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DEMO-12-1413Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 185393 Scheduled Inspection Date: April 10, 2014 Inspector: Rodriguez, Jorge Owner: , Job Address: 571 NW 113 Street Miami Shores, FL 33168- Project: <NONE> Permit Number: DEMO -7 -12 -1413 Permit Type: Demolition Inspection Type: Final Work Classification: Building Phone Number Parcel Number 1121360211140 Contractor: MG EXCELLENCE SERVICE CORPORATION Phone: (786)247 -7067 uunama uegartment comments DEMOLITION OF AN EXISTING ILLEGAL ADDITION TO I "... "'" `.--- THE ORGINAL DUPLEX. INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP - 176460. No plans or permit on ,uM-- site. NB Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. April 09, 2014 For Inspections please call: (305)762 -4949 Page 1 of 34 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 JOB ADDRESS: sw N Vy 1 1 3 S�_ '• ^,✓ 1iN11 APR 03 20W FBC 20 ( t Permit No. Master Permit No. y Q k A P1 '1 1 ROOFING City: Miami Shores County: Miami Dade Zip: Folio/Pazcel #: Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: OAddit on nDAlteration ONew OR p. Description of Work: 1 �✓1� X/� ��i� �l Demolition Color thru tile: Submittal Fee Scanning Fee $ Permit Fee Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ CCF $ CO /CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ 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 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 apprgved and a reinspection fee will be charged. er or Agent The foreg ' g ins t w ac�ledged before me this day of 20 y C7 A who s rsonally known me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: v Print: My Commission Expires: APPROVED BY "Ode %yid p 8� 1ODA, N�T.acn *_°�,'e16 - , Signature Contractor The foregoing instrument was acknowledged before me this day of , 201, by o is personally known to m ho has produced as identification and who did take an oath. NOTARYrRUBLIC :_ Plans Examiner Structural Review (Revised 3 /12/2012)(Revised 07 /10 /o7xRevised 06/10/2009)(Revised 3/15/09) My Commission Expires: N�rypJP��1�011 Zoning Clerk NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. nEa t) - .lit -YttM FOLIO NO.94?-29-to 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. C F N 'fits 12 R 5 a 038 OR Bk 28229 Ps 3834; (fps) RECORDED 08/15/2012 14 :08 :36 HARVEY RUVINP CLERK OF COURT MTANT -DADF CnUNTY► FLnRIDA d Space above reserved for use of recording office of proper . and street/address: a(e o n -T� ! Gal ib 1.0 0 )-O d �o 2. Description of improvement: 3. Owner(s) name and address: Interest in property: d `T Name and address of fee simple titleholder: 4. Contractor's name, addresp and phone n ¢ — I rtwai - Rr C_ . '-! 3 t (&.. o 5. Surety: (Payment bond required by owner from contractor, if any) Name, address and phone number: 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 Uenor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name, address and phone number: 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) 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 CAN RESULT IN YOUR PAYING TWICE FOI a, IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE TH FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WOR OR RECORDING YOUR NOTICE OF COMMENCEMENT. t�Pi Signature(s) of Owner(s) or Owner(s)' Authorized Officer /Director /Partner /Manager 42 va Prepared By Prepared By Print Name T IV-J i e- Print Name Title/Office 19 Title/Office STATE OF FLORIDA �. COUNTY OF MIAMI -DADE The fo ing my rument we acknowledged before me this � day of r Z �� A By li'�/�c� ✓2 7 �V.,k i l� Ct %,--" i ❑ �Yidividually, or L) as for Personally known, or U produced the following type of identification: Signature of Notary Public: • " " "� Print Name: t (SEAL) _ P:r Commission DD 889593 VERIFICATION PURSUANT TO SECTION 92.525. FLORIDA STATUTES '?„'e9 �c 'm Expires AM 19, 2013 Under penalties of perjury, I declare that I have read the foregoing and BOf Nofiofrot NotarYAssn that the facts stated in it are true, to the best of my knowledge and belief. Signature(s) n r ner(s)'s ALftorized Officer/Director/Partner/Manager who signed above: By By 123.01.52 PAGE 3 11 or &) zrl"" kr_ � f >" A-1- 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 DING Permit No. PERMIT APPLICATION �uL 4 � 2A1a Hit. FBC 20 lD Master Permit NoOk Mo 11, 112> Permit Type: BUILDING ROOFING JOB ADDRESS: , I 'V Lx-,q 16 3 City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee �KWO � )OL _\ 6 0 va l e W I L-"qV f- Phone#: -7 t 3 7 —110 eD 21 City: ) p A N Ka- State: V L Zip: 3316 Tenant/Lessee Name: Phone#: Email: I, CONTRACTOR: Company Nam /,e: ue C i Address: 0 (?- '" L City: State: Qualifier Name State Certification or Registration # L-0 U TQ - I `1 "� ( W Certificate of Competency #: Contact Phone#: _ ) f - oZ 7 4 :_ '7 ® A -? Email Address: Zg3_Wj DESIGNER: Architect/Engineer: Phone# 7 ��� -7 3 Value of Work for this Permit: $ Square/Linear Footage of Work: Description of Work Submittal Fee $ ✓ Permit Fee Scanning Fee $ r_K Radon Fee $ Notary $ inil�awng/Fiducation Fee $ Double Fee $ Structural Review $ CCF $ CO /CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ to 0'! !-' /J of PERMIT # CONTRACTOR: SUBMITTAL DATE: ADDRESS: 11 I I NAME: RESUBMITAL DATES: PROJECT TYPE: ZONING f FIRE STRUCTURAL IMPACT FEES ELECTRICAL /L HRSIDERM PLUMBING NOC MECHANICAL �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 EI ECT`RICAL 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 b posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the absence of h posted notice, the inspection will not be approved and a reinspection fee will be charged. Z�- Owner i The foregoing instrument was ackn wledged befo me this ZG The foregoing mstrumdnt wasgckn day of , 20 , by ? r �kA ��� day of 20 i2, by who i( personally knowAo me or who has produced who is(rersonally known)o me or NOTARY Sign: Print: My Commission Expires: APPROVED BY and who did take an oath. COMM# Plans Examiner NOTARY PUBLIC: Sign: Print: My Commission before me thi /C has produced Id who did take an oath. r4aJ r ARY PUl8U0 STATE OF FLORIDA COMM* 000917218 ExpiraS C/7/2015 Zoning Structural Review Clerk (Revised 3 /1212012)(Revised 07 /10107)(Revised 06 /10P2W9)(Revised 3115/09) LdtL TAX5 W-CLASS bA E tL� STATIC FL�S A U.S. POSTaAGE SHPT 30, 26,2 PAJD rtl Al PS#itAkft, PEWW A!®> 239 615001 -5 THIS IS MOT BUI - DO € AY .:` RENEWAL , :641347 -0 SERVICES CORP STAT -49d 180 E 19` ST . 33010 HIALEAH 'oWft EXCELLENT SERVICES : CHIRP '. WORKF-9 /S 77 i BUILDING COWTRACTOR 1 TWS [8 ONLY A LOCAL am. gar pus . Mom TO uLATO Am zomm "We OF COUMT OR Cam "m DO NOT FOWAW 14 8 EXCELLENT SERVICES CORP' oma�arTm OR L oTx Off FR MICHEL GARCIA PRES flemmim I= 180 E 19 ST HIALEAH FL 33010 as TA]C `x"`OCTOW0 /14/2011. 022200.g2002 890049.50 ` 1�,� »ttttt�t�tul�tr s irr r rttut� SEIE OTHER SIM Every day we work to improve the way we do business In order to serve you better.-C For i Ibmistion about our services, Please log orrto www:ml aridaiicense com There you can fInd rr+ors ir►fa tlon about our divisions err tt"-regul wn=Mm the bTgmd you, subscrft to department newdeltem and tmn mm about the Deparhme Ws Ititiatives. _ O fission at the Deparhrr$rd is. Uc en" Effidm*, Regulate Fairly. We � constantly shtwe to serve you better so that you cm serve your customers. � r Thank you for doing bu*mw ° in Floride, wW congratulations on your new license! �5 DETACH HERE MOT 652059-8- THS -'S. - hil '1A W1 ' A.10DU CI()DTAA DAAIIICDQ TAIQIIDAAI('C AI „ 1111 D 1 / 1 • cv• cvIf. 7.JiIm , wnavii vnivn�nv iivvvnruvvj- wv. rccJ CERTIFICATE OF LIABILITY INSURANCE �. v i `"o7/20/1122"Y' PRODUCER Florida Bankers Irnnuance 7278 SW 8 Shed Miami, FL 33144 Phone (305)2666493 Fax (305)262-0679 EXPIRATION DATE THEREOF, THE ISSUING MUM WILL ENDEAVOR TO MAIL 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 NAIC # INSURED M.G. EXCELLENT SERVICES CORP. 7221 NW 174 Terr Apt #102 HIALEAH, FL 33015 INSURER A: FEDERATED NATIONAL INSURANCE MIAMI SHORES, FL. 33138 INSURER B: INSURER C: :.... ;.. : :::. ::.....:........ .....: -:... INSURER D: INSURER E: COVERAGES INSURER F: THE POLICIES OF INSURANCE LISTED HAVE BEEN ISSUED TOTHE INSURED NAMED ABOVE FOR THE POLICYPERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANYCONTRACT OR OTHER DOCUMENT WITH RESPECTTO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECTTOALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAYHAVE BEEN REDUCED BYPAID CLAIMS. wR L RINSp R TYPE OF INSURANCE POLICY NUMBER POLICY p EXPIRATION POLICY I � LRAI.r.$ A ❑ GENERAL LIABILITY Q COMMERCIAL GENERAL LIABILITY ❑❑ CLAIMS MADE 0 OCCUR ❑ GL -05040006840-01 02109/12 02109/13 EACH OCCURRENCE 1,000.000.00 DAMAGE TO RENTED PREMISES occwer� 100.000.00 MED EXP (Any am person) 5.000.00 PERSONAL & ADV INJURY 1,000.000.00 ❑ GENERALAGGREGATE 2,000.000.00 GEML AGGREGATE LIMTTAPPLIESPER ® POLICY ❑ PROJECT ❑ LOC PRODUCTS- COMPIOPAGG 2,000.000.00 ❑ AUTOMOBILE LIABILITY ❑ ANYAUTO ❑ ALL OWNED AUTOS ❑ SCHEDULED AUTOS ❑ HIREDAUTOS ❑ NON OWNED AUTOS ❑ COMBINED SINGLE LIMN (Ea —M -d) BODILYINJURY (Perperson) BODILYINJURY (Per- ciderd) PROPERTYDAMAGE (Per —lderd ❑ GARAGE LIABILITY ❑ ANYAUTO ❑ AUTO ONLY- EA ACCIDENT OTHERTHAN EAACC AUTO ONLY: AGG ❑ EXCESSAIMBRELLALIABILITY ❑ OCCUR ❑ CLAIMS MADE ❑ DEDUCTIBLE ❑ RETENTION $ EACH OCCURRENCE AGGREGATE WORKERS COMPENSATION AND EMPLOYES LIABLITY ANY PROPRIETOR 1 PARTNER I EXECUTIVE OFFICER 1 MEMBER EXCLUDED? If yes, dowbe under SPECIAL PROVISIONS below ❑ WY�S ❑ QR H E.L. EACH ACCIDENT E.L. DISEASE -EA EMPLOYEE E.L. DISEASE - POLICY LIMIT OTHER DEBCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION ACORD 25 (2MI08) QF WACORD CORPORATION IMW SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING MUM WILL ENDEAVOR TO MAIL CITY OF MIAMI SHORES 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO 10050 NE 2 AVE THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. MIAMI SHORES, FL. 33138 AUTHORIZED REPRESENTATIVE FAX # 305- 402 -0123 :.... ;.. : :::. ::.....:........ .....: -:... ACORD 25 (2MI08) QF WACORD CORPORATION IMW