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PL-12-2266Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (345)756=8972 Inspection Number: INSP-2031°27 Permit Number: PL -1-12-2266 *a ,mm „irnirnaartrrrrar,a,aa�am,a Scheduled Inspection Date, December 03, 2013 Permit Typ4a: Plumbing - Residential Inspector: O az, Osvaldo Inspection Type. Final Owner: SFARA, VERONIQUE Job Address, 1080 NE 106 Street Miami Shores, FL 33139. Project: <NONE> Work Classification: Pool - Private Phone Dumber (305)799-2008 Parcel Number 1122320280090 Contractor PLUMB TECH GROUP INC Phone: (305)4211-8685 .��11=21 Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-996317. POOL EQUIPMENT IS NOT SECURED Failed 'Poo I Correction Needed No Additional Inspections can be scheduled until re-inspection`fee is paid:. December 02, 2013 For Inspections please Gall: {305)762-4949 Page 18 of 40 Miami 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 "C20►0 Permit TypeiLB�1TGir -- - OWNER: Name (Fee Simple Titleh?ldcr):AL City..R I A — f�� �� State: Tenant%Leasee Name: NOV o 3 0 2012 � Permit No. P L I -;� _ Master Permit No.22l ( — r - Email: ;. JOB ADDRESS: 080 &AtF toe; City: Miami Shores County: Miami Dade lip; Folio/Parcel#: h the BwUdb* $istoricapy Desigbated Yes ----- NO Flood Lone CONTRACTOR: Company Name: I VD jPhone#: A ddress: 716 4/ _ 4 -�- City: d`/ t L'%► j Qualifier Name: VVI el State Certification or Registration'#: C Contact Phone* -Ay DESIGN> tt 'fArclpte�t �ngiaeer' sQH',runrzkermt' Type of Work: OAddress����" ��tkgn of Work: vv �7 State: 1. dip: 6 j 6 Phone#. CerEifioatepfomtencY #: Email Address: p 9 tag o Work: OAlteration, ODemolition n - Submittal Fee $ Permit Fee $_ 5 j CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ TrainhWEducation Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE 07 Bonding Company's Name (if applicable) Bonding Company's Address City State zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address .s, City State Zip G 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 ELECTRICAI: WORK, PjUN[B1NG, 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 M COMENCEMENT 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 exce ding $ 00, the applicant must promise in good faith that a copy of the notice of commencement and construction lien la - rochur will be eliyered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of o nt must #e posted at the job site for the first inspection which occurs seven (7) days after the building permit is issue I the ab nce of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature Owner or A nt e� Con ctor The forego' instrument was acknov�ledged before me this The fore g,�nstrument was acknowledged before this day of , 20, by /%! 6 i - 'day of who is personally known to a .gym, is personally ' £ who Nc •-Sgtb of ftori0a ):9EOt #gi��0 �.•,ea�,bv- '• R 1 B�t{KliI�11 Commission # EE 103636 I* esus • �Md �N •� NOT NOTA a Od3A0 'V EHtli1V'�.. _r �•° APPROVED BY IkAt' r' Plans Examiner Zoning Structural Review Clerk (Revised 07/10/07)(Revised 06/10=09)(Revised 3/15/09) 02/01/2013 14:05 02/.01/2013 14:27 Jerr ATWATER 014IMP P"ANOM OFROM 3052648996 LANDSTONE BUILDERS 1 PAGE 02/06 1 RR DESIGN AND CONSTR PAGE 03 10-29-x2012 STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * 0 IEIt'1'IFICATE OF ELMON M BE IEXEt10P1' FROM FLORIDA WflRKERS C01UPi@INSATIiIN LAW CONMUCTION INDUSTRY EXEMPTION This certifies that the individual fisted below has elected to be exempt from Florida WaAeers' Compensation law. EFFECTIVE DATE: PERSON: FEIN: 11126/Z*12 EXPIRATION DATE: 11/86/2014 RODRIGUEZ RAMON v 809410523 BUSINESS NAME AND ADDRESS: PLUMS TECH GROUP INC 8031 SW 021m ST Mimi FL 33165 SCOPES OF BUSINESS OR TRADE: 1- PLUMBING NOC AND DRIVEt25 IMPORTANT: 1MIr4uont to Chapter a4U . u5(Ia>, f.S., an effleer of a corpurvaim dam Lamm axnw un rrem ibis chpter ey ttttog a cerfiftare of eie+im ander *ia set:non may not revoaay hadothls or Compenept(on ander 1414 00ter. Punned to CRapter Uo ogt2}, F.S.. CfAlllaatos of olaclift to be eremyL., apply any with the —.pe .t 1114 1mprRIAs or Iraite hated on the noNco -1 aleet:oa to Do oaampt. neermaat to 0"tor aan 11911.4 F.tS., Notions of election to be eam001 wd tertifivow of oleetfoh to be eaofapt seen ee so lget to ee-oration H. In pay 1100 atter erre Infng o1 Nle notice or Me ismaM of th0 Oertlffaete, the pers00 mated co the eeriea of crluticate no longer "air tha FoCow9 leaams of M13 xMirm for Isaaaaee or a 001111cata Thr departms.r shad rd-ohe a detflNe.to at .ey idae 10, F.H.— of tee peroort aamad tan the Certiflcole to meet me relinirelnenla CI MIO seelioh. Qljgb-jjplys? 1g50) 413-1609 )WC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01.11 PLEASE CUT OUT THE CARD OkLO19 AND RETAIN FOR FUTURE ROPERIrNCH STATE OF FLORM OPPAR' WONr Of FagAfdl= . ^. WICES OrASION OF WOFUC =RW COMIPEIt UTION RF IFIOAT OP INDUSTRY TO B6 C EXMwT FROM FLORIDA WORKERS COUnNSATh3N LAW 0 EFFECTIVE 11/26/2012 Dcp=RAT20N DATf3: 11/26/2014 P99SOM RANULA O RODRIGUEZ PEtivt 205419523 BUSINESS NAME AND ADDRESSe humv TECH GAOUP INC 1733•I SW 32ND pr MAW, FL 33162 =PS OF allSINLSS OR TRADE t • FLUMBIN'G NOC AND DRNERS liIIAPORTANT 0 Pursuant to Chapter 440.06(14). F.S., on offiw of a corporation %yho EleaM ex"tion from this Otaptcr by filing a oertifleate of ole=jun L *under this section may not recover benefits or COMPLMsation tinder this D ChNow. M Pursuant to Chapter 440LOS(12). FS- CertifiMw of election to be exempt- apply Only nrithfn tfte Scope of the busNtess or troch fi5t00 an lite Itotit a of eleetfen to b.Ell extmrFst. E Poroumt to Chapter 440.05(13), F.S., mutices of eleelion to bg axon+pt and certiflaots of election to be exempt shall he subieet to Mwoogion Ifo at arty U010 After 1114 filing of 'Ate wdw or the isstlmtt:e of Me eertiff0 te, the person named on 1124 notice or certifirate no longer mufs the requlremw tS of thfs section for iSStftlrice of 4 pgrtifime, 7114 depwtawnr VWI rntr & e a certifia to at any time for failllr® of the Rerso+t named ort the cartifkaae to meet the reoirements of this 0or.tlen. QUEMOWS. 18513 413.1609 CUT NEW e ICAery bOttOrn portion on the job, kovip upper portion for yoLw records. )WC -252 CERTIFICATE OF ELECTION TO 11E EXEMPT REVISED 01-11 02/01/2013 14:05 3052648996 LANDSTONE BUILDERS I PAGE 03/06 02/21/20L3 14;27 1 RR DESIGN AND CONSTR PAGE V STATE OF FLORIDA DEAR, T' OF 33USXXESC A= PROPRE1810ML REMM&T10N CONSTRUCTION UMVISTRY LIOMSING AQMW (950) 487-1395 • 1940 NOR' Z MONROE SMEXT FL 32399-0793 77R0164 S.W1DRIGUZZ, RAM= OSVAXAD0 LUM TEC. -47 ST R MOUP 3NC MIM FL 33155 COngratulationsl With this Wiwi= you became one of the nearly Ono million Floridians lkensed by the Department of l3wilneza and Profa=kmal Regulation_ Our professionals and businewes range from architects to yacht broWrs, from ."M to borbOqUe recslaurantk, and tMy keep Florida's economy Monq Everyday we work to improve the way we do business In order to Serve you better. For information aboufaLlr services, please log onto www.myfloridalliceirise-com. There you call Md More Information about our Ovhftnib wvJ the regulations that impact you, suboorlim to department n*wvaleffera arW learn more oWut the Department's initiatives. Our Iftsion at the Department is., License Pfffigontly, Regulate Faidy. We constantly strive to serve you better so that you can serve your customem Thank vou for doing business in Florida, and congratulations on your new license -1 :sraori--i�,6Wa b. 'kjditj 12RO3.7016 6226204. STATE: OF, FLORIDA t) p1tork al- -NAL JIF ;�'CVCxSd MD... 5WAX :L3:CM4SZXQ AW SEQ#Tj3.2072301204 CHNSE 07/2S-�'iOiih-280 77/72s' 17 j6ft 4272 MT -'U N Named*. bi0ilow -19 Ctgtrlrlj W" T7nder th6" P 0:C Lhaptrgr ...4 ZXpi -a= date= WITO 31 4 qr IA•M x :Hn" 0S 7164 9-W 47 ST MIA= Al Rz. C11101P. •K= SRCV-wl%Rlr 02/01/2013 14:05 02/01/201-3 14:29 T a 3052648996 LANDSTONE BUILDERS 1 1 RR DESIGN AND COMSTR PAGE 05/06 PAGE 01 t OCAL SUMMS TAX itMIPT 148 W. R AGLEA ST- NpAMW*App COUNT► - RTAIS OF FLORIDA 1RI� 9CPT. 80.7A73 _NLO^ YW AX LAr- FL 1st Ft, tAUST BB OMPL Ol �H°►' 10 [X " : t•, . i '. ' t a WRANk FZ 33130 PUASUAW TO COUIY :.; •i j. .. 'e Kis is Igor A et6t 04 1z P" RENEWAL 592030-2 Race" -n, 6I7587'-1 e�+PLLJ � rA STAT10 CFC1427217 1NC Pyl$�4 SW 47 STuP asi65 UNiN IDADE COUNTY 00969 TECH GROUP %PG WORKER/S "41�b PLIG CONTRACTOR *WLT A KCAL etk m "" TA7. mcon. r. GJ� rni- ech+ o—a rC{oQ�w�ca go rm POMAM Dome riv rnam wv AsRAMON PLUMB TECH GROUP INC RODR;GUEZ PRES . 7164 SW 47 ST MIAMI FL 33ISS . WAvaDAVE COU.1TaaYTQt( a 60000000133 r S�.F Oe`�i,8z SLLTS r , PAGE 05/06 PAGE 01 02/01/2013 14:05 3052648996 LANDSTONE BUILDERS 1 PAGE 06/06 02/01/2013 14:29 1 RR DESIGN AND GDNSTR PAGE 02 CERTIFICATE OF LIABILITY INSURANCE TraTE(niMtuOr!YYYI OWM 2 A7>b IS 1�>GUED AS A F'IATTER W Aft `IION of Y M1L/ CO 'Rs NC ll1c F!'Ps' UPON 1"iiE CHiT1Fit:A1 k HDtpER. 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AND F:05401X25'LtADi14ITY Y/IV aRDPR'AlMO F1k��}( Edfiv '•%'F'CK'rT�f�'&�6L'R vA%I,JDt31'/>' N 1 A (('NittnfterfinNNJ i i _F -L QISEAifnEnFf 'fDra fi.« •.. �'+:.. ...!!:`3, l•K4r:7P!A1- :PSS.?d, K�,'N�.ce•cnJ i �L, „ •• sem--' , , .....,.._. .._ ..---• . _ ..,..-..�.��.. .en, ___Lag. . ....,.. ..... . . r `CSC R!RTtON AF rRAROTO31451 LOCATrc7Nj,p l %n oLM IAttV,.fi 4COR6 7U7, i QIL4718I KfiN01 iEg 8eBeditlG it Ism wpm i.9 feqnOedf _ SHOULD ANY OF THE AIMM OMCFMD POLMM BE eApmvLLI i7 SWM 71ii(AMF SHORE VILLAGE CRMRfl ATWM M I � •, O M D IN BUILDING DEPARTMENT i 70050 M.E.2ND AvENUS ALr HORC p REPRE31FNTATme MIAMI GNORH, PLCRMA 33136 � CAMtI n ACTO 1D"10 M;QRM c*RPORATIbm Aff a rfoiilB;4iI ed. The A00M namand IqF AFC MOISMmd merits Of ACORD