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RC-12-1054Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 174605 Permit Number: RC -6 -12 -1054 Scheduled Inspection Date: August 14, 2012 Inspector: Bruhn, Norman Owner: VALDES, NANCY Job Address: 1144 NE 101 Street Miami Shores, FL 33138- Project: <NONE> Contractor: ORONI INC Permit Type: Residential Construction Inspection Type: Final Work Classification: Addition /Alteration Phone Number (305)632 -8515 Parcel Number 1132050190260 Phone: (305)685 -0412 Building Department Comments REMODEL 2 BATHROOMS AND KITCHEN. REMOVE AND REPLACE BLOCKING UP ADOOR Inspector Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. August 13, 2012 For Inspections please call: (305)762 -4949 Page 9of28 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 Permit Type: BUILDING JOB ADDRESS: Li 146 0 City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: j 1 i320K.- �� `''� ` 071, Is the Building Historically D it d: Yes NO Flood Zone: RECEI JUL 0 9 2012 BY: FBC 20 'Z Permit No. ' C — S9 Master Permit No. ROOFING OWNER: Name (Fee Simple Titleholder): N CS-'( VIA-Lbb Phone #: Address: City: v State: Zip: Tenant/Lessee Name: Phone #: Email: CONTRACTOR: Company Name: Op \ Phone#: etc) 6 ,r.c— = 6 gi Address: IRO % City:.. \ State: Qualifier Name: 0 0 f? Phone #: State Certification or Registration #: eR C j 23-1 (;L. Certificate of Competency #: Contact Phone #: Email Address: DESIGNER: Architect/Engineer: Phone #: Zip: -?g t6 Value of Work for this Permit: $ e Square/Linear Footage of Work: Type of Work: OAddition OAlteration UNew ORepair/Replace DDemolition Description of Work: ` .4 L' P E��c e-(& e -.r-f r Color thru tile: ****** *** ***** v ****** ** ************** Fees**** ***** **** ******* ************** * *** *** *** Submittal Fee $ Permit Fee $ CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ p Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 0 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 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 The fore oing nstrument was acknowledge before me this day of day of 3 , 20 t (, by As identific NOTARY PUBLIC: .;r.�,, ,' ; � EXPIRES: April 4, 2013 °P earded ihu Seaga &lay Stoles Sign: My Commission Expires: who is personally wn to me or who has produced SON( as identification and who did take an oath. NOTARY PUBLIC: *** ****** * ** * * * * ** *************** ** ** * * *********** ** * ********* *+ x********** * * * *********** ** ** ** * **** * ***** * ** APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) CODES FLORIDA BUILDING CODE 2010 ACI 318 -05 ACI 530 -05 ASCE 7 -05 AISC CONCRETE ALL CONCRETE AND GROUT SHALL ATTAIN A MIN. 28 —DAY STRENGTH Fc' = 3000 PSI. REINFORCING STEEL SHALL CONFORM TO ASTM A615 GR. 60. MASONRY MASONRY DESIGN SHALL COMPLY WITH THE REQUIREMENTS OF ACI 530 /ASCE 5 /TMS 402 & SHALL HAVE NET COMPRESSIVE STRENGTH F'm = 1500 PSI. MORTAR SHALL BE TYPE M OR S. GROUT ALL CELLS SOLID BELOW GRADE. LE Pi RCA 054 Miami Shores Village SUBJECT 1'0 C0MPI.1A ICE WI rH A _L FEDERAL STATE ANI) UCLA f Hl L ND CC11 .10 ONS EXISTING CONC. BEAM EMBED 6" & EPDXY #8 LADDER -TYPE HOR. REINF. EVERY SECOND BLOCK COURSE. EXTEND 4" INTO CONC. FILLED CELL #5 DOWEL SPLICED 30° TO EA. VERT. BAR, EMBEDDED IN CONC. FOOTING & TIE BEAM EMBED 6" & EPDXY EXISTING CONC. FOOTING UJALL SECTION SCALE: 3 /4's1' -m' NEW 8" CONCRETE MASONRY FILLED CELL W/ 1 #5 VERTICAL EXISTING 8" EXTERIOR CONCRETE MASONRY WALL WALL PLAN SCALE: 1 /4 ° =1' -0' VICTOR BRUCE AR-0017103 370 NA 101st Sheet Nord Mores, Hondo 33138 Iek305-310.3'030 fan 1.077 axe 1 holt Orr 0e -03-12 Oats New wag In masonry Opening for Valdez Resklence 1144 NE 1010 Street Mang Shores, FL33138 nod beef er WALL FLAN & SECTION, AND NOTES A-1 OF 1 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: J� n PERMIT # t C 1 dS ICa1 y`�C O� sT FOLIO NUMBER: FLOOD ZONE: 3g ADDRESS: BASE FLOOD ELEVATION: FREEBOARD: EAST OF FL.CCCL: COST OF PAST IMPROVEMENTS (12 MONTHS): COST OF PROPOSED IMPROVEMENTS: (ATTACH COPY OF CONTRACT) TOTAL CUMULATIVE COST OF IMPROVEMENTS (past and proposed): i /Db VALUE OF PRINCIPAL STRUC OWNERS SIGNA ttach appraisal): /35i 991/ PLANREVIEWER: PLAN REVIEWER SIGNATURE: Created on June 2009 DATE: 1 ta(12V DATE: �l SUBSTANTIAL IMPROVEMENT / DAMAGE LIST (NOTE: THIS LIST IS INTENDED FOR GUIDANCE ONLY, AND IS NOT ALL INCLUSIVE) ITEMS TO BE INCLUDED ALL STRUCTUAL ELEMENTS, INCLUDING Foundations including; Spread footing, Continuous footing, isolated footing, piles and pile caps Slabs including; Monolithic, floating, elevated Walls including; Exterior walls, Bearing walls, Shear walls Beams, Tie Beams, Columns and Posts Wood decking, Floor and Roof Sheathing Trusses, Joist Windows /Doors ALL BUILDING ELEMENTS, INCLUDING Interior Partitions, Walls, Columns Drywall, Ceilings, Built in Furniture, Cabinets, Vanities All Fixtures Flooring, Tile, Carpet, Stone, Linoleum, ect. All Finishes including Drywall, Paint, Stucco Plaster, Paneling, Tile, Marble, and Moldings Roofing Material ALL HARDWARE ALL UTILITY and SERVICE EQUIPMENT HVAC Electrical System and Equipment Plumbing System and Equipment Security System and Equipment Central Vacuum System Plumbing Fixtures Lighting Fixtures and Ceiling Fans Water Systems including Softeners /Filtration Created on June 2009 ALSO: All Labor and other Costs associated with Demolition, Removing, Replacing, Installing Building or Altering Building Components Construction Management / Supervision Overhead and Profit Equivalent cost for: Donated Materials Volunteer Labor (including owners and friends) Any Improvements Beyond Pre - damaged Condition, including; Utility Upgrades Code Upgrades ITEMS TO BE EXCLUDED Plans and Specifications Survey Costs Elevation Certificate Costs Permit fees Debris Removal Items not considered to be REAL Property Rugs, Furniture, Refrigerator, Appliances not Built -in Outside Improvements, Including; Landscaping Sidewalks Patios Fences Yard lights Sheds Gazebos Irrigation Pool Miami -Dade My Home My Home Ja!" i +as•e. Show Me: Property Information Search By: Select Item Text only Property Appraiser Tax Estimator Property Appraiser Tax Comparison Portability S.O.H. Calculator Summary Details: Folio No.: 11- 3205 -019 -0260 Property: 1144 NE 101 ST Mailing WILLIAM F BRADY &W Address: MARY E BRADY JTRS Living Units: 1144 NE 101 ST MIAMI Adj Sq Footage: SHORES FL Lot Size: 33138- Property Information: Primary Zone: 1100 SINGLE FAMILY RESIDENCE CLUC: 0001 RESIDENTIAL - SINGLE FAMILY Beds /Baths: 2/2 Floors: 1 Living Units: 1 Adj Sq Footage: 1,731 Lot Size: 8,775 SO FT Year Built: 1948 $109,186 MIAMI SHORES SEC 8 Legal REV PB 43 -67 LOT 3 Description: BLK 177 LOT SIZE 75.000 X 117 OR 26847- $50,000/ $109,186 2106 0409 30 Assessment Information: Year: 2011 2010 Land Value: $127,439 $105,961 Building Value: $135,494 $136,368 Market Value: $262,933 $242,329 Assessed Value: $159,186 $156,834 Exemption Information: ear: 2011 2010 Homgstgad: $25,000 $25,000 2nd Homestead: YES YES Taxable Value Information: Year: 2011 2010 Applied Applied Taxing Authority: Exemption/ Taxable Exemption/ Taxable Value: Value: Regional: $50,000/ $50,000/ $109,186 $106,834 County: $50,000/ $109,186 $50,000/ $106,834 City: $50,000/ $109,186 $50,000/ $106,834 School Board: $25,000/ $134,186 $25,000/ $131,834 Sale Information: (Sale Date: 14 /2009 Sale Amount 100 Page 1 of 2 ACTIVE TOOL: SELECT Aerial Photography - 2009 0 110 ft My Home I Property Information 1 Property Taxes 1 My Neighborhood 1 Property Appraiser Home 1 Using Our Site 1 Phone Directory I Privacy I 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 • Property Boundary Selected Property Street ed Highway Miami -Dade County • Water http: / /gisims2. miamidade .gov /MyHome /propmap.asp 7/16/2012 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 yd T @MEW BC2O q BUILDING Permit No. t� I PERMIT APPLICATION Master Permit No. Permit Type: B ILD� IlY ROOFING JOB ADDRESS: 11 Llif IN, 6 r City: Miami Shores Folio/Parcel #: it ° 011 OZ-,4 0 County: Miami Dade Zip: Is the Building Historically Designated: Yes NO 7 Flood Zone: OWNER: Name (Fe Simple Titleholder): C-ct V 1 7 Phone#(303) 65 a - 837S- Address: 10-44 06- (o f S-- Cc A ��N / V- City: State. Zip: Tenant/Lessee Name: Phone #: Email: CONTRACTOR: Company Name: 09013k `NL Phone #: &155) gEr.�' o�I 1 - L - Address: e � co 6 City: 1•1\ \ 1 State: Zip: 33 ( 6 Qualifier Name: n V c ,----6--Les. t k Phone #: � State Certification or Registration #: CX2- 7 16 St Certificate of Competency #: Contact Phone#: Email Address: DESIGNER: Architect/Engineer: Phone #: Cc14 109° Value of Work for this Permit: $ .164`17-3) Square/Linear Footage of Work: . ILA® Type of Work: DAddition DAlteration DNew DRepair/Replace r_L,4-e-yv Description of Work: ODemolition Color thru tile: ********* *********** ******u:********** **Fees *** *** *x *** * ***** pax * * * **** *x *** *** ** * ** * **** /� ©� Submittal Fee $ Permit Fee $ 7 ./`?' CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ 4 A 1 — 6 lei. TOTAL FEE NOW DUE $ 1M. ' �Q Q 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, FTC 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 n (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be appro � - ection fee will be charged. Signatur Owner or Agent The foregoing instrument was acknowledged before me this day of .*L , 20 a, by iJCJ( whop is personally known to me or who has produced V 1432 6 ° (0 1 rs"[ 0 As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Co m+-i, roti )o tr -ten 'ter • APPROVED BY Signature Contractor The foregoing instrument was acknowledged before me this, day of S0444-- , 20 Qrby who is personally known to me or who has produced 0 RIas identification and who did take an oath. NOTARY PUBLIC: ******************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Structural Review Clerk Plans Examiner Zoning (Revised3 /12t2012)(Re.vised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Date: Tel: (305) 795.2204 Fax: (305) 756.8972 Date: f' �Z Permit #: 12 — )D Mechanical Critique Sheet wA -t* P(3 U)'e,v I.L. Review Completed by: Jan Pierre Perez Chief Mechanical Inspector NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NOII ° ?Z° 5` 131 ! °2-6.1) 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. 1111111 1111111111 111111111111111 1111111111111 CFP-1 2i e 12RO-4-27'930 OR Bk 23153 F'3 05239 1p3 RECORDED 06/18/2012 14:08:26 HARVEY RUVINo CLERK OF COURT MIAMI —DADE COUNTY: FLORIDA LAST PAGE Space above reserved for use of recording office 1. Legal description of property and street/address: LT 3 g 13'3- 1 S r . (Z.gS SCrnO Z. 43 9 (a7- 2. Description of improvement: tTLI Iii 3. Owner(s) name and address: Interest in property: Name and address of fee simple titleholder: 4. Contractor's name, address and phone number. 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: 6.37 7. Persons within the State of Florida designated by Owner upon whorrilh `'' . ° Section 713.13(1)(a)7., Florida Statutes, w( ?,in,l file i, Name, address and phone number MLJ 4. ed as provide lap 8. In addition to himself, Owners designates the following person(s) to 713.13(1)(b), Florida Statutes. BY 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 PROPER I Y. A NOTICE OF COMMENCEMENT MUST AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LETS OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Signature(s) of Owns w ° • d Prepared By _ Print Name v'Y'.�-s-z -c' 7 1" ,,,,-;_-..---c S Title/Office a .- c;s[d / ‘- v_--- STATE OF FLORIDA COUNTY OF MIAMI -DADE The foregoing instrument was acknowledged before me this day of =tru P - Officer/Director/Partner/Marl Prepared By Print Name ISM ;S -a- o T r t l e O f f i c e Co o titi _ . _. . By ❑ Individually, or ❑ as for ❑ Personally known, or produced the following type of identification: Signature of Notary Public: Print Name: (SEAL) VERIFICATION PURSUANT TO SECTION 92,525. FLORIDA STATUTES Under penalties of perjury, I declare that I have read the foregoing and that the-fa it are true, to the best of my knowledge and belief. Siygnature ,��5'� rized Officer /DirectorlP /Maria er o signed a ve: B By 123.01-52 PAGE S 3/10 VA LbE7- 4 *et BATHROOM RECEPTACLE ON 20 AMP CKT AND G.F.I PROTECTED Zo' M1471-61Z E3 \1,10ek. Scom 6 tt- 0 t. Rr.move. /1/4141: RE.V.LACE FLOOR witku. z. iRstANE gopukcE 9.kov,JEtz_ p04.1 .6.10.6-Mt eat+ Ot41-4) • 3. gEtcleif. t.t,po F.EpLINCE -rotuar 4 Vesst-JD' • (.= C:::3 co 4. tzet4kove ik_Efq5 F--wea_.1... gsmove F3frnk 11,6 044k\-tamfo? KorrixoNotl) 1-4 A A-2- i 0 co 2' -91" 2' -9" 2' -O" ELEVATION 1 0000 ©0 <� . . .vim �> , 0 co 2' -91" 2' -9" 2' -O" ELEVATION 1 5' -1" 4' -112" ELEVATION 2 1 . "N ,' `N �e'� N /e. N. N \ •N - 00 I 1 . N. N, m 1 0 0 0 0 \ \ / / / � / / / 1 .. / \ \ � \ \ \\ .. \ `\ \> / / / / / f 3' -10" I 2'-62" 3' -8" ELEVATION 2 ELEVATION 3 2' -2" 1 /n / / / / / / / / / / / / / / / / 0 in / / / / / / / / / / / / / / / / / /> / / / / / / / 4' -102" / / ELEVATION 4 2 -2" 3' -0° bN O r 1 1 1 1 h I L DISHJVASHER li 1 L �J FRIDGE / r Lr I I I I I I +MICROWAVE 1 ; 1- I0G I HOOD ABOVE 100 L L__ 2' -2" 7' -3" 13, -3" PLAN Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 175355 t2, -tc 1 Permit Number: EL -6 -12 -1062 Scheduled Inspection Date: August 09, 2012 Inspector: Devaney, Michael Owner: VALDES, NANCY Job Address: 1144 NE 101 Street Miami Shores, FL 33138- Project: <NONE> Contractor: LINCOLN ELECTRICAL CONTRACTOR INC Permit Type: Electrical - Residenti I Inspection Type: R gh Work Classification: teration Phone Number (305)632 -8515 Parcel Number 1132050190260 Phone: (305)694 -1616 Building Department Comments ELECTRICAL WORK FOR KITCHEN ONLY. 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- 175281. Need smoke detectors. August 08, 2012 For Inspections please call: (305)762 -4949 Page 10 of 27 i 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 I Permit Type: Electrical Permit No. RECEIVED JUN I 12012 El-I2- 1 OVz' Master Permit No. R G --12 -10 5`f- OWNER: Name (Fee Simple Titleholder): A A/C)/ - r� _ ° " '�r Y_ - , .' hone #: Address: f ( /IV j, '- 1 O ( 51- City: M t °41)1; h'rr State: r (( Zip: 33138 Tenant/Lessee Name: Phone #: Email: a JOB ADDRESS: Li li' ti At. tom• 5 f-re_e_+ City: Miami Shores County: Miami Dade Zip: 3 3 .S Folio/Parcel #: Is the Building Historically Designated: Yes NO 9 Flood Zone: CONTRACTOR: Company Name: Lip 6.0 (K 1 e P ff .7c 'Coif - pac. Phone #:t 5) 6� j - (6 t r7 Address: .740 Al w • 7 3 S+- City: INn, 'Ot.rrt t. - State: F I. Zip: 3,315 0 Qualifier Name: e, c�. °° +e.r. . lj i ,,, coo, Z t ' Phone #: 786-- K f 2 -24.3a State Certification or Registration #: Ems.,. 130 p /511 Certificate of Competency #: — Contact Phone #: 1 -goo- 515- 2 2- K 4 Email Address: t fn ,1 n Sig. Ct i [ mac VII Gto . Co Wt DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ 'G r NO O.0 0 Square/Linear Footage of Work: ,/ Type of Work: ❑Address Description of Work: It Alteration ONew ORepair/Replace ODemolition / * * * * * * * * * * * *: + x*********************** Fees**** t**+ x****** *** ******* ************** ****** e'f=i /Vi Permit Fee $ X25 o CCF $ CO/CC $ Submittal Fee $ Scanning Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ Radon Fee $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ 1 `°`r ✓�° 1 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of com ence ust be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. 1 / the abse e of uch posted notice, the inspection will not be approved and a reinspection fee will be charged. Owner or Agent The foregoing instrument was acknowledged before me this / day of 3Llo1 ! v by At/er 6 v 1 is personal] o me or who has produced As identification and who did take an oath. NOTARY PUBLIC Sign: Print: ,t/ My Commission Expires: * * * * * * * * * * * * * * * * * * * ** APPROVED BY cotwe RODRIGUEZ * MY MISSION 8 Du 874433 EXPIRES: April 4, 2013 at Ofl `ot Boded T1w Budget Notary Seems Signature 0 Ac4t40e2C onto�' r ,,ract 7 lYl e z► 9 The foregoing instrument was ackno (edged before me this t day of r� ?"vtt , 20 tt y tt OLD-2-4 who is personally known to me or who has produced P--••(. as identification and who did NOTARY PUBLIC: Sign: Print: 13 4a, /J &I My Commission Expires: -- l 2:41 ' N 49,411n "`• *************************** **+ x************* *** ********: x**** 4: ****+x*************** je'it' 19 C©/ /e /I/ Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09) Zoning Clerk 1 THIS IS NOT A BILL 270049 -1 BUSINESS NAME / LOCATION LINCOLN ELECTRICAL CONTRACTOR INC 960 NW 73 ST • ova 33150 WIN DADE COUNTY ;: LINCOLN ELECTRICAL CONTRACTOR ! Sec. Type of Business WORKER /S ,s 42.¢A kt,KCTR ICAL CONTRACTOR 1 NOT 'PERMIT 'THE TO REGULATORY OR LAWS OF THE COUNTY OR CmES. NOR EXEMPT THE - -- ANYOTHER BY TAW THIS IS A. CERTWICATlON OF HOLOWTS Tbl1$ QUALIFICA- FIRST -CLASS U.S. POSTAGE 1 PAID MIAMI, FL PERMIT NO. 231 DO NOT PAY DUPLICATE RECEIPT NO. 282893 -8 STATE* EC13001591 BUSINESS AX RECEIPT. IT PA MITRSCIGYETO „ COUNTY TAX c 008/04/2011 £0030000233 000000:00 OTHER SIDE DO NOT FORWARD LINCOLN ELECTRICAL CONTRACTOR INC BAGHER NIMROOZI PRES P.0 BOX 611004 N MIAMI FL 33262 11114111$ JIM ffil111g f!l11i1il1 nj,..= Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 174624 Permit Number: PL -6 -12 -1055 Scheduled Inspection Date: August 13, 2012 Inspector: Hernandez, Rafael Owner: VALDES, NANCY Job Address: 1144 NE 101 Street Miami Shores, FL 33138- Project: <NONE> Contractor: NELMAR PLUMBING INC Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number (305)632 -8515 Parcel Number 1132050190260 Phone: (305) 261 -3942 Building Department Comments PLUMBING FOR BATHROOM AND KITCHEN REMODEL Passed C�- Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments August 10, 2012 For Inspections please call: (305)762 -4949 Page 8 of 48 Jul 02 2012 2:48PM ORONI INC Jul Hr 1' 1 1 : Yea 305 -888 -9550 CERTIFICATE OF LIABILITY INSURANCE 0611912012 THIS CERTIFICATES IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY DR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICES BELOW. THIS CERTIFICATE OP INSURANCE DOES NOT CONSTITUTE A CONTRACT 8ETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, ANbTHE CE RTIRCATE HOLDER. IMPORTANT EE the carnotite holder Is en ADDITIONAL INSURED, the polloguesj onset be endorsed.. If SUBROGATION IS WAIVED, *abject to the kraut end conditions of the policy, cc tsln pandas sway requite on endorsement. A statement on Ws certificate dose not confer rights tothe cerUltotte holder In Iieu of sash tandarelemsntts) Plt000DSA p.1 305. 893-0003 305. 891 -4381 Emmanuel Insurance & Atlsoclates, Inc. 2370 East 8th Ave IIEVT Emmanuel Irsturance & A§ olg� Inc. , e,qN 308-893-00113 sob 30$91.4361 apt earaiaelnmenuelineureruls.00m INaLRERIe) AP►ORDam100Y0NRRB NATO A itt i 2 1 ?LA - . . • _ I R V . • t5 1 4 _ IS I • + I I tY -..l IMMO :Nelmer Plumbing,lnc 4954 SW 75 Avenue Milan!. FL 33155 met MUM C moo: RIRE I RP COVERAGES CERTIFICATE NUMSEIt REVISION NUMEEt T Is Is To CEsTEPYTHAT THE POLICIES OP INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED: NOTWITHSTANDING ANY REDUIREIMENT, TERM OR CONDITION oFANY CONTRACT OR OTHER OCCWAEMT WITH REJECT TO WHIGPI THIS CER11F1CATE MY as IUD CR MAY PERTAIN, THE INSURANCE AFFORDED SY THE PCLICIEws DESCRIBED HEREIN 18 SUBJECT 70 ALL THE Tom, EXCLUSIONS AND COMMONS OF SUCH POLICIES. UMIT$ SHOWN MAY HAVE BAN REDUCED BY PAID CLAIMS. TYP5OFINMMMOON { A 6IWERAI.UAaa4TY rA OCA PeLVani 404 AVT>iLLEe ELUASLITY • ■ 1 *NM= PIfli'09 JM*ga .LA Ufa eXCEBst1Ae PC1 3- PCAO6T13 04/2712012 04127/2013 DED 1 1 Farre r14NS V70 RRERe 4001PR1EAT10N ANDERN.ETFRSLMLEY OCCUR ouletsamos NIA urine fj -�a:� Ijfll, 1 t e M4:4 4.511.1r ot<RCRIPri n0000rmato toLoC' ATIOraAaniasIAtpelt AMIDN11, AOb1 (imuPRmnaklathldulyaMoroSINCOtti ukdl Commerdal Piumbing,Residentiai Plumbing Miami Shores TEL::11 10050 NE 2 Avenue Mleml Shores.l+1. 33138 ACORD 25(201010b) CANCELLATION B$DULD ANY OP Mg ABOVE DESCRIBED POLICIES ES BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE. WITH THE POLICY PROVISIONS. AUTHORIZE.* R> PREE>W'!ATIVE 1388 -2010 ACORD CORPORATION. AN rights reserved. The ACORD name and logo ere registered marks of ACORD 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 Permit Ty�'LJMBING JOB ADDRESS: 0IODf IV E !ol At. FBC 20 Permit No. Master Permit No. Irju©71:1312c[1-11 City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: ° 3? -0S- ° CI V 02470 Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): N (0 61 Z Phone #: (?:=: (c32 USI Address: City: ' ' ' State: Zip: Tenant/Lessee Name: Phone #: Email: CONTRACTOR: Company Name: )E L M AN L PL al NA / N Phone #: 30 f' 2-6 1-3 W2, Address: Y 5 4S—Li C e (✓ 71)4 V City: 1'VL 1\41'1 u n State: �Z - Zip: 3 3 e Pf Qualifier Name: / V ! `5' F K11O f ,i 5 L, 7._ Phone #: State Certification or Registration #: R r (9 (2 3 FS Z- 0 L Certificate of Competency #: /9 ( 00 gSfa Contact Phone #: 3 7 7 a1- (, Email Address: DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ (Zo 00 % Square/Linear Footage of Work: 1 O(�- T' Type of Work: DAddress OAlteration DNew o DRepair eplace UDemohtion A Description of Work. - j p ( it (1,10‘..../..- f �L1 — 1 * *** * * ******+x*x * *******x:x ***** ***** ****Fees************* ** * * ** *************x ********** Submittal Fee $ Permit Fee $ CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ iq 14 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. n the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. l , —--- �/ ✓r Si gn�'"' Signature Owner or Agent Con . /a The foregoing instrument was acknowledged before me this - The foregoing instrument was acknowledged befor me this 7 day of , 20 12-,- by OtA-..e-vt 0■k � day of ..3V/417- ,J V Nl:- , 20 f L by L v 1'5 F k rte kt y -Z who is personally known to me or who has produced7L4- V1132- /� �y� Q� who is personally known to me or who has produced 6` Z2 `A o 4 T As identification and who did take an oath. ��- as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUB C: Sign: Paint: My Commissio *** ** ** ********* * *** *** *** ** * * * ** *m***** **** * * ** * *x ********* **** ****** ******* * * * ********* ** ** * * ** * * * * *** APPROVED BY /H � Plans Examiner Zoning Structural Review Clerk (Revised3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09) Jun 16 12 11:38a .ACORD CERTIFICATE OF LIABILITY INSURANCE p.1 I DATE (MM/DDIYYYY) 2/2/2 012 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 ADDMONAL INSURED, the policy(Ies) must be endorsed. if SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NSI Insurance Group 8181 Northwest 154th Suite 230 Miami._ Lakes FL 33016 INSURED Nelmaar Plumbing Inc. 4954 SW 75 Avenue Miami COVERAGES FL 33155 ;1 Ea Adrian Duran PHONE O,_E (305) 556 -1488 #cj goDRESS: adrianad @nsigroup. org PRODUCER 00047183 _CUSSOIVIER.ID #: I FAX 1305)556 -3680 LL/YO. Noy; INSURER(S) AFFORDING COVERAGE NAIC # INSURER A :CastlePoint Florida Insurance '13599 INSURER B : INSURER C INSURER D : CERTIFICATE NUMBER:W /C 12 -13 INSURER E : INSURER F : THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAME ABOVE NUMBER: 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. LTR TYPE OF INSURANCE stL 5J POUCY EFF POLICY EXP GENERAL LIABILITY • INSR WVD POLICY NUMBER (MM/DDIYYYY) 11MM/DD/YrrY) LIMITS __COMMERCIAL GENERAL UABILriY • ,_. CLAIMS-MADE { _ OCCUR GEN'L AGGREGATE UMIT APPLIES PER; ; POLICY 128-f LOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS UMBRELLA LIAS OCCUR • • EXCESS L IAB . -_.._ - . CLAIMS MADEi _ DEDUCTIBLE RETENTION S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNEFSEXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below { EACH OCCURRENCE ;$ AMAGE TO IFENTE6— RE M(SES�Ea_ rrgnce)_r$ MED EXP (Any one person) ; $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE S PRODUCTS - COMP/OP AGG S ;$ COMBINED SINGLE LIMIT j $ { (Ea accident) BODILY INJURY (Per person) ; $ BODILY INJURY (Per accident) ! $ PROPERTY DAMAGE (Per accident) $ S YIN IYl NIA WCP76073E401 { /10/2012 /10/2013 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Addidonal Remarks Schedule, If more space is required) 30 days notice of cancellation except 10 days for nonpayment of premium CERTIFICATE HOLDER EACH OCCURRENCE $ ' WC STATU- . 101H- TORY_t.1M1TS __LEE E.L. EACH ACCIDENT S 100,000 E.L DISEASE -EA EMPLOYEE $ 100, 000 • E.L. DISEASE - POLICY LIMIT ': $ 500_,000 MIAMI SHORES VILLAGE 10050 NE 2 AVE MTAMT SHORES, 1~'L ACORD 25 (2009/09) INS025 (2oogos) CANCELLATION 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 G Nenezian /ADRIAN The ACORD name and logo are registered marks of ACORD ACORD CORPORATION. All rights reserved.