The URL can be used to link to this page

PL-15-987 4E Inspection Worksheet Miami Shores Village I 10050 N.E.2nd Avenue Miami Shores,FL , Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number. INSP-247283 Permit Number: PL-4-15-987 Scheduled Inspection Date: November25,2015 Permit Type: Plumbing -Residential Inspector: Diaz,Osvaldo Inspection Type: Final Owner: , Work Classification: Addition/Alteration Job Address:652 NE 105 Street Miami Shores, FL Phone Number Parcel Number 1122310120140 Project: <NONE> Contractor: DELLA ROSSA PLUMBING&SOLAR LLC Phone: (954)479-4270 Building Department Comments PROVIDE PLUMBING FOR 5 BATHROOMS AND 1 Infractio Passed Comments INSPECTOR COMMENTS False KITCHEN RELOCATE GAS FOR STOVE Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-233328. PENDING ONLY POW[11=R RnnM I A�/ Failed �j,P1�J �.� 1]-z,5-j 1 q a Correction Needed Re-Inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid November 24,2015 For Inspections please call: (305)762-4949 Page 19 of 42 Ae"miiiW -4. Miami Shores Village P6 i it Type,`f 9unibl Res ic#W, WIF �� 10050 N.E.2nd Avenue NEr it )kass� hrr0.mai r.. Miami Shores,FL 33138-0000 Phone: (305)795-2204 M� t7�� ' OROVED. �YORIDp' -'41 8� 01 .. Expiration: 10125/2015 Project Address Parcel Number Applicant 652 NE 105 Street 1122310120140 KILUAN, INC Miami Shores, FL Block: Lot: Owner Information Address Phone Cell KILUAN,INC 652 NE 105 Street MIAMI SHORES FL 33138- 150 SE 2 Avenue MIAMI FL 33131- Contractor(s) Phone Cell Phone Valuation: $ 30,000.00 DELLA ROSSA PLUMBING&SOLAR 1 (954)479-4270 _...... _...... _. ............. .... _..__...._._ Total Sq Feet: 525 Type of Work:PROVIDE PLUMBING FOR 5 BATHROOMS AN 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 $18.00 Invoice# PL-4-15-55324 DBPR Fee $15.75 04/28/2015 Credit Card $ 1,088.50 $50.00 DCA Fee $15.75 Education Surcharge $6.00 04/24/2015 Credit Card $50.00 $0.00 Permit Fee $1,050.00 Scanning Fee $9.00 Technology Fee $24.00 Total: $1,138.50 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 7:oni�nthermore,I authodwthe above-named contractor to do the work stated. April 28, 2015 zed Signature:Owner / Applicant / Contractor / Agent Date Bui; ing Department Copy April 28,2015 1 rR,.Aiami Shores Village Cir Building Department APR 24 2015 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 �Y Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 1= C 2® BUILDING Master Permit No.,PO--% Ir- 93 PERMIT APPLICATION Sub Permit No. a Z!S ]BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION F-1 RENEWAL ®PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS !OB ADDRESS: 652 N. E. 105 St. City: Miami Shores County: Miami Dade Zip: 33138 Folio/Parcel#: 11-2231-012-0140 Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): Kiluan, Inc. Phone#: Address: 652 N.E. 105 St. City: Miami Shores State: Florida Zip: 33138 Tenant/Lessee Name: N/A Phone#: Email: CONTRACTOR:Company Name: Della Rossa Plumbing &Solar Phone#: (954)479-4270 Address: 4332 Peters Rd. D&E city: Plantation State: Florida zip: 33317 Qualifier Name: Joseph Della Rossa Phone#: (954)479-4270 State Certification or Registration#: CFC 1427740 Certificate of Competency#: DESIGNER:Architect/Engineer: A$ I Associates Phone#:(305)310-5030 Address: 370 N.E. 101 St. city:Miami Shores State:Fl. Zip: 33138 Value of Work for this Permit:$ V.b_ WQp Square/Linear Footage of Work: 525 SQ. Ft. Type of Work: r-] Addition 0 Alteration ❑ New ElRepair/Replace ❑ Demolition Description of Work: Provide plumbing for 5 bathrooms and 1 kitchen A&S &C X-1 JF t Specify color of color thru tile: x� Submittal Fee$ Permit Fee CCF$ CO/CC$ Scanning Fee$ Radon Fee$ ®®® DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ //��C'J (� TOTAL FEE NOW DUE$TV C * \J (Revised02/24/2014) r ' Bonding Company's Name(if applicable) N/A Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) N/A 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 and a reinspection fee will be charged. Marco ru i ( ector Kiluan, Inc) Joseph Della Rossa (Qualifier) Signature nature OWNE o AGENT The foregoing instrument was acknowledged before me this The foregoin instrument was aclknowledged before me this _day of Y i ,20 by � day of y( IC>� l 20 �C by H(�►Y(,L� 6 rozz who is personall�kn to 9oSeg)A � ,who is per ally known to me or who has produced as me or who has produced 1� L 1,4 sola as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTA y � Sign: 1--122,2a Sign: I Print: C ) Print: <►"' e' Seal: a ROBERTOSILVA Seal: "PA.W��E LUCIA G ISASI �® a". 'a MY COMMISSION#FF182628i Notary Public'State of Florida Commis�or FF 89393 EXPIRES December 10,2018 My comm.expires Feb.4,2018 APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014; RICK SCOTT,GOVERNOR KEN LAWSON,SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD CFC1427740 {' The PLUMBING CONTRACTOR �` ` � Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2016 DELLA ROSSA, JOSEPH ALFREDO �.. DELLA ROSSA PLUMBING&SOLAR LLC 4332 PETERS RD UNIT D&E PLANTATION FL 33317 — • 0 ISSUED: 08/14/2014 DISPLAY AS REQUIRED BY LAW SEQ# L1408140001625 i BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm.A 100, Ft. Lauderdale, FL 33301-1895—954831-4000 VALID OCTOBER 1,2014 THROUGH SEPTEMBER 30,2015 DBA: Receipt#:pLUMBINGl/LWN SPRNKL/CONTRACTOR Business Name:DELLA ROSSA PLUMBING & SOLAR LLC Business Type•(PLUMBING & SOLAR LLC) Owner Name:JOSEPH ALFREDO DELLAROSSA Business Opened:07/07/2008 Business Location:4332 PETERS RD State/County/Cert/Reg:CFC1427740 PLANTATION Exemption Code: Business Phone:954-479-4270 Rooms Seats Employees Machines Professionals 1 For Vending Business Only Number of Machines: Vending Type: :TEATransfer Fee NSF Fee Penalty Prior Years Coliectim Cost Total Paid .00 0.00 0.00 0.00 0.00 o.ao a�.00 iGATE i61N1DOM'YY1 AR H CERTIFICATE OF LIABILITY INSURANCE 0422115 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. FMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the pol"Ies)must be endorsed. if SUBROGATION IS WAIVED,subject to! the terms and conditions of the policy,certain policies may require an endorsement. A statement an this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER _ -..._ ._ NAIVE�T Freedom Insurance Agency PHONE t} (954)792-3660 — i No}, -W,791-8019 101 South State Road 7 Ate : info�freedominsurartceR.cortl Plantation,FL 33317 ' INSURER(S)AFFORDING COVERAGE _ NAI:s Phone (954 7) 92-3660Fax (95.4)791-8019 __ INSURER A: Federates National insurance Comparrj+ 10790 - h INSURED : INSURER B: Progrm Express Insuren-Company De►ia Rossa Plumbing&Solar,LLC INSURER C: l RetaiiFhst nsuramte Company j 5140 SW 20 Street ' IN�s rRER o r — -- — -� Plantation,FL 33317- INSURER E: -' _ INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAAAED 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.LdiAITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _ INSR _ -ADDLSUBM _ ` POLICY YEFF POLICY EV LIMITS _ LTRTYPE OF INSURANCE wPOLICY NUMBER tegR WVD _ ) i0m) fn. GENERAL LIABILITY a "�– i EACH OCCURRENCE 1,000 000.04 DAMAGE TOR 1 100,000-1HI ® COMMERCIAL GENERAL LIABILITY j PREMISES(Ea aowrrej 1 $ 1— A ❑ CLAIMS-IlAADE W OCCUR Y N GL-0000017593-01 i 07/12f2014'07/12!2015 MED EXP(Any ) Is 6.WO.00 ! PERSONAL&ACV INJURY S 1,000,000.00 ! - GENERAL AGGREGATE S 2,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-complop AGG s 2,000,000.00 i POLICY ❑ jpER& ❑ LOC I _ j AUTOM0131LE LIABILITY C�OMH EDn1�NGlE UfMIT ❑ ANY AUTO BODILY INJURY(Per parson) S 100,000.00 ALL OWNED SCHEDULED 04475507-5 ; BODILrwJURY(Peraoedem) S 300,00000—� B ❑ AUTOS 0 AUTOS N :12/17/2014:12/17/2015. ❑ HIRED AUTOS ❑ NON-OWNED N-OWNED iRP,P ERTY DAMAGE is 50,000.00 ❑ ❑ ❑ UMBRELLA L IAB ❑OCCUR 4 j EACH OCCURRENCE I$ i ❑ EXCESS LIAR ❑CLAUAS-MAD£ i I AGGREGATE I S 1 e I I r - $ 1 ❑ DED ❑ RETENTIONS 1 WORKERS COMPENSATION ©WC SYATU (D TH- AND EMPLOYERS'LIABILITY YIN $ 1,000,044.40 j ANY PROPRIETOWPARTNERMXECUTNE I 0520.022633 E L-EACH ACCIDENT D . OFFICERIMEMBER EXCLUDED? ;!N/A i N + 109/16=14 109/1612015 (Mandatory In NH) L_. ! I E.t DISEASE-EA EMPLOYES$Vmder 1,00D,004.40 DESCRIPeON OF OPERATIONS Maar s ; �� { j E L DISEASE-POLICY UMYr, $ 1,000,000.00 !! j DESCRIPTION OF OPERATIONS/LOCATIONS)VEHICLES(Attwh ACORD 1011.Additional Romaft Schafte,N come apace Is required) j I � Certified Plumbing Contractor CFC 1427740 ! w I I i CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ' Miami Shores Village i THE EXPIRATION DATE THEItEOF,NOTICE WILL BE DELIVERED IN 104.50 NE 2nd Avenue ACCORDANCE WITH THE PDMCY PROVISIONS. Miami Shores,FL 33136 I AUTHORIZED REPRESENTA ©19 d'2#10 ACORD CORPORATION. All rights reserved. ACORD 25(2014/05)QF The ACOITname and logo are registered merits of ACORD