The URL can be used to link to this page

PL-16-367 Miami Shores Village Building Departmento s Zoos 90050 N.E.2nd Avenue,Miami Shores, Florida 33138 �, Tel:(305)795.2204 Fax:(305)756.8972 INSPECTION'S PHONE NUMBER:(305)762.4949 FBC 20 1 Lt sem^ BUILDING Permit No. V-C11 (o (05 PERMIT APPLICATION Master Permit No. t0 Permit Type:PLUMBING JOB ADDRESS: A/�-- / f City: Miami Shores County: Miami Dade Zip: 3 Folio/Parcel#: Is the Building Historically Designated:Yes NO Flood Zone: OWNER:Name(Fee Simple Titleholder):4 tB 4�f Phone#: Address: / ,c>co -C 7-- V City: �'� ?;91-We" 9/7AV--&-State: TenantiI,essee Name: Phone#: ® lo �� ` tE �i aEmail: c.� 5- CONTRACTOR:Company Name: A 4 °t Phone#: ul I ' YC 1 Address: 0 '! S_ S w Y to S zi �► I S'� City: �C�l' State:� p: r Qualifier Name: t�bl S �' /�it��v�d Ehone#: State Certification or Registration#: C F e I Y 2N Certificate of Competency#: Contact Phone#: 6 �' Email Address: A' PC., ill v k L &"v ,P (f DESIGNER:Architect/Engineer: Phone#: Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: OAddress OAlteration ONew ORepair/Replace LIDemolition Description of Work: W L -5 92 mss. l �"n�mx��s:am*xxx"�+a��m*��mxa""area"s"e"�m�mm��Feesaas�s"nas�+sa��xs�s�a�*eaaxx""x�a��s�x*ax"x"a�s"a� Submittal Fee$`f�O Permit Fee$ CCF$ ® "c'O CO/CC$ Scanning Fee$ Radon Fee$ 0-, DBPR$ a d 0 J Bond$ Notary$ 0 Training/Education Fee$6 ` 7-b Technology Fee$ Double Fee$ Structural Review$ _ ff TOTAL FEE NOW DUE$ , L s 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 ELECTRICAL WORK,PLUMBING,SIGNS, WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS and 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$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be ap reinspection fee will be charged SF;�� SignatureSignature �, 4er or Agent ntractor c� The foreggi!g instrument was acknowledged before me this The foregoing instrument was acknow edged before me this d day of fr' * ,20 [�,by LID l-X s X IROV)(5 day of ,20 1 6 by - S who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: *� `��Silveri Sign: �6 N"' •r, GERARDO S. f830638 Print `LO Pring �' �` da _ •• My Comm.Expires2016 My Commission Expires: _ ��'� My Commission Ex Commission#,'Bonded Through NatloAssn. &��d��xiBK+k#B9�N�k�kkS�#dkd8 &Is�s&8��+bk��`/C`q.�w`� c1R@>$��8888#>YB��&��kk&8e4�eskav&*se�84&kiA��i��Btlk&�k*k�&8ekR APPROVED BY ®�' Plans Examiner Zoning Structural Review Clerk (Revised3/ W012)(Revised(Y7/10/07)(Revised 06/100009XRevised 3/15/09) V STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850)487-1395 1940 NORTH MONROE•STREET TALLAHASSEE FL 32399-0783 GARCIA, LUIS ALBERTO A P A PLUMBING CORPORATION 8741 SUV 49TH STREET MIAMI FL 33165-6701 Congratulations! With thIS110 nse you'become one of-the nearly_.-- - - one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range 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 CFC 1427783 ISSUED: 07/28/2014 serve you better. For information about our services,please tog onto www.myfforidalicerm.com. There you can Lind more information CERTIFIED PLUMBING CONTRACTOR about our divisions and the regulations that impact you,subscribe GARCIA,LUIS ALBERTO to department newsletters and learn more about the Department's initiatives. A P A PLUMBING CORPORATION r mission at the Department Is:License Efficiently,Regulate Fairly. .a constantly strive to serve you better so that you can serve your custorners Thank you for doing business in Florida, IS CERTIFIED under the provisions of Ch.489 FS. and congratulations on your new.liicensel Gxpkarbn do*:AUG 31.2ME u4072800DOSM DETACH HERE RICK SCOTT,GOVERNOR KEN tAWSON,SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD CFC1427783 . The PLUMBING CONTRACTOR Named below IS CERTIFIED WE Under the provisions of Chapter 489 FS. Expiration date: AUG 31,2016 a Q GARCIA, LUIS ALBERTO A P A PLUMBING CORPORATION 8741 SUV 49TH STREET �. MIAMI FL 33165-6701 a s ISSUED. 07128/2014 DISPLAY AS RFOI IIRFR RY I AW 44Pn it 14AMI Annan r ' O[i1�2 Local Business Tax Receipt Miami-Dade County, State of Florida —THIS IS NOTA BILL — DO NOT PAY 6281687 R A P A PLUMBING CCoRRpp o� ��Pj ES W=ll r NO. 7075 SW 46 ST POEINAL SEPTEMBER 30e 2016 MIAMI FL 33155 7368 Must be displayed at place of business Pursuant to County cwe Chapter 8A—Art.9&10 P NSRA A P A OR TYPE OR 8UgMjWW PLURABING CORP 196 PLUMBING COM'BACTOR PAYMBtyT Racanol p Worke(s) I CFC1427783 BY TAX COLLBOTOR $75.00 09/14/2015 CREDITGREI--15-045815 PTwo Local waft a ora aa8oaof h�al 's l Larel Bah�essTax The Reaelpt is aat a ti w9olewryharea Hoi� �PlywEly. The RECIBP�TRIO.aloe ower y dtaplayed a�whM ap*to the bUda M ctatvehiala— Cadosee as_= � �ormaGo>b vish ' O® Pricy Numbed: CL 16439151 Date E1716 . 3/6/2015 ACOR `" � CERTIFICATE OF LIABILITY INSURANCE DATE tMuoouww)3/6/2015 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 "SLOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORMED PRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(tes)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an andorsement. A statement on this certlflcate does not corder rights to the ceMcate holder in lieu of such endors s PRODUCER coNrI�cr Pablo A Matilla Your Options Insurance 7171 Coral Bay PHONE (305)392-1927 Fax N :(888)687-1926 Shite 319 info@youroptionsi.ns.com eISURER AFFORDING COVERAGE NAIL S Miami., FL. 33155 INSIMRA:UX'M SIAM LIABILITY INS Co. INSURED A.P.A Plumbing Corporation 11"URERa: INIKIRat C 7075 SK 46th St INSUIMD: Miami, FL 33155 >- INSURER E: 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. @LTRISR ADOL SUSH POLICY OF map TYPE OP INSURANCE POLICY NUS POLICY LRBTS A cOmMERclAL GENERAL LImwm EACH OCCURRENCE $1,000,0000 CLABAB MADE ®OCCUR CL 16439151 3/25/2015 3/25/2016 DAMAGEP—REM ESoccurnmae) $100,000 MED EXP(Any are person) s5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LWIT APPLIES PER: GENERAL AGGREGATE s2,000,000 POLICY❑JEcT ❑LOC PRODUCTS-COMPIOP ACG $1,000,000 OTHER: $ AUTOMOBILE LIABILITY ANYAUTO BODILY INJURY(Perperem) S ALL OWNED AUTOS AUTOSULED BODILYINJURY(Peracolderd) S HIRED AUTOS �OS NED PROPERTYorDAh1AGE $ I11111BRELLALUIB OCCUR EACH OCCURRENCE $ EXCESSLIM CLAfAS4AADE AGGREGATE S GED I RETENTION$ $ MfORKJ�CO�NSATNNt OTH- AND EWLOYEW LIABILITY Y I N STATUTE ANY PROPRETORIPARTNERIEXECUTIVE ❑NIA E.L.EACH ACCIDENT $ OFMCEP41230 R EXCLUDED? (Mandatory M NII) E.L.DISEASE-EA EMPLO $ If ya%describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LWIT $ DESCRIPT OF OPERATIONS I LOCATIONS I VEHICLES WORD 101,AddMaml Remo"Sabodule,mey be attached N nraeopecolarewhom PLUMBING RESIDENCIAL (98463) PLt)I4BING4 COMMERCIAL (98482) as per information with underwriter policy covers policy installation LPG equipment CERTIFICATE HOLDER CANCELLATION Miami Shores Village Bulding and Zoning THELD EXPIRATION OFTHE N DAABOVE THEREOF, W®.1 . BE DELIVERED IN POLICES BE CMCELLEID 13EFORE 10050 N>3 2 AVE ACCORDANCE WITH THE POLICY PROVWIONS. Miami Shores Village, 6L 33138 fas(305)756-8972 AUTHORIZED REPRESENTATIVE I aRLEM CAMWIO ®1988 2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD Produced LffihQ Forms Boss Pka soltwe e.www.Fore =n;tmpres"Publ 800-208-11rn ACCIR& CERTIFICATE OF LIABILITY INSURANCE oATEirrry) 1/42016 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 -nit ISSUING OWURER(S), AUTHORIZED..; REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER IMPORTANT: it 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#99 certificate does not confer rights to the certificate holder In ileu of such en s). PRODUCER SUNZ Insurance Solubons,LLC. ID:(Ally) W.CT Melissa Ash C/o Ally HR, inc. PHONE � �� I" 27� 9016 Phiii s Highway EMan Lnas rnaMxor>ssarrce.com Jacksonville,FL 32256 INBU AFFORDING COVERAGE NALCS A: &UNZInsuranceComom 34762 INSURND Ally HR, Inc. INs s: Re-Landon-Best A" 9016 Philips Hwy iNSURER C: Catlin SWIdIcate-Llovds-Best Ratina W Jacksonville FL 32256 WSURER 0: Brit -Best Raft W -* INSURER E: INSURERF: COVERAGES CERTIFICATE NUMBER: 27976156 wnslQN NUMSER- 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 wffIICH 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 CLANS. TYPE OF INSURANCEWyD pOUCy NiIAABER EFF EXP L>telB COMMERCIAL cHENeRAL LIaBIUTY EACH � s Cl AIifS RAAOE OCCUR S MED EXP VOJ one S PERSONAL&ADV INJURY S GEIa AGGREGATE LWT APPLIES PER GENERAL AGGREGATE S POLICY Q JE�C Flux PRODUCTS-COMPIOPAGG S OTHER: S AUTOMOBILE LIABILITY S ANY AUTO BODILY IN3URY wpm on) S ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY 0W aC d1q S HIREDAUTOS NON-OAUTOMED PROPERLY S S UMBRELLA LIAR OCCUR EACH OCCURRENCE 5 EXCESS LIAR CLAIMS-MADE AGGREGATE S DED ! I RETENTIONS S AoVERS WoRKERSComPENsAT= PE00000323 02 11112016 1112017 't YIN WCPE0000032301 1/1/2015 111!2016 EACCIDENT S 1,000, iM80d EXCLUDEIPt N/A EL CEASE-FLA EMPLOYEE SWOW OPERATi{X1S EL DISEASE-POLICY LIMIT S 1,000,000 B Workers Compensation This is for Informational purposes CD Excess Coverage and nothing shall create any right under such reinsurance. DESCRIPTION OF OPERATiONS 1 LOCATIONS I VELLI ES(ACORD 101,Ad6ll i Remaike Sdmd de,may be atladwd 9men3 space is m*&ed) Coverage provided for all leased employees tart not subcontractors of:APA PLUMBING CORPORATION Effective date:3/102015 CERTIFICATE HOLDER CA14CELLATION 9109 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE MIAMI SHORES VILLAGE HALL THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Fax' 305 796 8922 ACCORDANCE WITH THE POLICY PROvWON3. 10050 NW 2 AVE MIAMi SHORES FL 33138 AUTHORIZEDREPRE> 1TAnVE Glen J Distefano ®1988-2014 ACORD CORPORATION. All rights reserved. ACORD 26(2014101) The ACORD name and logo are registered marks of ACORD 27976166 1 Master Certificate 1 Candice McDowell 1 3/4/2016 11:49:23 AM (FS) 1 Page 1 of 1 co6. 7- 0 Ae-4-:-b-e . r/ 7 o) A10---7T w� 71- C- sh clo) co Q w � Kitchen ai s Width: 11'x" Length: 15' Area: 176. Perimeter: 53'9" zo c } n ®Oe NO POINT ALONG COUNTER TO 9E MORE THAN , *7' 2 FEET FROM G:E1 PROTECTED RECEPTACLE. iv " PUT D/W RECEPTACLE UNDER SINK. ALL FIXED APPLIANCES ON DEDICATED CKTS. o ADD i � ,. _ARSON MONOXIDE DETECT RS: > ANY A ALL CLOTH AND RUBBER & INSULATED C UCTORS BE REPLACED, 15'60 V z 0' 2' 4' 6' 8' 1:57 2016-01-15 1235 NE 100 SL It_, . � ,a FEB 0 9 Z016 PAGE NO:3 w i>> Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone: (305)7952204 Fax:(305)756.5972 Inspection Number. INSP-252581 Permit Number: PL-2-16-367 Scheduled Inspection Date:June 29,2016 Permit Type: Plumbing- Residential Inspector: Hernandez,Rafael Inspection Type: Final Owner: THOMAS,LOUIS DE Work Classification: Addition/Alteration Job Address:1235 NE 100 Street Miami Shores,FL 33138-2603 Phone Number (305)796-4922 Parcel Number 1132050080040 Project <NONE> Contractor. APA PLUMBING CORP Phone:(305)992-4614 Building Department Comments REMOVE AND INSTALL NEW GAS RANGE, SINK Infractlo Passed mments DISHWASHER AND DISPOSAL AND ICEMAKER INSPECTOR COMMENTS False Inspector Comments Passed es] Failed Correction Needed Re-Inspection Fee No Additional Inspedions can be scheduled until re-inspection fee is paid yj Miami Shores Village n 10050 N.E.2nd Avenue NE Miami Shores,FL 33138-0000 3 � Phone. (305)795-2204 y 3 Expiration: 08/27/2016 Project Address Parcel Number Applicant 1235 NE 100 Street 1132050080040 Miami Shores, FL 33138-2603 Block: Lot: LOUIS DE THOMAS Owner Information Address Phone Coll LOUIS DE THOMAS 1235 NE 100 Street (305)796-4922 MIAMI SHORES FL 33138-2603 Contractor(s) Phone Cell Phone Valuation: $ 250.00 APA PLUMBING CORP (305)992-4614 Total Sq Feet: 1400 Type of Work:REMOVE AND INSTALL NEW GAS RANGE,S 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 DBPR Fee $2 25 Invoice# PL-2-16-58637 DCA Fee $2.25 02/29/2016 Credit Card $109.10 $50.00 Education Surcharge $0.20 02/09/2016 Credit Card $50.00 $0.00 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 and SWIMMING POOL work. OWNERS\AFF AV[ . I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction an oni g. Futtieermore,I authorize the above-named contractor to do the work stated. February 29,2016 Authorized gnature:Owner / Applicant / Contractor / Agent Date Building D partment Copy February 29,2016 1