RC-12-80 (2) Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
inspection Number: INSP-178054 Permit Number: RC-1-12-80
Inspection Date: September 05,2012 Permit Type: Residential Construction
Inspector: Bruhn, Norman Inspection Type: Spot Survey
Owner: ARENAS,.JORGE&TINA Work Classification: Addition/Alteration
Job Address:889 NE 97 Street
Miami Shores, FL 33138-
Phone Number
Parcel Number 1132060142650
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
NEW MASTER Bathroom, NEW BEDROOM REMODEL
TWO Existing BATHROOMS, CONVERT EXISTING
BEDROOM INTO LAUNDRY ROOM REMODEL EXISTING
FAMILY ROOM
Inspector Comments
Passed �V
Failed
Correction ❑
Needed
Re-inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
For Inspections please call: (305)762-4949
September 05,2012 Page 1 of 1
Inspection Worksheet
Miami Shores Village
10050 N.6. 2nd venue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
inspection Number: INSP-178054 Permit Number: RC-1-12-80
Inspection Date: September 05,2012 Permit Type: Residential Construction
Inspector: Bruhn, Norman
Inspection Type: Spot Survey
Owner: ARENAS,JORGE$TINA Work Classification: Addition/Alteration
Job Address:889 NE 97 Street
Miami Shores, FL 33138-
Phone Number
Parcel Number 1132060142650
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
NEW MASTER Bathroom, NEW BEDROOM REMODEL
TWO Existing BATHROOMS, CONVERT EXISTING
BEDROOM INTO LAUNDRY ROOM REMODEL EXISTING
FAMILY ROOM
Inspector Comments
Passed
Failed El
Correction a
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
For Inspections please call: (305)762-4949
September 05,2012 Page 1 of 1
Miami Shores Village JA n
Building Department BY—__________
------
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel: (305)795.2204 Fax:(305)756.8972
dd INSPECTION'S PHONE NUMBER:(305)762.4949
B ILDING Permit No. 4c� L__
PERMIT APPLICATION Master Permit No.
FBC 20
Permit Tv(:-:BUU1LDING> ROOFING \
OWNER:Name(Fee Simple Titleholder): .JC�2_ 'l t k3k- ► al+���5 Phone#: '�Q�) _8Q0 Z\C)2')
Address:
City: 1.&C 0*4( 5cV3ajqE-S Stater Zip: 33 3
Tenant/Lessee Name: Phone#:
Email:
JOB ADDRESS: S NIL-
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:
Is the Building Historically Designated:Yes NO Flood Zone:
CONTRACTOR:Company Name: l,�e W �L Phone#:
Address:
City: -State: Zip:
Qualifier Name: Phone#:
State Certification or Registration#: Certificate of Competency#:
Contact Phone#: Email Address:
DESIGNER:Architect/Engineer: Phone#:
Value of Work for this Permit: 0 b ar inear qu Footage of Work:
Type of Work: &(Addition UkAlteration w ORepair/Replace OD molition
Description of Work:
�J�ra�c��/JSC�dMa3 c x c o jav'Z-C^
Submittal Fee$ 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$ 1
P
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 w th 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 od faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose prop is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the firs inspectio whi occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection 1411 not b app r and a reinspection fee will be charged.
Signature Signature
Owner or Agent Contractor
The t)ersonaHy ume / s a- owledged bef a me this The foregoing instrument was acknowledged before me this
day 0 y day of ,20_,by ,
ho n wn o e or who has produced ho is personally known to me or who has produced
ratification and who did take an o as identification and who did take an oath.
NOTA RY UBLIC: cU��Loo� 1� NOTARY PUBLIC:
. .va,1e
Sign: < ceSsti�2% ags°- Sign:
, PUS4,
• off` >oo a�
Print ;a� My G ts`5g 0' Print:
« �a_ anti
My Commission Expires: ;•s yam; ®ooae My Commission Expires:
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APPROVED BY ��-'L Plans Examiner Zoning
Structural Review Clerk
(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
Planning and Zoning Criteria
Miami Shores Village Permit NO. RC-1 -1 2-V 0
10050 N.E.2nd Avenue y r
nar nj
k111 III iiiiliiiii� 1111
Miami Shores,FL 33138-0000
Phone: (305)795-2204 Fax: (305)756-8972 „ ..
Issue Date: Not Issued t Issued
Expires:
Folio Number)132060142650
Owner's Name:JORGE&TINA ARENAS Owner's Phone:
Job Address: 889 97 Street Total Square Feet: 508
Miami Shores, FL 33138-
Total Job Valuation: $ 38,000.00
Contractor(s) Phone Primary Contractor
HOME OWNER Yes
Planning and Zoning Criteria and Comments
Approved: Yes Date Approved: 4/12/2012 :Yes
Comments:
CHECK SETBACK FOR POOL DECK MUST BE NOT LESS THAN 10 FEET.
AS NOTED POOL DECK AND POOL ARE NOT PART OF PLAN AND A FULL REVIEW WILL NOT BE DONE AT THIS TIME
4/12/2012
PLANS OK
Planning Zoning Criteria
° a Miami Shores Village Permit NO. RC-1 -12-80
10050 N.E.2nd Avenue
� Miami Shores,FL 33138-0000
Phone: (305)795-2204 Fax: (305)756-8972
Issue Date: Not Issued
` Expires:
Folio Number)132060142650
Owner's Name:JORGE&TINA ARENAS Owner's Phone:
Job Address: 889 97 Street Total Square Feet: 508
Miami Shores, FL 33138-
Total Job Valuation: $ 38,000.00
Contractor(s) Phone Primary Contractor
HOME OWNER Yes
INNOMENSEEMMMM
Planning and Zoning Criteria and Comments
Approved: No Date Denied: 3/26/2012
Comments: PLEASE REVIEW DIMENSIONS.
DIMENSIONS ON SITE PLAN AND ON SURVEY DO NOT MATCH.
SETBACKS ON SITE PLAN DO NOT MATCH NUMBERS WHEN SCALED.
MAKE SURE MEASUREMENTS ARE FROM PROPERTY LINE AND NOT FROM FENCE
CHECK SETBACK FOR POOL DECK MUST BE NOT LESS THAN 10 FEET.
AS NOTED POOL DECK AND POOL ARE NOT PART OF PLAN AND A FULL REVIEW WILL NOT BE DONE AT THIS TIME
a
v
gx° s Miami Shores Village
Building Department
10050 N.E.2nd Avenue
®ate Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
OWNER BUILDER DISCLOSURE STATEMENT
NAME: 2 --Qk—S DATE:
ADDRESS: ft �1
Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida,RS 489.103(7).
And I have read and understood the following disclosure statement,which entitles me to work as my own contractor,I further
understand that I as the owner must appear in person to complete all applications.
State Law requires construction to be done by a licensed contractor.You have applied for a permit under an exception to the law.The
exemption allows you,as the owner of your property,to act as your own contractor even though you do not have a license.You must
supervise the construction yourself.You may build or improve a one-family or two-family residence.You may also build or improve a
commercial building at a cost of$25,000.00 or less(The new form states 75,000).The building must be for your own use and
occupancy.It may not be built for sale or lease.If you sell or lease a building you have built yourself within one year after the
construction is complete,the law will presume that you built for sale or lease,which is a violation of this exemption.You may not hire
an unlicensed person as a contractor.It is your responsibility to make sure the people employed by you have licenses required by state
law and by county or municipal licensing ordinances.Any person working on your building who is not licensed must work under your
supervision and must be employed by you,which means that you must deduct F.I.C.A and with-holdings tax and provide workers'
compensation for that employee,all as prescribed by law.Your construction must comply with all applicable laws,ordinances,
buildings codes and zoning regulations.
Please read and initial each paragraph.
1. I understand that state law requires construction to be done by a licensed contractor and have applied for an owner-builder
permit under an exemption from the law.The exemption specifies that I,as the owner of the property listed,may act as my own
contractor with certain restrictions even though I do not have a license.
Initial
2. 1 understand that building permits are not required to be signed by a property owner unless he or she is responsible for the
construction and is not hiring a licensed contractor to assume responsibility.
Initial
3. 1 understand that,as an owner builder,I am the responsible party of record on a permit.I understand that I may protect myself
from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own
name. I also understand that the contractor is required by law to be licensed-in Florida and to list his or license numbers on
permits and contracts.
Initials_
4. 1 understand that I may build or improve a one family or two-family residence or a farm outbuilding.I may also build or improve
a commercial building if the costs do not exceed$75,000.The building or residence must be for my use or occupancy.It may
not be built or substantially improved for sale or lease. If a building or residence that I have built or substantially improved
myself is sold or leased within 1 year after the construction is complete, the law will presume that I built or substantially
improved it for sale or lease,which violates the exemption.
Initial
5. 1 understand that,as the owner-builder,I must provide direct,onsite supervision of the construction.
Initial
6. 1 understand that I may not hire an unlicensed person to act as my contractor or to supervise persons working on my building or
residence.It is my responsibility to ensure that the persons whom I employ have the license required by law and by county or
municipal ordinance.
Inifial
r
7. 1 understand that it is frequent practices of unlicensed persons to have the property owner obtain an owner-builder permit that
erroneously implies that the property owner is providing his or her own labor and materials.I,as an owner-builder,may be held
liable and subjected to serious financial risk for any injuries sustained by an unlicensed person or his or employees while
working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an
owner-builder and am aware of the limits of my insurance coverage for injuries to workers on my property.
Initial
8. 1 understand that I may not delegate the responsibility for supervising work to be a licensed contractor who is not licenses to
perform the work being done.Any person working on my building who is not licensed must work under my direct supervision
and must be employed by me,which means that I must comply with laws requiring the withholding of federal income tax and
social security contributions under the Federal Insurance Contributions Act(FICA)and must provide workers compensation for
the employee.I understand that my failure to follow these may subject to serious financial risk.
Initial
9. 1 agree that,as the party legally and financially responsible for this proposed Construction activity,I will abide by all applicable
laws and requirement that govern owner-builders as well as employers.I also understand that the
Construction must comply with all applicable laws,ordinances,building codes, and zoning regulations.
Initial_
10. 1 understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service,the
United States Small Business Administration,and the Florida Department of Revenues.I also understand that I may contact the
Florida Construction Industry Licensing Board at 850.487.1395 or hfta://Www.myfoddalicense.com/dbi)r/pro/cilbfiindex.html
Initial
11. I am aware of,and consent to;an owner-builder building permit applied for in my name and understands that I am the party
legally and financially responsible for the proposed construction activity at the following address:
Initial
12. 1 agree to notify Miami Shores Village immediately of any additions,deletions,or changes to any of the information that I
have provided on this disclosure.
Initial
Licensed contractors are regulated by laws designed to protect the public.If you contract with a person who does not have a
license,the Constr4uction Industry Licensing Board and Department of Business and Professional Regulation may be unable to
assist you with any financial loss that you sustain as a result of contractor may be in civil court.It is also important for you to
understand that,if an unlicensed contractor or employee of an individual or firm is injured while working on your property,you may
be held liable for damages.If you obtain an owner-builder permit and wish to hire a licensed contractor,you will be responsible for
verifying whether the contractor is properly licensed and the status of the contractor's workers compensation coverage.
Before a building permit can be issued,this disclosure statement must be completed and signed by the property owner and
returned to the local permitting agency responsible for issuing the permit.A copy of the property owner's driver license,the
notarized signature of the property owner,or other type of verification acceptable to the local permitting agency is required when
the permit is issued.
Was acknowledged before me this _day ot 20�
By who was ersonall known to me or who has
P Y
Pro ced ther Lice a or-:O �4 0 � '
en atlon.
Al M
NER NOTA
CI A�OtiA V-�ugtL oFtorida
Sale p15
�otatYbEXPites SeP 28810
�ommissio N#, Notary Asso.
NOTICE OF COMMENCEMENT
A RECOMM COPY Mi3 T IN POSM tag TM J08 SITE AT TWE M FIRST WMM I will 11111111111100 Iml]all 10-in I
C-11=14 21_412Rr_14 26718
PERMIT NO. TAXf=OL.IO00. OR 8k 28152 Ps 3348; QP9)
RECORDE€? 06/18/2012 10:47:48
HARVEY RUVINP CLERK OF CO1JRT
STATE OF FLORIDA. nIA11I-OADE COUNTYr FLORIDA
COUNTY OF MIAMI-DADS: LAST PAGE
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.
Space above reserved for use of recording office
legal description of property arld.street/address: 5 F ca. t`J�
��
_.,
2. tion of improvement C
3..Owmer(s)_name and address. W4 51
Interest in property: t7m ( St M&I 'A'h3{311h_
Name and address of fee simple titleholder:
4.Contractor's name,address and phone number: COW Nq4n
5.Surety:(Payment bond required by owner from contractor,If any)
Name,address and phone number:
Amount of Mond$
6.Lender's name and address:
7.Persons within the State of Florida designated by Owner upon whom notices or other documents may W served as provided by
Section 713.13(1)(a)t,Florida Statutes,
Name,address and phone number.
8.1n addition to himself,Owners designates the following person(s)to receive a copy of the Llenoes 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 eq*a w date Is 1 year from the date of recmxft unless a dfflWw t date Is specft4
WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE E)(PIRATION OF THE NOTICE OF COMMENCEMENTARECONSIDERED
IMPROPER PAYMENTS UNDER CHAPTER 713,PART i,SECTION 713.13.FLORIDA STATU IES,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 TIC
FIRST INSPEC ION.IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOiiR LENDER OR AN ATTORNEY BEFORE COiv MEiVi NG WORK
OR RECORDING YOUR NOTICE OF COMMENCEMENT
Signature(s)of Owner(s)or Owner(s)'Authorized Officer/Difector/F'artn Aftnager
Prepared$Y Prepared By
Print Name Print Name
Title/Office T'dWOffice
STATE OF FLORIDA
-COUNTY OF MIAMI-DARE t�
The instrument edged before me.this r ()i day of
13v
di
Individu Y or ❑as N for
—I,r known,or produced the following type.of
Signature of Notary Public:
!Tint Name: ,
Ram
ublic-date.of F( ..Eunites yep 23 2015 tlE ATIi3 U YO-SI=C'I1f3t�1 ft �i STA. i�Und f perjury,I declare that I have read the fa and
�'4"'r881D regoing ugh Nation8i llaiary�sn.
that e f In it are true,to the best of my knowledge and belief.
urns of s)or Owner(s)'s Authoriz Offiew/DiredoWartw/Managet who signed above:
BY -BY
'2301-S2 r3 3tf2 Oc-On
t �� �iseMM f �����'�URe ye,®
IBledIllft�®1t G
d8Y o �
S.
"� A D 20,.x..- l o
IVGd�7 f 1, F�11 Ili1r1�� Y BU GGC Wd TPA p'Q'
HARVEY RWI CORK,of Ck=wmN 8trd Cou�y i.m�
aar�cone k�
3 D.C.
PERMIT#
CONTRACTOR:
SUBMITTAL DATE: � 311
ADDRESS:
NAME:
RESUBMITAL DATES:
PROJECT TYPE: I NIT
l .
ZONING FIRE
STRU6TURk7 1/112- IMPACT FEES
ID
ELECTRICAL 7- HRS/DERM
PLUMBIN - NOC
MECHANICAL
BL
,SN�Rs Miami shores Village
�,,,, ,,,,, Building Department
10050 N.E.2nd Avenue
o,� Miami Shores, Florida 33138
p�OR+0 Tel: (305) 795.2204
Fax: (305)756.8972
Permit No: 12-80
Job Name:
April 10, 2012 Page 1 of 1
Building Critique Sheet 2nd
1) Provide all permit applications prior to any further review.
2) Provide corrections forzoning.
3) Provide a separate application forfence work.
4) Provide a separate roofing permit.
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
Miami Shores Village
g
Building Department
10050 N.E.2nd Avenue
Wow Shores,Florida 33138
Tel:(305)795.2204
Fax: (305)756.8972
Permit
1� °"' aft
Nc�
Job Name_412 o
Date
STRUCTURAL CRITIQUE SHEET
t-p Uj 11111111.0 IF,
S t- r lux X6"c; t4!T
4
RES Miami shores Village
ua omiiii
Building Department
10050 N.E.2nd Avenue
49 T.� : Miami Shores, Florida 33138
p�ORIW Tel: (305)795.2204
Fax: (305)756.8972
Permit No: 12-80
Job Name:
February 7, 2012 Page 1 of 1
Building Critique Sheet
Provide approval from Miami Dade County Health Dept. (DOH/HRS) �"J" Al
Provide receipt from Miami Dade Count Planning and Zoning for impact fees.
} Identify the level of alteration. 'RRT A
4) Provide all permit applications prior to any further review.
Provide corrections for mechanical, plumbing,�zoning, and structural. 0 Al
The maximum fence height is 6. Provide a separa of application for this work.
Provide an elevation certificate.
The energy calculations must be completed on form A whole building. sr--); Ap414 O
The wind load design criteria are incorrect. The correct criteria areASCE-7 05. -f=•1
7� E�'
The structural plans have two different soil statements that do not match. Provide a soil
boring report or a soil bearing capacity certificate. 4!� 4(;) )
Provide the design soil bearing. // q
2)Provide truss plans from a specialty engineer reviewed and signed approved by the
designer of record. Ok-
Provide complete structural calculations. The calculations must include foundation
design, masonry design,and all attachments including area of T overhang. ¢
4)Provide product approvals that have been reviewed and approvedby the designer of
record.
5) Provide a separate roofing permit.
6 Identify all existing interior bearing walls on the plans. 6105
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
Ybami Shores 'Village
.Building bepartment
10050 N.E.2nd Avenue
Miami Shores,Florida 33138
Tel:(305)795.2204
Fax: (305)736.8972
Permit No-4-
Job Name �s
Date
STRUCTURAL cRrTrQUE SHEET
_ EET
al
Ae- - o str
codc
A-ITAOWEP
9
Miami Shores Village
Building Department
10050 N E 2nd Avenue
Miarru Shores. Flonda 33138
Tel: (305)795 2204
Fax: (305)756 8972
. O
Permit No.&c-
Job Name
9�
UE SHEET
PLUMBIN CRITI Q .
, p .
a.
x Miami Shores Village.
Building Department
10050 N.E.2nd Avenue
Miami Shores,Florida 33138
Tel:(305)795.2204
Fax: (305)756.8972
Permit No.
Job Name
CRITIQUE SHEET
.. o Miami shores Village
Building Department
�O�t1UA 10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
RECEIPT
PERMIT#:� z°`� -R)o 'z'
DATE:
I, "
• Contractor
• Owner
•Architect
icked
up 2 sets of plans a T cq(kC4-�0"qs
Address:
E=
From the building department on this date in order to have corrections done to plans
And/or get County stamps. I understand that the plans need to be brought back to Miami
Shores Village Builds Departme to continue permitting process.
Acknowledged by:
-�
PERMIT CLERK INITIAL:
RESUBMITTED DATE:
PERMIT CLERK INITIAL:
N Miami Shores Village
Building Department
10050 N.E.2nd Avenue
L — �� Miami Shores, Florida 33138
�xOR1CDA Tel: (305)795.2204
Fax: (305)756.8972
Permit No: 12-80
Job Name:
February 7, 2012 Page 1 of 1
Building Critique Sheet
1) Provide approval from Miami Dade County Health Dept. (DOH/HRS)
2) Provide receipt from Miami Dade County Planning and Zoning for impact fees.
3) Identify the level of alteration.
4) Provide all permit applications prior to any further review.
5) Provide corrections for mechanical, plumbing, zoning, and structural.
'V6) The maximum fence height is 5. Provide a separate application for this work.
7) Provide an elevation certificate.
8)� The energy calculations must be completed on form A whole building.
9) The wind load design criteria are incorrect. The correct criteria areASCE-7 05.
10)The structural plans have two different soil statements that do not match. Provide a soil
boring report or a soil bearing capacity certificate.
11)Provide the design soil bearing.
12)Provide truss plans from a specialty engineer reviewed and signed approved by the
designer of record.
13)Provide complete structural calculations. The calculations must include foundation
design, masonry design,and all attachments including area of 7 overhang.
14)Provide product approvals that have been reviewed and approvedby the designer of
record.
15) Provide a separate roofing permit.
16)Identify all existing interior bearing walls on the plans.
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 y 'k) madc) w, WAM
Miami e . Shores Village
e
lla g
.Building Department
10050 N,E.2nd Avenue
Miami Shores,Florida 33138
Tel:(305)795.2204
Fax: (305)756.8972
Permit Not
Job Name * 4S
Date ' 34./�Z
STRUCTURAL
a CRITIQUE SHEET
*I -JOGI / Cater
co ik fir. 1 f a
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores,Florida 33138
Tel:(305)795.2204
Fax: (305)756.8972
Permit No.-
Job Name
ev u CRITIQUE SHEET
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores,Florida 33138
Tel: (305)795.2204
Fax: (305)756.8972
Permit No. /i �- ®� ' 1k
Job Name
y y.
