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RC-13-844 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-199534 Permit Number: RC-4-13-844 Scheduled Inspection Date: September 20,2013 Permit Type: Residential Construction Inspector: Rodriguez,Jorge Inspection Type: Final Owner: MACHEV, LUANN Work Classification: Alteration Job Address:1700 NE 105 Street 312 Miami Shores, FL Phone Number (305)310-5774 Parcel Number 1122300500500 Project: <NONE> Contractor: DAVID HESLER INC Phone: (786)294-0954 Building Department Comments REMODEL OLD KITCHEN CABINETS Infractio Passed Comments INSPECTOR COMMENTS False 5/2/13 NOC PENDING Inspector Comments Passed Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. September 20,2013 For Inspections please call: (305)762-4949 Page 33 of 36 a �� la'r A d• �� . P s -.:-•� g G •X R R # a f^ � -:• i,C b i R R °"1. +����. -.; �iL.�.11' � .'mss.. 6.,i: Za 11 illillilililljl NTT i=71• • a r '` � R §. •r� -a. a M' •.:' �*,_., ,°�:. .msµ� �Y,. _ �,.(g;•- .;-"df!!e!!i" - --. .: AIL INNER=-Rl •o • 9: _ 1 ! e • R. r r. .R i ,,q • t' - R a � R' �.,: R t i�•w. R,c �• q @ �,:•: R r a, F r ..i• 3',R R. �w �- :R�+:• .��.. :>. r 0 a. +- R - Ry+ �. _- :. �. ha R i � ._ 5 6 -:t a • 7C y 9 - - r.. • • R I T. .R. R K- •. i i CA a, n a' :+... �' F ° .�.. ! �. .: . *r • x ae �a a ; . � :_ .• •.: a r R a .. �• '' :_ R r • R v; • •� II w:, s j J r +� •y�u - •- R t .c s w :r � . �•r -.r r - � ,� ry� - _ _ r as • .:^ a c �,� • • - :.Ra= .: R ev ..y.: - �. ,`� ; •: _ _: a�`lc`�R • �(:�, 1 a r • d ■ a r `s � . . .RC r q ^c* 4•`t,- ° t � a z fhiami Shores Villagt Building Department Aw 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795.2204 Fax:(305)756.8972 INSPECTION'S PHONE NUMBER:(305)762.4949 FBC 20 (3 BUILDING Permit No. PERMIT APPLICATION Master Permit No. 1? 4„p A Permit Type: BUILDING ROOFING JOB ADDRESS: 17M b4 k 106 " Vsnev-1 0 3/ 2h City: Miami Shores County: Miami Dade Zip: 33 43 Folio/Parcel# &- QQ Q-1 0 6)6d e Is the Building Historically Designated:Yes NO $ Flood Zone: OWNER:Name(Fee Simple Titleholder): LA,-4,,i ✓Nr9C tm n,*4Q I9 Phone#:3t-457'7a10 -1gAb Address: 1700 �9- lO6 1 r��t ,#3i a City: I S tc ri!i J�`i o�5 State: Zip: 3&Z a a Tenant/I.essee Name: 0 Phone#: Email: A iR/e. iQ 1461- - C Q Y14 CONTRACTOR:Company Name: D41\4 �Gd , PhoOne# ��� l✓�d``7�`t° Address: 410 1.1 City: L Zip: Qualifier Name: (D Phon State Certification ppor,,,,R�elgistration# �� r�¢ � � Cccerrrtific,A,ate of Competency#: Contact PhoneEx:�lX®C � Email Address: Lf�l fa,e __ °C 0_A-/ DESIGNER:Architect/Engineer: Phone#: Value of Work for this Permit:$ SquardUnear Footage of Work: Type of Work: OAddi'on OAlteration ONew epair/Replace ODemolition Description of Work: e �C °C� \ t Color thru tile: Submittal Fee$ �. Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL, NOW DUE$ ' Bonding Company's Name(if applicable)" Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) 0/A 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 commend 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,BEATERS,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 pe In sent of such sted notice, the inspection will not be approved and a reinspe " n e will be charged, {p Signat}afe ro Signature Owner or Agent /� Contractor The foregoing instrument was acknowledged bef�me this 0( �19 The foregoing instrument was acknowledged befo me this day of® 2t 2.013 ,by Q t1 n (Ul'Cr/1( `� day of gaol. ,20 i,.,,by '3'"' �` who is personally known to me or who has produced A-0 b' who is personally known to me or who has produced t✓��S ``e, as identification and who did take an oath. ERMTW A.MEKSO NOTARY PUB s _Stria of F�Aa NOTARY PUBLIC: My Cimgn.Expo 11r ZQ45 Caamiasion#EE 153352 S' " Sign: Print. L L A-e in Ps7e Print -OA PUB BRUMN40 My Commission Expires: 10 My Commission MY COMMISSION I EE 114938 a * EXPIRES:August 8,2015 �rgTF6f f���\oP