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PL-13-394 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-209368 Permit Number: PL-2-13-394 Scheduled Inspection Date: September 17,2014 Permit Type: Plumbing - Residential Inspector: Diaz, Osvaldo Inspection Type: Final Owner: HOLT,JAMES Work Classification: Addition/Alteration Job Address:361 NE 97 Street Miami Shores, FL 33138-0000 Phone Number Parcel Number 1132060135760 Project: <NONE> Contractor: RICHLIN PLUMBING INC Phone: (305)258-0870 Building Department Comments PLUMBING WORK FOR INTERIOR REMODEL AND Infractio Passed Comments ADDITION INSPECTOR COMMENTS False Inspector Comments Passed E/ CREATED AS REINSPECTION FOR INSP-186452. c� Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. September 16,2014 For Inspections please call: (305)762-4949 Page 5 of 45 �ep. 9. 2413 9:36AM Nc. 49;9 DATE IMMroorm , oaE•®-- CERTIFICATE 4F LIABILITY INSURANCE L i THIS CERTIFICATE f$ISSUED A8 A MATTER OF INFORMATION PRODUCER AnmAG Willis insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATDOR H 4759 N.W.183rd St. HOLDER HIS CERTIFICATE RTIFICATE DO ED BELQ�L--{ �TEBINI�QIL� ---ij PM*mi,FL 39D5525.3894 INSURERS AFFORDING COVERAGE— ——•—•I MAIC 0 Phone(305)626-8131 Fax ( 1 6_——— GRANADA INSURANCE CO.— INSU�R A: ---- —---r — �—--------— t>1 i BsWe insurance 2 m IHn�— INSURED RlChftn FMutrl�t►91nc. Rl�� 13286 SW 218 TERRACE I p1SUw cL ep�olnt ir►aurar>ce comms—.--.—�� MtAW,FL33170 rI�►st�RERn:---- -- - ---� — I --- — SURER E=_------- �•— --I L _ --- M-156TO—THE INSURED NAMED AIRNM CONBRAOES _ THE PO S R CfVRM OR CONDITION OF ANY CONTRACT OR OTHER.DOCUMENT Wr H RESPECT TO WHICP H THIS,CERTIFICATE MAY BE ISSUED OR i UIREMPIT- ANY REQ {AAT PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO All THE TERMS,EXCLUSIONS AND CONDITIONS OF —� POLICES A•AGGREGATE L6Y418 SHOWPI MAY HAVE BEEN REDUCED BY PAS I mm�N LINTS —_ rpm aedL —TYPE OF INSURANCE — ——POLICY NuMSER��g IM LD^T-� - 1,000,QDO _ VI EACH OCCURRENCE_ _ OFNERAL L"llm T EED 1 OO,ODD 1 08!21/14 ERs1P. —5 ❑COMMERM GENERAL LIAS1LnY 0185FL=1225 0612 113 MED EXP(Any ass Pin) 00 CLAIMS MADE ❑ OCCUR PERSONAL ADy INJURY —�1,�0000 /1 �] ❑ — ——— — 1 I GENERAL AGGREGATE I �,�� ❑ — —_ 1 ROoUCTs-Ct>I�ioPAGG 1,000,00�� GEN'L AGGREGATE LIMIT APPLIES PER — —— —_�--_ I — ❑ POLICY U�OJECT L LOC 1——— — — — — — COMBINED SINGLE LIMIT 1,000,000 -+ 1 eouaP �---- AUYOtaoeNLeLtABunY /12 12/04/13 Via_— —.-- 'X091178-3 � 12104 I 12 ANY AUTO I BODILY INJURY J ALL OWNED AUTOS 1 ( "L—— —.—. B SCHEDULED AUTOS BODILY INJURY 21 MIRm AUTOS (Pet eoweno_— T-- `® NON OWED AUTOS PROPERTY Nu?,II6AGE ttt I———— — — — — — — AUTO ONLY-EA ACCIDENT — GARAGE LMOTHER THAN A — C [ LU ANY AUTO _-AUTO ONLY. —GG — I --—..