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RC-14-1296
Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-235093 Permit Number: RC-6-14-1296 Scheduled Inspection Date: May 21, 2015 Permit Type: Residential Construction Inspector: Rodriguez,Jorge Inspection Type: Final Owner: , Work Classification: Addition/Alteration Job Address: 121 NE 110 Street MIAMI SHORES, FL 33161- Phone Number (305)400-4842 Parcel Number 1121360040220 Project: <NONE> Contractor: CITY ROOFING AND CONSTRUCTION INC Phone: (305)248-2994 Building Department Comments KITCHEN RENOVATION MASTER BATHROOM Infractio Passed Comments REMODELING NEW TILE FLOORING GENERAL INSPECTOR COMMENTS f=alse INTERIOR REPAIR Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-214435. No access Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. May 20,2015 For Inspections please call: (305)762-4949 Page 36 of 42 ��0.y" 71 -7 091Z ♦5��'Q''ES j' goal u11�� Miami shores Village Building Department filOR1DA 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CERTIFICATE OF OCCUPANCY/COMPLETION CHECK LIST ❑ ilding permit card. 2 ❑ Surveys (2 copies) Final as built-Required Items: Elevations of buildings showing all intended setbacks from property lines and other existing structures. Ingress+ Egress, required parking spaces, Wheel stops, stripping, and all paving to exterior. ❑ Certificate of Elevation—(Sealed by surveyor). Expiration date required on the form. QCertificate of Insulation. ❑ Certificate of Soil Treatment(Final treatment-original)\ CHAPTER 2913-5 TERMITE PROTECTION: "This Building has received a complete treatment for the prevention of subterranean termites.Treatment is in accordance with the rules and law as established by the Florida Department of Agriculture and Consumer Services." ❑ Health Department Approval Letter(On septic or private water). Note: If the house is on septic tank, approval letter is required from Health Dpt. ❑ Soil Compaction Letter(Density report is required) 1z Final certification letter from the Engineer/Architect(on masonry, trusses, special structure, etc) ❑ Backflow preventor certificate (Required on commercial projects only) ❑ Certificate of use. (Recorded in Miami-Dade Clerk of Courts) PLEASE NOTE THAT THE SAME ITEMS ARE REQUIRED FOR TEMPORARY CO • Emergency CO(Without 24 Hrs Processing)Additional fee is$80.00. • Temporary CO(Up to 90 days max) $75.00. • Residential CO fee is$150.00 • Commercial CO is$200.00 MIAMI SHORES VILLAGE Building Department Building Permit No: RC-6-14-1296 Project Name: RESIDENTIAL REMODELING Project Address: 121 NE 110th.STREET. Miami Shores, Fl.33161 I, Mario Famada, as Qualifier for CITY ROOFING AND CONSTRUCTION, Inc. hereby certify that the INSULATION installed in the above referenced project is in accordance with good construction practice and in compliance with the 2010 EXISTING AND RESIDENTIAL edition of the FLORIDA BUILDING CODE, following the Permit Plans,and APPROVED by Inspector of Miami Shores Village on April 7, 2015. Mario Fam da CGC1509365 r SWORN AND SUBSCRIBED before me by �V�. . being personally known to me ( or having produced as identification ' and who being fully sworn and cautioned,states that the foregoing is true and correct to the best of his/her knowledge and belief. 41 C- W b K" Signature of Notary Print Name Date Notary Public: NOTARY PUBLIC STAMP CANDY CABUVERDE My Commission Expires: _: FAY-C&MgWN#EE 837967 .g- ('?,PJRES:SePtxnber24,2016 t;t� Bonaed Ttn Notary Put0i Underwriters OSCAR A. POSADA REGISTERED ARCHITECT - AR 0016550 MIAMI SHORES VILLAGE Building Department Building Permit No: RC-6-14-1296 Project Name: RESIDENTIAL REMODELING Project Address: 121 NE 110th.STREET. Miami Shores, Fl.33161 I,Oscar Posada,Architect in record of the above referred Project, hereby certify that the performed work was done in accordance with the good construction practice,the 2010 EXISTING AND RESIDENTIAL edition of the FLORIDA BUILDING CODE,following Permit Plans and approved by Inspectors of Miami Shores Village. o� O ar Posada,ARCHITECT AR 0016550 SWORN AND SUBSCRIBED before me by �s ,�_ , being personally known to me( )or having produced as identification , G ,and who being fully sworn and cautione ,st tes that the foregoing is true and correct to the best of his/her knowledge and belief. i Signature o Notary