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PL-12-834 i Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 168922 Permit Number: PL- 1 -12 -83 Scheduled Inspection Date: August 24, 2012 Inspector: Hernandez, Rafael Owner: Job Address: 253 NE 92 Street Miami Shores, FL 33138- Project <NONE> Contractor: DESMAR PLUMBING INC Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number (305)466 -2990 Parcel Number 1132060133560 Phone: (305)594 -4930 Building Department Comments INSTALLTION OF 1" BACK FLOW VALVE AND INSTALLTION OF IRRIGATION SYSTEM Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments August 23, 2012 For Inspections please call: (305)762 -4949 Page 1 of 13 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 B ILD 11ING Permit No. P L 12 PERMIT APPLICATION FBC 20 Master Permit No. Permit Type: PLUMBING OWNER: Name (Fee Simple Titleholder): PALf,4 „rot VIf fAef /Id. Phone #:. ?e.'f - v4i6' - ?Pro Address: / 9 9 9 r eiS 44,N & /Vv. e.P So / /9U0,•f!/i%/t . City: 4.*A f .$ State: f/_ Zip: Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: a S3 ,vG City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: // — 3 4,7 D t d /3 -- ,3.r -d o Is the Building Historically Designated: Yes NO A Flood Zone: CONTRACTOR: Company Name: e F f, , /2 /41" _,,V4te. Phone #: SONS -' d 0 SAO Address: v 9t f //-4(i 2 6 bfr City: f1 //51067 j State: Qualifier Name: FefU.¢RAtie /4°7 Al■rfE,e Zip: Phon(# r' 6'7 6 / State Certification or Registration #: e FA /d42. 74'Y). Certificate of Competency #: Contact Phon 76e "p2J 4 - /2T 7 mail Address: der 4$"/P coo,; rf✓5®6✓ 4° °� t DESIGNER: hitect/Engineer: L, u Phone #: Value of Work for this Permit: $ eP / d 6 °J14 Square/Linear Footage of Work: Type of Work: DAddress DAlteration . New ❑Repair/Replace DDemolition Submittal Fee $ ��° Description of Work: ?;60,11 Aiiti`/°ryv /> %i9�� —��yi Uff�G+� .-'- ,rr, * * ** * **** • x*• x*•xx: *.xx.**x.***** *** ******* Fees****** **. **** :a•.x**** •.x ********a.*.x*.x********* to, rl!f . !R Permit Fee $ %(� `� CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ i TOTAL FEE NOW DUE $ 1 ` ` i ° 3o 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 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signat The f er or Agent mg instrument was acknowledged before me this day of G'° i/ 20 ._Zby who is personally known to me or who has produced fitly/ S t v As identification and who did take an oath. NOTARY PUBLIC: Iq Sign: Print: My Commisso 9TFOF RAtta g a .lbs 144•E49, eks MY COMMISSION # DD :K 135 EXPIRES: July 14, 2013 Bonded7UW Btu Nay Swims Signature Contractor The foregoing instrument was acknowledged before me this / 7 day ofj w V P v ", 20 _a, by who is personally known to me or who has produced ' y/e / o,t ( as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My C ISSION t DD 883135 jFcipoe. + Bonded in BB July 1.. 4, 2013 udget ************ **************** *** '********************************************* *************** **** ****** ****** APPROVED BY "l !✓ — /2 Plans Examiner Zoning Structural Review Clerk (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) 'Des PC9 Caxfaaafaaa 6.Jos.49Y1$gt. ; .9W11i66 tq Jas 876 -876✓ grim- .9'OS -876 -676.1 Yeinaiedb Aiiet,Agel Ce .413 7118 I Eduardo F. Angel, qualifier of Desmar PC, Inc. hereby authorize Lino Diaz. to pull permits for the company on my behalf. If you have any questions please feel free to call me at the numbers listed above. Eduardo F. Angel, Qualifier s612:6iti, RAMON O.OEBA1.I.OS State of Flo MY COMMISSION # DD 883135 EXPIRES: July 14, 2013 a> �� Bonded nau Notify Sobs County of Da9 `� The foregoing instrument pacIno By :tt 1!;111,1 e this /2 day of 0112- 135 . 203 who is personally know to me or ott, Leo' Boded Ito Budget Noa/ Swims Has produced a %%G. as identification. NOTARY PUBLIC (Seal) ACORD. CERTIFICATE OF LIABILITY INSURANCE GATE (MLVD """) 12/13/2011 TYPE OF INSURANCE PRODUCER (305) 270 -1424 Pan Am Assurance en Agency, 9100 Sunset Drive Miami . FL Inc, 33173 -3433 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 NAIC# INSURED DESMAR PC, INC. 7933 NW 64 ST MIAMI FL 33166- INSURER A NORTH POINTE CASUALTY INS 3094120082 _ INSURERB:BUSINESS FIRST INS CO / / 01/07/2013 / / / / INSURER C: $ 1,000,000 INSURER D: DAMAGE TO RENTED PREMISES (Ea occurrence) INSURER E: COVERAGES THE POUCIES 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 CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. - MGR RD TYPE OF INSURANCE POLICY NUMBER DATE MMID DATE (MWDDIY EXPIRATION LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY 3094120082 _ / / 01/07/2012 / / / / / / 01/07/2013 / / / / EACH OCCURRENCE $ 1,000,000 X DAMAGE TO RENTED PREMISES (Ea occurrence) $ 100,000 � 1 CLAIMS MADE Fix MED EXP (Any one person) $ 5,000 PERSONAL BADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE UMIT APPLIES PER PRODUCTS - COMP /OP AGG $ 2,000,000 j 3—C1 POLICY n Fief ' I LOC AUTOMOBILE UABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS / / / / / / / / / / / / / / / / COMBINED SINGLE LIMIT (Ea accident) $ _ BODILY INJURY (Per $ — BODILY INJURY (Per accident) $ _ _ PROPERTY DAMAGE (Per accident) $ GARAGE LABILITY ANY AUTO / / / / AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY / / / / / / / / EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS belaw 52103296 08/16/2011 / / 08/16/2012 / / I MAIM I X 1 TRH- E.L EACH ACCIDENT $ 500, 000 E.L DISEASE - EA EMPLOYEE $ 500,000 EL DISEASE - POLICY LIMIT $ 500,000 OTHER / / / / / / / / /•/ / / DESCRIPTION OF OPERATIONS !LOCATIONSIVEHICLES!EXCLUSIQNS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION ( ) Miami Shores Village Building Department 10050 N.E. 2 Ave. Miami Shores (305) 756 -8972 FL 33138 ACORD 26 (2001/08) ft.@; INS025 (0108).05 SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE G INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE ACME HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO ON OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTA AUTHORS REPRESENTATIVE 030 / © ACORD CORPORATION 1988 ELECTRONIC LASER FORMS, INC. - (800)327 -0545 Page 1 of 2 Desmar PC Inc. p.2 •T>_ .= :v'(JT•' NT- C�•'• :;$Qe • . 11D•0823G_1206 BATCH NUMBER 1011643.15:. The • -P%•rUI+1R• G - c rRACT6iR 4.l • Named;• beat* - is.. .001T • . IIniier : the : %**.ri-sicans.:' of • •Expi rat i:on- ,c''Eatep= AVG.:31 • • ANGEL; E pititp ? z _ : PC:. INC • _ • 753'3: :2414'. 64: =ST:' q� 1 - `.' ^:1= VV"t:.y.: ..�._;.L�l?}i,n,�•�L•. -,5 •fir rl•�,��� ^y r. '�w; • .-r.- a`'.' r Z:`:.,• _• rat > _i • • •. V _ A \ ` y f }'.•— S.Y. -_� r^ ':�B .tom. Y •�f .- ...`?M,. T' :R 305 876 -6763 ter MIAMI -DADE COUNTY TAX COLLECTOR 140 W. FLAGLER ST. 1st FLOOR IARAM1, FL 33130 607648 -3 BUSINESS NAME / LOCATION DESMAR PC INC 7933 NW 64 ST 33166 UNIN DADE COUNTY 2011 LOCAL BUSINESS TAX RECEIPT 2012 MfAIIAI -DADS COUNTY - STATE OF FLORIDA EXPIRES SEPT. 30, 2012 MUST BE DISPLAYED AT PLACE OF BUSINESS PURSUANT TO COUNTY CODE CHAPTER BA - ART. 9 & 10 HOT S. SILL. — ;,..CT RENEWAL RECEIPT NO. 633876 -8 STATE* CFC1427442 OWNER DESMAR PC INC Sec. Type of Business 196 PLUMBING CONTRACTOR THIS IS o1E.Y A LOCAL BLESS TAX RECEIPT: IT DOES' oat PERLSf THE HOLDER TO VIOLATE ANY EXISTING REOULATORV OR ZONING LAWS OF THE COUNTY OR CMS- UDR DOES IT fi115MPT THE HOLDER FROM ANT OTIEA PEROT OR UCENSE RECURRED BY LAW. TRIS IS NOT A CUITIFICATIOR OF MIE HOLDER'S oUA1 W CA- TIa1E- PATTLENT RECEIV MANMADE COUNTYTAZ COLLECTOR 07/12/2011 09010194001 000075.00 SEE OTHER SIDE FIRST. IRST -CLASS U.S. POSTAGE PAID MIAMI, FL PERp11T NO. 231 WORKER /S 2 DO NOT FORWARD DESMAR PC INC MARIA L CEBALLOS PRES 231 NW 63 AVE MIAMI FL 33126 11111111111111111111111111111 111111111111 !11111111 /Illl1�>�II Path Investments, LLC 5875 Peachtree Industrial Blvd, Ste 3.40 19495 Biscayne Blvd, Ste 301 Norcross, GA 30092 — United States Aventura FL 33180 — United States -.Ricardo. Paz Telephone: 305- 466 -2990 • Managing Member Fax: 305 -675 -7990 August 24, 2011 To whom it may concern, Teresa Gomez, our property manager, is authorized to sign permits for any property owned by the following companies, which are owned by Path Investments, LLC: • Florida Capital Group.com, LLC • Continental Mortgage Funding, LLC Vision United Group, LLC • Great United Financial, LLC If you , please contact the. undersigned. P 4.. . of() Printed Name of Owner State of Flora _ - _ } County of. 1V ;ot�;1:"1 i,� AbY �R X72 * ` * EXPIRES: 4ms i3. 2D14 NOTARY PUBLIC SEAL OF OFFICE /� On this t day of Ai �`'i�`'� 24 I I before me, the undersigned Notary Public of the State of Florida personally appeared = ;:,.jam -- - -' - . who's name(s) is/are subscribed to the within instrument, WITNESS my hand and • cial seal- Carch -E Personal} known to � r e, or • ., duced identification, type of identification provided T take an oath O.U.L. P.P. (TYP) a U.L. / / F.LP. 1/2 "0 / (UNDER ASPHALT)/ / / // / // O.U.L 90'(M) 10'' ASPHALT PAVEMENT (15' ALLEY) .LP. 1/2 "0 0.15' c) CL. r 4' WIRE ENCE (TYP) 40' 2.40' O N N 17' ANCHOR / / / 3' CONC WALK -e5' CONC. SW 124.35'(M)(P).. •F.LP. 1 2 0 L r; 23' PARKWAY NF'L 2' CBS ALL (TYP) 0.05' r l.P 1/2 "0 , 1- LOT 13 BLOCK 26 N.E. 92nd STREET 19' ASPHALT PAVEMENT (75' TOTAL R /W) Bearing, if any, shown based on N/A (reference) N/A V 230.05N) 230.00'(P) N.E. 3rd AVENUE 11 0 tA 47 $m O. mm T p S O l "<z;1 9 Ts i� g o m v r $ g` . 03.h170 . I $ 41 Vii lid a m ; 1m s m g 1 3 4 m 1 i m o 2T$ c �0 ` 1 m04 a Virg; i c v i i U o2°° i i w m j .sitz, •a i C m V j V m = 2 co C '' m a Z— p. (11§11g! l0` s 3 � c— m c m o IEPSti EEmcg8s m m �$0m 130. >' ' oa Is c 2 m c E "g1.0111.2.1 o E i a> s E m m °10 c mamv"m�m5�EE �c Ili o ma vm3igc $'ga °.o il = m m E a° c s c m° ° � �m�mmE�E°.�c`3 cc $ m mi m m `'ii11 °1 m ma. 1 $liigmElo��t'� °�iac c o � xx m m1!$mmc$m@ $,cmo°gg'�1g!°c am S mc.° Z"m c O O m C i2 2 This property described as: Lot 11 and the West Y2 of Lot 12, Block 26, AN AMENDED PLAT OF MIAMI SHORES SECTION ONE, according to the Plat thereof as recorded in Plat Book 10, Page 70, of the Public Records of Miami -Dade County, Florida. CERTIFIED TO: Path Investments, LLC 253 N.E. 92nd Street, Miami Shores, FL 33138 .LP. 1/2 "0 "THIS SURVEY DECLARATION IS MADE ON THE FIELD DATE INDICATED, TO THE OWNER(S) LISTED. IT IS NOT TRANSFERABLE TO ADDITIONAL. INSTITUTIONS OR SUBSEQUENT OWNERS LEGEND A =Arc ASPH = Asphalt BM = Bench Mark BRG = Bearing CB = Catch basin CBS = Concrete Block Structure CH = Chord Chatta. Chattahoochee = Center Une CLF = Chain Unk Fence CL = Clear CONC.= Concrete D = Delta 0 = Diameter DH = Drill Hole DME = Drainage & Maintenance Easement E.B. = Electric Box Enc. = Encroachment F.F. = Finish Floor F.H. = Fire Hydrant F.I.R. = Found Iron Rebar FPL = Florida Power & Ught F.I.P. = Found Iron Pipe FD. = Found LP. = Ught Pole M = Measured M.F. = Metal Fence M.H. = Manhole = Monument Une MON. = Monument N/A = Not Applicable N/D = Nail & Disc NTS = Not to Scale O/S = Offset O.U.L = Overhead Utility Lines OH = Overhang P = Plat PS = Plat Book PC = Point of Curvature P.C.C. = Point of Compound Curvature PCP = Permanent Control Point PG = Page P.I. = Paint of Intersection E = Property Une PL = Planter P.O.B. = Point of Beginning P.O.C.= Point of Commencement P.P. = Power Pole P.R.M.= Permanent Reference Monument P.R.C. = Point of Reverse Curvature PT = Point of Tangency R = Radius R/R = Railroad PSM = Professional Surveyor Mapper RAN = Right- of-Way SWK = Sidewalk Sec. = Section (Typ) = Typical T = Tangent U.E. = Utility Easement W.F. = Wood Fence W.M. = Water Meter W.V. = Water Valve 9= - Denotes Spot Elevations Taken REVISIONS: FLOOD ZONE X F.I.R.M.DATE 09/11/09 COMM. No. 120652 PANEL No. SUFFIX: 0302 L F.I.R.M.INDEX 09/11/09 BASE ELEV. + N/A N.G.V.D. ELEVATION NOTE: (IF APPLICABLE) L.F.EIev.= N/A (lowest habitable floor elevation). Elevation shown hereon refer to N.G.V.D. 1929. Lowest adjacent grade elevation= _.NL9_. BM. NIA Elev.= N/A . Garage Elev.= N/A . Erp.= N/A Not valid unless it bears the signature and the original raised seal of Florida licensed Surveyor and Mapper. BOUNDARY SURVEY. I HEREBY CERTIFY: that this survey meets the minimum technical standards as set forth by the FLORIDA BO - : ■ e-'% ESSI • SURVEYORS AND MAPP RS ink. . pter 5J -1 �orida Administrative Code, pursuan o Section 027 Florida Statutes. . :m IVES 12/22/11 P OFESS ON ,. SURVEYOR AND MAPPER No. 4327. State of Florida. Alvarez, Aiguesvives and Associates, Inc. Surveyors, Mappers and Land Planners 5701 S.W. 107th Avenue #204, Miami, FL 33173 Phone 305.220.2424 Fax 305.552.8181 L.B. No. 6867 / E -mail: aaasurvey @aol.com Field Date 12/21/11 Scale: Drawn by: 1 " =25' D.G. Drwg. No. 11 -15290