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RC-19-1428Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Permit NO.: RC-06-19-1428 Permit Type: Building (Residential) PILE)( Work Classification: Alteration Permit Status: Approved Issue Date12/16/2019 F Expiration: 06/15/2020 Location Address Parcel Number 969 NE 92ND ST, Miami Shores, FL 33138 1132060060031 Contacts Dwight Bourne Owner CDS2, CORP Contractor 969 NE 92 ST, Miami Shores, FL 331382910 WESLEY A CASTELLANOS 333 SE 2 AVE, MIAMI, FL 33131 Business:7862185335 WESLEY@CASTELLANOSDESIGN.COM Inspection Description: BATHROOM RENOVATION Valuation: $ 2,450.00 Inspection Requests: 4949 TotaISq Feet: 65.00 Fees Amount Application Fee - Other $50.00 CCF $1.80 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.60 Permit Fee $50.00 Scanning Fee $9.00 Technology Fee $2.50 Work Without Permit 1st Offense $100.00 Work Without Permit 1st Offense $100.00 Total: $317.90 Payments Date Paid Amt Paid Total Fees $317.90 Credit Card 12/16/2019 $267.90 Credit Card 06/21/2019 $50.00 Amount Due: $0.00 Building Department Copy 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 regula Wg,9onstru,9j4 and zoning. Futhermore, I authorize the above named contractor to do the work stated. re: Owner / Applicant / Contractor / Agent Date December 16, 2019 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 FBC 20 i Master Permit No. , '" 0(4P 1 9' Sub Permit No. ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: C' Go( t-. E- 1-7t2 t�-.1 o Citv: Miami Shores Countv: Miami Dade Zip: Folio/Parcel#: Occupancy Type: Load Is the Building Historically Designated: Yes NO Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): .D" t G+11;- I2-z,(=,,A 4 t t4e Phone#: 3CLS 2,3 0-93 rio Address: lz� (pa (mil E G2•r-LD City: State: `� t— Zip: 3 l 3 Tenant/Lessee Name: Phone#: Email: r`��i �t NAG Oc>h(L. CONTRACTOR: Company Name: COS Z 1 40" Phone#: �0(0 S. Address:: � 3 S IZ Z'w/b �J�E. City: f-1 l`,�%�'� State: F-4-- Zip: a3��3 �,1 Qualifier Name: •v "� �i7�) t 1%s 4 Phone#: i(6 'L4D ` s 3 "� State Certification or Registration #: CCa C. � 1% 0 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: / Zip: Value of Work for this Permit: $ /�u-J50 Square/Linear Footage of Work: .�+.�..� s„� v Type of Work: ❑ Addition E�,Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: W1 ^S i W�� IM1111111111 Specify color of p*&WJ u ti t� a rota+* Submittal Fee $ !► .� .sre ��x3iP Scanning Fee $ Technology Fee $ Structural Reviews $ Radon Fee $ Training/Education Fee $ CCF $_ DBPR $ CO/CC $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ G 6 . fJ O (Revised02/24/2014) 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 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 reinspection fee will be charged. Signature na OWNER or AGENT The foregoing instrument was acknowledged before me this - 04 dayof1)"eC 20 �7 by DLAI la►N •-B0Urn4 ", who is personally known to me or who has prod_gUd � as ident"'c ' and ho did ke an oath. NOTAR PU IC: \����1111111t111////Z� �P,0x1)y RI�TOO,���ii �.,N,\ \� ,•�y,ITJSSION�A�, o QGH 25, Z�?�.pF�,• ., Si Print: cq ' Z HGG267268 �y •��. Seal: 9�Pf ?p°nuac u�ee�'•' off: /�� AU ' ... Signatur _-"-.— CONTRACTOR The foregoing instrument was acknowledged before me this !?�'Aday of �'�'44004" ` 20 / lQby who is personally known to me or Zo has produced as identification and who did take an oath. NOTARY - ��-u!��' ►-. � A CNMIiNfp� / �1 APPROVED BY r Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) CDS2, Corp. (Castellanos Design Studio 2) 7300 Biscayne Blvd, Suite 200 Miami, FL 33138 Licensed & Insured General Contractor CGC#1523930 December 2, 2019 State of FLORIDA County of MIAMI-DADE Before me this day personally appeared Wesley A. Castellanos who, being duly sworn, deposes and says: That he or she will be the only person working on the project located at: 969 NE 92"d Street Miami Shores FL 33138 Contractor Signature Sworn to (or affirmed) and subscribed before me this rday of 9&&21J*w- , 20 Personally known ✓" OR Produced Identification Type of Identification Produced Jai oil OMipJr Fy, Commission ♦ GGIVIX Expires; Sept. 27. 201 '�` eaaeo In AM Print, Type or Stamp Name of Notary 7300 Biscayne Blvd. — Ste. 200 Miami, Florida 33138 Tel: 786.218.5335 https-jcastellanosdesign.com 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: l . 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: 4a 4��L Owner State of Florida County of Miami -Dade The foregoing was acknowledge before me this day of C 20 1 who is personally known to me or has produced \`F'4P -- ioN' ; .,////����� fication. �opN 25. * '• OGG 2$1266 :: o i 9 ' • ? Public ��� •' ���'\� 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 EV(BUILDING ❑ ELECTRIC ❑ ROOFING ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS JOB ADDRESS: EIVE� JUN 2 019 +�FBC2^01�j p Master Permit No.l C- �1WI- l — 1 1 Sub Permit No. ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS City: Miami Shores County: Miami Dade Zip: / Folio/Parcel#: Is the Building Historically Designated: Yes NO V Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): JW I Gr+-} �Phone#: Address: City: 1`<A 1 f"r�\ State: Zip: 33I 3� Tenant/Lessee Name: Phone#: Email: D -fL y A d--) CC> • Cam► Q 1 C.'Ck_k-1'7 2i-1-a %±<C►► ►"rl in, l - C-z ^ CONTRACTOR: Company Name: Owl. C0Af5T -U GT f d-✓ 56 UIG65 Phone#: & low - 0 5o Address: 85 35 AM/ a M bworr City: M An 1 State: FL Zip: 33 to Qualifier Name: "j OR66 CAAT&00?9�-?- Phone#: State Certification or Registration #: C (�G is 18 4.55 Certificate of Competency #: DESIGNER: Architect/Engineer: hone#: Address: City: State: Zip: Value of Work for this Permit: $ '--2 Square/LinearrFF,000tage of Work: (05 ,Type of Work: ❑ Addition ❑ Alteration ❑ New L-J Repair/Replace ❑ Demolition Description of Work 1� 1-t cxp�- �A Specify color of color thru the: Submittal Fee $ Scanning Fee $ Technology Fee $_ Structural Reviews $ Permit Fee $ Radon Fee $ Training/Education Fee $ CCF $ CO/CC $ DBPR $ Notary Double Fee $ Bond $ (Rev1sed02/24/2014) 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 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature OWNER or AGENT CO RACTOR n The foregoing instrument was acknowledged before