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PL-13-1793Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-196881 Permit Number: PL -8-13-1793 Scheduled Inspection Date: December 04, 2014 Permit Type: Plumbing - Residential Inspector: Diaz, Osvaldo Inspection Type: Final Owner: CURZON, ANDREW Work Classification: Addition/Alteration • Job Address: 10050 NE 12 Avenue Miami Shores, FL Phone Number Project: <NONE> Contractor: A YOUNG PLUMBING CORP comments Parcel Number 1132050190370 Phone: (305)924-2243 PLUMBING WORK FOR TWO BATHROOMS AND ' ' `-"`" KITCHEN REMODEL INSPECTOR COMMENTS False Correction Needed Re -Inspection ❑ CC)#_J Fee p No Additional Inspections can be scheduled until re -inspection fee is paid. December 03, 2014 For Inspections please call: (305)762-4949 Page 1 of 46 P .® • 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 Type: PLUMBING JOB ADDRESS: r AUG 0 ' 2W �'�'oo��®000a_000m�000 FBC 20 Permit No. 121 Master Permit No. fC J 16J — City: Miami Shores County. Miami Dade Folio/Parcel#: Is the Building Historically Designated: Yes OWNER: Name (Fee Simple City: State: NO V Flood Zone: P� 40 : Phone#:,, M I _ O Tenantlessee Name: Phone#: Email: I CONTRACTOR: Company Name: Address:!;�AO kllAl 9 7Wt City: �� S te: Qualifier Name: !/ State Certification or . egistration #: Certificate of Co Contact Phone#: LIEEmail Address: � V1'1 br\A� DESIGNER: Architect/Engineer: O Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: OAddress _*.teration ONew )epair/Replace Description of Work: hslo'W fiJ Ly M �n f n A lti30 (Z. T:70 EN Submittal Fee $ Permit Fee $ a CCF $ CO/CC $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ DBPR $ Bond $ Technology Fee $ MR TOTAL FEE NOW DUE $ • Il J 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 Signature Pwner or Agent .�,Q The foregoing instrument was ac owledged before me this OV day o 20 (3, by (?P(iU ZOIJ , wh i orally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: I \Y/k4k-1A—A c Print: My Commission Expires: `A Notary Public Stets of Florida Diane Schwartz ` My Commission EE 195828 Signature ntractor Theforerument was acknowledged be re me thisday o20 13 , by !1Q%1 na Zwho crown to or who has produced as identification and who did take an oath. APPROVED BY Plans Examiner Structural Review (Revised3/12/2012)(Revised 07/10/07XRevised 06/10/2009)(Revised 3/15/09) NOTARY PUBLIC: Sign: Print: My Commission Expires: WGL. -,- Notary Public State of Florida Diane Schwartz My Commission EE 195928 C._-- -- - Zoning Clerk --y ep 12 12 10s50a JC HERIAMDEZ 954-433-3061 p.1 , STATE OF FLORIDA DEPARTMENT OF BUSfNESS AND PROFESSIONAL REGULATION CONSTRUCTION MMUATRY LICENSING{ BOARD (850) 487-1395 1940 14ORTE M014ROB STREET •� TALLAHASSEE FL 32399-0783 HERNANDEZ, JUAN C A YOUNG PLUMBING CORP 740 NW 91ST AVE PWOROKE PINES FL 33024 Congraituulationsl 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 ironsarciiects to pacht 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 betie: For !rdoramdon about our services, please log onto wvw,myomwalieense.com There you can find more information about our divlslons and the regulations that Demos iota department newslettersand learn more about the Our mission at the Departrrent is: Loense Effidoft Regulate Fairly. We constantly strive to serve you better so that you can serve your custoners. Thank you for doing business in Florida, and congratuladons on your new license! AC# IS C 01151 '. A e STATE W FLOPMA DRPAR OF BUSINESS AND PROF83SIONAL REGULATION RFOO67124 09101/12 118029766 REGISTERED PL 11MING CONTRACTOR FEZ, JUAN C A YOUNG PLUMBING CORP (INDIPiDUAL XUST MEET ALL LOCAL LIC2QUIREMMTS PRIOR TO IIIG IN ANY ABEA) M9 REGISTSM =dor the prarLmIams or Cb.489t mmiz-m— a"m A= 31, 2013 r.» 09010].438 N DETACH HERE STATE OF FLORIDA .DEPARTMENT OF BUSINESS AND PROFESSIONAL OUX ATION CONSTRUCTION nMUSTRY LICENSING BOARD . SEWL1109010a438 The PLUMBING CONTRACTOR. ' Named below HAS REGISTERED Under the previsions of Chapter 489 FS. Expf.ration date: AUG 31, 2013 (INDIVIDUAL -MUST MEET AL%..LOCAL LICENSING REQUIREMENTS PRIOR TO CBNTRACTnW IN ANY AREA) BF;RI+YiMRZ, JUAN C A YOUNG PLt3MING CORP 740 VW 91ST Ail'E PEMBROKE PINES FL 33024 RICK SCOTT �` Km LAWSON *CE NFIF�ITE OF ELECTION TO BE E KM I FIRM FLMMA WOIIIiERS' iiON LAW rR= INDUSTRY EXEIN MON This cerdfles thatin"dual listed below has elecied to be exempt from Florid , Caampfl Moen taw. EFFECTIVE DATir 09/2008 EXPIRATION DATA 0910912:0 BUSINESS NAME AND ADDRESS: FAIT SERVICES AIR CONDITION 8810 FOMAI EBLEAU BLVD B2O7 MIAMI FL 39175 SCOM OF BUSINESS OR TRADE: 1- CERTIFIEO AC CONTRACTOR RE MSERATION INC fl Mff MT Pffn m Clime► Oro . 8914 F S., a 4MCK d • CmVvWm ettr d sada my m retxnt badas a mach H1s C P . to Chou says of the asdam of ado tidee m an md= d dseafas a be aupt. Patsn" to eteaefu to b oxmp did! ho rabtaes to --mg a Q. as oy tMa atter On mfy of Ito catMeds a fssaa Ruts the nmakaateft of dh Salta lar fames d s codMats mums a tb Ca[MCM u am es mStumam d His seethe DM -Z52 COMFICATE OF E JrnON TO DE DOWT REVISIT 09-06 MMKF a IMB by RUM a COMM d deMa oda lots Al2L w Ca Mi d ehmdn H to aaatpl . appy e y wMj so Ilal F.S.. walk" d decay m b eumpt ad catmCKra d ar He lama d He cateipl4 He paras shad a IM SWCe ar She " foam a C"IiflsW d my ties IR hnae d Ilea pane QUESitO W (550) 413-160 PLEASE CUT OUT THE CARD BELOW,/AND RETAIN FOR FUTURE REFERENCE STATE of FLO WK DEPAITI'MENTOFF110MCIMSERVIC0 fsltlfl, ommVia amwoo AIm COMISITRUCTION INDUSTRY CMEM:MM OF BBV =TO 138 VX6APT FRM FLORA. WUMU3W COMPEIRA710111LM EFFECTME: 09/09/2008 EXPIRATION DATE: PEf;SM 110BERTD 00XMZ FE1t 2813100441 BLISMEM NAFM AND AoVM& FAM EMN9 SERI m AIR OtttOf omm a RO:moMTm lac 6010 FOMA9IMUAO AVD •207 AAIQ FL 33172 ��i1�7�� 1•. s 11, _ W.: F Parsmtt W Chgnw 440. 1 O etecls efaetlltat from fhis L wdw tads ste:oimt nm not D dfapw. K RTANT F.S., m *Wmu of a cotpoom who Rr by fflb0 a ewdfm to of Media 4W befits or eatnptlnaae ander this H Prsteat to Cepfr 440.05117), F.S;v CuOkatm of elUMM to be E ft�ete�etFoA to of the Holness r trek finest a1 R E Porsttmt ft Claptw 440.05113), F.S., earl cordfhxms of et mdm to be exam If. at any ftm star the fitbtg of dw O cerdflcmL the parses limamd mt oho rAt ft "R*sMwft of dfis saf:dat for gam depwonw sha0 revolts a ardfkafe at ) smt tlsled at the cwdtkafe to meet st�trotl. is of eaoceal to be mmmPt sm be slblW to ralfOCadaal ism or the bmm of the ;raq*ammmm udfieate ao IWIM tam o cardfieeRe. The y for fdltof ft he of this 050) 413-1609 FO i .71Z —�I = Carry bottom; portion on the jab. keep upper portion for your r0f orda3. 0WC-Z62 IZRTIfICATE OF ELECTION TO IE EIMWPT REVISED 09-06 Z'd ti£60S98m2:U 30 d2b:60 0ti02-22-dad S 11-02-2011 JEFF ATWATER STATE OF FLORIDA CHIEF FINAN(MALOF'FICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * 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 11/02/2011 PERSON: HERNANDEZ FEIN: 550883903 BUSINESS NAME AND ADDRESS: A YOUNG PUUIMBING CORP 740 NW 91ST AVE PEMI3RDKE PINES FL, 33024 SCOPES OF 8USINESS OR TRADE: 1- PLUMtSING EXPIRATION DATE. 11/01/2013 .DUAN C IMPORTANT: Pursuant to Chapter 440 . 05114), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election ander this section may not recover benefits or compensation under this chapter. Pursuant to chapter 440.05112), F.S., certificates of ejection to be exempt... apply only within tits scope of the hnsinees or .trade liated on the notice of election to be exempt Parsnmlt to Chapter 440.99f13i, F.S., Notices of election to be exempt sail certificates of election to be exempt shall be subject to revoeadoo if, at any time atter the fifiag of the notice or the issuance of the renUlcate, the person named on the notice or certificate no longer meets the rotiviremenm of this section for issuance of a certificate. The dapmrment shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of ibis section QUESTIONS? (850) 413-1609 DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01-11 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DP.gSION OF WORKERS' COMPENSATION CONSTRUCTION INDUSTRY CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA i WORKERS' COMPENSATION LAW 0 I EFFECTIVE 11/02/2011 EXPIRATION DATE: 11/01/2013 PERSON: JUAN C HERNANDEZ FEIN: 850883903 BUSINESS NAME AND ADDRESS: A YOUNG PLUMBING CORP 740 NW 918T AVE PEMBROKE PLVES, FL 33024 SCOPE OF BUSINESS OR TRADE I - PLUMSMG IMPORTANT Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election L under this section may not recover benefits or compensation under this D chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be H exempt_ apply only'within the scope of the business or trade listed on E the notice of election to be exempt R E Pursuant to Chapter 440.05113}, F.S., Notices o, election to be exempt and certificates of election to be exempt shall be subject to revocation If, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for isstmrtce of a certificate. The department shall revoke a certificate at any time for failure of the person named an the certificate to meet the requirements of this section. QUESTIONS? (850) 413-1609 CUT HERE + Carry bottom portion on the job, keep upper portion for your records. DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01-11 T- d 23QIJWWNAH 3C 1369 = T T 21 33 Jew 11 Oct 03 12 04:52p JC HERNIFINDEZ 954-433-3061 P.1 t 1 S � ' BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm. A-100, PL Lauderdale, FL 33301-1395 — 954-831-4000 VALID OCTOBER 1, 2012 THROUGH SEPTEMBER 30, 2013 DBA: Receipt *:.PLU2M W/LW SPRMM/C Business Name: A YOUNG PLUMBING CORP Business Type: (PLUMBING CONTRACTOR) Owner Name: JUAN CARLOs HERwuml&z Business Opened:09/01/2000 Business Location: 740 NW 91 AVE St3WCountyjC4rWeg:00-CMP-970-RD PEMBROKE PINES Exemption Code: Business Phone: 954-433-9174 Rooms Seats Employe" Machines Profoslonals 2 For Vending Biislimm only Venefinn 7veA- Tax Amount . Transfer Fee MSF Fee Penalty prior Years Collection Cost Total Paid 27.00 0.00 0. 00 0.00 0.00 0.00 27.00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Bromyard County and is non -regulatory in nature. You must meet all County and/or Munldpaiify planning WHEN VALIDATED and zoning requirements. This Business Tax Receipt must be transferred when the business is sold, business name has changed or you have moved the ,business location. This receipt does not indicate that the business is legal or that it is in compliance with State or 1=1 laws and regulations. MaNing Address: JUAN CARLOS HERNANDEZ Receipt #01C-11-00013111 740 NK 91 AVENUE Paid 09/28/2012 27.04 PEMBROKE PINES, FL 33024 2012 -2013 u AUG/13/2013/TUE 11:28 AM FAY No. P.005 w0— a b w wam aawas a I a 9 aw A sa/a rr %or-r%I I NW%I Ir %jr Lolffi'4all—III T 1...:-'1 bATS 0010 lYTYT) 01/1312013 'ROODCER 3tobsl Insurance and Financial Services, Inc. 1175 NW 153 ST STE i00 Uiami Lakes, FI 33014 'H: (306) 512-9721 FAX! (305) 512-9889 THIS CERTIFICATE IS ISSIM"S A MATTER OF INFORMATION ONLY AND CONFERS NO IUGHTS UPON THE CERTIFICATE HOLDER. R• THIS CERTIFICATE DOES NOT AMEND, EXTEND O ALTER TM COVERAGE AFFORDED BY TIE POLICIES BElOw. INSURERS AFFORDING COVERAGE MAIC F 11BURED A YOUNG PLUMBING CORP. 740 NW 91 AVE PEMBROKE PINES, FL 33024 wGURERA: ASCENDANT COMMERCIAL INSURANCE IMURMRB: IAC. INSURER C: INSURER e —\ C.RCQ THE POLICM OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PEPBOD INO300120. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT Out OTHHR DOCUMENT WITH RESPECT TO WHICH TMS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THP TPRMS, EXCLUSIONS ANO CONDITIONS OF SUCH POLICIES. AGMEGATE LIMITS OMMM MAY HAVE BEEN REOUCUD BY PAID CLAIMS. ' TYPE OF SISURA= PaucVNIMER wmam U 4 GENE LLMOLfty I'A6RCIAL GENBtAL LIABLIri [] CIAISR VALE ® 0=fit OEN•LAOOREQATEL9DTAPPLWPER: PITUCY FJPRQJ=F1LOO GL 69817 09130!2012 09/30/2013 EACHOCOI >I 1.000.0 P IGET REN ' 100.000 MED EW (ay ane p"" S 5,000 PERSO. NAL&AOVUUURY ; 11000.000 G9ffiRMAGGREGATE S 2.000.04H) PRODUCTS-GO~AGG i 1,000.000 Aurmoamt6 UABIUIY ANY AUTO ALLOWNEDAUTOS DIBPDAI/,TOB HOWAUTOS NOMOWI�AUTM feo �; 7Nl9Le LnicT 3 pL r.?L.Vson�uR S ( WU lPeranwas S 11AUTUTOONLY GARAW LIAIIAM ANY AUTO T - EFL ACMDENT S OT�R7HAN EAACC S AUTO d�IL1': AGO EXSEBSIuNAMUALtABLnv OCA ❑ CLAIMS MADE DEDUCTIBLE RETENTION S EACWOC4URR9nCE S AGGREGATE L E S S P pp SIPSCIAe L PROVISIONS bel+ gunk ELFitCHAC=ENT S raaecwc.eArmtat� 0 E4 OaSEASE - PouCY Limrf S OTHBA PLUMBING RESIDENTIAL AND COMMERCIAL US RECOVERY FLORIDA LP AS ADDITIONAL INSURED MIAMI SHORES VILLAGE 10050 NE 2 AVE MIAMI SHORES. FL 33150 T -d 190E -6613-1+S6 SHOULD ANJCW ABOVE DESCRIBED a BE CANCELLED BEFORE TBE EXPIIAYM DATHTHEIKOINSURER VK N VORTO&WL 146 - DAYSWRIITEN NOTICETOTIPICATEHOLDER T TILE LEFT. BUT FALLOW TO DO60 SHALL Impose NOIt1R1.WBLITYO 11P°MM TNQ.INSI►98R, AS AJ9ENTS OR ACORDCORPORATION 190 Z3QWUWN3H OC dLE=LO ET 61 Znd a Au*g 13 13 06:39p JC HERNANDEZ 954-433-3061 p.1 AUG/13/2013/TUE 11:28 AM FAX No. P.005 �..�.�.:... /'►P_I1"iTI9Ctr►A'fY'II!" f%rc I IAMill MW IIMIQYtaAs/f-Illf Ac. "K" 1.�Ci� 1 {I1is�'l l G 4.Jlm II�a0i�11..1 f T QLtl�71JiZMItlLG baft(,„twrfyy" 16...:d'' 08/1312013 +ROMMER :;Iobal Insurance and Financial Services, Inc. i 175 NW 153 ST STE 1 Q0 THI8 CERTIFICATE IS IS$LIED A9 A MATTER OF INFORMATION ONLY AND CONFFiiS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCIF S BELOW. Miami Lakes, FI 33014 'H: (305) 512-9721 FAX- (305) 512-98899 INSURERS AFFOR04NO COVERAGE MAIC s fv9URCD MISI,IRER A: ASCENDANT COMMERCIAL INSURANCE A YOUNG PLUMBING CORP. nNs~13: 740 NW 91 AVE PEMBROKE PINES. FL 33024 INSUFMIM trusc�elzn: M tmll & OVERAGES YM POUCIRS OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE 94SURED NAMED ABOVE FOR THE POLICY PCRIOG INDIONtEO. NOTWn'"STANDING ANY REQUIItEM1ENT. TERM OIt CONONTION OF Afuv CONTRACT OR OTIMR DOCUMEP+4T WITH RESPECT TO if MCN TRPS CERTIFICATE MAY BE ISSUED OR MAY �.... ........«...,...... ..........n w.... e- .......h.1 uroc,., ,e e, is .ens — a, . Grua akm-mmtr. . mw v.,ru dr