Loading...
PL-14-1405Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-218176 Scheduled Inspection Date: September 30, 2014 Inspector: Diaz, Osvaldo Owner: ZAWADZKAS, STEPHEN & CARRIE Job Address: 10650 NE 10 Court Miami Shores, FL 33138 - Project: <NONE> Contractor: USA PLUMBING & SEPTIC, INC. Isu comments Permit Number: PL -7-14-1405 Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition/Alteration Phone Number (347)613-0157 Parcel Number 1122320280930 Phone: 305-856-1696 RE- PIPE EXISTING STORM WATER PIPE AND 1—. -1 ..... _ CHAMBERS INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-2151 01. OK TO BACKFILL AND SOD FOR FINAL CALL WHEN READY Failed OV Q"- _36 Correction ❑ Needed Re -Inspection El Fee No Additional Inspections can be scheduled until re -inspection fee is paid. September 29, 2014 For Inspections please call: (305)762-4949 Page 8 of 31 BUILDING PERMIT APPLICATION ❑BUILDING ❑ ELECTRIC Miami Shores Village 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 -• A '. 9 W I-, JUL 01 2014 FBC 20)0 Master Permit No. R Sub Permit No. ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL [PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 6-0 " & to C' I Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): ���� P w ��� 1�"� Phone#: y7 (0/ Address: - /0 (o S U SIJ /� c—r /--� City: 2Z2, r- y�,, �LL., L .� State• /" �- Zip: -'>Dl3F Tenant/Lessee Name: Phone#: Email: v\/-d4l,—,, e-� CONTRACTOR: Company Name: L Address: 14 16 6 ice' Phone#: City: Y "' S I A 1AA ( State: F 4 Zip: 3 12 9 Qualifier Name: j9 06 AJ' 10 L 6,9j?C 0 Phone#:3 511966) 109 96 State Certification or Registration #: ® Certificate of Competency #: DESIGNER: Architect/Engineer: Address: /\ 9 I oyft City: State: Zip: Value of Work for this Permit: $ � ® Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New E 'Repair/Replace ❑ Demolition Description of Work: I FE- E k � S/ ! cU6 $-FbZ M 0 A (6 � �, 2F � %AYLIZ Specify color of color thru tile: Submittal Fee $ Permit Fee $ �`� �` y CCF $ Cid/CC $ Scanning Fee $ Technology Fee $ Structural Reviews $ (Revised02/24/2014) Radon Fee $ Training/Education Fee $ DBPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ �� 30 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 Zi 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 L Signature OWNER or 4)NT CONTRACT R The foregoing instrument was acknowledged before me this day of 20J/ - ,Z by who is personally known to me or who has producedS-/j 29U/as identification and who did take an oath. NOTARY PUBLIC: The foregoing instrument was acknowledged before me this 7 day of , 20 by A&-1240 -,who is personally known to me or who has produced ileo:) � identification and who did take an oath. NOTARY PUBLIC: APPROVED BY &W l X Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Property Search Application - Miami -Dade County hftp://www.miamidade.gov/propertysearcht#/report/summary OFFICE OF THE PROPERTY APPRAISER Summary Report Property Information Folio: 11-2232-028-0930 Property Address: 10650 NE 10 CT < Owner STEPHEN F ZAWADZKAS CARRIE L ZAWADZKAS Mailing Address 10650 NE 10 CT MIAMI SHORES, FL 33138 Primary Zone 1000 SGL FAMILY - 2101-2300 SQ Primary Land Use 0101 RESIDENTIAL - SINGLE FAMILY 1 UNIT Beds 1 Baths / Half 3/2/0 Floors 2 Living Units 1 Actual Area 3,158 Sq.Ft Living Area 2,387 Sq.Ft Adjusted Area 2,725 Sq.Ft Lot Size 12,000 Sq.Ft Year Built 1949 Assessment Information Previous 2014 2013 Year 2014 2013 2012 Land Value $240,150 $168,274 $96,398 Building Value $256,695 $256,695 $281,925 XF Value $16,167 $16,167 $20,209 Market Value $513,012 $441,136 $398,532 Assessed Value $513,012 $438,385 $398,532 Benefits Information Benefit Type 2014 2013 2012 Non -Homestead Cap Assessment Reduction 1 1 $2,751 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short MIAMI SHORES ESTATES PB 47-58 LOT 3 BLK 6 LOT SIZE 80.000 X 150 OR 21128-1627 03 2003 1 CCC 25172-1113 10 2006 1 Generated On: 6/25/2014 Taxable Value Information Previous 2014 2013 2012 County Exemption Value $0 $0 $0 Taxable Value 1 $513,012 $438,385 $398,532 School Board Exemption Value $0 $0 $0 Taxable Value 1 $513,012 $441,136 $398,532 City Exemption Value $0 $0 $0 Taxable Value $513,012 $438,385 $398,532 Regional Exemption Value 1 $0 $0 $0 Taxable Value 1 $513,012 $438,385 $398,532 Sales Information Previous Price OR Book- Qualification Description Sale 05/14/2014 $740,000 29181-1207 Qual by exam of deed 02/06/2013 $215,199 28480-2414 Financial inst or "in Lieu of Forclosure" stated 01/06/2010 $0 27227-4154 Financial inst or"in Lieu of Forclosure" stated 01/06/2010 $305,000 27168-1309 Financial inst or "In Lieu of Forclosure" stated The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Property Appraiser and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http://www.miamidade.gov/info/disclaimer. asp (h ftp: //www. m i a m i d ad e. g o v/info/d i scl a i m e r. a -V) Version Page 1 of 1 JUN -12-2814 03:26P FROM: TO:3057568972 P.2/12 i STATE OF FLORIDA rt•+ DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION �2 CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 1940 NORTH MONROE STREET wvt TALLAHASSEE FL 32399-0783 GARCIA, ANTONIO LUIS U S A PLUMBING & SEPTIC 415 SW 19TH RD MIAMI FL INC 33129 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, Every day we work to Improve the way we do business in order to serve you better i For information about our services, please log onto www.myforidalleense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and learn more about the i 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. Thank you for doing business in Florida, and congratulations on your new licensel DETACH HERE STATE OF FLORIDA AC# 6 i 5L, LL, � DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CFC056905 06/06/12 110415516 CERTIFIED PLUMBING CONTRACTOR GARCIA, ANTONIO LUIS U S A PLUMBING & SEPTIC INC IS CERTIFIED andar the provisions or cn.489 Fs Piyiiation dace; AUG 31, 2014 L12 060 6 0106 4 THIS DOCUMENT HAS A COLORED BACKGROUND • MICROPRINTING • LINEIISARK`" PATENTED PAPER L I STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD SEQ#L12060601064 06/06/2012 L110415516 ICFC056905 The PLUMBING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2014 GARCIA, ANTONIO LUIS U S A PLUMBING & SEPTIC 415 SW 19TH ROAD MIAMI FL INC 33129 RICK SCOTT KEN LAWSON GOVERNOR SECRETARY DISPLAY AS REQUlREO BY LAW JUN -12-2014 03:27P FROM: JEFF ATWATER CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION TO:3057568972 P.3/12 ` ` CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW ` CONSTRUCTION INDUSTRY EXEMPTION This certifies that the Individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 8/16/2013 EXPIRATION DATE: 8/16/2015 PERSON: GARCIA ANTONIO L FEIN: 562360872 BUSINESS NAME AND ADDRESS: U S A PLUMBING S SEPTIC INC 415 SW 19 RD MIAMI FL 33129 SCOPES OF BUSINESS OR TRADE: PLUMBING NOG AND SEWER CONSTRUCTION DRIVERS ALL OPERATI Pursuant to Charter 440,05(14). F S , an officer of a cotporation who Reds exemntian Imm lh(s chapter by fill"pQ o -"'-'o oehemprf OlaVon under this acellon may nor recover benefits of l omponsatlofl under flits cnapter Pursuant to Capra 440 03(112), F S., ConaG ttlos or 1111"I" -"'-'o to be appy andy wxhm the stype, of the business or turtle listed on the notice of election to be exempt Pursuant to Chapter 44(105(10oe , FS., Noticof election to be exempt arM Oanlfiealea of election to be exempt shall bo subfoo) to revo"110n If, at any (fine after the filing of Uro notice or Ihha U' 9uanea of the certificate, the poison nomad on the notice or conNUle no IO"gbf 111100115 the leGuffelllenls of this section (of isi;uanco of o Certificate. rhe department shall MVOMo a Cert111=10 of any