The URL can be used to link to this page

MC-13-265V Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 -a Inspection Number: INSP-185573 Permit Number: MC -2-13-265 Scheduled Inspection Date: July 17, 2013 Permit Type: Mechanical - Residential Inspector: Perez, JanPierre Owner: DENIS, CAMILLE AND MARIE Job Address: 10330 NW 2 Avenue Miami Shores, FL 33150 - Project: <NONE> Inspection Type. Final Work Classification: Addition/Alteration Phone Number (786)426-7904 Parcel Number 1121360161090 Contractor: RAA SERVICE CORP Phone: (305)554-4482 Building Department Comments BATHROOM VENTILATION Infractio Passed Comments INSPECTOR COMMENTS False Failed July 16, 2013 For Inspections please call: (305)762-4949 Page 5 of 38 Inspector Comments Passed Failed Correction Needed ❑ Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. July 16, 2013 For Inspections please call: (305)762-4949 Page 5 of 38 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: MECHANICAL JOB ADDRESS: ZM36' Z . ,-y--1/e FBC24 Permit No. Master Permit No.a,� 12 . Ls't City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes NO Flood'Zone: OWNER: Name (Fee Simple Titleholder): ;: 'n V� 667 Phone#: %' / - L(o%2- Address: 4'Z3 3®2 lily 2 t� City: - ":l ✓�Lrr �d1�4 State: , Zip: 7 Tenant/Lessee Name: Phonek Email: CONTR Address: City: 'Z Qualifier Zip: State Certification or Registration #: Certificate of Competency #: Contact Phone#: ��r. =s� 4zwl> Email Address: �,,/� S —I" ' 2 DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ 2J,5 . M Square/Linear Footage of Work: Type of Work: OAddress Alteration- ❑New ``pair/Replace ❑Demolition Description of Work: (t Submittal Fee $ Permit Fee $ I' S CCF $ CO/CC $ Scanning Fee $ Radon Fee $ Notary $ Training/Educadon Fee $ Double Fee $ Structural Review $ DBPR $ Bond Technology Fee $ TOTAL FEE NOW DUE $_I 2�rl 1�6 "' Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State a 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: APa idon to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith tpy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subjechment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first i ectionccurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection wilco and a reinspection fee will be charged. jar or Agent, The foregoing instrument was acknowledged before me this day of 1 20 � li%C ✓ lG,� z, who is personally known tol' a or who has produced As identification and who did take an oath. NOTARY PURLI Sign:MARIA BANO Print: �� CC �',{�{yo�F.pf �o,r EXPIRES Novem er My Commission iCWt11R4 FloridallotiiyService.co Signature Contractor The foregoing instrument was ackno dg befog me this 7 day of , 20, who is personally known to me or who has produced identification and who did take an oath. Sign: a'' MARIA Print: fREo r -4W My Commission e� Floridalloui APPROVED BY �f lans Examiner Zoning Structural Review Clerk Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) From 02/08/2013 12:52 #143 P.001/001 CERTIFICATE OF LIABILITY INSURANCE DATE(MM,DDIYYYY) __ 02/08/13 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policylies) must be endorsed, If SUBROGATION IS WAIVED, subject to -_-�- the terns and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsementle). PRODUCER