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RC-15-1804 a Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 inspection Number: INSP-254011 Permit Number: RC-7-15-1804 Inspection Date: March 07,2016 Permit Type: Residential Construction Inspector: Rodriguez,Jorge Inspection Type: Final Building Owner: NEWBAUER,JEFFREY Work Classification: Alteration Job Address:70 NE 92 Street Miami Shores, FL Phone Number (305)799-0885 Parcel Number 1132060130020 Project: <NONE> Contractor: HABIFY Phone: (305)443-4900 Building Department Comments INTERIOR REMODELING, KITCHEN, 2 BATHROOMS I cdo Passed Comments AND LAUNDRY ROOM INSPECTOR COMMENTS False I i Inspector Comments Passed Failed El Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid For Inspections please call: (305)762-4949 March 04,2016 Page 1 of 1 N "IN Mrs A Rh owl 1�6 "M T W02NMRA� AT ,Ani T WS 11 �JW11LA P 101 ! Y oil I*77 7r7=M to ETA RM MAE AS- a was,.*' I-I-Q ,x7ppm Amu ilk to Cog- ST71 I I Z UIP-Tel Z F_J;i M!WN 7f .mss Known— .z skis' ski 1 Mil ■ ■Oi N C:�R[ T ON SITE �- wC Permit No. RC-7-15-1804 w Miami Shores Village 10050 N.E.2nd AV@nU8 i Miami Shores,FL 33138-0000 , ,"��-- Phone: (305)785-2204 Fax: �306)�56-ae72 Issue Date 8/21/2015 EXpir":otic 7/2016 INSPECTION REQUESTS: (305)782.4%9 or Log on 8t httpS:I/bldg;miamishoresvillage.conlfcap REQUESTS ARE ACCEPTED DURING 8:30AM-3,30PM FOR THE FOLLOWING BUSINESS DAY. Requests must be received by 3 pm for following day inspections. Residential 'Construction Parcei#:1132060130020 -Owner's Name:JEFFREY NEWPA'UER Owner's Phone: (305)799-0885 Job Address: 7a NE 92 Street Total Square Feet: 400 �t ll�airni Stierea FI� `,.. ..' •-`".'.'-.•, Total Job Valuation, $ 64,000.00 Bona Number, WORK IS ALLOWED MONDAY THROUGH SATURDAY, CORtractar(81 Phone P�itna Gontraotor 7:3>b1AA-B:OOPM .NOWORIC;ISALLOWED ON t w SUNDAY OR HOLIDAYS. HABIFY (30 )�U Xes BUILDING INSPECTIONS ARE DONE MONDAY THROUGH THURSDAY. ROOFING INSPECTIONS ARE DOME MONDAY THROUGH,FRIDAY, NO BUILDING INSPECTIONS DONE ON FRIDAY. rHls Is, MU - T BE ON JW . AT T 9. ffi IN SO prllc"101�0,`N i NO INSPECTION WILL RE ANAI .4�NLES�THE PERMI7 CARD IS'OISPLAYEp�N HAS BEEN APPROVED. PLANS ARE READLY A1/AILABLE. IT IS THE PERMIT APPLICANfiS RE;3PONSIBILITY TO�ENSURe THAT.INOR1i:Is:ACCESSIBLE AND EXPOSED FOR INSPECTION PURPOSES.-NEITHER THE BUILDING:OFFICIAL.t460,,`' Cr YTY L BE L# E14E FOA'EAPEN&E E�71�I;E{1 IN THE REMOVAL OR REW.ACEMENT OF A�tY MATERIAL REQUIRED TO AF LOW[A,S,p1;CT , WARN " ,k � AIL R TO RE�OR0 A ' C ,. OF COIL M E �I�T �' R A"; " �= Y 'AY I 'TW OR �'�t '�E��tI NTS T YOU 0W1C.EA�EN _ ED AND p aTf 4 ' ' " � : F [ 'T �f YOU INTEND 'TA� AINANI Ni,' N # ,T' fil `fH YOI , AN ATTC3RN Y � N WORK r` EC DIN ; Y p' 1 `i SCE OF c EN E � T {, ►'- „ 2d4�1.T" _ H -�' ��,�:� zy �r i�''.�`',gr'P. /'JF -'ar � . �' �_ _ y IAiii' d5 _ ZIA d2. �QWai� LYYl s _ *Y l c i32 . ow r co y F' S YRQ woo n� t ,yr x't�£ 'ti+k,�y+'i�,�✓r 't�g�''"f s �s a �k (� { u � sa y e Y t s e a oq a F gp^ s iA P 4b LPjF r r � �#�5 L � S• h r v Mon-,�! z rir w,w '� F: + t del+•+f i" Y i� � '_fi tfi �e { 6. � g diva in Dt�1t@SIV # r p�. st o ! .:2 5�Z s � L�� fi .ten t r ✓- y v a :h L r � '�S ,zr's{ y�-.r�-1,Y TRc - �� k��f r• 4k` .............. K NOW Run aAR, ,� sJ J r�bit. a=� �'{ a~~^�,� � & v r G ��ly!'�b „ ,r t p s / I p TWO r r7 7 ms's r fR. i v kr` .. - _ - � ' 7 'T`�r r ; 2' ;+ ti-"I'V " J s t k p , T 4� _� s s a� s�%'x'r . � �.: �`;. y�rR * ' ��� "�l ] ,rv.C ,' . 0 February 25, 2016, habl*fy- evolve your home Miami Shores Building Department Miami Shores Village 10050 N.E. 2"d Avenue Miami Shores, FL 0 2016 RE: Permit#RC-7-15-1804 (Newbauer Residence) ' t BY: Insulation Compliance Letter To whom it may concern, The insulation which installed at 70 NE 92nd St, Miami Shores, FL, 33138 was installed in accordance with Chapter 4 Residential Energy Efficiency of the Florida Building Code 5th Edition (2014) Energy Conservation. Sincerely, Buck Reilly LEED AP+Homes LEED FOR HOMES GREEN RATER Class 1 Energy Rater FGBC Certifying Agent FL WaterStar Inspector CGC 1520342 NAT-17158419-1 habify email buck@habify.com phone 305-443-4900 direct 305-731-2351 design studio 4940 sw 42nd ave miami,fl 33146 web www.habify.com SHOWROOM 4940 S Le Jeune Road Coral Gables,Rodda 33146 PHONE(305)740.8040 www.habgy.com 0 : February 25, 2016, hab*lfy- evolve your home Miami Shores Building Department Miami Shores Village 10050 N.E. 2nd Avenue R.11 4 01�.. Miami Shores, FLS RE: Permit#RC-7-15-1804 (Newbauer Residence) Concrete Slab Compliance Letter To whom it may concern, The concrete slab which was poured on January 8th 2016 was built in accordance with Section R506 of the Florida Building Code 5th Edition (2014) Residential. Below is a summary of the methods of construction used to comply with FBCR 2014. -Clean sand and rock fragment base was added over well draining fill&compacted (see attached compaction test) -Termite prevention treatment was performed (see attached Pretreat service ticket) -A 6-mil visqueen vapor retarder was installed -Wire mesh was installed 44 rebar was installed (spaced every 16") and doweled to existing concrete slab with epoxy adhesive -6" of pumped concrete was installed and smooth finished Please contact me if you have any questions. Sincerely, Buck Reilly LEED AP+Homes LEED FOR HOMES GREEN RATER Class 1 Energy Rater FGBC Certifying Agent FL WaterStar Inspector CGC 1520342 NAT-17158419-1 habify email buck@habify.com phone 305-443-4900 direct 305-731-2351 design studio 4940 sw 42nd ave miami,fl 33146 SHOWROOM 4940 S Le Jeune Road Coral Gables,Florida 33146 PHONE(305)740.8040 www.nabtfy.com Inspection Worksheet — Miami Shores Village I 10050 N.E.2nd Avenue Miami Shores,FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-249926 Permit Number: RC-7-15-1804 Scheduled Inspection Date: December 28,2015 Permit Type: Residential Construction Inspector: Rodriguez,Jorge Inspection Type: Slab Owner. NEWBAUER,JEFFREY Work Classification: Alteration Job Address:70 NE 92 Street Miami Shores,FL Phone Number (305)799-0885 Parcel Number 1132060130020 Project <NONE> Contractor: HABIFY Phone: (305)443-4900 Building Department Comments INTERIOR REMODELING, KITCHEN,2 BATHROOMS Infractio Passed Comments AND LAUNDRY ROOM INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid For Inspections please call: (305)762-4949 December 28,2015 Page 11 of 17 4474 NW I PA"STRM, OPALOC"FL 33054 Notice.of PreventativeTre4tment for Termites (as required:byFlarkfa BuUft coda(Rq IKU) 701& Street,MiandShores,.F1. 