DEMO-14-2455 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-223036 Permit Number: DEMO-11-14-2455
Inspection Date: April 14, 2015 Permit Type: Demolition
Inspector: Diaz, Osvaldo Inspection Type: Final
Owner: STEAD, MARC GREGORY Work Classification: Plumbing
Job Address:93 NW 93 Street
Miami Shores, FL 33150-2232 Phone Number
Parcel Number 1131010340240
Project: <NONE>
Contractor: NATIONAL PLUMBING CONTRACTORS CORP Phone: (786)388-1252
Building Department Comments
DEMO KITCHEN Infractio Passed Comments
INSPECTOR COMMENTS True
Inspector Comments
Passed
Failed
Correction
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
For Inspections please call: (305)762-4949
April 14,2015 Page 1 of 1
Miami Shores Village
Building Department artment ! NOV Of2014
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 2016 _
BUILDING Master Permit No.0Pi�(� / "o�L�SS
PERMIT APPLICATION Sub Permit NO 111-0-93
S"o�
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
[OPLUMBING ❑ MECHANICAL ❑PUBLICWORKS ❑ CHANGE ❑ CANCELLATION ❑ SHOP
�1 CONTRACTOR DRAWINGS
JOB ADDRESS: ( 3 41-LV
City: Miami Shores County: Miami Dade Zip: 173rS_0
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: L, FFE:
OWNER: Name(Fee Simple Titleholder): �1�9-R, S Phone#: _7D 6 -27 5— L190
Address: `7 3 4/Ili CI 3
City: 0^arAan 51","05 State: Zip: 3 3/
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: ���� pl hJ� �1'6dw_r coves• Phone#: 2& 2E 17 62-
Address: z's )LIU 6,7 Aj
City: 44fat�2 State: jc& Zip:
Qualifier Name: i—e (�yyacv Phone#:
State Certification or Registration#: C!�:6 Certificate of Competency#:
DESIGNER:Archit , Phone#:
w 11fL'IM,
Adclr_kk: a�; a_P' City: State: Zip:
V lu �j lfhi§I�errriit $ v d Square/Linear Footage of Work:
e, IIIa�a+ne{ru.;
ation ❑New ❑ Repair/Replace ❑Demolition
Description of Work: o Cint I—ti
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ KOO` �-X CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Bond$
Notary$ Training/Education Fee$ Technology Fee$
Double Fee$ Structural Review$
TOTAL FEE NOW DUE$
Bonding Company's Name(if applicable)
Bonding Company„' Address
City State Zip
Mortgage Lender's Name(if applicable)
Mortgage Lender's Address
City State Zip
a
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 ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS and 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$2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence pf such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature Signature
i
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me —5rc)
thisJ �
day of ' 201LI by � 57� day of Q(V4%1bC1L 20 14, by
who is personally known to me or who has produced_ who is pe sonally known o me or who has produced
As identification and who dol al �i .cat iGg '%. as identifi atjgnpnd wto did take an oath.
NOTARY PUBLIC: .`$'
''Sc w�o l NOTARY PU I N RAB;
? Notary Ili-State ui Florida
4 My Comm.Eqft Ant 112017
sign. g�OZ1901�0 CtMlttiOF
44
Print: '%y��&A���, g\\�a����� Print: 11,'rfe�4
My Commission Expires: My Commission Expires: fAA-4--7 /2, JOf 7
APPROVED BY �/i-/� �� Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)(Revised 5/2/2012)(Revised 3/12/2012))(Revised 06/30/2009)(Revised 3/15/09)(Revised 7/10/2007)
STATE OF FLORIDA
-. DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395
W 1940 NORTH MONROE STREET
TALLAHASSEE FL 32399-0783
e
GARCIA, DANIEL
NATIONAL PLUMBING CONTRACTORS CORP
265 NW 63 AVE
MIAMI FL 33126-4457
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 CFC1427577 ISSUED: 07/21/2014
serve you better. For information about our services,please log onto -
www.myfloridalicense.com. There you can find more information CERTIFIED PLUMBING CONTRACTOR
about our divisions and the regulations that impact you, subscribe GARCIA, DANIEL
to department newsletters and learn more about the Department's
initiatives. NATIONAL PLUMBING CONTRACTORS CORP
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 provisions of Ch.489 FS.
and congratulations on your new license! Expiration date:AUG 31,2016 L140721000OM
DETACH HERE
RICK SCOTT, GOVERNOR KEN LAWSON, SECRETARY
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION4
CONSTRUCTION INDUSTRY LICENSING BOARD Rf
�CFC11427577
The PLUMBING CONTRACTOR ;- '
Named below IS CERTIFIED
Under the provisions of Chapter 489 FS.
Expiration date: AUG 31, 2016
GARCIA, DANIEL
0•
NATIONAL PLUMBING CONTRACTORS CORP
265 NW 63 AVE
MIAMI FL 33126-4457 }
ISSUED- 07/21/2014 DISPI AY AS RF01JIRFD RY LAW SEO# L1407210000848
0oa4n
Local-Business Tax--Receipt
Miami-Dade County, State of Florida
THIS IS NOTA BILL - DO NOT PAY
6183495 �,LBT
BUSINESS NANIE&OCATION RECEIPT NO.
NATIONAL PLUMBING CONTRACTORS CORP RENEWAL EXPIRES
265 NW 63 AVE 6"7965 SEPTEMBER 30, 2015
MIAMI FL 33126 Must be displayed at place of business
Pursuant to County Code
Chapter 8A-ArL 9&10
OWNER SEC.TYPE OF BUSINESS
NATIONAL PLUMBING CONTRACTORS 196 PLUMBING CONTRACTOR PAYMENT RECEIVED
Worker(s) 3 CFC1427577 BY TAX COLLECTOR
_; $45.00 09/25/2014
CREDITCARD-14-040306
phis Local Business Tax Receipt only conrinne payment of the Local Business Tax.The Receipt is not a license,
ermit or a certification of the holders qualifications,to do business. Holder amet comply with
or oonFvarrunental regulatory laws end requirements which apply to the business any governmental
The RECEIPT N0.above Bunt be displayed on aH commercial vehicles Miami-Dade Code Sec 8a-n&
- For Gore hdonnation,visit V_ffimr.Bianddade.aov/t RgLje
OCT-31-2014 02:22P FROM: TO:3052639609 P.1
ACONLYCERTIFICATE OF LIABILITY INSURANCE °" 10131114
THUS CERTIFICATE 18 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RMHTS UPON THE CERTIFICA HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDEQ BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(SN AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the poliey(les)rR4st be enttoread.V SUBROGATION IS WAIVED.SuNect to
the turns and condltlens 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 andareementlaX
PRODUCER Arnuffo Vav*w
All Matore Insurance 305 T Nk 649.3995
888•NW 27th Ave,Suits 8 el)motersone Leon
Mlaml,FL 33125 INSUREA181 APFOROING COVERAGE MAIC•
Pharos (305)649-M.7 Fax (305"4796 INSURER A: Mount Vernon Fire Inaurencs Company
INSURED -INSURER 8: Am Trust North Amerloa
NOWNI Plumbing Contractors INSURER C•
2815 NW 83 Rd AVIS I
Miami,FL 33128-
(788)853.)484 INSURER
INSURER F
COVERAGES CERTIFICATE.NUMBSt: REVISION NUMBER:
THIS IS TO CERTIFY THAT TIL?POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO TME INSLNtED 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 1S SUBJECT TO ALL THE TERMS.
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
TYPE OF INSURANCE AM SUN
POLICYNUMSER MO LIMITS
GENERAL LL"IL1TY CH OOCUR 1000 000.00
® COMMERCIAL OEN9RA1.UA0IUTVpp. 1SI? o O a 100,000.00
❑ ❑:CCAIMSMADE1❑I .00CUR MED EXP.Any-cre Ir 8,000.00
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❑
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❑ GENERAL AGGREGATE a 000 OOD.00
ODA AGGREGATE LIMB APPLIES PER: PRODUCTS•COMPMP AGO S 2,000,000.W
® POLICY 0 PRO' ❑ L a
AUTOMOBILE LIABILITY BIN O NGi.E LaNT
❑ ANY AUTO a00ILY INJURY(Per pamm) a
❑ ALL OWNED d SCHEDULED AUT BODILY INJURY(Per ewldsnt S
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B OFFiCERAIEMBER E(CLUDED? Na A .N 08112/2014 081120015
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DESIY E.L.DISBAsr..r.AEMPLOYE a 1,0D0,000.W
�FilPnds ON OF OPERATIONS below E.L.OISEAss•POLICY LIMir a 1,000,000.00
DESCRIPTION OF OPERATIONS I LOCATIONS i VEHICLE$"Ch ACORD Lei,Addhloeal Rsmamw Sohsdulo,B mon tpa. Ie regairat)
PLUMBING COMMERCIAL
CERTIFICATE HOLDER CANCELLATION
$MOULD ANY OF THE ABOVE
DESCAIBF.D pbt;It:1�S�CANCELtAD BEFQRE
City of Muffed shared TKII ID(PIMr0N DAT)r` k0libF,NtitK,9 WILL.02130ji!ERED IN
10b50 NE2 Avenue' ACCORDANCE:WITH THE POLICY PROVIS?NS..
Miami Shores VIIIage,FL 33138AUTHORI»D REPRESLNTAYIVE
ARNULFO VASQUEZ
•• ®1008.2040,gCORD CORPORATION. All rights reserved.
ACORD 26(2010 8)GF The ACORD nmm and logo are registered marks of ACORD