RC-19-2954Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Issue Date: 04/06/2020
Location Address Parcel Number
501 NE 106TH ST, Miami Shores, FL 33138 1122310140090
Contacts
Permit NO.: RC-12-19-2954
Permit Type: Building (Residential)
Work Classification: Alteration
Permit Status: Approved
Expiration: 06/15/2020
JAMES FIELDS Owner GRAHAM BUILDING INSPECTIONS INC Contractor
501 NE 106 ST, MIAMI SHORES, FL 331382045 Michael Graham
845 NE 71 ST, MIAMI, FL 33138
Business: 3057763106 gbisince1990@gmail.com
Mobile: 3057763106
Inspection Re uests:
Description: RE-SETUCCO EXTERIOR WALL AFTER CUTS BY Valuation: $1,000.00 Ins 305-e62-4949
PLUMBER. RESTORE INTERIOR PLASTER WALLS AFTER CUTS BY
PLUMBER. REPAINT. Total Sq Feet: 20.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$0.60
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.20
Permit Fee
$50.00
Scanning Fee
$3.00
Structural Review ($90)
$90.00
Technology Fee
$2.50
Total:
$200.30
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$200.30
Check # 112
12/16/2019 $50.00
Credit Card
04/06/2020 $150.30
Amount Due:
$0.00
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.
COVID-19
Authorized Signature: Owner / Applicant / Contractor / Agent Date
April 06, 2020 Page 2 of 2
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
BUILDING
PERMIT APPLICATION
&BUILDING ❑ ELECTRIC ❑ ROOFING
RECEIVED
DE 2dp19
BY: ! �
FBC20(�
Master Permit No. -P—C- ! 2-1 q 2 s5
Sdb Permit No.
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: R5) ! �1 � F_ L o ( ST-
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated: Yes NO -
Occupancy Type: i MLoad: Construction Type: 6S Flood Zone: rto BFE: FFE:
OWNER: Name (Fee Simple Titleholder): J Anr. es `1 e l CAS Phone#:
Address: 561 RE. 10G ST
City: H LMW,1 Shoves State: F� Zip: 15S 1� 38
Tenant/Lessee Name: 1 Phone#: 30AS 5!� 14Z
Email:
CONTRACTOR: Company Name: !gy""'4 VV1 DV•1 %V%g 1r5[7 — IriC Phone#: 3'>5 4-74 ✓ 1o(o
Address: 84 b�l.� �� S'i
City: R101m t State: F( Zip: 3 9 Z 3 b
Qualifier Name: iti ONNP_I V-AJA 1)" Phone#: 30s jL-76 3Joo�p
State Certification or Registration #: Certificate of Competency #: QWO 1 :7 1569
DESIGNER: Architect/Engineer:
Address:
Value of Work for this Permit: $ 600
Type of Work: ❑ Addition
Description of Work:
nlvw%b %Qv' -
hone#:
City: State: Zip:
1 t d 00 Square/Linear Footage of Work: 20 s q f
❑ Alteration ❑ New 0 Repair/Replace ❑ Demolition
, 'f'occo exteirlor Wall ac--}eV Cuts 6y
(ZeS-Ew e I M evt t> Y'
wcktts
C%..*
Uy n[� evfr ....`'._RQ P% tni ia.,F...bi t r:•� pi
Specify color,of co/or�thru-tile:
, .. 1 ' , '
Submittal Fee $. , `i ' .1'Permit Fee $ CCF $� Y CO/CC $ Y
. «.
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $_
Structural Reviews $
(Revised02/24/2014)
Training/Education Fee $
Double Fee $
Bond $
TOTAL FEE NOW DUE $
Bonding Company's
Bonding Company's
City
(if applicable)
State
Mortgage Lender's Name (if applltiable)
Mortgage Lender's Address
City
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: 1 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 reinspection fee will be charged.
Signature
OWNER or AGENT
The foregoing instrument was acknowledged before me this
day of "�'�M0(-- , 20 by
who is personally known to
me or who has producedF(---Dr2A �FZ u-� N 'r' as
identification and who did take an oath.
NOTARY PUB IC:
Sign:
Print:
Signature • `��''"
CONTRACTOR
t
The foregoing instrument was acknowledged before me this
day of 2 20 7 by
I✓ —R\Q��t w'ho is pfers nally known to
me or who has produced--FK CCE- Wz,-'�as
identification and o did take an oath.
NOTARY PUBLIC
Sign:
Print:
L1'1�
�,,' • SINDIA ALVAREZ
Seal:t: MY COMMISSION#GG238273 Seal:
�►!4 "!!� ; SINDIA ALVAREZ
�EXPIRES: September 3,2022MYCOMMI
SSION # GG 238273
;R: Woo Tluu Notary 4114 Ur dervftn ' `
t o o ; EXPIRES: September 3, 2022
APPROVED BY Plans Examiner Zoning
9VI Il 144 4 Structural Review Clerk
(Revised02/24/2014)
Notice to Owner - Workers' Com
Miami shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
nsation 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:
I. 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 J� day of ]k_1EM0C-7- , 20 V_-)
By _Np(\&J�S UIZ —VI CC->S who is personally known to me or has produced
�_A_Czt-i S�- as identification.
Notary:
tirl !; SINDIA ALVAREZ
SEAL. MY COMMISSION # GG 238273
p� EXPIRES: September 33,200222
�YfORM1� w1W II.Y Notwy PubkMWe w1nOrs
PERMIT ADDRESS: 501 NE 106TH ST PARCEL: 1122310140090
Miami Shores, FL 33138
APPLICATION DATE: 12/16/2019 SQUARE FEET: 20.00 DESCRIPTION: RE-SETUCCO EXTERIOR WALLAFTER CUTS BY
EXPIRATION DATE: 06/13/2020 VALUATION: $1,000.00 PLUMBER. RESTORE INTERIOR PLASTER WALLS
AFTER CUTS BY PLUMBER. REPAINT.
CONTACTS NAME COMPANY ADDRESS
Contractor MICHAEL GRAHAM GRAHAM BUILDING INSPECTION INC
, FL
MICHAEL GRAHAM GRAHAM BUILDING INSPECTION INC 845 NE 71 ST
MIAMI, FL 33138
Owner JAMES FIELDS 501 NE 106 ST
MIAMI SHORES. FL 33138
.line
REVIEW ITEM STATUS REVIEWER
Building v.1 Requires Re -submit Ismael Naranjo email: naranjoi@msvfl.gov
Review item used to allow building to comment during a plan review
Comments: 1. Provide working plans with details and specifications for the entire project. Including compaction and subterraneous termite
treatment.
Building v.2 Requires Re -submit Ismael Naranjo email: naranjoi@msvfl.gov
Review item used to allow building to comment during a plan review
Comments: Pending the following comments.
1. Provide working plans with details and specifications for the entire project. Including compaction and subterraneous termite treatment.
According to note provided on the plans the plumbing contractor will be cutting the exterior CMU wall. The exterior walls are load bearing walls
and should not be cut without approved plans signed and sealed by a qualify, Florida license engineer. Please provide plans require for the
project. The plans should comply with the requirements of the 2017 Florida Building Code, Existing Building based on compliance method selected
from 301 and level of alteration per 501.
Building v.3 Requires Re -submit Ismael Naranjo email: naranjoi@msvfl.gov
Review item used to allow building to comment during a plan review
Comments: Pending the following comments.
1. Provide working plans with details and specifications for the entire project. Including compaction and subterraneous termite treatment.
According to note provided on the plans the plumbing contractor will be cutting the exterior CMU wall. The exterior walls are load bearing walls
and should not be cut without approved plans signed and sealed by a qualify, Florida license engineer. Please provide plans require for the
project. The plans should comply with the requirements of the 2017 Florida Building Code, Existing Building based on compliance method selected
from 301 and level of alteration per 501.
Plumbing v.1 Approved Maykel Massanet email: pl@msvfl.gov
March 10, 2020 10050 NE 2 Ave Miami Shores FL 33138 Page 1 of 1
`SNORwS V�! ,
f�OR1D�'
PERMIT ADDRESS: 501 NE 106TH ST PARCEL: 1122310140090
Miami Shores, FL 33138
APPLICATION DATE: 12/16/2019 SQUARE FEET: 20.00 DESCRIPTION: RE-SETUCCO EXTERIOR WALL AFTER CUTS BY
EXPIRATION DATE: 06/13/2020 VALUATION: $1,000.00 PLUMBER. RESTORE INTERIOR PLASTER WALLS
AFTER CUTS BY PLUMBER. REPAINT.
CONTACTS NAME
COMPANY ADDRESS
Contractor MICHAEL GRAHAM
GRAHAM BUILDING INSPECTION INC
, FL
MICHAEL GRAHAM
GRAHAM BUILDING INSPECTION INC 845 NE 71 ST
MIAMI, FL 33138
Owner JAMES FIELDS
501 NE 106 ST
MIAMI SHORES, FL 33138
i
REVIEW ITEM STATUS REVIEWER
Building v.1 Requires Re -submit Ismael Naranjo email: naranjoi@msvfl.gov
Review item used to allow building to comment during a plan review
Comments: 1. Provide working plans with details and specifications for the entire project. Including compaction and subterraneous termite
treatment.
Plumbing v.1 Approved Maykel Massanet email: pl@msvfl.gov
January 03, 2020 10050 NE 2 Ave Miami Shores FL 33138 Page 1 of 1
PERMIT ADDRESS: 501 NE 106TH ST PARCEL: 1122310140090
Miami Shores, FL 33138
APPLICATION DATE: 12/16/2019 SQUARE FEET: 20.00 DESCRIPTION: RE-SETUCCO EXTERIOR WALL AFTER CUTS BY
EXPIRATION DATE: 06/13/2020 VALUATION: $1,000.00 PLUMBER. RESTORE INTERIOR PLASTER WALLS
AFTER CUTS BY PLUMBER. REPAINT.
CONTACTS NAME COMPANY ADDRESS
Contractor MICHAEL GRAHAM GRAHAM BUILDING INSPECTION INC
, FL
MICHAEL GRAHAM GRAHAM BUILDING INSPECTION INC 845 NE 71 ST
MIAMI, FL 33138
Owner JAMES FIELDS 501 NE 106 ST
MIAMI SHORES, FL 33138
REVIEW ITEM STATUS REVIEWER
Building v.1 Requires Re -submit Ismael Naranjo email: naranjoi@msvn.gov
Review item used to allow building to comment during a plan review
Comments: 1. Provide working plans with details and specifications for the entire project. Including compaction and subterraneous termite
treatment.
Plumbing v.1 Approved Maykel Massanet email: pl@msvfl.gov
January 03, 2020 10050 NE 2 Ave Miami Shores FL 33138 Page 1 of 1
Fit n�i iit
IOP
PERMIT ADDRESS: 501 NE 106TH ST PARCEL: 1122310140090
Miami Shores, FL 33138
APPLICATION DATE: 12/16/2019 SQUARE FEET: 20.00 DESCRIPTION: RE-SETUCCO EXTERIOR WALL AFTER CUTS BY
EXPIRATION DATE: 06/13/2020 VALUATION: $1,000.00 PLUMBER. RESTORE INTERIOR PLASTER WALLS
AFTER CUTS BY PLUMBER. REPAINT.
CONTACTS NAME COMPANY ADDRESS
Contractor MICHAEL GRAHAM GRAHAM BUILDING INSPECTION INC
, FL
MICHAEL GRAHAM GRAHAM BUILDING INSPECTION INC 845 NE 71 ST
MIAMI, FL 33138
Owner JAMES FIELDS 501 NE 106 ST
MIAMI SHORES, FL 33138
REVIEW ITEM STATUS REVIEWER
Building v.1 Requires Re -submit Ismael Naranjo email: naranjoi@msvfl.gov
Review item used to allow building to comment during a plan review
Comments: 1. Provide working plans with details and specifications for the entire project. Including compaction and subterraneous termite
treatment.
Building v.2 Requires Re -submit Ismael Naranjo email: naranjoi@msvfl.gov
Review item used to allow building to comment during a plan review
Comments: Pending the following comments.
1. Provide working plans with details and specifications for the entire project. Including compaction and subterraneous termite treatment.
According to note provided on the plans the plumbing contractor will be cutting the exterior CMU wall. The exterior walls are load bearing walls
and should not be cut without approved plans signed and sealed by a qualify, Florida license engineer. Please provide plans require for the
project. The plans should comply with the requirements of the 2017 Florida Building Code, Existing Building based on compliance method selected
from 301 and level of alteration per 501.
Plumbing v.1
Approved Maykel Massanet email: pl@msvfl.gov
'^ e w
February 11, 2020 10050 NE 2 Ave Miami Shores FL 33138 Page 1 of 1
tSN..c� VQ
n'"
f�ORIDr'
PERMIT ADDRESS: 501 NE 106TH ST PARCEL: 1122310140090
Miami Shores, FL 33138
APPLICATION DATE: 12/16/2019 SQUARE FEET: 20.00 DESCRIPTION: RE-SETUCCO EXTERIOR WALLAFTER CUTS BY
EXPIRATION DATE: 06/13/2020 VALUATION: $1,000.00 PLUMBER. RESTORE INTERIOR PLASTER WALLS
AFTER CUTS BY PLUMBER. REPAINT.
CONTACTS NAME COMPANY ADDRESS
Contractor MICHAEL GRAHAM GRAHAM BUILDING INSPECTION INC
, FL
MICHAEL GRAHAM GRAHAM BUILDING INSPECTION INC 845 NE 71 ST
MIAMI, FL 33138
Owner JAMES FIELDS 501 NE 106 ST
MIAMI SHORES, FL 33138
dinc
REVIEW ITEM STATUS REVIEWER
Building v.1 Requires Re -submit Ismael Naranjo email: naranjoi@msvfl.gov
Review item used to allow building to comment during a plan review
Comments: 1. Provide working plans with details and specifications for the entire project. Including compaction and subterraneous termite
treatment.
Building v.2 Requires Re -submit Ismael Naranjo email: naranjoi@msvfl.gov
Review item used to allow building to comment during a plan review
Comments: Pending the following comments.
1. Provide working plans with details and specifications for the entire project. Including compaction and subterraneous termite treatment.
According to note provided on the plans the plumbing contractor will be cutting the exterior CMU wall. The exterior walls are load bearing walls
and should not be cut without approved plans signed and sealed by a qualify, Florida license engineer. Please provide plans require for the
project. The plans should comply with the requirements of the 2017 Florida Building Code, Existing Building based on compliance method selected
from 301 and level of alteration per 501.
Plumbing v.1 Approved Maykel Massanet email: pl@msvfl.gov
February 11, 2020 �. �� � �� � �. .,n 10050JNE 2 VAve Miami Shores FL 33138 rvw.,.._....-�-....�e,.....�._..,..__,. ���.�� Page 1 of 1
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ANA LUISA PARRILLA
Notary Public -State of Florida
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Commission I GG 090452
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My Comm. Expires Apr 21, 2021
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