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PL-15-1553 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone:(305)795-2204 Fax:(305)756-8972 Inspection Number: INSP-244490 Permit Number: PL-6-15-1553 Scheduled Inspection Date: October 06,2015 Permit Type: Plumbing- Residential Inspector: Diaz,Osvaldo Inspection Type: Final Owner: BONAU,JOSE AND MARIA Work Classification: Addition/Alteration Job Address:1250 NE 102 Street Miami Shores,FL 33138-2618 Phone Number Parcel Number 1132050250030 Project: <NONE> Contractor: SOUTH BEACH PLUMBING CONTRACTOR INC Phone:(786)337.1582 Building Department Comments INTERIOR RENOVATION. BATHROOMS RENOVATIONS. Infractio, Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-237463. caulk trim missing tub skirt fix leak at master lays remove s-trap at hall bath and correct Failed Correction Needed ❑ �. L� , Re-Inspection Fee No AddiBonal Inspections can be scheduled until re-Inspection fee Is paid October 05,2015 For inspections please call:(305)762-4949 Page 25 of 39 Miami Shores Village X311 10050 N.E.2nd Avenue NE � ' Miami Shores,FL 33138-0000 , Y3 INS I'. w'✓2 3 Rk� F l..Y � � I 1 '�{ Phone: (305)795-2204 � � a � , ,._`-� •=.a��. � wl.dm, „ �' �r£ �Z01 Expiration: 01/0312016 A..... a .. Project Address Parcel Number Applicant 1250 NE 102 Street 1132050250030 JOSE AND MARIA BONAU Miami Shores, FL 33138-2618 Block: Lot: Owner Information Address Phone Cell JOSE AND MARIA BONAU 1250 NE 102 ST MIAMI SHORES FL 33138-2618 Contractor(s) Phone Cell Phone Valuation: $ 2,300.00 SOUTH BEACH PLUMBING CONTRAC (786)337-1582 Total Sq Feet: 0 Type of Work:INTERIOR RENOVATION.BATHROOMS RENO Available Inspections: Type of Piping: Inspection Type: Additional Info: Top Out Bond Return: Final Classification:Residential Scanning:1 Review Plumbing Underground Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.80 Invoice# PL-6-15-56075 DBPR Fee $3.38 06/23/2015 Check#:1213 $50.00 $194.56 DCA Fee $3.38 Education Surcharge $0.60 07/07!2015 Check#:2556 $194.56 $0.00 Notary Fee $5.00 Permit Fee $225.00 Scanning Fee $3.00 Technology Fee $2.40 Total: $244.56 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 t e foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning._ rmore,I a rizALlhe above-named contractor to do the work stated. July 07,2015 jiftorized Si to App3fte&Qt / Contractor / Agent Date Building Department opy July 07,2015 1 r Miami Shores Village Building Department 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 JUN 2 201 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(30S)762-4949 BY FBC 201b BUILDING Master Permit No. 12\0 PERMIT APPLICATION Sub Permit Nois.�53 ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL 14.PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: /va�' `®2. f-lXP e— City: Miami Shores County: Miami Dade Zip: 3 3/3of Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: .Construction Type: Flood Zone.. BFE: ► FFE: OWNER:Name(Fee Simple Titleholder): ✓�� l� ° / �one#.6- d_�T 9�d Address: -,r e.. -PL -�;(,(,� City: a State: t o r i Zip: Tenant/Lessee Name: Phone#: Email: 60e, k'yo04- ® ct...l�Ql< eva CONTRACTOR:Co pany Name: ✓, '` 4rA Aene#:! Address: a 4-a d� City: `GA lam- State: Zip: Qualifier Name: Phone#: State Certification or Registration#: p� ! '�^� 'e certificate of Competency#: DESIGNER:Architect/Engineer: v '�"�v ��` Phone#: Address: City: State: Zip: Value of Work for this Permit:$ I Square/Linear Footage of Work: Type of Work: ❑ Addition L'J Alteration [:].New ❑..Repair/Replace Demoli ion Description of Work: bc� m 0a MM -9,o Specify color of color thru tile: e .10—Submittal Fee$ Permit Fee$ ZSR t F$ 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) r a 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 and a reinspection fee will be charged. Signa Signature OWNER or A CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of MtSE P20 J S ,by %/ day of 20 by I�/IIAe 7 — o is ersonally known two , Owho is perso ally known to me or who has producedTL,1>0 V�' LEN`'�s me or who has produced� ���rCLU/00tas identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC* NOTARY PUBLIC: Sign• Sign: Print: Print: YAW"MARTM Notary Public State of Florida n MY C Seal: C. $iridis Alvarez Seal: EXPIRES:FEB 04,2018 MY Commission FF 58750 Bonded through 1st Stele Insurance of 8xpit"0910312018 *a**•was�ssas**•w*e*a*a**a*wa***aa��xaawwwa�x�*aa*•x�x�*aa�es�aaa*a*aye*aas+rax**arwsx�saa�xs�**ate*wa�a��s�x**gra*w*aas�**a�remwa APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 �Bt 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 