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RC-14-2631 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-237531 Permit Number: RC-12-14-2631 Scheduled Inspection Date: July 09, 2015 Permit Type: Residential Construction Inspector: Rodriguez,Jorge Inspection Type: Final Building Owner: EIRA ROJAS, BENOIT V WIRZ Work Classification: Alteration Job Address:893 NE 96 Street Miami Shores, FL 33138- Phone Number Parcel Number 1132060142690 Project: <NONE> Contractor: LONGA CONSTRUCTION INC Phone: (954)254-0491 Building Department Comments REMODEL OF 3 BATHROOMS IN EXISTING LOCATION Infractio Passed Comments AND REFINISH HARDWOOD FLOORS PAINT INTERIOR. INSPECTOR COMMENTS False REPAIR WASTE LINES. Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-237444. Construction debris must be removed Obtain Mechanical permit for cabana unit Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. July 08, 2015 For Inspections please call: (305)762-4949 Page 13 of 27 1L) Claudio A.Jofre P.E.#28531 C�c� 334 NE 102 Street.Miami Shores,Florida 33138 786-382-1695 ; Fax:305-835-0951 E-mail:cjofre@bellsouth.net February 25, 2015 Job Address: 893 NE 96th Street, Miami Shores, FL. 33138 RE: Structural Inspection Footings and Sanitary Layout. TO BUILDING OFFICIAL in MIAMI SHORES VILLAGE: Our firm did an inspection, on Wednesday, February 25th 2015, of a single home residence, at the address above, for structural evaluation of footings and slab, with a sanitary line crossing under. We certify the following. 1. Sanitary Line: This is a replacement of an existing 3" sanitary steel pipe in an existing design in an existing pool cabana. The new line is PVC schedule 40, located in the same spot as the original. The sanitary line is protected by a schedule 40 PVC 6" diameter sleeve, at the crossing point under the footing. 2. Footing and slab inspection: We certify that the existing footing and slab in the sanitary line crossing spot is structurally solid, there are no deflections in the slab or damages, nor we expect structural problems as a result of the sanitary line crossing under the footing. �incerety 1 / 1 1 audio A. Jofre P.E. 28531 i Claudio A.Jofre P.E.#28531 334 NE 102 Street.Miami Shores,Florida 33138 786-382-1695 ; Fax:305-835-0951 E-mail:cjofre@bellsouth.net February 25, 2015 Job Address: 893 NE 96th Street, Miami Shores, FL. 33138 RE: Structural Inspection Footings and Sanitary Layout. TO BUILDING OFFICIAL in MIAMI SHORES VILLAGE: Our firm did an inspection, on Wednesday, February 25th 2015, of a single home residence, at the address above, for structural evaluation of footings and slab, with a sanitary line crossing under. We certify the following. 1. Sanitary This is a replacement of an existing 3" sanitary steel pipe in an existing design in an existing pool cabana. The new line is PVC schedule 40, located in the same spot as the original. The sanitary line is protected by a schedule 40 PVC 6" diameter sleeve, at the crossing point under the footing. 2. Footing and slab inspection: We certify that the existing footing and slab in the sanitary line crossing spot is structurally solid, there are no deflections in the slab or damages, nor we expect structural problems as a result of the sanitary line crossing under the footing. Sincerely Claudio A. Jofre P.E. 28531 n i 2( � � (2ois 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 � FBC 201 BUILDING Master Permit No. PERMIT APPLICATION Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL [ PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 2,5,3 /,/C-- IG S 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: t OWNER: Name(Fee Simple Titleholder): / t f 4— Phone#: Address: frf 3 1` City: State: Zip: 3 Z Tenant/Lessee Name: Phone#: Email: l ,.�,/ / CONTRACTOR:Company Name: LDA",4 `-'o ha ge-L*o*64 Phone#:�r1 s7� 2, 7 ej I Address: Efl ff City: )16State: Zip: 3 3 / r Qualifier Name: Z2SY o_r J.A m 4,,!� Phone#: State Certification or Registration#:.e C 4(7 Z S S Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ Z 7 SSU . Square/Linear Footage of Work: Type of Work: ❑ AdditionA teratio ❑ New Q R pair/Replace ❑ emolition Description of Work: v+�l S 9' Ic GrN .S`� o ilyj r ' Specify color {�oof�ncolor thru tile: >�— Submittal Fee$ �.7.IJL� 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 co o the notice o commencement and construction lien law brochure will be delivered to the person p 9 f copy f f 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 abse ,of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature OWNER or AGENT CONTRACT The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of �Qi(`,QrY1�'�C/1fr 20 JA- by (37 day`ofl:�IEC C- :Al� 20 by who is personally known to X12_ who is personally known to me or who has produced t ckA_OC tYyXS k1 CQVI kdas me or who has produced identification and who did take an oath. identificatign.and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign. Sign: Print: IL A Print:, Notary Public State of Florida Seal:`°ice; JENIFER L LONGA Seal: Sindia Alvarez MY COMMISSION#FF 015798 My Commission FF 156750 EXPIRES:July 29,2017ora Expires 09/03/2019 Bonded Thni Notary Putfc Underwriters APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) OP ID:CA ACRO CERTIFICATE OF LIABILITY INSURANCE DATE(MYI� 12100211211Y4 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). CONTACT PRODUCER 305-442-9507 NAME: Insurance Marketers Inc. 2600 Douglas Road Suite 712 305-447-8527 a/cc, o Ext): alc No Coral Gables,FL 33134 E-MAIL Maria Iglesias ADDRESS: PRODUCER LONGA-1 CUSTOMER ID#: INSURER(S)AFFORDING COVERAGE NAIC# INSURED Longa Construction Inc. INSURER A:Essex Insurance Company 1075 NE 89 Street Miami,FL 33138 INSURER B INSURER C: INSURER D: 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 POLICY NUMBER MPOM/LICY EFF (MMI Y EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY 3DV9150 10/30/14 10/30/15 PREMISES Ea occunence $ 100,00 CLAIMS-MADE I—XI OCCUR MED EXP(Any one person) $ 5,00 PERSONAL&ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1,000,00 X POLICY PRO LOC Emp Ben. $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE $ HIRED AUTOS (Per accident) NON-OWNED AUTOS $ $ UMBRELLALU►B OCCUR EACH OCCURRENCE $ EXCESSI CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATIONWC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N TORY LIMITSi ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (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 nrore space is required) Residential interior buildouts/renovations. Coverage is subject to terms,conditions,deductible and exclusions as shown in the policies.Lich!CGCO47255 CERTIFICATE HOLDER CANCELLATION VILLAMI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Village of Miami Shores THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2nd Avenue Miami Shores,FL 33138-2382 AUTHORIZED REPRESENTATIVE 1.,Q�_ ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD