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PL-14-2522Inspection Number: INSP-232735 �1 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Scheduled Inspection Date: April 28, 2015 Inspector: Diaz, Osvaldo Owner: LYTLE, JAMES & JOYCE Job Address: 429 NE 101 Street Miami Shores, FL 33138-3163 Project: <NONE> Contractor: MC INVESTMENT GROUP INC Permit Number: PL -11-14-2522 Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition/Alteration Phone Number (305)546-2376 Parcel Number 1132060170640 Phone: (786)294-1987 ouuumy vepanrnent %,omments INSTALLING VANITY, SINK, AND SHOWERS. IINNSPECSPEC Passed Comments TOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-232328. KIT. WASTE WILL NOT DRAIN BY GRAVITY Failed Correction Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. April 27, 2015 For Inspections please call: (305)762-4949 Page 11 of 29 A BUILDING PERMIT APP << :it t iO Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (30S) 762-4949 ❑BUILDING ❑ ELECTRIC ❑ ROOFING N0A 7 2014 FBC 20 [C) Master Permit No90-- ! i— Sub Permit No.� I - REVISION ❑ EXTENSION RENEWAL LUMBING ❑ MECHANICAL ❑PUBLIC WORKS M CHANGE OF [] CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS !OB ADDRESS: CA k)(z I01 (SAf-C--;f . Foilo/Parcel#: C, ' �- 16 - C) I + `U6 Vv is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: n Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder)- a YY) c- -:3 � `K Phone# Address C ty. CL k L - ( S State. �-- ZP= Tenant/Lessee Name: Phone#: Email• (, A CONTRACTOR: Company Name: LOC Phone#: f Address: ` zi City: State: P Qualifier Name. 1i Phone# State Certification or Registrati (If U�4 9 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $11. 200 — Square/Linear Footage of Work: Type of Work: ❑ Addition q [ Alteration �, � ^ F-1New rte❑ Repair/Replace ❑ Demolition Dascription of Work- J�-:�1�1 �%L hCt Specify color ofcolorthru tete. T3 Submittal Fee $�! - Permit Fee $ �-`i CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ C TOTAL FEE NOW DUE $ (Revised02/24/2014) Bonding Company's Name (if applicable) Bonding Company's Address qty 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..... 01h NEWS AFFIDAVIT: 1 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 operfy is subject t stta m t Also, a certified copy of the recorded notice of commencement must be posted at the job site for the Inspection whi ac even (7) days after the building permit is issued. in the absence of such posted notice, the inspection of be approv an inspection fee will be charged. OWNER or The foregoing instrument was acknowledged before me this day of . 20 . by Ci r' n 4& �� j� , who is personally known to me or who has produced identdfication and who did take an oath. NOTARY PUBLIC o � Signature CTOR The foregoing instrument was acknowledged before me this Z -z day of 4 K v . 20 /,::L/ . by &Zgggrz, who is personally known to as me or who has produced identification and who did take an oath. NOTARY PUBLIC: Print: Seal: v NOTARY PUBLIC Seal: _ 8TATE OF FLORIDA STATE OF FLORIDA Comm# EE144213 Comm# EEW213 axpires 11/'13016 �� pirea 11i13/2015 APPROVED BY _� ®®'✓y'�°7� Plans Examiner Structural Review (RevisedOZ/24/2014) as Zoning Clerk STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING ,BOARD 19411 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 CABRERA, MIGUEL M C INVESTMENT GROUP, INC 15541 SW 163 STREET MIAMI FL 33187 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.nnyflorldallconse.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and leam more about the Department's initiatives. Our mission at the Department is: License EffideMy, Regulate Fairty. We constantly stM to serve you better so that you can serve your customers. Thankyou for doing business in -Florida, and congratulations on your new license! DETACH HERE RICK SCOTT, GOVERNOR (850) 487-1395 STATE OF FLORIDA DEPART 'E.."OFSINESS AND PROFSULATION CI=C1427648 ,; f: "-09/11/2014 GERTIFIEO P , CABRERA 'M r .: ii'. • meq;..- .-,�., M C INVEST .46 W .GERT•IFIED aide-F.I. a provi9iona of Ch.489. FS. F iratiort : AUG 91,,2016 V409110002181 KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRULMnM 11Jn1 I -err r lr+cuc1uF2 QnAnn CFC 1427648 The PLUMBING CONTRACTOR rrarnea-eeloW lS CERTIFIED " Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2016 CABRERA, MIGU.EL M •C WESTM 1554-I'SW ,•-. . Local Business Tax Receipt Miami—Dade County, State of Florida -THIS IS NOT A BILL -DO NOT PAY 6218218 1 17 BUSINESS -NAME/LOCATION RECEIPT NO.'s - MC INVESTMENT RENEWAL EXPIRE - ENT GROUP INC SEPTEMBER 3Q, 2015 15541 sw 163 ST 6482889 Must be displayed at place of business MIAMI, FL 33187 Pursuant to County Code — Chapter 8A - Art. 9 & 10 OWNER SEC. TYPE OF BUSINESS PAYMENT RECEIVED MC INVESTMENT GR61JP INC 196 PLUMBING 13Y TAX COLLECTOR CONTRACTOR 75.00 09/21/2014 Worker(s) CFC1427648 CREDITCARD-14-038733 This Local Business Tax Receipt only confirms payment of the Local Business Tax The Receipt Is not a license, permit, or a certification of thilhoilders qualifications, to do business. Holder must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. Emilk The RECEIPT NO. above must be displayed on all commercial vehicles -Mismi-Oade Code Sac Ile -276. MIAMI=ZA�DE For more information, visit www.miamidede,govitexcollectli 111131111111' el;* cf) oc,� AC�QRC? CERTIFICATE OF LIABILITY INSURANCE °11/211`"' ' MITTITICATE 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 BET INEEN THE ISSUING IN8URER(8), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. It ATANT- tflhsoartlil"ie holder lean ADD bNAI RBD, the polWAtea) must be endorsed. p SUBROGATION 6S WAIVED, sab)sat to tteterms a d,condlttow of the policy, certain policies may r*Wm an andoreamene A statement on this Certificate does trot center ABMs to the certificate heldm In Dolt Such endweemeriej PRODUCER Rene Rene E. Semeyoa Aamplence Insurance Services 30 74"515 I 91Kk L3W4M1B 8887 S.W. 40th St. rene(Bamptanownssarvfaeacom Mimi, FL 33165 M COYERAOE Pimtre 13051740-0515 Fax (3051740A51 R u mman A . SOOUsdate insurance Company 141297 01SURED McInvestment Group, Inc, RR C: 15541 SW 163 St 89 015085110 I MIAMI, FL 33187- (305) 878-399 _ INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE NAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, euro I IQInUQ AM n r•nMnMnMQ ne m I orw re,ea I IBrITiQ CYnLUA1 WIAV MAUO RFFN RFI ICFr1 RV DAIn CLAIMIS_ t TYPH OF UMPANCH0 R 09/08/15 Lam A nENERAL LIABILITY Q COMMBRM ODOM LMIL17Y ❑� ❑ CLAW -WOE 0 OCCUR ❑ N N ZP CPS1667678 09!08114 t>CCtl�ETiCE 1000000.00 Eat gmm $ 100,000.00 mho M as perms a 5,00000 PERSONAL 8 ADV MMY s 1,0W,000.00 GENERALAGGREGATE s 2000000.00 GENIAOGREGATELWrAPPLGSPHR © POLICY ❑ P ❑LOC PRDDtIers- oMPIOPAGG s 2,040,000.00. a AVTOMOBRE LW80.nY F1 ANYAUTO El ALL OYYNED ❑ SC86OULED AUTOS NODN-0SWNED ❑ HOLED AUTOS ❑Cl 0 t1rAR BMW= BODILY INJURY (PerperM) I SCOMY INJURY (Por a a a ❑ UMBRELLA LIAR ❑ OCCUR L'J=wLLAB El CLApNgW= EACH OCCURRENCE a AGGREGATE a El 090 Q RMrNT1ONS a WORf� C MPERSAMON AND EMPLOYEWLIMEM YIN ANY PROPRETORIPARINEWExECUTIVE OFFICERfbtMER EXCLUDED? (waa, d�aay�In .p) DESCRIPTION OF OPERATIONS bebw NIA STA GTN• E L EACH ACCIDENT a E L DISEASE - EA EMPLOYE a EL DISEASE - POLICY I WT a aEa{x10'TgNOF OPERATNNS/ 1.{ISATRNB/ Y�C'9 (f1ffierl RGR/IP ipr, AYORte1Wr r:ml�As ouam,ua, u a,u,o opww � .v.Wrw/ Plumbing Contractor 1)C CFC1427648 Miami Shores Village 10050 ne 2 ave Miami Shores,fl 33138 Fax:305-756-8972 • -^"} — IM I,~% IAC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DE7JVERBD IN ACCORDANCE WITH THE POLICY PROVISIONS, Ia 7� 01988.2010 ACORD CORPORATION. All rights reserved. T a amen nor cna barn ars ►anratorad worka of OC(= ll cV w u DATE (MKVD."j CERTIFICATE OF LIABILITY INSURANCE 11/12/14 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 TILE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: it the certificate holdec Is an ADDITIONAL INSURED, the poBcy(fes) must be endorsed, U SUBROGATION IS WAIVED, Subject to the terms and conditions of the policy, certain policies may require on endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsoment(a). PRODUCt`R InterPay Solutions, Inc 639 Cindy Lane West Seneca, NY 14224 t, Nuc:-- -_— Talc, Nol: ADORE95: INSURER(S) AFFORDING COVERAGE NAIC0 INSURER A! o nqtrance. INSURED M C INVESTMENT GROUP INC 15541 SW 163RD STREET - INSURER S� INSURER s _ - MURER a. MIAMI, FL 331£37 IwsuRERE: �Y _ _ INSURER F .... COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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. rN4R _ TYPE OF INSU _..._ I <TRANCE �" POLICY NUMBER (NIJ( i (M 3 LIMITS GENERAL LIABILITY EACH OCCURRENCE E COMMERCIAL GENERAL LIABILITY PREMISE$ (Es auucaneo ....�- .�ICLAWS -MADE E-, OCCUR MED EXP (Any prwpersonl PERSONAL & AOV INJURY S GENERAL AGGREGATE S ._ _�_._ T•.,,,___ G=ML AGGREGATE LIMIT APPLIES PER: ,.«.. PRODUCTS • tOMN1pP AGC ..._. 5 aOI.PRICY Llx ._..._.__..... $ AUTOMOBILE LIABILITY- Ea emJWNULI BODILY INJURY (Per Person) S %'AUTO SCHEDULED BODILY INJURY (Par Rtadeat) ---<-•,�— $ AUTOS AUTOS NOWOWNEO PROPER TY DAMAGE Par ec6dent) S HIRED AUTOS —AUTOS S _-._. UM$RELLA UAB OCCUR �- � EACH OCCURRENCE S EXCESS LEAS _ CLAIMS.WDE AGGREGATE DELI RETENTION f _ L•rORKERS COWENSATION A)40 EMPLOYERS' LIABILITY �^ S A'w"cE�"''°ORE YIN SER EXCLUDED'`1rr�E �] N'" GWGC6020©1329-113 T Y10 $ R E.L. EACH ACCIDENT = 500000 lnNM) 0�16f14 08116/1b E.L. DISEASE •EA EMPLOYEE 3 500000 -- S Ity0s diory tly9a.dvacrioaunder DESCRIPTION OF OPERATIONS below E.L. DISEASE • POLICY LIMIT �— $500000 ! .... •__ DESCRIPTION OF OPERATIONS/ LOCATIONS IVEHICLES (A11oCn ACORD 101• Aedtianal Rema,ka ScAeCvo,d more%Pace tS req -900) •��--' �_ --- plumbing contractor cfc1427648 L- I Cir RTUFiCATG writ MCD Miami Shores Village SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 10050 ne 2 ave THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Miami Shores,fl 33138 ACCORDANCE. WITH THE POLICY PROVISIONS. Fax:305-756-8972 AUTHORIZED REPRESENTATNE Q1988.2010 ACORD CORPORATION. All rights reserved. ACORD25 (2010105) The ACORD name and logo are registered marks of ACORD