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RC-14-450 (2) 45D9,4 3OT-It- INSPECTION RECORD ® POST O//N�� SITE o PermitNO. RC®3- 1{ 4-''1'5® ,SN Miami Shores Village p�* TypE eside dal Consimuction 10050 N.E.2nd Avenue ■an aw �`,F'1i Miami Shores,FL 33138-0000 %":; f Wo*C/assi Win:Jftematton Phone: (305)795-2204 Fax: (305)756-8972 LORA Issue Date: 9/12/2014 Expires: ®3/11/2015 INSPECTION REQUESTS: (305)762-4949 or Log on at haps://bidg.miamishoresvillage.com/cap 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 Parcel#:1121360030200 Owner's Name:SHIRLEY MURILLO Owner's Phone: Job Address: 147 NW 109 Street Total Square Feet: 00 Miami Shores Fl 32168- Bond Number: Total Job Valuation: $ 20,000.00 WORK IS ALLOWED MONDAY THROUGH SATURDAY, OntmaCtOmiS) Phone Prima Contractor 7:30AM-6:OOPM.NO WORK IS ALLOWED ON SUNDAY rY OR HOLIDAYS. PRO HANDYMAN SOLUTIONS/TIN (305)266-4653 Yes BUILDING INSPECTIONS ARE DONE MONDAY THROUGH THURSDAY. ROOFING INSPECTIONS ARE DONE MONDAY THROUGH FRIDAY. NO BUILDING INSPECTIONS DONE ON FRIDAY. TIME of e. NSPECTION WILL BE MADE UNLESS THE PERMIT CARD IS DISPLAYED AND HAS BEEN APPROVED. PLANS ARE READLY AVAILABLE. ITIS PERMIT APPLICANTS RESPONSIBILITY TO ENSURE THAT WORK IS ACCESSIBLE AND EXPOSED FOR INSPECTION PURPOSES. NEITHER BUILDING OFFICIAL NOR THE CITY SHALL BE LIABLE FOR EXPENSE ENTAILED IN THE REMOVAL OR REPLACEMENT OF ANY MATERIAL ARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF MMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO UR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. INSi?ECTION RECORD PLUMBING STRUCTURAL INSPECTION DATE I P INSPECTION DATE INSP INSPEC ON DATE INS —1-- - --- Foundation ZoningFinalrw Stemwall ZONING COMMENTS Rough Slab Water Service Columns (14tN 2"d Rough Columns 2nd Lift T Out Tie Beam t Fire S dnkler Truss/Rafters Septic Tank Roof Sheathing !® l,5' Sewer Hook-up Bucks Roof Drains Windows/Doors Gas Interior Framin Z /� INSPECTION DATE INSP LP Tank Insulation Tem or Pole Well Ceilin Grid 0 Da Temporary Lawn Sprinklers Drywall Z fJ Pool Bondin Main Drain Firewall Pool Deck Bonding Pool Piping Wire Lath Pool Wet Niche Backflow Preventor Pool Steel Underground Interceptor Pool Deck Footer Groun Catch Basins Final Pool Slab Condensate Drains Final Fence Wall Rough HRS Final Screen Enclosure Ceiling Ro Driveway Rough ; PLUMBIN OM ENTS Driveway Base Tele hoe Rou h i Tin Ca Telephone Final Roof in Pro ress TV Rough Mop in Progress TV Final Final Roof Cable Rough Shutters Attachment Cable Final Final Shutters Intercom Rough Rails and Guardrails I Intercom Final ` ADA com iance Alarm Rough INSPECTION DATE INSP I± Alarm Final Underground Pipe S Fire Alarm Rough ;77D70CUMjE0 Fire Alarm Final Rou h Service Work With OF Floor Elevation SurveyVentilation Rou Reinf Unit Mas Cert ELECTRICAL COMMENTS Hood Rough Insulation Certificate Pressure Test Spot Survey Final Hood Final Survey Final Vbntilation Truss Certification Final Pool Heater STRUCTURAL COMMENTS Final Vacuum ON � �/, ®T7% ®•� �-!�� FI RE MECHANICAL COMMENTS INSPECTION DATE INSP Final Sprinkler Final Alarm i ��,, f� .' 4 .� t� _ + � J '' t � +A 4'{I�4 e� +t• +ti,[ �.� dry , .., '��s R '�`� �4M� 're '-iY�., '� :+ .�, .��f ,-�a� � '*k ti�� 7 n`7.�" � ;i+ 4``�•"�er r � o5i' - 'ti e ��`�+�� r r`� '*.Sr'he +'�r?{ ��r�C�� 9u; e�� ^fr y�� r„„�• �_. � �. ' jqr 3�...- ��y4�'.' }�, k 0 CD O N O C CD n�tz tt+ cr CD Inc OO Z !!1 (D Co Erto 3 smCDCD co, ba to r O Q t et 0 § � _a z y ` 1 OWo m z P` y z m m a O 0 � JI-S >..�a �t, Z 3 �: m c m z CA W ` � � 2.3 Vic �3m O � 5; h CA ID V EN �3 4PLCD s [ cr CD Cl) CD D -10 r p p 0 rn Cn CD — co O O C'1 d CY O Q O N Cn LC00 w n r At %C CL 5D mO �DOD rt tai rail.'. - CL A p I� 0 CD 4'^•. X1'4 1'....> O M Z ti t pr vd� _ �. W D N Z �, ■ x, 4 G' Cir. T N CQ O Ti y z zI "nk b m C O c s _ Ln c =r pymgl" 3 F�: O Z (D D n c ry 5 9 � 0013 9 r ,^ T -^{� d'� -.M, � �..1a� ��CaA�.>'4- •ty 7� ,y-, � ,,,,K � X '�" .is f.'�/s-�L,... , I `' �~A�' _j ,1'Fr w r 'k'�N-' i Gh;, +n g� 6 ��.r i,� rr�.'`�n }r.• t'G`�`J`I. �' �t 'c„V e l'��:,4 .Gf R 5' �3+rrr� a3ld�" a!��`� ' "YM -> 'r-_. ,~_�- ' '"ax*,.i3C.� t_{_ �.t25�i ?- �M �t ••k ..'.•,� +1... J s " - r - -1R. Y y: �� i se CERTIFICATE OF LIABILITY INSURANCE [tE(MM/DD/YYYY) +�-•' 14/16 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 WANED,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: ARIEL AJO InterAssurance PHONE 305 758-8322- Fax ( AIC No): 305 758-4456 9190 Biscayne Blvd.,Suite#201 -MAIL ARIEL@INTERASSURANC.COM Miami Shores,FL 33138 PRODUCER Phone (305)758-8322 Fax (305)758-4456 INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: ENDURANCE AMERICAN SPECIALTY INS CO TINEZ CONSTRUCTION INC D/B/A PRO HANDYMAN SOLUTIONS INSURER 8: WESCO INSURANCE COMPANY 4725 SW 74 Avenue INSURER C: UNITED SPECIALTY INSURANCE COMPANY Miami,Florida 33155 INSURER D: RETAIL FIRST INSURANCE COMPANY (786)543-7867 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. LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MM/DD MM/DD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 0 COMMERCIAL GENERAL LIABILITY PREMISES Ea oMN ccu rence $ 100,000 ❑ F-1CLAIMS-MADE © OCCUR CBC20001104400 MED EXP(Any one person) $ 5,000 A F-1Y Y 02/10/2016 02/10/2017 PERSONAL&ADV INJURY $ 1,000,000 ❑ GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 ❑ POLICY © PRO' ❑ LOC DEDUCTIBLE PER OC $ 5,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) F-1 ANY AUTO BODILY INJURY(Per person) $ © ALL OWNED AUTOS B 16-16320© SCHEDULED AUTOS Y Y 04/11/2016 04/11/2017 BODILY INJURY(Per accident) $ PROPERTY DAMAGE❑ $HIRED AUTOS (Per accident) © NON-OWNED AUTOS UNINSURED MOTORI s 1,000,000 ❑ COMP/COLL DED $ 1,000 UMBRELLA LIAB © OCCUR EACH OCCURRENCE $ 1,000,000 C ❑ EXCESS UAB ❑ CLAIMS-MADE Y USA4117274 02/10/2016 02/10/2017 AGGREGATE $ 1,000,000 Q DEDUCTIBLE Personal&Advertising $ 1,000,000 RETENTION $ 10,000 $ WORKERS COMPENSATION WC SN YTATU- 171 OTH- AND EMPLOYERS'LIABILITYLIM D OFFICER/MEMBER EXCLUDED9ECUTNE YY N/A N 0520-44824-0 06/05/2015 06/05/2016 E.L.EACH ACCIDENT $ 1,000,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 E DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space is required) LICENSE NUMBER CBC1258561 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 ACCORDANCE WITH THE POLICY PROVISIONS. BUILDING DEPARTMENT 10050 NE 2ND AVENUE AUTHORIZED REPRESENTATIVE MIAMI SHORES,FL 33138 Ariel Ajo ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09)QF The ACORD name and logo are registered marks of ACORD Notice