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PL-17-760 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 "'(?l, _ �6 Inspection Number: INSP-288065 Permit Number: PL-3-17-760 Scheduled Inspection Date: August 21, 2017 Permit Type: Plumbing - Residential Inspector: Hernandez, Rafael Inspection Type: Final Owner: Work Classification: Addition/Alteration Job Address:265 NE 92 Street Miami Shores, FL Phone Number Parcel Number 1132060133561 Project: <NONE> Contractor: LONCUS PLUMBING CONTRACTORS INC Phone: (305)218-1004 Building Department Comments REPLACE EXISTING BATHROOM FIXTURES , REPLACE Infractio Passed Comments KITCHEN SINK INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-287170. CREATED AS REINSPECTION FOR INSP-279115. ANNA ALZATE CANCELLED @10-29 8/2/417 Failed ❑ CANCELLED @1-21 ANNA ALZATE 8/7/2017 Correction ❑ Needed �J Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. August 18,2017 For Inspections please call: (305)762-4949 Page 15 of 28 Permit N0. PL-3-17-760 ,. �aRes L,`�� 10050 N.E.2nd Avenue NE ■- Permit CType:Plumbing-Residential 10050 Classification:Addition/Alteration ...r..- - Miami Shores,FL 33138-0000 Permit Status:APPROVED Phone: (305)795-2204 F�ORt'DA tssuenate:4111/2017 Expiration: 10/08/2017 Project Address Parcel Number Applicant 265 NE 92 Street 1132060133561 Miami Shores, FL Block: Lot: MIAMI SHORES 265 NE 92 ST CC Owner Information Address Phone Cell MIAMI SHORES 265 NE 92 ST CORP 265 NE 92 Street MIAMI SHORES FL 33138- 265 NE 92 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 3,500.00 LONCUS PLUMBING CONTRACTORS (305)218-1004 .........,. ... . _.� ._.�. .___._ w ... _....._ _,....._..m Total Sq Feet: 0 Type of Work:REPLACE EXISTING BATHROOM FIXTURES Available Inspections: Type of Piping: Inspection Type: Additional Info:REPLACE EXISTING BATHROOM FIXTURES Top Out Bond Return: Final Classification:Residential Scanning: 1 Review Plumbing Underground Fees Due Amount. Pay Date Pay Type Amt Paid Amt Due CCF $2.40 DBPR Fee Invoice# PL-3-17-63386 $2.25 03/21/2017 Check#: 1382 $50.00 $ 113.90 DCA Fee $2.25 Education Surcharge $0.80 04/10/2017 Check#: 1422 $ 113.90 $0.00 Permit Fee $150.00 Scanning Fee $3.00 Technology Fee $3.20 Total: $163.90 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 inform Aon s accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above-n a co tracto the work stated. April 10, 2017 Authorized n r Signature:Owner / Applicant / Coactor / Agent Date Building Department Copy April 10, 2017 1 t� � R ��Zo�}� �5 4� S Get 8 �� Miami Shores VillageWBY:— INSPECTION .. �A x�� Building Department 7 10050 N.E.2nd Avenue,Miami Shores, Florida 33138 Tel: (305)795-2204 Fax:(305)756-8972 __LINE PHONE NUMBER:(305)762-4949 FBC 20 ( 4 BUILDING Master Permit No. R C {� PERMIT APPLICATION Sub Permit No. r L ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL [PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP r� CONTRACTOR DRAWINGS JOB ADDRESS: a��� N � q v)-S_� 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): -kor-5 NG q 0.si a-YQ Phone#: �+P)G q 046 Address: 5 0100 0.nl�lhei v City: V(pr-t ,1 �PC(CI(1 Stater Zip: 3 I ¢(� Tenant/Lessee Name: Phone#: Email: // j / / CONTRACTOR:Company Name: ���'`L�lI S I-4-- 141 n. `-��/ Phone#:!�/ ;) 1'P"ya7 Address: r304 S' j -7/ City: `L '4:_- , State: —' Zip: Qualifier Name: t e--�L' &.1 • Phone#: 3 State Certification or Registration#: —C : d Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:S '�5,SCO Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New11 [,1 Repair/Repllace El Demolition C2� Description of Work: ' kQ C P eX.l_S� 1�1Q bol ) (cc YY� P(KLP'e't P o 1'(OI C P (G t 1-C'X1$1 S 1 h�L Specify color off color thru tile: Submittal Fee$ w 1 Permit Fee$ �� CCF$ 2 •�_A O CO/CC$ `�— Scanning Fee$ Radon Fee$ S DBPR$ 2 Z S Notary$ Technology Fee$ '�� Training/Education Fee$ .8 0 Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) Bondingtompany'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. 1 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 att chment. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which a c rs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved a reinspection fee will be charged. i Signature Signature t. OWNER or AGENT CO RACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this Z-O day of MGr(1 20 by LU dayLof1 HAYCK 20 )} ,by who is personally known to Re ffl b e rf 1 U bp_i�Q ,who is personally known to me or who has produced ` f",*XS I��CF_n S�- as me or who has produced DI-IVQY U GQ{l� as identification and who did take an oath. identification ad take alas scoPA L MY COMMISSION#FF 946752 NOTARY PUBLIC: NOTARY PUBLI a. EXPIRES:February 20,2020 9ondod Thru Notiry Pubic Underwriters Sign: Sign: Print: �►�«I \icy) nj Print: Seal: 0004 AND`fWDUENAB Seal: MY COMMISSION 0 GG 081618 10 cv EXPIRES:March h112�,y2021 >fFOFFI�P\ ####################### APPROVED BY led -3-2-3'11 Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) k FDATE(MMODIYYYY) A�o® CERTIFICATE OF LIABILITY INSURANCE 03/16/2017 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 lieu of such endorsement(s). PRODUCER CONTACT NAME: Pablo M Conde A&A Underwriters Inc. PHONE . (305)220-7447 ac No): (305)2204821 8778 SW 8th St ADDRESS: pmc@aaunderwriters.com aaunderwriters.com ADDRE INSURERS AFFORDING COVERAGE NAIC/ Miami FL 33174 INSURERA: SCOTTSDALE INSURANCE COMPANY 41297 INSUREDI INSURER B: BUSINESSFIRST INSURANCE COMPANY 11697 LONCUS PLUMBING CONTRACTOR INC INSURERC: 1300 SW 70th Ave INSURER D: INSURER E: Miami FL 33144 INSURER 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 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 ADDL 7,CPS2525748 POLICY EFF POLICY EXP LTR TYPE OF INSURANCE IN POLICY NUMBER MM/DD MWDD LIMITS IA X COMMERCIAL GENERAL LBILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED' CLAIMS-MADE a OCCUR PREMISES Ea occurrence $ 100,000 MED EXP(Arty one person) $ 5,000 A 11/16/2016 11/16/2017 PERSONAL BADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY❑JEC°T- F—]LOC PRODUCTS-COMP/OP AGG $ 1,000,000 OTHER: $ AUTOMOBILE LIABILITY CEaOMBINED SINGLE LIMIT $ SINGLE ANY AUTO BODILY INJURY(Per person) $ t ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident E UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION X PESTATUTE ETH- AND EMPLOYERS'LIABILnY B OFFICERIMEMBEANY RPEXCLUDED?XECUTIVE YIN N/A 521-01010 08/13/2016 08/13/2017 E.L.EACH ACCIDENT $ 1,000,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 Ifr''describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000- b t DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached N more space Is required) CFC 1428065' CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Miami Shores Village ACCORDANCE WITH THE POLICY PROVISIONS. Building Department AUTHORIZED REPRESENTATIVE 10050 NE 2 Ave. r Miami Shores.FI 33138 j ---^- ©1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD I TItE , STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION J. ,=E CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 I BELLO, REMBERTO LONCUS PLUMBING CONTRACTOR INC 1300 SW 70 AVENUE MIAMI FL 33144 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range °zip •_ STATE OF FLORIDA i from architects to yacht brokers,from boxers to barbeque V-•`a_I DEPARTMENT OF BUSINESS AND restaurants,and they keep Florida's economy strong. PROFESSIONAL REGULATION Every day we work to improve the way we do business in order CFC1428066 ISSUED: 05/18/2016 to serve you better. For information about our services,please log onto www.myfloridalicense.com. There you can find more CERTIFIED PLUMBING CONTRACTOR information about our divisions and the regulations that impact BELLO, REMBERTO you,subscribe to department newsletters and learn more about LONCUS PLUMBING CONTRACTOR INC the Department's initiatives. _- Our mission at the Department is:License Efficiently,Regulate r Fairly.We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, IS CERTIFIED under the provisions of Ch.489 FS and congratulations on your new license! E.o:,at,„cxe AUG--, 2079 U9Qs,9QOCrii5i I DETACH HERE RICK SCOTT,GOVERNOR KEN LAWSON.SECRETARY I r STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD CFC1428066 _ The PLUMBING CONTRACTOR •�,; Named below IS CERTIFIED - Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2018 BELLO. REMBERTO LONCUS PLUMBING CONTRACTOR INC 1300 SW 70TH AVE MIAMI FL 33144 F. DRIVER ^'-ASS E, . B400-_ 71-99- M-0 REMSERTC 1331 SW 84 C' MIAMI,FL 33144-4t44 008 01.03-1966 SE r, hA +c ec!4204.20/$NGT 6-00 s'=yRE:: Oi•�t �� SAFc k v Eck—"r m-W sob—. !esr e'ernred t+v far+ Local Business Tax Receipt Miami—Dade County, State of FloridaLBVI -THIS IS NOT A BILL.-DO NO I'NAY I, - 5918736 BUSINESS NAME/LOCATION RECEIPT NO. EXPIRES LONCUS PLUMBING CONTRACTOR INC RENEWAL SEPTEMBER 30, 2017 1331 SW 64 CT 6174155 Must bu displayed at place of business MIAMI FI.33144 Pursuant to County Cole Chaplet IJA-.Ail.9&10 OWNER SEC.TYPE OF BUSINESS PAYMENT RECEIVED LONCUS PLUMBING CONTRACTOR INC 196 PLUMBIN1i CONTRACTOR ESY TAX COLLECTOR 0:0426066 %75.00 07/13/2016 Worker(s) 3 CREDITCARD--16-1139890 This Local Business Tax Receipt only cunfinus payment of the Local Business Tax.The Recuipt is not a liransq, purtnit,ora cortilication of the holders qualifications,to do business. Mulder atust comply with any governmental or nongovernmental regulatory laws and mquiramunts which apply to the business. The RECEIPT NO.above must be displayed on oil commercial vehicles•-Miami-nade Code Sec 110-2W Fur rnorq iufgrmatiun,visit yyyvyf,Dtlintti!IRIZ4.99YLtc!LI19.!ElN