Loading...
PL-15-2496 f2- Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-249404 Permit Number: PL-9-15-2496 Scheduled Inspection Date: January 20,2016 Permit Type: Plumbing - Residential Inspector: Diaz, Osvaldo Inspection Type: Final Owner: HERBITS,STEPHEN Work Classification: Addition/Alteration Job Address:246 NE 101 Street Miami Shores, FL Phone Number (305)962-5552 Parcel Number 1132060134630 Project: <NONE> Contractor: BGL PLUMBING CONTRACTORS, LLC Phone: (786)367-1932 Building Department Comments REMODEL KITCHEN AND MASTER BATH Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-244582 REVISION REQUIRED FOR STEAM UNIT Failed Cd Correction �u / Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. January 19,2016 For Inspections please call: (305)762-4949 Page 26 of 56 Miami Shores Village Building Department _ sip z�' j 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Y:— I Tel:(305)795-2204 Fax:(305)756-8972 ----- INSPECTION LINE PHONE NUMBER:(30S)762-4949 FBC 201 b BUILDING Master Permit No. Tic, - IS- 482 PERMIT APPLICATION Sub Permit No. 'P L 157 - ,2-T'3,6 BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION DRENEWAL OPLUMBING ❑ MECHANICAL OPLIBLICWORKS ❑ CHANGE OF CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 246 NE 101 St City: Miami Shores County: Miami Dade Zip: 33138 Folio/Parcel#: —3 Z 0(o —O 13 — y 6 3 C01s the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder):Stephen E Herbits Phone#: Address:246 NE 101 St City: Miami Shores State: FL Zip: 33138 Tenant/Lessee Name: Phone#: 30S Email: sherbits@gmail.com CONTRACTOR:Company Name: BGL Plumbing Contractors, LLC Phone#: 786-367-1895 Address: 2340 Overbrook St City. Miami State: Fl Zip: 33133 Qualifier Name: Giancarlo Perez Phone#: 786-367-1932 State Certification or Registration#: CFC1429167 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: (/ City: State: Zip: Value of Work for this Permit:$ `7 Z�C� Square/Linear Footage of Work: Z 00 Type of Work: ❑ Addition M Alteration El New /❑ Repair/Replace � ❑ Demolition Description of Work: � m o G� Vim � -l ( C�Lt)l Gvo'e A4 S e k-- 1 "l Specify color of color thru tile: ^^��1cc �Z$�n r Submittal Fee$ 5�/ 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$ C7T 8 (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 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 ap roved and reinspection fee will be charged. r Signatu Signature NER or AGENT CONTRACT The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this �L day of �b TP tw it— ,20 1 by 3 day of 5C�T,,;- nA 1,2,1—2 ,20 1 S by ST�b f?.0 n 46,75 ,who is@ersonally known 1a�L�ARI O 7e (2e-z- ,who is personally known to me or who has produced as me or who has produced as identification and who did take an oath. identification and wh i take an oath. NOTARY PUB C: NOTARY PUBLIC• Cvi � Sign: Sign: Print: Print: Seal: AYARI MARQUEZ Seal: �,�P" MY COMMISSION#EE19SB38 AYARI MARQUEZ EXPIRES:May 06,2016 MY COMMlSS10N 0 EE195836 a '�i� EXPIRES:May 06,2016 wct� APPROVED BY 7:0 /5 Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) 005070 Local Business Tax Receipt Miami—Dade County, State of Florida -THIS IS NOTA BILL - DO NOT PAY 7177732 �/ BUSINESS NAME/LOCATION RECEIPT NO. EXPIRES B.GL PLUMBING CONTRACTORS LLC RENEWAL SEPTEMBER 30, 2016 23W, © 1AMOK-ST 7457785 Must be displayed at place of business •r ;;- Pursuant to County Code Chapter 8A—Art.9&10 OWNER SEC.TYPE OF BUSINESS D RECEIVE BGL PLUMBING CONTRACTORS LLC 196 PLUMBING CONTRACTOR BY TAE PAYMENT T RECEIVE Worker(s) CFC1429167 LLECTOR $45.00 07/21/2015 CREDITCARD-15-037685 This Local Business Tax Receipt only confirms payment of the Local Business Tax.The Receipt is not a license, pera t are certification of the holder squalificadons,to do business. Holder mostgomply with any governmental or nongovernmental regulatory laws and requirements which apply to the business.'., The RECEIPT N0.above must be displayed on all commercial vehicles—Miami—Dade Code Sec lie-276. For more information,visit wwwmiamidade.gov/taxcollector A CERTIFICATE OF LIABILITY INSURANCE °A��8� 5 I THIS CERTIFICATE IS ISSUEDASA MATTER OF INFORMATION OANL:YANDCONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER,THIS CERTIFICATE DOES NOTAFFIRMATiVELY OR NEGATIVELY AMEND,EXTEND ORALTER 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 poilcy(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 Hou of such endorsement(s). PRODUCER WME; Andrew Cohn Regency Insurance Brokerage Services,Inc P,,C N E : 954-458.6323 No: 954-454-5862 217 E Hallandale Beach Boulevard ADDRESS: 1NSURER(S)AFFORDING COVERAGE MAIC 0 Hallandale FL 33009 INSURER A: Endurance American Spec Ins. INSURED INSURERS: BGL Plumbing Contractors LLC INSURERC. 