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HomeMy WebLinkAboutFolio 2025-2026 Permit - CR 6378 CR 6378 - 9/24/2024 /, CONTRACTOR REGISTRATION 100 West Dania Beach Boulevard'Dania Beach; FL 33004 (954)924-6805`3651,3633 or 3652 Fax(954)922-2687 C.P CAN A i cI PLEASE PRINT LEGIBLY Type of Contractor Res .era ai ;:w•^r ng Pins Company:Name MARS P:)<XS INC Office Address L20 NE 44TH STREE: City/State/Zip OAKLAND PARK.F.33334 Office Phone# 954-529448' Qualifier:Name MICHAEL R STEWART Office Address E20 NE 44TH STRFr' City/State/Zip OAKLAND PARK r_3333 Home Phone# 954-2'4-17 Owner:Name MICHAEL R.STEWART Office Address 520 i4E 44TH STREET City/State/Zip OAKL AND PARK .L 33334 Home Phone# 37.-`=-529-C46' PROVIDE PHOTOCOPIES OF THE FOLLOWING DOCUMENTS Qualifier's Driver's License "53-"66-5C-412-0 State: ''- City Business Tax License City: County Business Tax License County: T SE3-2 r t 4 r t State License CPC14`7522 a w Certificate of Competency _._.. . _ Certificates of Insurance must show the City of Dania Beach as the Certificate Holder General Liability Expiration Date: 08/28/2025 Workers Compensation Expiration Date: 07r23+2025 I hereby certify that the information contained herein is true and accurate to the best of my knowledge. MICHAELR ShE ':ART .; ;jam ri Quaiifie s Signature Date The foregoing instrument was acknowledged before me this 3rd day of SEf99'gP ER 20 24 By MICHAEL R.S'LWART who is personally known to me or has produced DRIVE LK'ENSEeS3S3.bbb-60-L12.0 as identification and did(or did not)take an oath ivLC. ,------ Cn2_. My Commission Expires: S J.•� \ 1 ;ijo GINA MARIE LEBLANC I f Notary Public-State of Florida i Commission r Nil 530319 Contractor Registration Rev. , or ri.r. My Comm.Expires May 28,2028 l 09/26/2017 4 bn/ed through National Notary Assn. ( MARSP-1 OP ID:DL ACORO DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 08/26/2024 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 have ADDITIONAL INSURED provisions or 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 954-825-0424 CONTACT Diana Lanza Schott EL___ Lanza Insurance Agency Inc. PHONE 954-825-0424 FAX 9900 W Sample Road-Ste 300 Lc,No,Eat): �� (A/c,No): Coral Springs,FL 33065 EMAIL—Diana Lanzalns.com Diana Lanza Schott ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC INSURER A:Amtrust International 23140 MI SUR D INSURER B: ars Pools,Inc. 520 NE 44th Street INSURER C: Oakland Park,FL 33334 INSURER D: INSURER E: ^_ 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. INSR ADDL SUBR POLICY EFF POLICY EXP LIMITS F INSURANCE A X COMMERCIAL GENERAL LIABILITY LTR TYPE VVYD POLICY NUMBER IIMMIDD INSD /YYYY1 '[MM/DDIVYYYI I,EACH OCCURRENCE 1,000,000 DAMAGE TO RENTED 2,000,000 I � CLAIMS-MADE X OCCUR ISES1809322 02 08/28/20241 O8/28/2025 PREMISES_(Ea_cccurten $ -_-_ — , MED EXP(Any one person) $ 5,000 PERSONAL d ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ _ 2,000,000 POLICY I PE I LOC PRODUCTS-COMP/OP AGG $ 100,000 OTHER $ AUTOMOBILE LIABILITY j(a act ON INGLE LIMIT S ANY AUTO i BODILY INJURY(Per person) S OWNED SCHEDULEDO BODILY INJURY(Per accident) $ AUTOS ONLY -`AUTOS HIRED NON-OWNED PROPERTY I GE AUTOS ONLY AUTO ONLY PROPERTY $ $ UMBRELLA LIAB I OCCUR EACH OCCURRENCE S '.-- EXCESS LIAB I CLAIMS-MADE AGGREGATE $ DED [RETENTIONS S WORKERS COMPENSATION PER AND EMPLOYERS'LIABILITY STATI,LT€_ _- RTH- ___. YIN ANY PROPRIETOR/PARTNER/EXECUTIVE 1 E.L.EACH ACCIDENT $ (Mandatory In OFFICER/MEMBER EXCLUDED? N/A E L.DISEASE-EA EMPLOYEES It yes,describe under DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may bo attached If more space Is required) SWIMMING POOL CONTRACTOR MICHAEL R. STEWART LICENSE #CPC1457922 CERTIFICATE HOLDER CANCELLATION DANIABE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Dania Beach ACCORDANCE WITH THE POLICY PROVISIONS. 100 W.Dania Beach Boulevard Dania Beach,FL 33004 AUTHORIZED REPRESENTATIVE 44W4 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD El 1 ri7:riirli.rj!jl El iriggr-.14...44:.. • of 14: t - -1 ..! .•••• .p: :. i Iv .11 A • I1 1..:A• 1,. ..i.,N„r-. . .: - - \Liohiteix / ,,_.....,...- 7, flit ...,---------- CP o--I M = I I 12 CD M CD = > CA a) (7). 73 = —. 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CD I (D W � C o Cr^ ' LU C) N -�. 0 C)0 0 to 1 El C - V, N c7 m a' c° `- (n O' O ° � � opc r - cD CO Zr• aP cD -C xn = m ✓ o m ct ° ° { I= 3 � � y S. rnw ro @ co 0 W a n p C) fn (D U -�-I O I n m aa) °' cr C o a !; ' `D � vi rn D a m. a s x 0 0 CD 0 (D --1 tD. 'S Co X to o -0 v �' O 70 = •< •n (p ( CO !v 0 c CD r W , O. (D (D -0 "� rn cn X ^' _ c z �, D �e ca a fat IT1 � o v -' rD "E5 n o ' too it, *tit-, N a N _. ( p W 0 Oo5 W p C Noao orno a5 rn ,_? w n o ,A 1Fri 1I w w �^ c rc � o W O z CP r-j G1 X, N W -0 'T7 cn 'iv >-- O CJ1 w oc Quo n v JN > x1� Ny cn c Co • O t0 0 r-,.r: 0 o w = m C o0 %= m N r-•• 0 Z} •A' .A O 0 O N p1 n a N m N Li Q 117r-. CO � 1W . N . ' C) Z o .-' r' 40 � `° � cm G;47 � ? of HO.!. o C') sag ..a s. °#'"'` ve ` , `�"` 'i; "" `s, .`';ik^ ... f' t BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895—954-357-4829 VALID OCTOBER 1,2024 THROUGH SEPTEMBER 30,2025 Receipt#:POOL MARINE CONTRACTOR (CRT Business Name:MARS POOLS INC Business Type:POOL/SPA CONTR) Owner Name:MICHAEL R STEWART Business Opened:08/31/2015 Business Location:520 NE 44TH ST StatelCounty/Cert/Reg:CPC1457922 OAKLAND PARK Exemption Code: Business Phone:19595296961 Rooms Seats Employees Machines Professionals 1 For Vending Business Only Number of Machines: Vending Type: Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paid 27.00 0.00 0.00 0.00 0.00 0.00 27.00 Receipt Fee 27.00 Packing/Processing/Canning Employees 0.00 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 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. I Mailing Address: MICHAEL R STEWART Receipt p #035-23-00006284 9097 NW 57TH ST APT 109 Paid 08/27/2024 27.00 TAMARAC, FL 33351-4364 L9••As— i 'i r— A�l�— --- mmimanismiminsiminiimissamoiri ..-----"INI M GATE(MM/DD/YVVY) ACc'RL CERTIFICATE OF LIABILITY INSURANCE 08/27r2024 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 1NSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(Ies)must have ADDITIONAL INSURED provisions or 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). CONTACT PRODUCER Automatic Data Processing InsuranceAgency,Inc. NAME: Automatic Data ProcessingInsurance Agency, Inc. PnoNE 1-800-524-7024 FAX (ac.No,E+tU: — _-- (ACC,No): E-MAIL ADDRESS: 1 Adp Boulevard INSURER(S)AFFORDING COVERAGE NAIC# Roseland NJ 07068 INSURER A: Technology Insurance Company,Inc. 42376 INSURED Mars Pools Inc INSURER B: INSURER C: 520 NE 44th Street INSURER 0: INSURER E: Oakland Park FL 33334 INSURER F: COVERAGES CERTIFICATE NUMBER: 2651429 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. --'"'--_-- ADM SUBRI -_--- POLICYEW POUCY EXP ILTR NSR I TYPE OF INSURANCE INS° AND i POLICY NUMBER (MMMDD/YYYY) (MMIDD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY I EACH OCCURRENCE S - D' AMAGE I U HEN ILO CLAIMS-MADE I J OCCUR PREMISES(Ea occurrence) 3 MED EXP(Any one person) S PERSONAL&ADV INJURY S GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY I PRO- 7 LOC PRODUCTS-COMP/OP AGG '$ JECT OTHER AUTOMOBILE LIABILITY COMBINED SINGE LIMIT 3 (Ea accident) __ , ANY AUTO BODILY INJURY(Per person) S -_ OWNED SCHEDULED BODILY INJURY(Per accident) S AUTOS ONLY AUTOS ---- - HIRED NON-OWNED 'PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per acudeny -- UMBRELLA LIAB I OCCUR EACH OCCURRENCE _S EXCESS LIAR i r-.LAIMS-MADE AGGREGATE S DED I RETENTIONS l •$_--� I WORKERS COMPENSATION I -X PER STATUTE -ER - • 1 AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETORPARTNERIEXECUTI'JE - E.L.EACH ACCIDENT $ 1,000.000 A OFFICER'MEMBER EXCLUDED? N NIA N TWC4452380 07/23/2024 07/23/2025 1,000.000 1(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S II yes.describe under 'DESCRIPTION OF OPERATIONS below ',. E.L.DISEASE-POLICY LIMIT S 1.000,000 I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 104,Additional Remarks Schedule,may be attached if more space is required) MARS POOLS INC. MICHAEL R.STEWART LICENSE#CPC1457922 CERTIFICATE HOLDER CANCELLATION DANIABE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITY OF DANIA BEACH THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 100 W. DANIA BEACH BOULEVARD ACCORDANCE WITH THE POLICY PROVISIONS. DANIA BEACH, FL 33004 AUTHORIZED REPRESENTATIVE PH:954-924-6805 FAX: 954-922-2687 tr- ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD