The URL can be used to link to this page

PL-03-21-707, 970 NE 100th StMiami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Permit NO.: PL-03-21-707 Permit Type: Plumbing - Residential Work Classification: Alteration Permit Status: Approved Issue Date:04/15/2021 Expiration: 10/13/2021 Location Address Parcel Number 970 NE 100TH ST, Miami Shores, FL 33138 1132060340190 Contacts -� ______ _ _ ____._ _. __ _ __ _.._ _.. _ _____ _____ ... ___,_._ . 111 ____.,_ —_. 7 BORIS ARANGO Owner DEL MAR PLUMBING Contractor 970 NE 100TH ST, Miami Shores, FL 33138 GERMAN E ROLDAN Home: 3052184729 5463 SW 92 AVE, MIAMI, FL 33165 Business: 3052712800 Inspection Req uests: Description: REPLACE ALL FIXTURES AS PER PLANS Valuation: $ 5,800.00 305 762 4949 Total Sq Feet: 305.00 .j j Fees Amount Application Fee - Other $50.00 CCF $3.60 DBPR Fee $3.05 DCA Fee $2.03 Education Surcharge $1.20 Permit Fee $153.00 Scanning Fee $18.00 Technology Fee $5.08 Total : $235.96 Building Department Copy Payments Date Paid Amt Paid Total Fees $235.96 Credit Card 04/15/2021 $235.96 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 Dat I z April 15, 2021 Page 2 of 2 Miami Shores Village P,�=HVF= Building Department MAR 2021 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 FBC 202-0 BUILDING PERMIT APPLICATION ❑BUILDING ❑ ELECTRIC ❑ ROOFING Master Permit No. RC-ft •12.-Zo -2-%0A Sub Permit No. ❑ REVISION ❑ EXTENSION [—]RENEWAL PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: LNO IV£ 100 St City: Miami Shores County: Miami Dade Zip: 'ayg Folio/Parcel#: It — 3206 I pay - 01AO Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): C*4,'rA c0'N P& � BONDS QVVVLW Phone#: 305- 21Q•4724 Address: 81% ff 100 sr City: N OV( 4-01 y State: .r-L, Zip: 33138 Tenant/Lessee Name: Phone#: 3o's — ),I9—t'('7A Email: 60C 13 CkrallcoM CONTRACTOR: Company Name: Del wey f lym N i )►1G Phone#: ?86.6x. N94 Address: 13902 5VJ all C+ At C- City: 11/LIO'VW State: -FL, Zip: 334`fo Qualifier Name: (nQt ffAVI mE• RD1061 Phone#: W6 -*0. OR9n State Certification or Registration #: CTC, NZ'7 Z.L(g Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State Value of Work for this Permit: $ ��C /��' Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace Description of Work: V-k Specify color of color thru,,tile: Submittal Fee $ Permit Fee $ Scanning Fee $ Technology Fee $ Structural Reviews $ Radon Fee $ Training/Education Fee $ CCF $ DBPR $ a ❑ Demolition CO/CC $ Notary Double Fee $ Bond $ TOTAL FEE NOW DUE $ , 3 5 '1-T G (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 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. C ti k Signature i ✓c-� c— Signature OWNER or AG T CONTRACTOR The foregoing instrument was acknowledged before me this day of Ala C� 20 2 ( by f�'rs,4rel �who is personally known to me or who has produced The foregoing instrument was acknowledged before me this day of ''` �` 20 �1 by as me or who has who is personally known to as identification and who did take an oath. identification and wh did ke an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Z U N v N Print: Seal: .r�YOc� Notary Public State of Flonda Seal: N Public State of Flarr!e B 4d; `>: Peter Commission Zion Hay Cohen , My Commission HH 075383E pComires %�%n73 20 t04 Expires 12/29/2024 awd� ************ * * * *************************** * * * ** * *N�*s*�k' *********** APPROVED BY Plans Examiner Structural Review Zoning Clerk (Revised02/24/2014) I Local Business Tax Receipt Miami —Dade County, State of Florida -THIS IS NOT A BILL - DO NOT PAY 5980165 RECEIPT NO. RENEWAL BUSINESS NAME/LOCATION 6238745 DEL MAR PLUMBING INC 13707 SW 91 CT #C MIAMI, FL 33176 EXPIRES SEPTEMBER 30, 2021 Must be displayed at place of business Pursuant to County Code Chapter 8A - Art. 9 & 10 OWNER SEC. TYPE OF BUSINESS PAYMENT RECEIVED DEL MAR PLUMBING INC 196 PLUMBING BY TAX COLLECTOR CONTRACTOR 75.00 07/07/2020 Worker(s) 1 CFC1427248 CREDITCARD-20-049242 This Local Business Tax Receipt only confirms payment of the Local Business Tax. The Receipt is note license, permit ore certification of the holders 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 tla-276. r7&11 For more irdormation, visit www.miamldade.govRaxcollector Ron DeSantis, Governor Halsey.Beshears, Secretary STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD LICENSE NUMBER: CFC1427248 EXPIRATION DATE: AUGUST 31, 2022 THE PLUMBING CONTRACTOR HEREIN IS CERTIFIED UNDER THE PROVISIONS OF CHAPTER 489, FLORIDA STATUTES ROLDAN, GERMAN E DEL MAR PLUMBING INC 13707 SW 91 CT APT C MIAMI FL 33176 ISSUED: 05/07/2020 Always verify licenses online at MyFloridaLicense.com Do not alter this document in an form. This is your license. It is unlawful for anyone other than the licensee to use this document 0.1 NJ 6/20122, 9:07 AM 22 Miami Shores coi.jpeg CERTIFICATE OF LIABILITY INSURANCE °A06/1MIDD/YYY7/`" " 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 policy(ies) 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 certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCERPRODUCERCONTACT The MTon Insurance & Financial Group dis 15190 SW 136th Street Slate 21 Mani, FL 33196 Marvin RpY� FAx (305) 597-8771 (305) 597-8773 %ja . Drivas@rredsonmsgroup_com s AFFORDING COVERAGE MAIL o INSWIRA: GRANAD4 MLRANCE00 16870 INSURED Del Mar Rwrbing, Inc. Gernert Fmldan 13707 SW 91 GT it Ur11-1 Mani, FL 33176 BSRURR B : Kinky Auto Ins Co 11738 Florida Qtrus, Business & hdustries Fund ma c' A0201 °SURERD: B6UtER E : 06URERF: COVERAGES CERTIFICATE NUMBER: RFVISInN NLIMRFR- 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. IMSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF M POLICYEXP uwrs A COMMER GENERAL LIABILITY CLAIMSMADE F\—A OCCUR 0185FL00109111 04/14/2022 14/2023 EA111CCU $ 1,000,000 D= Ea oodir $ 100,000 MED EXP (ArV ore person) $ 5,000 GFNL J PERSONAL &AM INJURY $ 1,000,000 AGGREGATE LIMIT APPLIES PER POLICY ❑ 2CT ❑ Loc OTrEx GENERAL AGGREGATE $ 2,000,000 PRODUCTS -COMP/OPAGG $ 2,000,000 $ B AuTomoBaELiAw Try ANY AUTO OWNED SCiffDU..® AUTOS ONLY HIRED Auros_ AUTOS ONLY AUTOS ONLY 509800013894001 11/14/2021 11/14/2022 nE slNmEunuT $ 100,000 BODILY INJURY (Per Person) $ BODILY INJURY (Per aoddert) $ r� GE $ 100,= $ UMBRELLALIAS EXCESS LIAB OCCUR CLAIMS -MALE EACH OCCURRENCE $ AGGREGATE $ D® I I RETENTION $ $ C WORKERS AND OYES COMPENSATION YIN ANY CER/kE TOR/PARTNDED? UTIVE ❑ OFFICERIh in Nn) EXCLUDED? (Ma�ry br Uyas, DESCRIPTION OF DESCFBPnON OF OPERATIONS bebx MIA A 10662027-2021 10/11/2o21 10H1/2022 PER OTT+ STATUTE ER EL.FACHACCIDENT $ 1,000,000 E.L.DISEASE- FJI9APLOYEE $ 1,ow,ow EL DISEASE- POLICY LIMB $ 1,000,000 DESCRIPTION OF OPERATIONS/ LOCATIONS I VEMICLES (ACOrA 101. Add7donai Remarks Sd-&A-. may be effidled if more space is regWnwQ State of Florida Ftunbirrg Contractor CFC1427248 CERTIFICATE HOLDER r_ANr_Fi i ATInki SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE 00 RATION DATE THEREOF, NOTICE WILL BE DELNERED N Mann Shores Viiiage ACCORDANCE WITH THE POLICY PROVISIONS. 1005 NE 2 Ave AurLORRED REPRESENTATIVE Mani Shores, R. 33138 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD https://mail.google.com/mail/u/0/#inbox/FMfcgzGpGTBZgbtnNwCHZtBKZDjDSVjr?projector-1&messagePartld=0.1 1/1