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PLC-13-1515i P Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number. INSP- 207054 Permit Number: PLC -7 -13 -1515 Scheduled Inspection Date: February 13, 2014 Permit Type: Plumbing - Commercial Inspector. Diaz, Osvaldo Inspection Type: Final Owner: LLC, MSVC Work Classification: Addition /Alteration Job Address: 9450 NE 2 Avenue Miami Shores, FL Phone Number Parcel Number 1132060132780 Project: <NONE> Contractor: PAU PLUMBING CONTRACTOR INC Phone: (305)9342894 comments PROVIDE NEW 1200 GALLON GREASE TRAP ------ " " "..... INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP - 206448. no permit, no compaction letter Failed CorrectionH d L Needed Re- inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. February 13, 2014 For Inspections please call: (305)762 -4949 Page 18 of 25 t� y 7 ,ya A't w �, 2r SKLARchitecture January 31, 2014 Mr. Oswaldo Diaz Village of Miami Shores Building Department Miami Shores Village 10050 NE 2nd Avenue Miami Shores, Florida 33138 ARCHITECTURE Commercial & Residential Ref Permit # PLC7 -13 -1515 Miami Shores Village Centre — Parking Spaces Repair Interior 9450 NE 2nd Avenue, Miami Shores, Florida Architecture Compaction Inspection & Design Urban Dear Mr. Diaz, Renovation Please be aware that this firm has supervised the compaction and tamping of the underground & Architectural asphalt repair at the Miami Shores Village Center Retail Parking Lot. (See attached photos ). Design of Childreris We find that the compaction has been prepared in accordance with good care, and typical Environments industry standards & we recommend approval. Development Should you have any questions please do not hesitate to us. Consulting NCARB, LEED AP 1)wsg Sklar, AIA 2310 Hollywood Blvd. Hollywood Florida 33020 Tel: 954.925.9292 Fax 954.925.6292 e-mail: mail@sklarchitect.com WEBSUE. www.sklarchitect.com AA 0002849 IB 0000894 NCARB CERTIFIED Ari Sklar, A.I.A. Oscar Sklar, A.I.A. �:. .���� ?, r� f �' `.�1 AR' l� h �� .; ' � ' ' � S y h �� .; ' lam x Miami Shores 'pillage Building Department 10050 N.E2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 7952204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION Permit Type: PLUMBING FBC 20 Permit No. DEC 09 2013 Master Permit No. P10— 1,-3 - 15-1_5- JOB ADDRESS: _1 4,6z Qa _ P'er, , City: Miami Shores County: Miami Dade zip: Folio/Parcew. Is the Building Historically Designated: Yes LZLG Zone: OWNER: Name (Fee S'mple Titleholder): �i�, M` -1,- -� Phone#: Address -.�-q 4b City:2 �State Tenant/I Name: Email: CONTRACTOR:CompanyName: LvnV�81C� 9 GOW-ACIOIC- Phone #: 31( 06" Address: 35A 1k-)&L r- Ae -Cr- city: + l 118 CX-k &4 State 4--72- Zip: C9900- Qualifier Name: .uAc oo Phone#: �4$�Z'�'� PV ,q- State Certification or Registration #: 6 01 C7 Certificate of Competency #• F Contact Phone#: WZ q3 �! �Q �.y Email Address: DESIGNER: Architect/Engineer Phone#: Value of Work for this Permit: $ 2! ill ? ®y. + -Square/Linear Footage k: ��ge of Work Type of Work: _ PAddmss.._ _ - OAlteration UNew I�Repair/Replace ODemolition Description of'Work: �ar�ea, r, �wr, �, k�. �, ur, �ar�xs�ux, �, r�, kr. *,x,�,r *,tir,x,ta►,r.,t * *F�,rt. Ewa, �, �, �, xr�, r�, w, �, c� ,rtw,�x�,�,r�,kk�a,�r,�,�,t�,� Submittal Fee $ Permit Fee $_ > 2 s 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 Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State L� 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will nq' a a_ oved and a reinspection fee will be charged. Signat0re Signature Owner orAg t /�' Contractor The foregoing instrument was A owledged before me this 1'7 The foregoing instrument was acknowledged before me this Z(v day of OLD) , 20 R, by C-1' e'er S day of LAitJy , 2013 by 6(eg /� who is y kno ,R,( t jwhq },as produced ( who is onall known to me o who hag produced ' ai`1tt�il cY/*vmo did take an oath. as identification and who did take an oath NOTARY PUBLI o 65�� s� � °� NOTARY P Q �S sign: sign: Print: '�. ��..�` My Commission Expires: ��' u u i i n� My - ' SStOM # EE143221 M. EXPtRES November 01, 2016 �r** ar* �rar�rrara., remtiaa, �, rt:, r, �t�et$ ex, ��rtr, �, ��t* �*, �a�, x��rrr�, �,x�r�rsrk,r,rx,tai,ro,�r *,ux, car, �, �r�*, trr�tar, �, �, �+ a, xart�rr�aarst�or�raawrar *a�,�,��r�v�r�,�r,��,t *,t,kt APPROVED BY t' 1�- / / j Plans Examiner Zoning Structural Review Clerk (RMsed3/12012)(Revised 07 /10 /07)(Revised 06 /10/2009)9tMsed 3/15/09) OP ID: AO ;►ccoRV� CERTIFICATE OF LIABILITY INSURANCE �r..• -�' 7TE (M NUDDNYYY) /12/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS 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, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER Phone: 305 - 599 -8989 South Florida Insurance Und. Fax: 305 - 599 -8788 D /B/A Trlmart LLC 7950 NW 53rd Street Suite 213 Dora[, FL 33766 Xiomara Martinez KANMEACT Ana Maria Tri uelro PHONE FAX c Ne Ext :3O5- 599 -8989 ac No : 305 - 599 -8788 ADDRESS: ana southfiainsurance.com PRODUCER pAUPL -1 CUSTOMER ID # INSURER(S) AFFORDING COVERAGE NAIC # INSURED Pau Plumbing Contractor, Inc. 358 West 38Th Street Hialeah, FL 33012 INSURER A: Granada Insurance Company 16870 INSURER B: RetailFirst Insurance Company 0211512014 INSURER C $ 1,000,00 INSURER D $ 100,00 INSURER E: $ 5,00 INSURER F: $ 1,000,00 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE DL S POLICY NUMBER MIDDY EFF PMODY EXP LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE El OCCUR Xlomara Martinez 0185FL00006806 02/15/2013 0211512014 EACH OCCURRENCE $ 1,000,00 p En PREMISES Ea occurrence $ 100,00 MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC PRODUCTS - COMP /OP AGG $ 1,000,00 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ $ UMBRELLA LIAB EXCESS LIAS CLAIMS -MADE EACH OCCURRENCE $ HOCCUR AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTNE YIN OFFICERIMEMBER EXCLUDED? (Mandatory In NH) It yes, describe under DESCRIPTION OF OPERATIONS below NIA 520-40635 06/08/2013 06/0812014 WC STATU- OTH- TORY LIMITS E.L EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 E.L. DISEASE - POLICY LIMIT 13 1,000,0 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, H mdre space is required) Plumbing Contractor CERTIFICATE HOLDER CANCFI I