--——•�---—--— ———— EACH OCCURRENCE pit (iSNeI9RELLA LIAWLnY !AGGREGATE --— ❑ OCCUR CJ CLAIMS MADE ❑ DEDUCTIBLE — ❑ RETENTION i — — — — Q OYEAOAO 01 08/ 93 08/29/14KfRS WCP7600927 EtPLOYERSUABWTY —. E.L_EACH ACCIDENT UOMO-1� IC ANY PROPRIETOR I PARTNER 1 EXECUTIVE E.L.DISEASE.FA EMPLOYEE —10-0,000 �,04D OFFICER I @FIBER E%GLUDEO? —— Iyas,descao under E.L.DISEAIBE POLICY LIA41T .1,000,E f PEG&PRQY-111QNSWff --— —--— ——— OTHER ^_-- - — AESCRIpTION OF OPl AT10NS!LOCATiON9!VEFECLBS—t oTcLU810NS ADDED BY ENDORSEMENT/SPECIAL PROMSIONS — CANCELLATION ----—— — CERTIFIGATEHOLDER _----- -- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER MALL END>:AVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMRD TG mWW shores VOW TII� , LURE TO 00 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY 100W ne 2 ave OF KIND UPON ER, AGENTS O REPRESENTI►TNES_— m1aW ftme 0 33138 AUTKOR�ED NTA VE 'I,_.,t I 1—--——-----———-- — —— --- ACO FtRORATiON 1988— ACORD 25(2001/08)QF 4 Miami Shores Village Building Department CA, 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel: (305)795.2204 Fax: (305)756.8972 INSPECTION'S PHONE NUMBER: (305)762.4949 FBC 2010 BUILDING Permit No. PL-`� '+� PERMIT APPLICATION Master Permit No.RC 13-391 Permit Type: PLUMBING JOB ADDRESS: 361 NE 97th Street City: Miami Shores County: Miami Dade Zip; 33138 Folio/Parcel#: Is the Building Historically Designated:Yes X NO Flood Zone: OWNER:Name(Fee Simple Titleholder):Jim Holt Phone#:828-781-0563 Address:361 NE 97th Street City: Miami Shores State: FLZ;p; 33138 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: RICHLIN PLUMBING INC. Phone#: 305.258.0870 Address: 13286 SW 218 TERRACE City: MIAMI State: FL Zip; 33170 Qualifier Name: ROHAN SUGRIM Phone#: 954.520.9466 State Certification or Registration#: CFC1427514 Certificate of Competency#: Contact Phone#: 786.256.5146 Email Address: SUGRIMR@BELLSOUTH.NET DESIGNER:Architect/Engineer: RUBEN TRAVIESO Phone#: 786.250.7522 Value of Work for this Permit:$15,700.00 Square/Linear Footage of Work: 4,300 Type of Work: ❑Address UAlteration ONew ORepair/Replace ❑Demolition Description of Work: FURNISH&INSTALL NEW SANITRY LINE FOR NEW LAUNDRY SPACE,4 NEW BATHROOMS(SANITARY&SUPPLY), CUT EXISTING CONCRETE SLABS WHERE APPLICABLE. Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ U�y TOTAL FEE NOW DUE$ 1 1• 0 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 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 w i h occurs s en (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be ap r ve a a inspection fee will be charged. i Signature Signature � O er` -Agent - tractor The foregoing instruMe t y s acknowledged before me this The foregoing instrument as cknowledged before me this--N day of 120. ,by day of 2013 ,by , who is personally known to me or who has produced who is personally known to me or who has pr7dtake fi%atietra7 d Wflu oa L as identif ion and an oath. KAREN ROGGIERO OTARY PUBLI "' " NOTARY P "t MY COMMISSION#FF001475 ?