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PL-19-1464Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address 420 NE 95TH ST, Miami Shores, FL 33138 r'nntnrtc Nl-nl If Lfl-fl J Al, Issue Date: 06/26/2019 Parcel Number 1132060140461 Permit NO.: PL-06-19-1464 Permit Type: Plumbing - Residential Work Classification. Alteration Permit Status: Approved Expiration: 12/ 23/2019 MARIA CARVALHO Owner 420 NE 95TH ST, Miami Shores, FL 33138 Business: 7542344235 MARIA@MIACH[C.COM AURORA PLUMBNG CORP Contractor LEONARDO RAYON on Requests: cti Description: REMOVE KITCHEN AND GUEST ROOM SINK AND Valuation: $ 12,400.00 Inspection ti 4949 SHOWER, REMOVE MASTER BATH TUB INSTALL NEW DRAINAGE AND WATER PIPES FOR GUEST ROOM, INSTALL Total Sq Feet: 1,000.00 SINK, SHOWER AND WATER CLOSET INSTALL NEW KITCHEN SINK AND NEW MASTER BATH SHOWER PAN. Fees Amount Application Fee - Other $50.00 CCF $7.80 DBPR Fee $6.51 DCA Fee $4.34 Education Surcharge $2.60 Permit Fee $384.00 Scanning Fee $3.00 Technology Fee $10.85 Total: $469.10 Payments Date Paid Amt Paid Total Fees $469.10 Credit Card 06/25/2019 $50.00 Credit Card 06/26/2019 $419.10 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 permi are equired for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. I c i that all the regoing information is accurate and that all work will be done in compliance with all applicable laws and o Futherm e, authorize the above named contractor to do the work stated. � Authorized Signature: Owner / Applicant / Contractor / Agent Date June 26, 2019 Page 2 of 2 �I�°'�� ami Shores Village BUILDING PERMIT APPLICATION 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 RECEIVED 4JN 2 6 2019 B �TI-k FBC 201� Master Permit No. #05-19-1079 Sub Permit No L_ ab_ lq— t 9 G [BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ®PLUMBING [ MECHANICAL PUBLIC WORKS [] CHANGE OF ❑ CANCELLATION [ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 420 NE 95th Street City: Miami Shores County: Miami Dade Zip 331:38 Folio/Parcel#: 11 -3206-014-0461 Is the Building Historically Designated: Yes NO X Occupancy Type: Load: Construction Type; Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Alberto and Maria Carvalho Phone#: 754-234-4235 Address:420 NE 95th Street city: Miami Shores State: Florida Zip: 33138 Tenant/Lessee Name: Phone#: Email: maria@miachic.com CONTRACTOR: Company Name: Aurora Plumbing Corp Phone#: 305-633-9578 Address: 301 East 10 Avenue City. Hialeah _ state: FL Zip: 33010 Qualifier Name: Leonardo J. Rayon Phone#: 305-218-3011 State Certification or Registration #: CF01427483 Certificate of Competency#: DESIGNER: Architect/Engineer: Address: _ City: State: Zip: Value of Work for this Permit: $ 12,400.00 Square/Linear Footage of Work: Type of Work: ❑ Addition Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: remove kitchen and guest room sink and shower, remove master bath tub Install new drainage and water pipes for guest room, install sink, shower and water closet Install new kitchen sink and new master bath shower pan Specify color of color thru tile: Submittal Fee $ GJ . w Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ _ TOTAL FEE NOW DUE (Revised02124/20141 Bonding Company's Name (if applicable) Bonding Company's Address City State Zip 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 on 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 proved and a reinspection fee will be charged. Signature K/1,1, vq� Si--RM 7M—� OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this 20th d(a1y of .June 20 19 by MAY{ A `Ci N4 Y 10 , who is personally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: My comet. Expires Jan 4, 2023 Seal Bonded through Nationat Notary Assn The foregoing instrument,was acknowledged before me this 5 day of ,:t It 20 19 by Leonardo J. Rayon who is personally known to as me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign:': <.,>i', /2f.Cr' as Print: Patricia Pr OVe Q ", PATRICIA PROVENZANO Notary bile • State of Florida Seal: Commission CGG 199242 F / Ay Comm. Expires Jul 15, 2022 Banded though National Notary Assn. APPROVED BY c% Plans Examiner Zoning Structural Review Clerk (NeviseoO2/24/2014) e Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A, COPY OF QUALIFIER'S STATE LICENCES B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF LIABILITY INSURANCE* D. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICATE OF COMPETENCY OF QUALIFIER B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF STATE REGISTERED CONTRACTOR LICENSE OR MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT. D. COPY OF LIABILITY INSURACE* E. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit) *YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE AS FOLLOW: Certificate Holder: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 Certificate must specify the description of operations or contractor license number. •■rarrr�rrrrsrrrrrrrrrrrrsrrrsrrrsrrrrrrr■■■rrrr■rrrrr a rrrrsrrsrsrrrrrrrrsrrrrrrssrrsrrrrr BUSINESS NAME: Aurora Plumbing Corp BUSINESS ADDRESS: 301 East 10 Street CITY Hialeah STATEFL Zip 33010 BUSINESS PHONE: ( 305 ) 633-9578 FAX NUMBER ( 305-) 633-2458 CELL PHONE (--305 ) 218-301 1 QUALIFIER'S NAME: Leonardo J. Rayon QUALIFIER'S LIC NUMBER: CFC1427483 RICK SCOTT, GOVERNOR JONATHAN ZACHEM, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND-.RROFESSIONAL REGULATION ,ter %:►.'_ . -. , _.~�;'�,� CONSTRU THE PLUMBIN( PROVISAG e;: p k D�UNDER THE ATUTES EXPIRATIONZATE AUGUST 31, 2020 Always verify licenses online at MyFloridaLicense.com Fil !' !A B 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. ._ i Local Business Tax Receipt Miami -Dade County, State of Florida THIS IS NOTA BILL — DO NOT PAY il RT 7.42974 BUSINESS NA&gK/ .00ATION RECEIPT NO. EXPIRES AURORA PLU BING CORPORATION RENEWAL SEPTEMBER 30, 2019 301 E 1 OTH AVE 742974 Must be displayed at place of business HIALEAH FL 33010 Pursuantto County Coda Ctta'ptar.BA--Art 9 & TO OWNER SEC. TYPE OF BUSINESS CEIVSO AURORA PLUMBING CORPORATION 196 PLUMBING CONTRACTOR PAYMENT LECTOR CIO LEONARDO. RAYON PRESIDENT CFC1427483 BY., TAX COLLECTOR Worker(s) 38 $ 29.00. 07/06/2018 CHECK21 18-057713 Thie iaeal Business Tax:Heceipt only rsttfirms Payee nt of the Leal Business Tax. The RecalfM Is not a Iicoam pat _k ar a certifica:..,f the hot ar' F.Iificatfoof to do business. Hofdsr must comply widt any govenwarital oe nenpnvsrnmentatsegulatory iews an6 aquiremaii of the spptyto the business. + The RECEIPT NO. above must bo displayed an all commercial vehicles -MiamPhdo Cods Sec 8a4N. for =to information, visit www.miamidade.awhaxcoilector AC" CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) �.. 06/20/2019 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 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 CONTACT t w...........-...._JOrge Rodriguez....._.........._........._.........-_-_. Continental Insurance Agency, Inc. 4AlcNticxt) (305) 445 6550 jaal; (305) 445-5122 2307 Douglas Road #401 AIL ADDRESS: jj@continentalinsuranceagencyinc.com __ INSURER LS) AFFORDING COVERAGE _—_— —_......_............... # Miami FL 33145 INSURER A: United Specialty Ins. Co. _ _ _._._ _ ._....__ INSURED INSURERS: Maiden Rens. North America, Inc./ Ascendant Ins. _....._.__.....__............__....._..—._..._.........__..._...__._..._............._._-.._...__......_....___._..---......_...._.'—.._—_....__.._._.._._. AURORA PLUMBING CORP, INSURER c : Technology Insurance Company 301 East 10 Avenue INSURER n . I Hialeah FL 33010- INSURER F : COVFRAGFS CERTIFICATE NUMRFR- RFVISION NIIMRFR- 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 aADDL SUER' LTR : TYPE OF INSURANCE i POLICY NUMBER ___._.. _...... ! POLICY EFF POLICY EXP LIMITS M /YYYY MMIDDlYYYY XCOMMERCIAL GENERAL LIABILITY I /� —' _ ! EACH OCCURRENCE S 11000,000.00 - .. CLAIMS -MADE XOCCUR '-tSA�iAUL`"fi1YREi� ED — PREMISES„jEa_occVrrance]_. S 100,000.00 — MED EXP one peraanj S 5,000.00 — A USA4201534 12122/2018 12/22/2019 PERSONAL & ADV INJURY_ 5 1,000,000.00 I GEN'L AGGREGATE LIMIT APPLIES PER: i GENERAL AGGREGATE 15 2,000,000.00 PRO- POLICY X JECT %„ LOC .------ -- ':. PRODUCTS - COMP/OP AG G �. $ 2,000,000.00 S _ , I > OTHER: AUTOMOBILE LIABILITY ( ! i I < COMBINED SINGLE LIMIT $ 1,000,000.00 ; (Ea acddant) ___............ i ANY AUTO � � . ....................... __........... ------ I I BODILY INJURY (Perperson) $ OWNED SCHEDULED�- B X CA-45772-1 11/03/2018 11/03/2019 I BODILY INJURY (Per accident) S AUTOS ONLY AUTOS HIRED I NON -OWNED ;PROPERTY DAMAGE --S-_...._ �- AUTOS ONLY AUTOS ONLY j ;leer accidentl It E �S , UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 5,000,000.00 A I EXCESS LIAB CLAIMS -MADE! USA4196331 12/22/2018 12/2212019 AGGREGATE _ s 5,000,000.00 ._—..... i DED RETENTION $ i S IWORKERSCOMPE14SATION j i PER I i OTH- I X_ 6TATUTE I AND EMPLOYERS' LIABILITY Y/N 1 1 - ZANY pROPR1ETOYLPARTNERlEXECUTIVE C EXCLUDED? N I A TWC3702694 E.L. EACH ACCIDENT $ 1,000 000 00 04101 /2019 04101 /2020 :OFFICER/MEMBER � ' (Mandatary In NH) , E.L. DISEASE - EA EMPLOYEE~ $ 1,000 000 00 ( If yes. describe under { _.__.. m _.... .._ , _............. .. ..........._ ....._ :DESCRIPTION OF OPERATIONS below (E.L. DISEASE -POLICY LIMIT $ 1,000,000.00 I f I DESCRIPTION OF OPERATIONS t LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) License # CFC1427483 L MIAMI SHORES VILLAGE BUILDING DEPARTMENT 10050 NE 2 AVE MIAMI SHORES VILLAGE, 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 O 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD .4�� Aurora Plumbing. Corp. June 13, 2019 Unitech Builders Corp Ms. Dania Guevara 16155 SW 117 Ave Ste #23 Miami, FL 33177 Phone: 305-259-1980 Fax: 305-259-1970 E-mail: danianunitechbuilderscorp.com RE: Plumbing bid for- "Carvallo Residence @ 420 NE 95th Street Miami Shores." Plans by: OA Architects. Page: P-1. Dated: 03/04/2019 19-23 REF# Carvallo Residence @ 420 NE 95th Street Miami Shores. Scope: 1- P-1. 1- P-2. 2- P-2A. 1- Septic connection. 1- P-4 Replace existing kitchen sink. 1- Icemaker connection. Demo: Cap the following fixtures for demo. 1- WC. I- LV. 2- SH. 301 East 10'' Ave Hialeah, Florida 33010 Phone: (305)633.9578 Fax: (305)633.2458 We will supply all labor, materials, permits and equipment necessary for the completion of this plumbing contract as follows: All sanitary system in PVC. All water lines in CPVC. The following items are not included in this proposal: Patching, back filling, masonry work and sand fill. Site / Civil drawings. Protection of surroundings. Fixtures, faucets and trims. A/C condensate system. Insulation. Plan revisions. Total amount of this proposal .............................. $ 12,400.00