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RC-12-376Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number. I NS P- 174436 Scheduled Inspection Date: June 07, 2012 Inspector: Bruhn, Norman Owner: , AAM INVESTMENTS LLC Job Address: 118 NW 94 Street Miami Shores, FL Project: <NONE> Contractor: WEINTRAUB RUIZ CONSTRUCTION CORP Permit Number: RC -3 -12 -376 Permit Type: Residential Construction Inspection Type: Final Work Classification: Addition /Alteration Phone Number (305)466 -4243 Parcel Number 1131010330750 Phone: (305)466 -4243 Building Department Comments REPALCE KITCHEN CABINETS, REPLACE BATHROOM SINK, RE -TILE BATHROOM. EXISTING BATHTUB TO REMAIN Passed j;) Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP- 170677. NO ACCESS NO ONE HOME June 06, 2012 For Inspections please call: (305)762 -4949 Page 18 of 24 Miami Shores Village Building Department 3)30)12,- �,•� 1 M 90050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 litA)2_,-- W INSPECTION'S PHONE NUMBER: (305) 762.4949 BUT ,DING Permit No.► PERMIT APPLICATION Master Permit No. FBC 20 Permit Type:;BUILDINU�; OWNER: Name (Fee Simple Titleholder): 2iN . Phone #: 355 X166 — 1 3 Address: C /Z” DO AJE 3 3 A/E City: A 4 4' t 127 State: C Zip: 33 /Erb Tenant/Lessee Name: Phone #: pp Email: kLl(6(E.fiVivtlIZ e L_ . LAV JOB ADDRESS: (t V :JW q4 5Y City: Miami Shores County: Miami Dade Zip: 3 31 52) Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: UJlE!!U > 6.)1/44T° OI Phone #: 3 °5 `"I 64 � /Z113 Address: Zogoo�— A E ') AVE 3J v City: AV 6l// v State: f Zip 13186 Phone #: 6,41)� Qualifier Name: A-447 J % ; a/2- State Certification or Registration #: CCU K '2'3733 b Certificate of Competency #: Contact Phone #: Email Address: Lea ;2 ,l / Z e 11"2,,9/L Av DESIGNER: Architect/Engineer: Phone #: alue of Work for this Permit: $ Type of Work: Addition Description of Work: 2TO e"1 i Square/Linear Footage of Work: 1100 DAlteration ONew )Repair/Replace Demolition Submittal Fee $ Scanning Fee $ Notary $ Double Fee $ Permit Fee $ p) J °2—.CCF $ CO /CC $ Radon Fee $ DBPR $ Bond $ Training/Education Fee $ Technology Fee $ Structural Review $ TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip iv/4 Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip N/A 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 or Agent The foregoing instrument was acknowledged before me this 2 day of / --,2012-,by ti 'Oa- 12-tilZ who is personally known to me or who has produced fj/A- As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: w NOTARY PUBLIC -STATE OF FLORIDA °•- Gustavo Gomez My Commission Expire� Commission # EE018480 •o ;;, ;, ,.•` Expires: AUG. 18, 2014 BONDED TBRU ATLANTIC BONDING CO., INC. Ji71244 Signature / - / vontractor The foregoing instrument was acknowledged before me this 2.. day of /4412-44-1- , 2012, by P41)67- T V I Z , who is person all crown to me or who has produced 0/04 as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Ex- BONDED MU ATLANTIC BONDING CO., INC. ARYPUBLI •, • o," C1n tevt) Gomez ComrniS ion # EE018480 ;. ` Expires: AUG. 18, 2014 APPROVED BY Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Zoning Clerk 01 -27 -2012 JEFF ATWATER STATE OF FLORIDA CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: PERSON: FEIN: 01/27/2012 EXPIRATION DATE: 01/26/2014 RUIZ MIGUEL 272504927 BUSINESS NAME AND ADDRESS: WEINTRAUB RUIZ CONSTRUCTION CORP 20900 NE 30TH AVE., SUITE 318 AVENTURA FL 33180 SCOPES OF BUSINESS OR TRADE: 1- CONTRACTOR - PROJECT MANAGER, CO IMPORTANT: Pursuant to Chapter 440 . 05(14 F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. 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 the notice of election to be exempt. 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 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 shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. QUESTIONS? (850) 413-160! DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01 -11 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA DEPARTMENT OF FINANCIAL. SERVICES DIVISION OF WORKERS' COMPENSATION CONSTRUCTION INDUSTRY CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW EFFECTIVE: 01/27/2012 PERSON: MIGUEL RUIZ FEIN: 272504927 BUSINESS NAME AND ADDRESS: WEINTRAUB RUIZ CONSTRUCTION CORP 20900 NE 30TH AVE., SUITE 318 AVENTURA, FL 33180 EXPIRATION DATE: 01/26/2014 SCOPE OF BUSINESS OR TRADE: 1- CONTRACTOR - PROJECT MANAGER, CO IMPORTANT 0 Pursuant 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. 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 the notice of election to be exempt. H E R 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 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 shall 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 CUT HERE * Carry bottom portion on the job, keep upper portion for your records. OWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01 -11 NOTICE OF COMMENCEMENT A RECORDED COPY MUST RE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. "ii1~ A�CJ CFN: 20120218554 BOOK 28050 PAGE 521 DATE:03128/2012 11:06:34 AM HARVEY RUVIN, CLERK OF COURT, MIA -DADE CTY TAX FOLIO NO, n- N.0t- .0n`oV5a STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and In accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of prop and street/address:3 Atil> WESTdF eukto 'DES -- NW . 2. Description of improvement toruk I CuW?Th 4, � ► 3. Owner(s) name and address: Interest in property: Name and address of fee simple titleholder. 4. Contractor's name, address and •hone number Space above reserved for use of recording office It sue, *to Cftt :`�3►'1 '►ill �l 5. Surety: (Payment bond required by owner from contractor, if any) Name, address and phone number. Amount of bond $ 8. 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 O Vin( Section 713.13(1Xa)7., Florida Statutes, Q a Name, address and phone number. 8 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section v 713.13(1)(b), Florida Statutes. Name, address and phone number. • Z D 9. Expiration date of this Notice of Commencement 0 (the expiration date is 1 year frorn the date of recording unless a different date is specified) 0 WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE F IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE TF$ FIRST INSPECTION. IF YOU INTEND TO O: TAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORD OR RECORDING YOUR NOTI+ OF CO MENT. �J Signature(s) of Prepared By X Print Name Tdle/Office STATE OF FLORIDA COUNTY OF MIAMI -DADE Officer/Director/Partner/Manager U. Prepared By 0 Print Name t!J t5 g >- Title/Office Q M > iii — o S The foregoin Instrument was acknowledged before me this ByA/ A41 /167. 120/2, Individual y, or ❑ as for U Personally known, or Ul produced the following type of identification: Signature of Notary Publ Print Nam: (SEAL) VERIFICATION PURSUANT TO SECTION 92.525, FLORIDA STATUTES Under penalties of perjury, I declare that 1 have read the foregoing and that the facts stated In it are true, to the best of my knowledge and belief. 8 0 C.) W g cc 27 day of Mac-- a9/2.- Signature(s) o By'K NOTARY PUBLIC -STATE OF FLORIDA Gustavo Gomez Commission # EE018480 ;•.••' Expires: AUG.18, 2014 u1horized Officer/Director/Partner/Manager who signed above: ATLANTIC BONDING Ca,II1c 1 2.D1 - PAQE S 3115 By m U 3 0 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD 1940 NORTH MONROE STREET TALLAHASSEE FL 32399 -0783 RUIZ, MIGUEL WEINTRAUB RUIZ CONSTRUCTION CORP 21403 N E 18TH PLACE MIAMI FL 33179 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better. For information about our services, please log onto www.myfloridalicense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and learn more about the Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! DETACH HERE (850) 487 -1395 Acc•Rif CERTIFICATE OF LIABILITY INSURANCE DATE Dr 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 POLICIES 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 certificate holder in lieu of such endorsement(s). PRODUCER SPECIALTY COMMERCIAL BROKERS LLC 5835 Blue Lagoon Drive, #304 Miami FL 33126 CONTACT Ma ].in Martinez NAME: y PHONE (305) 403 -4070 FAX (305) 403 -4072 (A/C. No. Eat): WC. No): no�DREL3s .mmartinez @scbinsurance.com INSURER(S) AFFORDING COVERAGE NAIL # INSURER A:Evanston Insurance Company 35378 INSURED Weintraub Ruiz Construction Corp 20900 NE 30th Avenue #318 Aventura FL 33180 INSURER B : 3C01970 INSURER C : 8/8/2012 INSURERD: $ 1,000,000 INSURER E : $ 100 000 INSURER F : COVERAGES CERTIFICATE NUMBER:CL123100329 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED 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 WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL INSR SUER WVD POLICY NUMBER POUCY EFF (MDDIYYYY) POUCY EXP (MM/DDIYYYY) LIMITS A GENERAL X UABILITY COMMERCIAL GENERAL LIABILITY fj 3C01970 8/8/2011 8/8/2012 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 100 000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 5,000 PERSONAL &ADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER Ji POLICY n PF 0 n LOC PRODUCTS - COMP /OP AGG $ 1,000,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS _ SCHEDULED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) _$ $ BODILY INJURY (Per person) BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA UAB EXCESS LIAR _ OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' UABIUTY ANY PROPRIETOR/PARTNER/EXECUTNE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below 1 / N N / A WC STATU- OTH- TORY LIMITS ER E.L EACH ACCIDEPjT $ E.L. DISEASE - EA EMPLOYEE $ EL. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) CERTIFICATE HOLDER CANCELLATION ACORD 25 (2010/05) INS025 r9nanne\ m © 1988-2010 ACORD CORPORATION. All rights reserved. The A(`ARF name and Irwin arc ranic*crarl mark of A(_A1211 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Village of Miami Shores Building Department ACCORDANCE WITH THE POLICY PROVISIONS. 10050 Northeast 2nd Avenue AUTHORIZED REPRESENTATIVE Miami Shores, FL 33138�� 1- {} fj M Martinez /MAYLIN iJ t ACORD 25 (2010/05) INS025 r9nanne\ m © 1988-2010 ACORD CORPORATION. All rights reserved. The A(`ARF name and Irwin arc ranic*crarl mark of A(_A1211 CITY OF AVENTURA COMMUNITY DEVELOPMENT DEPARTMENT 19200 WEST COUNTRY CLUB DRIVE AVENTURA, FL 33180 305 -466 -8942 February 3, 2012 WEINTRAUB RUIZ CONSTRUCTION CO 20900 NE 30 AVE 318 AVENTURA FL 33160 This is your local Business Tax Receipt for the City of Aventura. Please post in a conspicuous place at the business location to avoid penalty. Do not remit payment as this is not a bill. Business Name: Location: Recipient Name: Description: Issue Date: Fees Paid: Restrictions: CITY OF AVENTURA, FLORIDA LOCAL BUSINESS TAX RECEIPT FOR PERIOD 10/11 -09/12 Receipt 12- 00017033 Expires September 30, 2012 WEINTRAUB RUIZ CONSTRUCTION CO 20900 NE 30 AVE 318 AVENTURA FL 33160 305 - 466 -4243 WEINTRAUB RUIZ CONSTRUCTION CO CONTRACTOR - GENERAL BUILDING February 03, 2012 247.50 03/14/2012 16:27 FAX 1 800 685 7530 DATA SCAN FIELD SERVICES [NH 001 * * * * * * * * * * * * * * * * * * * ** * ** TX REPORT * ** * * * * * * * * * * * * * * * * * * * ** TRANSMISSION OK TX /RX NO 2333 RECIPIENT ADDRESS 93054660135 DESTINATION ID ST. TIME 03/14 16:27 TIME USE 00'17 PAGES SENT 1 RESULT OK Permit No: 12 -376 Job Name: March 12, 2012 Miami Shores Viuiage Building Department Building Critique Sheet 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Page 1 of 1 1) Provide a plumbing permit. 2) The value of the job as shown on the application is significantly low. Provide a revised value or a signed contract. 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 - 762 -4859 FA-X Cg 0135 Permit No: 12 -376 Job Name: March 12, 2012 Miami Shores Vuiiage Building Department Building Critique Sheet 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Page 1 of 1 1) Provide a plumbing permit. 2) The value of the job as shown on the application is significantly low. Provide a revised value or a signed contract. 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 - 762 -4859 .max ® q(0(0,-- 0 135 10' -1" 12' -0° 12' -1" 9' -11" Using room Using room Dining N 0) 10' -11° 10' -r • • • • • • ••• • • • • •• • • • • • • tints -L NW 94 St, Miami Shores, Florida Scope or Tibr.ki :•: Replace:KitCher Cabioetvmbing fixtures, tile on kitchen and bathroom BATHROOM RECEPTACLE ON 20 AMP CKT AND G.F.I PROTECTED NO POINT ALONG COUNTER TO BE MORE T 2 FEET FROM G.EI PROTECTED RECEPTAC PUT DAN RECEPTACLE UNDER SINK. ALL FIXED APPLIANCES ON DEDICATED C Garage Miami Shores OWED BY VG DEPT 9 DEPT .CT i0 C( f,IF! !, AN11J LL 9' -10° -5' ,reC'r _ E RAL Date: 2 -23 -12 ring 5, -7" CV CV Oven N' N!= N 2' -6" New upper and lower kitchen cabinet E Nip (ant er- Replace Plumbing Fixtures 9 E. N '10' -11" • 10 5` -1 • • • • • . .• ••• •. • • .. • •••• ••• • • • • • .. •• • • • • • • • . • • • • • . • . • • • • • • . • • • • . . .. . . . . . . . . Owner: ARM Indestfients,•LLO Kitchen sink position to remain New Dishwasher Bathroom Replace Tiles Garage Legend Exisitng outlet I) New outlet N 0 0 N Property Address: 118 NW 94 St, Miami Shores, Florida . . . . . ... . . Scope cif Vitork; ;s; Replace <ij €rien tibieeth,'F3 .imbing fixtures, tile on kitchen and bathroom Date: 2 -20 -12 • ...... • • • • • • • •• ••• • • .. • • •••• • ••• ••• • • • • • • . • • • • • • . • • • • . •• .. N MW SE OVEN 2' -2" NO POINT ALONG COUNTER TED RE OR•FA iAl 2 FEET FROM G,F..I PRO PUT QNV RECEPTACLE ES ON DEDICATED WS. ALL FIXED APPLIANCES L Co DW N • • .. , . . . . . . Ownef: AAM In ?estments,•LLC Property Address: 118 NW 94 St, Miami Shores, Florida Scope dF Viork; 0S$ Replagg,Kilehin Vibi iet 'IAQ.imbing fixtures, tile on kitchen and bathroom 10' -7" Legend 40 Exisitng outlet New outlet N Date: 2 -20 -12 It • .• • • • • • • • • • • • •• •• • • • • • • •• • • • • •• • • • • •• • • • •• • • •••• • •• • • • • • • • • • • •• • • • • •• • •• • •• • • • • • •••• • •