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CC-09-2041 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: I NSP- 141286 Permit Number: CC -12 -09 -2041 Scheduled Inspection Date: April 26, 2010 Permit Type: Commercial Construction Inspector: Bruhn, Norman Inspection Type: Final Owner: VENTURE INC, LEUNG Work Classification: Repair Job Address: 9101 BISCAYNE Boulevard Miami Shores, FL Phone Number (305)754 -9575 Parcel Number 113206009001 Project: <NONE> Contractor: CUSTOM TEN INC Phone: (305)932 -3299 Building Department Comments REBUILD DAMAGED ENTRY CANOPY Inspector Comments Passed el 'e Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. April 23, 2010 For Inspections please call: (305)762 -4949 Page 17 of 27 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: I NSP- 131378 Permit Number: CC -12 -09 -2041 Schedule Inspection Date: April 22, 2010 Permit Type: Commercial Construction Inspector: JW U_CS��1„ '�t1� Inspection Type: Final Owner: VENTURE INC, LEUNG Work Classification: Repair Job Address: 9101 BISCAYNE Boulevard Miami Shores, FL Phone Number (305)754 -9575 Parcel Number 113206009001 Project: <NONE> Contractor: CUSTOM TEN INC Phone: (305)932 -3299 Building Department Comments REBUILD DAMAGED ENTRY CANOPY Inspector Comments Passed Failed r V Correction Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. April 21, 2010 For Inspections please call: (305)762 -4949 Page 1 of 26 Miami a Shores Village Building Department�� 1 �01a 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 FEB 6 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.049 13Y..m- ®- ®-- ® - ® - ®- BUILDING Permit No. P� + RMIT APPLICATION Master Permit No. /Z ®T'- 40 FBC 20 Permit Type BUILDING ROOFING Owner's Name (Fee Simple Titleholder) Z" 1/0�07 — <4 E 1&-OZ- Phone # -7 495® 7-5'¢ Owner's Address Y /d/ ffitC, A- City �l(�}A4 P gtp lj State Zip Tenant/I.essee Name Phone # Email Job Address (where the work is being done) 9/®/ City Miami Shores Village County M' -Dade Zip FOLIO / PARCEL # Is ]Building Historically Designated YES NO Flood Zone Contractor's Company Name 470 57VA4 72: /,t:-) e- Phone # - 5 ° ?Y Z' .TZ 9? Contractor's Address _ 2iAZt3 1f/ 4fZ&T 0 40 City State / Zip 3i7 ° 4 Qualifier Name '" 1 CO 'Z.- Phone # State Certificate or Registration No. e- !f 79� 9j Z Certificate of Competency No. Contact Phone �`�'� I Z ! Z p J"' E -mail 4 S'7& j 7C oa_p Y , *J - r CQ 'y Architect/Engineer's N I licable) °%� '� Phone # _ g ° p-C 0 J Value of Work F ; r` 't $ Square / Linear Footage Of Work: Type of Work: n DAlteration ❑New ❑ Repair/Replace ❑ Demolition Describe Wo �o�'� ®� Tta 7,1e�7•�/j2 d Suomi Permit Fee $ _'` CCF $ CO /CC $ Notary $ Training/Education Fee $ Technology Fee $ Scanning S Radon $ DPBR $ Bond $ Double Fee $ Violation date: �(' Strtrctural Review. $ . &C Total Fee Now Due $ �� ldtJ See Reverse side 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 Wu d. In the absen e of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature Owne r Agent C ntracto The foregoing instrument was acknowledge before me this& The fore ' instrument was ac o ledge before a thi day of .Q 20 la, by QJC,t� �Q .04, day o , 240-1 b who is eerrsonally own to me or who has produced who i ersona ly kn to me or who has produced As identification and who did take an oath. '�' dentification and who did take an oath. NOTARY PUBLIC: OTARY UBLIC: Si Cam. - Sn: Sign Print IC ti � My Commission Expires: ��1 `' 3 at'` � Ronald E WeiSs of F Co ssion Expires: �'' °'' ° ° °, ` 'L s 1� < My Commission OD916295 c $ Q01 OF I Expires OBt12/2013 80�p APPROVED BY W134 2-li ah Plans Examiner Zoning Engineer Clerk checked (Revised 07 /10 /07)(Revised 06/10/2009) m Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 r s ,3 , Expiration: 0611912010 Project Address Parcel Number Applicant 9101 BISCAYNE Boulevard 1132060090010 Miami Shores, FL Block: Lot: LEUNG VENTURE INC Owner Information Address Phone Cell LEUNG VENTURE INC 9101 BISCAYNE BLVD (305)7549575 MIAMI SHORES FL 33138 -3223 Contractor(s) Phone Cell Phone Valuation: $ 5,000.00 CUSTOM TEN INC (305)932-3299 Total Sq Feet: 0 Approved: Yes For Inspections please call: Comments: (305)762 -4949 Date Approved: 12/14/2009: Yes Available Inspections: Date Denied: Inspection Type: Type of Work: REPLACE CANOPY Additional Info: STRUCTURAL Final Classification: Residential ColorApproved: In Review: Yes Code Comments:: Code Approved:: Yes Code Denied: Fees Due Amount Invoice # Total Amt Paid Amt Due CCF $ ACT -12 -09 -36628 $ 236.00 $ 236.00 $ 0.00 Education Surcharge $1.00 Permit Fee $225.00 Check #: 11817 Scanning Fee $3.00 Technology Fee $4.00 Total: $236.00 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. December 28, 2009 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy December 28, 2009 1 N t Miami Shores Village Building Department � CEIVE 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 DEC I 1 2009 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 - BUILDING permit No. 1 — ),CDL f PERMIT APPLICATION muster Permit No. FBC 20 Permit Type:. BUILDING ROOFING- Owner's Name Fee Simple Titleholder 46CIA V6AJ 7VX1Fr Phone # 71,0 -,54Z;(. Owner's Address X/C 2A .fit y X )P /D/ City ✓� ®� -7Bfdt % State !�� Zip TenandLessee Name Phone # Email Job Address (where the work is being done) City Miami Shores Village _ County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO 1/ Flood Zone Contractor's Company Name CUS 7 20ol 77- W d, Phone # jo S. 91 7 ' . - Z x"93 Contractor's Address 2/If " lj W�0 4fAg- ' �,® City AIA4?3 State ll Zip J73 17 7 Qualifier Name f Y, Phone # .3 0.%- ? Z v 6 Z 3 4 - State Certificate or Registration No. CC* C- / .5 0S* 93 0 Certificate of Competency No. Contact Phone 30 i ?3 Z 3 X p 9 E -mail CtS Td `7" ' �¢�se. e-0 y Architect/Engineer's Name (if applicable) oMVAA)C" Phone # 9S 0' ?.r j i Value of Work For this Permit $ 5 1 , 0 90 Square /Linear* Footage Of Work: , Type of Work: []Addition Alteration E]New Repair/Replace ❑ Demolition Describe Work: P? C`,�/Tyy Q Submittal Fee $ Permit Fee $ � CCF $_ A I C Notary $ Training/Rdncation Fee $ �' Technology Fee $ Scanning $ �' 0 Radon $ DPBR $ Bond $ Doable Fee $ Violation date: Structural Review. $ rF! d +. of Total Fee Now Due $ ` See Reverse side 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify thatall 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction Tien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the retarded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged.. Signature J'l Signature ell Owner or Agent Contractor The foregoing instrument was ac owledged afore me this f® The fore oing instrument was aakno gad before me this day of, 20 > by day of ' 20 by rk, who is personally known to me or who has produced B+a 11, t who'd ' ersonally known a or - who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Si Sign: Print: Print: °` p• ° , B �% BRENDA LEE e .,,,� .