PL-10-109 Miami Shores Village yf A
10050 N.E. 2nd Avenue
f
• • Miami Shores, FL 33138-0000
Phone: (305)795 - 2204,x'
N
Expiration:
Project Address Parcel Number Applicant
457 95 Street _ - 1132060140630
ALBERT QUINTON
Miami Shores, FL 33138- Block: Lot:
Owner Information Ad dre ss Phone Cell
ALBERT QUINTON 457 NE 95 ST
MIAMI SHORES FL 33138 -2729
Contractor(s) Phone Cell Phone Valuation: $ 8,000.00
LAWN SPRINKLER WIZARD (305)948 -8818 (305)323 -0937 Total Sq Feet: 0
Type of Work: IRRIGATION For Inspections please call:
(305)762 -4949
Type of Piping:
Additional Info: PLUMBING Available Inspections:
Bond Return : Inspection Type:
Classification: Residential Final
Underground Sprinkler
Fees Due Amount Invoice # Total Amt Paid Amt Due
CCF $4.60 PL -1 -10 -36877 $ 165.80 $ 115.80 ; I `,
Education Surcharge $1.60
Permit Fee - AdditionslAlterations $150.00 PL -1 -10 -36877 $ 165.80 $ 165.80 $ 0.00
Scanning Fee $3.00
Submittal Fee $50.00
Submittal Reversal Fee ($50.00)
Technology Fee $6.40
Total: $165.80
In consideration of the issuance to me of this permit, 1 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 taws regulating
construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated
February 09, 2010
Authorized Signature: Owner / Applicant / Contractor / Agent Date
Building Department Copy
February 09, 2010 1
�\n Miami Shores Village REtE E
Building D e p artment JAN 2 5 2010
- g p
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 •+ '.
Tel: (305) 795.2204 Fax: (305) 756.8972 'Is k.
INSPECTION'S PHONE NUMBER: (305) 762.4949
BUILDING Permit No. ?t—w ' y�
PERMIT APPLICATION Master Permit No.
FBC 20
Permit Type: PLUMBING
Owner's Name (Fee Simple Titleholder) fe f tr u, K �n Phone # 7 Y& 3 75 % 7 7 n
Owner's Address V5 7 Al E 95 S , ta
City A ielm 5A. -e S State Zip 3 P
Tenant/Lessee Nam Phone #
Email e a l0 e)zl-- S�3un�nrt God
Job Address (where the work is being done) ¢J 7
City Miami Shores Village County Miami -Dade Zip I J
FOLIO / PARCEL #
Is Building Historically Designated YES NO Flood Zone
Contractor's Company Name Zv Al, j' )L Za tl Phone # 3(�7 s '"' ��7 G� ® g Ol g
Contractor's Address
Cit
Qualifier
State Certificate or Registration No. Certificate of Competency No. 0p6 r j 7 - 3
Contact Phone _505— RZ —D? 3 j E -mail r n oe4 P&w-e4 sZaet
Architect /Engineer's Name (if applicable) Phone #
OU
Value of Work For this Permit $ 2 cmp ,
Square / Linear Footage Of Work:
Type, Work: ❑Addition ❑Alteration [ ❑ Repair/Replace ❑ Demolition
A
Describe Work: r
A) Lr )ell
Submittal Fee $ Permit Fee $ CCF $_ CO /CC $
Notary $ Training /Education Fee $ �•(Q� Technology Fee $ l(J
Scanning $ 0 Radon $ DPBR $ Bond $
Double Fee $ Violation date: C
Structural Review. $ Total Fee Now Due $ � 1 5
See Reverse side
A•
Bonding Company's Name (if applicable)
ii Y} h
Bonding Company's Address I - 501 14 ALE 921114? Q V—Q f
City MI&W " ed State F [_ Zip .331 6 , 1
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 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 ' Signature
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this 5 The foregoing instrument was acknowledged before me this
day of �l}lU� , 20 L, by A46a! 6, ey day of 20 , by
who is personally known to me or who has produced who is personally known to me or who has produce
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign a Sign: rtoo 61
L UCIA
Print: 1 4 L P64A , ,iy COMMISSION # DD 917380 Print:
cXPIRES: Octo er
My Commission Expires: onded Tnru Notary Pubic Onderwdters * * ISSION# DD816p22
My Commission Ex WIRES: August 29, 2012
• N - o; UO Bum Tin Budget Nmry Services
APPROVED BY Z 716 Plans Examiner Zoning
Engineer Clerk checked
(Revised 07 /10 /07)(Revised 06/10/2009)
M t
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NOV -29 -2009 17:17 Casualty systems 3055510857 P.001 /001
AWO CERTIFICATE OF L BILITY INS NCE TIM-0 o09
PROAIMr1IR 1305? 553 - 0590 SAX: (305)551-0857 Tft ITIFICATE IS ISSUM AS A MATTER Bl O WATW N
Casualty Systems OKLY AND CONFERS NO RIGHTS UPON TH8 CERTIFICATE
3331 SW
107 Ave HOLDER. T C FiCATB DOES NOT AMEND, EXTEND OR
ALTER THE C ED BY TH8 p LI ,
M iami n 33165 INS AFFORDING COVERAGE NA C #
ula�rRao
auSURORA:Nova► C"ga
I. Sprinkler T+ta e:aLT:d Inc. MISS a granada Insuraws C
15414 Pt 2 Ave
O.
Nortds Miami IN RER
FL 33162 E-
THE 8 OF NVBU E LI BELOW HAV BEEN 70 THE INSURED NAMED ABOVE P
RET�IJIREAIENT, TERM OR C�IDITION OF ANY CONTRACT OR OTHER DOCUMENT YbITH R @SPELT TO WHICH THIS CERTITE INAY BE SSUED OR MA PERYA Nv
THE INSURANCE AFFORQED BY THE POLX�E3 DESCRIBED HEREIN 13 3UBJEC7 TO ALL THE TERi1AS, EXCLUSIONS AND CONQITIONS OF &tHkl POLICIES.
D'
TYPSOPaMlu"N" POLICY ER PIRA
G@IaRAL LIAEA,TtY LI69TT$
x A ERCIALSEwRagAMuTy 1 000,000
A a 100,000
c LAAASMI0.DE X OCCUR 093LL45TR4 $/19!2009 5/19/2010 S 000
a 1 000,000
oEWLAQGREOATg LMT APPUESPEq WoRALSOBLoar a 1,000,000
x 1 000 000
AuTOMOeILe LUiWLITY
ANYAUTO CGP�wED 8DX1LE LaA1T
8 to wolo ?
ALL OWMAUTOS OLIOM=01423 9/13/2009 9/1.3/203.0 Y Y
x SCMDULED AVMS 8 10,000
MMWO AUTOS
NON'OWVEO ALTOS GODLY RWR/RY
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DE NRprioNOJtOPBRATION81 =110NM[4[:LaS+0a MAMOMSADDEDAYENDO MMElffAU MLPWAOMCM
O ITIFICATE HOLDER CA TIO
V=&A= OF DItI111MI SHORE$ MOULD ANY OF THE ABODE on"jo poLM�1B W CI WWMD BepM UM
10050 NE 2ND AVIR EXPMWM DAM TMOOP, THE WAS MMMM VA.L DWGAVOR TO MAIL
MZAM2 $ROBES , P'Yi 33138 10 DAYS TTRMMel NDM TO TNa CgWn "TB NOLOOR NAM To The Lwr, GRIT
PALL TO 00 SO SHALL IMPOSE NO OBidDATION ON LIAIDUTY OP ANY WM UPM To
Aaf I ORITBWIE!l9NTA
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ACORID 13. (20091 G S1anaa /GEORGI o..
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Paged? ;
TOTAL P.001
07 -31 -2009
ALEX SINK STATE OF FLORIDA
CHIEF FINANCIAI.OFFICER DIVISION O WORKERS' COMPENSATION
CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW`
CONSTRUCTION INDUSTRY EXEMPTION
This certifies that the individual Fisted below has elected to be exempt from Florida Workers' Compensation law.
