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PL-13-845 1 Inspection Worksheet 0, -eYL11 Miami Shores Village r 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-189895 Permit Number: PL-4-13-845 Scheduled Inspection Date: September 17,2013 Permit Type: Plumbing- Residential Inspector: Diaz,Osvaldo Inspection Type: Final Owner: MACHEV, LUANN Work Classification: Addition/Alteration Job Address:1700 NE 105 Street 312 Miami Shores, FL Phone Number (305)310-5774 Project: <NONE> Parcel Number 1122300500500 Contractor: ALL COUNTY PLUMBING Phone: 305-796-6124 Building Department Comments HOOK UP SINK Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed L J ,1-3 Failed Correction Needed Re-Inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid. September 17,2013 For Inspections please call: (305)762-4949 Page 6 of 39 gliami Shores VillagO Building Department 71 6 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795.2204 Fax:(305)756.8972 INSPECTION'S PHONE NUMBER:(305)762.4949 FBC 20 IC) BUILDING Permit No. PERMIT APPLICATION Master Permit No. 1 4 Permit Type: PLUMBING JOB ADDRESS: /700 Mg /Dv City: Miami Shores County: Miami Dade Zip: AFUIr Folio/Parcel#: /U-ca Sta 0 - S:,O Q68 0 Is the Building Historically Designated:Yes NO X Flood Zone: OWNER:Name(Fee Simple Titleholder): I-W46 o (M*C ft%/� 16.,x 6 ry( Phone# e 0 7x710 Address: 1";N) AA9 /DS" c-cJ, City: A*- "'I AZ!f[yaks State: F47! Zip: OF TenandUssee Name: 14 Phone#:.,. 7aO Email: 4 o )4D1. , C CONTRACTOR:Company Na 1T�11V t &2 %1 , t,, Phone#: Nam: Address: L IU me -2-0 City: Q t�t ``i � State: A=L, Zip: Qualifier Name: Pn H l I t a-m Wae— y Phone#: State Certification or Registration#: ar(108(91q�s cr Certificate of Competency#: Contact Phone#: Email Address: DESIGNER:Architect/Engineer. Phone#: Value of Work for this Permit:$ SquarelLinear Footage of Work: Type of Work: DAddress ❑Alteration ONew �*epair/Replace C]Demolition Description of Work: U nV Submittal Fee t Permit Fee$ 42-1� CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ _ TOTAL FEE NOW DUE$ 15 4 y 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,S,POOLS,FURNACES,BOILERS,BEATERS,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 EMIPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CONMONCEMENT:' 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 Bence of such posted notice, the inspection will not be a reinspec ' f will be charged Signature ignatur Owner or Agent 66%r — Contractor The forgoing instrument was ac ed before me thi 911 The foregoing instrument was acknowledged before°me tins by 411 11 it A (/d001 h � day of 2�'� .20 ,by W l t I 1 prM W®y-SS P4Z. who is personally known to me or who has roduced rl 149 who is personally known to me or who has produces b�= al� as identification and who did take an oath NOTARY pdft-uft of FWW N ARY P my comm.EWM Dee 1,,2015 Co misston#EE 153352 _ Sign. Print: � el�� Print: �-�l i( '� � (-� qV- J Notary PubNc StAes of Fbrida My Commission Expires: 1 My Co $116im P Hester , my ExPhss 071119=14 1! APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised3/1212012XRevisM 07/10/07)(Revised 06(10 M)(Revised 3115109) STAME OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 .� a• `. 1940 NORTH TALLAHASSEE FL T STRFLT32399-0783 WOESSNER, WILLIAM W ALL COUNTY PLUMBING CONTRACTORS INC PO BOX 13098 PORT EVERGLADES FL 33316 srAre oi:FoPUnA ACS. 6 2 9 5 Congratulationsl With this license you become one of the nearly one million DEFARTMffi�7T OF } USINEgS Floridians licensed by the Department of Business and Professional Regulation PR0FESSIONA7. REGULATION Our professionals and businesses range from architects to yacht brokers,from ff boxers to barbeque restaurants,and they keep Florida's economy strong. CFC039956 tS_ f2 128048767 Every day we work to improve the way,we do business in order to serve you bettej For information about our services,please lag onto www.myFtoridalicense.com CERTIFTIV, ���RAE OR There you can find more information about our divisions and the regulations that W�ESSATERy impact you,subscribe to department newsletters and learn more about the ALA COQ N GTORS Department's initiatives. Our mission at the Department is:License Efficiently,Regulate Fairly.We, constantly strive to serve you betterso that you can serve your customers. is CS1tTIF2LD tuner fEte grovfsioas off: ch".4B9 PS Thank you for doing business in Florida,and congratulations on your new licensel i aat� AUG 31; Ioi4 r 12..00 a"821 DETACH HERE ,• • •- r . • 6 6 _ STATE OF FLORID4, DBPARTM' OF BUSINESS AND PROFS SS flNAL lEGULATION CONS�XJON INDUSTRY LICENSING BOARDD I!Q#L12082101821 LICENSE NBR r Z?$ >2 (# ,.180767C03995r;` t7ader OV3.8 oas o Chapter„� ' SxpiratiOn date; AUG_31, _2014 j 3 _ L, T ALL C C CONWigs, , 1Li BII Cr4RS �s 1870 NE 207 STREET ° NORTH MIAMI3FACH FL.: 3 31 WD - - _ C OTT r RSl+t. LAWSbN GOVEFLi�TbR SECRETARY DISP AS REQUIRED"BY LAW 115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895—954-831-4000 VAUID OCTOBER'1,2012 THROUGH SEPTEMBER 30,2013 DBA:ALL COUNTY PLUMBING CONTRACTORS Receipt#:PL>�INGP/LWN SPRNKL/CON CTOR Business Name; INC Business Type: (PLUMBING CONTRACTOR) Owner Name:WILLIAM W WOESSNER Business Opened:11/19 j1991 Business Location:701 N E 1 AVENUE State/County/Cert/Reg•CFC039956 POMPANO BEACH Exemption Code: Business Phone: 954-796-6124 Rooms Seats Employees Machines Professionals For Vending 9usiness 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 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 f WHEN VALIDATED and zoning requirements. This Business Tax Receipt must be transferred when I 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, Mailing Address: WILLIAM W WOESSNER Receipti#03C-11-00000414 PO BOX 13098 Paid 09/28/2012 27.00 PORT EVERGLADES, FL 33316 2012 - 2013 01/08/2013 01:31 #0718 P.001f001 s I AeOR ` BA7Etr rm0mmn ,,,,, .-- CERTtF1 A'TE QF LIABILITY INSURANCE Q1AM3 IM CERiIFIrAW IS MSUW AS A MATtMb—F oa:W ATM OCYAND CON FWtS NO UM THE CIRtTMATE MElt.TIES tER791CAIE DOSS NOT AFFMAT1113-Y OR NEGATM-Y Amwo,EXTaw Clit ALTER VM COVB AC EAFFORDW By Tw PW.N;W:S g&G WY.•TMCBMFICATE OF MMMAWE UM NOT COMMUTEA CONTRACT 9MV4 M Tiff MWM VWRER(Sh AUK Rf.PR MATW OR PRODUCER AND THE CERTIFrATE HOLDER. 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(954)977-Ma 97T qm MaWft 1364 Ni.S'�R9B!T FL 33063 rout: F1r= 9TT-W47 Fox WTT--5225 A: OMEGAUSSMOVNCE B• ALL Coumy PLUMS94 CONmcTcm C: 140 NE 2i+Mt St MrSUii$tD s MkoK FL.3M79- fliSUr�t F:VISUNER C Ate CIRTMATE N UMBM REYOWN NUMEEM 'rM 15 TO CERTFY TMT IMPOWNS OF 4 UMAMM L1MM8ELOW HAVE REM WBMTO THE WMAWD MAMM AWVE FM THE POLEY PEFUW BmATED.N o7TNiITISTAN om ANY Fwajwamw.TEm oR CONORION OF ANY CONTRAST OR OTHM DOCUMEWWM REW%67TO WHRGt TW CERTFATB MAY BE MM OR WAY PLYWM,TW WSLOM EAF KMW SY7HE POLIMS DES MONI 15 SUBJECT TO ALL TM T864% E)CLUMM AND CON MXM OPSUCH POUCRIL LMFTSSHMNMAYHAVE OEM READ BY PAID CLNMI ow TVMoF AMR uwm IL GENEIMLLIAILM d 0c0- 1 .00©UO {_} o � ® o� OUS00903046 MEDOiP�,y� zr 5,00000 A o 17A72I2012 17t41J2Q1S r' L&AWNAIRY 8 1,000,ODD.00 o GENERALAGGFWGATe s ZOO.OtJt>00 OEM.ASSIMUYELWAPPUESPEIfi -c A;G S 1 U00000.O() o rte,► on o Loc s AU EL1ABOM - "W" eJMT o ANY MM .Y fN w(permm) s o A�1 ❑ mmuLW ep1iAY Y a AVTOS S ❑ UMMM A&M E]«=a MkCH OCCLVWZWE S iOLN9 00.WMMAM At96RECiA1fl s El 9m Ll n WC A'8r. n Ei�QYER6'I�YY YfM - t �f3�ED? N!A ELEMXACCDM S Wo E> d ELDNEASE-MEMPLOVE S ttOn>s E.L.DMEASE-POLLY LIM 5 srrrOss�O�f►rlotiStLOCAti0sa6f tme�ehaf.