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PL-10-814 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 144137 Permit Number: PL -5 -10 -814 Scheduled Inspection Date: May 24, 2010 Permit Type: Plumbing - Residential Inspector: Hernandez, Rafael Inspection Type: Final Owner: JONES, WILLIAM Work Classification: Sprinkler System Job Address: 379 NE 94 Street Miami Shores, FL Phone Number Parcel Number 1132060136130 Project: <NONE> Contractor: DESMAR PLUMBING INC Phone: (305)594 -4930 Building Department Comments LAWN SPRINKLER SYSTEM 6 NEW SONE WELL WATER EXISTING WELL NEW PUMP HEAD AND PIPE. Inspector Comments Passed CREATED AS REINSPECTION FOR INSP- 142893. Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. May 21, 2010 For Inspections please call: (305)762 -4949 Page 35 of 39 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 142893 Permit Number: PL -5 -10 -814 Scheduled Inspection Date: May 21, 2010 Permit Type: Plumbing - Residential Inspector: Hernandez, Rafael Inspection Type: Final Owner: JONES, WILLIAM Work Classification: Sprinkler System Job Address: 379 NE 94 Street Miami Shores, FL Phone Number Parcel Number 1132060136130 Project: <NONE> Contractor: DESMAR PLUMBING INC Phone: (305)594 -4930 Building Department Comments LAWN SPRINKLER SYSTEM 6 NEW SONE WELL WATER EXISTING WELL NEW PUMP HEAD AND PIPE. Inspector Comments Passed 5 Failed a'/ Ile) Correction 5 Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. May 21, 2010 For Inspections please call: (305)762 -4949 Page 8 of 12 Miami Shores Village 6 b l 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone. (305)795 -2204 ` `nu Nna, Expiration: L11/08 /2010 Project Address Parcel Number Applicant 379 NE 94 Street 1132060136130 Miami Shores, FL Block: Lot: WILLIAM JONES Owner Information Address Phone Cell WILLIAM JONES 379 NE 94 Street MIAMI SHORES FL 33138 -2842 Contractor(s) Phone Cell Phone Valuation: $ 3,500.00 DESMAR PLUMBING INC (305)594 -4930 (305)345 -0538 Total Sq Feet: 950 Type of Work: LAWN SPRINKLER Available Inspections: Type of Piping: PLUMBING Inspection Type: Additional Info: Final Bond Return : Underground Sprinkler Classification: Residential Fees Due Amount Pair Date Pay Type Amt Paid Amt Due CCF $2.40 Invoice # PL -5-10 -37848 Education Surcharge $0.80 Permit Fee - AdditionstAlterations $150.00 05!19/2010 Cash $ 259.40 $ 50.00 Scanning Fee $3.00 05/10/2010 Cash $ 50.00 $ 0.00 Technology Fee $3.20 Work without Permit Fee $150.00 Total: $309.40 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. May 19, 2010 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy May 19, 2010 1 aGFN 2 a s 11. OR0333526 OR 8k 27288 Ps 4414; (109) NOTICE OF COMMENCEMENT RECORDED 05/18/2010 13:21:36 A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION HARVEY RUM N v CLERK OF COURT MIAMI - OA€#E COUNTYP FLORIDA �� PERMIT NO. L 6 - 5 -kon- L A TAX FOLIO NO. 11 32cio - bi 3 - 6 t 3 o LAST' S STATE OF FLORIDA: STATE O FLOR LDA, COUNTY OF D COUNTY OF MIAMI -DADE: I I �ERES ERTIP ' drat this lea trc�,,go of the p ' oaigeral k on THE UNDERSIGNED hereby gives notice that improvements will be made to certai e • A D 20 - r� D property, and in accordance with Chapter 713, Florida Statutes, the follows a&n seal. ARVEY RUV,N, of Circ R and eQn1gy0UrtS ', M GOD 1fI mom Is provided in this Notice of Commencement. 6p D.C. O f cousn 1. Legal description of property and street/address: Lai 1 u ewk 1 ►r -e 4 J B \ese.l 45 a4 �P. AiteveA.Ld kta.i off- mt '5k&ra s 1,6 1 need.; r...Q *0 1-I-6 ple A AaAe-oC � fe � did iA- ' AD & - gc� tc o � 7a � �i uW c Qc Lzm d.o I W-0 &A �6oed* Description of improvement: 3.Owner(s) name and address: tO LU-A P*,k ' LJL= _S , 3 74 94f- -j L1 $ M1 hs I St6R C n, , 'Fil 33 l 3S Interest in property: � S % Name and address of fee simple titleholder: u to A-%.A - J:b N Pc 5 'S") , D, &2 E 9 4 kk % I S 4n4Ll . S ! 4. Contractor's name and address: E 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: M /a. Amount of bond $ 6. Lender's name and address: n /L.- 7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: r `/4 -- 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different dateAs specified) z 29 r Signature of Owner Print Owner's Name - Prepared by Sworn to and subscribed before me this day of -� 20 Address: Notary Public Print Notary' e My commission expires: 123.01-52 PAGE 8/02'. �jc �J ) Miami mi h ,, S Village 3hur�� B u lding Department MAY . 1 0 2010 10050 N. .2nd Avenue, Miami Shores, Florida 33138 ------- Tel (305) 795.2204 Fax: (305) 756.8972 INSPEC ION'S PHONE NUMBER: (305) 762.4949 BCJILDING Permit No. wo PERMIT APPLICATION Master Permit No. FB'C 20 Permit Type: PLUMBING Owner's Name (Fee Simple Titleholder) 1k;j thAA f . tS Phone # —3US 7 Sq - 1 3-7 9 Owner's Address City i hA� s� State Zip a 2. � Tenant/Lessee Name_ Phone # Email h1c e Job Address (where the work is being done)- City ', Miami Shores Villa a County Miami -Dade Zip FOLIO / PARCEL # i (- 3�o t p - ®L '�' - Is Building Historically Designated YES NO ✓ Flood Zone qt%-- Contractor's Company Name • C ZA36 Contractor's Address City State �L . zip - Quaixfier Name E Phone # -W? State' Certificate or Registration No. r Certificate of Competency No. CF[' f ! /Y2 Contact Phone 3&5-2 5- E -mail e!:�44AP �(�,r,� . �"�,e,r 13 F1 SMt A) Architect/Engineer's Name (if applicable) Phone # 06 Square/ Typo of Work: ❑Addition ❑Alterati n �Tew ❑ Repair/Replace ❑ Demolition Desciribe Work: Z- A W -- AJ a Submittal $ !*4 Permit Fee $ CCF $ CO /CC $ Notary ,$ Training/Edu Fee $ 0 Technology Fee $ Scanning $ Radon $ DPBR $ Bond $ ou6le Fee- _ V iolation date: Structural Review. $ Total Fee Now Due $ L - F ' m See Reverse side i Bonding Company's Name f if applicable) Bonding Company's Address j , City State Zip it , Mortgage Lenders Name (if applicable) V1J 8--✓ 1�� 'Mortgage 77 Address) --� ®j �} r e city State Zi L 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,. I' WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC..... is 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 j 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 co o the notice o commencement and construction lien law brochure will be delivered to the P g f PY f f person P whose roe is subject to attachment. Also a certified co o the recorded notice o commencement must be posted t e ' o d at h i property nY b J PY f f P 1 ob site or the first inspection which occurs seven 7 days a er the building permit is issued. In the absence o such posted notice, f 1� P � � � 0 -Y .� g P f P the inspection will not be approved and a reinspection fee will be charged. Signature Signature Own o g Z Contractor The foregoing instrument was acknowledged before me this The foregomi ' s ent was acknowled d before me this day f 20 b ) LLtA— J U/� 2 1) Y cl ,S d0- of b L- CrC�itl Y W Y � Y I who is personally known to me who is personally known to me or who has produced F d As identification and who did take an oath. A r- as identification and who did take an oath. NOT J PUBLIC: ARY PUB I Sign: Sign: Print: rDA �) Jl�t)� �-i� Print: t% /� �.. t v� "�• R00NEYC.%9t4 R ��`� , RC)BERTO MARTINEZ My Commission Expi1 �} My Commission My COMMISSION nn6>11z67 W C0MWSM0N 9 DD 796803 lll2 - EXP69ES: June 11, 2012 a a �° EXPIRES: June 26, 2011 UC� 'prl ftMTWUNal PUWUed g 1.800-3- NOTARY FI. Notary Discoua Assoc. Co. . 4t�Y3e�Ytkde :Yk�'t9tksF9.3rdt�YdratnY3e�ek 9e3r4e�Y�9t 9nk�ktY4e�Y *de9e4t9ededr4eoY�Y4: �Yk9e3t�keYAdekBe $t�Ydrotit �e4r: SroYle* droY�ntrnF�Ynkle4e4r *9e�YoY9e4: nY3: dedt3: aYsY9e *dr k�t9i9r4c �k4r�Yie�Y APPROVED BY V O / Plans Examiner zoning Engineer Clerk checked I (Revised 07 /10 /07)(Revised 06/104009) I;. I MAY 3 2010 '� Y: ��.... .5 O RES miamishores V illage vi io-64 . ,,. M,, Building Departme 10050 N.E.2nd Avenue Miami Shores, Florida 33138 4 P - two P Tel: (305) 795.2204 Fax: (305) 756.8972 COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY WHEREAS, hereinafter referred to as the Owner of the following (owner) described property: Legal description/folio#: Lot I S I U-t B 7 I n z j LL S I U'-, Block 45 Subdivision Y�e4lBllt "� ' Tax Folio #: Requests pa. %' �`_ -1z1nn to install: Asphalt, concrete, brick pavers Landscaping Other Within the public road right of way of 3 Tel c i� IMAM t �quz Se s (address) IN CONSIDERATION of the approval of this permit by the Village, the owner agrees as follows: 1. To maintain and repair, when necessary, the above - mentioned Rem(s) installed within the dedicated right of way. If it becomes necessary for Miami Shores Village or Dade County to make repairs or maintain said items within public right of way including restoration of street by reason of the Owner's failure to do so, such expense shall be paid by the Owner or shall constitute a lien against the above described property until paid. 2. The owner does hereby agree to indemnify and hold Miami Shores Village or Dade Courty harmless from any and all liability, which may rise by virtue of permitting the installation of these items within the public right of way. 3. The Owner does hereby agree to remove or relocate their facilities at their own expense, within 60 days notice by the Village to do so. Failure to comply with this notice will result in the Village causing the item(s) to be removed and a lien being placed on the property and /or assessed against the Owner for all costs incurred in the removal and disposal of the item(s). 4. The undersigned further agrees that these conditions shall be deemed a covenant running with the land and shall remain in full force and effect and be binding on the undersigned, their heirs and assigns, until such time as this obligations has been canceled by an affidavit filed in the Public Records of Dade County, Florida by the Village Manager of Miami Shores Village (or his fully authorized representative). SIGNED, SEALED, EXECUTED AND ACKNOWLEDGE on this 1 day of k 1 t ( J(t� ner) SIGNED, SEALED, AND DELIVERED in the presence of: ME KU 'Niftaf • YItI�w 9 10 STA OF FLORIDA j DEPARTMEIIT OK° BUSINESS AND PROFESSIONAL REGULATION ( CONSTRL7CTION INDUSTRY LICENSING BOARD SeQ# LO- 90;6x'0 -53 I _ _._._.w _�_. —__. ' DATE BATCH - LICE NB R - d6d`28 '2'009 080:8 5Z:4_ . IQB5 - T�i.e g'ffS�l�'ES� O��TZAT`IO1V' - _ Under tie' provIO bns of Chapter 489 FS; Expiration date. RUG 31, 20I1 (TI�.IS' I$'_. NOT . A -- L_LCENSE .