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RC-11-1705Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 164572 Permit Number: RC -9 -11 -1705 Scheduled Inspection Date: September 26, 2011 Inspector: Bruhn, Norman Owner: BLUMENTHAL, OLIMPIA Job Address: 1279 NE 98 Street Miami Shores, FL Project: <NONE> Contractor: COUNTRYWIDE DEVELOPMENT GROUP INC Permit Type: Residential Construction Inspection Type: Final Work Classification: Repair Phone Number Parcel Number 1132050090270 Phone: (786)443 -5346 Building Department Comments DEMO STONE CHIMNEY INSTALL HURRICANE STRAPPING Inspector Comments Passed) / Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. September 23, 2011 For Inspections please call: (305)762 -4949 Page 32 of 41 4 STRUCTURES INTERNATIONAL, INC. Consulting Structural Engineers. Date: September 16, 2011 RE: Roof Repair at 1279 NW 98th Street Miami Shores, Florida 33138 To Whom It May Concern: I have personally inspected the repair work at the above referenced location. This inspection covers the new framing above the chimney, and adding the clips and straps for uplift. I find that all aspects of this system conform to the "Approved Plans" and the Florida Building Code. Should you have any questions regarding the above, please do not hesitate to call this office. ► FARq a ta.� • GEN :///: Strgctures Intemational, %c. No 57439 STATE OF, erAFaramav , ;; P.E. ift��.. FL OE 19h4A9. �. FL SI # 2b�4' 7501 Wiles Road, Suite 106 -B, Coral Springs, FL 33067 Phone: (954) 227 -1512 Fax: (954) 227 -6633 CA # 9446 STRUCTURAL NOTES GENERAL NOTES; STRUCTURAL DRAWINGS SHALL BE USED IN CONJUNCTION WITH JOB SPECIFICATIONS AND ARCHITECTURAL MECHANICAL, ELECTRICAL, PLUMBING, AND SITE DRAWINGS. CONSULT THESE DRAWINGS FOR SLEEVES, DEPRESSIONS, AND OTHER DETAILS NOT SHOWN ON STRUCTURAL DRAWINGS. ALL DIMENSIONS AND CONDITIONS MUST BE VERIFIED IN THE FIELD. ANY DISCREPANCIES SHALL BE BROUGHT TO THE ATTENTION OF THE ENGINEER BEFORE PROCEEDING WITH THE AFFECTED PART OF THE WORK. THE STRUCTURE IS DESIGNED TO BE SELF SUPPORTING AND STABLE AFTER THE BUILDING IS COMPLETE. IT IS THE CONTRACTOR'S RESPONSIBILITY TO DETERMINE ERECTION PROCEDURES AND SEQUENCE TO INSURE SAFETY OF THE BUILDING AND ITS COMPONENTS DURING ERECTION. THIS INCLUDES THE ADDITION OF NECESSARY SHORING, SHEETING, TEMPORARY BRACING, GUYS OR TIEDOWNS. DESIGN LOADS; THE STRUCTURAL SYSTEM FOR THE BUILDING HAS BEEN DESIGNED IN ACCORDANCE WITH THE 2007 FLORIDA BUILDING CODE. THE FOLLOWING SUPERIMPOSED LOADINGS HAVE BEEN UTILIZED: ROOF: LIVE LOAD - 30 PSF DEAD LOAD - 25 PSF WIND: WIND PER ASCE 7 -05 3 SECOND GUST WIND SPEED = 146 MPH CATEGORY II, IMPORTANCE FACTOR 1.00, EXPOSURE C INTERNAL PRESSURE COEFFICIENT -0.18 OR +0.18 W00D: STRUCTURAL WOOD COMPONENTS SHALL HAVE THE FOLLOWING ALLOWABLE FIBER STRESSES: BENDING 1,500 psi. SHEAR 175 psi. WOOD IN CONTACT WITH CONCRETE OR MASONRY SHALL BE PROTECTED OR PRESSURE TREATED IN ACCORDANCE WITH AMERICAN WOOD- PRESERVERS' ASSOCIATION STANDARDS. MEMBER SIZES SHOWN ARE NOMINAL UNLESS NOTED OTHERWISE. EXISTING LEDGER EXISTING ROOF RAFTER PROVIDE MIN. OF (2)SIMPSON A23 ANGLES TO ATTACH LEDGER TO EXISTING RAFTER DETAIL 1"=1,-0" EXISTING 2x10 LEDGER DETAIL DETAIL (rP) DETAIL DETAIL O1 EXISTING ROOF RAFTER DETAIL PROVIDE MIN. OF (1) SIMPSON A23 ANGLES EACH SIDE NEW 2x4 WOOD DETAIL EXISTING ROOF RAFTER PARTIAL ROOF PLAN N.T.S. PLAN NOTES:. 1. CONTRACTOR TO VERIFY ALL EXISTING CONDITIONS. 2. VERIFY ALL DIMENSIONS. EXISTING LEDGER DETAIL 1 " =1' -0" EXISTING ROOF RAFTER EXISTING 2x10 LEDGER EXISTING ROOF RAFTER EXISTING ROOF RAFTER 11 nos Miami Shores Village I APPROVED BY DATE ZONING DEPT BLDG DEPT j� '� 0 ' ,,7 /_ ci ,I IR,ILCT TO COMPLIANCE WITH ALL FEDERAL 1 A Fr AND COUNTY RULES AND REGULATIONS PROVIDE SIMPSON ® 24" 0.C. STRAP. EMBED STRAP IN CMU CALL & GROUT THE CELL EXISTING CMU SEP202011 : ° X1STiNeo �Y LEDGER DETAIL 1"=1,-0" TO THE BEST OP MYKNOWLEDGE AND AIIIIIY, TEE COMPLETED STRUCTURE DEPICTRD ONTE8 B PLAINS COMMIES WITH TEB APPLICABLE MINIMUM BUEDINO CODES MISNUMBER: 11-098 `S1ONAL E� co M W � < ce u)(0LL aw UJ D LL p Z c" CV 2 • REVISIONS DRAWING TITLE: JOB ND: 11-098 DATE 09/09/11 DRAWN: AF. CHECKED: S -1 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 BUILDING PERMIT APPLICATION FBC 20 Permit Type: BUILDING ROOFING amp,A gte,0411(J.,--140. Permit No. gat nos Master Permit No. OWNER: Name (Fee Simple Titleholder): �,q Address: a YL City: r Avti ,Jm 63 /VA - Tenant/Lessee Name: Phone #: SOS - 16")-c2f lO State: a3c3iS t' Phone #: Email: JOB ADDRESS: ,j4-/ City: Folio/Parcel #: Miami Shores LI / County: Miami Dade Zip: e3 l3EA Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: rt-4,-v\il• -)1. � G-1, 2 ® Phone #: b 443-C-344„, Address: -2-71-4S- t3 ti City: NA-1 Pk- Qualifier Name: State: Zip: 33C s sr") • v__ • Phone #: State Certification or Registration #: `IS_2C `Certificate of Cqmpetency #:' Contact Phone #: 4'-t '...t (. Email Address: "w. DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ CPC. (D Square/Linear Footage of Work: Type of Work: 0-Addition alteration ❑New Repair/Replace Ceemolition Description of Work: -v 7 CP1-A-0* '2'' " -12-,C-A*--) ** * * **** * * * * * * * * **** * * * * * *** * * ** x** ** Fees *** * * * * * * ******* ** *** * * * * * * * * * *** * * * ** * * ** Submittal Fee $ a ®° Permit Fee $ AO 00 CCF $ CO /CC $ 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 1D4 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 C4264:" wner or Agent The for- .. ing day of who is pers strument was ac wledged be .': e this ,201 ,by/ ally known to me or who h s produced NOTAR PUBLIC Sign: Print: My Commission Expires: As identification and who did take an oath. ',LA , ..d46cP APPROVED BY Contractor e foregoing instrument was acknowledged before me this y of , 20 , by{�`"v 'C, s`g who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: • ri.CD:": "is' IoW ��4rrrnusltttt�t� Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Zoning Clerk a4 CUMULATIVE SUBSTANTIAL IMPROVEMENT VERIFICATION WORK SHEET In accordance with FEMA regulation and Miami Shores Village Flood Damage Prevention Ordinance the costs of all improvements must be monitored. The costs of any improvements in the past 12 months and the costs of any proposed improvements must be shown on the worksheet. The cost of improvements must include demolition, raw and finished