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PL-14-1211 lel-� Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-213901 Permit Number: PL-6-14-1211 Inspection Date: August 12, 2015 Permit Type: Plumbing - Residential Inspector: Diaz, Osvaldo Inspection Type: Final Owner: KURLANDSKI, GUY& SELIN Work Classification: Addition/Alteration Job Address:9301 N BAYSHORE Drive Miami Shores, FL Phone Number Parcel Number 1132050270560 Project: <NONE> Contractor: LEYVA PLUMBING SERVICES INC. Phone: (772)871-5893 Building Department Comments RELOCATE EXISTING BATHROOM AND REPLACE Infractio Passed Comments KITCHEN AS PER PLANS INSPECTOR COMMENTS False spector Comments Passed Failed Correction Needed (r� �L Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. For Inspections please call: (305)762-4949 August 11, 2015 Page 1 of 1 Miami Sha:-es V ' Rage Buildin L a''' 11(;rlt JUN 10 2014 p I 10050 N.E.2nd Avenue, Mi,i. ni Shores, I 'orid:l 33138 iJB Tel: (305)795.2204 Fax: (305) 7--,.8972 INSPECTION'S PI MNE UMBER: 15)762.4949 FBC 20 JD BUILDING Permit No.P/ PERMIT APPLICATION tster Permit No.�C��-6� Permit Type: PLUMBING e- / JOB ADDRESS: !1v S �C J✓0�"- City: Miami Shores County: Maw] le zip:- 33% 38 Folio/Parcel#: I �� 17- o Z ��(o - Is the Building Historically Designated: Yes NO _ piood Zone: OWNER:Name(Fee Simple Titleholder): V V-'>J'. 1J>7 S k..` Phone#: Address: 5 3 p City: �r11 �"~^ ) 5 1�► state: Tenant/Lessee Name: Email:. CONTRACTOR:Company Name: LEY At I hone#: Address: 1502 SCJ 1`101 9^4 4 City:JQ Sr W CA la State: Qualifier Name:- 122 r Qy (/G� _ _ —1'! one#: 4-111-26 State Certification or Registration#: ChC /q2 s- a'a _(,�,rti I1 -,Ite of t,ompetcn(.-y#: Contact Phone#: 2X" ,C )C 3 �- Email A,!.! ,ss: A�/72:5-0 AA,4 La"' q jyo - Cp w DESIGNER: Architect/Engineer: �1A-4-K,. S ft- 49 f3p EXA-, -- I lone#: Value of Work for this Permit: $ -fir � �, m/t,inc;i, ;'ool:ige of%Voi k: Type of Work: ❑Address ❑Alteration L]":c.v ul:� ,air/RejAi,-e ❑Demolition Description of Work: -S'7 I r'13 A �_ -/tqQ DLAA 4 �� V-4-T Submittal Fee$ Permit Fcc$ 3Qd ?Y CCr' COWL$ Scanning Fee$ Radon Fee$ _Boil:t $ Notary$ Training/Education Fee a _ -- I'( 11101ogy Fee Double Fee$ Structural Review$ :11, FEE NV DUE Bonding Company's Name(if applicable) ir Company's Address Cl y State—_ - --- — --- Zip -- Mortgage Lender's Name(if applicable) Mortgage Lender's Address City St;ite Zip Application is hereby made to obtain a permit to do the work ;uui inst,i!Intions ;1, indicated. 1 crtify that no work or installation has commenced prior to the issuance of a permit and that all w orl< will he to mei; the standards of all laws regulating construction in this jurisdiction. I understand that a separate 1)c� init mist be sc lig d fOr ELEC i �ACAL WORK,PLUMBING, SIGNS, WELLS,POOLS,FURNACES,BOILERS,I11'ATERS.TAN!,--; ;w! AI!" CC?' : �,, ERS. I, OWNER'S AFFIDAVIT: I certify that all the Foregoing iii ,ol 1 is ;occur; c ;end that all i; will be done in compliance with all applicable laws regulating donstruction and zoning. "WARNING TO OWNER: YOU)' 1�': .� 1,U R'..; '( I21�. )R D A NOTICE OF COMMENCEMENT MAY Rh S U I ', r: P: i'ING TWICE FOR IMPROVEMENTS TO YOUR PRO ,1.A y-V y. YOU N'1'END TO OBTAIN FINANCING, CONSULT Wi'1'II OR A: ATTORNEY BEFORE RECORDING YOUR NOTICE, OF C0N1 A I NCrtM4 'AT." Notice to Applicant: As a condition to the issucuicc n/'n buil '( n, u7l), , toted r(,' �rrrcling $2500. t1w olpplicant must promise in good faith that a cop), of the notic c of comnwu: ml.,/ , ,' e,i hlw, will be delivered to the person whose property is subject to attachment. Also, a certilird cc i ccorcic ice of comn,� c 1l" 1 mu.w be posted at the job site for the first inspection which occurs seven (7) clays pe, _�;a�d. , b cy,ce O'snch poster/ notice, the inspection will not be approved and a reinsper;L,ii fee will be Signature Vment er or Ay`e�Agent 1 t`.--- r;tctni The foregoing insas acknowledged I �;�-rc'mr .l,.s fc,�. �,,�I,tti�,, „� a� � ,,�,'t �Isied hclore me this day of rC h 20 1 �,by� CArlrI�s L�1 _..- d;,y of //C 1-4, by h br i'y l' (Wel, who is personally known to me or who has produced v,1_o is ,sc ,;111v knowii !lw cir who has produced As identification and \\ho did011 and who did !:O;e an oath. NOTARY PUBLI Iz Y T'111 t 0JSign: - - --c---x`._t le Print: My Commission Expires: �"`�; CLAWIA BERNAL Notary Public_State of Florida ���°e� I Not popl�State of Florida �� �A, My Comin-Expires Nov 17,2017 Milena P "•.,,of F�•,••' Commission N . M Commission E i �nm•• FF X7927 ; �P Y Commlesion EE120897 K****k*k*kkk kK*kmak�x k k� kk :.:� OF Expires.081�0 � APPROVED BY Zoning ----- --- Clerk (Revised3/12/2012)(Revised07/10/07)(Revised06/In/'' (RL'Vi,rcl�!�, To: Page 2 of 3 2014-10-14 15:25:28 (GMT) From: Yamilka Leyva STATE OF FLORIDA DEPARTMENT OF BUS.INE SS AND PROFESSIONAL REGIlL ATION1 CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 1940 NORTH M+ONROE STREET TALLAHASSEE FL 32399-0783 LE.YVA,ABNER LE.YVA PLUMBING SERVICES ING 1542 SW MERIDIAN AVE PORT SAINT.LUCIE FL 349533 Congratulations! With this license you become one of the nearly oneM'lion Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range �: STATE OF F:LORILIA from architects to yacht brokers from boxers to barbeque.restaurants, DEPA.R-AMEN-�OF��SINES��AND 0: and they keep.Florida's economy strong. PRQFE$ t � ULF1 I(7N roue the wa we do business in order to E �� Everyday we work to improve y GFG 142St�6B t11 �171a14 serve you better. For information about our services,please log onto tH a ;e tf 4 �„�irh dr m M vtruvu+r.myfloridalicense.ccm. Thera you can find more information . �e about our divisions and the.r regulations that impact you,subscribe e eg LE AKNF " to department newsletters and learn more about the.Department's initiatives LEY1fA RLUhA�� t. f 41kFryl r�N Our mission at the Department is:License Efficiently,Regulate Fairly: I - 4Us constantly strive to serve you better so that you can serve yourr &R +r < y y tr trscv9$�orr� f c,h Aes FS t; customers. Thank you for doing business in Florida, t5 ct:r,Ttt t a wndgr the and congratulations on our new licensel e a+x nuc ax;�oTs �a ar 7 tsdb 5� ipj DETACH HERE RICK SCOTT.GOVERNOR KEN LAWS{)N, SECRETARY DEI'r4ftT11t1EI!