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PL-15-326 s- r Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-248999 Permit Number: PL-2-15-326 Scheduled Inspection Date: December 10,2015 Permit Type: Plumbing - Residential Inspector. Diaz,Osvaldo Inspection Type: Final Owner. MARKUS, DAVID Work Classification: Addition/Alteration Job Address:1190 NE 92 Street Miami Shores,FL 33138- Phone Number Parcel Number 1132050270460 Project: <NONE> Contractor: PCI SOLUTIONS INC Phone: (954)567-9354 Building Department Comments REMODEL KITCHEN Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed E2( CREATED AS REINSPECTION FOR INSP-228238. NO ACCESS Failed Correction L Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid December 09,2015 For Inspections please call: (305)762-4949 Page 32 of 44 Miami Shores Village 10050 N.E.2nd Avenue NE ,' Miami Shores,FL 33138-0000 " Phone: (305)795-2204 § � �';�� ' E11 xpiration: 1 1/0812015 - Project Address Parcel Number Applicant 1190 NE 92 Street 1132050270460 DAVID MARKUS Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell DAVID MARKUS 1190 NE 92 Street MIAMI SHORES FL 33138-2935 Contractors) Phone Cell Phone $ 2,850.00 PCI SOLUTIONS INC (954)567-9354 Valuation: -- Total Sq Feet: 151 Type of Work:REMODEL KITCHEN Available Inspections: Type of Piping: Inspection Type: Additional Info: Top Out Bond Retum: Final Classification:Residential Scanning:3 Underground Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.80 Invoice# PL-2-16-54495 DBPR Fee $2'25 05/12/2015 Check#:3105 $168.30 $0.00 DCA Fee $2.25 Education Surcharge $0.80 Permit Fee $150.00 Scanning Fee $9.00 Technology Fee $2.40 Total: $168.30 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 AFFID : 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 n' g. F�qrmore,I authorize the above-named:n'tract do the work stated. May 12,2015 Autho Signatu er / Applicant / Contractor / Agent Date Building Department Copy May 12,2016 1 Miami Shores Village = ' � fVF � _ .v � � Buildin g Dep artmentEB 18 2015 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 BY: Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 BUILDING Master Permit No. —3Z4 PERMIT APPLICATION Sub Permit ❑BUILDING ❑ELECTRIC ❑ ROOFING ❑ REVISION ❑EXTENSION ❑RENEWAL )PLUMBING ❑MECHANICAL ❑PUBLIC WORKS ❑CHANGE OF ❑CANCELLATION ❑SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 119a A!C ST City: Miami Shores County: Miami Dade Zip• 3f.SSS IS the BuRding Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: ` OWNER:Name(Fee Simple Titleholder): AA-1, -i/S Phone#: ` -'� �/ / Address:_/ 9J7 Ah C?;�t .5r-, City: &ft State: fci-- zip: 33 03 y Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: gent rai3. Phone#: -5aj-Rj Address:-I2 Al, Sd`J�j to city: =:j L State: fes-- Zip: 3330q Qualifler Name: CAR4 S CAFel%k-1.- Phone#: Q --ff 44f State Certification or Registration#: crc 1'f;? ((0% Certificate of Competency#: DESIGNER:Architect/Engineer: IzE z WE& Phone#: &=I-- Address: City: ate:.Fi- Zip:333 Value of Work for this Permit:$ o2�`J�D Square/Unear Footage of Work: f OO JQ, pq-, Type of Work: ❑ Addit'aio'-n,, Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: (N WJI:,ES fi-MA 1n A3t-A AftL UW(Elp PZIL6 9 rj&l', OAIF" Aim 5:1W. PAVOP-, ->LQM t bra 1101> C L QF1t2.16&- . 6AY. l UAC--p2_QMQ:22 k 03* -0XVA Specify color of c "dle: Submittal Fee Permit Fee$ osd CCF$ CO/CC$ Scanning Fee$ _ .__. .__. --_.. . . Radon Fee$- DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ --- - - ------- ----------- — Bond$ -.. .- TOM---fEC-NOW DU $ I� •�� = (Rev1sed02/24/2014) Bonding Company's Name(If applicable) Bonding Company's Address city State Z(p 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$250Q the applicant must promise In good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment Also,a cert/fied copy of the recorded notice of corrlmencement must be posted at the job site for the f/rst inspection which occurs seven (7)days after the building permit is issued. In the absence of such posted notice, the Inspection will not be approved and a reinspection fee will be charged. Signature Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing Instrument was acknowledged before me this A 7 day of l v 20 1 '�—,by a day of J� �Wo 20 fe S J by �,6 IMA-�uS who s personally known to ('r;(,R i� rA-vi-P I�L� sonally known to me or who has prod`- � as me or who has produced as Identification and who did take an oath. Identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print' �-'t7a S Print: l S Seal: °�; �� LOISTEPPER �s � L018TEPPER * * IN COMMISSION#FF 045244 Seal: * * IN COMMISSION#FF 045244 EXPIRES:September 9,2017 EXPIRES:September 9,2017 BMW ThtuBudgetNotryBervhe BMW TMuBudostNoteySwim ############################################################################################################ APPROVED BY 2't (� Plans Examiner Zoning - -- - - - Stral-Review (RevisedO2/24/2o14) PCISO-1 OP ID:YK ACORO DATE(MK=MYYY) �,.....� CERTIFICATE OF LIABILITY INSURANCE 02!03!2015 THIS CERTIFICATE 18 ISSUED AS A MATTER Of INFORMATION ONLY AND CONFER$ NO RIGHTS UPON We 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 CER I I ICATE NOLAER. IMPORTANT: It the certificate holder Is an ADDITIONAL.INSURED,the polIcAles)most be endorsed. H SUBROGATION IS WAIVED,subject to the terms and conditionsof the policy,certeln pokles may require an endorsement. A statementvn this certificate does not confer rights to the eertificaft holder In lieu of such.endorsem s. meoauaEs __. 1$9 W8 Brown afC.reeF Rd# —_-- P.O.Box�2 Adie•FL 333104727 BUIMA:Massachusetts Boy ins Co+ 22366 aea PCI SoluUems,Ino. younm a:"Hanover Insurance Ca:* _ 22292 PCI 616th Water Solutions Inc mumm c:Hanover American Insurance Ca+ ,30864 1007 N Federal Hwy*267 ua aD:B field Em ins.Ca+ 10701 Feld Lauderdale,FL 33304 00MME., OdkWM F- ===±==J C�VLEiAGE8 CERTIFICATE NUMNER: N NUMER: THIS IS'TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE. IRED NAMED ABOVE FOR THE POLO PERIOD INDICATED. NOTWITHSTANDING ANY.REQUfREMENT,TERM ORLOONDnTgN'OF ANY CONTRACTOR OTHER OMMENT.WITH RESP9CT TO WHICH THIS CERTimATE MAY BE ISSUED OR MAY I�ERTAIN.-THE INSURANCE AfFO,ftW BY THE POLICIES DESCRIBED HEREIN IS SUBACT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH:P�ICIES.LONTS SHOWN MAY HAVE b&N REDUCED BY PAID AM WJW CLAIIIgS. lm ov wsuRLWCffIflL LAM asNsnAf kws"TY IEACH occas _ a 1,OAO,fiO A X COMERM&clRGWAL LVBkrrr LDJS16124805 00101/2014 01)10112015 a 1011, f UWA4 m (X�ocox M p0► ase 8 f0; — BOWL A AM UQ 1 Y a 11000 WMAGGREUTELUTAPKIESPER crs jCauProp Dao s 1000, Pm= rx-1:1.0ca MJT LIABL" LMT _ 1,000,000 C X AWAM 6133404 0810112014 W0112015 8=V Mwpww) s at�imcs MEim I3*ftY Vfttr Iaerec p s X IAUTos , a - X urea"Lim X Declot s :1;iEip E siceessune t"19,1612+42" 00*112014 08f011201S ApaFtEeAn s 2,000; X spumes X X. D AWP aaRffTQ"A�at +rE MIA 188 041111190140810112015 FL: gR eq _ LJ e,..a �EaEuaco. : _ �000 d a 1A00,0 I DE9OR 'Ql�tllh RAT101Ig'I L#itdlT lvB dy t 0$(Atm AC�lG i8t.Atdtlaat nw-0 spa"Is rem 8roof of znaur"". Plumbing Lipelass CFM427168 EI � CANC RY©_MS_ SHOULD ANY OF THE ABOVE71*I0RI71{ED POWCtEs 9E CANCEt LED BEFORE City Of Mialnf Shores THE -WIRA1YYRH 11ATff THE"O-F, :NOTICE- WILL BE DLUVE�ti IN /1BGORDA61CI3 *6 POLfC11 PK641$161111$. 10060.NE 2.Ave Mlami 13hares.dlllago,FL 33136 AaTft1YTATNE (+ ®1$88 9010 ACORD'C.DRPCRA'TION Il tYghte rsserve'd. ACOkD 25(2010AM The ACORD nerneand logo are registered marks of ACORO BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 11.5 S. Andrews Ave., Rm.A-1,00, Ft. Lauderda#e, FL 33. 301-1-895-954-Ml-4000 VAUD OCTOBER'1,2014 THROUGH SEPTEMBER 30;201S DDA: RBCeIpt :PLUNDING4WN SPRNKL/CONTRAC OR Business Name:'PCI SOLUTIONS INC Businns Type:(PLUMBING CONTRACTOR) OwnerName:CaRisTopti s P CAMPBELL $usinew'Qp ted:02/13%2007 Business Location:1007 IS FEDERAL HWY 267 StateiCOUtdyJCerf/Reg:CFC 1427168 FT LAUDERDALE Exempdon Code: Business`Phone: Roams Meats Enviayees Protessianats 2 F :tree W ewslaess ow Nmnberot3llacdh"s: yam . Tax Amoim! Tra Wer Fee I NW Fee Reeelty. Pru Yeats I Collection Cost TOIa1-Pti 27.00 0.00 0.001 0.60 0.00 0.00 27.00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS 13ECOMES A TAX RECEIPT This-tax,is::ievied-for the privilege Of doing business witlOn Broward County and is non-rsi3gli"in nature, You must:meet aU County and/or Municipality planning WHEN VALIDATED and zoning requirensents. This Business Tax Receipt must be transferred when ttse business is sold. bossiness name has changed or you have moved the business location: This receipt does not indicate that the business is legal or that it is in compliance with State or local laws and ftsilations. Mailing Address: CHRISTOPHER P CAMPBELL Receipt ti1CP-13-00011730 1007 N FEDERAL HWY STE #267 Paid 08/11/2014 27.00 FORT LAUDERDALE, FL 33304 2014 - 20,15 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850)487-1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 CAMPBELL, CHRISTOPHER PATRICK PCI SOLUTIONS INC 1007 NORTH FEDERAL HIGHWAY SUITE 267 FORT LAUDERDALE FL 33304 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 range010 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 CFC1427168 ISSUED: 07/15/2014 serve you better. For information about our services,please log onto www myflorldalicense.com. There you can find more information CERTIFIED PLUMBING CONTRACTOR about our divisions and the regulations that impact you,subscribe CAMPBELL,CHRISTOPHER PATRICK to department newsletters and learn more about the Department's initiatives. PCI SOLUTIONS INC 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 L1407194 DETACH HERE RICK SCOTT,GOVERNOR KEN LAWSON.SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION f r` CONSTRUCTION INDUSTRY LICENSING BOARD CFC1427168 •,11 The PLUMBING CONTRACTOR Named below IS CERTIFIED �►• ar,�"� Under the provisions of Chapter 489 FS. Expiration date: AUG 31,2016 CAMPBELL, CHRISTOPHER PATRICK a v PCI SOLUTIONS INC 1007 N FEDERAL HWY SUITE 267 FORT LAUDERDALE FL 33304-1422 104124 1Vr%. Avid CLIA•• wv w ► wr� ...-.rem r.v• ••.. i STATE OF FLORIDA y; DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 CAMPBELL, CHRISTOPHER PATRICK PCI SOLUTIONS INC 1007 NORTH FEDERAL HIGHWAY SUITE 267 FORT LAUDERDALE FL 33304 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 rangeA—.0, 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 CFC1427168 ISSUED: 07/15/2014 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 CAMPBELL,CHRISTOPHER PATRICK to department newsletters and learn more about the Department's initiatives. PCI SOLUTIONS INC 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! Exp,ration date AUG 31 2026 L1407MW0694 DETACH HERE RICK SCOTT,GOVERNOR KEN LAWSON. SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION -~ ' CONSTRUCTION INDUSTRY LICENSING BOARD .i r• CFC1427168 r . The PLUMBING CONTRACTOR y Named below IS CERTIFIED r` t,,,N, •�'�' Under the provisions of Chapter 489 FS. -•' Expiration date: AUG 31, 2016 CAMPBELL, CHRISTOPHER PATRICK PCI SOLUTIONS INC 1007 N FEDERAL HWY SUITE 267 FORT LAUDERDALE FL 33304-1422 r • r Q t • • /Oet tin. n'!i•eenn•• svtrvr� wai w'• .•�e-� ..+....... ...,�r s •••. BROWARo.couNTY LOCAL BUSINESS TAX RECEIPT ill.S. Ave., Rm,A-1-00, Ft. LOUderdsf0i.K 33301-1896- 1.4000 VALIO OCTOSER1,20jS THROUG14 SEPnWER , 016q j :1 -1486 SOLUTIONS INCPL INC/L / , (PL Iia 0 ) 0WnWNWW.CHRjS70PHER P CAMPBELL R :02./13#2007 ftakwn On:1.007 N FEDERAL M 267 stmtdCou#*lC*tVR99:CFC 1427160 R Eft SuslneU MOM: .. ROOM tax yew �27 �Pa0 6.401 0: 00. 0.00 .00 x..00 u TM.ReegpT MAT ft pMTED COWICL*UUY"4 YOUR.PLACE OF BUSINESS A T PT This. 10t 0t ins Rs m s my -re is in matum..you mwt nvw au comty ardiar Municipamy emns WNW VAU ' TED and ZOMV MWOWIft..Uis Suwon Takftmlpt Musk r n ,DA gm bWnm god,t"jAm n or you moved the businm is Thi`" business r that vt is to u AbMg s. ISTOPHER P CAMPBELL Revelpt -14-0 0 :0 7 1007 N FEDERAL #267 fai400/10/3015 27.00 ORT LAUDERDALE, VL 33304 1 . 2016 F c I OP 0;to dERTIFICATE OF LMSILITYI CERTPqCA'M-OM WT Y Y Y TW PMAM BELOMXM-.0Fv4wqAkcE Dm NOT ... s), miyoommo .X-PRODUCTA,AW TM CEWWWATE HOLOM . t w the , . Mae 4 1, _.. w m. ... ,w.._�..._.,<. PIO. Ft taodw$ft FL 3331947V low U, Fadmal Hwy#"I Fod Lmderdsk.FL 01 THIS IS TO CERMY YTHE t ! t € �° t Tom, Y . : :O T. . 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