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RC-13-1141Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 212486 Permit Number: RC -5 -13 -1141 Scheduled Inspection Date: May 15, 2014 Inspector: Rodriguez, Jorge Owner: BLANCO, CHRISTIAN Job Address: 1360 NE 103 Street Miami Shores, FL 33138- Project <NONE> Contractor: MEGA BUILDERS LLC Bunaing Department comments Permit Type: Residential Construction Inspection Type: Final Work Classification: Alteration Phone Number (754)214 -2875 Parcel Number 1132050300070 Phone: (786)564 -4404 REMOVE TILE WALL - REPLACE DRYWALL, INSERT Infractio Passed Comments POCKET DOOR ENCLOSED TWO WALL OPENING IN INSPECTOR COMMENTS False KITCHEN AREA May 14, 2014 For Inspections please call: (305)762 -4949 Page 29 of 30 Inspector Comments Passed Failed Correction Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. May 14, 2014 For Inspections please call: (305)762 -4949 Page 29 of 30 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 Type: BUILDING Permit No. MAY23 .�' 2013 FBC 20 tC) Master Permit No. MC,1 ? -1141 ROOFING JOB ADDRESS: 1-24--D $36 ( ®3 sT' City: Miami Shores County: Miami Dade Zip: �� 3 Folio/Parcel #: f I 2,0S '— 03 o © D q Is the Building Historically Designated: Yes Flood Zone: OWNER: Name (Fee Simple Titleholder): G' 1'i12(5 i) At3 &,Ad c-o Phone#: Ste- Z SI- 229? S' Address:' (3C`0 WC— 1O3 sf City: M (Am I State: 1=L- zip: 3313 a3 Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: mggA BU IL D F- eS ^"k- Phon #: jEa-Z ) �C- 213 1-7 Address: 15102. S W 0+:5 LO City: M 140) 1 State: Zip: 9 f 8S Qualifier Name: _60 (ice (9 A-L-" DAA-f S Phone#: State Certification or Registration #: C C1 C 1 S 11 9 ::� 3 Certificate of Competency #: Contact Phone#: Email Address: DESIGNER: Architect/Engineer: ___Phone* Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: DAddition DAltemtion (INew ` 'iepair/Replace Description of Work: 12 E rrfo JC- ? (L E W A U - - a,--P4-AC-C- p aq (.JA,((,, < 1 o S enall rlsysE 1-910 4JAJl o ODemolition HA Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ CCF $ CO /CC $ DBPR $ Bond $ No Training/Education Fee $ Technology Fee $ onble Fee 7.� Structuxal Review $ TOTAL FEE NOW DUE $ 4 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 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 'ce of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachm t. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspec ' n ich occurs even (7) days after the building permit is issued. In the absence of such post tice, the inspection wil t e p owed and a r inspection fee will be charged. {' fl caner or Agent The foregoing ' s nt was acknowledged before me this day of 4 '20 1?, , by 614 a-4 S-TIA d .9 c4pc-4 , wh is person y known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Contractor The foregoing infstrument was acknowledged before me thisj2 day of 20 J5� by -2 82tN U LLlt*q wh ' personal] known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: o — — — — — Sign: ro JOSFEIRIZ JOSE EIRIZ Print: UIHIC _ State 01 Wanda otary Public - State of Florida =5 oaf �C=M�18810fl �0912i25 2013 My Comm. Expires Nov 27, 2013 My Co s '881111% Commission # DD 912225 APPROVED BY `)` Plans Examiner Zoning Structural Review Clerk (Revised 3 /12/2012)(Revised 07 /10/07)(Revised 06/10/2009)(Revised 3/15/09) 05/16/2013 20:49 .7f 3052542984 CARIBBEAN BAY INS CERTIFICATE OF LIABILITY INSURANCE PAGE 02/02 ••••.. yr srruxseAla71Y ONLY AND CONFERS NO RIeHTS UPON THE 7/1a CER f1PfCATE DOGS NOT A�FIRMATNEI.Y OR NEQA7IYEI.Y AMEND, EXTEND OR AL.TER THE QOVERAOE WORM BY TItE PQL Il2f BELOW. THE CER WMATO OF INSURANCE DOES NOT CONGMTE A CONTRACT BETWEEN THE ISSUIW WOUROM, AUTHORIZED REPRESIRWATIam OR PRODUCER, AND THE CERTIFICATE HOLDER. the terms snd m w vn potlay. oo/min •,•��no.q we Psesytlos) MIYBt t10 a�dolsoA. E TfOli•19 sbadeot to 84141dsr 1m ilim et suoh POW" eY mulm sn wwlmaen►est A s�,t oa tlfte m doss aat aordrg. r1pna to am neaRsj Cw%eGQ9wh cram Ino. :— Esomm 20454 S Doke Hay (3D5 284.28419 Cutler Dw FL 33189 rots cenibaantsprht� Phone FDIC 4-29414 m Wsump I Il : Irslermm Mega Rdders Uc a: 15102 SW 46 Later c Mtam(, FL 33t8$- (7W 664440413: TH4818 TO 10ERTIFy THAT THE POUCIEA OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED IVE FOR POUCY pERIQO INDICATED: NOTWITHWANDING ANY REQUIREMONT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH REBPSCT TO WMrH THIS CERTIFICATE MAY 6E lB$USD iOR MAY Pt;RTAlN, THE INt3URANCE AFFORDED BY THE POLiC1ES pE$CRIBEp HEREIN 18 SUBJECT TO ALL THE TE�yI& 6XCLU810NS AND CONDITION$ OF $UCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID OLAIM3- f1 -- � asmom LAR IT ® 0mim R m G61E m I.ML rY A a ❑ CLAUMVft © OWUR. a WWLAWREOATfs LnTmmL=pM Wmnm=u LmaRITY q AWAUTO D aw°D ❑ eD El "teamma ❑ ❑ UMRLLAUM ❑aoouR none LL40 L DED : ❑ RMrlOidt LWW" Yrp -�r _- 77 a tillage of LftW Shoree 10090 NE 2nd Avenue M611 SM*% R 33138 ACORD 26 (2014" QF 0196Ft,ppp44788 1 001=13 1 04/11=14 I " EXP (A'W 1 p pw# s i 04rmm) I E owa s s ACORD tot, �6oRa11 > Nage space Is 1 W=LD ANY OF TM@ ABOVE ORWA M PKMl= gECAWELL® BEFORE THE EXPIRATION DATE THEREOF, NOTICEWILL BR DELJV gten IN ACO MWANCE t ffM TIIE POLICY PRWvlgM B. -- w-row -m"v Aumu a The ACORD no re ne ad kgo a n@Lv e W a of ACORD� iiiC °M 1 CERTIFICATE OF LIABILITY INSURANCE I DAr%/v;,2niYYY) r 5 /1E/7ni2 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 pollcy(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 lieu of such endorsement(s). PRODUCER Insurance Office of America, Inc. P.O. Box 162207 CONTACT PHONE FAX B00 - 243 -6899 A 0 N,): (40 7M7W3 ADDRESS: Altamonte Springs, FL 32716 -2207 INSU AFFORDING COVERAGE NAIC# 10050 NE E 2nd 2nd Ave A INSURER A: Star Insurance Company1 X23 INSURED INSURER B : $ INSURER C: $ Megabuilders LLC INSURER D: PERSONAL & ADV INJURY 15102 SW 45 Lane Miami, FL 33185 INSURER E: INSURER F: $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- LOC Em COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUB.IECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LLTTRR TYPE OF INSURANCE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN R POLICY NUMBER �ru�rr NfW�YYY LIMITS Village Shores GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1:1 OCCUR 10050 NE E 2nd 2nd Ave A Mlaml Shores FL 33138 EACH OCCURRENCE $ PREMISES Me occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- LOC Em PRODUCTS - COMPIOP AGO $ $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS COMBINccsde SINGLE LIMIT B BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY $ $ UMBRELLA UAS EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED 1 RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERtEXECUTIVE Y/N OFF /M ICEREMBEREXCLUDED? (Mandatory In NH) If yes describe under DESCRIPTION OF OPERATIONS below NIA WC077895000 1/25=13 1125=4 WC STATU 10TH- T RY LI MITS ER EL. EACH ACCIDENT $ EL. DISEASE - EA EMPLOY $ 1,ow,000 EL. DISEASE - POLICY LIMIT $ 1,OOQOQa DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (Attach ACORD 101, AddMorcal Rerneria Schedule, If rnore space Is required) CERTIFICATE HOLDER CANCELLATION !el ICQR-*nln A!`nOn /%nDDnDATlnld A11 rinhM r nomd 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 REPRESENTATIVE Village Shores 10050 NE E 2nd 2nd Ave A Mlaml Shores FL 33138 !el ICQR-*nln A!`nOn /%nDDnDATlnld A11 rinhM r nomd tov 01/t" ©L) rr nj e MAy 9 CUMULATIVE SUBSTANTIAL IMPROVEMENT VERIFICATION WORK SHEEN In accordance with FEMA regulation and Miami Shores Village Flood Damage Prevention Ordinance the costs of all improvements must be monitored. The costs of any improvements in the past 12 months and the costs of any proposed improvements must be shown on the worksheet. The cost of improvements must include demolition, raw and finished materials (include those donated), labor (including volunteer and self- performed), construction supervision and management, and overhead and profit. A list of items the costs of which are to be included as well as those excluded is attached for your reference. (A Copy of the Contract must be attached) PROPERTY OWNER: G' N t2,tS� 14� eJCh' PERMIT # V==C®� I I I ADDRESS: �3& 0 0 E 10.3 -:9f (A I A^ivl FOLIO NUMBER: 03 0 'FLOOD ZONE: BASE FLOOD ELEVATION: FREEBOARD: EAST OF FL.CCCL. COST OF PAST IMPROVEMENTS (12 MONTHS): COST OF PROPOSED IMPROVEMENTS: 12,i (ATTACH COPY OF CONTRACT) TOTAL CUMULATIVE COST OF IMPROVEM7pr): ast and proposed): �✓i 'r%7 � j clgq VALUE OF PRINCIPAL STRUCTUVRattach a i OWNERS SIGNA PLAN REVIEWER SIGNA' Created on June 2009 DATE• J/P I is SUBSTANTIAL ,IlVIPROVENIENT / DAMAGE ,LIST (NOTE:= THIS�LiST IS INPENDEU FOR'GUIDANdE OM.Y, AND IS NOT ALL INCLUSIVE) ITEMS TO BE INCLUDED ALL STRUCTUAL ELEMENTS, INCLUDING Foundations including; Spread footing, Continuous footing, isolated footing, piles and pile caps Slabs including; Monolithic, floating, elevated Walls including; Exterior walls, Bearing walls, Shear walls Beams, Tie Beams, Columns and Posts Wood decking, Floor and Roof Sheathing Trusses, Joist Windows /Doors ALL BUILDING ELEMENTS, INCLUDING Interior Partitions, Walls, Columns Drywall, Ceilings, Built in Furniture, Cabinets, Vanities All Fixtures Flooring, Tile, Carpet, Stone, Linoleum, ect. All Finishes including Drywall, Paint, Stucco Plaster, Paneling, Tile, Marble, and Moldings Roofing Material ALL HARDWARE ALL UTILITY and SERVICE EQUIPMENT HVAC Electrical System and Equipment Plumbing System and Equipment Security System and Equipment Central Vacuum System Plumbing Fixtures Lighting Fixtures and Ceiling Fans Water Systems including Softeners /Filtration Created on June 2009 ALSO: All Labor and other Costs associated with Demolition, Removing, Replacing, Installing Building or Altering Building Components Construction Management / Supervision Overhead and Profit Equivalent cost for: Donated Materials Volunteer Labor (including owners and friends) Any Improvements Beyond Pre - damaged Condition, including; Utility Upgrades Code Upgrades ITEMS TO BE EXCLUDED Plans and Specifications Survey Costs Elevation Certificate Costs Permit fees Debris Removal Items not considered to be REAL Property Rugs, Furniture, Refrigerator, Appliances not Built -in Outside Improvements, Including; Landscaping Sidewalks Patios Fences Yard lights Sheds Gazebos Irrigation Pool AMP 1 My Home MIAMI- E Property Information Report summary oetalls: erope rty inrormavon: Primary Zone: 1300 SGL FAMILY - 2801 -3000 SQ CLUC: 1000 1 RESIDENTIAL -SINGLE FAMILY Assessment Information: Year: 2012 2011 Land Value: $299,633 $249,694 Building Value: $353,949 $356,098 Market Value: 9 $653,582 $605,792 Assessed Value: $653,582 $605,792 Sale Date: Taxable Value Information: Sale Amount: Year: Sale 0 /R: 2012 2011 Taxing Authority: r). m..s ..st .,., • Applied Exemption/ Applied Exemption/ Taxable Value: Taxable Value: Regional: $0/$653,582 $0/$605,792 County: $0/$653,582 $0/$605,792 City: $0/$653,582 $0/$605,792 School Board: $0/$653,582 $0/$605,792 Sale Date: 5/2010 Sale Amount: $702,830 Sale 0 /R: 27305 -3637 Sales Qualification r). m..s ..st .,., • Sales qualified as a result of examination of the deed A t $ B3.�//. HrrF �`� Vie• Remodeling Experts Residential - Commercial Miami Dade - Broward - Palm Beach CGC1612873 PHONE: 754- 214 -2875 15102 SW 145 LN. Miami, Fl. 33185 Proposal To: CHRISTIAN BLANCO Date: May 15, 2013 Address: 1360 NE 103 ST. Phone: 754- 214 -2875 MIAMI SHORES, FL. 33138 Project Name: We propose to furnish all material and perform all labor necessary to complete the following: Remove wall the from media room Replace drywall Install pocket door Enclose 2 openings We propose to furnish material and labor, complete in accordance with above specifications, for the sum of: Two thousand five hundred 00 /00 Dollars $ 2,500.00 Payments to be made as follows: 50% clRn 500% upon completion Contractor's signature: Date: 15115( L3 Acceptance of proposal - The above pri , specifi ions and conditions are satisfactory and are hereby accepted. You are authoriz d t o the w rk as specified. Payment will be made as outlined above. Owner's signature: Date: ed I�- �o u 1 � NOT TO SCALE Kitchen 19' - -0 "'x 11'4" 219 sq.ff. enclose opening using one layer of 112" gypsum wallboard applied parallel to each side of 3 518° metal studs 16" o.c. using drywall screws 8" o.c. to vertical edges and 12" o.c. to Intermediate studs. , Replace R -13 insulation fit in stud space. - - - - - 9'-T. E-rGQ 02 "rx 9, r co Remove ceramic tile and replace S of drywall. 1/2" gypsum wallboard w �- drywall screws 8" ox to edges and 12" to intermediate studs. replace R -13 insulation. Ctl @n irrk� stud space � 19'0"x 12'-0" 228 sq.fi. Install solid core wood pocket door 4' -0" x 6' -8" 1360 NE 103 Street Miami Shores, FI 33138 h � I e V f -k� APPROVED f3"Y11LL19 STRUCTURAL PLUMBING I 1 BLDG. 3 SUBIECT To COMPLIANCE MTH ALL FEDERAL ;TATE AND COUNT' RULES AND REr- qLA -n�_ 0- . NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF f= popECTION PERMIT NO, T AX FOLIO NO. OS"- 050- 06 - STATE OF FLORIDA: COUNTY OF MIAMI-DADE: THE UNDERSIGNED hereby gives notice that Improvements win be made to certain real property; and In accordance with Chapter 713, Florida Statutes, the following InkmTollon Is provided In this Notice of Commencement of prop" and street/address: —rn —1 1 W1 4 Ste-77 E' 10foL 9 ro 10 FC L&r (v $I-k. 5 2. Description of Improvernat- o-JeAj Ale- - PA i rA -r CFN 2013RO410268 OR Bk 28644 Ps 1740; (fps ) RECORDED 05/23/2013 13:53933 HARVEY RUVINY CLERK OF COURT HIAM-DADS COUNTYY FLORIDA LAST PAGE Spew above FOSSM00 for use of recording office 3. Owner(s) name and address. C ki I S-ir I Ate j3Lp*tZc,,p Interest In Property:--A.S f AM 1 5 i4o 9,Q2& L. - S3k 59 Name and Address of.fee simple titleholder. 4. Contractor's name, address and phone number W A V AJZQD ma I wq Ro. M ► Am i &. aoZi I),)- - --7 eLL- '7 I'z - -, 0 A4 5. SuW. fayment bond required by owner from contractor, If any) Name, address and phone number. Amount of bond $ 6. LendWA 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 t6 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'ohone number. 9. Expiration date of this Notice of Commencement: (ft expbWon date Is - I year from the date of =wft wdm a is sped" wmwro 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 CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PRO COMMENCEMENT MUST BE, RECORDED AND POSTED ON THE-JOB W'M BEFORE THE . FIRST INSPECTION. I WC G, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK A NOTICE Al IT OR RECORDING YOUR NiTUEEFROMBENCE! )N. IF YOU I Signature(s) of Owne4s) Prepared By Print Name STATE OF FLORIDA COUNTY OF MIAMI-DADE. The foregoing instrument was By e-t.40-j-4-riA &S Print owledged before me this day rsGo U Individually Ij as for 9,0,raon, or ❑ produced the following typi of Identification: Signature of Notary Public: Print Name: 1Ej /Z i tywac ciffiniz dT Notary public - side of F!"Idda VMVF-ICATIQN PURSUANT TO SECTION 9ZZ25, FLORIpA MM MS t013 • -foregoing and commis" 0 W 912225 Under penalties of OdUry, I declare that I have read the MY COM. EXOM Nov 27, 2013 that the facts stated In it are true, to the best of my knowledge and belief. SignaUn*s) of Owneqs) or Owner(s)'s Authorized Officer/Director/Partner/Manager who signed above: By By 123.01-W PAW 3 SMO