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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 r• -o/t1vb J1" 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. ;,ircull Or County co,untppur. Ih.r.orNn WITNESS MY HAND AND OFF CIA(. Sf�>� THIS DAY t►F ► 1 HARV Y RUVIN C 'KUI7 COURT BY 2003-014980 (APPLICATION NUMBER) SKIP hti D.C. /5l 7 APPLICATION TO MARRY GROOMS NAME lc it 00$4 Limb DARYL NMN BRANTON RESIDENCE -CITY TOW 41.ORLOOAT ION 5a BRIDE'S NAME If:rtt. M`dcaP, Lsw MONICA ANGELITA MIRANDA 7r RESIDENCE • CITr, rOVN+, OR LOCATION MIAMI ttt+la rj SEAL Cn 9. SiGNAT ► 1 TI THE ON THIS AEC N. r THE F DEPUTC 13 SI =, E OF BRIO A 4LW OF OFF r„ EPUTY CLERK RK COUNTY T1 A 11 IP 2 DATE OF BIRTH :Month, Cay, rNrr JAN 17, 1964 4 BIRTHPLACE (Ste. prfw.Vn Courtly) FLORIDA I Sc I E. DATE OF BIRTH iMwIT. Gr• raw) JAN 03, 1975 D COUNTY --- —� Vic. STATE B BIRTHPLACE (Stafitof rs+?rt" ) DADE FLORIDA FLORIDA 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 Ck rnk) t 10. SUBSCRIBE° AND SWORN TO BEFORE ME ON (DATE) JULY 03 2003 Jc STATE FT.ART DA NA:DEN SURNAME Of tAlfer.rN) 12 SIGydS}A1TESFOFF 14 S 16. $ LICENSE TO M at6ED AND SWORN TO BE Y 03, 2003 RY OFF K IAL fU*e Nock 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 HER 21 DATE OF MARRIAGE, (Moreo,,Day, YYeaarr))�. 23a C��,�,1l(((""";;;NAT(!V • PERSONPERFORMtNGC 23b NAMEm43 N WY THAT THE ABOVE NA 266-45-6005 91-8079 OH, Form 743.Aata 98 (Raetscas Feb. 91 adaon) LE OF PERSON PERFORM . TITLE BY D.c FECATE °EMIR BR!CE WERE JOINED BY ME IN MARRIAGE IN ACCORDA 2 1:ITY, TOWN, OR LOCATION OF MARRIAGE NY (Us• black Ink) EREMOMY 1 J /+• V /9i?g. BLACK PACE OTHER PREVIOUSLY MARRIED? BY 0 23c ADDRESS (Of person ci,many) g t,O. mictrri.4R:40 24 SI , TURE.OF WITNESS TO CEREMONY (Usa Nab* irk) 25 E O THE 21a N0.OF 1NIS MARRIA3E 02 3b. No. or TNIa MARRIAGE O1 DIVORCE 08 LAST (DEATH, EMONY (We black uw DATE LAST Pa. Day, Year) CE ENDED MAR 26, 2002 45+c, (Mat LAST' MM11♦4Aot EN5E0 q. 0 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.