DEMO-15-916 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-232851 Permit Number: DEMO-4-15-916
Scheduled Inspection Date: January 26,2016 Permit Type: Demolition
Inspector: Rodriguez,Jorge Inspection Type: Final
Owner: UKAZIM, UCHENNA Work Classification: Building
Job Address:960 NE 97 Street
Miami Shores, FL 33138- Phone Number
Parcel Number 1132060143160
Project: <NONE>
Contractor: M2 DEVELOPMENT GROUP Phone: (954)822-3590
Building Department Comments
INTERIOR DEMOLITION AS PER PLANS-INTERIOR Infractio Passed Comments
PARTITIONS INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
January 25,2016 For Inspections please call: (305)762-4949 Page 2 of 41
Miami Shores Village ; 1
APR 20 2015
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 20 d C�
BUILDING Master Permit No. l: rn U I S -Cll
PERMIT APPLICATION Sub Permit No.
M'BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [—]RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 960 NE 97 ST
City: Miami Shores County: Miami Dade Zip: 3 3 13S ,
Folio/Parcel#: 2-0 3 1(. o Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder):Uchenna UkaZim Phone#:561.901.3471
Address:
1521 Alton rd 426
City:
Miami Beach State: FL Zip: 33139
Tenant/Lessee Name: Phone#:
Email:
UUKAZIM@GMAIL.COM
CONTRACTOR:Company Name: � C1 Phone#: S $Z? 3S�O
Address: 4-4 o ^) W n o S-T
City: (21_ 'PD's-TPrl,,- State: T-L Zip:
Qualifier Name: j7b 'ftid I a i ( A&—_V,�D-S o
954Phone#: 9 7,7 --27,579 13
State Certification or Registration#: C_ 1 'rJ '-Z O j ) Certificate of Competency M
DESIGNER:Architect/Engineer: rJ CtD^�S V 1..-CPrjj7S _ Phone#:
Address: City: State: Zip:
4lue of Work for this Permit:$ V r3 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑Repair/Replace ❑✓ Demolition
Description of Work: I
Specify color of color thru tile: [[�y/��
Submittal Fee$SC) ' Permit Fee$ ( `7U a CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ 153
(Revised02/24/2014)
ponding Company's Name(if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name(if applicable) Ever Bank
Mortgage Lender's Address 301 W Bay
ST
city Jacksonville State FL Zip 32202
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 a reinspection fee will be charged.
Signature Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument
was acknowledged before me this The foregoing instrument was acknowledged before me this
day of I V rC ,20 IS by //j day of 1�z ,20%, , by
yChef 0�j�nn,who is personally known to �n.e�c�,w is personally known
me or who has produced FL, �rvuei I�C�Ply_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:
Sign: ANVA Sign•
Print: % . Prin
0
Seal '?' '`'= Notary PuGlic-State of Florida Seal` Rc�"'r`�, r��t ''v "��"�;�'P°f Florida
• b I�1 Fe,,ano
'" Q= My Comm.Expires Mar 4,2018 in°i9� r_ne��ss
e` t n1 C rnm .nn F
�iiFQf p�OpP�, Commission#FF 098394 , ^ -� �,,�,^i20 a
a,up a�
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
Dropbox - cgc package 2015 - m2 development.pdf Page 1 of 1
RICK SCOTT. GOVERNOR KEN LAVVS
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD
I'OCGC15'22091
The GENERAL CONTRACTOR
Named below IS CERTIFIED
Under the provisions of Chapter 489 FS #:---
Expiration date: AUG 31, 2016
PINEROS, JOAQUIN
M2 DEVELOPMENT GROUP-.,.,,
440 NW 90 ST
EL PORTAL FL 33150 "` ;
Nk ,
ISSUED 08/21/2014 DISPLAY AS REQUIRED BY LAW SEoa L1408210
2014 BUSINESS TAX RECEIPT 2015 B
EXPIRES SE13EMBER 30, 2015
MUST BE DISPLAYED AT PLACE OF BUSINESS
LICENSE ITEM DESCRIPTIONS/RESTRICTIONS Business Name/Eocatic
BTR 2015.02 40(b) GENERAL CONTRACTOR M2 INTERNATIONAL GR(
M2 DEVELOPMENT GRO
440 NW 90TH ST
4 EL PORTAL,FL 33150
Owner/Corp.
JOAQUIN PINEROS
M2 DEVELOPMENT GROUP n "
t This is a business tax only. it does not permit the lio
440 NW 90TH ST existing regulatory or zoning laws of the Village of
tea? Dade County. Not does it exempt the license from a
EL PORTAL FL 33150
:- permit required by law. This is not. certification of I
' fications.
Print Date: 08/25,12014
Village of EI Portal Building Department 5b0 NE 87 ST,EI Portal,Ft.33138
v
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Local Business Tax. Receipt
Miami-Dade County, State of Florida
-nil'.11,N,)':,.BILI•C,3 NOT p.1t' LBT
7168146
DU[i1Mrs4 NAMULOCATION RECEIPT N8 EXPIRES
Al2 DE'vELOPh1ENT GROUP RENeRA SEPTEMBER 30
440^IVV°0 ST 7:461;51 SEPTEMBER 2015
EL PORTAL,FL 33150 Must b,1 d.spi,y,e,1,tit plate otbtebiness
Pursuant toCouMy Codi
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OW MR SEC.TYPE OF OUSINE SO
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� tEFflrUNCIALOFFMER 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 tertius that IM Indhridual%led below has elected to be exempt from F"a Worker'Compensation law.
EFFECTIVE DATE: 3119/2014 EXPIRATION DATE: 311812016
PERSON: PINEROS JOAOUIN
FEIN: 463671297
BUSINESS NAME AND ADDRESS:
M2 INTERNATIONAL GROUP L
440 NW 9D ST
£L PORTAL FL 33150
SCOPES OF BUSINESS OR TRADE:
LICENSED GENERAL
CONTRACTOR
pwwdM 10 CrNpW 44000!14),F.S., vmo deem dtw"w hent ft dypter by eln0 0 OdrWcat di dbeten wlddr dtif*CW mnr
malwr baadld a aompe�nWtlon uMdr nlld wpldr.punwm b Cndpex 440 t15(I?),F.S..CdNfkd6ll of deddeen 7,!M ommai...dCpiy en'y WNIn th0 dW Dd
OAfvu or ludo CMN m pop"of dlefto b W ewmpl Pwwent!o Chapter 4/0.05(1)),F.S ud^,;:dd d e4gt:n 4o be snAw end eemsca ed at
ke"'I to Oct aMpt Ihon b4 6J*`A to rowwben 0.M dny dnld deedr ft lidq Of Me none q ft*SAM of re Cefou d,IM peesen Rd Med an IN nedce or
ed ft*ne Wor Inedh 91d aqu WW b d ttj W*naI`IW Wfld at a adrtificow DO ddeerClldr:t SW novas d Wft?CdA It MY Bmd lei htdara d Me
Pdnfert Nirgd on ft 111,11FON W)Met 0..a rwhemenb of Mb 70ebom
DFS F2-OM-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 0112 OUESTICNS7(850)413.1809
0 D D
one Miami Shores Village
Building Department
�pR�► 10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305)795.2204
Fax: (305)756.8972
Notice to Owner—Workers' Com ensation 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 ofRcer 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: v
State of Florida
County of Miami-Dade
The foregoing was acknowledge before me this day of Ai' ,20L
By, who is personally known to me or has produced
t(l Cdr r as identifi
c�►" °�:;�, CATALINA MUNOZ
Notary: =:• •°�: Notary Public-State of Florida
My Comm.Expires Mar 4,2018
SEAL: Commission M FF 098394
M2 Development Group
440 NW 90 ST
P. 1954 822 3590
ioaquin m2devgroup.com
April 20, 2015
State of Florida
County of Miami Dade
Before me this day personally appeared Joaquin Pineros who, being duly sworn, deposes and
says
That he or she will be the only person working on the project located at 960 NE 97 ST, Miami
Shores, Fl.
Sworn to and subscribed before me this 20 of April 2015 by
Personally Know W-1
ORProduced Identification
Type of Identification Produced
Print, Type or Stam M` ®�'.pxp���'•�'=
mea
0� Jy ��
3
�y e4bf0e)P ,
E .
M2 Development Group Estimate
Of. +1.954.822.3590
440 NW 90 ST,EI Portal,FL 33150
joaquin@m2devgroup.com 18-Mar-15
Steven Ukazim-96o NE 97 ST - Demolition Proposal#2
Estimate for Residential Interior Demo of the project herein mentioned above. This proposal replaces any
prior proposal.This budget is based on preliminary plans.
Description
DIVISION a-SITE WORK
Interior demolition as per plans
Work not Included
All existing exterior windows&doors including garage door to remain
Any work requested by inspectors/engineers and not specifically included in scope of work above is not
included
All permit processing,permit fees,impact fees,utility reconnection,utility companies service connection,
utilitv connection fees,building,elevator,application,recording and processing fees by others
SUBTOTAL
TOTAL PROJECT: $ 6,000.00
NOTES
*Any fee imposed by local authorities or building department to comply with the scope of work described above or any
extras to be entire responsibility of the owner/tenant/designer
*Any existing code violations or work to bring up to code existing construction areas are not included. In the event that
are required will be negotiated and included as a change order.
*Owner/Tenant guarantees parking space available for contractors working at unit. In the event parking is not available
Owner/Tenant will reimburse parking expenses to contractor
*All work to be accomplished in(1)phase during regular business hours
*GC and subcontractors assume that all items supplied by owner are in accordance to local building code requirements. In
case that items require alterations or replacements(Labor,material or equipment)to fit local codes this cost will be
considered as an extra.
*GC won't be responsible of moving,relocating,receiving packages,furniture or any items diferent than pertaining to GC
scope of work.
Payment Schedule
*30%Deposit
*Remaining payments based on weekly%of completion
*5%final payment due upon final building inspection
ANY AND OR ALL WORK NOT SHOWN IN THE CONSTRUCTION DRAWINGS AND OR IN THE SPECIFICATIONS APPLICABLE TO THESE DRAWINGS WILL CONSTITUTE EXTRA WORK AND
WILL BE CONSIDERED ACHANGE ORDER AND WILL AFFECT THE CONTRACT AMOUNT.
x
c
ALL CONDITIONS REQUIRING ADDITIONAL WORK DUE TO NATURAL CAUSES AND OR ACTS OF GOD WILL BE CONSIDERED EXTRA WORK AND M2 DEVELOPMENT GROUP SHALL NOT
BE RESPONSIBLE FOR ANY AND OR ALL ADDITIONAL COST INVOLVING EQUIPMENT,MATERIALS OR LABOR IN ORDER TO PROCEED WITH THE ESTABLISHED WORK PRIOR TO THE
UNEXPECTED SITUATION. IN THE CASE OF UNEXPECTED DELAYS DIFFERENT THAN ACTS OF GODS CAUSED DIRECT OR INDIRECT BY GENERAL CONTRACTOR OR SUBCONTRACTORS
DIFFERENT OF M2 DEVELOPMENT GROUP,M2 DEVELOPMENT GROUP WILL BE ENTITLED TO RECOVER ANY FEES ASSOCIATED TO EQUIPMENT RENTAL FOR THE PERIOD OF THE
DELAY.
M2 DEVELOPMENT GROUP SHALL NOT BE RESPONSIBLE AT ANY TIME FOR DELAYS IN THE CONSTRUCTION PROGRESS DUE TO: OWNER'S OR LABOR DISPUTES,FIRE,UNUSUAL
TRANSPORTATION DELAYS,UNAVOIDABLE CASUALTIES,AND NATURAL CAUSES.
IF THE OWNER FAILS TO ISSUE A CERTIFICATE OF PAYMENT FOR A PERIOD OF TEN(10)DAYS THROUGH NO FAULT OF THE CONTRACTOR,OR IF THE OWNER FAILS TO MAKE
PAYMENT THEREON FOR A PERIOD OF TEN(1o)DAYS,M2 DEVELOPMENT GROUP MAY,AFTER FIVE(5)WORKING DAYS GIVE WRITTEN NOTICE TO THE OWNER AND THE OWNER'S
REPRESENTATIVE TERMINATING THIS PROPOSAL/AGREEMENT AND RECOVER FROM THE OWNER PAYMENT FOR ALL WORK EXECUTED,INCLUDING: MATERIALS,LABOR,AND
EQUIPMENT.
THIS PROPOSAL IS BASED IN THEACTUAL PRICE OF MATERIALS AND VALID FOR(30)DAYS,THEREFORE IS SUBJECTTO ANY CHANGE OF PRICE ATTHE MOMENTOF SIGN CONTRACT
BY PREVIOUS NEGOTIATION.ANY SIGNIFICANT MATERIAL INCREASE IN PRICE DURING CONSTRUCTION WILL BECOME A CHANGE ORDER.
UPON APPROVAL THIS PROPOSAL WILL BECOMEAN OFFICIAL DOCUMENTAND SHALL BE CONSIDERED PART OF THE CONTRACT IN ITS ENTIRETY.
DISCLAIMER: NATURAL MATERIALS IN THE VENT PROVIDED BY M2 DEVELOPMENT GROUP MIGHT PRESENT VARIATIONS IN GRAIN,TEXTURE,DENSITY,WIDTH,HEIGHT,VOLUME
AND ASPECT BEYOND CONTRACTOR'S CONTROL.M2 DEVELOPMENT GROUP WILL PROVIDE THE BEST EFFORT,SERVICE AND EXPERTISE TO PROVIDE AND INSTALLALL MATERIALS
ACCORDING TO INDUSTRY STANDARDS.
Approval,
d,
Owner or Authorized Representative/Date
Res c Ily submitted,
Joaquin Pineros
Pom 6-916
Miami Shores Village P&i,riit M sell- *61—itll�l�.
�,. 10050 N.E.2nd Avenue NE
Miami Shores,FL 3313&0000 �6f 17:Building
—Vqw Phone: (305)795-2204 ' PCtttf€ �ItitSkF!PIo�
1 Expiration: 11102/2015
Project Address Parcel Number Applicant
960 NE 97 Street 1132060143160
Miami Shores, FL 33138- Block: Lot: UCHENNA UKAZIM
Owner Information Address Phone Cell
UCHENNA UKAZIM 960 NE 97 Street
MIAMI SHORES FL 33138-
960 NE 97 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone Valuation: $ 6,000.00
M2 DEVELOPMENT GROUP (954)822-3590
__.....__ . _. ...:.. _.._. .._ __.. _.._,...__ _.....___. ........... Total Sq Feet: 0
Type of Demo:Building Available Inspections:
Additional Info:INTERIOR DEMOLITION AS PER PLANS- Inspection Type:
Classification:Residential Final
Scanning:4 Review Electrical
Review Planning
Review Building
Review Plumbing
Review Plumbing
Review Mechanical
Review Mechanical
Fees Due jAnPay Date Pay Type Amt Paid Amt Due
CCF
DBPR Fee Invoice# DEMO-4-15-55244
05/06/2015 Check#:1791 $ 157.00 $50.00
DCA Fee Education Surcharge 04/20/2015 Credit Card $50.00 $0.00
Permit Fee Scanning Fee Technology Fee Total:
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. 1 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 informa io accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore,I authorize the above-na contractor tordo the work stated.
May 06, 2016
Authorized Signature:Owner / Applicant / Contractor / Agent Uate
Building Department Copy ��-
May 06,2015