of Preventative Treatment for Termites (As required t[e Ftorida Building Code(FSC) 104.ZS) DARN QUICK TERMITE & 1=UMI moN, wcc. 7401 N.W. 7th Street, Unit 7 . Miami, FL 33126 TEL: (305)266-2220 • FAX: (305)26"113 www.damquicktermite.com 147 NW 109 STREET, MIAMI, FL 33168 rsss of Trsa n#mt or *ek of Treatment 10/05/15 12:30 PA 02% rune AppitaWt DOMINION .2L IMIDACLOPRID 40 Product Ussd Chemicef used(active InVedleftO dumber of gallons applied 0.05% 429 SQ FT 118. Fervent of Concentration Area treated(Square fest) Unew feet Tr**W HORIZONTAL Stage of tivOnent(Moreaonlal,Vertical,Adjoining fib;reftat of disturbed arm) As per 104.2.6-If Wf Chemical barrier method for termite prevention Is used,final anterior treatment shall be comp prior to final branding approval. If this notice Is for Ow finW exterior biatment,initial and date this fine ALL STATE ENGINEERING AND TESTING CONSULTANTS, INC- ,LL STATE TESTING LABORATORIES-ENGINEERS-INSPECTION SERVICES-CHEMIST-DRILLING-ENVMOMENTAL SERVICES ENGINEERNG 12949 W.Okeechobee Rd,#C-4 Hialeah Garden,Florida.33018 Tel:(305)888-3373 Fax:(305)888-7443 PROCTOR COMPACTION TEST ASTM D-1557 Date September 10'",2015 1 Order Number 15-319 Client Tinez Construction Address 6304 SW 146th Court.Miami,FL 33183 Project Sin le Famil Residence Addition Address 147 NW 109 Street. Miami Shores,FL 33168 Sample Location Stock pile at the job site Soil Description Sub de: Grey Sand with Rock Mix Sampled by Asad I Reported to TEST RESULTS Laborato Number. 15-319 1 Sample Number. 01 The following compaction test was conducted in accordance with the standard methods for Moisture/Density relations of soil using a 10 lb.Hammer and 18"drop A-ASHTO designation T-180-0. %Moisture Dry Density o 5.2 99.9 Dry Density vs. / Mositur e 103.6 105 , 9.1 104.1 E 11.4 101.4 104 -- 103 r Optimum Moistare 9.1 j t 102 100%Max.Dry Density 104.7 C 98%Dry Density 102.6 0101 95%Dry Density 99.5 C j Gradation test passing 314"Sieve, 100.00% 100 —--- -- — -- Sampled By Asad 99 Tested By Whu S 6 7 8 9 10 11 12 Checked By SS Moisture N ____0 Typed By we . Resp ectfu l3�itted by, Gav arrete,P.E. #51371 ALL STATE ENGINEERING& TESTING E PGV�U *tNTS, INC. Should any subsoil conditions in the property(area)tested be found different from those encountered on the tested locations reported on our Density Test, All State Engineering&testing Consultants,Inc.is not to be held responsible. As a mutual protection to client,the public and ourselves,all reports are submitted as the confidential property of clients,and authorization for publication of statements,conclusions or extracts from our reports is reserved. ALL STATE ENGINEERING AND TESTING CONSULTANTS, INC. ALL STATE TESTING LABORATORIES-ENGINEERS-INSPECTION SERVICES-CHEMIST-DRILLING-ENVIROMENTAL SERVICES ENGINEERING 12949 W.Okeechobee Rd,#C-4 Hialeah Garden,Florida.33018 Tel:(305)888-3373 Fax:(305)888-7443 Field Density Test of Compacted Soils ASTM D-5195 Client: Tinez Construction Order# 15-319 Address. 6304 SW 146 Court. Miami,FL 33183 Date. 09-10-15 Project: Single Fami Residence Addition Gauge# 23 599 Address. 147 NW 109 Street. Miami Shores, FL 33168 Phone No: Attention: Lab ID# Location 15-1751 Slab on Grade—Sub grade—North Area 15-1752 Slab on Grade—Sub grade—Center Area 15-1753 Slab on Grade—Sub grade—South Area Description o Material Grey Sand with Rock Mix Back Fill I I Sub grade Ix Base rock Sampled By: I Asad Tested By: I Malick Laboratory Identification Number 15-1751 15-1752 15-1753 Test Number 1 2 3 Depth in Inches 12" 12" 12" Field Density LB/Cu Ft. (Dry Density) 100.8 99.7 100.1 Moisture Contents 6.5 6.8 6.4 Maximum Density In the Field(%) 96.3 95.2 95.6 Compaction Requirement by Specs%of 95% 95% 95% Maximum Density 100%Maximum Density(Lab) 104.7 104.7 104.7 Proctor T-180 AASHTO Method C 15-319 15-319 1 15-319 Optimum Moisture(%) 9.1 Reported By Asad Checked By Sindhu Typed By we Respectfully submitted by, t o Gavarrete,P.E. #51371 ALL STATE ENGINEERING& TESTING C()NSUT TANTS, INC. SEP 10 2015 Should any subsoil conditions in the property(area)tested be found different from those encountered on the tested locations reported on our Density Test,All State Engineering&testing Consultants Inc.is not to be held responsible. As a mutual protection to client,the public and ourselves,all reports are submitted as the confidential property of clients,and authorization for publication of statements,conclusions or extracts from our reports is reserved. ALL STATE All State Engineering & Testing Consultants, Inc. ENGINEERING TESTING LABORATORIES-ENGINEERS-INSPECTIONSERVICES-CHEMISTS-0RIWNG-ENVIRONMENTAL SERVICES 12949 W 010mc imbse Rd,HWeah Gardens,FL 33018 Office:305 8&3373 Fax:305-888-7443 infrkft- HS ateenginwft.C= September 10, 2015 Mr. Carlos Zuniga Tinez Construction 6304 SW 146t'Court Miami,FL 33183 RE: Certified Soil Statement for SFR 147 NW 109th Street. Miami Shores,FL 33168 Dear Mr. Zuniga: All State Engineering & Testing, Inc. (ASETC) certify that the slab subgrade for the above mentioned project meet all specified requirements for fill type and fill compaction. According to the ASETC Proctor Test(s), the structural fill consisted of appropriate fill material. The fills were shown as suitable sands which were free of organics, waste, and unsuitable materials. According to the ASETC Density Test Reports, a total of three (3) compaction tests were performed with a nuclear density gauge (ASTM D-5195) on the building slab subgrade. All tests achieved or exceeded 95% minimum compaction of the Modified Proctor Test (ASTM D- 1557). Based on our inspection and the review of the ASETC Proctor Tests and Density Tests, it is our professional opinion that the building footers are suitable for the construction of the project's structure with a foundation proportioned for a design bearing stress of 2000 pounds per square foot. If there are any questions or concerns, do not hesitate to contact me. Sincerely, '''a%%%111111/I/1/II, � •'A GAYAR34 !,* t SE Gilb G v ete P.E. # 5i1;• 513 A I State Engineering & _ ��' :cc Testing Consultants, Inc. �P EOF W` SEP 1 0 2015 %A9• FLOR��Q��.