CONTACT Lucia Estrella Accurate 8300 West Flagier Suite 114 Miami, FL 33144 Phone (305)226-8727 Fax (305)226-8767 — PHONE (305)226-8727 F c : (305)226-8767 E-MAIL . luciaestrella(Mbelisouth.net INSURER(S) AFFORDING COVERAGE LL MAIC # INSURER A: Accident insurance Co INSURED INSURER B R.A.A. Service Corp. INSURER C: INSURER D., 15321 SW 36 Terr. INSURER E. Miami, FL 33185- INSURER F: ❑ - v 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. INSR TYPE OF INSURANCE �ADIDL SUBRIMOS POLICY NUMBER FF P011p P LIMITS A GENERAL LIABILITY RCOMMERCIAL GENERAL LIABILITY ❑ ❑ CLAIMS -MADE (� OCCUR ❑ - -- — i 1018120000001328 10/1812012 10/18/2013 EACH OCCURRENCE $ 1,000,000.00 DAMAGE TO RENTS R g&M-1 $ 100,000.00 MED EXP (Any one$ 5,000.00 . PERSONAL b ADV INJURY $ 1,000,000.00 ❑ - v GENERAL AGGREGATE $ 1,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: W POLICY E -1 -MOT— - ❑ LOC PRODUCTS - COMP/OP AGG $ 1,000,000.00 $ -- AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT d. ❑ ANY AUTO ALL OWNED SCHEDULED ❑ AUTOS ❑ AUTOS ❑ HIRED AUTOS ❑ AUTOSNON-OWNED ❑ BODILY INJURY (Per person) $ - BODILY INJURY (Per accident $ PxiOPER AMAGE $ Z ❑ UMBRELLA LIAR ❑ OCCUR ❑ EXCESS LIAB ❑ CLAIMS -MADE NIA _ m~ - EACH OCCURRENCE $ AGGREGATE $ EJ DED RETENTION $ WC STATU- i OTH- WORKERS COMPENSATIONY / N AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ (Mandatory In NH) Iye s describe under DESG�RIPTION OF OPERATIONS below E.L. EACH ACCIDENT s E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, H more space Is required) Certificate holder is listed as additional name Insured. CERTIFICATE H OLDER centro I A rtnkr Miami Shore Village Building Department 10050 NE 2nd Ave Miami Shore, FL 33138 305-756-8972 Arron eM r�AdAr..% ^. 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 Lucia Estrella CORPORATION. All rights reserved. I ne AaVIRU name and logo are registered marks of ACORD A t A s MIAMI-DADE COUNTY a+ 2012 `` LOCAL BUSINESS TAX RECEIPT 2013 �M FIRST-CLASS TAX COLLECTOR ~� 1 DADE COUNTY - STATE OF FLORIDA U.S. POSTAGE 140 W. FLAGLERST.', EXPIRES SEPT. 30; 2013 PAID 1st FLOOR ' ppUST BE DISPLAYED AT PLACE OF BUSINESS MIAMI, FL MIAMI, FL 33130 PURSVATO, COUyTX;CQDE CHAPTER 8A ART. 9 & 10 PERMIT NO. 231 HOLDER TO VIOLATE ANY 703534-8 BUSINESS NAME / LOCATION RAA SERVICE CORP 15321 SW 36 TER 33185 UNIN DADE COUNTY NEW RECEIPT NO. 731147-5 STATE# CGC1520236 OWNER r 'RAA SERVICE CORP Sec. Type of Business WORKER/S 196 GENERAL BUILDING CONTRACTOR 1 THIS IS ONLY A LOCAL BUSINESS TAX RECEIPT. IT DOES NOT PERMIT THE HOLDER TO VIOLATE ANY EXISTING REGULATORY OR zoNING LAWS OF THE DO NOT FORWARD COUNTY OR CITIES. NOR DOES IT .EXEMPT THE HOLDER FROM ANY OTHER RAA SERVICE CORP Heo weDe°vRLAW`ITEsss ALFONSO ROBERTO A PRES THHE OLDERSIVUALOIFICAF 15321 SW 36 TER TONS MIAMI FL 33185 PAYMENT RECEIVED MIAMI-DADE COUNTY TAX COLLECTOR. 09/11/2012 02250017001 �t11111111,11tIII„„1,1,1I„Il,,,lli,,;C,,,,,l,t,:,114��( 000150.00 SEE OTHER SIDE MIAMI-DADE COUNTY 2012: LQCA1, BUSINESS TAX RECEIPT 2013 TAX COLLECTORMI-DADE COUNTY -STATE OF, FLORIDA -Aw 140 W. FLAGLER ST j sU�11 DM S�S+EPIQ8 �.;' IY 1st FLOOR �. � n �: M 8E DlSPLAYBD A7`'PLACE OF BUSINESS MIAMI, FL 33130>� pURSU TO COUNTY CODE CHAPTER SA - ART. 9 & 10 FIRST-CLASS U.S. POSTAGE PAID MIAMI, FL PERMIT NO. 231 639404-3 BUSINESS NAME / LOCATION R A A SERVICE CORPORATION 15321 SW 36 TERR 33185 UNIN DADE COUNTY OWNER R A A SERVICE CORPORATION Sec. Type of Business 196 SPEC MECHANICAL THIS IS ONLY A LOCAL GUSIN ESS TAX RECEIPT. IT DO[S NOT PERMIT THE HOLDER TO VIOLATE ANY EXISTING REGULATORY OR ZONING LAWS OF 'HE itJUNTy OR CITIES. NOR DOES IT EXEMPT THE ,iOLDER FROM ANY' OTHER PER A OR LICENSE NOTA CERTIFlcanONsOF R A A SERVICE CORPORATION THE HCLDERs ODALIFICA- ROBERTO ALFONSO noNs. 15321 SW 36 TERR MIAMI FL 33185 CONTRACTOR RENEWAL RECEIPT NO. 666195-4 STATE# CAC1816116 WORKER/S 1 DO NOT FORWARD ,,AY MENT RECEIVED MIAlv11-OADE COUNTY TAX COLLECTOR- 09/11/2012 60020000229 000075.00 SEE OTHER SIDE 1t!11111111111111111,11111111,111 ,111,1!111 11111111!1(!1/ y y 04-18-2011 JEFF ATVVATER STATE OF FLORIDA CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE PERSON: FEIN: 04/18/2011 EXPIRATION DATE: 04/17/2013 ALFONSO ROBERTO A 650690655 BUSINESS NAME AND ADDRESS: RAA SERVICE CORP 15321 SW 36TH TERR MIAMI FL 33185 SCOPES OF BUSINESS OR TRADE: 1- CERTIFIED AC CONTRACTOR IMPORTANT. Vursuam 10 Chapter 40.0 051141, I.S., an ollicer of a corporation _who elects exemption from this chapter by filing a certificate of election under this section may nor recover benetiu or cumpensauon under this chaplet. Pursuant to Chapter 440.05112), F.S., Certificates of electron to be exempt__ apply only within the ,cope of the business or trade listed on the notice at election to be exempt. Pursuant 10 Chapter 440.051131, F.S., Notices of election to be exempt and certilicales o1 election to be exempt shall be subject to revocation if, at any time alter the tiling of the notice or the issuance of the cerlilicale, the person narned on the notice or cenlficafe no longer meets the recluiienrents of this section lot issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certilicate to meet the reguiremems of this section- QUESTIONS? (850) 413-1609 DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01-11 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION CONSTRUCTION INDUSTRY CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW EFFECTIVE: 04/18/2011 EXPIRATION DATE PERSON: ROBERTO A ALFONSO FEIN: 650690655 BUSINESS NAME AND ADDRESS: RAA SERVICE CORI) 15321 SW 36TH 'ERR MIAMI. FL 33185 SCOPE OF BUSINESS OR TRADE. rE;,'TiFIEil AC CONTRACTOR CUT HERE * Carry bottom portion on the job, keep upper portion for your records. DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01-11 IMPORTANT y �\ Pursuant to Chapter 440.0504), F.S., an officer of a corporation who 0 exemption from this chapter by filing a certificate of election elects L under this section may not recover benefits or compensation under this D chapter. 04/17/2013 Pursuant to Chapter 440.0502), F.S., Certificates of election to be H exempt... apply only within the scope of the business or trade listed on E the notice of election to be exempt. R E Pursuant to Chapter 440.0503), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. QUESTIONS? (850) 413-1609 CUT HERE * Carry bottom portion on the job, keep upper portion for your records. DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01-11