RC-10-989Inspection Type:
Final PE Certification
Drywall
Miscellaneous
Window Door Attachment
Tie Beam
Final
Framing
Insulation
Truss lnsp
Columns
Foundation
Window and Door Buck
Fill Cells Columns
Wire Lathe
Declaration of Use
F. Termite Letter
F. Elevation Certificate
Protect Address
Owner Information
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204
Address
Contractor(s)
CANES CORP
Phone Cell Phone
(305)905 -8606
Parcel Number
349 NE 96 Street
Miami Shores, FL
1132060135910
Block: Lot:
ELSIE LIEBIG
1
Phone
ELSIE LIEBIG
349 NE 96 ST
MIAMI SHORES FL 33138 -2717
Valuation:
Total Sq Feet:
$ 8,500.00
23
Approved: In Review
Comments:
Date Approved: : In Review
Date Denied:
Type of Construction: OVERHANG REPAIR & COLUMNS
Stories:
Front Setback:
Left Setback:
Bedrooms:
Plans Submitted: Yes
Certificate Date:
Bond Retum :
Occupancy: Single Family
Exterior:
Rear Setback:
Right Setback:
Bathrooms:
Certificate Status:
Additional Info:
Classification: Residential
Fees Due
CCF
DBPR Surcharge
Education Surcharge
Permit Fee - New Construction
Plan Review Fee (Engineer)
Radon Surcharge
Scanning Fee
Submittal Fee
Submittal Reversal Fee
Technology Fee
Total:
Amount
$5.40
$0.12
$1.80
$255.00
$60.00
$0.12
$12.00
$50.00
($50.00)
$7.20
$341.64
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
July 07, 2010
Pay Date Pay Type
Invoice # RC -5 -10 -38043
07/07/2010 Check #: 1036 $ 291.64 $ 50.00
05/28/2010 Check #: 1020 $ 50.00 $ 0.00
Amt Paid Amt Due
Date
Applicant
CeII
Available Inspections:
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.
July 07, 2010
1
Project Address
349 NE 96 Street
Miami Shores, FL
1132060135910
Block: Lot:
ELSIE LIEBIG
1
Owner Information
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204
Contractor(s)
HOME OWNER
Phone
Cell Phone
Fees Due
CCF
Education Surcharge
Permit Fee
Technology Fee
Total:
Amount
$0.60
$0.20
$60.00
$0.80
$61.60
Address
Parcel Number
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
Phone
Type of Work: Exterior
Color: WHITE
Additional Info:
Classification: Residential
Color: WHITE_Approved
Color: WHITE_Approved_
Code Comments:
Color: WHITE_Denied
Pay Date Pay Type Amt Paid Amt Due
Invoice # PT -5 -10 -38048
07/07/2010 Credit Card $ 61.60 $ 0.00
Applicant
ELSIE LIEBIG
349 NE 96 ST
MIAMI SHORES FL 33138 -2717
1
Valuation:
Total Sq Feet:
$ 1,000.00
0
1
Available Inspections:
Inspection Type:
Final
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.
July 07, 2010
Date
Expiration: 01/02/2011
CeII
July 07, 2010 1
Inspection Date: August 26, 2010
Inspector: Bruhn, Norman
Owner: LIEBIG, ELSIE
Job Address: 349 NE 96 Street
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
August 26, 2010
Miami Shores, FL
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
nspection Number: INSP- 149586
Permit Number: PT -5 -10 -994 1
Permit Type: Paint
Inspection Type: Final
Work Classification: New
Phone Number
Parcel Number 1132060135910
PAINT REPAIRED COLUMNS AND FASCIA TO MATCH
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
CREATED AS REINSPECTION FOR INSP- 144788. Not Ready Needs paint
NB
For Inspections please call: (305)762 -4949
Page 1 of 1
Miami Shores Village
Building Department
(0050 N.E.2nd Avenue, Miami Shores, Florida 33138
`1.1+ (805 79520* (905) 756.8972
BUILDING Permit No.
PERMIT APPLICATION Master Permit No.
FBC 2004
Permit Type: PAINT PERMIT
A.4. - I o,..
Owner's Name (Fee Simple Titleholder) E 1 5.( C e i L 3 e S+zz Phone # 42( 5"
Owner's Address . f- f ci A E S fi
City slt.o re S State r (O P D A
Tenant/Lessee Name
E -MAIL: r ; D ( o e VA kO0 • C a.-A
Job Address (where the work is being done) 3 C AD E_
[JC Gcu-{JG r
zip 33 (
Phone #
City Miami Shores Village County Miami -Dade Zip 33 ( 3
FOLIO /PARCEL l ( 0/3 S 910
Is Building Historically Designated YES NO
Contractor's Address '9 9 5D
City /1/1 %A- u f
Qualifier Name 44 (V c c S
OWNER BUILDER:
losiminnED
MAY 2 2010
BY:
)ate
Phone # ( 3� � 9 S ^
Contractor's Company Name [ (L kJ �'- S a° ;> - P
ADel.) 83
State r70 - ; Zip 3 3 / 6
Spt c SL Phone #(? ‘nS) 90 - 8 O G
State Certificate or Registration No. C Q L ro? 5599 Certificate of Competency No.
Value of Work For this Permit $ /1; Type of Work: ❑ Addition / ❑ Alteration / [New / Repair/Replace
Describe Work: ! %A.97 £ eta 'Ae_e) E O j C.-4 "S l((i( a. CAC % GL '} v ' ' € t
/10 CA-5E ,
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
ELECTRICAL: WORK, PLUMBING; SIGNS, WELLS;O.. LS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
"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 ofa building permit with an estimated value exceeding 52500, the applicant must promise in good faith that a copy of the
notice of commencement and construction lien law broclmre 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 fast 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 reinspectionfee will be charged
Permit Fee $ CCF $ Technology Fee:
Training/Education Fee $ Notary $ Code Enforcement $
Double Fee $ Zoning $ Total Fee Now Due $
See Reverse side
Walls: 1 2
Fascia:
Drip Cap/Drip Edge:
Soffit: 1
Roof: 1
1 2
APPLICATION APPROVED BY:
PAINT COLOR APPROVAL AND AGREEMENT
All elements on the site must be listed and indicate the color to be [tainted
Directions: Please circle corresponding number to appropriate color sample.
3 4
4
4
2 4r 3> 4
2
All brick (simulated or regular): 1 2
Stucco Banding: 1 2 3
Any other Stucco Features:
Accessory Buildings
3
Other.
day of 1 , 20 ®by 1_61I rQTnf A(> i
who is personally known to me or who has produced N
DcV L% As identification and who did take an oath.
NOTARY PUBLIC.
Si gn/
Print: tv" 1. t 1a
My Commission Expires: Sun., 6, zed/
/
4
Flower Bins: 1 2 3 4
Shutters: 1 2 3 4
Awnings: 1 2 3 4
Chimney: 1 2 3 4
Doors and Door Jams: 1 2 3 4
Garage Doors: 1 2 3 4
Railings: 1 2 3 4
Fences: 1 2 3 4
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.
K Signature // r/1at a
Owner or Agent 1°ouasefor y
The foregoing instrument was acknowledged before me this aD The foregoing instrument was acknowledged before me this 4 it
day of .20 lQ,by s
who is personall known to me or who has produced g
as identification and who did take an oath.
Signature
Attach color samples with name and
number_
SW 7006
Extra White
*********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Plans Examiner
Preservation Board
Code Enforcement
(Revised 04/24/07)
REPAIR ROOF OVERHANG AND REINFORCE FOOTINGS
& COLUMNS
Passe
Inspector Comments
CREATED AS REINSPECTION FOR INSP- 144732. Work not complete NB
LT—
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
nspection Number: INSP - 149585 Permit Number: RC -5 -10 -989 J
Inspection Date: August 26, 2010
Inspector: Bruhn, Norman
Owner: LIEBIG, ELSIE
Job Address: 349 NE 96 Street
Project: <NONE>
Contractor: CANES CORP
Building Department Comments
August 26, 2010
Miami Shores, FL
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: Residential Construction
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1132060135910
Phone: (305)905 -8606
Page 1 of 1
1051ERVISD
MAY $ 8 2010 LUi
BUILDING
PERMIT APPLICATION
FBC 2004
Miami Shores Village
Building Department
/0050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Permit Type (circle tBnilding Roofing
Owner's Name (Fee Simple Titleholder) Lbrfyx■ rtQ. A OT04 Fxe,44 - i c- Phone #
Owner's Address 311 94 S7', F E l s, e_ L e.`. e 54 --e.
City i A t-(i S) r,e..asState Ufa — e DA Zip
Tenant/Lessee Name Phone #
Job Address (where the work is being done) 3 (f 9 /UE S
City Miami Shores Villaee County Miami -Dade
FOLIO /PARCEL # / ( ( - c / S9/0
Is Building Historically Designated YES NO x
Value of Work For this Permit $
Type of Work: ❑Addition ['Alteration
Describe Work: ,e EPA b, G &-CL,A
,v- -t �� �-ce . u S . AAA d G.�
A i1/4.) s
Notary $ Training/Education Fee $
Structural Review. $ b
O a
Permit No.eNC
Master Permit No.
15 ; ' S ^ - do ?8
Zip 331 36
Phone # (3 os) 90s °' s66c,
Contractor's Company Name CA k) E 5 C v tt- to
Contractor's Address 3 9 SCE /c DLJ S 3 ry STV -E 4 S LA T£ o ? t
City ,z-4 i A r State i 1 - %Ofd Zip
Qualifier Name VIA GJ' (p■ C. g e Lei-5 Phone # (3 o) 9b'' - z. 6 L
State Certificate or Registration No. C QL 19 S j 9 3-0 Certificate of Competency No.
Architect/Engineer's Name (if applicable) 90e.., Olt A ' 4% d Z P. E . Phone #(3 o S ) ? ' 9 q) 9-
Square / Linear Footage Of Work: 4 7 3 L F
❑New Xi Repair/Replace ❑ Demolition
r10 GJ 4'oo - s ie r
Submittal Fee $ O .O Permit Fee $
CCF $ 5-A0 N � CO/CC
Technology Fee $
DPBR $ I2-
Double Fee $
Scanning $ 1 2.,:no Radon $ �• t2
Bond $ Code Enforcement $
Total Fee Now Due $ * l4
See Reverse side -*
Zoning $
Bonding Company's Name (if applicable)
Bonding Company's Address
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 ELECTRICAL 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 not be approved and a reinspection fee will be charged
Signature 42f? / 2 j 7 i ,)C c-
Owner or Agent
The foregoing instrument was acknowledged before me this 20/ L
day of 1 20 IL, by GO,raraw Anion
who is person ly known to me or who has produced f 4
®<N.. LJG4 $ As identification and who did take an oath.
NOTARY PUBLIC:
Sig :
Print: Wall
My Commission Expires: Suo e b 7-0 Lt.
APPLICATION APPROVED B
(Revised 07/10/07)
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
William J. Mullen, Notary Public
North Wales Boro, Montgomery County
My Commission Expires June 6, 2011
Member, Pennsylvania Association of Notaries
The foregoing instrument was acknowledged before me this a
day of 20 t0 , by ,V ra$ qi lag
who is person y known to me or who has produced Q
as identificatioiand_who did take ap oath.
4" n. UNTIE RAMOS
s M I ON
EXPIRES: + 23, 2010
,v :,'•
Bonded Ttw Notary Pub Undengiters
NOTARY P LIC:
Print: /Zt'7�2 �/ OS
My Commission Expires: 7/L9//O
I Plans Examiner
Engineer
Zoning
1400 SINGLE FAMILY
SIDENCE
=MI , ,1 RESIDENTIAL -
2008
=MIN UNIMMOMMI
Applied
Applied
11 500 SO FT
ear Built
53 41 8 53 42 MIAMI
HORES SEC 1 AMD
I B 10-70 LOT 19 & 20
43 LOT SIZE
00.000 X 115
Year
2009
2008
omestead:
nd Homestead:
Applied
Applied
Taxing ANN:
T
TTaxable
Value:
Value:
Regional:
x,500/
996,561
$50,500/
996,415
$50,500/
$50,500/
$98,581
998,415
$50,500/
$50,50W
$96,581
$96,415
Stdtool Hoard:
925,500/
$121,581
$25,500/
9121,415
Miami -Dade My Home Page 1 of 2
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omestead:
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En11222E
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'''
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omestead:
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RECEIPT
PERMIT #:e ID "b DATE:JOVUZi 4\
I, AA 01/4.r c t.•. r pi t C (Lei"
.Contractor
❑ Owner
❑ Architect
u�2 of plans an . : her) 13 n'tJ
Address:
Acknowledged by:
PERMIT CLERK INITIAL:
RESUBMITTED DATE: Oe/0
PERMIT CLERK INITIAL:
?4 ,7C-
Nie °g,b}
M iami Shores Vijiage
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Jo
Wechons
From the building department on this date in order to have corrections done to plans
And /or get County stamps. I understand that the plans need to be brought back to Miami
Shores Village Building Department to continue permitting process.
"//(em d SimattilagegaritiartDefrtatageat
10050 NE 2nd Ave Miami Shores, FI 3313
Phone 305-795-2204; Fax 305-762-5253
www.miamishoresvillage.com
CONTRACTOR LICENSING/ REGISTRATION REQUIREMENTS
FOR ALL CONTRACTORS TO REGISTER IN THE VILLAGE OF MIAMI SHORES THE FOLLOWNG
REQUIREMENTS ARE NEEDED:
DADE COUNTY CONTRACTORS:
A. Certificate of Competency
B. Dade Municipal Occupancy
C. Dade Occupational Occupancy
D. State Registration
E. Liability Insurance Certificate
Workers Compensation Insurance or Exemption
STATE CONTRACTORS:
- e License
B. i Occupational License
C. !ice Liability Insurance Certificate
D. � Workers Compensation Insurance or Exemption
****** ****ALL INSURANCE CERTIFICATES MUST BE MADE OUT TO THE FOLLOWING**"****"***
Miami Shores Village
10050 NE 2 AVE
Miami Shores, FI 33138
ALL PERMIT APPLICATION REQUIRE THE QUALIFIERS NOTARIZED SIGNATURE
***s***** *** * ***,. iria **** ******* ********s kirk* *** ****ssk***,e * sir* * *a k ** **** *********** *sir **********
Business Name: f ro e C a 11- P
Business Address: ? cl S0 /JL.1 S r i Sc 1 �e 0,2 1 S i ytet: 4.4; , f
Business Telephone: (3°') 90C _ 4 Fax Number: (3°) 1 115 - Fs"3 C;
Qualifier Name:
44eArt-c-is IL
..,..-.. ", ' ' - • . - ...a.......,..,,..6 ,
:..?_, a. fi'i; ' • ' ,, _A Lei :' t. : 71-7 -t =,‘: -:-'" --;,:, ,, :; - -:', :.',,, .-J:7,---3-,,,,,;„,_,i,..71-,-,,,, f,-,,w57-nr.„---7,7,,,,z--..„-..,,,..-;-,77,-,;,-4-T-s-4,7--?7,7,-.7-5,T,-77,51.7,
2010010057
'4 g-.1 c c, c::! 7 A ,,, , .% - .7).F.; -, 71*- - :nT
1
196131_0( General Building Contractor
CANES CONT
CANES CORP
7950 NW 53RD ST UNIT 215
DORAL, FL 33166
NO RETAIL SALES, NO OUTSIDE STORAGE OR DISPLAYS, •cf nf-;■1'.g c.7).77,qa!
DRY USE ONLY.
l'ts:Aftli.%vrthIP:75171KIPM0011.
CT1NG LLC
LICENSE NBR
03/17/2010 090370581 CBC1255970
The BUILDING CONTRACTOR
Named below IS CERTIFIED
Under the provisions of Chapter 489 FS.
Expiration date: AUG 31, 2010
SPIEGELBERG, MARCUS WEISS
CANES CORP
5187 NW 103RD AVE
DORAL FL 33178
DETACH HERE
E 5
CBC1255970
$30.00
STATE OF FLORIDA -
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD
SEQ# LI0031702647
• CI-TARLIE CRIST CHARLIE LIEM
GOVERNOR INTERIM SECRETAR.Y
DISPLAY AS REQUIRED BY LAW
ACORD CERTIFICATE OF LIABILITY INSURANCE
1 5 DATE IMM 0 0
PRODUCER (954) 943 -5050 FAX: (954) 942 -6310
Frank H. Furman, Inc.
1314 East Atlantic Blvd.
P. 0. Box 1927
Pompano Beach FL 33061
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW.
INSURERS AFFORDING COVERAGE
NAIC 5
INSURED
Canes Contracting LLC DBA: Canes Corp
5187 NW 103rd Ave
Doral FL 33178
INSURER A: Mid Continent Casualty Co
INSURER a
INSURER C:
INSURER D:
INSURER E:
COVERAGES
THE POUCIES OF INSURANCE LISTED BELOW
REQUIREMENT, TERM OR CONDITION OF ANY
THE INSURANCE AFFORDED BY THE POLICIES
AGGREGATE LIMITS SHOWN MAY HAVE BEEN
HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY
CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,
DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.
REDUCED BY PAID CLAIMS.
INSR
LTR
ADD'L
.NSRD
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MMJDDIYY)
POLICY EXPIRATION
DATE (MMJDDIYY)
LIMITS
A
GENERAL LIABILITY
04M000794929
3/17/2010
3/17/2011
EACH OCCURRENCE
$ 1,000,000
X
COMMERCIAL GENERAL LIABILITY
DAMAGE TO RENTED
PREMISES (Ea comence)
$ 100,000
I CLAIMS MADE
X
OCCUR
MED EXP (An„ one parson)
$ Excluded
PERSONAL $ ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
$ 2, 000,000
G ATE OMIT APPLIES PER:
]C I POLICY I ^ I yea fl LOC
PRODUCTS - COMP/OP AGG
$ 2,000,000
AUTOMOBILE
—
—
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
COMBINED SINGLE UMIT
(EaacddeM)
$
BODILY INJURY
(Per person)
$
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
ANY AUTO
OTHER THAN EA ACC
$
AUTO ONLY: AGCi
$
EXCESSJUMBRELIA LIABILITY
— I OCCUR CLAIMS MADE
R DEDUCTIBLE
RETENTION
EACH OCCURRENCE
$
AGGREGATE
$
$
$
$
WORKERS OMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR /PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
I yes, describe under
SPECIAL PROVISIONS below
y��T 7�
I TORY LIAMITS 1 Iv-
E.L EACH ACCIDENT
$
E.L DISEASE - EA EMPLOYEE
$
EL DISEASE - POUCY UMIT
$
OTHER
DESCRIPTOR OF OPERATIONSILOCATKINSNEHICLESEXCLUSIONS
ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CERTIFICATE HOLDER
CANCELLATION
Miami Shores Village
10050 ne 2nd Avenue
Miami Shores, FL 33138
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, our
FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR UABI.ITY OF ANY IOND UPON THE
INSURER, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
Frank Furman, Jr /KS
ACORD 2S (2001108)
NMCt VRovum%no..
m ACORD CORPORATION 1988
Pwm1M9
4 ,
ALEX SINK STATE OF FLORIDA
CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORKERS' COMPENSATION
* * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' 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:
SPIEGELBERG
271683172
BUSINESS NAME AND ADDRESS:
CANES CONTRACTING LLC
5187 NW 103RD AVENUE
MIAMI FL 33178
SCOPES OF BUSINESS OR TRADE:
1- SHUTTER INSTALLATION
3- CARPENTRY
DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09 -06
DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09 -06
04/02/2010 EXPIRATION DATE: 04/01/2012
MARCUS
2- CERTIFIED BUILDING CONTRACTOR
CUT HERE
04 -02 -2010
* *
IMPORTANT: Pursuant to Chapter 440. 05114), 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 440.05112), F.S., Certificates of election to be exempt... apply only within the
scope of the business or trade listed on the notice of election to be exempt. 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 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.
QUESTIONS? (850) 413 -1609
PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE
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: 04/02/2010 EXPIRATION DATE: 04/01/2012
PERSON: MARCUS SPIEGELBERG
FEIN: 271683172
BUSINESS NAME AND ADDRESS:
CANES CONTRACTING LLC
5187 NW 103RD AVENUE
MIAMI, FL 33178
SCOPE OF BUSINESS OR TRADE
I- SHUTTER INSTALLATION 2 - CERTIFIED BUILDING CONTRACTOR
3- CARPENTRY
IMPORTANT
F Pursuant to Chapter 440.05114), F.S., an officer of a corporation who
0 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 440.05112), 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 440.05113), 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 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.
QUESTIONS? (850) 413 -1609
* Carry bottom portion on the job, keep upper portion for your records.
Permit No: 10 -989
Job Name:
June 4, 2010
Norman Bruhn CBO
305 - 795 -2204
Building Critique Sheet
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Page 1 of 1
1) Columns must be of an approved material, (wood, masonry or concrete).
2) Provide a separate roofing permit and high velocity roofing permit package.
Plan review is not complete, when all items above are corrected, we will do a complete plan
review.
If any sheets are voided, remove them from the plans and replace with new revised sheets and
include one set of voided sheets in the re- submittal drawings.
Permit No: 10 -989
Job Name:
June 4, 2010
Norman Bruhn CBO
305 - 795 -2204
Building Critique Sheet
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Page 1 of 1
1) Columns must be of an approved material, (wood, masonry or concrete).
2) Provide a separate roofing permit and high velocity roofing permit package.
Plan review is not complete, when all items above are corrected, we will do a complete plan
review.
If any sheets are voided, remove them from the plans and replace with new revised sheets and
include one set of voided sheets in the re- submittal drawings.
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO. TAX FOLIO NO. / ' 3)06 — b/ ° / '1
STATE OF FLORIDA
COUNTY OF MIAMI -DADE:
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real
property, and in accordance with Chapter 713, Florida Statutes, the following information
is provided in this Notice of Commencement.
1. Legal description of property and street/address: / 53 off t 53 'Id tfit 'r i.u Sl h r<e S Sc e-- l
i_
/-0-..? o x c r3 k... e.. "5; X'
2. Description of improvement: Q E ,"A :
3. Owner(s) name and address: / OCT (50 A. �1ra'rZ) ✓t
3 4)g. GJ s
Interest in property:
Name and address of fee simple titleholder.
4. Contractor's name and address: (AA) Es C 0 (' p
/te -'DA 33 /L(
5. Surety: (Payment bond required by owner from contractor, if any)
Name and address: A.VA
Amount of bond $
6. Lender's name and address:
, in4 o! 6;!
7. Persons within the state of Florida designated b
provided by Section 713.13(1)(a)7., Florida StatutNFS n
Name and address: HARVEY
Sworn to and subscribed before his de A day of Ma.
Notary Public'
Print Notary's Name 11 VU rt
My commission expires:
123.01 -52 PAGE 4 8/02
4-0 RRf);ve d41
' vn t 1 11
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
William J. Mullen, Notary Public
North Wales Born, Montgomery County
My Common Expires June 6, 2011
Member, Pennsylvania Association of Notaries
E, ea° ii OF FLORIDA, COUNTY
=,.
J,c -Co A /Si Le i d ig
tr 5 -a t / 331 3
hand Rnd oS;c a
VIN a`
111111 1 11111111111111 1 1111111 1 111111111111111
°3 SD A3ss) 53
CARE
r docu
CFI 2010R0417061
OR Bk 27327 Ps 0301; (19s)
RECORDED 06/21/2010 14:26:09
HARVEY RUt1INr CLERK OF COURT
MIAMI -DADE COUNTY, FLORIDA
LAST PAGE
} se F Ivi as
��pp��
8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided
in Section 713.13(1)(b), Florida Statutes.
Name and address:
9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
differ date is specified)
/' L_r
Signature of Owner
Print Owner's Name
Prepared by
,20
Address:
Inspection Number: INSP - 144739 Permit Number: RC -5 -10 -989
Scheduled Inspection Date: July 15, 2010
Inspector: Bruhn, Norman
Owner: LIEBIG, ELSIE
Job Address: 349 NE 96 Street
Miami Shores, FL
Project: <NONE>
Contractor: CANES CORP
Building Department Comments
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
REPAIR ROOF OVERHANG AND REINFORCE FOOTINGS
& COLUMNS
7-(40
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
July 14, 2010
For Inspections please call: (305)762 -4949
Permit Type: Residential Construction
Inspection Type: Foundation
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1132060135910
Phone: (305)905 -8606
Page 8 of 21
Client Name &
Address
Cane Corp.
7950 NW 53rd St. Miami, FL 33166
Client #
N/A
Date:
7/13/2010
Project Name
& Address
Residential Home Renovation
CES Project #:
10-04
349 NE 96th St. Miami, FL 33138
Gauge #:
T3440
ID No.
Test
LIFT
Location
1
F
Compacted Base For Square Concrete Footing on South West Comer of Residential Property
2
F
Compacted Base For Square Concrete Footing on South Side (Center) of Residential Property
3
F
Compacted Base For L- Shaped Concrete Footing on South East Comer of Residential Property
Description of Material: Dark Brown Non Plastic Mixture of Fine Sand with Traces of Foreign Materials
La er Type:
y ype
Backfill
X
Base
Subbase 'Other:
Subgrade
Grade
Building Pad
Laboratory identification Number
10-526
10-526
10-526
Test Number
1
2
3
Depth in Inches
12
12
12
0
Field Density. Lb 1 Cu.Ft ( Wet Basis)
108.2
107.4
110.0
Field Density. Lb 1 Cu.Ft ( Dry Basis)
100.9
100.8
100.2
Moisture Contents
7.2
6.5
9.8
Maximum Density in the Field ( %)
97.5%
97.4%
96.8%
Compaction Requirements by specs;
% of maximum density
0
95 /0
95 /0
95%
0
95 /o
100% Maximum Density (lab)
103.5
103.5
103.5
Proctor AASHTO T -99, T -180 ASTM 698,1557
ASTM 1557
ASTM 1557
ASTM 1557
Compaction Test Result (Pass/Fail)
PASS
PASS
PASS
Optimum Moisture: 13.9
Reported by : A.I
Checked by: A.0
Cfl' ULTA S, INC
6157 NW 167 Street, Suite -F8 Miami, Florida — 33015
Telephone: 786 -639 -0041 Fax: 786 -839 -0094 Web: www.cesconsultcom
Field Density Test of Compacted Soils - Shallow Depth Nuclear Method
ASTM Method : D - 2922 -01 AASHTO: T -238
Remarks :
Respectfully Submitted,
44 per
P.E. 7
Date: Compres : 7/14/10
Should any subsoil conditions in the property (area) tested found different from that encountered on the tested locations reported en our Density Test, CES is
not responsible.
10 -04
Client
Cane Corp. 1 Dade County Project #
N/A
Address
7950 NW 53rd St. Suite # 215, Miami, FL 33166 'Report
No:
1
Project
Residential Home Renovation
Address
349 NE 96th St. Miami Shores, FL 33138
Matrix
Dark Brown Non Plastic Mixture of Fine Sand with Traces of Foreign Materials
Sample Location
Stockpiled Material From South Side of Property
CES Project#
10-04
Sampling date
7/7/2010
Lab ID#
10-526
Collected By
S.S.A
Sample #
1
Analysis date
7/8/2010
Checked By
A.0
Analysis By
S.S.A
Approved By
J.0
Optimum Moisture
13.9
100% Maximum Dry Density
103.5
98% Dry Density
101.4
95% Dry Density
98.3
GRADATION TEST
Percent Passing 3/4" Sieve
97.3%
STANDARDS, ASTM/AASHTO
ASTM
DRY DENSITY
% MOISTURE
95.7
5.3
97.9
7.9
100.2
10.3
103.5
13.9
101.2
15.9
•
CONS
6157 NW 167 Street, Suite -F8 Miami, Florida — 33015
Telephone: 786 - 639 -0041 Fax: 786 -639 -0094 Web: www.cesconsult.com
Laboratory Compaction Characteristic of Soil using Modified Effort
105.0
95.0
TEST RESULTS
4.0 6.0 8.0 10.0 12.0 14.0 16.0 18.0
% MOISTURE
Respectfully Submitted,
The above compaction test conducted in accordance with the Modified Methods for Moisture Density Relations of soil using
a 10 1b. Hammer and 18" drop.
Date
Percent Concentration
ao -9- 1111
CD
Notice of Preventative Treatments for Termites
(as required by Florida Building Code (FBC) 104.2.6)
PEST TREATMENT 2000 INC. 954 - 486 -9001
Company Name and Telephone Numbers
349 NE 96 STREET MIAMI SHORES, FL 33138
Address of Treatment or Lot/Block of Treatment
Time
�3%
�/ Pie. D°[ •—� 0
Che cal u (active ingredient) Number of gallons applied
/0
Area treated (square feet) Linear feet treated
Stage of treatment (Horizontal, Vertical, i djoining Sla ?. retreat of disturbed area)
As per 104.2.6 — if soil chemical barrier method for termite prevention is used, final exterior
treatment shall be completed prior to final building approval.
If this notice is for the final exterior treatment, Initial and date this line
The f pages were
originally attached to plans
with the following permit #
RC
,95c7
JOSE A MARTINEZ P.E
Civil Structural Engineers
REPAIR TO GARAGE OVERHANG
AND NEW COLUMNS
Structural calculation
DANIEL REISER
24 E. 5`". Hialeah, FL 33110
Phone: (305)887 4417.fax:(305)884 3967
STHEET No.
Gust Factor Category I: Rigid Structures - Simplified Method
Gustl For rigid structures (Nat Freq > 1 Hz) use 0.85 1 0.851
Gust Factor Category II: Rigid Structures - Complete Analysis
: 0
Zmin
0.00
15.00
ft
Cc * (33/z)A0.167
-0.55
0.2281
0.18
1*(zm133)AEpsilori
lOpen Buildings
427.06
ft
(1/(1+0.63*((B+Ht)/12m)^0.63))
0.9433
0.925*((1 +1.7*Izm*3.4*Q)/(1+1.7*3.4*Izm))
0.8951
Gust Factor Summary
G 1Since this is not a flexible structure the lessor of Gust1 or Gust2 are used
1 0.85
Condition
Gcpi
Max a +
Max
Open Buildings
0.00
0.00
Partially Enclosed Buildings
0.55
-0.55
Enclosed Buildings
0.18
-0.18
lOpen Buildings
0.00
0.00
WINDO5 v1-13
Detailed Wind Load Design (Method 2) per ASCE 7-05
Analysis by: Jose VeMilez Company Name:
Description: Gt;t:::iiie F.:-eoc .2_
User Input Data
Structure Type
Basic Wind Speed (V)
Struc Category (1, II, 111, or I
Exposure (B, C, or D)
awe Nat Frequency (n1)
Slope of Roof
Slope of Roof (Theta)
ype of Roof
Kd (Directonality Factor)
Eave Height (Eht)
Ridge Height (RHt)
Mean Roof Height (Ht)
idth Perp. To Wind Dir (B
idth Paral. To Wind Dir
Building
146
11
1
0.3
1.2
Pitched
1
7.83
8.83
9.33
23.00
27.17
mph
Hz
:12
Deg
ft
ft
ft
ft
ft
Calculated Parameters
Type of Structure
1-1eight/Least Horizontal Dim
Flexible Structure
0.41
No
Calculated Parameters
Importance Factor 1
Prone Region [J100 mob)
Table 6-2 Values
Alpha =
9.500
zg = 900.000
At =
Bt =
Bm =
Cc =
I =
Epsilon =_
Zmin =
Fig 6-5 internal Pressure Coefficients for Buildings, Gcpi
0.105
1.000
0.650
0.200
500.00
0.200
15.00
ft
ft
3/19/2010
Developed by Niece Enterprises, Inc. Copyright 2006 Page No. 1 of 5
Length Along
Ridge of Roof
—
Roof Angle (Theta)
Ld Case
Wind Direction, Gamma = 90 degrees
Obstructed Wind Flow
Wind Pressure
Ib /ftA2
CNL
Windward
Leeward
C
Along Ridge
<= 9.33
Theta <=45 deg.
A
B
-1.2
0.5
- 47.249
19.687
> 9.33, < =2 * 9.33
Theta < =45 deg.
A
B
-0.9
0.5
- 35.437
19.687
> 2 ' 9.33
Theta <=45 deg.
A
B
-0.6
0.3
- 23.625
11.812
Load Case
Wind Direction, Gamma = 180 degrees
Obstructed Wind Flow
Wind Pressure
Ib /f '2
CN a v
CNL
Windward
Leeward
A
B
-0.500
-1.100
-1.200
- 0.600
- 19.687
- 43.312
- 47.249
- 23.625
Load Case
Wind Direction, Gamma = 0 degrees
Obstructed Wind Flow
Wind Pressure
Ib/ftA2
CNw
CNL
Windward
Leeward
A
B
-0.500
-1.100
-1.200
-0.600
- 19.687
-43.312
- 47.249
- 23.625
WINDO5 v1 ®13
Detailed Wind Load Design (Method 2) per ASCE 7 -05
Fig 6 -18B Open Pitched Roof
Developed by Meca Enterprises, Inc. Copyright 2006
Notes: 1) C Net Pressures (contributions from top and bottom surfaces for windward roof surfaces.
2) CNL Net Pressures (contributions from top and bottom surfaces) for leeward roof surfaces.
Notes: 1) C, . Net Pressures (contributions from top and bottom surfaces).
2) Plus and minus signs signify pressures acting towards and away from the top roof surface, respectively.
Theta = 1.200 Degrees
3/19/2010
Page No. 4 of 5
WINDO5 v1-13
Detailed Wind Load Design (Method 2) per ASCE 7-05
H-Mean Roof Height = 9.330 ft
L-Horizontal width of roof = 27.17 ft
D- Length along ridge of roof = 23 ft
e
a= 2.3
Note:* Enter Zone l, 2, 3
Fig 6 Net Pressure Coefficient, CN
Loads on Components and Cladding
= =>
3 2 I
Developed by Meca Enterprises, Inc. Copyright 2006
1.
0
3.00 ft
Joie Ghck on anv data enLrw line to receive a help Scroan
Component
Jciats
pe,c
Width
(ft)
v .% 7
Span
(ft)
75
Area
(ft"2)
Zone
CN
Max Min
0.80 -1.93
0.50 -1.28
Wind Press (Ibift^2)
Max Min
31.50
19.69
-75.91
-50.40
3/19/2010
Page No. 5 of 5
reaction TRUSS.xIs
Truss
Mark
Truss Q1 Q2
:Mark (ps) (psf)
positive negative
J3 31,50
Truss Q1
Mark (osf)
75,91
Q2
(psl
Uplift DL LL
LENGTH Reaction Reaction Reaction
(Ibs) (Ibs) (Ibs)
2.84
LENGTH
287
Uplift
Reaction
94
DL
Reaction_
DL +LL
Reaction
(Ibs)
113
LL
Reaction
208
DL +LL
:Reaction
Net
Uplift
(Ibs)
230
Net
Uplift
J1
Truss
Mark
li�es K'v /•i C!58 .'S V'er S s, 7 L7ac =2uC3
• ' t;1: -.GG3 EF4ERGALC, c'ngin;.aFinkt Soirnar•
General Information
Max @ Left End
Max @ Right End
NI Spans Considered as individual Seams
Timber Member information
Description wood beam
Span ft 1 0.75
Timber Section 4x8
Beam Width in 3.500
Beam Depth in 7.250
End Fixity Pin - P1n
Le: Unbraced Length ft 10.75
Member Type Sawn
t»tis
Live Load Used This Span
Yes
Dead Load #/ft 70.75
Live Load #/ft 85.00
Results
Mmax @ Grit in-k 27.0
@ X = ft' 5.37
in -k
in -k
fb : Actual psi 880.5
Fb : Allowable psi ! 1 ,278.0
0.0
0.0
Shear @ Left k 0.84
Shear @ Right k 0.84
fv : Actual psi 44.2
Fv : Allowable psi 95.0
Reactions & Deflection
DL @ Left k 0.38
LL @ left k 0.46
Total @ Left k 0.84
DL @ Right k 0.38
LL @ Right k 0.46
Total @ Right k 0.84
Max. Deflection in -0.263
@ X = ft 5.37
very' it es
Location ft 0.00
Moment in - 0.0
Shear k 0.8
Deflection in 0.0000
Title :
Dsgnr:
Description :
Scope :
Job #
Date: 11:46AM. 19 MAR 10
Code Ref: 1997/2001 NDS, 2000/2003 IBC, 2003 NFPA 5000. Base aliowabies are user defined !,
Fb : Basic Allow 1,000.0 psi Elastic Modulus 1,600.0 ksi
Fv Basic Allow 95.4 psi Load Duration Factor 1.000
Page 1
FOOTING UPLIFT STABILITY A
47.24.10.75 5.67 = L441 x 10
Total Upii(t-
Dead load;
Roof. DL= 15.10.75. = 457.144
Beam. DL=
Slab DL= 3.3. •150 = 165
1 2
Soil DL=
Footing DL= 3.3.- .150 = 1.8 x 10
Ttal DL= 457 + 165 + 1800 = 2.422 x 10
2422.0.6 = 1.453 x 10'
Ttal 0.6DL > Uplift OK
USE 3x3x16 CONCRETE PAD FOOTING W/ 5#5 TOP AND BOTTON
EACH WAY.