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EL-16-2849 g r nra ' 28 Miami Shores Village �� ul� icat» ) e �t. xis 10050 N.E.2nd Avenue NE 000 -erath i Miami Shores,FL 33138-0000 �r Phone: (305)795-2204 `., Expiration: 05/06/2017 Project Address Parcel Number Applicant 9120 NE 8 Avenue Number: 1G 1132060440230 IRA SERVICES TRUST COMPAN Miami Shores, FL Block: Lot: Owner Information Address Phone Cell IRA SERVICES TRUST COMPANY CFBOFL (305)903-4927 Contractor(s) Phone Cell Phone Valuation: $ 950.00 EVOLUTION ELECTRICAL CONTRAC- (786)351-5784 _. _. . Total Sq Feet: 0 Type of Work:KITCHEN REMODELING NEW OUTLETS REPL Available Inspections: Additional Info: Inspection Type: Classification:Residential Review Electrical Scanning: 1 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.80 DBPR Fee InvOICe# EL-10-16-61717 $2.25 11/07/2016 Credit Card $ 109.10 $50.00 DCA Fee $2.25 Education Surcharge $0.20 10/19/2016 Credit Card $50.00 $0.00 Permit Fee-Additions/Alterations $150.00 Scanning Fee $3.00 Technology Fee $0.80 Total: $159.10 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: 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 co actor to do the work stated. November 07,2016 Authorized Signature:Owner / Applicant / ontractor / Agent Date Building Department Copy November 07,2016 1 `9 Miami Shores Village �O\ Building Department OCT 18 tate 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 g�k FBC 2014 BUILDING Master Permit No. �I Z� PERMIT APPLICATION Sub Permit No. '7-L4(P" 24849 ❑BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL [_]PUBLICWORKS [:] CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: ,Z 0 �f 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): -Toe.4 5eu1 res Trust 6o— CFJ6V "0hone#: 3 0 s 903 Address: 81 P E 10 14+ 5 T City:& rD&, State: r Zip: 3 3 X31 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: Address: ��� ,® A�LAI City: "& 4 , State Sec �fn Zip: �4 Qualifier Name: s� I/ Phone#: State Certification or Registration#: Certificate of Competency#: 10457060610 DESIGNER:Architect/Engineer: Phone#: Address: dCity: State Zip: Value of Work for this Permit:$ / o O a Square/Linear Footage of Work: Type of Work: ❑ Addition F—] Alteration /❑ New Repair/Repplace ❑ Demolition Description of Work: i� � �•-� C � r' � ®��4S S � Specify color of color thru tile: Submittal Fee$ Permit Fee$ CCF$ o l(/ CO/CC$ 12 Scanning Fee$ Radon Fee$ Z• 2 5 DBPR$ 2 .2- • Notary$ Technology Fee$ - ( / Training/Education Fee$ . 2-0 Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ r (Revised02/24/2014) . e 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 AG NT CO RACTOR The foregoing instrument wa acknowledged before me this The foregoing instrument was acknowledged before me this /L/ day of 07 20 ,by ;k_day of of-vAC-+e. ,20 7(0 ,by 7>6418 I) ,who is personally known to A&71VR7.,V who is personally known 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: Sign: Print: w Print: Seal: Seal: KARLA P.GARCIA tiPP�'PVe, MARIJAIR RAVELO MY COMMISSION FI'140421 .*�; Notary Public-State of Florida ' waw ExP1RBS July 10,2019 _'* .•= Commission#FF 206163 Ml, iii."W"ialt',"lett *s ** *** *** .w* ***r r*****a �xr•**w* *a•s**rr* $e* **s*** 6Wed tluouo National Notary Assn. APPROVED BY Plans Examiner Zoning im Structural Review Clerk (Revised02/24/2014) CERTIFICATE OF LIABILITY INSURANCE- DATE(MM/DDiYYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE ERTIFICATE HOLDER.I/16 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 policylies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not co fe certificate holder In lieu of such endorsement(s). r rights to the PRODUCER ---------- —--- -...