�`'� I/l//11111111N iami Shores Village CF,—TV_ 1 ildin Department APR 0 g De C� p ` 0050 N.E.2nd Avenue,Miami Shores,Florida 33138 BY tt Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 6 UILDING `OY Master Permit No. PERMIT APPLICATION Sub Permit No. BUILDING ❑ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLICWORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP c� CONTRACTOR DRAWINGS � JOB ADDRESS: I(o /) 10 I t)� City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: // a 136 003 oam Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: C OWNER:Name(Fee Simple Titleholder): c�\-' �J ��`P \1Jr A\ Phone#: Address: I Li1 UL J t0') `Jr City: tf�Art: State: FL Zip: 33! Tenant/Lessee Name: A) Phone#: Email: ecif 1 C-- 73673CI - 14543 CONTRACTOR:Company Name: '�C Z b`'►g �"r�c n Phone#: jZ1, -3 � 7:)337 7 Address: �� a.S _SLj City: State: FL Zip: Qualifier Name: 7'-�AQ.-(ZQEZ Phone#: State Certification or Registration#: C*C '12 56/ Certificate of Competency M �(32v �5 q o DESIGNER:Architect/Engineer: 3zl�5 Address: ,3 J ZO 1'1 &c-a_'_ City: TU%'-L-•-.. State: P L Zip: value of Work for this Permit:$ W®_ Square/Linear Footage of Work: Type of Work: CK Addition �a Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: & toa 4/2c.) fAyAML/ Qorn P-"o Specify color of color thru tile: Submittal Fee$ 56 Permit Fee$ W CCF$ 2- (:;/eO CO/CC$ Scanning Fee$ Cc) Radon Fee$ X011y`� ,�( DBPR$ l • y� Notary$If Technology Fee$ �jV Training/Education Fee$ �,r� • Double Fee$ Structural Reviews$ `0��`' 33p Bond$ TOTAL FEE NOW DUE$ I IO (Rev1sed02/24/2014) ,Rs � 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 r inspection fee will be charged. l �` cj2---, Signature //"�-L_(ol Signature OW ER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of N-7ty?-L 20 I'S- ,by n� day of Tlt-c Li ,20 175- by J�c\,Q�ayy,r t \U ,who is personally known to _ _\w 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 PUBLIC: NOTARY PUBLIC: Sign: Sign: CIR�TI Fly C�PLB _�-- Print: Print: oda , A a. Seal: EXt�lf'sE5 Ju 20,2®95 Seal: z 1i�1°e"01�911�34aIfPJ € 19495 EiCP1'nE Jul ©, (401)39H-0153 FtoridallolargService.eam �& F®� (407)39h-0153 FtoridallotarySarvico.®om APPROVED BY Plans Examiner `► [ Zoning i3 IJ Structural Review Clerk (ReviseW2/24/2014) asp Local Bbsiness Tax Receipt 4 Miami—Dada County, State of Hoer a THIS IS NOTA BW. - DO NOT PAY 684131 \1LBTJ 7 a NAfARMOCATION ANO. EXPIRES PRO SOumaNs MAWAL SEPTEMBER 30, MIS 4725 SW 74 AVE 7115314 Inst be a#spIaYWI at PISW Of busineM MWAI EL 33155 Pursuant to County Code Chapter aA—Art.8&to OWNER SEC.TYPE of BUSMESS PAV AW"RECD " TINEZ COMTRUCTION INC 196 GENERAL WILDING CONTRACTOR By TAX COLLECTOR tlPbdw(s) 2 CBC125MI $75.00 07/17/2014 C HECK21-14--022941 Tis c�essr�I�s��,�,r sloe taoal B�iaessTas.Tfie is,�a Nada taeTt�or.ats:ee �adis�aree�aR - c,��e�-ate. iamishores �yt�oR Irl Fs y Village Building Department -404" soon n1111" 10050 N.E.2nd Avenue Miami Shores,Florida 33138 7 Tel: (305) 795.2204 lOR1DA Fax: (305)756.8972 copy Permit No: C fC1` Page 1 of 1 Structural Critique Sheet 0Vo IA•--®•/J bl�Y A. t Bw.. ® �O W �.f7 G. `l°l•ei • ®lots. Ce-) Ir STOPPED REVIEW t,1` ��,.; ffe , ?,o / Plan review is not complete,when�alitems ove are correcwe will do a complete plan review. If any sheets are voided,remove them from the plans and repla a with new revised sheets and Include e``�L set of voided sheets in the re-submittal drawings.,� s C %�+ C.�r� 'A Mehdi Asraf "� SCt� 6� . ;� -eq 1z `Y'�'1J k' a� �- ` A - � •° Cly CERTIFICATE OF LIABILITY INSURANCE �07> 5 THm C1=R nfgCATE is ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS No ROM UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY ADDEND.EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLKAES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT 13EMEN THE ISSUBIO INSURI: S),AUTHORIZED REPRE$EIVTATWE OR PRODUCER,AND THE CERTIFICATE HOLDER. VAPORTAN T: if the oert lcM botdar hq=ADDITIONAL INSURED,the paid)must be endorsed. U SUBROGATION 18 WAVED,subject bo the berms and oond'itlens of the paloy,alittill poMM9 my n qubv an endamenta t.A statement bn this cmiNfIcate does ret acrrfer rights to the cadmem holder in no"of etch embMemr0j. PRODUCER ARIEL NO InterAssuience ' 7688322- 305)7564456 9100 Blowyne Blvd.Suite#101 ARIELONTERASSURANC.COM Miami Shores,Fl.=38 crrowrgRma� Phone (305)766-8322 Fent (306)7684456 AITORMGCOVERAGE Nalc$NSURED _ : $TARR SURPLUS LINES INSURANCE OOMPAN TINEZ CONSTRUCTION INC DBfA PRO HANDYMAN SOLUTIONS I—Neym N: 4726 SW 74 Avenue INSURERO: UNITED SPECIALTY INSURANCE COMPANY Miami,Flodda 33155 DISUIERD: RETAIL FIRST INSURANCE COMPANY Rene: (Tea)643-786 P COVERAGES CERTIFICATE NUM11SER: REVISION NUMSIER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE.LISTED BELOW HAVE OEM ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTAM O ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTNER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFOItDEO SY THE POLICIES DESCRMED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUgK=A14D CONDITIONS.OF SUCH POLICIES.LMT'S SHOWN M1AY HAVE BEEN REDUCED BY PAN)CLASS 7Tp TVPeOFBiBURANCE POLM NUMBER UAUTS GUNERALL1ABUTY EACH OCCURRENCE • $ 1,000,000 ® COMERMALOENEWLIABLITY PREMrs3E8(Eeoaa r $ 100,000 [] E) CLA�aa°E ® OCCUR SLP"L03167-00 Me)EXP arm B 51000 A ❑ Y Y 02110=15 02f10r2016 PERSONAL&ADVINJURY a 1,000,t�0 ❑ QEWJWAQQREt3ATE OEKAWREOATELIWTAPPUESPER; PRODUCTS-CORAM S 2,000,000 10 pm= ❑ a ❑ Loc DEDUCTIBLE PER OC $ 5,000 At11T>WD LE LL484M OIIMBINED SMLE LINT S WA eoerderd) ❑ ANYMM a(MA.YINJURY{Perpnim) $ ❑ ALL OIC AUTOS ROMY INJURY For aodc!W, E B ❑ SCMMLEDAUTOS PROPERTY DAMAGE ❑ HIREOAUTOS • $ ❑ NDN-UWNEPAUT09 E UMOMLLALIA9 ® OCCUR EACH OCCURRENCE $ 1,000,000 C ❑ LrAB c USA4074320 0412012015 041 M2016 AGGREGATE $ 1,000,000 ® DEDUCTrELs Personal&Advertising $ 11000.000 iD,000 $ N Aql}. COMPENSATION ANDEMPLOYERB UAN(117Y Y 052044824-0 ELEAOFIACgpENT S 1,000,0 ANY PROFIT DRi EOlff NIA N Ot3f05f2015 X016 D DfFR oot�u�i to NH) F.L.D -EA ESI $ 1000.000 0 rrag O OPFAATtOats�mu rr.L.DreWE-POUCYLimrr $ 1,000100 DasopopiMOP APERAT=BI LOCAWNa I VEHtDLES IAS ACORD 1tH,AddMMd R $MUWUM,B Hare 410-16""111441 - CERTIFIED BUILDING CONTRACTOR CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DH$CRIBED POLICE BE CANCELLED BEFORE Miami Shores Village SCE tl�THE PTION DATE OLICY p �BE OEI.IVERED IN Building Department 10050 NE 2 Ave AtntORMeo REPRESIMMM Miami Shores,FL 33138 An 419w4M ACORD CORPORATION. All l tft reserved. ACORD 28 X091"OF The ACORD rams and to®D are registered marls of ACORD Miami Shores Village JUL 2 3 Building Department 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 1- 2_____ Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)7624949 FBC 20 BUILDINGV S 1014ti r Permit No. G'_3" �`�'`l�C PERMIT APPLIC b Permit No. A [-]BUILDING ❑ ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP tt,, Q CONTRACTOR DRAWINGS JOB ADDRESS: �1� W `09 St"Y City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: i I 10:o EY03 ©aeOo Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): S,11111Cew VLW L�o Phone#: I% 2PI 1057 Address: 141 N..J T9%t City: M"O4R4 ',�\,Cvdt2 State: PL Zip: 3.3137 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: �� doof Air Phone#: 180, alo( 105'+ Address: '22.1(o k) $® Ste 16 City: Mt AM State: P L zip: 3301.(; Qualifier Name: 'fO.MISS r24r 4uca-X— Phone#: 796 X301 105-4- State Certification or Registration#: C 4C 181 77 S Cj Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ 1 a Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace 1 ❑ Demolition Description of Work: 70k�-�N%.i CA Fo,, ay.2.c.J 'En c.9S0re- 06= i=0n-.;1� > C7.ArAd 2 Specify color of color thru tile: rr� Submittal Fee$ Permit Fee$ (w CCF$ (J CO/CC$ 0 Scanning Fee$ 3 ' Radon Fee$ DB�PR$$a '� Notary$ Technology Fee$ Training/Education Fee$ C) ' 1 z Double Fee$ Structural Reviews$ Bond$ 0 TOTAL FEE NOW DUE$ ! IDV •tom®� (Revised02/24/2014) 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$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. in the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature ��.-Fa �'�l�-' Signature OW ER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this Z5 day of lug 120 LS— by '13 day of w< 20 15- . by k�o who is personally known to 'ROrnAY Qpc� 'I who is personally known to me or who has produced as me or who has produced l as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: a CINTHY a COPL Seal .`, Y^EXOPMI(M?IlSSPI.7inv— — E114 152 Seal: 3 MCOMMISSIryOSNero#iceE.wE1m14 152 90,2015 EXPIRES July 20,2015 FloridaNcfar3::cnvice.com ..r, 8, FloridaN0a(40 -0 153 APPROVED BY v Plans Examiner Zoning Structural Review Clerk (Revisedo2/24/2014) a Lana[ Business Tax Receipt Miami—Dade County, State of Ftorida -THIS IS NOT A BLL-DO NCIT Pkv' LBT 7168504 BUSINESS NAMEILOCATION RECEIPT NO. EXPIRES T&S COOL AIR CORP RENEWAL SEPTEMBER 30, 2015 2216 W 80 5T 6 7447145 Must I)e displayed at dace of business l MIAMI,FL 33016 Pursuant to County Code i Ch apter$A—Art.9&10 SEC.TYPE OF BUSINESS OWNER PAYMENT RECEIVED T&S COOL AIR CORP 196 SPEC IAECHAhlICAL BY TAX COLLECTOR � C,'O TOMAS RODRIGUEZ QUINTANA CONTRACTOR 75 00 09x'08 t 2014 I PP$:9 Worker(s) 1 CAC1817754 0229-14-006626 This Local Einsiuess Tax Receipt only confirms paymentet the Local Business Tax.The Receipt is not a license, permit,or a certification of the holdet's qualifications,to do business.Holder must comply with any governmental or nongoverntnoutal regulatory laws and requirements which apply to the husiness, The RECEIPT N0.above must be displayed*nail coin morcial vehicles—Mrami—Dade Code Sec 8a-276. MIAMrOftDE .For more information,visityvwty,minptidgdeypyJta>Eaolle_,_,c ,tor s i c;��pF,ntglf9y City of Hialeah Business Tax Receipt 2014- 15 p aRPOR� I mayor Carlos Hernandez No: 238220-272 Amount: $ 150.00 j The person,hull or corp. listed here has paid the business tax required to engage in or operate the business specified subject to the regulations and restrictions of the City of Hialeah,Florida Owner: TOMAS RODRIGUEZ/T&S COOL AIR,CORP. TypeofBtrsiness:Plumbing, Heating, and Air-Conditioning Contractors T & S COOL AIR, CORP. Business Location: 2216 W 80 ST #6 HIALEAH, FL 33016 2216 W 80 ST 6 Validating No. : 361237 Expires September 30, 2015 THIS IS NOTA BILL r > STATE OF FLORIDA DEPARTMENT OF BUSINESS AND e PROFESSIONAL REGULATION , TOWS CAC 1817754 ISSUED: 07/09/2014 Orzz SAW-. T �e CERTIFIED AIR GOND CONTR- RODRIGUEZ QUINTANA,TOMAS V= T&S COOL AIR,CORP. , z �1 IS CERTIFIED under the provisions of Ch.489 FS. 0 Expiration date :AUG 31,2016 L1407090000870 1 A� CERTIFICATE OF LIABILITY INSURANCE 6A25i2"oi�i 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: it 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 Michelle De Mota Sharp Insurance Agency PHONE (305)825-8580 1 F (305)8215-8591 6175 NW 153rd St Ste 200 ARMMI .michelle@sharpins.com I s AFFORDING COVERAGE MAIC# Miami Lakes FL 33014 INSURERA-AmTrust North America INSURED msuRERB AmTrust North America T & S Cool Air, Corp. lusupatc-.Technology Insurance Com 3599 2216 W 80 Street Unit 6 INSURER D: INSURER E: Hialeah FL 33016 INSURER F: COVERAGES CERTIFICATE NUMBER-CL1491106188 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. rA UL OUISK POLICY EX TYPE OF INSURANCE POLICY P LIMTS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY Ig oc- men e $ 100,000 CLAIMS-MADEEZ OCCUR 06-38 6/09/2015 6/09/2016 MED EXP one 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. LOC $ AUTOMOBILE LIABILITY COMBINEDNGLE LIMIT Me accident)accident) $ 1,000,000 ANY AUTO BODILY INJURY(Per peen) $ B ALL OBDSCHEDULED 06-39 6/09/2015 6/09/2016 AUTOS X ALTOS BODILY INJURY(Per aeN) $ X HIRED AUTOS X AUTOS D DRMA $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESSLWB CU MS44ADE AGGREGATE $ DED I I RETENTION $ C WORKERS COMPENSATION TATU- O AND EMPLOYERS'LIABILITY Y I N ANY PROPRIETORIPARTNEWEXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICERIMEMBER EXCLUDED? NIA 3446197 /22/2025 /22/2016 (Mandatory In HH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 Sy es,describe under DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,AddWwW Remarks Schedule,it more space Is requlmd) it Conditioning Contractor CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WALL BE DELIVERED IN Miami Shores villas ACCORDANCE WITH THE POLICY PROVISIONS. Building Department AUTHORED REPRESENTATIVE 10050 Ne 2nd Ave Miami Shores, FL 33138 lio Alfonso/ANIVER ---, ACORD 25(201(1/05) ®1988-2010 ACORD CORPORATION. All rights reserved. INR025 rmiwAi M Thn JkfYW 1 names and Innn aro mniat&mA mance of Ar`npn Miami Shores Village �� ,� Building Department AUIG: 172015 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 201VA/ BUILDING Master Permit No. - 3- 19 — L'-S-0 PERMIT APPLICATION Sub Permit No.R., %!Z-- / �& ❑BUILDING ❑ ELECTRIC ❑ ROOFING %-REVISION ❑ EXTENSION [:]RENEWAL PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP `� CONTRACTOR DRAWINGS JOB ADDRESS: T / AAA) City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: I I ?( 3(® 1905 0200 Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): `d \te i vtoro�h Phone#: Address: 19-7 AAJ 101 s1' City: tq�AS1-.