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RC-16-1981 .rd# E �it C0 Miami Shores Village � )W ) Yrx 10050 N.E.2nd Avenue NE Miami Shores,FL 33138-0000 Phone: (305)795-2204 , .. i di Expiration: 04/15/2017 Project Address Parcel Number Applicant 128 NE 99 Street 1132060132270 JUAN CARLOS ACOSTA Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell JUAN CARLOS ACOSTA 128 NE 99 Street MIAMI SHORES FL 33138 128 NE 99 Street MIAMI SHORES FL 33138 Contractor(s) Phone Cell Phone Valuation: $ 1,200.00 BGB RENOVATIONS LLC (954)981-7663 rnTm Total Sq Feet: 00 Approved:In Review Available Inspections: Comments: Inspection Type: Date Approved::In Review Window Door Attachment Date Denied: Framing Type of Construction: Occupancy:Single Family Insulation Stories: Exterior: Drywall Screw Front Setback: Rear Setback: Final PE Certification Left Setback: Right Setback: Window and Door Buck Bedrooms: Bathrooms: Fill Cells Columns Plans Submitted:Yes Certificate Status: Review Building Certificate Date: Additional Info: Review Building Bond Retum: Classification:Residential Review Building Review Building Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Review Structural CCF $1.20 Review Structural DBPR Fee $2.00 Invoice# RC-7-16-60611 Review Structural DCA Fee $2.00 10/17/2016 Check#:3152 $516.20 $0.00 Review Planning Education Surcharge $0.40 Review Electrical Permit Fee $100.00 Review Plumbing Plan Review Fee(Engineer) $120.00 Review Mechanical Plan Review Fee(Engineer) $80.00 Plan Review Fee(Engineer) $80.00 Plan Review Fee(Engineer) $120.00 Scanning Fee $9.00 Technology Fee $1.60 Total: $516.20 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 and zoning. Futhermore,I authorize the ab ov t or t work stated. October 17,2016 Authorized Signature:Owner / Applicant Contractor ! Agent Date Building Department Copy October 17,2016 1 Miami Shores Village Building Department JUL 15 2016 X01 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 1� Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FrBC/X20 BUILDING Master Permit Noy PERMIT APPLICATION Sub Permit No•ccl z —1 BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [-]RENEWAL ❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION F-] SHOP CONTRACTOR DRAWINGS JOB ADDRESS: ,C�/�� 5�'Pj- Cit : Miami Shores County: Miami Dade zip: Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FIFE+: OWNER: Name(Fee Simple Titleholder): ��x/OA���I �- Phone#: �C� �` Address: e�/�� /tle: ��1 City: State: Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: ��f� ��r^�i/�}i!Y� Z C L Phone#: el3--,9 Address: 7 ) 2 A)(,J 1d 7 City: er -� �` /1 State: lQ/r`e&- Zip: Qualifier Name: C�a'G "7"3.9' Phone#: State Certification or Registration#:!2LKe!%2 ?�t/�r'. Certificate of Competency#: n DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ 0 Square/Linear Foo ge of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition Description of Work: e—,r1 rQ w)d�rY Specify color of color thru tile: �• Submittal Fee$ � Permit Fee$ 100 CCF$ f • Z0 CO/CC$ aj ! Scanning Fee$ Radon Fee$ Z 00 DBPR$ Z ®�Notary$ - Technology Fee$ Training/Education Fee$ 0 Double Fee$ Structural Reviews$_ 1 ZO 1 SO 25C2180 Bond$ TOTAL FEE NOW DUE$ /(, . U✓ (Revised02/24/2014) w 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 VICE 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 a approved and a reinspection fee will be charged. S' C Signature ature Sign OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of 20 e (t> .by 15 day of 201 �D by t ho is personally known to ho is r�know _.._ me or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign Sign: Print: -e Print: Seal: Seal: "Y po Notary Public State of Florida Yvette Borromeo R. Alolary Public State of Florida ' x�e My Commission FF 974520 Yvette Borrom�epoo•- ov a�° Expires 03/2312020 m a��xe°e a t Exp res dk%� 7m4 APPROVED BY ans Examiner Zoning Structural Review Clerk (Revised02J24J2014) •� KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION-INDUSTRY LICENSING BOARD T Ff tEftAL CONTRACTOR Or SLOT -MdW we p..wstons-of—Qhapter-489 F'S. "'� ' r: xpradste:`AUf 3� 29fi6.y . � , n y a r =BAT.ES-STEVENWAR ,� D� �98LI 109 TERRACE FL 330 71 ISSUED: 03/02/2016 DISPLAYAS REQUIRED BY LAW SEQ# L1603020000872 ROWARD COUNTY LOCAL BUSINESS `SAX RECEIPT 115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895—954-831-4000 VALID