PL-12-995Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 174315 Permit Number: PL -6 -12 -995
Scheduled Inspection Date: June 11, 2012
Inspector: Hernandez, Rafael
Owner: WATSON, EUNICE TROOP
Job Address: 9225 N MIAMI Avenue
Miami Shores, FL 33150-
Project: <NONE>
Contractor: MARLIN PLUMBING OF MIAMI INC
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number (305)259 -2318
Parcel Number 1132060130220
Phone: 305 - 652 -6108
Building Department Comments
RE -PIPE HOT & COLD WATER LINES UNDER CRAWL
SPACE WITH CPVC PIPE FITTING TOTAL FIXTURE TO
BE REPIPED TO 2BATHROOMS 3 HOSE BIBS AND 1
WATER HEATER. ALSO INTALL 1 OWNER SUPPLIED
WATER HEATER.
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
June 08, 2012
For Inspections please call: (305)762 -4949
Page 19 of 28
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
BUIL' DING �L
PERMIT APPLICATION
FBC 20
Permit No.
1
Master Permit No.
Permit Type: PLUMBING
JOB ADDRESS: 41 22 5 AI iv , a, itt p e
City: Miami Shores County: Miami Dade Zip: 33 `St'
Folio/Parcel #: / 32042 •-65 / 3 ®o Z2-C3
Is the Building Historically Designated: Yes NO '/ Flood Zone:
1
OWNER: Name (Fee Simple Titleholder): (,,� /1®® 10D P Wa. -kay Phone#: 3D s -7597- 23 I8
Address: gc2g5 I #6eN f e_-
City: i 4 M 1 5M41
State:
Zip: F'a'so
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name ui /.... / , . M'+
Address: ac) 9 ctS N /4. Oa 1
City: ti6 h fLd 4a, A State: FL__ zip: 3 3 / 71
Qualifier Name: EdtJGW l � Q. i Ke./Ir Phone #: 3P5-452 -305 /
State Certification or Registration #: c FC e.) 4 C"2 ei X. Certificate of Competency #:
Contact Phone#:3b5 -42g 2 -3t 1 Email Address: TYlaw d ` /) 2/ /niIpi j@ G� '4 , 4f?Yd
DESIGNER: Architect/Engineer: / �./ Phone #:
Phone#:305-4,'22 D3�
Value of Work for this Permit: $ yP M i 0 U Square/Linear Footage of Work:
Type of Work: ❑Address ❑Alteration ❑New DRepair/Replace ❑Demolition
Description of Work: r d pe_ 46+ 0 j) EAL Vita„ -.2.r 1 d ar.S Q1 r Cl �r raui I Spa e2_ 0,4441
c P v e. ?I Pa . A+h A - $o k- i- -kI./e_$ k by._ re piped 40 i 5- 2 ivr ,s-i
3 hose bi ins a-n�i WQ. -k,- I42a .rr-. Alsa .Ynsia.11 1 aurnenr gopphke-ad 144-
** *' �x� *+ x***************:x***** ** Fees**** * **** ****** ** x ***** * *** * * * *** ** * * *** * * **
Submittal Fee $ ./V Permit Fee $ / 0 '- CCF $ CO /CC $
Ir ' 9 p
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ 1 I • 01-1
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 PT.RCTRICAL 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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged
Signature
Owner or Agent
The foregoing ins ment was acknowledged before me this 3 1
day of M41.1 , 20 , by ll? rot el 1 e.g. 6 . �119t�°Sa �p ,
who is personally known to me or who has produced F l ° b L.
W3aS° `tf Sa tl As
NOTARY PUBLIC:
Sign:
print es,a- M e-eireil..1
My Commission Expires: 1 ° Co - 2.013
Contractor
The foregoing instrument was acknowledged before me this
day of , 20 /2.173, 1.470,4::1 Wo t
who is penally known to me or who has produced
as iden
NOTARY PUBLI
Sign: M
Print: SO_ M etie
My Commission Expires. - P2 —4 -v?® 1'3
*********** • ************+x**** **** *** *• six * * * * * ** x******** *+ x* ******** ****** ************ ************ ***********
APPROVED BY A_ Li Plans Examiner
1'
Structural Review
(Revised3 /12t2012)(Revised 07 /10 /07)(Revised 06/10 /2009)(Revised 3/15/09)
Zoning
Clerk
Proposal
Page No.
of Pages
MARLIN PLUMBING OF MIAMI, INC.
20145 N.E. 16th Place
N. MIAMI BEACH, FLORIDA 33179
(305) 652.3031 Fax (305) 652 -3135
martinptumMng@aoLcam
PROPOSAL SUBMITTED TO
L= UNt e L-= (,u /�- �S a
PHONE
3Ud y,Z1 /
DATYr�
13 - 1(` /L
MEET 9'2'.
/d��c(/j
in ( 6-44/• / " C ^�
�= /7's!
JOB NAME
,/ "�//
/ .. i' /4/ N ~ L...G-.'.+ (�J�L.....! Q I
LIME ZIP CODE
N 114 ,�' 114-
A
x'7.2-2' 5-- ,u /yt /'i(
/3.c/6--
I JOB PHONE
ARCHITECT
DATE OF PLANS
r Pro pQSP hereby to furnish material and labor complete in accordance with specifications below, for the Sum of:
Payment to be made as fol
dollars ($ Wc3° )
Sap UPo ry STi i_" - r J
All material is guaranteed to be as specified. All work to be completed Ina workmanlike
manner according to standard practices. My alteration or deviation from specifications be-
low Involving extra costa will be executed only upon written orders, and will become an
extra charge over and above the estlmate. All agreements contingent upon strikes, acci-
dents or delays beyond our control. Owner to cany fire, tornado and other necessary
Insurance. Our workers are fully covered by Workman's Compensation Insurance.
Authorized
Signature
Note: This proposal may be
withdrawn by us If not accepted within
97o c - days.
We hereby submit specifications and estimates for.
/ - 4 0 u 4- 7 6 A : - /4} Ate✓
�r1I -0 .....,r. - - f - h - - ! e , 4 . . . . . . . . t 1 . av`:__.. 'r.�_✓1 !
fief` c' ',UCH
91 42 14-11-L fiar.44.4
1 44)4 s/'•
/' c c._ /�✓ l c l Pc .t .&A ,vG
ire) If-bit/344' fee, Aadv4
Arm: dart of proposal The above prices, specifications
and conditions are satisfactory and are hereby accepted. You are authorized Signs
to do the work as specified. Payment will be made as outlined above.
\ Date of Acceptance*
to NAII. ± IL.
Signature
CERTIFICATE OF LIABILITY INSURANCE D'TE (M ' )
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 holder Is an ADDITIONAL INSURED, the poticy(les) 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
certificate holder In lieu of such endorsement(s). CONTACT
PRODUCER NAME: Sandra Jones
Keyes coverage Insurance PHONE E, 954. 7247000 Not954- 7247024
5900 Hiatus Road APs R sjanes@keyescoverege•COn►
Tamarac FL 33321 INSURER(S) AFFORDING COVERAGE
INSURERA:Hartford Fire Insurance Co
NAIC#
9882
INSURED
Marlin Plumbing of Miami, Inc.
20.145 -N.E 1.6tb Place_
Miami FL 33179
5937 INSURERB:Bridgefieid Employers Ins Co
INSURER C :
INSURER E:
INSURER F:
0701
VISION NUMBER:
COVERAGES 4r- 114 imn..I is Ivuwiracr .0 .v0009.0
THIS IS TO CERTIFY THAT 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 CONDmONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEN REDUCED BY PAID CLAIMS.
TYPE OF INSURANCE
ADM
01SR
SUER
WO
POLICY NUMBER
Pgiblg W
ik4MlODlYYYY1
POLIgY 8?�
IM01A1
LIMITS
A
Y
21 UUNIT9228 5/8/2012
5/8/2013
EACH OCCURRENCE
51,000,000
$300,000
$10,000
GENERAL
X
LIABILITY
COMMERCIAL GENERAL MERIT(
DAMAGE TO eo RENTED
1 CLAIMS-MADE X OCCUR
MED EXP (Any one penson)
PERSONAL 8 ADV INJURY
GENERALAGGREGATE
PRODUCTS - COMP /OPASG
SINS k UML:
$1.000,000
$2,000,000
$2$ 000,000
$
GEM AGGREGATE LIMB APPLES PER
—1
F112% IT LOC
POLICY
AUTOMOBILE LIABIUTY
4
BODILYINJURY(Pe pecan) $
—
_
ANY AUTO
SOS
HIRED AUTOS
MSEG
AUTOS
BODILY INJURY (Per ea#Je*) $
a em $
$
_
OCCUR
CLARIS-MADE
EACH OCCURRENCE $
UMBRELLA LIAS
EXCESSUAB
AGGREGATE
$
1 RETENTIONS
g
DEO I
NIA
y
830 -25781
12/1/2011
1211/2012
1C l yst 1 IOEIt
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
E L EACHACCU)EN $1,000,000
ANY PROPRIETUWPARLNER/ CUTNE
El. DISEASE- EA EMPLOYEE $1,000.000
ELDI8EAS1 -P000YLtMIT $1.x,000
(MaOFFlC toE n NH) 7CCI UDED7
IDESCRIPTION fy�s,,Mesctibeunder
below
OF OPERATIONS
w
DESCRIPTION
OF OPERATIONS 1 LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space le required)
CERTIFICATE HOLDER
CANCELLATION
C) of Miami Shores
10050 NE 2nd Avenue
Miami Shores FL 33138
SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
A l D REPRESENTATIVE 5
ACORD 25 (2010105)
