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PL-11-1865
Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 165394 Permit Number: PL -10 -11 -1865 Scheduled Inspection Date: January 25, 2012 Inspector: Hernandez, Rafael Owner: MARIA GONZALEZ, ISABELLA DCTDI 17CI 1 1 Job Address: 9546 NW 1 Avenue Miami Shores, FL Project: <NONE> Contractor: TRIPLE J PLUMBING INC Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1131010240240 Phone: (305)558 -0596 Building Department Comments PLUMBING WORK FOR KITCHEN AND TWO BATHROOM REMODEL Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments January 24, 2012 For Inspections please call: (305)762 -4949 Page 5 of 30 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 APPLICATION FBC 20 Permit No. Master Permit NoLC 1 Permit Type: PLUMBING OWNER: Name (Fee Simple Titleholder): 1 Sc be tto (RA( lrkAt. 11; Phone #: 3OS - FS k -.1116) Address: Q'GI S 11 6 Nu.) ) Ate, V�l�t City: i res State: L Zip: 331 S Tenant/Lessee Name: Phone #: 30 ' ti- Y161 Email: 1Sql0t..110t pc C j;'t li C CCrm CQ3 YIC* JOB ADDRESS: ©I5LIG M J 1 ( City: Miami Shores County: Miami Dade Zip: 3 ►� Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: I1 _ 4 CONTRACTOR: Company Name: Address: 7 St City: "Zr State: Zip: 3c3 � 4.4 �"''i P• Qualifier Name: 0 t./ t Al Zl " *.i'z.. ` Phone #:'7 i f ' as-7-7.o State Certification or Registration #: {.F O0&70 / Certificate of Competency #: ✓ O / 7/ 4% Contact Phone #: Email Address: DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ Type of Work: Address - _ ❑!Alteration Description of ork: *"c�+� r Square/Linear Footage of Work ❑New 15�Kepair/Replace P A0 1 I WOc>.r fe' PAOCer • ° L]Demolition * * * * * * * * * * * * * * * * * * * * * * * *** ** *+x*a::x ***** Fees************* *** **** *** ** ******************* Submittal Fee $ Permit Fee $ ls° Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ CCF $ CO /CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ ItO 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 .ri , cement m t be posted at the job site for the first inspection which occurs seven (7) days after the building permit is is — .._:�uch posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature 11)24 Owner or Agent The foregoing instrument was acknowledged be ore me this 11 The f day , 20(1 , byrScibmilci �4zze,I1 j , day o who Oersonally knot-'o me or who has produced 111 ��/■ Contractor i tru ' t as ackn r , 20L, by edge who is personally to me or who has produced As identification and who did take an oath 19c, 2,A0-3--9 J i --1l as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Print: My Commission Plans Examiner p_(2-4/ Structural Review (Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09) Notary PubI4c - State of Florida „N y Comm aim 1;,;, EE 128810 ; sst@BP f.� o- •` ,,i o„ c ., Bonded Through Nctu!al Notary Assn • Zoning Clerk STATE OF FLORIDA D? AS NISSTLSC INGOA T CONSTRUCTION INDUSTRY S, =4# L110803.006 ;ZGCVR1QR • DISPLAY AS REQUIRED SY LAW SECRETARY Co t TQB Qualifying Bold BUSINESS CERTIFICATE OF COMPETENCY 0000171 63 TRIPLE J PLUMBING IN D.B.A.. oVI'DO J. Is certified under the provisions of Chapter 10 of Miarni.De ie'c County T&°9134" p13 L);‘,64.4 -71 S • p aL ■■•>. t4 (1) rocke3 to-1 IPA'Icrot c; I a*, &tt.hkgA VA-06ftti, isCrkV. Retrent Pcx441/4 nek41 03i4le■ ski An etremi- sift-6;c up5rocks wsktl, tx15.4;n ()cm-A.4 •-°1 t1-06 Goectie- Property Address: 9546 N.W. 1 AVENUE MIAMI SHORES, FL 33150 18.00' ASPHALT PAVEMENT Q N.W. 1st AVENUE 16.00' PARKWAY 00' (R&M) eo L:z 73.50' (R&M) • 9 • 3' � O D: O z Q 5.50 1'6'12.II5II5' 9901 aIUJ 5.00' CONC. SIDEWALK 14.60 16.90' (fig ss+ N es n`z 1: .l9'£ ;L6'L t-► 73.50' (R &M) �— 15' ALLEY —. 8.00' ASPHALT PAVEMENT ".O a: z 0 BURYEYCR'B c6fi11 AITDY: I HERESTCERTIFY THAT DIES 5 DARY SURVEY' LS ATRUE AND CORRECT REPRESENTATION OF A SURVEY PREPARED UNDER MY loam= TKO COMPLIES YA'M THE ILIDI IWU A TECHNICAL STANDARDS ASSET FORTH EY THE STAFF Of FLORIDA BOARD OF PROFESSIONAL LAND SU^ _�, <'.' -�`r v'; ra., BSGIY .8 FLORIDA AESAINATTRATTVEoDE PURSUANT TO 472 EV. FLORIDA ST P.SM. NO. 5101 AOT vats =Tout AN ASITl45''tfmE @EC7RO= RSRL4TL02 AND iltENI SEAiRP M.EC' Y IC FIDLAALN:1H TMfS YAPS NOT V.4*DSTT150LP. Td Sftb*tMtAt WO TS& C@M'3LALPd9 €G SEAL UC EN= BUIQ'.YYf,W 14142%1A? Survey: A -24744 Notes: NO NOTES MIGUEL ESPINOSA LAND SURVEYING, INC. 10665 SW 190TH Street Suite 3110 MIAMI, FL 33157 PHONE:(305) 740 -3319 FAX #:(305)669 -3190 LB # 6463 Accepted By: Page 1 of 2 Not valid without all pages. -X -X- -/HF— r. PROPERTY LINE STRUCTURE CONC. BLOCK WALL CHAIN -UNK FENCE OR WIRE FENCE WOOD FENCE IRON FENCE EASEMENT CENTER LINE WOOD DECK CONCRETE ASPHALT BRICK / TILE WATER APPROXIMATE EDGE OF WATER COVERED AREA TREE POWER POLE CATCH BASIN COUNTY UTILITY EASEMENT INGRESS / EGRESS EASEMENT UTIUTY EASEMENT 9546 N.W. 1 AVENUE MIAMI SHORES, FL 33150 L 0 C A 0 N M A P Surveyor's Legend END FOUND IRON PIPE / PIN AS NOTED ON PLAT LB# LICENSE # - BUSINESS LS# LICENSE # - SURVEYOR CALC CALCULATED POINT SET SET PIN • CONTROL POINT ▪ CONCRETE MONUMENT ▪ BENCHMARK ELEV ELEVATION P.T. POINT OF TANGENCY P.C. POINT OF CURVATURE P.R.Y. PERMANENT REFERENCE MONUMENT P.C.C. POINT OF COMPOUND CURVATURE P.R.C. POINT OF REVERSE CURVATURE P.0.8. POINT OF BEGINNING P.O.C. POINT OF COMMENCEMENT P.C.P. PERMANENT CONTROL POINT 4 FIELD MEASURED P PLATTED MEASUREMENT D DEED CALCULATED LAKE OR LANDSCAPE MAINT_ ESMT. ROOF OVERHANG EASEMENT LM.E. N 0 T T O s C A L E Community Number: Panel Number. Suffix: Date of Firm Index: Flood Zone: Base Flood Elevation: Date of Field Work: Date of Completion: MIAMI SHORES/ 120652 0302 L 9/11/2009 X N/A 8/18/2011 8/19/2011 R N&D PK NAIL ® M.H. 0.H... TX CATV W.Y. P/E CONC. PUT 0.E L.D.E. I.A.E. BEARING REFERENCE CENTRAL ANGLE OR DELTA RADIUS OR RADIAL RADIAL TIE NON RADIAL TYPICAL IRON R00 IRON PIPE NAIL & DISK PARKER -KALON NAIL DRILL HOLE WELL FIRE HYDRANT MANHOLE OVERHEAD UNES TRANSFORMER CABLE TV RISER WATER METER POOL EQUIPMENT CONCRETE SLAB EASEMENT DRAINAGE EASEMENT LANDSCAPE BUFFER EASEMENT LIMITED ACCESS EASEMENT General Notes: TEL E.U.B. SEP. D.F. A/C S/W DWY SCR. OAR ENCL N.T.S. E.E. T.D.B. E.O.W E.O.P C.V.G B.S.L. S.T.L R/W TELEPHONE FACIUTIES UTILITY POLE ELECTRIC UTILITY BOX SEPTIC TANK DRAINFIELD AIR CONDITIONER SIDEWALK DRIVEWAY SCREEN GARAGE ENCLOSURE NOT TO SCALE FINNISHED FLOOR TOP OF BANK EDGE OF WATER EDGE OF PAVEMENT CONCRETE VALLEY GUTTER BUILDING SETBACK LINE SURVEY TIE UNE CENTER LINE RIGHT -OF -WAY PUBLIC UTILITY EASEMENT CANAL MAINTENANCE EASEMENT ANCHOR EASEMENT 1. The Legal Description used to perform this survey was supplied by others. This survey does not determine or is not to imply ownership. 2. This survey only shows above ground improvements. Underground utilities, footings, or encroachments are not located on this survey map. 3. If there is a septic tank, well, or drain field on this survey, the location of such Items was shown to us by others and the Information was not verified. 4. Examination of the abstract of title will have to be made to determine recorded instruments, if any, effect this property. The lands shown herein were not abstracted for easement or other recorded encumbrances not shown on the plat. 5. Wall ties are done to the face of the wall. 6. Fence ownership is not determined. 7. Bearings referenced to line noted B.R. B. Dimensions shown are platted and measured unless otherwise shown. 9. No identification found on property comers unless noted. 10. Not valid unless sealed with the signing surveyors embossed seal. 11. Boundary survey means a drawing and/or graphic representation of the survey work performed in the field, could be drawn at a shown scale and/or not to scale. 12. Elevations if shown are based upon NGVD 1929 unless otherwise noted. 13. This is a BOUNDARY SURVEY unless otherwise noted. 14. This survey is exclusive for the use of the parties to whom It is certified. The certifications do not extend to any unnamed parties. Certified To: ISABELLA PETRUZZELLI AND MARIA FABIOLA NATIONAL TITLE INSURANCE COMPANY, , . Its'successors GONZALEZ, CLEAR TITLE SERVICES, INC., OLD REPUBLIC and /or assigns as their interest may appear. Legal Description: LOT 2 AND TH-E NORTH 1/2 OF LOT 3, BLOCK 5, OF SUBDIVISION BONMAR PARK, ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 17, PAGE 11, OF THE PUBLIC RECORDS OF MIAMI -DADE COUNTY, FLORIDA PRINTING INSTRUC IONS: While viewing the survey in any Acrobat Reader, select the File Drop -down and select "Print" Select a color printer, if available, or at least one with 8.5" x 14" paper. Select ALL for Print Range, and the # of copies you would like to print out. Under the "Page Scaling" please make sure you have selected "None Do not check the "AutoRotate and Center" button. Check the "Choose Paper size by PDF "checkbox. Click OK to Print. Survey: A -24744 MIGUEL ESPINOSA LAND SURVEYING, INC. 10665 SW 190TH Street Suite 3110 MIAMI, FL 33157 PHONE:(305) 740 -3319 FAX #:(305)669 -3190 LB # 6463 Page 2 of 2 Not valid without all pages. CERTIPICATE OP INSURANCE STATE FARM FIRE CASUALTY COMPANY. 1 , Mole Thls that 0 STATE PARM GENERAL etsURANCE COMPANY, Matembegton, Metals Insures =TrL t 37" Sure a etneybelder Location of operattans Descrietton of o Tire papa wed thou hove torn tang enkagene 11.3.v 13 Ebb the of POLICY NUMBER •r. FL 33 7th treat C• •.1.1C •R _ • The iaerth 30 POLICY HAMM 1..