RC-12-0658Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 207734 Permit Number: RC -4 -12 -658
Scheduled Inspection Date: February 25, 2014 Permit Type: Residential Construction
Inspector: Rodriguez, Jorge
Owner: DEVINE, MICHAEL & CLAUDIA
Job Address: 54 NE 102 Street
Miami Shores, FL 33138-
Project: <NONE>
Inspection Type. Final Building
Work Classification: Alteration
Phone Number 305 - 759 -4883
Parcel Number 1132060131470
Contractor: ANGLER DEVELOPMENT Phone: (305)218 -7583
Building Department Comments
INTERIOR KITCHEN REMODEL ---- - -- -" - " " " "-
INSPECTOR COMMENTS False
08/10/2012- MISSING NOC.
08/13/2012- RECEIVED NOC
as per approval, ok to exten permit 6 months.
February 24, 2014 For Inspections please call: (305)762 -4949 Page 42 of 42
Inspector Comments
Passed a
Failed
Correction
Needed ❑
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
February 24, 2014 For Inspections please call: (305)762 -4949 Page 42 of 42
N:,-, . ))
Miami Shores Village
Building Department MA' R 2 q
90050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
FBC 24
B DING Permit No. C — �S
P1+ RIVIIT APPLICATION Master Permit No.
Permit Type: BUILDING ROOFING
JOB ADDRESS: a
City: Miami Shores County: Miami Dade Zip: 3n�2M5.
Folio/Parcel #:
Is the Building Historically Designated: Yes NO Flood Zone:
City: \ �l\ p `�GO�' m state: zip: 9,
TenanVLessee Name: Phone #:
CONTRACTOR: Company Name:
Address:
,-03 1 .
C�
city: M, klam*l State: I zip: 33111
Qualifier Name: Atber 1 MmOI e — !�� Phone #: bif I � -1
State Cerfi cation or Regls=fion #: c� `� 9w Certificate of Competency #: l
Contact Phone#: Email Address: efde�ceI W MfA:1 I rA f l e in
DESIGNER: Architec0ngineer. Phone#:
&` t
Value of Work for this ety *► Square/Linear Footage of Work:
Type of Work: ' �?ay tion ONew ORepair/Replace ODemolition A4 „
Submittal Fee $ Permit Fee $
84:81a ft Fee $
CCF $ CO /CC $
Radon Fee $ DBPR $ Bond $.
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $ �L
TOTAL FEE NOW DUE $
0
r
i
Bonding Company's Name (if applicable)
Boring Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State
Zip
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 q' subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first C n which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the
inspection w� a rovCd a reinspection fee will be charged.
Owner or Agent
The f go' ins ent was a led d before this
day of y
who' personally known to a or who has produced
As identification and who did take an oath
NOT
Sign
Print
My Commission Expires:
Signature
Contractor
The foregoing instrument was acknowledged before me this
day of 20Vb, by KjacQ 2
who is personally known to me or who has produced
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5
go\ic • 23,
W.V'n � ` %Mall ps
ni •
APPROVED BY 1 Plans Examiner
Structural Review
(Revised 3 /1212012)(Revised 07 /1007)(Revised 06 /1012009)(Revised 3/15109)
identification and who did take an oath.
NOTARY PUBLIC:
Print:
,'40Y I'4e1.
My Commissi Notary Public - State of Florida
•'_ My Comm. Expires Apr 16, 2014
Commission # DO 966253
Bonded Through National Notary Assn.
-1ho 4i s<xxs<s<x
Zoning
Clerk
Miami Shores Village APR 13 2012 1
Building Department B Ya_
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 7162.4949
BUILDING Permit No. 2 -Co
PERMIT APPLICATION Master Permit No.
FBC 201
Permit Typ . UILDeolder): ROOFING
OWNER: Name (Fee Simp V10,2 1 QAOJ,� Cie _Phone #Z=K,
Address: '5�_4 C1 G
City: State: Zip: 2�9 3�
Tenant/Ussee Name: Phone #:
Email: ��. —.
JOB ADDRESS: J4 QC—
City: Miami Shores County: Miami Dade Zip: ?-121
Folio/Parcel #:
Is the Building Historically Designated: Yes NO r/ Flood Zone:
CONTRACTOR: Company Name:
Address:
City:
Qualifier Name:
3;f�l -5-®2 f8 -?s$3
f.3. A, 44&� . • State: IZ-C- Zip: 3 3 l A��
State Certification or Regissr #: � ®�`/ ��5 Certificate of Competency #:
Contact Phone#: Email Address: 6L 'J lga .°
0
DESIGNER: Architect/Engineer: Phone #:
Value of Work for this Permit: $ Z010 66 Square/Linear Footage of Work:
❑Addition )Alteration - / ® ❑New ❑Reejpair/ /RJ/leplace
J"!!,�r
II � �_
vow
$:y
-, u7��m3idree:�9�,taL(
yz-,6,c '--
J
Submittal Fee $ Permit Fee $ � CCF $ CO /CC $
Scanning Fee $
Radon Fee $
Notary $ Training/Educatio FW $
Double Fee $ Structural ReW
DBPR $ Bond $
Technology Fee $
TOTAL FEE NOW DUE $
❑Demolition
T
Bonding Company's Name (if applicable) I t
Bonding Company's Address
City
State
Mortgage Lender's-Name (if applicable)
Mortgage Lender's Address
City .
►� I A----
State
Zip
zip
Appl.:ation is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
com ;enced 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 - IGNS,
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 S� r_ ®; t , a�
Owner or Agent
The foregoing instrument was acknowledged before me this
who is personally known to me or who has produced' t
W
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
APPROVED BY
(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)
Signature
Contractor
The foregoing instrument was acknowledged before me this,..
day of A- , 26 —IL, by ,
who ' ersonally know me or who has produced
as identification and who did take an oath.
���rurn,q NOTARY PUBLIC: d
''6SD£L133gIl:
Si
r
i Print: .8 14
My Commissio W 0 Do
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a 1
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Plans Examiner 3 7�/goning .
Structural Review, Clerk
1/7/2013
Michael and Claudia Devine
54 N.E.102nd Street
Miami Shores, Florida 33138
Mr. Norman Bruhn
Building Official/Director
Miami Shores Village
10050 N.E. Second Avenue
Miami Shores, Florida 33138
Dear Mr. Bruhn
JA +d 0 7
Our family is writing to you regarding a home renovation that we have been planning. We
received notifications on January 3rd, 2013 which indicated that our permits are scheduled to
expire on February 50; 2013.
While we fully intend to complete the renovations, we have yet to start the project due to
potential plan modifications from a decorator we have contracted. For this reason, my wife and
I kindly request a six month extension of our permits. Below are the permit numbers for your
reference:
• PL- 4- 12-661 Plumbing — Residential
• MC-4-12 -659 Mechanical — Residential
• gC- 4- 12-658 Residential Construction
• EL- 4- 12-660 Electrical — Residential
It is our hope that you will grant us this extension We greatly appreciate your time and
consideration in reviewing this matter..
S. el ,
o�
Michael and Claudia Devine I
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO. TAX FOLIO
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 streettaddress:
2. Description of
OR Bk 28226 Fs 27764 (IP0
RECORDED 08/13/2012 11951.31
HARVEY RUVIN? CLERK OF COURT
NIAf1I -DALE COUNTY► FLORIDA
LAST RAGE
Space above reserved for use of recording office
3. Owner(s) name and address: +. G{ j(,tq -� °. Cd Q r" 1
Interest in property: %.e { Sr
f r-
Name and address of fee simple titleh Ider.
4. Contractor's name, addr d phone numtpr ✓�"
5. Surety: (Payment bond required by owner from contractor, if any)
Name, address and phone number: Na /w
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, address and phone number.
