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RC-11-1621Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 164045 Permit Number: RC -9 -11 -1621 Scheduled Inspection Date: September 12, 2011 Inspector: Bruhn, Norman Owner: KHAN, BEATRIZ Job Address: 520 NE 92 Street Miami Shores, FL 33138- Project: <NONE> Contractor: SNAPP INDUSTRIES INC Permit Type: Residential Construction Inspection Type: Final Work Classification: Repair Phone Number Parcel Number 1132060141190 Phone: (305)635 -0687 Building Department Comments REPAIR RIB JOIST UNDER HOUSE FOR SPALLING Inspector Comments Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. September 09, 2011 For Inspections please call: (305)762 -4949 Page 21 of 35 AMERICAN SOCIETY OF CIVIL ENGINEERS NATIONAL ACADEMY OF BUILDING INSPECTION ENGINEERS NATIONAL SOCIETY OF fiR. 1! S���� ®�� AE. PROFESSIONAL ENGINEER: CONSULTING ENGINEER FLORIDA ENGINEERING SOCIETY PROFESSIONAL BUILDING INSPECTION 12420 S.W. 75th AVE., / MIAMI, FLORIDA 33156 TELEPHONE: (305) 37 8-1244 Established 1976 Village of Miami Shore Building Department 10050 N.E. 2nd Avenue Miami Shores, Florida 33138 Dear Building Official 9 September, 2011 520 N.E. 92nd Street Snapp Industries I, J.N. Sheingold, P.E., having performed and approved the required inspections, hereby attest that to the best of my knowledge and belief, the repairs to the reinforced concrete rib joist complies with the permitted documents. I also attest to the best of my knowledge and belief, the approved permit plans represent the as -built condition of the structural and envelope components of said structure ". This document is being prepared in accordance with Section 105 of the 2007 Florida Building Code and is being submitted to the Village of Miami Shores building department at the time of final inspection for the above referenced structure. Should you have any further questions or need any additional information, please do not hesitate to contact me. heingold, P.E. 21181 520 N.E. 92ND STREET Permit RC -9 -11 -1621 Date of Inspection 9 September, 2011 Time of Inspection 1:30 P.M. Location CRAWL SPACE By Unit # e of work ins . ected 115111 ✓ Demolition �' ebar Prep 0 Rebar Splice 1 1 Dowel/core drilling ✓ Rebar /Concrete Epoxy Coating ✓ Concrete Pour L jFinish Plaster Other (Specify) final Comments Approved ❑Rejected Repair of reinforced concrete rib joists in crawl space Enginee Engine Sigma J.N. SHEINGOLD J.N. SHEINGOLD, P.E. RECEIVED S P 01 2911 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel (305) 7952204 Fax (305) 756.8972 BUILDING PERMIT APPLICATION FBC 200f7 Permit Type (circle): Building Permit No. U '14-6 Master Permit No. Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) I IIi /cf a"/ Phone 3o -3 3c Owner's Address 57:20 O A/C- 9 ' �/ City / i SheaS State pi. Zip ,33f3P Tenant/Lessee Name Phone # Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip 33/32 FOLIO / PARCEL # i 0 (C, tf2f Vi 90 Is Building Historically Designated YES NO 1-------. Contractor's Company Name �s i Phone # (�� �� ` 010.? '7 Contractor's Address x-9o2 ,'Vk) ad "cif City 'o)47 1 State / Zip 33140,1- /y Qualifier Name 7 -Se, � S✓si Phone # r jC S 6/SS--- 0 6, , State Certificate or Registration No. C6-C /s 07 6' 7 / Certificate of Competency No. Architect/Engineer's Name (if applicable) % Phone #' c=� Sdo 0 Value of Work For this Permit $ c2 45-6 Type of Work: ❑Addition Describe Work: ['Alteration Square / Linear Footage Of Work: QNew Repair/Replace D Demolition * * * * * * * * ** t * **** *** *** **** ***** * * ** Fees * * * * * * * ** * *** * * ***** ** * * * * * * ***,r*** * * ** Submittal Fee $�._.� Permit Fee $ CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ See Reverse side -3 Bonding Company's Name (if applicable) a 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. The foregoing instrument was acknowledged before me this d a y of ,20 (,by a4 i 1 Kha /4 , day 0 Contractor Th ' foregoing instrument was acknowledged before me this 09 20 lt by 731'( who is personally known to me or who has produced who is person As identification and who did take an oath. NOTARY PUBL Sign: Print: es'Y Piik DOPNAJ. EGAN * * MY COMMISSION # DD 755165 Ti : EXPIRES February 22, 2012 4 0FF400Oc Bonded iiuuBu Notary Services My Commission Expires: ly known to me or who has produced �`i➢ r 1' - tification and who did take an oath. NOTARY P IC: Sign: Print: M y Commission Ex B d e d R a u et Nor Senn IRES: February 22, 2012 ******** * * * * * * * * * * * * * * * * * * * * * * * * *** ** ** *art *** * ** Year******** ******** ** * * * * * ** * ** *** ** * ** *> tier* **** *t************ APPLICATION APPROVED BY: (Revised 02/08/06) Plans Examiner Engineer Zoning P ID: SI_ . a '��.._. ---- CERTIFICATE OF LIABILITY INSURANCE DATE O 04/11 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. . IMPORTANT: if the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the cell ificate holder in lieu of such endorsementjs). PRODUCER 386- 252 -9601 Brown & Brown of Florida, inc. 386- 238 -15728 Daytona Beach Office P.O. Box 2412 Daytona Beach, FL 32115 -2412 . CONTACT PnONE IAX udC. ti. Eck i INC. Nok A ua tilt CUSTOMER ID# SNAPP -2 INSURERR AFFORDING COVERI GE NAM 4 INSURED SNAPP INDUSTRIES, INC. 2902 NW 22ND STREET MIAMI, FL 33142 INSURER A: Starr Indemnity & Liability Co 38318 INSURER B :Harleysville Mutual ins Co Inc 14168 INSURER C: Bridgefield Employers 10701 INSURER D: INSURER E : INSURER F: . COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POUCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO -THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR COMMON OF ANY CONTRACT OR OTHER DOCUMENT WffH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALI. THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMIT$ SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. R TR A el'Ic . iii GENERAL UA81WY COMMERCIAL GENERAL UAB&LrrY CIAO -MADE ! X 1 OCCUR X XCU/CONTRACT LIAR GEN'L AGGRE�GA R ATTE LIMIT APPLIES PE POLICY ► A ( fl LOC SIPG- GL00055 -00 12/301/0 12130/11 EACH OCCURRENCE DAMAGE TO RENTED PREMISES Ms occurrence) MED EXP (Any one Pte) $ 1,000,000 60,E $ 5,000 PERSONAL & ADV INJURY GENERAL AGGREGATE $ 1,000,000 $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCI ED AUTOS HIRED AUTOS ION -OWNED AUTOS 8A00000032568E 12130/10 12/3011 COMBINED SINGLE LIMIT (Es oxidant) $ $ 1,000,004X BODILY INJURY (Per person) BODILY INJURY (Per ecddenn) PROPERTY DAMAGE (Per accident) $ $ $ UMBRELLA UAB EXCESS LIAB OCCUR CLAIMS -MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE WORKERS COMPENSATION AND EMPLOYERS UABIUTY C ANY PROPRIETOR/PARTNERI CUTIVE OFFICERNEMBER EXCLUDED? (Mandatory in NH) It yes, desca'bewader DESCRIPTION OF OPERATIONS below Y N 83041481 04/01/11 04/01112 X WC STATU- 1 l0TH- TORY LIMITS ER E.L. EACH ACCIDENT E(.. DISEASE - EA EMPLOYEE $ B.L. DISEASE - POUCY war $ 50?,o0e 500,0001 600 000, DESCRIPTION OP OPERATIONS / LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Rem Schedule. #'more s Is required) CERTIFICATE HOLDER CANCELLATION VILLMIII VILLAGE OF MIAMI SHORES BUILDING DEPARTMENT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED ARE. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WffH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATWE sir ITY-- ACORD 26 (2009108) (� 1988 -2008 ACORD CORPORATION. Alt rights rese The ACORD name and logo are registered marks of ACORD Miami -Dade My Home My Home "ir itii or" . - Z.7� Show Me: Property Information Search By: Select Item Text only LiProperty Appraiser Tax Estimato LJProperty Appraiser Tax Comparison J Portability S.O.H. Calculator Summa Details: FolioNo.: . 3206 -n14 -11.90 Pro.ert • .20 NE 92 ST Mailing ddress: : EATRIZ KHAN loots: 20 NE 92 ST MIAMI FL • 3138-3157 Prope Information: rimary Zone: 1000 SINGLE FAMILY ESIDENCE 2010 +001 RESIDENTIAL - INGLE FAMILY Beds/Baths: • /3 loots: $324,546 • Market Value: d' S• Foote e: 4,190 � '•yM11.1. 12 700 SO FT $50,000/ 1948 $433,304 MIAMI SHORES SEC 2 chooi Board: PB 10-37 LOT 4 & 5 BLK egal .8 LOT SIZE 100.000 X ■escription: 127 COC 23940 -3146 10 005 4 OR 23940 -3146 1005 01 Assessment Information: METNIIIIIIIIII 2011 2010 Land Value: EIPLEZIMEIM $25,000 :uildin. Value: $324,546 $326,196 Market Value: $483,304 '.524,142 ssessed Value: $483,304 $50,000/ Exemption Information: Taxable Value Information: 2011 2010 axing Authority: $25,000 $25,000 MORIMMIll YES MEM Taxable Value Information: Sale Information: (Sale Date: 110/2005 ale Amount: 0 ACTIVE TOOL: SELECT Aerial Photography - 2009 Mk, Home 1 PP erty information I Property Taxes I My Neighborhood I PEOperty Appraiser 0 Home I Using Our Site I ne Directory I Privacy 1 Disclai 113 ft If you experience technical difficulties with the Property Information application, or wish to send us your comments, questions or suggestions please email us at Webmasier. Web Site 02002 Miami -Dade County. At rights reserved. Page 1 of 2 MIAMI -DADE Legend Property Boundary Selected Property Street Highway Miami -Dade County Water N E http://gisims2.miamidade.gov/myhome/propmap.asp 8/26/2011 2011 2010 axing Authority: Applied Exemption/ Taxable Value: Applied Exemption/ Taxable Value: egionai: $50,000/ $433,304 $50,000/ $474,142 ouMy: $50,000/ $433,304 $50,000/ $474,142 550,000/ $50,000/ $433,304 5474,142 chooi Board: 525,000/ $458,304 $25,000/ $499,142 Sale Information: (Sale Date: 110/2005 ale Amount: 0 ACTIVE TOOL: SELECT Aerial Photography - 2009 Mk, Home 1 PP erty information I Property Taxes I My Neighborhood I PEOperty Appraiser 0 Home I Using Our Site I ne Directory I Privacy 1 Disclai 113 ft If you experience technical difficulties with the Property Information application, or wish to send us your comments, questions or suggestions please email us at Webmasier. Web Site 02002 Miami -Dade County. At rights reserved. Page 1 of 2 MIAMI -DADE Legend Property Boundary Selected Property Street Highway Miami -Dade County Water N E http://gisims2.miamidade.gov/myhome/propmap.asp 8/26/2011 Miami Shores Village Building Department 19050 N.13. 26e Avenue, Miami Shores, Fl 33132 Tel. 303.7q5-1204 " Fax: 305.7364972 1.10410 MIAMI SHOD. IS 13UIl.,U(NC �Ltt'A121t'Ntt N't; OF iO4.111 . ., _ .NT ° SP , CIAL.. ? p'O NO 2,fiz FLo IDS, WLDIN COU)r. (We) have Oren retained by (name of owner /argent) Beatriz Khan to perform Special Inspector cervices under the Florida Building Code at the project (address) 520 N.E. 92nd Street , ivlialtti Shores, as of 8/29/2011 (dote). f am a registered Architect or Professional Engineer licensed in the Statc orM Merida. P1>RMIT NUMBb".R: L Special 1 :ispector for Reinforced Unit Masonry, FBC 2122,4 0 Special inspector for Trusses over 35 Ft. Long or 6 Ft. High, FBG 231. 9.17.2.4,2 0 Special Inspector for Steel Connections, i7BC 2218.2 Special Inspector for Soil Compaction, FBC 1X20,3,1 C Special Inspector for ?recast Units & Attach,tnents, FBC 1927,12.2 0 Special Inspector for Pilings, F RC 1822.1 .41 Special Inspector for Structural repair of rib joist under residence 0 NOTE: P ease marts loxes that annlv ng inch vidueis(s) employed by this firm or me are authorized to perform Inspections. gold P.E. 2. stand that a Special impactor inapaction log Cyr each building must bo displayed Ina convenient locattan an the aite for er y the Miami Shores Building Department Iaspcatar, All mandatory Inspeotians, as required by the Florida BualdinsCnde, st be performed by Miami Shores. The building inspections must be called for all mandatory Inspections. Inspections par need by the Special Inspector hired by Oro Owner am In addduen ra the mandalety Inrpeef ens petlarn+ad by the bulld(ng Depnrtnennt Further, upon completion orthe work under each Building Permit, I will submit to the Miami Shares Building Department at the lima before the Anal inspection the completed inspection log form and a sealed usWttant indicating that, to the best of my ieiowiedge, belief and ptofeesionr+l Judgment those potions of the proJeei outlined above meet the intent of the Merida Building Code and are in substantiat accordance with the approved plans. Date: Sealed 8/29/2011 Engineer /Architect Name J.N. Sheingold (Print) Address 12420 S.W. 75th Avenue, Miami Phone No, 305 -986 -7002 Florida License No: P.E. 21181 Miami Shores' "ill APPROVED BY DATE ZONING DEPT BLDG DEPT SUBJECT TO COMPLIANCE 41- FED STATE AND COUNTY R A REGULATiO AMERICAN SOCIETY OF CIVIL ENGINEERS NATIONAL ACADEMY OF BUILDING INSPECTION ENGINEERS 52. Ti Stieeefeid, '5• CONSULTING ENGINEER PROFESSIONAL BUILDING INSPECTION 12420 S.W. 75th AVE., / MIAMI, FLORIDA 33156 TELEPHONE: (305) 378 -1244 Established 1976 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, Florida 33138 NATIONAL SOCIETY OF PROFESSIONAL ENGINEER FLORIDA ENGINEERING SOCIETY 29 August, 2011 Att: Building Official Ref: 520 N.E. 92nd Street Miami Shores, Florida I, J.N. Sheingold, P.E. have prepared the concrete restoration plans and specifications to correct the structural deficiency at the above referenced single family residence. Please be advised that the work as described will not reduce the structural strength or the stability of the building structure, or any individual member, thereof as per FBC2007 edition. If you have any questions or require additional information, please do not hesitate to call this office. 414// #1f> eingold, P.E. 21181 AMERICAN SOCIETY OF CIVIL ENGINEERS NATIONAL ACADEMY OF BUILDING INSPECTION ENGINEERS 1. T . S44 190144 RE. NATIONAL SOCIETY OF PROFESSIONAL ENGINEER FLORIDA ENGINEERING CONSULTING ENGINEER SOCIETY PROFESSIONAL BUILDING INSPECTION 12420 S.W. 75th AVE., / MIAMI, FLORIDA 33156 TELEPHONE: (305) 378 -1244 Established 1976 29 August, 2011 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, Florida 33138 Att: Building Official Dear Sir: We have been retained by the owners of 520 N.E. 92nd Street, Miami Shores, to provide special inspector services as defined in section 105 of the F.B.C. The repairs are to be performed by Snapp Industries under contract to the owner. The repairs will consist of the following: 1. Structural repair to approximately 14 lineal feet of reinforced concrete rib joists under the existing living area. 1. Remove all loose and spalling concrete using a light chipping hammer. 2. Inspect exposed interior reinforcing steel and replace any steel damaged in excess of 10 %. Should laps be required, at least 48 bar diameters or 30 inch minimum is required as per ACI 318 -05. Steel is to be 60 KSI. Concrete cover for steel rebar is to be a minimum of 1.5 inches. 3. Embedment of rebar into existing concrete structures is to be a minimum of 9 inches and Sika 31 Gel epoxy is to be used. 4. Sandblast existing exposed rebar and coat with EPO -Chem, 110 or equivalent. 5. Restore to original dimension using pneumatically applied concrete. (5000 psi) 6. Contractor to remove all debris and clean up site. Note: no work to be concealed without inspection by the Engineer -of- record. The engineer's inspections are in addition to those required by the Village Building Department. In progress inspections will be performed and a fmal inspection report will be forwarded upon completion. N. E 92nd STREET ?Si kW (PER PLAT) 20' ASPHALT 22,50' PARKWAY F,LP 1/2' 1 100.OP►(P &Mj 5' CONC. WALK F.I.P 1 /2' CONC. ROCK WALK 30.08' 14.70' 0.20' 0.40' , ., LOT8 BLK 58 4 F.F.4211.82' 20,70' ,51 LOT 3 (LK58 4 12.90'4* 21,40' CONC. .H.L LOT 4 BLK 58 0,ea' oe.; z.e Platil Soo NE- NO I.D. 100 00'{F& 1' ASPHALT ALLEY 01.0. AMERICAN SOCIETY OF CIVIL ENGINEERS NATIONAL ACADEMY OF BUILDING INSPECTION . ENGINEERS p. ie. , :,�. CONSULTING ENGINEER PROFESSIONAL BUILDING INSPECTION 12420 S.W. 75th AVE., / MIAMI, FLORIDA 33156 TELEPHONE: (305) 378 -1244 Established 1976 520 N ,ci2n9v*. NATIONAL SOCIETY OF PROFESSIONAL ENGINEERS FLORIDA ENGINEERING SOCIETY f 2c>t..t