me this T fiAN r9 instrument s acknowledged before me this OG day of 0� 20 t 'Q of 20 J , by N �� ��i _J o Q E DJ 1 er �- i bO.A 63JE • , who is pers tou0s ,—� E R g6Z, who is personally known to me o ,�' prodbed • . as 6o me or who has produced as idercrii whWutn '����" "�'"��` identification and who did take an oath. NOT E s• 1wart �;,tt,20?3 NOTARY PUBLIC: W nded Thru Aa Notary Sign: �^ Sign: CA-� Print: Ly'c--Ic_ I S(iI g > �-� kRoN uwe11 Nut poIPH : 1%Q �tc� I I--) V I c, L', Seal: UN ,I 143+ew xu dX1: 5114 *_ 1�601g9 iE usuana M 1W040 A41h1t� . APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) - �D ►^► rVA t Am ISI�1CJ�cS 3� I �� I_ -- - I L .l Slv1AeE --n1-L3 ) 1. »r L Tr IIrcn _— fHNi ' I 0E I„4IMInxt 13-2OSVILwCBEDROI UIDR X-T7 ZLLEE.U_T� . - Ur O O DEDIHIOM r_\ I I lJ APPRO ED / DA nl U . cr- -;- -- - ELECTRICAL M.N/T BMW ABOVE I U � e'-0•GL SUM B FEW cD r — [ NT.11— _i LIVE-- 35 .3. 3 ruA r , )ub rota cad py }* (Shaw w .- s o%r,ne-, 4' �9 � S ZZ..Z..e, 3 I n e-" I I I I F1 �v�t -��-- 29'I 11' K.S tom., . —s;ickrY4 L_- - 4 k' 1 -3. • m 1ATIO I I' aEwAm1 m I �• I _ _ 7 0' I PLUAA$ING - 21, , MECHANICAL BATHR001MI RECEP 0 AC - _ CAM¢' CKT ---"'-'.--MD6.F14PROTECTED F ©OR PLAN YA ly 8 4 '= 1 o p.� OLD-- — - R C11EOU. � WON SGIFOUI.E -- -.LIEN =T — bd� FHAF�IE FINE HOW. SPACE OOR WALL - - - - BASE TRIF9 SILL REMARKSI I LOCATION _ -SIZE TYPE FBI. "TYPE FIN. RATING REMARKS HEIGHT_ NOW nuRreA I,—eea1 e'i' °'-r yap IMIIf rnW IA:IIr MM MEO n0./E CEA OOE"AY nc eRTWN1 • r c[R nc W000 — - enRIR / OARAt� • !'-r• R.'— }.1/l' ya° f •oeO IAulr I(OetT1plOflt~ aaarn ( AAA-eREI _ : AAP ►u �W « _ •' _ Cd nE — ReoR nr«A a IlrlllY—• r-1' .0 }ele'•pp� 111T •ta r..I — - ASBA6E — — Ni [M ME "-'— R VpJ-tlVr' E w-" Yi• w I -We /AM —IT f--fRIVKY till TR[ OplRgl_ mrWK� - — —� �� cunt EAlll :•-1' e'-r I-elY Rao run WGW RWIe MOVKY — YIUTY CfA rAE aWRALL g1YWAtL e'-- R000 IpW — _ 11—T e'0' E'-r E:raD ROao IA91! YI000 rYli - HILL EAMEE aEA�CgC— AfUUe— a1Y1MLL w-r - RaW eI1Ru : •6�— •• r'r Iwb R'agp I IT WaW LWIi _• MAL LEGEND II��//��nR TBE oaYRwt -pW �D « -- — �1�5Er O' f•-r q:1D RWq l%IT MW rAIR NLL L.%VIrPlD Y.Re ..a HErfR�RII •w •e• I-�' RaD —IT • • MRYKY —•_•_ •— --• • M• • _ — PATIO 140 SF EGRESS NOTE' M MR EAT" �;�w rw I.�e• Rem iiRIT ROW rdh •• IfmKr EGHESS WINDOWS MAST COM Y WITH NFYAWI tLeSET Y e' r'a' I-yr R0ap IT R000 I. IT rASeA6P. LIVING U46.3 SF CRAFTER EO WNIOUM MUST PROVIDE ACLEM GARAGE 303.22 SF OPENING OF Hof Liss 1RAN WIN WIOTM. WIN HEIGHT. BOTTOM OF OPFWNG SHALL HUr dE MORE TWl 44' AFF. 'TOTAL 2I09.3Y SF rHE SOuw AREA Musr EQUAL A MINIMUM S.r SO. FT. • • • : : • • • • • • • • • • • • • ••• • • o• ••• • • S - � Sm A � a �A rwLS eaCL_,A� c> ♦S'-0' _ -� I 111 11 7� CEHI v: e/tl' +irywaX v5 Olfi' s/tl Ury.ail ea<e aWs metal 1Z. O I6' c/c I -1' ery.all a<raw.s08'per:rneler IT h 11'r:Fln 6'-IEyo metal al a°e O 16' c/c emOve el°pa tl' c/< Mrif°ntOl may. I ✓� �L X SCALE 3/4e RATED ULw 419 I DATE: 20 OFC q SHEET A-�OF OF u I GFCI I I GFCI I Longman Electric, Inc. 95 NE 160' Street Miami, FL 33162 EC13003713 lob— AAd- 969 NE 92"^ v. Miami Shores, FL 33138 PERMIT##: IG - � Miami Shores Village APPROVED BY DATE `�GT 149 �—Gy-- Otvl'VG DEFT r+ RLDG DEPT SUBJ TO CH�OP S7-AVDEO'1^ �� fFl ALLER" -c AND Pr-GU'-AT'C I SI CU d 4 N W O MV- C� 4 d LL: U CD UJI Occ O cc coo SCOPE: Bathroom. (2) GFCI ckts. on 20 amp dedicated breaker. CKT. 21. (3) recessed fixtures on 20 amp dedicated breaker. CKT. 23. Panel is located in Garage and is existing. lV OIINS N u p W g R0.6 U e. T z��w g . 0 � � y s u�qq � o < 0 tFp U F a•' it p �+` El • Dwight Bourne - Master Bathroom Renovation - 969 NE 92"d Street, Miami Shores, FL 33138 0 a 13' - 6" 1 Shower Double Vanity ------------------------------------------------------------------------------------------ Shower Specification: Toilet • Shower stall 4'10"x 3'6"x9' • Floor and walls tiled to ceiling • Glass shower door (84" x 26") swings in or out to open • Fixed glass panel (84" x 32) ----------------------------------------------------------------------------------------- Existing pocket door • losses • • ••• • ••• • • ••• as . ass* • • •{•••• loos•• • • • • •••• • •• • • Not drawn to scale ' `Q ♦SD0 �n'TES IN 50 0. F�OR(DP' PERMIT ADDRESS: 969 NE 92ND ST PARCEL: 1132060060031 Miami Shores, FL 33138 APPLICATION DATE: 06/21/2019 SQUARE FEET: 65.00 DESCRIPTION: BATHROOM RENOVATION EXPIRATION DATE: 12/18/2019 VALUATION: $2,450.00 CONTACTS NAME COMPANY ADDRESS Contractor JORGE L GUTIERREZ OM CONSTRUCTION SERVICES LLC 12850 W STATE RD, 84 SUITE 3-20 DAVIE, FL 33325 JORGE L GUTIERREZ OM CONSTRUCTION SERVICES LLC 12850 W STATE RD, 84 SUITE 3-20 DAVIE, FL 33325 Owner Dwight Bourne 969 NE 92 ST zinc 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. Electrical approval require. 2. Provide details and specifications for the shower. Reflect compliance with section R307.2 Electrical v.1 Requires Re -submit Michael Devaney email: nu119 Comments: Need electrical plan showing N. E. C. 210.8, 210.12 and 210.52 requirements. Add smoke/ carbon monoxide detectors. Mechanical v.1 Not Required Jan Pierre Perez email: nul18 Plumbing v.1 Approved Maykel Massanet email: pl@msvfl.gov July 17, 2019 10050 NE 2 Ave Miami Shores FL 33138 Page 1 of 1 PERMIT ADDRESS: 969 NE 92ND ST PARCEL: 1132060060031 Miami Shores, FL 33138 APPLICATION DATE: 06/21/2019 SQUARE FEET: 65.00 DESCRIPTION: BATHROOM RENOVATION EXPIRATION DATE: 12/18/2019 VALUATION: $2,450.00 CONTACTS NAME COMPANY ADDRESS Contractor JORGE L GUTIERREZ OM CONSTRUCTION SERVICES LLC 12850 W STATE RD, 84 SUITE 3-20 DAVIE, FL 33325 JORGE L GUTIERREZ OM CONSTRUCTION SERVICES LLC 12850 W STATE RD, 84 SUITE 3-20 DAVIE, FL 33325 Owner Dwight Bourne 969 NE 92 ST 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. Electrical approval require. 2. Provide details and specifications for the shower. Reflect compliance with section R307.2 Electrical v.1 Requires Re -submit Michael DeVaney email: nu119 Comments: Need electrical plan showing N. E. C. 210.8, 210.12 and 210.52 requirements. Add smoke/ carbon monoxide detectors. Mechanical v.1 Plumbing v.1 Not Required Jan Pierre Perez email: null8 Approved Maykel Massanet email: pl@msvfl.gov July 17, 2019 10050 NE 2 Ave Miami Shores FL 33138 Page 1 of 1