RC-16-2034 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores,FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-263716 Permit Number: RC-7-16-2034
Scheduled Inspection Date: September 28,2016 Permit Type: Residential Construction
Inspector. Mesa,Michel
Inspection Type: Final
Owner: DINAR,SHOLMI&REBECCA Work Classification: Repair
Job Address:10110 NE 4 Avenue
Miami Shores, FL 33138- Phone Number
Parcel Number 1132060135250
Project: <NONE>
Contractor: ARCO CONSTRUCTION Phone: 305-892-6507
Building Department Comments
REPAIR DAMAGED SIDE COLUMN OF THE GARAGE in Wakdo Passed Comments
DOOR OPENING INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed El
Correction
Needed
Re-Inspection
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
CJ
September 27,2016 For Inspections please call:(305)762-4949 Page 10 of 39
64,0334
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y4 Miami Shores VillageRs� llkaln$trUCA11,,
10050 N.E.2nd Avenue NE
02,
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Miami Shores,FL 33138-0000 #' �. :
Phone: (305)795-2204
� i T, .....••,..-
/2�q Expiration: 01/24/2017
Project Address Parcel Number Applicant
10110 NE 4 Avenue 1132060135250
Miami Shores, FL 33138- Block: Lot: SHOLMI$REBECCA DINAR
Owner Information Address Phone Cell
SHOLMI 8,REBECCA DINAR 10110 NE 4 Avenue
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone Valuation: $ 2,450.00
ARCO CONSTRUCTION 305-892-6507
Total Sq Feet: 12
Approved:In Review Available Inspections:
Comments: Inspection Type:
Date Approved::In Review Final
Date Denied:
Review Building
Type of Construction:REPAIR DAMAGED SIDE COLUMN Occupancy:Single Family Review Structural
Stories: Exterior:
Front Setback: Rear Setback:
Left Setback: Right Setback:
Bedrooms: Bathrooms:
Plans Submitted: Certificate Status:
Certificate Date: Additional Info:
Bond Return: Classification:Residential
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $1.80
DBPR Fee Invoice# RC-7-16-60672
$2.00 07/20/2016 Check#:2056 $50.00 $ 147.80
DCA Fee $2.00
Education Surcharge $0.60 07/28/2016 Check#:2059 $ 147.80 $0.00
Permit Fee $100.00
Plan Review Fee(Engineer) $80.00
Scanning Fee $9.00
Technology Fee $2.40
Total: $197.80
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-named contractor to do the work stated.
July 28, 2016
Authorized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
July 28,2016 1
Miami Shores Village
JUL 2
N10 BuildinQ 'SCg Department : 0 Z2016
j3y.
10050 N.E.2nd Avenue, Miami Shores, Florld
a 33188
VVV Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
F13C 20
BUMDING Mas-ter Permit No.Ac 16 "2
PERMIT APPLICATION Sub Permit No.
�FI UILDING ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION ❑RENEWAL
[]PLUMBING MECHANICAL ❑PUBLIC WORKS F-1 CHANGE OF ❑ CANCELLATION 7 SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS, )AD 1 117 C� 4 -8
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):4->H LQtj :;>thjIR:Q Phone#:
Address:- 10 11 k'
2
City:. it . -'r-�, State: -Zip:--aa k3&2
Tenant/Lessee Name: /_/It Phone#:
Email:
CONTRACTOR:Company Name: 4-0-f n
l()Aj jhone#: 2aL-
Add,ress:j7Ctq L-) 619244" 5- f
City: • as -State: -Zip:. .
Qualifier Name: INW� lak Phonev:
State Certification or Registration ft: Ce-1--C 15-- Certificate of Competency#:
DESIGNER:Architect/Engineer: j It CA19 El R5JL2C P h o n e#:
Address:- 2DIC !att(ljq2V21— City: * -S(-A @3E4 _State: Zip:—3z&3LF
Value of Work for this Permit:$_ Square/Linear Footage of work:-- I-P- --Q-- D--.
