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DEMO-15-331Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-231722 Permit Number: DEMO -2-15-331 Scheduled Inspection Date: April 15, 2015 Permit Type: Demolition Inspector: Rodriguez, Jorge Inspection Type: Final Owner: CONTESSA, MICHELE Work Classification: Building Job Address: 9220 NE 2 Avenue Miami Shores, FL Phone Number (305)761-5243 Parcel Number 1132060133060 Project: <NONE> Contractor: TURA BUILDERS CORP Phone: (786)333-4264 tsunaing uepartment comments INTERIOR DEMOLITION (KITCHEN AND PARTITIONS) INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-228280. Must pqass electrical/ plumbing final Demo Remove ceiling from downstairs bath Failed Correction ❑ Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. April 14, 2015 For Inspections please call: (305)762-4949 Page 15 of 25 Project Address Parcel Number Applicant 9220 NE 2 Avenue 1132060133060 MICHELE CONTESSA Miami Shores, FL Block: Lot: Owner Information Address Phone Cell MICHELE CONTESSA 9220 NE 2 Avenue (305)761-5243 MIAMI SHORES FL 33138- 9220 NE 2 Avenue MIAMI SHORES FL 33138 - Contractors) Phone Cell Phone TURA BUILDERS CORP (786)333-4264 of Demo: Building ional Info: INTERIOR DEMOLITION (KITCHEN AND PA ification: Residential ning: 3 Fees Due Amount CCF Miami Shores Village DBPR Fee 10050 N.E. 2nd Avenue NE DCA Fee Miami Shores, FL 33138-0000 Education Surcharge Phone: (305)795-2204 Project Address Parcel Number Applicant 9220 NE 2 Avenue 1132060133060 MICHELE CONTESSA Miami Shores, FL Block: Lot: Owner Information Address Phone Cell MICHELE CONTESSA 9220 NE 2 Avenue (305)761-5243 MIAMI SHORES FL 33138- 9220 NE 2 Avenue MIAMI SHORES FL 33138 - Contractors) Phone Cell Phone TURA BUILDERS CORP (786)333-4264 of Demo: Building ional Info: INTERIOR DEMOLITION (KITCHEN AND PA ification: Residential ning: 3 Fees Due Amount CCF $4.80 DBPR Fee $3.38 DCA Fee $3.38 Education Surcharge $1.60 Permit Fee $225.00 Plan Review Fee (Engineer) $40.00 Plan Review Fee (Engineer) $40.00 Scanning Fee $9.00 Technology Fee $6.40 Total: $333.56 Valuation: $ 7,500.00 Total Sq Feet: 120 Pay Date Pay Type Amt Paid Amt Due Invoice # DEMO -2-15-54500 03/16/2015 Credit Card 02/17/2015 Credit Card $ 283.56 $ 50.00 $ 50.00 $ 0.00 Available insnections: Inspection Type: Final Review Electrical Review Electrical Review Building Review Building Review Mechanical Review Mechanical Review Plumbing Review Plumbing Review Structural Review Structural Review Structural In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for jiL,ECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERSFFIAVIT: 'I ¢�rtify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constructio and o ng. hermore, I authorize the above-named contractor to do the work stated. March 16, 2015 Owner / Applicant / Contractor / Agent Building Department Copy March 16, 2015 1 BUILDING PERMIT APPLICATION Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 9*ILDING ❑ ELECTRIC ❑ ROOFING FB -C 2.01() Master Permit No.yE 015 —331 Sub Permit No ❑ REVISION ❑ EXTENSION ❑ RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: `-/ zX0 P Z� 2 k�p AV F City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: r OWNER: Name (Fee Simple Titleholder): "< L7 �` �� C&Y 455 '1,_ Phone#: Addressa2 z, % P F City: State:, Zip: Tenant/Lessee Name: Phone#: Email: f f CONTRACTOR: Company Name: V Phone#: Address: -a L r - a ! City: //—1 t Q �Z /� State: G AA Qualifier Name: L^ C/%' ->I A G—t-w c -c eil Phone#: State Certification or Registration M � % C l j ( 4,e5_02> Certificate of Competency M _ DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ �� Square/Linear Footage of Work: -'50 f(! nl t e- T Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace Demolition Description of Work:Yi; Specify color of color thru tile:, Submittal Fee $ Permit Fee $ 225,63 Scanning Fee $ Technology Fee $ Structural Reviews $, (Revised02/24/2014) Radon Fee $ Training/Education Fee $ CCF $ CO/CC $ DBPR $ Notary Double Fee $ Bond $ TOTAL FEE NOW DUE $ � -5G 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 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 n e app oved and a reinspection fee will be charged. Signature Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this day of ` �l�[�i1/� , 20 /S . by �1 who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Print: alav RGA Notary Public State of Florida o oannalvi Feliciano Seal: mY Commission FF 082753 6nr ti 'ar• sty' Expires 01112/2018 The foregoing instrument was acknowledged before me this day ofr 20� by e who is personally known to me or who has produced ' identification and who did take an oath. NOTARY PUBLIC: Si Print: taY p a Public State of Flo Joanna M Feliciano Seal- �` ® My commission FF 082753 Expires 01/12/2018 APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 M 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 TURA, ADRIAN ARENCIBIA TURA BUILDERS CORP 3322 SW 93 CT MIAMI FL 33165 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better. For information about our services, please log onto www.myfloridalicense-com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and learn more about the Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! DETACH HERE RICK SCOTT, GOVERNOR STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CGC1514503, ISSUED: 07/28/2014 CERTIFIED GENERAL CONTRACTOR TURA, ADRIAN ARENCISIA TURA BUILDERS CORP IS CERTIFIED under the provisions of Ch.489 FS. Expiration date : AUG 31, 2016 L1407280001082 KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD LICENSE NUMBER I he GENERAL CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2016 TURA, ADRIAN ARENCIBIA TURA BUILDERS CORP 3322 SW 93 CT MIAMI FL 33165 ISSUED: 07/28/2014 DISPLAY AS REQUIRED BY LAW SEQ # L1407280001082 Local Business Tax Receipt Miami -.Dade County, State of Florida —THIS IS NOTA BILL —DO NOT PAY 6150718 1 BUSINESS NAMEOLOCAT11ON RECEIPT NO. EXPIRES TURA BUILDERS CORP RENEWAL SEPTEMBER 30, 2015 3322 SW 93 CT 6414247 MIAMI, FL 33165 Must be displayed at piece of buainess Pursuant to County Cod® Chapter $A — Art. 9 & 10 OWNER SEC. TYPE OF BUSINESS PAYMENT RECEIVED TURA BUILDERS CORP 196 GENERAL. BUILDING BY TAX COLLECTOR CONTRACTOR 75.00 09!26,'2014 'Norkertsi 1 CGC1514503 0223-14-007505 This Local Business Tax Rocelpt only conlirma payment of the local Business Tax. The Receipt is not a license, permit,er a coruscation all the holder's quali6cations,to do business. holder must comply with any govemmental or nongovernmental regulatory laws and requirements which applyto the business. The RECEIPT N0. above must be displayed on all commercial vehicles—Miami—Dade Code See Nal. muk" For more informatics,viaitlf. a.4tlamj, e.a coRacyal r �► 'CERTIFICATE OF LIABILITY INSURANCE 4r,...--' rDATE(MM/DD/YYYY) 1 02/13/15 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 policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). rPRODUCER Florida Bankers Insurance 7278 SW 8 Street Miami, FL 33144 Phone (305)266-6493 Fax (305)262-0679 CONTACT NAME: Marta M.Alonso PHONE 305 266-6493- FAX o ( ) WC,No): (305) 262-0679 MAIL ADDRESS: marta@floridabankersinsurance.com PRODUCER C TOMER INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: FEDERATED NATIONAL INSURANCE COMPA TURA BUILDERS CORP. INSURER B : INSURER C : 3322 SW 93 CT INSURER D: MIAMI, FL. 33165 INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: 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. ILTR TYPE OF INSURANCE INSELWVD ADDL S B POLICY NUMBER MM/DD EFF MOMUDD P LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 300,000.00 A COMMERCIAL GENERAL LIABILITY ❑ ❑ CLAIMS -MADE 0 OCCUR ❑ GL -0504012796-00 111/18/2014 11/18/2015 AGE TO RENTED PREMISES Ea occurrence) $ 100,000.00 MED EXP (Any one person) $ 5,000.00 PERSONAL BADV INJURY $ 300,000.00 — ❑ GENERAL AGGREGATE $ 300,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 300,000.00 Q POLICY ❑ SECT ❑ LOC $ AUTOMOBILE LIABILITY ❑ ANY AUTO COMBINED SINGLE LIMIT $ (Ea accident) BODILY INJURY (Per person) $ ❑ ALL OWNED AUTOS ❑ SCHEDULED AUTOS ❑ HIRED AUTOS BODILY INJURY (Per accident $ PROPERTY DAMAGE $ (Per accident) ❑ NON -OWNED AUTOS $ El ❑ UMBRELLA LIAB ❑OCCUR EACH OCCURRENCE $ AGGREGATE $ ❑ EXCESS LIAB ❑ CLAIMS -MADE ❑ DEDUCTIBLE $ $ ❑ RETENTION $ WORKERS COMPENSATION❑ WC STATU- OTH- M El ER AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N / A E.L. EACH ACCIDENT $ (Mandatory in NH) E.L. DISEASE - EA EMPLOYE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) CGC 1514503 I CERTIFICATE HOLDER CANCELLATION MIAMI SHORES VILLAGE BUILDING DEPARTMENT 10050 NE 2 AVE MIAMI SHORES, FL 33138 866)866-2172 866)866-2172 ACORD 26 (2009/09) 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 @ 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD JEFF ATWATER *WE CHIEF FINANCIAL OFFICER STATE OF FLORIDA 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: 4/28/2014 EXPIRATION DATE: 4/27/2016 PERSON: TURA ADRIAN A FEIN: 260576588 BUSINESS NAME AND ADDRESS: TURA BUILDERS CORP 3322 SW 93 CT MIAMI FL 33165 SCOPES OF BUSINESS OR TRADE: LICENSED GENERAL CONTRACTOR Pursuant to Chapter "0.05(l 4), F.S., an officer of a corporation who elects exemption from this chapter by tiling a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt.. apply only within the scope of the business or trade listed on the notice of election to be exempt Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation it, 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. DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 07-12 QUESTIONS? (850)413-1609 Notice to Owner - Workers' Com Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 nsation Insurance Exemption Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 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 . f 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 and has acknowledge that he or she will not use day labor, part-time employees or subcontractors for your project. The contractor has provided an affidavit stating that he or she will be the only person allowed to work on your project. In these circumstances, Miami Shores Village does not require verification of workers' compensation insurance coverage from the contractor's company for day labor, part-time employees or subcontractors.. Therefore, You may be personally liable for the worker compensation iniuries of any 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 State of Florida \ / County of Miami -Dade The foreWc ing was acknowledge before me this e�e day of , 20/. By who is personally known to We or has produced FL0-15 a 929�167 °//.3-d Co tractor Signature: _ f::5 State of Florida County of Miami -Dade The fore _o�_ing was acknowledge before me this day of '4 -cm— By A r P a ®tom �LJGi0--' who is ptAbrially known to me or has produced F C 0 !�, as identification. as identification. Notary: No SE to public State of Florida c� `r Joanna 082753 �0t v Par®`P Notary Public State of Florida ® My �orrmissic FF m 111212018 Joanna M Feli,;iano �9� ®� Expires 0 � � My Commission FF 082753 ocs� �,�F°��`" TURA BUILDERS CORP 3322 SW 93 Ct, Miami, Florida. 33165 turabuilders(c-gmail. com Ph: (786) 333-4864 Fax: (305) 494-7955 State of Florida County of Dade; Miami shores Village Building Department Before me this day personally 02/13/2015 who, being duly sworn , deposes and says : Me Adrian Arencibia is the only person working under this permit Sworn to (or affirmed) and subscribed before this A -N-D(2JPN AgIEW CASkA Tc-Zf, Personally know OR Produced Identifications v day of � ,205 by Type of identifications Produced TA— —V92A \ Print, Type or stamp Name of Notary e Notary Public State of Florida ? Sindia Alvarez "e My Commission FF 159750 Ind Expires 09/03/2018 Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: 305) 756.8972 lL►I Permit No: Structural Critique Sheet %-'e.ew "-� e" `r M 10 -e— P -Y 0 ilk Page 1 of 1 STOPPED REVIEW Plan review Is not complete, when all Items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and Include one set of voided sheets in the re -submittal drawings. Mehdi Asraf 7 77 MAR 0 2. 015 i March 2, 2015 Village of Miami Shores Building and Zoning Department 10050 NE 2nd Avenue Miami Shores, Florida Attn: Building Official Re: Special inspection Edward A L, P.E. C 0 N 3 U L T I N G ENGINEERS Project: Residence Permit # DEMO 15-331 9220 NE 2nd Avenue Miami Shores, Florida 33138 Dear Sir; This letter is to certify that the walls being demolished, under this Permit, are non -load bearing walls. All work conforms to the approved plans and specifications, the Village of Miami Shores and the 2010 Florida Building Code. Please call if we can provide any additional information. Very tru President a-- �F •. S �i u 38398 :w� .9. STATE OF :�tL: �.w • ��I�. •.� OR,. v♦ ,s SON A10%?��, 146TH ST12FF 5 . n MIAMI APaF FI 33016v PHN: (305'A23-3933' FAX: (3059823-9355