The URL can be used to link to this page

MC-14-1742 e Inspection Worksheet Miami Shores Village ��✓ 10050 N.E. 2nd Avenue Miami Shores, FL L/ V Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-233875 Permit Number: MC-8-14-1742 Scheduled Inspection Date: May 04, 2015 Permit Type: Mechanical - Residential Inspector: Perez,JanPierre Inspection Type: Final Owner: RJG REAL ESTATE LLC, RJG REAL Work Classification: Addition/Alteration CQTATC 1 1 !` Job Address: 137 NW 106 Street Miami Shores, FL 33150-1247 Phone Number Parcel Number 1121360080290 Project: <NONE> Contractor: EDUARDO GARCIA Phone: (305)456-2328 Building Department Comments INTERIOR REMODEL Infractio Passed Comments INSPECTOR COMMENTS False ZZ Inspector Comments \ Passed Faile Correction _ - Needed " Re-Inspection I _------ Fee 1 , No Additional Inspections can be scheduled re-inspection fee is paid. May 01,2015 For Inspections please call: (305)762-4949 Page 37 of 41 Miami Shores Village - - Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 j--- INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20�(� BUILDING Master Permit No.'R,(')— 1 c4 — 1--741 PERMIT APPLICATION Sub Permit No. — - 2— ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING MECHANICAL F-]PUBLIC WORKS F-1 CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS LA) � JOB ADDRESS: Cit : Miami Shores ll Count : Miami Dade Zip: Folio/Parcel#: I I - d i 3� "'-o0 od Q Is the Building Historically Designated:Yes NOX— Occupancy Type: Load: Construction Type: Flood Zone: BFE: I ' FFE: �&j OWNER: Name(Fee Simple Titleholder): t-Ji LL C_ Phone#: �U 6,�t7' Address: (J� ( �1 �l)!ua( City: 'T6 vix State: � Zi p -33 61 Tenanf/Lessee Name: N A Phone#: Email: r / ' G`& 2,;7 2r CONTRACTOR:Company Name: (� 1,6� !� -�Q t��-t c Phone#. 7f-6 3 'S � Address: City: State: Zip: Qualifier Name: z7 74U/aM d) (-7 A^ Phone#: �]�(�� /(- Sl State Certification or Registration#: &&20 66 76 / Certificate of Competency#: �(o/I',�©O O�L7 DESIGNER: En Architect ineer: Phone#: / g Address: City: State: Zip: Value of Work for this Permit:$ �� Square/Linear Footage of Work: /, d Type of Work: F-1Addition Alteration, 1:1 New Repair/Replace ❑ Demolition Description of Work: i J IVx Specify color of color thru tile: .r ) Submittal Fee$� -01D Permit Fee$ - t,v CCF$ , , CO/CC$ 95 Scanning Fee$ ::2 C"fl Radon Fee$ 15:; d DBPR$ �D Notary$ Technology Fee$ - Training/Education Fee$ Double Fee$C19 Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ o (Revised02/24/2014) Bonding Company's Name(if applicable) • Bonding Company's Address City State Zip 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 tachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection whir occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be appy,` ed and inspection fee will be charged. Signature Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrumer) w s a knowledged before me this 3 day of OGU U �'r 20 by day of ter- 20 by who is personally n to �� pr( who is ersonally known to me-or who has produced as me or who has produced as identification and who did take a oath. - identification and who did take oat NOTARY PUBLIC: NOTARY PUBLIC: --–"—`-- Sign Sign: GU O - :a ION 0 EE17QT00 Print: Print: EXPIRES March 00-2016 axrma Mwen 0.me �. 1�sst-oars Flone.N.wya.rvia...rn Seal: MM3"as Seal: APPROVED BY �v qPlans Examiner Zoning Structural Review Clerk (Revised02/24/2014) M uni c i pal Cbntractor's Tax Fecei pt Miami-Dade County, State of Florida -THISIS NOTA BILL-DO NOT PAY M C STATE OF FLORIDA g DEPgR7AgEN ccNo 96M000080 PROFESSIONgOF BUSINESSAND RAO0g8789 REGULATION t eCtAACIAss f rLocA r1oN RECEIPT NO EDUAFIDO EXPIRES ISSUED: 710E48Sr NEW BUSINESS SEPTEMBER 30, 2015 09/04/2013 I HIALEAH,R_ 33013 7453828 Must be displayed at place of business REG AIR CONDITIONING CONT Pursuant to County code INDIVIDUAL EDUARDO RACTOR Chapter 8A-Art 9& 10 (INDIVIDUAL M � LICENSING REQUIREMENTS PRIOR OWNER TYPE OF BUSINESS TO CONTRACTING IN GARCIA EfluARUO GBJERAL MECHANICAL CONTRACTOR 8` `">II T a e c ANYgREA) 2 00 COLLECTOR AS REGISTERED and Eapiralion dal© AUG 31 under f h e 200 00 08/281i2014 .2015 Provisions of Ch 489 FS. L�30904000t86,2 0223-14-006878 MIAMI t11OE Formore!nfor v ion,visitwwwriam - ZmaaSd mtor 13 Construction T�Qualj n Board BUSINESS CERTIFICATEOF OM COMPETENCY Local Business Tax Receipt 96M000080 Miami-Dade County, State of Florida -THIS IS NOT A BILL-DO NOT PAY EDUARDO GARCIA D.B.A.: 3565661 LBT BUSINESS NAME/LOCATION RECEIPT NO. EXPIRES G A EDUARDO GARCIA EDUARDO RENEWAL SEPTEMBER 30, 2015 710E 48 ST 3726255 hepter 10 0/MMust be displayed at Place of business Is Certified under the Provisions of C Dade HIALEAH,FL 33013 Pursuant to County Code iami- Coor>ty Chaixer 8A-An.9 d 10 OwraR SEC.TYPE OF BUSINESS pAVMEN7 RECEIVED GARCIA EDUARDO 196 GENERAL MECHANICAL BY TAX COLLECTOR CONTRACTOR 45.00 08128/2014 Worker(s) 1 96M000080 0223-14-006878 This Local Bwiooss Tax Receipt arty couli ms pavmnt efthe Local Basin@=Tax.The Receipt c;nota license, perari6 or a eadibcafion of the bolder's qualihcatioas,to b busiaess.Folder must comply with any governmental a aongove mamtal regulatory laws and requirements wbicb apply to the basineas. The RECEIPT NO.above most be displayed on all commercial vabictas-Miami-Dale Code Sec to-276. MIAMI for more informafiea.vbNyiWw.miamj�.glp,oev[taxr_ell!iSpt 4 A CERTIFICATE OF LIABILITY INSURANCE DATE 12/17/14 PRODUCER Accurate THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 8300 West Flagler Suite 114 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Miami,FL 33144 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Phone (305)226-8727 Fax (305)226-8767 INSURERS AFFORDING COVERAGE NAIC# INSURED Eduardo Garcia INSURER A: Granada Insurance Company 710 East 48 St INSURER B: Progressive Express Hialeah, FL 33013- INSURER C: INSURER D: INSURER E: COVERAGES INSURER F: THE POLICIES OF INSURANCE LISTED 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD DATE MMIDI)MY DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE 1,000,000 DAMAGE TO RENTED ©COMMERCIAL GENERAL LIABILITY 0185FL00058192 04/02/14 04/02/15 PREMISES Ea ccurence 50,000 ❑© CLAIMS MADE ❑ OCCUR MED EXP(Any one person) 5,000 A ❑ ❑ PERSONAL&ADV INJURY 1,000,000 ❑ GENERAL AGGREGATE 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG 2,000,000 ❑ POLICY ❑PROJECT ❑ LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Q ANY AUTO 01648704-1 06/01/14 06/01/15 (Ea accident) ❑ ALL OWNED AUTOS B F1SCHEDULED AUTOS BODILY INJURY 10,000 ❑ (Per person) HIRED AUTOS ❑ NON OWNED AUTOS BODILY INJURY(Per accident) 20,000 PROPERTY DAMAGE 10,000 (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT ❑ ❑ ANY AUTO El AUTO THAN EA ACC AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE ❑ ❑ OCCUR ❑ CLAIMS MADE AGGREGATE ❑ DEDUCTIBLE ❑ RETENTION S WORKERS COMPENSATION AND EMPLOYERS'LIABILITY 0 ORY TIMI- ❑ ERH ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT OFFICER/MEMBER EXCLUDED? If yes,describe under E.L.DISEASE-EA EMPLOYEE SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT OTHER DESCRIPTION OF OPERATIONS/LOCATIONS!VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS License#96M000080 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL Miami Shores Village Building Dept 30 DAYS WRITTEN NOTICE T -T E ETIFICATE HOLDER NAMED TO 10050 NE 2nd Avenue THE LEFT,BUT FAILURE TO DO S H S NO OBLIGATION OR LIABILITY Miami Shores, FL 33138 OF ANY KIND UPON THE INSURE ,I IIT 0 REPRESENTATIVES. (305)756-8972 AUTHORIZED REPRESENTATIVE Lucia Estrella ACORD 25(2001108)QF ©ACORD CORPORATION 1988 Y A AC RO " CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 12/17/2014 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(ies) 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). PRODUCER NAME:CONTACT Pablo M Conde A&A Underwriters, Inc. PHONE 305-220-7447 F% 305-220-4821 C o Ext): A/C No 8778 S.W.8th St ADDRESS: pmc@aaunderwriters.com Miami, FI 33174 INSURERS AFFORDING COVERAGE NAIC# INSURERA: Business First Ins CO INSURED INSURER 8: Eduardo Garcia INSURER C; 710 East 48th St INSURER D: INSURER E: Hialeah FL 33013 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. INSR IADDL SUER LTR TYPE OF INSURANCE POLICY NUMBER MM/LDD/YYYY MM DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE 7 OCCUR DAMAGE RENT D PREMISES Ea occurrence) $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY 0 PRO- LOC PRODUCTS-COMP/OP AGG $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ A WORKERS COMPENSATION WC57626-00 04/18/2014 04/18/2015 AND EMPLOYERS'LIABILITY Y/N X I STATUTE I X I OERTH ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? ❑N N/A E.L.EACH ACCIDENT $ 1,000,000 (Mandatory in and E.L.DISEASE-EA EMPLOYE $ 1,000,000 Oyes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CCN # 96M000080 CERTIFICATE HOLDER CANCELLATION Miami Shores Village Bldg. Dept. 10050 Miami NE r s Village Ave. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Miami Shores, FI.33138 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2013 ACORD CORPORATION. All rights reserved. ACORD 25(2013/04) The ACORD name and logo are registered marks of ACORD