CC-10-947Scheduled Inspection Date: July 01, 2010
Inspector: Bruhn, Norman
Owner: CARLISLE, DAVID
Job Address: 1311 NE 105 Street
Project: <NONE>
Contractor: BRUNSTEEL CORP
Building Department Comments
June 30, 2010
Miami Shores, FL 33138-
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 144424 Permit Number: CC -5 -10 -947
Permit Type: Commercial Construction
Inspection Type: Tie Beam
Work Classification: New
Phone Number
Parcel Number 1122320270050
Phone: (954)584 -2410
BALCONY RAILINGS
Passe
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
CC,
For Inspections please call: (305)762 -4949
Page 9 of 26
Protect Address
Owner Information
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138-0000
Phone: (305)795 -2204
Address
Parcel Number
Phone
Applicant
1311 NE 105 Street
Miami Shores, FL 33138-
1122320270050
Block: Lot:
DAVID CARLISLE
1
Cell
DAVID CARLISLE
700 NE 90 Street
MIAMI SHORES FL 33138 -2138
1
Contractor(s)
BRUNSTEEL CORP
Phone
(954)584 -2410
Cell Phone
Approved: Yes
Comments:
Date Approved: 5/26/2010 : Yes
Date Denied:
Type of Construction: BALCONY RAILINGS INSTALLATIO
Stories:
Front Setback:
Left Setback:
Plans Submitted: Yes
Certification Date:
Bond Retum :
Scanning: 1
Occupancy Load:
Exterior.
Rear Setback:
Right Setback:
Certification Status: Temporary
Additional Info:
Classification: Residential
Fees Due
CCF
Education Surcharge
Permit Fee
Scanning Fee
Submittal Fee
Submittal Reversal Fee
Technology Fee
Total:
Amount
$3.00
$1.00
$129.00
$15.00
$50.00
($50.00)
$4.00
$152.00
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.
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
June 08, 2010
Amt Paid Amt Due
Pay Date Pay Type
Invoice # CC -5-10 -38000
05/26/2010 Credit Card $ 50.00 $ 102.00
06/08/2010 Check #: 2140 $ 102.00 $ 0.00
June 08, 2010
Date
Available Inspections:
Inspection Type:
Final Building
Second Floor Slab
Second Floor Tie Bond Beam
Final PE Certification
Shutter Final
Tie Beam Bond Beam
Window Door Attachment
Slab
Termite Letter
Framing
Insulation
Floor Trusses
Drywall Screw
Trusses Plan Submittal
Roof Sheathing
Spot Survey
Wall Sheathing
Footer Column Pads
Rake Beam
Window and Door Buck
Roof Trusses
Density
Fill Cells Columns
Wire Lathe
Stem Wall Footer
F. Elevation Certificate
NOC
1
S 5 ':; E OF w R!DA, COUNTY OF DADE
E -17117 is is, cppy
fisd �•� : 107
,A Dal
ARV E (r V d, G an; Cco C :cu ric,
By
2. Description of improvement:
4. Contractor's name and address:
J
Notary Publ
Print Notary's Name
123.01 -52 PAGE 4 8/02
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO.0--' 14 TAX FOLIO NO
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: e4. 404 "`- f `A
V5 iet P to ' r Cli KRA FL .% 3113
o-t ns
Owner(s) name and address: C,Ga.0 ' A cce-t/ - 1 1 S
'o-4 AiE gfr.A - t'-Q a o" .. S L 7 i 31 3
Interest In property:
Name and address of fee simple titleholder.
