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RC-15-931Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Pe mit Permit NO. RC-4-15-931 Permit Type: Residential Construction Work Classification: Alteration Permit Status: APPROVED Issue Date: 7120/2015 Expiration: 01/16/2016 Parcel Number Applicant 1017 NE 95 Street Miami Shores, FL 1132060143580 Block: Lot: MIAMI PROPERTY SOLUTIONS 1 Owner Information Address Phone Cell MIAMI PROPERTY SOLUTIONS LLC 142 NW 100 Street MIAMI SHORES FL 33150- (305)807-4045 190 NE 111 Street MIAMI SHORES FL 33161- Contractor(s) Phone Cell Phone CITY ROOFING AND CONSTRUCTION (305)248-2994 (305)218-7901 Valuation: $ 90,000.00 Total Sq Feet: 650 Approved: In Review Comments: Date Approved: : In Review Date Denied: Type of Construction: INTERIOR ALTERATIONS (KITCHE Stories: Front Setback: Left Setback: Bedrooms: Plans Submitted: Certificate Date: Bond Return : Occupancy: Exterior: Rear Setback: Right Setback: Bathrooms: Certificate Status: Additional Info: Classification: Residential Fees Due CCF CO/CC Fee DBPR Fee DCA Fee Education Surcharge Permit Fee Plan Review Fee (Engineer) Plan Review Fee (Engineer) Scanning Fee Technology Fee Total: Amount $54.00 $50.00 $40.50 $40.50 $18.00 $2,700.00 $160.00 $160.00 $9.00 $72.00 $3,304.00 Pay Date Pay Type Invoice # RC-4-15-55261 04/20/2015 Check #: 6762 07/20/2015 Check #: 6814 Amt Paid Amt Due $ 50.00 $ 3,254.00 $ 3,254.00 $ 0.00 Available Inspections: Inspection Type: Final PE Certification Window Door Attachment Framing Insulation Drywall Screw Window and Door Buck Fill Cells Columns Review Electrical Review Electrical Review Planning Review Building Review Building Review Mechanical Review Mechanical Review Plumbing Review Plumbing Review Plumbing Review Structural Review Structural 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 zoning. Futhermore, I authorize the above -named contractor to do the work stated. July 20, 2015 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy July 20, 2015 1 t2C- is- 931 CE • TIFICATE INSURANCE Oats I 1/18/2016 OF LIABILITY Producer: Plymouth Insure 2739 U.S. High Holiday, FL 346 (727) 938-5562 ce Agency =y 19 N. 1 This Certificate Is issued as a matter of Information only and coders no rights upon the Certificate Holder. This Certificate does not amend, extend or alter the coverage afforded by the peados below. Insurers Affording Coverage NAIC Insured: South East Pers 2739 U.S. High Holiday, FL 346 , nnel Leasing, :y 19 N. 1 Inc. & Subsidiaries Insurer A: Lion Insurance Company 11075 InsurerB: Insurer C: !neuter D: Insurer E: Coverages The penile. of Instrence listed below hews • with respect to which the catlfleate may be I limns shown may have been reduced by peld en Issued to the Insui - - • re may pertain, alma. named above for the policy period indented. Notwithstanding any requirement, tens or condition or any contract or otherdownenl i insurance afforded by the polities described herein is subject to all the terms, *elusion.. and conditions of such pogdes. Aggregate INSR LTR ADM INSRD Type of I surance = J Policy Number r Policy Effective Date (MM/DD/YY) Polley Expiration Date (MM/DD/YY) Limits GENERAL LIABILI Commercial Commercial neral Liability Each Ooomenoe 3 to rented premises (EA occurrence) 4 Claims Mad- Occur Med S General J Personal Adv Injury $ aggregate Policy ID- . imit applies per: Goner* Aggregate $ ` 0 LOC Products - Comp/Op Agg $ AUTOMOBILE WAny saw MINN LIA:ILRY Auto All Owned Autos Scheduled Autos Hired Autos NenOwnedAutos - Combined Single LIrnit (EA Accident) $ Bodily Injury (Per Person) S bodily Injury (ParAcddent) 3 Property Damage . (PerAcddent) $ a EXCES 1 S/UMBRE..LA Oaar ❑ Claims LIABILITY Made Each Occurrence Aggregate Deductible A Workers Compensation and Employers' Liability My proprtetor!partner/executive excluded? NO If Yes, desaibe under special p'ovisions officer/memberE.L. below. WC 71949 01/01/2016 01/01/2017 x I WC Ststu- tay Limits I i OTH- ER Each Accident 11,000,000 E.L. Disease- Ea Employee $1,000,000 E.L. Disease - Policy Limits 51,000,000 Other Lion Insurance Company Is A.M. Best Company rated A- (Excellent). AMB # 12616 Descriptions of Operations/Location Coverage only applies to active employees) coverage only applies to injuries Incurred Coverage'does not apply to statutory employees) A list of the active empoyee(s) leased Project Narne: MARIO FAMADA, LICENSE NUMBER s/Vehlcles=xclusions of South Ewapersornel by South East Pwsonnel or I nde-endertt to the Client Compmy CCC1327381 AS added by Endorsement/Speclal Provisions: Client ID: 36-65-190 Leasing, Inc. & Stbsidlarles that are leased to the following "Client Company": City Roofing and Construction, Inc. Leasing, Inc. & Subsidiaries active employee(s), while working In: FL. currtracbor(s) of the Client Compare/ or any other entity. can be obtained by faxing a request to (727) 937-2138 or by calling (727) 938.5562. mUAUFIER. ISSUE 01-18-16 IAF) Begin Date I/14/2013 CERTIFICATE HOLDER CANCELLATION CITY OF MIAMI SHORES BUILDING & ZONING 10050 NE SECOND MIAMISHORES, DEPARTMENT AVENUE FL 33138 Should any of the above described policies be cancelled before the expiration date thereof, the issuing insurer wit endeavor to mail 30 days written notice to the certificate holder named to the le$ but (allure to do so shell Impose no obtigadon or liability of any idnd upon the Insurer, Ile agents or representatives. eG"../4tte+►Ms� •d XEIJ 13C213Sd1 dH Wda0 : T T 9 T 0a L ue[ Address:Z27 00 9W 1P2t11 51. . City: µ 1i1/444‘ State: Qualifier Name: IA N.FC O l4 L-0 State Certification or Registration #:CC1 C 15041 3 G0 5 DESIGNER: Architect/Engineer: p5C11/41- t"O itiM Address:11..31,.: ; k2{ict• $T• Value of Work for this,Permit $: ":. 4 Y 00 0 Type of Work: ❑: Addition •..1x1 k Alteration ❑ oo BUILDING PERMIT APPLICATION ▪ BUILDING ❑ ELECTRIC ▪ PLUMBING ❑ MECHANICAL 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 r '' TAD JAN 15 2016 BY: FBC 20p Master Permit No. ACC —1 S- 6l3 I Sub Permit No. ❑ ROOFING ❑ REVISION Ki EXTENSION ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION CONTRACTOR JOB ADDRESS: 10V7 NE. (35kt4• City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: " 32-040 014 - 5500 Is the Building Historically Designated: Yes Occupancy Type: F. Load: Construction Type: V-ES ❑RENEWAL ❑ SHOP DRAWINGS NO X Flood Zone: X BFE: FFE: OWNER: Name (Fee Simple Q.Titleholder)A 4r. ��� ���� LL Address: -104 0 E 2c • J E City: 4t-4% U(Ze_s Phone#: 3 05 -4r Qo - 41.32 State: Zip: a t Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: CITE izoopt.VJG 0.1),J5I-Ucti0N11(,Phonett:3,95-2 -2477 Phone#: zip: 53 ►,'7 O v Certificate of Competency #: Phone#: 7g36. tA3 5-t City: V) tt'M i State: Fko 17 4 Square/Linear Footage of World -6 a New ❑ Repair/Replace ; -? II Demolition Description of Work: t ►VT R-c O 1J Cly(.(YZ{-t : " ' l,F1C Ml"�i.1rj• 1 O a-t S 3fi o0 /4o Lt) kT�t� µ R- I Plc IJ UAL %k A O•Ev5) W t 0 Po to s GCete-totem t7ooR-3 ' I4l l,4T Ct4-t °I\C"r) C IJ � +1: 6 1?t l'(2S �,pn t^i l - Specify color of color thru tile: f F -' }*, .•: Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ TOTAL FEE NOW DUE $ (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 YrOUR NOTICE OF COMMENCEMENT." .- ' k 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. Signature Signature CONTRACTOR The foregoing instrumen as acknowledged before me this The foregoing instrument was acknowledged before me this R day of ,Lr , 20/ ( , , by /3 day of Gar , 20 /l , by who is personally known to i11c9 !'L'lz*e.440v , who is personally known to me or who has produced J� as me or who has producedPe-i� t✓ as identification and who di NOTARY PUBLIC: Sign:' Print: Seal: GENT % Notary Public State 7f Florida Maxine '' Gomez ' My Commission EE n39239 of t,,o Expires 09/30/2016 O r Notary Public State of Florida Maxine Y Gomez v. f My Commission EE 839239 of Ike Expires 09f3012016 identification and who NOTARY PUBLIC: 'Sign: Print: Seal: 24`Notary Public State of Florida ; Maxine. V Grr.,,eZ My ramm ssion'.t 339239 �40, ndr Fypires.09r30/2016 *******************************4***s*********************************************************************** APPROVED BY 1(e Plans Examiner Zoning (Revised02/24/2014) Structural Review Clerk PROPERTY SOLUTIONS LLC January 14, 2016 City of Miami Shores RE: 1017 NE 95 Street To Whom It May Concern: Our company has conducted several renovations in Miami Shores and throughout Dade and Broward..Regarding 1017 NE 95 Street, we have been delayed because of the amount of projects we had going on in the second half of 2015. Luckily, we are ready to start and anticipate finishing the project in the next four months. Electrical, plumbing and mechanical roughs will begin in the next two weeks. Thank you for your assistance, Eddie Miller, CEO 9840 NE 2 Avenue, Miami Shores, Florida 33138 305 400 4842 I MiamiPropertySolutions.com G Oypf 1-0 oes-ca,. BUILDING PERMIT APPLICATION BUILDING (ELECTRIC I (PLUMBING [, MECHANICAL 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 RECEIVED APR 2 2015 BY• FBC20(O Master Permit No. 1 1C J _ 13 j Sub Permit No. ❑ ROOFING ❑ REVISION ❑ PUBLIC WORKS JOB ADDRESS: 10 (7 N City: Miami Shores County: Folio/Parcel#: 1( - 32O(2-014 ~ 506 o Occupancy Type: R. Load: ❑ EXTENSION ❑RENEWAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS Miami Dade Zip: Is the Building Historically Designated: Yes NO Construction Type: \ Flood Zone: X BFE: OWNER: Name (Fee Simple Titleholder): ,M vzi S , Address: qb 40 Z44.-• M Iz- FFE: Phone#: ,00--400-4-(03Z City: 141 k% t i S1-t 0 TZ $ State: F Zip: 3 3 13 8 Tenant/Lessee Name: Phone#: Email: 30D cPttt CONTRACTOR: Company Name: CAP/ 120O F l N Ci aO N S`FROCCl O 1)I(Dhone#: 3 0 04e 26 77 1A)C Address: 22700 5UJ k"7244., ."SZ' . City: 1 t km, . State: Ft. Zip: '331-70 Qualifier Name: )4A-rtl, o fP. fri. AD State Certification or Registration #:C.G c 1609 3 G s DESIGNER: Architect/Engineer: 0 %CAR, !'O 3404 Address:g24V..)• 12tti ST Value of Work for this Permit: $ 0-000'" Type of Work: ❑ Addition LL�+J Alteration Phone#: Certificate of Competency #: Phone#: 7f66-6g3 -S—ISS City: 11/1(A M I State:: a Zip: 3174 � Square/Linear Footage of Work: W �� ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: l N. O fib ISAA-PAt1 O1 (Vim-tat-1 tclr LA e-FtA �T J SAX 4YZOOMS W-er-k C, W tin i-E€A 1 t %O Nam) fteeirt CAA, PAiNla6) w) E) 0It) S 4- Oct-Etro e. V0f12M 14. L(DAP kCn • Cl N Fi, P-eeA-t cts A TAA Specify color of color thru tile: �^ Submittal Fee $ br3 'a***) Permit Fee $ CCF $ CO/CC $ c(`\ /��w • W Scanning Fee $ Radon Fee $ Technology Fee $ Structural Reviews $ Training/Education Fee $ DBPR $ Notary $ Double Fee $ Bond$`S. "IS TOTAL FEE NOW DUE$ 3/2.S4• W (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 absen i posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature OWNER or AGENT The foregoing instrument was acknowledged before me this day of , 20 %.5 , by Eptow tit , who is.aacsonallv known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: 66(licy'L, Print: e--i Ca( Cnz' -TV-caria Seal: ot• pA�•"4�,. RICARDO IRIARTE • i • € MY COMMISSION #FF088736 '•;*�a�Yrt,. EXPIRES February 2. 2018 ******** Oteriiii5444,iiimommo seprisweaN*** ********* APPROVED BY Signature The foregoing instrument was acknowledged before me this 71 day of fit , 20 / S, by 144 0 : ki ►�P , who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: ******* 17 Plans Examiner 1 e uA— :off' sRICARDOIRIARTE t'i MY COMMISSION #FF088736 •; ,i', . 17 EXPIRES February 2. 2018 ( 4oi) 98•ot53***tolfdalo'tr4le*At`e*.co'i`** ************ Zoning Structural Review Clerk (Revised02/24/2014) 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: Date Issued Occupancy Load Occupancy Square Footage 650 Type Description of INTERIOR ALTERATION Applicable Work Code 1017 NE 95 ST Miami Shores, FL 33138-2439 POST ON SITE INSPECTION RECORD OR O Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Fax: (305)756-8972 Permit NO. RC-4-1 5-931 Issue Date: 7/20/2015 %707 Permit Type: Residential Construction Work Classification: Alteratio Expires: 1 2/30/2018 INSPECT►ON REQUESTS: (305)762-4949 or Log on at https://bldg.miamishoresvillage.comlcap REQUESTS ARE ACCEPTED DURING 8:30AM - 3:30PM FOR THE FOLLOWING BUSINESS DAY. Requests must be received by 3 pm for following day inspections. Residential Construction Parcel #:1132060143580 Owner's Name: EDWARD MILLER Job Address: 1017 NE 95 Street Miami Shores FI • Bond Number: 3811 Contractor(s) Phone CITY ROOFING AND CONSTRUCTI( (305)248-2994 IN Owner's Phone: Total Square Feet: Total Job Valuation: (305)807-4045 650 $ 90,000.00 WORK IS ALLOWED: MONDAY THROUGH FRIDAY, 8:OOAM - 7:OOPM. SATURDAY 8:OOAM - 6:OOPM. NO WORK IS ALLOWED ON SUNDAY OR HOLIDAYS. DING.A#41 i ROOFING INSPECTIONS ARE DONE UGH FRIDAY. NO INSPECTION WILL BE MADE UNLESS THE PERMIT CARD IS DISPLAYED AND HAS BEEN APPROVED. PLANS ARE READLY AVAILABLE. IT IS THE PERMIT APPLICANT'S RESPONSIBILITY TO ENSURE THAT WORK IS ACCESSIBLE AND EXPOSED FOR INSPECTION PURPOSES. NEITHER THE BUILDING OFFICIAL NOR THE CITY SHALL BE LIABLE FOR EXPENSE ENTAILED IN THE REMOVAL OR REPLACEMENT OF ANY MATERIAL 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. STRUCTURAL INSPECTION DATE IN` INSP Foundation Stemwall Slab Columns (1st Lift) Columns (2nd Lift) Tie Beam Truss/Rafters Roof Sheathing Bucks Interior Framing Insulation Ceiling Grid Drywall Firewall Wire Lath Pool Steel Pool Deck Final Pool Final Fence Screen Enclosure Driveway Driveway Base Tin Cap Roof in Progress Mop in Progress Final Roof Shutters Attachment Final Shutters Rails and Guardrails . ADA compliance FINAL 11171111FAW DOCUME "a. Soil Bearing Cert Soil Treatment Cert Floor Elevation Survey Rainf Unit Mac Cart Insulation Certificate Spot Survey Final Survey Truss Certification STRUCTURAL COMMENTS PECTION RECORD WINDOWS & DOORS INSPECTION DATE INSP Attachment FINAL PUBLIC WORKS INSPECTION DATE INSP Excavation -_ FINAL ELECTRICAL INSPECTION DATE INSP Temporary Pole 30 Day Temporary Pool Bonding Pool Deck Bonding Pool Wet Niche Underground Footer Ground Slab Wall Rough Coiling Rough Rough Telephone Rough Telephone Final TV Rough TV Final Cable Rough Cable Final Intercom Rough Intercom Final Alarm Rough Alarm Final Fire Alarm Rough Fire Alarm Final Service Work With FINAL ELECTRICAL CO viiviENTS INSPECTION Final Sprinkler Final Alarm FINAL FIRE DATE Rough Water Service 2nd Rough Top Out Fire Sprinklers Septic Tank Sewer Hook-up Roof Drains Gas LP Tank Y�Y eII Lawn Sprinklers Main Drain Pool Piping Backflow Preventor Interceptor Catch Basins Condensate Drains HRS Final PLUMBING COMMENTS MECHANICAL INSPECTION DATE Underground Pipe Rough Ventilation Rough Hood Rough INSP Pressure Test INSP