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PL-15-2729 r Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-246633 PermitNumber: PL-10-15-2729 Scheduled Inspection Date: December 16,2015 Permit Type: Plumbing - Residential Inspector: Diaz, Osvaldo Inspection Type: Final Owner: VERA, EDUARDO Work Classification: Sprinkler System Job Address:950 NE 95 Street Miami Shores, FL 33138- Phone Number Parcel Number 1132050070120 Project: <NONE> Contractor: CENTRAL IRRIGATION INC Phone: (305)255-5090 Building Department Comments REPAIR AND INSTALL NEW LINES FOR THE Infractio Passed Comments IRRIGATION SYSTEM. 50 SPRINKLER HEADS 4 NEW INSPECTOR COMMENTS False ZONES ON EXISTING PUMP&WELL. Inspector Comments Passed EDI Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid December 15,2015 For Inspections please call: (305)762-4949 Page 23 of 51 Miami Shores Village Building Department OCT Z015 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 IH S BUILDING Master Permit No.p�_I c�'��� V PERMIT APPLICATION Sub Permit No. ❑BUILDING r-] ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION ❑RENEWAL OPLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 950 NE 95th Street City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 11-3205-007-0120 Is the Building Historically Designated:Yes NO X Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder):Eduardo Vera Phone#:(305) 803-0381 Address:950 NE 95th Street City: Miami Shores State: FL Zip: 33138 Tenant/Lessee Name: None Phone#: Email: eduardoverav@gmail.com CONTRACTOR:Company Name: CENTRAL IRRIGATION INC. Phone#: (305) 505-0019 Address: 8975 SW 198 TERRACE City: MIAMI State: FL Zip: 33157 Qualifier Name: CARLOS VICTORIA Phone#: (305) 505-0019 State Certification or Registration#: CFC1428365 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ �2,7J v Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New N Repair/Replace ❑ Demolition Description of Work: Repair and install new lines for the irrigation system �C SF0tAjK6'L 4e-,J S — �A_ NIS Zo)yG S Ok) &Ci 9LIA,a ('�►M ro �, 1u,�11 Specify color of rrcolor thru tile: Submittal Fee$ w O�3 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$ I I � (Revised02/24/2014) 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 on 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 einspection fee will be charged. Signature Signature -1 OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of_A ,20 /P ,,by day of ® .20 1 by (5 who is personallyknown to (� who is personally known to N YY' me or who has produced EZZ as me or who has produced �� -p91 �(�- as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign:— Sign: Print: Print: Seal: , Seal: o&W No. Notary Public Mate of Florida Notary public State of Florida ? Sindia Alvarez Joanna M Feliciano ag My Commission FF 156750 My Commission FF 081753 ��po°� Expires 09103/2018 APPROVED BY C�'`� Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) CENTRAL IRRIGATION. ine P.O Box 970251 Miami,FI 33197-0251 State Lie:CFC1428365 Phone/Fax:(305)255-5090 Email:Vconstruction@aol.com www.Central-Irrigation.com October 26,2015 State of Florida Miami Dade County Before me this day personally appeared 0-t PLOS AlaoIU' who,being duly sworn, deposes and says: That he or she will be the only person working on the project located at 950 NE 951 Street, Miami Shores FL 33138 Sworn to(or affirmed) and subscribed before me this2-6 day of O} t0 800 . 2015,by (`, V=LQf M Ua M2�E� Personally know Or Produced Identity [ Type of Identification Produced L Prin ype or Stamp Name of Notary Sincerely, aawArdn=Expires ublic State of Flortda lvarez o, My 9/03/2018 ommission FF 156750 Water Smart Irrigation.... Keeping A Green World Central Irrigation, Inc. "®Irrigation SMART assnCUMON- ®IRRIGATION Member d MONTII— WWW.CENTRAL-IRRIGATION.COM Sinn UM% Miami shores V11age rn Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Pax: (305)756.8972 Notice to Owner- workers' Com ensation Insurance Exem tion Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers'Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full-time employees,including the owner,must obtain workers'compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if: 1. The officer owns at least 10 percent of the stock of the corporation,or in the case of an LLC,a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State,Division of Corporations;and 3. The corporation is registered and listed as active with the Florida Department of State,Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers'compensation exemption and has acknowledge that he or she will not use day labor,part-time employees or subcontractors for your project.The contractor has provided an affidavit stating that he or she will be the only person allowed to work on your project.In these circumstances,Miami Shores Village does not require verification of workers'compensation insurance coverage from the contractor's company for day labor,part-time employees or subcontractors. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature Owner State of Florida County of Miami-Dade The foregoing was acknowledge before me this P& day of_("()E5!Ce ,20 6 By!�7yPiKrX) *:P-A . who is personally known to me or has produced Fly-'012`YZ U a�J J as identification. Notary: SEAL: eoT°s�^ Notary Public State of Florida Sindia Alvarez c� My Commission FF 156750 "oFa�°� Expires 09/0312018 eraNt LAO-15-2729 �s o, Miami Shores Village ' 1'8T#7ilt TyibC " �l � 10050 N.E.2nd Avenue NEor.."W"rmIt Wo ass # .Sprinkler System Miami Shores,FL 33138-0000 Statin-APPRovED rm Phone: (305)795-2204 OR[Op' issue nate-.1113 #116 Expiration: 05/0112016 Project Address Parcel Number Applicant 960 NE 95 Street 1132050070120 Miami Shores, FL 33138- Block: Lot: EDUARDO VERA Owner Information Address Phone Cell EDUARDO VERA 950 NE 95 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone CENTRAL IRRIGATION INC 305 255-5090 Valuation: $ 2,450.00 ( ) (305)505-0019 (. Total Sq Feet: 0 Type of Work:REPAIR AND INSTALL NEW LINES FOR TH Available Inspections: Type of Piping: Inspection Type: Additional Info: Final Bond Return: Underground Sprinkler Classification:Residential Scanning:3 Review Plumbing Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.80 Invoice# PL-10-15-57582 DBPR Fee $2.25 10/26/2015 Credit Card $50.00 $118.30 DCA Fee $2.25 Education Surcharge $0.60 11/03/2015 Credit Card $ 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 zoning. Futhermore,I authorize the above-named contractor to do the work stated. November 03, 2015 Authorized Signature:Own r / Applicant / Contractor / Agent Date Building Department Copy November 03,2015 1 Z I Cer4ral Irrigation Desgn ------------ -I ❑Wson W—S— Irng—Ta- .gy rsao-a3z ano Existing Irrigation i 3/a• _ 3/4' / U E 1-174• - - - _ W � � N 4 U - __---�� U ei O LL uNi i M Z - m Ea N 3'a' O E • Irrigation iJ ° m a C (n Z LU rn W LU 3/4' NCY)Er LO r�{uT Tav1 iT'' ate �-�.� S Z O • • • • • Soso•• A *00:0* • 1-1/4" Lpprca�/eel f� .. It ..., - - -- - $a lIJV� - 7ate, ••o� • 'i SSSS ••oSi• P� • C .... Cr •, :....: 3f' 1' i SSSS � • •• SSSS• BVI/1 • • SSSS• SSSS SSSS• !� Existing Irrigation • s m0 • 1.5 HP Pump •• 60 •r14 9 960690 i Existing Irrigation � _ Rain Sensor I Controller ;s 0:0 a LL•o o• \` o m • a 1fa P • • d =•�.10�• :SSSS: ® . 00 N - i 1.112 PVC main fine SCH-40 a�•�pa� Existing Irrigation - - - — - --- - -'- - - - - - - - - - - - - - -- - — - - - — - - - - - - - - - - - - - -- -- - - - - - - — - — - - - - - - - - - - - - - - - - -- - - - — - - - - - - - - Revisions Dwatoon Data 5 1.5" 17 GPM 31 GPM 30 GPM 77 GPM e 1.5'Rain Bird PGA Series 4 ice,®" �o.. •s=- •w. • r e... Rain Sensor •�" � a Desi-24-,5 • �, -a-•-•• Rain Bird ESP-SNIT Irrigation controller. o �� •' .� `>an,Qas W NVQ PVC Main Line SCH-40 cha- xsy t�'� ,�,, h (,P .• .R: PflE&SUflE V4CWAN BflFAKEP PVC Lateral line Class 160 H-03178 CFC-1428365 oPY © Existing Pump CFC-1429383 '•" q� CTOB:07P000163 �mng CC#o8-CLS-14754-R �'.,• ��� o- _ � Rain Bird Spray treads 1800 Series(High as needed) ilm 18/8 Multi conductor irrigation wire Eduardo Veras - d Irrigation Rain Bird 5004 rotor heads Irrigation a a� sem, AssocumoN' IRR-1 1.1 1 st— Member nre m3 nmw� 102415-1102P By:Carlos Victoria