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RF-16-2039 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-263753 Permit Number: RF-7-16-2039 Scheduled Inspection Date:July 29,2016 Permit Type: Roof Inspector: Mesa, Michel Inspection Type: Final Owner. WONG,BRIAN&MARILYN Work Classification: Gutters Job Address:1236 NE 93 Street Miami Shores,FL 33138- Phone Number (305)442-8884 Parcel Number 1132050270180 Project: <NONE> Contractor: GUTTERMAN'S SERVICES INC Phone:(305)301-0729 Building Department Comments 6"K STYLE GUTTER AND 4"X4" Intractio Passed Comments SQUARE DOWN SPOUT LOGLOS WHITE INSPECTOR COMMENTS False INSTALLATION Inspector Comments Passed D Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid I9 July 28,2016 For Inspections please call:(305)762-4949 Page 19 of 42 ON s i • � �- � Miami Shores Village � ` � 1t}>( �S. 10050 N.E.2nd Avenue NE f t E 3Y}3 „ vhf -'GuftM, Miami Shores,FL 33138-0000 4320 hF � Phone: (305)795-2204mffl �� RO ': CORL1l' 01P� Ex iration: 1/2 /2017 712712 Project Address Parcel Number Applicant 1236 NE 93 Street 1132050270180 Miami Shores, FL 33138- Block: Lot: BRIAN&MARILYN WONG Owner Information Address Phone Cell BRIAN&MARILYN WONG 1236 NE 93 Street (305)442-8884 MIAMI SHORES FL 33138- 1236 NE 93 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 2,198.00 GUTTERMAN'S SERVICES INC (305)301-0729 _.. _. _.: .... __. Total Sq Feet: 423 Type of Work:Gutters Available Inspections: Additional Info:6"K STYLE GUTTER AND 4"X4" Inspection Type: Classification:Residential Final Scanning:3 Review Building Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.80 DBPR Fee Invoice# RF-7-16-60677 $2.00 07/27/2016 Check#:1487 $72.80 $50.00 DCA Fee $2.00 Education Surcharge $0.60 07/20/2016 Check#: 1484 $50.00 $0.00 Notary Fee $5.00 Permit Fee-Repairs $100.00 Scanning Fee $9.00 Technology Fee $2.40 Total: $122.80 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS 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 ano zoning. Fut ermore,11aauhhhoorize the above-named contractor to do the work stated. July 27,2016 Authorized Signature:Own I 1pr / Applicant / Contractor / Agent Date Building Department Copy July 27,2016 1 1 Ivildl I II JI IVl CJ V IIIdgC I JUL 2'0 2010 Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20/q��'- BUILDING Master Permit No.)Cr— l(� 39 PERMIT APPLICATION sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP / a /�/ CONTRACTOR DRAWINGS JOB ADDRESS: /�.>� Y q5 r 4 City: Miami Shores County: Miami Dade Zip: 3-3135 Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction AType: Flood 1Znon,�e,: BFE: FFE: OWNER: Name(Fee Simple Titleholder): �Yl W WVn Phone#: � �y Address: Y 7 D City: GI,�wCGIrJ/ State: �(/ Zip: 3-2)3b Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: IG1��if man S seyy C'69 Phon #: l —07 Z17 Address: C-7— City: %cir ni State: r—L Zip: 33) Qualifier Name: FN 'U Phone#:(30b-)q'06-0 T I, State Certification or Registration#: Certificate of Competency#: 03 0 S Do qqo DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$�� Q Square/Linear Footage of Work: P2f Type of Work: ❑ Addition ❑ Alteration ® New ❑ Repair/Replace ❑ Demolition Description of Work:.,6" IL S �ey- Cod if L rew ,5vZ 1D 10 w,uk I fr-`T�II V%t� Specify color of color thru tile: Submittal Fee$ ��C9 Permit Fee$ CCF$ Q �� CO/CC$ Scanning Fee$ �'�� Radon Fee$ 2—CJZ) DBPR$ ' 03 Notary$ ' Technology Fee$ Training/Education Fee$ 6 ' 60 Double Fee$ (�9 Structural Reviews$ Bond$ X-1 TOTAL FEE NOW,IDUE S . 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 ✓ UC d g Si nature ®✓a C�i 0 ,NER or AGEN V CONTRACTOR The foregoing instrument was acknowledged before me this The fore oing instrument was acknowledged before me this 1 day ofU�- 20 � by �-� dray of 20 1(o , by n4� E� 0 who is personally known to `-) ,who is personally known to me or who has produced -LYD'Jr4L as me or who has produced Tr_L 4) L_ as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: ` 11111III�oNOTARY PUBLIC: \Nd10N• rioi��i// Sign: o: Sign: • II 3; Print: ?�•"� Print: Seal: Seal: � ' �,�,, gelca I ,�,°� •• Sgldl�'.• ` COMMISSION iFF922661 •••" • �� EXPIIiES: November 8,2019 .... WWWI.AARONNOTARY.COM APPROVED BY Plans Examiner Zoning Structural Review Clerk 7/20/2016 1:39 PM FROM: Fax TO: 3057568972 PAGE: 002 OF 002 � CERTIFICATE OF LIABILITY INSURANCE DATE IMMIDDIYYYY) 7/20/2016 • THIS CERTIFICATE IS.ISSUED ASA MAI I OF INFO.R.MAObN ONLY'AND CONFERS NO RIGHTS UPON THE CERTIFICATE H 8k THIS CERTIFICATE.DOES:NOT AFFIRMATIY'ELY OR NEGATIVELY AMEND; EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES I4EY.OW. THIS CERTIFICATE OF INSURANCE'DOES NOT CONSTITUTE Al:CONTRACT'BETWEEN THE ISSUING INSUkERIS), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE'CEFTTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(fes)must:be endorsed_ If:S MROGATION IS WA_P+ D,subject to the terms.and conditions of the policy;certain policies may esquire an andoisemeltt. A.stitetrierit oTr this certificate does notconfet rights-le the certificate holder In lieu of.such'endorserite. s. PRODUCER .NAME: Nar'i•a 8C3 & Assaciates, An Optisure Risk PartnerPiIONE (3C5}278- Faz. . 90tI2 ze-;xu � .:I3as)a� 9$99 Stmsatu6.Driv® ADORiE ,Maria?Lopez optiaure,Coa smite 102 COVERAGE 4AM0 Mai=i tN5U 5 AF60RDING Ts FL 3'317.3. 1NsuRERAMega. Undert�rriters.,Spipciialt 2ns. Co INSURED INSURER 6 Gutt@rltra.[11-5 Ser[Clce,s; TLSO INSURER6: . 939 SW. 14@nth Court INSURER-0 INSURER E': Miami FL' 33194 wsuRrfR'p: COVERAGES CERTIFICATE NUMOMCL165509541 REVISION NUMBER. THIS IS TO CERTIFY THAT iHE..POLiCIES OF INSURANCE LISTED BELOW NAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOT TH,STANDING ANY REQUIREMENT, TERM OR:CONDITION OF ANY CONTRACT OR.OTHER D(JCUMEN`!'WITH RESPECT T4 WHICH+THIS CEATIFICATE MAY BE ISSUED OR.MAY PERTA N, TI-JE INSURANCE AFFORDED BY THE POLICIES DESCi�IME)HEREIN IS SUBJECT TO AL THE TERMS, EXCLUSIONS,AND,CONDITIONSOF SUCH POLICIES.LIMITS SHOWN mAY.HAVE+BEEN REDUCED BY PAID CLAIMS. IPISR TYPEOF'IN3URAN¢E POLICY NUMSER, ROlICYFF, P LICYEJtP.. Iiti+tTB X C©MMERCIAL.GENERAL.LtAHILITY EACH OCCURRENCE $ 1x000,000 P[ .GLAMSMAt.1E a. OCCUR D 100;01)0" X. ISO() DEd.81/1'n/P&AI. LWXT-A' 5/i/2fd16 5/1%ZV17 ABED EXP.{A 'mae:persor,) g S;QOfl Ei3r Cl$1ltlt PERSONAL&ADV'INJURY $ i;Oflfl:;000 CENT AGGREGATE LtMITAP?LIES PER GEPIERAI.AtaGREGATE $ 2,00.0.,000 � POLiCIr'D�C�l' �LQC PRODUCT$-COMPIOPAGG .S 1,0OO,tTUp 0 s AuromosILEtt 6i"TY,. 'C F31 ED:S. :LtAhIT .g c en 'LO ®ODILY�IJUliY(PBt I ers6Aj .'g Y .ALL OVvNEQ SCHEDULED .�. AUTO AUTOS eODICY IPJJURY(Pee abcidsiilj 4 HIRED AUTOS AUTOS NEO _ AUTO$ .PR®OPFJ2 1�7'pp&dAGE_....._... S� S i1 LLKS OCCI7ti •EACFi06CURRDM ExcEss LL48 OCCUs-MApE AGGREGATE $ Otb. .RETENTION$. WO"ERSCOMPENSATION, S 'AND'EMPLOYERS,LIABILITY. Y/N ST' £R AW.PROPRIETOrt ARTNER/EXECUTIVB OFFICER/NI *BER EXCLUDED?. � N'1 A E.L.:6kCkACCIDE4S .(Nandawry in NH) ff es,de8ci�,ie i>ndsr f r_DISEASE-EA EbrP.LCSYEM S D SCRIPTION OF OPERATIONS below E L DISEASE P(31 ICY.L RST $ DESCRIPTWN OF OPERATIONS lLDGATr0NS/VEH1"ES(ACOI¢D 109.AdgiUoriat#IemAelta Sthestiie,.may tie a@achmtf It irtwe space is raqufre,l) Sheet Metal Work-Out.8±4e, R68.idential CERTIFICATE HOLIDER CANCELIJ4TIOhl. SHOULD ANYOFTHE'ABOVE.t)ESCRr9E POI.ICIE$:BECANGELLEi►tit*OAE Miami Shores Village THE EXPIRATION DATE THEREOF; "TICE WILL RE DELIVERED fa 1£}OSU It..E.. 2 Avenue ACCORDANCE WrrH THE'POLICY PROYI IONS. Miami Shores,. FL 33:136 AUTHORIZED REPRI!E ,• 1>d$8-20td;ACOt3D GORP:p-j 1IiON1: All iiiihts.riii"ve.d.. ACOfRD 25(204.41ol) The ACOPb nahrs and logo are registered'maeks of.ACORD I14S026#owdt:) 7/20/2016 2:19 PM FROM: Fax TO: 3057568972 PAGE: 002 OF 002 CERTIFICATE OF LIABILITY INSURANCE DATf3(IIWIDDIVVM " ilhl� 7/19/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF FORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AM ENIN EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING IVSURER(S)� AUTHORTMD REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER RYIPORTANT: If the certificate holder is an ADDITIONAL INSURED,the p011CO'es)must have ADDITIONAL INSURED provisions or be endorsed. N RI IRRrw%AT VM LS WANED.a.:rwj..rr IM tf+P i."—and w *I[M nna of 1hn Nwdlow.e>+1aln r+nllr3r+a may&n Palm nn andnrao+nw t. A aialarwni nn this cerd ieaEe does not confer rights to the certificate holder In Neu of such endomement(s). PRDDUCER SUNZ Insurance Solutions, LLC. ID: (TLR) � Workers'Comp De artment c/o TLR of Bonita, Inc PHONEFAX 700 Central Ave Suite 500 727-520-7676 x3 No. 727-525-3862 St. Petersburg, k 33701 ADDRESS: carIsCMencorahr.com AFFORMING COVERAGE NAIL ad ueUMMA: SUNZ Insurance Company 34762 TLR of Bonita, Inc uasummD: Aspen Ra-London-Best Ratin "A+" EntterpriseHR w ymm c: Chaucer Syndicate-Lloyds-Best Rating"A+" 700 Central Avenue Suite 500 MUMMD. Faraday Syndicate-Lloyds-Best Rating"A+" St. Petersburg FL 33701 IINSURERE: wsuRER F: COVERAGES CERTIFICATE NUMBER: 30985150 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 wunPDLICYNINBER POLIGY EFF POLICY EXP ywyyym LQ11r� FGEN'LAGGREtGATE CUwL.GI7MRILL