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PL-17-1349Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Permit Issue Date: 5/18i Permit NO. PL-5-17-1349 Permit Type: Plumbing - Residential Work Classification: Septic Permit Status:_ APPROVED Expiration: 11/14/2017 Parcel Number Applicant 9300 BISCAYNE Boulevard Miami Shores, FL 33138- 1132060141640 Block: Lot: GABRIEL COSENTINO Owner Information Address Phone Cell GABRIEL COSENTINO 9300 BISCAYNE Boulevard MAIMI SHORES FL 33138- (305)962-1893 9300 BISCAYNE Boulevard MAIMI SHORES FL 33138- Contractor(s) ROCKET PLUMBING CORP Phone (786)663-9238 Cell Phone Valuation: $ 2,500.00 Total Sq Feet: 700.20 Type of Work: SEPTIC TANK Type of Piping: Additional Info: SEPTIC TANK Bond Return : Classification: Residential Scanning: 3 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $1.80 $4.50 $4.50 $0.60 $300.00 $9.00 $2.40 $322.80 Pay Date Pay Type Invoice # PL-5-17-64042 05/17/2017 Cash 05/18/2017 Credit Card Amt Paid Amt Due $ 50.00 $ 272.80 $ 272.80 $ 0.00 Available Inspections: Inspection Type: Plumbing HRS Approval Final 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 er myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOW ORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information i'T'ccurate . . • hat all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above amed or to do the work stated. May 18, 2017 Authorized Signature: Owner / Applicant / Contractor Agent Date Building Department Copy May 18, 2017 1 Qualifier Name: L r State Certifica DESIGNER Address: BUILDING PERMIT APPLICATION ❑BUILDING [PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION CONTRACTOR JOB ADDRESS: 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 511 FBC 20'U Master Permit No. ,C " 61' ( (A 505 Sub Permit No. P - 13L q• ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION '\ oo ?71 CO(1ne $/Vd . City: Miami Shores County: Folio/Parcel#: (� Occupancy Type: S C\ Load: ll—?20(0-00-1f4o Construction Type: Miami Dade Zip: Is the Building Historically Designated: Yes ota d. Flood Zone: BFE: [II RENEWAL ❑ SHOP DRAWINGS 3313E / NO V FFE:11.02 OWNER: Name (Fee Simple Titleholder): Ar�Cadro%) Phone#: ,�^a13oo 3c5C ne. edva. City: 1"`6 atlW)'o 7't'Ofks State: IDrid . Zip: 33 Address: Tenant/Lessee Name: Email: CONTRACTOR: Company Name: Address: Phone#: 0Ckel Pit) /%11( (A1 Cogr• Phorie#:` .3°5•3U 01o4B 4150 J fr• Florid City: MI a rv4; State: Ro dri q'o 6arcio. Registration #: 'v` ��J tt\�YV Architect/ ngineer: Value of Work for this Permit: $ Type of Work: iVrAddition ❑ Alteration Description of Work: Specify color of color thru Submittal Fee $ Scanning Fee $ Technology Fee $ Structural Reviews $ tile: Zip: 33)6S 305•3I(o Tole, Phone#: /° State: 1 Zip: *Ac11 s F Phone#: Cerricate of Competency #: C tt City: la` Square/Linear Footage of Permit Fee $� Radon Fee $ Training/Education Fee $ CCF $ CO/CC $ DBPR $ Notary $ Double Fee $ Bond $ % (Cz, 2cOS TOTAL FEE NOW DUE $ 2 2 • els (Revised02/24/2014) -r Bonding Company's Name'(if applicable) , Bonding Company's Address rt City 1 State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City t . r 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. 2• . "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 commencemn et 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 gseirjspection fee will be charged. 1 Signature OWNER or AGEN• The foregoing instrument was acknowledged before me this � day of M*ft/ , 20 1 9 6A-0,24 Ef- 02 '%/pia, who is Sign: A� Print: Maeldt✓1 (5 Ua✓`e Seal: , by to me or who has produced, as ,t identification and who did take an oath. NOTARY PUBLI / NOT LIC: ill (P t' • tSignature %vi APPROVED BY MEDF.i.IN SUAREZ ISSION # G(32961 June EXPIRES: Je 15, 2020 CONTRACTOR The foregoing instrument was acknowledged before me this day of -'. , 20 A,') , by ersonally known to me or who has, produced identification and who did take an oath. Sign: Print: Seal: as *************31,****************************************************** Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD 2601 BLAIR STONE ROAD TALLAHASSEE FL 32399-0783 GARCIA, RODRIGO ROCKET PLUMBING CORP 11325 SW 46 STREET MIAMI FL 33165 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better. For information about our services, please log onto www.myfloridalicense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and learn more about the Department's 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, and congratulations on your new license! • (850) 487-1395 STATE OF FLORIDA DEPART.MENT'OF BUSINESS AND PROF,ESSIIONALREGULATION CFC14288271e-'+ ;ISSU D 07/17/2016 CERTIFIED PLUMBINGGONTRAGTOR GARCIA, RODRIGO"- " u ROCKET PLUMBING.CORP IS -CERTIFIED under the provisions of Ch.489 FS. Expiration date : AUG 31, 2018 . L1607170001364 DETACH HERE RICK SCOTT, GOVERNOR KEN LAWSON, SECRETARY STATE*OF FLORIDA- DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD LICENSE NUMBER 'CFC1428827 1,14....:'... The PLUMBING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapterr489a'FS. Expiration date: AUG 31, 2018 -GARCIA;-:RODRIGO- 'ROCKET ,�. PLUMBINGCORP' 11325 SW 46"STREET MIAMI =`1 1%FF-331'65 "L SEQ # L1607170001364 ISSUED: 07/17/2016 DISPLAY AS REQUIRED BY LAW Local Business Tax Receipt Miami —Dade County, e -THIS IS NOT A BILL DO i PAY of F;yorida 7153901 BUSINESS NAME/LOCATION ROCKET PLUMBING CORP 11310 SW 46 ST MIAMI FL 33165 OWNER ROCKET PLUMBING CORP I Worker() IA, RODRIGO This Local Business Tax Receipt only confirms payment of the Local Business Tax. The Receipt is not a license, permit or a certification of the holder's or nongovemm regulatory laws and requirements h' qualifications, to do business. Holder must comply ntai on all commercial For more information, visitw - . riamidade nov/taxcoilr�+ governmental ,• -RECEIPT NO. RENEWAL EXPIRES 743O7 SEPTEMBER 30, 2017 Must be displayed at place of business Pursuant to County Code Chapter 8A - Art. 9 & 10 SEC. TYPE OF BUSINESS 196 PLUMBING CONTRACTOR CFC1428827 PAYMENT RECEIVED BY TAX COLLECTOR $75.00 08/15/2016 CRED ITCARD-16--047431 The RECEIPT NO. above which apply to the business, mp y with any must be displayed vehicles Miami -Dade Code Sec 8a-276. 1 ® o CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYI� 05/16/2017 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 INSURE SAFE, INC. 2300 SW 57th Ave Miami FL 33155 CONTACT NAME: PH N , Est):305-303-7080 FAX No): 305-267-4206 EMAIL insuresafeinc@yahoo.com ADDRESS: @y INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: Accident Insurance Company INSURED Rocket Plumbing Corp, 11310 SW 46 Street Miami FL 33165 INSURER B : RetailFirst Insurance Company INSURER C : INSURER D : INSURER E : INSURER F : 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 ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY CPP 0019256 01 06/05/2016 06/05/2017 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 1 OO,000 MED EXP (Any one person) $ 5,000 CLAIMS -MADE OCCUR PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 GEN'L AGGREGATE —1 POLICY LIMIT APPLIES JECOT PER: LOC $ AUTOMOBILE UABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA UAB EXCESS LIAB O OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ $ DED RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDANY ECUTIVE (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y Y N / A 520-48402 07/28/2016 07/28/2017 •WC STATU- TORY LIMITS 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 (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Commercial and Residential Plumbing only License # CFC1428827 CERTIFICATE HOLDER CANCELLATION Miami Shores Village Building Dept. 10050 NE 2nd Avenue Miami Shores, 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 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD PERMIT # : 13-SM-1737256 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: ARLENE CEDRON APPLICATION # : AP 1 274 1 98 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT # : PR1053446 PROPERTY ADDRESS: 9300 biscayne Blvd Miami, FL 33138 LOT: 5-30 BLOCK: 65 SUBDIVISION: Miami Shores PROPERTY ID it: 11-3206-014-1640 [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 [ 900 ] GALLONS / GPD Septic CAPACITY A [ ] GALLONS / GPD N/A CAPACITY N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ ] D [ 500 ] SQUARE FEET Bed configuration drainfiel SYSTEM R [ ] SQUARE FEET N/A SYSTEM TYPE SYSTEM: [x] STANDARD [ ] FILLED [ ] MOUND [ ] A I N F LOCATION OF BENCHMARK: CL NE 93 St., 8.87' NGVD I ELEVATION OF PROPOSED SYSTEM SITE E BOTTOM OF DRAINFIELD TO BE L D FILL REQUIRED: [ 0.00 ] INCHES 0 T H E [ 7.80 ][ [ 22.20 ] [ CONFIGURATION: [ ] TRENCH [x] BED [ ] INCHES INCHES FT ][ ABOVE / BELOW ]BENCHMARK/REFERENCE POINT / FT ] [ ABOVE /j BELOW b BENCHMARK/REFERENCE POINT EXCAVATION REQUIRED: [ 72.00 ] INCHES Inspector to verify the existing septic tank is properly abandoned before final approval. 'Invert elevation of drainfield to be no less than 7.52' NGVD. `Bottom of drainfield elevation to be no less than 7.02' NGVD. *Install 42" of slightly limited soil under the bottom of drainfield. -Perimeter of excavation area shall be at least 2 ft. wider and longer than the proposed abso The system is sized for 2 bedrooms with a maximum occupancy of 4 persons (2 per bedro 300 gpd. The licensed contractor installing the system is responsible for installing the minimum cate SPECIFICATIONS BY: Teresa J Solomon APPROVED BY: TITLE: Carlos M Tcaza DATE ISSUED: 03/14/2017 TITLE: Master Se <O G EXPI DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC drain trench. stimatedw of L/ 2 cg, a ra Dade CHD 09/14/2018 Page 1 of 3 NOTICE OF RIGHTS A party whose substantial interest is affected by this order may petition for an administrative hearing pursuant to sections 120.569 and 120.57, Florida Statutes. Such proceedings are governed by Rule 28-106, Florida Administrative Code. A petition for administrative hearing must be in writing and must be received by the Agency Clerk for the Department, within twenty-one (21) days from the receipt of this order. The address of the Agency Clerk is 4052 Bald Cypress Way, BIN A-02, Tallahassee, Florida 32399. The Agency Clerk's facsimile number is 850-413-8743. Mediation is not available as an alternative remedy. Your failure to submit a petition for hearing within 21 days from receipt of this order will constitute a waiver of your right to an administrative hearing, and this order shall become a'final order'. Should this order become a final order, a party who is adversely affected by it is entitled to judicial review pursuant to Section 120.68, Florida Statutes. Review proceedings are governed by the Florida Rules of Appellate Procedure. Such proceedings may be commenced by filing one copy of a Notice of Appeal with the Agency Clerk of the Department of Health and a second copy, accompanied by the filing fees required by law, with the Court of Appeal in the appropriate District Court. The notice must be filed within 30 days of rendition of the final order.