33138 Address Treatment or Lot/block of Treatment -7-1 1, D Robert Abrue Date Time Applicator Tg Imldaclopf id 57 Product umd. C:hemieal used(Acgve bgreclierd) N cif peons applied 0.5 Percent Concex fixation Aree'Treated{square feet) I.nea-Feet treated Stage of treatment Oji oral,veM. 6—a : adjaining slab,retreat of disturbed area) As per 1rtfi4.2h-if off chetr*4 baniv,meftd for tertift prey ntioe,is used,A*.Ok ft"brient-sitid be completed priot to finolbadidgappro"L TRULY WOUM OFE WJ X474 MW 928'1SUests,F1,3M, OS4.30S*8&7411. FAX M485-741 6 TRUL:1f"MOLIMCC?U ^DECENGINEERINGCORP.R W W W.DYNATECHENGINEERING.COM Miami, December 16,2015 Mr.Jesse Rush HABIFY 4940 Southwest 42°d Avenue Coral Gables, FL 33146 Re: Interior Renovation @ 70 Northeast 92°1 Street Miami Shores,FL Dear Mr. Rush: Pursuant to your request, Dynatech Engineering Corp. (DEC) performed a Compaction Test on December 16, 2015 at the above referenced project. DEC was authorized to perform a compaction test only. The purpose of our test was to determine the degree of compaction of the tested layer of material only. In no way shall a compaction test replace a demucking inspection, soil bearing capacity determination, or a pad certification. A soil boring test must be performed by client if not yet done, prior to construction to verify subsoil conditions. Underlying soils below test levels must be verified to prevent future settlements. (DEC) was not authorized to perform supervision and certification of the building pad preparation. This is not a pad certification. Our reports must be provided to all involved parties for their approval. Our findings are relative to the date and areas of our site work and should not be relied upon to represent conditions on other areas or dates. Any subsequent site disturbances due to water erosion, rain, storm gutters discharging at footings, construction activities, excavations, overgrown, vegetation, traffic and other disturbances will void this test and the site must be re- compacted and re-tested prior to construction. Environmental analysis of the soil materials is not part of the scope of services. If environmental analysis of the soils is required, we can provide a proposal for performing an environmental analysis of the soil materials. No other analysis is implied or warranted. As a mutual protection to clients, the public and ourselves, all reports are submitted as the confidential property of clients, and authorization for use, publication of statements, conclusions or extracts from or regarding our reports is reserved pending our written approval. Enclosed find copies of the compaction test results. It has been a pleasure working with you and look forward to do so in the near future. \\\\\%%I I I I I/III,/ laws Wissam Kaamani, P. E. _' q�o, 395i DYNATECH ENGINEERING CORP. ' a 7 Florida Reg.No. 39584 of Special Inspector No. 757 ®�, Certificate of Authorization No.: CA 5491 1 750 WEST 84TH STREET,HIALEAH,FL 33014 PHONE(305)828-7499 FAX(305)828-9598 EMAIL:INFOODYNATECHENGINEERING.COM - EC ME CORP. j- WWW.DYWATECHENGINEERING.COM MOISTURE-DENSITY RELATIONS OF SOILS PROCTOR COMPACTION TEST DATE: December 16,2015 CLIENT: HABIFY PROJECT: Interior Renovation(a ADDRESS: 70 Northeast 92nd Street, Miami,FL CONTRACTOR: Habify MATERIAL DESCRIPTION: Light tan sand w/rock fragments SAMPLED BY: JA TESTED BY: JA TEST RESULTS Sample Number 1 The.following compaction test was conducted in accordance with the Standard Methods for Moisture Density Relations of soil using a 10 lb.Hammer and an 18"drop ASTM D-1557. % MOISTURE DRY DENSITY 4.4 98.3 5.9 101.1 107 9.3 104.5 D 13.1 102.6 R 14.6 99.5 105 Y D 103 E Optimum Moisture 10.6 Percent I I N 100%Maximum Dry Density 105.1 lbs./cu.ft. 101 S %Passing W Sieve 89.4 Percent I 99 T Y Sampled By:1A 97 Tested By: IA Checked By:WN 4 6 8 10 12 14 Respectively submitted, As a mutual protection to clients,the public and ourselves,all reports S ND • ; are submitted as the confidential property of clients,and authorization ••®�, �8���`.