Loading...
PLC-12-157Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number. INSP - 174225 Permit Number: PLC -1 -12 -157 Scheduled Inspection Date: May 30, 2012 Inspector: Hernandez, Rafael Owner: Job Address: 9031 -65 BISCAYNE Boulevard Miami Shores, FL 33138- Project: <NONE> Contractor: J &J CARDONA CONSTRUCTION INC Permit Type: Plumbing - Commercial Inspection Type: Final Work Classification: Addition /Alteration Phone Number (305)779 -8040 Parcel Number 1132060110051 -31 Phone: (305)696 -5112 Building Department Comments CONNECT PLUMBING FOR PINCH A PENNY RETAIL STORE 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- 169353. not ready May 30, 2012 For Inspections please call: (305)762 -4949 Page 46 of 47 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 )2H1 ✓ j Permit No. VIC Master Permit No.CC 0 2 I BUILDING PERMIT APPLICATION FBC 20 Permit Type: PLUMBING JAN 30 z: OWNER: Name r (Fee Simple Titleholder): �t*%4?2-J ��� ��, �/tQ 'r �hon�e#; 305 305 9 149 Address: 6, 9C ME d d-S ' i State: f4- City: AI "A-41 .."A-41 pH,.• zip: 3 yt f: Tenant/Lessee Name: ORev Eels-}Sde Poo1 Si )0 avid i�-(i'aoce. Phone #: 305- SOO -09aq Email: t inn ‘ V Cols ac Mt, Yip+ 1613A 'Pock A ?emit Lew 12, Luca S JOB ADDRESS: 10 (9 CI f 9 o `7) ?J 15 co 9 rn, City: Miami Shores County: Folio/Parcel #: '' " 0 t % •' 005 Miami Dade Zip: 3 Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: JT e � I, Jn4 �G�� hona# 6 -d0 Address: 9 9 & /947 7-- City: dt/ State: Widit2 10M Qualifier Name: State Certification or Registration #: 6TCi Contact Phone#: , 4 , 24Z DESIGNER: Architect/Engineer: GA13.04... Email Address: Sex) or Zip: /6/ Phone #: Certificate of Competency #: )�1 011 �{ . a A / nisi; L Phone #: q a70 °- qo(O �— Value of Work for this Permit: $ l+�'tV Square/Linear Footage of Work: Type of Work: Address L°JAlteration r �" DNew DRepair/Replace DDemolition Description of Work: Co,, D .eGf 7, o ribi,ic P//1cir1 Pefin re r&, * * * * * * **** * * * * * * * * ** **** ** * * ** a+x**+x***F ************ ** * *** x*a : ********+x*+x***** **** *** c^ 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, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that.41 t 1e foregoii giliformation 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 $2$00, 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 approv ' , nd a reinspection fee will be charged. Signature The foregoing instrument day of Y c44,20 III, I \, gent .v4 mkt a a� \ owled ed before me this' by t own AzIrto.t. who is personally known to me or who has produced 1 <- 4t Signature Contractor oing instrument was acknowledged before me thi , 20kA, by X80 , me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: „° Pit Notary Public State of Florida r Claudia M Lopez e° My Commission DD993321 0 Sign: �� i�� '� Sign: Print: C ACI��a '' ,.r '�_ Print: i A 172,1e770 ✓, r�/ �h My Commission Expires Mgtla Teresa Marrn-Garcia Commission # DD859380 Expires: MAR. 31, 2013 TMu ATLANTiCBONn 10 CO.,0 APPROVED BY / VC % �� Plans Examiner Zoning NOTARY PUBLIC: `t„\ My Commission Expires: (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Structural Review Clerk STATE OF FLORIDA. DEPARTEUINT OF BUSINESS .AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD 1940 NORTH NO400E STREET TALLAHASSEE FL 32399-0783 CARDONA JOSE TUN J a J cimma CONSTRUCTION INC 990 -HE -146M- STREW NORTH MIAMI FL 33161 : ' .7...