The URL can be used to link to this page

DS-13-2381 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-201613 Permit Number: DS-10-13-2381 Scheduled Inspection Date: November 25,2013 Permit Type: Driveways/Sidewalks/Slabs Inspector: Rodriguez,Jorge Inspection Type: Final Owner: , BANKUNITED Work Classification: Addition/Alteration Job Address:35 NE 92 Street Miami Shores, FL 33138- Phone Number Parcel Number 1132060130240 Project: <NONE> Contractor: A&J GENERAL CONSTRUCTION CORP. Phone: (305)599-2782 Building Department Comments APPROACH OVERLAY/ASPHALT-APPLY PRIMER APPLY Infractlo Passed Comments ASPHALT INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. November 22,2013 For Inspections please call: (305)762-4949 Page 16 of 33 4 CE1 , ' Miami Shores Village oer 2 2013 Building Departmentm 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795.2204 Fax:(305)756.8972 INSPECTION'S PHONE NUMBER:(305 762.4949 t®� � � � FBC 20 l BUILDING Permit No. PERMIT APPLICATION Master Permit No l Permit Type: BUILDING ROOFING B ADDRESS:RESS: 35 NE 92 ST City: Miami Shores County: Miami Dade Zip; 33138 Folio/Parcel#: 11-3206-013-0240 Is the Building Historically Designated:Yes NO Flood Zone: a OWNER:Name(Fee Simple Titleholder):BankUnited phone#; Q`j °91:7, I� Address:7815 NW 148 ST City: Miami Lakes State: FL Zip; 333016 2 Tenan ssee Name: WA Phone#:3(0�` 8:1-7 Email: r I I,'h I Ukd a on M ✓ CONTRACTOR:Company Name: A&J General Contractors Phone#: 305-599-2782 Address: 4337 E 11th ST City: Hialeah 5tate. FL gip; 33013 Qualifier Name: Miguel Guerrero Phone#: 305-599-2782 State Certific-. . or Registration#: CGC1519495 Certificate of Competency#: Contact Phone#: 305-599-2782 Email Address: DESIGNER:Architect/Engineer. Phone#: Value of Work for this Permit:$ 0 0 0 Square/Linear Footage of Work: / 060 Type of Work: DAddition LIAlteration l]New adepair/Replace C.11Demolition Description of Work: CA Re ro C 1,% We ld6bAaff- f I.We rr 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 FEE NOW DUE$ r �° i3"'° A 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 COM[MENCEM ENT:' Notice to Applicant: As a condition to the issuance of a building permit with are estimated value exceeding$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. to the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged C/% e ignature Signature O er or Agent Contractor i Lou, e foregoing instrument was 1owledgeend befo me this The foregoing instrument was acknowledged before me this J* day o &r-,2da,by 1J ►/11 S.t/P l 07 day of®e 20,A by who is personall known to me or who has produced who is personally known to me or who has produced Y ,u As identification and who did take an oath. as identi lion and who did take an oath. � � asc z ° OTARY PUBLIC: NOTARY PUBL -�y��• _ ign. Sign: a t:/ 1 lJ40OU012 Print: c.2 y Commission Expires%0°`�—/�p My Commission Expire 1k.AW.4-01- RAY COMMISSION s EE 192500 ORRES:April 27,201& Ba nded Thru Notmy Public Undewhem APPROVED BY Plans Examiner Zoning Structural Review Clerk {Revised 3/12t2O12XRevised 0711 o/(Y7)(Revised Ob/1OrAM)(Revised 3/15109) e• • •- a -o a - • e AC 61 5 H STATE OF FLORIDA . DEFARTI ENT °bF Bt NS R.OFES.SIONAL RZOUL ATION CONSTRICT -a Nbi TRY ..LNNQ BOARD. ICESI 2[ x SEWL12071003.088 { e LICENSE NBR p t i 07' .10 20i2. 