PL-10-1411Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 153896 Permit Number: PL -8 -10 -1411
Scheduled Inspection Date: December 10, 2010
Inspector: Hernandez, Rafael
Owner: HUNTER, MARK
Job Address: 1245 NE 93 Street
Miami Shores, FL
Project: <NONE>
Contractor: HABER & SONS PLUMBING INC
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number (917)604 -8328
Parcel Number 1132050270070
Phone: (305)461 -8653
Building Department Comments
GENERAL REPAIR OF TOILET LAVATROY AND SINK
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
RE- INSPECTION PAID
te/y
December 09, 2010
For Inspections please call: (305)762 -4949
Page 9 of 13
BUILDING
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 NooL- I R
PERMIT APPLICATION
FBC 20
Permit Type: PLUMBING
OWNER: Name (Fee Simple Titleholder): H tv'eCD tiimaft 9 11-x'1 —f33 Z S
Address: p �‘12-14 S 1 .Tc . "13QO
`
City: 1`.-Vf• -A S1rVO LE-S State: c--1. Zip: `3 3fN
Tenant/Lessee Name: Phone#:
Email:
NOTIEV
AUG 1 5 2010
..
Master Permit No.
JOB ADDRESS: 19-1 ¶ N . • q T.
City: Miami Shores County: Miami Dade Zip: 3313$
Folio/Parcel#: 11- 3Q05- O 1 - 00-1 O
Is the Building Historically Designated: Yes NO X Flood Zone:
C O N T R A C T O R : C o m p a n y N a m e : A M : e V . £ C. c)lomi l 146 , "z C. phone#: (5C6) yU % -86 G
Address: 4‘0L9 !JvL '" lz' t �
City: 1.X i AM's State: T.-1. Zip: "631 LI 0
Qualifier Name: 1 17S Phone#: `30si 4101.- 819.6 3
State Certification or Registration #: &CbS 114 5 Certificate of Competency #:
Contact Phone#I 5057r1 q ID - Q 3 go �Emaail Address: t4Da gAN`1� 1� Ova � 1 t S4R 13E-1150t)llt NET
DESIGNER Architect/Engineer: SE.A.:F. - be.si�z Ov iNlE -Q_ Phone#:
Value of Work for this Permit: $ a66bb Square/linear Footage of Work:
Type of Work: DAddress : UAlteration New *Repair/Replace ODemolition
'Description of Work: 4.,24L. �1 An(?, -1bx 1 c-1- , t.kV -i DV_Li Acot S1 1•1(..
,nn\1 \-L Pei-
5Q` `*A if)
eLe
11040
'ft-57 -
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 brochure will be delivered to the person
whose property is subject to attachment: Also, a certified copy of the recorded notice of co 'ncement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued In absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged
f or gent
The fo going instrument was acknowledged before me this S
day of J. 20 C%, by 11 44 (*te'c.Y
who is
1y known to me or who has produced
tification and who did take an oath.
ARY PUBLIC:
Sign:
Print
My Commission
MY COMMISSION # DDB54I59
EXPIRES: January 25, 2013
R. Notary Discwm Assoc. Co.
so"
Signature
The foregoing instrument
day off J s>L ,20 L, by
who i ersonally know to me or who has produced
as identification and who did take an oath.
ore me this
t
Sign:
Print: 7&,e/ .Q d e /
My Commission Expires: !1/49 /x/3
* * * * * •** **r * * *** r* * * * * * * * * **ip** * *** **********************************r*** * * * ***** * *** * * *r*s *** * * * * * * ****
Plans Examiner Zoning
APPROVED BY '
(Revised 07 /10107)(Revised 06/10/2009)(Revised 3/15/09)
Structural Review Clerk
Aug 26 2010 10:OOAM Haber ?:26 Sons Plumbing
08/20/2010 WELD 14839 FA8 3054463551 Insurance Ksrketers
305- 567 -9976
page 2
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CERTIFICATE MOLDER'
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10050 Mi 2nd Avenue
Miami area rig 39139
AEORD 25 (20ovos)
CANCELLATION
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7278 SW 8
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Phone (305)286 -6493
305- 567 -9976
page 3
2 :61PM No.0988 P. I/I
CERTIFICATE OF LIABILITY INSURANCE T`"ol 51;0 ')
Bankers Insurance
THIS CERTIFICATE I3 ISSUED AS A MATTER OP INFORMATION
Street
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
33144
HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THIS COVERAGE AFFORDED BY THE POUCI 3 BELOW.
INSURERS AFFORDING COVERAGE NAIL E
Plumbing Inc. INSURER A: MAX SPECIALTY INSURANCE CO.
INSURER B: OMEGA U.S.
INSURED Haber & Son P
4106 NW 37 Ave
Miami, FL 33142 -
(305) 461 -8853
COVERAGES
Fax (305)282-0879
INSURER C:
INSURER Co:
INSURER 5:
THE POLICIES OF INSURANCE LISTED HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
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MAY PERTAIN. THE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN 18 SUBJECT TO ALL THE TERRIS, EXCLUSIONS AND GONDRIONS OF SUCH
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1,000,000.00
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1,000,000.00
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2,000,000.00
PRODUCTS- COMP/OP AG0
1,000,000.00
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❑ ALL CANNED AUTOS
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BY ENDORSEMENT
06/20/2011 GENERAL AGGREGAT 2,000,000.00
/SPECIAL PROVISIONS
CANCELLATION
1
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
10050 NE 2ND AVE
MIAMI SHORES, FL. 33138
ACORD 25 (2000/01) QF
SMOiA,O ANY OP THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREIN°, TNA MERINO INSURER WILL ENDEAVOR TO MAIL.
30 DAYS WRITTEN NOTICE TO THE c6R77ICATe Kasen NAMED TO
TELTIPT, BUT FAILURE row SO MALL IMPOSE ma common OR LI ABILITY
OF ANY KIND UPON TIM ENSURER, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
I81988 -2008 ACORD CORPORATION. All rights rosEMINI,
The ACORD name and toga am registered marks of ACORD