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PL-14-1974 EC AI'F K7 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-219328 Permit Number: PL-9-14-1974 Scheduled Inspection Date: March 08,2016 Permit Type: Plumbing- Residential Inspector: Hernandez, Rafael Inspection Type: Final Owner: TURK,JAMES AND JANINE Work Classification: New Job Address:1275 NE 94 Street Miami Shores,FL 33138-2946 Phone Number Parcel Number 1132050100090 Project <NONE> Contractor. PIPEMASTERS PLUMBING SERVICES INC Phone: (305)681-7574 Building Department Comments PLUMBING FOR NEW HOME lnfractlo Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction ❑ Needed Re-inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. March 07,2016 For Inspections please call: (305)762-4949 Page 2 of 44 zc TL JEFF ATWATER CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS'COMPENSATION ««CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS'COMPENSATION LAW« CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers'Compensation law. EFFECTIVE DATE: 1126/2016 EXPIRATION DATE; 1125120318 PERSON: GARCIA CESAR FEIN: 200 416997 BUSINESS NAME AND ADDRESS. PIPEMASTERS PLUMBING SERVICES INC 755 NW 131ST STREET NORTH MIAMI FL 33168 SCOPES OF BUSINESS OR TRADE. LICENSED PLUMBING CONTRACTOR Pursuant to Chapter 440.06(14),F.S.,an officer of a corporation who elacts exemption from this chapter by Bing a certificate of election under this aeclion may not recover benefits or compensation under We chapter.Pursuant to Chapter 440.05(12),F.S.,Certificates of election to be exempt...apply only within the scope of the business or trade hated on the notice of election to be exempt.Pursuant to Chapter 440.05(13),F.S.,Notices of election to be exempt and certificates of election to be exempt small be subject to revocation if,at any time after the fang of the notice or the issuance of the certificate, the person named on the notice or Certificate no longer meets the requirements of tfds section for Issuance of a certificate.The department shall revoke a DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED W13 QUESTIONS?(850)413-1 tF3 v , Miami Shores Village 10050 N.E.2nd Avenue NE Miami Shores,FL 33138-0000 Phone: (305)795-2204 Expiration: 12(2112015 �' � L .moi:..�� . .l•3 .ed3£ Project Address Parcel Number Applicant 1275 NE 94 Street 1132050100090 JAMES AND JANINE TURK Miami Shores, FL 33138-2946 Block: Lot: Owner Information Address Phone Cell JAMES AND JANINE TURK 2020 N BAYSHORE Drive MIAMI FL 33137- 2020 N BAYSHORE Drive MIAMI FL 33137- Contractor(s) Phone Cell Phone Valuation: $ 23,650.00 PIPEMASTERS PLUMBING SERVICES (305)681-7574 (305)975-5531 Total Sq Feet: 0 Type of Work:PLUMBING FOR NEW HOME Available Inspections: Type of Piping: Inspection Type: Additional Info: Top Out Bond Retum: Final Classification:Residential Scanning:3 Water Main Underground Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $14.40 Invoice# PL-9-14-52907 DBPR Fee $12.42 0911042014 Credit Card $50.00 $849.99 DCA Fee $12.42 Education Surcharge $4.80 06/24/2015 Check#:2543 $849.99 $0.00 Permit Fee $827.75 Scanning Fee $9.00 Technology Fee $19.20 Total: $899:99 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction a d zoning. Futhermore,Iuthorize the above-named contractor to do the work stated. June 24,2015 A PIM / Applicant / Contractor / Agent Date Building Department Copy June 24,2015 1 Miami Siores Villacgec � �=rte Building Department SEP 1 0 2014 10050 N.E2nd Avenue,Miami 9iores,Rorida 33138 ' Tel:(305)795-2204 Fax:(305)756-8972 INS3WnON UNERF 10NENUMBBR(305)762-4949 F®C20 t BUILDING Master Permit No.dd /,I' q5 f PEFIIVIITAPRJCAIICN Sib Permit NoepL- I L4-- tcl- ❑BuitnlNG ❑ 8XI C ❑ FMHNG ❑ FBASON ❑ B(TMON ❑FFNBNAt_ FLUM UNG ❑ Mea-ANicaL ❑Pua1cwo4G ❑ GWCE OF ❑cANcaI-anON ❑ &UP aONTPACTOR DRAWINGS JOBADI)PIESS Si aty. Miami Siores (bunty-DW. Miami Dade : Folio/Parcel#: Isthe Building Flistorically Designated:Yes NO Occupancy Type: Load: construction Type: Rood Zone: BFE FFA OWNER Name(Fee Smple Titleholder): 1,��k. Phone#: Address l Oty. 1 cjr,,Zate: ap. 3�3 j�,CP) Tenant/Lessee Name: Phone#: Email: OONTRACfOR(bmpany Name: Phone#: Address:} "_ S5 to S- J I -�' Qty l �I, ,Rate: Ap: (0 e) Qualifier Name: ofe L-42. t Phonek:50Sg7 3 ,Rate Oartific ation or Registration*C!� l-4 2. I(y�(brtific ate of(bmpetency#: DESIGNE R Architect/ Phone#: Address Qty: ,Rate: Zp. Value of Work for this Permit:$ 0 4$�Gifuno Footageof Work: — ) Type of Work: ElAddition El Alteratio hA Nevy� ❑ ftair/ftlace ❑ Demolition Description of Work: �( 1'5I ,Wfy color of colon thhru tile: Sibmittal Fee$ Formit Rae$ • X OCF$ OO/OC$ Scanning Fee$ Pladon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Rructural Reviews$ Bond$ TOTALFIENOW DUE$ Af. — (P&AwdW24/2014) Bonding Cbmpanys Name(if applicable) Bonding CbmpanysAddress Qty Sate Op Mortgage Lender's Name(if applicable) Mortgage Lander'sAddress City Rate Ap 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 BED Q PLUMBING, SIGN$ POOLS RJROjCES BOILERS HFAT9F6 TAMC$AIROONWICNHRS ETC.... OWNfftS AFRDAVIT: 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 FORD A NOTICE OF ODMM94CEMENT MAY FESJLT IN YOUR PAYING TWICE FOR I M PFCVE I ENT'S TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN R NANCING, CONaJLT WITH YOUR LENDERORAN ATTORNEY BBURE SING YOUR NOTICEOFCOM M HICEM BVT." 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 occur (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approv5WO a einspection fee will be charged. 9gnature 9gnature or AG13V1+qffl G'fnR The foregoin i rrent was owledged before me this The foregoing instrument was acknowledged before me this day of 20 by `� day of 20 i- L by I 2 Tv Y k who is personally known to {-S V 4n t r, who is personally known to me or who has produced as me or who has producedas identification and who did take an� 3r• identification and who did t NOTARY PUBLI dpqNN ZLOCZEWSKI 1 NOTARY RD-10 r IS iAE�E9 ss1 MY COMMISSION,EE 01266 ?+. ust 24,20184 �(..11 �u^AtUgustl$4P EXPIRES:Aug flnndedTilr Notar%public Undue o� Bonded Thru NotazY Public Und sl�lis 9gn. 8gn: Print: n n Print: 9aal: Saw: JG�rii~_r,t�ZEW= ZLOCZEW .* '', �`� MY CrA"N ,.dON r EE 012661 A FG"" J EXPiHE& n.�gost 24.2014 ,yn e$t's My C)AMIS�ION EE 012 ' Rondec Thm Nro> .:: e UndervuriteB Hugust 24,2 ' taF%iril:� b *w***,r**:*rrw*e***w,e*w**,ew,rwwwwww w ,t**ww***w****ee***,e,t,e,ta,t,►,r,t APPF0V8D BY Y Pans Examiner Zoning Sructural Fbview Clerk (FWsedO2/24/2014) STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850)487-1395 -= 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 GARCIA- CESAR A PIPEMASTERS PLUMBING SERVICES INC 755 N`VV 131 ST NORTH MIAMI FL 33168 Congratulationsi With this license you become one of the nearly one miction Floridians licensed by the Department of Business and — ""' •' — - _--- - Professional Regulation. Our professiorits and businesses range STATE OF FLORIDA from architects to yacht brokers,from boxers to barbeque restaurants and they keep Florida's economy sDEPARTMENT OF BUSINESS AND trong, '•4 -° Every day we work to improve the way we da business In order to PROFESSIONAL_REGULATION CFC44.26�3Q7 ISSUED: 07/27/2014 serve you better. For information about our services,please log onto www.FnAcridalloorrse.com. There you can fid more infonTrAlon CERTIFIED PLUMBING CONTRACTOR our divisions and the regulations that Impact you,subscribe to d artment newsletters and learn more about the Departments' GARCIA.CESAR A Initiatives. PIPEMASTERS PLUMBING SERVICES INC Our mission at the Department is:License EftiClently.Regulate Fahy, We constantly strive to serve you better so that you can serve your customers. Thank you for doing business In Florkla, IS CERTIFIED under the provisions of Ch.489 FS. and congratulations on your new ticensel timmason wmv-AUG 31.Zola L1407VOW2044 DETACH HERE RICK SCOTT,GOVERNOR IGEN LAWSON,SECRETARY STATE OF FLORIDA DEPARTMENT'OF BUSINESS AND PROFESSIONAL.REGULA17oN CONSTRUCTION INDUSTRY LICENSING BOARD The PLUMBING CONTRACTOR Named below IS CERTIFIED ti Under the provisions of Chapter 489 FS. `•'':_"_ :'"` Expiration date: AUG 31,2018 GARCIA,CESAR A � rQ PIPEMASTERS PLUMBING'SERMCES INC 755 NW 131 ST NORTH MIAMI FL 33168 ISSUED: 07/27/2014 111.qpl DY AQ pont Iinrn nw nn Sd Wd6£:b 17TOZ 2 'daS W-SZ.S89S0£: "ON Xb d iewaod Pog: W0�U FROM :Aoa Forma FAX NO. :3056857574 Nov. 6 2014 6:09PM P2 Local Business Tax Rece' Miami-Dade County, State Tof Florida cLBT HIS 13 IKOTA BU _ DO NOT PAY 34G86O4 P'PEMAS71 5 IRMO 755 NW 1Na EXPIRES PtuM>�Nc��INC SEPTEMBER 30, 2015 31 ST 5647897 NORTH MIAMI FL33 t 68 Ment be ftPWW ei Place of business A fwwftt m County Code Chapter&A Art.S&10 OWNER SEQ,Tvft 0P buslNxi" PIPa M TM PLUNGING SWIMS INC 196 SPECIALTY PLUMBING(ONnRgCTOR PAymaw secwmb Wwket(s) 1 CFC1428307 BY Tax COLI.ECTCM $45.00 09/12/2014 t:CHECi(—T4-142M Tt6sl4caiB�aeraTaxR@eaiptasdymoliler�spawofthetoeai tax The is nate mutase. ov�9everm"atat r M"M �l nu wWch Moll.ffie gro,PhF r�16 9ors�mbnml The RE{;EiI'M above tit Iia displace ae aR t ve6iaies,i8sr !?odeSee 8a-bs FOrtragalalp►mafzon,va�iwhoett •�e • ACORO' DATE(MM/DD/YYYY) k. CERTIFICATE OF LIABILITY INSURANCE 12/03/2014 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. If SUBROGATION IS WAIVED,subject to the terns 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 lieu of such endorsement(s). PRODUCER CONTACT NAME: ROGER GQERRERO SUPERIOR INSURANCE CONSULTANT PHONE (954)862-1411 FAX ,(954)862-1769 019 NO 12xu 12401 Orange Drive Suite 135 ROGER@sxCFr..Cort INSURER(S)AFFORDING COVERAGE NAIC# Davie FL 33330 INSURERA:MAPFRE INSURANCE CO. INSURED PIPEMASTER PLUMBING SERVICE, INC INSURERB: 755 NW 131 STREET INSURERC: MIAMI, FL 33168 INSURER D: 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 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 SR DOL SUBS!LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF POU EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000.00 DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 100,000.00 A CLAIMS-MADE D OCCUR CP-000323977-3 8/16/2014 8/16/2015 MED EXP(Any one person) $ 5,000.00 PERSONAL&ADV INJURY $ 1,000,000.00 GENERAL AGGREGATE $ 2,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $ 2,000,000.00 POLICY PRO LOC $ AUTOMOBILE LIABILITY ED SINGLE (CEO,a Widen ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Peracddent) $ AUTOS AUTOS NON-0NMED PROPER RO EERT DAMAGE $ HIRED AUTOS0 $ AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION $ WORK RS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE[ N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I$ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,N more space Is required) contractor's license number CFC1426307 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Miami Shores Village ACCORDANCE WITH THE POLICY PROVISIONS. 10050 Northeast 2nd Avenue Miami Shores, Florida 33138 AUTHORIZED REPRESEnIra71VE Roger Guerrero/AGT ACORD 25(2010105) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025(2o ioo5).ol The ACORD name and logo are registered marks of ACORD JEFF ATWATER cKBF FRVJ MM OFFUMt STATE OF FLORIDA DEPARTIMEW OF FINANCIAL.SERvmXS DIVISION OP WORKERS'COMP&MVION :•CERTIFICATE OF E.ECTION TO 13E EXEW T FROM FLORIDA WORKERS'COWWMAT1ION LAW•• cONSTRUCTiON INDUSTRY r=xEmpTm This oerfffim that the individual listed below tms tjected to be exempt irtTm Florida Workers CornpenwWn law. EFFECTIVE DATE: V2SM4 EXPIRATION DATE: 14ASWIS PERSON: GARCIA CESAR FEIN: 2W416997 BUSINESS NAME AND ADDRESS: PIPEMASTERS PLUMBING SERVICES INC 755 MN 131ST ST NORTH MIAMI FL 33968 SCOPES OF BEWNESS ORTRADE; UCENSED PLUMBING CONTRACTOR :oc rawa�ta�Fs.,anot> otaoo<p r amen M1ft19dWft byEltrgaowWkWteorpip eetonundbrttesceWW �9�recbt�r of oort�ensetion ut>�rOtis 4D ChaytBr 41b ofi(t2�F.S. Cdr o!eft to De exempt..-aPAh aniY ovlRBrr thg of the G�nes4 a triide fisted oa the Of darn- to be e,oe t.Pray to Charter 4eD 05(t3�F B..t b6as of elecdon to Ire eXemptand owWamm orate Prim IA be emnpl 9hof btt a�JeeilD+ewoGapoh ffi 8etytime slterthe lmng aF1/Mt rwdoe arthe bxamttce of these e, the person fWltled as the rtoQae of 4 a no fm i o, the f9** TAn%OtIR!mtioittorbviretroeors The dwmil.1m.aho reuake a DFSF2-0YYC-2s2 CERTIFICATE OF ELECTION TO BE E KEIY"REVISED 07-12 OUESYIONS?(850)413-1809 £d Wd8£:b KOZ £ 'daS W-S2-S89S0£: 'ON XUA 1ewa0d eog: WONA