1127000`995 C'C�C15194�5 �' s t ate,` The: GENERAL -CONTRACTOR, Named below. IS CERTIFIED &; ' Under the,provisions of Chapter n Swizs = Expiration date: AUG 31, 2014 kL aYp �jq, j GUERRERO, MTGI7L ANGEL A & J GENERAL. CONTRACT012 S 7947 NW 64 MIAMI FL 33166 RICK SCOTT KEN LAWSON GOV$RNOR = SECRETARY DISPLAY AS REQUIRED BY LAW Local Business Tax Receipt Miami—Dade County, State of Florida —THIS IS NOT ABILL—DO NOT PAY LBT 6256200 BUSINESS NAME&OCATION RECEIPT NO. EXPIRES A&J GENERAL CONTRACTORS RENEWAL SEPTEMBER 3a70, 2014 6530770 Must be displayed at place of business 4337E 1 1 AVE Pursuant to County Code HIALEAH,FL 33013 Chapter 8A-Art.9&10 OWNER SEC.TYPE OF BUSINESS A&J GENERAL CONTRACTORS CORP PAYMENT RECEIVED C/0 GENERAL MIGUEL GUERRERO 196 SUB-BUILDING BY TAX COLLECTOR CONTRACTOR 45.00 09/10/2013 Worker(s) 1 CRC1329763 022413-001050 This Local Business Tax Receipt only confirms payment of the Local Business Tax.The Receipt is not a license, permit,or a certification of the holders qualifications,to do business.Holder must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT N0.above must be displayed on all commercial vehicles-Miami—Dade Code Sec 80-276. MwMFDADE For more information,visit www.miami'dade.gov&xcollector OCT-21-2013 10:12A FROM: TO:3057568972 P.2 CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDWfYW) 10/21/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pollcy(les)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 doss not confer rights to the certificate holder In lieu of such andansemen e. PRODUCER CONTACT Juan Hernandez Casualty Systems Inc. E (305)551-0590 1 N NOID(8os)ss1-aesT 3331 SW 107 Ave 2 ,d Casualtynystema.com INSURE 8 AFFORDING COVERALL NAIL K Miami FL 33165 INSURED INSURERAI4esa Underwriters Insurance Cc A 8 J General Contractor Corp. C:-INOURER 0: 7947 NW 64 St -INSURER Ns E E Miami FL 33166 INSURER : COVERAGES CERTIFICATE NUMBER-.CL1362803092 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN TYPE OF INSURANCE UOR p P LIMITS GENERAL.LIABILITY- EACH OCCURRENCE s 1,000,000 X COMMERCIAL GENERAL LIABO.nY PREMISES� fF.a Deco § 50,000 A CLAIMS MADE []D OCCUR A@882646106 /3/2033 /3/2016 MEDEXP An one arson S S,ODO PERSONAL 9 ADV INJURY S 1,000,000 GENERAL AGGREGATE S 2,000,000 GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS•COMPIOPAGG $ 1,000,000 WX POLICY M JPR M LOC $ AUTOMOBILE LIABILITY ANYpAyUyTNO BODILY INJURY(Per pwwn) S AUTOS AUTOSS BODILY INJURY(Par walde" S HIRED AUTOS q� ED R 1 S S UMBRELLALME OCCUR EACH OCCURRENCE S EXCESS LUIB CLAIMS-MADE AGGREGATE $ ED FtErENTIONs $ WORKERS COMPENSATION AND EMPLOYERS,UAUIUW 192M IS"" ANY PROPRIETORIPARYNERIE)MCUTNE E.L.EACH ACCIDENT $ FFICERIMEMBER EXCLUDED? N I A nnMyyandatory In NH) E.L.DISEASE-EA EMPLOYE S bE RIP�TION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS t VEHICLES(Atdtch ACORD 101.AddMonal RemarksSah"ds,M more spas Is ragtdnd) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Miami. Shores Village ACCORDANCE WITH THE POLICY PROVISIONS. Building Dept. 10050 NE 2nd Ave. AUTHORIZED REPRESENTATIVE Miami Shores, FL 33138 Juan Hernandez/YOYI ACORD 26(2010106) ®1858-2010 ACORD CORPORATION, All rights reserved. INA028r9n1nwni Tho Ar:nRn name anal Innn ora ronleforoef manta of annan 06-25-2012 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 CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 06/2512012 EXPIRATION DATE: 06/25/2014 PERSON: GUERRERO MIGUEL FEIN: 651128401 BUSINESS NAME AND ADDRESS: A & J GENERAL CONTRACTORS CORP 7947 NORTHWEST 84TH STREET NIANI FL 33188 SCOPES OF BUSINESS OR TRADE: 1- CERTIFIED RESIDENTIAL CONTRACT 2- CERTIFIED GENERAL CONTRACTOR IMPORTANT: Personal to Chapter 440 . 06(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election coder this section may not recover benefits or compensation under this chapter. Pursuant to chapter 440.06112!, F.S., Certificates of election to be exempt... apply only within the scope of the business at trade listed on the notice of election to be exempt. Pursuant to Chapter 440.0503), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation If, at any time after the filing of the notice or the Issuance of the certificate, the person vowed as 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 Parana named on the certificate to meet the requirements of this section. QUESTIONS? (850) 413-1609 OWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01-11 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA IMPORTANT DEPARTMENT OF FINANCIAL.SERVICES DIVISION OF WORKERS'COMPENSATION F Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who CONSTRUCTION INDUSTRY O elects exemption from this chapter by filing a certificate of election CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA L under this section may not recover benefits or compensation under this WORKERS COMPENSATION LAW .' D chapter. EFFECTIVE: 06/26/2012 EXPIRATION DATE: 06/25/2014 Pursuant to.Chapter 440.05112), F.S., Certificates of election to be PERSON: NIGUEL GUERRERO H exempt.. apply only within the scope of the business or trade listed on FEIN: 651128401 R A& J G the notice of election to be exempt BUSINESS NAME AND ADDRESS: E Pursuant to Chapter 440A5(13), F.S., Notices of election to be exempt A& GENERAL CONTRACTORS CORP and certificates of election to be exempt shall be subject to revocation 7947 NORTHWEST 64TH STREET if, at any time after the filing of the notice or the issuance of the MIAMI, FL 33166 certificate, the person named an 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 SCOPE OF BUSINESS OR TRADE: person named on the certificate to meet the requirements of this 1- CERTIFIED RESIDENTIAL CONTRACT 2- CERTIFIED GENERAL CONTRACTOR section. - QUESTIONS? 1850) 413-1609 CUT HERE * Carry bottom portion on the job, keep upper portion for your records. DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01-11 III f � VIZCAYA SURVEYING AND MAPPING, INC, LAND SURVEYOR & PLANNER PAGE 2 OF 2 13217 SW 46 LANE war V"Wmioor PacE I of 2 MIAMI, FL 33175 PHONE:-(305)223-6060 E—MAIL : rvimaya.130gmaQ.com JOB No. U-10-0613 SCALES 1' = 10' BOUNDARY SURVEY loom lD ARM mw-la M * � OCT 2 12013 p Y. Byd N -Tn Mia pAPPROVED BY DATE ° em M) ZCNNNIG DEPYI M LL T,( ZZ { ?o, 0� SUBJECT "O C(-,MPI.16TICE T >7 ALL FEDERAL �Tl TC �P�v C r I1IV iY rJLL� ANJ REGULATIONS M oRlOS � wilco FEME 5 Cu 4AE' SIOI" POOL ,2x 0.00' z 8x 1.35' 5.61' 13 m Lar aaLss as �c 1 3' 14.80' n n f 30.43' w 18.40 20.75' N E lv RLX oars R V LOT RMENCE ORa� A 35 'R F.FL- 10.40• rf�i ao' P 1.2 11 2;0.8V suc R �4! c � 14.75' ai Tu 18.40' 0.66' LW I4 1 .3 ' Lnr muss .0 ' a aP 15 N C-4 Ass 1 M/W >m a�� o� 145. 0 30 u 120 me My W SIDEWALK = 5.00' (Mach) 100.00' Z Q� 1� 0 Y PARKWAY 23.00' L) o_j E7q M M =I--' 17O 6 i ASPHALT = 20.00' N.E. 92nd STREET - - - - --�-- - - - B.O.B. C t LOCATION SKETCH NOT VAUOwnHGuTM°�2OF2 SCALE:NTS N uz � JOB No. U-10-061_3 J 35 N.E. 92nd ST, MIAMI SHORES, FL 33138 PROPERTY ADDRESS LEGAL DESCRIPTION: LOTS 15 & 16 BLOCK 2 MIAMI SHORES SEC-1 AMD " ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 10 AT PAGE 70 OF THE PUBLIC RECORDS OF DADS—COUNTY FLORIDA. LEGEND AND ABBREVIATIONS PJ °PaNr IrNr�sECnoN n °CENTRAL ANGLE flp P.R C °POINT OF REVERSE CARVE �/ °WOW FENCE(S. ®ELEVATION SJ.R. �SET IRON ROD .CHAIN LINK FENCE(V HIGH) ORWY. DRIVEWAY P.O.C. °POINT OF f:OMMEN-CEAIEM P.C. ° POINT OF CURVATURE —,X--MM WALL U.P. °UTILITY POLE F.N. °FOUND NAIL. F.N.D. °FOUND NAL/DISK 9/C °BLOLBf CORNER MD.& °BASIS OF BEARINGS P.T. °POINT OF TANGENCY MSC. -pOFF COMPOUND CURVE R :RADIUS A/C °AIR CONDITIONING PAD E.N.C. °ENCROACHMENT N.G.VD. °MONUMENT GEODETIC ERIC VERTICAL DATUM RAG. °RADIAL. A °ARC DISTANCE F.H. FILE HYDRANT O.E. °NATIONAL D ELECTRIC DETI LINE Rte' ° RESIDENCE BL.OG. • BUILDING F.I.P. °FOUND IRON PIPE P.B. ° PUT BOOK R/W °RIGHT OF WAY C.B. °CATCH BASIN F.I.R. ® FOUND REBAR °SECTION C.B.S. °CONCRETE BLOCK STRUCTURE LF.E °LOWEST FLOOR ELEVATION P.C-P °PERMANENT CONTROL POINT EL P. °SET IRON PIPE CH. °CHORD DISTANCE Y) MEASURED P.G. °PACE STY °STORY I.P. LIGHT POLE P.O.B. ° POINT OF BEGINNING SWK °SIDEWALK CL °CLEAR R RECORD P/L ° PROPERTY LINE TTER CONC. °CONCRCONCRETE (R)&h RECORD&MEASURED N.T.S. °NOT TO SCALE UE. °ULY EASEMENT ELEVATION INFORMATION: BASED ON THE FLOOD INSURANCE RATE MAP OF THE FEDERAL EMERGENCY MANAGEMENT AGENCY DATED OR REVISED ON 09/11/2009 THE HEREIN DESCRIBED PROPERTY IS SITUATED WITHIN ZONE BASE FLOOD ELEVATION A COMMUNITY 120652 PANEL NUMBER 0302 SUFFI N X L ELEVATIONS(WHEN SHOWN) REFER TO N.G.V.D., 1929 DATUM, 3100 SW COUNTY BENCHMARK USED N-5618 ELEVATIONS---9.65' FEET B.M. LOCATOR_ FIELD WORK REVISIONS THE CERTIFICATE DOES NOT EXTEND TO ANY UNNAMED PARTY. DATE; 10/16/13 DATE CERTIFIED T0: THIS COMM THAT THIS BOUNDARY SURVEY DESCRIBED HEREON WAS MADE UNDER MY SUPERVISION AND THAT THE SAME MEETS THE MINIMUM TECHNICAL. BANK UNITED. STANDARDS SET FORTH BY THE FLORIDA BOARD OF SURVEYORS AND MAPPERS IN CHAPTER 610N 47&2 02FLORIDA ADMINISTRATNE CODE.PURSUANT To FLCF"STATUTES. VIZCAYA SURVEYING AND MAPPING, INC. LAND SURVEYOR & PLANNER 13217 SW 46 LANE LEGAL NOTES MIAMI, FL. 33175 THIS SURVEY DOES NOT REFLECT OR DETERMINE OWNERSHIP. 223-6060 rvinoya.1369mag-COM EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE 10 DETERMINATE RECORDED PHONE-(305) INSTRUMENTS,IF ANY.AFFECTING THE PROPERTY.THIS SURVEY IS SUBJECT TO DEDICATIONS. LIMITATIONS RESTRICTIONS. RESERVATIONS OR EASEMENTS OF RECORD. LEGAL DESCRIPTIONS PROVIDED BY CLIENT.THE LIABILITY OF THIS SURVEY S UNTRIED TO THE COST OF THE SURVEY. UNDERGROUND ENCROACHMENTS,IF ANY.ARE NOT SHOWN.THIS FIRM HAS NOT ATTEMPTED TO LOCATE FOOTING AND/OR FOUNDATIONS AND/OR UNDERGROUND IMPROVEMENTS OF Y NATURE.IF SHOWN.BEARINGS ARE REFERRED TO AN ASSUMED MERIDIAN. IF SHOWN. VIZCAYA SURVEYING AND MAPPING, INC. AN ELEVATIONS ARE REFERRED TO N.G.VD.OF 1929.THE CLOSURE IN THE BOUNDARY SURVEY IS STATE OF FLORIDA ABOVE 1.10000.THIS SURVEY IS NOT INTENDED FOR NEITHER DESIGN FOR CONSTRUCTION PURPOSES. NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISE SEAL OF A FOR THOSE PURPOSES A TOPOGRAPHIC SURVEY IN REQUIRED. FENCE OWNERSHIP NOT LOWEST FLOOR ELEVATION REPRESENT FINED FLOOR ELEVATION AT THE FRONT DOOR UNLESS FLORIDA LIAISED SURVEYOR AND MAPPER FINISHED G,� NOTED ARTURO TOIRAC. P.L.S. AND MAPPER UC # 3102 IMPORTANT:In these spaces,copy the corresponding information from Section A. IR 1NliFhFC GQNIpAN USE Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. POFi�cY NU 35 N.E.92nd ST City MIAMI SHORES State FL ZIP Code 33138orrpanyFC Nt[rsber SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agent/company,and(3)building owner. Comments C.O.R.=8.94' LAT&LONG OBTAINED BY GOOGLE EARTH EQUIPMENTS OF A/C UNITS AND EQUIPMENTS OF FOOD CASES CONDENSOR UNITS ELEVATION=8.90' Signature Date 10/16/13 SECTION E-BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE),complete Items E1-E5.If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B, and C.For Items E1-E4,use natural grade,if available.Check the measurement used.In Puerto Rico only,enter meters. E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade(HAG)and the lowest adjacent grade(LAG). a)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑feet ❑meters ❑above or❑below the HAG. b)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑feet ❑meters ❑above or❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 8-9 of Instructions),the next higher floor (elevation C2.b in the diagrams)of the building is ❑feet ❑meters ❑above or ❑below the HAG. E3. Attached garage(top of slab)is ❑feet ❑meters ❑above or ❑below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑feet ❑meters ❑above or❑below the HAG. E5. Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑Yes ❑ No ❑ Unknown.The local official must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's authorized representative who completes Sections A,B,and E for Zone A(without a FEMA-issued or community-issued BFE) or Zone AO must sign here.The statements in Sections A,B,and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑Check here if attachments. SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation Certificate.Complete the applicable Rem(s)and sign below.Check the measurement used in Items G8-G10.In Puerto Rico only,enter meters. G1. architect who The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer,or c Comments area below. is authorized b law to certify elevation information. (Indicate the source and date of the elevation data in the Co ) Y G2.[-I A community official 9 I com leted Section E for a building located in Zone A without a FEMA-issued or community-issued BFE)or Zone AO. G3.❑ The following information(Items G4-G10)is provided for community floodplain management purposes. G4.Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: ❑New Construction ❑Substantial Improvement G8. Elevation of as-built lowest floor(including basement)of the building: ❑feet ❑meters Datum G9. BFE or(in Zone AO)depth of flooding at the building site: ❑feet ❑meters Datum G10.Community's design flood elevation: ❑feet ❑meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑Check here if attachments. FEMA Form 086-0-33(7/12) Replaces all previous editions. U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE FEDERAL EMERGENCY MANAGEMENT AGENCY OMB No. 1660-0008 1 National Flood Insurance Program Important: Read the instructions on pages 1-9. Expiration Date:July 31,2015 SECTION A-PROPERTY INFORMATION 'INS I APIY tlS :` Al. Building Owner's Name BANK UNITED P6'1Icy Nurri a f A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Ca 3±IAt 77,77 35 N.E.92" ST City MIAMI SHORES State FL ZIP Code 33138 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) LOTS-15&16,BLK-2,"MIAMI SHORES SECA AMD",PB-10,PG-70 A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)Residential A5. Latitude/Longitude:Lat.25D51'35N Long.080DI1'48W Horizontal Datum: ❑ NAD 1927 ® NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. AT Building Diagram Number A8 A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) 1,848 sq ft a) Square footage of attached garage N/A sq ft b) Number of permanent flood openings in the crawlspace b) Number of permanent flood openings in the attached garage or enclosure(s)within 1.0 foot above adjacent grade 7 within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b 950.4 sq in c) Total net area of flood openings in A9.b N/A sq in d) Engineered flood openings? ❑ Yes ® No d) Engineered flood openings? ❑ Yes ® No SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP Community Name&Community Number B2.County Name B3.State VILLAGE OF MIAMI SHORES 120652 DADE FL B4.Map/Panel Number B5.Suffix B6.FIRM Index Date B7.FIRM Panel B8.Flood B9.Base Flood Elevation(s)(Zone 12086CO302 L 09/11/2009 Effective/Revised Date Zone(s) AO,use base flood depth) 09/11/2009 X N/A B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes ® No Designation Date:WA ❑ CBRS ❑ OPA SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) Cl. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* ® Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations-Zones Al-A30,AE,AH,A(with BFE),VE,V1 V30,V(with BFE),AR,AR/A,AR/AE,AR/Al-A30,AR/AH,AR/AO.Complete Items C2.a-h below according to the building diagram specified in Item A7.In Puerto Rico only,enter meters. Benchmark Utilized:N-568 Vertical Datum: NGVD Indicate elevation datum used for the elevations in items a)through h)below. ®NGVD 1929 ❑NAVD 1988 ❑Other/Source: Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a)Top of bottom floor(including basement,crawlspace,or enclosure floor) 8.59 ®feet ❑meters b)Top of the next higher floor 10.40 ®feet ❑meters c) Bottom of the lowest horizontal structural member(V Zones only) N/A. ®feet ❑meters d)Attached garage(top of slab) N/A. ®feet ❑meters e) Lowest elevation of machinery or equipment servicing the building 8.90 ®feet ❑meters (Describe type of equipment and location in Comments) f) Lowest adjacent(finished)grade next to building(LAG) 8.21 ®feet ❑meters g)Highest adjacent(finished)grade next to building(HAG) 8.59 ®feet ❑meters h) Lowest adjacent grade at lowest elevation of deck or stairs,including structural support ®feet ❑meters SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information.I certify that the information on this Certit<cate represents my best efforts to interpret the data available. 1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code,Section 1001. ® Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a =1F ® Check here if attachments. licensed land surveyor? ® Yes ❑ No $ Certifier's Name ARTURO TOIRAC License Number #3102 ' Title LAND SURVEYOR Company Name VIZCAYA SURVEYING AND MAPPING Address 13217 SW 46th LANE City MIAMI State FL ZIP Code 33175 ' ' Signature - Date 10/16/13 Telephone 305-223-6060 FEMA Form 086-0-33(7/12) See reverse side for continuation. Replaces all previous editions. NUT10E OF COMMENM*ENT CF N 2013RO7 96?6 A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRSTINSPECTtW OR Ol; 28808 Ps 4625; (1 ps) RECORDED +9/06I2013 12:52:41 i ARVEY RUVINY CLEFTS OF COURT PERMIT NO.dM - t ° 12afi TAX FOLIO NO. MIAMI-DARE COUNTYS FLORIDA 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, L gal