� 9 '11 . p - Coed Opendiene 0 contrail L► 0 Underground Hoard Coverage 0 Personal Injury L0 Advertising J Collapse sinM t Coverage t g tdr�tah o emend Aggrsgste project a EXCESS uitatrrY O' Umbrella R • Walkers' C0 and Bellows LWOW NONE Tzi „ • = i l ! �LY DAN pw dole Each Occurrence PProducts Gampteted - oPeralloneAsWelfide BOO1LY 114 AND (Cortiblnad t to Each Occurraru Port 1 STATUTORY Pat 2 BODILY INJURY *.100, 000 $ 200, 000 200, 000 Each Accident Disease Stab Empkeyse $ Nam and kitten of Certificate Haider, Miami Shore - Village Building Department 10050 -NE-2 Ave Miami Shores Fla 33138 401.1104 o as USA sty of liescribecI p 8 ywtttpn rro 0Fammt�UY o� t�Nath the cortMoate holder 30 , of re cur a or 1 wllt however. Imposed an Steo3 Farm or Us Weer DAM. dud TUtta PLEASE . CUT OUT THE CARD BELOW r STATE OF FLORIDA DEPARTMENT OP FINANCIAL. SERVICES DIVISION OF WORKERS' COMPENSATION CONSTRUCTION INDUSTRY CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW EFFECTIVE 11/ 18/2010 PERSON: JORGE PEREZ FEIN 201581883 BUSINESS NAME. AND ADDRESS: TRIPLE .1 PLUMBING INC 135E 37 ST HIALEAH, : FL 33013 EXPIRATION DATE: 11/15/2012 SCOPE OF BUSINESS OR TRADE 1 • PLUMBING 0 CUT i ;m iD. * Carryy bottom portion on the job, k ar: MC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09-06 PLEASE CUT OUT THE CARD. BELOW it STATE OP FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION .OF WORKERS' COMPENSATION CONSTRUCTION INDUSTRY. CERTIFICATE OF ELECTION TO SE EXEMPT FROM FLORIDA WORKERS'•COMPENSATION LAW EFFECTIVE 11/18/2010 • :EXPIRATION DATE: PERSON: OVIDIO J.PEREZ FEIN:: 20158/883 BUSINESS NAME AND ADDRESS: TRIPLE J. PLUMBING INC 135 EAST 37TH ST HIALEAH, FL 33013 SCOPE OF BUSINESS OR TRADE 1- PLUMBING 11/1S/2012 CUT f 8#9 :botton>I portion on the job, k1 J 0. w - -; IIV flut amts t�8 �, 6 ogla 1„ r.". W 11111 t IT 1111E4 MIAMI -DADE COUNTY TAX COLLECTOR 140 W. FLAGLERST. tat FLOOR MIAML FL 33130 RECEIPT Na 30-1696700 lk BUSI!'slESS NAME LLQCATION as TRIPLE J PLUMBING I 135 'E 37` ST: OWNER :TRIPLE J PLUIrIN MUNI AL U 1 +;� CTOR'S 2 TAX -F - Sumo OU . ` ` DE SEC.- 24 IiRE �, , 2012 • 1S NOT 61W» OT, PAY WO ' 0 0. 163 SS• AGE O! 231 SEE BACK OF RECEIPT 1' 00 A LIST OF NON- PARTICtPAT MUNICIPALITIES '< tl ND holder must r In the City ; ? PAWNS work is to be done. PAYMENTIfiECE.IYEO MIAMHMDE COUFriY rid(.. , coL OpJ 7 /2011 0229001400 CONTRACTOR1 TRIPLE J PLUMBING INC OVIDIO PEREZ PRES 135 E 37 ST HIALEAH FL 33013 lsr ll>, rtllrllr,,», llL, llit Yl rhllssultrlrrllrrrllnlrl>,lnl E MIAMI -DADE COUNTY TAX COLLECTOR 140 W. FLAGLER ST. let FLOOR MIAMI, FL 33130 TAX RECEIPT ATE OF FLORIDA 130, 2012 CE OF BUSINES PTER9A-ART. 169670 - BUSINESS NAME ._ trLOCATION TRIPLE J PLUMBING 135 37 'ST 33013 ALEAH OWNER • TRIPLE- J PLVMBIN Sec.' Type of llusiness 196 PLUMBING CONTT THEE IS Y A LOCAL ENOT PPERNIP x' DOES MOWER, TO vows _ LLLATOIY �� OR UC REQUIRED BY LAW THE S NOT A CI RTIROATION- OE THE MOLDER'S OUAURCA PAYMENT RECEIVED. INIAMI.DADECOUNTETAN,. 0712. `64001 00 OTHER SIDE DO NOT FORWARD TRIPLE J PLUMBING INC OVIDIO PEREZ PRES 135 E 37 ST HIALEAH FL 33013 69