+1 TA'. i E t1F FLt77�t1Oa T tOl I.tS1NE aS.AND PROF'E;S31 1 EG#.ILATIlCtltil 1),k TRY L�"I EId$th. B't?ARCf hiT ## �—CIR w w "I'�I belc V►%;. fiii E radar h ,prc i t ns o VAa ter 4I 9 FS f k 'd -AUG 1." � .; ■ ■ 40 I<. iRN ! A'PI_3NI$llstt f S t 5 S Ell .'7,1,'.3 , �+ .�i q k F� ;. " Z NW,M ISSUED: 0811712014 DISPLAY AS REQUIRED BYLAW SEC# t..1408170002659 To: Page 3 of 3 2014-10-14 15:25:28(GMT) From: Yamilka Leyva 2014 /2,015. ST. LUCIE COUNTY LOCAL BUSINESS TAX RECEIPT 'RECEIPT # 1711-2003000.4 CHRIS CRAFT, ST, LUCIE COUNTY TAX COLLECTOR. FACILITIES.JRG EXPIRE$ SEPTEMBER 3042015 MACHINES / ROOMS SEATS EMPLOYEES 3 TYPE OF 171 .AIR CQND./PLUMBING QN't"KAQTCR BUSINESS, (PLUMBING) BUSINE55/Abner Leyva * DBA NAME I eyva Plumbing Services Inc MAILING Abner Leyva Ur �,,, ADDRESS 1.5(72 SW MeridianAve i s RENEWAL.,.i `` ORIGINAL TAX.- Pert St Lues3 , FL 3495 * COL 512.35 PEN $1.24 BUSINESS 3502 SW Meridian Ave r LECTION COST $3.00 co TOTAL. 16.59 L©CATION Port St'Lucie, :FL 34953 j City of Pt St Lucie CFC1425666: P0000,1094412 Paid 10/0.3/.2014 :16159 .. 0025-20.1.42003-000038 Law requires this Local Business Tax Receipt to be displayed_conspicuously at the.place of business in such a manner. that it can be open to the view of the p.ubli.c and subject to inspection by.all dul.y.autiiorized officers of the county. Upon failure to do.so,.elle Local Business Taxpayer shall be subject to the payment of another Local BusinessIax for the same business, profession, or occupation. Pursuant to Stale Law. all Local.Business Tax Receipts,shall be sold by the Tax Collector beginning July.ist.of each year and.shall expire on September 30th:of the succeeding year,Those Local Business Tax Receipts renewed beginning Octobe-T ist shall be delinquent and subject to a delinquency penalty of 100/4 for the month of October, plus an additional 5%9 penalty for each month of delinquency thereafter until:.p�ald; provided thatthe total delinquency penalty shall not.exceed 2511/o of the Local Business Tax for the delinquent establishment. In addition to.the penalty, the Tax Collector shall be entitled to a.collection cost fee of from.$1.00 to$5.00, based an thea.mount of the Local Business Ta c., which shall be collected from deilnquent taxpayers after September 30th, of the. business.year, This.receipt is a Local. Business Tax only. It does notpermit:th,e Local Business Taxpayer to violate any existing regulatory or zoning laws of the state,.county or cities. It.also does not exempt the Local Buslness Ta.x:payerfrom any Other taxes, licenses or permits that may be required bylaw.. Local Business Taxes are subject to.change accQrdinc3 t4 law. Avner Leyva 3.50.2 SW Meridian Ave Port St Lucie, FL 34953 To: Page 1 of 1 2014-10-14 15:32:05(GMT) From: Yamilka Leyva q CERTIFICATE OF LIABILITY INSURANCE FDATE(MMIDD(YY 04/10/2014YYi 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 CONTACT NAME: Lisandra Gonzalez Insurance To Go Inc ac No Ext): (30, 826-0224 FAX AIC,No): (305)819-0062 10651 W Okeechobee Rd ste#201 A-MAIL : Iisandra@instogous.com DDRE iNSURER(S)AFFORDING COVERAGE NAIC# Hialeah Gardens FI 33018-1911 INSURER A: GRANADA INSURANCE COMPANY INSURED INSURER 8: INSURER C: LEYVA PLUMBING INSURER D: 1502 SW MERIDIAN AVE INSURERE: PORT SAINT LUCIE FL 34953-4325 INSURER F: COVERAGES CERTIFICATE NUMBER: 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. LTR TYPE OF INSURANCE INSR WVD POLICY NUMBERFOLICY EFF YYYY MOLIC Y XP LIMITS GENERAL LIABILITY EACHE- OCCURRENCE S COMMERCIAL GENERAL LIABILITY MAGTCfRENTE PREMISES Ea occurrence S CLAIMS-MADE FIOCCUR MED EXP(Any one person) S PERSONAL&ADV INJURY S GENERAL AGGREGATE S GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG S POLICY PRO LOC JEC $ AUTOMOBILE LIABILITY5 Ea ecudSINGLE LI ent ANY AUTOALL BODILY INJURY(Per person) 5 AUTOS OWNED AUTOS BODILY INJURY(Per accident) S HIRED AUTOS AUTOS NON-OWNED PROPhXIYDAMAG $ AUTOS Per accident S UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS UAB Ld CLAIMS-MADE AGGREGATE 5 DED I IRETENTION S WORKERS COMPENSATION WC S STAT - H- AND EMPLOYERS'LIABILITY YIN TORY ?MIT R AY PROPRIETORIPARTNERIE A OFFICER/MEMBER EXCLUDED?ECUTIVE ❑ N/A NHFL142239 04/04/2014 04/04/2015 E.L.EACH ACCIDENT S 100,000 (Mandatory in NMIand E.L.DISEASE-EA EMPLOYE S 500,000 Ws5,describe Under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 5 i nri n o DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) *PLUMBING* CERTIFICATE HOLDER CANCELLATION Fax:305-756-8972 Miami Shores Village SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 10050 NE Second Ave ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores FL 33138 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) The ACORD fume and logo are registered marks of ACORD To. Paye 1 of 1 2014-08-26 18:31:48(GMT) From:YamilKa Leyva Act CERTIFICATE OF LIABILITY INSURANCEDATE(MM/DD/YYYY) 08/25/2014 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 CONTACT Sarai Medina NAME: Emmanuel Insurance 8 Associates, Inc. PHONE (305 693 0003 305 2370E 8TH AVE A/C No Ext: ) A/c,No): ( )691-4381 ADDRESS: Sarai®emmanuelinSUra nce.con'>r ._ INSURER(S)AFFORDING COVERAGE NAIC& HIALEAH FL 33013-4236 INSURER A: Preferred Contractors Insurance.Cop. 12497 INSURED INSURER 8: LEYVA PLUMBING SERVICES,INC. INSURER C: ABNER/YAMILKA LEYVA INSURER D: 1502 SW MERIDAN AVE INSURER E, PORT ST LUCIE FL 34953 INSURER F. COVERAGES CERTIFICATE NUMBER: 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. Tw9w sum POLICY EFF PoreyEX-ft— LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MMIDDIYYYY MMIDDIYY LIMITS GENERAL LIABILITY EACH OCCURRENCE g 1,000,000.00 COMMERCIAL GENERAL LIABILITY PREM'ISES�a occurrence S 50,000.00 CLAIMS-MADE ®OCCUR MED EXP(Any one person) S 5,000.00 A Y PCA83161-03 07/01/2014 07/01/2015 PERSONAL BADVINJURY s 1,000,000.00 GENERAL AGGREGATE S 2,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG S 2,000,000.00 POLICY PRO- LOC S AUTOMOBILE LIABILITYOM NED SINGLELI S Ea accident AM'AUTOALL eODlLY INJURY(Por poreon) 4 AUTOS OWNED AUTOSBODILYBODILY INJURY(Per accident) S f 1IRED AUT03NON-OWNED AUTVS Peraccldent S S UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE S DED RETENTION S S WORKERS COMPENSATION W A U AND EMPLOYERS'LIABILITY Y/N 7 Y IMIT R ANY PROPRIETORIPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? D N/A E.L.EACH ACCIDENT S (Mandatory in NH) If Yes,describe under E.L.DISEASE-EA EMPLOYE S DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S ____7 -7 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Residential Plumbinq Work. Any Changes or alterations Done to this document after being issued shall constitute it null and void. CERTIFICATE HOLDER CANCELLATION MIAMI SHORES VILLAGE 10050 NE SECOND AVE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN MIAMI SHORES,FL 33138 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Sc�afi M�uu�, ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD To: Page 1 of 1 2014-08-26 18:36:16(GMT) From:Yamilka Leyva STATE OF FLORIDA DEPARTMENT OE Bk9SINESS AND PROFESSIONAL REGULATION C�OMQ-MUC"1`10M t 0I-1QTRV LIC'Et�t.S,lhlf Rt'y/iRt' ( 5f�).e187_.13Q5 1940 NORTH MONROE STREET TALLAHASSEE FL 329.9-0783 LEYVA.ABNER L:E.YVA PLUMBING SERVICES INC 1502 SW MERIDIAN AVE P'QRT:SAINT LLICIE FL 34953 Congratulations! With this license you become rine of the nearly one.million Floridians licensed by the Department of Business and ProfOssional Regulation. Our professionals and businesses.range STATE�F'1=LORID.A from.architects to yacht brokers,from.boxers to barbeque.restaurents.; DEPAR-�M �P BUSINES Abp and they keep Florida's economy strong.. PRCIFIfi ULpTIC�N Every:day we work to improve the way we do business in order to +CPG1425866 { 712!7 4 serve you better. For information about our services,please.lag onto rrvw.w<myfioridalicense corn. There you can III more informationRtPtD , about our divisions and the regulations that impact you,subscribeSNE to department newsletters and learn more about the'Department's . initiatives t EYVA l�`LU'91- Our mission at the Department is.License Efficiently.Regulate Fairly:. , * We-constantly strive tU serve you better so that you can serue yours , customer's. hank you for doing business inn.Florida,; t� cF�1 t�tEta �ri�er tlxe �ra�tsiat+� at �gee �S and congratulations:o.n your new Ilcensel E xvc + 2�a�s r i ooar0at � DETACH HERE RICK SCOTT,f�btlERNf7F7 KEN LAWSON, SECRETARY LL STA-rZ+ .F FL.t3I�IL3A E�IEFAL TIf El+1T Cid&USINESS All P1110 '1 i N}kI_ EGULA►TIt N :: CE3NS k;tlJTt©ItI fNpti: TRY LIiiEM61ttiIda Bp�►R.[�.. , 1 4, ., Y' ISI OR "•�,eydy {,EL� Gha h/K�31'`1 h�47"" LHMC tLa f , tb ��5 .., .... lu ..,.. +iA 'C? matat4 '`tM"5 .: iy9" s !-, ■-E .:,_F "� fx+y4�L�'yS�7l A..�pl04 `se,y,T,M A,,P. .'t7''w IF.LtI�.J .w H k `*sy44,71"k,11A .'...�r. '`k£:1'' ': '..':.�...`� ti:.x�..:xt . ISSUED: 08117=14 DISPLAY AS REQUIRED'BYLAW � SEGO L1408170002669 ACQ® CERTIFICATE OF LIABILITY INSURANCEDATE(MM/DD/YYYY) 11110-� 04/10/2014 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 CONTACT NAME: LlSandra Gonzalez Insurance To Go Inc PHONE AX -0224 ac No): -0062ac No Ex : (305)826 (305)819 10651 W Okeechobee Rd ste#201 E-MAIL g ADDRESS: lisandra Insto ous.com INSURER(S)AFFORDING COVERAGE NAIC# Hialeah Gardens FI 33018-1911 INSURERA: GRANADA INSURANCE COMPANY INSURED INSURER B: INSURER C: LEYVA PLUMBING INSURER D: 1502 SW MERIDIAN AVE INSURER E: PORT SAINT LUCIE FL 34953-4325 INSURER F: COVERAGES CERTIFICATE NUMBER: 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. TR TYPE OF INSURANCE INSR WVD POLICY NUMBER M/DD/YEYYY MM/DCDNYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ CLAIMS-MADE 7 OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINED SIN LE 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 accident $ $ I UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ F4DED RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N TORY LIMIT ER A OFANY EXCLUDED?ECUTIVE ❑ N/A NHFL142239 04/04/2014 04/04/2015 E.L.EACH ACCIDENT $ 100,000 (Mandatory In NH) SDD,DDO K yes,describe under E.L.DISEASE-EA EMPLOYE $ DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ 100,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) *PLUMBING* CERTIFICATE HOLDER CANCELLATION Fax:305-756-8972 Miami Shores Village SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 10050 NE Second Ave ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores FL 33138 AUTHORIZED REPRESENTATIV�E6�.:.j!';�J� f. ©1988-2010 ACORD CORPORATION.All rights resery ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD 2013/2014 ST. LUCIE COUNTY LOCAL BUSINESS TAX RECEIPT RECEIPT# 1711-20030004 CHRIS CRAFT,ST.LUCIE COUNTY TAX COLLECTOR FACILITIES OR EXPIRES SEPTEMBER 30, 2014 MACHINES / ROOMS SEATS EMPLOYEES 3 TYPE OF 1711 AIR COND/PLUMBING CONTRACTOR BUSINESS (PLUMBING) ��)LL f, BUSINESS/Abner Leyva % f DBA NAME Leyva Plumbing Services Inc �, law MAILING Abner Leyva ADDRESS 1502 SW Meridian Ave .7; too ` RENEWAL Port St Lucie, FL 34953 r, �.� ORIGINAL TAX $12.35 PENALTY BUSINESS 1502 SW Meridian Ave •�G, COLLECTION COST LOCATION Port St Lucie, FL 34953 IF CO TOTAL $12.35 City of Pt St Lucie CFC1425666 P00000094412 Paid 08/08/2013 12.35 0025-20130808-012601 Law requires this Local Business Tax Receipt to be displayed conspicuously at the place of business in such a manner that It can be open to the view of the public and subject to inspection by all duly authorized officers of the county. Upon failure to do so, the Local Business Taxpayer shall be subject to the payment of another Local Business Tax for the same business, profession, or occupation. Pursuant to State Law, all Local Business Tax Receipts shall be sold by the Tax Collector beginning July 1st of each year and shall expire on September 30th of the succeeding year.Those Local Business Tax Receipts renewed beginning October 1st shall be delinquent and subject to a delinquency penalty of 10%for the month of October, plus an additional 5%penalty for each month of delinquency thereafter until paid; provided that the total delinquency penalty shall not exceed 25%of the Local Business Tax for the delinquent establishment. In addition to the penalty, the Tax Collector shall be entitled to a collection cost fee of from 51.00 to $5.00, based on the amount of the Local Business Tax, which shall be collected from delinquent taxpayers after September 30th, of the business year. This receipt is a Local Business Tax only.It does not permit the Local Business Taxpayer to violate any existing regulatory or zoning laws of the state, county or cities. It also does not exempt the Local Business Taxpayer from any other taxes, licenses or permits that may be required by law. Local Business Taxes are subject to change according to law. Abner Leyva 1502 SW Meridian Ave Port St Lucie, FL 34953