aura for failure of the person named on the earti"cale, to meet the repluremalTel of tins section OFS-F2-DWC•252 CERTIFICATE OF ELECTION TO BE EXEMPT REIASEO 07-12 QUESTIONS? (850)413-1609 JUN -12-2014 03:27P FROM: TO:3057568972 P.4/12 003405 Local Business Tax Receipt Miami—Dade County, State of Florida -THIS IS NOT A BILL - DO NOT PAY 6217350 LBT BUSINESS NAMEMOCATION RECEIPT NO. EXPIRES USA PLUMBING & SEPTIC INC RENEWAL SEPTEMBER 30, 2014 415 SW 19 RD 6482079 Must be displayed at place of business MIAMI FL. 33129 Pursuant to County Code Chapter 8A - Art. 9 & 10 OWNER PPC. TYPE OF BUSINESS PAYMENT RECEIVED USA PLUMBING & SEPTIC INC 1.4 LPG INSTALLER BY TAX COLLECTOR L-PG023745 $60.00 09/20/2013 TXHS1-13-071780 This Local Business Tax Receipt only confirms payment of Ilia Local Business Tex. The Receipt is not a license. permit, or a certification of the holders qualifications, to do business. Holder must comply with any governmental or nongovernmental regulatory laws and requirements which appiy.to the business. The RECEIPT N0, above must be displayed on all commercial vehicles - Miami -Dade Code Sac Ila -276. 001270 For more information, visit www minmidade cav/toxcollector Local Business Tax Receipt Miami—Dade County, State of Florida THIS IS NOT A BILL - DO NOT PAY 5116819 LBT BUSINESS NAMEMOCATION RECEIPT NO. EXPIRES USA PLUMBING & SEPTIC INC RENEWAL SEPTEMBER 30, 2014 2745 NW 24 ST 3724169 Must be displayed at place of business MIAMI FL 33142 Pursuant to County Code Chapter SA - A+t. 9 & 10 OWNER SEC. TYPE OF BUSINESS PAYMENT RECEIVED USA PLUMBING & SEPTIC INC 196 PLUMBING CONTRACTOR BY TAX COLLECTOR Worker(s) 1 CFC056905 $75,00 09/20/2073 TXHS 1-13-07177 6 This Local Business Tax Receipt only confirms payment of the Local Business Tex. The Receipt is not a license. permit, or aconification of the holder's qualifications, to do business. Holder must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The HECEIPT NO. above must be displayed on all commercial vehicles - Miami -Dade Code Sec Ba -276. For more information, visit wyw.miemidade.agyNexeollectg_r Registered: Septic Tank Contractor SR0101664 ANTONIO 415 SW 19 ROAD MIAMI L GARCIA FL 33129- U.S.A. PLUMBING & SEPTIC, INC. Business Authorization: SA0101704 Registration Expires on September 30, 2014 X7 C-A ro CD ro FLORIDA DEPARTMENT OF HEALTH T 0 CERTIFICATE OF AUTHORIZATION q ii FOR HEALTH SEPTIC TANK CONTRACTING The Florida Department of Health hereby certifies the business or entity named below has satisfied the requirements of Part III, Chapter 489, Florida Statutes, for septic tank contracting and has been duly authorized by the Department to provide septic tank contracting services under the name of. U.S.A. PLUMBING & SEPTIC, INC. 0 OD tD SA0101704 April 17, 2013 March 31 2015 Authorization Number u Date Issued Expiration Date J. Rick Scott, Governor D011 4079. 1. W7 R) is Y _4 JUN -12-2014 03:29P FROM: TO:305756e972 Florida Department of Agriculture and Consumer Services Bureau of Liquefied Petroleum Gas Inspection P.O. Box 6700 Tallahassee, Florida 32399-6700 License Number: 23603 Business Mailing Address USA. PLUMBING & SEPTIC. INC 415 SW 19TH RD MIAMI, FL 33129-1313 Licensed Location Address U S A. PLUMBING & SEPTIC, INC 2745 NW 27TH AVE MIAMI, FL 33142-6536 The liquefied petroleum gas license at the bottom of this form is valid ONLY for the company located at the address on Dw, license. Each business lot allun of a company must be licensed, All LP Gas licenses must be renewed annually, Any license allowed to expireshall become inoperative because of failure to renew. The fee for restoration of a license Is equal to the original license fee and must be paid before the licensee may resume operations. IN THE EVENT OF AN OWNERSHIP CHANGE AT THIS BUSINESS LOCATION: This license maybe transferred to any person, flrm or corporation for the remainder of the current license year upon written request to the department by the original license holder. License transfers must be approved by the department. All licensing requirements must be met by the transferee and a transfer fee of $50 will apply:. To apply for a transfer, contact the Bureau of LP Gas Inspections at (850) 921-1600. Pursuant to Chapter 527, Florida Statutes, LP Gas licensees must present proof of licensure to any consumer, owner, or end user upon request when engaged in the business of servicing, testing, repairing, maintaining or Installing LP Gas systems and/or equipment. For future correspondence, please make any needed corrections or changes to your business mailing address and/or your licensed location address and return the UPPER PORTION with corrections to - Florida Department of Agriculture and Consumer Services Bureau of Liquefied Petroleum Gas Inspection P.O. Box 6700 Tallahassee, Florida 32399-6700 Cul Here P. 7/12 State of Florida Department of Agriculture and Consumer Services Division Of Consumer Services License Number: 23603 Bureau of Liquefied Petroleum Gas Inspection Expiratlon Date: August 31, 2014 (850) 921-1600 Date of Issue: September 1, 2013 License Fee: $20000 POST LICENSE Tallahassee, Florida Type and Class: 0803 CONSPICUOUSLY Liquefied Petroleum Gas License LP GAS INSTALLER GOOD FOR ONE LOCATION ONLY ANY CHANGE OF OWNERSHIP OR SALE OF THIS BUSINESS RENDERS THIS LICENSE INVALID This license is Issued under authority of Section 527.02, Florida Statutes, to: U.S.A. PLUMBING .& SEPTIC, INC. 2745 NW 27TH AVE ADAM H PUTNAM MIAMI, FL 33142- 6536 COMMISSIONER OF AGRICULTURE N N N N Q1 03 W U) P- 0 7- 0 N m 0 N N .1 i Z D F--) State of Florida Bureau of LP Gas Inspection QUALIFIER IDENTIFICATION CARD Antonio Luis Garcia 08-03 LP Gas Installer A This qualifier identification cardd is evidence that this person has passed a competency examination administered by the State of Florida, and may act as QUALIFIER for .an LP gas company licensed In the category above pursuant to Chapter 527, Florida Statutes. This card is NOT A LICENSE TO DO BUSINESS IN THE STATE OF FLORIDA. CERT NO: 2374.5 ADAM H. PUTNAM Expires: March 11, 2017 COMMISSIONER OF AGRICULTURE Installers Name: Antonio Garcia MEDICAL GAS CERTIFICATION NFPA 99C-2002 EDITION ASSE Series 6010. Installer ASME Boiler and Pressure Code Section IX CILB Course #0001291. Bearer of this card complies with the NFPA renewal requirements and has brazed within a 6 month period. EXPIRES: 10/31/2014 11111111 16l1 07-0420-09 CERTIFIED BY: UNITED SERVICE TRAINING CORP. F1, JUN -12-2014 03:29P FROM: TO:3057568972 P.10/12 G620-012-55-305-0 1 B'''OON LUIS 1! SSW Is fm W*AW Fl 9S1 -"4X= ',. SPX►."^ .i.�` n�»5«r L` 3 s r wrar++ • *.I asbkt,*tt ter reeya►i it dw Isar JUN -12-2014 03:30P FROM: TO:3057568972 P.11f12 '4 CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 5/9/2014 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 endorsernent(s). PRODUCER NTA David M. Lopez Easter -n Insurance Grou Inc. PHONE p� (305)595-3323 J F X 0.(305)595-7135 9570 SW 107 Avenue MAI Suite 104 car@oasternineurance.net Miami FL 33176 INSURERS AFFORDING COVERAGE NAIC N INSURED INSURER Fi A Mid-Contlnent Caaualt CO n U.S.A. Plumbing & Septic, Inc. INSURER 8: 2745 NK 24 Street INSURER C: Miami COVERAGES THIS INDICATED. CERTIFICATE EXCLUSIONS NSR FL 33142 CERTIFICATE IS TO CERTIFY THAT THE POLICIES OF NOTWITHSTANDING ANY REQUIREMENT, MAY BE ISSUED OR MAY PERTAIN, AND CONDITIONS OF SUCH POLICIES. ,...,,.