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PL-01-21-162, 1020 NE 92nd StMiami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 j Issue Date: 02/10/2021 Location Address Parcel Number 1020 NE 92ND ST, Miami Shores, FL 33138 11320SO130020 Contacts Permit NO.: PL-01-21-162 Permit Type: Plumbing - Residential Work Classification: Alteration Permit status: Approved Expiration: 07/21/2021 1760 NE LLC Owner Dolphin Expediting.com Applicant 1020 NE 92 ST Mannix Fernandez Business: 305-878-9326 MANNIX7705@HOTMAIL.COM 14512 SW 147 CT, Miami, FL 33196 Business: 3058789326 mannix@dolphinexpediting.com AAA PRO PLUMBING LLC Contractor GEORGE L CANCIO 6619 S DIXIE HWY 173, MIAMI, FL 33143 Business: 3056398972 aaaproplumbing@gmail.com Mobile: 7862730577 on Requests: ctiti Description: INSTALL ENTIRE PLUMBING SCOPE ROUGH AND Valuation: $ 10,000.00 Inspection 4949 SET AS PER PLANS Total Sq Feet: 2,475.00 Fees Amount Application Fee - Other $50.00 CCF $6.00 DBPR Fee $5.25 DCA Fee $3.50 Education Surcharge $2.00 Permit Fee $300.00 Scanning Fee $3.00 Technology Fee $8.75 Total: $378.50 Building Department Copy Payments Date Paid Amt Paid Total Fees $379.50 Credit Card 02/10/2021 $328.50 Credit Card 01/22/2021 $50.00 Amount Due: $0.00 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. Futhermore, I authorize the above named contractor to do the work stated. Authorized Signature: Owner / Applicant / Contractor / Agent Date February 10, 2021 Page 2 of 2 Miami Shores Village 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 PERMIT APPLICATION ❑BUILDING ❑ ELECTRIC ❑ ROOFING RECEIVED C't eA FBC 20 I� Master Permit No. ac. -I() - k I - a-S3k Sub Permit No. L _a (— 2-1 - / L ❑ REVISION ❑ EXTENSION ❑RENEWAL 12/PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: I ®'4' C i\J15 Si- - City Miami Shores County: Miami Dade Zip: �� 3 Folio/Parcel#: 11' 'NIPS- - (A 3 - WoN-o Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): ��'�P.�. R%J %��'� Phone#: Address: i 0r -O Ne, cfa— g. City: M i p-r- , S ftdf <f State: �� Zip: -sz ('s �jl Tenant/Lessee Name: Email Phone#: CONTRACTOR: Company Name: AAA PRO PLUMBING Phone#: 786-273-0577 Address: 8550 NW 64 ST City: MIAMI State: FL Zip:33166 Qualifier Name: George L. Cando Phone#: State Certification or Registration #: CFC-1428813 Certificate of Competency #: DESIGNER: Architect/Engineer: Address City: State: Zip: Value of Work for this Permit: $ 1610001 6-0— Square/Linear Footage of Work: Type of Work: ❑ Addition [] Alteration 1,❑ New ❑,/1 ,Repair/Repla�ce 1e Description of Work: Ii���i�il�lr� n4Jtj Specify color of color thru tile: Submittal Fee $ Permit Fee $ Scanning Fee $ Technology Fee Structural Reviews $ Radon Fee $ Training/Education Fee $ CCF $ DBPR $ ❑ Demolition � e'er plans, CO/CC $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ 3 ZG' y - 5;0 (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 whila occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be appro and a reinspection fee will be charged. Signature ER or AGENT The foregoing instrument was acknowledged before me this ®% day of 31* d L ,6' , 20 I'l by W ast-4,0 6t-j who is personally known to r me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Print: a(m R VLA Ltl Seal DAtiIA PEREZ MY COMMISSION # GG 073171 EXPIRES: March S, 2021 Bonded Thri Notary Public Underwriters Sign NTRACTOR The foregoing instrum{e�nnt- was acknowledged before me this day of 20 q by ClWr'e who is -e-rs`an­a`ffy-1newnto me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign:_ Print: 'wt Seal: `'=: Canmissbtl;ef3(i1 Expkes SepOe+" 30, 2021 �:;,op w;g`�'•• Bonded TMu Troy Fih1 Y�ufmCe aA0,185.7019 APPROVED BY -ZZ;E;Z� Plans Examiner M1 Zoning Structural Review (Revised02/24/2014) Clerk Ron DeSantis, Governor STATE OF FLORIDA Halsey Beshears, Secretary DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD THE PLUMBING CONTRACTOR HEREIN IS.'CERTIFIED UNDER THE PROVISIONS OF CHAPTER 489,_.FLORIDA STATUTES CANC10, GEORGE L AAA PRO PLUMBING, LLC 6619 SOUTH. DIXIE HIGHWAY 1,73-- IMIAIMI FL 33143 LICENSE NUMBER: CFC1428813 EXPIRATION DATE: AUGUST 31, 2022 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. Florida pr Local Business Tax Receipt Miami —Dade County, State of Florida -THIS IS NOT A BILL - DO NOT PAY 7170807 RECEIPT NO. RENEWAL BUSINESS NAME/LOCATION 7449645 AAA PRO PLUMBING LLG 8550 NW 64TH ST MIAMI, FL 33166 ,,,&WAMaM LBT EXPIRES SEPTEMBER 30, 2021 Must be displayed at place of business Pursuant to County Code Chapter SA - Art. 9 & 10 OWNER SEC. TYPE OF BUSINESS PAYMENT RECEIVED AAA PRO PLUMBING LLC 196 PLUMBING BY TAX COLLECTOR C/O EDWIN M GUERRA MGR CONTRACTOR 75.00 09/03/2020 Workers) 1 CFC1428813 CREDITCARD-20-072365 This Local Busioess Tax Receipt only cogbw payment of the Local Bu&e=Tax. The Receipt is not a license, permit, or a cevdffcadon of the holdefs qualifica8on%to do business. Haider must comply witb any goverrm onlal or nongovernmental regulatory lawn and requiremems which apply to the hosloesa. The; RECEHrr NO. above most he displayed on all commercial vehicles — NRami—Dade Code Sec 8e—M prpp Farmers' I . on. vlaft vvwwmlemldeda aovflexcollestor DATE(MM/DD/YYYY) co_d CERTIFICATE OF LIABILITY INSURANCE 1/20/2021 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 be endorsed. If SUBROGATION IS WAIVED, 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 PRODUCER South Florida Casualty, Inc. 415 North 4th Street Lantana, FL 33462 INSURED AAA Pro Plumbing, LLC 8550 NW 64th Street ' PHONE � 561-533-6144 I C.No,561-533-6170 .elaine s cins.ne L Miami, FL 33166 305-639-8972 INSURER F: nn%A=oAr±=e /nCEMLY�ATIC wn IAAME.� 92GIACInK1 All IILARGIZ- 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. INSIR LTR TYPE OF INSURANCE PAWL W— POLICY EF YREXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE D OCCUR 01CPKP20014831-0 1/16/2021 /16/2022 NCE 1,000,000 $ 100,000 $ 5,000 PERSONAL & ADV INJURY 1,000,000 GEN'L AGGREGATE LIMITAPPLIES PER: RPOLICY D JECT LOC OTHFR' GENERAL AGGREGATE 2,000,000 PRODUCTS -COMP/OPAGG 2 000 000 $ AUTOMOBILE LIABILITY ANYAUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS O BZSINGLELIMIT $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY D GE (Per accident) $ UMBRELLA LWB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE 4DED AGGREGATE $ I I RETENTION S COMPENSATION AA ND EMPLOYERSLIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory In NH) If desabe under NIA P RTUTE O 1WORKERS ER E.L. EACH ACCIDENT El- DISEASE - EA EMPLOYEE $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if mole space is required) Plumbing Operations CFC1428813 n-- i n�M PlAAI/'CI 1 A"^Kl Miami Shores Village Building Department g P SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 10050 NE 2 Ave ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores Village FL 33138 AUTHORIZED REPRESENTATIVE 305-795-2204 Fax 305-756-8972 5&w 1 �rWK�f ©1988-2013 ACORD CORPORATION. All rights reserved. ACORD 25 (2013/04) The ACORD name and logo are registered marks of ACORD Ac v® CERTIFICATE OF LIABILITY INSURANCE DATE(M11UDDIYYY`r) 1 /22/2021 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: N 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 terms and conditions of the policy, certain policies may require an endorsement. A statement on this c:ertlflcate does not confer rights to the certificate holder In lieu of such endorsements). PRODUCER GIGA Solutions, Inc. 101 Plaza Real South Ste 201 CONTACT NAME: PHONE 888.5g1-0807 Fax No E-MAIL ADDRESS: INSU AFFORDING COVERAGE NAIC f Boca Raton FL 33432 INSURER A: TECHNOLOGY INS CO INC 42376 INSURED Integrity Employee Leasing, Inc. L/C/F AAA Pro Plumbing LLC INSURER B : INsuRERc` 128 W. Charlotte Avenue INSURER D : INSURERE: Punta Gorda FL 33950 INSURER F : rnvcQeracc CFRTIFICATF NIIMRFR- 7nRn97R72 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. L ISR TYPE OF INSURANCE SUBR POLICY NUMBER POLICY POLICY EFF POLICY EXP LMM COMMERCIAL GENERAL LIABILITY CLAIMS-MADE F—IOCCUR EACH OCCURRENCE $ DAMAGE TO RENTOT— PREMISES Me occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑ JET LOC OTHER: GENERAL AGGREGATE $ PRODUCTS -COMP/OP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY (Es acdcddent BINEDSIN LIMIT $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ UMBRELLALIAB EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNERIEXECUTIVE Y❑ OFFICERIMEMBEREXCLUDED7 (Mandatary In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA TWC3851837 2I12/2020 2/12/2021 X STARTUTE I I ER E.L. EACH ACCIDENT $1,000,000 EL DISEASE - EA EMPLOYEE $1,000,000 E.L DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached B more space Is required) Coverage provided for all leased employees but not subcontractors of AAA Pro Plumbing LLC Location coverage effective 2/12/2020 TE Miami Shores Village Building Department 10050 N.E. 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. AUTHOPMEEDD REPRESENrATNE emllk W I VtW-LUT S AUUKLI I:UKr'UKA I IUK. An n9ms reserveu. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD U) AArEP Uestgrn. Grau.p January 16, 2024 City of Miami Shores — BLDG Department 10050 NE 2nd Ave, Miami Shores, FL 33138 Attn.: Plumbing reviewer Ref.: Permit # PL-01-21-162 Address: 1020 NE 92nd Street, MIAMI SHORES, FL 33138 To whom it may concern, (�C-10-19-)-531 This letter is to confirm that we visited the site on 02/15/2023. We verified the installation of shower pans and it has been water tested with no leakage. Based on our inspection the shower pans are installed in accordance with FBC 2020-Plumbing-Sec. 421-7Th Edition. If you have any inquiries regarding the above, please contact this office. Very truly yours, Milton Malpartida Project Manager ==E�� C \\IQZO2L1 MEP Design Group LLC 1000 W Pembroke Rd Ste 110, Hallandale Beach, FL 33009 1 CA # 32030 Tel: (954) 290-8165 1 Email: mepC@mepdesieneroupllc.com www.mepdesigngroupllc.com