PL-14-365Miami 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
BUILDING
PERMIT APPLICATION
Permit Type: PLUMBING
JOB ADDRESS: t "15 A' L'A lc' 6-1-
FBC 20
Permit No.
Master Permit No.
11N e
City: Miami Shores County: Miami Dade Zip: .3, j ] E. ,..'
Folio/Parcel #:
Is the Building Historically Designated: Yes NO Flood Zone:
OWNER: Name (Fee Simple Titleholder): �(r(Z S `� Isar f- Cc c t �jc �. Phone # :.
Address: � ®CAk.k1rc,d � v �' 25k-)
City: [ ll��,a oOr1 State: 1= l . Zip: 3 3ta �
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: /4-Li 1 "�` ti' C P t 61,_11,i 1.) t -.t.1 t J . (el F Phone#: <3 � <'� - 63?), � (t'
Address: ?C 1 1E G S't I AVE
F
City: 1'l 9 0 ) € 0 11 State:
Qualifier Name: I. F C. h ,�, c k J. 1 t / Phone#: _� c' `' " C 3?) Ci f)
State Certification or Registration #: C �( 1 Lk .41 T 3 Certificate of Competency #:
Zip: 33CIC
Contact Phone#: Email Address:
vJC:61 (: L a121 1.)1)16) Cr r). Cc
DESIGNER: Architect/Engineer: Phone#:
t o it
$ , � (- • �
Value of Work for this Permit:
Type of Work: OAddress DAlteration
Description of Work: I Q �� 16 ( r' �C / ti
(o4
5 ► i t
Square/Linear Footage of Work: �S�
ONew
ORepair/Replace Demolition
(11, (i it Pe /03417 7 12
** ******** **** * * ***o: * *** *** *** *** *** **eF ** * * ******** * * ******* * ** x**** * ******** *** *axe
i/
Submittal Fee Permit Fee $ /7,7C/C1 CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ 5 619'
! : 60
Bonding Company's Tame (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 F!.F,CTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
OWNER'S ANF'lll)AVIT: 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 X54)
day of E62234, , 20 4, by Boron gh #k
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expir
* * * * * * * * * * * * * * ****
APPROVED BY
ttA2
o. pprn�a.,,
41-x- •.sir;. JANICE AIMEE MATOS
*( T_] )') MY COMMISSION #FF011193
* 4 * * *>f'>Ifi lsa **
(407) 34-0153 FloddallotaryServtce•com
tcf
Signature
_-L
Contractor
The foregoing instrument was acknowledged before me this ; I
day of ,(,( ,20 I /,byice
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:
***** 41*** 4***************** *****41* * *4s ***** ***a** **** ****
Plans Examiner
Structural Review
(Revised3 /12/2012)(Revised 07 /10 /07)(Revised 06/10/2009)(Revised 3/15/09)
Zoning
Clerk
CERTIFICATE OF LIABILITY INSURANCE DATE (1t I�lYY)
NCE _ 020/14
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION,_.
PRODucen C
2307 Douglas ondnentel Insurance Agency. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Rd., Stye S t3s ' HOLDER. THIS CERTIFICATE DOES NOT MEND, EXTEND DR
Wank FL 33145 ( — . ALTER THE COVERAfi I Q uli{,Lt POt I-?[. ,BE OW _:..
(305)445-6550 Fax (305)445-51 22
INSURERS AFFORDING COVERAGE 1 NAIL#
INSURERA: Scottsdale Indemnity to•
MISURER a Brldgeileld Employers Ins. ca.
INSURER G GokIe 1 Bear :Ins. Co
INSURER 0: International Iris. Co. of Hannavl
INSURER E:','
INSURER F:
LISTED HA' BEEN ISSUED TO THE INSURED NAMED ABOVE TOR THE POLICY PERIOD INDICATED NOTir~RTt ISTRl ING
:CFAfOlf IDN °OF ANY CatmeACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS DEBT ATE MAY R ISSUED OR
D BY THEPOLUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.. EXCLUSIONS : ANSI AI ae [IONS S SUCH
Y HAVE BEEN RED! CED BY PAD CLAIMS.
Pi91tCY1NUlI68t 4gft .13� IA
L_EACH DCCuRRENCE:
1,0(4000
AAtJU1{3trt 11 1 50,E
ICsQ111NfJ1597 -tat} 6 01/12/14 ' 01112/16 `�ESiEe �,...i
I'EXP enel ). 5,000
0
PERSONAL & ADV INJURY 1,,0,000
• t RAt AGGREGATEy
PRODUCTS - �COMP/OP AGG { 2,000,000
CONED SINGLE LIMIT
CAI0058681 11/03/13 /1103/14
AGGREGATE LW-APPLIES PIl
U0Y 21 PRWEGT 0 Lac
_C ANY AUTO
CESSIU ARELLAMLA ILITY
OCCUR - 0 CLAIMS MADE
.00X0001891
10830013254
01/12114 01/12/15
BODILY INJURY
(Per person)
BODILY INJURY
(Peraedden)
PROPERTY DAMAGE
(Fer=Ment)
AUTOONL - EAACOIE N'I
OTHER THAN EA ACC,_„
AUTO ONLY: AG
EACH OCCURRENCE 5.000,000
AGGREGATE 5000,000
1,000,000
04/011/3 04/01/14 -,
TratWKINS
General Contractor/Plumbing.
E L. EACH ACCIDENT
1,000,000
EL DISEASE -EA EMPLOYEE 1,000,000'
E.L. DISEASE POLICY LIMIT 1;000,000
# ADDED BY ENDORSEMENT! SPECIAL PROVISIONS
MIAMI i SHORES VILLAGE
BUILDING DEPARTMENT
10050 NE 2ND AVENUE
MIAMI SHORES, FL 33138
25 tie—SUM OF
CANCELLATION
SHOULD ANY OP THE ABOVE DESCRIBED POLICIES
EXPIRATION DATE THEREOF, ThE ISSUING INSURER
030 DAYS BITTEN NOTICE TO THE C
THE E-Pr, BUT FAILURE TO 00 SO SHALL
OF ANY KIND UPON THE INSURER, ITS AG
AUTHORIZED REPRESENTATIVE
CANCELLED-BEFORE THE
i ENDEAv R{ TO MAIL
TO
T10N OR LIABILITY
RES�ip
STATE OF FLO-:8DA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD
1940 NORTH MONROE STREET
TALLAHASSEE FL 32399-0783
RAYON, LEONARDO JESUS
AURORA PLUMBING CORPORATION
3527 NW 49TH STREET
MIAMI FL 33142
Congratulations! With this license you become one of the nearly one million
Floridians licensed by the Department of Business and Professional Regulation.
Our professionals and businesses range from architects to yacht brokers, from
boxers to barbeque restaurants, and they keep Florida's economy strong.
(850) 487-1395
Every day we work to improve the way we do business in order to serve you better. 1 .
For information about our services, please log onto wwvv.myfloridalicense.corn. CERT;FIED,:21ALIMBING CONTRACTOR
There you can find more information about our divisions and the regulations that RAYON,, ,LEONARDO JESUS
impact you subscribe to department newsletters and learn more about the LIMB XNG ,-CORPORATS ON
Department's initiatives.
Our mission at the Department is: License Efficiently, Regulate Fairly. We
constantly strive to serve you better so that you can serve your customers. .-cERTIFIEp ps
Thank you for doing business in Florida, and congratulations on your new license!: i T.:: 'AuGr63::i ,j:"26-14 i13.2)Yi101:6.2'0-27
DETACH HERE
STATEDF
PARTMENT i:?-01-1BITS/NESS, AND PROFESSIONAL REGULATION
1.:....-CONSTRUCTION. INDUSTRY :LICENSING-. BOARD.
• SEQ# L12073102027
DATE BATCH NUMBER
131/ 2612,120016241
. . . ,
Under thes':pr.o
Expiratipp. da
. g. . „ .
•:RAYON:,,:: LEONARDO c.atsts_...-
„.: AURORA...PLUM:RING .iCORP.01-,tATI ON
3527 NW 49TH- STREET—' •
MIAMI . . FL.„3,3142 •
KEN LAWSON
SECRETARY
City of Hialeah
Business Tax Receipt
Mayor Carlos Hernandez
No: 238220 -243
2013 -14
The person, firm or corp. listed here has paid the business tax required to engage Amount: business s 150.00'
regulations and restrictions of the City of Hialeah, Florida 9 gage m or operate the business specified subject to the
Owner: LEONARDO RAYON
Type of Business: Plumbing, Heating, and Air- Conditioning Contractors
AURORA PLUMBING CORP
301 E 10 AVE Business_
HIALEAH, FL 33010 r�
Validating No.: 322245
THIS IS NOT A BILL »\,
301 E 10 AVE
Expires September 30, 2014
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 CERTIFICE 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
COMPLETE CONTRACTOR'S INFORMATION
BUSINESS NAME: Aurora Plumbing, Corp
BUSINESS ADDRESS: 301 East 10th Ave CITY Hialeah
FL
STATE ZIP CODE 3301 0
BUSINESS PHONE: (305 ) 633 -9578 FAX NUMBER ( 305) 633 -2458
CELL PHONE ( 305 )218 -3011 QUALIFIER'S NAME:Leonardo J. Rayon
QUALIFIER'S LIC NUMBER: CFC1 427483
E -MAIL ADDRESS (IF APPLICABLE): lrayon @auroraplumbingcorp. corn
Created on 3119109 BY MLDV 1 RV 3126109 MLDV
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 207892 Permit Number: PL -2 -14 -365
Scheduled Inspection Date: May 08, 2014
Inspector: Diaz, Osvaldo
Owner:
Job Address: 143 NW 110 Street
Miami Shores, FL 33168-
Project: <NONE>
Contractor: AURORA PLUMBNG CORP
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1121360030530
Building Department Comments
AFTER THE FACT RENOVATION KITCHEN
Infractlo 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
May 07, 2014
For Inspections please call: (305)762 -4949
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