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PL-18-1821Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Parcel Number Permit NO. P°L-7-18-1'821 ■ Pettit Type: Plumbing - Residential ' Work Classification: Addition/Alteration Pettit -Status: APPROVED Issue Date: 7/1612018 1 Expiration: 01/12/2019 Applicant 975 NE 94 Street 1132060350020 Miami Shores, FL 33138- Block: Lot: SEVEN BALCONIES LLC Owner Information Address Phone Cell SEVEN BALCONIES LLC 6815 BISCAYNE Boulevard (786)387-1483 MIAMI SHORES FL 33138- 6815 BISCAYNE Boulevard MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone AA MAGIC PLUMBING INC (305)981-8197 Type of Work: KITCHEN AND BATHROOM REMODELING Type of Piping: Additional Info: KITCHEN AND BATHROOM REMODELING Bond Return : Classification: Residential Scanning: 3 Fees Due Amount CCF $3.00 DBPR Fee $6.75 DCA Fee $4.50 Education Surcharge $1.00 Notary Fee $5.00 Penalty Fee $100.00 Permit Fee $450.00 Scanning Fee $9.00 Technology Fee $4.00 Work without Permit Fee $450.00 Total: $1,033.25 Valuation: $ 5,000.00 Total Sq Feet: p Pay Date Pay Type Amt Paid Amt Due Invoice # PL-7-18-68133 07/03/2018 Credit Card $ 50.00 $ 983.25 07/16/2018 Credit Card $ 983.25 $ 0.00 Avauame inspections: Inspection Type: Top Out Final Review Plumbing rou 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 @AVI I rtify that a he foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating const ion nd zoning. uthermore, I uthorize the above -named contractor to do the work stated. July 16, 2018 Authorized yignature: Owner / Applicant / Contractor / Agent Building Department Copy July 16, 2018 1 Miami Shores Village RECEIVED Building Department JUL oa A18 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 ^I Tel: (305) 795-2204 Fax: (305) 756-8972 CIA INSPECTION LINE PHONE NUMBER: (305) 762-4949 !F B'C 20 BUILDING Master Permit No.ro PERMIT APPLICATION Sub Permit No. �^ ( , ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL PLUMBING ❑ MECHANICAL [::]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: (' 15 w '�:7 J 15 fa , City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load OWNER: Name (Fee Simple Titleholder): Add Construction Type: Flood Zone: BFE: FFE: ne#: 1:S6 3'rt 1 1 F3 City: _ to I C4-AA I ( State: Zip: Tenant/Lessee Name: j �j k Phone#: N Z Email: m I �lJ"I lr C_ n �0 IF "-x It f CONTRACTOR: Company Name: AA 944t C P4194u*ja% Phone#: 3 6 5— 7 S 1— a 1 ` I Address: City: A4" A,(6 FL 3 `S State: Zip: Qualifier Name: A la LIV AL jao„ ,)s-o Phone#: 30�' c'S 1-8 % b'�f State Certification or Registration #: C FC 1'12 q Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: ❑ Addition Description of Work: Ea jAlteration New ,C ✓l P IA Cl' State: Zip: ❑ Repair/Repl ElD molit''°n 0m 7-eV"ejle /14 Specify color of color thru tile: Submittal Fee *$, .,. " ~ "' Permit CCF $ CO/CC $ Scanning Fee $ Radon Fee $ �4 . SO DBPR Notary $ Technology Fee Structural Reviews $ -� AFI,�T `r ( OC) G� (Revised02/24/2014) Training/Education Fee $ Double Fee $ gS0 • 00 Bond $ TOTAL FEE NOW DUE $ 9 P, 3 ' 25 Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip 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,eFcurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be appro d a reinspection fee will be charged. Signatu NER or AGENT The foregoing instrument was acknowledged beforemethis day of 1 A 20 `� by • 1 ^^�� tho is personally known to me or who has produce;p*f ty* 1 C4i\M as identificatio and NOTARY PU LIC: Sign: Print: Seal: ro•d.. YAMY PRIETO MY COMMISSION # FF 214031 EXPIRES: March 25, 2019 dA ru Notary Public Underwriters Signature _ A9 CONTRACTOR The foregoing instrument was acknowledged before me this 18 day of ]6L 20 1 by P"t-4-10 who is personally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: ,, SERGIO D. CALDERA Seal: :R *: MY COMMISSION # GO 191137 EXPIRES: May 4, 2022 8w4ed Thruu Notary Pubk Undenntlere APPROVED BY 1"9 Plans Examiner Structural Review as *************************** Zoning Clerk (Revised02/24/2014) AC(:>R J® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) F07/16/2018 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 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 CONTACTJennifer Perez Gil, Garden, Avetrani Insurance Group PHONE(305) 630 4777 A/C (305) 279-3022 CNNo xt : No : 10689 N. Kendall Drive E-MAIL jperez@ggaig.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # Suite 208 INSURERA: Mt. Hawley Ins. Co. 37974 Miami FL 33176 INSURED INSURER B : RetailFirst Insurance Company INSURERC: A.A. MAGIC PLUMBING, INC 11350 SW 52 TERRACE INSURER D: INSURER E : INSURER F: MIAMI FL 33165 COVERAGES CERTIFICATE NUMBER: CL1821211367 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 LTR TYPE OF INSURANCE ADDLISUBRI INSINSD WVD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDNYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE � OCCUR P R E M I S S Ea occurren $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 A GGL0001727 02/10/2018 02/10/2019 GENTAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY ❑ PRO ❑ JECT LOC PRODUCTS-COMP/OP AGG $ 1,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LIAR HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB DED I I RETENTION $ $ WORKERS COMPENSATION PER OTH- B AND EMPLOYERS' LIABILITY v I N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA 0520-51892 09/16/2017 09/16/2018 STATUTE ER E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYEE 100,000 $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 500,000 $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AA Magic Plumbing Lic #: CFC1428995 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 Building Department ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2 Avenue AUTHORIZED REPRESENTATIVE Miami Shores FL 33138 ��r v-=- ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Pl _ I - (00 -1'4� i AA Magic Plumbing Inc. R c 19 - -1zq '6 11350 SW 52 Terrace Miami, Florida 33165 Tel. 305-951-8197 December 20, 2018 Drop Test Certification Permit # RC 181298 975 NE 94 St. Miami Shores, FL 33138 Drop Test realized for an existent water heater and stove. Water Column: 8 inches Test Duration: 15 minutes Date of test: December 20, 2018 Statement of compliance to applicable codes and Florida Statutes as listed for reference. Florida Building Cq�gle; Fuel gas Testing Section 406.4.3 ContrMualifier) AA Mdgic Plumbing Inc. Sworn to and subscribed before me this day , 2018. N ARY PUBLIC SERGIO D. CALDERA MY COMMISSION # GG 191137 -P`,: EXPIRES: May 4, 2022 Bonded Thtu Notary Public Undenxiiters pg. 1