019884010 ACORD CORPORATION. AU rights reserved.
The ACORD name and logo are registered marks of ACORD
1:ATCH-§ NUMBER f
COUNTY 2011 LOCAL BUSINESS TAX RE CEIPT 2012 FIRST -CLASS
TOR IAMI- DADS'CQl1NTV -STATE OF FLORIDA U.S. POSTAGE
ST. EXPIRES SEPT. 30, 2012 PAID
MUST BE DISPLAYED AT PLACE OF BUSINESS MIAMI, FL
T,`tO COUNTY CODE CHAPTER 8A 19 & 111 PERMIT NO. 231
250346 -5
BUSINESS NAME / LOCATION RECEIPT NO. 262710-8
MARLIN PLUMBING OF MIAMI INC STATE# CFC048292
20145 NE 16 PI.
33179 UNIN DADE COUNTY
THIS n NOT A BILL - ?v f'4OT PAY RENEWAL
OWNER
MARLIN PLUMBING OF MIAMI INC
Sec. Type of Business WORKER /S
196 PLUMBING CONTRACTOR 1
THIS IS ONLY A LOCAL
BUSINESS TAX RECEIPT. IT
DOES NOT PERMIT THE
HOLDER TO VIOLATE ANY
EXISTING REGULATORY OR
ZONING • LAWS OF THE
COUNTY OR CRIES. NOR
DOES IT EXEMPT THE.
HOLDER FROM ANY OTHER
PERMIT OR UCENSE
REQUIRED BY LAW. THIS IS
NOT A CERTIFICATION OF
THE HOLDER'S QUALIFICA-
TIONS.
PAYMENT RECEIVED
MIAMJ-DADE COUNTY TAX
COLLECTOR:
09/19/2011
09010336001
000075.00
SEE OTHER SIDE
DO NOT FORWARD
MARLIN PLUMBING OF MIAMI INC
EDWARD WALKER
20145 NE 16 PL
MIAMI FL 33179
ill /M111111I1IIli11It11t11 111 -llIillt1d1I11111/11111 / I afl
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF RITST INSPECTION
PERMIT NO. TAX F0110 NO.I1 ?Zola-0 13 --02-7-0
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.
CF1,11 290 1 2R 0 3: 8 4- 9 4-0
OR 8k 28131 P9 24444 (1Ps)
RECORDED 06/01/2012 09:15:40
'HARVEY RUVIth CLERK OF COURT
MIMI -DADE COUNTY p FLORIDA
LAST PAGE
Space above reserved for use of recording office
1. Legal description of property and `street/address: ;am.) Shares Sea mit) f ---ft) L64 MA- Wz.
AP Lao+ is 6uc s gaps Mikalleth Mre..
2. Description of Improvement fe pipe 144 4- tA14.-144r Lifts-5' •try, Z BaxieLfzes: h bitt,
4,n d I Wa,-Lar
3. Owner(s) name and address: Earl.
Interest in property; °I '2.5 ii iotia.p4; fwa
Name and address of fee simple tMeholder
4. Contractor's name, address and phone number e (1
5. Surety: (Payment bond required by owner from contractor, if any)
Name, address and phone number.
Amount of bond $
&Lender's name and address:
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by
Section 713.13(1)a)7., Florida Statutes,
Name, address and phone number:
8. In addition to himself, Owners designates the following person(s) to .receive acopy of the Lienor's Notice as provided in Section
713.13(1Xb), Florida Statutes.
Name, address and phone number
9. €xpiration date of this Notice of Commencement
(the expiration slate is 1 year from the date of receding unless a different date Is specified;
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THEEXPIRATK)N OF THE NOTICE OF COMMENCEMENT ARE-CONSIDERED
IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST SE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
-FIRST INSP1CTION. 41F YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK
OR RECORD! ¥OUR NOTICE OF COMMENCEMENT.
Signature(s)
Prepared By
Print Name
Title/Office
STATE OF FLORIDA
COUN'TY OF MIAMI-DADE
The foregoing instrument was acknowledged before me this 3j
By -r vsk,4 sm.\
Ci Individually, or 0 as for
Personally known, or lifliroduced the following type of ident
Signature of Notary Public:
Print .Narne:
W-00
VERIFICATION PURSUANT TO SECTION 92.525, FLORIDA STATUTES
Under penatties ury, I declare that I have read the foregoing and
that the facts in it are true, to the best of my knOwledge and belief.
sized Officer/Director/Partner/IsAanager
Prepared By
Print Name
Title/Office
4day of Mal
. 2447.
•
TIERESAMGCSEERY
MY COMISS01# alms
EXPIRMDecierabere,2013
'44.th• 13Fled rug Nowlimgcullorvabs
Signature(s) of Owner) or Owner(s)'s Authorized Officer/DirectortPartner/Manager who ut =1/41
By By
123.0142 PAGE3 3/10
STATE OF FLORIDA, COUNTY OF DADE
[HEREBY CERTIFY that the for- 'ag is a tri3 end correct copy of the
original on file in this office, vtu e- AD 2
HARVEY RUVIN, Clerk of Circuit .end ounty Courts
Deputy Clerk / 53,