PL-13-2156i
r
Inspection Worksheet
Miami Shores Village 3
10050 N.E. 2nd Avenue Miami Shores, Fj
C
Phone: (305)795 -2204 Fax: (305)756 -8972 P �<
Inspection Number: INSP- 205721 Permit Number: PL -9 -13 -2156
Scheduled Inspection Date: January 22, 2014 Permit Type: Plumbing - Residential
Inspector: Diaz, Osvaldo
Inspection Type: Final
Owner: SILVERMAN, SCOTT Work Classification: Addition /Alteration
Job Address: 1321 NE 103 Street
Miami Shores, FL
Project: <NONE>
Contractor: BEST PLUMBING SERVICE COMPANY
Isuua
HOOK UP NEW SINK, FAUCET AND DISHWASHER FOR
NEW KITCHEN
Phone Number
Parcel Number 1132050300120
INSPECTOR COMMENTS False
Phone: (305)558 -8544
Inspector Comments
EE CREATED AS REINSPECTION FOR INSP- 199748. provide escutcheons
Passed around pipes
connection for disposal is back pitched
secure faucet to counter
Failed d/w hose secure to cabinet
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
January 21, 2014 For Inspections please call: (305)762 -4949 Page 26 of 39
Miami Shares Village
Building Department
1"0 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (385) 762.4949
BUILDING
PERMIT APPLICATION
Permit Type: PLUMBtN6
FBC 20
h
SEP 2 4 2013
Permft No. -�
Master Permit Na 1 , 3 _
JoB ADDRESS: 13a i Sc-s- /0 3 S f °re_'
City: Miami Shores County: Miami Dade Zip: i
Folio/Pawel#: _ -L 3 )- 0 5_ ®_ 300 LID
Is the Building Historically DesignMed: ices NO X' Flood Zone:
OWNER: Name (Fee Simple
State: 1f f Zip 11?
. j 3
Tenant/Lessee Name: CA' A_e_� Plmne#
Email:
CONTRACTOR: Company Name: 4 �U� Jam' � .�� � � S 9'
Address: g--( Lew— e-ley
City: "'Ot A. State:
zip.
Qualifier Name: le _ Phone#: 3 S_ 5 7
State Certification or Registration #: �..-Y" /`1'f.,C to / is
C7ontWt Phone#. 39, = Email Address:
Certificate of Competency #:
DESIGNER: ArchitectlEngineer: Phone#:
Value of Work for this Permit: Square/Lhtear Forage of Wort: S R
Type of Work: l]Address Alteration ONew ORepairf5pplace ODemolition
Submittal Fee $ Penult Fee $ 0 CCF $ CO/CC $
Scanning Fee $
Radon Fee $
Notary $ TraitilnglEducation Fee $
Double Fee $ Structural Review $
DBPR $ Bond $
Technology Fee $
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
0
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 building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of eommtencenient 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 post at the pb site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of s poste tide, the
inspection will not be ap pued and a reinspection fee will be charged._.- �'\ 1el
-Owner or Agent
The forego' instOtrument as wl ed before me thi
day of l . 20 n, by ,
who i rsonally known to me r who has produced
As identification and who did take an oath.
Print
My Commission Expires: ALEXANDRA CAMPBELL
COAL MM # EE 8013
',. _s EXPIRES: October 15, 2016
Za for einstrument wof ?A ,� b}t \�°'„
who is personally known to me r who has
APPROVED BY E2-4/43 Plans Examiner
Structural Review
(RevisW3 /t2/2012)(Revised 67/10/07)( Revised o6/il12l09)(Revised 3115M9')
N�.
as identification and who did take an oath.
NOTARY PUBLIC:
Print:
4luWAkVVv � ( &4-n6--rl"
My Commission Expir :: • %y,
�l AMY COAMUM # EE 843913
EXPIRES: October 15, 2016
"�liF, •`� Bonded TMu Nagy Pu* ftnto
Zoning
Clerk
Miami shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
CONTRACTORS' REGISTRATION FORM
ALL CONTRACTORS MUST PROVIDE COPIES OF LICENCES AND INSURANCES EACH TIME A PERMIT IS
SUBMITTED OR THE VILLAGE MAY MAINTAIN A FILE WITH YOUR INFORMATION FOR A $30.00 FEE PER YEAR.
IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR:
A COPY OF QUALIFIER'S STATE LIC CARD
B. COPY OF LOCAL BUSINESS TAX RECEIPT
C. COPY OF LIABILITY INSURANCE (CERTIFICATE HOLDER TO BE MIAMI SHORES VILLAGE BLDG DEPT)
D. COPY OF WORKERS COMPENSATION (EITHER CERTIFICATE OR EXCEMPTION)
IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY:
A. COPY OF CERTIFIEE OF COMPETENCY OF QUALIFIER
B. COPY OF MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT
C. COPY OF LIABILITY INSURACE (CERTIFICATE HOLDER MUST BE MIAMI SHORES VILLAGE BLDG DEPT)
D. COPY OF WORKER COMP INSURANCE (EITHER CERTIFICATE OR EXEMPTION)
YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE HOLDER AS FOLLOW:
MIAMI SHORES VILLAGE BLDG DEPT
10050 NE 2ND AVE
MIAMI SHORES, FL 33138
■ rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr�
P COMPLETE CONTRACTOR'S INFORMATION
BUSINESS NAME: _\_0 r ✓ m Ce_ C %,
BUSINESS ADDRESS: yj a- 7 r- T CITY 4 lP
STATE "'/ ZIP CODE 3301.-T
BUSINESS PHONE: (S j �i�/ FAX NUMBER --
CELL PHONE (_ -�'�� QUALIFIER'S NAME: ® r (/ z
QUALIFIER'S LIC NUMBER: (_ F C S2 G i 3 D
EMAIL ADDRESS (IF APPLICABLE):
Gated ai 3H9/09 SY E9_DV / RV 3/18109 NOV
R
CERTIFICATE OF LIABILITY INSURANCE
°A'�`"° °M"-M
09M0=13
THIS C14ttnFICATE 13 MOM AS A MATTOR OF INFOMAndW ONLY AND CONK NO RUBKTS uPOPI THE CERnp=TE HOLDER, THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTIOt THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS cimnFICATE OF wwRANCE am NOT CONSTITUTia A CONTRACT NOVEEN THE WSUI NG INBURERMI AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE KOIJM
IA WWANT, If the cortlffmlte ficlder is- an ADDITIONAL INSURED, the poltcAlas) must be ondorwd, If SUBROGATION 16 WAIVED, subject to
the #arm and eo mMorts of the policy, awmin polisleb may require an endw9emenL A statement on this cwdfkrab does not confer ftft to the
cerdlieat® hokler in fleu of omh endorse s).
aaanum Proper Irtstuanoo Agency
471 E 49Th St
Hialeah, FL 33073
MARIA A RAMOS
E 3054814"s 305488 -M
maiLcdm
INSUMMAt LLO R OF LONDON
msuRm BEST PLUM WW SERVICES CORP
257 EAST 44TH STREET
HIAI EAM, FL 33013
a:
o:
IMPAR as
THIS IS TO CERTIFY THAT THE POLIO= OF INSURANCE LISTED BELOW HAVE BIMN OWED TO THE DOMED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMEW WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED t 9MIN IS SUBJECT TO ALL THE TERMS.
EXCLUSIONS AND CONDTf10NS OF SUCH POLICIES. UM" SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIM$,
mlY i� �� -. H.. 771z i7.1.:1i�
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a
* '* CHIMCATE OF ELECTION TO BE EXRVT FROM FLORIDA iNOiNUW COEII MATION LAW e
CONSTRUCTION INDUSTRY EXEMPTION
This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law.
EFFECTiVE DATE 08/30 /2612
PERSON: RODRIGUEZ
FEIN: 680811170
BUSINESS NAME AND ADDRESS:
BEST PLUMBING SERVICES COMPANY
251 EAST 44TH STREET
HIALEAH FL 33013
SCOPES OF BUSINESS OR TRADE.
1- PLUMBING NDC AND DRIVERS
EXPIRATION DATE: 08/30/2014
JOSEPH
IMPORTANT Parsusat to Cbaptar 440 . 05114). F.S„ an officer of a Corporation who elects exemption from this chapter by filing a certificate of election under this
section may not recover benefits or compensation under tills chapter. Pormust to Chapter 440.05(121 F.S., Certificates of atection to be exempt.. only only oritbio the
scope of the business or trade listed on the mica of election to be oxempt. Personal to Chapter 440.05413), F.S., Notices of eiectioo to be exempt ad certificates of
election to be exempt shall be subject to revocation if, at any time after the filing of the ounce or the issue of the certifieat, the person named as the notice or
certificate na longer Moab the requirements of this section for issuance of a cartificste. The department shall revoke a certificate at my time for failure of the Peru
named on the certificate to meet tba ratialrempeub of this section. QUESTl()NS7 (850) 413 -1603
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
DEPARTMENT OF FINANCIAL 99RVICES
DIVISION OF WORKERM COMPENSATION
CONSTRUCTION INDUSTRY
CERTIFICATE OF ELECTIfltti TO BE EXEMPT FROM FLORIDA
WORKERS COMPENSATION LAW 0
EFFECTIVE: 08/30/2012 EXPIRATION DATE: 06/30/2014
PERSON: JOSEPH RODRIGUEZ
FEII1t 650811170
BUSINESS NAME AND ADDRESS:
BEST PL MMO $MIMS COMPANY
251 EAST 44TH STREET
HALEAK FL 33013
SCOPE OF BUSINESS OR TRAM
1- PLUMBING NOC AND ORNERS
IMPORTANT
F Pursuant to Chaster 44105514), F.S., an officer of a corporation who
O elects exemption from this chapter by filing a certificate of election
L under this section may not recover benefits or compensetion under this
D chapter.
Pursuant to Chapter 440.05112►, F.S., Certificates of election to be
H exempt.. apply only within the scope of the business or trade listed on
Rthe notice of election to be exempt
E Pursuant to Chapter 440.05113), F.S., Notices of election to be exempt
and certificates of election to be exempt shall be subject to revocation
if, at my time after the filing of the notice or the issuance of the
certificate, the person named on the notice or certificate no longer met
the requirements of this section for issuance of a certificate. The
department shah revoke a certificate at any time for failure of the
person named an the certifilatte to meet the requirements of this
section.
CUT HERE
QUESTIONS? (850) 413 -1609
Carry bottom portion on the job, keep upper portion for your recorchL
DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01 -11
)RXW ,, JOSIPR
Bfft PLiN SxMCzS COMPANY
251 Z 44TH 8T
BiAra" FL 33 013
CortStetulatiait�sl Mitt tlils l�nse you become one of the nearlyr one mil�tn
Fbrid�ns by the , of Bu�ness aril Prrsfeior�al Regulat�n.
Dw profiessionais and ►artge front to yacht brokers from
boxers atbequs rada ur is and keep Florida's economy strong.
Every day we work to improve the way ace do business In order to serve you both
For Irtforrrwipn about our services, please log onto vwewtmneefcom.
11we -vou can find mota inkmnlion about our divisions an the rseulatons that
out mission at-the Deparftnent Is: License Efficlently, Regulate Fairly. We
constantly strive to serve you better so that you can serve your customers.
Thank you for doing bushm in Florida. and congratulations on your new licenses
i A 1.8454
8
fATE a
(850) 487 -1395
s ereEnntr� Ar`.
4:
V-L12f170d8Q3b
DISKAY AS REQUIRED BY LAW
SEC. TYPE OF .BUSINESS
PAYMENT RECEIVED
96 PLUMBING CONTRACTOR
�31RIG SERVICES CO BY TAX COLLECTOR
CFC142673-2
3 $45.00 09/13/2013
CREDITCARD -13- 008573
Tax RP- eipt only confirms payment of the dal Business Tmc. The Receipt is not a license,
+� ',,-business. Holder must comply with any governmental or
vply to the business.
ercial vehiclee Miami die Code Sec 8a-276
'amid,gN,► : '`colledtmr