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PT-16-985Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-277409 Permit Number: PT -4-16-985 Scheduled Inspection Date: February 28, 2017 Inspector: Naranjo, Ismael Owner: SMITH, CODY Job Address: 94 NE 102 Street Miami Shores, FL 33138 - Project: <NONE> Contractor: AVANCE CAULKING INC Permit Type: Paint Inspection Type: Final Work Classification: Addition/Alteration Phone Number (305)726-6400 Parcel Number 1132060131450 Phone: (305)822-3028 Building Department Comments TO PRESSURE WASH AND PAINT THE EXTERIOR OF THE HOUSE Infractio Passed Comments INSPECTOR COMMENTS False Passed Inspector Comments CREATED AS REINSPECTION FOR INSP-256787. not ready Failed Correction Needed Re -Inspection Fee No Additional Inspections can be scheduled until re -inspection fee is paid. February 27, 2017 For Inspections please call: (305)762-4949 Page 17 of 32 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number:INSP-256787 Permit Number: PT -4-16-985 Scheduled Inspection Date: February 13, 2017 Inspector: Naranjo, Ismael Owner: SMITH, CODY Job Address: 94 NE 102 Street Miami Shores, FL 33138 - Project: <NONE> Contractor: AVANCE CAULKING INC Permit Type: Paint Inspection Type: Final Work Classification: Addition/Alteration Phone Number (305)726-6400 Parcel Number 1132060131450 Phone: (305)822-3028 Building Department Comments TO PRESSURE WASH AND PAINT THE EXTERIOR OF THE HOUSE Infractio Passed Comments INSPECTOR COMMENTS False Passed Failed Inspector Comments Correction Needed Re -Inspection Fee No Additional Inspections can be scheduled until re -inspection fee is paid. February 10, 2017 For Inspections please call: (305)762-4949 Page 2 of 38 • 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 BY: C Tit OCT 132016 PAINT QA -P\(6. " Q G°1tt`e.i\a0e- >t FBC 20 Master Permit No f G- 9 es PERMIT APPLICATION Sub Permit No. t'tq 1J-!a2Sib JOB ADDRESS: City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: n c - Is the Building Historically Designated: Yes NO OWNER: Name (Fee Simple Titleholder): Codi 7rIKIA.) Phone#: Address: 4q Ng I(7Z S(-• City: ki Chi) ' 1k.OreS State: rt" Tenant/Lessee Name: Phone#: Email: Zip: 33LiS. CONTRACTOR: Company Name: A(,(,/fie Cd(,(,a1(�, en k/& Address: go /q L qcrcLe-.is'(.lQ„ �City: !-ha(ex Qualifier Name: State: ITC/ ct I - cf C - Say Phone#: OS -$1Z-- 302$ A1'6160940 boe sas Phone#: Zip: 33Dur State Certification or Registration #: Certificate of Competency #: 03co3sz Value of Work for this Permit: $ Description of Work: Square/Linear Footage of Work: 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 ELECTRICAL, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC "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 an inspection fee will be charged. Permit Fee $ CCF Fee $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ TOTAL FEE NOW DUE $ , CZ PAINT COLOR APPROVAL AND AGREEMENT All elements on the site must be listed and indicate the color to be painted DIRECTIONS: Please circle corresponding number to appropriate color sample. Walls: Fascia: Drip edge: Soffit: Roof: Flower Bins: Shutters: Awnings: Chimney: Doors & Jambs: 1 Garage Doors: 1 Railings: Fences: All Brick: Stucco Bands: Other Stucco Feature: 2 3 4 2 3 4 11/ 2 3 4 2 3 4 1 2 3 4 2 3 4 1 2 3 4 2 3 4 2 3 4 3 4 3 4 2 3 4 2 3 4 2 3 4 2 3 4 0 2 3 4 Accessory Bldg: 1 2 3 4 Attach color sample with name and number 1-- 1. —1. SW 7006 257-c7 Extra White 2. 3. 4. 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. Signature: Signature: Owner or Agent Contractor / The foregoing instrument was acknowledged before me this 1p The foregoing�ninstrument was acknowledged before me this 13 day of ' ilu x.11 1'J , 20 I le, by \ �,..is , day of OC FD) e( , 20 la, by /4mCeryji,7 � who is personally known to me or who has produced V rW t \ Ce ;•\L As identification and who did take an oath. NOTARY PUBLIC: Sign Print')enIS`Q, (),‘.0012- My ..'Q_ 2_ DENISE SAENZ MY COMMISSION EXPIRES September 18, 2017 My Commission Expires: 11(I l 1 who is personally knowna jI or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: L Print: ,4/4/4e" My Commission Expi **************************************************************** APPROVED BY: NURY E UREA 4 MY COMMISSION # EE865255 EXPIRES February 25.2017 **** ********** Code Official Preservation Board SENDER: COMPLETE THIS SECTION • Complete items 1, 2, and 3. • Print your name and address on the reverse so that we can return the card to you. • Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: d C . n - c�L Cor 60-43 les ,'3313c} COMPLETE THIS SECTION ON DELIVERY ue-2_ 111111111111111111111 11111111111111 D. s" -very S, en eli ■ Agent ❑ Addressee Date of Delivery T \ erent from item"1? ry address below: OCT 1= 2016 3. Service Type "/,_,`, ❑ Prip ity,1draii Express® ❑ Adult Signature ,.., ..4' ; `' 0 RMail", Maii 0 Adult Signature Restricted Delivety- : -- 0 Registered Mail Restricted 9590 9402 2242 6193 2970 87ertified Mail® Return p 'I7 Certified Mail Restricted Delivery0Return Recei t for ❑ Collect on Delivery Merchandise ❑ Collect on Delivery Restricted Delivery 0 Signature Confirmation*"' ❑ Insured Mail 0 Signature Confirmation ❑ Insured Mail Restricted Delivery Restricted Delivery (over $500) 2. Article Number (Transfer from service label) 70110 1370 oo00 PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt 11 1 1 USPS TRACKING # 11111 111111 ilii 9590 9402 ti ' 13'193 2970 87 United States Postal Service First -Class Mail Postage & Fees Paid USPS Permit No. G-10 • Sender: Please print your name, address, and ZIP+4® in this box• 0,00‘,toz 5-3' gA5/06 33138 ilt'1Il1l„ 11111111lill.li111111111111111lil}1)111111111111111111 - w CODY SMITH 94 NE 102 Steet Miami Shores, Florida 33138 (917) 407-3312 VIA CERTIFIED US MAIL # RETURN RECEIPT REQUESTED September 19, 2016 Angelo G. Rodriguez 700 Biltmore Way Suite 403 Coral Gables, FL 33134 Re: Permit No.: PT4-6-985 Property Address: 94 NE 102 Street Miami Shores, FL 33138 Dear Angelo, This shall serve as written confirmation that I am terminating my contract with you for the renovations at 94 NE 102 Street, Miami Shores, FL for providing workmanship of a subpar standard. After numerous attempts to have you correct and remedy the situation is has become appartent that that is not possible. I am enclosing a Change of Contract/Architect form from the Miami Shores Village Building Department. Kindly execute same and return in the enclosed envelope so that the permit referenced above may be transferred and I may have the renovations completed. Sincerely, C_,--- Cody Smith CS/enclsoures Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 94 NE 102 Street Miami Shores, FL 33138- Owner Information Permit Issue Da Permit NO. PT -4-16-985 Permit Type: Paint Work Classification: Addition/Alteration Permit Status: APPROVED 4/1872016 Expiration: 10/15/2016 Address Parcel Number 1132060131450 Block: Lot: Applicant CODY SMITH Phone Cell CODY SMITH 94 NE 102 Street MIAMI SHORES FL 33138-2323 (305)726-6400 Contractor(s) DELANT CONSTRUCTION CO Phone (786)367-6476 CeII Phone Valuation: $ 3,000.00 Total Sq Feet: 1400 Type of Work: Exterior Color: Additional Info: Classification: Residential Color: _Approved Color: _Approved_ Code Comments: WALLS, ROOF - WHITE / DRIP ED Color: _Denied Fees Due CCF Education Surcharge Notary Fee Permit Fee Technology Fee Total: Amount $1.80 $0.60 $5.00 $60.00 $2.40 $69.80 Pay Date Pay Type Amt Paid Amt Due Invoice # PT -4-16-59388 04/12/2016 Check #: 113 $ 69.80 $ 0.00 Available Inspections: Inspection Type: 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 either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, P 'L , MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVI construction and z e, l he regoing information is accurate and that all work will be done in compliance with all applicable laws regulating orize the. above-named contractor to do the work stated. April 18, 2016 Autho = d Signa . e: Oma, er / Applicant / Contractor / Agent Bu • ing De • .. j ent Copy Date April 18, 2016 V 1 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION FBC 20 N Permit Type: PAINT Permit No. PT (` i - I ✓ Master Permit No. OWNER: Name (Fee Simple Titleholder): Cody Smith Phone#: Address: 94 NE 102nd Street City: Miami Shores State: Florida Zip: 33138 Tenant/Lessee Name: Phone#: Email: JOB ADDRESS: 94 NE 102nd Street City: Miami Shores County: Miami Dade Zip: 33138 Folio/Parcel#: 11-3206-013-1450 Is the Building Historically Designated: Yes CONTRACTOR: Company Name: Delant Construction Address: 7380 NW 77th Ct. NO No Flood Zone: Phone#: 786 367 6476 City: MedleyState: Florida Qualifier Name: Angelo G. Rodriguez State Certification or Registration #: CGC015430 Contact Phone#: 786 367 6476 Zip: 33176 Phone#: 786 367 6476 Certificate of Competency #: Email Address: garoconstruction@gmail.com Value of Work for this Permit: $ 3,000.00 Square/Linear Footage of Work: 1,400 s/f Description of Work: To pressure wash and paint the exterior of the house 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC "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 an inspection fee will be charged. ***************************************Fees******************************************** Permit Fee $ CCF $ Notary $ Training/Education Fee $ J)P Technology Fee $ Double Fee $ TOTAL FEE NOW DUE $ PAINT COLOR APPROVAL AND AGREEMENT All elements on the site must be listed and indicate the color to be painted DIRECTIONS: Please circle corresponding number to appropriate color sample. Walls: 1 3 4 Fascia: 1 2 3 4 Drip edge: "I 2 3 4 Soffit: 1 2 3 4 Roof: 1 3 4 Flower Bins: 1 3 4 Shutters: 1 2 3 4 Awnings: 1 2 3 4 Chimney: 1 2 3 4 Doors & Jambsh 2 3 4 Garage Doors: 1 2 3 4 Railings: 1 2 3 4 Fences: 1 2 3 4 All Brick: 1 2 3 4 Stucco Bands: 1 2 3 4 Other Stucco Feature: 1 2 3 4 Accessory Bldg: 1 2 3 4 Atta rn' m 1. N W 0 0 v w 0 b ack 3. 4. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that applicable laws regulating construction and zoning. SignatureJ G Signature: Owner or Agent The foregoing instrument was acknowledged before me this d Ll day of inkre , 20 /b by 5+aC I Y ' rn`C ()•�0 jn who is personally known to me or who has produced Fb(� d L; Cen5eAs identification and who did take an oath. NOTA ' Y PUBLInmmonwealt i sof Pennsylvania my Sign: Print: My Commission Expires: i'c11U 6` / g ), LO & • ;'��';' one in compliance with all Contractor ns rent was acknowledged The foregoing i e rged before,me�this ,•1 2_ day of , g! , 20 (-(by Fes' `� (t .1't(d;11/(— who is person known to me or who has produced C-C--4vA/IA�C. as identification and who did take an oath. NOTARY PUBLIC: ComjTlonwealth of Pennsylvania NOTARIAL SEAL Stacy McMahon, Wary Public Altoona City, Blair County n: �]/� MY Commn xl� January 21, 202T yI J 1G�hQ%� aaJanuaryPrint: My Commission Expires: ************************************************************************ APPROVED BY: 11:101/do*zzi i7 .0 ,D • * ***�` *****404*•***eae� • t3 I t Bode Ofi%41Hi��q�� Preservation Board ^ k 000034 Local Business Tax Receipt J1g& 5 MEEiLEY FL 330% aliNSVAL ExpiREs SEPTEMIla So, IOU OWNETkoNsTR DE SEC. OF BUSIMER- _ PAYME RECE '0148 13,i45.00 ti9/234015 Pia =~"~^=x=~"�.�°-not -. pirmit,iii74certificition aide ho floOlinTen ' . ' ' '. '___-_-----_-_- . . . . . .. . . . mo�N��� � ��m- | / ^ ''ReyOnnsp9 �r^�� -- ~'"'�OFF|nn/n^ -�-��--_���=� FLORIDA _-�-����� --'`.M"==..°'B.',..._-- -- ---`'-- REGULATION `-- -- c,Gr»15�O ��--~-"cm ISSU'ED b7/16/20177---72 GENERAL' - ,u�---�' GEkAR _ROORIGUEZ�° - /~� ~�-�--'~',Cu . ~ ._- CERTIT ^~ m��moo�/�»^,"4�� . ~^ ~ -. - 31 2-131- _-- --_- " ACORU®DATE �� CERTIFICATE OF LIABILITY INSURANCE (MM/DD/YYYY) 3/23/2016 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 Gil, Garden, Avetrani Insurance Group 10689 N. Kendall Drive Suite 208 Miami FL 33176 CONTACT yArfl, le Corral NAME: (305) 630-4777 FNo): (305)279-3022 (aC No.Ext): FAX E-MAIL ADDRESS: gg g- YCorral@ ai com INSURER(S) AFFORDING COVERAGE NAIC • INSURER A :Gemini Insurance Company COMMERCIAL GENERAL LIABILITY INSURED Delant Construction Co. 7380 NW 77 Court Medley FL 33166 INSURER B :CrUm & Forster Ins . Co . VNP0001220 INSURERC:Bridgefield Casualty Co. 10335 INSURER D : $ 1,000,000 INSURER E : INSURER F : X COVERAGES CERTIFICATE NUMBER:16/17 Revised Master WC 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 INSD SUBR WVD POLICY NUMBER POLICY EFF (MM/DDIYYYY) POLICY EXP (MM/DDIYYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY VNP0001220 3/5/2016 3/5/2017 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR DAMAGETO RENTED PREMMISES (Ea occurrence) $ 100 , 000 MED EXP (Any one person) $ Excluded PERSONAL&ADVINJURY $ 1,000,000 GEN'L X AGGREGATE POLICY OTHER: LIMIT APPLIES PE° PER: LOC2,000,000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS-COMPlOPAGG $ $ B AUTOMOBILE X X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS X SCHEDULED AUTOS NON -OWNED AUTOS 1337386113 3/5/2016 3/5/2017 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per (er accident) $ PROPERTY DAMAGE (Per accident) $ Uninsured motorist combined $ 20,000 UMBRELLA UAB EXCESS LIAB _ OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' UABIUTY ANY PROPRIETOR/PARTNER/EXECUTIVE OC (Mandatory ( NH) 0 yes, describe ibe under DESCRIPTION OF OPERATIONS below Y / N "/A 326283 3/19/2016 3/19/2017 X PER OTH- STATUTE 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 (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CGC015430 CERTIFICATE HOLDER CANCELLATION Miami Shores Village Bldg. Dept. 10050 N.E. 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 Frank Gil/YC ACORD 25 (2014/01) I N S025 mum) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD