Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
PLC-11-23-2738
Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Permit No.: PLC-11-23-2738 Permit Type: Plumbing - Commercial Work Classification: Alteration Permit Status: Approved Issue Date: 11/13/2023 Expiration: 05/01/2024 Location Address Parcel Number 717 NE 91ST ST 18, Miami Shores, FL 33138 1132060440030 Contacts JUAN EDUARDO VAYAS Owner I SERVICE & REPAIR CORP Contractor 717 NE 91 ST UNIT 1B, MIAMI SHORES, FL 331383242 JOSE Y PENA Mobile: 7865149494 JEVC6969@YAHOO.COM 9915 W OKEECHOBEE RD 5-107, HIALEAH, FL 33016 Business: 3052167283 �^ Ins ection Re uests: Description: CHANGE VALVE IN WATER HEATER Valuation: $ 720.00 Total Sq Feet: 0.00 Fees Amount Application Fee - Other $50.00 CCF $0.60 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.30 Permit Fee $50.00 Scanning Fee $6.00 Technology Fee $10.00 Total: $120.90 Payments Date Paid Amt Paid Total Fees $120.90 Credit Card 11/03/2023 $50.00 Credit Card 11/13/2023 $70.90 Amount Due: $0.00 Building Department Copy 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 I Agent Date November 13, 2023 Page 2 of 2 I2EC EI VEE BUILDING PERMIT APPLICATION Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 NOV 0 3 2023 BY: FBC 2020 J Master Permit No. Q t - 11- 23 - 27 3S Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑IRENEWAL PLUMBING ❑ MECHANICAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: Folio/Parcel#: Is the Designated: Yes NO Occupancy Type: Load: Construction Type: 1. Flood Zone: BBF/E:: C� FFE: OWNER: Name (Fee Simple Titleholder): } �0'1 �/ p�� v �� Phone3� � c City: wit, . -�5 &1' Stater Zip: 7:�[a�3 Tenant/Lessee Name. Email: CONTRACTOR: Company Name: Address: G%/ - ar%� uJ OI�YQC Email: Z Qualifier Name: e, C State Certification or Registration #: e145—/ DESIGNER: Architect/Engineer: V /`n WAI e Phone#: C-r 12 — G G vt� Off, v ..✓�.�°� -!� - Ld�r . of Competency #: Address: City: State: Zip: Value of Work for this Permit: ?72fl0z0+ Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New Kepair/�R,replace ❑,LD�4m`oolitiioon—� Description of Work: ( {[`��1 �. i l [ N�A1'Z - k %'�' Specify color of color thru tile: Submittal Fee $ 615 Permit 00 CCF $ - CO/CC S , Scanning Fee $ to • W DCA Fee $ Z •' DBPR $ Notary $ Technology Fee $ tO • 00 Training/Education Fee $ . 30 Double Fee $ Structural Reviews $ Rev 's=_d:n ,`/2022! P&Z Review $ Bond $ TOTAL FEE NOW DUE $ `-�/ U• 40 Bonding Company's Name (if applicable) Bonding Company's Address City State MoCtgafe Lender's Name (if applicable) r Mortgage Lenders Address City State 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 constructor 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:: ' c : As a condition to the issuance of a building permit with on estimated value exceeding 52500, the applicant must promise = co "'filth that a copy of the notice of commencement and construction lien iaw brochure will be delivered to the person whose prc;- ty is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first irspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be app oved and a reinspec[ion fee be charged. i Signature OWNER or AGENT The foregoing instrixnent was acknowledged before me this Iday of %k P1 . 20 _2-2, by w44.,_t VA'l tvna iisspersonall� h.rcwn to me or who has produce-. T L _IrZ `K L as identification and who did take an oath. NOTARY PUBLIC: Sign Sara -_re ,i �/O Z / CONTRACTOR The foregoing instrument was acknowledged before me this coy of ,CQ' , 20 �3 , by O S El I✓/T7 who is personally known to me or who has produced �—� as identification and who did take an oath. NOTARY PUBLIC: Sign: 7—h 7�/ A /✓/I PC/%A Print: !I ARLENIS SILVERA Prir:: •� y� '�� L ;""aG,:. ''N= MY COMMISSION#GG950477 ,��„ TATIANA PENA Seal: ','. ::.' Bonded EXPIRES: Match 6, 2024 Thru Notzry Public Undenwllers Sea". ,�s'�L",, ,io �Notary Public -State of Florida *. = Commission a HH 439467 My Commission Expires September 04. 2027 ****x******** ** ,x*'Vwf ***Ptla*nxsx x ** b* �•'1*g7x1+fjx* a� Vl Examiner Z*o*n*in*gAPPROVED Structural Review Clerk R� C EI VED Sl IORrs PL.VA EAST CONDONUNI11.11 AssocINI-ION November 3, 2023 Miami Shores Vaage: - Building Department - .__ 10050 NE 2"d Avenue _ Miami Shores, FL 33138 Dear Sir / Madam: BY: NOV 03 L',j This letter will serve as your confirmation that the contractor " JYP Service & Repair Corp." has been hired by Juan Vayas, the owner of Apt. 1B, at 717 NE 91 Street, Miami Shores, FL 33138, and is authorized by the Board of Directors of the Shores Plaza East Condominium Association for the removal and replacement of valves connected to the water heater servicing the unit. Should you have any questions regarding the enclosed, please feel free to contact the condominium office. Sincerely yours, Carlos Talavera Vice President Shores Plaza East Condominium cc: file GDrive/Units/1G Ron Go DeSands, vernor I� rda wr :. STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION Melanie S. Grlffh Secretary CONSTRUCTION INDUSTRY LICENSING BOARD THE PLUMBING CONTRACTOR HEREIN IS CERTIFIED UNDER THE PROVISIONS OF CHAPTER 489, FLORIDA STATUTES PENA, JOSE Y SR JYP PLUMBING CONTRACTOR, INC,' 65 WEST8TH STREET SUITE 3 HIALEAH FIL33010 LICENSE NUMBER: CFC1429883 _ t EXPIRATIONDATE: AUGUST31 2024 Always verify licenses online at MyFioridaLlcense.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 NOT PAY 7233035 BUSINESS NAME/LOCATION JYP SERVICE & REPAIRS,CORP 9915 W OKEECHOBEE RD APT 5107 HIALEAH,FL 33016-2128 OWNER JYP SERVICE & REPAIRS,CORP C/O JOSE Y PENA Worker(s) 1 RECEIPT NO. RENEWAL 7518642 �o • 1 :. a' CFC1429883 EXPIRES SEPTEMBER 30, 2024 Must be displayed at place of business Pursuant to County Code Chapter 8A - Art. 9 & 10 PAYMENT RECEIVED BY TAX COU_ECTOR 49.50 10/02t2023 0225-24-000014 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 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 he displayed on all commercial vehicles- Miami -Dade Code Sac Ha-276. MIMI® For more information, visit w 'amdde (1 Ilector ACORN® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDNYYY) 11/6/2023 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(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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Maria Vila PHONNo.E Exti: (305) 888 - 0524 FAG Noll: Blanco Insurance ADaR� : maria@blancoinsurance.com 1462 E 4th Ave INSURERS AFFORDING COVERAGE NAIC # INSURER A: Rockingham Ins Co (10214) 10214 Hialeah FL 33010 INSURED INSURER B : INSURER C : JYP PLUMBING CONTRACTOR,INC INSURER D : 9915 W Okeechobee Rd INSURER E : 1 INSURER F Hialeah Gardens FL 33016 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 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 ADDL SUBR POLICY NUMBER POLICYEFF POLICYM/DEXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR RFLG221223-00 05/12/2023 05/12/2024 EACH OCCURRENCE $ 1,000,000 DAMAGE_T0__R_M9Tff PREMISES Ea occurrencel $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L X AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC JECT OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ UMBRELLA LIAB EXCESS LIAR OCCUR EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE $ DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) It yes, describe under DESCRIPTION OF OPERATIONS below N / A I PER OTH- STATUTE I I ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) PLUMBING CONTRACTOR LIC- CFC1429883 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN MIAMI SHORES VILLAGE BUILDING DEPARTMENT ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2ND AVE AUTHORIZED REPRESENTATIVE MIAMI SHORES FL 33138 �V ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Miami Shores Village - BUILDING DEPARTMENT 10050 NE 2 Ave Miami Shores, FL 33138 305-795-2204 www.msvfl.qov Notice to Owner — Workers' Compensation Insurance Exemption Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full- time employees, including the owner, must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if: 1. The officer owns at least 10 percent of the stock of the corporation, or in the case of an LLC, a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State, Division of Corporations; and 3. The corporation is registered and listed as active with the Florida Department of State, Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor: Lf y Al GD is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use day labor, part-time employees or subcontractors for your project. The contractor has provided an affidavit stating that he or she will be the only person allowed to work on your project. In these circumstances, Miami Shores Village does not require verification of workers' compensation insurance coverage from the contractor's company for day labor, part- time employees or subcontractors. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE REA�D/ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: Address: �1 N( 71 sr 444 1 caner State of Florida County of Miami -Dade a ?r The foregoing was acknowledge before me this - day of_�Oyern bec, 2023. By 11Jq 0�G i who is personally known to me or has produced as identification. Notary:_ r XSMCornrn#GG947555 vJose Alvarez NOTARY PUBLIC STATE OF FLORIDA SEAL: ti Expires 1/15/2024 Rev 12122022 Notice !o Owner Page 1 of 1 Date JYP SERVICE & REPAIR CORPORATION State of e &2vee/e County of ./;? 4 r? r- Before me this day personally appeared c S f /me- , 2 h who, being sworn, deposes and says: That he or she will be the only person working on the project located at L -1 I�'4 E�' ', ( '�7 S i P 9 (- I- ontractor Signature Sworn to (or affirmed) and subscribed before me this �6 day of lrie-el 20 73 By �— ( ->"e' �( rV 0- /�� Nit Personally know or Produced ID ¢ type of ID produced TATIANA PENA Notary Public -State N Florida Commission k HH 439467 My Commission Expires September 04, 2027 ! ty TL Print, type, or Stamp Name of Notary