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PLC-14-1996 rl� Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-219557 Permit Number: PLC-9-14-1996 Scheduled Inspection Date: July 02, 2015 Permit Type: Plumbing - Commercial Inspector: Diaz, Osvaldo Inspection Type: Final Owner: MILITANA,JOHN AND ADRIENNE Work Classification: Addition/Alteration Job Address:8900 BISCAYNE Boulevard Miami Shores, FL Phone Number Project: <NO E Pro1 Parcel Number 1132060110160 � N > Contractor: HURRICANE PLUMBING CONTRACTORS LLC Building Department Comments INSTALL NEW GAS APPLIANCE AND REPLACE HAND infractio Passed Comments SINK INSPECTOR COMMENTS False EYf Comments Passed Failed Correction �' Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. July 01, 2015 For Inspections please call: (305)762-4949 Page 3 of 47 Hurricane Plumbing Contractors, LLC 104 Crandon Boulevard, Suite 420 Key Biscayne, Florida 33149 Tel. 305-609-9925 Fax 305-361-0998 Cell. 305-525-2107 HurricanePlumbing@Gmail.com CFC 1427078 June 23, 2015 Drop Test Certification Permit#PLC-9-14-1996 8900 Biscayne Boulevard Miami Shores, Florida New gas installation. New gas piping from existing gas line to fryer. Water Column: 8 inches Test Duration: 15 minutes/" Date of test: June 23, 2015 Statement of compliance to applicable codes and Florida Statutes as listed for reference. Florida Building Code; Fuel gas Testing Section 406.4.3 Contractor(qualifier) Lawrence C. Lanza Sworn to and subscribed before me this day of 11 , , 2015. o�,,RY OUe[ REBECCA *� '•• �* MY COMMISSI EXPIRES:April MOB NOTARY PUBLIC Bonded ihru Budget Notary Se1VICes t Miami Shores Village JUN 24 20115 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 FBC 20 BUILDING Master Permit No.CC-(Z i LI + I 7 PERMIT APPLICATION Sub Permit No.(PLIt--i--l9° ❑BUILDING ❑ ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION ❑RENEWAL li(PLUMBING ❑ MECHANICAL [-]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP 4f-, �^ry9"'tMWOe- CONTRACTOR DRAWINGS JOB ADDRESS: i 00 bl u d City: tt Miami ShoresI ,^y�i 1/ County: Miami Dade Zip: Folio/Parcel#: No c - (D I - 1G 0 Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: V ' OWNER: Name(Fee Simple Titleholder): Phone#: Address: ( Ct r City: _ Q il'n Y 1 U e-4'7 State: 1� Zip: Tenant/Lessee Name: �1G P �l L Phone#: � ��'/ v Email: `J CONTRACTOR:Company Name:L' L l leu CCI Is�;C `( ; ,,n Phone#: ?u! r w— � Address: `7all j ' x!s (N '5t f tt City: i • ,l cAo1 l State: L Zip: 1r�✓�_ Qualifier Name: .0 d L4 Phone#: State Certification or Registration#: �1 Certificate of Competency#: _ DESIGNER:Architect/Engineer: \1 L: Phone#:21�'YM 5"'9 Address �� o X11 (�Q_11 �i C Or City: ,( e`3tate 1 L Zip: Value of Work for this Permit:$ —, Square/Linear Footage of Work: Type of Work: El0/`Addition Alteration Eli New ElRepair/Replace ❑ Demolition Description of Work: Od,N- :q��on lu ', Specify color of color thru tile: ~�r— Submittal Fee$ Permit Fee$ �� CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ 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 oc7reins (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved aection fee will be charged. Signature Signature t Q AGENT CONTRACTOR The foregoing instrum t was acknowledged before me this The foregoing instrument was acknowledged before me this day of _ 20%�j by day of_ �)�'e' . .20 1 r by M i 4 f �Fn�Q,who is personally known to DaJid, LU06-4 ho is personally know me or who has produced as me or who has produced as identification an ho did take an oath. identification