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RC-11-1439Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 168487 Permit Number: RC -8 -11 -1439 Scheduled Inspection Date: January 23, 2012 Inspector: Rodriguez, Jorge Owner: ARFELD, MARTA Job Address: 55 NW 102 Street Miami Shores, FL Project <NONE> Contractor: MENA CONSTRUCTION INC Permit Type: Residential Construction Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1131010180090 Phone: (305)333 -9191 Building Department Comments REMOVE ASPHALT AND REPLACE 4 4X4 PT WOOD PORCH COLUMNS WITH SIMILAR COLUMNS Inspector Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. January 20, 2012 For Inspections please call: (305)762 -4949 Page 22 of 47 61 g \,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 Permit No. C 1 I 1 I 4 Master Permit No. BUILDING PERMIT APPLICATION FBC 20 Permit Type: BUILDING ROOFING OWNER: Name (Fee Simple Titleholder): IL t Q12.1 r1, ZCZ/tVgl AUG 09 2011 Phone#: ace .0 19eZ` 4ovi Address: S5 MLA) 102 5-14. City: M t AAA t 5 1-k:se State: ,L )1. M. f► Zip: "3 151 Tenant/Lessee Name: Phone#: Email: JOB ADDRESS: BS N W t02 61. City: Miami Shores County: Folio/Parcel #: Is the Building Historically Designated: Yes NO CONTRACTOR: Company Name: Miami Dade Zip: 32) 150 Flood Zone: Ivy, 1i.: p CO WuriArtrmi 14 a Phone#: '6O5 -'83 S141' 1 Address: tort 21 Se9'7C'3 Lue tf j pay zu City: tA.\ State: "P`1.0%Vb Zip: 10%C) °Z 5 Qualifier Name: ©[-a G DKf.2L t b. Phone#: 50S. "5L9' 1 State Certification or Registration #: Certificate of Competency #: Contact Phone#: C C5 CAS ( SE Email Address: Y's €1':1Qr a COr &C4 , GQ1 DESIGNER: Architect/Engineer: NtS.O.bimiNaD 5kt..1'ti1 xiJ1 A i A. Phone#: -403-127 Value of Work for this Permit: $ 800.00 Square/Linear Footage of Work: 3 Type of Work: °Addition °Alteration New NIRepair/Replace °Demolition Description of Work: • el,Acm e, Qt=Q (Ace ��r) 41144.0 W.00O QCIAr OQLUMu, Wx'r & •Eit ll a.2 co W /.% +x+x*******+x+x *+x+xa **** ***+x****+x*+x+x******** Fees*************** ******** ** *********w***** **** Submittal Fee $ Permit Fee $ JO D CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ CO kO 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 ANrillAVIT: I certify that all the foregoing information is accu%afe and that all work will be done ig compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOlta FAII;URE TO RECORD A ' NOTIE 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: 4' ' 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 inspection will not beapproved and a reinspection fee will be charged. Signature. 5 5 Owner. or Agent The foregoing instrument was acknowledged before me this `b day of ' ` , 20(l ,by , i 11 who is personally known to me or who " has produced i o As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: APPROVED BY \ >1IIIIII \a`\.\,d1S /4 3:`.moo• 7 \rn m � co Signature sence of such po y d notice, the The for- ; .ing ins , day of *JII; Plans Ex who is pers NO Sign: Print: Contractor ment was ackno ]edged i, fore me is , 20 -11 , by ally Ito e or who h produc cation and who did take an oath. AR U IC: )1) 14/ 1IN :. 1 S� i :V -V; ),23 My Commission Expires: ,IviS),— Ja Tj01 2Q�1. Examiner 0 7 / Zoning Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Clerk f-C/ II )Lk. Miami Shores Village ZONING DEPT SUBJECT TO COMPLIANCE WITH ALL FEDERAL STATE AND COUNTY RULES AND REGULATIONS FOLIO #: 11- 3101 - 018 -0090 LEGAL DESCRIPTION: EAST 35 FEET OF LOT 18 AND LOT 19 OF NAVARRO, ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 12, PAGE 59, OF THE PUBLIC RECORDS OF MIAMI —DADE COUNTY, FLORIDA. SCOPE OF WORK: THE SCOPE OF WORK IS A REPAIR PERMIT FOR THE EXISITNG WOOD PORCH COLUMNS AT THE EXISTING SINGLE FAMILY RESIDENCE. CODE USED: FBC 2007, RESIDENTIAL & EXISTING BUILDING (2007). FLORIDA FIRE PREVENTION CODE 2007 EXISTING CMU /CONC. WALL - REMOVE AND REPLACE (4) 4 "x4" EXISTING. P:f.:WaGlD :p RRN entuMNS SIMiL'AFtu iN" : :• ••• •• H STEPS • • • • • • • • ••• • • • • • • • ••• • • • • • • • • • • •• • • • • • • • • • •• •• • • • •• •• • • • ••• • • • ••• EXISTING WOOD OVERHANG EXISTING WOOD BEAM TOP CONNECTOR: SIMPSON CAP MODEL PC64, WI/ ADDITIONAL CORROSION PROTECTION, W/ (12) 16d NAILS TO WOOD BEAM AND (8) 16d NAILS TO POST (FL10860), FOR INTERIOR POST. FOR EXTERIOR OR CORNER POST USE EPC64 REMOVE AND REPLACE (4) 4 "x4" EXISTING P.T. WOOD PORCH COLUMNS W/ SIMILAR COLUMNS EXISTING CMU /CONC. WALL BOTTOM CONNECTOR: SIMPSON POST BASE MODEL ABU44, PROVIDED W/ ADDITIONAL CORROSION PROTECTION, W/ (1) 5/8 "0 SIMPSON WEDGE ALL BOLT, 4.5" EMBEDMENT INTO EXISTING SLAB & (2) 1/2" DIA. THRU BOLTS OR (12) 16d NAILS TO POST (FL10849) EXISTING CONC. PORCH STEPS EXISTING FOUNDATION EXISTING CONC. SLAB ICI EXISTING WELL COMPACTED FILL SECTION (TYP.) SCALE: 3/4" =1'-0" Architecture with a Point M25000839 Carlos J. Bravo, RA. AR17584 Alejandro Banlamaria, RA. AR91405 Vertex Architecture Inc. 10250 S.W. 56th Street Suite 0-101 Miami, FL 33185 Ph: 308.412.9499 Fa. 305.412.9489 www.vertexarchitookurecan cad@ rchitectum.cmn krigarlitnig Repair Permit for Existing Porch Wood Columns to Arfeld Residence 55 NW 102 St. Miami Shores, FL 33150 Owner. Marta Arfeld 55 NW 102 SL Miami Shores, FL 33150 Contact: Rogello Garda (305) 333 -9191 Repair Permit Set Consultant REVISIONS No D w resaapnoN FLOOR PLAN / TYP. SECTION DME 7 -27 -11 DFABB By A.S.P. woo By A.S.P. 1134 PROJECT No. A -1 Aug 10 2011 12:07PM All 4 One Services Inc 9542849280 page 1 ACORD. CERTIFICATE OF LIABILITY INSURANCE 1 mmaw oai 1 08/08/2011 ii FAO + (964) 966 -9993 t3u7.fstraa zusuraaCe Agency, Ina. • eu1f treason Street Hollywood FL 33021- THIS CERTIFICATE IS ISSUED AS A WAITER OP INFORMATION ONLY AND CONFER$ 4O RIGHTS UPON THE CEI�9IFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR ALTER THE COVERAGE AFFORDED FY THE POUCIES BELOW. INSURED AFFORDING COVERAGE NAIC 0 05$JRED •Xena Construction Ina. 1330 Folic ST. 3011Neoad FL 33019- CGVEOAlma INSURER A:Benchmark Xnaurranae Co. INSURIRB: INSURER 0: IA SURER 0: INsu ERH: THE POLICIES OF INSURANCE UBTEO BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WH(C; THIS CERTO7GATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICES DESCRIBED HERON IS SLumCT TO ALL THE TERNS. EXCLUSIONS SOD COMMONS OF SUCH POUC1E$. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. BIER ADM i ANERD TYPE OF INSURANCE POUON i OA Y �► E Rti a ) 10J ac$OS61 X `� .•f Ty I CLAMS Mm:* GEM AGGREGATE LIMIT APPUS& P81k 1L J POUCY n JEGT n LOC AUTOMOBILE LIABILITY ANY AUTO ALL OW)EDAUTO$ SCHEDULED AVMS Rump AUTOS 03/30/2011 03/30/3012 / 1 LOOTS RRENCE PR P.A tIrE eNNO 6 I.ED MCP WIY Or* peicn) S PERSONAL 5 AIY IINJURV OENFR(t.A OATS a 1,000,000 100,000 5,000 P GTS•COMP/OPADO 1,000,000 2,000,000 2,000,000 NON-CMON EDAUTOS 0ARA0ELIABILUTY RA* / / COMBINED SINGLE UMBf (Eaaoo $ BODILY INJURY (orpeeea* 6 SLY INJURY (Per atalden4 8 PROPERTY DAMAGE (Pereot) 8 EMOESSARMIEELLALrAnIJYY OCCUR ❑ CAMS MADE DIDUCTIELE RErOTOOl $ mums comma/am Ate BJIiPLOYERS LIABILITY ANY OPPIDERGIEMENDI OCCaP� H.ele& PRD'4111MON9 OTHER / AUTOONLY.EAACCIENT• 8 OTHER THAN AUTO ONLY: / / / / / 1 EA ACC A5 P.ACtISICCIJIt3RENCE AGGREGATE / / 8 s 6 6 6 IMMIX! T`W 6 F.J. EACH ACCIDENT / / El- DISEASE -EA EMPLOYEE 8 / 1 1 / DessaavrrorvoPOPaRATroxz+tocA / 1 AD6 or p CERTIFICATE HOLDER ( ) 1 1 / / / E.L. DISEASE - POLICY MET City of Iiani Shores 10050 NE 2n6 Ave Miami Shaven ACORD 25(201/08) (NS028 smo6).06 (305) 756 -8972 3 Zi_ 33130- CANCELLATION 8HOAD ANY OF TIN ABOVE DEECTORED POLICIES BE CANCELLED BMW THE EXPIRATION DATE T WEDP, THE =r1453 ITEREVER WILL ENDEAVOR 70 NAIL 10 DAYS WRITTEI N01a=8 TO THE CERTIF45A7e HOLDER NAMED 70 THE LEFT. BUT FAILURE TO 00 E0 SHALL WORE NO Osi13*055OR Lamar O1+ ANY HIND UPON THE INSURER, 11H AGENTS OR REPRESENTATIVES, AUTHORIZED REPRESENTATIVE a ACORD CORPORATION 1988 Page 1 of 2 I K t C Vr rWRSYN DEPARTMENT OF FINANCIAL SERIES DIVISION OF WORKERS' COMPENSATION CONSTRUCTION INDUSTRY CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS COMPENSATION LAW EFFECTIVE: 01/20/2010 EXPIRATION DATE PERSON: ROGELIO E GARCIA SR FEIN: 271155039 BUSINESS NAME AND ADDRESS: MENA CONSTRUCTION FNC 4901 NW 34TH STREET 4611 LAUDERDALE LAKES, FL 33319 SCOPE OF BUSINESS OR TRADE: I- CERTIFIED GENERAL CONTRACTOR 01/20/2012 IMPORTANT QPursuant to Chapter 440.05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election L under this section may not recover benefits or compensation under this D chapter. H Pursuant to Chapter 440.05(12). F.S.. Certificates of election to be exempt... apply only within the scope of the business or trade listed on Rthe 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 subject to revocation if, at any time after the tiling of the notice or the issuance of the certificate. the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. QUESTIONS? 1850) 413 -1609 STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES SON OF WORXERO' COMPENSATION CONSTRUCTION INDUSTRY CERTIFICATE OF ELECTION TO e8 EXEMPT FROM FLORIDA WORKERS COMPENSATION LAW EFFECTIVE: 01/20/2010 EXPIRATION DATE: 01/20/2012 PERSON ROGELIO E GARCIA SR FEIN 271158039 BUSINESS NAME AND ADDRESS: MENA CONSTRUCTION INC 4001 NW 34TH STREET 1011 LAUDERDALE LAKES, FL 33319 SCOPE OF BUSINESS OR TRADE: I- CERTIFIED GENERAL CONTRACTOR IMPORTANT Pursuant to Chapter 440.06114), F.S., an officer of a corporation who O elects exemption from this chapter by filing a certificate of election L under this section may not recover benefits or compensation under this 13 chapter. Pursuant to Chapter 440.051121, F.S., Certificates of election to be H exempt.. apply only within the scope of the business or trade listed on E the notice of election to be exempt R E Pursuant to Chapter 440.05113), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shell revoke a certificate at any time for failure of the - person named on the certificate to meet the requirements of this section. QUESTIONS? (850) 413-1609 BATCH NUMBER i410 71-1, A.- /62,6e,-7i /1/4c/7// w One Services Inc 9542849280 Aug 10 2011 12:17PM All 115 S. Andrews Ave., Rm. A -100, Ft. Lauderdale, FL 33301-1895-- 954- 831 -4000 VALID 63CTOBER 1, 2010 THROUGH SEPTEMBER 30, 2011 DBA: Business Name: MENA CONSTRUCTION INC Owner Name: ROGELIO E SR OARCTA Business Location: 4801 NW 34 ST #611 LAUDERDALE LAKES Business Phone: 305-333-9191 Rooms Seats Employees 2 Receipt # :180 -9035 Business Type: GENERAL CONTf1ACTOR c CONTRACTOR) Businese Opened:08 /07/2009 Staie/County /Cer tlReg: CGc1 516 7 82 Exemption Code:MNEXEMPT Machines Professionals For Vending Business Only ber of Machines: Vending Type: Tax Amount Transfer Fee NSF Fee Penally Prior Years Collection Cost Total Paid 27.00 0.00 0.00 0.00 0.00 0.00_ THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT WHEN VAIJDATED Mailing Address: MENA CONSTRUCTION INC 4801 NW 34 ST #611 LAUDERDALE LAKES , FL 33319 This tax is levied for the privilege of doing business within Brasward County and is non - regulatory in nature. You must meet an County andlor Munidpallty planning and zoning requirements. This Business Tax Receipt must be transferred when the business Is sold, business name has changed or you have moved the business location. This receipt does not Indicate that five business Is legal or that It Is in compliance with State or local laws and regulations. 2010 - 2Qi1 Receipt: 4050 -09- 00033122 Paid 09/27/2010 27.00