RC-17-837 Permit No RC-3-17-8 Ii
Miami Shores Village Permit Typ@',Residential Construction 10050 N.E.2nd Avenue NE w0rati
1aca t.'itftitinfAlln
Miami Shores,FL 33138-0000 � �
Phone: (305)795-2204 nW twf APPROVED
Fypp
�wlip�, - j1t1 Expiration: /27/2017
Project Address Parcel Number Applicant
1019 NE 104 Street 1122320290130
Miami Shores, FL Block: Lot: JAMES ALVAH BAY
Owner Information Address Phone Cell
JAMES ALVAH BAY 1019 NE 104 ST
MIAMI SHORES FL 33138
Contractor(s) Phone Cell Phone Valuation: $ 1,000.00
VAS RENOVATIONS INC (786)306-8027
Total Scl Feet: 0
Approved:In Review Available Inspections:
Comments: Inspection Type:
Date Approved::In Review Drywall
Date Denied:
Miscellaneous
Type of Construction:REPAIR STRUCTURE FOR INSTAL Occupancy:Single Family Window Door Attachment
Stories: Exterior: Tie Beam
Front Setback: Rear Setback: Final
Left Setback: Right Setback: Framing
Bedrooms: Bathrooms: Insulation
Plans Submitted:Yes Certificate Status: Final PE Certification
Certificate Date: Additional Info:REPAIR STRUCTURE FOR INSTALL Foundation
Bond Return: Classification:Residential Window and Door BuckTruss Insp
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Columns
CCF $0.80 Fill Cells Columns
DBPR FeeInvoice# RC-3-17-63466 Wire Lathe
$2.00 03/28/2017 Check#:232 $50.00 $149.60
DCA Fee $2.00 Review Building
Education Surcharge $0.20 03/31/2017 Credit Card $ 149.60 $0.00 Review Mechanical
Notary Fee $5.00 F.Termite Letter
Permit Fee $100.00 F.Elevation Certificate
Plan Review Fee(Engineer) $80.00 Review Planning
Scanning Fee $9.00 Review Electrical
Technology Fee $0.80 Review Structural
Total: $199.60 Declaration of Use
Review Plumbing
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zonin . au onz ove-named contractor to do the work stated.
March 31, 2017
ignature:Owner / Applicant / Contractor / Agent Date
Buil ng Department Copy
March 31,2017 1
Miami Shores Village
�.
Building Department
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20 f�,
BUILDING Master Permit No. wS `?k --Z4
PER T APPLICATION Sub Permit No.� I-1 C -� 3�"
UILDING ❑ ELECTRIC ROOFING REVISION EXTENSION EJRENEWAL
F-IPLUMBING ❑ MECHANICAL PUBLIC WORKS CHANGE OF CANCELLATION ❑ SHOP
/ CONTRACTOR DRAWINGS
JOB ADDRESS: l'0 1�eY� /0y S
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
Z 4
OWNER:Name(Fee Simple Titleholder): dK A Phone#: 2 0 u
Address: /0 ,f d o y 1f—
City: All A-Il I I bf-P 4��l State: Zip:
Tenant/Lessee Name: Phone#:
Email: A Le—
CONT
RALTO •Company Name: ' Y I / Phone#: �v1Uv
2-7
Addre O
City: State: 6 Zip: 2�
Qualifier Name: Phone#:
State Certification or Registration#: ificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: jj�� City: State: Zip:
Value of Work for this Permit:$'411 V� Square/Linear Footage of Work:
Type of Work: ❑ Addition Alter tion ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: A
`o �1
Specify color of color thru tile:
Submittal Fee$yo. O�) Permit Fee$ / " CCF$ 6� CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ 0, • Notary$ 6
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ 00. Bond$
TOTAL FEE NOW DUE$ 9
(Re%ised02/24/2014)
r
Begdi CtTnpany's Name(if applicable)
Bonding CompAy's Address
City State Zip
Mortgage Lender's Name(if applicable)
Mortgage Lender's Address
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 no o ommencement must be po d at the job site
for the first inspection which occurs seven (7) days after the building permit i issue . In t abs nce of s posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature re
OWNER or AGENT CON ACTO
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of KCkYC)-\ ,20 �� by 2-S �u }�1day of � V� ,20�� by
r G�� G� ��Xvho is personally known to � LI 1 f (:L___,who
: ,who is personally known to
me or who has produced ��'' me or who has produced
identification and who did take an oathkAun identification and who did take an oath. c�i oridq
RY l� NOT Y PUBLI l//��..pp
N P I l.l��
Sig Sign
Print: Print: ° My COMMISSION#GG 044 02
?°''° �= MY COMMISSION#GG 044602
Seal: s* Seal: %';eoF#op BondedTYwNotarYP"bltcUndery e�
EXPIRES:November 2,2020
�'•'.;Foa e��P'' Bonded Thru Notary Public UndenwRers
APPROVED BY Plans Examiner Zoning
AhJth7
Structural Review Clerk
(Revised02/24/2014)
iami bhores Village
Building Department
�RIDp` 10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305)795.2204
Fax: (305)756.8972
Notice t® Owner -•Workers' Compensation Insurance Exemption
Florida Law requires Workers' Compensation igsurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05
allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to
obtaining a building permit. Pursuant to the Florida Division of Workers'Compensation Employer Facts Brochure:
An employer in the construction industry who employs one or more part-time or fall-time
employees,including the owner,must obtain workers'compensation coverage. Corporate officers
or members of a limited liability company (LLC) in the construction industry may elect to be
exempt if-
1.
F1. The officer owns at least 10 percent of the stock of the corporation,or in the case of
an LLC,a statement attesting to the minimum 10 percent ownership;
2. The officer is listed as an officer of the corporation in the records of the Florida
Department of State,Division of Corporations;and
3. The corporation is registered and listed as active with the Florida Department of
State,Division of Corporations.
No more than three corporate officers per corporation or limited liability company members are
allowed to be exempt. Construction exemptions are valid for a period of two years or until a
voluntary revocation is filed or the exemption is revoked by the Division.
Your contractor is requesting a permit under ibis workers'compensation exemption and has acknowledge that he or she will not use
day labor,part-time employees or subcontractors for your project.The contractor has provided an affidavit stating that he or she will
be the only person allowed to work on your project.In these circumstances,Miami Shores Village does not require verification of
workers'compensation insurance coverage from the contractor's company for day labor,parttime employees or subcontractors.
BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS
CONTENTS.
Signature:
(Owner
State of Florida
County of Miami-Dade
The foregoing was
acknowledge before me this _day of ,20].
BY �r 1c�� who is personally known to me or has produced
aste9nUcatti. l(( �
:ai; q?•. MAMU K.GONZALEZ
Notary: =?°.•'� fi' MY COMMISSION#GG 044602
o p EXPIRES:November 2,2020
SEAL: ••'.;sem�n`oP Bonded Thru Notary Public Underwriters
Vas Renovations Inc
750 NW 25 Ave
Miami, FI 33125
State of Florida
Miami shores
Before me this day personally appeared Kenia Sorto who, being duly sworn,deposed and says that he or
she will be the only person working on the project located at 1019 NE 104 St Miami Shores, FI 33138
Sworn to(or affirmed)and subscribed before me this Day of 017 by }�
Print type type or stamp name of Notary
(OCAO "
Wq"J Un oUqnd AMON tutu,Papoe
OZOZ'ZjegwanoN:SaN,d)a
109"0 DO#NOISSIWWOO,In
A CB Engineering Services, INC.
1301 NE 7t" Street, Suite 303, Hallandale Beach, FL. 33009
Phone: 954-534-1612 Email: cbbortes -gmail.com
To: City of Miami Shores
Building Department
10050 NE 2nd Avenue
Miami Shores, FL 33138
Re: Door installation, after the fact inspection
1019 NE 104 STREET, MIAMI SHORES, FL 33138
Pursuant the request and authorization of the owner, we are herewith providing you a report of
our inspection findings pertaining to the subject door installation. On March 8, 2017 I, the
undersigned visited the subject property and made a visual and hands on inspection to
determine the suitability of the door installation.
OBSERVATIONS:
We determine that the subject door was inappropriate anchored to the existing concrete tie
beam.
sees.. . .
loew4rofesgionAl opinion, we believe that the subject door framing will withhold the wind load
pressure and t4g;mpact load at the location where the subject door was installed and will not
caAe.any harineif the existing top buck will be replaced with a 4"x4" P.T. wood anchored with
910ps8n-St?"44ie LSTA9 fastened w/ (2) 1/4" dia. tapcons 1 1/4" min. embedded into concrete
tipbgayn anq"#(2) 10dx 3" SS nails into 4"x4" PT wood buck
e se sees
"Se2 attachd.d tfP' Wings for information not shown herein"
sees.. •• e• sees..
e e s e
e;00ee Shoo$ you have ony questions regarding the above, or if require additional information, please
dbeavtbesitate to contact this office.
Sincerely,
CB Engineering Services, INC.
(CA#30935)
Signed by: Constantin Bortes M.S., P.E.
Florida P.E. #77915
Date: March 8, 2017
Page 1 of 1
CB Engineering Services, INC. 17- 27
1301 NE 7t' Street, Suite 303, Hallandale Beach, FL. 33009
Phone: 954534-1812 Email: cbbortes(-amail.com
To: City of Miami Shores s 3 / ' 0oBuilding Department )9C /7
Avenue '�
70050 NE 2nd Ave e
Miami Shores, FL 33138
Re: Inspection for structural repairs done to Install a French door
1019 NE 104 STREET, MIAMI SHORES, FL 33138
Pursuant the request and authorization of the owner, we are herewith providing you a report of
our inspection findings pertaining to the subject door installation. On April 13, 2017 I, the
undersigned visited the subject property and made a visual and hands on inspection to
determine the suitability of the structural work done in order to install the subject door.
OBSERVATIONS:
In our professional opinion, we determine that the subject door could be anchored to the
existing opening as per NOA/FL Approval requirements.
Should you have any questions regarding the above, or if require additional information, please
do not hesitate to contact this office.
Sincerely,
CS Engineering Services,INC.
(CA#30935)
Signed by: Constantin Bortes M.S., P.E.
Florida P.E.#77915 *`�`,�P, 1 �iO,C��i���
Date:April 13, 2017 p
V No.77915 :N
Q• STATE OF
�i�• '•.FCORtDP.•' \���
Pagel of 1
• NOTES: _r
THE WORK SPECIFIED HEREIN HAS BEEN DESIGNED&ALL WORK SHALL BE IN "Llix A:,
0 Fz H w zQ
ACCORDANCE WITH THE STRUCTURAL PROVISIONS OF THE 2014 FLORIDA
D' N •H -Tia l' 5=
BUILDING CODE. DESIGN FORCES PER ASCE 7-10 (3 SECOND GUST), 175 MPH
0 U
WIND EXPOSURE' ,RISK CATEGORY II __ Z (LC W
THESE PLANS CERTIFY THE STRUCTURAL ADEQUACY OF THE PROPOSED SYSTEM IN _
ACCORDANCE WITH THE STRUCTURAL REQUIREMENTS OF THE BUILDING CODE
ONLY. WE OFFER NO CERTIFICATION NOR REVIEW THAT THE PROPOSED UNITS — _
MEET ANY EGRESS REQUIREMENTS.ALL EGRESS ISSUES ARE TO BE ADDRESSED BUILDING OFFICIAL. E,I— Y CANAL AL Z&.z z Fff7ii z
c Ng 1 + _ mr a w O
BY THE PERMITTING CONTRACTOR AND THE LOCAL �C f y M y •8
SHOULD ANY SPECIFIC CONDITION DIFFER FROM THAT SPECIFIED HEREIN, OR L; I G 20 I ?
STANDARD FIELD CONDITIONS, ADDITIONAL SPECIFIC ENGINEERING MAY BE _ Iv _ Z O Z m y r�`jl Z
REQUIRED AS DETERMINED BY THE BUILDING INSPECTOR AND PERMITTING �� — IPE �U r'" I I SZ, S g Z m
CONTRACTOR.CARE SHALL BE TAKEN BY CONTRACTOR IN ALL APPLICATIONS OF y o 8
THIS DETAIL.THE INSTALLATION OF ANY ACCESSORIES THAT DO NOT AFFECT THE I" _ tJ' a myl 3' p V O 4
STRUCTURAL INTEGRITY OF THE STRUCTURE ARE
OUTSIDE THE SCOPE OF THIS I
CERTIFICATION AND ARE NOT REQUIRED TO BE CERTIFIED UNDER THISAIM DATE:
STRUCTURAL DRAWING. THEY MAY BE INSTALLED AS DESIRED PER MFR. REV: BY: _
Lex -•/,o i�' 1 Ir.-tivlra :rl
tta ;-c i I- ,_<iFIL1c1', r 1: t_•h I, •1:•11 �1 .- g
SPECIFICATIONS. I t
i C-6 1511 o
DIMENSIONS ARE SHOWN TO ILLUSTRATE
DESIGN FORCES AND OTHER DESIGN CRITERIA.
THEY MAY VARY SLIGHTLY,BUT SHALL REMAIN IN _
1_ I� r a �`il�'�4'P4�1.JIa (f'&►�d , r r`�1°r I
CONFORMANCE WITH THE LIMITATIONS OF THIS _ t^. y j r 1_I ] s- 1 T` p Z w n � w 0
PLAN.THE CONTRACTOR IS TO VERIFY ALL FIELD - ' W W
.,'r " r t I I� N r<�' U
DIMENSIONS PRIOR TO INSTALLATION,AND 1 1' r I F n x
•• VERIFY THAT PROPOSED DIMENSIONS AND FIELD «I
i••••i • ••• cotDrftb ]S AGREE WITH THIS PROPOSED PLAN. fsa
•• ••• „
•••••• • • • • 0 0 w
•• ENCU&P TEAL AFFIXED HERE TO VALIDATES STRUCTURAL 11
• f 'iia ;� ..,• �.. �-i W 4 fJ]"
•••••• • •• DESICA A•S•SHOWN ONLY. USE OF THIS SPECIFICATION BY a tiF O w w A a
• • THE• PERMIT HOLDERICONTRACTOR, et. aL INDEMNIFIES, :ar, _L, ,� -
••• •• •• DEF1MtV,•If SAVES HARMLESS THIS ENGINEER FOR ALL COST PC RTID Fd elf A Z
& DRAfpK3Ej5 INCLUDING LEGAL FEES & APPELLATE FEES «, B1,0(7K••••• • • I
� + i LT
• • •• ••i RESGL'II116 FROM MATERIAL FABRICATION, SYSTEM �� ;F-� -- -— ,-_ ;:m,I•y �P P� �'1 �'fi.531 Z Com-+ O ►"-t W
•••• • ERE j1ri•& CONSTRUCTION PRACTICES BEYOND THAT L01 I5-OF ELGCA I + � x tD
WHICH•IS CALLED FOR BY LOCAL,STATE,&FEDERAL CODES&
PCa.53l a: h W �� c)
•'•••• •• •• FROI *CMAITIONS OF THIS PLAN.
• • Miami Shores Village
• •••• • •• EXCEWf AS tXPRESSLY PROVIDED IN HEREIN, NO ADDITIONAL
• • CERTIFICATIONS OR AFFIRMATIONS ARE INTENDED. APP ®V�® 8Y DATE t I: r I' �-a al li l r_ ll l r_ r
Soso
USE OF THIS DOCUMENT CONSTITUTES ACCEPTANCE OF THE ZONI G DEPT �•
�, W 000 coo
PROPOSED SYSTEM LAYOUT, COMPONENTS SELECTED, AND .- ,. [1WE>TORY LJ
I.t•. n 4.8.5.9Jta171DeE — Z M ►7 I
INSTALLATION REQUIREMENTS.
BL® ® F�icv�pe-7s T'
CS ENGINEERING SERVICES, INC., SHALL NOT BE HELD -- 4
�'' � G °:sF F.F.ELI^+.:M lA
RESPONSIBLE OR LIABLE IN ANY WAY FOR ERRONEOUS OR S O COMPLIANCE ITH ALL F DE I W
INACCURATE DATA OR MEASUREMENTS. WORK SHALL BE
�d = m
FIELD VERIFIED PRIOR TO CONSTRUCTION. CB ENGINEERING STATE JD COUNTY RULES ND REGULATIONS p� ', I ~ m m
SERVICES, INC., SHALL BE NOTIFIED AND GIVEN AN F�II p 0
OPPORTUNITY TO RE-EVALUATE OUR WORK UPON DISCOVERY W
OF ANY INACCURATE INFORMATION PRIOR TO MODIFICATION I f _r Z $
OF EXISTING FIELD CONDITIONS AND FABRICATION AND _""� I 7
�� tip' d' �' d Oi S J
INSTALLATION OF MATERIALS. U U >CO
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SCOPE OF WORK:
FL P.E.No.: 77915
RETROFIT RECOMMENDATION FOR
SPECIFIED FRENCH DOOR INSTALLATION ��; March 8, 2017
DUE TO THE FIELD CONDITION RETROFIT LOCATIONQ..... SHEET
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FOOTING OPENING WALL DETAIL J4 L,7
BY OTHERS
EXT. ELEVATION
Vol
FL P.E.No.: 77915
March 8, 2017
SHEET
20F2