RC-11-1751Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 164776 Permit Number: RC -9 -11 -1751
Scheduled Inspection Date: October 20, 2011
Inspector: Bruhn, Norman
Owner: GUNN, MARVIN
Job Address: 9150 N BAYSHORE Drive
Miami Shores, FL 33138-
Project: <NONE>
Contractor: ORONI INC
Permit Type: Residential Construction
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1132050010280
Phone: (305)685 -0412
Building Department Comments
REMOVE SLIDING GLASS DOOR AND BLOCK OPENING
Passed
Failed
Inspector Comments
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
October 19, 2011
For Inspections please call: (305)762 -4949
Page 12 of 16
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Several properties in Miami Shores Village are located in a Special Flood Hazard Area (SFHA)
as determined by the Flood Insurance Rate Map (FIRM). Development in a SFHA requires
special attention to help protect life and property in the unfortunate event of a flood. Miami
Shores Village Flood Damage Prevention Ordinance requires that the Building Department
determine if a structure will be "Substantially Improved" prior to issuing any permits for
improvement or repair.
"Substantial Improvement" is defined in Miami Shores Village Flood Damage Prevention
Ordinance as follows:
"any reconstruction, rehabilitation, addition, or other improvement of a structure, the
cost of which equals or exceeds 50 percent of the market value of the structure before the "start
of construction" of the improvement. This term includes structures that have incurred
"substantial damage" regardless of the actual repair work performed."
The starting date to determine cumulative costs will be 12 months prior to the issuance of any
permit under consideration. All future work considered would require appropriate approvals prior
to construction. All cumulative costs will be re- evaluated at the time the permits are issued.
Q: Why was the 50% figure chosen as the substantial improvement threshold?
A: The 50% threshold was chosen as a compromise between the extremes of 1) prohibiting all
investment to structure in SFHA and 2) allowing structures to be improved in any fashion
without regard to the hazard present. In the first alternative there is potential for causing
hardship to those who have located in a SFHA without knowledge of the risk because the
structure was constructed prior to the designation of the area as flood prone. These individual
could not improve their structures as damage or age contributed to their deterioration. The
second alternative provides no mechanism to ensure that increased investment in SFHA will
receive needed protection from flood risk, thus contributing to the increased peril of life and
property. The threshold is thus a compromise at a halfway point.
"Market Value" is defined in Miami Shores Village Flood Damage Prevention Ordinance as
follows:
" the building value, which is the property value excluding the land value and that of the
detached accessory structures and other improvements on site (as agreed to between a willing
buyer and seller) as established by what the local real estate market will bear. Market value can
be established by an independent certified appraisal (other than a limited or curbside
appraisal, or one based on income approach), Actual Cash Value (replacement cost
depreciated for age and quality of construction of building), or adjusted tax - assessed values."
Note: The "Market Value" does not include the value of the land or other improvements on the
property. (ie: pool, gazebo etc.)
Created on June 2009
A "substantially improved" structure in a Flood Zone must be brought into compliance with
Miami Shores Village Flood Damage Prevention Ordinance for new construction. This means a
residential structure must be elevated to or above the level of the 100 -year or base flood and a
commercial structure must be effectively "flood proofed" and meet other applicable
requirements. These regulations are based upon the Federal Emergency Management Agency
(FEMA) requirements and affect your flood insurance costs. Existing residential structures can
be "substantially improved" by interior renovations or new additions or other improvements.
EXAMPLE: In order to determine whether a proposed construction project would be classified
as a substantial improvement, the market value of the building needs to be determined. This
value is found on the official tax assessors card for the property or may be obtained by a
licensed property appraiser. That number is then divided by 2 to determine the substantial
improvement threshold.
Therefore, a home with a market value of $100,000.00 could have no more than $50.000 worth
of new construction /renovations and /or repairs before the house would have to be elevated
above the 100 year base flood elevation as shown on the Flood Insurance Rate Maps.
