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RC-14-2208Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-235806 Permit Number: RC -10-14-2208 Scheduled Inspection Date: June 02, 2015 Permit Type: Residential Construction Inspector: Rodriguez, Jorge Inspection Type: Final Building Owner: ATASH, KARIM & METIS CORINA Work Classification: Addition/Alteration Job Address: 1195 NE 100 Street Miami Shores, FL Phone Number (305)790-5551 Parcel Number 1132050190360 Project: <NONE> Contractor: BLUE MARLIN HOME SERVICES INC Phone: (786)273-5018 5ui comments INTERIOR REMODEL REMOVAL OF WALLS INSTALLATION OF NEW KITCHEN CABINETS NEW FLOORING FINISH WALLS ADDING STAIRS TO GUEST ROOM AND ADDING Pounder ROOM INSPECTOR COMMENTS False June 01, 2015 For Inspections please call: (305)762-4949 Page 34 of 38 Inspector Comments Passed 1�m Failed Correction Needed ❑ Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. June 01, 2015 For Inspections please call: (305)762-4949 Page 34 of 38 INSPECTION RECORD Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)785-2204 Fax: (305)758-8872 f Permit No. RC -1 0-1 4-22.08 Issue Date: 12/30/2014 $xpires: Mvsanwosaw ■ INSPECTION REQUESTS: (305)762-4949 or Log on at haps://bldg.miamishoresvillage.Gomfcap REQUESTS ARE ACCEPTED DURING 8:30AM - 3:30PM FOR THE FOLLOWING BUSINESS DAY. Requests must be received by 3 pm for following day Inspections. A Residential Construction Parcel 0.1132050190360 Owner's Name: KARIM & METIS CORINA ATASH � Owner's Phone: (305)790-5551 Job Address: 1195 NE 100 StreCt Total Square Feet: 2400 Miami S hdr s3. EL.. Band Number; Total Jab Valuation; $ 30,000.00 I -T -i's VAI-bk REI}LAC�MENT OF'ANY MATERIAL INSPECTION RECORD STRUCTURAL INSPECTION DATE INSP Foundation Stemwall Slab -7 7 Columns 1 st Liftt Z /i - Columns 2nd loft Tie Beam ELL Truss/Rafters Roof Sheathin Bucks Windows/Doors Interior Framin 30 Insulation Ceiling Grid Drywall Firewall Wire Lath Pool Steel Pool Deck Final Pool Final Fence Screen Enclosure Driveway Driveway Base Tin Ca Roof in Progress. Mop in Progress Final Roof Shutters Attachment Final Shutters Rails and Guardrails ADA com lance DOCUME .Md 14 So I Bearing Cert Soil Treatment Cert Floor Elevation Sunre Reinf Unit Mas Cert Insulation Certificate Spot Survey Final Survey Truss Certification STRUC RAL C MM ki�I ,\ C),� —? q0 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CERTIFICATE OF OCCUPANCY/COMPLETION CHECK LIST Building permit card. ❑ Surveys (2 copies) Final as built - Required Items: Elevations of buildings showing all intended setbacks from property lines and other existing structures. Ingress+ Egress, required parking spaces, Wheel stops, stripping, and all paving to exterior. ❑ Certificate of Elevation — (Sealed by surveyor). Expiration d e required on the form. ❑ Ce ' e-ofk�s 4 ra r� 7. C a s Certificate of Soil Treatment (Final treatment -original)\ CHAPTER 2913-5 TERMITE PROTECTION: "This Building has received a complete treatment for the prevention of subterranean termites. Treatment is in accordance with the rules and law as established by the Florida Department of Agriculture and Consumer Services." Health Department Approval Letter (On septic or private water). Note: If the house is on septic tank, approval letter is required from Health Dpt. ❑ Soil Compaction Letter (Density report is required) itect on masonry, ❑ Backflow preventor certificate (Required on commercial projects only) ❑ Certificate of use. (Recorded in Miami -Dade Clerk of Courts) PLEASE NOTE THAT THE SAME ITEMS ARE REQUIRED FOR TEMPORARY CO • Emergency CO (Without 24 Hrs Processing) Additional fee is $80.00. • Temporary CO (Up to 90 days max) $75.00. • Residential CO fee is $150.00 0 Commercial CO is $200.00 BLUE MARLIN HS 305`90495 1 blw_Iemadinhs@gft--i®il.com 6605 SW 61 ST N11AM1e R— 33143 May 28, 2015 This is letter should serve to certify that following Insulation has been used in the property located at 1195 NE 100 ST R-30 Ceiling R-11 Interior partition R-4.1 Block walls Thanks, � I CatalinaCHoyos Licensed & Insured My COMMISSION # EE124530 EXPIRES September 30, 2015 07j'398-0196 Roridallote ' rySsrvfce.com The Company Where: "The only way to do the Job is The Right Way" May 27, 2015 Miami Shores Village Building Department 10050 N.E. 2nd Avenue Miami, Shores, Florida 33138 Re: Permit # 10-14-2208 Folio # Attn: Building Department I, Raul Vivas, P.E. having performed and approved the required inspections, at the renovation and addition. I hereby attest to the best of my knowledge, belief and professional judgment, the structural and envelope components of the above referenced renovation are in compliance with the approved plans and other approved permit documents. I also attest that to the best of my knowledge, belief and professional judgment, the approved permit plans represent the as -built condition of the structural and envelope component of the said structure. This document is being prepared in accordance with Chapter 1 of the Florida Building Code and must be submitted to the Village of Miami Shores Building Department in conjunction with the application for a Certificate of Completion for the above referenced structure. Should you have any questions or need any additional information please do not hesitate to contact me. Sincerely, State of Florida # 57260 Engineer on Record January 22, 2015 Miami Shores Village Building Department 10050 NE 2nd Ave Miami Shores, Florida 33138 RE: Atash Residence; 1195 NE 100th St, Miami Shores, Florida Welding Certification Dear Sir, On January 21, 2015 I, Raul Vivas, registered professional engineered in the State of Florida performed a visual observation of the welded assembly of the structural frame performed in the property noted above. To the best of my knowledge the welding procedure was performed according to the specifications noted in the approved structural drawings prepared by my professional office. I also state that the welding observed was performed as per standard of care and construction. Should you have any questions or concern, please contact me at your convenience. Yours truly, Raul Vivas, P.E. LDLP r LD $� o Z= 0- 1 s Rill%% Notice of Preventative Treatment for Termites (As required be Florida Building Code (F=) 104.2.6) DAM QUICK TERMITE $ ® ® FUMIGATi)i, Dc. 7401 N.W. 7h Street, Unit 7 • Miami, FL 33126 TEL: (305) 266-2220 • FAX (305) 266-0113 Percent of Con�ntratian Stage of bsafinent (Horizontal, e .ate - Tlme Chem 1 used (active Mgradient) Number of ons applied S '• �� Area (square Liner feet Treated of disturbed arem) As per 104.2.6- If soil chemical barrier method for termite prevention is used, final exterior treatment shall be completed prior to final building approval. If this notice Is for the final exterior treatment, Initial and date this line Notice of Preventative Treatment for Termites (As required be Florida Building Code (Ftp) 104.2.6) I TEIKITE $� FUMGATiON, bac. 7401 N.W. 7th Street, Unit 7 • Miami, FL 33126 TEL: (305)-266-2220 • FAX- (305) 266-0113 trY'� rime L).) -S 6k Rpt of Concentrallan 100 Area t (square f o Stab, rpt of daubed arm) Number of ga8one aid. Sa Unear feet rreab d As per 104.2.6- 9 soil chemical barrier method for t+ermlte prevention Is used, final exterior treaftent 9W be a mpleted prior to final. building approval. If this notice is for the final exterior treatment, initial and date this Ine j Division AE WMronnt+enUt Health Florida HWth Vliam�i-laade County MA Q OSTOS/Well Division 11805 SW 26"' Sweet • Miami, FL 33175 Inspector Q)ltd .e n� Date Z Address W1 5 0(-- �o OSTDS # { i Comments: m BUILDING t Miami Shores Village PERMIT APPLICATION Building Department OCT 082014 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS FBC 200 Master Permit No.g(- 11`2, Sub Permit No. ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: `T S � o 0 T ►t C 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): K 2 a / / / �S�t Phone#: 216 -- t1'70-55-'5'/ - Address:�lCi �,� i(� C) S % ? City: /zT� A zyl:�L C �I d SFS State: { Zip: -3 3' 39 �-r Tenant/Lessee Name: Phone#: '-305 _ °1 I d d - 571 Email: VA m A%I A Sf % IcD r ..44 A -T 1. A CONTRACTOR: Company Name: M-1V-l-I1l WON4E 6C9y 46-S Phone#: 0K,),233-5018 Address: V00-6 SUD (01 -101-t City: rL Zip: 313/ `'I 5 Qualifier Name: _UQjCI0a tjQ 0,j Phone#:[ State Certification or Registration t :5 2 16 8 _Certificate of Competency #: DESIGNER: Architect/Engineer: Address: City: State: Zip: Value of Work for this Permit: $ O — Square/Linear Footage of Work: :2 Lfo Type of Work: ❑ Addition 0Alteration ❑ New ❑ Repair/Replace ❑ Demolition Specify color of color thru tile: Submittal Fee $ Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Technology Fee Structural Reviews $. (Revised02/24/2014) Radon Fee $ Training/Education Fee $ DBPR $ Notary Double Fee $ Bond $ TOTAL FEE NOW DUE $ ;�?s 00.E / 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 . 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 god""a reinspection fee will be charged. -'� ' Z�zSignature Signature l�i�ilrl� 6�' Zip CONTRACTOR 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 god""a reinspection fee will be charged. -'� ' Z�zSignature Signature l�i�ilrl� 6�' OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 3 day of ©bP- f 20 .. , by � ®(( day of CA06 � , 20 IL- . by '' ll 1�-O( i fn •TI s h , who is personally known to 1 C 4 f nQ t Q !4®S , who is personally known to me or who has produced as me or who has produced • 1221' � U V,r*D0 as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: J Sign: G Print: � y t ems[ j 0, GO P Print: -e , Seal: MY COMMISSION # EE124530 Seal: ;;s"` ° �'' NATALIA _* = I��I"i�i EXPIRES September 30, 2015 zy - MY COMMISSI®AI EE124530 .007)34&0153 FtwidallotaryService,com EXPIRES September 30, 2015 (407) 398.0153 k&k,kakak*kkkk,kki,kakkh,kik&k,k,kksk,k,kkkkkk k„kkkakkhkkkhkkkk&&*kkkkk+kffikkk ** kkkffikkkkkkk APPROVED BY _JM Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) A% ® CERTIFICATE OF LIABILITY INSURANCE LTR THIS CERTIFICATE IS ISSUED ASA 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), AUTHORED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the poffcy(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 M lieu of such endorsement(s). PRODUCER Hernisphere Insurance Group 11401 SW 40 St Ste 3404Mall CONTACT NAME: FAIC.PHONE (305) 501 2801 5 Nc (305) 553-9010 hemisphereirtsgrp@aol.com INSURERM AFFORDING COVERAGE NAIC # Miarrd, FL 33165 INSURER A: UNITED SPECIALTYINSURANCE COMPANY Phone (305) 501-2801 Fax (3W 553-9010 INSURED INSURER B: PROGRESSIVE INSURANCE INSURER C: NAUTILUS INSURANCE COMPANY BLUE MARLIN HOME SERVICES INSURER 0, 6605 SW 61 ST INSURER E: MIAMI, FL 33143 B AUTOMOBILE LIABILITY © ANY ASO ALL SCHEDULED ❑ AUTOS NED ❑ AUTO ❑ HIRED AUTOS ❑ A� ED ❑ ❑ 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 CLANS. LTR TYPE OF INSURANCE 'ADDINSR U WVD POLICY NUMBER POLICY EFF MmfDPOLICY EXP LIMITS A GENERAL LIABILITY © COMMERCIAL GENERAL LYW[LI7Y ❑ ❑ CLAIMS WDE © OCCUR ❑ Y DCGO0210-� 09/1112014 09/11/2015 EACH OCCURRENCE $ 1,00000.00 D RENTED PREMISES as occurrence $ 