENCE $
EXCESS LIAR HCLAIMS MADE AGGREGATE $
DED I I RETENTION $
WORKERS COMPENSATION PER OTH-
AND EMPLOYERS'LIABILITY YIN STATUTE ER
ANY PROPRIETORIPARTNERIEXECUTIVE
OFFICERIMEMBER EXCLUDED? F-1NIAE.L.EACH ACCIDENT $
(Mandatory In NH) E.L DISEASE-EA EMPLOYEE $
yes,describe under
DE.L.DISEASE-POLICY LIMIT $
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached K mora space Is required)
General Contractor / CGCO60569
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Village of Miami Shores THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
g ACCORDANCE VATH THE POLICY PROVISIONS.
1005 NE 2nd Ave.
Miami Shores Village, FL 33138 AUTHORIZED REPRESENTATIVE
7v-e�4--,- ���
G 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD
we
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 fisted below has elected to be exempt from Florida Workers'Compensation law.
EFFECTIVE DATE: 2/26/2015 EXPIRATION DATE: 2/25/2017
PERSON: FINKELSTEIN ERIC S
FEIN: 471325353
BUSINESS NAME AND ADDRESS:
JMEC CONSTRUCTION LLC
560 NW 39TH AVENUE
COCONUT CREEK FL 33066
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 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 certfficates 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
' f
JMEC Construction LLC
560 NW 39 Ave
Coconut Creek,Fl. 33066
CGC 060569
7/10/2015
State of Florida
County of Dade
Before me this day personally appeared Eric Finkelstein who
\being duly sworn, deposes and says , that he will be the only person
working on the project located at IJ ` t✓ LA "�%./f- ! !tA Luso I (>
Sworn to and subscribed before me this---i'2- day of�44*2015
Personally known
Print name-Laura Farley
* * W COAMwfISSM!FF 188027
EXPIRES:Much 16,2019
�1?a,,d"`O� BaMed'fhru8udyetN�Y
�, M iami Shores villagemill NINE
Building Department
ORiDp' 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.
BY SIGNING BELO YOU ACKNOWL E THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS
CONTENTS.
Signature:
Owner
State of Florida
County of Miami-Dade
The f going w e before e this 7 day of 20 1 5�
i
By IDI elutm, who is personally known to me or has produced
as identification.
Notary:
�t►�`;ptw,, tAURAFARIV
SEAL: * My COMMISM�FF 188027
* EXPIRES:kWch 16,2018
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JMEC Construction, LLC
560 NW 39 Ave. Coconut Creek,Fl.33066
License CGC 060569
305 525-1427 954 410-4695
Miami Shores Building and Zoning. Permit#RC-15-1721
Date 7/20/2015
JUL Z 0
9909 NE 4"h Ave. Rd. Miami 3138
John Ruark,owner
Eric Finkelstein Pres.JMEC Construction
Hereby Hold Harmless the Village of Miami Shores for any incidents
at above address until issuance of approved building permit
State of Florida
County of Miami-Dade
The foregoing was acknowledge before me on this t o day o 2015
Personally known
By �.r1. �a� '....' ......
`►— � ••.• ; ... .'
By t G ,S rsonally known •••••• :....:
IIA
Notary t '
...... .... .....
Seal: cam;°.`° LAUEiAAFARIEY
COMMISSION 1i FF 188027
* EXPIRES:Marc►16,2019 '
��'orM.°��� BgldldTMuBndgetN�rySElviaf '••' : •• �•� • •
JMEC Construction, LLC
560 NW 39 Ave. Coconut Creek, Fl. 33066
License CGC 060569
305 525-1427 954 410-4695
Miami Shores Building and Zoning. Permit#RC-15-1721
Date 7/20/2015
Please be advised we are applying for a pre- permit
start approval,for 9909 NE 4th Ave.Road Miami Shores F1.33138
Eric Finkelstein for JMEC Construction
11=- 1 log
--- --
State of Florida
County of Miami-Dade
The foregoing was acknowledge before me on this_qday of 2015
BY W onally known
Notary
Seal: eO P `k+ (�UpAFAiY.EY �....•
W(;pMA1 ON#FF 188027 . •••• ••••••
* EXPIRES: I*18,2019 • • •
'�;��� (�OIIdId1hN dtid#�1 ry ••.�•• •• too*:*
•
August 10, 2015
Miami Shores Village
Building Department
10050 NE 2nd Avenue
Miami Shores, Florida 33138
Resoonses to Building Comments
Permit Number: RC 15-1721
Address: 9909 NE 4th Avenue Road
Building Critique:
1. See sheet A-2 for clarification: Existing wood doors to be replaced with same size doors;
2. Please see sheet A-2 for cross section of drywall soffit;
3. See sheet E-3 for locations of smoke detectors;
Electrical Critique:
1. See sheet E-3 for locations of smoke detectors;
Plumbing Critique:
I. See sheet A-0 for corrected code;
2. See note 8 in sheet A-2 and General Note in Plumbing Fixture Connection Schedule in
sheet P-1;
3. See sheets P-1 & A-1 for locations of water line and septic system (as per our meeting);
4. As per our meeting, no additional plumbing fixtures are getting added, only the
relocation of the bar sink;
Please do not hesitate to contact me if you have any questions and/or comments
Si cerely, .•.•
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Vict . Bruce A.l.. ., LE R AP 0.0'•• 0 0 0 0 0 0 •'•0 0
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A&1 associates,Inc. •0•
370 NE 101-0 Street
Miami Shores, Florida 33138
telephone 305-310-5030
fax 1-877-408-8280
email vbruceC4ai-associates,net