RC-15-2170 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-246961 Permit Number: RC-8-15-2170
Scheduled Inspection Date: December 17, 2015 Permit Type: Residential Construction
Inspector: Rodriguez,Jorge Inspection Type: Final
Owner: 9 Work Classification: Alteration
Job Address:101 NW 108 Street
Miami Shores, FL 33168-4312 Phone Number
Parcel Number 1121360100320
Project: <NONE>
Contractor: RAUSA BUILDERS INC Phone: (305)5545711
Building Department Comments
BATHROOM REMODEL TO CLOSE EXPIRED PERMITS Infractio Passed Comments
RC07-1091 AND EL07-1092 INSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-242165. Pending plumbing and
electrical
Failed
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
December 16,2015 For Inspections please call: (305)762-4949 Page 16 of 39
Per=� ����• ���
Miami Shores Village
RE
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10050 N.E.2nd Avenue NW I rki lasSl rl;8#�cala Att �ttion
Miami Shores,FL 33138-0000
Phone: (305)795 2204 f$ 77 �"t5� *;PROVED
Issue pati•1�1 � � Expiration:
Project Address Parcel Number Applicant
101 NW 108 Street 1121360100320 --
FEDERAL NATIONAL MORTGAC
Miami Shores, FL 33168-4312 Block: Lot:
Owner Information Address Phone Celt
FEDERAL NATIONAL MORTGAGE PO BOX 650043 l
-- DALLAS TX 75265-
, � .
PO BOX 650043
DALLAS TX 75265-
Contractor(s) Phone Cell Phone
Valuation: $ 5,000.00
RAUSA BUILDERS INC (305)554-5711 (305)970-7253
Total Sq Feet: 0
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 TO CLOSE Occupancy: Framing
Stories: Exterior: Insulation
Front Setback: Rear Setback: Drywall Screw
Left Setback: Right Setback: Window and Door Buck
Bedrooms: Bathrooms: Fill Cells Columns
Plans Submitted: Certificate Status: Review Building
Certificate Date: Additional Info:BATHROOM REMODEL TO CLOSEReview Planning
Review Plumbing
Bond Return: Classification:Residential Review Structural
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Review Mechanical
CCF $3.00Review Electrical
DBPR Fee Invoice# RC-8-15-56849$2.25 10/15/2015 Check#:14112 $ 121.50 $50.00
DCA Fee $2,25
Education Surcharge $1.00 08/25/2015 Check#:13847 $50.00 $0.00
Permit Fee $150.00
Scanning Fee $9.00
Technology Fee $4.00
Total: $171.50
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-named contractor to do the work stated.
October 15, 2015
Authorized S' nature:Owner Applicant / Contractor / Agent Date
Building Department Copy
October 15,2015 1
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Miami Shores Village
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Building Department 5 2815
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 201 { 5411
BUILDING Master Permit No. RC- 9- IS _2l-40
PERMIT APPLICATION Sub Permit No.
=BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL PUBLIC WORKS CHANGE OF CANCELLATION SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 101 Northwest 108th Street
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:11-2136-010-0320 Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder):Federal National Mortgage Association Phone#:305-267-7777
Address:P.O. BOX 650043
City: DALLAS State: TEXAS Zip: 75265
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: RG,QL�. 1f'1'��� \�`�5 O'(1 Phone#: 3c)
Address: << i S`'A y "L S 4
City: State: �2'�/¢o Zip: 71 S
Qualifier Name: Phone#: -9"3-
State Certification or Registration#: C-l;e- 1 10 Q0 I Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ 1 '5f tic;u Square/Linear Footage of Work:
Type of Work: ❑ Addition Q Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: �. �� �-► (em mac= �iyo �E D �'�cSl.�. �
icc0 l� � 1 loci 2,
l
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Train Ing/Ed ucation Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
(Rev1sed02/24/2014)
R
Bonding Company's Name(if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name(if applicable)
Mortgage Lender's Address E
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 Eoz_ Signature 1/1
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument wasacknowledgedbefore me this
14 day of P 4 20 ➢� by 17 day of���I 20 15— by
`�'�';Iwho is personally known to who is pe ally kno o
me or who has produced 1 X- 0 as me or who has produced as
identification and who did take an oath. identification a d who did take an oath.
