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PL-13-22813 - Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-223286 Permit Number: PL -2-13-228 Scheduled Inspection Date: November 18, 2014 Permit Type: Plumbing - Residential Inspector: Diaz, Osvaldo Inspection Type: Final Owner: YZQUIERDO, JOSE Work Classification: Addition/Alteration Job Address: 1351 NE 101 Street Miami Shores, FL 33138 - Project: <NONE> Phone Number Parcel Number 1132050230080 Contractor: LAS BRISAS PLUMBING Phone: (786)343-3492 tsunamg uepartment Comments NEW SANITARY AND WATER LINES FOR 3 1/2 ABTHS AND NEW KITCHEN INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-222954. CREATED AS 1:311� REINSPECTION FOR INSP-185271. need access to jacuzzi pump and steam unit gas final? Failed ❑ access to p -trap in hall bedroom water heater no access �V Correction ❑ � Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. November 17, 2014 For Inspections please call: (305)7624949 Page 28 of 45 y `{� �" CERTIFICATE OF LIABILITY INSURANCE °"'� 480!1 °"'Y"'' _ /1 3113 TNR$ CER fwi&RE Is MOM AS A MATTER OF W*RMATION ONLY AND CONFERS Nd i5Rff UPOtN THE CERTIFICATE HOLDER Tms — CERTIFICATE DOES NOT AFFM"T1YELY OR NEGA71VELY AMEND, EXTEND OR ALTER THE CO VERA" AFFORDED BY THE POMC= MMOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE OWING, S). AUTHORIZED REPRESENTATIVE OR PRODUCER. AND THE CERTIFICATE HOLDEIL - IMPORTANT! lfi cw" rab holder Is an AppIT10dU1194SURED, the p4NCy(Iq) must he endorsed. 43UBR0GATN)N IS WAIVED, ov*ct to the tome mW oondillons OIUW pobW. cwteln poNdn may fequ;m m EIdaraamaM. A sb tsmem andrs cerWkmo roes rmt cooler dphts to #w aerBlcate holder b Neu of sr+cR mss)_ P t10ERC6w&T—'Anaofa C. ToKbW _ d0 SW 44p eY I fig/ (305)553-1760 S12re tom �A C, toy ('0553.1762 Miami, FL 33165 _ oov true a P ores (305)653-1760— I= (306)553-1782 a OMMA: CWnPPnX _ ]INSURED Las $rises Plumbing corp titNMtfPt C : v _ 145M SW 114 Ct VISURER MIAMI, FL 33165- (766) 343.3492 gamut E: - _.. a+RLMA F; COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE DWA)RED NAMED AMM FOR THE POLICY PERIOD RMACATED. NOTWITHSTANDING ANY REQIIIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXC:L.USIOH$ AND COMITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN FeDLOE�DIIBY�PAID CLAIMS. .. TYPE (w _. WVD Y tN DryTTY} ?IVY} - ulfiffs �....�R .._. rErFe" MillLITYCACHOOCURRVIN _.. �s 1,000.000.00 I ® �GENERALuAeRriY DAMAGE TO �, , 100.000.00 - A ❑ n OAR04AWE U OCCUR 0185FL00014803 MBDExP one $ 5,000.00-- 0T123PZ013 0i/2312014 ❑ _ �PERSONAL a Ao+r atnpzY i 1.000.000.00 ❑ __-- - 08I0ALATG S 1,000,000.00 I IC.EML AGGREGATE i ar r APPM PGR: E PfKMW s - COUP)OP AGO t 0.00 n POuCY Ll ►oc _ 3 — AUTOrMN" LrilLiTY — IHCN E LWIMPr 3 I ❑ ANYAUTO BODIY a uURY (Par paaon) i ❑ OWNED BOSS ❑ A BODILY NAM (Par scdftMj i ❑ HIRED AUTOS ❑AkRM- S cl � Cl O EAOt tNM:E s Ln► � ❑ a� AGATE ... 3 ��. Atte IN IA DMICI PTIM OP OPERATiOM LOCATIONS I VOICLO (MwA ACS M, A"Kftm Remrks fthmiutr If lean opma k aw mw PLUMBING OPERATION CERTIFICATE HOLDER MIAMI SHORES VILLAGE BUILDING DEPARTMENT 10050 N.E. 2ND AVENUE MIAMI SNORE$, F7 ORIDA 33138 305-756-6972 ACORD 25 P8161115) OF ❑ WCSrATT(1��.. ❑ 0TH- ..� E.L. EA NACCMM i E.t,. DISEASE-EAE#!'I.OYEE S - EL DISEASE - POLMY UW 1 $ CANCELLATION SHOULD ANY OF THE ASM pESCROW POLICIES !IE CANCELLED BEFORE TON DATE THEREOF, N071t;E WILL BR OELWMM IN WITH THE POLICY PROVISIONS. AllATNF Arm:Fo 488-2010 ACORD CORIPORATION. Ail flgllts r"erwd iACORD trams mW logo aro rogleloirod onarks of Atm qw. 10.22-2t>EI2 JEFF ATWATER STATE OF FLORIDA CHNW FMWJCIAL Q6P,A►Ri111 1T OF FINANCIAL SERVICES DIVISION OF WOWERS' COMPENSATION * * CERI'MlM OF g.E M TO IE EiMM FRW FLORIDA iWO WjW CORM"TION LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies "W the '"" l "SW 6@10r tm 01e08d to be ex6mPt • from Florida Workers' CmrfQensation law, EFFECTIVE DATE: 10/22/2412 PERSON: GARCIA FEIN: 450593082 BUSINESS NAuE AND ADDRESS: LAS 8R=SAS 1 UM nm =RPORATION 4520 SM 114TH Cr . MIAMI FL 3S188 SCOPES OF BUSINESS OR TRADE: 1- PLtMftlNQ COWIRACYIDR EXPIRATION DATE 10122/2014 ALEX WftrAaT P-0- b UNOW 40 . 9*14L F.S. of of ftw of a "!W"loa "0 elan exon ion &M fbfs cif W by tnmg a ca okft ff dectfff ranter MGs <ett t olat. aft taCWw kmtfgt Ot -1eItK #ft depW. flfrsam M elaWi 416.OSt12J F.S» Cxtiiieahe of etrtettq b.aa. :�aPe iF.tN bosun s lak'Lftf M 00 YUls i afotff ft fear aftagE!_ fear maiefnpf... af*ig etlr Wfafa t!s ,bosun a be WMW f " bt 9040 0 reOU" It. d [tilt %ff dtw the t aWw t� �tri� F.S., � N NecHoe M be iLaflpI Oxo emwftotas tl tatty tsfe as laa)ar gtiffi Dia ragflrefrrt -d dirkdirktaiaa- fir i 4 0! 4o:iea ar isawea of nit oaG7ferta, ane Nemo ""a M tba owta ar as/ fe ale taRNiala M fWat lie she ar a carNtirata. TM aap"ma n ftw-.awww a cartai as of my Me fir Ishn of we "n" n�fetfefe N liic seeMif� OWG-252 CBMFrAiE OF EIlUMN TO HE ENEW RE14= 91-11 QUESfl(]IYS?- OM 413-1609 PLEASE CUT OUT THE CARD eELOW AMD RETAIN FOR FUTURE REFERENCE yt^-mOFrLcjt q 00,AftTMEtsT aP l a0tVlthw !N OF VAMOCISW c 0M iTj= f.OMSTfawjtfw 2ilMIIl4titl► CffMP LATE OF ftAM0M T+DBE BIMMIPF f9N11if M6NDA TmLAw EFFECTtva 10/2'2/2Di2 EXPIRA'tM DATE: PERSOrt ALEX sAwn FEIP& 45059M2 t3US*JESS NAbtE AND ACcMS& .AS ttfOSAS PtUU§m cowmAlnop ,9520 SW 114TH Cr A44ML ft 33165 SCOPE OF BUSINESS OR TRACE- PwUemG CpRTRACTgff llW4)RTANT OParsec W to CNIM 44QDMI41, ES., an affiexr of a mgmadon who eleots extm Pt m ftnar dls t:Aepter by fifatg a =rtffmft of oleo= L tutder this secdw aw het rmarer benefits or eawlmnmion under this 10/22/2014 Pursumt to M*w 44MM12J F -S., Ur itjWU of eie+ctim to he . if exafnpt.., apphf &*- within on st ops of dta business or ttaft Iisted an Rfhb lmtice of weWon 10 ba exempt. E Pti suint to Cl449.DSI131 F.&,- N&bm of etectim to be exanpt and mlifkms of eiecdw to Ire *=MR Shap be s 6k& to rexocatian if, at any tans atw the f'l'ing of the native or ft boom of die ceMfMW, 00 pefM nbtnad an die nado ur MWk>E! no IorW a" the repro mtma- of this sect. far momm of a twwica& The doWWwd sluff m"ko a mxrdfltwta at any tim-for fable of the person nowd on the certifwate to itkt the regWremmu of Itis - seetion. - CUT HERE MNMI4ifS7 (8519, 413-1909 * C"ry bc"Obtfr Port10n an [fro j0fa. fcswP upper portion for yow records. . VC: -252 CERTIFICATE OF ELEMM TD BE GXFWT ReviaQ 61-11 a x r 1: OF FLORIDA DEPARTMENT OF BiiS - INBSS .Alii# r?RopzssZON�, R���7LATItR11' 190 NORTTH=� INDQSTRY LrCRNSING BOARD 9TALLAijjj8jq.V ROS STREET FL 32399-0783 GARCIA ALRX S.LAS BiffSAS PLiTMBING CORPORATION SW 1.14TH corny UNI FL 33165 CorlgratuLatfonsi With tFks Ii0ense you Mme one of the neariY nne minion ' FWChans ficsnaect by boxers to is and businesses as and Professional Regulation. j 4ue restaurants, and They keep Florida's toYachtbrokers. from Every �Y we fftng- w� to improve the y Far iniomvatiorr about our services, pj�e do business in order to Serve u ba r There you can find more information t°9 onto +#orfdartcenro cam. s our divi irnpac t You, subSCI%e m dt�art newsletters and nm the regWattons that Depanr6t t -s initiatives- more about the fl ,kM' n at the �+Paritnent is: Ucartft Eflic" r F hank you for doing pu req ttt�erj so that you can see Your fa ! • and 9mtulatiOng nn your new License! ! kC# 647630-0 DETACH WRE STATE OF FLORIDA The PLiiggIVG Named below I3 C� saTX Under the provieio >' -expiration date: .Atit', 31. :r GARC7,ll,.. ALEX f LAS Bna" a PLUM : BW x14 -TR co oRAT=, _. FL 33165 RICK GOVERNN Rm (850) 487-1395 ArarE Gid RMPMA AC# DBFhRT- -or BUST MSS AMD WAWSi .AXG ULATION CPC1426584 _ ,... 128-127 53 - xs :car 7dkvirtiioa aare.. x Cts P�q*g+ice of ch_48y r .� SI::. �011i L2xZD2202ts7S DISPLAY AS REQulRi=D BY LAW 3z1AW8014 CRRTT,A, -i eyec�tf-c�,nss U.S. POSTAGE PAIDWAIlk FLP S2 1 L OGAiN1N f M IS NOT A BILL - oo NOT pAY � LAS.'RISAS PL p 653467-2 4520 SW 114 CT STAT€# CFC1424984 33165 Wt -N DAM. COUNTy OMWR ��� MQRlCEI AS TM 10/92/2012 8"14218081 000482. S0 gww ^wwa-m awic a L, -,,T7 # j.� LAS MISAS PLUMIRS CORA A -F -X BARCIA ARES 4U20 Sy 114 CT MIAMI fit, 33265 i��iifE�fl,:=:�i,�tE,�l��:,f�f„I,�,��i,t�l�,l�,i��t►►���1! N" N Miami Shores village FEB 0 b 2013 Building Department 90050 N.E.2nd Avenue, Miami Shores, Florida 33138 n T-JE� Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION Permit Type: PLUMBING FBC 2010 Permit No. f"— 1'5 2-z� Master Permit No. f2ci J —aa5 JOB ADDRESS: 1 3s l 1\ G \ C) t -4 } City: Miami Shores County: Miami Dade Zip: t �� Folio/Parcel#: I I -?:;17ZZr5 © - OOE�o Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titlehok Addrew . 13S [ t C)5 �'IZCu�I�.i 195-SZtvr- City: LA ( a (,tet i -r - State: - Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name:` �� '' Phone#: Address: ��,, "t' S ()'0L�> � i T City: 124 r Qualifier Name: State Certification or Registration #: C -F C [ 4, '1 5 Certificate of Competency #: CIA - --F/0 /Z-1 D' Zip: 33 ? lv 15 Contact Phone#: DESIGNER: Architect/Engineer: Address: Value of Work for this Permit: $ ES V _ Square/Linear Footage of Work: Type of Work: ❑Address ❑Alteration l ❑New Description of Work: zw e = 0 l•� i� �Z ***************************************Fees******************************************** Submittal Fee $ Permit Fee $_`� '3�' CCF $ CO/CC $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ DBPR $ Bond $ Technology Fee $ ON TOTAL FEE NOW DUE $_� - . . N 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 apprpveff Mal4d a reinspection fee-wxill be charged d+ Signature Signature i or Agent Contractor The foregoing instrument was acknowledged Yore me this tG The foregoing instrument was acknowled ed before me this. day of , 20 4:-, by day of l�7 , 20 L5, by who is personally known to me or who has produced who is personally known a or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUI Sign: Print: My Commission ************** APPROVED BY Plans Examiner Structural Review (Revised3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) NOTARY PUBLIC: c� Notar uWic State of Flo a `tChe2 Sign:3wf, 1&I ian EEOa3995 orfs Print: Expires 1212,0512014 My Commission Expires: Zoning Clerk