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RC-12-459Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number. INSP- 171224 Permit Number: RC- 3- 12-459 Scheduled Inspection Date: May 30, 2012 Inspector: Bruhn, Norman Owner: WALSH, WILLIAM LEE Job Address: 1140 NE 91 Terrace Miami Shores, FL Project: <NONE> Contractor: SOUTHERN COAST ENTERPRISES Permit Type: Residential Construction Inspection Type: Final Work Classification: Repair Phone Number Parcel Number 1132050010430 Phone: (954)426 -3312 Building Department Comments INSTALL HELICAL PILES PER ENGINEERS REPORT Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments PROVIDE SIGNED AND SEALED SOIL REPORT FOR PILES PROVIDE WALL LOAD CALCULATIONS TO VERIFY SPACING. FILED REPORTS TO BE SUBMITTED AT FINAL INSPECTION (lc May 30, 2012 For Inspections please call: (305)762 -4949 Page 12 of 47 SPECIALTY ENGINEERING CONSULTANTS, Inc. THRESHOLD /SPECIAL INSPECTION REPORT PROJECT: CLIENT: 1140 NE 91 Terrace William Walsh DAY: DATE: 4/24/2012 Dade • Broward • Palm Beach Tuesday CONTRACTOR: PERMIT #: INSPECTION TYPE: Helical Pile Monitoring TRACKING #: 2120489 PROJECT LOCATION: Miami Shores PERFORMED BY: V Williams MEMBERS / AREAS INSPECTED: Foundation contractor arrived about 10:30am and started setting up equipment and prep work on the existing wall footer below grade. The following occurred today: 1. Dug below existing footer grade 2. Prep and saw cut approx. 5" of concrete footer back to block walls for helical pile bracket installation Contractor discontinued work at 2:OOpm and GENERAL NOTES: Tech time: 10:OOam to 2:OOpm + 2 hours travel time. Total time- 6 hours. Respectfully submitted, Specialty Engineering Consultants, Inc. D. Mark!:Ianc, PE State fl. Registered Professional Engineer #0035683 R tered Special inspector #1177 Z:KluatrolPROJECTSI#2012 Misc\Walsh Residence\INSPECTION MASTER DISTRIBUTION COPY: Billing -1 William Walsh - 3 1599 S.W. 30th Avenue, Suite #20 • Boynton Beach, FL 33426 • Office: 561- 752 -5440 • Fax: 561- 752 -5542 SPECIALTY ENGINEERING CONSULTANTS, Inc. THRESHOLD /SPECIAL INSPECTION REPORT PROJECT: CLIENT: 1140 NE 91 Terrace William Walsh DAY: DATE: 4/25/2012 Dade • Broward • Palm Beach Wednesday CONTRACTOR: PERMIT #: INSPECTION TYPE: Helical Pile Monitoring TRACKING #: 2120490 PROJECT LOCATION: Miami Shores PERFORMED BY: V Williams MEMBERS / AREAS INSPECTED: A visual in- progress monitoring and inspection was done on the helical piles installation for piles 5 & 3. Mark (E.O.R. ) monitored the installation of pile 6. A total of 3 piles that met the torque requirements were installed. The (3) remaining pile are scheduled for installation on 4/26/12. DISPOSITION / RESULTS: GENERAL NOTES: Respectfully submitted, Specialty Engineering Consultants, Inc. eBianc, PE f FI. Registered Professional Engineer #0035683 Registered Special Inspector #1177 Z:\Quatro\PROJECTS\#2012 Misc \Walsh Residence\042512 2120490 helical pile monitoring DISTRIBUTION COPY: Billing -1 William Walsh - 3 1599 S.W. 30th Avenue, Suite #20 • Boynton Beach, FL 33426 • Office: 561- 752 -5440 • Fax: 561- 752 -5542 SPECIALTY ENGINEERING CONSULTANTS, Inc. THRESHOLD /SPECIAL INSPECTION REPORT PROJECT: 1140 NE 91 Terrace CLIENT: William Walsh Dade • Broward • Palm Beach DAY: Thursday DATE: 4/26/2012 CONTRACTOR: PERMIT #: INSPECTION TYPE: Helical Pile Monitoring TRACKING #: 2121002 PROJECT LOCATION: Miami Shores PERFORMED BY: V Williams MEMBERS / AREAS INSPECTED: Visual monitoring of the completion of helical pile installation. The foundation contractor installed an additional (3) piles (1, 2 & 3). Piles 1 & 2 met the required torque of 11001bs for 7.5 kips. Pile 4 had refusal torque at 600 Ibs at 28' below grade. The E.O.R. was notified and is reviewing pile 4 chart. DISPOSITION / RESULTS: GENERAL NOTES: Tech time- 9:30am to 2:OOpm - 4.5 hours Travel time- 2 hours Total time- 6.5 hours Respectfully submitted, Specialty Engineering Consultants, Inc. Mark ranc PE^ State I. Registered Professional Engineer #0035683 Registered Special Inspector #1177 Z: Quaro\PROJECTS\#2012 Misc \Walsh Residence1INSPECTION MASTER DISTRIBUTION COPY: Billing -1 William Walsh 3 1599 S.W. 30th Avenue, Suite #20 • Boynton Beach, FL 33426 • Office: 561- 752 -5440 • Fax: 561- 752 -5542 P. Specialty Engineering Consultants, Inc. 1599 S.W. 30th Ave, Suite 2 'Boynton Beach, Fla. 33426 561 - 752 -5440 LAB NUMBER 2121002 CLIENT William Walsh PROJECT Walsh Residence CONTRACTOR PERMIT NO. INSPECTOR V. Williams ENGINEER D. Mark LeBlanc DATE 04/26112 DAY Thursday PAGE 1 of 1 Distribution Billing -1 William Walsh - 3 PILE NUMBER: HELIX SIZE PILING ALIGNMENT TERMINATION TORQUE DEPTH/TORQUE (FT /PSI) 3 5 8 10 13 15 18 20 23 25 28 30 33 35 38 40 43 45 NOTES: 6 5 4 3 2 1 3" 3" 3" 3" 3" 3" v v v v v v 1100 1100 1100 1100 1100 1100 4/25 4/25 4/26 4125 4/26 4126 500 400 500 500 600 700 500 600 600 700 700 800 600 1100 1000 700 800 1000 800 1000 1000 700 900 1200 1000 900 800 600 600 1600 800 800 800 600 600 600 600 800 600 600 600 700 700 800 800 600 500 600 600 600 600 800 700 600 700 600 800 600 700 1100 800 800 1200 1100 1100 Refusal RESPECTFULLY SUBMITTED, Specialty Engine: . Consuitants, Inc. D. LE B FLA. REG. NO C , P.E. 5683 INSPECTOR TIME IN: See Reports INSPECTOR TIME OUT: See Reports TRAVEL TIME: See Reports TOTAL TIME: See Reports SPECIALTY ENGINEERING CONSULTANTS, Inc. THRESHOLD /SPECIAL INSPECTION REPORT PROJECT: 1140 NE 91 Terrace CLIENT: William Walsh CONTRACTOR: Bluewater INSPECTION TYPE: Special PROJECT LOCATION: Miami Shores Dade • Broward • Palm Beach DAY: Friday DATE: 5/4/2012 PERMIT #: TRACKING #: 2121257 PERFORMED BY: D. Adam LeBlanc MEMBERS / AREAS INSPECTED: Joist repairs, new slab on grade, piling attachments, steel angle attachments. DISPOSITION / RESULTS: Joist repairs and piling attachments/ steel angle attachments as per permitted plans. Resteel placement in,slab on grade approved. GENERAL NOTES: Respectfully submitted, Specialty Engineering Consultants, Inc. D. M- LeBlanc, PE of FL Registered Professional Engineer #0035683 Registered Special Inspector #1177 Z1Quatro\PROJECTS\#2012 Misc \Walsh ResidenceUNSPECTION MASTER DISTRIBUTION COPY: Billing -1 William Walsh - 3 1599 S.W. 30th Avenue, Suite #20 • Boynton Beach, FL 33426 • Office: 561- 752 -5440 • Fax: 561 -752 -5542 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. 1Z e 12 — 9°-.CI Job Name 't L,ellA Date 3-25-12 STRUCTURAL CRITIQUE SHEET PIZ.a.r 0e 3di-Doze S (N$pgc- rc'e)ra Pf2-0v cbE k-D } Ze u t-A-f N& 'To 'i e g r 7 g P nig eF Pl�c.� e R' • s ,' S I M, BUILDING PE FBC 2j 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 ICATION MAR 1 0 2L12 Permit No. .rj L— 951 Master Permit No. Permit Type: BUILDING ROOFING ,, p OWNER: Name (Fee Simple Titleholder): 111) 1 110.4-/-1 UV�2�' 1 Phone#: ir5�° 6 -43 Address: �i 14 � 1 c ] 1 exr& City: I" l 1LA bri State: a Zip: 331 Tenant/Lessee Name: Email: Phone #: JOB ADDRESS: G1 111—nr0---c-t--- City: Miami Shores County: Folio/Parcel #: 11" 3atE. - 06 1 " 0L-1 0 Is the Building Historically Designated: Yes NO Miami Dade Zip: -5'34 CONTRACTOR: Company Name: at.4112An C-06_4- , Address: City: c- MTh ,+ 9 CJ State: Qualifier Name: iA Q Flood Zone: Phone#: c4-/t 33P 1 Phone #: - (03g2 State Certification �orlRegistration #: G G C (p 11 Certificate_ of Competency #: Contact Phone #:q &'t "`;� O 331-1.s, Email Address: L €FbOt�— AL . ( Orr) DESIGNER: Architec S ptt cW i ErIcey-wf0t 6U9.: (y, one #: Skol s 152 ° B1/4410 Value of Work for this. Permit: $ 1 3) 4-11, °bt Square/Linear Footage of Work: Type of Work: OAddition OAlteration ONew C�TRepair/Replace Description of Work: 140 i C r' u r par aerIbbr\eldr ' • ± s ODemolition ** * * * * ** * * * ****** * *e*+x********* ** ****Fees:** ****** *x **********• x********+x**+x***s:****** Submittal Fee $ 5'6 •V Permit Fee $ ��� -?-5 CCF $ CO /CC $ Scanning Fee $ o' Radon Fee $ DBPR $ Bond $ Notary $ . Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ . ti Bonding Company's Name (if applicable) { 1 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 FI .RCTRICAL 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 Owner or Agent Contractor The foregoing instrument was acknowledged before me this 1 The foregoing instrument was acknowledged before me thi day of 1 , 2012. , by !ad (., -m , day of nrViek,k1 , 201 , by who is personally known to me or w . s pro used who is ona kn to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: ° Si gn: J%)' /I.°7 Print: 4i&'Sj MARY ANN GRASS :NOTARY PUBLIC STATE OF FLORIDA Comm# EE139528 * * * * * * * * * * * ** '+c* *AVV § :+�1` : �x x+ xa��xx��s�r+ x+ xa��: x�x� ****a� **** * ***�xx�+n�:�x **** w *0L1* * '-,4 ,ii -eixg 4+k .4*** * *z** ** APPROVED BY � Plans Examiner Zoning My Commis 'NN GRASS My Commis ,v•4 s: " PUBLIC T` re- FLORIDA r-,,,,m? EE ) 39528 Structural Review Clerk (Revised 07 /l0 /07)(Revised 06 /10/2009)(Revised 3/15/09) Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION FORM ALL CONTRACTORS MUST PROVIDE COPIES OF LICENCES AND INSURANCES EACH TIME A PERMIT IS SUBMITTED OR THE VILLAGE MAY MAINTAIN A FILE WITH YOUR INFORMATION FOR A $30.00 FEE PER YEAR. IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. / COPY OF QUALIFIER'S STATE LIC CARD B. V COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF LIABILITY INSURANCE (CERTIFICATE HOLDER TO BE MIAMI SHORES VILLAGE BLDG DEPT) D. V COPY OF WORKERS COMPENSATION (EITHER CERTIFICATE OR EXCEMPTION) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICE OF COMPETENCY OF QUALIFIER B. COPY OF MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT C. COPY OF LIABILITY INSURACE (CERTIFICATE HOLDER MUST BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKER COMP INSURANCE (EITHER CERTIFICATE OR EXEMPTION) YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE HOLDER AS FOLLOW: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 COMPLETE CONTRACTOR'S INFORMATION BUSINESS NAME iltikrr1 4 , r. r44 NASIMAIGITh k 7 N4 BUSINESS ADDRESS: IP5 CITY d STATE ZIP CODE 3N-4) BUSINESS PHONE: )'42(b ' 3312— FAX NUMBERS 6 )424- E'3o CELL PHONE (5 11)1 ) 9 ' QUALIFIER'S NAME: al- 091,,1,y- QUALIFIER'S LIC NUMBER: C b2 g (O 1 E -MAIL ADDRESS (IF APPLICABLE): 3Cf. r66P �= L Cor-, Created on 3119109 BY MLDV/ RV 3126109 MLDV 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 DATE — . BATCH e' 04s` ER t..�i �a 'cal. �+.�r,' Fc � a►'�^°�.. "F �ii.v� "� �s BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm. A -100, Ft. Lauderdale, FL 33301 -1895 — 954- 831 -4000 VALID OCTOBER 1, 2011 THROUGH SEPTEMBER 30, 2012 DBA: Business Name: SOUTHERN COAST ENTERPRISES CONSTRUCTION & PAINTING DIVISION TAT/ Owner Name: STEVEN M HELLER Business Location: 273 NW 1 ST DEERFIELD BEACH Business Phone: 954-426-3312 Rooms Seats Employees 7 Receipt #:180- 232556 Business Type:GENERAL CONTRACTOR Business Opened:04 /15/2010 State /County /Cert/Reg:CGCO2 8 611 Exemption Code:NONEXEMPT Machines Professionals For Vending Business Only Number of Machines: Vending Type: O Tax Amount, Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paid 27.00 0.00 0.00 o.0o O.00 0.00 27.00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Broward County and is non - regulatory in nature. You must meet all County and/or Municipality planning WHEN VALIDATED 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 the business is legal or that it is in compliance with State or local laws and regulations. Mailing Address: SOUTHERN COAST ENTERPRISES CONSTRU 273 NW 1 ST DEERFIELD BEACH, FL 33441 2011 - 2012 Receipt #03A- 10- 00012402 Paid 09/07/2011 27.00 At OR0 CERTIFICATE OF LIABILITY INSURANCE DATE 2 "Y' 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 poiicy(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 Frank H. Furman, Inc. 1314 East Atlantic Blvd. P. 0. Box 1927 Pompano Beach FL 33061 CONTACT NAME: rEeto.Fa): (954) 943 -5050 I a . No): (954) 943 -5417 EpDMALI SS: INSURER(S) AFFORDING COVERAGE NAIC # INsuRERA:First Mercury Insurance Co 10657 INSURED Southern Coast Enterprises Inc. ;Southern Coast Enterprises Construction and Painting Div Inc 273 N W 1 Street Deerfield Beach FL 33441 INSURERa:Travelers Indemnity Co of 25666 INSURER C :FRSA 10/31 /2012 INSURERD: $ 1,000,000 INSURERE: $ 50,000 INSURER F : I CLAIMS -MADE CERTIFICATE 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 SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/MY) POLICY EXP (MM/DD/YYYY) LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY NBCGL000000068201 10/31/2011 10/31 /2012 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 50,000 I CLAIMS -MADE X OCCUR MED EXP (Any one person) $ Excluded X $5MIL PER PROJ AGG PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENII_ AGGREGATE —1 POUCY ITC LIMIT APPLIESPER: PF O- n LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ B AUTOMOBILE X X LIABILITY ANY AUTO ALL HIRED AUTOS X SSCHHED LED NON -0WNED AUTOS 8A6822X608 4/18/2011 4/18/2012 COMBINED LIMIT (Ea $ 1,000,000 $ BODILY INJURY (Per person) BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ Uninsured motorist combined $ 1,000,000 $ UMBRELLA LIA6 EXCESS LIAR _ OCCUR CLAIMS -MADE EACH OCCURRENCE AGGREGATE $ DED 1 RETENT ON $ $ C AND WORKERS PLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMEREXC EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y I N N/A 870033214 1/1/2012 1/1/2013 X TORY LIMITS I I OER Et $ 1,000,000 $ 1,000,000 $ 1,000,000 EL DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT • DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedu e, If more space Is required) Village of Miami Shores Building Department 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 9 Frank Furman, Jr /CS INSO25 (9ninam m ©1988 -2010 ACORD CORPORATION. All rights reserved. Tha ARARr1 annum :and Irwin arta runic *arori markc of A(`nRn CUMULATIVE SUBSTANTIAL IMPROVEMENT VERIFICATION WORK SHEET In 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: W 1 L-1.—.1 104/Y") l PERMIT # rac-- (2- IJ cj Arl.S1-I ADDRESS: 1 1 y 0 l u L q 1 70912-, FOLIO NUMBER: FLOOD ZONE: BASE FLOOD ELEVATION: FREEBOARD: EAST OF FL.CCCL: COST OF PAST IMPROVEMENTS (12 MONTHS): 5) 3 COST OF PROPOSED IMPROVEMENTS: 1 k ( 1 . (ATTACH COPY OF CONTRACT) TOTAL CUMULATIVE COST OF IMPROVEMENTS (past and proposed) :1e, 71-5x° VALUE OF PRINCIPAL STRUCTURE (attach appraisal): 1.33 v (0 }° OWNERS SIGNATURE: DATE: PLANREVIEWER: PLAN REVIEWER SIGNATURE: DATE: J76 `4& Created on June 2009 Miami -Dade My Home My Home a e. ov Show Me: Property Information Search By: Select Item - N Text only Property Appraiser Tax Estimator Property Appraiser Tax Comparison Portability S.O.H. Calculator Summary Details: Folio No.: 11 -3205- 001 -0430 Property: 1140 NE 91 TER Mailing WILLIAM LEE WALSH Address: 1 Living Units: 1140 NE 91 TERR MIAMI FL Adj Sq Footage: 33138 -3404 Propert y Information: Primary Zone: 1100 SINGLE FAMILY RESIDENCE CLUC: 0001 RESIDENTIAL - SINGLE FAMILY Beds /Baths: ,2/2 $112,500 Floors: 1 Living Units: 1 Adj Sq Footage: 1,698 Lot Size: 9,375 SO FT Year Built: 1955 $50,000/ $121,567 WATERSEDGE PB 9- Legal 141 LOT 18 & E1/2 OF Description: LOT 17 BLK 2 LOT SIZE 75.000 X 125 OR 11671- $25,000/ $146,567 1234 0183 5 Assessment Information: Year: 2011 2010 Land Value: $135,000 $112,500 Building Value: $13022,06 $130,932 Market Value: '$265,066 $243,432 Assessed Value: $171,567 $169,032 Exemption Information: ZEIll 2011 2010 i $25,000 $25,000 Taxing Authority: ExemptionTaxable / ExemptionTaxable / Taxable Value Information: Year: 2011 2010 Applied Applied Taxing Authority: ExemptionTaxable / ExemptionTaxable / Value: Value: Regional: $50,000/ $121,567 $50,000/ $119,032 County: $50,000/ $121,567 $50,000/ $119,032 City: $50,000/ $121,567 $50,000/ $119,032 School Board: $25,000/ $146,567 $25,000/ $144,032 Additional Information: Click here to see more information for this property: Community Development District Page 1 of 2 Aerial Photography - 2009 My `omfa 1 Prooerty Information 1 Property Taxes My Neighbe :hop 1 Property Appraiser 0 113 ft Home 1 Using Our Site 1 Pt_ one Birectory 1 Privacy 1 Disclaimer If you experience technical difficulties with the Property Information application, or wish to send us your comments, questions or suggestions please email us at Webmaster. Web Site 2002 Miami -Dade County. All rights reserved. Legend N Property Boundary Selected Property Street Highway Miami -Dade County Water http: / /gisims2. miamidade .gov /myhome /propmap.asp 3/16/2012 Southern Coast Foundation Systems Inc. 273 NW 1st Street Deerfield Beach, FL. 33441 Phone: (954)426 -3312 Fax: (954) 426 -5430 TO William Walsh 1.140 NE 91st. Terrace - -1-5-74071(43 Miami Shores, FL 33138 USA SOUTHERN GOAS FOUNDATION SYSTEMS-lh 02/24/2012 Walsh JOB: PRJ #254:Waish Push Piers ADDRESS: Walsh - Push Piers 1140 NE 91st. Terrace, Miami Shores, FL 33138 Southern Coast Enterprises, Inc. proposes to do the following work Provide all permits, excluding permitting: fees. 1. •Furnish all labor, materials and equipment for the installation of (6) 3° 7.5 kip helical piers. 2. Install foundation brackets in strategic locations as per engineers plan. 3. Drive piers to bearing strata (bedrock) or 36 feet or less. 4. Any additional depth of piers required to be installed at an additional cost of $24.00 per foot. 5. Remove and replace stairs as per plan. 6. Install new 2x8 stringers to existing stringers and strap to existing foundation using Simpson straps as per plan. 7. Supply and.: install 4 "x 3 114° steel angle in location shown on plan. 8. Concrete Pump included. 9. Steps to be finished to a boom finish. 10. NC removal and re hook up by owner. 11. Engineering and monitoring, cost of permit not included: Conditions: We assume industry standards for concrete thickness, width, strength, and structural Integrity of footings, slabs and walls. It is also assumed the area in concern has not been previously repaired by helical piers, steel piers, eta. if conditions contrary to this are encountered additional charge maybe assessed Contract is based solely on the shove mentioned specifications. Unless otherwise shown by contract in writing, tuck pointing, painting, caulking or any cosmetic repairs are beyond the scope of work of this contract. Estimates for any additional work may be requested by owner. This contract applies only to the areas of repair as specified above. If settlement occurs outside of the specified area, additional repairs may be required at the Owner's expense. it is our company policy to take extra care In the stabilization and/or lifting of structures back to proper elevations and minimize damage which coukl result from such realignment of the structure. Work areas are to be Left in a clean and acceptable manner. Safety barricades at work areas arethe responsibility of others. Southern Coast Foundation Systems (SCF) will be permitted to display advertising signs or banners on the property from commencement to completion. Southern Coast Foundation Systems (SCF) cannot warrant that 1, Shrubs, plants, and other small plantings removed and later replaced or those to the surrounding work area will survrfe the process. 2. Cracks and/or separations In structures will close up to original elevations or positions. 3. Unseen cracks or separations may open up or new cracks may appear. 4. There may be interior damage to: drywall, plaster, windows, doors, tile, carpet, paneling, roof systems, appliances, interior or exterior water or plumbing lines, sewer, air conditioners, furnace, swimming pools, skimmers, invisible fence, etc. $13,411.00' Southern Coast Foundation Systems Inc. 273 NW 1st Street Deerfield Beach, FL 33441 Phone; (954) 426 -3312 Fax: (954) 426 -5430 Aria SOUTHERN COGS FOUNDATION SYSTEMS INC Sclik 6. Atl cosmetic repairs made are considered maintenance items and not included in our limited warranty such as. caulking, sealing, tuck pointing, concrete replacement, Patch wcirk, eta. 6. In case of mars we will by to match with a readily available standard color or style that Is close to the original. In some cases there will not be an available mate. In those cases the closest match readily available to be used. 7: Pier layout to be dome by G.C. Limited Warranty: The work to be performed under this agreement is warranted against all defects in materials and workmanship for the period of time listed above. In case of repairs we will try to match with a readily available standard color or style that is close to the original. In some cases there will not be an available match. In those cases the closest match we can find may require painting but may not match very closely. if vertical settlement occurs in the area described on the contract, SCF will at no cost to you, correct any defect in workmanship or material. SCF does not provide any warranty of a vertical settlement occurring because of movement caused by lateral, hill -side, landslide, earthquake, severe wind, flood, fire, vandalism, change in the water table, any other man -made condition or any other acts of G -d. This is a limited warranty. There are no warranties, expressed or implied, including any implied warranty of merchantability or warranty of fitness for a particular use or purpose except as specifically set forth In the agreement. Your exclusive remedy under this warranty shall be the correction of any defect in workmanship and :materials as set forth above; In no event shall you be entitled to indirect, incidental or consequential damages of any kind, regardless or whether the claim is based on breach of warranty, contract, tort or otherwise. Execution: The Owner agrees to and shall be responsible for the trimming and/or removal of all foliage clinging to or otherwise obstructing the building and permit adequate access to the work areas. The Owner agrees to either notify all occupants of the property or to remove any personal items from walls that may be dislodged during the banging and vibrations of the work. Facillties: Owner will make available to the contractor water and electric facilities as required to pertorm specified services. I PRICE Approved By: PRINT NAME SiGNATURE MAR 2 6 2i2 Miami Shores Village Building Department 120 12- 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 7952204 Fax: (305) 756.8972 MIAMI SHORES VILLAGE NOTICE TO BUILDING DEPARTMENT OF EMPLOYMENT AS SPECIAL INSPECTOR UNDER THE FLORIDA BUILDING CODE I (We) have been retained by k..") ILL-4 Pt P-N ‘-^3 I-- S to perform special inspector services under the Florida, Building Code at The S)367-747-77C-ToiNcte project on the below listed structures es of 3/ 2-i (date).1am a registered architect or professional engineer licensed in the State of Florida. PROCESS NUMBERS: A SPECIAL INSPECTOR FOR PILING, FBC 1822.120 (R4404.6.1.20) ci SPECIAL INSPECTOR FOR TRUSSES 35 LONG OR 8 HIGH 2319.17.2.4.2 (R4409,6,17,2.4.2) o SPECIAL INSPECTOR FOR REINFORCED MASONRY, FBC 2122,4 (R4407,5.4) O SPECIAL INSPECTOR FOR STEEL CONNECTIONS, FBC 2218.2 (R4408.5.2) O SPECIAL INSPECTOR FOR SOIL COMPACTION. FBC 1820.3.1 (R4404,4.3,1) CI SPECIAL INSPECTOR FOR PLE_CAST UNITS & ATTACHMENTS, FBC 1927,12 (R4405,9.12) `5k.• SPECIAL INSPECTOR FOR 1-uN-.) s" b tQq-1 u4-4 Note: Only the marked boxes apply. The following individual(s) employed by this firm or me are authorized representatives to perform inspection * 1. VA) cic541-1 sc)1Q 2. cAl--4),¢X> /4.tetTZAW1 4. *Special Inspectors utilizing authorized representatives shall insure the authorized representative is qualified by education or licensure to perform the duties assigned by the Special Inspector. The qualifications shall Include licensors as a professional engineer or architect; graduation from an engineering education program in civil or structural engineering; graduation from an architectural education program; successful completion of the NCEE$ Fundamental Examination: or registration as building inspector or general contractor. (we) will notify Miami Shores Village Building Department of any changes regarding authorized personnel performing inspection services, I, (we) understand that a Special Inspector inspection log for each building must be displayed in a convenient location on the site for reference by the Miami Shores Village Building Department Inspector. All mandatory inspections, as required by the Florida Building Code, must be performed by the County. The Village building inspections must be called for on all mandatory inspections. Inspections performed by the Special Inspector hired by the Owner are in addition to the mandatory inspections performed by the Department. Further, upon completion of the work under each Building Permit I will submit to the Building Inspector at the time of final inspection the completed inspection log form and a sealed statement indicating that, to the best of my knowledge, belief and professional judgment those portions of the project outlined above meet the intent of the Florida Building Code and are in substantial accordance-with the approved plans, Si - EngineerV rchitact ee, Created on 611012009 wimp Address !VII S 3 Ph\)'6 STE. 2-0 34ate, Phone Ng. (51.1) -15-2 __T_±...1--t) ,NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE P,OSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO.t! )2$'c c I -O ? 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 property and street/address: 2. Description of improvement: -e 111111111111111111111111111111111111111111111 CFH 2r012R� i 190595 OR BI: 28037 P3 1485► (1p3) RECORDED 03/16/2012 10:46:41 HARVEY RUVIhlr CLERK OF COURT I1IAf'MI -DADE COUNTYr FLORIDA LAST PAGE Space above reserved for use of recording office L -)qt j3 ^.2c+6,- ctuJc 3. Owner(s) name and address: Glb ' i f L%() No 91-0 °i c- 1') t -ni CY80 Interest in property: Name and address of fee simple titleholder. 4. Contractor's name, address and pone numb -'b 1-NO lg` - ice. Q All ti 61.1 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(1)(a)7., Florida Statutes, Name, address and phone number Cks4 -33 (Z- 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 1, 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 YOU NDER OR AN ATTORN. BEFORE COMMENCING WOK OR RECORDING YOUR NOTICE OF COMMENCEMENT. SlATE OWE Signature(s) of Owner(s) or 02::(s)' er(s)' Authorized Officer/Director/Partner Prepared By ,.�._..; /40-1.---- Prepare' Print Name py'GL /A M 1., 14 G S hr Print Title/Office Ow 1/614— Title/ STATE OF FLORIDA Ft COUNTY OF MIAMI -DADE The foregoing instcument was pckn, ow ged before me this 1 cL day of j a At 4� w i�i !ga r sOw fig` ndividually, or ❑ as ❑ Personally known, or CIL pth-c-luced the following type of ide Signature of Notary Public: Print Name: (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. for rYi or„Rygs MARY ANN GRASS 0:3� NOTARY PUBLIC irc _STATE OF FLORIDA Comm* EE139528 ires 11/6/2015 Signature(s) of Owner(s) or Owner(s)'s Authorized Officer/Director/Partner/Manager who signed above: By By 123.01 -52 PAGE3 12/09 Permit No: 12-459 Job Name: March 20, 2012 Miami Shores Village 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 special inspector form to inspect the pilings. 2) Provide a substantial improvement verification form. (available at counter or www. miamishoresvillage. com) 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 - L-P.C6 S `-t Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 MIAMI SHORES VILLAGE NOTICE TO BUILDING DEPARTMENT OF EMPLOYMENT AS SPECIAL INSPECTOR UNDER THE FLORIDA BUILDING CODE I (We) have been retained by L,..3 1L LA A s to perform special inspector services under the rid; Blinding Code at project on the below listed structures es of 3 -J / 1 a,. (date). I am a registered architect or professional engineer licensed in the State of Florida. PROCESS NUMBERS: A SPECIAL INSPECTOR FOR PILING, FBC 1822,1.20 (R4404.6.1,20) o SPECIAL INSPECTOR FOR TRUSSES >35 LONG OR 6' HIGH 2319.17.2.4.2 (R4409,8,17,2.4.2) o SPECIAL INSPECTOR FOR REINFORCED MASONRY, FBC 21224 (R4407,5.4) [.7 SPECIAL INSPECTOR FOR STEEL CONNECTIONS, FBC 2216.2 (R4408.5.2) O SPECIAL INSPECTOR FOR SOIL COMPACTION. FBC 1820.3.1 (R4404.4.3.1) o SPECIAL INSPECTOR FOR PIS' E' CAST UNITS & ATTACHMENTS, FBC 1927,12 (R4405.9.12) r SPECIAL INSPECTOR FOR rb '‘) N Not Only the Marked boxes epplY. The following individual(s) employed by thls firm or me are authorized representatives to perform inspection * 1. VAJ Crc5-44.1s01.) 2. Isrz-s-rr- 12-0 St, 3, 12-i M> /4, tell 741 4. *Special Inspectors utilizing authorized representatives shall insure the authorized representative is qualified by education or limnsure to perform the duties assigned by the Special Inspector, The qualifications shall include licensure as a professional engineer or architect; graduation from an engineering education program in civil or structural engineering; graduation from an architeetural education program; successful completion of the NOEES Fundamental Examination; or registration as building inspector or general contractor. I, (we) will notify Miami Shores Village Building Department of any changes regarding authorized personnel performing inspection services, I, (we) understand that a Special Inspector inspection log for each building must be displayed in a convenient location an the site for reference by the Miami Shores Village Building Department Inspector. All mandatory inspections, as required by the Florida Building Code, must be performed by the County. The Village building inspections must be called for on all mandatory Inspections. Inspections performed by the Special Inspector hired by the Owner are in addition to the mandatory inspections performed by the Department. Further, upon completion of the work under each Building Permit 1 will submit to the Building Inspector at the time of final inspection the completed inspection log form and a sealed statement indicating that, to the best of my knowledge, belief and professional judgment those portions of the project outlined above meet the intent of the Florida Building Code and are in substantial accordance with the approved plans, led Engineer/Architact (PRIM AddiVSS.A9 S \.1.-) 6.114 P.4 ‘‘.3 E) STE, 2.o 130e‘t-)-rev-4 -ge-Fec-44 -F-e, 334Q.A0 Phone No. 41j..17,5_Lt_tr:2_______ Created on 611012009