PLUMBING CRITIQUE SHEET r
e r�,,
smile� Miami
Shores
Village
104 Building Department
R 10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305)756.8972
RECEIPT
PERMIT#:gC.) DATE: I
2j-
� Contractor
Owner
o Architect
y 1
s of plans and o er)
A r
From the building department on this date in order to have corrections done to plans
And/or get County stamps. I understand that the plans need to be brought back to Miami
Shores Village Buil ing De artm t to continue permitting process.
Acknowledged by:
h
PERMIT CLERK INI IAL:
RESUBMITTED DATE: _ 1
PERMIT CLERK INITIAL:
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-175255 Permit Number: RC-1-12-80
Scheduled Inspection Date: July 25,2012 Permit Type: Residential Construction
Inspector: Rodriguez,Jorge
Inspection Type: Footing
Owner: ARENAS,JORGE&TINA Work Classification: Addition/Alteration
Job Address:889 NE 97 Street
Miami Shores, FL 33138- Phone Number
Parcel Number 1132060142650
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
NEW MASTER Bathroom, NEW BEDROOM REMODEL
TWO Existing BATHROOMS, CONVERT EXISTING
BEDROOM INTO LAUNDRY ROOM REMODEL EXISTING
FAMILY ROOM
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-175181. Provid esoil compaction
Qdm test signed and sealed.
OK to pour at own risk. NB
Failed ° I
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 19 of 40
MEgj.
c TESTING S eNGINEERING SERVICES.INC.
FIELD DENSITY TEST REPORT
CLIENT: ARENAS CONSTRUCTION INC DATE: June 29,2012
$89 NE 97th STREET JOB: D-120704
MIAMI SHORES FL 33138
PROJPCT ADDITION
=1? OJ n 04W889=8$9 NE 97th STREET.MIAMI FL
PROCTOR DATA
wAg
10142 BROWN SAND W/LMROCK 117.1 10.3
FIELD DENSITY TEST RESULTS
1 10142 SOUTH AREA OF BLDG SLAB FINAL 116.3 8.3 99.3 PASS
2 10142 EAST AREA OF BLDG SLAB FINAL 115.8 8.4 98.9 PASS
3 10142 WEST AREA OF BLDG SLAB FINAL 116.9 7.1 99.8 PASS
Commnets: JORGE ARENAS(3)300-3103/ARENASJORGE�a;ATT NET
Respectfully Submitted
NELCO TESTING&ENGINEERING SERVICES,INC
MKII.Venkatesan,RE.
Professional Engineer No.63107
State of]Florida
13370 SW 131st Street,Suite 105,Miami,FL. 33186 (305)259-9779
Miami shores Village
gas aim- -
Building Department
► 0050 E2nd Avenue
Miami Shores, Florida 33138
Tel: (305)795.2204
Fax: (305)756.8972
MIAMI SHORES VILLAGE
NOTICE TO BUILDING DEPARTMENT
OF EMPLOYMENT AS SPECIAL INSPECTOR UNDER
THE FLORIDA BUILDING CODE
I(We)have been retained by 110 MAE to perform special inspector services under
the Florida Buffing Code at the AWbM RPIMUE&E— poled on the below listed structures as of
9 ^ • i _(date).I am a registered architect or professional enginmr licensed in the State of Freda
MESS NUMBERS: R--gi,4Lt N0 RL 1-12-80 >9 NE�7
❑ SPECIAL INSPECTOR FOR PILING,FBC 18221.2D(114404.6.120)
❑ SPECIAL INSPECTOR FORTRUSSES>35'LONG OR 6'HIGH 2319.1724.2(84409.6.1724.2)
■ SPECIAL INSPECTOR FOR REINFORCED MASONRY,FBC 21224(R4407.5A)
❑ SPECIAL INSPECTOR FOR STEEL CONNECTIONS,FBC 22182(R4408.5.2)
• SPECIAL INSPECTOR FOR SOIL COMPACTION,FBC 1820.3.1(R4404.4.3.1)
❑ SPECIAL INSPECTOR FOR PRECAST UNITS$ATTACHMENTS,FBC 1927.12(84405.9.12)
❑ SPECIAL INSPECTOR FOR
Mote:Only the marked boxes apply.
The following mdMdual(s)employed by this firm or me are authorized representatives to perform inspection
I. F Yii1_31S Mt91?.A 2.
3. 4•
*Spwal Inspectors uffing authorized representatives shall mssurse the authorized representative is qualified by education or
t'icansure to perform the duties assigned by the Special b speft. The quar cdm shaft include Gcensure as a professional
engmeer or architect graduation from an engineering education program m civil or structural engdneefmg; graduation from an
architectural education program;successful completion of the NCEES
Fundamental Examination;or reg r ng inspector or general contractor.
1,(we)will notify Miami Departrnent of any changes regarft authorized personnel performing inspection
services. .
I,(we)u 6A a s spection tog for each building must be displayed in a convenient ration on the site
for 13ttilueng Department Inspector:AD mandatory inspections,as required by the Florida
by the County.The Village building Inspections must be caged for on all mandatory inspections.
