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PL-15-1536 Inspection Worksheet LI/ Miami Shores Village 0 S_ 10050 N.E. 2nd Avenue Miami Shores,FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-261568 Permit Number: PL-6-15-1536 Scheduled Inspection Date:June 23,2016 Permit Type: Plumbing - Residential Inspector: Hernandez,Rafael Inspection Type: Final Owner: WICHMANN,ANGELA KELSEY Work Classification: Addition/Alteration Job Address:1399 NE 104 Street Miami Shores, FL Phone Number (954)444-2156 Parcel Number 1122320320040 Project <NONE> Contractor: MASTER MECHANICAL SERVICES, INC. Phone: (305)825-3004 Building Department Comments KITCHEN&BATHROOM RENOVATION 1/2 BATH In racdo Passed Comments ADDITION INSPECTOR COMMENTS False 4112112016 As per chief plumbing inspector: Plumbing qualifier shall meet with Building Department prior to continuing any further. Inspector Comments Passed 17Z CREATED AS REINSPECTION FOR INSP-237365. not to code Failed Correction Needed Re-Inspection a Fee No Additional Inspections can be scheduled unfit re-inspection fee is paid %la"I y Miami Shores Village ,' v� # 7f I Ic1lentli 10050 N.E.2nd Avenue NE Miami Shores,FL 33138-0000 ! F �3 3 I �ll�Yf� ' it " Phone: (305)795-2204 � 7 11 SRI r � on: 06/05/2016 Project Address Parcel Number Applicant 1399 NE 104 Street 1122320320040 ANGELA KELSEY WICHMANN Miami Shores, FL Block: Lot: Owner Information Address Phone Cell ANGELA KELSEY WICHMANN 1399 N.E. 104 ST. (954)444-2156 MIAMI SHORES FL 33138 Contractor(s) Phone Cell Phone Valuation: $ 8,976.00 MASTER MECHANICAL SERVICES,IN 305-825-3004 _.__.. .__.:.... .. ....... . __.._. .. Total Sq Feet: 0 E Type of Work:KITCHEN&BATHROOM RENOVATION 1/2 B Available Inspections: Type of Piping: Inspection Type: Additional Info: Bond Return: Top OutFinal Classification:Residential Scanning:1 Review Plumbing Underground Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $5.40 DBPR Fee Invoice# PL-6-15-56056 $3.38 12/08/2015 Check#:3052 $ 199.16 $50.00 DCA Fee $3.38 Education Surcharge $1,80 06/22/2015 Credit Card $50.00 $0.00 Permit Fee $225.00 Scanning Fee $3.00 Technology Fee $7,20 Total: $249.16 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 AFFIDjR certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction andFuthermore,I authorize the above-named contractor to do the work stated. December 08,2015 Authorize nature:Owner / Applicant / Contractor / Agent Date Building Department Copy December 08,2015 1 .+ Miami Shores Village Building Department JUN �� ` 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 BY: INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 (b BUILDING Master Permit Nov. z—1�' (+9 PERMIT APPLICATION sub Permit No. , ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL PLUMBING ❑ MECHANICAL [:]PUBLIC WORKS [:] CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: �� `J-�f City: Miami ShoresCounty: Miami Dade zip: 1 Folio/Parcel#: 2 2 "322 "-2 —1�� D-I C) Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: F : y5�AgA A UJIC-A 3 OWNER:Name(Fee Simple Titleholder): A f-)CAY C�c� Phone#: — � �i Lj Address:l1` L Aa ss City: 1-`l (Q M I �r"0-� State: kAl Zip: I Tenant/Lessee Name: Phone#: Email: p CONTRACTOR:Company Name:�lQS�ef � 1 l]ec t\on l Cc.i Sel 1//1(fS) hone#: Address: ,� � I � � lQ�-G + City: '��'1l f State: Zip: Qualifier Name: Vy ` t0" A U 'e t�> Phone#: State Certification or Registration#: Certificate of Competency#: DESIGNER:Architect/Engineer:-A® c-7-!E� Phone#: + Address: 3 t c>CD � �j sc;" � ,�� L' City:�j tate Zip s Value of Work for this Permit:$ �6 76 Square/Linear Footage of Work: Type of Work: ❑ Addition Alteration ❑ New ❑ Repair/Replac ❑ Demolition Description of Work: 03) X AJ)DI L Specify color of color thru tile: c Submittal Fee$Go Permit Fee$ ZZJ. � 7 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. 0J J Signature Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The oregoing instrument was acknowledged before me this --f S—day of 20 f-5 by day of 20 by CIS � e who is personally known to C''69,-Aho is personally knoWmto me or who has produced as me or who has produced as identification and who did take an oath. identification a NOTARY PUBLIC: NOTARY PUBLI ylKPt'eiNotary Public State of Florida F Lucretia Guerrero a My C is n EE 871705 Ja F Exp eb 04101 017 Sign. o Sign: Print, 0 t yl Print: til C vv— REATHA L BORN Seal: - Notary Puolic-State of Florida =•• MI Comm.Expires Feb 4,2016 :,. 'serf F o�j•' Commission#EE 137477 Bonded Throu h Natio I U4d' APPROVED BY �/ f'3Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Jun, 19. 2015 12: 03PM Master Mechanical Services No, 9275 P. 2 s STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD '(860) 487-1395 +' b 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 FLOWERS,WILLIAM SHAWN MASTER MECHANICAL SERVICES INC 15181 NW 33 PLACE MIAMI Fl-33054 Congrafulationsl 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 range STATE OF FLORIDA from architects to yacht brokers,from boxers to barbeque restaurants, DEPARTNJ>s ..iT 91=.BUSINESS AND and they keep Florida's economy strong. PROF� S.It NAUR><GULATION , Every day we work to improve the way we do business in order to 4 CFC1426279 ;.: '•:ISSUED '-:06/15/2014 serve you better. For information about our services,please log onto www.myflorldalicense.com. There you can find more informatlon CERTIFIED PW- IV'.IBIN.OiCONTRAC',TOP !. about our divisions and the regulations that impact you,subscribe f` FLOWERS,VIIII;LtARA•SHAW74 ;! to department newsletters and learn more about the Department's MASTER MEC( AN1CIlL.S1F2VICS'•INC !`. Initiatives. l 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, !:. r9 CERTIFIED under the provisians of Ch.489•Fs. l` and congratulations on your new license[ �gpmaeo,►da�e:'aucsi;201® X1406150001241 .... .... ... - 1:_.......• ...... .._.......• .............. .. DETACH HERE RICK SCOTT,GOVERNOR KEN LAWSON,SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION r CONSTRUCTION INDUSTRY LICENSING BOARD CFC1426279 The PLUMBING CONTRACTOR, Named below IS CERTIFIED wa Under the provisions of Chapter 489 FS: Expiration date: AUG 31,2016 FLOWERS,WILLIAM SHAWN MASTER MECHANICAL SERVICES INC 1.5181 NW 33 PLACE }` ` (MIAMI FL 33054 ` �= M • Jun. 19. 2015 12: 03PM Master Mechanical Services No. 9275 P. 3 00=2 Local' Business Tax Receipt Miami—Dade County, State of Florida j THIS IS NOTA BILL - DO NOTPAY 5380613' \.LBT -/ BUSINESS NAME/LOCATION R16cJ:IPT No, EXPIRES MASTER-MECHANICAL SERVICES INC RENEWAL. SEPTEMBER 30, 2075 15181 NW 33 PI, 5618427 Must be displayed at plats of business - MIAMI GARDENS FL 33054 � Pursuant to Ccunry'Code Chapter BA-Art,9&10 ' I OWNER SEC.4PE OF HuGINR65 MASTER MECHANICAL SERVICES INC 196 PLOMBINGCONTRACTOR PAYMENT RECEIVED • Worker(s) .4 CFC1426279 BY TAX COLLECTOR $45.00 07/23/2014 CHECK21=14-032043 I This Local Business Tax Receipt only confirms papraent of tho Local Business Tax.The Heoeiptisnot a license, permit,ora cettilication of the holdafs ualilicatione.to dO business Holder mua[complywlth aay gotrernmental at nangovusmontai'taguJstory Jews and tequiroments which applyto the business. The RECEIPT NO.above atust be displayed en all Commercial Yehiclea-Miami-Dgde Cado Sea ga-276. F•ormors information,visit 4ltlatl7�miamidndegtndlexcoliector s 'I 1• . Jun. 19. 2015 12: 03PM Master Mechanical Services No. 9275'E2P. 4 OP ID:SD �A�R"- CERTIFICATE OF LIABILITY INSURANCE °A06119/ 015 osrls�zol� -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 RORESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certlflcate holder Is an ADDITIONAL INSURED,the poilcy(las)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 Kahn-Carlin&Company,Inc. NAME: 3360 S.Dixie Highway PHONE No Miami,FL 33133-8984 AIL ADDRESS: INSURER(S)AFFORDING COVERAGE MAIC a INSURERA:FCCI Insurance Company 10178 INSURED Master Mechanical Services Inc INSURER B:National Trust Insurance Co 20141 Miami, N 33 Place Miami,FL 33054 INSURER a:Federal Insurance Company 20281 INSURERD:North River Insurance Co. 21105 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 1 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWTHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR 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. MaIL SR ,TYPE OF INSURANCE np POLIO EFF POUCY EXP POLICY NUMBER LIMITS GENBRALLIABILITY EACH OCCURRENCE $ 11000,00 13 X COMMERCIAL GENERAL LIABILITY GLOO116386 03/31/2016 03/31/2016 pREM E Ea oaurence $ 300100 CLAIMS IMIADE OCCUR MED EXP(Arty ono peron) $ 10,00 PERSONAL&ADV INJURY $ 1,000,00 X PER PROJ-PER LOC GENERAL AGGREGATE $ 2,000,00 GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $ 2,000,00 POLICY X PRO LOC $ AUTOMOBILE LIABILITY Lt I Ea d t ANY AUTO BODILY INJURY(Per person) $ AUTOS AUTOS LED VM 6001LY INJURY(Per scddenl) $ NIREDAUTOS qUT g ED AMA X UMBRELLA LIAR X I OCCUR $ D EXCESS LIAR EACH OCCURRENCE $ d11,0100 cLAIMS-MADE 681.104700-1 03/31/2016 03/31/2016 AGGREGATE $ DED X RETENTION$ 0 $ WORKERS COMPENSATION WC STATU- THl- AND EMPLOYERS,LIABILITY X T 1 A ANY PROPRIFTORIPARTNF�ECUTIVE YIN 01-WC16A72097 03/39/2016 03/39/2016 E.L.EACH ACCIDENT S OFFICER/MEMBERF-XCLUDED9 El N!A(AAanddlorylnNH) E.LDISEASE-EAEMPLOYE S 7 desaiDe trndsrDECRIPTIONOrOPERATIONSpelota EL DIS�ASE.POLICI(LgNllr $C Equipment Floater 06642183ECE 03/31/2016 03/31/2016 Limit Leased/RentedDeduCti41 OESCRIPTION OF OPERATIONS t LOCATIONS/VEHICLES(AlWh ACORO 101,Additional Re &Ue Schedule,irmere spate is required) License Number: CFC1426279 CERTIFICATE HOLDER CANCELLATION MIAM-04 SHOULD ANY OF THEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL SE DELIVERED IN Miami Shores Village ACCORDANCE WITH THE POLICY PROVISIONS- 10060 NE 2nd Avenue Miami Shores, FL 33138 AU7HORIZEOREPRESENTAnVE 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 26(2010106) The ACORD name and logo are registered marks of ACORD 2016 details - Business Tax Account MASTER MECHANICAL SERVICES INC -TaxS... Page 1 of 1 -miamdade.Gav1. Tax Collector Home Search Reports Shopping Cart Please do not include any special characters in the name,address,and e-mail field such as#,&,hyphens,comma, dashes. We have moved.Our new address is: 200 NW 2nd Ave,Miami,FL 33128 The information contained herein does not constitute a title search or property ownership. 2015 Tax Bills are Payable on Sunday,November 1,2015. Business Tax Account#5380613 m Account details wAccount history 2016 2015 2014 2013 ... F___ 01_0_........ PAID PAID PAID PAID PAID Account number: 5380613 Owner(s): MASTER MECHANICAL Business start date: 07/01/2004 SERVICES INC Business address: MASTER MECHANICAL 15181 NW 33 PL SERVICES INC MIAMI GARDENS,FL 33054 15181 NW 33 PL Mailing address: MASTER MECHANICAL MIAMI GARDENS,FL 33054 SERVICES INC Physical business location: MIAMI GARDENS JOANN PINNA PRES 15181 NW 33 PL MIAMI GARDENS,FL 33054 Print account application {PDF} Receipts APO OMWOOM T PAID 2015-07-15$45.00 Contracting 10/01/2015 NAICScode: Receipt#CHECK21-15-094989 01 Print this PLUMBING —09/30/2016 23822 bill CONTRACTOR Units:4 Documentation Required by Occupation: State/County License or Certificate Document Received: CFC1426279 https://www.miamidade.county-taxes.com/public/business tax/accounts/5380613 12/7/2015