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PL-17-770 S1, 3� �¢ y Miami Shores VillagePenYl� ) ) �j tiai z 10050 N.E.2nd Avenue NE "! Miami Shores,FL 33138-0000 � � $it4lt11 Phone: (305)795-2204A10 ' tatrA �91lED le ate„312 0'17 Expiration: 0 /20/2017 Project Address Parcel Number Applicant 429 NE 102 Street 1132060170790 Miami Shores, FL 33138-2452 Block: Lot: JULIE ELIZABETH NEVINS Owner Information Address Phone Cell JULIE ELIZABETH NEVINS 429 NE 102 Street (305)681-6322 MIAMI SHORES FL 33138- 429 NE 102 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 2,300.00 AFFORDABLE IRRIGATION,INC 305-681-6322 M ._.t__.M ....:..: ..... _:.._ .u:.... Total Sq Feet: 0 Type of Work:INSTALL IRRIGATION SYSTEM Available Inspections: Type of Piping: Inspection Type: Additional Info:INSTALL IRRIGATION SYSTEM Final Bond Return: Underground Sprinkler Classification:Residential Scanning:3 Review Plumbing Ej Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.80 DBPR Fee Invoice# PL-3-17-63397 $2.25 03/24/2017 Check#:20271 $ 118.30 $50.00 DCA Fee $2.25 Education Surcharge $0.80 03/21/2017 Check#:2258 $50.00 $0.00 Permit Fee $150.00 Scanning Fee $9.00 Technology Fee $2.40 Total: $168.30 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNEAAFFID : I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construg. Futhermore,I authorize the above-named contractor to do the work stated. March 24,2017 ign e:Owner / Applicant / Contractor / Agent Date Building Department Copy March 24,2017 1 Miami Shores Village Building Department o 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 (� Tel:(305)795-2204 Fax:(305)756-8972-� INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 BUILDING Master Permit No. �I � ® PERMIT APPLICATION Sub Permit No. 0BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION D EXTENSION ❑RENEWAL 1hf$/LUMBING [] MECHANICAL ❑PUBLIC WORKS F-1 CHANGE OF ❑ CANCELLATION ❑ SHOP DRAWINGS CONTRACTOR JOB ADDRESS: City Miami Shores County: Miami Dade Zia: 3i3 " -PYf 2 Folio/Parcel#: -1 J Z m -7- d 7V 0 Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: /qq OWNER:Name(Fee Simple Titleholder): T u lr e- Vr s Phone#:�z�6 Address: rBr, zgm 7 nil 5'.�10 Ytf State: G. Zip: City* i Phone#: Tenant/Lessee Name: Email: / /D CONTRACTOR:Company Name: �1'Qw��3l�lt - �� �' aw Phone#:( u?BJ) "6322 Address: Gr/ 3 3 3 6 City: A" BA � i State �-• Zip: Qualifier Name: pii�/�Aep�p ;—;Pg Sid Phone#:� O"�y�Z State Certification or Registration#: Certificate of Competency#: 9/ .0®O 0 01 9 DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: n Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: ElAddition ❑ Alteration New El Repair/Replace ❑ Demolition P, Description of Work: -n .� `� ����� ����'� `sGs 4y• Specify color of color thru tile: Submittal Fee$ Permit Fee$ ,570' CCF$ CO/CC$ Scanning Fee$ Radon Fee 5 DBPR$ -Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Bond$ — Structural Reviews$ TOTAL FEE NOW DUE$ �d o (Revised02/24/2014) 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. Signature Signature OWN ER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this o day of OW07 20 f 7 by 4 o'94f- day of &J--� 20/? by Itp— _-4/% e "Ul n f ,who is personally known to �D it it Go `f.4 r 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. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: Seal: E ••., Seal: :r°, �vytiC�. JORGETOLEDO JORGETOLEDOMy COMMISSION#GG M0807 My COMMISSION#GG 020807 ° p►= EXPIRES:Au,,• ' gust 22,2020 EXPIRES:August 22 2020 ;F.. °:,., Bond �•?