CC-11-2316Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 176341
cc- I l - a 3160
Permit Number: ELC -7 -12 -1388
Scheduled Inspection Date: October 23, 2012
Inspector: Devaney, Michael
Owner:
Job Address: 10500 BISCAYNE Boulevard
Miami Shores, FL 33138-
Project: <NONE>
Contractor: ADAN ELECTRICAL SERVICES LLC
Permit Type: Electrical - Commercial
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1122300010500
Phone: (786)285 -3847
Building Department Comments
ELECTRICAL PANEL REPLACEMENT AND FOR
BATHROOM REMODEL AND NEW OUTLETS IN
EMPLOYEE LOUNGE
Passed
r2'
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
October 23, 2012
For Inspections please call: (305)762 -4949
Page 4 of 18
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 181396 Permit Number: CC -12 -11 -2316
Scheduled Inspection Date: November 13, 2012
Inspector: Rodriguez, Jorge
Owner:
Job Address: 10500 BISCAYNE Boulevard
Miami Shores, FL 33138-
Project: <NONE>
Contractor: ATELIER & PROJECTS LLC
Permit Type: Commercial Construction
Inspection Type: Final Building
Work Classification: Addition
Phone Number
Parcel Number 1122300010500
Phone: (786)306 -7900
Building Department Comments
REMODEL ROOM AND REPLACE 3 NEW WINDOWS.
SHUTTER WITH PERMIT# WS11 -1903
Infractlo Passed Comments
INSPECTOR COMMENTS
False
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
CREATED AS REINSPECTION FOR INSP- 181239. CREATED AS
REINSPECTION FOR INSP- 167877. TRAP GUARD MISSING. LAVATROY
LOOSE DOOR MUST HAVE HANDICAP LOCK. JR
Not Ready. Provide all previous required inspection for work on plans. NB
November 09, 2012
For Inspections please call: (305)762 -4949
Page 23 of 36
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
BUILDING
PERMIT APPLICATION
FBC 20 VD
Permit Type BUILDING ROOMG
OWNER: Name (Fee Simple Titleholder):
Address: ® S 00 /fie
City: �� a ,4 / State: Zip: -3 7 / 3 7'
Tenant/Lessee Name: Phone#:
Email:
RECEIVED
AUG 2 3 2 Z
Permit No.
Master Permit No.0 C t k — 3 kic)
Phone #: 505r-- 5^ /1 1- 7z9/
JOB ADDRESS:
City:
Folio/Parcel #:
Miami Shores
County:
Miami Dade
Zip: 7 7 f 5ff
Is the Building Historically Designated: Yes
7 _3 —7e)O
CONTRACTOR: Company Nam _ � k 1 � �C� Phone #:
Address: f ® rJ AO �z �C i'� T 6--%q
City: i ' �r1) Stat /—G- Zip:
Qualifier Name: . /2'71)/2e) Stat
G A Phone #: 9,5->t- a,, - ,)..53
State Certification (orr�Registration #: C r ai C. /5i 4�,� 9 Certificate of Competency #: p
Contact Phone #: Cl ''33 ^2 53 - Email Address: �r-oe � y- Mai 1.
DESIGNER: Architect/Engineer: Phone #:
Value of Work for this Permit: $ OgEta. Square/Linear Footage of Work: / (o a
Type of Work: °Addition °Alteration °New DRepair/Replace °Demolition
�i
Description of Work: f. YI? C� l -L / ��r�
=4.41114 i,11111511111rr---'11"1111
************* *+ x+ x***** ********** *** * ****Fees********* *****
Submittal Fee $ Permit Fee $ 0 C) 0
Scanning Fee $ Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
CCF $ CO /CC $
DBPR $ Bond $
Technology Fee $
TOTAL FEE NOW DUE a3 p
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 ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 post ' at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. ' the ce of sucl posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature Jt
The forego
day of
wner or Agent
ment was acckn j
, 0 _, by "�--' W
ed befor
e this
Signature
Contr. tor
The foregoing instrument was ac owledged before "me�this
ay of F26 , 20 Q. b (D CIC��r??1� AA
ho is personally known to me or who has produced l,"'LA a?
as identification and who did take an oath.
i r o al'/ ,knnown to me or who has produce.
