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PL-10-1084Project Address Owner Information Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fees Due CCF Education Surcharge Permit Fee - Additions/Alterations Scanning Fee Technology Fee Total: Amount $1.20 $0.40 $150.00 $3.00 $1.60 $156.20 Building Department Copy Address Contractor(s) JAVIER SPRINKLER SYSTEM (786)218-6468 Phone CeII Phone Authorized Signature: Owner / Applicant / Contractor / Agent Parcel Number AMUWOMM 326 NE 94 Street Miami Shores, FL 1132060136180 Block: Lot: TERRENCE SHEAHAN Phone TERRENCE SHEAHAN 326 NE 94 ST MIAMI SHORES FL 33138 -2832 (305)751 -4918 1 Type of Work: SPRINKLER SYSTEM INSTALLATION Type of Piping: PLUMBING Additional Info: Bond Retum : Classification: Residential Scanning: 1 Pay Date Pay Type Invoice # PL -6 -10 -38187 06/22/2010 Check #: 5690 $ 156.20 $ 0.00 Amt Paid Amt Due Applicant CeII Valuation: Total Sq Feet: $ 1,500.00 0 1 Available Inspections: Inspection Type: Final Underground Sprinkler 1 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. June 22, 2010 Date June 22, 2010 1 Scheduled Inspection Date: July 07, 2010 Inspector: Hernandez, Rafael Owner: SHEAHAN, TERRENCE Job Address: 326 NE 94 Street Miami Shores, FL Project: <NONE> Contractor: JAVIER SPRINKLER SYSTEM Building Department Comments July 06, 2010 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 146121 Permit Number: PL -6 -10 -1084 For Inspections please call: (305)762 -4949 Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Sprinkler System Phone Number (305)751 -4918 Parcel Number 1132060136180 Phone: (786)218 -6468 LAWN SPRINKLER SYSTEM INSTALLATION Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments Page 12 of 26 b.1Q. l0 3 Vie ( Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING Permit No. \ PERMIT APPLICATION FBC 20 Permit Type: PLUMBING � OWNER: Name (Fee Simple Titleholder): et V 4-0 A 01 CPT;if Address: City: Ii✓ ,f ' % S %d( State: / Zip: Tenant/Lessee ame: Phone#: Email: Address: City: Qualifier Name: JOB ADDRESS: City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: ******** *** * * * * * * * * * * * *** * *** *** * * * **** Submittal Fee $ Scanning Fee $ 3.o0 Notary $ Double Fee $ 3Z6 ti� ,� v-e 3< Permit Fee $ f"6 Radon Fee $ Tradning/Education Fee Structural Review $ JUN `1 : 2010 Master Permit No. CONTRACTOR: Company Name: ,„ 14 �•1 ✓ /th �o Phone#: 776 2 /S 6 v e Q/2O ,.9�/../4 (,-•vv h'' /09 • 'An%f State: 7.G Zip: 5!7'2 State Certification or Registration #: Contact Phone#: 7P.6e/ S 6 Y6 Y Email Addr s .t: f `.4 Ger 4711 /� 04 . e DESIGNER: Architect /Engineer. --J Phonetic.: 71 a/1 6 Se 4S-' Certificate of Competency #: PC 7'.00D `•J' Valve of Work for this Permit: $ /eel). ; Square/Linear Footage of Work: Type of Work: (] (] Address Alteration Crew ORepair/Replace (]Demolition Description of Work: F ees************* *** * * * *** * * * * * *** * *** *** * * * * * ** CCF $ 1 g4 co /cc $ DBPR $ Bo nd $ .� $ .4 0 Technology Fee $ $ • (00 TOTAL FEE NOW DUE $ 15 ( e 7 " W Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 bro here will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of co must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued 1 s of such posted notice, the inspection will not be approved and a reinspe 'o ee will be charged Signature Sign: Print My Commission Expires: APPROVED BY Owner or Agent The foregoing instrument was acknowledged before me this 14 The foregoing day of t1 UtOe 20 / 0, b piND A- PA��!� r, day of J .a t C6 t g_ <! �..- — MI _ �,` ' 4t. • (Revised 07 /10 /07)(Revised 06/10/2009)(Revised 3/15109) �'t�aauaoN9�a�a�ai L J. NAM KI 4 �„r# 00084 E Expires 12/3/2012 1 cloritle Notary Assn, lac Signature tractor as acknowledged before me this 14 11 L by Ni P-V t . A 61)6 -Yv who is personally known ''me or who has produced who is personally known to me or who has produced Ft-PL. As identification and who did take an oath. p+'O 'Z? a2 2300 as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: print: M lC tWtAFL T /l t 1, ECF=/ e t1t�� � eMIVINe ot '' Comm# WD0842891 Expires 12/317012 My Commission Expuis w O..a.RerI�,IG mo 10 aaaaannsossaaspbnaaa I a VIII !� / _ Plans Examiner Zoning Structural Review Clerk 4CORD CERTIFICATE OF LIABILITY INSURANCE OP'ID "'SS J A V I E DATE(MM /DD/YY YY) 06/15/10 PRODUCER Oswald Trippe and Company, Inc 9200 5 Dadeland Blvd, #314 Miami FL 33156 Phone: 305- 670 -00B3 Fax: 305- 670 -0086 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Jav .er' s Sprinklers , Inc avi.er Aguayo 9120 Fountaxnbleu Blvd, Ste109 Miami 33172 INSURER A Travelers 25615 INSURER B: FUBA GENERAL LIABILITY INSURER C: 04/07/10 INSURER D: EACH OCCURRENCE INSURER E X THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TWINE INSURED NAMED ABOVE FOR THE POLICY ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. PERIOD INDICATED. THIS CERTIFICATE MAY EXCLUSIONS AND TE (ID.... EXPIRATION DATE ( NOTWITHSTANDING BE ISSUED OR CONDITIONS OF SUCH LIMITS MK LTR ADU L INSRE TYPE OF INSURANCE POLICY NUMBER POLICY E ( MD/YY) D/YY) A GENERAL LIABILITY 6604236N72A 04/07/10 04/07/11 EACH OCCURRENCE $ 1, 0 0 0, 0 0 0 X COMMERCIAL GENERALLIABIUTY PREMISES(Eaocctrence) $ 100,000 CLAIMS MADE X OCCUR MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1, 000,000 GENERAL AGGREGATE $2,000,000 GEM_ AGGREGATE LIMIT APPLIES PER POLICY n J CT n LOC PRODUCTS - COMP/OP AGG $ 2,000,000 7 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS BA6550P577 03/25/10 03/25/11 COMBINED SINGLE LIMIT (Ea accident) $ 300000 T BODILY INJURY (Perpwecn) $ X BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO . . AUTO ONLY- EA ACCIDENT $ OTHER THAN EA ACC $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETORIPARTNER/EXECUTN E OFFICER/MEMBER EXCLUDED? K yes describe Imder SPECIALPROVISIONS below 10637069 0 4 04/01/10 04/01/11 1 ITORY LI 1 I ER E.LEACHACCIDENT $ 100000 E.L DISEASE - EA EMPLOYEE $ 100000 E.L. DISEASE- POLICY LIMIT $ 500000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Lawn Sprinklers 06/15/2010 TUE 10: 57 FAX ACORD 26(2001/08) CANCELLATION 21001/002 MIAMI SHORES VILLAGE FAX 305 756 8972 10050 NE 2 AVENUE MIAMI SHORES FL 33138 MIA1005 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTAT1ES. AUTHO REPRESENT © ACORD CORPORATION 1988 CT Construction Trades Qualifying Board BUSINESS CERTIFICATE OF COMPETENCY 00P000050 JAVIER'S SPRINKLERS INC '1 D.B.A.: AGU; °''' °'O JAVIER Is certified under the provisions of Chapter 10 of Miami -Da ID FOR CONTRACTING UNTIL 094930/2011/ . 4�5 'Z�1f�ZfL ;'gil1('1. (E nEFT0 ° oU SEE OTHER SIDE MIAMI DADS GO TAX L L CO'ECTO .44,10iftlililiV L ►CLEF. 1st FLR MI`AM , -FL 33130 SEE BACK OF RECEIPT FOR A LIST OF NON- PARTICIPATING MUNICIPAL Receipt holder must register in the city' where work is to be done. PAYM RECEIVED ba' ': r2U09 ! 40024001 000175.00 DO NOT FORWARD JAVIERS SPRINKLERS INC JAVIER AGUAYO PRES 9120 FONTAINEBLEAU BLVD N109 MIAMI FL 33172 1►► 11 ►►.11►►►►ill►I.i►►1►1►1►►1.►1's ''i ►11 11.►1,J14h11 r0:- 4407441 RECEC' IPTT `NO. BU JAViWig A PRIiK INC 9120 FONTAINEBLEAU BLVD OWNER : JAVIERS SPRINKLERS INC M UNGIPAL C bNTR TAX A! MI- DAADEVOU URSUANT TO CO UN t ' fY EXRIRES S p i, ACTOR'S S ROEiP'Tt :lit iwlitElililiopliOtoili.PA OODE SEG, 190 -24 E ; T 30,, 2010 T I §6I0T A BILIPBpITf eT5P0AY SPECIALTY PLUMBING CONTRACTOR DO NOT FORWARD JAVIERS SPRINKLERS INC JAVIER AGUAYO PRES 9120 FONTAINEBLEAU BLVD N109 MIAMI FL 33172 40 (►. �1.►► ��►..► ���►.►► ►1►1►1► ►� ►►��I.►11►��. ►►.►�� ►.� ►. ► }�f 2040 FIRST - CLASS U.S POSTAGE PAID MIAMI, FL PERMIT NO: 231 RECEIPT HOLDER MAY DO BUSINESS AS A CONTRACTOR AS SPECIFIED HEREON. QUALIFYING TRADE(S) 0003 LAWN SPRINKLER Henninio taJy Gonzalez th e Board r Secretary of th Brd Marla-Dade C. retains all ....: ri.hts herein MIAM •••• • • • • • •• • • • • Pablo & Fernanda Bressan Residence 326 NE 94th th Miami Shores Village Fl Lawn Sprinkler System Lay out M al Shores VC:1.77t7 BY r T= II SUBJECT 10 CCMPLIANC ' ITH ALL FEDi= =JQ STATE AND CC UN iY r1ULES AND REC LA _._. •• • • • • • • • • • • • ••• • • •••• •••• • • • • • • • • • • • •• • • -• •• • • • • • • • • • •••••• ' �•• • •• •, ••• • • • • • •••• • • •••• • • •• • • • • • • • •� • •