BELLO, REMBERTO SOUTH BEACH PLUMBING CONTRACTOR INC 1300 SW 70TH AVE MIAMI FL 33144 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range .,. STATE OF FLORIDA from architects to yacht brokers,from boxers to barbeque restaurants, _= DEPARTMENT OF BUSINESS AND and they keep Florida's economy strong. PROFESSIONAL REGULATION Every day we work to improve the way we do business in order to CFC1428669 ISSUED: 05/29/2014 serve you better. For information about our services,please log onto www.myfloridalicense.com. There you can find more Information CERTIFIED PLUMBING CONTRACTOR about our divisions and the regulations that impact you,subscribe BELLO, REMBERTO to department newsletters and learn more about the Department's SOUTH BEACH PLUMBING CONTRACTOR IN initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, IS CERTIFIED under the provisions of Ch.489 FS. and congratulations on your new license! Expiration date AUG 31.2016 L1405290001719 DETACH HERE RICK SCOTT, GOVERNOR KEN LAWSON•SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD CFC1428669 The PLUMBING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2016 D 'D BELLO, REMBERTO SOUTH BEACH PLUMBING CONTRACTOR INC 1300 SW 70TH AVE i MIAMI FL 33144 ❑.a ` ISSUED: 05/29/2014 DISPLAY AS REQUIRED BY LAW SEQ# L1405290001719 Local Business Tax Receipt Miami—Dade County, State of Florida -THIS IS NOT ABILL-DO NOT PAY LBT 7029200 BUSINESS NAME/LOCATION RECEIPT NO. EXPIRES SOUTH BEACH PLUMBING RENEWAL SEPTEMBER 30, 2015 CONTRACTOR INC 7305436 Must be displayed at place of business 5430 SW 7 ST Pursuant to County Code MIAMI,FL 33134 Chapter 8A-Art.9&10 OWNER SEC.TYPE OF BUSINESS PAYMENT RECEIVED SOUTH BEACH PLUMBING 196 PLUMBING BY TAX COLLECTOR CONTRACTOR INC CONTRACTOR 45.00 08/07/2014 t:/n nFNIS.I G1IFRRFRO PRFR Worker(s) 3 CFC1428669 CHECK21-14-046111 This Local Business Tax Receipt only confirms paymeut of the Local Business Tax.The Receipt is not a license, permit or a certification of the holder's quaRgcatioms,to do business.Holder must comply with any governmental or noagovemmomml regulatory laws and requirements which apply to the business. The RECEIPT N0.above must be displayed on all commercial vehicles-Miami-Dade Code Sec 8a- IL MIAMkIM For more information,visit wmmmleaddladlegoilImmoll e CERTIFICATE OF LIABILITY INSURANCE DA 06/23/2015» 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 policy(les)must be endorsed. 9 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 tD the certificate holder in Ileu of such endorsement(s). PRODUCER CONTACT NAME: Univista Insurance-Little Havana PHONE (786)953-5338 FAX No; (786)953-7_0.29 2610 NW 7 st -MAIL inf626100univistainsurance.com 1 Miami,FL 33125 INSURER(S) AFFORDING COVERAGE MAIC# --- Phone (786)953-5338 Fax (786)953-7029 INSURERA: GRANADA INSURANCE CO INSURED INSURERS: BUSINESS FIRST INSURANCE CO SOUTH BEACH PLUMBING CONTRACTOR INC INSURERC: 2610 nw 7 St INSURER 0: -- - INSURER E: MIAMI FL 33125 INSURER F: COVERAGES CERTIFICATE NUMBER: 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. I�j TYPE OF INSURANCE IN BR POLICY NUMBER MMMIUDD E MFF �11111 1 VMS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000.00DGE TO _© COMMERCIAL GENERAL LIABILITY PREM SES RENTED occurrence $ 100,000.00 ❑ ❑ CLAIMS-MADE F-1OCCURMED EXP(Any one person) $ 5,000.00_ A F-1Y 0185FL00032818 01/09/2015 01!0912016 PERSONAL&ADV INJURY $ 1,000,000.00 ❑ GENERAL AGGREGATE $ 2,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000.00 ® POLICY ❑ PRO- ❑ LOC $ _ AUTOMOBILE LIABILITY C,gMBBII EDtSINGLE LIMIT � ❑ ANY AUTO BODILY INJURY(Per person) $ B ❑ ALL OWNED ❑ SCHEDULED BODILYINJURY(Per accident $ AUTOS NON-OWNED PROPER�Y DAMAGE $ te' ❑ HIRED AUTOS ❑ AUTOS (Per Paxi ent ❑ ❑ $ ❑ UMBRELLA UAB ❑OCCUR EACH OCCURRENCE $ ❑ EXCESS LIAB ❑CLAIMS-MADE AGGREGATE �$ _ ❑ DED ❑ RETENTION$ $ _. WORKERS COMPENSATION ❑PER ❑OTH- AND EMPLOYERS'LU181U Y YIN A UTE ER ANY PROPRIETORIPARTNERIEXECU E.L EACH ACCIDENT $ 1,000,000.00 OFFICER/MEMBER EXCLUDED? � N/A 052137737 08/31/2014 08/31/2015 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE$ 1,000,000.00 if yes,describe under E.L.DISEASE-POLICY LIMIT $ 1,000,000.00 DESCRIPTION OF OPERATIONS below FDCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,K more space is required) 1428669 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 ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2ND AVE MIAMI SHORES,FL 33138 AUTHORIZM REPRESENTATIVE YANELIS MARTINEZ ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 26(2014101)QF The ACORD name and logo are registered marks of ACORD