PL-13-2243I
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-200440
Scheduled Inspection Date: November 04, 2014
Inspector: Diaz, Osvaldo
Owner: CURZON, ANDREW
Job Address: 10050 NE 12 Avenue
Miami Shores, FL
Project: <NONE>
Contractor: A YOUNG PLUMBING CORP
tiuiming uepartment comments
Permit Number: PL -10-13-2243
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Gas
Phone Number
Parcel Number 1132050190370
Phone: (305)924-2243
RUN A NEW GAS LINE FROM METER TO WH AND Infractio Passed Comments
STOVE I
INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed L,�r
Correction
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
November 03, 2014 For Inspections please call: (305)762-4949 Page 3 of 33
@ 1
A Young Plumbing Corp.
Juan Carps Hernan4ez — Quer
740 NW 91'4 Ave
Pembroke Pines, FL 33024
CeH: (305) 924-2243 V'
License # - P98000228
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D4 Miami Shores Village
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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
GCI 042013
BY. 000m� ®®®®o
FBC 20 L3
Permit No. PU 5_4 �?
Master Permit No. '12cq _ I S -I Ci' Sk
JOB ADDRESS: a D () S- J
City: bolgi ShoreCounty: Migmi Dade Zip:
Folio/Parcel#: %43 5O A 6 '�� T %
Is the Building Historically Designated: Yes
Zone:
OWNER: Name (Fee Simple Titleholder):An ,AjjX a, ldta� 1� � r1 Phone# , f
.,-11 -11_
City: i%+1 C yy1State: F Zip:
Tenant/Lessee Name: Phone#:
Email:
of Competency #•
DESIGNER Architect/Engineer. Phone#:
Value of Work for this Permit: Sic Square/Linear Footage of Work:
Type of Work: OAddress OAlteratton Tew pgepair/Replace ODemolition
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u�Yski�a�k3r&aka�w�tdkir�eiF&�edC�kaY&,t,kdrdF�r*sirr&s4,rsYsk,r�e�esYF��FaYsY�r�aalr�k�C�rdrr*+kvYir�,r,Ysk�rrt&�r*sY�Yir�lr�r,xsY�it�Tr,Y�Y,xdr�lr�e
Submittal Fee $� Permit Fee $ S 0 , CCF $ CO/CC $
Scanning Fee $
Radon Fee $
DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ W
0
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
zip
Mortgage Lender's Name (if applicable) 1pC O S ` me2
Mortgage Lender's Address , 'nla C:p ) D l�
City An State CA- zip -- (rn
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
EAPROVEMENTS 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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the ence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature
Owner or Agent
The foregoing instrument was acknowledged before me this 1 ��
day of ' 120 by
w is ersonally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
My Commission
. "° Notary Public State of Florida
4 f . Diane Schwartz
�9 MY Commlasion EE 195926
Expires OSMW016
The foregoing instrument was ca nowledged before me this
day of ® 20 , byJJP CXM C
who is personally known to me or who has producek
as identification and who did take an oath.
APPROVED BY 14'-0-0 Plans Examiner
Structural Review
(Rmised3/12/2012)(Revised 07/10/07)(Revised 06110/2009)(Revised 3/15/09)
NOTARY PUBLIC:
Si
Print: EE TER0
err lZ1001
My ommission Expir EXPIRES: September 21, 2015
�TFOF FLDQ\� Bonded Thru Budget Notary Services
Zoning
Clerk
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OCT 04 'ai L4
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%!'•J!=�_:I TO CUMPLIANCE VVI -f 1-1 ALL FEDLI IAL
Oct 15! 13 08:46p
JC HERNAVDEZ 954-433-3061 p.4
CO CTQ�UyM Soam
BUSINE55 CERl7FIGA7E OF COMPETENCY
98P000228
A YOUNG PLUMBING CORP
H=JUAN C
Is MOW under the provislons of Chapter 40 of MtmnhDa& County
ILI
x
Oct 15,, 13 08:46p
JC HERNANDEZ
954-433-3061 p.3
ooaasas .