�;t4• Bonded Tlw No Public Un� --I APPROVED BY x-23—/ Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) M uni ci pal Contractor's Tax Recei pt Miami-Dade County, State of Florida -THIS IS NOT A BILL-DO NOT PAY CC NO: 96P000219 BUSINESS NAM E/LOCATION RECEIPT NO. EJ, PIRES AFFORDABLE IRRIGAnON INC 198NW139Sr SEPTEMBER 30, 2017 MIAMI,FL 33168 7494492 Pursuar t to County Code ;ec 10-24 OWNER TYPE OF BUSINESS AFFORDABLEIRRIGAMON INC -SPECIALTYPLUMBING CONTRACTOR PA`M ENT RECEIVED BY 'AX COLLECTOR 17: .00 09/29/2016 02:7-16-006274 This receipt is not validinthe following Municipalities:Aventura,Domd,Haleah,Ke Biscayne Miami Carden,Miami Lakes,Palmetto Bay,Pinecrest,Sunny Isles Beach,Town of C itl er Bay. MIAMI•DADE For more information,visit www.miarr5dade.gov/taxcollector �s Local Business Tax I:bcei pt M iami-Dade County, State of Florida -THIS IS NOT ABILL-00 NOT PAY 3617702 BUSINESS NAM E/LOCATION RECEIPT NO. EXP RES AFFORDABLE IRRIGATION INC RENEWAL SEPTEMBER 30, 2017 198 NW 139 ST 3779882 MIAMI, FL 33168 Must be displayed it place of business Pursuant to :ounty Code Chapter 8A Art.9& 10 OWNER SEC.TYPE OF BUSINESS AFFORDABLE IRRIGATION INC 196 SPECIALTY PLUMBING BY TAXI ORLLEC OR CONTRACTOR 75.00 09/29/2016 Worker(s) 8 96P000219 0237-1E-006274 This Local Business Tax Receipt only con^rens payment of the Local Business Tax.The Receipt s not a I icense, permit,or a certi"cation of the holder's qua]i"cations,to do busi ness.Hol der trust comply with my govemnental or nongovernmental regulatory laws and requirements which apply to the business. The REC8 PT NO above must be displayed on all commercial vehicles-Miami-Dade Code Sec 8a-276. MIMI I.11% For more i nfomlation,visit www.rriarridEtde.Qov/taxcollecto e DATE(MM/DD/YYYY) ACC)R" CERTIFICATE OF LIABILITY INSURANCE 9/13/2016 -CHIS 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 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: Nancy Munoz PHO BrOSJIl & Brown Of Florida, Inc. acNNo E#: (305)247-5121 FAX No): (305)-248_8543 dba T.R. Jones & CO. E-MAIL nmunoz@bbinsfl.com ADDRESS__ 1780 N Krome Ave INSURER(S)AFFORDING COVERAGE NAIC# Homestead FL 33030 _ INSURERA:SCOttsdale Insurance Company 41297 INSURED _INSURER B: Affordable Irrigation, Inc. INSURERC: P.O. BOX 601743 INSURER D: INSURER E: _. - - - ---- - --- ---- No Miami Beach FL 33160-1743 INSURER F. COVERAGES CERTIFICATE NUMBER:2016 Master 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 j - --- -- —-ADDLjSUBR�_-- -_--- -- - --IT0 CY EFF POUCY EXP --- ---- ----------- ------ LTR TYPE OF INSURANCE POLICY NUMBER MWDD/YYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 —i — DAMAGE TO RENTED -._ _ A CLAIMS-MADE X ! OCCUR PREMISES(Ea occurrence) j$ 100,000 r _ CPS2521550 9/12/2016 9/12/2017 j MED EXP(Anyone person) $ 5,000 - j 1,000,000 __ _ I ' PERSONAL&ADV INJURY $ GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE_ $ 2,000,000 X' POLICY PRO- 2,000,000 JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: Errors&Omissions $ Included AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea ANY AUTO BODILY INJURY(Per person) $ALL OWNED SCHEDULED H REDSAUTOS AUTOS BODILY INJURY(Per accident)j$ - --- -- -- — AUTOS NON-OWNED j PROPERTY DAMAGE - [PeraccidenU ___ $ — - - UMBRELLA UAB _ OCCUR EACH OCCURRENCE_ - $ - EXCESSLIAB CLAIMS-MADE. AGGREGATE $ DED RETENTION$ $ AND WORKERS COMPENSATION PER OTH- S'LIABILITY Y/N STATUTE_' ;ER. ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under - - "---- --- - --- ---- DESCRIPTION OF OPERATIONS below i E.L.DISEASE-POLICY LIMIT $ it DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Installation/Repairs Sprinkler System 96P000219 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Village of Miami Shores THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Zoning Dept ACCORDANCE WITH THE POLICY PROVISIONS. 