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RC-14-1548 Miami Shores Village -E] Qxro y� �, �`��' Building Department JUL i� 204 ivl� 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 FBC 20101x BUILDING Master PermitNo. PERMIT APPLICATION Sub Permit No. F ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL PUBLIC WORKS CHANGE OF CANCELLATION SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 99 City: Miami Shores County Miami Dade Zia• Folio/Parcel#: I/—i52016*—0e-1 -04 00 Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder)• �`1 t14 - Phone#: Address: Q City: State: Zip: Tenant/Lessee Name: Phone#: x(06" 2z— 4 Email: -,E� "C CONTRACTOR:Company Name: (/� �� � '�i o °'�� Phone#: z;� � a-77 Address: (?V AIW e? Allg City: 'W; State: �� Zip: Qualifier Name: Phone#: X0'2 X 77-7 State Certification or Registration#: 60& /,519 "777 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 teration ❑ New ❑ Repair/Replace ❑ Demolition c Description of Work: 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$ 110 0 0 14. O (Revised02/24/2014) J 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 .04 VI lrq/el r A- .e-, ER or AGENT CONTRACTOR The foregoong instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 3� day of cJ U tA e 20 by day of 20_d� by V1 1(x.1 '' r� -� o WP-"ho is personally known to ��I'-� , ?G��7Z_ who is personally known to me or who has produced �� as me or who has produced V::� - as identification and who did take a oat=Notary HppR nti cation and who did take an oath tate of \'�oxk►uiNOTARY PUBLIC: PUBLIC: �S AtEE198 s May 14,2016 `� p Sign: Sign: - ` mrri _ Print: Print: Seal: Seal: r,,nin n n►►►►� f APPROVED BY flans Examiner -/ Zoning Structural Review Clerk (Revised02/24/2014) i I ' ,5t10RES .,. Miami Shores Village ,. y Building Department tpRrpA 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.In these circumstances,Miami Shores Village does not require verification of workers'compensation insurance coverage from the contractor's company. Therefore, oy u may be personally liable for the worker compensation injuries of M person 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: 01KA I.WaPrint Name: Signature: Sig r N�ry State of Florida) "�jssidaCounty of Miami-Dade) My m 00iami-Dade) Sworn t subscribed before me is d subscribed befor \Q* day of ,20 day of S '2 \,�`� �`'� e�j���%,moi By G By (SEAL) '�' �� J 11 (SEAL) = F l Type of Identification produced Type of Identification proms, os �.• KENN .....M Miami shores Village Building Department RNA 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION ALL CONTRACTORS MUST PROVIDE COPIES OF LICENCES AND INSURANCES EACH TIME A PERMIT IS SUBMITTED. 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* 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 B. COPY OF STATE REGISTERED CONTRACTOR LICENSE OR MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT. C. COPY OF LIABILITY INSURACE* D. COPY OF WORKERS COMPENSATION INSURANCE* *YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE AS FOLLOW: Certificate Holder: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 Certificate must specify the description of operations or contractor license number. 0 BUSINESS NAME: ` I.1f/ BUSINESS ADDRESS: c9e NV 6� � �®• 4V'5 CITY STATE Jc:2� ZIP CODE/ BUSINESS PHONE: ( ?�9< ) 970 4777 FAX NUMBER�) CELL PHONE g�®� 9-70 4 7a? O QUALIFIER'S NAME: QUALIFIER'S LIC NUMBER: 6(v,6 1�%1 77,7 O _ .�Q—g viawo. JEFF ATWATER CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS'COMPENSATION **CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS'COMPENSATION LAW** CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers'Compensation law. EFFECTIVE DATE: 2/7/2014 EXPIRATION DATE: 2/7/2016 PERSON: PEREZ JOEL FEIN: 260287062 BUSINESS NAME AND ADDRESS: VERSATILE STRUCTURE INC 20 NW 87 AVE#A218 MIAMI FL 33172 SCOPES OF BUSINESS OR TRADE: LICENSED GENERAL CONTRACTOR-PROJECT CONTRACTOR MANAGER,CO Pursuant to Chapter 440.05(14),F.S.,an officer of a corporation who elects exemption from this chapter by filing a certificate or election under this section may not recover benefits or compensation under this chapter.Pursuant to Chapter 440.05(12),F.S.,Certificates of election to be exempt..apply only within the scope of the business or trade listed on the notice of election to be exempt.Pursuant to Chapter 440.05(13),F.S.,Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if,at any time after the filing of the notice or the Issuance of the cerBficate, the person named on the notice or certificate no longer meets the requirements of this section for Issuance of a certificate.The department shall revoke a DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 07-12 QUESTIONS?(850)413-1609 Local Business Tax Receipt Miami—Dade County, State of Florida —TMS IS NOTA BILL—DO NOT PAY 6801980 LBT BUSINESS NANIEILOCATION RECEnaT NO. EXPIRE S T� M1N0NW RENEWAL SEPTEMBER 30, 2014 20 87 AW A218 7076668 MWA,FL 33172 Must be displayed at place of business Pursuant to County Code Chapter 8A—Art.9&10 OINNER SEC.TYPE OF BUSINESS .SRjCRM1N'. 196 GENERA.BULONG PAYMENT RECEPJED ODOR BY TAX COLLECTOR wa ws) 1 opt 518771 8250 10/1512013 02214 4-000249 This Local BmdaessTax"to*coaiUms yaymeatdthe L"A Bxaixess TaxTho Receipt is xot a Rconse, pon k era codweadoa d tin Inldm's gaaRieadoxs,b do ham.udder spot Comply wits tray sommostal m wssaverarmeatd aesxl"lamand realainstestawbicb q*Is tin bxshM& The RECERT NO above mast be displayed an 06 eommmeN voiielos—MiNd ladeCode Sec 8r-276 Far mote khmation.vidtwN dads wotrllaxeelleetm DEPARTMENT OF PLANNING AND ZONING CERT NO: 2011060442 SEC: 4 TWP: 54 RNG: .40 PROCESS NO: U2011014560 FOLIO: 3040040540001 ZONE: RU FEE: $23. 78 MAILING ADDRESS/CONTACT PERSON: CORP NAME/D/B/A AND ADDRESS: 1 VERSATILE STRUCTURE INC VERSATILE STRUCTURE INC 20 NUJ 87 AVE - VERSATILE STRUCTURE INC MIAMI, FL 33172- TAW 87 AVE BUSINESS USE: HOME OFF TCS USE SPECIFICS: HOME OFFII e COND T T I ONS: NO COMM V El�J,"EM0,t, 1-S/ S-161-t�'ftCUS�)QMERS„. LEGAL DESCRIPTION: GARKi` A ' COiDO , - FON N LEAU,a PARK SU 'r 'E DATE OF CU ISSUANCE.- 10/1j /2013 RENEWAL=' THIS CERTIFICATE M U Su P O S r 4 r� - T 4 REM I SES. h, TIME AS STATED THIS CERTIFICATE OF U ? _F# >, 4_ ' BELOW PROVIDED THERE RE i `Ea IT+ E, `BUS I iVESS NAME OR ; OWNERSHIP. ALSO, THERE M Y B1111_ _ f~r# 1SMON 1Lt RAT I NS OR ADDITIONS TO ; THE APPROVED USE. ALL CH,AGI=a-L � It# 1EQtA RE ISSUANCE OF A NEW CERTIFICATE OF USE. r� t r, ^� .. THIS CERTIFICATE EXPIRE V,'" : THIS CERTIFICATE OF USE DOES NOT TZEL'I E LI ANT FROM COMPLIANCE WITH ANY FEDERAL, STATES OR LOCAL= ETIil . YOU ARE ALSO REQUIRED TO , ALLOW ZONING INSPECTIONS AT ANY REP' TIME BY REPRESENTATIVES OF ,, THE DEPARTMENT. FOR MORE INFORMATION, PLEASE CONTACT THE ZONING PERMIT SECTION AT (786) 315-2666. IN ADDITION TO THE ZONING PERMIT SECTION, °, APPLICANT MUST ALSO CONTACT THE BUILDING DEPARTMENT AT (786) 315-2100 FOROCCUPANCY REQUIREMENTS AND LOCAL BUSINESS TAX RECEIPT AT pp 3 4 305) 270-4949. 10/15/2013 13: 10 YDENIS 281310150031 TCPM937C CENTRAL 23. 78 RICK SCOTT,GOVERNOR KEN LAWSON,SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARDS -`fico �•r moi ��CGCM8777' The GENERAL CONTRACTOR Named below IS CERTIFIED Under theovisions of ter 489 FS. !N Chapter Expiration date: AUG 31,2016 PEREZ, JOEL L •a i� VERSATILE STRUCTURE '1NC. 20 NW 87 AVE#A218 MIAMI FL 33172` ISSUED: 05107/2014 DISPLAY AS REQUIRED BY LAW SEQ# L1405070000979 I � CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 06/23/14 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 policypes)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 MARTA M ALONSO NAME: Florida Bankers Insurance PHONE 305)266-6493 FAX No; (305)262-0679 7278 SW 8 StreetE-MAIL manta@floridabankersinsurance.com Miami,FL 33144 INSURERS AFFORDING COVERAGE NAIC d Phone (305)266-6493 Fax (305)262-0679 INSURER A: FEDERATED NATIONAL INSURED INSURER B VERSATILE STRUCTURE INC INSURER C: 20 NW 87 AVE STE.A-218 INSURER D: MIAMI,FL 33172 (305)970-4777 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 CONTRACTOR 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. INS TYPE OF INSURANCE ADD SUBR POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER (MM/D M D GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000.00 © GE TO RENTED COMMERCIAL GENERAL LIABILITY PREM SES Me o=encs $ 100,000.00 ❑ ❑ CLAIMS-MADE d❑ OCCUR GL-0504011336-00 MED EXP(Any one person $ 5,000.00 A ❑ N 10/19/2013 10/19/2014 PERSONAL B,ADV INJURY $ 1,000,000.00 ❑ GENERAL AGGREGATE $ 2,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000.00 © POLICY El PRO ❑ LOC1 1 $ AUTOMOBILE LIABILITY OMBINED SINGLE LIMIT FEa accident ❑ ANY AUTO BODILY INJURY(Per person) $ ❑ AUTOS NED ❑ AUTOS ULED BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE F-1HIREDAUTOS ❑ AUTOS Per $accident ❑ ❑ $ ❑ UMBRELLA LIAR ❑OCCUR EACH OCCURRENCE $ ❑ EXCESS LAB ❑CLAIMS-MADE AGGREGATE $ ❑ DED ❑ RETENTION $ WORKERS COMPENSATION 1:1 W C YTATU- ❑OTH- AND EMPLOYERS'LIABILI Y Y/N 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 DESG�RIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more apace Is required) CGC 1518777 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 BUILDING DEPARTMENT ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2 AVE AUTHORIZED REPRESENTATIVE - MIAMI SHORES,FLORIDA 33138 117188.bmp @ 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05)OF The ACORD name and logo are registered marks of ACORD Miami Shores Village �° >> T � ` Building Department MAR 25 Zo,S ''� • 10050 N.E.2nd Avenue, Miami Shores,Florida 33138 ; Tel:(305)795-2204 Fax:(305)756-8972 - INSP UMBER:(305)762-4949 IBC 20 l� BUILDING SnON Master Permit No. R C i 11 - I Sqe� PE MIT APPLICATION Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP ( �y CONTRACTOR DRAWINGS JOB ADDRESS: City: Miami Shores County: Miami Dade Zi : Folio/Parcel#:` Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE::1 OWNER:Name(Fee Simple Titleholder): J'1 Phone#: 's Address• � City: l >� State: Zip:_3 /U2 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: V16 &GVjge.,��� Phone#: 177 Address: P10 b7 AL11 eA A-Zl ig City: 7 °®_ State: fz Zip: �r�� Qualifier Name: Y Phone#: 970 4 777 State Certification or Registration#: c6&- /5/07a Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ —!5Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ A�lteerrattioon` ❑ New ❑ Repair/Replace ❑ Demolition Description of or c:' —,.', F,iliiQ�$SC 9�r:at: ;++itla^e'F,irt-: _t¢2.h k4f aAIf,. PEPt:+ ...; . t S ",.'i0. .. Specify co o cod'or r i i iH. e Submittal Fee$ 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$._2P 4 • CZ) (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 abse a of such posted notice, the inspection will not be appy d and a reinspection fee will be charged. Signature Signature N ER or AGENT 17 CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of // ,20 , by `2-� day of 20 l�7 by L� ('wo is personally known to .who is personally known to me or who has produced ` j�if� as me or who has prod ` as identification and who did take an oath. identification a ho did take an oath. NOTARY PUBLIC: NOTARY PUBLI Sign: � 03�B �°% Sign: JQEL L.PER _Vle Print: Cn Co 4*'. = Print: 'r�•, Seal: =�e F��yBMW OS°' Seal: �;+ Commfs�ion =AWL AIL 0* ' 00��`�� 7,_ 1 APPROVED BY Plans Examiner Zoning v� �J Structural Review Clerk (Rmis, 02/24/2014) Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-244199 Permit Number: RC-7-14-1548 Scheduled Inspection Date: September 25, 2015 Permit Type: Residential Construction Inspector: Rodriguez,Jorge Inspection Type: Final Owner: WEBER,STEVEN&VIRGINIA Work Classification: Alteration Job Address:1214 NE 92 Street Miami Shores, FL 33138- Phone Number (631)379-8547 Parcel Number 1132050270480 Project: <NONE> Contractor: VERSATILE STRUCTURE INC Phone: (305)370-4777 Building Department Comments KITCHEN RENOVATfON 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 24,2015 For Inspections please call: (305)762-4949 Page 26 of 34