RC-11-19-2642, 100 NE 101st St (2)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: Interior renovation including kitchen and bathrooms
Permit Type
Building (Residential) Bldg. Permit No. RC-1 1-19-2642
_4'irqj-4
Owner
BRYON THOMAS Contractor SUNCOAST BUILDERS & ROOFERS
Subdivision/Project
ONLINE PERMITS Date Issued 06/02/2023
Construction Type Ill-B
Occupancy Single Family
Type
Square Footage
344.00 Flood Zone X
Location
100 NE 101ST ST
If the building is located in a special flood hazard area documentation of the as -built lowest floor
elevation or lowest horizontal structural member has been provided and is retained in the records of
Miami Shores, FL 33138
Miami Shores Village.
This certificate issued pursuant to the requirements of the 2017 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.
W
k
Building Officials Approval
Not Transferable
POST IN A CONSPICUOUS PLACE
4n m
Ismael Naranjo, CBO
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Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Permit NO.: RC-11-19-2642
s 4 Permit Type: Building (Residential)
Work Ctossification: Alteration
Permit Status: Approved
Issue Date:02/07/2020 1 Expiration: 08/05/2020
Location Address Parcel Number
100 NE 101ST ST, Miami Shores, FL 33138 1132060132020
Contacts
BRYON THOMAS Owner DILBERT ENTERPRISES, INC Contractor
136 NE 101 ST, MIAMI SHORES, FL 331382321 ARNIEK DILBERT
1750 S GLADES DR, NORTH MIAMI BEACH, 33161
Business: 7862566434 ARNICKDILBERT@GMAIL.COM
Other:3059450727
Description: remodel one bathrrom the living dining Valuation: $ 16,620.00 Inspection Requests:
kitchen and hall way
TotalSq Feet: 150.00
Fees
Amount
Application Fee - Other
$200.00
CCF
$10.20
Certificte of Completion for Single Fam
$50.00
and Duplex
DBPR Fee
$7.48
DCA Fee
$4.99
Education Surcharge
$3.40
Permit Fee
$298.60
Scanning Fee
$9.00
Structural Review ($90)
$90.00
Technology Fee
$12.47
Total
$686.14
Payments
Date Paid Amt Paid
Total Fees
$686.14
Check # 3049
11/05/2019 $200.00
Check # 3078
12/19/2019 $486.14
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
regulating construction and zoning. Futhermore, I authorize the above named contractor to do the work stated.
Owner / Applicant / Contractor / Agent
Date
February 07, 2020 Page 2 of 2
1 r f
Mai(q(l 0*0
BUILDING
ENTEaRD
Miami Shores Village NOV 05 2019
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 2011 loth
Master Permit No. RC'11 -1 R Z (o
PERMIT APPLICATION
aull-DING ❑ ELECTRIC ❑ ROOFING
Sub Permit No.
❑ REVISION ❑ EXTENSION ❑RENEWAL
[:]PLUMBING ❑ MECHANICAL [:]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR
DRAWINGS
100 �'
/ (9 I (, c
S�
JOB ADDRESS:
I
City: Miami Shores
County:
Miami Dade Zip: 33
c�
(.3b
Folio/Parcel#: I I " 3 20 � d
nn� �nCounty:
�3 - µ
Is the Building Historically Designated: Yes
NO
Occupancy Type: Load:
Construction Type:
Flood Zone: BFE:
FFE:
OWNER: Name (Fee Simple Titleholder): &111fri 4 " Q — Yk AIII (.L" Phone#: <)O � 2C)1P � 1154
Address: 13 �'- k,G 1 01 S � E
City: State: Zip: 33 l 3S
Tenant/Lessee Name: l Phone#: '306, 903 2732�
Email: I ^L4 om . 4-/LONI1.Qo5 (D r) a,o (I c— o )'11 a
CONTRACTOR: Company Name: / d , v n i6 c—s h Phone#:4'r1
Address: '2
City: State: ( _ Zip:�
Qualifier Name: % Phone#: �/fJb � Si� d �13 y
State Certification or Registration #: Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ l�/� Square/Linear Footage of Work:
Type of Work: ❑ Addition Alteration ❑ New Repair/Replace ❑ Demolition
Description of Work:
Specify color of color thru tile:
Submittal Fee $a Permit Fee $ CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $
Structural Reviews $ _
Double Fee $
Bond $ � 0-6 ,
TOTAL FEE NOW DUE
(Revised02/24/2014)
r]
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
Zi
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 W-JD AWk�
OWNER r ENT
The foregoing instrument was acknowledged before
me this
n IS,� day of NCFJ" le— , 20 l by
�'ri_.���D4- 04S who is, personally known to
me or who has produced � I�o\JKLS as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:_
Print:
Signature�i.�—�
CONTRACTOR
The foregoing instrument was acknowledged before me this
S day of h(3'16- , 20 by
}�(LN u,- �l L-5A0 t , who is per s a llkko�a rr to
me or who has produced as
Seal: Seal: �. °: - Seal• % ;''n,F9U3it �•`
as e •- b i �I � ?.�
-,•. ,fir; , ® � � _- %is ,,� ••;� SS VY `�'. \�
�, ', a /1111119H1
APPROVED BY Plans Examiner pi 44 I ! Zoning
Structural Review Clerk
V
(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
PROPERTY LOCATED AT:
c��IVSD
AA 13 2019
BY. -
HOLD HARMLESS
as contractor of record of the subject
property, Permit number C'��'/����1a- would like to request an early start permit as allowed
under section 105.12 of the 2017 Florida Building Code for the scope of work delineated in the building
permit application and plan prior to the final approval and issuance of the permit, provided the work does
not proceed past the first required inspection.
I agree to hold Miami Shores Village, its agents and authorized personnel harmless and relieve them from
any responsibility or liability for any legal action or damage, cost or expense (including attorney's fee)
resulting from missed inspection of the above mention permit. I furthermore assume responsibility for the
correction, if required, of work performed under the above permit.
Print Name
General Contractor, qualifier
State of Florida
County of Dade:
Signature.
The undersigned, being the first duly sworn, deposes and says that he/she is the contractor for the above
property mentioned.
Sworn to and subscribed before me this 3 day of
�4Notary Public, State of Florida at Large
..iYP SINDIA 7ALVAREZMYCOMMISSIG 238273EXPIRES: Se3,2022BonedThNUrdervrrflera
zo
FA
Millmi Shores Village
Building Department RECEIVED
10050 N.E.2nd Avenue D C 13 2019
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972 �Y^ ----aLngl--
-
HOLD HARMLESS
PROPERTY LOCATED AT:
I� rl �i/�,� r� as contractor of record of the subject
property, Permit number fn—//-%would like to request an early start permit as allowed
under section 105.12 of the 2017 Florida Building Code for the scope of work delineated in the building
permit application and plan prior to the final approval and issuance of the permit, provided the work does
not proceed past the first required inspection.
I agree to hold Miami Shores Village, its agents and authorized personnel harmless and relieve them from
any responsibility or liability for any legal action or damage, cost or expense (including attorney's fee)
resulting from missed inspection of the above mention permit. I furthermore assume responsibility for the
correction, if required, of work performed under the above permit.
Print Name
General Contractor, qualifier
State of Florida
County of Dade:
Signature.
The undersigned, being the first duly swom, deposes and says that he/she is the contractor for the above
property mentioned.
(�
Sworn to and subscribed before me this day ofMtQ�1-111 et;��O-
'
Notary Public, State of Florida at Larg �N `� -k �L�tl
SINDW ALVAREZ
MY COMMISSION N GG 238273
EXPIRES: September 3, 2022
''%9,o'r i ;�`�.° Oa�d TTw No�Y P�IIe UrWe�wrilers
Notice to Owner- Workers' Corn
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
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;
The officer is listed as an officer of the corporation in the records of the Florida
Department of State, Division of Corporations; and
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: ;� t �oY1
Owner
State of Florida
County of Miami -Dade
The foregoing was acknowledge before me this _ day of ( .Ear Ajp2,�J , 20 2 U
By J> jZ! '66 J 3bP r ► rt n1 F'S who is personally known to me or has produced
-Tc- 1� 1 —2 �C F('f as identification.
Notary:
SEAL:
SINDIA ALVAREZ
MY COMMISSION # GG 238273
Public Undera tters
` Miami Shores Village ENTERED
BUILDING
PERMIT APPLICATION
Building Department MAY 04 2022
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY:
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 20
Master Permit No. j-'0C - /I " I q - 26 q Z
❑BUILDING ❑ ELECTRIC ❑ ROOFING
Sub Permit No.
❑ REVISION EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 00 !r 6 10/SE S01 ,,..-
City: Miami Shores Countv: Miami Dade zip:
Folio/Parcel#: 2�(a ` 0 13 " ZV2-ci Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
i
OWNER: Name (Fee Simple Titleholder). Phone#: -20ICE —�01,S
Address:4 o/
City: lukt�klu st A JL_j� State: Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: S U l) O a. rtl 11 I l k� r U61Lo fPh ne#: 13 o5' 3 05 4A 5 7
Address: Li.7 q S `1✓ Z
� n � rr
City: AA t ( D� r� A� State: C C� Zip: .3 0 2_ 3
Qualifier Name: L V S . S a I I n ci� Phone#: 0 5 s4 3 5 7
State Certification or Registration #: CC C 13 22,O 6 q Certificate of Competency #: )%/
DESIGNER: Arch itect/Engineer:� Phone#:
Address: /V / p City: N —State: Zip:
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of Work: ❑ Addition ZAlteration ❑ New ❑ Repair/Replace
Description of Work: f Ky'p-�t
Specify color of color thru tile:,
Submittal Fee $ Permit Fee $
Scanning Fee $
Technology Fee
Radon Fee $
Training/Education Fee $
❑ Demolition
CCF $ CO/CC $
DBPR $
Notary
Double Fee $
Structural Reviews $
Bond $
TOTAL FEE NOW DUE $
(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
Zi
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
OW or AG NT ''�--� CONTRACTOR
The foregoing instrument was acknowledged before me this
y day of Mir , 20 2-Z by
haig i Qn A4 J hr n I °wio is personally known to
me or who has produced � � �� ✓ tic as
identification and who did take an oath.
NOTARY PUBLIC:
Sign: \l/J
Print.y \ V'i"Itoonne s�
Seal: 14 CommAH22200
Expires: Jan. 31, 2026
Notary Public - State of Florida
The foregoing instrument was acknowledged before me this
L— day of QA-Q 120 Z- by
Lo's �`�►'�" A� ,, who is personally known to
me or who has produced iGL -.6r i ✓-&� as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: V 11� ��c�++l,2e4►rr�www VeA
Seal: _�:' Comm.:HH222410
Expires: Jan. 31, 2026
Notary Public • State of Florida
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
ENTERED
MAY 0 4 2022
BY:
�.Tve uc; uk