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PL-15-2478 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone.(305)795-2204 Fax: (305)756-8972 (3� inspection Number. INSP-249455 Permit Number. PL-9-15-2478 Scheduled Inspection Date: March 17,2016 Permit Type: Plumbing -Residential Inspector. Hernandez,Rafael Inspection Type: Piping Owner. WONG,BRIAN A MARILYN Work Classification: Addition/Alteratioa Job Address:1236 NE 93 Street t-I N��-- Miami Shores,FL 33138- _. Phone Number (305)4424884 Parcel Number 1132050270180 Project <NONE> Contractor. Y&M PLUMBING INC Phone:(305)267-1676 Building Department Comments REPLACE BATH SINKS,TOILETS, SHOWER VALVES, INSPECTOR COMMENTS False Comments TUB. Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-248990. partial less hall tub Failed El Correction ❑ Needed Re-Inspection Fee No Additional Inspections can be scheduled until re-inspeftn fee Is pidd ti a •'� P I 3 Miami Shores Village 3. 10050 N.E.2nd Avenue NE . z Miami Shores,FL 33138-0000 Phone: (305)795-2204 I ;� �� 11 ; l Expiration• 011412016 Project Address Parcel Number Applicant 1236 NE 93 Street 1132050270180 BRIAN&MARILYN WONG Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell =BRIAN&MARILYN WONG 1236 NE 93 Street (305)442-8884 MIAMI SHORES FL 33138- 1236 NE 93 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 7,500.00 Y&M PLUMBING INC (305)267-1676 ._ _._..�.....: a.�.._.:.�.: .._ra Total Sq Feet: 0 Type of Work:REPLACE BATH SINKS,TOILETS,SHOWER Available Inspections: Type of Piping: Inspection Type: Additional Info: Top Out Bond Retum: Final Classification:Residential Scanning:1 Review Plumbing Underground Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $4.80 Invoice# PL-9-16-57246 DBPR Fee $3'94 09/29/2015 Check#:1874 $50.00 $236.18 DCA Fee $3.94 Education Surcharge $1.60 11/16/2015 Credit Card $236.18 $0.00 Permit Fee $262.50 Scanning Fee $3.00 Technology Fee $6.40 Total: $286.18 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUM MECHANI WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I ce e g inf ation is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. F he ab armed contractor to do the work stated. November 16,2015 Authorized Signature:Owner / Appli nt / ontractor / Agent Date Building Department November 16,2015 1 1111312015 10:12 LOPEZ NORNARM fX=294=7 PAU7f0U7 �►�� CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE 53 ISSUED AS - - A MATTER OF INFORMATION ONLY ANO CONFER$NO MGM UPON THE CERTIFICATE HOLDER,THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER 771E COVERAGE AFFORDED BY THE POLICIE8 BELOW. THIS CERTIFICATE OF INWRANCE DOES NOT COMBTMITE A CONTRACT BETWEEN THE ISSUING INSURER(ft AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE MOLDER. IMPORTANT:Nth#enMkAbbo derla an ADDITIONAL INSURED612w POIIWk*Mu tbeeeedOMML 89118ROGATION ISWANW.oubjentio go leans slid condlthwic Mtlb Il Aky emteln Policies mw mquft asE ondmummmiL Addomentan tide coMod s does m d amferrig&to the cwMw is hottlor In Ik a orsuch endarsomorg E09ft Ce pwo 284.3357 5755 w.Flagler Street#204 Miami,FL 33144 Pboee (305)284 3836 Fax (311M 264-3357youmm I wFET>N9Gr®covERwoE RAIL w wKq=Ai GRANADA INSURANCE COMPANY Y 6 M Phnnbing,Inc. MMv: TECHNOLOGY INSURANCE COMPANY INC 4601 SW 127 CT c -------- -_ fAwnl.FL 33175 e D SCFC142001 R: COVERAGES CERTIFICATE HU M ISEW REVISION NUMBER: THIS 98 TO CERTIFY THAT THE POLICIES OF INSURANCE LWFED BELOW HAVE BEEN ISSUED TO THE NAMED ABOVE FOR THE poLIC1'pERIDD (NOICATE:D. KOI MI46TAMMO ANY REQUIREJYENr TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT`WITH Famplec 4 TO WINC"TMS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE 11SURAN13E AFFINWED BY THE POLICIES DEMMeE D HEREIN M SUBJECT TO ALL THE TERMS. E=LUSIONS AND CONDITIONS OF SUCH POLICIES.LFATS SHOWN MAY"AVS BEEN REDUCED BY PAID CLAIMS. TV TrPEGFINSDRANCE I now PODGY ATHSR LPN GENERAL L111NI.ITY EUM O DYCE 1000<000 ® COMMERCIAL GERIWAL LIABILITY C] ❑ aAswa�AEAos ® �� s 900,000 A N N DISSFLO 30004484 0411SR01S 04/152016 MEGA OIspw=* S 5.000 0 PflRSONAL s AW INJURY i 1.000.000 0 GENERALA6GR9GATE s 1.000;000 AEWL AGORMA'TE LIMIT APPURS AER PRODUCTS•C AGG s _ 4.000000 0 POLICY O 2& 0 Loc_� s A11701M0011A LIABILITY CO "pUILI IT s p ANYAII7o 0 ALL OYVNFDAUM woOLY■axy pw pwon) S e scNEDIncDAuras soOLys"A Y(PM s PROPERTY DAMAGE i 0 rnaec/alroa PeT NON-OV01MA1/701 i ❑ s 0 nelrNbLLw LtAe p OCCUR EACH OCCURRENCE S wcceaB tJAB 0 q ISMgpE ABc,REOAT•E : p DEOIICTIBE s "Mum 0 = WORKERS QOIEPOiSATMAM EmplJovour A RETURrr� TIF ri TWC3516108 E L EACHACLTD6NT i 100.000 8 Cf == Da Y XIAJ N 1i/102015 1111 2018 okmidwy to NN) LL DOMW-EA U& 8 800.000 TIONS6dow ILLOWME-POLICYLINT1 S 100.000 OFS0RIP110NDF®ERAT1MIL4)CATXXOIVE MES(ANWhACORDIH.AWBsongNrlwft2chool .Hamm"moNnmpdrs ► Plumbing$aEYiCes-CFC1.428687 CERTIFICATE MOLDER CANCELLATION SHOULD ANY OF THE AROW DESCRIBED POWIES 13E CANCELLED WFORE3 THE ISIPMATION DAMe NFiaml Shorn VIII%" ACCORDANCE 1110TH 7�ilE ,P THEREOFNOTICE Sim oEpLNEteBD IN Btdldbl$DepaWment 10050 N.E.2nd AvWue AUTNVL v AePNF�HerAT1YE Mlsmi Shares,Florida 33138 ACORD 25(2009M)OF The ACORD name ICORPORATION. A0 r(ghls►seemed. 08o are Mgbbred It1aft OI ACORD I 'd dSO :*,D ST ET A0W 11/11/2015 2016 deWis-Business TaxAccomtY&M PLUMBING INC-Tax3ys-Mleall-Dade CowVTexCollector MOM ® v Taff Collector Horne Search Reports Shopping Cart Please do not include any special characters In the name,address,and e-mail field such as#,&,hyphens,comma, dashes. We have moved.Our new address is: 200 NW 2nd Ave,M lam i,FL 33128 The information contained herein does not constitute a tide search or property ownership. 2015 Tax Bills are Payable on Sunday,November 1,2015. 2016 Details — Business Tex Account Y & M PLUMBING INC Business Tax Account 45560454Account history 2016 2015 2014 2013 ... 2010 PAID PAID PAID PAID PAID Account number. 5560454 Ow ner(s): Y&M PLU IVEIING INC Business start date: 05/01/2005 CJO YAMI3 MARTIN,QUALIFE2 Business address: Y&M PLU111IBING INC 4601 SW 127 CT 4601 SW 127 CT MIAMI,FL 33175 MAK FL 33175 Mailing address: Y&M PLUMBING INC Physical business location: LININ DADE COUNTY CJO EUSEB10 M MARTIN,PRES®6NT 4601 SW 127 CT MIAMI,FL 33175 Flags: Home Business 1 ` b Print account application (PDF) Receipts And Occupations Receipt 5500603 PAID 2015-07-31 $75.00 Contracting 10/01/2015— NAICS code:23822 Recelpt#ECHECK<15-159095 Print this bill PLUMING CONTRACTOR 09/30/2016 Units:1 Additional documentation required:C FC1426681 State/County License or Certificate W" hdpsJAww.rrdanidade.gouty.twm.cxurdpublicbmrmss tWaocowls/5560454 1/1 Miami Shores Village Building Department i SEP2 2015 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 ^ " r INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20(0 BUILDING (waster Permit No. ��—/_�l3 iP6 PERMIT APPLICATION Sub Permit Nod - ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑EXTENSION ❑RENEWAL PLUMBING [:] MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP II 1 Q2 CONTRACTOR DRAWINGS JOB ADDRESS: 6 2 3( �"� ` J St City: Miami Shores County: Miami Dade Zia: 33138 Folio/Parcel#: 11— 3 2 0 S^O L --C 4 8 d Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): Irl Phone#: '786 --:RE-O 719 Address: t2_3(0 NE" q 3 s % r City: s6res State: t (___ Zip: 33(3 Tenant/Lessee Name: /14 Phone#: Email: CONTRACTOR:CompanyName: Vu` 0 M ( Phone#: 3 �rJ Address: S 5w Af' City: State:_T=L Zip: 33/S5 � Qualifier Name: a W%_ K. Phone#: S65—:561'"'tQJ9-/r7 State Certification or Regis ation#: Certificate of Competency#: DESIGNER:Architect/Engineer: � q L Phone#: 30 5"ZAS-43 4'3 Address: 3 /n__I, W -5 l City: State: Zip: Value of Work for this Permit:$ 4 k7-- - :Z Square/Linear Footage of Work: Type of Work: ❑ Addition 21'Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: C7tuJA4 4 3 3 Af6m:: IS Specify color thru tile: p fY color of Submittal Fee$ � 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$ (Revised02/24/2014) Y Bonding Company's Name(if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) Mortgage Lender's Address City S ate 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 approv and a reinspection fee will be charged. Signature Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was?acnowledged before me this -day of 20 X by day of s�� ,20 6 by 15d l2y. &I&Aq ,who is per onally kno n to who is p rsonally k wn to me or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBU NOTARY PUB Sign: Sign: Print: rint: �qNA if.OMN .•`� 81m M.owl" Seal: •� Seal: c.9POW_8t de of FWWa • s e'd > t itl3a �q � �l► 0 Fob 944 .., MY COW. iyb 8.2019 •.�� ;.• .2019 rs»•*s ' a*s wwwa�**r* APPROVED BY d� Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)