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HomeMy WebLinkAboutFolio 2024-2026 Permit - CR 667212 CR 667212 - 9/24/2024 6LOC):-/ I 1 • aeo, 1�.� 2024i J+..:greLl• tt 14114'''':gt 'l' �U sa u ; s _ 9gt.:',13 r: ri Q z GT c) H m OZ rn oO N Z ,i D c am^ m 4 0 Q G) Q p m 17 M v) © co C P (7 .1 z , C T "� >m - y n ZN 0 ,,, = Y-1 K 0 :....;, (-) * C > 0 o m m 03 Z .-v. T � x '� � -n . ' 73 D- r+ o mO v '•' � rW _ i V). t , nri rnm nNJ GO --I 7 r rn pu D(A) co p H Z -!- N.)� o p rip o 3i CA C D p 0 Z v V) n73 C Z coCD m —i p co m a, v,' v ! 0_ _ 0 G� o m C r 713 ' 3L ---1 CI. T i f .,4., BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895—954-357-4829 ,_ VALID OCTOBER 1,2023 THROUGH SEPTEMBER 30,2024 Business Name: PREMIER CONSTRUCTION CONTRACTORSReceipt#:RooFiNG%SHEET METAL CONTRACTOR LLC Business Type: (ROOFING CONTRACTOR) Owner Name:EDWARD ARTHUR KOSTER Business Opened:01/16/2023 Business Location: 9916 NW 5TH CT State/County/Cert/Reg:CCC1328278 PLANTATION Exemption Code: Business Phone: 9546872930 Rooms Seats Employees Machines Professionals 2 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. Mailing Address: PREMIER CONSTRUCTION CONTRACTORS L 9916 NW 5TH CT Receipt #WWW-22-00280198 PLANTATION, FL 33324-7037 Paid 09/22/2023 27.00 2023 - 2024 BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895— 954-357-4829 VALID OCTOBER 1, 2023 THROUGH SEPTEMBER 30, 2024 yt#: Business Name: PREMIER CONSTRUCTION CONTRACTORS Business TO 185-338172 LLC ype;ROFINOFING/SHEET METAL CONTRACTOR (ROOFING CONTRACTOR) Owner Name: EDWARD ARTHUR KOSTER Business Location: 9916 NW 5TH CT Business Opened:01/16/2023 PLANTATION State/County/Cert/Reg:ccC 132 82 7 8 Business Phone: 9546872930 Exemption Code: Rooms Seats Employees Machines Professionals 2 Signature For Vending Business Only Number of Machines: Tax Amount Transfer Fee NSF Fee Vendin• T •e: IIIIZZEIIIIII 27.00 0.00 0.00 _ Prior Years Collection Cost Total Paid 0.00 0.00 0.00 27.00 Receipt #WWW-22-00280198 Paid 09/22/2023 27.00 JIMMY PATRONIS 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: 5/10/2023 EXPIRATION DATE: 5/10/2025 PERSON: EDWARD A KOSTER EMAIL: SALES@THEHOMEPPL.COM FEIN: 262376597 BUSINESS NAME AND ADDRESS: PREMIER CONSTRUCTION CONTRACTORS LLC THE HOME PEOPLE 9916 NW 5 CT FORT LAUDERDALE, FL 33324 SCOPE OF BUSINESS OR TRADE: Roofing-All Kinds and Contractor-Project Manager, Drivers Construction Executive, Construction Manager or Construction Superintendent IMPORTANT:Pursuant to subsection 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 subsection 440.05(12),F.S.,Certificates of election to be exempt issued under subsection(3)shall apply only to the corporate officer named on the notice of election to be exempt and apply only within the scope of the business or trade listed on the notice of election to be exempt.Pursuant to subsection 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 certificate at any time for failure of the person named on the certificate to meet the requirements of this section. DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 E01164618 QUESTIONS?(850)413-1609 ...-r-"N A,WIR CERTIFICATEOF LIABILITYINSU,RANCE I1/DATE 19/2 M/DD YYVY) 9/2024 THIC'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(sJ_� PRODUCER CONfACf South Florida Casualty, NAME: Elaine Ward Inc. PHONE FAX 415 North 4th Street (A/C,No,EXty 581-533-6144 rX,N0 561-533-6170 ADDR Carts@southfloridacasualty.COm Lantana, FL 33462 ADDREss: INSURER(S) AFFORDING COVERAGE NAIC 0 INSURER A: Evanston Insurance Company 35378 INSURED Premier Construction Contractors LLC INSURERS: Evanston Insurance Company 35378 INSURER C: Progressive (CA) 24260 9916 NW 5th Court INSURER D: Plantation, FL 33324 INSURER E: 954-599-0094 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. Msk LTR TYPE OF INSURANCE ADUL suck POLICY t}} POLICY EXP INSD VNO POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS R COMMERCIAL GENERAL LIABILITY �'� EACH OCCURRENCE $ 1,000,000 I CLAIMS-MADE 1 X 1 OCCUR UAMAI,L I 0 HENI tU . PREMISES(Ea occurrence) $ 100,000 A 3AA657629 ot/o4/2024. 04/04/2025 MED EXP(Any one person) $ 5 000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY El PEa 1^1 LOC GENERAL AGGREGATE $ 2,000,000 El PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: AUTOMOBILE LIABILITY , COMBINHD SINGLE LIMIT ANYAUTO (Ea accident) $ 1,000,000 OWNED =SCHEDULED 965572836 BODILY INJURY(Per person) $ ovzm2ozq ovzor2oz4 C AUTOS ONLY A AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED X AUTOS ONLY A AUTOS ONLY PROPERTY DAMAGE $ (Per accident) UMBRELLA LIAB X OCCUR PIP $ 10,000 __ EXCESS LIAB EZXS3110807 o4/oa2024 04/04/2025 EACH OCCURRENCE $1,000,000 B X CLAIMS-MADE AGGREGATE $ 1,000,000 DED I J RETENTION $ WORKERS COMPENSATION $ AND EMPLOYERS'LIABILITY PER VI- AND ISTATUTE I I ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N/A E.L.EACH ACCIDENT $ (Mandatoryn ) If yes,describe under E.L.DISEASE-EA EMPLOYEE $ DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ , DESCRIPTION OF OPERATIONS/LOCATIONS /VEHICLES (ACORD 101,Additional Remarks Schedule, may be attached if more spsce is required) General Contractor - CGC1517513 Roofing Contractor - CCC1328278 - Qualifier - Edward Koster CGC1517513 CERTIFICATE HOLDER CANCELLATION City of Dania Beach SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 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 5 ACORD CORPORATION. Al)rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD