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PL-14-1190Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 214272 Permit Number: PL -6 -14 -1190 Scheduled Inspection Date: June 18, 2014 Inspector: Diaz, Osvaldo Owner: MARCELO BORODOWSKI, AAM IM \ /CQTSACMTQ I I /` Job Address: 10659 NE 11 Avenue Miami Shores, FL 33138- Project: <NONE> Contractor: IRRIGATION BY NIS Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number (305)466 -4243 Parcel Number 1122320280320 Phone: (954)547 -6510 Building Department Comments INSTALL IRRIGATION SYSTEM 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 CREATED AS REINSPECTION FOR INSP- 213780. CANCELLED BY INSPECTOR ROLLED OVER 61`(5"---k7 June 17, 2014 For Inspections please call: (305)762.4949 Page 16 of 26 LecA4 \\ \IL\ Miami Shores Village Building Department 40050 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 LO Permit No. PL- 0 I C C) Master Permit No.RC —) J -13 - 0444 BUILDING PERMIT APPLICATION Permit Type: PLUMBING JOB ADDRESS: 106 6-9 N E 11 Avenue. City: 1Vriamii Shhores s� Q County: Folio/Parcel#: J l c 5 c? 0, a 0z, 0 Is the Building Historically Designated: Yes CETV EE. JUN 0 6 2014 Miami Dade Zip: 33/3' NO Flood Zone: OWNER: Name (Fee Simple Titleholder): A-NI -1/ erds Lit, Phone#:305 -416- 442% • o � �v n � Zip: 33/,80 Address 900 ME e &/ J5 City: IQ. State: Tenant/Lessee Name: Email: Phone#: CONTRACTOR: Company Name:2t alto o i / VTLS P �� y �/ f �jQ hone#: 9 5�-u 7'6 S.J� Address_ °� 6 /o � vU _ �✓ / n ae- a zip: 93e2i Phone#: ,9J/t� -/� = .�7'%"'6,j /° Compete #: OB CoO &®D City: '1U / /or rl)es Qualifier Name: /1•PO/?I State Certification or Registration #: Certificate of Co State: is f Contact Phone#: q64-35117- 6/0 Email Address: 72 1.9 5 • / nC @ (J / eV in ° in Phone#: DESIGNER: Architect/Engineer: Value of Work for this Permit: $ %Rs: 0 (3 Square/Linear Footage of Work: Type of Work: DAddress Al D on Description/of Work: (pcist7 a / DDemolition ******* *a **e **aa ** * ********* * ******F **** *********** **** ******** *** ***** sacra *** Submittal Fee $ Permit Fee $ /5d, CCF $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ CO /CC $ Bond $ TOTAL FEE NOW DUE $ ` VI �"L , 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.' n the abs' , o such posted notice, the inspection will not be approved and a reinspection fee will be charged or Agent The foregoing instrument was acknowledged before me this tt day of a , 20 a_, by H ' t Road 2 who is personally known to me or who has produced new eA, Der 1.4 c ante As identification and who did take an oath. NOTARY PUBLIC: ..... ,, j MARINE PECLET Si gn :4..ZJIAZ , _ -ride Print K.,- ,•eery P@ ' `r My Comm. Expires Oct 10, 2016 �.5 ., AR Commission of Et 842ud8 My Commission Expires: 10/ leI2-ot C Contractor ,e- %e c"4‘412 7? The foregoing instrument was acknowledged before me this, day of , , 2014 , by Le.one.j Alvin e who is personally known to me or who has produced Pt ®." ,' dam. Pr; a4, e Ii se as identification and who did take an oath. NOTARY PUBLIC: - - - -A._ 4 MARINE PECLET �1 \* v; NOtary Public - State of Florid Sign: ? 4 , ' g My Comm. Expires Oct 10. 20 EE 842088 Print: N p A, 44' . My Commission Expires: 10/ d o d D e *es*ea *eav ********e**** se***a***e** s**se**e*e* srs *e ****** **ees*sr«***** *** ** a,*vas ***** **** **** *awe* * *s *v * APPROVED BY 6w10-/Se Plans Examiner Zoning Structural Review (Revised3 /12/2012)(Revised 07 /10 /07)(Revised 06/10/2009)(Revised 3/15/09) Clerk Detail by Entity Name Page 1 of 2 Detail by Entity Name Florida Limited Liability Company AAM INVESTMENTS, LLC Filing Information Document Number L10000047285 FEI/EIN Number 272489011 Date Filed 05/03/2010 State FL Status ACTIVE Principal Address 20900 NE 30TH AVE 318 AVENTURA, FL 33180 Mailing Address 20900 NE 30TH AVE 318 AVENTURA, FL 33180 Registered Agent Name & Address BORODOWSKI, MARCELO 20900 NE 30TH AVE 318 AVENTURA, FL 33180 Authorized Person(s) Detail Name & Address Title MGR VEINTIDOS CORP. 20900 NE 30TH AVE #318 AVENTURA, FL 33180 Title MGR MIGUEL RUIZ CONSTRUCTION CORP. 20900 NE 30TH AVENUE #318 AVENTURA, FL 33180 Annual Reports Report Year Filed Date 2012 04/27/2012 http: // search. sunbiz. org / Inquiry / CorporationSearch /SearchResultDetail/EntityName /flat- 110... 6/6/2014 Detail by Entity Name Page 1 of 2 Detail by Entity Name Florida Profit Corporation MIGUEL RUIZ CONSTRUCTION CORP. Filing Information Document Number M66522 FEI/EIN Number 650026823 Date Filed 02/01/1988 State FL Status ACTIVE Last Event AMENDMENT Event Date Filed 05/12/1988 Event Effective Date NONE Principal Address 20900 NE 30 AVE SUITE 318 AVENTURA, FL 33180 Changed: 04 /01/2009 Mailing Address 20900 NE 30 AVE SUITE 318 AVENTURA, FL 33180 Changed: 04/01/2009 Registered Agent Name & Address RUIZ, MIGUEL 20900 Ne 30th Ave. 318 Aventura, FL 33180 Name Changed: 03/17/2010 Address Changed: 04/22/2014 Officer /Director Detail Name & Address Title P RUIZ, MIGUEL http: // search. sunbiz. org / Inquiry/ CorporationSearch /SearchResultDetail/EntityName /domp -... 6/6/2014 ° ,ACS CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 6/6 2014 _ 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 pollcy(les) 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 Blackadar Insurance Agency, Inc. 1436 N Ronald Reagan Blvd Longwood FL 32750 CONTACT Patti Tommaso PHONE (AA/C. No. Ext):407- 831 -3832 E-MAIL ADSS:PattI(blackadar.com FAX No):407- 830 -4681 INSURERS) AFFORDING COVERAGE NAIC 6 INSURED Irrigation By N.I.S. Corp dba NIS Landscape and Irrigation 2310 NW 189th Avenue Pembroke Pines FL 33029 IRRIBYN -01 INSURER A :Meadowbrook Group Worker's Corn INSURER B :Mapfre Insurance Co of Florida INSURER c :Auto- Owners Insurance INSURER D : 18988 INSURER E : INSURER F : 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. INS LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POUCY EFF IMM/DD/YYYY) POUCY EXP (MM/DD/YYYY) LIMITS C GENERAL X UABILI Y COMMERCIAL GENERAL LIABILITY 72409198 2/21 /2014 2/21/2015 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $300,000 $10,000 $1,000,000 CLAIMS - MADE X OCCUR MED EXP (My one person) PERSONAL & ADV INJURY GENERAL AGGREGATE $2,000,000 $2,000,000 $ GEN'L AGGREGATE LIMIT APPLIES PER: —1 POLICY n .78-T n LOC PRODUCTS - COMP/OP AGG B AUTOMOBILE LIABILITY ANY AUTO AALLOOS OWNED HIRED AUTOS X SCHEDULED NON -OWNED AUTOS 4150130008604 7/9/2013 7/9/2014 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA UAB EXCESS UAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/ N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER ory In NH) IXCLUDED? (Mandatory In H describe under DESCRIPTION OF OPERATIONS below N / A WC0782794 3/8/2014 3/8/2015 X WC STATU- TORY LIMITS 0TH - ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, H more space is required) Lawn Sprinklers CERTIFICATE HOLDER CANCELLATION Miami Shores Village Building Department 10050 NE 2nd Ave Miami Shores FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Local Business Tax Receipt Miami -Dade County, State of Florida :THIS IS NOT A BILL - DO NOT PAY 6329791 BUSINESS NAME/LOCATION IRRIGATION BY NIS CORP DOING BUS IN DADE CO MIAMI, FL 33000 OWNER IRRIGATION BY NIS CORP Worker(s) coU RECEIPT NO. RENEWAL 61 LBT EXPIRES SEPTEMBER 30, 2014 Must be displayed at place of business Pursuant to County Code Chapter SA - Art. 9 & 10 SEC. TYPE OF BUSINESS 196 SPECIALTY PLUMBING CONTRACTOR 3 08P000808 022413-001182 This Local Business Tax Receipt only confirms payment of the Local Business Tax. The Receipt is not a license, permit, or a certification of the holder's qualifications, to do business. Holder must °amply with any governmental or nongovernmental regulatory laws and requirements which apply to the business, The RECEIPT NIL above must be displayed on all commercial vehicles - Miand -Dade Code Sec 90278. For mare information, visit www.miamidadegov/laxcoRactor PAYMENT RECEIVED BY TAX COLLECTOR 75.00 09/17/2013 CTQB Construction Trades Qualifying Board BUSINESS CERTIFICATE OF COMPETENCY 08P000808 IRRIGATION BY NIS CORP D.B.A.: Z LEONEL JR Is certified under the provisions of Chapter 1 © of Miami -Dade County ceuns louse' • Nycral •rytliPN T u::* a pFitite ffit ntct t k : ffitffie:i tI SHOR�''S VILLAGE IMPJMP=.C.40101:VVS,fr8bIK8 • trm t4144Lbl • • TA 14111% St pItti34 12 ardloyAirwt ffi.ts T. ffiF63R3t ' �Q. A wtriii v'8lN"i1 di'vs& APPOVED Z0 I N G STR CTURAL EL TRICAL PLC MBING MEcHAN:CAI 10' ASPHALT ALLEY F.I.P.1 /2" ON PL L €c)ei �=x►s�^Ln � .1,S .S 6. 0U rrt P 2 V, Ti +,A et- u( Ravi Se D Qcivrs 0 IA &4.c c 00 'II BJECT 10 C JMILIANCE WITH TE MO COUNTY RULES AND ~ it; 0 1. .2- ' ki7.; TILE PATIO 27.10' 32.90' um p RESIDENCE 2c a 110659 22c9 vote "=20' 0 ., ■ '�t co 15.30 0 Q —ON PL ii00(D A relate F.I.P.1 /2" BLOCK CORNER FI.P.1 215.40' {M) Accepted By: ASPHALT DRIVEWAY 20' ASPHALT PAVEMENT N. E. 11th AVENUE roperty Address: 10659 N.E. 11 AVENUE MIAMI SHORES, FL 33138 NOTES: NO NOTES V I8 NOT VALID MAPPER. ATICN A STANDARDS. IN CHAPTER MY DIRECTION. THIS COMPLIES CO % TH THE MINIMUM OP FLORIDA BOARD OF PROFESSIONAL. LAND CODE PURSUANT T0472527. FLORIDA STATUTES. SIGNED MIGUEL • FOR THE FIRM P.S.M. No. 5101 TIME AND AUTHENTICATED ELECTRONIC SEAL AMOR THE ORIGINAL RAISED SEAL OF A LICENSED SURVEYOR Survey:A -40187 Client Fite #. CL 13 070 F.LP.1 2 o 15' PARKWAY N • . •• • • •••• • • •••• •••• • •• •. • • •••• •••• • • • • • •••• •••• •:. • _ - • • • • • •• • •• •• • • • • • • • • MIGUEL ESPINOSA LAND SURVLYING, INS' • • 10665 SW 190TH Street •••• Suite 3110 MIAMI, FL 33157 PHONE:(305) 740 -3319 FAX #:(305) 869 -3190 LB # 6463 • • • • • • BUPA} 2.-106141 Page 1 of 2 Not valid without all pages. i —x —x— —0-0— r:... £L PROPERTY LUDO: STRUCTURE CONC. BLOCK WALL CHAIN -LINK FENCE OR WIRE FENCE WOOD FENCE IRON FENCE EAS'EEtENI CENTER LINE WOW DECK CONCRETE ASPHALT DR= / TILE WATER APPROXIMATE EWE OF WATER COVERED AREA TREE POWER POLE CATCti BASIN COU4n MUMS' EASEIaE.T 4NDRES3 / KNEW £Aa^EMF T UTILITY EASEMENT Property Address: 10659 N.E. 11 AVENUE MIAMI SHORES, FL 33138 Flood information: Community Number: Panel Number. Suffix: Date of Firm Index: Flood Zone: Base Flood Elevation: Date of Field Work: Date of Completion: 120652 12086C0306 L 9/11/2009 AE 8.0 6/13/2013 6/14/2013 Surveyor's Legend RID FOUND IRON PIPE / PIN AS NOTED ON PLAT LB# LICENSE A - BUSINESS W LICENSE # - SURVEYOR CALC CALCULATED POINT SET SET PIN • CONTROL POINT • CONCRETE MONUMENT BENCHMARK ELEV ELEVATION P.T. POINT OF TANGENCY P .C. POINT OF CURVATURE P.R.M. PERMANENT REFERENCE MONUMENT P.C.C. POINT OF COMPOUND CURVATURE P.R.C. POINT OF REVERSE CURVATURE P.O.& POINT OF BEGINNING P.O.C. POINT OF COMMENCEMENT P.C.P. PERMANENT CONTROL POINT M FIELD MEASURED P PLATTED MEASUREMENT D DEED C CALCULATED L.M.E. TAKE oR LANDSCAPE M' «HT. E5NP. ROOF OVERHANG EAsEs4EHT B .R. LS R RAD. N.R. TYP. LR. LP. N&D PK NAIL D.H. e M.N. 0.4... Tx CATV W.M. P/E CONC. ES1B{ O.G L.B.E. L•A.E. KARMO REFERENCE CENTRAL. ANGLE OR DELTA RADIUS OR RADIAL RADIAL TIE NON RADIAL TYPICAL IRON ROD Mom PIPE MAIL & DISK PARKER -KAL0N NAIL ORRI. HOLE WELL F RE HYDRANT MANHOLE OVERHEAD LINES TRANSFORMER CABLE Tv RISER WATER METER POOL EQUIPMENT CONCRETE SLAB FASUIENIT Ma!NArif. E,L$au:ift EANCSGAFL I. ER EASfam, LIMITED AC CEC,^, E SCI Et.T >itesnIeea,auav General Notes: TEL U.P. LG.B. SEP. D.F. A/c S/W OWY SCR. OAR ENCL N.T.S. F.F. T.O.B. E.O.W. LO.P C.V.G. D.S.L. S.1... R/W P,Ud. :.M.E. RE. TELEPHONE FACILITIES UTILITY POLE ELECTRIC UTILITY Box SEPTIC TANK DRAINFIELD AIR CONDITIONER SIDEWALK DRIVEWAY SCREEN GARAGE ENCLOSURE NOT TO SCALE ►INNISNED FLOOR TOP OF BANK EDGE OF WATER EDGE OF PAVEMENT CONCRETE VALLEY GLITTER BUILDING SETBACK LINE SURVEY TIE LINE CENTER UNE RIGHT -OF -WAY PUQLA U:iLITY EASEMENT CANAL MAINTENANCE EASEMEMI ANCHOR EASEMENT '4 5 a 1. The Legal Description used to perform this survey was supplied by others. This survey does not determine or is not to imply ownership. # 2. This survey only shows above ground improvements. Underground t utilities, footings, or encroachments are not located on this survey map. , 3. If there is a septic tank, weft, or drain field on this survey, the location of 1 such Items was shown to us by others and the information was not verified. i 4. Examination of the abstract of title will have to be made to determine I recorded instruments, if any, effect this property. The lands shown herein were not abstracted for easement or other recorded encumbrances not shown on i the plat e 5. Wall ties are done to the face of the wall 6. Fence ownership is not determined. 7. Bearings referenced to line noted B.R. i 6. Dimensions shown are platted and measured unless otherwise shown. 1 9. No identification found on property corners unless noted. I 10. Not valid unless sealed with the signing surveyors embossed seat s 11. Boundary survey means a drawing and/or graphic representation of the i survey work performed in the field, could be drawn at a shown scale and /or notj to scale. S 12. Elevations if shown are based upon NGVD 1929 unless otherwise noted. fi 13. This is a BOUNDARY SURVEY unless otherwise noted. i 14. This survey is exclusive for the use of the parties to whom it is certified. The certifications do not extend to any unnamed parties. 1 T Legal Description: I. i LOT 4, BLOCK 3, OF SUBDIVISION MIAMI SHORES ESTATES , ACCORDING TO THE PLAT TT-IERE ° S ED I IN PLAT BOOK 47, PAGE 58, OF THE PUBLIC RECORDS OF MIAMI -DADE COUNTY, FLORIDA PRINTING INSTRUCTIONS :, While viewing the survey in any Acrobat Reader, select the File Drop -down and select 'Print" Select a color printer, if available, or at least one with 8.5" x 14° Paper. Select ALL for Print Range, and the* of copies you would like to print out Under the "Page Scaling" please make sure you have selected "None." Do not check the "AutoRotate and Center" button. Check the "Choose Paper size by PDF"checkbox. Click OK to Print (ABILITY COMPANY; ALEX D. SIRULNIK, ge.4.•; FIDELITY ATTONAL TITLE INSURANCE COIIIPANI44E jtsisuccepppa• nd/or assigns as their interesturp y eivear. • • • • • • .. • .. • • • • • •••• ••S• • .5 Florida Land Title Asso.;i 'ti.jn ..i,:.x:;;� %fie {:wTr.:,..�e:•.T.�= T•`:"aei( ..: ICE. LAND SURVEYING, INC. 10665 SW 190TH Street, Suite 3110 MIAMI, FL 33157 PHONE:(305) 740 -3319 FAX # :(305) 669 -3190 LB # 6463 WWW.MELANDSERVICES.COM Survey:A -40187 Client File #: CL 13 070 Page 2 of 2 Not valid without all pages. • • • • .. •