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PL-15-1742
Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-238914 Permit Number: PL-7-15-1742 Scheduled Inspection Date: October 20,2015 Permit Type: Plumbing - Residential Inspector: Diaz,Osvaldo Inspection Type: Final Owner: EIRA ROJAS, BENOIT V WIRZ Work Classification: Sprinkler System Job Address:893 NE 96 Street Miami Shores, FL 33138- Phone Number Project: <NONE> Parcel Number 1132060142690 Contractor: Y&M PLUMBING INC Phone: (305)267-1676 Building Department Comments COMPLETE IRRIGATION SYSTEM INSTALLATION Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Failed � ,� '6 l� Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. October 19,2015 For Inspections please call: (305)762-4949 Page 13 of 42 �5►;ORES y Miami Shores Village _bi �• 10050 N.E.2nd Avenue NE � � �; � z Miami Shores, FL 3313&0000 \ � \ �_. P� Air" Phone: (305)795-2204 - Expiration: 01/12/2016 Project Address Parcel Number Applicant 893 NE 96 Street 1132060142690 BENOIT V WIRZ EIRA ROJAS Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell BENOIT V WIRZ EIRA ROJAS 893 NE 96 Street MIAMI SHORES FL 33138- 893 NE 96 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: _ $ 5,000.00 Y&M PLUMBING INC (305)267-1676 Total Sq Feet: 0 Type of Work:COMPLETE IRRIGATION SYSTEM INSTALLA Available Inspections: Type of Piping: Inspection Type: Additional Info: Final Bond Return: Underground Sprinkler Classification:Residential Scanning:3 Review Plumbing Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $3.00 Invoice# PL-7-15-56315 DBPR Fee $2.25 DCA Fee $2.25 07/16/2015 Check#: 1674 $ 121.50 $50.00 Education Surcharge $1.00 07/13/2015 Check#: 1673 $50.00 $0.00 Permit Fee $150.00 Scanning Fee $9.00 Technology Fee $4.00 Total: $171.50 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOPd! DORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing informati curate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above-n n ractor to do the work stated. July 16, 2015 Authorized Signature:Owner / Applicant / 1117 r / Agent Date Building Department Copy July 16,2015 1 .y i JUL 1 201 Miami Shores Village Building Department ICY 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 T INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 (q BUILDING Master Permit No.-FL1 _ l `� PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ELECTRIC ❑ ROOFING ❑ REVISION EXTENSION RENEWAL PLUMBING F] MECHANICAL FIPUBLICWORKS ❑ CHANGE OF CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS T I JOB ADDRESS:_09-;'7 / L-;'7 S-We& City Miami Shores County: County• Miami Dade Zip: folio/Parcel#:�x—52-o 0- D1g21Q c(n Is the Building Historically Designated:Yes NO / Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: �../ OWNER:Name(Fee Sirupip,Titleholder): 5[ Phonell: Address:lal I f/l City:_(�1�Cann,1 Sh �1�� State: Zip: e Tenant/Lessee Name: Phon0: Email: V CONTRACTOR:Company Name: Phone#: Address: City: —State; % Zip: . Qualifier Name: \1AU'_�`L-% 1�—� _ _ Phone#: State Certification or Registration#: Certificate of Competency M DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ 1s DUC -C S ware/Linear Footage of Work: _ Type of Work: ❑ Addition ❑ Alteration New ❑ Repair/Replace ❑ Demolition Description of Work:(..0 T?�C�t'- ��'� •, ""'�;`p►-iced'(- -�''L� ''^-��- 'L�t�C'.�1nV-�.i Specify color of color thru tile: Submittal Fee$ cf�_Permit Fee$ 'w. LT CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ au V (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 low 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 wAich 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 ill be charged. t Signature Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this k G day of 20 by day of i - 20 by w personally knoo , w is personaily knoo me or who has produced C as me r who has produced identification and who did take an oath, identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: r4 Sign: N" .� � Sign: Print: Print: Seal: Seal: I MAYRA MARTIN N��r aMAYRA MARTIN Notary Public-State of Florida 3'` : Notary Public-State of FloridaMyGOlNMr6k/ifel"111110160Commission#EE 220822Commiaalon dE EE 220822APPRO Tier I Notary Asan. �'' .°;,^� Oolbld Tough National Notary As 0%1tans Examiner Ing -1-3-+S Structural Review Clerk (ReviseW2/24/21118) SNORES some eu�Rl Miami shores Village rEs oy� Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION IF CONTRA TOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. COPY OF QUALIFIER'S STATE LICENCES B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF LIABILITY INSURANCE* D. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICATE OF COMPETENCY OF QUALIFIER B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF STATE REGISTERED CONTRACTOR LICENSE OR MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT. D. COPY OF LIABILITY INSURACE* E. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit) *YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE AS FOLLOW: Certificate Holder: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 Certificate must specify the description of operations or contractor license number. BUSINESS NAME: `1 �1n. BUSINESS ADDRESS: --�l 1, ko vti k STATE -Y ZIP "�k-4 - BUSINESS PHONE: FAX NUMBER eDCE) 72— CELL PHONE) -Q= I -QUALIFIER'S NAME: [ QUALIFIER'S LIC NUMBER: `'x- / STATIF OF FLORIDA DEPARTMENT OF BUSINESS AND FIROFUSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING,BOARD (850)487-1395 1910 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 MARTIN,YAME4 Y 6 M W UMBtN4 INC 4601 SW 127 COURT MIAMI FC 33175 Conpabbilo of wan Ili►Ifsa ym bocc**ono of dib naoy ona 1nlMat Fbrldlotfa Nffarrod by tlM D�IAnMM W BtMM1Ma m0 w;. aH P�olabalorad>abOffbtlon. Our pobaabrfala and Owmsm mvFk dA >torrrard�Nacla b yaoM brokara,bom booan b WrWaw rsgaurarNa, and f y Map Florkh"c sow-"*MY. rev"dy"Wokb **wywedoEkmaaeftb t�lrysfi E' waw you baMo. Fol wb ~ow awnless Obm toy onb www o."w mora you con Bud mora ir"mMbn atwuf ow*Awft and Intowl W"d you, a" k�dwMim.ntnawck�aea�nu,aubwraaYoulMsDaFrlmeN's �,�. Ow mkflon M fw Dap km*W.Liana►Efidwft Rep"Fa*. Nb aktwbaawlr paNaraothdyoaanwwyow vAmffo as m you for dofrg buWnmin Fiodla, fnda„OraWiollonaonyownowllarfr.f .�, «,.•^'�— ,_„y f ,a r , � I y v 006559 Local Business Tax Receipt Miami-Dade County, State of Florida -THIS IS NOT A BILL - OO NOT PAY 5560454 Buss NAME/IOCATiON RECe„T NO. EXPIRES y&M PLUMBING INC RENEWAL SEPTEMBER 30, 2015 4601 SW 127 a 5800603 Must be displayed at plsae of business MUa1i R 33175 Pursuant to County Code Chapter&A-Art.9&10 OWNER SEC.TYPE OF BUSINESS Y 8 M PLUMBING INC 196 PLUMBM CONTRACTOR PAYMENT BECErvau CFC1426661 BY TAX COLLECTOR Workers) 1 $75.00 07/21/2014 CREDITCARD-14-028928 This Leeel Bwjww Tm&""0*esah Ppmo d as toad armiteas Tax.The Rso*is om a Iiessas. pere t of s eu6Readw of do b~s M M besirss.Ilslieatggr ar tsaeVla an seserstse" ar sapeteranm w nBrlar"15555 a a�riras s iieA crypt in Ba badamw TM RECEW V&dwn will he 41410W OR W ONMR al rdialas-IRsnF OeM Code Sas M-M feselms weer atim visa r �AC'ClRl3® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDnVYV) - 07110/15 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 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 CONTANAME: Egglis Cepero Lopez Insurance Agency PHOC.N Ext),NE (305)2643636- n No. (305)2643357 5755 W.Flagler Street#204 E-MAIL Miami,FL 33144 PRODUCER USTMER ID Phone (305)2643636 Fax (305)264-3357 INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: GRANADA INSURANCE COMPANY Y&M Plumbing,Inc. INSURER B: MADISON INSURANCE COMPANY 4601 SW 127 CT INSURER C Miami,FL 33175 INSURER D; #CFC1426681 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. IR TYPE OF INSURANCE POLICY NUMBER MOLDD/YYY �� (MM /DD EXP LTR /VYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RERTED © COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 100,000 F-] F] CLAIMS-MADE [:] OCCUR 0185FL00044843 ME D EX P(Any one person) $ 5,000 A F-1N 04f15/2015 04/15f1016 PERSONAL&ADV INJURY $ 1,000,000 ❑ GENERAL AGGREGATE $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP)OPAGG $ 1,000,000 ❑ POLICY ❑ JRCT ❑ LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ❑ ANY AUTO BODILY INJURY(Per person) $ ❑ ALLOWNEDAUTOS BODILY INJURY(Per accident) $ ❑ SCHEDULED AUTOS PROPERTY DAMAGE $ El HIRED AUTOS (Per accident) ❑ NON-OW NED AUTOS $ ❑ $ ❑ UMBRELLA LIAB ❑ OCCUR EACH OCCURRENCE $ ❑ EXCESS LIAB CLAIMS-MADE AGGREGATE $ ❑ DEDUCTIBLE $ El RETENTION $ $ WORKERS COMPENSATIONW C STATU- OTH- AND EMPLOYERS'LIABILITY T RY I IT ER B PRIETOR EREXCLUDEU?ECUTIVEYY N /A WCV000329103 11/IOf2014 llfl0/2015 E.LEACH ACCIDENT $ 100,000 (Mandatory in NH) E.L DISEASE-EA EMPLOYE $ 500,000 If yes,describe wider DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 100,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101.Additional Remarks Schedule,if more space is required) Plumbing Services-CFC1426681 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Miami Shores Village ACCORDANCE WITH THE POLICY PROVISIONS. Building Department 10050 N.E.2nd Avenue AUTHORIZED REPRESENTATIVE Miami Stores,Florida 33138 ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(20090)QF The ACORD name and logo are registered marks of ACORD . 211 Gate Valve Ar"' Rain Sensor Time Clock 2 Zone Valve SPRINKLER HEAD LEGEND Manifold 2"PVC J-Box To Zone \ = ,� 15H 02GR 1%" PVC ,co`� 1 '/z HP Pump O co�! / 1Y t r", ' 15Q 191,Pvc ��► e .0 PM Well 1 Y.,•Pvc / e° O ROTOR To Zone 2 .02 GPM FL O 1'/. Pump Lawn Sprinkler Schematic for Pump Radon 0000 ..,. 0000.. lJJEL-c . PES I FSM 00 000000 QSj'j \ O 60•00 0 4 • • s *0:000• O •••••• • ••••• Oso • • • • • •• • L a •• •• •• ••.•�• •••••• 1Y 0000.. • / 2 STY CBS •. . . ... • RESIDENCE �� .• #893 _ COMM PATIO 1 Y4 j3 E- KE l r Q Q 5L4Ej:—V* iiN u E.rt PL4 44 a - • ° a 3. 3/ PL rt 7' Por y E pproved ---�-- Disapproved Date Folio 11-3206-0142690 80'