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PL-03-21-624, 29 NE 102nd StMiami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address Parcel Number 29 NE 102ND ST, Miami Shores, FL 33138 1132060131650 Contacts Christian Ulvert & Carlos Andrade Owner MARLIN PLUMBING OF MIAMI INC Contractor 29 NE 102ND ST, Miami Shores, FL 33138 EDWARD WALKER Mobile: 3053363631 christian.ulvert@gmail.com 20145 NE 16 Place, N Miami Beach, FL 33179 Business: 3056526108 marlinplumbing@aol.com Inspection Requests: Description: PLIMBING AS PER PLANS AND CONTRACT Valuation: $ 39,500.00 Total Sq Feet: 2,000.00 ✓ P E'�' %i i. Fees Amount Application Fee - Other $50.00 CCF $24.00 DBPR Fee $20.74 DCA Fee $13.83 Education Surcharge $8.00 Permit Fee $1,332.50 Scanning Fee $3.00 Technology Fee $34.56 Total: $1,486.63 Building Department Copy Payments Date Paid Amt Paid Total Fees $1,486.63 Check # 2835 03/12/2021 $1,486.63 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 March 12, 2021 V—i Page 2 of 2 1..r..._..� Miami Shores Village Building Department BY. 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 1 4 INSPECTION LINE PHONE NUMBER: (305) 762-4949 I FBC 20 BUILDING Master Permit NO.RC' 10-19- 2360 PERMIT APPLICATION Sub Permit No. -'FL- o 3 - z1-(o2 ❑ BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [:]RENEWAL PLUMBING ❑ MECHANICAL ❑ PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 29 N E /O Z S-17-ee4 City: Miami Shores County: Miami Dade zip: 3313Fi Folio/Parcel#: It-32-0(a - 013 — 1%50 Is the Building Historically Designated: Yes NO Occupancy Type:yp sd • Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Co'y 10 S A7n cje..., Phone#: 306 g8fr, 3 L 33 Address: 2 q NE 102 S+Y-Ce-f City: M i a n t; J hoi a s; State: FL, zip: 3313 S Tenant/Lessee Name: Email one#: CONTRACTOR: Company Name: M" I i r% P I V /VI b nA o T M Ca. M,. 'rn c.. Phone#: 3o5-652- 3 o 3 i Address: 001 q5 NE / L P1 d, a , City: PI - M `a AA i &0—(-,A State: FL zip: 3317 Of Qualifier Name: E J44c,-✓,J S' W a l k e-ir Phone#: 305 - 65L -3031 State Certification or Registration #: Certificate of Competency #: Ci=� 0gg0192 DESIGNER: Architect/Engineer: Phone#: Address: City: State Value of Work for this Permit: $ 3R. 500 .OU Square/Linear Footage of Work: Zip: Type of Work: LJ Addition .0 Alteration El New A _ ❑/ Repair/Replace ❑ Demolition Description of Work: 1, 5 pe {' ` 111 a (,v &A &TyM Ck" Specify color of color thru the: Submittal Fee $ Scanning Fee $ Technology Fee $_ Structural Reviews $ Permit Fee $ Radon Fee $ Training/Education Fee $ CCF $ CO/CC $ DBPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ 9� (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 E. 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 willjh'o-�be opprAvv dnndf4reinspection fee will be charged. Signatu or )GENT The foregoing instrumen'kwas acknowledged before me this day of IA4n" , 20 21 by Ca,v(o S Arndro do— , who is personally known to me or who has produced rt- D L—AS3G 112T 4ylrldas identification and who did take an oath. NOTARY PUBLIC: Signature VO O. The foregoing instrument was acknowledged before me this 10 day of MdNG% ' 20 ?- J , by Ed(i)&4'J J WoJk4.e- , who is personally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign: Sign: LIIIDJCII�•� Print: Print: YP Seal: 2°=`�� ` Notary Public Seal: o"aYP e< • ; Commission # GG 134165 oPi My p Comm. Expires Dec 6, 2021 Bonded through National Notary Assn. cc. APPROVED BY Plans Examiner THERESA MCCREERY Notary Public - State of Florid Commission # GG 134165 My Comm. Expires Dec 6, 2021 Bonded through Nabonal Notary Assn. as Zoning (Revised02/24/2014) Structural Review Clerk PROPOSAL MARLIN PLUMBING OF MIAMI, INC. 20145 N.E.16m PLACE, NORTH MIAMI BEACH, FL 33179 (305) 652-3031 fax (305) 652-3135 License CFC048292 PROPOSAL SUBMITTED TO Name: Carlos Andrade Street: 29 NE 102nd St. Miami Shores, FL 33138 Phone: (305) 988-3633 Email: Rosa@edgecommfl.com WORK TO BE PERFORMED AT Name: Andrade Residence 29 NE 102nd St. Miami Shores, FL 33138 We hereby propose to furnish the materials and perform the labor necessary for the completion of: As per plans dated 10/04/2019 Pages: P-1, P-2, P-3 & PS-1 • Marlin plumbing to dig trenches run drainage and waste lines approximately 300' of pipe. Material to be used shall be sch40 PVC pipe and fittings. After inspection is passed Marlin Plumbing shall backfill to rough grade. • Marlin plumbing to pipe in vent system approximately 120' of pipe. Material to be used shall be sch40 PVC pipe and fittings. • Marlin plumbing to pipe in hot and cold lines from existing to fixtures approximately 320' of pipe. Material to be used shall be CPVC pipe and fittings. • Marlin plumbing to install insulation, hammer arrestors and shut-off valves on water lines as per plans. • Marlin plumbing to install and trim out all plumbing fixtures provided by owner. As per plans. NOTE: Any deviations from scope of work mentioned above will be extra to contract and done at time and materials, Marlin Plumbing is not responsible for any landscaping, floors, walls or tile patching. Permits fees are extra to contract if needed. Exclusions: Night and weekend hours, If hours are performed it will be charged as overtime. Site work, engineering fees, concrete X-raying and concrete saw cutting and pouring, patching or debris disposal unless otherwise specified in the above inclusions section. Any condensate drain lines, roof penetrations, roof patching, and condition of existing plumbing we are connecting to. Any walls, ceiling floor, asphalt landscaping or concrete patching and repair. Any core drilling. Marlin Plumbing will not be responsible for any underground water pipes, sprinkler lines, gas or electric lines while doing any trenching or concrete cutting, impact fees if necessary, Marlin Plumbing will call for location services to mark services. All Material and Workmanship is Guaranteed for One (1) Year starting from Completion date. The above work to be performed in accordance with the drawings and specifications submitted for the above work and completed in a workmanlike manner for the sum of $ 39,500 (50% upon start & 50% upon completion) *in the event that the customer fails to make any payments to Marlin Plumbing in accordance with the terms and conditions of this agreement, Marlin Plumbing shall be entitled to all reasonable attomeys' fees on collection and/or litigation or other court proceeding including attorney's fees on appeal. Respectfully submitted: Marlin Plumbing of Miami, Inc. By: Noah Harris Date: 03/03/2021 ACCEPTANCE OF PROPOSAL The above price, specifications, and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payments will be made as outlined above. Any alteration or deviation from above specifications involving extra costs will be executed only upon en -order a e an cha over and above the estimate. All agreements are contingent upon strikes, accidents or delays beyond our cunt Date: P03/101202 i Signat e: �� Date: 3 Signature. AC40RL�►® CERTIFICATE OF LIABILITY INSURANCE 1111.� DATE (MM/DDIYYYY) 2/1 /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(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 FL 33321 CONTACT NAME: ROCIO Greene PHONE FAX v No Ext : 954-724-7000 JC No): 954-724-7024 E-MTamarac ADDRESS: RGreene@keyescoverage.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: AmGuard Insurance Co 3588 INSURED 5937 INSURER B : Zenith Insurance Co. 13269 Marlin Plumbing of Miami, Inc. 20145 N.E. 16th Place INSURER C INSURERD: Miami FL 33179 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 374414737 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 I SUBR POLICY NUMBER POLICY EFF MM/DD POLICY EXP MM/DD LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Fx] OCCUR Y Y MABP173105 5/8/2020 5/8/2021 EACH OCCURRENCE $ 1,000,000 DAMA13E TO RENTED PREMISESEa occurrence) $ MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ Included GEN'L AGGREGATE LIMIT APPLIES PER: POLICY [K PRO- LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED X SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED AUTOS Y Y MAAU273116 2/1/2021 2/1/2022 COMBINED SINGLE LIMIT Ea accident $ 1 000 000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ $ B 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 Y Z133838105 12/1/2020 12/1/2021 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Plumbing Contractor License # CFC048292 l:tK I If-ReA I t MULUtK L;ANL;t_LLA I IUN :JU Uays Notice / l U UaVS Tor Non-Nav MIAMI SHORES VILLAGE BUILDING DEPARTMENT 10050 NE 2ND AVENUE 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 Ron DeSantis, Governor Halsey Beshears, Secretary STATE OF FLORIDA I rnAn-rKAroLvr OF Q"Q11jrCC AND nnr%rrccte%oLi A i REGULATION :1 CONSTRUCTION.,.tNfd,WltY,IJCENSING BOARD 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 —THIS IS NOT A BILL — DO NOT PAY 2503465 BUSINESS NAME/LOCATION MARLIN PLUMBING OF MIAMI INC 20145 NE 16TH PL MIAMI, FL 33179 OWNER MARLIN PLUMBING OF MIAMI INC Worker(s) RECEIPT NO. RENEWAL 2627108 %--' SEC. TYPE OF BUSINESS 196 PLUMBING CONTRACTOR CFC048292 ILBT I i_=_-) EXPIRES SEPTEMBER 30, 2021 Must be. displayed at place of business Pursuant to County Code Chapter 8A — Art. 9 & 10 PAYMENT RECEIVED BY TAX COLLECTOR 75.00 07/29/2020 C REDITCARD-20-061693 This Local Business Tax Receipt only confirms payment of the Local Business Tax. The Receipt is not a license, permit or a certification of the holder's qualifications, to do business. Holder must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT NO. above must be displayed on all commercial vehicles — Miami —Dade Code Sec 88-276. MfAMFDAD For more information, visit www.miamidade.nov/taxcollector F