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PL-15-1326 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone:(305)795-2204 Fax:(305)756.8972 Inspection Number: INSP-235919 Permit Number. PL-6-15-1326 Scheduled Inspection Date:January 05,2016 Permit Type: Plumbing-Residential Inspector Diaz,Osvaldo Inspection Type: Final Owner CONTESSA,MICHELE Work Classification:Addition/Alteration Job Address:9220 NE 2 Avenue Miami Shores,FL Phone Number (305)761-5243 Parcel Number 1132060133060 Project <NONE> Contractor. ARNIELLA CONTRACTORS CORP Phone:(786)697-8621 Building Department Comments PLUMBING FOR KITCHEN AND BATHROOM boactl Psew mms+rte REMODELING INSPECTOR COMMENTS False Inspector Comments Passed E:9/ Failed Correction Needed Re-Inspection Fee No Addhlonal Inspecdons can be scheduled unBl rein on fee Is paid. January 04,2016 For Inspections phrase calk(305)76241949 Page 8 of 46 Miami Shores Village 10050 N.E.2nd Avenue NE Miami Shores FL 31 3 38-0000 3 � ' r 3 • t.� #'x 3 Phone: (305)795-2204 k ,h Expiration: 1=21201 5 Project Address Parcel Number Applicant 9220 NE 2 Avenue 1132060133060 MICHELE CONTESSA Miami Shores, FL Block: Lot: Owner Information Address Phone Cell MICHELE CONTESSA 9220 NE 2 Avenue (305)761-5243 MIAMI SHORES FL 33138- 9220 NE 2 Avenue MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 3,800.00 ARNIELLA CONTRACTORS CORP (786)597-8621 _�..,,�.��.�..�.x.�._�_........._...�. � Total Sq Feet: 0 Type of Work:PLUMBING FOR KITCHEN AND BATHROOM R Available Inspections: Type of Piping: Inspection Type: Additional Info: Top Out Bond Retum: Final Classification:Residential Scanning:1 Review Plumbing Underground Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $2.40 Invoice# PL-6-15-55801 DBPR Fee $3.38 06/05/2015 Credit Card $191.16 $50.00 DCA Fee $3.38 Education Surcharge $0.80 06/02/2015 Credit Card $50.00 $0.00 Permit Fee $225.00 Scanning Fee $3.00 Technology Fee $3.20 Total: $241.16 In conside 'on of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining a to and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting his ' I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required f r EL C I L,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS FFI A I I certify that all the.foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction nd o I Futhermore,I a orize the above-named contractor to do the work stated. June 05,2015 Autho g at re:Owner / Applicant / Contractor / Agent Date Building Department Copy June 05,2015 1 Miami Shores Village - Building Department 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 JUN 201 Tel:(305)795-2204 Fax:(305)756-8972 : INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 2010 BUILDING Master Permit No. [ PERMIT APPLICATION Sub Pgrmit No. R • -132D BUILDING r-j ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION Ej RENEWAL PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP A-" City: a CONTRACTOR DRAWINGS JOB ADDRESS: �!.-,Gf� P, ;hd- A '""r City: Miami Shores County: Miami Dade Zip: 3313C9 Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: �AConstruction Type: 1 Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): �'0 t JG �� -+ n �� Phone#: 3®•' �P ' 62 Address: g2.2® )vu- 2 City:' J YV%A 41NO Aj State: L.. Zip: 3313 Tenant/Lessee Name: _ �e Phone#: Email: CONTRACTOR:Company Name: kryvi i ten Phone#: -?8 Address: fi(,o 41 Sw• az-q PL �t ) l .iw� TL Zip: 3�1 City � ``__ State: Qualifier Name: a ey r1 1,y=,0 d A" 1�Or Phone#: ;'810 ✓r� �Z1 State Certification or Registration#: Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ S®®a Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ 'Alteration ❑ New [:1Re ja�ir/Replace ❑ Demolition Description of Work: m'D dA 1A\" O 1��1�¢ ��y1 rov YYt l ' i Pl' A` flit S t,:) � �• f, a Specifyco t'uamb Submittal Fee$ Permit Fee$ Z 25'� CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) 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$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not proved and a reinspection fee will be charged. Signature Signature /6�, INNER or AGENT CONTRACTOR Thome foregoing instrument was acknowledged before me this The fore oing instrument was acknowledged before me this J 1--3 day of 20 ,by day of 20 16,by rVX j C'H r..LX' I`cX�—Trc wh1 o is personally known to who is personally known to L17me or who has produced �`" �z�� as me or who has produced S (..4 -_ identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: I tiUrrt.. Sign: Yn`%, Sign: Print: ,y EP 11 3 .6 Print: - o _4 ambawma °TS'�lUl00" ecru •=M Comm. Oct 11,2015 seal: _ r /l�//d j� _seal: , qtr�n �n*EE 106714 g� �+ ' �„'��•' Throw V alio"assn. 0Z/9p/gy0 d �dx ..,,..: APPROVED BY " Plans Examiner Zoning Structural Review Clerk (Rev1sed02/24/2014) ARNIELLA CONTRACTOR. 5671 SW 129 ' PL, Miami, Florida. 33183 r c or amiellacont a t Ccb,jyahoo.com Ph: (786)597 8621 State of Florida County of Dade; Miami shores Village Building Department I Before me this day personally 05/29/2015 who,being duly sworn, deposes and says That,Bernardo Arniella is the only person working on the project located at 9220 ne 2'ave Miami Shores FL 33138 Sworn to(or affirmed)and subscribed before this 0-i"-day of ,20 Eby Personally kno OR Produced Identifications Type of identifications Produced p•„u,a DANCENY REYES °ms's Notary Public-State of Flohd$ EI $, , _Icy Comm.FlO 0101 2015 - •, Canmieat0n l n. eweq N�7 Aseo Print,Type or stamp Name of Notary IN Miami shores Village Building Department tp,RipA 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'comp9wti urance coverage from the contractor's company for day labor,part-time employees or subcontractors. BY SIGNIN B YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: \\J er State of Florida County of Miami-Dade ,�T n The foregoing was acknowledge before me this- Com-day of #0VU Q ,20_&. Bywho is personally known to me or has produced UQNJC as identification. Notary: SEAL: Nota�AWare�z �� Sind �< My Commissio»FF 158750 ekq� Expires09/0312018