1 y the Special Inspector hired by the Owner are in addition to the mandatoy irusPections performed by the
or,upon completion of the world under each Building Permit I will submit to the Buff ft Inspector at the time of
al the completed inspection log form and a sealed statement indicating that to the teat of my knowledge,belief and
pro esstonat judgment those porOWS of the projet outlined above meet the intent of the Florida Bung Code and are in
substantial accordance with the approved puns.
Signed and seated Engineeftchitect
Nma, into Mam
Address JQ0 3 5 kl Co3 Y , Mc
DATE:q -1101 rZ Rhone No. — -�- • '�4 0. 5(�5
Creates on 61012009
4
LOCATION SKETCH
-- Cl NOT TO SCALE
7 R=25.00' ,. • th STREET -
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75.00' TOTAL RIW A=90°35'10" _ , • , : • • ; • , 'P. : , : , • ,P.
o T=25.26' !Q PORZIONOFLOT23,BLOCK73 n r . » , . ., _
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CHB=N44°42'25"E " o o o o .. . : : : .•: .
' o o N00 32 05 W 5'W/REFENCE • ` 'w . . .
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®°°° 4 .• n� � CONSTRUCTION � '
+. LEGAL DESCRIPTION:
°�: �. o 0 i• i i i i as '� o
^ \►v LOT 24 AND THE EAST HALF OF LOT 23,BLOCK 73, "MIAMI SHORES SECTION 3;
a �'; o `• � �' � ;, f : :���� d ..,. 35' 1070' ACCORDING TO THE PLAT THEREOF,AS RECORDED IN PLAT BOOK 10,PAGE 37,
OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY,FLORIDA.
Lo U ® �' N o;a Q i s y o \\ i b n i .�� SURVEYOR'S NOT
C ® W 24.90' i 1605' i i 1)NOT VAUD UNLESS SIGNATURE IS EMBOSSED WITH THE REGISTERED LAND SURVEYORS SEAL.
2)LEGAL DESCRIPTION PROVIDED BY OTHERS
1>.80' ;'•:. 11.90'� � �_ 3)PROPERTIES SHOWN HEREON WERE NOT ABSTRACTED FOR EASEMENTS OR OTHER RECORDED
:p 29..5 .1070 = :; ENCUMBRANCES NOT SHOWN ON THE PROPERTYPLAT OF RECORD.
4)MEASUREMENTS TO WOOD FENCES ARE TO OUTSIDE OF WOOD.
nUNDERGROUND UTILITIES,FOUNDATIONS,OR OTHER IMPROVEMENTS,IF ANY,WERE NOT
LOCATED.
6)ELEVATIONS,IF SHOWNARE BASED ON NATIONAL GEODETIC VERTICAL DATUM 1929. .
I :.'.`• 0 V t: 7)FENCE OWNERSHIP NOT DETERMINED UNLESS OTHERWISE NOTED.
40
. 8)MEASUREMENTS TO WIRE FENCES ARE TO CENTER OF WIRE
urni 7.50' 'i rs '3 :•..•...•....•.... 9)WALL MEASUREMENTS ARE TO/FROM FACE OF WALL
SOO°35'10"E 'S`CONC DYALK '•,112 40'(1Vn 112.5d'(R) JO)DRAWING DISTANCE BETWEEN WALLS AND/OR FENCES AND PROPERTYLIfdES MAYBE
EXAGGERATED FOR CLARITY.
4 ...... .::::': ': . . . . . ... .•. . . . .•... . . . . . , : . . . .:. :: a 11)FLOOD ZONE RATE MAPS
11)FLOOD ZONE INFORMATION WAS DERIVED FROM FEDERAL EMERGENCYMANAGEMENTAGENCY
r O o 2 .4NCH0R °
12)BEARINGS fFANYSHOWNARE BASED ONASSUMED MERlD/ANAT:CENTERLINE NE 97th STREET
r o O p 17'PARKWAY ',. A °. LA4 IND/CA TES LAIXMAINTENANCE
o o EGEND CL: INDICATES CLEAR
y assnarees 1NDICATESCONCRETE ENCR: INDICATESENCROACHMENT
z INDICATES uNES FRB: IND/CA7FSFOUNDI
Z REBAR
INDICATES WOODFENCE SRB: INDICATES SET 12'DIAMETER REBAR
INDIGl7ES PROPERTYCORNER TYP•• INDICATES TYPICAL
POS: fftVKATESPO/NTOFBEGWNNG R4V INDICA7ESRIGHT-OF-WAY
POc.' INDICATESPOINTOFCOMMENCEMENT ORB: INDICATES OFFICIAL RECORD BOOK
INDICATESPROPERTYLINE t INDICA7ESMOREORLESS
INDICATES RECORD MEASUREMENT F.F.ELEV.:1ND/CATES FINISHED FLOOR ELEVATION
DUB: AID=TES ORAWAGEA U17LfTVFASEMENT N.T.S INDICA7ES NOT TD SCALE
U.E: INDXA7ESU77UTYEASEAOWT N /NDICATESNORM
.' PRA* /NDICA7ESPERMANENTREFERENCEMONUMENT S INDICATESSOUTH
CERTIFIED TO: ND AV1CATES FOUP �NTROL POINT (m1 �CA REA S
JORGE ARENAS AND TINA ARENAS. T/ES UPDATE.08-24-2012 CL: INDMATESCLEAR CONC.: INDICATES CONCRETE
REWSED:08-29-2012 (c) INDICATES MEASUREDCALCUCATED OWL: )ND/CATESONPROPERTYUNE
C; W.U.P. INDICATES WOOD UTILITYPOLE O.U.L. INDICATES OVERHEAD UTIUTYLINES
FLOOD ZONE.X s A BOUNDARY SURVEY
MAP&PANEL= 1208600306 PROPERTY OF. I HEREBY CERTIFY THAT THIS SURVEY CONFORMS TO PROFESSIONAL SURVEYING AND MAPPING
COMMUNITY No.: 120652 JORGE ARENAS AND TINA ARENAS WE MINIMUM I TECHNICAL OF LAND LANNES & GA R C/A INC.
