PLC-11-1382Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 162657 Permit Number: PLC -8 -11 -1382
Scheduled Inspection Date: August 31, 2011
Inspector: Hernandez, Rafael
Owner: SYLVAIN, FRED
Job Address: 9100 NE 2 Avenue
Miami Shores, FL 33138-
Project: <NONE>
Permit Type: Plumbing - Commercial
Inspection Type: Final
Work Classification: Sprinkler System
Phone Number (305)759 -6235
Parcel Number 1132060133200
Contractor: A & C PORTELA PLUMBING Phone: 305/343-2115
Building Department Comments
RENEW IRRIGATION SYSTEM RELOCATE SPRINKLER
HEADS. REPLACE BROKEN PIPIES DUE TO PARKING
LOT RESURFACING
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
August 30, 2011
For Inspections please call: (305)762 -4949
Page 19 of 34
41-tizotr
BUILDING
PERMIT APPLICATION
FBC 20
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
Permit Type: PLUMBING
OWNER: Name ((P-- Simple mIeholder): a fhge
Address: vlC' 0 0
City: Pit / c'4®ate.s
Tenant/Lessee Name:
Email:
Permit No
RECEIVED
AUG 0 1 2011
BY
I —13
Master Permit No.Ce' , I 0-03
mss'- 70-'.z3
CPhone #:
State: Zip: 3/
JOB ADDRESS: 9/ ®® ,r-/
Phone#:
City: Miami Shores County:
Folio/Parcel #: / �� 342-0 C)-- ®/ 9) 32.
Miami Dade Zip:
Is the Building Historically Designated: Yes NO Flood Zone:
CONTRACTOR: Company Name:
Address:
47,i% /?e.,.
'Phone #: °� ��` ` ° T'��`✓
•
City: / ri) ig-t r State: /'
Qualifier Name:
Certification or Registration #:
Zip:
Phone#:
Certificate of Competency #: £2 — oe'®O%®O/0
Contact Phone#: Email Address:
DESIGNER: Architect/Engineer: Phone #:
Value of Work for this Permit: $- •® /iv
Square/Linear Footage of Work:
Type of Work: ❑Address ❑Alteration r ❑New Jftepair/Replace ❑Demolition
Descriptkurof Word ?E4g 4) d ,P4//647./f0.4)
************** ***********************Fees************** ************ ******* * * ***** * **
Submittal Fee $ Permit Fee $ CCF $ CO /CC $
Scanning Fee $ Radon Fee $
DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ 1 ( 0 2.: \ `J
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 u`hderstand that a separate permit must be secured for FT FCTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDMONERS, 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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approve and inspection fee will be charged.
� +1
Signature /iL ,:ad
4 or Agent
The foregoing instrum: s as acknowledged before me this The fore . ing instrument was acknowled wed bef
day of civ 20 IL, by dr e- Sy %/' , day of (J� ' , 20 1/, by
who i rso ally kno e or who has produced who is pe ona y kno . to me or ` o has produced
As identification and who did take an oath.
Signature
Contractor
this4074
NOTARY PUBLIC:
Sign:
entification and who did take an oath.
NOTA ' ' 1 LIC:
Si tfloisygeff,
Sign: NOTARY P BLICSTATE OF FLORIDA
Print: Print: ». Dagoberto Ramos
t =Commission # DD839079
My Commission Ex? ; Expires: DEC. 10, 2012
maw mRU ATLANUc BONDING C4,iNC.
My Commission pires:
NOTARY PUBLIC -STATE OF FLORIDA
Nancy Iglesias
Commission #DD994159
******** *** * * ** *ass * * ** * Expires: MAY 20, 2014
APPROVED BY
Plans Examiner Zoning
Structural Review Clerk
(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)
ACORDT, CERTIFICATE OF LIABILITY INSURANCE
DATE (144/00/yy)
PRODUCER Serial # 100138
MUTUAL INTEREST ASSURANCE,INC.
ELIZABETH VERDURA
1295 CORAL WAY
MIAMI FL 33145
_
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
NAIL#
lN$UR D
A & C PORTELA PLUMBING, INC.