B0WedTfwBudsetNatffYsV des APPROVED BY �17 l / Plans Examiner Zoning Structural Review Clerk (Revised 311=012)(Revised 07/10/07)(Revised 06110=M)(Revised 3/15/09) CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 • 1940 NORVE MONROE STREET TALLAHASSEE MWO 2' 2 - L 3 39! •783 HESTER, DAVID PAUL DAVID RESTER, INC 420 NE 115TH STREET MIAMS FL 33161 FLOWA ACP Congratulationsl vvlth this license you become one of the nearly one million pg bk Bush 5 Floridians licensed by the Department of Business and Profisssiorucl Reguaafiion ;';: P ESSI0 ITAL REGTI T t3N .. Our professionals and businesses range from architects to yacht ltrokers,from boxers to barbeque restaurants,and they keep Ftorbcth's ecxmomy sarong. �1 C13#3Ct337 � j2tt 2 600000 0 Everyday we wok to improve the way we do business in order to serve you better. For information about our services,please log onto w ww dalicense coo l S D 'in There you can find more information about our divisions and the regulates that impact you,subscrft to department newsletters and learn more about the Department's initiatives. r° Our mission at the Department 1w.License Efficiently,Regulate Fairly.We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida,and congratulations on your new ticensel = TI ► Vma�' sattos a s ft— 2 1 - of €2tt 28 4� F ... .. v -----"- DETACH HERE T O �t� l ID DS3EyAR� F BIISI SS A.*= PROFESS.T i' -�$GULATIO* xf�i IIC T01�7 INDUSTRY LICENSING 13 0 ;L120320004"i : 7asder .thy=govis :cne c .`Ckat :r 489! FHF rations date AUG. 3 t, 20 VIV g � y r ` 420 NN 115T$ STREET y �r r r j FL 33161 r i. c f� j Y erg o s X13 :o r r OK K. KIT -LAN, ON. : R $ECRBTA$Y D1 Y AS t UJOE[ r FStST C LASS SS - '•� I U.S.POSTAGE # PAID # ' r NUft FL PERI.W NO 231 691974—I THIS tS MO's'A BR-L—DO PAY RENEWAL BUSBIESS RAW I LOCAT M RECEIPT MO, 719582-9 DAVID HESTER INC STATE# CRC1330537 420 HE 115 ST 33161 UNIN DADE COUNTY OWIG R DAVID HESTER INC of Bughmm Sm WORKER/S r�6 -BUILDING CONTRACTOR 1 mm NM Pwwr MUM=MAW MUSSIM ra�r OR ZONM OR DO NOT FORWARD Dm IT OR Lu ` ��D F DAVID HESTER INC aMUMA, DAVID HESTER FIRES 420 HE 115 ST MYMM MIAMI FL 3 esvrnx 3163 cow 07/17/2012 600 0000533 000075.©o ifti i,ttiilISO itfiils soffit fit of Ills I fit IIhlMIS lilts 1011,f SEE OTHER SIDE ; f Date CERTI FI CATE OF LI ABI LI TY I N SU RAN CE 10131/2012 Producer: Lion Insurance Company This Certificate is Issued as a matter of information only and confers no rights 2739 U.S. Highway 19 N. upon the Certificate Holder. This Certificate does not amend,extend or alter Holiday, FL 34691 the coverage afforded by the policies below. (727)938-5562 1 1 nsurers Affording coverage NAI C# Insured: South East Personnel Leasing, Inc. &Subsidiaries Insurerk Lion Insurance Omtpany 11075 2739 U.S. Highway 19 N. Insurer B: Holiday, FL 34691 Insurer C: Insurer D: Insurer E: Coverages The policies ofiroxame hated below how been Issued to the Inared named abovelbrihe policyperiod ngariyrequremerd orco on any or r rre to which the certificate maybe issued or may pertain,the irra"m afadad bytte policies described herein is subjedto al the terms,wrlrsions,and conditions of such policies.Aggregate limits stewn may haw been reduced by paid claims. MR ADDL Policy Effective Policy Expiration Date Limits LTR I,SRD Type of Iremnoe Policy Number Date (MM/DD/YY) (MM/DD/YY) ENERALLIABILITY Each Ooru ne rene;ral mmercial General Liability Damage to rented premises(EA Claims Made 13 Occur ocramerrca> Med E* aggregate Omit applies per. Personal Adv Injury General Aggregate cy ❑Project ❑ LOC Produ is-Comp'Op Agg MOBLE LIABa1TY Combined Single Limit (EAAcaident) $ AnyAuID Al Owned Autos Bodily Y Sledded Aubs (Per Person) Hired Aube may" Non4Dwned Autos (P-Accident Properly Damage (P-AcddeM EXCESSIUMBRELLA LIABILITY Each O=r mnca Occrr ❑Claims Made Aggregate Dedudtble A Workers Compensation and WC 71949 01/01/2012 01101/2013 X we Statu- OTH- Employers'Llabiily