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PL-13-2329 vc Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-201149 Permit Number: PL-10-13-2329 Scheduled Inspection Date: September 10,2014 Permit Type: Plumbing - Residential Inspector: Diaz, Osvaldo Inspection Type: Final Owner: GREEN, MATTHEW&AMANDA Work Classification: Addition/Alteration Job Address:930 NE 95 Street Miami Shores, FL Phone Number Parcel Number 1132050070070 Project: <NONE> Contractor: R&I PLUMBING SERVICES CORP Phone: 305-823-6911 Building Department Comments KITCHEN AND BATHROOMS RENOVATIONS Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Ef- Failed Correction Needed Re-inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid. September 09,2014 For Inspections please call: (305)762-4949 Page 2 of 44 I - - Miami Shores Village xc Buil OCT � �. 2013 Building Department g p 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 BY- Tel:(305)795.2204 Fax:(305)756.8972 INSPECTION'S PHONE NUMBER: 3 762.4949 L FBC 20 BUILDING Permit Noi PERMIT APPLICATION Master Permit No. Permit Type: PLUMBING JOB ADDRESS: C) P, g cm- City! Miami Shores , County: Miami Dade Zip; Folio/Parcew. 2A�2-z 20 Is the Building Historically Designated:Yes NO Flood Zone: OWNER:Name(Fee Simple Titleholder):9 "hone#: Address:_ ' V P a o q L !" City: L pstALt . �� State. F� Zip: ^- Tenant/i essee Name: )I-i Lits- Phone#• Emafi: CONTRACTOR:Company Name: Phone#• Address: ��' `� �� q�� City: State: Zip: Qualifier Name: , 6 �c�-t�,� Phone#: ��'=�—� ®0i P>� State Certification or Registration#: Certificate of Competency#: ®:P ®(0 n Contact Phone#: Email Address: c��_ J,� DESIGNER Architect/Engineer. 4,-T ►f Phone#• Q.C) Value of Work for this Permit:$ 5Z 60—) Square/Linear Footage of Work: Type of Work: OAddress OAlteration ONew ORepair/Replace ODemolition Description of Work: - Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Edncation Fee$_Technology Fee$ Double Fee$ Straetural Review$ TOTAL FEE NOW DUE$_3 •© 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 IlAPROVEMENTS 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$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. ' Signature JSignature er or Agent Contractor The foregoing instrument was acknowled before me this�— The foregoing instrument was acknowledged before me this day of (2! �'$,20 3 by A M�Y16c---- M;;.4,fl bN 4 ay of ®CJ— .20 L�1,by &/rte &,#ZAIA A) , who is personally known to me or who has produced who is personally known to me or who hat produced . As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign Print: �A cLY l.:�— C> . 1��Y�2� Print: Il&Ci tr t c� My Commission ,, MARIA D.PERE? My Commis PAY COMMISSION#EE 127195 ` MARIA D.PER¢ EXPIRES:September 7,2015 MY COMMISSION#EE 12779b Bonded Thru Notary PubHo Underwdteis EXPIRES:September 7,2015 teintt**,rrieartert,Y*ttr *+kdr*,txtnkir*�,r*,t*,k�kt,kir***,t*e ,trx* j APPROVED BY — r� Plans Examiner Zoning e Structural Review Clerk (Revised3/12/2012)(Revised 07/10/07XRevised 06/10/2009XRevised 3/15/09) Municipal Contractor's Tax Receipt Miami-Dade County, State of Florida —THISIs NOT ABILI.—DO NOT PAY CC NO:03/`000074 v� BUSINESS NAME&OCATION RECEIPT NO. EXPIRES 7898 NNW 11PtUM�74GTERR�LES CORP N Eire BUSINESS SI N Ess SEPTEMBER 30, 2 014 MIAMI,FL 33015 7438622 Must be displayed at place of business Pursuant to County Code Chapter 8A—Art.9&10 OWNER TYPE OF BUSINESS R&I PLUMBING SERVICES CORP PLUMBING CONTRACTOR PAYMENT RECEIVED BY TAX COLLECTOR 200.00 10/10/2013 0221-14-000170 MMMM Farmers information,visitwww miamidade gov/taxcollector Local Business Tax Receipt Miami-Dade County, State of Florida —THIS IS NOT ABILL—DO NOT PAY I%... LBT.1 500765:1 BUSINESS NAMEILOCATION RECEIPT NO. EXPIRE S R&I PLUMBING SERVICES CORP RENEWAL SEPTEMBER 30 7898 NW 174 TERR 522898 , 201'4 MIAMI,FL 33015 Must be displayed at place of business Pursuant to County Code Chapter 8A—Art.9&10 OWNER SEC.TYPE OF BUSINESS PAYMENT RECEIVED R&I PWMEING SERVICES CORP 196 PLUMBING CONTRACTOR BY TAX COLLECTOR 8250 10/10/2013 Worker(s) 1 03F000074 0221-14000170 This Local Business Tax Receipt only confirms payment of the Local Business Tax.The Receipt is not a license, permit,or a certification of the holder's qualifications,to do business.Holder mast comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECOPT N0.above mast be displayed on all commercial vehicles—Miami4)ade Code Sec 8a-216. MM o For more mformation,vishwww.miam ii Iade.gov/tucoUoctor r STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD RFW67119 The PLUMBING CONTRACTOR Named below HAS REGISTERED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2015 (INDIVIDUAL MUST MEET ALL LOCAL LICENSING ING N ANYAREA REQUIREMENTS PRIOR TO CONTRACTING ) GU2MAN,RENE INDIVIDUAL 7898 NW. 174TH TERR. MIAMI LAKES FL 33015 VIVA FLORIDA 0 . RICK SCOTT ISSUED: 09/08/2013 SEQ# L1309080002688 KEN LAWSON GOVERNOR DISPLAY AS REQUIRED BY LAW SECRETARY JEFF ATWATER CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS'COMPENSATION **CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS'COMPENSATION LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers!Compensation law. EFFECTIVE DATE: 3/28/2013 EXPIRATION DATE: 3/28/2015 PERSON: GUZMAN RENE FEIN: 611433275 BUSINESS NAME AND ADDRESS: R&I PLUMBING SERVICE COI 7898 NW 174 TERRACE HIALEAH FL 33015 SCOPES OF BUSINESS OR TRADE: PLUMBING NOC AND DRIVERS Pursuant to Chapter 440.05(14),F.S.,an officer of a corporation who elects exemption from this chapter by filing a cerof election under this section may not recover benefits or compensation under this chapter.Pursuant to Chapter 440.05(12),F.S.,Certiffaates of election to be exempt..apply only within the scope of the business or trade fisted on the notice of election to be exempt Purs=d to Chapter 440.0.5(13),F.S.,notices of electron to be exempt and of election to be exempt shaft be subject to revocation if,at anytime afferthe filing of the notice or the issuance of the eertiate,the person named an the notice or _ certificate no longer meets the requirements of this section'tor ism of acerfificats.The departmentshalf revoke a at any time for failure of the person named on the certificate to met the requirements of this section. DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 07-12 QUESTIONS?(850)413-1609 9