- — — - ——'-- CONTACT NAME: So.ithem Sta•Insurance Agency.Inc PHONE 8338 SW 8th Street Arc,No,Ext): (305)262-2740 FAX -MAIL (AJC,No): (305)262-2647 Miami.FL 33144 ADDRESS: southernstarinsuranceigIgmall, m Phone (305)496-0079 Fax (305)503-7450 INSURER(S)AFFORDING COV RAGE NAIC# IASURED INSURER A: GRANADA INSURANCE CO EVOLUTION ELECTRICAL CONTRACTOR, INC INSURER 8: INSURER C! 11631 NW 58TH PL NSURER 0: HIALEAH.FL 33012 305-978-8537 INSURER E: COVERAGESINSURER F. _ CERTIFICATE NUMBER: REVISIO NUMBER: TI IIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOV FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WIT RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 ADDLSUBR LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER POLICY EFF POLICY EXP GENERAL LIABILITY (MM/DDrYYYY)_{MM/DDlYYYY) LIMITS _d EACH OCC RRENCE S 1.000.000.00 COMMERCIAL GENERA LIABILITY DAMAGE i RENTED CLAIMS-MADE 1/ OCCUR PREMISES Ea ObOurrenCel $ 100.000.00 A N N 0185FL00072497.1 07/30/2016 07/30/2017 MED EXP(Any one person; s 5.000.00 PERSONAL 8 ADV INJURY s 1,000.000.00 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE s 2,000,000.00 I/ POLICY JR O- LOC PRODUCTS-COMPIOP A.GG s 2.000,000 00 AUTOMOBILE LIABILITY $ COMBINEDINGLE LIM,T d. ANY ALTO (Ea e. nt S ALL OWNED SCHEDULED BODILY INJI IRY(Per persons s AUTOS AUTOS BODILY INJI IRY Per accident, S NON-OWNED HIRED AUTOS AUTOS PROPERTY tl) AMAGE S UMBRELLA LIAR OCCUR S EXCESS LIARCLAIMS-MADE EACH OCC RRENCE $ g DED_ _REIO TENTN$ AGGREGATE WORKERS COMPENSATION-- ---— --- ---- — — — — — --— —— -- -- — --- -- ----- ._._. S AND EMPLOYERS'LIABILITY y/ry H ANY PROPRIETOR/PARTNERIEXECUTIVE TORY LI ITS R OFFICER/MEMBER EXCLUDED? NIA EL EACHA CIDENT S 'Mandatory in NH) f tes oescrice under EL D:SEAS -EA EMPLOYEE S 7ESCRIPTION OF OPERATIONS below E L DISEASI POLCY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space is required) ELICTRICAL CONTRACTOR LIC.#'DE000610 I CERTIFICATE HOLDER CANCELLATION I SHOULD ANY OF THE ABOVE DESCRIBED P DLICIES BE CANCELLED BEFORE Miami Shores Village THE EXPIRATION DATE THEREOF,NOTICE II IFILL BE DELIVERED IN Building Department ACCORDANCE WITH THE POLICY PROVISIO 4S. 10050 NE 2nd Avenue AUTHORIZED REFRESENTVR Miami Shores,FL 33138 ROBERTO OJEDA ACORD 25(2010/05)QF ©198ORPORATION. All rights reserved. The ACogo are registered marks of ACORD SNORES pi ,s� � ► Miami shores Village ""'t" Building Department 10050 N.E.2nd Avenue xARIUp' 9 Miami Shores, Florida 33138 9 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: D4—LU, Owner State of Florida County of Miami-Dade The foregoing was acknowledge before me this 1 4� day of 0�1 ,20 . By &4,41 V14 who is personally known to me or has produced as identification. Notary: SEAL: �P''•• MARIJAIR RAVELO .lP V6•� Notary Public-State of Florida •"c Commission#FF 206163 My Comm.Expirea 5 019 °i°` •° Bonded through National Notary Assn. EVOLUTION ELECTRICAL CONTRACTORS INC. 11631 NW Se PL HIALEAH,F133012 Telf:(786)718 8562—Fax:(305)822 8211 Date: /W State of 4,4- Country of_ P4D e Before me this day personally appearedwho, being duly sworn, deposes and says: That he or she will be the only person working on the project located at: Sworn to(or affirmed)and subscribed before me this Iq day of D .20_&,by IGJ Personally know t1 Or Produced Identification Type of identification Produced ft? A421wFl. Print,Type of Stamp Name of Notary BATHROOM RECEPTACLE ON 20 AMP CKT ADD SMOKE/CARBON MONOXIDE DETECTORS. AND G.F.I PROTECTED 2 4 1 ANY AND ALL CLOTH AND RUBBER INSULATED CONDUCTORS TO BE REPLACED. 