PLC-19-1681Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
ermi�
Issue Date: 04/08/2020
Location Address Parcel Number
725 NE 91ST ST 2D, Miami Shores, FL 33138 1132060440120
Contacts
Permit NO.: PLC-07-19-1681
Permit Type: Plumbing - Commercial
Work Classification: Alteration
Permit Status: Approved
Expiration: 10/05/2020
RAFAEL RODRIGUEZ Owner
MIAMI WATER HEATER INC Contractor
1005 NE 18 ST, Ft. Lauderdale, FL 33305
CARLOS SANCHEZ
Mobile: 7862238904 davidatuf@aol.com
1324 NW 29 ST, MIAMI, FL 33142
Home: 9549400269
Business: 9549400269
Inspection Requests:
Description: REPLACEMENT OF EXISTING WATER HEATER Valuation: $ 200.00 Inspec ion Re
49
Total Sq Feet: 0.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$0.60
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.20
Permit Fee
$50.00
Scanning Fee
$3.00
Technology Fee
$2.50
Work Without Permit 1st Offense
$100.00
Work without Permit 2x Permit Fee
$100.00
Total:
$310.30
COV I D 19
Payments
Date Paid Amt Paid
Total Fees
$310.30
Check# 374
07/23/2019 $50.00
Credit Card
04/08/2020 $260.30
Amount Due:
$0.00
Applicant Copy
For Inspections, Call (305) 762-4949 or Log on at https://bidg.miamishoresvillage.com/cap/.
Requests must be received by 3pm for following day inspections.
NOTICE: In addition to the requirements of this permit, there may be AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER
additional restrictions applicable to this property that may be found in the GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS,
public records of this county. STATE AGENCIES, OR FEDERAL AGENCIES.
April 08, 2020 Page 1 of 2
BUILDING
PERMIT APPLICATION
Miami Shores VillageE:
Building Department UULZ'o19
10050 N.E.2nd Avenue, Miami Shores, Florida 33138B
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 20�1 W I
Master Permit NoAo' n_ I I
Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
12PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION [:]SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: -72-5 IUD q I e SL .0 -7 M I a tiA S �� F L 3 ? t I e
City: Miami Shores County: Miami Dade Zip: 33 13
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
02
"1oq
45Z1-�J�l
OWNER: Name (Fee Simple Titleholder): �n7Ll�� I�G�d/i�ueZ Phone#: 4 S-q 0 -
Address: 725' N e- q ISl- 5 )-.
City: r- 5I-.v,tz.y State: rL zip: 3 3 ise
Tenant/Lessee Name: Phone#:
Email
CONTRACTOR: Company Name: ` `���'�� �a'�t� ecv7,,, Phone#: 63o5/ ,� 3 26
Address: 3 �� N k/ 2-4 S -/".
City: I q"0?'17 State: l�or ��� Zip: % 3 LI
Qualifier Name: t/,a",115 �d►,.��Lie:=— Phone#:�'�5����_Z��r�
State Certification or Registration #:C�Cd9Ll5 7— q Certificate of Competency #:
DESIGNER: Architect/Engineer:
Address:
Phone#:
City: State: Zip:
Value of Work for this Permit: $ 2 Ow Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration o ❑ New Repair/Replace ❑ Demolition
Description of Work: ReP���Cm »� �-t >rX S 74/ h 9 k/a 14;e- Li Xcr.
Specify
Submittal
Scanning Fee $ Radon Fee $ DBPR $ $
Technology Fee $ Training/Education Fee $ EBon
ble Fee $Structural Reviews $
oo TOTAL FEE NOW DUE $2 (0 • 36
(Revised02/24/2014) i)
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
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
OWNER or AGENT
The foregoing instrument was acknowledged before me this
ZZ day of —)IL/Ul 20 by
who is personally known to
me or who has produced Ot,'kc4, L (�-)c as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:%5�"`� ka(,h✓a�(c✓
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
� day of
^U 20 T by
CA O c3 a�who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY
Sign:
Seal: CMft ftnsw Sea
bate of FWds
h01 OMk ton EVkn 02117ITM
er ON a Wm Na QQ 3M782
APPROVED BY �i Plans Examiner
Structural Review
Nota! y Public. State of FWft
,, vaissafn N FF 960251r-
My . ffnrn Expires May 18, 2020
Elm, . ,nrougn National Notary Assn.
**********************
as
Zoning
Clerk
(Revised02/24/2014)
Property Search Application - Miami -Dade County Page 1 of 1
OFFICE OF THE PROPERTY" APPR RAISER
Summary Report
Property Information
Folio:
11-3206-044-0120
Property Address:
725 NE 91 ST UNIT: 2-D
Miami Shores, FL 33138-3243
Owner
RAFAEL RODRIGUEZ
Mailing Address
725 NE 91 ST #2 D
MIAMI SHORES, FL 33138 USA
PA Primary Zone
5000 HOTELS & MOTELS -
GENERAL
._
....... __ _.... _...... _.
Primary Land Use
_�..------ ......................................
0407 RESIDENTIAL - TOTAL
VALUE: CONDOMINIUM -
RESIDENTIAL
Beds / Baths / Half
2/2/0
Floors
0
Living Units
1
Actual Area
Sq.Ft
Living Area
717 Sq.Ft
Adjusted Area
717 Sq.Ft
............ ____
Lot Size
0 S q Ft
Year Built
1949
Assessment Information
Year
2019
2018
2017
Land Value
$0
$0
$0
Building Value
$0
$0
$0
XF Value
$0
$0
$0
Market Value
$109,852
$103,688
$104,277
Assessed Value
$108,430
$98,573
$89,612
Benefits Information
Benefit
Type
1 2019
2018
2017
Non -Homestead Cap
Assessment Reduction
$1,422
$5,115
$14,665
Note: Not all benefits are applicable to all Taxable Values (i.e. County,
School Board, City, Regional).
Short Legal Description
SHORES PLAZA EAST CONDO
UNIT 2D - 1ST FLOOR
UNDIV .01745% INT IN COMMON
ELEMENTS
CLERKS FILE 7313213197
Generated On : 7/23/2019
Taxable Value Information
2019 2018 2017
County
Exemption Value
$0
$0
$0
Taxable Value
$108,430
$98,573
$89,612
School Board
Exemption Value
$0
$0
$0
Taxable Value
$109,852
$103,688
$104,277
city
Exemption Value
$0
$0
$0
Taxable Value
$108,430
$98,573
$89,612
Regional
Exemption Value
$0
$0
$0
Taxable Value
$108,430
$98,573
$89,612
Sales Information
Previous Sale
Price
OR Book -Page
Qualification Description
08/09/2013
$80,000
28789-0136
Qual by exam of deed
08/01/2002
$42,000
20704-1716
Sales which are qualified
10/01/1998
$25,000
18357-4495
Sales which are qualified
01/01/1993
1 $22,500
15795-5046
Sales which are qualified
The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Property Appraiser
and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http://www.miamidade.gov/info/disclaimer.asp
Version
https://www8.miamidade.gov/Apps/PA/propertysearch/ 7/23/2019
1 iC1 ft3:SL�-
AST
�.. oN`+!11I.NI
AS50C IAT1 ON
January 13 , 2020
Miami Shores Village
Building Dept.
10050 NE 2" d Avenue
Miami Shores, FL 33138
Dear Sir / Madam:
This letter will serve as your confirmation that contractor "Miami
Water Heater Company" has been hired by the owner of Apt. 2D, at 725 NE
91 Street, Miami Shores, FL, and is authorized by the Board of Directors of
the Shores Plaza East Condominium Association to replace the units water
heater.
Should you have any questions regarding the enclosed, please feel free to
contact the condominium office.
Sincerely yours,
Vf
Carlos Talavera
Vice President
cc: file
GDrive/Units/M
MIAMWAT-11 APOLLACK
ACORO'
CERTIFICATE OF LIABILITY INSURANCE
DATE (MMlDDmm)3/14/2019
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
JAG Insurance Group, LLC
999 Ponce De Leon Blvd
Suite 800
N ACT
la!"c°O,,"N , Ert): (305) 842-3600 FAX No :(305) 842-3600
1
INSURES A) FFORDING COVERAGE
NAIC 9
Coral Gables, FL 33134
INSURER A:THE HARTFORD INSURANCE CO
INSURED
INSURER B :
INSURERC_:
Miami Water Heater, Inc.
INSURERD:
1324 NW 29th Street
Miami, FL 33142
INSURER E
INSURER F :
rnvcOA/_CQ f`FDTIPICATF NI IURPD• REVISION NLIMRER:
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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE ❑X OCCUR
33 SBA BP3485 DD
3/1/2019
3/1/2020
EACH OCCURRENCE
$ 1,000,000
PR AGE T�aQ%yr nca
$ 300,000
MED EXP (Any one personZ
$ 10,000
PERSONAL & ADV INJURY
$ 1,000,000
GEN'L
AGGREGATE LIMIT APPLIES PER:
POLICY ❑ PEET LOC
OTHER:
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS - COMPIOP AGG
$ 2,000,000
$
AUTOMOBILE LIABILITY
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
p
AUTOS ONLY FNUTO ONLY
C a. d.ni:L LE LIMIT
$
BODILY INJURY (Per person)
$
BODILY INJURY JPer accident
PPeOr acrRde DAMAGE
$
$ — — —
UMBRELLA LIAR
EXCESS LIAB
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
$
$
AGGREGATE
DED I I RETENTION $__
$
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOR/PARTNER/EXECUTIVE
WFICER/MEMBER EXCLUDED?
andatory In NH)
If es, describe under
DESCRIPTION OF OPERATIONS below
N / A
33 WEC BK6378
3/1/2019
3/1/2020
PTR'TUTE OTH-
E.L. EACH ACCIDENT
100,000
$
E.L. DISEASE - EA EMPLOYE
_
1 OO,000
$
E.L. DISEASE - POLICY LIMIT
500,000
A
Property
33 SBA BP3485 DID
3/1/2019
311/2020
SEE REMARKS
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If mom space Is required)
f%COrICIt%ATC unI nCD CANCFI_LATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
VILLAGE OF MIAMI SHORES BUILDING AND ZONING DEPT
VILL
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
1000 NE 2ND AVENUE
MIAMI, FL 33138
AUTHORIZED REPRESENTATIVE
AT
ACORD 25 (2016/03) 01988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
AGENCY CUSTOMER ID: MIAMWAT-01
LOC M 1
APOLLACK
ACORO°
illl�
ADDITIONAL REMARKS SCHEDULE
Page 1 of 1
AGENCY
NAMED INSURED
AG Insurance Group, LLC
Miami
32.4 NW 29th Heater Inc
Miami, FL 33142
POLICY NUMBER
EE PAGE 1
CARRIER
NAIC CODE
EE PAGE 1
SEE P 1
EFFECTNE DATE: SEE PAGE 1
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: ACORD 26 FORM TITLE: Certificate of Liability Insurance
REMARKS
Property Coverage Details:
Valuation: Replacement Cost Value
Cause of Loss: Special Form
Building Limit: $420,700
Business Personal Property Limit: $312,400
Deductible(s):
Windstorm or Hail: 5% / 72 Hours Waiting Period for BPP
All other Perils: $1,000
ACORD 101 (2008101) v ZUUU ACORL/ GUKI'VKA I IUN. An ngnrs reservea.
The ACORD name and logo are registered marks of ACORD