PLC-15-183M
® 70?
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-229409 Permit Number. PLC -1-15-183
Scheduled Inspection Date: April 07, 2015 Permit Type: Plumbing - Commercial
Inspector: Diaz, Osvaldo
Inspection Type: Final
Owner: Work Classification: Addition/Alteration
Job Address: 650 NE 88 Terrace
Miami Shores, FL 33138- Phone Number (305)868-8203
Project: <NONE> Parcel Number 1132060110190
Contractor: V&V PLUMBING INC Phone: (786)281-9960
tsuua
t.omments
PLUMBING AS PER PLASN RESET TOILTETS AND 1111UMMU rassea comments
DRIKING FOUNTAIN INSPECTOR COMMENTS False
*NAIL SALON*
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-229018. CREATED AS
REINSPECTION FOR INSP-229013. CREATED AS REINSPECTION FOR
INSP-227232.
Failed ❑ 786-285-5740 call if any questions
REMOVE PIPING AND CAP OFF
REVISE PLAN TO SHOW REMOVAL OF DRINKING FOUNTAIN
Correction ❑
Needed
Re -Inspection ❑ g
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid
April 06, 2015 For Inspections please call: (305)762-4949 Page 18 of 63
As
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
JAN 2 7 2015
FBC 20
BUILDING Master Permit No. QC� `(A
PERMIT APPLICATION Sub Permit No. R -C -i S-"'? _3
❑ BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑ RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: P V 6150 5%'2:-. —T e 5 t o,, c --Q.
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#. Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: `` _Flood Zone: BFE: P FFE:
OWNER: Name (Fee Simple Titleholder))::, 1 -� . LL -C, Phone#: 4*U qS' S
Add 1C! (co � „
_ 19f :9ff
City: �11o��a� CYl State: �L Zip:�t..�i
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: (tjV' b-% Phone#:
Address: -�o
City: I -A ; C. rrn i State: I Zip: 3
Qualifier Name: Phone#: ?�rL
State Certification or Registration #: C-r=C l L4 Z's I S Z Certificate of Competency #:
DESIGNER: Architect/Engineer:
Address: City: State: Zip:
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Specify color of color thru tile: `J
Submittal Fee $ Permit Fees] ��. ��' CCF $ CO/CC $
Scanning Fee $ Radon Fee, DBPR $ Notary $
Technology Fee $ Training/Education Fee $
Structural Reviews $
(Revised02/24/2014)
Double Fee $
Bond $ f
TOTAL FEE NOW DUE $ t
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 approd and a ectT
fee will be charged.
k 9
Signature — - N Signature
OWNER or AGENT
The foregoing instrument was acknowledged before me this
f�� day oflaooV"�i
20 1 by
CIC'« 0_9 who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
CONTRACTOR
The foregoing instrument was acknowledged before me this
day of 20 15- , by
_)�_ • who is personally known to
as me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
as
APPROVED BY (j"_ 2 •/S Plans Examiner
Structural Review
(Revised02/24/2014)
Zoning
Clerk
Sign:
Sign:
_1>a�
Print: irng 1el11c)
Print:
?fit, •••4B�ic BOMA SARMIENM
Seal: * * MY COMMISSION # EE 042217
EXPIRES: October 10; 2018pub9c,
Seal:
JESSICA I?ARC1A
Florlde
9Jp��pe�� B=Ied Thrub4d" Soft
PIS State of
oe°
uv CommMton EXPIM Mar. 21, 2015
APPROVED BY (j"_ 2 •/S Plans Examiner
Structural Review
(Revised02/24/2014)
Zoning
Clerk
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STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND
105
PROFESSIONAL REGULATION
CFC 142 8152 ISSUED: 08/31/2014
CERTIFIED PLUMBING CONTRACTOR
GARCIA, VICTOR RENE
V 8 V PLUMBING INC
IS CERTIFIED under the provisions of Ch.489 FS.
Expiration date : AUG 31, 2016 L140010003914
008797
Local Business
Miami—Dade County,
-THIS IS NOTA BILL
6551437
BUSINESS NAMEILOCATION
V & V PLUMBING INC
3019 NW 88 ST
MIAMI FL 33147
Tax Receipt -
State of Florida
- DO NOT PAY
RECEIPT ND' EXPIRES
FIENEWAL SEPTEMBER 30, 2095
6822093 Must be displayed at place of business
Pursuant to County Code
Chapter OA -Art. 9 & 10
OWNER SEC. RECEIVED
TYPE OF BUSINESS PAYMENT
V & V PLUMBING INC 196 PLUMBING CONTRACTOR BY METAX Wi 1 F OR
Worker(s) 3 CFC7428152 $75.00 07/24/2014
CHECU I-14-034138
Th& Local Busiom Tax Reempt only confirms payment of the Local Busines Tax. The Receipt Is not a license,
permit, or a certification of &e haMer"s alifioations to do horsiness Halder mast rmmplq with any Bovammemel
or caagovammeoml regulatory taws amt Attiramems which apply to the hr�ia�s
The RECEIPT 90. above most be displayed an all commercial ercial vehicles - Miami -Bade Code sec sa-m
For more hdormation, visit r miamidade.aovHaxcoliector
CERTIFICATE OF LIABILITY
(MMMONYM
ADDL
SUER
n
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
ROYAL CARIBBEAN INSURANCE AGENCY
NA JUAN TUNON
PHONE 305-642-4541 No 305-642-1087
1772 WEST FLAGLER STREET
MIAMI, FL 33135
o=E :LTUNONROYALII2 GMAIL.COM
INSURMMAFFORDING COVERAGE N=#
INSURERA:ATAIN SPECIALTY INS. CO.
PERSONAL BADV INJURY $ 1,000,000.00
INSURED
INSURER B: ASSOCIATED INDUSTRIES INS. CO.
INSURER C:
V & V PLUMBING, INC
INSURER D:
3019 NW 88 STREET
INSURER E:
MIAMI, FL 33147
INSURER P:
CO
c:UVtKAUES CERTIFICATF NIIMRFR- RFVI-CInM MIIMRFI?-
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.
�—
INSW
LTR! TYPE OF INSURANCE
ADDL
SUER
n
-- -- POLICY EFF POLICY EXP
POLICY NUMBER D
LIMITS
A oENEMUAenJTY
X COAAMERCIALGENERAL LIABILITY
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CLAIMS -MADE OCCUR
CIP193141
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11/09120141110912015,
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I
EACHOCCURRENCE s 1,000,000.00
PPREMISES(ERENTEDnce S 100,000.00
j MED EXP (Any an person) $ 5 000.00
PERSONAL BADV INJURY $ 1,000,000.00
GENERAL AGGREGATE ' S 2,000,000.00
GEN1 AGGREGATE
X POLICY
LIMIT APPLIES PER:
PE OT- I LOC
PRODUCTS-COMPtoP AGG 's 2,000,000-00
I $
AUTOIlAOeRELUUIILITY I
ANY AUTO I
ALL OWNED SCHEDULED
AUTOS AUTOS
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HIREDAUTO$ I AUTC>.i^ ED
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: BODILY INJURY (Pet person) S
.BODILY INJURY (Pei etxideN) S
PROPERTYDAMAGE S—
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UMBRELLA LU18 iOCCUR
"emu" CI-AIMS-MADEI
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EACH OCCURRENCE S
AGGREGATE S
DED ; RETENTIONS
S
B S°
AND� LIABILITY YIN
ANYPROPRIETOWARTNERtEXECUTiVE
OFMCERIMEMBER EXCLUDED?
' (Mandatory In NH)
miner
DCWN OF OPERATIONS below
N t A
AWC1013202 ;05!1812014
-
05/18015
X � s%U- oTH
E.L.EACH ACCIDENT
$ 1,000,000.00
E.L. DISEASE - EA EMPLOYEE
S 1,0W,000.00
•— --
EL DISEASE - POLICY LIMIT
S 1,000,000.00
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DESCRIPTION OF OPERATIONS r LOCATIONS 1 VEMCLES (Atte ACOS tot, AddRlorml Remarks Schedule, if mora apace Is tegeirod)
PLUMBING CONTRACTOR LICENSE # CFC1428152
CERTIFICATE HOLDER e'A?ICFI I ATInJd
88=20 ACO D CORPORATION. All rights reserved.
ACORD 25 {2010!051 The ACORD name and loco are reaistered ma �s of CORD
SHOULD ANY OF THE ABO ESCRIBED POLICIES BE CANCELLED BEFORE
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
THE EXPIRAT{ON D5TE4THRREOF. NOTICE WILL BE DELMERED IN
@CeRDA E WITH TLI Y PROVISIONS.
10050 N.E. 2ND AVENUE
MIAMI SHORES, FLORIDA 33138
A
f a
88=20 ACO D CORPORATION. All rights reserved.
ACORD 25 {2010!051 The ACORD name and loco are reaistered ma �s of CORD