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DEMO-14-1207 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-227583 Permit Number: DEMO-6-14-1207 Scheduled Inspection Date: February 05, 2015 Permit Type: Demolition Inspector: Diaz, Osvaldo Inspection Type: R Owner: JOSE MARTINEZ TRUSTEE INC.,ALEX Work Class iflcatio tubing 0 FAWA-roc Job Address:525 NW 111 Street ( Miami Shores, FL 33138-0000 Phone Number 1 Parcel Number 3021360210720 Project: <NONE> Contractor: FIX PLUMBING CORP Phone: (786)343-8127 Building Department Comments DEMOLISH ILLEGAL CONSTRUCTION Infractio Passed Comments INSPECTOR COMMENTS False nspector Comments Passed CREATED AS REINSPECTION FOR INSP-227386. HAS OPEN INVOICE ER/ CAN NOT SCHEDULE INSPECTIONS 2/2/15 JF Failed et Correction Needed ❑ Q " Re-Inspection ❑ � ��- � .� Fee s No Additional Inspections can be scheduled until re-inspection fee is paid. February 04,2015 For Inspections please call: (305)762-4949 Page 22 of 39 Miami Shores Village _ BuildingDepartment ��� � p I JUN o 204 s 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 BUILDING Master Permit No.Dff -nu IL� PERMIT APPLICATION Sub Permit No.TEme ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION EXTENSION ❑RENEWAL [PLUMBING ❑ MECHANICAL ❑PUBLICWORKS [—] CHANGE ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): >v Address: ZS ykja'1 I.I\ City: 19"(l+H 1 State: Zip: 15 Tenant/Lessee Name: Phone#: 40Email: -&uco CONTRACTOR:Company Name: / ?—IU—km 64 Phone#: 7`&4 3/9 39 le Address: �)1Y City. �8 P State: f~ •� Zip: '33/�� Qualifier Name: 1 - j n o Com•- C-e:rL (I& s Phone#: ��6 3/� f' 3Q'7' State Certification or Registration#: �C l il,02eel® Certificate of Competency#: q DESIGNER:Architect/Engineer: ��� Goo�ti® Phone#: ��'`' ,�' Address: t Q y' e y1 City: �G4065 State: �Z ' Zip: Value of Work for this Permit:$_ Square/Linear Footage of Work: Type of Work: ❑Addition. ❑ Alteration ❑New - e it Ice . ILS I Demolition As» '9 Description of Work: Y—; >-to 4x41 ®� �•�"'; , ^ ,I Specify color of color thru tile: Submittal Fee$5v• Permit Fee$ xy CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$ s �� 1 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS and 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 to the issuance of a building permit with an estimated value exceeding$2500, the applicant must promise in go at a copy oa notice of commencement and construction lien law brochure will be delivered to the person whose erty is sub' t to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site for rst inspe ion which occurs sev n (7) days after the building permit is issued. In the absence of such posted notice, the inspe wil of be approved and a rein pection fee will be charged. Signatur Signature _ 4D, Rt er or Agent Contractor The foregoing instrument was acknowledged befor11e me t ' � The foregoing instrument was ackn wI dged before me this -10 day of 20 t_�,by 12 day of AVODU L- 20 J!J by s\t V(2yl !t Ar who is personally,known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: (JS 0%1) Print S C a+�+ , Print: ° JJt e,a, 2 My Commission Expires: ;� ;E Notary Public-State of Florida My Commission Expi s CRlSMARYPASCARELLA luyr Comm.Expires Sep 21,2015 �►: i MY CORNISS01#FF 018629 Commission#E EE 132342 aEXPIRES:May 26,2017 Bonded Thru Nfty PUfo Undenr dM APPROVED BY Plans Examiner Zoning Structural Review Clerk Revised02 24 2014 Revised 5 2 2012 Revised 3/12/2012))(Revised 06 10/2009 Revised 3/15/09)(Revised 7/10/2007) I mass Miami Shores Village Building Department �-0R1DA 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 constructionproject 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,you may be personally liable for the worker compensation injuries of any 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. Owne Contractor P ' Name: Print Name: �ejyt(*,ey WeO 1)tel Signature: Signature:_ 1 State of Florida) State of Florida) County of Miami-Dade) County of Miami-Dade) Sworn to and subscribed before me this Sworn to c ' ed before me day of �� ,20 da of 20 �� y i� By_ By v (SEAL) Type of Identification produced a CR YPASCAREWI y EXPIRE&May 26,2017 ? . Notar Public-State of Florida 'Q My Comm.Expires Sep 21,2015 �eMstt�EwNLd9ty Pub�Undenatdera ''•., SI���q; Commission#EE 132342 ' 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 Mow has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 5/23/2014 EXPIRATION DATE: 5/220016 PERSON: MEDINA REINIER L FEIN: 465188991 BUSINESS NAME AND ADDRESS: FIX PLUMBING CORP 2531 SW102 AVE MIAMI FL 33165 SCOPES OF BUSINESS OR TRADE: LICENSED PLUMBING 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 section may not reoavar 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 shalt be subject to revocation if,at any time after the filing of the notice or the issuance of the certificate,the parson named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate.The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. . DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 07-12 QUESTIONS?(850)413-1609 lit 127 W.F� BUILDINGDROPS 438 a Paftd Saludem In EvwV Drop 1Anter Park,IFL 32M 1 407.644.6957 PH Certificate o(AutharixWon:39578 407.644.2366 FX Product Evaluation a ort Of JELD-W , ine. Energy Saver/Contour Wood Edge Opaque Steel Outswing Door w/or w/o Sidelites for Florida Product Approval E# FL Report No. 2035 Florida Building Code 2010 Per Rule 9N-3 Method: 1 —A (Certification) Category: Exterior yrs Sub—Category: Swinging Exterior Boor Assemblies Product: En y SawrlChinwar Wood Edge Qpaqw Steel Du tag Door wOor w1a Sidelefts Material: Steel/wood Product DimenAow: 107"X81.25" ) Prepared For: JELD-WEN, ine. 3737 Lakeport Blvd. S F Klamath Falls, OR. 97601 ���, g��'!•_� •• •bermes F.•Ao*rero, P.E. Florida Professional Engineer#73778 ► ?� W •` •:' :051113M12 X%�X% 'zb • valuati Rept t�n�_ 1— �40 /ONAL O��o,� lraWlafiml 'is Pages5 •:• : : Wtgi lly signed by Hermes F N prem,P.E. Mernm F.Norerp,P.E. •eeaion;.l atriappraving this document Florida No.73778 .:. ': •.E1aW.M?2, t1117*.4230-li W 101N\, BUILDING DROPS FL#: very Drop Date: 05101/2012 Certificate of Authorization:29578 Report He: 20 Manufacturer, JELD-WEN,enc. Product Category: Exterior Doors Product Swinging Exterior Door Assemblies +pifta ce . State Product Approval Rule 9N-3.Ofl5(1)(a) Product Mame: Energy Saver/Cantor Wood Edge Opaque Steel OuhwnV Door w/or w/o SWelites 107"X RL2S-(Maximum) scope: This Is a Product Evaluation Mort issued by Hermes F.Norero,P.E.(Fl.#73778)for JEW-WEN,Inc. teased on Rule Chapter No.9N-3.005,IUlethod 1a of the State of Florida Product Approval, Department of Community Affairs-Florida Building Commission. Hermes F.Norero,P.E.does not have nor will acquire financial interest in the company manufacturing or distributing the product or in any other entity involved in the approval process of the product named herein. This product has been evaluated for use In locations adhering to the 2010 Florida Building Code. See Installation Instructions S-2104,signed and sealed by Hermes F.Norero,P.E.(Ft#73778)for specific use parameters. l lraft of Use: 1. This product has been evaluated and is in compliance with the 2010 Florida Building Code, including the"High Velocity Hurricane Zones(HVHZ). 2. Product anchors shall be as listed and spaced as shown an details. Anchor embedment into substrate material shall be beyond wail dressing or stucco. 3. When used in areas requiring wind borne debris protection this product complies with Section 1609.1.2 of the 2010 Florida Building Code and does not require an impact resistant covering on outswing doors. 4. Non-Impact sidelites do reciuire an impact resistant covering when used in areas requiring wind Burne debris protection to comply with Section 1609.1.2 of the 2430 Florida Building Code. S. Site conditions that deviate from the details of drawing 5-2104 require further engineering analysis by a licensed engineer or registered architect. 6. See installatignins"coops;!-?i94fogsi7e and design pressure limitations. . .. . . . . %: . .. ... .. . . . .. . ... ... ... ... ... . .. .. .. . . .. • Hennes F.Norero,P.E. Florida No.73778 ••• ••• Page 2of5 . . . . . . . . . . . .. .. . . . .. .. ... . . . ... . . +f F BUILDING DROPS F.*: A Perfect Solution In Every Date: OWGI/2012ry Btap RoNo., 2MCertificate of Authorintton:29578 Quality Amurance; The manufacturer has demonstrated compliance of door products in Accordance with the Florida Building Code and Rule 9N-3.005(3)for manufacturing under a quality assurance program audited by an approved quality assurance entity through National Accreditation&Management institute,hm(FBC Organbation#QUA17891 PeitbimanceStandard= The product described herein has been tested per: • TAS 201-94 s TAS 202-94 • TAS 203-94 Rderenced Dab. 1. Product Testing performed by Certified Testing Laboratory.Inc. (FBC Organization#TST1577) Report#:CTLA696W, Report Date-11/01/2W1 3. CWWity Assurance National Accreditation and Management Institute (FBC Organization#:QUA 176.9) . .. . . . . ... . . ... ... ... ... ... . .. .. .. . . .. • Hermes F.Norero,P.E. Florida No.73778 ••• ••• Page 3of5 . . . . . . . . . . . .. .. . . . .. .. ... . . . ... . . BUILDING DROPS FL#: Late: 05/01/2012 A t�rfe� In E � Certificate of Aithomation:29578 epoft No., 203S lnsbi3atloo: 1. Approved anchor types and substrates are as follows: Through frame installation: A. For two by(2X)wood buck substrate,use#10 Wood Screwy type installation anchors of sufficient length to achieve a minimum embedment of 1.5"into the wood substrate. R. For concrete or masonry substrate where one by(9.X),non-structural,wood buddng is employed,use 3/16"diameter T1W Tapson type concrete screw anchors of sufficient length to achieve minimum embedment o€1.25"into concrete or masonry. C. For concrete or masonry substrate where wood buddrig is NOT employed,use 31W diameter iTW TapeoFn type concrete screw anchors of sufficient length to achieve minimum embedment of 9..25"into concrete or masonry. Refer to installation instructions(S-2104)for anchor spacing and more details of the installation requirements. Design Pressure: Design Pressure v yAilyy o�.yX xxAAVAAii X,OX®, , Clu g Positive 57 PSF* Positive 66 PSF" N 57 PSF Ngative7t?PSF ''Units meet water infiitration requirements corresponding to noted design Pressure& . .. . . . . ... . OV OV OV .. ... .. . . . .. • • • . • . . .. .. .. . . . • • :. Hennes F.Norero,P.E. Florida No.73778 ... . ... Page R of 5 . . . . . . . . . . .. ••• *00 • . • •• •• ••• • •• 0 0 lir BUILDING DROPS FL#: A Perfect Sakitibn In Every Drop Date: 05101/2012 Certificate of Auth*rizatidn:29578 Report No: 2tI Installation Method JELD-NVEN Inc. Energy Saver/Contour Wood Edge Opaque Steel Outswing Door w/or w/o Sid+elites 36.41"T R iFw ce'Axf. 3.L " rw17 13,41'dYF? 5Od39t.5T�.i�?'7YP.644'7YP 7YP 7?P . 3.00,7YP. 3.44"dYP. 6 TYR it it i i fit iii t i ti, 11 t 6 -'i'• ! t tit fit i ! — —Y 5 5 SPACES SPACES 13.85` 33.&5' nn i i i i i i i t t 00* s.LU ! 1.f9!1"iYP. 7.00' IYP. T,p 3,Q4'TYP. 7YP. 4.50"TYP. 3.it0" 6.58" S.t�7"YYP. 6 £r IYR of !-Ii i I 111 ! 6 TYR — — s 5 SPACES SPACES @ 13.85` d 1351' • • • Q4" 3�P. • —J&WL 3.00 M. • • • • • i i• i• i. fed i• Hermes F.Norerrr,Q.E. FWda No.73778 . 333 3ftce Sof5 3333 3333 . ... : r t / ✓ jN I , i':faa -��{ ' �I� � Iti ,� � f� ,..� ¢lli �:� tr N I a. 2 ! •. a ��_ -k 1 �il -' 1. ..h�� � I� i% I I Tri �f. 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OLS: PCt3'PROfi: dICtF x A°t" t�Idtd1'FU C UTf tQ1 r�A1 11 PLASM UM tKIP IRT OL F�=uIr w MMK 1,W •••• AP 1firEA UNDER dtt MM� »tom aft � 1t�1t7R • •••• • •• •• • • • • 121' a888• 0,4$r •• -^•• D8�4"••� is• i ® 0.9&5• 0.979* "� PT 1, '•i•• • •• •• �BpA' 1 aomm ® (9) TB.O+i9° 0 0 ••• �t�10„ .•• 13r'i.01 Q on L + • • • ••.••• mrm� SM SAW . 18 ..P1a4 �m atm Adt �r�llfllN •• • ••i•' JM PLAIE AFI RdId.0,128° `✓✓ �,.d "av'P81i ($,$3”tbNf�J 4�d� a s"x O,09i'"TMt 5 • • •• • •• ••• •• • • • ti-M, _1 1400, -�- Ara.ihUBES io raj//r� h-- -- �t� f�d� tea' Ti ftp"4r 7 KU � �Jf%i - `` BLm�ras DSS, 5-21114 f6 f PD aFM 4W- mctr OF NOTICE OF PRODUCT CEBT1FICAT1QN i 4 Company: JELD-WEN Exterior Doors Certification No.: NIOI I082 ' 3737 Lakeport Boulevard Certification Date: 05/01/2012 Klametb Falls,OR 97601 Expiration Date: 08/31/2015 V11", 0 , A, Product: "Energy Saver/Contour" Opaque Wood-Edge Steel Door w/or w/o Sidelites (wood frame) Specifications Tested To: TAS 201/202/203-94 The"Notice of Product Certification" is only valid if the NAME Certification Label has been applied to the product as described within this document. The certification label represents product conformity to the applicable specification and that all certification criteria has been satisfied. This product has been approved for listing within NAM I's Certified Product Listing at wwtv.Nomicertificatian.com. NAMI's Certification Program is accredited by The American National Standards Institute(ANSI). Inswing Glazed Design Water Missile 'fest Report Number Configuration or or Maximum Pressure Test Impact & • Outswing Opaque Size Pos/Neg Pressure Rated Comments 01 sf) • •eyr••• �!/S Opaque 3 2"x 6'10" +66!-70 10.0 psf Yes COLA-696W •: ••• gin ht • : • • � • 0000 Max Panel Size: 3'0"s 6'8" • Installation Details: 5.2104 148 •• ••• 0. 11. . Door-Opaque 41"x 6'10" +66/-70 10.0 psf Door-Yes CTL4-696W .' ;`Single w/Sidelite • 0000 Sidelite-Glazed Sidetite-No Max Panel Size: 3'01'a 6'8" • ••• •••••i 0 0000 Sidelite DLO:6"x 51"(1/8"Tempered Glass) • • • • 1,000 1 In aliation Details: 5-2104 1.8 • OXO ;••6/" Door-Opaque 5110"x 6110" +66/-70 10.0 psf Door-Yes CTLA-696W •••••Single Vt8jlevits • 0000 Sidelites-Clams Sidelites-No Max Panel Size: 3'0"x 6'8" •• • •• • •• Sidelite DLO:6"x 4'3"(118"Tempered Glass) • 0 • • • s Installation Details: S-21041 14 • O/S Doors-Opaque 643"x 6'10" *571-57 S.54 psf Doors-Yes CTLA-696W Double Max Panel Size: 3'0"x 6'8" Installation Details: 5.2104(1.81 OOXXO 015 doors-Opaque 1141"x 6'10" +57/-57 8.55 psf Door-Yes CTLA-696W Double w/Sidelites Sidelites-C lazed Sidelites-No Max Panel Size: 3'0",.v 61" Sidelite DLO:6"x 5'3"(118"Tempered Class) Inmi ation Details: S-2104 1.8 National Accreditation& Management Institute,lneJ4794 George Washington Memorial Higbway/Hayes,VA 0 2 "fel: (804)683-5124/Fax: (804)684-5122 o NAMI AUTHORIZED SIGNATURE: STRUCTURAL DESIGN TC ENGINEERING,INC. CA LIC.No 30268 CONSULTING ENGINEERS \`k ANTONIO CANELAS,P.E. UC.No.74019 1® q� 7805 SW 24 ST SUITE 106 MIAMI,FL.33155 `o� 01-410 � PHONE.(305)261-0321 � G E�� '•• & � °••� r ' � •°• °• tcstruclurelengineering(�gma0.com t�. °+i d(a •.� 74099 STA., OF August1, 2014 ° R 10 P®•°dace/o Miami Shores Village f XGlhdfl L Building Department Miami Shore,Florida 33138 Reference: Address: 525 NW 111 TH PL MIAMI SHORE FL. 33138 Owner: Alex R Pardo TRS 525 LAND TRUST Permit Number: DEMO 14-1144 To Whom It May Concern: In reference with this Property I, Antonio Canelas, Professional Engineer have been retained to produce the necessary documentation to obtain a demolition permit for the above reference property. A field Inspection was conducted on 8-1-14, and the methodology used was Visual Inspection on the exposed roof and walls of the structure around the entire perimeter. The top roof elevation in the area that will be demolished is less than the roof eave of rest of the House. Not conflict with the existing roof to remain. The areas where walls to be removed and existing wall to remain connect will be patched to match adjacent areas. Additionally, the interior doors that will be become exterior will be replaced by new doors with valid NOA. (During the repairing process these openings will be enclosed with wood by the contractor as required by the FBC 2010.) Also, the portion of the interior wall that will become exterior is a wall that in the original house was an exterior wall, since the portion of the house that will be removed is an illegal addition to the house. • I state that this structure will be safe and sound after the demolitions and modifications indicated in the attached drawings prepared by the Architect Cesar Cano once that they are permitted, approved, done and inspected. • The existing structure shell will not be affected by the work during the demolition. • In The Drawings prepare by the Architect a list valid demolitions precautions.can be found. See on Sheet A-1 the General Notes and Demolition General Notes • According to the Miami Dade Public Records, the structure was build in 1949. • No test was necessary to determine existing conditions. ' a STRUCTURAL DESIGN TC ENGINEERING,INC. CA LIC.No 30288 CONSULTING ENGINEERS ANTONIO CANELAS,P.E. UC.No.74099 7805 SW 24 ST SUITE 108 MIAMI,FL.33155 PHONE.(305)281-0321 W*udura1eng1neeft9@gmai1.— If you should have any questions regarding this matter,please do not hesitate to contact us. e`eeeetttllllt�r��,,,. Sincerely, N00 NO. 74099 Antonio Canelas ^�'; STATEOF Florida Lia.No. 74099 : ® °•'\ p, ► 0RI0 ° � o °,® x a® .,�"'17 0NA L VO\\\`o Urfa►a Itt►eee