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PL-07-20-1494, 10603 NE 11th AveMiami Shores Village Building Department 07/15/2020 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20 BUILDING PERMIT APPLICATION ❑BUILDING ❑ ELECTRIC ❑ ROOFING Master Permit No. BPP-09-19-2293 Sub Permit No. PL-07-20-1494 ❑ REVISION ❑ EXTENSION ❑ RENEWAL PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 10603 NE 11 Ave City: Miami Shores County: Miami Dade Zip: Folio/Parcel#:1122320380390 Is the Building Historically Designated: Yes NO X Occupancy Type: Load: Construction Type: Residential Flood Zone: BFE: FIFE: OWNER: Name (Fee Simple Titleholder): El Pilar Investment 2 LLC Phone#: 786-489-9333 Address: 250 Catalonia Ave Suite 507 City: Coral Gables State: FL Zip; 33134 Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: Flowtech Pool Piping Corp Phone#: 305-926-4130 Address: 21201 SW 125th Path City. Miami State: FL Zip; 33177 Qualifier Name: Mario Alberto Zavala Phone#: 305-926-4130 State Certification or Registration M EC13007488 Certificate of Competency M DESIGNER: Architect/Engineer: Phone#: _ Address: City: State: Value of Work for this Permit: $ 2,500.00 Square/Linear Footage of Work: _ Type of Work: ❑ Addition ❑ Alteration ❑■ New Description of work: plumbing Pool Specify color of color thru the: Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ ❑ Repair/Replace Zip: ❑ Demolition CCF $ CO/CC $ DBPR $ Notary $ Double Fee $ Bond $ _ TOTAL FEE NOW DUE $ lRevised02/24/2014) 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 rlding permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee w' a charged. Signatu R or AGENT The foregoing instru e t was acknowledged before me this 4'i d y of 20 1, by e who is personally know ;to or who has produced s identification and who did take an oath. r Seal: ;i V '`moo: KATVERINE SHARON MACIAS ,r *: MY COMMISSION # GG 270837 EXPIRES: October 24,2022 Bonded Thru Notary Pubic Underwriters Signature w;t(t1w CONTRACTOR The foregoing instru was acknowledged before me this elf day of 20, by `, who is per known to me or who has produced 7 as identification and who did take an oath._ r Sign: r Seal: MY COMMISSION # GG 270101 EXPIRES: October 24, 2022 Bonded Thru Notary Pubtic Un]� F mmiters APPROVED BY Plans Examiner Zoning Structural Review Clerk (Rev1sed02/24/2014) FLOWTECH POOL PIPING CORP Date: 07/14/2020 State of Florida County of Miami Dade Before me, this day personally appeared MARIO ALBERTO ZAVALA who, being duly sworn, deposes and says: That he or she will be the only person working on the project located at: 10603 NE 11 Avenue Miami Shores, FL 33138 Mario Zavala Plumbing Contractor Sw rn to or me ub rib d before me this � day of 0&'o 1 20 By Personally Know 4 Or producer Identification ntification Produ Print -Type or Stamp Name of Notary ,o� p KATHERINE SHARON MACIAS MY COMMISSION # GG 270837 Tp4 EXPIRES: October 24, 2022 F x ° Bonded Thru Notary PUM Underwriters Ron Desands, Governor Halsey Besheam, Secretary STATE OF FLORIDA CONSTRUCTION INDUSTRY LICENSING BOARD I+LOWTECH POOL PIPING CORP 21201 SW 125TH PATH M IAM I FL 33177 LICENSE NUMBER: 5CC1311S1897 EXPIRATION DATE: AUGUST 31, 2022 Always verify licenses online at MyFloridaLicensexorn 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 7223274 BUSINESS NAME&OCATION FLOWTECH POOL PIPING CORP 15225 SW 145TH CT MIAMI, FL 33177 OWNER FLOWTECH POOL PIPING CORP CIO MARIO 2AVALA PRES Worker(s) RECEIPT NO. RENEWAL 7507865 EXPIRES SEPTEMBER 30, 2021 Must be displayed at place of business Q_. ® Pursuant to County Code Chapter SA - Art. 9 & 10 I SEC. TYPE OF BuSU11ESS 196 SPECIALTY PLUMBING BY TAX COLNT LEC"M CONTRACTOR 75.00 07106f2020 SCC131151897 CREDITCARD-20-049064 This Laval Business Tax Receipt only confirms payment of the Leval Business Tax. The Receipt is not a licease, parmit, or a ceriiication of the holder's qualifications, to do bssinow Holder owd comply wfB any yoearamarual or nonpovemnentall rgafn" lave end rmpiommox which apply to the fissions. The RECEIPT NO. above most be displayed on all coaroorcial vehicles - Miami-Oads Code Sec W-21fi. M® D For more infotmeboo, visit AC4RL�® CERTIFICATE OF LIABILITY INSURANCE oATEIMMIoorYYYY' 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 SUNZ Insurance Solutions, LLC. ID: (TLR) CONTACT NAME: Workers' Comp_Deparhnent c/o TLR of Bonita Inc buite PHONE 727 520 7676 x 3 FAX 727-525-3862 -MAIL certs@encorehr.com 700 Central Ave 500 St. Petersburg, OL 33701 INSURER(E)AFFORDING COVERAGE �------- I►SURERA: SUNZ Insurance Company 34762 INSURED USURER B TLR of Bonita, Inc Enter riseHR IIsuRERc 700 Central Avenue Suite 500 INSURERD St. Petersburg FL 33701 IISURERE: COVERAGES CERTIFICATE NUMBER: 55611234 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 DDL SUER POLICY EFF POLICY EXPLTR LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE OCCUR DAMAGE TO RENTED....__..._. __._ m.... PREMISES (Ea occunence S MED.EXP JArry one Parsa $ PERSONAE • ADV INJURY S GEN'L AGGREGATE LIMIT APPLIES PER; GENERAL AGGREGATE S POLICY PRO. ❑ JECT LOC PRODUCTS - COMP/OP AGG ! S T AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT s jEa ---od - BODILY INJURY (Per person) S ANY AUTO OWNED F7 SCHEDULED AUTOSONLY AUTOS JU BODILY INRY (Per acadent) S PROP€RTv DAMiSGE S P HIRED NON -OWNED AUTOS ONLY AUTOS ONLY S LJ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE f LIAB CLAIMS -MADE QED RETENTION is tANOEXCESS RKERscOMPENSATION EMPLOYERS'LIABILITY YIN rN N!AE.L. WCOI "000 1 -020 WC016-00001.019 6/112020 6/1/2019 6/t/2021 6/1/2020PROPRIETOWPARTNERIEXECUTIVE / STATUTE ER - __ EACH ACCIDENTICER/MEMBEREXCLUDED? ndatory (n HH) describe under ESCRIPTION OF OPERATIONS below 1 E.L.DISEASE-EAEMPLOYEE+$1,000,000.00s, 1 E.L. DISEASE - POLICY LIMIT i $1 000 000.00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, AddKbnN Remarks Scho"o. may to auachsd I neon space Is r"Wrsd) Coverage Provided for all leased employees but not subcontractors of: Flowtech Pool Piping Corp Client Effective; 7/29/2015 8737 Miami Shores Village Buildingg Department 10050 NEL Ave Miami 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. AUTH