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RC-16-1385 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-273482 Permit Number: RC-5-16-1385 Scheduled Inspection Date: December 21,2016 Permit Type: Residential Construction Inspector: Naranjo, Ismael Inspection Type: Final Owner: FARID, MEHRDAD MAC Work Classification: Alteration Job Address:726 NE 92 Street 11 L Miami Shores, FL Phone Number Parcel Number 1132060440490 Project: <NONE> Contractor: QUINTERO GENERAL CONSTRUCTION Phone: (786)487-5738 Building Department Comments REPAIR AND REPLACEMENT FOR SHOWER REPLACE Infractio Passed Comments AND NEW DAMAGED WOOD AND DURAROCK. INSPECTOR COMMENTS False Inspector Comments Passed [3 `( Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. December 20,2016 For Inspections please call: (305)762-4949 Page 46 of 46 Miami Shores Villagef3£v t on 10050 N.E.2nd Avenue NEMN �OC8�C26> ft� Miami Shores,FL 33138-0000 ] y, Phone: (305)795-2204 Expiration: 12106/2016 �� nate;f► 6 Project Address Parcel Number Applicant 726 NE 92 Street Number: 11L 1132060440490 Miami Shores, FL Block: Lot: MEHRDAD MAC FARID Owner Information Address Phone Cell MEHRDAD MAC FARID 726 NE 92 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 5,800.00 —.j QUINTERO GENERAL CONSTRUCTIO (786)487-5738 _... w ...: .x_.....m. Total Sq Feet: 0 Approved:In Review Available Inspections: Comments: Date Approved::In Review Inspection Type: Date Denied: Final PE Certification Window Door Attachment Type of Construction:REPAIR AND REPLACEMENT FOR Occupancy: Framing Stories: Exterior: Insulation Front Setback: Rear Setback: Drywall Screw Left Setback: Right Setback: Fill Cells Columns Bedrooms: Bathrooms: Window and Door Buck Plans Submitted:Yes Certificate Status: Review Planning Certificate Date: Additional Info: Review Electrical Bond Return: Classification:Residential Review ElectricalReview Plumbing Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Review Building CCF $3.60 Review Structural DBPR Fee Invoice# RC-5-16-59859 Review Mechanical $2.61 05/19/2016 Credit Card DCA Fee $2.61 $50.00 $155.82 Education Surcharge $1.20 06/09/2016 Credit Card $ 155.82 $0.00 Notary Fee $5.00 Permit Fee $174.00 Scanning Fee $12.00 Technology Fee $4.80 Total: $205.82 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 cgatFaftr to do the work stated. June 09, 2016 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy June 09,2016 1 IRP 77-1 -� Miami Shores Village M Y j901s BY: Building Department �. 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 201 BUILDING Master Permit No.420 t(,` 1 399 PERMIT APPLICATION Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION F-]RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP !i� CONTRACTOR DRAWINGS JOB ADDRESS: 72(p N� I Q' �� I(L- City: LCity: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 1\- 3 20CQ " �yH - 04 9 O Is the Building Historically Designated:Yes NO'— Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): P'1' A R.b*" •V-0147- Phone#: 9SY-2lo`7' Address: s3aAuct4,- �A1fE. 2°l I r City: M I A4,4A' State: L Zip: 33/ 31 Tenant/Lessee Name: Phone#: Email: .9, /� R p / �p p CONTRACTOR:Company Name: A L1(tJ. _t4 l6'�- �d Phone#: :44 L f-7 Address: �9•J �/Z-/t - City: State: Zip33 011 Qualifier Name: Ae4_.94-..4o /aPhone#: Me (04 571-3,y State Certification or Registration#: C C /Sl SZ`}Z Certificate of Competency#: DESIGNER:Architect/Engineer:J DSVIAr N �� �� a4 Phone#: 0/5�t-_L!'',(pa, 5 Address: 0• Ind x \ �Q Z.�3 City: �� State•ft Zip: 3 Value of Work for this Permit:$ �,��-a O Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition Description of Work: ® 44 LeH /� 4.,j /F.r.J ISA Q. ,r 42XZ AA.A NrA,4-XIO. Specify color of color thru tile: Submittal Fee$ ' Permit Fee$ " 0Z) CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ S. M Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ 11 '� TOTAL FEE NOW DUE$ A S '��- (Revisedo2/24/2014) 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-recardednotice of commencement-must b-posted of the Job s F e 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. Signatureztf� Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this - 1,9?!!5L day of 20 14- by JC1 day of MP�Y 020 J(6 .by who is ersonall kno p APX ) r,�J(WI KVJ_-who is personally known to Me or who has produced as me or who has produced UM lamas identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUB =Sign: Sign: Print: Print: Sinal: „ �'Public S`� Roddy Seal: ©' r° Y Pu��� S nd a AlvNotary iic areZate of Florida . Oscar M Zaragoza ' - v my Corrmbsion FF 939287 -'0,6 Oho M1AY Commission FF 156750 ' O/N � 12/0812019 n Expires 09/Z12018 018 APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) 745 North East 91 se Street Miami Shores,FL 33138 305-759-9069/FAX 305-759-2101 E-MAIL spel23@att.net May 10, 2016 Miami Shores Village Building Dept. 10050 NE 2nd Avenue Miami Shores, FL 33138 Dear Sir/Madam: This letter will serve as your confirmation that "Quintero General Contractor Corp"has been contracted by the owner of Unit 11 L, at 726 NE 92 Street, Miami Shores, FL, and is authorized by the Board of Directors of the Shores Plaza.East Condominium Association to perform "Repairs" in Bathroom and Kitchen, at said Unit. Should you have any questions regarding the enclosed, please feel free to contact the condominium office. Sincerely yours, Carlos Talavera Vice-President Ile S� �Baga F.a�.t� �u�tuuu r��,oec'atco�c, 7n�. 745 North East 91 A Street Miami Shores, FL 33138 305-759-9069/FAX 305-759-2101 E-MAIL•spel23@att.net April 16, 2016 Miami Shores Village Building Dept. 10050 NE 2nd Avenue Miami Shores, FL 33138 Dear Sir/Madam: I M e h rg a� Ma-c '=A t2 i D, owner of unit 11 L at 726 NE 92nd Street, Miami Shores, FL 33138, hereby fully authorize the Shores Plaza. East Condominium Association and its designated licensed vendors and contractors, to perform repairs and modifications to the above referenced Unit. Sincerely yours, The foregoing instrument was ackn wledged before me this / � day ofL 2016,by Y V�'lFh2 l�1A 2it, who is personally known to me, and who did take an oath. Notary Public Sign—4. !!7 Print v � � Seal. .40 sca see a Fi�ida Oscar. rnn zamgoza Ally Cam Mw FF 939267 p E*km I2/Q WI9 7�e S�iaaed �Fa�a �aQt�ida�scia�u`k��aC'l'a lac. 745 North East 91 sc Street Miami Shores, FL 33138 305-759-9069/FAX 305-759-2101 E-MAIL spel23@att.net April 16, 2016 Miami Shores Village Building Dept. 10050 NE 2nd Avenue Miami Shores, FL 33138 Dear Sir/Madam: This letter will serve as your confirmation that Quintero General Contractor Corp has been contracted the Board of Directors of the Shores Plaza.East Condominium Association to perform repairs and modifications at Unit 11 L, at 726 NE 92 Street, Miami Shores, FL. Should you have any questions regarding the enclosed, please feel free to contact the condominium office. Sincerely yours, e<' T—" Oscar Zaraodza Scty/ Treasurer Quintero General Contractor 8801 NW 112 TERR Hialeah FL 33018 Telf: (786)487-5738 Fax: (305)362-5966 DATE:06/05/2016 State of /_�O//�o`15•� County of p4mbe Before me this day personally appeared Xe,�.4,e6-VaZ& who, being duly sworn,deposes and says: That he or she will be the only person working on the project located at: -7a6 Sworn to(or affirmed)and subscribed before me this�)9 day of a)Nt 20 1L .byBUN Ate, GlitI\7� Personally know OR Produced Identification Type of Identification Produced Stamp Name of Notary =o0y`Yove`^ Notary Public State of EI®Fidr� Sindia Alvarez c4 My Commission f p 156750 1g OF F 0 Expires 09/00/2015 �S�oR-934 Es �i s� Miami shores Village Room Building Department 10050 N.E.2nd Avenue �loRiIUP` MAS` 2 2016 Miami Shores, Florida 33138 Tel: (305) 795.2204 BY: 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: own6r State of Florida County of Miami-Dade The foregoing was acknowledge before me this Z3Rnd ay of 20 By_kr_A_. LD . has produced as identification. -Notary:_ SEAL: Wwr.; "'a�``' terry State Oscar M Zarago My ComftsW FF 939287 Expkes 12/08/2018