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FW-16-3059Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 BUILDING PERMIT APPLICATION BUILDING ❑ ELECTRIC ❑ ROOFING ❑ PLUMBING ❑ MECHANICAL ❑ PUBLIC WORKS JOB ADDRESS: RECETV1D NOV 0 $ 2016 BY: FBC 2011 4-� Master Permit No. C—‘ -(-)1k0 S I Sub Permit No. ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS 10200 1. (aL/Ire_ tPA -- Miami Dade Zip: a/_3 City: Miami Shores County: Folio/Parcel#: 1 J�r!7 — n.9 0 00/0 Is the Building Historically Designated: Yes Occupancy Type: Load: Construction Type: Flood Zone: BFE: OWNER: Name (Fee Simple Titleholder)kbat/, Shies . illi 9e- Phone#: NO FFE: Address: City: ' State: Zip. �0 Tenant/Lessee Name: Phone#: Email: ,,jn ^ ( p pin (y/ CONTRACTOR: Company Name: 1� /�Q ,,a/ a, / Com' /Ce Phone#3 0. • 0 0 (^ b 66Y Address: A/ (� -��'—' _.� r, -171454 -Cb ut-- C, lJDj. j' (4 370) City: State: 0 7 Zip: Qualifier Name: gkyer iv I+A 2t '1 cl Phone#: • .9f% • C(0.5-0 State Certification or Registration #: Certificate of Competency #: DESIGNER: Architect/Engineer: /V!'C Phone#: Address: City: — State::,,/—Zip: �^ Value of Work for this Permit: $ ar3 ((..\..• Co Square/Linear Footage of Work: (06o/ L 4 Type of Work: ❑ Addition ❑ Alteration _ ^ ❑ New //❑ Repair/Replace ❑ Dgmolition ,,/�,, Description of Work: l7,5%A //�iaQ-F`e `pO,LF C)C.O,(LL/Q.GZ.C/ .% 9 xite.._ /. / t 1 _ r eS,/D'1i IN --/aS 3/ cQ_21-e--s? 4 ovviDe. CCF $ i2- CO/CC $ ct•DBPR$ 1'90 Specify color of ,lor thru tile: Submittal Fee $ Scanning Fee $ "l -04-3 Technology Fee $ Structural Reviews $ (Revised02/24/2014) Permit Fee $ Radon Fee $ Training/Education Fee $ 9.03 Notary $ s' c� Double Fee $ \J Bond $ TOTAL FEE NOW DUE $ 6 2O . FrO Bonding Company's Name (if applicable) !v A Bonding Company's Address City State n Zip Mortgage Lender's Name (if applicable) %v�'r — Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature OWNER or AGENT Signature -.1—c-e,Ca )5011—r '55 CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of NO \% , 20 Tran 161t4Z—IC-3 , who is p ona y r by -7 day / of /% AA) Ye/ /1,66 , 20 / (p , by )4 n to / P(%p god/6' ve who is personally known to me or who has produced as me or who has produced L. identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: 1111111/000 NOTARY PUBLIC: 311/49o'lj�� Sign: Print: Seal: 4,;c2,a � - Zy ' • c., '6J' ° Q= . w 4. : t—_ •c „ •g_ °?/V94afer%iY,. 1- 2- ...!SSlww0?... \�� % ;o��;, Bonded thru Aaron Notary °69, -,/N31\1 `�� APPROVED BY (Revised02/24/2014) Sign: Print: as Seal: Expires: January 21, 2020 cctGb Plans Examiner (90 f(/ Zoning Structural Review Clerk Miami Shores Village Building Department CONTRACTORS' REGISTRATION IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 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 CONTACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. / COPY OF CERTIFICATE OF COMPETENCY OF QUALIFIER B. ✓/ COPY OF LOCAL BUSINESS TAX RECEIPT C. V COPY OF STATE REGISTERED CONTRACTOR LICENSE OR MIAMI DADE COUNTY MUNICIPAL U ICIPAL 1 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 Holder: 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: !i+ AIA- UA.('F-qeitniC c)(S Cr) Ce-ep - BUSINESS ADDRESS: 795 A//,(J S CITY these -L/ STATE A, ZIP :33k10 BUSINESS PHONE: (30,) 8. 7" S'Gp g` FAX NUMBER ( ) CELL PHONE Q' OCorD QUALIFIER'S NAME: J?Dit JJ f 1 U / Ue? QUALIFIER'S LIC NUMBER: 04 6 OO!0(/ CTCB Construction Trades ualifying Board EUSINESS CERTIFICATE OF COMPETENCY 02BS00804 A1A MANAGEMENT/CERO'S FENCE CORP D.B.A.: RODRIGUEZ HUMBERTO Is certified under the provisions of Chapter 10 of Miami -Dade County 584 Iunicipal Contractor's Receipt Miami -Dade County, State of. Florida -THIS IS NOT A BILL - DO NOT PAY 5062997 BUSINESS NAME/LOCATION HMA MANAGEMENT CEROS FENCE CORP 7950 NW 53 ST 337 MIAMI FL 33166 RECEIPT NO. NEW 7491259 MC EXPIRES SEPTEMBER 30, 2017 Must be displayed at place of business Pursuant to County Code Chapter 8A - Art. 9 & 10 OWNER SEC. TYPE OF BUSINESS AYMENT RECEIVED HMA MNGMT CEROS FENCE CORP MMC SPECIALTY BUILDING CONTRACTOFY TAX COLLECTOR C/O HUMBERTO RODRIGUEZ, QUALIFIERO2BS00804 $175.00 09/14/2016 Category(s) 1 FPPU06-16-024507 This Local Business Tax Receipt only confirms payment of the Local Business Tax. The Receipt is not a license, permit, or a certification of the holders qualifications, to do business. Holder must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT NO. above must be displayed on all commercial vehicles - Miami -Dade Code Sec 8a-276. For more information, visit www.miamidade.Qov/taxcallector )4343 Local Business Tax Receipt Miami -Dade County, State of Florida -THIS IS NOT A BILL - DO NOT PAY 5062997 BUSINESS NAME/LOCATION HMA MANAGEMENT CEROS FENCE CORP 7950 NW 53 ST 337 MIAMI FL 33166 RECEIPT NO. RENEWAL 5288097 LBT EXPIRES SEPTEMBER 30, 2017 Must be displayed at place of business Pursuant to County Code Chapter 8A - Art. 9 & 10 OWNER SEC. TYPE OF BUSINESS HMA MNGMT CEROS FENCE CORP 196 SPECIALTY BUILDING CONTRACTOR C/O HUMBERTO RODRIGUEZ, QUALIFIEI 12BS00804 Worker(s) 2 PAYMENT RECEIVED BY TAX COLLECTOR $45.00 09/14/2016 FPPU06-16-024508 This Local Business Tax Receipt only confirms payment of the Local Business Tax. The Receipt is nota license, permit, or a certification of the holder's qualifications, to do business. Holder must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT NO. above must be displayed on all commercial vehicles - Miami -Dade Code Sec Ba -276. For more information, visit www.miamidade.gov/taxcollector ACORO® CERTIFICATE OF LIABILITY INSURANCE `./ DATE(MM)DD/YYTY) 11/7/2016 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(ies) 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 Forton Insurance, Inc. 365 Palermo Ave. Coral Gables FL 33134-6607 CONTACT Judith Grave de Peralta NAME: taCNo.Extl: (305)445-3535 FAX No): (866)415-0825 ADDLSS:judith.gravedeperalta@fortuninsurance.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A :WeSCO Insurance Company COMMERCIAL GENERAL LIABILITY INSURED Cero' s Fence Contractors Corp. 7950 NW 53 St., #337 Miami. FL 33166 INSURER B :Scottsdale Insurance Co. WPP1421371 00 INSURER c :Technology Insurance Company 11/10/2016 INSURER D: $ 1,000,000 INSURER E : $ 100,000 INSURER F : COVERAGES CERTIFICATE NUMBER:CL1632309145 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 LTRINSD TYPE OF INSURANCE ADOL SUBR VD POLICY NUMBER POLICY EFF (MM/DDIYYYY) POuCY EXP (MM)DDIYYYYI UMITS A X COMMERCIAL GENERAL LIABILITY WPP1421371 00 11/10/2015 11/10/2016 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence) $ 100,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 5,000 PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GE 'L AGGREGATE POLICY OTHER: X UMIT APPLIES PRCOT- PER: LOC PRODUCTS - COMP/OP AGG $ 2,000,000 Deductible $ 500 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS — SCHEDULED AUTOS NON -OWNED AUTOS COMBINED SINGLE UMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ B X UMBRELLA(JAB EXCESS UAB X OCCUR CWMS-MADE X850057613 11/10/2015 11/10/2016 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 DED RETENTIONS $ C WORKERS COMPENSATION AND EMPLOYERS' UABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFIC(Mandatory in NH)ER EXCLUDED? (Mandatory in 8 yes, describe under DESCRIPTION OF OPERATIONS below �, / N N / A TWC3543519 3/21/2016 3/21/2017 X PER STATUTE OTH- ER E.L. EACH ACCIDENT $ 1,000,000 E.L DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY UMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached K more space Is required) Contractor License Number: 02BS00804 CERTIFICATE HOLDER CANCELLATION Miami Shores Village Building Department 10050 NE 2nd Avenue Miami Shores, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Hector Forton/IZ ACORD 25 (2014/01) INS025 nnlam) @ 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Miami Shores Village Building Department 10050 N.E.2nd Avenue 1000 $iSc --� �. Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CHAIN LINK FENCE DESIGN DETAIL Fence Height (ft) Terminal Post Dimensions (in inches) (o.d. X wall thickness) Line Post Dimensions (in inches) (o.d. X wall thickness) Terminal Post Concrete Foundation Size (diameter X depth) (in inches) Line Post Concrete Foundation Size (diameter X depth) (in inches) Upto4 23/8x0.042 15/8x0.047 10x24 8x24 Over4to6 23/8x0.042 17/8x0.055 10x24 8x24 For SI: 1 inch = 25.4 mm. NOTES: 1. This table is applicable only to fences with unrestricted airflow. 2. Fabric: 12 'h gauge minimu , Blac •r Green. 3. Tension bands: Use one less than t e height of the fence in feet evenly spaced. 4. Fabric Ties: Must minimum the same gauge of the fabric. 5. Fabric Tie Spacing on the Top Rail: Five ties between posts evenly spaced. 6. Fabric Tie Spacing on Line Posts: One less than height of the fence in feet, evenly spaced. 7. Either top rail or top tension wire shall be used. 8. Braces must be used at Terminal Posts if top tension wire is used instead of Top Rail. 9. Post Spacing: 10 foot (3m) on center maximum. 10. Post shall be embedded to within 6 inches (152 mm) from bottom of the foundation. 11. In order to follow the contour of the land, the bottom of the fence may clear the contour of the ground by up to 5 inch (127 mm) without increasing table values to the next higher limit. NOTICE TO PROPERTIES WITH POOLS: If the fence is to meet the criteria as a pool barrier, the fence shall not be climbable and all rails must be placed facing the inside of the property. Pedestrian gates shall have self-closing and latching devices installed at the minimum of 54" above ground. For further details see Section R4501.7.1 of FBC. Rev. 10-08-15 I. Naranjo /d\ Miami Shores \fiIIage Building Department 10050 N.E.2nd Avenue 1pa,00 $BSc -- �wD. Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CHAIN LINK FENCE DESIGN DETAIL Fence Height (ft) Terminal Post Dimensions (in inches) (o.d. X wall thickness) Line Post Dimensions (in inches) (o.d. X wall thickness) Terminal Post Concrete Foundation Size (diameter X depth) (in inches) Line Post Concrete Foundation Size (diameter X depth) (in inches) Upto4 23/8x0.042 15/8x0.047 10x24 8x24 Over4to6 23/8x0.042 17/8x0.055 10x24 8x24 For SI: 1 inch = 25.4 mm. NOTES: 1. This table is applicable only to c s with unrestricted airflow. 2. Fabric: 12 '/2 gauge minimu lack Green. 3. Tension bands: Use one less than the height of the fence in feet evenly spaced. 4. Fabric Ties: Must minimum the same gauge of the fabric. 5. Fabric Tie Spacing on the Top Rail: Five ties between posts evenly spaced. 6. Fabric Tie Spacing on Line Posts: One less than height of the fence in feet, evenly spaced. 7. Either top rail or top tension wire shall be used. 8. Braces must be used at Terminal Posts if top tension wire is used instead of Top Rail. 9. Post Spacing: 10 foot (3m) on center maximum. 10. Post shall be embedded to within 6 inches (152 mm) from bottom of the foundation. 11. In order to follow the contour of the land, the bottom of the fence may clear the contour of the ground by up to 5 inch (127 mm) without increasing table values to the next higher limit. NOTICE TO PROPERTIES WITH POOLS: If the fence is to meet the criteria as a pool barrier, the fence shall not be climbable and all rails must be placed facing the inside of the property. Pedestrian gates shall have self-closing and latching devices installed at the minimum of 54" above ground. For further details see Section R4501.7.1 of FBC. Rev. 10-08-15 I. Naranjo