PL-11-360Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
(5'\
Inspection Number: INSP- 168319 Permit Number: PL -3 -11 -360
Scheduled Inspection Date: January 04, 2012
Inspector: Hernandez, Rafael
Owner: RIVERA, PETION
Job Address: 10639 NE 11 Court
Miami Shores, FL 33138 -2122
Project: <NONE>
Contractor: NOVO & SONS, INC
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1122320280250
Phone: (305)444 -7177
Building Department Comments
PLUMBING WORK FOR TWO BATHROOMS AND
KITCHEN REMODEL
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
CREATED AS REINSPECTION OR INSP- 156608. not to code
January 03, 2012
For Inspections please call: (305)762 -4949
Page 25 of 31
(M
�!� DATE CERTIFICATE OF LIABILITY INSURANCE 03/0M4/11 IDD/YY )
PRODUCER Morgan Insurance Group THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
13155 SW 42nd Street. Suite #107 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Miami, FL 33176 _ TER, THE C ' VERAG : FFORD .. ' Y TM POLICIES = ELOW
Phone (305) 222 -9001 Fax (305) 222-9006 INSURERS AFFORDING COVERAGE NAIC #
I SURER& AMERICAN VEHICLE INSURANCE
INSURED NOVO & SONS INC
4470 SW 2 St
Miami, FL 33134-
(305) 444-7144
COVERAGES
INSURER B'
INSURER C:
INSURER D:
INSURER E:
THE P
POLICIES O
OF INSURANCE LISTED HAVE BEEN I
ISSUED TO THE INSURED NAMED A
ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
OR
PDUCY NUMBER D
POLICY EFFECTIVE P
POLICY EXPIRATION L
LIMITS
A :
• E
GENERAL LIABILITY E
100,000
SES Ea ooeutran�) 5
50,000
: ED MADE :� pCCUR P
P
100 000.`
ACORD 25 (2009101) QF
TO 39t/d
•
The ACORD name and Logo are registered marks of ACORO.
Z 90 :LI ITOZ /80 /E0
Miami Shores Village PAD
Building Department MAR 0 201
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fa= (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762A949
BUILDING
PERMIT APPLICATION
FBC 20
Pe :
ZOO*
OWNER: Name (Fee Simple Titleholder): P SUM 12/- Ye/T Phonek
Address:
City: State: h p:
Tenant/Lessee Name:
Email:
0P0000060i004Yi.d.'O1!!0
JOB ADDRESS: /063 / /J & L` 67-
city: Miami Shores County: Miami Dade Tip: 33/ 3e,
Folio/Parcelik
Is the Building Hiotoriraly • Yes NO Flood Zone:
CONTRACTOR: company Name: ,y ®f/a / Pl €-,,JO5 ^
Address: L-f y 7-o
City if/;,44-0 State: `= h A/ Tap: )1 / j LI
Qualifier Name: a c, alz r Phonek 3 e s- e/ ire?' 11 7 A
State Certification or Registration #: C/ = G' Pia a I tA Certificate of Competency #: (VP ®d / 11(1
Contact Phone#: S , f 3 ®2 / 5' / / Email Address:
DESIGNER: Archi
Value of Work for this Permit $ �"° Square/Linear Footage of Work:
Type of Work UAddaess ElAlrenttion LINew ARepaidReplace
Description of Work:
LIDemolition
Fees
Submittal Fee $ Permit Fee $ CCF $ CO /cc $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Tedvnogy Fee $
Double Fee $ Structural Review $
TOTAL. FEE NOW DUE $ d` , ))1C)
l� p
Bonding Company's Name (if applicable)
Bonding Company's Address
City Staff Tip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Tp
Application is hereby made to obtain a permit to do the rtiork and installations as indices. I certify that no wok or installation has
commenced prior to the issuance of a permit and that all work will be performed to ueet the standards of all laws regulating
construction in this jurisdiction. 1 understand that a separate permit must be secured for ELECTRICAL 'RICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, BEATERS, 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 compliamn 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 vahre exceeding $2500, the applicant must
pronuse 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 attaclunent. Also„ a certified copy of the recorded nodre of commencement ream be posted at the job site
for the Est inspecti..on which occurs seven (7) days after the building permit' is issued In the absence of sacs posted notice, the
inspection will not be approved and a reutspection fee will be charged
Owner or Agent
The foregoing instrument was ; wiedged
�of� 20 IL. b' % X11
Contractor
this The foregoing ,,, was acknowledged bekne noe this
day of g- 20 it ,by
me or who has produced
As identification and who
NOTARY PUBLIC:
who is personally known to me or who has pmduced
take an oath. as identification and who did take an oath.
NOTARY PUBLIC:
d.seph;ne Felaifel
'.n 00850579
Q6:. Expires 03/15/2013
APPROVED BY
Plana Exat"
Structural Review
(Revised 01910A7)(Rcv szd O6fI(112009)(Reniscd 3015/09)
Clem
F,AMAMI DARE COUNTY
TAX COLLECTOR
1401, PLAGLER ST.
1st FLOOR
MIAMI, FL 33130
2010 LOCAL BUSSIESS TAX RECEIPT 2011
IMU4MAADE COUNTY - STATE OF FLORIDA
EXPIRES 'SEPT. 30, 2014
MUST BE DISPLAYED AT PLACE OF BUSINESS
PURSUANT TO COUNTY CODE CHAPTER 8A - ART. 0 & 10
FIRST-CLASS
U.S. POSTAGE
PAID
FL
NO. 22
030056r -5
MINIMS HMO t LOCATION
NOVO & SONS INC
4470 SW 2 ST
33134 MIAMI
THIS IS NOT A BILL — DO NOT PAY DURF,ICATE
030056-
STATES' STATES' CFC1426337
NOVO & SONS INC
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REQUIRED BY TAM TON IS
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SEE OTHER SIDE
DO NOT FORWARD
NOVO & SONS INC
ROBERTO NOVO PRES
4470 SW 2 ST
MIAMI FL 33134
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