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PL-14-1761 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 nspection Number: INSP-217777 Permit Number: PL-8-14-1761 Inspection Date: June 30, 2015 Permit Type: Plumbing - Residential Inspector: Diaz, Osvaldo Inspection Type: Final Owner: MILLION, CHARLES Work Classification: Addition/Alteration Job Address:485 NE 94 Street Miami Shores, FL 33138- Phone Number (917)887-5511 Parcel Number 1132060140540 Project: <NONE> Contractor: METROPOLITAN PLUMBING INC Building Department Comments KITCHEN REMODEL Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction Needed ) Re-inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid. I 1 I For Inspections please call: (305)762-4949 June 29, 2015 Page 1 of 1 7 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 jy INSPECTION LINE PHONE NUMBER:(305)762-4949 F BC 20 BUILDING Master Permit No. I PERMIT APPLICATION Sub Permit No. ? F__]BUILDING [_-] ELECTRIC ❑ ROOFING ❑ REVISION EXTENSION E]RENEWAL 7EPLUMBING ❑ MECHANICAL ❑PUBLIC WORKS CHANGE OF CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 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): ()4�:s Mat 0 h Phone#: Address: `_% � A, � �1� -S T & =Qtb -1t City: State: Zip: GSM b� 3 r Tenant/Lessee am e: Phone#: Email: CONTRACTOR:Company Name: Metropolitan Plumbing, Inc. Phone#: 305-888-2720 Address: 1020 E 14th St city: Hialeah State: Fl —Zip: 33010 Qualifier Name:-Miguel Guiardinu Phone#: 305-888-2720 State Certification or Registration#: CFC 057152 Certificate of Competency#: DESIGNER:Arch itect/Engineer: Phone#: Address: City: State:_Zip: Value of Work for this Permit:$ Q C — �1�— Q 0 .Square/Linear Footage of Work: Type of Work: EJ Addition Alteration E New E:1 Repair/Replace ❑ Demolition Description of Work: f ( r,(A Specify color of color thru tile: Submittal Fee$ Permit Fee$ J(22-!5 ' CCF CO/CC$ Q) Scanning Fee$ Radon Fee$ DBPR$ 4 . Notary$ Technology Fee$ T O Training/Education Fee$ Go Double Fee$ 0 Structural Reviews$ Bonds V 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. Signature Signature OWNER or AGENT I CON ACTOR The forregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of 120 14 by 24 day of July 20 14 by C in 4�Q Mt �(c Gk� o is personally known to Miguel Guiardinu o is personally know to me or who has produced as me or who has produced as identification and who did take an oath. identification and who did oa Maria Exposito NOTARY PUBLIC: NOTARY PUBLIC: i` `CI01S510 #EE 117934 EP ES:A .01,2015 AARO NOTARY.com Sign: AEAAA-4W.1m Sign Print: ALU ( 1 Print: Maria Exposito Seal: oeume Seal: awyrow•U tMIMMM ma �M Cw�O�YM IMI N,tmt! ************************************************************************************************************ APPROVED BY 9`(U—)`� Plans Examiner Zoning Structural Review Clerk (Revised 02/24/2014) • ACORp` METRO-1 OP ID:KH CERTIFICATE OF LIABILITY INSURANCEDAM(MWDOWYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOJLDER.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: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject 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 certificate holder in lieu of such endorsement(s). PRODUCER [Sure Insurance Brokers NAME. Javier A.Femaodez 8700 W.Flagler St,Suite 270 PHENE E .3O5-223-2533 FAX Miami,FL 3 3 174 „,,,305-220.0765 Javier A.Fernandez AD�DARm:Javier@!SureBr;okem.com S AFFORLONG COVERAGE rum 6 INSURED Metropolitan Plumbing,inc INSURER A:Scottsdale Ins. 41297 Miguel Guiardinu rNsuRm B:Technof Insurance Co. 42376 1020 E 14 St INSURER C: Hialeah,FL 33010 "SORER D: INSURER E: 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 EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. R TYPE OF INSURANCE POLICY FF POLICY EXP GENERAL LIABILITY POLICY NIDD LMITS A X COMMERCIAL GENERAL LIABILITY CPS1929180EACH OCCURRENCE $ 2,000, 03/31J2014 03J31J2015 P ISES ocanrerwe $ 50,00 CLAIMS#RADE IX OCCUR MEO EJP(Any one person) S 5,00 PERSONAL&ADV INJURY S 2,000,00 GENERAL AGGREGATE $ 2,000,00 GEN1.AGGREGATE LIMIT APPLIES PER: POLICY PRO- LOC PRODUCTS-COMPIOPAGG $ 2,000.00( JECTAUTOMOBILE LIABRny $ coaW D I GLE u I ANY AUTO aceident AALL UTOS OWNED SCHEDULED BODILY INJURY(Per person)AUTOS $ HIRED AUTOS NON-OWNED BODILY INJURY(Per acc deck) $ AUTOS DE $ UMBRELLA LIAR OCCUR $ EXCESS LIAB CLAIMS•RADE EACH OCCURRENCE $ DEDAGGREGATE $ RETENTION WORKERS COMPENSATION $ AND EMPLOYERS'LIABILITY B ANYPROPTS Y/N X TIRIC SLATU- OTH- RIErOR/PARTWJ DMCUTIVE TWC3427048 08!02/2014 08/02/2015 OFFICERAAEM13ER EXCLUDED? ❑ NIA E.L.EACH ACCIDENT (Mandatory $ 1,000, In NH) =1M.I�s desenbe under El-DISEASE-EAEMPLO 1,000,0 TION OF OPERATIONS below S E.L.DI POLICY LIMIT s 1,000,0 DESCRIPTION OF OPERATIONS l LOCATIONS I VEHICLES(AU aeh ACORD 101.Ad�ior,r Remrka plumbing residential 6 COtmercial. Schedule,N more apace is m"" CERTIFICATE HOLDER CANCELLATION MIAMI S SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED$EFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Miami Shores Village ACCORDANCE WITH THE POLICY PROv1810NS. 10050 NE 2nd Avenue Miami Shores,FL 33138 AUTHORIZED REPRESENTATIVE ACORD 25 2010105 ®1988 4010 ACORD CORPORATION. All rights reserved. ( ) The ACORD name and logo are registered marks of ACORD STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD CFC057152 The PLUM BING.CONTRACTOR lip Named below IS CERTIFIED "` '"� `�� a„ Under the provisions of Chapter 489 FS. ExpiIiation date: AUG 31,2016 GUTARDINU MIGUEL SAL\(,Rc METROPOLITAN PLUNJ 1020 EAST 14TkI.S HIALEAH ISSUED: 08/05/2014 DISPLAY AS REQUIRED BY LAW SEQ# L1408050001509 �. City of Hialeah 2013-14 • Business Tax Receipt Mayor Carlos Hernandez No: 238220-121 (OLD-1711-981) Amount: $ 150.00 The person,firm or corp.listed here has paid the business tax required to engage in or operate the business specified subject to the regulations and restrictions of the City of Hialeah,Florida Owner:MIGUEL GUTARDINA-METROPOLITAN PLUMBING 1NC. Type ofBxsiness:Plumbing, Heating, and Air—Conditioning Contractors METROPOLITAN PLUMBING INC. 1020 E 14 ST Business Location: HIALEAH, FL 33010 1020 E 14 ST Validating No. 0000 Expires September 30,2014 THIS IS NOT A BILL 002375 r �+�• IM k F tsiLrr18 r .^ i..\ r' ''- 1'f�S4s'Af�ll-•klO r�3�F'A'Y' K �. `�''' `� rx GGA � 7s r,4+ f�&+a.1`��'4w if •k r...v.c�T',..�. s 'A" ' MW ^' tap>sat�t�d eEp �+sa �1�� 1Y3i6834y- -fit�a pass t � rsuatm�Coti> £vam ChapieF8d� .YErt3$c10 - rr OWNIEP_ SEC.TYPE OF.BEMNESS, . PAYMEMr MCEWED Ju 196 PLUMBING CONTRACT011�ROPOUTMI PLUMBING.INC BY TAX-cgiiECTOg CFC057152 11cer(s) 5 $4500 09'/25/203 3 TXHSI=I3-074567 This t oval Businass iax Receiptuidy`soa8rms psimut,#(de toeal Business TWL The Regipt is oM a license. Qi oker a oenillie i of the hoWa`s qualHicatrgq to daliti iess Holdsnusteoayly any goYer oontal or mewl teltdaory lavas andrequiremetas wtdidt agw-to the busb o _ RECEIPE'kQ aboveatbe disptayed:ou all cotitggiael trohit4es ttetoda Sec 9r,Tiy haC-plea u�rmalad,RSd w•rw.�amt�pogpr � ` ."