Loading...
RC-15-1635 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-273008 Permit Number: RC-6-15-1635 Scheduled Inspection Date: December 14,2016 Permit Type: Residential Construction Inspector: Naranjo, Ismael Inspection Type: Final Owner: GODOY,OCTAVIO Work Classification: Alteration Job Address:123 NW 102 Street Miami Shores, FL 33150- Phone Number (786)493-7296 Parcel Number 1131010220070 Project: <NONE> Contractor: GROPIUS CONSTRUCTION INC Phone: (305)799-5785 Building Department Comments GARAGE INTERIOR REMODELING Infractio Passed Comments INSPECTOR COMMENTS False Ins ctor Comments Passed -tom Failed Correction Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid December 13,2016 For Inspections please call: (305)762-4949 Page 27 of 40 AC4 16 Miami Shores Village `w iw lfT,ypaRasldential O Iw� 10050 N.E.2nd Avenue NWS ; "n` til "" Miami Shores,FL 33138-0000 " elafitS_Al?i` z. Phone: (305)795-2204 AR Expiration: 10123/2016 Project Address Parcel Number Applicant 123 NW 102 Street 1131010220070 Miami Shores, FL 33150- Block: Lot: OCTAVIO GODOY Owner Information Address Phone Cell OCTAVIO GODOY 123 NW 102 Street (786)493-7296 .,. . .,, MIAMI SHORES FL 33150- Contractor(s) Phone Cell Phone Valuation: $ 15,200.00 GROPIUS CONSTRUCTION INC (305)799-5785 ....:.... Total Sq Feet: 336 Approved:In Review Available Inspections: Comments: Inspection Type: Date Approved::In Review Window and Door Buck Date Denied: Fill Cells Columns Type of Construction:GARAGE INTERIOR REMODELING Occupancy:Single Family Final PE Certification Stories: Exterior: Window Door Attachment Front Setback: Rear Setback: Framing Left Setback: Right Setback: Insulation Bedrooms: Bathrooms: Drywall Screw Plans Submitted:Yes Certificate Status: Review Mechanical Certificate Date: Additional Info: Review Structural Review Electrical Bond Return: Classification:Residential Review Electrical Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Review Electrical Bond Type-Owners Bond $500.00 Review Planning CCF $9.60 Invoice# RC-6-15-56175 Review Planning CO/CC Fee $50.00 06/30/2015 Credit Card $50.00 $1,175.28 Review Building DBPR Fee $e.m 04/26/2016 Credit Card $ 1,175.28 $0.00 Review Building DCA Fee $6.84 Bond#:3051 Review Building Education Surcharge $3.20 Review Structural Notary Fee $5.00 Review Plumbing Permit Fee $456.00 Review Plumbing Plan Review Fee(Engineer) $40.00 Review Plumbing Plan Review Fee(Engineer) $120.00 Review Plumbing Scanning Fee $15.00 Technology Fee $12.80 Total: $1,225.28 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 certifiLthat all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constructio the I authorize the above-named contractor to do the work stated. April 26, 2016 Authoriz94,gnature:Owner / Applicant / Contractor / Agent Date Buildingpartment Copy April 26,2016 1 lb ' uN� Miami Shores Village Building De artment JUN 2015 a-� g p 10050 N.E.2nd Avenue,Miami Shores,Florida 33138` ��:Tel:(305)795-2204 Fax:(305)756-8972 -" INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20(6 BUILDING Master Permit NoT ki J — k3- PERMIT APPLICATION Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF CANCELLATION SHOP CONTRACTOR DRAWINGS JOB ADDRESS: Abl-la2 City: Mi mi Shores Coun : Miami Dade zip: Folio/Parcel#: ® Off e Is the Building Historically Des' nated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name Fee Sile Ti hholder : 62/,4/ /v �v,6vY Phone# �� —�W( Address: `� p ) 00— City /y� t te• ` Zip: Tenant/Lessee ame: Phone#: AM Email: �o CONTRACTOR:Company Name: OPIG/'S' J16�ST I Phone#: 7 ft Address: Apam w 17 Cr City: MAO& State: Zip: Qualifier Name: JOW A« /►gAAA42 ,, Phone#: MOM =2. State Certification or Registration#: 411104 1"4044 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ Square/Linear Footage of Work: 3-771�0 Type of Work: ❑ Addition Q Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: IU711WP90R.10�NOPOWN& Specify color of color thru tile: Submittal Fee$ . 53 • (l) Permit Fee$ CCF$_ ( CO/CC$ Scanning Fee$ US_ CA—) Radon Fee$ DBPR$ P Notary$ ' Technology Fee$ - 90 Training/Education Fee$ Double Fee$ Structural Reviews$1ZI�Q! .CK) ® Bond$ S�0 TOTAL FEE NOW DUE$ (Revised02/24/2014) T r ►i 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 spection fee will be charged. Signature Signature ANERorAGENT CONTRACTOR The foregoing instrum xit was acknowledged before me this The foregoing instrument was acknowledged before me this day of 20 ,by _ day of C 20 �� ,by ®( ®� ,who is personally known to �oS� P M Imo+\ T�who is personally known to me or who has produced as me or who has produced { l�� �a`;N& as identification and who did take an oath. identification and who did take an oath. NOTARY PU IC: NOTARY PUBLIC: Sign: Sign: Print: Print: \ tQ Nftry Public • Ileane Gonzalez of Frorfga Seal: 'V P Notary Public State of FlorMa Seal: rtzalez e My Commission EE088300 +Q N: Sindia Alvarez N4Expires 07/12/2015 < my Commission FF 188750 Nbrwo�F° Expires09f0312018 APPRf2014) 1 Plans Examiner r " Zoning 3 tl Structural Review Clerk (Rev1sed02/2 • CERTIFICATE OF LIABILITY li INSURi NCE DATe06/29/115 ,I 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 rhe certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION!8 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 1 certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: MARTA ALONSO PHONE -r FAX -- 1 Florida Bankers insurance (305)_266-6493 (305)262-0679 7278 SW 8 Street " IL maria@ftoridabankersinsurance.com Miami,FL 33144 INSURER($)AFFORDING COVERAGE MAIC#. Phone (305)266-6493 Fax (305)262-0679suRERA: FEDERATED NATIO NAL INSURANCE CO. INSURED INSURER 8, GROPIUS CONSTRUCTION INC : INSURER C: 18811 NW 77 Ct INSURER D INSURER E _..... HIALEAH,FL 33015- 305 - _.. --._.... . --- _.,._....._............ —i- ----- INSURER F., COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: i 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,TERRA OR CONDITION 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. _ -- i INS AD p UBR POLICY EFF POLICY EXP ? DMS ..................._...... ��---^TYPE OF INSURANCE - -�iNxTtbf!LD POLICY NUMBER i fMMfDDNWY��fMMtDDiWYI�,r _ i GENERAL LIABILITY i EACH OCCURRENCE_—i $ 300,000.00 f)AAAAGE TO REN7Eq 100 000.00 - ® COMMERCIAL GENERAL LIABILn $ Y I I 'PREMISES(Ea ooctmencel A i ❑ ❑ CLAIMS-MADE 0 OCCUR I ! MED EXP(Any one person) F$ 5,000 00 _ I ;GL-0504009313-03 i 06/13/2015 06/13/2016 —� i ❑ j PERSONAL&ADV INJURY $ 300,000.00 ❑ --__...------- ._....._ __..___.___._,__..i i GENERAL AGGREGATE $ 300,000.00 I i _.... F --0,0 -- GEN LAGGREGATE LIMIT APPLIES PER: ; PRODUCTS-COMPlOP AGG i $- 300,000.00 j ® POLICY ❑ !ECT ❑ LOC i ------ --I $ ------.... — , AUTOMOBILE LIABILICOMB3NE0 STY i I fEa aCCidentlINGLE LIMIT $ ' ❑ ANY AUTO I _BODILY INJURY(Per person)__$-.............._.... —� ALL OWNEDSCHEDULED I BODILY INJURY(Per aPddeMl. $ S ❑ AUTOS ❑ AUTOS - ❑ HIRED AUTOS ❑ AUTOSED i �(PearEcint AMAGE _._...... $-.................._. — ❑ UMBRELLA LIAB E]OCCUR : EACH OCCURRENCE $ --...........i j i ❑ EXCESS LIAB..............❑CLAIMS-MADE.,,t ( j AGGREGATE ____._.......-_.- ---._...._..........__._..---.... `. ❑ DED ❑ RETENTION$ $ I WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y!N - I ANY PROPRIETORIPARTNER/EXECUTIVE ' EL EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? --(N/A i ---.------.-..-- (Mandatory In NH) E.L.DISEASE-EA EMPLOYE$ I if yes describe under i I DESLRIPTION OF OPERATIONS below _ E.L.DISEASE-POLICY LIMIT $ - I i i DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,it more space Is required) LICENSE#GCGI52140 GENERAL CONTRACTOR I CERTIFICATE HOLDER CANCELLATION ....... .... ..........-- __...... ..- _..__.. . ._... .._.......... ......._. _._...- ....._. _....... _. .._.. .._............--- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE VILLAGE MIAMI SHORES THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN BUILDING DEPARTMENT ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2AVE AUTHORIZED REPRESENTATIVE MIAMI SHORES,FLORIDA 33138 _..............-.................................,................................ ......_. ..--- ©1988-2010 ACORD CORPORATION. All rights reserved, ACORD 25(2010105)OF The ACORD name and logo are registered marks of ACORD GROPIUS CONSTRUCTION INC CERTIFIED GENERAL CONTRACTOR Jose A.Miranda CGC 1828014 18811 NW 77 CT Miami,FL 33015 Phone:786 3701222 gropiusconstruetion@gmail.com Date: 04-21-16 State of:Florida County of:Miami Dade Before me this day personally appeared A who,being duly sworn,deposes and says: That he or she will be the only person working on the project located /0�NW ,CIZ lI%IrCts12/ 5'IaAre�� �L- �r3jScu Sworn to(or affirmed)and subscribed before me this_IA day of r/ 20 JL by Personally know OR Produced Identification Type of Identification Produc Qin `t IQs-11 ary MY(AI41D411SSION @ FF 903433 EXPIRES:July 26,2019 �•`' ft*d Tta Nv*Pub6e Wdwwadms ♦S'JuREs yi Miami shores Village loss Building Department 10050 N.E.2nd Avenue IORIUp' 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. i S gnature: 42�_ Owner State of Florida County of Miami-Dade I� The f regoing was acknowledge before me this d 5 day of 1 t ,20 !� By Gut d� who is personally known to me or has produced / /identification. Notary: SEAL: ,_ WCOMMMON0FF90 0 p�E��XPIRES:July 26,2019 •u ,, oWldThru Nfty pubk UmWwhm .- _f2k'':��',' ptz';iR.. ;'s`'p7,i°z'.• -� .,. .,t::''�i'n".. _ ., -..,�`(�_'. ,' .�,�:^ -.-. 5S`x.'. ...'Si .T;,, ,- . or}>.-. -'ts,,'.-. v*v;;••�. '-�"�f, 6v.. a„ 4.., r-.�• ,...�.. .:» ,tr.... .....*', ,.'4 y.,,.... s.- t. t�.y��,... 3?.. r^ .f_..s'rg- „'k;' .w,.r.0 ,{;'T:Tti. t..r 7...- r, < '•'T'.Is' K" 5t *�. ... �. x,{. c�� ,'r• ... r, ,T. - `•L'" :«.al' ':7 ..,,�.•�` .� TM',�xK'V � %,S,=G ,,'fir y ""*`��. J > ,k!'vrn r Jc i'�F -. •. ?F ;{ 'Y,.::�- ^,S�j• .... �.Y Y,}�'p2. n 3. . f'.>,). • .. ,..�. - °, :�7��i� $ �''�S:Y,�x.�. r���.J' .c'��,.,,'}t.,r ,hK'. •- 'S z•i^ ,zf.t. .8a.. ,..'�"Y.•,:�5�„t . �.. �•:� 3�: ,'-.„ ;,�°, x�4 1.'ycx �"�' of r,a 9F. x.rS'Y .y-.�, t F.u..,• ,�•� .r�. 1a ,.di%i'r'` f a: .•� ..4a �} -r'' tr:.,w cY .,.1a.' .h r• .Y�i��!+ t R�'1. .J � ,...� ,_} �r '.n'Y>'>t• -� t, �S ams ., '1�,ara.. � 1 �l;iii ,'e��f?;•.'i 'S.�•.:`1.v,3 ..� .H�Yt�Pr•,.. �r�`L' �S �,lQ�. 1, ,.�: i n �� t- t a,�'>.Y:o•�, °•,s�"� vt7. .;�,Y-`r,''a �,.Y 1-'��r"1s �., .E;?`'' � �'m'?,1',-.�� r s -';�:. m- -'�� i �' ef_'.'� e'. '?• i 4. �• ;,i*, .r4 aA ,�. ,:-:'^., .;Y K -r '4Pa.^'' .'��` t ��`,r`.';� r,c�.�. r±' � '4� �. fi.,�.s,;,, � �� ��.'�,-: :�-,b�^ - •. ,,�¢..�;� .r. mss,. � .r< mdr' ws r�,�'� �;�: 4, � , ,.��,;t,Y��A '.t� �tr ✓, e r",��,.«. 5: { > ' ,";t�,.-e�i�t `4',> +,Y. s:� ,, "�"�..:. ''�. ;. c :.; . +�# .yw^�``. •� .^7r• d.,.. :'r...�e h?;d5• .'�i f�. ����1, rs.'1 t�...... �c'`r.'k[ 'rtr.,`',,. r, r�.. • r „-'' �+:. -„ �,.� .,,..,.;±rM _..~n. �.'+��„:...�.'•+ ... >,-,-'. ,.•" °"+S` .�:` �'_ �` '�... �.zd '.. y,,'�,;s:z ,�..�. �.,� �; _1p'...t .�... �-.' .x,3,3.� ,, �t� s,�A'SJ. y, � _� sY1,�+-.,<•a:��' +.u,S.'.13.4 w11t3if�' ba '" Aa.`�" �: 3e+z, ',ra'7a a".�E�r�"n�si :-,' b! <. "�a'C'�. ��l,'< ry i,�i,.'� �. .�.cw,'�3�' Vie.' `-'f,'+v°` �rWr, v� �y� t } .y�. � t��y,�fir-' • • • • 1 • 4 �X ���. px �� ��,� � C - -• • • - -• - - • - • •. : • • ••- 1. �- - • - - - • _ _ PCS _� ���y, Lz { � �•r���n��rd t 'tea. z�c?"rv ,3E` • • • ! • g,'r}y.C'•�'�3 . ,` t1TMsv.x U ZMV Y t •C•. <i .ic �.' r »s ��� ave• �r:»; � �;�i„�,T� �; - ,. r... -� ... :-- a.:. ,_,:...u..-,r. ,;....»w>ail. .r.,,. ..ti=. ,.:xY^"s .,vac-,*..: u",.k..,.• .;+c.