PL-13-2169 (2) j � Miami Shores Village RECEI T
Building Department artment JAN 2 12015
10050 N.E.2nd Avenue, Miami Shores,Florida 33138 BY:
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20 10
BUILDING Master Permit No. 2-1
PERMIT APPLICATION Sub Permit No. —'Z
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ENEWAL
XPLUMBING ❑ MECHANICAL ❑PUBLIC WORKS [:] CHANGE OF ❑ CANCELLATION ❑ SHOP
_ CONTRACTOR /'' DRAWINGS
JOB ADDRESS: //� /i CA,) / � O s�' �� �G•�� �� � ��
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood one: BFE: FFE:
l OWNER: Name(Fee Simple TitleholderPhone#:
Address: 00 �> �-iCKAdZ. S
City: k State: Zip: f
Tenant/Lessee Name:: Phone#:
Email: ot"L-0—
CONTRACTOR:Company Name: o �ht['!e`dlo C� Phone#: � X63° 3
Address: //3/0
City: ,�r�rwi1 State: v= C Zip: Mr `�5—
qualifierName: T= R-J@0 -7Orejc, Phone#: 6'
State Certification or Registration#: E4:;-- Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Va rrftit:�$ "` Square/Linear Footage of Work:
Ty of;
Work ❑ �ldditiorr � � ;Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Decriptiop,of Work:
s.
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ Y/56- CCF$ '-GO CO/CC$
Scanning Fee$ Radon Fee$ . DOS DBPPRR\$ a Notary$
Technology Fee$_ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ 15-9 . l
(Revised02/24/2014)
A
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 notirf of fewill
mencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Als a ce ed copy of the recorded notice of commencement must be posted at the job site
for the first inspection which o rs seve ) dafter the building permit is issued. In the absence of such posted notice, the
inspection will not be ap rove a d a reins ion f be charged.
Signature Signatur G�
ENT CONTRACTOR
The foregoing instru ent was acknowledged before me this The foregoing instrument was acknowledged before me this
daof `-t,A % 'I 20 , by day of 20 , by
j-�.G w ois personally know to �— who' ersonally know
me�ir who has produced as me or who has produced as
identification and who did take an oath. identification and wh d'd t k an oath.
NOTARY PUBLIC: NOTARY PUBLIC: e
�,,, APILAI o`~r-r P6
s o RAQML GARCIA
MY CpNflAISSION#EE 221249 '�' '"= Notary Public-state of Florida
,�. EXPIRE�S� �un�„ ,s My Comm.Expires Jun 28.2016
1,2010
Sign: ' r;^` eon Sign: Commission#EE 200530
IT—
Print: Print: 'd r-1ore-)
Seal: - . MYIJUEl Seal:
y• •„cQnN#EE 221249
i 2016
' Bonded Thou Notar)Puy%-Wdr�ti.ri m
EP
APPROVED BY AsO� Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
a
CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395
1940 NORTH MONROE STREET
TALLAHASSEE FL 32399-0783
A
GARCIA, RODRIGO
ROCKET PLUMBING CORP
11310 SW 46 STREET
MIAMI FL 33165-5546
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. PROFESSCOI4ALAEGULATION
Every day we work to improve the way we do business in order to. CFC1428827 ; SSUEO '-06/03/2014
serve you better. For information about our services,please log onto
www.myfloridalicense.com. There you can find more information CERTIFIED PLOR
about our divisions and the regulations that impact you,subscribe GARCIA,RODIGQ
to department newsletters and learn more about the Department's
initiatives. ROCKET PLUMBINCa '
Our mission at the Department is:License Efficiently,Regulate Fairly.
We constantly strive to serve you better so that you can serve your u
customers. Thank you for doing business in Florida, LS CERTIFIEDunder the provisions of Ch.488 FS.
and congratulations on your new license! Ear date AUG 31,2016 L140SO30000624
----- - ------
DETACH
-DETACH HERE
RICK SCOTT,GOVERNOR KEN LAWSON,SECRETARY
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD -
CFCI42SS27
d .
The PLUMBING CONTRACTOR
Named below IS CERTIFIED
Under the provisions of Chapter 489 FS.
Expiration date: AUG 31,2016
NQ �
■
GARCIA, RODRIGO
ROCKET PLUMBING CORP-7,, � " 5 � � •y
11310$W 46 SCI2EET '
MIAMI. -FC S1iS5-56
N Al"NA - ■
r
ISSUED: 06/03/2014 DISPLAY AS REQUIRED BY LAW SEQ# L1406030000824
L
falimidad-e.Gov(
Online payment by e-checking.and by credit card will be available on November 1,2014 for real estate and tangible
personal property tax payments.
1
We have moved.Our new address is:
i 200 NW 2nd Ave,Miami,FL 33128
The information contained herein does not constitute a title search or property ownership.
Account details Account history
2015 2014 2013
Paid Paid Paid
Account number: 7153901 Owner(s): ROCKET PLUMBING CORP
Business start date: 05/01/2013 11310 SW 46 ST
Business address: ROCKET PLUMBING CORP MIAMI,FL 33165
11310 SW 46 ST Mailing address: ROCKET PLUMBING CORP
MIAMI,FL 33165 RODRIGO GERCIA PRES
Physical business location: UNIN DADE COUNTY 11310 SW 46 ST
MIAMI,FL 33165
BI` Print account application
(PDF)
Paid 2014-09-16$75.00
Contracting 1010112014— NAICS code: Receipt#CREDITCARD-14-037801 ®` Print this
PLUMBING 09/30/2015 23822 bill
CONTRACTOR Units:.1
Additional documentation required:CFC1428827 State/County License or Certificate
CERTIFICATE OF LIABILITY °^SIM
INSURANCE 02!11/2015
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 poilry(les)must be endorse!. N SUBROGATION IS WAIVED,subject to
the term and conditions of the poUcy,certain policies may require an endorsement A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorzement(s]_
PRODUCER NAME:
q
INSURE SAFE,INC. PHOII(d 305-303 7080 FAx 305-267-4205
aAc Ne
2246 SW 57th Ave Eivo%ss: insuresafeinc@yahoo.com
Miami INSU S AFFORDING COVERAGE NAICO
FL 33155 WSURERA: QBE Specialty Insurance Company
INSURED INSURERS: RetapFirst Insurance Company
Racket Plumbing Corp, INSURER C:
11310 SW 46 Stmt INSURER D:
INSURER E:
Miami FL 33185 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.
LTR TYPEOFINSURANCE VAM POUCYNUMBER POLICY E)� UNITS
GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
COMMERCIALGENERALLIABILITY P EMI 4fEaocauly c $ 100,000
CL P IMS MADE OCCUR MED EXP(Any one n) $ 5,000
A SCLOOD4323 0610412014 06104/2015 PERSONAL&ADV INJURY $ 1,000,000
GENERAL AGGREGATE $ 2,000,010
GEN L AGGREGATE LIMIT APPLIES PER: PRODUCTS-WMPADP AGG $ 2,000,000
POLICY M LOC $
...
AUTOMOBILE LIAIM Y IN M $
ANYAUTO BODILY INJURY(Per person) $
ALL CANED SCHEDULED
AUTOS AUTOS BODILY INJURY(Per a0wenQ $
HIRED AUTOS AUTOS EU ;n
YDAMAGE $
$
UMBRELLA UA13 OCCUR EACH OCCURRENCE $
EXCESSLIAB CLAIMS44ADE AGGREGATE $
DED I RETENTION $
WORKERS COMPENSATION TATuOTit
AND EMPLOYERS LIABILITY YIN
ANY CERIMETO EX CLNERrocEcuTIVE 07/28/2014 07128P1015 EA..EACHACCIDENT $ 1,000,000
B oFFlceRrMEMSER ExcLuoEm �Y NAA 520-48402
9desaibedr E.L.DISEASE-EA EMPLOY $ 1,000,000
&RI DPERATIONS below E.L.DISEASE-POLICY LIMIT 1,000,000
DESCRIPTION OF OPERATIONS A LOCATIONS/VEHICLES(Aftch ACORD 101.Aditanal Rwn*Aa Schedule,If more spam to required)
Commercial and Reskkwftl Plumbing only
LicBnse d CFC1428827
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Wang Shores\Allege ACCORDANCE WITH THE POLICY PROVISIONS.
Building Department
10050 N.E.2nd Avenue AUTHORI29D REPRESENTATIVE
Miami Shores,FL 33138 Fax 305-756-8972
ACORD 25(2010105) 01988-2010 ACORD CORPORATION.All rights reserved.
The ACORD name and logo are registered marks of ACORD
I
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