PL-13-1654 08-08-'13 06:43 FROM- T-645 P0001/0004 F-841
Inspection Worksheet
Miami Shores Village
10060 N.E. 2nd Avenue Miami Shores,FL
Phone: (305)795-2204 Pax:(305)766-8972
nspection Number: INSP-195766 Permit Number: PL-7-13-1654
Inspection Date:August 07,2013 Permit Type: Plumbing - Residential
Inspector: Diaz, Osvaldo
Inspection Type: Final
Owner: VALDES,ERICK Work Classification: Addition/Alteration
Job Address:33 NW 93 Street
Miami Shores, FL 33160
Phone Number
Project: <NONE>
Parcel Number 1131010340280
Contractor: GRAND PLUMBING CORP Phone:(786)337-9090
Building Department Comments
REPLACE= EXISTING CAST IRON SANITARY LINES IN Infractio Passed Comments
CRAWL SPACE, RUN NEW WASTE LINES IN PVC INSPECTOR COMMENTS False
SCHEDULE 40
Inspector Comments
Passed
mac r3-
Failed ''-
Correction
Needed
Re-Inspection
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
For Inspections please ase call. 305
August 06,2013
p ( )762-4949
Page 1 of 1
Aug 0213 08:09a Grand Plumbing Corp 7863379097 p.2
• ••�• ..•ter .m u•r..•..,w.wVw.av rwY•f wxilf� roVJ./f 7V a1 1''laf l6
CERTIFICATE OF LIABILITY INSURANCE DA,�W13'
�. f
PRODUCER UMW Insurance Agency --- --- - - : _ TItIS CERTIFICATE 1S ISSUED A$A MATTER 01`6F MATWN i
2156W 1 7th Avenue SuI'b #217 ONLY AND CONFM NO RIGHTS UP'OIV THE CERTIFICATE
HOLDER.THIS CERTIFICATE DON NOT AMEND EXTEND OR
I1Aid111i. 331.35 ALTER THE;OVERAGE AFFORDEDSY THE POLIO
VA
E ",
(305)541-381.0 Fax 305 541-38 � ��.�� .
. ( ) 11 INSURERS AFFORDING COVERAc3E _ NAIC rY
INSWIED Grand Plumbing Corp. INSURER A: SCOTTSDALE 1NSURANCE CQMPAN
2315 W 2nd Avenue IN3UirFR . BRIDGEMELD CASUALTY INSURANC
•
Hialeah, FL 33D10- INSlLf C�• «� `
!
I
�(766) 337-9090 u�yftk v; _.
INSURER E•
COVERAGES
THE POLICIES OF INSURANCE LISTED HAVE BEEN ISSUEO TD T"C WSUREO NAII EO ABOVE FOR THE POLICY PERIOD INDICATED.NOrwITHSTANOiN6--
ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTWR DOCUMENT WITH 1E5PECr TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCIISED HEREIN IS SUBJECT TWILL THE TEFdNS,EXCLUSIONS AND CONOrT10NS OF SUCH
POLICIES.AGGREGATE LINTS SHO}lyiµMAY HAVE BE�1 REDUCED BY PA10 i
I
--- CLAW
u+slt nno•L�
LTA TYPE OF INSURANCE r POLICY WFE=Ve iYOUCY EXPlNfiTIOlI
I I POLICY HUMt1Elt TE MMr601YYY1l DATCiIMIYIlCI}/YYYYI L1M1T5 '
GENERAL LL44JUTY 1 EACH OCCURRENCE $1.000.00 O
I Hfl COWERaAL GENERAL LIABILITY I DAMAGE TO RZNTED
rCPS1742937 04/29/2013 04lZ9/Z0,4 IPAEMI$E5(EIti1E{;IrrjOlRe� $100,0001
I A I. CLAIMS MADE �( OCCUR NICED EXP(Any are Person) .$5000
I t =� I
1GENERALAGGREGATE
PERSONAL a ADY INJURY $, 000_fl00
_ $Z,000,COO
i IGEN'L AGGREGATE LMT APPLIES PER-
' PRODUCTS•CDk1POc1P AGCY - $1.0(10,00(J
POLICY F PROJECT i �J LOC
'AUFTOMOBILELUMILITY - -__--- 1 _,. _. ....
