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PL-13-37
Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-188413 Permit Number: PL-1-13-37 Scheduled Inspection Date: April 08,2013 Permit Type: Plumbing - Residential Inspector: Hernandez, Rafael Inspection Type: Final Owner: VASTARDIS,ANTHONY Work Classification: Addition/Alteration Job Address:1175 NE 105 Street Miami Shores, FL 33138- Phone Number (786)294-0954 Parcel Number 1122320280281 Project: <NONE> Contractor: ALL COUNTY PLUMBING Phone: 305-796-6124 Building Department Comments PLUMBING WORK FOR WATER HEATER REPLACEMENT Infractio Passed Comments AND PLUMBING FOR KITCHEN INSPECTOR COMMENTS False Inspector Comment Passed CREATED AS RE[ CTION FOR INSP-183920. Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. April 05,2013 For Inspections please call: (305)762-4949 Page 29 of 42 PERMIT# CONTRACTOR: lbod SUBMITTAL DATE: ADDRESS: NAME: Avir-11 MAI IV ) RESUBMITAL DATES: PROJECT TYPE: ZONING FIRE STRUCTURAL IMPACT FEES ELECTRICAL 11HRSIDERM PLUMBING NOC MECHANICAL BLDG Miami Shores Village 1`7 A Building Department JA i C J , 90050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795.2204 Fax:(305)756.8972 By`°°°®°°°°mmmmm®°°°6O° INSPECTION'S PHONE NUMBER:(305)762.4949 FBC 20 11 BUILDING Permit No. PERMIT APPLICATION master Permit No. Permit Type: PLUMBING JOB ADDRESS: 11075 City: Miami Shores County: Miami Dade Zip: Folio/Parcel# U�ze) Is the Building Historically Designated:Yes NO Flood Zone: OWNER:Name(Fee Simple Titleholder): Phone#: Address: 1jJQkRkzxadzM�- City: S l� Zip: Tenant/Lessee Name: Phone#. Email: ' CONTRACTOR:Company Name: �hh L ol/Nr% 6/tr3G �iV 712-t A41 G Phone#: 32r' 9 2 Z Address: )17 o S e)- /z,I o City: / (®/ State: Qualifier Name: W , ®£Ss//If A Phone#: State Certification or Registration#: &`® 97 'A_Certificate of Competency#: Contact Phone#: f Email Address: 4)K 4 f 41— 00 4 9l"AA ®�CKK 7 M,4/( . C.O,ol DESIGNER:Architect/Engineer: Al, Phone#: Value of Work for this Permit:$ Z y Square/Linear Foo a of Work: Type of Work: DAddress DAlteration ONew ®Repair/Replace ODemolition Description of Work: 1-4— 74 hZ/L " P`044-1 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$ ° 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 FAIPROVEMENTS 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 issue 1 sence rch p ed notice, the inspection will not be pproved and a reinspection fee will be charged Signature Signa Owner or Agent Contractor The foregoing instrument was acknowledged ggb'�efore me this The foregooi g in ment was acknowledged before me this day of 20 13,by l5�! AJAR day of ( ,20 L ,by who is personally known tome or who has produced P'L Voe"ve.r-- who is personally known to me or who has produced r SP As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: _. � Sign: Sign: VA Print: �t° �' Print: C �� R f My Commission Expires: �� Eyp yp ARTOLA My Commission x Commission#EE 198189. Notary Pubic.State of Florida My Comm.expires May t4,2016 CommissbM EE 167448 My Comm.expires Feb.7,2018 APPROVED BY — '/ Plans Examiner Zoning Structural Review Clerk (Revised3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) STATE OF FLORIDA B DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 WOESSNER, WILLIAM W ALL COUNTY PLUMBING CONTRACTORS INC PO BOX 13098 PORT EVERGLADES FL 33316 _ STATE OF FLORIDA AC.# Congratulationsl With this license you become one of the nearly one million DEPAkTL :PdT nF $US ESS AM Floridians licensed by the Department of Business and Professional Regulation. PROFESSI�"GULATION`':.:. Our professionals and businesses range from architects to yacht brokers,from ._ boxers to barbeque restaurants,and they keep Florida's economy strong. -' 12 CFC03995fi1 t8� 32 13048767. Every day we work to improve the way we do business in order to serve you bette r`6 For information about our services,please log onto www.myfloridalicanse.com. CTOR There you can find more information about our divisions and the regulations that = TESSNBR Lfi impact you,subscribe to department newsletters and learn more about the ALL CQUN Y LING r. RACTORS Department's initiatives. Our mission at the Department is:License Efficiently,Regulate Fairly.We cs'' constantly strive to serve you better so that you can serve your customers. _ R � �rootsions ,�sy Thank you for doing business in Florida,and congratulations on your new ltcensel r �data:AII .- 31; 'IOU S,12tI1.022:01821 PSI DETACH HERE A #6 6 9 STATE OF FLORIDA DEPARTMENT OF BUSINES$AND PROFLSSXV] A- REGT]LATION . CONS 'RCfCTION INDVSTRY LICE" BC)ARD SEQ#L1208210I82T •. LICENSE NBR 21 20x : 8047 Thy P3,TiN< CON 'tACTO]t ` I�fiamect be14t� 19 dt, FI i w Under the=-provisions F61. Chapter° FS« ExTiratian date: ,AUG .3 1, 2 014 WOESSIEN, .TILLIA&W ALL CONY FLClMBT<l�T0 CONTRAC`�OR9 ANC=:, 1870 `NE 207"1STREET w` . 147H MIAMI $EACH FL 331?9 "P ;,- _ RICK SCOTT -. KEN''LAWSON GDVRRNOR SECRETARY . - DISPLAY AS REQUIRED BY LAW - 115 S. Andrews Ave., Rm.A-100, Ft. Lauderdale, FL 33301-1895—954-831-4000 VALID OCTOBER 1,2012 THROUGH SEPTEMBER 30,2013 DBA:ALL COUNTY PLUMBING CONTRACTORS Receipt#:PLC NGjLWN SPRNKL/CON CTOR Business Name: INC Business Type: (PLUMBING CONTRACTOR) Owner(dame:WILLIAM W WOESSNER Business Opened:ll/19/1991 Business Location:701 N E 1 AVENUE Stats1County1Cert 1Reg:CFC039956 POMPANO BEACH Exemption Code: Business Phone:954-796-6124 Rooms Seats Employees Machines Professionals 1 For Vending Business Only Number of Machines: Vending Type: Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paid 27.00 0,00 0.00 0.00 0.00 0.00 27.00 i THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Broward County and is non-regulatory in nature.You must meet all County and/or Municipality planning WHEN VAUDATED and zoning requirements. This Business Tax Receipt must be transferred when the business is sold, business name has changed or you have moved the business location.This receipt does not indicate that the business is legal or that it is in compliance with State or local laws and regulations. Malting Address: WILLIAM W WOESSNER Receipt #03C-11-00000414 PO BOX 13098 Paid 09/28/2012 27.00 PORT EVERGLADES, FL 33316 2012 - 2013 05-23-2011 JEFF ATWATER STATE OF FLORIDA CHEF FINANCtAl-OFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OFWORKERS' 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: 0512312011 EXPIRATION DATE: 0512212013 PERSON: WOESSNER WILLIAM FEIN: 651117368 BUSINESS NAME AND ADDRESS: ALL COUNTY PLUMBING CONTRACTORS INC P 0 BOX 13099 PORT EVERGLADES FL 33318 SCOPES OF BUSINESS OR TRADE: I- PLUMBING IMPORTANT: Pursuant to Chapter 440 - 05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate Of election under this under this chapter. pursuant to Chapter 440.05112). F.S., Certificates Of 010131011 to be-O%9mPL-- apply only within 'be section may not recover benefits or compensation a Chapter 440.05(13), F.S., notices at election to Be exempt end certificates of scope at he business or trade listed an the notice Of election to be exempt. Pursuant t a notice or the issuance of the certificate the person named an the notice at election to be exempt shall he subject to revocation it, at any time after the filing of th certificate no longer meets the requirements of this section tar issuance of a certificate. The department shall revoke a certificate at any time for failareal the Person named on the certificate to meet the requirements of this section. QUESTIONS? 1850) 413-1609 DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01-11 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA IMPORTANT DEPARTMENT OF FINANCIAL SERVICES F Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who DIVISION OF WORKERS'COMPENSATION 0 elects exemption from this chapter by filing a certificate of election CONSTRUCTION-INDUSTRY CERTIFICATE OF ELECTION To BE EXEMPT FROM FLORIDA L under this section may not recover benefits or compensation under this WORKERV COMPENSATION LAW 6., D chapter. EFFECTIVE' 06/23/2011 EXPIRATION DATE: 05/22/2013 pursuant to Chapter 440.05(12), F.&, Certificates of election to be PERSON: WILLIAM WOESSNER H exempt.. apply only within the Scope of the business at trade listed on E the notice Of election to he Exempt FEIN 651117368 R BUSINESS NAME AND ADDRESS: E Pursuant to Chapter 440.05(13). F.S., Notices of election to be exempt ALL COUNry PLUMBING CONTRACTORS INC and certificates of election to be exempt Shall be subject to revocation P 0 Box 13098 if, at any time after the filing of the notice or the issuance of the PORT MRGLADES, FL 33316 certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this SCOPE OF SUSINESS.OR TRADE section. I- PLUMBING QUESTIONS? (850) 413-I509 CUT HERE Carry bottom portion on the job, keep upper portion for your records. OWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01-11 01/08/2013 01 :29 •#0717 P. 001/001 ' '_, CERTIFICATE OF LIABILITY INSURANCE DATE(MMFDDN!YYY) aIAW13 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RWITS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND oR ALTER THE COVERAGE AFFORDED BY THE POLICIES sm0w. THIS CERTIFICATE OF INSURANCE Dots NOT CON$'1ntm A CONTRACT BETWEEN THE 15 DING INSURER(S� AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CER•f>FTCATE HOLDER. IMPORTANT! df the oettifar ow holder Is an ADDITIONAL INSURED.tft WIgyCms)mast be endorsed. M SUBROGATION IS WANED,subioa to the terms and;;;Zr;of the pouq,certain proilcies MAY tsvuir®an endorwmnL A statement on this certificate dotes riot cornier rights to ttsc cedWmade holder In Nett of such endotsemenI f s). PRODUCER NAME; YULIA GONZALEZ Rainbow Irlsutmes,Inc. ptl (954)977 0tb47 eIO: (954)977-5004 1344 N.State Road 7 Iesr�rainbow'sesucarme.com Margate,FL 33063 INSTI AFFORDWG t:OVERA(iE NAIL Phor9 (954.)977-0047 F;m (154)977-55225 INSURER A I OMEGA US INSURANCE INatelwo >NS1JRtlt B t ALL COUNTY PLUMBING CONTRACTORS INSURERC: 140 NE 214th St INSURER D Mimi,FL 33179- INSURER E COVERAGES CERTIFICATE NV>SA$ER; REVISION NUMBER: THIS IS TO CEKnFY THAT THE POLICIES OF AISURANCB LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR=413ITION OF ANY CONTRACT OR OTHER DOCUMENT W ITt1 RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBES?HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMIT$SWWN MAY HAVE BEEN ReoIJQ=BY PAID CLAIMS. LIAR Type OF AWCE AD POLICY EFp POUdY EXA POLICY WtltltiER D Mlb t inns GENERAL LWBIetiY EACH OCCURRENCE• S 1,000,0W.00 ® COMMERCIAL GENERAL L1ABII,ITY A ❑ El MS CLN .mm © OCCUR QU500w39346 EDM >=xxP(aWcr+evereon s 5,000.00 11102/2012 11/02/2013 PERSONAL&ADVNAM $ 1,00,000.00 GENERAL AGGREGATE S 200,000.00 GENL AR3GREGATE LIMIT APPLIES PEFI: ❑ POLCY ❑ PRODUCT$-COMPIOPAGG $ 1,000,000.00 ❑ LOC $ AMt OAMEL•IAabjiry � nI ELIMfT ❑ ANY Auro M. ❑ ALL OYyNED ❑ =rOSFi UULED VOULY INJURY(OW pmoe) $ El HIRED AUTOS n AUTOS W"W SODRY LV R1RY(Pgr g ROB G6 $ ❑ $ era LLAS r],,,. FaCi I oCCURR@ICE $ accr�ss LfAB ❑GLAIM5 MADE L..I DED El RETENTIONS AGGREGATE $ WORRIES COtdRE i"TION $ ANDESPLOYMbl.UAbp_rrY YIN WCSTATIl ANY PROPMeTo P� EXCLUDED? NIA E•L EACH ACCDSNT S I�fyc�i3ecraibe 8� F E.L.DISFiASE-EA EI noyE S DESCPoP77ON OF OPERATIONS bmw EJ_DISFnS9-P(<tCY LQyIry' $ 'WRIPTION OF OPERATIONS I LOCATION$!vegcLEB(Atbieh ACORO 701,Add s!Rrmis Soho".E aim speas is reQwm4) r CERTIFICATE BOLDER CANCELLATION CITY OF MIAMI SHOIFS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFCW THE E>r RATiOAI DATE THEFtWF.NOTICE W"B DELIVERED IN BUILDING DEPARTMENT A C THE POLICY PROVISION& 10060 NE 2ND AVE RIB A MIAMI SHORES,FL 33138 r. ACORD 25 won)QF W 19$8-2010 ACORD Co ON. r#ed. ACORD name and logo are reglstsrsd Of