I tory limits I ER Arry proprietor/partrrer/executive officer/member E.L.Each Ardent $1,000.000 excluded? NO E.L.Disease-Ea Employee :61,000,000 If Yes,describe under special provisions below. E.L.Disease-Policy Limits $110001000 Other Lion 1 nsurance Company Is A.M.Best Company rated A-(Excellent). AMB# 12616 Descriptions of Operations/LocationsNehicles/Exclusions added by Endonsement/Special Provisions: olent I D: e4.6&-534 Overage only applies to active employee(s)of South East Employee Leasing Services, Inc that are leased to the following"Client Company": David Hester,I nc. (overage only applies to injuries incurred by South East Personnel Leasing, Inc&Subsidiaries active employee(s) ,while working in Florida. Coverage does not apply to statutory employee(s)or independent contractor(s)of the Client company or any other entity. A list of the active employee(s)leased to the Client Company can be obtained by faxing a request to(727)937-2138 or by calling(727)938-5562. Project Name: ISSUE 03-21-12(SS) Begin Date:1011 Sr 2011 CERTIFICATE HOLDER CANCELLATION VILLAGE OF MIAMI SHORES Should arty of Die above described poldes be cancelled before the wpiralion date 1 ereof,tte issuing Insuerwil endeavorto nail 30 days written entice to file certificate holier named to the left.buttaihrs to do so stall impose m obligalonor lability of arty Idnd upon the lmurer,its agents orreprmserrmfivas. 10050 N.E.2ND AVENUE MIAMI SHORES, FL 33138 ' f4�Yr P' F+ti. °�tic'1 tl CONNOOMIN{tJM APARTMENTS WORK QUEST APPLICATION / 14 Owner's Name 1/ � Unit I hereby request approval from the Board of Directors for the following modification or alteration to my unit that will be performed by a licensed contractor. ° Electrical work PIumbing work Carpet installation "Windows Tile installation Other work 3 Description of the work yd� �� ��� � �� � l Before you decide to upgrade your apartment(other than paint or carpet)you must obtain'permission from the Board of Directors and/or Miami Shores Village. A copy\of the plans, specifications and permits, and a description of the licensed �~ work to'.be performed must be submitted for consideration and approval by the Miami Shores Village Building Department(305-795-2204). It is the owner's responsibility to ensure that the contractor removes all excess construction material or building debris. It cannot be placed in the dumpsters. "Window frames must be gray in color to look like aluminum. Windows must be Two (2) panels over Two (2) panels. Glass must be clear color. I, as the unit owner acknowledge responsibility for any damage to the building or personal injuries that may occur during the project. The Shores Condominium Inc. its officers and employees are in no way responsible for damage or theft to my apartment or my belongings. (A $200.00 deposit is required and will be refunded if no damage to the property is reported.) I fully u d and a o the statements made above. t ner's signature Date Approved by: Date: 1 ,� • � Cr &B CONDOMINIUM APARTMENTS '700 NORTHEAST I05Tii STREET ON BISCAYNE BAY • MIAMf SHORES.FLORIDA 33138 PI ZONE(305)S9 a G 141 PER REQUIREMENT FROM OUR INSURANCE COMPANY, WE NEED CERTIFICATES OF INSURANCE FOR LIABILITY AND WORKERS COMPENSATION MADE OUT TO SHORES CONDO ASSOCIATION. 1700 NE. 105 STREET. MIAMI SHORES, FL. 33138. THESE CERTIFICATES MUST BE FROM THE CONTRACTOR .. 5 ON RECORD FOR THE WORK BEING PERFORMED. ` BOARD OF DIRECTORS. 30 314 -1711 oil C) 1�1 d 6 u� PERMIT (% t Miami hones Village t�-- T^1 r APPROlvED BY DATE ZONING DEPT BLDG DEPT - z SUBJECT fO CCMPU,6NCE WITH ALL.FEDERAL 4 q � STATE ANo CC-lj v t{RULES AND REGULATTdNS o� Z a i w� _... _ . _..._ _...a.�_. 130 THAN SMOKE/CARBON MONOXIDE DETECTORS. —�O POI�ALONG COUNTER TO BE MORE T � .ty 2 FEET FROM G.F..I PROTECTED RECEPTACLE. PUT D/W RECEPTACLE UNDER SINK. INSULATED CONDUCTORS TO BE REPLACED. ALL FIXED APPLI�a S ON DEDICATED CKTS.