materials (include those donated), labor (including volunteer and self - performed), construction supervision and management, and overhead and profit. A list of items the costs of which are to be included as well as those excluded is attached for your reference. (A Coepy of the Contract must be attached) PROPERTY OWNER: citMVP le,m4iNiEE'i PERMIT # f p 1105 ADDRESS: /P'i7 '' Air R el i'- FOLIO NUMBER: FLOOD ZONE: BASE FLOOD ELEVATION: FREEBOARD: EAST OF FL.CCCL: COST OF PAST IMPROVEMENTS (12 MONTHS): COST OF PROPOSED IMPROVEMENTS: (ATTACH COPY OF CONTRACT) ZD ,( TOTAL CUMULATIVE COST OF IMPROVEMENTS (past and proposed): 0 7 0 z,zo VALUE OF PRINCIPAL STRUCTURE (attach apprais4 O� H 9 / ()�✓ "� OWNERS SIGNATURE PLANREVIEWER: DATE: PLAN REVIEWER SIGNATURE: Created on June 2009 DATE: SUBSTANTIAL IMPROVEMENT / DAMAGE LIST (NOTE: THIS LIST IS INTENDED FOR GUIDANCE ONLY, AND IS NOT ALL INCLUSIVE) ITEMS TO BE INCLUDED ALL STRUCTUAL ELEMENTS, INCLUDING Foundations including; Spread footing, Continuous footing, isolated footing, piles and pile caps Slabs including; Monolithic, floating, elevated Walls including; Exterior walls, Bearing walls, Shear walls Beams, Tie Beams, Columns and Posts Wood decking, Floor and Roof Sheathing Trusses, Joist Windows /Doors ALL BUILDING ELEMENTS, INCLUDING Interior Partitions, Walls, Columns Drywall, Ceilings, Built in Furniture, Cabinets, Vanities All Fixtures Flooring, Tile, Carpet, Stone, Linoleum, ect. All Finishes including Drywall, Paint, Stucco Plaster, Paneling, Tile, Marble, and Moldings Roofing Material ALL HARDWARE ALL UTILITY and SERVICE EQUIPMENT HVAC Electrical System and Equipment Plumbing System and Equipment Security System and Equipment Central Vacuum System Plumbing Fixtures Lighting Fixtures and Ceiling Fans Water Systems including Softeners /Filtration Created on June 2009 ALSO: All Labor and other Costs associated with Demolition, Removing, Replacing, Installing Building or Altering Building Components Construction Management / Supervision Overhead and Profit Equivalent cost for: Donated Materials Volunteer Labor (including owners and friends) Any Improvements Beyond Pre - damaged Condition, including; Utility Upgrades Code Upgrades ITEMS TO BE EXCLUDED Plans and Specifications Survey Costs Elevation Certificate Costs Permit fees Debris Removal Items not considered to be REAL Property Rugs, Furniture, Refrigerator, Appliances not Built -in Outside Improvements, Including; Landscaping Sidewalks Patios Fences Yard lights Sheds Gazebos Irrigation Pool Miami -Dade My Home My Home e. go Show Me: Property Information Search By: Select Item Text only Property Appraiser Tax Estimator Property Appraiser Tax Comparison Portability S.O.H. Calculator Summary Details: Folio No.: 11- 3205 -009 -0270 Property: 1279 NE 98 ST Mailing OLIMPIA A BLUMENTHAL Address: 1 Living Units: 1279 NE 98 ST MIAMI Adj Sq Footage: SHORES FL Lot Size: 33138 -2562 Property Information: Primary Zone: 1400 SINGLE FAMILY RESIDENCE CLUC: 0001 RESIDENTIAL - SINGLE FAMILY Beds /Baths: 3/2 Floors: 1 Living Units: 1 Adj Sq Footage: 2,841 Lot Size: 12,262.50 SQ FT Year Built: 1950 $50,500/ $227,625 EARLETON SHORES City: PB 43 -80 LOT 16 & W1/2 Legal LOT 17 BLK 2 LOT SIZE Description: IRREG OR 14236 -1866 0889 1 OR 14236 -1866 0889 00 Assessment Information: Year: 2011 2010 Land Value: $177,546 $147,954 Building Value: $249,085 $250,645 Market Value: $426,631 $398,599 Assessed Value: $278,125 $274,015 Exemption Information: Year: 2011 2010 Herr estead: $25,000 $25,000 2nd Homestead_: YES YES Widow: $500 $500 Taxable Value Information: Year: 2011 2010 Applied Applied Taxing Authority: Exemption/ Taxable ExeTaxampble tion/ Value: Value: Regional: $50,500/ $227,625 $50,500/ $223,515 County: $50,500/ $227,625 $50,500/ $223,515 City: $50,500/ $227,625 $50,500/ $223,515 School Board: $25,500/ $252,625 $25,500/ $248,515 Sale Information: Page 1 of 2 ACTIVE TOOL: SELECT Aerial Photography - 2009 0 112 ft My Home I Propertv Information I Property Taxes My Neighborhood I Propertv Appraiser Home I Using Our Site 1 Phone Directory I Privacy I Disclaimer If you experience technical difficulties with the Property Information application, or wish to send us your comments, questions or suggestions please email us at Webmaster. Web Site © 2002 Miami -Dade County. All rights reserved. Legend N Property Boundary Selected iNe Property Street mil' Highway Miami -Dade County Water http: / /gisims2. miamidade .gov /MyHome /propmap.asp 9/19/2011 BATCH{ NUMBER TRU 09/02/30,0 40%0.63099: -, C- - - - The: ROOF,.' pli TOR. Named below is IDSTIFTED, U ider "-tile prAvt,;S ons ot chaptBx Expiration date: AUG 31, 2012 STATE OF FLORIDA gg�U TIOPI 1 BOARW ; S51 Q#nib09020i2o2 .; { <% L1U1REU Y STATE OF FLORIDA DATE 09,(0942110 BATCH PEUMBER £C 1,94 a099• C 5 ,,� 14�a. cT 1ruderqt11 .`p tlr :; i4one 4 iChal piratton Cutter. AUG 31 2012' _ %, ©t3 ALEX SINK CHIEF FtNAtdc(AL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION 4F 46 CERTIFICATE OF ELECTION TO RE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * 46 CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 12/28/2009 EXPIRATION DATE: 12/28/2011 PERSON: SPENCER RODERICK J FEIN: 900292008 BUSINESS NAME AND ADDRESS: C0UNTRYYIDE DEVELOPMENT GROUP INC 2748 NW 208 TERRACE MIAMI GARDENS FL 33033 12- 29-2009 SCOPES OF BUSINESS OR TRADE: 1- CERTIFIED GENERAL CONTRACTOR IEWWONTANT: Parena04 to Chapter 440. 06(14), F.S., an officer of a corporation 006x elects exemption from His cbepler by Mien a cerllticme of election roder Ms section may not recover benefits or compensation coder role chapter. Ferment to Chapter 440.06112), F.S., Certificates of election to be exempt... apply only within the scope of the business or trade fisted as the once of election to be exempt. Porsomt to Chapter 440.06(13), F.S., Notices of election to he °tempt and certificates of ele0fae to be exempt shat) be Babied to revocation 0, m soy lime Hier the filial 0l the notice or the issuers of roe cen/licato, the person named on the notice or certificate no longer meets the requirements of this section for Issuance 0) a certificate. The department shaft revoke a certificate at any time for (ellore of the person earned on the sert0icste to meet the requirements of this 100110,1. OW-262 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09 -06 QUESTIONS? (850 413 -1609