RC-13-2578Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 205152
Permit Number: RC -11 -13 -2587
Scheduled Inspection Date: December 31, 2013
Permit Type: Residential Construction
Inspector: Rodriguez, Jorge
Inspection Type: Final Building
Owner: MENNES, CHRISTINE
Work Classification: Alteration
Job Address: 9020 NE 8 Avenue 3C
Fee
Miami Shores, FL
Phone Number
Parcel Number 1132060420430
Project: <NONE>
Contractor: HOME OWNER
comments
FLOORING REMOVE EXSITING RUG AND PADDING
INSTALL CODE SOUND PROFFING INSTALL 500
PORCELINE TILE
INSPECTOR COMMENTS False
December 30, 2013 For Inspections please call: (305)762 -4949
Page 19 of 21
Inspector Comments
Passed
Failed
Correction
Needed ❑
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
December 30, 2013 For Inspections please call: (305)762 -4949
Page 19 of 21
Miami Shores Village -,
Y Building Department` guy 2ui3.
Miami Shores Florida 33138
10050 N.E.2nd Avenue, _
Tel: (305) 795.2204 Fag: (305) 756.8972 a
INSPECTION'S PHONE NUMBER: (305) 762.4949
FBC 20
BUILDING Permit No.
PERMIT APPLICATION
Permit Type: BUILDING
JOB ADDRESS: C) _ Nr E
Master Permit No.9013
a4213 �Ce�
City: Miami Shores County: �C °� �� - Miami Dade Zip: 3 1-3 R
Folio/Parcel #:
Is the Building Historically Designated: Yes NO ✓ Flood Zone:
OWNER: Name (Fee Simple Titleholder): I 9 ` 'L b�' e— �v1�' A� �` Phone #: S O C 75 1 ;�i 5-6
Address- 2(, 0W%`
City: State: Zip:
Tenant/Lessee Name: Phone #:
Email: c r , ,,wt-1 eat q Qfj iii s_�S i ofd . c o �A9
CONTRACTOR: Company Name: �- E` Phone V S 6 5 - .243q " 99 !•19 IA
q DoE nn A cj
Address• � � V Z I-�l T
City: M i [a m i ) n 9re S State: V) • ••,Ziir �• FC' �, • • •
Qualifier Name: Oh s 5 Fr)e_ fflt ne.5 Phontgn3n.: ; a5�_ rte • •
State Certification or Registration #: N :f�j Certificate of Competency I•4'N s1 . •
. .
Contact Phone #: 12A Email Address: m 2 f% 11 f S • • • • • •
DESIGNER: Architect/Engineer: N Phone#P . : • • • •:
Value of Work for this Permit: $ 100 D �' Square/Linear Footage of Work: 15-00
Type of Work: ❑Addition OAlteration ONewh
Description of Work: %k v., iJ `l° UQ
DDemolition
i,u1 c -ro,A! _Coos 4ET qnd` ,klj _"tA=_ i c lt+ N6 A - .
. ; .:.. tc-
7 7
Color thru tile:
Submittal Fee $ 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 $
l
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
I
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.
......
......
49igflttttare dAh. M. ,cJGtQ,• • �/YLIj�/ Signature
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0000: Own" or. Agent
Contractor
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.1'liveregoing instrument wa§ acLo�wledged before me this �'� The foregoing instrument was acknowledged before me this
000*0 00 0 ago .dW.of. #J ®: ,'20 `i `' plP; -0� -, h' U e— �' • M � �� �s , day of . 20 _,by
0.00..
w� �persony known tsi sae o; who has produced 7 aWf who is personally known to me or who has produced
As j& pti*ation and who did take an oath. as identification and who did take an oath.
NOTARY iVU11C: d 7 _ NOTARY PUBLIC:
Sign:
Print:
My
APPROVED BY
Notary Publto Stag of ramde
Elizabeth Yelin
MY Cotnfntasion FF 063588
Exp1m otr
Sign:
Print:
My Commission Expires:
/ �/ 6 14' Plans Examiner Zoning
Structural Review Clerk
(Revised 5/2 /2012)(Revised 3/12/2012) )(Revised 06 /10 /2009XRevised 3/15/09 )(Revised 7/10/2007)
Its
Mlaml Shores Village
8411difig Department
10050' N.E.2nd. Avenue
Miami Shorees. Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
OWNER BUILDER DISCLOSURE .STATEMENT
l,
NAME: L M- .. e' e4 DATE•
ADDRESS: - ��� - % -� ( ve, C,. e i
Do hereby petition the vitlag of Miamk Shores to ac ao my own wmractor pursuant to the tayva of the State of Florida, F.S 489.103(7).
And I have read and under Od the „following di. - ' st "Wrt, which etuttles me to work as my awn t oniractor, l further
understand that I as the owror must appear In person to complete an applications.
State Law requires corstrcrolion to be dorm by a licensed contractor. You have applied for a permmit under en 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
come wdel building at a cast of $25;000.00 or (The new form stales-75,000). The bu WbV must be for yorrnown use and
occupancy. It may not be built foF sale or lesserlf yowsell or Maws building your have built yourself within one year after the
construction ts cddi om*wawrwopf+ebtme thahyou um for sale of lease; which we motion of th wexbn"m. You may not hire
an unlicensed person as a contractor. It is your responsibility to make sure the people employed by you have Boston required by state
law and by co *'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 unmans that you must deduct F.I.CA and with - holdings tkx and provide workers
compensatlon for that e#0W”- , all pr i'bed by-law. Your bonr�fruction mint comply with an epplh�able iaara,'ordinances,
buildings codes and zoning regulations.
Please read and initial saO paragraph.
1. 1 understand that stye law requires c x*ructlon to be done by a licensed contraft and have. applied for an owner - builder
pennif under an exemption from the dew. The exemption specifies that I, as the owner of the property Imo, may act as my own
cartbactor with certain restrictions even though I do not have a license.
2. 1 understand that building peen s we not requhed to be stned by s property owner unless li% tik; resporitkblfti1he
ca tructloq emd le no hiring a licensed contractor to Fume respon sIbnily. ... .. .
3. I understand that, as an owner builder, I am the respn ible party of record on a pennft. I understafldM may protest •
from poten& t ierwel dsk by hiring a licenser contractor and the permit tiled in � or tk Me bus<ead &Wen
nam l also understand that the wairador Is required by law to be licensed In Florida and to V 1111 801cese npmArs on
pemdts aid contracts.
now Alt
4. 1 understand fist I build or e a one
may Improve tarnity or two4amily residence or a tame outbuilding._ I may also buildar�irprive
a commercial building If the casts do not end $75, 000. The bum or residence must be for my use or occupancy. it may
not be built or substantially Improved for sale or lei. If a building or residence that I have built or substantially Improved
myself Is sold or leesed wfthin 1 year after the construction Is complete, the taw will presume Curt I built or substwoeny
Improved it for sale or lease, which viblates the ecerrptiorr.
InIN
5. 1 understand that as the ownerAillder, I must provide direct on ske supervision of the construction.
8. 1 undenstwtd thd'i my not We an unlicensed perm to act as my contractor or to supervise persons working on my building or
residence. It Is my responsibility to ensue that the persons whom I employ have the Dom required by law, and by carudy or
.
• f 4�
.v
t
Iniilal GA
7. 1 understand that it is frequent practkaa of unlicensed persons to have the property wner obtain an owner- builcmr perm) fhat t w
argon Pty hr that the property owner is providing his or tier own labor and materials. I, as an osrrrer- bu9tlerr rtj •tie d
liable and sub* to serious financial risk for any Injuries sustained by an unlicensed person or his or wuli
wroddr on my properly. My homewner's Insurance may trot provide coverage for those injuries. I am wUltug} .adirig as an
owner-builder and am were of tie limits of my insurance coverage for hrjudes to workers on my property.
Init�l �a�l
i understand that I may not delegate the responsibility for supervising work to be a Aoensed contractor who is not fioenses to
perform the work.be*done. Any ,a .wohkhhg on my*Mtng who Is rut o must work under my direst supervision
and must bee mjttayad by me, waif 1.1— — that I mist comply witlh lagas giu the withholding of federal incorne 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.
I agree that, as the party legally and finencisl y responsible for this proposed Construction activity, I will abide by all applicable
bus amid requtreemerd that govern Dueler= bullfts-as well as employers. I also understand that`t1e
Constratin must comply with all applicable laws, ordi ncea, tiding Colt, `'arm zoning reguiatims.
initW �j v�
10. 1 understand that I may obtain more hlfomhaton regarding my obligation as an employer from tie Internal Revenue Swce, tie
United States Sind Business Admirals dQ% and the Florida Department of Revenues. I also understand that I may contact the
gyCh r&, Oe- 6 at ows - ,. who was personally known to me or who has
Produced there License or `/ /A
1A.L.- Lis J♦�I�'
�I
��4rV�V
Plorery Public state of FkwWa
Elizabeth Yelin
My Commission FF 063558
4 t� EVMes 10/16/2017
Florida Construction Industry Ucensirrg Board at 850.487.1395 or JAxww. mvfloddalberse .cam/dbcrloroldlb/index hbrd
trite %�
11. 1 am aware of, and consent to; on oilmer- builder building permit applied for In my name arcd understands that I am ttie party
tog* and $math r responsible for tie proposed corstructim activity at ire fb9oAV address:
r2) A /, L b ' �� l � initial / �
12. 1 agree to notify Blemt Sham Village Immediately of any add( tons, deletions, or c be ip to any of tie hdormation that I
have provided on ft demure.
initial
• : • • • :
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t iaeripped c opactors are regulated by lets desigr ed to protest the public. If you ooriM with a person who does not have a
•
ii Eor•tr4udon Industry UcensN Board and Departmmrd of Business and Professional Regulation may be unable to
•
• • • • • • •
ass any ftrdal loss fiat you sustotn as a result of rector may be In civil c oA it Is also briporterit for you to
.0000.
that, ff an unlicensed contractor or employee bean individual or firm is while workhg & your property, you may
: 0
be t�eTd'li for damages. If you obtain an ownw- builder permit and wish to hire a licensed contractor, you will be responsible for
:0669:
veI tlr Oerthe contractor l property Doersei and the staters of the contractors workers compensation coverage.
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Before a permit can be Issued, this disclosure statement mist be mWefed and soed by tie property mw her and
• • • • • • 0 • • : • •
returrrai WW pernfidrg agency responsft for failing the permfi. A dopy of the properly, owrier'Cdriver prise, the
0
nowkwwWahw of the property owner, or outer type of verification ameptable to tie local pemftg-agency Is required when
t e;aeft hAssued.
0000..
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Mai acknowledged !,More me this f day of ®v � 20
gyCh r&, Oe- 6 at ows - ,. who was personally known to me or who has
Produced there License or `/ /A
1A.L.- Lis J♦�I�'
�I
��4rV�V
Plorery Public state of FkwWa
Elizabeth Yelin
My Commission FF 063558
4 t� EVMes 10/16/2017
, 1
M
Miami Shores Condominium Association Inc.
9020 NE 8t` Ave., Miami Shores, FL 33138
November 7, 2013
To Whom It May Concern,
This letter will serve as approval from the Board of Directors of Miami Shores
Condominium Association Inc. for Christine Mennes located at 9022 NE 8t' Ave. C,
Miami Shores, FL 33138 to make only the following alterations to Unit #1 S:
1. Remove old and install new floor tiles
2. Paint the interior
If you have any further questions please feel free to contact Jason Schoenholtz at our
management company, Regatta Real Estate Management, Inc. His office number is
305- 673 -1940.
Sincerely,
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Name: • •
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Director of Miami Shores Condomunum Association Inc. • • • • • • •
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Sworn and subscribed before me this _� day of A&e
&At • • • 413. • 6 • •
6666 6666
Produced Identification ID
Personally known by me
Name of
,oSPRY JASON SCHOENHOLTZ
r . o•: Notary Public - State of Florida
_ • + : • e My Comm. Expires Dec 14, 2015
Commission # EE 153231
,'Ij�OF
Bonded Through National Notary Assn.
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Tecbni*calspecincations,
Impact Insulation Class (TIC:)
Transmission at Impact name can at conw -wea oy rsi .orlon, i he ratings are greatly improved by
using cork underhtyment. The higher the g1 : nb -mber the better the impact iasuintion:
*Sound Transmission Class (STC)
Measure of resistance of a building clement such of a hoar or wall to the passage of Audible soundS.
The higher the STC number the better the sound barrier:
Impact A`ois,� Rating (INrt)
bas since been reolaceo by the ITC class described above.
6mm Cork on 6" Concrete Slab liC
STC
Fixed rati>np. of concrete slab .......... <"
27
With 6mm underlay =melt .. _ . _ _ ... .. 24
125
Total - 5T
52 0.-
With Suspended Ceiling .............. 14
14
Fixed rating of concrete slab , , ... > , ... 27
27
...:..
.
"'•"
With 6min underlayment ...... . . ..... 24
25
••••
•••••
Total 6S
66
....
.... ......
••••••
••
'Adding n cvc7�rntielJ sailing rt»it t. ilJ >nCrepse rt_: >c7dr�rga std »iitcLtnrly, gencrefiv on
�i
(711
144 • • • • • •
depending onunnrspe
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a rr vaSnoie V' i c'� -- y
f03 BY DATE
CCD,IPI.tt riCE WI fN Al L FED �E� F,�
IG
STATE ANL CC-l. la f �l L Pln C:
a
9
Miami shores V
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
NOVEMBER 15, 2013
Permit No: RC13 -2587
Building Critique Review
PROVIDE SPECIFICATIONS FOR THE SOUND CONTROL TO BE USE.
Ismael Naranjo
Building Official
Plan review is not complete, when all Items above are corrected, we will do a complete
plan review.
If any sheets are voided, replace them with new revised sheets and place behind the most
current page.