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PL-14-2688Ar I S Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-224946 Permit Number. PL -12-14-2688 Scheduled Inspection Date: December 22, 2014 Permit Type: Plumbing - Residential Inspector: Diaz, Osvaldo Owner: GEORGE CRAVERO JTRS, RUTH ICAO' C Job Address: 551 NE 93 Street Miami Shores, FL 33138 - Project: <NONE> Inspection Type: Final Work Classification: Repair Phone Number Parcel Number 1132060141010 Contractor. MARLIN PLUMBING OF MIAMI INC Phone: 305-652-6108 comments REPLACE MAIN WATER SERVICE METER TO HOUSE lwmctio Passed Comments ALSO INSTALL 1" BALL VALVE INSPECTOR COMMENTS False December 19, 2014 For Inspections please call: (305)7624949 Page 18 of 38 Inspector Comments Passed E91 Failed El Correction Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. December 19, 2014 For Inspections please call: (305)7624949 Page 18 of 38 BUILDING PERMIT APPLICATION Miami Shores Village Building Department DEC 10 2 14 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20 Q Master Permit No. ILI Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION RENEWAL ❑■ PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 551 NE 93 Street City: Miami Shores County: Miami Dade zip: Folio/Parcel#:11-3206-014-1010 Is the Building Historically Designated: Yes NO Occupancy Type: residence Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Ruth Kable Phone#: 786-273-0672 Address: 551 NE 93 Street City: Miami Shores State: FL Zip: 33138 Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: Marlin Plumbing of Miami, Inc Phone#: 305-652-3031 Address: 20145 NE 16 Place City: North Miami Beach State: FL Zip: 33179 Qualifier Name: Edward J Walker Phone#: 305-652-3031 State Certification or Registration #: CFC048292 Certificate of Competency #: CFC048292 DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: City: State: Zip: Square/Linear Footage of Work: 0,0D Type of Work: ❑ Addition ❑ Alteration ❑ New 0 Repair/Replace ❑ Demolition Description of Work: Replace main water service from meter to house, also install 1" ball valve Specify color of color thru tile: , Submittal Fee Permit Fee $ /'50' y � CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Structural Reviews $ (Revised02/24/2014) Double Fee $ Bond $ TOTAL FEE NOW DUE $ �+ ® go 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 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signatu"w, i OWNER or AGENT The foregoing instrument was acknowledged before me this day of -De- i -y1 b,*/r 201 4 by Rua-Pn &Z who is personally known to me or who has produced I IL, 10�I2 J/$ as identification and who did take an oath. NOTARY PUBLIC: Sign.-&. I (Revised02/24/2014) Signature CONTRACTOR The foregoing instrument was acknowledged before me this _/_ day of �==b , 201 C by F-Ausr..✓d. 'J VJa.lkceo-- , who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign::A.,tA Structural Review Clerk THERESA tiR+II-pEERY y P • S 7THERESACCREERY�t �' • Slate of FIONAS.l l ` Commisst00 0 FF 070897 '•" o` CN FF Q70897 Plans Examiner Zoning Structural Review Clerk CERTIFICATE OF LIABILITY INSURANCE ^ D'irwin/DD/YYYY) 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. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(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 endorsement(sl. PRODUCER (eyes Coverage Insurance i900 Hiatus Road Tamarac FL 33321 INSURER A INSURED 5937 INSURER B Marlin Plumbing of Miami, Inc. INsuRERc 20145 N.E. 16th Place INSURERD Miami FL 33179 COVERAGES CERTIFICATE NUMBER: 1881375231 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. ILTRR TYPE OF INSURANCE LISUBRI IINNSR WVD POLICY NUMBER MM/DCD EFF POLICY M UD EXP LIMITS A GENERAL LIABILITY Y Y WPP115738600 /8/2014 /8/2015 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FXI OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $100,000 MED EXP (Any one person) $5,000 PERSONAL & ADV INJURY $1,000,000 X AI Per Wrtn Cont X WOS Per Contract GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000 POLICY X PRO-JECT F] LOC $ AUTOMOBILE LIABILITY COMBINED SING=IMIT accident BODILY INJURY (Per person) $ ANY AUTO ALL OSCHEDULED AUUTOSS AUTOS BODILYINJURY (Per accident) $ NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident $ UMBRELLA LIAB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ EXCESS LIAB AGGREGATE $ DED I J RETENTION $ $ B WORKERS COMPENSATIONY AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETORlPARTNERIEXECUTIVEE.L. OFFICERIMEMBER EXCLUDED? � N / A 830-25781 12!112014 2/1/2015 X WC STATU OTH- Y LIMITS EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEO $1,000,000 (Mandatory In NH) Dyes, describe under RIPTION OF OPERATIONS below DESC E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, H more space Is required) RE: License # cfc048292 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE VALL BE DELIVERED IN Village of Miami Shores ACCORDANCE WITH THE POLICY PROVISIONS. 10000 NE 2nd Avenue Miami Shores FL 33138 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD 12/10/2014 13:54 3056523135 MARLIN PLUMBING DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD I CFCW292 I I The PLUMBING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2016 WALKER, EDWARD MARLIN PLUMBING OF MIAMI INC 20145 NE 16TH PLACE NORTH MIAMI BEACH FL 33179 ISSUED: 08/03/2014 DISPLAYAS REQUIRED BY LAW PAGE 01/01 Q • ti" C7 • �� rl'ia '_ •. SEQ 0 L1408030003298 000562 Local Business Tax Receipt Miami—Dade County, • S.tate of Florida THIS IS NOTA BILL - Do NOT PAY FLB T 2503465 BUSINESS NAMFJLOCAVON RECEIPT NO. a EXPIRES MARLIN PLUMBING OF MIAMI INC RENEWAL SEPTEMBER 30, 2015 20145 NE 16 PL 2827108 Must be displayed at piace of business MIAMI FL 33179 Pursuant to County Code Chapter BA - Art. 9 & 10 OWNER SFC. TYPE OF BUSINESS PAYMENT RECEIVED MARLIN PLUMBING OF MIAMI INC 1 PLUMBING CONTRACTOR BY TAX COWLECTOR Worker�2 s) 1 $75.00 08/25/2014 KHECIC-14-141496 This Lona Business Tax Receipt only confirms payment of the LOcsl Business Tax. The Receipt is not a license. permit, or a ccRl6cation at the holder's quallfloallons, to do business. Holder must comply with mry gover0mardal or 1longwmrnmental regulatory laws and requirements which apply to the business. The RECEIPT N0. above must be displayed on all commercial vehicles - Mismi-•08416 Code Sec 8a -M For moa information, visit ww •' miemidede rb 61160101 SSI ouc:. 93 s r MI -AM( Skores Rv� Miami Shores Village APPROVED BY DATE .fab C DEPT QZ SUBJECT TO COMPLIANCE WITH ALL FEDERAL STATE AND COUNTY RULES AND REGULATIONS VL-- , 9 3 sr 520wr or- 1-kme-- • s s ss•s• • • • • %o • see: a • 141/y