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RC-17-1865 � i C Nd � -'�'���-186 v Miami Shores Village t�ei rrF Type.��S�E t1t)3 3trU R 10050 N.E.2nd Avenue NE rm Mr# 1' sst tto?; AI eM t IC t Miami Shores,FL 33138-0000 PerftStatus.APPtttVEC3 h ° Phone: (305)795-2204 - "• ruuw c�at # �p1 Expiration: 1201 Project Address Parcel Number Applicant 1561 NE 105 Street Number: 2-5 1122300530640 THERESA MOOREHEAD Miami Shores, FL Block: Lot: Owner Information Address Phone Cell THERESA MOOREHEAD 1561 NE 105 ST#2-5 MIAMI SHORES FL 33138-2115 Contractor(s) Phone Cell Phone Valuation: $ 2,400.00 REGOSA ENGINEERING SERVICES M (786)262-2964 (786)344-8720 Total Sq Feet: 15 Approved:In Review Available Inspections: Comments: Inspection Type: Date Approved::In Review Window Door Attachment Date Denied: Framing Type of Construction:TUB TO SHOWER CONVERSION V1 Occupancy:Single Family Insulation Stories: Exterior: Drywall Screw Front Setback: Rear Setback: Final PE Certification Left Setback: Right Setback: Window and Door Buck Bedrooms:2 Bathrooms:2 1/2 Fill Cells Columns Plans Submitted:Yes Certificate Status: Review Building Certificate Date: Additional Info: Review Planning Review Electrical Bond Return: Classification:Residential Review Plumbing Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Review Structural Review Mechanical CCF $1.80 Invoice# RC-7-17-64641 DBPR Fee $2.00 07/20/2017 Cash $50.00 $61.80 DCA Fee $2.00 Education Surcharge $0.60 08/09/2017 Cash $61.80 $0.00 Permit Fee $100.00 Scanning Fee $3.00 Technology Fee $2.40 Total: $111.80 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certifythat all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and ni g. F t ore,I authorize the above-named contractor to do the work stated. �� August 09, 2017 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy August 09,2017 1 'k. ��� X,a� • Miami Shores Village RECEIVED Building Department JUL 2 0 7017 10050 N.E.2nd Avenue,Miami Shores, Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 J Y INSPECTION LINE PHONE NUMBER:(305)762-4949 c� FBC 20 Iq r,, BUILDING Master PermitlVo. ��—j$(oS PERMIT APPLICATION Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ('RENEWAL F-1 PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 156 I NLS I05 St City: Miami Shores County: Miami Dade Zip: 33 13 Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: //Construction Type: Flood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholder):-A-er es.) I'/0o f e �Q a J Phone#: Address: 1661 IUB 105 57" City: nl/SMI SA ore-S State: Fje)rl a Zip: 3 3!3ig _ Tenant/Lessee Name: ,L Phone#: Email: ---t$(0 S( =-e elog 9 CONTRACTOR:Company Name: �tac isA Ca neni-er mr, Phone#:"'rOr! --2-216/ Address:/ ///v� /6900 Alk 9— Av. r City: a4 I'pp�� State: h)rf cl Zip: 3 3/ Fj 2,. Qualifier Name: CSU$ AV0 ��Vvv�di Z Phone#: State Certification or Registration#: CM C I SO 69 J 1 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ ;� fon Square/Linear Footage of Work: 157 Type of Work: ❑ Addition ❑ Alteration ❑ New F�!1 Repair/Replace ❑ Demolition Description of Work: f1 illl I I` s y- -2 Specify color of color thru tile: Submittal Fee$ 15 b Permit Fee$ t 0 C:) CCF$ •$� CO/CC$ Scanning Fee$ -19 Radon Fee$ DBPR$ 2 Notary$ Technology Fee$ 2-'Q O Training/Education Fee$ -co Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ ( •g/ (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 broc u will be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commenc e t must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. in the bs nce of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature �. Signature OWNER or AGENT CO TRACTOR The foregoing instrument was acknowledged before me this The foregoing instrum nt IAM cknowledged before me this day of Ji20 by day of 20 by QP3oit e D who is personally known to who is sonally know o A4 - wme or 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 PUBLIpor,10 D LA ROSA �'- :•. •': MY COMMISSION#GG013348 EXPIRES July 19,2020 Sig ® Sign: Print: 0� P � OS Prin e// o � SeaSeal: l: ROCIO D LA ROSA MY COMMISSION#GG013348 ' 4. EXPIRES July 19,2020 �k�k�k�k�k�k�k�k#,k �k�F�N�k BSN�k•R•k�F�k�F�k�k�k •k+k�%W&�k�k�k�k R4k•k•k�k �k�k�k�k�k 9��k�k lrM�**M��k�k�k�k#•k•k+k•k#�k�k�k�k�k�k N•k#•kB•k�k�k#�k+k•F#RR�k•k�k�k+F�k�k�k�k�k�k�k�k•M�k�k N�M��k�k APPROVED BY / Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) F�"'e ky- 10 i,--PVA �s Miami Shores Village ' s Building p De artment O n 16 2014 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel: (305)795.2204 Fax:(305)756.8972 INSPECTION'S PHONE NUMBER: (305)762.4949 FBC20 ®l ^ _ BUILDING n Permit No. PERMIT APPLI J Master Permit No. a a,—C_j Permit Type: JOB ADDRESS: l S FJ 1 /U ( 0 j S�- City: Miami Shores County: Miami Dade lZi ` C7 Folio/Parcel#: o - D a 3 c) - D S 3 - Q(Ll d U u v Is the Building Historically Designated:Yes NO Flood Zone: OWNER:Name(Fee Simple Titleholder): 1t'ICQ36' MOGIA& Phone#: Address: �5 6 k N L l U'S SA D -6 City: M ogvM- 5hures State: L Zip: Tenant/Lessee Name: Phone#: Email: �v�her� CONTRACTOR:Company Name: l.�C- ��� nao\ -N6 5 -7 8 i Address: J N"1 r 5 _J '11 Qb Phone#: ,-1G 5 City: &C'o- ROA-01\ State: V L Zip: Qualifier Name:— L (T!l' MG Douk Phone#: State Certification or Registration#: C_&(- t)60 a4-1 Certificate of Competency#: Contact Phone#: Email Address: DESIGNER: Architect/Engineer: cc Phone#: Value of Work for this Permit:$ o` oV Square/Linear Footage of Work- Type sq Type of Work: ❑Address ❑Alteration ❑New ❑Repair/Replace ❑Demolition Description of Work: _16b a 40,NGf cr.,✓yef-5,o \ W cnUf jj iL V4L\,it� MM Submittal Fee$ ` ♦ W ermit Fee$ i AD CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$ C� • CJI 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'a=11 work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand thatwseparate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGNS, WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS and 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 mast promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose properly 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. Signatures��'�' �/ ?6 CSC Signature Owner or Agent Contractor ��j The fon570 ens a ackno ged before me this e / _ T foregoi Inst ment was cknowl/edg�ed before me this" day of by I�-Pl-vCy l�'GdPJ/QK(� of 20 by I�tl�r �r y who is personally known to me or who has produced who is per o hasproduced As identification and who did take an oath. as identification and who did take an oath. NOTARY UB9 NOTAR •°°S °'��J,t Sign: pPP�. SII Sign: Print: m ° • Prin. _. My Commission Expires: 1ppb 6 0 My Cth 6g�s x fires: ° ��°y