� `� S for use,publication of statements,conclusions or extracts from or regarding. out reports is reserved pending our written approval. 4C -•DYNATE H ENGINEERING CORP. W Florida Reg.No.39584 5�geOF 2 Certificate of Authorization No.:CA 5491 psi® as10TA ®�> 750 WEST 84TH STREET,HIALEAH,FL 33014 PHONE(305)828-7499 FAX(305)828-9598 EMAIL"INFOODYNATECHENGINEERING.COMEC DYNATECHENEER CORP. WWW.DY14ATECHENGINEERING.COM FIELD DENSITY TEST OF COMPACTED SOILS DATE: December 16, 2015 CLIENT: HABIFY PROJECT: Interior Renovation na ADDRESS: 70 Northeast 92n1 Street, Miami,FL CONTRACTOR: Habify Test No. 1 Location: North side of laundry room underslab Test No. 2 Location: South side of laundry room underslab Test No. Location: Test No. Location: Test No. Location: Description of Material: Li 1tray sand w/rock fraglnents TEST NO. 1 2 DEPTH 12" 12" FIELD DENSITY 103.6 103.3 MOISTURE CONTENT% 6.2 5.5 MAX. DENSITY IN THE FIELD% 98.6 98.3 COMPACTION REQUIREMENTS 95% 95% %OF MAXIMUM 100%MAXIMUM DENSITY (LAB) 105.1 105.1 REMARKS: ALL ABOVE TEST RESULTS COMPLY WITH COMPACTION REQUIREMENTS Please note this is not a pad certification.A soil boring must be performed to determine subsoil conditions below the tested compaction layer prior to construction. Respectfully submitted, Tested By:JA Checked By:WN +r ,Wissam aamalri,P.E. ATECH ENGINEERING CORP. °s �brida Reg.No.39584 39584 *0@1ficate of Authorization No.:CA 5491 *A density test determines the degree of compaction of the tested layer of matenW nly. in gA y�[I a deny Lest replace a soil bearing capacity determination. A soil boring test must be provided by client,prior to construction to verify s�°s�gil co ttdt5?,`' Asa kotection to the clients,the public and ourselves,all reports are submitted as the confidential property of clients,and authorization Nblicion o� teptclusions or extracts from or regarding our reports is reserved pending on our written approval. �(. _L01�,.•/y� 3 750 WEST 84TH STREET,HLUEAH,FL 33014 PHONE(305)828-7499 FAX(305)828-9598 EMAIL INFOODYNATECHENGINEERING.COM $1E'C; Miami Shores Village 10050 N.E.2nd Avenue NES Miami Shores,FL 33138-0000 Phone: (305)795-2204 *, Expiration: 02/17/2016 Project Address Parcel Number Applicant 70 NE 92 Street 1132060130020 JEFFREY NEWBAUER Miami Shores, FL Block: Lot: Owner Information Address Phone Coll JEFFREY NEWBAUER 70 NE 92 Street (305)799-0885 MIAMI SHORES FL 33138- 70 NE 92 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 64,000.00 HABIFY (305)143-4800 a Total Sq Feet: 400 Approved:In Review Available Inspections: Comments: Inspection Type: Date Approved::In Review Fill Cells Columns Date Denied: Final PE Certification Type of Construction:INTERIOR REMODELING,KITCHEI\ Occupancy:Single Family Window Door Attachment Stories: Exterior: Framing Front Setback: Rear Setback: Insulation Left Setback: Right Setback: Drywall Screw Bedrooms: Bathrooms: Window and Door Buck Plans Submitted:Yes Certificate Status: Review Planning Certificate Date: Additional Info: Review Structural Review