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PL-15-1691 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-238496 Permit Number: PL-7-15-1691 Scheduled Inspection Date: November 17, 2015 Permit Type: Plumbing - Residential Inspector: Diaz, Osvaldo Inspection Type: Final Owner: MARINO, STEPHEN Work Classification: Sprinkler System Job Address: 1066 NE 94 Street Miami Shores, FL 33138- Phone Number 305-812-0629 Parcel Number 1132050120120 Project: <NONE> Contractor: AFFORDABLE IRRIGATION, INC Phone: 305-681-6322 Building Department Comments INSTALL NEW IRRIGATION SYSTEM 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. November 16,2015 For Inspections please call: (305)762-4949 Page 3 of 38 Construction Trades Qualifying Board BUSINESS CERTIFICATE OF COMPETENCY ;. 96P000219 51r AFFORDABLE IRRIGATION D.B.A.: ROSAS MARCO Is certified under the provisions of Chapter 10 of Miami-Dade County 11/12/2015 17:59 3056816321 AFFORDABLE IRRIGATIN PAGE 04 ........ ......... .. .............................................................. ...............................,.,................ tRi.ci1 Contractor's Tac Recent Miami—Dade County, State of Florida -TK1318 NOT A BILL-DO NOT PAY CC NU 96P000219 M C 8U INESS N "O LOCA 'ON RECEIPT NO. EXPIRES AF�CdZDABLE ERRIGATION INC 198 NW 139 ST 7472017 SEPTEMBER 30, 2016. MIAMI,FL 33168 Pursuant to County Code Sec 10-24 OWNER TYPE OF(NiSINESS AFFORDABLE IRRIGATION INC SPECIALTY PLUMBING CONTRACTOR PAYMENT RECEIVED BY TAX COLLECTOR 175.00 09/17/2015 0222-15-004471 Th;r yveo�p�in,wwel:d;n.A_r..n.u.,rnn u„e;r;putie;ne•nv.n�„rw nmal Hialeah.Kav Biseavnm Miami Gardens,Miami Lakes,Palmetto Bay,Pinec+est.Sonny Isles Beach,Town of Cutler Bay. MI® For more information,visit wyymi hided®aav/ta=oaltca Lie; ' al e- ines5 Talk Receipt Miami—D.ade County, State of Florida -THIS IS NOT A BILL-DO NOT PAY 3617702 AF O.DABLE IRRIGATION INC R1=GEIPT NQ, lot EXPIRES 198 NW 139 ST RENEWAL SEPTEMBE Z 30, 2016 MIAMI, R 33168 3778882 Must he displayed at Place of business Pursuant to County Coag Chapter BA-Art.9&10 OWNFR SFC rvov IRRIGATION INC 196 SPECIALTY PLUM13ING PAYMENT RECEIVED By r coLLecraR CONTRACTOR Worker(q) 8 96P000219 75,00 09/17/2015 0222-15.004471 This local Basi""Tax p ecelpt nnlY eanflnns paymem of the Local puniness Tex.The goceipt Is mot a license, permit ora cattigeation of fhQ holders gaaliac"ona,to de business.Holder most comply with any gcvemmentst or nonpo-r"Iontal regulatory laws and requilwoGift which apply to the Gusinese. N The SECElPT N0,shoft must h,displayed on all commercial vohjclea- pt Miami-Dade Code Set Ba-2)B. FOrmore lnfy�Btlan,vjSlt,lppt+w.mianrldaA�..,.. �t I r /12/2015 17: 59 3056816321 AFFORDABLE IRRIGATIN PAGE 03 AL Ro o® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYY) 11/12/2015 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 pOIICy(les)must be endorsed. If SUBROGATION 15 WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement an this certificate does not confer rights to the certificate holder in lieu of such endorsement B . PRODUCER NCONTACT AME: Na nay Munoz BrCWil b BTOWTI Of Florida, Inc. PHONE (305)2475121 Fax (305I24S-8543 (A1C.N4.Fxt)� ._... -b—•---.. CUJB T,R, Jones & Co. E-MAIL ADDRE35:TSIlTU—nOzebinafl..cam I 78O N KrOme Ave INSURERS)AFFORDING COVERAGE NAIL N :anestead FL 33030 INSURERA:SCOttSdal6 InSUrance INSURED Company 41297 INSURER e Affordable Irrigation, Inc. INSURERC: P.O. Box 601743 1NSURERD:, __ INCURER E: I No Miami Beach FL 33160-1743 INSURFRF: -- {{ COVERAGES CERTIFICATE NUMBER:2015 master 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. R TYPE OF INSURANCEVOLPLICICY NUMBER MMlDDYMEFF 'VY LgrwMMLnphYYY) — LIMIT$ •_ X COMM�ftCIAL GENERAL LIABILITY EACH OCCURRENCE $ 11000,00 A. CWMS•MADE X OCCUR DAMAGE TO RENTED _ - _�-- CPE2255929 ;? Fnce) 5 100,000 ------ 9/Z2/2015 9/12/2016 MED EXP(Anyone pBrSon) S 5,000 -PERNAL INJURY $ 2,000,000 GEN L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 X POLICY ECT --' LOC -._ _... PRODUCTS-COMPIOPAGG (S 21000,000 _.L._. OTHER: Errors&orriasions I S Included AUTOMOBILE LIABILITY S I.1Ea acGCent) I ..- LtUMBINFL)SING MIT ANY AUTO I ;BODILYYINJVRY(Per Parson) 1 S _:AVTOS OWNEO AUTOS LEO --I---_. M BODILY INJURY(Paracoldent) S NON-OWN EO HIRED AUTOS :AUTOS i PROPERTY AMAGE I.(Peraoddent� ,•.,.- li UMBRFLLAIIAB' OCCUR S I •EXCESS LIAR __ ClAIMS-MAGEEACH OCCURRENCE'AGGREGATE CCURRENCE'AGGREGATE 8 OED RETENTION S -- WORKERS COMPENSATION ER 5 AND EMPLOYERS'LIAISILITY YIN STATUTE ER ANY PROPRIETORIPARTNERJEXECUTIVE • •-••-• OFFICER/MEMBER EXCLUDED? N/A .E.L.EACH ACCIDENT S (Mandatory in NH) --•. -- --...-_- nyYes,descnoe under E.L.DISEASE�EA EMPLOYEE S DESCRIaTION OF OPERATIONS below E,L,DE$EA$E_POLICY OMIT S I I i DESCRIPTION OF OPERATIONS!t,OCATIONS/VEHICLES(ACORD 101,Additional Ramarks Schedule,may be attached It more space is required) Sprinkler System Installation License Number: 96000P219 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shore village THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 10050 NE 2 Ave ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shore, FL 33138 AUTHORIZED REPRESENTATIVE T Jones JY./NANMUN ®1988-2014 ACORD CORPORATION. All rights reserved. ACORD 26(2014101) The ACORD name and logo are registered marks of ACORD INS026(201491) i TV M°" � Miami Shores Village 10050 N.E.2nd Avenue NE Miami Shores,FL 33138-0000 r ' Phone: (305)795-2204 tox�ow r Expiration: 01/06/2016 Project Address Parcel Number Applicant 1066 NE 94 Street 1132050120120 Miami Shores, FL 33138- Block: Lot: STEPHEN MARINO Owner Information Address Phone Cell STEPHEN MARINO 1249 NE 97 ST 305-812-0629 Miami Shores FL 33138 Contractor(s) Phone Cell Phone $ 2,400.00 Valuation: AFFORDABLE IRRIGATION, INC 305-681-6322 ._,. _ __.., ... Total Sq Feet: 00 Type of Work:INSTALL NEW IRRIGATION SYSTEM Available Inspections: Type of Piping: Inspection Type: Additional Info: Final Bond Return Underground Sprinkler. Classification:Residential Scanning:3 Review Plumbing Fees Due a Am ount Pay Date Pay Type Amt Paid Amt Due CCF $1.80 Invoice# PL-7-15-56255 DBPR Fee $2.25 07/07/2015 Credit Card $50.00 $ 118.30 DCA Fee $2.25 Education Surcharge $0.60 07/10/2015 Check#: 18640 $ 118.30 $0.00 Permit Fee $150.00 Scanning Fee $9.00 Technology Fee $2.40 Total: $168.30 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,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS 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 z uthermore, I authorize the above-named contractor to do the work stated. July 10, 2015 e Signa ure: n / Applicant / Contractor / Agent Date Building Department Copy July 10,2015 1 o\� s Village Miami Shore JUL 012015 �o iBu'Iding Department BY,_ --- 10050 _10050 N.E.2nd Avenue,Miami Shores,Florida 33139 Tel:(305)795-2204 Fax:(305)756-8972 L INSPECTION LINE PHONE NUMBER:(305)762-4949 CQ C 20A/ O A •-ir t{ Master Permit No. BUILDING Permit No. PERMIT APPLICATION sub Perm BUILDING � ELECTRIC [] ROOFING E] REVISION [] EXTENSION ❑RENEWAL SHOP PLUMBING [] MECHANICAL []PUBLIC WORKS ❑ CHANGE OFR CANCELLATION ❑ DRAWINGS JOB ADDRESS: Ci Miami Shores Count : Miami Dade Zi Is the Building Historically Designated:Yes NO Folio/Parcel#: Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: r- j -et o^i �A LA r Phone#: OWNER: Name(Fee Simple Titleholder): e Address: City: a M ic" `,•< State: �� Zip: Phone#: Tenant/Lessee Name: Email: CONTRACTOR:Company Name: 6Fi maw Phone#: ,��/- 3 2 Z Address: z 9e /u• l� 9 cf� City: /�-�/d/JZ: _State:,� G Zip: '„ ),�J Qualifier Name: _Phone#: A / q State Certification or Registration#: Certificate of Competency#: / 700 0�l DESIGNER:Architect/Engineer: Phone#: Address: City. State: Zip: Value of Work for this Permit: Square/Linear Footage of Work':' Type of Work: ❑ Addition tK Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: zX zz,,e ez-, 0 Specify color of color thru tile: Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ — Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) Bonding Company's Name(if applicable) Bonding Company's Address City State _ Mortgage Lender's Name(if applicable) Zip 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 t4 �'e 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 9o �7 NER or AGENT CONTRACTOR The foreg;day was acknowledged before me this The foregoing instrument was acknowledged before me this 20 1 S , by Je_day 20 /�, by 4 1(1 C7 who is personally known tom .1rCr < ,1 who ispersonally known to a me or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: +tiM"' JESSICA MARIA NOTARY PUBLIC: 1.7 MY COMMISSION#EE 848717 EXPIRES:March 2 2017 Bonded Ttnu Notary Public underwriters Sign: Sign: Pri .-e S S( ( p� arca— -!?e Print: Ol- /p cos Seal: Se : JORGE TOLEDO MY COMMIS3ION#EE 224678 EXPIRES:August 22,2016 * RT�irM4I�IIdi4W� ********** APPROVED BY r '/J Plans Examiner .�- Zoning Structural Review Clerk (Revised02/24/2014) t