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RC-12-1588
Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 177677 Permit Number: RC -8 -12 -1588 Scheduled Inspection Date: November 05, 2012 Inspector: Rodriguez, Jorge Owner: PACHECO, MANUEL Job Address: 9080 NE 2 Avenue Miami Shores, FL Project <NONE> Contractor: FLORIDA E -Z REMODELING INC Permit Type: Residential Construction Inspection Type: Final Work Classification: Addition /Alteration Phone Number (305)336 -4908 Parcel Number 1131010190090 Phone: (305)796 -6753 Building Department Comments BATHROOMS AND KITCHEN CABINETS REPLACEMENT Inspector Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. November 02, 2012 For Inspections please call: (305)762 -4949 Page 9 of 37 FROM :A &D ALL -LINES INS ASSOCIATES FAX NO. :3053872918 Sep. 10 2012 04:36PM P1 A CORQ� L�f CERTIFICATE OF LIABILITY INSURANCE nATF(MM/nrt/YYYY) 9/10/2012 INFORMATION EXTEND OR BELOW. PRODUCER A &D ALL -LINES INS ASSOC INC 5600 SW 135 Ave Ste 106 Miami, FL 33183 (305) 463 -6781 THIS CERTIFICATE IS ISSUED AS A MATTER OF BO NO RIGHTS DOE8 T AMEND, LDER. TH S CERTIFI ATE O ALTER THE COVERAGE AFFORDED BY THE POLICIES INSURERS AFFORDING COVERAGE POLICY NUMBER CDC10000554700 NAICO INSURED FLORIDA E -Z REMODELING, INC . 10051 S.W. 43 ST. MIAMI, FL 33165 I INSURER A: ACCIDENT INS . CO. INSURER D: INSURER C: GENERAL INSURER P: X INSURER E: ES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOI ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHfAR DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE 'MINIS, OCCLUSIONS AND CONDITIONS POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. WITHSTANDING BE ISSUED OR OF SUCH $ 1 , 000 , 900 — $ 50,000 it INSR LTR ADDL IN$RD TYPO OF INSURANCE POLICY NUMBER CDC10000554700 POLICY EFFECTIVE DATI (MM/nn 09/08/12 POLICYExPIRATION PATF(MMOD/YYl 09/08/13 LIMITS EACI I OCCl1RRENCF A GENERAL LIABILIIY COMMERCIAL n;FNFRAI. LIABILI IY X t OAMN4L RFNW1 PREMISES (Ea occurance) 1 CLAIMSMADE 1Xl OCCUR MEDEXL' (Any one peraon) PERSONAI.8ADVINJURY $ 1, 000 000 Gr_NCRAI AGGREGATE , $ 2, 000,,0QQ_ $ 1.000,000 CENT AGGREGA'T'E LIMIT APPLIES PER: —I POLICY n ICf n LOC PRODUCTS - COMP/OP AGG AUTOMOBILE LIAR II ITY ANYAl1TO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON- OWNEDAUTOS COMBINED SINGLE LIMIT (Ea accident) ) — — BODILY nn nl } P ( ena+ $ RODILYINJURY (PeracGdent) — PROPERTY DAMAGE (Pereoddent) GAI+AOELIABILITY ANYALITO AUTO ONLY- EAACC11wNT $ OTHER THAN EA ACC $ Al ITO ONLY: AGG 3 EXCESS/UMBRELLA LIABILITY OCCUR CLAIMSMADE rAcI I t1C,Cl,1RRFNCE $ n AGGREGATE $ -- DEDUCTIBLE RETENTION $ $ "— 7 I—MCSIAIU- O'IN- I1QRYLIMII'S 1 I ER $ $ WORKEHSCOMPENSATIONANn rMPLOYERS' LIABILITY ANY PROPRIETorupARTNERIEXECl1TIVE UI I•IDDRlMEMBER EXCLUDED? IfYor,rJgatylAeunder SPECIAL PROVISIONS Wow - — E. L. CACI I ACCIDENT 8 E.L. DISEASE . EA FMPI OYFF 8 E.L. DISEASE- POLICY LIMIT $ DCSCRIP OTHER %I.00AT I ION OF OPERATIONS IONS /VEHICLES / EXCLUSIONS ADDFn RY ENDORSEMENT / SPECAAI. PROVISIONS GENERAL CONTRACTOR CERTIFICATE 41f1I h I7 • MIAMI SHORES VILLAGE BUILDING DEPARTMENT 10050 NE 2 AVENUE MIAMI, FL 33138 FAX: 305- 756 -8972 ACORD 25 (2001 /08) NCELLATION SHOULD ANY or TI IC ABOVE DESCRIBED POLICIES : ANCELLED SErORE THE EXPIRATION DATE. THEREOF, THE ISSUING IN$URtH WI NDEAVOR TO MAO 30 DAYS WRITTEN NO 1 ICE TO THE CERTIrICATE HOLDER •4 TO THE LEFT, BUT FAILURE TO DO SO SI IALL IMPOSE NO OBLIGATION 0 or ANY KIND UPON THE INSURER, ITS ACit N'I OR RE)'HI:SENTATIVES. AUTHORIZED REPRESCNT r' ®ACORD CORPORATION 1988 PERMIT # / 1(9--- )s 6 U CONTRACTOR: `1 OfIG - 9 Rw ) SUBMITTAL DATE: 6 I P 2 ) a ADDRESS: orro I4_, giki NAME: 00W-q \ Pa dil /` ,C RESUBMITAL DATES: PROJECT TYPE: FAA UMi ZONING JrAtirt,..a' FIRE STRUC - - IMPACT FEES Jj//'/ P ii"6 7.6/ ELECTRICAL HRSIDERM Old X ��..x-i' PLUMBING NOC OW kle4 MECHANICAL 19,7,14i,./.__ BLD xf +- Miami Shores Village --1 -� � H._, Buildin Department I Z I 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 Y ���,_ FBC 20 Permit No.9J/1 i5Stie Master Permit No. City: Miami Shores Folio/Parcel #: County: Zip: Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): )1 11 l FC`_r r rJ Phone #: 3D 3 3 , ' 9 q () Address: City: tLi YYl Tenant/Lessee Name: Email: jlrtr) 1^e5 State: C )__, Phone #: Zip: 3 3 PAOrlAt 3CE•4(01 CONTRACTOR: Company Name: ftal 7A G —2 ££rJD .0(1 //VG. Phone#: � ° �' 79 6 � e Address: /0 iJIfJ City: Wit i State: Zip: 33 /65�° Qualifier Name: /?CS R (o 4 AR I* i� Phone #: 3 is 3 State Certification or Registration #: (1 C6 > /2 Certificate of Competency #: Contact Phone #. 3=' ?533mail Address: 4%i k /eL . f/42--/ ! ! 00,1�� DESIGNER: Architect /Engineer: Phone# Value of Work for this Permit: $ %1 `J f Type of Work: ❑Addition ❑Alteration Des riptlhii df Work:- � r c '(1, ' (Z) Miami Dade 0 Square/Linear Footage of Work: ❑Nevi! ....r .; , , gRepair/Rep1ace_ 1� ► <.� e r1' C.-0k) r? 1 1'V • ) e molition C)P. ti Colorthru tile: ** ***• x*K **** a: ****•x***+x** ** * *** ***** ****Fe S************ s6 ** ****** * ** * * ****** * *** * ***** ** elp Submittal Fee $ Permit Fee $ Jam!_ J_ CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ -‘034- • �lU 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is sub,• t to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspec inspection will n' be s proved and a reinspection fee will be charged. A A t hich occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the Signature or Agent The foregoing instrument was acknowledged before me this / G day of ,20 )2,by rygIaJO P cbeco who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Exp .1 - Notary Public - State of Florida s• 4 My Comm. Expires Dec 3, 2014 °'a ,� „o?:��' Commission # EE 36175 Signature /2 Contractor The foregoing instrument was acknowledged me this /i7 / day of C/U5 ,20/2 -,by /4 ear)r Cq rrc // 1A who is personally known to me or who has produced FL DQ l tic %S / I ( Al 4 identification and who did take an oath. NOTARY PUBLI Sign: Print: My Co s: B. SALVER s Notary Public - State of Florida ��$ My Comm. Expires Dec 3, 2014 °•` 1 T8. +x�x.x* �x a�x�m�a�xx� .u.x�x�x�x .., q,,.,�,� >.�,_ .,�.:a, > .. .... ... .... ..:. ..... x.a�ra+*.x *�x+x�x+x a�a� �x�a�x' �ka��a**Regi Vint* *5*** APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. F%- 9 -12-15 ' 1 Ax FOLIO NO. /3/0/0//00 `- 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. 111111111111 1111111I11 1111111111111111111 111 CFN 2012R0605732 6 OR E%k 28245 P 2751; (lps) RECORDED 0 ►8/28/X112 12 :32:33 HARVEY RUVIN, CLERK OF COURT MIAMI-DADE COUNTY, FLORIDA LAST PAGE 0 �j p� pace above reserved for use of recording office 1. Legal description of property and street/address/• /i �1/ d� &/ 7r'1/ 1' f i . �4 ti/j(J 2. Description of improvement: 3. Owner(s) name and address: Interest in property: — —� Name and address of fee simple titleholder: 4. Contractor's name, address and one number __ /773/ 5 t ) 3 .:. ` a"M— 44.4. y$ i' ,�L. ' / 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. 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Uenor'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 COMMENCEMENTARE 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 P j 'a+ ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WI ,_ : tE' g .< ' „;; r •,° FY_ $r 0 . OMMENCIND WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. G&W ; Signature(s) of Owner(s). or Owner(s)' Authorized Officer/Director/Paft % li Prepared By Pr Print Name Pritiitr Title /Office Title/ STATE OF FLORIDA COUNTY OF MIAMI -DADE The fo�re�gsoing instni ant was acknowledged before me this By /ViCOflvP ( �C,r he.0 o aril. - ,!_J � t Ao2n i V io % tai' 2 3 day of FBI Individually, or ❑ as for ❑ Personally known, or to produced the following type of id Signature of Notary Public: Print Name: h r ;+7) ent'..,�,.n: (SEAL) VERIFICATION PURSUANT TO SECTION 92.525. FLORIDA STATUTES Under penalties of perjury, I declare that I have read the foregoing and that the f- s s ted in it are true, to the best of my knowledge and belief. Sign By 1P C` . 201E- ef1SC 4)220-C43-4-1-337 i u i rC2. Owner(s) or Owner(s)'s Authorized Officer /Director /Partner/Manager who signer'' ano CHRISTOPHER D. AGUIRRE NOTARY PUBLIC STATE OF FLORIDA Comm# EE167849 Expires 2/8/2016 aez c% , By NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. El c:- ?-I2-/ Hi-WAX FOLIO NO. '- 31 D10/1120 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; / / 11/ 616 $,c: eO A14 p - 4 ; 2. Description of improvement: 111111111111 11111 111111111111111111111111 C_=F N 20 1 2f i6C►'_• : 3 OF.. Bk 28245 F'? 2751; '1p) RECORDED 08/28/2012 12:32:;;.:: HiAf?I,EY RUM, CLERK OF COURT M:[AMI-DADE COUNTY, F LOR M. LAST PAGE 0 /Space above reserved for use of recording office t7 i4./ie f 4. 3. Owner(s) name and address: 144- '4-64, 1 - JRIU Interest in property: Name and address of fee simple titleholder: 4. Contractor's name, address and • one 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: 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: 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name, address and phone number: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND P 1. -D ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT vamp is =a;di e'i '' �u.'j0 OMMEWORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. �� t' �tf ..BiIGFR?':�1��tsE�fiLi'`° CVY of Signature(s) of Owner(s) or Owner(s)' Authorized Officer /Director /PA --WM Prepared By Print Name Title /Office STATE OF FLORIDA COUNTY OF MIAMI -DADE The for going instrument was acknowledged before me this By /friCI 1t/t'I' PGrH,t'.i P s�jjpp r., A020 Pri Ai.�� t_ r' Title /: tc� a Individually, or O as for 0 Personally known, or © produced the following type of ident' 'bn: F (car ;r. ' !� Signature of Notary Public:/' — Print Name: Is r :-Nnit c- (SEAL) VERIFICATION PURSUANT TO SECTION 92.525. FLORIDA STATUTES Under penalties of perjury, I declare that I have read the foregoing and . that the f s slated in it are true, to the best of my knowledge and belief. Sign urn Owner(s) or Owner(s)'s Authorized Officer /Director /Partner /Manager who signe By/ � �:! , it" /Pi W& (I j•9Cf4<c:.) By u ' sn- ---- C A' (;)�'ri -? J CHRISTOPHER D. AGUIRRE NOTARY PUBLIC STATE OF FLORIDA Comm# EE167849 e: Expires 2/8/2016