RC-15-1244 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-243643 Permit Number: RC-5-15-1244
Scheduled Inspection Date: September 17, 2015 Permit Type: Residential Construction
Inspector: Rodriguez,Jorge
Inspection Type: Final
Owner: GOLD JTRS, CAROLINE Work Classification: Alteration
Job Address:803 NE 99 Street
Miami Shores, FL
Phone Number
Parcel Number 1132060340090
Project: <NONE>
Contractor: STEADY BUILDERS GROUP, Inc. Phone: (786)537-6006
Building Department Comments
GUEST BATHROOM RENOVATION Infractio Passed Comments
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 16,2015 For Inspections please call: (305)762-4949 Page 31 of 31
Miami Shores Village w#7f'ir it"r Pe Residential Construction
c`* t� 10050 N.E.2nd Avenue NEU""Wdeso0 / )tertt)OI)t
...,.*�
Miami Shores,FL 33138 0000
It Stet `;APPROYE�
tiE ` Y Phone: (305)795-2204
„
Expiration: 02/01/2016
Project Address Parcel Number Applicant
803 NE 99 Street 1132060340090
CAROLINE GOLD JTRS
Miami Shores, FL Block: Lot:
Owner Information Address Phone Cell
CAROLINE GOLD JTRS 803 NE 99 Street
FL
803 NE 99 Street
FL
Contractor(s) Phone Cell Phone Valuation $ 2,000.00
STEADY BUILDERS GROUP INC (786)537-6006
Total Sq Feet: 35
Approved: In Review Available Inspections:
Comments: Inspection Type:
Date Approved: : In Review
Fill Cells Columns
::_
Date Denied: Final PE Certification
Type of Construction:GUEST BATHROOM RENOVATION Occupancy: Window Door Attachment
Stories: Exterior: Framing
Front Setback: Rear Setback: Insulation
Left Setback: Right Setback: Drywall Screw
Bedrooms: Bathrooms: Window and Door Buck
Plans Submitted: Certificate Status: Review Planning
Certificate Date: Additional Info: Review Structural
Review Mechanical
Bond Return: Classification: Residential Review Electrical
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Review Electrical
CCF $1.20 Review Building
DBPR Fee $2.00 Invoice# RC-5-15-55700 Review Building
DCA Fee $2.00 05/26/2015 Credit Card $50.00 $66.20 Review Plumbing
Education Surcharge $0.40 08/05/2015 Credit Card $66.20 $0.00 Review Plumbing
Permit Fee $100.00 Review Plumbing
Scanning Fee $9.00
Technology Fee $1.60
Total: $116.20
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 ac and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore, I authorize the ab o do the work stated.
August 05, 2015
Authorized Signature:Owner / Applicant K ntractor / Agent Date
Building Department Copy
August 05,2015 1
0)ei e ► Miami Shores Village
b.\ g MAY 6 ZU1
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 20 !C�
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: 803 NE 99 Street
City: Miami Shores County: Miami Dade Zip: 33138
Folio/Parcel#: 1132060340090 Is the Building Historically Designated:Yes NO X
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name(Fee Simple Titleholder): Caroline Gold Phone#:
Address:
803 NE 99 Street
City: Miami Shores State: FL Zip:
Tenant/Lessee Name:_ Phone#:
Email:
CONTRACTOR:Company Name: Builders Group Phone#: 786-537-6006
Address: 2001 Biscayne Blvd #117 PMB 19
City: Miami State: FL Zip: 33137
Matthew Distelhurst
Qualifier Name: Phone#:
State Certification or Registration#: CBC1257301 Certificate of Competency#:
DESIGNER:Architect/Engineer: N/a Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ 2000.00 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New Q Repair/Replace ❑ Demolition
Description of Work: Replace fixtures in place, add tile, change lighting and paint.
In order to solve case #10-14-13230
Specify color of color thru tile: l,r�y
Submittal Fee$ �V Permit Fee$ 100 � 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)
STEADY BUILDERS GROUP INC .
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 on 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 L Sig
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of 20 1 � �rw�� �day of MkV 20 155 by
G `L tOy� is ersonally kn n to HA+tht Ij RISk��Lll�sl,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 PUBLIC: NOTARY PUBLIC:
Sign: Sign:
Print: l7 R Prin la o V
Seal ROSALYN�A1pN G Seal
MY CO"MISSION 0 EE1 RO Not"
EXPIRES Fe �� � �°t Fl�
f4�,j 3 Is3 fir'OZ 2010 Cin.ENOWN A/P.Rote
APPROVED BY IO Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
• ,cyNORFs
�liC.lfgZ �j,
R
"" ""'�' Miami shores Village
Building Department
N1.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
CONTRACTORS' REGISTRATION Fax: (305) 756.8972
IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR:
A. COPY OF QUALIFIER'S STATE LICENCES
B. COPY OF LOCAL BUSINESS TAX RECEIPT
C. _COPY OF LIABILITY INSURANCE*
D. COPY OF WORKERS COMPENSATION INSURANCE*
(Workers Compensation EXEMPTION must have NOTICE TO OWNER Affidavit)
IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY:
A. COPY OF CERTIFICE OF COMPETENCY OF QUALIFIER
B. COPY OF LOCAL BUSINESS TAX RECEIPT
C. COPY OF STATE REGISTERED CONTRACTOR LICENSE OR MIAMI DADE COUNTY MUNICIPAL
CONTRACTOR'S TAX RECEIPT,
D. COPY OF LIABILITY INSURACE*
E. COPY OF WORKERS COMPENSATION INSURANCE*
(Workers Compensation EXEMPTION must have NOTICE TO OWNER Affidavit)
*YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE AS FOLLOW:
Certificate Holder:
MIAMI SHORES VILLAGE BLDG DEPT
10050 NE 2ND AVE
MIAMI SHORES, FL 33138
Certific*e! ug specify the description of operations or contractor license number.
r■rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr
BUSINESS NAME: STEADY BUILDERS GROUP, INC.
BUSINESS ADDRESS: 2001 BISCAYNE BLVD#117-19 CITY MIAMI STATE FL ZIP 33137
BUSINESS PHONE: (-L86 ) 275-6800 FAX NUMBER ( )
CELL PHONE (786 ) 537-6006 QUALIFIER'S NAME: MATTHEW DISTELHURST
QUALIFIER'S LIC NUMBER: CBC1257301
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395
�E 1940 NORTH MONROE STREET
TALLAHASSEE FL 32399-0783
DISTELHURST, MATTHEW G
STEADY BUILDERS GROUP INC
2001 BISCAYNE BLVD
#117-PMB 19
MIAMI FL 33137
Congratulations! With this license you become one of the nearly
one million Floridians licensed by the Department of Business and
Professional Regulation. Our professionals and businesses range .. STATE OF FLORIDA
from architects to yacht brokers,from boxers to barbeque restaurants, DEPARTMENT OF BUSINESS AND
and they keep Florida's economy strong. PROFESSIONAL REGULATION
Every day we work to improve the way we do business in order to CBC1257301 ISSUED: 08/03/2014
serve you better. For information about our services, please log onto
www.myfloridalicense.com. There you can find more information CERTIFIED BUILDING CONTRACTOR
about our divisions and the regulations that impact you, subscribe DISTELHURST, MATTHEW G
to department newsletters and learn more about the Department's STEADY BUILDERS GROUP INC
initiatives.
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 Ch.489 FS.
and congratulations on your new license! Expiration date AUG 31,2016 L1408030002887
DETACH HERE
RICK SCOTT,GOVERNOR KEN LAWSON, SECRETARY
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD ,
:s,..
CBC1257301 ... t :.
The BUILDING CONTRACTOR "
Named below IS CERTIFIED
Under the provisions of Chapter 489 FS.
Expiration date: AUG 31, 2016
affl.DISTELHURST, MATTHEW G STEADY BUILDERS GROUP INC
2001 BISCAYNE BLVD#117-PMB 19MIAMI FL 33137
ISSUED: 08/03/2014 DISPLAY AS REQUIRED BY LAW SEQ# L1408030002887
Please note that this Business Tax Receipt expires on September 30th of the
effective year listed herein. Ensuring renewal by October 1st is the responsibility of
the business entity. For further information you may call: (305) 416-1570 or (305) 416-
1918.
