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PL-14-1246 � I / � --/� 3—T> Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-215470 Permit Number: PL-6-14-1246 Scheduled Inspection Date: July 10,2014 Permit Type: Plumbing - Residential Inspector: Diaz, Osvaldo Inspection Type: Final Owner: VALERIE HALPERN, RICHARD LIBUTTI Work Classification: Gas Job Address:9377 NE 9 Place Miami Shores FL 33138- ' Phone Number Parcel Number 1132050070100 Project: <NONE> Contractor: DO YOU NEED A GQOD PLUMBER INC Phone: (305)758-9215 Building Department Comments NEW GAS LINE AS PER PLANS Infractlo Passed Comments INSPECTOR COMMENTS False Ef Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-214156. PROVIDE SHUT OFF TO OVEN Failed Correction ❑ �� _I'�f Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. July 09,2014 For Inspections please call: (305)762-4949 Page 31 of 44 6—R—TCFC1428296 • MIAMI,FIARIDA 33150 PHONE 305-758 9215 • doyounwAagoodplumber@yahoo.com 61')PQ YNIM11"Ds J July 8,2014 - _ — r zki Ref: 9377 NE 9"Place Miami shores,FL. DO YOU NEED A GOOD PLUMBER,INC.has been to the above to the above referenced location and performed a drop test on the gas system. The drop test held 9"on the column for 15 minutes.There are no leaks at the current time. If you have any questions please feel free to call us. Thank you, Kyle J.Harween Ot".11-11117- RENE LOPEZ MY COMMISSION*FF01INS EXPIRES April 24,2017 ( 396Otd3 F1ortdallotarysGr*9.Mtt . . . . . . . . . . . . . . . . . . . . . . . . . . . . Miami Shores Village 9D Building Department x SUN 13 2014 10050 N.E.2nd Avenue, Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 �i�: INSPECTION LINE PHONE NUMBER:(305)762-4949 le FBC 201® BUILDING Master Permit No. ;z z & V PERMIT APPLICATION sub Permit No.2/ /G/ la?%� F-1131.111-DING ❑ ELECTRIC ❑ ROOFING ftiEVISION ❑ EXTENSION ❑RENEWAL LUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP �� ,yam� CONTRACTOR DRAWINGS JOB ADDRESS: Z ,3 :2 /(( 2 City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Copstruction Type: Flood Zone: BFE: FFE: ` .��Aftt-' L.Aa OWNER:Name(Fee Simple Titleholder) t c yQ gE�i°Z6( Phone#: Address: q _3')1) it( City: Q-R,---td 5 &&A�je State: Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: a �e �� (� ��a6��°J , c� �(�s Phonem Address: City: ?A�_jz c.;r- State: ("Ift Zip: 3-5 Qualifier Name: :gn It A AoL �,j zne-c- Phone#: -;t ;7 S:ff- 2x/ State Certification or Registration#: -�19 �(f Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ L V Square/Linear Footage of Work: -0 C Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work:1er4e,, 4�C S Specify color of color thru tile: Submittal Fee$ Permit Fee$ U'�?o 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) s 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 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 ang a reinspection fee will be charged. Signature Signature -� ER or AGENT CONTRACTOR The foregoing instrum nt was acknowledged before me this The foregoiYltrument was acknowledged before me this day of 20 (� , by day of 20 2011, ,by �A&1?51tho is personally known to �,7�ae�,�,jg�6 w <s personally known o me or who has produced PL— 042--4W-"L - as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: nntuti� Sign / G,9° °:. ' Sign: Print: = <�;r 'D;; n Print: pr , � j� "G✓ _ .A .... Seal: �,�°.��, r.; �e,� Seal: ;� °•". �^: ,go.. RENE LOPEZ \\\\� MyCOPvMMISSION #FF011535 EXPIRESAt. 2•i,2017 APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) From: FAXmaker To: Miami Shores Building Department Page: 2/2 Date: 6/13/2014 11:35:46 AM F a � DATE @!bi/DDM Yl�' � 'a' CERTIFICATE OF LIABILITY INSURANCE 06/13/2014 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 pollcy(les)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions 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 endomement(s). PRODUCER CONTACT NAME: Bouchard Insurance for CoAdvantage PHONE FWAX DR 101 Starcrest Drive An; No Ext Clearwater, FL 33758 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC 9 INSURED INSURER A: American Zurich Insurance Company 40142 CoAdvantage Corporation Alt. Emp:Do You Need a Good Plumber, Inc. INSURER BINSURER c: 3550 Buschwood Park Drive#200 Tampa,FL 33618 INSURER D: INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER:14FLO77862457 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. INSR SUISH LTR TYPE OF INSURANCE POLICY NUMBER MMIDD EFF PAOA/DID EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ CLAIMS-MADE F-I OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GENT_AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICYF-1JFCT L-1 PRO LOC $ AUTOMOBILE LIABILITY COMSIN Ea accident ANY AUTO BODILY INJURY(Per person) $ AUI OWNED ASUCH�EtD,ULED coaa.v o.uuw loo.000tde.,el r HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident Is Is UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS-MADE AGGREGATE $ DED RETENTIONS $ WORKERS COMPENSATION WC STAT AND EMPLOYERS'LIABILITY X ANY PROPRETOR/PARTNER/EXECUTWE Y/N TORY LIM OFFICER/MEMBEREXCLUDED? N/A WC 56-11-942-00ELEACH ACCIDENT $ 1,000,000 (Mandatory In NH) 04/01/2014 04/01/2015 E.L.DISEASE-EA EMPLOYE $ 1,000,000 B yea,deacrroe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 Location Coverage Period: 04/01/2014 04/01/2015 Client# 10233-FL DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Coverage is provided for Do You Need a Good Plumber, Inc. only those employees 7501 SW 37th Ct. leased to but not FORT LAUDERDALE, FL 33314 subcontractors of: CERTIFICATE HOLDER CANCELLATION Miami Shores Building Department SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 10050 NE 2 Ave THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Miami Shores Village,FL 33138 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. This fax was sent With GFI FAXmaker fax server. For more information,visit: hftp://www.gfi.com