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CC-15-1295 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 nspection Number: INSP-242964 Permit Number: CC-5-15-1295 Inspection Date: September 08, 2015 Permit Type: Commercial Construction Inspector: Rodriguez, Jorge Inspection Type: Final Building Owner: , Work Classification: Alteration Job Address: 9823 NE 4 Avenue Miami Shores, FL Phone Number Project: RETAIL Parcel Number 1132060170330 Contractor: GSD CONTRACTING LLC Phone: (954)961-4222 Building Department Comments REPLACE FINISHES AND FIXTURES IN EXISTING Infractio Passed Comments RESTROOMS INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. For Inspections please call: (305)762-4949 September 08, 2015 Page 1 of 1 »C�^'.fir+,.� - _ a. .,.rye .+,.'�,-;S ,.. rr "�:-� �.r,. �jC' r..A-i•',L w�i.-,1. 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CC-5-15-1295 SNORI:'s Miami Shores Village fe." t[EtCtiQf1 10050 N.E.2nd Avenue Miami Shores,FL 33138-0000 - lTat Phone: (305)795-2204 Fax: (305)756-8972 �10Rto ` Issue Date: 8/6/2015 Expires: 02/02201 6 h INSPECTION REQUESTS: (305)762-4849 or Log on at https://bidg.miamishoresvillage.com/cap REQUESTS ARE ACCEPTED DURING 8:30AM-3:30PM FOR THE FOLLOWING BUSINESS DAY. Requests must be received by 3 pm for following day"Inspections. Commercial Construction Parcel #:1132060170330 Owner's Name: Owner's Phone: I ob Address: 9823 NE 4 Avenue Total Square Feet: 00 Miami Shores-FL Total Job Valuation: $ 46,000.00 Bond Number: WORK IS ALLOWED MONDAY THROUGH SATURDAY, Contractor 7:30AM-6:OOPM.NO WORK IS ALLOWED ON Contractor(s) Phone Primary SUNDAY OR HOLIDAYS. GSD CONTRACTING LLC (954)961-4222 Yes BUILDING INSPECTIONS ARE DONE MONDAY THROUGH THURSDAY. ROOFING INSPECTIONS ARE DONE MONDAY THROUGH FRIDAY. NO BUILDING INSPECTIONS DONE ON FRIDAY. H "T MUST BE ON ISO JOB AT TIME OF IN�, " PECT104- NO INSPECTION WILL BE MADE UNLESS THE PERMIT CARD IS DISPLAYED AND HAS BEEN APPROVED. PLANS ARE READLY AVAILABLE. IT IS THE PERMIT APPLICANT'S RESPONSIBILITY TO ENSURE THAT WORK IS ACCESSIBLE AND EXPOSED FOR INSPECTION PURPOSES. NEITHER THE BUILDING OFFICIAL NOR THE CITY SHALL BE LIABLE FOR EXPENSE ENTAILED IN THE REMOVAL OR REPLACEMENT OF ANY MATERIAL REQUIRED TO ALLOW INSPECTION. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. INSPECTION RECORD STRucrURAL INSPECTION IDi Ai INSP INSPECTION I BATE INSP iNSp� DATE INSP Foundation Zoning Final Stemwall ZONING COMMENTS Rough Slab Water Service Columns(1st Lift) 2"dRough Columns(2nd Lift) Top Out Tie Beam Fire Sprinklers - Truss/Rafters Septic Tank Roof Sheathing Sewer Hook-up Bucks Roof Drains Windows/Doors Gas Interior Framing INSPECTION ! DATE INSP LP Tank Insulation Temporary Pole Well Ceiling Grid 30 Day Tempo I rary Lawn$ rinklers Drywall Pool Bonding Main Drain Firewall Pool Deck BondingPool Piping Wire Lath Pool Wet Niche 8ackfiow Preventor Pool Steel Underground Interceptor Pool Deck Footer Ground Catch Basins- Final Pool Slab Condensate Drain Final Fence Wall Rough HRS Final Screen Enclosure Ceiling Rough Driveway Rough PLUMBI COMWAfs Driveway Base Telephone Rough Tin Cap Telephone Final Roof in Progress TV Rough Mop in Progress TV Final Final Roof Cable Rough Shutters Attachment Cable Final Final Shutters Intercom Rough Rails and Guardrails Intercom Final - ADA compliance Alarm Rough INSPECTION DATE' INSP Alarm Final Underground Pipe DOCUMENTS Fire Alarm Rough Soil Bearing Cert Fire Alarm Final Rough Soil Treatment Cert Service Work With Floor Elevation Survey Ventilation Rough Reinf Unit Mas Cert ELECTRICAL COMMENTS Hood Rough Insulation Certificate Pressure Test Spot Survey Final Hood Final Survey FinalVentilation Truss Certification final Pool Heater STRUCTURAL COMMENTS FlnaI Vacuum MECHANICAL COMMENTS INSPECTION DATE INSP Final Sprinkler Final Alarm t Oct.08/RV 8/31/09 g Miami Shores Village ` PeimJi! "YAe CQt1ltTtllti8 ul+rtian 10050 N.E.2nd Avenue NE Ix Ctassttticrtt tt)if?t! — Miami Shores,FL 33138-0000 -,sPen»it Status' APPI"EQ FN{gg,Ng Phone: (305)795-2204 AW 04 Expiration: 02/02/2016 Project Address Parcel Number Applicant 9823 NE 4 Avenue 1132060170330 Miami Shores, FL Block: Lot: MIAMI SHORES COMM CHURCI- Owner Information Address Phone Cell MIAMI SHORES COMM CHURCH INC 9823 NE 4 AVE MIAMI FL 33138-2402 Contractor(s) Phone Cell Phone [Valuation: $ 46,... GSD CONTRACTING LLC (954)961-4222 000.00 Total Sq Feet: 00 Approved: In Review Available Inspections: Comments: Inspection Type: Date Approved: : In Review Final PE Certification Date Denied: Window Door Attachment Type of Construction:REPLACE FINISHES AND FIXTURE Occupancy Load: Tie Beam Stories: Exterior: Slab Front Setback: Rear Setback: Termite Letter Left Setback: Right Setback: Framing Plans Submitted:Yes Certification Status: Store Front Attachment Certification Date: Additional Info: Insulation Bond Return: Classification: Residential Drywall Screw Scannin :4 Fill Cells Columns Window and Door Buck Fees Due Amount Pay y Type Date Pa T Amt Paid Amt Due Celling Grid CCF $27.60 Review Planning Invoice# CC-5-15-55761 CO/CC Fee $200.00 Review Electrical DBPR Fee $20.70 08/06/2015 Check#:56585 $ 1,507.00 $200.00 Review Electrical DCA Fee $20.70 05/29/2015 Check#:002527 $200.00 $0.00 Review Building Education Surcharge $9.20 Review Building Permit Fee $1,380.00 Review Plumbing Scanning Fee $12.00 Review Plumbing Technology Fee $36.80 Review Structural Total: $1,707.00 Review Mechanical 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. Futhermor authorize the above-named contractor to do the work stated. August 06, 2015 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy August 06,2015 1 Miami Shores Village TV EK 15 Building Department MAY 2•.9 2015 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 BY: Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 �/1 FBC 20/0 BUILDING Master Permit NO.0 IP PERMIT APPLICATION Sub Permit No. MBUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL 7-11 ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: S}Lt,{--�� F�— City: Miami Shores County: Miami Dade zip:/ Folio/Parcel#: ! I 12-016 D 170 `)A0 Is the Building Historically Designated:Yes NO Occupancy Type: Load: Constructions Type: Flood rZonne:� BFE: �7F�FE: OWNER:Name(Fee Simple Titleholder): ( S ! I/�'v t ! Phoe e# L' Address: �t&23- 0"'tt-�-14 e City: fnl� i l► fn pllt s State: �� Zip: �:j Tenant/Lessee Name: Phone#: Email:_ ✓�.S�-C 1 �(LS c: ,� =-"�' CONTRACTOR Company Name: Phone#: / Address: 7 6 --l-7r City: /%^4- t���q C-4't,r� f State: F( Zip: Z 3 3I.-P Qualifier Name: ,.e.` Jo` iT.Lt Phone#• State Certification or Registration4;w Certificate of Competency#: DESIGNER:Architect/Engineer: v'1✓ W e t-k lh C-41 c' M-4 4 Phorne# Address: ity: "'�v�n� 'Sta e. 115:� Zip 3 y 9 Value of Work for this Permit:$ q�'000 Square/Linear Footage of Work: Type of Work: ❑ Addition El Alteration ID New Repair/Replace ❑ Demolition Description of Work: !'S Q elc4 c-i �G ��$4Q1--' - Fixl h }c�"(' c.. x�P;� Specify color of color thru tile: (( c� Submittal Fee$ , Permit Fee$ 13�'1�)_ OD- CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ (1 Q p� TOTAL FEE NOW DUE$ (Revised02/24/2014) ����h� J/.�� V�. _ 1 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. 2 Signature-g -� Signature -D OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this _day of n O1 20 1,S- by 1?day of M A Y .20 125- by i 1�1 Yl-1 1 ka�G who is personally known to JSAF-G+ORY Ll&-0Jr.tJ who is personally known to me or who has produced r L )Q L as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: L zL—, 0 Print: ` f 14ib Print: Seal: EVELYN ARTOLA Seal: �PNe1"�'PuMic' M Fl• a Notary Public,State of Florida my oo r 4ew Commission#EE 167448 ' � Ex MS 05�"e 5 t3 era En/pesNlt�17575 My comm.expires Feb.7,2016 APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)