�l' W�1 dentification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
-:; qrE OF;r• i
****+ x�x* �xa�a�a�x� *�xa��x�x+x+x *r��x�x*** �x ********* a�a�+ x***** x��x****+ xx��x*********+ a�x+ x�x�x�x�x�x *�x+x+x�x�xa��xa�a�**41 **+x***
APPROVED BY
Plans Examiner Zoning
Structural Review Clerk
(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)
111111111111111111111111111111111111111111111
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITEATTO4 OF FIRST INSPECTION
PERMIT NO. e.g--1 1Z /tic TAX FOLIO NO. //223'904Y/7j-490
STATE OF FLORIDA
COUNTY OF MIAMI -DADE:
THE UNDERSIGNED hereby gives.nolice 1Fiat Improvements will be made to certain real
property, and in accordance wittkChapter 713, Florida Statutes, the following information
is provided iri this Notice of Commencement.
CFN 2012R0616659
DR 8k 28251 Ps 3699? (1P3)
RECORDED 08/30/2012 16:08:33
HARVEY RUVIN, CLERK OF COURT
MIAt1I -DADE COUNTY? FLORIDA
LAST PAGE
Space above moved tar use of recording office
1. Legal description of property and street/address: / O SO a !ms's a a-
/h >® - 5, •e ES ,c° (2.... 33/ 3
2. Description of improvement:
67
3. Owner(s) name-and address: IC U C.- IAD L-i) Fh) Gt CO •
interest in property S_ 1/P„►,
Name and address of fee simple titleholder:
4. Contractor's name, address an phone number. .4- e /.'
yle M�- ,..":M' 5400 ,� �,�� Al, '31.t �
5. Surety: (Payment bond, required by owner from contractor, if ae,TATE OF FLORIDA COUNTY OF DADE
Name, address and phone number: -. --
Amount of bond $
6. Lender's name and address:
7. Persons within the State of Florida designated by Owner upo
Section 713.13(1)(a)7., Florida Statutes,
Name, address and phone number.
��rs.�arseiesaa� '• "- -.;.�x iE�1��PeM ^� -�v-
wf�-
Section
8. In addition-16 himself, Owners designates the following person
713.13(1)(b), Florida Statutes.
Name, address and phone number
's Notice ..., • d: •
9. Expiratibn date of this. Notice of Commencement:
(the expiration date le 1{ year from the date of recorder udess a illifeOnt date Is 'el-Seined)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENTARE,CONSIDERED
IMPROPER PAYMENTS UNDER CHAPTER 713, PART (,.SECTION 713.13. FLORIDA STATUTES', AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITEBEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE_ COMMENCING WORK
OR RF.Le0�1DING YOUR NOTIGE OF COMMENCEMENT.
Signature(s) of QX vner(s). or Owner(s)'- Authorized Offlcer/Dlrector/Partner/Manager
Prepared By Prepared By - -,
Print Name 1I kt • `4 eV 5 Print Name
Title/Office
STATE OF FLORIDA • : / C VC ferf,s647 ea
COUNTY OF MIAMI -DADE
ti
The foregoing Instrument was acknowledged before me thls - �"day of
Individually, or P as for
❑ Personalty known, or- produced °the following type of identification:
Signature of Notary Public:
Print Name:
(SEAL)
VERIFICATION PURSUANT TO SECTION 92.525. FLORIDA.STATUTES
Under penalties of perjury, f declare that I have read the foregoing and
that the facts stated In it are true, to the best of my knowledge and belief.
Signature(s) of Owner(s) or Owner(s)'s Authorized Officer /DIrector/Partner/Manager who signed above:
By By
Title/Office Aa.-*-7 9�Y`
a.)/ z
,,,• "/, � /DA
kktl0
ON,\`\\``
123.01 -52 PAGES 3/10
filledu
l2. ti-
B LDING
PERMIT APPLICATION
FBC 20
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
Permit Type:
OWNER: Name (Fee Simple Titleholder): / (, us,/ 4447 z4 Phone#: 3 — p f 3 s-2 yW/
Address: /14.o® 'it;eC /j ei ✓•
City: )1jie,e;r4 c (#/'J State:
Tenant/Lessee Name: 4,' Ai d 71/a1? Phone #: 3 - 4/2'
Email:
1
CEIVED
DEC 142011
L e
Permit No. (� ,
Master Permit No�.- .
