The URL can be used to link to this page

RC-15-1902 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-244194 Permit Number: RC-7-15-1902 Scheduled Inspection Date: October 01, 2015 Permit Type: Residential Construction Inspector: Rodriguez,Jorge Inspection Type: Final Owner: BROWN, BRUCE Work Classification: Alteration Job Address:402 NE 95 Street Miami Shores, FL 33138- Phone Number (305)758-1303 Parcel Number 1132060140470 Project: <NONE> Contractor: CORNERSTONE GENERAL CONTRACTORS Phone: (772)985-4149 Building Department Comments 1 BATHROOM REMODEL REMOVE & REPLACE Infractio Passed Comments SHOWER, WALLS & CABINETS 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 30,2015 For Inspections please call: (305)762-4949 Page 18 of 32 \\i° aoas�, Miami Shores Villagestr�trr! ` 10050 N.E.2nd Avenue NE • "'"�' Miami Shores,FL 33138-0000 + \ t,. J7� Phone: (305)795-2204 �• � �8f8/2r1 Expiration: 02/14/2016 Project Address Parcel Number Applicant 402 NE 95 Street 1132060140470 Miami Shores, FL 33138- Block: Lot: BRUCE BROWN Owner Information Address Phone Cell BRUCE BROWN 402 NE 95 Street (305)758-1303 MIAMI SHORES FL 33138-2730 Contractor(s) Phone Cell Phone Valuation: $ 3,500.00 CORNERSTONE GENERAL CONTRAC (772)985-4149 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: BATHROOM REMODEL REMOVE& Occupancy:Single Family Framing Stories:2 Exterior: Insulation Front Setback: Rear Setback: Drywall Screw Left Setback: Right Setback: Fill Cells Columns Bedrooms:3 Bathrooms:3 Window and Door Buck Plans Submitted:Yes Certificate Status: Review Planning Certificate Date: Additional Info: 1 BATHROOM REMODEL REMOVE Review Electrical Review Electrical Bond Return: Classification:Residential Review Building Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Review Building CCF $2.40 Review Plumbing DBPR Fee $2.00 Invoice# RC-7-15-56511 Review Plumbing DCA Fee $2.00 08/18/2015 Credit Card $77.40 $50.00 Review Structural Education Surcharge $0.80 07/29/2015 Cash $50.00 $0.00 Review Mechanical Permit Fee $105.00 Scanning Fee $12.00 Technology Fee $3.20 Total: $127.40 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. Futhermore,I authorize the above-nap2q contractor to do the work stated. U ,t'p� ��'�--°'J August 18, 2015 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy August 18,2015 1 Miami Shores Village �.rvFD Building Department JUL 29 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 FBC 20)LI 54h 64 BUILDING Master Permit No. �c 1. P5RMIT APPLICATION Sub Permit No. CS�BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION 16RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTO DRAWINGS JOB ADDRESS: C� /T� '"I✓ City: Miami Shores County: Miami Dade zip: 1 Folio/Parcel#: II—,�i�C � "�O/�'D7© Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholder): �<-(J Phone#: Address: tom . L �^ City: © = State: Zip: Tenant/Lessee Name: Phone#: Email: `� CONTRACTOR:Company Name:C` /� C�2 �IC�-� � 7 7Z 9 s G� �9 Address: ZI 5U 5V) 1jd¢6l4#R 14VE. City: 12Q1�l 5WbV7LUC)zi State: Zip: Qualifier Name: S E v6—R 6441 -T©AIESCcl Phone#: State Certification or Registration#: eS 6 C Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value Qf-Work for this Permit, - ,S©i Square/Linear Footage of Work: Type of Work ❑' Additions ;Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: /WAcJs 10 �--•. ,i i ti e�� /'��nil � �-�Yd �� Specify tolof.of. color thru tile: Submittal Fee$ o �i• Permit Fee$ )�7) CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ •`T n (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 asindicated. 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 thstandards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELE TRIC, 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 v�ill 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 bract ure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commence ent must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the c bsence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature G� — Signature OWNE or A NT CONT ACTOR The foregoing instrument was ac nowledged before me this The foregoing instrument was acknowledged before me this ® day of -:SV20 ► S by t�7 day of til14 20 1 r by who is personally known to Sktti ,�l3 I 0 N ESS: ,who is personally known to me or who has produced as me or who has produced I 5-Z IWO n �L �'LVCQ— identification and who did take an oath. identification and who dill., ath. , T(W7 t Yr 001MIEMON•E c NOTARY PUBLIC: \� ��iii�ii�/�//i�, NOTARY PUBLIC: � �� •,; SJU�i�11,2C� I Sign: = "o a::CP', Sign: rn � D Print: itOPrint: Seal: <0..°<< .....` Seal . ' ilius tll,EpH 'illil-1111 - V APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CGC 1511918 ISSUED: 07/27/2014 CERTIFIED GENERAL CONTRACTOR IONESCU,SEVERIAN M CORNERSTONE GENERAL CONTRACTORS AN IS CERTIFIED under the provisions of Ch.489 FS. Expiration date:AUG 31,2016 L1407270002304 s a...rww..rr�if _ �rwwr ii BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895—954-831-4000 VALID OCTOBER 1,2014 THROUGH SEPTEMBER 30,2015 DBA:CORNERSTONE GENERAL CONTRACTORS & Receipt#:GENE AIL CONTRACTOR (GENERAL:, Business Name:REALTY INC Business Type:CONTRACTOR) Owner Name:SEREVIAN M IONESCU Business Opened:09/27/2006 Business Location:200 SE 4 TERR State/County/Cert/Reg:CGC1511918 DANIA BEACH Exemption Code: Business Phone:954-263-0434 Rooms Seats Employees Machines Professionals 1 For Vending Business Only Number of Machines: Vending Type: Tax Amount Transfer Fee NSF Fee PenaltyPrior Years Collection Cost Total Paid 27.00 0.00 0.00 1 4.05 0.00 1 0.00 31.05 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Broward County and is non-regulatory in nature.You must meet all County and/or Municipality planning WHEN VALIDATED' and zoning requirements.This Business Tax Receipt must be transferred when the business is sold, business name has changed or you have moved the business location.This receipt does not indicate that the business is legal or that it is in compliance with State or local laws and regulations. Mailing Address: SEREVIAN M IONESCU Receipt #04B-14-00001516 2198 SW JAGUAR AVE Paid 11/17/2014 31.01 PT ST LUCIE, FL 34953 2014 - 2015 <yy=: R BR0WA'RD-C0t1NW i.6( AV 14111§hIFSS`Ti 'P �. JUL/20/2015/TUE 01 : 04 PM COMEGYS INSURANCE FAX No, 727 528 0626 P, 002/002 AC<:>R ® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) F7/28/2015 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: Jennifer Lynch Comegys Insurance Agency PHOAIC No Ext: 727)521-2100 FAX No): (727)528-0626 E-MAIL jenniferl@comegys.com ADDRESS: gY One Beach Drive S. E. Ste. 230 INSURER(S)AFFORDING COVERAGE NAICf Saint Petersburg FL 33701 INSURERA:United Specialty Insurance Company INSURED INSURER B: Cornerstone General Contractors and Realty, Inc INSURERC: 2198 SW Jaguar Avenue INSURERD: INSURER E: Port St Lucie FL 34953 INSURERF: COVERAGES CERTIFICATE NUMBER:15-16 GL 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. LTR TYPE OF INSURANCE POLICY NUMBER MM�DDY EFF MMIDDY EXP rYYYYi LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURREHLNNCE $ 1,000,000 A CLAIMS- ADE Ex OCCUR I LU PREMISES Ea occurrence $ 50,000 SI11003B0301701 4/10/2015 4/10/2016 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEML AGGREGATE LIMIT APPLIES PER: POLICY D PRO- [DGENERAL AGGREGATE $ 2,000,000 X ..ECT LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: Blanket Additional Insured $ Included AUTOMOBILE LIABILITY CO BI EDSIN=MII Ea accident $ ANY AUTO ALL OWNED SCHEDULED BODILY INJURY(Per person) $ AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED AUTOS PROPERTY DAMAGE AUTOS Peraccident $ UMBRELLA OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION$ WORKERS COMPENSATION $ AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N STATUTE ERH OFFICER/MEMBER EXCLUDED? ❑N/A E.L.EACH ACCIDENT (Mandatory In NH) $ If yes,describe under E.L.DISEASE-EA EMPLOYE $ DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Severian Ionescu License Number: CGC1511918 CERTIFICATE HOLDER (305)756-8972 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 2nd Ave Miami Shores, BZ 33138 AUTHORIZED REPRESENTATIVE Paul Smet/PAUL ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD �s via JEFF ATWATER CHEF 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: 6/11/2015 EXPIRATION DATE: 6/10/2017 PERSON: IONESCU SEVERIAN M FEIN: 204429847 BUSINESS NAME AND ADDRESS: CORNERSTONE GENERAL CONTRACTORS AND REALTY INC 2198 SW JAGUAR AVE. PORT SAINT LUCIE FL 34953 SCOPES OF BUSINESS OR TRADE: LICENSED GENERAL CONTRACTOR Pursuant to Chapter 440.05(14),F.S,an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this sect,on may not recover beneras 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 Bated on the notice of election to be exempt.Pursuant to Chapter 440.06(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 certificate. the person named on the notm or cemifieate no longer meets the requirements of this section for issuance of a cen/ieale.The department shall revoke a DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS?(850)413-1609 Date: July,29t1h, 2015 Cornerstone General Contractors & Realty Inc CGC 1511918 2198 SW JAGUAR AVE, PORT SAINT LUCIE, FL 34953 PH: 772.985.4149 State of Florida County of Broward Before me this day personally apperead Severian Ionescu who, being duly sworn, deposes and says that he or she will be the only person working on the project located at 402 NE 95TH ST MIAMI SHORES, FL 33138. Sworn to (or affirmed) and subscribed before me this 29th day of July, 2016, by Severian Ionescu. Personally known OR Produced identification 1�`'�20-7dPQ-iS �D Type of Identification Produced HINARA WWA MY COMMISSIONS EE2=n EXPIRES JU M t 7,2014 N1W)3l64ti1 rows A Print,Type or Stamp name of Notary SHtp 193 e... ..,.. Miami shores Village � rim Building Department 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 and has acknowledge that he or she will not use day labor,part-time employees or subcontractors for your project.The contractor has provided an affidavit stating that he or she will be the only person allowed to work on your project.In these circumstances,Miami Shores Village does not require verification of workers'compensation insurance coverage from the contractor's company for day labor,part-time employees or subcontractors. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: lf Own r State of Florida County of Miami-Dade The foregoing was acknowledge before me this day of w 20 BY Q—'`�'�L- ` '""\\ 1 1 i�l1111111_who is personally known to me or has produced �!(�L .�`� as ilii tion. Notary: _rn - SEAL: _® %,.lOQ