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RC-15-1262Juan Fernandez-Barquin, P.E. I Structural Engineers 40114 2520 N.W. 97t° Avenue, Suite #240 Threshold Inspectors 0947 Doral, Florida 33172 State Plans Examiner PX 1305 PI-1: 786-336-0881 Fax: 786-336-0884 State Building InspectorBN 3318 Email: jtbeng@bellsouth.net www. juanfernaudezbarquinpe.com JANUARY 14th, 2016 CITY OF MIAMI SHORES VILLAGE BUILDING DEPARTMENT 10050 N.E. 2ND AVENUE MIAMI SHORES, FLORIDA 33138 ATTN: BUILDING OFFICIAL RE: 1050 NE 107th STREET, MIAMI, FLORIDA LETTER OF COMPLIANCE FOR FOUNDATION 12_c-►s -r262. This letter is to verify that this office approved the masonry block on top of the beam B-1 can be change to structural concrete with #5 @24" c/c. Horizontal and vertical minimum. If you have any questions, please call. Respectfu I ly, Juan Structural Registration No.. 40114 Threshold Inspector No.... 0947 State Building Inspector No.. BN3318 Plans Examiner No... PX1305 \DOCS\PAULA CORREA\LETTERS\LETTLER FOR BEAM.DOCX Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-249821 Permit Number: RC-5-15-1262 Scheduled Inspection Date: December 23, 2015 Permit Type: Residential Construction Inspection Type: Slab Owner: KUSKUNOV, GABRIEL MARTIN Work Classification: Alteration Job Address: 1050 NE 107 Street Inspector: Rodriguez, Jorge Miami Shores, FL 33161-7374 Project: <NONE> Contractor: GALLOWAY CONTRACTORS & BUILDERS INC Phone Number Parcel Number 1122320280520 Phone: (305)972-8150 Building Department Comments INTERIOR RENOVATION, NEW INTERIOR DISTRIBUTION, NEW BATHROOM, NEW KITCHEN. Infractio Passed Comments INSPECTOR COMMENTS False Passed Failed Correction Needed Re -Inspection Fee No Additional Inspections can be scheduled until re -inspection fee is paid. Inspector Comments Z` t PA,Oeb 0,0 •k) o,Lo k December 22, 2015 II For Inspections please call: (305)762-4949 Page 48 of 59 ALLIED PEST MANAGEMENT "Experts of Integrated Pest Management for Your Safe Environment Notice of PREVENTATIVE TREATMENTS for TERMITES (As REQUIRED BY Florida Building Code (FBG) 104.2.6) ALLIED PEST MANAGEMENT, INC. (305) 234-6574/(954) 862-1723 12555 Orange Drive, Suite #230 Davie, FL 33330 Address of Treatment or LOT/BLOCK of Treatment /050 //E /4 i S Street or Lot/Block Number Ne1 4//LIi:4-2ti, & . 33I 1°I City, State & Zip Code 4waro/ `/ UJ) /Z - % / �Z : oo pm Date: Time Applicator ler/4 i d0r f prNi 4- 9,3Win s Product Used Chemical Used (active ingredients) # of gallons applied Percent Concentration Area Treated (Square feet) Linear feet treated Ro- of e 1 o'( Dl .S to r6 ed a r eq s Stage of treatment (Horizontal, Adjoining Slab, Retreat of disturbed areas) As per 104.2.6- If soil chemical barrier method for termite prevention is used, final exterior. Treatment shall be completed prior to final building approval. If this notice is for the final exterior treatment, initial and date this line: 12555 ORANGE DRIVE SUIT 230 Davie, FL 33330 (305) 234-6574 • (954) 862-1723 (954) 862-1724 FAX PEST & LAWN CONTROL • DRYWOOD & SUBTERRANEAN TERMITE TREATMENTS ALL STATE ENGINEERING AND TESTING CONSULTANTS, INC. TESTING LABORATORIES -ENGINEERS -INSPECTION SERVICES-CHEMIST-DRILLING-ENVIROMENTAL SERVICES 12949 West Okeechobee Road, Unit C-4, Hialeah Gardens, Florida 33018 - Phone: 305-888-3373 Fax: 305-888-7443 PROCTOR COMPACTION TEST ASTM D-1557 Date December 3rd 2015 Order Number 15-424 Client C&C Builders Inc. Address 681 SE Is` Place, Hialeah, Florida 33010 Project "SFR" Address 1050 NE 107th Street, Miami Shores, Florida Sample Location Stock pile at the job site Soil Description Sub grade: Light Grey Sand with Coral Rock Sampled by Malick Reported to TEST RESULTS Laboratory Number: 15-424 Sample Number: 01 The following compaction test was conducted in accordance with the standard methods for Moisture/Density relations of soil using a 10 lb. Hammer and 18" drop % Moisture 6.4 Dry Density 110.9 9.3 116.8 11 114.3 12.6 108.6 Optimum Moisture 9.3 100%Ma%. Dry Density 116.8 98%Dry Density 114.5 _ 95%Dry Density 111 Gradation test passim 314"Sieve 84.10% Sampled By Malick Tested By SS Checked By SS Typed By WC A-ASHTO designation T-180-C. —119mitted by, ib""faA 'DEC 0 4', 2015 GilarAet, P.E. #51371 ALL STATE ENGINEERING & TESTING CONSULTANTS, INC. Respe Should any subsoil conditions in the property (area) tested be found different from those encountered on the tested locations reported on our Density Test, All State Engineering & testing Consultants, Inc. is not to be held responsible. As a mutual protection to client, the public and ourselves, all reports are submitted as the confidential property of clients, and authorization for publication of statements, conclusions or extracts from our reports is reserved. ALL STATE ENGINEERING AND TESTING CONSULTANTS, INC. TESTING LABORATORIES -ENGINEERS -INSPECTION SERVICES-CHEMIST-DRILLING-ENVIROMENTAL SERVICES 12949 West Okeechobee Road, Unit C-4, Hialeah Gardens, Florida 33018 - Phone: 305-888-3373 