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RC-13-1383
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 BUIL-DING PERMIT APPLICATION Permit Type: BUILDING JOB ADDRESS: �l� AIV �—? n d c.® U /2 ( JUN 182013 FBC 20 V" -*I Permit No. Master Permit No. 1� ROOFING City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes NO Zone: OWNER: Name (Fee Simple Titleholder): Phone#: Address: `�� 1� cT City: C CkW t �kyDfe—S State: _ J(- L- Zip: Tenant&zssee Name: Phone#: Email: CON Addri City: Qualifier Name: State Certification or Re 'stration #: p� I ®ZI Ce�ficate of Competency #C: �_ Contact Phone#: A0i e-2-. Email Address: �S Yrs 0 S�C-T DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $�d SquareAAnear Footage of Work: _/00 Type of Work: OAddition DAlteration �ONeew ` tRepair/Replace ODemolidon Description of Work: J k� U1� 1�(V\,o \ �4Y )Pth . , 1 ►W 3 -t -A I I klew Color thru We: cJp" U•� r o Submittal Fee $ Permit Fee $ .i CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ re,d Bonding Company's Name (if applicable) p �' Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address zip 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 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 b barged ® s _75z: - ��-S Signature ent Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this day of , 20 jam, e- F, by- by ie- F, >- , 1r61s personal] r own to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: C -4n J GD Print: My Crssion pires: 4 APPROVED BY The foregoing instrument was acknowledgedefore(me thi i L day of , 20 Z by " a AV?- who V?who is personally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: "B Sign: Print: My G'Omllll O9 eS;Notary Public State of Florida �,o%'f OptG Nota Public State of Florida Pedro A GOdoy Notary � ' My Commission EE084784 Pedro A Godoy '� or vv- Expires 06/30/2015 �� My Commission EE084784� A a a y Plans Examiner Structural Review (Revised 3/12/2012)(Revised 07/10/07)(Revised 06/1012009)(Revised 3/15/09) Zoning Clerk a CERTIFICATE OF LIABILITY INSURANCE DATE(MMIODrygY» os/1 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 Polroy(res) 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 dors not confer rights to the certificate holder in lieu of such endomement(s). PRODUCER ACT JOSE HERRERA All Florida Insurance PHONE 7782 Wiles Road E-MArL em (954) 510-7321 Fax No 954 510-732: jhenera aQmyflins.cam Coral Springs, FL 33087 INsu s aFFORDING COVERAGE Phone (954) 510-7321 Fax (954) 510-7323 NAtC INSURER a : EVANSTON INSURANCE COMPANY INSURED INSURER B: AG Star Construction Inc. INSURER c . 1827 NW 1ST STREET INSURER D: MIAMI. FL. 33125 (305) 224-2185 INSURERS : COVERAGES CERTIFICATE NUMBER: INSURER F I 111a IJ 1 U LtKT IFY 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 MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN EXCWSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED IS SUBJECT TO ALL THE TERMS, BY PAID CLAIMS. NN��LTRR TYPE OF INSURANCE ADDLBUSR POLICY NUMBERPOLICY EFF POLICY EXP MM/DD M= GENERAL LIABILITY LATS Q COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,0001 El S/ -MADE ❑ OCCUR PREM SESE occurrence S 100,000.00 A Y N 820130287 ❑ 08/1512013 06/15/2014 MED EXP (Arty one person) $ 5,000.00 ❑ PERSONAL & ADV INJURY s 1,000.0001 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s 2,000,000.E POLICY El PR0. ❑LOC PRODUCTS -COMPIOPAGG S 1,000,000.Q DED $ AUTOMOBILE LIABILITY 11000.00 OMBIN(=D SINGLE LIMIT Ea acd Q$ Ei ANY AUTO BODILY INJURY (Per parson) s ❑ OWNED AUTOS ❑ BODILY INJURY (Pereccdent) S AUTOSSCHEDULED NON -OWNED ❑ HIRED AUTOS ❑ AUTOS PROPERTY DAMAGE UMBRELLA LIAB ❑ OCCUR EXCESS LIAR n r1 e'..c WORKERS COMPENSATION AND EMPLOYERS` LIABILITY Yin NIA E.L EACH ACCIDENT I $ E.L. DISEASE -EA EMPLOYE $ E.L DISEASE - POLICY LIMIT I s DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Addttonal Remarks Schedule, B more space Is raquhed) 98677- ROOFING COMMERCIAL 98679- ROOFING RESIDENTIAL 91580 -GENERAL CONTRACTOR CERTIFICATE Village of Miami Shores Building Department 10050 NE 2nd Ave Miami Shores, FL 33138 PHONE: 305-795-2204 ACORD 25 (2010105) QF CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED ED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHOR® REPRESENTATIVE ©1988-2010 ACORD CORPORATION, All rights reserved. The ACORD name and logo are r®glstared marker of ACORO /10-,2:/ --f 9 all. if all. FAN SCHEDULE DAT PAN O a DATA TAG SERVICE AREA MANUF.(+) MODEL CONFlG. CFM ESP ('WG) SONES HP RPM DRIVE VOLTAGE SUPPLY AIR DIFFUSER SCHEDULE OPENING L°xW CONTROL 0 �-� BATHROOM GREENHECK SP -870 CEILING SO .2S 20 4S WATT 87S DIRECT 120/1/60 Z U + TAG MANUF. &MODEL FACE SIZE NECK SIZE MATERIAL FRAME FINISH DAMPER THROW NC FM RANG NOTES CFM 5. FLEX DUCT SIZE TO BE SAME AS DIFFUSER NECK SIZE. 8�" 130-200 CFM 4. PROVIDE INTEGRAL GRILLE 10�" 205-330 CFM 12�t 335-450 CFM 14�" 455-700 O H U d. COORDINATE WITH ELECTRICAL CONTRACTOR BEFORE BIDDING OR ORDERING ANY EQUIPMENT. e. SEE PROJECT PLANS AND SPECIFICATIONS FOR OTHER FIELD SUPPLIED ITEMS A TITUS/ TDC—AA 9X9 NOTE �j5 ALUM. LAY -IN OFF WHITE O.B.O. NOTE #2 MAX. 30 0-390 �-5 O p U � (*) EQUIVALENT MANUFACTURER: METALAIRE, CARNES, T & B, NAILOR GENERAL NOTE& ce 0 O t. PROVIDE SPIN -IN COLLAR WITH VOLUME DAMPER AT TRUNK TO FLEX DUCT CONNECTION (SEE DETAIL). Q co 2. PROVIDE TYPICAL 4 -WAY DIFFUSION, 2 -WAY OR 3 -WAY ONLY WHERE INDICATED ON PLANS. 3. REFER TO ARCHITECT PLANS FOR CEILING TYPE. R.Eic �FiEDULE O 4. FINAL Z o g W co J v ow W LL I (n �� D Q W) Q Uco_j O2 gL:Q O U) T_ M M J LL ui Ix co Z O ~ Z Q O I-_ U U c) N v •• W z Z Q O � U 0 M W Q O 2 FAN SCHEDULE DAT PAN DATA DATA TAG SERVICE AREA MANUF.(+) MODEL CONFlG. CFM ESP ('WG) SONES HP RPM DRIVE VOLTAGE WEIQHT DIMENSION (LBS) L'x11rxH' OPENING L°xW CONTROL ACCESSORIES �-� BATHROOM GREENHECK SP -870 CEILING SO .2S 20 4S WATT 87S DIRECT 120/1/60 9 74X12X8 + LIGHT INTERLOCK SEE NOTES (+) APPROVED EQUAL MANUFACTURER: COOK, TWIN -CITY, ACME, PENN ACCESSORIES NOTES: 1. PROVIDE GRILLE COLOR PER ARCH. SPECS GENERAL FAN NOTES: COLOR SELECTION SUBJECT TO ARCHITECT APPROVAL. 6�" 50-125 CFM 5. FLEX DUCT SIZE TO BE SAME AS DIFFUSER NECK SIZE. 8�" 130-200 CFM 4. PROVIDE INTEGRAL GRILLE 10�" 205-330 CFM 12�t 335-450 CFM 14�" 455-700 CFM FAN SCHEDULE DAT PAN DATA DATA TAG SERVICE AREA MANUF.(+) MODEL CONFlG. CFM ESP ('WG) SONES HP RPM DRIVE VOLTAGE WEIQHT DIMENSION (LBS) L'x11rxH' OPENING L°xW CONTROL ACCESSORIES �-� BATHROOM GREENHECK SP -870 CEILING SO .2S 20 4S WATT 87S DIRECT 120/1/60 9 74X12X8 + LIGHT INTERLOCK SEE NOTES (+) APPROVED EQUAL MANUFACTURER: COOK, TWIN -CITY, ACME, PENN ACCESSORIES NOTES: 1. PROVIDE GRILLE COLOR PER ARCH. SPECS GENERAL FAN NOTES: 2. PROVIDE HOODED WALL CAP o. MOTOR STARTERS, DISCONNECTS (IF NOT FACTORY PROVIDED) AND ALL EQUIPMENT 3. PROVIDE BIRD SgiEal NORMAL HARING BY ELEC. CONTRACTOR 4. PROVIDE INTEGRAL GRILLE b. ALL CONTINUOUS -DUTY MOTORS MALL BE PROVIDED WITH OVERLOAD PROTECTION ACCORDING TO NATIONAL ELECTRICAL CODE PAR. 430-32. C. FIELD ADJUST OPENINGS WITH STRUCTURE. d. COORDINATE WITH ELECTRICAL CONTRACTOR BEFORE BIDDING OR ORDERING ANY EQUIPMENT. e. SEE PROJECT PLANS AND SPECIFICATIONS FOR OTHER FIELD SUPPLIED ITEMS AND ADDITIONAL INFORMATION. Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-197254 Scheduled Inspection Date: August 15, 2013 Inspector: Rodriguez, Jorge Owner: ETHEART, ELSIE AND BERNARDO Job Address: 9337 NW 2 Court Miami Shores, FL Project: <NONE> Contractor: AG STAR CONSTRUCTION INC tiwiaing uepanment comments RENOVATE MASTER BATHROOM. NEW TOILET & SHOWER STALL, NEW CABINETS & FIXTURES bounce check #1658 to be paid. 7/1/13 Permit Number: RC -6-13-1383 Permit Type: Residential Construction Inspection Type: Final Building Work Classification: Alteration Phone Number Parcel Number 1131010150370 INSPECTOR COMMENTS False Phone: (305)457-9970 August 14, 2013 For Inspections please call: (305)762-4949 Page 24 of 46 Inspector Comments .Passed 19-11 Failed Correction Needed ❑ Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. August 14, 2013 For Inspections please call: (305)762-4949 Page 24 of 46 NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. 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. 1. Legal description of property and streetladdress: 2. Description of improvement: 3. Owners) name and address: Y' l 1� t C- I Interest in property: w 14 Name and address of fee simple titleholder: 4. (brtracto`'s name, address anal phone number. b-3 - IV aj 5. Surety: (Payment bond required by owner from contractor, if Name, address and phone number. Amount of bond $ 6. Lender's name and address: 7. Persons within the State of Florida designated by Owner up Section 713.13(1)(a)7., Florida Statutes, Name, address and phone number: 8. In addition to himself, Owners designates the following 713.13(1)(b), Florida Statutes. Name, address and phone number: WSW E & 1 HEREBY CERTIFY that t oridirtol d _ _ - 'iliTi iiillAllii'i111{1i11f1-111111 C IF•Irk 20 1 3fin°s g_526247 OR Rik 28707 Ps 4101; figs) RECORDED 07/03/2013 09:07:01 HARVEY I~illVINY CLERK 4F COURT MIAMI-DADE C:OUNTYP FLORIDA LAST PAGE Space above reserved for use of recording office W We copy offtq Ior's Noticee �s as of C4cuit m* Cotlr 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 FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Signature(s) of Owners or Owner s 'mut orize Officer/Director/Partner/Manager Prepared By � Prepared By Print Name "� �r� Print Name Title/Office Title/Office STATE OF FLORIDA COUNTY OF MIAMI-DADE The foregoing instrum t+ ackno ledged before me this k6� day of Pe \\ By /� 1 i C: �r,--- or ❑ as for known, or ❑ produced the following type of identiff Signature of Notary Public: _ Print Name: _ (SEAL) Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true, to the best of my knowledge and belief. t,0 P4mG Nol!t uft S to of Pedro A Godo My Commission 0 8 Expires 06/30/2018 Signature(s) of Owners) or Owners)'s Authorized Officer/Director/Partner/Manager who signed above: By By 123.01-52 PAGE 3M0