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PL-14-2315Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-221954 Permit Number: PL -10-14-2315 Scheduled Inspection Date: November 06, 2014 Permit Type: Plumbing - Residential Inspector: Diaz, Osvaldo Inspection Type: Final Owner: FLOYD GONZALES, ROBERT IRWIN Work Classification: Sprinkler System Job Address: 68 NE 91 Street Miami Shores, FL 33138 - Project: <NONE> Contractor: EAST COAST WATER WORKS INC lsunamg uepartment comments SPRINKLER SYSTEM Phone Number (305)492-9763 Parcel Number 1131010200020 INSPECTOR COMMENTS False Phone: (754)229-8717 November 05, 2014 For Inspections please call: (305)762-4949 Page 14 of 35 Inspector Comments Passed F7 G Failed Correction Needed ❑ Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. November 05, 2014 For Inspections please call: (305)762-4949 Page 14 of 35 BUILDING PERMIT APPLICATION 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: (30S) 762-4949 ❑ BUILDING ❑ ELECTRIC ❑ ROOFING OCT 2® 2914 FBC 200 Master Permit No. Sub Permit No. ❑ REVISION ❑ EXTENSION ❑ RENEWAL OPLUMBING [:]MECHANICAL ❑PUBLIC WORKS [] CHANGE OF [:]CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 68 N E 91 st Street City: Miami Shores County: Miami Dade z1o: Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Feed jSiim'ple/T�it/leholder): E0 0y cx 6y17J l -e-5 Phone#: SoS-�2^q1 Addr.re- Hn'g M% Q( -Si' C4 --%"1P0 4 City: M 1 A.VA, S LOV eS State: Zip: Tenant/Lessee Name: N18 Phone#: Email: G f9 r►ZeA 190 CONTRACTOR: Company Name: East Coast Water Works Inc Phone#: 754-229-8717 Address: P.O. Box 770302 City: Coral Springs State: F� zip: 33071 Qualifier Name: Curtis Robinson Phone#: 954-818-2613 State Certification or Registration #: Certificate of Competency #: EbciC) ZG 3 DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ J. S0 (3 • 0Q Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration X New ❑ Repair/Replace ❑ Demolition Description of Work: 52r O1KNGi S'0-4-Vwv- i kwjn Specify color of color thru tile: Submittal Fee $ X Permit Fee $ CCF $ CO/CC $ Senning Fee $ Radon Fee $ DBPR $ Notary $ T-- - Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ TOTAL FEE NOW DUE $ (Revjwd02/24/2014) 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 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 y - Signature iGV r I Leo- ",*— OWNER or AG616 CONTRACTOR The foregoing Instrument was acknowledged before me this day of �l'z� . 20 —� by 0* aaaak�-' . who is personally known to me or who has produced � Identification and who did take an oath. NOTARY PUBLIC: Sig int:i-? hC/e� Seal: ao00 ot,%,, Notary P=&FlorldeeJoannaMy ComtOFF ftExpires 4M*sNfi�Rtl�&8�>titlaP The foregoing instrument was acknowledged before me this day of ® 20by Ao b , who is personally known to me or who has produced Identification and who did take an oath. Print: Seal: rP''�., HEATHER P HAMILTON MY CO:+AW#JSSION # EE076194 EXR4RES March 21, 2015 APPROVED BY Plans Examiner Structural Review (Revised02/24/2014) as Zoning Clerk CTQB BUS ISS CERTIFICATE UalifYin ��rd COMPETENCY 11P000263 EAST COAST WATER WORKS INC D. B.A.: ROBINSON CURTIS Is certified under the provisions of Chapter 10 of VALID FOR CONTRACTING Miami-Dade County, UNTIL 09/3012015 Local Business Tax Receipt Miami—Dade County, State of Florida -THIS IS NOT A BILL - DO NOT PAY 7176847 BUSINESS NAME/LOCATION EAST COAST WATER WORKS INC DUING BUSINESS IN DADE COUNTY OWNER EAST COAST WATER WORKS INC C/O ROBINSON CURTIS R Worker(s) LBT RECEIPT NO. EXPIRES NEW BUSINESS SEPTEMBER 30, 2015 7456788 Must be displayed at place of business Pursuant to County Code Chapter 8A - Art. 9 & 10 SEC. TYPE OF BUSINESS PAYMENT RECEIVED 196 SPECIALTY PLUMBING BY TAX COLLECTOR CONTRACTOR 76.00 10/20/2014 11P000263 0226-15-000242 This local Business Tax Receipt only coni mts payment of the Local Business Tax. The Receipt is not a license, permit, or a certification of the holder's qualifications, to do business. Holder now comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. MIAM�D The RECEIPT N0. above must be displayed on all commercial vehicles- Miami -Dade Code Sec 8e-276. For more information, visit svn miemidade govItaxcollector M uni ci pal QxitracWs Tax %cei pt M iami-Dade County, State of Florida -THIS IS NOT A BILL - DO NOT PAY OC NO: 11 P000263 MC BUSINESS NAM E/LOCATION RECEIPT NO. EXPIRES EAST COAST WIINMIIWRKSINC NEW BUSINESS SEPTEMBER 30, 2015 DUING BUSINESS IN DADE COUNTY 7458789 Must be displayed at place of business Pursuant to County Code Sec 10-24 OWNER TYPE OF BUSINESS EAST COAST WATERV%OWS INC SPECIALTY PLUMBING CONTRACTOR C/0 ROBINSON CURTISR Restricted to City of Miami Shores mFor more Information, visitwwwxdamidadeg2dtaxedlectw PAYMENT RECEIVED BY TAX COLLECTOR 37.50 10/20/2014 0226-15-000242 ff CERTIFICATE OF LIABILITY INSURANCE ��10I144m 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� AUTHORISED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER [IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must be endomed. N SUBROGATION IS WANED, subIM to the terms and conditions of the poAey, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in Hou of such endorsement(s). PRODUCER Almmder and Groep Insurance 2727 E. Oddand Pak Blvd. Ste 200MAIL FL Lauderdale, FL 33306 Phone (954) 561-9496 Fax (954) 561-1350 CONTACT MM90 PHONELAWN a. Emil 954)561-9496 1C. No. (954)561-1350 marge@alexandaMmp.com INSUIRERN AFFORDING COVERAGE MAIC a INSURERA: Nova Casualty INSURED East Coast Water Works, Inc. PO BOX 770302 Coral Springs, FL 33077 954 INSURER B INSURER C: INSURER D: Florida United Businesses Association INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:- THIS UMBER: 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 CONTRACTOR 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 PAH) CLAIMS. LTR TYPE OF INSURANCE ADDINSR W Vp POLICY NUMBER POLICY EFF POU C EXP yyYj I MIS A GENERAL LIABILITY © COMMERCIAL GENERAL LIABILITY ❑ ❑ CLAMS -MADE © OCCUR Y N FLB-CL-0011534-0 07/15!2014 07/15/2015 EACH OCCURRENCE $DAMAG1,000,000.00 TO Reu� PREMISES Ea occurrence) $ 100,000.00 MED EXP (AM tare person $ 5,000.00 PERSONAL 8 ADV INJURY $ 1,000,000.00 ❑ GENERAL AGGREGATE $ 2,000,000.00 GEML AGGREGATE LIMIT APPLES PER ❑ POLICY ❑ PRO- ❑ LOC PRODUCTS - COMPIOP AGO $ 1,000,000.00 $ AUTOMOBILE LIABRnY ❑ ANY AUTO LED ❑ AUTOSALLOWNED El SCHEDULED ❑ HIRIDAUTOS ❑ NAUTOS ON -OWNED ❑ ❑ COMBINED SINGLE LIMIT BODILY INJURY (Per Person) $ BODILY INJURY (Per accident] $ PROPERTY DAMAGE GE $ $ ❑ Ummaw A LIM El OCCUR ❑ EXCESSLUM ❑ SMS MADE EACH OCCURRENCE $ AGGREGATE $ Ej DED RETENTION $ D WORKERS COMPENSATION AND EMPLOYERW LIABR TY Y I N ANY PROPRIETORIPARTNERIEXECUTFVE Oa rBm EXCLUDED? ®N ( IT) 9 I yam, desmbe wnd DESCRIPTION OF OPERATIONS below i A N 106-50534 09/17/2014 09/17/2015 STA ❑ OTH ® WA ER E_L EACH ACCIDENT $ 100,000.00 E.L DISEASE - EA EMPLOYE $ 100,000.00 E.L DISEASE - POLICY LINK $ 500,0M.00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (AtTac h