2655 SW 33 AVE
MIAMI FL 33
I
INSURER A: GRANADA INSURANCE CO.
INSURER 13, ASCENDANT UNDERWRITERS, LLC
INSURER C:
INSURER 0:
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 POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES, AGGREGATE UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
_I �N.,RC
TYPE OF INSURANOE
POLICY NUMB R
v�
n YL � �YS
��
b� IMxr D/VY01N
LIMITS
A
GENERAL
X
—
LIABILITY
COMMERCIAL GENERAL UABILITY
ICLAIMS MADE OCCUR
.
GL- 113937 -1
01/20/2011
01/20/2012
EACH ocxURRENCE
$ 1,000,000
PRAnAnau.o[F EN Epar,.„
$ 50,000
MED EXP (Any one parson)
S 1,000
PERSONAL & ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
$ 1,000,000
GEML AGGREGATE OMIT ^ APPLIES PER:
—I POUCY n c:T I J I LOC
PRODUCTS - COMP/OP AGG
$ 1,000,000
-'
AUTOMOBILE
_
— _
—
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
( SINGLE LIMIT
accident)
—,
$
BODILY INJURY
(Per parson)
$
BODILY INJURY
per accident)
S
pROPE Ic ent) AMAGE
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
AUTO ONLY: AGG
$
EXCI
SS1UMpRELLA LIABILITY
OCCUR fJ CLAIMS MADE
DEDUCTIBLE
RETENTION $
EACH OCCURRENCE
$
AGGREGATE
$
$
5
S
WORKEYSIICOMPENSATIONAND
EMPLOYE LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MW ®d2 EXCLUDED? ED7
Itgos do-o by under
6PEtii)AL F' OVISIONb below
WC- 60262 -1
01/13/2011
01/13/2012
o Y6iPMr`r R.
FR
_
EL EACH ACCIDENT
$ 100,000
EL DISEASE - EA EMPLOYEE
5 500,000
5 100 000
EL DISEASE - POLICY LIMIT
OTHER
DESCRIPTION OF OPERATIONS /LOCATICNS/V EHICLXCLUSIONS ADDED BY ENDOR6EMENTISPSCIAL PROVISIONS
PLUMBING CONTRACTOR
CERTIFICATEi HOLDER CANCELLATION
MIAMI SHORES VILLAGE
'10050 NE 2ND AVENUE LL
105 MIAMI NMORES, FL 33138
LAX 305- 756 -8972
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 So SHALL
IMPOSE NO OBLIGATION OR LIABILITY OP ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES. _
AUTHPRIxED REPR - ENTATI E OF INDEPENDENT INSURANCE AGENCY
.;rr�y�
ACORD 25 (2001/080
C:1FNPROCERTPROS.FP5
TO/TO BOVc1
1SBN31NI1VIl1f1W
ACORD CORPORATION 1OBS
L060098906 tO :TT ItOZ /0E /80
AUG -30 -2011 12:43P FROM:A &C PORTELA PLUMBING 3054427947
MIAMI -DADE COUNTY
TAX 140 W FL QLE COLLECTOR
let FLOOR
MIAMI, FL 33130
TO:3057568972
2011 MUNICIPAL CONTRACTOR'S 201
' TAX RECEIPT
MIAMI -DADE COUNTY STATE OF FLORIDA
PURSUANT TO COUNTY CODE SEC. 10.24
EXPIRES SEPT. 30.2012
THIS IS NOT A BILL - DO NOT PAY
RECEIPT NO. 30- 5455522 CC NO : 04P000010
BUSINESS NAME / LOCATION
A & C PORTELA PLUMBING INC
2655 SW 33 AVE
OWNER :A & C PORTELA PLUMBING INC
AELISTCOFONON-PARTICIPATING
MUNICIPALITIES
Receipt holder must
register In the city
where work le to be
done,
PAYMENT RECEI VE0
MIM I OAOE COUNTY TM
P921/2011
02270001001
000200.00
RECEIP•
BUSINE
AS SPE
PLUMBING CONTRAC• TOR
DO NOT FORWARD
A & C PORTELA PLUMBING INC
ARMANDO PORTELA PRES
• 2655 SW 33 AVE
MIAMI FL 33133
11 A11111111111 11111 II 1114 dIn 11 1,1111111,1A1 /11,1111
FIRST -CLASS
U.S. POSTAGE
PAID
MIAAVFJ,.
PERMIT NO. 231_
HOLDER MAY DO
AS A CONTRACTOR ,
FIED HERE9N.,
i 1
521992 -8 THIS IS NOT A BILL - DO NOT PAY
BUSINESS NAME/ LOCATION RENEWAL
A & C PORTELA PLUMBING INC RECl3.
2655 SW 33 AVE CC 8 04P004pO00010
33133 MIAMI
OWNER
A & C PORTELA PLUMBING INC
X196 PLUMBING CONTRACTOR
THIS IS ONLY A LOCAL 2
DYStNUO TAX RECEIPT, IT
noes MOT PEDANT THE
NOLowt TO VIOLATE ANY
t➢OSTINO REGULATORY OA
ZONING LAWa OP THa
COUNTY OA CITES. NOR
00g3 BR FROoAMANYU TNTMIAE
�RpEQ�UIRED BY LAW. DUX LS
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TIONSOLDEA'S OUAIJF,CA.
PAYMENT A1I.CAAOeE000rm TAX
omu e:Ton
60070000035
000045.00,
SEE OTHER SIDE
DO NOT FORWARD
A & C PORTELA PLUMBING INC
ARMANDO PORTELA PRES
2655 SW 33 AVE
MIAMI FL 33133
11111, 11111► 1411111111 tI1tn111 •IEIlrlluflhltrlllEtbh,,All
dr
FIRST-CLASS
U.S. POSTAGE I
PAID
MIAMI, FL
PERMIT NO. 231
45552 -2
•
P
P. 1
• I
RUG -30 -2011 12:42P FROM:A &C PORTELA PLUMBING 3054427947
•
TO:3057568972 P.1
C CTQB
BUSINESS CERTIFICATET . CY
FIG`GEROA FRAM P
b
certified under the • . ", of
1
QUALIFYING TRADE(S)
0001 PLUMBING
CMfl Danger P.E.
Swanton/ oaths Roue
Marol•OaG Cowry raisins sY props *y dis harsh
ako
oft
•
•
•
•
r •
• KOCK FLUSH WTN NEW OWES OF MANOR OR
18; 4.50 ASPLULT PAVEMENT OOUiSE DIMNESS SKILL
CONDUCTOR TO ROI9 9 AND ADJUST SLOPES AS
O: WOW& ETC. DISTURBED Bum DE
435 M TITS PROJECT.
CORD REO(LREIENfS OF OTT OF MI SHORES PLOW
ND).
RON TO
N.E. 92nd STREET
CATCH
BASIN
201
n r f spEWACK.,
lE FOR SO 26 M/ s ifa bores
Village
APPROVED
BY
jf
DATE I
ZONING DEPT
- f
BLDG DEPT
/2 tG
&i—ii/
SUBJECT TO COMPLJANCE THH ALL FEDERAL. -!
STATE AND COUNTY RULES A 4D A GULATIOrJ1S i
TH
CONSTRUCTION
IPLc U-- \ -2 -
46
46
100.00'
L)
c0
CV
23' PARKWAYu
130,Qc
ETCH
FO P D I/2
IRON PUS
40D '
13 PARK NG SPACES
9'_0'
TYP.
TO MORN
C. LOUVER
51.40'
t
N.E. 2nd AVENUE
ARIONG`'SPACES
43'-2",
f*
or
CRASS.,
5' CONC. SIDEWALK
TRANSFORMER
GRASS
CATCH
BASIN
B.ECTR1C
WOOD POLE
28' PARKWAY z
N.E. * 1st STREET
SCALE: 11620