'Local Business Tax Receipt
Miami—Dade County, State of Florida
THIS IS NOTA BILL—DONOT PAY LBT
412260
Slt$V&EM aIAMFJLCC^T[ON 6ecapr NO. EXPIRES
A YOUNG PLUMBING CORP RENEWAL 30 -Sep -94
DOING BUS IN DADE CO 4305207 Must be dlspleyed at plow of busaess
MM FL 33000 Pursuant to cowry Code
Chapter' 8A _ AtL 9 & td
crga4 R SEC TYPE OF BUSINESS CiNVBD
A YOUNG PLUMBING CORP 196 PLUMING CONTRACTOR By TAMC Cp PAYtiRENTflBCO
1Norkers) t 88P006228 UWTOR
$75 7/26/2013
7XHS1-13-037676
7Ns Local Bo T-RaeeWaay c0VIk= ea d9N Locd Btisroess TM=t;acei b nab a 0caase,
pwaiCcraceniGeaboaolAreholder'sq l ,tado6os Boldorsaastemaplgwiffianvoaremoss er
R09regah"lavesaadrequira em which apply todrebmdg=a
The AECHPTNO. above ano he & spiayedoaan aaa"aerdalvchiclea—MhW_pada Code Sec
Foram 14100106oa,wo
Oct 15 13 09:47p JC HERNANDEZ 954-433-3061 p.5
STATE OF FLORIDA
} DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD
1940 NORTH MONROE STREET
TALLAHASSEE FL 32399-0783
HERNANDEZ, JUAN C
AYOUNG PLUMBING CORP
740 NW91STAVE
PEMBROKE PINES FL 33024
k
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 infonnation about our services, please log onto
www.myfloridalicense.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 Departmenfs
initiative's.
Our mission at the Department is: License Efficiently, Regulate Fairly.
We constantly strive to serve you better so that you can serve your
Customers. Thankyou for doing business in Florida,
and congratulations on your new license!
(850} 487-1395
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND
PROFESSIONAL REGULATION
R FOO67124 ISSUED: 09/1012013
REGISTERED PLUMBING CONTRACTOR
HERNANDEZ, JUAN C
A YOUNG PLUMBING CORP
(INDIVIDUAL MUST MEETALL LOCAL
LICENSING REQUIREMENTS PRIOR
TO CONTRACTING IN ANYAREA)
HAS REGISTERED under the provisions of Ch.489 FS.
Expiration date: AUG 31.2095 L1303 COM470
The Department of State is leading the commemoration of Florida's 50Dth anniversary in 2013.
For more information, please go to www.VivaFlodda.org.
k DETACH HERE
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD
RFON7124
The PLUMBING CONTRACTOR
Named' below HAS REGISTERED.
Under the provisions of Chapter 489 FS.
Expiration date: AUG 31, 2015
(INDIVIDUAL MUST MEET ALL LOCAL LICENSING
REQUIREMENTS PRIOR TO CONTRACTING IN ANY AREA)
HERNANDEZ, JUAN C
AYOUNG PLUMBING CORP
740 NW 91 STAVE
PEMBROKE PINES FL 33024
It
RICK SCOTT ISSUED: 09/1012013 SEQ # L1309100001470 KEN LAWSON
GOVERNOR DISPLAY AS REQUIRED BY LAW SECRETARY
k
Oct 15 13 08:45p
JEFF ATWATER
CHIEF FMANCLAL. OFFICER
JC HERNIFINDEZ
954-433-3061
,',ter".
STATE OF FLORIDA
DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORKERS' COMPENSATION
11-02-2011
P. 2
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 taw.
EFFECTIVE DATE: 11/02/2011 EXPIRATION DATE: 11!01!2013
PERSON: HERNANDEZ JUAN C
FEiN:; 650883903
BUSINESS NAME AND ADDRESS:
A YOUNG Pt.tMING CORP
740 NM 91ST AVE
PENBROKE PINES FL 33024
SCOPES OF BUSINESS OR TRADE:
1- PLUMBING
IMPORTANT. Porsoto Chapter 440 . 06(14), f.5., an officer of a corporation who elects exemption from this chapter by tiling s cerexemlificaa of election under this
ant
section amy not recover beaefRs of compeasntloo under Ibis cbspter. Parsuant to Chapter 440.05112). F.S., Certificates of election to be exempt .. apply only within the
seW old the business or trade listed on the notice of election to be exempt. Pursuant to chapter 440.0503). F.S., Notices of election to be exempt and cartilloates of
or
election o be exemsial
pt I be sablect to revocation if, at arty time after the filing of the notice er the issuance of the certifictae the parson nom on the notice s
certificate no longer meets the requirements of this section fur issuance of a certificate. The department shall revoke a certificate at any time far feflOre Of the person
named on the certificate to meat the regairements of Ibis section. QUESTIONS? (850) 413-1609
OWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01-11
PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE
DEPAR1 f0M OF FINANCIAL SERVICES
DMSM OF WORKERIV COiNPENSATION
CONS1*lXTION INDUSTRY
CER I IF CATE CORKERS' CO F ELECTION
LE A ON To BE LAW EXEMPT FROM FLORIDA
EFFECTIVE 11/02/2011 EXPIRATION BATE:
PERSO1* SUM C HERNANDEZ
FEIN: 850883903
BUSINESS NAME AND ADDRESS:
A YOUNG: PLUMBING CORP
740 NW 91ST AVE
pEMBROKE PINES, PL 33024
SCOPE 1,OF BUSINESS OR TRADE:
1- PLUMBING
IMPORTANT
F Pursuant to Chapter 440.05041, F.S., an officer of a corporation who
0 elects exemption from this chapter by filing a certificate of election
L tinder this section may not recover benefits or compensation under this
D chapter.
11/01/2013 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 of election to be exempt
and certificates of election to be extlmpt 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 issuance of a certificate. The
department shelf revoke a certificate at any time for failure of the
person named on the certificate to meet the requirements of this.
Section.
QUES710NSi 18501 413-1809
CUT HERE
ffi Carry bottom portion on the job, keep upper portion for your records
OwC-252; CERTIFICATE OF ELECTION TO BE EXEMPT RINISED 01-11
�r
Oct 15113 08:45p JC HERNANDEZ
OCT/11/2013/FRI 10:19 AM FAX No.
_-mw%
954-433-3061 p.1
r. UUI/UUI
Aeo & CERTIFICATE W LiAIS1LITT IN,VKA"Vc
BAT1ejISMiD01Y'-m
10/11/2013
oaonneae
Global Insurance and Financial Services, Inc.
817$; NW 153 ST STE 100
IMfatni Lakes, F11 33014
PH: (305) 512-9721 FAX: (305) 512-9889
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFOMATON
ONLY AND CONIIM NO MGM UPON INE CERTWWATE
HOLDER. TWS C MTTFICATE DOES NOT AMEND. EMND OR
ALTER THE COVERAGE AFFORD BY TM POLICIES BELOW.
INSURE" AFFORDING COVERAGE NAIC E
„
A YOUNG PLUIMBIN6 CORP.
740 NW 91 AVE
PEMBROKE PINES, FL 33024
�
INWprzR , ASCENDANT COMMERC AL INSURANCW
II .�.1liTni:$:
INSUIMt
INWW Am
a+SttRr�E:
COV9RAOES
THE POLICIES OF MURAMM LLSTEo BELOW HAVE BEEN ISSUED TpTH % IWSkMD NAMED ABOVE FOR THE POLICY pep= INDIOATEO. NOrmTtwmmWQ
ANY, REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER D= WENT W" RESPECT TO WMaCH THIS CERTIFCATE MAY BE ISSUED OR MAY
OERTAIN, THE COLVANCB AFFORMI; BY THS PQLICRS OESCRIDED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUMN3 AND CONDMONS OF .r" UC"
POLlems. AGGREGATE L081TS SHONMMAY HAVE BEEN REDUCED BY PAD CLAIMS.
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CERTIFICATr-13016 JMK
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