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PL-13-1407Miami Shores Village Building Department AUG 2 2 813 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 7614949' BUILDING PERMIT APPLICATION Permit Type: PLUMBING JOB ADDRESS: 1 2.70 Ai 9 2. V') ST FBC 20 Permit No.�r Master Permit No. . -� H4 ) — City: Miami Shores County: Miami Dade Zip: 33 / a Folio/Parcel#: l / - 32.0 ,L 7 ',sic) Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): c./OcEL 'ev 3'i. 6C Phone #3O 7S7 -,pp Address: l)-7 Ne 9z,v S L, City: 44.1•446"../ Shiso• 5 State: ,L. Zip: 33 /38 Tenants essee Name: Phone #: Rmail: CONTRACTOR: Company Name: Joe Co AOrn a/ Na Phone #: Address: /0392 c lertfie___ e V ' " l0 B City: .4-€4.4.1_,' State: ICI- Zip: 1.35 L tT Qualifier Name: Cy2 ZP._.a Phone #: State Certification or Registration #: (PC /) / 9Z// Certificate of Competency #: Contact Phone#: 95 ,/"' 72'22, 0 Z Email Address: J O,e c dephi ,, Lye), 0 iyelso ei . DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ ' ( 7 4/0 .°° Square/Linear Footage of Work: /D0LP Type of Work: CiAddress �ilteration New ORepair/Replace ODemolition Description of Work: D ✓s47' /d M% — �if j A2 ®O0f -L S it k9e, ksk **aYdr******** ******frk*skdr********at **F 4r**,u**ifr v*,rsY,Hrir,Ya&**** frk&, Y*sYa4 ****de,4sk*,Y,4aYdeaafraS ** 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 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. . kio "WARNING.' "TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOI ' 'A T "' -TMVMCE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE R O:RD OUR NOTICE QpOQMT , NCE NT:r., Notice to ,A plicant: ,. s a condition to the issuance of a building permit with an estimated vale eugeeding $25 O, the vplicant must promiseth , iltll that a copy of the notice of commencement andcnonstruction lien %wwbr lure i)il1 bb'e ltkreif 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 +t be approved and a reinspection fee will be charged. Owner or Agent The fore ,ent was acknowl - s ged befe day of it ' 2q(,b who is . - . ' - y known to me or who has produced -icifis1t ie511'o`n NWINAOtaee tit)3, �►. Signature mP this C743 2 V' ` J SANTIAGO E YAGGIA COMMISSION A EE 866704 EXPIRES: April 14, 2017 ma Budget Way 410ges l.'onitactof 'The forego '. instrument wad. acknowledged b?e ore me`this ,'J day o ��'- r� ` 20'�'S, by 'J6 •L-01e who is Lasonallyeknottn to me or who has produced a.' •3 d'. a" w ��, -�.— ..>°y'ri4, ' a s �ideiitificatioul and Who did take an oath. NOTARY PUBLIC: * * * * * *** **Ira+e,Y,rda kdr,x9r3raYat reYax***,4,uu4iet*** *,tr*****at xsuatar9aaratr***** **akakat ***fie &***,4** APPROVED BY 1.-Z 4 - Plans Examiner Structural Review (Revised3 /12/2012XRevised 07 /10 /07)Revised 06/10/2009XRevised 3/15/09) ' •, •.. „EXPIRES March 27, 2015 NICHOLAS ROSE MY COMMISSION # EE078180 * Zoning Clerk / 3 - /yes-- Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 194047 Permit Number: PL -6 -13 -1407 Scheduled Inspection Date: May 15, 2014 Inspector: Diaz, Osvaldo Owner: FISHER, JOCELYNE Job Address: 1270 NE 92 Street Miami Shores, FL Project <NONE> Contractor: JOE COLE PLUMBING Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number 305 - 757 -1006 Parcel Number 1132050270510 Phone: (954)472 -2242 Building Department Comments PLUMBING WORK FOR INTERIOR REMODEL Infractio Passed Comments INSPECTOR COMMENTS False Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments dc May 14, 2014 For Inspections please call: (305)762 -4949 Page 2 of 30 Miami Shores Village Building Department JUN 212013 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 BUILDING Permit No , —` 07 PERMIT APPLICATIO Master Permit No Permit Type: PLUMBING JOB ADDRESS: i ?% 0 NE- Q 2,N C) City: Miami Shores County: Miami Dade Zip: 33 439 Folio/Parcel#: I / ' 32 0 .50 2','O 64/ 0 Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): •=3/1�. ye.vi t/k- 4 Phone #: ✓05-7, 7 — /ev Address. / 2.7 0 /V E 9Z01' sT - City: 41/ ei ■51/21102 State: L- Zip: `33/38 Tenant/Lessee Name: Phone #: Email: CONTRACTOR: Company Name: f 6, " / . Phone #: -= �LiIlLU vbU3 Address: 16?2- /UTAJ r City: Qualifier Name: State Certification Conta ' • A #: % l ul a U® Email Address: �,_. �5F pis.., t`. DESIG c Phone #: � Value of Work for this Permit: $ I f t1 CM-/ Square/Linear Footage of Work: Type of Work: OAddress Alteration New 0 epair/R lace Description of Work: ./Yw0 Cv t fl S �14-L_.(__ %0 (� /( /!�l.C.•etNc.,, ODemolition Submittal Fee $ Permit Fee $ . 7 s CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ � •S 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, 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. Si tur= gna lar[lk Owner or Agent Signature Di tmefti The foregoing instrument was acknowledged before me this \ The foregoing instrument was ac day of 20a, by ()C€ \--‘:t e' day of c, ,t.�l..l�l li. , 20 a, by who is personally known to me or who has pro ced v / As identification and who did take an oath. NOTARY PUBLIC: who is personally known to me or who has pr as identification and who did take an oath. NOT S LIC: Print: `fit: My Commission '�, ►" CO " "IS:r" #EE 186037 in. APR. • , '16 .kARON NOTARY.com a k9rdrsk*da*4rdcdcr7nkie*BrsYsYsYnY &FrakaF*aY9e &iF -r- 3r**ak9kkdrsY3e9r4: *rkFrsrkrksksY* akaYaSr4arkde***aka@ rkFr**akdkaYardeatr9esY& Fr9r*eYdr4eiraYaYie**ieaY4r*9c9r*9r**9a9a3r*akakaYz *** APPROVED BY /3 Plans Examiner Zoning Structural Review Clerk (Revised3 /12/2012XRevised 07 /10 /07XRevised 06 /10/2009XRevised 3/15/09) Sep 09 2013 13:06 JOECOLEPLUMBING 9544 722292 JOECO -C p.2 OP ID: AX '`et °RL CERTIFICATE OF LIABILITY INSURANCE 0 120° 13 THIS CERTIFICATE 18 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 polloy(ios) must be endorsed. If SUBROGATION 13 WAIVED, subject to the terms and conditions of the policy, certati policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder In lieu of such endorssment(s). PRODUCER Phone: 561.391 -4861 Sena & Whitney Corp Office Fact: 561 - 33&8551 Sena 8 Whitney LLC 190 Glades Rd elite C Boca Raton, FL 33432 POLICY (AI R FA$ Eon: I (art. No/ IMEITIO(YrtY1 INSURERS) AFFORDING COVERAGE NAIL II INSURER A : Allied P&C Ins co 42579 INS Joe Cole Plumbing Corp. C & F Holdings of Broward, Inc 10392 State Road 84 Suite 108 Davie, FL 33324 eIou caB: Associated Ind. Ins. Svcs 23140 mac: 03/0712014 INSURER D : $ 1,000, SURER a : $ 100,'.' '. INSURER A : I CLAIMS-MADE U OCCUR COVERAGES CERTIFICATE NUMBER: ISION 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 AU. THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAAYHAVE BEEN REDUCED BY PAID CLAIMS. L TYPE OF SCE ADDCIARBR- INIIR YND POLICY (AI R (M IMEITIO(YrtY1 LIMITS A GEVERALLIABLLITY X comhence . GENERAL. u*Bit.ITY ACPGLPO5915392710 03/0712013 03/0712014 EACHOCCJRRENGE $ 1,000, P TAI O ®cel $ 100,'.' '. I CLAIMS-MADE U OCCUR MED EXP (Any one person) $ 5, "' ', PERSONAL & ADV INJURY $ 1,000,''' , GENERAL AGGREGATE $ 2,000,0'' GET AGGREGATE LIMIT APPLIES PER: n pcucjXn n LOC PRODUCTS - COMPIOP AGO $ Z00,''" S A AUTOMOBILE _ X UAINUTY • AID/ AUTO ALL AUT OWNED HIRED AUTOS X X AUTOS MD NON- OWME'D AUTOS ACPEAFCSB15392710 03/0712013 03/0712014 CO O =SINGLELIMIT (Es =Mona $ 1,004,,,,,,- BODILY INJURY (Per p�enn) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per jig cidentl $ $ A X UMBRELLA UAB EXCESS LAS X OCCUR CLAIMS -MADE ACP5915392710 03107/2013 03/0712014 EACH OCCURRENCE $ 1,000,011 AGGREGATE $ 1,000,11 ' DED I X I RETENTION $ 10,000 GEN UAB $ ONL B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANrpnopRiErompARTNEetsecume Y1 N OFRC RMSWER EXCLUDED? n (Mandato In NiI) Byes, dos crr a under DESCRIPTION OFOPERATIONS below NIA AWC1911870 03107/2013.0310712014 X I STATte 0TH - +: < £.L.EACH ACCIDENT $ 1,000,'''' EL. DIMASE - EA EMPLOYEE $ 1,000,0' ' EL. DISEASE - POLICY UNIT S 1,000,000 DESCRIPTION OF OPERATIONS f LOCATIONS IVEICLEB (Attach ACORD 101, Additional Romans SSW" Broom apnea Isresdad) FLING CONTRACTOR. CERTI Fl CATE HOLDER CANCELLATION MIAMISB VILLAGE OF MIAMI SHORES 10050 NE 2ND AVENUE MIAMI SHORES, FL 33138 SHOULD ANY OF TRU ABOVE DESCRIBED POLICIES SE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. NOTICE WILL BE DS NERED III ACCORDANCE WITH THE POLICY PROVIB[ONL. AUTHORIZED REPRESENTATIVE 0)1088-2010 ACORD CORPORATION. All rights reserved. ACORD 23 (2010105) The ACORD name and logo are registered marks of ACORD Sep 09 2013 13:06 JOECOLEPLUMBING 9544722292 p.1 AC TION tigq# L12;0713001 DATE. - BATCH NUMBER 00.'3 • fttt oc ,I*140w,X98 CXIMITTA0i er the "'provieiti*.a of.•.tha ftpirati9n date: AG .31, 20 •001,8 'JOE. 3491 l DA$.... a i' r FL ;'333,2.8 v06 rs' _:. LxOTT CQOR DISPLAY AS REQUIRED BY LAW • BECREt'ARY� BROWARD COUNTY LOCAL. BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm. A -100. Ft. Lauderdale, FL 33301 -1895 — 954 -831 -4000 VAUD OCTOBER 1, 2012 THROUGH SEPTEMBER 30, 2013 Business Name: JOE COLE PLUMBING CORP Receipt .:1.111;,3 =NG /LWN SPRNRL /CO. Busing Type: (CERT PLUMBING CONTRACTOR) Owner Name : JOSEPH L COLE JR Business Opened :12/12/2007 Business Location: 10392 W STATE RD 7 105 State/County /Cert/Reg :CFC019231 DAVIE Exemption Code: Business Phone: Rooms Seats Employee. 12 Machines Professionals Per Vending Business Only Number of Machines Vending Typo: Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paid 54_00 0.00 0.00 0.00 0.00 0.00 54.00 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 WHEN VALIDATED and zoning requirements. This Business Tax Receipt must be transferred when 1 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. Maming Address: JOSEPH L COLE JR 10392 W STATE RD 7 STE 108 DAVIE, FL 33324 2012 - 2013 Receipt e034 -11- 00001473 Paid 07/16/2012 54.00