-":R INSURER NUMBER:14aster 14-15 INSURANCE LISTED BELOW HAVE BEEN TERM OR CONDITION OF ANY THE INSURANCE AFFORDED BY LIMITS SHOWN MAY HAVE BEEN F REVISION NUMBER: ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, REDUCED BY PAID CLAIMS. MOlob EFF PMlD ICYEXP LIMITS TYPE OF INSURANCE GENERAL LIABILITY P CY N M E X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00C A CLAIMS -MADE OCCUR 4 -GL -000902404 /13/2014 /13/2015 RE ISES 0 Curren $ 100, 000 MED EXP An one arson) $ Excluded PERSONAL &ADV INJURY $ 1,000,000 GENERALAGGREGATE $ 2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: X POLICY PRO- LOC PRODUCTS - COMPIOP AGG $ 2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO O E IN L IMI o I e BODILYINJURY(Perperson) $ ALL OWNEA HEDULED AUTOSN-OWNED HIREp AUTOS BODILYINJURY(Peraccident) $ ROPER $ Per idemUMBRELL OCCUR EACH OCCURRENCE $ £](CESS LICLAIMS-MADE AGGREGATE$ DED WORKERS COMP@NSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE YINLIMITS OFFICERMEMBER EXCLUDED? ❑ (Mandatory In NH) NIA $ WC STATU- OTH E.L. EACH ACCIDENT $ E.L. DISEASE - Eq EMPLOYE $ K es, describe unoer DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT S DESCRIPTION OF OPERATIONS /LOCATIONS/ VEHICLES (Attach ACORD 101, Add)llonsl Remarks Sehedula, Hmon space Is required) Plumbing contractor SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City Of Miami Shores ACCORDANCE WITH THE POLICY PROVISIONS. Building & Zoning Department 100550 NIC 2 Avenue AUTHORIZED REPRESENTATIVE Miami Shores, FL 33138 David Lopez/ANA o ( S ACORCORD 22010/05) —� I r�(2 nt®1888-2010 ACORD CORPORATION. All rights reserved. Tho Ar`nort Hama and Inns Ora r Ala*onod marts nF Arnpn Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner —Workers' Compensation Insurance Exemption Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full-time employees, including the owner, must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if - 1 . f: 1. The officer owns at least 10 percent of the stock of the corporation, or in the case of an LLC, a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State, Division of Corporations; and 3. The corporation is registered and listed as active with the Florida Department of State, Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers' compensation exemption. In these circumstances, Miami Shores Village does not require verification of workers' compensation insurance coverage from the contractor's company. Therefore, you may be personally liable for the worker compensation injuries of anyperson allowed to work under this permit. Please check with your insurance carrier since most property insurance policies DO NOT cover this type of liability. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Owner n Print Name: _e - Signature:. Signature: State of Florida ) County of Miami -Dade ) Sworn to and subscribed before me this day ocf�/ , 20�. My Commission FF 082753 Expires 01/12/2018 zw-WA V"Irm, State of Florida ) \\\�\O.,ki Iii is S. County of Miami -Dade) ��// Sworn to and subscribed before me this day of, 20�_. By www� '.� � '• . ,.iso � (SEAL) �•� 0,e .......... Tvne of Identification produced 1°fI1,,, �..;«0`�� T U. S.A. PLUMBING AND SEPTIC, INC. STATE CERTIFIED PLUMBING CONTRACTOR CFC 056905 415 S.W.19 RD. MIAMI, FLORIDA 33129 OFFICE: (305)-856-1696 -FAX: (305) 859-8879 E-MAIL: usaplumbinginc@aol.com WEB SITE:www. usaplumbingandseptic.com 7-15-2014 MIANII SHORES VILLAGE 10050 NE 2ND AVE. MIAMI SHORES, FL. 33138 OFFICE: 505-795-2204 FAX: 305756-8972 ATTN: MR. OZZIE DIAZ CHIEF PLUMBING INSPECTOR MR- DIAZ: PER YOUR REQUEST I AM INCLUDING THE SCOPE OF WORK ,THE MATERIALS TO BE USED, SKETCHES AND PICTURES FOR THE REPAIR AT STEPHEN AND CARRIE ZAWADZKAS' HOME LOCTED AT 10650 NE 10 CT. NIIAMI SHORES, FL. 33138. IF YOU SHOULD HAVE ANY FURTHER QUESTIONS PLEASE FEEL FREE TO CALL ME TO MY CELLULAR NUMBER 305-978-1427 SCOPE OF WORK: REPLACE EXISTNG RAIN WATER DRAIN CHAMBERS. INSTALLATION OF A NEW ROCK BED ON THEN BOTTOM AND AR NEW ADS CHAMBERS. 0 TRENCH DRAIN TO BE T WIDE X 15' LONG X 3' DEEP. MATERIALS TO BE USED: 4" PVC SCHEDULE 35 ADS DRAIN CHAMBERS 3/4" ROCK. SINCERELY YOURS, ANTONIO L. GARCIA PRES./OWNER Miami ShG(asvillage BY DATE , l APP— —RO'VED EI_Do DEPT UF',JECT �G C(-P,IRI.�pNCE WI r', Al_L FEUERAL 1 f �l L -S Arra REGULATIONS A y milk COPS::: sees sees es • sees.. sees.. sees.. sees 0 0000 sees.. sees.. sees.. sees. 0000 .• sees • sees.. 0000.. 0000.. 0000.. 0000. 0000. 0000.. 0000.. 0000.. J 0000 • • • 00 0.000. 0 . 0.000. 0 • . 00000• 000• • •000 rM MM&SM,* f• rR.x1n and r� Email: usapiumbinginc@aol.com Lwww.usaPlumbingandseptic.com Septic Tanks Dain Fields Grease Traps i'IStations oDrains "gleaning Tony Garcia 305.978.1427 V D', }—t$' AP - PLAN IEVi NJAIR Mi<,'1WMIRr i OF Elki t'?-iTF'fl. Oil J • CURE 1ZEViEiVtVet (PRYI°�Ta',.� 0000.. 0000•• •••• . 0000.. :��•1�11111111111111111111111111111111111111111111111111111111111111111111111111111111111111 ®erm Number: 2014-0722-1554-4918 • ••contact Name: TONY GARCIA Contact Phone: (305} 978-1427 Folia: 11-2232-028-0930 Project Name: DRAINAGE REPAIR Date Received: 07/22/2014 lie++ S ---w Alamo 1 3 T 1�, XL 10 lij &RRFco PRO POE � Dov. LXISTI NAk I Emch RAW �2Aa r1� j-, STP tobr ft WAY L/&J C0 i A c i �� s? Pc? i® NY 6AFOe I tA AIS®s•91 I,4 2? �gc,-?`r r) (--,* (,XDm1-� © EGK P c, `r* jq t M• ���►SK® Reg 'F1.9 33)3,? �oLl�o 112.23 7-- 02F-09 30 LOr3 f3 LK C LOT-� I lc gotrl',K ISOf Fl M�� Ok F . px /'y ���►Kj E'I ® CI Page 2 of 3 Tuesday, July 15, 2014 AOL: Usaplumbinginc Page 2 of 3 k;. N ' { JI 4 .. Tuesday, July 15, 2014 AOL: Usaplumbinginc _ at, - • • 6666 w••6•• 6666•• •• • •00.0w •60.00 • • 6666•• 6666 • • • 0 + •••6•• 6666• 666+6• • • 6666• • • 6666•• 00 0 0 0 • • • 6666•• • • • • • • • 6666•+ 00000000i• •• • 6666 • • • Tuesday, July 15, 2014 AOL: Usaplumbinginc Page 2 of 3 Tuesday, July 15, 2014 AOL: Usaplumbinginc 0 40 00.. 0000.. 0000 , 000000 0.. ..,. 0000.. o 0000 . • . .. I IIIIIIIfINFIIIII IIIII lul�l� VIII VIII VIII IIIII IIIII IIIII IIIII ..... IIIII Iiii III . Der% Number:,"Q14-0722-1554-4g15z 00000. C04ta.ct NaMie*: 'TONY GARCIA 0 0000.. ��drii•O. Phone: (305) 973-1427 • F,46jj,: 11-22 ^• -_. 3�►42,. 0930 Pro3G.t Name: DRAINAGE REPAIR Date Received: 07.'22/2014 9 �tn Page 2 of 3 Monday, August 04, 2014 AOL: Usaplumbinginc E Page 2 of 3 Monday, August 04, 2014 AOL: Usaplumbinginc pwlm—� LAWNIF-Ij „Q {+n • • • • Ir pwlm—� LAWNIF-Ij Property Search Application - Miami -Dade County hftp://www.miamidade.gov/propertysearch/#/ Q (http://..mianidade.gov/pa/property-search-help.asp) 0 (https://www.facebook.com/MiamiDadePA) () (https://twitter..rTVMiamiDadePA) Address Owner Name Sub Division Folio SEARCH. 10650 NE 10 CT MIAMI FL PROPERTY INFORMATION 0 Folio: 11-2232-028-0930 Sub -Division: MIAMI SHORES ESTS Property Address 10650 NE 10 CT Main Shores. FL 33138-2102 Owner 2014 STEPHEN F ZA WA DZKAS Glossary Non -Ad Valorem Assessments CARRE L ZAWADZKAS (http://www.rriarridade.govlpa/glossary.asp) (http:/Avww.r7iarridade.gov/pa/tax_estimator/non_advalorem_pop_up. asp? Mailing Address Fol=1122320280930) 10650 NE 10 CT Fok1122320280930)PA Additional Online MIAMI SHORES, FL 33138 Tools Primary Zone (http:/Iwww.Mamidade.gov/pa/online tools.asp) 1000 SGL FAMILY - 2101-2300 SO Primary Land Use Report Homestead Fraud 0101 RESIDENTIAL - SINGLE FAMILY : 1 UNIT Beds l Baths I Half 312/0 Floors 2 Living Units 1 Actual Area 3,158 Sq.Ft Living Area 2,387 Sq. Ft Adjusted Area 2,725 Sq. Ft Lot Size 12,000 Sq.Ft Year Built 1949 Suite CL Featured Online Tools 2014 Comparable Sales Glossary Non -Ad Valorem Assessments (http://www.rriarridade.govlpa/glossary.asp) (http:/Avww.r7iarridade.gov/pa/tax_estimator/non_advalorem_pop_up. asp? Fol=1122320280930) (http:/ANww.niarridade.gov/pa/tax_estimator/n Ov#9i y,.WPaiNaSR%.gov/pa/tax_estimator/non_advalorem_pop_up.asp?Fol=1122320280930) Fok1122320280930)PA Additional Online Property Record Cards � y Property Search Help Report Discrepancies Tools (http://www.niamdade.gov/PaPortaVPRC/Creategil4xowwspxoanidade.gov/pa/property- (http://www.riamdade.gov/pa/erreiVASP/formNew.asp) (http:/Iwww.Mamidade.gov/pa/online tools.asp) search-help.asp) Non -Homestead Cap Assessment $2,751 Report Homestead Fraud $256,695 (http://www.rriafTidade.gov/paportal/HomesteadFraud/Honieste: Tax Comparison Tax Estimator TRIM Notice View Taxes (http://www.rriarridade.gov/PAPortal/TaxesFraxg6*ati ormsp®Yhdade.gov/PAPortalfraxeslraxEottpa%w.wspx)ianidade.gov/paportal/trinpdfMlakoTtoos Ac,Ww.rriamdade.county- folb=1122320280930) FOISrch=1122320280930) taxes.corrVpublic/real_estate/parcels/1122320280930) ASSESSMENT INFORMATION 0 BENEFITS INFORMATION 0 Year 2014 2013 2012 Benefit Type 2014 2013 2012 Land Value $240,150 $168,274 $96,398 Non -Homestead Cap Assessment $2,751 Building Value $256,695 $256,695 $281,925 (httpJtwww.miamidade.gov/palproperty__�value—"p.asp) Reduction Extra Feature Value $16,167 $16,167 $20,209 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Market Value $513,012 $441,136 $398,532 Assessed Value $513,012 $438,385 $398,532 FULL LEGAL DESCRIPTION 0 Page 1 of 3 Department of Regulatory and Economic Resource Miami -Dade County Plan Review Summary Ic Process Number: 2014072215544918 FINAL CORE REVIEW DATE: 8/8/2014 OVERALL STATUS: Overall AI PROJECT DETAILS: CONTACT DETAILS: FOLIO: 11-2232-028-0930 NAME: TONY GARCIA ADDRESS: 10650 NE 10 CT MIAMI SHORES EMAIL: PERMIT TYPE DESC.: PHONE #: 3059781427 AU DISAPPROVAL CODES: ��� Disapproval Code 01: 0302 - Requires DERM Tree Section approval. Contact the Downtown office a 1 20 4 Disapproval Code 02: 0295 - Requires Air Section approval for Asbestos. Contact the Downtown office at (305) 372- 6925 TASK REVIEWED BY STATUS DATE STATUS Initial Core Review Julio Diaz 08/07/2014 Reviewed Comments: PERMIT FOR THE REPLACEMENT OF EXISTING RAIN WATER DRAIN CHAMBERS AND INSTALLATION OF A NEW ROCK BED ON THE BOTTOM AND AROUND ADS CHAMBERS TO SINGLE FAMILY RESIDENCE ONLY. (10650 NE 10 CT) CITY OF MIAMI SHORES BUILDING #PL141405. FOR 302: REFER TO TREES SECTION COMMENTS. FOR 295: REFER TO PAVING AND DRAINAGE SECTION COMMENTS. 7/8/14 TREES SECTION APPROVED. PAVING AND DRAINAGE SECTION APPROVED. DERM STAMP PLACED BEHIND CITY OF MIAMI SHORES STAMP. P D Review Mayra de Tones 08/07/2014 Approved .' • • 0 00 Comments: The Water Control Section has not objection to the repair of the existing rain 'vratertrain and proposed .. new chambers. •. •. •. .. .. •... TREES Review Jennifer Savaro 08/07/2014 "lWoved : • • •.: Comments: The proposed work depicted on the subject site plan (Sketch, signed and sea1e&&A/201,Wx*I11'r1ot ..... impact tree resources; therefore the Tree Permitting Program recommends approval of tlasas plans provided that....' no tree that is subject to the Tree Preservation and Protection provisions of Chapter 24 is sdxi&ed artV8f l'dlocated• .. • • in which case a Miami Dade County Tree Removal/Relocation Permit is required. ...... Note: Within the yard of a single family home, a Tree Removal/Relocation Permit is required only for $ 56pen size trees (18 inches in diameter or more) and/or trees on the Right-of-way. �..' : :0600: • •••• Please contact Jennifer Savaro 305-372-6537 for questions relating to the comments above or the Tree Permitting Program 305-372-6574 for information regarding tree permitting procedures and requirements prior to site development. Final Core Review Julio Diaz 08/08/2014 Overall Approval Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Faz: (305) 756.8972 RECEIPT PERMIT #: —/ DATE: � I d' (NAME) Xontractor 5 "f ❑ Owner o Architect Picked up 2 sets of plans and (other) Lis Address: /C0� From the building department on this date in order to have corrections done to plans And/or get County stamps. I understand that the plans need to be brought back to, Miami Shores Village Bui ing D,artment to continue G Acknowledged by: PERMIT CLERK INITIAL: 5 , A RESUBMITTED DATE: 69— (l ID019 PERMIT CLERK INITIAL: �` F Property Search Application - Miami -Dade County TAXABLE VALUE INFORMATION dr 2014 2013 2012 COUNTY Exemption Value $0 $0 $0 Taxable Value $513,012 $438,385 $398,532 SCHOOL. MAN) 1949 1,152 $4,493 Exemption Value $0 $0 $0 Taxable Value $513,012 $441,136 $398,532 CITY 28480-2414(htlp•JAvwwZmimW- IwkcomrFubOc-Recwds/Seamh.aspx? Ftrr=kdInst or'in Lieu of DE1JTSC}EBANGNAILTRUSr Exemption Value $0 $0 $0 Taxable Value $513,012 $438,385 $398,532 REGIONAL search*&Rec Book=27188SRec_RW=1309) Forclosure° slated Exemption Value $0 $0 $0 Taxable Value $513,012 $438,385 $398,532 MAN SHORES ESTATES FE 47-58 LOT 3 ELK 6 LOT SIZE 80.000 X 150 OR 21128.1627 03 2003 1 COC 25172-111310 20081 hitp://www.miamidade.gov/propertysearchfN SALES INFORMATION 8 Cala Value 1949 Previous Prim OR Book -Page Qualification Description Previous Owner 1 Sale 1949 1,152 $4,493 051142014 $740,000 28181-12(W (h8 Avww2 dadwWk.cmTVFubk-Records/Search aspx? Quel by am of deed GG PROPERTY FSG LLC sawch2&RRec Book=28181&Rec_Fage=1207) 0210&2013 $215,188 28480-2414(htlp•JAvwwZmimW- IwkcomrFubOc-Recwds/Seamh.aspx? Ftrr=kdInst or'in Lieu of DE1JTSC}EBANGNAILTRUSr searctr- BodR2B48D&Rec Edge=22414) Fomloswd'aided COWTRS 01/082010 $305,000 27168.1309 (hWJhvww2M®nFd kcongRdit-Records/SamtLaspx? Frtareciel Inst or 'in Lieu of ANA MARA FRAGA search*&Rec Book=27188SRec_RW=1309) Forclosure° slated 0110&2010 $0 27227-4154 (hBpJ/wwwZmWrd dadeclarkcomRd)l c-Records/Search.aspx? Faumdel Inst Win Lieu of ANA MAR A FRAGA search-3&Rec_Book 27227&R _Page=4154) Forciostw stated 101012008 $750,000 25172-1113 (hBpJ/wwwZmWntd kcondRdit-RacwdwSearch.aspu? 2008 and prior year sales; CmaI by sewct =3&Rec Book=25172&Re-�_Fago=1113) exam of deed 02/012005 $0 25172-1112 (MtpJAvww2 ImkconVRdit-Reconffi/Sewch.aspx? Qumd by exam of deed searches Book=25172&Rec Page=1112) 10/012004 $500,000 22789.0202 (MtpJMrww2nim*4adeckrkcorWRd c-Records/Search.aspx? 2M8 and prier year sales; Qual by ssw0P3&Rec_Boo1r- 9&Rea Fage=0202) exam of deed 03/012003 $325,000 21128-1627 (hap•JMrww2ndmrWadecWkconVFuW-Records/Search.aspx? 2W8 and pry year ; GLel by search=3&Rec_Book=211288Rec Fage=1827) exam of deed 0SIOVI995 $0 16904-2973 (h1fpJ/www2nim*dadecierk.corWR4 ic-Recordsre=h.aspx? ami by exam of deed search-3&Rec Bool--l6904&Rec_Fage=2973) 120111994 $0 16713-2803 (MtpJAvww2.niarri dadeclerkcoMFu)6c-Rw"ds/Searckasp x? Qiarl by exam of deed seemI RRee 800118713&Rec Fag -2803) 0101/1978 $75,000 09935-0735(MtpJNvww2mWnt-tladeclerkcomTvW-Records/Search.espx? 2006 mW prim year sakes; (,del by semttp*&Rec Bod i5&Rac Fags9735) exam of deed For more ttdonrwilon about Bre Deparlmsm of Rsvemue's Sates Quaftabon Codes (MOJ/da12pd). 2014 2013 2012 LAND INFORMATION Land Use Mtudzoite GENERAL R-17.5, R-18.5 PA Zorte 1000 - SGL FAMLY - 2101-2300 SQ BUILDING INFORMATION Building Number Sub Area Year &cult Actual Sq.PL 1 1 1849 3,158 -4 Bum Sketches Available]122320.28 MMyew--2(H4) EXTRA FEATURES Description Fatlo- Concrete Slab Fool 6' res AVG 3-B' dpth, plain feat 250.848 sf Screen Exdusuae - Avg Done type ADDITIONAL INFORMATION Page 2 of 3 unit Type Units Cale Value Front FL 80.00 $240,150 Living Sq.PL Adj Sq.R. Calc Value 2,387 2725 $258,695 Year Bulk Units Cala Value 1949 702 $1,474 1949 1 $10200 1949 1,152 $4,493 Miami Shores Village Building Departmen 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 3?y JULY 01, 2014 Permit No: PL 14-1405 PLUMBING — OSVALDO DIAZ FBC107. PROVIDE ISOMETRIC FOR WATER PIPE, DETAIL PIPE SIZE, LOCATION AND MATERIAL TO BE USED FLAT DRAWING INDICATING LOCATION OF PLUMBING FIXTURES A BUILDING PERMIT MAY ALSO BE REQUIRED FOR DRYWALL REPAIRS Plan review is not complete, when all Items above are corrected, we will do a complete plan review. If any sheets are voided, replace them with new revised sheets and place behind the most current page.