DEMO-11-448Inspection Number: INSP- 157214 Permit Number: DEMO -3- 11-448
Scheduled Inspection Date: April 06, 2011
Inspector: Bruhn, Norman
Owner: LIMA, ANTHONY
Job Address: 969 NE 92 Street
Miami Shores, FL
Project: <NONE>
Contractor: LIAISON CONSULTING INC
Building Department Comments
DEMOLITION /REMOVAL OF 2X4 WOOD STUD, DRYWALL
AND MINOR PATCHING OF ILLEGAL GARAGE
CONVERSION
Passed y
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
April 05, 2011
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
For Inspections please call: (305)762 -4949
Permit Type: Demolition
Inspection Type: Final
Work Classification: Building
Phone Number (703)968 -2819
Parcel Number 1132060060031
Phone: (561)376 -4124
Page 5 of 16
/2,1
BUILDING
PERMIT APPLICATION
FBC 20
City: Ce e\ n I
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
State: 1
City: Miami Shores County:
Folio/Parcel#: 1 13A,c) L• GA to op 31
Miami Dade
Is the Building Historically Designated: Yes NO X
CONTRACTOR: Company Name: LC G
Address: "1
Cit tom crirn � 1`, State: F
Qualifier Name: (1) e �. o H I �f
State Certification or Registration #:
§30F17.7791
WIAR 1 520 `. al
BY:
Permit No.'s } 1 -- 44T
Master Permit No.
Permit Type: BUILDING ROOFING , (� (� (�
OWNER: Name (Fee Sim le Titleholder): Qh 1 I ,71 I n D Li nnQ Phone#:7D3 C ) 08 - ("t
Address: 136)51 ✓Wft VICE ruff L: a
e_
Tenant/Lessee Name: l� • ! Phone#:
Email:O 1 - 3 2 , 2 X 4 - - (17P. 01 �c
JOB ADDRESS: q(q NE ( fand St-
Flood Zone:
zi p: 2.012-0
Zip: 33136
Zip: - 33 4 ? �
Phone#: 51) I 3 7L _'41224
r Certificate of Competency #:
Contact Phone#: 5LQ I - 3 - R D - 4 1 Z-' `1 Email Address: vi Vi� 1 10150n 1 nC COrn
DESIGNER: Architect/Engineer: tJ 14 56E Frnat iikest. !Sk 'L}4 Phone#:
Value of Work for this Permit: $ 90o. e 0 Square/Linear Footage of Work:
Type of Work: DAddition DAlteration DNew DRepair/Replace )(Demolition
Description of Work: Lip. fet,rwyklAtta 1 rt}t ri a a_ p '.li4 lill'ti at Cr AAA GE r►tc da own. OV6, (NS
0NMy fir( q#49. 0 4 7104 Wont, STUN ' iAt.L np 'PA 'u oa OAlb A n'T- LH Nts.
St$ A RUM:b 514E CA .
***************************************F *one* era *** * **** ******* *user **** ***** *see ******
Submittal Fee $ Permit Fee $ .'12 °`' CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Structural Review $
TOTAL FEE NOW DUE $
�__ 10x1.
Bonding Company's Name (if applicable)
Bonding Company's Address NI IPI
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State 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 FT.RCTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 proved and a reinspec(Jon fee will be charged.
Signature
NOTARY PUBLIC:
N
1Q�inQa' i117
Owner or Agent
The foregoing instrument was acknowledged before me this 3
day ofJ7Al2Ch , 20 // ,by Ch RI S+ine LI mq
who is personally known to me or who has produced VI plow
'
1> L — As identification and who did take an oath.
Sign:
Print: f vSLCI p IAA 2 0 V
(Revised 07 /10 /07)(Revised 06/10t2009)(Revised 3/15/09)
RUSLAN YAPPAROV
NO
INIA
JULY 31, 2018
0
My Commission Expires: ,�. l� �y 3//2o /
APPROVED BY Plans Examiner
Structural Review
Contractor
The foregoing instrument was acknowledged before me this 11
day of �1AQ 4 , 201,_ ' W , by esl °�-y Srrill)
who is personally known to me or who has , roduced Peer0net
yt , ,
�t{ t<MDGC ri as iden !( j w LtuittAILOYA
11 eF MY COMMISSION # DD722545
EXPIRES October 04, 2011
dallotarySerMce.com
NOTARY PUBLI
Sign: J 40),r /n1 l Yet M
My Commission Expires: Ott: T, zJ 1
**** * ***** *e•+e** ********* *** **** * * ** *** ****** *+x+x**** ** *** * ** **** * * ** ****** *114**** ********* *spa ****** ******
Zoning
Clerk
JEFF ATWATER STATE OF FLORIDA
CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORKERS' COMPENSATION
* * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORMS' COMPENSATION LAW *
CONSTRUCTION INDUSTRY EXEMPTION
This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law.
EFFECTIVE DATE
PERSON:
FEIN:
BUSINESS NAME AND ADDRESS:
LIAISON CONSULTING GROUP INC
3149 MILLWOOD TERRACE #M119
BOCA RATON FL 33431
SCOPES OF BUSINESS OR TRADE
1- REPAIR SERVICE
3- CARPENTRY
OWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01 -11
STATE OF FLORIDA
DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORKERS COMPENSATION
CONSTRUCTION INDUSTRY
CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA
WORKERS' COMPENSATION LAW
EFFECTIVE 01/10/2011
PERSON WESLEY SMITH
FEIN 223921390
BUSINESS NAME AND ADDRESS:
LIAISON CONSULTING GROUP INC
3149 MILLWOOD TERRACE 5M119
BOCA RATON, FL 33431
SCOPE OF BUSINESS OR TRADE
1- REPAIR SERVICE 2- TRIM WORK
3- CARPENTRY
•
SMITH WESLEY
223921390
DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01 -11
01/10/2011 EXPIRATION DATE 01/09/2013
2- TRIM WORK
IMPORTANT: Pursuant to Chapter 440. 05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election ender this
section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.051123, F.S., Certificates of election to be exempt... apply only within the
scope of the business or trade listed en the notice of election to be exempt Pursuant to Chapter 440.051133, F.S., Notices of election to be exempt and cerUticetes of
election to be exempt shell be subject to revocation it at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or
certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person
named on the certificate to meet the requirements of this section.
PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE
EXPIRATION DATE: 01/09/2013
CUT HERE
01 -10 -2011
QUESTIONS? (850) 413 -1609,
IMPORTANT
F Pursuant to Chapter 440.05(14); F.S., an officer of a corporation who
elects exemption from this chapter by filing a certificate of election
L under this section may not recover benefits or compensation under this
D chapter.
Pursuant to Chapter 440.051121, F.S., Certificates of election to be
H exempt. apply only within the scope of the business or trade listed on
R the notice of election to be exempt
E Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt
and certificates of election to be exempt shall be subject to revocation
if, at any time after the filing of the notice or the issuance of the
certificate, the person named an the notice or certificate no longer meets
the requirements of this section for issuance of a certificate. The
department shall revoke a certificate at any time for failure of the
person named an the certificate to meet the requirements of this
section.
* Carry bottom portion on the job, keep upper portion for your records.
QUESTIONS? (850) 413 -1609
ACQRD CERTIFICATE OF LIABILITY INSURANCE
DATE
3/11/2011
PRODUCER
CHELSEA SURPLUS UNDERWRITERS, INC,
756 LAKE BALDWIN LANE
ORLANDO, FL 32803
(407) 896 -8222 (407) 894 -0004
THIS CERTIFICATE IS ISSUED AS A MATTER OF
ONLY AND CONFERS NO RIGHTS UPON THE
HOLDER. THIS CERTIFICATE DOES NOT AMEND.
ALTER THE COVERAGE AFFORDED BY THE POLICIES
INFORMA7
CERTIFIC,
EXTEND
NEL_
NAIL #
_ _
. 01 -0
INSURERS AFFORDING COVERAGE
INSURED
LIAISON CONSULTING GROUP INC
3149 MILLWOOD TERRACE M119
BOCA ' ' TON, FL 33431
f!Mfco Ar_cv
INSURER AMERICAN VEHICLE
1omIIo
INSURERS,
INSURER CI _
IvBMERDI
INSURERS
03/11/2011 16:40 FAX 9545845100
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUEC OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUaJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF 8 JON
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR ADD -
LTR NA
POLICY
AUTOMOBILE LABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
GARAGE LIABILITY
ANY AUTO
nEOUOTIBLE
RETENTION 8
WDIU 5 SCOMPENSATION
EMPLOYERS' LIABIUTY
ANY PROPRIETCRIPARTNERfEXEOUTIVE
OFFICER/MEMBER EXCLUDED',
If yea, delkalbe undor
HPKCIAI PROVISIONS b81ow
OTHER
CERTIFICATE HOLDER
ACORD 25 (2001108)
TYPF f1F T1 RA NCF
GENERAL LIABILITY
GOMMERGIAL GENERAL LIABILITY
1 CLAIMS MADE accuR
GEN L AGGREGATE LIMIT APPLIES PER
P - 0-
LOC
EXCeSSIUmBRELLA UABILITY
OCCUR El (1.AIMS MADE
MIAMI SHORES VILLAGE
10050 NORTHEAST 2ND AVENUE
MIAMI SHORES FL, 33138
POLIOY NUMBER
GL -0521017653.00
INTERIOR CARPENTRY, CROWN MOLDINGS, DOORS,
POLICY ININ V 0 DMIY I E
9/2/2010
DESCRIPTION OF OPERATJONB / LOOATIONS :VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS
CANCELLATION
POLICY EXPIRATION
[ATP fMMlnmyy)
9/2/2011
at 12:01 AM
AUTHORIZED REPRESENTATIVE
EACH UGGURRENCE
"OhMA.L* TO RtNI tD
PRFNIZIES (E80Cdrrenco)
MED EXP (Any arm por„p t
PERSONAL & ADV INJURY
GENERAL AGGREGATE
PRODUCTS - COMP/OP ABB
COMBINED SINGLE LIMIT
(Fri =ISM)
BODILY!N.JURY
(Pet Person,
BODILY INJURY
(Par acddant)
PROPERTY DAMAGS
(PQ gcdpent)
AUTO ONLY • EA ACCIDENT
OTHER THAN
AUTO ONLY
EACH OGGURRENCE
AGGREGATE
LIMITS
EA ACC
AGG
C
STATU. I OTH-
E.L EACH ACCIDENT
E L D.SEASG • ILA EMPLOYEE
_j1,000,0 0
51100,000
$5,000
S
S
8
5
S
8
8
a 002/003
$1.000,00 0
$2,000,Oc 0
$2.000.0CQ
E , DISEASE - POLICY LIMIT 5
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXP - TION
DATE THEREOF, THE ISSUING INSURER WILL KNOCAVOR TO MAIL 10 DAYS W tN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 30
IMPOSE NO OBLIGATION OR LIABILITY OF ANY IUND UPON THE INSURER. ITS A - OR
REPRESENTATIVES.
i • ral Y[�7�1L�
ACORD CORPORATION 988
IMO
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17
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ME
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Wesley Smith
President
Tel: 561.376.4124
Fax: 561.483.8907
wesmith @dalsoninc.com
www.0alsoninc.com
License 8CGC1516352
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Subdivision: AMENDED PLAT OF GOLDEN GATE PARK
According to the Plat . !thereof as recorded in the Plat Book No. 7
at Page No. 54 of the public records of MIAMI -DADE County, Florida.
Property Address: 969 NE 92 ST, MIAMI SHORES, FL 33138
For: MICHAEL MEYER
A. ARC F.F.E.•
A/C. AR COSANTIOIER PAD FILM
A.E• MOOR EARNEST. FR=
A/R. ALUMINIUM ROW. FT■
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CBMa. CONCRETE BLOCK WALT.
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FA. FIRE NYIRANT.
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DECREES. META
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PL
ELECTRIC TRANSFORM PAD A.
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LOCATION SKETCH Scale "= NT.S.
ABBREVIATION AND MEANING
M.•
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NOW
N.•
N.T.S.•
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MID NPR. &D61C.
IVIAIE. P.IL•
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MEASURED INSTANCE
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PONT N T CF
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PORT OF TANGENCY.
POINT OF AMT.
PONT OF BECIONNE
R.P..
SEC•
STY..
SSL•
5114..
LEGAL NOTES TO ACCOMPANY SKETCH OF SURVEY (STRIVEN*
'DERE NAY BE EASENSITS REOOIJDED DI THE NSW RECORDS NOT MOM 04 TES SIMILE
F]WRNATICOS OF 1NE /SSLRACF OF 118E TeL RAVE TORE NODE TO 05TFIi10E RECORDED
UINTA'S:NIL RESTRICTION% RESERVATIONS OR PROMS OF F ANT. AFFECTING TM PROPERTY. INS SMOOT IS EBBW . OESCRPTIONS
RIMED BY 040U OR ARISING TITLE COMM
F1 ooUR OR AIN A 9 ROAR 10 THE 9144WY °L
WLL0N1S AS 9NDIMII ARE POI PLAT WDIL MIST 0594 61 MOW
THE Wel traxammarir MEANS WSW ANO AMISS GROUND ENCROACHMENTS. DIET VOL
ARCM= SHAW VERIFY IMO BE RESPONSIBLE W 440414IIO PLOT �PLANSS 441» 145 CORRECT FO DEER NEW 021511WWWW SUSS ODER=
NOTED TES OW ammo TO LOCATETO IN MMD1E00 MOOR FOUNDATIONS.
. FEWE OMBISW NOR' DERSIDED.
DES PLAN OF 914*?. HAS BEENPRWARED FOR THE UCUISK USE OF 1){E SWIMS &WED
11 FLOOD AMPS NAVE NAVE OCIANIATED NOM O@RONBED L TD BE
POINT OF REVERSE
CURVE
PLAT BOOK.
PAGE
PARKWAY.
PERMANENT REFERS=
MOMENT.
PIIOFES90* LAND
SURVEYOR.
RECORDED DISTANCE
RAE. RIM
RADIUS OF RAOLAL
RADIUS POOR.
RANGE
SECTION.
SIDEWALK.
SET IRON ALB.
S. SDUDL
SECONDS .
T• TANGENT.
TMP•TO
4 0.• UTILITY.
U.R• 441E RT POE
&W WATER SEIER.
WT... WOOD FENCE
SSA WOOD SM.
MI/R. WOOD ROOF.
d • CENTRAL ANGLE.
CENTER ANC • ANGLE tRNE
LE G END JYPICAL
•M--IF CLFe CHAIN LIAIX FENCE
E ZZZ C.B.S. WALL FEW)
4-0- IF•RRON FENCE
--ON- OVERHEAD UTILITY USES
:D�lf D/F•WOOD FENCE
■ 0.00 . EXISTING ELEVATIONS.
®. .PM POSED ELEVATIONS.
Date: 02/03/2004
BURVEYORS'S NOTES:
1). F 9NOWI. ✓$BARD= ARE REFERRED TO /W ASSAM
111001AM. IN SAID PLAT 01 TIM onatrDM1 rpm PROPERTY. F MOT.
TEN BENINGS ANN= REn3a W TO WJN1Y mica? YAPS.
2). F SWIM . SWAN= ARE REFERRED 10 04120 co Airy
• 8-42 nr *74- FEET
OF RCM OP ice.
ae 94 sr d 10 AVE
3) THIS IS A SPEDFIC FUIPOE SOWN
4)
ITS CLOSURE IN 110 BOUNDARY SURVEY IS Ft
ABMS HEREBY � 11FY: THAT MIS 'BOUNDARY SURVEY
OF WE PROPERTY OED HEREON. AS
RECENTLY SURVEYED AND DRAWN UNDER MY
SUPERIOR:W. COMPLIES Wmt THE MINIMUM
TECHNICAL ICAI. STANDARDS AS SET FORTS BY
'off maw. BOARD CF PROFES$ONAL LANK
SURVEYORS ON CHAPTER 01017 -6. FLORIDA
WIVOINSNRA1WE COOS PIAiSUPAT
TO 4 . r. FLORIDA STATUTES.
REVISED ON:
REHSED ON:
Situated in Zone: X Community /Panel /Suffix: 120652- 0093 -J
Date of Firm: 07/17/1995 Base Flood Elevation:
Certified to: MICHAEL MEYER
o2 _o tt. D i/
3®443 1BART0 (DATE OF FIELD WORK)
PRWESSONAL LAND SURVEYOR NO. 52.644.
14 45 SEAL OF WE ATTESNNO LAND SURVEYOR).