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PL-14-2339 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-222199 Permit Number: PL-10-14-2339 Scheduled Inspection Date: May 06, 2015 Permit Type: Plumbing - Residential Inspector: Diaz, Osvaldo Inspection Type: Final Owner: YANCES, CLAUDIA Work Classification: Addition/Alteration Job Address:500 NE 93 Street Miami Shores, FL Phone Number (786)314-9909 Parcel Number 1132060141110 Project: <NONE> Contractor: PAU PLUMBING CONTRACTOR INC Phone: (305)934-2894 Building Department Comments NEW KITCHEN SINK REPLACE SHOWER BATH TUB infractio Passed Comments TOILET AND LAVATORY INSPECTOR COMMENTS False � / 5 Inspector Comments Passed Id Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. May 05,2015 For Inspections please call: (305)762-4949 Page 7 of 50 Miami Shores Village � � A� . Building Department ! dca Z014 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 IEi� INSPECTION LINE PHONE NUMBER:(305)762-4949 FRc 2010 BUILDING Master Permit NoV C. 11-1 4n:: PERMIT APPLICATION Sub Permit NapL IY-- 339 ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION []RENEWAL PLUMBING ❑ MECHANICAL [:]PUBLIC WORKS CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 5cr r,�F, 15r4 C::5Tret-:f r City: Miami Shores `County: Miami Dade Zip: Folio/Parcel#: 1 1 -3.2-06`0 14— (( 1 y Is the Building Historically Designated:Yes NO X Occupancy Type: Load: Construction Type::/ Flood Zone: BFE: FF/E':p OWNER:Name(Fee Simple Titleholder): C-10 IA "'rCA nc_ � Phone#: 70.3)Z4 I ROq Address: l�r�(.Yr l I Av &VE A,]t7 City: Mia im I State: I Zip: 331 ZI Tenant/Lessee Name: Phone#: Email: P4LJ CONTRACTOR:Company Name: > 8 i ow a4GAc� zzc,_ Phone#: WC g3f:j� Address:,// 7�t� oc �C�r" & �3 City: State: G- Zip: ASO/Af Qualifier Name: ryc o0 p?,'D Phone#: .06 93f-PL6524- State Certification or Registration#: G'FG/4f Z 6010 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ BOO - O Square/Linear Footage of Work: Type of Work: F-1AdditionElAlteration ❑ New [ ,"Repair/Replace ❑ Demolition / Description of Work: Atcv �d r r D�IL�f tD dA" _ 23y1Tq lU3 TDA wT �+io� Specify color of color thru tile: Submittal Fee S t-�> Permit Fee S 422_C, $ GO CO/CC$ c- Scanning Fee$ �1 GDyd� Radon Fee$ •� �\DBPR$ Notary Technology Fee$ Training/Education Fee$ y • Gn-0 Double Fee($ 9 Structural Reviews$ Bond$ 11' TOTAL FEE NOW DUE$ ( I 1 0 (Revised02/24/2014) M 1 Bondine ComDanv'S Name(if annlieable) Bonding Company's Address rtato 7±n 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 iurisdiction. 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 CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument(:JV acknowledged before me this 2_0 day of C)C&L P.F� .-20 by � F day of :C�►'V 431 � 20 14 by who is personally known to who is personally known to me or who has nrndijr_.Pd as me or who ha-,nrndtirPri a4 identification and who did take an.gath +, lit/// identification and who did take an oath. : � 1y ., NOTARY PUBLIC: "'•�••:�9 ''��� NOTARY PUBLIC: do- Sign: _ Sign Y Z� '� wry com.town Aw a,X y Print: � a+ Print: z , 0 11111=11 , dli(1 ���`� Seal: z�r.,rrr1 trI � Seal: APPROVED BY o- Z 3-r y 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 SOTO, REYNALDO PAU PLUMBING CONTRACTOR INC 7740 WEST 2ND COURT, BAY#3 HIALEAH FL 33014 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 ''" STATE OF FLORIDA from architects to yacht brokers,from boxers to barbeque restaurants, DEPARTMENT OF BUSINESS AND and they keep Florida's economy strong. PROFESSIONAL REGULATION Every day we work to improve the way we do business in order to CFC1426010 ISSUED: 08/28/2014 serve you better. For information about our services,please log onto Iwww.myfloridalicense.com. There you can find more information CERTIFIED PLUMBING CONTRACTOR about our divisions and the regulations that impact you,subscribe SOTO,REYNALDO to department newsletters and learn more about the Department's INC initiatives. PAU PLUMBING CONTRACTOR Our mission at the Department is:License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thankou for doing business in Florida, IS CERTIFIED under the provisions of Ch.489 FS. Y 9 and congratulations on your new license! ExpWation dale:AUG 31,2016 L1408280002409 DETACH HERE RICK SCOTT, GOVERNOR KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD CFC1426010 The PLUMBING CONTRACTOR Named below IS CERTIFIED '" WE Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2016 o � �a SOTO, REYNALDO PAU PLUMBING CONTRACTOR INC 7740 WEST 2ND COURT, BAY#3 HIALEAH FL 330.94 ISSUED: 08/28/2014 DISPLAY AS REQUIRED BY LAW W4132 Local Business Tax Receipt Miami—Dade County, State of Florida -THIS IS NOTA BILL — DO NOT PAY LBT 5916987 BUSINESS NAMEILOCATION RECEIPT NO. EXPIRES PAU PLUMBING CONTRACTOR INC RENEWAL SEPTEMBER 30, 2015 7740 W 2 CT BAY#3 5466453 Must be displayed at place of business HIALEAH FL 33014 Pursuant to County Code Chapter 8A—Art.9&10 OWNER SEC.TYPE OF BUSINESS PAYMENT RECEIVED PAU PLUMBING CONTRACTOR INC 196 PLUMBING CONTRACTOR BY TAX COLLECTOR Worker(s) CFC1426010 $45.00 07/14/2014 ECHECK-14-139624 This Local Business Tax Receipt only confirms payment of the Local Business Tax.The Receipt is not a license, pennk or a certification of the holder's qualifications,to do business.Holder meet comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT N0.above must be displayed on all commercial vehicles—Miami—Dade Code Sec 8a-276. For more information,visit www.miamidede.gov/taxcollector OCT-22-2014 04 : 10 PM 52 957 447 3421 P. 01 ACO CERTIFICATE OF LIABILITY INSURANCE a o THIS CERTIFICATE 16 ISSUED SA MATTER OF 00ai"TIO"NE Y AMEND, AND END�OR A�LT�ER TAME c u ATE AFF In NJcan)A TII POLICIES CERTIFICATE GOES NOT AFf t3lLO1M.THIS CERTIFICATE OF INSURANCE p0!&NOT CONSTITUTE A CONTRACT BE711YlEN THE 16&UINO MISURERISI.AUTH REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE NOI.M D. to IMPORTANT: it the iRW!vsft-h9W Ill*—nIWDffN)NftREPR!&E ! If las mus the burns and eonMons of Ms policy.oNtoln pdkMs rnq►"1rn m wWorgoinant.A atmomertt on this oartNla-1 doesnet Co WW rl&hM m 110 cw%jcats holder In Nw of such«rdoreenwntls PleooueER AWwnaft Dab ProosnMq bnsumm Agway.Ina. N"s I Aft @OuWwd enwon&m _ PID@WNWI NJ 0700 NorGUAtiO NwarM�o9 Compmy 81470 NISIIRSa A Nii1111EO irSUNEA a PAU PLUMBING CONTRACTOR INC NrMIr1EIr C; 7740 w 2nd Court SOY 8 wiUrl■r 0: HMMah.FL 88014 Nrslrrwlr 6: REVISION NUMBER: COVERAGES CERTIFICATE NUMBER: 276= FOR TM POLICY INDICATED.INROTWITHSTANDI O ANY REQUIREN I THE INSURED MENT.,AMMCE OR CONDITION OF ANTED BaLUff"WE