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PL-17-970 i Perrtrt�U ' 4 .7-970 Miami Shores Village P8fiT1lt + Piulrnbin ;I esi+ +ential <y� 10050 N.E.2nd Avenue NE0 1 C}t $h�Ca#dn Attt��i31E'tltAltemo+t?n Miami Shores,FL 33138 0000 I !eftr�l StWui V ;r Phone: (305)795-2204 FioRCD�' Isr / t201 Expiration: 10/29/2017 Project Address Parcel Number Applicant 4 157 NE 101 Street 1132060131951a RACHEL&COLIN RILEY I Miami Shores, FL Block: Lot: Owner Information Address Phone Cell RACHEL&COLIN RILEY 157 NE 101 Street (716)807-1312 MIAMI SHORES FL 33138- _.....-. 157 NE 101 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 795.00 MALU PLUMBING INC (305)336-8034 Total Sq Feet: 45 Type of Work:ROUGH AND SET FOR A RENOVATION Available Inspections: Type of Piping: Inspection Type: Additional Info:ROUGH AND SET FOR A RENOVATION 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-4-17-63615 DBPR Fee $2.25 04/06/2017 Credit Card $50.00 $109.10 DCA Fee $2.25 Education Surcharge $0.20 05/02/2017 Credit Card $ 109.10 $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,Weaontractor �Wo ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing infe and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore,I authorize the abovto do the work stated. May 02, 2017 Authorized Signature:Owner / Applican Contractor / Agent Date Building Department Copy May 02, 2017 1 a64�j We.,Ay-rk 3P5 �6 Z ?S5 2e ,VcFjv F-® Miami Shores Village OR X61011 Building Department CA-, 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 2010 BUILDING (waster Permit No. Q-C I� PERMIT APPLICATION Sub Permit No. m - q F-1 BUILDING ❑ELECTRIC ❑ROOFING REVISION EXTENSION RENEWAL ®PLUMBING ❑MECHANICAL OPUBLICWORKS ❑ CHANGE OF CANCELLATION ❑ SHOP J /, CONTRACTOR DRAWINGS JOB ADDRESS: A)C ltJ /�� / L 'G) / ��Vpze . �L/. 3313 6, City: Miami Shores County: Miami Dade zip: Folio/Parcel#: 1/"1J 2126^ 0/0~119-51 Js the Building HistoricaBy Designated:Yes NO Occupancy Type: Load: / Construction Type: l Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): ! l �[d � r Phone#: �[b •ref l31 Za Address: ®- City: IO°ti / ���) State: D�"� ® Zip: 331.5K Tenant/Lessee Name: Phone#: Email: ` e CONTRACTOR:Company Name: �J w�i c-1� Phone4: c 3) 0 li�o3q Address: \ e, City: �kk State: Zip: Qualifier Name: 0. Phone#:�3 05� 33(o Q43q State Certification or Registration#: Cd�-L Vk 2 _Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit$ . C�C7 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace Detpolition Description of Work: 0. d� �� •�`� Specify color of color thru We: Submittal Fee$ Permit Fee$ /� CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ 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$2500,the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be proved and o reinspection fee will be charged. Signature 1 V��(N �� Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged ore me thisThe foregoing instrument was acknowledged before me this Z\ day of lt� 1 .20 t- by day of -401Z_1120 by k-A Chu� +`i �e who is personally known to I z0 _49 A&.66 who is personally known to me or who has produced t '3:)►2we,L L as me or who has produced r4 n�_ as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: / 4; 11 •.Sign: ! �'� Sign: .' IA G.MELIAN ION 052745 bz I - Print: r Print: r9 2020 .$, Thru Nobq Pulkb Ur�w n Seal: ';j� ANTULIO S MONTIEL Seal: MY COMMISSION#GG014M EXPIRES July 24,2020 APPROVED BY �`'`!�� Plans Examiner Zoning __ . . _... ...._..... --- - .._........_ -------------- - -----.....--------- .. RICK SCOTT,GOVERNOR KEN LAWSON,SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD. The PLUMBING CONTRACTOR Named below IS- CERTIFIED-Under the provisions.of Chapter 489 FS.. _ Expiration date: AUG-.,3,1,-2018. ❑� ALASA;'ROBERTO " ' MALU PLUMBIN.G.JNC 13155 IXORA GT#20 .r� .'' NORTH MIAMIL181 ISSUED: 07/11/2016 DISPLAY AS REQUIRED BY LAW SEQ# L1607110000626 004223 BT Local Business Tax Receipt Miami—.Dade County, State of Florida THIS IS NOT A BILL-DO NOT PAY 5443619 .. ' BUSINESS NAMEMOCATION ' RECEIPT NO. EXPIRES MALU PLUMBING INC .Must RENEWAL SEPTEMBER 30, 2017 206 - 5683355 ' be:displayed at place of business 13155 WM N . NORTH.MIAMI FL 33181 Pursuant to County Code Chapter BA-Art 9&10 OWNER SEC.TYPE OF BUSINESS PAYMENT RECEIVED, MALU PLUMBING INC 196 PLUMBING CONTRACTOR BY TAX COLLECTOR, CFC1426383 $45.00 08/09/2016 Worker(s) t CHECK21-16-110690 This Local Business Tax Receipt only coafirms payment of the Loea(�asiaess Tax The Receipt is notI permit,or a certification of the bolder's qualifications,to do business.Holder most Comply with Buy Manua Br aongovemmental regulatory laws and requirements which apply to the business , • The RECEIPT N0.above must be displayed on all commercial vehicles—Miami—Dada Code See>a-271 For owre information,visit I r' RICK SCOTT,GOVERNOR _ . .__ __- _ _-- -- KEN LAWSON,SECRETARY STATE OF FLORIDA - DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD • 3 , rP: The PLUMBING CONTRACTOR Names{below IS CERTIFIED .. Under the provisions of Chapter 489 FS:.. •"'��°"��=�-. Expiration date: AUG 31,2018 - - - ._ ._: • . �- ._ ;-- . " = �r'2- � r� -ALASA, ROBERT6-- PL MALU UMBING INC. "►• "" ,q ,�s 93155IXORA'CT#206- f, NQRTH MIAMtr'"-;�FL^b°�31$1 -••., -•... _ -•;`+ c`kc�:�t� �'� _ ' ' •r.-.:�`r _2-..—._....._.c'�••' +..� .-'a".`mr'}'�a .�"I..�.. ..�'.�-e -.A.7w �.. °4.. 61e .Y1� '.i:'.:r•.mt•..5.: .-..�_ ... .. .-- '--.._... • ISSUED 01111ROIS DISPLAY AS REQUIRED BY LAW SEa# LIG(R1`100 0626 t Local Business Tax Receipt Miami—Dade County, State of Florida THIS IS NOT A BILL-00 NOT PAY . 5443619 BUSINESBNAME&OCATWN RECEIPT NO. EXPIRES MALU PLUMBING INC RENEWAL SEPTEMBER 30, 2017 13155 WRA CT 206 8683356 Must be displayed at place of business NORTH MIAMI FL 33181 Pursuant to County Coda Chapter RA-Art 9&10 I OWNER 66C.TYPE OP BLISiNG6e I`f MALU PLUMU413 INC 193 PLUMBING CONTRACTOR PAYMENT aECEMD CFC1426= BY TAX COLLECTOR Worker(s) ..t S45.W 08/09/2016 CHEOUI-16-110690 This tooel Dashers Tax Necaipt oclq cmdimro paymetuof thD Local DeeirmasTaa.The Receipt isnw a ticBms, or Bmnam""I mgmilatm laeaa nodregniramis Wdich uppl the tiasieasa. The REPT W shore mast be ftlow ea all ammWeial"hides-Miami-DadeEode Sae BR.-M Form�r�inleroGttioq niait ►•. ..� City of North Miami FORTH MIAMI 776 N.E.125 Street • North Miami,FL 33161 . 