The URL can be used to link to this page

PL-16-689 Miami Shores Village I T, Plt11 10050 N.E.2nd Avenue NE INoCiassifscat�ort:Addlit�anfAitirr�tlicut Miami Shores,FL 33138-0000 SW fist Phone: (305)795-2204 � Expiration: 0 /20/2016 y 3124120111 t Project Address Parcel Number Applicant 716 NE 92 Street Number: 1-M 1132060440510 Miami Shores, FL Block: Lot: BETTY BARRY Owner Information Address Phone Cell BETTY BARRY 716 NE 92 ST UNIT 1M MIAMI FL 33138-2958 Contractor(s) Phone Cell Phone TRIPLE J PLUMBING SERVICES,LLC 305 558-0596 Valuation: $ 1,550.00 ( ) (786)357-7232 ..__ w� .. Total Sq Feet: 0 Type of Work:PROVIDE NEW DRAIN LINE&WATER FOR Available Inspections: Type of Piping: LInspectionType:Additional Info:Bond Return:Classification:Residential Scanning:3 bing Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.20 DBPR Fee Invoice# PL-3-16-59031 $2'25 03/16/2016 Credit Card $50.00 $121.70 DCA Fee $2.25 Education Surcharge $0.40 03/24/2016 Credit Card $ 121.70 $0.00 Notary Fee $5.00 Permit Fee $150.00 Scanning Fee $9.00 Technology,Fee $1.60 Total•;.;` $171.70 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 as me responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRIC BING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFI at all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction a zo n . F ermore, uthorize the above-named contractor to do the work stated. March 24, 2016 Authori ure:Owner / Applicant / Contractor / Agent ate Buildin Department Copy March 24,2016 1 1tj*NtNlflgyg,y4 i �V V % �►► s CITaL fb T +»•t A 20J :tow_ moh sto -4 UK- y PL (Co - MAR 16 010 .� . . . • oot:6 00 14 &tj4,e7 v • • l �D Es •• •• •• • •••••• 7' • V ami Shares Village V ld J ED BY DATE C:', _-(,N1P1.VNC WIfNALL FEDERAL f l L j AND m7-GULATmONS } Miami Shores Village 9 Building Department PAR Ys o, 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 0 Tel:(305)795-2204 Fax:(305)756-8972 BY: INSPECTION LINE PHONE NUMBER:(305)762-4949 �� . FBC 20 1 `f BUILDING Master Permit No. 'PL 410- k0 I' PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [:]RENEWAL M/PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF CANCELLATION SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 71� NE q�-rre� on Ii- 4 f \ City: Miami Shores County: Miami Dade Zip: b5115 Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholder): `� �/�� Phone5 'z Address: I I �A Z C7 Cl may, � City:—Wq�1� �are�,,�1State: Zip: ✓ g y Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: phone#: � Address: City: State: Zip: Qualifier Name: C.)o\ •'Ci �J jP-e e,z,- Phone#:—7S& State Certification or Registration#: C� Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ P _� � Square/Linear Footage of Work: Type of Work: ElAddition ❑ Alteration F-1New -[Repair/Replace ❑ Demolition Description of Work: l� . PCA,.) (J'ai.D LAnc wew-c-, _Gbh" U)Ae,kvoG �Pick's ne- Specify color of color thru tile: Submittal Fee$ ® ' Permit Fee$ l j�� CCF Scanning Fee$ 4 • co Radon Fee$ DBPR$ � •� Notary$ Technology Fee$ Gid Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ t TOTAL FEE NOW DUE$ (Revised02/24/2014) T 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$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of ch posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signatu e OWNER or AGENT CONT OR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this �i Ar—ts,_day(off L U' l ,20� by day of ,20 (,� , by BVrrY `IJ gA11 Xwho is personally knon ty wo O �Q� ��-- ,who �ispersonally known to me r r who has produced T as me or who has produced �L. V ��'\JFVZ as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: \\�� 111111111/ft�j��' F . Sign :_ Sign: yM��ii `I' Print:_ fir- 2 y v1. 19 Print: =r.! N$'m= Seal: o40 w Nagy Pubo Samba of Florida Seal:% • 09car M Zaragoza `\ MyG FF 838297 ��F[ORIDA•*��x's ExPkfs 12912019 hlllllllli1111� All APPROVED BY ll Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) x� x !'a E r, m„ 3 Y r a F gw v An zz Ig 13 this E x E: s J y M f S s k / j"�', � �tF T •� r s t� � i T 1 a , AC"REP CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) `1114 ' 1 11/16/2015 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. If 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 to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT BB Insurance Marketing Inc PHONE Andrea Lopez ext.314 FAx 10167 W Sunrise Blvd,3rd Floor 954-452-4900 Plantation FL 33322 E-MAIL .andrea@bbimi.com INSURERS AFFORDING COVERAGE NAIC# INSURERA:United States Liabili Ins Cc 25895 INSURED TRIPL-9 INSURER B:FRFSI F/Retail First Ins Cc 10700 Triple J Plumbing Services, LLC. INSURER C: 135 E.37th Street INSURER D Hialeah FL 33013 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 1563787775 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. INSR I TYPE OF INSURANCEADDLISUBRI POLICY EFF POLICY EXP LTR INSD WVD POLICY NUMBER MM D M D LIMITS A X COMMERCIAL GENERAL LIABILITY 41805 4/15/2015 4/15/2016 EACH OCCURRENCE $1,000,000 D DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES Ea occurrence $100,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 X POLICY❑JET F—] LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LI 1 $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNEDSCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE AUTOS Per accident $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS UAB HCLAIMS-MADE AGGREGATE $ DED I I RETENTION $ B WORKERS COMPENSATION 43481 9/1/2015 9/1/2016 X STATUTE ORH AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? N/A E.L.EACH ACCIDENT $500,000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $500,000 ESC Dyes,describe under RIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 D DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached It more space Is required) Plumber. 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. Building Department 10050 NE 2nd ave ;R,_� ED REPRESENTATIVE Miami Shore FL 33138 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD ?le S �Qa�at �.rdaHcurcu�u r' auiatia�t, 96c. 745 North East 91 sr Street Miami Shores, FL 33138 305-759-9069/FAX 305-759-2101 E-MAIL:spel23@att.net February 26, 2016 Miami Shores Village Building Dept. 10050 NE 2nd Avenue Miami Shores, FL 33138 Dear Sir/Madam: This letter will serve as your confirmation that "Triple J Plumbing Services, LLC" has been contracted by the owner of Unit IM, at 716 NE 92 Street, Miami Shores, FL, and is authorized by the Board of Directors of the Shores Plaza.East Condominium Association to perform "Plumbing Repair/Installation" for Washer & Dryer machines at said Unit. Should you have any questions regarding the enclosed, please feel free to contact the condominium office. Sincerely yours, Robert Gonzalez President cc: file Proposal Date Proposal#: Plumbing Services LLC r 2/26/2016 212 CFC: 1429080 P.O. BO!133311 HLILEAH,FL 33013 (305)558-0596- triplejplumbing a`gnlail.com Proposal Submitted to: Job Site Address: ROBERT GONZALEZ SHORES PLAZA BETTY'S APARTMENT Description Total PROVIDE COMPLETE PLUMBING SYSTEM FOR A NEW WASHER/DRYER 1,550.00 -Provide hot,cold,and drain lines for new washer -Provide washer box -Provide new studor vent -Provide exhaust vent pipe for dryer. ALL WORK TO BE DONE WITH PERMIT AND TO COMPLY WITH CODE 0.00 PERMIT FEES FROM CITY NOT INCLUDED IN PROPOSAL ALL PATCH WORK TO BE DONE BY OTHER Total $1,550.00 6emm1 Provisions: Any skerations or deviations fiom the above sped6cadoae,mdudmB but not Merited to may each eltevation or devi&m hnvohm g addi[ionalmaenEd mW"labor costa wrL be enacted onty aeon a written order fon same aped by Owner and Camtmctor,and ifth m is any clerge for such alteration or deviation,the adWansl chorge will be added to the contract price of ti®contact. Payments ata dm onw each cams,,mqutloubm passed.if paymme is not mate within 20 days of dm date.Triple J Plumbing services,LLC may soapend work on the job mail such time as all paym®te due pave bemmade.A faslaw to make psymem ria'a period is cowaw of4S days from dm date ofthe payment shall be deemed amaterial breach oftlds contract. All eaumas,dm that are tot pail wWdn 20 ndeys Rom the date ofcompleriun shell bear interest at 18%per summetmtilpaid.The comer elml be responsible for all attomays feee and code raged by Triple J Plamt®g Services,LLC.in all collection efforts for any®toms oa deal g whetter or not amt is Ma Triple J Plumbim Services.LLC Miall not be liable for may delays dm to chi o>esxns beyond ns control unlade f labor disputes,firm unuenl delay in derrveries,unavoidable cesuddes,dc. Triple J Plambiog Servicm LLC.waaante all work for aperiod of 12 menthe Mowing mon. This paopaeel is sabject to accepts=withlr 30 days and is void thereafter at the option ofthe undersigned. Auticaized Sigtmitae: Acceptance proposal:The above psioo spad8ca ioas and conditions me seriestory and hereby accepted You are authorized to do the above war MTrripleg Services,LLC. as apecilied above.Payments wit be made as outlined Printnaneo N (;�� Dataofaccepterim �/ 1