� My Comm ission Expires. • My Commission Expire: MY NY COMMISSION # DD 660210 * MY COMMISSION # DD 660210 , / p EXPIRES: April 8, 2011 i 11 s °, EXPIRES: April 8, 2011 `T� a/� r �'�r ° RHO" Bonded rhru.Budgst Notary SeMus 9TF'6F � Bonded Thru Budget Notary Seftee * ie9e4e3eAritAr�k�tedede4:* 4e' ktkak�Snk' sY�FBc�Y4c9tsYBe4esYnY�tl eic9ttY4cl e�* 9tir8t�lrsPae3c1F�9t�irBz4ririk4z9t9ede4nkde4r9rsk�rdi�ik9e�it�teit9ttkdede4eiYdc4t4a4tit�' tor$ tink9c9i9t4e4c3r�de *�k�e &�cat9c &rl:dt '. APPROVED BY _� ��/ _Isla � Plans Examiner Zoning. Engineer Clerk checked (Revised 07110 /07)(Revised 06110/2009) rGC.nc -q�l- P42-A NOG Planning and Zoning Criteria y� Miami Shores Village Pe rmit No. ACT - 1 2 -09 - 2041 10050 N.E. 2nd Avenue .n. +m. Miami Shores, FL 33138 -0000 '�hr�saz Phone: (305)795 2204 Fax: (305)758 8972 :, ���� x d F Cf�RID�` r Issue Date Not Issued Expires: Ot Issue tF 3 e rr Folio Number: 1132060090010 Owner's Name: LEUNG VENTURE INC Owner's Phone: (305)754 -9575 Job Address: 9101 BISCAYNE Boulevard Total Square Feet: 0 Miami Shores, FL Total Job Valuation: $ 5,000.00 Contractor(s) Phone Primary Con CUSTOM TEN INC (305)932 -3299 Yes 11 :=�j Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 12/1412009: Yes Comments: NOTICE OF COMMENCEMENT DR ek 27124 I s 017 ►O i s �� A ems® COPY MW BE POSTED 0jk7K j0B SRE AT TIME of FUR41• DMECTM RECORDED 12/'. 2/2009 10- HARVEY RUVINP CLERK OF COURT PERMIT N or9C°7`°a p'. Zo� � TAX FOLIO NO. IIIANI -DARE COUNTY t FLORIDA LAST E'AIraE STATE OF FLORIDA: COUNTY OF D�d7,a THE UNDERSIGNED hereby gives notice that improverrrents will be merle to certain real ply, and in accordance with Chapter 713, Florida Statutes, the following information Is provided in thb Notice of Commencement. 1. Legal description of property an 2. Description of improvement 3.Owner(s) name and address: LACE U .rj VEX) ?Z1 / ,C) C - -11 O f prS Al W g Interest in property: . Name and address of fee simple titleholder. 4. Contractor's name W address: 5. Surety: (Payment bond required by owner from contractor, If any) Name and address: Amount of bond $ 6. Lender's name and address: 7. Persons within the state of Florida designated by Owner upon whom notices or other•documents may be served as Provided by Section 713.13(1}(a)7., Florida Statutes, . Name and address: %�f �� L> •�� , — �� ,�Je IZ;6 8. In addition to himself, Owners designates the following persons) to ecer ive a copy theof Uenor's Notice as provided In Section 713.13(1 )(b), Florida Statutes. Name and address: 9: Expiration date of this Notice of Commencement: (the expiration date is 1 year from'the date of recording, uNess a different date Is speciffeW a lgnature of ar Print Owner's Name fliq Prepared b.y Sworn to and subscribed before this day of 200. o— *7 Notary Public ® r A 41.A —ALSheef Print Notary's Name r My commission expires ��- 1. 123m M PAGE a aroz ppYCOidMLcMfDD6W210 * EXPIK& ApA s, 2011 J.. `4 JEOf fti�P\�P 111N BUlIQEd�IY STATE OF FLORIDA, COUNTY OF DADE P NO COUfyj Y Ih@t this is a true copy ythe 1 cuer t? original filed in this office on day of N � = , A D 20 Q9 -_ U WITNESS my hand and Official Seal. tU1R RUVIN, LERK, a cocain an County c ou+ts � %���� sTAT9 FLORIDA DEARTM p WRX?0.�E�NSINGLBO RDLATION $EQ#L080906Q0495 . 0 8 C _C1� •The GENERAL C9NTi�TO�3, �.� ��� �.� =F� a kxpiration to ' AUG 31, 20 O:, F } f p k RYD z JACK n h CUST6M TEN, TNC 21420 HTGHA LAR'FS $�-x NORTH MTAMX 'BEACH`: F 3-' CHARLIE CR T .CHARLES. W. DRAGO GON�?Rj SECRETARY 1�}k.Ulf3}:BY LAW s 1 X 0 08 =11 -2009 ALEX SINK STATE OF FLORIDA CHIEF FINANCIAL OFFICER 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: 09/23/2009 EXPIRATION DATE: 09123/2011 PERSON: RYDZ JACK FEIN: 650068453 BUSINESS NAME AND ADDRESS: CUSTOM TEN INC 21420 HIGHLAND LAKES BLVD NORTH MIAMI BEACH FL 33179 SCOPES OF BUSINESS OR TRADE: 1- CERTIFIED GENERAL CONTRACTOR IMPORTANT: Pursuant to Chapter 440 . 051141, 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 440.051121, 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 440.0503►, F.S., Notices of election to be exempt and certificates of election to be exempt shalt be subject to revocation if, "at tidy time after -the filing of the notice or the issuance of the certificate, the person named an the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09-06 QUESTIONS? (850) 413 -160? t1A11+�tkgE1+Q Fsr - CLASS . 'EA7t COLT EC U . POTAQE f S t� 3� gl�k E1 tlf A P S 9'dtl PLAi�::.t7A#i FI. IlA1Ift ft;I �;; .. & PERK NO 231 ~ 2QQ785 �t ; °fi�a,S ts�icjT A ;��...L t3Q �O`� I��� RENE1�lAL Z11bQ9..3 B STATECt C5Q5Q 2142:Q ItIWLAIID . LAE BLY 317`9 UI�IN GOIJ�ITY " ��i�TtIM TE>�i INO f+t0RK 9 -- 1 > BuLnwG c©.Ttz�ca TF6S ' IB , OHLY A .` LOCAL <'. .. � �, -• , Bu81N TAX, AECE1Fr. DOES'.-NOT. 7HE - OLDER TO tltOIAT'E. AFty: ExlSMQ RMU ATORY OR zo rtc LAws. OF:: tttE: DO NOT FORWARD Cotem OR *TWL rook ODES; rr. exw" :Tr49 - aloLDeAratncOTrIE>; CUSTOM TEN INC ter. Dtt tcE:. , 21420 HIGHLAND LAKES B LVD NOT A" cerirt»cArlor,' -cam MIAMI FL 33179 HE rto�Degre auALatcA- T mows ... oavea�ar �cetviri _•••• ••• • • ••o..I av w. wonlm ulsylmllw rage I OT I UaT®aGIJ1LUuw uz:Sw t Hage: CERTIFICATE OF LIABILITY INSURANCE OP ID AM DATE(MMIDDNYYY) CUST011 1/09/09 PR cER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION W- F roamer Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE William r. Dowd HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR r. P . O. Sox 190669 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fort Lauderdale FL 33319 Phoue:954- 731 -5566 Fax:954- 731 -8438 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Kid-Continent Cas ualty C o 23418 INSURER B: Custom Ten Inc. INSURER C: North Ht and Lakes Bl INSURER D: Beach rL 33179 INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS TNw P" . LTR ING TYPE OF INSURANCE POLICY NUMBER DATE (MMIDDIYYYY) €DATE' (MMIDDIYYYY} LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1 , 000 , 000 A X COMMERCIAL GENERAL LIABILITY 040L000760910 07/01/09 07/01/10 PREMISES (Ea KtMtO occurence) $100,000 CLAIMS MADE ® OCCUR MED EXP (Any one person) $ EXcluded PERSONAL & ADV INJURY $1,0 GENERAL AGGREGATE s2, GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 2 , O 00 , O O O POLICY X JEC LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO r , (Ea eopidert) $ ALL OWNED AUTOS ' BODILY INJURY $ SCHEDULED AUTO•/ (Per person) HIPED AUTOS BODIL'( INJURY NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER 7H EA ACC THAN AUTO ONLY: AGG $ EXCESS 1 UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR ❑ CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS C N AND EMPLOYERS' LIABILITY YIN TORY LIMITS ER ANY PROPRIETORIPARTNER/EXECLMVE E.L. EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? (Mandatory In NH) If pies, describe under E.L. DISEASE - EA EMPLOYEE $ SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES i EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO KIJQ T S2 DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WAfRITTEP NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Village o f Mi Shores IMPOSE NO OBUGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 1 0050 NE 2 Ave REPRESENTATIVES. Miami Shores FL 33138 AUTHORIZED REPRESENTATIVE ACORn 25 onnafMl m A� 9fl Af�AOA �+ADDAOATII� \I Ail W 4t a