DEMO-15-322 23"E
Miami Shores Village , vE I E z
10050 N.E.2nd Avenue NE \ E
" Miami Shores,FL 33138-0000
F'Vi6B,,,9
. .2204 Phone: (305)795
Expiration: 0910712015
Project Address Parcel Number Applicant
X9935 NE 13 Avenue 1132050090470
Miami Shores, FL 33138-2634 Block: Lot: FABIANO SILVEIRA AGUILAR M
Owner Information Address Phone Cell
FABIANO SILVEIRA AGUILAR MARIANA 9935 NE 13 Avenue
--- MIAMI SHORES FL 33138-2634
9935 NE 13 Avenue
MIAMI SHORES FL 33138-2634
Contractor(s) Phone Cell Phone Valuation: $ 500.00
WOLFE&BOBS PLUMBING (954)981-1496 Total Sq Feet: 0
Type of Demo:Plumbing Available Inspections:
Additional Info:DISCONNECT WATER TO HOUSE.LEAVE 1 Inspection Type:
Classification:Residential Final
Scanning:3
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $0.60
Invoice# DEMO-2-15-54491
DBPR Fee $2.00 03/11/2015 Credit Card $64.60 $50.00
DCA Fee $2.00
Education Surcharge $0.20 02/13/2015 Cash $50.00 $0.00
Permit Fee $100.00
Scanning Fee $9.00
Technology Fee $0.80
Total: $114.60
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accur and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore,I authorize the above-n d con ctor to do the work stated.
March 11, 2015
Authorized Signature:Owner / Applicant / ont ctor / Agent Date
Building Department Copy
March 11, 2015 1
Miami Shores Village .
Building Department FEB 1 20 5
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972 -
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20 [
BUILDING Master Permit No.�_ tq0
PERMIT APPLICATION sub Permit No-Dfc 0I -322-
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION RENEWAL
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
Q //
CONTRACTOR DRAWINGS
JOB ADDRESS: q zz �/ l�
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name(Fee Simple Titleholder): EA&ArJO SQL 0130 A6()"-AA Phone#: �3� Y033
Address: 4�T�0 619NyA�I C-1-
City: State: FL Zip: 33 3 21
Tenant/Lessee Name: Phone#:
Email: FA3 1AW S IL A604age &M A/z_ h 6&"
v
fk.CONTRACTOR:Company Name: W '" Z 114c- Phone#:
Address: 57a�o'�- S k 1AA j✓a A 204 *,Q F
City: State: L VA Zip: 333A
Qualifier Name: t'� C.COW,( Phone#:
State Certification or Registration#:C, C"[ v`f Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$� �F+ Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace demolition
Descripttombf Wo"k:", G2� £4 � !/ 47_;CrL, '721 CIS LF 2L><, Zr Zallv,,,v,,,�,,
Ax �Gt?�-
Specify color of color'thru We:
Submittal Fee$ Permit Fee$ CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
(Revised02/24/2014)
Bonding Company's Name(if applicable)
Bonding Company's Address
City State Zip
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 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.
f
vA Signature Signature
OWNER or AGENT CON ACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before 1/m�a this
day of J(�v�uC�vV 20 [S by / 3 day of ,20 1 \ by
\U)V��1VelY(� j111lfJGho is personally known to ( w who is personally known to
me or w has produc as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: ? NOTARY PUBLIC:
Sign: Sign:
Print: 1'�V ,
\ otary Public-State of Florida
Print: L C�,l rjl �4
CARMEN ESTHER JUSINO I mar 5
Seal: Seal: F OFF%,to Commission#EE 7681
MY COMMISSION#FF046931 " ��
EXPIRES August 19,2017
(407)398.0153 FloridallotaryService.com
APPROVED BY L-/7 ►S Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395
1940 NORTH MONROE STREET
TALLAHASSEE FL,32399-0783
DOWDAL, LESLIE CARL
WOLFE & BOB'S PLUMBING SERVICE INC
27791 MARCO DRIVE
BONITA SPRINGS FL 34135
Congratulations! With this license you beoome one of the nearl
one million Floridians licensed by the Department of Business and
Professional Regulation. Our professionals and businesses range s . STATE OF FLORIDA
from architects to yacht brokers, from boxers to barbeque restaurants, t DEPARTMENT OF BUSINESS AND
and they keep Florida's economy strong. a.
PROFESSIONAL REGULATION
Every day we work to improve the way we do business in order to CFCO-12949 ISSUED: 08/0412014
serve you better. For information about our services, please log onto
www.myfloridalleense.com_ There you can find more information CERTI;=IED PLUMBING CONTRACTOR
about our divisions and the regulations that impact you, subscribe
to department newsletters and learn more about the Department's DOWDAL, LESLIE CARL
initiatives. WOLFI:& BOB'S PLUMBING SERVICE INC
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, IS CERTIFIED under the pravi31On5 of Ch,488 F5.
and congratulations on your new license! ExaVanon d6tP:AUG 31.2015 uava0aoaoae3s
DETACH HERE
RICK SCOTT, GOVERNOR
KEN LAWSON, SECRETARY
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION :ti zs3a-:.w
CONSTRUCTION INDUSTRY LICENSING BOARD r.
CFC0429A9 � �A �jj
The PLUMBING CONTRACTOR
Named below IS CERTIFIED
Under the provisions of Chapter 439 I=S.
Expiration date: AUG 31, 2016
DOWDAL, LESLIE CARL `
WOLFE & BOB'S PLUMBING SERVICE INC
5722 S FLAMINGO RD *281
COOPER CITY FL 33330
f r y
ACORD CERTIFICATE OF LIABILITY INSURANCEDATE(MMIDD/YYM
nv 01/1312015
PR009JCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Kasmat Risk Management LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
g HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
5071 NW 85th Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Coral gprings,FL 33067
954-304-4674 Phone. 305.397-1662 Fax. INSURERS AFFORDING COVERAGE NAIC 4
INSURED Wolfe and Bob's Plumbing Service Inc, INSURE • Accident Insurance Company Inc. 11573
5722 S.Flamingo Road INSURER B'
Suite 281 INSURER C:
Cooper City,FL 33330 INSURER D:
INSURER E;
COVERAGES
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 RE8PECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, TH62 INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 15 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
POLICY UMBER POLICY EFF cnvE POLWIMLICYlJrPIRA ON ITS
pENERAI.LIABILITY Fa H OCCURRENCE $1,000,000
A X MERGAL GENERAL LIABILITY CPP 0013984 00 05/0712014 05/07/2015 DAMAGE TO RENTED $100.000
CLAIMS MADE I OCCUR MED EXP orw ereon $5,000
PERSONAL&ADVlt44URY $1,000,000
ENERALAGGREGATE $2.000,000
GEN'LAGGRE ATE LIMIT APPLIES PER: PRODUCTS MPIDP AGO $2000000
X I Y PRO. LOC
AUTOMOBILE UAWUTY COMBINED SINGLE LIMIT S
ANY AUTO (Ea ac.6dent)
ALL OWNED AUTOS BODILY INJURY S
SCHEDULED AUTOS (Per person)
HIRED AUTOS BODILY INJURY
NON-OWNEDAUTOS (Peraooiderk) S
PROPERTY DAMAGE S
(Per accldRM)
GARAGE LIABIIJTY AtJTO ONLY-EA ACCIDENT S
ANY AUTO OTHER THAN EA ACC S
AUTO ONLY: AGG S
EXOFSSIUMBRELLA LIABILITY EACH OCCURRLNCE S
OCCUR El CLAIMS MADE AGGREGATE $
S
DEDUCTIBLE $
RETE 0 S
WORKERS COMMSATION AND WC STATU- OTH-
EMPLOYERS'LIABILITY FR
ANY PROPRIETORJPARTNER/EXECUTrVE R&FACH ACCIDENT S
OFFIOER/MEMBER EXCLUDED? E L.DISEASE-EA EMPLOYEE S
Spec I} s,tlenerlee undM
E.L.CIS ASE-POLICY LIMIT S
OTHER
OESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES!FXCLUSIONS ADDEO BY ENDORSEMENT 1 SPECIAL PROVISIONS
Insured Operations: Class Code 98482-Plumbing=Commercial and Industrial. Clean Code:98483-Plumbing m Residential or Domestic.
Please$ee the in9uranCe Polley for a listing of Policy exclusions endorsements and/or 9 ial provisions.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES OF CANCELLED BEFORE THE ExPIRATM
Miami Sho►pS VlUegp DATE THEREOF,THE IBSUTNO WSURER WILL ENDEAVOR TO MAIL 00 DAYS WRn-MN
attn:Building Department NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,OUT FAILURE TO OO 60$HALL,
10050 NE 2nd Avenue IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON TME WSURER.ITS AGENTS OR
Miaml Shores Villag,FL 33138 REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE <DA>
ACORD 25(2001!08) PACORD CORPOPATION 1988
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:WOLFE & BOBS PLUMBING SERVICE INC Receipt#:PLUMBING/LWN SPRNKL/CONTRACTOR
Business Name: Business Type: (PLUMBING CONTRACTOR)
Owner Name:LESLIE CARL DOWDAL Business Opened:11/2 7/2 0 0 6
Business Location:1824 SW 100 AVE State/Cou nty/Cert/Reg:CFC 0 4 2 9 4 9
MIRAMAR Exemption Code:
Business Phone: 954-981-1496
Rooms Seats Employees Machines Professionals
6
For Vending Business Only
Number of Machines: Vending Type:
Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection CostTotal Paid
27.00 0.00 0.00 0.00 0.00 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 and/or Municipality planning
WHEN 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.
Mailing Address:
LESLIE CARL DOWDAL Receipt #ICP-13-00013357
5722 S FLAMINGO RD #281 Paid 08/25/2014 27.00
COOPER CITY, FL 33330
2014 . 2015
'`act CERTIFICATE OF LIABILITY INSURANCE FDATE(MMMONYM
0111312016
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVCLY 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 UBROGATION IS WAIVED,subject to
the terms and conditions of the policy,certaln policies may require an endorsement A statement on this certlficata does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODucv!
NAME:
Automatic Data Proc"Sing Insurance Agency,Inc. P"Mr;�Extl._ FAX
Arc No
I Adp Boulevard ADnIZEsS:..
Roseland,NJ 07066
wSURER(s.AFFORDING COVERAGE NAIL 0
INSURED INSURERA: AmTrust Insur:anov Company of Kansas,lnc. 1064
WOLFE A BOBS PLUMBING SERVICE INSURERS:
5722 S Flamingo Rd INSURFA C
Cooper City,FL 33330 INSURER D:
fN9UReR 6
INSURER F-
COVERAGES CERTIFICATE NUMBER: 299981 REVISION NUMIRR:
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,"PERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT NTH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDSD 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.
ILTR
TYPE OF INSURANCE7 POLICY N11Mr3ER MMR1 MM1DC
COWFMCIAL GUN RAL LIABRAY LIMrM
EACH OCCURRENCE y
OUalrs.MADE OCCUR
PREMISE oaYmenee =
MED E%P(Arry pile Demo) S
PERSONAL a ADV INJURY s
6ENLA(30RL<i0.TE LIr1TAPPLI€s PER:
POLICY V LOC GENERALA40REGATE S
OTXER;
PRODUCTS-CCMPfDP AGO S
AUTOMOBRE LIABILITY SQQMBi
ANYAUTO Es
a
ALL O D SCNEOLLED BODILY INJURY(Perperadq s
1 (OWNED BODILY INJURY leer ecdeanp f
AUTOS
1#RED AUTOS AUTOS
Per $
UMBRELLA LIAB S
OCCUR
AteCLwMs.MAge: EACH OCCURRENCE f
CED R NTIONS A(8f3REGA7E S
WORKERS COMPEN9nT" i
AND FJIIP�OyFiRS IJAI Uly X STA
A A►nIEOF
ARTNERnacfiCUT1VE y r N
it�MOoE rY 0a uoeo� �Y N r A N T1NC3440913 12/12/2014 +2/7212016 E._EACH CCIDCW m 5D0,000
If yyeep�,deserfbE.L.DISEASE•EA EMPLOY S 600.000
DESCRfP PERATION$belaw
E.L.DISEASE-POUCY 1JMrr i 600,000
DEBCRW IOM OY OPERA710616 r LOCATIONS/VENICLE3(AGGRO 111,AAOINen�!Ranyrlle SChaArta mRy ba:Miafwr if mora spore h rogWnal
Insured OPOM0ons: Class Code 9W2.Plumbing_Commercial and Industrial. Class Code:99483-Plumbing P�Residential or Daalestic.
Plow*we the Insurance ppliMf for a-listIng of P0110V exclusions endorsements andlor s ecit i mvislons.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF TME ABOVE oner RED POLICle8 BE CANCEL[V BEFORE
Miami Shores Village THE EXPIRATION DATE THEREOF, NO-ncF WILL IN DI=LIVEREo IN
Ann:Building Mpartmorrl ACCORDANCEwITH THE POLICY PROVIS10ft.
10050 NE 2nd Avenue
Miami Shores village,PI,33138 AuTHOR12R0REpREsENTATrVg
ACORD 2a(2014101) ®1885-2014 ACORU CORPORATION.All rights reserved.
The ACORD name and I090 are registered marks 4f ACORO -