Loading...
PLC-12-1886or Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 179696 Permit Number: PLC -10 -12 -1886 Scheduled Inspection Date: October 24, 2012 Inspector: Hernandez, Rafael Owner: , BARRY UNIVERSITY Job Address: 11300 NE 2 Avenue Lehman Hall Miami Shores, FL 33138 -0000 Project: <NONE> Contractor: MARLIN PLUMBING OF MIAMI INC Permit Type: Plumbing - Commercial Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1121360010160 -29 Phone: 305 - 652 -6108 Building Department Comments RUN APPROXIMATELY 40 FT OF CONDENSATE LINE TO STORM DAIN ON NORTH SIDE OF BLGD Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. October 23, 2012 For Inspections please call: (305)762 -4949 Page 9 of 20 www.marlinplumbing.net RI. 11 Complete Plumbing Service & New Construction Commercial & Residential Leak Detection & Pipes Traced / 24 Hour Emergency Service MARCY WALKER Licensed & Insured President (305) 652 -3031 CC# CFC048292 FAX (305) 652 -3135 CITY OF MIAMI - BUILDING DEPARTMENT NOTICE OF COMMENCEMENT Please file at 22 N.W. 1 N.W. lie Street, Miami PERMIT NUMBER: FOLIO NUMBER: State of Florida County of Miami-Dade 1111111111111111111111111111 III 1 11 III 1 III 111 1 CFN 2012RO719267 OR Bk 23306 Ps 0659, (1as) RECORDED 10/10/2012 10:57022 HARVEY RUVIN, CLERK, OF COURT MIAMI -DADE COUNTY, FLORIDA LAST PAGE The undersigned hereby gives notice that improvements will made to certain real property, and in accordance with Chapter 713.23, Florida Statutes, the following in provided in this Notice of Commencement. Street address 1130b IJ G 2nd Ave.. and Legal description of property 34, S 2. Y j Yo AC Se //y d1' me- Of ASS E3SF.f.1-ew CS W Ye tee Size 17F)Sfdn SO F4- Description of improvement: v r. D F4. d-0 6.07)€1.00,52 /in` a.� Wu- L .hihaq, , )4,.. r•1 a vri. ' 1- _ �J Owner(s) name edit[1 Ob I Ie9 Q and address: i 13 O e N E 2.. Aye,, M e i &Mi Shore.; F[. 31.1/.1 -64,2g- Interest in property: Name of fee simple titleholder (if other than owner): and address Contractor's nametteLdn Qlumiia egAA.isrAil' ittund address DOl q5 N E.1_4 PI, 11/. 04.14.1. Bea Phone number= 30.S ,5Z - $D l 133179 Amount of Surety bond: $ : (Payment bond required by owner from contractor, if any) Surety Name and address Phone number: Lender's name and address Phone number: 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 Statues, Name and address: and address In addition to himself, Owner designates the following person(s) to receive a copy of a Lienor's Notice as provided in Section 713.13(1)(b), Florida Statues, Name and address Phone number: Expiration date of this Notice of Commencement: (the expiration date is one [11 year from the da = recording unless a different date is specified) SIGNA OF OWNER Sworn to and subscribed before me on this By /3 �.= S, - 3-- 4-,-/,,..5. Notary Public :� --- :.