Loading...
PL-15-2025 T Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone:(305)795-2204 Fax:(305)7584872 Inspection Number: INSP-241170 Permit Number. PL-8-15-2025 Scheduled Inspection Date:February 29,2016 Permit Type: Plumbing-Residential Inspector.Hernandez,Rafael Inspection Type: Final Owner: CAUCHI,PAUL S MAGDALENA Work Classification:AdditiontAiteratiion Job Address:131 NE 96 Street Mlami Shores,FL Phone Number Parcel Number 1132060132590 Project <NONE> Contractor GATOR PLUMBING OF SOUTH FLORIDA INC. Phone:(954)427-5882 Building Department Comments TrNaWo REINSTALL APPLIANCES, SINK AND FAUCET, INSTALL INSPECTOR COMMENTS Faire NEW P TRAP SUPPLY LINES AND DRAINAGE AND NEIN ANGLE STOPS Inspector Comments Passed Failed Correction Needed Re-inspection Fee No AddWonai Irons can be sd wduled until rednspection fee Is paid February 26,2016 For Inspections Phase call:(305)762-4%9 page 9 of 6o i � s "3g.'• r �£� RAF Miami Shores Village 10050 N.E.2nd Avenue NE r ••• ` - Miami Shores,FL 33138-0000 ' Phone' (305)795-2204 I R Expiration: 4/26/2016 Project Address Parcel Number Applicant 131 NE 96 Street 1132060132590 PAUL St MAGDALENA CAUCHI Miami Shores, FL Block: Lot: Owner information Address Phone Cell PAUL&MAGDALENA CAUCHI 131 96 Street MIAMI SHORES FL 33138- 131 96 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 600.00 GATOR PLUMBING OF SOUTH FLORI (954)427-5882 Total Sq Feet: 0 Type of Work:REINSTALL APPLIANCES,SINK AND FAUC 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 $0.80 Invoice# PL-8-15-56680 DBPR Fee $2.25 10/29/2015 Credit Card $159.10 $0.00 DCA Fee $2.25 Education Surcharge $0.20 Permit Fee $150.00 Scanning Fee $3.00 Technology Fee $0.80 Total: $159.10 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_qo SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is a t nd th II ork will be done in compliance with all applicable laws regulating construction and zoning. Futhermore,I authorize the above-named to d rk stated. October 29,2015 Authorized Signature:Owner / Applicant / C44ractor / a e Building Department Copy October 29,2015 1 Miami Shores Village Building Department AUG 1 205 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 1`4 BUILDING (waster Permit No. gc'l S— t9®9 PERMIT APPLICATION Sub Permit No. FL- `'5—2,02" ❑BUILDING ❑ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL MN PLUMBING ❑ MECHANICAL ❑PUBLICWORKS ❑ CHANGE OF [:]CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 131 NE 96th Street City: Miami Shores County: Miami Dade Zia: Folio/Parcel#:11-3206-013-2590 is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder):Paul& Magdalena Cauchi Phone#: Address:131 NE 96th Street City: Miami Shores State: FL Zip: 33138 Tenant/Lessee Name: Phone#: /Email: `�N�NTRACTOR: mpany Name: Gator Plumbing � �'oo+h E�,qp j`Z(�r��._ phone#:' fJ�7-� Address:ltQ bl LVU1M --f6z44 i2YW 1-! Dftg 2j3 4 SV 17_ 2e I City CkKeg4a C/Uz State: �'Z —Z[;):-3-&.)7 Qualifier Name: o tC�#YL- �A m�� 17 ^7 Phone#: l'-(07!7n'.� State Certification or Registration#:�-o57 et�/ Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$600.00 Square/Unear Footage of Work: Type of work: ❑ Addition ❑ Alteration ❑ New M Repair/Replace ❑ Demolition Description of Work: reinstall appliances,sink and faucet,install new P trap supply lines and drainage and new angle stops Specify color of color thru tile: Submlt al Fee$ �/ Permit Fee$ CCF$ COAC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ _ Bond$ TOTAL FEE NOW DUE$ (RevisedO2/24/2014) 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$250, 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 Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this _day of 2015 by 3 day of 444_r U:S r— .20. S ,by d "' Cwh ` 2 4kkv � �`-� personally known to ) i .who is personally known 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 PUBLIC: NOTARY PUBLIC: Sign: Sign: >�LtiV)-P Print: Print: f9OL n L ?a Seal: Seal: _*4"apri;) a COMM ON#FF142564 EXPIRES: Jt 16, 2018 �""Y PDBi, DANA POTOIETER ',iMM.AAR�INQTARY.00�1Notary Public-State of Florida ��� #>r�N►Y��Iaers1A�80prR ###ss*!s!!#!s*!#s*!####*#*rs##s!!!#######*#######!#!#*##!###*# Commission#FF 61621 APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revlsed0212412M4) ..,. a... Miami Shores Village Building Department R 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tek (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION FORM ALL CONTRACTORS MUST PROVIDE COPIES OF LICENCES AND INSURANCES EACH TIME A PERMIT IS SUBMITTED OR THE VILLAGE MAY MAINTAIN A FILE WITH YOUR INFORMATION FOR A$30.00 FEE PER YEAR. IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. � COPY OF QUALIFIER'S STATE LIC CARD B.j,COPY OF LOCAL BUSINESS TAX RECEIPT C. +� COPY OF LIABILITY INSURANCE(CERTIFICATE HOLDER TO BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKERS COMPENSATION (EITHER CERTIFICATE OR EXEMPTION) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICE OF COMPETENCY OF QUALIFIER B. COPY OF MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT C. COPY OF LIABILITY 1NSURACE(CERTIFICATE HOLDER MUST BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKER COMP INSURANCE(EITHER CERTIFICATE OR EXEMPTION) YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE HOLDER AS FOLLOW: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES,FL 33138 COMPLETE CONTRACTOR'S INFORMATION BUSINESS NAME: CA--mg �L-lcA.t � OT Suur o r--L-0;2- ( OA 7-Kc sty 71,oClot BUSINESS ADDRESS: I �.j.t�1S �'�-Pk u—N CITY STATE (---t--A ZIP CODE 33b--73 BUSINESS PHONE: (01 4 a-�" FAX NUMBER L 9V) 42-9- S20�- CELL PHONE(21ft ($ a5 QUALIFIER'S NAME: �1 QUALIFIER'S LIC NUMBER: aF e. 0 5/7 45 fl E-MAIL ADDRESS(IF APPLICABLE): Created on 319M9 BY MLDV 1 RV 3P16109 MLDV STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850)487-1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 MAGGARD, RICHARD A GATOR PLUMBING OF SOUTH FLORIDA INC 4911 LYONS TECH PKWY SUITE 26 COCONUT CREEK FL 33073 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 F STATS OF FLORIDA from architects to yacht brokers,from boxers to barbeque restaurants, DEPART : BUSINESS AND and they keep Florida's economy strong. 4, 0 PROS. ULATION Every day we work to improve the way we do business In order to CFC057467 's i. X 7/2312014 serve you better. For information about our services,please log onto www.m oridalleense.com. There you can find more information ' Yfl Y � CERTIFIED about our divisions and the regulations that impact you,subscribe , to department newsletters and learn more about the Department's % MA6GAR©, initiatives. GATOR PLU IDA IN 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 C" RTIF 1E unrest tae pr* es 110 O 0h.44aa FS. and congratulations on your new license! 1 pw 0MMM24, y sr1,u. DETACH HERE RICK SCOTT,GOVERNOR KEN LAWSON,SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSIkESS AND PROFESSIONAL REGULATION CONSTRUCTIO�I.INDUSTRY LICENSING BOARD dFC057437 The PLUMBING CONTRACTOR Named below IS.CERTIFIED. Under the.provisions of Chapter 489'FS: Expirabon date: AUG 31, 2016 y�3 M� 4w r It MAGGARD,,,I;IC.HARD A,: .� 13 ►T0 'PJLU1 X4511Y1 ; . i• � AOIUT �F-AIG ' • .✓ rule' ..- 4 'f4 ti 4 4. I. • a � v n, BROWARQ COUNTY LOCAL BUSINESS TAX RECEIPT 115 S.Andrews Ave.,Rm.A-=,, Ft Lauderdale FL 33301-1895-9$4.831-4000 VALID OCTOBER 112►0j THROUGH SEPTEMBER 30171018 DBA: Retrelpt#' L0 INGJLt+N SPRM/co R Business Name'GATOR PLUMBING# OF SOUTH FLORIDA Business Type:(PLUMING CONTR) Owner Name:RICHARD A NAGGARRD Business Opened:10/17/19 s 8 Business Lo"don:4911 LYONS TECHNOLOGY PKY 26 StstWCollnty/CertfReg:CFC 057457 COCONUT CREEK Exemption Code: Business Phone:954-427-5882 Room seats Employees Machines Protesetonam 10 Number of Medonea: - VsndMg T> Tax A Transfer Fed t f Prior Years Collection Cad Total`Patcl v 21- THIS THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS 13ECOt1AE8 A TAX RECEIPT This tax is levied for the privilege of doing business within Bromord County and Is non-regulatory in nature.You must meet all County and/or Munidpaltty planning WHEN VAUDATED and zoning requirements.This Business Tax Receipt must be transferred when the business Is sold, business name has changed or you have moved the business location.This receipt does not Indicate that the business is legal or that itis in compliance with State or local laws and regulations. i Matiin9 Address: GATOR PLUMBING OF SOUTH FLORIDA IN, aeceipt emaw-14.00122418 4911 LYONS TECHNOLOGY PKY 26 Paid 07/09/2015 27.00 COCONUT CREEK, FL 33073 1 2015 2016 ANNE_ M. G A N N O N P.O.Bax 3353,west Palm Beach,FL 33402-3353 "'LOCATED AT"' A t GWi n'u Offia rax cou Irctoa www•pbciax cpm Tel:(581)355-2264 s Patin ftac&Counk 4911 LYONS TECH PKY Serving-you. COCONUT CREEK,FL 33073 TYPE 9u88�ss c2 mFrAnoN# RECEIPT MATE PAM AMP PAib BILL# 29 0089 PLUMBING CONrgACTM HAGGARD RICHARD CFC087487 818.841939-07/09/18 827 840124213 This document is valid only when receipted by the Tax Collector's Office. STATE OF FLORIDA PALM BEACH COUNTY B1-115 2015/2016 LOCAL BUSINESS TAX RECEIPT GATOR PLUMBiNG OF SOUTH FLORIDA INC LBTR Number: 200610731 GATOR PLUMBING OF SOUTH FLORIDA INC EXPIRES: SEPTEMBER 30,2016 4911 LYONS TECH PKY COCONUT CREEK,FL 33073.4347 This receipt grants the privilege of engaging in or 1111.111111"Ill still 111114111111n 111111111 managing any business profession or occupation within its Jurisdiction and MUST be conspicuously displayed at the place of business and In such a manner as to be cin to the view of the public. ._Aug. 11. 2015 12:50PM No. 7620 P. 1 IE?RAb' CERTIFICATE OF LIABILITY INSURAAICE �"�" OP 11D:Ta TIES CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND COIFS NO lqGM UPON TMOCERTIFICATEHOLDER.is CElI:TIMA7E DOES NOT AFMWTIVEE.Y OR NEGATIVELY AWND, EXTEND OR ALTER THE COVERACE AFFORDED BY THE POIJOES BE10Wer. THIS CERTTF='TE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT PRODUCER, 8"*'" THE LS3HINt3 INSURER(BX AUTi�RIZED I:SENTATIV9 OR UCER,AMD THE Cwt rIFTATE HOLCER. IaIPOitTAMi: If the am"=ft holder Is an ADDITIONAL INSURED,the powles)m"OF to endamat If SUBROGATION IS WAIVE .,submit to tto farms and conditions of on policy,certain pa<laft mal►mgWm an ems, q tele hWclor ig Nett of such end g, on v" caft does not confer rt"tD the CONT IOVAI7VE INSURANCE CONSULTANTS,INC_ SAg1 UNIVERSITYD IFtQ3 BRIAN Is= �t o GAATOR D C TOR PLUMBING OF SOUTH "� w , FLORIDA,INC. lA:ASSOCfAT10li11MSURANCEL'O. ii?40 4591 LYONS TECHNOLOGY PKWY 06 ° B: COCONUT C MEK,FL 33M neo: muhma D COVERAGM CE"MATENUMBEFL. RP: Im IS TO CERM THAT THE POUdES OF INSURANCE USI ED REVISION NUIIIIl IER: WDICATED. NOT T ISTANOI NG AW RECUiRI74MT, TERM OR CON HAS�V ISSUED lO THE INSURED NAIL A80VH FOR THE POLFCY pER10D COMFMATE'MAY BE MSUED OR My PERTAIN, 11iE IhLi: Nth �I OF ANY CONTRA(T OR OTHER DOCUMENT VYffH R4iSPEOT 1'0 VvrLtCH NOD e�ccLus+oNs aND GbNDmON8 OF SUGi PoudE$eters 5T TOWN 1dAY HAVE®gEE j THE POLWAES DEStT12lBED HERWN M BugMT To ALL THE'H THIS, 'f1 mOF INSVR/WCS RBDl1CW 8Y PAID CLAIMS. GENERALLuum mr i.oufrr4' A X cwmmmL1 Leo„mr GLP*9 s 1.000 CLAO�dfnDB XD p�R 07g g X BKLTADDL.IVSD PRIMAW& NN?ExP a,e i i X t35FWAIVER NON40KTRIBUTORy fit.aADVKAW t 1,000, QmrLAW0AT LowrAPp=Rft RAL A�SREGATE ! 2,QQII, micy X F �ac PROat�CTS-t ro�►Aea : Avrw�oens 2'�' u"� s ANYAM �(�e NNQteLaflR s ALL OrmwAv= 8W4YAi1l8tY(Pbrpy, J 9' 904Mf4.WAUT08 WAY Y(p4raoddertq : H�DAUTos � NON-CMEDAVTOS $ ' 8 X UPWMLLA U4b X O=M s A t as Acs WSW W4J201s g �EAM� s "7m, AM Mft*MW. A RTN9ylk X A X N/A OIIi"1312018 06013r'Z20i8 BLZ4mi 7DENT i 1000 AW 11ONa -�t$FJ►8E-51ENP S , EL nNFAsa-POLtcIrLVAT s 1,Qp0 LTCG A7w4N6sTm Le (yam IA1bsh AOORD 104.AeeNpiNT R B�CFC0474tia�maeap�eebro . C HOLDER CANCELL4 ' MU1<t6IZ2 8lWUW ANY OF TIM ABOVE DEEMOM p BE RANCRIAD THE E7wmrom DATE TNEMp• NOTICE WLLL BE DMJVMM IN . 61NAIM SHORES VILLAGE �VMTM POLLCY jVIj&a 10050 WE 2ND AVENUE MI MI.SHORES,FL33138 AerROMW RWf==AyW AGCM 25(2009109) ®1988,-2008 ACORD CpRPMATION. All rights r8seil0d. The ACORD nwfwand iap am d nuft of ACORD