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PL-15-647Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-231297 Permit Number. PL -3-15-647 Scheduled Inspection Date: March 31, 2015 Permit Type: Plumbing - Residential Inspector: Diaz, Osvaldo Inspection Type Owner: RUIZ, ZACORY & SARA Work Classification: Addition/Altera on% Job Address: 133 NW 101 Street Miami Shores, FL Phone Number (305)968 63 Parcel Number 1131010220160 Project: <NONE> Contractor: BOB'S PLUMBING CO INC uepartment comments Phone: 305-229-9932 REPLACE WATER SERVICE RE PIPE HOT & COLD 11 rassea %�ommenrs WATER SYSTEM REPLACE CAST IRON W/PVC UNDER INSPECTOR COMMENTS False HOUSE ONLY March 30, 2015 For Inspections please call: (305)762-4949 Page 21 of 27 Inspector Comments Passed Failed Correction Needed Re -Inspection Fee No Additional Inspections can be scheduled until re -inspection fee is paid. March 30, 2015 For Inspections please call: (305)762-4949 Page 21 of 27 BUILDING Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 � 6Y MAR 2 3 2 15 E BY: FBC 201— s' Master Permit No. R< -f-- t S'' (.0� PERMIT APPLICATION Sub Permit No. R4 /'s-,X�5- ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL 1 PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: (3-:;5 W W �7 :5- e -e l City: Miami Shores County: Miami Dade Zip: 03 y 5 D Folio/Parcel#: is the Building Historically Designated: Yes NO- Occupancy O_Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): ZQC cq L k o Z Phone#:'J�1) I �� Address: (I` �c �i 5 k -e- � City: V W l J �l %P 5 State: FL— Zip: :5 D I.5p Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name. - 6i 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 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. Signature Signatu OWNER or AGENT The foregoing instrument was acknowledged before me this �(dt�-N day of 20 1 rD- , by —2CACOLU �i�i Z who is personally known to me or who has produce Od '�I� ��D'�' 0 as identification and who did take an oath. NOTARY PUBLIC: Print: LL:1_aL(ne n °"°"'° Carmen Lu o Seal: aogpnv ° .a; COMMISSION#EE117945 EXPIRES: NOV. 25, 2015 WWW.AARONNOTARY.Wm CONTRACTOR was acknowledged before me this i l�t� d oay ff},NCt rC— /1 .201, 5 . by p�ll C---. who is 6sonally known me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Yye I L,LA.e-- Carmen Lugo Seal: 19-°gpp4oMISSI0N#EE117945 9'A EXPIRES: NOV. 25,2015 °° bWdW.AARONNOTARY.com APPROVED BY .�-2-7, S Plans Examiner Structural Review (Revised02/24/2014) as Zoning Clerk RICK SCOTT, GOVERNOR KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD CFC055672 The PLUMBING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2016 ISSUED: 06123/2014 DISPLAY AS REQUIRED BY LAW SEQ # L1406230000532 BOBSPW-01 SSIMEON CERTIFICATE OF LIABILITY INSURANCE °ATEI 11126f 014 11/26/2014 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(s). PRODUCER Collinsworth, Alter, Fowler & French, LLC 8000 Governors Square Blvd Suite 301 Miami Lakes, FL CONTACT ANo : (305) 822-7800AIC,No 305) 362-2443 E-MAIL E-MAILs: ADDRE33016 AGL0019833-00 11128/2014 INSURER(S) AFFORDING COVERAGE NAIC # INSURERA:Arch Specialty Insurance Company DAMAGE TO RENTED PAISES Eaocamence $ 100,00 INSURED INSURER B: National Trust Insurance Co 20141 INSURERC:FCCI Insurance Group 10178 Bob's Plumbing Co., Inc. INSURER D: 4055 SW 89th Ave. Miami, FL 33165 INSURER E : INSURER F • LIABILITY ANY Auro ALL OWNED SCHEDULED AUTOS AUTOS HIREDAUTOS X NON -OWNED AUTOS COVERAGES CERTIFICATE Nt1MRFR- REVISION N1IMRFR- 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 CONTRACTOR 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. LTR TYPE OF INSURANCE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. BADDLSUVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FXIOCCUR X X AGL0019833-00 11128/2014 11/28!2015 EACH OCCURRENCE $ 1,000,0001 DAMAGE TO RENTED PAISES Eaocamence $ 100,00 MED EXP (Any one person) $ 10,00 PERSONAL & ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL POLICY PRO- LOC OTHER: AGGREGATE $ 2,000,00 PRODUCTS - COMPIOP AGG $ 2,000,00 $ B AUTOMOBILE X X LIABILITY ANY Auro ALL OWNED SCHEDULED AUTOS AUTOS HIREDAUTOS X NON -OWNED AUTOS X X CA00227363 11/28/2014 11/28/2015 COMEBBIINdE�DtSINGLE LIMIT $ 500,00 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ (Peraccident) $ UMBRELLA LIAB CESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICERIMEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A OOIWC14AS9071 09/01/2014 09/01/2015 X PER ER E.L.EACH ACCIDENT $ 500,00 E.L DISEASE - EA EMPLOYEE $ 500,00 E.L. DISEASE - POLICY LIMIT $ 500,OOC DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Rem Schedule, may be attached If more space is required) Master PormftAMMMMP§Wlumbing Contractor CERTIFICATE HOLDER CANCELLATION ACORD 25 (2014/01) ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shores Village 10050 NE 2nd Avenue THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores, FL 33138 AUTHORIZED REPRESENTATIVE ACORD 25 (2014/01) ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD BUSINESS N"EILOCATION RECEIPT NO. EXPIRES BOBS PLUMBING CO INC RENEWAL SEPTEMBER 30 2015. 4055 SW 89 AVE 22934 Must be displayed at place of business MIAMI FL 33165 Pursuant to County Code Chapter SA — Art. 9 & 10 OWNER' SEC. TYPE OF BUSINESS BOBS 'PLUMBING CO INC 196 PLUMBING CONTRACTOR Worker(s) 10 CFC055672 This Local Business Tax Receipt onlyconfirms payment of the Local BusieassTaxo 71 permit, or a certification of the holder'squalifications, to do business. Holder i 4i or nongovernmental regulatory laws endd requirements which apply to th4 bfo t? The RECEIPT NO. above must be displayed on all commercial Vebiclast :ly►sLjjl For more information, PAYMENT RECEIVED BY TAX COLLECTOR $75.00 07/18/2014 CHECK21-14-025311 ,ell is not a.license, with any governmental a Code Sec Ba -V6,, BOB'S PLUMBING CO., INC. LICENSED & INSURED 4055 S. W. 89TH Avenue Miami, FL 33165 Phone (305)229-9932 Fax (305)229-9665 jPR:0POSAL SUBMITTED TO: JOB NAME/LOCATION DATE: cory Ruiz Same March 13, 2015 133 N. W. 101" Street Miami Shores, FL 33150 PHONE: (305) 968-6063 zacory.ruiz@gmail.com WE HEREBY SUBMIT SPECIFICATIONS AND ESTIMATES FOIL - 1. For plumbing permit and inspections. 2. For supplying and installing 3/4" copper water service from meter to garage with gate valve in ground at meter and ball valve and hose bib exposed at garage. 3. For sleeving water service in poly pipe. 4. For eliminating all galvanized pipe throughout house and replcing with "M" copper and fittings with 3- hose bibs around house per discussion with customer. 5. For opening walls in kitchen to perform work per discussion with customer (if customer has to replace shower valve to single handle, we will use repair plate and it will be an extra $500.00) 6. For removing all cast iron pipe and fittings and replacing with PVC pipe and fittings and connecting to existing case iron vent in wall and existing septic tank. 7. For adding 3" PVC drain line for washer machine in garage and future bathroom per discussion with customer on studor vent system. 8. All landscaping, plastering, electric, painting, tile, etc, done by others and NOT included in this price. 9. Digging and covering of ditches to be performed by customer and NOT included in this price. 10. Any changes and or additions to the above will be EXTRA. WE PROPOSE hereby to furnish materials and labor complete in accordance with above specifications, for the sum of : Five Thousand Five Hundred Dollars and 00/100 $5,500.00 Payment to be invade as follow 25% Upon acceptance and start of work/ Balance to be paid in stages as billed. AUTHORIZED SIGNATURE tom' This proposal may be withdrawn by US for my reason within thirty (30) days. ACCEPTANCE OF PROPOSAL: The above prices, specifications, conditions, notes are satisfactory and hereby accepted and authorized. Paymem will be made to you as outlined above. DATE OF ACCEPTANCE: AUTHORIZED SIGNATURE