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PL-11-1945y4 ..k1/ft Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 L_ nspection Number: INSP- 165712 Permit Number: PL -10 -11 -1945 Inspection Date: July 09, 2012 Inspector: Hernandez, Rafael Owner: ALLEN, MATHEW Job Address: 1290 NE 102 Street Miami Shores, FL Project: <NONE> Contractor: MARLIN PLUMBING OF MIAMI INC Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Gas Phone Number Parcel Number 1132050220020 Phone: 305 -652 -6108 Building Department Comments RUN GAS LINE FOR BBQ GRILL Passed Inspector Comments Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until For Inspections please call: (305)762 -4949 July 09, 2012 Page 1 of 1 3 lb 11{1 te( .51t1 =craA BUILDING PERMIT APPLICATION FBC 20 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 OCT 2 ? 2011 Permit NoV l 11 Master Permit No. Permit Type: PLUMBING �A 1 V '" _1/- /� OWNER: Name (Fee Simple Titleholder): I' a..4eu3 zi-6 /iZ�.be1I/, Allen Phone#: 75-0 -L1,23 -70/& Address: 129 0 ! i✓ /0 Z 5free l - City: ShaYe S State: Tenant/Lessee Name: Zip: 33 (38- Phone #: Email: JOB ADDRESS: Ste. ItYl 9 City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: Is the Building Historically Designated: Yes NO X Flood Zone: CONTRACTOR: Company Name: M COY I i rt 91011. b i t2.5 CST Ai 4 A/6 / i Phone #: 35-(o5 of -3o3 Address:.2t)1(-1. S A/6 /6 P!a e� City: NCY4An (VI.ta.rvt; 8ea.e, State: FL Zip: 33 (79 Qualifier Name: ea tt)c. d. J ■G. lie Phone #: 305- 5R.- 3631 State Certification or Registration #: C FCO4 go19'3. Certificate of Competency #: Contact Phone #:365 -%52 -3031 Email Address: ma -r!an plum biv5e. >c,..00.. Coin DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ 8 t 32-0 f 0 0 Square/Linear Footage of Work: Type of Work: Address DAlteration ONew ORepair/Replace ODemolition Description of Work: f U r1 5 Q S 1 i nL. 6 (3 Q G f c II ******** * * ** **** * * ****** * *********** *** Fees************* * * **** **** ** * ** * * *** ***** ****** SubmittalFee $ Permit Fee $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ CCF $ CO/CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ 1 V 4 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 MR 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 instrument was acknowledged before me this day of d 0 0 C4, 20 to , by E e.{K AI G vir , who is personally known to me _;r who has produced CL- ba' f\ S0221 69 5 NOTARY PUBLIC: Sign: ll 11171 r A a iron 1H1 SA MCCREERY .4 MY COMMISSION # DD 94 EXPIRES: December 6, 2013 Bonded Notary Public Undetw#ters Print: F€S. M CGreeu � My Commission Expires: QZ- G- 2o(3 ************** * * * * * * * * * * * * * * * * * * * * * * * * *;.. * ** APPROVED BY Signature Contractor The foregoing instrument was acknowledged before me this day of 11 2D c4- , 20 i 6 , by _e_thAyo.4,14 �"tuu�l4d Se.� who is personally known to me or who has produced as identifi NOTARY PUBLIC: My Commission Expires: 2.- 4,- 2i) 13 ******************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Zoning Structural Review (Revised 07!10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Clerk 250346 -5 BUSINESS NAME / LOCATION MARLIN PLUMBING OF MIAMI INC 20145 NE 16 PL 33179 UNIN DADE COUNTY THIS IS NOT A BILL - DO NOT PAY RENEWAL RECEIPT NO. 262710-8 STATE* CFC048292 OWNER MARLIN PLUMBING OF MIAMI INC FIRST -CLASS U.S. POSTAGE PAID MIAMI, FL PERMIT NO. 231 Sec. Ty of Business WORKER /S 19 PLUMBING CONTRACTOR 1 THIS IS ONLY A LOCAL BUSINESS TAX RECEIPT. fT DOES NOT PERMIT THE HOLDER TO VIOLATE ANY ZONING LAWS OF OR DO NOT FORWARD ZONING LAWS OF THE COUNTY OR CITIES. NOR DOES IT EXEMPT THE HOLDER FROM ANY OTHER PERMIT OR LICENSE REQUIRED BY LAW. THIS IS MARLIN PLUMBING OF MIAMI INC A CERTIFICATION OF THE EDWARD WALKER THE HOLDER'S QUAUFICA- noNS. 20145 NE 16 PL PAYMENT RECEIVED MIAMI FL 33179 ' MAO-DADE COUNTY TAX COLLECTOR: 09/19/2011 09010336001 000075.00 11111111111111111, 1, t#, 1111ftf 111 11h1111111111111111�?.l1 ►11 SEE OTHER SIDE PROPOSAL MARLIN PLUMBING OF MIAMI, INC. 20145 N.E.16th PLACE, NORTH MIAMI BEACH, FL 33179 (305) 652 -3031 fax (305) 652 -3135 License CFC048292 PROPOSAL SUBMITTED TO Name: Lisa Allen Street: 1290 NE 102 Street Miami Shores, FL 33138 Phone: 786 -423 -7016 Fax: Email: lisa@50state.com WORK TO BE PERFORMED AT Name: SAME Street: Phone: Fax: We hereby propose to furnish the materials and perform the labor necessary for the completion of: Marlin Plumbing to run 3/4" galvanized gas line from East side of house to grill area approximately 28ft also will install 3/4" shut off at point of connection. Marlin Plumbing to supply permit for scope of work mentioned above. NOTE: Any deviations from scope of work mentioned above will be extra to contract and done at time and material. Note Marlin Plumbing not responsible for any floor, wall or tile patching. Permit fees are extra to contract. (If Isometric drawing is needed that will be extra to contract and billed with permit fees) Note drain and water service for future sink will be done at time and materials All Material and Workmanship is Guaranteed for One (1) Year starting from Completion date. Note: Marlin Plumbing will not be responsible for any underground water pipes, sprinkler lines, gas or electric lines while doing any trenching. If needed, Marlin will call for location services to mark services. All materials and workmanship is guaranteed for one (I) year from the completion date of the contract to be as specified, and the above work to be performed in accordance with the drawings and specifications submitted for the above work and completed in a workmanlike manner. $1,320.00 *In the event that the customer fails to make any payments to Marlin Plumbing in accordance with the terms and conditions of this agreement, Marlin Plumbing shall be entitled to all reasonable attorney's fees on collection and /or litigation or other court proceeding including attorney s fees on appeal. Respectfully submitted: Marlin Plumbing of Miami, Inc. By:Raul Bringas Date: 10/12/11 ACCEPTANCE OF PROPOSAL The above price, specifications, and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payments will be made as outlined above. Any alteration or deviation from above specifications involving extra costs will be executed only upon written order and will become an extra charge over and above the estimate. All agreements are contingent upon strikes, accidents or delays be nd r control. y Date: /c (Q —(7 Signature: M' Date: (,O --tZ° t marlinpropdoc /form 1 / 1998 AiCO CERTIFICATE OF LIABILITY INSURANCE DATE (MM)DDlYYYY) 4/29/2011 PRODUCER {954) 724 -7000 FAX: (954) 724-7024 Keyes Coverage, Inc. 5900 Hiatus Road Tamarac FL 33321 INSURED Fax # 305 652 3135 Marlin Plumbing of Miami, Inc. 20145 N.E. 16th Place Miami I COVERAGES FL 33179 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAM # INsuRERA;Hartford Fire Insurance Co 19682 mismemBridgefield Employers Ins Co 10701x INSURER C: INSURER D: INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDrrION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POL1CIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LT; DD' 1...j :_, 111- • ,�� - POLICY NUMBER PO_ CY EFFECTIVE , . I 1 . i• • ►iii POLI Y . -(RATION D ,t�• • Sul LIMITS A GENERAL LIABILITY 2117VNIT9228 5/8/2011 5/8/2012 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY —1 DAMAGE TO PREMISES Ea Er ence) $ 300, 000 CLAIMS MACE I X OCCUR MED EXP (Any one person) $ 10, 000 PERSONAL SADVINJURY $ 1,000,000 GENLAGGREGATE III GENERAL AGGREGATE $ 2, 000, 000 LIMIT APPLIES PER: PRODUCTS - COMPIOPAGG $ 2,000,000 POLICY X PRy' LOC AUTOMOBILE LL4B0.IT P ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per poison) $ BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) GARAGE UABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ EA ACC $ OTHER THAN AUTO ONLY: AGG $ EXCESS 1 I UMBRELLA UABIUTY OCCUR ri CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ $ WORKERS AND EMPLOYERS' ANY PROPRIETORIPARTNER+EXECUTIVE OFFICERIMEMBER (Mandatory It yes, SPECIAL PRO S PRO COMPENSATION LIABILITY YIN 830 -25781 12/1/2010 12/1/2011 WC STATU- OTH- TORY LIMITS I ER EXCLUDED? N EL EACH ACCIDENT $ 1,000,000 $ 1,000,000 $ 1,000,000 E.L DISEASE-EA EMPLOYEE InNH) under VISIONS below E.L DISEASE - POLICY LIMIr OTHER r. DESCRIPTION OF OPERATIONS! LOCATIONS I' VEHICLES( EXCLUSIONS ADDED BY ENDORSEMENT f SPECIAL PROVISIONS (305) 756 -8972 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 10050 NE 2ND AVENUE MIAMI SHORES, FL 33138 ...,,.... ,�...�_ ._.. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAR. 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHAU. IMPOSE NO OBUGATION OR UABIUTY OF ANY KIND UPON THE INSURER. ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Carey Reyes /MS 1NS025 (200901},01 ©1988 -2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD TCHNM;E