OCTOBER 1,2015 THROUGH SEPTEMBER 30,2016 j ®BA.BGB RENOVATIONS LLC Receipt :GENER2AL4 CONTRACTOR Business Name: Business Typee: i' Owner Name:STEVEN BATES Business Opened:02/05/2016 :I Business Location:982 NW 109 TERR State/County/Cert/Reg:CGC1523385 CORAL SPRINGS Exemption Code: Business Phone:954-802-7663 Rooms Seats Employees Machines Professionals 1 For Vending Business Only Number of Machines: Vending Type: Tax Amount Transfer FeeNSF 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 j 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: STEVEN BATES 982 NW 109 TERR Receipt #03A-15-00004449 Paid 02/05/2016 27.00 CORAL SPRINGS, FL 33071 i ' I 20152016 ® M1^%A/A r!ir% ^r%v t1►Pr\/ t o%O%-w ■ t%t O�a CERTIFICATE OF LIABILITY INSURANCE DATE(MMroDIYYYI� 7/15/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CON NAMTAE:CT Christine Auman Frank H. Furman, Inc. PHONE (954)943-5050 Nc Na:(954)942-6310 1314 East Atlantic Blvd. ADDRESS.IFchristine@furmaninsurance.com P. 0. BOX 1927 INSURERS AFFORDING COVERAGE NAIC# Pompano Beach FL 33061 INSURER A Mestern World Insurance Company 13196 INSURED INSURER B: BGB Renovations LLC INSURER C: 982 NW 109 Terrace INSURER D: INSURER E: Coral Springs FL 33071 1 INSURER F: COVERAGES CERTIFICATE NUMBER:15/16 GL 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 SUBR POLICY NUMBER POLICY EFF MWDDY EXP LIMITS LTR X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO A CLAIMS-MADE a OCCUR PREMISES EaEoccurrence) $ 100,000 NPP8269420 7/31/2015 7/31/2016 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY F]JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per ac oldent UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) EEL.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached K more space Is required) General Contractor License Number: CGC1523385 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shores Village THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Building Department ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2nd Avenue Miami. Shores, FL 33138 AUTHORIZED REPRESENTATIVE Dirk DeJong/CA1612�"C,14:5117 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS025(9ounn JEFF ATWATER CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS'COMPENSATION **CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS'COMPENSATION LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers'Compensation law. EFFECTIVE DATE: 7/13/2015 EXPIRATION DATE: 7/12/2017 PERSON: BATES STEVEN FEIN: 474319607 BUSINESS NAME AND ADDRESS: BGB RENOVATIONS LLC 982 NW 109 TERRACE CORAL SPRINGS FL 33071 SCOPES OF BUSINESS OR TRADE: LICENSED GENERAL CONTRACTOR Pursuant to Chapter 440.05(14),F.S.,an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter.Pursuant to Chapter 440.05(12),F.S.,Certificates of election to be exempt...apply only within the scope of the business or trade listed on the notice of election to be exempt.Pursuant to Chapter 440.05(13),F.S.,Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if,at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate.The department shall revoke a DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS?(850)413-1609 SgO 1.9, t "" MiamiVillage shores Building Department C.0- 10050 N.E.2nd Avenue 0RIpA 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: I. The officer owns at least 10 percent of the stock of the corporation,or in the case of an LLC,a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State,Division of Corporations;and 3. The corporation is registered and listed as active with the Florida Department of State,Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use day labor,part-time employees or subcontractors for your project.The contractor has provided an affidavit stating that he or she will be the only person allowed to work on your project.In these circumstances,Miami Shores Village does not require verification of workers' compensation insurance coverage from the contractor's company for day labor,part-time employees or subcontractors. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: It V Owner State of Florida County of Miami-Dade The foregoing was acknowledge before me this 1 day of '20 R1 b. By.l( f_A-"_ b :�iM-, " who is personally known to me or has produced as identification. No spar Pum Notary Public State of Florida SEAL: Yvette Borromeo My Commission FF 974520 cr f�o� Expires 0312312020 :BG8 RENOVATIONS, LLC 982 NW 109 'TERRACE, CORAL SPRINGS, FL 33071 954-802-7663 LICENSED & INSURED CGC 1523385 July 15, 2016 State of Florida County of Broward Before me this day personally appeared Steven E. Bates who, being duly sworn, deposes and says: �& 1 15�4— That he will be the only person working on the project located at: 128 NE99 Street, Miami Shores, Florida (relative to his scope of responsibility). Sworn to and subscribed before me this 15th day of July, 2016, b Personally known ,lle, E . - Notary :Notary Public State oY Florida vette Borzomeoy Commission FF 974520 xpires 03123/2020 Stamp 1 Congratulations! With this license you become one of the nearly - one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range ' ' ' STATE OF FLORIDA from architects to yacht brokers,from boxers to barbeque DEPARTMENT—OF BUSINESS AND restaurants,and they keep Florida's economy strong. PROFESSP.KAL=REGULATION Every day we work to improve the tray we do business in order CGC1.523385-:.. - -:ISSUED: 08l'l0/2016 o to serve you better. For information about our services,please = " " log onto www.myfloridalicanse.com. There you can land more CERTIFIED GENER;4L.0 [aTO ",-ACTOR in ormation about our divisions and the regulations that impact 8RTES,STEVE1a�EDWARD_-= you,subscribe to department newsletters and team more about BGB RENOVi4T1.ONS•LtD _, the Departments initiatives. Our mission at the Department is,License Efficiently, Regulate Fairly.We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, FS,CERT LIFTED-under the••provision s.of Ch..499-FS. and congratulations on your new license! •�•':�ree� -:aucs�:zai:a.- -'- .- �: :- Ll SM100*ws DETACH-HERE RLCK SCOTT,GOVERNOR KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD 0 CGC1523385 - The GENERAL CONTRACTOR = Named below IS CERTIFIED cc Under the provisions of Chapter489-FS. -- - - - `'OD"e Cvnir�finn Anti• -GI.1C: 21' nVk = - -- rt a m N �O O N f` V Q Oct. 17. 2016 11 ; 23AM Paul Bange Roofing No. 4907 P. 2 JEFF ATWATER CHIEF FINANCIAL 0PF10ER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS'COMPENSATION CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS`COMPENSATION LAW" CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers,Compensation law. EFFECTIVE DATE; 7/13/2015 EXPIRATION DATE: 7/12/2017 PERSON: HATES STEVEN FEIN: 474319607 BUSINESS NAME;AND ADDRESS: 13GB RENOVATIONS LLC 982 NW 109 TERRACE CORAL SPRINGS FL 33071 SCOPES OF BUSINESS OR TRADE: LICENSED GENERAL CONTRACTOR Pursuant to Chapter 440.W14).F.S.,an ono of a corporation veto elects exemption from this chapter by Sing a centricate or election trader this section My not recover'benoftts or wmpensation trader this chapter.Pursuant to Chapter 440.05(12),F.S.,Cenftatea of election to W exempt...apply 04 WPM the awpe of the business or bade listed on the notice or eleetlon to be exempt.Pursuant to Chapter 440.05(1 3),F.S.,Notices of election to be exempt and crerurxales of erection to be exempt shall be sub10010 revocation F.at any rune after the ftnkV of the notice or the isauarim of the c fficate, ft person named on the notice or certificate no longer mets the fequvements of this section for Issuance of a cenmeate.The tkpadment shall revoks a DFS•172-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS?{850}413-1509 Oct. 17. 2016 11 :24AM Paul Bange Roofing No- 4907 P. 4 LOCAL BUSINESS TAX RECEIPTS CORAL Business Tax Office Location Address: RIi�C�S 9551 West Sample Road 982 NW 109 TER SP •w9-11-0 UNVIA THE sun Coral Springs, FL 33065 Other Information: Local Business Tax for: HOME BASED BUSINESS OFFICE FOR CERTIFIED BGB RENOVATIONS/STEVEN EDWARD BATES-CGC GENERAL CONTRCATOR//NO EMPLOYEES//NO Is hereby allowed to engage In business or occupation of: INVENTORY TO BE KEPT AT THE HOME HOME BUSINESS OGS RENOVATIONS/STEVEN EDWARD BATES-CGC Payment Date:9/27/2016 982 NW 109 TER - Amount Paid:$132.30 CORAL SPRINGS, FL 330716430 Business Tax# 77687 ***** VALIDATED Expiration Date: 9/30/2017 CITY OF CORAL SPRINGS BUSINESS TAX OFFICE ` DETACH AND POST THIS BUSINESS TAX RECEIPT IN A CONSPICUOUS PLACE ** ALL WINDOW SIGNS SHALT. COMPLY TO LAND DEVELOPMENT CODE CHAPTER 18 'N C, C1 _Oct. 17. 