PL-14-1659J
I
Inspection Number: INSP-216957
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Scheduled Inspection Date: March 24, 2015
Inspector: Diaz, Osvaldo
Owner: BRUTZI, MARCO
Job Address: 10433 NE 6 Avenue
Miami Shores, FL
Project:
Contractor:
<NONE>
FELIX FERA PLUMBING
:suiiamg uepar[ment toomments
CONNECT NEW SINK WATER LINE FOR
REFRIGERATOR DISH WASHER GAS FOR STOVE
Permit Number: PL -7-14-1659
Permit Type: Plumbing - Residential
Inspection Type: Final
Work Classification: Addition/Alteration
Phone Number (786)691-0933
Parcel Number 1122310120180
INSPECTOR COMMENTS False
Inspector Comments
Passed Eg' all
Failed
�c
Correction ❑
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
t
Phone: 954-981-3016
March 23, 2015 For Inspections please call: (305)762-4949
Page 4 of 52
Miami Shores Village I JUL 30 2614
M
i1 inart intN.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
F C 206®
BUILDING ❑ ELECTRIC ❑ ROOFING
Master Permit No. & - 1656
Sub Permit No.PL/
❑ REVISION ❑ EXTENSION ❑RENEWAL
FX- PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS [-] CHANGE OF Q CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 10433 NE 6 Ave
City Miami Shores County: Miami Dade Zip: 33138
Folia/Parcel#: 11-2231-012-0180 is the Building historically Designated: Yes NO X
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Kiluan, Inc Phone#:
Address: 10433 NE 6 Ave.
city: Miami Shores state: Florida Zip: 33138
Tenant/Lessee Name:
Email:
CONTRACTOR: Company Name: Felix Fera Plumbing, Inc Phone#: (954) 929-7473
Address: 3750 Hacienda Blvd.
City: Davie State: Florida Zip: 33324
Qualifier Name: Anthony Catapano Phone#: (954) 929-7473
State Certification or Registration #: CFC 1426161 Certificate of Competency #:
DESIGNER: Architect/Engineer Joseph S. Dobos Phone#: (954) 380-3616
Address: 3550 Poweriine Rd. City: Oakland Park - . State:. FI. Zip: 33309
Value of Work for this Permit: $ . 650.00 Square/LQni)ar Fo�ge a€ yVo"rk;
Type of Work: ElAddition ElAlteration ElNew ] Repa�r/Replace Demolition
Description of Work: Connect new sink water line for refrigerator, dishwasher..aas for stove
Specify color of color thru tile:
Submittal Fee $ � • Permit Fee $ IS 0 . Z)- CCF $ CO/CC $
Scanning Fee $
Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $ _
(Revised02/24/2014)
DBPR $
Notary $
Double Fee $
Bond $
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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature
— U C 42&3_-t� �__
OWNER or AGENT
The foregoing instrument was acknowledged before me this
day of a l io P20 141 , by
who' personally �know)to
me or who has produced
identification and who di
as
Signature
4
CONTRACTOR
The foregoing instrument was acknowledged beforemethis
-J
Gday of ` 20 `l� by
��, who is personally known to
me or who has produced 0W i as
identification and who did takaoon oath.
NOTARY PUBLIC: '': MY CO[1�gyU$glpN $ EE18S148 ' NOTARY PUBLIC:
EXPIRES
unr �v�ots3 � 01. 2010
Fbnea oom
Sign: Si:
Print: Print:"!0
J*j,Z:MARTHA
Seal: MARTHA HERNANDEZ Seal HERNANDEZ
my commssI I a 1=Po3sas� av EV M:J*SION 2o_ 17
�9.,�F EXPIRES: July 11, 2017
*�k�k�kakskaksk+k�ksk#�k��k�k�k�k��k8eak+k*+k�k�k+ksk�k�kah�M�k+krR�k+k�k�k+k#�k�k�k�k�k�ia4�k*#�N*�fa�k�ls�k�k#�k+k#+kik*�k%��k*�k�k�k+k&*�k**�ksk�k**+�4sk+ksk�k�k�k#�k�k+k+k�k*xs�ak*4+k�k*sk
APPROVED BY -30 Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
RICK SCOTT GOVERNOR
_ ._..._ KEN LAWSON, SECRETARY
DEPARTMENT-OFBUST
CONSTRUCTIC
SAND PROFESSIONAL REGULATION
IDUSTRY-LICI NSING BOARD-
• F p�
RFC]11IRr-n RV 18W ccn 11dna9nnnn091
- . CFC14281t31.
The PLUMBING -CONTRACTOR .
" ...'
Named t WOW IS CERTIFIED.
......
Underthe.provislons-of Cha�e r489.FS:
p
lradan date: A
xp pG31, 2x76
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..' ...
'DATA
%NQ,;f NTMOM6-J
I)CFERi� G.�,�MB N
ISSUED: 08/1712014
DISPLA`
SAND PROFESSIONAL REGULATION
IDUSTRY-LICI NSING BOARD-
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BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT
115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895 — 954-831-4000
VALID OCTOBER 1, 2014 THROUGH SEPTEMBER 30, 2015
DBA: 60
FELIX FERA PLUMBING INC Receipt #:PL INN/LWN SPI
Business Name: Business Type: (MASTER PLUMBER
Owner Name: ANTHONY JOSEPH CATAPANO Business Opened:io/31/2007
Business Location: 3750 HACIENDA BLVD, SUITE F State/County/Cert/Reg:CFC1426161
DAVIE Exemption Code:
Business Phone: 954-945-5325'...
Roam seats En*oyees 1"ClAnes . Professionals
4
Rat vo whis Butt"" only
Num�r of t4laehinas: Vand[na 71roe:
Tax Amount
I Tnlnsl Fee .
poor.y#"M
Collection Cost
Tolai Paid
27.00
0-001-0-00L'
0.00 10.00
0.00
27.00
THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS
THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Broward County and is
non -regulatory in nature. You must meet all County andlor Municipality planning
W14EN VALIDATED and zoning requirements. This Business Tax Receipt must be transferred when
the business is sold, business name has changed or you have moved the
business location. This receipt does not indicate that the business is legal or that
It is in compliance with State or local laws and regulations.
Marling Address:
ANTHONY JOSEPH CATAPANO
3750 HACIENDA BLVD, SUITE F
DAVIE, FL 33314
i 1
u `v�;.: Y:�,> .,,..3'.. C c �s"�.sa�a�?;ac4xi,. 'as;:oi �7%. a rr. 4 swa•,sy �G. «:. s,?dN .. w f: ;; = st�::k� . r.�k
Receipt #ICP -13-00003373
Paid 07/10/2014 27.00
FELDW OP ID: NR
r
CERTIFICATE OF LIABILITY INSURANCE
07,E 4"'
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: K the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WANED, subjerx 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
certifieaate holder in lieu of such endo s
PROMIlm
Brown & Brown of Florida, Inc.
1201 W Cypress Creak Rd # 130
A
F/UI
E
P.O. Box 5727
Ft. Lauderdale, FL 33310-5727
Andrew Noye, CIC, CRISafwRallocovEw+GE
NAICS
INSURERA:"Old Dominion Ins. Co.+ 40231
EACHOCCURRENCE $ 11000,0
INSURED Felix Fera Plumbing Inc.
216 Holdings, LLC (bldg owner)
Anthony CatapatmsuRm
3760 Hacienda Blvd #F lv
INSURER B:°Hanover Insurance Co.+ 22292
INSuRERc: General Ins Cc of America+ 244732
D *FCCI Insurance Com an + 10178
INSURME:
Davie, FL 33314
F
Emp Bean. S 1,000,001
COVERAGES CERTIFICATE NUMBER! RPIMInN MI IRM00-
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LASTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
IN=TED. NOTWITHSTANDING ANY REOUiREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY 13E 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
POUCT NUMBER
p=MEFF
Lam S
A
GENERAI.LIARLffy
X COMMERCIAL GENERAL UANUTY
CLAIMS -MADE a) OCCUR
I
MPG6787E
12/0812013
712WRWW2=014
EACHOCCURRENCE $ 11000,0
MI Eamm"ac $ 508,0
MED EXP (Any one perm S 10,00
PERSONAL aADvINJURY $ I.W0,004
GENERALAGGREGATE S 2,000,00
GENT AGGREGATE LIMIT APPUES PER:
PoucY X too
PRODUCTS - COMIPIOP AGG S 2,000,00
Emp Bean. S 1,000,001
C
AUm160811.6
X
X
UARUJITY
ANYAUTO
�OWNED HEDULED
SCH
HIREDAUTOS X AUTOS
25CC36"251
1210812013
1210$12014
a SINGLE �T 1,400,001
00DILYINJURY (Perperson) S
BODILY INJURY (Per ammem S
S
$
B
X
u"M" LIAR
EXCESS UAB
[N
OCCUR
CeAIMS-MADE
HJ939288602
1210812013
12108/2014
EAcH O=IRRENOE $21000.
AGGREGATE $ 2,000,00(
X I REUMONS10000
S
D
WORxERSCompemTTON
ANYPROPMETORtAARTNER45XIMUTWE YIN
OF'FM R EXCLUDED? F1
pandatmIn
B t"
D F OPERATIONS below
N I A
01WC13AG7593
12108/2013
1210812014
X v1CSTATU TH-
ER
E.L. EACH AWDENT $ 11000,00
EL DISEASE - EA EMPLOYEE S 1,000,001
E.L DISEASE - POUCY I= S 1,000,00
REStRIPTION OF OPERATONS I LOCATONS I vBNICL N (Afteh ACORD ten, AdManal Rens ft Sdhedul%Umore space M required)
cense # CFC1426161
MIAWSH
Miami Shores Village
10050 NE 2nd Avenue
Miami Shores, FL 33138
SHOULD ANY OF THE ABOVE DESCRMW POLIOS BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE YIRTH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATVE
CEJ 11105-AU7U AGUKU GCNiFORATION. All rights TaSelVed.
ACORD 25 (2010105) The ACORD name and logo are registered marcs of ACORD