Loading...
PL-11-2188Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 \ 1 4/021 Inspection Number: INSP - 167032 Scheduled Inspection Date: January 04, 2012 Inspector: Hernandez, Rafael Owner: LLC, MACAII Job Address: 9545 BISCAYNE Boulevard Miami Shores, FL 33138- Permit Number: PL -11 -11 -2188 Project: <NONE> Contractor: PIPELINE PLUMBING SERVICES INC Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132060143040 Phone: (305)978 -4715 Building Department Comments INSTALL SINK AND WATER HEATER Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments January 03, 2012 For Inspections please call: (305)762 -4949 Page 10 of 31 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 NOV �2 3 a l l B ` . BUILDING Permit No. 131 I)�693 PERMIT APPLICATION Master Permit No. f -CAI FBC 20 Permit Type: PLUMBING OWNER: Name (Fee Simple Titleholder):v (L ®te 6411 L'12-"1/5 Phone #: 31) eZ -Z Address: ` 29Y - t ° City: / X11 ; State: is e-- Zip: 3 ,/,9W Tenant/Lessee Name: Phone#: Email: JOB ADDRESS: tg tj -, City: Miami Shores County: Folio/Parcel #: Miami Dade Zip: Is the Building Historically Designated: Yes CONTRACTOR: Company Name: Address: City: t.-& iAfr+l, + State: 1 Zip: S3 IYS Qualifier Name: Fr o..„1,,, L'O`Lapp� o Phone #: 3OT (m Z- L, —i 322. F State Certification or Registration #: F I i Ob1 UPI ! Certificate of Competency #: ()2 PO oov 9 Lo So 6'-4. Flood Zone: aueptlotAci IUICe4 - Phone #: 3()5 -L((, -Y SZS Contact Phone#: Email Address: DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ SL Square/Linear Footage of Work: Type of Work: ❑Address ❑Allter�ation ONew ORep i /Replaced ❑Demolition Description of Work: .&5 / 5) LkJk c -�-� ct CA—) 'Q'41_ m * * *m * * * *m * ** *** ******** *****•x* +******* Fees'+ x*+ x**** *********** ****m********x:+x*** ** * **** Submittal Fee $ Permit Fee $ / O CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgag@ 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. natured '- g - _ - - Signature \ 1 Ownerent �� tractor Si The foregoing instrument was acknowledged before me this / The foregoing instrument was acknowledged before me this day of NOV , 20 /I , by iQ.5 1 ' ®YVV Z , day of who is personally known to me or who has produced dviVeit 1 aren j-C As identification and who did take an oath. NOTARY PUBLIC: Sign: 66G1 V Print: 4eitria4.4 8 Vl vl uL lc- My Commission Expires: ,9+•a;; Lt ADRIANAB. VELA * MY COMMISSION 9 EE 014044 EXPIRES: August 3, 2014 `34,,OFP Bonded Thru Budget Way Smits **** * ** ** a*****+ x*+ x***m ******* *x: *+ x+x****************** *** *** ********** ***** *m ****** ******* ******************** , 20 _, by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: NOTARY PLTBLIC�fATE OF FLORIDA Esther Padre!" �r Commission # DD857891. �''" = Expires: FEB. 14, 2013 Print: 'o,,. DOOMT V WKa ms,6O„9I9h My Commission fj' �a /, Sign: APPROVED BY (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Plans Examiner Structural Review Zoning Clerk Miami -Dade County - Building and neighborhood Compliance Office Page 1 of 1 Home Product Control I Contractors Building Officials I Contact us Contractor License Information 02P000814 PIPELINE PLUMBING SERVICES INC 2050 SW 64 AVE MIAMI (305) 266-7322 Contractor Number: Contractor name: Address: City, St, Zip: Phone: Other Phone: Fax: Email: DB /A: Contractor Status: ACTIVE FL 33155 Class I Category Category Description Expiration Date PLUM 1 I PLUMBING I 09/30/2013 CONTRACTOR INQUIRY COMPLETE Contractor Inquiry and Complaint Search I Home Page I State License Search Menu • Home I Using Our Site 1 About I Phone Directory I Privacy I Disclaimer E -mail your comments or questions to BLDGDept(o)miamidade.gov © 2001 Miami -Dade County. All rights reserved. http: / /egvsys. metro -dade. com: 1608 /W W W SERV/ ggvt/BNZAW941.DIA ?CNTR= 02P00... 12/14/2011 IAMI -DARE COU AX SOLLECTO 40 W. FLAOLER' st FLOOR LOCAL BUSINESS -TAX RECEIPT; MI -DARE COUNTY - STATE OF FLORID EXPIRES SEPT.'30, 2012' T BE DISPLAYED AT PLACE OF BUSIN 4 93959-2 sti pia 2050 SW' `64 AVE` 331'55 WEST `MIAMI °WELINE PLUMBING SERVIC sedivritevottne CONTRACTOR 7H� IS ONLY A LOCAL BUSINESS TAX. RECEIPT. IT DOES NOT -PERMIT THE HOLDER TO VIOLATE ANY EXISTING REGULATORY. OR ZONING •:'LAWS. . OP THE COUNTY OR CITIES. -.NOR' Does IT EXEMPT . THE HOLDER FROM ANY OTHER PERMIT - OR LICENSE REQUIRED BY LAW, THIS IS NOT A CERTIFICATION OF THE HOLDERS. QUALIFICA- PMMENTHEMIVED MIAMI- DADE;COUNTY TAX COLLECTOR: 11108/2011' 02280087002 000051.75 SEE OTHER SIDE DO NOT FORWARD PIPELINE PLUMBING SERVICES INC FRANK LOZANO MGRM 2050 SW 64 AVE WEST MIAMI FL 33155 MIAMI -DADE COUNTY TAX COLLECTOR 140 W. FLAGLER ST. 1114 FLOOR MIAMI, FL 33130 RECEIPT NO. 2011 MUNICIPAL CONTRACTOR'S 2012 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 30- 5157334 CC 110: '02P000814 ' BUSINESS NAME / LOCATION PIPELINE PLUMBING SERVICES INC 2050 SW 64 AVE OWNER :PIPELINE PLUMBING SERVICES INC SEE BACK OF RECEIPT FOR A LIST OF NON— PARTICIPATING MUNICIPALITIES Receipt holder must i. register in the city where work is to be done. PAYMENT RECEIVED MIAIMiI�-0C�ADEg COUNTY TAX cOi`�O908 /2011 02280087001 000200.00 FIRST CLAS; U.S. POSTAG PAID MIAMI, FL PERMIT NO. 2: RECEIPT HOLDER MAY DO BUSINESS AS A CONTRACTOR AS SPECIFIED HEREON. PLUMBING CONTRACTOR DO NOT FORWARD PIPELINE PLUMBING SERVICES INC FRANK LOZANO MGRM 2050 SW 64 AVE WEST MIAMI FL 33155 1„ 1,“11..11.1.1,U1jANItllLAl +t[fl7J07 STATE OF FLORIDA DEPARTMENT OF BUSYNESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD 1940 NORTH MONROE STREET TALLAHASSEE FL 32399 -0783 LOZANO, FRANK PIPELINE PLUMBING SERVICES INC 2050 SW 64TH AVE MIAMI FL 33155 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better. For information about our services, please log onto www.myfloridalicense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and learn more about the Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! DETACH HERE (850) 487 -1395 RF1106716< 11E OF FLORIDA •F 3` S- S AND PROFESSIONAL ? US RUCTION °y:I TRY LICENSING BOARD Wra ? 7_ DATE BATCH NUMS R 12/07/2011 10:22 ACCMCP � CERTIFICATE OF LIABILITY INSURANCE #1776 P.001 /001 I DATE (MM/DL YYYY) 12/07/11 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER_ IMPORTANT: If the certificate bolder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certf icate holder in lieu of such endorsement(s). PRODUCER Profession& Insurance Group, Inc. 11865SW26St SteC41 Miami, FL 33175 Phone (305) 554 -1212 INSURED Pipeline Plumbing Services, inc. 2050 SW 64 Ave Miami, FL 33155- Fax (305) 554-1312 (305)256 -7322 CONTACT NAME: PHONE WC. No. EA): ADDRESS: INSURER A: INSURER B : INSURER C INSURER D : INSURER E . I INSURER F (305) 554 -1212 su ygprofinsgroup.com INSURERS) AFFORDING COVERAGE Ascendant Commercial Insurance, Inc. FAX . No): (306) 554 -1312 NAIC 5 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY T(-1AT 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 CONDI11ONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. tNSR^ �ADDl�SUl3Rl POLICY Err I POLICY EXP I Lll ll�z I -_ TYPE OF INSURANCE INSR I WVD, POLICY NUMBER odM/DDlYYY17I (MNUDDIYYYY) ; LIMITS GENERAL LIABILITY I EACH OCCURRENCE ; $ 1,000,000.00 COMMERCIAL GENERAL f_IABSLITY I 17 CLAIMS -MADE OCCUR GEM. AGGREGATE LIMIT APPLIES PER: POLICY PL-C'[ ri LOC AUYOMOIaa.s LIABILITY J ANY AUTO ALL O N D BRED AUTOS SCHEDULED AUTOS :—r NON -OWNED AUTOS j GL -33687 11/06/2011 11/06/2012 DAMAGE TO RENTED PREMISES (Ea ooamernce) MED EXP (Any one person) ; $ PERSONAL & ADV INJURY $ $ GENERAL AGGREGATE I$ PRODUCTS - COMP /OP AGG I $ 15 100,000.00 5,000.00 1,000,000.00 2,000.000.00 1,000,000.00 17 UMBRELLA UAB I— JExCESS UAB [ CLAIM:-MADE I LJ 0ED 11 RETENTIONS • WORKERS COMPENSATION ' AND EMPLOYERS' UA LITY Y / N ; ANY PROPRIETORPARTNER/EXECUTIV$ OFF RRR ER EXCLUDED? — NIA anda in N14) If Yes, describe ;alder —� DESCRIPTION OF OPERATIONS betas ��MBItN 0 SINGLE LIMIT La a erd) 5 . BODILY INJURY (Per person) j $ I BODILY INJURY (Per,- dern) $ PB Ea RR DAMAGE D $ EACH OCCURRENCE AGGREGATE $ $ $ WC STATU- - ] TORY LIM T I I OTH E.L EACH ACCIDENT i $ 1 E.t_. DISEASE - EA EMPLOYEE 5 I EL DISEASE - POLICY UMT I $ DESCRIPTION OF OPERATIONS 1 LOCATIONS /VEHICLES (Attach ACORD 101. Additional Remarks Schedule, if more space is required) Plumbing Services CERTIFICATE HOLDER Miami Shores Village Building a Zoning Dept. 10050NE2Ave Miami Shores, FL 33138 ACORD 25 (2010105) QF CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS- AUTHORED REPRESENTAYIVE 1858-2010 ACORD CORPORATION. Ail rights reserved. The ACORD name and logo are registered marks of ACORD INSURANCE Tai teRTIFICATE OF 11A8 lY THIS C •i 1CA7'E g AS A MATTER OF IPWORMATIS ONLY AND CONFERS NO;;R GHTS UPON THE CERTIFICATE'i10LDER, THIS. CER1IFICAIE•DDES•NOT 1t IAATIVELY OR NEOA I ELY AMEND, EXTENSOR ALTER THE COVERAGE AFFORDED BY THE POLICIES SELOIM1L: THISC RTIFICATE.OF INSURIANCE DOES NOT CONSTITTUTE :A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESI NTATWE°.0R (PRODUCER, AND 1tIE CERTIFICATE HOLDER, IMP0 APiT: nisi Certificate lioiderls an ADDITIONAL INSURED, the policy(Ies) must be endorsed. if SUBROGATION IS WAIVED, subject to the tartlis'ifhd condltlans otthe pollOriertaln policies may require an endorsement. A statement on this certificate does not confer rights to the cart 1l te,hot debt Ilea of.such attdorsemsntYS1. ROOMIER gulno & A . 229 Coral Way Ilami, F• . 33155 Phone (3D) x-1700 JSURED 'ipeline Plumbing :050 SW 64 Ave - niamt, FL 33155 305) 218.4525 • Fax (305)267.1197 rrAcr Marilyn L. Perez b FRO• CUSTOMER ID #: 1 (NC. Not INSURERS) AFFORDING COVERAGE INSURER A : INSURBRa: BRIDGEFIELD CASUALTY INS. COMPANY INSURER C : NAIC # INSURER 0 : INSURER E INSURER F : --^ t4ES CERTIFICATE NUMBER: REVISION NUMBER: TI-,9318 TO OE*TIPYTHAT'THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOOWITHSTANDIND ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS OERTIFlCATE4 Y 8E ISSUED OR MAYPERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, fi�T1D1T10NS F 8UCM POLICIES LIMITS BROWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. EXCLUSIONS T AND O TYPSOPINSURANCE ���p��a gain" POLICY NUMBER ( IMMDOIY YLLMM � E)(p YIYYYY) LIMITS EACH OCCURRENCE $ I . GENEPALUADIUTY ❑ COMMERCIALGENERALUABRJTY ❑ .0 E ❑ OCCUR ❑ • PREMISES ( RENTED PREMISES IEs oecyrremx) • 9 MED EXP (Any one parson) • $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ ❑ PRODUCTS • COMPIOP AGG i GEM AGGREGATEpU�Mfl APPLIES PER: ❑ POLICY ❑ :IEOT ❑ LOC 9 . 'AUTOMOBILE UABIUTY JB ANY AUTO ❑ AU. OWNED Auras . • 0 SCHEDULED ❑ HIREQ AUTOS ❑ NON•OWNED AUTOS ❑. COMBINED SINGLE LIMB (Ee accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ • UMBREUA UAB ❑ �1R ❑ . ar(ONAS UAB • ' ❑ CLAiMg.MADE . EACH OCCURRENCE $ AGGREGATE 9 $ $ • DEDUCTIBLE. =, • .n :,a tiVO , ,, . N A Y N • • Y. '- 0,-,{— #r. (« ;i�•,ia�- �« a n. D OF OPERAfl0NS below N / A 188 -22270 r •.^ 7 ) I 0810.3/2011 ': 08/03/2012" WC STATU• (-T OTH• 11 TORY LIMITS 1 r ER B.L EACH ACCIDENT $ 100,000 j E.L.OISEASE • EA EMPLOYE $ 500,000 E.L. DISEASE • POLICY LIMIT $ 100,000 DESCRI�ION• OP •ORERATIONSILOOA'1ON81VENICLEB (Attach ACORD 101, Additional Romorks Schedule, If more spa RESIDENTIAL PLUMBING. CERTIFIcA 1.10LDER.: CANCELLATION Miami Shores Village Bulid 6•Zerting IIePt• • ,100SO.NE2JMra MlamiTi $horaa, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANOELLED BEFORE ' THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN I ACCORDANCE WITH THE POLICY PROVISIONS., 1 AUTHORIZED REPRESENTATIVE