Loading...
FW-17-243Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 29 NE 109 Street Miami Shores, FL 33138 - Owner Information JOHN CHALLENOR Address Parcel Number Applicant 1121360040600 Block: Lot: 29 NE 109 Street MIAMI SHORES FL 33168-3224 Phone JOHN CHALLENOR CeII Contractor(s) MR BAEZ METAL CORP Phone (305)812-8031 CeII Phone Valuation: Total Sq Feet: Approved: Comments: Date Approved: : Date Denied: Type of Construction: Wire Fence Classification: Residential Additional Info: REAR METAL PICKET FENCE > NE) Scanning: 3 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee - Wire & Wood Scanning Fee Technology Fee Total: Amount $1.80 $2.00 $2.00 $0.60 $100.00 $9.00 $2.40 $117.80 Pay Date Pay Type Amt Paid Amt Due Invoice # FW -1-17-62773 01/31/2017 Credit Card $ 117.80 $ 0.00 Available Inspections: Inspection Type: Final Foundation Review Planning Review Building In consideration of the pertaining thereto and in accepting this permit I required for ELEI TRIC suance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations trict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In sume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are PLU = IG, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFID construction and certify that 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. • uthorize . . igna January 31, 2017 re: •wner / Applicant / Contractor / Agent Date Building a ment Copy January 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 BUILDING PERMIT APPLICATION BUILDING ❑ ELECTRIC ❑ ROOFING ❑PLUMBING ❑ MECHANICAL ❑ PUBLIC WORKS JOB ADDRESS: 2 9 ✓ V (� / ©2 �� CETVED JAN 31 2017 BY: FBC 201 Master Permit No -.FV) Sub Permit No. ❑ REVISION ❑ CHANGE OF CONTRACTOR ❑ EXTENSION ❑RENEWAL ❑ CANCELLATION ❑ SHOP DRAWINGS City: Miami Shores County: Miami Dade Zip: 33/67 Folio/Parcel#: i� /36✓ 02f— 06 CO Is the Building Historically Designated: Yes Occupancy Type: Load: OWNER: Name (Fee SimpleTitleholder): 2/ �_ � /D9 s' Address:_/-/ City: ✓v''1 5'"V5 State: /L' Zip: 33lll/ Tenant/Lessee Name: Phone#: i Email: Construction Type: Je/A, or Flood Zone: NO X BFE: FFE: Phone#: 3.6334 CONTRACTOR: Company Name: -4 gaz,,64/ Z o✓' Address: 690 yid SZ 5f Phone#: 55-O - 803/' City: /[//1%.fM1 � State: Zip: vial Qualifier Name: �/N 1'8 12AV). Phone#: Certificate of Competency #: / 305 (704.7 State Certification or Registration #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ Square/Linear Footage of Work: -75 Type of Work: ❑ Addition Alteration ❑ New ❑ Repair/Replace -76 ' /,wt,( ,e7/ 7c. 42" #0.1ki Description of Work: ❑ Demolition Specify color of color thru tile: Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ (Revised02/24/2014) CCF $ CO/CC $ DBPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ 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 fee will be charged. OWNER or AGENT The foregoing instrument was acknowledged before me this Z' day of �d� a1 20 , by J'?'it (-L7/444,/ , who iOersonally knob i to me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: (_v LA ('j2`t,Q' as C4f0fies. "1::•:1:4-4, BETTY CIGAR TORRES * * MY COMMISSION t FF 075887 EXPIRES: February 2, 2018 ''E a os° Bonded Thu Budget Notary Services ******************************** APPROVED BY (Revised02/24/2014) Signature CONTRACTOR The foregoing instrument was acknowledged before me this �' day of `)"�tr� ,20 la ,by JV -41,0 Q'2 is per ally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: Plans Examiner Structural Review c y" 0fres. +oA"er ►u41, BETTY CIGAR TORRES �; MY COMMISSION I FF 075887 ! EXPIRES: February 2, 2018 u^',F etAt Bondad Nu Budget Nobry. Sept Zoning Clerk Notice to Owner — Workers' Com Miami Shores Vitiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 ensation Insurance Exem •tion 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 willipot 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. State of Florida County of Miami -Dade The foregoing was acknowledge before me this VI day of By \)D1,IN, Ot,1LiL240i who Notary: toys •..4, &IiY( GARTORRES SEAL: s 411F tao* as identification. * MY COMMISSION 0 FF 075887 EXPIRES: February 2, 2018 Banded Thru Budget Notary Services ersona 20 )1. to me or has produced Mr Baez Metal Corp 690 NW 32th Street CC:#13BS00275 Miami, FL 33127 Office: 305-812-8031 State of Florida County of Miami -Dade January 30, 2017 Before me this day personally appeared Arsenio Baez/Mr Baez Metal Corp who, being duly sworn and says: That he will be the only person working on the project located at 29 NE 109th Street Miami Shores, FL 33161. Sworn to (or affirmed) and subscribed before me this 30 day of January. 2017, by Arsenio Baez. Personally known Or Produced Identification Type of Identification Produced Print, Type a`"av Po4 BETTY CIGAR TORRES 2 c * a1 * MY COMMISSION # FF 075887 EXPIRES: February 2, 2018 rEor cvo,P° Bonded Thru Budget Notary Services Stamp N me of Notary PLEASE CUT OUT CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION CONSTRUCTION INDUSTRY EXEMPTION CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW EFFECTIVE DATE: 10182015 PERSON: BAEZ ARSENIO EXPIRATION DATE: FEIN: 651041205 BUSINESS NAME AND ADDRESS: MR BAEZ METAL CORP 690 NW 32 STREET MIAMI FL 33127 SCOPES OF BUSINESS OR TRA 10/72017 IMPORTANT Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who elects exemption from this chapter by fiEtng a certificate of F election under this section may not recover benefrts or compensation under this chapter. O H E R E Pursuant to Chapter 440.05(12), ES., Certificates of election to be exempt... apply only within the scope of the business or trade istea on me notice of election to be exempt Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section tor issuance of a certificate_ The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. WELDING OR CUTTING NOC AND DRI DFS-F2-0WC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS? (850)413-1609 CERTIFICATE OF LIABILITY INSURANCE DATE 01/23/17 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 doesInot confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER G-Mar Insurance 8200 W 33 Ave #7 Hialeah, FL 33018 Phone (305) 267-4541 Fax (305) 267-4543 CONTACT MARY URREGO NAME: PHONE /C. No Extl; (305) 267-4541 FAX A (A/C. No): (305) 267-4543 A-MAIL ADDRESS: quotes©gmarinsuranc(1).com INSURER(SLAFFORDING COVERAGE NAIC # INSURER A: GRANADA INSURANCE COMPANY MED EXP (Any one person) INSURED MR BAEZ METAL CORP 690 NW 32 STREET MIAMI, FL 33127 L INSURER B : PERSONAL & ADV INJURY INSURER C : ❑ INSURER D : $ 2,000,000.00 , INSURER E : GEN'L AGGREGATE LIMIT APPLIES PER INSURER F : COVERAGES CERTIFICATE NUMBER: 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. ADDLUBR POLICY EFF- POLICY EXP LIMITS .,.. A GENERAL LIABILITY N — 0185FL00087277 - 0 09/20/2016 09/20/2017 eACH OCCURRENCE $ 1,000,000.00 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 100,000.00 V' COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) $ 5,000.00 ❑ ❑ CLAIMS -MADE NI OCCURN PERSONAL & ADV INJURY $ 1,000,000.00 ❑ CfENERALAGGREGATE $ 2,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ 2,000,000.00 V POLICY ❑ IF0 ❑ LOC $ AUTOMOBILE LIABILITY ❑ ANY AUTO ALL OWNED SCHEDULED ❑ AUTOS ❑ AUTOS NON -OWNED ❑ HIRED AUTOS ❑ AUTOS E ❑ COMaBIINEDtSINGLE LIMIT (BODILY $ INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per eccidaent) $ $ ❑ UMBRELLA LIAB ❑ OCCUR ❑ EXCESS LIAB ❑ CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ ❑ DED ❑ RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y i N ANY PROPRIETOR/PARTNERJEXECUTIVE N / A WC STATU- OTH- ❑TORY LIMITS ❑ ER E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) P.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below B.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space le required) FENCE ERECTION CONTRACTOR CERTIFICATE HOLDER CANCELLATION Miami Shores Village Building Department 10050 NE 2nd Avenue Miami Shores, FL 33138 I Fax: 305-756-8972 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 MARY URREGO ACORD 26 (2010/06) QF © 1988-2010 ACORD CORPO-;,TION. All rights reserved. The ACORD name and logo are registered marks of ACORD Construct`o Trades Qualifying Board BUSINESS CERTIFICATE OF COMPETENCI 13BS00275 MR BAEZ METAL CORP D.B.A.: BAEZ ARSENIO Is certified under the provisions of Chapter 10 of Miami -Dade County 004697 Local Business Tax Receipt Miami -Dade County, State of Florida -THIS IS NOT A BILL -DO NOT PAY 766787 BUSINESS NAME/LOCATION MR BAEZ METAL CORP OPERATING IN DADE COUNTY MIAMI FL 33999 OWNER MR BAEZ METAL CORP Employee(s) 0 RECEIPT NO. RENEWAL 4557741 LBT EXPIRES SEPTEMBER 30, 2017 Must be displayed at place of business Pursuant to County Code Chapter 8A - Art. 9 & 10 SEC. TYPE OF BUSINESS 220 TANGIBLE PERSONAL PROP DLR PAYMENT RECEIVED BY TAX COLLECTOR $75.00 07/22/2016 FPPU10-16-015026 This Local Business Tax Receipt only confirms payment of the Local Business Tax. The Receipt is not a license, permit, or a certification of the holders qualifications, to do business. Holder must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT NO. above must be displayed on all commercial vehicles - Miami -Dade Code Sec 8a-276. For more information, visit www.miami ade .ov taxcoll c or 1/31/201,7 AOL Mail 0035 QUALIFYING TRADE(S) ORNAMENTAL IRON �ti+ana '1 Sas P https://mail.aol.com/webmail-stcVen-us/suite 1/2 \c' CON SLA ASPHALT PAVEMENT 15' A _LEY 75 FD. I.P. ON LIN_ ?CJ >1114 Cliva:11 Ma (= �•j�N NE J X META_ LT POLE GAS METER ° 20.7' GEN X METAL LT POLE r SPKR PUMPC HEATERD AC 10'X10' CONC ONE STY. CBS TILES / RE IDEN / 4.7' / 9 cc r7 27.7' 2.2'7 2.2' ° FD. I.P. ON LINE WOOD DECK 15.6 /19.2' 13.4' c -.i Nom.mi c -i 15.6' AC 14.39' w v• w J A.CI 14.35' N 9-I 4C F- 0 z oD I!SKETCE 077' o ccs CLR m LS 22 A. R. TOUS . U U 0 FLORIDA CERTIFICf 0620 N.E. 126 ST. 0 PH: (305) 891-7 o a) o C cn cu 7 cn 0 E 0 . o I.P. FD LP. 75.00 \ ASPHALT PAVEMENT .... •••• . • . .. GRASS MEDIAN • • • N.E. 109th STREET • GF 21 ALE: • • . • •• . . • • • LEGENfi: • • CLR. = CLEAP, tFENCE) C/L = CENTER• LINE . = Cdf,,CRETt BLocl • CONC = OONCRET£ ... .DH = VtLi•111E • ENC. = ENCROACHMENT FD = FOUND IP = IRON PIPE P/L = PROPERTY LINE RLS = REGISTERED LAN[ MAX. POST SPACING (Max) CLEARANCE Connections fillet weld (b'1).) Pflagegnowtfmr lifilli1111111. / Fence etail Connections fillet weld (typ.) 2500 PSI min. CONCRETE 2500 PSI iniI CONCRETE 24" 24" • • • 12" clia- :2: din' . •• • Miami Shores Village Building Department 10050 NE 2 Ave, Miami Shores, FL 33138 Tel: (305)795-2204 • Fax; (305)756-8972 1/22/2018 To: Current Owner 29 NE 109 Street Miami Shores, FL 33138 - Permit: FW -1-17-243 Address: 29 NE 109 Street Miami Shores FL33138- 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, /f Ismael banjo (CBO) Building Director