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RC-12-1878Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 187410 Permit Number: RC -10 -12 -1878 Scheduled Inspection Date: March 18, 2013 Inspector: Bruhn, Norman Owner: GATO TUERTO LLC, Job Address: 74 NE 97 Street Miami Shores, FL 33138- Project: <NONE> Contractor: PONS ESTIMATING SERVICES INC Permit Type: Residential Construction Inspection Type: Final Work Classification: Alteration Phone Number Parcel Number 1132060130750 Phone: (305)392 -1153 Building Department Comments INTERIOR REMODEL. NEW KITCHEN & THREE BATHROOM REMODEL. Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed / Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. March 15, 2013 For Inspections please call: (305)762 -4949 Page 39 of 54 PERMIT # °O 1 Z- 1 blW CONTRACTOR: Q�(75 112' ce/nACCS SUBMITTAL DATE: 10 q 12 ADDRESS: 14- Ti I/ 9-14 NAME: RESUBMITAL DATES: 101 50 1 )/_, � PROJECT TYPE: 1 /An( r-cityrdc..../ ZONING I FIRE 4fRUCTURAL IMPACT FEES Alt:awd °2 Y' , L' EL RIC A17-- HRS/DERM t2Or i P -4. -2- PLUMBING NOC ift __,---, MECHANICAL v BLDG F. 0 \ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 If L11 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUI DING Permit No. PERMIT APPLICATION Master Permit No. Permit Type: BUILDING JOB ADDRESS: 74 ! q 9 51 ilp©MEW/M;;‘H OCT 0 21.62 11!) BY : __.._.___o_m e o FBC 20 12 -18T ROOFING o� City: Miami Shores County: Miami Dade Zip: 3 / '' O Folio/Parcel #: / / 3 2. ®‘ 0/3 03-51) Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): act-ft, L L C. Phone #: Address: 1 l / /V j Pt g-e vU ric City: .1-4/a U S State: ft Zip: 5 3 i 2- Tenant/Lessee Name: Phone #: Email: CONTRACTOR: Company Name: R45 �D 411M4 li 4: Address: e� N 14,J egg At) City: - d ca Fel j State: Qualifier Name: 0, /I 0 A. 7645 State Certification or Registration #: C C.0 /S' 73S' Certificate of Competency #: Email Address: 1 /dress: , DESIGNER: Architect/Engineer: D Con i. DESIGNER: 5(Y/(.G) Phone #: 30 r age 1/ <3 Zip: ? ?/� Phone #: 3d r ?J721/ 73 Contact Phone #: e Phone #: aoay Value of Work for this Permit: $ US'1 w 0 ` 66 Square/Linear Footage of Work: i 2 0 s f Type of Work: ❑Addition L; . , Alteration New ❑ZRepair/Replace LODemolition Description of Work: 0/) /Lt /(d6 /2,e_rvaes c%,�ra 5 fr' - Ado, c,r" c, b ,ieiAjS o-r Lt (4Y)13 ,v 4t.W 1 /2// e 7 /O)...1 2J 41 / c . nv i) q ikot t LY a yt'cc. IAwr' , Color thru tile: ******** *** * * * * *** ** * * * * ** * ** * * * * * * * * ** Fees************* * * *** ** * * * ** * * * * * * * * * * * * * * * * * ** l o� Submittal Fee $ Permit Fee $ Af3-0 CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ I 4IS r 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 prope � is subject to attachment. Also, a certified copy of the recorded notice ±f commencem F nt must be posted at the job site for the first pectio (7) days afier the building permit is iss d. In the ab ence of such posted notice, the inspection w f be approved and a rein ,ection fee will be charged. wn r or Agen The foregoing instrument w. ackno day of 201)/, by ctor ore me this 7 The fore oing trument was acknowledged before me this ,20( -,by /1/ CQY /0 it , or who has produced as identification and who did take an oath. who is personally own • me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: 444/✓ / ". .0. • opme Botidedn�� ri 2013 dg somas NOTARY PUBLIC: Sign: Print: My Commis � M COMMISSION i D1nD ENPIQ' 'S:4617, Bonded Thal semen xpires: () I Y) *k***kk'kA.B'k *'k4C***** **** Yx 9r'k oYoY'k 4C*7' roYR' oY4G4:*** *'k'IC9C'1C'iroYoY7Y7Y* ***k oY4e oYoF4 :9:4t4e3coY4c4enYoY4t***Y4e*** *& **k **Y:Fk&'k* **Ykdt*9t*** APPROVED BY V7Wfi� / / /2I %z Plans Examiner Zoning (rR Structural Review Clerk /12/2012) XRevised 06 /10 /2009XRevised 3 /15 /09XRevised 7/10/2007) 110111 11111 11111 1111111111 11111 111111111 101 NOTICE OF COMMENCEMENT 0 A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. RC-10-12 -45583 (2H y7. FOLIO NO. 1132°6°13°75° 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: 74 NE 97 Street Miami Shores FL 33138 F Pi 2012Ro32264 ek 23359 P9 3361; (1139) RECORDED 11/15/2012 11:21s20 HARVEY RUVINy CLERK OF COURT MIAMI-DACE COUMTYa FLORIDA LAST PAGE 2. Description of improvement: Interior remodeling Including electrical and phrmbing hi kitchen and bathrooms 3. Owner(s) name and address: GATO TUERTO LLC,111 NE 1 St #383 Miami R 33132 'HEREBY CERTIFY drat this la © the Interest in property: Name and address of fee simple titleholder: GATO TUERTO LLC, 111 NE 1 St #383 Miami R 33132 /i \tea �.. t.�. lil iI �,tr.a.,,e..tn�e�s. 4. Contractor's name and address: PONS ESTIMATING SERVICES INC 80 NW 22 Av Miami R 33125 5. Surety: (Payment bond required by owner from contractor, if any) Name and Address: 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 and Address: 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 and Address: f this Notice of Commencement (the expiration date is 1 year from the date of recording unless a pecifi Prepared by 1D POnSes n NC r e this i `J day of November , 20 12 Notary Public: Print Notary's Name: My commission expires: „.0,1 HOPE NAVARRO KHAN �, MY COMMISSION # DD 934958 �i�tr�t�- EXPIRES October 21, 2013 (407) 398 -0153 FlotldeNoteryServloe.com Permit No: 12 -1878 Job Name: October 12, 2012 Page 1 of 1 Building Criti ue 1). -vide a floor plan showing a detailed scope of work with details of construction. STOPPED REVIEW Plumbing Critique 1). Missing plumbing permit application. Electrical 1). Approved. 14 tys1 1.4, 9_,A 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 www.sunbiz.org - Department of State E P A i 'I' ri > Dig °1s1 q' 1 ()R1 h Home Contact Us Page 1 of 2 E- Filing Services Document Searches Forms Help Previous on List No Events Next on List Retum To List No Name History Detail by Entity Name Florida Limited Liability Company GATO TUERTO LLC Filing Information Document Number L11000127919 FEI /EIN Number 454589737 Date Filed 11/09/2011 State FL Status ACTIVE Effective Date 11/09/2011 Principal Address 111 NE 1ST STREET UNIT 383 MIAMI FL 33131 UN Mailing Address 111 NE 1ST STREET UNIT 383 MIAMI FL 33131 UN Registered Agent Name & Address PEREZ, ANDRES 111 NE 1ST STREET UNIT 383 MIAMI FL 33131 US Manager /Member Detail Name & Address Title MGR PEREZ, ANDRES 111 NE 1ST STREET MIAMI FL 33131 UN Annual Reports Report Year Filed Date 2012 04/19/2012 Document Images 04/19/2012 -- ANNUAL REPORT 11/09/2011 -- Florida Limited Liability Entity Name Search http://www.sunbiz.org/scripts/cordet.exe?action=DETP1L&incidoc number= L110001279... 10/9/2012 DBPR - PONS, MARIO ANDRES; Doing Business As: PONS ESTIMATING SERVIC... Page 1 of 1 3:11:52 PM 10/9/2012 Licensee Details Licensee Information Name: Main Address: County: License Mailing: LicenseLocation: County: License Information License Type: Rank: License Number: Status: Licensure Date: Expires: Special Qualifications Construction Business PONS, MARIO ANDRES (Primary Name) PONS ESTIMATING SERVICES INC (DBA Name) 2474 SW 13TH ST MIAMI Florida 33145 DADE 2461 SW 14 STREET MIAMI FL 33145 DADE Certified General Contractor Cert General CGC1518735 Current,Active 06/01/2010 08/31/2014 Qualification Effective 06/01/2010 View Related License Information View License Complaint 1940 North Monroe Street. Tallahassee FL 32399 :: Email: Customer Contact Center :: Customer Contact Center: 850.487.1395 The State of Florida Is an AA /EEO employer. Copvrinht 2007-202 State of Marinas privacy Statement Under Florida law, email addresses are public records. If you do not want your email 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. *Pursuant to Section 455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address if they have one. The emails provided may be used for official communication with the licensee. However email addresses are public record. If you do not wish to supply a personal address, please provide the Department with an email address which can be made available to the public. Please see our Chapter 455 page to determine if you are affected by this change. https:// www. myfloridalicense .com/LicenseDetail. asp ?SID= &id= FB59ADF702D4CADE9... 10/9/2012 48 �t JEFF ATWATER STATE OF FLORIDA CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES ' DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS COMPENSATION LAW 05-24 -2012 CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation EFFECTIVE DATE: PERSON: FEIN: 05/24/2012 EXPIRATION DATE: 05/24/2014 PONS MARIO A 830472700 BUSINESS NAME AND ADDRESS: PONS ESTIMATING SERVICES INC 80 NW 22ND AVENM MIAMI FL 33125 SCOPES OF BUSINESS OR TRADE: 1- CONTRACTOR - PROJECT MANAGER, CO 2- CERTIFIED GENERAL CONTRACTOR law. 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 ander this chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt... apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05(13), F.S., Notices of election to he exempt and certificates of election to be exempt shall be subject to revocation 0, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The 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? (850) 413 -160 DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01 -11 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION CONSTRUCTION INDUSTRY CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW EFFECTIVE: 05/24/2012 PERSON: MARIO A PONS FEIN: 830472700 BUSINESS NAME AND ADDRESS: PONS ESTIMATING SERVICES INC EXPIRATION DATE: 05/24/2014 IMPORTANT 0 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 L under this section may not recover benefits or compensation under this D chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt.. apply only within the scope of the business or trade listed on the notice of election to be exempt. H E R E Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and 0.Mi4iratac n+ Mantinn to ha aramnt shall ha cuhiaet to ravncatinn A I' CERTIFICATE OF LIABILITY INSURANCE °A X12 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 cerdflcate holder is an ADDITIONAL INSURED, the pollcy(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 endorsemenas). PRODUCER EZ INSURANCE USA, LLC 1405 SW 107TH AVE SUITE 301A Miami, FL 33174 Phone (305) 222 -901 Fax (305) 222-9006 CONTACT ANGELA DE-HART GOMEZ a Exu (305) 222 -801 1 Nob 305) 222 4006 ADDREss: Angela.ezinausa(gma(l com INSURER(S) AFFORDING COVERAGE NAIC # IISURERA: REAL/BUG VANGUARD INSURED Pons Estimating Services Inc 2474 sw 13 St Miami, FL 3145 (305) 562 -4726 INSURER B : PROGRESSIVE INSURANCE 03/03/2012 INSURER c : EACH OCCURRENCE INSURER o : n COMMERCIAL GENERAL LIABILITY II • CLAIMS-MADE 0 OCCUR ❑ INSURER E : $ 10%000.00 INSURER F : $ 5,000.00 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POUCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PER OD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CCLLIAIMS. LTRR TYPE OF INSURANCE p two POLICY NUMBER (MMIDDm ) (MMIDDIYYYY) ISATIS A GENERAL meant t PGL000838 -12 03/03/2012 03/03/2013 EACH OCCURRENCE $ 1,000,000.00 n COMMERCIAL GENERAL LIABILITY II • CLAIMS-MADE 0 OCCUR ❑ DAMAGE TO RENTED PREMISES (Ea occurternx#) $ 10%000.00 MED EXP (Arty one person $ 5,000.00 PERSONAL & ADV tUURY $ 1,000,000.00 ❑ GENERAL AGGREGATE $ 2,000,000.00 GEN'L AGGREGATE UMIT APPLIES PER • POUCY • JECaT • LOC PRODUCTS - COMP/OP AGG $ 2,000,000.00 $ B AUTOMOBILE LIABILITY • ANY AUTO ■ ALL O D A SCHEDULED ❑ HIRED AUTOS ■ AUTNONOOWNE° ❑ ❑ 028405205 -0 01/20/2012 01/20/2013 OOMBINED „SINGLE UMIT $ 1,000,000.00 BODILY INJURY (Per person) $ BOD)LY INJURY (Per aoc1denf $ (P� wer aacd en!? $ $ II UMBRELLA LIAR ■ OCCUR • EXCESS use ■ CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ 1 DED L-❑ RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y1 N ANY PROPRIETOR/PARTNER/EXECUTIVE N IA pTH_ ❑ TORY w LIMITS ❑ ER E.L. EACH ACCDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory (Mandatory In NH) ❑ E.L DISEASE - EA EMPLOYE $ If yes describe under DESCRIPTION OF OPERATIONS below E.L DISEASE - POUCY UMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space s required) CERTIFICATE HOLDER CANCELLATION Komi Shores Village 10050 NE 2nd Avenue Miami Shores, Florida 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 ACORD 25 (2010105) CIF 1988 -2010 ACORD CORPORATION. AU rights reserved. The ACORD name and logo are rriglstsred marks of ACORD STATE OF FLORIDA PROFESSIONAL RBGUREGULATION DEFART Op BUSINESS AND 487 -1395 CONSTRUCTION INDUSTRY LICENSING BOARD TAO�SEMO OE STRST LI SE FL32399 -0783 PONS, p0148 sS �I3I,TB SSRViCLS33145 INC 2MI7AMI F Congratulations! With this license you become one of the Heady one million licensed by the Department of Business and Professional Regulation. Floridians range from architects to yacht brokers, from box professionals rs to barbels and businesses they keep Florida's economy strong. boxers to barbeque restaurants, Every day we work to improve the please we log onto vss in order da serve you bette There information about m oer' onto vnnna regulations that t newsletters and team more about the There you can find more information about our divisions and the impact You, subscribe to department Department's initiatives. Regulate Fairly. We strive to serve you better so that you can serve your customers. license! Our mission at the Departrnent is: License Efficiently, constantly for doing business in Florida, and congratulations on your Thank you - - ThIS DOCUMENT HAS A COLORED BACKGROUND MICROPRINTING • IINENIARK PATENTED PAPER "` D ?l AT F FL1/�R #r 12082102145 DATE `Tkie�; G N I TIE Under the-Provisions ox, P piratitri data f - 4 �O4 r SERVICES: P�?NS $I$TI�CAT� 2461 SW 14 STREET Fix Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: I NS P- 184637 \.• Permit Number: EL -11 -12 -2113 Scheduled Inspection Date: January 28, 2013 Inspector: Devaney, Michael Owner: GATO TUERTO LLC, Job Address: 74 NE 97 Street Miami Shores, FL 33138 Project <NONE> Contractor: ATEXI SERVICES CORP Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alteration Phone Number Parcel Number 1132060130750 Phone: (786)251 -1604 Building Department Comments INTERIOR ELECTRICAL REPAIRS Infractio Passed Comments INSPECTOR COMMENTS False Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments j'frk z 0,07 January 25, 2013 For Inspections please call: (305)762 -4949 Page 21 of 28 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: Electrical JOB ADDRESS: 74 A./6 4, t' FBC20t Permit No. eu 2'-- 9,1 1 Master Permit No.j2 C 12- /14 City: Miami Shores County: Miami Dade zip: 3 Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): C4,410 1 a117 L L L Phone #: Address: 111 P6 1 541euf ii' 3 83 City: 1-4 1 c I t State: Flo r /c' Zip: =S 3/ 3 Tenant/Lessee Name: IVA Phone #: Email: CONTRACTOR: Company Name: e I C I :S ,-V Cs aver • Phone #: 786. " ""! - /(d aH Address: /3375 /a E • 4 Cr City: P /n, ! State: I o" Qualifier Name: Ag-/4/4- O '-4...e &1o.0 zip: 3.9/6/ Phone #: 7 Bee - -I6 sz S Certx o©30sy i ,a rt�ristration #f` #` Certificate of Competency #: op D o tYEiS ineer # 9' Phone#: Value of Work for this Permit: $ A o as Square/Linear Footage of Work: Type of Work: °Address °Alteration New MRepair/Replace Description of Work: 7 IUOre. 67.Eersz✓6,4 L /2094es2-f °Demolition **** ****** ****** *******4!*** * *** x * ******Fees****,x rx: ******* ****** ** *****************+ *** Submittal Fee $ �C k � Permit Fee $ CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ �.�.A 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, 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 pr' # erty is subject to attac t Also, a certified copy of the recorded notice of commencement must be posted at the job site for the ft' t inspec ich occurs sev (7) days after the building permit is issued. In the absence of such posted notice, the inspectio of be approved and a rei pection fee will be charged. & Signatur The foregoing ins day of Agent ment was ackno edged before 11 Signature Contractor this 3 The foregoing instrument was acknowledged before ..'- thi, day of T p )Z by ft R who is personally known to me or who has produced who is personal .01 at1n and who did take an oath. NOTARY Un i Sign: tt*. Print: 11 My Commission * * * * * * * * * * * ** APPROVED B (Re ►T�TIB1[�i � � MOPE NAVA •;• MY COMMISSION # DD 934958 EXPIRES October 21, 2013 153 Floiidallota .awn My Commiss n Expires: ********************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 2e t- % /614° '' Plans Examiner Zoning Structural Review Clerk 7 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) i Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 ?,) Inspection Number: INSP - 184638 Permit Number: PL -11 -12 -2114 Scheduled Inspection Date: January 28, 2013 Inspector: Hernandez, Rafael Owner: GATO TUERTO LLC, Job Address: 74 NE 97 Street Miami Shores, FL 33138- Project: <NONE> Contractor: DESMAR PLUMBING INC Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132060130750 Phone: (305)594 -4930 Building Department Comments INTERIOR PLUMBING REPAIRS Infractlo Passed Comments INSPECTOR COMMENTS False 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 - 181346. January 25, 2013 For Inspections please call: (305)762 -4949 Page 22 of 28 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 FBC201( BUILDING Permit No. Pj L 2° a 1 1 PERMIT APPLICATION Master Permit No. "/li� f r Permit Type: PLUMBING JOB ADDRESS: 74 NE 2nd Avenue City: Miami Shores County: Miami Dade zip: 33138 FoIio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): GATO TUERTO LLC !f Ppionet l)g 3 `f 1 1/ 53 Address: 111 NE 1 Street #383 City: MIAMI Tenant/Lessee Name: N/A Finail• state: FLORIDA Zip: 33132 Phone#: CONTRACTOR: Company Name: / ' ((4k' /? At Address: S City: � Qualifier Name: � } , 9 . 4 r � % O r - A a. 6e P h o n e # : f t ) S "3' ' S 1 Lr.r j State Certification or Registration #: c /r---z-/5,12 2 Certificate of Competency #: Contact Phone#: '?® S^ ,g 4. 16. / Email Address: DESIGNER: Architect/Engineer: Phone#: Phone#: /C� :g P61 State: /CI- Zip: S ( 6 Value of Work for this Permit: $ g 5220 Square/Linear Footage of Work: Type of Work: ©Address °Alteration °New ORepair/Replace flDemolition Description of Work: Ze1( ('/0 / p4 i / M f /e 5 ** * ** *a*e ******4n1.a+s ******* * *+ ee****** *Fees******************************************** Submittal Fee Permit Fee $ / o CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ Technology Fee $ • 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 a pllcant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise i ood faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose pr rty is s nt. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the fi +pectton which occur` seven (7) days after the building permit is issued In the absence of such posted notice, the inspectio reinspection fee will be charged Signature"'` Contractor The foregoing instrument w • a knowled ed be '. re me this The foregoing instrument was ackn. ' 1;,. ±ged before me thi 6 day of d � 2 , 20 _136/by day of 201 >, by _ Pi who is personally known to me or who has produced who i ersonally known o me or who has produced Li a I cation and who did take an oath. as identification and who did take an oath. OTAR PUBLIC: Sign: Print: 11, , A Will' NIZPiardrilfaMPRIMERIMIE 1.1 Trr/#I1L;Pq!t'F I A"!lt1:►!likVri:"R;1I!!I My Commission Exp• es{ '' ;1 MY COMMISSION # DD 934958 EXPIRES October 21, 2013 (407) 398 -0153 FbridallotarySeMce.00m NOTARY PUBLIC: Sign: Print My Co r r r i E> Tres: ANGELICA LAVIN * MY COMMON # DD EXPIRES: April 7, 2013qT* BorE SetvIces **** YF4tkHYhkBRk+ kNhAR*tr************** 4Y4B****R7Rhkkdb8kAk* Ab****4+ khR bbk**k4k+*kkNRRN **** * ***rbrik *** APPROVED BY 1/1'/?---- Plans Examiner Zoning Structural Review (Revised3/12/2012)(Revised 07110 /EP7)(Revised 06/10/2009)(Revised 3/15109) Clerk z 0 3 CD (D o ati of � t t Nora o skup t el 2 Northeast 97th Street PROPERTY ADDRESS: 74 Northeast 97th Street Miami Shores, Florida 33138 SURVEYOR NO'1 ES #1 Lands Shown Hereon were not abstracted for Easement and/or Right of Way Records. The Easement / Right of Way that are shown on survey are as per plat of record unless otherwise noted. #2 Benchmark: Miami -Dade County Public Works Dep. BM Loc. 3I OOS W; Name: N -568; Elev. +9.65' #3 Bearings as Shown hereon are Based upon Northeast 103rd Street, N90 °00'00"E #4 Please See Abbreviations #5 Survey is incomplete Without Sheet 2 oft #6 Drawn By: A. Torres Date: 08 -30 -2012 #7 Complete Field Survey Date: 08 -28 -2012 #8 Disc No 2012, Station Surveying Scion #9 Last Revised: #10 Legal Description Furnished by client. #11 This Certification is only for the lands as described. It is not a certification of Title, Zoning, Easements, or Freedom of Encumbrances, ABSTRACT NOT REVIEWED. #12 There may be additional Restrictions not shown on this survey that may be found in the Public Records of Miami -Dade County, examination of ABSTRACT OF TITLE will have to be made to determine record instruments, if any affecting this property. #13 ACCURACY:The expected use of the land, as classified in the Minimum Technical Standard (5J- 17.050), is "Residential ". The Minimum relative distance accuracy for this type of boundary survey is 1 foot in 10,000 feet. The accuracy obtained by measurement and calculation of a closed geometric figure was found to exceed this requirement #14 Foundations and/or footings that may cross beyond the boundary lines of the parcel herein described are not shown hereon. #15 Not Valid without one signature and the original raised seal of a Florida Licensed Surveyor and Mapper. Additions or deletions to Survey maps or reports by other than the signing party or parties is prohibited without written consent of the signing party or parties, #16 Contact the appropriate authority prior to any design work on information. #17 Underground utilities are not depicted hereon, contact the appropriate authority prior to any design work or construction on the property herein described. Surveyor shall be notified as to any deviation from utilities shown hereon. #18 Ownership Subject to OPINION OF TITLE. JOB # 12 -446 DATE 08 -30 -2012 PB 10 -70 Northeast 96th Street ABBREVIATIONS A =ARC DISTANCE AVE. =AVENUE ASPH =ASPHALT A/C =AIR CONDITIONER BLDG =BUILDING B. COR =BLOCK CORNER C.B. BATCH BASIN CLF CHAIN LINK FENCE CONC.=CONCRETE COL. =COLUMN C.U.P. CONCRETE UTILITY POLE C.L.P. =CONCRETE LIGHT POLE CBS =CONCRETE BLOCK STRUCTURE C.M.E. =CANAL MAINTENANCE EASEMENT D =DIRECTION DPW =DRIVEWAY D.M.E. =DRAINAGE & MAINTENANCE EASEMENT ENC. =ENCROACHMENT E.T.P. =ELECTRIC TRANSFORMER PAD F.P.L. =FLORIDA POWER AND LIGHT F.H. =FIRE HYDRANT F.LP. =POUND IRON PIPE F.P. =FINLSH FLOOR F.D.H. =FOUND DRILL HOLE F.R. =FOUND REBAR F/D =FOUND DISC F/N =FOUND NAIL I/F =IRON FENCE L =LENGTH L.P. =LIGHT POLE MEAS. =MEASURED M.H. =MANHOLE N.G.V.D =NATIONAL GEODETIC VERTICAL DATUM N.T.S. =NOT TO SCALE O.E. =OVERHEAD ELECTRIC LINE O/L =ONLINE P.C.P. =PERMANENT CONTROL POINT P.C. =POINT OF CURVATURE R =RADIUS RES =RESIDENCE SDWLK =SIDEWALK T =TANGENT - U.E. =UTILITYPAsmlENT W/F =WOOD FENCE W.V. =WATER VALVE W.U.P. =WOOD UTILITY POLE =IRON FENCE CHAIN LINK PENCE =WOOD FENCE =CBS WALL =OVERHEAD ELEC. =CENTER LINE =BASEMENT Sae =DENOTES ELEVATIONS - BUILDING + =DISTANCE ® =CATCH BASIN m =WATER METER 0 .W.U.P. - CD =STATE ROAD O =US HIGHWAY Qi =INTERSTATE A - =MONITORY WELL anuanb inaypoN ELEVATION INFORMATION National Flood Insurance Program FEMA Elev. Reference to NGVD 1929 Comm Panel 120652 Panel # 0302 Firm Zone: Date of Firm: 09 -11 -2009 Base Flood Elev. N/A F.Floor Elev. 12.95' Garage Elev. N/A Suffix: "L" Elev. Reference to NGVD 1929 CERTIFIED. ONLY TO: Gato Tuerto LLC LEGAL DESCRIPTION: Lot 3 & the West 1/2 of Lot 2, Block 6 of: "AMENDED PLAT OF MIAMI SHORES SECTION ONE" according to the Plat Thereof as Recorded in Plat Book 10, Page 70 of the Public Records of Miami -Dade County, Florida. Professional Surveyors & Mappers LB 7498 13050 S.W. 133rd Court Miami Florida, 33186 E -mail: afaco @bellsouth.net Ph. # (305) 234 -0588 Fax # (206) 495 -0778 This certifies that the survey of the property described hereon was made under my super- vision & that the survey meets the minimum technical standards set forth by the Florida Board of Professional Land Surveyors & Mappers in Chapter 5J- 17.050 of Florida Administrative Code, pursuant to Section 472.027, Florida Statutes. & That the Sketch hereon is a true and accurate representation thereof to the best of my knowledge and Belief, subject to notes and notations shown hereon. 2.11111MMIPP..-- Orman %, varez ProfessionalSarveyor & Mapper #5526 State ofFlorida Not Valid unless Signed & Stamped with Embossed Seal gary Survey y sltv, Pet of 2 0- 22.60' Parkway Yz° FP No Id k0- 13.26' 0 ■oss isaiwse i .^ -^ Brick 12 11.55'r lJ 1 /7//77/7777/ "12.05' // /4 36.42' 2nd Floor — — Line 12.72', U1 r r 0.53'/ CLF 01 )12' FP No Id 01 6. ?0' 0 TWO STORY CBS HOUSE RES. *74 14Iota t � booty 1314 %. S i Car Porch 6 t and Balcony 8 N • 31.10' 35.7 Conarefe �:' 4.0' 16.00' 14 Steps ►.J Y2' FP N89'45'56 °E V No Id 8t09' 0- 13.26' A/C Slab 2.5'x2.5' 10.01' oe 0 0.32' I CLF" WUP I 0.e Y2" FIP No Id n 9 )1319 z tal :: •::•�f:•:•:•:•::•:•:•:•:• :•:1Q` �Aaphalt •Pavement ::.:::.::.:::.:::•:.. . .......... :::i : (?e ii tec+:Aliey:kg:#�er ?B:1Q 7.d :1Mlarr i- acle;Co, FL :: Lot 20, Block 6 „— x— x —x —x- -Lot 21, Block 6— x— x— x— x�x— x —x —x— Lot 22, Block 6 JOB # 12 -446 DATE 08 -30 -2012 PB 10 -70 Surveyor Notes: Survey is Incomplete without sheet 1 of 2 Scale of Drawing 1"--20' Drawn By: A. Torres Date: 08 -30 -2012 Completed Field Survey Date: 08-28-2012 AFA & COMPANY, INC LB #7498 Professional Land Surveyors and Mappers 13050 SW 133rd CT Miami, Florida 33186 PH: 305 - 234 -0588 FX: 206-495-0778 AEA & Company, Inc a P The sketch hereon is a true and Accurate representation thereof to the best of my knowledge and belief, Subject to notes and Notations shown hereon. Armando . Ala Professional Surveyor ,der #5526 State of Florida Not Valid unless Signed & Stamped with Embossed Seal