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EC-15-483 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-238809 Permit Number: RC-3-15-483 Scheduled Inspection Date: July 13, 2015 Permit Type: Residential Construction Inspector: Rodriguez,Jorge Inspection Type: Final Building Owner: Work Classification: Alteration Job Address:597 NE 93 Street Miami Shores, FL Phone Number Parcel Number 1132060141040 Project: <NONE> Contractor: A-1 GARCIA CONSTRUCTION INC Phone: (305)561-7375 Building Department Comments REPLACING EXPIRED PERMIT RC13-2570 Infractio Passed Comments INSPECTOR COMMENTS False INTERIOR REMODEL Inspector Comments Passed 4N Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. July 10, 2015 For Inspections please call: (305)762-4949 Page 22 of 24 Z� Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-231933 Permit Number: EL-3-15-485 Scheduled Inspection Date: July 09, 2015 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: , Work Classification: Alteration Job Address:597 NE 93 Street Miami Shores, FL Phone Number Parcel Number 1132060141040 Project: <NONE> Contractor: YORK ELECTRIC CORP Phone: (786)287-7380 Building Department Comments REPLACING EXPIRED PERMIT RC13-2570 Infractio Passed Comments INSPECTOR COMMENTS False INTERIOR REMODEL Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-231538. CREATED AS REINSPECTION FOR INSP-231426. CREATED AS REINSPECTION FOR El/ INSP-230530. CREATED AS REINSPECTION FOR INSP-230367. CREATED AS REINSPECTION FOR INSP-230201. CREATED AS Failed ❑ REINSPECTION FOR INSP-229982. 16 mar. 2015 Abandon residence with electric panel open and feeder conductors missing. No one at the site to let me in to check inside. Correction ❑ 17 mar 2015 Needed Same as yesterday. CANCELLED BY SANDRA 786-326-9300 Re-Inspection ❑ Fee l /� No Additional Inspections can be scheduled until �� � ✓ re-inspection fee is paid. /- July 08, 2015 For Inspections please call: (305)762-4949 Page 5 of 27 ��•. s'�� '. , '.r - yam' r 1ygoaEs Miami Shores Village 10050 N.E.2nd Avenue NE Miami Shores,FL 33138-0000101f + Phone: (305)795-2204 q ££ & �GORIPP` �`— isE �fi . � 1 Expiration: 09/08/2015 Project Address Parcel Number Applicant 597 NE 93 Street 1132060141040 SMP REAL ESTATE ADVISORY Miami Shores, FL Block: Lot: Owner Information Address Phone Cell SMP REAL ESTATE ADVISORY 555 NE 15 Street MIAMI FL 33132- 555 NE 15 Street MIAMI FL 33132- Contractor(s) Phone Cell Phone Valuation: $ 8,000.00 A-1 GARCIA CONSTRUCTION INC (305)561-7375 Total Sq Feet: 1600 Approved:In Review Available Inspections: Comments: Inspection Type: Date Approved: : In Review Final PE Certification Date Denied: Window Door Attachment Type of Construction:REPLACING EXPIRED PERMIT RC Occupancy:Single Family Framing Stories: 1 Exterior: Insulation Front Setback: Rear Setback: Drywall Screw Left Setback: Right Setback: Fill Cells Columns Bedrooms:3 Bathrooms:2 Window and Door Buck Plans Submitted: Certificate Status: Review Planning Certificate Date: Additional Info: Review Electrical Review Building Bond Return: Classification:Residential Review Plumbing Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Review Structural CCF $4.80 Review Mechanical Invoice# RC-3-15-54683 DBPR Fee $3.60 03/12/2015 Check#: 1185 $29.00 $240.00 DCA Fee $3.60 Education Surcharge $1.60 03/12/2015 Check#:235 $240.00 $0.00 Permit Fee $240.00 Scanning Fee $9.00 Technology Fee $6.40 Total: $269.00 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 ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, I authorize the above-named contractor t o t e w04 sta d. March 12, 2015 Authorized Signature:Owner / Applicant / Contractor / gent Date Building Department Copy March 12, 2015 1 Miami Shores Village p '�'.... ,.''1 . .. Building Department LIAR 0 5 N15 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel:(305)795-2204 Fax: (305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 ►O BUILDING Master Permit No.ac. )s - �-- PERMIT APPLICATION Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF CANCELLATION SHOP A / CONTRACTOR DRAWINGS (�n ►V JOB ADDRESS:'s" e 9?) �t City: Miami Shores County: Miami Dade Zip: 33 /3 / Folio/Parcel#: IIS 2 O(Q O i 4 Op Is the Building Historically Designated:Yes NO 7� Occupancy Type: Load: Construction Type: �p Flood Zone: BFE: FFE: �J OWNER: Name(Fee Simple Titleholder): M P r"uce-q i ES� ' ` r'SOPhone#:3O Address: S� /V I S -- 2-00 City: Q rn State: F Zip: Tenant/Lessee Name: Phone#: Email: Q r"\(� ° CONTRACTOR:Company Name: t S © ` ' v'Phone#: S`(-�- Address: S S City: State: Zip: Qualifier Name: 0�C_cw Phone#: D�2 State Certification or Registration#:CCS 1S �—� 9,--Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: �Q 0!�xud-Q I AiQ , ID! (ci Qp W CP C� h Specify color of color thru tile: Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (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 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 and a reinspection fee will be charged. Signature Signature Q"P NER or AGENT CONT ACTOR The foregoing instrument was acknowledged before me this The foregoing instr mAen�t was ck owledged before me this day of 20 �S by �,,day of '"l 20�, by R4SC CO who is personally known to V�5'cq GL;L, f Lx, who is personally known to me or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY P BLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: �� - .«+..-r.., .......�.r., �;�"•x°ilii,;= SA.a � s - Seal: Vit'".�j�; SA�� A J. I�ORTILLO Seal: . MY COMMLSSION 4 EE116499 MY COMM; SION#EE116499 V, EXPIRES Juty�8.2015 'mac r...` EXPIRES Jul` 28,2015 ;e:tR'.r 798-01.`7 Flrnie#.a�lo!aryscrv�ce . r APPROVED BY N Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) F ,. HIM '., f D 0 oil l N K `6 � 3p /F //yil rte,E r€ V7 I / ( r /j�C �yj f > > 3 TAY f 3 » lg 0, IF, W r jowl Z Yn'r`I - m n 4 IAN AM 012 YAM , yw r a t xxk w E ,x.� �r ' fF r3^ M� R AN- "NO WIVE � c <� k 4 'ROR NO y f L r � y 4 � t IY M 3» TV � a , 4- a z a 1AwManz a r y \ MAW a & r f /"%s s A-1 QARCIA CONSTRUCTION, INC. rF- (305)562-7375 FAX (305) 227-8406 CCC 1514774 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 10050 NE 2ND AVENUE MIAMI SHORES FL 33138 Dear Sir or Madam: I OSCAR GARCIA, Qualifier of Al Garcia Construction Inc. Licence # 1514774 confirm thru this letter that I will be the only worker under this license to perform at the job located at 597 NE 93 St. owner SMP Real Estate Advisory. Yo truly, Os r arcia Sworn to and subscribe before me this _day of .20J6, by SANDRA J. PORTILLO Personally know MY COMMOSION#EE 116499 drri EXPIRES J4.4 28,2015 ¢'UIZ98-01(;3 F'vsritsltoterySe7vice.cem ,SNA C-1932 OREongo S Grt segoism Miami shores Village � .�` Building Department OR[pA 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner - Workers' Compensation 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. 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. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: Owner State of Florida County of Miami-Dade O rn I^ t- ul The foregoing was acknowledge before me this 5 day of �lV\ 20 H� W a Y B 1J cx, 1 y �Or S who is personally known to me or has produced r✓_ as identification. C3 Notary: 1y�°BI:, iJ490.. x} SEAL: M' S,2� STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 a 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 GARCIA, OSCAR C A-1 GARCIA CONSTRUCTION INC 8461 SW 5 STREET MIAMI FL 33144 Congratulations! With this license you b�enrne one of the'riearly one million Floridians licensed b the Department of Businessand Professional Regulation. Our professionals and businesses range , STATE OF FLORIDA from architects to yacht brokers,from boxers to barbeque restaurants, DEPARTMENT 0 BUSINESS AND and they keep Florida's economy strong. PRflI=ESSI 'RICaULATtC!N Every day we work to improve the way we do business in order to CGC 1514774 ; 08/04/2014 serve you better. For information about our services,please log onto www.myfioridalicense.com. There you can find more information CERTIFIED in about our divisions and the regulations that impact you,subscribe � g to department newsletters and learn more about the Department's GARCIA,OSC initiatives. A-1 GARCIA C„, 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, is CERTIFIED under the provisions of ChA89 FS, and congratulations on your new license! EXpkation date Auc 3a,2016 L1408040000923 DETACH HERE RICK SCOTT,GOVERNOR KEN LAWSON,SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION;;INDUSTRY LICENSING BOARD CGC1514774 The GENERAL CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS: Expiration date: AUG 31, 2016 GARCIA, OSCAR C A-1 GARCIA CONSTRUCTfiO� CNC 8461 SW 5 STREET ' MIAMI FL 3344N ISSUED: 08/04/2014 DISPLAY AS REQUIRED BY LAW SEC,I# L1406040000923 2015 details - Business Tax Account Al GARCIA CONSTRUCTION INC - TaxSys - Mi... Page 1 of 1 miammae'.G, ov Tax Collector Horne Search Reports Shopping Cart -............... _.,.-......,....,,,,,,, ..__.... ... ...._..... ........._......_ Please do not include any special characters in the name,address,and e-mail field such as#, &, hyphens,comma, dashes. i We have moved.Our new address is: 200 NW 2nd Ave,Miami,FL 33128 The information contained herein does not constitute a title search or property ownership. 2015 Ntaft— Busliilil*ss Tax Account Al GARCIA CONSTRUCTION INC Business Tax Account#k6163885 ��� Account details Account history 2015 2014 2013 2012 2011 2010 Paid Paid Paid Paid Paid Paid Account number: 6163885 Owner(s): Al GARCIA CONSTRUCTION Business start date: 01/01/2008 INC Business address: Al GARCIA CONSTRUCTION 8461 SW 5 ST INC MIAMI, FL 33144 8461 SW 5 ST Mailing address: Al GARCIA CONSTRUCTION MIAMI, FL 33144 INC Physical business location: UNIN DADE COUNTY OSCAR C GARCIA PRIES 8461 SW 5 ST MIAMI, FL 33144 Flags: Home Business '`. Print account application (PDF) Receipts And Occupations ftceipt 6427926 Paid 2014-07-14$75.00 Contracting 10/01/2014 NAICS code: Receipt#CREDITCARD-14-026675 16 Print GENERAL BUILDING —09/30/2015 2389 this bill CONTRACTOR Units: 1 Additional documentation required:CGO1514774 State/County License or Certificate https://www.miamidade.county-taxes.com/public/business_tax/accounts/6163 885 3/5/2015 CERTIFICATE OF LIABILITY INSURANCE „„Er.:tPCA7E S ISSUED AS A rAAT-ER DF!NFORNIAT ON ONLY AND CON::ER S NO R'GHT5 UP 0:,T CER 71 i'.,� ._ F C Dir, CcRTIFCATE ODES NOT.4FFlRMAT1VE.Y OF 11 GAT;IVcL'.'AMEND.EXTEND OR AL-;_:- T"r:E COVERAGE FAt=^``r=E= E . _ !Ec 3ELv^t1Y_ T ;S CERTIFICATE OF INSURANCE DOES NOT CO'vS-ETU'TE" CONTRA"_E-5'c`EEN- E?SS,:iN.: !N5J' .FR;S �,�-^yY.L�� EPRES E' TIA-ltr_OR PRODUCE= ANC THE CER'"FiCATEHO-DER. .��t-:JO•-�i�SS.:RE...:isp.:;' ..,iea; ...-. ._ .5.....w^d:?.nr5...:""C.v/._...c... ..v.:..i•¢,'iIC:CqnL_J..�C.uv'SCT.B h:S v iGCAvC� r'C.Y'_:+IUAIBEP: - E.._.. ,. ..•_t`ti<Ec.' =7; F.GLCE.. CANCEL_A7;GN ACORV CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 3/4/2015 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 poilcy(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). ONTACT PRODUCER SUNZ Insurance Solutions, LLC. ID: (impact) AME: Bridget Grimes c%impact Staff Leasing, Inc. PHONE 561-743-0065 MAIL FAX 250 W.Indiantown Rd.suite 108liuc.Notc - .._._........... Jupiter,FL 33458 (s,.., budget*sidrraturestafFinDinc.com INSURERISI AFFORDING COVERAGE _ NAIC 9 INSURER A: SUNZInsurance Company ...... i 34762 . INSURED INSURER a Aspen Re-London Best Rating"A Impact Staff Leasing, Inc. 250 W. Indiantown Rd.Suite 108 asuRER c Catlin Syndicate-Lloyds-Best Rating"A" Jupiter FL 33458 INSURER D: Brit Syndicate-Lloyds-Best RatmG"A" INSURER.E: _.._ ...,.,.__... INSURER F: COVERAGES CERTIFICATE NUMBER: 23702868 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 REOUiREMENT,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 L' U POLICY EFF POLICY EXP POLICY NUMBER !tMWDDfYYYYI 1MM1DDrrYYY1 LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ I COMMERCIAL i�OCCUR I I € MAGE ._ ._............. o_.._.._,.._..� l , I PR�.t,AI5ESIEaoccurcence)...... $ r MED EXP{Any one person? $ "—I PERSONAL&AOVINJURY S 3 GEN'L AGGREGATE LIMIT APPLIES PER: •_----- -. __........._._ PRO- GENERAL S POLICY JECT UTC ( PRODUCTS-COMP/OP AGG 1$ OTHER: ( Is AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S accident, ..._.._ ANY AUTO SCHEDULED _ _ TOS BODILY INJURY(Per person) $ ALL OWNED AUTOS i"'_...S BODDI �AUQ AUTOLY INJURY(Per accident) S I HIRED AUTOS ` !AUTOS I PROPERTY DAMAGE $ AUTOS F r I i 5 I UMBRELLA LIAR ' ` OCCUR i �EACH OCCURRENCE, i_5.... __....._..........__ EXCESS UAa CLAIMS-MADE GREGATE I$ ..._ - DEO RETENTIONS j A 'WORKERS COMPENSATION WCPE00000046 05 8/15/2814 8/1512015PER OTN-. `AND EMPLOYERS*LIABILITY YIN -,,-. ..---__-- ANY.PROPRIETOPJPARTNERfEXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICERIMEMBER EXCLUDED? N i R (Mandatory in NH) E.L.DISEASE-EA EMPLOYE It 1^000000 If yyes,descdbe under , ----• DESGRlPT10N OF OPERATIONS bstax S E.L.DISEASE-POLICY UNIT S �.1,000,0 B lWorkers Compensation ( Thin is far informational purposes C i Excess Coverage i and nothing shalt create any right D I under such reinsurance. DESCRIPTION OF OPERATIONS!LOCATIONS 1 VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attachedif mors space is required) Coverage provided for all leased employees but not subcontractors of:A-1 Garcia Construction,Inc Client Effective:12/19/2013 CERTIFICATE HOLDER CANCELLATION 1417 MIAMI SHORES VILLAGE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE BUILDING RES VILLAGE MENT THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED iN 10050 N 2ND AVENUE ACCORDANCE WITH THE POLICY PROVISIONS, MIAMI SHORES FL 3313$ AVTHORIZEDREPRESENTATnIE Glen J Distefano ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD CERT NO.; 2}7628¢8 Xi-ra Baumgarten 3/212019 2:57:.17 PH tCSTi Page.1 of L � WIN � � «