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BPP-16-90 Inspection Worksheet Miami Shores Village 10060 N.B.2nd Avenue Miami Shores,FL Phone:(305)786-2204 Fax: (306)766-8872 inspection Number. INSP-267010 Permit Number: BPP-146-90 Scheduled Inspection Date:September 12,2010 Permit Type: Pools/WhiripooloMot Tubs InspectDr Mesa,Michel Inspection Type: Final Owner Work Classification: Repair Job Address 06 NE 9 Avenue Miami$hores,FL Phone Number (3Q16)889-7418_, Parol Number 113220078 Project <NONE> Contractor: CMC FLORIDA INVESTMENTS. Phone:(786)29541437 Building Department Comments vim MM `REMODELING EXISTING POOL me �r.. ,. _ .. a 1 In spector Commends Passed CREATED AS REINSPECTION FOR INSP1408.816 no&M no permit on sem. FailedLi Correction Needed Re-Inspection Fee --- i, No Additional Inspections can be Wieduled unal i reinspection fee Is pati. September 09,2016 For Inspections please calk(306)7824949 Pop 26 of 40 Miami Shores Village 3F , 10050 N.E.2nd Avenue NE Miami Shores,FL 33138-0000 Phone: (305)795-2204 ' $ n Expiration: 10131/2016 Project Address Parcel Number Applicant 9306 NE 9 Avenue 1132060020070 Miami Shores, FL Block: Lot: R W HOLDINGS GROUP LLC Owner Information Address Phone Cell R W HOLDINGS GROUP LLC 216 N MIAMI Avenue (305)989-7418 MIAMI FL 33128- Contractor(s) Phone Cell Phone CMC FLORIDA INVESTMENTS (786)295-4437 Valuation: $ 600.00 Total Sq Feet: 200 Approved:In Review Available Inspections: Comments: Inspection Type: Date Approved::In Review Final Date Denied: Review Planning Type of Work:Swimming Pool Occupancy:Private Review Electrical Additional Info:REMODELING EXISTING POOL Bond Return: Review Electrical Classification:Residential Scanning:3 Review Building Review Building Review Building Review Building Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.60 DBPR Fee $2.25 Invoice# BPP-1-16-58316 DCA Fee $2.25 01/12/2016 Credit Card $50.00 $115.10 Education Surcharge $0.20 05/04/2016 Credit Card $115.10 $0.00 Permit Fee $150.00 Scanning Fee $9.00 Technology Fee $0.80 Total: $165.10 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: jzqrtify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoni . F the o ,I auth . e the above-named contractor to do the work stated. �, May 04,2016 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy May 04,2016 1 Miami Shores Village JAN 02 BuildingDepartment Y \' 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 BUI DING Master Permit NoZ22 1 LAO PERMIT APPLICATION Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [—]RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP d� CONTRACTOR DRAWINGS JOB ADDRESS: 93 G& We / R de City: NUMI Miami Shores County: Miami Dade Zia: 3312 P Folio/Parcel#: Is the Building Historically Designated:Yes NO ✓ ° Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: . G � ane(Fee Simple Titleholder): . �I��i� > • WLR '_L . t gq 1 Address: e'/��d 9 it e City:_ l �?/ d3�a'�.f State: e0/71 Zip: 93/3 Tenant/Lessee Name: Phone#: Email: Q ].,A 5 CONTRACTOR:Company Name: (o �/®/'4��r �$� �e��Phone#: 9S 7 07 r Address: City: 2Vj alzil State: `i Zip: Qualifier Name: ��a� Phone#: �� ` ✓� 7 State Certification or Registration#: �� 9��"��9 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value ZOO Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition Description of Work: rool 1?e en P,1e 1o.- F,X e6S / y Am Specify color of color thru tile: Submittal Fee$ C' Permit Fee$ ISO . o3 CCF$ G. CO/CC$ T Scanning Fee$ J ' ®��' Radon Fee$ " c DBPR$ ,a Notary$ Technology Fee$ 0 Training/Education Fee$ Double Fee Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) f P 1 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 Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of �!�/� .20 16 .by ��day of .Jd�� ,20 ,by t,SA n b i4J r—cL ,who is personally known to hrkc& 6rd►®n8i-7 ,who is personally nowntn me o has produced _> fi'l CA ftO 1t4 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: BRJNET HERNANDEZ g Si n _;•: oar ub - tate of Florida oa a,a, Print: I F 27.2018 Print: Ste of Florida poc' Commission#_FF 096960 °oc Commission#FF 096960 Seal: °•%. ;: Bonded lTtrpimh National Wary Assn. Seal: „;:p`• Bonded Through National Nn!ary Assn. ssss��*ass**sasses*�ssssssssssss ss s� ��ss*sass*sssssssssass*ssssssssa�>��a�*��re�*��*��x�xwx��s+x�x*s��sa�**��**ssrr ] ` APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Property Search Application-Miami-Dade County Page 1 of 8 a 6 i3y,� 4 Ty,0. L' ➢ � /3'2 5�),=� 3'�i i�;"� �� k'�Y`�' j <_ e . Address Owner Name Folio SEARCH: 9306 ne 9 ave Suite ............_...................._........_._.............—.._..__.._.._-_..---........._...._._._................................._..............__...__....._...._................._..._.._.......--_._.........._......_.... _ PROPERTY INFORMATION Folio:11-3206-002-0070 Sub-Division: MARILYN HGTS 1 ST ADDN Properly Address 9306 NE 9 AVE Miami Shores,FL 33138-2904 i Owner CHRISTIAN D WALLED MARCELLA AMADOR WALLED Mailing Address 9306 NE 9 AVE MIAMI SHORES,FL 33138 Primary Zone 0900 SGL FAMILY-1901-2100 SQ Primary Land Use 0101 RESIDENTIAL-SINGLE FAMILY:1 UNIT Beds/Baths/Half 4/2/0 Floors 1 i } Living Units 1 http://www.mian3idade.gov/propertysearch/ 3/25/2016 Property Search Application- Miami-Dade County Page 2 of 8 Actual Area Living Area Adjusted Area 2,180 Sq.Ft Lot Size 18,300 Sq.Ft Year Built 1925 Lay. nnnnmunr o��r n oniu ti "`'- . �E 0 5 �a. 3x x� it a'4 b F Featured Online Tools Comparable Sales Glossary Non-Ad Valorem Assessments PA Additional Online Tools http://www.miamidade.gov/propertysearch/ 3/25/2016 410STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 HERNANDEZ, CARLOS A JR CMC FLORIDA INVESTMENTS INC 10031 SW 42 TERRACE MIAMI FL 33165 Congratulations1 With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range STATE OF FLORIDA from architects to yacht brokers,from boxers to barbeque restaurants, DEPARTMENT OF BUSINESS AND and they keep Florida's economy strong. PROFESSIONAL REGULATION Every day we work to improve the way we do business in order to CGC1517329UEO: 06/03/2014 serve you better. For information about our services,please log onto vwrw rrq fWdalicense.com. There you can find more information CERTIFIED G *f.�N1RACTOR about our divisions and the regulations that impact you,subscribe HERNANDEZ,,CALI;JlA.1R .. to department newsletters and learn more about the Departmeffs CMC FLORIDA# ESTME INNC: initiatives. ,.^ �31aTra^,n`•, Our mission at the Department is:License Efficiently,Regulate Fairly. We constantly astrive to serve you better so that you can serve your CLIdDn er5. nk you for doing business in Florida, IS CERTIFIED under the provisions of Ch.489 FS. and congratulations on your new licensel Expbaion date:AUG 31,anis L1408030000906 DETACH HERE - RICK SCOTT,GOVERNOR KEN IAWSON,SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD CGC1517329 The GENERAL CONTRACTOR h Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31,2016 HERNANDEZ,CARLOS A JR, ; CMC FLORIDA INVESTM!�"�INC 10031 SW 42 TERRACE y . MIAMI FL 3344' � . - [. s ISSUED: 0610=014 DISPLAYAS REQUIRED BY LAW SEQ# L1406030000908 ?02' 50 Local Business Tax Receipt Miami-Dade County, State of Florida -THIS IS NOT A BILL - DO NOT PAY 6786710 BUSINESS NAME/LOCATION RECEIPT NO. EXPIRES CMC FLORIDA INVESTMENT INC RENEWAL SEPTEMBER 301, 2016 10031 SW 42 TERR 7060262 Must be displayed at place of business MIAMI FL 33165 Pursuant to County Code Chapter 8A - Art. 9 & 10 OWNER SEC. TYPE OF BUSINESS PAYMENT RECEIVED CMC FLORIDA INVESTMENT INC 196 GENERAL BUILDING CONTRACTOR BY TAX COLLECTOR Worker(s) CGC1517329 $75.00 07/03/2015 1 CREDITCARD-15-032764 This Local Business Tax Receipt only confirms payment of the Local Business Tax. The Receipt is not a license, permit, or a certification of the holders qualifications,to do business. Holder must .omply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT N0. above must be displayed on all commercial vehicles - Miami-Dade Code Sec 8a-276. For more information,visit www miamidade-gov taxcollector eport Viewer 8115/14,9:59 AM ,j I i JEFF MIAM a CHH Fomuc L oMmm STATE OF FLORIDA E DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS'COMPENSATION ••CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS'COMPENSATION LAW"• it CONSTRUCTION INDUSTRY EXEMPTION This certifies Mat the dual fisted beicr fres electsd to be exmpt front FWWa V tkers C�law. EFFECTIVE DATE: 7/12=4 EXPIRATION DATE: 7111/2018 PERSON: HERNANDEZ CARLOS A JR FEIN: 342051517 BUSINESS NAME AND ADDRESS: CMC FLORIDA INVESTMENTS INC 1 10031 SW 42 TERR MWNI FL 33165 SCOPES OF BUSINESS OR TRADE: LICENSED GENERAL. CONTRACTOR PPw ntmf 440LO%U,F.8.ast ataam O�PWroertl�6mo 6msaaaEasaa�O)��aaggao otaleatlm aep�rtpb eeWaPamy uott000verhenaSoorooa>ibemsiBmP nador8dse4spmr.P'nnurdmt2apta4Po.OBt121,F Cata7adtoamlPs mmamR..aa�q�m�yPw7A6sero eaope Yk efthetaah mmmata8ded.ft.7oeofateotiasmtse esa�tl9o�sdmf8snpffi t31 F.B.NoBoesoielea8oismMeaemptmsd oml msof k' ametlonmee ax�yR eAaAtoe eul�esdmawom8oPs8:ateayLlneafeerlm�ssp eftla aoBor minae o}tlm 9re PemWamed ar8m aofterw I do Zeno lCFO$8e4ba forbeuasme ofa COMM&The depmtreedaAaBamim aomIM atwW9mfmfsWwcfft psascois naaredoatlse amlBEoammamtttres aloft mcdom i OFS.F24W-262CERTMAYEOFgLWT 708EE)EWTREVMM07 V QUE8TW1�5't1 41&1�9 n ntwTxb L t 4 F pE C e t s f t MkP S //apps& comk►►eporM—/reportViewer asiWdata=kdvp kxW7Q3g...OcgOpX8AG2fEX07i0Vdsmhv fvsc3ce9jGll6b000KcuFLVUYsTYliH82JM 2fZgTDtO%2tTA%3d163d Page 1 of 1 ♦51;�,,�s yi s� Miami Shores Village Boom p"t" Building Department artment 10050 N.E.2nd Avenue lOR1DA 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: Owner State of Florida County of Miami-Dade Theing was acknowled a before me this I day of ,20 By fore oYl 6 who is personally known to me or has produced Was identification. MIJAL ROSEMBLUM Notary: Ally COMMISSION#EE875181 SEAL: r EXPIRES February 14,2017 . • yt . lao�y�o��+ Fa�+aatvo�s�+noaaa�+ CMC FLORIDA INVESTMENTS INC CGC 1571329 08BS680608 (786)299-7367(786)295-4437 March 14,2015 State of.Florida County of Miami Dade Before me this day personally appeared Carlos Hernandez who being duly sworn,deposes and says: That he will subcontract MTC Corp will be the only subcontractor working for the project located at: i Sworn to(or alarmed)and subscribed before me this I e day of April,2016 by CP":nally:knDow Or produced identification Type of identification BRIBV Notary POW-Slate of Florida • MY Comm.E*W feb 27.2018 Commis8ioa#FF 0880 r Baft7N0100,11P ry 1