RC-10-1791Inspection Number: INSP - 152123
Scheduled Inspection Date: March 29, 2011
Inspector: Bruhn, Norman
Owner: ROSE, ROBERT
Job Address: 29 NW 106 Street
Miami Shores, FL
Project: <NONE>
Contractor: SCIENTIFIC CONSTRUCTION GROUP INC
Building Department Comments
INSTALLATION OF RAILING OVER EXISTING CONCRETE
STEPS ON THE BACK OF THE HOUSE
Passe
Failed
Correction
Needed
Re- Inspection
Fee
March 28, 2011
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspector Comments
For Inspections please call: (305)762 -4949
Permit Number: RC -10 -10 -1791
Permit Type: Residential Construction
Inspection Type: Final Building
Work Classification: Alteration
Phone Number
Parcel Number 1121360060220
Phone: (786)587 -9728
Page 3 of 11
BUILDING
PERMIT APPLICATION
FBC 20
Permit Type: BUILDING
OWNER: Name (Fee Simple Titleholder): PO re .,
Q9 C P O Se
Addres : t N (O( ST'
City: 1G.V\■ StA 3rQS State: L Zip: 33 ! SO
Tenant/Lessee Name: Phone #:
Email:
JOB ADDRESS: n N" 10 (p S4 irp s -
City: Miami Shores County: Miami Dade Zip: 3 3 1 Sd
Folio/Parcel #:
Is the Building Historically Designated: Yes
Miami Shores Village RIMM3RWg
Building Department Al our 0 6
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972 BY: .
INSPECTION'S PHONE NUMBER: (305) 762.4949
Permit No. -C t,O net
Master Permit No.
Phone #: 305 'is c l -to c0
NO Flood Zone:
CONTRACTOR: Company Name: Se..— l 11..rk > 41.s ktL4) o'w CPA Phone #: t ; 4 )-Dt g
Address: 1 •, S iV' f • ` et —5 Y r
City: k c, 1 t i State: F/i r IN Zip: 3 31 `)
Qualifier Name: , `Et Ph eN�1 l ti i^ t Phone #: ).& CV) — bin 2`(
State Certification or Registration #:C.G" e- I § SR" t i 3 Certificate of Competency #:
Contact Phone #: Email Address:
DESIGNER: Architect/Engineer: Phone #:
Value of Work for this Permit: $ L S 0. b 0 Square/Linear Footage of Work:
Type of Work: .Address OAlteration New ORepair/Replace
Description of Work:
0
❑Demolition
COLOR THROUGH ROOK TILE IS REQUIRED acknowledged by:
******* s * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $6 III Permit - /.nf °�
t r
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $
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 ��- t...., �rJ • ��
Owner or Agent
The for i i t tntwas a led e�d(b�efoieX this
day of by V 1 T)
Alp is .- rsonall
1�
nown tome or who has produced r�
NOT ' Y PUB IC:
Sign:
Print:
My Commission Expires:
APPROVED BY
entification and who did take an oath.
(Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09)(rev6/4/10)
Contractor
The foregoing instrument was acknowledged before me this 7
0 015 141 20f2_,by . ?-014 1 8-- 0 ( W 1 7 1
who is perso___ n .___ally known tomgor who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Plans Examiner
Structural Review
Sign:
Print:
My Commissi
Notary Pup1Ia. 89te of Florida
My Cgrnrn. Fxpires April 22, 2014
No DD955250
Bonded thru Arthur .1. Galleohor & Co.
Zoning
Clerk
CITY OF MIAMI SHORES •
10050 NE 2 ND AVE
MIAMI SHORES FL 33150
305 - 756 -8972
1
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES
EXPIRATION DATE THEREOF, THE ISSUING INSURER
30 DAYS WRITTEN NOTICE TO TT1E CERTI
8E CANCELLED BEFORE THE
WILL ENDEAVOR TO MAIL
- HOLDER NAMED TO
= E NO ' BLIGATION OR LIABILITY
OR ; .a- RESENTATIVES.
THE LEFT, BUT FAILURE TO DO SO SHALL IMP •
OF ANY KIND UPON THE INSURER, ITS AGE
AUTHORIZED REPRESENTATIVE
IPPOLITO ROMANO
NAIC #
.`� -'�'�® CERTIFICATE OF LIABILITY INSURANCE
DA 0/27/10
PRODUCER Briar Bay Insurance Agency
14229 South Dixie Hwy.
Miami, FL 33178
Phone (305)251 -5548 Fax (305)251 -9947
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 POLICIES BELOW.
INSURERS AFFORDING COVERAGE
NAIC #
INSURED SCIENTIFIC CONSTRUCTION GROUP, INC. ^
1251 NE 209th Terrace
MIAMI, FL 33179 -
f 4
L
INSURER LLOYDS OF LONDON INSURANCE
INSURER 8:
INSURER C:
INSURER D:
INSURER E:
COVERAGES
INSURER F:
THE POLICIES OF INSURANCE LISTED HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLCY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
NAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INER
iy3RD
TYPE OF INSURANCE
POLICY NUMBER
DATE tmwo EFFECTIVE
DATE tMMIDOIYYI
12/08/09
me LI DINY' ON
DAT¢ (_AAMIDDfVY?
12/08/10 ®
LIMITS
A
❑
GENERAL LIABILITY
I COMMERCIAL GENERAL LIABILITY
❑ ill CLAIMS MADE Ci OCCUR
❑
EVUKM -F
EACH OCCURRENCE
300,000
P RE EM MIIS ES ( E aE occcureenca)
50,000
MED EXP (Any one person)
EXCLUDED
PERSONAL & ADV INJURY
300,000
❑
GENERAL AGGREGATE
600,000
GEN'L AGGREGATE LIMIT APPLIES PER:
❑ POLICY • PROJECT ❑ LOC
PRODUCTS - COMP /OPAGG
300,000
61 / PD DEDUCTIBLE
1,000
•
AUTOMOBILE LIABILITY
❑ ANY AUTO
❑ ALL OWNED AUTOS
Ill SCHEDULED AUTOS
■ HIRED AUTOS
❑ NON OWNED AUTOS
•
COMBINED SINGLE LIMIT
(Ea accident)
BODILY INJURY
(Peer r ppers ersonn) )
BODILY INJURY
(Par accident)
PROPERTY DAMAGE
JPer ecddent)
AUTO ONLY - EA ACCIDENT
❑
0
GARAGE LIABILITY
❑ ANY AUTO
•
OTHER THAN EA ACC
AUTO ONLY: AGG
•
EXCESS/UMBRELLA LIABILITY
❑ OCCUR 0 CLAIMS MADE
❑ DEDUCTIBLE
❑ RETENTION $
EACH OCCURRENCE
AGGREGATE
_
WORKERS LABILITY ON AND
EMPLOYERS'
ANY PROPRIETOR / PARTNER / EXECUTIVE
OFFICER / MEMBER EXCLUDED?
If yes, describe under
SPECIAL PROVISIONS below
qTU p
❑ TO 13/111% ❑ ER
E.L EACH ACCIDENT
E.L DISEASE - EA EMPLOYEE
E.L. DISEASE - POLICY LIMIT
OTHER
DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
GENERAL CONTRACTOR FOR REMODELING ONLY
COVERAGE OS SUBJECT TO TERMS, CONDITIONS AND EXCLUSIONS
OCT -27 -2010 09:51A FROM :BRIAR BAY INS
HOLDER
C305)251 - 9947
CANCELLATION
TO:3057569972
P. 1
0 ACORD CORPORATION 1988
10/28/2010 22:39 FAX 81001/002
ALEX SINK STATE OP FLORIDA
CHIEF FiNANCBAi- OFFICER DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORKERS' COMPENSATION
e * 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 laved
EFFECTIVE DATE:
PERSON:
FEIN:
BUSINESS NAME AND ADDRESS:
SCIENTIFIC CONSTRUCTION MROUP INC
12B1 NE 208TH TERRACE
MIAMI FL 33179
SCOPES OF BUSINESS OR TRADE:
1 CERTIFIED GENERAL CONTRACTOR
10/26/2009 EXPIRATION DATE: 10/26/2011
HENIti RAPHAEL H
763115587
10-26-2009
IMPORTANT( Formant to Cheiser 400. 06114 F.B., an officer of a eorporotlon who Heels exemption from this chapter by filing a cettilicile of alectign Ode, Ibis
aaalloe may 001 roeenet benefits ar compensation 000er thts chapter. Pummel to Chapter 440.051121, F.5., Canlllleatw of election to ba exempt... apply aoly w
scope of the bdsln000 or trade listed en the notice of etee&Ien la be exempt. Pursuant to Chapter 440.05113), F.S., Notices al election to ea 11.0101 and cenlllo
I n m .
des of
•lagoon to ho exempt *111 ha 1obJent to revocation II, el any lime dtor the llling at the e0dce or ale lasasoae of the sartflcelo. the pers00 aimed no ibr M lice ar
aerlalam no Ioeger meets :ha teoalrymente of Me nation for leIllanCe of a certificate. TM department obeli ravaka • certificate et any rims For Leduc. m 1011 gesso
named an the eeralloate le meet Nlo ro00iremenla d this aeatlo0.
DWC -252 CERTIFICATE OF ELECTION TO DE EXEMPT REVISED 09 -00
PLEASE CUT OUT THE CARD BELOW
AND RETAIN FOR FUTURE REFERENCE
—I
STATE OF FLORIDA
ogpARTMENT OF FINANCIAL. SERVICBs
DIVISION OF WO[0KERB' COMPeamAT10N
CONSTRUCTION INDUSTRY
CERTIFICATE OF ELECTION TO BB EXEMPT FROM FLORIDA
WORKERS' COMPENSATION LAW
EFFECTIVE 10/26/2009 EXPIRATION DATE 10/25/2011
PERSON: RAPHAEL H HENRI
FEIN 763118667
BUSINESS NAME AND ADDRESS:
SCIENTIPIC CONSTRUCTION GROUP INC
1Z91 NE 2geTH TERRACE
ImAMJ, FL 33173
SCOPE OF BUSINESS OR TRACE
1- CC1(1'IP1sts GENERAL CONTRACTOR
* Carry bottom portion on the Job, keep upper portion for your records.
OWC CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09 - 06
CUT HERE
QUESTIONS? 1850) 413 - 1609
IMPORTANT
F Pursuant to Chapter 440.06(14, RS., an officer of a carpi 'ague who
O elects exemption from this chapter by filing a certificate If election
L tender this section may not recover benefits or compenoatii n under this
D chapter.
pursuer's to Chapter 440.05112!, F.S. Certificates of electitIi 1 to be
H exempt apply only within the scope of the business or 11 ade listed on
E 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 veleta 1 le revocation
it at any time after the filing of the notice or the issue' to of the
certificate, the person named on the notice or certificate i o longer meets
the requirements of this section for Issuance of a eertifla+te. The
department shall revoke a certificate at any time for tailonI of the
person named on the certificate to meet the requirements i ►f this
section.
QUESTIONS? (10) 413-1609
EXISTING
STRUCTURE
SEE PLATE
DETAIL
EXISTING
STRUCTURE
NEW RAILING
PLAN VIEW
SCALE: 1/4"
:r.
7
SEE POS DETAIL
0
z
r
r 0
m m
0
0
C
0
z
METAL ANGLE (CLIP)
1-1/4" X 3 /16 "THK. W/
3/8" DRIVE PIN
1
r
- n
m
0
m
ELEVATION VIEW
SCALE: 1/4' a 1• -0'
4" X 4" X 3 /16 "THK.
W/ 4- 3/8" DIA X 2" BOLTS
4CO: '_• .- - SISTANT)
0
-d
X 1-1/4" POST 14 GA.
1/2" X 1/2" PICKETS @ 3 -1/2" 0.C.
- PICKET SPACING TO REJECT
4" 0 A OBJECT
EXISTING STRUCTURE
PLATE DETAI
4"
POST DETAIL
10" DIA. X 30"
DEEP CONC. FOOTER
SCALE: 1/4' . 1' -0'
PROJECT: NEW WROUGHT IRON RAILING
ADDRESS: 29 NW 106 ST.
MIAMI SHORES, FL. 33138
OWNER: ROBERT ROSE
29 NW 106 ST.
MIAMI SHORES, FL. 33138
PH: 305 -758 -9206
•
..
•
• •
•.• •
•
•
•
4
• •
• • •
• • •
•
••.•.•
•••.•
• •
• •
•
•
•
••••I •
M
SEE PLATE I 4' -9"
DETAIL 71-6"
• •
•
• ••
• • •
• ••
••••
• •
••••
•
•• ••
• •
•••
•
••••
•••• ••••
EXI €414 • •
• •
SiRN1E4JRE •
EXISTING
STRUCTURE
NEW RAILING
PLAN VIEW
• •• SCALE: 1/4" - ,' -0
•
• •
• •
• • •
SEE POST DETAIL
METAL ANGLE (CLIP)
1 -1/4" X 3/16 "THK. W/
3/8" DRIVE PIN
1/2" X 1/2" PICKETS ® 3 -1/2" O.C.
010 PICKET SPACING TO REJECT
4 DIA OBJECT
1
111111%
ELEVATION VIEW
SCALE: 1/4" - Y -0
4" X 4" X 3/16 "THK.
W/ 4— 3/8" DIA X 2" BOLTS
(CORROSIVE RESISTANT)
1-1/4" X 1-1/4" POST 14 GA.
PLATE DETAIL
EXISTING STRUCTURE
co
1)
4"
SCALE: 1/4"
POST DETAIL
10" DIA. X 30"
DEEP CONC. FOOTER
SCALE: 1/4"
PROJECT: NEW WROUGHT IRON RAILING
ADDRESS: 29 NW 106 ST.
MIAMI SHORES. FL 33138
OWNER: ROBERT ROSE
29 NW 106 ST.
MIAMI SHORES. FL. 33138
PH: 305 -758 -9206