PL-16-1813 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number. INSP-273309 Permit Number: PL-6-16-1813
Scheduled Inspection Date: December 21,2016 Permit Type: Plumbing- Residential
Inspector: Hernandez,Rafael Inspection Type: Final
Owner: FACCIDOMO,JUDE& FRANCES Work Classification: Addition/Alteration
Job Address:30 NE 93 Street
Miami Shores, FL 33138-
Phone Number (305)374-5730
Parcel Number 1132060130200
Project: <NONE>
Contractor: AVR CONTRACTORS, CORP Phone: (786)818-0337
Building Department Comments
BATHROOM IN ADDITION ,WASHER&DRYER Infractio Passed Comments
RELOCATE INSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-273221. CREATED AS
REINSPECTION FOR INSP 262194. not ready
12/19/2016
Failed JAVIER PEREZ>CANCELLED INSPECTION 11:03 AM
Correction ❑
Needed
Re-Inspection
Fee il)
No Additional Inspections can be scheduled until
re-inspection fee is paid.
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SNo�r Miami Shores Village I/ PerrlY IL1i1k : $e0Lntl
A 10050 N.E.2nd Avenue NE
Miami Shores,FL 33138-0000 =� Wt�l�tIS�CIfOt7 /t1{{IltiCri/Xltralric�ti
h Phone: (305)7952204 P�rmit5t:� t1�1 �� '
, � 1 � 1i Expiration: 01/07/2017
Project Address Parcel Number Applicant
30 NE 93 Street 1132060130200
Miami Shores, FL 33138- Block: Lot: JUDE&FRANCES FACCIDOMO
Owner Information Address Phone Cell
JUDE&FRANCES FACCIDOMO 30 NE 93 Street (305)374-5730
MIAMI SHORES FL 33138-
30 NE 93 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone Valuation: $ 3,000.00
AVR CONTRACTORS,CORP (786)818-0337
Total Sq Feet: 200
Type of Work: Available Inspections:
Type of Piping: Inspection Type:
Additional Info: Top Out
Bond Return: Final
Classification:Residential Scanning: 1 Underground
Fees Due Am]00
�Date Pay Type Amt Paid Amt Due
CCF
Invoice# PL-6-16-60392
DBPR Fee 07/11/2016 Credit Card $239.56 $0.00
DCA Fee
Education Surcharge
Permit Fee $
Scanning Fee Technology Fee Total: $23
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-na ed contractor to do the work stated.
July 11,2016
Authorized Signature:Owner / Applicant / ontra or / Agent Date
Building Department Copy
July 11,2016 1
Miami Shores Village
Building Department
10050 N.E.2nd Avenue,Miami Shores, Florida 33138 V 6
Tel: (305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 201 5th
BUILDING Master Permit No. P-c, 16- /f i
PERMIT APPLICATION Sub Permit No. L— I ( — 1813
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: V ��
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated:Yes NO X
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): &4l&Gf XV6JV19F ) 4W DO M,i Phone#:-9Q5 C C,6;?AfY'('6
Address: 3o A-/(:_-
City: .11(6i(4, .1 �� �)�' + %`y' Stater. Zip: ` -
Tenant/Lessee Name: Phone#:
Email: :faja C G4dol l > cow
CONTRACTOR:Company Name: U9 C-0M6 � (1-0R_ Phone#: ?U 6/9 033?
Address: Wve YA1'1 6
City: f IIA604A State: ,�/�Gv Zip: 1560V
Qualifier Name: ! Phone#: 9�� 1J339
Z!State Certification or Registration#: !V-2 Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ 3, ()60 Square/Linear Footage of Work: 200
Type of Work: ❑ Addition ❑ Alteration -/ ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: o��LTr�� ;11 egcl4- /did 111a 2)yAy' fe&fie.
�,F:.�-ca��°� e7s. ,,. ......r :•..,m 8::_;..._s�-ter;'
l
i�
Specify color u ,'1 thruJtfle:' _
Submittal Fee$ jVFae,,$,, "" CCF$_i � CO/CC$
Scanning Fee$ S• (5�3 Radon Fee$ . _3 DBPR$ Notary$
Technology Fee$ Q' 0 Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ 2
(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 ust be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In se a of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
29 day of�Tykut 20 )L , by & _day of c� ,20 01(D by
�Ra.ac@ S 6 re o.ry ,who is personally known to fibada VM ,who is personally known to
me or who has produced 1`L 6tt&4Act It«ti c,4 as me or who has produced fl. Dft JJ'Off 156 as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUB C: NOTARY C:
Sign: Sign:
pull /�_ _
Prin : e Jj,�L►yJ Print:
No y Public-State of Florida •Q""'�, "NETDCAZ
Seal: �'• '•=My Comm.Expires Oct 30,2018 Seal: ;jo:� ""•�;�,,w
"�• d: Notary Publ',,,OFFoCommission#fF 173169 + My Comm.ECommiss
OF
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395
1940 NORTH MONROE STREET
TALLAHASSEE FL 32399-0783
VERA, RICARDO
AVR CONTRACTORS,CORP
8177 WEST 36 AVENUE APT 6
HIALEAH FL 33018
Congratulations! With this license you become one of the nearly
one million Floridians licensed by the Department of Business and STATE OF FLORIDA
Professional Regulation. Our professionals and businesses range DEPARTMENT OF BUSINESS AND
from architects to yacht brokers,from boxers to barbeque �.
restaurants,and they keep Florida's economy strong. --� PROFESSIONAL REGULATION
Every day we work to improve the way we do business in order CFC1429522 ISSUED: 02/28/2016
to serve you better. For information about our services,please
log onto.www.myflorldallcense.com. There you can find more CERTIFIED PLUMBtNG CONTRACTOR
Information about our divisions and the regulations that impact VERA,RICARDO
you,subscribe to department newsletters and learn more about AVR CONTRACTORS,CORP
the Department's initiatives.
Our mission at the Department is:License Efficiently,Regulate
Fairly.We constantly stave to serve you better so that you can IS CERTIFIED under the provisions of Ch.489 FS.
serve your customers. Thank you for doing business in Florida, E)puati date:AUG 31.2016 L160228OW0809
and congratulations on your new license!
RICK SCOTT. GOVERNOR KEN lAWSON,SECRETARY
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION i4Ys S .
CONSTRUCTION INDUSTRY LICENSING BOARD
4�
s
CFC1429522 t
The PLUMBING CONTRACTOR
Named below IS CERTIFIED ,
Under the provisions of Chapter 489 FS.
Expiration date: AUG 31, 2016
0 • 91
VERA, RICARDO • . `
AVR CONTRACTORS, CORP
8177 WEST 36 AVENUE APT 6
HIALEAH FL 33018 ■ •
n1 •
JEFF ATWATER
CHIEF FINANCIAL 0FRCER STATE OF FLORIDA
DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORKERS'COMPENSATK"
•*CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS'COMPENSATION LAW••
CONSTRUCTION INDUSTRY EXEMPTION
This certlfles that the hidividual fisted below has elected to be exempt from Florida Walters'Comlm ation law.
EFFECTIVE DATE: 5/12/2016 EXPIRATION DATE: 5/12/2018
PERSON: VERA RICARDO
FEN: 473999893
BUSINESS NAME AND ADDRESS:
AVR CONTRACTORS CORP.