description of.properly and street/address'. , °16- x Q 2. Description of improvement. ��5•k�lle ot� ��'� 3. Owners)name and_addram-m is Interest in property: ki Name and address of;fee pie titleholder 4. C,gntractor's narne and address: -L 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: I 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) Signature of r Print Owner's Name ' Prepared by Sworn to and subscribed before me this day of 20 A � e, Notary, Public: v v Print Notary's N meF My commission expires: - z - Bianca Almeida Bdift WMq D . %s.o• Expires: JUNE 02,3W J . ', . .... _. . .. . D,5 /3 - / 335- Rick Scott Mlsslonc Governor To protect,promote&improve the health of all people In Florida through integrated John H.Armstrong,MD,FAGS state,county&community efforts. State Surgeon General&Secretary Vision:To be the Healthiest State in the Nation August 21, 2013 Nelson Reales 1121 NW 51 Court Fort Lauderdale, FL 33309 RE: Contingency Letter Application Document No:AP1116541 Centrax Permit Number: 13-SC-1488540 OSTDS Number: 178 NE 111 St Miami, FL 33175 Lot:15 Block:1 Subdivision: Dear Applicant: This will acknowledge receipt of an application dated 08/07/2013 for a permit to use an existing onsite sewage treatment and disposal system located on the above referenced property. From a review of your completed application, it has been determined your existing system is adequate for the proposed use. This permit is granted for the addition of bricks pavers around pool. There will be no increase in sewage flow or characteristics and no impact on the unobstructed area. *********************APPROVED********************* If you have any questions on this matter, please call our office at(305)623-3500. Sincerely, lJ Astrid Edwards, Engineer Supervisor III Betsy Lange, Engineering Specialist II Enclosures cc: Florida Department of Health www.FloridasHoolth.com in DADE COUNTY TWITTER:HealthyFLA 1725 NW 167 St,Opa Locks,FL 33056 FACEBOOK:FLDepartmentofHealth PHONE:(305)623-3500.FAX:(305)623-3645 YOUTUBE:fldoh ti 4ilp 'aSIJA' / 1P' Ro ��L1�tDp►�t'SUR�I'�Y' �¢ ® T eve i it 4-&v11�. .t U ` E COt11M of KEWM DP ro r Miami Shores 4Jelh�� .. APPRO Vitt) T I3�t1E~ . �JS.11 TC#G ?1Vf t�1.1. tC>r UGf1 I ALA 1? t�1.fAl STATE AND COI N7Y RULES AND REGULATIONS Village `Miami hores E Building Department a.., 10050 N.E.2nd Avenue ` yam Miami Shores, Florida 33138 �fikr s — Tel: (305) 795.2204 L0RIUA Fax: (305) 756.8972 Date: &/I -�(3 Permit No: S' C 3 Building Critiaue Review AP Me--) VA- L 305-762-4859 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. 08/18/2013 16:21 FAX 1 800 685 7530 DATA SCAN FIELD SERVICES 1A001 *** TX REPORT *** TRANSMISSION OK TX/RX NO 3719 RECIPIENT ADDRESS 919548761338p4102 DESTINATION ID ST. TIME 06!19 16:21 TIME USE 00'34 PAGES SENT 1 RESULT OK OR Miami hares Village �� u *`� Building Depmartment 1 00bC) N.E,2nd Avotwo •'•• °`- thian7i Siiorrw, Fi<mG;:i 33138 tir��►r+ el' (305) '/x:15.220,1 °9A 'F610;' Fax: (303) 756.8972 7' Permit NQ: y ^; agiitiin pritigue Review ,.fir.°• _ ... .. li ., ♦SHOR s y � a. iami h ores Villa e ones Building Department 7pr" � g p �OR1DA 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIPT PERMIT#: S ✓ � DATE: O at t7l e) h 01-%-^ �Zi ew(,e 5 Contractor _ o Owner Ei Architect Picked up 2 sets of plans and (oth ) S Address: I 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 Building Department to continue permitting process. Acknowledged by: SAP PERMIT CLERK INITIAL: RESUBMITTED DATE: PERMIT CLERK INITIAL: Bonding Company's Name(if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGNS, WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS and AIR CONDITIONERS,ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant. As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. A o, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs (7) days after the building permit is issued. In the absence of such posted notice, the ins eon will no approved nd a 1 ection f`eee will be charged Signa Signature Owner or Agent Contractor The foregoing instrument was acknowledged bef e m s The fore o' instrument was acknowledged before me this W day of AA,to ,20 ��,by l � � day of 20LI,by ` t who is personally known to me or who has produced who is personallyknown to me or who has produced As identification and who did take an oath. Mb AP as identification and who did take t� NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: J Print: U •. .ss n O ' #EE191i0 M , .;. FEt91I •�° ES 27.209 y '°' �(p1R a t rj 27.20% $ 'kk'kph'kf�kk�k$sSa*is�tl=#ia9°kk kk#k k/Ia kkkkAk�&tlkkkkkk+kk8kk k+AkijB=Bffid k k+kkhkekd�k8 tRAnkkk k&ekskiR$dt : APPROVED BY v Plans Examiner tl 3 Zoning Structural Review Clerk (Revised 3/1212012)(Revised 07/10/07)(Revised 06/1=009)(Revised 3/15/0 r� Miami Shores Village P _ JUN 12 e1 r3 � Building Department Byo-oo ---------------- 10050 N.E.2nd Avenue,Miami Shores,Florida 33139 Tel:(305)795.2204 Fax:(305)756.8972 INSPECTION'S PHONE NUMBER:(305)762.4949 FBC? BUILDING Permit PERMIT APPLICATION Master Permit No. Permit Type: BUILDING ROOFING JOB ADDRESS: ---)h City: Miami Shores County: Miami Dade zip:—3-31(0 Folio/ParceN. Nei —WIQ— 01A-4 Is the Building Historically Designated:Yes NO L—' Flood Zone: OWNER:Name(Fee Simple Titleholder : C I e a Phone#: Address: City: rvl t ct m 6 L6ore -State:_ Zip: Tenant/Lessee Name: e Phone#: Entail: CONTRACTOR:Company Name: �i 1 �i T $' op S V1 Phone#. Q ° W Address. 1 C6 f. n S LA-a� City:�� &2 0 —State:_ Zip:_2 � Qualifier Name:' l 6n a Phone#: State Certification Registration#: cl l� � . Certificate of Competency#: Contact Phone#• &iil I l fUl Email Address: DESIGNER:Architect/Engineer. R Phone#: I S71 0- ! � �� - Value of Work for this Permit:$ �2i�°�� - Square/Linear Footage of Work: Type of Work: OAddition OAlteration ONew lepair/Replace ODemolition Description of Work: 6 ir d CAL u esl'S c>rN V PecK Color t1WU tile: Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Tralning/Education Fee$ Technology Fee$ Double Fee$ Shvctural Review$ TOTAL FEE NOW DUE$ ° V Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-199560 Permit Number: DS-6-13-1335 Scheduled Inspection Date: September 24,2013 Permit Type: Driveways/Sidewalks/Slabs Inspector: Rodriguez,Jorge Inspection Type: Final Owner: BERNSTEIN, HOWARD Work Classification: Addition/Alteration Job Address: 178 NE 111 Street Miami Shores, FL 33161-7048 Phone Number Parcel Number 1121360040140 Project: <NONE> Contractor: JOCY CONSTRUCTION&DESIGN CORP Phone: (954)560-4398 Building Department Comments BRICK PAVERS ON POOL DECK 575 SQ FT Infractio Passed comments INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-193483. No permit posted Failed Correction Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. September 23,2013 For Inspections please call: (305)762-4949 Page 21 of 29