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PL-16-3273Project Address Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Issue Date: 1 Permit NO. PL -12-16-3273 Perrnit,Type: Plumbing - Residential Work Classification: Gas Permit Status: APPROVED 8/2016 Expiration: 06/06/2017 Parcel Number Applicant 9701 BISCAYNE Boulevard Miami Shores, FL 33138- 1132060143320 Block: Lot: MARIA GABRIELA ALE CASTRC ARESISIIKONSICIffir Owner Information Address Phone CeII MARIA GABRIELA ALE CASTRO 9701 BISCAYNE Boulevard MIAMI SHORES FL 33138-2540 Contractor(s) GARCA GROUP LLC 9701 BISCAYNE Boulevard MIAMI SHORES FL 33138-2540 Valuation: Total Sq Feet: $ 4,720.00 0 Type of Work: GAS SERVICE & GAS DISTRIBUTION Type of Piping: Additional Info: GAS SERVICE & GAS DISTRIBUTION Bond Return : Classification: Residential Scanning: 4 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $3.00 $3.38 $3.38 $1.00 $225.00 $12.00 $4.00 $251.76 Pay Date Pay Type Invoice # PL -12-16-62236 12/01/2016 Credit Card 12/08/2016 Credit Card Amt Paid Amt Due $ 50.00 $ 201.76 $ 201.76 $ 0.00 Available Inspections: Inspection Type: Final Press Test Review Plumbing 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 ELECT -,I k PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVI' ify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoni% , ermore, I authorize the above-named contractor to do the work stated. : 40: Authorized e. Owner / Applicant / Contractor / Agent December 08, 2016 Building Depa ment Copy Date December 08, 2016 1 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 RECEJVEI DEC 01.2016 BY: FBC 2010 BUILDING Master Permit No. RC -15-1024 PERMIT APPLICATION Sub Permit No. k�- 2- I b -32-13 BUILDING ❑ ELECTRIC ❑ ROOFING Q REVISION ❑ EXTENSION El RENEWAL •PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 9701 BISCAYNE BLVD City: Miami Shores County: Miami Dade Zip: 33138 Folio/Parcel#:11-3206-014-3320 Is the Building Historically Designated: Yes NO X Occupancy Type: R-3 Load: Construction Type: V Flood Zone: X BFE: FFE: OWNER: Name (Fee Simple Titleholder): JOSE G. CASTRO & MARIA G. ALE Phone#: 305-582-2836 Address:9701 BISCAYNE BLVD City: MIAMI SHORES State: FL Zip: 33138 Tenant/Lessee Name: N/A Email: info@r-method.net Phone#: CONTRACTOR: Company Name: Garca Group LLC Address: 7389 NW 54th Street Phone#: 305-424-8642 City: MiamiState: FL Zip: 33166 Qualifier Name: Yurek Vigo Phone#: 305-424-8642 State Certification or Registration #: LPG023368 Certificate of Competency #: DESIGNER: Architect/Engineer: JOSE RUBEN JIMENEZ, ARCHITECT Phone#: 305-582-2836 Address: 300 OAKWOOD LANE SUITE 100 City: HOLLYWOODState: FL Zip: 33020 Value of Work for this Permit: $ 4,720.00 Type of Work: • Addition • Alteration Square/Linear Footage of Work: 955 ADDITION / 655 ALT. ❑ New ❑ Repair/Replace Description of Work: Revisions for gas service and gas distribution. ❑ Demolition Specify color of color thru tile: Submittal Fee $ 5(:) paid Permit Fee $ 2 2f! CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ TOTAL FEE NOW DUE $ tt (Revised02/24/2014) J : i 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 j0 OWNER or AGENT Signature 1 IN •— CORACTOR The foregoing instrument was acknowledged before me this The foregoing instrument wa acknowledged before me this ' day of /rQJ tafr4, 20 IAO , by U -L- 1.���1� • , who is perown to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: Commission # GG 049216 , My Comm. Expires Dec 19, 2018 ' '' Bonded through National Notary Assn. 21STday of OCTOBER \i/OId" \IIC2(7 , 20 16 , by , who is personally known to me or who has produced DL as identification and who did take an oath. NOTARY PUBLIC Sign Prin Seal I.T111 11' `tee_: � ,n- r: rj i *: � _ ,, Iorlda • Commission M FF 16324 r My Comm. Expires May 8, 2017 `t a Bonded through National Notary Assn ************************************************************************************************************ APPROVED BY (Revised02/24/2014) Plans Examiner Structural Review Zoning Clerk 009699 Local Business Tax Receipt Miami -Dade County, State -of Florida -THIS IS NOT A BILL - DO NOT PAY 6097935 BUSINESS NAME/LOCATION GARCA GROUP LLC 7389NW54ST MIAMI FL 33166 OWNER GARCA GROUP LLC RECEIPT NO. RENEWAL 6360598. LBT EXPIRES SEPTEMBER 30, 2017 Must be displayed at place of business Pursuant to County Code Chapter 8A - Art. 9 & 10 SEC. TYPE OF BUSINESS 205 DEALER/DIST-Ft/INSTALLATION 23823 PAYMENT RECEIVED BY TAX CO.LECYOR $450.00 07/12/2016 _CREDITCARD-1'6-039289 This Local Business Tax Receipt only confirms payment of the Local Business Tax. The Receipt is not a license, permit. or a certification ditto holder's qualifications, to do business. Holder must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT N0. above must be displayed on all commercial vehicles - Miami -Dade Code Sec 8a-276. For more information, visit www.tniamidade.gov/taxcoilector Florida Department of Agriculture and Consumer Services P.O. Box 6700 Tallahassee, Florida 32399-6700 License Number: 23823 Business Mailing Address Licensed Location Address GARCA GROUP, LLC PO BOX 651468 YUREK VIGO MIAMI, FL 33265-1468 GARCA GROUP, LLC 7389 NW 54TH ST MIAMI, FL 33166-4831 Theliquefied petroleum gas license at the bottom of this form is. valid ONLY for the company located at the address on the license. Each business location of a company must be licensed. All LP Gas licenses must be renewed annually. Any license allowed to expire shall become inoperative because of failure to renew. The fee for restoration of a license.* equal to the original icer fee and..7aust=be pa d•bofore-tire licensee may resume -operations` K IN THE EVENT OF AN OWNERSHIP CHANGE AT THIS BUSINESS LOCATION: This license may be transferred to any person; firm or corporation for the remainder of the current license year upon written request to the department by the original license holder. License transfers must be approved by the department. AH licensing requirements must, be met by the transferee and a transfer fee of $50 will: apply. To apply for a transfer, contact the Bureau of LP Gas Inspections at (850) 921-1600. Pursuant to Chapter 527, Florida Statutes,,LP Gas Iicensees'must present proof of licensure to any consumer, owner, or end user upon request when engaged in the business of servicing, -testing, repairing, maintaining or installing LP Gas systems and/or equipment. For future correspondence, please make any needed corrections or changes to your business mailing address and/or your licensed location address and return the,UPPER PORTION; with corrections to: 4,, - Florida Department of Agriculture and Consumer Services P.O. Box 6700 Tallahassee, Florida. 32399-6700 Cut Here POST, LICENSE CONSPICUOUSLY ep State,of Florida x r`ment of Agri u@t l'r e and Consu>rner Serviees Division of Consurner Services Bureau of ;Liquefied'Petroleum-Gas Inspection (850) 921-1600 Tallahassee, Florida License Number: Expiration Date: Date of issue: License Fee: Type and; Class: Liquefied Petroleum Gas License LP GAS INSTALLER GOOD FOR ONE LOCATION ONLY ANY CHANGE OF•OWNERSHIP`OR SALEJNOFYALIDS BUSINESS RENDERS THIS LICENSE THI This license.is iss'iied'uhder'auft ority of :Seton 527.02,"Florida Statutes, to GARCA GROUP; LLC 7389 NW 54TH ST MIAMI, FL 331664831 23823 August 31, 2017 September 1, 2016 8200.00 0803 ADAM H. PUTNAM COMMISSIONER OF AGRICULTURE, Florida Department of Agriculture and Consumer Services Division c,f Consumer Services • -• 2005 Apalachee Parkway Tallahassee, Florida 32399-6500 Master Qualifier Mailing Address YUREK VIGO GARCA GROUP, LLC PO BOX 651468 MIAMI, FL 33265-1468 Licensed Location Address. GARCA GROUP, LLC 7389 NW 54TH ST MIAMI, FL 33166-4831 Certificate Number License Number 23368 23823 This Master Qualifier Certificate is issued pursuant to Chapter 527, Florida Statutes. This certificate is valid only for the person and licensed holder listed. Any changes to the Master -Qualifier status (such as transferortennination-of employment) must be reported to the Bureau of,Compliance at (850) 921-1600 immediately. The Master Qualifier Certificate is valid only through the date noted on the Certificate. A notice of renewal will be sent to you in advance of your expiration date. A Master Qualifier Certificate may be renewed if certification of a minimum of 16 (sixteen) hours continuing education is provided along with