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RC-17-2382J' ^ rQ6_a� �r ��A�S 2 Miami Shores Village 10050 N.E. 2nd Avenue NW Miami Shores, FL 33138-0000 Phone: (305)795 2204 Project Address Permit No. RC-10-17-2382 Type : e: Residential Construction enlimit work Classification: Alteration Permit Status: APPROVED Parcel Number Issue Date: 2114/2018 1 Expiration: 08/13/2018 Applicant 85 NW 103 Street 1121360131080 Miami Shores, FL 33150-1233 Block: Lot: DM INVESTMENT SERVICES LL( Owner Information Address Phone Cell DM INVESTMENT SERVICES LLC 85 NW 103 Street (786)473-5959 MIAMI SHORES FL 33150- 85 NW 103 Street MIAMI SHORES FL 33150- Contractor(s) Phone Cell Phone FREEMANS CONSTRUCTION & ENW (786)337-0665 In Review Approved:: In Review Denied: of Construction: NEW REPAIR AND REPLACE ALL E Occupancy: Single Family ies: Exterior: it Setback: Rear Setback: Setback: Right Setback: rooms: Bathrooms: Is Submitted: Yes Certificate Status: ificate Date: Additional Info: d Return : Classification: Residential Fees Due Amount Bond Type - Owners Bond $500.00 CCF $75.00 CO/CC Fee $50.00 DBPR Fee $56.25 DCA Fee $37.50 Education Surcharge $25.00 Penalty Fee $100.00 Permit Fee $3,750.00 Plan Review Fee (Engineer) $80.00 Plan Review Fee (Engineer) $120.00 Plan Review Fee (Engineer) $120.00 Plan Review Fee (Engineer) $120.00 Re -Inspection Fee 1 st Occurence $75.00 Re -Inspection Fee 2nd Occurence $75.00 Scanning Fee $36.00 Technology Fee $100.00 Work without Permit Fee $3,750.00 Total: $9,069.75 Valuation: $ 125,000.00 Total Sq Feet: 2500 Pay Date Pay Type Amt Paid Amt Due Invoice # RC-10-17-65249 02/14/2018 Check #: 145 $ 8,569.75 $ 500.00 02/14/2018 Check #: 147 $ 300.00 $ 200.00 10/05/2017 Check #: 90 $ 200.00 $ 0.00 Bond #: 3659 Available Inspections: Inspection Type: Fill Cells Columns Final PE Certification Window Door Attachment Framing Insulation Drywall Screw Window and Door Buck Review Planning Review Electrical Review Building Review Building Review Building Review Building Review Structural Review Structural Review Structural Review Structural Review Mechanical Review Plumbing 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. 4, 2018 1 �, SNortEs h`- �LORIDp' Project Address Miami Shores Village 10050 N.E. 2nd Avenue NW Miami Shores, FL 33138-0000 Phone: (305)795-2204 Permit No. RC-10-17-2382 Permit Type: Residential Construction ermolt Work Classification. Alteration Permit Status: APPROVED Parcel Number Issue Date: 2/14/2018 1 Expiration: 08/13/2018 Applicant 85 NW 103 Street 1121360131080 DM INVESTMENT SERVICES LL( Miami Shores, FL 33150-1233 Block: Lot: Owner Information Address Phone Cell DM INVESTMENT SERVICES LLC 85 NW 103 Street (786)473-5959 MIAMI SHORES FL 33150- 85 NW 103 Street MIAMI SHORES FL 33150- Contractor(s) Phone Cell Phone FREEMANS CONSTRUCTION & ENGIN (786)337-0665 Approved: In Review Comments: Date Approved:: In Review Date Denied: Type of Construction: NEW REPAIR AND REPLACE ALL E Occupancy: Single Family Stories: Exterior: Front Setback: Rear Setback: Left Setback: Right Setback: Bedrooms: Bathrooms: Plans Submitted: Yes Certificate Status: Certificate Date: Additional Info: Bond Return : Classification: Residential Fees Due Amount Bond Type - Owners Bond $500.00 CCF $75.00 CO/CC Fee $50.00 DBPR Fee $56.25 DCA Fee $37.50 Education Surcharge $25.00 Penalty Fee $100.00 Permit Fee $3,750.00 Plan Review Fee (Engineer) $80.00 Plan Review Fee (Engineer) $120.00 Plan Review Fee (Engineer) $120.00 Plan Review Fee (Engineer) $120.00 Re -Inspection Fee 1st Occurence $75.00 Re -Inspection Fee 2nd OccuT�. $75.00 Scanning Fee $36.00 Technology Fee $100.00 Work without Permit Fee,-, $3,750.00 Total: l'�$9,069.75 Valuation: $ 125,000.00 Total Sq Feet: 2500 Pay Date Pay Type Amt Paid Amt Due Invoice # RC-10-17-65249 02/14/2018 Check #: 145 $ 8,569.75 $ 500.00 02/14/2018 Check #: 147 $ 300.00 $ 200.00 10/05/2017 Check #: 90 $ 200.00 $ 0.00 Bond #: 3659 Authorized SignA re: Own r / Applicant Building Department Copy / Contractor / Agent Fe Available Inspections: Inspection Type: Final PE Certification Window Door Attachment Framing Insulation Drywall Screw Window and Door Buck Review Planning Review Electrical Review Building chanical mbing 14, 2018 February 14, 2018 2 t� Y BUILDING 2`P PERMIT APPLICATION Miami Shores Village v (IS 2017 Building Department BY. 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 <� FBC 201 Master Permit No.. Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑ PLUMBING ❑ MECHANICAL ❑ PUBLIC WORKS ❑ CHANGE OF ' ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 10—a sr- 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): 4-sxw h A Phone#:! Address: \17LI '�20 '/0-- City: n Tenant/Lessee N e: Email: 'f '�Qr �•� CONTRACTOR: C pany,�Name: 11 Address: b & SU) ` (o L City: Qualifier Name: 60,kq%d State Certification or Registration #: (—'(a1,+ /1 State: Zip: Phone#: ne#: ne#: - to S31-M5 ne#: of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: Value of Work for tFiis Pawr Type of Work: ❑ Addi'tion*t i--1' er p.r�� ❑ N Description of Work:I�ISt� �Q�O�\(�\11C� i City: State: (� Zip: Square/Linear Fogtage of Work: W W Repair/Replace Lj Demoliti Specify color of color thru tile: Submittal Fee $ !-0�) ` GQI Permit Fee $ 3aeQ•(M CCF $ 7;S . 03 CO/CC $ CP;0 • Q7 Scanning Fee $ 3 - CJZ) Technology Fee $ ( Q0• CO Radon Fee $ 3� ' DBPR $ SRO• .�S Notary $ 03 Training/Education Fee $ Double Fee $ ��SO• � Structural Reviews $ 9 • � (�• Ob 2cy' �� Bond $ 5- . 0z) �Mp��'�( TOTAL FEE NOW DUE $ 03. (Revised02/24/2014) ��- N S — "" _O� �` • � •0 Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) _ Mortgage Lender's Address City State Zip Zid 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 low 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 OWNER or AGENT C NTRACTOR The foregoing instrument was acknowledged before me this - V� day of 9-0— , 20 \: 7 J by r%( 3 who is personally known to me or who has produced [[ XS57-3;;?0--ICX03— identification and who did take an oath. NOTA7PUBLI \1 Sign: Print: ��i.L(tX:••.•...t7.1'�i�.,.� e The foregoing instrument 1 vas acknowledged before me this 0^a day of OC�o , 20 17 by Q 'l%M4m who is personally known to me or who has produced as identificatiopeho didV**"&qf4kZ I NOTARY P lion # GG 12,19M �� tetra,,, � t1.2021 Sign: Print: Seal: � �Q';r �'"'�„yY-'•�"<<` • y r Seal: � r My Comm. Expires: = July 27, 2018 (P : No. FF 145596 r � ).UBL\•. NV �� ••.... Q`OF `� APPROVEIS' ,_ F\"� �� b ( Plans Examiner Zoning h % / Structural Review Clerk (Revised02/24/2014) Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Nutiue to Owner — worKers- c;ompensavon 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 � day of _Sep± , 20 N BY_V`fJI .) i ,nrCn { 7 who is personallyme or has produced —7U-703-was identification. `%.P• V I .. / Notary: J y S My Comm. Expires: r July 27, 2018 SEAL: N No. FF 145596 .4,.b FREEMAN'S CONSTRUCTION & ENGINEERING GROUP INC. Professional Engineering PE # 66341 CA #31040 General Contractor License # CGC 1513699 Electrical Contractor License # EC 13007927 Plumbing Contractor License # CFC 1429863 Mechanical Contractor License # CAC 1819129 10610 SW 146 PL Miami FI 33186 Phone:786-337-0665 Fax: 786-472-8810 constructionfreeman@yahoo.com Date:O'\07�X0i State of 0— County of -�Q �,, Before me this day personally appeared ems. H t(Qt� who, being duly sworn, Deposes and says. That he or she will be the only person working on the project located at: Contractor Sign Sworn to (or affirled) and subscribed before me this 04 day of �ENM .20 \t by 1 QCZW Personally know OR Produced Identification Type of Identification Produced YAWT MAR WIM 1 * Commission A GG 12333 Expires Wp11,2021 '4'q /aaod 1Mi euao.ur'omry sNMol� 4 FREEMAN'S CONSTRUCTION & ENGINEERING GROUP INC. 10610 SW 146 h PLACE MIAMI, FL 33186 Professional Engineer P.E. No. 66341 CA LIC. No. 31044 Phone: 786-337-0665 e-mail: constructionfreeman@yahoo.com AS BUILT CERTIFICATE June 17, 2018 Miami Shores Village Building Department 10050 NE 2nd Avenue Miami Shores, FL 33138 Re: Interior Remodeling at 85 NW 103`d Street Miami Shores, FL 33150 Dear Sirs: Of visual inspection, I hereby attest that, the 2"x10" wood rafters together to the existing concrete beam are anchored to the beam with 5/8" diameter expansion anchor x 3" embedment installed @ 12" o.c., as indicated in the attached detail. The structure also complies with all requirements of the Florida Building Code 2017, Secti6n 3401, with the permit application and any approved by the Building Official, if applicable. EMILIANO OROZCO, P.E. Lic. No. 66341 (TY�P4 w000 �g� �y� P&Ij S 10 x WOCX) MAI(-P-72- T-)E,-r4(L, CUt a o TG Certificate of Completion Miami Shores Village x 10050 N.E. 2nd Ave, Miami Shores, Florida 33138 Tel: 305-795-2204 Fax: 305-756-8972 Building Inspection Department Description: Renovation and remodeling of the house. � Permit Type Building (Residential) Bldg. Permit No. RC-10-17-2382 Owner DM INVESTMENT SERVICES LLC Contractor IIANS CONSTRUCTION & ENGINEERING GROI Subdivision/Project Date Issued 04/18/2019 I Construction Type V-B Occupancy Single Family 3r Type s Square Footage 2,203.00 Flood Zone X ` Location If the building is located in a special flood hazard area documentation of the as -built lowest floor r. 3 85 NW 103 ST elevation or lowest horizontal structural member has been provided and is retained in the records of r: Miami Shores, FL 331501233 Miami Shores Village. ' This certificate issued pursuant to the requirements of the Florida Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the jurisdiction regulating building construction or use. Building Officials Approval Not Transferable POST IN A CONSPICUOUS PLACE Ismael Naranjo, CBO Miami Shores Village Building Department 10050 NE 2 Ave Miami Shores FL 33138 r Penn 1V0. `RC-'f -- �'-23 2: Type.: Buildingt(Residientiat) n' workc/ass:=Atteralfon. 0,eirmi.4 4'tmtree• AnnroweA' Issue Date: 2/14/2018 Expires: 06/13/2019 INSPECTION REQUESTS: (305)762.4949 or tog on at https:libtdg.msvfl.govlenergov_prodiselfservice Requests must be received by 3:30pm WORK IS ALLOWED: MONDAY THROUGH FRIDAY, 8:00AM - TOOPM SATURDAY 8:OOAM - 6:OOPM. NO WORK IS ALLOWED ON SUNDAY OR HOLIDAYS BUILDINGAND ROOFING INSPECTIONSARE DONE MONDAYTHROUGH FRIDAY . NO INSPECTION WILL BE MADE UNLESS THE PERMIT CARD IS DISPLAYED AND HAS BEEN APPROVED . PLANS ARE READILY 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 . POST ON SITE 1121360131080 Owner's Name: Owner's Phone: (786)473-5959 Job Address: 85 NW 103 ST Total Square Feet: 2,500 Miami Shores, FL 33150-1233 rotal Job Valuation: $ 125,000.00 Contractor(s) Phone Address FREEMANS CONSTRUCTION & ENGINE (786)337-0665 10610 SW 146 PL, MIAMI, FL 33186 Description: NEW REPAIR AND REPLACE ALL EXISTING HOUSE AS PER PLANS . 01-26-2018 at 3.20 pm. Meeting with property owner and contractor u u fir JOBAT t 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. Page 1 of 1 - J. INSPECTION RECORD \"%. DATE I 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 Base Tin Cap In -Progress Roof Installation Roofing Final Shutters Attachment Final Shutters Rails and Guardrails ADA compliance / DOCUME S Soil Bearing Cert Soil Treatment Cert Floor Elevation Survey Reinf Unit Mas Cert Insulation Certificate Spot Survey Final Survey Truss Certification STRUCTURAL COMMENTS WINDOWSDOORS INSPECTION I DATE INSP Attachment WORKSPUBLIC INSPECTION DATE INSP Excavation ELECTRICAL INSPECTION DATE INSP Temporary Pole 30 Day Temporary Pool Bonding Pool Deck Bonding Pool Wet Niche Underground Footer Ground Slab Wall Rough Ceiling 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 ELECTRICAL COMMENTS Final Sprinkler Final Alarm DATE INSPECTION I DATE IN, t. Water Service 2°d Rough Top Out 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 1 PLUMBING COMMENTS INSPECTION DATE I INSP Underground Pipe Rou Ventilation Rough Hood Rough Pressure Test Final Hood Final Ventilation Final Pool Heater Final Vacuum MECHANICAL COMMENTS