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PL-14-1945Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-219152 Permit Number: PL -9-14-1945 Scheduled Inspection Date: October 07, 2014 Inspector: Diaz, Osvaldo Owner: WILLIAMS, PAMELA Job Address: 68 NW 93 Street Miami Shores, FL Project: <NONE> Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition/Alteration Phone Number Parcel Number 1131010170030 Contractor: NELMAR PLUMBING INC Phone: (305) 261-3942 iswiamg uepartment comments INSTALL 1 KITCHEN SINK INSPECTOR COMMENTS False October 06, 2014 For Inspections please call: (305)762-4949 Page 10 of 33 Inspector Comments Passed G� Failed Correction Needed ❑ Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. October 06, 2014 For Inspections please call: (305)762-4949 Page 10 of 33 IL Miami Shores Village =IVED Building Department SEP 0 8 2014 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 No. pu q PERMIT APPLICATION Master Permit No X1"1-1 L 1 FBC 20 Permit Type: PLUMBING OWNER: Name (Fee Simple Titleholder): F V',j '►��°i Address: ') J p 6000 k }4 �t v a' $ Ph�,, M v a iV4 a Wgo City: (Py' do. State: tAl Zip: Tenant/Lessee Name: �l�" Phone#:_ Email: JOB ADDRESS: 6 u N W ! 3 0 City: Miami Shores County: Miami Dade Zip: 3 s Folio/Parcel#: \ I ' 31 of .p l'i `oj-&, Is the Building Historically Designated: Yes NO / Flood Zone: CONTRACTOR: Company Name: �E L A.,..b i Phone#: 3 0,--� 9—C �^ 3 Address: i IN 5'4,v 1-h- � T — City: State: EL Zip: 3 3 USE Qualifier Name: Lycl nn ee 4 Z Phone#: R r - State Certification or Registration #: d d 391-v 6 Certificate of Competency #: 670000 a J o �o Contact Phone#: Email Address: DESIGNER: Architect/Engineer: /r/�/� Phone#: Value of Work for this Permit: $ Square/Linear Footage of Work: a Type of Work: ❑Address ❑Alteration ❑New �Repair/Replace ❑Demolition Description of Work: ♦ ` � s rALL i K— f ex) %T ,��e+ Submittal Fee $ Permit Fee $ t150, � 2-" CCF $ O ` GC) CO/CC $ \ Scanning Fee $ —1 - 0 6 Radon Fee $ "� ' �Jd DBPR $ • stl Bond $ Notary $ Training/Education Fee $ _ Technology Fee $ n - 9 V Double Fee $ Structural Review $ _ TOTAL FEE NOW DUE $ ~% _G'I T W 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 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 bcrilding permit is issu In the absence of such posted notice, the inspection ivill n e approved and a reinspection fee will be charged. Signature � Signature - - Owner or Agent Con�dctor The foregoing instrument was acknowledged before me this /J The foregoing instrument was a�ledged before me this Z day of 0-5yrr 20 lh , by D�WY/ 641" day of v.,S , 201, by Mµ-1- 1— who is p sonally kno me or who has produced who is personall�kn- o e -''t -t �e or who has produced As identification and who did take an oath. NOTARY PUBLIC: identification and who did take an oath. NOTARY PUBLIC: . R Sign: nEt Sign: i Print: 310 .y E7(P RM, MAY 30 `7 Print: My Commission .!-0F 0 WWW`�M� My Co ,��'erPv'�-`'' x ��- F RQdE TUM _ #= 411SS10N # EE 051463 EXPt �i as, 2 01 Bonded rntu a uc u5 APPROVED BY "/'� �1!. / y Plans Examiner Structural Review (Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) Zoning Clerk Sep 08 14 12:22p STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 RODRIGUEZ, LUIS F NELMAR PLUMBING INC 4954 SW 75TH AVE MIAMI FL 33155-4439 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. For information about our services, please log onto www.myfloridalleense.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 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 license! p.3 (850) 487-1395 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION RF0038206 ISSUED: 08/21/2013 REGISTERED PLUMBING CONTRACTOR RODRIGUEZ, LUIS F NELMAR PLUMBING INC (INDIVIDUAL MUST MEETALL LOCAL LICENSING REQUIREMENTS PRIOR TO CONTRACTING IN ANY AREA) HAS REGISTERED under the provisions of Gh.489 FS. Expiration date: AUG 31, 2015 L1308210MI436 The Department of State is leading the commemoration of Florida's 500th anniversary in 2013. For more information, please go to www.VivaFlorida.org. '4A fi611gA ' . DETACH HERE STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD RF0038206 The PLUMBING CONTRACTOR Named below HAS REGISTERED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2015 (INDIVIDUAL MUST MEETALL LOCAL LICENSING REQUIREMENTS PRIOR TO CONTRACTING IN ANYAREA) RODRIGUEZ, LUIS F NELMAR PLUMBING INC 4954 SW 75TH AVE MIAMI FL 33155-4439 RICK SCOTT 1s311.11ED: 00/21/2013 SEQ # L1308210001436 KEN LAWSON GOVERNOR DISPLAYAS REQUIRED BY LAW SECRETARY Sep 08 14 12:23p aCTOB Construction Trades Qua tfyin9 Board BUSINESS CERTIFICATE OF COMPETENCY 000008586 NEL MAR PLUMBING INC D.BA.: RODRIGUEZ LUIS F Is certified under the provisions of Chapter 10 of Miami -Dade County VAUD FOR CONTRACTING UNTIL 09130/2015 QUALIFYING TRADE(S) 0001 PLUMBING 0022 MEDICAL GAS INSTALLATION Cham MfMw P.E _._ Secretary of BwM `� wwer.MaadfNOe povJmwlaPaetnt p.4 IL Local Business Tax Receipt Miami—Dade County, State of Florida -THIS Is NOTA BILL -DO NOT PAY 265140 BUSINESS NAM@/LOCATION RECEIPT No. EXPIRES NELMAR PLUMBING INC RENEWAL SEPTEMBER 30, 2015 4954 SW 75 AVE 265140 MIAMI. FL 33155 Must be displayed at place aibuafnese Pursuant toCaunty Code Chapter 8A -Art. 9 & 10 OWNER SEC. TYPE OF BUSINESS PAYMENT RECENED NELMAR PLUMBING INC 196 PLUMBING BY TAX COLLECTOR CONTRACTOR 137.50 10/02/2014 Worker(s) 20 000008586 0229-15-000048 This local Business Tax Receipt only Coafirma pavmeot of the Local lladnoea Tax.Tha Receipt ia not a iicouse. permiLor a certification althe holders qualiiieationa, to do busieoss.Roldbr moat comply with any governmental or eoagoveromental rogotatarytows and ragairamoms whicb app iy to tho business. The RECEIPT RM above moth* displayed on all cemmotelalvebictes-Miaml-Bode Code Sec Ba 276. to For more iadarmatioa.vtsil +wroaiami�adggov/ta:oopector N !i M 0 +3 0 0 Municipal Contractor's Tax Receipt Miami—Dade County, State of Florida MC -THISM NOTA BILL -OO NOTPAY CC NO: 000008586 BUSINESS NAMEnJOCATION RECEIPT NO EXPIRES 49LMAR AVE c INC NEW BUSINESS SEPTEMBER 30, 2015 544 SW 775 T4 SgT4 MIAMI, FL 33155 Must be displayed at place otbusiness Pursuant to County Code Chapter SA - Art. 9 & 10 OWNER TYPE OF BUSINESS NELAAW AR PLLBING INC PLUMBING CONTRACTOR PAYMENT ECTOR BY TAX COLLECTOR 200.00 10/02/2014 0223-15000048 H� Potrero infotneHoe,rfeltwvrw.miamid�ds.ao ellseter Sep 08 14 12:22p p.1 '10 DATE (MM/DD/YYYY) A o' CERTIFICATE OF LIABILITY INSURANCE 08/27/2014 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. iIMPORTANT: 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 endorselnent(s). PRODUCER Sarai Medina ME NA:— Emmanuel Insurance & Associates, Inc. PHONE 305) 693-0003 t=A7c 305 691-4381 2370 E 8TH AVE ifm&LADDRESS: _sarai@emmanuelinsurance_com — — _ — – INSURERIS) AFFORDING COVERAGE NAIL 0 —_.._.. .._—...._ —. . —. —.._.— _... ...— — HIALEAH FL 33013-4236 INSURERA: Preferred Contractors Ins. Co. 12497 INsuREO INSURER e_RetailFirst Ins.Co: – _— — 10700 INSURER C NELMAR PLUMBING, INC. _INSURER D,:- 4954 SW 75 AVE INSURER E_ _--- ' --. '-- _ ---- .....— —• — MIAMI FL 33155 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. LTR TYPE OF INSURANCE • -- 'AMSUER' - - " • —' -- 'ICY EFF POLICY LIMITS INSR WVD POLICY NUMBER MM/DDIYYYY MM/DD Y Building Department GENERAL LUU3JUTY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 10050 NE 2 Avenue EACH OCCURRENCE $ 1,000,000.00 ACCORDANCE WITH THE POLICY PROVISIO - f COMMERCIAL COMMERCIAL GENERAL LIABILITY -DATdAG�TO RENTED - PRFflA1SES {Ea OCWrrence•L-5 1 CLAIMS MADE X OCCUR • MED E%P (Any one person) !6 5,000.00 — A . Y PCAS6713-03 04/27/2014 04/27/2015 • PERSONAL a ADV INJURY $ 1.000,000.00 2,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2.000, 000.00 POLICY PRO- LOC JECT - ---- S - AUTOMOBILE LIABILITY COMBIN D INGLE LIMIT S Ee acaidenl •, . �_ ..... ANY AUTO BODILY INJURY (Per person) $ ALL OV AUTOMED AUTOSULED _.._—. —. BODILY INJURY (Per accident) $ NON -OWNED HIREDAUTOS AUTOS t4i6PERTY DAMAGE • — (peraacident•). — i $ UMBRELLA LIAB :OCCUR EACH OCCURRENCE S EXCESS LIAB1.CLAIMS-MADE - AGGREGATE S_ _ DED RETENTION $ . $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS LIABILITY YIN TORY �l(yITS 1 . E B ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? F_ N f A j 520-43054 10/29/2013 E.L. EACH ACCIDENT 10/29/2014 ---• — • •-- 1,000.000.00— $ _ _ - - • - (Mandatory inNH} I E.L. DISEASE EA EMPLOYE $ 1,000,000.00 If describe under -.. - Oyes DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1.000,000.00 -11V.01 vcnII.L tAuzcn AI:VMU 7P1, Aaamonal Rerrlarirs Schedule, a mon@ space is required) Commercial & Residential Plumbing. Any Changes or alterations Done to this document after being issued shall constitute it null and void. CERTIFICATE HOLDER CANCELLATION Miami Shores Village Building Department SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 10050 NE 2 Avenue ACCORDANCE WITH THE POLICY PROVISIO - f Miami Shores,FL 33138 AUTHORIZED REPRESENTATIVE