- '< — � ? s, r r,"F� ;rte:a'yr•... �.:,i�'.r• ,.,:: ',-r •.,. ,2„, ..,„, o ;�,=say ',,t- -s:-. � - �c •! '~<a � R•- 'a •7 �„ 7 -x >1�:,. � r -�" .h1 �_ ;R.mak,,. ,,,` ,:.',°FFA':•'� 'S�•r y.v �F-��.x+� � t' '`+`c�° '�1'�. .a. ,"'� a - I/�,.+'. z•.k,�` r�' :,;.d;� ,�, ,;'�•.. �•, •� _• s ��' >'+ �;�_ r -� '.fit .�' ir,-� .�-a .� �. ..., �. � .. �.�:.. :.. ,�¢:�" .i •s. .. � `'h Ab�: s ' -h'^c� �?r�e ,.d,:xzt. :•�.r�'z '•rr.�,��,�' "�r�d .. .. :Ye• .:. m ., G >^` {; ,,i, .<�,'1 '...o4�ily - -v.!'4. 1 .'yr ,•�. r ;4,'.. 7-tf`a 9 s. '< .:• • �� , y, ....s. b•:���k... t,. ,,;,.>< ,»lk. .5' Rc1�., �. - ,. .rv,.A .. . %,, -'� ',�.�- �.� JJ.' ;�� �. s. ,x�.r rr.� 1 .•+} ,r.. ._-•*, ., .,• ...�i. �+,.., :, A q. .,. .. : .C c }... ..q'�. >s -.t•$�.,-�.- � fid.,y�: �y���. s .x ¥ N,.. .y i„�� °,,3+; :s�.� �}: „�a 3r.•3 ,•, �.�i�,h�^�. ,'. f $ Se t tr. SE• :.•I '�,.Z. :•S'- a .�.r�,.'f- •;Cr 4» 7r.., r ,t- f''"°' >"td N i „� � , tf; z,,'�.,F, kg �,'�rF.;"�' , �. ..' �.,. � � ;;r. . �S! �. �s� �3,- �• .�,`+ �,�'�P. ,i ''fir , � 4 �; ,1+. :.• "P •'4. ,o. �; ..��.� ! ,w- �.. �'s e �.r�"C.�-t � .+ '� ''P., ..!'�,� A 5'-+r,,, .f��r�t+,} ...¢ ,:a ;pr.r ,yx.<,, �yy , - .. i✓.. 4b .A�y��.. . . s.AY �� - �..,-R •',� }��4�S.IC.t'�+5`- '��CS:. ..Yl.... ..1:r....�.�.. �a."�„ �,�.. -�"f`.. .S:S'�!'M.L,,t,f�>�.� +3 .'x 4 5..�'U now Miami Shores Village L2- roe Building Department R 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CERTIFICATE OF OCCUPANCY/COMPLETION CHECK LIST ❑ Building permit card. ❑ Surveys(2 copies) Final as built-Required Items: Elevations of buildings showing all intended setbacks from property lines and other existing structures. Ingress+ Egress, required parking spaces,Wheel stops, stripping, and all paving to exterior. ❑ Certificate of Elevation—(Sealed by surveyor). Expiration date required on the form. ❑ Certificate of Insulation. ❑ Certificate of Soil Treatment(Final treatment-original)\ CHAPTER 2913-5 TERMITE PROTECTION: "This Building has received a complete treatment for the prevention of subterranean termites.Treatment is in accordance with the rules and law as established by the Florida Department of Agriculture and Consumer Services." ❑ Health Department Approval Letter(On septic or private water). Note: If the house is on septic tank, approval letter is required from Health Dpt. ❑ Soil Compaction Letter(Density report is required) ❑ Final certification letter from the Engineer/Architect(on masonry, trusses, special structure, etc) ❑ Backflow preventor certificate(Required on commercial projects only) ❑ Certificate of use. (Recorded in Miami-Dade Clerk of Courts) PLEASE NOTE THAT THE SAME ITEMS ARE REQUIRED FOR TEMPORARY CO • Emergency CO (Without 24 Hrs Processing)Additional fee is$80.00. • Temporary CO (Up to 90 days max) $75.00. • Residential CO fee is$150.00 • Commercial CO is $200.00 INSPECTION R CJJY 6-1 s ST S ` } t 'Miami shotes V. 03.age lo050 3 "l tl Paver �8011i 1 u�,i.�1C88$.�'�+i�S�.iP� ��� k'!.� � ,: ;" t?,r sz ts18F,'.'� �ws' ^w ,�3»„ .!� //r lr/ YK �i��if�" �'�{wYR• Phoma� A a ( 1 A All lN3RECT.tOWREQUESTS 1,624M l16 amw I ,F r REQUESTS ARE ACCEPTt1a dUl� I"'A 4; ljS1t ►lf. `r � p Requ� k first be 22t!!!Z dor filo i --- - - - s Reildentia� u� i � �� s`, � ,. '� / a -3-101 -01 T o�rne s Name OCX1�f40@(L41 i t � , -J Job--Addrees x T'b�t ware F „ - - - - ^; UFf i 00 00 BorfNumb "' - _ f - 1 Oft low � Co tri \7W' U��S�LF���Iy,''� »lrn �� � �� �a � 6 f * f fr / Qa41 R�QOFiiirSE' 75r 34Y1.3f��5''li ,'t'l,` f''N 5 1yip A '�hJ. r , r#i " EVER MINE yo a G y Ml All ME 401 SAM'C a� aX"O�,. o- res f.,�- sr , f / ra- /" � / _ ,.. v r' " e" 2 'fir% 'A ME f ft al Mill IF Ar ' ��/%'gi 'C'� 'fir /„'ru✓fl�f :� �^''d"4 ;n"f+�,'` j wrn ye Mill I,so�r� t ;. ,f/s' rrir, N©SNS T�Aa 3l1 Ir A FL �' fT C �tS 03SPLA q 941rt1 S E t t l� �S';� pl X�A1V t AELE is !~PER PLIC 'S RES3'f�3ai 3L3T�V T S E�T ARK tS�ESSIBM EDM-$9-�IzGI} 33 I T 3 ' iw$ NEMER 1OEFtt 1 RET E Lt t Ai�L 1A t E 4i�E�4 # IAP I t��tE1 AL t532 8>~Pt 4f EA U ) f iT i�I `11VVAR IIIN b I E YOUR FAJLURE {�`�Q RE�QOR� ', A NTIOf— OTICE kv { 1 QIEEMENT MAY' tESU YAR PAYING TV1iCE FSR IMRCOVENTS 'Q . U'R P" PE` TY N�TIE `O t)hUI'11II�;NCEENT MUST se; REE AND PO-S � N'E J, BEFORE'y E 1` �' I� PEC C N. YOB ° NINA 1 CNAN ; r� ISUlT WITH' YtIJ LNE OQAIA >Y A�I�``�RI� Y RK E OIVIMI I INC W0R f E COMMnye ��1 ENCEME : r, � P, NSPEC . - -12 CORD STRUCTURAL DA fN$P INSPELTIO flA [E� P' 1NSPE TION DATE ISP -- - _ - - - - Found4tion , , Zuni final f, fw�en tOM. Rough- .. ,,,: �•1Nat +�rlllb'B umrns - - --- - - - R t s, d - - T (hitt _ - - . - _- - To Beam --=- F'rr k>eas . 't�,rss�Rafters_ __; b1�aa h#< _ Sewar Hook Roof $ilCP . ks `� „ w� indovvsf© - - ELECTRICAL_ Gas interior Fram r► V - - 1 C'tIC N DATE NSP; LP Tank - - -- -- Pala_--- nsulatn _ - +�' r T@tri r LaWfl_ t#f1krS Poc�.#3ondin - 14a#n Dry E3on,_ Poi!Pi Mire�lt#t - -- Pod We Wat goal Steal r - t leder round r Pao#Deck Fc�it�'Gtnd tohf FW,Pell - alab _ Conderate Drams Firms F »ee_ _ Wali- ,flow - - - Scren Enc#asure - e#ing__ Ddl- --- _ -- Rough PtJUM13ING C- ME - - Drivewa Uase - f Tele► a_ LL _ - - r' ; TVA -- - - --- T�#er�Firr # - _ RODE an Pro cess - TV Ro h _ - Mo>in Pra ress T1 F# `} Faai Rpof = ably Rou h � - - Shittters�ktt _ Cable final-:_ -- -- -- - - -- - Final St�era - . interim•R�ti ,h -� !s Bind Guardrails int m PiMECHANICAL ADA a I- Zian 7 Alarrtt Rough- - 1NSP CTtON - - DATE 'Pi USI! Fire Alarm f taugh - ; oA Bean f'fr Alarm final - lotFl 3tatmar3#! at - oor - -- - �entila `Rougfi fie ttr3 i m s'Coltoilf £Ll�CT1�IC COMM #mrd Ftpu f# i rrsutabcn Cericate_ - - Pressure Test_ _ '� srftisn - f=lnat Peot beater Y TIf1�UC f1 ?COMMENTS,NTS -- - _ - - Fin u - - - - - - -- - MECHANICAL COMMENT r . r..., fN P CiION BATE NOVI ft Find ffn