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DS-14-570Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-209542 Permit Number: DS -3-14-570 Scheduled Inspection Date: November 20, 2014 Inspector: Rodriguez, Jorge Owner: TORO JTRS, LUIS Job Address: 1270 NE 98 Street Miami Shores, FL 33138 - Project: <NONE> Contractor: REGOSA ENGINEERING SERVICES INC Building Department Comments Permit Type: Driveways/Sidewalks/Slabs Inspection Type: Final Work Classification: Addition/Alteration FRONT AND BACK CONCRETE DECK TO BE LEGALIZED I INSPECTOR COMMENTS FLOOR LIGHTS TO BE LEGALIZED. TILES ON CONCRETE TO BE LEGALIZED 4 Phone Number (305)733-3821 Parcel Number 1132050090310 False Phone: (786)262-2964 November 19, 2014 For Inspections please call: (305)762-4949 Page 3 of 31 Inspector Comments Passed Failed Correction Needed ❑ Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. November 19, 2014 For Inspections please call: (305)762-4949 Page 3 of 31 �o iLf LA 5r �, BUIL ING Miami Shores Village BuildingDepartment �D p MAR 21 2A14 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BY: INSPECTION'S PHONE NUMBER: (305) 762.4949 C 20 Permit No. PERMIT APPLICATION Master Permit NoAL-) n Permit Type: BUILDING ROOFING JOB ADDRESS: w ic— 9e ST City: Miami Shores County: -bADre Miami Dade Zip: X313 Folio/Parcel#: 11— ® O 01 -0110 Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): '? L lA ®ALO /� C _Tb TO Phone#:� 86 " Z39 Address: 12� i� X1(1r�<& City: YU 1� M1 S H'pAK S State: U Tenant/Lessee Name: 1 Phone#: Email: 'r06 � f f� 0 of ck-' Gct Sl�c1 a CC3(� CONTRACTOR: Company Name: 1) � � � � `I� IJ i® Phone#: +196 - 2 55 a23 Address: City: yl/1 P Stater Zip 316 Qualifier Name: 60-syky ® uzz Phone#: ^—!% .2SS 4 3Z3 State Certification or Registration #: C. Fl C 1S09'1 S;Z Certificate of Competency #: Contact Phone# �SS `1 �� Email Address:�'� f �0 ��.h 'G� dt'GIC) • CVA DESIGNER: Architect/Engineer: t Phone#: Value of Work for this Permit: $ 4 0'000' Square/Linear Footage of Work: I; F_ Type of Work: ❑Addition ❑Alteration ❑New ❑Repair/Replacef� _" ❑Demolition Description of Work: �� N 'r A o ® lac iL Co M n Q _ o , e o c (?, � � 11L Pjz_, Color thru tile: Submittal Fee $ `d CJ Permit Fee $ Z7_57�, C) CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ 2.6 3_Bond $ Notary $ Training/Education Fee $ 66 Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUEs,33 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 abser of such posted notice, the inspection will not be appRved and a reinspection fee will be charged. Signature XI Signature Owner or Agent The foregoing instrument was acknowledged before me this G The foregoing instrume�was acknowledged before me this day of Mkit✓IA , 2014 , by ?AOLI a `too -o , who is personallown o me or who has produced t= 1p �2pAs identification and who did take an oath. NOTARY Sign: Print: My Commission Expires: day of Tt4 � 1 who i erso�knownme orwho has produced as identification and who did take an oath. My Commission Expires: -M(p yA a -a-, -)o 1g" Structural Review Clerk (Revised 5/212012)(Revised 3/12/2012) )(Revised 06/10/2009)(Revised 3/15/09)(Revised 7/10/2007) CERTIFICATE OF LIABILITY INSURANCEDATEj1MIDDI"4"` � 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 policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the Polley, certain policies may require an endorsement. A statement on this certificate does not confer rights to the cerllficate holder In Ilau of such ondorsement(s). PRODUCER MffT Best Rate Insurance Agency Inc 8600 NW 17 St. Suite 170E xt), (866) 616-0065LX%. (305) 403.0801 -MAX ADD Doral, FL 6 Phone (866}06) 816-0065 Fax (305) 403.0801 _ _ INSURER S AFFORDING COVERAGE C i{ INSURER A; Bridgefleld Employers Insurance Company 10701 INSURED Regosa Engineering Services, Inc 1050 SE 5th Street, Bay 9 INSURER 6: Preferred Contractors Ins Cc RRG LLC 12497 INsuRER c : Progressive American Insurance Company 24252 INSURERD: Hialeah, FL 33010 Phone (786) 262-2984 INSURER E: NS RF- PRODUCTS - COMP/OP AGG $ 1,000,000.00 k:uvr_FlAuC3 VCKIIrICAIt MUMbEK: - REVISION NUMBER: 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. I R TYPEOFINSURMCE ADA UB POLICY NUMBER.._ MhitDD 06/13/2014 Of�U 06/13/2015 LIMITS EACH OCCURRENCE 1,000,000.00 B GENERALLIABILrrY IN COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ®UR ❑f-1S ❑ N ... PC83837-03 I�it c Ruffen $ 60,000.00 MEDEXP(AnYone on $ 5,000.00 ars PERSONAL& ADV NJURY $ 1,000,000.00 ❑ GENERAL AGGREGATE $ 2,000,000.00 GENLAGGREGATE LIMIT APPLIES PER: ❑ POLICY ® P ❑ LOC PRODUCTS - COMP/OP AGG $ 1,000,000.00 $ C AUTOMOBILE LIABILITY ❑ ANYAUTO ALL OWNED HEDULED ❑ AUTOS ®OS NED ® FtlRE0AUT03 ® AUTOS ❑ ❑ 01673815-2 06/1312014 06/13/2015 Otg=D SINGLE LIMTr S 300,000.00 BODILY INJURYI(Perperson) $ BODILY INJURY (Per accident $ OPE GE $ Comp & Coll Ded $ 100,000.00 ❑ UMBRELLA LIAB N OCCUR [] EXCESS LIAR ❑ CLAJMS-MADE EACH OCCURRENCE $ AGGREGATE $ DED ION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABIIJTY YIN ANY PROPRIETOPIPARTNERIFJIECUTIVEE.L OFFICEMMEMBEREXCWDED? randcatory la NH) ElE.L. DES�OF PERA Sbelow NIA 0930-50966 — 05/22/2014 05122/2015 Wf 1�TU- IdA EACH ACCIDENT $ 1,000,000.00 DISEASE - EA EMPLOYE $1000 000.00 E.LDISEASE-POL1CYLIMIT $ 1,000,000.00 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if mora space Is required) General Contractor License CGC-1508952 CERTIFICATE HOLDER CANCELLATION Miami Shores Village Building Department 10050 NW 2nd Ave Miami Shores FI 33138 ACORD 25 (2010105) QF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Q 1989.2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD I Type: Job Name: O r 15' t Contractor: � Catalog No.: Orbit Industries, Inc. Notes: Catalog#: 501OR MR16 WELL LIGHT W/ ROUND S/S COVER Category Landscape Lighting Page G28 Specifications: Voltage 12 Volts Lamp type: MR16 20W Lamp Included, 35W Max. Socket Premium grade Porcelain socket with Nickel contacts and Teflon jacketed wire leads Gasket Sealed with high grade weatherproof Silicone Gasket Wiring Pre -wired with 24" SJT Cord Accessories Round Stainless Steel Cover on PVC Sleeve Document Installation Instructions Certifications CWus Cat. No. UPC 501OR 615624268103 OEEIONEO IN THE vvvt w. i i U.S. 1© 3 3/4" Date: R.Q. ELECTRICAL, INC 9801 NW 123 Terr. Hialeah Gardens, FI 33018 Cell: 305-7909169 Contract Project Address: 1270 Ne 98 street Miami Shores FI 33138 Electrical floor lighting legalizing upon plans Date: 07/05/14 Existing and New Slab to be bonded together with wire solid Copper # 8 Work estimate: 1 day Labor Materials to furnish this work will be included Estimate Cost: $ 980 Contr t r 'gnature Electrical Contractor Signature PROPOSAL - CONTRACT r7 Regosa Engineering Services. Inc 3287 N.W. 7 AVE, Miami, Fl, 33127 ---- CCC#1327735 CGC#1508952 Phone: 786-262-2964 - Fax: 305-891-6946 Commercial and Residential Licensed & Insured Submitted to: 1270 NE 98 st , Miami shores FI Date: 05-4-14 33138 Attention: Structural / Luis Toro Trade electrical Project: Exterior Repair I -SCOPE OF WORK 1.1 -Regosa Engineering Services hereby proposes to furnish all materials, and necessary equipment, and perform all labor necessary to complete the work described below: 1- Cut Concrete showing on plans detail (24") 2- Re- bar installation as per plans, epoxy to existing concrete slab 3- Installation of a cooper bond Wire around perimeter of new slab. 4- Pour concrete with pump included 5- Installation of existing porcelain tiles Note: This proposal does not cover any Public Works fee. II -CONTRACT PRICE The above work will be completed for the sum of: $ 3450 II -SCHEDULE OF PAYMENTS Payments to be made by check or money order and payable to: Regosa Engineering Services Inc. as follows: 50% upon execution of this contract. 10% when buildi g permit is issued. 30% at work-inogresses 10% at vpAk co lq�i.en. .................... ........ ........ ...... ..... .......... Regos n fag Services is toro AMIM A89M Pdit • Sft d Roft MF COM EXON Mu 23.2011 'y C * 0 FF 105077