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PL-14-2409Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FIL _ Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-227994 Permit Number: PL -10-14-2409 Scheduled Inspection Date: February 25, 2015 Permit Type: Plumbing - Residential Inspector: Diaz, Osvaldo Owner: , Job Address: 22 NW 103 Street Miami Shores, FL Project: <NONE> Contractor: SANTINACHO ENTERPRISES INC Building Department Comments NEW TOILET, VANITY, TUB, SINK, SHOWER. 12/19/2014 - reinspection fee has been charged in RC permit. Inspection Type: Final Work Classification: Addition/Alteration Phone Number Parcel Number 1131010180010 INSPECTOR COMMENTS False Phone: (786)443-9590 Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. February 24, 2015 For Inspections please call: (305)762-4949 Page 14 of 36 Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-222708. grout toilet (� escutcheons need water smooth tail piece on lavatory Failed Correction Needed ❑ z szS'�5 Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. February 24, 2015 For Inspections please call: (305)762-4949 Page 14 of 36 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD VM 1940 NORTH MONROE STREET TALLAHASSEE FL 3,2399-0783 LUVARA, ANTONIO SANTINACHO ENTERPRISES CORP 4156 SW 96TH AVENUE MIAMI FL 33165 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.myfloridalicense.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 license! DETACH HERE RICK SCOTT, -GOVERNOR (850) 487-1395 w - KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD aFC14a82s8 The'PLUMBING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. , Expiration date: AUG 31, 2016- 11-M 060 EE "'NAINK . . ........ PAY ........... ........... .. . . . . . . . . OM " T-A 0 OW, Arx umt I -- `f §RG CO�M 196 PL,,',� Iva T low TAX fc14W VAD -S,- Clj �-144MI, AW dvlhlmiftsiHOW �i oRo® CERTIFICATE OF LIABILITY INSURANCE F 10/301/3o/20141a . 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;C„ONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE 4&WER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WANED, subject to the terms and conditions of the policy, certain policies mayr u(re an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsemerrt(s). PRODUCERS Emmanuel Insurance & Associates, Inc. 2370 E STH AVE HIALEAH FL 33013-4236 Sara( Medina PHONE . (305) 693-0003 No ; (305) 691-4381 . ADDRESS: W@emmanustirtsurance.com DISURER(S) AFFORDING COVERAGE NAIL A INSURER A: Preferred Contractors Insurance Co. 12497 INSURED SANTINACHO ENTERPRISES CORP. ANTONIO LUVARA 4156 SW 96TH AVE MIAMI FL 33165-5107 INSURER 9: RetailFlrst Insurance Company 10700 INSURER C: INSURER 0: INSURER E 1 INSURER F: w.icl��f.G'a ILII IMMGW- IIIflO 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. "RILR TYPE OF INSURANCE COMMERCIAL GENERAL LIABILITY MD Miami Shores Village POLICY NUMBERUL Building Department LICYExp LBIAPrS EACH OCCURRENCE S 1,wo,om.00 PREMISES Eao=ffrerm $ 50,000.00 Fax) 305 756 8973 CLAIMS -MADE � OCCUR ra 40ast_91114a acnRO CORPORATION. Ali rights reserved. MED EXP (Anyone pion) S 5.000.00 A Y PC2608475-00 08/20/2014 08/20/2015 PERSONAL & ADV INJURY s 1,000,000.00 GENL AGGREGATE LIMIT APPLIES PER PRO POLICY JECT LOC GENERAL AGGREGATE $ 2,000.000.00 PRODUCTS•COMP/oPAGG $ 2,000,000.00 OTHER: AUTOMOBILE LIABILITY COMBINED 51 $ BODILY INJURY (Per pew) S _ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS UTOWVNED i BODILY INJURY (Per sadden) $ ratxldBM $ UMBRELLA LIAR OCCUR EACH OCCURRENCE S AGGREGATE $ EXCESS LIM CLAIMS -MADE DED I I RETENTION$ $ WORKERS COMPENSATION X I $ATUTE I ER E L DENT $ 1,000,000.00 B AND EMPLOYERS' LIABILITYY IEAC ANY PROPRIETORIPARTNEWEXECUTIVE ❑N EXCLUDED? O�ICERflNIn1� H deT10N'OFO DESCRIPTION OF OPERATIONS below N i A 0520-48027-0 06/12/2014 06/12/2015 E.LDISEASE -EARn:$ 1,000,000.00 E.Loism E. POLICYumrr$ 1,000.000.00 Workers Comp DESCRIPTION OF OPERATION I LOCATIONS I VEHICLES (ACORD 101, Additw0l Remarks Schedule, may ba attached N mora sPaae Is regWreo Construction ContractDr.specializing in Mechanical and Plumbing. Any Changes or alterations Done to this document after being issued shall Constitute it null and void. CERTIFICATE MVJLDEK SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shores Village THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Building Department ACCORDANCE WITH THE POLICY PROM! 100SO NE 2"d Ave, Miami FL 33138 AUTHORIZED REPRESENTATIVE Fax) 305 756 8973 sa,%,� MdU11 ." ra 40ast_91114a acnRO CORPORATION. Ali rights reserved. ACORD 26 (2014101) The ACORD name and logo are registered marks of ACORD BUILDING PERMIT APPLICATION 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 ❑BUILDING ❑ ELECTRIC ❑ ROOFING FBC 20 Master Permit No. �-6' k� Sub Permit No. L-:- Ig— g-\4�)9 ❑ REVISION ❑ EXTENSION ❑ RENEWAL LUMBING ❑ MECHANICAL F-1 PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: "--' to 3 1�s City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: ( ( • r3 to k ` CYTS ` Co (V Is the Building Historically Designated: Yes NO Occupancy Type: Load: �pConstrruuc^tion Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): i i�; 9 � 6v� 0 "'t' Phone#: Address: City: State: Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: o r1r1� �'Bl � r -,,C S Phone#: i8 3%93 i Address: AD� qq Lk w1 R b %.4 S-1 City: C) 1 AQ, State: T1,Qr-,A- dQ-- Zip: r'Ab t L V Qualifier Name: 1��' o J a Phone#: L(q q State Certification or Registration MG e e L 4219 1�Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Value of Work for this Permit: $ �% Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ Ne Repair/Replace Description of Work: Nttr A4-� V , �,� n Zip: Specify color of color thru tile: Submittal Fee $ Permit Fee $ d ��'� CCF $ ® CO/CC $ Scanning Fee $ Radon Fee $ �a ,-5 BPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ _- Structural Reviews $ Bond $ TOTAL FEE NOW DUE $ U (Revised02/24/2014) 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 low brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of mmencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issue . In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. OWNER or AGENT CONTRACTOR The foregoing instruriNtm-w�ac c�nowledged before m this The foregoing instrument was acknowledged before me this day of &4- 20 , by day of 120 L- by ho is personally known to me or who has produced as c identification and who d1s4ake an oath. NOTARY #FF Print: Seal: who is oersonally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: No" Puble Site of Fkift IYyiCwffft n # E E11b3Q fayCwwWm E04JWY25.31 as wwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwww APPROVED BYPlans Examiner Zoning Structural Review Clerk (Revised02/24/2014)