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RC-18-1511 t _ . r. t d p 1 t # ` b M 1 %imp ., S•' �, .- �YF'd'.Y"—Y'.,.'�.'.�!` .. T. a.. F t i i Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone:(305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-306096 1 Permit Number: RC-6-18-1511 Scheduled Inspection Date:June 14,2018 Permit Type: Residential Construction Inspector. Riveron,Alexis Inspection Type: Final Owner: DUQUE,CHRISTOPHER Work Classification: Alteration { Job'Address:361 NE 101 Street` i Miami Shores,FL 33138-2424 Phone Number" Parcel Number 11321160135220 Project: <NONE> t Contractor: UNIVERSAL GROUP INC Phone:(305)796-9556 Building.Department Comments IntraBATH,OPEN SPACES; INSPECT NSP KITCHEN,WALLS, INTERIOR . Passed omments RENOVATION NSPECC TOR COMMENTS False 10/30/2015 BUILDING OFFICIAL REVIEWING EMPLOYEES WORKERS COMPENSATIONS COVERAGE. 11-05-15 May not proceed with the project until the d lMkments proof of workers compensatlo 1 EINSPECTION FOR INSP-305648.61512018 no access r(Rgeer section 105.3. of t the 1 �p FBC. " WS-11-15.2962 BASED OIV T T I .PECTION IT F�1q 14+tIT EXPIRATION FTER Na 7,2017 SO THE H E TO PAY HALF ER IT FEE RdMJFC'Lt�t1 -15-2211 CL[O Needed Re-Inspection Fee No Additional inspections can be scheduled un{il reinspection fee Is paid i � 1* , June'!3,2018 For Inspections please call:(305)762-4949 Mage 30 of 45 { i ° I Perms NO. RC-6-18-1'511 �sKO1S i, Miami Shores Village t Permit Type:Residential Constriction 10050 N.E.2nd Avenue NEPa n Work Classification:Afteration Miami Shores,FL 33138-0000 PermitStatus:APPROVED Phone: (305)795 2204 ORLDp' , - issue Date:61112018 Expiration: 1112812018 Project Address Parcel Number Applicant 361 NE 101 Street 1132060135220 Miami Shores, FL 33138-2424 Block: Lot: MONICA URRUTIA Owner Information Address Phone Cell CHRISTOPHER DUQUE 361 NE 101 Street MIAMI SHORES FL 33138- 361 NE 101 Street r MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 75,000.00 UNIVERSAL GROUP INC. (305)796-9556 m....... _... ...... ,_......__ ,... Total Sq Feet: a 0 k Approved: In Review Available Inspections: Comments: Inspection Type: Date Approved::In Review Window Door Attachment Date Denied: Framing Type of Construction: BATH,OPEN SPACES,KITCHEN,Ili Occupancy: Insulation Stories: Exterior: Drywall Screw Front Setback: Rear Setback: Final PE Certification Left Setback: Right Setback: Window and Door Buck Bedrooms: Bathrooms: Fill Cells Columns Plans Submitted: 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 CCF $0.00 Review Mechanical DBPR Fee Invoice# RC-6-18-67780 $0.00 DCA Fee $0.00 06/01/2018 Check#: 176 $ 1,125.00 $0.00 Education Surcharge $0.00 P&Z Review Fee $0.00 Permit Fee $1,125.00 Scanning Fee $0.00 Technology Fee $0.00 t Total: $1,125.00 I 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. r OWNERSF ,,IDAVIT: I certify that all th foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constructio a d I ng. Futhermore,I au h rize th bove-named contra t o the k stated. I June 01, 2018 