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FW-16-142 Miami Shores Village Building Department F 09 20;6 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 W ' 1 BUILDING Master Permit PERMIT APPLICATION Sub Permit ❑BUILDING ❑ ELECTRIC ❑ ROOFING /REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: S e;ygG 6 4SGf . City: Miami Shores County: Miami Dade Zia Folio/Parcel#: ����J c�®1 —���'y Is the Building Historically Designated:Yes NO Occupancy Type.��� Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder):.PA Phone Address: City: _ State: �� Zip:ai Tenant/Lessee Name:''` Phoneme\� Email: CONTRACTOR:Company Name: /LGY�IC2lA cC.p)Zr�7Wc�lU)') �%tG Phone#: SOY•a'3 y' Address: (/3?Sb A4u,114V Lava, k, io 1 City: &9&I-A Ad iam l State: Zip: Qualifier Name: a%(nj v d C . Tt�oppt r Phone#: 30S—A3 y_q/'17 State Certification or Registration#: CC 1: V So /U Z- Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ t;<x'D Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: 6Y l'[[IY1 t3 ews6m Wow Fe 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) 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. Signet Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 0_day of 20 \L4 , byJC day of fi,'ktV P!±�V ,20 !(e , by nn who rsonally known to Q0.V tmund C. �.tiT�who is personally known to me or who has produced—��t CL l r'asss 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: t o Sign: Print: �1 f 1�� / Print: ' Seal: Qnratm No,ary Public State of Flori&eal- o,P" RUTH DAYS _ }p Sindia Alvarez My Commission FF 156750 . . _ Notary Public-State of Florida Expires 09/0312018 "s� ; My Comm.Expires Apr 24,2017 r o,. APPROVED BY d�9 Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-252282 Permit Number: FW-1-16-142 Scheduled Inspection Date: February 10,2016 Permit Type: Fence/Wall Inspector: Rodriguez,Jorge Inspection Type: Final Owner: , Work Classification: Wood Fence Job Address:9959 BISCAYNE Boulevard Miami Shores, FL 33138-2644 Phone Number (305)979-1781 Parcel Number 1132050190470 Project: <NONE> Contractor: TURNKEY CONSTRUCTION INC Phone: (305)234-9197 Building Department Comments REPLACING PORTION OF EXISTING IRON FENCING Infractio Passed Comments WITH HORIZONTAL PLANKS NOT REPLACING CHAIN INSPECTOR COMMENTS False LINK FENCING ON EITHER SIDE OF PROPERTY Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-251178. PLANS SAY 5FT AT JOBSITE FENCE IS AT 6 FEET NEED TO REVISE THE PLANS Failed Correction Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid February 09,2016 For Inspections please call: (305)762-4949 Page 17 of 44 Pei7t11t No. FW-1-16-1 Miami Shores Village PBtt fft !7e_ & cams oE 10050 N.E.2nd Avenue p nM ijVtltl C Ci'assirtoatici WoiFence Miami Shores,FL 33138-0000"'. . . ,... Pen ani mat 1 PROVED Phone: (305)795-2204 , Issue Date 1l21lil 3 Expiration: 07/19/2016 Project Address Parcel Number Applicant 9959 BISCAYNE Boulevard 1132050190470 Miami Shores, Fl- 33138-2644 Block: Lot: GLOBAL REAL ESTATE ACQUI£ . Owner Information Address Phone cell I GLOBAL REAL ESTATE ACQUISITIONS 9959 BISCAYNE Boulevard (305)979-1781 ------ -- - MIAMI SHORES FL 33138- 995920817 SW 92 Court CUTLER BAY FL 33189- Contractor(s) Phone Cell Phone Valuation: $ 2,000.00 TURNKEY CONSTRUCTION INC (305)234-9197 _.. _.,,.:, . _.. ..... Total Sci Feet: 84 Approved: Available Inspections: Comments: Inspection Type: Date Approved:: Final Date Denied: Foundation Type of Construction:Wood Fence Additional Info:REPLACING PORTION OF EXISTING Review Planning Classification:Residential Scanning:3 Review Building Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.20 DBPR Fee $2.00 InvOiCe# FW-1-16-58378 DCA Fee $2.00 01/21/2016 Credit Card $ 121.20 $0.00 Education Surcharge $0.40 Notary Fee $5.00 Permit Fee-Wire&Wood $100.00 Scanning Fee $9.00 Technology Fee $1.60 Total: $121.20 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,PLUMBIN CHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNER AFFIDAVIT: certify at the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction d zonin th or ,I authorize the ve-named contractor to do the work stated. January 21, 2016 uthorized Sig ture:Owner / Applicant / Contractor / Agent Date Buil ing epartment Copy January 21,2016 1 ` Miami Shores Village ! JrV_- ID Building Department ' JAN zo,s 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 [�' t INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 201 q J4� BUILDING Master Permit No. ' PERMIT APPLICATION SubPermit No. F�v M BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL F-1 PLUMBING [:] MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF Ej CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 9959 Biscayne Blvd. City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 11-3205-019-0470 Is the Building Historically Designated:Yes NO X Occupancy Type: RES Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholder):Global Real Estate Acquisitions and Investments phone#:(305) 979-1781 Address:9959 Biscayne Blvd. City: Miami Shores state: Fl. Zip: 33138 Tenant/Lessee Name: C/o Samantha Gardner Phone#:(305) 979-1781 Email: Samantha8873@hotmail.com CONTRACTOR:Company Name: rLrP_Mb4 0116 fi& n(i4, i/!It%. Phone#: ' 231, 7 Address: 03b 6 ag L4" i__ a City: SVL61 ��K6 4YI4 i State: I� Zip: 3 11 3 Qualifier Name: 42(,-W *nd -f4t Phone#: 2-3 Lf -T Lit, State Certification or Registration#:_C 61 C I®051 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$2,000 Square/Linear Footage of Work: 84 LF Type of Work: ❑ Addition ❑ Alteration ❑ New M Repair/Replace ❑ Demolition Description of Work: Replacing portion of existing iron fencing with wooden horizontal planks. Not replacing chain link fencing on either side of property. Specify color of color thru tile: o Submittal Fee$ Permit Fee$1 M co CCF$ ° CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ a Training/Education Fee$ q o Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ I (Revised02/24/2014) 1 r 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 OWNER or AGENT CONTRA OR The foregoing instrument was acknowledged before me this The(foregoing instrument was acknowledged before me this 13th day of January ,20 16 ,by s��h I day of January ,20 16 , by Samantha Gardner ,who is personally known to zurmlvle_TPDx✓ r o is personally known to me or who has produced as qEe:or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign Sign: ,F-- Print rint: D S par Notary Public Sta of Florf a Seal: ; Jotanne M Feliciano Seal y My rommiasion FF 082753 ',.=a1+NY P°`� RUTH DAYS EL 01/1212018 _ Notary Public-State of Florida � :aQ My Comm.Expires Apr 24.2017 Commission #FF 011909 APPROVED BY " N" Plans Examiner f ( � Zoning Structural Review Clerk (Revisedo2/24/2014) C[�RWICATE ®F LIABILITY INSURA •��� DATE,MM/DD12/22/ 2015015 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 hoider 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 NAME: David M. Lopez Eastern Insurance Group, Inc, PHONE (305)595-3323 9570 SW 107 A�vanue E-MAIL° AIC No;(305)595-7135 ADDRESS:amanda@easterninsurance.net Suite 104 Miami FL 33176 INSURE-1AFFORDING COVERAGE NAIC# INSURED ---- -- - INSURERABrid afield Em to ers Insuranc INSURER B Turnkey Construction, Inc. 6330 Manor Dane INSURER C: Suite 201 INSURER D: Miami FL 33143 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:Master 15/16 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. NOT✓�.;THSTANDING 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, —­�q UBR LTR! TYPE OF INSURANCE NSD POLICY NUMBER POLICY MMIDIDYW MM/DD� LIMITS COMMERCIAL GENERAL LIABILITY � � CLAiVS-,:ADE Ji OCCUR EACH OCCURRENCE $ PREMISES Ea occurrence $ MED EXP(Any one person) $ j PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: PRO_ GENERAL AGGREGATE $ POLICY I_J JECI _I OTHERLOC PRODUCTS-COMP/OPAGG $ � , : AUTOMOBILE LIABILITY $ COMBINED D SINGLE LIMIT Eaaccdent $ ANY AUTO BODILY INJURY Per person) ALL OWNED SCHEDULED SCHEDULEDI ( p ) $ AUTOS AUTOS BODILY INJURY(Per $ i HIRED AUTOS NON-OWNED ( ) AUTOS PROPERTY DAMAGE $ Paraccdent UMBRELLA LIAB `JI CCCUR ~ EACH OCCURRENCE $ EXCESS LIAB ! CLAIMS-MADE' I T AGGREGATE $ ' DED RETENTIONS � ' WORKERS COMPENSATION $ :AND EMPLOYERS'LIABILIT`! I PER TH- IANYPROPRIETOR?ARTNERIEXECUTIVE Y/N STATUTE ER A OFFICER/MEMBER EXCLUDED? II N/A E.L.EACH ACCIDENT $ 1 000,000 (Mandatory in NH) —L 1830-52156 12/23/2015 12/23/2016 If yes,cescnca unce: ! E.L.DISEASE-EA EMPLOYE $ 1 000 000 DESCRIPTION OF JPERATIONS beicw E.L.DISEASE-POLICY LIMIT $ _n 000 I� I DESCRIPTION OF OPEPAPYIONS)LOCATIONS!VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Contractors CGC058142 CERTIFICATE HOLDER CANCELLATION (305)756-8972 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 N.E. 2nd Avenue Miami Shores, FL 33138 1 AUTHORIZED REPRESENTATIVE David Lopez/ANA �--- ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/0 1) The ACORD name and logo are registered marks of ACORD INS025 onl4n I TURNCON-01 MVOSSE CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 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 ,CLOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED .EPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the pOIICAIGS)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 Collinsworth,Alter,Fowler&French,LLC NAME: 8000 Governors Square Blvd PHONE Suite 301 A/C No Ext):(305)822-7800 FAX No:(305)362-2443 E-MAIL Miami Lakes,FL 33016 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIL as INSURED —"-- — INSURERA:Amerlsure Mutual Ins Co 23396 TurnKey Construction,Inc. INSURER B: 633E Manor Lane INSURER C: Suite 201 INSURER D: Miami,FL 33143 INSURER E: COVERAGESINSURER F CERTIFBCATE 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 INDICWI ATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY SE 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, _-- LTR TYPE OF INSURANCE NSD W1/D POLICY NUMBER �M�P;OU�C;YEFF; POLICY EXP COMMERCIAL GENERAL LIABILITY MM/DD LIMITS CLAIMS-MADE ' OCCUR CsL20192591103 EACH OCCURRENCE $ 1,000,000 06/30/20151 06/30/2016 PREMISES Ea occurrence $ 300,000 MED EXP(Any one person) $ 10,000 GEN'L AGGREGATE LIMIT APPLIES PER PERSONAL&ADV INJURY $ 1'000,000 — POLICY X JEC LOC j GENERAL AGGREGATE $ 2,000,000 OTHER: PRODUCTS-COMP/OP AGG $ 2,000,000 ON AUTOMOBILE LIABILITY POLLUTILIA $ 100,00 A COMBINED SINGLE LIMIT —ANY AUTO ___ CA2093151 003 Ea axident $ 1,000,000 ALL OWNED SCHEDULED 1 06/30/2015 106130/2016 BODILY INJURY(Per person) $ _AUTOS AUTOS X HIRED AUTOS X_AO oOWNED BODILY INJURY(Per accident) $ — PROPERTY DAMAGE $ Per accident X UMBRELLA LIAB OCCUR $ A EXCESS LIAB _1 CLAIMS-MADE' CU202215210 EACH OCCURRENCE $ 1,000,000 06/30/2015 106/30/2016 AGGREGATE DED RETENTIONS 0' $ 1,000,000 WORKERS COMPENSATION $ AND EMPLOYERS'LIABIL1 Y PER ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N STATUTE ER OFFICER/MEMBER EXCLUDED? N/A' E.L.EACH ACCIDENT (Mandatory in NH) $ If yes,tlescribe under E.L.DISEASE-EA EMPLOYE $ DESCRIPTION OF OPERATIONS below A !Equipment FloaterE.L.DISEASE-POLICY LIMIT $ IM20931530®03 06/3�11'1' 3Scheduled Equipment 21 800 A !Unscheduled EgL�ip jIM209315300®3 06/3Max$2,500 Per Item 20,000 i I DESCRIPTION OF OPERATIONS i LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) General Contractors CGC#058142 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shores Village Building Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 10050 N.E.2nd Ave, ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores,FL 33138 AUTHORIZED REPRESENTATIVE ACORD 25(2074I01) ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and Inan ara r®nino—i..,...e...-s.P..o.... enCes Good'Side Ouf.The Orttcat end hdri orf l su Rort�ng memfjers a a-fence shah fr ee the mterjor�4 the plot ori whibh*the fence I`3 Cared ; and thig.=finished.side shail�face th® adj,i,,i' J M lar or any abuttirfg right--Lway 1Ju' � v , VP '� j 1 20 f "Y Q. TE TED JAN 1 9 2016 � WI rH All FEDERAL. �.� g Pei SCTewS 5,n,.n _C?i JLATIONS - 0 o e g1� . a d>DC�'CxOit� -'ra -9C3Cff-g �/,•f ` ire ac.a x o flm' mm e o P 4 �Yq♦ fp ' .39 C�9:.g� Pa &i c. S.: �... =t9�rat F R,}: 5_j �r Zti..,_ t iC"'•• _. �1 �rtr� 4'L i f X1.5' a� i� 3 tx 3> z et ' • ?[ 1-"Lr'$ r ti._ _��'�+.�'�e' - a'-�� --i� �A 5 '�'�'�•s„r``"} " <�irr aa`��• ..�� ` �q r i 'Y��-�? � ,.= �s t,.ar t..i �s'�'°ia't2`�k.^��-*. �"'' �5fa'' ��r ri :-:`r,pG,��..:5.s ,fid -c zr•�. e :���:` }' g`.4`�'r�� -.� tTy w 3'r��? �r� y-'�.x�r�',.�, 'v ;�.F a-k.��A m _�v "�'��'�3 F �C3�de`�?'`�"i ��'y. 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M` '� ��� f 1 ;� f i°ll 11Reg 111 °�:eg' WH '°�' 11°1 ° m M.M mA-HAM) i Ali ai y 8 ll NfL va �❑ � g • t deo J5'.6 m s' mN n is �S D � �m 91 1 �$q311 1�8�2PA � Ri AA �O S - t R q• X 14 ' T p _ -a fir'•`•, Sr.13 ,�y gg t - • ^r Y rJ-. s s.t r� LiLli C <LLJ p7 <L D d gas_ G = Q 7 ui z FEB ® 9 2016� .'_ cr °� f 546 Ar, Sete-IT � z �� ; n Lu CL 0 U 1J > ® Lu r C 1� CC Z C� < t z f IV Q N m :T f nhp na ' o° a�sox�r. 7 �r^' � k€�U �• t�, r - '�yv`,moi �^t' -� a. , ��.t r • ' r ..,4 fF�� '� y a'� - t't• 5 �, y !�cy�� ��y{. - '` zh,°a'�.{1A�r` +`'" ����� r �"�°��`' } TtJi'F" -� �, s ' ,S a . f .^•,s�r+r}f',yy .,+„ fR A _ cXah�S°i.Wp '4�'2�w_,•�.,+ � Y� �,�,N �,f Jc €^'.�Y x'7 s '4' �h;Kti'`•v -£sr'�+ y, sdx, '`L-^ ' S'S? ' F"r s Ford t" .^'.a' ' - H t Nt4j�..ys }�' �- r m� + 1. ��-.Y't .3 (<' ��,.a;:,`���Ti.' ��.7 �7�.,„°`"'3S'Y� i �.- ✓' ' �.ax�9'k s�� +_-. '-�� �+�'t'4 f..� l4 i 1 S ,56. 6����-� 4�gf `t4 ���,.�.�c�-.�� �.1 1fa b�u Nfj ��' � XS �•>-,y. x - ____. __. _... . _..._. _v__ ,...r....._ _ .._ ....... . _ -TRICK SCOTT,GOVERNOR KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION , CONSTRUCTION INDUSTRY LICENSING BOARD CGC058142 , Q The GENERAL CONTRACTOR Named below IS CERTIFIEDa �� .�� Udder the provisions of Chapter 489 FS. Expiration date: AUG 31, 2016 TEPPER, RAYMOND CHARLES TURNKEY CONSTRUCTIOW_INC x 6330 MANOR LANE SUITE 201 SOUTH MIAMI FL 33143 a I#`a° ISSUED: 07/06/2014 DISPLAYAS REQUIRED BY LAW SEC!# L1407060000530 001017 Local Business Tax Receipt Miami-Dade County, State of Florida -THIS IS NOTA BILL - DO NOT PAY 3827269 BUSINESS NAME/LOCATION RECEIPT NO. EXPIRES TURNKEY CONSTRUCTION INC RENEWAL SEPTEMBER 30, 2016 6330 MANOR LA 201 3995785 Must be displayed at place of business SOUTH MIAMIfL 33143 Pursuantto County Code Chapter SA-Art.9&10 OWNER SEC.TYPE OF BUSINESS TURNKEY CONSTRUCTION INC 196 GENERAL BUILDING CONTRACTOR PAYMENT.RECEIVED CGC058142 By rax COLLECTOR Worker(s) 12 $51.00 09/02/2015 CREDITCARD-15-043681 This Local Business Tax Receipt only confirms payment of the Local Business Tax.The Receipt is not a license, permit,or a certification of the holders qualifications,to do business.Holder must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT N0.above must be displayed on all commercial vehicles-Miami-Dade Coda Sec Sa4278. For more information,visit www.miamidade gov/taxcollaotor TURNCON-01 RGOMEZ CERTIFICATE OF LIABILITY INSURANCE °A� I"'"' _ 2r5/20/2o1s 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 lieu of such endorsement(s). PRODUCER CONTACT NAME: .. Collinsworth,Alter,Fowler&French,LLC PHO NI'. PASI" 8000 Governors Square Blvdc Ext);(306)822-7800 (AIC,No) (306)362-2443 Suite 301 MCA( Miami Lakes,FL 33016 ADDRESS: _ INSURERS(AFFORDING.COVERAGE NAIC# INSURER A:Amerisure Mutual Ins Co 23396 INSURED INSURER B: _..... TumKoy Construction,Inc. INSURERC: 6330 Manor Lane ... ....................._....._ ........ ........... Suite 201 INSURER D ............................. _..._............................................................._.........._............., .. .......... Miami,FL 33143wsURER 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, "EEXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE A „SUM..s POLICYNUNIBER (M#MfiII YY� j G DB'J 1irY A X COMMERCIAL GENERAL LIABILITY EACHOCCURRCNC.E $ 1,000,000 CLAIMS4IADE X OCCUR GLM12591103 06/3012015''06130/20161 OAMAf3ETORCNTEC3 ,PREMISE$(Eaoceurrern $. 300,000 MED EXP(Any ovpelscn) S 101dOO __. PERSONAL&ADV INJURY 5. 1,000,00 ,OWL AGGREGATE L0#RAPPLIES PER. GENERAL AGGREGAIE $ 2,000.00 ..POLICY: X PRO- PRLOC ., -R _.._. ...... .... pl?UCTs-GpMPIC9P AiG $ 200,0 pn1ER; POLLt1TION LlA $ 100,00... AUTOMOBILELIAetUTY SINSLE LIMIT A (Eaacciaeru)_. _....._..... .. 1,t100rti _... ANY AUTO CA20�3151003 06130/201510613012016 BODILYINJURY(Per persm) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) 5 .... .. ...... NON-0m,>CI IPEIiY pAMA�3E 5 X.:HIREDAUTOS X_ AUTOS I (Perscddenl)„ ..... .......... _. X UMBRELLA,LAS JC OCCt u_ ___._......... EACH 1,000,000 A ExCESSLIAB CLAIMS-MADE; ICU202215210 06/30/2015106130/2016 .. AC R "fiTE 1,000,000 _._. OED_X RETENTIONS 0 WORKERS COMPENSATION j AND EMPLOYERS'LIABILITYY 1 N - ST�jiJT`E. ._ R.... __.. ANY PROPRIETORIPARTNER/DIFCUTNE OFFICERIMEMBER EXCLUDED? NAR - °E.L.:EACHACCt43ENT y.