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PL-13-2768in I-e3 - Inspection Worksheet Miami Shores Village 10050 N.E. 2nd: Avenue Miami Shares, FL Phone: {308 }795 -2204 Fax; (305 )756,8972 Inspection Number. INSP- 20428$ Permit Number: PL -1.2 -1 3 -2768 Scheduled Inspection Date: April 01, 2014 Permit Types Plumbing - Residential Inspector: Diaz, Osvaldo Owner; QAVIRIA, JAIRO Job Address: 615 NE 97 Sheet Miami Shores-, FL Project <NONE> Inspection Type; Final Work Classification: Addition/Alteration Phone Number Parcel Number 1132060171850 Contractor. TROPICALPLUMBIN( Rhone: (786 )656 -7354 I3ATHROOM REMODEL False March 31, 2014 For inspections please call: (305)762 -4949 page 8 of 50 Spector Comments Passed (dY Failed ❑ Correction Needed ❑ Re- Inspection �] Fee ► t No Additional inspections re- inspection fee is paid. can be scheduled yn0i March 31, 2014 For inspections please call: (305)762 -4949 page 8 of 50 Miami Shores Village Building Department 90050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (3057 762.4949 BUILDING PERMIT APPLICATION Permit Type: PLUMBING FBC 20 l� Permit No.I L-.,0 — Z I "19 G Master Permit No. CA J " eq JOB ADDRESS: ?7 G T City: Miami Shores - CCounty: Miami Dade Zip: 3 Folio/Parcel #: t� 2 6 '- 617 " `P � Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): �� / 12�% C f� �� Phone#:^ 09 75- ,C4 L, Address: l 97 5 City: Al %f � j �04 5 State: ff 4= Zip: Tenant/Lessee Name: Email: CONTRACTOR: Companv Name: Address: JA a „ , -�-- -. ._:,, , �� l o �� `7 '0 Aje City: " P�W'��K % C: u State: v Zip: 3 ` ��- Qualifier Name: eA, �_e_,42ha Phone #: State Certification or Registration #: Contact Phone # \�b U--3)7 -* % _71C, Z_ Email Address: DESIGNER: Architect/Engineer: Certificate of Competency #: Value of Work for this Permit: $ 4,^i - ®® Square/Linear Footage of Work: Type of Work: ❑Address ❑Alteration ❑New WRepair/Replace Description of Work: r l c 9 f:, re-v K a.,Ao, L Submittal Fee $ Permit Fee $ �� CCF $ CO /CC $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ DBPR $ Bond Technology Fee $ TOTAL FEE NOW DUE $ ❑Demolition 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 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 not be approved and a reinspection fee will be charged. Signature. Owner or Agent The foregoing instrument was acknowledged before me this day of , 20 _, by who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: Signature Contractor The foregoing instrument was acknowledged before me this day of 20 L3_, , by J o-e I Leon > who ispmlgEyj�own me or who has produced as identification and who did take an oath. NOTARY PUBLIC: MY CONi� Sign: EXPIRES: �9tch 7, 2016 - ATM, IbAnd INM Sew` Print: {4Ac.l% My Commission Expires: 317/15 APPROVED BY /2 •f/ /3 Plans Examiner Structural Review (Revised3 /12/2012XRevised 07 /10 /07)(Revised 06/10 /2009 )(Revised 3/15/09) Zoning Clerk Local Business Tax Receipt Miami -Dade County, State of Florida THIS 1S` NOT A BILL -00 NOTPAY 5231832 