PL-14-1379Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number INSP-215631 Permit Number: PL -6-14-1379
Scheduled Inspection Date: July 15, 2014 Permit Type: Plumbing - Residential
Inspector. Diaz, Osvaldo
Owner. KLEIN, LESLIE
Job Address: 534 NE 94 Street
Miami Shores, FL
Project <NONE>
Contractor: MARLIN PLUMBING OF MIAMI INC
Comments
Inspection Type: Final
Work Classification: Addition/Alteration
Phone Number (305)876-7514
Parcel Number 1132060140950
Phone: 305452-6108
RUN NEW DRAIN LINE FOR WASHING MACHINE LINE "'T`0r'"V rassea comments
INSPECTOR COMMENTS False
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -Inspection fee Is paid
July 15, 2014 For Inspections please call: (305)762-4949 Page 20 of 31
Inspector Comments
Passed
CREATED AS REINSPECTION FOR INSP-214927. work is ok plans and
permit required for approval
0 Ik-
Failed
Correction
(deeded
❑
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -Inspection fee Is paid
July 15, 2014 For Inspections please call: (305)762-4949 Page 20 of 31
• Miami Shores Village'.- -!
lI� Building Department
10050 N.E.2nd Avenue, Miami Shores,'Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 20
BUILDING Master Permit No.TUJ LA-%*�1 e; 9
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
(r p� �j CONTRACTOR DRAWINGS
JOB ADDRESS: J c 3 q I S E / Y p -
City: Miami Shores County Miami Dade Zip• 3330
Folio/Parcel#: 11-37-0( - 1 — BQSW Is the Building Historically Designated: Yes NO
Occupancy Type: �¢ ,_ Load: Construction Type: ?Wrnki. Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Pel kI'S eh PhoneM K-1 JAI - 9966
Address: 153q /yllC 9q S�re'G4-
City: AA i s "i 91oy s State: r L Zip: 3 3178'
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: MQ.f �pi h 1 IU'ml ling ^-SMiGayO. 3;, Phone#: 3OW7651;-- 303/
Address: QO �S WE /6 r% e Q2,,,
City: N• lUfAN'i; &C4 State: ri Zip: 22/'1
Qualifier Name: Edwa J nt r.1 � Lin(' Phone#: �3QSS4a5,7'�3!
State Certification or Registration #: (, F 6 0'7 D ,? q aek Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit:
State: Zip:
Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New((�� 5D Repair/Replace ❑ Demolition
Description of Work: _Run view d r6�ATl i � fe—y M46Al-a;z ¢_- hI n e
Specify color of color thru tile:
Submittal Fee $5wil Permit Fee $ �� �• CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $
(Revised02/24/2014) M1
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
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 ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES, BOILERS, HEATERS, TANKS, 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 �St �� 9`1-- Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this
� day of MaA► t 20I�J_, by
who is personally known to
me or who has produced FL- DL _ as
The foregoing instrument was acknowledged before me this
2_`o day of auwe s . 20 i! by
&ted 'TWcL1 k9 r . who is personally known to
me or who has produced
identification and who did take an oath.
identification and who did take an oath.
NOTARY PUBLIC:
NOTARY PUBLIC:
c
Sign:
1,,"0
Sign:
Print: eL
�'1!
Print:
Seal:
Seal: •
MONY P" 81e N F 1,
'"
Nry COMM. E W 8.2017.
•` Commies
'R�RESA ilr<CCREERY
••
� •• N N FF 070897
��*�*�*m
`wj,`"`�`9>�" �*�.�*�*ger***.�*w*� * *
► * : x � * �
E
My Comm. Expim Du 6.2017
APPR E�' �•�°F•`�
Commission I FF 070897
Plans Examiner
Structural Review
(Revised02/24/2014)
as
Zoning
Clerk
'4'cqwr CERTIFICATE OF LIABILITY INSURANCEDATE(MM/DD/YYYY)
6/26/2014
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 policy(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
Keyes Coverage Insurance
5900 Hiatus Road
Tamarac FL 33321
POUCYNUM13ER
PHONE FAX
_724-700024-7024
AIC No
E-MAIL
ADDRESS:
INSURERS AFFORDING COVERAGE NAIC#
B
INSURER A:Bridgefield Employers Ins Co 10701
Y
INSURED 5937
Marlin Plumbing of Miami, Inc.
20145 N.E. 16th Place
INSURER B :AfeSCO Ins Co -25011
INSURER C:
INSURER D:
Miami FL 33179
INSURER E:
MED EXP (Any one son) $5,000
INSURER F:
/+nt/C�A/1ce
%.Erv1wiuA1ENUMBER: 0AZ7Af2A.Qn RC:VICInkI MIIIIAI2C13.
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.
INSR
LTR
TYPEOFINSURANCE
POUCYNUM13ER
POLICY
NDYYYY
POLICY
M/D1YYY
LIMITS
B
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
Y
Y
PPI15738600
8/2014
8/2015
EACH OCCURRENCE $1,000,000
DAMAGE TO REN I tu
PREMISES aooptnen0e $100,000
MED EXP (Any one son) $5,000
CLAIMS -MADE � OCCUR
X AI Per Wrtn Cont
PERSONAL 8 ADV INJURY $1,000,000
X WOS Per Contract
GENERAL AGGREGATE $2,000,000
GENt AGGREGATE LIMIT APPLIES PER:
POLICY X PRO LOC
PRODUCTS - COMP/OP AGG $2,000,000
AUTOMOBILE
UABIUTY
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
HIREDAUTOS NON -OWNED
AUTOS
acc rd
BODILY INJURY (Per person) $
BODILY INJURY (Peracciderd) $
ISR YDAMAGE $
$
UMBRELLA UABOCCUR
EXCESS UABH
CLAIMS-MADE
EACH OCCURRENCE $
AGGREGATE $
DED RETENTION
WORKERS COMPENSATION
AND EMPLOYERS' UABIUTV
OFRCE�EMBERREXACLNUDE�D9XECUTIVE
in NH)
live
DEiCRIPTIOONN O OPERATIONS below
A
N/A
y
30-25781
12/1/2013
2/1/2014
$
X WCBTATU- O -
E.LEACHACCIDENT $1,000,000
E.L. DISEASE - EA EMPLOYE $1,000,000
E.L. DISEASE - POLICY LIMIT 1 $1,000,000
DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, 11 morespaoe Is required)
RE: License # cfc048292
CPRTIRIr1ATC Ynl neo _ _ __ _ __
Village of Miami Shores
10000 NE 2nd Avenue
Miami Shores FL 33138
..... �., /. t. I -.-
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
1988-2010
I no A%;V r1w name and logo are registered marks of ACORD
TION. All rights reserved.
10/24/2013 11:34 3056523135 MARLIN PLUMBING PAGE= 01/01
AC# 63.0780
STATE OF FLORIDA
IIEPART4NT GF aITSINS88 ANS pRO SS.ION�iL gG17LATIO SEQ#z120e2e01972
e0Ns2"RQCTION i1+iDu8TRY LICNS:INc BQAR�
LI.CSNSB NBR. �•", •
078 •2p12
The PL COi�T 128056,129CI"C04829:ky:; `;
2 8> ING ry-kCTOR y
Named below IS G R of Ghapt x ; . �...�., . •�,:
under the p
roviSioaa
AUG 31 r 2 Q 14'
Expiration date: , 7r
W,ALXERr EDWARFA ,
MARLIN P'LUN,SING OR
20145 NE 16TH PLACE .:_.
FL 3379
NORTH MIAMI BEACH
gGRETARXN
RICK SCOTT
GOVERNOR
00435
de.:C she Q'Fiori..
2503465 F
' RiI:CEtPY Np
�g�gg,�plyFBlLOCA't'tON ����
ti�PiRlJD�.�IIIdCtOF15AIikMi INC �• 26271 ;
Lk;Ek 33179: r`
SEC. TYPE OF SNSlN""& PAYMEW"CEIVE,A
pw""196 PLIkN, owe CONTRACTtM By fAX commOt
MgRtiN PLUMBING or M}RMi INCCFC04829,2. $75.00 Gil 1/20113
:LaCal Business Tax. The . Pt is dOt a"cense.
This twal Rusinm Tax BaCeipt a* eo�Nl� 9fggy�htp a+ry 8ey�maretttal or
pamit, er a eerti6cwAn Of the ke{Q6r tt qua{�fit
4,*O" otncntal rayalatedp ta'a ado requiremelKt whcch appT¢to the e
sial vehi d e 81►.I�d
The RECEIFi'No. a4ove pmts bvAisplaY¢1 8n ell coria r . . :_
Eormara.iutOrmatioa> ..
PROPOSAL
MARLIN PLUMBING OF MIAMI, INC.
20145 N.E.16th PLACE, NORTH MIAMI BEACH, FL 33179
(305) 652-3031 fax (305) 652-3135
License CFC048292
PROPOSAL SUBMITTED TO
Name: Coral Klein
Street: 534 NE 94 Street
Miami, FL 33138
Phone: 305-751-9966 Fax.
Email:
Page 1 of 2
WORK TO BE PERFORMED AT
Name:
We hereby propose to furnish the materials and perform the labor necessary for the completion of.
Marlin Plumbing to cut out hole in garage and run new 3" drain line for washing machine in garage area. Materials
to be used will be PVC pipe and fittings, all to be hung and strapped as per code. Approximately 20ft of pipe to be
installed under home.
Marlin Plumbing to supply and install 2-studer vents.
NOTE: Any deviations from scope of work mentioned above will be extra to contract and done at time and
materials, Marlin Plumbing not responsible any landscaping, floors, walls or tile patching. Permits fees are
extra to contract.
All Material and Workmanship is Guaranteed for One (1) Year starting from Completion date.
Note: Marlin Plumbing will not be responsible for any underground water pipes, sprinkler lines, gas or electric lines
while doing any trenching. If needed, Marlin will call for location services to mark services.
All materials and workmanship is guaranteed for one (I) year from the completion date of the contract to be as
specified, and the above work to be performed in accordance with the drawings and specifications submitted for the
above work and completed in a workmanlike manner for the sum of $2,200.00
*!n the event that the customer fails to make any payments to Marlin Plumbing in accordance with the terms and conditions of this agreement,
Marlin Plumbing shall be entitled to all reasonable attorney's fees on collection andlor litigation or other court proceeding including attorney •s
fees on appeal.
Respectfully submitted: Marlin Plumbing of Miami, Inc.
Raul Bringas
marl inpropdoc/form 1/ 1998
Date 6/26/14
e)
HAM sHorEs VILLAGE
APPROVED
BY
DATE
ZONING
STRUCTURAL
ELECTRICAL
PLUMBING
MECHAWCAL
BLDG.
SUBJECT TO' ;ER,
LSIAIE AND COUNTY RULES
w
r
L�1�,'A 21