•tO 'PERFORM. WORK. THIS, ALLOWS.. _ COMPANY ; TO DO BLF (NESS ON ;Y 'IF IT HAS A QUALIFIER. ) DESMAR PC; INC 7933. _ IJW 64 S' a MIAMI FL 3316 CHRL'E CHA�tLES T+. D1G0 s O SECRETARY C2FSPLAY AS' REQUfREL ,.Y LAW.' ACS C� FL.t�RIQA 2.804( DEPARTMENT= OF A 'RQFESS�ONAL REGULATION` OOIVSTYtLI„ O INtT'RYEENSING HOARD $1(LO'8d81�021r9 UMBER LICENSE::'NBR. - 004194 2 b08 ,0:$8:U3 763 _ CFa2 , The FLU$QINO .CON'�`EACTC�R Na�ned•..be�Q�v 1� �R1�`�IF'IE�. <: k TjAder the. p�ava 'dns df Chapt 'r 48� FS: Expiration date ' AUK 31,_ ' 2:01 b ANGEL EDUARDO°� FRAf� x DESM1�i1 Pd. INC ._ 7 -33_.NW 64 S2,;. MIART FL 8 lf6 6' CHA.RLTE CRTS'T CHARLES W. DRAGO GOVERNOR SECRETARY Y DISPLAY AS REQUIRED BY LAW ACORD CERTIFICATE OF LIABILITY INSURANCE 05/0 M/DD/Y 05/06/2010 PRODUCER (305) 270 -1424 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Pan Am Assurance Agency, Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 9100 Sunset Drive ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Miami FL 33173 -3433 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA NORTH POINTS CASUALTY INS DESMAR PC, INC. INSURER B: BUSINESS FIRST INS CO 7933 NW 64 ST INSURER C: INSURER D: MIAMI FL 33166— INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADO'L POLICY EFFECTIVE POLICY EXPIRATION LTR INSRO TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DD LIMITS A GENERAL LIABILITY / / / / CH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY AMAGE TO RENTED 100,000 PREMISES Ea occurrence) $ CLAIMS MADE 7 OCCUR 3094120082 01/07/2010 01/07/201 MEDEXP Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2,000,000 X POLICY JEC LOC AUTOMOBILE LIABILITY / / / / COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS / / / / BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS / / / / BODILY INJURY NON -OWNED AUTOS (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO / / / / OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY / / / / EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE / / / / $ RETENTION $ $ B WORKERS COMPENSATION AND 52103296 08/16/2009 08/16/2010 X OR TYLAMITIS 0ER- EMPLOYERS'LIABILITY Mii �R ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 500,000 OFFICERIMEMBER EXCLUDED? / / / / E.L. DISEASE -EA EMPLOYEE $ 500,000 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION ( ) - (305) 756 -8972 SHOULD ANY OF THE ABOVE DESCRIBED PO BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING NSU R WILL ENDEAVOR TO MAIL 030 DAYS WRITTEN NOTICE TO THE CERTI CATE OLDER NAMED TO THE LEFT, BUT Miami Shores Village FAILURE TO DO SO SHALL IMPOSE NO OBLI ON R LIABILITY OF ANY KIND UPON THE Building Department INSURER, ITS AGENTS OR REPRESENTATIVES. 10050 N. 2 Ave. AUTHORIZED REPRESENTATIVE Miami Shores FL 33138 - A 25 (2001/08) © ACORD CORPORATION 1988 �; INS025 (0108).05 ELECTRONIC LASER FORMS, INC. - (800)327 -0545 Page 1 of 2 . COUNTY 2QO9 LOCAL PUSINESS TAX"RE�EIPfi ?410 FIRST' -CLASS J fiAX COLLECTOR (i01AR94BADE GOl�N71� = S�A� OF:f A":; 7 W fJ.AGLER ST U.S. POSTAGE isi FLOOR EXPIRES SEPT. ?Q14: } + PAID 91AMi, FL3313a MUST BE=Pl AYED'AT P.LAGE $!NESS MIAMI, FL PL�B:�UANT FU Ci?UITTy CODE CHAP. ktBA i '. PERMIT NO. 2:31 6 Q7 648 3 THI$ i$ iVOI BILL,- DD AIO P/k�(' - eus<nlESS NAINB 1 +,OCarwrl RENEWAL DESMW -P jNC RscEIPT N0. 633.876 -8 7v3.,NW b4 ST STAE CFC1427442 33.�T6b WN D,ADE .CO My.= OWNER DESMA -: PG= INC', NC s THIS }s ON LY , 'a PtfING EQI+k3�ACT�J.R •- -8tl$tNE3S FAX }T :OOES •:NOT" Pe*ff THE '.HOLLER: TOYIOLMTE ANY . ZONIW . LAWS -- OP.' TNE. "� Coum -or la. NOR ! DO NOT FORWARD :"TICKS '. IT "'EXEMPT 'THE ' HOLDER FROM ANY-OTHER ' NOT AED CERTI W- THISISFr.' DESMAR PC INC -'NOT A RTIEICATION, OF i :'FHE•!lOI.RI:RSQ}UWF}CA; MARIA L CEBALLOS PRES PAYMENT RECEI 231 NW 63 AVE MIAMWLADE COUNTY Tax MIAMI FL 33126 "07/:27>2009 �:a3Q"O�QD321 :. -- - _ It: li:ifl l i Fitl�li�i)i3i } }f� } tlltii }il�ili E� SEE OTHER SIDE