BUSINESS NAMF.Ii.00ATtON TRQPICAL PLUMBING CONTRACTOR INC 17920 SW 77 AVE PALMETTO BAY, FL 33157 r RECEIPT NO. EXPIRES n SEPTEMBER 30, 2014 Must be displayed at place of business Pursuant to County Code Chapter SA - Art. 9 & 10 OWNER SEC. TYPE OF BUSINESS PAYMENT RECEIVED TROPICAL PWMBING CONTRACTOR INC 196 PLUMBING CONTRACTOR BY TAX COLLECTOR 49.50 10/23/2013 Workers) 3 CFC056749 0221 - 14.060379 This Local Badvass Tax Reooipt only confirms payment of the Local Bdoiaess Tax. The Recoipt b not a license, permit, or o coruscation of the holder's qualiGcaUeas,to do business. Holder most comply wide any governmental ar oongovenrmental regulatory laws and requirements which apply to the bus uess. The RECEIPT N0, above not be displayed a as commercial vehicles- Nliami-Dade Cede See So-211L MM Formore Information, visit cewwmiamidadigo eolleeter 10-1 :1 .3U »:.., L 523183 -2 THIS IS NOT A BILL — DO NOT PAY Bu ffIRWNG CONTRACTOR 17920 SW 77 AVE 33157 PALMETTO BAY FIRST-CLAW U.S. POSTAGE' PAID MIAMI. FL PERMIT NO. 231 RENEWAL INC STATEM 896749 546771 -7 O 'yF6PICAL PLUMBING CONTRACTOR INC "1WfMftG CONTRACTOR - WORKER /S ONLY A UocAr R PW 3 ATP OR cows OR GP THE � R NOR DO NOT FORWARD PON co 'w+' TROPICAL PLUMBINQ CONTRACTOR INC a P TM HOUM" QUUwWA� MERY LEON 17920 SW PRES 77 AVE PALMETTO BAY FL 33157 PA"Mw FtECEM U%NWMWC0WMTAX 9/20/2012 02280017001 000045.00 11111 11 fill ,,, Fi, l,i, i„ �i, ii, ,,1 „1i1 ►�„i�l,,,l�Ifi,,,,i „�IFs SEE OTHER SIDE T141S DOCU -MCNI T HAS A COLOR—ED BACKG4 )UND • RriGi� ?�:c -11N FIND ! Eiy "v7,t;S3K'_ °ATEN?ED P!1!'rF? • 1 STATE • FLORIDA DSPARTM FBUI SISDRTC SINBRII�TION 0 ST W— NDT RYL G BOARD SEQ#L1208080144 LI S NBR -aR �. 08/08/2012 1128033259 CFC056749 The PLUMBING CONTRACTOR Named below I3 CERTIP,IED Under the provisions of Chapt,1 Expiration date: AUG 31, 2014- y LEON, JOEL TROPICAL PLUMBING CONTRACTOR 11779200 SW 77TH AVENUE 92 FL 33157 re � �� t •ay - �1'�� . r , . 4a > RICK SCOTT KEN LAWSON GOVERNOR SECRETARY ----- -- -��_ ____,.•_DISPLAY AS REQUIRED BY LAW Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795 2204 Fax: (305) 756.8972 INFORMATION FOR CABINETS OR ANY INTERIOR RENOVATIONS Permit application must be accompanied by: € 2 Sets of drawings showing details of the interior remodel. (Kitchen cabinets' elevation, location and lay out). If any partition wall will be demolished, please provide drawings for before and after appearance. J€ Electrical service has to be upgraded in altered area as per the 2007 FBC. It requires installation of carbomonoxide detectors as well as smoke detectors. Permit has to be applied by a license electrical contractor. J€ If any plumbing is being done, it is required to obtain a Plumbing Permit (i.e. changing or relocating fixtures, extending pipe lines, etc) € If owner is doing the job, owner must fill and notarize Owner Builders Disclosure form (This form must be signed and notarized in the building department only). € If the job is more than $2,500.00 is it required to file a notice of commencement (paperwork may be requested in the Building Department). This must be taken to the Miami -Dade Recorders Office and then brought back to the Building Department. Revised on 11/09/2009 IN e . Dec 061311:44a WILVERALMARALES I R 305-382-6777 P.1 CERTIFICATE 4F LIABILITY INSURANCE 1121MIll 3 PRODUCER WAM Insumnce Agency 10637 SW 86th St. Ste 7-1 Miami, FL 33176 Phone t305%274 -4353 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Fax k00012749984 i INSURERS AFFORDING COVERAGE NAIC '"SURED TROPICAL PLUMBING CONTRACTOR, INC INSURERA, SENECA SPECIALTY INSURANCE 17920 SW 77th Avenue .INSURER B_MTRUST NORTH AMERICA, INC ..- .... ... ...... Miami, FL 33167- INsuFtERc.. MOUNT VERNON FIRE INSURANCE INSURER D: INSURER E: COVERAGES INSURER R THE POLICIES OF INSUiiANCE' LISTED HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTYVITHSTANDING ANY REWIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS cswiprAw MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUI2UECTTO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, ADVIL . , --* -j.. .... . --,-f—YPE OF POLICY EFFECTIVE P(X" EXPIRATION .LTR POLICY NUMBER DATE (MUMNY) %lrE �L MURDAa GENERAL LIABILITY I EACH OCCURRENCE —s1,000.000 k COMM34CIAL GENERAL LIABILITY - DAMA(%TO-RENTED BAG1021215 04123113 04/23114 PREMISES Ma o=jmnae) 100.000 A cl.AimsrimmE LvJ OCCUR LIED EXP QVW one Phi $ 6,000 '46ERALAFG REGATE�— $2'000.000 GENI. AGGREGATE LIMITAPPLIES PER: P, A-GG-,--,---- "--- 1' $2,000.000 POLICY U PROJECT L'j LOC AUT0noatLE uAj3iuTY COMBINED SINGLE LMff ANY AUTO (Ea !caderd) ALL OWNED AUTOS SCHEDULED AUTOS BODILYNJURY HIREDAUrroS NON OWNED AUTOS I BODILY INJURY (peraocwerd) PROPERTY DAMAGE (Peracciderd) GARAGE LIABILITY C ANY AUTO EXCESS/UMBRELLA LIABILITY OCCUR Fj CLAM MADE C =852mi 1 . 04/19/13 1-.3 DEDUCTIBLE El RaTorrioN s w6itkk*S COMPENSATION md:", B EMPLOYERS, Lmstuw AWC1022101 06/14,M3 ANY PROPRIETOR I PARTNER / EXECUTIVE OFFICER J MEMBER EXCLuoED? If Yo, desadbe under OTHER i CERTIFICATE HOLDER CITY OF MIAMI SHORE BUILDING DEPT. 10050 NE 2 AVE MIAMI, FL 33138 1305-755-8972 ACORD 25 (2001108) of By AUTO ONLY - EA ACCIDENT OTHER THAN EA AC ►SPECIAL CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS wRrrreN NOTICE To THE CERTIFICATE HOLDER NAMED To TIME LEFT. BUT FAILURE TO 00 SO SHALL UAPOSE NO OBLIGATION OR UABUJTY OF ANY MD UPON THE INSURER, ITS AGENTS OR REMES"IqATIM. AUTHORIZED REPRSSENTATIVE WILVeR ALMARALES 0 ACORD CORPORATION 1989 AUTO ONLY: AG -Q-- 04/19/14 EACH OCCURRENCE 2,000,001) AGGREGATE _- 2,000,000; 06/14114 TH. TOR L Mrrs ------ gEL- 11000,000! EL. EACH ACCIDENT .EL DISEASE - EA EMPLOYEE E.L. DISEASE PoLmy LIMIT (000,000 -L 0 1'000.000 ►SPECIAL CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS wRrrreN NOTICE To THE CERTIFICATE HOLDER NAMED To TIME LEFT. BUT FAILURE TO 00 SO SHALL UAPOSE NO OBLIGATION OR UABUJTY OF ANY MD UPON THE INSURER, ITS AGENTS OR REMES"IqATIM. AUTHORIZED REPRSSENTATIVE WILVeR ALMARALES 0 ACORD CORPORATION 1989