RC-14-516Miami 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
RL
FBC20°
Permit No.
Master Permit N/
Permit Type: BUILDING ROOFING
JOB ADDRESS:
q402:2, Kw, ex.,/ gni,
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel #:
Is the Building Historically Designated: Yes NO °C Flood Zone:
OWNER: Name (Fee Simple. Titleholder): IA\ A% r Phone #: 1 Ce) ° 3 Y-6
Address: " ►�° 0 Z2_`° It -
City: t 4(1,1 t e €,ate _1 State: 4- C Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: & k g
Address: yO Vi' CT
City: -44e
Qualifier Name: Ok, • li '-E)
State Certification or Registration #: C �-
contact Phone#Rec,4 V V C1 S
s 1 ( re) Phone #: "W6 LI ? ci (•
State
DESIGNER: Architect/Engineer:
Value of Work for this Permit:
Type of Work: Addition
Description of Work:
Email
Address:
Zip: 7) i .
Phone #: 1- V6..=5 ‘rt cl
Certificate of Competency #:
Phone#:
$ 100 Square/Linear Footage of Work:
❑Alteration ❑New ❑Repair/Replace
3C
❑Demolition
Color thru tile:
* * * ** ***+a **** ** ** * ******** ** * **** ***** Fees*** ******** * ***** a************* *************
Submittal Fee $ Permit Fee $
Scanning Fee $ Radon Fee $
CCF $ CO /CC $
DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ I.1 l ' 6 ()
•
•
Bonding Company's Name (if applicable)
Bonding Company's Address
City • ` State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City 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 a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded nonce of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit s i ued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged
Signature
Owner or Agent
The fore 'oin instrument was acknowledged before me this
day of ' 2 , 20 )? , by 41411"1 6 d NL.$CLZ ,
who is personally known to me or who has produced
As identification aanw e lihStake',oath.
NOTARY PUBLIC: ��,.,�'•N'>'' `�
Sign:
Print:
My Commission Expires:
c,„; %'\> • Gt\'
Signature
Contractor
The foregoing insti iment was acknowledged before me this i 0
day of i; ,20 by CactriA QC cJZ•,
who is personally known to me or who has produced
as identification and who did take an oath.
r, m �':�sa Devi Vera
COMM ISSICN f EE 188125
o a EXPIRES: PR. 09, 2016
AARONNOTARY.com
Sign:
Print: \l is
My Commission Expires:
******************************1. *Jr G� * * ****** *** **** ******,************* ******************** ***********
APPROVED BY
Plans Examiner
Structural Review
(Revised 3 /12/2012XRevised 07 /10 /07)(Revised 06/10/2009)(Revised 3/15/09)
Zoning
Clerk
07 -16 -2012
JEFF ATWATER STATE OF FLORIDA
CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORKERS' COMPENSATION
* * CERTIFICATE 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:
PERSON:
FEIN:
07/16/2012 EXPIRATION DATE: 07/16/2014
ROJAS EDWARD A
263381670
BUSINESS NAME AND ADDRESS:
CME CONSTRUCTION MANAGEMENT ENTERPRISES INC
7408 M 14 CT
HIALEAH FL 33014
SCOPES OF BUSINESS OR TRADE:
1- ROOFING
3- LICENSED GENERAL CONTRACTOR
2- LICENSED BUILDING CONTRACTOR
4- CERTIFIED ROOFING CONTRACTOR
IMPORTANT: Pursuant to Chapter 440 . 061t4i, F.S., so officer of a corporation who elects exemption Irora this chapter by filing • cert1Ilat ®ol election soder this
section may not recover benefits or compensation aader this chapter. Punnet to Chapter 440.0511* F.S., Certificates of election to be exempt.. apply only within the
scope of the business or trade listed on the notice of election to be exempt. Pennant to Chapter 440.0611* F.S- Notices of election to be exempt and certificates of
election to be exempt shell be subject to revocation N. at soy time after the filing of the notice or the Iueenee of the certificate, the person named on the notice or
certificate coo lager meets the regolrements of this section for Issuance of • cottilicete. The department shall revoke a certificate at any time Ice failure of the person
named on the certificate to meat the requirements ci this section.
DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01 -11
QUESTIONS? 1850) 413 -1609
PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE
STATE OP FLORIDA
DEPARTMENT OP RINANCUIL SERVICES
DIVISION OF WORKERS' COMPENSATION
CONSTRUCTION INDUSTRY
CERTIFICATE OP ELECTION TO BE EXEMPT FROM FLORIDA
WORKERS' COMPENSATION LAW
EFFECTIVE 07/18/2012 EXPIRATION DATE: 07/10/2014
PERSON EDWARD A ROJAS
FEIN: 283381870
BUSINESS NAME AND ADDRESS:
CUE CONSTRUCTION MANAGEMENT ENTERPRISES INC
7405 W t4 CT
HIALEAH. Ft 33014
SCOPE OF BUSINESS OR TRADE
1- ROOFING 2- LICENSED BURRING CONTRACTOR
3- LICENSED GENERAL CONTRACTOR 4- CERTIFIED ROOFING CONTRACTOR
0
D
H
E
R
E
IMPORTANT
Pursuant to Chapter 440.05(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 compensation under this
chapter.
Pursuant to Chapter 440.05(12), F.S., Certificates of election to be
exempt apply only within the scope of the business or trade listed on
the notice of election to be exempt.
Pursuant to Chapter 440.05(13), F.S. Notices of election to be exempt
and certificates of election to be exempt shall be subject to revocation
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 meets
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
QUESTIONS? 1850) 413 -1609
CUT HERE
• Carry bottom portion on the job, keep upper portion for your records.
OWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01-11
Ocef,1
Locai Business ax
Miami-Dade Cour7[y, State of Florida
aHk IS%uTALILL- 10 NOT PAY
666869,4
BUSINESS NAMCfLOCATION i-l1 C:LIPT NO.
CME CQN Ti RUO iON MANAGEMENT' ENTER' ISESK EW. A.L.
7 4 1 1.,V 14 aF 6940770
LiJAAL..EA # -t FL 3;011
OWN
CME CONSTRU
r(s)
ON MANAC
•
EXPIRES
SEPTEMBER , 2014
ct pi o'f ,12.7.f:y
hf�x�pr,rt��
CibTrao,r 6A -- Art. 9 Ek 10,
. Ty nusugess
1 B U lt.,DI N G 001 %) FACE R
C )61 59
PAYMENT ilLcUUVE
B Y TAX CDLLEcTOR'
545.00 CY/12/2013
ECHECK -13 -00772
o 1 BuStriP,S 5 at elpi f,riay cr`rn l p :I Went ui i L cm ,:it B irxa5- Tax. Tito fThcuEpt i not a figense, ...
PeXGfi1ito ore Cettilic alif tY of the flkfG'Mwl tatoa crkatili ?fit wail any ouo Mute o #oaf Q�
Amid r !- opllettre tr gili fritory lat,v5 anti tegt reNmiht: which 'apply te th0 lutV,i1A4t $*S.
The IPIECfMIT N o. -0[00o : tiro ntti1et 1 CaMti Ear 276'.
F+ar ipi fT .tion, .K11i_v!toNtc_ti cva
03/13/2014 13:27 7862067066
.401C1C3IAt3f
STATEWIDE INSURANCE PAGE 01
CERTIFICATE OF LIABILITY IN §URANCE
DATE (MM!DDIYYYY)
03/13/14
THIS CERTIFICATE IS ISSUED AS A NATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGAi1VELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. This CERTIFICATE OP INSURANCE DOES NOT CONSTITUTE A CONTRACT BETA EN THE ISSUING INSURER(S). AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT; If the certificate holder la an ADDITIONAL INSURED, the porICy(tes) must be endorsed. IP SUBROGATION IS WAIVED, subject to '—
the terms and conditions of the poesy, certain policies may require an ontlorsement A statement on this cefrtifloate does not confer rights to the
_ cee6ficate holder In lieu of such endorsement(s).
PRODUCER
Galloway Insurance
17354 South Dixie Highway
Miami, FL, 33157
Phone (305)255 -1661 Fax (766)206 -7086
CME, Construction Management Enterprises, Inc.
7405 West 14th Court
Hialeah, Florida 33014
cONIE Jose H itornero, Licensed Agent A225234
PHONE — — . j FAR
, s„F L (3o5)'2s� -1ss1- c Ned: (786) 206 -7066
AADDRESS: to staterfvideins123 @yehoo.GOm
Gus . , xtuo• ,_
INSUR E) AFFORDING COVERAGE RAC S
SURER A; Republic; Vanguard Insurance Company
INSURER a!
;
INSURER C ;
INSURER 0 ;
INSURER E ;
INSURER F :
COVERAGES CERTIFICATE NUMBER; REVISION NIIMRFR•
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD ..... _.
lieli
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 POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLIOIEC, LIMrFO 0110wN MAY I !AVE seaN REDUCED BY FAID'OLAIMS.
TYPE QF INSURANCE
TT'dL�ll EFT Pb
GENERAL LIABrt.ITY
- ..____- . IN _..- .. MUM,' NURSER (MWDD1YYYY)
® COMMERCIAL GENERAL UAITIUTY
A ❑ ❑ an►MS -MADE Q OCCUR NS- 1209169.1
FBI PD: Ded: $1,000 Per Claim N N 03/31/2013
O .
GEN't AGGREGATE LIMIT APPLIES PER: »
L'!J POUOY ❑ 1 ❑ LOO
AUTO9rOMILE UA!ILITY
❑ ANYAUTO
O ALL OWNED AUTOS
O AUTOS
HIRED AUTOS
J NON.QWNEO AUTOS
El
• umortaLIJILIAB —❑ OCCUR., ,
IL. Jl DES$ IMO _ I CLIUMS -NwDE
I J DEDUCTIBLE _._
._ U_MTENTION ..t _ ._____ —..
WORKER$ COMPENSATION
AND EMPLOYERS' UABIUJY Y I N
��Vele�arl4E��Rr>EMBER EX�OUTNE
.11E11eecti a OF OPERATIONS p,T1ON3 below
N/A
mrmunirrn
EACH OCCURRENCE TO RNTED
WISEST,
MED EXP (Any one p. reen)
Ay w�
0 3112014 PERSONAL a ADV INJURY
GENERAL AGGREGATE
PRODUCTS - COMP/OP AGG
LIMITS
DESCR�N OF OPEN ATIONS r LOCA _ - - - -- » _
TIOAIS / VEIITOLI� (Mien ACORD 101, Aamaalsr Remarks aura, (},� apace {e;na,�
General Contrac tor...Roofing Included
CERTIFICATE HOLDER
Miami Shores Village
10050 NE 2nd Avenue
Miami Shores, Florida 33138
Attn: Building Dept
—_ - I Fax Ile 305.758 -8972
ACORD 25 (2009/09) OF
CANCELLATION
SHOULD ANY OF
THE EXPIRATION
ACCORDANCE
COMStNED SINGLE U
(Es dent) _
DODILY INJURY (Per perxm) 3
$
$
t
$
PROPERTY DAMAGE
(Per eecldont)
$
1,000,000
100,000
5,000
1,000,000
2,000,000
2,000,000
EACH OCCURRENCE s
AeGREGATE S
ITQC�R..YTAL ¢s _JJ. F.-
.Fi - I •
E.L. EACH ACCIDENT _
E.L. DISEASE - EA EMPLOYE�{ $
E.L. DISEASE • POLICY LIMB I $
dsovE DESCRIBED POLICIES SE CANCELLED BEFORE
ATE THEREOF, NOTICE WILL BE DELIVERED IN
OLICY PROVISIONS-
AUTHORIZED
•
988-2009 ACORD CORPORATION. All rights reserved.
ACORD name and logo are registered marks of ACORD
i 6' 0 5 8 1 °:
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD
1940 NORTH MONROE STREET
TALLAHASSEE FL 32399 -0783
ROJAS,.EDWARD ANTHONY
CNE CONSTRUCTION MANAGEMENT ENTERPRISES, INC.
7405 W 14TH CT
HIALEAH FL 33014
Congratulations! With this license you become one of the nearly one million
Floridians licensed by the Department of Business and Professional Regulation.
Our professionals and businesses range from architects to yacht brokers, from
boxers to barbeque restaurants, and they keep. Florida's economy strong.
Every day we work to Improve the way we do business in order to serve you better, i
For information about our services, please log onto www.myfioridaticense.com.
There you can find more information about our divisions and the regulations that
impact you, subscribe to department newsletters and learn more about the
Departments 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 new license!
(850) 487 -1395
STATE OF nal I ;' AC# C) SEC
sinommtz, Qg `BUSINESS. AND
PROFESSIONAL REGULATXON
DETACH HERE
128011472
6smoRACTOR
T
-IS CERTIFIED Metier the provisions or eh .489 Fs
�spiastiott dates. AUG 31, 2014 L12 0 7 17 013 13
IS DOCUMENT H A S ' CO onED DACK599O ii,_` G J' i * PI^�G� € SEMAR'O PATENTED.PAPe,
STATE OF FLORIDA a
PAR O SRU BUS ON SS PROF
TNDU `CRY LT +.
IDEAL REGULATION
SING BOARD
CU* L12071701312
07/17/2012 128011472
The GENERAL CONTRACTOR_
Named below IE CERTIFIED
Under the - provisions P`- Chap
Expiration date: AUG - 1, 2014
,R0t7A'S4 .
`... CON__
7405 W.14
HIALEAH
RICK.NCOTT
GOVERNOR
DISPLAY AS REQUIRED BYLAW
KEN LAWSON
SECRETARY
1
••••
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•
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84"
RECFT's
BY:
MAR 182014
1 iv
30"
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N • 7.----,.. :_:; •• : •W30141�WF •
24"
476"
15"
31
27"
2016
W2430
WB2730R
MIAMI SHORES VILLAGE
0
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TJCTURAL
MBING
HANICAL
2 A
ett.GG
SBBJECT TO CiNAp�IANCE WITH ALL FEDERAL,
LATE A dOUNTTYY RULES AN uLArIOrls.
AG i cki
All dimensions size designations
given are subject to verification on
job site and adjustment to fit job
conditions.
ECNNOIOO
This is an original design and must
not be released or copied unless
applicable fee has been paid or job
order placed.
Designed: 3/13/2014
Printed: 3/13/2014
DESIGN ALCAR 2.I
All Drawing #: 1
11°'l ' - rernr
tfrL
11111111111111111111111
111111111ll
I 11111 11111 11111 11111 1E1111 1111
Der m Number : 2014-0409-1023-0240
Contact Name: MR DANIEL PEREZ
Contact Phone: (°05)772-7954
Folio: 11-3206-042-0110
Project Name: GONZALEZ KITCHEN
Date Rece I ved: 04/09/2014
140
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Note: This drawing is an artistic
interpretation of the general
appearance of the design. It is
not meant to be an exact rendition.
0�'
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TECMNOI O0lE3 ���
Designed: 3/13/2014
Printed: 3/13/2014
DESIGN ALCAR 2.1 I All I Drawing #: 1
•
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Note: This drawing is an artistic
interpretation of the general
appearance of the design. It is
not meant to be an exact rendition.
2 .
TEcH�aoi(ia s :
Designed: 3/13/2014
Printed: 3 /13/2014
DESIGN ALCAR 2.1 I All Drawing #: 1
11'
15'
7'
8' 14'
Kitchen
Bath
Hallway
l.2
Bedroom
12'
ADD SMOKE/CARBON MONOXIDE DETECTORS.
ANY AND ALL CLOTH AND RUBBER
INSULATED CONDUCTORS TO BE REPLACED.
Living Room
11'
•
26'
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9022 NE 8 Ave., Apt M3
Miami Shores, Fl.
N.T.S.
3'
APR 14 2014
BY:�_
W243Q
W2430
W3030
W361212
AAs
NO POINT ALONG COUNTER O •BE" MORE THAN
2 FEET FROM G.E I PROTECTED RECEPTACLE.
ALL FIXED APPLIANCES ON DEDICATED CKTS.
u
j
NO POINT ALONG COUNTER TO BE MORE THAN
2 FEET FROM G.F.I PROTECTED RECEPTACLE.
PUT DM RECEPTACLE UNDER SINK.
ALL FIXED APPLIANCES ON DEDICATED CKTS.
Note: This drawing is an artistic
interpretation of the general
appearance of the design. It is
not meant to be an exact rendition.
20 s3,,._.a.
TIC HnotOOJHS E•
Designed: 3/13/2014
Printed: 3/13/2014
DESIGN ALCAR 2.1
All
Drawing #: 1
Inspection Worksheet
Miami Shores Village
10050 N.E. '2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
nspection Number: INSP- 214620
Permit Number: RC -3 -14 -516
Inspection Date: June 20, 2014
Inspector. Rodriguez, Jorge
Owner: GONZALEZ, ALAIN
Job Address: 9022 NE 8 Avenue 3M
Miami Shores, FL
Project: <NONE>
Permit Type: Residential Construction
Inspection Type: Final
Work Classification: Alteration
Contractor: CME CONSTRUCTION MANAGMENT ENTERPRISES INC
Phone Number 786/277 -9756
Parcel Number 1132060420530
Phone: (786)488 -9876
Buildinst Department Comments
NEW CABINETS IN KITCHEN
Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
For Inspections please call: (305)762 -4949
June 20, 2014
Page 1 of 1