Fax: 305-888-7443 Field Density Test of Compacted Soils ASTM D-5195 Client: C&C Builders Inc. Order # 15-424 Address: 681 SE lst Place, Hialeah, Florida 33010 Date: 12-03-15 Project: "SFR" Gauge # 23599 Address: 1050 NE 107th Street, Miami Shores, Florida Phone No: Attention: Lab ID # Location 15-2357 Building South Side Column Footer @ SW Corner 15-2358 Building South Side Column Footer @ Center Corner 15-2359 Building South Side Column Footer @ SE Corner Description of Material Light Grey Sand with Coral Rock Back Fill Sub grade x Base rock Sampled By: Tested By: Laboratory Identification Number 15-2357 15-2358 15-2359 Test Number 1 2 3 Depth in Inches 12" 12" 12" Field Density LB/Cu Ft. (Dry Density) 115.2 114.8 115.0 Moisture Contents 8.9 9.0 8.8 Maximum Density In the Field (%) 98.7 98.3 98.5 Compaction Requirement by Specs % of Maximum Density 98% 98% 98% 100% Maximum Density (Lab) 116.8 116.8 116.8 Proctor T-180 AASHTO Method C 15-424 15-424 15-424 Optimum Moisture (%) 9.3 Reported By Malick Checked By SS • Typed By we Respectful) ubmitted by, Maur C 0 4 1015 Gl�firrtl avarrete, P E. #51371 ALL STATE ENGINEERING & TESTING CONSULTANTS, INC. Should any subsoil conditions in the property (area) tested be found different from those encountered on the tested locations reported on our Density Test, All State Engineering & testing Consultants, Inc. is not to be held responsible. As a mutual protection to client, the public and ourselves, all reports are submitted as the confidential property of clients, and authorization for publication of statements, conclusions or extracts from our reports is reserved. Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number:INSP-248900 Permit Number: RC-5-15-1262 Scheduled Inspection Date: December 23, 2015 Permit Type: Residential Construction Inspection Type: Footing Owner: KUSKUNOV, GABRIEL MARTIN Work Classification: Alteration Job Address: 1050 NE 107 Street Inspector: Rodriguez, Jorge Miami Shores, FL 33161-7374 Project: <NONE> Contractor: GALLOWAY CONTRACTORS & BUILDERS INC Phone Number Parcel Number 1122320280520 Phone: (305)972-8150 Building Department Comments INTERIOR RENOVATION, NEW INTERIOR DISTRIBUTION, NEW BATHROOM, NEW KITCHEN. Infractio Passed Comments INSPECTOR COMMENTS False Passed Failed Correction Needed Re -Inspection Fee No Additional Inspections can be scheduled until re -inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP-248656. CREATED AS REINSPECTION FOR INSP-248580. Missing: Electrical bonding Compaction test Missing bonding inspection Supply letter for note # 8 for inside footing T5-10 ta*----fgriol_. 1-&-% f December 22, 2015 For Inspections please call: (305)762-4949 Page 25 of 59 Juan Fernandez-Barquin, P.E. Structural Engineers 40114 2520 N.W. 97th Avenue, Suite #240 Threshold Inspectors 0947 DoraL Florida 33172 State Plans Examiner PX 1305 PH: 786-336-0881 Fax: 786-336-0884 State Building lnspectorBN 3318 Email jfbengrdbellsouth.net www.juanfernandezbarquinge.com DECEMBER 17th, 2015 CITY OF MIAMI SHORES VILLAGE BUILDING DEPARTMENT 10050 N.E. 2ND AVENUE MIAMI SHORES, FLORIDA 33138 ATTN: BUILDING OFFICIAL RE: 1050 NE 107th STREET, MIAMI, FLORIDA LETTER OF COMPLIANCE FOR FOUNDATION I Juan Fernandez-Barquin, P.E., having performed and approved the required structural inspections, for the interior footing for this residence, hereby attest that to the best of my knowledge, the above referenced structure are in compliance with the approved plans and other approved permit documents. See attached photographs of foundation. If you have any questions, please call. Respectfully, Juan Frnandez- rquin, P.E. Structural Registration No.. 40114 Threshold Inspector No. ... 0947 State Building Inspector No.. BN3318 Plans Examiner No... PX1305 \DOGS\PAULA CORREA\LETTERS\SIGN OFF FOUNDATION.DOCX 1050 NE 107 ST MIAMI SHORES, FLORIDA Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 MIAMI SHORES VILLAGE NOTICE TO BUILDING DEPARTMENT OF EMPLOYMENT AS SPECIAL INSPECTOR UNDER THE FLORIDA BUILDING CODE I (We) have been retained by to perform special inspector services under the Florida Building Code at the 1050 NE 107th Street project on the below listed structures as of July 9th, 2015 (date). I am a registered architect or professional engineer licensed in the State of Florida. PROCESS NUMBERS: D SPECIAL INSPECTOR FOR D SPECIAL INSPECTOR FOR SPECIAL INSPECTOR FOR SPECIAL INSPECTOR FOR SPECIAL INSPECTOR FOR SPECIAL INSPECTOR FOR X. SPECIAL INSPECTOR FOR • PILING, FBC 1822.1.20 (R4404.6.1.20) • • • • TRUSSES >35' LONG OR 6' HIGH 2319.17.2.4.2 (R4409.6.17.2 4 2) • REINFORCED MASONRY, FBC 2122.4 (R4407.5.4) • • • • • • STEEL CONNECTIONS, FBC 2218.2 (R4408.5.2) SOIL COMPACTION, FBC 1820.3.1 (R4404.4.3.1) • • • • • • PRE AST UNITS & ATTACHMENTS, FBC 1927.12 (R4405.9.12) • • • ALL.- perit L✓c • • •• •• • • • • • • • • • • • • • • • • • •• • • • • • •• • • • • • •• •• Note: Only the marked boxes apply. The following individual(s) employed by this firm or me are authorized representatives to perform inspections' • 1, RICARDO SOLANO 2. CARLOS ALVAREZ • • • • • • 3. JUAN FERNANDEZ-BARQUIN, P.E. 4. •• • • ••• • • • •• • *Special Inspectors utilizing authorized representatives shall insure the authorized representative is qualified by education or licensure to perform the duties assigned by the Special Inspector. The qualifications shall include licensure as a professional engineer or architect graduation from an engineering education program in civil or structural engineering; graduation from an architectural education program; sucrpcsful completion of the NCEES Fundamental Examination; or registration as building inspector or general contractor. I, (we) will notify Miami Shores Village Building Department of any changes regarding authorized personnel performing inspection services. I, (we) understand that a Special Inspector inspection log for each building must be displayed in a convenient location on the site for reference by the Miami Shores Village Building Department Inspector. All mandatory inspections, as required by the Florida Building Code, must be performed by the County. The Village building inspections must be called for on all mandatory inspections. Inspections performed by the Special Inspector hired by the Owner are in addition to the mandatory inspections performed by the Departrn: nt. Further, upon completion of the work under each Building Permit I will submit to the Building Inspector at the time of final insp professio substanti 'Signe ction the completed inspection log form and a sealed statement indicating that, to the best of my knowledge, belief and al judgment those portions of the project outlined above meet the intent of the Florida Building Code and are in accordance with the approved plans. aled EngineerlArchitect 2015 Name JUAN FERNADNEZ-BARQUIN, P.E. (PRINT) Address 2520 NW 97th Avenue, Ste.240 Doral, FL Phone No. 786-336-0881 Created on 6/10/2009 Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Pe tssuh Permit NO.-RC-5-15-1262 Permit Type., Residential Construction Work Classification: Alteration Permit Status: APPROVED Date:11/3012015 Expiration: 05/28/2016 Parcel Number Applicant 1050 NE 107 Street Miami Shores, FL 33161-7374 1122320280520 Block: Lot: GABRIEL MARTIN KUSKUNOV Owner Information Address Phone Cell GABRIEL MARTIN KUSKUNOV 1050 NE 107 Street MIAMI SHORES FL 33161-7374 1050 NE 107 Street MIAMI SHORES FL 33161-7374 Contractor(s) Phone GALLOWAY CONTRACTORS & BUILC (305)972-8150 CeII Phone Valuation: Total Sq Feet: $ 54,446.00 2344 Approved: In Review Comments: Date Approved: : In Review Date Denied: Type of Construction: INTERIOR RENOVATION, NEW INT Stories: Front Setback: Left Setback: Bedrooms: Plans Submitted: Yes Certificate Date: Bond Return : Occupancy: Single FamilyC4 #C Exterior: Rear Setback: Right Setback: Bathrooms: Certificate Status: Additional Info: Classification: Residential Fees Due Bond Type - Contractors Bond CCF CO/CC Fee DBPR Fee DCA Fee Education Surcharge Miscellaneous Fee Permit Fee Plan Review Fee (Engineer) Plan Review Fee (Engineer) Plan Review Fee (Engineer) Scanning Fee Technology Fee Total: Amount $500.00 $33.00 $50.00 $24.50 $24.50 $11.00 $200.00 $1,633.38 $160.00 $120.00 $160.00 $123.00 $44.00 $3,083.38 Pay Date Invoice # 11/30/2015 05/27/2015 Bond #: 2913 Pay Type RC-5-15-55720 Check #: 337 Check #: 4251 Amt Paid Amt Due $ 2,723.38 $ 360.00 $ 360.00 $ 0.00 Available Inspections: Inspection Type: Final PE Certification Window Door Attachment Framing Insulation Drywall Screw Window and Door Buck Fill Cells Columns Review Planning Review Planning Review Structural Review Building Review Building Review Building Review Structural Review Structural Review Electrical Review Electrical Review Electrical Review Mechanical Review Mechanical Review Plumbing Review Plumbing Review Plumbing Review Plumbing 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. OWNERS AFFIDAVIT: I certify that all th construction and zoning. Futhermore, I -, foreg horiz g information is accurate and that all work will be done in compliance with all applicable laws regulating e above -named contractor to do the work stated. Authorized Signatur=. •wner Applicant / Contractor Building Depart- nt Copy November 30, 2015 November 30, 2015 Date 1 9-Miami Shores Village`°6,'� � zZ```"- • 6 "io O� 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 UILDING ❑ ELECTRIC ❑ ROOFING PLUMBING MECHANICAL 0 PUBLIC WORKS ❑ CHANGE OF 0 CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS FBC 20 l 0 Master Permit No. PG I S I Z(::'Z Sub Permit No. JOB ADDRESS: I O S O pJ 10 -1 S T ❑ REVISION ❑ EXTENSION ❑RENEWAL City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: II .- - IDS ' uilding Historically Designated: Yes Occupancy Type: Load: Construction N(ltJ f �"� Zone: BFE: 33) L1 NO FFE: OWNER: Name (Fee Simple Titleholder): R_ta_ t.