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RC-15-1456 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-248465 Permit Number: RC-6-15-1456 Scheduled Inspection Date: November 30,2015 Permit Type: Residential Construction Inspector: Rodriguez,Jorge Inspection Type: Final Owner: SWICK, KATHY ANN & BOB Work Classification: Alteration Job Address: 138 NE 92 Street Miami Shores, FL 33138- Phone Number Parcel Number 1132060133270 Project: <NONE> Contractor: ZABET BUILDERS INC Phone: (786)320-6740 Building Department Comments BATHROOM REMODELING Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction ❑ Needed Re-Inspection a Fee No Additional Inspections can be scheduled until re-inspection fee is paid. November 25, 2015 For Inspections please call: (305)762-4949 Page 27 of 36 f \\\ +yKon{ Miami Shores Village 10050 N.E.2nd Avenue NE \\ Miami Shores, FL 33138-0000 Phone: (305)795-2204 r \ i rr Exp' aton• 02/21/2016 Project Address Parcel Number Applicant � 138 NE 92 Street 1132060133270 Miami Shores, FL 33138- Block: Lot: KATHY ANN&BOB SWICK Owner Information Address Phone Cell KATHY ANN&BOB SWICK 138 NE 92 Street MIAMI SHORES FL 33138-2814 Contractor(s) Phone Cell Phone Valuation: $ 8,875.00 ZABET BUILDERS INC (786)320-6740 ., 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 REMODELING Occupancy: Framing Stories: Exterior: Insulation Front Setback: Rear Setback: Drywall Screw Left Setback: Right Setback: Fill Cells Columns Bedrooms: Bathrooms: Window and Door Buck Plans Submitted:Yes Certificate Status: Review Planning Certificate Date: Additional Info: Review Electrical Bond Return: Classification:Residential Review ElectricalReview Electrical Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Review Structural CCF $5.40 Review Mechanical DBPR FeeInvoice# RC-6-15-55966 Review Building $3.99 08/25/2015 Check#:801 $255.63 $50.00 DCA Fee $3,99 Review Building Education Surcharge $1.80 06/15/2015 Credit Card $50.00 $0.00 Review Plumbing Notary Fee $5.00 Review Plumbing Permit Fee $266.25 Scanning Fee $12.00 Technology Fee $7.20 Total: $305.63 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 AFFI VIT: I certify that alt the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction zoning. F thermor I authori the above-named contractor to do the work stated. M1 August 25, 2015 ut orized S' ture:Owner / Applicant / Contractor / Agent Date Building Department Copy August 25,2015 1 Miami Shores Village pFCF-,T—VR:ffD - V'!�" (-�`�5 Building Department JUN, 15 2015 10050 N.E.2nd Avenue, Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 :BY'. INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 /d BUILDING Master Permit No. PERMIT APPLICATION Sub Permit No. 9*11-DING M ELECTRIC F--j ROOFING F-1 REVISION EXTENSION E]RENEWAL [:]PLUMBING F-1 MECHANICAL [PUBLIC WORKS M CHANGE OF CANCELLATION 0 SHOP JOB ADDRESS: Ivie 172'VO4 CONTRACTOR DRAWINGS City: Miami Shores County: Miami Dade Zip: 53139 Folio/Parcel#: Is the Building Historically Designated:Yes-NO Occupancy Type: Load: Construction Type:_Flood Zone: BFE: FFE:- OWNER:Name(Fee Simple Titleholder), Phone#:.g Address:- J5 ShState: City: tlk-c Zip: Tenant/Lessee Name: Al A Phone#: Email: .q Yet i c'i I r ; Q a o t cy rn CONTRACTOR:Company Name: 744a - J3�,'�kAtV (--Phone#: b?j& Address: / 1?7-3?- IV rZ.3seoe-1 City: State: FL Zip: Qualifier Name:. Wo,L.-L Phone4%) 320-67/06 State Certification or Registration#: Z So Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State:_Zip: Value of Work for this Permit:$ <e% 7� _Square/linear Footage of Work: Type of Work: M Addition14�KA-Iteration ❑ New ER'kepair/Replace F-1 Demolition Description of Work: 0" eexno-A OrA Specify color of color thru tile: Submittal Fee Permit Fee$ CCF CO/Cc � — —%--- T- 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 offer 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 ?#WSignature WNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of �, L 20 � by _ISday of k _,20 _,by who is personally known to 4C?/ �/� _who is personally known to me or who has produced Z, I 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: Sig Sign: n nt: Jpr Nota ryPubli to e Sea Joanna M Feliciano Seal: w Notary Public State of Florida My Commission FF°82753 Joanna M Feliciano Expires 0111212018 ` My Commission Ff 082753 s�wo EXPira 01/12/201 alf~04604A 0 APPROVED BY P Pians Examiner Zoning Structural Review Clerk (Revised02/24/2014) OR ,� t''y' face �, ?" Miami shores Village Building Department g �t0 10050 N,E.2nd Avenue Miami Shares, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner m 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 fisted 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 fiom 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: , caner State of Florida County of Miami-Dade The foregoing was acknowledge before me this day of L2cf 20/�._S .. By iee� 1��(.y.��1�. who is personally known to me or has produced as identification. public state of"Ads #014,+ 0 Nota+Y M Feliciano Notary: p Joanna _.-. E%��9 p11121201g082753 SE 0 +0/, flip air��ewa•aa�.. JiJli,�jJ,�l Ittttll�l�1 A BEf It��llfllil IiutJ1l �� BUZ]14�J�DB?S MC CGC1507549 NEW CONSTRUCTION•ADDITIONS AND REMODELING We Give Our Customers A Touch Of Class Miami Shores Building Department 10050 NE 2"d Ave Miami Shores, FL 33138 Date:June 15, 2015 RE:Affidavit statement regarding workers compensation insurance and hiring of workers. Jobsite address: 138 NE 92nd ST, Miami Shores, FL 33138 To whom it may concern: This tetter is to inform you that I'll be the only one working thru my company on the proposed project at the address listed above 5i ed� A Rolle Joseph State of FL County of Miami-Dade The foregoing was acknowledge before me this_day ofl,46DT 2Q BY.0:2 who is personally known or has produced i as indentification Notary: SEAL: op P& Notary Pubiic State of F100" Joanna M Feliciano My commission FF 082753 �p Expireso1H212018 18732 NW 23rd CT, Miami Gardens, FL 33056. Office (786)320-6740 Cell (305 336-1603 _ �ci s - 1 `�--� �(, i A.P1,"ROVM Dv DATE ADD SMOKEICARBON MONOXIDE UETEG7ORS • ••, e •w• --ANY AND ALL CLOTH AND RUBBERli� �'� •• INSULATED CONDUCTORS TO 8E REPLACED. •,• • "' 90 V. Ci f TC !AN(;-11,Afff! Al L f FM-FIAL Sca_pe of wark demalition a,demo the bathroom entirely,including ' 1 r•._1 � n}s ' ., . Plumbing fixtures,drywall and plaster. eL_dL �-� 7 7��S •• '•: �-�--r ��€ IF �a c4v.Rsrnn©deling Scooe of work btd fi, a. install durock thru-out JOBSITE ADDRESS - E 138 NE 92nd ST b.install ceramic tips from floor to 7'in . Miami Shores, FL 33138 the shower and 4'high elsewhere ` including the tub surround wall Cf 1 OWNERS NAME bids S� y Kathy and Robert Swick Aute. r-�� }e�` Yom'' a.there isn'i going to be any structual w e� _ 138 NE 92 on this project. Miami Shorts FL 33138 b.all framing are existing extsT�Ns aEORoonn t EXISTING GARAGE c.all windows are existing and will �j Date Drawn: 6/8/2©15 remain the same " " "- tJ d.shower size is 36"x36`" s� � Revisions e.tub size is 5`X30" L` 4 # REV#1 �f ..l elumbin,nous Date: 7/5/15 a.all existing fixtures to be demoed. and be replace with new. 3"VTR " b,shower and tub valves to be anti scald type Electrical notes Drawn by RJ C.all sanitary vents to received clean out at base itAv ' TUB.2VTR �+ve d,sanitary lines are existing. Review by: Rj 0 H a.all smoke detectors C- "VTR are existing. b. provide one 220 Exist 3"San Line Existing 4 San outlet for new jacuzzi _ S�1[diTARY RISER C}3Aa1tbM ` �� .� � tub. Ad JUL GIs BATHROOM RECEPTACLE ON uC AMP CKf Admik ' AND C.E.I PROTECTED