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BPP-18-1881y� Miami Shores Village �a�O1s 10050 N.E. 2nd Avenue NE ' - "'"' Miami Shores, FL 33138-0000 Phone: (305)795-2204 FGORIdp` Permit NO. BPP-7-18-1881 Pennit Type: Pools/Whiripools/Hot Tubs Per '0 t Work Classification. New Permit Status: APPROVED Issue Dates..9/13/2018 I Expiration: 03/12/2019 Project Address Parcel Number Applicant 573 NE 102 Street 1132060171000 Miami Shores, FL Block: Lot: JULIETATEPPA JULIETA TEPPA 573 NE 102 Street MIAMI SHORES FL 33138- 573 NE 102 Street FL Contractor(s) Phone Cell Phone MORROS AND MUNOZ CONSTRUCTI( (786)419-1260 roved: In Review iments: Approved:: In Review Denied: of Work: Swimming Pool itional Info: ;sification: Residential Fees Due Amount CCF $0.00 DBPR Fee $0.00 DCA Fee $0.00 Education Surcharge $0.00 P&Z Review Fee $0.00 Permit Fee $297.00 Scanning Fee $0.00 Technology Fee $0.00 Total: $297.00 Occupancy: Private Bond Return Scanning: 4 Phone Cell Valuation: $ 19,800.00 Total Sq Feet: 448 _ J Available Inspections: Inspection Type: Fence Final Pool Deck Wall Steel Review Planning Review Building Review Plumbing Review Electrical Pay Date Pay Type Amt Paid Amt Due Invoice # BPP-7-18-68206 09/13/2018 Check #: 4301 $ 247.00 $ 50.00 07/12/2018 Check #: 4199 $ 50.00 $ 0.00 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 cBrti th t all the foregng infor on is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. F th rmo e, I authorize abo na ed contractor tq do the,work stated. September 13, 2018 Authorized Signature: ne'f / Appli nt / ontractor / Agent Building Depa ent Co y September 13, 2018 1 BUILDING PERMIT APPLICATION Miami Shores Village REC A 12 2018 Building Department - _ 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY• - - Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20, y S�- Master Permit No. it(b ` 1 Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION 'RENEWAL F-IPLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 573 NE ) 0 2 S t City: Miami Shores County: Miami Dade Zia: 3 3 / 3 2 Folio/Parcel#: I) 3 20 6013 I 0 UU Is the Building Historically Designated: Yes NO —K._ Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): j(1 I P tC e PPo!�7— Phone#: Address: /V L-- ja % S 4 City: �1� I S by r<S State: %' �- Zip: pp 3 Tenant/Lessee Name: Phone#: 7 c�� - 2 ( - � 8 Email: CONTRACTOR: Company Name: _bins y, mo�} cu lS 1 T Ul/I► on uc Phone#: (?)0- Address: I S Z 3-1 /V rj 60 Ay- S v i r— * l o "Z City: l or" e W KI S, State: FL Zip: 33 0 I L/ Qualifier Name: PC r C 1 LA I 0 7- Phone#: State Certification or Registration #: c o C I l `t -1 Certificate of Competency #: DESIGNER: Architect/Engineer: ne#: Address: City: State: Zip: Value of Work for this Permit: $ I G%T do Square/Linear Footage of Work: 99 S S,L t Type of Work: ❑ Addition Description of Work: --. — .ram Q Alteration ❑ New ❑ Repair/Replace ❑ Demolition Specify color of color thru tile: Submittal Fee $ Permit Fee $ W CCF $ CO/CC $ Scanning Fee $ Technology Fee Structural Reviews $ Radon Fee $ Training/Education Fee $ DBPR $ Notary $, Double Fee $ Bond $ T TOTAL FEE NOW DUE $ C;LY 4 'yy (Revised02/24/2014) 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. 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 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. Signature !/41 41 It Signature WNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this V� day of plj2 20� by L(�( e I l'^' .who is et5Q1 to me or who has produceo _ _ as identification and who did take an oath. NOTARY Print: N ({ 11 NA s S Seal: ` MY COMMISSION f FF 166797 *V"'OF * EXPIRES: October 7, 2018 F1-ie Bonded Thru Budget Noary Services The foregoing instrument was acknowledged before me this day of J 20 18 , by Qp f C M 0V) (J , who' ersonall kno to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign:_ Print: ,10 ru Seal: °��� NATrIALIE BASS MY COMMISSION t FF 166797 * * EXPIRES: October 7, 2018 Bonded Thru Budget Notary Services •*ss****+*s*rss*ss#ssssssss*ss *ssf ssst*sr��:r*s*s*#ssssssssssssssss*sssssssss*sssssss***s*assss*s*sss**r►s APPROVED BY v Z tv() Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) STATE OF FLORIDA DEPARTMENTOF BUSINESS AND PROFESSIQI?AL REGULATION CGC1519479 bSUED, 07/20/2017 CERTIFIED GENERAL CONTRACTOR MUNOZ, PERCY MORROS AND MUNOZ CONM. UCTION LLC IS CERTIFIED under the provisions of Ch.489 FS. Expoti0o delo AUG 31, 2018 L1707200001308 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CPC1458168 ISSUED: 07/20/2017 CERT POOUSPASERVICE CONTRACTOR MUNOZ, PERCY MORROS AND MUNOZ CONSTRUCTION LLC IS CERTIFIED under the provisions of Ch.489 FS. ExpMaeon dale . AUG 31,2018 L1707200001316 uRrVCT% LK-trMt GLA= IE s 620-660-77-4294 p1my 1111 :w t Ct PYL . y�q.1]1fY� 11t1FK a AL a' v~ � 4rwMiw�d��r �ebYerlwnrrraw.r�' °ygc -� IN Z-A y" g m S a O�C1UWpd��y 0. N -a5` m a y?g °vcn c 9 � UL) � m gga?'m'3mm c ° mMEm� gg jL^o3yy�y�fc u do =' amu0i isgx�eu -- LLOJ17 ————— Xwxw ——— — — — — -- t�, c o W e z F a 0 0 F O C ada� W 6 L U t�1 QQ O W z 0 W v,a x OS G w 4 O SUU s p�gzz� o Z 4LLY � WZ L � • u It o . z R o 2 < < z b$ oaz <nZ yW a z LL v0. c N QQ e !t' 8 y NOG V V W G y3 LL 0 3 ..pVj t 4 Local new Tay 143cei Miami-Dade0ouV, State of Florida -rf t 01W A - 00 NOT PAY SIX"ex 914111110116111 NAM VLOCA 11014 x1calpy No MOP" AM Mt,M W WdWOL LLC 7177= 16271 NW WAVE If= MWMI LAM, FL 33014 RL SEPTEMBER r 2016 Must be Wptayer I II"*" fwrs"M Ie Coungt Me ptpw " > AM, f1 i 10 OWNER SE(; TYPE OF RUSINE66 PAYMfNT 0111CSIVID MO&NOS AM MUNOZ 196 SPECIALTY PLUMIPING By TAX COLLECTOR CONSTRUCTION LLC CONTRACTOR 46-00 Q?rx417017 rin PPPr.y W INn7 (N JA t IFIF:R Y40t1asr(s) 1 CPC1456166 0224-17.Of I60 1hs L ocd &xftes Tax ftcd0 arty ccn-rm pw -- d tIr tmll 9uMnsas 11rr 'Fitt A�ceipt is nol.ttbartea, permit, or a csrtl mcsban d 9te holder's qust i'coo Vs b do buss ma Holder mist o0npy with any 0V rmwttal 0r norpoNlrmtlnhi reputaiary law s and roqutrwwrks w Nch apply to the bust ness fie RB33pr NQ abort. mat ba d spl aced on al I Conrrwdal vshfdae MISM -Cade ODde Soft- 2716, owFbrmoreodonm6 Aatw zs Local Busi ness Tax Pecei pt Miami -Dade County, State of Florida -THIS tS NOT A BILL - DO NOT PAY SM927 6UStNE96 NAM ElLOCATION RECEIPT NO. EXPIRES M©RRWS AND MUNOZ RENEWAL SEPTEMBER 30, 2018 = aCONSTRUC rION L.LC 7136591 Must be displayed at place of business 15271 NW 60 AVE #102 Pursuant to County Code M AMI LAKES, FL 33014 Chapter sA - Art. 9 & 10 SEC TYPE OF BUSINESS F OWNER PAY M ENT RECEIVED osAMMUNOZ 196 GENERAL BUILDING; BY TAX COLLECTOR CON#�TRUCTIoN L! G CONTRACTOR 45.00 07/24/2017 r'.�R PFRI'Y y1 IN07 (Y f1Af IFIFR CGC1519479 0224-17-004150 lhls vocal lltasirws Tax IisOatptordy con"ms psymwtt d the Loots &Wnsss Tax It* Fbceipt is not* license, pemit, or' mo ocatlon of #* hdcWs quell "Qaf 0% t0 do businsas. Holder rru t comply with any governmental or lrao)Wyl vsandnomtt OwNchapplytothebwlnwa, Ttta pW*WNQ aboq rrl *bads0ayadon NI camwold whldo*- Miami-Dsft 0Dde Sao as-2'JI� fGbt more In►onnl00n, Nsit AR I® CERTIFICATE OF LIABILITY INSURANCE DATEIMM/2D iDDn`YM 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 poilcy(tes) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION 1S 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($). PRODUCER CAI ACT Joseph BefiOjo Alle Vista Insurance Solutions, Inc PHONE 813.635-6511 o , 813 283-2481 4023 NORTH ARMENIA AVE STE 100 E-MAILAQQRESS.Joseph oQaltavistairlsurancetl.com INSURER AFFORDING COVERAGE NAIC M Tampa FL 33607 INSURERA • Nautilus Insurance Company INSURED INSURER B : Morros And Munoz Construction LLC INSURER C: 1571 NW 60TH ave Suite 102 Hialeah, FL 33014 INSURERD: INSURER E : INSURER F - - -- - - -- - -- - • — • --•----. _. ni v wive rsvraucn. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVEE FOR THE POLICY PERIOD INDICATED. NOTNTHSTANDING 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 tTR TYPE OF INSURANCE ADD SUER POLICY NUMBER POLICY EFF mroow" POLICY EXP (ULUDONMI LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE J OCCUR EACH OCCURRENCE IS 1.000,000 AISES rEa eccurtaneg] S 100,000 , MED EXP LAW one arson s 5,000 A OJQIN-C 06/22/2018 06/22/2019 PERSONAL 3AOVINJURY a 1,000,000 GWL AGGREGATE LIMIT APPLIES PER: PRO. POLICY JECr LOG GENERAL AGGREGATE S 2,000.000 PRODUCTS -COMP/OPAGG S 1,000,DDO 5 OTHER: AUTOMOBILE WORRY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY EaMEAN DSINGLELIMIT Bcclden S BODILY INJURY (Pa Person) S BODILY INJURY (Per accident) S PROPERTY DAMAGE azdde t $ S HEXCESS UMBRELLA WIB HCLAIMS-MADE OCCUR EACH OCCURRENCE AGGREGATE S LIAR DED I I RETENTIONS S WORKERS COMPENSATION AND EMPLOYERS'LIABRJTY YINSTATUTE ANY PROPRIETORIPARTNERIEXECUTNE OFFICERIMFMBER EXCLUDED? N / A PER H E.t_FACHACCIDEW S E.LDISEASE -EAEMPLOY S (Mandatory In NH) If PTRON E.L. DISEASE •POLICY LIMB S 0rS561 OFF OPERAT10NS bekrw DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES iACORD 101, AddlUonal Remarks Schedule, may be attached U mom space Is raqutrod) Swimming Pool Installation, Servicing Or Repair Bellow Ground General Contractor CGC 1519479/CPC1458168 Remodeling Miami Shores Village I SHOULD ANY OF THE AQQVE DESCRIBED POLICIES BE CANCELLED BEFORE 10050 NE 2 Avenue I THE EXPIRATION jD(X' \THEREOF, NOTICE WILL BE DELIVERED IN Miami Shores, FL 33138 ACCORDANCE WITH HE POLICY PROVISIONS. AUTHORIZED aW 19Sa-20V%CORD CORPORATION. All rights roservod. A%'Umu 40 t40TOlUJ) I ne ACORD name and logo are registered marks of ACORD STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL k� REGULATION CPC1458168 ISSUED: 08/16/2018 SERVICE POOL/SPA CONTRACTOR MUNOZ, PERCY MORROS AND MUNOZ CONSTRUCTI LLC Signature LICENSED UNDER CHAPTER 489, FLORIDA STATUTES EXPIRATION DATE: AUGUST 31, 2020 STATE OF FLORIDA DEPARTMENT dbpr OF BUSINESS AND PROFESSIONAL REGULATION CGC1519479 ISSUED: 08/16/2018 GENERAL CONTRACTOR MUNOZ, PERCY MORROS AND MUNOZ CONSTRUCTIO Signature LICENSED UNDER CHAPTER 489, FLORIDA STATUTES EXPIRATION DATE: AUGUST 31, 2020