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PL-13-149- 08-Ol-'13 06:34 FROM - 1,004C.00h. workshoot Miami Shores Villas 10656 NA:'. '' .,2n4.Avejj0e.*. NIlarn! SkOrdt, FL 54204 Fax., (305)750r897j T -634 P0002/0003 F-812 !04P!a6f'o0._NqrPPqr; INSP400114 PormitNuftdr PL -1,41-14 $0hecfWqd In;spoqtion Duip: i ly fl, goj� Adoldefithil Iritiodotor., Dietz; 0avgj46 Owner: BURK"ALTItRl.. LAW;?;:Ni*-*E ln�pfttfdh Tyle. F1461 Job Addrosi, 196.- NE US Stre", Mt�ti i. Shares, fL Prb;fid: 4NCNEy vvorK Ula&9ifi.bAtloW.* Adolfio"Alteration Parcel' Number'to dqntra*r: A;Y.LA$ P'LQIMI§jNd.,jN'Q Phone?. 365/431=09$1 MOVE EXISTING SINK PIPP� TQ NEW LOCATION IhSTALt NF-W'sMAL*L 6ARtiNK Inspacter -Comments FAISe Passed 'CREAjr;.0 AS- IONPOR IN$P.18371-1, pending tap T6FqJT- Failed 0-otrection Needod NpAddItIonal Inspeotlons dah WsthWUleg u.hfft re;.Iasoefth f" ss paid. JUIY 30, 2013 for InspvcRons-ploEisro -oak.11; (365)762-49x9 Page 98 9 of 31 Wkl Ate. --- ami Shores village JUN I 2g'3 Building Department __- 10050 NX -2nd Avenue, Miami Shotes, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (30M 76U%9 WELDING PERMIT iePLICA fi r Permit No. --a FSC 20L Perm Type TLS OWNER: Name (Fee Simple Address: City: \)AC TenatR,e I Name: . 4. i. . VI JOB ADDRESS: a City: Miami Shores County: Miami Dade 75P: 3 Is the Btdlding )*or6flj besigna : Yes —NO L/ CONTRACTOR: Company Name: • �� S ly A44 -:c 2 Phone#: Address: q3 j -V /(,,Lv / /~ City: K -X ®-'1.1. State: _ F _Yip: 3 3 - Qualifier Name: !L "s a& 7-,f -z, y 6S! ,,SfS Phone#: State Certifiication ` r*ekistta°tiori'#: ` (? el 2cS � ffcate of Co m�'atency'#' Contact Phone#: �J,�SL f �,�' j EmailAddress: DESIGNSIYi°Architect/Engineer: _ So,.� a� Phone#: Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: i7Address aWteration ONew ORepairAteplace ODemoution Description of Work: QjnQN LIC jY7i p S, Yaw) G- e��ee��e�*��eeeee*.x���eeee+keeee���ee�eeF�e���*e�eeeas+���e�eeeseeeeee+s�*�+��s��a*e��ws .r— Submittal Fee $ Permit Fee $ 7r, CCF $ CO/CC $ Senning 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 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 ELECTRCAI` WORK, P,UMBING, SIGNS, WELLS, POOLS, FURNACES, BOHJW, HEATERS, TANKS and AIR CONDMONERS, 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 IN'T'END- 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 applicantmust 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 commencethent must Ae 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. Signa v Owner or Agent The foregoing instrument was acknowledged before me this Jtl— day a0. who is on 1 0 o me or who has produced Signature Contractor The foregoing instrument was acknowledged before this day of 20 a by IJX&`tA who is personally known to me or who has produce(i t--' As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Ala#4a-4J F yo�/ SARA Ff/ My Commission Expires: R.MATT WF.YON * MY MMMISSlQN # EE ZINIS 1100,001k1w Th BU* Ift" sw4m EXPIRES: Jury 20, 2016 APPROVED BY (Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) Plans Examiner Structural Review NOTARY PUBLIC: My Commission Expires: MATTHEW F. YON * WCOMMISSIMEE2 EXPIRES: Jury 20, 2015 Zoning Clerk 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 Permit JOB ADDRESS: PLUMBING FBC 20 Permit No. _�l Master Permit No.� I �� City: Miami Shores County: Miami Dade Zip:3l 32 Folio/Parcel#: 11 -013( - OD6 - [7) ib 0 Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): b i1 ukyakjPhone#:. W— 414- W3_i._ Address: 113s- w rL tostk a - City: t-xC &':'" � uzCfA State: Zip: -33) 31P Tenant/Lessee Name: Phone#: 12 If Email: , a.V rate. CONTRACTOR: Company Name: &VIa/ev!g Iy e. Phone#: 30�_ Address: Q 3 /'q N W 3 ,S City: A14! - Qualifier Name: 41 zip: 3317<- State Certification or Registration #: 141 f C1 -S_1 Certificate of Com netency #: Contact Phone#: 3 ®S Z 6' V Email Address: 40 V e) G A&4a"e-az s DESIGNER: Architect/Engineer: 0eU uz Q,PAVey" Phone#: Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: ❑Address hdAlteration WN`ew ORepair/Replace Description of W ork: Submittal Fee $ Permit Fee $ Scanning Fee $ Notary $ Radon Fee $ Training/Education Fee $ Double Fee $ Structural Review $ CCF $ CO/CC $ DBPR $ Bond $ Technology Fee $ ODemolition TOTAL FEE NOW DUE $ 1` 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 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. Signatur Owner or Agent The foregoing instrument was acknowledged before me this day of _1LX01 Z , by who is Xrsonally a10 to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: n Signature r Contractor The foregoing instrument was acknowledged before me this day of 2e a �. -✓ , 20 IL—, by G;16c,4D who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: U Print: �.�i -,,� Print: u�,A-*",:?b�jTkiEWF yLMI � MY GONIMIBSION # EE 202598 My Commission Expires: *a y ••• • * �' COAIISSION # EE 202596 My Commission Expires: *44, t EXPIRES: July 20, 2418 EXPIRES: July 20, 2416 Wr 60110 kmTin &W mY SrAm B=W Tin Budpet " SmvW APPROVED BY �— 13 Plans Examiner Structural Review (Revised3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) Zoning Clerk fte.A�oS PLtIM3IMR I YORKER/S _. 19,6, PkWQ1NO COUTRACTOR 0 r` i M a auiui cA- m I;r�PWAMWVACOM° Lo , N LO m ZZ ba25�00��5� ®00045.00 em O =a m m N m m N r- ti m 1 m m DO WT FORWARD ATLAS PLLMINS INC GILBERTO IKES1A dR PRES 9314 W 1S $T R ORAL FL $3172 m m W d a N d H N W J Q) H m Lo N LO m m m u� N m m N r, ti m m m I AC#19 4 4 3 STATE OF FLORA SM D8p�8TA � P �++�►� � �I =071000978 =,Lo 19 8 _ The PLMMM Named balm i8 Oaftr the pisoriaiou ogter :#89 . p&. lepimin date$ AVG 31, 2014 . MO �`t00A0R73� PPLA law n 33104 n% OSS UY AS RMW BY LAW 03/07/2013 23:50 3052641077 GILBERT IGLESIAS PAGE 01 CERTIFICATE