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PL-16-2602Miami Shores Village 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 BUILDING PERMIT APPLICATION BUILDING ❑ ELECTRIC ❑ ROOFING •PLUMBING ❑ MECHANICAL ❑ PUBLIC WORKS JOB ADDRESS: 671 NE 105 ST FBC 20 lu Master Permit No. -C?) C. Sub Permit No. PI 2-%0 ❑ EXTENSION ❑RENEWAL ❑ REVISION ❑ CHANGE OF CONTRACTOR ❑ CANCELLATION ❑ SHOP DRAWINGS City: Miami Shores County: Miami Dade Zip: Folio/Parcel#:112231-012-0100 Occupancy Type: Load: Construction Type: Is the Building Historically Designated: Yes NO X Flood Zone: BFE: OWNER: Name (Fee Simple Titleholder): ?0!)Oe4.- /7904/.4.00 . fi, Address: /Y(#'1-9 54, /0 v 1 y9 a City: in/ 9 nil State: F.L. Tenant/Lessee Name: Email: furor ice br, /G// C& /ode/V. 40094 FFE: Phone#: ;06 • 3 'f J3 -3 ? 0 3 Phone#: Zip: 33/86 CONTRACTOR: Company Name: BIG PLUMBING CORP Address: 9190 NW 119 ST BAY 10 Phone#: 305-821-2880 City: HIALEAH GARDENS Qualifier Name: ARMANDO GONZALEZ state: FLORIDA Phone#: Zip: 33018 State Certification or Registration #: RF0066479 Certificate of Competency #: 97P000310 DESIGNER: Architect/Engineer: AZIRM0 (Afiqu41aj air-v4p , k4- Phone#: ?os • 899 • 9f/GS Address: // 9 S die /2,5" si 2/5City /77/;? en i State: FL Zip: 73 /1 / Value of Work for this Permit: $ • - i2/ 7 Square/Linear Footage of Work: 6,000, sc Type of Work: ❑ Addition 0 Alteration Description of Work: KITCHEN RE -MODEL ❑ New ❑ Repair/Replace ❑ Demolition 64. /44.. 67 C S) Leo/ oWel i&ai. pA. is_ P /cfea. d -m - A js Specify color of color thru tile: F77, Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ CCF $ CO/CC $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ (Revised02/24/2014) TOTAL FEE NOW DUE $ c7 / 3 . 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 building permit is issued. In the absence of such posted notice, the inspection wi , be approved and a reinspection fee will be c rged. OWNER or AGENT The foregoing instrument was acknowledged before me this 11 � 13 day of x[.0`1 1 o( , who is personally known to The foregoing instrument was acknowledged before me this , 20 , by 1ST day of APRIL , 20 16 . by ARMANDO GONZALEZ , who is personally known to me or who has produced as me or w + has produced NjA as identification and who did take an oath. NOTARY PUBLI+: Sign: Print:t identific and wh • did take an oath. NO Seal• •"_Cammiissfon#PF17237& Expires: OCT 28,2018 't, ‘ SST BONDFLORIDAED NOTATHRID fl LLC cif PIZAQNANNOda driane c; bonaru 10 y Commission FF 032093 pires 08/30/2017 ************************** F**i*+►+R********+Y********►***+ ****+MAY************************ kik#***+R*+F+U*i*********** APPROVED BY (Revised02/24/2014) 341 i(<> Plans Examiner Zoning Structural Review Clerk Oct 13 16 10:20a Big Plbg Corp 3058216494 CITY OF HIALEAH GARDENS 10001 N.W. 67TH AVENUE -HIALEAH bARDENS, FLORIDA 33016 BUSINESS WRECE1PT Business Name: BIG PLUMBING CORP. 9190 NW 119ST*10 HIALEAH GARDENS, FL 33016 Business Type: PLUMBING CONTRACTOR VP,P p.1 DATE: 6/28/2016 Issued To: LATRAS, ABRAHAM 8753 N:W. 140 LANE MIAMI, FL 33118 City License acial L I CENSE YEAR 2016 - 2017 LICENSE MUST BE EXHIBITED contsPicyausty ATYO&JR PLACE OF BUSINESS Sep 2216 09:02a Big Plbg Corp ARMANDO n!1NZA1 FT 654 E 51 ST HIALEAH, Ft, 33013-1628 MOO. a14-14-432: sEX M ISSUED: 07-22-2,113 HUS -§-UE EXetRES: 03-14-2.013 REST: AB SAFE DRIVER 31RICT14N6: A -Corrective Lenses, B•Outtside Reanridw Mirror QRS E IdE`rT9: ass: Ei - Amy non•cor r,-ossp■ I vakkia Wr h a +WAR roes than 26.001 lbs. or any RV PLACEMENT LICENSE REQUIRED SY7i1!<R 10 DAYS OF ADDRESS OR NAME CHANGE. , sunt, a r rzmide terse= aB property rights !wren,. JAYy.la1f �•lrr YYYCCCLfr `�Ri h a Er•fuf CraZC' •/ .44441'. 4 .f .rren4 �el•3'srn, S NI W. e!:SG:Cn It 3 -to c/.4 x111 ssarmw ani —_:-151 C4m.12 — wvm.lRamvgov 3058216494 p.3 ConstrCTQB uction Trades Qualifying Board BUSINESS CERTIFICATE OF COMPETENCY 97P000310 BIG PLUMBING CORPORATION D.B.A.: GONZALEZ Al MANDO Is certified under the provisions of Chapter 10 of Moa n -pade County QUALIFYING TRADE(S) 0001 PLUMBING Jeune H. Saba PE. Jam`_/ Secretary rime Board CJ/Cy1 Ntamf-aat1u County rularns vff arna♦rry tights herein. 9/300 rnrusai• Wer niarrtdade 9avtecgncnn Sep 22 16 09:03a Big Plbg Corp Ci.. 22. 2012 g : 46AM 013632 Municipal Contractor's Receip Miami—Dade County, State of Florida -THIS IS NOTABILL - DC NOT PAY 4205449 BUSINESS NAME1LOCATION BIG PLUMBING CORP 9190NW 119511310 HIALEAH GARDENS FL 33018 OWNER BIG PLUMBING CORP Category(s) 1 RECEIPT NO. NEW 7487768 3058216494 p.4 No. 0763 P. 1/1 EXPIRES SEPTEMBER 30, 2017 Must be displayed at place of business Pursuant to County Code Chapter SA - Art. 9 3r 10 SEC. TYPE OF BUSINESS MMC PLUMBING CONTRACTOR 97P000310 PAYMENT RECEIVED BY TAX COLLECTOR $200.00 07/25/2016 CREDITCARD-16-043483 This Local Rosiness Tax Receipt only confirms payment of the Local Business Tax The Receipt is not a license. permit, er a certification of the holder's quallications, to do business. Bolder must comply with any governmental or nongovernmental regulatory laws and requirements which applyto the business. The RECEIPT N0. above must be displayed an all commercial vehicles - Miemi-Dade Code Sec 8a-276. For mare intormatiDC, visi1 www.miamidade.govftaxclllector CERTIFICATE OF LIABILITY °��`MM'°°'""""' INSURANCE 03/22/2016 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 Heu of such endorsement(s). PRODUCER Delatorre Insurance 12905 SW 42 St Ste 216 Miami, FL 33175 Phone (305) 400-8746 Fax (786) 362-6851 CONTACT Delfo Delatorre NAME: PHONE 400-8746Fax AI LoTI: (305 ) fAm Not: (786) 362-6851 E-mA_ADDRESS: delfa04@delatorreinsurance.net INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: AmTrust Insurance Group. INSURED Big Plumbing Corp 9190 NW 119TH ST Bay 10 Hialeah, FL 33018 FL CAVFRAr:FR INSURER B : National General Insurance Group. INSURER C : INSURER D : $ 100,000.00 INSURER E : INSURER F: 03/30/2016 11%L. V .v.,/.V MI THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTED 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 LTR TYPE OF INSURANCE ADDLSUBR IN POLICY NUMBERI POLICY EFF (MM/DD/YYY1f) I POLICY EXP i (MMIDD/YYYY) LIMITS EACH OCCURRENCE $ 1,000,000.00 COMMERCIAL GENERAL LIABILITY ❑ CLAIMS -MADE Li OCCUR Li DAMAGE TO RENTED PREMISES (Ea occurrence) $ 100,000.00 WPP1447924-00 03/30/2016 MED EXP (Any one person) $ 5,000.00 A U 03/30/2017 PERSONAL & ADV INJURY $ 1,000,000.00 GEML AGGREGATE LIMIT APPLIES PER:GENERAL ❑ POLICY ❑ LOC OTHER AGGREGATE $ 2,000,000.00 PRODUCTS - COMP/OP AGG $ 1,000,000.00 $ B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED n SCHEDULED ❑ AUTOS AUTOS Lj HIRED AUTOS ❑ ANtOTN-OWNED LI COMP ❑� COLL COMBINEDSINGLE LIMB $ 1,000,000.00 BODILY INJURY (Per person) )1 $ TBA16139 03/30/2016 03/30/2017 BODILY INJURY (Per accident $ PROPERTY DAMAGE $ (Per accident) PIP $ 10,000.00 ri UMBRELLA L!AB ❑ OCCUR EXCESS LIAR CLAIMS -MADE EACH OCCURRENCE 0 AGGREGATE $ ❑ DED ❑ RETENTION$ $ A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? L � (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below _ STATUTE ❑ ER N/A AWC1060339 03/30/2016 03/30/2017 EL EACH ACCIDENT $ 100,000.00 E.L DISEASE - EA EMPLOYEE $ 100,000.00 E.L. DISEASE - POLICY LIMIT $ 500,000.00 DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) 2007 FORD F250 SUPER DUTY -1 FTNF205X7EA04470 2006 FORD F150 - 1FTRF12276NB16723 2015 NISSAN NV 200 - 3N6CMOKN2FK719081 PCDTCIf`ATC LIEU nrn T1ON MIAMI SHORES VILLAGE 10050 NE 2 AVE MIAMI SHORES VILLAGE, FL 33138 FAX: 305-756-8972 ACORD 25 (2014/01) QF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORED REPRESENTATIVE © 1988- 14 ACORD CORPORATION. All rights reserved. The ACO name and logo are registered marks of ACORD