Loading...
PL-16-2621 Miami Shores Village t _ $� T"yp `f lutifibiri pid ' i`, 10050 N.E.2nd Avenue NE j}�y�#�Cl� d�T# +�itE3t Miami Shores,FL 33138-0000 Phone: (305)795-2204 ; e P8) /t" tr )A1 3V 90 CORlDp' '� h 1q/5/2ti` Expiration: 04103/2017 3..... '���... :::',.. , �w.,, fir,;•„ ;,,, ,. `. _.'. Project Address Parcel Number Applicant 90 NE 91 Street 1131010200010 EQUITY TRUST CO C/0 RONAL[ Miami Shores, FL Block: Lot: Owner Information Address Phone Cell EQUITY TRUST CO C/O RONALD A - - - FL 10274 Sandy Cay Lane West Palm Beach FL 33412- Contractor(s) Phone Cell Phone Valuation: $ 1,500.00 M&C CONTRACTORS (305)763-8166 Total Sq Feet: 250 Type of Work:RELOCATE BATHROOM SINK,WASHING MAC Available Inspections: Type of Piping: Inspection Type: Additional Info:RELOCATE BATHROOM SINK,WASHING MAC Top Out Bond Return: Final Classification:Residential Scanning:1 Review Plumbing Underground Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.20 Invoice# PL-9-16-61439 DBPR Fee $2'25 09/22/2016 Check#:3313 $50.00 $110.70 DCA Fee $2.25 Education Surcharge $0.40 10/05/2016 Check#:3312 $ 110.70 $0.00 Permit Fee $150.00 Scanning Fee $3.00 Technology Fee $1.60 Total: $160.70 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 AFFI IT: I at all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constructio o 'n F ermo ,I authoriz a ve-named contractor to do the work stated. October 05,2016 Aut o zed nature:Ow t r / App icant Contractor / Agent Date Building Department Copy October 05,2016 1 Miami Shores Village -- Building Department S P 212016 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 AV Tel:(305)795-2204 Fax:(305)756-8972 _x — AI INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 BUILDING Master Permit No. R C-8 - 23--71 PERMIT APPLICATION Sub Permit No. P1 I U - 7- q Z I' ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP q CONTRACTOR DRAWINGS JOB ADDRESS: I () U l= I 1 City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE:n FFE: r OWNER:Name(Fee Simple Titleholder): �'►'� "-,j 9 & Phone#: _I o 6" G72- `I 3W Address: 6-?--7` ��� C City: Q4 G State' Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: M&C CONTRACTORS Phone#: 305.763.816 Address: 960 Arthur Godfrey Road, Suite: 304 City: Miami Beach State: FL Zip: 33140 Qualifier Name: German A Previsdomini Phone#: 305.992.7443 State Certification or Registration#: CFC1426809 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ 0 n��6 Square/Linear Footage of Work: d' Type of Work: ❑ Addition [ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: a' ,& tl d 0, S I4 ((��S A iyrc , W44w ,X- la k I` 0Lic-- ant r-e f.0dlj1l4* ki'tck 1 i®'a k, l� �f�Gl�el�S .lib 6CQi yn'? ® A P- Specify color of color thru tile: Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DtBP/R$OL• oZ� Notary$ Technology Fee$ Training/Education Fee$ "C6 Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ '7zO (Revised02/24/2014) . OL '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 ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES,BOILERS,HEATERS,TANKS,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 issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. 10 Signature Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 3 day of S �— 20 J�, , by 3 day of September 20 16 by �rJ nal �,a'I S ,whIll, er`sonally known German Previsdomini who is personally known to me or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. .,;Bv� NADIAAI�W6G9i<�AATSCRflRHtA NOTARY PUBLIC: NOTARY PUBLIC: �`� My COMMISSION#FF 912061 * EXPIRES:August 2,2D19 '�, / °'�rFOF�o�or Boedsi ThN Budget Notary Batches Sign: Sign: Print: toA Nadia Subic s Carrera QUIDA JACO)3& °,••• � aAkFF 91 1 Seal: MY Cl)MMISSION#FF4Y8`551 * �, M'-� :: '•,UM S FF 912061 EXPIRES:AS. August 2,2019 gust 14,2017 `�'���,�®a�°` Bttn�2JouuBud�tNotarySe>vkes APPROVED BY l� �`'�'Z�I Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) STATE OF FLORIDA • DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD CFC1426809 ,I The PLUMBING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. ° k ' ` Expiration date: AUG 31, 2018 PREVISDOMINI, GERMAN ALEXIS ;• M & C CONTRACTORS 960 ARTHUR GODFREY ROAD SUITE 304 MIAMI BEACH FL 33140 ■ ISSUED 06/12/2016 DISPLAY AS REQUIRED BY LAW SEQ a L1606120001253 � 4 006585 Local Business Tax Receipt Miami—Dade County, State of Florida -THIS IS NOT A BILL-DO NOT PAY 5669941 LBT BUSINESS NAME/LOCATION M a C CONTRACTORS RECEIPT"°. EXPIRES 960 RESEPTEMBER 30, 2017 MIAMI BEACH F FL 33140 691414M8B Must be displayed at place of business Pursuant to County Code Chapter 8A-Art.9&10 OWNER TYPE OF MANAGEMENT$CONSULTING INC 1196 PLUMBING CONTRACTOR PAYMENT RECEIVED Worker(s) 1 CFC1426809 BY TAX COLLECTOR $45.00 07/27/2016 CHECK21-16-102623 This Laval Business Tax Receip'*"IV Payment of the Local Rosiness Tax. The Receipt is net a license. or non.or a aertifial re of the holder a paaretptUemen�to do which�8 int Halder maBt r ornplV with any RoaemmeMal or noagover"Oif is ►e8alatory lavas atai The RECEIPT ND.above apply to the basia®ss, IM he displayed on all Conarrerein,vehicles-Miami-Dade Coda Sec&0_276.For more itdamration,visit xat namidade aavRattmllector MOM QIT 1211120 t�i8 i91 . +� , . taesfmt�.tatktd HWkIs y FL 346Pk0 "win MUKOW cur0 �r a aot4 tessft,tne.&Subsiftries1 of n i#o75 2730 U,S � � - Y Ar VftT AD%am ft ew"Cata trwba'tseuesf 0:0W po"n,ft WW*V&vftftwbI vte t to wr the temp.exwusic ` gaea mrr�grt twert red>tced by p�aaittta. :, f1} ni ittgttratf i�ttUcy'f�i r Uatks CvmRtertdal C�rfef�!fet�Eity ` AW Exp! PMOAStAdY t4wy po8q R LOG 13 f at Aggragrife coo it.B i.tABil: comMAe MVe t.rf Body MMY . t At (Per person} MM Atttas e7y Y fit-b> tj#AUtEta .(Per AedderM - prop"D-MG (Per Acdtwvt) tc ril iBR i t.A UARIUTY each b 0=9 cwft made iib ....�. A W"sre Cow►tpertsaftn and tt 71 01104=16 01/0112017 x we swua ���. �r tar t�NlM :•�:. , - Attg+pnop�t�/Partrter/�tecutiv®tsf�Gerh�rs�tt�t' �.4. t 'ffiQ, #.f�9 {tided T NO E.t.Dlse w1At IfYes,deswibe wider SNOWprovlal"below. E.L DWeaW-fbkYIftvft. ffi1,f ,Ot 4 two CtRM ba Apt..Bit SMM IM A-Mftta baott otns e#t WelUdust tidied by(wfldOMtti81?tMpec 1;Pr*vW CHeffE Ib 9Z G$�OU trcvdrage only a OO$to aciiue GVee(S)UfSMO EaAPWsVdI0LaasIn0I I=&SubsWWIft#tat are teas to the fdoMrig'Uent 1Y+°: oMy am"to#*#I%#urea by nth BmtPerwnrd Leaft,&tc.&Stofties save t ;,waft=ftv)n:FL. CwmqWdoo tatssoy t:sMubay Vi s)or k*pwWent Vis)tit V*+dent Ccntpenyor":oblw enay, A!#sk of t4#e atm of cyee{s wed m the Olen t ConVM can cbtahW by faxhV a recce to(n7)1# or by ttg(7x7}S38 5561. GERMP*NALZOS PREMG#MWI ttCENSE T4L MBERS GOClsoap,CFC1a268f39,CAC181fr161 AS t*qMR. LVA�F_a74JI A S(a NIM.5tQRJES VILWAGE Mon" F311it tlfh4®DEPARTMENT tnsu WvA ettdeavcr to MM 30 days wrtftsn not#oe tot"cerdticata:hotrler nartae@ toff�:bid W%to t#r +$wing*"tto 0"'Wn Qr ffab w of etlp kk9t9 A-W lnher,kki? rApr889ft 46a. 1=0 NE 7ND AVE. ~SHORES, K 33138 I TE -4 CERTIFICATE OF LIABILITY INSURANCE DA 5/1616 PRODUCER Florida Bankers Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 7278 SW 8 Street ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Miami,FL 33144 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Phone(305)266-6493 Fax (305)262-0679 INSURERS AFFORDING COVERAGE NAIC# INSURED MANAGEMENT&CONSULTING INC INSURER A: ESSEX INSURANCE COMPANY INSURER B: D/B/A M&C CONTRACTORS INSURER C: 960 ARTHUR GODFREY RD. STE.304 INSURER D: MIAMI BEACH, FL. 33140 INSURER E: COVERAGES INSURER F: THE POLICIES OF INSURANCE LISTED 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. ILTR ADWLNSRO TYPE OF INSURANCE POLICY NUMBER POLICY TB MM/DD� DATEYMM�D TION LIMITS INSRD GENERAL LIABILITY EACH OCCURRENCE 1,000,000.00 COMMERCIAL GENERAL LIABILITY 3CO6934 04/20/16 04/20/17 PRA MAGE SES EaEocc RENTED 1,00,000.00 ❑❑ CLAIMS MADE d❑ OCCUR MED EXP(Arty one person) 5,000.00 A ❑ ❑ PERSONAL&ADV INJURY 1,000,000.00 ❑ GENERAL AGGREGATE 2,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG 2,000,000.00 POLICY ❑PROJECT ❑ LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ❑ ANY AUTO (Ea accident) ❑ ALL OWNED AUTOS BODILY INJURY ❑ ❑ SCHEDULED AUTOS (Per person) ❑ HIREDAUTOS BODILY INJURY ❑ NON OWNED AUTOS (Per accident) ❑ PROPERTY DAMAGE (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT ❑ ❑ ANY AUTO OTHER THAN EA ACC ❑ AUTO ONLY: AGG EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE ❑ OCCUR ❑ CLAIMS MADE AGGREGATE ❑ DEDUCTIBLE ❑ RETENTION $ WORKERS COMPENSATION AND ❑ WC STATU- ❑ OTH- EMPLOYERS'LIABILITY TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS LIC#CFC1426809 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL MIAMI SHORES VILLAGE BLDG DEPT 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO AVETHE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY 10050 NE 2nd MIAMI SHORES, E 33138 OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE MARTA ALONSO ACORD 25(2001/08)QF ©ACORD CORPORATION 1988