Print Name Date Notary Public: NOTARY PUBLIC STAMP ' y9i State of Florida omez on Ea 839239 /2016 My Commission Expires: 9231 SW. 12 St. MIAMI, FLORIDA 33174. (305) 554-1195 ALIOSKAR GANEM, P.E. Lic. # 74745 1380 NE MIAMI GARDENS DR UNIT 245 North Miami Beach—Florida 33179 Phone(786)916-6546 Fax(305)848-9318 alioskar@hotmail.com April 14,2015 Building Official City of Miami Shores 10050 NE 2nd AVE Miami Shores, Fl.33138 RE: INTERIOR REMODELING 121 NE 1101h ST Miami Shores FI. Dear Building Official: I,Alioskar Ganem, P.E.,do hereby attest to the best of my knowledge and professional judgment, that based on a visual inspection at the job site on reference,the existing wood floor joist,are sound and complies with the minimum requirements of the Florida Building Code 2010. My statement is based on inspection of the site and job area, checking the existing conditions of the floor joist and evaluating its structural integrity and connections. Should you have any questions,or need any additional information relating to this project, please do not hesitate to contact me. Sincerely, \1�P.a GAN �����05.• . f��F ° ®,iii �• -74 Z m m :Cr o. :w: ® Alloska F 2 `��`da E. No.\7 4k, .� Pe,�% ^ Miami Shores Village ' , 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 2010 BUILDING (waster Permit No. i1,C I,4- 1216 PERMIT APPLICATION Sub Permit No. F-1 BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS [yCHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: I G• N E� `` Q ,. � T City: Miami Shores /1 County: Miami Dade zip: Folio/Parcel#: 3 _ 1 (D 004 00,4 2 0 Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: µL)t l/IAt Imo- OWNER:Name/(Fee Simple Titleholder): K I AMI Phone#: 20;—ga7-40457 Address: City: WWI State: Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: fZ0Q-F 16(d 90fJSttZ.e M0%1 hone#: 3D5 Z41? ?, ? Address:22 7 eg® t5w lriz C+. City: 1. L 4-1.41 State: i• Zip: 3317 fl Qualifier Name: H iTY&4,0 AC Phone#: 30 6'L If 1� State Certification or Registration#: Certificate of Competency#:A i✓ 146 0 DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: aWA-N S4-- O r7a.-tej`�9 a2, /tel s G `?iD E LJ�5 Specify color of color hru 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$� (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 absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature O NERorAGENT CON The foregoing instrum nt was acknowledged before me this The foregoing instrume t was acknowledged before me this Zday of// 20 2�by � daffy of 20 � � by r,LL44y/4? ki(��L who is personally known to �J /^� 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: NOTARYPUBLIC: Sign: Sign Print: Print: "�e Notary Public State of FloridasW ph, Notary Public State of Florida Seal: *f, Seal: ;P Maxine Y Gomez Maxine Y Gomez f > o` My Commission EE 839239 My Commission EE 839239 Ao° Expires 09!30!2016 Or tv. Expires 09/30/2016 APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) SHOR01 es Gi Miami Shores Village Building Department 0 RtuA 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CHANGE OF CONTRACTOR / ARCHITECT Permit N. li X144, Peol��/ sdwti o o 5 go 7 4045 Owner's Name (Fee Simple Title Holder): Nowln1, 1,&C, Phone#: 9 Owner's Address: 19040 City: 141t+ii ' i"Da4aS State Zip Code: 33 t38 Job Address (Of where work is being done): to City: Miami Shores State:—Florida Zip Code: Contractor's Company Name: OLj� l h'C Phone#: y& �W &4-3 Address: gJg4i5' NW 67 PL City: Vl241IN ! A4i1jwg�-)S State: I'li Zip Code: "53 f 6 Qualifier's Name:J4i-AF-A- C 140APEM-0 Zzl Lic. Number: GG C 15 1 2 (o(o Architect/ Engineer of Record Name:TD 7,C944 K) Phone#: Address: City: State: Zip Code: Describe Work. hereby certify that the work has been abandoned and/or the contractor/architect is unable or unwilling to complete the contract. 1 hold the Building Official and the Miami Shores harmless of all leg involvement. Signature Signature ;T1, Owner or�� t Contractor or Architect The foregoing instrumen:laos aknowledged before me The foregoing instr4:�as knowledged bef re m Is– this �-3 day of '20` y "� this ��_day of , 20 by Who is personally known to a who has produced who is personall me or who has produced as indentification. as indentification. Notary Public Notary Public; Sign: Sign: Seal: W"I'); 00% Notary Public State of Florida Seal: :off°�e Notary Public State of Florida Maxine Y Gomez Maxine Y Gomez My Commission EE 839239 �` MY Commission EE 839239 Expireso9/3ol2018 orad Expires 09/30/2016 Date CERTIFICATE OF LIABILITY INSURANCE 1/8/2015 Producer: Plymouth Insurance Agency This Certificate is issued as a matter of information only and confers no 2739 U.S. Highway 19 N. rights upon the Certificate Holder. This Certificate does not amend,extend Holiday, FL 34691 or alter the coverage afforded by the policies below. (727)938-5562 1 Insurers Affording Coverage NAIC# insured: South East Personnel Leasing, Inc. &Subsidiaries Insurer A: Lion Insurance Company 11075 2739 U.S. Highway 19 N. Insurers: Holiday, FL 34691 Insurer C: 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,tens 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 terns,exclusions,and conditions of such policies.Aggregate limits shown may have been reduced by paid claims. INSR ADDL Policy Effective Policy Expiration Limits LTR INSRD Type of Insurance Policy Number Date Date (MM/DD/YY) (MM/DDNY) GENERAL LIABILITY Each Occurrence $ Commercial General Liability Damage to rented premises(EA Claims Made 0 Occur occurrence) $ Mad Exp Personal Adv Injury General aggregate limit applies per: General Aggregate Policy ❑Project ❑ LOC Products-Comp/Op Agg AUTOMOBILE LIABILITY Combined Single Limit (EA Accident) Any Auto Bodily Injury All Owned Autos (Per Person) Scheduled Autos Hired Autos Bodily Injury Non-Owned Autos (Per Accident) Property Damage (Per Accident) EXCESS/UMBRELLA LIABILITY Each Occurrence Occur ❑Clains Made Aggregate Deductible A Workers Compensation and WC 71949 01/01/2015 01/01/2016 X WC Statu- OTH- Employers'Liability I tory Limits ER Any proprietor/partner/executive officer/member E.L.Each Accident $1,000,000 excluded? NO E.L.Disease-Ea Employee $1,000,000 If Yes,describe under special provisions below. E.L.Disease-Policy Limits $1,000,000 Other Lion Insurance Company is A.M.Best Company rated A-(Excellent). AMB#12616 Descriptions of Operations/LocationsNehicies/Exclusions added by Endorsement/Special Provisions: Client ID: 36-65-190 Coverage only applies to active employee(s)of South East Personnel Leasing,Inc.&Subsidiaries that are leased to the following"Client Company": City Rooting and Construction Inc. Coverage only applies to injuries incurred by South East Personnel Leasing,Inc.&Subsidiaries active employee(s),while working in:Fl- Coverage LCoverage does not apply to statutory employee(s)or independent contractors)of the Client Company or any other entity. A list of the active employee(s)leased to the Client Company can be obtained by faxing a request to(727)937-2138 or by calling(727)938-5562. Project Name: MARIO FAMAD(LICENSE CGC1509365)AS QUALIFIER /ISSUE 01-08-15(MT) in Date 1/24/2013 CERTIFICATE HOLDER CANCELLATION CITY OF MIAMI SHORE VILLAGE Should any of the above described policies be cancelled before the expiration date thereof,the Issuing Insurer will endeavor to mail 30 days written 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. 10050 NE 2ND AVE MIAMI SHORES, FL 33138 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (950) 437-1395 j 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0733 FAMADA,MARIO CITY ROOFING INC 22700 SW 172 CT MIAMI F1.33170 Congtulationsl With this license you become one of the Orly 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, DEPA 2T OF BUSINESS AND and they keep Florida"s economy strong. P m � iii TION Every day we work to improve the way we do business in order to CGC1609365 4 71f3312C11 serve you better. For information about our services,please log onto v r.myfforidaticense com. There you can find more Information C-R #FiEl3 G about our divisions and the regulations that impact you,subscribe to department newsletters andel learn more about the Department's �. initiatives. #T Y RC}®Flim 3 , r Our mission at the Department is:License Efficiently,Regulate Fairly. We constantly strive to serve you better so that you can serve your d customers. Thank you for doing business in Florida, Wr is-CE or cti ess .s. and congratulations on your now license9 'Ll r407 µ DETACH HERE RICK SCt 3rF;-G0V l - KEN LAWSON,SECRETARY STATE:OF FLORIDA DE 3ARTMENT Oi=`OUS S$AND PRQ(~M$I0NAL ftdULATION $`DRUG IUS`Titt L St 13CA, ro . , )GENERAI NT2A�T0R below IS gRTI #ED i l ae, r Isioll i�#"ChapEer 4i%FS,. Explrefaon.clale Aa..-�,1a 2fii1$ " �E_- x � F "AR46' � � 4 SMTNR k Y t {_LY ._ .A _: , _ .,.,: - ISSUED 0710302014 DISPLAY AS REQUIREDBY LAW SEQ# L1407030001037 � ) Miami Shores Village � ,1 �-'- � � 'AY�� J Building Department MAS 95 I 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 iBY. Tel:(305)795-2204 Fax:(305)756-8972 SPECTfO (305)762-4949 FBC 20 1 BUILDINGMaster Permit No. PERMIT APPLICATION Sub Permit No. RC 66112 FG BUILDING ❑ ELECTRIC ❑ ROOFING VISION ❑ EXTENSION [:]RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: / ( �V �l D / ( e(Pe City: Miami Shores County: Miami Dade Zip: 33,161 Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: / � Flood Zone: / BFE: FFE: OWNER:Name Fee Simple Titleh/older): 91 ?,e Address: q o /v � z �� City: State: Zip: Tenant/Lessee Name: Phone#: Email: �I CONTRACTOR:Company Name: �� ©�/44 1T w V ' T.Aone#: �705 a? I oG 77161 Address: j9.27 0 S !7.2 City: Aim—; State: G- Zip: 3 �y Qualifier Name: �' 9 F4M4 /+ Phone#: State Certification or Registration#: 5-0 11 Certificate/of Competency#: DESIGNER:Arcchiitect/Engineer: 0411ne P 0 ;! J Ue 'Z, 54y�ocl( Address: I,2 'f' 13 5 t4) City: State: Zip: Value of Work for this Permit:$ f o o 0 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: Pv' S,`o v 4-o eta ee Ae Specify color ofllor 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$ (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 absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature OWNER or AGENT d69TRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was cknowledged before me this day of t 20 J�E by day of -,20 l S , by Awho is personally known to r�. ,who is personally known to me or who has produced as me or who has produced as identification and wh did take an oath. identification and wh take an oath. NOTARY PUBLIC: NOTARY PUBLI jp P&- MNotary Public State of Florrda Sign: �f o� Notary Public State of Florida Sign: t axine Y Gomez 839239 o�Q My Commission EE 839239 Print: �`�� fires 09/3012916 Print: �i Seal: Seal: APPROVED BY JS Plans Examiner Zoning ID115� Structural Review Clerk (Revised02/24/2014) yRc Eng ( neering , enc s = _ a ® www.skyrockeng.com ANSWER TO BUILDING DEPARTMENT STRUCTURAL COMMENTS FOR WALL REPAIR AT 121 NE 110th. STREET, MIAMI SHORES, FLORIDA i PREPARED BY: AIMEE RODRIGUEZ, PE. LICENSE No. 69701 CA No. 29652 ® /� Phone:786.285.7157 Fax:305.258.3345 Email:aimee@skyrockeng.com ANSWER TO BUILDING DEPARTMENT STRUCTURAL REPAIR COMMENTS 1) Please, dimensions of wall have been specified on drawings. 2) In order to clarify, the purpose of this repair is to correct a construction mistake observed during building department inspection. By mistake the contractor instead of pour a raked beam he pour an 8" x 16" concrete beam and fill with C.M.U. block until the roof. Nevertheless the existing beam dimension is complying with the minimum dimension specified on approved drawings 8"x16" min. Please, see attached picture showing existing condition. The only thing we are doing with this repair is removing the CMU block on top of the concrete beam and pouring a new concrete wall. The existing condition is according with the approved construction document except for what I mentioned above; therefore shoring is not required in this case. Additionally, this wall is not a bearing wall. The existing roof rafters are parallel to the wall; therefore this wall is only taking wind loads. :F + s. , r d a F?e LE Nom. �y of n v � S " u , �r yr �x ,ts,43'y� i E t ny 4 7r t s vi. M _.,.�.'4 4 .}. S "v3.'4�-�'W'�F'.•sv�E+��. � i ,f ...� '� .. s ® Ski ock n In erInas � nc 0. ,_ E �c ®,_e -- www.skyrockeng.com RL'VISIOMLO March 17, 2015 To: Building Official(s) Miami Shores Village Building Department OF #' 10050 N.E.2nd Avenue . ;„ -„ • ...Miami Shores, Florida 33138 •: Re: ' 121 NR 1,10;Street, Miami Shores, Florida. "" '.••.eater, Apall Repair Details ...... MAR Y �91� .. .. ...... OO DeA;Sir' Based on a visual inspection of site conditions and calculations, the exterior wall at family room area shall be repaired based on the attached repair details. Please, if you have any question, do not hesitate to call me at your convenience. Thanks for your attention. Si.11?37 J Aimee Rodriguez, PE 69701 Phone:786.285.7157 Fax:305.258.3345 Email:aimee@skyrockeng.com