ORUZ O REP11ESENTATIVE ftk Leonard (D 1986a015 ACORD CORPORATION. All rights reserved. ACORD 25 42018/03) The ACORD name and logo are registered marks of ACORD 556/1234 1 TLR of ®Dolts PEQ 016 MASTER CERT I Rosemary Young 1 5/22/2020 1,55162 PH (m) I Pogo 1 of I CERTIFICATE OF LIABILITY INSURANCE DATE (YwDOt1'Y11� llki 1 07,10,2020 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. It 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 NA°"\,Ac' JUAN T_ UNON ROYAL CARIBBEAN INSURANCE AGENCY II . �. P(,'�" o �,1305 642.4541iti Ib) 305 642.1087 1772 WEST FLAGLER STREET EAOMOAnEess:JTUNONR0YALII%GMAIL.COM MIAMI I. FL 33135 INSURER(S) AFFORDING COVERAGE NNC a IMSLIAERA NAUTILUS INSURANCE COMPANY INSUREO FLOWTECH POOL PIPING. CORP 15225 S.W. 145TH COURT MIAMI. FLORIDA 33177 INSURER 6: INSU RER C : 1 INSURER 0 INSURER E : ...._.. INSURER F : nAVFOArLFC CFRTIFICATF NIddRFR• RFVISIF]N NIIMRFR• THIS IS r0 CERTIFY THAT THE POL CIES OF INSUIIANCE L.STED BELOW HAVE BCEN ISSUED TO THE INSURED NAMED ABOVE Fpn THE POLICY PEnIOD INDICATED NOTWITHSTANDING ANY REOUFIEMENT. TEnt,1 On CONDITION OF ANY CCNCTnACT On OTHER DOCUMENT WITH nESPECT TO WHICH THIS CEnTIFICATE MAY pE ISSUED On MAY PERTAIN. THE INSUFIANCE AFFOnDED BY THE PO.ICIES DESCR BED HEnEIN IS SUMECT TO ALL T"E TEiMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN RFOUCED BY PAID CLAIMS INSni _—TA6DLISu an _.... ..... ..._.......___. POLICYCFF I POLICYEXv ._._.. ..__.._. ___ .... .... LTR TYPE OF INSURANCE '.'N[d W.POLICY NUMOER MKVIID Vl IIVVfO LIMITS A COMMERCIAL. GENEnAL LIABILITY 0900108F�06.O1A 07/10202OD7/10i202 FAD+ OCCUURF`•CF S 1,000, 000. 00 ._ Cl A.MS MADE l x ) OCCUR _ I DAVACt /y� P 1{\+I 'C a XIVI S... 1 00.000 00 SES lEa xcv�e•ca) w 0 E XP ,A,T xe ae dn1 s 5.00000 aE IiS0%AI. A ADV NA n. S 1 .000.000 00 OFNt AGGREGAtF L'MMI APPLIES PEn Gfr.ERAL A.GGaEGATE S 2,000,000.00 POLICY f X, Pk1o( (..._....' LOC Pr1000Crs COMP.O= AGG S 2.000.000.00 AUTOMOBILE LIABILITY CCW3 N17_.WCAC 1Aatr -- S - ,Fs Ice Owl) ...._.... ANY AU 10 FfCN)A Y V,CRY lPgr 0t 1l S OWN[I) SCI+I UULEU BCOAY N,I.RY ;Pa a.c ow) S A010S ONLY AUTM 1111110 �- NON OWNEO 1110t' llfY UA-AACE S - - _- AUTOS ONLY ( .... AUIOSONLY J-0, atc da,Ap .. _.__ . .._.. _. UTABREL IA LIAB OCCU/t EAD'OCCLOWENCE i EXCESS LIAR C(AIMS VAOE AGGW GAIE S Ut0 R8T(NI O-N S S WORKERS COMPENSATION AND EMPLOYERS LIABILITY YQI - PFR OIM SIAI VIE I�.5i T ANY FY1Lp41F TD1(PARiNFREXECUTIVE E It ACDIANI S OFF CEII.NE MIIftt EXCIUUEO� NIA —' —�--' (Mantu"In" EL UsSEASE EAE\IPTOYEE S 10 was Jew,tw u100, _...... __. .-__.. ... .. .,... Of$CIUI•PON01 OPEFIAI10NSco1 EI ONSFASF POCCYLAa1 S DESCRIPTION OF OPEnATIONS/ LOCATIONS I VEHICLES (ACORO 101. Add Akin&[ ROMArkS SC/Ildule."y 00 M,aclyd it $1MIA aregw-d) (MOSTLY POOL PIPING). CERTIFICATE HOLDER CANCELLATION MIAMI SHORES VILLAGE BUILDING DEPARTMENT 10050 N.E. 2ND AVENUE MIAMI SHORES. FLORIDA 33138 ACORD 25 (2016103) OF THE AB �ESCRIBEO POLICIES SE CANCELLED 8EFORE ITION DA I fEREOF, NOTICE WILL BE DELIVERED IN WITH i 0L.1 ;`Y PRO VISIONS. The ACORO name and loao are registered marks of All