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RC-16-208 t Miami Shores Village 10050 N.E.2nd Avenue NE Miami Shores,FL 33138-0000 � sor Phone: (305)795-2204` 1 �. r 1,� Ertl 3st' °Y k Expiration: 08/2012016 Project Address Parcel Number Applicant 479 NE 102 Street 1132060170840 Miami Shores, FL Block: Lot: HENRIQUE SOUZA Owner Information Address Phone cell HENRIQUE SOUZA 479 NE 102 Street (646)320-4171 MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone JOHNNIE C COPE JR INC 305 866-8617 Valuation: $ 28,300.00 ( ) (305)710-9565 - Total Sq Feet: 1750 Approved:In Review Available Inspections: Comments: Inspection Type: Date Approved::In Review Final PE Certification Date Denied: Window Door Attachment Type of Construction:INSTALL NEW WOOD FLOORS NE Occupancy:Single Family Framing Stories:1 Exterior: Insulation Front Setback: Rear Setback: Drywall Screw Left Setback: Right Setback: Window and Door Buck Bedrooms:3 Bathrooms:2 Fill Cells Columns Plans Submitted:Yes Certfcate Status: Review Electrical Certificate Date: Additional Info: Review Electrical Bond Retum: Classification:Residential Review Electrical Review Building Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Review Building CCF $17.40 Review Planning CO/CC FeeInvoice# RC-1-16.58452 Review Plumbing $50.00 01/26/2016 Check#:2885 $50.00 $929.88 DBPR Fee 812,74 Review Plumbing DCA Fee $12.74 02/22/2016 Check#:3024 $929.88 $0.00 Review Structural Education Surcharge $5.80 Review Mechanical Permit Fee $849.00 Scanning Fee $9.00 Technology Fee $23.20 Total: $979.88 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-nam nt r to do the work stated. February 22,2016 Authorized Signature:Owner / Applicant / C1 ractor / Agent Date Building Department Copy February 22,2016 1 Miami Shores Village . f � Building DepartmentJAN to nis 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 �Y: Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 201/ BUILDING Master Permit No & PERMIT APPLICATION Sub Permit No. 'BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP A �y / CONTRACTOR DRAWINGS JOB ADDRESS: / N E /0 Z~n9 S City Miami Shores -t County: Miami Dade Zip: Folio/Parcel#: 11 3206.• 0 /"7-" 8`f•0 Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: !j6 FFE: OWNER:Name(Fee Simple Titleholder): 144el�ri U e 19.e Sv� Phone#:6 el ^ 52-o 91 Address: T City: �! ,� Shim State Zip: 3j 'tenant/Lessee Name: Phone#: Email: / /�_ - CONTRACTOR:Company Name: ` /1/1(e & /'OZ ✓/ `PIC—Phone#: 50Y-904.417 Address 67 f§tL f T ' 3l3� City: i� State: Zip: Qualifier Name V�� Phone#: State Certification or Registration#: CIJe. 0 0� Certificate of Competency#: DESIGNER:Afchitect/Engineer. ~ ° Phone#: Address: City: State: Zip: Value of Work for this Permit:$4,01-300 Square/Linear Footage.of Work: 17 SO Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition Description of Work:. nqui wwd4CAeiY1 m br 1rOt(�tGQs ; nc � I7 r M i �x-ka•v� n . L,Le wh.�eP • io Diil�.�b'r+'+�i ixs re�lar� Specify color of color thru tile: Submittal Fee Permit Fee$ � - CCF$ ® CO/CC$ CD Scanning Fee$ Radon Fee$ ,ted' DBPR$ Notary$ P Technology Fee$ �3 " Training/Education Fee$ 'Qi() Double Fee$ Structural Reviews$_ Bond$ TOTAL FEE NOW DUE$ fj (Revised02/24/2014) t , 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 qj S�� Signature OWNER or AGENT IJ CONTRACTOR The foregoing instrument was acknowledged before me this The fo/regoing instrument was acknowledged before me this j 2-6cc�delay of (� 20 � by !��day of 20 1 by SOQ24o is personally know to I -2. who is personally know 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•- &d Sign Print: l Prir>jr: Seal: r�"`" QUIDA JACOBS Seal: „ MY COMMISSION 0 FF43855 QUIDA JACOBS ° EXPIRES.August 14,2017 MY COMMISSION q FF43855 EXPIRES:August 14,2017 Lb a-l0fap APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) a A REO CERTIFICATE OF LIABILITY INSURANCE 01/26/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CER71FICATE 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(ies)must be endorsed. It SUBROGATION IS WANED,subject to the terms and Conditions of the policy,certain policies may require an endorsement, A statement on this cer0cate does not confer rights to the certificate hokter M lieu of such endorsement(s). PRODUCER CONTACT- NAM* Futurity Insurance,Irx: N : (561)361-8331 No• (561)381-6332 PO Box 4277 ADDRESS: INSURERS)AFFORDING COVERAGE MAIC 0 Deerfield Beach FL 33442-4277 INSURMA: Western World Ins.Co. INSURED INSURER B: Johnnie C.Cope,Jr.,Inc. INSURER C: 479 NE 102nd Street INSURER 0: INSURER E Miami ShowFL 33138 INSURERF: COVERAGES CERTIFICATE NUMBER: REVISION NU R. THIS 18 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWTTHSTANDINGANY REQUIREMENT,TERM OR CONDITION OFANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS C,ER71FICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCEAFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TOALLTHE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. L TYPE OF INSURANCE POLICYN�B� LIMCrS MILLGENERALLIABILI Y EACH OCCURRENCE $ 1.000.000 CWr SAAADE ®OCCUR PREMISEwmnw= $ 100.000 MED EXP(Any one person) $ SAW A NPP8269955 01/22!2016 01/22/2017 PERSONALSADVINJURY $ 1.000,000 GEN LAGGREGATE LIMpRAPM IES PER GENERALAGGREGATE $ 2,000,000 POLICY®.EC7' ®LOC PRODUCTS-COMP/OPAGG $ 1.000.E OTHER: $ AUTOMOBILE LIABILITY ) $ ANYAUTO BODILY INJURY(Per person) $ ALL OWNEDSCHEDULED AUTOS AUTOS BODILY INJURY(Per Via) $ HIREDAUTQS 14ON-OWNED AUTOS (Peraeeldera $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAO CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS'LL40U Y YIN [ STATUTE ANY PROPRIETORIPARTNE RIEXECUTME OFFICERMAEMBEREXCLUDED? D NIA E.L.EACH ACCIDENT $ H andatwy yes InIn E.L.DISEASE-EA EMPLOYEE $ DESCundw RIPTION OF OPERATIONS belay E.L.DISEASE-POLICY UNIT $ DEP^IION OF OPERATKrNS/LOCATE/VEHK:LER(ACORD 101,Addlfonal Remarks SclmdWe,may be atl�etl I more space is requked) Remodeling Contractor Johnnie C.Cope Qualifer CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Mierni Shares Village Bldg Dept ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2nd Ave AUTHORIZED REPRESENTATNE Miarrd Shores FL 33138 ®1988-2014 ACORD CORPORATION. AU rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD +� DATE(r®UDDlYYY1r) ACCM& CERTIFICATE OF LIABILITY INSURANCE 1/26/2016 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 pollcy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terns and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the cw tl r,v to holder In lieu of such endorsement(s). PRODUCER NAME ACT TriGen Insurance Solutions, Inc. 315 BE Misner Blvd PHONE 877 987-4436 FAX : 954 252-4426 Suite 213 ADDR CERTS@TRI PIRC.COM Boca Raton FL 33432 IN AFFORDING COVERAGE MAIC9 INSURERA:Guarantee Insurance Company 11398 BRED (904) 731-9014 INSURER B: Convergence Employee Leasing, Inc. Convergence Employee Leasing Ii, Inc. [NSURERC: 3951 Saymeadows Road INSURER D: Jacksonville FL 32211 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER:Cert ID 11591 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 CONDMON 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 INSURANCE POLICY NUMBER P� �F LIMITS COMMERCIAL GENERAL LIABUM EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-MADE EIOCCUR PRB41SES Ea 00MO M $ MED EXPAiry one $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ POLICY E JEC E]LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABI ITY (EeBASIN LIMIT $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per axbdent) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAC3E $ HIRED AUTOS AUTOS UMBRELLA LIARHCMMS-MADE OCCUR EACH OCCURRENCE $ EXCESS LG$ AGGREGATE $ DED I I RETENTION A WORKERS COMPENSATION YIN WCP500075001GIC 9/30/2015 9/30/2016 8 STATU' ER - AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE NIA EL EACH ACCIDENT $ 1,000,000 OFFICERIMEMBER EXCLUDED? (Mandatory in NH) EL DISEASE-EA EMPLOYEE,$ 1,000,000 N yes,deme urdw 1,000,000 DESCRIPTION OF OPERATIONS being E.L.DISEASE-POLICY LIMIT S $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,AddWWW RemaAw Sdndul%may be aftw*W N more space Is required) Coverage provided for all leased employees but not subcontractors ofs Johnnie C. Cope Jr Inc Location coverage effective: 9/30/15 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. 10050 NE 2nd Avenue AUTHORIZED REPRESENTATIVE Miami Shores FL 33138 Cr ®1988-2013 ACORD CORPORATION. AN rights reserved. ACORD 25(2013104) The ACORD name and logo are registered marks of ACORD Pave 1 of 1 rn Certificate of Completion Miami Shores Village k 10050 NE 2 Ave, Miami Shores FI, 33138 Tel: 305-795-2204 Fax: 305-756-8972 Building Inspection Department ' i This certificate issued pursuant to the requirements of the Florida Building Code 106.1.2 certifying that at the time of issuance this structure was in ; compliance with the various ordinances of the jurisdiction regulating building construction or use. For the following: �t Permit Type RESIDENTIAL CONSTRUCTION Bldg. Permit No. RC-1-16-208 ;�C°, Owner HERNRIQUE SOUZA Contractor JOHNNIE C COPE JR INCA Fa 5 Y" Subdivision/Project NONE Date Issued 08/19/2016 °. Occupancy r Construction Type VI Load NIA Occupancy Square Footage 1750Type R-3 Description of INTERIOR RENOVATION Applicable Code 2014 FLORIDA BUILDING CODE 5Y Work Location Flood Zone X F.F.E N/A o 479 NE 102 ST r Miami Shores FL 33138 k t� � yNoRFs Building Officials Approval Ismael Naranjo, CBO a� L� � rp�e Not Transferable �LOIR1Dp' POST IN A CONSPICUOUS PLACE #r t � id t• ""y.,�r."t `'GS''��'0t �— '*^ -t fi i'."' �'- ''h ♦ �� n a f-c �� ,�<��, �ri '*qty ,�,, N n ✓ e}dr RT# i by `'. . i+; t. i 'LrY:c�d� P°, ?.:vtevs• ,.; ''° is d ;.i'i# ,* 4 ., t� rF ;. to. .. d INSPECTION RECORD -- POST ON SITE R Permit NO C-1 - 16-208 `SNORE,y`!C Miami Shores Village � Permit Type:Residential'Ccitstruction � 10050 N.E.2nd Avenue � % ..... " Miami Shores,FL 33138-0000 -'" Drk Classification:Alteration Phone: (305)795-2204 Fax: (305)756-8972 RT Issue Date: 2/22/2016 ��aR�n� 08/20/20'I 6 Expires: INSPECTION REQUESTS: (305)762-4949 or Log on at https://bldg.miamishoresvillage.com/cap REQUESTS ARE ACCEPTED DURING 8:30AM-3:30PM FOR THE FOLLOWING BUSINESS DAY. Requests must be received by 3 pm for following day inspections. Residential Construction Parcel #:1132060170840 Owner's Name:HENRIQUE SOUZA Owner's Phone: (646)320-4171 Job Address: 479 NE 102 Street Total Square Feet: 1750 Miami Shores FL Total Job Valuation: $ 28,300.00 Bond Number: ^r;/;:,.a. ;;.i./rrd/ifGn/Alal.,Adcaahc'.,, .... J.,,trriu.f/,.� :.�. ., .;..e, �.2:,«„/t:s.�,..,:N_ .ry a;:rll?.viG//f!!.✓�J/�'<. WORK IS ALLOWED MONDAY THROUGH SATURDAY, 7:30AM-6:0013M.NO WORK IS ALLOWED ON Contractor(s) Phone Primary Contractor SUNDAY OR HOLIDAYS. f JOHNNIE C COPE JR INC (305)866-8617 Yes f BUILDING INSPECTIONS ARE DONE MONDAY THROUGH THURSDAY. ROOFING INSPECTIONS ARE DONE MONDAY THROUGH FRIDAY. NO BUILDING I INSPECTIONS DONE ON FRIDAY. F NO INSPECTION WILL BE MADE UNLESS THE PERMIT CARD!S DISPLAYED AND HAS BEEN APPROVED. PLANS ARE READLY AVAILABLE. ITIS THE PERMIT APPLICANT'S RESPONSIBILITY TO ENSURE THAT WORK IS ACCESSIBLE AND EXPOSED FOR INSPECTION PURPOSES. NEITHER THE BUILDING OFFICIAL NOR THE CITY SHALL BE LIABLE FOR EXPENSE ENTAILED IN THE REMOVAL OR REPLACEMENT OF ANY MATERIAL REQUIRED TO ALLOW INSPECTION. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF' . COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NQj&9 OF COMMENCEMENT, A INSPECTIQN RECORD STRUCTURAL ZONING ITMILIr INSPECTIONDATE INSP INSPECTION DATE INSP INSPECTION DATE INSP Foundation Zoning Final Stemwall ZONING COMMENTS Rough 'tZ Slab Water Service Columns 1 st Lift 2"d Rough 1 Columns 2nd Lift Top Out Tie Beam Fire Sprinklers Truss/Rafters Septic Tank Roof Sheathing Sewer Hook-up Bucks Roof Drains Windows/Doors Gas Interior Framing INSPECTION DATE INSP LP Tank Insulation Temporary Pole Well Ceiling Grid 30 Day Temporary Lawn S rinklers DrywallAff C,1 t IC Pool Bonding Main Drain Firewall 7TO Pool Deck Bonding Pool Piping Wire Lath Pool Wet Niche Backflow Preventor Pool Steel Underground Interceptor Pool Deck Footer Ground Catch Basins Final Pool lab Condensate Drains Final Fence Wall Rough HRS Final Screen Enclosure Ceiling Rough - Driveway Rough PLUMBING-COMMENTS Driveway Base Telephone Rough Tin Cap Telephone Final Roof in Progress___ TV Rough Mop in Progress TV Final Final Roof Cable Rough Shutters Attachment Cable Final _ Final Shutters Intercom Rough ®Raj,lsnd Guardrails Intercom Final 'om liance Alarm Rough INSPECTION DATE INSP Alarm Final Underground Pipe DOCUME Fire Alarm Rough Soil Bearing Cert Fire Alarm Final Rough Soil Treatment Cert Service Work With Floor Elevation Survey Ventilation Rough Reinf Unit Mas Cert ELECTRICAL COMMENTS Hood Rough Insulation Certificate Pressure Test Spot Survey Final Hood Final Survey Final Ventilation Truss Certification Final Pool Heater STRUCTURAL COMMENTS Final Vacuum 21:11 "I. MECHANICAL COMMENTS INSPECTION DATE INSP Final Sprinkler Final Alarm