U ANY AUTO COMBINED SINGLE LMT
ALL OWNED AUTOS (Es aixidnilti
I I I I SCIII EDULEDAUTOS BODLYMIJURY
I I HIREDAUT09 (PaPump)
�j NON OWN90AUTW DOPILYML URY
(Perseddenq
- _� PROPERTY DAMAGE I
_�: (Per exldero)
GARAGE IAVTOl7Y
AUTO
ANY AUTO OWy..E ACCIDENT '
'
I OTHER THAN EAACC
Excass/UNIBRELL4 L1J9)L rY AUTO ONLY: AW
I EACH OCCURRENCE
OCCUR I CLAMS MADE AGGREGATE
I ! DW=TIKE ; 1
+l i DETENTION S
WORKt SCOMP01H30.TIDNANO __...
EMPLOYERS"LUMILITY D196 E( 05359 wC sTA
B ANY PROPRIETOR I PARTWR/EXECUTIVE 0212L'2013 3 0201W2014 TDKY T&
OFFICERIMC:M9EREXCLUDED? E.L.EACHACCIOENY
(fta.d tory In NHj ,E.L.DWRFJISE-EA EA�LO1rEE 1,+700,Q00
n t,Q05w ibn YnUCI
r S
07HER RAO Q t±efvw -_-_._ .... i E.L.VISERSE-POLICY LMIOT 1.004.0001
. T
dESCR'PTION OF OPIrMATIM31 ILOCATONS A VEHICLES A P1fCLU910N81{ppEO I ENIDORSEMENT ASPFCrAL ppdt)
PLUMBING-RESIDENTIAL AND COMMERCIAL Nw"
CERTIFICATE HOLoBt - CANCELLATION -
SHOULD ANY OF THE ABOVE OFSCRWM POLIGF.S BE CANCIM.L@D 6EFpf1E THE
CITY OF Mb4A111 SHORES EXVMTMOATE THEREOF,THEISWUGINSL1RER ArILL1BYOPAVOR FCflET
ORES
30 aLYS w
10050 NE 2ND AVENUE THE LEFT BUT P NiDTICE TH [FIC:ATE HOLIIER NAa1ED TO
w1I.URE T O Tao SO IMPOSE NO OBLIGATION OR LIABILITv
MIAMI SHORES, FL 33138 :OFANTKMDUPONTH •iT Oft OR
AUT ._...__w_
I Ph (305 795.2207 Fax(305)756-8872 ' U oberto A Gonzaiez(President) I
ACURD 2Q(xDa9fP1j ttF'- _ 7 008 ACCRD COI�ORA'fIr7N.AR r ppl�eM29�
The ACORD name anLl 1 igtlS rued.
��IItC r�i�ered marks of ACORD
1
Miami Shores Village
Building Department
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel: (305)795.2204 Fag: (305)756.8972
INSPECTION'S PHONE NUMBER:(3057 762.4949
FBC 20
BUILDING Permit No.
PERMIT APPLICATION Master Permit No.
Permit Type: PLUMBING
JOR- DDRM- " NkJ C)3 07, l arai, & ,reso R. _Iglso
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:
Is the Building Historically Designated:Yes NO Flood Zone:
IMWEW.Name(Fee Simple Titleholder):U I ien L 4 0 e Phone#: _t�05 'q%- e 992 1Z-
Address f qgsr
aty _HiQm/ cS�=Yes State: �L Zip�,_a59sm
Tenanulessee Name: Phone-#:9()6-
;Email: .
