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EL-16-1354 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-263313 Permit Number: EL-5-16-1354 Scheduled Inspection Date: July 18, 2016 Permit Type: Electrical- Residential Inspector: Devaney,Michael Inspection Type: Final Owner: BACON,KEITH M Work Classification: Alteration Job Address:1632 NE 105 Street A-2 Miami Shores, FL Phone Number (305)332-6164 Project <NONE> Parcel Number 1122300530020 Contractor. TERRA GROUP INTERNATIONAL INC Phone: (786)386-9502 Building Department Comments REPLACE 2X CKT WITH GFI PROTECTION, REPLACE Infractio Passed comments EKT FOR OVEN INSTALL SMOKE DETECTORS,2 NEW INSPECTOR COMMENTS False WALL LIGHTS IN MASTER BATHROOM. Inspector Comments PassedE�f �f1f � � �1 Failed YM Correction Needed Re-Inspection a Fee No Additional Inspections can be scheduled until re inspection fee is paid. July 15,2016 For Inspections please call: (305)7624949 Page 34 of 44 L'd 00000 elggea dtE::909681.Inf s i Miami Shores Village 10050 N.E.2nd Avenue NE Miami Shores,FL 33138-0000 ; Phone: (305)795 2204 I "I" Expiratlon: 12/07/2016 Project Address Parcel Number Applicant 1632 NE 105 Street Number: A-2 1122300530020 KEITH M BACON Miami Shores, FL Block: Lot: Owner Information Address Phone Cell KEITH M BACON 1632 NE 105 Street (305)332-6164 MIAMI SHORES FL 33138- 1632 NE 105 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 1,500.00 TERRA GROUP INTERNATIONAL INC (786)385 9502 _,.,. ._._....,. ___ _., Total Sq Feet: 0 Type of Work:REPLACE 2X CKT WITH GFI PROTECTION, Available Inspections: Additional Info: Inspection Type: Classification:Residential Review Electrical Scanning:1 Review Electrical Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.20 Invoice# EL-5-16-59826 DBPR Fee $2.25 06/10/2016 Credit Card $315.70 $0.00 DCA Fee $2.25 Education Surcharge $0.40 Notary Fee $5.00 Permit Fee-Additions/Alterations $150.00 Scanning Fee $3.00 Technology Fee $1.60 Work without Permit Fee $150.00 Total: $315.70 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 a trio conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this pe it I assu a responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELE ]CAL,PL BING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AF AVIT: I that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction a o I. F t ore,I authorize the above-named contractor to do the work stated. June 10,2016 Authors ed gat re:Owner / Applicant / Contractor / Agent Date Building Department Copy June 10,2016 1 Miami Shores Village ``'�� Building Department M Y 18 2016 IWSO N.E.2nd Avenue,Wami Steres,Florida 33138 BY Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION UNE PHONE NUMBER:(305)762-490 FBC 20 '" BUILDING Master Permit No. 16 ` 2 •3 ( PERMIT APPLICATION Sub Permit No. EL I�- ❑BUILDING dELECTRIC ❑ ROOFING ❑ REVISION ❑E)(TENSf0N ❑RENEWAL ❑PLUMBING ❑MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 10z— /-4E l o 5- :5 d P—cc' Miami i Dade no: / Facto/Pam: /r—ZZ30--0 3 °- o00 is the BuNdIng Historically Des4eated:Yes NO Occupancy Type: Load: Construction Type: Rood Zone: BFE/:05 y FFE: OWNER:Name(Fee Simple Titleholder): 4y I xit &-k- OH Phone#:( X13 3 «� aty: 141"j '5040A-11275 State: FL zip: 3 3/ Tenant/Umee Name: Phone#: Email: CONTRACTOR:Company Name:f �,/4 J F' llgTfg;�6 ON AC i l4 C, Phone#: Address: 31-7d ti>R-A(- 6 aty: /11)A q) State• 4:7L Qualifier Name: rle.A)4C.l.SC 0 4 470F 4 LEl- Phone#: State Certification or Registration#: Certificate of Competency#: C- -OCX9/Z.IS DESIGNER:Architect/Engineer. DI BRI Fly --S Phone#: 36J 57� 0011 Address• ®96 2Z i�l Zly� ✓ ..City ddi�t2d 5+� State• L Zip: �F .3 6 Value of Work for this Permit:$?500.6Z:D Square/Unear Footage of Work: Type of Work: ❑ Addition ❑ A teration ❑ New ❑ Repair/Replace ❑ Demolition Descriptlon of Work: XZPLAGig, Z x C.d(T' vv l•rti f-I hk 17V— tro/+J. XE Pyr— "-r f✓oLIL- .0 vr-r4 1h1ST/6t� Z S/14—ylrg: bGtEC7aJu _ i. MEiN WA4--Z-- Lj fn2& ;jq 414-S-irk UlmZooJl Sped y coior of cob"thm tile: Submittal Fee$ �" Permit Fee$ l ya,49 0 CCF$ CO/CC$ Scanning Fee$ 3,gU Radon Fee$ .2 !S DOM$ dS Notary$ S • 00 Tedi Fee$ TEduraUon Fee$ ® Double Fee$ c� Struchual Reviews$ Bond$ TOTAL FEE NOW DUE$ '315 ,'7 0 (RwbedOV24t=4) 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. 1 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 taws 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 AFROAVIT: 1 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$250,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 cer t#kd copy of tate recorded notice of commencement must be posted at the job site for the first inspection whk curs seven (7) days after the building permit Is issued. In the absence of such posted notice, the inspection will not be ap ed nd a reinspection fee will be charged. SignatureSignature OW or AGENT CONTRACTOR The foregoing Instrument was acknowledged before me this The foregoing instrument was acknowledged before me this L. day of 120 .by /7 ®daffy o_f" 20 ,by who is personally known to o'A& � ,who is personally known to me or who has producedT — tme or who has produced as identification and who did take an oath. Identification and who did take an oath. NOTARY PU NOTARY Sign: + 1' Sign: Print: ( ,�' ��r Print: / IJ Sea(; qty P.iibiig,S2ate of Florida Seal: �•,,�aY MIGUI I A.MIRETE #6 Alv�r zo, `�'•,, Notary Public-State of Florida K�,ommr ron t,F 156?io i g• ;• fdy Comm.Expires Oct t,2018 Commission#F EE 839533 APPROVED BY- Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) : �.. STATE OF FLORIDA '�- DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD (850)487-1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 GONZALEZ, FRANCISCO JAVIER TERRA GROUP INTERNATIONAL INC 1310 S GREENMY DR MIAMI FL 33134-4767 Congralutaft ! Willi this Hcense you become one or the nearly one ninon Fbridfans ficermed by the Deparknerrt of Business and Protesslonai Regulation. Our prof rials and bum range .a. STATE OF FLORIDA from architects to yadmt brokers.from boxers to barbeque restaurants. A4+ DEPARTMENT OF BUSINESS AND and they keep FlwWs economy strong. PROFESSIONAL REGULATION Every day we work to improve the way we do business in order to EC0001218 ISSUED- 09/07/2014 serve ycw utter For hriorrnatlon about our services,please fog onto a awwillyfloridalicerrx cmn. There you can fit more information CERTIFIED ELECTRICAL CONTRACTOR about our divisions arrd the regulabom tud Impact yntm,mAncribe G©NZALEZ,FRANCISCO JAVIER todepatt�nt newsletters and team more about the Department's TERRA GROUP INTERNATIONAL INC klitiablvesOur mission at the Departinent is:License Efficienft Regulate Fairly. We constantly strive to serve you better so drat you can serve your customers. Thank you for doing mess in Florida, IS CERTIFIED.ander the provisions of Ch.489 FS. and congratulations on your neer license! DETACH HERE RICK SCOTT GOVERNOR KEN LAWSON.SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION t ELECTRICAL CONTRACTORS LICENSING BOARD - ECOM218 a The ELECTRICAL CONTRACTOR YA� Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31,2016 N GONZALEZ,FRANCISCO JAVIER �- TERRA GROUP INTERNATIONAL INC 3191 CORAL WAY SUITE 648 • MIAMI FL 33145 ISSUED: 01t17/2014 DISPLAY AS REQUIRED BY LAW SEQ# L1409MONWI Local 1f __ Mia )ade County, `' State of TM 5 "OrA . - DO NOT PAY 2419434 MAA�lf.00AflOIt T 1i0. EXPIRES ER ,2015 IWT ECUK"$450ti i5 5-161371 il�et�aip�ee�tia seailt - -Y�ds�aresffi�6�#A tirsa� 3 m . JEFF ATWATER STATE OF FLORIDA QUEF RNANCtAL OFRcM DEPARTMENT of FINANCDaL SERVICES DIVISION OF WORKERS'COMPENSATION •*CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS'COMPENSATION LAW" CONSTRUCTION INDUSTRY EXEMPTION This certify that the individual listed below has elect to be exempt firm Florida Workers'Compensation law. EFFECTIVE DATE: 7/16/2014 EXPIRA7M DATE: 7/15/2016 PERSON: GONZALEZ FRANCISCO J FEIN: 650173759 BUSINESS NAME AND ADDRESS: TERRA GROUP INTERNATION 1310 S.GREENWAY DR CORAL GABLES FL 33134 SCOPES OF BUSINESS OR TRADE: LICENSED GENERAL LICENSED PLUMBING LICENSED ELECTRICAL CONTRACTOR CONTRACTOR CONTRACTOR Pursuant m Chapter 448OS(14).F.S..an aft=ofa aorparatiaa win elects exeeprarr from this chapter by ffe a cartificate of election under fids seen may not recover beneft or compensation under OIs A ; -I r Pursuant to Chaps 44805(12).F.S..CAdificales of election to be exempt.-apply only within the scope of no business or Crede fisted on the nates of eledlon to be exempt Pursuant to Chapter 440.x(13).F.S..Notices of election to be exempt and ciattlicates Of election is be exempt shall be subject to rA a"an N at imyOme after the"of the nodes or the issuance of Ore cartificatS.the petsar named an the notice or cartiticate no lmw rrresfs the raWAwnents of oft section for issuitoce of a cotilicals.The deparhrrard shag rwohe a carmcate at any time for tie of the parser named an the cerdfcate to meet the requnareents of oft section DFS-F2-DWC-252 CERTwmTE OF ELECTION TO BE EXEMPT REWSED 07-12 QUESTIONS?(850)413-1609 Terra Group International,Inc. Miami FL 33145 Tel: 786-306-7853 License: CGC05888,CMC1249566,CFC1426856,EC0001218 Miami,05/12/2016 State of +�° County of Before me this day personally appeared �� ��d1. who, being duly sworn,deposes and says: That he will be the only person working on the project located at: 1632 NE 105 Street Miami Shores,FL 33138 Sworn to (or rmed) and subscribed before me this-L day of ��' 2 0 k by PW-A 46-- Personally Know t/ OR Produced Identification Type of Identification Produced Few---- MIGUEL A.MIRETJda Notary Pubis-Stale ofMy Comm.Expires Ott Commission#t EE 83Bonded Through National Not Print,Type or Stamp Name of Notary S OI �r s� �� Miami shores Village "" Building Department 10050 N.E.2nd Avenue ��ORIDp' 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 all towork on your project. In these circumstances,Miami Shores Village does not require verification of workers' compensat' n ins cc coverage from the contractor's company for day labor,part-time employees or subcontractors. BY SIGNIN LOW OU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS Signature: Owner State of Florida County of Miami-Dade The foregoing was acknowledge before me this _day of Np '20 ! 6 . Bywho is personally known to me or has produced as identification. Notary: SEAL: =oar JL%, Notary 'o Public State of Florida Sindia Alvarez Q< My Commission FF 156750 6f frd Terra Group International,Inc. 1 Miami,FL 33145 Tel: 786-306-7853 License: CGC05888,CMC1249566,CFC1426856,EC0001218 Miami,05/12/2016 ATTENTION: KEITH BACON TEL: (305)332-6164 EMAIL:keithbacon@aol.com DATE:05/12/2016 PROJECT LOCATION: 1632 NE 105 STREET MIAMI SHORES, FL 33138 INVOICE No. 2535 CONTRACT Description: PLUMBING WORK: REPLACEMENT OF 1 BATHTUB, 2 TOILETS, 3 SINKS, KITCHEN SINK AND DISHWASHER RECONNECTION. NOTE: shower is only to pass inspection, any issues with the inspection will be subject to extra charge to solve the problem. ELECTRICAL WORK: 2 NEW CIRCUITS WITH GFI PROTECTION, 1 NEW CIRCUIT FOR OVEN, INSTALL 2 SMOKE DETECTORS, 2 NEW WALL LIGHTS IN MASTER BATHROOM. TOTAL AMOUT: $3000.00.- GENERAL NOTE: any other requirement by the Miami Shores Village Building Department not specified to this date will be subject to price review. Panel schedule, riser diagram and load calculation are not included in this contract and will be billed separately if needed. Terra Group International,Inc. 2 Miami,FL 33145 Tel: 786-306-7853 License: CGC05888,CMC1249566,CFC1426856,EC0001218 METHOD OF PAYMENT: 50% upon permit submission, 30%after rough inspection is Approved and the remaining 20% is due after the job is finished. (permit fees are not included in total amount of the work and are due immediately after permit is approved, permit fees are based on the type of job to be done and every city estimates the fees). JIA4 A W F V W Contractor signature PropertyOwner signature 08/08/2016 10:26AM FAX 9543327741 CANON 1a0001/0010 5/7/2016 Gmai)-Rcga�ding Keith Bacon MGmail OFFICE GMAIL<chrisburke, rouA�9 mall.com> 9 Regarding Keith Bacon 2 messages Chris Burke Group<lnfo@chrlsburkegroup.com> r 'F Mon,Jun 6, 2016 at 12:03 PM To: naranjol@,miamishoresvillage.com JUN 0 8. 2016 Good morning Mr. Naranjo: I spoke to Mr. Bacon earlier and he let me know you didr''t receive the additional documents.Our apologies, we misspelled your email, but I forwarded it to you.If you need anything else,feel free to let me know. I apologize again and hope you have a great day. Regards, Monica Merlos cHris BurKe Inc Office 954-532-7738 Fax 954-532-7741 info@chrisburkegroup.com www.chrisburkagroup.com Chris Burke Group<Info@chrisburkegroup.com> Tue, Jun 7, 2016 at 12:19 PM To: naranjol@miamishoresvillage.com It doesn't look like these attachments went thru. If you need anything further please let us know. Thank you. [Quoted text hidden] in BACONBREAKDOWN.pdf 13555K I haps://mai1.9009le.coni/maiVu/01?ui=2&ik=d654c3f33a&viow=pt&search=sent&th_1552671d$3fab.57&sim!=1552674ld$3fatx57&siml=1552ba998404faca I/i 06/08/2016 10:27AM FAX 9545327741 CANON Q0002/0010 SEEM 1111 act c H ri s B u rKe inc. INSTALLER PAYSHEET :50x-'S:Db39 . st Ea •. _......... : : thnry -2016�8504:Z7 :.,....::Work: rder :Pfa 954-54.2-77:3x. :•F}e•:�54=532-7T.41•:=�:�• .. .....,...._..,....._,,,.,,............. •• .. - _ . • .. • . ... ... -Jnfd 4��1is•b•eirkear:iii ,: ww,,�.-,:.soe'Y:bsc:+:asu:•.r:w:+,n_a•::+.+ir0".V+°°R+n�•_ti:o: +'a'4'xx+_,siy..:�.•q"^•a:.•,.w.'��ry••....yFp•'-•,trt�yiw„r;:. .•' i# 11,:�.�As� "^ . - ,.;r.:. .:. :ry..'..�• .,.e, ��• ... .:.. . ..•._ - ..,rwwhu_i4:^�+.� "'a2VaG.7.�...R�'r.=rr'.:.":.tiwaaw�w.r:s:'�'_�'T�t,�C�'_'��. fN;i,u•: �.;. ,.^•.... .. Customer Salesman Sale date Keith Bacon Mario Bedoya I 12/12/2015 1620 WE 105 ST 954-839.5268 I Miami Shores Ft 33138 mbedoyae?chrlsbui kegroup.com 305 332 6164 keithbacon@aot.com I Labor only,All overages,wraste and handling are included. Description � "- - —�— —' Qty Sub price Total price Instaff Tile Mud set-by SN.SM 1030.00 $2,832.50 $4248.75 Install Step 10 Tile 1.00 $15.00 $150.00 Pron10 Discount 98.75 $0,00 -598.75 IA I Notes: labor only obi contra $2,847.50 $4,300.00 I Deposit Due? -$2,150.00 Balance $2,150.00 I 06/08/2016 10:27AM FAX 9545327741 CANON 120003/0010 Kolth'.6aatln• Meiio B'etl9Y3C' ' 22-1'i 162b PIE'1t]5 ST.;::: ,_;: 654=8338 528 ?•::latio'r•'oftiyetij`;il�S4 :..: `.`..::.~:• ` ;.. bAleipf;Shoxes ti;33738..'",-.::b, .mbeq_oya�fjnsb.:�.:.•:.•:..`:�..., •- .•.54,$QO..QO • 3tJ5;3328764 ',;' tZ/1712015' , $3,655,00 ....... .. ,. .. o: :$2.847 �u182.75 Kau_ • � $624:75 tnatap 78a Mud Set•t9'S/5-BM J030 U76 „$2,79 ••16. 