3 5 ENTRY NOTES: O BATHROOM SCOPE OF WORK: U 9211 1. REMOVE AND REPLACE EXISTING TILE THROUGHOUT; INSTALL DUROCK IN WET 0 LOCATION IN TUB SURROUND; INSTALL NEW TILE FOR TUB SURROUND, WALLS U 6 BATHROOM AND FLOOR O 2. REMOVE AND REPLACE BATHTUB IN EXISTING LOCATION00 3. REMOVE AND REPLACE SHOWER AND TUB TRIM IN EXISTING LOCATION p ,dam' 00 LIVING ROOM GFI BEDROOM 4. REMOVE AND REPLACE VANITY, SINK AND FAUCET IN EXISTING LOCATION U w W c 5. REMOVE AND REPLACE TOILET IN EXISTING LOCATION U v C 7 O 6. REMOVE AND REPLACE VANITY WALL SCONCE IN EXISTING LOCATION �i 9 ,4 7. PROVIDE AND ISNTALL NEW GFI OUTLET Z c�i W 58- E" ani m cC°o KITCHEN SCOPE OF WORK: p � � � 83-1/2" 8. REMOVE AND REPLACE EXISTING FLOOR TILE W '� O � m NX) u 9. REMOVE AND REPLACE EXISTING CABINETRY IN SAME LOCATION F U W O L6 10. REMOVE AND REPLACE EXISTING SINK AND FAUCET IN SAME LOCATION Z �°' w m a :.. v � � � 0 54 -3/4" 11. REMOVE AND REPLACE EXISTING RANGE AND REFRIGERATOR IN SAME C 5 � 44"m ou LOCATION •• .'• '. • SD CLOSET CLOSET 12. INSTALL NEW ABOVE-THE-RANGE MICROWAVE •••;•• •• ....:. 13. PROVIDE AND INSTALL GFI OUTLET •••••• 14. PROVIDE AND INSTALL OUTLET FOR NEW MICROWAVE "" �••••• • ... .. • 15. PROVIDE AND INSTALL OUTLET FOR NEW RANGE W11'E •"' ••;�• 16. REMOVE AND REPLACE EXISTING CEILING LIGHT IN NEW LOCATION":": :. •'l�� 17. EXISTING OUTLETS TO REMAIN �f-�G r�iA�0 so 0 •"'iQDi • • . • 17:1 L— TH TV- 17 ... .. • • • 0 T 1 Y 2016 '•• 0x 11 am O KITCHEN 156-3/4" BY° _ cly z A 12 BEDROOM N 5 O O DINING ROOM U A 15 112-1/ 14 GFI 16 CLOSET WALL SWITCH �9 cc Z 13I GFI WALL OUTLET c c 13 c �, ® w < � F' 0 *I WALL OUTLET u. ,�, U 0 � W � N 1Y � 0 n GFI CEILING LIGHT o �+ ti W 0 O Z 13 �_ SMOKE DETECTOR F' ` � Z � O Cm 9 8 FLOOR PLAN (�� _ c z Z a m v co o 10 Scale: 1/4 . 1 -0 a �� oC ui 1 , ' i u uj OGS W O�CO � �; ooa az NO POINT ALONG COUNTER TO BE MORE TH4, 2 FEET FROM G.F.I PROTECTED RECEPTACLE T D/W RECEPTACLE UNDER SINK. 1 ALL FIXED APPLIANCES ON DEDICATED CKTS. ie - a x 0 U F-C-1069 ° 2 1 00 00 / U W o / A Apia WALL ASSEMBLY t-1/4"MA\ 11� J � W THERMAFSULA OVER G 2 Cq '2 m = e� r-i it �A 11R WC7 � � � m nRECODE COM OUND PENETRATION (~ U X0000 z *k ,� • • 6990. • CD .l 0°00 =44,Cd 1C g 0 00090 6 000.00 0090 6999.41 Section A-A 000000 •66• • • 666 9. 1.Floor/ceiling assembly. *000 6 is 6ot A.. Flooring system:518"thick plywood/2"x 4"continuous wood decking. ••;•• •• % 9 B 7 .Wood joist:Nom.2"x 10 lumber joist. •• •• 0 .�. I/4"'SIN C.Ceiling system: 1 layer of 518"gypsum wallboard,per UL Design. 0••0.0 0 / 2.Metallic pipe: 9 A.Steel i 8"diameter or smaller schedule 40 or heavier steel pipe. •• • B.Iron pipe:8"diameter(or smaller)cast or ductile iron pipe. •• ••• •• 1' ' C.Conduit;4'diameter(or smaller)electrical metallic tubing(EMT)or steel conduit. •• o Q.Copper tubing:4"diameter(or smaller)Type L(or heavier)copper tubing. 00 En WALL ASSEMBLY "L LL A.� DETAI E.Copper pipe:4"diameter(of smaller)regular(or heavier)capper pipe.Annular space from minimum 0"to maximum 7/8". W S" 3.Forming and fire stop materials: A.Formingmaterial(optional): Foam backer rod packed into opening as a permanent form. U B.Type IA:Minimum 1/2"thick sealant applied within the annulus,flush with the top of the floor and bottom of the ceiling assemblies. Additional sealant to be applied such that a minimum 1/2"crown is formed around the penetrating item. z W o WALL PENETRATION DETAIL FLOOR PENETRATION DETAIL W U, W A NOT TO SCALE NOT TO SCALE (A W z ca t, 00 Z ULU O 3 LM o OU O�. z 2