$ .. (Mandatory In NH) -- E.L.DISEASE-EA EMPLOYEta$ _....... _ ._....___.. li es,describe under - DESCRIPTION OFOPERA11ONSWow i E,L DISEASE-POLICY LIMIT A Equipment Floater {IM20931530003 06/30/2015 08/3012016 jScheduled Equipment 29,90 A UnscheduWd Equip iM20931630003 06130/201510613012016 IMax$2,500 Per Iteq� 20,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Renmrks Schedule,may be attached It more space Is required) General Contractors CGC#056142 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shores Village Building Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 10050 N.E.2nd Ave. ACCORDANCE WITH THE POLICY-PROVISIONS. Miami Shores,FL 33138 AUTHORED REPRESENTATIVE . ou ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD A►C R® CERTIFICATE 4F LIABILITY INSURANCE °ATE(MM/D°"'�"'12/22/2015 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 certfflcate holder Is an ADDITIONAL INSURED,the Poilcy(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 ileu of such endorsements, PRODUCER T Da�rid M. Lopez PHONE Eastern Insurance Group, Inc. NAME — (305)595-3323 �yal (305)gg5-7135 9570 SW 107 Avenue -r41NL'-'DML-- _ ...._ ...._. REgsamanda@easterninsurance.net Suite 104 ---_ __...._..__..__:. €NSU"J.AFFQR=a et3vEa as am*- FL 3317 6 --- __— ____--_.._. _ roaeua&RAri er'ieid . erg...Snstsrarxo _ _......�._.. --_ _. —_ .__ ._._ d�L _ 01 INSURED .------ INSURER a Turnkey Construction, Inc. ---...._.�_._..._........._......... ._._.—.....�.-._�_..,__..._—..� _,.�. .,#NSURER c:. ..........._..... �....,.�... 6330 Manor Lane ----..._..._.. _..__..........___-. _.„..._—�.. Suite 201 _�.._.. INsuReR a:__ Miami FL 33143 INSURER F. COVERAGES CERTIFICATENUMBERitastelr 15/16 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OE 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. _ TYPE OF INSURANCE p. -EFF POLt�-..Ex LIMITS GENERAL LIABILITY CLAIMS-MADE ,OCCUR sC TCiE6ii "—'EACH 0001JRRFACES �^ MEO EXP(Anp one aeraort S GENT AGGREGATE LIMIT APPLIES PER: # PERSONAL&ADV INJURY $ I�OLICI GENERAL AGGREGATE S I i re - �- PRODUCTS-COMPIOPAGG $ ' OTHER' $ AUTOMOBILE LIABILITY MMONEDUmfS ANY AUTO = BODILY INJURY(Per person) :$ ALL OWNED SCHEDULED _............__......... —_..... -......�,._ ...._..—_.-M,.-_—. AUTOS AUTOS BODILY INJURY(Per accident) NON-OWNED HIRED AUTOS I_ ^"' """. $ " AUTOS PRO tY .........__. �._. _— -,.. .ecc8tsrul S UMaRELLA LUAe OCCUR ° EACH Q> CURRENCI" EXCESS LIAR CLAIMS-MADE I AGORAPrT' ..._.._ �_....—__.. WORKERS COMPENSATION ;AND EMPLOYERS'LIABWTYY!N I x T, T ZANY PROPRIETOR/PARTNERiEXECUTIVE ? A67C10EI8T 1"000 D00 OFFICER/MEMBER EXCLUDED? ❑MIA . F-L EACH A ttttit(Mandatory In NN) 830-52156 12/23/201512/23/2016 E.L DISEASE-EA EMPLOY£ $ 1 qQg) 0bp If yRRiPes;describe Undue DESi" flON F'f E}^r4TtOR1�3:be1 t ®i5F.1 `-POLICY LIMIT S 1 1000.000 I DESCRIPTION OF OPERATIONS/LOCATIONS/ Contractors VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CGCO58142 CERTIFICATE HOLDER (305)756-8972 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 N.E. 2nd Avenue Miami Shores, FL 33138 AUTHORIZED REPRESENTATIVE David Lopez/ANA r ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD I NS025(Pn14011