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PL-14-2141C ISI- ai3+ Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-220706 Permit Number: PL -10-14-2141 Scheduled Inspection Date: March 18, 2015 Permit Type: Plumbing - Residential Inspector: Diaz, Osvaldo Inspection Type: Final Owner: AMANDA B SAMPLE, MICHAEL Work Classification: Addition/Alteration een�Tcvconc Job Address: 77 NW 100 Terrace Miami Shores, FL 33150- Phone Number Parcel Number 1131010180300 Project: <NONE> Contractor: BIG PLUMBING CORP Phone: (305)821-2880 rsuuming uepartment comments INTERIOR REMODEL REMOVE LOWER KITCHEN CABINETS THEN PUT BACK DETACH AND RESET SINK AND OUTLETS REMOVE AND REPLACE TILE FLOOR MINOR WALL REPAIR PLASTER INSPECTOR COMMENTS False March 17, 2015 For Inspections please call: (305)762-4949 Page 7 of 34 -espector Comments Passed E15" Failed 7� Correction Needed ❑ Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. March 17, 2015 For Inspections please call: (305)762-4949 Page 7 of 34 Miami Shores Village OCT 01 2014 Building Department By, 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FRC 20 0 ROILING Master Permit No. 13 PERMIT APPLICATION Sub Permit No.R4`z:! /' BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL OPLUMBING M MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF E] CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 77 NW 100TH TERRACE City Miami Shores County Miami Dade Zip: Folio/Parcel#: 11-3101,019-0.30 Is the Building Historically Designated: Yes NO Occupancy Type:Lei(. Load: Construction Type: Flood Zone: BFE: FFE: 1. OWNER: Name (Fee Simple Titleholder): AMANDA SAMPLE'- 1(-kjl le j PflM VMe Phone#: 305-797-2222 /P4+g Address: 77 NW 100TH TERRACE 1 City: MIAMI SHORE State: FLORIDA Zip: 33150 Tenani Email: CONTRACTOR: Company Name: BIG PLUMBING CORP Phone#: 305-772-5762 Address: 654 E. 51 ST. Clty: HIALEAH Qualifier Name0 FL. _L { 33013 9. 954-923-3677 State Certification or Registration * RF0066479 Certificate of Competency #: _ DESIGNER: Architect/Engineer. N/A Phone*. Address: _ = City. Statea Zip. _ Value of Work for this Permit: $ 550.00 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New 0 Repair/Replace Description of Work: REMOVE AND RESET EXISTING SINK AND DISHWASHER ❑ Demolition Specify color of color thru tile: Submittal Fee $ Permit Fee $ / 50, 7/ CCF CO/CC $ Scanning Fee $ , Radon Fee $ DBPR $ q Notary $ Technology Fee $. ® Training/Education Fee $ Double Fee $ 0 Structural Reviews $� Bond $ Q9 TOTAL FEE NOW DUE $ (Rev1sed02/24/2014) r Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address Zip 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 flrst inspection which occurs seven (7) days after the building permit Is Issued. In the once of such posted notice, the Inspection will not be approved and a reinspection fee will be charged. /'Z SignatureSignature OWNER or AGENT CC The foregoing instrument was acknowledged before me this The foregoing instrumenty,'Tas-askncWedged before me this day of 20 � !! ' by 2-4 day of �� , 20 . by C`' o who is personallyally kno nn 1;'� ►rt4nt{ . who is personally known to mr who has produced as me or who has produced as Identification and who did take an oath. NOTARY PUBLIC: Sign • � Print: Seal: Identification and who did take an oath. NOTARY PUBLIC: Print: Seal: ao��,11Y AN itAYDRiCH BARRIM * - * ICY COI iISSION t EE 031, *w631tri61rduAlBpa�a��Y�a�+�a��x*�xx��n��++��x.x�x.x BOW ftlud" NO" sevim APPROVED BY e .� i/�—t �/ `� Plans Examiner Structural Review (Revised02/24/2014) a �u Notary Public - State of Florida My Comm. Expires Jan 17, 2016 Commission # EE 180375 Bond ' -tough National Notary Assn. Zoning Clerk 004067 Local Ousiness Tax Receipt MiamiDade -County,' State of FloridaLBTl -THIS IS NOTA BILL DO NOT PAY j 4205449: v BUSINESS NAMEILOCATION RECEIPT NO. EXPIRES BIG PWMBING�CORP 9190: NW 119 B10 HIALEAH GARD NS FL 33018 RENEWAL SEPTEMBER 30, 2015 4392221 Must be displayed at place of business Pursuant to County Code Chapter BA - Art, 9 & 10 SEC. TYPO Of BUSINESS OWNER 196 PLUMBING CONTRACTOR ?AYMENTRECEIVOD BIG PLUMBING CORP BY TAX'Cbt.LECTOR Worker(s) 4 97P000310 $70.00 09/22/2014 FPPU 1 2-1 4-00795 3 This Local Business Taft ileceipt only confirms payment of the Local Business Tax. The Receipt is not a license, permit, or a certification of the holders qualificatiogs, to do business. Holder most comply wi th any governmental or nongoVermnerdal regulatory laws and requi►emards which apply to the business. The RECEIPT NO. above must he displayed on all commercial vehicles -:Il iami-Dade Code Sec M-276. For more information. Visitxrrvw miamidade.goVkexceliector 01204,1 - - - Wstei, Contractor's Recent de County,State of Florida Mlaml-Da-THIS IS NOTA -BILL - OO NOT PAY 4205449 RECEIPT NO- EXPIRES BUSINESS E/LOCATION NEW SEPTEMBER 30, 2015 BIG PLUMBIN CORP Must be displayed at place of business 9190 NW 119, ST B10 Pursuant to County Code I{IAI,FAH GARDENS FL 33018 Chapter BA - Art 9 & 10 i SEC. TYPE OF BUSINESS PAYMENT RECEIVED OWNER MMC PLUMBING CONTRACTOR BY TAX COLLECTOR BIG PLUMBING CORP 97FOOD310 $200.00 09/22/2014 Category(s) i FPPU12..g4-007953 a of the Local Business Tax. The Receipt is not a Ireenss, This Local Business Tim I ipt only confirms payment permit, or a eerhfication of the holders qualfficetYof to do busueas Bolder mustcomply with any govemm¢ata� Ingitgovammentel teDulatory laws acid r�mmnents-wlrtsb apply to tkebostmass- TbeRECEIPTNO.abovemanbidispieyellot'allcommereial�&ftol�-demi-DadeCole SOC 6a -2T& " For more informaboo,visif7�+m.-s ismida,tn rcailector ACORD. CERTIFICATE OF LIABILITY INSURANCE 5 27"izo 4" PRODUCER (305) 512-5880 FAX: (305) 512-5881 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Torres Insurance Agency Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 6135 NW 167 STREET # E25 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Miami. Lakes FL 33015 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA:MAPFRE INSURANCE COMPANY Big Plumbing Corporation INSURER B: Associated Industries Ins 9190 NW 119th Street Bay 10 INSURER C: INSURER D: INSURER E: Hialeah Gardens FL 33018 OVERAGES 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. GkTE LIMITS S OWN MAY HAVE BEE 4 REDUCED BY PAID CLAIMS. INSR ADDLmm TYPE OF INSURANCE POLICY NUMBER ATEYM�DnY PDATE EXPIRATION MNO M LIMITS GENERAL LIABILITY 1,000,000 A X COMMERCIAL GENERAL LIABILITY 7 CLAIMS MADE OOCCUR 4250140016525 3/30/2014 3/30/2015 URPEAGET TO $ 100,000 MED EXP one $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 X $500 PD bed Per Claim GENERAL AGGREGATE $ 2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER:PRODUCTS. X POLICY 0 JRO F I LOC 2,000,000 AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Eaacctdent) $ 1,000,000 BODILY INJURY (Person) $ A ALL OWNED AUTOS X SCHEDULED AUTOS 4150120005642 3/30/2014 3/30/2015 BODILY INJURY (Peracddent) $ HIRED AUTOS NON -OWNED AUTOS (Per se dent)AGE $ X PIP $10,000 X COMP COLL 1 000 Ded GARAGE LIABILITY AUTO ONLY -EA ACCIDENT $ OTHER THAN Flt ACC ANY AUTO AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR FICLAMS MADE AGGREGATE $ $ DEDUCTIBLE RETENTION B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE X I TTRY' A 1- 0H - E.L. EACH ACCIDENT $ 100, 000 E.LDISEASE- EAEMPLOYEE$ 100,000 OFFICERIMEMBEREXCLUDED? If yes, describe under SPECIAL PROVISIONS low AWC1029969 I 3/30/2014 I 3/30/2015 E.L. DISEASE -POLICY LIMIT $ 500,000 A OTHER Small Tools 4250140016525 3/30/2014 3/30/2015 $500 Ded $2,500 Max (Unscheduled) DESCRIPTION OF OPERATIONSILOCATIONWMICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS License: CTQB No. 979000310 Plumbing Contractor located at: 9190 NW 119th Street Bay 10 Hialeah Gardens, F1 33015. Commercial Auto: Vehicles: 2007 Ford F250 Vin( ... 4470) & 2006 Ford P150 Vin (...6723). Comprehensive & Collision: ACV -$1,000 Ded, UM Rejected. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Miami Shores Village EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL Bldg. Department 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT 10050 NE 2nd Avenue FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE Miami Shores, FL 33138 AUTHORIZED REPRESENTATIVE ha,vrtu ca (cuU-vual U AGUKIJ LoUKrUKA I IUIV T WOO INS026 (0108pw Page 1 of 2 QUALIFYING TRADE(S) 0001 PLUMBING Seme&+v asp .s�rar �a STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 GONZALEZ, ARMANDO BIG PLUMBING CORPORATION 9190 NW 119TH ST BAY 10 HIALEAH GARDENS FL 33018 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better. For information about our services, please log onto www.myflaridalicense.com. There you can find more information about our divisions and the regulations that Impact you, subscribe to department newsletters and learn more about the Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new licensel (850) 487-1395 a STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION RF0066479 ISSUED`. 08/14/2013 REGISTERED PLUMBING CONTRACTOR GONZALEZ, ARMANDO BIG PLUMBING CORPORATION': - (INDIVIDUAL MUST MEET ALL LOCAL LICENSING REQUIREMENTS PRIOR TO CONTRACTING IN ANY AREA) HAS REGISTERED under the provisions of Ch.489 FS. Expir dkm date AUG 31.2015 L13081400010* wkThe Department of State is leading the commemoration of Florida's 500th anniversary in 2013. - For more information, please go to www.VivaFlodda.org. 'iliA flG�lllA DETACH HERE STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD 14019 PlAtMel"IM: RFOON479 The PLUMBING CONTRACTOR Named below HAS REGISTERED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2015 (INDIVIDUAL MUST MEET ALL LOCAL LICENSING REQUIREMENTS PRIOR TO CONTRACTING IN ANY AREA) GONZALEZ, ARMANDO BIG PLUMBING CORPORATION 654 E 51 ST ST HIALEAH FL 33013 VIVA RORI a,,1'0 RICK SCOTT ISSUED: 08/14/2013 SEQ # L1308140001045 KEN LAWSON GOVERNOR DISPLAY AS REQUIRED BY LAW SECRETARY