5637.31.$2,832.5 53,811.44 $588.50 $272.44 21.6 $4,248.75: fR3t8A Step hs Tita _ _.. -. . .. '. ... .. . 1 5150.00• '$75,00• 0'� Szz.50 $1s.o0 �tz7.5b $102.00 $10.60 88.2 $150.00.•. P/on�f�scount 38.75 -$'1;00 ,$0.00.: 0• ." 514:81 . $0.00 -583.94 -$77.03• 46.91 100.0 -598.75;. to a w r .. .. .Mbt.es"e wn,wi.IZL '-1,evinn�mRR1C gINA•! ,. �„ 1 1 06/08/2016 10:27AM FAX 8543327741 CANON Ia0004/0010 Wus ...._.____... ..._.__...,. .._-_— NenAe �nVoice 080 - IiSS _ 8ala9man Total Bub.,_IftstaDer --- 5/20/2018 thttl1sJ/docs. Koith 6�0 9 n: 84,300.00 ' •S2,1so.OD ; _...._. ---- I i645.o0 ;Mario Bodoya' $2,847.50 : True Met_ .1. HSs ; - . ... ..The 24.75 289.76, ' - $2.047.50 504,75 bewaab 22.1 : ;.• ..:TM? -' {, i i NutSManwt NoM17G� r•' 5807.50 33.8 s, �"�''`,3; 1 Rb HSS N¢t , 's''•"..:.5:,a • $1,269.75 ,. ;�-"�•• No HSSIGhna.Nn rS".:`i.t`.'ir;•a,+, , 51,452.50 !' dR3'ce... Sb.00 :. Rvlmbur58Llee Toeal•.> rPmETy(�(t i 1.:8nit Date;:;; Amtuq�' '= Methdd.. :.. --- -" SD,t10,•, : Reimhursables Da mems>!t _•. _____,..W.( --.,__.S ! 0 13SSkCBI NO Auth Date• :Dep Date TYPQ ArtwunC.• --- Y I _._..... .. , ?.......Date Type Amount Date ..._... ...ti_.._._ ...A._........ . —.. _........ I I I i 08/08/2018 10:27AM FAX 9545327741 CANON 00005/0010 h• C H f—I S B U rKC inc.... INSTALLER PAYSHEET .....,. . ......H,>h!y.East':.:.::A ::=�:,...a:-:;�:::•:•:�,::..;.:::,7,iicie�spa •:".'', :RomPa h,F_L,33060 '• R;r, .- ,:5•L20'L•20168.:77.�44::: X2.77.'38 ......... ....._ ..._,.,......,,.,.,.•., _. ....: ....,........ riler-' •Fx':954=532:•77`.4,1 .::°::-': ,.,....:................. .... _ a: .,.., . 'r-_�"�,.y'-W._.:,.!'!'(�"`:U'si�•�*ti��-p��::.ww'ViY-•YR��;q+ii•:od^u,.gr*'•,;ryL^0'rN ,M1w`.;+•�^!n.' ..... �,"�,yuT,_••"9L'+aea'a">d.3:io..LaV�W. h�:.�'..�ax.pr.T `;b'"M•^ � �.•.r'ew+.r, w ti._,:�•n•..:.,:•r Customer I -- i�_.,.tl. �.:�_ ..�Uw, Salesman Sale date Keith Bacon Mario Bedoya 1620 NE 105 5t 954-839-5269 Miami Shores Fla 33138 mbedoyaCtchrisburkegroup.corn 305 332 6164 keithbacongsaoLrnm I Labor only.All overages,waste and handling are included. Description lnstall Tile on Wall-by g/F Qty Sub price TotaL price install Tile Basic-by S/F 180.00 $900.00 $1,584.00 99.00 Float Pitch Tire shower Floor by SIF '• 5153.45 $408,38 Delivery-Til ; 1.00 $14.00 $375.00 Promo Discount 100.00 $60,00 $100,00 67.38 $0.00 -$67.38 I i : i i i I: t i I Notes: labor only _ $1,127.45 iI .00 Desit Due> 00 Balance $1,200.00 I t i 08/08/2018 10:28AM FAX 9545327741 CANON la0008/0010 ' l@1.6.9,GQn t82o,NE103'91; .::;- =w; 954=e5g. :;.�abor:oYify::•:";.;•:..'..:r:.:I::':::.... ' • '...Hl83.ce0ilr5la�_.l3..b._,3a..2 a'. _ ....._:....w. ..Y..•..:....c..:...ci..s..b...:.`.'.•::::;:...... ..':.;::......:.. :.:...... .:..:..:: ' 2404 .7 33,138 Mbem �ao5o.$6036o02, 40 sw :4 2.8094$ n .►t � .$$775 trsair rue . i 980 8.00 bnstafl Trta Basic=,by-w" . ' ^.-• 10 5 ,7:80. $900:00 1:3.46.40 $397.20 2 $ ' $79. 0 • 33.2 51584mot 53:75 $7.55 10 $81.28 •5153.45 $347.12 $195.08 $28.59 55.8 F[oat�lteh'[tlo Shower Floor by 8/F $408.38„ ' 1' 3375.00 . $14:00 0'• $$6.25 $14,00 $318.75 5278.50 $2tf.25 95.6 $375 001; 9 lima •Tile0% 100 $1.00 :$0.60 0 $15.00 $80.80 $85.00 $20.00 $5,00 29.4 a t'romo Dlaeovnt 67.38 $100.00:: $1:00' 50.00 0 -$10:11 $0.00 •957.27 552.56 -$4,72 100.0 $67.98 T: I i i i i i i i I 06/08/2016 10:28AM FAX 9545327741 CANON 1@0007/0010 I StatusTime Stmnp j Link Nems Invatoe t�@ HSS ««Selosman Total Sub InsUkr Yy" TWO Net No HSS .o _ 5120/m16 7h8 s//tlots. Keith Bacon: 52,400.cm ' _.. .. $12100 $38Oµ00 ;MartoB�oya $1,127,45 Beg1 $768.76 $1.128.75 ' ' I 1NG NGL .,♦. �..ry,iti't,'.c�{ r---•—F= _— $1.127.45 5769175�a"+.3c°I 4417 ' 1 lily 'A`r.it:.l 1 NO�:aIYp[LL 1iA�s,,,? —•- . .. y' $912.55 53.0 ;tirs< ' :'•$ —.. _.... _.. _. NONs M. S1,129.75 HOMO=Nst 51,272.55 ,�.v.��•"�..::iw Pmt Type P ..--•—.... r:.__ ---: Total;i. Sono ,-Relmtarrsahles a tltent•s YD ,_,.mt:Gate .:l..:.Amourii: .i,,"Mnthod HSS�CRI Pmt i' Au'th Date •GeD bate« -- - ;-- _ -- y-•--•S• $1.00 .._.__.... ryDa..:,.Ies.Amount _ ... .. ! i —Uatc� T1'pn Amount Date i tt 1 1 1 i I 1 i i i i i i I 08/08/2016 10:28AM FAX 8545327741 CANON IM0008/0010 CHnS BUn.<e in INSTALLER PAYSHEET J, - .- j51 �, M J3060 .FX'954-53*2*-7'Q' u"k .,InfoiiqhMb . . � egr0lip.corn Customer Salesman Sale.date. .... Keith Bacon Mario Bedoya 1620 NE 105 St 4/3/2016 954-839-5269 miaml Shores fl 33138 mbedoya0chrisbutkegroup.corn 305 332 6164 keithbacon(Raot.com Labor only.All WOM98S,waste and handling are Included, Description Install Laminate-by S/F Qty Sub price Total price660.00 $660.00 Install Step to Wood $1,270.50 15.00 $526.00 Install Baseboard by L/F $1.060,00 446.00 $557.50 Promo,Discount $1,048.10 200.00 $0.00 4200.00 Notes: Labor only,need 10 PrOVIC10 glue and liquid nail to for $1,742-50 $3,168.60 00posit Due> Balance $1,584.30 08/08/2018 10:28AM FAX 9545327741 CANON 90009/0010 i -: Keiflj'Bacpn ..,:,.......... ...... tulorro:�edoye,. 1N�11•. ;1 04 .-..%... S - ....:. .$ 4- 76:29K� � rnQm 'cb $04- �. iceitl�becen�aol:com•""' .:$2.693.31 •...,... Ht .. :..:........ .. •.`$1.742.50 _.._... ...,., ... .. W _„•. ,., Instil Lsmitlete-oyg1F 660• 51.75 •$1,00 10 _5190.58 .$860,00 S'L979,03 5343.70 $78,23 - 39.9 $1.270.50 �'lnsfeQ'8tep 00 Wood .. .. r� .•: .: 16. S7.b:0o 535.00 0'•$1'7.50 $525,00 $892.50 5294.00 $73,$0 41.2 $1.050.0o." l inataO Besebesrd••by WF.:. 448- $2.35 •.. .51.25' 0• $967:22 $557:50 5890.89 $270.50 $62.89 37.4 $1.048,10a �Pnxno Dlscowd 200 41.00 $0,00 0. -530.00 3D,00 -5170.00 -$1d6.0o -$14.00 100.0 ;f a t� R z Debora L.FeIdS AIA,NCARB,LEED®AP CSI-CDT , Principal D.L.Fields Consultants, LLC `�° '' =:. r. .:As"s':• ARCHITECTURALDESIGNSERVICES ■Miami Office 9822 NE 2nd Ave,Suite 1,Miami Shores,FL 33138 debbi@o dlfc.biz 0.(786)542-5718/m.(305)582-0091 i Vj P I I 08/08/2018 10:29AM FAX 9545327741 CANON IN010/0010 Staius 71n1e .... S�+tIP Unk !n!roioo 150 'nit HBG I Salesman Total Sub Installer Typo True Net Na H55 414PA16_ `haps;/PdoCe g Reith Bacon; $3,168.60 gt,554 50 !_ 6475.28 :Mario BeGoye $1,742:50 : Larrdnate 6816.14 $1,201.43 ' ......._»._ terTrueHd $816,14 M"h — ......». 51.742.50 s:wi �_•.:-:t 4'0 i wt�,�xr 5950.81 Noxsswtam 45.0`��'`^`.��"�';Kr wHSS Piet $1,291.43 f Ra Hwcmn A" $1,426.10 . -+ x.aM7r. ... :..:..�: `:. etl•#azo-..• .. ..w.,,...,�.w..n.aver::�.._�_{H..',r�y.V1,1*.•r_T• $0.00 I wo ...._._ m - Dann Total 'i tib m ur ayme r_'-----....:—--:--»._..: . . ....'.. _ ___--._ ._._bursatrrea_._...._....,,_..: S0 nu ;0.00 Pmt Type ; Fmt Datr. �It"• •;Method .t HSS>CDI P.mt; i1dlh Diee• : beD Oete Type J—f Amwint 1>,it¢ �i Type g p Amount' Date _.._..__;..._`...« .._.......__.,. _.._.._«». is ' , i _'--22_I. MAY 2 3 2016 Keith Bacon 1632 NE 105th Street i = J 0 = Miami Shores, FL 33138 Permit Number RC-1-16-58476 Dear Ismael, I am attaching contracts and receipts with a front page summary of all costs to date and through the end of this project,totaling$24,837.24 1 am waiting on the amended Chris Burke contracts which should be ready by tomorrow (Tuesday 5/24) and will request that they a mail the breakdown as requested in my absence while I travel for work until the end of the week. I do hope that the contract from Terra Group is acceptable and despite me giving them my uneducated direction,they still didn't understand how to calculate overhead saying that it will come out of the labor cost. Nearly all of the materials were purchased directly by me and I attach supporting receipts I am still contactable by phone and a mail this week and hopefully, l can start work soon based on your approval and recalculation of the permit costs. Many thanks for your consideration. Sincerely, Keith Bacon Keithbacon@aol.com .•• ••; 305 332 6164 •• • • ••• • • . • . • . . • .. ... .. . . . .. . •.• . •.• • . . . . . . 000 . . . . . .. . . . . . .. . . •• . . . • . • .. . ... . ... . . . . . . . . . . . . •• •• . . • •• .. ... . . . ... . . 1632 NE 105th Street Permit Number RC-1-16-231 Keith Bacon Demolition and drywall 3632.70 ' Tile Install Ground Floor 4300.00 Master Bath Tile Install 2400.00 Laminate Install 2nd Floor 3168.60 Electrical & Plumbing 3000.00 Floor& Decor Tile and Laminate 3912.48 USA Tile - Ground Floor Tile 2041 .46 Bath Tub 1044.00 Toilets x 2 500.00 Sink Unit Ground Floor 249.00 Sinks Master Bath x 2 180.00 Sink Cabinet Master Bath 259.00 Bathroom Faucets x 3 150.00 Total 24837.24 .. ... . . . . . .. . . . . . . . . . .. . . . . ... . .. ... .. . . . .. . ... . ... . . . . . . . . . . . . . . . . .. . . . . . .. . . •• . . • . . • .. . ... . ... . . . . . . . . . . . . •• •• . . . •• •• ... . . . ... . . Keith +1305-332-6164 Payment Terms 1 Days A G L Building Fixing Maintaining Invoice# 002677 9101 nw 7 Ave Ste A13 Date 11/19/2015 Miami, FI 33150 PO# KB002 Phone: 786-408-5086 Email: angello.s_services@yahoo.com Web:Www.facebook.com/angellosmaintenance Description Quantity Rate Total Demolish 1.0 $675.00 $675.00 Includes removal of tiles in bathrooms, sinks, mirrors, tub, wall in kitchen to open it up, kitchen counter. Bathroom Tub Change 1.0 $175.00 $175.00 new tub installation, free stand. water lines adjusted Sink Installation European Style 3.0 $85.00 $255.00 Includes labor installing plumbing and sink Counter Installation 1.0 $275.00 $275.00 Install new counter top for kitchen. Kitchen sink&faucet installation included Bulk Pick Up 1.0 $250.00 $250.00 Pick up constuction debri and hardware left overs from remodelation Materials* 1.0 $356.70 $356.70 Includes water valves,water lines and hardware to install counter, sheet rock,and all necessary hardware to build and finish stripped wall(s) .. ... . . Floor Removal © : : : $9,556.00 $1,556.00 .. . . . Remove tiles from first and second floor. Hall debri away ... :. .. Rail removal :•: •:' h 0 ', •$i�0.00 $250.00 .. . . . . . .. . . Take out the tiles debri and stair rail. •• ••• ... Page 1 of 5: ; • . .. .. . . . .. .. Tiles Removal 2.0 $175.00 $350.00 Remove tiles from balcony in second floor as well as first floor Shower Liner, Removal And Replace 1.0 $120.00 $120.00 Demolish concrete on top of old shower Liner, remove and replace shower Liner with be one. Pitch will be done by tile installer (according to Mario) Concrete slab 1.0 $75.00 $75.00 Fill hole and create concrete slab molding to repair gap Tool Rental 1.0 $250.00 $250.00 Additional charges on extra days used. Includes rental, clean up and lub plus accessory Subtotal $4,587.70 Discount $250.00 Total $4,337.70 Summary 12/18/2015 Cash Payment $750.00 11/19/2015 Cash Payment $2,500.00 Paid $3,250.00 Amount Due $1,087.70 Notes: * Materials costs will depend on master bathroom demolition, if walls need to be rebuilt, additional materials will be needed. Floor removal debri haul has been waived as courtesy. • • . . . . . . .. .•. . . ... . • . . . • .. ... .. . . . .. . •.. . ••. . . . . . . . . . . . . 00: . . 0. 00 . 0.. .• • . •• . . • . Go •• • ••• • ••• • Page 2 of 5: : • :o: ; • . •• •• • • . •• .• ... . . . ... . . CHRIS BURKE, INC. EXPERT INSTALLATION 507 S. Dixie Hwy. East Date l l h l? ! Pompano Beach,FL 33060 Ph: (954) 532-7738 �e CO ' Fax.;(954) 532-7741 �LEE Email: chdsburkeincwaol.com �r- ESTIMATE, CONTRACT and AGREEMENT .Dame: `��``'� r� i -� �--� c c^9 lG Address: - - Phone• C-. ) Email: °�, �a r -, @ � We agree to complete the following work listed below in a professional manner and in accordance with stand industry practices: Total Contract Deposit ) " P. � , .. Balance ��" . Method of Payment Balance due upon completion Delivery Fee THIS CONTRACT SUBJECT TO THE APPROVAL OF THE MANAGEMENT. N -D fl ( - The undersigned warrants that.he/she is(they.are)the owner(s)of the above mentioned premises. Chris Burke, Inc.is not responsible for settlement cracks or surface wear.Chris Burke, Inc.is not responsible for trimming doors to accomodate new floor height or existing appliances to fit back properly.Major fault in floor slab will be at the expense of the customer.Chris Burke,Inc.is the installer and not responsible for any defects,color or variations in the products that you purchase. Installation to be performed by Chris Burke,Inc.according to industry$lArift 4s; ; '% ; ; '60 Receipt of a copy of this contract is hereby acknowledged by the unddwign%*h@Y f ie.'foje jjryg pVovisions have been read and accepted.Customer agrees to sign all necessary papers upon installation,gf'flgwMe y„arfY dth§r gerAdbs mentioned in this contract Exchange or refund will be at the sole discretion of the management Chris Burke, Inc.reserves the right to require payment by bank or cashiers check A finance charge of 1-1/23/6 per month will be charged on balancesirer 3O•days,•. •"� FF. f• Purchaser agrees to pay all costs,including a reasonable attomeytjge in cue ft ji WfQ4s ndt X ,o enforce this contract, whether suit be brought or not •• "• •• BY Authorized Ag nt ; ; ; ; ;•' � • ;Purchaser .. .. . 00 e: ... . . . 006. 0_ CHRIS BURKE, INC. EXPERT INSTALLATION a 507 S. Dixie Hwy. East Date Pompano Beach, FL 33060 Ph: (954) 532-7738 We Accept Fax: (954) 532-7741 Email: chrisburkeinc@aol.com aol.com ESTIMATE, CONTRACT and AGREEMENT 9 Name: c ' Address:, 1 4 2 2 0, � 125 —S Com• r r Phone• t� �l � � Email- r We agree to complete the following work listed glow in a professional manner and in accordance with standard industry practices: 2 '-1 >< 2� Total Contract Deposit � Balance r � ) r Method of Payment ® ' 3 Balance due upon completion C a r J . ® Delivery Fee THIS CONTRACT SUBJECT TO THE APPROVAL OF THE"MANAGEMENT. The undersigned warrants that he/she is(they are)the ownei(s)of the above mentioned premises. Chris Burke, Inc.isnot responsible for settlement cracks or.surface wear.Chris Burke, Inc.is not responsible for trimming doors to accomodate new floor height or existing appliances to fit back properly.Major fault in floor slab will be at the expense of the customer.Chris Burke, Inc.is the installer and not responsible for any defects,color or variations in the products that you purchase. Installation to be performed by Chris Burke, Inc.according to igidustry'sWcU4 : .'. ; ,•• Receipt of a copy of this contract is hereby acknowledged by e undersigneZ4 tb�th�fQrep�g'provisions have been read and tY accepted.Customer agrees to sign all necessary papers upon installation.ol ffa&n54 atW%t0eysgry1t;es mentioned in this contract. Exchange or refund will be at the sole discretion of the management. Chris Burke,Inc.reserves the right to require payment by bank or cashiers check A finance charge of 1-1/2'/•per month will be charged on balances overW days.'• "; .` ,•: Purchaser agrees to pay all costs,including a reasonable attomeps.3ee 1i c asA besdmes to enforce this contract, • •• • • • • • whether suit be brought or not .• • ••• • � .. BY Lu Authorized A nt ' ' • ••• • urchaser C H n lam! I K e Inc. AGREEMENT� CONTRACT EEMEf�lT 507 5 Dixie Hwy East Time stamp 4/4/2016 7:31:29 Work Order Pompano Beach,FL 33060 Ph 954532-7738 Fx 954532-7741 info@chrisburkegroup.com Customer Salesman Sale date Keith Bacon Mario Bedoya 4/3/2016 1620 NE 105 St 954839-5269 miami Shores ft 33138 mbedoya@chrisburkegroup.com 305 332 6164 Labor only.AO overages,waste and handling are Included. keithbacon@aol.com Description Qty Unit price Total price Install Laminate-by SIF 726.00 $1.75 $1,270.50 Install Step to Wood 15.00 $70.00 $1,050.00 Install Baseboard-by LIF 446.00 $2.35 $1,048.10 Promo Discount 200.00 -$1.00 -$200.00 (dotes' Labor only,need to provide glue and liquid nails to installer for Total $3,168.60 std Deposit Due> -$1,584.30 Balance $1,584.30 THIS CONTRACT SUBJECT TO THE APPROVAL OF THE MANAGEMENT. The imdarsigcred warrants that he/she Is(ttey are)the owner(s)of the above mentioned premises.Chris Burke,Inc.Is not responsible for settlement cracks or surface wear.Chris Burke,Ina Is not responsible for trimming doors to accommodate new it=heMM or misting apptiatroes to 2 track properly.Major faun in floor slab will be at the expo of the customer.Chris Burke,Inc.Is the instaNer and not responsible for any d J !coWl in ft pm*uca tiatym purchase. installation to be performed by Chris Burke,Ina.atxoift to industry standards.Receipt of t copy of is by the undersigned that the ftuegoing provisions have been read and accepted.Customer agrees to sign all necessary pa s uiroll otfi my rvkxrs the: in this contract.Exdmga or refia!will be at the sole discretion of the management.Chris Burke.yrs to nf or cashier's check A tinam.e Charge of 1-112 per month will be larged on balances over 30 days.Purchaser agrees to pay all cis. a reasorab� s fee in one tt becomes necessary to enforce this contract,whether suit be brought or not. By Re •• • • • • • •• • orized •• • ••• • • ••• • • • • ••• • • • •• •• ••• • •• •• ••• • • ••• • • Terra Group International,Inc. 1 Miami,FL 33145 Tel: 786-306-7853 License:CGC05888,CMC1249566,CFC1426856,EC0001218 ATTENTION: KEITH BACON Miami,05/23/2016 TEL: (305)332-6164 EMAIL:keithbacon@aol.com DATE:05/12/2016 PROJECT LOCATION: 1632 NE 105 STREET MIAMI SHORES, FL 33138 INVOICE No.2535 CONTRACT Description: PLUMBING WORK: REPLACEMENT OF 1 BATHTUB, 2 TOILETS, 3 SINKS, KITCHEN SINK AND DISHWASHER RECONNECTION. Materials $400 Overhead Not calculated Labor $880 Profit $220 Total Plumbing cost 1500.0o.- NOTE: shower is only to pass inspection, any issues with the inspection will be subject to extra charge to solve the problem. /////////////////////////i/// ELECTRICAL WORK: 2 NEW CIRCUITS WITH GFI PROTECTION, 1 NEW CIRCUIT FOR OVEN, INSTALL 2 SMOKE DETECTORS, 2 NEW WALL LIGHTS IN MASTER BATHROOM. . .. . . . . ... . .. ... .. . . . .. Materials $300.00 Overhead Not calculated ... ... Labor $ 960.00 ' ' ' ' ' ' ' .. . . . . . .. . . Profit $240.00 •• ••• ••• • Total electrical cost 1500.00 ... . . . . ... . . . . . . . . . . . . . .. .. . . . .. .. ... . . . ... . . Terra Group International,Inc. 2 Miami,FL 33145 Tel: 786-306-7853 License:CGC05888,CMC1249566,CFC1426856,EC0001218 GENERAL NOTE: any other requirement by the Miami Shores Village Building Department not specified to this date will be subject to price review. Panel schedule, riser diagram and load calculation are not included in this contract and will be billed separately if needed. METHOD OF PAYMENT: 50% upon permit submission, 30% after rough inspection is Approved and the remaining 20% is due after the job is finished. (permit fees are not included in total amount of the work and are due immediately after permit is approved, permit fees are based on the type of job to be done and every city estimates the fees). JA A8 Contractor signature Property&Wsignature .. •i• . . . . . .. . .. . . . . ... . .. ... .. . . . .. . •:0 . •.• . . . . . . . . . . . . . . . . .. . . . . . .. . . •• . . . • . • .. . ... . ... . . . . . . . • • • . . .. •• . . . •• •• ... . . . ... . . FL )R(%VA Date 12/12/2015 Time 1:18 Ply Storage Buy Order SB014901573682809 Store 149 Register 1 Associate 33367 Maurice ------------- LAM 12.3MM RSTC TMBR LGHT HAZE T 100105168 43 6 40.44 1,738.92 937LGWG SH OL 94 MD T 953105177 14 9 28.93 405.02 ZAMS FREIGHT ORDER LIVER 400 T 999402000 1 a 0.00 0.00 300sgft Whisper Pad T 100110154 2 @ 171.00 342.00 WHISPER PAD 100 SOFT T 954260242 1 4 59.9--) 59.99 937LGWG IN 72 MD T 953105164 4 9 20.95 83.80 LF BS 5163 F�i q rlf-,yr + CTD T 954225555 +1; . 1 /I Z.32 CER 2024 CAMAtA WHx 100128834 26 La 11 1-'h;.,. POR 17X12 UPTOWN GRY KIS T 912400364 25 @ 6.99 174.75 FL-NORTH MIAMI: 255.96 Storage Buy Amount-: 3,912,48 # of Units 566 Customer Keith Bacon Customer 10 149007118 ;storage Buy Message: *SB014901573682809* .. . . . . ••• . •• ••• •• • • • •• • • • • •• • • • •• • • • • •• • • •• • ••• • ••• w ••• • • Y • ••• • • • • • • • • • • • • • •• •• 000 • 000 •• Ilknniandshowroom:3325NW79AmMiami,FL33122 Sales Order Phone:(305)471-8552'Fax:(305)9064633 North Miami*14700 Biscayne Blvd..North Miami Beach,FL 33161 Page 1 Phone:(3051940.9021•Fax:M 9404843 Order Number. 1568380 Warehouse:7007 NW 30 ST MW FL 33122 Order Date: 12/14/2015 Pune:(300 594.0292•Fax:(305)571-052 Salesperson: RD Pompano:1790 N.Powerlhre Rd.Pompano Beach,FL 33069 i Customer P.O.' Phone:(984)6234WO•Fax:(864)623.8051 Ship Via: Delray Beach:935 South Congress Avenue,Delray Beach.FL 33445 i Sales Tax Code: FL DA NMB Phone:(561)381.986S'Fahr(561)66!-7377 wwwUSATi�M WhoDid: RD 'old To: Ship To: ,EITH BACON KEITH BACON 362 NE 105TH ST 1362 NE 105TH ST 4iami,FL 33138 Miami,FL 33138 'hone*305-332-6164 i ALL APPROVED SALE RETURNS WILL BE SUBJECT TO A RESTOCKING DEDUCTION OF 25%AND WILL BE PAID BY CHECK THE SECOND FRIDAY AFTER THE RETURN DATE. ABSOLUTELY NO RETURNS AFTER 15 DAYS Ordered Unit Item Number/Description Whse Price Amount I 1,140.48 SF P24-1-161383 000 1.79 2,041.46 PLAIN DARK GREY(16D83)24X24(15.84 SF) WE RECOMEND THEY SEAL AGAIN AFTER INSTALATION i 1.Merchandise must be returned to place of purchase. 2 Cash refunds will be paid by check within 10 business days by mail Received by X Date PLEASE SEE OTHER TERMS ON BACK EXAMINE CAREFULLY COLOR TONE a CAUSER AS WE ARE NOT RESPONSIBLE ONCE THIS MATERIAL IS INSTALLED. Net Order: 2,041.46 WE WILL NOT GUARANTEE NOR ALLOW RETURNS OF MERCHANDISE ON SPECIAL SALES OR MARBLE PRODUCTS. Less Discount: 0.00 NO GARANTTZAMOS NI ACEPTAMOS DEVOLUCIONES DE MERCANCIA EN YENTA ESPECIAL 1 HAVE READ AND AGREE WITH ALL TERMS LISTED ON THE BACK OF THIS ORDER. Freight 180.00 Sales Tax 142.90 OrderTotaL• 2,364.36 Less Deposit: 2,364.36 Order Balance: 0.00 go 0 e •• • • •• :0: • ••� ••: �•0 �•� • • •• a. PORTANT : . '.. :000; IM �ORTANTE USA TILE AND MARBLE WILL NOT BE RESPONSIBLE FOR •o ••';• ' • •9ISSA TPAAWIMARBLE NO SE RESPONSABR17A POR EL THE SAME TONE AND CALIBER OF ANY TILE NOT •• • -TONG Y CALIBRE DE LA MERCANCIA,SI USTED PICKED UP ON THE SAME DAY NO LA RECOGE.COMPLETA EN EL MISMO DIA. Delivery package 1 of 1 Delivered on - - - - -----tea x �s Bathroom 71"Freeatandteg Shower Spa Bathtub&Floor Nk u d Tub Filler Faucet(http:fiww r..ebay comliMn7l974702730) loan pflce $1.044.00 Quantlt!