EY CONTRACTOR OTHER DOCUMENT NAMED TN RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, OMUSIONS AND CONDITIONS OF SUCH POLICIES.LIMIT$SHOWN MAY HAVE BEEN QED BY PAID CLAWS. LI1a1a ' TYPE OP pwjnANrSt LWH Ocaaa 4m 1 Cossnow"wiLot L LUML" 1 CLAWWWDS [:1 OOCUII '* _ eso E7lP �� i PEIaoMAL A ADV AWAIRY 1 oarsrw.AOolIP.OATB / fEll L INSOM IS LIWT APPLIES PP: Pappklm.COMPIOP A00 1 POLICY ,IST ❑LOC i Ope LOWi AyiOrOlaJ Luou" SOOILY WAY(PW iMRO) i AW AUTO BCM�ULiO apOLY NANCY Ir"r 6www q 1 ALL OWNED UTOS i AUf06 A NOW AUTOS ALR06 i EACM OCCU RRENOE i Userm LA L" 00" AacmMAn 1 w"so u" cLrwrdwwE all x Trorr 1.000.000 ovE MUAw1rY v I N 00I001Z014 00I00I1010 Ems "ACCIOliff 1 A �A otClUO� M I A N PAYVCB00170 1.000.00 E.L oasEAeE• i M IR a� E.L OIEEAEE•POLICY LW 1 1• '� OP bdar L::: 1 LOCATIOMa I vEllaLa UaONN tit.AfdNIMd RneIIa adwd^WAY to domw N ft�spew to AMM •Pksldr4rp Cont @cW CERTIPICATE HOLDER CANCELLATION 00"ANY OF Til!ABOOVS DESCRIBED N ICI WILL BILA DNC.1610 @ P THE EXPIRATION THS ElOFPROYOTIE=* ELWINED IN ACCPOLICY ORDANCE WITH CRY Of MMed Shorty 10000 NE 4 Ave A�rlosmeo ArrWE MWW&horns,FL$3180 19 0401 ACORD TION.All rl&hh rwarvirl• OP ID:AO 'a�oRo CERTIFICATE OF LIABILITY INSURANCE D02/1188/22014014/ Y) 02 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 THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terns 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 CONTACT Ana Maria Tri UelrO South Florida Insurance Und. "AME` D/B/A Trimart LLC AHc°Nw Ext:305-599-8989 A/c N,):305-599-8788 7950 NW 53rd Street Suite 213 ADOR'Ess:ana@southfiainsurance.com Doral,FL 33166 PRODUCER Xiomara Martinez CUSTOMER og:PAUPLA INSURER(S) AFFORDING COVERAGE NAIC# INSURED Pau Plumbing Contractor,Inc. INSURER A:Granada Insurance Company 16870 358 West 38Th Street INSURER 13:RetailFirst Insurance Company Hialeah,FL 33012 INSURER C INSURER 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 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. ILICY EFF POLICY EXP LTR TYPE OF INSURANCE U POLICY NUMBER MBR MIDDIYYYYDD/YYYV LIMITS GENERAL LIABILITY EACH OCCURR—DAWE TO ENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY 0186FL00006806 02/15/2014 02/15/2015 PREMISES Ea occurrence $ 100+00 CLAIMS-MADE D OCCUR MED EXP(Any one person) $ 5,00 PERSONAL&ADV INJURY $ 11000,00 GENERAL AGGREGATE $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1,000,00 POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO U O BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE $ HIRED AUTOS (PER ACCIDENT) NON-OWNED AUTOS $ $ UMBRELLA UAB OCCUR EACH OCCURRENCE $ _ EXCESS LIAR HCLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATIONWC FTRYSTATU- OTH- AND EMPLOYERS'LIABILITYLIN�SER B ANY PROPRIETOR/PARTNER/EXECUTIVE Y I" 520-40635 06/08/2013 06/08/2014 E.L.EACH ACCIDENT $ 1,000,00 OFFICER/MEMBER EXCLUDED? El N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1;000,00 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,it more space is required) Plumbing Contractor CERTIFICATE HOLDER CANCELLATION CITYOMS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Miami Shores THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2 Ave Miami Shores, FL 33138 AUTHORIZED REPRESENTATIVE o Martinez ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD