RC-13-2155Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 199723 Permit Number: RC -9 -13 -2155
Scheduled Inspection Date: January 29, 2014
Inspector: Rodriguez, Jorge
Owner: SILVERMAN, SCOTT
Job Address: 1321 NE 103 Street
Miami Shores, FL
Project: <NONE>
Permit Type: Residential Construction
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1132050300120
Contractor: TRUE LINE CONTRACTING & REMODELING SERVICE INC Phone: (954)290 -4100
comments
REMOVE CABINETS AND SOFFITS, INSTALL NEW
DRYWALL, TILE FLOOR AND BACK SPLASH INSPECTOR COMMENTS f=alse
January 28, 2014 For Inspections please call: (305)762 -4949 Page 8 of 39
Inspector Comments
Passed
Failed
Correction
Needed ❑
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
January 28, 2014 For Inspections please call: (305)762 -4949 Page 8 of 39
Miami Shores Village
Building Department SEP 2 4 2013
10050N.E.2nd Avenue. Miami Shores, Florida 33138 BY.
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (3 05) 7624949
BUILDING
PERMIT APPLICATION
Permit Type: BUILDING
FBC 20
Permit No.
Master Permit No&,-2) 2, I
Iii I 1
JOB ADDRESS: I l d sfrne t
City: Miami Shores County: Miami Dade Zip:
Folio/Pwcel #: r 13 cg <7% :3 A a-p
Is the BaWng Historically Desigtmted: Yes NO il�' Flood,Zone:
1
OWNER: Name (Fee Simple Titleholder): �.O (f -,S.- ,tali rzsa,,fx line#:
City: M!kh i0i. ,_
TenandUssee Name:
State:
Email•
CONTRACTOR: Company Name -. j ® At 10, e- j 1 m
City:
Qualifier Name:
State Certification or Registration #: C a /.!L—r OS -Y ? Certificate of Competency #:
Contact Phone# all Q t11V 0 Email Address: %l P� �i 1A L' &� �so Id • � �"
DESIGNER: Architect/Finginder: Phone#:..
Value of Work for this Pertnit: $ cw ,�-- Square/Linw Footage of Work:
Type of Work: OAddition teration ONew ORepai l?- eplace _ ODemolidon
..
Color thru tiler
Subndttal Fee $ Permit Fee $ CCF $ CO/CC $
Scanning Fee $
Radon Fee $
DBPR $ Bond $
Notary $ TralninglEducation Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $
Borffittg Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
zip
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 building permit with an estimated value exceeding $2500, the applicant Hurst
promise in good faith that a copy of the notice of commencement and construction Hen law brochure will be detiiemd to the person
whose property is sokct 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 ted nonce, the
inspection will not be approved and a reinspection fee will be charged. .9
Signature U Signatu�//
Owner or Agent ontractor
The forego' instrument was wled before met ' The foregoing instrument was kno ledged nii
r
day oF-- �I–� —, , by day of _, �_Jby
who is rsonapy known to me who has produced who is rsonally known to who has produced
identification and who did take an oath as identification and who did take an oath
NOTARY PUBLIC: n, aLEXaA9JAlaC.A,9ELL
MY'�'SStCNd #EE843913
�... Pry 7CPIRE5: ect�er i5, 2015
S RP Horded Thru notar, F'ifi8c Itnnar tr..e
My Commission Expires:
APPROVED BY
/�> Plans Examiner
Structural Review
(Revised 3 /1212012)(Revisvd 07 /10/07)(Revised 06 /10I2009)(RevisBd 3tiSW)
NOTARY PUBLIC:
Print: Y 1-1 Ut-
My Commission Expires:
�, ...,,•, �d.EXANDR1aCAMPBEtJ.
NIY COt dIIS3�}!4 A Ef 843913
' - EXPIRES: WOW 1 201
q b:� Bonded ThM N0taty P0* UoderYW n
Zoning
Clerk
09/10/2013 23:18 NATIONWIDE 4 19549220007 NO.622 902
AGORID� eATe IrWmnnwn
CO CERTIFICATE 4F LIABILITY' INSURANCE 0911112013
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFPIRMATIVELY OR NEGATNELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED 0 THE P01_ICIES
BELOW.
E VE PRODUCER LOESFNTATI INSURANCE DOES NOT HOLDER. CONSTITUTE A CONTRACT pgMEN THE ISSUING MURMSL AUTHORIZED AND
IMPORTANT: If the certificate holder Is an A OITHMAL INSURED, the pal in) must be endorsed. N SUBROGAYM IS WAIVED. Subject 10 the
terma and conditions Of the policy, certaln licies may squire an endorsement. A statetneM on this oertlticate does not confer rights to the
certificate holder in Ctou of such endorsern s}.
rpm—Malik �•:
—�
I
T K TOM3ROS INSURANCE AGCY tNC
804 PALM SPRINGS OR
ALTAMONTE SPRINGS FL 32101
INSURED
TRUE LINE CONTRACTING AND RINIODELING SERVIC8 ING
go HOLLYW=OLVD
HOLLYWOOD FL 3019.1604
,DVERAGNS CERTIFICATE NUVOCK: " -' - -
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURC�D NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REOUIREMENT' TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE 1SSUEO OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALI- THE TERMS,
EXCLUSIONS AND CONDITIONS Cf SUCH PO IES. LIMITS SHOWN MAY HAVE
BEEN REDUCED BY PAID CLAIMS.
R Type or INSURANCE
EACH OCCNRRENCE f 1,000,000
s6NERAL UAKITY s 100 000
X COMMERCIAL GENERAL LIAKITY P e w!1 s
CL41AISMADE U IX-1 OCCUR M@0 EXP(Arenaoerean
I ACP GLZO 5924906966 0511412013 0611412014 PERSONA A ADV INJURY s 1,x,000
A ; t FNERAL AGGREGATE t 2.000,000
�; �,,....__. _ ...- -- PRODUCTS • coMp/op acct s 1.0�,OOD ,_
I GIN•t AGGREGATE LW A 7-1 Pe L.
i X� POLICY 7 .� . Lor, I
AUTONOe11.E UA91LVV
ANV AUTO
ALL AWNED SCHEOdLBD
HULKED AUTGS 0 AUTOS
I
I I
BDDILV 4y"' O—' s
emy tNJL Ry (Pm ""Ing I
S
UYaR6411► UA6 CCCISI
EicE. LIAR CLAIMS
AND EYplfl jM— YALSM 1 •
aNY PROPR16rDR1PALIrNisRlEXECUrIVE Y� N
Ie NH) { { { { 9 L. IMSEASE .
III-- I I
DEEDRIPTI4N OF OpBRATLON61 LOCAr101� 1YEHICLEB �MWp ACORO III, A"138 el 40mer" kMaukh "Offs ipaee to
,
I
- - SHDUtA AN4 OP THE A804 Dfi6CRRiED POUCIBa BE CANGEA10 p6,RORE
THE EXPIRATION DATE THERROV, N0110E WILL BE DELIVERED IN
City of Miami Shores ACCORDANCE YWTH THE PIXW PROM0118,
10050 NE 2nd Ave AUrMI)MEO RMPREMOAnVH
Miami 6hWes F� 33167
Theodore K. Tombw
1 0 1988.21010 ACORD CORPORATION, All rights reserved.
ACORD 25 WINDS) Ttea AMP name 11"d 1090 are registered markG of ACORD ��
JEFF ATWATTER
CHIEF FINANCIAL OFFICER
STATE
DEPARTMENT OF
DIVISION OF WOR
* fF CERTIFICATE OF ELECTION TO BE EX
CONSTRUCTION INDUSTRY EXEMPTION
This certifies that the individual listed below has elected
EFFECTIVE DATE: 12/31/2011 EXPjRA
PERSON:
FEIN:
SMITH
200603088
BUSINESS NAME AND ADDRESS:
TRUE LINE CONT'RACTIM & REMODELING SERVICES INC
846 HOLLYWOOD BLV
HOLLYWOOD FL 33015
SCOPES OF BUSINESS OR TRADE:
1- Part ntf ng or Paporhangf rig
IMPORTANT: Parssaat to Miller 440 . 06If4 F.S., an officer of a Corporation who e
section may mat recover 110e1118 Or compensation under this cbepter. Parsamt to Chepte
scope of ft bwhmus or trade listed on the notice of election to be exempt. Pursuant
electron to be exempt shelf be sobject to revocation 11 at any time after the filing of
ceniticate Ito 140ger meets the rogntrements of this section far issuance of a eertiffcatt
named on the certificate to meet the rmpkemeats of this 38WM
OWC -262 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01 -11
11 -17-2811
FLORIDA
IANCIAL SERVICES
S' COMPENSATION
FLORIDA WORKERS' MWENSATION LAW *
exempt from Florida Workers' Compensation law.
DATE: 12/20/2013
Id
o nanaywa rrom rays CaapteT by filing a Certificate of election eater this
10.0502). F.S., Cer ificaw of also" to be exempt.. apply only WhIds the
Cbaptar 440.05113t F.S., Room of election to be exampt ad ceafficotes od
nonce or the bloom of the cenNhmte, fire patsan named On dto nonce a
The department daft revoke a certificate at any lima for fa are of the perseo
QUESTIONS? (850) 413 -1609
PLEASE CUT OUT THE CARD BELOW 4ND RETAIN FOR FUTURE REFERENCE
STATE OF FLORIDA
DEPARTIwIEMr OF FINANCIAL SERVICES
DIVISION OF WORKER V CoMpEMTM
CONSTRUCTION IA MIMY
CERTIFICATE OF ELECTION To BE EXEMPT FROM FLORIDA
VVORKERS COMPMMT= LAW
EFFECTIVE: 12/31/2011 EXPIRATION DINE:
PERSON: KENNETH a SMITH
FEiN: 200603088
BUSINESS NAME AND ADDRESS
TRUE LRM CONTRACT= & amoclaMe aBrW CES arc
1346 HOLLYWOOD KV
HOLLYWOOD, FL 33013
SCOPE OF BUSINESS OR TRADE:
1- Paraft ar Paperhanks
IMPORTANT
Pursuant to Chapter 440. 06(14), F.S., an officer of a corporation who
elects exemption from this chapter by filing a certificate of election
under this section may not recover benefits or cote tint cider this
chapter.
12/30/2013 Pursuant to Chapter 440.05(12), F.&. certifirates of election to be
exempt - apply only within the $cape of the business or trade listed on
the notice of election to be exempt
CUT
* Carly bottom portion on the job,
OWC -262 CERRTIFICAM OF ELECTION TO BE EXEMPT REVISED 01 -11
Pursuant to Mapter 440.06(13), F S.. madams of election to be exempt
and certificates of election to be exempt shall be subject to ramcadon
If, at any time after the filing of the notice or the isstaince of the
Cllrtifil:ste, the ))811-on named on the notice or certificate ito longer meets
the requirements of this section for issttmtce of a certificate. The
deponent shalt revoke a certificate at any tine for home of he
person minted on the cwdficatO to meet the requirements of this
section,
QUESTIONS? (860) 413 -1609
upper portion for your retsorda.
7 i
5
I A 6.3.4 6 3 6:0 -
a
STATE
Q �IIS.It31�S
$IICCIO�Y r
JDA
�ngratutatlonsl With tht license you of become B ss end Professional R�
Floridians licensed by the Department
our professionals and businesses range from arcftitscts to yacht brok+
boxers to barbeque reshmnia, and they keep Florida's economy strc
Every day we work to Improve the way we do business In order to ser
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constantly hank you � doiinng business in in Florrida, and�conSmtulations on your
CRS YO,9
DETAH MERE
Local Business Tax Recei
Miami -Dade County, State of Floridi
THIS IS NOT A 811.- 00 NOT PAY
6000129
WMINEWMAMEILOCAMON
TRUE UNE CONTRACTING & REMODELING
DOING BUS IN DADE CO
MIAMI FL 33000
OtitlINBR SEC. TYPE OF
TRUE UNE CONTRA & REMOO SRVS INC : C GENERAL I
CG GENERAL
Worker(s) 1
We LOW Business Tax flecelp only GORR R Payment of i
pomi4 or coAiBceNea of the ha1dei s gwM0811000,to di
hmwvwmmnw regomtOrY law sad which
The MCWTNO. above most b be disptgW ca a8 cm
Fsr Mweiaf fMW0 4 VWdJ py!
EXPIRES
SEPTEMBER 30,2094
Must be displayed at place of business
Pursuant to County Code
Chapter 8A =Art. 9 & 10
Nam IG CONTRACTOR PAYMENT RBCEtvEq
BY TAX COLLECTOR
$75.OD 07/10/2013
TXHSI -13- 021026
Bud"M TOL TboRecdoisadancenm
L Hdder euRt tmoipiy 0aY 0r
he baushaess.
vebides— Mi0101 -ode Code So 8* -M
co
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1352"' ,
3310 ' 30" 1'"
18" 36" 17"
446 -21 v, —24" 9a 3 15„
8
602" 39w , 7r 35"
Au dimenslow; -dw deigtatlons
given are suWam to vm3fUndon an
j she n adjuatnant to $t job
co a
sawm2an,
Ths is an original design and mat
tot be rahmad or copied ualass
==1626 has bma puid ar job
(9
Note: This drawing Is an artistic 2-.1 Deslgaed: bl72fl:
httarpretatiaa ofthageaeraI olos Frioted: 718,
appearance of the dadgn. It is
not meant to be an otact randithm.
PANDA KrrCHENS
PRECISE DBlENS QN INC.
DARREN (786) 2519658 r
1
SOFFIT t
as ilr 111
x j
wo !7s*'
x
x arm
is 1/4" D I
'
x
99" 37 H
SOPPY 80 Ur x 181/r H X 151/4" D
ZZ lFi X 83" H pjg y Si 1J x 83" H vMMM 24 UZ X83° H
FM 47.3/�' Fib + 47W
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NUM - @LUMMUS EM ARE 18" AFAR?
3r "X45 IW
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X I— — ...... ._.,. ..r{
Br H nmr o71 /2" xis ur N x 5@ i/r D
AD= & O1TStLVERI M"
6/8/2013
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as
x
83" H
87i/fxsrH
Lrx 981jd'
lwxaw'H
x
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2/r it
t x
V 1/4° D
APPUANCE
HEIGHT
WIDTH
REFRIDGERATOR
68
3 4
29
X
STOVE
30"
COOKTOP
X GAS
HOOD
MICROWAVE
16"
30"
13"
DISHWASHER
ZV
X
OVEN BUILT -IN
BUILT-IN DBL OVEN
BUILT-IN OVENIMICRO
X
NE COOLER
TRASH COMPACTOR
SINK
33"
X
WASHER
DRYER
OTHE
I-axilil
=
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Imam
iL
IMPORTANT COMMENTS:
- KEEPING FLOORING, FOOTPRINT IS 21"
- ABOVE I VE CHECKED OFF APPLIANCES THAT W1LL BE PURCHASED
- CUSTOMER WANTS TO REMOVE SOFFITS, WOULD LIKE QUOTE FROM
GENERAL CONTRACTOR.
12" .- - -12" -- 12"
ji Or, .
DIMa�sr/A /Yr,�1I
- 2 815" spice pup outs
m rrash pup out
Crown to the calling Pnl 3596 to make
et w/CTM & pnl for micro
' Client getting quiet rose on everybody
c ' client pro viding at time of instep.
GHar t movMg appliance locations.
Client has O.C. for permits and soft removal.
Footprint to filed by G.C., G.C. doing removal &
disposal.
4 ROT Inside PIC 15
ORB on footprint 2 X 4" behind
pantry cab and w361
Client Is filing footprint Client moving aim
on -
brin pantry out 3"
to ver de of env
30"b to 19D frid . 28• "D
U3684 •
130B15
Atl dimensions -aim designations
given ate snldect to verification on
job sits and adjushnent to fit job
conditions.
12"
?-,
F"
This is an original design and must Valligned: 6"128
not be released or ciad unless Printed: 7AL'20I3
applicable fin has been paid or job
order placed.
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Note: This drawing b an artistic Designed: 6/7n -O
intarpsotion of *a general oi'oor'ir Printed: M20I3
appeamme of the design. It b
not meant to be as exact rendidm
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tt}
793f1
1 11
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All dhnen sious .size designations
given are subject to verification on
job site an � to fit job
Adrin -Scott
This is an original design and must
not be released or copied union
� pb� has been paid or job
1
3
...W3636'...
W3636
:1
+t•
:
-1 i t.l,��l� is .4N�tt.i ::..�• - � .
All dhnen sious .size designations
given are subject to verification on
job site an � to fit job
Adrin -Scott
This is an original design and must
not be released or copied union
� pb� has been paid or job
1
3
v
Note: This dtawln is an artWo geed: S/7i71013
3ntarpretation of the general °1� =
appearance ofthe dm hpL It is o►Tibila Prhtted: 7l8/20I3
not meant to be an exact vmditkm
.SoaRt All Drawing#: t
All dimensions jte designations
given are sorrel to vwUlcntion on
job site aad adju masat to 8t job
condfdoas.
This is an anginal design and must
rmt be released or copied unless
"plica� b has been paid or job
Mdw
Prhued: 71 413
#: t
v-Ag
Nate: This drawing is an artistic Deemed: &7/2a
Interpretation of thegemat I M Prlatma:718l2013
appearance of the design. It is
not mead to be an mmut rendition,
All
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All dimerwoas.da desigaatlass
givers are subJe a to on
Job dW wd 841ustm=t to Ht Job
conftlam
Adrla.,Saott
3011 3011
This is an orlgiaal dasiga and must
wt be released or copied nabs
soi s bas ban paid orJob
Dashed: 6/712013
Pdntmt 7AVA13
Ell I Drawbm #: 1
Note: This dmw hW b att artisdo Daskpad: 6/7/2013
a won g mml �p �p�"p s Prated:71AMl3 of the desigm It is
riot meant to be an exert rendhim
Silverman, Adria.Som
Nia�terpratethmof*egeneral Deatwh 6/7/3113
appearance of the dedIpL It b ° s i:ri : 7/ZQ/2D13
not meant to he an oxm rendition.
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