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PL-19-1420
Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address 9315 N MIAMI AVE, Miami Shores, FL 33150 Contacts Issue Date: 08/14/2019 Parcel Number 1132060130360 Permit NO.: PL4*-19-1420 Permit Type: Plumbing - Residential Work classification: Alteration PermirStatus: Approved Expiration: 02/10/2020 MAXWELL MILLER Owner PARAMOUNT PLUMBING SERVICE LLC Contractor 9315 N MIAMI AVE ROBERT ABRUSCATI 20911 JOHNSON ST, PEMBROKE PINES, FL 33029 Business:3058233434 ROBBIE@PARAMOUNTPLUMBINGSERV ICE S.COM Description: PARTIAL RE -PIPE OF DEMOESTIC WITH PIPING AT Valuation: $ 9,519.00 Inspection Requests: RES. ks-762-4949 Total Sq Feet: 0.00 Fees Amount Application Fee - Other $50.00 CCF $6.00 DBPR Fee $5.00 DCA Fee $3.33 Education Surcharge $2.00 Permit Fee $283.17 Scanning Fee $3.00 Technology Fee $8.33 Total: $360.83 Payments Date Paid Amt Paid Total Fees $360.83 Credit Card 06/20/2019 $50.00 Credit Card 08/14/2019 $310.83 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 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 rojulatiryg-c,onst;ruction and zoning. Futhermore, I authorize the above named contractor to do the work stated. / Applicant / Contractor / Agent Date August 14, 2019 Page 2 of 2 Miami Shores Village RECEIVED Building Department JUN 2 9 2019 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 6L Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 t _ I FBC 20 11 BUILDING Master Permit No. -W4 PERMIT APPLICATION Sub Permit No. -- ou - n -ICI 1"C) ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL VLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP q CONTRACTOR DRAWINGS JOB ADDRESS: / 3I S A1,14,64tw Ave- . In%,0,11 SAVr+-3 r/-/ 3 3/Sb City: Miami Shores County: Miami Dade Zip: 3 5-0 Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: 114. Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): AA VfJ1 M f 11 4-4- Phone#: 31 %— Sd£- 67W Address: 93/6 Iv /YUyl-1 ,AvG City: /htAl cs` aey-s State: r�L zip: 3 3 r3-0 Tenant/Lessee Name: Email: WVv WAN11 Phone#: CONTRACTOR: Company Name:yje,&*j Y116,dr ��dA7b��1 JP�rC;tT L� Phone#: Address: gla S // 51— City: &'06'r-okt Ales State: Zip: 8 Qualifier Name: /i ak Phone#: ;SOS t9X`a 3 --Sy3q State Certification or Registration #: CfC / e/3O0" Certificate of Competency #: nn ��r/ '�� Coin DESIGNER: Architect/Engineer: IL±Dl7b�L�pi4/UMIOt/l fp�tiin�r.►a S�lVrces Phone#: Address: City: Zip: Value of Work for this Permit: $ r� �l9 , ©d Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration El New Repair/Replace ❑ Demolition Description of Work: Ahrd'fitl i7YC Cf6Mc-6A'c kAh, Dldfn9 aT Ce,J, Specify color of color thru the: Submittal Fee $ Scanning Fee $ Technology Fee $ Structural Reviews $ Permit Fee $ CCF $ CO/CC $ Radon Fee $ DBPR $ Notary $ _ Training/Education Fee $ Double Fee TOTAL FEE NOW DUE $ 33 f 6 • 93 (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 a roved and a reinspection fee will be charged. Signature Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged befor a this day ofkla" , 20 / by who is personally known to me or who has produced-ymdo thw 4ylci�s identification and who did take an oath. NOTARY PUBLIC: Sign:qJ Print: Seal: r, Yg My Commission Exores 12/16/2019 Commission No. FF 944254 The foregoing instrument was acknowledged before eeyme this U day 01 20 I % by 4 1 ,who is personally known to me or who has produce(�/LeC1ll�!%1 �/ as identification and who did take an oath. NOTARY PUBLIC: Sign: Natalie ng Print:^tate of Florida Seal: r My Commission Expires 12116/2019 Commission No. FF 944254 APPROVED BY � —�r1. Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) ACORL)® ��. CERTIFICATE OF LIABILITY INSURANCE DATE (MWDD/YYYY) 6/20/2019 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 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 Keyes Coverage Insurance 5900 Hiatus Road Tamarac FL 33321 NTA T NAME: Stephanie Gammauta PHONE FAX • 954-724-7000 A/c No): 954-724-7024 ADDRIESS: sgammauta@keyescoverage.com INSURE S AFFORDING COVERAGE NAIC # INSURER A: Allied Property & Casualty Ins Co 42579 INSURED 15235 Paramount Plumbing Services LLC 130 NW 77th Way INSURERS: Allied Insurance Company of America 10127 INSURER C INSURERD: Pembroke Pines FL 33024-6962 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 1062981102 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 ADDL SUBR POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR ACPGLP03008770656 7/9/2018 7/9/2019 EACH OCCURRENCE $ 1,000,000 DAME(RENTED PREMIMISESSEa occurrence $ 1,000,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO ❑ JECT LOC OTHER: GENERAL AGGREGATE $ 2,000,000 X PRODUCTS -COMP/OPAGG $2,000,D00 $ B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON-OWNED HIRED AUTOS EXAUTOS ACPGLP03008770656 7/9/2018 7/9/2019 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Plumbing Contractor CFC1430059 I,.CK 11r Il.A 1 C MULLJCK 6ANGtLLA 1 IUN Miami Shores Village Bldg Dept 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 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD Page I of 2 PREPARED BY AND RETURN TO: Santiago EiJaia- Ili, Esq. Marin, ElIjaick, Iopez & Martinez, P1. 2601 South Bayshorc Drive, I 01'I Floor Coconut Grove, Fl, 33133 Our File No.: 0037-005 CM 201903?U08 SOOK31486 PAGE 1460 DAMO&W2019 W54:38AM DEED DOC 2,881,20 HARVEY RUVIN, CLERK OF COURT, MIA-OADF CTY Property Appraisers Parcel Identification (Folio) Number: 11 .3206-01 M360 - — - — ------------ THIS WARRANTY DEED, made the 7th day of June, 2019 by Jeffrey. Puials, a single man, whose post office address is 1360 Lombard Street. Unit 102, San Francisco, CA 94109. herein called the Grantor, to Maxwell K. Miller and Sarah M. Coleman, husband and wift, whose post office address is 9315 N. Miami Avenue, Miami Shores, Fl, 33130, hereinafter called the Grantee., (Wherever used herein the ternis "Grantor -and "Grantee"include afithe partlesto this instrumem sand the heirs, logal representatives and assigns qj'individualv, and the successors and assigm of corporarionsrl W I T N E S 8 E T H: That the Grantor, for and in consideration ol'the sum of ITN AND 0011 OO'S ($ I OAO) Dollars and other valuable considerations, receipt whereof is hereby acknowledged, hereby grants, bargains, sells, aliens, remises, releases, conveys and confirms unto the Grantee all that certain land situate in MIAMI- DADE County, State of Florida, viz,: Lot 12 and the South 1/2 of Lot 11, Block 3, AN AMENDED PLAT OF MIAMI SHORES SECTION INO. 1, according to the map or plat thereof as recorded in Plat Book 10, Page 70, of the Public Records of Miami -Dade County, Florida. Subject to casements, restrictions and reservations of record and taxes for the year 2019 and thereafter. TOGET14EK with all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining. TO HAVE AND TO HOLD, dw same in fcc simple forever. AND, the Grantor hereby covenants with said Grantee that the Grantor is lawfully scizxd of said land in fee simple, that the Grantor has good right and lawt.'al authority to sell and convey said land, and hereby warrants the title to said land and will defend the same against the lawful claims of all persons whornsoever, and that said land is free of all encumbrances, except mxes accruing subsequent toDeeember 31, 20 18. IN WITNESS WHEREOF, the said Grantor has signed and sealed these presents the day anti year first above written. Signed, scaled and delivered in the presence of. t29164,67111 https:Honlineservices.miarni-dadeclerk.comlofficialrecordslCFNDetailsHTML5.aspx?QS=... 6/20/2019 Page 2 of 2 Witness #1 Signature Witness 41 Printed Nam e— Witness(W2 SFgAature Witness 42 Printed Name CFtC 20190375M BOOK 31486 PAGE 1461 Jeffrey Pujal.s,, STATE OF f�JQWUI COUNTY OF The foregoing instrument was acknowledged before me this V1 day of � k�-jq 2019, by leffrey P , I h A wall � knoN%m tame or has produced 4s identification and S w Is rs ad did �&d not take lake an oath. 4117 PILAR M. AVILES W CWMISSION I GC456741 My commission expires: 1291646?111 Not Public P I 6� �l Printed Notary Name https:Honlineservices.miami-dadeclerk.comlofficialrecordslCFNDetailsHTML5.aspx?QS=... 6/20/2019 Property Search Application - Miami -Dade County Page 1 of 1 OFFICE OF THE PROPERTY APPRAISER Summary Report Property Information Folio: 11-3206-013-0360 Property Address: 9315 N MIAMI AVE Miami Shores, FL 33150-2243 Owner JEFFREY PUJALS Mailing Address 9315 N MIAMI AVENUE MIAMI SHORES, FL 33150 USA PA Primary Zone 1000 SGL FAMILY - 2101-2300 SQ Primary Land Use 0101 RESIDENTIAL -SINGLE FAMILY: 1 UNIT Beds / Baths / Half 2/1/0 Floors 1 Living Units 1 Actual Area 1,574 Sq.Ft Living Area 1,354 Sq.Ft Adjusted Area 1,464 Sq.Ft Lot Size 10,530 Sq.Ft Year Built Multiple (See Building Info.) Assessment Information Year 2019 2018 2017 Land Value $284,033 $236,817 $236,817 Building Value $92,712 $92,837 $92,963 XF Value $3,704 $3,724 $3,744 Market Value $380,449 $333,378 $333,524 Assessed Value $366,715 $333,378 $228,899 Benefits Information Benefit Type 2019 2018 2017 Save Our Homes Assessment Cap Reduction $104,625 Non -Homestead Cap Assessment $13,734 Reduction Homestead Exemption $25,000 Second Homestead Exemption $25,000 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). (Short Legal Description I MIAMI SHORES SEC 1 AMD PB 10-70 LOT 12 & S1/2 LOT 11 BLK 3 LOT SIZE IRREGULAR OR 17857-2666 1097 1 COC 24701-3388 06 2006 1 Generated On : 6/20/2019 Taxable Value Information 2019 2018 2017 County Exemption Value $0 $0 $50,000 Taxable Value $366,715 $333,3781 $178,899 School Board Exemption Value $0 $0 $25,000 Taxable Value $380,449 $333,378 $203,899 City Exemption Value $0 $0 $50,000 Taxable Value $366,715 $333,378 $178,899 Regional Exemption Value $0 $0 $50,000 Taxable Value $366,715 $333,378 $178,899 Sales Information Previous OR Book - Price Qualification Description Sale Pa a 9 28301- 09/10/2012 $285,000 Qual by exam of deed 3292 26930- ....................... 06/22/2009 $246,000 Qual by exam of deed 0630 26820- Financial inst or "In Lieu of Forclosure" 03/27/2009 $130,000 1555 stated 26573- Sales which are disqualified as a result 08/08/2008 $100 0465 of examination of the deed 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 hftp:/twww.miamidade.gov/info/disclaimer.asp https://www8.miamidade.gov/Apps/PA/propertysearch/ 6/20/2019 a RICK SCOTT, GOVERNOR JONATHAN ZACHEM, SECRETARY 1 1e bl' 1CI,D ,- STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD THE PLUMBING CONTRACTOR HEREIN IS CERTIFIED UNDER THE PROVISIONS OF CHAPTER 489, FLORIDA STATUTES ABRUSCATI, ROBERT C PARAMOUNT PLUMBING SERVICES LLC 130 NW 77TH WAY PEMBROKE PINES FL 33024 LICENSE NUMBER: CFC1430059 EXPIRATION DATE: AUGUST 31, 2020 Always verify licenses online at MyFloridaLicense.com Do not alter this document in any form. This is your license. It is unlawful for anyone other than the licensee to use this document. BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm. A-100. Ft. Lauderdale, FL 33301-1895 — 954-831-4000 VALID OCTOBER 1, 2018 THROUGH SEPTEMBER 30, 2019 DBA: S Receipt#:PSUMBING5LWN SPRNKL/CONTRACTOR Business Name: PARAMOUNT PLUMBING SERVICES LLC Business Type: Yp (PLUMBING CONTRACTOR) Owner Name: ROBERT C ABRUSCATI Business Opened:02/02/2018 Business Location:20911 JOHNSON ST State/County/Cert/Reg:CFC1430059 PEMBROKE PINES Exemption Code: Business Phone: 3058233434 Rooms Seats Employees Machines Professionals 3 For Vending Business Only Number of Machines: Vendina Tvoe: Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paid 27.00 0.00 0.00 6.75 C.00 25.00 58.75 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Broward County and is non -regulatory in nature. You must meet all County and/or Municipality planning WHEN VALIDATED and zoning requirements. This Business Tax Receipt must be transferred when the business is sold, business name has changed or you have moved the business location. This receipt does not indicate that the business is legal or that it is in compliance with State or local laws and regulations. Mailing Address: PARAMOUNT PLUMBING SERVICES LLC Receipt #02C-16-00001431 20911 JOHNSON ST Paid 01/25/2019 58.75 PEMBROKE PINES, FL 33029 2018 - 2019 CERTIFICATE OF LIABILITY INSURANCE DATE/ 6/1717/2019D19 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 WANED, subject to the terns 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 SUNZ Insurance Solutions, LLC ID; (Harbor) Go Harbor America 21977 E. Wallis Dr. Porter, TX 77365 CONCT NAME Ashley Warren PHONE 281 577-1080 121C No : 281 577-2678 AIL D ashleyw1gamemIns.com INSURERIBI AFFORDING COVERAGE NAIC M INSURER A: United Wisconsin Insurance Company 29157 INSURED Union Temporary Services Inc 5400 S Universify Drive Davie FL 33328 INSURER B : INSURER c INSURER D INSURER E INSURER F : COVERAGES CERTIFICATE NUMBREVISION 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. L SR TYPE OF INSURANCE AODL SUB POLICY NUMBER POLICY EFF POLIDONYM CY EXP LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EACH OCCURRENCE f TO RENTEV ES Me wwrrenca f MED EXP JArvy.one peraon . f PERSONAL 6 ADV INJURY E GENT AGGREGATE LIMIT APPLIES PER: POLICY 0 T& LOC OTHER: GENERAL AGGREGATE f PRODUCTS - COMPIOP AGO f f AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY INEDSINGL et f BODILY INJURY (Per person) f BODILY INJURY (Per acddent) f PR E YDA E (per swidgm) f f UMBRELLA L IAB EXCESS UAB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ DED RETENTION1 ^^ _ _ f A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNERAD(=CUTIVE Y 1 N OFFICER/MEMBEREXCLUDED? (Myyandatory In NH) DEw FKW PO N OF OPERATIONS below NIA WC600-00036-019-SZ 3/4/2019 1/1/2020 EOTH- 1 STEARTUrMR E.L EACH ACCIDENT f 1.000,DDO E.L DISEASE - EA EMPLOYE f E.L. DISEASE - POLICY LIMIT f 1 000 000 DESCRIPTION OF OPERATIONS f LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached B more spew is requited) . RE: Paramount Plumbing Services, LLC Miami Shores Village Building Dept 10050 NE 9nd ave Miami Shores FL 33138 ACORD 25 (2016103) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE YWTH THE POLICY PROVISIONS. AUTHORIZEDREPRESENTATIVE 4` • �_C+da7aa; The ACORD name and logo are registered marks of ACORD 49320815 1 Union Temporary Services Inc (PLI MPP 00036 1 Roily Davis 1 9/17/2019 1:40:39 PN (HDT) I Page 1 of 1 rlahts reserved. 0 "V, 0.« off' W or,�- Dry all repairs on vertical surfaces rnarked in fliE iv. �,iw.e�nS;o�S w•ac i,n (CAD fevu�, s34L o� ww110� Smoke deter {mowited at ceft heW) -fidh.l 1<n-.t a� Wail °�Y(,,% �o S6,) , 41\ Au.a o� of Yr kitchen 6f �►�Il : aa. Bathroom 4W'x 2 Bedroom � 9,� 5,1 r Itn,.S'N^ 6oS� Bathroom FR East North South West 9315 N Miami Ave • . ...... see* 0*00 •• •• • . 00. •t•. .•• .. • .. . . •• • . 0 •#.• 0�. M l I ICA- E-e-s %s 1 S- N mi "l-,�t �4 (le 5z� of Co Q,7 d LJ.4J-� •• • •••••• •••••• ---� .... PLUMBING PLANS . • • • • • APPle, —�� •••••• T ., 6 t'll eAQ' RF�F f�✓,�, /CFO • Y •••• •••••• • QO yr` `�i trj jig t�l �,O�g91` 1,t yonor 1�>e l&,� txs EFI�lsTti„S sho-.-- vie rnas�.- moo, ...... . .... , .. ...... .... .. . . .. fie. , �r Al 0 9 2010 BY: 1, N p �S r _ uov) Li oe uwzv� rzmv, BkTHROOM RECEPTACLE ON 20 AMP CKT AND G.F.I PROTECTED 0 POINT ALONG COUNTER TO BE MORE THAN 2 FEET FROM G.Fi PROTECTED RECEPTACLE. JA PUT A RECEPTACLE UNDER SINK. ALL FIXED APPLIANCES ON DEDICATED CKTS. CIoSt—t - seWl T:_ _.1g 5-13 V' arni Shires Vil,13ae AP -ROVED BY 1 DATE rxB1mvvJ G10�� ZONING DEPT T BLDG DEPT SJBjECT 1-0 CGNIPIJANCE WI fH ALL FEUERAL STATE ANL) CCI-jN-iY r4UL=S AND REGULATIONS