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RC-15-1926 unit . RC-74 5-119261 Miami Shores Village Permit-Npe:Ke,s1dqn#a1 Constrl ctlon .,.,.� 10050 N.E.2nd Avenue NE Workaesaftation.,A#te mon Miami Shores,FL 33138-0000 Ppr I Permit Status.APPROVED "toiivl*y Phone: (305)795-2204 Issue gate;918/2015 Expiration: 03/06/2016 Project Address_ Parcel NumberApplicant 1450 NE 101 Street � 1132050240040 NATASHA GAIQUI&MARITZA G Miami Shores, FL Block: Lot: Owner Information Address Phone Cell NATASHA GAIQUI &MARITZA GAIQUI & FIRST UNION PO BOX 40062/C MOORE -- - - -- - JACKSONVILLE FL 32231-0062 Contractor(s) Phone Cell Phone $ 34,000.00 RED OAKS SHUTTER INC (954)782-9325 Valuation: Total Sq Feet: 120 Approved:In Review Available Inspections: Comments: Inspection Type: Date Approved::In Review Final PE Certification Date Denied: Window Door Attachment Type of Construction:REMODEL 2 EXISTING BATHROOM Occupancy:Single Family Framing Stories: 1 Exterior: Insulation Front Setback: Rear Setback: Drywall Screw Left Setback: Right Setback: Fill Cells Columns Bedrooms:3 Bathrooms:2 Window and Door Buck Plans Submitted:Yes Certificate Status: Review Planning Certificate Date: Additional Info: Review Electrical Review Electrical Bond Return: Classification:Residential Review Plumbing Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Review Plumbing CCF $20.40 Review Building CO/CC Fee $50.00 Invoice# RC-7-15-56537 Review Building DBPR Fee $15.30 09/08/2015 Cheek*31004 $2,137.00 $50.00 Review Structural DCA Fee $15.30 07/30/2015 Credit Card $50.00 $0.00 Review Mechanical Education Surcharge $6.80 Permit Fee $1,020.00 Scanning Fee $12.00 Technology Fee $27.20 Work without Permit Fee $1,020.00 Total: $2,187.00 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 info on is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above na !dAntractor to do the work stated. September 08, 2015 Authorized Signature:Owner / Applicant / o ractor / Agent Date Building Department Copy September 08,2015 1 Miami Shores Village CE8V D } JUL 3 ® 2015 Building Department BY: 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 3n7 BUILDING Master Permit No er_zS__ j9� 7PE MIT APPLICATION Sub Permit No.. BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑EXTENSION ❑RENEWAL PLUMBING ❑ MECHANICAL PUBLIC WORKS [:] CHANGE OF ❑CANCELLATION ❑ SHOP , yy CONTRACTOR DRAWINGS JOB ADDRESS: City Miami Shores County Miami Dade Zip: i Folio/Parcel#: 11 ,4 0,S - '00L4 6 Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): (bo ° -2 C, (71 Cc 1C4 i i i Phone :3 0's Address: N'so ME City: 0-)%C'rrW e Shur Q_� State: L. Zip: 0 D Tenant/Lessee Name: Phone#: Email: `` u CONTRACTOR:Company Name: Phonq#: Ci - -1 a) .r Address: 0 'ILU, City: Q„nDono __h_Qt_LC ire State: Zip: Qualifier Name• Mk '1-0— r,d bC,L6,u/ Phone#: Q51-1-281-111)-S State Certification or Registration#: 0-1'1 C i r ti's Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address:- City: S ate Zip: Value of Work for this Permit:$ ® Square/Linear ge of Work: Type of Work: F-1Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition Description of Work: A jL NN c\kA LA dt� Specify color of color thru tile: Submittal Fee$ o r Permit Fee$t '` _ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Boni!$ TOTAL FEE N07 DUE$ ; (RevisedO2/24/2014) 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 budding 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 cued 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. Signa Signature U 1 ��� � 4NER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of , 20 6 by1 day of y1A 20by 01�ACL. who is personally known to 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 im oath. NOTARY PUBLIC: NOTARY PUBLIC (Sign: G� Sign: AD �' int i "Amu"a'; TE OF FL�J RM Seal: NOTARYPUBLi:..=,.I'FOFFLORIDA Seal. L)ri Midis Lim Madison � _ =.C�� � ' , Commission#EE128488 "y�>o..00 'FR 080 ®gs '• 'Expires: SEP. 8,201 ���emu ^ -oNnolc .,,]TTM APPROVED BY TTI / Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) r r gti►��s ... .., Miami shores Village Building Department �ZOR 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION IF CONT CTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. COPY OF QUALIFIER'S STATE LICENCES B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF LIABILITY INSURANCE* D. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICATE OF COMPETENCY OF QUALIFIER B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF STATE REGISTERED CONTRACTOR LICENSE OR MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT. D. COPY OF LIABILITY INSURACE* E. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit) *YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE AS FOLLOW: Certificate Halder: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 Certificate must specify the description of operations or contractor license number. ............................................................................................ BUSINESS NAME: c �C�k`� I C_.._ BUSINESS ADDRESS: J ( At'o 0 CITY? x-- 4t -i ATE BUSINESS PHONE: ( Ci�� ) )-c(3,25 FAX NUMBER `S ) �- CELL PHONE( ) QUALIFIER'S NAME: 66 QUALIFIER'S LIC NUMBER: l-� Irs i C( S7-5 1 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICErING BOARD (850)487-1395 1940 NORTH MONROE STREET II TALLAHASSEE FL 32399-078 ii • BARBOUR, NICOLE RED OAKS SHUTTER INC I 229 SW 5TH COURT POMPANO BEACH FL 33060 i 1 f Congrdfulations! With this license u. - '.. _ one mGlion Flor�ans licensed b � bec�orrre one of the nealiy f _—...—.._ _...;...__. .., ..:.. Professional Regulation. Our Y Departrrretrt of Business and j �` -- ---_. . ....�._ _......_. P�ionals and businesses k tO bi n boxers to barbeque r STATE OF FLORIDA y eep Rorida's economy strong. "DEPARTMI N—T..OF BUSINESS AND Every day we work to i PROFESSIOKAL REGULATION mprm the way we r business kl order to ' CGC1519838•.r` serve you better For informattion about our services,please log onto <:- U€D 08/04/2014 vWww.mynoridalicense com. There you can find more information about our divisions and the regulations that impact you,subscribe ; — CERTIFIED FO to department newsletters and learn more about the NTf GTOR initiatives. Departments BARBOUR, RED OAKS S. IHS. Our mission at the Department is:License Eff<cerffiy,RegulateFairly We constantly strive to serve you better so that you can serve your; sh CUStomers. Thank you for doing business in Florida, IS CERTIFIED under the provisions of Ch.489 FS. and congratulations on your new license! EVkaftn dada:AUG s1,zms L1408040CM877 1 DETACH HERE RICK SCOTT,GOVERNOR I ' KEN LAWSON,SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS ASID PROFESSIONAL REGULATION CONSTRUCTION'IN-DUSTRY LICENSING BOARD CGC1599838 The GENERAL CONTRA To R r�i Named below IS CERTIFtED ; x Under the provisions of Chapter 489 FS. Expiration date: AUG 31,2016 . BARBOUR NICOLE h" RED OAKS SHUTTER ING"' r .. 281 SE 9TH COURTlip POMPANO BEACH .-FL 33.060 ISSUED: 0810412014 DISPLAYAS REQUIRED BY LAW' SEQ# L1408040OW877 i BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT • ' 115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895—954-831-4000 VALID OCTOBER 1,2014 THROUGH SEPTEMBER 30,2015 DBA. Receipt i'#:180-243291 Business Name'RED OAKS SHUTTER INC Business Type:GENERAL CONTRACTOR Owner Name:NICOLE BARBOUR BusinessOPened:08/23/2011 Business Location:221 SW 5 CT State/County/Cert(Reg:CGC1519838 Business Phone:POMPANO BEACH Exemption Code: Rooms seats Employees Machines Professionals 1 For Vending Business Only Number of Machines: Vending Type: Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paid 27.00 0.00 0.00 0.00 0.00 0.00 27.00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Broward County and is non-regulatory in nature.You must meet all County and/or Municipality planning WHEN VALIDATED and zoning requirements. This Business Tax Receipt must be transferred when the business is sold, business name has changed or you have moved the business location.This receipt does not indicate that the business is legal or that it is in compliance with State or local laws and regulations. Mailing Address: NICOLE BARBOUR Receipt #05A-13-00010118 221 SW 5 CT Paid 08/12/2014 27.00 POMPANO BEACH, FL 33060 1 - 2015 ACORO® DATE(MM/DD/YYY1� C40 CERTIFICATE OF LIABILITY INSURANCE 7/27/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terns 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: Suzette Hernandez Frank H. Furman, Inc. PHONE (954)943-5050 (FAX, IC No:(954)942-6310 1314 East Atlantic Blvd. ADDIR suzette@furmaninsurance.com P. 0. BOX 1927 INSURER(S) AFFORDING COVERAGE NAIC# Pompano Beach FL 33061 INSURER A.Covin ton Specialty Insurance Co 13027 INSURED INSURER B FCCI Insurance Co 10178 Red Oaks Shutter, Inc INSURER C: 221 SW 5th Ct INSURER D: INSURER E: Pompano Beach FL 33060 INSURER F: COVERAGES CERTIFICATE NUMBER:CL1532750176 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 ADDL SU R POLICY EFF POLICY EXP LTR POLICY NUMBER MMIDD MM/DD LIMITS X COMMERCIAL GENERAL LIABILITY 1,000,000 EACH OCCURRENCE $ A CLAIMS-MADE OCCUR DAVAGE TO RENTED 100,000 PREMISES Ea occurrence $ VBA3691B700 4/1/2015 4/1/2016 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEML AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X PRO- POLICY JECT LOC PRODUCTS-COMP/OPAGG $ 1,000,000 OTHER: Deductible. $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea acc dent ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOOr AUTOS BODILY INJURY( )Per accident $ NON-OWNED PR PERTY DAMAGE HIRED AUTOS AUTOS Per accident $ UMBRELLA LIABOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION X PEROTH- ANO EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVEE.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? [ N/A B (Mandatory In NH) 001-WC14A-66424 4/1/2015 4/1/2016 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) license #: CGC1519838 CERTIFICATE HOLDER CANCELLATION 13057568972@efaxsend.com SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shores Village THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Building Department ACCORDANCE WITH THE POLICY PROVISIONS. 10050 N.E. 2nd Avenue Miami Shores, FL 33138 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS025 rgol4oit Sindia Alvarez From: stephanie@redoaksshutter.com Sent: Tuesday, September 08, 2015 1:37 PM To: Sindia Alvarez Subject: Permit RC-7-15-1926 Hi Sindia, I was in the building dept today regarding permit RC-7-15-1926. My guys are going to start work back up on Thursday, Sept. 10th. Can you please schedule an inspector to go to that address and take off the red tag? Please let me know. Thank you to l ,C Stephanie Meade Red Oaks Shutter Inc www.redoaksshutter.com www.redoaksprintinit.com Office (954)782-9325 Fax(954)782-2890 RED OAKS SEPSHUTTER p � 201a (954) 782-9325 �a