NOTARi PLIIC: NOTARY PUBLI
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APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
FEDERAL HOME LOAN MORTGAGE CORPORATION
CERTIFICATE
OF
APPOINTMENT AND AUTHORITY
Pursuant to the authority vested in me by the Divisional Delegation of Authorities Certificate,
Section VII,Legal, I hereby appoint ELIZABETH PARSONS as Assistant Treasurer of the Federal Home
Loan Mortgage Corporation (Freddie Mac) for the sole purpose of executing the documents regarding real
properties which are foreclosed or real property acquired by other means and assigned to REO for
disposition,including,but not limited to,the following:
Marked if
Authorities Author ity is
being'ranted
Execute any and all documents required in connection with the disposition of such
property,including,but not limited to,listing agreements and any and all disposition
expenses or documents associated with the listing of a property to be sold individually
Negotiate and approve REO property sales contracts,sign settlement statements,and
any and all documents associated with the closing of such property,whether sold
individually or in a Bulk REO sales transaction,seller financing and assumptions,and
limited Powers of Attorney to execute any and all documents necessary to convey the
property,transfer property by deed,transfer bulk REO properties by deed
Approve REO auction and outsourcing agreements
Execute agreements and claims and other necessary documents for recovery of funds
associated with Single Family REO
Approve property management agreements and rental agreements;
Execute Deeds to transfer or donate properties to outside organizations
Authorize expenditures relaxed to the repair,preservation and maintenance of a REO
property, including,but not limited to Permit Approvals and Notices of
Commencement
Any previous appointment is hereby revoked and replaced by this appointment, which shall
become effective as of the date shown below and shall continue in full force and effect unless modified or
revoked;provided that,this appointment and authority shall terminate upon the termination of the appointee's
employment by Freddie Mac. This authority shall not be redelegated.
u".,
k��4 —
Alibia Myara
Senior Vice President&Principal Deputy General
Date: June 30,2015 Counsel—Corporate Governance
Commonwealth of Virginia,County of Fairfax
Sworn and subscribed to before me this 30"'day of June 2015.
1000 01"a ilulays
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From: To:3057568972 10/14/2015 23:50 #299 P.001 /005
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ACORA.. CERT#F•ICATEr:.O,F,UABUTY:;INS URANCE °iomi/2o s
PRODUCER ,,306-227-0082. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
CAROLINA INSURANCE CONSULTANTS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
8250 W FLAGLER STREET,STE 116 HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR
MIAMI,FL 33144 ALTER THE COVERAGE AFFORDED BY THE POLfC1ES BELOW.
INSURERS AFFORDING COVERAGE
INSURED INsuRER A: SENECA SPECIALTY INSURANCE COMPANY
f RAUSA BUILDERS CORP. INSURER e:
7111 SW 42ND STREET INSURER C:
MIAMI,FL 33155 INSURER D:
I INSURER 9:
I COVERAGES
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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY.PAID CLAIMS,
lm I
TYPE OF INSURANCE POLICY MEMBER P6E=-EXPIRATIOU
LIMrI'B
GENERAL LIABILITY EACH OCCURRENCE 8 1,000,000
A X COMMERCIAL GENERAL LIABILITY BAG-1032916-1 10/07/2015 10/07/2G16 FIRE DAMAGE LAq=wgre) S 100.000
CLAIMS MAGE �OCCUR IIAED EXP a"Pelson) 8 rJ 000
PERSONAL A ADV WURY S 1 C1w
GBNERALAGGREGATE S 000 0OO
GEN C AGLIREOAI 'MIT
M AFPCIEB PER: PRODUCTS-COMPIOP AGG S 2.000,000
POLICY LOC
AUTOMOBILE LI JKM
ANY AUTO COM
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DESCRIPTION OFOPERATlON9/10CATMSNEHIDLIESMCLUy OMAUMMSYENDD P Z,pMVMWM
STATE LICENSE#CGC1510038
1 CERTIFICATE HOLDER 171AOD1T10NALMsu 91%,WJURERLETTER, CANCELLATION
SHOULD ANY OF THE ABOVE Descm ED POLICIES BE CANCELL®BEFORE THE EXPIRATION
MIAMI SHORES VILLAGE BUILDING DEPARTMENT DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR To MAIL. 30 DAYS WRITTM
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FALLURE TO DO SO SHALL
10050 NE 2ND AVENUE WOW BO OBLIGATION OR LIABILITY OF ANY NMD UPON THE MSU RS AGENTS OR i
REPRESENTATIVES.
MIAMI SHORES,FL$3138 AUTHORIZED REPRESENTATIVE
ACORD 25S(7197) RPORATION 1988
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