-. ...: Ccmgmbilaffonsl VIM 0*th:erne you income one tithe nearly one maxi -,_,-,,,,,j1-3-- - — - -,. „. --.._.- '..`•;:l.. Floridians Beamed blithe Dapadment of Daiwa and Prdesskatal Regulation. ..S.:::,;:-:- '-.1 -"I-2:f' ' '.1' . . .1•40.6.T*C. ........... •-::4= .2„..?I' ,.... * 7 ,,.7,,1 um Our cadesslortals and businesses range from archftecis to yacht brokers, from ... boxers to batheque restanawds, and they keep Florkla's eamony strong. e-:: CFC14*.8020; '- 08/05/10 '00059450 Every day We work to lasmove the way we (k) tuskless in order to setae low better.: For inkarrialbm about me services, plasm log onto www.myttorkialloense.coin. : -:....., CERTIFIED PLUMBING CONTRACTOR There you can find num Information about mw rfivisions and the megdations that . .q.'.: =MINA, JOSE IVAN knpact you. subsoil's to deparkward newsielleas and leam mom about Eva - '-.1.10'2%-so ol...:- -CARDONA CONSTRUCTION -3:NC: : • Demodulate inftbdives. . . Our misska et the Demetrius* im license Efficiently, Regulate Fairly. We - amstantly drive to marvel sus better so that you can serve your =storms. Thank you tor dothg busktess In Florida, and congpsdubations on your new license! _1---,.. IS- elaTrYIED under tim- Pzt`vlau*? (4.143'489c" ..-, 4ratiefi date* AUG -31,.: 242% '.-,r4osaf5e3210*-7, --:•••-i- . .:;&;L.......II:.------ (850) 487-1395 DETACH HEW. STATE-OF FL DEPARTmiroNsguBcHoirffiniriK er'7' *,• .. • - ..... • ' * "4- ••-•••• FESSIONAL REGULATION ICENSING BOARD SEQ#1,10080501734 DATE • -'1***,* BATCH NUMBER LICENSE NBR ,061:05/2010 100059450 - CFC1428029 The PLUMBING CONTRACTOR. /Mmed'below IS CERTIFIED Unde provisions of -Chatitex:: 489 FS. Expiration date: AUG 31, 2012-7 _aimCM‘ `B-rit-zr-AVa±11- Xviv, 990 , ' NE 146TH STREET-;.-- NORTH MIAMI FL 33161 HARIIE RIOT . • . .•-• • •• "*. -• • • 08 -04 -2011 JEFF ATWATER STATE OF FLORIDA C IEF FINANCiAL o ICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA MORROW COMPENSATION LAW * * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation jaw. EFFECTIVE DATE PERSOikk FEIN: 08/04/2011 EXPIRATION DATE 08/0312013 CARDONA JOSE I 841668059 BUSINESS NAME AND ADDRESS: J & J CARO0NA CONSTRUCTION INC 990 NE 146 ST N. MIAMI FL 33181 SCOPES OF BUSINESS OR TRADE 1- PLUMBING CONTRACTOR 3- GENERAL CONTRACTOR 2- ROOF/NMI CONTRACTOR IMPORTANT: Pursuant to Chapter 440 . 05(14). F.S., an officer el a corporation who elects exemption from this chapter by filing e certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(121 F.S.. Certificates of election 10 he exempt —. apply only within the scope of, -the_ business or trade listed as the notice of election to be exempt. Pored to Chapter 440.05(19), F.S., dices of election 10 be exempt and certificates of election to be a - tf be subject to revocation 0, at any time after the filing of the notice ar the issuance of the certificate, the person named on the Mice or certificate no longer meets the ieqoireareM of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named en the SWUM:ata to meet the regaireineets of this section DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT IONISED 01 -11 QUESTIONS? (850) 413 -1609 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA DEPARTMENT OF FINANCIAL IAL S S DIVISION OF WORKERS* CrSATION CONSTRUCTION INDUSTRY CITE OF ELECTION TO SE EXEMPT FROM FLORIDA TION LAW EFFECTIVE 08/04/2011 EXPIRATION DATE: 03/03/2013 PERSON JOSE I CARDONA FEIN 841668059 B1JSIPESS NAME AND ADDRESS: 1 & J CARDONA CONSTRUCTION INC 990 NE 146 ST N. MIAMI, FL 33161 SCOPE OF BUSINESS OR TRADE t- PLUMING CONTRACTOR 2- ROOFING CONTRACTOR 3- GENERAL CONTRACTOR IMPORTANT Pursuant to Chapter 440.05(14), F.S. , an officer of a corporation who O efts exemption from this chapter by filing a certificate of election I- 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 H exempt -. apply only within the scope of the business or trade listed on E the rnatio: of election to be exempt E Pursued 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 certificate the person named an 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. MOTIONS? (850) 413 -1609 CUT HERE * Carry bottom portion on the job, keep wiper portion for your records. DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01 -11 -F =0R Tv 140 FLA(3LEk1 Si. 1St FLOOR WAM R 33130 • E COU - STATE €f 30' AT .._. _ g _. IS IS NOT A 3112._ —DO NOT RAY Figs r-cLWsS U.S. POSTAGE PAID MIAM , FL PERIdR' NO. 231 646899 -5 RENEWAL BUSINESS NAM LOCAiiOFi RECEIPT NO. 673805-9 J & J CARDONA CONSTRICTION INC STATE& CFC142802 990 NE 146 ST 33161 NORTH MIAMI WN O j & J CARDONA CONSTRUCTION INC 'Dpe Stac.1PL INS CONTRACTOR IRAS IS ORLY A f_OCAI. DOES HOT PERSbTm THE HOWER 10 %cum may EXISTING REGW.AiORY OR ZONSIG en � ROWER FROM ANY OTHER DOES IT EXEISPF ThE PERM' OR iscsisa REWIRED flY LAW. THIS IS HOT »off 11011 OF TIMM PA mamma COUNTY TAX COLLECMFE 07/18/2011 60000000275 000045.00 i SEE OTHER SIDE WORKER'S 1 DO NOT FCNIWAM J & J CARDONA CONSTRICTION INC JOSE I CARDONA PRES 990 NE 146 ST NORTH MIAMI FL 33161 111111111111111111111% ilIlift%IISalsf1311111114116 MTAMF� LINTY C UN'[Y C Q Carlos A. Gimenez, Mayor 06/06/2012 Fernando J. Alonso Miami Dade Water & Sewer Department 3071 SW 38 AVENUE Miami, FL 33146 E -mail: FALONS0 @miamidade.gov Re: Shores Square Shopping Center 9031 BISCAYNE BLVD MIAMI SHORES, FL 33138 RER Permit Number: 2011 - SEW -EXT -00121 FDEP Permit Number: 253649- 681 -DWC CERTIFICATION OF: 100% Dear Fernando J. Alonso: Permitting, Environment and Regulatory Affairs Environmental Services 11805 SW 26th Street, Ste. 124 Miami, Florida 33175 -2474 T 786 - 315 -2800 F 786 - 315 -2919 ELECTRONIC CORRESPONDENCE miamidade.gov This letter shall serve as notification that the above referenced Sewer Extension project has been certified by Aristides Reyes - Gavilan, P.E. Said certification, signed by the corresponding utility on 04/09/2012, indicated that the project was completed in conformance with the approved plans and specifications. Pursuant to the above, and inasmuch as all the specific conditions in the FDEP construction permit have been complied with, we hereby clear these facilities for service. This notification does not relieve applicants from building permits, requesting to connect to this sanitary sewer facility, from the requirements of a Sewer System Treatment and Transmission Certification in accordance with the terms and conditions set forth in paragraph 16C of the First Partial Consent Decree (Case No. 93- 1109CIV- MORENO). If you have any questions, contact me or Oscar Aguirre at (786) 315 -2800. When referring to this project, please use the sewer extension number indicated above. Sincerely, Carlos Hernandez, P.E., Chief Plan Review and Development Approvals Division CC: Yoram Izhak Ifuentes @cfhgroup.com Aristides Reyes - Gavilan P.E. ari @revesgavilaneng.com Sergio Garcia, P.E. GARSERG @miamidade.gov e l e; i t c Lxc. e t 7F JZ c f. i "er' . 11 {1/ 1 .----.--,.-=,-,--- MIAMI-DADE WATER & SEWER DEPARTMENT METER OPERATIONS & MAINTENANCE MIAMIDADE CROSS-CONNECTION CONTROL UNIT_ COUNTY , 1001 kW. 11TH STREET, MIAMI, FL 33136-2209 I Phone (305) 547-3046 • Fax (786) 268-5485 PREVENTION ASSEMBLY TEST REPORT FORM .i.ArplgssoFD ....,„ ' -2-' „../../ . . 0v6E40FData4,-.„,-.„,%,- „ _ , _,„/„....* / , - •:-.-- '„4-' , , . %I OMER CONTACT: , . , PHONE. . , , _. _ , , ADDRESS OF OWNER - ZIP-CODE 2 NAME OF TESTER: CERTIFICATION #: 9,0 ed-F6 EXPIRATIOp DATE: // .,/,-M /V-- PHONE: -98,i_4 -3 03 - (rfl ?*5e 1 'S 04 eser-;‘A.9 BUSINESS NAME: • BUSINESS ADDRESS: - ( / 0 s mi. r4 err- i , , F1' ZIP CODE: - , Tit/ , 7 k..._ ,., ._, 3 TEST la MAKE: / MODEL #: -174 - IS-6 SERIAL #: ST 36 ti DATE LAST CAL. v,a, 1,) SITE TUBE: YES / la MAKE OF ASSEMBIY: 6 MODEL NO.: 47 SERIAL #: SIZE: / /3-6? r 4., LOCAR/1 OF ASSEMBLY: °.' ZARD/SERVICE: r MEER NO.( 57-....3,.., - r, DATE OF TEST: i 2 METER READING: INITIAL TEST: " 1 ANNUAL TEST: 5/4--Cif—t9 4-1— ./' SHUT OFF VALVE #1: " SHUT OFF VALVE #2: i'' ": , CLOSED TIGHT: A," CLOSED TIGHT: .0,. .." .6 LEAKED: /4,...?? LEAKED: it_,/to LINE PRESSURE: (rj r...,, PRESSURE STABLE: YES - NO ,.., , vtortgr;,,,A,votAzesgg-h-vv is,,-. .,;,-------,-, ,s,imfgkttryrqkgtvaTazitp-*vUvttgAIK''''tR**MTfq*WA'MiAN ' " guiougit*MVI; ' ,:,-- -"4.1t •=z,-- i-,-.4a.ActAt.t,m ",o- , VzsettP-Wv-wit*Vixliesttlx,.., ,....,. z-r•st.,**,:4,04Vitt...iv-w,--, ,,,,... -;tegt-m4fAjwo - -PFaiti44;::jiiattitnjij*itt*tYr; titi4Itik*:::;"''it,,!„*.lini AIR INLET 1— U) W I— Closed Tight: V Closed light FAILED TO OPEN LIC) — FAILED TO OPEN OPENED AT: PSI. LEAKED: Leaked: HELD AT: PSI A..j(c11 Leaked. ....-- " OPENED AT: 5 O PSI. PRESSURE DIFFERENTIAL ACROSS CHECK / PSI. PRESSURE DIFFERENTIAL ACROSS CHECK 11; r PSI. REMARKS / REASON FOR FAILURE (IF APPARENT): REPAIRS 4MAS-A CLEANED: CLEANED: CLEANED: CLEANED: REPLACED: REPLACED: REPLACED: REPLACED: 1— in LU CHECK VALVE NO. 1 CHECK VALVE NO. 2 DIFFERENTIAL RELIEF VALVE AIR INLET CHECK VALVE Closed Tight: Closed fight FAILED TO OPEN FAILED TO OPEN LEAKED: _ ---. Leaked: Leaked: OPENED AT: PSI. OPENED AT: PSI. PRESSURE DIFFERENTIAL ACROSS CHECK PSI. PRESSURE DIFFERENTIAL ACROSS CHECK PSI. HELD AT: PSI -Ii";:- -,,..:- 1,1 ' • 4,. '''.:;.`'''-i''''''':-..-ii.-Zr'..::',:;liii,.'p!--' Ir,nr.;41-ti;'. ' ti iVI-iniii",00 ','. ' ' *A:a:,. :, , -,P .1 VI . `,14‘Wq. SIGNATURE OF CERTIFIED TESTF_R: _ - - ' NOTE: TEST FORM MUST BE COMPLETEthN4SENTJRETY. INCOMPLETE TEST FORMS WILL BE RETURNED. 110_01458 8/09 www.miamidade.gov/wasd/cross-connection.asp CUSTOMER