2340 OVERBROOK ST INSURER D INSURER E: Miami FL 33133 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER': THIS IS TO CERTIFY'THAT THE POLICIES OF INSURANCE LISTED BELOWHAVE BEEN 1SSUE0 TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTUUITHSTANDINGANY REQUIREMENT,TERM Olt CONDITION OF ANY CONTRACT OR OTHER DOCUMENT NTH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE 1NSURANCEAFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TOALL THE TERMS, EXCLUSIONS AND> ONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, POLICY EFF P FR TYPE OF INSURANCE POLICY NUMBER MMiDDA"Y M/DDA YYYI LIMITS GENERAL LIABILITY E.4vIJOCCURRENCE $ 1,000.000 DAMAGE TO RENTED x COMMERCIAL GENERr;;;TALLl46iLll-Y PREMISES(Ea ocrtmncel $ 100,000 CLAIMSId1ADE r 0%1 OCCUR MED EXP(Any one person 5,000 A CBC20000698300 08/27/2015 08/2712016 PERSONAL&ADV iN UPY $ 1,000;000 GENERAL AGGREOATE $ 2,000,000 GEN'LAGGREGATELIMITAPPL.IESPER-. PRODUCT&-COMPIOFAGG �$ 1,000,000 X POLICY PRL?- LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea a=aent AN'i AUTO BODILY Ih1JJPY(Perperson) ALL OWNEDSCHELDILED AUTOS AUTOS EtODILYIN.&URY(Faracz+dant) $ NON-OV0,1ED PRPERTYC,A :GE HIREDAUTO AUTOS nr fidory UMBRELLALIAS OCCUR EACH OCCURRENCE $ EXCESS LIAR r-LAIMS-MADE ACrGRS&ATE $ LIED I I RETENTION W TKERSCOMPENSATION 4VC STATU- I IOTH- AND EMPLOYERS'L"LrrY Y/N ANY PROPRIETOR/PARTNER)EXEf-ITNEN, E.L EACH ACCIDENT OFFIC'.ER/MEMBEREXCLUDEW rN 1A (Mandatory In NH) E,L G ISEASf-EA EMPLC1`E $ IA-describe under GESGRIPTIONOFOfiERATiONslelow EL DISEASE-POLh 'LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 401,Additional Remadis Schedule,If more space is required) Commercial,Industrial and Residential Plumbing Contractor and LPG installer. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shores Village Bldg.Dept THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN 10050 NE 2nd Avenue ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Miami Fl 33138 01988.2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD SINE p,.. Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner— workers' compensation Insurance Exemption 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-rime employees or subcontractors. BY SIGNING BELOW YO CKNOWLEDGE 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 Q day of %p /p2 20 1,-T. By k,-h WIZ who is personally known to me or has produced as identification. Notary: & SEAL: P A ARI MARQUEZ MY COMMISSION#EE195838 EXPIRES:May 06.2016 aa� BGL Plumbing Contractors, LLC 2340 Overbrook Street Miami, FL 33133 ----------------------------------------------------------------------------------------------------------------------------------------- Date: June 17,2015 State of Florida County of Miami-Dade Before me this day personally appeared Giancarlo Perez who, being duly sworn,deposes and says: That he will be the only person working on the project located at 246 NE 101 Street,Miami Shores, FL 33138. Affirmed and subscribed before me this 17th day of June,2015 by Produced identification Type of Identification Produced: ��r�SOV�Cl�ly �hO�vi Print,Type or Stamp Name of Notary YP AYARI MARQUEZ My COMMISSION#EE195938 OF + te ` EXPIRES:May 06,2016 Miami Shores Village ftfiType, 'iUilbit[ =ieSi+dE�tiI 10050 N.E.2nd Avenue NE 'i��i >'7nl1:A d r1Aft to Miami Shores,FL 33138 0000 Phone: (305)795 2204 Ft7C7tuiBS.'Aim FKORNp' xpir I n. E at'o 03/201 Project Address Parcel Number Applicant 246 NE 101 Street 1132060134630 Miami Shores, FL Block: Lot: STEPHEN HERBITS Owner Information Address Phone Cell f STEPHEN HERBITS 246 NE 101 Street (305)962-5552 MIAMI SHORES FL 33139- 1000 VENETIAN Way MIAMI FL 33139- Contractor(s) Phone Cell Phone Valuation: $ 4,200.00 BGL PLUMBING CONTRACTORS, LLC (786)367-1932 Total Sq Feet: 200 Type of Work:REMODEL KITCHEN AND MASTER BATH Available Inspections: Type of Piping: Inspection Type: Additional Info: Top Out Bond Return: Final Classification:Residential Scanning:3 Review Plumbing Underground Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $3.00 Invoice# PL-9-15-57268 DBPR Fee $3.38 10/06/2015 Check#: 1502 $ 198.76 $50.00 DCA Fee $3.38 Education Surcharge $1.00 09/30/2015 Check*1491 $50.00 $0.00 Permit Fee $225.00 Scanning Fee $9.00 Technology Fee $4.00 Total: $248.76 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 s'rict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsipility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELE9TRICAL;PLUMBING„UECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I'certify the`all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction a d zoni g'Fu 1-authorize the above-named contractor to do the work stated. October 06,2016 Au zed Si nature Own r / Applicant / Contractor / Agent Date Building epa ment Copy October 06,2015 1