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RC-13-990Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-220807 Permit Number: RC -5-13-990 Scheduled Inspection Date: October 03, 2014 Inspector: Rodriguez, Jorge Owner: MARIA PAULA GARCIA, CHARLES UMAI TCO Job Address: 94 NE 93 Street Miami Shores, FL 33138 - Project: <NONE> Contractor: TECH -CONSTRUCTION INVESTMENT CO Building Department Comments Permit Type: Residential Construction Inspection Type: Final Building Work Classification: Alteration Phone Number Parcel Number 1132060130150 Phone: (305)495-0718 Bathroom remodel Infractio Passed Comments INSPECTOR COMMENTS False 05/16/2013 - PENDING NOC 10/23/2013 - RECEIVED NOC 11/05/2013 - NEED PROOF OF OWNERSHIP BEFORE ANY PERMITS ISSUED OR INSPECTIONS. As October 02, 2014 For Inspections please call: (305)762-4949 Page 28 of 29 Inspector Comments Passed Failed Correction Needed ❑ Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. October 02, 2014 For Inspections please call: (305)762-4949 Page 28 of 29 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 BUILDING PERMIT APPLICATION Permit Type: BUILDING RE CST ' P_ MAY 0 8 2013 BY: F°BC 20 /b Permit No. —/YO r Minter Permit No. /,?_42yo ROOFING JOB ADDRESS: �I-i ME C15 S`F' ;. 2 Citv: Miami Shores County: _--Miami Dade Folio/Parccl#: //— 320 6 —0/3-- D Iglu Is the Building Historically Designated: Yes NO _ X Flood Zone: OWNER: Name ( Fee Simple Titleholder): 11 71�"Phone# 1 14 3 7 3 Address: q'4 /�Fi 41.14 � City: iaw Stater gip; Tenantll_.essec Name: Phone# - Email: CONTRACTOR: Company Name: -y_C a H �Aq �tr� Phone#: `q 7 I a Address: 9500 ?yd map &)6 In '15 City: M%& Qualifier Name: Zip: State Certification or Registration #: CAIrl 1612 -SAD -1 —Certificate of Competency #: • Contact Phone#: Email Address: 46,w%2r sQ.ft+U4" DESIGNER: Architect/Engineer: _ "B�,r y� _=% r �iphotae# 6� � !� �o�rsb� Value of Work for this Permit: $ a. OCKN - Square/Linear Footage of Work: 45 Sot Type of Work: OAddiition OAlteration ONew )i(Rep air/Replace C1Dcmolition Description of Work: Color thr7u tile: i3k4:-?E: SAfaffi$53R:shkai8'-iY6k:3k'�$*HSKC+R�LiLa .�$s §z�-84�}$£z$Y,a€eL'+yyFeel.Ao j$$$>3: $$$E�$S93JS$$$Stt£AL3$A$.�£-8,z$�2't$$..3R$$$$.`3$v Submittal Fee $ © Permit Fee $ CCF $ COlCC $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ DBPR $ Bond Technology, Fee $ TOTAL FEE NOW DUE $ °� , `"$onding 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 ------___- Wip----- — 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 he performed to [met the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must he secured for ELECTRICAL WORK. PLUMBING. SIGNS. WELLS. FOOLS. FURNACES. BOILERS. HEATERS. TANKS and AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: 1 certify that all the foregoing infonnation 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 aj'a building permit u-ith an estimated ralue exceacding $2500, file applicant mast promise in good fatiih Iitat at copy of the notice of commencensent end constratction diets Ictvr broc-hare uill be dedirered to the person it -hose property is subject to attachment. Also, a c-erufted coda• of the recorded notice ojetnnmencement mast he Iwsted at the job site for the first inspection which occurs serer (7) dans after the building perotit is issued. /is the absence (7f such posted notice. the inspection it -ill nor be approved and a redttsl7ection fee u -ill he charged. Signature—-_ ! _ Signatur42 Owner or Agent 17 The foregoing instrument was ac owledged before rite this. . n , 20 13. by Jknde L .SC Kel- day of d who is personally known to me or who has produceAbriyGrs kl el,ntil- As identification and who did take an oath. NOTAR UBLI : Sign: ,tit M A' Q °°o°ooa°000 �x x If ire S: Al QQ ° N ° � oaf °71f4 Contractor The foregoing instrument was acknowledged before me this -!� day of //'/� .20 by ---------- 10/ who is personally known to me or who has produced 404 c q23 ai0 t aoas identitKation and whb did take an oath. Plans Examiner Structural Re%,icw I Revised 3/12/2012 H Revised 07/14V07H Reviwd 0611o/ -W9 H Revised 3/15109) NOTARY Sign: Print: _ My Commission M1 COV111r" # EE 028509 E%PIRE8:8Wwnber 22, 2014 Mr&d Tivu NoWy Public Urtifffe is Zoning Clerk STATE OF FLORIDA ' - `4e DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 1940 NORTH MONROE STREET VA+d`� TALLAHASSEE FL 32399-0783 LORA, JUAN CARLOS TECH -CONSTRUCTION INVESTMENT CO 6790 SW 59 STREET MIAMI FL 33143 4rA1t of FLe AC# ; 6 4 4(] q6 2 Congratulations! With this license you become one of the nearly one million DEPiRTiIQT 0' . gt7SINBSS AMID Floridians licensed by the Department of Business and Professional Regulation. PROF=S;;o a -L. _REGOT,ATIOW Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. CGC1512567' � ` �2 ;120156923 Every day we work to improve the way we do business In order to serve you better.CTOIi For information about our services, please log onto www.myfloddallcens&Com. C$RTiF There you can find more information about our divisions and the regulations that LOXiA, Impact you, subscribe to department newsletters and learn more about the TRt.$ CON I�3' Department's initiatives.fi k �{ Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. prov$�Siaw or c 4$9 rs Thank you for doing business in Florida, and congratulations on your new license! „ ,°; , Zti 4 r i2ioasaaseJi CONTRA, 01 fo tip; .i3 a3 ► # Cba �1 ;^fir' g,{S�' a � k exg a✓;�, � � � c� mei �t �r 1 A �� �m4 yh ti� ' �L ,P%Pr . iEt tit i BY"LA a,a4i a�+s�u�ruuu Frnm ens GaupleT ey i"mg. a_ ce"Ift o e =elect] ter 40.415{12}, 6,5.. IC M -I atet "oi ete to be $emit... app N iq C apt�ar 440.©6fi3%;F,S.,,, Notices `efection to btt*ep 'sm MAY -03-2013 14:33 From:ABLE INSURANCE AGCY 9547380400 To:13057568972 Pa9e:1,'1 CERTIFICATE OF LIABILITY INSURANCEDATE(MWODNYYY) _ 05/03/13 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, IMPORTANT: If the eerlihcaW holder IS an ADDITIONAL INSURED, the pol(cy(les) must be endorsed. if SUSRO TION IS WAIVED, subject to Me terms and CDndI(OnS of the pollCy, certain pallCiaS may require an endorsement A statement on this certificate does not confer rights W the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT HASSAN WRAYA _ Able Insurance Agency H,w. Inc, N ONE 954 738-0500 _ _ P ( I Arc N.I: (954)738.040( 595 E. Sample Road r_ALXESs,—• info@sbieuse.net Pompano Beach, FL 33064 ___ INSURE$AFFORDING 40V8RAt3E NAIL 0 Phone 954� �738-0500 Fax (954) 738-0400 I INSURER d Republievanauard Insurance Comeenv wsUREo INSURER B • TECH CONSTRUCTION INVESTMENT CO INSURERC: 175 SW 7th St #1208 aysuRER D : Miami, FL 33130- (305) 495-0716 INSURER E: - COVERAGES CERTIRiCATE NIIMRCC• INSURER F: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW KAVIK 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 CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE THIS TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Miami Shores, FL 33138 IO IOR I TYPE OF INSURANCE ADD UB POLICY NUMBER I ( D E POLIO rAIDD _ um� GENERAL LraslLnY © COMMERCIAL GENERAL LIABILITY I} EACH OCCU RENCE $ 1,000,000.00 DAM GIT! ENTED A [10 CLNMSWDE © OCCUR i PGL003549-13 rREMIS S Ea oacu oMa $ 100,000.00 MED EXP (Any one person) S 5,000.00 ❑ 03101/2013 03/01/2014 PERSONAL $ ADV INJURY S 1,000,000.00_ ❑ !I GENERALAGGREGATE $ 1,000,000.00 GEN!. ACyMOATE LIMIT APPLIES PER: ! PRODUCTS - COMPIOP AGG $ 1,000 000.00 El POLICY El ❑ LOC $' _ — AUTOMOBILE LIABILITY _» -- COMBIIVE'f1;i1NGLE LOVIIT Ee acxldent - ❑ ANY AUTO BODILY INJURY (Per person) S ❑ 588MD ❑ rNULED BODILY INJURY (Per _._ $ ❑ HIRED AUTOS ❑AUTOS ED DAMBE q ❑ UWM&LALIAR ❑ OCCUR ❑ EXCESS (.IAB ❑ CLAS E EACH OCCURRENCE $ ❑ DEC) ❑ RETENTIONS AGGREGAYE S WORKERSCONIPENSATION YIN AND EMPLOYERS' LIABILnY W 5 TU. (—� DTH. TQBY NQS y_ $ - »— ANY PROPRIETORIPARTNER"SCUTIVE OFFICERAMEMB R EXCLUDED? N I A -ESL.-_._ E L. EACH ACCIDENT $ (If INerrdadc ry in NiQ 7 DRUB TION OF OPERATIONS below E.L DISEASE • EA EMPLOYE $ _•„_____,_ E.LDISEASE -POLICY LIMIT L$••���µ DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (Atraoh ACORD 101, Additional Relasift Schedule, H more spate IS Mcluirgd) w CERTIFICATE HoLITFR Miami Shores Village Dpt SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 10050 NE 2nd Ave ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores, FL 33138 AUTHORIZED REPRMENTATIV9 Fax. 305-758-8972 ACORD 26 (2010105) QF ev Iava-6UTU #%%,UKU UUMPUKATION. Al( rights reserved. The ACORD name and logo are registered marks of ACORD Juan Carlos Lora le� "�" � MIAMI SHORES VILLAGE 10050 NE 2ND AVENUE Miami Shores FI 33138 Ref. CANCEL PERMIT FOR REMODELING OF BATHROOM IN PROPERTY LOCATED AT 94 NE 93 STREET I, Juan Carlos Lora, a Florida licensed general contractor CGC1512567, request the cancellation of the permit for the above reference property approved on May 2013, due to a change of ownership of the property, the work was never performed. Thank you for your attention. 1 Juan Carlos Lora GENERAL CONTRACTOR CTJ-OH 2;111-4 ZA---1 -)V" 9 -)-) I CV1 -Wyk b! f� r� IS G (6mm Immlolm AND MAY 0 ED I By i I -DA ZONING STRUCTURAL ELECTRICAL. � PLUMBING MECHAN"AL B' DG p .l iL' Z IL1 ,rah ,.. w `: EC PAL, ` ;'47 15 NOUNO RW -FS .,EtO R, G,JLA, IONS LOCATION-PLAN-- ELECTRICAL .O.CATION—PLAN-- IN BATHROOM LAYOUT SCOPE, OF WORK FOR BATHROOM: 1. REMOVE AND REPLACE PLUMBING FIXTURES IN BATHROOM 2. NEW FLOORING 3. NEW WALL COVERING 4. EXISTING WALLS TO REMAIN 5. EXISTING CEILING TO REMAIN 6. NEW BASEBOARDS 7. EXISTING ELECTRICAL SYSTEM TO REAMIN, INCLUDING EXISTING SMOKE DETECTORS. 8. EXISTING A/C SYSTEM TO REMAIN 9. EXISTING DOOR TO REMAIN 10. ALL WALLS AND CEILING SURFACES TO BE REPAIRED AND REFINISHED AS REQUIRED. 0-4THROOM RECEPTACLE uw �U AF �n AND �..I PROTaM(J IRS CONSULTANT: CAM REVISIONS: PROJECT Na DRAWN BY: CKECKEO BY: SCALE: SKEET No. OP •••• •••••• • • • • ...... . .. .. .. • • • ..... . .. ...... ..... .... .... • • •••• •••• •••••• • •• •••••• •••••• •••• • • (6mm Immlolm AND MAY 0 ED I By i I -DA ZONING STRUCTURAL ELECTRICAL. � PLUMBING MECHAN"AL B' DG p .l iL' Z IL1 ,rah ,.. w `: EC PAL, ` ;'47 15 NOUNO RW -FS .,EtO R, G,JLA, IONS LOCATION-PLAN-- ELECTRICAL .O.CATION—PLAN-- IN BATHROOM LAYOUT SCOPE, OF WORK FOR BATHROOM: 1. REMOVE AND REPLACE PLUMBING FIXTURES IN BATHROOM 2. NEW FLOORING 3. NEW WALL COVERING 4. EXISTING WALLS TO REMAIN 5. EXISTING CEILING TO REMAIN 6. NEW BASEBOARDS 7. EXISTING ELECTRICAL SYSTEM TO REAMIN, INCLUDING EXISTING SMOKE DETECTORS. 8. EXISTING A/C SYSTEM TO REMAIN 9. EXISTING DOOR TO REMAIN 10. ALL WALLS AND CEILING SURFACES TO BE REPAIRED AND REFINISHED AS REQUIRED. 0-4THROOM RECEPTACLE uw �U AF �n AND �..I PROTaM(J IRS CONSULTANT: CAM REVISIONS: PROJECT Na DRAWN BY: CKECKEO BY: SCALE: SKEET No. OP m NE 93RD ST PASHROOM RECEPTACLE ON 20 AMP CKT AND G.F.I PROTECTED 3ATHNOM RECEPTACLEL ilia r, :7IJii Orli, AND G..1 PROTECTED V /f & j %-'0 V E; MAY 08 2013 BATHROOM LAYOUT SCOPE OF WORK FOR BATHROOM: 1. REMOVE AND REPLACE PLUMBING FIXTURES IN BATHROOM 2. NEW FLOORING 3. NEW WALL COVERING 4. EXISTING WALLS TO REMAIN 5. EXISTING CEILING TO REMAIN 6. NEW BASEBOARDS 7. EXISTING ELECTRICAL SYSTEM TO REAMIN, INCLUDING EXISTING SMOKE DETECTORS. 8. EXISTING A/C SYSTEM TO REMAIN 9. EXISTING DOOR TO REMAIN 10. ALL WALLS AND CEILING SURFACES TO BE REPAIRED AND REFINISHED AS REQUIRED. 11. REMOVED ATTACHED EXISTING STAIR. :yea DEPT . I L.nlr•ll CE Vdr 1 IJERAL STATE AN `Ir a f ril.,LcS AMD TIONS tLA AL CHITECT 8600 PALMHTTO CLUB LN MIAMI FL 93167 (8861 1 CONSULTANT: w z Lu 0 0LL W 0 000 O J U. Z Z zD Q i� DATE: REV1810N8: PROJECT Na DRAWN BY: CNECKEDBY: SCALE: 8NEET Na OF ffTIIffP'UT%l 1.06 M Izl R--t..J V i'TRUCTUPAL a lKIIING -4, CCAINTY RUi ES AND 5-/X`/�` a Miami Shores Village F!'�-�o T Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 J Tel: (305) 795.2204 Fax: (305) 756.8972 I a INSPECTION'S PHONE NUMBER: (305) 762.4949 FBC 20 BUILDING L Permit No. _ PERMIT AP Master Permit No.Ba 1,3 — W(L) Permit Type: BUILDING ROOFING JOB ADDRESS: it ,f V q � <—,+ City: Miami Shores County: Miami Dade Zip: I4c� Folio/Parcel#: Is the Building Historically Designated: Yes NO x Flood Zone: OWNER: Name Fee Sim le2Titleholder): M V 6 � �ld bra( C1 Phone#: Address: LiA Me J 5� City: am'`l State: ZB Zip: !a 1zb Tenant/Lessee Name: Email: CONTRACTOR: Company Nam : lPrY��l���(,to8t 10 c � Phone#: Address: `15W 1A �W-� City: tAN-Mx-n 1 State: 1 Zip: 3� I .�/ Qualifier Name: s l u &\ �� �. Phone#: —1166 206 � r'6c1 State Certification or Registration #: 6 OG 1S 1 IS f � Certificate of Competency #: Contact Phone#: Email Address: DESIGNER: Architect/Engineer: -.�4C,►,A 0A1 Phone#: SP> SAaC®rI 141 Value of Work for.this,Per. Type;;,Wp rli:,.. QAddition. Description of Work: 5,Sc�o '-r ZlAlteration Color thru tile: ❑150P'3q Banti TIO `k, d'1�f33 dd?%tiy1.$3¢`i ODemolition rtA 1'L01,�< �x�x��xx��x�xx��x�xx�>K��a��x��x��x�x�x��x�x�x�>kx�x��xx���xx�>Kx���xFees�+x�x�+�x��xm�•��x�x�xx�m�m��x�m�x�xmx��a���xx�mx��x�x�x�x����x�x��� 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 $ 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 4p 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 be charged. Signature Signature Owner or A ent Contractor The foregoing instrument was acknowledged before me this 2--1 day of &A U +, 20 13, by h'iA J& =Pkd-A 6&RC4X , whEEHE�s o me or who has produced identification and who did take an oath. NOTARY PUBLIC: The foregoing inWumsent was acknowledged before me this Z 2 day of �G�Cl/ , 20/a, by S in C(f ( ON rte, who is personally known to me or who has produced Sign:l � . LgVMA 1"GM g Not"yPuttlk • to of r4ft Print: 9, 2014 My Commission Exp s: '11 �.• Cmmmm I OD 969332 identification and who did take an oath. NOTARY LIC: Rw , AV4 MY OWN, c .++073 gn• r re hazy %& Commission Expires: APPROVED BY Plans Examiner Zoning Structural Review (Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) Clerk