305-833-6511 I, Business Tax/Certificate of Use Receipt Issued Date: W92016 OFFICE ONLY FOR PLUMBING COMPANY.HOME INDUSTRY Expiration trate:9130!2017 LICENSE. BusIne"Tax Receipt#: BT-003811 .. Business Name/Add sta: MALU PLUMBING 13155 IXORA CT,206 MALU PLUMBING,INC. NORTH MIAMI.FL33161 MALU PLUMBING 13155 MORA CT Michael A.E•tierttle,Esquire,Cky Clerk 206 NORTH MIAMI.FL 33161 W4WINANIAM �. r JEFF ATNATER 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: 1/3/2017 EXPIRATION DATE: 1/3/2019 PERSON: ALASA ROBERTO FEIN: 300065332 BUSINESS NAME AND ADDRESS: MALU PLUMBING.INC. 13155 MORA CT APT 206 NORTH MIAMI FL 33181 SCOPES OF BUSINESS OR TRADE: LICENSED PLUMBING CONTRACTOR Wsua!to ClW"4DOi1141.F.S.and►rer dacaporatbnwrodeata ezenpbon han bas Uapa by61m�n_aMnjfiC edeIeC0MWVWgas sed= may rent rewa baWAW a wmPWO*.n uneo Ova 0MAW RrauM t0 Chapter 4006112).F 8.Cafr4c�es or decbantobe e—o apol my vi9tln U1e8Wpedlhe tktialea8 ar tobe exmdte10 naUtubjw torn coesi.ii yumeem Clt abwdthe{a"or ft mees dekcb eena akampdarmcero %.O'eiepwnlo beexarto shaebesgsftrWeM ianrr.at agemeeW 11 UaMedthe MW,0.Theden magst erivake. the perm rtafttea an ete nall0e d eehtkafe ro lager trtesls Bte repaemals detrt seeuort tar rssaarced a cele6cele.The Ceparlmere steno revoke e DFS-F2-0WC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS?(850)4131609 DATE(MWDDIYYYY) AC R® CERTIFICATE OF LIABILITY INSURANCE 04/27/2017 �- THIS CERTIFICATE 13 133UE0 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. must be endorsed. N SUBROGATION IS WAIVED,subject to IMPORTANT: H the Cert(flCate holder is an ADDITIONAL INSURED,the policy(fes) the terms and conditions of the policy,certain policies may require an endorsement. A sWement on this certificate does not coder right's to the certificate holder in Neu of such endorsement(s). -WNTACT marquito figueroa PRODUCER - NAME— - FAX PHONEHIALEAH GENERAL INSURANCE ! N%M 305 821-2777 -- E-MAIL hiagen@belisouth.ne 1432 WEST 49 ST ADIM -_ WSURER[S�AFFORDING COVERAGE NAIC p HIALEAH FL 33012 INSURER A GRANADA INSURANCE --- ---- _ __-------------------- - - GUARDIAN INSURANCE INSURED MALU PLUMBINGANC(7752) INSURER C: 13155 IXORA CT#206 INWRER o - - INSURERE: Miami FL 33181 INS(JRER F 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 POLICY PERIOD ITION OF ANY CONTRACT OR OTHER DOCUMENT N11TH RESPECT TO WHICH THIS INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR COND 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. _ - ---- ----- POL---ICY E- FF --- - POLICY— EXP ^-- INSRLIMITS TYPE OF INSURANCE L , POLICY NUMBER � 1.000 000 COMMERCIAL GENERAL UABfLITY EACH✓CGURRENGE __ _ 5__ ------_ i E� - �AMA�c d�ENfiD` y 100.000 CLAIMS-MADE X OCCUR PREMISES!Ea oc.uTencsi__ _- 5.000 MED EXP r.Any one Perspn(--•_S _ _. _. - --- - ---— --- 0185FL00010318 06!30!2016 0630!2017 PERSONAL sADv!NJURv $ 1.000.00 A - — - - GENERAL tiGGREGATE $ 2.000 000 GEN'L AGGREGATEP, JMrr APPLIES PE '. --------`--EXC -- ----- -� PRCG GTS-COI."•PN P AGG S _--_--- POLICY pRCI- ECT LOC — _ ~OTHE COMBINED SINGLE LIMIT AU y TOMOBILELIABILnY I - -- BODILY INJURY(Per PerSOM S ANY AUTO --- BODILY INJURY(Per sacerdent) S ALL OWNED SCHEDULED - _ .- l.__ AUTOS _-. ..AUTOS PROPERTY DAMAGE $ I NON-OWNED __iPer acud?r») AUTOS HiREDAUTOS .--� i E UMBRE.A LIAR - OCCUR EA CH OCCURRENC EXCESS UAB !CLAIMS-MADE RETENTIONS ORK ERS COMPENSATION AD /A• EMPLOYERS'LIABILITY Y t N EL EACH ACCIDENT S 100 000 B ANY PROPRIETOR.PARTNEFUEXECUTrVE ❑ N MAWC826814 03127/2017, 03/27/2018 -----_ .-. GFFICERtMEMBER EXCLUDED? EL CIS_EASE-EA EMPLOYEES_ (Mandatory M NMI 100.000 Tit yyas.describe under E L DISEASE-POLICY LIMIT S DE CRIPT( N OF OPERATIONS WOW i DESCRIPTION OF OPERATtONS I LOCATIONS I VEHICLES(ACORD 101,Add(tfa"Remarks Scheduta,may be Odeched If more space is required) CERIFICATE HOLDERS IS NOT AN ADDITIONAL INSURANCE PLUMBING CONTRACTOR CFC 1426383 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRI D POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, %NOTLG WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PR tONS. MIAMI SHORES VILLAGE BUILDING DPTO AUTHowwREPRESENTATIVE j 10050 NE 2 AVE MIAMI SHORES VILLAGE.FL 33138 ©1986-2014 AC C RFS All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD , Grout/TDS-100 Commercial 100% Silicone Caulk Wn9 7lme 6 Availability&Cost Probed finished work from traffk and exposure to water until fully cured,generally 24 hours at 70°F(21°Q.Caulk should are a full 7 Iters Code Size Color Package days before being exposed to continuous submersion In water. CCSC000 10.1 oz.(300 mi) #000 Clear Cartridge Cleaning of equipment CCSC09 10.1 oz.(300 ml) #9 Natural Gray Cartridge Clean all tools with paint thinner or mineral spirits before material CCSC10 10.1 oz.(300 mi) #10 Antique White Cartridge dries. CCSCII 10.1 oz.(300 ml) #11 Snow White Cartridge Storage CCSC19 10.1 oz.(300 ml) #19 Pewter Cartridge CCSC22 10.1 cm(300 ml) #22 Sahara Tan Cartridge Store away from extended or extreme heat and cold.Keep from CCSC45 10.1 oz.(300 ml) #45 Summer Wheat Cartridge freezing.Replace cap after each use. CCSC50 10.1 oz.(300 ml) #50 Nutmeg Cartridge Health Precautions CCSC52 10.1 oz.(300 ml) #52 Tobacco Brawn Cartridge CAUTION KEEP OUT OF REACH OF CHILDREN.Provide adequate CCSC59 10.1 oz.(300 ml) #59 Saddle Brown Cartridge ventilation during Installation.DO NOT TAKE INTERNALLY.AVOID EYE CCSC60 10.1 oz.(300 ml) #60 Charcoal Cartridge CONTACT.WARNING:This product contains one or more Chemicals known to the State of California to cause cancer. CCSC95 10.1 oz.(300 ml) #95 Sable Brown Cartridge Conformance to Building Codes CCSC101 10.1 oz.(300 m!) #101 Quartz Cartridge CCSC105 10.1 oz.(300 m!) #105 Earth Cartridge state Installation must comply with the requirements of all appUcable local, CCSC115 10.1 oz.(300 ml) #115 Platinum Cartridge CCSC122 10.1 oz.(300 ml) #122 Linen Cartridge CCSC135 10.1 oz.(300 ml) #135 Mushroom Cartridge CCSC145 10.1 oz.(300 ml) #145 Light Smoke Cartridge CCSC156 10.1 oz.(300 ml) #156 Fawn Cartridge CCSC165 10.1 oz.(300 ml) #165 Delorean Gray Cartridge CCSC172 10.1 oz.(300 ml) #172 Urban Putty Cartridge CCSC180 10.1 oz.(300 ml) #180 Sandstone Cartridge CCSC183 10.1 oz.(300 m!) #183 Chateau Cartridge CCSC185 10.1 oz.(300 rnl) #185 New Taupe Cartridge CCSC186 10.1 oz.(300 ml) #186 Khali Cartridge CCSC333 10.1 oz.(300 ml) #333 Alabaster Cartridge CCSC335 10.1 oz.(300 ml) #335 Witter Gray Cartridge CCSC370 10.1 oz.(300 ml) #370 Dove Gray Cartridge CCSC380 10.1 oz.(300 ml) #380 Haystack Cartridge CCSC381 10.1 oz.(300 ml) #381 Bright White Cartridge CCSC382 10.1 oz.(300 ml) #382 Bore Cartridge CCSC386 10.1 oz.(300 ml) #3B6 Oyster Gray Cartridge CCSC401 10.1 oz.(300 ml) #540 Truffle Cartridge CCSC541 10.1 oz.(300 ml) #541 Walnut Cartridge CCSC542 10.1 oz.(300 ml) #542 Graystone Cartridge CCSC543 10.1 oz.(300 ml) #543 Driftwood Cartridge CCSCS44 10.1 oz.(300 ml) #544 Rolling Fog Cartridge CCSCS45 10.1 oz.(300 ml) #545 Bleached Wood Cartridge CCSC546 10.1 oz.(300 ml) #546 Cape Gray Cartridge CCSCS47 10.1 cm(300 ml) #547 Ice Blue Cartridge CCSC54B 10.1 oz.(300 ml)1 #548 Surf Green Cartridge CuMST�3M� Published Date:12/10J2015