2.016 11 :24AM Paul Bange Roofing . . . No. 4907 P. 3 ' BROWARD COUNTY LOCAL- BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895—954-831-4000 VALID OCTOBER 1,2016 THROUGH SEPTEMBER 30,2017 pgq; Receipt#.180-274906 :GENER L4 CONTRACTOR Business Name:BGB RENOVATIONS' LLC Business Type: , Owner Name:STEVEN BATES Business Opened:02/05/2016 Business Location:982 NW 109 TERR State/County/Cert/Reg:0001523385 CORAL SPRINGS Exemption Code: Business Phone:954-Bo2-7663 Rooms seals Employees Machines Professionals 1 ' dor Vending Buwiness Only Number of Machines: Vending Type: Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Tolal Paid 27.00 0.001 0.00 0.00 0.00 0.00 27.00 I THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOWS 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. f Mailing Address: STEVEN BATES Receipt #01A--15-00008104 1 982 NW 109 TERR Paid 09/20/2016 27.00 i CORAL SPRINGS, FL 33071 I 2016 — 2017 U;; �:IJ.1 Q.Y L.O.— ,-- NA- C.��.�T—r—. 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' .. ... •• p�n��o , oQ ' G •• ••• • • ••• e• •• . d . s•• • • •s• • • ••• ••• Q x m r. 4 00 4'9 M CONNECTED EACH SIDE BY SIMPSON STRAP TYPE "GA$$ w M a ° 4 WITH (4) #12 GALV. NAIL 4 • •a . a .a d ON • a � °a 4 Z ►— a a EXISTING CONC: TIE BEAM ° a O uj a z w� EXISTING 2X6 ROOF JOIST 3 @ 12" O.C. _ www EXISTING CMU WALL « a Typical InsWation U i J�NUMBER BRACING BETWEEN ALL ROOF JOIST WITH 2X6 P.T. WOOD 2016 CONNECTED EACH SIDE BY SIMPSON STRAP TYPE "GA" S - 1 r � O . o f, • Oo �o AOO- Q s _--•-' W Vic- 0c K w M H ,? C/7) c k 1 � N2 PURPOSE PERIQT BY DA TF 1 r w _r JUL 1 5 2016 y `FILE VVI 0ri ALL s f Typical GA Installation o IIf A - „ _. --+•.._- -.. JOB NUMBER -- BRACING BETWEEN ALL ROOF JOIST WITH 2X6 P.T. WOOD 2016 CONNECTED EACH SIDE BY SIMPSON STRAP TYPE "GA" S - 2 Oct. 14. 2016 �: 35PM Paul Barge Roofing No. 4896 P. 2 JEFF ATWATER .9 C}IIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS'COMPENSATION "CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS'COMPENSATION LAW" CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers'Compensation law, EFFECTIVE;DATE: 7/13/2015 EXPIRATION DATE: 7/12/2017 PERSON: BATES STEVEN FEIN: 474319607 BUSINESS NAME AND ADDRESS: BGB RENOVATIONS LLC 982 NW 109 TERRACE CORAL SPRINGS FL 33071 SCOPES OF BUSINESS OR TRADE: LICENSED GENERAL CONTRACTOR Pursuant to Chapter 440.05(14),F.S.,an Wiloar or a=00rason who eleda exemption from this chapter by Sung a cuffiicate of elaccon under this section may not 16MGrbenaras or oompensolon under this chapter.Pursuant to Chapter,640.05(121,F.S.,Certdhcatas of election to ue exempt.,,appy ottiy wh tkl the scope of the business or trade listed on the notice of eledion to be exempt.PW WVA to Chapter 440.05(13).F.S..NotIces or 010011M to be exeroPI and oertTxates of election to be exaMpt own be subject to revocation d,at any lane after the fling of the notice or the Issuance of uhe oedEcate, Me person named on am notice or mi news no IO wr meets(he requirements of thla Salton for Issuance of a certificate.the deperlmenl shall revuw a DFS-172•DWC-262 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS?(850)413-1609 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range ON STATE-OF FLORIDA from architects to yacht brokers,frorn boxers to barbeque DEPARTMENT•OF BUSINESS AND d"restaurants,and they keep Florida's economy strong. PROFESSIOi�IAL'REGULi4TIUN Every day we work to improve the way we do business in order CGC_1.5233$5'.., -_ fSSUED:""08/10/2016 to serve you better. For information about our services,please = ` ' d to www.myfioridalicense.com.wwmyfloridalicense.com. There you can find more CERTIFIED GENERAL:CONTR&C�OR information about our divisions and the regulations that impact BPrTFS,STEVEN•EDVNAaD': - C> you,subscribe to department newsletters and learn more about :BGB RENOVk1jONS the Department's initiatives. _ Our mission at the Department is:License Efficiently,Regulate Fairly.We constantly strive to serve you better so that you can is,ce�rrr-tEo undertr,e pr"o�risPons.or ca-.aas Fs. serve your customers. Thank you for doing business in Florida, and congratulations on your new license! -EWrAL^QaSe at1G 3.1•mi. _ L160e1D000�S39 DETACH-HERE RICK SCOTT,GOVERNOR KEN LAWSON,SECRETARY STATE OF FLORIDA , DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ; bD CONSTRUCTION INDUSTRY LICENSING BOARD o CGC1523385 The GENERAL CONTRACTOR Named below IS CERTIFIED m Underthe provisions of Chapter489-FS. -• Kvnirotinn rl�!-o• '�1.1C:.` A4- '1t.14SZ - -- - _ _--. ...-. a N �Gl O N d.. V