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RC-12-385Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 nspection Number: I NS P- 170742 Permit Number: RC -3 -12 -385 Inspection Date: July 12, 2012 Inspector: Bruhn, Norman Owner: RUDNICK, SPENCER Job Address: 60 NE 102 Street Miami Shores, FL Project: <NONE> Contractor: STONE & PROPERTIES GROUP LLC Permit Type: Residential Construction Inspection Type: Final Work Classification: Kitchen Cabinets Phone Number Parcel Number 1132060131461 Phone: (305)305 -9233 Building Department Comments NEW FLOORS TILE IN THE INTERIOR AREA AND NEW KITCHEN REMODEL Passe, r Inspector Comments ZC.--- Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until For Inspections please call: (305)762 -4949 July 16, 2012 Page 1 of 1 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 ljk)illz-, —CAC-AA)) INSPECTION'S PHONE NUMBER: (305) 762.4949 DING Permit No. C./ 12- ( (� PERMIT APPLICATION Master Permit No. FBC20 t AEA 0 6 Permit Type: BUILDING OWNER: Name (Fee Simple Titleholder): Address: 60 46 10151- City: ill) la ')1I 511)&4) ROOFING DAIRMA madiclw State: FL Phone#: 66 2 J 1 111 3313% Tenant/Lessee Name: �,� p Phone#: -1151A 2,1-11115 t�V Finail: i 5 f2 p4 �ti p 9frrr /. CD JOB ADDRESS: 1•16 102- 5 City: Miami Shores County: Miami Dade Zip: 33I3i Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name:Qne- rPQxe Phone#: ! gZ33 Address: 1100 11J JAE #63 City: M1ail State: Qualifier Name: lilt. &iVT i.1 State Certification or Registration #: 2 Contact Phone#: 31X 3% C12 U-5 Email Address: Zip: -33129 Phone#: 3111 36923 Certificate of Competency #: crV evvono Q D oneand FRopeadi es . tom DESIGNER: Architect/Engineer: Phone#: ac. Value of Work for this Permit: $ 13' to) Square/Linear Footage of Work: Type of Work: UAddition �� (Alteration UNew L3Repair/Replace ODemolition Description of Work l luu . %le u' 1Vtk[Uo�. Llrii.oi G>> (1�.0 1 1 ;lOM u i 10 QecesSed 14AI SJ (vt. icgl4.4. 1L ( k is s) * �a��x�x�x aa�xex a +xa n� aee a �aee eee a'Feess�ox ****** .e *ee * *e* x****** * **ea*e*ee+*e yam' Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ CCF $ CO /CC $ DBPR $ Bond $ Technology Fee $ TOTAL YEE } EE NOW DUE $ J 4( 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 F.T FCTRICAL 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such , . ted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Q&,41ct4(,A , ittaRkle,01,49C0 Owner or Agent The foregoing instrument was acknowledged before me this 21 day of C.-el/Wail ,20 a-, by fl!.'t Na Ch adt who is personally known to me or who has produced P As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commiss ■ r Signature The foregoing day of F Contractor t was acknowledged before me this'll 2012, by J 'i cv' 6Cywie.Z who is personally known to me or who bas produced 1 P as identification and who did take an oath. NOTARY P Sign: .) Print: A lli 5 I Notary flublr Stara Q' giorida Allison Mar r3endeok tE!essa: F ryi7 My Commission Expires: MI OS) Zas * * ** :****,x** ** ******** *** ** *********** ******+ +>=***avx,x**** * ******* * *** x ****** ****** **>k*****,x+x****** ** * * ***** APPROVED BY ?z7c-4.$ Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Zoning Clerk NOTICE OF COMMENCEMENT A RECORDED COPY MIXT BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF MIAMI -DADE: 111111111111111111111111111111111111111111111 STATE OF THE UNDERSIGNED hereby gives notice that improvements will be made to property, and in accordance with Chapter 713, Florida Statutes, the following " is provided in this Notice of commencement. WITNESS BY CFN 2012R01581x u0 OR Bk 28021 Ps 0994► (1ps) RECORDED 03 /06 /2012 09:37 :13 HARVEY RUVIN, CLERK OF COURT MIAMI-DADE COUNTY, FLORIDA LAST PAGE ORIDA, COUNTY OF DADE FY that thisdair : true copy of the office on , Ii day of s �►w!,, F�c�,i ++. tit 1 . L e g a l description o f property and s t r e e t / a d d r e s s : , % I - A 1 1 A IJIPICkfik Q0 C AJ IOZ 51. r►1ami ,5H Ft, 33/38 2. Description of improvement: ". to above reserved for use o recording office K 6) 'on 3. Owner(s) name and address: Intermit in property: Name and address of fee simple titleholder. 4. Contractor's name, address and phone number: 5TOYY 4 I � t1C I I U. .� MOM / fL- 33129 (?of) 3t r 9233 5. Surety: (Payment bond required by owner from contractor, if any) Name, address and phone number. 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, address and phone number. rn L.' Pt 0 • E 10 la , 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name, address and phone number. 9. Expiration date of this Notice of Commencement (the expiration date is 1 year from the date of recording unless a different date is specified) 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 FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Signature(s) of� s) or Ow �� ` Authorized Officer /Director/Partner/Manager Prepared By iI+ -�J'`� Prepared By Print Name 174 t triV4 Y4,gff��4DO Print Name Trtle/Office Title/Office STATE OF FLORIDA COUNTY OF MIAMI -DADE The foregoing Instrument was acknowledged before me this By 9 a 1 Cat v C tat -Y, A k ❑ Individually, or ❑ ❑ Personally known, or ❑ produced the following type of identification: 1 D Signature of Notary Public: ') r9' -'�' g' Print Name: ✓ t iS� �1 P d (SEAL) VERIFICATION PURSUANT TO SECTION 92.525. FLORIDA STATUTES Under penalties of perjury, 1 declare that I have read the foregoing and that the facts stated in it am true, to the best of my knowledge and belief. Signature(s) of Owner(s) or Owner(s)`s Authorized Officer/Director/Partner/Manager who sr 21 day of Fe-bey ct ti-1 2,0i2- as for STAIN OF FLORIDA .ARAN .AF ,BZW.i ..M .P.R0RRSSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487 -1395 1940 NORTH MONROE STREET TILLAHASSRE. 3.23.99-0.783 GOMM r =Mat at STONE & PROPERTIES GROUP LLC 6020 NW -99TH- AVE UBUN '�I��'TL� 313 Congratulations! With this Ucense you become one antis nearly w,- on Floridians licensed by the Department of Business and Prciessional Regulation. Our profetsionals and businesses range from archibacts to yacht brokers, fr boxers to berbeque restaurants. and they keep Fl da's economy strong. Every day we work to improve the way we do business In order to serve you better_ For information abmit our services, please log onto r �ida nse.com. There you can find more won about our cirsrons d the regulations that Impact you. ncaw > d.l n.rnore_ houtAbe Department's • Our mission at Department Llcense Effitlently, Regulate Fahly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing busbuttss in Amide, and cxaugiatulations on your new license! DETACH HERE s n. NU NIB ER.• :•: • Tic VT ••• Nonni la • ■■ ■alma %I sap \I■ mamma saw ••∎• is • ■• yaw mar •as a•al\ /ro 03113112 THIS CERTIFICATE 1S ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOER NOT AFFIRIIl ATNELY 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 certMcate holder Is an ADDiTTONAL INSURED, the poltcy(las) 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 endorsemont(s). PRODUCER insurance Marketes, Inc. 2600 Douglas Road Suhe 712 Coral Gables, FL 33134 Evarist Milian, Jr. 305-442 -9507 305-447-8527 CONTACT NAME: PHONE Ext) -MAIL ADDRESS: FAX (AIC. Nor CUSTom o,a STONE -1 INSURERS) AFFORDING COVERAGE INSURED Stone & Properties Group, LLC. Stone & Properties Group II, LLC Mr. Carlos Lievano 2121 SW 3rd Avenue, #205 Miami, FL 33129 INSURER A: Mid-Continent Casualty Company INSURER B: NAIC a 23418 INSURER C: INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 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 A TYPE OF INSURANCE GENERAL LIABWTY X COMBERCIAL GENERAL LIABILITY CLAIMS-MADE X OCCUR GEN'L AGGREGATE LIMIT APPLIES PER POUCY PRO- IFCTT Ti LOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULE) AUTOS HIRED AUTOS NON -OWNED AUTOS ADDL INSR SUBR WVD POUCY NUMBER 04GL000843725 GIMIDEFF WYYYYI POLICY EXP LIMITS 03/06/12 03106/13 EACH OCCURRENCE DAMAGE TO RENTED PREMSES (Ea occurrence) MED EXP (Any one person) $ 1,000,000 $ 100,000 $ EXCLUDED PERSONAL & ADV INJURY $ 1,000,E GENERAL. AGGREGATE $ 2,000,000 PRODUCTS - OOMPRW AGG $ 2,000,000 COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) UMBRELLA LAB EXCESS LAB OCCUR CLAIMS-MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE AGGREGATE $ WORKERS COMPENSATION AND EMPLOYERS' LABILITY Y t N ANY PROPRIETOR/PARTNER/EXECUTIVE I J OFFICERIMEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N IA WC TATU- TORYSLIMITS I I °ER EL EACH ACCIDENT EL DISEASE - EA EMPLOYEE $ EL DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS 1 LOCATIONS t VEHICLES (Attach ACORD 1S1. Additional Remarks Satmdute, R more space is regaled) Residential General Contractor - Coverage is subject to terms, conditions, deductible and exclusions as shown in the policy. CERTIFICATE HOLDER CANCELLATION CITYSHO Miami Shores Village Building Department 150 N.E. 2ND Ave Miami Shores, FL33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELVER® IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Wass MM a ~ann. i.rbfr f atsri an SOVEREIGN TIETLE 8z T li> UST COMPANY Galloway Professional Park, 7765 S.W. 87th Avenue, Suite 207, Miami, Florida 33173 -2586 Tel: 305.271.1111 Fax: 305.271.2222 February 17, 2012 Village of Miami Shores Building & Zoning Dept. Hand Delivered Re: 60 N.E. 102 Street • Miami Shores, FL 33138 Folio No.: 11- 3206 - 013 -1461 Dear Madams /Sirs: Please be advised that this office is handled a sale concerning the above described real property. Kindly allow the new owner to be issued permits as the Warranty Deed is en- route to recording. Attached is copy of deed for reference. Your prompt cooperation is greatly appreciated. Should you have any questions, please do not hesitate to call the undersigned. Sincerely, '-``." Web address: http: / /www.sovereigntitle.com E -mail: closingstasovereigntitle.com Toll Free: 1.377.271.STTC (7882) THIS INSTRUMENT PREPARED BY: NAME: DENNIS J. O'CONNOR, ESQ. ADDRESS: MCPHILLIPS, FITZGERALD at CULLUM L.L.P. 9999 NE 2ND AVE, SUITE 200 MIAMI SHORES, FL 33138 RETURN TO ADDRESS: property appraisers parcel identification number: 11 32080131481 WARRANTY DEED T WS INDENTURE, made this lL( day of February, 2012, Between Carl Rudnick, a single man, Individually and as surviving trustee of the "Justine R. Rudnick Trust, u/a dated May 28, 1986 ", residing at 10175 Fortune Parkway, Unit 405, Jacksonville, FL 32256, (hereinafter referred to as "Grantor"), and Daiana S. Machado, a married woman, residing at 60 NE 107th Street, Miami Shores, FL 33138, (hereinafter referred to as "Grantee "). Witnessetli that the grantor, for and in consideration of the sum of TEN AND NO /100 DOLLARS ($10.00), and other valuable considerations to said grantor in hand paid by said grantee, the receipt whereof is hereby acknowledged, hereby granted, bargained and sold to the said grantee, and grantee's heirs and assigns forever, the following described land, situate, lying and being in Dade County, Florida, to -wit: Legal Description: Lot 4, Block 11, MIAMI SHORES SECTION 1 according to the plat thereof as recorded in Plat Book 10, Page 70, of the Public Records of Miami -Dade County, Florida. SUBJECT TO: Easements, limitations, restrictions and prohibitions appearing on the plat or otherwise common to the subdivision; public utility easements of record; taxes for the year 2012, and subsequent years; and any and all applicable zoning, restrictions, prohibitions and other requirements imposed by governmental authority. and said Grantor does hereby fully warrant the title to said land, and will defend the same against lawful claims of all persons whomsoever. Together with all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining. And The Grantor covenants to and with the Grantee, the Grantee's heirs, personal representatives, successors and assigns, that the Grantor presently serves as sole Trustee of the Justine R. Rudnick Trust, u/a dtd. May 28, 1986 and that the Trust is in full force and effect, that the Grantor as Trustee is empowered by the Trust to enter into this deed, and that all things preliminary to and in and about this conveyance and the laws of the state of Florida have been followed and complied with in all respects. "Grantor" and "grantee" are used for singular or plural, as context requires. In Witness Whereof Grantor has hereunto set Grantor's hand and seal the day and year first above written. Signed, sealed and delivered in the presence of Sic /ei 7; ,Ta 1u5o i ti[nred�Ngle�^ ■rn tJ /411 , 14'1-6-Ce .f Printed Name CARL RUD CK, a single man Indiv%dually and as surviving trustee of the "JUSTINE R. RUDNICK TRUST u/a dtd. May 28,1986 ", Grantor re STATE OF FLORIDA COUNTY OF Dirkla 1 HEREBY CERTIFY that on this /'l day, of kruary , 2012, personally appeared Carl Rudnick, a single man, Individually and as surviving trustee of the "Justine R. Rudnick Trust u/a dtd. May 28, 1986" , known to me to be the person described in and who executed the foregoing instrument, who acknowledged before me that she executed the same. My commission expires: Q personally known 0 type of identification produced: ide.L% 0. &rnoi Notary Public, Sttte of Florida Print, type or stamp name: SHIRLEY A. BENOIT • MY COMMISSION # EE 146235 EXPIRES: November 14, 2015 Bonded Tbru Noy Pubic Underwriters v LI LJI LVJL THIS CERTIFICATE 1S 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(les) 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 Gil, Garden, Avetrani Insurance Group 10689 N. Kendall Drive Suite 208 Miami. FL 33176 -CONTACT Lissette Hernandez NAME: EN�Eto �,,. (305)630 -4777 :(sos)279 -soaa E-MAIL ieernandez@ggaig.con ADDRESS: INSURERS) AFFORDING COVERAGE NAB # INSURERABusiness First Ins. Co. 11697 INSURED Stone & Properties Group II Inc 1800 SW 1 Avenue Suite 503 Miami FL 33129 INSURER B : INSURERC: INSURER D : INSURERE: $ INSURERF: $ L119102034 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY 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 POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POUCIES. OMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR SUM VD POUCY NUMBER POLICY EFF (MMIDEVYYYYI POLICY EXP IMM/DDJYYYYI LIMITS GENERAL — LIABILITY COMMERCIAL GENERAL LIABILITY ICLAIMS -MADE OCCUR EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES (Ea occurrence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY El I ! [1 LOC $ AUTOMOBILE _ _ UABIUTY ANY AUTO ALL OWNED AUTOS HIRED AUTOS _ SCHEDULED AUTOS NON -OWNED AUTOS C MBBIIf D SINGLE LIMIT BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE accident) $ $ UMBRELLA UAB EXCESS UAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ $ DED 1 1 RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' UABIUTY ANY PROPRIETOR/PARTNER/EXECUTIVE � OFFICER/MEMBER fIn EXCLUDED? (Mandatory If yes, describe under DESCRIPTION OF OPERATIONS below N/A 521 -04301 8/18/2011 8/18/201.2 I TORY LIMITS I 10TH- N FR EL. EACH ACCIDENT $ 500,000 $ 500,000 EL DISEASE- EA EMPLOYEE EL DISEASE - POUCY OMIT $ 500,000 DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) CERTIFICATE HOLDER CANCELLATION Miami Shores Village Bldg. Dept 10050 NE 2nd Ave Miami Shores, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Frank Gil/LISSET Permit No: 12 -385 Job Name: March 14, 2012 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) Provide occupancy type and level of alteration. 2) Identify all interior bearing walls in area of work. 3) Identify the minimum insulation requirements at altered exterior walls and ceiling. 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 -Fax `-)us , 5 n - 3 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 roc.- 12 -38c CL Inspection Number: INSP- 170750 Permit Number: EL -3 -12 -386 Scheduled Inspection Date: July 03, 2012 Inspector: Devaney, Michael Owner: RUDNICK, SPENCER Job Address: 60 NE 102 Street Miami Shores, FL Project: <NONE> Contractor: CONTRACTORS ELECTRICAL SERVICES Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132060131461 Phone: (786)252 -1284 Building Department Comments NEW ELECTRICAL AND RECESSED LIGHTS Passed d Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Co \i)2 z>72 July 02, 2012 For Inspections please call: (305)762 -4949 Page 2 of 19 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. 1 t L— L) Master Permit No. 12 sC5 BUILDING PERMIT APPLICATION FBC 20 Permit Type: Electrical ,�nom' OWNER: Name (Fee Simple Titleholder): OA a � I� Moo Address: O Ng 62 5% City: 111601 `*I O State: P h o n e # : (4-g) a 1 1 1 1 I Zip: S1 Tenant/Lessee Name: Phone#: Email: 6ytieeeppae,oe jniculeom JOB ADDRESS: CO 1\16 la Si City: Mi • Shores County: Miami Dade Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: CO,,1 :14 c %4 �' /lc7 l c.q t S, t' C ?hone#: Address: 72-‘16-452--/281g City: Al 1 4444 ?ate: �L Qualifier Name: It ce4JQ4no L Zip: 33'/93 . Phone#: 4f 888 - 9.92-Z7 •3 • /.. � y 3 Certificate of Competency #: D7 Gi 0.S6 3 �%�►� e tea:4 'c. 8 y a . ., DESIGNER: Architect/Engineer: Phone#: State Certification or Registration # 3 y • Contact Phone#: Email Address: 6G Value of Work for this Permit $0 ' Square/Linear Footage of Work: Type of Work: UAddress I .%Alteration anal ONew . ORepait/Replace ODemolition Description of Work: �1t11J ehc.huc ll We'd QYIA AICBSXJ `10 1,t * * **** * * * * ** **** a*** ******* *** ***Fees **** **** *spa *e *a**** *ems * * ** * * * **x* Submittal Fee $ Permit Fee $ ��' P b' Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ CCF $ CO /CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ \\2 ` l )O 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 attachanent. 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 as issued In the absence of h posted notice, the inspection will not be approved and a reinspection fee will be charged. Owner or Agent The foregoing instrument was acknowledged before me this 2 day of fcbrval,202 ;by 17aiinq .Mccher who is personally known to me or who has produced l P As identification and who did take an oath. NOTARY PUBLIC: Sign: n Print: Pr I Si joh Wl 15"COO t' 1o,rom itrxpires: Signature Con ' actor The foregoing instrument was acknowledged before me this 2t day of FctoyJ ,2012 by L,C0nc»' Q I�Jc�viGU;e� who is personally known to me or who has produced l P as identification and who did take an oath. NOTARY PUBLIC: APPROVED BY Sign: t% .� 1c4 c -Ala • Print: AI l iS °, My Commissio O .)2� u!' Notary Public State of Florida Afton -Marie Banded( j My Cemmisslo rfE708899 d' Expires 07/05/2015 ******m * * *** * *** * * ** ** ** * 4'46°Ap2 Plans Examiner Zoning Structural Review Clerk (Revised 07 /10/07)(Revised 06/10/2009)(Revised 3/15/09) TmulAtig:11,piAtiEoLIGLIEgIR . aAatipt; AMI.DADE COUI4TY OF FLORIDA 140 ist MLAMI Ft. 33130 CHAPTER SA ART -9 811P-, npsrcums U.S. POSTAGE PAID MIAMI, FL t PERMIT NO. 231 651724-8 • flti61if RECEIPT. NO CTRICAL SERVICES CC I (19-LEIVI. 6821 :SW 147 AVE WNER` ..CONTRACTORS ELECTRICAL SERVICES Hj. 4 Soo tvimAd umemmc 194 tLtcTRICAL C-ONTRACTOR 678758-5 `." TWS susulast,irILLYRE,AcintalLOCAi DOES 1OT HOLDER TO VIOLATE AM 4-;:iTr4 9 :ftl,n4;1,11 OR OR IT 'EXEMPT Tht Weft PROBAARY_Alitgoil ReQuIRECrey NOTr:A]':;CERTIROOMOICOI, l*M4iO4#,WP,1OORI.„..,TkOti, AfittOROSOOONTY170,„, OTOR:- 07/21/2011,H1T;-!,,:•1 000075,00 SEE OTHER SIDE KER/5 1 17- DO NOT FORWARD CONTRACTORS ELECTRICAL SERVICES INC LEONARDO RODRIGUEZ 6821 SW 147 AVE 3E MIAMI FL 33193 0111111hilianthiltILSSIMMIISSILAIlnith11111§31 RECilfr—t tOuNrf STATE OP FL -COGS SIRES SEPT, 30, 2012 istef in the cit re. wotk1s VED r. DO NOT FORWARD CONTRACTORS ELECTRICAL SERVICES INC LEONARDO RODRIGUEZ 6821 SW 147 AVE 3E MIAMI FL 33193 0200 00 1 haihtlfillifinit11111 11111111011 STATE OF FLOR#DA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD (850) 487 -1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399 -0783 RODRIGUEZ LEONARDO CONTRACTORS ELECTRICAL SERVICBS INC 68 1 SW 147TH AVENUE APT 33E Congratulations) With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals e architects ba a r n and keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you tamer 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, Regubge Fairly. We constantly strive to serve you tatter so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new licensel DETACH HERE CERTIFICATE OF LIABILITY INSURANCE 03/07/2012 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 poflcyftes) 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 bier, of such endorsement(s). PRODUCER A&A Underwriters, Inc. 2613 8796 SW 8 St Miami, Fl 33174 CW4TACT Pablo M Conde No. 305- 220 -7447 �x X220 -4821 tram prnc@aaunderwriters.com INSURERS) AFFORDING COVERAGE NAIL B INSURER A : Granada Insurance Company 00334 INSURED Contractors Electrical Services INC 11146 6821 SW 147 th. Ave Ste 3E Miami FL 33193 INSURER B : Mapfre Insurance Company of Florlia 10805 INSURER c: RetailFirst Insurance Company 10017 INSURER D 09/08/12 INSURER E : $ 1,000,000 INSURER F: $ 50,000 COVERAGES CERTIFICATE NUMBER 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 OXIDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF 16MIDDIYYYTT POLICY EXP (MMIDDJMYYYI LISTS A GENERALUABOJTY X COMMERCIAL GENERAL LIABILITY 01851100015442 09/08/19 09/08/12 EACH OCCURRENCE $ 1,000,000 6AMAGETO RENTED PREMISES (Ea occurrence) $ 50,000 MED EXP (Any one ) $ 1,000 CLAIMS-MADE X OAR PERSONAL &ADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMA AGG $ 2,000,000 GEML AGGREGATE OMIT APPLIES Pa 11.1r ocYn.TnLOC $ B AUTOMOBILE X X LIABILITY ANY AUTO OWNED LL HIRED AUTOS UM 10/20 X X X S �N-o OS AUT P P $10,000 4150100003817 11/16/11 11/16/12 CO SINGLE LIMIT 300,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per= denI ) $ $ UMBRELLA UNIT EXCESS MB OCCUR CLAIMS-MADE EACH OCCURRENCE $ AGGREGATE $ $ DED REEENTICX4 $ r' WORKERS COMPENSATION AND EMPLOYERS LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE � N I A 520-091623 04/06/11 04/�h2 X I WC STATU- TORY LIMITS IOTH- ER EL EACH ACCIDENT $ 1,000,000 EL DISEASE -EAEMPLOYEE $ 1,000,000 OFFICER/MEEBE EXCLUDED? I s / (Mandatary In NH) If�s, describe under DESCRIPTION OF OPERATIONS below EL DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS/ VEHICLES (Attach ACORD 101, Additional Remarks Schedule, 11 more space Is moulted) CANCELLATION Miami Shores Villages Building Department 10050 NE 2 AVE Miami Shores, FL 33138 SHOULD ANY of THE ABOVE DESCRIBED POUCES BE CANCELLED ED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE OEIJVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE A•fDE 9T I911411pHLa ®1988.2010 ACORD CORPORATION. All rights reserve Amon ..s...e ft...r a..,... ,e.a .ar..rc+e.as.a ...om.a.c ..s Arr►Dn Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 RC- 12- 3 8 "%/';',- nspection Number: INSP - 170754 Permit Number: PL -3 -12 -387 Inspection Date: July 09, 2012 Inspector: Hernandez, Rafael Owner: RUDNICK, SPENCER Job Address: 60 NE 102 Street Miami Shores, FL Project: <NONE> Contractor: PAU PLUMBING CONTRACTOR INC Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132060131461 Phone: (305)934 -2894 Building Department Comments NEW PLUMBING FOR KITCHEN REMODEL Passed Inspector Comments Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until For Inspections please call: (305)762 -4949 July 09, 2012 Page 1 of 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 FBC20 Permit Type: PLUMBING OWNER: Name (Fee Simple Titleholder): DMAIIGi ml -r ,PC(Q Address: WNW 102 f1 City: m am i 5 hOget State: Ft- Tenant/Lessee Name: Phone#: (N) 2-1 1110 Zip: 331`' Phone#: Email: c v r?e pa e Jma . cc JOB ADDRESS: %O Ng 102 57 City: Miami Shores County: Miami Dade Zip: .&J Folio/Parcel#: Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: J g,, , „ D,' 61...9.. t&. Phone#: 35&4 2e94 Address: `A66 L City: �`f fa tL`2:\+ -t ( State: -C.-- Qualifier Name: ei4ra,A. e.-0 0 t]e) r0 State Certification or Registration #: a Fe- /4o2 60 /0 Certificate of Competency #: Contact Monett: Email Address: 7 rAC ®��0c%�1Z�aail ®I i2Q ' DESIGNER: Architect/Engineer: Phone#: Zip: 336 g_ Phone#: a S9.3f 2g946 Value of Work for this Permit: $ ,� 4 50 Square/Linear Footage of Work: IiAlteration ':Type of Work: ❑Address Description of Work: j 1 gin._.. . UNew •1c.-D‹ ORepair/Replace . <. °Demolition Submittal Fee $ Permit Fee $ /00 CCF $ CO /CC $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ DBPR $ Bond $ Technology Fee $ TOTAL .t''J t; NOW DUE $ Q ( '((O 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 FJ J CTRICAL 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a cert'if'ied copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged Signature /GUJOU4.0., t4..o Owner or Agent The foregoing instrument was acknowledged before me this 2. 1 day of -7-e WAN, 20 t "L , by )} q i ra n a M 4 clo 4 dl b who is personally known to me or who has produced 1 O As identification and who did take an oath. NOTARY PUBLIC: Signature Contractor The foregoing instrument was acknowledged before inc this 21 day o f F w'9 , 20 1?- , by fie 1 of & who is personally known to me or who has produced IP as identification and who did take an oath. NOTARY PUBLIC: My Commission Expires: O7/O51 2c71S APPROVED BY (Revised 07!10 /07)(Revised 06/10/2009)(Revised 3/15/09) Structural Review Sign: Print 'A tl1 SVtn My Commission Ex Zoning Clerk STATE # FL ORIDA DEPARTMENT OF BUSINESS AND PROFESSION ON COATSTRUCTION INDUSTRY LICENSING WARD (88D) 487 -1395 ung NO�IROR S TREET SEE `L 32399 -0783 SOTO RL'YNALUO PAU bLUMB1NO CONTRACTOR INC 3S8 VEST 38TR STREET b HIALEAH FL 33012 tilt this Acme you Ammons of the nearly one miiion licensed Our prr naffs amid in range from and to yacht brokers, from bakentio Wattle restaurants, and they keep Florida's economy strong. Evely day we sic to impure the way va$ do business in fir to serve you better. For intimation ate tee'services, please log onto wentmsfieridatiorniewconr. There you cart ind more about ow divisions and the ram that intact you. s ibscrib et newsletters and beam more about the Our ardor at the Department it license Efficiently. Regulate Fairly. We cc ortstruntly strive to serve you better so that you CM serve your customers. Thank you for dffing business in Wilda, and congratulations on your new Ucensel • w. DETACH HERE wAcia.,61 .` �: =a DA',E. BATCH NUM. STATE OF FLORIDA. TMENT OF. BUSINESS MID PROPESS10 : REilTTON CON INDUSTRY LICIASISEtie BD ORT71 MONROE STItEtur 3Z39 SOTO R r nano PAU PLt INO CONTRACTOR INC 3358 WEST 38TH STREET 33012 EIAME FL t With this license you become one of fate nearly one ninon licensed by the Depwthrent (hotness and businesses range from architects to brokers, from barbetwe and they keep Florida's economy strong. Y we work to improve the way We do busithess in order to serve you better. information about our SETVICV3.131132S0 lg onto www.myforidaticease com. 'here you can-find more infonnadon about ow drvlsionS and the regukdions that impact yea,.$ ubsathe to department newshstters and bin more about the Department' kithatives. Our mission Mitts Divestment is: License Eftcfenttye Regulate Fairly. We Thank you for you Florida. and congratulatioma on your new license! (850) 487 -1598 DETACH HERE DATE :sAt ... - ern 1 fO At U1SU iEi3, t ie 1 the tt�C�s mrquirea� to ocamoto: TO'CERTIFY TOM 'a THE POUCIE$ OF IMMO= LIMO BELOW NAVE BEEN ii! HE # !! iit M FIVE 10R 114E POLICY PERIOD P€ NOTINITHSTANDMOANY REOUREMENT, TERM OR CONINTION OP ANY cows= OR OTHER Docutotur out *mom= TO MICR M 0A E MY BE MED OR MAY PENTAIR, THE MIRA= AFFORDED BY THE P0i1# ES OENCRIEED 4th} 1S EMMEC ID ALL TIM TERM alO 1 #I TSO?+ISd3F SUM FUMES, WETS 'SHOiiJt+ MAY lOWEREEN REDUCED BY PAIDCLARM Tom' _.. ... „ �_��y.,�,., •!deasit _ - DISEASE • Y131111':. 1 S ANYOF1HEABOVE PO S5E 'ice... EXPERATION OA :: THEREOF, NOTICE .WU. -: EM DELIVERED ACCORDANCEVAIN TliE POLICY