/ 1 Item amber 171974712730 ShipphM service EcmmW Sh*ft A Leave feedback(h WjrhNxRaClLebay.c dWSAPII I WepukmW&Rwn-1719747OZrJW&msacgd=148MSDSBMM Carted self(ht jlco t=Lebay.canrwsieeWISAPl. 171974 > Rehan hm(hLWftehan ebay.cmVWs/a8WISAPI.diMtRes Tr adda1 BHemld-171974702730) Shipping address KoM Bacon 1620 NE 105th Sbaet Miami Shores FL 33138 United States Order total Subtotal s1.04a.00 Shipping Free Total $1,044.00 M J/vod.ebW.amWvCWFdc OXWrDoWls?qu=18dteM!d=171g74702730&#WIS71 8 5 •BNiear�rm s= May 09,2D16 • ••� ••i �•i ••� • • •• 00• • �0 i•• ••• ••• • •:• : • • • • GELEBRATE Hi Kelthl Dar's+Deals Gffi Cards Sep Help 8 Contact - wow YOUR GRAD � •F: Shop by Search... -- Ali Categories Search e category - My eBay:Purchase history keitnaeo(4) Tell ust Adivity Messages 01) Account vlake Purchase histo"your my Summary Bim,- We've made a few changes Have a minute?WWII walk you through what's new. akwoftm Didn't win Let's go Deleted Purchase history Orders Lists -- - - — ------- -- -- --- ! See orders from 2018 Finer by Searches you follow Sellers you follow - ---- - ---- -- - - --- -- ---- ORDER DATE ORDER TOTAL vier!Si sell Jan 26,2016 US$500.00 pen ------ --- --- See description Browse the best pre-loved. View seller's vintage,and rare items 1 item sold by faponte87 Mor MODERN CONTEMPORARY ONE PIECE DUAL FLUSH ITEM PRICE Icon Legend TOILET-BT124 US$500.00 (111888136234) Auctlon F...d ` �, Quantity:2 k�Y Feted Price Foment Best Offer Format � { t - Classified ad Format j -- f Seco"d°hame°iter ORDER DATE ORDER TOTAL Jan 06,2016 US$65.99iten rr Checkout complete View senses Rem Pad nem sh"ad 1 item sold by medfun Mot Latt F`B`I - — New Balance v2 Neutral Running Sloe, ITEM PRICE: ii FeetlbeCt Received Suver MSRP$109.95 US$65,99 ' .165690) Payment was refuMed { I It..Politely Pad f . i Request Total Retsted -._. ORDER DATE ORDER TOTAL mew all Jan 06,2016 US$1,044.00 See desrripnon View seller's 1 item sold by smartchoiceproducts Mor Bathroom 71"Freestanding Shtnxer Floor ITEM PRICE Mount Tub Filler Faucet US$1,044.00 (171674702730 Of Sol* • • • • • • • • • • •• ••• Orders per page: 10 1 25 1 50 1 7: ShWhg discounts that may have been applied to an order are •r !• ••• ••• • 09 0 669 Home/Bathroom/Sink cabinets!Sink cabinets View more irrailes 513 - - GODMORGON / - ODENSWK Sink cabinet with 2 drawers,white stained oak effect white stained oak $249.00 t The price reflects selected options -: 1 '1 r . 1 3- 2 . 2 / Article numb:699.032.52 (((telt 1 vk., l / 10-year Limited Warranty.Read about the y terms in the Limited Warranty brochure. ----t. ,, - � Read more $ Color e white stained oak efteU Sim �/f� `I 23 5/8X19 4x25 4' v �' ;��� � �— Buy online Save to Ifs! f 4' 1 '- '•' °+'„y_+ "", ,Ycx h # `;� Bathroom faucet is sold separately. GODMORGON legs are sold separately. View all coordinating products Share pwit 6A .3 Uke Share 14 Check stodc at your local store - IFFL,Swam Ok Color More Models Store selection may vary and prices may dff-from those online.We apologize we do not offer in-store pick up.Items purchased online will be delivered directly to your home from one of our distribution _ centers. a s .. , 'e _ wA"zma-Serious or fatsl erashing rnjurhs hart Show all (5 more} occur from furniture Up-over To prevent this furniture must be perntanendy fixed to the wafL Secure itl Learn how to prevent furniture tip- over accidents. view the tip-over restraint assembly instructions for # chest of davvers Assembly instructions&manuals Dormloads Services Assembly Service Coordinating products Product Information More Sink cabinet combinations Go to Sink cabinet combinations murd latch bath fe"with bath faucet with bathfaucet with j IKEA FAMILY stralner strainer strainer l More Sink Sa%TneV; ; ••• ; ; ••• member price !1179.99 $69.99 $79.99 _. •, ••r• • • • • $3.99!2 r'.�•�i '•a ,z�•• i i •• Pac* Regular price fi t $4.99/2 past , Go to sirlilVinetse.• ••• ••: ••• ••• • • • • • • • • •• • • • • • •• • • i • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • Home/Bathroom/Sin:,s View more images New is YDDINGEN Sink,1 bowl,white $90.00 2- Article Number:003.047.18 30-year Umited Warranty.Read about the terms in the Umited Warranty brochure. Read more Size 17 3/4" �1 Buy online Save to list - coordinating Products _ - ,� Vie.i all coordinating products e•� Check stock at your local store V" R,Miami Ok Store selection may vary and prices may differ from those online.We apologize we do not offer in-store pick up.Items purchased online will be delivered directly to your home from one of our distribution centers. r<.Share 4ltntt -6+1 ;0 Llke Share 1 WARNING-Serious or faint crashing injuries can occur from furniture tip-over.To prevent this ----.-__----_---__--.__.^.�:----.--_------------__. - .....-.----.__—. furniture must be permanently Axed to the walL Secure ill Learn how to prevent furniture tip- over accidents. O&W the tip-over restraint assembly instructions for chesC of dra,,ers Assembly instructions Do�•fnloads Coordinating Products Product information YDDINOW Good to know More Sinks Sink,1 bowl Strainer and water-trap tnduded. $90.00 The sink is resistant to most chemicals, y ? except for strong acids and strong alkalis. Care instructions - — ----- --- Product dimensions wipe dean with a water dampened soft doth 1 Go to Sinks and a mild non-abrasive dish detergent or Width:19 1/4" soap,If necessary. sink cabinet width,17 3/4" Do not use scouring powder,steel wool,hard Depth:16 1/2' or sharp tools which can scratch the surface Height:5 1/2" of the sink. a Width:49 an sink cabinet width:45 cm Product description Depth:42 an Main parts:Ceramic,Colored glaze Height:14 cm Water trap:Polypropylene Seal:Synthetic rubber Pop-up vat:Stainless steel,Brass,Chrome 1 This product requires assembly plated i Instructions&other documents • • • • • • • • • Downloads for this product: • •• • • • • 000 • Assembly instructions } • • • • 0.0• • • • •• ••• •• • • • •• Key features -10-year Umited Warranty.Read about the ••• •:• ••• ••: ••• ••• terms in the limited warranty brochure. • • • • • • • • -The Included water trap Is easy to connect •• • • • • • •• • • to the a it B Is washing machine and dryer •• • ••• • ••• • because it flexible. -Unique water trap design gives room for a full sized drawer. ••• • • • • ••• • • • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • Home/Bathroom/Sink cabinets/Sink cabinet= GODMORGON Sink cabinet with 2 drawers,high gloss grey $259.00 The price reflects selected options Article Number:702.231.39 10-year Umited Warranty.Read about the i terms in the Umited Warranty brochure. Read more color high glow gray f Site ,! r 39 3/8x18 1/2x22 F1 Buy online save to list + , 1 y GODNORGON legs are sold separately.<br/> Veru all coordinating products Check stock at cora local store FL,Sunrise Ok Share %U 6A 0 Like Share Store selection may vary and prices may differ from those online.We apologize we do not offer in-store -..._.. -- --------- ----'--..._ -----'- pick up.Items purchased online wig be delivered Color More Models directly to your home from one of our distribution — centers. �rrr a WARNdNG-Serious or latal crashing lnjurtes can —� occur from furniture Up-over.To prevent this furniture must be permanently fired to the wait Secure if!Learn how to pe-event rurniture tip- " J nveraccldcnts. View the tip-over restraint assembly rnstruoticnc;or chest of dra i vers Assembly Instructions&manuals Cmvnloads Services Assembly Service Coordinating Products product htlormation More Frames&legs Go to Frames ulcgs ----- ; a PATRULL PATRBRA1/IM GOOM011tom i, More Sink cabinets ULL -- _ --- - drawer/cabinet multl latch sink,I bowl box wfth Catch IKEA FAMILY $250.00 mmparG>� �' i IKEA FAMILY member price $18.00 member price $$.99/2 a .• $1.49/s pack # u ' ♦ • • • •• pack Regular Prue Go to Sink cabn Ats • •• •i •• Regular price $4.99/2 i»trtt • • • • • • • • • $1.99/5 pm* •• ••• •• • • • •• _ y j • ••• • ••• • • • • • • •• • • • •� • ••• i i •• • • • • • • •• • ••• • ••• • GODMORGON LUNDSKARleg ! • • • • • • • • • • • •• •• • • • •• •• 000 0 0 • ••• • • Home/Bathroom/Faucets/Faucets View more itnageS ENSEN i 11� Bath faucet with strainer,chrome plated $49.99 �C � fie price reflects selected options -- -----..__ Article Number:202.813.82 10-year Limited Warranty.Read about the y ` terms in the Limited Warranty brochure. g - Read more (-. Sire v Buy online Save to list y y x _ Check stock at your local store s FL,Sunrise Ok Most likely In stock at IKEA FL,Sunrise Click here to view:stock prognosis Store selection may vary and prices may differ from those online.We apologize we do not offer in-store pick up.Items purchased online will be delivered directly to your home from one of our distribution centers. WARNING-Serious or fatal crashing Injuries can occur from furniture tip-over.To prevent this htralture must be permanently fixed to the wall. Secure it'Learn hokv do prevent furniture Up- Share 4AnS 6+1 0 Like Shore Over accidents. View the tip-over restraint assembly instructions for chest or dravlers Assembly Instructions••.manuals Downloads Product Information ENSBN Good to know i More Faucets Bath faucet with Strainer Included. x 9 An installation tools Is Included that makes it 1 easy to secure the faucet in place. ' 1 '"�j► I 1 Water and energy saving aerator(1.5 gal/min.)for high-pressure systems included. 1 1 Connection hoses with 3/8"connection Product dimensions included.Connection length:13 3/4". Go to Faucets Tested and certified to relevant European Height:4 3/4" mechanical,quality and safety standards. Max.temperature hot water system 176°F. I faucet ucet can be used In high-pressure Height:12 ern systems.Tested to manage a pressure of f max.10 bar(1000 kPa).Recommended I working pressure:1.0-5.0 bar(100 kPa- This product requires assembly 500 kPa). ! If you are uncertain about the installation, contact a professional.The Installation shall ' Instructions&other documents be armed plumbiing regulations. Downloads Downloads for this product: ! A�sernbly inc-truchons Manuals Care instructions Wipe dean with a water dampened soft doth Key features �p If i rybresive clan detergent or -10-year Umited Warranty.Read about the Never use scouting powder,steel wool ora •• ••• • • • • • •• terms in the Umited Warranty brochure. detergent that is caldum-dissolving,sour or • • • • • • • • • contains alcohol or an abrasive. • • •• • • • • • -The"Cold Stair function saves up to 30°k • •• • • • • ••• • energy-get cold water instantly by Mng • • • • • • • • • the lever straight up. •• 1011049 •• • • • •• Product description -You can save up to 50%water as the Brass,Chrome plated faucet has a mechanism that reduces water flow while maintaining pressure. ', • ••• • 110 •• • • -The faucet cartridge has hard,durable I ••• • • •• •• • ••• • • ceramic discs that can handle the high • •• • • • • • • friction that occurs when you change the temperature of the water. •• • ••• • ••• • -Chrome-plated brass Is a hard and durable I surface that is easy to clean. • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • Municipal Contractor's Tax Receipt Miami—Dl de County,State of Florida THIS IS NOTA BILL-DO NOT PAY i CC NO:098SO024 t MC BUSINESS AMWLQCATION RECEIPT NO.CHRINC I EXPIRES DING BUSINESS IN)DADECOUNTY 7479026 SEPTEMBER 30, 2016 Pursuant to County Cade See 10-24 OWNER TYPE OF BUSINESS CHRIS BURKE INC ! SPECIALTY BUILDING CONTRACTOR PAYMENT RECEIVED BY TAX COLLECTOR 200.00 01/28/2016 CREDITCARD-16-021284 This reaalptisact valid InthebilawiagdloMpallttmAventura.Doral,Mob.Key 8teoeyne, Man M1ard eatdm%'Manti Lak0s,PadaeDo Sal Piu00111A Samtg[aim Beseb.Tam of Coder Bay. For atm Wonnation,vWt i i i i 05/18/2016 12:25PM FAX 9543327741 CANON 160001/0001 CERTIFICATE OF LIABILITY INSU:RAIVC12 : °"TE`�"N°°"""' 04/01/2016 THIS CERTIFICATE IB ISSUED-AS-A.MATTER OF INFORMATION'ONLYANDCONFERS,NO•RIS14TS UPON THE;OERTIFICATE,HOL•DERrTHIS CERTIFrdATE•DOES'•N6T.-AFt:IiRMATN.EL•:Y OR NEGATIVEL'Y•.AMEAID,Ej END.OAALTER-tUg.COV.ERAGE A:OF69' * *BY'`gi OOLICiEB BELOW. THIS CERTIFICATt.OF INSURANCE DOW NOT'CONSTITUTE A CONTRACT BET Ht/EEN THE ISSUING INSilRER(S),;AUT110RRED' REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the Certificate holder lean ADDITIONAL INSURED,the polio Iw)must be endorsed. U SUBROGATION IS WAIVED,subject to tho terms and conditions of the policy,certain policies may require an endommont. A statement on this oertlflcate dares not confer rights to the cxrtlflcete.holc;er!n!!eu of such endorsament(s). _ PRODUCER CONTACT IQM(,,MEEN Price My Policy . PHONE (954)977-1.557.... FA c Npb =.(954).301-0820• ` 100•Piorth State Road 7SuRe 202•. AIL :lcinL(®prlCem1Aeclby can MargSte,FL$3063' INSUR AFFO COVERAGE NAK:I.. - -Phone ' 54)'977=1551 Fa*•(954)301=U820 tasuRL3RA:. Uilitecl=Speas�ty`Irtsur2nce;Co ' INSURED INSURER B t Brid98fleld'EmDloyers Insurance. CHRIS BURKE INC (NtURER C: 507 S Dixie Hwy F IN6uRER 0: INSURER E Pompanb BQBCh I FL 33060 INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE,I.ISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE.FOR THE POLICY PERIOD. 'INDICATED,:NOTWITHSTANDIN.C�AN1('REbUIREIV� T;TERM OR.CONDITION OF ANYCONT.RACT OR CITHER DOCUMENT WITH RESPECT TO WHICH THI$ CERTIFICATE MAY BE ISSUED OR MAY-PERTAIN THE INSURANCt?AFFORDED BY THE POLICIES DESCRIBED FIEREIN•I$SUBJECT•TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS-OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.- IL R TYPE OF INSURANCE liePOLICY CdB6R LK:Y E F LICY EX LIMIi3' W/ COMMERCIAL GENERAL UABIUTY I EACH OCCURRENCE $ 1.000,W0.00 0 CLauas-MADE ® OCCUR oAwwiiE TO RENTF� SF.S Ea aecc,Heru e) $ 100,000.00 ❑ MED EXP(Anyone PersonS 5,000.00 _ A �'� N DGG00396.01 10/17/2015 10117/2016 PER30NAL&ADV INJURY $ 1,000,000.00 GEN'L AGGREGATE LIMrrAPPLES PER: OENERAL•AGGREGATE." 00 $ 2, 0 OOO.00 0 POLIOY E3 JECT U.LOC' i ❑ O'n•(ER PRODUCTS-COMPiOP AGG $ 2.W%000.66 AUTOMOBILE UAgnm I OM[3INED IN&E LIMB ❑ ANY AUTO BODILY INJURY(Par pemol S ❑ AU'r0 ALL JVNFD C] SCHEDULED AUTO5 � BODILY INJURY(Per setlaePu) S ❑ HIRED AUTOS ❑ AN AWNED i P OPER AMAGE $ ❑ UMBRELLA LIAR I EACH OCCURRENCE $ OCCUR u'EI(OES6 LIAR CLAMS-MADE AGGREGATE $ ❑ DED C RETENTION S WORKERSCOMPOMT(ON YIN' I PER U TFF AND 1IMPLOYERS,LIABIL•ttY ANY 0FRCE PR EMT99E Pq�NFD E6XEC E.L.EACH ACCIDENT $ 1,000,000.00 B OFFlCERPMEMBErtEXCLUDED? uTlve NIA 0830.53435 02@5/2016 02/25/2017 (Mandatory N NN) Krim,daeedae tatQer E.L.DISEASE-EA EMPLOYE S 1,000,000.00 DESCRIPTION OF OPE RATIONS bwoar E.L DISEASE-POLICY LIMIT $ 1,000,000.00 i i DESCRIPTION OF OPERATIONS/LOCATIONS/ (Attaeh•ACORD 101,AM'Iffensi Remarks 9ahadalR if more apses in IMMIreco• Installation Of floor covering I I CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF TkiE ABOVE()f scRIBFo'POLJCIES eg CANCELM BEFORE Mlaml Shoree.village THE'D(PIRATi014 DATE TkEnr=017,NOTICE•1N9.L BE DELIVERED IN " 10050 N.E.grid Avenue ACCORDAMCE YATH.THIE Pp1..I0Y PROVISIONS. Miami Shores,FL 33138 ! AUTHORIZED REPRESENTATIVE ACORD 25(2014/01)OF M 198&2014 ACORD CORPORATION. All rigtlto reserved, The ACORD name and IOgO are registered inarks of ACORD i Department of Regulatory and Economic Resources Miami-Dade County Plan Review Summary Process Number: M2016010030 FINAL CORE REVIEW DATE: 4/26/2016 OVERALL STATUS: Overall Approval sees . . sees sees.. PROJECT DETAILS: CONTACT DETAILS: .' :': '. .sees. es . 000000 FOLIO: 11-2230-053-0001 NAME: KEITH BACON """ ' 0006 ADDRESS: 1632 NE 105 ST, , FL EMAIL: e e e sees 6 .bee. PERMIT TYPE DESC.: INTERIOR RENOVATION PHONE#: 3053326164 . . 000000 0000:0 .6.06. s DISAPPROVAL CODES: e . . . . sees.. sees.. TASK REVIEWED BY STATUS DATE Wore S :*see: sees e 0 6 Initial Core Review Miguel De Armas 04/26/2016 Specialty Reviews not Required Comments: INTERIOR REMODELING TOWNHOME UNIT 2A. PSO 282 ACTIVE. NO RECORDS WITH WASD PLEASE PROVIDE WATER AND SEWER BILL ACCOUNT. 4/26/2016 WATER AND SEWER ACCOUNT WITH NORTH MIAMI UTILITY UNDER HARBOUR CLUB VILLAS/1530 NE 105TH ST MIAMI SHORES FL 33138 ASBES Review Eligio Gonzalez 04/25/2016 Approved Final Core Review Miguel De Armas 04/26/2016 Overall Approval Comments:214. PROVIDE WATER AND SEWER BILL ACCOUNT PLAN CONDITIONS: NO CONDITIONS PLAN REVIEW FEES(FEES ARE SUBJECT TO CHANGE PENDING FINAL APPROVAL FEE CODE DESCRIPTION USER DATE UNIT TOTAL D015 Asbestos Review DEARMM 04/25/2016 1 $175.00 D034 FastTrack Fee ADMIN 04/21/2016 1 $80.00 D034R FastTrack Fee ADMIN 04/21/2016 1 ($80.00) D062 Commercial&Multifam Min Review DEARMM 04/25/2016 1 $90.00 Total $265.00 FOR MORE INFORMATION PLEASE CONTACT: YOUR DERM.CORE REVIEWER:dearmm@miamidade.gov DERM PERMITTING AND INPECTION CENTER, 11805 SW 26 ST,786-315-2800 DERM OVERTOWN TRANSIT CENTER,701 NW 1 CT,305-372-6899 Department of Regulatory and Economic Resources Miami-Dade County Plan Review Summary Process Number: M2016010030 FINAL CORE REVIEW DATE:4/26/2016 OVERALL STATUS: Overall Approval 8000 8888.. PROJECT DETAILS: CONTACT DETAILS: •• 0 e • 0 0 FOLIO: 11-2230-053-0001 NAME: KEITH BACON •• • 0 •• • 8888.. 000000 ADDRESS: 1632 NE 105 ST, , FL EMAIL: 8 e • 888.. 0000 6 .0006 PERMIT TYPE DESC.: INTERIOR RENOVATION PHONE#: 3053326164 00:09: •••• ••:008 .. .. 6666 8888.. DISAPPROVAL CODES.• i".'e •� • •60.,8 TASK REVIEWED BY STATUS DATE $TAM • 8888.. Initial Core Review Miguel De Armas 04/26/2016 Specialty Revlawf tit 0 Required Comments: INTERIOR REMODELING TOWNHOME UNIT 2A. PSO 282 ACTIVE. NO RECORDS WITH WASD PLEASE PROVIDE WATER AND SEWER BILL ACCOUNT. 4/26/2016 WATER AND SEWER ACCOUNT WITH NORTH MIAMI UTILITY UNDER HARBOUR CLUB VILLAS/1530 NE 105TH ST MIAMI SHORES FL 33138 ASBES Review Eligio Gonzalez 04/25/2016 Approved Final Core Review Miguel De Armas 04/26/2016 Overall Approval Comments:214. PROVIDE WATER AND SEWER BILL ACCOUNT PLAN CONDITIONS: NO CONDITIONS PLAN REVIEW FEES(FEES ARE SUBJECT TO CHANGE PENDING FINAL APPROVAL FEE CODE DESCRIPTION USER DATE UNIT TOTAL D015 Asbestos Review DEARMM 04/25/2016 1 $175.00 D034 FastTrack Fee ADMIN 04/21/2016 1 $80.00 D034R FastTrack Fee ADMIN 04/21/2016 1 ($80.00) D062 Commercial&Multifam Min Review DEARMM 04/25/2016 1 $90.00 Total $265.00 FOR MORE INFORMATION PLEASE CONTACT: YOUR DERM.CORE REVIEWER:dearmm@miamidade.gov DERM PERMITTING AND INPECTION CENTER, 11805 SW 26 ST,786-315-2800 DERM OVERTOWN TRANSIT CENTER,701 NW 1 CT,305-372-6899 ry"'41 iD.-I. C, 10 0 ffm NOTE: ALL SHEET MUST BE REVIEWED MIAMI-DADE COUNTY DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES Herbert S.Saffir Permitting and Inspection Center 11805 SW 26th Street(Coral Way) a Miami, Florida 33175-2474 • (786)315-2000 APPLICATION FOR MUNICIPAL PERMIT APPLICANTS THAT REQUIRE PLAN REVIEW FROM MIAMI-DADE FIRE RESCUE AND/OR ENVIRONMENTAL SERVICES PROVIDE MUNICIPAL PROCESS NUMBER HERE ap Job Address 32 t4P— kUS&ST.WWt VdCgG oc z Contractor No. oz 0o Last four 4 digits of Qualifier No. W Folio 11 — 2230 - OSS - 002 > F_ O g a o Lot Block 9 Contractor Name °C Qualifier Name o a Subdivision PBpg O v— z Address Metes and bounds City State_Zip [ ] New Construction on [ ] Demolish Current use of property_ kjbl11E. Zz Vacant Land [ ] Shell Only ��KO` _ Alteration Interior C� [✓j [ ] Addition Attached p��' 0 M [ ] Alteration Exterior [ ] Addition Detached Description of Work 0>409P 0 [ ] Relocation of Structure [ ] Re-Roof a [ ] Enclosure [ ] Foundation Only [ ] Tent Sq. Ft. 1125 Units 1 Floors Z Repair [ ] Repair Due to Fire Value of Work oc .00 MBLD* [ ] Chg.Contractor W Owner Category F [ ] Re-Issue a Address 1 . NE m6 EC�C [ ] MELE N [ ] Re-Stamp N CityMt*l1 Jo M&F,s State A Zipl t 3? [ ] MLPG [ ] Revision W Phone &E'2132 I a [ ] MMEC [ ] Not Applicable for 3 Last four(4)digits of [ ] FIRE °C Fire 0 Owner's Social Security No. OZ Name YXT-q Owner �1 \71r.► �tleL17�J C a Address (1*2,0 W9- 106 �fG 5I� W z Address q I�e $22 toe 2"D W Y City%_%A l&1 % C{'�State-3L Zip =S'S z Cit kph Sal State Zip CLU Phone SOS 332 jo 11' W �atr 15$Z OCA 1 a Phone _ z 1 am requesting a Special Request Plan Review(SRI)to be scheduled as soon as possible at the rate of$209 for the first hour a g it and$71.50 per each additional hour in addition to the review fees.Minimum charge one-hour. w 0.N ra 1-Request: Date: LLW 2- Request: Date: S 3"d Request: Date: z g I am requesting Optional Plan Review(OPR)to be scheduled as soon as possible at the rate of$75 for each discipline. IL Additional review fees may apply. 4zo O 1 st Request: Date: p 211d Request: Date: 3b Request: Date: IL 123 01-192 4/14 BUILDING PERMIT CATEGORIES , CATEGORY DESCRIPTION PERMIT TYPE BUILDING 01 GENERAL BUILDING-COMMERCIAL MBLD 02 SUB-GENERAL BUILDING-RESIDENTIAL MBLD 08 CANVAS AWNING MBLD 10 COMMUNICATION TOWER MBLD 15 DEMOLITION MBLD 29 METAL AWNING&STORM SHUTTER MBLD 48 SCREEN ENCLOSURES MBLD 55 SWIMMING POOL MBLD 56 TENNIS COURTS(SURFACE PAVING) MBLD 86 TRAILER TIE DOWN MBLD 88 WALK-IN COOLER MBLD 91 MARINAS MBLD 92 LOW SLOPE APPLICATIONS(GRAVEL, SMOOTH MODIFIED, SINGLE PLY) MBLD 95 SHINGLES(ASPHALT, FIBERGLASS) MBLD 96 SHINGLES(METAL ROOFS/WOOD SHINGLES&SHAKE) MBLD 97 STAGE 2 VAPOR RECOVERY SYSTEM MBLD 99 SOIL IMPROVEMENT MBLD 0100 BULK STORAGE PROPANE TANK MBLD 0101 REMOVABLE STORM PANELS MBLD 0107 TILE ROOF MBLD 0110 WATER MAIN MBLD 0111 SITE PLAN MBLD 0112 INDOOR EVENT/EXHIBIT MBLD ELECTRICAL 04 FIRE ALARM SPECIALTY MELE 16 SPECIALTY WIRING MELE 38 GENERATORS MELE LPGX 01 LIQUEFIED PETROLEUM GAS MLPG 02 MISCELLANEOUS MLPG 04 LIQUEFIED PETROL. GAS/STATE MLPG MECHANICAL 09 ABOVE/BELOW GROUND TANKS/PUMPS &POLLUTANT STORAGE SYSTEM MMEC 38 COMMERCIAL HOODS MMEC 43 FIRE CHEMICAL MMEC 46 SPRAY BOOTHS MMEC 48 SMOKE CONTROL MMEC 52 RESIDENTIAL ELEVATOR MMEC FIRE 32 FIRE SPRINKLER FIRE