It is the responsibility of the Building Department staff to ensure that the market value estimates
are accurate and the cost estimate reflects the actual costs to fully repair the damage and make
any other improvements to the structure. The staff requires that the permit applicant or owner of
the building supply the proposed construction cost estimate, or contractor's contract, to make
the determination. The staff then uses the latest "Means Square Foot Costs" and "Means
Construction Cost Data" books to determine the accuracy of the estimate. These are nationally
accepted manuals, which itemize all components involved with construction. The manual
provides adjustment rates to handle the varying construction costs throughout the country.
Q: What should be included in a contractor's estimate?
A: Basically, the only items that are not included in the cost include plans, specifications,
surveys and permit fees. All materials that are permanently a part of the structure should be
included in the cost estimate. These items include, but are not limited to: windows, doors,
hardwood floors, wall to wall carpeting, sheetrock, lumber, roofing material, footings, pilings,
kitchen cabinets and counter tops, bathroom vanities, tiling, plumbing fixtures, new furnaces, hot
water heaters, heating and air conditioning systems, electrical work and labor. The cost of all
materials involved in new construction or replacing and restoring a structure to its pre- damaged
condition must be included. Even if volunteer labor or self -labor is used, it must be estimated
based on minimum -hour wage scales for the type of construction work that is done.
Created on June 2009
CUMULATIVE SUBSTANTIAL IMPROVEMENT
VERIFICATION WORK SHEET
hi 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 Copy of the Contract must be attached)
PROPERTY OWNER: NNI AL +1(6J C71)01)
PERMIT # R s ( wl
ADDRESS: Ct p. 94ot(
FOLIO NUMBER:1 ! .37-05"0011`0".4 FLOOD ZONE:
BASE FLOOD ELEVATION: FREEBOARD:
COST OF PAST IMPROVEMENTS (12 MONTHS):
es-
EAST OF FL.CCCL:
COST OF PROPOSED IMPROVEMENTS: 4k2-4 CO
(ATTACH COPY OF CONTRACT)
TOTAL CUMULATIVE COST OF IMPROVEMENTS (past and proposed): l,''[c 6
VALUE OF PRINCIPAL STRUCTURE (attach appraisal):
OWNERS SIGNATURE:
PLANREVIEWER:
PLAN REVIEWER SIGNATURE:
Created on June 2009
DATE:
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
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Property Appraiser Tax Estimator
Property Appraiser Tax
Comparison
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Summary Details:
Folio No.:
11- 3205- 001 -0280
Property:
9150 N BAYSHORE DR
Mailing
MARVIN E GUNN &W
Address:
NICOLE B
Living Units:
9150 N BAYSHORE DR
Adj Sq Footage:
MIAMI SHORES FL
Lot Size:
33138 -3409
Property Information:
Primary Zone:
1100 SINGLE FAMILY
RESIDENCE
CLUC:
0001 RESIDENTIAL -
SINGLE FAMILY
Beds /Baths:
3/2
Floors:
1
Living Units:
1
Adj Sq Footage:
2,046
Lot Size:
8,750 SQ FT
Year Built:
1953
$50,000/
$239,218
5 53 42 PB 9 -141
City:
WATERSEDGE LOT 33
Legal
& ELY2OFT LOT 32 BLK
Description:
1 LOT SIZE 70.000 X
125 OR 19433 -4504 12
2000 1 COC 25962 -0213
08 2007 6
Assessment Information:
Year:
2011
2010
Land Value:
$126,000
$105,000
Building Value:
$178,888
$179,944
Market Value:
$304,888
$284,944
Assessed Value:
$289,218
$284,944
Exemption Information:
Taxable Value Information:
Year:
2011
2010
Homestead:
2nd Homestead:
$25,000
$25,000
YES
YES
Taxable Value Information:
Year:
2011
2010
Applied
Applied
Taxing Authority:
Exemption/
Taxable
Exemption/
Taxable
Value:
Value:
Regional:
$50,000/
$239,218
$50,000/
$234,944
County:
$50,000/
$239,218
$50,000/
$234,944
City:
$50,000/
$239,218
$50,000/
$234,944
School Board:
$25,000/
$264,218
$25,000/
$259,944
Sale Information:
Page 1 of 2
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DESCRIPTION OF WORK
THE PLANS DESCRIBE THE WORK TO BLOCK IN EXISTING SLIDING GLASS
DOOR OPENING AT 9510 N. BAYSHORE DR.