Zip: 397,3j>
JOB ADDRESS: /�e9®
City: Miami Shores 11Y9 County: Miami Dade
Folio/Parcel #:
// ----3O co —
Is the Building Historically Designated: Yes
Zip:
NO ��ee Flood Zone:
State: �. Zip: "3 3 3 S
Phone #: G�'i%c{� AI LV�
CONTRACTOR: Company Name:
Address: / //p 7-9 -Le) i' / GY
City: y f9,:
Qualifier Name: f � �� >' ��'
State Certification or Reg � . . #: '�� , g2W
Contact Phone #: 41� %rP � � >�
DESIGNER: Architect/Engineer:
ate of Competency #`i"4 O 434 --O2 f
Email Address:
Phone #:
Squar inear Footage of Work: /60
Value of Work for this Permit: $
Type of Work: ❑Address
❑Alteration
❑New
UK/pair/Replace
Kpair/Replace
Description of Work: Y� vi,P €4/ /-"'7 .-u 9 /210164.6,. te10 �� .I PH 4.06€2-1
V 7la4 7H 9f&,17 _ 0- £6 , / -- /' Y 03
UDemolition
Submittal Fee $ C� Permit Fee $
�•Q
Scanning Fee $ Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
CCF $ CO /CC $
DBPR $ Bond $
Technology Fee $
TOTAL FEE NOW DUE $
1 ON
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 ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 properly 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. �/ �6
Signature /% Signature�,� �VU6� //�
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this 2 The foregoing instrument was acknowledged before me this /0
day of �%f , 20 /!, by 42) it ' / 3 M , day of VW , 20f/ / , by 40140 cid,
Who is ersonall kn to me or who hays produced w o is eisonall F to me or who has produced
r y r c is r
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
nru•4 Ay � ^.pi
11/41 :ftft.
**** *** *********N+ ******* k* **+ k* *: k+k***sk*****aa***+k k*******sk** sk*sk*sk* ***sk************ ****sh: k**sksk***********dsskds*+k***
APPROVED BY
Plans Examiner Zoning
Structural Review Clerk
(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)
Permit No: 11 -2316
Job Name:
May 23, 2012
Miami Shores Village
Building Department
Building Critique Sheet 2nd
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Page 1 of 1
1) Provide approval from Miami Dade County Fire Dept.
2) Provide approval from Miami Dade County DERM.
3) Provide all permit applications prior to any further reviews.(electric & plumbing)
4) The window product approval is incomplete. Provide the complete approval available
online at http: / /wvwv.floridabuilding.orq /c /default.aspx
STOPPED REVIEW
Plan review is not complete, when all items above are ccrrected, we will do a complete plan
review.
If any sheets are voided, remove them from the plans and replace with new revised sheets and
include one set of voided sheets in the re- submittal drawings.
Norman Bruhn CBO
305 - 795 -2204
Miami Shores Viiiage
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
RECEIPT
PERMIT #: / —251 DATE: 2 g ze-
rI
.p—
Contractor 4 g\7_, Owner I�� (� }l Uhl
Architect ®'
Picked up 2 sets of plans and (other) /6.i2/1
1 �/
Address: / ige/5 ,-4 l (fie- L/ D
From the building department on this date in order to have corrections done to plans
And /or get County stamps. I understand that the plans need to be brought back to Miami
Shores Village Building Depa + °ent to continue permitting process.
)tj Acknowledged by
PERMIT CLERK INITIAL: ,(2</-
RESUBMITTED DATE: () 3
PERMIT CLERK INITIAL:
67,,K4
is IZ.1I I Iii
Permit No: 11 -2316
Job Name:
December 21, 2011
Miami Shores Viiiage
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Page 1 of 1
Building Critique Sheet
1) Provide approval from Miami Dade County Fire Dept.
2) Provide approval from Miami Dade County DERM.