8177 WEST 36 AVE UNIT 6
HIALEAH FL 33018
SCOPES OF BUSINESS OR TRADE:
LICENSED GENERAL LICENSED PLUMBING HEATING.VENIILATICK
Pumord to Chapter 440.05(14.F.S„an ober da corporcttm who elects exemption from tht dopier by fQ a owtilkabs of election under this h
may not recover bmft or ownpwoom under tlft dopier.Pursuant to Chapter 440.05(121 F.S.,CeFUlicsites,d election to 1x3 wmmpL-apply only
•mnNb the some of the buskoss or trade gated an the notice of election to be exernaL Plaaant to Cx soW 440.05(13).F.S.,fJMbes of election to be
exempt oral cartilloates,of election to be exampt stall be subject to revocation B at any&ns after the QM of the rAfte or the Issuance of the certificate,
the pmsm named on the notice ori no loner meets lie rem of tht section for lssumm da ice.The dmarbwd dad revom a
vs v-i sti,:v-�..s a.`s�i a n.r�.c yr c��i.a tines i v oc cncm�i ICO fVCIJ\M�fJ .n err�a w av:.a.tti..o -_
SVoREs y
s� Miami shores Village
�"� BuildingDepartment
050 N.E.2nd Avenue
res RA
RIDp` Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Notice to Owner — Workers' Compensation Insurance Exemption
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Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05
allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to
obtaining a building permit. Pursuant to the Florida Division of Workers'Compensation Employer Facts Brochure:
An employer in the construction industry who employs one or more part-time or full-time
employees, including the owner,must obtain workers' compensation coverage. Corporate officers
or members of a limited liability company (LLC) in the construction industry may elect to be
exempt if
1. The officer owns at least 10 percent of the stock of the corporation, or in the case of
an LLC,a statement attesting to the minimum 10 percent ownership;
2. The officer is listed as an officer of the corporation in the records of the Florida
Department of State,Division of Corporations;and
3. The corporation is registered and listed as active with the Florida Department of
State,Division of Corporations.
No more than three corporate officers per corporation or limited liability company members are
allowed to be exempt. Construction exemptions are valid for a period of two years or until a
voluntary revocation is filed or the exemption is revoked by the Division.
Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use
day labor,part-time employees or subcontractors for your project.The contractor has provided an affidavit stating that he or she will
be the only person allowed to work on your project.In these circumstances,Miami Shores Village does not require verification of
workers'compensation insurance coverage from the contractor's company for day labor,part-time employees or subcontractors.
BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS
CONTENTS.
Signature:
Owner
State of Florida
County of Miami-Dade
The foregoing was acknowledge before me this--Z'? day of Twe 920 ]b .
By &A&c,-s " cct doplo who is personally known to me or has produced
UE ic-ew W as identification.
Notary: "'' .
? WtUY Pub -8 to of FI&Ma_
SEAL: My Comm.Exph'"Oct 30,2014
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%11 Commissloo FF 173169
111
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DRIVER LPCENS SS
V600-720-67-167-Q
RICARDO
VERA
425 IN 69TH PL
10ALEAH,FL 330144?49
DOS,05-07-1967 SEX.
t&PUED:12-0-2oi2H 5.4
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Local Business Tax Receipt
Miami-Dade County, State of Florida
-THIS IS NOT A BILL-DO NOT PAY
7203373 [ :B:T .
BUSINESS NAME/LOCATION RECEIPT NO.
AVR CONTRACTORS CORP EXPIRES
6177 W 26 AVE#6 NEW BUSINESS SEPTEMBER 30, 2016
HIALEAH, FL 33018 7486228 Must be displayed at place of business
Pursuant to County Code
Chapter 8A-Art.9&10
OWNER SEC.TYPE OF BUSINESS
AVR CONTRACTORS CORP 196PAYMENT RECEIVED
C/O RICARDO VERA PRES SPECIALTY PLUMBING CONTRACTOR BY TAX COLLECTOR
Worker(s) 1 CFC1429522 45.00 06/20/2016
0222-16-007414
This Local Business Tax Receipt only confirms payment of the Local Business Tax,The Receipt is not a license,
permit,or a certification of the holders qualifications,to do business.Haider must comply with any governmental
or nongovernmental regulatory laws and requirements which apply to the business.
The RECEIPT N0.above must he displayed on all commercial vehicles-Miami-Dade Code Sec 8a-276.
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For more information,visit www�ni�tniid�ds 9Qy1taxcollotQr