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PL-17-905 . ....... Y k tisk°1 y, Miami Shores Village ' e �T � � 10050 N.E.2nd Avenue NE ' .... n I/YlilC�7iyvtl Add 100/�liitMcl1 Miami Shores,FL 33138-0000 Phone: (305)795-2204 3 Expiration: 01/06/2016 Project Address Parcel Number Applicant 45 NE 98 Street 1132060131130 Miami Shores, FL Block: Lot: JAVIER ZAYAS Owner Information Address Phone Cell JAVIER ZAYAS 45 NE 98 Street (305)318-6738 MIAMI SHORES FL 33138- 45 NE 98 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 1,500.00 ALL COUNTIES PLUMBING INC (786)402-6881 Total Sq Feet: 0 Type of Work:KITCHEN REMODELING,REPLACE WATER Available Inspections: Type of Piping: Inspection Type: Additional Info:KITCHEN REMODELING,REPLACE WATER 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-4-17-63544 DBPR Fee $2.25 07/10/2017 Credit Card $ 110.70 $50.00 DCA Fee $2.25 Education Surcharge $0.40 04/03/2017 Credit Card $50.00 $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 AFFIDAV 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 a authorize the above-named contractor to do the work stated. July 10,2017 Z o e �rtment ctor / Agent Date Bung Copy July 10,2017 1 • Miami Shores Village j APR g 3 2017 Building Department 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 I BUILDING Master Permit No. 9C I ` ct 03 PERMIT APPLICATION Sub Permit No. PL 17-9 05 BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION RENEWAL QPLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION 0 SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 45 NE 98 ST C Z Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder):Javier Zayas Phone#:3053186738 Address:45 NE 98 ST city: Miami Shores state: FL Zip: 33138 Tenant/Lessee Name: Phone#: Email: Javi@SWARMinc.com CONTRACTOR:company Name: All Counties Plumbing Inc. Phone#: 3057462904 Address: 3261 West 2nd Court city: Hialeah State: FL Zip: 33012 Qualifier Name: Miguel Cabrera Phone#: 7864026881 State Certification or Registration#: CFC1429317 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$1500 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New 0 Repair/Replace ❑ Demolition Description of Work: Kitchen Remodel, Repalce water heater, chane two toilets,change bathtub valves,change vanity and sink. Specify color of color thru tile: Submittal Fee$ 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$ (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$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. in the absence of such posted notice, the inspection will not be roved and,a reinspection fee will be charged. Si ture Signature OWNER or AGENT CONTR TOR The fore oing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of 'v 20 by day of MGA.I,h, 120 11 by A-(y' C2a who is sonally kno' o `�(joW�dru (Yi who isersona y known me or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: REBECCA LOPEZ Seal: •ti.�:iy .,, REBECCA LOPEZ Commission#FF 238061 TACommission#FF 238061 Expires June 8,2019 ; p:= Expires June 8,2019 R �•• Barked Thru Troy Fen Ntarnexe 8003&rr7019 R,:FP• Baled TFru Trot'Fain 4rmurexa 800.3851019 APPROVED BY / Plans Examiner Zoning Structural Review Clerk (RevisedO2/24/2014) 1"'Ah ttw, r.,# , }Xt,j ger. me one of the nsafly y trt(oen F to'0r n!7 'i t3'f L-V fhL'0epa'trrien1 STI Business and a x )a; R'cquiatl-rt 3'j, Of-ofess+onal3 ante btrc+ness s range �, S tt E Or- PLr;,t 1L;,. t c a, �,ct llect` to yach � ,t -� ls�s bax rs to arbeau�s �t�F'AH'tMENT OT F�LISINP;'SS/440 es-la a!)t a-W;<r k y M ft f ,fila• ecoFlomy strong PROF r _ IrJtJAL RE Gt1�ATlt"iN Lvv"at 4t4y wo,k to vylpr€�ve ine way Ove do busioess to orcf�r CFC 142 �"r" SSUEG. C7$f:�112;►t f u k r?r. yY Et tl s r'or i,n(o,mal;on at)out oka stmices,please e3Q cNroo wwwroyfloindalicense-com. Thew you can find m, r CEI TIFIE0 t=r_t7M8►Nu CdtJlRAG710R t4)roc�ation abw ,4;r rivisions and the regutat>ons tfrat it-vRcl f.A R=kA, ","-JUEL yc=, smkscnibe to department newsletters and team mgrs at:clul ALL '�CUN71t:b PLUMBING R4C;, r r,=Fs; n at;re �' eparlrner,t is Li(>ortse Effictently i r-.,tatE �atrly tN tnttn^tanlly st1rrve t4 serve you better so that y-zu can 1;, (.b t: TIFIF 7 un.1e1 the P v;5if s i Gki 433 f 5 s n,=e you, =cJswn�ers Thank VOL tGr(loirrC�hj,sir�ss�, I t.,l,na, to€��t�, ,u 3 -25 [:1.ra•r,r.].tle ,.ttt-?.5 a^Iy and congratkilatons on your nrw �cr-rise DETACH HERE RICK SCOTT,GOVERNOR KEN iAVI,ON, SECRETARY STATE OF FLORIDA frs DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD CERTIFIED of Chapter 489 FS AUG 31 2018 CABRERA. MIGUEL ALL COUNTIES PLUMBNGAW 3621 ''kN7� EST 2ND COUNT 7 _ HIALEAH FL Q, x m ISSUED DISPLAY AS R UIR 1) 8V. LA 1 x L'Eco 1.t U F' �r i t �J � 11 11 : f P ooe3ae Local Business Tax Receipt Miami—Dade County, State of Florida THIS IS NOT ABILL-DO NOT PAY L B Tj 7187468 BUSINESS WAM-151 OCATION RECEIPT NO. EXPIRES ALL COUNTIES PLUMBING INC RENEWAL SEPTEMBER 30, 2017 3621 W 2 CT 7468466 Must be displayed at place of business HIALEAH FL 33012 Pursuant to County Code Chapter 8A-Art.9&10 OWNER SEC.TYPE OF BUSINESS ALL COUNTIES PLUMBING INC 196 PLUMBING CONTRACTOR PAYMENT RECEIVED C/O ARNALDO D PEREIRA,PRES CFC1429317 By TAX COLLECTOR Worker(s) 1 $45.00 09/07/2016 ECHECK-16-175715 This Local Business Tax Receipt only coufimur payment of the Local Business Tex.The Receipt is not a licease, permit,or a certification of the holder's qualifications,to do businem Holder must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT N0.above nest be displayed on all commercial vehicles-Miami-Dade Code Sec ita-276. For more information,visit www.miamidade govftexcallector ACS® DATE (MMIDD17) 1 �.,.� CERTIFICATE OF LIABILITY INSURANCE I THIS CERTIFICATE IS ISSUED AS AM ATTER OF INFORMATION ONLY AND CONfERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS — CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($),AUTHORIZED REPRESENTATIVE OR,PRODUCER,AND THE CERTIFICATE HOLDER. _ _ IMPORTANT: if the certificate holder is an ADDITIONAL INSUREDthe p , oilcy(les)must be endorsed. If SUBROGATION IS WANED, ubje sct to i the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the 1 certificate holder In ileu of such endorsemengs). - "'—"`---`_-'� CONTACT PROWCER E! -i 1 Best Quality Insurance Group Llc ONE•East! (305)597-7787 - __- j F Nol: (305)597-6477 8181 N.W.36nd Street,Suite#1010 MAIL bestqualityinsurance@gmaii.conl Doral,FL 33166 INSURER($)AFFORDING COVERAGE NAIC If - ' Phone 305 597-7787 Fax 305 597 6477 INSURER A: _ UNITED STATES LIABILITY INSURANCE COMP - 11.`—.. �INSURED .INSURER B: I ALL COUNTIES PLUMBING,INC. INSVRERC: 13621 W 2 Ct INSURER D INSURER HIALEAH _ FL 33012- INSURER F• I 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 POLICYPERIOD 1 INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS 1 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 F SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. tNSR I �� ADDLSUBR POLICY EFF rPOLICY EXP TYPE OF INSURANCE S@�r� P LI` NU B4I I ER_...�_ M(00lYYYY1l�MM/D_D�YYY fj .. --.. .__. .-_USS ---- I EACH OCCURRENCE_-. $__1,000,000.00- COMMERCIAL GENERAL LIABILITY CLAIMS-MADE � � SF�S.( j OCCUR i •DAMAGE TOR RENTED � 100 000.00 I EL! Egb ' -._...____.._.-__.... _.� ' MED EXP An one arson S 5,000.00 - - - - --- I _._L n _._..P___._.)._.1. I A ;t , I CL-1756331 06/30!2016 106!30/2017 4� - _ _ i i PERSONAL&ADV INJURY $ 100,000.00 GENLAGGREGATELIMIT APPLIES PER: ! GENERAL AGGREGATE $ 2,000,00000 {J POLICY JECT -I LOC PRODUCTS•COMPIOP AGG� $ 2,000,000 00 ---__ $-CO__._.._...__ ........... --- }- OTHER AUTOMOBILE LIABILITY ~^-� i j CEOMB�NptS1N LE LIMIT i $ I rANY AUTO I BODILY INJURY(Per person); $ ALL OWNED SCHEDULED j BODILY INJURY(Per accident} $- D AUTOS AUTOS - NON-OWNED I P OPERTAMAGe' HIRE �.� AUTOS I I I•S� dY -...._..._....,-.__ $ .._.._._.__..._-...-_._j UMBRELLA LIAB OCCURM H OC , EACCURRECEN1 $ t __ __ _t. _.__._..._..._ .._._.. EXCESS LIAR CLAIMS•MADE ! AGGREGATEY _ r$ -_ �41_JOED _L.J RE.T�FN,.LQN$..___...___.._ -.,._..,.�..-•-.---- __.____�__ - _-.____...�..___.__ _-'�- PERDTH: . �� _ .IL ... ....._.._ _ WORKERS COMPENSATION AND EMPLOYERS LIABILITY Y f N i k (!=�_STAIU-19_._ CH.._. ANY PROPRIETORMARTNERIEXECUTt T !!! J E.L.EACH ACCIDENT OFFICE IMEMBER EXCLUDED? N 1 A!!! ; (Mandatory In NH) JI E.L.DISEASE-EA EMPLOYEi $ It yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE•POLICY LIMIT g I i`. DESCRIPTION OF OPERATIONS t LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) Plumbing Residential or Commercial License#CFC1429317 i f i CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shores Village THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POL1C;AI, ) VISIONS. 10050 NE 2'd AVE l Miami shores,FL 33138 __ ._._. _•w___._--_..__..___,._._ i AUTHORIZED REPRESENTATIVES ^- I ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101)QF The ACORD name and logo are registered marks of ACORD 70,3/21/2017 E n ) CERTIFICATE OF LIABILITY INSURANCE 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 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 Ileu of such endorsement(s). PRODUCER CONTACT NAME: PHONE AIC No Extl: 1.800-277-1620 x4800 FAX AIC No): 727 797-0704 FrankCrum Insurance Agency,Inc. E-MAIL ADDRESS: 100 South Missouri Avenue INSURERS AFFORDING COVERAGE NAIC# Clearwater,FL 33756 INSURERA: Frank Winston Crum Insurance Co. 11600 INSURED INSURER B: INSURER C: FrankCrum L/C/F All Counties Plumbing Inc. INSURER D: 100 South Missouri Avenue INSURER E: Clearwater,FL 33756 INSURER F: COVERAGES CERTIFICATE NUMBER: 370511 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 ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSRD WVD (MM/DD/YYYY) (MM/DD/YYYY) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE �CCUR PREA SES E ToEaoccu ance $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PROJECT aLOC PRODUCTS-COMP/OP AGO $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO BODILY INJURY Per raon OWNED AUTOS SCHEDULED ONLY AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ ONLY AUTOS ONLY UMBRELLA LIAR OCCUR EACH OCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION AND WC201600000 01/01/2017 01/01/2018 X PER STATUTE OTH- ERA EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? Q N/A E.L.EACH ACCIDENT $1.000.000 (Mandatory In NH) If yes,describe under E.L.DISEASE-EA EMPLOYEE $1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMB $1000.000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Effective 09/19/2016,coverage is for 100%of the employees of FrankCrum leased to All Counties Plumbing Inc.(Client)for whom the client is reporting hours to FrankCrum.Coverage is not extended to statutory employees. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores Village AUTHORIZED RFPRFRFNTATIVF 10050 NE 2nd AVE Miami shores,FL 33138 ©1988-2016 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD