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PL-16-1065 Inspection Worksheet Miami Shores Village Q �1 10050 N.E.2nd Avenue Miami Shores,FL 1 C Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number INSP-269384 Permit Number: PL-4-16-1065 Scheduled Inspection Date: October 24,2016 Permit Type•. Plumbing - Residential Inspector. Hernandez, Rafael Inspection Type: Final Owner: STEAD,MARC GREGORY Work Classification: New Job Address:93 NW 93 Street Miami Shores,FL 33150-2232 Phone Number Parcel Number 1131010340240 Project: <NONE> Contractor: NATIONAL PLUMBING CONTRACTORS CORP Phone: (786)388-1252 Building Department Comments PLUMBING FOR NEW BATHROOM. Infractio Passed comments INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction ❑ Needed Re-Inspection Fee No Additional Inspections can be scheduled until re-inspection fee Is paid. Pohnit NO, -4464065 Miami Shores Village P&m�'t"Tyree;Pla*blr a-Residential m N.E.2nd Avenue NW '" 33138-0000 � M � It Work Ojai" rabbi, N ' " Miami Shores,FL 33138 0000 „'.,, ti a PlOrmit Statd$",APPRO . Phone: (305)795-2204 toxmA a`" Ex iration: 1 /2 / 1 4127�2?1B P Project Address Parcel Number Applicant 93 NW 93 Street 1131010340240 Miami Shores, FL 33150-2232 Block: Lot: MARC GREGORY STEAD Owner Information Address Phone Cell MARC GREGORY STEAD 93 NW 93 Street MIAMI SHORES FL 33150- 93 NW 93 Street MIAMI SHORES FL 33150- Contractor(s) Phone Cell Phone Valuation: $ 1,500.00 NATIONAL PLUMBING CONTRACTOR (786)388-1252 Total Sq Feet: 0 L Type of Work:PLUMBING FOR NEW BATHROOM. Available Inspections: Type of Piping: Inspection Type: Additional Info: Bond Return: Top OutFinal Classification:Residential Scanning:1 Water Main Review Plumbing Underground Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.20 DBPR Fee Invoice# PL-4-16-59478 $3.38 04/27/2016 Credit Card $ 192.96 $50.00 DCA Fee $3.38 Education Surcharge $0.40 04/20/2016 Credit Card $50.00 $0.00 Notary Fee $5.00 Permit Fee $225.00 Scanning Fee $3.00 Technology Fee $1.60 Total: $242.96 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. Futheanore,I authoriz a-named contractor to do the work stated. April 27, 2016 Autho ged Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy April 27,2016 1 ------------- Miami Shores Village A R 2 �01� Building Department B Y 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 BUILDING Master Permit No. In 1�14 PERMIT APPLICATION Sub Permit No. — 1�(O� F-JBUILDING � ELECTRIC ❑ ROOFING [j REVISION ❑ EXTENSION RENEWAL 'PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP q� CONTRACTOR DRAWINGS JOB ADDRESS: l °(0 t�l �] City: Miami Shores County: Miami Dade Zip: 3515-L) Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: n 1 OWNER:Name(Fee Simple Titleholder): E Phone#: IR V 21l— `l k) Address: �� City: jat Ame Iq(-Q-3 State: Zip: 331i Q Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: ��� ( ' f"i C n a' Phone#: —74 b 3 S,� --/21 Address: 26,< City: M6'/12 State: Zip: Qualifier Name: &aa/0' Phone#: � State Certification or Registration#: G��' /�� �� Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: El Addition ❑ Alteration 10 New ❑ Repair/Replace ❑ Demolition Description of Work: 1 ML j04 Specify color of color thru tile: Submittal Fee$ � 1V Permit Fee$ 27�� CCF$ 1 ° 2—G CO/CC$ Scanning Fee$ 73' Radon Fee$ F3 DBPR$ Notary$ . Technology Fee$ 1 - Training/Education Fee$ - ® Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ ° (Revised02/24/2014) e 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$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property-is subject to attachment. Also,a certified copy of-the-recorded notice of commencement roust be posted-at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. 0 Signature ,.- Signature Gr�i OWNER or AGENT `� CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 2-0 day of 'AP I L- 20 16 by le day of Avf e 1 20 1` by —(:77P� ,who is personally known .to V-, 1 _J CA-XLa 4*- who is ersonafly know to me or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLI NOTARY PUBLIC: Sign: Sign: Print: Print: Seal: ot,Av Poe. Nor.-ry',;n,ic,Mato o0 Florida Seal: ' ,R S Septe bu`�y v q` �, :`_nmmieFinn FF 15F3i50 +C Bcnded °r ore�oQ -091' 315,0.118 �***ek**�**� * ��`�'��**�*i�t�+►'*F�x *�***�**�x****ra�*******>k*+k�****�+t<**r>*>w*�x����k�r$**ar�r*�***rye*****+��ks�** APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) (no subject) -marestead24@gmail.com-Gmail Page 2 of 2 001832 Local Business Tax Receipt Miami—Dade county, State Of Florida THIS IS NOTA BILL -DO NOTPAT LB 6183495 WSINEssNAmWW"TIMFmeelwram EXPIRES NATIONAL PLUMBING CONTRACTORS Cold AENI311A1. SEPTEMBER 30,n16 265 N1fi163 AVE e447985 MW to I(140fted Wl ZI WRT.— MIAMI R.33126 Pursuant 1ocawo/Coda Chap=SA-Am"aD OVMER sea True OP e ss PATIAWRECOVED NATIONAL PLUMBING CONTRACTORS 196 PLUMBING CONTRACTOR er Tatc caaCseas Work-(s) 3 CFCi42M7 345W 09/11/20IS CREWCARa-15-045540 TBbIo�B T�a 0�►co�Ra JBelaaw Tsr9n i�Nbal. npt paoaltmaae+liBt l�tdais > % ',�+�a� TIM RECEIPT 51%etmmaamdi.pfeledone8 1 -A1Lrat0ads6edeSaoh-�8 ►oramrela+da8 https://mail.google.com/mail/u/O/ 4/20/2016 APR-15-2016 11:56A FROM: TO:3057568972 P.1 ACOMP, CERTIFICATE OF LIABILITY INSURANCE °"0411516 __ _ __ 04/15/16 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. I• 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 endomement(s). PRODUCER CONTACT NAMt;,_ Amulto Vasquu ez All Motors Insurance NI: - PAX _. - q� Eat); (305)649-3947 I IA(C,Not: (305)649-3995 888 NW 27th Ave,Suite 8 'M allmotorsone®aol.com - Miami,FL33125 INR SU -------- ._.....NAICN Phone (305)649-3947 -Fax .(305)649-4796 INSURER A: United Statea Liability Insurance company INSURED Associated Industrioe Ineurance Com INSURER B: __._,.....,.H..._..._ ?alt)',Inc. _ National Plumbing Contractors IN URERC: 265 NW 63 Rd Ave INSURER D: -- Miami,FL 33126 (786)853-0484 INSURER F,. ....:..:.. __ -... INSURER P COVERAGES CERTIFICATE NUMBER: _ REVISION NUMBER:_ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN 18SUED TO THE INSURED NAMED ABOVE FOR THE POLICY_ ER PIOD 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 1S SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR I ADD 9UBR_ pp LTR I TYPE OF INSURANCE-----il d1/R; POLICY NUMBER M ID YYY POU D�E(�, LIMITS GENERAL LIABILITY �- -- I EACHOCCUR RENCE_.. _...r �,000i000.00 Q COMMERCIAL GENERAL.LIABILITY DAMAGE TO RENTED ❑ ❑ $_.�.�r000.00 CLANS-MADE © OCCUR . A ❑ i N N !CL 2687496 MED EXP An one _ n) $ 5,000.00 10/28/2015 110/28/2016 i I PERSONAL&ADV INJURY_ $ 1,000,000.00 ❑ - ---- -.-.----i I GENERALAGGREGATE- s 2,000,000.00 -- GEN LAGGREG�-A-TtE LIMIT APPLIES PER I PRODUCTS-COMP/OP AGO s 2,000,000.00 --. _POLICLE LIABe.1TY LIMIT L J jE ❑ LOC AUTOidOBI COMBINED SINGLE LIM $ � ❑ ANY AUTO BODILY INJURY(Per parson) s ALL OWNEDSCHEDULED —_ ❑ AUTOS ❑ AUTOS 130DILY INJURY(Per aWdant S ❑ HIRED AUTOS AUTOSWN® f"-r r AMAGE T — ---._.... ..----- ------ UMBRELLA LIAB ❑OCCUR I- --....__.._..--- -- _._.. .....- ❑ EACFtOCCURRENCE $ - ❑ EXCESS I" -_IO CLAIMS-MADE AGGREGATE E ❑ DED ,❑ RETENTIONS _.—. ..., .a. . .... �__._........ WORKERS COMPENSATION YIN N j ❑...TW_9 TAUS ❑OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE AWC1047991 E.L EACH ACCIDENT $ 1,000,000.00 -- (GMF nldat�En NHRCLUDED7 Y N/A N 06/12/2015 06/12/2016 -- - _..._..4. If ae de�actl6aunder �' ` E.L.DISFJI3E.-EAEMPLOYE�S 1,000,000.00 or 8G�RIPTION OF OPERATIONS below E.L.DISF1aSE-POLICY LIMITa a 1,000,000.00 _._.._.....--.---{--i--♦-.._....--...__. .._. , i ' s DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additlenal Remarks Schedula,H nuwe sons Is required) PLUMBING COMMERCIAL CERTIFICATE HOLDER CANCELLATION I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Miami Shores THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN 10050 NE 2 Avenue ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores Village,FL 33138 I AUTHORIZED REPRESENTATIVE ARNULFO VASQUEZ 01OW2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/06)OF The ACORD name and logo are registered marks of ACORD