SURVEYING IN THE STATE OF FLORIDA,AS OUTLINED
SUFFIX:L ti I ADOPTEDBYTHEDEPARTMENTOFAGRCULLTTUREAS p� f
889 NE 97th STREET 9 LB#2098
DATE OF FIRM: 9-11-09 AND CONSUMER SERVICES,BOARD OF e
BASE ELEV.= N/A MIAMI SHORES, FLORIDA 33140 NOT VAUDW ITHOUT`THE SIGNATURE AND THE PROFESSIONAL 1981,URRVEYAM��MAPPERS IN es FRANCISCO F. FAJARDO PSM#4767(QUALIFIER)
ORIGINAL RAISED SEAL OF A FLORIDA LICENSED e 385 ALHAMBRA CIRCLE-SUITE C,
SURVEYORAND MAPPER. CHAPTER 47ZO27 OF THE FLORIDA STATUTES,AND IS
TRUEAND CORRECT TO THE BESTOFMY CORAL.GABLES, FLORIDA M134
--- ---- --- -- - — - - -- - -- -- - - - _ - P Y 9909 F ) 55 -3002 9
- - ...
_.... _. .TcKOw�EiiG ANO BELIEF H 305)s6s- AX_(305
FRANCISCO F.FAJARDO#4787 233245
FLORIDA PROFESSIONAL SURVEYORAND MAPPER /ELD DATE:07-05-2011 SCALE:I-=20' DRAWN
REG.NO.4767. 8Y.A.MEREL I DWG.No.:221845
C1 LOCATION SKETCH
R=25,00' NOT TO SCALE
L=39.53' th ,. r —STREET_—
--'-99
75.00' TOTAL R/W d=90°35'10!. � :. ; ; .': : , • . , w ; i *.�a$, �t ��_;
2 T 25.26' PORT/O/VOFLOT23,BLOC/(73
3 2H ./r7-35.U° f R � �, N.E. 98 .�?T `Y� g
° w CHB=N44 42 25 E ° o >
o N00 32 05 W 5'GY/REFENCE _ W
o 0 0 112.50'(M)(R) g
3760'
38.0'
b
o -3'x2.4' 0 11.95° f50T
O
••::•:• '••+'• i s
2709 `1
' O ONESTORYRES/DENCE �
\\\\\\\ '~ :•::• T'• W 4 ♦ i 'f a i t S: s Q"t -i 1 i T i 2 Y G' • a•.
? 4 PORT/ONOFLOT23,BLOCK73
P LOT24,BLOCK73 \27.60 "" a , z , ..
SE 0
": ;
:.:•:.i-. . .:
j.. .. \\� i. a N.-M.
Y. ®_ O O O�j\ ,:.CONSTRUCT/ON:.':H• 20' ti ::
`�V�
B -
P p LEGAL DESCRIPTION•
hj d� �: � ':�. o �p •i .i i •1•.•�•••J•. t � •.•:.'�'•;: , f1
n: �\ti =: :•: :•. . . . . :- LOT 24 AND THE EAST HALF OF LOT 23,BLOCK 73, MIAMI SHORES SECTION 3,
a o : '• Q, \Q :: ;::: �\p�m 35 10.70 r ACCORDING TO THE PLAT THEREOF,AS RECORDED IN PLAT BOOK 70,PAGE 37,
o u,U:::..:..::: ::: :.
`c Z .b:',':.' ': =: v\p$ 12.25' OF THE PUBLIC RECORDS OF MIAMI-DADS COUNTY,FLORIDA.
N. °a °o:�. :•:::::='::: .: :o.: \ti o ns`^ . SURVEYOR'S NOTES:
�} w. 2490'
Lr V 16.05' F s C a: 1)NOT VAUD UNLESS SIGNATURE IS EMBOSSED WITH THE REGISTERED LAND SURVEYOR'S SEAL
-�- �•: •i�" 2)LEGAL DESCRIPTION PROVIDED BY OTHERS.
1180' 1190.
cb = 3)PROPERTIES SHOWN HEREON WERE NOT ABSTRACTED FOR EASEMENTS OR OTHER RECORDED
rn m 0 A 28.35' ENCUMBRANCES NOT SHOWN ON THE PROPERTYPLAT OF RECORD.
® 10.70 4)MEASUREMENTS TO WOOD FENCES ARE TO OUTSIDE OF WOOD.
z -�I ® Cl .:: :. �A n `n 5)UNDERGROUND UTILITIES,FOUNDATIONS,OR OTHER IMPROVEMENTS,IF ANY,WERE NOT
7 a -0 m �, _ N N LOCATED.
.n p 6)ELEVATIONS,IF SHOWN ARE BASED ON NATIONAL GEODETIC VERTICAL DATUM 1929.
1
:p. WIRE TED.
4 8)MEASUREMENTS TO WIRE FENCES ET l ARE TO CENTER OF
C 7.50' ':::' 3.9 9)WALL MEASUREMENTS ARE TO/FROM FACE OF WALL
:{si:: i:i.:::i '..•:`.:: ° r ° !::112.40` 112.50'R):;''. :::;':::i:i..•:.:.. .': 10)DRAWING DISTANCE BETWEENWALLSAND/ORFENCESANDPROPERTYUNESMAYBE
:..
z� S00 3510 E: f'COnioGW" ..... (M)
c7 D :. ..::::.::':::::::::': ': •: .•;..•;..•.•.•.•.•... .•. .•. ...• EX4GGERATED FOR CLARITY.
m q� O O O 11)FLOOD ZONE INFORMATION WAS DERIVED FROM FEDERAL EMERGENCYMANAGEMENTAGENCY
` O.U.L t1NCN0/T a FLOOD INFORMATION RATE MAPS
0 = D °0 O o 12)BEARINGS IFANYSHOWNARE BASED ONASSUMED MERIOIANAT CENTERUNE NE 97th STREET
D A e p 17'PARKGY.4Y L.M. INDICWTESLAKEMAINTEMWCE
o y EGEND CL: WDICATESCLEAR
-n INDICATESCONCRETE ENCR2 WWATESENCROACHMENT
m INDICATES OVERHEAD LINES AP., INDICATES FOUND IRONPIPE
m a• INDICATES WIREFENCE FRB: INDICATES FOUND REBAR
INDICATES WOOD FENCE SRB: INDICATES SET W DIAMETER REBAR
7 r �\ " ;= 4` �O� INDICATESPROPERTYCORNER TYR.: INDICATES TYPICAL
1 POB: INDICATES POINT OFBEG NN/NG R/W.• lNDlC4TESPJC4ff-OF-WAY
;` POC.• INDICATES POINT OF COMMENCEMENT ORB: INDICATES OFFICIAL ERECORD BOOK
e..
IL' 1NDICATE5PROPER7YLWE t INDICATES MORE OR LESS
D U INCATESRECORDMEASUREMEN7 F.F:EL
EV:INOICA7ESFNISHED FLOOR ELEVA770 N
E• / D/CATESORAINAGE&UTILITYEAS EMENT NTS..
INDICATES NOT TD SCALE
y U.E:: INDICATES UTTLl7?'EASEMENT N /NDIC47ESNORTH
�• PRM.• I ND/CATESPERMANENTREFERENCEMONUMENT S IND/CATESSOU7H
CERTIFIED TO: PCR• INDICATESPERMANENTCONTROL POINT c INDICATESCENTERIJNE
FND: INDICATESFOUND (M) INDICATESRELDMEASUREMENTS
UPDATE:08-24-2012
JORGE ARENAS AND TINA ARENAS. cL: INDICATESCLEAR CONC.: av =TESCONCRETE
TIES REVISED:08-29-2012 (c) INDICATESMEASURE'DCALCULATED ON/PL: INDICATES ONPROPERTYLINE
W.U.R IND/CATES WOOD UTIL"POLE O.U.L. INDICATES OVERHEADUTIUTYUNES
A BOUNDARY SURVEY
FLOOD ZONE:X PROPERTY OF: I HEREBY CERTIFY THAT THIS SURVEY CONFORMS TO PROFESSIONAL SURVEYING AND MAPPING
MAP&PANEL= 12086CO306
JORGE ARENAS AND TINA ARENAS THE MINIMUM TECHNICAL STANDARDS LAND LA 1 V IVES & GA R C/A INC.
COMMUNITY NO.: 120652 SURVEYING IN THE STATE OF FLORIDA,AS OUTLINED
IN RULES 5J-17,(FLORIDA ADMINISTRATIVE CODE),AS 7
SUFFIX L c•
889 NE 97th STREET ADOPTED BY DEPARTMENT OF g n LB#2098
DATE OF FIRM: 9-11-09 AND CONSUMER SERVICES,BOARD OF
BASE ELEV.= N/A MIAMI SHORES, FLORIDA 33140 NOT VAUD WITHOUT THE SIGNATUREAND THE PROFESSIONAL SURVEYORS AND MAPPERS IN 5 a� FRANCISCO F. FAJARDO PSM#4767(QUALIFIER)
ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SEPTEMBER 1981,AS AMENDED,PURSUANT TO n0
SURVEYOR AND MAPPER. CHAPTER 472.027 OF THE FLORIDA STATUTES,AND IS 385 ALHAMBRA CIRCLE-SUITE C,
TRUEAND CORRECT TO THE BEST OFMY - CORAL GABLES, FLORIDA 33134 -
-- --- — - --- —
- — -- — KNOWLEDGEAND BETJEF.
__ PH-(305)--6W-7-909 FAX(305)559-3002
FRANCISCO F.FAJARDO#4767 233245
FLORIDA PROFESSIONAL SURVEYORAND MAPPER MELD DATE:07-05-2011 SCALE.1"'=20' DRAWN BY.A.MEREL DWG.No.:221845
REG.NO.4767.