�_.,. - - .c, Print Notary's Oath taken Oath not taken Commission E _ _ _ Prepared by: Address: Print Owner's Name: 11 Day of t 2 ' Personally Known, or Produced ID , 200/A•— . Rev: 5/2004 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 APPLICATION FCETVED .ETVED FBC 2010 Permit No. Master Permit No. �l 2 — (Kr4° Permit Type: PLUMBING JOB ADDRESS: 'MOO N 6 1n d /We Leh mew, tt Id% Miami Dade Zip: 33/ (P / City: Miami Shores Folio/Parcel #: 2134,-coo-otsifin Is the Building Historically Designated: Yes County: NOC Flood Zone: OWNER: Name (Fee Simple Titleholder): gp,rrt.,l I d Ilec� °�. Phone #:3415-&99 .-3795 Address: !MOO Ai 6 ZA d Ave. A'L ia,t i acre.s , FG. 3'.3/4.1 State: Ft- City: M j 4/K. Shey -es Zip: 72/4.1 Tenant/Lessee Name: Phone #: Email: CONTRACTOR: Company Name: nM44, Plorn'pi AR o4 Mu,.ua / 7-,,+c Phone#: 3o5-452-3o3/ Address: o?OI Ale /1. pIQ c� City: 1■16Y4 h M i A W1.% DGQ State: Ft- Zip: 33 1.71 Qualifier Name: EdWatel atkt_e Phone #: 305 -6.5 Z -303 State Certification or Registration #: e. Fed 3c1 112, 447-- Certificate of Competency #: Contact Phone #: Email Address: DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ 3, z00, 00 Square/Linear Footage of Work: 'y( FI- Type of Work: Address itirAlteration ❑New ❑Repair/Replace ❑Demolition Description of Work: Run l3 fP TDx rria4-e i y v/- a4 yide..n.S4t & HAS-. � S rri drr th tm NerKn 51 de a-P f3{d,& * * * *7**************************** * * **Fees>i< **** **** * ****** * * ** x********** *** ******: * ** Submittal Fee $ D,,. L p Permit Fee $ /CV CCF $ CO / CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 1 \ (3` CtD 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 apprro � and a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this day of Ocr ,20I2,by /j e:e_ , who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expir OW °r+e Notary Public State of Florida ;4 ' Cheryl Beide Gerber My Commies on DD986126 4 • 01. Expires 05/0812014 APPROVED BY ✓ 7/ `� � � '7-- Plans Examiner Structural Review (RevisM1 /12/2012)(Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09) Signature 10/61/6e-A--- Contractor The foregoing instrument was acknowledged before me this day of 11 0.A4Ud2O tz_, by EdtA cki d S' 1nlRike• who is p all erson own to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: sign: MCt-IteQlL.Ii Print: Zoning Clerk Dare (MMIDDNYYYY) /201,2 ISSUED CERTIFICATE OF L�ABI�L cTY INSURANCE CERTIFICATE HOLDER. THIS CHIT CERTIFICATE IS 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, a pol endorsement. statement eorednIf SUBROGATION dflcate does WAIVED, ot confer subject to the the terms and conditions of the policy, certain policies may require cerWlcate holder in lieu of such endorsement(s). PRODUCER Keyes Coverage Insurance 5900 Hiatus Road Tamarac FL 33321 INSURES Marlin Plumbing of Miami, Inc. 20145 N.E. 1681 Place Miami FL 33179 5937 NAME: CT Sandra Jones PHO AtC. NE et:954- 724 -7000 aanaess.