PLC-12-377Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 170705
Scheduled Inspection Date: June 29, 2012
Inspector: Hernandez, Rafael
Owner: MIAMI SHORES LLC, COCHRAN
Permit Number: PLC -3 -12 -377
Job Address: 9705 NE 2 Avenue
Miami Shores, FL
Project <NONE>
Contractor: ALL PRO SEPTIC AND SEWER INC
Permit Type: Plumbing - Commercial
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1132060134230
Phone: (305)635 -3002
Building Department Comments
REMOVE AND REPLACE KITCHEN AND BATH FIXTURES
AND CABINETS
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
June 28, 2012
For Inspections please call: (305)762 -4949
Page 2 of 7
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 No.
PERMIT APPLICATION Master Permit No.
FBC 20
Permit Type: PLUMBING
OWNER: Name (Fee Simple Titleholder): C,oC\. ads 0-1 S urcA Phone #: t L \ - ? (.o O - 1op
Address: \ taOlD E1_L �(� £ - E 222
P
City: Pi - `,,iA\-13a-rC .06A I State: Pt-- Zip: \ Le
Tenant/Lessee Name: N / i . Phone #:
Email: by' i°'. 1 T2e e 62..ickupC„ 12-®0 ' • i_ OP'1
JOB ADDRESS: oTh N E C 7 T APT 20Q one- Nlt
City: Miami Shores County: Miami Dade Zip: 3'9Js 3
Folio/Parcel #: 1 \ Q 3201, ' 0 a . `'12 s
Is the Building Historically Designated: Yes
CONTRACTOR: Company Name:
Address: noto w
it Pi
NO
Flood Zone:
Phone #: 31 G3✓ ^ 3c,o
zip: ll ‘-[''a
City: :`R"if-Pr � State: � . o�
Qualifier Name: Yk ` p141 Phone#: .3' d-0 6 tr 4 "9 7
State Certification or Registration #: l9 °" (44 rri b Certificate of Competency #:
Contact Phone#: p.o cs 4M 3 Email Address: A 1, pito SS I I o 4
DESIGNER: Architect/Engineer: Phone #:
Value of Work for this Permit: $ Lt.C119' Square/Linear Footage of Work:
Type of Work: CIAddress DAlteration ONew EI'Repair/Replace ODemolition
Description of Work: Q e. nCTd -k- Clov . 0...tp Q V..-` -C Srl C c' o? .- V3 C J -k
gf',CA°.dr (e ock Cc z ,,....‘___A--S
***** ******* ************* * * * * ** * * * *** ** Fees * *** * * * ** * *** * * * * * *** **** ***** * * * * *** * **x ***
Submittal Fee $ Permit Fee $ / $7> CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ r Technology Fee $
Double Fee $ Structural Review $
' TOTAL FEE NOW DUE $ 2., 3 (---,
Bonding Company's Name (if applicable) PJ S
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable) N /
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 FT FCTRICAL 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 attac f o, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which % sev (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be - d a < inspection fee will be charged.
The foregoi nstrument was acknowledged before me this .2
day of lit , 2012 , by t&\b. Win. •4AA
ho is personal ylyl know me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: g ice,- L.
My Commission Expires:
t.
* * * * * * * * * * * * * * ** * * * * * **
APPROVED BY
Signature
Contractor
The fore oing instrument was aackno ledged before me this 2
day of , 20 1 �R by who ersonally known me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
,11.
MUM a»IU Now Mkt MINOR
a
*
Structural Review
(Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09)
Sign:
Print: pre_
My Commission Exp'
* * * * * * * * * * * * * * * * * **
JEFFREY DOWSETT
MY EXPIRES: EX COMMISSION 2014
Bonded Tilts Notary Public Underwriters
* **
Zoning
Clerk
136/17/92111 11:05 30155 81S
Septent r 23, 2011
City ofiviianti Shores;
coctiPat
COCHRAN WW1 SHORES, LLC
1.800 Eller Drive, Suite 222
Fort Lauderdale, FL 33316
954-760-4360
•P
Please utilize this letter as authority for Shelby 0. Smith to execute documents related to
our property located at 9701-9711 NE Vh Avenue and 211-217 NE 974) Street, Miami
Shores. Such documents shall be lirnited to Permit Applications and related documents:
Violation Corrective Actions; and other city documents required within the nornoti day to
day operation or real estate.
This document shall not be used to commit the property or its on ells under any
mortgage and/or LOOM
Should there be any questions. please feel Free to contact the cot raw representative ut
Cochran Miami Show. U.0
t-v.
Shelia Cioftr a, as Trustee
loattity tinder penalty of ostithy that thils dOCUMB111 has •beert executed by the indlIitjdua.I
renced above.
aL al.
AI ou..4.4P
itteNtf-
045wvt.t.4.4.44-14_,
04/10/2012 14:46 3056357473
ACORp.
CERTIFICATE OF LIA
THIS CERTIFICATI;IS ISSUED AS A MATTER OF INFORMATION ONLY AI
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EX
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: Ti the certificate holder is an ADDrr'IONAL INSURED, the pi
the terms and Conditions of the policy, certain policies may require an er
certificate holder in lieu of such endorsemen $
PRODUCER
Keen Battle Mead & Company
7650 Northwest 146 Street
Suite 200
Miami Lakes, FL 33016
INURED
All Pro Plumbing Corp;A11 Pro Septic & Sewers
Inc,A11 Pro Plumbing Septic & Sewers Inc ;A11
Pr•o Investment :All Pro Xnvestment Holdings
2700 NW 27 Avenue
Miami, FL 33142
ALL PRO PLUMBING
PAGE 02/03
BILI I r INSURANCE
I DATERIAMIDINTYTYj
03/27/2012
THIS
to
to the
IIG CONFERS NO RIGHTS UPON THE CERTIFICATE
TEND OR ALTER THE COVERAGE AFFORDED BY THE
, CONTRACT BETWEEN ale ISSUING INSURERS), AUTHORIZED
,Ilcy(Ies) must •0 endorse.. If SUBROGATION IS WAIVED,
Idarsement, A statement on this certificate does not
HOLDER.
POLICIES
subject
confer rights
CONTACT
FptH°1
. 305.558.1101 Ex*
E
RESS:
RIOT AFFORDING COVERAGE
INSURER A: Hartford Xnsurance Company
NAIL al
8261
INSVRr.Ra: Travelers Indemnity Company
25658
memo c t 6ridgefield Employers Ins
Co
10701
INSURER V :
INSURER E i
IN9MRER F I
cOVEERAGES CERTIFICATE NUMBER; 12 -13 GL1UMI3/WC /AUTO _ REVISION NUMBERS
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTTED BELOW NAVE BEN 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 CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR TYPE OF aISURANCES L gel G
GENERAL LIASIL TY
X COMMEROIAL GENERAL IlABILt Y
CUUMSMAOEE occuR
GEN'L AGGREGATE LIMIT APPLIES PM:
POLICY P EIIi■ LOC
AUTOMOBILE uAaILITY
X_ ANY AUTO
ALL OWNS AUTOS
SCHEcuLED AUTOS
HIRE17 AUTOS
NON•OWNED AUTOS
POLICY NUMBLR
2ILIENQ07291
MOO
0210112012
LIMITS
02/01/2013
mu oroun auce $ 1, 1011„402,
$ 300,000
MED EX? (Any Otte person) $ 5 , 000
pERKINAL aADVIN4rJ V S 1,00QL000
2,000,000
GENERAL AGGREGATE
PRODUCTS•coMP/OPAGG
2,000,000
UMBRELLA LIAD
EXCESS LAM
X
OCCuR
CLATIAS -MnOe
C
_ DEDUCTIBLE
X RETENTION 9 10,000
WORKERS COMPENSATION
AND ENrPLOvaRS• LIAOIILLIITY.
OPW PROPR✓ BO@RIPARo.WD ECUTNED 1.1 /A
(Mansdsdery In r$H)
If cescald P�TIQ OOFFOPERATIONS 1 eI
RA0326R110 05/2012011
05/20/2012
211110107292 02/0112012
0830-27448/2012
02/01/2013
04106 /2013
oESCRIPTION op OPERATIONS 1 LOCATIONS 1 VEHICLES (Aar ACORD 101, Additional Remgrka &nodule, It more space IA reaurred)
CERTIFICATE HOLDER
C0Mr3IN D SINGLE MIT
(Ea eaatder,)
BODILY INJURY (Par person} S
1 ..00o,000I
SObILY INJURY (Per BOOM s
PROPERTY DAMAGE
9
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYEE $
E.L. DISEASE • POUOY LIMIT $
1,000,000
1,000,000
1,000,000
CANCELLATION
FAX: 305.756.8972
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES OE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERSO IN
ACCORDANCE WITH THE POLICY PROVISIONS.
City of Miami Shores AUTHORIZED REPRESENTATIVE
10050 NE 2 Ave
MT ►Di Shores, FL 33137 Alex Perez AMC
01986.2009 ACORD CORPORATION. All rights reserved.
The ACORD neme and logo are registered marks of ACORD
ACORD 25 (2009100)
04/10/2012 14:46 3056357473 ALL PRO PLUMBING PAGE 83/03
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