RC-15-1694 (3) Miami Shores Village
it ing Department NOV 3 2015
sl[:
1 0 R:E .E. nd Avenue,Miami Shores,Florida 33138 ��: G1`
I: 305)795-2204 Fax:(305)756-8972
' I 1 N LINE PHONE NUMBER:(305)762-4949 �/)/
FBC ZV
BUILDING Master Permit No. f�C�-— ►5 — 1 C 9 y
PERMIT APPLICATION Sub Permit No.
(BUILDING F-1ELECTRICROOFING REVISION F-1EXTENSIONRENEWAL
``[]''PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: I "1 S-t -
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): Phone#:
Address: 31 D N ET qj q S4
City: J+jCjr,'7' 6 bo-P 3 State: F(- Zip: 3-3136 .
Tenant/Lessee Name: Phone#:
Email: �^ ll
CONTRACTOR:Company Name: FaA 7h 7L 4* 6-A�e Y-10 Phone#: 786 9S)0340
Address: , h
-71Od ileo! B Blvd .
City: M 1cl - State: rG Zip: -3-2/36 _
Qualifier Name: ra bI'D C4 sf C rr>j'no Phone#:
State Certification or Registration#: 6.C l-,S-U(o G 4-r Certificate of Competency#:
DESIGNER:Architect/Engineer: F, Phone#: 3" 7,86 303fl-
Address: City: State: Zip:
Value of Work for this Permit:$ Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: :Dvz�w I �n CG VyeC+) 0Q- Qa�A �2 1y4-C
-0 Io or -® �x v-C rnvvcA
Specify color of color thru tile:
Submittal Fee$ �, Permit Fee$�� CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ ' W Bond$
TOTAL FEE NOW DUE$
(Revised02/24/2014)
• i
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."
o h issuance a buildin ermit with an estimated value exceeding 2500 the applicant must
Notice to Applicant: As a condition t t eo $ ,
PPf 9 P 9
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 Signature
._<--f Z42 eT;;
OWNER or AGEN CON CTOR
The foregoing instrument was acknowledged before me this The foregoing Instrument was acknowledged before me this
1 day of ALc tleMber 20, 1577 by I day of lloyem6 er ,20 1!57 by
f-)nn&1d nV oder► who is personally known to T:!S bicD C19*rain a ,who is personally known to
me or who has produced 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• LL Sign•
Print: 0i'i P► l Qow, Print:
Seal: JOHN UDBARDY Seal:'
(NARY PUBLIC JOHN UDBARDY
STATE OF FLORIDA NOTARY PUBLIC
ComWO FF098337 STATE OF RMDA
.� fires Wi2018
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
Inspection Worksheet
{ Miami Shores Village
10050 N.E.2nd Avenue Miami Shores,FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-248898 Permit Number: RC-7-15-1694
Scheduled Inspection Date: December 08,2015 Permit Type: Residential Construction
Inspector. Rodriguez,Jorge Inspection Type: Fill Cells Columns
Owner. HAYDEN, DONALD J Work Classification: Addition/Alteration
Job Address:310 NE 99 Street
Miami Shores,FL 33138- Phone Number (305)799-5198
Parcel Number 1132060135580
Project <NONE>
Contractor: FAB INTERIOR&EXTERIOR INC. Phone: (305)751.4447
Building Department Comments
KITCHEN&BATHROOMS REMODELING INTERIOR Infractio Passed Comments
STAIRCASE REMOVAL AND BATHROOM EXPANSION 1 INSPECTOR COMMENTS False
DOOR EXTERIOR RELOCATION AND 2 WINDOWS
RELOCATION
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-247971. CREATED AS
REINSPECTION FOR INSP 238520. Need location for fill cells from Arch
Remove part of block next to existing
Rebars not set with epoxy
Failed ❑ ONLY kitchen and master bath south opening
Pending letter formaster bath west opening
Correction T ® � ,
Needed a
Re-Inspection
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
December 07,2015 For Inspections please call: (305)762-4949
Page 39 of 44
* , . t
Edgar Munoz, P.E. Florida Lic. #50051
6623 NW 173 Lane Miami FL 33015
Tel 786-303-7913
December 7, 2015
The Building Official
Miami Beach Building Department
PROJECT: 310 NE 99 Street, Miami Shores, FL 33138
Permit#RC7-15-1694
I, Edgar Munoz, P.E. as the engineer on record,certify that the window infill reinforcement has been
done properly and it will be enough to resist 175 mph wind forces.
The method used here comply with local codes and with FBC 2010.
For further information please feel free to contact us at 786-303-7913
Sincerely,
Ed ar MunP.E. 0051
I Zl 7( t'r
f
Miami Shores Village C�ivMD
JUL 8.7 2015
Building Department BY:
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(30S)762-4949
FBC 205
BUILDING Master Permit NOA 15-- 7
PERMIT APPLICATION Sub Permit No.
WBUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
F-IPLUMBING MECHANICAL 7 P E OF CANCELLATION SHOP
PUBLIC C W 0RKS CHANGE
CONTRACTOR DRAWINGS
JOB ADDRESS: 310 NG q �h s�e 64-
City:
City: Miami Shores County: Miami Dade zip: 3�3
Folio/Parcel#: 3 a-0 6 -0( "ifs f3itit*jij�iistorically a O
D;s%nd:Yes,�NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): D onafc J - iQ n Phone#:
Address: -310 Tl(✓7 q lq 5¢Y ee--f
City: j o Yn i_s kn Y PJD State: zip: 33 13 �b
Tenant/Lessee Name: Phone#:
Email: j, //++ 1
CONTRACTOR:Company Name: �"a+ ZL44?_YrUr &( T eY/0Y Phone#:
Address: `Itt9i uLtScq y wi 1,231Vd . tt^byf+e, `� ) I h
City: �1t&WX i State: f—C— Zip: -3-31,;lU
t
Qualifier Name:_'F-461"a ��Te r111^'0 Phone#: 7 b 6 a s 1 V 3 qo
State Certification or Registration#: (! 4 C. �d 6 C Certificate of Competency#:
DESIGNER:Architect/Engineer: >kAn Y jjU 0 Z Phone#:
Address: In�0�3 7 3 1"a�`� City: J J State: ot Zip: 81S
Value df yl►brC iotitis P �.0 Square/Linear Footage of Work: 2 f
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work:__Kf4ci&L!n �+ ba4li-roo rnS gemo&e F iS 11nkF_rioy
<+A.Rr,ca.) e wp. Y w oVaA 1W4arooYn PaC chyiS;o 4o a eYrw
do cux fovn 4 ?_ wtno(Dw 3 retoCAf1&n .
Specify color of color thru tile: //O�
Submittal Fee$21��� �� Permit Fee$ i,®� :
' ` CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews, b` u$$ -r Bond$ s Cz
� �1 a f f fptAl YgLAVW( TOTAL FEE NOW DUE$11,202. 5o
(Revised02/24/20141 E 0 2 . Lam®
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 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 ai641Signature
—<7/z-
OWNER or AG CONTRACTOR
The foregoing instrument was ackno ledged before me this The foregoing instrument was acknowledged before me this
fday of 20 TS ,by 3y day of J V n f ,20 1 S ,by
I�C.H AAAA ,who is personally known to �ab CO C(Sftrn 1^ who is personally known to
me or who has produced as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOT UBUC: NOTARY PUBLIC:
1
Sign. Sign: /
Print: j1 Print: 17 �l y�y
Seal: NOTARY F�UBLIC I
ctA +„� Seal: STATE OF FLORIDA
•,o IilIJAN=ALYAMRAID
IN COMMISSION Ii IT 06WC0Mm#FF088i37
* * EXPIRES:Oder 27,2017 Expires 54=18
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APPROVED BY Plans Examiner Ok) 7/ Zoning
(//)7-7Structural Review Clerk
(Revised02/24/2014)
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CERTIFICATE R CA+NCELLATON
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CITY OF MIAMI SHORES THE EXPIRATION DATE Tldaz ,NOTIM WILL BEIN
ACCORDANCE VM THE AGCY PROWISION&
10050 NE 2 AVE
MIAMI SHORES,FL 33138 AUTHORIZED REPRESENTATIVE
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