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DS-13-1634Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 195605 Permit Number: DS -7 -13 -1634 Scheduled Inspection Date: November 06, 2013 Permit Type: Driveways /Sidewalks /Slabs Inspector: Rodriguez, Jorge Owner: SAVITS, CHRISTOPHER & MONICA Job Address: 1460 NE 103 Street Miami Shores, FL Project: <NONE> Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132050310060 Contractor: CONTICH CONSTRUCTION Phone: (954)456 -5225 comments REMOVAL OF ASPHALT AND INSTALLATION OR PAVER I INSPECTOR COMMENTS False c November 05, 2013 For Inspections please call: (305)762 -4949 Page 10 of 34 Inspector Comments Passed Failed Correction Needed ❑ Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. November 05, 2013 For Inspections please call: (305)762 -4949 Page 10 of 34 I fulfil 91111111111111 HIM 11118111111111811111 fill fill OR 8k 28762 Fs 1879; (ir"s) NOTICE OF COMMENCEMENT RECORDED 08/07/2013 14:19:26 A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION HARVEY l UVIN' CLERK OF COURT MIAMI -DADE COUNTY? FLORIDA LAST PAGE PERMIT NO. -A- ` - w a TAX FOLIO NO. I1- 2�205d- Q31—Q� STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street / address: I LAVO E 105 2. Description of improvement: 3. Owner(s) name and address: 4. to r ►merest in property: 11yv ® " Name and address of fee simple titleholder: 5. Surety: (Payment bond requi Name and Address: Amount of bond $ 6. Lender's name and address: if any) w.� %ft-t Lu.aWH^ LAJUNW OF DADS 7. Persons within the state of Florida designated by dements m provided by Section 713.13(1)(a)7., Florida Statutes. day or Qv Name and Address: , AD 20 W/TNE m an Oftial Seal. o iP C ®aenFv CooaeeP� B� a ear u� er 8. In addition to himself, Owners designates the follo a Idator's N d 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) ez� - i� SET NAIL & OISC �10 3i -Q, ® w c w IV �> y F, f > < RICK ' it o u �� 4• /f � �0.50 o O � 94' PLANTER ASP LT �L'�1 Fir • ` 23.40' DRIVE AY- SET 1/2- _ - I.R. & CAP I� 0 ® m ® w .3®° Q m co UJ ui N 4i n t0 POR 3.98 tCK in 14.75 - - - PA S w 17 n � I 538' 4� 13.20' ? °0.4.4 ouc TWO STORY �� U l V 1 LOT 14 AREA ONE STORY Its o q/ I RESIDENCE #1460 • °[ar►tic. LOT is W STAIRS J BLOC 5 - It) � S 16 a LO z 00 BRICK 0} STORAGE 0 O a P 1.1 Z 20.85' 18.42' M1`$:1® 3.2b• ry R.S. WALL 11.85' t 4 M i N Y r0 POOL �%► �i j Gl„F, t PLE FND. DRILL } RICK HOLE PAVERS i 0/S 0.44'(N) +i STAIRS 0.9'(E) WO00 ONC. BOAT SEA WALL ri C1: R=25.00' afiT \ A= 57°27'00" �i \ A=25.07' " vi4 FNO. DRILL r HOLE C.B= S.61`25'36 "E. e� h /�A \ C2: R =200.00' DRILL A= 24'23'36" ��. ?OSy HOLE $ ?� A =85.15' C.B. =N.44'53'54 "W. SCALE: V = 20' 1 SKETCH NO.: 01 -1058 DRAWN BY: K.W. I SIDE 2 OF 2 A. Nu k Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida. 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PRONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION Permit Type: BUILDING F- - FBC 20 Permit No. i At < � Master Permit No,l J 5 � ROOFING JOB ADDRESS: _IqU® NE j()5 &�(eet City: Miami Shores County: Miami Dade Zip: .343 13 Folio/Parcel #: 11— 32-05 -- ®a1 — ®® (D Is the Building Historically Designated: Yes Zone: OWNER: Name (Fee Simple Titleholder): Mon ep �5RV t ' f, Phone #: Address: ('4(00 We ID5 vtre e r City: M ►malt oKe-5 State: Zip: e3 ° IM5 Tenant/Lessee Name: Phone #: Email: CONTRACTOR: Company Name: Address: p V � l N\ne-b ryho,vx C Phone #: � `� q�'rJ2a!5 City: FA,- e-Yd 0&l — State: Zip: g Qualifier Name: 0,UYt1S � lVt'f"t C-% Phone #: State Certification or