RC-18-227a.
13
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Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138-0000
Phone, (305)795-2204 Fax: (305)756-8972
POST ON SITE
Permit NO. RC -1 -18-227
Permit Type: Residential Construction
Work Classification: Alteration
Issue Date: 3/12/2018 Expires: 09108/201
INSPECTION REQUESTS: (305)762-4949 or Log on at https://bidg.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 #:1121360131070
Owner's Name: Owner's Phone: (305)219-8267
Job Address: 84 NW 104 Street _ Total Square Feet: 2000
Miami Shores FL 33150-1238 - Total Jaivation: $ 24,000.00
Bond Number:
Contractor(s) Phone Primary Contractor. j
APC ENGINEERING ENTERPRISES (305)219-8207 Yes
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WORK IS ALLOWED:
MONDAY THROUGH FRIDAY, 8:OOAM - 7:00PM.
SATURDAY 8:OAAM - 6:00PM.
NO WORK IS ALLOWED ON SUNDAY OR HOLIDAYS.
AND ROOFING INSPECTIONS ARE DONE
THROUGH FRIDAY.
4
NO, INSPECTION WILL BE MADE UNLESS THE PERMIT CARD IS DISPLAYED ANED HAS BEEN APPROVED. PLANS ARE READILY 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, CONSIJ LT WITH YOUR LENDER OR AN
ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF
COMMENCEMENT.
INSPECTION
Foundation
Sternwall
Slab
Columns (1st Lift)
Columns (2nd Lift)
Tie Beam
Truss/Rafters
Roof Sheathing
Bucks
Interior Framing
Insulation
i-ullln�,' and
Drywall
_
Firewall
Wire Lath
Pool Steel
Pool Deck
Final Pool
Final Fence
Screen Enclo_
ss
Driveway
Driveway bas:_
Tin Cap
Roof in Progress
Mop in Progress
Final Roof
Shutters Attachment
Final Shutters
Rails and Guardrails
ADA compliance
C��fP1NSPECTIbN RECORD
DATE I INSP
DOCUMENTS
Soil Bearing Cert
Soil Treatment Cert
Floor Elevation Survey
Reinf Unit Mas Cert
Insulation Certificate
Spot Survey
Final Survey
Truss Certification
STRUCTURAL COMMENTS
WINDOWS:....
INSPECTION
DATE INSP
Attachment
PUBLIC
INSPECTION
WORKS
DATE INSP
Excavation
IWWI
NSPECTION
le
DATE INSP
Temporary Pole
30 Day Temporary
'b
Pool Deck Bonding
Pool Wet Niche
Underground
Footer Ground
Slab
Wall Rough
Ceiling Rou
Rough
Teleph ou
Telephone Final
TV Rough
TV Final
Cable Rough
Cable Final
Intercom Rough
Intercom Final
Alarm Rough
Alarm Finai
Fire Alarm Rough
Fire Alarm Final
Service Work With
Z�
ELECTRICAL COMMENTS
INSPECTION
Rough
Water Service
2nd Rough
Ton Out
Fire Sprinklers
Se�TankSeRoof Drains
Gas
LP Tank
Well
Lawn Sprinklers
Main Drain
Pool Piping
Backflow Preventor
Interceptor
Catch Basins
Condensate Drains
HRS Final
DATE I INSP
PLUMBING COMMENTS
INSPECTION ATE INSP
Underground Pipe
Rough
Ventilation Rough
Hood Rough
Pressure Test
Final Hood
Final Ventila,:ion
Final Pool Heater
Final Vacuum
MECHANICAL COWMENTS
A_j !A JR, i 34
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Certificate of Completion
Miami Shores Village
10050 N.E. 2nd Ave, Miami Shores, Florida 33138
Tel: 305-795-2204 Fax: 305-756-8972
Building Inspection Department
Description: KITCHEN AND 2 BATHS RENOVATION
Permit Type Building (Residential) Bldg. Permit No. RC -1-18-227
Owner ALYKAY INVESTMENTS LLC Contractor APC ENGINEERING ENTERPRISES INC
Subdivision/Project Date Issued 05/02/2019
Construction Type V -B Occupancy Single Family
Type
Square Footage 2,000.00 Flood Zone X
Location If the building is located in a special flood hazard area documentation of the as -built lowest floor
84 NW 104 ST elevation or lowest horizontal structural member has been provided and is retained in the records of
Miami Shores, FL 331501238 Miami Shores Village.
This certificate issued pursuant to the requirements of the Florida Building Code certifying that at the
:4F, ORES time of issuance this structure was in compliance with
various ordinances of the jurisdiction
regulating building construction or use.
1 H lli
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Building Officials Approval Ismael Naranjo, CBO
_E1
(
A t IOR'110 Not Transferable
POST IN A CONSPICUOUS PLACE
W
�` ytIORES L,!
L,F[ORl9Ay
Miami Shores Village
10050 N.E. 2nd Avenue NW
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit No. RC -1-18-227
tPermit Type: Residential Construction
er�' Work Classification: Alteration
Permit Status: APPROVED
Issue Date: 311212018 1 Expiration: 09/08/2018
Project Address Parcel Number Applicant
84 NW 104 Street 1121360131070
Miami Shores, FL 33150-1238 Block: Lot: ALYKAY INVESTMENTS LLC
Owner Information
ALYKAY INVESTMENTS LLC 84 NE 104 Street (305)219-8267
FL
Contractor(s) Phone Cell Phone
APC ENGINEERING ENTERPRISES IN (305)219-8267
roved: In Review
Approved:: In Review
Denied:
of Construction: WORK PER PLAN SETUP KITCHEN Occupancy: Single Family
as Exterior:
Front Setback:
Left Setback:
Bedrooms:
Plans Submitted: Yes
Certificate Date:
Fees Due
Amount
CCF
$14.40
CO/CC Fee
$50.00
DBPR Fee
$10.80
DCA Fee
$7.20
Education Surcharge
$4.80
Miscellaneous Fee
$13.76
Penalty Fee
$100.00
Permit Fee
$720.00
Plan Review Fee (Engineer)
$120.00
Scanning Fee
$27.00
Technology Fee
$19.20
Work without Permit Fee
$720.00
Total:
$1,807.16
Rear Setback:
Right Setback:
Bathrooms:
Certificate Status:
Additional Info:
Classification: Residential
Valuation: $ 24,000.00
Total Sq Feet: 2000
Pay Date Pay Type Amt Paid Amt Due
Invoice # RC -1-18-66268
03/12/2018 Check #: 1567 $ 1,607.16 $ 200.00
01/29/2018 Credit Card $ 200.00 $ 0.00
Avanaoie ins
Inspection Type:
IFinal PE Certification
Window Door Attachment
Insulation
Drywall Screw
Window and Door Buck
Fill Cells Columns
Review Electrical
Review Electrical
Review Building
Review Structural
Review Mechanical
Review Planning
Review Plumbing
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.
March 12, 2018
Signature: CJwner / Applicant / Contractor / Agent
Building Department Copy
March 12, 2018 1
�Q UI G, � ( pG(j l/ e�lf —
BUILDING
R
Miami Shores Village -/4*49
N�� 4,0,-' uilding Department 40100
•10050 N.E.2nd Avenue, Miami Shores, Florida 33108�
38
Tel: (305) 795-2204 Fax: (305) 756-8972
'✓ INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 20
Master Permit No.A., CI r - n-7
PERMIT APPLICATION
Sub Permit No.
BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION RENEWAL
PLUMBING ❑ MECHANICAL [—]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 4y/ N• kv-. /0 /7/
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: if --7(3(a —()1.3 — (o -)o Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): 4) /y XR / 7 PIV,05T 00 n i.r Phone#: .3` 2/9 "8
Address: -101 7 6f S, -,*tine 81 v a( .
City: £Il I&? r+1 t Sign r S State: _ - %CL Zip!
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: 9�P— 61 O�Pr( P7 F.- Phone#: <3V J- 8 dTS-z
.01
Address: 2/ SD W• U��► qt yt
City: 7t fGt 1 ec Z ► State: lC& Zip: 3� U% 0
Qualifier Name: J) i goI / l C
State Certification or Regist
/S-/,X-7�-7
Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ Z q 04fo Square/Linear Foot a of Wo" 2 000 • Ge'
Type of Work: ❑ Addition El Alteration ❑ New Repair/Replace ❑ Demolition
Description of Work: ifLZ/fI 4'r(?,T
Specify color of color thru tile:
.(
Submittal Fee $DOW Permit Fee $
Scanning Fee $ Radon Fee $
Technology Fee
Structural Reviews $
(Revised02/24/2014)
Training/Education Fee $
CCF $
DBPR $
40 Y(Y.IA8
it t _.!SUM Y101
wo .11ir °oo
% ,.
CO/CC $ r
- -
Notary $
Double Fee $ "r 100
Bond $
TOTAL FEE NOW DUE $
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City 4 State
Zip
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 reinspecti ee will be charged.
Signatur Signature
OW or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this
day of o2l 12020 by
APIA14ada .ti I-k4o14,u0 Z; whos personally know to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign: ��d2l
APPROVED BY
(Revised02/24/2014)
SANDY ROMERO
Notary Public - State of Florida
Commission # FF 915708
My Comm. Expires Sep 7, 2019
Bonded through National Notary Assn.
The foregoing instrument was acknowledged before me this
day of Z �20 1 � by
7--) v, J b,, D
�16 l/ who i e�to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: SO 4077 t' rb
Seal:
tit G
Plans Examiner
Structural Review
SANDY ROMERO �.
Notary Public - State of Florida
Commission # FF 915708
11 Comm.•Ex fres Sep 7, 2019
Bondedthrou9�i *10AM �'iP1M
Zoning
Clerk
CENGI,NEERIkG
ENTERPRISES
AFFIDAVIT
I, David M Dipuglia , will be the only person working on the project at
84 NW 104TH ST MIAMI SHORES, FL 33150
David M Dipuglia
General Contractor
(305) 219-8267
daviddapc@gmail.com
Signature-�� ��
The foregoing instrument was acknowledged before me this j day of 2g , 20 to"'
By UtD 6 r �� �`��^ , wh e�onll kn n to me or who has produced
cation and who did take an oath.
NOTARY PUBLIC:
Signature3md'4 sgy-z-
Print: ' /2Dm Vey
Seal:
,`pay"'��.,, SANDY ROMERO
Notary Public - State of Florlda
Commission # FF 915708
My Comm. Expires Sep 7, 2019
Bonded through National Notary Assn.
APC Engineering Enterprises, Inc.
2150 West 1 V Avenue • Hialeah, FL 33010 • Phone: (305) 885-5371 • FAX: (305) 885-5073 • apcengineering@gmail.com
Page 1 of 1
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' Comaensation 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:
O r
State of Florida
County of Miami -Dade
The foregoing was acknowledge before me this / day of 20 20 If
By Z who is personally known to me or has produced
as identification.
Notary:
SEAL: SANDY ROMERD
µ
` �Y IW,�,i4�
` ls, Notary Public - State of Florida
My Comm. Expires Sep 7, 2019
!aided throtgh National Notary Assn.