100,000.00 MED EXP (Any one person $ 5,000.00 PERSONAL &ADV INJURY $ 1,000,000.00 ❑ GENERAL AGGREGATE $ 2,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER ❑ POLICY ❑ PRO- ❑ LOC PRODUCTS - Comm AGG $ 2,000,000.00 $ B AUTOMOBILE LIABILITY © ANY ASO ALL SCHEDULED ❑ AUTOS NED ❑ AUTO ❑ HIRED AUTOS ❑ A� ED ❑ ❑ y 03299791-0 09/30/2014 09/30/2015 C eMBWr ESD SINGLE Lmnn $ 1,000,000.00 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PRapPacEr tlen ) DAMAGE $ $ C ® UMBRELLALUAB [JOCCUR EXCESS UAB ❑ ❑ cLAIMs-MADE AN016940 09/1712014 09/11/2015 EACH OCCURRENCE $ 1,000,000.00 AGGREGATE $ 1,000,000.00 ❑ DED ❑ RETENTION $ WORKERS COMPENSATION❑ AND EMPLOYERS' LIABILITY Y / N ANY PROPRETORWARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory In NH) F] Mss describe under 611PTION OF OPERATIONS below N I A WC Y �AT� 1- ❑ OR - E.L. EACH ACCIDENT $ EL DISEASE - EA EMPLOYE $ E.L. DISEASE -POLICY LIAR $ DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES oftach ACORD 101, Additional Remarks Schedule, If mare space Is required) CERTIFIED GENERAL CONTRACTOR LICENCE CGC1521688 CERTIFICATE HOLDER CANCELLATION ©1988-2010 ACORD CORPORATION. All rights r�ervll. ACORD 26 (2010106) OF The ACORD name and logo are registered rrmrks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE MIAMI SHORES VILLAGE BUILDING DEPARTMENT THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 10050 NE 2nd AVE ACCORDANCE WITH THE POLICY PROVISIONS. MIAMI SHORES, FL 33138 AUTHOR® REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights r�ervll. ACORD 26 (2010106) OF The ACORD name and logo are registered rrmrks of ACORD _ STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 HOYOS, CATALINA SLUE MARLIN HOME SERVICES INC 6M SW 61 STREET MIAMI FL 33143 Congrakdat ! Wth this license U become one of the nearly one million Floridians licensed by t!w impartment of Business and Professional Regulation. Our profeaskmals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work Ito improve the way we do business in order to serve you better. For Wbrmatio n abut our services, please log onto wwerr%dat%g con. There you can tial more inn about our divisions and theregulations that impact you, subscribe to department newsletters arrd lean more about the Department's initiatives. Our mission at tine Department or license Fairly We constantly strive to serve you better so thst you can sow your Gusto m. Thank you for doing business in FWda, and congratuMons on your new license! DETACH HERE RICK SCOTT, GOVERNOR KEN LAMON, SECRETARY STATE OF FLORDA DEPARTMENT OF BUSINESS AND PROFESSIONALAEGULATIOiN CONSTRUCTION INDUSTRY LICENSING BOARD COC152 The GENERAL CONTRACTOR Named belawv IS CERTIFIED SEO # L14 o. MW2 Local Business Tax Receipt Miami -Dade County, State of Florida 1. 1HIS 15 NO I A BILL DO NOT PAY 713862) Ali BUSINESS NAMEMOCATION FIRCNIPT NO. EXPIRES BLUE MARLIN HOME SERVICES INC RENEWAL SEPTEMBER 30, 2015 6605 SW 61 ST 7415599 Awx be displayed at plates orf Waar+ess SOUTH MIAMI Ft 33143 Pursuant 10 cokes v c Chapter BA Art. 9 & 10 OWNER SEC. TYPE OF BUSINESS YIYlENT AECEt1rED 8WE MARLIN HOME 5ERVICES INC 196 SPECIALTY BUILDING CONTRACTOR pAPA M* IOBSO0486 AX COLLECTOR Worker(s) 3 $45.00 08/18/2014 CREDITCARD-14-032933 Tfus facai Business Tose RetxipE arty confirms paywaq of the Local Business Tac The llxsipt is nota liesess, petnttt or a certifieMiea M tlto EtaWt's �sFiffootions, io do hasinaor. Holder mast comply wdb any prvernmoolal at wawga aeexvufeatat vviviow4v lows a A wAw wlkA aW*v fa the bssim% The RECEIPT NO, above mist be displayed as all commercial vehielss - Mirmi-Dade Cole See Ila -176. For mos informetism, visit www.mismidade.mavAascotlector Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 '0-7-1� Permit No: 1-C-1 Structural Critique Sheet Page 1 of 1 kwr 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 Rick Scott Mission: Governor To protect, promote & improve the health. _ . of all people in Florida through integrated state, county & community efforts. or I John H. Armstrong, MD, FACS State Surgeon General & Secretary HEALTH Vision: To be the Healthiest state In the Nation November 19, 2014 Jason 13341 SW 88 Avenue Miami, FL 33176 RE: Modification to a Single Family Residence - No Bedroom Addition Application Document Number: AP1166008 Centrax Permit Number: 13 -SC -1568948 1195 NE 100 Street Miami, FL 33138 Lot: 15 Block: 177 Subdivision: Miami Shores Dear Applicant, This will acknowledge receipt of a floor plan and site plan on 11 /04/2014 for the use of the existing onsite sewage treatment and disposal system located on the above referenced property. Proposed convertion of a bedroom into an office/library, an master bathroom remodelation and kitchen remodelation. No objection letter was issued by C. Icaza on 11 /19/14. This office has reviewed and verified the floor plan and site plan you submitted, for the proposed remodeling addition or modification to your single-family home. Based on the information you provided, the Health Department concludes that the proposed remodeling addition or modification is not adding a bedroom and that it does not appear to cover any part of the existing system or encroach on the required setback or unobstructed area. No existing system inspection or evaluation and assessment, or modification, replacement, or upgrade authorization is required. Because an inspection or evaluation of the existing septic system was not conducted, the Department cannot attest to the existing system's current condition, size, or adequacy to serve the proposed use. You may request a voluntary inspection and assessment of your system from a licensed septic tank contractor or plumber, or a person certified under section 381.0101, Florida Statutes. If you have any questions, please call our office at (305) 623-3500. Si CarloEngineer II Department of Health in Dade County Florida Department of Health www.ficridahealth.gov in Dade County • • , Florida TWITTER:HealthyFLA PHONE: (305) 623-3500 FACEBOOK:FLDepartrnentofHealth YOUTUBE:fldoh Michael Designs 3058820097 p.3 41 judgment and knowledge of iocaVregional wage scales can provide additional guidance to determine reasonable labor rates for professional trades (i.e. electricians, plumbers, block masons, framing, HVAC). SUBSTANTIAL IMPROVEMENT OR SUBSTANTIAL DAMAGE ITEMS TO BE INCLUDED (Please check off each line) ALL STRUCTURAL ELEMENTS INCLUDING: [ j Spread or continuous foundation footings and pilings [ ] Monolithic or other types of concrete slabs [ ] Bearing walls, tie beams and trusses [ Wood or reinforced concrete decking or roofing aFloors and ceilings rAttached decks and porches Interior partition walls [ Exterior wall finishes (e.g., brick, stucco or siding) including painting and decorative moldings Windows and doors f ] Re -shingling or re -tiling a roof J Hardware ALL INTERIOR FINISH ELEMENTS, INCLUDING: [ ] Tiling, linoleum, stone or carpet over sub -flooring Bathroom tiling and fixtures XWall finishes (e.g., drywall, painting, stucco, plaster, paneling, marble or other decorative finishes) }Kitchen, utility and bathroom cabinets [ ) Built-in bookcases, cabinets and furniture :nHardwane ALL UTILITY AND SERVICE EQUIPMENT, INCLUDING: HVAC equipment Repair or reconstruction of plumbing and electrical services Light fixtures and ceiling fans $d Security systems j ] Built-in kitchen appliances [ ] Central vacuum systems [ ] Water filtration, conditioning or recirculation systems Michael Designs 3058820097 p.4 ALSO: ,tQ Labor and other costs associated with demolishing, removing or altering building components [ J Overhead and profit ITEMS TO BE EXCLUDED Plans and specifications Survey costs Permit fees Debris removal, (e.g., removal of debris from building or lot, dumpster rental, transport fees to landfill and landfill tipping fees), clean-up (e.g., dirt and mud removal, building dry out, etc.) Items not considered real property such as: throw rugs (carpeting over finished floors), furniture, refrigerators, appliances which are not built-in, etc. OUTSIDE IMPROVEMENTS INCLUDING. Landscaping Sidewalks Fences Yard lights Swimming poolslspa Screened pool enclosures Sheds Gazebos Detached structures (incl. garages) Landscape irrigation systems Docks and Davits Seawalls Driveways Decks ITEMS REQUIRED TO EVALUATE YOUR APPLICATION APPLICANT MUST SUBMIT ALL OF THE FOLLOWING (please check off each item): I. Completed and signed application for substantial damage/improvement review (included in this package). 2. Elevation certificate if property is located above base flood elevation. 3. Property Owner's Substantial Damage or Substantial Improvement Affidavit signed, notarized and dated (included in package). 4. Contractor's Substantial Damage or Substantial Improvement Affidavit signed, notarized and dated (included in package). 5. Estimated Cost of reconstruction/improvement form (included in package) and all required backup. Include subcontractor's bids and itemized cost lists Form). (see footnote on Cost Estimate 6. This checklist. 7. Copy of construction contract. If the owner is the contractor, submit all subcontractor bids to document the cost estimate. Michael Designs 3058820097 p.5 SUBSTANTIAL IMPROVEMENT OR SUBSTANTIAL DAMAGE APPLICATION FOR SUBSTANTIAL DAMAGE Address: OR SUBSTANTIAL IMPROVEMENT REVIEW Property Owner's Name: Property Owner's Address: rroper[y uwner-s Rhone Number. �y ®- CQrdractor's Name:. o Contractor's V. Address: 6605 &,k) Contractor's Phone Number. so Flood Zone BFE Lowest Floor Elevation (Excluding garage or carp ort) ..�_ Check one of the following: $,I am attaching a State Certified Appraiser's report, valuing the structure at: [ } I am not attaching a State Certified Appraiser's report and I accept the use of the valuation of my property that has been recorded by the County Property Appraiser's Office. SIGNATURES: Property Owner:" Date: Contractor. Date: lo_ 14--14+ Michael Designs 3058820097 p.8 Application Cost Estimate of Reconstruction 1 Improvement L)I1� This cost estimate conof reconstructianlimprovement must be prepared by and signed by the Ty t ctororthe owner If the owner acts as the contractor. owners who act as their own contractors must estimate their labor cost at the current market value for any work they intend to perform. Sub -Contractor Bids Contractor or Owner Material It stimates ® costs_ Bid Amounts (see note "b") 1. Masonry 2- C2rPentry Material (rough) 3. Carpentry Labor (rough) 4. Roofing 5. Insulation and Weather-strip 6. Exterior Finish (stucco) 7. Doors, Windows & Shutters 8. Lumber Finish 9. Hardware 10. Drywall 11. Cabinets (Built-in) 12. Floor Covering 13. Plumbing 14. Shower/Tub/Toilet 15. Electrical & Light Fixtures 16. Concrete 17, Built-in Appliances 18. HVAC 19. Paint 20. Demolition & Removal 21. Overhead & Profit Labor Costs 5 0, 6 0q - Michael Designs 3058820097 p.7 SUBSTANTIAL IMPROVEMENT OR SUBSTANTIAL DAMAGE CONTRACTOR'S SUBSTANTIAL DAMAGE OR Property Address: SUBSTANTIAL IMPROVEMENT AFFIDAVIT (ITS S N)E� Ion Contractor's Name: Contractor's Company Contractor's Address: Contractor's Phone Number: Contractor's State R istratio (05-F- nii too I rC, �23 -S® t eg n or L=, tilluuivn Number. /1 n(2 2- 16 5 b - -- Contractor's We Registration Number (if applicable): I hereby attest that I, or a member of my staff, personally inspected the subject property and produced the attached itemized list of repairs, reconstruction and/or remodeling which are hereby submitted for a Substantial Damage or Substantial Improvement Review. The list of work contains ALL OF THE WORK TO BE CONDUCTED on the subject property. If the property sustained Substantial Damage, this list of Work, will return the structure to at least its condition prior to damage and bring the structure into compliance with all applicable codes. i further attest that all additions, improvements or repairs proposed for the subject building are included in this estimate and that neither I nor any subcontractor or agent representing me will make any repairs or perform any work on the subject structure other than what has been included in the attached list I UNDERSTAND THAT I AM SUBJECT TO ENFORCEMENT ACTION, WHICH MAY INCLUDE FINES, IF ANY INSPECTION OF THE PROPERTY REVEALS THAT 1, OR MY CONTRACTOR, HAVE MADE REPAIRS OR IMPROVEMENTS NOT INCLUDED ON THE ATTACHED LIST OF REPAIRS OR THE APPROVED BUILDING PLANS, See attached itemized list. STATE OF Roel d 0, COUNTY OF Before me this day personally appeared duly sworn, deposes and says that he/she has read, under: afo��� nt* ned conditions. t �t`�/l l I &A Contractor's Signature Sworn to and subscribed before me this —W— day of i Notary My cor and MA ____, who, being with all the 14 LIA L RA MY COMMISSION # EE124530 EXPIRES September 30, 2015 Michael Designs 3058820097 p.6 SUBSTANTIAL IMPROVEMENT OR SUBSTANTIAL DAMAGE PROPERTY OWNER'S SUBSTANTIAL DAMAGE OR SUBSTANTIAL IMPROVEMENT AFFIDAVIT Property Address: t l cls K)e loo Contractor's Name. a� „n wn, -_._-�4� Property Oer's Na`Name.. s� �o( Property Owner's Address: /60 _ Iyq MAI 7 Property Owner's Phone -3o 5-11 ® S�J Number: `6c'Q-S, T71. 33 (3V I hereby attest that the list of work and cost estimate submitted with my Substantial Damage or Substantial Improvement Application reflects ALL OF THE WORK TO BE CONDUCTED on the subject structure including all additions,'improvements and repairs and, if the work is the result of Substantial Damage, this work will return the structure at least to the "before damage' condition and bring the structure into compliance with all applicable codes. Neither I nor any subcontractor or agent will make any repairs or perform any work on the subject structure other than what has been included in the attached list. I UNDERSTAND THAT I AM SUBJECT TO ENFORCEMENT ACTION, WHICH MAY INCLUDE FINES, IF ANY INSPECTION OF THE PROPERTY REVEALS THAT 1, OR MY CONTRACTOR, HAVE MADE REPAIRS OR IMPROVEMENTS NOT INCLUDED ON THE ATTACHED LIST OF REPAIRS OR THE APPROVED BUILDING PLANS. See attached itemized list. STATE OF*Vvi ( Q COUNTY OFn f Before me this nally appeared r t r who, being duly sworn dep and says that is has read, and rstands, and agrees to comply with all the aforerra3;Von conditions. �� and subscribed before me this ( _ day of ex- , Zp 4 Notary Public State of My comrrksion Rxpifes ��. NE - ALIA LARA MY COir±tP+^a:al ! # EE12463o EXPIRES Sep�,amber 30, 201 6 Prdperty Sea?ch Application - Miami -Dade County 10/15/14, 11:11 AM Address Owner Name Subdivision Name Folio V 0 SEARCH. 1195 ne 100 street, miami shores, f1 33138 Suite q Back to Search Results PROPERTY INFORMATION Folio: 11-3205-019-0360 Sub -Division: MIAMI SHORES SEC 8 REV IN PB 43-67 Property Address 1195 NE 100 ST Miami Shores , FL 33138-2601 Owner KARIM ATASH Y° METIS CORINAATASH Mailing Address 1195 NE 100 ST MIAMI SHORES, FL 33138>.. j. Primary Zone 1400 SGL FAMILY - 3001-3250 SQ Primary Land Use 0101 RESIDENTIAL - SINGLE FAMILY: 1 UNIT ` F Beds I Baths I Half 3/210 Floors 1 Living Units 1 Actual Area 2,220 Sq.Ft w y4Y'iP Living Area 2,220 Sq.Ft Adjusted Area 2,220 Sq.Ft Lot Size 11,513.26 Sq.Ft ;s Year Built 1953 by Featured Online Tools Comparable Sales Glossary Non -Ad Valorem Assessments PA Additional Online Tools Property Record Cards Property Search Help Report Discrepancies Report Homestead Fraud Tax Comparison Tax Estimator TRIM Notice View Taxes ASSESSMENT INFORMATION 8 BENEFITS INFORMATION Year 2014 2013 2012 Benefit Type 2014 2013 2012 Land Value $311,105 $209,902 $200,156 http://www.miamidade.gov/propertysearch/#/ Page 1 of 3 Prbperty Sedreh Application - Miami-Dade County 10/15114, 11:11 AM Save Our Homes Cap Assessment Reduction $160,224 Building Value $153,025 $154,279 $177,613 Non-Homestead Cap Assessment Reduction $03,531 Exna Feature Value$0 $0 -.-_--- ------_ __$0 Homestead Exemption $25,000 Market Value $464,130 $364,181 $377,769 _ Second Homestead Exemption $25,000 Assessed Value $400,599 $384,181 $217,545 Note: Not all benefits are applicable to all Taxable Values Q.e. County, School Board, City, Regionaq. TAXABLE VALUE INFORMATION ® FULL LEGAL DESCRIPTION 2014 2013 2012 COUNTY MIAMI SHORES SEC 8 REV PB 4387 Exemption Value $0 $0 $50,000 LOT 15 LESS E5FT BLK 177 Taxable Value $400,599 $364,181 $167,545 LOT SIZE IRREGULAR SCHOOL BOARD COC 24706.4098 07 2006 5 Exemption Value $0 $0 $25,000 Taxable Value $464,130 $364,181 $192,545 CITY Exemption Value $0 $0 $50,000 Taxable Value $400,599 $364,181 $167,545 REGIONAL Exemption Value $0 $0 $50,000 Taxable Value $400,599 $364,181 $167,545 SALES INFORMATION Previous Sale Price OR Book-Page Qualification Description Previous Owner 1 08/20/2014 $515,000 29279-2352 Qual by exam of dead GLORIA LEVIN 07/18/2013 $100 28737-4350 Corrective, tax or QCD; min consideration JACK L.EVIN TRS 07/01/2006 $0 247064099 Qual by exam of deed For more information about the Department of Revenue's Sales Qualification Codes. 2014 2013 2012 LAND INFORMATION Land Use Munl Zone PA Zone Unit Type Units Calc Value GENERAL R-25, R-26 1400-SGL FAMILY-3001-3250 SO Front Ft 75.00 $239,140 GENERAL R-25, R-20 1400-SGL FAMILY-3001-3250 SQ FroMFt 22.57 $71,985 BUILDING INFORMATION 8 Building Number Sub Area Year Built Actual Sq.Ft Living Sq.Ft Adj Sq.Ft Calc Value 1 1 1953 2,220 2,220 2,220 $153,025 Building Sketches Avallablei EXTRA FEATURES 8 Description Year Built Units Calc Value ADDITIONAL INFORMATION " The information listed below is not derived from the Property Apprelser's Office records. It Is provided for convenience and is derived from other government agencies. http://www•miamidade.gov/propertysearch/#/ Page 2 of 3 Prbpen y SeArch Application - Miami -Dade County LAND USE AND RESTRICTIONS Community Development District NONE Empowerment Zone: NONE Urban Development INSIDE URBAN DEVELOPMENT BOUNDARY Zoning Land Use: 10 - SINGLE-FAMILY, MED. -DENSITY (25 DU/GROSS ACRE). OTHER GOVERNMENTAL JURISDICTIONS Business Incentives Children Trust Florida Department Of Revenue Florida Inland Navigation District School Board South Florida Vdrter Mgnd District Community Redevelopment Area: NONE Enterprise Zone: NONE Zoning Code: R20 - Govemment Agencies and Community Services City of Miami Shores Miami -Dade County Bulletin Board Tax Collector 10/15/14, 11:11 AM Environmental Considerations Non -Ad Valorem Assessments The Office of the Property Appraiser Is continually editing and updating the tax roll. This websffe may not reflect the most current information on record. 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