Regi tration #: ® 5 5 S o —9 Certificate of Competency #: Contact Phone #: ( q VS 45(1P ' 52-2-5 Email Address: DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ t Square/Linear Footage of Work: Type of Work: ❑Addition DAlteeratiion (� ONew ❑Repair/Replace ODemolition Description of Work: nemoycd D T V�aA+ otr\Ck Llnt&kLkWh®Yt o-F Color thru tile: Submittal Fee $l° ' ' Permit Fee $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ �. �' CCF $ CO /CC $ DBPR $ Bond $ _ Technology Fee $ TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) Bonding Company's Address City State 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 a ved and a reinspection fee will be charged. Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this G day of C�l l , 20 15, by ' V 0VMG2 CMMt, , who is personally known to me or who has produced identification and who did take an oath. NOTtAs : Sign: Print: My Co 's1'pjrealpyANNA M. BENZA- ItiNOftATO 's_ Notary Public _ - State of Florida N• " My Comm. Expires Mar 7, 2016 °:' rnmmissio(1 # EE 176667 APPROVED BY The foregoing instrument was acknowledged before me this , dayof , 20 �Lby�l�Yl who is personally own to me or who has produced_ i sntification and who did take an oath. Plans Examiner Structural Review (Revised 3 /12 /2012)(Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09) NOTARY Sign: 11 i R® Print: ,o•' r•�e• 0 t0 NA M. BE My C s imu public - State of Florida Q= My Comm. Expires Mar 7, 2016 Commission # EE 176667 /.3 Zoning Clerk Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION FORM ALL CONTRACTORS MUST PROVIDE COPIES OF LICENCES AND INSURANCES EACH TIME A PERMIT IS SUBMITTED OR THE VILLAGE MAY MAINTAIN A FILE WITH YOUR INFORMATION FOR A $30.00 FEE PER YEAR. IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. COPY OF QUALIFIER'S STATE LIC CARD B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF LIABILITY INSURANCE (CERTIFICATE HOLDER TO BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKERS COMPENSATION (EITHER CERTIFICATE OR EXEMPTION) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICE OF COMPETENCY OF QUALIFIER B. COPY OF MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT C. COPY OF LIABILITY INSURACE (CERTIFICATE HOLDER MUST BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKER COMP INSURANCE (EITHER CERTIFICATE OR EXEMPTION) YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE HOLDER AS FOLLOW: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 COMPLETE CONTRACTOR'S INFORMATION BUSINESS NAME: R-�t cu_ BUSINESS ADDRESS: �d CITY STATE ZIP CODE BUSINESS PHONE: (96q) 5 2-F-5 FAX NUMBER ( CELL PHONE ( QUALIFIER'S NAME: r�AS NV�NlC QUALIFIER'S LIC NUMBER: (0 6 SS 2fl E -MAIL ADDRESS (IF APPLICABLE): Created on 3119109 BY MLDV 1 RV 3126109 MLDV CONTI -C OP ID: KM CERTIFICATE OF LIABILITY INSURANCE DA 071IM212013 0711212013 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 policy(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 does not confer rights to the certificate holder In Ileu of such endorsement(s). PRODUCER Phone: 561-391-4661 Sena & Whitney Corp Office Sena & Whitney, LLC Fax: 561 -338 -6551 190 Glades Rd Suite C Boca Raton, FL 33432 NAME: cT C 1 E PH AX No E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC A INSURER A: Mid-Continent Casualty Company 23418 EACH OCCURRENCE INSURED Contich Construction, Inc. INSURER B: X COMMERCIAL GENERAL LIABILITY Curt Contich 3038 N US 1 , #200 Fort Lauderdale, FL 33306 INSURER C: 04GL000858240 INSURER D: 09/1212013 DAM PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) INSURER E: INSURER F : rnsreoAr_ec PCI7TICIt`9TC M"MIRCR• REVISION NUMI3EK: 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. ILTSRR TYPE OF INSURANCE INSR WVD POLICY NUMBER MMID Y MMIDD/YYYY LIMITS CITY OF MIAMI SHORES GENERAL LIABILITY BUILDING AND ZONING DEPT 10050 NE 2ND AVE AUTHORIZED REPRESENTATIVE MIAMI SHORES, FL 33138 EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY 04GL000858240 09/12/2012 09/1212013 DAM PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ EXCLUDE CLAIMS -MADE ® OCCUR PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS- COMP /OP AGG $ 2,000,00 COMB, tlBDISINGLE LIMIT $ $ X POLICY PR D M LOC AUTOMOBILE LIABILITY I BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS NON-OWNED NED AUTOS HIRED PROPERTY DAMAGE Per accident $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS UAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORfPARTNERIEXFCUIIVE — WC STATU• OT R TO MIT E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ OFFICERIMEMBER EXCLUDED? (Mandatory In NH) NIA E.L. DISEASE - POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) General Contractors ralUrcl 1 HTIf LU 4Clillf1 Vf11G f7V LV G1� � �� MIAMISH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. CITY OF MIAMI SHORES BUILDING AND ZONING DEPT 10050 NE 2ND AVE AUTHORIZED REPRESENTATIVE MIAMI SHORES, FL 33138 .J V"vati -Au'IV A%-UMW Ilg Ioaolvau. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD V, STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487 -1395 •4 1940 NORTH MONROE STREET TALLAHASSEE FL 32399 -0783 CONTICH, CIMIS MYL8S CONTICH CONSTRUCTION INC 8 N]:NNSBAGO ROAD FT FL 33308 DETACH HERE AC# 614 5 0 a STATE OF FLORIDA ggg DSPARTMW 8T0[UCPIONRSS 'RLICBNim BOSRDOD�TIO SECt#L120530Q3.154 The GENERAL CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2014 CONTICH, CURTIS MYLES CONTICH CONSTRUCTION INC 8 WINN89ACO ROAD FT LAUDERDALE FL 33308 AWSON RICK SCOTT SEN i,BCRETARY GOVERNOR ARY DISPLAY AS REQUIRED BY LAW sTAM 0 R-0mDa> . :.. AC #.. 6". 4 500 6 rmmiy one Con gratulatianst Wi#h this license you becorr►e one of ft minion Floridians tioensed by the of Business and Professional Regulation, m l gPgRT T"`4P ;.BUSINSSS AND PR FESSIQI 884IILaTION Our protiessionals and range from �itects to yactrt ` boxers to barbecue resiaurarts, a►xi they keep Florida's economy sbong• tQC0558Z9 = 0538 f 12 110404915 Every day we work to improve the way we do husinsm in order bb Serve yOu better. For irnfarrr about our swvioes, Please tog onto www.m se eom• divisions the regulations that t RT FxBA +CONTRACTOR .CONTr.m. i TS 1!�lYLES There you can find mare information about our impact You. subscribe to department newsletters and loam more about the - CO]ATi rt s dMTRUCTION INC t tnent s initiatives. Our mission at the Deparbnent is: License Efficiently. Regulate Fairly- . We constantly strive to serve you better so that you can serve your customers. 4 . • iS - CEZTIBi8D nods em i.ioas bg cm.489 FS {hank YOti fOr doing business In Florida, and congratulations of your nBY1' �caenset ' s.W a Ckton ac.: AVG 31 :1014. L3r0530d1i54 DETACH HERE AC# 614 5 0 a STATE OF FLORIDA ggg DSPARTMW 8T0[UCPIONRSS 'RLICBNim BOSRDOD�TIO SECt#L120530Q3.154 The GENERAL CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2014 CONTICH, CURTIS MYLES CONTICH CONSTRUCTION INC 8 WINN89ACO ROAD FT LAUDERDALE FL 33308 AWSON RICK SCOTT SEN i,BCRETARY GOVERNOR ARY DISPLAY AS REQUIRED BY LAW * * CEBMCATE OF ERECT= TO BE EXEfI!!PT FRM RMMA WOW= COMPMATION LAW e e CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed byelaw has elected to be exempt from Florida Workers' Compensation law: EFFECTIVE DATE 10/2312011 EXPIRATION DATE 90122/2013 =Ilz .n t-1=i BUSINESS NAME AND ADDRESS: CONTICH CONSTRUCTION INC 8 MINfiNEBAGD ROAD FORT LAUDERDALE FL 33308 wolmwr ?wow to ckoe 44o , roll4fP F-9„ a wim of a uw Wakh l are ohMb U11100 fM tM$ 4611W by 111106 a cedificde IN s oil" soda? tk S section my cwt recem bmWits a compenudow order dit comer. Fit to thWa 440.05112?. F.S., Csdnttau of aetnw to be 924011... a9PW wdy W"14 to scare of the Whim or Bay na4e ON wee *aide of 916011" to be axwop Pasa va to CbWw 440.055131, F.S., Raft" of ebnclloa to be ox4wrt sa cOMM914s a down to be exasw awls be sanlea to reva doom a, at my d" din "a Ming of *0 aatee of to bums of tie eatificift *4 Porm awed as SO aotfee o ca uffca& w Raw mats to requiress m of tits satliw to aspen of a comiede. The depKmw doll fewhe a cot0icaa at my t0e fa faflare of da, perm as tae catatcae to aaa the reWha m d WS setae. Q1lESTUM 18501 413 -1809 OM -252 CERTIFICATE OF ELECTION Ta BE EXBMrr REVIS1M 01 -11 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE SCOPE OF BUSINESS OR TRADE I- GUMPAL COWMACTOR IMPORTANT F Pursuala to Chow 440.05114, F.S., an officer of a corporation who O elects exemption from this chapter by filing a lertifitete of election L o01er this section may not recover benefits or compensation wWw this D chapter, Porsuent to Chapter 440,051121, F.S., Certificates of election to be I I exempt,- apply oily within the scope of the business or trade listed an E the notice of election to be exempt R E Pursuant to Chapter 44(l.05113), F.S.. Notices of election to be exwMt and certificates of election to be exempt Stall be soject to revocation if, at any *" after the filing of tits notice or the issuance of the certificate. the perm named On the notice or certificate fa longer Idea to ITtquirwaouts of INS Section► for issuance of a certificate. The depa tent shill revoke a certificate at any time for failure of the person ?tamed of the cortificste to meet the requirements of this section. QLWSTIONST 18501 413 -1609 . Cwry bottom portion opt the job, keep upper portion for Your records. IYWC -252 CERTIFICATE OF ELECTION TO BE EXEWT RMSED 01 -11 SROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave.. Rm. A -100. Ft. Lauderdale, FL 33301 -1895 — 954- 831-40M VAUD OCTOBER 1, 2012 THROUGH SEPTEMBER 30, 2013 _ RqW 180 -3823 Businwo Name: CONTICH CONSTRUCTION INC Business Type:CONTRACTOR�N R t' owner Namw- YLEs.c0NTFcH cuwrra BusinewOpened:12//oss829T BUSS nass Location: 8 WINNEBAGO RD $tate/CoantyiCert/Reg: Fr LAUDERDALE Exemption Core: Business Phone: 954- 943 -4810 Rooms Saats Ent "— ponsh x tbrVending BusbWAM 014 Tax M.,.a ows DW as Truer Fee NSF Fee Penaky - - -- a Prior Years Cow Cmst TCtai Paid z7.00 o.oa o.ao 0.00 0.00 0. 00 z7.oa THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT This tax is levied for #w pdvdege of doing busmw* within Broward County and is nw4eguk orq in nature. You must wrest ad County andlor Municipality planning ttttHEN VALIDATEe and zoning requirements. This tusiness Tax Receipt be rreawed when Me buss is sokt, business name toss cf�ed you hm Me business location. This receipt does not indicate that the business is "al or ihat it is in compffanm with Stale or focal laws and regulations. Maffing Address: Receipt #302-11- 09002406 MYLES CONTICK CURTIS 8 WINNEBAGO RD Vadd 07/05 /2032 27.00 PORT LAUDERDALE, PL 33308 - 2012 .2013