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PL-12-2401 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 rz ;z Inspection Number: INSP-183216 Permit Number: PL-12-12-2401 Scheduled Inspection Date:June 20,2013 Permit Type: Plumbing - Residential Inspector: Hernandez, Rafael Inspection Type: Final Owner: FLOYD GONZALES, ROBER IRWIN Work Classification: Addition/Alteration Job Address:68 NE 91 Street Miami Shores,FL 33138- Phone Number Parcel Number 1131010200020 Project: <NONE> Contractor: MG EXCELLENCE SERVICE CORPORATION Phone: (786)247-7067 Building Department Comments kitchen plumbing. lnfractlo 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. i June 20,2013 For Inspections please call: (305)762-4949 Page 2 of 40 Miami Shores Village DEC 19 2012 Building Department 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 C52� Tel:(305)795.2204 Fax:(305)756.8972 INSPECTION'S PHONE NUMBER:(305)762.4949 FBC 20 it) BUILDING Permit No. P t- z--LA 0 PERMIT APPLICATION Master Permit No. Permit Type: PLUMBING JOB ADDRESS:_L� /y FI i City: Miami Shores County: Miami Dade Zip: 3313 Folio/Parcel#:1 l f 31 n 1— 02-0 tb ZV / lIs the Building Historically Designated:Yes NO Y Flood Zone: OWNER:Name(Fee Simple Titleholder): rbP 1,10 �V hJ� Phone#:1���� Address: r r N-6 C11 city:J'41RJM-1 %4Q1ft� State: 7f,61. 7-ip:t 313 Tenant/Ussee Name: Phone#: Email: CONTRACTOR:Company Name:: 1 F 6 VX 0-6& AX'L Phone#4�� —7V 7 1 11 Address: J F -6;.1 o-+. city: 4-4 f`Q LC7 n-H p State: 'FL, Zip: 330 61) Qualifier Name: M�,� �� f6 PSI 1�, Phone#: State Certification or Registrraati�ony#:r�C rG��Z r1 r7-1 Certificate of Competency#: Contact Phone#: Z-6jy—Z- G !�k Email Address: DESIGNER:Architect/Engmeer: b$/V 6tO. 7116. Phone#: Value of Work for this Permit:$ ��' SquareAAnear Footage of Work: Z . Type of Work: OAddress ,. MA'ltera/tio�np) ONew Z3Repair/Replace ODemolition Description of Work: / ��/r�GVI'�/ T L►�`" <6 �• ' Submittal Fee$ O 0 Permit Fee$ 152? CCF$ CO/CC$ Scanning Fee$ p A10 Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ 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 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. In the absence of s ch posted notice, the inspection will not be approved and a reinspection fee will be charged. /y– Signa*111 Signature Owner or A e 2 Contr r The foregoing instrument was acknowledged before me this �°-� The foregoing instrument ackn led ed bef re me this day of ,.20 Q,by ��YO �t: r� day of � ,20 mby Cr , who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: ````�0'4018 1 t t t t�''� ., NOTTA IC: Sign: Sign:cc Print: _ �/ d�' ` :`� Print: V My Commission Expires: My Commission Ex irrees:: . '00,a'u mntO _�" •� MARIA .� MR MY N�1�ee�aa =�1010 APPROVED BY INJ 17,17042�- — Plans Examiner 1 -7 - I I- Structural Review Clerk (Revised3/12/2012)(Revised 07/10 107)(Reviw4 06/10/2009)(Revised 3/15/09) STATE OF FLORIDA DEPART11211T OF BUSINESS AM PROFESSIONAL REGULATION CONSTRUCTION IMUSTRY LICENSING BOARD (850) 487-1395 •a 1940 NORTH M0NROZ STREET TALLABASS92 FL 32399-0783 GARCIA, MICHEL CRUZ M.G. SERVICES CORPORATION 180 S 19TH ST KIJk ZM FL 33010 Congrabdations! With this Hoene you become one ofthe nearly one million =REF: _ fS Ro Floridians licence by the of Business and Regulatlon TIO T Our p�roionais and businesses range irorrt architects to yacht brokers,from �, � _ ,- ', �x .1 boxers to due restaurants,and they keep Florida's ecx:nomy strong. c142777 �� � 1270061,41 vq Tff Every day we work to improve the way w e do business in order to serve you For brformation about our services,please onto www myfloridalicensecom. N 4RTE;43� TOR There you can iir�more indarrnation about our divisions and the regulations that ' G impa�ct.