Z�l .a�p�o�® f"'oi STATE OFF 0�m0a� YirW 'F �`�APPROVED BY Plans Ex_ ammer Zoning Structural Review Clerk (Revised3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) r J STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850)487-1395 z 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 MCDONALD, LARRY MARK SOUTHEAST GENERAL CONTRACTORS GROUP, INC 20423 SR 7 SUITE F6418 SOCA RATON FL 33498 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 '`"`a STATE OF FLORIDA from architects to yacht brokers,from boxers to barbeque restaurants, DEPARTMENT OF BUSINESS AND and they keep Florida's economy strong. PROFESSIONAL REGULATION Every day we work to improve the way we do business in order to CGCO60247 ISSUED. 05/11/2014 serve you better. For information about our services,please log onto veww.myflorldalicense.com. There you can find more information CERTIFIED GENERAL CONTRACTOR about our divisions and the regulations that Impact you,subscribe MCDONALD,LARRY MARK to department newsletters and learn more about the Department's SOUTHEAST GENERAL CONTRACTORS GROU initiatives. Our mission at the Department is:License Efficiently,Regulate Fairly We constantiv strive to serve you better so that you can serve your customers. ank you for doing business in Florida, IS CERTIFIED under the provisions of Ch 499 FS. and congratulations on your new Ucensel E.rpntw dale Auc 31 2119 L1405110001104 DETACH HERE RICK SCOTT,GOVERNOR KEN LAWSON,SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD ,? fi CGCM247 The GENERAL CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31,2016 v••UALima MCDONALD, LARRY MARK SOUTHEAST GENERAL CONTRACTORS GROUP,INC. ]I 20423 SR 7 SUITE F6418 BOCA RATON FL 33498 ISSUED- 05/11/2014 DISPLAY AS REQUIRED BY LAW SEQ# L140511OW1104 ANNE M. G A N N O N P.O.Box 3353,West Palm Beach,FL 33402-3353 "LOCATED AT** CONSTITUTIONAL TAX COLLECTOR www.pbctax.com Tel:(561)355-2264 ServingPntrr,Peacht"nnnty 1021 S ROGERS CIR STE 11 BOCA RATON,FL 33498 Serving i/Lut. TYPE OF BUSINESS OWNER CERTIFICATION It RECEIPT 91DATE PAID AMT PAID BILL# 23-W51 GENERAL CONTRAC tOR MCDONALD LARRY MARK CGCM M47 B14 1442601-09MV14 $2750 1 640158484 This document is valid only when receipied by the Tax Collector's Office STATE OF FLORIDA PALM BEACH COUNTY 2014/2015 LOCAL BUSINESS TAX RECEIPT B2-477 SOUTHEAST GENERAL CONTRACTORS GROUP INC LBTR Number: 201360515 SOUTHEAST GENERAL CONTRACTORS GROUP INC EXPIRES: SEPTEMBER 30,2015 20423 SR 7 STE F6418 BOCA RATON,FL 33498 This receipt grants the privilege of engaging in or Irllrllllrrlrrllrllllrrlr managing any business profession or occupation within its jurisdiction and MUST be conspicuously displayed at the place of business and In such a manner as to be open to the view of the public. ANNE M.. G A N N O N P.O.Box 3353,West Palm Beach,FL 33402-3353 "LOCATED AT" t s � CONSTITUTIONAL TAX COLLECTOR —.pbctax.com Tel:(561)355-2264 1021 S ROGERS CtR STE 11 Srruing Palm Beach L.n,a,ry BOCA BATON, FL 33498 Serving Von. TYPE OF BUSINESS OWNER I CERTIFICATION# I RECEIPT#/DATE PAID AMT PAID BILL p 2349MI ROOFING CONTRAC7ON MCDONALD LARRY MAI4K I CCC133D002 I B14 1442680-OOM/14 S2750 840188483 This document is valid only when recelpted by the Tax Collectors Office. STATE OF FLORIDA PALM BEACH COUNTY B3-477 2014/2015 LOCAL BUSINESS TAX RECEIPT SOUTHEAST GENERAL CONTRACTORS GROUP INC LBTR Number: 201360517 SOUTHEAST GENERAL CONTRACTORS GROUP INC EXPIRES: SEPTEMBER 30, 2015 20423 SR 7 STE F6418 BOCA RATON,FL 33498 This receipt grants the privilege of engaging in or r11L1116111,11111r11111 managing any business profession or occupation Within its jurisdiction and MUST be conspicuously displayed at the place of business and in such a manner as to be open to the view of the public. 