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PL-15-1927
Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-240328 Permit Number: PL-7-15-1927 Scheduled Inspection Date: March 08,2016 Permit Type: Plumbing- Residential Inspector: Hernandez, Rafael Inspection Type: Final Owner: , Work Classification: Addition/Alteration Job Address: 149 NE 105 Street Miami Shores, FL Phone Number (786)231-5339 Parcel Number 1121360050130 Project: <NONE> Contractor: WALTER PLUMBING CORP Phone: (305)970-7116 Building Department Comments NEW PLUMBING FOR 14 FIXTURES HOUSE BIBS Infractio Passed Comments WATER SERVICE AND SEPTIC TANK CONNECTION INSPECTOR COMMENTS False FOR HOUSE ALTERATION AND ADDITION Inspector Comments Passed Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid March 07,2016 For Inspections please call: (305)762-4949 Page 7 of 44 i t tg 7 F k` s ' hype P1mbin s Miami Shores Village 10050 N.E.2nd Avenue NE Wb �e!sit Alt6 ation, Miami Shores,FL 33138-0000Ap z ` ti Phone: (305)795-2204 7 fi�R1Op` Isu � 315Ja is Expiration: 02/01/2016 Project Address Parcel Number Applicant 149 NE 105 Street 1121360050130 Miami Shores, FL Block: Lot: ZURDDO CORPORATION Owner Information Address Phone Cell ZURDDO CORPORATION 12921 S CALUSA Drive (786)231-5339 MIAMI FL 33186- 12921 S CALUSA Drive MIAMI FL 33186- Contractor(s) Phone Cell Phone Valuation: $ 8,000.00 WALTER PLUMBING CORP (305)970-7116 (786)234-2816 __... _.... _. :_ _ ._.,.,.....__ Total Sq Feet: 0 Type of Work:NEW PLUMBING FOR 14 FIXTURES 4 HOUS Available Inspections: Type of Piping: Inspection Type: Additional Info: Top Out Bond Return: Final Classification:Residential Scanning:1 Review Plumbing Underground Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $4.80 DBPR Fee Invoice# PL-7-15-56538 $4.20 08/05/2015 Credit Card $254.20 $50.00 DCA Fee $4.20 Education Surcharge $1.60 07/30/2015 Credit Card $50.00 $0.00 Permit Fee $280.00 Scanning Fee $3.00 Technology Fee $6.40 Total: $304.20 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 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. Fut ermore,I authorize the above-named contractor to do the work stated. August 05, 2015 AutheZI97d Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy August 05,2015 1 Miami Shores Village Building Department I ' 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 JUL 3 301� Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION UNE PHONE NUMBER:(30S)762-4949 .__:___ FBC 2014 BUILDING Master Permit No.RC-5-867 PERMIT APPLICATION Sub Permit No.P--4 S -Icl ?q-- ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL 0 PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 149 NE 105TH ST City: Miami Shores County: Miami Dade Zip: 3� Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): �.urCWO Phone#: Address: I Z g z I S. 'r*. City: �-V arw%i State: Zip: 3318 CP Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: WALTER PLUMBING CORP Phone#: 786-663-5785 Address: 4054 SW 113TH AVE City: MIAMI State: FL Zip: 33165 Qualifier Name: WALTER GUTIERREZ Phone#: 305-970-7116 State Certification or Registration#: CFC 1427510 Certificate of Competency#: DESIGNER:Architect/Engineer- — Phone#: 5 - 2—FRL Address G City: State:�_Zip: Value of Work for this Permit:$ J15A4� Square/Linear Foot ge of Work: Type of Work: 0 Addition ® Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: - h�./r,t.� ' -�c-1�j►�a I� �:xfu 4 )xose &zj'L ty0A-e,r �.�{ ;cam .,,..c-'�- Q.ep+ike "'ay -fir ►\o s-,-- ckv,.L DO Specify color of color thru tile: Submittal Fee$ U� Permit Fee$ ' "y CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (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 Signature OWNER or AGENT CO , RACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this `3U day of ,20 � by day of 20 by who is rsonally kno to W.A��4-- (fh,£c"Z ,who is personally known to me or who has produced C 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: P ) PEREZ �. ,INIn11 #EE 152669 Expires January 31,2016 \\,, BondedTiwTmyFainh1V8WeBpp3g�7019 Sign:, ��` 1 Sign: WALTER G IERREZ Print: rC�r �e Print: srw1.7n Seal: Seal: a !fit/y0/�'D APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revisedo2/24/2014) STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATIONxL CONSTRUCTION INDUSTRY LICENSING BOARD CFC1427510 �r The PLUMBING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2016 GUTIERREZ,WALTER A WALTER PLUMBING CORPORATION 4054 SW 113TH AVE MIAMI FL 33165 ISSUED: 07/20/2014 DISPLAY AS REQUIRED BY LAW SEQ# L1407200001654 RICK SCOTT,GOVERNOR- KEN LAWSON,SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD R CUC1224638 The UNDERGROUND UTILITY&EXCAVATION CO 'F� Named below IS CERTIFIED a Under the provisions of Chapter 489 FS. Expiration date: AUG 31,2016 GUTIERREZ,WALTER +�I WALTER PLUMBING CORPORATION 4054 SW 113TH AVE d MIAMI FL 33165 ® ,A 34 ISSUED: 07/20/2014 DISPLAY AS REQUIRED BY LAW SEQ# L1407200002073 11051 Local Business Tax Receipt Miami—Dade County, State ofFlorida r+ —THIS IS NOTA BILL DO NOT r . x^ p IF I R 6121131 xm BUSINESS NAMEALOCATION RECEIPT NO. EXPIRE' QN REIt1E1N/4L WALTER PLUMBING Cott�oRATI SEPTEMBER 30, 2015. 1 4054 SIV 113 AVE 6384093 Must be displayed at place of business MIAMI FL 33165 Pursuatstto County Code : Chapter 8A—Art.9&10it WNER SBC.TYPE OF BUSINESS w WAALTTER PLUMBING CORPORATION 196 SPECIALTY PLUMBING CONTRACTOR gy A� RECEIVED LECTOOR Worker(s) 1 CFC1427510 $75.00 07/21/2014 CREDITCARD-14-028960 ,� ; This Local Business Tax Baceipt only confirms payment of dw Local Business Tao.The 8acetpt is nota Iicenes, pemdt,or a c iceeon of the clefs Iificatroas,to do bust s Holderme�t+x pry am pwarmnemal or nonBavammemal IagalaNry!amts amt raquinamealswhich applq huains ACC>D® CERTIFICATE OF LIABILITY INSURANCE DATE`"1�°°,YYYY' 07/14/2015 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 NCONTACT AME PABLO M CONDE LA (A&A Underwriters, Inc. PHONE 305-220-7447 Fac Ne 1:305-220-4821 8778 SW 8 St ADDRDRE : pmc@aaunderwriters.com Miami, FI 33174 INSURER(S)AFFORDING COVERAGE NAICO INSURER A:Arch Specialty Insurance Company 21199 INSURED INSURER 13:Bdd efield Employers Insurance Co 10701 Walter Plumbing Corp INSURERC:MAPFRE Insurance Company 010805 INSURER D 4054 SW 113 Avenue INSURER E: Miami FL 33165 INSURER F: COVERAGES CERTIFICATE NUMBER: 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 ADDLSUSR POLICY EFF POLICY EXP TR TYPE OF INSURANCE POLICY NUMBER M MIDD LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS MADE X OCCUR DAMAGE TO PREMISES EaEoccurrence) $ 100+000 A AGLOO5612-01 10/25/14 10/25/15 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GERL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY 7 JECTT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SIN LEU IT Es accident $ 1,000,000 ANY AUTO C ALL OWNED SCHEDULED 4150140009587 01/24/15 01/24/16 BODILYINJURY(Peracdcle) $ AUTOS AUTOS NON-OWNED GOmp/COIIISiOn$500 Dedt. BODILY INJURY(Per accident) $ X HIRED AUTOS 1xx AUTOS PROPERTY a� DAMAGE $ PIP$10,000 $ UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION $ WORKERS COMPENSATION X PER ER AND EMPLOYERS LIABILITY B ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N 830-38516 10!26!14 10/26!15 OFFICERIMEMBER EXCLUDED? © N/A E.L.EACH ACCIDENT $ 1,000,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Addltlonsl Remarks Schedule,may be attached H more space is mqulmd) Contractor License CFC 1427510 CERTIFICATE HOLDER CANCELLATION Miami Shores Village SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Building Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 10050 NE 2nd Ave ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores, FL 33138 AUTHORIZED REPRESENTATIVE ©1988-2013 ACORD CORPORATION. All rights reserved. ACORD 25(2013104) The ACORD name and logo are registered marks of ACORD