PL-07-20-1606, 355 NE 93rd StMiami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 13V
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949 ,..-j
FBC 201 LJ�
BUILDING Master Permit No. (�L C-A_ 2-0 I(-0OV
PERMIT APPLICATION Sub Permit No.
F-JBUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL ❑ PUBLIC WORKS ❑ CHANGE OF []CANCELLATION ❑ SHOP
r� CONTRACTOR DRAWINGS
JOB ADDRESS: SS- GJ S%'/lff
City: Miami Shores Countv: Miami Dade Zio:
Folio/Parcel#: ll " 6 -pj3 —A 2 J O is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder):�lf/L S', �/I ,G Li A.//C q, hone#:
Address: -
City: 44;- - ej State: �G zip: 3 3 / 3,'
Tenant/Lessee Name: _ _ _ _ _ Phone#:
Email:
CONTRACTOR: Company Name: y'�� %i 7d,t/ •2 C- Phone#: (1d,
Address:
City
Qualifier Name: lAv/4't to
State Certification or Registration is: _
m T' 4 ..,r
33/";' cf'
hone#:
Certificate of Competency #: F,6 0 e900C'11?L,?_
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ Square/Linear Footage of Work:
rt
Type of Work: ❑ Addition �T..Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: -:mg Sn/
Specify color of color thru tile:
Submittal Fee $
Scanning Fee $
Technology Fee $_
Structural Reviews $
(Revised02/24/2014)
Permit Fee $ CCF $_
Radon Fee $ _ DBPR $
Training/Education Fee $
CO/CC $ _
Notary $_
Double Fee $
Bond $
TOTAL FEE NOW DUE $
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
Zi
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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 will not be approved and a reinspection fee will be charged.
r � ,
Signature
r--
OWNER or AGENT
The foregoing instrument was acknowledged before me this
79" day of J vA 20 2 V , by
who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Signature
CON RACTOR
The foregoing instrument was acknowledged before me this
day of 20 2,o by
►-Co m.S'�, who is personally known to
as me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign: Sign:_
i
Print: Print:
Seal: U Y ,,, JORGETOL:GG020807
Seal: /
// � MY COMMISSION EXPIRES: Augus0BondedThu Notary Purwriters
O.wt
APPROVED BY Plans Examiner
Structural Review
JORGE TOLEDO
MY COMMISSION # GG 020807
v *-
EXPIRES, August22,2020
'%?,o�z'<,��'•
Bonded Thru Notary Public Underwriters
as
Zoning
Clerk
(Revised02/24/2014)
Local Business Tax Receipt
Miami —Dade County, State of Florida
—THIS IS NOT A SILL — 00 NOT PAY
3617702
BUSINESS NAME/LOCATION
AFFORDABLE IRRIGATION INC
198 NW 139TH ST
MIAMI, FL 33168
OWNER
AFFORDABLE IRRIGATION INC
C/O MARCO ROSAS QUALIFIER
Worker(s)
RECEIPT NO.
RENEWAL
3779882
Qt '�
r
SEC. TYPE OF BUSINESS
EXPIRES
SEPTEMBER 30, 2020
Must be displayed at place of business
Pursuatit to County Code
Chapter SA — Art. 9 & 10
PAYMENT RECEIVED
196 SPECIALTY PLUMBING 13Y TAX COLLECTOR
CONTRACTOR 75.00 09/04/2019
96P000219 0222-19-008064
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 qualificatiuns, 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 —Dude Code Sue 88-276.
MIAMkYY1l.7E For more information, visit www miamidaSS aovita oy.o�_tgr
r
'-,� OFFICE JF THE PROPERTY APPRAISER
Property Information
Folio:
11-3206-013-6290
Property Address:
355 NE 93 ST
Miami Shores, FL 33138-2854
Owner
CARLIN A RUIZ
CELINA A RUIZ
Mailing Address
355 NE 93 ST
MIAMI SHORES, FL 33138 USA
PA Primary Zone
I 100 SGL FAMILY - 2301-2500 SO
Primary Land Use
0101 RESIDENTIAL -SINGLE
FAMILY: 1 UNIT
Beds I Baths 1 Half
312/0
Floors
I
Living Units
Actual Area
2,183 Sq.Ft
Living Area
2,028 Sq.Ft
Adjusted Area
1,984 Sq.Ft
Lot Size
6,350 Sq,Ft
Year Built
1966
Assessment Information
Year
2020
2019
2018
Land Value
$203,974
$190,410
$190,410
Building Value
$268,435
$136,991
$138,114
XF Value
$1,805
$1,805
$1,822
Market Value
$474,214
$329,206
$330,346
L Assessed Value
$474,214
$282,356
$277,092
Benefits Information
Benefit
dType
2020 2019
2018
Save Our Homes Cap
Assessment Reduction
$46,850
$53,254
Homestead
Exemption
$25.000
$25,0001
Second Homestead
Exemption
$25,000
$25,000
Note: Not all benefits are applicable to all Taxable Values (i.e. County, School
Board, City, Regional).
Short Legal Description
MIAMI SHORES SEC 1 AMD PI3 10-70
LOT 24 BLK 46
LOT SIZE 50.000 X 127
OR 19581-1723 03 2001 1
Generated On : 7128/2020
Taxable Value Information
2020
20191 2018
County
--$50'000
Exemption Value 0 111!541], 11](iliD $50,000
50'000
Taxable Value T;E4'2$14
__$0 _i�74,+
$232,356 $227,092
32,356 $227,092
School Board
Exemption Value
$0
1:�2 5 � i 1110 $25,000
$ 5.000 $ 5.006
2 $25 00
=22'00
Taxable Value
E24
1E
9 2
1 57,356 $252,092
$ 5
city
Exemption Value
$0
$50,000 $50,000
Taxable Value
$474,214
$232,356 $227,092
Regional
_5�474=�214$2T32,356
Exertion Value
Exemption
Exemption Value
$0
$'�
$50,000 $50,000
' 00 i6'0�227,092
Taxable Value
$ 27,092
Sales Information
Previous Sale Price
OR Book -Page
Qualification Description
11/1512019 $580,000
31708-4968
Qual by exam of deed
08/30/2011 $320,000
27812-2799
a
Qual by exam of deed
03/01/2001 $220M0
19581-1723
Sales which are qualified
104/01/1984 $96�5001
$9
12106-2928
w "� a ,If
Sales which are q d ualified
The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record, The Property Appraiser
and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at hftp://Www.miamidade.gov/info/disclaimer.asp
Version:
Municipal Contractor's Tax Receipt
Miami —Dade County, State of Florida
THIS IS NOT A BILL — 00 NOT PAY
CC NO: 96P000219
BUSINESS NAME/LOCATION RECEIPT NO. EXPIRES
AFFORDABLE IRRIGATION INC
198 NW 139TH ST 7577462 SEPTEMBER 30, 2020
MIAMI, FL 33168
Pursuant to County Code
Sec 10-24
OWNER TYPE OF BUSINESS
AFFORDABLE IRRIGATION INC SPECIALTY PLUMBING CONTRACTOR BY TA C LLECTORECEIVED
C/O MARCO ROSAS QUALIFIER BY TAX COLLECTOR
175.00 09/04/2019
0222-19-008064
This recoipt is not valid inthe following Municipalities: Aventura, DoraL lItaleah. Key Biscayne,
Miami Gardens. Miami Lakes, Palmetto Bay, PinecresL Sunny Istes Beach, Town of ruder Say.
ffnFor more Information, visit www.miamidade.goyAaxooliaotor
Client#: 1682973
04AFFORIRR
AGURD. CERTIFICATE OF LIABILITY INSURANCE
DATE(MWODIYYYY)
1/2012020
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: H the certificate holder is an ADDITIONAL INSURED, the POIICy(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 any rights to the certificate holder In lieu of such endorsement(s).
PRODUCER
McGriff insurance Services
a O 888 743-2217 _. FAX
A/C N, ; 88882T9861
7701 Airport Center Or
-----
Suite 1800
Greensboro, NC 27409
INSURE IIAPFORDING COVERAGE NAIC 0
INSURER A: Technology Insurance Company
42376
INSURED
Affordable Irrigation Inc
INSURER B
198 NW 139th St.
INSURER:
INSURER D :
Miami, FL 33168
INSURER E :
INSURER F :
COVERAGES 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 CONTRACTOR 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.
TYPE OF INSURANCE
Ate-
VD POLICY NUMBER
MID(IS09%
LIMITS
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE u OCCUR
i
I
EACH OCCURRENCE
$
P eENTED
_
S
MEDEXP(ono —)
S
GEWL
+
PERSONAL & ADV INJURY
_
AGGREGATE LIMIT APPLIES PER:
PRO -
POLICY ECTT 0LOC
OTHER:
GENERAL AGGREGATE
$
PRODUCTS-COMPIOP AGG
S
S
AUTOMOBILE
LIABILITY
ANY AUTO
SCHEAUTOSONLV$AUTO15DULEDBODILYINJURY(Paraccident)
ONLYTOS ONLY
UMBRELLA LIABOCCUR
EXCESS LIAB CLAIMSAtADE
DED RETENTIONS
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NGLE LIMIT
BODILY INJURY (Per person)
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EACH OCCURRENCE
3
AGGREGATE
S _�_
S
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y! N
AWV PROPRIETOR�Pq�TNEWEXECUTIVE�
OFFICERIMEMBER EXCLUDEEDD?? N
(Mandatory In N.,
It yes. describe under
DESCRIPTION OF OPERATIONS below
NIA
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TWG3837524
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1117/2020
01/1712021
X PER FORT
TUB
EL. EACH ACCIDENT
$1 OOO OOO
( E.L. DISEASE - EA EMPLOYEE
Si 000 000
E.L. DISEASE - POLICY LIMIT
81 000 000
i
j
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule. maybe attached it more space Is required)
Nature of Business: installation and repair of sprinkler
Village of Miami Shores Bldg &
Zoning Dept
10050 NE 2nd 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.
AUTHORIZED REPRESENTATIVE
w 1woo-LYl.7 ---
ACORD 25 (2015103)) 1 of 1 The ACORD name and logo are registered marks of ACORD SKC
#S25062686IM25022847
ACORDr CERTIFICATE OF LIABILITY INSURANCE
DATE(MMIOOlYVYV)
09/13/2019
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 pol(cy(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 ondoreement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such andorsement(s).
PRODUCER
CONTACT Nancy Munoz
NAME:
Brown & Brown Insurance Homestead Florida
1780 N Krome Avenue
PHONE E (305) 247-6121 ^ No : (305) 248-8543
ADDRESS: nmunoz@bbinsfl.com
INSURER(S) AFFORDING COVERAGE
NAIC M
Homestead FL 33030
INSURERA: Scottsdale Insurance Company
INSURED
INSURER 8 :
Affordable Irrigation, Inc.
INSURER C :
P.O. Box 601743
INSURER D :
INSURER E :
No Miami Beach FL 33160-1743
INSURER F :
COVERAGES CERTIFICATE NUMBER: 2019 Master 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.
ILTR
TYPE OF INSURANCE
INSO
WV0
POLICY NUMBER
MMR)D
MMID
LIMITS
X
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
S 1.000,000
CLAIMS -MADE OCCUR
F
DAMAGE TO REN It
PREMISE Eaoewrrence
S 100,000
MED EXP (Any are
S 5,000
PERSONAL & ADV INJURY
S 1,000.000
A
CPS3295856
09/12/2019
09112/2020
GEWL AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
S 2,000.000
RO
POLICY0 ECT LOC
PRODUCTS-COMPIOPAGG
S 2,000,000
Errors & Omissions
S Included
OTHER:
I
AUTOMOBILE LIABILITY
COMBINED Ea accident IN LIMIT
S
BODILY INJURY (Per person)
S
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED HNON-OWED
AUTOS ONLY AUTOS ONLY
BODILY INJURY (Per accloent)
S
PEY DAMAGE
Per accident)
S
S
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
s_
HCLAIMS-MADE
AGGREGATE _
S
EXCESS UAB
DED I I RETENTION S
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETORIPARTNERIEXECUTWE
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
NIA
PER OTH-
STATUTE ER
E L EACH ACCIDENT
s
E.L. DISEASE - EA EMPLOYEE
S
E.L. DISEASE -POLICY LIMIT
S
if yes describe under
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required)
Installation/Repairs Sprinkler System
96P000219
Village of Miami Shores Zoning Dept
10050 N.E. 2Ave
Miami
10UH914AWt 1191,11
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
FL 33138 1,
01988-2015
CORPORATION. All rights reserved.
ACORD 25 (2016103)
The ACORD name and logo are registered marks of ACORD
RIM
I
Irrigation Details
Irrigation Legend
r Existing %" water meter
�r 1" P.b.V Backflow preventer
1" Rainbird 1" pga valve
11 Ah Rainbird 1806 spray head
Rainbird 5004 Spray heads
Rainbird Esp-Me controller
Rain sensor
N.E 93 street I
PLUMBING PLANS
Approved Date
Disapproved Date
E
s
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Affordable irrigation
96 P000219