-4N-L-ni'lJ t1 Phone#: Address: 10 CO N£ ID ST City: (r-4 I A -Mt 'J (-rpr2t�S State: zip: 3314. I Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: (c Lowmf CoA �'S " S rph'one#:-l� � 9� `z -&/ 5 Zd 6147 l6 / sT Address: City: t•-di $ A State: t Qualifier Name: DArI"t i Ac'J-FEr2.,JA'J b�? Phone#: Zip: State Certification or Registration #: ' (SU \ 4 Certificate of Competency #: DESIGNER: Architect/Engineer: Address: d lnrir Value of Work for this Permit: $ '1 Type o Work : k ❑ Addition -1112il Alteration ElNew Phone#: City: State: Zip: are/Linear Footage of Work: 23Lig I::Repair/Replace IDDemolition )Description of Work: S fo1bfL. 2� UAr'c'1 O'a, (\re() f kT *"&ti'i) IJez VA rrlott e•h7 I NIEL° Vjg ArCOw6 c lZ� A.161.4) i "T") 1617/t au -1) Specify color of color thru tile: Submittal Fee $ Permit Fee $ 11C33 ' 53 Scanning Fee $ Radon Fee $ DBPR $ Technology Fee $ Training/Education Fee $ Structural Reviews $ CCF $ CO/CC $ ;50 G® Notary $ Double Fee $ Bond $ 500 ' CO TOTAL FEE NOW DUE $ 22 23 • all (Revised02/24/2014) 2/-123.3 '46onding 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 fir inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspectio ot be •rov d a reinspection fee will be charged. Signature Signature CO ACTOR The foregoing instrument was acknowledged before me this 20 1 ,`by p is personally known to) Cae7or who has produced as 1• r who has produced as WNER or AGENT The foregoing instrument was acknowledged before me this day of 1-ULI ,20 IJ ;bye d of J Cb5(2.l - (,ojkO/ , who is personally known. 1� " ' 2 1 identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: JULIAN A CARDONA s Notary Peu. �11'* usai NFF191910 Bonded through National Notary Assn. identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: "JULIAN A CARDONA Notary Public - State of Florida �ou„M1301 MY Bonded through National Notary Assn. ***************************************************************************************s* **************** APPROVED BY (Revised02/24/2014) u` t� Plans Examiner Structural Review "V Zoning Clerk 2016 details - Business Tax Account GALLOWAY CONTRACTORS & BUILDERS IN... Page 1 of 1 Tax Collector Home Search Reports Shopping Cart Please do not include any special characters in the name, address, and e-mail field such as #, &, hyphens, comma, 1 dashes. We have moved. Our new address is: 200 NW 2nd Ave, Miami, FL 33128 The information contained herein does not constitute a title search or property ownership. 2015 Tax Bills are Payable on Sunday, November 1, 2015. 2016.I Business Tax Account #5613360 Tex A n GALLOWAY CTORS & BU DERSIN 1 Account details ;;,t Account history 2016 2015-T 2014 1 2013 PAID PAID PAID Account number: 5613360 Business start date: 08/01/2005 Business address: GALLOWAY CONTRACTORS & BUILDERS INC 7920 SW 97 TERR MIAMI, FL 33156 Physical business location: UNIN DADE COUNTY Receipts And Occupations PAID 2010 PAID Owner(s): GALLOWAY CONTRACTORS & BUILDERS INC 7920 SW 97 TERR MIAMI, FL 33156 Mailing address: GALLOWAY CONTRACTORS & BUILDERS INC 7920 SW 97 TERR MIAMI, FL 33156 Flags: Home Business i Print account application (PDF) Receipt 6854535 Contracting GENERAL BUILDING CONTRACTOR 10/01/2015 —09/30/2016 NAICS code: 2389 Units: 2 PAID 2015-10-01 $82.50 Receipt #ECHECK-16-000415 Documentation Required by Occupation: State/County License or Certificate Document Received: CGC1509461 E!1 Print this bill https://www.miamidade.county-taxes.com/public/business_tax/accounts/5613360 11 / 19/2015 Florida Insurance 3054451335 p.1 CORD CERTIFICATE OF LIABILITY INSURANCE 1July22,2015 . A 'PRODUCER Florida Insurance Agency of Miami P.O. Box 441340 Miami, FL 33144 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P; 305-445-9100 I INSURER AFFORDING COVERAGE NAILS # INSURED INSURER A: Endurance Amer co Galloway Contractors & Builders mice INSURER IS: National Liao S. Fire co . 14881 ew 1Bi St INSURER C: Miami FI 33187 INSURER D: ' INSURER E: INSURER F: coverages THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, WITHSTANDING ANY REQUIREMENT,1ERM,OR CONDITION OF ANY CONTRACT PR OTHER DOCUMENT WITH RESPECT TO WHICH CERTIFICATE MAY SE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE SEEN REDUCED SY PAID CLAIMS. NOT- THIS TO ALL TERMS, INSR- LTR AWL INSR TYPE OF INSURANCE POLICY NUMBER EFFECTIVE (MM/DO/YY) EXPIRATION (MM/DD/YY) LIMITS LIABILITY EACH OCCURRENCE 1.000.000 GENERAL DAMAa TCJ IU NIEU N--- GENERAL LIABILITY PREMISES(Ee ocranonce) ;100,000 COMMERCIAL CLAIMS MADE X OCCUR MED EXP (any one Ikon) ti0.000 • caG1000001004J 4/27/2014 4l27/2016 PERSONAL & ADV INJURY 1,000.000 A GENERAL AGGREGATE 2AQ0.000 + 1 .......... GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG 1.000.000 POLICY �PROJECT1LOC AUT L LE IABtLITY COMBINED SINGLE LIMIT ANY AUTO {Ea accident) t3W)LY INJURY ALL OWNED AUTOS Person) on)Jkr 5 '— SCHEDULED AUTOS (Per — HIRED AUTOS ACtldent) S NON -OWNED AUTOS , (Per Li?tti 1 Y DAPAALst —� — (Per Aactdelnt} 5 iCIE LIABILITY An CI ONLY -EA AUCIt?ENT $ CIA1 CH riCK 1 HAN - C:?l