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PL-15-3034
tpC yt Miami Shores Village' 10050 N.E.2nd Avenue NE F £ £ Miami Shores,FL 33138-0000 Phone: (305)795-2204 Expiration: 0611212016 Project Address Parcel Number Applicant 1391 NE 102 Street 1132050230180 BAY CONSTRUCTION&DEVELt Miami Shores, FL 33138-2819 Block: Lot: Owner Information Address Phone Cell BAY CONSTRUCTION& 201 S BISCAYNE Boulevard (305)898-7882 -- - ----- - - MIAMI FL 33131- 201 S BISCAYNE Boulevard MIAMI FL 33131- Contractor(s) Phone Cell Phone Valuation: $ 6,500.00 FIAT PLUMBING&GENERAL yCONTR, (305)446-6366 Total Sq Feet: 00 Type of Work:ROUGH SET PLUMBING 3 BATHROOMS AND 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 $4.20 Invoice# PL-12-15-57975 DBPR Fee $3.38 12/15/2015 Check#:1381 $201.96 $50.00 DCA Fee $3.38 Education Surcharge $1.40 12/07/2015 Credit Card $50.00 $0.00 Permit Fee $225.00 Scanning Fee $9.00 Technology Fee $5.60 Total: $251.96 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 AFFIDAVI ce t all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zo F rmo ,I authorize the above-named contractor to do the work stated. December 15,2015 Authorized I :Owner / Applicant / Contractor / Agent Date Build' partment Copy December 15,2015 1 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone: (305)795-2204 Fax:(305)758.8972 Inspection Number: INSP-248909 Permit Number: PL-12-154034 Scheduled Inspection Date:June 06,2016 Permit Type: Plumbing-Residential Inspector: Hemandez,Rafael Inspection Type: Final Owner: , Work Classification: Addition/Alteration Job Address*1391 NE 102 Street Miami Shores,FL 33138-2819 Phone Number ..:.(305)888 78$2 Parcel Number 1132050230180 Project <NONE> Contractor: FIAT PLUMBING a GENERAL CONTRACTORS INC Phone:(305)4464366 Building Department Comments ROUGH SET PLUMBING 3 BATHROOMS AND KITCHEN Inhud° Passedmmwb INSPECTOR COMMENTS False Inspector Comments Passed Failed EJ Correction ❑ Needed Re-Inspection Fee No Additional Inspedons can be sdieduled until re-inspection fee is paid Miami Shores Village A ---^ Building Department DEC 0.7 2015 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 1: tY: Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION UNE PHONE NUMBER:(305)762-4949 FBC 20 P BUILDING Master Permit No. PERMIT APPLICATION Sub Permit No. `3 BUILDING ❑ELECTRIC ❑ ROOFING ❑ REVISION EXTENSION RENEWAL [EgLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 1.3 9t e (02- S?' City: Miami Shores County: Miami Dade 7j D: 3 r g Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: t� BFE: FFE: OWNER:Name(Fee Simple Titleholder): �q":; � �`Ph e#: Address: C='l M- xS 1� 1�� AJ e City: I '1/�l State �- Zip: Tenant/Lessee Name: n Phone#: Email: ©C-r0J',ACAC,V Slam ' . Car'-, . CONTRACTOR.Company Name: ` /^ PGo bl G9!`/U L Phone#: -:5 03-011,6,6 Address: a 7 7 SC�c� z1 City. Xl— Sttaat"e': �� Zip: 3 5 Z;it ?2 Qualifier Name: c �7� ��L�7' Phone#: �S O j`��[Z> . State Certification or Registration M tO '�E 2_7_Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ 4<-DD • ©Z) Square/Linear Footage of Work: Type of Work: ❑ Addition UAiteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work- - S - �) E�'�S Specify color of color thru tile: Imp Submittal Fee$�0/ ��Permit Fee$ Z -CCF CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Educadon Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ g (Rev1sed02/24/2014) 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$2500,the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature Z OWNER or AGENT CONTRACTOR The foregoing istrument was acknowledged before me this The foregoing instrum Stwas acknowledged before me this y of A ,20 by day of � '. ,20 Jr,•,,, ,by CJW��. ,who personally knot o � Jo I6,C 442,7- who is personally known to me or who has produced as me or who has produced L- as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC• Sign: Sign: Print: Print: j C� Seal: NtPu ARCO$ LUNARES Seal: Nowry elo�of FWft ' : Im Mar tMISSION 0 EE872M Jeftlu C N� E>G�RgB ftbrtuxv 07.2017 ',� 2 QommiMl�l FR 140130 �' , • � 0"FA o�,o�oii ------------------------- APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revlsea02/24/2014) QUOTE_ FIAT PLUMBING INVOICE NO. AME15002 2727 SW 36 AVE DATE November 30,2015 Miami FL 33133 CUSTOMER ID EXPIRATION DATE To AMENGUAL ELECTRIC INC. 3851 NW 12 TER Miami,FL 33126 786-443-0-853 it oaNT1391 NE 102 ST TRD N/A QvA�rrtl'x $V u�, u.� „Fd "1N r �� `i' t +t 'IE'?► 1 1.00 , WHOLE PLUMBING WORK AS PER APPROVED $ 6,500.00 $ 6,500.00 t PLANS 1391 NE 102 St Miami Shores FL 33138 3.00 Plumbing for (3)bathroom remodeling. 0.00 s Actual Citg Permit Costs Not Included � 3 Notes; Any deviation from the above referred Plans will create a Plus/Minor Change Order.TBD _ I k 1 I 1 SUBTOTAL $ 6,500.00 r (quotation prepared by:J o r g c A. F i a t SALES TAX j This is a quotation on the goods named,subject to the conditions noted below: TOTALL$ (Describe any conditions pertaining to these prices and any addition2 s of the agreement.You may want to include contingencies that will affect the quotation.) To accept this quotation,sign here and return: Y FOR YO BU SS! eDFitOA7E(WNDDNM CERTtpfCATE of 11ABILI T_Y INSURANCE' 12/2S/2016 ' THIS CISRY44CATE III WKFW AFS A IEATrER OF 1tUWAAIM ONLY AND CONFERS NO meM Up"THE ATE HOLDER.THIS CERTIF"TE ODES NOT 1 TMOX OR NWAT1YELY AMM, EXTEND OR ALTM THE COVERAGE AFFORDED BY THE POLICIES MLO*. THS CERT" OF 9I1VJSIANCE DOM NOT CONSTITUTE A CONTRACT BETWEEN THE ISSuMe 8L4UR6R(S), At1THORM REPRESENTATIVE OR PROMICft AND THE CMrrWICATE M DER. IMPORTANT: E onhokif�b an Ate!ONAi. the )most be emtorsad, E KIBROQATM 18 WAIIJED,submit to #0 tarns and 'Sto Bap,aertac Pcftfft may raqulre an e0CIOMMMOft A StAmserd an als oelflioaW does not confer rWft to#M corwiedo holder In lou'ot juch PROMIM MG & ASSIt OSCAR TATS ' .305 44-:;? 7T 05)447-9578 7480 Bird Rd S 610 6mcs8c i> sixran+i .Com MWAMM Miami, FL 3315 Atm 0WAINAGEtests INSURER A: 0n Specialty Zneuranom Co. INSWED Fiat a1 it; �ttersl cont mat or, 3ata. s:Egg$ Insurances Co. 2727 SM 6th Avenue INSURM c:Re First Insurance Co 10? Miami, - 33133 s1sl>taER a: ROPJM s E: COVERAGESILI 21A�MFICATE I BER M SON I+ ft THIS IS TO CERTIFY THAT: s OF INSURANCE LISTED S LOW gm'BEEN MSUED TO THE MORE D ABOVE FO THE POLGY PERIOD INDICATED. NOTWRTHST /ANY REQUIREMENT,T OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT To Vfflr.H THIS cERTiFlCATE Ii81Y BE t3Rbb4Y PERTAIN..THE DISI)RANCE AFFORDED BY THE POLES DESCRIED HEREIN IS SURMT TO ALL THE TERRdlB, EXCLUSION&AIN D CONDMO SOF'SUCH ER S.LATS SHOYI N MAY HAVE BEEN REMED BY PAID CLAN& L7A TYPE OF N Lmrs LOABiLIIY FACH OCCURREWE s 1,00 00 $ C IS- � Isis{t i trrerscel�ta 100,000 c� oc+'i`m s a� s 5 000 A VBA443306 /3,{16 ' /311.7 _' Maum4L&A MxxRY s 1;000,000 g DBD: Pour al a t 0000 WMRAL AIM SATE a 2;000,000 calor AOOREOATEL&tAST PER PROMW8-COAPMPAW s 2,000 000 R POL�r ux s AUTOM080 @ Ll UMM V LAU AM OWED i 80idE Y ItVAJttY IPS Pe nO 3 AUr AFEDIRI?D agi>tsYaIRY{PeM) s HM AUM $ L lA L1AB $ amuks i'000,000 g $ EXCEW UMCAAMWAM 831002944 3/3/16-3/3/17 6'4H CCU s 1,000 000 gm AM EMPLafiW UAWLIIONY J YJs g c c lNIA E.L EACHACS;[dEiVl' s 100,000 sW^'Adwy to NO de 0520-50066 /9/16 /9/17 F-LO FAW-EASMOYE $ _:.:.100,000 E.L- -PDLICYLEUI" s Meow DEBCRIPTM OF OPBRA7MI LO6AT1t wl VEHwB O#NhACORD 141. r s [imam ts is RESIDEA7'.CM 6 c IAL PLUMBING LICENSE NUMM: Fc039977 JORGE riAT, , TO EXMPT UNTIL SEARCH 12, 2018 cERnFICATE CANC -n6N 3 MAW SH RE VIS SHOULD ANY OF THE ABOVE DESCRIBED Powes BE cANcEum BEFORE THE SMAT*N DATE THEREOF. NOTICE WILL BE DELMED IN 100501� 2 A ACCORDANCE WITH THE POLcY MIAMI SH(RS4 FL 33138 WnORIZED REPRESDRATM is 3 11V\:/R026(2DfWMS) }}I the ALti:/RD no=SW I0P We MOWitWinwM�7'1NL7t{i j#