ACORD 101, Addtttmrel RemarNs Sehedule, H more space Is required) Irrigathhg Contractor - UMQese # 11 P00= CERTIFICATE HOLOER CANCELLATION MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 ACORD 25 (2010/05) OF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHOR® REPRESENTATWE ©1888.2010 ACORD CORPORATION. All Tights reserved. The ACORD name and logo are registered marks of ACORD East Coast Water Works, Inc. P.O. Box 770302 Coral Springs, FL 33077 Off: 754-229-8717 Fax: 754-229-8417 Bill To Floyd Gonzales 68 NE 91st Street Miami Shores, FL 33138 Invoice Date Invoice # 10/15/2014 4880 WE NOW ACCEPT VISA, MASTERCARD & DISCOVER Terms Site No. Quantity Description Rate Amount 1 Rain Bird Digital Timer Installed with 3 Year Warranty 325.00 325.00T 1 220 Volt Pump Start Relay 95.00 95.00T 1 (2) Sleeves Through Driveway 1 at the top and 1 at the bottom 225.00 225.00T 54 Rain Bird 1804 4" Pop Ups w/ all PVC and fittings 30.00 1,620.WT 12 Rain Bird Rotors w/ all PVC and fittings 60.00 720.00T 4 1.5" Solenoid Valves ' 85.00 340.00T 1 Permit and Drawings 275.00 275.00 1 Labor to trench and install new system 1,600.00 1,600.00 1 Repairer's Liability 130.00 130.00 Subtotal $5,330.00 Sales Tax (6.0%) $199.50 Total $5,529.50 Pay online at: https:Hipn.intuit.com/2jxpta27 payments/Credits -$2,764.75 Website: www.castcoastww.com Email: info@eastcoastww.com Balance Due $2,764.75 [0 130� Miami Shores Village Building Department OCT 28.2N 0 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 BY: S ECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20 BUILDING Master Permit No. PL—k c-1 4'Z- j PERMIT APPLICATION Sub Permit No. ❑ BUILDING ❑ ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION ❑ RENEWAL PLIUMBING ❑ MECHANICAL [_]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS Al -C-- -� R 1 ®B ADDRESS: �6T City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): f Akd -zo_ (`e .7 Phone#: �`� - / fd rf/ b A Address: f 141r 7 City &, "' —5yv-c--.�—State: Zip: -5f-3F Tenant/Lessee Name: Phone#: Email: State Certification or Registration #: Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $® Square/Unear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition rl)ascri - f -Work. �kV' Specify color of color thru We: Submittal Fee $ Permit Fee $ 5 • ° CCF $ CO/CC $ Scanning Fee $ _ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ (Revisedo2/24/2014) Bond $ TOTAL FEE NOW DUE $ n �( . Cj�) Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable)' Mortgage Lender's Address City 0 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. 1 understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC..... OWNEit'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 YOURDs OR •RNEY BEFORE RECORDING YOUR •; , OF O 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 giufSignature OWNER or AGE CONTRACTOR The foregoing instrument was acknowledged before me this y-x'"1day of Gree , 20, by t- Iq46 e-115UL74:A -e , who Is2grSnnally known to I me or who has produced as Identification and who did take an oath. s _ 1 t; The foregoing instrument was acknowledged before me this 2 day of .20 by who is pew kn n to me or who has produced as Identification and who did take an oath. i;OTARY 7;1 Seal: �,. Seal: ,�,, ; . v :AA, k. HEATHER P HAMILTON �"" HEATHER P HAMILTON MY COMMISSION # EE076194 '� MY COMMISSION # EE076194 EXPIRES March 21, 2015 VEXPIRES March 21, 2015 Vice can APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revisedo2/24/2014)