Favor de tomar nota que este Recibo de Impuesto para Negocio se vence el 30 de
Septiembre de ano indicado. Asegurar la renovacion para el 1 ro de Octubre es la
responsabilidad del negocio. Para mas informacion puede Ilamar al: (305) 416-1570 o
(305) 416-1918.
Souple pran not ke Resi Enpo you Biznis-sa ap exspire 30 Septan-m ane sa men-m
nan lis la. Se responsablite dirijan Biznis sa you Ii renouvie-I Pwemie Oktob kap vini.
Si ou bezwen plis enfomasiyon sou zafe sa , pa bliye rele nan (305) 416-1570 ou byen
(305) 416-1918.
z- POST THIS DOCUMENT IN A CONSPICUOUS PLACE. THIS IS NOT A BILL
Tj f U 1f 4 , t Zttt NOT TRANSFERRABLE OR VALID AT ANOTHER ADDRESS
UNLESS APPROVED BY THE FINANCE DEPARTMENT, DO NOT PAY
CITY OF MIAMI 444 S.W.2 AVE 6r" FLOOR. MIAMI, FL 33130.
PHONE(305)416-1918.
Effective Year Oct. 1 2014 Thru Sep. 30 2015
RECEIPT FOR STEADY BUILDERS GROUP INC This issuance of a business tax receipt does not
permit the holder to violate any zoning laws of the
TOTAL FEE PAID 116.00 City nor does it exempt the holder frorn any license
ISSUED Nov 03, 2014 or permits that may be required by law.
This document does not constitute a certification
that the holder is qualified to engage in the
business,profession or uccupation sf,ecifieo herein.
The document indicates payment of the business
tax receipt only.
ACCOUNT NUMBER 107738
RECEIPT NUMBER 49310
NAME OF BUSINESS STEADY BUILDERS GROUP INC
DBA STEADY BUILDERS GROUP INC
LOCATION 350 NE 24 ST 501 2015
IS HEREBY IN COMPLIANCE
TO ENGAGE IN OR MANAGE
THE OPERATION OF: CONSULTANT: BUSINESS OR PROF.
Jose M. Fernandez
Finance Director
OP ID:TR
ACOR�P DATE(MWDDNYYY)
CERTIFICATE OF LIABILITY INSURANCE 05113/2015
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 policy(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).
PRODUCER CONTACT
NAME:
Roebuck Associates Insurance PHONE
Exchange LLC VNo E APC No
5599 S University Drive, #301 ADDRESS:
Davie, FL 33328 PRODUCER
Roebuck Associates CUSTOMER ID I:STEAD-1
INSURER(S)AFFORDING COVERAGE NAIC
INSURED Steady Builders Group, Inc. INSURERA:Nautilus Insurance Company
2001 Biscayne Blvd.,#117 INSURER B:Associated Industries Ins Co.
PMB 19 INSURER C
Miami, FL 33137
INSURER D:
INSURER E
INSURERF:
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 AIJUL SUBIR POLICY EFF POLICY EXP
TYPE OF INSURANCE
LTIR POLICY NUMBER MMID MID LIMITS
GENERAL LIABILITY EACH OCCURRENCE $ 1,000,0001
A X COMMERCIAL GENERAL LIABILITY NN412978 10/15!2014 10/15/2015 PREMISES JEa occurrence $ 100,00
CLAIMS-MADE FKOCCUR MED EXP(Any one person) $ 5,00
PERSONAL&ADV INJURY $ 1,000,00
GENERAL AGGREGATE $ 2,000,00
GI AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1,000,00
POLICY 7PRO- LOC $
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 $
$
UMBRELLA LIAB OCCUR EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE AGGREGATE $
DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATIONWC STATU- OTH-
AND EMPLOYERS'LIABILITY X TORY IT ER
B ANY PROPRIETOR/PARTNERIEXECUTIVE YIN
N WC1036994 10/15/2014 10/15/2015 E L EACH ACCIDENT $ 100,00
OFFICERIMEMBER EXCLUDED? � N/A
(Mandatory In NH) E.L DISEASE-EA EMPLOYEE $ 100,00
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,00
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space is required)
License it C'BC1257301
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Miami Shores Village THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
g ACCORDANCE WITH THE POLICY PROVISIONS.
Building Dept.
10050 NE 2nd Avenue AUTHORIZED REPRESENTATIVE
Miami Shores, FL 33138
U 1988-2009 ACORD CORPORATION. All rights reserved.
ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD
r 803 NE 99TH STREET
MIAMI SHORES jul- 22 2015
GOLD RESIDENCE
GUEST B 2
CASE# 10-14-13230
DESCRIPTION OF WORK
ELECTRICAL:
.._ REMOVE AND REPLACE EXISTING CEILING
A WALL MOUNTED LIGHT FIXTURES. (X3)
y REPLACE EXISTING OUTLET TO NEW
GFCI AND LIGHT SWITCH TO NEW.
• • PLUMBING:
12" j 27 1/2" 1 6 REMOVE AND REPLACE TOILET AND
VANITY WITH NEW. CHANGE OUT
EXISTING SHOWER HEAD WITH NEW.
BUILDING:
7' 8#1 REMOVE AND REPLACE EXISTING FLOOR
T AND WALL TILES.
2 - KNEE WALL 42—HIGH INSTALL NEW MIRROR/MED CABINET.
REPLACE WATER DAMAGED DRYWALL
ADJACENT TO VANITY.
APPLY PAINT THROUGHOUT BATHROOM.
...... 24"
iy. . • 20
... SWITCH LOCATION
.. ••••r• FCI LOCATION 45"AFF
5. 9.9
STEADY SUILDM GROUP.INC. ���
2001 BISCAYME BLVD.0117 PMB 19 -IL-2--/f
IAMI
M ,FL 33137 Approved -Date
O:766.275.6600 F:70.375.5373 Disapproved Date
S/lar.-✓ XAfA c./.44v4 AA11-Y�'c AkOW&�
MAY 6 2015
803 NE 99TH STREET!i--%'-.-
MIAMI SHORES
GOLD RESIDENCE
MAY 19 2015
GUEST B
CASE# 10-1413230
DESCRIPTION OF WORK
T ELECTRICAL:
REMOVE AND REPLACE EXISTING CEILING
& WALL MOUNTED LIGHT FIXTURES. (X3)
ATHR()OA RECEP GLVON 20 AMP REPLACE EXISTING OUTLET TO NEW
Nta i.F.I R TECTEI? GFCI AND LIGHT SWITCH TO NEW.
Now,
PLUMBING:
ADD SMOKE,/CAH80 NOXIDE DE i EUl' S. REMOVE AND REPLACE TOILET AND
.
ANY AND ALL ...
N AND RUBBER VANITY WITH NEW. CHANGE'QN.T 0000..
INSULATED CONDO OF'TO BE REP D, " EXISTING SHOWER MEAD WI.TH;I*W. •,
0000.. .. 0000..
0000..
BUILDING: ••••••
7. 959
REMOVE AND REPLA4E0EXIdTlmd FLOi1A•
� � .
s" KNEE WALL az"HIGH - < AND WALL TILES.
0000.. 0000 0000.
.i INSTALL NEW MIRRAIN 1ED CApINET.•••,:•
REPLACE WATER dArAAbED-DRVWAL4•••:•
0000..
ADJACENT TO VANITY.. 0000;
APPLY PAINT THROUGH; U 0.0 0 M. •
(; i•
• 0 0000it ..
p y
SWITCH LOCA i
• • • • • • 4.11 FCI LOCATION 4S"AFF
• 0000
DID
ID
STEADY BUILDERS GROUP, INC.
2001 BISCAYNE BLVD.#117 PMB 19
MIAMI,FL 33137
O:786.275.6800 F: 786.375.5373 --
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