MIAMI SHORES, FL 33138, FOUO # 11- 32064D1 -0280
WORK SHALL INCLUDE:
1. DEMOLITION OF EXISTING SLIDING GLASS DOOR.
2. CONSTRUCTION OF NEW CBS WALL IN EXISTING SUDING GLASS DOOR
OPENING.
3. INSTALLATION OF NEW ELECTRICAL OUTLETS.
PERMIT NOTES
1. ALL NEW WORK TO COMPLY WI'DI FLORIDA EXISTING BUILDING CODE
2007, ALTERATION LEVEL 2.
2. THESE PLANS SHALL COMPLY WITH THE FLORIDA BUILDING CODE
2107, RESIDENTIAL (FBC).
ELECTRICAL NOTES
1. EXISTING SMOKE AND CARBON MONOXIDE DETECTORS TO BE
INSPECTED FOR CODE CONFORMANCE NEW SMOKE AND CARBON
MONOXIDE DETECTORS TO BE INSTALLED AS REQUIRED BY AND ACCORDING
TO CODE ANY AND ALL CLOTH OR RUBBER INSULATED CONDUCTORS TO BE
REPLACED.
2. SMOKE AND CARBON MONOXIDE DETECTORS TO BE INSTALLED ON
ARC -FAULT PROTECTED CIRCUITS, #12 OR #14 ROME, 180V,16 OR 20 AMP.
CONSTRUCTION NOTES
1. CONTRACTORS SHALL FIELD VERIFY, PRIOR TO CONSTRUCTION, THAT
NO CONFLICT EXISTS BETWEEN NEW CONSTRUCTION AND EXISTING
CONDfONS. CONFUCTS FOUND IN THE FIELD SHALL BE IMMEDIATELY
BROUGHT THE ARCHITECTS ATTTENTION.
2. ALL DIMENSIONS ARE NOMINAL DRAWINGS SHALL NOT BE SCALED AS
ALL WRITTEN DIMENSIONS GOVERN. CONTRACTOR SHALL REPORT ANY AND
ALL DISCREPANCIES TO THE ARCHITECT IMMEDIATELY BEFORE PROCEEDING
WITH WORK.
3. ALL DIMENSIONS GIVEN ARE BASED ON FIELD INSPECTIONS &
EXISTING CONSTRUCTION DOCUMENTS. CONTRACTOR SHALL VERIFY ALL
DIMENSIONS GIVEN PRIOR TO ANY DEMOLMONKIONSTRUCRON WORK AND
NOTIFY THE ARCHITECT OF ANY DISCREPANCIES.
18
EXISTING HORIZONTAL
SLIDING WINDOW
EXISTING CEILING
FAN ABOVE
®18
INSULATION IN NEW WALL,
R=8 MIN. 1° TI-I(. MIN. RIGID I \
INSULATION IF EXISTING
COMMONS PERMIT
8° CBS INFILL IN
EXISTING SLIDING
GLASS DOOR OPENING
r
EXISTING
ELECTRICAL
PANEL
/
Y /
DEN
NEW DUPLEX
RECEPTACLE
CL.
NEW DUPLEX
RECEPTACLE 18
BATHROOM
PTO. STUCCO FINISH,
TO MATCH EXISTING
PROPOSED PLAN
SCALE: 114 "= 1' -0"
EXISTING STEP TO
BE DEMO'D
ADD SMOKE/CARBON MONOXIDE DETECTORSD SMOKE/CARBON MONOXIDE DETECTORS.
ANY AND ALL CLOTH AND RUBBER ANY AND ALL CLOTH AND RUBBER
INSULATED CONDUCTORS TO BE REPLACEMSULATED CONDUCTORS TO BE REPLACED.
AREA OF WORK
1-STORY CBS SINGLE
FAMILY RESIDENCE AT
9150 N. BAYSHORE DR.
'LOCATION MAP
A3 SCALE: are" =1 =0"
LEGEND:
EWING
4) NEW
1
DUPLEX LCIRCUIT
RECEPTACLE NUMBER
PfrTHROOM RECEPTA
AND G.F.I
EXTERIOR
\i
EXISTING
ROOF JOISTS
EXISTING
ROOF TRUSS
DRILL #5 REBAR INTO
TIE -BEAM W/ EPDXY
EXISTING CONC.
TIE -BEAM
EXISTING
ROOF JOISTS
EXISTING
ROOF TRUSS
DRILL#5 REAR W /EPDXY
(2) #5 REBAR IN NEW 3.4
KSI MIN. CONC. COLUMN
INTERIOR
REBAR CAGE, (4) #5 VERT,
AND WRAPPED #3 @ 8" O.C.
DRILL #5 REBAR INTO
FOOTING W/ EPDXY
EXISTING FLOOR
\\\
TIE -BEAM
()SECTION
S SCALE: 3(8" =1'-0"
EXISTING INTERIOR
FINISH
EXISTING
COLUMN
(f.) EL. +0.0
`1' TOP OF DEN F.F.
C1
REAR CAGE, (4)10VERT.,
WRAPPED #3 8° O.C.
41.1■MIRMINIIIIMIA88 88 : 8988998888888 888898898880888888888888$8
EXISTING METERS
AND PANELS TO
REMAIN
ruNaoCto."
PROPOSED NORTH ELEVATION
SCALE: 114'. 1'-0"
EXTERIOR
EXTERIOR
NEW 3.4 KM MIN. CONC.
TIE- COLUMN
#4 REBAR, DRILLED INTO
EXISTING COLUMN, (g) 24"
O.C. W/ EPDXY, 4" HOOKED
C)TIE-COLUMN DETAIL
SCALE: 3B" a r-0"
EXISTING CONC.
TIE -BEAM
rh E- 4S.r
"V MIA OFBEAM
NEW CONC. CAP
r CMU
#5 REBAR IN FILLED
CET, 3000PS1 GROUT,
MIN.
INTERIOR
DRILL #5 REBAR W/ EPDXY
EXISTING FLOOR
III -
rh EL +0.0
`N TOP OF DEN F.F.
rrjr' \,\\y\\
FILLED -CELL
A-3 9 TION
Aa SCALE: 318" =1'-0"
