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PL-16-1008Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 IS -s 5 Inspection Number: INSP-256952 Permit Number: PL -4-16-1008 Scheduled Inspection Date: August 21, 2017 Inspector: Hernandez, Rafael Owner: STAVILE, ESTEBAN MATIAS Job Address: 5 NW 106 Street Miami Shores, FL 33150 - Project: <NONE> Contractor: RENO'S PLUMBING & POOL INC Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition/Alteration Phone Number (786)447-6812 Parcel Number 1121360060240 Phone: (561)368-3308 Building Department Comments PLUMBING FOR ADDITION Infractio Passed Comments INSPECTOR COMMENTS False Passed Failed Correction Needed Re -Inspection Fee No Additional Inspections can be scheduled until re -inspection fee is paid. Inspector Comments August 18, 2017 For Inspections please call: (305)762-4949 Page 1 of 28 Project Address Miami Shores Village 10050 N.E. 2nd Avenue NW Miami Shores, FL 33138-0000 Phone: (305)795-2204 Permit Permit NO. PL -4-16-1008 Permit Type: Plumbing - Residential Work Classification: Addition/Alteration Permit Status: APPROVED Issue Date: 4127/2016 Expiration: 10/24/2016 Parcel Number Applicant 5 NW 106 Street Miami Shores, FL 33150- 1121360060240 Block: Lot: ESTEBAN MATIAS STAVILE Owner Information Address Phone Cell ESTEBAN MATIAS STAVILE 2723 NE 6 Lane WILTON MANORS FL 33334- Contractor(s) RENO'S PLUMBING & POOL INC Phone (561)368-3308 Cell Phone Valuation: Total Sq Feet: $ 500.00 0 Type of Work: PLUMBING FOR ADDITION Type of Piping: Additional Info: Bond Return : Classification: Residential Scanning: 1 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $0.60 $2.25 $2.25 $0.20 $150.00 $3.00 $0.80 $159.10 Pay Date Pay Type Invoice # PL -4-16-59416 04/27/2016 Credit Card 04/14/2016 Check #: 527 Amt Paid Amt Due $ 109.10 $ 50.00 $ 50.00 $ 0.00 Available Inspections: Inspection Type: Top Out Final Review Plumbing Underground 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 an• onin•. Futhermore, I authorize the above-named contractor to do the work stated. Authorized Signature: Owner / Applicant / Building Department Copy Contractor Agent April 27, 2016 Date April 27, 2016 1 Miami 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 Master Permit No.AS —5 PERMIT APPLICATION Sub Permit No. Ft--- tL — (OdS ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑ BUILDING PLUMBING JOB ADDRESS: ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR N.w 106 51 - DRAWINGS City: Miami Shores County: Folio/Parcel#: — \3h - Ot6-- o').'0 Occupancy Type: Load: Construction Type: Miami Dade Zip: 3 I S Is the Building Historically Designated: Yes NO Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): GS .c oh IA CO- ka 5 Gotk C Phone#: 7 yy7 c$1'2. Address: S /`)W t© 6 City: M State: F (� Tenant/Lessee Name: Email: Phone#: zip:33IS O CONTRACTOR: Company Name: fP2w"'Pii/ Address: City: BUC'�.gT � State: ` j%�-- Qualifier Name:4-14:1 VA Phone#:G�o/— S 2 - 2 58--2_. zip: &2i- zip: 3343( Phone#: 991— (27_C11-- State Certification or Registration #: Certificate of Competency #:CFC_' 654 7 L— DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $3'f .rte Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New Description of Work: idv.ks,n a?) .