�• Pf EXPIRES March 25.2017 Sign: 40 3980163 Florldallots SeNIce.COm Sign: Print: Print: p- JOBEIERNNMM -17 , My Commission Expires: My Commission E r� ' MY COMMISSION#FF01&916 EXPIRES:June 3,2017 • 4t„t�� Bondul Thru NO"Put0c UrA w bm ��k�**kkkxkk�kxk+kkkktRkkkkk+kkxkk*k+k%kk�axkkk�kk��aNkw�akkhkk*k*kkkk%kx+k*kxk*�kkkkk+k�k+k*kkk+k*kkkkkkx�:+�k��+k�aNkk APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) STATE OF FLORIDA - DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 SUGRIM, ROHAN NANOO RICHLIN PLUMING INC 13286 SW 218TH TERRACE MIAMI FL 33170 F S-A!M- OF>FLORIOA AC# :,ongratulations! With this license you become one of the nearly one million DEPART E7F SfIISINESS AN7 =loridians licensed by the Department of Business and Professional Regulation. PFprgg; gGIIhATIOAi Jur professionals and businesses range from architects to yacht brokers,from �� )oxers to barbeque restaurants,and they keep Florida's economy strong. CFC1427514 : s y__ 2 128019679 =very day we work to improve the way we do business in order to serve you better. F =or information about our services,please log onto www.myfloridalicense.com. CERTIFIED OR. there you can find more information about our divisions and the regulations that SWAIM, 1��! mpact you,subscribe to department newsletters and learn more about the RICHLIN '13 Department's initiatives. Jur mission at the Department is:License Efficiently,Regulate Fairly.We ,onstantly strive to serve you better so that you can serve your customers. IS .CyT1Fz uacter rye vrovfBionsr ch.489 as thank you for doing business in Florida,and congratulations on your new license!,. i=g � date,: AUG.3I, 2f)a 002_1 09 DETACH HERE :#.; 6243438 . .: STATE OF_FLORIDA DEPARTMENT :OF 'BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD SEQ#L12080201809 .• - LICENSE NBR 8/02/2012 128019:639 CFC.1427'51 = . he PLUMBING CONTRACTf7R r 3med below IS CERTIFTEII ° ruder the provisions of Chapter Ewr xpiration date: AUG 31, 2014 r° SUGRIM, ROHAN NAN00 RICHLIN PLUMBING ;IN£ 13286 SW 218TH TERRACE' MIAMI FL:.:3.317 0 I RICK SCOTT REN LAWSON GOVERNOR SECRETARY -1 nmrr�-r�if', ww 003276 Local Business Tax Receipt Miami—Dade County, State of Florida —THIS IS NOT A BILL—DO NOT PAY 6121024 EXPIRES BRECEIPT NO.BUSINESS NAME/LOCATION RENEWAL- SEPTEMBER 30, 2014 RICHLIN PLUMBING INC 6383996 Must be displayed at place of business 13286 SW 218 TER Pursuant to County Code MIAMI FL 33170 Chapter 8A—Arc.9&10 SEC.TYPE OF BUSINESS PAYMENT RECEIVED OWNER 196 PLUMBING CONTRACTOR BY TAX COLLECTOR RICHLIN PLUMBING INC CFC1427514 $75.00 07/09/2013 Worker(s) 5 TXHSl-13-015976 This Local Business Tax Receipt only confirms payment of the Loral Business Tax.The Receipt is not mremmeme or permit.or a certification of the holders quallficahons,to do business.Holder must comp with any 9 nongovernmental regulatory laws and requirements which apply to the business. commercial vebicles—Miami—Dade Code Sec Be The RECEIPT N0.above mast be displayed on all midaae For more information,visit �_v&URQ9-1c= MIAMI-DADE COUNTY _ 2012 LOCAL BUSINESS TAX RECEIPT 2013 FIRST-CLASS TAX COLLECTOR NHAWDADE COUNTY=STATE"OF FLORIDA. U.S.POSTAGE 140 W.FLAGLER ST. EXPIRES SEPT 30,2013 PAID MIAMI,FL 1st FLOOR MUST BE DiSPLAm AT PLACE OF BUSPIM MIAMI,FL 33130 PURSUANT TO COUNTY CODA. ODE CHAPTER SA-ART 9&i0 PER NO.231 612102-4 THIS IS NOT A BILL—DO NOT PAY RENEWAL . 7514 BUSINESS NAME/LOCATION STATE# CFC14RECEIPT NO2638399-6 RICHLIN PLUMBING INC 13286 SW 218 TER 33170 UNIN DADE COUNTY OWNER RICHLIN PLUMBING INC WORKER/S Sec.Tof Business 5 19'rPLUMBING CONTRACTOR THIS IS ONLY A LOCAL BUSINESS TAX RECEIPT.R DOES NOT PERMIT THE HOLDER TO VIOLATE ANY EXISTING REGULATORY OR DO NOT FORWARD ZONING LAWS OF THE COUNTY OR CITIES. NOR DOES IT EXEMPT THE HOLDERFROM ANY OTHER PERMIT OR LICENSE REQUIRED BY LAW.THISSIS RICHLIN PLUMBING INC S NOT A CERTIFICATION OF THE HOLDER'S GUALIFICA- DUMGA BARNETT PRES TIONS. 13286 SW 218 TER PAYMENT RECEIVED MIAMI FL 33170 MIAMI-OADE COUNTY TAX COLLECTOR: . 07/11/2012 - 09010383001 000075.00 -`'. ':�:31111 SEE SEE OTHER SIDE Xug. 14, 2013 2:43PM No. 0396 P. 1 CERTIFICATE OF LIABILITY INSURANCEOATIE(MANDDIYY) �— 08/14/13 PRODUCER Annelte WiBls Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 4759 N.W.183rd SL ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Miami,FL 33055 HOLDER,THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Phone (305)625-8131 Fax (305)625.3694 INSULRERS AFFORDING COVERAGE TER TNE RAGE ncn BY T OLlC NAICL# INSURED Richlin Plumbing Inc. INSURE A; GRANADA INSURANCE CO. 13286 SW 218 TERRACE INSURER B: pro ressive insurance company MIAMI,FL 33170 INSURE C; coade oln(insurance company INSURER 0: INSURER E; COVERAGES INSURER F: THE POLICIES OF INSURANCE LISTED 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 DP-SCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONSAND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. tNSR mat. TYPE OF INSURANCE POLICY I:FFEC1iVE POLILY Exwra►TtoN POLICYNUrHBER DATE reeltpWYlr DATE YMm4lYY LIMITS GENERAL LIABILITY EACH OCCURRENCE 1,000„000 ❑COMMERCIAL GENERAL LIABlLm CI BSFL00027225 06/21/13 06/21/14 PREMlges Ea o��li�ea 100,000 A ❑ OO CLAIMS MADE ❑ OCCUR MED EXP(Any one person} 5,000 ❑ _ PERSONAL&ADV INJURY 1,00,0000 ❑ GENERAL AGGREGATE 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER; PRODUCTS-COMPIOP AGCY 1,000,000 ❑ POLICY ❑PROJECT ❑ LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ❑ ANYAUTO 0609117” 12/04/12 12/04/13 Ea accident 11000,000 ❑ ALLOWNEDAUTOS B n� SCHEDULED AUTOS BODILY INJURY w HIRED AUTOS (Per on) ® NON OWNED AUTOS BODILY INJURY O (Peraaxdenp PROPERTYDAMAGE (Per act1dent GARAGE LIABILITY AUTO ONLY-EAACC IDENT C Cl ❑ ANYAUTO ! O OTHER THAN EA ACC AUYOONLY; AGO EXCESSIUMBRELLAEUA EACH OCCURRENCE ❑ ❑ OCCUR ❑ AGGREGATE ❑ DEDUCTIBLE _ ❑ RETENTION uEVOPL.OERSEYCOMPENSATION'L� RAND MWCP760892701 08129h2 08/29/13 S/] WTAu- STI ❑ E, OTH. C ANY PROPRIETOR/PARTNER r ExE �,CUTfVE E.L.EACH ACCIDENT 1,500,000 OFFICER/MEMBER EXCLUDED? IfyeS,dWbibe under E.L.DISEASE.EA EMPLOYEE 1,000.000 SPECIAL PROVISIONS OdW OTHER EL DISEASE-POLICY LIMIT 1,000,005 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES f EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE A90VE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL miaml shores village DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER HAMM TO 10050 no 2 ave THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LUIBIUTY mismi shores 0 33138 OF ANY KIND UPON THE IM URER,ITS AGENTS OR REPRESENTgTIVEs. AUTHORIZED REpit r E q\ ACORD 25(2001108)OF AMAJCORPORATION 1988