10050 N.E. 2 Ave Miami, FL 33138 AUTHORIZED REPRESENTATIVE T Jones Jr./NANMUN ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025(201401) A�oR CERTIFICATE OF LIABILITY INSURANCE DAT32112017 Y) 03/21/2017 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 endomement(s). CONTACT PRODUCER NAME: PHONE FAX Automatic Data Processing Insurance Agency,Inc. WINE Ext]: A/c No): E-MAIL 1 Adp Boulevard ADDRESS: Roseland,NJ 07068 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: Technology Insurance Company,Inc. 42376 INSURED AFFORDABLE IRRIGATION INC INSURER B: Lic#96P000219 INSURER C: 198 NW 139TH ST INSURER D: N.Miami,FL 33168 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 643165 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 TYPE OF INSURANCE POLICY EFF POLICY EXP LTR INSD WVD POLICY NUMBER MM/DD MM/DD LIMITS COMMERCIAL GENERAL LIABILITYCURRENCE $ EACH OC CLAIMS-MADE D OCCUR PREMISES Ea occurrence $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY❑PRO- LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY (Ea SINGLE 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 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS UAB HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION X AND EMPLOYERS'LIABILITY STATUTE ER_ ANY PROPRIETOR/PARTNER/EXECUTIVE YIN N E.L.EACH ACCIDENT $ 1,000,000 A OFFICER/MEMBER EXCLUDED? ❑N N/A N TWC3698683 01/17/2017 01/17/2018 (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ 1,000,000 If yes,describe under 1,000,000 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) Contractor License:96P000219 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Village of Miami Shores Bldg&Zoning Dept ACCORDANCE WITH THE POLICY PROVISIONS. 10050 No 2nd Ave Miami Shores,FL 33138- AUTHORIZED REPRESENTATIVE A©1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD AI't0, Witt _ Property Information J> O 30-INCH LINEAR LENGTH OF ' 1? OWATER COILED RWFCONNECTION Folio: i11-3206-017-0790 �t ............... ._.._...._. (1 OF 2) 1 2 3 4 6 OUTSIDE WALL 6 (DID TAG Property Address: i429 NE 102 ST a OREMOTE CONTROL VALVE: ; Miami Shores,FL 33138-2452 I RAINBIRD PES t ._..._.....__...._.._.._..._................_........._..._..._._--...__..........__________.____._.__.._._...._._...__.......--"---_ ,.0 N OVALVEBOXWITHCOVER: Owner JULIE ELIZABETH NEVINS � 12-INCH SIZE ELISA SMITH _I O1 HYBRID CONTROLLER: 8 8 FINISH GRADEfTOP OF MULCH RAIN R ESP LSC -.---------- ..... ..�..,....�__.�.�...,._..�...-..._,..._...._....._.._._,. OUTDOOOR WALL MOUUNTNT429 N2 102 ST t Q S 7 PVC BCH 80 NIPPLE(CLOSE) 2O t.SBJCHPVC BCH 4000NDUIT Mailing Address 8 PVC SCH 40 ELL AND FITTINGS MIAMI SHORES,FL 33138 USA O WIRES TO REMOTE CONTROL t0 S PVC BCH 80 NIPPLE VALVES OV3J (LENGTH AS REQUIRED) 4 JUNCTION BOX 10 BRICK(1 OF 4) �S 14NCH PVC SCH 40 CONDUIT 8 11 PVC MAINLINE PIPE O AND FITTINGS TO POWER SUPPLY 2 12 BCH 80 NIPPLE(2-INCH LENGTH,HIDDEN)AND n I SCH 40 ELL r 18 15 14 13 12 11 13 PVC SCH 40 TEE OR ELL 5 r 4 14 PVC SCH 40 MALE ADAPTER 16 PVC LATERAL PIPE J 18 3.04NCH MINIMUM DEPTH OF 'f \ 3M NCH WASHED GRAVEL • RAIN BIRD PGA VALVE RAIN BIRD CONTROLLER DETAIL LEAD WIRES TO CONT LLER �. NOTE MOUNT MIN1.CLIK ON ANY SURFACE WHERE FT WILL BE EXPOSED TO UNOBSTRUCTED RAINFALL, BUT NOT IN THE PATH OF SPRINKLER SPRAY. . RAIN BIRD MINI-CLIK RAIN SENSOR- 77 iOLEDO CC# 96P000219 MyCOMAMS810N#GG 020807 0 Affordable Irrigation, Inc. .• � SORM.Awjud� 198 NW 139 Street TlnuNowy Miami, FL 33168 12" Tel: (305) 681-6322 y lk s °►. 3 3® Pressure Vacuum Breaker PRESSURE VACUUM BREAKER a yyy Miami Shores Village •• •• '�• • t ; APPROVED BY DATE 1 � . . ZONING DEPT 3A .. ,,,;• $• •.'. :.. '.• °� BLDG DEPT ft F_ SUBJECT TO W AN"AN WITH ALL FEDERAL • ..• . • STATE AND COUNTY RULES AND REGULATIONS ••• • ••• •