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PL-18-3255Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Issue Date: 11/07/2018 Location Address Parcel Number 580 NE 106TH ST, Miami Shores, FL 33138 1122310140170 Contacts Permit No.: PL-10-18-3255 Permit Type: Plumbing - Residential Work Classification: Pool - Private Permit status: Approved Expiration: 04/22/2019 JUAN ZULUAGA Owner 580 NE 106 ST FLOWTECH POOL PIPING CORP Contractor MARIO ZAVALA 15225 SW 145 CT, MIAMI, FL 33177 Business: 3059264130 Description: NEW POOL PLUMBING Valuation: $ 1,500.00 Inspection Requests:305 762 494 TotalSq Feet: 520.00 Fees Amount Application Fee - Other $50.00 CCF $1.20 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.40 Plumbing - Pool - Residential $100.00 Scanning Fee $3.00 Technology Fee $3.75 Total: $162.35 Payments Date Paid Amt Paid Total Fees $162.35 Credit Card 11/07/2018 $103.75 Credit Card 11/07/2018 $58.60 Amount Due: $0.00 Building Department Copy 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 or work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, M NIC L, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoi�p�r� is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I aut , I� 4e named contractor to do the work stated. Authorized Signature: Owner / Applicant / / Agent Date November 07, 2018 Page 2 of 2 I ' Miami Shores Village Building Department 'l o T24Z418 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 I(�1 Tel: (305) 795-2204 Fax: (305) 756-8972 ; INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20 BUILDING Master Permit No. :�a(�? ` 313l PERMIT APPLICATION Sub Permit No.? G - 32 ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 590 NE t d G S4 City: Miami Shores County: Miami Dade Zip: J ,3 j 3 9 Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Jy aMy�y �� Phone#: Address: Z) P C k U 6 S-" City: Mk (jos1 5h o4 V State: F O (� zip: 33 1 3 Tenant/Lessee Name: Email CONTRACTOR: Company Name: � 10 W } ?'�h Q O O` .0 � Q "0 J CO•(� phone#: Address: is a a 5 S W 114S T�i Gfi City: M a,r'rl Qualifier Name' A (i. Zip: 3 ;i 1 :�-- 2 Phone#: �50S T 26 W 36 State Certification or Registration #: SC G� 3 �� S % A 7 Certificate of Competency #: DESIGNER: Architect/Engineer: Va hone#: Address: ° City: State: Zip: Value of Work for this Permit: $ 1 y d d Square/Linear Footage of Work: Type of Work: ❑ Addition nn❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: '9'0` Y, 0"rn 9 '4 Specify color of color thru tile: Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Technology Fee $, Structural Reviews $ Training/Education Fee $ CCF $ DBPR $ CO/CC $ Notary $ Double Fee $ Bond $ (Revised02/24/2014) TOTAL FEE NOW DUE $ C—;E3 - 06 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 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 \\ J� Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this k) day of Z�--+ 120 4 by Ig day of Ocit . 201�by Ty a'n D Z"w GV\ who is personally known to_ M0►{ 1® �wVttlo� who is personally known..to me or who has produced -- - as me or who has produced as identification and who did take an oath. NOTARY Print: Seal: Abv 01- Notary Public State of Florida ;P Juan S Gomez +� My Commission GG 211304 Expires 08/22/2022 APPROVED BY identification and who did take an oath. NOTARY ii Sig ? Print:Lit 4. j Seal: Notary Public State of Florida fJuan S Gomez My Commission 00 211304 Expires 08/22/2022 ****sss*ss*s*ssss*sss* s s * * * * * * ss * s*s*s*sss*s***** Plans Examiner Zoning (Revised02/24/2014) Structural Review Clerk i� RICK SCOTT. GOVERNOR JONATHAN 7ACHEM,SECRETARY 4 dbpr STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION ^INDUSTRY -LICENSING BOARD THE SWIMMING POOL PIPING SPECIALTY CONTRACTOR HEREIN IS CERTIFIED UNDER THE PROVISIONS OF CHAPTER 489, FLORIDA STATUTES _ 5 ZAVALA, MARIO ALBERTO A P M FLOWTECH POOL PIPING CORP , 15225 SW 145TH CT,' MIAMI _ FL 33177 Or LICENSE NUMBER SCC131151897 EXPIRATION DATE: AUGUST 31.2020 Always verify licenses online at MyFloridaLicense.com TV—=, fiw�, ' Do not alter this document in any form. rf��"� This is your license. It is unlawful for anyone other than the licensee to use this document. 007798 Local Business Tax Receipt Miami —Dade County, State cif Florida -THIS IS NOT ABILL - DO IVOTPAq' tr 7223274 BUSINESS NAME/LOCATION FLOWTECH POOL PIPING CORP 15225 SW 145TH CT MIAMI FL 33177 OWNER FLOWTECH POOL PIPING CORP C/O MARIO ZAVALA PRES Worker(s) 1 EXPIRES RENEWAL SEPTEMBER 30, 2019 7507865 Must be displayed at place of business Pursuant to County Code Chapter 8A - Art. 9 & 10 SEC. TYPE OF BUSINESS 196 SPECIALTY PLUMBING CONTRACTOR PAYMENT RECEIVED SCC131151897 BY TAX COLLECTOR $75.00 07/17/201.8 CREDITCARD-18-055105 This Local Business Tax Receipt only confirms payment of the Local Business Tax. The Receipt is not a license, ' permit, or a certification of the holder's qualifications, to do business. Holder must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT NO. above must be displayed on all commercial vehicles - Miami -Dade Code Sec Sa-276. For more information.4isit www.miamidade.gov/taxcollector ACvR" CERTIFICATE OF LIABILITY INSURANCE (`OATE(MM70D/YYYY) 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(1es) 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 a . PRODUCER CONrAtT NAME- JUAN TUNON _ ROYAI (;ARIBBEAN INSURANCE AGENCY II PN N►w.EnL305.Fd1• Ij•ll _ _ I eAX 1 305 6J? lOb/ _~ 1%72 ViLST `+ AGLER STRF.F r t MAIL MIAMI. k=L 33135 ss:JTUNONROYALII*GMAIL. COM _ — - ------ INSVR10 FLOWTE'CH POOL. PIPING. CORP 15225 S.W. 145tH COURT bUANII, FLORIDA 33177 COVERAGES rFOTIVIr ATc wIAICCO. wSURERIS)AFFORDING COVERAGE NAIC 1 wsuRER A: CATLIN SPECIALTY INSURANCE COMPANY M/Sur1ER O. wsuneR e INSURER P THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCC LISTED BELOW HAVE BEEN ISSUED TO IHE INSUHH) NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REOUIRCMENT. TERM OR CONDITION Or ANY CONTRACT OR O1HEH DOCUMCNT WITH RESPECT TO WHICH THIS CERrIrICATE MAY RF. ISSUED OR MAY PERTAIN, TIC INSURANCE Arr0RDCD BY TNC POLICIES DCSCnIUE0 HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS Oh SUCH POI ICIFS LIMITS SHOWN MAY HAVE BEEN RFnk)rFD BY PAID CLAIMS k ' •..•__. `...••• I—^u�isPOUCYExP i 1NTp.-v`—..TYPE Of INSURANCE I.POLICYNUMBER Aft"O/YYYYi 14M"wVVyy1 LIMITS A COjMMERCIALGENERALUAetUTY 0900108506 0ii 10/2018 1i 10/2019 1 ACII OCCLfI'IC Y'/ S 1,000,000.00 1 CLMMS•AIA:H L`) OCCUR taG_ TOPENTEO PREM :-S "E 1 DCCj,;,+ cn) _ _ S 100.000 00 _...5.000.00 —_.--.------____---- MED EXP IAny are oe,vm) _ _ S _ i I PERSONAL S AD; w,LRY S 1.000.000.00 - GEN L AOURIUAtE LIM17 APPI *S /11M n "n 1 GFh1 NAI AGGNI GAI;�,•• . S 2.000,000�00 1 oW �� JECT lOC _ u t PRUDUCtS • C01MKN' AUG 5 O0 O 1111 11 1 j �2.00O,COO $ t AVTOMOe1lE lIA61UTY M, N 5 NG..E LI 1• S • S �-��__ ANY AUTO OODILY N1URv IPAr Caton) ALL OWNED SCIII UUI 10 - ---•- I S ,�„,„ AUTOS AUTOS BODILY INIURY (Pr, AC-%W!)f NO" OWNL3 HIREOAUTOS AUTOS j I +•PNOPI RIY VAMAGI t IPr.itGWstIl_ i S �S UMBRELLALIAD OCCUR j S_...._. i EACH OCCURRENCE S ' EXCESSU1a Ct Ay,� M" � __.,. _. �._.R.�.._._ Af.CREC•ATE S OEO RE'ENItON WORMERS COMPENSATION AND EMPLOYEATLIASILITY Y 5=A T�/fF� RIT YIN IAVY PAOrMETM9A4T�MR.f xfCUlrvr O":C'N1.stttitOEREXCLUOFO' A 1 I N/AI E: EACNACCK)ENt S F :. O - EASL' - FA t'MO: OYF.E S (Mandatory In NH) {I DESCRIPTION CF OPEIIAIIONS CObw F I (NSI AS('.. PCI ICY LIMIT $ I DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (AGORD tOt, AME1NoeH RoruArwt SCMAdA, InAy 01 g4cMeM nlon YpoCo Is rOWgroM) PLUMBING CONTRACTOR (MOSTLY PIPING FOR POO(_S). r MIAMI SHORES VILLAGE BUILDING DEPARTMENT I0050N.E.2ND AVENUE MIAMI SHORES. FLORIDA 33138 SHOULD ANY OF THE ABOVE SCRISCO POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE%JREOF. NOTICE WILL BE DELIVERED IN ACCQSDAKF WITH THE P4LJQIY PROVISIONS. ME ACORD 25 (2014/01) The ACORD name and loco are IsteYamarks of ACIORD All rights reserved. A`oRV CERTIFICATE OF LIABILITY INSURANCE CATEIMWON^IYYY) 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 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 endorsements . PRODUCER SUNZ Insurance Solutions, LLC. ID: (TLR) c/o TLR of Bonita, Inc 700 Central Ave Suite 500 St. Petersburg, i I- 33701 NAME':`CT Worker s• Com Department PHONE 727 52 7 76 x FAA 7 7- 25 62 FMI.- E-MAIL ,, a r hr.c INSURER(S) AFFORDING COVERAGE_ NAIL It INSURER A : SUNZ Insurance Company 34762 INSURED TLR of Bonita, Inc INSURER B : - E i f EnterpriseHR ONSURERC INSURERD_: 700 Central Avenue Suite 500 St. Petersburg FL 33701 INSURER E : INSURER F COVERAGES CERTIFICATE NtJMRER' AA70rnr i RFVMnN NIINIRFR- 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 REOUIREMENT. 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 INS" TYPE OF INSURANCE 1 PO YN MBER a POLICY EFF POLtCYEXP I LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 0 OCCUR I EACH OCCURRENCE DAMAGE TO RENTED _PREMISES_LEa occurrencej�I S IS MED EXP lAn ono rsonl PERSONAL & ADV INJURY s GEN'L AGGREGATE LIMIT APPLIES PER POLICY PRO. f LOC _ JECT �J GENERAL AGGREGATE PRODUCTS • COMPiOP AGG _ _ . 11 Is _ S OTHER AUTOMOBILE LIABILITY COMBINEDSINGLE LIMIT a rnl s ANY AUTO OWNED SCHEDULED AUTOSONLY AUTOS HIRED NON OWNED AUTOS ONLY AUTOS ONLY BODILY INJURY IPer person) 11 BODILY INJURY 1Per acadentlI ,- PROPERTY DAMAGE �_LPcr-xx gnntJ_ S S UMBRELLA UAB OCCUR HCLAIMS-MAOE EACH OCCURRENCE AGGREGATE A S EXCESS UAB � OLD 71 RETENTIONS S A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIE IOR•PARI NE R-C XEC UTIVE OrrICER ILMOCREXCLVDED' N/A WC016.00001.018 6/1/2018 6/1/2019 / , PTgTUTE ER ii I E. L. EACH ACCIDENT $1 DOD000.00 EL SDISEASE , EA EMPLOYEE S _. ,. ., . « ...... .:._..:... 1.DDO.QQD.DD (Yandalory In NMI 11 es. dcscnbe under ID SCRIPT N f P TI N low E L. DISEASE • POLICY LIMIT S 1 DESCRIPTION OF OPERATIONS/ LOCATIONS / VENCLES tACORD 101. AddMonal Raman. Schedule. may to IMached "mom sPsa Is mgWrod) Coveragge Provided for all leased employees but not subcontractors of: Flowtech Pool Piping Corp C lenl alective: 7/29/2015 Miami BuildinSShorees Village 110050 NEe2 Ave ent Miami 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. AUTNORQEOREPRESENTATIYE '////��_ / ,/ �� (► n J ste ano ® 1988-2015 TION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 44795054 1 r R or eon;ca, Inc PEE 016 MASTER CENT I Janira Rodr.Tjoz 1 10/8/2018 J,LI,04 PM IEDTI I rage I or I