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RC-14-734Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-235791 Scheduled Inspection Date: June 03, 2015 Inspector: Rodriguez, Jorge Owner: RIVAS, JOEL Job Address: 1250 NE 93 Street Miami Shores, FL 33138 - Project: <NONE> Contractor: HOME OWNER Permit Number: RC -4-14-734 Permit Type: Residential Construction Inspection Type: Final Work Classification: Alteration Phone Number (305)978-9095 Parcel Number 1132050270200 auuaing uepartment comments CONVERT ILEGAL BEDROOM BACK TO GARAGE Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-235718. CREATED AS REINSPECTION FOR INSP-235404. Inspection already done on 5/28/15 per owner Missing NOA for item # 5 on drawings Failed Correction ❑ Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. June 02, 2015 For Inspections please call: (305)762-4949 Page 19 of 28 BUILDING PERMIT APPLICATION Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 331387BY: PR 11201 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20 l 0 Master Permit No. Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION EXTENSION RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLICWORKS [-]CHANGE CONTRACTOR ❑ CANCELLATION ❑ SHOP DRAWINGS JOB ADDRESS: .12 V A,- C a q I <-r— City: 'r 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: OWNER: Name (Fee Simple Titleholder): J 6f l �'t `� °� Phone#: ,? 0-1, _ 9 9 Address: l ZS ­0 /k�*' c. el 3 P) f City: "•` 'l r t State: Tenant/Lessee Name: Email: one#: CONTRACTOR: Company Name: Lk L Phone#: Address: City: State: Zip: Qualifier Name: one#: State Certification or Registration #: Certificate of Competency #: _ DESIGNER: Architect/Engineer: Phone#: Address: City: State: Value of Work for this Permit: $_I , CD0 0 . (33 Square/Linear Footage of Work: _ 2 -?12X Zip: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: C d A a ewo '-V 4�ftG A� r, d A '-Ce c, Specify color of color thru tile: Submittal Fee $ S) . 'o—) Permit Fee $ CCF $ CO/CC $04 Scanning Fee $ Notary Radon Fee $ Training/Education Fee $ Double Fee $ Structural Review $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE 9 'j 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 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 app d-and-arerq,spection fee will be charged. O r or Agent The foregoing i ument was acknowledged before me this �' this day of I L 20I y by �� 0I v/A-S who is personally known to me or who has prgAyie� ID As identification an�l�%did take a►%�ath. NOTARY PUBLIC: _rJ° ems_ Sign:110, \'-: Print: My Commission Expires: Signature, Contractor The foregoing instrument was acknowledged before me day of . 20 by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: APPROVED BY LJ Plans Examiner f /Zoning ` Structural Review Clerk (Revised02/24/2014)(Revised 5/2/2012)(Revised 3/12/2012) )(Revised 06/10/2009)(Revised 3/15/09)(Revised 7/10/2007) OWNER BUILDER DISCLOSURE STATEMENT NAME: G (�� ��- �' 4 -� DATE: Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 ADDRESS:/ 25v N t' el 3 r, S F S `L, C—(, Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, F.S 489.103(7). And I have read and understood the following disclosure statement, which entitles me to work as my own contractor; I further understand that I as the owner must appear in person to complete all applications. State Law requires construction to be done by a licensed contractor. You have applied for a permit under an exception to the law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one -family or two-family residence. You may also build or improve a commercial building at a cost of $25,000.00 or less (The new form states 75,000). The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the construction is complete, the law will presume that you built for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as a contractor. It is your responsibility to make sure the people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any person working on your building who is not licensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A and with -holdings tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, buildings codes and zoning regulations. Please read and initial each paragraph. 1. 1 understand that state law requires construction to be done by a licensed contractor and have applied for an owner -builder permit under an exemption from the law. The exemption specifies that I, as the owner of the property listed, may act as my own contractor with certain restrictions even though I do not have a license. Initial 2. I understand that building permits are not required to be signed by a property owner unless he or she is responsible for the construction and is not hiring a licensed contractor to assume responsibility. Initial 3. 1 understand that, as an owner builder, I am the responsible party of record on a permit. I understand that I may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own name. I also understand that the contractor is required by law to be licensed in Florida and to list his or license numbers on permits and contracts. Initial 4. 1 understand that I may build or improve a one family or two-family residence or a farm outbuilding. I may also build or improve a commercial building if the costs do not exceed $75,000. The building or residence must be for my use or occupancy. It may not be built or substantially improved for sale or lease. If a building or residence that I have built or substantially improved myself is sold or leased within 1 year after the construction is complete, the law will presume that I built or substantially improved it for sale or lease, which violates the exemption. Initial 5. 1 understand that, as the owner -builder, I must provide direct, onsite supervision of the construction. Initial I understand that I may not hire an unlicensed person to act as my contractor or to supervise persons working on my building or residence. It is my responsibility to ensure that the persons whom I employ have the license required by law and by county or municipal ordinance. Initi I understand that it is frequent practices of unlicensed persons to have the property owner obtain an owner -builder permit that erroneously implies that the property owner is providing his or her own labor and materials. I, as an owner -builder, may be held liable and subjected to serious financial risk for any injuries sustained by an unlicensed person or his or employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner -builder and am aware of the limits of my insurance coverage for injuries to workers on my property. Initial I understand that I may not delegate the responsibility for supervising work to be a licensed contractor who is not licenses to perform the work being done. Any person working on my building who is not licensed must work under my direct supervision and must be employed by me, which means that I must comply with laws requiring the withholding of federal income tax and social security contributions under the Federal Insurance Contributions Act (FICA) and must provide workers compensation for the employee. I understand that my failure to follow these may subject to serious financial risk. Initial < v I agree that, as the party legally and financially responsible for this proposed Construction activity, I will abide by all applicable laws and requirement that govern owner -builders as well as employers. I also understand that the Construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. Initial�J 10. 1 understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service, the United States Small Business Administration, and the Florida Department of Revenues. I also understand that I may contact the Florida Construction Industry Licensing Board at 850.487.1395 or httr)://www.myforidalicense.com/dbpr/pro/cilb/index.htmi Initia� 11. 1 am aware of, and consent to; an owner -builder building permit applied for in my name and understands that I am the party legally and financially responsible for the proposed construction activity at the following address: Initial 12. 1 agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of the information that I have provided on this disclosure. Initial v�� Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who does not have a license, the Constr4uction Industry Licensing Board and Department of Business and Professional Regulation may be unable to assist you with any financial loss that you sustain as a result of contractor may be in civil court. It is also important for you to understand that, if an unlicensed contractor or employee of an individual or firm is injured while working on your property, you may be held liable for damages. If you obtain an owner -builder permit and wish to hire a licensed contractor, you will be responsible for verifying whether the contractor is properly licensed and the status of the contractor's workers compensation coverage. Before a building permit can be issued, this disclosure statement must be completed and signed by the property owner and returned to the local permitting agency responsible for issuing the permit. A copy of the property owner's driver license, the notarized signature of the property owner, or other type of verification acceptable to the local permitting agency is required when the permit is issued. Was acknowledged before me this /7 day of ®c7l• , 20 By )/)P, / F—/,V-1' '�° who was personally known to me or who has Produced there License or Ielzo�,?9i �632.1/- -6 as identification. OWNER W pug Notary Pubic a of Florida Joanna M Feliciano My Commission FF 082753 ®F Pd Expires 01112!2018 a a i 0 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 y-22--/� Permit No: i2C-I 4 -q 3V Structural Critique Sheet pyov'."JIL, d-Q�tl' -L 9�- Page 1 of 1 M 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 APR 06 2015 ti Date: April 6, 2015 Miami Shores Village Building Department Re: Permit No: RC 4-734 - Rivas 10050 NE 2m. Avenue Miami Shores, Florida 33138 To Whom It May Conceni: My Name is Joel Rivas of 1250 NE 93'a ST Miami Shores, acid I'm writing about permit no: RC14-734. I am formally asking for a 60 day extension on my open permit. I have been required to travel extensively for work in the last few months and had other personal conflicts that have delayed my progress on the work to be done. I respectfully appreciate your help on this matter, Sincerely, w.— Joel Rivas Home Owner MIAMhRA►DE DEPARTMENT OF PERMITTING, ENVIRONMENT, AND REGULA AFFAIRS (PERA) k" ci BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE (NOA) u IAMI-DADE COUNTY CONTROL SECTION SW 26 Street,. Room 208 gni, Florida 33175-2474 590 F (786) 315-2599 Clopay Building Products Co. 8585 Duke Blvd. Mason, OH 45040 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami -Dade County PERA - Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. PERA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code, including the High Velocity Hurricane Zone. DESCRIPTION: Series Canyon Ridge Insulated Steel Sectional Garage Door up to 91-0" Wide APPROVAL DOCUMENT: Drawing No. 104277, titled "Canyon Ridge +54/-60 PSF. Single Car", sheet I of 1, dated 06/2009, with revision 03 dated 01/2012, prepared by Ciopay Building Products Company, signed and sealed by Scott Hamilton, F.E., bearing the Miami -Dade County Product Control approval stamp with the Notice of Acceptance number and approval date by the Miami -Dade County Product Control Section. MISSILE IMPACT RATING: Large and Small Missile Impact Resistant LABELING: A permanent label with the manufacturer's name or logo, manufacturing address, model number, the positive and negative design pressure rating, indicate impact rated if applicable, installation instruction drawing reference number, approval number (NOA), the applicable test standards, and the statement reading `Miami -Dade County Product Control Approved' is to be located on the door's side track, bottom angle, or inner surface of a panel. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the.Building Official. This NOA consists of this page 1 and evidence pages E- l and E-2, as well as approval document mentioned above. The submitted documentation was reviewed by Carlos M. Utrera, P.E. NOA No 11-0802.09 t n ua R94 Expiration Date: February 23, 2017 A l/ 51 �,012, Approval Date: February 23, 2012 p Page 1 Clopay Building Products Co. NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED A. DRAWINGS 1. Drawing No. 104277, titled "Canyon Ridge +54/-60 PSF Single Car", sheet 1 of 1, dated 06/2009, with revision 03 dated 01/2012, prepared by Clopay Building Products Company, signed and sealed by Scott Hamilton, P.E. B. TESTS 1. Test reports on 1) Uniform Static Air Pressure Test, Loading per FBC TAS 202-94 2) Large Missile Impact Test per FBC, TAS 201-94 3) Cyclic Wind Pressure Loading per FBC, TAS 203-94 4) Forced Entry Test, per FBC 24113.2.1, TAS 202-94 5) Tensile Test per ASTM E8 Along with marked -up drawings and installation diagram of Clopay 9' x 8', 27 ga. Steel Garage Door Model Canyon Ridge, prepared by American Test Lab, Inc., Test Report No. ATLNC 0519.01-11, dated 06/07/2011, signed and sealed by David W. Johnson, P.E. 2. Test report on Salt Spray Test per ASTM B117 on G90 and 040 painted samples, prepared by Twin City Testing Corporation, Report No. 30160-04-63365, dated 01/26/2005, signed and sealed by John D. Lee, P.E. "Submitted under NOA # 45"1212.01 " C. CALCULATIONS 1. Anchor calculations, prepared by Clopay Building Products Company, dated 08/01/2011, signed and sealed by Scott Hamilton, P.E. D. QUALITY ASSURANCE 1. Miami -Dade Department of Permitting, Environment, and Regulatory Affairs (PERA) /5 2-012 tarlos'K i trem, P.E. Product Control Examiner NOA No 11-0802.09 i9xpiration Date: February 23, 2017 Approval Date. February 23, 2012 E-1 Clopay Building Products Q. NOTICE OF ACCEPTANCE: EVIDENCE SUBNUTTED E. MATERIAL CERTIFICATIONS 1. Test report on Surface Burning Characteristics of Building Materials per ASTM E84 of Baytherm 9817, prepared by Intertek Testing Services NA Inc, Test Report No. 100585112SAT-001A, dated 12/13/2011, signed by Servando Romo. 2. Test report on Surface Burning Characteristics of Building Materials per ASTM E84 and Standard Test Method for Determining Ignition Properties of Plastics per ASTM D1929 of foamed plastic # 3288-17C2, prepared by Underwriters Laboratories, Inc, Test Report No. R8410/07CA19626, dated 05130/2007, signed by James F. Smith. F. STATEMENTS I. Statement letter of code conformance with 2007 and 2010 FBC, issued by Clopay Building Products Company, dated 01/09/2012, signed and sealed by Scott Hamilton, P.E. 2. Statement Ietter of no financial interest issued by Clopay Building Products Company, dated 08/01 /2011, signed and sealed by Scott Hamilton, P.E. M, Utrera, P.E. Product Control Examiner NOA No 11-0802.09 Expiration Date: February 23, 2017 Approval Date: February 23, 7012 E-2 or CLOPAY CMM FUGE SEBS: �RaX S: OAN2--XX DMR HEIGHT SECIRM REVISIONS HOLMES GLENUM SERA-UP _706-7 3 REV, NO. ZONE: DATE: ECN NO. APPVD: DESCWKION WAI. 1RtDOWONE SERIESt 8RX2 m-xx ",a • W 4 00 - SH MRIAL RELEASE MODFL DFTtIGNATION NDTE 1: 'm REPRESENTS THE AARM16EMENT OF F 10'0' S Of - 11 20D9 - SH UPDATED MODEL DESCRIP770N3. THE DWORMM OYEU4, THE FOW MOTT SILL MWE A VALUE FROM T ib te'O' / TO 3 AND THE SEO0HD DIGIT N41. HAVE A aAUA: FROM 1 TO & 14.0' 7 02 - 07/2011 - SH REWSED JAMB TO SUPPORTING STRUCTURE DETAILS. WrTxTA OF .ueTxW N(m 2: '9rx' REPRESENTS THE TYPE OF 6LaD0 M 1F '91x" m WOR MD' THE DOOR Has NO MMINa (AMIA•3' t B Q 03 - 01/2012 - SH UPDATED FOAM & STEEL SION DESCRPTOM' ADDED 2010 6vFAtAYS) AMMO a 2-TJ2' 1H CR OYFJ(ALI ANY OTHER VALUE TaFOR HA1C SEC DV HEIGHT 4' TNOIOATES THAT THE DOOR Has OIAOIXHO ANO OVQ0AY8 ON 12'5R' FBC COMPLUWCE. C em DOUBLE-sm MsuLaw DDDR AND Is Y now OVBt%L. SECT C-C sroP Noac" m am eauu6a (TO 81sT) TO Da Of. OAW. 910100 SUL T2 OAv Oren TRAIAT I ! mcw T m MOOD .m® mm an 5/14r.to as Maa. muv srECL cENme T¢a8E tW W IAO 8C>E6N PER 7/16. 6°, xWwp "NUE Ep m M OF ODOR VA4) r ON.a. 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QT -�A P.S.F. 9TPQ: It,O?-'6Ka .••`t 4` Q YY• WMHe Sww w am D�daT4 0 mm'We' RAylm p1 u _ TOLERANCES oro s ` / Q wT' .0 - 1.031 PTo66Ala Fim No. sT W V 00 - *.018 DESCRIPTION: CAWOH ROM +94/-60 PSF SINGLE CAR L A T 000 - *'= DRAWN BY: SH DATE: B 2008 SCALE: N A .a000 - *.�1 / / DW(;. xt• Dew— - * T/r CHECKED BY: SH DAT& 8/2009 SHEET 1 OF t 817.E B S• TTNCx. corPremlaa aNmE TBYCIL TAPERED ANOLS ATS LOB-HEAOBODM511Tbtl TRAa ar¢ AT LFwsr maTaBmuLY CDIMaaeNT D°a ►T�.cAccc � oeT+e m DWG. NO.: f04277 VER: M-0 4 3 21 1