RC-14-1224 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-243161 Permit Number: RC-6-14-1224
Scheduled Inspection Date: September 11, 2015 Permit Type: Residential Construction
Inspector: Rodriguez,Jorge Inspection Type: Final Building
Owner: , Work Classification: Alteration
Job Address:9400 NW 2 Avenue
Miami Shores, FL 33138-
Phone Number
Parcel Number 1131010150290
Project: <NONE>
Contractor: RUDGE WOOD FLOORING
Building Department Comments
TO RE-HAB 2 BATHROOMS AND REPAIR ELECTRIC Infractio Passed Comments
AND NEW CENTRAL A/C INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
September 10,2015 For Inspections please call: (305)762-4949 Page 19 of 31
Miami Shores Village
g
1 JUN 112014
�!►'�� Building Department
Ii 10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel: (305)795.2204 Fax: (305)756.8972
f INSPECTION'S PHONE NUMBER:(305)762.4949
FBC 2016
BUILDING Permit No. /
PERMIT APPLICATION Master Permit No. 111- 1221-1
L7 , 122
Permit Type: BUILDING ROOFING
JOB ADDRESS: 9400 NW 2 AVE MIAMI SHORES FLORIDA
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:
Is the Building Historically Designated: Yes NO X Flood Zone:
OWNER:Name(Fee Simple Titleholder):ELITE HOME PARTNERS LLC Phone#:305-905-6913
Address:2300 WEST 84 ST#601
City- HIALEAH State: FLORIDA Zip: 33016
Tenant/Lessee Name: N/A Phone#: N/A
Email: JDELAFE@TEAMDELAFE.COM
CO TRACTOR. ompany Name: �� ® V /�i hone 0� KCI /7Z
ress' SL
it St f
i •
Qualifier Name Phone#:
e Certification or Registration#:
g Certificate of Competency#:
ontact Phone mail Ad res ref 0K y*
DESIGNER: Architect/Engineer: MR ENGIN ULTANTS Phone#: 954-364-8355
Value of Work for this Permit:$35,000.00 Square/Linear Footage of Work: 1500
Type of Work: ❑Addition ❑Alteration ❑New ❑Repair/Replace ❑Demolition
Description of Work: TO RE-HAB 2 BATHROOMS AND REPAIR ELECTRIC AND NEW CENTRAL A/C
Color thru tile:
-��
Submittal Fee$ Permit Fee$ �d CCF$ ( - 00 CO/CC$ ` C)�1
Scanning Fee$ L 1�,�_Radon Fee$ DBPR$ Bond$
Notary$ Training/Education Fee$. Technology Fee$a_ `C �
Double Fee$ Structural Review$ t_20,0 (ZG .CID
TOTAL FEE NOW DUE
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 ELECTRICAL WORK,PLUMBING, SIGNS,
WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS and 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 de#vered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice o comme cement must
.f posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued.. n the bsence o suc ostf notice, the
inspection will not be approved and a reinspection fee will be charged.
t R
Signature - Signature
Own _7L
er or Agent /� Contractor
The foregoin instrument was acknowledged before me this �La The foregoi instrument was acknowledged before me this L
day of 20 ,by��I l l l L I M IJP �,y of �l�i 20 by 4 4r �/c �� "r
who i ersonally kno to me or who has produced who is sopa known to w o has pro 1c
As identification and who did take an oath. a entification anti.. o did t an oath.
NOTARY PUBLIC: NOTARY P
Sign: q-- hSign:
Print: Print: / C Ridge
pnr„ UJUI 1;
My Commission Expires: .' Neta y >✓OMML
, Public - State of Florida MCommissi °�r P � c 10N#F 0059
* '= My comm Expires Oct 24.2011 _ S042011
commission x FF 066091 %,g• �``p D�1R `MpNpRycom
" r
� .
APPROVED BY Plans Examiner Zoning
� lf.
f� >r Structural Review Clerk
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
Miami Shores Village
�, - Building Department
�OR1DA 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�br 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 Iisted 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. In these circumstances,Miami Shores Village
does not require verification of workers'compensation insurance coverage from the contractor's company. Therefore,you may
personally liable for the worker compensation injuries of anyperson allowed to work under this permit Please check with your
insurance carrier since most property insurance policies DO NOT cover this type of liability.
BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS
CONTENTS.
Owner Contractor
Print Name:°'1.�. 11 J - be Print Name: el � l
Signa • _ c�^ Signature:
State of Florida) Sta of F
County of Miami-Dade) Co of Miami-Dade)
Sworn to and subscribed before me this�_ Sworn to and sub before me s
day of ,20 ,�..,uu+ *George 0 � Z rte' r y
J�Y Pie••^
$y a� IIENA ROMEt24
-? Y-
Az,
<< ,2
oluy is
'•.� Fv a•
(SEAL) Y mm.Expires 017 flat
Type of Identification r uce Type of Identif. ation produced
From: 06/06/2014 14:35 #969 P.017/019
ACORD- CERTIFICATE OF LIABILITY INSURANCE D'TE(MWDO/Y YY)
PRODUCER 616/2014
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION!
ADVANTAGE INSURANCE OF AMERICA ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
4520 NW 7th St ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Miami, FL 33126
(3051649-5566 INSURERS AFFORDING COVERAGE NAIC#
INSURED RUDGE WOOD FLOORING, INC. INSURERk ,Aja IMPEWITY
INSURER B:
1501 NN 54 AVE INSURER C:
MIAMI, FL 33142 INSURER D:
INSURER E:
COVERAGES
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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
Mw rw
LTR N= TYPE OF INSURANCE POLICY NUMBER POL Y EFFE IVE LI LIMITS
GENERAL LIABILITY EACH OCCURRENCE $1,000,000.00
PX COMMERCIAL GENERAL LIABILITY PREMISES Ea occurence S 000
CLAIMSMADE 0 OCCUR MFDEXP(Anyonepersan) $ 50A GL140880 06/06/14 06/06/15 PERSONALBADVINJURY $1,000,000.00
GENERAL AGGREGATE $ 2.000,000
GENL AGGREGATE LIMB APPLIES PER. PRODUCTS-COMP/OP AGG $ 1,00_0,000
POUCY PRO LOC
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT $
ANYAUTO (Ea accident)
ALL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS (Per person) $
HIRED AUTOS
BODILY INJURY $
NON-OWNEDAUTOS (Para cddeM)
(PPer DAMAGE $
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT s
ANYAUTO
OTHER THAN EAACC $
AUTOONLY: AGG $
EXCESSNMSRELLA LIABILITY EACH OCCURRENCE $
OCCUR L�CLAIMSMADE AGGREGATE $
$
DEDUCTIBLE
$
RETENTION $ $
WORKERS COMPENSATKNJAND
EMPLOYERS'LIABILITY 1 --
ANYPROPRlETOMPARTNEPMECLITIVE E.L EACH ACCIDENT $
OFFIMRAMMM E=LUDED? E.L.DISEASE-EA EMPLOYE $
If yes descrIlmunder
SPECIAL PROVISIONS below E.L.OISEASE-POLK:Y LIMIT s
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES!EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
GENERAL CONTRACTING IN CONSTRUCTION OF RESIDENTIAL & MASONRY
CERTIFICATE HOLDER CANCELLATION
MIAMI SHORES VILLAGE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
10050 NE 2 AVS DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
MIAMI SHORES,FL 33138 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
REPRESENTATIVES, el
AUTHORIZED REPRESENTA
ACORD25(2001108) OACO ORPORATION 1988
Property Search Application- Miami-Dade County Page 1 of 7
z
g .
Address Owner Name Folio
SEARCH:
9400 NW 2 Ave Suite
PROPERTY INFORMATION
Folio:11-3101-015-0290
Sub-Division:
ODELL MANORS
Property Address
9400 NW 2 AVE
Miami Shores,FL 33150-2211
Owner
ELITE HOME PARTNERS LLC
Mailing Address
2300 W 84 ST#601
HIALEAH,FL 33016
Primary Zone
0800 SGL FAMILY-1701-1900 SQ
Primary Land Use
0101 RESIDENTIAL-SINGLE FAMILY:1 UNIT
Beds/Baths/Half 3/1/0
Floors 1
Living Units 1
Actual Area
Living Area
Adjusted Area 1,704 Sq.Ft
http://www.miamidade.gov/propertysearch/ 7/31/2014
Property Search Application- Miami-Dade County Page 2 of 7
Lot Size 7,500 Sq.Ft
Year Built 1940
Layers
RX,
s
1 1'.
t
k.
Featured Online Tools
Comparable Sales Glossary(http://www.miamidade.gov/pa/glossary.asp)
Non-Ad Valorem Assessments
(http://www.miamid ade.g ov/pa/tax_esti mator/non_advalorem_pop_u p.asp?
Fol=1131010150290)
(http://www.miamidade.gov/pa/tax_estimator/non_advalorem_pop_up.asp?Fol=1131010150290)
(http:/twww.miamidade.gov/pa/tax_estimator/non_advalorem_pop_up2eq%rty Record Cards
Fol=1131010150290)PA Additional Online Tools (http:/twww.miamidade.gov/PaPortal/PRC/CreatePRCmain.aspx)
(http://www.miamidade.gov/pa/online_tools.asp) Property Search Help(http://www.miamidade.gov/pa/property-
search-help.asp)
Report Discrepancies Report Homestead Fraud
(http://www.miamidade.gov/pa/email/ASPiformNew.asp) (http:/twww.miamidade.gov/paportal/HomesteadFraud/HomesteadFraud.c
http://www.miamidade.gov/propertysearch/ 7/31/2014
Property Search Application- Miami-Dade County Page 3 of 7
Tax Comparison Tax Estimator
(hftp:/twww.miamidade.gov/PAPortairraxesfraxComparison.aspx? (http://www.miamidade.gov/PAPortalfTaxesfTaxEstimator.aspx)
folio=1131010150290) View Taxes(https://www.miamidade.county-
taxes.com/publictrea I_estate/pa rcels/1131010150290)
ASSESSMENT INFORMATION
Year 2014 2013 2012
Land Value $100,962 $67,734 $54,059
Building Value $116,594 $116,690 $130,633
Extra Feature Value $1,229 $1,242 $1,308
..
Market Value $218,785 $185,666 $186,000
Assessed Value $218,785 $185,666 $186,000
TAXABLE VALUE INFORMATION
2014 2013 2012
COUNTY
Exemption Value $0 $0 $0
Taxable Value $218,785 $185,666 $186,000
SCHOOL BOARD
Exemption Value $0 $0 $0
Taxable Value $218,785 $185,666 $186,000
CITY
Exemption Value $0 $0 $0
Taxable Value $218,785 $185,666 $186,000
REGIONAL
Exemption Value $0 $0 $0
Taxable Value $218,785 $185,666 $186,000
BENEFITS INFORMATION
Benefit Type 2014 2013 2012
Note:Not all benefits are applicable to all Taxable Values(i.e.County,School Board,City,Regional).
FULL LEGAL DESCRIPTION
http://www.miamidade.gov/propertysearch/ 7/31/2014
Property Search Application- Miami-Dade County Page 4 of 7
ODELL MANORS PB 41-57
LOT 5 BLK 3
LOT SIZE 75.000 X 100
OR 19226-3771 07 2000 1
COC 24143-2089 11 2005 5
SALES INFORMATION
Previous Sale Price OR Book-Page
10/07/2013 $100 28911-4057(http://www2.miami-dadecierk.com/Public-Records/Search.aspx?search=3&Rec_Book=28911E
10/04/2013 $207,000 28882-3732(http://www2.miami-dadeclerk.com/Public-Records/Search.aspx?search=3&Rec_Book=288821
01/24/2013 $152,000 28481-4579(http://www2.miami-dadecierk.com/Public-Records/Search.aspx?search=3&Rec_Book=28481E
11/01/2005 $0 24143-2089(http://www2.miami-dadecierk.com/Public-Records/Search.aspx?search=3&Rec_Book=24143E
07/01/2000 $110,000 19226-3771 (http://www2.miami-dadeclerk.com/Public-Records/Search.aspx?search=3&Rec_Book=19226E
02/01/1989 $0 00000-00000(http://www2.miami-dadeclerk.com/Public-Records/Search.aspx?search=3&Rec_Book=00000E
07/01/1987 $0 00000-00000(http://www2.miami-dadeclerk.com/Public-Records/Search.aspx?search=3&Rec_Book=00000E
For more information about the Department of Revenue's Sales Qualification Codes(http://dor.myflorida.com/dor/property/rp/dataformats/pdf/s
2014 2013 2012
I
LAND INFORMATION
Land Use Muni Zone PA Zone Unit Type Units Calc Value
GENERAL R-14.25,R-15 0800-SGL FAMILY-1701-1900 SQ Front Ft. 75.00 $100,962
BUILDING INFORMATION
Building Number Sub Area Year Built Actual Sq.Ft. Living Sq.Ft. Adj Sq.Ft. Calc Value
1 1 1940 1,533 $103,937
1 2 1974 171 $12,657
EXTRA FEATURES
Description Year Built Units Calc Value
Patio-Concrete Slab w/Roof Aluminum or Fiber 2008 130 $926
Wall-CBS unreinforced 2000 85 $303
ADDITIONAL INFORMATION
"The information listed below is not derived from the Property Appraiser's Office records.It is provided for convenience and is derived from
other government agencies.
http://www.miamidade.gov/propertysearch/ 7/31/2014
Property Search Application - Miami-Dade County Page 5 of 7
LAND USE AND RESTRICTIONS
Community Development District: NONE
Community Redevelopment Area: NONE
Empowerment Zone: NONE
Enterprise Zone: NONE
Urban Development: INSIDE URBAN DEVELOPMENT BOUNDARY
Zoning Code: R15-
Zoning
15-Zoning Land Use: 10
Government Agencies and Community Services(hftp://gisweb.miamidade.gov/communityservices/CommunityServicesAll.htmi?
x=&y=&bufferDistance=5&address=9400 NW 2 AVE)
OTHER GOVERNMENTAL JURISDICTIONS
Business Incentives(http://gisweb.miamidade.gov/businessincentive/default.aspx?searchType=address¶mvalue=9400 NW 2
AVE,Miami Shores,FL 33150-2211&)
Childrens Trust(hftps://www.thechildrenstrust.org/)
City of Miami Shores(http://www.miamishoresvillage.comn
Environmental Considerations(http://gisweb.miamidade.gov/environmentalconsiderations/defauIt.aspx?
searchtype=address¶mvalue=9400 NW 2 AVE,Miami Shores,FL 33150-2211&)
Florida Department Of Revenue(http://dor.myflorida.com/dor/propertyn
Florida Inland Navigation District(http://www.aicw.orgAndex.jsp)
Miami-Dade County Bulletin Board(http://bbs.miamidade.govn
Non-Ad Valorem Assessments(http://www.mia mid ade.gov/pa/tax_estimator/non_advalorem_pop_up.asp?Fol=1131010150290)
School Board(http://www.dadeschools.net/)
South Florida Water Mgmt District(http://www.sfwmd.gov/portal/page/portal/sfWmdmain/home%20page)
Tax Collector(http://www.miamidade.gov/taxcollectorn
The Office of the Property Appraiser is continually editing and updating the tax roll.This website may not reflect the most current information on
record.The Property Appraiser and Miami-Dade County assumes no liability,see full disclaimer and User Agreement at
http://www.miamidade.gov/info/disclaimer.asp(http://www.miamidade.gov/info/disclaimer.asp)
For inquiries and suggestions email us at http://www.miamidade.gov/pa/email/ASP/formNew.asp
(hftp:ltwww.miamidade.gov/pa/email/ASP/formNew.asp).
Version:2.0.1
EXEMPTIONS B BENEFITS
Deployed Military(http://www.miamidade.gov/pa/exemptions_miIitary.asp)
Disability Exemptions(http://www.miamidade.gov/pa/exemptions_disabiIities.asp)
http://www.miamidade.gov/propertysearch/ 7/31/2014
Property Search Application- Miami-Dade County Page 6 of 7
Homestead(http://www.miamidade.gov/pa/exemptions_homestead.asp)
Institutional(http://www.miamidade.gov/pa/exemptions_institutional.asp)
Senior Citizens(http://www.miamidade.gov/pa/exemptions_homestead_senior.asp)
More>(http://www.miamidade.gov/pa/exemptions.asp)
REAL ESTATE
40 Yr Building
Re-Certification(http://www.miamidade.gov/pa/property_recertification.asp)
Appealing Your Assessment(http://www.miamidade.gov/pa/appealing_assessment.asp)
Defective Drywall(http://www.miamidade.gov/pa/news_drywall.asp)
Folio Numbers(http://www.miamidade.gov/pa/property_folio_numbers.asp)
Mortgage Fraud(http://www.miamidade.gov/pa/mortgage-fraud.asp)
More>(http://www.miamidade.gov/pa/real_estate.asp)
TANGIBLE PERSONAL PROPERTY
Appealing your Assessment(http://www.miamidade.gov/pa/appealing_assessment.asp)
Assessment Information Search(http://www.miamidade.gov/pa/business_lookup.asp#/)
Exemptions(http://www.miamidade.gov/pa/exemptions_tangible.asp)
Extension Requests(http://www.miamidade.gov/pa/property_tangible_extension.asp)
Filing Returns(http://www.miamidade.gov/pa/exemptions_tangible_filing.asp)
More>(http://www.miamidade.gov/pa/property_tangible.asp)
PUBLIC RECORDS
Address Blocking(http://www.miamidade.gov/pa/public_records_address_block.asp)
Change of Name(http://www.miamidade.gov/pa/public—records—name—change.asp)
http://www.miamidade.gov/propertysearch/ 7/31/2014
Property Search Application- Miami-Dade County Page 7 of 7
Change of Address(http://www.miamidade.gov/pa/address_change.asp)
Change of Ownership&Title(http://www.miamidade.gov/pa/pubIic_records_Ownership.asp)
Declaration of Condominium(http://www.miamidade.gov/pa/public—records—condo.asp)
More>(http://www.miamidade.gov/pa/pubiic_records.asp)
ONLINE TOOLS
Property Search(http://www.miamidade.gov/pa/property_Search.asp)
Property Sales(http://www.miamidade.gov/pa/property_sales.asp)
Tax Estimator(http://www.miamidade.gov/pa/tax_estimator/TaxEstimator.asp)
Tax Comparison(http://www.miamidade.gov/pa/tax_estimator/TaxComparisonStart.asp)
Homestead Exemption and Portability(https://www.miamidade.gov/PaPortal/AutoOnlineFile/ExemptionOnlineMainMenu.aspx)
More>(http://www.miamidade.gov/pa/onIine_tools.asp)
TAX ROLL ADMINISTRATION
Appealing your Assessment(http://www.miamidade.gov/pa/appealing_assessment.asp)
Reports(http://www.miamidade.gov/pa/reports.asp)
More>(http://www.miamidade.gov/pa/roll-administration.asp)
http://www.miamidade.gov/propertysearch/ 7/31/2014