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RC-13-0822Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 189721 Permit Number: RC -4 -13 -822 Scheduled Inspection Date: July 25, 2013 Permit Type: Residential Construction Inspector: Rodriguez, Jorge Inspection Type: Final Owner: GOMEZ, JOAQUIN Work Classification: Addition /Alteration Job Address: 1560 NE 105 Street B -2 Miami Shores, FL Phone Number Parcel Number 1122300530140 Project: <NONE> Contractor: . RAUSA BUILDERS INC Phone: (305)554 -5711 Building Department Comments KITCHEN REMODEL Infractio Passed Comments INSPECTOR COMMENTS False i Inspector Comments Passed Failed Correction Needed ❑ Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. July 25, 2013 For Inspections please call: (305)762 -4949 Page 6 of 33 07/25/2013 08:43 FAX 1 800 685 7530 DATA SCAN FIELD SERVICES TRANSMISSION OK TX/RX NO RECIPIENT ADDRESS DESTINATION ID ST. TIME TIME USE PAGES SENT RESULT AU Or TX REPORT 3034 97885587290 07/25 08:43 00'19 OK BUILDERS CORP 7111 SW 42nd ST Miami, FL 33155 Ofr'CC; 305-554•.5711 1 raX: 786-558-7290 . ED CfV-%VErK% SFIEET . .......... . . ..... . TO: villagc----: of Miami or � I., 1� es DePQrtMent: fnspc?cfion� Tel: 305,762.4'49 Fax: 305.756,8972 FROM, Martha GL.JerrO. Coordinator Fmail-- marthOEu(IrriC6jrLlLi5,c)btjildLrs.con) DATE: July 24, 20 '13 RE: FINAL BUILDING INSPFCTION RFQUEST FOR THURSDAY, JI-AY226, 2012 9:00 am - 1:00 pm Michelle and Joaquin Gomez 1560 N.E. 705th Street M'Omi Shores, FlOnida 33141 Permit No.: RC,473822 IA 001 W(.-*: have Irn--ft rr�cwssc�clo Via telo-,phone, re.c.ordinc I g rt�,quesfing, the abow*�--- r1ced - r 15111, 13 confirm 4hat on ThUr$ciay, j�:, V 2� 20 CFN: 20130359249 BOOK 28617 PAGE 3693 DATE:05/07/2013 01:02:25 PM NOTICE OF COMMENCEMENT HARVEY RUVIN, CLERK OF COURT, MIA -DADE CTY A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. - 13 TAX FOLIO NO. t�- 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. 2. Legal description of property and street / address: ' F. j vl In1F1UYCrrlClll. 3. Owner(s) name and address: 3 �u c-soft2z•1 ""Cycke. eo mjm ; IS&C N 05 c5. -#�,2 �tty4�; S)IcrU'C_j 33,39_ Interest in property: Name and address of fee simple titleholder. 4. Contractor's name and address: RotusA Q'Vj'k&_NrS 144 5tO �K C. AA Qft,Vl '231.55 5. Surety: (Payment bond required by owner from contractor, if any) Name and Address. Amount of bond $ S. Lender's name and address: 7. Persons within the state of Florida designated by Owner upon whom notices or other documents maybe served as provided by Section 713.13(1)(x)7., Florida Statutes_ Name and Address: 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienoes 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) rWM�km Print Owners lame Jp++EB'tl?) J &o'AAa 2x Sworn to a /b's�cri before me this day of � -�,r " r' em' laex i \ J lidv My � ion EE 188275 ExpirEaU',107ni ala Print NotaryTs`id2rf"e: My commission expires: HARVEY RUVIN, CLE7 , irkitAi1A0AnV CCU Deputy n \'SIN° <) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION Permit No. F ! APR 2 Y 2013 c -- FBC 20 l6 Master Permit No. 13 ° ac-;kq) Permit Type: BUILDING ROOFING JOB ADDRESS: %5(4 QZ 10K 54 City: Miami Shores County: Miami Dade Folio/Parcel #: It— VLSO — —01LA C) Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): Sod Hwy\ D Z Phone #: Address: MU ® N1 V-- X05 S City: & \Q Wlo '�) VIC/`t-9 State: Tenant/Lessee Name: Email: CONTRACTOR: Company Name: Phone #: SOS _15-s-L4 ° 15 31 i Address: . L4 R o . _ _ Rte. City: AX\ 01 ft i State: ` Zip: �� _S7 Qualifier Name: N e-1 '1\c \ daa- Phone#: q ' -iLZY3 State Certification or Registration #: 00 70 Certificate of Competency #: Contact Phone #: SOS " '(-0° � `2 � 3 Email Address: (lam td-9:®iC*,l tide\rs . COM DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ t 0J 00 Q Square/Linear Footage of Work: 1 k—Z— Type of Work: ❑Addition giAlteration ONew ORepair/Replace ODemolition Description of Work: Color thru tile: Submittal Fee $ J(D Permit Fee $ CCF $ CO /CC $ Scanning Fee $ Notary $ Radon Fee $ Training/Education Fee $ Double Fee $ Structural Review $ DBPR $ Bond Technology Fee $ TOTAL FEE NOW DUE $ *_ 0^ 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 q I approved and a re' spection fee will be charged r. Signature Signature Owner or Agent Contractor The fore oin instrument was acknowledged before me this g day of , 20 I � , by �D (A LL2' y' (j a,4A- , who is personally known to me or who has produced As identification and NOT PUBL C: $�v P� Notary Public State of Florida Marta Hernandez ° a My Commission EE 166275 Expires 0710212016 Si Print: r My Commission Expires t 2-1 to The foregoing instrument was acknowled ed before e this day of J• , 20 _T, by i B , who is personallftnown to me or who has produced I' identification and who did take an oath. Public State of Florida Hernandez "mission EE 186275 Print: 0EftWiW�kWNMLW_M1LW; My Commission Expires* i APPROVED BY �� Plans Examiner zoning Structural Review Clerk (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) ox-ers to - bar6eque iestauratft and tKey keep Flo dda's economy song. Every day we work to improve the we a do business in order to serve you betty For infbrihabon about our services, pt se log onto vAmmy.florldalleensecom, There you can fired more information about our divisions and t-h6 regulatfoits that impact you, subscribe to department newsletters and seam more about the Depari nt's Initiatives, iFAri�'r the tioST� a. M.S. 0 chap MAMA t '`v. .,✓ jr � Jrs 4i0J/ r��, -fin' _ ru R. 3 ��' i f..x .w. € �r A,;;yy $ x a% , -'d r a �t W NpM TV', -ts 7.v ........... ._..� m immm �: r M M_f_ Fawn RKMM -Tax 0' 00001.74 III 1 will 31.1 11111, willillb A ll if iti x111 A a 41 V C,O DrA, CERTIFICATE F LIABILITY INSURANCE 04/17/2013' PRODUCER 305 - 227 -0082 CAROLINA INSURANCE CONSULTANTS $250 W FLAGLER STREET, STE 916 MIAMI, FL 33144 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURED A RAUSA BUILDERS INC 7111 SW 42 ST MIAMI, FL 33155 INSURER A ACCIDENT INSURANCE. COMPANY INSURER B: INSURER C. RE D FINSU�RERRWE: I:n'II=*AGE -S 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I� QJT AT M! D !DRAY TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION !EMITS DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN GENERAL LIABILITY NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT F ILURE TO DO. SO SHALL MIAMI SHORES VILLAGE IMPOSE NO OBLIGATION OR LIABILITY OF ANY fN UPOI THE SURER, ITS AGENTS OR EACH OCCURRENCE S 1,000,000 FIRE DAMAGE (Any one EEra) S 100 000 A X COMMERCIAL GENERAL LIABILITY 2012010002 10107/2012 10/07/2013 MEO EXP(Any one person) S 000 CLAIMS MADE ® OCCUR PERSONAL &ADV INJURY S 1,000,000 GENERALAGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OPAGO S 2,000,000 JE a LOC POLICY f7 F i AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) S BODILY INJURY (Per person) S ALLOWNED AUTOS SCHEDULED AUTOS I BODILY INJURY (Paraccident) S HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Par accident) S GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S OTHER THAN EA ACC S ANY AUTO R S AUTO ONLY: AGO EXCESS LIABILITY EACH OCCURRENCE S AGGREGATE Sw OCCUR F CLAIMS MADE S S DEDUCTIBLE S RETENTION S WORKERS COMPENSATION AND 7ORYTAIvtITS �OER E.L. EACH ACCIDENT S I EMPLOYERS' LIABILITY 111 E.L. DISEASE - EA EMPLOYEE S E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONSILOCATION SNEHICLESIEXCLUSIDNS ADDED BY P-NOORSEMENTISPECIAL PROVISIONS PC0-rl C7r`ATI- un! DPQ I X I nnnrnn�n, INSURED INSURER 9-rm=. CANCELLATION ».�,.... .. ................. .......... -.., ......... -.. - ........ SHOULD ANY OF TH E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT F ILURE TO DO. SO SHALL MIAMI SHORES VILLAGE IMPOSE NO OBLIGATION OR LIABILITY OF ANY fN UPOI THE SURER, ITS AGENTS OR 1006'60 NORTHEAST 2ND AVENUE. MIAMI SHORES, FLORIDA 33138 FLORIDA 33138 REPRESENTATIVES. ✓ AUTHORIZED REPRESENTATIVE .a�� �� ACORD 25-S (7187) -�'Kty u 1�.vmrlurtR I tvay I woo DATE (MMIDD7MM CERTIFICATE OF LIABILITY INSURANCE I 4118!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 po[Wies) must be endorsed. If SUBROGATION IS WANED, 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 rAmflcate holder in lieu of such endorsement(s). PRODUCER QUINTANA & ASSOCIATES OF MIAMI INC. 5200 S W 8 ST SUITE 250 MIAMI FLA 33134 INSURED RAUSA BUILDERS CORPORATION 7111 SW 42 ST MIAMI, FL 33155 305 -445 -8153 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR 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. - — ccs I ant ir_v Fxn I ...� GENERAL LIABILITY MERCIAL GENERAL LIABILITY CLAIMS -MADE 7 OCCUR LIMIT APPLES PER: AUTOMOBILE LIABILITY ANY AUTO ALL QWNED SCHEDULED AUTOS NON-OWNED HIRED AUTOS AUTOS UMBRE , A LIAR OCCUR EXCESS, I" CLAIMS -MADE DED I I RETENTION 3 WORKERS COMPENSATION 10645162 AND EMPLOYERS LIABILITY YIN 5113!2012 5/13/201 ANY PROPRIErOtuPARTNERIEXECUTlVE N I A OFFICERtMIa1IBER FJ(CLUDED? DESCRIPTION OF OPERATIONS 1 LOCATIONS t VEHICLES (Attach ACORD 101, Addidonat Remarks Schedule, H more space is ragtdred) GENERAL CONTRACTOR—HOME INSPECTOR POLICY SUBJECT TO POLICY TERMS AND CONDITIONS. MIAMI SHORES VILLAGE 10050 NORTHEAST 2ND AVE MIAMI SHORES, FL 33138 BODILY INJURY (Per pen=) $ 909ILY INJURY O'waWd0-0 $ PROPERTY DAMA E 3 3 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED (r Q 1 0 AC RP ION: All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registeredmarks of ACORD 61: 16 • 24w �•-. Tit »,a ��. toy �' • 355 : t ks 3Owit z r;� • n•.N.f�w. wl�..w j��. we...�:�T(I }iI ';�i ;i1�31�11 -1!li!•�{�? I. :�itrlj }'!1t3.• }�fl'r•« LA _1' :it i!�lll.�1'.:f : .. . t.I =_i =!Z I Ir=;ll�tr! I'1s,' i•l•I !SI.=•.i .,,,..,..,�. .- .^'..""'. i :• ..� tt l �!.t 1.�• rrl ..'itw.i.++ n�� lit /r K W042 r+ � ,• I ,:. � CA cu 4�� 8�5L 1 3Q.RANOEI�� F sic • II elrp i. •.• ...... .. 4i{ I ♦ W. m u,' - 0� ° ui ere m uebles 1 0G� �UL!_ OUT a�.., �,�o clients c-, opy GAR . 11I e.' �s ¢o � wine a u i ;� Q ILA Para 1 1 , Q �'�° 4„ R� R MIAMI SlIbRES VILLAGE AFT-ROVED BY DATE ZONING 1 y STRUCTURAL t 17-Z ELECTRICAL PLUMBING Y.) MECHANICAL ' 4� @ BLDG. �/Of SUBJECT TO COMPLIANCE WTH ALL FEDERAL STATE AND COUNTY RULES AND RE- GULATIONS X524 m t ! `• di 4.13ISHSItV? In r �I� 3 • W ia:3 • s IiiS2I.. �,�,.. ••--v T• a ttlfi }Iw =i�j�;i '� :'qty}; !�� > S: i I it :lij'•01'tllli ;Ili ;!; 41- i AJ.IM1M 16f I ti 31 411 v 41 i—s j'• �+} .:i1:d�i ;f��►S,iu:iS.';i+li:i�- iii { }i �..i.s�iii'+.ilii�.a ' .+.. C® ��11 C4� ?�e� 31.1 w,l 4 T P% NO POINT ALONG COUNTER TO BE MORE THAN � 2 FEET FROM G.F..I PROTECTED RECEPTACLE. ADD, SMOKE/CARBON MONOXIDE DETECTORS. PUT D/W RECEPTACLE UNDER SINK. ANY AND ALL CLOTH AND RUBBER ALL FIXED APPLIANCES ON DEDICATED CKTR, INSULATED CONDUCTORS TO BE REPLACED. _ i i i -