CONTRACTOR:Company Name fO i rn [ Phone#:'
Address:/2_0 6 VV
City:-� State: zip:e��Q�
Qualifier Name V (7 9� G QQ,50 C , Phone#:_1 8 4 -ZC-1 ®(O
State Certification or Registration#:Cq?,' 14?-(a � Certificate of Com tency#:
Contact Phone#:]&(p ,')���0 9 OEmail Address:QilnGtnAc tond- nnn(°
DESIGNER:Architect/Engineer: Phone#:
Value of Work for this Permit:$ 41 -000 ® 0 0 Square/Linear Footage of Work:
Type of Work: ❑Address ❑Alteration ❑New tepair/Replace ❑Demolition
Description of Work: C.Qi e x.l h n m 6a&4 t rDr) ftnZn l+r�i n_�
[ n eS c r1 V - c tom' 4_3 �1 7 e
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
Q( Mortgage Lender's Name(if applicable)
J'. 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 broth a will be delivered to the person
whose property is subject to ttac ent. Also, a certified copy of the recorded notice of comme ement must be posted at the job site
for the first inspec 'on w h o curs seven (7) days after the building permit is issued. I e absence of such posted notice, the
inspection will no a rov and a reinspection fee will be charged.
Signature Signatur,
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of �/ ;20%3 b � 41- . day o ,20 0,by-k �.lJ '&((0 S6 (,
a .§personally known to me o who has produced who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign: ^'
Print: L t: �f'le1� li G �
M Commission Expires: GERTRUDE JEAN ° ' Gabriela Cardenas
My p MY ComWSS10N 0 EM156 y Co sion Expires ra�os,:�?'"
y th <'COatiISSM#FF000721
EXAM: ,:
M. � ,,'�.. •,'EXPIRES.APR 14,2017
www.AaRONNotAR�!'
x ,u :x �x '
APPROVED BY / e-� '3" ! Plans Examiner zoning
Structural Review Clerk
(Revised3/12/2012XRevised 07/10/07)(Revised 06/10/2009XRevised 3/15/09)
Af A
HARES
5 C.I9
3
shores 1 Miami Village ti
Building Department «�„ allot"
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204 R`nNjp►
Fax: (305) 756.8972
Date: 7-L-55-1 3
Permit No: ?L . 13
Plumbina Critlaue
5I Z_L I A0, lmi�ydv �
Osvaldo "Ozzie" Diaz
Chief Plumbing Inspector
Plan review is not complete, when all items above are corrected, we will do a complete
plan review.
If any sheets are voided, remove them from the plans and replace with new revised
sheets and include one set of voided sheets in the re-submittal drawings.
♦51 05
Miami Shores Village
Building Department 'logo a �
10050 N.E.2nd Avenue
Miami Shores, Florida 33138 7*k &
Tel: (305) 795.2204 ZORIDA
Fax: (305) 756.8972
Permit No: PL 13-1654
Job Name:
July 29/2013 Page 1 of 1
Plumbing Critique Sheet
1. FBC 107. Provide sketch indicating pipe, size, and layout to the fixture.
Ozzie Diaz
Plumbing Chief Inspector
Plan review is not complete, when all items above are corrected, we will do a
complete plan review.
If any sheets are voided, remove them from the plans and replace with new
revised sheets and include one set of voided sheets In the re-submittal drawings.
STOPPED REVIEW
sup.
Jobsite Address: 33 NW 93st Miami Shores Florida 33150
Permit No: PL 13-1654 COPY.
Scope of Work: Replace the existing cast iron sanitary system to PVC Sch.40 located in the crawl space of the residence. We will connect the new
sewer line of approximately 10' to the existing septic tank. coy 4-0 W`,4\t
f 4
LU
11ti
Q
p ® c
�p
19 ® a t® oo
LU
0
v
2315 W jndAve. Hialeah,FL--330�1 0
Office: 786.337.9090 or 1.8811.91 GRAND Fax:786.337.9097
www.GrandPiumbing.net