AOLt ANY AUTO AUTO ONLY ACK3 1 ALL OWNED AUTOS LAG SS UMLIABILITY SRLIA OCCURRENCE °-10CURR F1CIAIM5 MACE EACH AGGREGATE $ R RDEDUCTIBLE RETENSION $ 3 emit -KENO LiVM1-'N`*AIIVN"NV LIABILITY 1VNIL: SIA11i• ORY LIMITSI I VIP'(EMPLOYERS x 1ER A 4Y PROPIERTORIPARTNER/EXECUTIVE V9wc640760 a/22/2016 3/22/2010'EL C:rm Ai;i;1Utttr 1 30uP.040 8 OFFICER/MEMBER EXCLUDED ? EL UttA4c-tA EM-'LVYEk 5500 D00 tt describe 'EL LISEAo.t•INtiLuC:Y UMI 1 id[IIMICHI' yea undo!, 01 tMEt1 DESCRIPTION OF OPERATIONS I LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS: CGC1520770 [ IADD'L INSURED x ICERTIFICATE HOLDER Miami Shlorea Village Saiiding Dept 10050 ne 2 ave Mimi Shores Fl 33133 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ,rQ 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 INSURED, ITS AGENT OR AUTHORIZED REPRESENTATIVE Tony Zoghbi .Z;L:1.;.....,,,,diet• AGORD 25 (2001/05) :GA BUILDING PERMIT APPLICATION '76 5 .3r1 — 0 bca 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 RECEINIvA) MAY 2 7 Z015 BY* FBC 2( Master Permit Sub Permit No. BUILDING D ELECTRIC 0 ROOFING I:: REVISION n EXTENSION DRENEWAL 0 PLUMBING El MECHANICAL DPUBUCWORKS El CHANGE OF Ej CANCELLATION 1:1 SHOP CONTRACTOR DRAWINGS JOB ADDRESS: OSO City: Miami Shores Folio/Parcelt — 37.. 10.A 5 County: Miami Dade Zip: 331(o I Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zo BFE: FFE: eX: (18L) ge, 6r5j OWNER: Name (Fee Simple Titleholder): =•#66,fb(Z. t4..i5 Ku IQ° ki Address: 10S.0 INA kQ'al City: kr-41 State: Zip: 33 C. Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: Address: City: Qualifier Name: Phone#: Phone#: Zip: State Certification or Registration X: Certificate of Competency X: DESIGNER: Architect/Engineer: Address: City: Value of Work for this Permit: $ 65 Type of Work: El Addition "Alteration LJ New 1E3 Repair/Replace EJ Demolition Description of Work: a-oci,. ea.t uFleri,coN `E,A114-E0011 1‘).e1.0 03E10 •-•.-4-7-S712.4 a 77 -1) k.t\ Arn(*Lilct Phone#: State: Zip: Square/Linear Footage of Work: .9-3 LIM 57C-, Specify color of color thru tile: Submittal Fee $ 5kO 03 Permit Fee $ CCF CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ TOTAL FEE NOW DUE $ (Reved02/24/2014) 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 insp •n which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not roved and a reinspection fee will be charged. Signature �'C��^�`""' Signature NERorAGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 2(, day of , 20 i S . by day of , 20 , by C.:4tga i, 4.1511t4bvol/, who is personally known to , who is personally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: 1 TM,_, • Commission # FF 191910 yy My Comm. Fxpiur.sJan 21.2019 '''''''a,''', Bonded throute ', 'nlnal Nola Mn.s as me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: R>•*l4t♦******••H****** f******* i i•t**ir****** WWWW***t/t**4******• tNq!••*********WWII**♦ APPROVED BY Plans Examiner Zoning Structural Review Clerk (A&vised02/24/2014) Contractors & Builders. INC Owner : Mr. Gabriel Kuskunov Address : 1050 NE 107th ST, Miami Shore, FL 33161 Project : Kuskunov_Miami Shore Residence email : gabrielOnaturalistone.com Date : 07/ 15/ 15 Remodeling & Construction Contract THIS AGREEMENT made on July 15th, 2015 by and between Mr. Mr. Gabriel Kuskunov as a owner and Galloway Contractors & Builders, Inc as a contractor. All work shall be completed in a workman -like manner and in compliance with all Florida building codes and other applicable laws. Article 1. Scope of the Work Contractor shall furnish all labor and materials to perform all Demolition, interior and exterior structural work, pool and exterior impact windows and doors specified on the remodeling work shown on the approved set of plans, and contract estimated. Please refer to construction estimated for details. Article 2. Time of Completion The work to be performed under this Contract shall be commenced on or before Sep 20th, 2015 and shall be substantially completed on/or before Dec 15th, 2015. Time is of the essence. The following constitutes substantial commencement of work pursuant to this proposal and contract: A. Interior demolition. B. Structural Construction of proposed lay our as per plan and specifications. C. Residence Pool as per plans. Job that will be done by others choose by owner: A. Framing, plaster and drywall. B. Interior residence Electrical, Mechanical & Plumber. C. Interior Finishing D. Impact windows & doors Installation. E. Interior & exterior Finishing Under this construction contract, Contractor will provide the space built out as propose in plans. All electrical, plumbing, and Mechanical should be perfectly build as per drawings specifications and approved by Florida Building code. We are including tabor to install the fixtures described on the plan. Any new additional fixtures will be quoted accordingly. Owner Initial: 7720 , - 9 T F. 3 1- 711. h 900 305.572 ��v ��v �% TEAR, iviii;i�il�. � G .:a iJ0 t`i�. %8u-SS>-;vvfisv'X:,uii53 Contractors & Builders, INC Article 3. Payments A. A lump sum of - for materials and labor to perform construction. Job is to be performed under the Florida Building code and should be ready to comply and approved all inspections required by city officials. B. Job progress is Subject to additions and deductions pursuant to authorized change orders and will be add to the PPR (Progress payment report). C. Payment of the contract should be paid Follow the PPR (Progress Payment report) signed by owner. D. PPR will be altered only if change orders are processed. Additions and/or alterations to the original estimate, new purchased orders, and/or credits will be show accordingly. E. Contractor will charge 15°lo as a Building Overhead and/or Company fee for processing and management over all items or trades that get to be purchased and chosen through our company. This FEE applies to Supervision of any items purchased by the owner and installed by other companies that need Contractor supervision requested by owner. F. Contractor is -not responsible for any delays caused by others hired by the owner. Please remember that final building inspection depends on all items working perfectly. Kitchen, kitchen appliances. Bathrooms and bathroom fixtures, Lighting fixtures and installation, laundry washer and dryer, closets and doors for all areas. All this items must be installed in timely manner in order for Contractor to meet the schedule propose on the contract. G. Contractor will gladly provide the client the service of helping you choose all items needed in order to finish construction in timely manner. We will manage shipping and handling for you to the property. Shipping and handling is charged according to the material or items being delivered. We'll make sure that all purchased items get installed successfully and in timely manner. H. We will deal with customer service. Any imperfection or broken item will be return to the companies in order to get the right items. For this the owner has to agree for Contractor to manage the products from the moment of purchased to its delivery and installation. Article 4. Construction Phases: A. General Demolition: of existing Architectural Layout, Mechanical, Plumbing, and Electrical as per plans and specifications. B. Demo Inspections. C. Structural layout. As per plan and coordination with architect D. Walls Layout: (by others) Commencement of new walls and soffits layout (framing). E. E,M.P: (by others) Electrical, mechanical and plumbing begin rough work. F. Rough Inspections: for Mechanical, Plumbing and Electrical and propose new framing layout. G. Approval of rough inspections determines initiations of finishes. H. Drywall and finishes: (by others) Drywall installations, tile ceramic installations, bathroom accessories installation, electrical fixtures installation, mechanical line diffusers installation. /� Owner Initial: �G' 7_,2. W w ,.,„,,„ 8, -,.. n03....i... f LU Sr1! ri iinfi. r'vi�3t;!. P'c. o3+:�v 1�;1. VD'.l.J�' IEJvV ll1M1. �sV1..Jt(.'dil:3J Contractors &Builders,INC I. Carpentry installations: (by others) Bathroom vanities, Closets, doors and base boards are items that are needed to pass final inspections. Please make sure that your carpenter works accordingly with schedule due date. Vanities should be provided first in order for plumbing to advance to its final inspection. J. Final inspections: Final inspections are called once all remodeling has been finish and all areas in the unit are in perfect working conditions. Electrical fixture must be all installed. Plumbing must be working accordingly as well as mechanical work. Article 5. General Provisions Any alteration or deviation from the above specifications, including additional alterations and involving additional material and/or labor costs, will be executed only upon written change order for same, signed by Owner and Contractor. If there is any charge for such alteration or deviation, the additional charge will be added to the contract price of this contract. If payment is not made when due, Contractor may suspend work on the job until such time as all payments due have been made. A failure to make payments for a period in excess of 7 days from the due date of the payment shall be deemed a material breach of this contract. In addition, the following general provisions apply: A. The contractor & Sub contractors shall follow the approved drawing plans. B. To the extent required by law all work shall be performed by individuals duly licensed and authorized by law to perform said work. C. Contractor may at its discretion engage sub -contractors to perform work hereunder. Contractor, shall fully pay said sub -contractors and in all instances remain responsible for the proper completion of this Contract. D. Contractor shall furnish Owner appropriate releases or waivers of lien for all work performed or materials provided at the time the next periodic payment shall be due. E. All change orders shall be in writing and signed both by Owner and Contractor, and shall be incorporated in, and become part of the contract. F. Contractor warrants it is adequately insured for injury to its employees and others incurring loss or injury as a result of the acts of Contractor or its employees or sub -contractors. G. Owner shall at its own expense pay for all permits necessary for the work to be performed. Contractor will do all diligences to obtain necessary permits. H. Contractor agrees to remove all exterior debris at owners cost and leave the premises in broom clean condition at finish stucco exterior labor. I. In the event Owner shall fail to pay any periodic or installment payment due hereunder, Contractor may cease work without breach pending payment or resolution of any dispute. J. All disputes hereunder shall be resolved by binding arbitration in accordance with rules of the American Arbitration Association. K. Contractor Shall not be liable for any delays due to circumstances beyond 7920 S,'14 97 TEM. FL Ph: ? 86-537-900' Fax: : 3C:5.572.CO33 Owner Initial: Contractors & Builders. NC its control including strikes, casualty, weather or general unavailability of materials. L. Contractor, Warrants all work for a period of 1 year following completion. Article S. Owner Responsibility: a. SITE INFORMATION: The owner shall furnish full information about and affecting the site. Community association rules or office numbers in order to coordinate arriving furniture and labors and or job site labor. b. Permission by owner to Contractor employees and its subcontracts to enter the premises. c. PAYMENTS TOTAL: $74,646.00 to be pay Monthly as PPR show. d. The following will be considered an extra to the owner if required after completion of work described above: Furniture purchase, delivery and installation. Boxes removal from premises and disposal. Decorations. Miscellaneous expenses incurred on behalf of the project. Deliveries, labors to adjust, assembly and installation of furniture. • Certain additional costs are reimbursable in addition to compensation and include actual expenditures during the process. • Any require fees to be paid to the condominium/Building. • Miscellaneous expenses incurred on behalf of the project. Deliveries, labors to adjust, assemble and install the furniture. This agreement represents the entire and integrated agreement between parts signing and supersedes other negotiations, representations, or agreements. This agreement executed the clay and year first written above. ACCEPTANCE The above prices, specifications are satisfactory and hereby accepted. Galloway Contractor & Builders is authorized to do the work as specified. amlarl Fernandez Galloway Contractors K builders Respectfully submitte Signature and date: Mr. Gab - I Ku Owner Signature and Date: 7720 SW 77 ;ERR, Mi rni. FL 33156Ph: $6-337-7003 Fax: 3:i5.572 0053 PROGRESS PAYMENTS REPORT CLIENT: \ Project N /Duni r Address #1"-F•ff lo7SI. I! \NI! SI14)Itl', II 3161 Date: v,,,Ino.d;,,,.1.11. :5,, 24: ts CSI Sales Order DESCRIPTION Amount 4447 -1c Contractosi filuadors, MC. i PAYMENT SCHEDULE 1.1 2nd 3rd 4rd 5th 02100 Site Pr9isration S 2,600.00-- $1,300760 $325.00 S325.00 $650.00 ..._ 02500 Demolition S 3,200.00 -- 51,920.00 $1,280.00 03800 Structural Work $ 18,600.00 - $9,300.00 55,580.00 $3,720.00 04100 Roofing Repairs $ 2,200.00 >t $1,100,00 $1100.00 04500 Interior Framing & Drywall S 8,000.00 -"" S4,000.00 $2,400.00 $1,600.00 04600 Plasterii Finish S 5,300.00 ...- $5,300.00 04700 Insulation & Caulking S 860.00 ..--" $860.00 _ 65300 -Fence or Aluminum Railing (Allowance) 51 3,200.00- :ik $1,6130.00 $1,600.00 06222 Trench drain $ 1,300.00 . ,--..- $650,00 $520.00 $130.00 09900 Painting S 6,500.00 -- $3,250.00 $1,950.00 _ $1300.00 15400 Plumbing S 8,500.01 ? S2,550.00 $2,550,00 $1,700.00 $1,700.00 15500 HVAC $ 3,600.00 -C_ $1,800.00 $1,080.00 $720.00 . . _ _ 16010 Electrical S 4,000.00 I. • $2,000.00 $1,200,00 S800.00 Builder's Overhead & Fee (10%) $ 6,786.00 $1,997.00 $1,927,50 $804.50 $800.00 $889.00 $368.00 GRAND TOTAL S 74,646.00 Essissemememean Date Due Payment Form muurannumminamemussal Payment Date Document No Ref. $21,967.00 $21,202.50 $8,849.50 58,800.00 59,779.00 $4,048.00 17•Jul-15 1.Aus-15 21-Aug-15 15-Sep-15 10-Oct-15 4-Nov-15 Es Date: This PPR will be billed and um m the Amount indicate and in the Date Due to hew fluent the constructica proems. This PPR reflect the Subtotal in each CSI at the PRELIMINARY ESTIMATE WORKSHEET / SUMMARY and arc billed as the subcontract &der supoliers required Once the Drat Payment is received. The items above the red line ( - ) will keen unaltered if during the the process there is credit (,) or change order (+) those will be reflected below the red line Time for completion Mr. Gabriel Kus nov Owr 4 month with out exteriors delays Date: Contractor 7920 SW 97 TERR, Miapti, FL 33156 Ph: 786-539-9008 Fax: 305.572.0053 t a L. TRIANA & ASSOCIATES, INC. CONSULTING ENGINEERS Mechanical - Electrical - Plumbing - Fire Protection 5151 S.W. 98T" Ave. rd MIAMI, FLORIDA 33165 PH: (305) 595-9765 FAX: (305) 596-1814 July 8, 2015 City of Miami Shores Village Building Department Miami Beach, FL 33138 Re: Building Department Comments (Revision #1) 1050 NE 107 St Miami Shores, Florida 33161, Permit No: RC-5-15-1262 ELECTRICAL CO Comment #1 Mechanical plan has 2 A/C units and the electrical plan has 1 above the electrical panel. Clear space around the electrical panel is 3 feet deep and 30 inches wide clear from floor to ceiling. Response: This discrepancy has been corrected on sheet E-1 Comment #2 Recessed fixtures to be I.C. rated Response: See #3 in general notes on sheet E-2 PLUMBING Comment #1 FBC 107.1 As per Miami -Dade Ordinance Chapter 8-10 shows the location of all applicable utilities. This shall include but not limited to sewer, sewer lateral, water meter, water service, and any gas .... lines or tanks on property. • • • •..• • •• • Response: The cw pipe has been extended and connected to exist city piii b tine. T ie • � • sanitary sewer line discharges to an exist septic system. See revised Ogg p.1 • ...• Comment #2 FBC 107.1 Health department approval required for onsite sewage dislJpsl.' Response: Refer to notes on sheet P-1 . . .. .. • ••• • •• • •• • • . . ..• . • • Comment #3 FBC 107.1 Provide onsite treatment and sewage disposal system, show location oftank• and drain field. • • •• • • • • • • Response: Refer to sheet P-1 for depiction of existing septic system • • • Comment #4 FBCR P2903.2 Maximum flow and water consumption as per Miami -Dade Ord. Sec. 8-31 plumbing fixtures shall meet the local water flow restrictions adopted by Miami -Dade County water and sewer (water closet 1.28 gpf, lavatory 1.5 gpm, shower head and kitchen faucet 1.5 gpm). Response: Refer to previously noted #17 in specifications and revised plumbing fixture connection schedule on sheet P-3 Sincerely, Lorenzo Triana, P.E. Principal • • � • JUAN DAVILA ARCHITECT 269 NE 103 ST Miami Shores 33138 July 01, 2015 City of Miami Shores Village Zoning Department Miami Fl 33138 Att. Mr. David A Dacquisto AJCP RE: ZONING COMMENTS (REvistoN #1) 1050 NE 107 ST MIAMI SHORES FL 33161, PERMIT NUMBER RC-5-15-1262 DRY RUN Changes to the facade require planning board approval. Response: As per our meeting on June 17th with Paula A Spirk, Project Designer you agreed that the scope and magnitude to the facade changes do not warrant the need for planning board approval. The front of the facade is on 107th St. The front setback is 25 FT, uncovered steps may extend up to 48 inches into the front yard, walls or a roof in conjunction with these steps is not permitted Response: Sheet A-0.1 show the adjustment to the steps and columns. As per our meeting the sheets A-1.0 and A-2.1 show that there is no new roof in conjunction with the steps, just the existing eve prolongation line. Existing roof overhang to be demolished. Sincerely, Juan Davila, R.A. .... . . • . .... • . • .. . ... . • . .. . • . • . . .. • .... • 0, . . . . . .. .. .. .. . • .. • • . -lea istudiac,,, Juan Fernandez-Barquin, P.E. Structural Engineers 40114 2520 N.W. 97th Avenue, Suite 0240 Threshold Inspectors 0947 Dora1, Florida 33172 State Plans Examiner PX 1305 PH: 786-336-0881 Fax: 786-336-0884 State Building Inspector BN 3318 Email: jfbene@bellsouth.net www.juanferaandezbargainpe.com JULY 9, 2015 CITY OF MIAMI SHORES VILLAGE BUILDING DEPARTMENT 10050 N.E. 2ND AVENUE MIAMI SHORES, FLORIDA 33138 ATTN: BUILDING OFFICIAL RE: 1050 NE 107th STREET, MIAMI, FLORIDA - STRUCTURAL COMMENTS 1. State alteration level and comply with FBC 2010 — Existing. This note was added to Sheet S-1. /2. Provide Special inspector form. See attached. Specify edge distances of column base bolts. See new detail 5/S-4. Also see detail 5/S-10 ✓A. 1/S-4 and 2/S-4: what is the deck? provide details and specs. There is no deck on top of the trellis. The ground floor is a concrete slab. 5. 3/S-10: Specify the material of cladding wall. Please don't use nails to connect wood to metal. Please see revised detail 3/S-10. 6. 3/S-6: where are the two new columns beyond on plan. The wall shown on 3/S-6 is butting up against the existing wall. The existing *NW ?eceiving thg wo new columns beyond. Please see plan. • • • • 7. 1/S-7: where are the two elements that are shown on elevation on the plan. Everything that is shown in 1/S-7 is also shown in plan. • • ••Y• • • • •• • • • • • • • • • • • • • •• • • • • • • • • • •• • • •• •• • • • • •• •• • 8. S-12: Specify codes of practice for the materials. There is no importance factor in ASCE i-1. • • • • • • See S-12 for additions and corrections • • • • •• • • • • • • • . • •• • If you hav any questions, please call. Respectfull rquin, P.E. 2015 Struct - : isTrationNo.. 40114 Threshold Inspector No. ... 0947 State Building Inspector No.. BN3318 Plans Examiner No... PX1305 \DOCS\PAULA SPIRK\LETTERS\BLDG COMMENTS 1050.DOCX