�sjories @keyescoverage cam INSURERS) AFFORDING COVERAGE 1 M. Not954- 7247024 INSURER A :Hartford Fire Insurance Co ENSURER B INSURER C : INSURER D: -INSURERS: INSURER F: Ile • macs 9882 REVISION NUMBER: COVERAGES GET( I a -mimic riutrmcn. LuOJl oo, av _ INSURED NAMED ABOVE THIS IS TO INDICATED. NOTWRH TANDING ANYIREQUIREMENT, TERM OR CONDITION OFBANY CONTRACT RO OTH DER OCUMENT WITH RESPECT TOUWHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, AND CONDITIONS OF SUCH POLICIES. UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. EXCLUSIONS - .t,8. -„ POLICY NUMBER R M10DlYYYY1 3/8/2013 I DIYYYw u1�AR'S leg TYPE OF INSURANCE INSR D t YO EACH occugRENGE $1000,000 $300.000 A G13IERAL I ABILITY Y 21 UUN1T9228 51812012 DAMAGE TO RENTED PROS tea Oocueenml X COMMERCIAL GENERAL Lk488LITY EN P(A:ry $10 000 I CiAI G -MADE © OCCUR MED mre Person) & ADV INJURY 81,000,000 $2,000.000 $2.000,000 $ PERSONAL GENERAL ACUTE PRODUCTS -C OMPIOPAGO GENL AGGREGATE LIMIT APPLES PEFC I T n LOC POLICY 1^ 1 r COMB! esott umn- 5 F.: AUTOMOBILE — — UABIUTY BODILY INJURY (Per parson) $ ANYAUTO AUTOS HIRED AUTOS — — AAUTOS NON—OWNED Auras BODILY INJtRiY(Per accident) $ 1PExacddenO E $ $ $ UMBRELLAUAB EXOESSLIAS ---11 IO( R EACH OCCURRENCE AGGREGATE $ I I g DEO RETENTION$ WORICFJtSCOMPENSATION AND EMPLOYERS' LIABILITY YIN N / A y 830 -25781 12/1/2011 12/1/2012 oTFt X 1 YT 1 I ER- EL EACHAC2DENT $000O° ANY � N � E DISEASE- EA EMPLOYEE $1000 (f y pnpN OF OPERXTIONS below E.L DISEASE - POLICY LRIIT 51.000.000 Schedule, if more space Is required) DESCRIPTION OF OPERAIIONS/ LOCATIONS / VEHICLES (Attach ACORD 1a1, Additional Remarks w a...W„ w.n..0 CERTIFICATE HOLDER 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, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. A3 REPRESENTATIVE ACORD 25 (2010105) (01988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD STRYL 1112082.8Q3. -972 BATCH NUMBER TYae P3� Y9 NE` Vig T ec a .e S CE MI Under tl3o Aprovi sioas or Chap Expiratzaa .date: Kap ;31,;. 201 ALICE*, i 3 fin C MARIA PL' . G OF A71.4t 20145; NIA ;15TH. PLACE H � o nisi Av AS REOUIREO SY,LAW KEE' LAWSON SECRETARY • T�COU CTORNTY 140 W.• FLAGI.ER ST. let-FLOOR MIAMI, FL 33130 250346 -5� NO. 262710 -8 BUSINESS NAME / LOCATION MARLIN PLUMBING OF MIAMI INC STATE# CFC048292 20145 NE 16 PL 33179 UNIN DADE COUNTY 2011 MIAMI-DADE COUNTY - STATE OFRECEIPT 012 FLORIDA RIDA EXPIRES SEPT. 30, 2012 MUST BE DISPLAYED AT PLACE OF BUSINESS PURSUANT TO COUNTY CODE CHAPTER SA - ART. 9 & 10. I:.._ RENEWAL FIRST -CLASS U.S. POSTAGE PAID MIAMI, FL PERMIT NO. 231 MARLIN PLUMBING OF MIAMI Sec. Type of Business 196 PLUMBING CONTRACTOR THIS IS ONLY A LOCAL TAX RECEIPT. IT DOES NOT PEfONT THE HOLDER TO VIOLATE ANY GOMM REGULATORY OR DEG LAWS OF THE COUNTY OR CITIES. NOR DOES IT EXEMPT THE ANY OTHER DER PPERMITT OR REQUIRED BY LAW. THUS LS NOT A CERTIFICATION OF THE HOLDER'S QUALIFICA- TIONS PAYMENT MEWED • WAW DADECOUNTYTAX COLLECTOR: 09/19/2011 09010336001 000075.00 SEE OTHER SIDE INC WORKER /S 1 DO NOT FORWARD MARLIN PLUMBING OF MIAMI INC EDWARD WALKER 20145 NE 16 PL MIAMI FL 33179 11111,1111111111111,111IIII 1111111111111111111111111111 it a 1i