OF LIABILITY INSURANCE Ds 03104113 PRODUCER E"allw4a IlrovtM110e A>Ivnly T1ii» RMFICAla IS ISSUED AS A MATTER OF INFO1111400H 3601 SW 107 Avwwe ROLL R. THIS CCE�O� om UPON WE CIRIIRCATR iRICATE DOU NOT AMEND, EMEND OR MiMmi, FL 33166 AVEMft BY THE FOL19 Phone (305)72"= FM (305)226-=7 I N 6 121 AFFORDING CCV MGR' Ni ONW1D INBU CE INGUReo Ades Plumbing, Inc. p 9314 N,W. 13 StrW 0 Mertufy Insumm DMI, Fl. 33172 INSWIER COVERAGre 918UIIi TME 100IJ011:8 OF i4WVMCE D HAYS R68N EVVSD TFIE IN$UREDNAi1ED AM FOR THE OD EI MT VID. NOTWITHgTAND1N ANY RE NT. TERM OR COMMON OF ANY CONTRACT OR OTHIR DOCUMENT w1 REMOT TO WMICH THIS CERI'IPiCATE MAY BE ISSUED OR MAY PERTAIN. TME MSURANCH AFFORDED BY THE PouallS 0UCRISV WJMN is SU CT TO ALS. THE TIW", M(CLUSIONS AND CONOITION8 OF SUCH A LNM, AOGIRBGATELIMITS SHOWN MAY HAVI I BEEN R90UM NY PAD CLAIMS. La ALb'L iv OP INSURANCE P06iC1► NUNIOBR M ML T1� UMITS EACH ougummmm 1000 GFNRWAL LIAAILTIY �7J COMMERCIAL &MIR AL uARILRY ACP5904 M62 09/18112 00/18/13 � 100,000 A 0 ❑ ❑ CLAIMS MADE ® OCCW! 0PK%Qft r,gsq MBI DIP (Ally GM OMiOR) 8,000 BAOV XXRr 1,000 00 MIRAL AdGREGATE 1 OOp wo ❑ ..� §P& Ami 'TE Ll4ilT APPLIES P P ICT8 • COMP/010 AGO 1 imm ® POLICY Lj PROXOT 0 LAC AUTOIMOM LIAPILITY ANYAUTO 1 FLOM335-5 111OW12 11/08/13 O D levtoLi LEIIT nt ❑ i ALL OWNED AUTOS 0100XLEPA1TOS HW49D AUT09 NON OWNED AUTOS ❑ I +I I eaOar INdJAY 10 000 OCpILY INJURY 20,008 IAM Ms0I0enq PROPERTY D"Gill 10000 AUTO ONLY - EA Gaff . Cl .. OARAOE LgNN.ITY ❑ ANYAU70 .. OTNER71 A" AVM ONLY. AGO ❑ EXCRUMMMRELLA UAHL" ❑ =xA M CLAIMS MADE 1 EACH OCCURRENE! A�IREIKTE DHDUCme �atTlpN 6 B UAsi4TY >vND 10632292 AMI PROPR MIlk iFFIPARTI�R�O _ExEOtIf7V[ I OCER / MEMOEII EIOCLU 04/01/1 04/01/13 !TA E.L. EACH ACOtptl�lf 1 X000 a.6 DRHVM! • !A RMPLOVff 1 dqQ P �. eMc:IOA unaw s ow OTHER EL. . DOME • PMQV LIMIT 600 i DEIGRIPTiON OF OPERATIONS 1 LOUTICKI 1 VNCTIS I EXCLUEIONs ADDED 8Y e M / 3P> MAL PROVIEIONM I iri(iA I t WILDER AU ADDITIONAL INSURED C8RTIFICATB HOLDER OWULD EXPIRAT Miami Mh" V:0420 30 10030 NW 2ND Ave T,+� W Miami $home FL,33138 ANYI AUTMM la OF WE AWN DISCIEMD PO mils as 4 WCA -um REFORI yNg I DATE THEREOP, TIME 125UNG NSURER WILL INDIAYO!! TO MAIL WRITTENOkYS AMED TO DO 00 SMATM 70 ALLL � NO o9gAM 0 LWM Tr 4 UPON THE INSI & M AGENT1 OR RIPA91110TATM LOO1f,0a'd will I Rs:I•I cinfnnrcn ti m LD N LO CS) m Lo ,n N N CT) N lD m m m Sm ATS IM6 INC SuWnso YORKEM _� - 196_ PLUNDING CONTRACTOR e 00 Mor POWAMOD M OM ATLAS PtlIMB INC 9314KNTO13 LIStA JR PRE$ Ej„AX DORAL FL $3172 60150®00152 960645.60 tr►tP►►,#J�,►,►+l►►►l.�J►J,►t►tt„J►1�►,.1e►1�►.,t�,l,►f„►�I SEE ©t HUM S09 co m 0� Q a Pip Nr LDN W m LO N N m m N Lo CD I m m jp N 6194473 STATE OF F Alow 730 Mimed below is CJIMIND tinder the v" -VOL=* ot ter -489 W., sagpirati0M date: #W 31, 103A A� {�MIL� lain �73 I A C 9 , »a38tz n 33144 Qesscm M `R DISPLAY AS REOU RED BY LAW