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RC-15-2530
Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FIL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-265845 PermitNumber: RC-10-15-2530 Scheduled Inspection Date: August 29,2016 Permit Type: Residential Construction Inspector: Mesa, Michel Inspection Type: Final Building Owner: , Work Classification: Alteration Job Address: 1094 NE 91 Terrace Miami Shores,FL 33138- Phone Number (305)336-7100 Parcel Number 1132050010380 Project: <NONE> Contractor: ABL CONTRACTOR CORP Phone: (786)718-9935 Building Department Comments INTERIOR REMODELING Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-265764. 8-19-16 missing inspection for window closed with block on master room. provide ENG certification or provide inspection access. Failed D Correction Needed Re-Inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid. 1� August 26,2016 For Inspections please call: (305)762-4949 Page 29 of 38 Miami Shores Village Permit � 1>1�t?w 10050 N.E.2nd Avenue NE Wprtas �attar 'ltn Miami Shores,FL 33138-0000 t�rrtit Ott rs'APPROVED, hF � Phone: (305)795-2204 3� Issue Date:121712015 Expiration: 06104/2016 Project Address Parcel Number Applicant 1094 NE 91 Terrace 1132050010380 Miami Shores, FL 33138- Block: Lot: WATERSEDGE SHORES LLC Owner Information Address Phone cell WATERSEDGE SHORES LLC 1094 NE 91 Terrace (305)336-7100 MIAMI SHORES FL 33160-3313 72 GOLDEN BEACH Drive GOLDEN BEACH FL 33160- Contractor(s) Phone Cell Phone Valuation: $ 49,000.00 ABL CONTRACTOR CORP (786)718-9935 _.._.. --- __... _.._..:. Total Sq Feet: 0 Approved:In Review Available Inspections: Comments: Inspection Type: Date Approved::In Review Final PE Certification Date Denied: Window Door Attachment Type of Construction:INTERIOR REMODELING Occupancy: Framing Stories: Exterior: Insulation Front Setback: Rear Setback: Drywall Screw Left Setback: Right Setback: Window and Door Buck Bedrooms: Bathrooms: Fill Cells Columns Plans Submitted:Yes Certificate Status: Review Electrical Certificate Date: Additional Info: Review Electrical Bond Return: Classification:Residential Review StructuralReview Mechanical Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Review Planning CCF $29.40 Review Building DBPR FeeInvoice# RC-10-15-57322 Review Building $22.05 10/05/2015 Credit Card $50.00 $1,671.50 DCA Fee $22.05 Review Plumbing Education Surcharge $9.80 12/07/2015 Credit Card $ 1,671.50 $0.00 Review Plumbing Permit Fee $1,470.00 Plan Review Fee(Engineer) $120.00 Scanning Fee $9.00 Technology Fee $39.20 Total: $1,721.50 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction andzoning. F t rn uthorize the above-named contractor to do the work stated. December 07,2015 Authorized Sig re:Owner / Applicant / Contractor / Agent Date Building Department Copy December 07,2015 1 Miami Shores Village Building Department I OCT 05 2015 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 I Tel: 305 795-2204 Fax: 305 y756-8972 I_ INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 201�f BUILDING Master Permit No. RC Cs s 253c) PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP r CONTRACTOR DRAWINGS JOB ADDRESS: �. h9 Tz"T�-- City: Miami Shore/s,� County: Miami Dade Zip: / Folio/Parcel#: U 00 Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: rA OWNER:Name(Fee Simple Titleholder): khle1(_S 1101 e- Phone#: C-!�C 5 3 �— Loo Address: l 6in (&Sw—Z9 -D(– City: (36 &e 0 -5P LIl State: Zip: -33 Tenant/Lessee Name: JJ / Phone#: Email: -��/`lOLlZ kq r7 09z"a�G aCcJ� CONTRACTOR:Company Name: Jg�CCDYI�Rctc[o2 CD21� Phone#: S,-9q 3$ Address: 12110 lUtlJ 6 S7L cA �®�'1AzaC��� Cpm/���°�0�� City: ! State: F1- Zip:331 Z S Qualifier Name: a Phone#: I State Certification or Registration#: CG G I S 2 3//Z Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: tyMate: Zip: Value of Work for this Permit:$ -9z 0 ©47 `� ° :Sc 6, L146" Ffobtage of Work Type of Work: ❑ Addition ❑ Alteration `,3 IVew ❑ Repair/Replac ❑ Demolition Description of Work: Specify color of color thru the: ------���� � Submittal Fee$ JC/ Permit Fee$ 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) 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 sev n (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a rei pection fee will be charged. Signature Signature OINERorAGENT w ONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this JQ day of & ,r 20 IBJ by day of ©c_ 20 /.sem by who is personally known to g� �' r `who is personally known to me or who has produced who has produced as VINET CAMPBELL identifica4anwhod take i�`' 4�;. lid n kation and who did take an oath. Nota"t�ttidllt-Sgte o1 FI ede NOTARY My Comm.ExOm Oct 30,x@ Y PUBLIC-os Commission it IFF 113169 Sign: Sign: Print: Print: Seal: Seal: ` ti AM�BELL �� ►us`^ No Public State of Florida Joanna M Feliciano a, v;klic State of Florida • My Commission FF 082753 My oir , Exolres Ott 30.2019 Expires 01/72/2018 ils�,�k,�'******,��x'Ai>±b#1'A��fk#� *� APPRO E BY !� Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) ' Electronic Articles of Organization L15000107597 FILED 8:00 AM Florida Limited For Company Sec. Ofhate tbrown Article I The name of the Limited Liability Company is: WATERSEDGE SHORES, LLC Article II The street address of the principal office of the Limited Liability Company is: 172 GOLDEN BEACH DRIVE GOLDEN BEACH, FL. 33160 The mailing address of the Limited Liability Company is: 172 GOLDEN BEACH DRIVE GOLDEN BEACH, FL. 33160 Article III Other provisions, if any: TO ENGAGE IN ANY AND ALL LAWFUL BUSINESS PERMITTED UNDER THE LAWS OF THE UNITED STATES AND THE STATE OF FLORIDA. Article IV The name and Florida street address of the registered agent is: HOWARD B. NADEL, P.A. 301 W HALLANDALE BEACH BLVD HALLANDALE BEACH, FL. 33009 Having been named as registered agent and to accept service of process for the above stated limited liability company at the place designated in this certificate, I hereby accept the appointment as registered agent and agree to act in this capacity. I further agree to comply with the provisions of all statutes relating to the proper and complete performance of my duties, and I am familiar with and accept the obligations of my position as registered agent. Registered Agent Signature: HOWARD B. NADEL, PRESIDENT 5 - Article V L15000107597 The name and address of person(s) authorized to manage LLC: FLED 8:00 AM June 19 2015 Title: MGR Spec. Of state SEYMOUR KANTOR 172 GOLDEN BEACH DRIVE GOLDEN BEACH, FL. 33160 Title: MGR JILL KANTOR 172 GOLDEN BEACH DRIVE GOLDEN BEACH, FL. 33160 Signature of member or an authorized representative Electronic Signature: HOWARD B. NADEL I am the member or authorized representative submitting these Articles of Organization and affirm that the facts stated herein are true. I am aware that false information submitted in a document to the Department of State constitutes a third degree felony as provided for in s.817.155, F.S. I understand the requirement to file an annual report between January 1 st and May 1 st in the calendar year following formation of the LLC and every year thereafter to maintain "active" status. • ,SH0RFs y Miami; shores Village Elm -�' Building Department ISL OR 10050 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner - Workers' Compensation Insurance Exemption x: 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 Y U ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: (Avner State of Florida �y(I (fig County of Miami-Dade I The foregoing was acknowledge before me this day of Ce TO ,201 . By ��J V°)J 14:a r who is personally known to me or has produced 1 L, Li cul6E as identific on�••���,,,,,��� YINET CAMPBELL Notary: NOtal fdffc-State of r'nnd=. Ain ? :.�My^.omrr, EYa+res Oct 3�.�� - �ommissioa 0 FF 173169 Ch SEAL: :_mei% M: SELL �.• !��11�`�. Notary Puk is - S,k!F My Comm EzNres Oct ou.2u u•� 113169 786-718-9935 I ablcontractorcorp@gmail.com I Lic#CGC 1523112 Date: State of B®r0 County of "imA -'npre Before me this day personally appeared who, being dully sworn, deposes and says: That he or she will be the only person working on the project located at:9go NE qq -Ivp- 1-11f)"I y 373(139 Sworn to(or affirmed)and subscribed before me this day of 0, 0f.!1F L 20C- by ,��`•• � � Personally known ° WWI POW-Stye o1 Flallf My COMM.Expltae9c!'�•aStS OR Produced Identificatio ` =s. f3169 commission# ,,' •••�•••`, Tyoe of Identification Produced' Print,Type or Stamp Name of Notary JCD ARCHITECT, INC A.A. #zrsoo 1 560 1385 CORAL WAY 5U # 207 TEL.#(305)285-4343 MIAMI, FL 33 145 FAX#(305)285-4330 August 23, 2016 Village of Miami Shores 10050 NE 2nd Avenue Miami Shores, FL 33138 Re: Watersedge Shores, LLC. 1094 NE 9111 Terrace Miami Shores, FL 33138 "CERTIFICATE" Dear Sirs: The undersigned Juan C. David RA # 15344 —Architect of record for the above property, certifies herein that having performed an inspection to the above property, I can attest to the best of my knowledge, belief and professional judgment, the structural and envelope components of the window enclosure are structurally safe and sound as per detail attached. As stated herein, the above modification continues to be in compliance with the FBC, and can therefore be approved as "in compliance" by the Miami Shores Building Department. Should you have any questions or need any additional information, please do not hesitate to contact me. S' , FFA . O /O v . A 15344 A. ej�.. RA #00015344 Tel.#(305) 285-4343 Cc/ e ge Shores.LLC. FULL ARCHITECTURAL 5ERVICE5 es RE51DENTIAL ce COMMERCIAL cs CUSTOM DE51GN cis LEED CERTIFICATION JUANCDAVI D®JCDARCH ITECT.COM to EXIST. FILL CELL EXISTING C.M.U. WALL. -EXIST. FILL CELL EXISTING C.M.U. WALL. a i #9 GA. LADDER TYPE #9 GA. LADDER TYPE _ HORIZONTAL REINFORCING. HORIZONTAL REINFORCING. EXIST. FILL CELL EXIST. FILL CELL GALV. STEEL DOVETAIL ANCHORS GALV. STEEL DOVETAIL ANCHORS #5 VERT. REINFORCING. ® WINDOW EVERY OTHER COURSE W/ 1/4" EVERY OTHER COURSE W/ 1/4" JAMB IN FILL CELL 0 X 2 1/4" "TAPCON" SCREW 0 X 2 1/4" °TAPCON° SCREW INTO EXIST. CMU WALL INTO EXIST. CMU WALL INSERT #5 DOWEL INTO EXIST. #9 GA. LADDER TYPEE---#9 GA. LADDER TYPE FOUND. & INTO EXIST. T.B. W/ vo/ EPDXY MIN. EMB. 6". HORIZONTAL REINFORCING. HORIZONTAL REINFORCING. 9 GA. HORIZ. 16" O.C. VERT. NEW CONCRETE BLOCKS NEW CONCRETE BLOCKS EXIST. FLOOR OPENING. @ OPENING. NEW STUCCO TO MATCH NEW STUCCO TO MATCH EXISTING. EXISTING. o� CHIP FACE OF EXIST CONC. BLOCK TO INSTALL DOWELS & FILL W/ WALL ENCLOSURE AT WALL ENCLOSURE- GROUT. WIND ❑ W OPENING AT BOOR OPENING FILL CELL DETAIL SCALE = N.T.S. SCALE = N.T.S. SCALE = N.T.S. OF FL REVISIONS: fie...•••. JCD ARCHITECT, INC A clNEW WINDOW & DOOR ENCLOSURE A.R.# 0015344 - A.A.# 26001560 WATERSEDGE SHORES, LLC. ; ��PN AVID . 1385 CORAL WAY SUITE 207 - MIAMI, FL 33145 1094 N.E. 91st TERRACE A 305-285-4343 * 305-285-4330(F) 532 MIAMI SHORES FL, 33138 �i�` SEAL ••�/v %Z RED p►�G