PL-16-1409 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores,FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-259468 Permit Number: PL-5-16-1409
Scheduled Inspection Date: November 14,2016 . Permit Type: Plumbing - Residential
Inspector: Hernandez, Rafael Inspection Type• Final
Owner: DAVIS III,GEORGE Work Classification: Drainfeld
Job Address:250 NW 111 Terrace
Miami Shores, FL 33168- Phone Number
Parcel Number 1121360010620
Project: <NONE>
Contractor: MR C'S PLUMBING&SEPTIC INC Phone: (305)651-7859
Building Department Comments
DRAINFIELD INSTALLATION Infractlo Passed Comments
INSPECTOR COMMENTS False
TO REPLACE PERM IT#PL1 5-1583
Inspector Comments
Passed HRS APPROVAL IN FILE
Failed
Correction
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
L
�..� DIVISION OF
Environmental Health
Q Florida Health ql p
Miami-Da a County
Q OSTDSlW Division
�►. 11$05 SW 26th Strec, Miami,FL 33175
IAector G aJL"r' �"P Date
j `Address OSTDS#�
Comments;
Signotu're
r
Permit o. PL-5464409
�s►�ORns i,� Miami Shores Village Perm#Type:Plumbing»=Residential
10050 N.E.2nd Avenue NW Work Classsifrcatib .Grainfield
Miami Shores,FL 33138-0000
Peanut Status. P 'f } ECS
Phone: (305)795-2204
f ioA Expiration: 05/06/2017
issue Date.��t712t11E�
Project Address Parcel Number Applicant
250 NW 111 Terrace 1121360010620
Miami Shores, FL 33168- Block: Lot: GEORGE DAVIS III
Owner Information Address Phone Cell
GEORGE DAVIS III 250 NW 111 Terrace
MIAMI SHORES FL 33168-3325
Contractor(s) Phone Cell Phone Valuation: $ 1,800.00
MR C'S PLUMBING S SEPTIC INC (305)651-7859
Total Sq Feet: 200
Type of Work:REPLACE 14 WINDOWS AND 3 DOORS WITH Available Inspections:
Type of Piping: Inspection Type:
Additional Info: HRS Approval
Bond Return: Final
Classification:Residential Scanning:3 Review Plumbing
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $1.20 Invoice# PL-5-16-59886
DBPR Fee $2.25 11/07/2016 Credit Card $ 116.70 $50.00
DCA Fee $2.25
Education Surcharge $0.40 05/23/2016 Credit Card $50.00 $0.00
Permit Fee $150.00
Scanning Fee $9.00
Technology Fee $1.60
Total: $166.70
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. Futhermore, I authorize the above-named contractor to do the work stated.
November 07,2016
Authorized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
November 07,2016 1
Miami Shores Village
Building Department artment 23 ZN%
10050 N.E.2nd Avenue,Miami Shores, Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972 B
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 201 L4
BUILDING Master Permit N.-p kC5 ( 09
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [:]RENEWAL
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
II��
cc CONTRACTOR DRAWINGS
JOB ADDRESS: 950 MW III U_�
City: Miami Shores County: Miami Dade Zip: 33 1 d r
Folio/Parcel#: 1119134 061 0 601 o Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: P Flood Zone: BFE: FFE:
OWNER: Name(Fee Simple Titleholder): (�20�'r?C- OLr Phone#: -165 7sS' '161,
Address: TA-+y'
City: l c4: State: zip: 33 16 j
Tenant/Lessee Name: Phone#:
Email: / fy►I., `- L C
CONTRACTOR: °Company Name: 1,t5 1 W"l to Phone#: 365-6SI 1Ca
Address: 0L m W a &3f-
City: t _� ^ I State: E'L— Zip: 3 41
Qualifier Name: ke w.�,Le. E*1 mak.. Phone#:
State Certification or Registration M L rJ-36 Certificate of Competency M
DESIGNER:Architect/Engineer: Phone#:
Address: 11[�_` City: State: Zip:
Value of Work for this Permit:$ L j W• Square/Linear Footage of Work: Ga"4
Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition
n
Description of Work:
x "T1
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 FFeee/$
Structural Reviews$ Bond$ f L /�' Su3
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.
Signature Eo Signature
WNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
a�7 day of tkam 020 J by OR I day of 20 b by
66601-1—GE C DA.LfS�,who is personally known to Kyo who is personally known to
me or who has produced /U yeFtd [aC.ISfilSei 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: k—� Sign:
i
Print: �'�£77�:+ �rGC..�PPrint: WL j65' 211%1
J-61 ���' Claudette Phillips .`4. °�' SHERYL A MENDES
Seal: �{�' �j Seal:
�= COMMISSION#FF222451 , �;° Notary Public-State of Florida
='' ••;My Comm.Expires Oct 23,2018
o, EXPIRES: April 20, 2019 C, opa, Commtssio
�, 1114AbMMt�11Ft ®iQ111 *�xa *** ******�x**�x*** ** ew $c`��k** ** �+ `8+�*
It IM " `e'�' }`rough National Notary Assn.
APPROVED BY �' � Plans Examiner Zoning
Structural Review Clerk
(RevisedO2/24/2014)
v APPLICATION #:AP1193633
STATE OF FLORIDA PERMIT #:13-SC-1613804
DEPARTMENT OF HEALTH DOCUMENT #:F11009565
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DATE PAID:06/22/2015
y CONSTRUCTION INSPECTION AND FINAL APPROVAL
FEE PAID:200.00
RECEIPT #:13-PID-2698844
APPLICANT: Geo Davis
AGENT: Mr C"s
PROPERTY ADDRESS: 250 NW 111 Ter Miami, FL 33168
LOT: 14 BLOCK: 3
SUBDIVISION: ID#: 11-2136-001-0620
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION SETBACKS
I l [01] TANK SIZE [ll [21 I l [271 SURFACE WATER FT
I l [021 TANK MATERIAL I 1 [281 DITCHES FT
[ ] [031 OUTLET DEVICE [ ] [291 PRIVATE WELLS FT
[ ] [041 MULTI-CHAMBERED [ Y / N ] [ ] [301 PUBLIC WELLS FT
[ ] [051 OUTLET FILTER [ l [31] IRRIGATION WELLS FT
[ l [061 LEGEND 1. 2. [ ] [32] POTABLE WATER 50 FT
[ l [07] WATERTIGHT [ ] [33] BUILDING FOUNDATIONS 10.1 FT
[ ] [08] LEVEL [ ] [34] PROPERTY LINES 7.9 FT
[ l [09] DEPTH TO LID [ l [351 OTHER FT
DRAINFIELD INSTALLATION FILLED / MOUND SYSTEM
I ] [10] AREA [ll 210 [21 SQFT [ l [36] DRAINFIELD COVER
[ ] [111 DISTRIBUTION BOX HEADER X [ ] [371 SHOULDERS
[ l [12] NUMBER OF DRAINLINES 1. 4.00 2. [ ] [38] SLOPES
[ ] [13] DRAINLINE SEPARATION [ ] [391 STABILIZATION
[ ] [14] DRAINLINE SLOPE
[ l [15] DEPTH OF COVER ADDITIONAL INFORMATION
[ l [16] ELEVATION [ ABOVE / BELOW ]BM 63.84 [ ] [401 UNOBSTRUCTED AREA
[ ] [17] SYSTEM LOCATION [ l [411 STORMWATER RUNOFF
[ 1 [18] DOSING PUMPS I l [421 ALARMS
[ ] [19] AGGREGATE SIZE [ l [431 MAINTENANCE AGREEMENT
I l [20] AGGREGATE EXCESSIVE FINES [ ] [441 BUILDING AREA
[ ] [211 AGGREGATE DEPTH [ l [45] LOCATION CONFORMS WITH SITE PLAN
FILL / EXCAVATION MATERIAL [ l [461 FINAL SITE GRADING
[ l [22] FILL AMOUNT [ ] [47] CONTRACTOR (MrC"s)
[ ] [23] FILL TEXTURE [ l [48] OTHER PTI MPRDS(9 pipes-2 tier)
[ l [24] EXCAVATION DEPTH ABANDONMENT
[ ] [251 AREA REPLACED [ 1 [491 TANK PUMPED
[ ] [26] REPLACEMENT MATERIAL [ l [503 TANK CRUSHED 6 FILLED
Comments: Comments are on page 2.
0
CONSTRUCTION [ APPROV&D / Dade �a OAT 7/16/2015
DISAPPROVED )' Environmental Specialist II Heber Montero(Depa ant o in
•a
FINAL SYSTEM I APPROVED / DISAPPROVED ): TE: 07/16/2015
Environmental pec a st 11 Heber Montero e5artment of a
(Explanation of Violations on following page)
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC Page 2 of 3
EH Database v 1.0.1 AP1193633 EID16 804
a
• APPLICATION #:,AP1193633
STATE OF FLORIDA PERMIT #:13-SC-1613804
DEPARTMENT OF HEALTH DOCUMENT #:F11009565
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:06/22/2015
.�
FEE PAID:200.00
RECEIPT #:13-PID-2698844
Violation Number Comment
Comments
The system is sized for 2 bedrooms with a maximum occupancy of 4 persons(2 per bedroom),for a total estimated flow of 300
gpd.7 pack bundles of 9 pipe each,4 drainlines,bed configuration,30 inches of sand.
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC Page 2 of 3
EH Database v 1.0.1 AP1193633 EID1613804
r
ij PERMIT #: 13-$C-1613804
_ '--ib=AWLICATION #:AP 1193633
STATE OF FLORIDA
� DATE PAID:
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM FEE PAID:
CONSTRUCTION PERMIT RECEIPT #:
DOCUMENT #:PR979041
CONSTRUCTION PERMIT FOR: OSTDS Repair
APPLICANT: Geo Davis
PROPERTY ADDRESS: 250 NW 111 Ter Miami, FL 33168
LOT: 14 BLOCK: 3 SUBDIVISION:
PROPERTY ID #: 11-2136-001-0620 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
[OR TAX ID NUMBER]
SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION
381.0065, F.S. , AND CHAPTER 64E-6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE
SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS,
WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE
PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID.
ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL,
STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY.
SYSTEM DESIGN AND SPECIFICATIONS
T [ 750 ] GALLONS / GPD existinq septic tank to remain CAPACITY
A [ 0 ] GALLONS / GPD CAPACITY
N [ 0 1 GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ ]
D [ 200 QUARE FEET new bed Confiq.drainfield SYSTEM
R [ 0 l SQUARE FEET SYSTEM
A TYPE SYSTEM: [X] STANDARD [ ] FILLED [ ] MOUND [ ]
I CONFIGURATION: [ ] TRENCH [xl BED [ F -
N
F LOCATION OF BENCHMARK: FFE 13.4'NGVD
I ELEv`ATION OF PROPOSED SYSTEM SITE [ 30.0011 INCHES FT ] [ ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 80.00 ] [ INCHES FT ] [ABOVE BELOW BENCHMARK/REFERENCE POINT
L
D FILL REQUIRED: [ 0.00] INCHES EXCAVATION REQUIRED: [ 62.00 ] INCHES
1.-Existing 750 gal.septic tank,certified by"Mr.C's Plumbing"on 6/20/2015 to remain.
O 2.-Install 200 sf of drainfield in bed configuration. .
T 3.-Install 12"of slightly limited soil at the bottom of the drainfield.
H 4.-Perimeter of excavation area shall be at least 2 ft wider and loriger than the proposed absorption bed or drain trench.
(Comments Continued on Page 2.)
E
R
SPECIFICATIONS BY: 1Mi' �C's Plb Sept TITLE:
APPROVED BY: TITLE: Engineering Specialist II Dade CHI)
Martin
DATE ISSUED: 64/2015 EXPIRATION DATE: 09/22/2015
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC Page 1 of 3
V 1.1.4 AP11536 3 SE964334
6/25/2015 CCF06202015 OOOOO.jpg
STATE OF FLORIDA
DEPARTMENT OF HEALTH
APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT
Permit Application Number
---------------------------PART II SITEPLAN---------------------------
Scale: Each biock represents 10 feet and 1 inch a 40 feet.
WN 7
WX S•
�a
a
9 � 2
o 1 ,
S
There are no pertinent features on adiacent properties and or across the street that may affect the New Septic system installation.
Notes:
'„x•50 N
:j>w-Q.k v\r'j-e gd -6 ►-Q0jq&e-o4• �•� • 'ta �ty1�l r�
Site Pian submitted by:
Plan Approved Not Approved Date 28 I
By County Health Department
ALL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT
DH 4015.10196(Replaces HRS-H Form 4016 which maybe used) Page 2 of 4
(Stock Number: 5744-002-40156)
httpsJ/drive.google.com/drive/u/Offolders/0B3SYVJLiZWiRfVnNyWVFnSWuaGM 1/1
a DATE(MMlDDIYYYY)
ACCAR!D CERTIFICATE OF LIABILITY INSURANCE
11...r-'' 9/30/2016
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 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 endorsement(s).
PRODUCER CONTACT Nikki Alexander
NAME:
LRA Insurance PHI E (407)838-3445 AI�No): (407)838-3460
498 S Lake Destiny Dr E-MAIL :NAlexander®lrainsurance.com
ADDRESS
INSURER($)AFFORDING COVERAGE NAIC t
Orlando FL 32810 INSURER Brid efield Employers Ins Cc 10701
INSURED INSURERB:
Mr. C's Plumbing & Septic, Inc. INSURERC:
19932 NW 2nd Ave INSURER D:
INSURER E
Miami FL 33169-2904 INSURER F
COVERAGES CERTIFICATE NUMBER-.16/17 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.
LTR TYPE OF INSURANCE POLICY NUMBER MM1DD EFF MPMOt�EXP LIMITS
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $
AMACLAIMS-MADE EJOCCUR PREMISES Ee oa u r TO nce $
MED EXP(Any one person) $
PERSONAL 3 ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $
POLICY 1:1 PE LOC PRODUCTS-COMP/OP AGG $
OTHER: $
AUTOMOBILE LIABILITY Fa accident OMBINED L LI 17 $
ANY AUTO
BODILY INJURY(Per person) $
ALL OWNED SCHEDULED BODILY INJURY(Per aoddent) $
AUTOS AUTOS
NON-OWNED PROPERTY DAMAGE $
HIRED AUTOS AUTOS Peracadent
UMBRELLA LAB HOCCUR EACH OCCURRENCE $
EXCESSLIAB CLAIMS-MADE AGGREGATE $
DED RETENTION$ $
WORKERS COMPENSATION X SEATUTE ERH
AND EMPLOYERS'LIABILITY
ANY PROPRIETOR/PARTNERIEXECUTIVE Y�NIA
E.L.EACH ACCIDENT $ 100,000
OFFICER/MA (Mandatory In H)EXCLUDED? 0830-54817 10/1/2016 10/1/2017
(MandatorylnNH) E.L.DISEASE-EA EMPLOYEE $ 100,000
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I$ 500,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEMCLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required)
Septic Systems Installations. License# SR061536
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
10050 NE 2nd Ave ACCORDANCE WITH THE POLICY PROVISIONS.
Miami Shores, FL 33138
AUTHORIZED REPRESENTATIVE �--
Brian Tomlinson/NIKKI
071888-2014 ACORD CORPORATION- All rights reserved.
ACORD 25(2014/01) The ACORD'name and logo are registered marks of ACORD
INS025(201401)
004311
Local Business Tax Receipt
Miami-Dade Counts, State of Florida
IS NOT A BILL-00 N#)T PAY LBT
2866482
BUSHWESS MASWUMA,WU NO. EXPIRES
MR CS PL IMBIMG&SWIX INC WIMMAL SEPTEMBER 30, 2017
19932 NW 2 AVE 2999176 Must be displayed at plata of busdness
MUNI GARDENS FL 33169 Pursuant to County Code
Chapter 8A-Art.9&10
R SES TYPE OP gueff Has PAMEWIMCOVED
MRCS6WW4G&SEPTIC INC 196 PLUMBING CONTRACTOR By TAX COLLATOR
SEPOWISM $45.00 07/18/2015
w0dw(s) 1 CIIECK21-16-090597
1MsLaeal Tsa a* �0odwimeal 7wL TkeBevslPis sli=me,
p era m1ow beldws Notdsraim com*wM anY
�
Mw RECMm&&wmaMbe as 88 00m==W vehicles-W=mWk&Cab Bes ht-M
Foraseas
REGISTERED SEPTIC TANK C®NTRACTcmt
KEMBLE G. ETTRICK
15932 NW 2 AVENUE
MIAMI, FL 33169-
MR. C'S PLUMBING&SEPTIC, INC.
It
SR0061536
Business Aut or¢afion: SA0121793
Reg'strat'on
ExP On SePtmber 30,2017
g