� S � State: FL_ Zip: 331 33 Tenant/Lessee Name: Aj /p Phone#: A Email: CONTRACTOR:Company Name: �� a'� �� o Phone#: 7 gCn 33 Address: 9,3-s Ajc,; 1314 �L City: kNiA ri, State: Zip: 531 IQ Qualifier Name: �P�:®✓3vei�•a Phone#: State Certification or Registration#: r6 OS -7 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: Q City: State: Zip: Value of Work for this Permit:$ Soo Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New �❑ Repair/Replace ❑ Demolition Description of Work: Aje .� 9 �, &o Specify color of color thru tile: //��AA Submittal Fee$ Permit Fee$ OG 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) 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 GENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this ® � day of Jv 20 L J , by day of �,L i ,20 by ':�\Yuvzt014 P i r¢41 who is personally known to `—on ,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 andn_oath, NOTARY PUBLIC: C=COPLIN NOTARY PUBLIC: CiNTHYA COPLMIMY 5:W :•s 1fY CO�N FF24i'i987N � EXPIRES July 20.2018- Sign: �6a Sign: Print: ��^ (� Print: COQU^ Seal: Seal: APPROVED BY ®� �� Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) oomm Local Business Tax Recei M�"I- ( �=, of R� - �.� � � � - OOI�DI'PAY . �rs;res ILBT SUNMMNAhMAAG"via" IMPROMPT"M EX REST r� EEPTEMEER 30, 2015 93 W �d,.e a a M p4ae d ae AIS A.33182 oto c�e,►cae�e 8A-Art,!610 am TV"CW a?= odc 110 PWMNM COMPAC= 4v T CQUJMM s3 $75.00 0 O/20r4 CREOf CAM-1 a-03 t 423 TW bed i=bmITaee I Iaee wo slow bed swimmoTaL"Wooftw eR Roe o w4� ridie�yb►eoh* M► 'tfe��.e0w�e�ertie�Mp�geda�NeeerreeoM�+�M�ee-�OeOrEei�ee�,�t hneiw�r .tuM Y A� CERTIFICATE OF LIABILITY INSURANCE DATE 7/28/1IYYYY) 07!28/15 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 NAME: MARTA ALONSO Florida Bankers Insurance PHONE ; (305)266-6493 FA 1 .Ne; (305)262-0679 7278 SW 8 Street EMAIL marta@floridabankersinsurance.com Miami,FL 33144 INSURERS AFFORDING COVERAGE NAIC# Phone (305)266-6493 Fax (305)262-0679 INSURER A: FEDERATED NATIONAL INSURANCE CO. INSURED INSURER B ELPIDIO MOREJON INC INSURER C: 933 NW 134 PI INSURER D: MIAMI,FL 33182- (305)553-7019 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADD UBR POLICY EFF POLICY EXP LTR N D POLICY NUMBER MM/DDrYYYY MWDDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 100,000.00 ❑ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000.00 ❑ ❑ CLAIMS-MADE R] OCCUR GL-0504012765-00 MED EXP(Any one person) $ 5,000.00 A 11!09/2014 11/09/2015 PERSONAL&ADV INJURY $ 100,000.00 ❑ GENERAL AGGREGATE $ 100,000.00 GEN'L AGGREGATE UMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 100,000.00 0 POLICY ❑ PRO- ❑ LOC $ AUTOMOBILE LIABILITY EeBIN adD SINGLE LIMIT $ ❑ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per $ ❑ AUTOS ❑ AUTOS ( ) ❑ HIRED AUTOS [:i AUTOS D PROPERTY DAMAGE $ Per accident ❑ ❑ $ ❑ UMBRELLA LIAB ❑OCCUR EACH OCCURRENCE $ ❑ EXCESS UAB ❑CLAIMS-MADE AGGREGATE $ ❑ DED ❑ RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABIUTY Y/N ❑ ❑ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N/A (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 (Attach ACORD 101,Additional Remarks Schedule,H more space is required) Plumbing Contractor 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 10050 NE 2 AVE ACCORDANCE WITH THE POLICY PROVISIONS. MIAMI SHORES,FL 33138 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105)QF The ACORD name and logo are registered marks of ACORD dER ATNM1E11 p!/lfiSNf71iL OFRC2�11 STATE ai FL01lAA M~TIAEW OF FNANCML SFRVICIN SON OF M1101MOlItW C0 WE MATON ••CERVWMTE OF E JWTWN TO 0 MWI FROM FLORIDA WMUNW I*OW WMAMN LAW • CONSTRUt:T10N NWJWW 6KBiPT10M T1Ws 14-10 -60 to WhOM IWAd bdow hn d*Md b be ssmpt ftm Rothia Vim'C.anpwadon law. II"IcTIYE DATE: 2umb Illi WTWM OAM 2/21/2017 PGR9M MOREJON ELPIM FISC 274044596 SINNIL NAME AND ADOAM ELPfOO MOREION INC 9W MW 134 PUCE MIAMI FL 32182 SCOPES OF ON TRADE: PLUMMM MM AND CRNM Phrwrb b Get MpfttOtp,F.i�s►.dd�aoepaMi�q�dld�1 wwiarwA�feta/Qwple ti tetA��arMo�b d�bobr w+ew tti w� 11ofbmwth1llt+ibMae eaYllftllftbdam.tA/WAIIbMOW b00"2LF.S.,f9"80"dawsonbra MOW-Is* +M1�M�eoPofAtM�M�M®bdl�aanMnMOdwMPID10 NOMPhr�tbQ i0 1A F.a.,M Mdle�enbl� 1r�ArSlplbidd«Mw+bAMwoo 0000SAW b toavow Aw tad'01+ebbMi oft aMNAM. rlf t�IAIIlI OQ�/1AA d'wl��A f/�Albb ditAb wlcfbs 11t1M�w1RD 1If�f+wf�ala 11�AN1A�A dIM A�MMI�� 0F9#7A W wA2 CERTIFICATE OF BLECTM TO SE MAPT WWW 0612 QUESTUPW(WAK12-Mo Scanned by CamScanner ELIPIDIO MOREJON I PLUMBING SERVICES CFC057942 933 NW 134 PI.Miami, FL 33182 August 13,2015 State of Florida County of Miami-Dade Before me this day personally appeared Elipidio Morejon who, being duly sworn deposes and says: That he will be the only person working on the project located at: 147 NW 109 St.Miami Shores,FL Sworn to and subscribed before me this 13 day of August 2015,by Elipidio Morejon who is personally known to me. CWTWA COpLMI MY COWf WON i FFUSW JY 20.2019 .oan Notary of state of Florida at Large 5�ORFs p Bull Miami Shores Village Building Department RIDA 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 BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: til O er State of Florida County of Miami-Dade The foregoing was acknowledge before me this 3 day ofw=,�;rt" ,2p � I By who is personally known to me or has produced C#n. YA COPLIN Notary: '~ a: l;l—y COOWASSIOH 0 FFZtM7 • c' EXP94ES July 20.2015 SEAL: 9) C LI Q( RUBEN J PUJOL AIA AR # 0010458 12237 SW 204 TERRACE, MIAMI, FL, 33177 AS BUILT CERTIFICATE City of Miami Shores 10050 Northeast 2nd Avenue Miami Shores,Florida 33138 Re: Windows replacement 147 NW 109 St. Miami Shores,FL,33168 Dear Building Official: In reference to the above named project, I hereby certify the window installation has been done with the pressure treated 2x8 bucks attached to concrete filled cell with 3"long x %4"diameter tap cons spaced @ 8"o.c. Sincerely Ruben Pujol,A.I.A.AR#0010458 Architect's impressed r I& Signature z\\� e C Miami Shores Villa D �a g Building Department MAR 10 2014 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 BY: Tel: (305)795.2204 Fax:(305)756.8972 INSPECTION'S PHONE NUMBER: (305)762.4949 o vo )LA `C'kA091 fa`lFBC 20 BUILDING Permit No. r ` PERMIT APPLICATION Master Permit No. Permit Type: =BUILDING ROOFING JOB ADDRESS: :1"'7 �)(A 10006 S-V etk a }} City: Mre Miami ShoresCounty:County: Miami Dade Zip: 3�I Folio/Parcel#: i�—oA\ )&-Wh- U(D® Is the Building Historically Designated: Yes NO Flood Zone: � OWNER:Name(Fee Simple Titleholder) : U00U00o Phone# A6.3- :4q 91 c 1 Address: �W \01`11City: State: Zip:51l W Tenant/Lessee Name: Phone#: Email: lSL-P - of=l� �1Q`�in C t• c.r-`— CONTRACTOR:Company Name:-.\ �ntl Address: o?-��a� � � 1%)c City: kVkC4- \' State: r ziipp3- ,^ Qualifier Name: W )b'en 1 11(��' ` Phone#: !A(�oa-.3 VD " State Certification or Registration#: caC-N� ' CSS 1 Certificate of Competency#: T_ Contact Phone#: "7qG 30/ /®S-4- Email Address: � E ��PtY1'� �i s L is a co rn DESIGNER:Architect/Engineer: -"tNY.i"-ems. Phone#: q 5&Y (ol Z 8I 5-9 Value of Work for this Permit:$ a 0.000 Square/Linear Footage of Work: Type of Work: ❑Addition $Alteration —7 ❑New �❑Repair/Replace ❑Demolition Description of Work: ::Trl crzl°CSL ��-VNa fetIZtpfAc[ 4 1"46-3 1 Ne`.-3 v-AnN J A(e,,) deL+d'C,A1 w►ro'c Color thru tile: �yrrx``x��Feesx��x�xx�xxx��a:�:�::x�xxx�xx:xxxxxxxxxx:xxx:x�:��xxrr-��--�� Submittal Fee$ � L� Permit Fee$G00 - 00 CCF$ C � 8' W CO/CC$ Scanning Fee$ ( Radon Fee$ °OQ) DBPR$ •®0Bond$ ECK) CXR Notary$_ Training/Education Fee$ Technology Fee$ . 0C) Double Fee$ Structural Review$ TOTAL FEE NOW DUE$_ CO C�� co Bonding Company's Name(if applicabl 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 ELECTRICAL WORK,PLUMBING,SIGNS, WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS and 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. '*ASignature P Signature wner or Agent Contractor The foregoing instrument was acknowl dged before me thisc2O The foregoing instrument was acknowledged before me this day of ,20 /�, 5KIt',by 5 tr l� 'W day of Ylo-).e ,20 4,by 1l loz+n rl n� , who is persopnally kn 4 r1 to me or who has produced 1F who is personally known to me who has produced 1N�(q W"Q/0 MP AUs identification and who did take an oath. as identification and who did take an oath._. ftX#,1YI3 UC-STATE OF FLORIDA NOTARY PUBLIC• ° " Claudia Niedwiadowiez NOTARY PUBLI `� CINTHYA COPLIN Commission#EM9734 Z MY COMMISSION 0 E11114110 : DEL 16,214 EXPIRES,July 20,2010 Sign: - �°� � Sign: `7) .0153 F10Ad8 ®sw Print: N R int i)l.�q e Print My Commission Expires: /z�/b�/� My Commission Ex . I2t' APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) OR Miami Shores Village Building Department �L0R1DA 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION FORM ALL CONTRACTORS MUST PROVIDE COPIES OF LICENCES AND INSURANCES EACH TIME A PERMIT IS SUBMITTEDOR HE VILLAGE MAY MAINTAIN A FILE WITH YOUR INFORMATION FOR A$30.00 FEE PER YEAR. IF CONTRAC ISA FLORIDA STATE CERTIFIED CONTRACTOR: A. Y OF QUALIFIER'S STATE LIC CARD B.::: COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF LIABILITY INSURANCE (CERTIFICATE HOLDER TO BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKERS COMPENSATION (EITHER CERTIFICATE OR EXEMPTION) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICE OF COMPETENCY OF QUALIFIER B. COPY OF MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT C. COPY OF LIABILITY INSURACE(CERTIFICATE HOLDER MUST BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKER COMP INSURANCE(EITHER CERTIFICATE OR EXEMPTION) YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE HOLDER AS FOLLOW: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES,FL 33138 COMPLETE CONTRACTOR'S INFORMATION BUSINESS NAME: 1 i Acz ( -oyi SA)r v �;� BUSINESS ADDRESS: LI -7a5 4 CITY TZ,: STATE 1✓ ZIP CODE 323 1 BUSINESS PHONE: LNO-5--) z 6 6 L16S-i FAX NUMBER( �) V CELL PHONE(b) �O-2 tom 2l QUALIFIER'S NAME: 2u �en �Ar `R7t Z QUALIFIER'S LIC NUMBER: C 6�2 12- S Sto I E-MAIL ADDRESS (IF APPLICABLE): Zd bg7)A-y v, . ,, P-. Created on 3119109 BY MLDV 1 RV 3/26109 MLDV STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850)487-1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 MARTINEZ, RUBEN F PRO HANDYMAN SOLUTIONS 4725 SW 74TH AVE MIAMI FL 33155 Congratulations! With this license you become one of the nearly one million Funs licensed by the Department of Business and STATE OF FLORIDA Professional Regulation. Our professionals and businesses range DEPARTMENT OF BUSINESS AND from architects to yacht brokers,from boxers to barbeque restaurants, ° PROFE�al�l�FA��i��I ILATION and they keep Florida's economy strong• SIED' _{�4/041 {143 CBC1258W Every day we work to improve the way we do business In order to serve you better. For information about our services,please log onto CERTIFIED IN wwuv myfIoridaticeree.com. There you can firm more Information MARTINEZ,R14,11liENF about our divisions and thetions that impact you,subscribe PRO'HANDYMAN ?LtDIt tS # to depwiment newsletters and more about the Departments initiatives. Our mission at the Department is:License Eifide tly,Regulate Fairly. a� we cons strflre to serve you better so that you can serve your 19,.CERTIFIE.D under the provisions'of Ch.489 FS. customers.. Thank you for doing business in Florida, + :AW3,.2W4 L430404=14 M and congratulations on your new license! ' The Department of State is leading the commemoration of Florida's 500th anniversary in 2013. For more information,please go to www.Vr4aFlorida.org. 411Aitt'�°' DETACH HERE STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ® ° CONSTRUCTION.INDUSTRY LICENSING BOARD • CBC125MI The BUILDING.CONTRACTOR Named below IS CERTIFIED • Under the provisims of Chapter 489 FS. Eratiort date: AUG 31'k 2014 MARTINEZ,RUBEN F PRI;?HANDYMAN SOLUTit t:i 4725 SW 14TH AVE-"-,. MIAMI FL 33165. RICK SCOTT ISSUED. 04/04/2013 SEQ# L1304040001401 KEN LAVVSON r.r .r-r�►.nn ........ ... ... «.r-.+...n.�s�.vim.. rsra Qr.1-Pr-TAr?V llOt318 c Lovell rr eSS ' e e t Blit �INJr>�mr-©ade-��W� HT1 IIS'1S N(3!�. 6$41-x;17, BUsrwss§I Ir1�►MW>.aaJ►Twnr a�CIUEkrP9T111Auo. RlRES BR 30,:2014P9o'14ANbYWNSGLTibm 4 47 -SI4A( Mustbedisplayeda:poafbu8ess { M1AAl[j EL 311$5, Pvrsuantta Cuumy Cade e Chapter BA'-Artl&,W a OWNER. SEC.TYPE OF BUSINESS RECEIVED INEZ CONSTRUCTION INC 196 GENERAL PAYMENT RECEME BUILDING CONTRACTOR gy rax T Worker(s) 2 CBC125666I $8250 09/13/2013 TXHSI-13=065633 This Locai•Business TAX-Recerpt contlim Ot the Local Brudneas TaiL The ReCelpt Is not a Iraxnse,peradt or a;e rtttlCWM ate holder ins,to dO►usluess� Heider mu ,comprly with a!►y gdn!elenmental oC"ngoverprl�F al►egutat iy lava ww requiremMits width ldery esit _� The RECEIPT NO,abmre must bo: ,d +jayed oe alt commetdal rehic* .6t1 pt�RadaCad� ti For mareiIxnlatlon,visit wamaalamld a Miami shores Village "" Building Department 10050 N.E.2nd Avenue R'tpp► Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CHANGE OF CONTRACTOR 1 ARCHITECT Permit N.V",- I -10 Owner's Name (Fee Simple Title Holder): 1'1 i tle y Y4."" 