RC-17-424INSPECTION RECORD
Permit
Miami Shores Village
1305314.E. Aaeet
Miami tk res, EL 33:138401:00
More: .(305)795--3 4 Fax ($0$1,50, 072
Perrnit Type: Residential Construc
Wo' ddition/Alteration
Date: vow" 7
Expires 09103201
INSPECTION REQUESTS: (305)7624949 ar.LOg On at hi :f/bIdg:rniamishi resvtilage
REQUESTS ARE ACCEPTED DURING 8 30AM - 3 3OPM FOR' 9HE FOLIO BUSINESS DAY.
Requestsmu st be -received by '3 pm for following day Ins t
Residential Construction
arc& #:1121360010310
OwL
Owner's Name: {Lauren Rangel
job Address:''3,
NE 107 t
r ti� d
M.Ir-mi Shorts, P-
Bold Number _- ' 1
rets Phone:
Tctaf Stiviere Feet
Total „$ob Va1uati X
KCS ALLOWED:
AY THROUGH ,FRIDAY, 1:OOAM 7 00PM.
SA - s AY 8.40ANI 6:OOPM
NO WORK IS ALLOWED ON SUNDAY OR HOLIDAYS.
BUILDING AND ROOFING INSPECTIONS ARE D'ON
MONDAY THROUGH FRIDAY.
20,000.00
NO 'INSPECTION WILL BE MADE 'UNLESS THE PERMIT CARD IS 1DISPLAYED AND HAS BEEN APPR0D. PLANS ARE READY AVAILABLE. ITIS
THE PERMIT APPLICANf'S RESPONSIBILITY TO ENSURE THAT WORK 4$ ACCESSIBLE AND EXPOSED FOR INSPECTION PURPOSES. '}NEITHER
THE BULDING OFFICIAL NOR THE CITY SHALL BE LIABLE FOR ,EXPENSE ENTAILED IN THE REMOVAL OR REPLACEMENT Ste" ANY mAlrENK
REQUIRED TO ALLOW;iNSPECTiON.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED
AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR ` LENDER OR AN
ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF
COMMENCEMENT.
14,
INSPECTION
STRUCTURAL
INSPECTION RECORD
Foundation
Stemwall y —'
Slab _
umns
Colutras_{2ndLrft)
PIS Barn
SsfterS
Sheathing_
BuCks
ndt wsjDoors
erior Framing
.ulation
IingGrd
rywall
firewall
Tire lath
Pool Steel
Pool Deck
Final Pool
Final Fence
Screen Enclosure
Driveway
Driveway Base
Tin Cap
Roof in Progress
op in Progress
inial Roof
:ers Attachment
final Shutters
ails and Guardrails
compliance
FINAL
DOCUMENTS
Sarl 1Bearing Cert
Soil Treatment Cert,
Floor Elevation Survey
Reinf Unit Mas Gert
insulation Certificat
Spot Survey
Final Survey -- -
Truss Certification
STRUCTURAL CDMMENTS
ZONING
INSPECTION BATE
Zoning Final
I ZONING_'
PECTION
PLUMBING
DATE
P
3 dl
/'l
Water Service
21141 ilk()
h -
Top (Out
Fire'Sprin
2
! Septic Tank
INSP
Terrtre
3
y Tempora
P2oI Branding_ Pool Dectc Bond
Pool Wet INiche
Underground
Sewer 1itotk=up
Rab
G
LP Tank
alns
Well
Lawn _Sprinki@
1
n,
POo1 P ping
ow'Pr`eventor
Footer Ground
Slab
Wall Rough
Ceiling Ro
Rough
Telep "• ' o dS
Telephone final
Tv 1itoug+lh
Ina'
Cie Fianal
inter m R h
Inte final
i Rough
Merin Find
Fire Alarm Rough
Fire Alarm final
tifiho Fi1t
11,i/� / WP
Service Work With
FINAL
1
ELECTRICAL 'COMMENTS
FIRE
INSPECTION__
Finat Sprinkler
DATE _ INSP
Final Alarm'
FINAL
inI erceplor
Catch Basins
Condensate Drains
HRS final
FINAL
PLUMBING COMMENTS
MEG- ANiCAL
INSPECTION DATE
INSP
Underground
Rough
entiiation Rough
ood Rough
sure Test
Final Hood
Final Ventilation
(Final Pool Heater
Final Vacuum
FINAL
MECHANICAL • M : TS
9
•••
4
4'
-IC -4. . — . -
%ickiv '*• • ••••• ',....1r,
.e....e.4.61'' ft:?!.n•rtr' '°tarlfi,... .V'jfe'•',eff:' .".:‘,Irri.4.i .....
' f'e- *4; '''';'''''''''''"'-'-'''t.' '-'''''''''- : • '''.- f'7?.•:te;Awr,, - .,'.i:r•''',,,.,4,e_.%.•:. •
• • or • 6.-•?.. :5'7., •'-,,;... ,-,,o, IT
• ":" ' s.4
Certificate of Completion
Miami Shores Village
10050 NE 2 Ave, Miami Shores FL, 33138
Tel: 305-795-2204 Fax: 305-756-8972
Building Inspection Department
This certificate issued pursuant to the requirements of the Florida Building Code 106.1.2 certifying that at the time of issuance this structure was in
compliance with the various ordinances of the jurisdiction regulating building construction or use. For the following:
Permit Type
Owner
Subdivision/Project
RESIDENTIAL CONSTRUCTION
Bldg. Permit No. RC -2-17-424
LAUREN RANGEL
NONE
Construction Type
Occupancy
Square Footage 100
Type R-3
Description of,!tr.
INTERIOR RENOVATION
Work Applicable 2014 FLORIDA 17,
BUILDING
V- B
Contractor JMEC CONSTRUCTION LLC
Date Issued 10/11/2017
Occupancy
Load N/A
Location
173 NE 107 ST
Miami Shores FL 33138
Code
it,•t
t5
Building Officials Approval
Not Transferable
POST IN A CONSPICUOUS PLACE
-e
0:1-t!P• ?Y'S0,741',1*
tr.4.41V 4e'
tnja„..5,tte-)414''.. "fro
Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
ntial Constril
Parcel Number
on_
PRVED'
Expiration: 9/03/2017
Applicant
173 NE 107 Street
Miami Shores, FL
1121360070310
Block: Lot:
Lauren Rangel
Owner Information
Address
Phone
CeII
Lauren Rangel
173 NE 107 Street
Miami Shores FL 33138-
173 NE 107 Street
Miami Shores FL 33138-
Contractor(s)
Phone
JMEC CONSTRUCTION, LLC (954)410-4695
CeII Phone
Valuation:
Total Sq Feet:
$ 20,000.00
100
Approved: In Review
Comments:
Date Approved: : In Review
Date Denied:
Type of Construction: REMODEL BATHROOM AS PER AP
Stories:
Front Setback:
Left Setback:
Bedrooms:
Plans Submitted: Yes
Certificate Date:
Bond Return :
Occupancy: Single Family
Exterior:
Rear Setback:
Right Setback:
Bathrooms:
Certificate Status:
Additional Info: REMODEL BATHROOM AS PER AP
Classification: Residential
Fees Due
CCF
CO/CC Fee
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$12.00
$50.00
$9.00
$9.00
$4.00
$600.00
$21.00
$16.00
$721.00
Pay Date
Invoice #
03/07/2017
02/17/2017
02/17/2017
Pay Type
RC -2-17-62990
Credit Card
Check #: 4201
Check #: 8003
Amt Paid Amt Due
$ 521.00 $ 200.00
$ 50.00 $ 150.00
$ 150.00 $ 0.00
Available Inspections:
Inspection Type:
Final PE Certification
Drywall
Miscellaneous
Window Door Attachment
Tie Beam
Final
Framing
Insulation
Truss Insp
Columns
Foundation
Window and Door Buck
Fill Cells Columns
Wire Lathe
Review Electrical
Review Electrical
Review Plumbing
F. Termite Letter
F. Elevation Certificate
Review Planning
Review Structural
Review Mechanical
Review Building
Declaration of Use
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 ELE ' ICAL, Pyr BIN CHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNER
constructi
hat all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
ermore, I authorize the above-named contractor to do the work stated.
gn Owner / Applicant / Contractor / Agent
Building Department Copy
March 07, 2017
Date
March 07, 2017
1
J.M.E.0
2511 N.W. 17th Lane - Suite #4
Pompano Beach, F1.33064
CGC060569
1/24/2017
State of: Florida
County of: Dade
Before me this day personal appeared Eric Finkelstein who, being
duly sworn, deposes and says : That he will be the only person4on the
project located at 173 N.E. 107st., Miami Shores F133138
Sworn to and subscribed before me this 24 January 2017
Personally
C/Ca (4.4
4111.Z.N. LAURAFARLE`f
MY COMMISSION S FF 188021
* mu * EXPIRES: March 16, 2019
sow Too Budget Notary sob%
Notice to Owner
Miami Shores Viiiage
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Workers' Compensation Insurance Exemption
Florida Law requires Workers' Compensation insurance 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 full-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. 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 this 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, part-time employees or subcontractors.
BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS
CONTENTS.
Signa
State of Flori
County of Miami -Dade
The foregoing was acknowledge before me this
Owner
By
Notary:
SEAL:
#�t,. '•• c• VAURAFARLEY
* MY COMMISSION # FF 188027
dit. EXPIRES: March 16, 2019
d>.44, n�`�e Bonded Thru Budget Notary Services
day of
,201.
who is personally known to me or has produced
as identification.
\\./)L
Gyr
\\e)c 14A
BUILDING
PERMIT APPLICATION
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
Master Permit No.
s
FBC 20(U
RC_ 420..1 .
Sub Permit No.
•BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION El RENEWAL
['PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 173 NE 107th Street
City: Miami Shores
County:
Miami Dade Zip:
Folio/Parce1#:11-2136-007-0310
Occupancy Type: R"3 Load:
Is the Building Historically Designated: Yes
Construction Type: 1118 Flood Zone: X BFE:
OWNER: Name (Fee Simple Titleholder): Jeffrey Hawn / LiNcurzev e.o Phone#:
Address: 173 NE 107th Street
NO
FFE:
City: Miami Shores
State: FL
Tenant/Lessee Name:
Phone#:
zip: 331101
Email:
CONTRACTOR: Company Name: JMEC Construction, LLC
Address: 560 NW 39th Avenue
Phone#: 954.410.4695
City: Coconut Creek State: FL.
qualifier Name: Eric Finkelstein
zip: 33066
Phone#: 654.410.4695
State Certification or Registration #: CGC060569 Certificate of Competency #:
DESIGNER: Architect/Engineer: Mark A. Campbell
Address:373 NE 92nd Street
Value of Work for this Permit: $ :20/
Phone#: 305.754.2318
City: Miami Shores State: FL. zip_ 33138
Square/Linear Footage of Work: I
Type of Work: ❑ Addition 0 Alteration ❑ New ❑ Repair/Replace
Description of Work: -Q., ,K 0 OZ Z
C� u0 t/ -e --r(04--Nd‘S
❑ Demolition
Specify color offcolor thru tile:
Submittal Fee $ 200 (I Permit Fee $ \'n3 CCF $ i 2 .O0
co/as ®o yy
Scanning Fee $ 2-1 e". Radon Fee $ 9 DBPR $
Technology Fee $ I, lc e Tralning/Education Fee $ I Double Fee $
Structural Reviews $ IS Bond $
gg
TOTAL FEE NOW DUE $ i
9 Notary $
(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 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 feed be charged.
401110111,
Signature Ali hi MINIS i. w
OWNER
The foregoing instrument was ackno edged before me this
daof , 20 17 , by
who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
6-Qpiik- et_
ot*•:. °,1, LAuRAF
* MY COMMISSION * FF 168027
EXPIRES: March 16, 2019
Bonded ThtuBudget •bySenfces
APPROVED BY
(Revised02/24/2014)
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
CP- day of t, , 20 1. , by
L d (e �('4 6,k4- rho is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBU
Sign:
Print:
Seal:
******************
Plans Examiner
*o•�`:Zfe, LAURA FARLEY
MY COMMISSION Ii FF 1118027
EXPIRES: March 16, 2019
Zoning
Structural Review Clerk