the renewal form. If training cannot be documented, an examination must be taken. If there are any erfors on the certificate, please submit all changes in writing to: Florida Department of Agriculture and Consumer Services Division of Consumer- Services 2005 Apalachee Parkway Tallahassee, Florida 32399-6500 Cut Here State of Florida Department of Agriculture and Consumer Services Division of Consurner Services Bureau brCompliarce (850) 921-1600 Tallahassee, Florida Certificate No: Exam Date: Issue Date: Expiration Date: Exam: MASTER QUALIFIER CERTIFICATE This Certificate is issued under authority of Section 527.02, Florida Statutes, to: YUREK VIGO Valid For License Number: 23823 GARCA GROUP, LLC 7389 NW 54TH ST MIAMI, FL 33166-4831 23368 MaY 21, 2007 July 18, 2016 July 17, 20.19 0601 ADAM H. PUTN M COMMISSIONER OF AGRICULTURE ACORd ' CERTIFICATE OF LIABILITY INSURANCE `, ----' DATE (MM/6Y) 03/18/201201 6 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(ies) 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 Anchor Underwriters Inc. 10350 SW 50th Street Miami, FL 33165 CONTACT Flavia M. Ribot Reyes (ac No. Ext): 305-239-8996 FAX No), 305-239-8988 E-MAILDESS: info@anchorunderwriters.com INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: Nautilus Insurance Company 17370 INSURED Garca Group LLC dba Gas Plumbing Technologies PO BOX 651468 Miami FL 33165 INSURER B: NorGUARD Insurance Company 31470 INSURERC: 03/16/2017 INSURER D $ 1 ,000,000 INSURER E : INSURER F: X 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 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. INSR LTR TYPE OF INSURANCE INSD SUBR Q POLICY NUMBER POLICY EFF (MM/DD/YYYV) POLICY EXP (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY BN963991 03/15/2016 03/16/2017 EACH OCCURRENCE $ 1 ,000,000 CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L X AGGREGATE POLICY OTHER: LIMIT APPLIES JE � PER: LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 BI/PD Deductible $ 1,000 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS _ SCHEDULED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ A X UMBRELLA LIAB EXCESS LIAR OCCUR CLAIMS -MADE AN026522 03/15/2016 EACH OCCURRENCE $ 1,000,000 03/16/2017 AGGREGATE $ 2,000,000 DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y/N Y N /A GAWC700117 02/15/201602/15/2017 X PER STATUTE OTH- ER E.L. EACH ACCIDENT $ 1,000,000 E.L DISEASE - EA EMPLOYEE $ 1,000,000 E.L DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If mo e space Is required) ********************************,PLUMBING NOC & DRIVERS************************************************ License # 23823 CERTIFICATE HOLDER CANCELLATION - Miami Shores 10050 NE 2nd Ave Miami Shore, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2014/01) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Rc oa4 r Inspection Number: INSP-272294 Permit Number: PL -12-16-3273 Scheduled Inspection Date: September 26, 2017 Inspector: Hernandez, Rafael Owner: ALE CASTRO, MARIA GABRIELA Job Address: 9701 BISCAYNE Boulevard Miami Shores, FL 33138 - Project: <NONE> Contractor: GARCA GROUP LLC Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Gas Phone Number Parcel Number 1132060143320 Building Department Comments GAS SERVICE & GAS DISTRIBUTION 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 September 26, 2017 For Inspections please call: (305)762-4949 Page 2 of 20 f GAS FL TIChN rill GA RCA GROUP, LLC.® UM�ING Oi_OG1�.5 NA RAC.. AS 501_ ON `(OLCl2. PROPANE AND T1.t f. LCTI P.O. BOX 651469, MIAMI, FLORIDA 33265 DIRECT 305-303-4733 - FAX 305-402-3888 - E-MAIL gasptechaPaol.com ADDRESS 9701 Biscayne Boulevard Miami Shores, FL 33138 PERMIT NUMBER -FL (Z— THIS SYSTEM HAS BEEN MANOMETER TESTED FOR 15 MINUTES. P START g INCHES W.C. i FINISH 8 INCHES W.C. INSTALLER �-ck' Q fr'- DATE ?) lap II -7 This installation will meet all Florida Statutes 527.06 LP Division rule 4B-1.01 The south Florida Bldg. code NFPA 54, NFPA 58, and regulations of The state Fire Marshall QUALIFIER Name $41/4-K \) 1 O Number /...%o -2-3.1.01b v -AM _/ V PU' DIANELYS PEREZ Notary Public - State of Florida • ` Commission # GG 08967 My Comm. Expires 21 O,`,Fl 8ordedthouchhatl^