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PL-08-22-2045Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address 499 NE 102ND ST, Miami Shores, FL 33138 Contacts Permit NO.: PL-08-22-2045 Permit Type: Plumbing - Residential Work Classification: Alteration Permit Status: Approved Issue Date: 08/23/2022 Expiration: 02/23/2023 Parcel Number 1132060170850 Glenn Daidone Owner Adalberto Cabrera Martell Applicant 499 NE 102 ST, Miami Shores, FL 33138 499 102nd St, Miami, FL 33138 Mobile: 3057882711 GVDAIDONE@GMAIL.COM Home: 3059047284 cadlemo@gmail.com AFFORDABLE PLUMBING CORP Contractor DAVID DIAZ 1901 SW 36 CT, miami, FL 33145 Business: 3059790516 dndcorp@aol.com Description: REPLACE CAST IRON DRAIN LINES IN CRAWL SPACE Valuation: $ 5,725.00 Inspection Requests: 305-762-4949 AND GALVANIZED WATER LINES Total Sq Feet: 0.00 Fees Amount Application Fee - Other $50.00 CCF $3.60 DBPR Fee $5.58 DCA Fee $3.72 Education Surcharge $1.80 Permit Fee $322.13 Scanning Fee $6.00 Technology Fee $37.21 Total: $430.04 Payments Date Paid Amt Paid Total Fees $430.04 Credit Card 08/12/2022 $50.00 Credit Card 08/23/2022 $380.04 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 AFF AVI : I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating c nd zoning. Futhermore, I authorize the above named contractor to do the work stated. / Applicant / Contractor / Agent August 23, 2022 Date Par r Miami Shores Village ENTERED Building Department AUG 12 2022 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 BUILDING PERMIT APPLICATION FBC 20Z° Master Permit No. iQL..- 06 -2.2 - Zoy5 Sub Permit BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION `}��PLUMBING ❑ MECHANICAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP �� CONTRACTOR DRAWINGS JOB ADDRESS: _ I / [ /tj I O'Z- S Folio/Parcel#: Is the Building Historically Designated: Yes Occupancy Type: Load: Construction Type: Flood Zone: BFE: _ OWNER: Name (Fee Simple Tenant/Lessee Name: Email: d0-d 12. CONTRACTOR: Company Name: Addre! Email: Qualifi i State Certification or Registration #: G"rc % 2I,� I"�,3 Certificate of Competency #: _ DESIGNER: Architect/Engineer: Phone#: i Address: !�0 City: Stat Value of Work for this Permit: $ I) Square/Linear Footage of Work: Type of Work: ❑ Addition ,Iteration ❑ New ❑ Repair/Replace Specify color of color thru tile: Submittal Fee $ Permit Fee $ CCF $_ Scanning Fee $ DCA Fee $ DBPR $ Technology Fee $ Training/Education Fee $ Structural Reviews $ P&Z Review $ []RENEWAL 33t; NO_ FFE: _Zip: ❑ Demolition CO/Cc $ _ Notary Double Fee $ Bond $ TOTAL FEE NOW DUE $ (Revised04/05/2022) 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 jab site for the first inspection whichgccurs seven (7) days after the building permit is issued. In the a of such posted notice, the inspection will not be apprq4ed aVa reinspection fee will be charged. or AGENT The foregoing instrument was acknowledged before me this A 1� day of r-sU! US} , 20 ZZ by Mich'-W t who is personally known to me or who has produced G L �'�Y LL,' as identification and who did take an oath. NOTARY PUBLIC: Sign: � )`"— ue� Print: V(VIVIII111112 IOU Seal: 1�Comm.:HH222410 a•;� .` Expires: Jan. 31, 2026 Notary Public • State of Florida APPROVED BY CONTRACTOR The 107qoing instrument was acknowledged before me this ^1 day of oi-rj � 20 � by `I>'Ai 10 (7/1i o is personally known t me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: v ✓ �� Print: E Notary PL:k State ofFiondaSeal:Comrisslor a 44'46.60 y Comm. 3xares Oct'd. 203Se thragh Natrona: Notary Assn. Plans Examiner Zoning (Revised04/05/2022) Structural Review Clerk MAIM= )I.Of 8 � CNSOJUI # ros rtm�lc rma#�. rmaWa mmma {tm I1m {PPIJI 8-14 (PB i1WE 901A IWIQ—Dd06 OMSI#4S 8-1{) w gwwavl wr �iv+i Now www Nmx _ OEM two©® c:-rvm©m v®m© mom© �m©m �m©m CITY COPY PLUMBING FLOOR PLAN seas lH�ra SITE INVESTIGATION NOTE _� .