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, address and phone number. lnj_z '
9. Expiration date of this Notice of Commencement:
(the expiratlon date Is 1 year from the date of recording urdess a different date is specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED
IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13. FLORIDA STATUTES, AND CANQZSULT IN YOUR PAYING TWICE FOR'
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT
jlE JOB SI E
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
COM
OR RECORDING YOUR NOTICE OF COMMENCEMENT.
or"d filed In
Signature(s) of Owner(s) or Owner(s)' Authorized Officer/Director/Partner/Mana r
A D 20
Prepared By Prey Ow
Print Name Pri
Fd
Title/Offic �� `� ."�1 Titleffice
STATE OF ( o,_ DeAA clz
COUNTY OF MIAMI -DADE
'� .1
The foregoing instrument was acknowledged before me this day of
!� I
By
❑ Individually, or ❑ as for
❑ Personally known, or PLptoduced the following type of identification:
I
//� -- Signature of Notary Public:
Print Name:
s UOISSIfUNO ..
(sew
= 1 0178fid a8fja8
VERIFICATION PURSUANT TO SECTION 82.525, FLORIDA STATUTES
': 9iQt1901E0
Under penalties of perjury, I declare that I have read the foregoing and
�'��� �%B�,dX ?••'.a
that the facts stated in it are true, to the best of my knowledge and belief.
`X��
Signature(s) of Owner(s) or Owner(s)'s Authorized Officer/Director/Partner/Manager who signed �a�43by /1(�SfJS1 ,
By By
123.732 PAGE WO
Local Business Tax Receipt
Warn= DadetountV, State of Florida
—THIS IS NC1T A Bt, — DO NOT PAY
5018998
BUSINESS NAMS&OCAATION RECEIPT NO.; EXPIRES
ANGLM DEVELOPMENT INC RMEWAL SEPTEMBER 30, 2014
2141 HIBISCUS CIR 52440734 must be displayed at place of business
NO RTH MIAMI A 33181 Pursuartm County Code
Chapter 8A = Art 9 & 10
OVMEB SEC. TYPE OF BUSINESS
MGLER DEVELOPMENT INC 10 GE I NERA BUILDING CONTRACTOR er TAX COLLECTOR
Worker(s) 1 CGC $5615 02/10/2014
FPPU09- 14- 004106
Ub Lacd sumo Tax gec*t=ft i agms p m d of the L=W Busdtm Tana The Receipt b na a
ficimm potfiL or a cardficatl6n,of hoUWi gmtillicadons, to do bushmm Holder mast comply whit
my gavel or no regalatory laws std requirements which apply to the business
lire R90111t No. above must be displayed an au commmial vdddes - N61emE- eCode Sec & -i7B.
Farmore hdomtath m.vbtt www 1
07 -26 -2012
JEFF AlIrVATER STATE OF FLORIDA
CHIEF FINARCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORKERS COMPENSATION
* * CERTIRCATE 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: 07110/2012
PERSON: MENDEZ
FEIN: 020597062
BUSINESS NAME AND ADDRESS:
ANGLER DEVELOPMENT INC
2141 HIBISCUS CIRCLE
hiORTH MIAMI FL 33164
SCOPES OF BUSINESS OR TRADE:
1- CONTRACTOR- PROaJECT MANAGER, CO
EXPIRATION DATE: 07/1012014
ALBERT
2- LICENSED GENERAL CONTRACTOR
IMPORTANT: Put&Uat to Chapter 440 - 06(14). F.S., an officer of a Cotpuratloo who elects exemption from this chapter by fnrag a certificate of election ender this
section may out recover benefits or compeasatlon under this chapter. Pursuant to Chapter 440.06112), F.S., CertOfeates of election to be exam
scope of the business or trade listed on Ore notice of election to be ex �•• �PI0 1 certificates within the
exempt etnpG PltcmteM to Chapter 440.OSir3i F.S„ Nollees at etecUoe to be exempt end certOCates of
certif rate 00 longermeetsl the subject to rew"catf*4 if, It of this $001011 in' timmoce of a certificate.theThnotice epartment shell evokeOa ertiticate at nay timilmn f� (eilare of notice of cparsno
named on the certificate Io meet the regairemeno, of this section
OWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01 -11 QUESTIONS? (850) 413 -1SO5
X
r
PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE
STATE OF FLORIDA
DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORKERS' COMPENSATION
CONSTRUCTION INDUSTRY
CERTIFICATE OP ELECTION TO BE EXEMPT FROM FLORIDA
WORKERS! COMPENSATION LAW 0
EFFECTIVE 07/10/2012 EXPIRATION DATE: 07/10/2014
PERSON: ALBERT MENDEZ
FEIN: 020597062
BUSINESS INANE AND ADDRESS.
ANGLER DEVELOPMENT INC
2141 HIBISCUS CIRCLE
NORTH MIAMI, Ft 3318!
SCOPE OF BUSINESS OR TRADE
I- CONTRACTOR - PROJECT MANAGER, CO 2- LICENSED GENERAL CONTRACTOR
IMPORTANT
O Pursuant to Chapter 440.05(14), IF S., an officer of a corporation who
elwcTs exemption from this chapter by filing a certificate of election
L under this section may not recover benefits or compensation under this
D chapter.
Pursuant to Chapter 440.05(12), F.S� Certificates of election to be
RH exempt.- apply only within the scope of the business or trade listed on
the notice of election to be exempt.
E Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt
and certificates of election to be exempt shah be Sublect to revocadon
if, at any time after the filing of the notice or the Issuance of the
certificate, the person named on the notice or certificate no longer moats
the requirements of this section for issuance of a certificate. The
department shall revoke a certificate at any time for failure of the
person named on the certificate to meet the requirements of this
section.
QUESTIONS? (850} 413 -1609
CUT HERE
* Carry bottom portion on the ,fob, keep upper portion for your records.
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COOPer City, Fl. 33181
THE CERTIFICATE
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ALTER THE COVERAC,EAFFORDED 6YT14rz POLICIIaS
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ANY REOU,REMEN .. TERM OR CONi� ON DF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE TE BE ISSLED OR MAY
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STATE OF FLORIDA
DEPARTMENT OF BUSINESS AM PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD
0 NORTH MONROE STREET (850) 487-1395
SEE FM 32399-0783
MENIDEZ, ALBERT
ANGLER DEVELOPMENT
2141 HIBISCUS cIR
NORTH MIAMI
INC
FL 33181
THIS DOCUMENT A COLORED BACKGROUND -MICRO PRINTING - NEMA
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GOVERNOR _ _: ='�Y ';` REN LAWSON
V A 0 M�^i SECRETARY
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Congratulations! With this license You become one of the nearly illion �S*ATE OF FLOPivA
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Floridians licensed by the Department of Business Professional
and Regulation.
Our professionals and businesses range from architects to yacht brokers, from r
boxers to barbeque restaurants, and they keep Florida's economy strong.
.-Pap'ARTKEM OF BUSMESS AND
PROFESSIONAL REGUL&TION
Every day we work to improve the way we do business in order to serve you better.1
,GC059305
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For information about our services, please log onto wwwinyfloridallcense.carn.
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and re
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Impact you, subscribe to department newsletters and learn more about the
..CONNMCT
Department's initiatives.
Our mission at the Department is: License Efficiently, Regulate Fairly. We
constantly strive to serve you better so that you can serve your customers.
Thank you for doing business in Florida, and congratulations on your now license!:
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LICENSE NBR
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Expiration date2 AUG.31, -
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ANGLER DEVELOI�'MS1+iT' 1KC
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NORTH. MXAXI
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GOVERNOR _ _: ='�Y ';` REN LAWSON
V A 0 M�^i SECRETARY
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Miami shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
March 28, 2013
Permit No: RC12 -658
Building Critique
�pns Gear tM*UW 4.16.13 10112W(W
1. (he plans must be clearly marked to identify the proposed revisions.
2. Identify all interior bearing walls in the area of work. A,*S; t 1Rx 14 4s4il)
3. Provide separate permits for new patio. Provide HRS /DOH approval.
i8• (,wl It. tUU � hu�mr� /ar oCtliy�12116n���.
• '.13
Norman Bruhn CBO
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.
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Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Page 1 of 1
Permit No:
3/-2,1/13 Structural Critique Sheet
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STOPPED REVIEW
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.
Mehdi Asraf
s ,
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
April 3, 2013
Permit No: RC12 -658
Electrical Critique — Michael Devaney
1. Switch and light added to new french door area.
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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.