CC-13-2619Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 208078 Permit Number: CC -11 -13 -2619
Scheduled Inspection Date: March 11, 2014 Permit Type: Commercial Construction
Inspector: Rodriguez, Jorge
Owner: EVERETT, HENRY AND FRANCES
Job Address: 9600 NE 2 Avenue
Miami Shores, FL 33138-
Project: <NONE>
Contractor: PROFESSIONAL BUILDING
comments
Inspection Type: Final
Work Classification: Repair
Phone Number (727)461 -4370
Parcel Number 1132060132510
Phone: (305)442 -8884
REPAIR ALL AREAS WITH MISSING STUCCO AND PAINT I nn racuv INSPECTOR COMMENTS False au vvumIVIKO
EXTERIOR OF BUILDING
"NEEDS TO BRING IN PAINT SAMPLE ALONG WITH
PAINT PERMIT ***
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP- 203299. Contractor must be on
_W I site
Failed
Correction ❑
Needed
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid
March 10, 2014 For Inspections please call: (305)762 -4949 Page 22 of 38
DEC 3 0 2013
Jofre Engineering
Claudio Jofre P.E.
334 NE 902 Street Miami Shores, Florida 33938
78&M2-1695 Fax: 305- 835-0959
E -maii: gft*a@beilsouth.net
December 30, 2013
Atte: Miami Shores Bulding Inspector
1. Bond all raw edges to eliminate the rapid drain time.
2. A wide fiberglass tape shall be put over the plaster, a first base layer, overlap 3
inches at each side of comer.
3. A layer of stucco shall be applied to overlap 6 inches each side, faded into
existing surface.
4. After stucco dries, it shall be primed with a waterproof sealer, recoated with
elastomeric patching, for extended longevity of work.
This engineer accepts and approves this change, typical for all towers under renovation
in this building.
Claudio Jofre P.E.
Fl. Reg. #28531'
till. 13
Miami shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
MIAMI SHORES VILLAGE
NOTICE TO BUILDING DEPARTMENT
OF EMPLOYMENT AS SPECIAL INSPECTOR UNDER
THE FLORIDA BUILDING CODE
I (We) have been retained by G to perform special inspector services under
the FI rid Building Code at the project on the below listed structures as of
/ 20/3 (date). I am a re ' erg architect or professional engineer licensed in the State of Florida.
PROCESS NUMBERS: d0-1113261q
❑ SPECIAL INSPECTOR FOR PILING, FBC 1822.1.20 (84404.6.1.20)
❑ SPECIAL INSPECTOR FOR TRUSSES >35' LONG OR 6' HIGH 2319.1714.2 (R4409.6.17.2A.2)
❑ SPECIAL INSPECTOR FOR REINFORCED MASONRY, FBC 21224 (84407.5.4)
❑ SPECIAL INSPECTOR FOR STEEL CONNECTIONS, FBC 2218.2 (84408.5.2)
❑ SPECIAL INSPECTOR FOR SOIL COMPACTION, FBC 1820.3.1(R4404A.3.1)
❑ SPECIAL INSPECTOR FOR PRECAST UNI 'S 8 ATTAC MENTS, FBC 1 27.12 (84405.9.12)
SPECIAL INSPECTOR FOR W C
Note. Only the marred boxes apply . - -STve&O GA-71H16- f evtorW � -p�R-5
The following individual(s) employed by this firm or me are authorized representatives to perform inspection'`
1. 2.
3. 4.
`Special Inspectors utilizing authorized representatives shall insure the authorized representative is qualified by education or
licensure to perform the duties assigned by the Special Inspector. The qualifications shall include licensure as a professional
engineer or architect; graduation from an engineering education program in civil or structural engineering; graduation from an
architectural education program; successful completion of the NCEES
Fundamental Examination: or registration as building inspector or general contractor.
I, (we) will notify Miami Shores Village Building Department of any changes regarding authorized personnel performing inspection
services.
I, (we) understand that a Special Inspector inspection log for each building must be displayed in a convenient location on the site
for reference by the Miami Shores Village Building Department Inspector. All mandatory inspections, as required by the Florida
Building Code, must be performed by the County. The Village building inspections must be called for on all mandatory inspections.
Inspections performed by the Special Inspector hired by the Owner are in addition to the mandatory inspections performed by the
Department. Further, upon completion of the work under each Building Permit I will submit to the Building Inspector at the time of
final inspection the completed inspection log form and a sealed statement indicating that, to the best of my knowledge, belief and
professional judgment those portions of the project outlined above meet the intent of the Florida Building Code and are in
substantial accordance with the approved plans.
Signed and Sealed Engineel1kchitect
r Name L b 10 JOF [ZC
OIAddress _IN N N E L O Z ST'. iul t P�cM c— i�c- 33t 36
17 -S-13 Phone No. 76 C - 38 � — (6 ek $5
Created on 6/10/2009
Miami Shores Village
Building Department
90050 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:
JOB ADDRESS:
BUILDING
IT
NOV 1 ,9 2013
FBC ZO
Permit No. /�
Master Permit No l VL 1 2 -' A
ROOFING
e
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel #:
Is the Building Historically Designated: Yes NO _ A Flood Zone:
OWNER: Name (Fee Simple Titleholder): i s t A N E jC R{ ? Phone#: ?n 9 -,5?
C�
Address:11 1430 1 �_be sj 0-1 D: •
City: State• - F
Zi L °
P�
Tenant/Lessee Name: phone#;
Email:
State Certification or Registration #: 12;!� geP Certificate of Com cy #:
Contact Phone#: �l r ZS Email Address: U
DESIGNER: Architect / Engineer: Phone#— w- --&w
..
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Type ofoc#1m,,� ` ONewRepairila %A?tion
x AAN Qct c'5 (.2 + A�' 1M iS S i, c S41 C-C, 6
Color thru tile:
Submittal Fee $ Permit Fee $ CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
,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
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, BORERS, 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 46000 t Signature
Owner or Agent ' r Conf act
The foregoing instrument was acknowledged before me this 13
day of 120
who i erscsrially known to me or ho has produced
entification and who did take an oath.
NOT
Sign:
Print:
My Commission Expires: g 113 16
The foregoing instrument was ac 4o le ged efore me this 1 2r
day of I�oo jy, , 201Z, by 1 ;oja
who is personally known to me or who has produced
�n orA Is `t cetueis identification and who did take an oath.
NOTARY V BTIQ - - - - - - -
APPROVED BY < /// —/ c/ ►J Plans Examiner
v V Structural Review
(Revised 3 /12/2012)(Revoed 07 /10/07)(Revised 0611012009)(Revised 3/15/09)
Sigi
Prin
My
Zoning
Clerk
11/20/2013 6:38 AM FROM: Fax Prof. Building Solutions TO: 3057568972 PAGE: 002 OF 006
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License Type Name L4cense
'Type Number/ Status/Ex*res
Rank
Certlfie4* 60ding PROF-MMMA—L SUILDMG -CBC1252829 Current, Active
C ontractor SOLUTIONS LLC DRA Cert Building 08/31/2014
MOn A4dFPS;9*- 2332 GAUAN6 STRW CORAL GASM5, FL 33134
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„„-,a CERTIFICATE OF LIABILITY INSURANCE DATE(MIUWDIYYYY)
"kmm.�_ 1 11/20/2013
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ADVANCE INSURANCE SOLUTIONS, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
12150 SW 128TH CT, STE 142 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
MIAMI, FL 33186
INSURED
PROFESSIONAL BUILDING SOLUTIONS, LLC
2332 GALIANO ST
CORAL GABLES, FL 33134
COVERAGES
INSURERS AFFORDING COVERAGE NAIC #
INSURER A: ACCIDENT INSURANCE COMPANY
INSURER B:
INSURER C:
INSURER D:
INSURER E:
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE 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 BYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONSAND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR
INSRD
TYPE OF INSURANCE
POLICY NUMBER
DA
( D
LIMITS
A
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
F CLAIMS MADE 0 OCCUR
CPP0003540 -01
06/20/13
06120/14
EACH OCCURRENCE
$ 500,000
DAMAGETO RENTED
PREMISES (Ea occurence)
$ 100,000
MED EXP (Any one person)
$ 5,000
PERSONAL &ADV INJURY
$ 500,000
GENERAL AGGREGATE
$ 500,000
GEN'L AGGREGATE LIMIT APPLIES PER :
POLICY r7 PROJECT r7 LOC
PRODUCTS - COMP /OPAGG
$ 500,000
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
COMBINED SINGLE LIMIT
(Ea accident)
$
BODILY INJURY
(Per person)
$
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
ANYAUTO
AUTO ONLY - EAACCIDENT
$
OTHER THAN EAACC
AUTO ONLY: AGG
$
$
EXCESSIUMBRELLA LIABILITY
OCCUR 0 CLAIMS MADE
DEDUCTIBLE
RETENTION $
EACH OCCURRENCE
$
AGGREGATE
$
$
$
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNERIEXECUTIVE
OFFICERIMEMBER EXCLUDED?
If yes, describe under
SPECIAL PROVISIONS below
TORY LIMITS ER
E.L. EACH ACCIDENT
$
E.LDISEASE - EAEMPLOYS
$
E.L. DISEASE - POLICY LIMIT
$
OTHER
DESCRIPTION OF OPERATIONS I SIONS
REMODELING, RECONSTRUCTION, AND REPAIR
CERTIFICATE HOLDER CANCELLATION
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
10050 NE 2ND AVE
MIAMI SHORES, FL 33138
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE 'IL
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