16 Phone* _-1`Fla ,3-7q ;?A-4 Owner's Address: _ 11-4-1 AJw 10 !l .5f City: MAAC State Zip Code: Job Address(Of where work is being done): N41 fO LZ \ea 5 St City: Miami Shores State:—Florida Zip Coder3 Contracto 's Co N me: �"' � � P e#: Addr s: 7 ' S City: e: Zip Qualifier's Nglmle : ic. u er: Architect/Engineer of Record Name: -IL6eg, 1--�Q 1 o I Phone* 30S*K 21-�13 Address: 1223'1 Sc -3 Zoy j rzQ. City: » State: Zip Code:33i�--- Describe Work: NeLj A7Ln I hereby certify that the work has been abandoned and/or the contractor/architect is unable or unwilling to complete the contract. I hold the Building Official and the Miami Shores harmless for all legal invo eme . Signature Signature owner or A ,nt lftor or rchitect The foregoing instrumen was aknowledged before me The foregoing instruas aknowledged before me this S day of Ili L 20 ,by this S—day of ,2d f by Who is personally known mj who has produced who is personally known to me o has produced N Y � � Y as indentification. as indentification. Notary Public Notary Pub' Sign: " 'C, CI✓NTHYA �4�It� Sign: "b'',, IN^ Seal: _ MY COMMISSION afOR9 EE114152 Seal: �° a `= MY rC�Q�t f lt9t+1# 14102 '.,�.�`' EXPIRES July 20,2015 a 49 $My 20,2015 (�398-9163 Florid�aRloteryServke.�m ',,4,,;° .' m (449398-Uiri`s �15toda,`�l�ry'F3e�vlc�a STATE OF FLORIDA QEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850)487-1395 " 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 i MARTINEZ, RUBEN F PRO HANDYMAN SOLUTIONS 4725 SW 74TH AVE MIAMI FL 33155 Congratulationsi With this license you become one of the nearly 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, DEPARTMENT OF BUSINESS AND and they keep Florida's economy strong. PROFESSIOM RPGULATION Every day we work to improvethe way we do business in order to CBC12513561 *SSUEA.1,05/29/2014 serve you better. For information about our services,please log onto h.myfioridelicense.com. There you can find more information CERTIFIED BUILM40 CONTRACTOR about our divisions and the regulations that impact you,subscribe MARTINEZ,RUBBId F to department newsletters and learn more about the Departments PRO FIANDYM I SOLt1 FipNS 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 or Cn.480 FS. and congratulations on your new license! Evhdbn date':AUG 31.2016 11405280001424 I i I DETACH HERE RICK SCOTT,GOVERNOR KEN LAWSON,SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTI0N INDUSTRY LICENSING BOARD °W CW125MI The BUILDING CONTRACTOR Named below IS CERTIFIED 1 Under the provisions of Chapter 489 FS. Expiration date: AUG 31,2016 - MARTINEZ, RUBEN F ❑ , ❑ PRO HANDYMAN SOLtrr p04 4725 SW 74TH AVE MIAMI VL 33155 • • ISSUED: 05/29/2014 DISPLAY AS REQUIRED BY LAW SEQ# L1405290001424 CERTIFICATE OF LIABILITY INSURANCE °Aoe�3i�a PRODUCER Insurance Marketing Neiwark THIS CERTIFICATE 13 ISSUED AS A MATTER OF INFORMATION 1348 Old We Highway ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Homestead,FL 33030 _ ASTER THE CQVPRAQF„A QRpf p,.p�f'} l. .p( ,tC )a.QW,. ......._. Phone(305)248-5000 Fax (305).248.1000 INSURERS AFFORDING COVERAGE NAIC S INSURED Tinez Constrtic ion,Inc dba Pro Wandyman Solutions !��-YB RA-'��antic Casualty Insurance Ca._:.."._.:......._._a.._.,.:.::._. .......__..�...._.__. 4725 SW 74th Avenue IN �R �__ _w.._................_._._ ........_._ _._...._........._._...._... SU R : .__ .r v �. w. ._._......_... ......._.,:... ..._,....:..w.., _ _...._...._ Mrami,FL 33155 INSIZRER .�. __._____.._.,. __...?..._._..._..,:.:.._.........:........_........_,....:. ..._._.__. PHONE 786-302.7937 INSURER E ___ ___.._.............. .... COVERAGES _..._,...:...,_.... _......__ _..._.., THE POLICIES OF INSURANCE LISTED 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 PERTAINN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. am ADDT TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTNE POLICY P.KpptATtON DATE GATE(MAAtDCfYYYJ..._._... ._ _.. _ .LIMITS, GENERAL LIABILITY EACH OCCURRENCE 11000,000 Q COMMERCIAL GENERAL LIABILITY 6A_NWM'0_AENI1 '_"� L144000977-3 06!16/2014 06/16/2015 PREMgRA(ffa oao end100,000 ❑❑ C!AIMS MADE Q OCCUR _MED_E_XP(Any one person) 5,000 A ❑ ❑ PERSONAL&ADV INJURY 1 000 000 ❑ GENERAL AGGREGATE_ 1,000,000 GEN'L AGGREGATE UMIT APPLIES PER: PRODUCTS-COMPIOP AGG _ 1,000,000 ❑ POLICY ❑PROJECT ❑ LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT �4u ❑ ANYAUTO acclderlt____ ❑ ALL OWNED AUTOS IN ❑ ElSCHEDULED AUBODILY INJURY TOS BODILY } ^_- ❑ HIREDAUTOS '-- ❑ NON OWNED AUTOS BODILY INJURY (Per accident) ❑ PROPERTY DAMAGE Per accldent GARAGE LIABILITY AUTO ONLY-EA ACCIDENT ❑ ❑❑ ANYAUTO OTHER THAN EA ACCAUTO ONLY: AGG EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE ❑ ❑ OCCUR ❑ CLAIMS MADE AGGREGATE ❑ DEDUCTIBLE ❑ RETENTION $ WORKERS COMPENSATION AND Y/N EMPLOYERS'LIABILITY SIL ANY PROPRIETOR I PARTNER I EXECUTIVE E.L.EACH ACCIDENT �4 OFFICER 1 MEMBER EXCLUDED? E(Mandatory M NH) E.L.DISEASE-EA EMPLOYEE Syes d underOS Wow E.L.DISEASE-POLICY LIMIT OTHER PPTHER DESCRIPTION OF OPERATIONS I LOCATIONS t VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS i I CERTIFIED BUILDING CONTRACTOR CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DA ,THEREOF.THE ISSUING INSURER WILL ENDEAVOR TO MAIL Miami Shores Village 10 DAY N NOTICE TO THE CERTIFICATE HOLDER NAMED TO Building Department THE LEFT,By FAIL O DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY 10050 NE 2nd Avenue OF ANY KIN PON THE SURER,ITS AGENTS OR REPRESENTATIVES. Miami Shores Florida 33138 AUTHOR REP ESN fATNE ACORD 25(2009101)QF 1988.2009 ACORD CORPORATION.All rights reserved.! The ACORD name and logo are registered marks of ACORD . CERTIFICATE OF UASIUTY INSURANCE � 4 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,MEND OR ALTER TK COVERAGE AFFORDED BY THE POL.1m BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE AfiONTRACT I3ETWEEN THE ISSUE INSUREW( AUnIORIZI D REPPIES VTATIVE 0*4 PRODUCER,AND THE CMFICATTE HOLDER. WPORTANT: hQmter Ls an ADDITIONAL lXSURED,the paffay(W)mUd be w*n$0.R 8WWOGATM IS WAIVGD su6lect l0 the term and condBons of the polloq,aerfata poNee a"mgtrlre an eadmantent. A stale mM an dft cats does nNd canter#W to to are catIffoate holder In Neu of such andamoyawtM. _. Pamcm ArW Alo InterAssurance ?88-8322- 758'4458 8190 Biscayne Bhal.,Suits#201 d Intersel; MWnI Shores,FL$3138 LID#: Phone (306)758-8322 Fax 0"768-4466 A form r -RETAIL FMT I WRANCE COMPANY TINEZ CONSTRUCTION INC DIWA PRO HANDYMAN SOLUTIONS wam a 4725 SW 74 AVf C. LIS".Ftorida 33155 (786)543-7867 wwJm 9, 1 _ F: COVERAGES CERTIFICA'T'E NUMBER. REVISION NUMBEi: THIS IS TO CERTIFY THAT THE POLICES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE MAED NAMED ABOVE FOR THE POLICY PERIOD 0I0ICATEO. N0TWffH8TANDNG ANY REOjJff:*d46NT.TERMOR CONDITION OF ANY CONTRACT OR OTHER OMMENT WITH RESPFCT'TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HIFREId IS SUBJECT TO ALL THE TERMS. FDtCLUWM AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS ACUL SM TYPS OF U4URA*C@ LPJM 09NMM UA59,rrY EACH ❑ COMMIEMM1.0611MALIJAINUTY ❑ ❑ MAWISMADE ❑ DCMNI ExP $ ❑ PERSONAL&A!W RAW $ ❑ at IAL AORIREGATE: $ GENLA00REGATELAIIRTAPFLESPER: PROM=-COMP AGa $ ❑ POLICY ❑ 2% ❑ LoC . AUTOMOBILE 1.114011.1" COMBINED 6omw UMR $ �a wac�uK1 ❑ ANY AUTO BODu Y tlV31iRY(Per Gaon# S (� ALLUNNEDAUTUS GODLY Raw Met $ ❑ SCHEDULEDAUTOS PROPFMOAMAOE ❑ KRED AUTOS �► .. ❑ NONC1Wt415DAUTOS $ . ❑ $ ❑ LN ORKLA LiAS ❑o=l; EA04 OCCUFMB CE $ ❑ Mcm wa AGMU50ATE s ❑ Dmuomu $ El REnwm WORKERS COMPENUTION eTAr ANDEMPLawmLkwuryy 0520-44824-0 E L +Att�t+�lT >8 1.000,000A NIA N 06l0*2014 00=15 (M>rnddtmy In NH} EL DISEASE-EA EMPLOYS S t 001=0 unar tl d 0 ELOI6EAS8.POLtLYWO $ 1,9wwo �8CR�1'ION t'!F OPERATi�iB/LOCAT�NS I�ICL$S tAh ACORC tel, Rsmalloalidraduls,it rr�re a rare�{rad) CERTIFIED BUILDING CONTRACTOR CERTIFICATE HOLDFai CANCELLATION SHOULD ANY OF THE ABOVE DESCRN361)POLICES BE CANCELLED BOXiRH: THE E> TM DATE THEREOF,NO=WILL BE 09LNEM IN MIAMI SHORES VILLAGE ACCORDANCE WITH THII POLW PROVISIONS. BUILDING DEPARTMENT 10060 NE 2ND AVENUE AUTHORMBD FMPRSKWMTMZ MIAMI SHORES,FL 33138 AFIEL AJO ' W 18884DO8 ACORD CORPORATION. All rights resaread. ACORD 26 0008"OF The ACORD novive aril IW are regtaWW marks of Acom Tinez Construction, Inc. d/ba/ Pro Handyman Solution Estimate 4725 SW 74 Avenue TINEZ Miami, FL 33155 Date Estimate# CONSTRUCTION 1/28/2014 1031:7 �] Name/Address Shirley Murillo 147 NW 109th Street i Miami Shores,FL 33168 I P.O. No. Project I Re-wire and Kitchen Description Hours U/M Rate Total _ 350.00 350.00 I Relocate existing meter at rear of property to east corner. 14,280.00 14,280.00 Furnish and install new electrical panel w/disconnect per Dade county building code. Remove and dispose of existing panel. Cut walls as needed throughout—repair to walls not included due to unforeseen wiring. Once walls are exposed I I we will quote the repair of the walls. Keep in mind we will 4 z 1 break the least amount possible. 1 j Re-wire house throughout(outlets,switches, light fixtures and appliances)-Furnish and install new covers,outlets and switches. Complete gut of all existing electrical Furnish and install outlets for TV and low voltage Furnish and install recessed lights in living room(6)—110 V Remove and dispose of all construction debris Furnish and install smoke detectors for hallway and 'bedrooms Center master bedroom ceiling fan y Furnish and install(3)recessed lights in the hallway i Supply(1)electrical drop in each corner for exterior spot lights-total 4 I Furnish and install(2)exterior outlets r Supply one drop for light in carport House may be without power for up to 7 days i Repair walls as needed throughout walls and ceiling. Prime 3 and paint is not included nor labor or materials j Cut half wall in kitchen and dispose of existing upper d cabinets. g r I l f I � e Total Page 1 � 1 Tinez Construction, Inc. d/ba/ Pro Handyman Solution Estimate TINEZ 4725 SW 74 Avenue -- - CONSTRUCnON Miami, FL 33155 Date Estimate# 1/28/2014 10317 Name/Address Shirley Murillo 147 N W 109th Street Miami Shores,FL 33168 P.O. No. Project Re-wire and Kitchen Description Hours U/MRate Total Kitchen �8 850.00 t 8,850.00 Remove soffit on right side of fireplace Remove and dispose of existing cabinet system. Furnish and install prefabricated 30"kitchen cabinets. White—Shaker,plywood boxes and wooden doors Layout to remain as is Reinstall existing countertop on sink side Furnish and install butcher block for range side Install client supplied under cabinet lighting j f 1 Furnish and install cement boards(tile sub floor) 1 Install client provided porcelain flooring. Furnish and install glass backsplash Fabricate and install shelf i I E i (I I j i I ' � t , Total $23,480.00 Page 2 s shores Miami Village RFs Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 R1DA Fax: (305) 756.8972 Page 1 of 1 Permit No: f-C 14—��o Structural Critique Sheet STOPPED REVIEW Pian review Is not complete,when all items above are corrected,we will do a complete plan review. If any sheets are voided,remove them from the plans and replace with new revised sheets and Include one set of voided sheets in the re-submittal drawings. Mehdi Asraf . ' Miami Shores Village Building Department JUL 23 22015 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 2 Tel:(305)795-2204 Fax:(305)756-8972 ! - -� Q'a INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20[<�' BUILDING R E V 10:NJ aster Permit No. �i ` " 1-/50 PERMIT AP Sub Permit No. ❑BUILDING ;ELECTRIC ❑ ROOFING ] REVISION ❑ EXTENSION []RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP c t CONTRACTOR DRAWINGS JOB ADDRESS: `� "J ®� 1;r City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 11212)(o fl200 Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Namret(Fee Simple Titleholder): syLz(`!!:�t R,✓�kt` _� Phone#: -79"6 301 1053- Address: City: State: FL Zip: 33 j 3;F Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: n 1Q.r Phone#: 236 Zft 33 Address: 13 b City: fug State: ['L Zip: 33 19d, Qualifier Name: ('PIS o .0 M02E1 ov01 Phone#: State Certification or Registration#: 000 Z-92.-} Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: �— City: State: Zip: Value of Work for this Permit:$ s®� Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: 'ye--j 99-.- AdYk Specify color of color thru tile: Submittal Fee$ Permit Fee$ /jr- o®ePCCF$ Q �_ CO/CC$ Scanning Fee$ Radon Fee$ s DBPR$ a �'� Notary$ 9) Technology Fee$ Training/Education Fee$ Q . Double Fee$ Structural Reviews$ 91 Bond$ G TOTAL FEE NOW DUE$ (Rev1sed02/24/2014) 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. )LX Signature Signature I. OWNE or AGENT CONTRA The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this Z 3 day of Sum 20 S by '2:3 day of ,w�-..� 20 5 by Jar,,,;.✓ tlA, l� &W.p � . .� {�► ,who is personally known to � r on,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 PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: ——- — Seal: _ : W COMMfSSION F EE114152 Seal: E. Ve'i OBAAAisbiciW . E-I14'i52 ' axPIR-S,)U,1; G,7.015 �`,o •r EXPIRES,July 20.2015 , ab ')390 Floridalloiz/:� :vw+=.��.•; (407}398-0953 FloridallotarySeroice.com (407)3988-09a3 s#*ss#s##**ss#ss***s*#**s*ss**s***s**#***ss#***#s###*#**#****#s**#**##**ssss*s*ssss*#s*s****##***s#***#***## /.g APPROVED BY �� J"UL Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)