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PL-09-22-2232Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Permit NO.: PL-09-22-2232 Permit Type: Plumbing - Residential Work Clos'sification: Alteration Permit Status: Approved Issue Date:12/02/2022 Expiration:06/02/2023 .pion Address Parcel Number 36 NE 105TH ST, Miami Shores, FL 33138 1122310120150 Contacts CESAR BOR1A Owner I ORONI INC Applicant 636 NE 105 ST, MIAMI SHORES, FL 33138 ORLANDO IGLESIAS 14040 NW 6 COURT, MIAMI, FL 33168 Business: 3056850412 ORONI4545@GMAIL.COM MPS OF MIAMI INC Contractor MAYKEL MASSANET Business: 3056270199 Other: 7862564690 Description: BATHROOM AND KITCHEN REMODEL Fees Amount .pnlRation Fee -Other $50.00 $4.80 I V.•c $4.12 UCA Fee $2.75 Lducation Surcharge $2.40 Permit Fee $224.75 Scanning Fee $9.00 Technology Fee $27.48 Total: $325.30 Valuation: $ 7,850.00 Ins ection Requests: 305-762-4949 Total Sq Feet: 0.00 Payments Date Paid Amt Paid Total Fees $325.30 Credit Card 09/01/2022 $50.00 Credit Card 12/02/2022 $275.30 Amount Due: $0.00 Building Department Copy -aiion of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate i 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. / 7_ 2—) Authorized Signature: Owner / Applicant / Contractor / Agent Date December 02, 2022 Page 2 of 2 Miami Shores Village nrA3TERED Building Department Srr 01 2022 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 20 BUILDING Master Permit No. J�C-Oq- 22 -Z z36 PERMIT APPLICATION Sub Perm it No. pL -05-zZ -ZZ3Z F—IBUILDING ❑ ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION RENEWAL ■❑PLUMBING ❑ MECHANICAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 636 NE 105 STREET City: Miami Shores County: Miami Dade Zip: Folio/Parcel#:11-2231-012-0150 Is the Building Historically Designated: Yes NO X Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): CESAR & KENDRA BORJA Phone#: 703-945-3172 Address: 636 NE 105 STREET City: MIAMI SHORES State: FLORIDA Zip: 33138 Tenant/Lessee Name: Phone#: Email: kendra.borja@gmail.com CONTRACTOR: Company Name: MPS OF MIAMI, INC Phone#: 305-685-0412 Address: 7561 WEST 29 WAY Email: ORONIOFFICE@GMAIL.COM Qualifier Name: MAYKEL MASSANET Phone#: 305-685-0412 State Certification or Registration #: CFC 1426700 Certificate of Competency #: DESIGNER: Architect/Engineer: N/A Phone#: Address: City: State: _Zip: Value of Work for this Permit: $- t Square/Linear Footage of Work: _ & Type of Work: ❑ Addition ON Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: BATHROOM AND KITCHEN REMODEL Specify color of color thru tile:, Submittal Fee $ Permit Fee $ CCF $ CO/CC $ Scanning Fee $. Technology Fee Structural Reviews $ DCA Fee $ Training/Education Fee $ DBPR $ P&Z Review $ Notary $ Double Fee $ Bond $ (Revised04/05/2022) TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) N/A Bonding Company's Address City Mortgage Lenders Name (if applicable) Mortgage Lender's City State Zip Zip 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. Signature d Z'4�i O INER�or AGENT Signature'�� CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was ac nowledged before me this day of or. f 20 '7_Z by d f s who is personally known to me or who has produced �— C9 !1 as identification and a, EMMANUEL ORDAZ NOTARY PUBLIC: so Notary Public -State of Florida Commission x HH 42811 My Commission Expires September 16, 2024 Seal: Seal: Sign: Print: ay o v11 20 , by o s a Sc/�_`�, who is person I ,known t me or who has produced a identification and who did take an oath. NOTARY PUBLIC: „,; „ EMMANUEL ORDAZ Notary Public -State of Florid Commission x HH 42811 My Commission Expires Sign: ,•�4r'rn"° September 15, 2024 Print: +ss♦fatgisass±ttiY tfiif✓kiRiRiRRtitiiittYtYY�itixf♦!f!!>Ritgtitt��tii♦RiRiiiiirRtitxitftiitkitNittititiYtR APPROVED`BY rt Plans Examiner Zoning Structural Review Clerk (Revised04/05/2022) Ron DeSantis. Governor Melanie S. Griffin. Seaetary STATE OF FLORIDA dbpr DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD THE PLUMBING CONTRACTOR HEREIN IS CERTIFIED UNDER THE PROVISIONS OF CHAPTER 489, FLORIDA STATUTES MASSANET, MAYM M P S OF WMI INC 8191 NW93 TIMSA,_ MEDLEY FL 33W LICENSE NUMBER: CFC1426700 EXPIRATION DATE: AUGUST 31, 2024 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. Local Business Tax Receipt ' Miami —Dade County, State of Florida -THIS IS NOT A BILL - DO NDT PAY i LBT 5566139 MPS OF MIAMI INC 8191 NW 91STTER STE SA MEDLEY FL 33166-2136 ova" MPS OF MIAMI INC C/0 MAYKEL MASSANET QUALIFIER Worker(s) tiEtilPT w_ RENEWAL 6806139 r.. SEL TM R ellS s 196 PLUMBING CONTRACTOR CFC1426700 EXPIRES SEPTEMBER 30, 2022 Most be displayed at place of businen. Pursuant to County Code Chapter SA - Art 9 @ 10 PATY(IRRUMML-0 IRV TAT ODLOCTOh $45.00 08/23; 2021 CHECK21-21-072976 Thu Loci B"irn Tm Boo,*** wales lsytaatt of tho Local B umaeu Tax. Tw h'aceyt is nc; • iicease, prmiywacer4fin9anaffa hoMar'ssyrh6ca6acs.b tlo �asitwa. Maldattawt Ply withaq 7warmeWi w mim"venmtolr "Plabq bm wd wgwnmwtswhwb apply to Bls 9aS n. The RECEIPT N0. aYow mW w di iplayad w.. ap emM ial vehicies - Muni -Bade Code Sec AI-ZX. farmore irdormaoun. visit w iipiamuliwlsi !tsz011ector , CC>RE0 CERTIFICATE OF LIABILITY INSURANCE �"�(�' oarisr2022 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, ARID THE CERTIFICATE HOLDER. IMPORTANT: If the certificate Folder is an ADDITIONAL INSURED, ldhe 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 fieu of such endcrsement(sj PRODUCER Latin American Mutual Insurance CONTACT ONT Cecilia Gonzalez ENE 305-642-7515 FAX 305-642-7516 AX No): PO BOX 351088 Miaani FL 33133 E.MaL lamiainaol.com ADnREss DISURERM aFFORCMG COVERAW I NAIC a PrAlFtER A : HISCOX INSURANCE CO aeSURED AMPS OF MUM INC RISURER s : AMTRUST NORTH AMERICA 7561 WEST 29TH WAY INSURER C ' HIALEAH FL 33018 INSURER D : INSURER E : INSURER F t+nveoer�c t"�RTtI�!!"�TF I I1AIf<>�ER� REVISION NUME ER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTAM)ING 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. `TRR TYPE OF INSURANCE ADDL 3 wvvn POLICY NUMBER POLICY EFF POLICY EXP LIMITS A COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 21 OCCUR 11875980 I j 111301202211113012023 11 EACH OCCURRENCE $ 1,000,000 f DAMAGE TO RERTED PREMISES aa omerrae• $100,000 MED EXP (Any aria pers«+) ' 6 5,000 PERSONAL & ADV INJURY S 1,0KON GEM AGGREGATE LUMIT APPLIES PER: POLICY 0 JF a LOC OTHER: GENERAL AGGREGATE S 2r0fl0A0 PRODUCTS -COMP/0P AGG 5 2,OW,000 S au DMOIK E "ABILITY ANY AUTO ALL AUTOS OWNED SCHEDULEDj HIRED AUTOS NON -OWNED 1 t � I . { I ` EsCOMBINEDaccident) L I S ' BODILY INJURY (Per pemm) S BODILY INJURY (Per a=Wwd) S IAUTOS PROPERTY DAMAGE axiderd S S UMBRELLA LIAS EXCESS LIAR OCCUR CLAIMS -MADE I i 3 EACH OCCURRENCE S AGGREGATE S DEDL—i RETENTION S B Y I N ANY PROPMETORMARTNERADeO S i I'VE �twy In IHi) EXCLUDED? Y If yes, describe under DESCRIPTION OF OPERATIONS befowr NIA J J AWC.116M5 ( ; 07A2w2022 J 0712�2023 ! PER ✓ STATUTE ER S a E.L- EACH ACCIDEfiT I S I rMrw0 E.L. DISEASE - EA EMPLOYE S r�00,000 E.L. DISEASE - POLICY LIMIT S 10090" DESCMPTWH OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101; Adtfifianal Remarks Schedule, may be attached N male space is requbvd) CFC1426700 ^C01"e11%eTC tWU nCQ CANCIP"TIQN VILLAGE OF MIAMI SHORES SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 10050 NE 2 AVENUE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.. MIAMI SHORES, FL. 33138 AU HORRED R�RESENTATtVE CECHAA GONZALEZ A307480 O 19$5-zui4 ACORD CORPORATION. All rights reservea. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD Produced using Fonm Sags Web sof ftwe. www.FonnsBass.com; ? Impressive Publishing 800-208.1977