The URL can be used to link to this page

PL-18-262 (2)§S rye Miami Shores Village �sµOR 10050 N.E. 2nd Avenue NW rart,ll �� Miami Shores, FL 33138-0000 Phone: (305)795-2204 F�ORLD� Permit NO. RL-2-18-252 Mt Permit Type: Plumbing - Residential erWork Classification: Addition/Alteration Permit Status: APPROVED Issue Date: 3/5/2018 1 Expiration: 091012018 Proiect Address Parcel Number Applicant 190 NW 101 Street 1131010230170 RICARD PROPHETE Miami Shores, FL Block: Lot: IAIIIA Owner Information AOaress rnune RICARD PROPHETE 190 NW 101 ST MIAMI FL 33150-1214 Contractor(s) Phone Cell Phone WALTER PLUMBING CORP (305)970-7116 (786)234-2816 Type of Work: BATHROOM REMODEL Type of Piping: Additional Info: Bond Return : Classification: Residential Scanning: 3 Fees Due Amount CCF $1.80 DBPR Fee $3.38 DCA Fee $2.25 Education Surcharge $0.60 Permit Fee $225.00 Scanning Fee $9.00 Technology Fee $2.40 Total: $244.43 Valuation: $ 3,000.00 Total Sq Feet: 0 Pay Date Pay Type Amt Paid Amt Due Invoice # PL-2-18-66308 03/05/2018 Credit Card $ 194.43 $ 50.00 02/01/2018 Credit Card $ 50.00 $ 0.00 Availame Inspect Top Out Final Review Underqr 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 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, Futhemore, Itaighorize the above -named contractor to do the work stated. March 05, 2018 applicant / Contractor / Agent Building Departm&ht Copy March 05, 2018 1 ��jeaL�-1 S��c-t3UYu�� Miami Shores Villa e g � v 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 BUILDING RECEIVED FFB1e i 4 FBc zol"7 'A Master Permit No. RC16-2286 PERMIT APPLICATION Sub Permit No. L I k— Z�PZ BUILDING ❑ ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION RENEWAL 0 PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 190 NW 101 STREET City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: l - 31 b 1 D 23 0 / -7 o Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): RICARD PROPHET Phone#: Address:190 NW 101 STREET City: MIAMI SHORES Tenant/Lessee Name: Email State: FL Zip: 33150 Phone#: CONTRACTOR: Company Name: �;V(R1L�.Q � 1�V11�CJ1�(1 C (10 tw Phone#::1Wb c Address: Z4D54 60 0-1 OW-e . City: State: Zip: (a Qualifier Name: Wo tAt Phoneg:" —7 (b (V U?)- 59 State Certification or Registration M _ DESIGNER: Architect/Engineer: of Competency #: ne#: Address: City: State: Zip: Value of Work for this Permit: $ ., Square/Linear Footage of Work: (!� Type of Work: 0 Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: TQ_tjA aXX), -)- & n41,e� Specify color of color thru tile: Submittal Fee $ cPermit Fee $ CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Structural Reviews $ Training/Education Fee $ Double Fee $ Bond $ Q TOTAL FEE NOW DUE $ (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. 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. MOP OWNER or AGENT The foregoing instrument was acknowledged before me this day of r&e ✓/ - 20 � / by SIC► �9/yD io"Pke- f, who is REly known o me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign: d•�''1✓� Print: Seal: ;1 Nv, RAOIELASCARBOROUGH _,. MY COMMISSION $ FF 242181 EXPIRES: October 18, 2019 CONTRACTOR The foregoing insfrument was acknowledged before me this fQ day of ) by �daI Aer 6,1ilef✓-lZ is personally known as me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign: Q 44maqA Print: Seal: " MY COMMISSION N FF 242181 > z- EXPIRES: October 18, 2019 Bonded Thru Notary t'u►k Underwriters '�••R ,,tbd Bonded Thru Notary Pub6o Underwriters ************************************************************************************************************ as APPROVED BY �-S Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) i RICK SCOTT GOVERNOR KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD CFC1427510 'he PLUMBING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2018 GUTIERREZ, WALTER A WALTER PLUMBING CORPORATION 4054 SW 113TH AVE MIAMI FL 33165 ISSUED: 06/0912016 RICK SCOTT, GOVERNOR DISPLAY AS REQUIRED BY LAW SEQ # L1606090000951 KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD CUC 1224638 the I ]NnFRGROUND UTILITY 8, EXCAVATION CO Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2018 GUTIERREZ, WALTER A WALTER PLUMBING CORPO�tATION . 4054 SW 113TH AVE MIAMI FL 33165 ISSUED: 06/09/2016 DISPLAY AS REQUIRED BY LAW 002410 ❑ J. - ❑ r4 SEQ # L160609DO01303 Local Business Tax Receipt Miami -Dade County, State of Florida -THIS IS NOT A BILL - DO NOT PAY 6121131 BUSINESS'PrA GIEMOC"ON RECEIPT NO. WALTER PLUMBING CORPORATION RENEWAL 4054 SW 113 AVE 6384093 MIAMI FL 33165 LBT EXPIRES SEPTEMBER 30, 2018 Must be displayed at place of business Pursuant to County Code Chapter 8A - Art. 9 & 10 OWNER SEC. TYPE OF BUSINESS WALTER PLUMBING CORPORATION 196 SPECIALTY PLUMBING CONTRACTOR PAYMENT RECEIVED CFC1427510- BY TAX COLLECTOR Worker(s) 1 - $75.00_.08/30/201:7 CREDITCARD-17-056668 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 an all commercial vehicles - Miami -Dade Code Sec 8a-276. For more information, visit floe w.miamidade.gov/taxcolleetor C DATE (MM/DDIYYYY) ACORO® CERTIFICATE OF LIABILITY INSURANCE l� 01 /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 endorsemen s). PRODUCER CONTACT ADRIANA L CLAVIJO MAURI NAME: A8A Underwriters Inc. PHONE (305) 220-7447 FinAX No): (305) 220-4821 8778 SW 8th St IE-MAIL__ nnr,u�. Certificates(&aaunderwriters.Com Miami INSURED WALTER PLUMBING CORPORATION 4054 SW 113th Ave FL 33174 IINSURERA: Arch INSURER B : INSURER C : INSURER D : Insurance Company + 21199 Movers Insurance Comoanv 12158 I Miami FL 33165 I INSURER F : COVERAGES CERTIFICATE NUMBFR! REVISION Nt1MRFR- 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 ADDL SUBR POLICY NUMBER POLICY EFF MWDD/YYYY) POLICY EXP (MM/DDfYYYY`1 LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR AGL005612-04 10/25/2017 10/25/2018 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: POLICY PRO JECT Fx_1 LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY COMBINED SINGLE LIMIT Ea accident]_ _ $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accdent $ UMBRELLA LIAR EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? (Mandatory In NH) l yes, describe under DESCRIPTION OF OPERATIONS below N / A 830-38516 10/26/2017 10/26/2018 X SPER TATUTE EORH E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) Plumbing Contractor License #CFC142751 0 Miami Shores Village Building Department 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 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD