PL-13-1177 > b
Inspection Worksheet 3 Miami Shores Village �"117
10050 N.E.2nd Avenue Miami Shores,FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-204062 Permit Number: PL-5-13-1177
Scheduled Inspection Date: December 10,2013 Permit Type: - Residential
Inspector: Diaz,Osvaldo '
Inspection Type: Final
Owner RICHARDS, RANDALL Work Classification: Addition/Alteration
Job Address:10666 NE 11 Avenue
Miami Shores,FL Phone Number (305)335-4848
Project: <NONE> Parcel Number 1122320280690
Contractor: ALADDIN PLUMBING&CONSTRUCTION CORP
J
Building Department Comments
PLUMBING FOR NEW BATHROOM Infractio Passed comments
INSPECTOR COMMENTS
False
Inspector Comments
Passed
Failed El
Correction
Needed
Re-Inspection
Fee
No Additional Inspections can be scheduled until
u-inspection fee is paid.
December 09,2013 For Inspections please call: (305)762-4949 Page 27 of 32
Miami Shores Village
Building Department ,
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795.2204 Fax:(305)756.8972 MAY 262013
INSPECTION'S PHONE NUMBER:(305)762.4949
FBC 20 � ------------
BUILDING Permit No.�jc 4
PERMIT APPLICATION Master Permit No.VC1 3 — ( 11
Permit Type: PLUMBING
JOB ADDRESS: 1AIA � /�
City: Miami Shores County: Miami Dade Zip.
Folio/Parcel#:
Is the Building Historically Designated:Yes NO Flood Zone:
OWNER:Name(,Fee Simple Titleholder): A(64A464 Phone#:
Address: !®[��&CL wal z e
City: d G State: Zip:
Tenantlessee Name: Phone#:
Email:
CONTRACTOR:Company Name: 14Ld k2 fiU A"`192 Phone#:
Address: Ae�1 d21 `°
City: l�S, Stater Zip: ,J
Qualifier Name:00 a Mme2 Oc,et-Z Phone#:
State Certification or Registration#: Certificate of Competency#:
Contact Phone#: Email Address:
DESIGNER:Architect/Engineer: Phone#:
Value of Work for this Permit:$ 02 Square/Linear Footage of Work:
Type of Work: ❑Address OAlteration JVNew ORepair/Replace ODemolition
Description of Work:
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$ C�
e r I
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 esti value exceeding$2500, the applicant must
promise ' faith that a copy of the notice of commencement an�conste
n lien law brochure will be delivered to the person
wh e property is subject to attachment. Also, a certified copy of the tice of c ommencement must be posted at the job site
fo the first i pection which ccurs seven (7) days after the ding permit is issued In the absence of such posted notice, the
ins ection wi not be approve nd a einspection fee w' a charged.
Signatur Signature
wner or Agent Contractor
The fore oing trument was ac wledged be re this The foregoing instrument was acknowledged before me thi AA
day of ,20 ,by l . day of 20L_,by ,
who is c rsonall kn o or who has produced who is o y known to me or who has produced
Ime
entification and who did take as identification and who did take an oath.
NOTARY IC: NOTARY PUBLIC:
e
Sign: ,eSs�, °���� Sign. lf±ec��
Print: Print:
�`��G°�.��`oo Notary public Stme of SmWe
My Commission Expires: �; a My Co a pee Hart
MY Commission FF 010644
EXOMS O4121/2017
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APPROVED BY J` Plans Examiner Zoning
Structural Review Clerk
(Revised3/12/2012XRevised 07/10/07XRevised 06110/2009)(Revised 3/15/09)
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD (850)487-1395
1940 NORTH MONROE STREET
TALLAHASSEE FL 32399-0783
MENESES,ORESTES FELICITO
ALADDIN PLUMBING&CONSTRUCTION CORP
660 NW 121 ST STREET
NORTH MIAMI FL 33168
Congratulations! With this license you become one of the nearly
one million Floridian licensed by the Department of Business and STATE T FLORIDA
Professional Regulation. Our is art businesses range t3EPAR S AND
OF BUSINES
from architects to yacht brokers,from boxers to barbeque restaurants, pR . " =ffGUI.ATtON
and they keep Florida's economy strong. fi 0210x O13
CFCO26527
Every day we work to improve the way we do business in order to r
serve you better. For information about our services,please tog onto . CERTIFIED V R
www.myfloridaliterme.com. There you can find more information �
about our divisions and the regulations that impact you,subscn'be ALAD, i�pl , NCO
to department newsletters and team more about the Department's
initiatives. - '
Our mission at the Department is:License Eff�entiy.Regulate Fairly.
We constantly to serve better so that you can sere your LS CE&311:f�C�umret the �ovisiOf+B Of Gf�h88 FS
customers. Thank you for doing business to Florida, t + 201
and congratulations on your new license!
The Department of State is leading the commemoration of Florida's 500th anniversary in 2013.
For more information,please go to www.ViivaFlorida.org.
DETACH HERE
STATE OF FLORIDA..
DEPARTMENT OF BUS94M AND-PRQFESSMNAL REGULATION let a
RP
it� I�fiDUS�ff't'LIC.E:f 130A �
GON�r tRUCT
CFCi326527`
The PL4fIt EaNu-OQtdTRAC-TOR
n
Named-Below I&CERTWtED
Under the.provisions of-Chapter 489 FS.
Expimtion date: AUG 31,2014
WEN ESTIES � r=
AtA
I` r• #`/`iT/ b... w'S'>.Y��R� 4th {� )YfiI A 1
ISSUED: 02/0612013 SEQ# 1,1302060001007 KEN LAWSON
RICK SCOTT SECRETARY
r_nircokinR n1RP1 AY AS REQUIRED BY LAW
.a
JEFF ATWATER
CHIEF FINANCIAL OFFICER STATE OF FLORIDA
DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORKERS'COMPENSATION
*"CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS'COMPENSATION LAW
CONSTRUCTION INDUSTRY EXEMPTION
This certifies that the individual listed below has elected to be exempt from Florida Workers'Compensation law.
EFFECTIVE DATE: 2/1!2013 EXPIRATION DATE: 2/1/2015
PERSON: MENESES ORESTES F
FEIN: 650918482
BUSINESS NAME AND ADDRESS:
ALADDIN PLUMBING&CONS1
660 NW 121TH ST
N MIAMI FL 33168
SCOPES OF BUSINESS OR TRADE:
PLUMBING NOC AND
DRIVERS
Pursuant to Chapter 440.05{14),F.S.,an officer of a corporation who elects exemption from this chapter by flag a certtfleate of election under this section may
not recover benefits or compensation under this chapter.Pursuant to Chapter 440.05(12),F.S.,Certificates of election to be exempt..apply only within the scope
of the business or trade listed on the notice of election to be exempt Pursuant to Chapter 440.05(13),F.S..Notices of election to be exempt and certificates of
election to be exempt shaft be subject to revocation if,at any time after the fit of the notice or the issuance of the certificate,the person named an the notice or
certificate no longer meats the requirements of this seen for issuance of a certificate.The department shalt ravoke a certificate at any time for fwfure of the
person named on the cal ticate to Rim the requirements of this section.
DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 07.12 QUESTIONS?(850)413-1609
/'► DATE(IWNUDDrYYY1r)
,..d ERTIFI ATE OF LIA13ILITY INSURANCE 06124/13
THIS CE�R IFICATE IS ISSUED AS A MATTER O INFORAr1AT10N ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFIC�1TE DOES NOT AFFIRMATIVELY OR EGATIVELY AMEND,EXTEND OR/ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE ES NOT CONSTITUTE A CONTRA6T BETWEEN THE ISSUING INSURER(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE RTIFICATE HOLDER. .
IMPORT : if the certificate holder le an ADDITIO INSURED,the policyges)must be endorsed. H SUBROGATION IS WAIVED,subject to j
the tenns aAd conditions of the poncy,certain policies i my require an endoraemwd.A Statement op this card icate does not confer rights to the
certificate tioWder In Ileu of such endomemengs).
PRODUCER Tncr YANET PADRON
Almar Insurance Services,Inc. E (305)633-3781 tFAAMX No (306)63�- 926
2331 N.W.27th AVG. L �artetpadron0l@aol.com
Miami,FL W42 _. 1NSURER(a)AFFORDING COVERAGE NAIL 0_...
Phone (30)633-3781 Fax 305) 0926 INSURERA; CANAPIUS US INSURANCE,INC
INSURED INSURER 5:
ALADDIN PLUMBING&CONSTRUCTION CORP. INSURER C
660 NW 121.$t
I _INSURER E
Miami,FL 331 8-6
68- ( 06)78174
INSURER F;
COVERAGES CERTIFICATE UMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURA E LISJED BELOW HAVE BE ISSUED TO•THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED:.NOTWITHSTANDING ANY REQUIREMME TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICA'T'E 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.LfAITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
t TYPE OF INSURANCE ADDLBUBR PO NUMBER LIMITS
GENERAL LIABILITY EACHCCC�UR_RENC —1,00Q000.00
® COMMERCIAL GENERAL LIABILITY DAMAGdS(fsENTE $ 100,000.00
El El'CLASns-MADE El OCCUR US009042641 a D ExP fAr w,s $ 5,000.00
A
❑ 02/0aA2Q13 02/01/2014 PERSONAL&ADVINJURY $ 1,000,000.00 !
❑ GENERAL AGGREGATE V $ 2,000,000.00
GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOP AGG $ 1,000,000.00
❑ POLICY ❑ Jpm ❑ LOC $
AUTOMO*MILE LIABILITY OMB D SINGLE LIMIT
❑ ANY AUTO BODILY INJURY(Per person) $
ZL 06WNED SCHEDULED
AUTOS BODILY INJURY(Per nt $
❑ AUT08 ❑
❑ HIRED AUTOS ❑ A WNED ,; PER AMAGE $
UMBRELLA LIAB -- --I
❑ ❑OCCUR N.•I EACH OCCURRENCE_ $ 1
❑ EXCESS Lum ❑CLAIMS-MADE i'••:: AGGREGATE $ i
❑ DED ❑ RETENTION$ $
WORKERS COMPENSATION i WCSTATU ❑0 -
AND EMPLOYERS'LIABILITY YIN
ANY PROPRIETOMPARTNERIEXECUTIVE• E.L.EACH ACCIDENT $
OFFICERIMEMBER EXCLUDED? N I A
(M���nssdatory in Nye f E. DISEASE-EA EMPLO $
DE34�RIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Aftel ACORD 101,Additional Remaft Schedule,H more spate is required)
PLUMBING
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESC POLICIES BE CANCELLED BEFORE
MIAMI SHORES VILLAGE THE EXPIRATION DATE THEREOF,N E BE DELIVERED IN
10050 NE 2 AVE ACCORDANCE WITH THE POLICY S.
MIAMI SHORES,FL 33138 AUTHORIZEo' —�
*7
!FAX:305 756 8972 --e
01988-2 0 ORD CORPORATION. All rights reserved.
ACORD 26(2010106)QF The ACO name and logo are mgtstored marks of ACORD
City of North Miami
NORTH m m
776 N.E.125 Street • North Miami, FL 33161 305-893-6511
Business `fax Receipt/Certificate of Use
Issued Date: 101112012 PLUMBING CONTRACTOR(CFCO26527)
Expiration Date: 9/30/2013
Business Tax Receipt#: BT-002927
Business Name/Address:
ALADDIN PLUMBING&CONSTR.CORP
660 NW 121 ST
ALADDIN PLUMBING&CONSTR.CORP NORTH MIAMI,FL 33168
660 NW 121 ST
NORTH MIAMI, FL 33168 Michael A.Etienne,Esquire,City Clerk
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