b61 %ea. C
5. Surety: (Payment bond required by owner from contractor, if any)
Name and address:
Amount of bond $
6. Lender's name and address:
7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as
provided by Section 713.13(1)(a)7., Florida Statutes,
Name and address:
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
different dat
-
ignature of Owner
Print Owner's Name 0/9 vt../.N S ( L
Sworn to and subscribed before me this day of y,.._
My commission expires:
1 111111 11111 11111 111 1111 11 111
CFII4 201080386495
OR Bk 27312 Ps 3593; (1ps)
RECORDED 06/09/2010 1011800
HARVEY RUVIN, CLERK OF COURT
MIAMI-DADE COUNTY, FLORIDA
LAST PAGE
14'213 s (39' Coe) ill
ptc-e-t.Ait r TAL 35t 81
,20_149 3)
Address: . ID 1k! �� c10
BUILDING
PERMIT APPLICATION
FBC 20
Permit Type: BUILDING ROOFING
Owner's Name (Fee Simple Titleholder) j) 4 V (6 G'4,'t / 5 ( 1 Phone # 3 c3 r 2' ? 2 77 7
/
Owner's Address ®6 4' E 5' i7 — !L 'C ( f
City AT/64i / ` State F L Zip 71/7 if
Tenant/Lessee Name Phone #
Email b 4V /6 / Al Al1 irld-'4 `e>
Job Address (where the work is being done)
City Miami Shores Villa e
FOLIO / PARCEL #
Is Building Historically Designated YES
Contractor's Company Name
Contractor's Address
City I V1l■
Qualifier Name Ce ..4L I b W
Value of Work For this Permit $ 7 3 0-0
Type of Work: ❑Addition DAlteration
Describe Work:
Submittal Fee $ "
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
13/r c /as
County Miami -Dade
62:7 eb
NO
C 42 Ste-e. C
State (
Violation date:
Master Permit No.
Phone #
Permit NoCC n
5 //1-.1 /i
Zip .33/J e
Flood Zone
Zip 3312.6
Notary $ C Training/Education Fee $ 1•00
Scanning $ IS '00 Radon $ DPBR $ Bond $
q Sti —S 3-t-! 10
Phone # 7
State Certificate or Registration No. Certificate of Competency No.
Contact Phone 4 4 -.IA to E -mail C.- t f'1 CAALcitir h e ((t® c/ t . Vim -
Architect/Engineer's Name (if applicable) 1 ao'V CS � v .4 Phone # 6 g a S
Square / Linear Footage Of Work:
DNew ❑ Repair/Replace
Double Fee $
Structural Review. $ Total Fee Now Due $ d0ratre
See Reverse side -*
❑ Demolition
******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * * * * * * * ** * * * ** * * * * * * * * * ** * **
•
Technology Fee $ 4'00
CO /CC $
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 c. encement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. 4n t a e bf posted notice, the
inspection will not be approved an nspection fee will be harged.
Owner or Agent f ✓ Contractor
The foregoing instrument was acknowledged before me this 4 2 0 The foregoin instrument was acknowl dged befer me this /3
� r
day of =� 2 ,20 l®, by V ': C( Cri slP , day of ,2019 , by
who i E st 11 v o i o me or who has produced who is persona y known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commissi
APPROVED BY
(Revised 07 /10 /07)(Revised 06/10/2009)
J 7C/ Plans Examiner
Engineer
as identification and who did take an oath.
Zoning
Clerk checked
MARY ELLEN DOYLE
My Commission DD 608778
EXPIRES: Jan. 7, 2011
�2.
05/25/2010 19:32 3053800599 BRUNSTEEL CORP
61.146"1"" 111 41* STITE OF FLORIDA
P z
•
• >� DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
R „ CONSTRUCTION DIDUSTRY LICENSING HOARD
TALLAHASSEE FL 32399-0.763
, 1940 NORTH MONROE STREET
ARCE BRUN, CARLOS GUILLERMO
BRUNSTEEL CORP
HOMESTEAD
41 TERR.
FL 33033
Congratulations! With this license you become one of the nearly one olden
Floridians licensed by the Department of Business and Professional Regulation.
Our professionals and businesses range from architects to yacht brokers, from
boxers to barbeque restaurants, and they keep Florida's economy strong.
Every day we work to Improve the way we do business in order to serve you better
For information about our services, please log onto w r myfter dsliconse.eom.
There you can find more Information about our divisions and the regulations that
impact you, subscribe to department newsletters and team more about the
Department's initiatives.
Our mission at the Department is: license Efficiently, Regulate Fairly. We
constantly strive to serve you better so that you can serve your customers.
Thank you for doing business in Florida, and congratulations an your new Ibense!
DETACH HERE
suar1: ice" 3
misqurrimpft or aUBY>e :3f' • ' '
PRO?IS ZONAL RE AULATZC1t ;
CGCO573?2 =, MF /ORM9 7+0!38'5
A�t a id .,h. , •
BRUlf8TIOth
19 t1113'2FZBIx w14or alto priorlirione of 0.499 1i
ma rails awes MO 31, 1010 • .L08990100975'1
PAGE 01
(850) 487 -1395
•
FEIN:. 650846184
BUSINESS NAME AND ADDRESS:
BRUNSTEEL CORP
14213 SW 139TH CT
MIAMI
FL 33188
SCOPES OF BUSINESS OR TRADE:
1- GREEN MOUSE ERECTION
3- CERTIFIED GENERAL CONTRACTOR
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 under this
section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(12), 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 440.051131, F.S., Notices of election to be exempt end certificates of
election to be exempt shall be subject to revocation if, et any time after the filing of the notice or the Issuance of the certificate, the parson named on the notice or
cent( lento no longer meets the requirements of this section far issuance of a certificate. The department shell revoke a certificate at say time for failure of the person
named on the certificate to meet the requirements of Ibis section.
DW6-262 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09 -06
vrr+nt.v.� 1,7
2- METAL (8638)
PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE
QUESTIONS? (850) 413 -1609
STATE OP FLORIDA
DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORKERS' COMPENSATION
CONSTRUCTION INDUSTRY
CERTIFICATE OF ELECTION TO OE EXEMPT PROM FLORIDA
WORKERS' COMPENSATION LAW
EFFECTIVE 04 /14/2010 EXPIRATION DATE: 04/13/2012
PERSON: CARLOS G ARCE
FEiN 080846184
BUSINESS NAME AND ADDRESS:
BRUNSTEEL CORP
14213 SW 138TH CT
MIAMI, FL 33188
SCOPE OF BUSINESS OR TRADE
1- GREEN HOUSE ERECTION 2- METAL (5530)
3- CERTIFIED GENERAL CONTRACTOR
IMPORTANT
F Purauent to Chapter 440.05(141, F.S., Bit officer of a corporation who
O elects exemption from this chapter by filing a cert(flente of election
L under this section may not recover benefits or compensation under this
D chapter.
Pursuant to Chapter 440.05(121, 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 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) 413-1809
•
carry bottom portion on the job. keep upper portion for your records.
DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09 -06
CUT HERE
L CAL BU S IN 010:110C E IPi 0 FI RST AE
t-OADE NTY -ST Op 4RIINK: �ll.S Pp 7AS
EXPIRES S s .30.'2010 PAID ; ,
3 D ISPLAYED T PLAC O USIN # w ... ; # L
DO NOT FORWARD
BRUNSTEEL CORP
CARLOS 6 ARCEBRUN PRES
14213 SW 139 CT
MIAMI FL 33186
1„ 11,,,II„,,1ii „1 „11,,,1,1 „1,1,1 »1 „i1 11,111 „ �11
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 ISSUED OR MAY PERTAIN.
THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 15 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.
AGGREGATE OMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
ADD'L
INSRD
TYPE OF INSURANCE
POLICY .1 IUBETi
20107887
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
AMEND, CERTIFICATE
HOLDERNT IS CERTIFICATE DOES NOT XT
ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW.
POLICY EFFECTIVE
DATE IUUIJ3p/YY)
/ /
04/07/2010
/ /
/ /
PO11CY EXPIRATION
DATE (MMI00/YY)
/ /
NI/07/2011
/ /
/ /
LIMITS
EACH OCCURRENCE
8 1,000,000
A
INSURER B:
GENERAL
LIABILITY
COMMERCIAL GENERAL LIABILITY
X
pp —pp�qg E YO RENTED
PREMISES (ED oec rrenee)
8 100,000
INSURER E:
1 CLAM MAIM X OCCUR
msclExpwwwlapcsom
s 5,000
PERSONAL. BADV INJURY
$ 1,000,000
—
GENERALAGGRGATE
S 2,000,000
` OEN'I AGGRECATE LIIM � IITAPPLIES
PER:
POLICY El J ri LOC
PRODUCTS. COMP/OP AI; Chi
S 2,000,000
1
AUTOMOBILE
U BILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
/
COMBINED SINGLE LIMIT
(Ea er)
BODILY INJURY
Ilk, Pte')
_
BODILY INJURY
(Per accidenll
PROPERTY DAMAGE
(Per =Ware)
.
__—
GARAGE
LIABILITY
ANY AUTO
/
/
/
/
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
s
-1
AUTO ONLY: qGG
$
EXOESSIUM6RELLA
LIABILITY
OCCUR L1 CLAIMS MADE
/
/
/
/
/
/
/
/
EACH OCCURRENCE
5
AGGREGATE
$
$
$
R DEDUCTIBLE
$
WORKERS COM AND
EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNERfEXECUTIVE
OFFICER/MEMBER EXCLUDED?
byes. dendbe und0r
SPECIAL PROVISIONS $eiow
/
/
/ •
/
/
/
/
/
1 yyC ` a -
I TORY U s 1 I
EL EACH ACCIDENT
$
EL DISEASE - EA EMPLOYEE
$
E.L. DISEASE - POLICY LIMIT
$
OTHER
/
/
/
/
/
/
/
/
/
/
/
/
DESCRIPTION OF OPERATIUNSILOCATIONSNE $ICLESIEXCLUS IONS ADDED 8Y ENDOR.SEMENTISPEWLL PROVISIONS
ACORD CERTIFICATE OF LIABILITY
INSURANCE
I o5,zSI, Y
PRODUCER ( 954) 966 -9993
Gulfstream Insurance Agency, Inc,
5833 Johnson Street
Hollywood FL 33021 -
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
AMEND, CERTIFICATE
HOLDERNT IS CERTIFICATE DOES NOT XT
ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW.
INSURERS AFFORDING COVERAGE
RAM IS
INSURED
Brunsteel Corporation
14213 S.W. 139th Ct.
Miami FL 33186- _
INSURER a Benchmark Ins. co.
INSURER B:
INSURER C:
INSURER D:
INSURER E:
COVERAGES
May. 25. 2010 5:03PM Gulfstream Insurance
CERTIFICATE HOLDER
ACORD 25 (2001108)
INS026 (0109).08
CANCELLATION
No. 7830 P. 1
( )
Miami Shores Village
Building Department
10050 NE 2 Avenue
Miami Shores
(954) 584 -:.864
FL 33138-
• 8NmUTA 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, BUT
FAILURE TO D0 30 $HALL IMPOSE N0 OBUOATIOR OR LIABILITY OF ANY KIND UPON THE
INSURER, ITS AGENTS OR
OACORD CORPORATION 1988
Pape 1 0t 2
Planning and Zoning Criteria
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Owner's Name: DAVID CARLISLE
Job Address: 1311 105 Street
Miami Shores, FL 33138-
Planning and Zoning Criteria and Comments
Approved: Yes Date Approved: 5/26/2010 : Yes
Comments:
Permit NO. CC -5 -10 -947
►fit T Co Trim+ rcia� on ruction
s Work Ctassrfr �' . ,
' EXplres:Not Issued
Folio Number:1122320270050
Owner's Phone:
Total Square Feet:
Total Job Valuation: $ 5,000.00
Contractor(s)
Phone
Primary Contractor
1
0