RC-18-292Certificate 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:
Permit Type
Owners
Subdivision/Project
Construction Type
RESIDENTIAL CONSTRUCTION
Square Footage 75
Description of
Work
Location
567 NE 96 ST
Miami Shores, FL 33138-2439
MICHAEL BRYD
INTERIOR RENOVATION
Bldg. Permit No. RC-2-18-292
Contractor
Date Issued
Occupancy
Load
Occupancy
Type
Applicable
Code
ARCO CONSTRUCTION
August 8, 2018
2017 FLORIDA BUILDING
Building Officials Approval
Not Transferable
POST IN A CONSPICUOUS PLACE
Ismael Naranjo, CBO
POST ON SITE
INSPECTION RECORD
4RS�` Miami Shores Village
7c) 10050 N.E. 2nd Avenue
Miami Shores, FL 33138-0000
Phone: (305)795-2204 Fax: (305)756-8972
Permit NO. RC-2-18-292
Pemiit Type: Residential Construction
Work Classification: Alteration
Issue Date: 2/23/2018
Expires: 08! 22/ 201 8
INSPECTION 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 #:1132060171580
Owner's Name: MICHAEL BYRD
Job Address: 567 NE 96 Street
Bond Number:
ARCO CONSTRUCTION
Owner's Phone:
Total Square Feet:
75
Total Job Valuation: $ 17,500.00
WORK IS ALLOWED:
MONDAY THROUGH FRIDAY, 8:OOAM - 7:OOPM.
SATURDAY 8:OOAM - 6:0OPM.
NO WORK IS ALLOWED ON SUNDAY OR HOLIDAYS.
BUILDING AND ROOFING INSPECTIONS ARE DONE
MONDAY THROUGH FRIDAY.
NO INSPECTION WILL BE MADE UNLESS THE PERMIT CARD IS DISPLAYED AND HAS BEEN APPROVED. PLANS ARE READLY AVAILABLE. IT IS
THE PERMIT APPLICANTS 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
OMMENCEMENT.
STRUCTURAL
INSPECTION DATE
Foundation
INSPECTION RECORD
INSP
Stemwall
Slab
Columns (1st Lift)
Columns (2nd Lift)
Tie Beam
Truss/Rafters
Roof Sheathing
Bucks
Interior Framing
Insulation
Ceiling Grid
Drywall
Firewali
Wire Lath
Pool Steel
Pool Deck
Final Pool
Final Fence
Screen Enclosure
Driveway
Driveway Base
TIn '
Roof in Progress
Mop in Progress
Final Roof
Shutters Attachment
Final Shutters
Rails and Guardrails
ADA compliance
FINAL
DOCUMEN iff
Soil Bearing Cert
Soil Treatment Cert
Floor Elevation Survey
Reinf Unit Mas Cert
Insulation Certificate
Spot Survey
Final Survey
Truss Certification
STRUCTURAL COMMENTS
WINDOWS & DOORS
INSPECTION DATE
INSP
Attachment
FINAL
PUBLIC WORKS
INSPECTION DATE INSP
Excavation
FINAL
INSPECTION
DATE
INSP
Temporary Pole
30 Day Temporary
Pool Bonding
Pool Deck Bonding
Pool Wet Niche
Underground
Footer Ground
Slab
Wall Rough
Ceiling Rou _
Rough F° '✓�
.zr4
Telep orY' a f ,
g
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
R. — �%
7
�"- Y "� I'—/'
/!'i
ELECTRICAL COMMENTS
PLUMBING
INSPECTION
DATE
INSP
Rough
r�^,.{`i'
pip
Water Service
2nd Rough
Top Out
.fir
rqr
Fire Sprinklers
Septic Tank
Sewer Hook-up
Roof Drains
Gas
LP Tank
Well
Lawn Sprinklers
Main Drain
Pool Piping
Backflow Preventor
Interceptor
Catch Basins
Condensate Drains
HRS Final
�p
FINAL 3-V1r LS
PLUMBING COMMENTS
MECHANICAL_._
INSPECTION
DATE
INSP
Underground Pipe
Rough
Ventilation Rough
Hood Rough
Pressure Test
Final Hood
Final Ventilation
Final Pool Heater
Final Vacuum
FINAL
MECHANICAL COMMENTS
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Perrrrit NO. RC-2-18-292
Permit TypeResidential Construction
Work Classification: Alteration
Permit Status: APPROVED
Issue Date: 2/23/2018
Expiration: 08/22/2018
Parcel Number
Applicant
567 NE 96 Street
Miami Shores, FL
1132060171580
Block: Lot:
MICHAEL BYRD
Owner Information
Address
Phone
Cell
MICHAEL BYRD
567 NE 96 ST
MIAMI SHORES FL 33138-2735
Contractor(s)
ARCO CONSTRUCTION
Phone
305-892-6507
CeII Phone
Valuation:
Total Sq Feet:
$ 17,500.00
75
Approved: In Review
Comments:
Date Approved: : In Review
Date Denied:
Type of Construction: TWO BATHROOMS/NEW FIXTURE
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
CO/CC Fee
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$10.80
$50.00
$7.88
$5.25
$3.60
$525.00
$9.00
$14.40
$625.93
Pay Date Pay Type
Invoice # RC-2-18-66349
02/23/2018 Check #: 1079
02/05/2018 Check #: 1100
Amt Paid Amt Due
$ 575.93 $ 50.00
$ 50.00 $ 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 Planning
Review Building
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: 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 authori he above -name contractor to do the work stated.
Authorized Signature:
Appli.II%t / Contractor / Agent
February 23, 2018
Date
Building Department Copy
February 23, 2018
1
BUILDING
PERMIT APPLICATION
❑ PLUMBING
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
❑ ELECTRIC ❑ ROOFING
RECEIVE
F:!: 06 2018
BY: �♦�
FB C2 t
2O
Master Permit No _ E3 `29 2
Sub Permit No.
❑ REVISION ❑ EXTENSION
❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION
CONTRACTOR
❑RENEWAL
❑ SHOP
DRAWINGS
JOB ADDRESS: S.-6 7 N . . � -itt si 2
City: Miami Shores County: Miami Dade Zip: !3 1
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): M ( -(- I Pre- _.. AN JCS 10 V9Phone#:
Address: c;::77 M.e ap+(A -1--
city: jAM lotLF,s State: c(_ Zip: 772, I3 g
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: A-R. 9 CL N' iro_oc. 1 Ok) coca? Phone#:
Addres►I ?,qq �) I- L 04 '
\ -
City: �\ �) 6. •U d e 5 State: Zip: > 1 3
Qualifier Name: L6c71_ �� S' •C7 tiu,
^� Phone#: (3'S) S�t7_^�Qco 7
State Certification or Registration #: 1 (i - (7,J' V�7 6, 3 Certificate of Competency #:
DESIGNER: Architect/Engineer:
Address:
Value of Work for this Permit: $
Type of Work: ❑ Addition
Description of Work:.
17 5700 ' . Square/Linear Footage of Work: 15
Phone#:
City: State: Zip:
❑ Alteration ❑ NewRepair/Replace ❑ Demolition
`T� t no IY S /N ►�1 �C i r f? t=
Specify color of color thru tile:
Submittal Fee $ <C • 7 �1 CO/CC $ SD • C
Scanning Fee $ c • d� $ Z� $ �/ Notary $ '
Technology Fee $ ("C ' -o
Structural Reviews $
Permit Fee $ 5 ` Q mil`-'
CCF $ (0 •
Radon Fee DBPR
Training/Education Fee $ • 310 Double Fee $ '—
Bond $ — y�
TOTAL FEE NOW DUE $ J • �I Z3
(Revised02/24/2014)
Bonding Company's Name (if applicable)
N/�
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 absence of such posted notice, the
inspection will not be approved and a reinspectionjee will be charged.
Signature
OWNER or AG&NT
The firegoing instrument was acknowledged before me this
Z N day of SAN \i W' , 20 ! X , by
tM (Ctth Q,7Rb
me or who has produced
, who is personally known to
identification and who did take an oath.
NOTARY PU: IC:
Sign:
Pri
S
as
Signa
CO
The foregoing instrument acknowledged before me this
O day of
me or who has produced as
identification and who did take an oath.
NOTARY PUB
1S(V V.)!A , 20 le , by
oo is personally known to
Sign:
Print:
OR
044"Pcis Notary Public State ofFlorida
Sindia Alvarez
A '4 c. , My Commission FF 156750
% 9�orfto� Expires09/03/2018
****************************************************************************************
PAy Notary Public State of Florida
Jeffry J Yao
My Commission FF 168481
Expires 11/12/2018
APPROVED BY
Seal:
Plans Examiner
******************
Zoning
(Revised02/24/2014)
Structural Review
Clerk
Arco Construction Corporation
February 05, 2018
State of Florida
County of Miami Dade
Before me this day personally appeared Lester Jensen who, being duly sworn, deposes and
says:
That he will be the only person working on the project located at:
567 NE 96th Street, Miami Shores, FL 33138
Sworn to (or affirmed) and subscribed before me this 05 day of February ,by
Personally know
Or Produced Identification
Type of Identification Produced
Print, Type or Stamp Name of Notary
t1 eV Notary Public State of Florida
J . . Sindia Alvarez
t My Commission FF 156750
•J• or tor Expires 09/0312018
°,Jl/ l.h RhJl J�1..)4"
General Contractors/CGC1505163/1665 N.E. 137`h Terrace/N. Miami, FL 33181
305.892-6507
•
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Notice to Owner — Workers' Compensation 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 ACKNOWLE11GE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS
CONTENTS.
Signature:
State of Florida
County of Miami -Dade r
The foregoing was acknowledge before me this Z.Sitil day of V � NU W/ , 20 I g .
By r1�y C i P4 �✓
Notary:
SEA
�gltt : ry Public Sta - of Florida
Jeffry J Yao
+*�� ' My Commission FF 168481
Cori Expires 11/12/2018
who is personally known to me or has produced
as identification.
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