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RC-14-1435Miami Shores Village � g JUL ®3 20 4 Building Department �Y: 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 _-- Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (30S) 762-4949 FBC 201 BUILDING Master Permit No.RCIN PE MIT APPLICATION Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING [-1 MECHANICAL ❑PUBLIC WORKS [:]CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: ®J City: Miami Shores County Miami Dade zip: 3�_ ISO. Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: QE.S . Load: T Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): (a L. P-eQ 1-�'i wtQ Id I nopre#: 05 - S ►Ci Ci (Z. Address: 3 C)C3 t\AnA-le , City: /- 1 C:1,, -,e1 1 State: I` 1 Tenant/Lessee Name: Email: one#: CONTRACTOR: Company Name: C2h , _Phone#: Address: 1® ") ---1—'1 15 _H - ,/ City: _,rY"�i eAe--r1, State: '� - Zip: 1 �= Qualifier Name: ::j4r'-(j�5' Phone#: State Certification or Registration #: CGC-(S IPI -11 Certificate of Competency #: DESIGNER: Architect/Engineer: >� �` & . Phone#: - Address: 3 (s® City: State Value of Work for this Permit: $/is I S® ® Square/Linear Footage of Work: Zip: Type of Work: ❑ Addition ❑ Alteration ❑ New ®air/Replace ❑ Demolition Description of Work: I i-_� �a---, d 6 Specify color of color thru tile; Submittal Fee Scanning Fee $ Technology Fee Structural Reviews $ (Revised02/24/2014) Permit Fee $ CCF $_ Radon Fee $ DBPR $ Training/Education Fee $ CO/CC $ Notary Double Fee $ Bond $ TOTAL FEE NOW DUE $ 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 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 -PWNER\orA@ENT The foregoing instru Ment was acknowledged before me this .4 -day of JA/ -P- , 20 by Ll,A- 4tt &4-m " , who " ersona -caw t me or who has produced Signature CONTRACTOR The foregoing instrument was acknowledged before me this day of JW -AL 120 14-. by who is 0rsonall kno n to as me or who has produced identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: N-1 d ... ' Sign:JQ �.,°°..�. Sign: '= RONNI A ILA �— Print: Seal `'�, 3 EXPIRES October 01, 2014 Print: Seal: y� RONNI A ,'' �� e' BLANK 40i13�� 0153 Flordallotery9ernce.com ON OOMMI851ON # i=E000573 EXPIRES 01, 2014 1 �cJ/L K APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner — Workers' Compensation Insurance Exemption Florida Law requires Workers" Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.0 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers" Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full-time employees, including the owner, must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if: 1. The officer owns at least 10 percent of the stock of the corporation, or in the case of an LLC, a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State. Division of Corporations; and 3. The corporation is registered and listed as active with the Florida Department of State, Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers' compensation exemption. In these circumstances, Miami Shores Village does not require verification of workers' compensation insurance coverage from the contractor"s company. Therefore, you may be personally liable for the worker compensation iniuries of anv person allowed to work under this_permit Please check with your insurance carrier since most property insurance policies DO NOT cover this type of liability. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Owner Print Name: �. (M WV L I&M Signature: State of Florida ) County of Miami -Dade ) Sworn to and subscribed before me this _V4 day of ��}�,, 20 I \A_. By fjrtJl!Y, D1.R��' `m (SEAL) Ty pe of Identificariari pioduced 7,JU+trjn Contractor Print Name: Signature: State of Florida ) County of Miami -Dade ) Sworn to and subscribed before me this day of svkm 20 N_. By �U�,d/d94Df BD1DnDun (SEAL) rt Type of Identifioatioi rproduced, n J 1, Detail by Entity Name Florida Limited Liability Company B & L REALTY HOLDINGS, LLC Filing Information Document Number FEI/EIN Number Date Filed State Status Principal Address 3900 NW 2ND AVE MIAMI, FL 33127 Mailing Address 3900 NW 2ND AVE MIAMI, FL 33127 L12000005416 45-4288296 01/11/2012 FL ACTIVE Registered Agent Name & Address BROMLEY, STEPHEN R 3900 NW 2ND AVE MIAMI, FL 33127 Name Changed: 01/25/2013 Authorized Person(s) Detail Name & Addres's Title MGRM BROMLEY, MICHAEL W 3900 NW 2ND AVE MIAMI, FL 33127 Title MGRM LEIDESDORF, EDMOND H 3900 NW 2ND AVE MIAMI, FL 33127 =11 Report Year Filed Date Page 1 of 2 http://search.sunbiz.org/Inquiry/CorporationSearchISearchResultDetaillEntityName/flat-112... 7/3/2014 . . ... . . . ... LOCATION MAP B & L REALTY HOLDINGS, LLC JUL 0 4 p �;:J^I SH R -S z-� LADE BY: .P, ROV11) LUN.NG r S. R.,: TURAL ELE; TUiA,. `n PLUMBING 0.41ECHAN'.A " DG. t INDEX OF ARCHITECTURAL DRAWINGS SHEET DRAWING TITLE A-1.0 COVER SHEET A-2.1 SYMBOLS AND ABBREVIATIONS A-3.1 RENOVATED FLOOR PLAN A-4.1 ENLARGED FLOOR PLANS BY o• 0 DATE J!1 / L Cf/c C"'.':M PLIAN:.E Vdflu, ALL FUDEV1. ±_Ci'.INTY RITES AND REG LAiI7.S C) J J 0 N o M M z� a p a o 2Quj wU. Oti y I► J L W Q uo O = Luw-= y w ca co > mi 2 ° DROWN BY. MJA 07.02.14 ow. ter. w. A1.0 1 1 • • ••• • • • ••• . . . . . . . . . . ' "' ' ' ' ' . m SYMBOLS ABBREVIATIONS 1111111 • • • i i • • i i • • i i • ADJ ADJACENT HDWR HARDWARE i i i i i • i i • • AFF ABOVE FINISHED FLOOR HORIZ HORIZONTAL FALIGNI ALIGN FINISHED • TtEVISICWS • • • • HT HEIGHT II SURFACES ALT ALTERNATE BLDG BUILDING HVAC HEATING, VENTILATING, #• ELEVATION {f AI F� • • • • *0* •• • • • NORIiI ARROW • BC BELOW CEILING AIR CONDITIONING A# ��`'',f'f • • • • • • • • BRG BEARING HW HOT WATER • . • • i BR BRICK INSUL INSULATION • • • • • • • • • • • • BS BOTH SIDES LT LIGHT O WINDOW# FLOOR TRANSITION BTW BETWEEN MAT MATERIAL BW BOTH WAYS MAX MAXIMUM CAB CABINET MECH MECHANICAL SECTION (E) DENOTES EXISTING CJ CONSTRUCTION JOINT MFR MANUFACTURER A CL CENTER LINE MIN MINIMUM CLG CEILING MIR MIRROR Room RAm• ROOM/ FLOOR INDICATOR (R) DENOTES RELOCATED CLKG CALKING MISC MISCELLANEOUS Room Num•mt CLR CLEAR MTD MOUNTED COL COLUMN N/A NOT APPLICABLE CONC CONCRETE NIC NOT IN CONTRACT B.O. CEONST CONSTRUCTION NRC NOISE REDUCTION M.F.AFCEILING HEIGHT FLOOR HEIGHT EL +pa' CONTR CONTRACTOR/CONTRACT COEFFICIENT CTR CENTER NTS NOT TO SCALE DBL DOUBLE OFCI OWNER FURNISHED, DEMO DEMOLISH/DEMOLITION CONTRACTOR INSTALLED DF DRINKING FOUNTAIN OFOI OWNER FURNISHED, DIA, DIAMETER OWNER INSTALLED DIM DIMENSION OPP OPPOSITE J DN DOWN PB PANIC BAR DR DOOR P LAM PLASTIC LAMINATE C DTL DETAIL PERP PERPENDICULARZ I;.: Q Q DWG DRAWING RB RUBBER BASE Q D LL5) DWR DRAWER RCP REFLECTED CEILING PLAN 0 LZ 0 m REC RECESSED = Q m (E) EXISTING L-Lj EA EACH RECEP RECEPTACLE O I Lu EL ELEVATION REFR REFRIGERATOR QQQJ WG O EQ EQUAL REV REVISION = O RO ROUGH OPENING/ROUGH EQUIP E.T.R. EQUIPMENT EXISTING TO REMAIN SCHED SCHEDULED J C g a g Im (F) FUTURE SIM SIMILAR y FE FIRE EXTINGUISHER STD STANDARD FEC FIRE EXTINGUISHER SYST SYSTEM(S) CABINET TBD TO BE DETERMINED FF FINISHED FLOOR/ FACE TEL TELEPHONE FIN FINISH TH THICKNESS FIXT FIXTURE TME TO MATCH EXISTING FLR FLOOR/ FLOORING TS TUBE STEEL FLUOR FLUORESCENT TYP TYPICAL FO FINISH OPENING LION UNLESS OTHERWISE FOB FACE OF BRICK NOTED FOC FACE OF CONCRETE VAR VARIES FOM FACE OF MASONRY VCT VINYL COMPOSITION TILE FOP FACE OF PANEL VENT VENTILATOR/VENTILATION FOS FACE OF STUD VERT VERTICAL FOW FACE OF WALL VIF VERIFY IN FIELD FR FRAME W/ WITH FURN FURNITURE W/O WITHOUT GLS GLASS WKSF WORKSURFACE GWB GYPSUM WALL BOARD GYP GYPSUM DPAWN BY. JAP 07.0214 owa sem. A2.1 �w. 2 -co'CAG` V�,O\k � LU1t�f� .. .. . . . .. .. . . . . . . . . . . . ............ • ••• • ••• • • • • • • • • • • • • • • • • • • • • ••• •• • • • V. ••• •• • • • . . - • FIELD VERIFICATION FIELD VERIFICATION: THESE DRAWINGS INCORPORATE BUILDING INFORMATION COMPILED FROM VARIOUS SOURCES ASSOCIATED WITH THIS PROJECT AND DEEMED AS RELIABLE CONDITIONS DIRECTLY AFFECTING THE PRODUCT OR ITS INSTALLATION MUST BE FIELD VERIFIED BY THE CONTRACTOR OR A CONTRACTOR APPOINTED REPRESENTATIVE PRIOR TO BIDDING. RENOVATED FLOOR PLAN 1/811 = 11-01 1 PLAN KEYED NOTES: ONEW WINDOW 0 WINDOW NUMBER ODOOR NUMBER e u I L_I, 1 i"l C-, DRAWN BY: MJA 07.0214 A-3.1 3 . . . . • . . . . . • . ... . • . . .. • • ••• • ••• • • • • • • • • • • • • • • • • • • • • ••• •• • •• ••• •• Imo— -Li-��::. •. .....•.. •• • • • • • ••• •• (� ^-r -t+� -4-- 1 wr �ea--.�bSt�—b�i'a'►' S'w��c� -'FU -��►� 4 2 e des., -el c+reQ wall c�.,� ,-Gp k e RENOVATED FLOOR PLAN 1 ' 1/811 = 1'-0" TERRACE (43 FIELD VERIFICATION FIELD VERIFICATION: THESE DRAWINGS INCORPORATE BUILDING INFORMATION COMPILED FROM VARIOUS SOURCES ASSOCIATED WITH THIS PROJECT AND DEEMED AS RELIABLE. CONDITIONS DIRECTLY AFFECTING THE PRODUCT OR ITS INSTALLATION MUST BE FIELD VERIFIED BY THE CONTRACTOR OR A CONTRACTOR APPOINTED REPRESENTATIVE PRIOR TO BIDDING. PLAN KEYED NOTES: ONEW WINDOW OWINDOW NUMBER ODOOR NUMBER ,1 i BR 0�� C mi/��P'Q.C•va. 1 ®® J 0 GARAGE 0 BEDROOM #2 i I \0 t—L-w—N i ti G V J J e C ZF � pa c OFWC =VF11 O d1 u J W co L�L Z o = =z� DRAWN BY: MJA 07.OZ14 A-4.! 4 . .. . . . . . . . • • • • • • • • • • • ,tcx Ar Jr G3 >4T 4-k =%A- 1 c,-- l 49\064. RENOVATED FLOOR PLAN 1/811 = 1'-01 1 49i X4--l� FIELD VERIFICATION FIELD VERIFICATION: THESE DRAWINGS INCORPORATE BUILDING INFORMATION COMPILED FROM VARIOUS SOURCES ASSOCIATED WITH THIS PROJECT AND DEEMED AS RELIABLE. CONDITIONS DIRECTLY AFFECTING THE PRODUCT OR ITS INSTALLATION MUST BE FIELD VERIFIED BY THE CONTRACTOR OR A CONTRACTOR APPOINTED REPRESENTATIVE PRIOR TO BIDDING. PLAN KEYED NOTES: ONEW WINDOW 0 WINDOW NUMBER ODOOR NUMBER BATHROOM RECEPTACLE ON 20 AMP CKT AND Dag 1 PROTECTED IDD SMOKE/CARBON MONOXIDE DETECTORS. ANY AND ALL CLOTH AND RUBBER INSULATED CONDUCTORS TO BE REPLACED, NO POINT ALONG COUNTER TO BE MORE THAN 2 FEET FROM G.F.I PROTECTED RECEPTACLE. PUT D/W RECEPTACLE UNDER SINK. ALL FIXED APPLIANCES %JI DEDICATED CKTS. CLC_G'rR.i CSL 0 0 DRAWN BY: MJA 07.02.14 ems. xo. A$.a,t 5 TUB BATHROOMICcG�- SHOWER HEAD SHOWER CONTROL --� 1 ;° ENLARGED BATHROOM #1 FLOOR PLAN 1/411 = 1'-011 SHOW[ DRAIN Ext S'i-i`� SHOWS HEAD SHOWS CONTR ENLARGED BATHROOM #2 FLOOR PLAN 1/411 = 1'-0" FIELD VERIFICATION FIELD VERIFICATION: THESE DRAWINGS INCORPORATE BUILDING INFORMATION COMPILED FROM VARIOUS SOURCES ASSOCIATED WITH THIS PROJECT AND DEEMED AS RELIABLE. CONDITIONS DIRECTLY AFFECTING THE PRODUCT OR ITS INSTALLATION MUST BE FIELD VERIFIED BY THE CONTRACTOR OR A CONTRACTOR APPOINTED REPRESENTATIVE PRIOR TO BIDDING. i FRIDGE PLAN KEYED NOTES: ONEW WINDOW OWINDOW NUMBER ODOOR NUMBER I_ ENLARGED KITCHEN FLOOR PLAN —1/411 = 1'-0" 1P1.LA*-Ara, t N C-1 is L.IOW V41Q DRAWN BY: NMA 0702.14 -meoax¢r. xo. Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-222835 Scheduled Inspection Date: November 05, 2014 Inspector: Rodriguez, Jorge Owner: , Job Address: 144 NW 105 Street Miami Shores, FL 33150 - Project: <NONE> Contractor: ACA CONSTRUCTION INC tsuuaing uepartment comments REMODEL KITCHEN AND 2 BATHS STOP WORK ORDER PLACED AS SIDEWALK NEEDS TO BE REPLACED. AS PER B.O ISMAEL Permit Number: RC -7-14-1435 Permit Type: Residential Construction Inspection Type: Final Building Work Classification: Alteration Phone Number Parcel Number 1121360131320 INSPECTOR COMMENTS False Phone: (305)7884914 November 04, 2014 For Inspections please call: (305)762-4949 Page 31 of 31 Inspector Comments Passed T!q�_ Failed Correction Needed ❑ Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. November 04, 2014 For Inspections please call: (305)762-4949 Page 31 of 31