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PL-13-66Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 184098 Permit Number: PL- 1 -13 -66 Scheduled Inspection Date: February 11, 2013 Inspector: Hernandez, Rafael Owner: MCELENEY, NICOLA Job Address: 9233 N MIAMI Avenue Miami Shores, FL 33138- Project: <NONE> Contractor: MARLIN PLUMBING OF MIAMI INC Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132060130210 Phone: 305 - 652 -6108 Building Department Comments repipe under home hot and cold water lines aslo do new water service from NE comer of home to meter. all to be done in pvc pipe and fitting. Infractio Passed Comments INSPECTOR COMMENTS False Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments February 08, 2013 For Inspections please call: (305)762 -4949 Page 12 of 30 01/21/2013 10:25 3056523135 MARLIN PLUMBING PAGE 01/01 DATE (MMIDDNYT ) A RID CERTIFICATE OF LIABILITY INSURANCE 11/19/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. '1111S CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGA11VELY 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 LS WANED, subject to the terms and conditions of the pur'icy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the _ certificate holder In lieu of such endorseme S PRODUCER Keyes Coverage Insurance 5900 Hiatus Road Tamarac FL 33321 INSURED Marlin Plumbing of Miami, Inc. 20145 N.E. 16th Place Miami FL 33179 5937 INSURER 8 INOURER F COVERAGES CERTIFICATE NUMBER: 1424098175 THIS IS TO CTi"'TIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSITED TO THE INSUR INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POUCIES DESCRIBE EXCLUSIONS AND CONDITIONS OP SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR TYPE OF eVSURANCE=. INSR. wVD _ POLICY NUMBER JMMIOD VV tAEMID0 YYr1E LIT( 5/3/2013 A GENERAL LJABIUTY X COMMERCIAL GENERAL UAQIUTY CLAIMS.MADE © OCCUR GEN'LAGGREGATE UMITAPPUES PER AUTOMOEMLE LIABILITY B ANY AUTO AuroS 'E° SCHEDULED HIRED AUTOS AAUUTT S� UMBRELLAIAB EXCESS UAB DED 1 TRETENTION $ Y Y 21UUNIT9228 518/2012 OCCUR CLAIMS -MADE WORKERS COMPENSATION AND EMPLOYERS* LIABILITY r J N CREXUOP IE EMBEREC D (Mandatary In NH) If vyeBaa deseatey pr DESCRIPTION OF OPERATIONS WON Y NIA 830.28781 12/1/2012 12!112013 DESCRIPTION OF OPERATIONSI E GCATIONS I VEHICLES (Attach ACORE! 101, Adelsonel Remaj1m 6ahed % K mom a$ac. is required) CERTIFICATE HOLDER CANCELLATION MIAMI SHORES VILLAGE BUILDING DEPARTMENT 10050 NE 2ND AVENUE MIAMI SHORES FL 33138 ACORD 25 (2010105) ON NUMBER: rD NAMED ABOVE FOR THE POLICY PERIOD DOCUMENT WITH RESPECT TO WHICH THIS D HEREIN IS SUBJECT TO ALL THE TERMS, usitTS EACH OCCURRENCE $1.000,000 . .qma . a. !il s300 000 MED EXP (My one men S10.000 PERSONAL B AW INJURY $1.000.000 GENERAL AGGREGATE 82.000.000 52.000.000 PRODUCTS-COW/OP ADO •►Sc w. P iH ui $ - $ BODILY INJURY (Per person) BODILY INJURY (Per accident) S ROPERTY DAMAGE Per : . Cent) g $ EACH OCCURRENCE s AGGREGATE $ $ X gI IA E.L. EACH AOCID €NT $1.000,000 81,000,000 81,000,000 E.L DISEASE. EA EMPLOYE = CA- DISEASE - POLICY LIMIT SHOULD ANY OF THE ABOVE E IESCRIBEP POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL SE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUT110RGBD REPRESENTATIVE ®1988-2010 ACORD CORPORATION. All Eights reserved. The ACORD name and logo are registered marks of ACORD 111111111111111111111111111111111111111111111 NOTICE OF COMMENCEMENT 0 A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. STATE OF FLORIDA: COUNTY OF MIAMI -DADE: TAX FOLIO NO. 11-3206-013-0210 THE UNDERSIGNED hereby gives notice that improvements will be made t property, and in accordance with Chapter 713, Florida Statutes, the followin is provided in this Notice of Commencement. 1. Legal description of property and street / address: 1 53 41 6 53 42 MIAMI SHORES SEC 1 AMD PB 10-70 LOTS 10 & 11 BLK 2 STATE OF FLO I HEREBY CERT1F original fled in this FM 201380028084 8k 28439 Ps 28326 (1P9) RECORDED 01111/2013 11:27°31 HARVEY RUVI{4r CLERK OF COURT MIAMI -DADE COUI'lTYv FLORIDA LAST PA5E COUNTY OF LADE the this IS S ceov of the of 9233 N Miami Ave, Miami Shores FL 33150 . Description of improvement: Repipe Hot & Cold Water under home and repipe water service from home to meter 3. Owner(s) name and address: Micahel P O'Hara & Nicola MCeleney Interest in property: Name and address of fee simple titleholder: 4. Contractor's name and address: MARLIN PLUMBING OF MIAMI, INC 20145 NE 16TH PLACE., NORTH MIAMI BEACH FL 33179 5. Surety: (Payment bond required by owner from contractor, if any) Name and Address: Amount of bond $ 6. Lender's name and address: 7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes. Name and Address: 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and Address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different • ate is specified) 'tg ature : er Print Owner's Name 1"I d`' ��G•t�i�. Sworn to and subscribed before me this Q Notary Public:;*\ Print Notary's Name: My Prepared by e day of .,cirntxw'ij , 20 (i 3 Address: 2.0i &5 WE /4 IP14 iV FL 11174 Miami Shores Village Building Department 0050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION Permit Type: PLUMBING JAN 112013 FBC 201.17. Permit No. —'' 1 7 Master Permit No. JOB ADDRESS: 9233 N Miami Ave City: Miami Shores County: Miami Dade zip: 33150 Folio/Parcel #: 11- 3206 - 013 -0210 Is the Building Historically Designated: Yes NO X Flood Zone: CO— OWNER: Name (Fee Simple Titleholder): Michael O'Hara Address: 9233 N Miami Ave City: Miami Shores Phone#: 305- 761 -2866 State: FL zip: 33150 Tenant/Lessee Name: Phone #: Email: nicohara35 @yahoo.com CONTRACTOR: Company Name: Marlin Plumbing of Miami, Inc Address: 20145 NE 16th Place City: North Miami Beach Phone #: 305 - 652 -3031 State: FL Zip: 33179 Qualifier Name: Edward J Walker Phone #: 305 - 652 -3031 State Certification or Registration #: CFC048292 Certificate of Competency #: Contact Phone#: 305 - 652 -3031 Email Address: marlinplumbing @aol.com DESIGNER: Architect/Engineer: Phone#: Value of Work f o r this Permit: $ 6,200.00 S q u a r e / L i n e a r e of Work: Type of Work: ❑Address DAlteration DNew Repair/Replace ODemolition Description of Work: Repipe under home hot & cold water lines to 2 BR, 1 Laundry, 1 Kitchen, 1 Bar sink and 4 hose bibs, also will do new water service from NE comer of home to meter. All to be done in CPVC Pipe and fittings *** * * * ** **** **************** ******* * * ** Fees******* *, x********+ x***** **************** ** ** Submittal Fee $SCfr.)400 `- Permit Fee $ �'� � CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 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 FT.ECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and MR CONDITIONERS, ETC OWNER'S A} 14' AVIT: 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 ap,?roved ' a rei spec ti i fee will be charged. Signature caner or The foregoing instrument was acknowledged before me this q day of di-vrwr,irli , , 20 by M +CAt.c4 0 'r� • who is personally' known to me or who has produced Flo rt ck L 02,Ase-As identification and who did take an oath. NOTARY PUBLIC: Sign: orrti .. A`'l:: uesk** * * ** io EXPIRES: December 6, 2013 Bonded Thu Nobly Publc Ur denvdters APPROVED BY Contractor The foregoing instrument was acknowledged before me this q day of 37,ntit,tral ,20a__, by {L :s.,I�1 .i yJArkeit', who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: `if-I Plans Examiner Structural Review (Revised3 /12I2012)(Revised 07 /10 /07)(Revised 06/10/2009)(Revised 3/15/09) Zoning Clerk