3) Provide approval from HRS /DOH/
4) Provide all permit applications prior to any further reviews.
5) The plans show the scope of work as existing but I have photos of the area being
renovated. Provide a complete set of plans complyingwith the FBC and the FAC.
STOPPED REVIEW
Plan review is not complete, when all items above are corrected, we will do a complete plan
review.
If any sheets are voided, remove them from the plans and replace with new revised sheets and
include one set of voided sheets in the re- submittal drawings.
Norman Bruhn CBO
305 - 795 -2204
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Date:
Date:
Permit #:
Plumbing Critique Sheet
d
Review Completed by: Rafael Hernandez
Chief Plumbing Inspector
Miami Shores V
Building Department
RECEIPT
PERMIT #:
416-;
o Owner
o Architect
Picked up 2 sets of plans and (other) gaft-
Address: / 04----b 0 7 -
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
DATE: / /
/420 Vi 7/.�5
From the building department on this date in order to have corrections done to plans
And /or get County stamps. I understand that the plans need to be brought back to Miami
Shores Village Building Departmen to continue permitting proc- s.
Acknowledged by:
PERMIT CLERK INITIAL:
RESUBMITTED DATE:
PERMIT CLERK INITIAL:
Permit No: 11 -2316
Job Name:
August 1, 2012
Miami Shores Village
Building Department
Building Critique Sheet 4th
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 7952204
Fax: (305) 756.8972
Page 1 of 1
1) The window product approval is incomplete. Provide the complete approval available
online at http:// www. floridabuildinq .orq /c /default.aspx
STOPPED REVIEW
Plan review is not complete, when all items above are corrected, we will do a complete plan
review.
If any sheets are voided, remove them from the plansand replace with new revised sheets and
include one set of voided sheets in the re- submittal drawings.
Norman Bruhn CBO
305 - 795 -2204
05/24/2012 09:03 FAX 1 800 685 7530
DATA SCAN FIELD SERVICES
11001
sksk*******sk*sk**xe**** **
*** TX REPORT ***
**xe*sk**xs **sk*sk********
TRANSMISSION OK
TX /RX NO 2583
RECIPIENT ADDRESS 93059818517
DESTINATION ID
ST. TIME 05/24 09:03
TIME USE 00'25
PAGES SENT 1
RESULT OK
Permit No: 11-2316
Job Name:
May 23, 2012
Miami Shores Vuiage
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Page 1 of 1
Building Critique Sheet 2nd
1) Provide approval from Miami Dade County Fire Dept.
2) Provide approval from Miami Dade County DERM.
3) Provide all permit applications prior to any further reviews.(electric & plumbing)
4) The window product approval is incomplete. Provide the complete approval available
online at http:// www. floridabuilding .orq /c /default.aspx
STOPPED REVIEW
Plan review is not complete, when all items above are corected, we will do a complete plan
review.
If any sheets are voided, remove them from the plans and replace with new revised sheets and
include one set of voided sheets in the re- submittal drawings.
Norman Bruhn CBO
305 -795 -2204
06/29/2012 16:15 FAX 1 800 685 7530
DATA SCAN FIELD SERVICES
Ej0O1
* * * * * * * * * * * * * * * * * * * **
* ** TX REPORT * **
* * * * * * * * * * * * * * * * * * * **
TRANSMISSION OK
TX /RX NO 2693
RECIPIENT ADDRESS 93059818517
DESTINATION ID
ST. TIME 06/29 16:15
TIME USE 00'24
PAGES SENT 1
RESULT OK
(6'1914,1 %tr Pe mit o: 11 -2316
Job Name:
June 27, 2012
Miamli Shores Viiiage
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Pagel oft
Building Critique Sheet 3rd
1) Provide all permit applications prior to any further reviews.(electric & plumbing)
2) The window product approval is incomplete. Provide the complete approval available
online at http:// www. floridabuildincLorq /c /default.aspx
STOPPED REVIEW
Plan review is not complete, when all items above are corrected, we will do a complete plan
review.
If any sheets are voided, remove them from the plans and replace with new revised sheets and
include one set of voided sheets in the re-submittal drawings.
Norman Bruhn CBO
305- 795 -2204
cd-- ks