RC-18-1247Miami Shores Village
10050 N.E. 2nd Avenue NW
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
�mit
t
Pefrnit NO. RC-5-18-1247
Permit Type: Residential Construction
Work- Classification: Alteration
PennitStatus: APPROVED
IssueDate: 8/8/201'l
Expiration: 02(04/2019
Parcel Number
Applicant
42 NW 101 Street
Miami Shores, FL 33150-
1131010180250
Block: Lot:
DARYL AND MONICA BRANTON
Owner Information
Address
Phone
Cell
DARYL AND MONICA BRANTON
42 NW 101 Street
MIAMI SHORES FL 33150-1267
Contractor(s) Phone Cell Phone
CONWELL & ASSOCIATES CONSULT (305)962-5673 (305)926-5673
Valuation:
$ 15,000.00
Total Sq Feet: 1300
Approved: In Review
Comments:
Date Approved: : In Review
Date Denied:
Type of Construction: KITCHEN REMODEL AND NEW BA
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:
Classification: Residential
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
P&Z Review Fee
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$o.00
$0.00
$0.00
$0.00
$0.00
$450.00
$0.00
$0.00
$450.00
Pay Date Pay Type
Invoice # RC-5-18-67494
08/08/2018 Check #: 1848
05/10/2018 Credit Card
Amt Paid Amt Due
$ 400.00 $ 50.00
$ 50.00 $ 0.00
Available Inspections:
Inspection Type:
Window Door Attachment
Framing
Insulation
Drywall Screw
Final PE Certification
Window and Door Buck
Fill Cells Columns
Review Building
Review Planning
Review Electrical
Review Plumbing
Review Structural
Review Mechanical
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: that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zo ' �)'jt . e, I authorize the above -named contractor to do the work stated.
Author i . • ignat ;?'Owner / Applicant / Contractor / Agent
August 08, 2018
Date
Building Department Copy
August 08, 2018
1
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Ave, Miami Shores, Florida 33138
Tel: 305-795-2204 Fax: 305-756-8972
Inspection Number: INSP-000834-2018 Permit Number: RC-5-18-1247
Scheduled Inspection Date: October 19, 2018
Inspector: Riveron, Alexis
Owner: DARYL AND MONICA BRANTON
Address: 42 NW 101 ST
Permit Type: Building (Residential)
Inspection Type: Building Final
Work Classification: Alteration
Phone Number:
Miami Shores , FL 33150 Parcel Number: 1131010180250
Project: <NONE>
Contractor: CONWELL & ASSOCIATES CONSULTING
COMPANY (GC)
KENNETH F CONWELL
Phone Number: 3059625673
Building Department Comments
KITCHEN REMODEL AND NEW BATH AND LAUNDRY
09-20-2016 By I. Naranjo
Stop work order. Working beyond approved plans.
Checklist Item
General Comments
Passed
False
Comments
Inspector Comments
Passed
Failed
Correction
Needed
Re -Inspection
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
October 18, 2018 For Inspections please call: 305-762-4949
Page 16 of 33
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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
CII\,Lc,
MAY 10 7018
Q0-1
BC 291
BUILDING Master Permit No. C 8
PERMIT APPLICATION Sub Permit No.
BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION
❑ PLUMBING ❑ MECHANICAL ❑ PUBLIC WORKS ❑ CHANGE OF
CONTRACTOR
❑ CANCELLATION ❑ SHOP
DRAWINGS
JOB ADDRESS: 1 2- ' •V1 / 0 ( cJ ( -
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): 1 7 I 41 i--4._7��v-i Phone#:
Address: 4 __ IJ W / LO ( S1—
City: l `( A-m t(oE-(3 State: Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name:
Address: l / 77 / 37 FL_
Phone#:
City: M ( ,4-Al ( State: _ Zip: ` -Sl 6
Qualifier Name: K i-"-ij 4( CO /Jin/I-9L—_. Phone#:
State Certification or Registration #: CC.,C 1 cl S 3 cL Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ IS,00 0 Square/LinearFoottaage of Work: 1 30°
Type of Work: ❑ Addition El Alteration El New D--ftepair/RReplace I::Demolition
Description of Work: -1-6 r‘t p tact `Q)G? {.14-8 Ptv va T :-k- C, tbj -2O 6 )
Specify color of color thru tile: J
Submittal Fee $ Permit Fee $ ` 4 . Q CCF $ f CO/CC $
Scanning Fee $ Radon Fee $1:3) DBPR $ - lt� • 5 Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $ 48Z • 25
(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 attachm nt. 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 appfov and ?einspection fee will be charged.
Signature . LD
L
OWNER or AGENT
The foregoing instrument was acknowledged before mepthis
�
eo44" day of �7 en8V tf (� , 20 / O , by
I3j j-6J , who is personally known to
me or who has produced -. b (--
identification and who did take an oath.
NOTARY PUBLIC:
as
Sign:
Print:
Seal:
************'k
APPROVED BY
401k, Zettie Jones
;1
*_ COMMISSION / FF209081
EXPIRES: Marc 14, 2019
76447*
Seal:
me or who has produced
CONTRACTOR
The foregoing instrume t was acknowledged before me this
day of w4/1
, 20
by
F.(a y„ty- , who is personally known to
A --
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
as
Print: �(tivcQ
Carolyn M.
Conwell
. Commission # GG001091
"' = Expires: October 7, 2020
48a itlici rlr> N9t
nuna�
Plans Examiner Zoning
(Revised02/24/2014)
Structural Review Clerk
CACC GENERAL
CONTRACTORS
Al w a s or a
CONWELL & ASSOCIATES CONSULTING COMPANY
DATE: 12O —20/e/
Before me this day personally appeared Kenneth F. Conwell who, being duly authorzied and says:
That he or she will be the only person working on the project located at:
Z. //6J %O/ S r
Sworn to (or affirmed) and subscribed before me this
(SR e)
G'c
cJ A.p'J Ji-1e �� 7-0(Date) /
14Ati f41C <.o4.4tei
.00;; eS Cp�S •,"qb
vs c
SEAL
2007 =b
(Corporate seal} 0.,.b.
STATE OF FLORIDA %ft,,,,,,•......
(Print name)
COUNTY OF MIAMI-DADE
The foregoing instrumff nt was acknowledged before me this 0day of
• ra .ef'i t, oF. w/ f' on behalf of c os u SSW&
personally known to me or [ ] has produced
ocf A7JL' •j z i
Notary Signature:
�.1u�. Zettie Jones
`'` - COMMISSION 1 FF209081
EXPIRES: March 14, 2019
WWW.AARONNOTARY.COM
20 g by
[1.14go is
as identification.
11771 SW 137 PLACE Miami, FL 33186 Tel: 305-926-5673 Fax: 305-385-7827 Email: info@caconsultingc.com
Notice to Owner — Workers' Com
p
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
ensation 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.
Signature:
Owner
State of Florida
County of Miami -Dade
The foregoing was acknowledge before me this 3 0 day of 'salt -
By H-0N ‘C_435 who is personally known to me or has produced
as identification.
Notary:
SEAL: Zettie Jones
*_ COMMISSION # FF209081
EXPIRES: March 14,
WWW.AARONNOTARY.COM
•
Department o[Health' Vital Statistics (STATEFILE NUMBER)
STATE OF FLORIDA
MARRIAGE RECORQTATE OF FLORIDA, COUNTY Or DADE
TYPE IN UPPER CASE THIS IS TO CERTIFY THAT THE FOREGOING IS A
USE BLACK INK TRUE AND CORRECT COPY OF THE DOCUMENT
TTI. run.. not wr�C �n1u. ua1 o4 Cl.rl{.,N FILE OR OF PUDLIC RECORD IN THIS OFFICE.
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WITNESS MY HAND AND OFF CIA(. Sf�>�
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HARV Y RUVIN C 'KUI7 COURT
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2003-014980
(APPLICATION NUMBER)
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RESIDENCE -CITY TOW 41.ORLOOAT ION
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2 DATE OF BIRTH :Month, Cay, rNrr
JAN 17, 1964
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CANTS NAMED IN THIS CERTIFICATE. EACH FOR HIMSELF OR HERSELF`, STATE THAT THE INFORMATION PROVIDED
15 CORRECT TO THE BEST OF OUR KNOWLEDGE AND BELIEF, TAT NG LEGAL OBJECTION TO THE MARRIAGE
ANCE OF A ENSE TO AUTHORIZE THE SAME IS KN0'M TO US AND HEREBY APPLY FOR LKENSE TO MARRY
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AUTHORIZATION AND LICENSk IS HEREBY GIVEN TO ANY i>EY DULY AUTHORIZED BY THE LAWS OF THE STATE OF FLORIDA TO PERFORM
A MARRIAGE CEREMONY WITHIN THE STATE CF FLORIDA AND TO SOLEMNIZE THE MARRIAGE OF THE ABOVE NAMED PERSONS. THIS LICENSE MUST
BE USED 0t4.. AFTER THE EFFECTIVE DATE AND ON CR BEFORE THE EXPIRATION DATE IN THE STATE OF FLORIDA IN ORDER TO BE RECORDED AND VALID
17 COUNTY ISSUING LICENSE i 16 DATE LICENSE ISSUED Iea. DATE LICENSE EFFECTIVE 19. EXPIRATION DATE
MIAMI-DADE JULY 03, 2003 JULY 06, 2003 AUG 31, 2003
SIGNATURE OF COURT CLERK OR JUDGE
HARVEY RUVIN, CLERK
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POST ON SITE
INSPECTION RECORD
Miami Shores Village
10050 N.E.:2nd Avenue
Miami Shores, FL 33138-0000
Phone: (305)795-2204 Fax: (305)756-8972
Permit NO. RC-5-18-1247
Permit Type: Residential Construction
Work C€assification: Alteration
Issue Date: 8/8/2018
Expires: 02/ 04/201 9
INSPECTION REQUESTS: (305)762-4949 or Log on at https://bldg.miamishoresvillage.com/cap
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 #:1131010180250
Owner's Name: DARYL AND MONICA BRANTON
Job Address: 42 NW 101 Street
Bond Number:
Miami Shores. FL 33150-
Contractor(s) Phone
CONWELL & ASSOCIATES CONSUI (305)962-5673
Primary Contractor
Yes
Owner's Phone:
Total Square Feet:
Total Job Valuation:
1300
$ 15, 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.
BUILDING AND ROOFING INSPECTIONS ARE DONE
MONDAY THROUGH FRIDAY.
�� �, Ur .. ,.�f.� , r ' '`,
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.