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PL-17-519Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address 150 NE 108 Street Miami Shores, FL 33161- Owne: Ir.forrnation Emily Bradfute MPS OF MIAMI INC Address er Permit NO. P L-2-17-i519 Permit Type: Plumbing - Residential Work Classification: Addition/Alteration. Permit Status: APPROVED Issue Date: 3/30/2017 Expiration: 09/26/2017 Parcel Number Applicant 1121360100040 Block: Lot: fat Mt WM 150 NE 108th Street Miami Shores FL 33161 (305)627-0199 (786)256-4690 Type of Work: PLUMBING FOR NEW LAUNDRY, 1/2 BATH, Type of Piping: Acdi'io :2l nf:: Bond Return : Classification: Residential Scanning: i JEFf RE'•l KOLOFOFF Phone Cell 305 679-9744 I Valuation' $ 7,950.00 Total S•H Fees [late CCF DPP. Fey DCA Fee Educa!ion Stec large Permit Fee Scanning Fee Technology Fee Total: Amount $4.80 $4.50 $4.50 $1.60 $300.00 $3.00 $6.40 $324.80 r; Available Inspections: Inspection Type: Tcri Oyt Final i (Review Plumbing IJnd.rurounu ellII.AN/ Pay Dame Pay Type Mmt 'raid Amt Due Invoice # PL-2-17-63099 03/30/2017 Credit Card $ 324.80 $ 0.0C ncn In co-.o or_tior. of the icsuance to me of this cerrr t, I agre_ .., perform ' .:o' c ^.e_...ere•.:..der _ 3nce Ni I, ,ail r:'rdirnances and regulations �. �� h� ,., I �.r d hn n r� co:—.;:! � r� pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the piui er authorities of Miami Shores Village. In accepting this permit I assume responsibility for all 'ork done by either myself, my agent, servants, or employes l understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICA' ., WINDOWS, DOORS, ROOFING and SWIMMING POOL wo' OWNERS AFFIDAVIT: I certify that all the foregoinc information is accurate and that all work will be done in corn kanc wth all aoplicle laws regulating construction and zoning..Futhermore, I authorize the above -named contractor to do the work stated. Author i d Signature: Owner / Applica 't / Contractor / Agent Mar :h 30, 2017 date BOrl ng Department Cop if March( sia. 201r 1 BUILDING PERMIT APPLICATION ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION 'PLUMBING ❑ MECHANICAL PUBLIC WORKS JOB ADDRESS: i s ° Nit t ol? S+e-e-G" City: Miami Shores Folio/Parcel#: 21$L ' 0 0 el • 0040 Occupancy Type: Load: ❑ CHANGE OF CONTRACTOR 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 RECEIVED FEB 2 8 ,2017 4-11 FBC 20itiS Master Permit No. 42.GI 4O ^ 294 Sub Permit No. rP( (% S I9 EXTENSION ❑RENEWAL ❑ CANCELLATION ❑ SHOP DRAWINGS County: Miami Dade Zip: 33141 Is the Building Historically Designated: Yes NO Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): ErwL( 6reac C} . Kolo k of Phone#: as. 1P'19 g1 Lilt Address: 150 1.1E tO City: M\Arn. 5V10 reS State: Tenant/Lessee Name: Email: rr CONTRACTOR: Company Name: MP 5 rC j e#hon: �b 6 Address: 15(0 ( W 2C\ VVo'f City: k\ i\eoln State: Qualifier Name: to t\ Massar -t. Phone#: State Certification or Registration # GEC. C. 142.(jco Certificate of Competency #: Phone#: City: State: Zip: Square/Linear Footage of Work: S r" 4 ,1.44 '7?2 Phone#: Zip: S3‘to5 DESIGNER: Architect/Engineer: Address: c� Value of Work for this Permit: $ Type of Work: ❑ Addition ❑ Alteration Description of Work: �Lt1NV6(/tJi New Zip:,W3(`) I� Repair/Replace I I Demolition 4vt✓(07) A✓2-7-1' Specify color of'co or tliru tile: '..,�5"✓: tom:.: / (,. q �� Submittal Fee $_S Permit Fee $ O'O Scanning Fee $ Technology Fee $ 6 ' 0 Structural Reviews $ Radon Fee $ H 5 0 CCF $ ,J &0 CO/CC $ DBPR $ (' Notary $ /37 Training/Education Fee $ ( Double Fee $ Bond $ 0 TOTAL FEE NOW DUE $ 3a ("1"` (Revised02/24/2014) 'a Bonding Company;s Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) �'Nlortgage 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 constructionand 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 orerGENT The fog:_• ing instrument was acknowledged before me this day of s Ct� ,20 ,by IL ROCL , who is personally known to me or whiJ has produced � CN\ + i (f as .a edentification and who did'take an oath. NO Y PUBLI Sign. 00* Efil Signature rt 'f CONTRACTOR The foregoing instrument was acknowledged before me this • q day of Velori ark , 20 11 , by May ke\ Massgne+ , who is personally known to me or who has produced 'D1 Orl •A LA identification and who did take an oath. NOTARY PUBLIC: '''' nn 1 Sign: Print: 1�'&� 1k4 'Gt�1'( OiVI� Print: Seal: Seal: • *s***s*********sss**s**********s******************s***********s*ss**s************s*********ss************ as , Rebeca M. Pastrana �.� �'= •Commission # GG065487 =`• � "= Expires: Feb. 7, 2021 OFR.•e Bonded thru Aaron Notary Commission # FF942611 Expires: December 9, 2019 Bonded thru Aaron Notary APPROVED BY /r 3 ' )1—' " Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) FEB-27-2017 05:02P FROM:MPS OF MIAMI TO:3057568972 P.3/4 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 2601 BLAIR STONE ROAD TALLAHASSEE FL 32399-0783 MASSANET, MAYKEL M P S OF MIAMI INC 7561 WEST 29 WAY HIALEAH FL 33018 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 from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong Every day we work to Improve the way we do business in order to serve you better, For information about our services, please log onto www.myflortdaticense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and leam more about the Department's initiatives. Our mission at the Department is' License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license' RICK SCOTT, GOVERNOR STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CFC1426700 ISSUED' 07/31/2016 CERTIFIED PLUNMINr:3 CONTRACTOR MASSANET MAYKEL M P S OF MIAMI INC IS CERTIFIED under the provisions or Ch 489 FS Exprni.of;twp AVC31 231E 11et'i:'yto0030f4 DETACH HERE KEN LAWSON. SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD LICENSE NUMtIER The PLUMBING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS, Expiration date. AUG 31, 2018 MASSANET MAYKEL M P S OF MIAMI INC 7561 WEST 29 WAY. HIALEAH FL 33018 ISSUED 07/31/20I6 DISPLAY AS REQUIRED BY LAW SEC) !/ L1607310003054 FEB-27-2017 05:02P FROM:MPS OF MIAMI TO:3057568972 P.4/4 007443 Local :Business Tax Receipt Miami -Dade County, State of Florida THiSIS NOT A. BILL-pA NOT PAY 5566139 BUSINE$p NAME/LOCATION MPS OF MIAMI INC 7561 W 29 WAY HIALEAH FL 33018 OWNER MP$ OFMIAMI INC Workers) 3 RECEIPT NO, RENEWAL. 5806139 EXPIRES SEPTEMBER 30, 2017 Must be dIaptayod nt plate of business Pursuant to County Cade Chapter EA -- Art. 9 & 10 PAYMENT RECEIVED HY TAX COLLECTOR S45.00 07/21/2016 CHECK2I-16--096966 This Local Bus -Mass Tex Receipt only confirms payntont of the Lone(8usmos' Tax Tim Receipt is not a hicnese, permit era Certification of um hutdot r qualifications, to do business. Holder must comply with any governmental or nongovernmental regulatory laws. and requirements which apply (o Ma businoas. Tho RECEIPT NO. above roust he displayed on ell conunurcfal vahicfas - Mrnmh-Dada Code Sao ea 270. Far more irdonnmion, visit syjouglguggegg,ggyaggallurar SEC. TYPE OF BUSINESS 196 PLUMBING CONTRACTOR CPCIa26700 FEB-27-2017 05:01P FROM:MPS OF MIAMI TO:3057568972 P.2/4 ACG IJ CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YVYY) 02/27/2017 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(Ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an ondorsomont. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement($). PRODUCER Latin American Mutual Insurance PO BOX 351088 Miami FL 33135 INSURED MPS OF MIAMI INC 7561 WEST 29TH WAY HIALEAH FL 33018 CONTACT NAME:.: Cecilia Gonzalez .__. _._._..... PH be,E3t►; 305-642-7615 lac, No): 306-642-7516 E _ADDREDRE SS:.� Iamiainc aolcom . . _ _ ........... . ..... .......... .. ... ... .----.. ..._ .. INSURER(S) AFFORDING COVERAGE 7 NAIC N INSURER A_ENDURANCE AMERICAN SPECIALTY INS.0 INSURERS: AMTRUST NORTH AMERICA INSURER C : INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE 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 LTR ^'��/� ----- -- -- -- TYPE OF INSURANCE — ADDLL NI 5 OW ........ . ..........---------------- - POLICY NUMBER r POLICY EFF JMMIODryVYY1 POLICY EXP (MMAr DM'YY1 .. —__..--........ ..... _._ LIMITS COMMERCIAL GENERAL LIABILITY DO, EACH OCCURRENCE $ 1,000,000 A 1 CLAIMS -MADE OCCUR DAMAGE -To REFTrED _.._..__.. pgFMI$E$.(Eapccurrence) s 100,000 5600 DED CBC2000028101 02/04/2017 02/04/2018 .- MED EXP (Any one person) $ 6,000 ,:.�-.._-__---..... GEN'L H _. _........_... _.._. ......._ AGGREGATE LIMIT APPLIES PER POLICY JPECT LOC OTHER ^ PFRSONALBADV INJURY GENERAL AGGREGATE _PRODUCTS COMP/OP .._ ... AGG -._.� S 1,000,000 $ 2,000,000 - 00 S 2,000,000 .._.. . s 1 AUTOMOBILE _ ,_„.,, LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS ,_, SCHEDULED AUTOS NON-O�� AUTOS 11 f r u COMBIAED SINGLE LIMIT tEeeccldcn)) .... .. .... BODILY INJURY (Per person) — BODILY INJURY (Per accident) PROPERTY DAMAGE . $ $ — — $ $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE S �_ EXCESS LIAO DED RETENT ON $ CLAIMS -MADE --- .... .... _._._.._ ..-..... _..—..—, AGGREGATE . ... _...:._.. --- ---- $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY I✓ ' . r. STATI)TE�, ORH. ANY PROPRIETOR/PARTNER/EXECUTIVE I�Y��;�N� OFFICER/MEMBER EXCLUDED? I I (Mandatory In NH) If yes, describe under N / A AWC1069636 07/26/2016 07/26/2017 r EL EACH ACCIDENT ..... ............_. .. .-__- E.L DISEASE - EA EMPLOYEE .- E L DISEASE - POLICY LIMIT $ 100,000 _-'-__...-..--_...._ S 500,000 $ 100,000 t�jl t 1 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Addlllonal Romance Schedule, may 0e attached Ir more space la required) PLUMBING DOOR INSALLATION /nr11TIru,-s 1 s,w• r.w CANCELLATION MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES FL, 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE h. CECILIA GONZALEZ A307480 ACORD 25 (2014/01) 101988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Produced using Forms Boss Web software. www.Fo,maBoaa.com; 7 Impressive PublIshind 800.208-1977