( U -
TypeofWork: 0 Addition ❑ Alteration 13 New 10'Repair/Replace 0 Demolition
Description of Work: �62. 6112- 6-04-UtU) 10 F TR G
Specify color of color thrujile:
Submittal Fee$,tA.- 0 0 r PerrnItFee$ CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary
Technology Fee$ Training/Education Fee$ ' 66' Double Fee$
Structural Reviews Bond $
TOTAL FEE NOW DUE$
(ReV1s,ed02/24/2014)'
Bonding�:ompany'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.....
OWUNER':i 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.
"`WARI"DING 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 ,n 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 whfch occurs seven (7) days after the building permit is issued. /n the absence cf such posted notice, the
inspection will not be app ve a d a reins, tion fee will be charged.
Signature— __ Signature"�t��I�
OWNER or AGENT CO TRA OR
The foregoing instrume was acknowledged before me this The foregoing instrument r
as acknowledged before me this
of .20 �, by day of w 20 _, by
who is personally known to ,who personally known to
me or uvho has pfgduced '—Z)rL c-- k( c,-- 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:
00
Sign:- _ Sign•,._..
Print:__ Print:
Seal: Seal:
CATHERINE A.DUFFIN
Notary Public-State of Florida "'-'0-'y P"Bl�i CATHERINE A.DUFFIN
rarararararararara » +pa�!&�BIAr�� aea rara *rara �'** ra�*'�*"** '�* :VY C=M.Expires Apr 15,2017
OF ROpO•• COmmisslon#FF 8417 iN„ Q.
� Bonded Th �` "� p�O••• Commission#FF 8417
rough National Notary Ass 7 Zv` °',,,9; �;••
APPROVED BY Ian Examiner Bonded Throu h National Zoning
YStructural Review _ Clerk
(Revised02/24/2014)
�E�
Miami shixes place
adding Department
OR 10050 N.E.2nd Avenue
Miami Snores, Florida 33138
Tel: (305) 795.2,204
Fax: (305) 756.8972
Notlice to Owner - Workers' Compensation Insurance Exetln
Florida Law :requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. y 440.05
allows corporate officers in the construction industry to exempt tliemselves 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'
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 ovmership;
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,par:-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,tour projept.Irn these circumstances,Miami Shores`tillage 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 ''OU AC ' WLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS
CONTENTS.
c
Signature: -- _ --
Owner
I
State of Florida
County of M.iami-Dade pp
The foregoing was acknowledge before me this .f Q�day of_ J �, 20
By s� -b f j rV G ✓'L ,_who is personally known to nie or has produced
_iv L as id cation.
Notary: JL%����lif9z� ,••io 'r"�' �,% CAilifl A.DUFFIN
NOMY Pdo-State of Florida
SEAL: MY CO IN Eters Apr 15,2017
Capp#FF 8417
"�"�`� Mnal Notary Assn.
ft6'es
' Arco Construction Corporation
April 08, 2016
State of Florida
County of Miami Dade
Before me this day personally appeared Lester Jensen who, being duly sworn, deposes and
says:
All work to be performed by Lester Jensen or licensed and insured subcontractors on the
project located at: 10110 NE 4th Ave, Miami shores, FL 33138
Sworn to (or.affirmed) and subscribed before me this 20 day of July 2016 .by
Personally know
Or Produced Identification
Notary p�b�ic State of F'orida
Type of Identification Produced oa�Y"'�o, �oar,naMFe1"soon FFos2�53
: 4 MY romm1112120i$
OF
O� res
0
Print,Type or Stam
General Contractors/CGUS05163/1665 N.E. 137th Terrace/N.Miami, FL 33181
305.892-6507
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f. �FNFRAI 3. CONCRETE 5. CONCRETE MASONRY
A. ALL MATERIALS AND CONSTRUCTION A. ALL CONCRETE WORK SHALL CONFORM A. ALL CONCRETE MASONRY WALLS ARE = ;`
SHALL COMPLY WITH THE FLORIDA TO ALL REQUIREMENTS OF ACI 318-02, DESIGNED AS LOAD BEARING WALLS.
BUILDING CODE 5th EDITION (2014). 'SPECIFICATIONS FOR STRUCTURAL B. ALL CONCRETE MASONRY WALLS (CMU)
ASCE 7-10 MINIMUM DESIGN LOADS FOR CONCRETE FOR BUILDINGS' SHALL CONFORM TO ASTM C 90,
BUILDINGS, ACI 318-08. ACI 530-08. B. CONCRETE COMPRESSIVE: STRENGTH 'STANDARD SPECIFICATIONS FOR HOLLOW
ACI 530.1-08. AND ALL APPLICABLE AT 28 DAYS SHALL BE 3000 PSI. LOAD BEARING CONCRETE MASONRY
FEDERAL, STATE, AND LOCAL C. FORMWORK SHALL COMPLY WITH ACI UNITS' & ACI 530-08
ORDINANCES. 347-88, 'RECOMMENDED PRACTICE FOR C. MORTAR SHALL CONFORM TO ASTM C
B. THE CONTRACTOR SHALL VERIFY ALL CONCRETE WORK% 270, TYPE 'M', WITH A MINIMUM AVERAGE
CONDITIONS OF EXISTING STRUCTURES D. NO WATER SHALL BE ADDED TO THE STRENGTH OF 2500 PSI.
AFFECTING NEW CONSTRUCTION BEFORE CONCRETE AT THE JOBSITE. D. CONCRETE MASONRY STRENGTH Fm,
COMMENCING ANY WORK. E. TRANSPORTING, PLACING, CURING, AND SHALL BE A MINIMUM OF 1500 PSI. AA26901366
C. GENERAL CONTRACTOR SHALL BE DEPOSITING CONCRETE SHALL COMPLY E. VERTICAL REINFORCING IN CONCRETE
SOLELY RESPONSIBLE FOR ALL WITH ACI 301-96. MASONRY CELLS SHALL BE SPLICED WITH VICTOR J.MCE
EXCAVATION PROCEDURES INCLUDING AR-W7103
LAGGING, 0 MG.AND PROTECTION OF 48 BAR DIAMETER LAP SPLICES. PROVIDE
N� R � 4. REINFORCING STEEL CLEAN OUT HOLES AT BASE OF FILLED 37ON11MOSbW
•• ADJANCEN JPROPERTY, A. REINFORCING STEEL SHALL BE CELLS FOR LAP INSPECTION & VERIFYING MkndRmea,FWddo
•fflEET, AND UTILINES IN AOEORDANCE DETAILED & PLACED IN ACCORDANCE THAT THE CELLS HAVE BEEN FILLED 33138
WITH THE WE DEPARTt4ENT WITH ACI 318-02. SOLID WITH GROUT. tot3OW10•SM
•;•b"BACKFILL AROUND THE WCRIOIL B. REINFORCING STEEL SHALL BE F. FILLED CELLS SHALL BE FILLED WITH vbw-dC "
• PERIMETER OF'WALLS SHALL j A, DEFORMED BARS CONFORMING TO ASTM 3000 PSI GROUT AS PER ACI 530-08
•;•BLACED UN�Itll U THE y�ALIS. E A 615-94 (SI) GRADE 60 AND ACI 530.1-08. FILLING OF CELLS
••&P•PORTED W4 4K COMPLtw bf C. ALL WELDED WIRE FABRIC SHALL. SHALL BE DONE IN FOUR FOOT FLITS
• •#NT�RIOR FL 9 SYSTEMS. DO NO•, CONFORM TO ASTM A 185-94. WITH A MAXIMUM POUR OF 12 FEET. USE
EED WWH NVILL UPI' .#*• D. REINFORCING SHALL BE HELD MECHANICAL VIBRATION TO ACHIEVE
•.C1pW94UM OF t7l DAYS AFTE%.....
• COMPLETION 0 INTERIOR FLOQ �'�TEM SECURELY IN POSITION WITH STANDARD GROUT FILLED SOLID CELLS.
.•.UNLESS ION O E ADEQUATELY BRACED. ACCESSORIES DURING PLACING OF G. GROUT SHALL CONFORM TO ASTM
CONCRETE. C476. SLUMP SHALL BE BETWEEN 8°AND
•ACKFILL SHALL N01i BE PLktEQWL E. AL TOP REINFORCING SHALL 11".
• COMPLQ=*AND INSPECTION 40F TERMINATE WITH STANDARD HOOKS AT H. ALL. CMU WALLS SHALL BE
"'W PROOFINI��,,��EEQUIRED. DISCONTINUOUS EDGES OR ENDS. HORIZONTALLY REINFORCED WITH
E. GENERAL C84 CTOR SHALL BE F. ALL BOTTOM BARS SHALL BEAR 6" STANDARD NO. 9 LADDER-TYPE
RESPONSIBLE FOR THE DISPOSAL OF ALL MINIMUM OVER SUPPORTS. GALVANIZED STEEL REINFORCING EVERY
ACCUMULATED WATER FROM EXCAVATIONS G. ALL REINFORCING BARS MARKED SECOND COURSE. EXTEND REINFORCING
AND DEWATERING OPERATIONS IN SUCH A CONTINUOUS SHALL BE LAPPED 30 DIA A MINIMUM OF 4" INTO TIE-COLUMNS OR
WAY AS NOT TO CAUSE INCONVENIENCE AT SPLICES AND CORNERS UNLESS FILLED CELLS.
TO THE WORK AND DAMAGE TO THE OTHERWISE NOTED. LAP CONTINUOUS 6. WUDING
STRUCTURAL ELEMENTS. BARS AT CENTER BETWEEN SUPPORTS AS A. WELDING SHALL BE DONE WITH E-70
F. WIND: ASCE 7-10, WIND VELOCITY: REQUIRED. TERMINATE CONTINUOUS BARS ELECTRODES.
175 MPH. EXPOSURE C. BUILDING AT NON-CONTINUOUS ENDS WITH B. WELDERS SHALL BE AWS-CERTIFIED
CATEGORY 11. STANDARD HOOKS. 7. WOOD FRAMING
2. FOUNDATIONS H. MINIMUM CONCRETE COVER FOR A WOOD FRAMING MEMBERS SHALL BE
A.THE FOUNDATION DESIGN IS BASED REINFORCEMENT: #2 SOUTHERN PINE WITH FIBER BENDING
UPON A NET ALLOWABLE BEARING I. CONCRETE CAST AGAINST & STRESS AS PER NDS. 2005
PRESSURE OF 2000 PSF. SUB-GRADE PERMANENTLY EXPOSED TO EARTH = 3" B. SIZES SHOWN ARE NOMINAL
SHALL BE COMPACTED TO 95% MIN. u.CONCRETE EXPOSED TO EARTH OR C. MEMBERS SHALL BE FREE OF CRACKS
MODIFIED PROCTOR DRY DENSITY. WEATHER: AND/OR KNOTS.
#6 BARS & LARGER = 2" D. MOISTURE CONTENT SHALL BE 19%
#5 BARS AND SMALLER = 1-1/2' OR LESS.
Mi. CONCRETE NOT EXPOSED TO WEATHER E. PRESSURE-TREATED WOOD SHALL BE
OR IN CONTACT WITH EARTH: USED ONLY WHERE SPECIFICALLY NOTED
SLAB & WALLS = 3/4' IN THE DRAWINGS AND ALWAYS WHEN IN
BEAMS & COLUMNS = 1-1/2' CONTACT WITH MASONRY.
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