16 Oct 2014 10:20AM HP Fax 7863626474 Page 2 CERTIFICATE OF LIABILITY INSURANCETWIS OATS(AfMlpp/YYyh 10/2/2014 CRR CERTIIFICAT DOE 18 NOT A8 A MATTER OR INFORMATION ONLY AND CONIFERS NO WORTS UPON THB CBRT11"ICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCles BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INISURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT, If the CertlResto Holder Is an ADDITIONAL INSURED,the Pollay(lea) must be endomed, It SUBROGATION IS WAIVED,sub)eat to Corttflaata holder In llou of sUch ondoroem the terms and eondM*ns of dw policy,certain policies may require eR endorsement, A statement on this certltiente does not corder rights to the e . PRODUCER Tho Contr �vacy aatcra Choice Jon Ro)g PO ?Sox 13048 H (800)918-3584 (877)891-0031 JozGnginsuranaaanlins.c= [B82-cals, handler A2 85248 PORDINo c s IN Preferred Contra s a C 2 97 outheast Gaeral Contractors Group ins.0423 St. Rd. 7uite 86-418 RatonI e 1+I. 33498 INWRER F. COVEMOES CERTIFICATE NUMBER:CL1431025900 R N NUMBER: THIS 18 TO CERT}FY THA: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE 1NSUREO NAMED ABOVE FOR THE POLI¢Y PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT W(T1{RE3PpCT TO WHICH THIS OWITIFICATE MAY 51!(SSU@D OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLIC156 DESCRIBED HBRBIN 19 SUBJECT TO ALL WH H THIS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN_BDU BY PAID CLAIMS. I TYPE OR INaURAfiCaor WON i Aa FOUCY ;ALPFOU013119 L UA31UTY R LIMMERCIAL GENERAL LIABILITY GAAW Rm s 8,o 00,000 A �aeA1ADs II OCCUR CD323C !as/seat /aalsoas EO 000 MED EW An Dns g 5 000 P NAL INJURY $ 3,000,000 O ATELIWAPPLIEBpER: AT $ 3,000,000 P Loc PRODURTB-COMPIOPa 3 000 000 uABILrfy Is ANY Aero wrrso A DRODILY IKAJKY(Far paepn) is "MOAUTOa MED BODILYINJURY(Pareeeldlet) S E 8 UMBRE"itAe OCCUR g "0288 LIAR C1.411416 MADE EACH OCCURRENCE g AaGRHtSATB g RS COMP999ATION AND 86lPLOYSRS'LIABILITY sT Ar Y PR0PR%TO"ARTN8R=scUnva Y till HEGR1Mt:1A9EaFJR;LUD6D7 NIA E( EAO+ACG>tXiN( 8 rAdOm�r In IIHI DISMS I e TIMS POLICY uM3r I eeCRIPTIONOPOPERATIONS/LDCAT(0118IVBNICLlB IAlfuhA"""'.Ad"UwstRetruluge),edu(s tfmpg• I� P rquhW} SOUTH6A8T GENERAL CONTRACTORS CGC000247 HOLDER,MR1 MATE cANCELLAn Village of Ward ENO= SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Bldg.Dept TWE EXPIRATION DATE THGA901', NOTiDE WILL Be DELIVERED Rt 10050 NE 21n4 Ave ACCORDANCE WITH THe POLICY PROVISIONS. Mlaml Shores FI 33138 AUTNORM RePResBNTATIVE ACO RDZS Robert Gook/Jox (i070/06� no INQ 19882010 ACORD CORPORATION. All rights reserved, SD7JsrmtrYwt111 Ths 4r`Apr7 nm s.v�Innn caro'11-06rO,f.narke At Ar^ywn AC)REN CERTIFICATE OF LIABILITY INSURANCE DAT 10/71201n4) 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 endorsemen s. PRODUCER SUNZ Insurance Solutions LLC ID(Essential) c ACT Jennifer Hau er c/o Essential HR,Inc.dba First Star HR PHONE 212-292-19as FAx 251 O'Connor Ridge Blvd Suite 370 L AX Irving,TX 75038 lennifer.haugerMrststerhr.corn INSU 8 AFFORDING COVERAGE NAIC A INSURER A: SUNZ Insurance Company 34782 INSURED Essential HR Inc., Essential HR II Inc, INSURER B. Aspen Re-London-BestRain °A° dba First Star HR INSURER C: Catlins ndlcate-Uo ds-Bast Rating•A° 251 O'Connor Ridge Blvd INSURER 0: Brit Syndicate-Lloyds-Best Retina°A° .Suite 370 INSURER E: Irving TX 75038 INSURER F: COVERAGES CERTIFICATE NUMBER: 218M91 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. [NOR LTR TYPE OF INSURANCE POLICY NMS POLICY EFF P UCY EXP ryYYJ LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE ^�OCCUR $ MED EXP ane mon $ PERSONAL 8 ADV INJURY $ GEML AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ POLICY (, LOC PRODUCTS•COMPIOPAGG $ OTHER $ AUTOMOBILE LU1811.ITYCOMBINED cddentI SINGLELIMIT $ ANY AUTO BODILY INJURY(Per person) $ AALL UTOS NED ,SSC EDULED BODILY INJURY(Per awwaM) $ HIRED AUTOS SOOS D PPROPERI Y $ UMBRELLALIAB HOCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ IN S $ A WORKERS COMPENSATION WCPE00000184 02 10/112014 101112015 AND EMPLOYERS'LIABUJTY YIN WCPEOOGO0184 01 10/1/2013 10/1/2014 ANY PROPRIETORMARTNERIEXECUTIVE ❑NIA EL.EACH ACCIDENT Is 1,000,000 OFFICER/MEMBER EXCLUDED? (Myyaeenssdatory In NM E.L.DISEASE-EA EMPLOYE $ 1,000,000 under DESCRR�QN OF OPERATIONS below EL DISEASE-POLICY LIMIT I$ 1,000,000 B Workers Compensation This is for informational purposes C Excess Coverage and nothing shall create any right D under such reinsurance. DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Addtsonal Remarks Schedule,may be attached If more apace is required) Coverage ovveerag dprovided te 7/29 0141 leased employees but not subcontractors of:SOUTHEAST GENERAL CONTRACTORS GROUP INC' CERTIFICATE HOLDER CANCELLATION 82500089 Village of Miami Shores Building Department SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 9 P THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 10050 NE 2nd Avenue ACCORDANCE WITH THE POLICY PROVISIONS. Miami FL 33138 AUTHORGED REPRESENTATIVE Glen J Distefano ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name -.4 logo are registered marks of ACORD CERT NO.: 21076491 Todd Trowbridge 10;2/2014 1:44:11 PN (COT) Pa .1 1 Miami Shores Village Building Department 10050 NE 2 Ave, Miami Shores, FI 33138 Tel: (305)795-2204 9 Fax; (305)756-8972 6/6/2017 Current Owner 15 FINAL N 1561 NE 105 Street Miami Shores, FL Permit: RC-10-14-2275 Address: 1561 NE 105 Street Miami Shores FL Dear Sir or Madam, Our records indicate that the above referenced permit has expired without obtaining the proper final inspection. In order to serve you better, we need to keep our files up to date. As per section 105.4.1 of the Florida Building Code, "Every permit issued shall become invalid (expired) unless the work authorized by such permit is commenced within six months after its issuance, or if the work authorized by such permit is suspended or abandoned for a period of six months after the work is commenced, or completed without obtaining the final inspection of the work performed.." Please be advised that open permits will hinder your ability to obtain new permits, refinance or sell this property. Please contact the Building Department, within 15 days of receipt of this letter in order to take care of this matter. Sincerely, b-, 171,1 Ismael Naranjo (CBO) Building Director Miami Shores Village Building Department 10050 NE 2 Ave, Miami Shores, FI 33138 Tel: (305)795-2204 • Fax; (305)756-8972 10/24/2016 To: Current Owner 1561 NE 105 Street Miami Shores, FL Permit: RC-10-14-2275 Address: 1561 NE 105 Street Miami Shores FL Dear Sir or Madam, Our records indicate that the above referenced permit has expired without obtaining the proper final inspection. In order to serve you better, we need to keep our files up to date. As per section 105.4.1 of the Florida Building Code, "Every permit issued shall become invalid (expired) unless the work authorized by such permit is commenced within six months after its issuance, or if the work authorized by such permit is suspended or abandoned for a period of six months after the work is commenced, or completed without obtaining the final inspection of the work performed.." Please be advised that open permits will hinder your ability to obtain new permits, refinance or sell this property. Please contact the Building Department, within 15 days of receipt of this letter in order to take care of this matter. Sincerely, Ismael Naranjo C60) Building Director s ti s • l Un --vI a o0 t e 2ai4 UTILITY t ROOM PDR CLO U 3' " BEDROOM #I KITCHEN 91m11 11'8"x12'4" UP 7'8"x12'0" }J 2' A/C -L DINING ROOM ' BATH #1 - K0 • ,1 O• CL � �' ... `7 0000 •1..0• Q J CLO 000000 D WN CLO 000god;0 0000.: 0000 o..' 00006 . . 0000.' 1•� �' >- w 'CLO ROOM 00 ....:. m . ... � ? Ll J 40 v � G: 0g ® in BEDROOM #2 z 7— 15'0"x18'0" ® q I5'0"x26'6" _ z x a ® LOrnQ ® wrn FOYER TERRACE a 714"X4161' �•kr� �� r�� _L �, �° A BALCONY 1111 I-HE ti ► • • • . • � • "'�: : � : : �: '• �tl�y o u�4C���- '� y 6 '' 1st LEVEE ... .. . .. DA12fidjLEVE`-1����e� ��� ��T � S ca�6 0i- V •,• •�• ,� p(.�. BLDG. PERMIT � ON-SITE -4 � ... ± . (A �• % ' : VA MAIN EXTENSION .. DATE 1®-30-t/ BY h rboura • • .qv. I S._ SCALE: "Is SCALE: 0" ' 'eondom4niums t .-BATH FITTER® BATH FITTER° ACRYLIC WALL & FREE-STANDING SHOWER BASE SPECIFICATIONS A Bath Fitter custom-formed one-piece acrylic shower wall system is manufactured from a co-extruded sheet that is approximately 1/8" thick and that consists of a pigmented acrylic surface reinforced with a blend of high- impact plastic material. Bath Fitter°acrylic shower walls are seamless and cover the existing walls of the shower stall. They are secured to the existing walls using a proprietary adhesive and installation technique. Exposed edges are capped with an extruded molding that is trimmed on site for an exact fit. Sample panels of the material used to form Bath Fitter®acrylic shower walls have been tested and found to be in compliance with Standard CSA B-45.5-2011 /IAPMO Z124-2011, Clause 5.12. A Bath Fitter® free-standing acrylic shower base is manufactured from a co-extruded .200" thick sheet that consists of a pigmented acrylic surface reinforced with a blend of high-impact plastic material. The support pan is adhered to the floor. The ledges of the acrylic shower base are screwed to the wall studs. The support pan is pre-assembled and secured to the acrylic shower base using a proprietary adhesive and installation technique. Bath Fitter°free-standing acrylic shower bases are certified by C.S.A. to be in compliaft,'w h the.regt�rements�,'� of Standards CSA 845.0-02 General Requirements for Plumbing Fixtures and CSA B4&54,1011 /2APMC) Z1 2.4...:. 2011 Plastic Plumbing Fixtures. 9.9.90 • •�!••• ••• • 00.00 SH^VPE=E�SE • • • xJ •• •• •• •000•• LE _ r • /� rt_ _ • • • • 00.0 "x r ACR•J= •000• 0000• r 9 a $ ' s Detailed view«A» ONE-PIECE " ''� S-f ' t # j AC _IV BTL-, c WX Ek13TN6 J1-L nr axt x a � j 47 sr AUHEs'vE5 y t'gr 64 -: A ' �• 3-FCR-.-EME S{LK:ZNE f see I @ ALRYJL SHIM SHSAERBA3E -30JER EASE KREA s e• sti .� y Y.. / '/ s ti, --f0 1 • • R-o?'. ALHE%•,E 00 A.CRY_r %�.• •0• •0• "T PAN !• • • •• . . Detailed view« B o S1JFP0R'TFA4 _ �' Bath Fitter"` • • • •.. • • • Rev 03-19-12 • • . FIRE DEPARTMENT ProductSpecif{cations • •. 00 • • . •. 00 0.0 0 0 0 ••• 0 0 BAT H FITTER& FREE-STANDING ACRYLIC SHOWER BASE DRAIN SPECIFICATIONS NPt FREE-STANDING ACRYLIC SHOINER BASE ACRYLIC SUPPORT PAN ADHESIVE NUT GASKET FRICTICA-1 RING CRAG. • • • 0000 0000•• •• 9 9 • • BRAINPIPE •00••• • 000000 • 009000 • 000.0• • • • 000..0 • • 9 • . • 0•.99• •.• • 99.9• •• •• 00 •000.0 • 9.9.9• • • STS AT.IER • i 9 • ••990 • •9.99• a..*• • N,JT •• • GASKET DRAIN FREE-STANDNG NPI ACRYLIC SHOWER BASE ACRYLIC ADHESIVE SUPPORT PAN G,=.SKET FRICTION RINCi• 9•• N:JT • • . • • • • • • 00 009 09 • 9 0 •• Z" RAIItiIVE •0• • M -lDAM, COUNTY . . •• • • FM DEPARrqENT 099 • • . • 0 00 • a• Bath Fitter'�" : : • :0: : : 0 Rev 04-30-09 Product Specifications0 0 •9 0 • • 0 s• 9 o • System No.C-AJ-8217 rn July 29,2013 O ANSI/UL1479(ASTM E814) CAN/ULC S115 CZ F Ratings—2 Hr F Ratings—2 Hr 41 T Rating-1/41-Ir FT Rating—I/4 Hr N L Rating at Ambient-Less than 1 CFM/sq ft FH Ratings—2 Hr N L Rating at 400 F-Less than 1 CFM/sq 11 FTH Rating—3/4 Hr L Rating at Ambient-Less than I CFM/sq ft L Rating at 400 F-Less than i CFM/sq ft 2 ° 2 A 4 3 1 4 0 �a tA••:�••qb P� • • Qa :;air+. C a • 1111 r•0a • d G .A.�•c;; •• • • • • Q �•r t:;r•,r:.' 1111•• • • 3 •00 . 1111Y •• 10.00• 0•• • ••• •• as •• 000 • 0.000• • N System tested with a pressure differential of 2.5 Pa between the exposed and the unexposed surfaces with the higher pressure on the • Pat • 000.0• exposed side. • • • • 1. Floor or Wall Assembly—Min 2-1/2 in.(64 mm)thick lightweight or normal weight(100-150 pcf or 1600-2400 kgknl)soncrete.Ma diem •o i of opening 6 in.(152 mm). •• • 2. Through Penetrants—Amax of five pipes,conduits or tubes and a max of four cables to be installed within the opening.Annular space 0 between the penetrants and the periphery of the opening shall be min 0 in.(point contact)to max 3-1/4 in.(83 mm).Penetrants to be rigidly supported on both sides of floor or wall assembly.The following types and sizes of penetrants may be used: A. Metallic Pipes—A max of four metallic pipes,conduits or tubing maybe used.The following types and sizes maybe used: Al.Steel Pipe—Nom 1 in.(25 mm)diam(or smaller)Schedule 5(or heavier)steel pipe. A2.Conduit—Nom 1 in.(25 mm)diam(or smaller)electrical metallic tubing or rigid steel conduit. A3.Copper Tubing—Nom 1 in.(25 mm)diam(or smaller)Type L(or heavier)copper tubing. A4.Copper Pipe—Nom 1 in.(25 min)diam(or smaller)Regular(or heavier)copper pipe. B. Nonmetallic Pipes—A max of one nonmetallic pipe or conduit may be used.The following types and sizes of nonmetallic pipes or conduits may be used: B 1.Polyvinyl Chloride(PVC)Pipe—Nom 1 in.(25 mm)diam(or smaller)Schedule 40 solid core PVC pipe for use in closed(process O or supply)or vented(drain,waste or vent)piping system. B2.Rigid Nonmetallic Conduit+—Nom I in.(25 mm)diam(or smaller)Schedule 40 PVC conduit installed in accordance with the U National Electrical Code(NFPANo.70.) C.Cables—A max of four cables may be used.Max 4/C No.18 AWG(or smaller)thermostat cables. O 3. Tube Insulation—Plastics++—Nom 1/2 in.(13 mm)thick acrylonitrile butadiene/polyvinyl chloride(AB/PVC)flexible foam furnished in U the forin of tubing. See Plastics(QMFZ2)category in the Plastics Recopnized Component Urecwye or rglymes of manufacturers.Any Recognized Component tube insulation material meeting the above specitic:tions anoa,4&a Q1_141Zailm:bility Classification of 94-5VA may be used. 4. Fill,Void or Cavity Material*—Foam—Min 2-1/2 in r(641n6'Tn thi66kriess:f V unateAW applied within the annulus,flush with top surface of floor or both surfaces of wall. •• 000•• •• • • ' •' 3M COMPANY—Fire Barrier Rated Foam,FIP l-Step ��/�!�]1p.y*p�� �% • ••• • ••• • ••• YtvdY: q Bearing the UL Classification Mark • • • • • • • • ���'��� +Bearing the UL Listing Mark ••+ • • • • • • • ++Bearing the UL Recognized Component Mark • • • • •• • • • • • Reprinted from the Online Certifications D`rectory%lith peilnission from UL C@ Us 2013 UL LLC c �L us ••• • • • • ••• • • 9 • • • ••• • • • 3M Fire Protection Products www.3M.com/firestop 1-800-328-1687 • • • • • • • ••••• Through Penetrations Applicators and SpeOiers Guide HILTI XU-27 @ 18" C./C. 3-5/8"X20 GA. STEEL 'C' RUNNER, MIN. EMBEDMENT I"� FASTENED @ P4" ON CENTERS i X ELASTOMETRIC FIRESTOPPING SEALANT %2" DUROCK CEMENT BOARD i r �� 5/8" GYPSUM BOARD ~✓ r (2) #8 SELF TAPPING SHEET METAL SCREWS 3-5/8"X20 GA. STEEL 'C' RUNNER, (TYPICAL) AT 4' AND 8' A.F.F. - CONTINUOUS 3-5/8"X20 GA. STEEL STUD CHANNEL GALV. SPACED I G" O.C. MAX. V—L /. PER FBC 2010 - I G 18.8 3" ROXUL MINERAL (5P5F LIVE LOAD AND L/3.GO DEFLECTION) WOOL A.F.B. i r i (2) #8 SELF TAPPING SCREWS 3-5/8"X20 GA. STEEL 'C' RUNNER, r FASTENED @ 2'0" ON CENTERS f AT EVERY CONNECTION POINT •••• 00 0000 0000.0 .. a 0000.. 0.0.00 s .asses HILTI XU-27 @ 18" C./C. •••••• MIN. EMBEDMENT 1" • ase. . .a 0000. 0 0 :00a TYPICAL 1 HOUR PARTITION CROSS SECTION - l U&U43-3•:- N.T.S. ' : :600:0 ease:. • 0a • s • • a .00000 as • s 000 • • 4-1/2" � r System Performance `�— - 1 HR Fire UL Design No. U433 System Description "',/,-,--,,-z z;-D./w, Steel Stud Partition(nonbearing) F'I �'UNTY - 1/2" DUROCK Next Gen Cement Board or DUROCK Brand Cement Board - 3-1/2"20-gauge min. steel stud @ 16"o.c. - min. 3"mineral wool.insiAlation batts a a ea - 1/2" DUROCK Next Gen sement: 34A a;IUROCK Brand Cement Board : ss see of s a 0 0 J TABIO ENGINEERING CORPORATION e j CIVIL-STRUCTURAL ENGINEERING CA 09550 1 „tea. 0 4a . ss -0 • • . `" s�1.11 • ! s .-0a ----a' 0 140 BUTTONWOOD DRIVE,KEY BISCAYNE,FLORIDA 33149 PHONE:305-772-7599 FAX:305-361-9376 A310 ENGINEERING CORPORATION e-mail:tabloeng@aol.com ••0 • • 0 • ••• • �RtuEcr BATHROOM REMODELING- • • • • • • 000 • 10854 NORTH KENDALL DR#105,MIAMI,FLORIDA • • • • `o • •• • ' • • V • TYPICAL HOUR PARTITION YAUR100 SALAZAR,P.E. SCALM AS NOTED DRAM BY M.S. DRA D NUMBER ., FLORIDA RED.#8787 DAZE 04/12/2014 ICHECKED BY M G DWG/ SD-1 5z: zc Zod C OO 19 -4•QS• •••• 1 • • ��r oc Ve 06. 0000623473 •• . • • • • • • • • • •