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RC-14-1031Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 214685 Scheduled Inspection Date: June 24, 2014 Inspector: Rodriguez, Jorge Permit Number: RC -5 -14 -1031 Owner: GUTCHESS, JEFFREY W & VALENTINA Job Address: 9839 NE 13 Avenue Miami Shores, FL Project: <NONE> Contractor: ROBBINS GUNITE CO INC Permit Type: Residential Construction Inspection Ty e: Final Building Work Classi cation: Alteration Phone Number (305)905 -6800 Parcel Number 1132050090500 Phone: 305 - 756 -6101 Building Department Comments GUNITE REPAIR TO 200 LF OF CONCRETE RIB JOIST UNDER HOUSE Infractio Passed Comments INSPECTOR COMMENTS False Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments June 23, 2014 For Inspections please call: (305)762 -4949 Page 32 of 35 AMERICAN IETV OF CIVIL ENG N EERS NARI IAL �I Y Of BUILDING INSPECTION ENGINEERS NATIONAL =MTV OF 49 a It S, g, PROFESSIONAL EPt EERY tit CONSULTING ENGINEER FLORIDA G SOCIETY PFIOFESSIONAL BUILDING INSPECTION 12420 S.W. 75th AVE., 1 MIAMI, FLORIDA 158 TELEPHONE (3 5) 3984244 Established 1978 Village of Miami Shore Building Department 10050 N.E. 2nd Avenue Miami Shores, Florida 33138 18 June, 2014 RC -5 -14 -1031 9839 N.E. 13th Avenue Robins Gunite Dear Buildi4 Official I, J.N. Sheinnold, P.E., having performed and approved the required inspections, hereby attest that to the best of my knowledge and belief, the repairs to the reinforced concrete rib joists complies with the permitted documents. I also attest to the best of my knowledge and belief, the approved permit plans represent the as -built condition of the structural and envelope components of said structure". This document is being prepared in accordance with Section 105 of the 2010 Florida Building Code and is being submitted to the Village of Miami Shores building department at the time of final inspection for the above referenced structure. Should you have any further questions or need any additional information, please do not hesitate to contact me. rely: Sheingold, P.E. 21181 9839 N.E. 13th AVENUE Permit RC -5 -14 -1031 Date of spection 6/19/2014 Time of Inspection Location By Unit # CRAWL SPACE e of work ins. ected g Demolition 11511' ebar Prep U Rebar Splice 1 1 1 Dowel/core drilling Rebar/Concrete Epoxy Coating Concrete Pour UFinish Plaster Other (Specify) FINAL Comments 6/2/2014 SETUP Approved ❑Rejected 6/3/2014 BEGIN CHIPPING RIB JOISTS UNDER RESIDENCE 6/4/2014 CONTINUE CHIPPING RIB JOISTS, SANDBLAST AND COAT REBAR ( NO STEEL REPLACEMENT REQUIRED) 6/5/2014 BEGIN GUNITE 6/6/2014 - 6/17/14 GUNITE IN PROGRESS 6/1/2014 COMPLETE GUNITE AND CLEAN UP SITE. REMOVE DEBRIS FROM CRAWL SPACE 6/1 /2014 FINAL INSPECTION Enginee J.N. SHEINGOLD Enginee Signatur-� /77 PERMIT # CONTRACTOR: tom--1 3131" (cur ri SUBMITTAL DATE: S \ 1 ADDRESS: C\ �" \ 3 At i__J NAME: RESUBMITAL DATES: PROJECT TYPE: ZONING PLUMBING BUILDING PERMIT APPL CATION BUILDING ❑ E ECTRIC ❑PLUMBING ❑ MECHANICAL JOB ADDRESS: q S City: 'Miami S Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795 -2204 Fax: (305) 756 -8972 INSPECTION LINE PHONE NUMBER: (305) 762 -4949 ❑ ROOFING ❑ PUBLIC WORKS 9 AJ E, /309vc RECEIVED MAY 202014 BY: FBC 20(C Master Permit No., /q--/C)3/ Sub Permit No. ❑ REVISION ❑ EXTENSION ❑ RENEWAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS ores County: Miami Dade Zip: Folio /Parcel #: // ,- 3 a dJ -d o 4 - 0 seta Is the Building Historically Designated: Yes NO Occupancy Type: ;il Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Sim le Titleholder): V4 L E-ti T /rU X4171411 E S 5 Phone#;3Gj f0J o &0 Address: (M3 3 5 /V E • 13 /3 VC City: m / R ( Sh ue State: Zip: Tenant /Lessee Name: Phone#: Email: CONTRACTOR: Company Name: Rd Ea WV G 14 PU / rI C S Z'vr, L Phone #: 3 0; - 7 ,16 -6 /o / Address: 6 70 ( /'! t 3 City: /24 1,9 a I State: F Q Qualifier Name: S. ice.) 104 $ i Zip33 (3S Phone#365- 7Ste -6r 0/ State Certification or Registration #: Certificate of Competency #: (c coon / W Po? DESIGNER: Archite Enginee /.. • 1? £ ?Ai 6 e L.- V? Phone#:3O S 3 75= ( /c/ Address: /24 9. e9 .., Poi o ?J •4 v City:1'Ll r 4 X20 ( State r' Zip: Value of Work for this Permit: $ ', S-0 a , d Square nea Footage of Work: Q a O L, rc Type of Work: ❑ Addition ❑ Alteration ❑ New Eg Repair /Replace ❑ Demolition Description of Work: R o Sr Speci Submittal Scanning �0o 90 ee$'s F a, MA WOO hinkI Technology Fee $ Structural Reviews $ (Revised02 /24/2014) Ulu OCA. 1-,ra a s loot aw t 5,2,1 `�.ff.. y!e' • 1PE ,; . Pet CCF $ DBPR $ " CO /CC $ " pJNat Training/Education Fee $ Double Fee $ Bond $ TOTAL FEE NOW DUE $.. n e6 . l 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 ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, 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 inspectio . ich occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not ' appr ved and a reinspection fee will be charged. Signature OWNER or AGENT Signature ��-?• CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this / y' day of J2'7A ck , 20 l ( , by (j4 ice.-1 4 6414114.-,--,, , who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: d: of rc f'uet2rc c Seal: * * * * ** AP R (Revised02 /24/2014) ERIC RODRIQUEZ E Notary Public - State of Florida VilftigneridWirestilpsasi Wife Commission 1 FF 100971 Booed NCI /90ritAliv / S day of 1'1'1.4 ,20 /L/ by 5 0 tv ) , who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: I, r---- Print: dsA‘ gc,0/1rCiG��^ Seal: * ** * * * * * * * ** xaminer 2 ns iner ERIC ROD IQUEZ Fury Public - State of Rona My Comm. Expires Apr 25, 2011 Banded Itro* Nmaal Notary kw Zoning Structural Review Clerk CERTIFICATE OF LIABILITY INSURANCE DATE (MMSDWYYYY) 05/12/14 THIS CERTIFICATE 1S 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: H the certificate holder Is an ADDITIONAL INSURED, the pollcy(tes) 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 th1s certificate does not troller rights to the certificate holder In lieu of such endorsement(s). PRODUCER Prestige insurance Group, Inc. 15441 SW 137 Ave. Miami, FL 33177 Phone (305) 969 -8778 Fax (305) 969 -8744 CONTACT NAME: PHONE (305) 969 -8776 ! IAC. No): (305) 9694744 into@prestigeinsurancegrp.00m ADDRESS: INSURERS) AFFORDING COVERAGE NAIC 0 INSURER A : ESSEX INSURANCE COMPANY INSURED Robbins Gunite Co. Inc. 6701 NE 3 Ave Miami, FL 33138 305 INSURER B : INSURER C : INSURER D : INSURER E : INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT POUCIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED. NOTWITHST ► NG ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE I :► OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDm • c OF SUCH POUCIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CITY OF M SHORES BLDG.DEPT 10050 NE 2A MIAMI SHORES FL 33138 TYPE OF INSR WWVD POUCY NUMB POUCY IMMSDC TYYY� 1 t YYYYTI LDIBTS A GENERAL L ABILfY ni COMMERCIAL GE • LIABILITY • • CLAIMS -MADE C7 OCCUR M 05122014 05/14/2014 05/14 12015 EACH OCCURRENCE $ 1.000,000.00 DAMAGE RENTED PREMISES ocwrrenoel $ 100,000.00 MED EXP (Arty one person $ 5,000.00 PERSONAL & ADV INJURY $ 1,000,000.00 ❑ GENERAL AGGREGATE $ 2,000,000.00 GEN'LAGGREGATE OMIT APPUES ❑ POLICY • JECaT PER: • LOC PRODUCTS - COMP/OP AGO $ 1,000,000.00 $ AUTOMOWLE UABHJTY • ANY AUTO • ALL OWNED • ■ • HIRED AUTOS ❑ ❑ RULED NON-OWNED Emma) SINGLE LIMIT $ BODILY INJURY (Per person) $ BODILY INJURY (Per aa ent) $ D 1?AMAGE $ $ • UALAI.WB • EXCESS LIAR .00CUR • CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ ❑ DED 0 RETEr.noI$ $ WORKERS COMPENSATION AND EMPLOYERS' UABIlJnf ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDF-D4 Ra�n, In NHS DESCRIP ION OF OPERATIONS Y I N N / A 7U. ❑ YTATU. ❑FOR E.L EACH ACCIDENT $ ❑ E.L DISEASE - EA EMPLOYE $ below EL DISEASE - POUCY UMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / V (Attach ACORD 101, Additional Remarks Schedule, It more space re ,equlred) Concrete Repairs to colum,tie beams, grade beams, and nb joist Dade County License CC18307 CERTIFICATE HOLDER CANCELLATION I CITY OF M SHORES BLDG.DEPT 10050 NE 2A MIAMI SHORES FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ACCORDANCE WIT THEREOF, NOTICE WILL BE DELIVERED IN AUTHOR/ZED REPRESENTATIVE FATIAN PASTORA ACORD 25 (2010/05) QF O 1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo am registered marks of ACORD _.tY��d.:n<<• �.i. ta Y:. JY. ! +. Tanis Fuica Closing Brokers Title GrOup LLC 20980 NE 30th Eight Floor Aveetura, FL 33 786 -239 -9236 Number 14629 11111111111111111111111 111111111111111111111 CFH 2O14RO27841O DR Bh 29114 Pas 1875 - 1876; (2aes) RECORDED 041712014 13:01106 DEED DOC TAX 16,800.00 HARVEY RUVIN, CLERK OF COURT IMIAUI -DADE COUNTY! FLORIDA ISpatz Above This Line For Recording Jars] Warranty Deed This Warranty Deed made this 41 clay of April, 7A14 between Begun 38, LLC a Florida ltmihnd :#amity company whose post office address is 20900 NE 30th Ave, Suite 200, Mani, F'i.33180, grantor, and ' W. Gutchess and X1�8 '5q t a e c cum Shores s se two used individuals. and the the tens Wan' and "sranteir include all the partln to this instrument and the Imes, legal reparsortsives, and assigns of and assigns ofoorporations. trusts and ) Witnessed', said grantor, for and in consideration of scan of TEN AND NO/100 DOLLARS (510.00) and other good and veinal, ConSidenniOnS to said grantor in hand paid by said grantee, the receipt whereof is hereby acknowledged, has granted, bar r' and sold to the said grantee, and grantee's heirs and assigns forever, the fallowing deed land, situate, lying , being In Miami-Dade Coate, Ftorida to.wit: Loot 5, Book Parse k 4, EARLETON SHORES , a subdivision according to the pit thereof recorded at Plat Page �, in the Public Records of Mai -Dade County, Florida. %nub :11- 37.05 49 -0500 Together with loll the tenements, haeditaments and appurtenances thereto batongi g or in anywise appertaining. To Have au;r] to Hold, the same in fee single forever. And the granter hereby covers with said grantee that the grantor 13 !wildly wired of said land In fee simple; that the grantor has • , . right and lawful authority to sell and convey said land; that the grantor hereby fully warrants the title to said and and will -, the same against the lawful claims of all mesons whomsoever; and that said land is free of all enantibrarrees, ,a taxes accruing subsequent to December 31, 2013. In Witness f, grantor has hereunto set grantor's hand and seal the day and year first above written. Daultallates Book29114 /Pagel 875 CFN#20140278410 Page 1 of 2 Signed, sealed and delivered in our presence: State afRoma County ofMimi*Dade OR SK 29114 PG 1876 LAST PAGE Sagon 3850, LLC, a Florida limited liability company By: (Corporate Seal) The foregoing instrument was actin before me this 16th day of Aril, 2014 by Maria Margarida Viaira, Managing Member of Bagd}n 3850, LLC, a Florida limited liability company, on behalf of the corporation. Helshe LI is personify known tome or X] has produced a driver's license as identification. (Notary Seal] FILM MUM PAYCOUNISSIONSIEES3380 1Yterch80.2018 PbeidaNdersaisketar Notary Public Printed Name: Tr*-$/we My Commission Expires: OSIZ,f Wmmuy Dmd- 12silc2 lioubleTimes Book29 114 /Pagel 876 CFN#20140278410 Page 2 of 2 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 retained by 1/ "Aa arbor— rcei the � � ride Bu�ding Code at the �' , � to ��0� spectral inspector �� under (date). I am a registered architect or or professional engineer licensed in the State of Florida i structures as of PRO SS NUMBERS: Note: Only the The fo ,win, 1. 3. *Spectral Inspects licensure to engineer or architectural edu Fundamental I, (we) will notify services. I, (we) understand for reference by th Building Code, mu Inspections perfo Department Furth ❑ ❑ SPECIAL INSPECTOR FOR PILING, FBC 1822.1.20 (R4404.6.1.20) SPECIAL INSPECTOR FOR TRUSSES >35' LONG OR 6' HIGH 2319.17.2.4.2 (84409.8.1724.2) SPECIAL INSPECTOR FOR REINFORCED MASONRY, FBC 2122.4 (R4407.5.4) SPECIAL INSPECTOR FOR STEEL CONNECTIONS, FBC 2218.2 (R4408.5.2) SPECIAL INSPECTOR FOR SOIL COMPACTION, FBC 180.3.1(R4404.4.3.1) SPECIAL INSPECTOR FOR PRECAST UNITS FBC 1927.12 (R4405.9.12) SPECIAL INSPECTOR FOR do 'dG. (?" /,' arked boxes apply. Ividual(s) toyed b this firm or me are authorized representatives to perform inspection * 2. 4. utilizing authorized representatives shall Insure the authorized representative is qualified by education or the duties assigned by the Special Inspector. The qualifications shall include ticensure as a professional graduation from an engineering education program in evil or structural engineering; graduation from an lion program; successful completion of the NCEES ination; or registration as building inspector or general contractor. lami Shores Village Building Department of any changes regarding authorized personnel performing inspection at a Special Inspector inspection log for each building must be displayed in a convenient location on the site Miami Shores Village Building Department Inspector. All mandatory inspections, as required by the Florida be performed by the County. The Village building Inspections must be called for on all mandatory inspections. ed by the Special Inspector hired by the Owner are in addition to the mandatory inspections performed by the r, upon completion of the work under each Building Permit I will submit to the Building Ins final Inspection the completed in r at ure ama d p spection 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. S . ned d Sealed Engineer /Archlte Name n/d . fe.-40%/7j.L9 Ilk Created on 6/10 Address/ e4'2.=> Sid, -,&t Phone No.-74 -?'0d AMERICAN SOCIETY OF CIVIL ENGINEERS NATIONAL ACADEMY OF BUILDING INSPECTION ENGINEERS NATIONAL SOCIETY OF tj• S , '!ms s PROFESSIONAL ENGINEER: CONSULTING ENGINEER FLORIDA ENGINEERING PROFESSIONAL BUILDING INSPECTION SOCIETY 12420 S.W. 75th AVE., / MIAMI, FLORIDA 33158 TELEPHONE: (305) 3781244 X1878 8 May, 2014 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, Florida 33138 Att: Building Official Ref: 9839 N.E. 13th Avenue Miami Shores, Florida I, J.N. Sheingold, P.E. have prepared the concrete restoration plans and specifications to correct the structural deficiency at the above referenced single family residence. Please be advised that the work as described will not reduce the structural strength or the stability of the building structure, or any individual member, thereof as per FBC 2010 edition. If you have any questions or require additional information, please do not hesitate to call this office. -1Ya Theingold, P.E. 21181 / AMERICAN SOCIETY OF CIVIL ENGINEERS NATIONAL ACADEMY OF BUILDING INSPECTION ENGINEERS NATIONAL SOCIETY OF j� (j• / Sitaa9, s AR, PROFESSIONAL ENGINEER CONSULTING ENGINEER FLOSOCIETY ENGINEERING PROFESSIONAL BUILDING INSPECTION I2420.S.W 75th AVE., / MIAMI, FLORIDA 33156 TELEPHONE: (305) 37 8.1244 Established 1976 8May,2014 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, Florida 33138 Att: Building Official Dear Sir: We have been retained by the owners of 9839 N.E. 13th Avenue, Miami Shores, to provide special inspector services as defined in section 105 of the F.B.C. The repairs are to be performed by Robbins Gunite under contract to the owner. The repairs will consist of the following: 1. Structural repair to approximately 200 lineal feet of reinforced concrete rib joists under the existing living area. 1. Remove all loose and smiling concrete using a light chipping hammer. Note: no additional chipping without approval of Engineer. 2. Inspect exposed interior reinforcing steel and replace any steel damaged in excess of 10 %. Should laps be requiredat least 48 bar diameters or 30 inch minimum is required as per ACI 318 teel is to be 60 KSI. Concrete cover for steel rebar is to be a minimum of 1.5 inches. Concrete strength to be 5000 psi. 3. Should steel replacement be required, embedment of rebar into existing concrete structures is to be a minimum of 9 inches and Sika 31 Gel epoxy is to be used. No areas are to be concealed without Engineer's approval. 4. Sandblast existing exposed rebar and coat with Armatec 110 or equivalent. 5. Restore to original dimension using Gunite. Engineer's inspection required to verify removal of all loose debris and adequate coating of rebar. 6. Remove all construction debris from job site. All work to be in accordance with ICRI 03730 and ACI 318 -' In progress inspections will be performed and a final inspection report will be forwarded upon completion. AMERICAN SOCIETY OF CIVIL. ENGINEERS NATIONAL ACADEMY OF BUILDING INSPECTION ENGINEERS Page 2 NATIONAL SOCIETY OF 22 It. S , p PROFESSIONAL ENGINEER. CONSULTING ENGINEER FLORIDA ENGINEERING SOCIETY PROFESSIONAL. BUILDING INSPECTION 12420 S.W. 75th AVE., / MIAMI, FLORIDA 33168 TELEPHONE: (305) 378 -1244 Established 1978 9839 N.E. 13th Ave Note: no work to be concealed without inspection by the Engineer -of- record. The engineer's inspections are in addition to those required by the Building Department. The work is to be in accordance with the FBC 2010 - Existing Bldg Manual Section 506. Concrete batch mix must comply with ACI Table 4.2.2 for locations subject to salt spray. Rebar cover must comply with FBC 1926.5. No work to be concealed without inspection by the Engineer-of-record. A. Preliminary Inspection showed the structure to have less than substantial structural damage B. The areas defined above will be inspected after all areas exposed to determine if the extent of damage exceeds expectation. AMERICAN SOCIETY l' ' • 'OF.CIVIL • NATIONAL•Ap EMS OF BUILDING INS EC ENGINIER 3• NATIONAL,SOOIRT1 r r - • ' RROFES$IONALJENpI ' 8 SI LTI�V G ENGINEER --1— I • FLORt[ A -FNGjN • IQNAL t ,3UILbING INSPECTION • • - -- POPPY POPPY • 5t11.AVE.; /MIAMI, FLORIDA 33156 TELEPHONE: (305) 378 -1244 I ' ; Established 1976 = R • • • 1 .: •••. A 1 • . j —