EFFECTIVE DATE: 07/31/2009 EXPIRATION DATE: 07131/2011
PERSON: NOEL RENEL
FEIN: 650387045
BUSINESS NAME AND ADDRESS:
LAWN SPRINKLER WIZARD INC
15414 N£ 2ND AVENUE
N MIAMI BEACH FL 33182
SCOPES OF BUSINESS OR TRADE:
1— IRRIGATION 2— SPRINKLER INSTALLATION
IMPORTANT. Pursuant to Chapter -448 . 054141, F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this
section my not recover benefits or eumpaosntlon under this chapter. Pursuant to Chapter 440.05412), F.S., Certificates of election to be exempt... apply only within the
scope of the business or trade listed on the on - ct- d,_eieaioo to be exempt. Pursuant to Chapter 440.05413), F.S., Notices of election to be exempt tied cortifiratas of
election to be exempt shall be subject to revocation if, at - tray lima after the filing of the notice or the issuance of the certificate, the person named on the notice Of
certificate no longer meets the requirements of this section for issmmca of a certificate. The department shall revoke a certificate at any time for failure of the pursue
named on the certificate to meet the regoiroments of this section. OkIESTIONST {850} 413 -1609
Owc 252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09 -06
�r
TQua► Board
BUSiNF -SS CERTIFICATE OF COMPETENCY
OSP000573
i LAWN SPRINKLER 1NIZARD INC. J
D.B.A.: . .
NOE REVEL
Is certified under the Ptoftons of er 1p
a m haPI Muni -Dade County
QUALIFYING TRADE(S)
0{003 LAWN SPRINKLER
. MIAM
hennirto Gorealez P.E.
Secretary of ft Board / wswmdettddarbgovnH
.. HBar d -Dade CaaAY7rdaine 00 PMPOft d16f hm''^•
1 t
sa
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Job Name
PLUMBING CRITIQ E SHEET
f6wD 0, 01,
uts ® ct • Ica
NC S%q r °rte Cx-.j
o A e E-
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 134096 Permit Number: PL -1 -10 -109
Scheduled Inspection Date: February 17, 2010 Permit Type: Plumbing - Residential
Inspector: Bruhn, Norman
Inspection Type: Final
Owner: QUINTON, ALBERT Work Classification: Sprinkler System
Job Address: 457 NE 95 Street
Miami Shores, FL 33138 -
Phone Number
Parcel Number 1132060140630
Project: <NONE>
Contractor: LAWN SPRINKLER WIZARD Phone: (305)948 -8818
Building Department Comments
Inspector Comments
Passed
Failed
Correction ❑
Needed
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
February 16, 2010 For Inspections please call: (305)762 -4949 Page 13 of 28
3
s Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000 f y
,,.
F �
Phone: (305)795 -2204
�' Expiration: 07/26/010
Project Address Parcel Number Applicant
457 95 Street 1132060140630
Miami Shores, FL 33138- Block: Lot: ALBERT QUINTON ,
Owner Information Address Phone Cell
ALBERT QUINTON 457 NE 95 ST
MIAMI SHORES FL 33138 -2729
Contractors) Phone Cell Phone Valuation: $ 500.00
ROBAINA WELL DRILLING INC (786)683- 7437 (786)683 -7437
Total Sq Feet: 0
Type of Work: IRRIGATION For Inspections please call:
Type of Piping: PLUMBING (305)762 -4949
Additional Info: WELL INSTALLATION Available Inspections:
Bond Return: Inspection Type:
Classification: Residential Final
Well
Fees Due Amount Invoice # Total Amt Paid Amt Due
CCF $0.60 PL -1 -10 -36813 $ 154.60 $ 104.60 I'
Education Surcharge $0.20 `I
Permit Fee - Additions/Alterabons $150.00 PL -1 -10 -36813 $ 154.60 $ 154.60 $ 0.00
Scanning Fee $3
Submittal Fee $50.00
Submittal Reversal Fee ($50.00)
Technology Fee $0.80
Total: $154.60
In consideration of the issuance to me of this permit, t 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
February 02, 2010
Authorized Signature: Owner / Applicant i Contractor / Agent Date
Building Department Copy
February 02, 2010 1