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RC-12-625Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 176349 Permit Number: RC -4 -12 -625 Scheduled Inspection Date: July 25, 2012 Inspector: Rodriguez, Jorge Owner: GUILFOY, THEO Job Address: 9825 NE 4 Avenue Road Miami Shores, FL 33138 -2438 Project: <NONE> Contractor: ESR FLORIDA CONSTRUCTION INC Permit Type: Residential Construction Inspection Type: Final Building Work Classification: Alteration Phone Number Parcel Number 1132060170190 Phone: (305)812 -2716 Building Department Comments BATH ROOM REMODEL Inspector Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. July 24, 2012 For Inspections please call: (305)762 -4949 Page 32 of 40 NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FI)iST INSPECTION PERMIT NO TAX FOLIO NO.//- 3,26'6 °e j 7 STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance wfth Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. riptiQn of • rope an address: 6.31 e 2. Description of improvement Al' 1 L.4$ 214 II-VT )t. li 1 NNI INN 1111111 GFN 20 12RO3 6579 OR.Bk 28117 F9 t_08w26 tips) RECORDED 051-18/2012 13:07:28 HARVEY RUV/IHr CLERK OF COURT /9 IIAIII -DADE COUNTY' FLORIDA LAST PAGE Space above reserved for use of recording office . tJ i 1" 01. ; a . 3. Owners) name and address: r , /L C F"_ %. %' I c._ !' Y Interest in property: C'! f t l ib' Erg Name and address of fee simple titleholder. N% tq- 4. r tor's • -, address - • phone number: 5. Surety: (Payment bond required by owner from contractor, H any) Name, address and phon number. 1) O Ai S Amount of bond $ m 6. Lender's name and address: A. 6 46 7. Persons within the State of Florida designated by Owner upon Who etices or other documents may be served as provided by Section 713.13(1Xa)7., Florida Statutes, Name, address and phone number: 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Uenof's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name, ad • and .hone mbar: :11/ • 9. Expiration date of this Notice of Commencement the expiration date is 1 j ar 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) .f -r(s) or Prepared By Print Nand ik-d Title/Office ( _1 / STATE OF FLORIDA COUNTY OF MIAMI -DADS The foregoing instrument was acknowledged before me this 2 V day of By ❑ Individually, or ❑ as for ❑ Personally known, or ) produced the following type,of identiflcat Signature of Notary Public, Print Name: (SEA VERIFICATION PURSUANT TO SECTION 92525. FLORIDA STATUTES Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true; to the best of my knowledge and belief. ' Authorized Alk r/Director/Partner/M,anager Prepared By Print Name T1tle /Office • 4ct ti Signature(s) of Owner(s) or Owner(s)'s Authorized Officer /Director/Partner/Manager By. By 123.01 -52 PAC1E3 3/10 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 PE '>< = PLICATION FBC 2 Permit Type: BUILDING OWNER: Name (Fe Simple Titleholder): Address: in 2 N 6 44- ROOFING 1k -eo Gm; I 4-y-e (td Permit No. (`�, Master Permit No. �l 2 " w 2 5 4 534 i &i1 o " Phone #: City: wt.. ARV Ski o State: Zip: 3-3 r3' Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: 1/2-( P6 Le" K. I MI% Aim 5ki'e) )1i av City: Miami Shores / County: Miami` Dade �/ Folio/Parcel #: 141 1.65c R: `pp . G S3 'y 2- it If-/``/ 0 6:6011/0)9%; % S 5ev, js Is the Building Historically Designated: Yes NO CONTRACTO Address: City: Qualifier Name: :t o Flood Zone: me £ s FL LR% �.�1� / � �' Phon /6.0 97'7, ate:�i #: / State Certification or Registration #: Contact Phone #: /e=" F7L. 2-71 DESIGNER: Architect/Engineer: Phone#: 3 61) 81 dy-/.1, Zip:3,3 97 ,>5' COO 6-Cr6 certificate of Competency #: Email Address: • 4/ Phon 5-6 Value Value of Work for this Permit: $ Square/Linear Footage ork: Type of Work: ❑Addition ❑Alteration ❑New elace on Description �. Work: • _l%A/C. •44/ Submittal Fee $ i Permit Fee $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ **** **" Fees* ; ********* * * * * * ** ***** * *********** *** **** CCF $ CO /CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOB FRS, 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 LEr$DER OR AN 'ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicai :, As a, condition to die issuance-of a building permit with an estipaated'value exeeedingj$25Q0, 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. X Signature ? 1� Owner or Agent ' The foregoing instrument was acknowledged before me this day of who ispe: , 2014 by y) known to me or who has produced, 1, As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: * * * * * * * * * * * * * * * * * * * APPROVED BY ERIK ROSARIO Notary Public, State of Florida My comm. expires Dec. 21, 2012 ans Signature The foregoing ins day of 4rractor acknowledged before me this by Lit. 1/0 who is personally known to me or who has produced `— as identification and who did take an oath. NOTARY PUB C: Sign: Print: My Co rir * * * * * * * * * * * ** xaminer Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) ...••... Fl v� • �Q• R. . 4 o %. a ' • * Bone C, ttk ,�•.;NAYZA •: e • + �COMM 14`\0 %% Zoning Clerk L1) — e t No: 12 -625 Job Name: April 19, 2012 Miami Shores Village Building Department Building Critique Sheet 1) Provide all permit applications prior to any further review. 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Page 1 of 1 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 SCOPE OF WORK EXISTING BATHROOM REMODEL LEGAL DESCRIPTION MIAMI SHORES SEC 4 LOTS 3 & 4 BLK 87 FOLIO# 11- 3206-017 -0190 OCCUPANT CLASSIFICATION R -3 TYPE OF CONSTRUCTION TYPE V B LEVEL OF ALTERATION 2 NOTES: NO MECHANICAL ALTERATIONS PLUMBING INCLUDES THE SHIFTING OF THE WATER PIPES SANITARY PIPE OVER 12" TO MATCH THE SHIFT OF THE BATHTUB SITE PLAN 1116° =1141 WM 1° CWL HB BATHROOM REMODEL EXISTING 1 STORY RESIDENCE 8 4 SIDEWALK' , 4 4 4P o P 4 R M 9 r AFPRO °, r M �•��`p CsR e5 y.yOJ ELEC P{5LI A !t', CHARLES MITCHELL, P.E. 924 NORTH FEDERAL HWY. HOLLYWOOD,FL. 33020 305.336.5069 DATE PROJECT: RESIDENTIAL BATHROOM REMODEL ADDRESS: 9825 N.E. 4TH AVE MIAMI SHORES, FL. 33138 OWNER: it0724/4-- h CONTRACTOR: SUBJECT TO COMPLIANCE WA' fl .'\0, FEDERAL TATE AND COUNTY RULES AND REGULATIONS 4 4 O 1 1 L P 8 4 4 p 4 1 D 4 8 P� 4 4 A O 4 4 P 8 D 4 G 4 4 4 C P 4 8 4 P 4 P 4 p P 4 P ? A 4 4 P 4 4 8 n 4 0 P 4 4 4 P 8 m 4 p 4 P RECELIVED APR 1 0, 2012 DATE: 2-28-12 DRAWN BY: JB APPROVED BY: CM REVISIONS: SEAL: ESR CONSTRUCTION SHEET NO. A -1 EX. MASTER BEDROOM EX. BEDROOM 7� EX. LIVING ROOM O EX BEDROOM EX. DININING ROOM EX. CLOSET EX. FOYER EX. BREAK EX. KITCHEN FLOOR PLAN 118' =1' •° EX. DEN EX GARAGE EX. STORAGE EX. UTILITY ADD SMOKE/CARBON MONOXIDE DETECTORS. ANY AND ALL CLOTH AND RUBBER INSULATED CONDUCTORS TO BE REPLACED. DOOR SCHEDULE MARK LOCATION WIDTH HEIGHT THICK. TYPE MAT'L. THRESH. HEAD JAMB REMARKS 01 NEW INTERIOR DOORS 2' 6' - 8" 1 %4' WOOD WOOD WOOD WOOD WINDOW SCHEDULE MARK LOCATION WIDTH HEIGHT MATERIAL TYPE REMARKS -3 BEDROOM 37" 26" METAL SH -23 0 NEW VANITY & SINKS NEW FLOOR TILE BATHTUB SHIFT OVER 12" EX. URINAL FLOOR PLAN 114°"1'A" REMOVAL OF 1 LIGHT / REMOVAL OF EX. SOFFIT REMOVAL OF NON -LOAD BEARING WALL & SHELF REMOVAL OF EX. SOFFIT MOVE BATHTUB OVER 12" DEMOLITION PLAN 114"1' -0° EX. CEILING CERAMIC TILES TO A EIGHT OF 72" OVER 1/2" DUROCK ON BATH 2" x 4" P.T. BOTT. PL. ANCH. TO SLAB TAPCON SCREWS © 24" O.C. CERAMIC TILE FINISH BATHROOM PARTITION DETAIL N.T.S. CHARLES MITCHELL, P.E. 924 NORTH FEDERAL HWY. HOLLYWOOD,FL. 33020 305.336.5069 PROJECT: RESIDENTIAL BATHROOM REMODEL ADDRESS: 9825 N.E. 4TH AVE MIAMI SHORES, FL. 33138 OWNER: CONTRACTOR: ESR CONSTRUCTION DATE: 2-28-12 DRAWN BY: JB APPROVED BY: CM REVISIONS: SEAL: SHEET NO. A -2 ELECTRICAL PLAN 114 " =1' -0" ELECTRICAL NOTES 1. ALL ELECTRICAL WORK SHALL BE IN ACCORDANCE WITH THE NATIONAL ELECTRICAL CODE AND ALL APPLICABLE LOCAL CODES 2. CORDINATE ELECTRICAL SERVICE WITH FLORIDA POWER AND UGHTCOMPANY 3. ALL TELEPHONE RELATED EQUIPMENT PER TELEPHONE COMPANY SPECIFICATIONS 4. ELECTRICAL INSTALLATION DESIGN OF THIS PLAN IS IN COMPLIANCE AS SET FORTH BY THE STATE OF FLORIDA STATUTES MODEL ENERGY EFFICIENCY CODES. 5. THE CONTRACTOR WILL EXAMINE THE JOB SITE AND DETERMINE FOR HIMSELF PRIOR TO SUBMISSION OF BID, EXISTING CONDITIONS. 8, ALL ELECTRICAL WORK SHALL BE PERFORMED BY A UCENSED ELECTICAL CONTRACTOR. IT W1LL BE HIS RESPONSABIUTY 70 SECURE AND PAY FOR ANY PERMITS, CERTIFICATES OF INSPECTION, ETC 7. SUBSTITUTE MATERIALS , EQUIPMENT OR METHODS SHALL NOT BE MADE WITHOUT APPROVAL OF THE ENGINEER. IF THE USE OF A SUBSTITUTE IS REQUIRED ELECT. PNL. SCHED. CIRC.# LOAD WIRE COND. BREAK VA REMARKS 1 REFRIGERATOR #12 112" 20 1600 2 WASHER #12 1/2" 20 1600 3 KITCHEN LIGHT #12 1/2" 20 4,8 GEN.LIGHTS & RECEP. #92 1/20 20 6744 2248. @ 3WISF 5,7,9, BEDROOMS RECPJLT #12 1/2" 20 AFCI 8,10 SMALL APPLIANCE #12 1/2" 20 3000 1,500 W. EA. CIRCUIT 11,13 WH #10 j4" 30 4600 1244 RANGE 08 1" 50 12000 18,18 DRYER #10 3/4" 30 4800 15,17 EX. AHU #8 1" 60 4800 20,22 EX. CU #8 3/4" 40 2500 10 DISHWASHER #12 1/2" 20 1500 21 BATHROOM RECP. #12 1/2" 20 OFI LOAD CALL. TOTAL LOAD = 38644 1ST 10000 @ 100% = 10000 14. 3CIPoTHWCU•IN2°C lohk. REM 25644 e$40% % " = 10217.8 i RN wo ivios pNG NC LOAD = 7300 TOTAL v 27517.5 I 1 -4 L 8 SOLID CU IN 1/2" C TO CWP & 2 818" x 10' ORD. RODS ATTACHED TO STRICT. 8T IN 27517.81240 114.8 USE 150 A SERVICE BLDG. FOUNDATION. 1 e'4" 1 PLUMBING PLAN 2" SAN (EX. SAN -TRAP SHIFT 2" FROM ORIGINAL POS Y" CW & HW CONNECT WI EX HW & CW LINE (EX. HW & CW SHIFT 12" FROM ORIGINAL POSITION ) 1/4 "=1'"0" PLUMBING LEGEND SYMBOL DESCRIPTION COLD WATER PIPE HOT WATER PIPE GATE VALVE AIR CHAMBER UNDERGROUND T &PTEMP.& PRESSURE RELIEF VALVE HOSE BIB G'CI T U. G. * - --�! PIPING NOTES: 1. ALL PIPING SHALL BE INSTALLED IN ACCORDANCE WITH THE LATEST FLORIDA BUILDING CODE, STATE AND LOCAL ORDINANCES. 2. PLUMBING CONTRACTOR SHALL PAY ALL FEES, INSPECTION AND CONNECTION CHARGES REQUIRED. 3. PLUMBING CONTRACTOR SHALL GUARANTEE ALL WORK FREE OF DEFECTS IN MATERIAL AND WORKMANSHIP FOR A PERIOD OF ONE YEAR FROM DATE OF ACCEPTANCE. 4. SUBMIT SHOP DRAWINGS TO ARCHITECT FOR APPROVAL OF ALL EQUIPMENT, MATERIALS AND LAYOUTS PRIOR TO INSTALLATION. 6. OFFSET PIPING AS REQUIRED TO CLEAR BUILDING STRUCTURE, DUCTWORK, ETC. AS REQUIRED BY FIELD CONDITIONS. COORDINATE WITH ALL EXISTING AND NEW WORK. 8. PLUMBING CONTRACTOR SHALL VERIFY ALL SPACE CONDITIONS AND DIMENSIONS AT JOB SITE PRIOR TO FABRICATION AND INSTALLATION OF MATERIALS AND EQUIPMENT. 7. COORDINATE WORK WITH OTHER TRADES. 8. FURNISH AND INSTALL ALL PLUMBING FIXTURES. 9. EACH PLUMBING FIXTURE SHALL BE PROVIDED WITH AIR CHAMBERS AS PER F.B.C. 2007 10. WHEREVER DISSIMILAR METALS ARE TO BE JOINED, A DIELECTRIC FITTING SHALL BE PROVIDED TO CONNECT BOTH TYPES OF PIPES. 11A. HOT & COLD WATER PIPING ABOVE FLOOR OR BELOW SLAB WITHIN BUILDING WALLS SHALL BE TYPE °L° COPPER TUBING, HARD DRAWN ABOVE GROUND, SOFT ANNEALED BELOW GROUND, ALL WATER PIPING BELOW GROUND UNDER CONCRETE SLAB SHALL BE ENCASED IN A 40 PVC SCHEDULE 40 PIPE CASINO AS PER "SFBC° REQUIREMENTS. JOINTS SHALL BE MADE ON ALL COPPER PIPE ABOVE GROUND WITH 96/8 SOLDER. COLD WATER PIPES OUTSIDE THE BUILDING SHALL BE TYPE "L" COPPER PIPE HARD DRAWN. AT OWNER'S OPTION ALL WATER PIPING & FITTINGS COULD BE SUBSTITUTED FOR PVC SCHEDULE 40 WEIGHT PIPING & FITTINGS AND USED IN ACCORDANCE WITH THE "PBC 2007°. TYPE "L" COPPER FOR 2" AND UNDER, TYPE °K" COPPER FOR 2" & ABOVE. NO FITTINGS SHALL BE INSTALLED IN ALL UNDERGROUND WATER PIPING. NOTES: 1 -EACH WATER SUPPLIED FIXTURE SHALL HAVE AN AIR CHAMBER. 2 -EACH WATER SUPPLIED FIXTURE SHALL HAVE A 112" WATER. SUPPLIED PIPE CONNECTION TO THE FIXTURE. CHARLES MITCHELL, P.E. 924 NORTH FEDERAL HWY. HOLLYWOOD,FL. 33020 305.336.5069 PROJECT: RESIDENTIAL BATHROOM REMODEL ADDRESS: 9825 N.E. 4TH AVE MIAMI SHORES, FL. 33138 OWNER: CONTRACTOR: DATE: 2-28-12 DRAWN BY: JB APPROVED BY: CM REVISIONS: SEAL: ESR CONSTRUCTION SHEET NO. A -3 s Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 -(0 Inspection Number: INSP- 173461 Permit Number: PL -5 -12 -850 Scheduled Inspection Date: July 06, 2012 Inspector: Hernandez, Rafael Owner: GUILFOY, THEO Job Address: 9825 NE 4 Avenue Road Miami Shores, FL 33138 -2438 Project: <NONE> Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition /Alteration Contractor: CJR MECHANICAL & PLUMBING CONTRACTOR CORP Phone Number Parcel Number 1132060170190 Phone: (305)307 -0209 Building Department Comments PLUMBING WORK FOR BATHROOM REMODEL Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments July 05, 2012 For Inspections please call: (305)762 -4949 Page 5 of 13 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION FBC 20 IMCMETE MAY 11 512 BY: e _ev00000eooa__.o Permit Type: PLUMBING 3& 6(0 9833- OWNER: Name (Fee Simple Titleholder): ®� / Phone #: Address: F/ ° & - 'i' �S Stat jh¢e- /&: , -O City: N gayly - e Zip: 31 / Name: Phone #: Email: JOB ADDRESS: 98)-5- ev `6 t... *ye_ City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: X, CONTRACTOR: Company Name: egia 0-e 47414.1614.6* i gien6hiPhone#: 3o - 3.02—o2 e Address: -33 SLI fi qi, L B City: /4 C r State: FL Zip: 3.31 C 3� Qualifier Name: J0 e /20 AO 7)4`5 Phone #: 786 296"-€2 1 7,1 State Certification or Registration #: Crt. - /(1J-7i 72- Certificate of Competency #: Contact Phone#: TA)-2-qe-ple4 3 Email Address: .3-iojets Corjl DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ 1 0 00 ----- Square/Linear Footage of Work: Type of Work: DAddress ®Alteration ❑New 'tepair/Replace ODemolition Description of Work: ' ( P t °6.J' i * *** * * * **** * **** x******** ***** ******* Fees* ****** ******* ************ ********** ** **** * Submittal Fee $ Permit Fee $ /57' CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE \ 611 Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence �;� 'osted no the inspection will not be approved and a reinspection fee will be charged. 1 Signature The foregoin day of Owner or Agent strument was acknowledged before ,20�,by/ C Lj1 .0 ---0 who s persgnally known to me or who has produced u 1 7ks identification and who did take an oath. NOTARY PUBLIC• ip di 4parkw.. Sign: ���� Print: 1=L i My Commission Expires: Signature Contractor The forego day of instrument w s ckno , ledged before m , 20 �irby take an oath. NOTARY PUBLIC: Sign: Print: My Commissio * ** **** * * ** *********** * ***** Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06/10/2009)(Revised 3/15/09) Notary Q°' r - • 23.2015 ` Ex spires SeP �MY Comm. P aQ3 Commission # EE 128810 Bonded Through National Notary Assn. *- * * * * * * * * * * * * * * * * * * * * ** Zoning Clerk DBPR - ROJAS, JORGE ROBERTO; Doing Business As: CJR MECHANICAL & PLU... Page 1 of 1 Licensee Details Licensee Information Name: Main Address: County: License Mailing: LicenseLocation: License Information License Type: Rank: License Number: Status: Licensure Date: Expires: Special Qualifications Construction Business 2:54:00 PM 5/11/2012 ROJAS, JORGE ROBERTO (Primary Name) C3R MECHANICAL & PLUMBING CONTRACTOR CORP (Dm Name) 2330 SW 104TH PLACE MIAMI Florida 33165 DADE Certified Plumbing Contractor Cert Plumbing CFC1427082 Current,Active 06/06/2006 08/31/2012 Qualification Effective 06/06/2006 View Related License Information View License Complaint 1940 North Monroe Str - <t. Tallahassee FL 32399 :: Email: Customer Contact Center :: Customer Contact Center: 850.487.1395 The State of Florida is an AA /EE0 employer. Couvricaht 2007-2010 Stat of Florida, Privacy Statement Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released In response to a public- records request, do not send electronic mail to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions, please contact 850.487.1395. https:// www. myfloridalicense .com/LicenseDetail. asp ?SID= &id= 30E6DB5E4BAAC0347F... 5/11/2012 BA i CS-! ?•NUf`11BE..; DATCH stile, --S. CERTIFICATE OF LIABILITY INSURANCE DAo /` MIDD/r1) PRODUCER A & G Insurance, Inc. 1870 W. 80 Street Suite A Hialeah, FL 33012 Phone (305)556-0086 Fax (305)556 -9715 THIS CERTIFICATE IS ISSUED AS A'BAITER OF INFORMATION . ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED CJR MECHANICAL & PLUMBING CONTRACTOR CORP 2330 SW 104 PLACE !MIAMI, FL 33165 INSURER ASCENDANT COMMERCIAL INSURAN 13683 INSURER B: INSURER INSURER 0: 0: INSURER E • COVERAGES INSURER F: THE POUCIES OF INSURANCE LISTED 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 WrrH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITfONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. DIM ADM • TYPE OF INSURANCE POLICY NUMBER A EFFECTIVE A D DTE B L(ADTS • A . ❑ GENERAL ® II. ❑ • GEN'L ❑ COMMERCIAL UABIUTY GENERAL LIABILITY CLAIMS MADE ❑ OCCUR GL-346914 09/23/11 08/23/12 EACH OCCURRENCE 1,000,000 DAMAGE P IS (� ) 100,000 IVIED EXP (Any one pawn) 5,000 PER8ONAL & ADV INJURY 1,000,000 GENERAL AGGREGATE 2,000,000 • PRODUCTS - COMP /0P A�3G 1,000,000 AGGREGATE LET APPUES PER: POLICY • PROJECT ❑ LOC • AUTOMOBILE ❑ • ■ • ❑ ❑ UABLRY . ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON OWNED AUTOS COMBINED SINGLE LIMIT (Ea acdc) BODILY INJURY Per parson) • BODILY INJURY • (Per accident) PROPERTY DAMAGE (Per acddent) ❑ • GARAGE LIABILITY ❑ ANY AUTO ® AUTO ONLY EA ACCIDENT OTHER THAN EA ACC AUTO ONLY: AGG El EXCESSJUMBREUA LIABILITY OCCUR ' • CLAIMS MADE ❑ DEDUCTIBLE ❑ RETENTION Ili . EACH OCCURRENCE • AGGREGATE • WORKERS EMPLOYERS' �LIABILITY NAND ANY PROPRIETOR 1 PARTNER / EXECUTIVE OFFICER /MEMBER EXCLUDED? • SP describe under SPE CIAL PRO VISIONS below • g� pT�{ ❑ TORY ! ❑ ER • E.L EACH ACCIDENT EL DISEASE - EA EMPLOYEE ' E.L. DISEASE - POLICY LIMIT. OTHER DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS • CERTIFICATE HOLDER CANCELLATION MIamI Shores Village 10050 NE 2 Ave Miami Shores, Fl 33139 SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR UABIUTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED -,v. .- a ATIVE ACORD-26- (2001/08)-QF ACO) CORPORA110141198C ®:: '' 04 -04 -2011 JEFF ATWATER STATE OF FLORIDA mieF nummALoPFlceR DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO RE 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: 04/04/2011 EXPIRATION DATE: 04/03/2013 PERSON: ROJAS JORGE R FEIN: 263371742 BUSINESS NAME AND ADDRESS: CJR MECHANICAL & PLUMBING CONTRACTOR CORP 10029 SW 127.TH STREET MIAMI FL 33176 SCOPES OF BUSINESS OR TRADE 1— CERTIFIED PLUMBING CONTRACTOR 2— CERTIFIED MECHANICAL CONTRACTO a; 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 ckapter. Pursuant to Chapter 440.05112), F.S.; Certificates of election to be exempt... apply only within the scope of the business or trade limed 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, et any time after the filing of the notice or the issuance of the certificate, the person maned on the notice or certificate no longer meets the requirements of this section for issuance of a certificate.°`• Tee 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? 01513 413 -1609 OWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01 -11 DO NOT FORWARD CJR MECHANICAL & PLUMBING CONTRACTOR CORP JORGE ROBERTO ROJAS PRES 2330 SW 104 PL MIAMI FL 33145, 11111,1111101111116111111111111114M11.1111111111111111617111 AT- DO NOT FORWARD CJR MECHANICAL & PLUMBING CONTRACTOR CORP JORGE ROBERTO ROJAS PRES 2330 SW 104 PL MIAMI FL 33165 LflhuliuiiHi ti, ulrf, 1i »11iIii,,11's11ut,11,11)uA111 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd. Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 C- 12^1025 Inspection Number: INSP - 175468 Permit Number: EL -5 -12 -849 Scheduled Inspection Date: July 23, 2012 Inspector: Devaney, Michael Owner: GUILFOY, THEO Job Address: 9825 NE 4 Avenue Road Miami Shores, FL 33138 -2438 Project: <NONE> Contractor: METRO ELECTRIC SERVICE INC Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132060170190 Phone: 305 - 945 -1991 Building Department Comments ELECTRICAL WORK FOR BATHROOM REMODEL Passed 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- 173458. Needs smoke / carbon monoxide detectors. v—c,e,4K July 20, 2012 For Inspections please call: (305)762 -4949 Page 21 of 43 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. L.! 1 "` &49 Master Permit Nov MOMErVMill MAY 1 1 23i2 BY:__ BUILDING PERMIT APPLICATION FBC 20 Permit Type: Electrical OWNER: Name (Fee Simple Titleholder): At i L cs Phone #: , i 9 - ' Address: qcp- A17X 4i% ,' 6 "49- City: t 1T0 2 l= S State: �� Zip: -3 3 ! �-�' Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: 7S5 9_ 1 Ali 12 o City: Miami Shores County: Miami Dade Zip: 3,314r Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: r (.'e -® e.C4 '/ C Address: 1311-k 'G 2 A-04 .e AA 1 City: fir' '` (In w'" 1 Qualifier Name: DO ucits cL MCA) State Certification or Registration #: ECM op 3f sr Phone#: %-.r [ q l State: Phone #: Certificate of Competency #: Contact Phone #: Email Addres . 1 ` - ekcJef Gi) DESIGNER: Architect/Engineer: Value of Work for this Permit: $ / �O`'`� Type of Work: Address Description of Work: UAlteration Zip: 3? 6' ( al -COQ ` Phone #: 3 o5 — % 't-h Square/Linear Footage of Work: DNew. Nsuu cv <J> ORepair/Replace fj 7', ODemolition ********* *+ x**** ************** ******+x*** Fees* *************** **x: ***m **+x**+r** **+x****** **** Submittal Fee $ Permit Fee $ /'.v t CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ �l TOTAL FEE NOW DUE 411 l� ` `� 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 CONDmONERS, 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 strument was acknowledged before me this,9 The foregoing i day who is The forego' 20I ,by1P.. Cffel 1. � , day of ^• o me or who has produced wh cwri,,A4 Contractor g instrument was acknowledged before me this R i As identification andlullo FLORIDA • ° " "' Andy Pratt NOTAR Commission #DD303240 Expires: AUG. 22, 2012 DONDED TI RU ATLANTIC BONDING CO., INC. NOTARY PUBLIC: Sign: Print: My Commission Expires: Sign: or who has produced as identification and who did take an oath. PUBLIC: )TA.F,y PUBLIC -ST/ -T? OF FLORIDA a ? Cominissi : e 726 .29,2012 , nva ommission Expires: ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED BY .rf 1' -' %r Plans Examiner Zoning Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Clerk Permit No: 12-‘ zi Job Name: 6.ed4TC'Y Date: / ' ,-p/ 2 ''/2- Miami Shores Vivage Building Department ELECTRIC Critique Sheet 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 /222/ -� 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. Review Complete by: Michael A. Devaney SR. Chief Electrical Inspector