��,a�our�aaao�lsSd�e.Dsewenpsasissapt�edf CERTRWAM HOLDER CA LMM ""MffW7MADMD6=MP0UMBE CANOMMUHFM CITY Of MIA>49 SHORES 7MO~MNDATETHEPEW.NOTMVVRLBADBNEMIN BU&DM DEPARTMENT Pr Y 100W NE2N DAVE a WM1 WORM FL 33130 018-MOAGMWC�i T�4. II��eev� ACOI�ZB RHO"OF ACORD now mid�we reed of7�0i�O ti5-23-2011 JB+ ATWATER STATE OF FLOFdDA f MUMMnt.GFR= ®E-AR I r1IINT OF F94ANCIAL SERVICES D VISION OF WORKERS' COMPENSATION CMVICATE OF 8.IFCT1011 TO BE MPAPT FROM FLORIDA WORMS! 6EIIf MA110 LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies that the ind'vidwl listed be#ow has elected to be exempt from Florida Workers CompWsafifln law. EFFECTIVE DATE: 0512312011 EXPIRATION DATE: 0512212013 PERSOM WOESSNF.R llVft_UAM FEIN: 651117388 BUSINESS NAME AND ADDRESS: ALL CMilttrY PLUMBIM C,GUMCTORS INC P a BOX 43f} a PORT VERGLAM FL 39348 SCOPES OF BUSINESS OR TRADE. i'- PLfl6+lMING fidP9RiAEiii f=Gaasao9t to Ewa 449 . 03tf4 F.S, an afffc of a sarp"aUaa Wha e3szts'gZwoo km this cbopw by ffff>}g a c�tititette of eiacffa& tmda swim on �rewsrer bads or setter tHs daVar.Pam w to rkapW 439.1131121 F.S., rorMaW d fo f2 exemv> - �y -mr,, of ft i or nk listed as me mtke of etecow to be exempt. P=m at to MqMw 4411.09433, F.S. Natim of stecft fa bO $a cafffkM s Ot wwba m be exempt shag be sabjed to mevac r m I at say ff m after fbe "rag of ft sauce or Me fssvaece l am c�tfc fhe paw ammm cmukde an teases sleets 1ha regairameafs of this s wan for lssema of a eff"aacem Zee depatm m skan revoke o Mtnlcate a my mare far fafaam of tba Parses aannd oa The Cartffaeata to mgt the Fegakse€M of fhls sae&a. MEMM (85i?I 413-16119 il1NG-252 CERTIRrATE of ELEMON M HE EXHUi T #iEVIMI (!1711 PLEASE CUT OUT THE CARD RELOW AND RETAIN FOR FUTURE REFERENCE sTA1'EtiF F-GF= IMPORTANT DWAR�pf��ctSERVIMTi6N F Furstdm to C}tolater 44(195114). F.S., act 9ffttm Of.2 cwV":flw WbD ivalMMRf:R.'fI.€3a•�!' O e teem nanpdon frmf this r by a cwdfkm-Of sham CB;TI1=tCAlVt3F T0BE F FLORIDA -futds� (1115 59Cti11n may not recoasf benefits to compawm LAW EFFECTIVF-- 05/23/2011 EXPIRAT?ON DATE: 05/22/2013 Pursumt.to Chapter 441195{12), F.S. Cardficatas of slecdon to be PEdSol* WILLIAM WOESSNER H exwnPt-- apply wly a kwn the smWs of the business or trade I19ted on E the notice,of election to be exempt. FER f3511173f98 R BUS1f*M NAME AND ADDRESS: E Flr wwt m w 441 M113) F.S., Ntat O.of election to be t ALL COUM nun=eassnaetM tee and certificates of election to be exmpt sbaR be sfdtitsct to revoctttimt a sox (toss if, at any me a1w the fR'M of f mom or the fsst�fce of ft certificate, t w person umined an the notice or certificate no longer "toms Pau EVEKGLAO FL 3331$ the retluir of this secti� for fssf>zntce of a cl:rtificate. departyrtent shag reeoke a cortificate at any tone fur faihfre 111 #0 SCOPE OF 81J5g 5S .T person nmued net the certlfl�e to :steer the re*&emet5 of this I-Buts SPCtt9A ME511iTi W (8601 413-1 CLOT HERE x CETy bottom pordorl on the job, keW upper Portion for yow records- DIi+IC-252 CI3iMCATE OF ELECnON TO 13E EKBMrF REVISED 01-11