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PL-14-828i Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Vol -14— Inspection Number: INSP-227355 Permit Number: PL -4-14-828 Scheduled Inspection Date: February 26, 2015 Permit Type: Plumbing - Residential Inspector: Diaz, Osvaldo Owner: CARVER, CHRISTOPHER AND VIneeco1 v Job Address: 1165 NE 91 Terrace Miami Shores, FL 33138 - Project: <NONE> Inspection Type: Final Work Classification: Addition/Alteration Phone Number Parcel Number 1132050010180 Contractor: ABOVE ALL PLUMBING CONTRACTORS INC Phone: (786)290-0800 t3una comments PLUMBING FOR INTERIOR REMODELING intractio vassea comments INSPECTOR COMMENTS False 'Inspector Comments F'� CREATED AS REINSPECTION FOR INSP-211272. REVISE PLAN TO Passed SHOW CORRECT FIXTURE LOCATIONS Failed S Correction ❑ Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. February 25, 2015 For Inspections please call: (305)762-4949 Page 13 of 40 UILDING PERMIT APPLICATION iami Shores Village %Ailding Department 1E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 BUILDING F-] ELECTRIC Ej ROOFING FEB jig 2015 FBC 20 10 Master Permit No.�,I — Sub Permit No. --�:�`'�" B2-9 F] REVISION ❑ EXTENSION [—]RENEWAL 70 PLUMBING ❑ MECHANICAL E] PUBLIC WORKS Ej CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 1165 NE 91 Ter. City: Miami Shores County Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Chris & Kimberly Carver Phone#: Address: 1165 NE 91stTer. City: Miami Shores State: FL Zip: 33138 Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: AU, e lot't' �^'t Phone#: ` Address: S City: 1,11 l l'". l State: Zip: / Qualifier Name: �.= e — Phone#: � ff � 0 State Certification or Registration #: 6 5-20 Certificate of Competency #: DESIGNER: Architect/Engineer: hone#: Address: City: State: Zip: Value of Work for this Permit: $ 0 Square/Linear Footage of Work: 300 sqft Type of Work: ❑ Addition 0 Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: Revised Plumbing Layout Specify color of color thru tile: Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ _ (Revised02/24/2014) CCF $_ DBPR $ Co/cc $ Notary Double Fee $. Bond $ 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 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. 1 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 a I and a reinspection fee will be charged. Signature Signature OWNER or AGENT CONTRACTOR The oregoing instrume t was acknowledged before me this The foregoing instrument was acknowledged before me this day of 20 by day of :(aE"&0 q 20 kS by 1•a 1/( ?Z "� who onally known to AATA��.. 4Q-?1*e 1'i iho is personally known to .me or who has produced as me or who has producedT- l-o(4vm- ykx4Ces who did take an oath. identification and who did take an oath. NOTAR PUBLICS NOTARY PUBLIC: �� 1 Sign: t Sign: Print: _ CR-4>'� Z-''` k e, Print: memo Seal: "'" C�i♦D Notary Public State of Florida Seal: Sind Alvamz W COMMS" i F�:�m My Commission FF 188780 EXPIRES: June 13 p Expiros 09/0312018 BoWW TWuN*gPONc APPROVED BYy �-'L i 7Z/S Plans Examiner Structural Review (Revised02/24/2014) Zoning Clerk Feb 1215 09;35a Iliana Hernandez 3056461577 p.1 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD CFC050551 The PLUMBING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2016 HERNANDEZ,RAFAEL ABOVE ALL PLUMBING CONTRACTORS, INC. 2851 SW 139TH CT MIAMI FL 33175 ISSUED: 0812412014 DISPLAY AS REQUIRED BY 003926 ®cal'business Tax Receipt Miami -Dade County, State of Florida THIS IS NOT A BILL — DO NOT PAY 6939392 BUSINESS NAME/LOCATION ABOVE ALL PLUMBING CONTRACTORS INC 2851 SW 139 CT MIAMI FL 33175 3 RECEIPT NO. EXPIRES RENEWAL SEPTEMBER ,30, 2015 7215213 Must be displayed at place of business Pursuant to County Code Chapter SA — Art. 9 & 10 SEQ # L1408240003232 OWNER SEC. TYPE OF BUSINESS PAYMENT RECEIVED ABOVE ALL PLUMBING CONTRACTORS 196 PLUMBING CONTRACTOR SY TAX COLLECTOR Worker(s) 1 CFC050551 $75.00 Q7114/2014 CREDITCARD-14-027193 This Local Business Tax Receipt only confirms payment of the Local Business Tax. The Receipt is not a license, permit, or a certification of the holders qualifications, to do business. Holder mast comply with any governmental or nongovernmental regulatory laws and requirements which apply to the busiuess- The RECEIPT N0. above must he displayed on all commercial vehicles — Miami—Gado Code Sec 83-276. For more information, visit www.miamirlade.gav colleclQE Feb 121509:35a Iliana Hernandez 3056461577 p.2 '4CERTIFICATE OF LIABILITY INSURANCE DATE(UNIDD/YYYY) --� 08/14/2014 THIS CERTIFICATE lS 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 pol€cy0es) 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(s). PRODUCER AME:CONTACT NAME: PABLO M CONDE NAME: A&A Underwriters, Inc. (i"vC°.Nuo. . 305-220-7447 aC N,): 305-220-4821 8778 SW 8 St E-MAIL _-- ADDREss: pmcC�aaunderWr(ters.com Miami, FI 33174 MED FJCP An one person} $ 5,000 &ADV INJURY $ 1,000,000 INSURER(S) AFFORDING COVERAGE NAIC# INSURER A:: Granada Insurance Campany INSURED INSURER B- BusinessFirst Insurance -PERSONAL GENERAL AGGREGATE_ $ 2,000,000 Above All Plumbing Contractors, INC. _Company 2851 SW 139 cT INSURER C: . .....-- - .._ -- -- - -- ...------ - - -- - INSURER 0: $ INSURER E: Miami FL 33175 i INSURER F; i AUTOMOBILE 4V V IZ f ll=a 1.1-w 1 51-49 -a 1 N IN9 lNIiKl-ii- mmfflwlAkl Ali IRRGGQ. 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. ILTR TYPE OF INSURANCE AODL SUBR -- POUCYNUMBER POLICY EFF MMIDD POLICY EXP MMIDD -----_— LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I •• t OCCUR _ 0185FL00038388 08/14/14 08/14/15 EACH OCCURRENCE S 1,000,000 AMAGE T'E 100 000 PREMISES Ea occurrence $ MED FJCP An one person} $ 5,000 &ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER X POLICY ] ECOT- LOC -PERSONAL GENERAL AGGREGATE_ $ 2,000,000 PRODUCTS - COMP/Op AGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident _ BODILY INJURY (Per person) S ANY AUTO k - ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Pe{actadant} y NON -OWNED HIRED AUTOS AUTOS Ik( PROPERTY DAMAGE {racdden! $ S UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS UAB CLAIMS -MADE I i DEA I I RET'cNTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABiUTY ANY PROPRIETORIPARTNERIEXECUTIVE Y / N OFFICERIMEMBER EXCLUDED? []N (Mandatory in NHl If yes. describe under DESCRIPTION OF OPERATIONS Ileiow H J A 521-08937 07/16/14 I 07/i 6115 X STATiITE ER _ E.L. EACH ACCIDENT s 1,000,000 E.L. DISEASE -EA EMPLOYE $ 1,000,000 E.L. DISEASE -,POLICY LIMIT 1 $ 1,000,000 DI=SQRIPTIQN QF QPERATIQNS r LQQATI4NS! YEHICLES (AWRO 1Qi, Additional Ramarlia Schedule, maybe attached €t more apaw IS required) PLUMBING CONTRACTORS Miami Shores Village Building Dept. 10050 NE 2 Ave. Miami Shores Village, FI. 33138 305-795-2204 305-756-8972 Fax SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEI LED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL RE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2013 ACORD CORPORATION. All rights reserved. ACORD 25 (2013104) The ACORD name and logo are registered marks of ACORD Miami Shores Village Building Department 90050 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 q' r r ' APR 13 IoR FBC 20 l "o Permit No. 1P_ I" �- 2_�— Master Permit No.yc 14 —('05 JOB ADDRESS: 11(A q1 Tfroace City: Miami Shores County: Miami Dade Zip: L33190 Folio/Parcel#: Is the Building Historically Designated: Yes NO A Flood Zone: OWNER: Name (Fee Simple Titleholder)(_'hri6f CC cl s`�v 6"rVer Phone#13CS) 'Q'�! 4 Address: G .e City: itt.,'mi Shnre'S State: F1 Zip33i3 Tenant/Lessee Name: Email: 0 h r-1 �'�M � ` t�c cx9CONTRACTOR: Company Name: e4°L. � Gt�S� Address: .7 '71- . City:, idly i< State: l . Zip: i l Qualifier Name: �2�4 Ale Z. Phone#: State Certification or Registration #: C (����' �/ Certificate of Competengy #: Contact Phone#: i�4 -,arc0 Email Address: Oc­ Lf/ DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ eoc' . Square/Linear Footage of Work: Type of Work: ❑AddressIteration ONew ❑Repair/Replace ODemolition Description -of Work: _ ' - ;ILL- *r E c Submittal Fee $ Permit Fee $3�C3 n%' CCF $ CO/CC $ Scanning Fee $ Radon