The URL can be used to link to this page

MC-13-1173RC 13- Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: IISIS P-192224 Scheduled Inspection Date: August 04, 2014 Inspector: Perez, JanPierre Owner: ANDREOPOULOS, FOTIOS Job Address: 118 NW 101 Street Miami Shores, FL Project: Contractor: <NONE> RUIZ CONSTRUCTION INCORPORATION tiwiaing uepartment Comments MASTER SUITE ADDITION I Permit Number: MC -5-13-1173 Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: Addition/Alteration Phone Number (305)301-7828 Parcel Number 1131010220200 Phone: (305)688-9770 INSPECTOR COMMENTS False Passed Inspector Comments Failed Correction Needed ❑ Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. August 01, 2014 For Inspections please call: (305)762-4949 Page 1 of 19 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fag: (305) 756.8972 INSPECTION'S PHONE NUMBER: (3057 762.4949 BUILDING PERMIT APPLICATION Permit Type: MECHANICAL APR 14 2014 FBC 20 Permit No. HC / 3 � Master Permit No. JOB ADDRESS: 0 Al 14/ to d S -F City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): rad ! r, Ap Jr a do I. S Phone#: 3t; r- 30 t' 1-9 Address: 411n/ 101 5"r City: shoro.�, State: t Zip: �5 3 1 H S Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: w 2 T f &VA !e°o� ms -� Address: � P y b N 1-dj 2- 6- I City: State: 1r` Qualifier Name: Phoney C State Certification or Registration #: t Certificate of Competency #: Contact Phone#: Email Address: 1 Y-Cn Y DESIGNER: Architect/Engineer: t ones Value of Work for this Permit: $ '0- '6 V 6 SquarelLinear Footage of Work: Type of Work: OAd Description of Work: (k CIN --CR90 No Submittal Fee $ Permit Fee Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ CCF $ CO/CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ ,r P 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 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 the inspection will not be approved and a reinspection fee will be charged signature 1` �� ^'� Signatm Owner or Agent The foregoing instrument was acknowledged before me this day of 20 —� by A-0hS Ono(.Z,P 660 , who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: 7 Print: My Co B �a APPROVED BY Contractor The fore oing instrument was acknowledged before me this 11 day of WVZJ`X , 20 , by , who is personally known to me or who has produced asdei ntificahon and who did take an oath. Structural Review Revised 3/12/2012)(Revised 07/10/07)(Revised Ob/10/2009)(Revised 3/15/09) NOTARY PUBLIC: My Commission Expires: 'EXPIRES: MM 25, 2017 WWW.AMONNOT I Clerk jjWOROqPA32,A,JVOA" 6M,W3 a q%ja . ,)gdoq 41ploiA m was�o h 6430383 BILI;- Mo NOT PAY OWNER SEC 'TYPE OF OUSINESS PAYtMEN T P RECEIVED RM CONSTRUCTION INCORPORATED 196 SPEC MECHANICAL CONTRACTOR BY rax "EC v Worker(s) I CAG7897314' $45.00 07/10/2013 UNS1-13-021290 Uls Lord Business Tax Receipt only confirms papm d-ofdm Local Busimss_Tae. The Reee3p Is rot a Reense, permit ore cert iaoion of the holdEes gualificaf um to do business. HoWermocomplywfthanypVariumflalor �goYemmeaml regulatory la ani requiremeafswbick ap yto the bushms. The IthCFJPT NO. above must be'displayed un all commercialvehicles-iN"iemi�ilade Coda SacEa-2�: RUIZC-1 OP ID: S7 'aka. a CERTIFICATE OF LIABILITY INSURANCE "0=21=114 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: N the cartlflcate holder Is an ADDITIONAL INSURED, the policy(tes) must be endorse& 0 SUBROGATION IS WANED, subject to the berms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not comfier rights to the certificate holder In Ileu of such endorseme s . She Insurance GroupNERO 65 Royal Palm F,LP3 ince, Suite B Douglas D. Johnson CONTACT NAME: Sheila Julian PHONE 772 794 1=11 N, • 772 791-9526 M&msjWMn@slhle.com INSUREIM aMADING COVERAGE NAIL O INSURERA:Endurance American Specialty 41718 INSURED Ruiz Construction I 12980ck 42nd Ave #114 Opa tocka, FL 33064 Di:crm o : Sentinel insurance Company 11000 Embers ins Co. 10701 -INSURERCAIrldgelfeld UIRIRER D: INSURER E F: COVERAGES CERTIFICATE MIMRER- RFVISIAN NIIMRFR- THIS IS TO CERTIFY 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 IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ow TR TYPE OF INIMPANCE PjwL Mon POLICY NUMBERAM& POLICYEFF AUTHORRED R9RBd1TATNE LDIOTS A GENERALLWRLITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR X Contractual LIab COC10001321M 10/28/2013 10128=4 EACH OCCURRENCE $ 1s000r PREMISES Ea oc ,gym $ 100,00 MED EXP (Arty orte person) $ 5r PERSONAL & ADV INJURY $ 1r�r X XCU GENERAL AGGREGATE $ 2,OW, GEN1 AGGREGATE LIMIT APPLIES PER: POLICY JECPRO LOC PRODUCTS - COMPIOP AGG $ Z0111111.1 $ B AUTOMOBILE LIABILITY ANY aero ALL OWNED X SCHEDULED AUTOS AUTOS X HIRED AUTOS X NON -OWNED AUTOS 21UECPMBS 10128/2013 10128/2014 — COMBINED SING Mgr (Ea$ 1,000, BODILY INJURY (Per person) $ BODILY INJURY (Peracddent) $ PROPERTY DAMAGE $ (PERACCIDENT) PIP $ 10ex FIEXCM UMBRELLA LLAa LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ C INOwas COMPENSATIONX ErPLOT�' LIABILITY YIN ANY PROPRIETORPARTNEWEXECUTIVE r— OFFICERNWBER EXCLUDED? (MenddM In NH) If yes, describe under DESCRIPTION OF OPERATIONS bekm NIA 53414 0211512014 02MIUM5 TWC ST BTU PET E.L. EACH ACCIDENT $ 1r�r E.L. DISEASE - EA EMPLOYE $ EL_ DISEASE - POLICY LIMIT $ 1rvYV. D P'I1- OF OPERATIONS I LOCATIONS I VMGCLES PUMCh ACOAD 101, Adfflto d R SdmbA%a more space Is requbed) General Construction, Roofing and Mechanical CERTIFICATE HOLDER CANcFLLATIAN MIAM" SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shores Village 10050 NE 2nd Ave THE EXPIRATION DATE NOTICE ACCORDANCE WIIH THE PouCY PROVISION& VfiLL BE DELIVERED IN Miami Shores Village, FL. 33138 AUTHORRED R9RBd1TATNE ®1988-2010 ACORD CORPORATION. All rights MMVS L ACORD 25 (2010/05) The ACORD name and Togo are registered marts of ACORD Nct B 159 5y I 57AME�QF FLORIDA :. �?EFAR TION IQN An I SSS -COXST Ry B� =_ SE 621006.--r_3 s• - ICENSE NBR l.„ 06: 21. 2012;' 13..820825. , CBC059296: • The BTilimiNG twONTRACTOR, Named.'belos CE w 1RTSFI� Under thel provisions of'` ,F {; Expiration date: AUG 31, 2014,' RUI Z , ,JORGE . _ RUIZ CONSTRUCTION 1*1166RPORATFD 3700 SW 149< TERR MiRAMAR FL ,33027 �;<t Rick: SCOTT: KEN LAWSON' GOVERNOR SECRETARY DISPLAY AS REQUIRED BY"LAW �lG C S7 .> FLOR1 .. DEPART OR SIISINBSE A1�TD PRO SIO, Ria€QLATION SOAR>DsEf CONST RETCTION INDIISTRY LI I G. ,#L 2462100683 TCENSE NBR {I5 21 59, CCC1329,�41"' dh :,!012",:;1'1$208 :f The ROOFING CONTRACTO�t k "Named below IS ;CERTIFIED [Inger the provisions of C:haptei�� Expiration date: AUG 31, 2014 ,u t.' T 11 RU Z, John x _ r RUIZ CONSTRVCTYONINCORPORATND f 3700 9t14 9 'FERR • MIRAMAR FL 33b27 RICK SCOTT KEN LAWSON GOVERNOR SECRETARY DISPLAY-AS REQUIRED BY"LAW THIS ,.COLOR- , PAPER 9 71 STA: OF FLORID ." DEPART) MW - i�F NMI"I REGU,ATION ES AND PRC "� -CO. STRUCTION iNDIISTR $ Lid12asav6s IS NBR z 12 06 20 2;' 120235001Cb, the CLASS :$ AIR CONDIT30NlNG CON 'RA OR • F��Fk��': b4lo� �.q g . C2 TI-ilIM Under"thegvsione, of` Chapter_�8 ► ` J vx- td i W' R iI Expiratioc date: AUG 31, 203.4' , k , - 2wRU'0 � tIINCIIC�Z CONTR s 12:' N42ND AVEC SIIITE 114 f -k OPA.LOCKA FL 33027 I4ICR ;C{3TT RRN: LAGi,SCrN ; GOVERNOR 3TCRET-ARY' DISPLAY AS REQUIRED BY; LAW Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 MAY 2 8 2013 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 �7 BUILDING PERMIT APPLICATION Permit Type: MECHANICAL JOB ADDRESS:Jjb Nvi of ll �ee+ City: Miami Shores County: Folio/Parcel#- P-0101- 0-1a, ®A7-00 Is the Building Historically Designated: Yes OWNER: Name Address: I I � City: r -k I Tenan"ee N Email: fNa Simple M M61717 V. 1761 ro, "fo 061 CONTRACTOR: Company Name: [190& S C, -Sol L-1 Address: 3 cic/ (.v vi/ I S:rfr + --* Z 2® FBC 20 1 Permit No.M C I l 13 Master Permit Nolle--, 13 -11 ' 0 Zone: =07163EIVIOM 300-Z2,�- 7, rl City: m t A r-l't State: FL. -IS,, zip: ?,)C, l Qualifier Name: M &j L4e I Card W6: 3(:"S-- 665--io7 State Certification or Registration #:. M& 0 (�-(; Ct S�5 Certificate of Compete Contact Phone#: 7 '?C- I a44-- 42 A Email Address: Srll&,4-fCr\j Z e DESIGNER: Architect/Engineer: Phonek Value of Work for this Permit: $ 6YO _Square/Linear Footage of Work: Type of Work: UAddress -Was" QNew QRepair/Replace DescriWo—wofWarL-., J&41. -CC -07 7]Vd, -4 %, 0 r-\ %WAbd*0A1M LIDemolition - � 19 Submittal Fee $ 5L:�- Permit Fee $,-- Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ CCF $ CO/Cc $ DBPR $ _Aond — Technology Fee $ TOTAL FEE NOW DUE $ 4 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 IWROVEMENTS 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. 005Signature Signature Owner or Agent The foregoing instrument was acknowledged before me this day of , 20,3, by t airel"10 oma/& , who is personally known to me or who has produced FL j95,3(o2S3 (i 9/9& ® As identification and who did take an oath. NOTARY PUBLIC: Sign: rbL". SCAA9ppj� fic ='state of Roft . Expires Oct 18, 2011 Cmnm(ssion # EE 132379 APPROVED BY Contractor The foregoing instrument was acknowledged before me this day of 20, by 0/0 who i(personally know me or who has produced as identification and who did take an oath. Plans Examiner NOTARY PUBLIC: Sign: jv Print: �`u y44' A.11CAM. My Co r` - - State of torft Yrea Oct 18, 2011 o EE 132379 Zoning Structural Review Clerk Revised 3/12/2012)(Revised (Y7/10/07XRevised 06/10/2009)(Revised 3/15/09) JUMTAMT- Personal to Chapter 440 . 05(14), f°.5., ou officer of a corporolfon Who elects exemption from this cb8pser by fflfng a corwente of election ander this section way not recover benefits of compensation nodes this chapter. to Chapter 440.0121 M. Ceatiftemes of Bleed= to be sxompt— apply only Within the scope of the business or trade limed no Me notice of election to be exeeapt. Pursue( to Chapter 440.05115) F.S., (fauces of eleWw to be exempt and CO"MC0165 of election to be exempt shalt be subject to revocation if, at any time after the filing of the notice IN the isunaace of the cartiffeele, the persue (tamed on the uallee or cerliffewe no longer meets the requirements of Ibis section far issuance of a certificate. The department shall MVd9 o certificate at mW than for 1811"0 of the parson named an Me certificate to most the requirements of this section. QUESTIONS? 1960) 413-160' OWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISIM 07-77 iii...... ��® PLEASE CUT OUT THE C _ELOW AND RETAIN FOR FUTURE REFERENCE QUESTIONS? (550) 413-1009 * Carry boom parUon on the job, k rf1for Y UM -252 CERTMTE OF ELECTION TO RE EXEMPT REVISED 01-77. SINESS AND PROFESSIONAL REGULATION IISTRY LICENSING BOARD (850) 487-1395 �E STREET FL 32399-0783 CAVO, MIGUEL JESUS MONTESA SOLUTIONS MWTERPRISES INC 501 90 CT MIAMI FL 33174 ` � ,. �� `` ACS 6...�..7!•�rfi 6 .�y,[c.• l�� y,,,�{�� y� µ.Vi y{.w ,.,,,..1 ,.,,t1i.,, WlVlratulatiorrsl FivR4M? i yo� Qn{�. l[� nIICu7 QnQ. IfinV1 Floridians licensed by the Department of Business and PfOfeSSiOrlal Regulation. QQ :}. ' -'~� too `v a IO s Our professionals and businesses range from architects to yacht brokers, from .. , ^ �' boxers to barbeque restaurants, and they keep Flouts Amy strong. r � CAC05695w, a�G I20072367 Every day we work to improve the way we do business in order to serve: you better For information about our services, please log onto www myfloridalicense corn. S There you can find more 6rformation about our divisions and the regulations that 2 impact you, subscribe to department newdetters and learn mare about the 1 Depar6me fs initiatives. Y Our mission at the- Department Is: License Efficlentiy, Regulate Fairly. We constantly: strive to serve you betterso that you can serve your customers. Thank you ibr doing. business to Florida, and congratulations on your new licenser J` a 31, 2Oit4 .y a rs w u1 t 0 DG 1 AVr1 HERE FMT-CL Ute. PCWA= PAW UIAW F. pEFe .•p NM 2M THS IS NOT A BILL — DO NOT PAY RENEWAL 651214-0 REOMPT 0. b78237�0 BUST .S mAME i LOCATIoly MONTESA SOLUTIONS ENTERPRISES INC STATE# GAC05695 . 7423 NW 188 LN 33015 UNIN DADE COUNTY OWNER MONTESA SOLUTIONS ENTERPRISES I MECHANICAL CONTRACTOR PAVMW qE ') gtgAtp-RADE £OWM TAX Cp{.LLECT08: 08/03/2012 60000000057 000075.00 .ss E SIDE Co , . WORKEz S MONTESA SOLUTIONS ENTERPRISES INC ADRIAN MONTESANO MI88 LN AMINFL133015 JEFF AMATM CHIEF FMAWA,%L OFFX:M FEIN: 208391714 BUSNM NAME AND ADDRM . MONTESA SNS ENTERPRISE Wc 501 SW 90 CT BPRATMAI DATE: 3011=15 LOGUEL J FL 33174 Pu m t to C a•Otw 440 x(14), F $., ani a Icer *to oMpma m %ft deft em yow tan tlft djWw Ai ftV a lifi i• of* ts�d•r � a�eUen Wor not r m*M bonaft a oomparrbon udW "ft 11006r . PUMm t to Chrplr 490 05(12). PS, C 0con of declot to be a mmO .. apply a* %wo, to -me at the bu Ms Of trade Natal on Ow, d etre to be eimmpt ti --d to ChWW 4e0.W13). F S.. Naftm d ebdlon to be •w, fo and coWg d a d at•ctton to be aw•mpt alwd be WOW to reroabM S. at any time ato ttr Nft d ttr no— at the brwnce of the COWI ta,"person nWrrd on V, na-.. at o0oncaftnol, par if " d flat aeotiao Por muwm d a IN, . The d,pabrMnt do wA is a oarMcm at arp tints for tram d no parvo mud an tar oaf to noel er d#a a A*m . OFS-F22- WC -20 CE IC/►TE OF ELECTM TO 8E EST REVISW 07-12 i tiMBYX*O? (00013.1"