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HomeMy WebLinkAboutFolio 2024-2026 Permit - CR 7853 CR 7853 - 9/24/2024 [4.7) CONTRACTOR REGISTRATION 100 West Dania Beach Boulevard •Dania Beach, FL 33004 (954)924-6805•3651,3633 or 3652 Fax(954)922-2687 6 )? PLEASE PRINT LEGIBLY Type of Contractor General Contractor Company: Name LG Leeward Group LLC Office Address 6145 NW 41st Dr City/State/4 Coral Springs FL 33067 Office Phone# 954-803-9585 Qualifier: Name Lee Garrett Gabe Office Address 6145 NW 41st Dr City/State/Zip Coral Springs FL 33067 Home Phone# 854-803-9585 Owner: Name Lee Garrett Gabe Office Address 6145 NW 41st Dr City/State/Zip Coral Springs FL 33067 Home Phone# 954-803-9585 PROVIDE PHOTOCOPIES OF THE FOLLOWING DOCUMENTS Qualifier's Driver's License G100-527-78-262-0 State: Fonda City Business Tax License Coral Springs City: Springs Coral ri s County Business Tax License County: Broward State License CGC1512667 Certificate of Competency Certificates of Insurance must show the City of Dania Beach as the Certificate Holder General Liability Expiration Date: 08/22/2025 Workers Compensation Expiration Date: 10/06/2025 I hereby certify that the information contained herein Is true and accurate to the best of my knowledge. Lee Garrett Gabe Qualifier's Signature Date The foregoing instrument was acknowledged before me this 28 day of August 20 24 By Lee Garrett Gabe who is President personally known to me or has produced as identification and did(or did not)take an oath My Commission Expires: _`-- HOWARD SEILER MY C04Ay1 N I.4Fl 288005 EtPIRES.July 24.2026 Contractor Registration Rev. 09/26/2017 s?; a STATE OF FLORIDA e"`', DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION .„ �» , ,,, . .11 2601 BLAIR STONE ROAD ,,;, ¥"v TALLAHASSEE FL 32399-0783 s, iSVB Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers,from boxers to barbeque restaurants, STATE OF FLORIDA DEPARTMENT and they keep Florida's economy strong. cJ b 1r OF REGULATION BUSINESS AND PROFESSIONAL Every day we work to improve the way we do business in order to serve you better. For information about our CGC1512667 ISSUED:06/03/2024 CERTIFIED GENERAL CONTRACTOR services, please log onto www.myfloridalicense.com. GABE,LEE GARRETT There you can find more information about our LG LEEWARD GROUP,LLC divisions and the regulations that impact you, subscribe to department newsletters and learn more about the Department's initiatives. Signature LICENSED UNDER CHAPTER 489,FLORIDA STATUTES Our mission at the Department is: License Efficiently, EXPIRATION DATE: AUGUST 31,2026 Regulate Fairly. We constantly strive to serve you better so that you can serve your customers.Thank you for doing business in Florida,and congratulations on your new license! Ron DeSantis,Governor Melanie S. Griffin, Secretary STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD LICENSE NUMBER: CGC1512667 EXPIRATION DATE: AUGUST 31,2026 THE GENERAL CONTRACTOR HEREIN IS CERTIFIED UNDER THE PROVISIONS OF CHAPTER 489, FLORIDA STATUTES GABE, LEE GARRETT Elf !a LG LEEWARD GROUP, LLC r � _ , 6145 NORTHWEST 41ST DRIVE '',!' .�,�ij . „ CORAL SPRINGS FL 33067 . +ajr '�"ti• ISSUED:06/03/2024 Always verify licenses online at MyFloridaLicense.com Do not alter this document in any form. This is your license.It is unlawful for anyone other than the licensee to use this document. 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#:1G 80 GENERAL C23 ONTRACTOR (CERT Business Name:LG LEEWARD GROUP, LLC Business Type: GENERAL CONTRACTOR) Owner Name:GARRETT LEE GABE Business Opened:10/10/2019 Business Location: 6145 NW 41 DR State/County/Cert/Reg:cGC1512667 CORAL SPRINGS Business Phone: 9548665590 Exemption Code: 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. Mailing Address: GARRETT LEE GABE Receipt #03B-23-00001044 6145 NW 41 DR Paid 07/11/2024 27.00 CORAL SPRINGS, FL 33067 2024 - 2025 ACc® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) �� 08/27/2024 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 CONTACT Commercial Service Brightway Insurance PHONE (855)841-3135 FAX (904)322-5928 (A/C,No,Ext): (A/C,No): P.O.Box 5700 E-MAIL htwa certificate bri com ADDRESS: @ g y INSURER(S)AFFORDING COVERAGE NAIC# Jacksonville FL 32247 INSURER A: Scottsdale Insurance Company 41297 INSURED INSURER B: LG Leeward Group LLC INSURER C: 6145 NW 41st Drive INSURER D: INSURER E: Coral Springs FL 33067 INSURER F COVERAGES CERTIFICATE NUMBER: CL2482712453 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 AUUL SUBK LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF POLICY EXP (MM/DD/YYYY) (MM/DDlYYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO REN I ED 100,000 CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 5,000 A APP91633264 08/22/2024 08/22/2025 PERSONAL BADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: 2,000,000 PRO- GENERAL AGGREGATE $ POLICY JECT []LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) _ BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY _ AUTOS ONLY (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N/A E.L.EACH ACCIDENT $ (Mandatory in NH) 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 space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Dania Beach Building Department ACCORDANCE WITH THE POLICY PROVISIONS. 100 West Dania Beach Blvd AUTHORIZED REPRESENTATIVE Dania Beach FL 33004 I icl{i„1'-f) © 5 .W ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD A/CORD CORPORATION. All rights reserved. .(.i -- -, :...9,.,, I' JIMMY PATRON IS 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: 10/7/2023 EXPIRATION DATE: 10/6/2025 PERSON: LEE G GABE EMAIL: LG@LGLEEWARD.COM FEIN: 834501665 BUSINESS NAME AND ADDRESS: LG LEEWARD GROUP, LLC FILTER PRO USA 6145 NW 41ST DR POMPANO BEACH, FL 33067 This certificate of election to be exempt is NOT a license issued by the Department of Business and Professional Regulation. To determine if the certificate holder is required to have a license to perform work or to verify the license of the certificate holder, go to www.myfloridalicense.com. IMPORTANT:Pursuant to subsection 440.05(13),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(11),F.S.,Certificates of election to be exempt issued under subsection(3)apply only to the corporate officer named on the notice of election to be exempt.Pursuant to subsection 440.05(12),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 E01804013 QUESTIONS?(850)413-1609 RULE 69L-6.012, F.A.C. REVISED 01/2023 ArrikUSA 0 Florida DmvERuceez 11 00-527-78-262-0 E ,SASE .56ifssmvy ARRE41JDR CORAL SPRINGS,FL 33067-30/6 . ooe 0712211978*-stg..1 M tbEy. 071212028 ▪ NONE la Z-MM NONE 11P, s ▪ 0NNER 06,0712020 .6.32005074-130 :t a 0000 valis* 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 Receipt#:18 0-31162 3 Business Name:LG LEEWARD GROUP, LLC Business T ype'GENERAL CONTRACTOR (CERT GENERAL CONTRACTOR) Owner Name:GARRETT LEE GABE Business Opened:10/10/2019 Business Location: 6145 NW 41 DR State/County/Cert/Reg:CGC1512667 CORAL SPRINGS Exemption Code: Business Phone: 9548665590 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. Mailing Address: GARRETT LEE GABE Receipt #WWW-22-00249265 6145 NW 41 DR CORAL SPRINGS, FL 33067 Paid 07/05/2023 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 Business Name:LG LEEWARD GROUP, LLC Receipt#: I 623 Business T GE RALCONTRACTORCONTRACTOR) (CERT ype: GENERALE Owner Name:GARRETT LEE GABE Business Opened:10/10/2019 Business Location: 6145 NW 41 DR State/Count /Cert/Re CORAL SPRINGS y e:CGC1512667 Exemption Code: Business Phone: 9548665590 Rooms Seats Employees Machines Professionals 1 Signature For Vending Business Only Number of Machines: Vendin T Tax Amount Transfer Fee g ype: NSF Fee Penalty Prior Years I Collection Cost Total Paid 27.00 0.00 0.00 1 0.00 0.00 0.00 27.00 Receipt #WWW-22-00249265 Paid 07/05/2023 27.00