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FW-15-2762 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-246848 Permit Number: FW-10-15-2762 Scheduled Inspection Date: February 29, 2016 Permit Type: Fence/Wall Inspector: Rodriguez,Jorge Inspection Type: Final Owner: PALMISANO, INGRID& ERIC Work Classification: Masonry Job Address: 1035 NE 96 Street Miami Shores, FL Phone Number Parcel Number 1132060143730 Project: <NONE> Contractor: ORINOCO CONSTRUCTIONS, INC Phone: (786)531-9479 Building Department Comments CONSTRUCTION OF ONE CMU WALL Infractio Passed Comments INSPECTOR COMMENTS False nspector Comments Passed 1:9111� Failed Correction Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid February 26,2016 For Inspections please call: (305)762-4949 Page 17 of 60 ACC>ROCERTIFICATE OF LIABILITY INSURANCE 122/14/14D /20015,DO15 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONT A NAME:CT ANGEL GRAFFE Chester Insurance Services, Inc. PHONE (954) 315-4000 tAIC,FNot;(954) azo-sl?a 1761 W. Hillsboro Blvd E-MAIL .agraffe@chesterinsurance.com Suite 204 INSURER(S)AFFORDING COVERAGE NAIC 0 Deerfield Beach FL 33442- INSURER A:WESTERN HERITAGE INSURANCE CO INSURED ORINOCO CONSTRUCTIONS, INC INSURER B LICENSE CGC 1520747 INSURER C: 600 NE 98TH ST MIAMI DARE INSURER D: INSURER E: MIAMI SHORES FL 33138- INsuRERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCEBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A GENERAL LIABILITY CP1507472-02 12/15/201512/15/2016 EACH OCCURRENCE R $ 1,000,000 X COMMERCIAL GENERAL LIABILITY / / / / pAI ETO RFNT S occurrent $ 100,000 CLAIMS-MADE a OCCUR / / / / MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER / / / / PRODUCTS-COMP/OP AGG $ 2,000,000 X1 POLICY PRO LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT aaccident) ANY AUTO / / / / BODILY INJURY(Per person) $ A4AUTOS HEDULED ATOS / / / / BODILY INJURY(Per accident) $ HTOSNON-OVVNED / / / / PROPERTY DAMAGE Pa id nt $ UOCCUR / / / / EACH OCCURRENCE $ ECLAIMS-MADE I / / / AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION / J / / WC STATU- OTH- AND EMPLOYERS'LIABIUTY I ER ANY PROPRIETOR/PARTNER/EXECUTIVE YIN / / / / OFFICER/MEMBER EXCLUDED? N/A E.L.EACH ACCIDENT $ (Mandatory In NH) if yes,describe under E.L.DISEASE-EA EMPLOYE $ DESCRIPTION OF OPERATIONS below / / / / E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space Is required) GENERAL CONTRACTOR CGC 1520747 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN MIAMI SHORES VILLAGE ACCORDANCE WITH THE POLICY PROVISIONS. BUILDING DEPARTMENT AUTHORIZED REPRESENT gTiVE 10050 NE 2ND AVE MIAMI SHORES FL 33138- ,meq ACORD 25(2010/05) ©1888-2010 ACORD CORPORATION. All rights reserved. INS025(201005).01 The ACORD name and logo are registered marks of ACORD Permit, -1t-'I 5• G2 Miami Shores Village y 'FenceN, 10050 N.E.2nd Avenue NE k PersIM��� >:k G?lkf G,/ SStCtttOlt iifasonr ,, Miami Shores,FL 33138 0000efm# APPR3VED , Phone: (305)795-2204 LOR11 mew no Expiration: 0 /01/2016 Project Address Parcel Number Applicant 1035 NE 96 Street 1132060143730 Miami Shores, FL Block: Lot: INGRID 8 ERIC PALMISANO Owner information Address Phone Cell INGRID&ERIC PALMISANO 1035 NE 96 Street a MIAMI SHORES FL 33138-2551 F Contractor(s) Phone Cell Phone Valuation: $ 11,448.75 ORINOCO CONSTRUCTIONS, INC (786)531-9479 Total Sq Feet: gg Approved: Available Inspections: Comments: Inspection Type: Date Approved:: Tie Beam Bond Beam Date Denied: Tie Beam Type of Construction:Masonry Additional Info:CONSTRUCTION OF ONE CMU WAL Final Classification:Residential Scanning:3 Columns Foundation Fill Cells Columns Review Planning Review Planning Review Building Review Structural Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $7.20 DBPR Fee InVO1Ce# FW-10-15-57597 $3.00 12/04/2015 Credit Card $314.20 $0.00 DCA Fee $3.00 Education Surcharge $2.40 Permit Fee-Concrete&Masonry $200.00 Plan Review Fee(Engineer) $80.00 Scanning Fee $9.00 Technology Fee $9.60 Total: $314.20 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 ccurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore,I authorize the above- ontractor to do the work stated. J December 04, 2015 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy December 04,2015 1 Miami Shores Village Building Department ocj 2015 g p 'V 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 v Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(30S)762-4949 -�-� _FBC 20 1 ,-/ BUILDING Master Permit No. t-t�l l C PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION RENEWAL F-IPLUMBING ❑ MECHANICAL PUBLIC WORKS [I CHANGE OF 0 CANCELLATION 1:1 SHOP 4�°/ CONTRACTOR .� DRAWINGS 10B ADDRESS: 10 35 �� l (r�� ��. City: Miami Shores County: Miami Dade Zia: -33 1 3W Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: 1 ) p OWNER:Name(Fee Simple Titleholder):"C►'� G q�� � v' �+ �''I Sct"v Phone#: Address: O OE %'tl' City: �A I a�AA( 5 av tS State: L Zip: s )3 Tenant/Lessee Name: `` Phone#: Email: CONTRACTOR:Company Name: 0 Vt ®Lvst 1V G Phone#: 3 v 5 33 -3 I(o Address: (ebo 15�t tt �J � City: aw : Uov Ls State: Zip: Qualifier Name: o' it d Phone#: State Certification or Registration#: r&C SZ 4Tq- Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ 1-j-_!T�f o�5 Square/Linear Footage of Work: 0 L I w M Type of Work: ❑ Addition ❑ Alteration New ❑ Repair/Replace ❑ Demolition Description of Work: 10 \A e 6%4 0 tv cm 0 Specify color�f color thru tile: Submittal Fee$ Permit Fee$ CCF$ r CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ 1 Notary$ Technology Fee$ q" (a Training/Education Fee$ 9`a Double Fee$ Structural Reviews$ Bond$ D TOTAL FEE NOW DUE$ 3 tq- 1RPv1cPd02/74/7n141 Bonding Company's Name(if applicable) 00 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 flrst 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 NTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument wa?acknowledged before me this Q -?- day of 0 c d"v IaP .20rS by day of (', \ISP .20°/I�—�by whoispersonally known to riL-1 7 ?Ae&Qus ,who is personally known to me or who has produced (/ � C 05;JiX as me or who has produced (�1G(�iL� as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Si Sign. y S I u ORD �� P r>is,P� �o" - Print = °. `c' Notary Public-State of Florida S - •E My Comm.Expires Feb 28,2017 Seal: • - °" Commission#EE 849356 My Comm.Expires Feb 28,2017 "'.;;F°FFl°p•'`- =;� a:= Commission#EE 849356 Bonded Through National Notary Assn. ;'� °p�� Bonded Through National Notary Assn. APPROVED BY ( 1�=J Cy Plans Examiner L Zoning Structural Review Clerk (RPvicPdn7/74/7n141 Orinoco Constructions, Inc. • CGC # 1520747 State of Florida County of Miami-Dade Before me this day personally appeared Eloy Paredes who,being duly sworn, deposes and says: That he will be the only person working on the project located at 1035 NE 96th St. Miami Shores,FL 33138. Sworn to (or affirmed) and subscribed before me this c�4day of ()CID 6-e � 2015,by9 O j��PJ E1 Personally know OR Produced Identification Type of Identification Produced�� � 1✓a � ����' SHELLIE L.FULFORD r o•, Notary Public-State of Florida • ,s My Comm.Expires Feb 28,2017 Commission#EE 849356 Bonded Through National Notary Assn. 600 NE 981h Street, Miami Shores, FL 33138 p (305) 333 3169 Page ( 1 �, i. - ;( 5�0 �s D� �WIN Miami shores Village Building Department �N7'E9 fN� �tpRlpA 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 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 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: N& eCAJ-1— Owner State of Florida County of Miami-Dade The foregoing was acknowledge before me this -7 day of C) ,20/5 . By si'121-P ?i�l'W 50 A_�t who is personally known to me or has produced as identification. Notary: PpY PVe,, SHELLIE L.FUDFlorida SEAL: Q%0' � Notary Public-StatMy Comm.Expires F�= Commission#EEP� oug a lona s � 9 SL£ .04 `6' a ova o Z N ZQ9 Z Np Argot - n 00 Wx ? K yo� �w F �( W Q ss Q ao m�" � ' vi aN�O _ N u mill ,ZL'90l Q Of o�aR Ix0 �40 a Ld to 00 2 ox 0 M3� ow O "' V1 NMS �Z o w xcr G7 Ccn iY�zonWz3 u4ii etsoL _o N N � �� w ml ff' ' �- ��o �� ►- � w S"o J NW oM Z Us Xo K mif s L w .L8S0Lp PH 3 rn Z S u4i UL nQ=a�Q � r �i-FEIL SU�t]a 0w : •�• • • • 0000:• 0 M cV •• • ••� • N M a 000000 0000 • 000600 LZ SOIL8'SZt ? !9;;n1 g •••i•• 6 ••••6• • 2 O ( W O • zQa 0000 00d • • ry • • • • F., zso o Pg • • • • •00•• ,06 O FOR o F •• •• • • 0•i••• � r^ 40"tel 5 6L"SZL 00p ie •• '••• •• • • 00000 0 FO0Z a - > $S g • 1��yy ? � o W O o�z ao5 $ �•••6� ^i Q I N F z •a yaj a gson0 MW o a o c d6a • • • c �N a�0 to60Nf �mt9 fJ �1� � • o �1 iv m d SIM TWIS J= ISS a o 'SV3@i ,t8'SZt �N aU 16 sc•Ls � .� �' ok 8 ,o \N L V V o^ N! m W&n .MI a �� x �F moo \ ••d••_�: � �� r P \\\ 4*1 C. CIO ro o b G 3MW 000Vti.9 3ON33(mm.9 (� -Nis nc _ c :u;; q o �a 8888.. 8888.. 8888 .. 8888.. 8888 8888.. 8888.. 8888.. .. 8888 ..6.• 8888.. . 8888.. 8888 .. .. 8 . . 6.66.6 8.6660 . . . . 8888.. 6 8888.. •6• .0 6 .. . 00 Eric&Ingrid Palmisano Residence 1035 NE 96th St, Village Miami Shores, FL 33138 Orinoco Constructions, Inc 10/21/2015 Eloy Paredes (786) 531-9479 CGC 1520747 75' ST p f 41V APF f; .J`✓ _ --D A r 7' .• . Goes Pool under constructs n • .....• ..e. ee••• • .....• • 00.... .o •e•• G as ••e•• ::.::o . .. .... .e.e. o C T 2 9 015 • ::Ooee:: e• • . s• • 89.90' •• • Cq N i n 1L i i 9.93' ' w 4'6' 10.06' Go :y 1 1' New Planter 3'high section detail 19, New CMU Wall 3'high See cross section detail 75' ...... ...... . . .... .. ...... .... ...... •����• • • • • • • • • • • • • • • •��e�• � • • • •����• • • • • • • • Eric&Ingrid Palmisano Residence 1035 NE 96th St, Village Miami Shores, FL 33138 Orinoco Constructions, Inc 10/21/2015 Eloy Paredes (786) 531-9479 CGC 1520747 STRUCTURAL R VI W APPROVED _ ®A4 &14�_ •• • ease o 21/2" 8x8 concrete cap reinf"? asses: • #4 horizontal &hairpir►9tiritipe, • a 4#3 at 12"at each endprernaining a1,48" g • g $" egg• • *so* seg•• *wase . a• asses 00 00 e $„ 8"concrete block wallreinfor;ed w/ • a• #5 vertical bars at 400 o.c. a :...:. goes** • • • %egos as • g age e • • • • a" Horizontal reinforcement: standard No. 9 Ladder-type galvanized steel reinforcing every other course 8.. Ground level on street side 6" 10" 1'6" SI" 'k--- 4#5 x cont. bottom bars r #5@14"ox. ---Jx Transverse bottom bars 3 fees . . .. • ••e.e. . 0000. • • •fe•e •• • .este. • • • • • •sees• fees •• •• • • ••..•• *:sees • • e • • • • s • ` Eric&Ingrid Palmisano Residence 1035 NE 96th St, Village Miami Shores, FL 33138 Orinoco Constructions, Inc 10/21/2015 Eloy Paredes (786) 531-9479 CGC 1520747 0000. 0000.. Planter ' ' • .. 0000 0000.. 0000 0000.. :0090: 0000 00 . .0000. 0000 • 00 00000 0000.. .. 00000 0000 0000.. STRUCTURAL REVJ • • • 0000.. f APPROVED__-- -. see 0000.. .. 0000 2 1/2" 8x8 concrete cap reinf. w/(2) #4 horizontal &hairpin stirrups, 4#3 at 12" at each end, remaining at 48" 8.. s^ 8"concrete block wall reinforced w/ 2'io 1/2^ #5 vertical bars at 40" o.c. 8., / Horizontal reinforcement: g" standard No.9 Ladder-type galvanized steel reinforcing every other course 8" 2#5 x cont. 1, bottom bars 3' #5414" o.c. Transverse bottom bars 1'4" i u`ueru]] � l t'� 0000.. 0000.. • •••• • • ' 0000 0000.• 0000•• • • • 0000•• • •.-0000 � •• ••• � • • • • • • ~ • )•.• ♦000 •• • 0• deed • 0000.• 000 • • • • •• •• 00000.•• •.•0 • 0000•• 0 • • • ••s••. 0000•• •0000• ••• • • ••