LIABO.rry IN= EACH OCCURRENCE $ IMS-MADE 1-1 OCCUR DAMAGE TO PREM SES occurrence) $ MED EXP(Any arm person) $ PERSONAL&ADV INJURY $ LIMIT APPLIES PER GENERA71 L AGGREGATE JECT LOCCOMPIOP AGG $ AUrOMOBLELUIDLrry COMB I ED SINGLE LIMI $ ANYAUTO Ea ac idem OWNED SCHEDULED BODILY INJURY(Per person) $ AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA OCCUR EACH OCCURRENCE $ Is EXCESS LIARB CLAIMS-MADE AGGREGATE $ DED T RETENTION A WORRERScowENSATjaN $ ��,LOY�,� WCPE0000000112 6/1/2016 6/1/2017 PER OTH- YIN WCPE00000001 11 6/1/2015 6/1/2016 '� STATUTE ER ANYPROPRI ETOR/PARTNER/EXECUTI VE OFFICERIMEMBEREXCLUDED7 NIA E.L.EACH ACCIDENT $ 1,000,000.00 tory In NH) If yyes,describe under E.L.DISEASE-EA EMPLOYEE $ 1 ODD ODO.OD DESCRIPTIONOFOPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,OOD,DDO.DO B Workers Compensation This is for informational purposes DExcess Coverage and nothing shall create any right under such reinsurance. DESCRO"nON OF OPERATIONS 1 LOCATIONS f VENCLES(ACORD 101,AddMww l Renna:fe Schedul%troy be allnchad If nWle apace Is requlrad) Coverage Provided for all leased employees but not subcontractors of:Gutterman's Services,Inc. Client Effective:4/6/2015 CERTIFICATE HOLDER CANCELLATION 8445 Miami Shares Village SHOULD ANY OFTiIEABOVE DE DPOUC�SBECANCEU�DBEFORE 10050 NE 2nd Ave. '� EWMATMN DATE 7HNRHF�NOTICE WaL BE DEUV MM IN Miami Shores FL 33138 ACCORDANCEWRNTNEPOLMYPRO IONS, AUNHORd=D RrPRESENrAT14E cr► Glen J Distefano © INS2015 ACORD CORPORATION. All rights reserved. ACORD 25(20161003) The ACORD name and logo are reglsbered marks of ACORD 30?bsl5c 1 4ao7e* CeIt'f'cetr Ti m�^ SroV I 'r/7?/'•rlo 19:39:2 6M (Cl^) Pe41 i cf 1 !* • • ��1-i�,•�1'' 9 >� �� hl4�0 ; ipw Soo + s'r ' J _ - ' ADD•12E'SS 5`� i m S or 3�I 7 -,WO 6-7D ars' n a 9 -Z 17 r .. . PHA►�E .ti '. :R:t',NiASL ► Owon m I r DATE 7 / ?.®/(7 C 36 490i 71� 3 zS 2� � I_ D� o JUL b 1816 30 �o � Q�D .. ' a_ mZ �K a In event it becomes necessary for Gutterman's Services,Inc.to employ the services of an attorney to effect collection of the amount or balance due, under this contract, purchaser agrees to pay seller's reasonable attorney's fees and all expenses incident thereto. When executed and signed by both parties,this proposal becomes a contract. Gutterman's Services, Inc.,will honor a ffive-ytatVaranAft upon completion of installation of your continuous gutters system.This guarantee covers the installation and materials. Our suppliers guarantees the baked on enamel finish for twenty years a.9ainst cracking, chipping or peeling.We will repair or replace any part necessary if it is a direct result of faulty materials.We do not cover damage due to neglect or lack of proper maintenance.We do not cover damages that have occurred from abuse or acts of nature. COLOR THI5 ESTIMATE 25 VALID FOR ONE MONTH Amount 6" GUTTERS--- y) -- -- q fcX w�� -3 I �--T--- Deposit DOWNSPOUTS____ J — -- -------- ---------- OT L FEET Total ? �' e-mail: info(g?rainguttersmiami.net 938 S.W. 149 COURT - MIAMI - FLORIDA 33194