ATInN CITYOMS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Miami Shores tY THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2 Ave Miami Shores, FL 33138 AUTHORIZED REPRESENTATIVE Xlomara Martinez ©1988 -2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD � I i Miami shores V Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel,: (305) 795.2204 Fax': (305) 756.8972 CHANGE OF CONTRACTOR / ARCHITECT Rerl►nit N. �L- � 13 - IS l� Oker's Name (Fe Simple Title City: K'l , L-Lk:' Job Address (Of where work is being done):_ City: Miami Shores ek'\f� Phone #.-I T)- : Zip Code: 3 :�� - l tam State :—Florida Zip Code: t Contractor's Company Name: Pa u P 1go, b n Phone #. Address: 3 5 5- w a r City: la"`4 &,* 4 State: -F l Zip Code: 3e, rd-- Qualifier's Name: Lic. Number. Architect/ Engineer of Record Name: Phone #: Address: City: State: Zip Code: Describe Work: l' ter 7yt 'W' ON d ' t' .(Si t 0 41 Gq S I hereby certify that the work has been abandoned and/or the contract or/architect is unable on-IAI to complete the contract. l hold the Building Officilai and the mi Shores harmless for all legal involvement. The foregoing idiftm aknowledg before me this l& day of Iy ®V 20 I3by c ��' - Who is personally known to me or who has produced . A 0,6LlQw6 Q -. -6 as indenti icalion. \\ \ \\ \111 I l ll l f lddddd Notary P Sign: Seal: E Signature ?CQntractor orArch�d The fore oing Instrumqnt was aknowledged before me this t day of & .20 by r 40�() SO who is personally known to me or who has produced as indendcatlon. MS VC, LLC 2310 Hollywood Blvd. Hollywood, Fl. 33020 954- 925 -9292 Phone 954- 925 -6292 Fax November 5, 2013 Xpert Plumbing Srvices, Inc. 4960 NW 190' St. Miami, Fl. 33055 Re: 9400 to 9488 NE 2°d Avenue Miami Shores, Fl. Permit # PLC 13 -1515 To Whom It May Concern: RETURN RECEEff REQUESTED CERTI ER gd'AL This is to notify you, that because you have not been responsive and have not returned our numerous phone calls asking you to request final inspection, in order to close out permit # PLC 13- 1515 on the above referenced property, you are therefore, being removed as the sub - contractor on the above mentioned permit and we will appoint another contractor to complete the work and close out the permit. Govern yourself accordingly, CERTIFIED MAIL,. RECEIPT' (Dornestic Mail Only; No Insurance Coverage �WWWa =ate. Provided) For delivery information v ?s ;A 1l.v; at,'1"mSPS'Comq F S- -t=on, 3800, June 2002 _See Revers -,Jcr tistructio�s .yea. a 77� I 0"Ril LOCATION MAP PAC -7 -13- 1515 s NOTES: NEW GREASE TRAP TO BE INSTALLED DOWNSTREAM OF EXISTING GREAASE TRAP. INVERT OF NEW TRAP TO BE A MINIMUM OF Z' BELOW OUTLET OF EXISTING GREASE TRAP. PARKING LOT TO BE REPAIRED TO SAME GRADE AS EXISTING LOT AFTER INSTALLATION OF GREASE TRAP. z SCALE: P-30' d � to C] ` F > 0 go I zm WW a a � o 9 nd 0 ,m SITE INFORMATION PROVIDED BY OWNER a • �Q PAC -7 -13- 1515 s NOTES: NEW GREASE TRAP TO BE INSTALLED DOWNSTREAM OF EXISTING GREAASE TRAP. INVERT OF NEW TRAP TO BE A MINIMUM OF Z' BELOW OUTLET OF EXISTING GREASE TRAP. PARKING LOT TO BE REPAIRED TO SAME GRADE AS EXISTING LOT AFTER INSTALLATION OF GREASE TRAP. z SCALE: P-30' c. x H � III I zm WW c. x H � III I Note: I. THIS LID IS DESIGNED FOR H2O WHEEL LOADING (16000 LBS). FOR BURIAL DEPTHS UP TO 1 FEET. 2. THIS LID IS TO BE USED ON FALFONSO SEPTIC 4" WALL TANK SIZE 1200 GALLON. 3. CONCRETE F'C4000PSI 4. STEEL REINFORCEMENT APPROVAL NUMBE=R 13- 076- 12D -C3 Tank Size (Effective Capacity) =1200 Gallons Lid To View 28 -Day Compressive Strength = 4,000 PSI 5 ° Fiber Reinforcing (if any): manufacturer: Grace Structural Fiber 22.5" I:ype of Kelntorcing: tuber 5trux'uumu Amount Of Reinforcing ALBS/CU YD irspace = -5 pcity a 3 91.5' 1 1114!' id Side View 4" Regular Lid &" Traffic Lid Tank Top View 114.. '`Tank End View (Type A) T Dual Compartment Tanis Dimensions I1 PLAIN R 1,71zw FINAL L) IE, R E J 6. C CORF RFV;EWER 'WiNAITPE IIIIIIIIIIIIIIIIIIIII Derm Number: 2013-0s05-1419-5105 Contact Name: MS LOURDES SUAREZ Contact Phone: (786)281-8770 Folio: *11-3206-01e-2780 Project Name: GREASE TRAP INSTALLATION Date Received: 08/05/2013 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 PERMIT APPLICATION Permit Type: PLUMBING FBC 2av Permit No. Master Permit No. c 13 JOB ADDRESS: r� City: Miami Shores County. Miami Dade Foho/Parcel#: Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee S• le Titleholder): �R �' �' �'�% Phone #: 9 'DL S — C12 � 2— City _ ?DU_L�j%a-jco State: Zip: ® 2 Tenant/l.essee Name: . ` . Phone#: Email: CONTRACTOR: Company Name: EAU rco-i" e i A unp 6 . ` ;r y V-. Phone #:�% r) 2S ! —?>81 U Address: SLD F City: 1Y) I 9 State: Qualifier Name: C Gi (1 �j rA Ck j 'j rA e 2_ Phone# Wu ) 9 51 ° 3,E I State Certification or Registration #: (.�J� �� 8 Certificate of Competency #: Contact Phone#: Email Address: N I-t DESIGNER: Architect/Engineer. lLp 1 Phone #: Value of Work for this Permit: $ % )_q t Square/Linear Footage of Work: Type of Work: OAddress OAlteration ONew ORepair/Replace ODemolition Description of Work: PrbO ckk (W_LL� 1.2-, C rilki i !� 4- 4& ;St_ 'Lc4 Submittal Fee Scanning Fee $ Notary $ Permit Fee $ Radon Fee $ Training/Education Fee $ DBPR $ Bond $ Technology Fee $ Double Fee $ Structural Review $p • I�����CT FEE NOW D $ IV e �/' Bonding Company's Name (if applicable) Bonding Company's Address City State 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 MPROVEMENTS 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 a ruction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy ded notice of commencement must be posted at the job site for the first inspectao occurs seven (7) days after permit is issued. In the absence of such posted notice, the inspection will not b approve a reinspection fee Signa Signature Oil Owner or Agent v�:E- r t , ";, Contractor The foregoing instrument was ac ow edged before me this The foregoing instrument was acknowledged before me this day of , 2013 by day of .20 by r -ft w 2-, who isrs y knoe or who has produced who ism own a or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOT Sign: Sign: Print la Print: �•` LOURDES SUAREZ My Commission Exp `'per- My C •*? MY COMMISSION D EXPIRES April 30, 30,20 14 APPROVED BY 9°'*L0' 11 Plans Examiner Structural Review (Revised3 /122012XRevised 07 /10 /07)(Revised 06AW009)(Revised 3/15/09) PUBLIC: IJ LOURDES SUAREZ MY COMMISSION # DDS64065 EXPIRES April 30, 2014 Zoning Clerk . s' CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPBNSA7I001 LAW • • CONSTRUCTION INDUSTRY EXEMPTION This cerNes that the MdivkkW listed below Ids eltted to be exempt from Fulda WOtltefs' Compemistim k1w EFFECTIVE DATE: 311512013 EXPIRATION DATE: 3/15/2095 PERSON: MARTINEZ EDDY A FEIN: 660833023 BUSINESS NAME AND ADDRESS: EDDY MARTINEZ PLUMBING SERVICES INC Mimi FL 175 ST. FL 33157 CANCELLED SCOPES OF BUSINESS OR TRADE: PLUMBING NOC AND DRIVERS Pwevard ro Chapter JIML0914N. F.S.. an ~of a cwpWWM WIW Blade weir ON from 00 dim by RIM Reeiftels, of election undereftsecKan may ad nearer motets areampenseffon u rpder eis dam. Pum and to, ChBPW444.Q9{1n F.3.. of t to lm ems... apply *W et scope of ere business txtrade on rice notttie otelmXmr tso be exempL Pfd to Chapter 440.0ti(14 F. &. t of obcdon to Ce exempt aal of election ro be emnapt ohdbeeWodtarevocAmNatwWftmffwthoMMolthenOWargobsum=offtmM=tei&epmmmmedenOtenWmor no tcmW ads the of orte secdon tarp of a aorfiicate.:The departrmu tAd revoke a carmicaft at wry am forfatbae of eye person named on the ceidlicate to meet the requWanentS oflhis sedtem. OFS- F2 -DWC -252 CER71FICATE OF ELECTION TO BE IXEMPT REVISED 07 -12 QUESTIQ{M (e5Q)4134W5 #zry r� ,. �� � �,,. 'c.:•Y � � s' � s r *-�� -a ..;cam �' �, � ��� r � rs, �i. � Y Zr_ xa. w2 N TH6 iS NCYT A BILL -DO NOT PAY 414767 -4 AL433I39 -3 s+ n.�►T t EDDY MARTINET PLUMBING SERVICES STATE# CFC057691 INC 11250 SW 175 ST 3 33157 UNIN DADE COUNTY owm EDDY PLUMBING SERVICES /S CONTRACTOR 1 ►m 09/14/2012 02290002001 000075.00 so oymm sm o6 mw PaWARD EDDY MARTINEZ PLUMBING SERVICES E �t MARTINEZ PRE$ 11250 SW 175 ST 3 MIAMI FL -33157 08/23/13 11:32AM HP LASERJET FAX P.01 aC R V CERTIFICATE OF LIABILITY INSURANCE °�o�, " THIS CERTIFICATE I5 ISSUED AS A MATTER Op INFORMATION ONLY AND CONPtK$ NO RIGHTS AEON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOSS NOT AF'FIRMATiVVL.Y OR NEGATIVELY AMEND, OTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING IN$URER(S), AU- 04ORIZt D REPRESENTATIVE OR PRODUCER, AND T145 CERTIFICATE HOLDER. IMPORTANT: if the aertifWato homer W an ADDITIONAL INSURED, the policy(les) must be endorsed. it SUBROGATION IS WA1VIED, subject to the terms and Conditions of the policy, certain policies may require an endorsement. A statement an this Certificate doss Rot conl0f rlghts to the certificate holder In Rou of such 6040rsamen90 moum ISBEL SASUi.TO AVELLO INSURANCE INC HONE an4_rn4.a6@f,.l: 305Sa 4P1�4 .. 6051 NW 36 ST SUITE 612 DORAL FL 33166 CUSTOMERIDIh EDDY MARTINET. PLUMING SERVICES INC 11750 SW 176 ST MIAMI FL 33151 ._�..___�..... ......�....- „.�:;;g a.."dMWs. ©wvICIliki mlluftoo. TwIS IS TO CERTIFY THAT THE POLICIES i SURANC LISTED BELOW MAVE BEEN ISSUED TO THE 11460h:D NAM D AGOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WT14 ASSPECT TO WHICH THIS CERTIFICATE MAY BE ISSUIED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DE8CRIBG0 HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUC90 SY PAID CLAIMS. TYPE Of INSURANCE � LINTS — A o119ML LUMLITY X COMMORCIAL GENERAL LIABILITY CLAW&MADl' OCCUR 10050 NI: 2ND AVE 101104=13 : 0186F'L 415363 MIAMI SHORES, FL 33138 01/04/2014 EAGM OCiCURRIINCE �f.;AQ cS)26F17Ef3 '-°�^ s jZQa MED £%P Am/ orre S ISSEL BMULTp "•... �r ; s PERSONAL $ AOV INJURY OSNC-RAL AGCRCWATE 18 _ 2.000-000.00 QEN'L AWRLGATB LIMIT APPLIES PVR _• POLICY f PftO• ! LOC PRODUCTS :COMP/OP AOO ISS ” " ' " "M .. -. 5 JI AUTOMMLS L)AIH.ITY ANY AUTO COMBINED FANOL5 LIMIT (HR aacld") $ SOVILY INJURY (Pot panes,) — ••"" �- _ ALL OWNEDAUTOS � iJODiLY INJURY (Pet ecgdauy S _ SCHROULEO AtJYOS HIRED AU1108 I PROPERTY DAMAGE (PerBpw"t) � .. - NI)wOVMEb AUTOS . _. ...... _ ...... $ • - -.� t_ uMaRSLLA LiAB OCCUR i RoL ACuRRENC ate EXCE88LUIS 4-MADE F— r" AGGRrIGAFE � 5 ~ DEpUCY18LE TA U- M• 3 KF NTI W WORERS E AND EMKOYEW LIAVILITY ANY PROPRIETOR /PAi TNERfi=UT N9 1-1 1 k R.L. EACH ACGIOENT -~ - -- S ,.. — "-....�-•---� ""•' OFFFICERAIRMSEH dXCLUOBCY� I . ) ft In NH) HH yea, doe6fte under N ! A C.L. OISEA3P�EA EMF{ 4YE • S El DiGEA59 - POLICY LIMIT ,� t bRS= WN OF OPERATIONS I LOCATIONS! VwwCLES (Attach ACORD 101, Addillooal Remarks Sohodule, N Moro *veto Is m4ulmd) f-=M VieinA'tc Uni nW0 r:ANrFLLATIfW ' wo 7Zl w- r 1?, AvvKIJ UUKVVrKA I Wrl. All rtgnts reserves. ACORD 26 (20009) The ACORD name and toga are registered marks of'A. RD SHOULD ANY OF Ti9 ABOVE D£SCRIBRO POLICIES ON CANCELLED 8 0PORE TNO MIAMI SHORES VILLAGE: EXPIRATION DATE FHERIkON NOTICE WILL 8E DELN6I Q jN AOCORDANCG WITH THE 10050 NI: 2ND AVE POLICY PROVIISION3 r }I Jl j r' MIAMI SHORES, FL 33138 AUTHORIM AlIPAWENTATII(E• ISSEL BMULTp "•... �r ; s wo 7Zl w- r 1?, AvvKIJ UUKVVrKA I Wrl. All rtgnts reserves. ACORD 26 (20009) The ACORD name and toga are registered marks of'A. RD I (!111 !!11! 1111 II ! 11111 !11 111111II 1 1 CF N 2013RO653058 OR Bk 28778 Ps 3534°s (fps) RECORDED 0811R/2013 11551:15 HAR►!EY RUt/TH PLERY OF COURT NOTICE OF COMMENCEMENT MIAMI -DADE COUNTYP 6FLORIDA A RECORDED COPY MW BE POSTED ON THE JOB WE A1' TH OFNRST MPEC710N LAST PAGE PERMIT NOZ140, 3 r5 1� TAX FOLIO NO.� 6 STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNEb bWeby gives :nbflae that 6iOW46ne)its will be male to cs:rta n real property, and irraccardanbs with Chapter 713, Florida Statutes, the 1ollowtng irtforrnatio I Is provided In this Notios of Commencement Q Slime above reserved for c� of n off 1. Legil- d�(ption of property and street/address: 945 ® NE � cl A-A-e- 2. Damon of improvement -a-Y► 112X0 cicklion i s 3.OWne49) mime and address LLP bttergatln pmp . Narita and address: of fee Slmp . ider. -- 4. Gortiractor's name, p0dyes.ynd hone number. du i ``lUicas stiC. 1.12'�h Sw 175 f'YlicRrn� .— 33eQ�- 5. Sufety:,playmeritt bond required by owner frcm contractor, H arty) Namg1 itidress and phone number: Amounf of bond 6. l encfe►!s name and acwre�q: 7. Persor p within the State of Florida designated by Ownei upon whom notices or other documents may be served as provided by Sectigh 71313(1xa)7., Fiprhda'twAdes, Name, address aril phone number S. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided In. Section 713.1iftb). Florida Statiltes. Namel3ddr aittiptrone'rrumbsr: 9. BoIretion date of lhls ;NoOce bf Commencement (ft w0bullm date Ia 1 year f m the date of ring wleaa a ditm t date Is sped44 WAI1NINti 1O OWNETC AW BAYMENTS MADE BY THE OWNER AFTER THE EXPIRATON.OFTHE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROVER` PAYIw1ENTS Vj'D CHAPTER 713, PART (;'SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYINC3 TWICE FOR Iltq.TO YQUR ,PROPERTY A. NOTICE OF COMMENCEMENT MUST BE REOORDED AND POSTED ON THE' :108 31TE'BEFORE THE I INSPECTION. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Sgt e(s}.of pWrN*s) -or Owner(s)'.Auftftod OfBcar/DUectcr/Partner/Manager Prepared SY ' Prepared By Print Name Print Name Tit�/O ipe THIe/Off cb . STATE 1� FLORIDA , COI' OF MiAMI E ►► qq The fordo 6tstrt'mehtwas aelmowledged before me the day of BY Ir§dn(iaual)y, or for UWVfiF_idgy Imcwn,' br U ptbiiuced the folloVvin 0 jfifdentiflcaUon: 'Signature of N P him Priht•Neme: MY COMMISSION # DD964056 EXPIRES April 30, 2014 Unilet es of'p "+�Mf city, I de0tak tt is I hiave Ydad ' • , ib"ding and Diaz.. that its " in it are true, to the best of my knowledge aria belief. S . er($) or 's oer/Dlrector/Partner/Manager who sighed above: Sty` .�,� 12301.62 PA 0 tl �``,•- �'��Z`�� �S"' ` 1 1" ci j Y r Miami Shores Village Building Department RECEIPT PERMIT #: DATE: ui-ctc-S, Sl-"Ch''C 2- (NAME) o Contractor o Owner o Architect Picked up 2 sets of plans and (other) Address: 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 From the building department on this date in order to have corrections done to plans And /or get County stamps. I understand that the plans need to be brought back to Miami Shores Village Building Acknowledged by: PERMIT CLERK INITIAL: to continue permitting process. �l d (Signature) -7 Ali; RESUBMITTED DATE: PERMIT CLERK INITIAL: Y Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 July 30, 2013 Permit No:PLC13 -1515 PLUMBING — OSVALDO DIAZ 1. CREATED AS REINSPECTION FOR INSP- 194803. NEED TO SEE APPROVED PLANS. RH 7/24/13 2. fbc 107.1 provide DERM approval for grease trap and two sets of plans 3. fbc 1003.2 provide type of grease trap concrete. premanufactured provide product and type 4. OD 7/24/13 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. Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 July 30, 2013 Permit No:PLC13 -1515 PLUMBING — OSVALDO DIAZ 1. CREATED AS REINSPECTION FOR INSP- 194803. NEED TO SEE APPROVED PLANS. RH 7/24/13 2. fbc 107.1 provide DERM approval for grease trap and two sets of plans 3. fbc 1003.2 provide type of grease trap concrete. premanufactured provide product and type 4. OD 7/24/13 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. P • a Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Date: 4 --Z y _ ( 3 Permit No: 'P1-Q, V3 - I S 15 c F-Bci IC) ®3. Osvaldo Ozzie" Diaz Chief Plumbing Inspector Plumbing Critique IWJ V'�) S � �✓� � / � � Inc "q)j S 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.