Electrical Bond Retum: Class cation:Residential Review Electrical Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Review Electrical CCF $38.40 Review Building Invoice# RC-7-15-56391 Review Building DBPR Fee $28.80 08/21/2015 Check#:2999 $1,945.00 $150.00 Review Building DCA Fee $28.80 Education Surcharge $12,80 07/20/2015 Credit Card $ 150.00 $0.00 Review Mechanical Permit Fee $1,920.00 Review Mechanical Scanning Fee $15.00 Review Mechanical. Technology Fee $51.20 Review Plumbing Total: $2,095.00 Review Plumbing Review Plumbing 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 conform' with the Tans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In Pe 9 8Y p 9 accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zo ing uthermore,I authorize the above-named contractor to do the work stated. August 21,2015 Autho Slgn ture:Omer / Applicant / Contractor / Agent Date Building Department Copy August 21,2015 1 Miami Shores Village JUL 20 k015 Building Department 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 �y --- Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762,4949 FBC 20 [Q--� 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: 110 ME City: Miami Shores County: Miami Dade Zip: 33138 Foilo/Parcel#: 1 • 3awa• w 3 - 0DS.0 Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): 6jF_0 Au.ClL Phone#: 30!•-414. O$$S� Address: 4.0 City: Ail lalNt( S State: I'L. Zip: 3 313 8 Tenant/Lessee Name: Phone#: Email: 737e4C - NI e Lo 6g,�y, e.r @j Y°`�` •Cayk CONTRACTOR:Company Name: Phone#: 3©-4-- i(W? �F9'c9n Address: '1140 S 6E4S- jjAJI;..- `?nD City: Ce)KAL._ QARI F.s State: fit_ Zip: 39 f(rte Qualifier Name: St+uGK- 9—F—(L.Ly Phone#: 3bg:- W3- 19ch State Certification or Registration#: 1!'C,y(, i Ia 63 4 01 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ near Footage of Work: `4it) Type of Work: ❑ Addition �z Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: LAu.itil�l�Y P-O�.K� Specify color of color thru We: Submittal Fie$ Permit Fee$: .92 •CAD CCF$ CO/CC$. Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ 911 TOTAL FEE NOW DUE$I, S • C� (ReWsed02/24/2014) 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 permitIth an estimated value exceeding$2500, the applicant must promise in good faith that a copy of the notice of commencement and tristruction 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. Signature444 Eg Signature The foregoing instrumef(t was acknowledged before me this The foregoing instrument was acknowledged before me this k'Z,> _day of SNI&L !- .20 1, .by J_day of SCSI L_S ,20 /:9' ,by �y V:P?_V M E09 who is personally known to `g f t_C IL, `,.,d L who is personally known to me me i ath. i . NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: /I//Le0_' /auumac &t Print: KURT A BIRGHENOUGH Seal: "`'�,t Seal. KURT A BIRCHENOUGH /•` MY COMMISSIOK#FF051900 t:' n fir MY COMMISSION#FF051900 ','era; EXPIRES September 8,2017 EXPIRES September 8,2017 1a-. oteryservice,com APPROVED BY Plans Examiner Zoning Structural Review Clerk IRevised02/24/20141 t STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850)487-1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 REILLY, BUCK HABIFY .4940 S LEJEUNE ROAD MIAMI FL 33146 Congratulations! With this license you become one of the nearly 1'2iWvR a one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range STATE OF FLORIDA from architects to yacht brokers,from boxers to barbeque restaurants, DEPARTM F BUSINESS AND and they keep Florida's economy strong. PROF "GULATION Every day we work to improve the way we do business in order to C(351526342 8/24/2014 serve you better. For information about our services,please log onto g www.rnyfloridalicense.com. There you can find more information CERTfFIED G about our divisions and the regulations that impact you,subscribe RbLLY,BUC a e to department newsletters and learn more about the Department's ; initiatives. _IiAIFY 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, �,S'G�FTIF�ED_ukid��the Provisions or Ch.488 FS. l and congratulations on your new license! 6666 :aGoar,lois uaaooes DETACH HERE RICK SCOTT,GOVERNOR KEN LAWSON,SECRETARY - STATE OF FLORIDA, DEPARTMENT OF 1§3I.118I EkSANp PROFSS1ONAgL4Rt%ULATION CONSTRUCTIO .IN .USTX L IG jkG BOAR Ala 066-15Z0042'] - - w. TO-QG N€RAL CONTRACTOR Natfie#below IS CERTJFIEb s i Unoe"!'the pr_ovislons of•ChOpter489 FS. Exp!fatlon'date:'AUG 31,-2016 I REILLY, BUCK -HAPIFYK 49 0 S,LEJEUNI=RO MIAMI FL" ISSUED: 08/24/2014 DISPLAY AS REQUIRED BY LAW SEQ# L1408240003885 t .. 002881 Tli M- Dade W'UIO i, States i6r da THIS IS NOTA BILL -;b0 NOTt'AX I +G yr f- 1 0ut3lNess Iii�Ie;wciaTloN �t+'r Nb:' t�5�' F HA�i�r '30, X4'1:6 49 _QL SW 42 AkA Mtlet be dlepla place of business CQRAL`CSA im FL 331'46 $utaueij CountyCdtle Chapter 8A :;Art 9,&10 OWN.R 8t?C TE Ol=BUSINESS ! FLORIdA BUILDING PERM RMAIVCEtkC. 196 CGC15 2 L BUILDING;CONTRAGTOto w 8 �9R Workers) t $45. 2/261-5 REDITCtQ-15-031861 Tift t-w i3uw eseT'tllt pt o IIt rats alt `otthe Looei Busivabs Tex The R 1pt is trot per�� trortiRi tiot otthe�r alHitrotiat todob Hold pttmtcompl ang ntel or � rt�dlatory regniret�its virbi to the b`A r` °� i � Tlt®°RECEIPT N0.ebore`atrot ba,dls�lay�d on ell aw�nercial'veMtil�-AAtaaH�ede Cotfa Sea Ba-276.' For arore tetormatlon,vielE' y U m Lei Eicle � � t �911I�°aanjr, tat� oflorlda THIS IS NOTA BILL Di7NOFPAY �. a 67128 ] BtJSllllt?S8 N�IPlIt3JLOt1if tON` RECEIPT t110. s m' o } 207 6 494w 42 A1/E �7} Music �t pla ( pts o'buatne s CO,L2(1L�iA6lES F1.331:46 i'uuarrc to`Gctirtty,Cone = '. ChapterSA `Art R&fi0 f OWNER SBC.T1rP OF 40SMS015 214 RETAIL SALES PAYMENT IiBctalvl3O. FL-BUIiAINC PERFORMANCE LLC 0Y TAX CO"CTOR Employe (s) i $45.00 '7/02/2015 &EDITCARD-15-031861 Tbis.I pc41 Bnsin�s Tax Receipt oply aogRra�s pe�npeat LSI Basia�s Tex The Reba gIs not a Ilcrime, pa It%orAcertiRcationditlreboldar's'. elNicatlb�,todti'Gysin s Bolddrantstn�PlV41%.anygovermnental or twd'gogmratnentat story lads eregairettieoCs'rvbich apply to the beaitlesis. . 4 The RECEIP AIO.above mtrot ba displetl on all couimerciel vebit6l�-Miaml Bella Coda See 6a-276. rvr erore iefom>eNoa,visiE ACCP CERTIFICATE OF LIABILITY INSURANCE 07/1512015 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: K 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 cerdficate holder in lieu of such endorseme s. PRODUCER W.CT DOW Jones CIO Amex Risk Solullons,Inc. PHONE 460 951-4177 IM,go): 480 951-4266 8800 E.Chaparral Rd,Sufte 230 Scottsdale,AZ 85250 INSURERS)AFFORDING COVERAGE NAIL i INSURER A:American Zurich Insurance Company 40142 INSURED INSURER 0: Oasis Acquisition,Inc AIL Emp:FLORIDA BUILDING PERFORMANCE,LLC INSURER C: dba:HABIFY 2054 Vista Parkway Suite 300 INSURER D West Palm Beach,FL 33411 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER:15FLO76803022 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. INM TYPE OF INSURANCE POLICY NUMBER SU POLICY EFF POLICY EXP LIMITS LTRCOMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS•MADE LIOCCUR DPREMISES 0=10=91 $ MED EXP one ) $ PERSONAL&ADV INJURY $ GEWL AGGREGATE UMrf APPLIES PER: GENERAL AGGREGATE $ POLICY JEC LOC PRODUCTS-COMPIOP AGG $ OTHER: OTdM $ AUTOMOB LE LIABILITY c1c en $ ANY AUTO BODILY INJURY ow person) $ AALL UTOS OWNED AUTOS SCHEDULED BODILY INJURY( er PamMenQ $ NON-OWNED PROPERTY DAMAGE $ HIREDAUTOS AUTOS $ Ute UAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMSMADE AGGREGATE $ DED I I RETENTION $ WORKER$COMPENSATION X I DATUM R AND EMPLOYERS'LIABILITY MY PROPRIETORIPARTNERMXECUTIVE Y� NIA WC 29-3&W7-13 06/01/2015 X01/2016 �LEaCHAccwENT $ 1'000'0 A OFFICERIM In NH)BER EXCLUDED? E.L DISEASE-EA EMPLOY $ 1,000,000 (MSI in NH) If��aa describe raker DESG�RIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 Location Coverage Period: 0 01/2015 OSMI12016 Client# 77841 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLESCORD 101,AdMonal Reft Sd"UI%may be etMormd H mae a is regabsd) Coverage Is provided for FLORIDA BUILDING PERFORMANCE, n LLC dba: HABIFY �W� 4942 S LEJUNE RD STE 202 LI CGC1'ri20342 tn: CORAL GABLES,FL 33146 CERTIFICATE HOLDER CANCELLATION Miami Shores Village SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Attn:Bldg Dept THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 10050 NE 2nd Ave ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores Village,FL 33138 AUTHORIZED REPRESENTATIVE Ac D® CERTIFICATE OF LIABILITY INSURANCE 7/1512016` THIS CERTIFICATE 18 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: H the certificate holder Is an ADDITIONAL INSURED,the pollcy(les)must be endorsed. H 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 NAPE Lykes Insurance, Inc. PHONE mmc23"31-3024 FAX w.,239-931-5604 P.O.Box 60043 1416L Fort Myers FL 33906-6043 MSU AFFORDING COVERAGE NAIL e INSURERA-Westarn World 13196 INSURED HABIF-1 INSURER 0: FL Building Performance LLC INSURER C: dba Habify INSURER D: 4940 LeJune Road Coral Gables FL 33146 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1557198335 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. (NSR ADOLSUBR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF EXP LaeTS GENERAL LIABILITY NPP8231I10 1/18/2015 1/18/2018 EACH OCCURRENCE $1,000,000 DAMAGE To RERT29- It MERCIAL GENERAL LIABILITY $100 000 CLAIMS41ADE X-1OCCURMED EXP one n $5,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,0W,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 x POLICY JECT PRO- LOC $ AUTOMOBILE LWBILnY ANY AUTO BODILY INJURY(Per Person) $ BOUTOS OMED ASCHEDULED BODILY INJURY(Per acMeM $ HIRED AUTOS ANON-OO VNED PROPERTY DAMAGE $ (per aftlIft $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ P[ EXCESS LIAB CLAIM&MADE AGGREGATE $ DED RETENTION S $ WORKERS COMPENSATION YNC 3TATU- OTH- AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETORIPARTNERJEXECUTNEN/A E.L EACH ACCIDENT $ OFFICERIMEMSER EXCLUDED? (Mandatory In KH) E.L.DISEASE-EA EMPLO $ under DESCRIP170N OF OPERATIONS bebw E.L.DISEASE-POLICY LIMIT I$ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,AdditIonel Remeft Schedule,N more space Is required) General Contractor QuaUflers Name:Buds Reilly Contractors License S CGC 1520342 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Miami Shores Vlliage ACCORDANCE WITH THE POLICY PROVISIONS. Attn:Building Department 10050 NE 2nd Avenue AUTHOROM REPRESENTATIVE Miami Shores Village FL 33138 12' Vtr-t w�©1888-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD ` CC)PI V CERTIFICATE OF LIABILITY INSURANCE si22�016 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 endomement(s). PRODUCER E: Select Department Eastern Insurance Group LLC PHONE (800)333-7234 x66807 FAX o.781-586-8244 233 West Central St 'MAIADDRE .selectwork@easterninsurance.com INSURERM AFFORDING COVERAGE MAIC# Natick MA 01760 INSURER A.Associated Industries Ins CO INSURED INSURERS: Florida Building Performance LLC, DBA: Habify INSURER C: 4940 S LE Jeune RD INSURER D: INSURER E Miami FL 33146 INSURER COVERAGES CERTIFICATE NUMBERMASTER 16-17 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 ADDLSUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER 1MWDDNYYYl IMMIDDNYYY1LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PCOM MERCIAL GENERAL LIABILITY PREMISES Ea occurrence) $ 100,000 A CLAIMS-MADE � (Anyone OCCUR ES1331396 /16/2016 /16/2017 MED EXP(Aone person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICY PRO-IrCT LOC $ AUTOMOBILE LIABILITY COMBINEDINGLE LIMIT Ea accident, ANY AUTO BODILY INJURY(Per person) $ ALS ED SCHEDULED BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident $ UMBRELLA LIABOCCUR EACH OCCURRENCE $ EXCESS LIAS HCLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITYANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? F NIA (Mandatory In NH) 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) Florida Building Performance, LLC DBA: BABIFY 4942 S. Lejune Road Suite 202 Coral Gables, FL 33146. LIC #: CGC1520342 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Miami Shores Village ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Bldg Dept. 10050 NE 2nd Avenue AUTHORIZED REPRESENTATIVE Miami Shores Villag, FL 33138 John Koegel/PXG ACORD 25(2010105) ©1988-2010 ACORD CORPORATION. All rights reserved. INSD25 rminnri m Tho Anni n name and burn are ronratereri marlra of Arnion 002771 Loc ! 'Busy:' ' n'ess Tax Re :eippt Miami-Dade . , State •of •Florida TM IS MOTA'$N.t. — DefPOTPAY ' 702a324 . [L:BT .1 R&MMAS NALW&OCATrOti �CPIR�S �O����� .`. (A� 'StpTEiV1BER 30, 2016 124W SW 117 Cr MIAMI FL-33786 Must be owared'ac place of busfi m PslrAreert to•Carrlly Coda. Cha01firaA_Art.9&t0 OWNER SEM TYPE OF SU,-ANEW ECOLICIVIC COMPANY 195 ELECTRICAL 1;O54MCTofl PAYMEINT RECERAW Worker(s) T EC1300309 By TAX COLLECTOR •475-00 08/3T/2015 TbiBla�BrAiuesa7'attlfi0cei}a unty�rms Pagme�oit6ela�8us4ne�s<tnx.'[Letiece�eis mta liaeuae, Peraaertif �rbebOfdar's�aallfieattoua«�do:f POR dsi -',' w11�p�nY�a+�uneerai °rO6°H�e�trns�lresOfatorYlauiesaadnaquiremt�ssyyfymffie •'..,k.;•;'v:•. .. The NQ,above uarst be diP{aped on all mal veluLies _ •' " ' 1•Tli'male Iraoa�fien Y1a1t "fk• v'x '7• ... . I RICK SCOTT,GOVERNOR KEN LAWSON;SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING 130ARD EC13003659 - The ELECTRICAL CONTRACTOR M .•; Named below IS CERTIFIED Under-the PrOvislOns of Chapter 489 FS. vwmz Expiration date. AUG 31,2096 ti•. " DREHER, BRIAN ALAN ECOLECTRIC•COMP.A 12460.SW JJJ.00Ugt, '; "' �'°': '`: "�' ,w � ,m �•; ., •.. MIAMI _�, - Mq .•,„"• �. ., � ..,. •.}._,tet",v• ii). ..'S.......•....• ISSUED: 003/2014 DISPLAYAS REQUIRED BY LAW SEQ0 L1408030004253