PL-17-960 Permit ft , F :.-447=960
ut
Miami Shores Village F'emitType Plumbing=Residential
10050 N.E.2nd Avenue NE Work Classification:Addition/Alteration
Miami Shores,FL 33138-0000'',
Phone: (305)795 2204 Permit Status:APPROVED
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FCORLDP'
Issue mate.4/24/2017 Expiration: 10/21/2017
Project Address Parcel Number Applicant
10550 NE 2 Place 1122310130550
'l
Miami Shores, FL 33138- Block: Lot: VULCAN DYNAMIC REALTY FUI'
Owner Information Address Phone Cell
VULCAN DYNAMIC REALTY FUND L 175 SW 7 Street
MIAMI FL 33130-
175 SW 7 Street
MIAMI FL 33130-
Contractor(s) Phone Cell Phone
Valuation: $ 950.00
LEZAS PLUMBING CORP
_ Total Sq Feet: 0
Type of Work:INTERIOR REMODELING OF KITCHEN AND Available Inspections:
Type of Piping: Inspection Type:
Additional Info:INTERIOR REMODELING OF KITCHEN AND Top Out
Bond Return: Final
Classification:Residential Scanning:1 Review Plumbing
Underground
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $0.60
Invoice# PL-4-17-63605
DBPR Fee $2.25 04/24/2017 Credit Card $ 109.10 $50.00
DCA Fee $2.25
Education Surcharge $0.20 04/06/2017 Credit Card $50.00 $0.00
Permit Fee $150.00
Scanning Fee $3.00
Technology Fee $0.80
Total: $159.10
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 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. Futhermore,I authorize the above-named contractor to do the work stated.
April 24,2017
Authorized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
April 24,2017 1
Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores,FL
Phone:(305)795-2204 Fax: (305)7568972
Inspection Number. INSP-281333 Permit Number: PL-4-17-960
Scheduled Inspection Date:April 25,2017 Permit Type: Plumbing -Residential
Inspector: Hernandez,Rafael
Inspection Type: Rough
Owner. f Work Classification:Addition/Alteration
Job Address:10550 NE 2 Place
Miami Shores,FL 33138- Phone Number
Parcel Number 1122310130550
Project <NONE>
Contractor: LEZAS PLUMBING CORP
Building Department Comments
INTERIOR REMODELING OF KITCHEN AND Infractto Passed Commonts
BATHROOMS INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
April 24,2017 For Inspections please call: (305)762-4949 Page 19 of 27
�- Miami Shores Village RECEIVE®
I
Building Department APR 0 917
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949 S
FBC 20 1C,1
BUILDING Master Permit No.
PERMIT APPLICATION Sub Permit No. P I Cock
❑BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
X
LUMBING ❑ MECHANICAL [:]PUBLICWORKS F-1CHANGEOF ❑ CANCELLATION [:] SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 10!561) PL-
City:
L-
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: 11-71231-0!-056b Is the Building Historically Designated:Yes NO
Occupancy Type: Load: ,, Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): QyI eQ/, t%4yt.d outt'G Phone#: ,ME? UP 1612—
Address:T5 P7,A) 7 57,
w
City: t A�a@ 6 State: Zip: .33 t'v®
Tenant/Lessee Name: Phone#:
Email: /
CONTRACTOR:Company Name: X b�l11 /�/a�wrbon Phone#: 16 7/7-($75
Address:)e / da ®✓ Sj
City: X FJ 7 A—, State: ft- Zip: 33117 2-
Qualifier
Qualifier Name:X 1L- Phone#: ,305 7/78-FFS
State Certification or Registration#: GI's es7 Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: �rl�t�►� �✓�1 �� � e~ � 94A �
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
(Rev1sed02/24/2014)
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.
/117
Signature Signature
1 - 7
ER or T CONTRA
Thefor going instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of 20 0 by day of 20 , by
I who i �ykn6wo i" ois pers�ynown to
me or who has produced as me or who has produced as
identification a did take an oath. identification and w ake an oath.
NOTARY P ELIC: NOTARY PUBLI :
Sign: Sign: 46-0��
Print: 1F.0o, I Print: ;tt""
Seal: ='R �•c M COMMISSION#FF926060 Seal: MY COAAMI #PF926M
�? XPIRES Gerber 23.2019 4!� EXPIRE r�23,2019
140f MA-016.11,
APPROVED BY s —�-7 Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
Local Business Tax Receipt
Miami—Dade County, State of Florida
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4.537389
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A Re CERTIFICATE OF LIABILITY INSURANCE 04/11
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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 INSURERIS), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the polloy)tes)must be endorsed. If SUBROGATION I5dWAIVED,subject to
the terms and condMons of the pollcy,corlaln polloWs may mqulm an eaftmemeft A statement on this cwdftate does not canter rights to the
certificate holder In Reu of such endomemen s).
PIWMCIM a -R-9-- Guerrero
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LEZA'S PLYING CORE'
558 W is SMET t n
RIAIMAH, FL 33010 F:
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COVERAGES CERTIFICATE NUM8ER; REVIStONiNUMSEM
THIS IS TG CERTIFY THAT THE POLICIES CF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED REAMED ABOVE FOR THE POLICY PERIOD
ORMCATED. NOT4'j9THSTANDtN3 ANY REQUIREMENT,TERM OR CONDIVON OF ANY CONTRACT OR OTHER DOCUMENT'VUH RESPECT TO''+'4t']CH THIS
CERTIFICATE MAY BE MUIED OR 0AY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TEAMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.L1d,M SHOIA N MAY HAVE BEEN REMCED SY PAID CLAIMS
rfmor-UMURAUM POLCY hll ER Lam
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Certificate Holder is listed as at<ddit:iorml irlsured.
All general plumbing activities
CERTIFICATE HOLDER CANCELLATION
SHOMD ANY OF THE ABOVE DESCRY POLICIES BE CANCELLED BEFORE
I4I]3!� SHORPB THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Ruildi.ng Department
10050 NE 2 Ave
Miami Shores Village, FL 33138 IiuT/1oR7�olaFPilBaEIaTATiVE
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Z INS-2014 ACORD CORPORATION.All dghtS fWarved.
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INSM aounr+
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ACCORD CERTIFICATE OF LIABILITY INSURANCE 841111'17
TRIS rKT1 TE I ISSUM Aa X-RAITZKOFUNFORMA111014
P EI7CER ONLY AND CONFERS X0 RIG TS IPPON T$IE CEATIRCATE
Dania Gonzalez Insurance Agency HOLDER. TWS CERTIRCATE DOES NOT AMSEKD.EXTIENDOR
9517 Sunset Drive ALTER T14 E COVERAGE AFFOROEO BY THE POLICWS SELO W.
Miami, FL 33173 COMPAMES AfRORDING COVERAGE
P: 305.598.8600 F: 305.598.4050 COMPANY
A.TECHNOLOGY INSURANCE COMPANY,INC,NAIC 42376
TNI REO MPANY
Lezas Plumbing Corporation B.
558 W 18 ST COMPANY
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'-L 7-T
SHoL-L0 ON OF THE ABOVE Dr:SCRI POI.IVES BE CANCELLXD BEFOK THE
MIAMI SHORES VILLAGE F-VIRATION DATE THEREOF.THE tM414G COMPANY VOR TO MAIL
Building Department 30 DAYS WRITTEN NOTICE To CERTW-ICATE HOLLER 0."FeiGIED TO THE.LEFT,
10050 NE 2 Ave BUT FAILURE TO fAAIt.SUCH NOTICE SHALL IMPOSE No OI LIGATION 0 LABILMY
Miami Shores Village FL 33138 OF ANY WND UPON TKS COMPANY.ITS AGENTS OR REPRESENTATIVES
AUTHORIZED PRESENTATIVE
17
46—iiii"4 I- - - - -