RC-10-544Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 139453 Permit Number: RC -3 -10 -544
Scheduled Inspection Date: December 08, 2011
Inspector: Bruhn, Norman
Owner: DENTICO, LAURA
Job Address: 9280 BISCAYNE Boulevard D
Miami Shores, FL
Project: <NONE>
Contractor: JAMES DENTICO CONTRACTING INC
Permit Type: Residential Construction
Inspection Type: Final
Work Classification: Kitchen Cabinets
Phone Number
Parcel Number 1132060141444
Phone: 305 - 7564553
Building Department Comments
REPAIR AND REPLACE DAMAGE CAUSED BY FIRE IN
KITCHEN
Passed 444471(
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
December 07, 2011
For Inspections please call: (305)762 -4949
Page 1 of 24
u e
v/ur N \o 6,,
Miami Shores Village Flemawsh
Building Department IR MAR 3 0 ZOO
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 •
By,
Tel: (305) 795.2204 Fax: (305) 756.8972 '
Permit No. <C,I `Q-'54
—
Master Permit No.
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle)
Building Electrical Plumbing Mechanical Roofing
Owner's Name (Fee Simple Tiff holde ,r
Owner's Address .� Lit "d .
Ci ty 11 i �i 4 )6 State Zip 13
.Q
Phone # (.3
Tenant/Lessee Name Phone #
Job Address (where the work is being done)
City Miami Shores Village
Is Building Historically Designated YES
DV ASC 44(A &'C4k
'
County Miami Dade Zip ',
NO K
Contractor's Company Name
Contractor's Addres 10UCK • PSc /yf1Q f kw
City /7) .gl6y1P,S State Zip '3 1, ff .
Qualifier . W 199 u Tti- I-(C6
one#
OVA
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For thi$ Permit
Type of Work: ❑Addition
Describe Work: n
air
000
❑Alteration
111
['New
Square Footage Of Work:
Vco
❑ Repair/Replace ❑ Demolition
�nxe ace clornal caukci b+�
cAAp,r1
Submittal Fee $
Notary $
Scanning $
Permit Fee $ 19e, CCF $ CO /CC
Training/Education Fee $ Technology Fee $
Radon $ Zoning Bond $
Code Enforcement $ Structural Plan Review. $
Total Fee Now Due $
(Continued on opposite ide)
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 CONDmONERS, 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
Owner or Agent Contractor
The fo oing ins tru,ment was a wledged b fore me thi �,i The fore oing instrument was ackn
day of AA(Ct 20 (6, by . + ■ day of . tom- 201 '6 , by
who is personally known to meir who has ro / i who is
As identification and who did take an oath.
NOT
Sign
known t or who hasoduced
tiftcation and who did take an oath.
�..,u,,.a,» MARY A. ROBBINS
i•. - of Florida
Commission Expires Mar 25, 2010
8
om` A
.. .:
,'' , , Q`�,, Bonded By National Notary Assn.
My Commission xpires:
* * * *** *** ** ******* *** * * ** * * ** * * ***
• CT'Lf11R1r-.
My Commission
(Certificate of Competency Holder)
State Certificate or Registration No. Certificate of Competency No.
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY: 4rn/e9:1-7'C.) Plans Examiner
Engineer
Chc 12/15/03
Zoning
NOTICE OF COMMENCEMENT
A RECORDED COPY Mir BE POSTED ON THE JOB SITE AT TIME OF IIRST ILIW
PERMIT NO. TAX FOLIONO. II- 3 -a (a -oI (( -r
STALE OF FLORIDA
COW1Y OF MIAMI-DADE
TFE= UNDERSIGNED hereby gives noticethat improvements will be made to certain real
property, and in a000rdanop with Chapter 713, Florida Statutes, the following information
is provided in this Notice of Ccnmencement
1. Legal description of property and
() ,D
address
e
1111111 111111111111111111111111111111 11111111
CFM 201080732708
OR Bk 27470 Ps 2920; ttos)
RECZNED 10/28/2010 09:O1:49
HARVEY IIN. CLERK OF COURT
IIIANNI -DOOE COUNTY, FLORIDA
LAST PAGE
2. Delscription of improvement:
3. Owner(s) name and address:
Interest in property:
Name and address of fee simple titleholder.
4. Contractor's name andaddr
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(1Xa)7., Florida Statutes,
Name and address:.
8. In addition to himself, Owners designates the following persons) to receive a copy of the Uenor's Notice as provided
in Section 713.13(1Xb), 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
dill:, date is specified)
5° 4.2%.&10.,
Sign = re of Owne
Print c . - Name At IP.S ! 4( CO
Sworn to and „ubs 'bed before me this IS day of
Notary Pu
Print Nota s a
My commission expires
113,.07-38 8104 PAGE3
Prepared by CCUP W-C (\°1414(6)
Oj- Iv'UErjetgaiyM ,q1(t
Address- M t ( 11i
'
WOO A. RUBBINS
Notary Pubis • State of Ronda
My Comm. Explte$ Mar 25, 2014
Commission • 00 872518
Bon IraarpANew Netaryl ANIL •
STATE OF FLORIDA, COUNTY F DADE
I HEREBY CERTfY th ± f±?:::: a kuo cam, 011M
original Ned in this tiliA Nia,„.n. ley of
OCT 9 20
tttlTf+ S ,') : r k: al' ti i- .14 A331 it C :. arc 9t arid County COurit
• Sy. i ° D.C.
3i
Miami Shores Viiiage
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
RECEIPT
PERMIT # 12"C_ Q DATE: April\ SJOiO
❑ Contractor
o Owner
o Architect
Picked
Address:
From the buil g department on this date in order to have correctio s done to plans
And /or get C ; unty stamps. I . rstand that the plans need to be brought back to Miami
Shores Villag; Buildin •epartme t to continue pe ing process.
f plans and (othe
'9 2/ Al_ Ake
Acknowledged b
PERMIT CLERK INITIAL:
RESUBMITTED DATE: /&7:./C)
PERMIT CLERK INITIAL:
04/13/2010 15:55 F4X 1 800 685 7530 DATA SCAN FIELD SERVICES 21001
* * * * * * * * * * * * * * * * * * * **
* ** TX REPORT s **
* * * * * * * * * * * * * * * * * * * **
TRANSMISSION OK
TX /RX NO 4901
RECIPIENT ADDRESS 93057568490
DESTINATION ID
ST. TIME 04/13 15:55
TIME USE 00'45
PAGES SENT 1
RESULT OK
411-2..11 11,E
Permit No: 10 -544
Job Name:
April 9, 2010
Miami Shores Viiiage
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Page 1 of 1
Building Critique Sheet
1) Plans must be reviewed and approved by Miami Dade County DERM.
2) A Mechanical permit application is required for the kitchen hood..
3) Corrections for mechanical, electrical and zoning must be completed.
4) Plans must identify the fire rated walls and ceilings and repairs of the same if being
altered.
5) Plans must identify the walls to be removed / replaced.
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.
Norman Bruhn CBO
305 -795 -2204
Permit No: 10 -544
Job Name:
April 9, 2010
Miami Shores Vinage
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Page 1 of 1
Building Critique Sheet
1) Plans must be reviewed and approved by Miami Dade County DERM.
,,-2) A Mechanical permit application is required for the kitchen hood..
3) Corrections for mechanical, electrical and zoning must be completed.
4) Plans must identify the fire rated walls and ceilings and repairs of the same if being
altered.
5) Plans must identify the walls to be removed / replaced.
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.
Norman Bruhn CBO
305 - 795 -2204
04/13/2010 08:15 FAX 1 800 685 7530
DATA SCAN FIELD SERVICES
Cj 0 01
* * * * * * * * * * * * * * * * * * * * * * * * * **
* ** ERROR TX REPORT * **
* * * * * * * * * * * * * * * * * * * * * * * * * **
TX FUNCTION WAS NOT COMPLETED
TX /RX NO 4895
RECIPIENT ADDRESS 93057549605
DESTINATION ID
ST. TIME 04/13 08:14
TIME USE 00'00
PAGES SENT 0
RESULT NG
#0018 BUSY /NO SIGNAL
Permit No: 10 -544
Job Name:
April 9, 2010
Miami Shores V,uage
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Page 1 of 1
Building Critique Sheet
1) Plans must be reviewed and approved by Miami Dade County DERM.
2) A Mechanical permit application is required for the kitchen hood..
3) Corrections for mechanical, electrical and zoning must be completed.
4) Plans must identify the fire rated walls and ceilings and repairs of the same if being
altered.
5) Plans must identify the walls to be removed / replaced.
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.
Norman Bruhn CBO
305 - 795 -2204
1110° DIA*
Permit No: 10 -544
Job Name:
April 9, 2010
Miami Shores \(ivage
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Page 1 of 1
Building Critique Sheet
1) Plans must be reviewed and approved by Miami Dade County DERM.
2) A Mechanical permit application is required for the kitchen hood..
3) Corrections for mechanical, electrical and zoning must be completed.
4) Plans must identify the fire rated walls and ceilings and repairs of the same if being
altered.
5) Plans must identify the walls to be removed / replaced.
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.
Norman Bruhn CBO
305 - 795 -2204
-191 - ct(toCAS-46
LZYlg Vtiga
30c:- 3l a - 6 g°g9 ow r cvc#/ a4 Podi---
RESIDENTIAL SUBMITTAL CHECKLIST MIAMI•DAD�E
DERM OFFICE OF PLAN REVIEW SERVICES, 11805 SW 26 Street #124, 786 - 315 -2800
DERM PLAN REVIEW, 33 SW2i0Avenue, 1st Floor, 305-372 -6500
COUNTY
This checklist Is for the processing of residential projects through DERM. Multi -Unit Projects which contain four (4) or more units are required to be
processed as a Commercial project. Please use the Commercial Checklist instead.
exam
PROJECT NAME:
fl)/e. Tvoilease .�
PROJECT ADDRESS: ',iO • Za' , 'U4-�'c�( e': C 0
Property Folio Number:
ter
it - 30 - L4 -44
Please verify that all documents submitted (plans, applications, surveys, etc.) show the same project address and information.
Instructions for using this form:
1) This form gives a general list of items required for approval of a Building Permit by DERM. Please be aware this is a general
list not all items apply to all projects.
2) Items have been listed under a broad category with various more specific required items listed under those categories.
Please check the boxes for those general headings that apply for your project, and then check off the items you have
provided.
3) All items are shown with either a white check-off box or a shaded check-off box. Items, be it a broad category or a specific
item, with a white box are required when applicable. Those Items with a shaded box are absolutely required. Any specific
item with a shaded box, which is listed under a broad category with a white box, is only required if the broad category
applies.
4) This list is formatted to be submitted as a statement or affirmation regarding the items listed. This checklist is required to be
signet.
Provided a current Property Survey; Shows all lot dimensions including elevations
FLOOD PLAIN: Site Plan showing the following elevations; See Sheet(s);
*REQUIRED FOR NEW CONSTRUCTION, ADDITIONS, AND MAYOR REMODELINGS (Le. > 50% value)
NOT REQUIRED FOR PROl7ECTS WITHINA MUNICIPALITY
Highest Crown of the Road
Lowest floor (Inducting Basements/Sunken Areas)
Lowest Garage Elevation (Must be minimum of 4' above Crown of Road /County Flood Criteria)
Lowest Adjacent grade. (Grade immediately adjacent to proposed structure)
The Site Plan Indudes A Flood Legend And Notes
Property is served or is to be served by a Public Water Supply.
There is existing water service to this property, Water Account # 101) is Os a co
FOR NEW OR ADDITIONAL SERVICE, Provide Water Verification Form from the corresponding utility company.
E A Public Water Main extension Is required for this project. Provide The Department of Health Water Extension Approval or provide the recorded
copies of the executed servce agreement and a recorded estoppel letter for a conditional approval..
Property is served or is to be served by a Sanitary Sewers.
There is existing sewer service to this property, Sewer Account #
FOR NEW OR ADDITIONAL SERVICE, Provided Sewer Verification Form from the corresponding utility company, pad Sewer Capacity
Certification /Allocation Letter.
EA sanitary sewer main extension Is required for this project. The DERM Sewer Extension Approval Is SE# , or provide
the recorded copies of the executed servce agreement and a recorded estoppel letter for a conditional approval.
CONTINUED ON PAGE 3
PAGE 3 DERM RESIDENTIAL SUBMITTAL CHECK LIST
Property is served or is to be served by a Septic Tank /Drainfield.
FOR PROJECTS SERVED BY A MUNICIPAL WATER /SEWER UTILITY:
In conjunction to the Water and /or Sewer Verification Form from the utility company serving the property, a Resolution
Letter from Miami -Dade Water and Sewer Department must also be provided.
CONTACT: MDWASD NEW BUSINESS OFFICE
Property is to be served by a Private Potable Well
Proposed well is located 100' feet from all septic tanks or other sources of contamination. See Sheet;
n The proposed well and septic tank are set back 50' from the property lines or shown to be 100' from all neighboring septic tanks and
wells, respectively. See Sheet;___
Property is part of a New Subdivision for which a DERM Subdivision File has already been created.
Legal Subdivision File Name:
I have reviewed the plans and materials being submitted and hereby affirm that the all the items checked off on this list are
accurate and have been provided. I acknowledge that if any of the information that I have indicated is not submitted along with
this checklist attached to my building permit plans, I may be subject to additional reviews and fees.
CONTACT PERSON: :3 tile I -(- C(J PHONE: 3)...c—
Owner,
Design Professional (Engineer /Architect) or Authorized Person.
Sign and Date
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 139461 Permit Number: EL -3 -10 -545
Scheduled Inspection Date: June 29, 2011
Inspector: Devaney, Michael
Owner: DENTICO, LAURA
Job Address: 9280 BISCAYNE Boulevard D
Miami Shores, FL
Project: <NONE>
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1132060141444
Contractor: JAMES DENTICO CONTRACTING INC Phone: 305 - 756 -6553
Building Department Comments
ELECTRICAL WORK FOR REPAIRS IN KITCHEN CAUSED
BY FIRE DAMAGE
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
June 28, 2011
For Inspections please call: (305)762-4949
Page 2 of 38
Miami Shores Village 15202EVIED
Building Department 11 MAR 3 1 7Q10
BY
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 7952204 Fax: (305) 756.8972
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle):
Owner's Name (Fee Simpl
Owner's Address 2-,1
Al/ h.
Building
Titleholder)
State
City
Permit No. E1 1 0 _ 34 7
Master Permit No.t
Electrical Plumbing Mechanical Roofing
P
0
(� hon # .- � S-33
r � e � 7
Zip 13 g
Tenant/Lessee Name
Phone #
Job Address (where the w
City Miami Sho
Is Building Historically D
Contractor's Company Na
Contractor's &ddress
City 1 ` I bthl LS
Qualifier
State Certificate or Registr
Architect/Engineer's Nam
$ Value of Work For this
rk is being done)
es Village
9ard 4 1gc
t•
kp ow Moth; SAJr -S t
County Miami-Dade
Phone # 36
ignated YES NO
res .state F-1
Zip 33 138
Zip 33 J3S
Le cd
ion No. QCO 137LS6 Certificate of Competency No.
(if applicable)
Permit
Phone #
(30-00
Type of Work: DAddition DAlteration
Describe Work
Square Footage Of Work:
[New
Repair/Replace
11
Demolition
Submittal Fee $
Notary $
Scanning $
Code Enforcement $
* * * * * ** **** * * * * * * * * * **
* * ** Fees * * * * * * * * *. * * * * * * * * * * * * * * * * * * * **
Permit Fee $ ..34-1/17 CCF $
Training/Education Fee $ Technology Fee $
Radon $ Zoning Bond $
Structural Plan Review. $
Total Fee Now Due $
(Continued on opposite ide)
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 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 Signature
Owner or Agent
,a,neu2 C:421A-te-e:
Contractor --��
The fore oing instrument was a owledged b ore me th n £ The fore ing instrument was ackno ed before e thi ll t L
day of A, ft' 0 ( by 1'14z ' � day of ✓ 14-• 20 I , by
who is persona known to me or who has produced— ( who is pe r sonally known tome or who has produced i Li
as identification and who did take an oath.
As identification and who did take an oath.
/gAI 1J 4
Print: >,rnf. lr""'.
_ rte
My Commission Ex ' ires:
* * * * * * * * * * * * * * * * * * * **
expites mats."
a, Bonded BY Natcna"D"
** * * * * * * ** *** * * * * * ** *** * * * ** **
APPLICATION APPROVED BY:
NOT P .
Sign:
Chc 05/13/03
/ /L //. /e, Plans Examiner
Engineer
Zoning