The URL can be used to link to this page

PL-16-899 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone:(305)795-2204 Fax: (305)756-8872 Inspection Number INSP-256213 Permit Number PL-4-16-899 Scheduled Inspection Date: May 16,2016 Permit Type: Plumbing-Residential Inspector.Hernandez,Rafael Inspection Type: Final Owner: LAWSON,PETRONELLA Work Classification: Addition/Alteration Job Address:665 GRAND CONCOURSE Miami Shores,FL 33138- Phone Number (305)458-8821 Parcel Number 1132060172160 Project: <NONE> Contractor. TROPICAL PLUMBING Phone:(786p56-7354 BuIlding Department Comments RELOCATION OF EXISTING WATER HEATER AND Passed rrts INSPECTOR COMMENTS False REPAIRS TO THE HOT WATER SYSTEM Inspector Comments Passed Failed Correction Needed Re-Inspection Fee No Additional Inspections can be scheduled until re-inspection fee Is paid CERTIFICATE OF LIABILITY INSURANCE �a/12 PRODUCER WAM Insurance Agency THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 10637 SW 88th SL Ste 74 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Miami.FL 33178 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES OW. Phone (305}274.4353 Fax (305)2.749894 INSURERS AFFORDING COVERAGE NAIC 8 INSURED TROPICAL PLUMBING CONTRACTOR,INC INSURER A: GRANADA INSURANCE COMPANY 17920 SW 77th Avenue INSURER s: AMTRUST NORTH AMERICA,INC Miami,FL 33157- INSURER C:INSURER D: INSURER I- COVERAGES INSURER F: THE POLICIES OF INSURANCE LISTED 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 E SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. RM ADDS. TYPE E POLICY NUMBER Pp"�CnUE MXY DWMIM DATEDATE LIMITS GENERAL uABIJrY EACH OCCURRENCE $1,000.000 ®COMMERCIAL GENERAL LIABILITY -WWAGM RENTED 0185FL00058825 04125/18 04125117 PREMLS s $ 100.000 A ❑❑ CLIMSAMADE ® OCCUR MED E'P"one per) $ 5,000 ® ❑ PERSONAL 8 ADV INJURY $1,000.000 ❑ GENERAL AGGREGATE $2'x,000 GEN'L AGGREGATE LIT APPLIES PER PRODUCTS-COMPIOP AGG $2,000.000 ® POLICY ❑PROJECT ❑ LOC AUTOMOBILE LL48UJTY COMBINED SINGLE LMT ❑ ANY AUTO (Es aockWO ❑ ALL OWNED AUTOS BODILY INJURY ❑ ❑ SCHEDULED AUTOS ❑ HIRED AUTOS El NON OWNED AUTOS BODILYINJURY ❑ PROPERTY DAMAGE (Per ao*lenO GARAGE LIABILITY AUTO ONLY-EA ACCIDENT ❑ ❑ ANY AUTO OTHER THAN EA ACC ❑ AUTO ONLY: AGG LIABILITY EACH OCCURRENCE C ❑ ❑ OCCUR ❑ CLAIMS MADE AGGREGATE ❑ DEDUCTIBLE ❑ RETENTIONWORKERS $ EIaPLOYEW LIABILITYCOMPENSATION AND AWC1022101 06/14/15 06/14/16 ❑T B ANY PROPRIETOR/PARTNER!EXECUTIVE EL EACH ACCIDENT Twi,000 OFFICER!MEMBER EXCLUDED? Byes,descxibe urs E.L.DISEASE-EA EMPLOYEE 11000,000 SPECIAL PROVISIONS bow E.L DISEASE-POLICY LIMIT 11000,000 OTHER DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS PLUMBING CONTRACTOR LIC#CFC056749 JOEL LEON CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAL VILLAGE OF MIAMI SHORES 30 DAYS WRnTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO 80 SHALL IMPOSE NO OSU ATION OR LIABILITY 10050 NE 2nd AVE OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. MIAMI SHORES,FL 33138 AUTHORMED REPRESENTATIVE 305-756-W72 WILVER ALMARALES ACORD 29(200W)OF ®ACORD CORPORATION 1988 0 3 3 3' � t � � t � •.� 3. Miami Shores Village s. 10050 N.E.2nd Avenue '" \ Miami Shores,FL 33138-0000 Phone: (305)795-2204 r . A Expiration: 10/03/2016 E Project Address Parcel Number Applicant 665 GRAND CONCOURSE 1132060172160 Miami Shores, FL 33138- Block: Lot: PETRONELLA LAWSON Owner Information Address Phone Cell PETRONELLA LAWSON 665 GRAND Concourse (305)458-8621 MIAMI SHORES FL 33138- 665 GRAND Concourse MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 8,000.00 TROPICAL PLUMBING (786)556-7354 _._._...m. x_........ �.� .__... _.._._. �...._�.. Total Sq Feet: 0 Type of Work:RELOCATION OF EXISTING WATER HEATER Available Inspections: Type of Piping: Inspection Type: Additional Info: Top Out Bond Retum: Final Classification:Residential Scanning:3 Review Plumbing Underground Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $4•S0 Invoice# PL-4-16-59274 DBPR Fee $3.38 04/06/2016 Credit Card $208.56 $50.00 DCA Fee $3.38 Education Surcharge $1.60 04/04/2016 Credit Card $50.00 $0.00 Notary F 5 $5.00 PermitFed $225.00 Scanni ee $9.00 Technology Fee $6.40 Total%:' $258.56 r- In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertainiirg thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepti.6 this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are require[Yor ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWN*AFFIDAVIT: I t all the foregoing Yormation is accurate and that all work will be done in compliance with all applicable laws regulating constrab ion and z ' g. thermore,I authorize the ove-named contractor to do the work stated. April 06,2016 :`'';Authorized S1Owner / Applicant / Contractor / Agent Date Buding Department Copy April 06,2016 1 tv �tt� -� Miami Shores Village 705 Building DepartmentJPR4 20'�10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 �-� FBC 20 � BUILDING Master Permit No-?A, PERMIT APPLICATION Sub Permit No. BUILDING ❑ ELECTRIC ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION 0 SHOP CONTRACTOR DRAWINGS JOB ADDRESS: c , C &A City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated:Yes NO G Occupancy Type: Load: �dCGonstruction Type: Flood Zone: BFE: QQ FFE: OWNER:Name(Fee Simple Titleholder):?E*0A J Phone#: _ 41 ll (e Address: w City:@,-a,a:1 &1,00-AState: Zip: r� Tenant/Lessee Name: Phone#:- 1 � Email• CONTRACTOR:Company Name: — A � � Phone#: Address: 16V, j City: /�LmlState: Zip: Qualifier Name: 6/o---i�"eo Phone#: 206e 57<1 State Certification or Registration#: —?Y--i—Certificate of Competency M DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work:' ❑ Addition F-1 � Alteration ❑ New Repair/Replace ❑ Demolition Description of Work: rid, 1w4na joy+d- f O ��fsA1�l� Specify color of color thru tile: Submittal Fee$ 0 -0�) Permit Fee$ �� CCF$ 4. 90 CO/CC$ Scanning Fee$C` -Cz Radon Fee$ DBPR$ S "38Notary$g Technology Fee$ 06- Training/Education Fee$ Double Fee$ 0 Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ QO , e (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 approved and a reinspection fee will be charged. Signature Signatu OWNER or AGENT CONTRACTOR The foregoing instrumen was acknowledged before me/this The foregoing instrument was acknowledged before me this P&O'Aqwa day of20 D t/,by 6 day of�C�I'C- ,20 1( ,by w b iM who is personally known to 46o- �' N ,who is personally known to me or who has produced P6 L, as me or who has produced 1 �� -� "PZOas identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PU Sign: �'y�= Sign• Print: C/1 4-m- - 0 Print: N bl Seal: CASMINAMAR8180N Seal: r oGe� Notary PUWIC State Of Florida Notary Public.State of FloridaSindia Alvarez Commission it EE 198183 My Commission FF 158750 My comm.exphes May t4,2016 ' expires osro3r2ots ************ *****************************J*4P4U#% **** APPROVED BY �T' Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) -CERTIFICATEr 5/16 PAODUCER W io nceAgenny TM CM1 FICAIM IS ISSUED AS A FAA7TER OF IN TION 10637 SLIP 88th St.Ste 74 ONLY AND CONFERS NO FLIGHTS UPON THE CE9MCATE MleH THIS CERTIFICATE DOES NOT : ,EXTEND OR rnl Fl.33976 I THE WFVIERAQE A Y PES BELO W. Pho to(305;274-4353 Fox (305)27 RS AFFORDING COVERAGE j MAIC .......__ .... .... ..,:�. ......... � —.......... wSuRm TROPICAL PLUMBING CONTRACTOR,INC uv_Sua a ,..GRANADA INSURANCE COMP-- ...._ANY............... _ ...........____....... .3 17320 SW 77th Avenue nvsl�RL R L3..AMTRUST NORTH AMERICA,INC Miami,FL 33157• �M...... c:......_.. ._......._..._._..... _._...._ ._..................... ...... INSURER D: .-. ...._....._...................._............ _ .._.... _.. _. E COVERAGES INSURER F THE POLICIES OF INSURANCE LfS i!~D HAVE BEEN iSSdED TO THE INSURED ASO FOR THE POLICY PERIOD INDICATED ht0 tWtTN TA�!IDING ANY REQUIREMENT,TERAS OR CONDfrm OF AMY CONTRACTOR OTHER DOCUMENT VM RESPECT TO YUHICH THIS CERTIFICATE.* 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 AgGRWATE LATS MAY HAt I REDUCED BY PAID CLA�+AS. All.LTRITYPE OF CE N .AOUCSP TCgMt; Lam �. GENERAL LIASHM EACHOCCURRENCE $1,6d COLNERCIALi I�0.{00 La`EIJERALLL✓ ITY 0188FL � 5 04/25/16Ia s tom:. S 9iM}: d.. CLAS k 6.000 MADr-jE OCCUR t, EXP WW D _-..._.__ PEAL S ADV II IL#RY $1;000.000 IGENERAL AGGREGATE $2'00O 000 i u GM AGGREGATE L TAWLIES PERf PRODUGTB-COh1PtOP AGl`+ $2.000 POLICY Ll PROJECT El LOC AUTOMOBILE L IAWL ITY El Air AUTO COMBINED SINGLE LTi' (Ea arxinen _..._— _ ... .............. .. I� ALL DIVED AUTOS BODILY INJURY El EJ SCHEDULED AUTOS Per„parser) L..:1 HALED AUTOS s J NON OWNED AUTOS BODILY INJURY (Pa►�� __. PROPERTYDAMAGE GARAGE LIABILITY - — AU70 ONLY EA ACCU9ENT } { ANYAUTO _............. _ n OTHER THAN AUTO ONLY.A EXCeSSAMBRELIALIABILITY EACH OCGURRENC C r f OCCUR ( I CLAIMS MADE AGGREGATE _.. _. I DFL3t1G"nSLE _.._.......� ...._. _ ._. Q RETENTm S _ _.---................__ _ R$C{ _....SArTN - (�TSWATIa ( L t EMPLOYEW LIABILITY A .01022101 114115 j 013114116 UMffS B DIY 1 PARTNER I EXECUTIVE El.FPtCH A6X�,ILd OFF E! EXCLUDED? V1ss,desonbe under ELL:DISEASE LOYF`E 11000,000 E.L.DISEASE.POLICY LIMIT 1'OOC3,t)t SPECIAL PRQM§Ms below � OTHER _ - - 1 ..d ._..... ....._ .-.._,...__ ..............._......._ ...__: —--------__.,.._-. DESCRIPTION OF OPERATIONS/I.00AT 1 VLrFILGL ES!F.XCLUSi;atADVEDBY WSEMENT I SPECIAL PROVISIONS PLUMBING CONTRACTOR LIC#CFC056749 JOEL LEON CERTIFICATE HOLDER CANCELLATION .._......... ...._...._....._.._..�_____ .........._.. _.....�........ ._........_ ....... —...._.._ ......_.. .._......._. __..�...._ ._._....... SHOULD ANY OF THE ABOVE DESCROM POLICIES BE CANCELLED BEFORE THE EXPIRATION DAM THEREOF,THE ISSUIN10 INSURIM WILL RNIMAVOR TO MAIL VILLAGE OF MIAMI SHORES _30 DAYS NOTICE TO THE CER7 FICATE HOIA8t TO THE LEFT,BUT FAIIAM TO 00$O SHALL MIPOSE NO DBL?3ATION OR MBVTy 10050 NE 2nd AVE OF ANY KIND UPON TIE INSURER,ITSµ OR NTATWES. MIAMI SNORES,FL 33138 aUTI M REPRESENTATIVE _ 305-7 3.8972 WILVER ALIVIARAL.ES KI(:K SGU 1 1,UUVtKNUK KEN L(%WSUIV,.aCUKt IAKT SATE OE FLORIDA t DEPARTMENT6ONSESS AND RUCTIQAt NDUSTR LIIILATION CENSING BOARD ; s tom, FC�56749 , TbO'PLUMBING-CONTRACTOR = i armed t Wqw jS CERTIFIED -Uridor#w i6ns ofi Expll n dale: SUG4f,��0161 n - r QP -ALPILI, ji q I /1 `` ..,,.c,...�;. M 'a.'+•�0 '�ny t , a a"1 ISSUED: 08/04/2914 DISPLAY AS REQUIRED BY LAW SEQ# L1408040000840 Local Bus ess `R e t tiAia'.i ce r t flo dr idr .2't96-1SN$tABllt,t NOT PAY 40 i� 5231832 L B T11111111111L BUSINESS NAMElROCA-nON tiECizlts7 NO. TROPICAL PLUMBINGEVML EXPIRES CONTRACTOR INC 5487717 SEPTEMBER 30;2018 Must be dta to at of bust 179211 SW 77 AVE P Ved place n4ss t PALMETTO-BAY,FL 33157, Pursuer► to Cour Code M r#A- e Art.9 33t:10 `OWNER „'SEC.TYPE OF BUSINESS PAYMENT iCE1VED TROPICAL PLUMBING 198 ; PLUMBING. eY TAX cot�Cros CONTRACTORINC "+ CONTRACTOR 49.50 10/07/201 VYoricar(s) �'CFC058749 0229-16-OOIS136 - ' ' f r this local tttalness Tax only corAh.a payment of the Lout B1SUJessrex.The Receipt is alt a license, permit m 4 c cation 011 #rollers gall cetioa=,leilabasiarst SHIN a toaupt�r ft aayrgwrernme } aoagoverlgaeatatvegatatp V'lews and wUtch apply td ffie 6nsia�as a The Ram NO abdve. t be disployetI -Mlmai-Qade Code Sec,$a v& }tore iNaion visit