{.y..a.u.,�,subscribe to department newsletters and learn more about the M„C . S$ _ ORP01tAT y4 „s Our mission at the Department a•License Efficiently,Regulate Fairly.We constantly strlve'to serve you better so that you can serve your customers. x Thank you for doing business in Fkufda,and on your new He wml �O aaea$AQEr; 9ZF `2Jf1 �tsi32017111 DETACH HERE a e $' �1 'E Of.,:FLOR!©A� .' DE1*ARl` T OF #31T INKS �+l1T! PRO SSI RG" ,ATIODT pp CON;3TR�It'EJN INDUSTRY 1+ SIBt3ARD.. $E L1208020�:77�, L 0 02'_20,12 . The PLIOMMI s .GO1t1T1i!1 �:Tt?Zt Named ;belov� ZS' CHRZI D.. .. tinder the.:prov3 si of {:hapte- Bxpira.tioh date: AiTE ;31,. 2Q14 - ION ':,M 'G EBCSLLFNT SERVICE$ CO 4. 18A 8 ,19TH; ST rsr SAW FL X3010 RICE :SCOTT` KEN ErAWSON °, s j Rig PWAW PAID 0 1 ,f PERNWr[O.2'31 TMS iS NOT A BILL-DO NO a PAY BUS NEW /LOCATM RECEIPT NO. 679093-6 M6 EXCELLENCE SERVICES CORP STATE# CFC1427774 180 E 19 ST 33018 HIALEAH OWNER NO �CELLENCE SERVICES CORD � WORKER/S w MOA P iBING CONTRACTOR 1 Tax stmow, rt 11OLOM',o VAUAIM AM we , a � DO WT FORWARD C=ff on c"M NOR Dees m e�tnr txe NO EXCELLENCE SERVICES CORP FMOMIN AULTMIS MICHEL GARCIA PRES .Tw HO 180—E 19 ST TWM HIALEAH FL 33010 CMLBMM vare�nr swc - 09/25/2012 02230015004 , 000045.00 So OTHER sw t �I qw09-fl-2Oi2 JEFF ATWATER grATE OF FLORIDA MO Ott DW A OF FINANCIAL ICES ar ATE OF RACM TO BE EMM KM RAINDA VIONNEW LAW +� A► C,+tAMIR UCTtt7N MMUSTRY MCELVTWN A. 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[vt4 .►• tUtm r r.vRtun UAnAt.nv 1►9UV►1t11�VL RU. a7Jt t�.�G1/ 1 .4coR�° CERTIFICATE OF LIABILITY INSURANCE � 12118H2 .. _._ Memo POW&sadws horn m THIS CERTIFICATE W ISSU®AS MATrMl OF tRFQfMIM 7278 SRAt S ONLY AND COFFERS NO RMM UPON THE CERTFFICATE HOLDER.THIS CERTHIME DOES LOOT ANUM EXTEND OR FtAi".FL M" ALTIM TO COVERAGE AEEMED 8—Y [flare(M)2r*4640 Fax M)26341079 WWRERS AFFORDING COYERAM # OWAM KG.EXCELLENT SERVICES CORP. ISM A: FIMMATED MATRUNAL UNWRANCE nusupmt A; PROGRESME PMRANCE 722E NW 174 Tarr Apt#102 unc: HIALEAH.FL 33015 WMIRER a a OUNR E: C:OVERAMB tNS,OW F: Tm POLICtEs c aMsmmms LiSm HIWE BEEN am=7mm ummED Kum Amm FOR THE PoLmYPERmD INDRCATED.NommsuNBDIG ANYREC OMWCr.TERMORO TUCII+IOFAWOONTRAAUrC)RaniER ITVWHRESPECTTOVMCHIMSCE MFICA1EUkYBEISS=CR UNYMMAIN.INE WIRMCEAFFORDIM BYTRNFI CLCRESDESCM B£CNM FJ NISSMEC[TQALLTHETEUMERCUMMANDCONQ rriCNISMSUCH POLIMES.AGGREGATE LOM S9 OWN WY WE BEEN REfRMW DYN O C LAMM WOR A RIM WL 1l.tCYR DA7s MN YPE PC 1RBf$ LLuma t EACHOOCURIMME 10 .000 00 MWMT ®c CML ORAL uARilL" GL =6M2 02t16113 phimm6 MAW 00 ❑p CLAM MAW ®OMM NED EXPV4W om per) 5.000.00 A fl O PERSCHAL&AMMAM 1,mp.000.00 Ll GENERAL AGGREGATE ZOOD 00MtD G NI.AGGREGATEUKTAPPLIES PElt PR0M=Y5-CXX0WWAGG 2;OW000-00 Q mucY Q PRojwr [ Lac AvraMME LIAaILITr COMBUM SBIcLE MIT Q AN)MUM 01604a50-© 05114112 0514R3 wo mamm [} ALL OWtdWMM= BMYRJ M 100W.W S p CJ eo=uuwmnm per D NREMAljt= BMLYMIURY p rlatAUrt tm 20tI4p 00 ❑ FULL PIP PROPERTYDAMPM 10000 QA �.d®lLiTY AUFOCIN.Y-EAACCMW p O ANYMM CliHERT+IAAI EAJ= ❑ AMOCIND: Aran RMSUMBRIUALIAMIL" EACH ❑ Q C=m p cLAM opt A Alf O w-E 0 RE 94M s MArLo rim ' +' ANY PROPRIETOR,PAWfNER r EXEC UnVE ELEACHACCMINT cQt1 NEWER if es.aestAlso mgr EL.MSEASE-EAEmpLoya cW4L PR01lISi mbokw E.L.M$r&%-POLMYUrr o"m - aEtscR�na[t�oR�r►TItLOCATfrvr A�ffieT rl. CERTIFICATE HOLDER CAICE.LAIM OW"AWOFTMAOM POLICNS f TRg EX WATM1 DATE THOMWOMMIMMMURERMLEPMEMM TONAL MAW SHORES VILLAGE 30 nAYSIA VnWMOTlWT*TMC CrgEl RAIDTO 10M NE 2 AVE 7> ice;R>EUr P1t6 Bl�TO ttm ttto tRwAtL No fR A7 I+oR R tTY MIARUSHORES,FL 33135 0FMYKMWkMTMEWMMMfMAGM8GR ATiY ATNB ACORD 25(Z84tM GF +D ACORD CORR�A Td�11� �I 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-196812 Permit Number: RC-12-12-2398 Scheduled Inspection Date:August 08,2013 Permit Type: Residential Construction Inspector: Rodriguez,Jorge Inspection Type: Final Building Owner: FLOYD GONZALES, ROBER IRWIN Work Classification: Alteration Job Address:68 NE 91 Street Miami Shores, FL 33138- Phone Number Parcel Number 1131010200020 Project: <NONE> Contractor: ANN CREST CONSTRUCTION INC Phone: (305)986-8981 r. Building Department Comments Existing kitchen to be refurbished. Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Failed ti Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. August 07,2013 For Inspections please call: (305)762-4949 Page 22 of 36 . t ! Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number. INSP-183198 Permit Number: RC-12-12-2398 Scheduled Inspection Date: March 20,2013 Permit Type: Residential Construction Inspector: Bruhn,Norman Inspection Type: Framing Owner: FLOYD GONZALES, ROBER IRWIN Work Classification: Alteration Job Address:68 NE 91 Street Miami Shores, FL 33138- Phone Number Parcel Number 1131010200020 Project <NONE> Contractor: ANN CREST CONSTRUCTION INC Phone: (305)986-8981 Building Department Comments Existing itchen to be refurbished. Infractio Passed Comments 9 INSPECTOR COMMENTS False Inspector Comments Pass Failed Correction Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. March 19,2013 For Inspections please call: (305)762.4949 Page 12 of 49 tF M�Wm�K ML ffdNNW9-9N0U@ft-0UdW =2=18u U MBE,11M F1.5M N[8051288-8888 LIB.Me.M 28000M March 11,2013 City of Miami Shores Building&Zoning Department Ref.: Kitchen refurbished at existing one story residence 68 NE 916t.Miami Shores,FL.33138-2808 Owner: Mr.Floyd Gonzalez Permit No.: RC-12-12-2398 AS-BUELT CERTIFICATE To whom it may concern: After a visual inspection performed at the above referenced address,in order to evaluate the as-built condition of the job site after work performed,I do attest that,to the best of my knowledge,belief and professional judgement,the following items have been verified and complies with the requirements and specifications of the F.B.C.2010 and standard codes as follows: 1- Wood beam provided at expanded opening between kitchen and living room consist in: Two 2'x12"wood beams glued together with plywood 1/2"x 12"x long.of beam,in between; all nailed together with 16d nails @ 12"o/c. Beam is supported,at fire place side,with a galvanized intl.hanger(by SIMPSON)attached to concrete with tap-cons and to beam with(4)16d nails;opposite side is supported with(2)2"x4" column below attached with 16d nails. 2- Ceiling ood joists attached to wood structure with galvanized mtl.hurricane clips with 8d nails. g J g Overall look and appearance are excellent and good workmanship is shown throughout. t S' �� O Benitez AR 9 2 s Miami Shores Village g Building Department DEC 19 2012 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel: (305)795.2204 Fax:(305)756.8972 e�L INSPECTION'S PHONE NUMBER:(305)762.4949 FBC 20 10 BUILDING Permit No. RC- 1 y-1,439$ PERMIT APPLICATION Master Permit No. Permit Type: BUILDING ROOFING JOB ADDRESS: (0 9) N I st City: Miami Shores County: Miami Dade Zip: 3-313 FS Folio/Parcel#: 11 -31 O 1 - O Z-D " 0 O Z. Is the Building Historically Designated:Yes NO ✓ Flood Zone: OWNER:Name(Fee Simple Titleholder): 1��-©14 h4Z,49-bv--s Phone#:l3 2--5Z�� Address: G-F f,)r7`` ,w, IT/ 5-t" City:.--1.11984-!-244 M 5 State:� Zip: 3313Y Tenant/I.essee Name: Phone#: Email: CONTRACTOR:Company Name•ft �1�sCi Phone#: 0-5) L Address: City: State: - Zip: 33 Qualifier Name: J v Phone#: �� g(Q m 8 f State Certification or Registration#:C6-05 I'e43 Certificate of Competency#: Contact Phone#:(,3a5) ���1 Z� _Email Address:�1hnC. 95±CJAn2� hb DESIGNER:Architect/Engineer'OR�l"G���94l�'L Phone Value of Work for this Permit:$ -5 � Square/Linear Footage of Work. Z�D �• r Type of Work: DAddition Alteration. ONew ORepair/Replace ODemolition Description of Work: 1 "1�� lVL 7J71 05; i/11R1g Color thru d1e: a� Submittal Fee$ S-0, 00 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$ � 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 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 permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature Owner or Ago t Contra or The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of TKC 20)?,, by Q_0'i Q (fit C�t�LA��`L.,� day of who is personally known to me or who has produced �� who is personally known to me or who has produced ��nnnu�r As identification and who did take an oath. as identificatioc} k e an oath. 1121 11-11 NOTARY PUBLIC: e��� Ol j dr " NOTARY PUBLIC: •'0 E.*,, .0,0. Sign: � Sign: Print: Print: .. ,. My Commission Expires: cb �al(d g9�e, r �.` My Commission Expires: F OR\C;�.��� APPROVED BY J,/,Z, Plans Examiner Zoning Structural Review Clerk (Revised 512/2012XRevised 3/12/2012))(Revised 06/10/2009)(Revised 3/15/09XRevised 7/10/2007) ro E OF COMMENCEMENT I III IIII III111111 l 1111111111111 Jill Jill A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION CFN 201 3RO008323 .J OZ 70029 OR HI: 28428 Ps 4239; (ias) PERMIT NO. TAX FOLIO NO.r� 3t�!" RECORDED 01/04/2013 11244349 HARVEY RUVINv CLERK. OF COURT STATE OF FLORIDA MIAMI-DADE COUHTYP FLORIDA LAST PAGE 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 streetladdress: ! 5 3 �� �Z' f­opk W ly Lot ?� Au- LP+2 7a f5 2. Description of Improvement: 3.Owner(s)name and address: Interest in property: Name and address of fee simple titleholder: 4.Contractor's narge and address; 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 Uenor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 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&Owner Print Owner's Name Prepared by 51)09 Sworn to and subscribed before me this day of , 20�- \ �Ohs � r� •• *IN •.� Address: —� ---- Notary Public `5� �yfl� • '_ 3 Print Notary's Name My commission expires: 12sm-62 PnGEa 1vos STALE OF FLORr '.. DADE IfEmyc2:RflFlrfl ofuempraf ►ao r�r A 020 T (IM saw � 13r 2 o,C. +