-Y � :s. �rm�ewrcwvxssvr Miami Shores Village Building Department Building Dept. Date Subject to compliance with all Federal, State and�ounty rules and regulations. Permit# / - D� ZZ- 2.OLI S id d a Ron DeSantis, Governor Melanie S. Griffin, Secretary Hoi;d�a STATE OF FLORIDA pr DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD THE PLUMBING CONTRACTOR HEREIN IS CERTIFIED UNDER THE PROVISIONS OF CHAPTER 489, FLORIDA STATUTES DIAZ, DAVID AFFORDABLE PLUMBING CORP 1901 SW 36 COURT MIAMI FL 33145 LICENSE NUMBER: CFC1426173 EXPIRATION DATE: AUGUST 31, 2024 Always verify licenses online at MyFloridal-icense.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. Local Business Tax Receipt Miami —Dade County, State of Florida -TMSIS NOTA BILL -DO NOT PAY 5268586 BUSINESS NAMFAOCATION AFFORDABLE PLUMBING CORP 1901 SW 36TH Cr MIAMI FL 33145 OVVNER D & D PLUMBING CORP C/O DAVID DIAZ, QUALIFIER/PRESIDEM Worker(s) 1 RECNPTNa. RENEWAL 5505483 SEGTVPE0FGUSINMS 196 PLUMBING CONTRACTOR CFC142ci73 EXPIRES SEPTEMBER 30, 2022 Must be displayed at place of business Pursuant 00 County Code Chapter SA - Arc 9 & 10 PAYAENTRECBVE➢ BYTAXQUECTOn $45.00 08/10/2021 INT-21 360450 This Local Business Tan Receipt Only COUJIMspayment of the Local 911inexTo,. The Receipt is not a license, permit, Ora certification of the holders qualifications, to do business Holdermust rompiy viith aay govommental or nongovernmental regulawry laws and mqufmmenlswhich apply to the business. The RECEIPT NO_ above must he displayed on all commercial vehicles- Wami-Dade Code Sec 8a-276. Fur more information,visitrutvcimtam'dadaoovimxeoll t r A+CORD0 CERTIFICATE OF LIABILITY INSURANCE 09/11 022 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 endomeme s . PRODUCER WNE:CONTACT Lucia Estrella ACCURATE GROUP, LLC PHONE 305 226-8727 Fax o • 305 226-8767 Eat R . accurate.oertificatos@gmall.com 8300 West Fla&r, Suite 114 INSUR AFFORDING COVERAGE NAIC 0 INSURER A: A rfty Specialty Insurance Company 16427 Miami FL 33144 INSURED D & D Plumbing Carp INSURER B : NorGuard Insurance Company 31470 INSURER C : INSURER D : 1901 SW 36 Court INSURER E : D=RER F : Miami FL 33145 r_nv�Rer:f=s CERTIFICATE NUMBER! 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 TYPE OF INSURANCE DL SUS POLICY NUMBER POLICY EFF POLICY EXPLTRI LIMITS A X commERCIAL GENERAL LIAwLnY 1 CLAIMSMADE I OCCUR Y Y 01-C-PK-P20052354-0 04/15/2022 I 04/15J2023 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RMITET— PREMISES a $ 100,000 MED EXP arse ) $ 5,000 PERSONAL a ADV INJURY $ 1.000.000 GENL AGGREGATE UMIT APPLIES PER X POLICY PROJEC- LOC OTHER: GENERAL AGGREGATE S 2,0K= PRODUCTS - COMP/OP AGG S 2.000,000 $ AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON OWNED AUTOS ONLY AUTOS ONLY I jI � � COMBI(JED SINGLE LIMIT $ BODILY INJURY (Per person) S BODILY INJURY (Per socidertt) $ PROPERTY DAMAGE $ S U11BRELLALIA6 EXCESS LIAR OCCUR CLAfMS-MADE I i EACH OCCURRENCE $ AGGREGATE S DED I RETENTION $ S B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTiVE YIN OFFICERIMEMBEF2t7CCLUDED? (Mandatory in NH) U yes describe under DESCRIPTION OF OPERATIONS below NIA DDWC340644 I 01/1912022 01/19/2023 X TA ERA E,L, EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOY $ 100.000 E.L. DISEASE - POLICY LiMR S 500,000 i i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Additional Remarks Schedule. may be attached If more space is mqutred) CBC 1262239 Miami Shores Building Department 10050 NE 2nd Avenue Miami Shores. Fl. 331138 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 REPRESENTATWE fiwzp 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 26 (2016103) The ACORD name and logo are registered marks of ACORD