and who did take an oath. NOTARY PUB C: NOTARY PUBLIC: r ` �11Jw Sign: ` �^"`�/ �-' Sign: Print: 6 Srl Print: Seal: Seal: *�o-- ••�* MY COMMISSION 0 FF 108425 RUTH A.ByOASH EXPIRES:April 3,2018 �,��EOF Ft�P�! B0r4edthru8udg0Notery8ervkes Notary Public-State of Florida •;My Comm.Expiris If« �r1 * ****s*s*******s**s**s**************s*************************** $ emission * FF 097586 National Notary Assn. APPROVE B Plans Examiner Zoning -Z -/S Structural Review Clerk (Revised02/24/2014) r Miami Shores Village SEPA2 2014 i Building Department IFA : 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.CC I PERMIT APPLICATION Sub Permit No.FU y— 16)19 ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION E]RENEWAL ■ PLUMBING MECHANICAL PUBLIC WORKS CHANGE OF EICANCELLATION SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 8900 Biscayne Blvd City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 11-3206-011-0160 Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): John Mllitana Phone#: Address: 8801 Biscayne Blvd city. ZiP Miami Shores . FL 33138 State. . Tenant/Lessee Name: Koning Restaurants International, LC. Phone#:305-430-1200 Email: etunis@aol.com CONTRACTOR:Company Name: Hurricane Plumbing Phone#: 305-525-2107 Address: 104 Crandon Blvd. #420 City. Key Biscayne State: FL Zip: 33149 Qualifier Name: Lawrence C. Lanza Phone#: 305-525-2107 State Certification or Registration#: CFC1427078 Certificate of Competency#: DESIGNER:Architect/Engineer: Feliz Pardo &Associates Phone#: 305-445-4555 Address: 255 University Drive City_ Coral Gables state: FL Zip: 33134 Value of Work for this Permit:$ 2,800.00 Square/Linear Footage of Work: Type of Work: El Addition � Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: Install new gas appliance and replace hand sink. Specify color of color thru tile: rr1 Submittal Fee$ Permit Fee$—� 2-2-5 �y CCF$ � , O V CO/CC$ Notary$Scannin Fee$ Radon Fee$ DBPR$ Technology Fee$ d Training/Education Fee$ Double Fee$$rI VJ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ Bonding Company's Name(if applicable) N/A Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) N/A 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 absegce of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature OWNER irAGENT CONTROR The foregoing instru�ent was acknowledged before me this The foregoing instrument was ack owledged before me this *!� day of f�I ��= r� Zo 1 V by 9 day of September 20 14 by �I �wFo is persona y cno Lawrence C. Lanza whoirsonelly kn agor 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 PUBLIC: NOTARY PUBLIC: Sign: !/, -•}-- 1. ,v - . Sign: Print: I " I ,► Print: Seal: OO N Notary Public State of FloridaSeal: * * MY COMMISSION/FF 108425 a Elliot EXPIRES:A 2018 g Myf Commission EE 174219 �� orv�oe\o� BondedD�BudgetNotary Seftes $ate Expires 0=8=16 r*ss***#*s*r**s * * * • rye * * **** ras*s*�*****s********�*s******s******s******s********r***e<**s******* APPROVED BY �y Plans Examiner Zoning Structural Review Clerk 6o CERTIFICATE OF LIABILITY INSURANCEF7/2/2014 ATE(MM/DD/YYYY) �� THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON T11E 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 CONTACT Yamile Corral NAME: Gil, Garden, Avetrani Insurance Group PHONE (305) 630_4777 FAC No: (305)279-3022 E-MAIL 10689 N. Kendall Drive corral@ ai ADDRESS:Y qg g•com Suite 208 INSURERS AFFORDING COVERAGE _NAIC# Miami FL 33176 INSURER A:North Pointe CasualtyIns. Co. INSURED INSURER B:RetailFirst Insurance Company Hurricane Plumbing Contractors, LLC INSURER C: 104 Crandon Blvd. INSURER D: Suite 420 INSURER E: Key Biscayne FL 33149 INSURER F: COVERAGES CERTIFICATE NUMBER:14/15 GL Master 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCU MARRENCE $ 1,000,OOO X COMMERCIAL GENERAL LIABILITY DA AGE TO RENTED 100,000 PREMISES Ea occurrence $ A CLAIMS-MADE Y OCCUR 3094122514 /10/2014 5/10/2015 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 ! GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY Per accident $ AUTOS AUTOS ( ) NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per acc!den" $ UMBRELLA LAB OCCUR EACH OCCURRENCE $ EXCESS LAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY YIN T Y X R ANY PROPRIETORrPARTNERiEXECUTIVE E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED NIA _ (Mandatory in NH) 520-43191 11/14/2013 11/14/2014 E .DISEASE-EA EMPLOYE $ 5001000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) Certified Plumbing Contractor License number: CFC1427078 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Miami Shores Village ACCORDANCE WITH THE POLICY PROVISIONS. Building Department 10050 NE 2nd Avenue AUTHORIZED REPRESENTATIVE Miami Shores, FL 33138 Joe Avetrani/YC ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INSn95r?ninnc)m Tho ArnRrl nomas_4 Inn orc rnnicfnrnrlLof ArnArl Sep 1.6 14 09:32a David Landy Construction 786-513-3100 p.1 rte: .• .,�c _- ,4}1 ,Y•� � t? ..,i �:3� S +�;�"� � {_ SECTOWBUS11NES HURRIqzPLUMBINGC RT 1.66 PAYMEnECEty 8r!!TAX C• LECT s,!;X FC142 `t 1 1z 5.00 04/20 9 ,'• ., Lr`I ,f .�{`' '�` , " ED Jt RD 14-03J 362 {' 7hI ! a is�la��a�lBusrnes� ecoiptoppf�' firrnspaymernofrfie eelBnsinl sTax,The Re isaotol�e ns j pgra?ft�:iT�icart{hcp oli5¢holds; altficatior�s,todobtuTness.Holdc ust• o nygevo e k� olno`n4. rnEmCI¢tolo�s entswbi Enta chlyethe b b WAR aL 0.10 An �Sb o!��S playedon'a" Il;ndh ia1 vOhl m- oSec Be lO ?�76. ��(( ffiWie`ln(MmaI10¢,WS]�;'4 �:� Sep 1.6 14 08:51 a David Landy Construction 786-513-3100 p.1 RICK SCOTT, GOVERNOR KEN LAWSON, SECRETARY - .. _• --- - . • •� STATS OF FLORIDA .- :- - -- - ---- - -- --- DEPARTMENT OF BtJSINESS•AND:PROFESSiONAi RECZULATION CQNSTkUCTl0.N.1NDU -T. AG.- -,CFC1A27.078 Y-- -Ttie RLUMBIN.G:COffTRACTOR -� w � _Nam�Tbelow-IS C�RTIEII=D=- -- -__ - 4';. ^''�c_,.. _ -- __ _ • - _ -:' _ -. ! Under-th ptouisions'of-C_hapter489-FS Expiiatianclate:�AL1G 37x:2016` -�� --�:,,,, -� _ ` - �` -_ -.-_ �. '-•; •-`-- _ __ _ - _ --'�-;'"-,.=fit_-•�.,.. _ _ �_ _ - �� `� _ -'�'- `'� L f .Ei�-E-GHRI`ST ��hUARfCA1VFP_�M81T�C�,Cc ACTORSI;�C � :��. "�� ; �~��'�'�`'- -rte�KF—Y'l3hSLYAYIE= ISSUED: 06119J2014 DISPLAYAS REQUIRED BY LAW SEC# L1408190002395 September 12, 2014 Miami Shores Village Building Department 10050 N.E. 2nd Avenue Miami Shores, FL 33138 Re: Tenant Koning Restaurants International, LLC 8900 Biscayne Blvd. Miami Shores, FL Permit No. CC-6-14-1391 Dear Sir/Madam: As you are aware, the undersigned is the owner of the Pizza Hut location at 8900 Biscayne Boulevard, Miami Shores, Florida. This letter will confirm that Alfredo Salas is my authorized agent to sign the above captioned building permit applications for 8900 Biscayne Boulev known as Pizza Hut. Very t y our HN MIL A JM:rab The foregoing instrument was acknowledged before me this 12`" day of September, 2014, by JOHN MILITANA, who is personally known to me and exec the above letter of authorization. ' - Z N tary Nblic - State of lorida RUTH A.WDASM Notwy Public•SWO o1 Plaids • my Comm.E10"Nlsr 27.2018 Commission I PP 097586 emm Tlroo-I'M l Notay Assn.