PL-11-626Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 169546 Permit Number: PL -4 -11 -626
Scheduled Inspection Date: February 08, 2012
Inspector: Hernandez, Rafael
Owner: LONGMAN, JOHN
Job Address: 333 NE 92 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: BRADFORD PLUMBING LLC
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number ()_
Parcel Number 1132060136370
Phone: (305)871 -3094
Building Department Comments
RE -PIPE MAIN HOUSE WITH NEW COPPER PIPE NOT
GARAGE AREA
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
CREATED AS REINSPECTION FOR INSP- 158196. ok for framing
February 07, 2012
For Inspections please call: (305)762 -4949
Page 13 of 19
1 0111- '(5¢4-17t(-"''r>
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 Type: PLUMBING
OWNER: Name (Fee Simple Titleholder):
Address: ^^3
City: < 1 S
Permit No.
Imo5-75-mq
la PR 0 8 2011 L
BY: - - -- - -- --
t
Master Permit No.
Phone #: 7/S J 7 C 40/7
State: tie/i
Zip: ?f 43p
Tenant/Lessee Name: Phone #:
Email: 4:;761.4-91'^-*: .` LCD A y A4-- itn/.h7 L. l'
JOB ADDRESS:
City: Miami Shores County: Miami Dade
333 lU FL Y11 I �,r � . 2 }99)?
Zip: 3? /)
Folio/Parcel #:
Is the Building Historically Designated: Yes NO Flood Zone: /%' D
CONTRACTOR: Company Name: / � �,Y /� f U � � � / 1Ai 44cP hone #: (Fos' 37/ 3o y
Address: 0 9 v 0 /t/L -✓ 6 L% /}'t -'z--'
City: /1I 6 4 yy�- State: / zip: 3 J / �9
Qualifier Name: !2,4 tJ LI P) i-' Phone #: 3 OT $'7/ 3 1.* y
State Certification or Registration #: 6- /=C ®y / ( 7 .3 Certificate /of Competency #:
goy 8---7/ 3O' Email Address: /3�} l/Y �c/ 4' /3)"A �7 J of Co" C/p,',
DESIGNER: Architect/Engineer: ,/ /9- Phone #:
Value of Work for this Permit: $ Z `.' Square/Linear Footage of Work:
Type of Work: ❑Address ❑Alteration ❑New ORR ,air/Replace ❑Demolition
Description of Work:
Contact Phone#:
/7779-41i Nov} e /7/01-- (S� w e, cpt fl �G
Cdl°0 t2V f° ry'C_
mx:x+*u:** ** * * *** * * ** * * ******** * * * *******Fees * r***• x**a :****+x*************** **may * ********
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 $
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, BOIT.ERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
OWNER'S AI'r'll)AVIT: 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 att s went. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection w o, curs seven i ys after the building permit is issued. In the absence of such posted notice, the
inspection will not be ' 'rov °' and a re ecti. ' fee will be charged.
Signature — Signature
Owner gent
The foregoing instrument was acknowledged before me this 6 The foregoing instrument was acknowledged before me this
day of M L. 20 , by�l: �` , day of M 'L , 20( ( , by
who is personally known to me or who has produced I't_. i who is personally known toR1e or who has produced F704 "
and who did take an oath. '
6,4
Contractor
NOTARY PUBLIC:
00001111 gut/
\\\\`0 11 ilttt/
Sign: I ` >' . Sign:
Print: 'o, °� . . - Print:
�
� o f Pia
--n ,,,,,-,;,-,- --c o. 4
* *** ** * * * * * * ***** *** **** *?"/ * *** *** ** x + *********************************** *** * **** ** * ** **** ***** * * ** *****
NOTARY PUBLIC: \∎\���niiiiiut�
My Commission Expires:
My Commission Expires:
APPROVED BY
Plans Examiner Zoning
Structural Review Clerk
(Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09)
NOTICE OF COMMENCEMENT
A RECORDED COPY M U,STBE�POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO.P �
) 11 J( 2�if TAX FOLIO NO.
STATE OF FLORIDA:
COUNTY OF MIAMI -DADE:
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real
property, and in accordance with Chapter 713, Florida Statutes, the following information
is provided in this Notice of Commencement.
11111111111111111111111111111111111111111 1111
C F N 2011R0241319
OR Ek 27653 Ps 25066 (tae)
RECORDED 04/14/2011 14 :04 :13
HARVEY ROVINT CLERK OF COURT
MIAMI —DADE COUNTY, FLORIDA
LAST PAGE
/
Space above reserved for use of recording office
1. Legal description of property and street/address: 33.3 A i � 7.4 ^ ,S7 e
: f/ i�f Jam/ 3-7r.LY
2. Description of improvement: ip141,4 e1.� e % r������� J
i' .f'td45,
3. Owner(s) name and address: —I Lt -..i L. ri,�+ y./4/0,-/ 7_ -5
Interest in property: ()(,t.J.ile..a,T
Name and address of fee simple titleholder
4. Contractor's name, address and phone number.
IM,LT141. illfM/Milir7R047,..M11■11ERM
5. Surety: (Payment bond required by owner from contractor, if any)
Name, address and phone number.
Amount of bond $
6. Lender's name and address:
7. Persons within the State of Florida designated by & t�r�t WaiRlitakicrualkintirGEolOMEas may
Section 713.13(1)(a)7., Florida Statutes, 1 HEREBY CERTIFY that this Is a trite copy of the
Name, address and phone number. 011
8. In addition to himself, Owners designates the follof n( T�f., ;� yegintof the Lienor's N
713.13(1)(b), Florida Statutes. HARV= - �r /r `l RK, of lr and County Courts
Name, address and phone number. - %1,
9. Expiration date of this Notice of Commencement
(the expiration date Is 1 year from the date of recording unless a different date is specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED
IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK
x OR RECORDING YOUR NOTICE OF CO ,� ENCEMENT.
` Signature(s) of • s) or • 'Authorized Officer/Director/Partner/Manager—;72-11
Prepared By Prepared By — tGJ(flnJ
Print Name Print Name l *"
Title /Office
STATE OF FLORIDA
COUNTY OF MIAMI -DADE 1
The foregoing instrument was acknowledged before me this l day of t 4' z - . t
AINIF
Title /Office
By
❑ Individually, or ❑ as for
ogsfersonally known, or ❑ produced the following type of identificati •n:
Signature of Notary Public:
Print Name:
(SEAL)
VERIFICATION PURSUANT TO SECTION 92.525. FLORIDA STATUTES
Under penalties of perjury, I declare that I have read the foregoing and
that the facts stated in it are true, to the best of my knowledge and belief.
:!.••" X40 `
' . Commission 6 ? •
DD7659Q1..
Signature(s) of Owner(s) or Owner(s)'s Authorized-Officer/Director/Partner/Manager who signed- dbq�yeFli¢NO��\\`�
By By
123.01-52 PAGE 3 3/10
04- 07- 11 ;03 :36PM;
;305- 828 -6322
# 2/ 2
A � CERTIFICATE OF LIABILITY INSURANCE
,SAM/ EVY )
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 Dertflaaie holder Is an ADUmONAL INSURED, the psllcy(les) must bo andorssd. If SUBROGATION IS WAIVED, subject to
the terms and Cand9lans of the polksy, certain Pekin may require art endorsement. A statement an this cartifk ate does not confer rights to the
00ttlfl$$te holder ammo at coil endornement(s), -.
PRODUCER
LSC Insurance Agency
7600 W. 20th Avenue Suite 214
Hialeah, FL 33016
Phone , (305)828.5402 Fax (3055' )82 322
E_
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P_H
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INSURER(stAPPORDING COVERAGE
�URfiR A 2 Colony Insurance COmRanY
NAJC N
INSURED
Bradford Plumbing LLc
3980 NW Goth Ave
Virginia Gardens, FL 33166-
305
INSURER 5:
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RPMR6ES 4E0 ao npgf
INSURER o r
MED UP (Any one semen
!DISCS D
PERSONAL sADVINJURY
INSURER E 6
•
INSURER F r
S 2,000,000
COVERAGES
CERTIFICATE NUMBER:
REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTED 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 ALLTHE TERMS.
AND CONDITIONS OP SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
I�I7k
TN
L
YPE OF INSURANCE
ADDL
lt(:tR
SU91�
WVn
l POLICY NUMBER
POUCY EFF
(MMIDDIYYYY)
12(16)2010
POLICY Esp.
(MMDPIYY )
12/18)2011
•
LINIRB
EACH OCCU DICE_
$ 1,000,000
A
GENERAL UABILITY
2 COMMERCIAL GENERAL LIABILITY
❑ ❑ CLAIMS -MADE ❑ OCCUR
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$ 100,000
MED UP (Any one semen
s 5,000
PERSONAL sADVINJURY
$ 1,000.000
•
GENERAL AGGREGATE
S 2,000,000
GEN'L AGGREGATE LIMITAPPLIES PER
POLICY ❑ PR& ❑ LOC
PRODUCTS • COMP/OP AGO
$ 1,000,000
a COMBINED SINGLE LIMIT
(Es
$
$
AUTOMOBILE LIABILITY'
MI ANY AUTO
BODg,Y IN.tURY (Par Paeman)
$
• ALL OWNED AUTOS
BODILY INJURY (Per eealtleM}
$
• SCHEDULED AUTOS
PROPERTY DAMAGE
(Per &cede*
❑ HIRED AUTOS
❑ NON.OWNEDAUTOS
$
$
•
❑ UM$RCLLA LIAR ■ 000UR
EACH OCCURRENCE
$
in gxeRS$ LAO ti CLAIMS -MADE
AGGREGATE
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$
• DEDUCTIBLE
• RETENTION S
=RKERS COMP N5ATION
AND EMPLOYERS. LABILITY Y N
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(M�an8s�atwy In NH) HD9 I0
068CRIPTION 8F OPERATIONS Info
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5
DESCRIPTION OF OPERATIONS /LOCATIONS 1 VEHICLES (Attach ACORD 101, Aeehlonai Remarks Schsdul0, If mom space Is requires)
CERTIFICATE HOLDER
CANCELLATION
ACORD 25 (2009109) AF
1988.9 ACORt ► CGRPQRATION. All Ng
The ACORD nama and logo are registered marks of ACORD
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Village of Miami Shores
ACCORDANCE WITH THE POLICY PROVISIONS.
10050 NE 2nd Ave
Mltml Shores, Fla. 33138
T+Io D nEPRESDNYA
•
ACORD 25 (2009109) AF
1988.9 ACORt ► CGRPQRATION. All Ng
The ACORD nama and logo are registered marks of ACORD
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487 -1395
1940 NORTH MONROE STREET
TALLAHASSEE FL 32399 -0783
BRADFORD, DAVID. RUSSELL
BRADFORD PLUMBING LLC
3980 NW 64TH AVENUE
VIRGINIA GARDENS FL 33166
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
aIore E "o�i nt YfkF= La
r , , �� wag , ,. ,
Florida Department of Agriculture and Consumer Services
Bureau of Liquefied Petroleum Gas Inspection
P.O. Box 6720
Tallahassee, Florida 32399-6720
License Number. 14078
Business Mailing Address
BRADFORD PLUMBING LLC
3980 NW 64TH AVE
VIRGINIA GARDENS, FL 33166 -6910
Licensed Location Address
BRADFORD PLUMBING LLC
3980 NW 64TH AVE
VIRGINIA GARDENS, FL 331666910
The liquefied petroleum gas license at the bottom of this form is valid ONLY for the company located at the
address on the license. Each business location of a company must be licensed All LP Gas licenses must be
renewed annually. Any license allowed to expire shall become inoperative because of failure to renew. The
fee for restoration of a license is equal to the original license fee and must be paid before the licensee may
resume, operations.
IN THE EVENT OF AN OWNERSHIP CHANGE AT THIS BUSINESS LOCATION: This license may be
transferred to any person, firm or corporation for the remainder of the current license year upon written request
to the department by the original license holder. License transfers must be approved by the department. All
licensing requirements must be met by the transferee and a transfer fee of $50 will apply. To apply for a
transfer, contact the Bureau of LP Gas Inspections at (850) 921 -8001.
Pursuant to Chapter 527, Florida Statutes, LP Gas licensees must present,proof of licensee to any consumer,
owner, or end user upon request when engaged in the business of servicing, testing, repairing, maintaining or
installing LP Gas systems and/or equipment.
For future correspondence, please make any needed corrections or changes to your business mailing address
and /or your licensed location address and retum the UPPER PORTION with corrections to:
Florida Department of Agriculture and Consumer Services
Bureau of Liquefied Petroleum Gas Inspection
P.O. Box 6720
Tallahassee, Florida 32399 -6720
Cut Here
State of ;Florida
Department of Agriculture and Consumer Services
Division of Standards
Bureau of liquefied Petroleum Gas Inspection
(850) 921 -8001
Tallahassee, Florida
POST LICENSE
CONSPICUOUSLY
:isense Number::
Expiration Date:
Date of Issue:
Lir ense Feb
"Type and Class:
Liquefied Petroleum Gas License
SPECIALTY INSTALLER C - APPUANCES, EQUIPMENT AND PIPING
14078
August 31, 2011
January 26, 2011
$200.00
0408
GOOD FOR ONE LOCA190N ONLY
ANY CHANGE OF OWNERSHIP OR SALE OF THIS BUSINESS RENDERS THIS LICENSE INVALID
This license is issued under authority of Section 527:02, Florida Statues, to:
BRADFORD PLUMBING LLC
3980 NW 64TH AVE
VIRGINIA GA RDENS, FL 33166-6910
ADAM H. PUTNAM
COMMISSIONER OF AGRICULTURE
WADE COUNTY
COLLECTOR
FLAGt.ER ST.
BUSIN SS 1'AX RECEIPT 3t1
AUNTY --STATE OF FLORIDA
,A.PTL 3Os 2011
AVER AT PLACE OF BUSINESS
A
MAY.
FIRST -CLASS .;
U.S. POSTAGE
PAID
OAK FL
PERMIT NO. 231
WORD DAVID
jpe 9rflisslmess
INSTALLS
1 TAX REOFIPT. rr
xQT PERFMPr TeE
ER TQ W0I.AT'E ANY ;; ;..
RULATORY 'OR 1.
LAWS THE ='
OB -e ea. NOR
AF EXEMPT THE
'fRQM ANY OTHER ;
'ERMIT Ol# - UOENSE
REOOIREO QY LAW THIS 1S
Nor GERTIFJOANON OK
,rS OuAUFIQ�!^.,
0661 ,R0
SEE OTHER SIDE
DO NOT FORWARD
BRADFORD PLUMBING
3980 NW 64 AVE
VIRGINIA GARDENS FL 33166
14tit11tltF11dh. I1ttA11111itttlllliitlltlifli2 } 0
1-DADE COUNTY
COLLECTOR
K> FL.AGLER ST,
LOOK
I FL 33130
BU
NESS TAX RECEIPT 2011
COtjNTY STATE. OF FLORIDA
ES SEPT. 30, 2011 .
YEi� AT PLACE O1' BUSINESS
Fl(_CODE CHAPTER; $A ART' 91
ELL DO Nc T PAY" :.t
!'K IPT
AM l LOCATI
ORD PLUSBII
NW '4 AVE
V'IRGINXA;
FIRST -CLASS
U.S. POSTAGE 1
PAID '
MIAMI, FL
RMIT NO. 231
'FORD DAVIT
Type of Businites
THlB�15 APL KING CON
RUSIINEES'tAX nECEIPT. IT,
NOES. NOT PERMIT THE - -
tOLDER O VIOLATE - °
l OF THE
OONtHN E FT THE f
HO DER FROM ANY OTHER
P
ED BY Arn1 N OFF
.IFIOA ,
!'20i
80021002
0 049 r 5o,
SEE OTHER SIDE
DO NOT FORWARD
BRADFORD PLUMBING LLC
BRADFORD DAVID
3980 NW 64 AVE
VIRGINIA GARDENS FL 33166
Itit It lilli) Il lililtitlitlt111111 11111i111'11t1itI1�1111 ' a9�I
ALEX SINK
CHIEF FINANCIAL OFFICER
STATE OF FLORIDA
DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORKERS' COMPENSATION
10 -05 -2010
* * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * *
CONSTRUCTION INDUSTRY EXEMPTION
This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law.
EFFECTIVE DATE:
PERSON:
FEIN:
10/05/2010 EXPIRATION DATE: 10/04/2012
BRADFORD DAVID R
265379879
BUSINESS NAME AND ADDRESS:
BRADFORD PLUMBING LLC
3980 NW 64 AVE
VIRGINIA GARDENS
FL 33166
SCOPES OF BUSINESS OR TRADE:
1- CERTIFIED PLUMBING CONTRACTOR
IMPORTANT: Pursuant to Chapter 440 . 05114), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this
section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05112), F.S., Certificates of election to be exempt... apply only within the
scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05113), F.S., Notices of election to be exempt and certificates of
election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the cettificate,4the person named on the notice or
certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person
named on the certificate to meet the requirements of this section. 1
DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09 -06
QUESTIONS? (850) 413-160!
PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE
STATE OF FLORIDA
DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORKERS' COMPENSATION
CONSTRUCTION INDUSTRY
CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA
WORKERS' COMPENSATION LAW
EFFECTIVE: 10/05/2010 EXPIRATION DATE:
PERSON: DAVID R BRADFORD
FEIN: 265379879
BUSINESS NAME AND ADDRESS:
BRADFORD PLUMBING LLC
3980 NW 64 AVE
VIRGINIA GARDENS, FL 33166
SCOPE OF BUSINESS OR TRADE:
1- CERTIFIED PLUMBING CONTRACTOR
10/04/2012
IMPORTANT
F Pursuant to Chapter 440.05(14), F:S., an officer of a corporation who
elects exemption from this chapter by filing a certificate of election
L under this section may not recover benefits or compensation under this
D chapter.
Pursuant to Chapter 440.05(12), F.S., Certificates of election to be
exempt.. apply only within the scope of the business or trade listed on
the notice of election to be exempt.
H
E
R
E
Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt
and certificates of election to be exempt shall be subject to revocation
if, at any time after the filing of the notice or the issuance of the
certificate, the person named on the notice or certificate no longer meets
the requirements of this section for issuance of a certificate. The
department shall revoke a certificate at any time for failure of the
person named on the certificate to meet the requirements of this
section.
QUESTIONS? (850) 413 -1609
CUT HERE
Carry bottom portion on the job, keep upper portion for your records.
DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09 -06
BRADFORD PLUMBING LLC.
wwwbradfordplumbing.com
e -mail david.bradford2 @comcast.net
CFC 041673
3980 n.w. 64 ave
virginia gardens, fl .33166
305 8713094 fax 876 9254
BILL TO John F. Longman
333, NS 33138
miami shores fl
S.O. No.
P.O. NO.
TERMS SHIP DATE
DEP REQUIRED 3/26/2011
SHIP TO
FAX #
305 - 577 -0207
Invoice
DATE INVOICE #
3/26/2011 7288
TEL #
305.753.6019
ITEM
DESCRIPTION
QTY
RATE
AMOUNT
job=
JOB =
0.01
0.01
JOB ADDRESS =
CONTACT =
PHONE# 305- 523- 2891(Office)
305 - 577 -0207 (Fax)
305.753.6019 (Cell)
JOB SITE VISIT / FOR ESTIMATE ON = 3/26/11
E- MAIL TO - john .longman@wellsfargoadvisors.com
*
* * ** NOTE : I will replace galvanized hot and cold water with new copper pipes this house from
0.00
0.00
3/4 " shut off to kitchen —1/2 bath by front door and 2 bathrooms up stairs and front and side hose
bibs.
the section from that 3/4" shut off valve (on wall out side under kitchen window ) towards water
meter and garage aria is to be done at later time and not in contract .
*
* * ** NOTE :The plastic slip joint P trap under upstairs tub is not to code it will be replaced with A
new copper one
0.00
0.00
*
* *** NOTE :
0.00
0.00
1) holes will be cut in walls to replace water pipes as necessary
2) kitchen sink waste arm needs to be replaced. I will cut block wall and run 2 waste arms to the
2" cast iron stack for A 2- compartment sink in P.V.C.
code requires 1 arm for each compartment of sink . I am thinking you want A 2- compartment
sink please let me know
3 ) Then when Iam done I will remove 2 - toilets and run camera and snake to make sure their are
no problems in waste pipes
4) REPLACE SOME OF THE 1/2" NOT COPPER PIPES TO 3/4" AS NOT TO HAVE MORE
THAN 2 FIXTURES ON A 1/2" PIPE HOT OR COLD
labor per h...
Charge for labor cut walls and core hole for shower / tub valve for 2 bathrooms up stairs , kitchen
wall in 2 places and block from inside
8
95.00
760.00
set dish
set dish washer supplied by others at same time of kitchen sink set
1
95.00
95.00
set ground ...
set waste and water piping below floor first floor
8
95.00
760.00
set ground ...
set waste and water piping below floor 2nd floor
6
95.00
570.00
set Lc.
set kit sink / faucet
1
190.00
190.00
set sh valy
labor to set shower valve + tub /- shower valve
2
95.00
190.00
set w.c.
labor to set toilet
3
190.00
570.00
ALL WALL CEILING AND FLOOR PATCHES BY OTHERS. REPAIRS LIMITED TO
HERE IN
ALL PATCHES TO FLOOR CELINGS, WALLS & FLOORS are the responcabilty of the
owner.all unfor seen problems not covered ,shall be treated as extra charges
Page 1
Total
sinigure
BRADFORD PLUMBING LLC.
wwwbradfordplumbing.com
e -mail david.bradford2@comcast.net
CFC 041673
3980 n.w. 64 ave
virginia gardens, fl .33166
305 8713094 fax 876 9254
BILL TO John F. Longman
333, NS 33138
miami shores If
S.O. No.
P.O. NO.
TERMS SHIP DATE
DEP REQUIRED
3/26/2011
SHIP TO
FAX #
305 -577 -0207
Invoice
DATE INVOICE #
3/26/2011 7288
TEL #
305.753.6019
ITEM
DESCRIPTION
QTY
RATE
AMOUNT
set top out
top out plumbers labor for hot and clod water pipes in walls
6
95.00
570.00
labor per h...
Charge for labor replace drain and P trap under tub
2
95.00
190.00
ref set
labor to set ref ice maker
56.00
56.00
permit
minimum charge for permit = RE PIPE
1
325.00
325.00
CAMRA
CAMERA SEWER LINE RENTAL ( QUICK LOOK NO RECORDING)
1
200.00
200.00
sewer MA...
USE ELECTRIC SEWER MACHINE TO CLEAN OUT LINE LABOR PLUS $ 20.00 RENTAL
1
115.00
115.00
fixtures
I use kohler for my price fist you may want a different one , Bellow is for price budget = my total
cost + 20 %
0.02
0.02
K 13601N...
PRESSURE BALANCE MDGNG VALVE BY KOLHER FOR SAFETY MIXING TO A
2
15331
306.62
CERTAIN TEMP.. CHROME HANDLE
waste over ...
BRASS solid waste and over flow with lift and twist .tub drain kit
1
42.00
42.00
materals
UNEXPECTED PLUMBING MATERIALS OR JOB COST / SEE BELOW
0.00
0.00
1 1/2 C PIP
1 -1/2 COPPER PIPE 20 FOOT LENGTH
0.1
243.98
24.40
1 1/2 ESCH
1- 1/2 Escution CHROME PLATES FOR EXTRUDING PIPE
2
3.92
7.84
1 1/2 pvc p.
1 - 1/2 PVC SCH.40 pipe
0.2
27.64
5.53
1 1/2 SW
1 -1/2 PVC SWEEP
2
2.55
5.10
11/2 TAIL
1- 1/2 tail pieces 12" long
1
639
6.39
1/2 C CAP
112" COPPER HARD CAPS
4
0.29
1.16
1/2 C T
1/2 copper T
26
2.69
69.94
1/2 CP
1/2 L COPPER PIPE SOLD IN 20 FT LENGTHS
6
35.41
212.46
1/2 esch
1/2 esch. chrome wall plates for roach control
16
1.92
30.72
1/2 wing ell
1/2" brass wing ell
2
7.87
15.74
2 x 11/2 P...
2" x 1 1/2 street San "T" PVC
1
8.39
8.39
2" CI NO ...
2" NO HUB CAST IRON COUPLINGS
2
5.45
10.90
2" PVC P ...
1 -1/2" COPPER SOLID WELD P TRAP
1
29.78
29.78
2" PVC S...
2 X 1/2" STREET SANITARY T PVC
1
11.71
11.71
2" PVC T...
2" CLEAN OUT
1
8.69
8.69
3/4 B VLV
3/4 BALL VALVE
1
11.27
11.27
3/4 c cupl
3/4 " copper pressure couplings
6
0.60
3.60
3/4 C FLL
3/4 COPPER FI J.
6
0.90
5.40
3/4 c pip
3/4 L copper pipe hard 20' length
5
54.28
271.40
3/4 C S
3/4 COPPER STRAPS
50
0.35
17.50
ALL WALL CEILING AND FLOOR PATCHES BY OTHERS. REPAIRS LIMITED TO
HERE IN
ALL PATCHES TO FLOOR CELINGS, WALLS & FLOORS are the responcabilty of the
owner.all unfor seen problems not covered ,shall be treated as extra charges
Page 2
Total
sinigure
BRADFORD PLUMBING LLC.
wwwbradfordplumbing.com
e -mail david.bradford2 @comcast.net
CFC 041673
3980 n.w. 64 ave
virginia gardens, fl .33166
305 8713094 fax 876 9254
BILL TO John F. Longman
333, NS 33138
miami shores fl
S.O. No.
P.O. NO.
TERMS SHIP DATE
DEP REQUIRED 3/26/2011
SHIP TO
FAX #
305 -577 -0207
Invoice
DATE INVOICE #
3/26/2011 7288
TEL #
305.753.6019
ITEM
DESCRIPTION
QTY
RATE
AMOUNT
3/4 DIA C
3/4 DIELECTRIC COUPLING
0
7.98
0.00
3/4 iso
3/4 or 1/2 isolation straps used to support
25
0.60
15.00
3/4 M FIB
3/4 MALE HOSE BIBS
3
6.22
18.66
3/4 ST Mi.
3/4 COPPER STREET ELL
3
3.09
9.27
3/4 WING E
3/4 WING Ft 1 SWEET X F.I.P.S TO AN
3
5.01
15.03
3/4 x 1/2 3...
3/4 x 1/2 x 3/4 x copper T
5
2.53
12.65
3/4 X 1/2 ...
3/4 X 3/4 X 1/2 COPPER T
4
4.75
19.00
d.w.SUPP...
1/2 COMP X 3/8 MALE ELL + DISH WASHER SUPPLY LINE COPPER
1
25.20
25.20
hb vb
hose bib vacuum breakers req. by Bode
3
6.75
20.25
master trap
1 1/2 PVC master P traps
2
11.90
23.80
MINI ARR...
1/2" MINI ARRESTER = CODE APPROVED
14
16.80
235.20
AIR CHAMBERS FOR QUICK CLOSING VALVES
POLLY S...
POLLY SEAM SEAL CAULKING
1
9.18
9.18
R 17
1/2 S X 1/2 COMPRESSION ANGLE ST
1
11.90
11.90
R 19
chrome angle stops 1/2 + 3/8 S shutoff valve
10
11.90
119.00
ref lox
refrigerator box NEW CODE TYPE WITH MINI ARRESTER used to put valve in wall behind
1
40.57
40.57
REF.
ref supply
5' 1/8 id copper pipe & 1/8 comp M adapt
1
24.94
24.94
sand cloth
1 roll of sand cloth to clean copper pipe
1
8.40
8.40
SK BASK...
KITCHEN SINK BASKET
1
11.24
11.24
w .c. supply
chrome toilet supply with brass 7/8 " nut
3
8.40
25.20
SUP LAV
CHROME LAVE SUPPLY LINES
8
5.60
44.80
TEST PLU...
TEST PLUG MIX PER BAG
2
14.80
29.60
WAX
WAX RINGS & CLOSET BOLTS
3
5.60
16.80
ALL WALL CEILING AND FLOOR PATCHES BY OTHERS. REPAIRS LIMITED TO Total
HERE IN
ALL PATCHES TO FLOOR CELINGS, WALLS & FLOORS are the responcabilty of the
owner.all unfor seen problems not covered ,shall be treated as extra charges
Page 3
sinigure
$6,433.26