RC-13-2524Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-227398 Permit Number: RC -11-13-2524
Scheduled Inspection Date: January 30, 2015 Permit Type: Residential Construction
Inspector: Rodriguez, Jorge
Owner: TORO JTRS, LUIS
Job Address: 1270 NE 98 Street
Miami Shores, FL 33138 -
Project: <NONE>
Inspection Type: Final Building
Work Classification: Alteration
Phone LNumber (305)733-3821
Parcel Number 1132050090310
Contractor: REGOSA ENGINEERING SERVICES INC Phone: (786)262-2964
Building Department Comments
REMODEL BATH AND MASTER BATH: REPLACE ALL
FIXTURES INSTALL NEW STEAM MACHINE
INSPECTOR COMMENTS False
January 29, 2015 For Inspections please call: (305)762-4949 Page 32 of 34
Inspector Comments
Passed
Failed
Correction
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
January 29, 2015 For Inspections please call: (305)762-4949 Page 32 of 34
l
t11/ I�
BUILDING
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
PERMIT APPLICATION
NOV 0 7 2013
FBC 20
Permit No.
Master Permit No.���
Permit Type: BUILDING R G
JOB ADDRESS: Me - t V 14C ee t
City: Miami Shores County IQ P Miami Dade Zip: 3� 3
Folio/Parcel#: I I — _ � =-109 •-' 0;� 10
Is the Building Historically Designated: Yes
Flood Zone:
OWNER: Name (Fee Simple Titleholder): ,WI A din LLL�S 040 Phone#: :52jPj �—39V
City: A. I o.� �' � �.c State: -' Zip: 33 13
Tenant/Lessee Name: one#: OS "3 3 ' 382A
Email: �pl�r D • co -r)
CONTRACTOR: Company Name: 2C-OOSQt tM� 4N�� �i N 6 :CAa'�C Phone#: 6 �s s Li623
Address: inOO �n MQ.
City:State: L Zip: c,
Qualifier Name: � U SM4 O �c (';z z• Phone#: � 0pb ao"S 4323
State Certification or Registration #: CG C, -1150'91'S7- Certificat(e�of Competency J#:
Contact Phone#: `ai$6 D-111% kA�in Email Address: t'0 b2'rTv (P'a(%k Ue-z�.Qn •coM
DESIGNER: Architect/Engineer:
Value of Work for this Permit: $Z� I `O ' SQC Square/Linear Footage of Work: L 00 �?3�
Type of Work: LJAdditiogL, ❑Alterat*❑LNew dkepair/Replace ❑Demolition
Description of Work ` td'FF `�di�lltS : C �WG2 Al k y) X '19 � -.'s +Q,� TV , ��
X1(V X- ► Q'�� 1 -WI S
N
C4C , INGTPO L& bAl' pL,olor:thru tile:
Submittal Fee $ Permit Fee $
Scanning Fee $
Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
CCF
M.
CO/CC $
DBPR $ Bond $
Technology Fee $
TOTAL FEE NOW DUE $ 5-1 / • 32
2
Bonding Company's Name (if applicable)
Bonding Company's Address
City
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
ME
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 thF absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged. '
Signature AL
Signature
Owner or Agent Co tractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this C,
day of QQJWJA bk, , 201 °t , by �00Q•Jh Isis �- day of gIDO6rn N^_,-2.0 F�—, by S�4it� �3c�Z
who is personall know o me or who has produced 4LT� who is personall know> me or who has produced FL, 11)
As identification and who did take an oath. as identification and who did take an oath.
NOTARY LIC:,,
Sign:
Print:
My C
alt -,,
NOTARY
Sign:
Print:
My Commission Expires:
V
APPROVED BY �/ Plans Examiner
Structural Review
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
�., AMBAR ABEIJON -
1#
AMBAR ABEIJON
-�
at ommission # DD 969514
ommission Expires:
_ . My Commission Expires
March 09, 2014
NOTARY
Sign:
Print:
My Commission Expires:
V
APPROVED BY �/ Plans Examiner
Structural Review
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
�., AMBAR ABEIJON -
1#
Commission # DD 969514
MY Commission Expires
March 09, 2014
Zoning
Clerk
Policy Numder DRta Entered
DX. t -
_CORD CERTIFICATE OF LIABILITY INSURANCE
S 10f18f2013
., THIS CERTIFICATE IS ISSUED AS #B MATTER OF INFORMATIO�t�
BEST RATE INSURANCE AGENCY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
s 8600 NW 17 STREET, SUITE 170 HOLD Rs THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
DORAL FL 33126 A T R TIDE COVERAGE AFFORDED ST THE POLICIES BELOW.
PFI {866}6160065 F :(305)403-0801
INSURERS AFFORI I O COVERAGE NAIL
huvmmm
SRIDGEFIELD EMPLOYERS INS CO. f10701
REGOSA ENGINEERING SERVICE INC. _ PRFERED CONTRACTORS CO RRG LLC 124$7
1050 SE 5 STREET, BAY 9 r PROGRESSIVE AMERICAN INS CO. :24252
HI �I FL 33010 - __ m.._--------
COVERAGES
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1,000,000
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CERTIFICATE HOLDER CANCELLATION
sHoluk-0 ANY OF I'M ABOVE DESCAtRED POLIVES BE CANC-ELLED OFF
MIAMI SHORES VILLAGE � GA'!v_ 5HEPF: HE ISSUiNG ! UW;R ftU ENDEAVOR ,o VMS 3,0__ KAYE wRtrmta.
j5
BUILDING DEPARTMENT NOO g P RIIF AE HOLEER, t" -FO TO T44 4EFRUT sA TO DO So SHAU
E 10050 NE 2 AVE ,., NC .ROLA. n4 R 0A Of ANY KINP UPON ,Wu: mitRE _ 5 114ENTS QA
.aa"
MIAMI SHORES VILLAGE �a GE 3 33138} :. s ..
IA TA A.LONS ` F �
ACORD 26 1'2001108) Co ACORD CORPORATION 1989
:
i STATE OF
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s .
CONSTRUCTION INDUSTRY LICEN81NG BOARD
1940 NORN MONROE STREET
31399-0783
VELEZ, GUSTA'VO DANIEL
REGOSA ENGINEERING SERVICES INC
15700 WE 2 AVENUE
MIAMI FL 331.62
rw
ICES INC
(850) 4871395
#Y#C#SC WWENC playou at �1law V# CiY###IV4;i
IAI � ti l Pursuant to County Cads
Chapter SA — Ari. 9 & 1
SEC. TYPE OF BUSINESS
owtu�t� PAvt+neW RECEIVED
REG05A ENGINEERING SERVICES INC 196 GENERAL BUILDING CONTRACTOR By TAX COLLECTOR
Worker(s) 3 CGC1SM952 $45,00 07/10/2013
TXHS1-13-021229
This local Business Tax Receipt only confirms pa
pr nt of the Local Business lax. The Receipt is not a license,
pomill, or a certification of the ltolder`a qualihCcattori t; to de business. Hour most c` with any Governmental or
nongovemmentall atoq lam andrequirements which apply to the business,
The RECEIPTNO. above must be displayed on all commercial vehicles— Mi de Code Sec Ba -2m,
Far more information, visit Y fertlt�. �vl�x�ot.€ Iter
6214848
DEPAAiiENT 01 s r
IDA
40FESSIO'NAL REGULATION
`P,^rt"♦lti±;`Y`1�t':E 'Citlil`etT4 _ � __
DA T F BATCH NUMBER
rC1k`# �aE N11R
Q7 22 20312 3.28014507 CGC1508-952
The GENERAL CONTRACTOR
Named below IS CERTIFIED
Under the provisions of Chapter 489FS;♦
Expiration date. AUG 31, 201
VELEZ., GUSTAVO DANIEL
R1fl SS$ I�TNRING REET SERVICES INC
SUITE 9
HIALEAH FL 33010
RICK SCOTT KEN LAAWSON
GOVERNOR SECRETARY
DISPLAY AS REQUIRED BY LAW
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING Ba (850) 487-1395
1940 NORTH MONROE STREET
TALLAHASSEE FL 32399-0783