The URL can be used to link to this page

PL-17-2418 n f Permit NO. PL-•10-17-241$ sNO1tFs y� Miami Shores Village Permit Type:Plumbing-Residential 0 N.E. 10052nd Avenue NW e itWork Classification:Addition/Alteration Miami Shores,FL 3313&0000 Permit'StBtuS:APPROVED Phone: (305)795-2204 rN1Ls 1H• .... ... FCOR1Dp' Issue Date. 11191201'7 Expiration: 05/08/2018 Project Address Parcel Number Applicant 29 NW 99 Street 1131010180520 Miami Shores, FL 33150- Block: Lot: QUICK EQUITY BUILDER INC Owner Information Address Phone Cell QUICK EQUITY BUILDER INC 29 NW 99 Street (954)605-7880 MIAMI SHORES FL 33138- 29 NW 99 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 6,000.00 RJ QUALITY PLUMBING CORP (954)919-8382 Total Sq Feet: 0 Type of Work:NEW PLUMBING,2 BATH, 1 KITCHEN, Available Inspections: Type of Piping: Inspection Type: Additional Info:NEW PLUMBING,2 BATH, 1 KITCHEN, Top Out Bond Return: Final Classification:Residential Scanning: 1 Review Plumbing Underground I Fees Due Amount Pay Date Pay Type Amt•Paid Amt Due CCF $3.60 DBPR Fee Invoice# PL-10-17-65306 i $4.50 10/11/2017 Credit Card $50.00 $270.10 DCA Fee $3.00 Education Surcharge $1.20 11/09/2017 Credit Card $270.10 $0.00 Permit Fee $300.00 j Scanning Fee ' $3.00 Technology Fee $4.80 Total: $320.10 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I crtify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction ning. F thermore, I authorize the above-named contractor to do the work stated. November 09, 2017 Authorized ature:Owner / Applicant / Contractor / Agent Date Building Department Copy November 09,2017 1 Miami Shores Village ' ' ' OCT 11 2017 f Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY: Tel: (305)795-2204 Fax:(305) 756-8972 i INSPECTION LINE PHONE NUMBER:(305)762-4949 s�h FBC 2014 ' BUILDING Master Permit No. Rol - C(09 PERMIT APPLICATION Sub Permit No. P01- 74 ( F-1 BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL [YIPLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP !q City: CONTRACTOR DRAWINGS JOB ADDRESS: �l Ni qqA !/ City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated:Yes i NO Occupancy Type: Load: Construction Type: Flood Zone: BFE::�� FIFE: OWNER: Name(Fee Simple Titleholder): 'U L' (i Phone#: Address: City: State: _ Zip: f �2 Tenant/Lessee N'a''me: Phone#: , Email: �1 !)✓Lele 14AY1 . G!$)'1'1 CONTRACTOR:Company Name: 13-T Pm /r! l*/ Phone#: Address: �1� 2(J sti(/ 2��nd City: C/Drne� lGGf -State: Zip: Zip: ! U�2 r Qualifier Name: /Ll/GI/ <J�/��- /tl Phone#: 7 V7I7 Y/�PZ. State Certification or Registration ti: �/'(i!ZZ `O� Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ nU Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ® Repair/Replace ❑ Demolition Description ol`Work: A16W R�9�9�/Y!Q Specify color of color thru tile: Submittal Fee$ 00 1 Permit Fee$ ,L60 CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ t Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ ZO' (0 (Revised02/24/20141 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: 1 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-JO 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 low 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. ?n the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. 4Signature Signature 1 ............. INNER or A ENT CONTRACTOR The foregoiinstrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of_ 20��by ' day of _ Aan-m� 20 4 b —' _ Y � ''ll_' ' n, MAS 1ri�fj who is personally known to _M� who i personally know to me or who has producedTL-1��41RQ: k,- C"Stas me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUB NOTARY PUBLIC: Sign: Sign: Print: r ".`""" ^� Print: �in til rI I Seal: �° 0 ,0;,i.. a;:,;;;, SuaiaofFlorida Seal: '" ;; VIOLETA MORENO FF 111972 )i'' " MY COMMISSION#GG058759 My cc.!n m -1.xpirss Apr.13,2018 '; ` ;ra EXPIRES December 28,2020 APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) 7. � S tsLu 36 ) . •fib t 00 Loical b Tax � ct y Via : - a .e �Cty, ,Sate_ of Florida 6 $8 y , ��g •. RE R-1,QtfALATYf1,'L1JM G co BIN , Rp �i� W S.E5PTIt-MB'ER 30,j 2018 13203a SW 252 L11,4 i675.881.8, 'm, st,b d.€spry t piaci c 'b ,s►n s HOMEST �.F 33 32 Pur suabt to Cour t_y.C©db,, m ., ChaparA Art 9& 1 ey` SEC. TYPE' CSE BUSINESS v ECEIVE QUA, '`= PLUMBING !ZORP . 19 PLU(ViBI G CONTRACTOR z- EYOR ca " `i 'i'VEL ' ;5 _ CEC142787.= � ,. . Wdike This Local j3us cress Tax Rapeipt ooly ct ri�irrt�is P#yjqent-ef the Local Business Tic. The Recent is tacit Permit or a cert�ifcat on f the,holders: ealit' lions,;to do=bus ness. .Hbliier:mus comity m any° avatn en a Art"- gvemme_rt reRutaory.ta; rgtrireiaatis which appity ttt the$:husines . . �. tie RE #PT NO.above reiwmt be di` l" a 4 s�ilayedjort=att c m ier:cialaveiaicibs- IVlianj --D TA .fat r �ie ibtrii��ten,visit;.. � ,r e . ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 1 1 04/26/2017 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. I IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies)must have ADDITIONAL INSURED provisions or 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: INSURCORP AGENCY ALLIANCE PHONE FAX 1717 INDIAN RIVER BLVD E-MAIL AIC No: SUITE 300 ADDRESS: Vero Beach, FL 32960 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: INSURED INSURER B: NorGUARD Insurance Company 31470 RJ QUALITY PLUMBING CORP INSURER C: 13203 SW 252 Lane INSURER D: Homestead, FL 33032 INSURER E: 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 TYPE OF INSURANCE IADDL SUER POLICY EFF POLICY EXP LTR INSD WVD POLICY NUMBER MM/DD/YYYY MM/DDi YYYI LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES Ea occurrence $ t MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER GENERALAGGREGATE $ POLICY PRO- , JECT LOC PRODUCTS-COMP/OP AGG $ OTHER I $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY(Per person) $ OWNED i SCHEDULED accident)Per BODILY INJURY $ AUTOS ONLY I_, AUTOS ( ( ) HIRED NON-O's1NED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE I $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED RETENTION$ g WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE I ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 B OFFICER/MEMBER EXCLUDED? N/A RJWC880905 04/25/2017 04/25/2018 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Exclusions: \, Rayvel Jacas; (- 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 Bldg Dept ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2nd AVE Miami, FL 33138 AUTHORIZED REPRESENTATIVE r � ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD