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PC-14-2557 Miami Shores Village Building Department Dov % i®�a 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tei:(305)795-2204 Fax:(305)756-8972 - INSPECTION LINE PHONE NUMBER:(305)762-4949 `' FBC 20 BUILDING Master Permit No.__x PERMIT APPLICATION Sub Permit No.P 6 -7, F-JBUILDING ❑ ELECTRIC ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ('PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: /" A City: Miami Shores County: Miami Dade Zig): Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): A I L L-lL 6, Phone#: 'Address. 40 y(D 0 ity: " State: ` zip: _*3 / 2 �C /1'Li`�s�-a-. Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name:Pr:. ��� �. � �� �(���� U�j ��� Phone#: Address: -750 I C LV 27 , Ci State:city: �� �,o Zip: 3 r L1 ��. Qualifier Name: ku),, ez'-A Phone# State Certification or Registration#: C!:"C I L Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ ��2 O Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description o�f>Work: ZI c'i ,-!-- O/it��/G�i4�Gr�/l�y/ • z �/ N✓7 o��/ l� 16[Cy4 `Y _( ( /�/V fl��til Specify color of color thru tile: Submittal Fee Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ 151 (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 CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this ZZ> day of U a 4 ,20���by '2.-0 day of h®y ,20. �E .by %hAj J Ea-QNi De✓;e-AFwho is pers, onally known to �C�. r` l�4hu���-ct! .who is personally k own to me or who has produced 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: Sign: Sign: Print: Print: = Seal: RENE LOPQ Seal: +.+�"!"' • BENE LOPEZ e MY COMMISSION#FAM ISM MY COMMISSION#tFF0115W PIR 3tid 'mow EX ES APS aw EXPIRES April 24,2017 APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) STATE OF FLORIDA _ DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 HARWEEN, KYLE J DO YOU NEED A GOOD PLUMBER, INC. 7501 SW 37TH CT DAVIE FL 33314 Congratulations! With this license you become one of the nearly one million on 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 CFC1428296 ISSUED: • 07/23/2014 serve you better. For information about our services,please log onto www.myfloridalicense.com. There you can find more Information CERTIFIED PLUMBING CONTRACTOR about our divisions and the regulations that impact you,subscribe HARWEEN, KYLE J to department newsletters and learn more about the Department's DO YOU NEED A GOOD PLUMBER,INC. initiatives. 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, IS CERTIFIED under the provisions of Ch.489 FS. and congratulations on your new license! Expiration date AUG 31.2016 u407230001234 DETACH HERE RICK SCOTT. GOVERNOR KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION xrr CONSTRUCTION INDUSTRY LICENSING BOARD CFC1428296 The PLUMBING CONTRACTOR . Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2016 HARWEEN, KYLE J A DO YOU NEED A GOOD PLUMBER, INC. 7501 SW 37TH CT DAVIE FL 33314 a • ISSUED: 07/23/2014 DISPLAY AS REQUIRED BY LAW SEO# L1407230001234 BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895—954-831-4000 VALID OCTOBER 1,2014 THROUGH SEPTEMBER 30,2015 DBA: Receipt#:P UM82 BING/LY6dN SPRNKL/CONTRACT Business Name:DO YOU NEED A GOOD PLUMBER INC Business Type: T YP •{pLL'MBING CONTRACTOR) Owner Name:KYLE J RARWEEN Business Opened:07/26/2013 Business Location:7501 SW 37 CT State/County/Cert/Reg:CFC1428296 DAVIE Exemption Code: Business Phone:305-758-9215 Rooms Seats Employees Machines Professionals 1 For Vending Business Only Number of Machines: Vending Type: Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paid 27.00 0.00 o.oc o.co 0.00 0.00 27.00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Broward County and is non-regulatory in nature.You must meet all County and/or Municipality planning WHEN VALIDATED and zoning requirements. This Business Tax Receipt must be transferred when the business is sold, business name has changed or you have moved the business location.This receipt does not indicate that the business is legal or that it is in compliance with State or local laws and regulations. Mailing Address: DO YOU NEED A GOOD PLUMBER INC Receipt #ICP-13-00012390 7501 SW 37 CT Paid 06/15/2014 27.00 DAVIE, FL 33314 2014 - 2015 Nov, 20. 2014 12: 23PM No, 3168 P. 1/1 ` CERTIFICATE OF LIABILITY INSURANCE F DATE(MM/DD/YYM �-'-" 1120/14 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),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL.INSURED,the pollcypes)must be endorsed. If SUBROGATION IS WAIVED,subject to the term 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 NAME: Gregg Ditzian Get Smart Insurance Inc. AIC.N Exti: (305)653-7977- ac No; (305)654-0293 20286 NW 2 Ave E-MAIL Miami,FL 33169 PRODUCER info@_insure-smart.com CUSTOMER ID Phone (305)653-7977 Fax (305)654-0293 INSURER(S)AFFORDING COVERAGE NAIC• INSURED INSURER A: United Specialty Insurance Company Do You Need A Good Plumber Inc INSURER B: Progressive Insurance 7501 S W 37 Court INSURER C Davie,FL 33314 INSURER D 305-758 9215 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFYTHAT 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 OFANYCONTRACTOR OTHER DOCUMENTWITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAYPERTAIN,THE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAYHAVE BEEN REDUCED BYPAID CLAIMS. LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MM/DD (MM/DD/YY11� LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 ® COMMERCIAL GENERAL LIABILITY _DAMAISETO-REMED PREMISES occurrence $ 50,000 F-1 F-1CLAIMS MADE ® OCCUR A N N CGD00005041-01 09f302014 09!302015 MED EXP(Any one person) $ 5,000 ❑ PERSONAL&ADV INJURY $ 1,000,000 ❑ GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 ® POLICY ❑ PR4 ❑ LOC Self Insured Retention $ 2,500 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ❑ ANY AUTO (Ea accident) $ ❑ ALL OWNED AUTOS BODILY INJURY(Per person) $ 10,000 BN N 07736931-4 (Per accident) $ Q SCHEDULED AUTOS 11292014 11292015 BODILY INJURY P 20,000 ❑ HIRED AUTOS PROPERTY DAMAGE $ 10,000 (Per accident) NON-OWNED AUTOSEl PIP $ 10,000 ❑ UMBRELLA LIAR ❑ OCCUR EACH OCCURRENCE $ ❑ EXCESS LIAR E] CLAIMS-MADEAGGREGATE $ ❑ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION $ AND EMPLOYERS'LIABILnY TO STATLL OTH- ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N TORY LIMITS ER OFF]CER/MEMBER EXCLUDED? NIA E.L.EACH ACCIDENT $ (Mandatory In NH) If yes,describe undo E.L.DISEASE-EA EMPLOYE'$ DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1 $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,K more space Is required) Plumbing—Commercial Plumbing—Residential CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shores Village THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Building Department ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2nd Ave. AUTHORIZED REPRESENTATIVE Miami Shores,Fl. 33138 ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09)QF The ACORD name and logo are registered marks of ACORD