PL-14-1730 t ,Y
Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-217504 Permit Number: PL-8-14-1730
Scheduled Inspection Date: June 02,2015 Permit Type: Plumbing - Residential
Inspector: Diaz,Osvaldo
Inspection Type: Final
Owner: JAAR,MIKE Work Classification: Addition/Alteration
Job Address:360 NE 103 Street
Miami Shores, FL Phone Number (786)252-6374
Parcel Number 1132060135000
Project: <NONE>
Contractor: DEL RIO&SON PLUMBING CORP Phone: (786)295-0098
Building Department Comments
REMODEL MASTER BATH, RELOCATE WH AND Infractio Passed Comments
KITCHEN SINK INSPECTOR COMMENTS False
Inspector Comments
Passed 786-252-6374 michael jarr owner
Failed a
Correction
Needed ❑
Re-Inspection
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
June 01,2016 For Inspections please call: (305)762-4949 Page 2 of 38
Miami Shores Village RFS . ire/'T,:;,,E� I
Building Department AUG 08 2014
1
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Y
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC ZO
BUILDING Master Permit No. it -- 14 1(2B
PERMIT APPLICATION Sub Permit No.q 'j q--1-1S 0
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
/LUMBING ❑ MECHANICAL [—]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONWCTOR DRAWINGS
JOB ADDRESS: 360 � &, 1 0� "
City: Miami Shores County: Miami Dade zip:
Folio/Parcel#: �2-�"�,3 Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): ` —� tel— 2-5773�y
Address: KJF— 10'�) S
City: V1-._I 4v.,.I 5646XC6 State: Yl�- Zip: 3 3 t J
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: ~ \� �d Phone#:F16'Zqs 0a
Address S y�—D Z 4 -c \ b
City: _State: Zip: �a 3 L 17 `S
Qualifier Name: O ILO Phone#:
State Certification or Registration#: C F C 0%2-1Cr�) 2.b Certificate of Competency#:
DESIGNER:Architect/Engineer: 3rA V— tA,r"' LA C> g Phone#:
Address alb g.uJ -'lz ezo— Cityl)FX-A51�t State: Vt— Zip: 33`41V
Value of Work for'this Perm.1t:.$ '(�- Square/Linear Footage of Work:
Type of Work: ❑ Addition. .l .Aiteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: "" �'� — . Q'Z'64CA11- `—#L4 'r&A W-A41,
�Cbutjw-
Specify color o,,f11 color thru tile:
Submittal Fee$n) ' Permit Fee$ 225- 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 delivere o person
whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must�osted at t e job site
for the first inspection which occurs seven (7) days after the building permit is issued. in the absenc . f suc sted otice, the
inspection will not be approved and a reinspection fee will be charged.
Signatu Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of 20 ,by day of At'Lt LA,>r .20 " L( by
MV4 J X,-- S• ,who i ersonally k to .who is p rsonally k w to
me or who has produced as me or who has pro c as
identification and who did take an oath. identification and gtl9( k �4 1c St oed�ida
V1 Wd"Robert E er
83tsa7
NOTARY PUBLIC: r�`� ���1i4" /- NOTARY PUBLIC: wtl'd° � EE sa
a °''' .9p
Sign:
Cn
Print: C=. Print:
Seal: �%.�s�,9' `? Q�r.� Seal:
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
Jul 2644 09:38p t 7863625426 p.1
.
CERTIFICATE OF LIABILITY INSURANCE flEiMm2Trwr
T,2.,2.14
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), AUTHOREZED
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 terns 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 endomement(s).
PRS
NA Pablo M Conde
A&A Underwriters, Inc. 305 220-7447305-220-4821
8798 SW 8 St A�A : pmcoasunderwriters.com
Miami,Fi33174 INSURER IIF. INGCOVERAGE NAIC
ID4
INsuRERA,BRGEFIELD EMPLOYERS IiNSUR CO. 012158
INSURED
Del Rio Son Plumbing Corp.
INSURER C:
INSURER --
URE
8851 SW 4 To" INSURER D:
Miami Fl 33174 ROMER E: _ -
e+1 MER it:
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
INOICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CE3TtFICATE 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.
Iffix
L It TYPE OF INSURANCE INISD SUER POLICY NUMBER —T LIMBS
COMMERCIAL GENERAL LIABILI7 Y
EACH OCCURRENCE I S
CLAIMS-MADE- EICCCUR P EIA S S Ea Imeaae)
MED EXP(Any one penean) $
PERSONAL&ADV INJURY S - --
GENI.AGGREGATELIIMITAPPUESPER: GENERAL AGGREGATE $ - '~-
POLICY C zcof LI LOC
r PRODUCTS-COMPlOP AGG $
OTHER
AUTOMOBILE UASIUTY OMSINED MILE U 1 $
ANY AUTO -dent
SWILYINJURY(Perpamm) S
AUTOS AUTd6ULE0 _ .
BODILY INJURY(Per as------ $
HIREOAUTOS NON OYVNEC _-
AUTCS IP�eO�dTY�3AMAGE'�—
I UMM13 I l LIAR I OCCUR
EACH OCCURRENCE $
EX'f'ESBLIAB CLAIMS-AL40E
AGGREGATE $
J RETEN7.S
WORKERS COMPENSATION S
AND EMPLOYERS'LUIR.nY )( PER H
A ANY PROPF7lEfORJPAR7NE4fF-XECJrroE Y/N 0630-45983 09-x.3-13 09-03-14 ST TUT E
XWFICERfWEVISEREXCWDED7 N/A E.LEACHACCIDENT $ 1,000,000
(Mandatory in h"
If yye�s,desorbe under .EL.DISEASE-EA EMPLOYE S 1,000.000
DESCRIPTION OF OPERATIONS tre)oar E.L.DISEASE-POLICY UMr.r 5 1,000,000
DESCRIPTION OF OPERAMOM/LOCA7W S/VF.WLES(ACOf%o 7 a1,A"tIowI RelrrerRg Schedule,May be attached If mare Spew t6 f8g417Tfl1II
REF: CFC 1427828
CERTIFICATE HOLDER CANCELLATION
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT SHOULD ANY of THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE WWRATION DATE THEiREOF, NOTICE WILL BE DELIVERED rN
10050 NE 2ND AVENUE ACCORDANCE WITH THE POLICY PROVISIONS,
MIAMI SHORES, FL 33138 AMOROWREPRESENrATNE
®1988 2013 ACORD CORPORATION. All rights reserved.
ACORD 25(=W04) The ACORD name and logo are registered marks of ACORD
Jul 2814 09:38p 7863625426 p.2
:
1.
97/28Y2914 14:58 3052281525 CITINGURANCE PAGE 91/91
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&t0RQ- CERTIFICATE OF LIABILITY INSURANCE aaiasiaia
.3 THI5 CERTIFICATE 1331,1150 AS A MATTER, INFORMATION;---- '
TriPIT ��, .� CORP ONLY AND CONFERS NO RIGKTS UPON THE CERTSCAT
'�'CZ
X6VAAWZ •HOLbLR. THIS CERTIFICATE DOES NOT Amb, EJCrENO OR
L-- J-228-1533
0 OWgr 3P.LAQWM 8T BDTTS 213 ALTER THE COVERAGE AFFORDED SY T1fE POLIES BtPLS)iM11.'
ffz FL 33144 IN IFtERSAFFORDINGc4VE1tAt
Rs � mm xxo s sox vzvrvrxo CORP. IN"GRA: MRCS 8I<►Ec7JLLTY I�SVRAIYCs C?.
Tt;;• INsuRertB: ...
8990 89 242V A1'R>I4JM AP2, #213 INSMERC:
.r.4 AIIS"X, TFL 33165 INstltudto:
•i..s•� 1N9URpR B•
1 "?f' IES OF:NSURANCE LISTED BELOW HAVE BEEN 18SUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITH,STAND
9y�IREMENT, TERM OR CONDITION OR ANY CONTRACT OR OTHER DOCU49ENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE WUED OR.
Mlh�!'fIFRTAIN•THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.EXCLUSIONS AND CONVITIONS OF Sk1�g}!,
.,:_R0UTQjA9.AGGREGATE JMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. r f,
'••::? TYPBOFINSURANcs PIOALTViMhI7D Lt81ITB •;�•i•'
rd UABIUTT EACHOCCURRENOE $14600, ., •0•'
ONMEat'&GOWAULLIABRITY FIREOAMAGBIAmatab�e7 s 100,0,z'I<0-`
_ CLAM MADE ®=XA NED EXP"ate w+teo
AQW009659-00 02-15-14 02-15-15 P9R30 ALaAOVWJURY 111,0 a,0
"' ° •• ONERALAWSUATE s2,Doo/Q
9 LA3fiiECiAWLIWITAPPUBSOM PRODUCTS-C JOPAW s2,000 0l
A! PCLICYD vRa M wo
stun UABUTY _
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..., NON-0AtIVEDAUTO$ I dt•r
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= OYE7i4 UABLrrY T3-
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• •OTHER
ILL WWASE-0OIICY I S
49WRIPWN OF OPERATIONWLOCATi ADOFDIltf�IOOR$BMENIBPEpAI PROVI910N$
427629
JCAT6 HOLDER JAGOITHMALINgmthmsumeottzrrm. CAKcV1 lA71ON -
�Kwj.} SMILUAWOV 70 ABOVE OBSCRIBED PDUtm Be CAMCSU EDBWgMjI-nW ExptIQAMkl _
_ ZdrAIWX =OR$ VSZLAG$ DATE THEREOF.THE i ulm p'MMR vftL WWgAVOA TO HJUL DAYS vmy"
a4J. BQZLDZLQ(� MY''P '�T
ART K=M To 7HB CERT'Q'SATE MXOIX NANNO TO T119aB LEFT,BUT rxWRe TG DD so milli
x`n'va .10050 1V8 Z= AVN
INPOS6 NO OKWATION OR UADMITY OF ANY HIND UYON THE INBURBR:Rs AOEiTB OIf•-'
��'. �"• BLZ'Alfa b�9'OIiE;� FL 935.$$
, a�aacss►rranvxra '�.
� ATTii6
2S-2(7197) ®ACORD CORPORATION 1988-
Jul 2$14 09:38p 7863625426 p.3
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND
a` PROFESSIONAL REGULATION
CFC1427828 ISSUED: 06/23[2414
CERTIFIED PLUMBING CONTRACTOR
DEL RIO,EDELBERTO
DEL RIO&SON PLUMBING CORP
IS CERTIFIED under the provisions of Ch.488 FS.
ExpbWk daW:Auo31.2018 L140=0
Jul 2814 09:38p 7863625426 p.4
�ooza
Local Business Tax Rece"[Pt
Miami-Dade County,State poY Florida
=tBT
e365324 -THIS IS NOT AEXPIRES
RECEIPT NC.
SUsuV.SS NAMIULOCATIOK RENEWAL SEPTEMBER 30. 2014
DEL RIO&SON PLUMBING CORP 66=816 Must be displayed st Place of business
8990 SW 24 ST 4213 FuTuant to County Code
MIAMI FL 33165 Chapin 8A-Art,9&10
SEC.TYPE OF BUSINESS PAYMENT RECEIVED
OWNER 196 PLUMBING CONTRACTOR BY TAX COL ECTON
DEL RIO&SON PLUMBING CORP CFC1427828 $75.00 08/07/2013
Worker(s) I FPPU06-13-003338
Ttds Local Sna,"=Tax Receipt 0*coefirtos PeYment of the Laaa1 Bmrineas Tax.Tba Se�tit not a��aNai or
pennR.or a certifieatlon of the holder s gaelRications to do hu es 6 ldder comply &h
noagovammentei r.VlG uy taws gad ragGuemeatswhtch"PIT
to tMThe RECEIPT No.above must he di$Played M alt aommara of vehicles-Miami-Dade Code Sec 88-M
Far more ialarmatioo,visit ��„sdwda.aavAexeatlaat�r