-kk.m ❑ Repair/Replace ❑ Demolition Specify color of color thru tile: Submittal Fee $ 50- Cli Permit Fee $ tb0".gr- CCF $ 0 • 6 6 CO/CC $ P Scanning Fee $ 03 •a) Radon Fee $ —i . DBPR$ 4• Notary $ 91 0 Technology Fee $ (0` a) Training/Education Fee $ • 25 Double Fee $ 0 Structural Reviews $ (Revised02/24/2014) Bond $ TOTAL FEE NOW DUE$ C R . (6 Bonding Company's Name (if applicable) Boriding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application ishereby 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. Signatu OWNER or AGENT The foregoing instrument was acknowledged before me this 24341 day of 1MX rC11 , 20 1,0 by G— ATAtfxl� j ce4 o J FCe4who is personally known to me or who has produced identification and who di NOTARY PUBLIC: Sign• Print: Seal: as Signat CONTRACTOR The foregoing instrument was acknowledged before me this 22-1`e day of f' jf.4 C\ , 20',{0 , by \emi U U; me or who has produced 4:,:4‘.:1‘.19,4% ''4 .KYLE COMMISSIO # EE867056 CK i MY EXPIRES January 22, 2017 8.0153 FtondallotaryServiceGoin ,k.LL Moth, etc APPROVED BY (Revised02/24/2014) , who is personally known to entification and who did tak OTARY PUBLIC: Sign: Print: Seal: as • KYLE C HAMBRICK :*:.MY COMMISSION # EE867056 .%4*�!�; EXPIRES January 22, 2017 '''..FbndallolerySarv{oecom 4!7)398.0153 • Y- ?d 4 • Plans Examiner Structural Review Zoning Clerk ANNE M. GANNON CONSTITUTIONAL TAX COLLECTOR Serving Palm Beach County Serving you. P.O. Box 3353, West Palm Beach, FL 33402-3353 "LOCATED AT" www.pbctax.com Tel: (561) 355-2264 1057 NW 6TH DRIVE BOCA RATON, FL 33486-3437 TYPE OF BUSINESS OWNER CERTIFICATION # RECEIPT #/DATE PAID AMT PAID BLL N 23-0069 PLUMBING CONTRACTOR VALLI RENATO JAMES CFC058782 1315.895920-09/23/15 $27.50 640111303 This document is valid only when receipted by the Tax Collector's Office. RENO'S PLUMBING & POOL INC RENO'S PLUMBING & POOL INC 1057 NW 6TH DR BOCA RATON, FL 33486-3437 STATE OF FLORIDA PALM BEACH COUNTY 2015/2016 LOCAL BUSINESS TAX RECEIPT LBTR Number: 200306261 EXPIRES: SEPTEMBER 30, 2016 This receipt grants the privilege of engaging in or managing any business profession or occupation within its jurisdiction and MUST be conspicuously displayed at the place of business and in such a manner as to be open to the view of the public. RENOPLU-01 GBUCHAN ACORb.DATE ki....,---- CERTIFICATE OF LIABILITY INSURANCE (MINDDIm'h 4/6/2016 THIS CERTIFICATE H 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 Neu of such endorsement(:). PRODUCER Plastridye insurance Agency 2100 N. Dixie H Boca Raton, FL 43 CONTACT PHONE (561)395-1438 FAX Nor (561) 395.4755 : bocadocs@piasMdge.com SISIRER(S) AFFORDING COVERAGE NAIC A INSURER A : Arch Specialty Ins. Com COMMERCIAL GENERAL LJABIITY INSURED Reno's Plumbing & Pool, Inc. 1057 NW lith Drive Boca Raton, FL 33486 INSURER e : AGL00472502 INSURER C: 09/2612016 INSURER D : $ 1,000,000 INSURER E : $ 100,000 INSURER F : 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 1S SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TV TYPE OF INSURANCEp AD • yryp POLICY NUMBER POLICY REF (NMNOrYYYY) POLICY EXP (11WOISYYYYI UNITS A X COMMERCIAL GENERAL LJABIITY AGL00472502 09/2612015 09/2612016 EACH OCCURRENCE $ 1,000,000 PftF.ul S (ENTED ) $ 100,000 C ASIS.MADE X OCCUR MED EXP (My one person) $ 10,000 PERSONAL $ ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000+000 GEM AGGREGATE POLICYJEcy OTHER: LIMIT APPUES PER LOC PRODUCTS - COMP/OP AOG $ 1,000,000 $ AUTOMOBILE UABILITY ANY AUTO ALLLOSNED HIRED AUTOS _ AUTOS SCHEDULED NON-OWNED OSS ccCOMBINED identSINGLE um.= BODILY INJURY (Per person) $ BODILY INJURY(Per accident) S accident)S $ UMBRELLA UM EXCESS UAB OCA CLAIMS -MADE _ EACH OCCURRENCE $ AGGREGATE $ $ DED RETENTION= WORKERS COMPE N$ATLON S' AND EMPLOYERLJABEITY ANY PROPRIETORIPARTNERIEXECUTNE Y❑ OFFICERAIIBABER E ull:bEn4 ,y In NN) DdeenOe under ESCRIPTION OF OPERATIONS below NIA PER STATUTE OTH- EL EACH ACCIDENT S EL DISEASE- EA EMPLOYEE 8 EL DISEASE - POLICY OMIT 8 DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Reno's Plumbing & Pool, Inc. CFC056782 Of Miami Shores Building Dept VillageACCORDANCE 10050 NE 2nd Avenue Miami Shores, FL 33138 I SHOULD ANY OF THE ABOVE DESCRIBED POLJNIES BE CANCELLED BEFORE THE EXPIRATION DATE, THEREOF, NOTICE VYILL BE DELNERED IN WITH THE POLICY PROVISIONS. AUTHORIZED REPRESEIffATIVE ACORD 25 (2014/01) ®1988-2014 ACORD CORPORATION. AIT riptLts reserve The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE I DATE onmayYYY) 041091201• 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 REPRESENTATNE OR PRODUCER, AND TME CERTIFICATE MOLDER IMPORTANT: lithe csrtiSalS holder le an ADDITIONAL INSURED, the pok y(Ies) Runt be endorsed. 0 SUBROGATION IS WANED, subject to the terms and condition of the policy, certain policies may require an endorsement A 'abound on this certificate does not coiner rights to the certificate holder In lieu of such endorsement(s). mown Automatic Data Processing Insurance Agency, Inc. nS.. 1 Adp Boulevard Roseland, NJ 07008 lcT MIO. aek 1 W ** nnoaets III Man(gArFINONG C/YNMGE NAE e Malty YMRaeas 38970 I RE*A: mum RENOS PLUMBING $ POOL INC CBA: Rena Plumbing 4 Pool Inc • 3901 N. Dills HWY Unit 17 Boca Raton. FL 33431 mum s: INSURER C: INSURERD: EACH OODUPRENCE INSURER E: /AMORE* F: PREMI SIE+�aw oae e) COVERAGES CERTIFICATE NUMBER 47=730 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POUCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY 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 REDUCEDBY PAL) C,PC�LLAIIMM& Vt Of MianN Shares hW Attn: Building Dept. 10050 N E 2 nd Aw Miami Shores, FL 33136 TYPE OFIIgte McE namoomr NOD POuCY MOWER (a�OOIYYYY) IloarYYYY) Laafe COINNTOAL OIMNML UASILOY EACH OODUPRENCE $ , OIADI SAAADE ❑ OCCUR PREMI SIE+�aw oae e) $ AMID EXP Vey one paste $ r-- _ PERIONAi. i AO l I1.IURY $ GENL AGGREGATE LEARAPPUESPEit R POUCY ❑rES. ❑ OTHER: IAC GENERAL AGGREGATE i PRODUCTS- coo $ $ AUrctuo LELtANUTY ANY AUTO AUTO HIRED AUTOS _' AUTOS ED PAums O..G 1JFD m j M Lanl $ scolden DOODY INJURY far Palen) $ EQOLYNJURraiding Y(Para S EV=He* M S A UINPIWLw EXCESS UAII — OCCUR CLAei4MWE EACH OCCURRENCE i AGGREGATE i DED 1 I RETENTIONS $ A I. WORKERS OGEI.ATIOM ANDNVLOYER,UAHLRY YIN DDE E)CWD?Funw [J pls NIA N NWC0078776.01 05410!2015 0500/2016 p ;MUTE X 1 SET 1A UTE 1" 1 Fl EACH ACCICENT S • 100,000 EL DISEASE -EA EMPLOYEE S 100,000 ldY .ryre1e1) EIMRPTION OF OOPERATIONS balm EA. DISEASE -POUCY UMIT 5 500.000 DESCRIPTION OP OPERATIONS ILOCATIONI MECUM (ACORD 101, Atliloial Meals Seheekl, may 6eMMehsd Emote spat le , *.d) Reno's Plumbing & Pool, Inc. CFC056782 CERTIFICATE CANCELLATION I Vt Of MianN Shares hW Attn: Building Dept. 10050 N E 2 nd Aw Miami Shores, FL 33136 SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PR 1l0IOMS. AMORE=NEPRESINTATNE A- ACORD 25 (2014101) 1988.2014 ACORD CORPORA Al fights rearvsd T s ACORD nine and logo are registered marks of ACORD