WTECTURE
ION
Levy AR94779
in Florida
-7058
haeI gmal com
W • INFILL AT
GUNN
RESIDENCE
9150 N. Bayshore Dr.
Miami Shores, Florida
S P 2 6,2011
Miami Shores Village „
i
APPROVED
_________ DAT ” -
frijol BLDG DEPT
!I t.l∎ ( ., )",II' LANCE WITH ALL FEDERAL
r K
INSULATION IN NEW WALL,
R4 MIN. 1° THK. MIN. RIGID
INSULATION IF EXISTING
CONDmONS PERMIT
NEW INTERIOR FINISH
TO MATCH EXISTING
C)FILLED CELL DETAIL
SCALE: 3/8"= 1'-0"
4w
Project No.: 1104
Date: 9/11/11
Sheet
A-1 (PAGE 1 OF 1)
Miami Shores Village
10050 N.E. 2nd Avenue N
Miami Shores, FL 33138-0000
Phone: (305)795 -2204
Protect Address
9150 N BAYSHORE Drive
Miami Shores, FL 33138-
Owner Information
Parcel Number
1132050010280
Block: Lot:
Applicant
Address
Phone
CeII
MARVIN GUNN
9150 N BAYSHORE Drive
MIAMI SHORES DC 33138-
Contractor(s)
ORONI INC
Phone CeII Phone
(305)685 -0412
Valuation:
Total Sq Feet:
$ 2,300.00
0
1
Approved: Yes
Comments:
Date Approved: 9/26/2011: Yes
Date Denied:
Type of Construction: BLOCK UP OPENING
Stories:
Front Setback:
Left Setback:
Bedrooms:
Plans Submitted: Yes
Certificate Date:
Bond Retum :
Occupancy: Single Family
Exterior:
Rear Setback:
Right Setback:
Bathrooms:
Certificate Status:
Additional Info:
Classification: Residential
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$1.80
$3.37
$3.37
$0.60
$225.00
$9.00
$2.40
$245.54
Pay Date Pay Type
Invoice # RC -9 -11 -42107
09/29/2011 Credit Card
09/23/2011 Credit Card
Amt Paid Amt Due
$ 195.54 $ 50.00
$ 50.00 $ 0.00
Available Inspections:
Inspection Type:
Final PE Certification
Drywall
Miscellaneous
Window Door Attachment
Tie Beam
Final
Framing
Insulation
Truss Insp
Columns
Foundation
Window and Door Buck
Fill Cells Columns
Wire Lathe
Declaration of Use
F. Termite Letter
F. Elevation Certificate
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.
September 29, 2011
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
Date
September 29, 2011
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
SEP 2:i 2011
;2
Permit No. Z - 11 `r 1
Master Permit No.
Permit Type: BUILDING ROOFkNG
OWNER: Name (Fee Sim le Titleholder): e� 61.1,1/4.14 Phone #:( , U 1 _
Address: cl � f Tdek V r� v
City: 3 11"x4 S I � State: Zip: 3? 1 5
Tenant/Lessee Name: 1364— Phone#:
Email:
JOB ADDRESS:
City: Miami Shores County: Miami Dade Zip:
'LO
Folio/Parcel #: 11,. 3 . 00 1 ° 0-1--%0
Is the Building Historically Designated: Yes NO i Flood Zone:
CONTRACTOR: Company Name: Dtz wk X- Phone #33S 611 - 0-(12--
Address: I +N it) 14 Cr
City: -t State:
Qualifier Name: O( ..m ...
Zip: 37I fir
Phone #: ? � 0 , 3 � ,& °' l
/Z
State Certification or Registration #:.€.- r -1 6S1+ Certificate of Competency #: 00 t 5z-I37-
Contact Phone #:?rr G' Olt (°7_ Email ddress:
i
DESIGNER: Architect/Engineer:
xi Or
Phone #:
Value of Work for this Permit: $1..3oo C Square/Linear Footage of Work:
Type of Work: Addition ItiAlteration ONew ORepair/Replace ODeemolition
Description of Work: >C 'Rbt /"C GL45 t ? 0-0C-K- C' i Ji" MJG
*********** ******* ******* *** * *** *** **** Fees******************* ************ *** ** * * * * ** **
Submittal Fee $ Permit Fee $ Dc7ICE11.1 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
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 APr'WAVIT: 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 G.- .
Owner or Agent
L # �7Soos S Aga® ?® .72
The foregoing instrument was acknowledged before me this G.3
day of , 20 41, by MAP-A) 10 et) day of
who is sonall cllo to me o°r who has produced who i
As identification and who did take an oath.
NOTARY PUBLIC:
Signature
Contractor
The foregoing instrument was acknowledged before me this 7-3
V, by 09-e41-00a
TE OF FLORID
Sign: 1 it eke :2 .: • '
E. om' .n r�
4.
Print: s IN 1 , 10.2012 •
BOI�EQ,TIRII ATLANTIC BONDHQO C0.,1140.
My Commission xpires:
************************:** * ** * * * * ** *** * ************ ** * * **
APPROVED BY
•
o me or who has produced
as identification and who did take an oath.
�✓ ! `� Plans Examiner
NOTARY PUBLIC:
Sign:
Print:
DONDID TM ATLANTIC BONDING CO., INC.
My Commission Expires:
v + OF FLORIDA
.m� 'IOn /►s
I
Structural Review
(Revised 07 /10 /07)(Revised 06/10/2009)(Revised 3/15/09)
Clerk
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
115
Inspection Number: INSP - 164812 Permit Number: EL -9 -11 -1756
Scheduled Inspection Date: October 19, 2011
Inspector: Devaney, Michael
Owner: GUNN, MARVIN
Job Address: 9150 N BAYSHORE Drive
Miami Shores, FL 33138-
Project: <NONE>
Contractor: ATLANTIS ELECTRICAL CORP
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1132050010280
Phone: (305) 551 -4043
Building Department Comments
ADD TWO OUTLETS
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
October 18, 2011
For Inspections please call: (305)762 -4949
Page 11 of 21
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 No.
El 11 — r)5(to
Master Permit No
Permit Type: Electrical AA� ,,��nn
OWNER: Name (Fee Simple Titleholder): t 4'1 U S PLC -E Goo *e4j Phone #:` , 7S 45
Address: ��:M A ids 9g-
City: I1/4k1 I T' `t State: �z- Zip: 33' 13'K
Tenant/Lessee Name:
Phone #:
Email:
JOB ADDRESS:
SAS
City: Miami Shores
Folio/Parcel #: 1 1:;70.C° bO t o ('fi- S
County:
Miami Dade Zip:
Ls the Building Historically Designated: Yes
NO Flood Zone:
CONTRACTOR: Company Name: S L Phone #:
Address: I2-Y,03 $ a(A), 20 erea-P—,
City: N.ILIVA4 State: 1t- Zip: 33/7 / �y
Qualifier Name: FR C.1SCe4 12E1fLC'-"Z / Phone #: i�o° db�
State Certification or Registration #: e - ` 13o0 ifgya S9 C70 Certificate of Competency #:
Contact Phone#: Email Address:
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of Work: Address Alteration
DNew ORepair/Replace
ODemolition
Description of Work:
* * * * * * * ******** ** **** * * * ******* *** *****Fees***:x****** ***** * *** ***** ******** * ******* ****
Submittal Fee $ Permit Fee $ /5"0,e, ® 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
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 azd a reinspection fee will be charged.
Signature
O e o Agent
DL G oc2 cod® ®7D
The foregoing instrument was acknowledged before me this 4
day of 6'ae-~'a 20 i , by 14 &4t,' ,.—
who is personally known to me or who h roduce FL (fl
tkFi 850°C7Als identification and who did take an oath.
NOTARY PUBLIC:
li N T LW-STATE OF FLORIDA
?
Si n: (_/�� ' "% y Mores Lopez
g ion #DD766456
Print: MAR. 10, 2012
My Commission Exp-BONDED TEMATLANTIC BONDING CO., INC.
* * * * * * * * * * * * * * * * * * * **
APPROVED BY
Signature
Contractor
The foregoing instrument was acknowledged before me this z3
X20 , by c = S
e or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
ul
day of
who is
LIC-STATE OF FLORIDA
Sign: t 4'' ��� ' I ores Lopez
�,,�, ��ssion #DD766456
Print: ' ;� • , , MAR.10 2012
My Commission Xp THRII ATLA�Z IC BONDING CO., INC.
******************************************************* * * * * * * * * * * *** * * * * * * * * * * * * * * * * **
//
Plans Examiner Zoning
Structural Review
(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)
Clerk