Auth i e Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy , June 01,2018 1 l Miami Shores Village RECEIVED Building Department JUN 01 2018 10050 14.E.26d Avenue,Miami Shores,Florida 33138 Tei:(305)795-2204 Fax'(305)756-8972 BY:-Q INSPECTION LINE PHONE NUMBER:(305)762•49E49 FBC 2010 BUILDINGMaster Permit No. PER IT APPLICATION sub Permit No. UILDINC, �[ ELECTRIC p ROOFING p REVISION [p E3clEays(oN [p RENEWAL []PLUMBING [:3 MECHANICAL OPUBLIC WORKS [] CHANGE. OF M CANCELLATION ]SHOP iC, CONTRACTOR DRAWINGS JOB ADDRESS:.—:J,. � �10I ✓+ Miami Countw MiamiDade Zia. 3 l3 FoMtd/ParceNt: Is the Building Historically Designated:Yes- NO Occupancy Type: Load: Construction Type:_Flood Zone: BFE FFE: �-I 1fi f�PI (�gtt OWNER:Name(Fee Simple Titleholder): 0�i CC;� S�j2i;� � �b1(� C Phoned: 6 a Yb...,. S Address:-1—%i- we (O at _ City: A6 I `'�laf�� State: ,Zip: TenaW essee'Narw Phone#: Emaih N h C( {1kUfif CQ ' Z p CONTRACTOR:Company Name: L Phone#: Address• 9; City* I J State' Qualifier Name• �(a S .1 Phone#: a State Certification or Registration#: Certificate of Competency M DESIGNER:Architect/Engineer. Phone::: Address: City: State,- Zip: Value of Work for this Permit$ Square/Linear Footage of Work: Type of Work: n Addition ❑ .Alteration Q New E] Repair/Replace �'oe ofitforDescrf of work: 11 Uz ---- g ra ctcrtor of cotor lthru We 1 Submittal Fee$ Permk Fee$ CCE$ Cd/CC$ Scanning Fee$ Radon Fee$ 'DBPR$ Notary$ Technology:Fee$ Tralning/Education Fee$ Double Fee$, Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ age"dOV24/2014) 4 I Bonding Company's Name(if applicable) Bonding Company's Address City State Zip Mortgage Lender's dame(if applicable) Mortgage Lender's Address r Cites State zip .._' ,Application is hereby.made to obtain a permit to do the work and in'stailations as indicated. I certify that no work or installation has commenced prior td 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. a "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT'MAY RESULT IIS YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR.PROPERTY. :IF YOU INTEND TO OBTAIN FINANCING,CONSULT SMITH YOUR LENDER OR AN ATTORNEY'BEFORE,RECORDING YOUR NOTICE OF COMMENCEMENT." P Notice to Applicant: As a condition to the issuance of o building permit with on estimated value exceeding$250, the applicant must promise in goad faith that a copy of the notice of commencement and construction lien law.brochure will be delivered to the person . ,._IS+6rtslt:propeertyjs subJeGf ta.aiicachment. Also,a certified copy of the recorded notice of commencement must be posted at the Job site for the first inspection which occurs seven (7J days after the building permit is issu d. In the absence of suchpostednotice, the inspection will not be approved and a reinspection fee:will be charged. Signatu . Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrume as acknowledged before me this l S. day of _ ._. ,20 1 by day of . & Z T,by 1[)Aj� is personally known to �1,� � �"I personally k n to me 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 PI)SUC NOTARY.PUB1.10Et10t SATO 922126 o M�coo*\,,- e� * ExP1R�Ng�d9elNota�Ysen� Sign: Si -- ' Print: S Print: 'p AR MY MMISSION#FFg531 6 Seal: �I' ? COt EXPIRES Febrimy 20.2020 rr�s�rrrstrrr*••rlrrrrrrirrrrrr rrrrrriYr Yiryr*wssrrr�s�«�*r�rrrr+tr�rrrr*r��*+1ar�+i'*«rrKkr�'��srrr+rir►rrsrs*��*rt APPROVED 8y Pians Examiner zoning Structural Review Clerk (Revised0VU/2014) Klt;r%b U 1 1,t;UVtKNUK KEN LAWSON,SECRETARY—..w_ t?EF'ARTMENT`OF BUSINESS SAND RIDA... STATE O NI3 I�RaFIcS$14NAL REGUTATIC?N ., ,CQNSTRUCTION`INDU$TRY LICENSING SOARD ! ap a Named below 18-GfTIIED a b'T kJn ier the proVisio!'rir11`Cha et 489 FS JExpfti6`n'dike `ACID M 2 8Hp t �'A ��:��n .s...d>b-»" '. r. w`h.. ,w . ... •+aq ��- k - 4Y 9 a, •s dK`' nny"' n ,w y""^' a•°+'' .;p�"� Cak: °'ea '-w ♦ h t A�°4 -" '�.. Y Q,ty^'Y"/��r„r'"" ;pray C�[..y�ry, ra�.w.,,s• '4 41+u ^,..,,,+�"� •" q�"� `� "N [oil� 1�,/„i lM7['liQJi GABRIEL�-1 Eaw7�4T'S, +v«�•�".m "'w' _�" A" ° w'9f `+Yy�,''S...• ,,�x''k..'ky '` ',;,• . , "q:,�''�, �'�t y'. • ,. eil, euNK ERSAI:zGROUP 1 � yN . y ,, f x'+a Y- 'yr,```4 "a,� 0.yr'{>,+,. a'r..*� y°^� ,t *tt 16 • � p 7,228 NV1h0TWsTRE1ca `�'� 6 Cyd +E kL i +pr.5 T .�i' A `�L. •4)k:d .r"�,r�x�+`n�.+t"f.,�,��...u�.r..r•,.-..i,Y..K �r, '"-rr y, 'y� "''' `. y .+rte �y'" �t '1Y '"ni�`x M1*�4. f �, �� ;�. .d„ ern.. �'f'77 YM v ',°r�i, ',t �47'i r dry'j +�.:LR'�4jKw t�• 'Y�r x 'k 4y'�, ..y ,,� s 4 .a< . • , r� .0 1,$, - ,'V 'd�#t� G y 1�W<4i�n N, c. �L`..sS. � •V��I,,�`1�. 'L, '4,�F�.� i� ..,.._.,.. .t"`,+, f rs ,a.,.-,.-«.t,{ ,us�'',.^ra•" { a �, a ' 5;e ar...'�u ?,`b k` ISSUE o: 081Ii26e DISPLAY"AS REQUIRED BY LAW SEa#.L1608 10002423 .007907 .,.,...:._...._...._....�.�.._:.._:........ .. _....+....»..w.. u..f'E@' 4. � k11���ssi� ii si+ '�a`� /T�b �s # ; �` r .� fi 41 11 Iamt;�Da�dl'County,St Ee iorlda P, F x un �� THIS($NQT A 81L1 [IU NOT PAY }y `- Z. _ •=sus r�+t�rwcaTMoro `� w-, �,,,,s'{� �ec��rnecr "� ����e �Marti -� x �.. Ur�rVE s� qRI siCy Mi# IpNY7svr"�I:M, yT<E{E KSFEI1R43 ` hi°Y}1, fi <f ! ;�MIAi41l'�I.���16�`� � �,��� t -� '�_ ''` � '`� `��•� 1 Fa � ,FF? MUat bdi dlrs�itayod 0l P1ece of bLLM�ttMsB f'� � ,� 'Y''t" t.5 r frT6tYart ieS CcxirrLy Cade y, x3+�l: £r +'l•`at^S "t}`t"'t t^„.r.&i a Pta` E:F:»t' AIC'�&lO CIWNER t liEC-TvOF OF lkvpir zss UNNERSALGRaUP INC4 w.,� 196 GENEA kEi gltD!NG CONT ACTOR PAYMENT-6canr oF>. V C A811tEi PIERRE CGC1517 F S Taos COLLECTOR _ fO�UTATUS G 4q r �: Y CTOR C`/ r�� /C?'J„{�8�{ ,. ,'' �If A "'u� �C{1� WiR 17-0Vw7 ^ i4. ,�^.+rt Via..: 4 Y \. a t ” Tat< a1pf Nov CAtkftmq paYnpmi otthq LBCq!BinryYess To>< The 8de41pt is not a ticenaoa r parmll,of a cattil{ceffaa of tho trot ' or �'� tifieahon�y:to do hustaaxs.Natdot most comptr ts�titi aaY gmrat>�atka! r a:- ,r�i�rrnlgortemmaatat rxpp�tphuY 1a+rw a��iyigph~ whlch appgr m the Wptiioot.rp r'x. � }- >.�, .,.,�1h+�REG£tPTx�iQ.�6oysa►uetWrlt doAaC1;� '. ��` "``" '° , r tpiaga tsanat�►ciel vohlola Adlemi-t)eda Gede Settlta-�TBx STATE OF FLQRlDA DEPARTSIMTOFFIMANCMLSOMCe8. c ro fs ano�oraaarporaeon. wwatasri �fror+or+a•racroscr. DIVISMOF WORKERS-CoMpENS,A71ON ;F �� a na+eo M Wwft or t - COHISTRt3CT10N1tt0!lSTEt1+.EXEMPTION .fl � roO+asMragp r jra ro Y uoaatme erre.. wa�ccec�"ucrdirr+xo.nowouw :L sets an ur�w m bo wrap YD taa.w�ntto 1 onectiva pntE onv�ein exaiunorwrl. a ;EH a>fieWro�rrewroNtwe4,0 :on 'j=,�treiryNatofnmoe oin b� m ; Mo Iwreuft wave s�pf*f" Koa4bofhnetlhlie Farr, a .o , - Paeaar czrtlilcNe nam4Ma4Mi�t�irot ► Saiiyq "" I i teera�Mrlsswa�/ftryti tlrlMxU4i:17rPpdeyiq#nthtiNN�wW rovft i - CM O Ytlxfneet tllt l� klingMa OlGlb le MlAIIMIi.10 BU$lNESS NAMM6Adlp�; Y E UNMERSAL GROUP INC _ IJWMSALCONSTRt1Ci1C)N,tNC: GAM M.MMARSB MAW FL SCOPES OF BUSINESS Ott TKA ' � Y LICENSED M.MC GENERAL LICENSED ROOFING HEATING,VENTILATION ?CONTRACTOR CONTRACTOR -----.---_-- _ - AIR-GOND ; i ACCPR�{ DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE_ 05/07/2018 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS Westward Insurance Services (305)418-8411 CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE 2500 NW 79h Avenue COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 283 Doral FL 33122 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A:International Insurance Comp of Hannover Universal Group,Inc. INSURER B: 7228 NW 56 ST. INSURER C: Miami FL 33166 INSURER D: INSURER E: COVERAGES T+1E-POL-ICIES-OF-INSURANCE-HSTED•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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR INSRD DATE MM/DD/YY DATE(MM/DD/YY A ® GENERAL LIABILITY B106201 10/13/2017 10/13/2018 EACH OCCURENCE $1,000,000 ®COMMERICAL GENERAL LIABILITY DAMAGE TO RENTED $100,000 PREMISES Ea occurrence ❑❑CLAIMS MADE ®OCCUR T MED EXP(Anyone person) I $5,000 ❑ PERSONAL&ADV INJURY $1,000,000 ❑ GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 ® POLICY❑ PROJECT❑ LOC ❑ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ❑ ANY AUTO (Each Occurrence) ❑ALL OWNED AUTOS BODILY INJURY $ ❑SCHEDULED AUTOS (Per person) ❑ HIRED AUTOS BODILY INJURY (Per accident) $ ❑ NON-OWNED AUTOS PROPERTY DAMAGE (Per accident) ❑ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ❑ANY AUTO OTHER THAN EA ACC $ ❑ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ ❑ ❑OCCUR ❑ CLAIMS MADE AGGREGATE $ ❑ DEDUCTIBLE $ ❑ RETENTION $ $ ❑ EMPLO WORKERS ERS'COMPENSATION IABILI YTION AND WC STATU_❑TORY LIMITS ❑OTH- ER ANY PROPRIETOR/PARTNER/EXECU- E.L.EACH ACCIDENT $ TIVE OFFICER/MEMBER EXCLUDED? If yes,describe under E.L.DISEASE-EA EMPLOYEE $ SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ ❑ OTHER p t DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS '�Cerfifed General Con`tracfoe CGC 1517453&'R6ofing Contractor CCC 1329249 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Miami Shores Village F EXPIRATION DATE THEREOF,THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO 10050 N.E 2nd Avenue MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE Miami Shores FL 33138 INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001/08) ©ACORD CORPORATION 1988