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PL-13-2377Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number. INSP-201696 Permit Number. PL -10-13-2377 Scheduled Inspection Date: May 20, 2014 Inspector. Diaz, Osvaldo Owner: DIAMOND, LILIAN Job Address: 1614 NE 105 Street A-10 Miami Shores, FL Project <NONE> Contractor. MG EXCELLENCE SERVICE CORPORATION Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition/Alteration Phone Number Parcel Number 1122300530100 Phone: (786)247-7067 tsui ming ueparEment comments KITCHEN AND BATH REMODEL PLUMBING Infractlo Passed CommentsINSPECTOR COMMENTS False V'_.. 13 ' 235 Inspector Comments Passed Ef- -, FailedEl ®� Correction Needed ❑ Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. Miami Shores Village Building Department 10050 N.E2nd 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: FBC 201 Z�s Permit No. Master Permit No.J2–C—i'3'��`?j� City. Miami Shores County. Miami Dade Zip: Folio/ParceW. Is the Building Historically Designated: Yes NO f _ Flood Zone: OWNER: Name (Fee Simple Titleholder): Phone#:�®�� Adams: / 6 / y A ) 1-7- )/)'IS City: 6E&22�� State: % Zip: 3 _ Tenant/I.essee Name: Phone#• Email: CONTRACTOOILr. Company Name: V �e �S fli Phone#: �tfz`P W0- Address: 3 tO0 � OQ City: [1AZip: �J? I Qualifier Name: t, G� Phone#: State Certification or Registration #: Certificate of Competency #• Contact Phone#: -� 01-- 1 Email Address: -60 (via IU Ce DESIGNER. Architect/Engineer: Phone . ' Value of Work for this Permit: $ ®. ®0 Square/Linear Footage of Work: Type of Work: 'OAddress 6Aiteration ONew ORepair/Replace ODemolition Description of Work: Submittal Fee $ J Permit Fee $ Scanning Fee $ Radon Fee $ IZ5—` CCF $ CO/CC $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 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 A 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 MPROVEMENTS 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. ( fnl signature EEI� ignature 1*4,6 Owner or Agent con The foregoing instrument was acknowledged before me this i L� The foregoing instrum was ac owledged before me this day of 20 � by N�1 6 �cl , day of 200 by c who is personally known to me or who has produced wh ' persona�Imownme or who hadP roduced L 14c»J As identification ande-Via;-aa� as identification and who did take an oath. NOTARY PUBLIC: Print: 0"km ) ---,S h My Commission Expires: flotary Public, State of Florida Commission# EE 107488 My comm. expires June 28, 2015 APPROVED BY //— Z;-/ 3 Plans Examiner Structural Review (Revised3/12/2012XRevised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) NOTARY PUBLIC: Sign: Print: my Commission : o5oa ";OWIia zoning Clerk STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 4 GARCIA, MICHEL CRUZ M.G. EXCELLENT SERVICES CORPORATION 180 E 19Th ST HIALEAH FL 33010 Congratulations! With this license ydu become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. ::_`:. Our professionals and businessesrange from architects to yacht brokers, from .r 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 bettet For information about our services, please log onto www.mylloridalicense.com. : There you can find more information about our divisions and the regulations that -el impact you, subscribe to department newsletters and team more about the � Department's initiatives.:1.; ::'-~:;.' (850) 487-1395 yl� i'`;.�..�t-T._,w�a:�:`.:fit., ��E���: V,F 1.17+•,; M371.. �1�'��.�.. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive -to serve you better so that you can serve your customers. ' e Thank you for doing business in Florida, and congratulations on your new license! < <''' vndeY :>liQ: . ': 4AUG 3" 2 { X F: DETACH HERE THIS DOCUMENTHAS A COLORED SACKGROUND N11CROPRINTIING - UNIEMARK;�: PATENTED PAPER C K� :. .:,:.ar.:.:. » T. E. Z c ... .:; ate.:.. :-.: i%' �■ .; :-t AC® M/DD/YY) CERTIFICATE OF LIABILITY INSURANCE _ _ DATE (M_ _ PRODUCER Florida Bankers Insurance ~� - —�- - i— 09/10/13 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION j j 7278 SW 8 Street ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Miami, FL 33144 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR L Phone (305)286-6493 Fav mnenoee ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. i INSURED M.G. EXCELLENT SERVICES CORP. ;INSURER A. FEDERATED NATIONAL INSURANCE 7221 NW 174 Terr Apt. #102 � INS RER I PROGRESSIVE INSURANCE HIALEAH, FL 33015 INSURER C: — ! I INSURER D: I COVERAGES INSURER E: ,__...._ .- --- INSURER F: —'---- j THE POLICIES OF INSURANCE LISTED 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 MAYBE ISSUED OR { I MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH tNSRPOLICIES. AGGREGATE UMTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ADD'L � ; TYPE OF INSURANCEPOLICY EFFECTIVE I I POUCv EXPIRATON POLICY NUMBER DATE DATE (MMMI I GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY GL -0504010307-00 02/16/13 i OCCUR 02/16/14 'A W ' CLAIMS MADE I GENT AGGREGATE LIMIT APPLIES PER . POLICY _ PROJECT :._ LOC AUTOMOBILE UABII.ITY ANY AUTO ( ALL OWNED AUTOS B I SCHEDULED AUTOS HIRED AUTOS i NON OWNED AUTOS I GARAGE LIABILITY ANY AUTO EXCESS/UMBRELLA LIABILITY OCCUR _ CLAIMS MADE I _ DEDUCTIBLE I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS- LIABILITY ANY PROPRIETOR IPARTNER /EXECUTIVE OFFICER / MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below OTHER 05/14/13 ! 05/14/14 LIMITS EACH OCCURRENCE TORE TE PREMISES (Ea occurence) MED EXP (Any One person) PERSONAL 8 ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG COMBINED SINGLE LIMIT (Ea accident) _ ®ODILY INJURY mer persons---- BOOILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) -- AUTO ONLY - EA ACCIDENT 100. _ .00 100.000000.00; 5.000.00 1 2,000.000.00 1 10,000.00 20,000.00 j 10,000.001 i OTHER THAN EA ACC AUTO ONLY:__ AGG _ EACH OCCURRENCE i AGGREGATE T •LIMITS �R� i E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE -POLICY LIMIT DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL I 0 CERTIFICATE HOLDER 25 MIAMI SHORES VILLAGE DEPARTMENT OF BUILDING AND ZONING 10050 NE 2 AVE MIAMI SHORES, FL 33138 i� CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE i EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL j 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO TWE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATNES. 10/1812013 01:56 7865734486 INSURANCE NOW AGENCY PAGE 01/01 CERTIFICATE OF LIABILITY INSURANCEM-MpH,D&WM THUS CERTIFICATE 13 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTif7GATE DOES NOT AFFIRMATIYEl1� OR NE1 10/18/2013 GATIVELY 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: N the certificate holdor is an ADDITIONAL INSURED, the poUcy(1es) must bs endarsecl. If SUBROGATION IS wAwo, oubpat to the terns and conditions Of the Policy, certain POUCIN May require an endorsement. A statement on this celRttlome does not confer rights to the 2641112ate harder in lieu of such endoraem s PRODUCER 78&-573-04$5 786-5734486 i9jE Ma een Blandon Insurance NOW Agency °Nr2.78"73-4485 FAX Ns :71313-573-4486 . 12915 SW 932 Street suite 4-B , mayleenftinsu!@nceriowaFgency.com Miami, FL 33186 P cuc> R INsuR,ED AP Power Electric Corp, 3758 SW 16 Street Fort Lauderdale, FL 33312 ; INSURtR Awsu @Ru Razs:R "UMNGI ENSURER E: vrct taco CERTIFICATE NUMBER: REVISION NUMBER: 181S TO CERTIFY THAT THE pOLIC1M OF INSURANCE LISTED I;p,OW 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 ISSUEI) OR MAY PEKAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, umrTs SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. OENERAL LIARRM A COMMERCIAL WNERAL LIABILITY C4UMS-MADE © OCCUR SCP0929397 ATE UNIT APPLIES PER: AUTOMOBA.E LLajULRY ANY AUTO ALL OWNED ALITOS SCHADVUEO AUTOS HIRED AUTOS NON-0VIRNED AUTOS UMON a LLA RHOLAIme OCCUR ERCB88 U" 02DUCnOLE WORItEI� COMPENSATION AND EMPLOYERS' LUUIT1f ANY PROPRIETOR/PARTNERID�CMW - N OFFlCERfNEMBERE%CLUDED? � NIA IEC4ndatory In NH1 03/10/2013 1 02r1t)/EO14 DESCRIPTION OF OPERATIONOI LOCATIONS t VENtOLES tdtWRh ACORD let, AddMlonal Ranwft soeadula, n mm3 sp=a is rmv f 1 Miami Shores Village Building Department 10050 Ne 2 Ave Miami Shores, FL 33138 SHOULD ANY OF THE THE EXPIRATION G ACCORDANCE WITH 1 MED EXP (Airy 011e person) 13 PERSONAL & ADV INJURY S G@NERALAGGREGATE b PRODUCTS .• COMP/0P ACG $ S COMBINED SINGLE LIMB b BODILY INJURY (Par pomaon) BODILY INJURY (PwaWd9M b PROPERTY DAMAGE $ (Pet ftddan* S b �yJ DEWRIeE;O tOUCIES BE CANCELLED BEFORE �12REOF CE WILL BE DELIVERED IN 0 1 MPM ACArRD CORPORATION. AU rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered madm)ff AC9KD THSIS'NOT CC NO.' 100400121 hl", Ajk�TIQAN c CORP 401*1 00kei uraa IN T ADE CO OWNER AP POWER ELECTRIC CORP rni TVPE OF BUSINESS ELFCTRICAL CONTRACTOR Far a iatoanad�t,v�It t p j An. PAY4 V* RHC6WW BV TAX COLLxdwR 200.00 09/23/2013 W27 -I3-001617 Loca I Bu ine s Tax Re.qeiot ss —Dade County, State offlorid'a -1HS IS NOTA BILL -60. NOT PAY Eii M G MTW NT SERVICES CoRp RECEIPT jq0. ` :: Exmk, S 560 E 64 ST HIALEAH, FL RENEWALi 64134 70 SEPTEMBER 30 -.2014 - . A brist b AI . 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