Fee $ ^ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $-,- h 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 - ved and a reinspection fee will be charged. Signature Signature ,Y\ Owner or Agent Contract The foregoing instrumentwas acknowledged before me this {{ day of � 20 ), by 11 4 , who is personally known to me or who has produced KA The foregoing instrument was acknow edged before me this— day of F46. , 20 I�L, by Q Al t1GL4� who is personally known to me or who has produced_ As identification and who did take an oath. la– On* L1C44identifica d id take an oath. NOTARY PUBLIC:, NOTARY PUBLIC: *. * MY COAMI4ISSION # EE 022439 Bowled Th NDecem�r 28, 2014° Sign: i _,, k o9ary Pig underwriters Sign: Print: � n�� �,tY 11� �� Print:f �CACAf M Commission Expires: '' '''• Sherline Clark Y pPC'"D+� :� My Commission Expires: y CO dIISSION#EE852193 EXPIRES: NOV.18, 2016 �'•" � ��°,, �1�►.l4RRCMIIM1iOTARY.tAfO k�r,Y,FR k*�tiFiFek&dFdlriF*fir*�ti�k*�F k�t4edFBe*&*9e3c�9e9; ikir**9t*�k**ir4c4r�F**etieinFic9F�:*9F�k�Irir�t�t9t9P#dFdFdcie***,ketitak kst9FiFiesY+kieiFoY�h�a4iP*iFiFinLit�t�F�F�kirintit9F9F APPROVED BY Plans Examiner Structural Review (Revised3/12/2012XRevised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) Zoning Clerk AIlko�CC>RCERTIFICATE OF LIABILITY INSURANCE FX1212= 13 12/20V2013 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: N the certificate holder Is an ADDITIONAL INSURED, the poiicy(ies) must be endorsed. H 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(s). PRODUCER CmA,,Tec'r PABLO M CONDE A&A Underwriters, Inc. PHONE305-220-7447 FAX 305-220-4821 8796 SW 8 St Miami, Fl 33174 a�M- pmc@aaunderwTMm.com s GE N=s NSURERA: Granada Insurance Company 08/14/14PREMISES INSURED NRB: BusinessFnst Insurance Comp2ny Above All Plumbing Contractors, INC. 2851 SW 139 cT INSUPERC: NSUrER D : INSURER E Miami FL 33175 NSURERF. COVERAGES CERTIFICATE NUMBER: 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. ILTR HSH TYPE OFNSURANCE SUOR POLICY NUMBER POLICY EFF 08/14/13 EXP LAd1TS A X COMMERCIAL GENERAL LIABRftY CLAAN � OCCUR 0185FL00038388 08/14/14PREMISES EACH OCCURRENCE $ 1,000,000 Q=Wronm) $ 100,000 MED EXP one $ 5,000 PERSONAL &ADVINJURY $ 1,000,000 GEML AGGREGATE UWr APPLIES PER: PRO - x POLICY a JECT ❑ LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COUP/OP AGG $ 2,000,000 $ OTHER: AUTOMOBILE l UBIJT1f umrr $ ANY AUTO BODILY KIURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS ODDLY INJURY (Pr ate) $ HIRED AUTOS ANQN-0WNED PROPERTY DAMAGE $ UMB ELLA LUIS OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCL" ESS RETENTION $ B WORIMRSCOMPENUTION AND EMPLOYERS' ANY PROPRIETOR/PARTN8MD(ECEMVE YIN OFFICERAEMSER EXCLUDED? -1 ( In NN) M I A 521-08937 07/16/13 07/16/14 X STATUTE ER _ E.LEACHACCIDENT $ ... 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 II E PdesTIal�ONundr DOF OPERATIONS 6Now E.L. DISEASE - POLICY LIMIT s 1,000,000 DESCRIPUON OF OPERATIONS! LOCATIONS I VEHICLES (ACORD 161, Adm Ramada Schedule, nay be atm Nrraare span Is regrireM PLUMBING CONTRACTORS Miami Shores Village Building Dept. 10050 NE 2 Ave. Miami Shores Village, Fl. 33138 305-795-2204 305-756-8972 Fax ACORD 25 (2013104) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORMM REPRESENTATIVE �g ._— � _ h• ;.r Ka1L�a,: _ Ile , _. u� rtr� c_�.rc�c. The ACORD name and logo are registered marks of ACORD PDF seated with pdfFactory Pro trial version WWW.pdfactory.com 001614 Reemij A Florida kY RFCEIPT:: Mum Ft JJ 1 /7 Chapter 8A;— Arc. 9 & 10 OWNER SEC. TYPE OF BUSINESS PAYMENT RECEIVED ABOVE ALL PLUMBING CONTRACTORS 196 PLUMBING CONTRACTOR BY TAX COLLECTOR' CFC050551 Worker(s) 1 $82.50 }0/0}/2013 CREDITCA tD—} 4-W1056 This Local BWnmTax Receipt a* confirms PaymeN 011100 Lecel SM01"m Tax. The R"Wpt is not a license.' I N ponsk or a certification of the holders qualifiicesiness. iout to a0 buHelder mast. compir mM ntal fop Wwy laws and tegevemmtts wMcb ePPly to the busixeso. The RECEIPT N0. above Abe displayed on all con Bial vehicles— Code See ft -m FornmoislonneftaivisitynnNAdo