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RC-11-1500Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 182412 Permit Number: RC -8 -11 -1500 Scheduled Inspection Date: December 05, 2012 Inspector: Bruhn, Norman Owner: PENKWITT, PATRIK Job Address: 520 GRAND CONCOURSE Miami Shores, FL 33138- Project: <NONE> Contractor: JOSEPH S. ROBBIO INC Permit Type: Residential Construction Inspection Type: Final Building Work Classification: Alteration Phone Number Parcel Number 1132060171430 Phone: (954)663 -6743 Building Department Comments FRAME CEILING IN LIVING ROOM, REMODEL 2 BATHS, REPLACE WINDOWS Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. December 04, 2012 For Inspections please call: (305)762 -4949 Page 30 of 37 PERMIT # RG ` t - (5cD CONTRACTOR: -ch 'SI-1 I SUBMITTAL DATE: ADDRESS: 200 (02AND NAME: E LTT RESUBMITAL DATES: a[)) PROJECT TYPE: ice ref at ZONING STRUCTUR ELECTRICALS `/ HRS/DERM /4- PP/=uv t i s/22,/, PLUMBING NOC MECHANICAL BLD ANATOLIA ENGINEERING SERVICES, INC 555 SOUTH POMPANO PARKWAY POMPANO BEACH, FLORIDA EMAIL: CARLFORBES®BELLSOUTH.NET PHONE: 954 - 682 -6651 FAX: 954 -903 -4284 uplift= 957# 8' -4" simps 4— 1/4" 10 —10d 4I CERTIFICATE OF AUTHORIZATION= 29M 12 2 X 12 # 2 SYP 16" O.C. ATTACH TO EXIST. W/ 16 D 6" 0.C. 2 X 6 # 2 SYP COLLAR TIE 32" O.C. 3/8" BOLT 2 x 6 stud wall uplift= 957# n htsm20 x 2 "tapcons to t.b. to joist. SECHON AT 2/3 r EXIST. BRG. WALL DESIGN CRITERIA ALL STRUCTURAL ELEMENTS, EXPOSED TO WIND, HAVE BEEN DESIGNED PER THE GUIDELINES OF THE ASCE 7-05 FDC 2007 VITH 2009 SUPPLEMENTS VINO SPEED = 146 MPH 3 SEC GUST EXPOSURE C IMPORTANCE FACTOR = 1.00 BUILDING CATEGORY- II MEAN ROOF HEIGHT IS 122' -0' PART. OPEN STRUCTURE U1E LOAD 30 PSF DEAD LOAD ..... ... «« 22i PSF REMOVE CEIUNG RAFTER !'I 7 zt tapcons to 10 —10d to joist. CALCULATIONS PLF =55 PSF X 1.33 = 73.5 PLF FB FOR SYP# 2 = 1500 PS1 MOMENT= 73,5 PLF X 12 2 X 12 = 15876 8 SECTION OF MODULUS REQ. = 15976 1500 SECTION OF MODULUS AVL. = 1.5 X 11.25 2 6 .b. = 10.6 = 31.64v' DRAWN BY: CARLOS VIIACA 1000 S DIXIE HWY WEST POMPANO BEACH FL 33060 PHONE: 561- 445- 9661 EMAIL carlosvilacaolive.com DATE ll fl SCALE: N.T.S PROJI CIO CIEDLIING MODIFICATION PROPERTY ADDRESS 520 GRAND CONC0U98, MIAMI SIMS PIA. BEDROOM 2 AND 3 CARL G. FatBES 4. ANATOLIA ENGINEERING SERVICES, INC 555 SOUTH POMPANO PARKWAY POMPANO BEACH, FLORIDA 33069 EMAIL: CARLFORBESOBELLSOUTH.NET PHONE: 954 - 682 -6651 FAX: 954- 903 -4284 CERTIFICATE OF AUTHORIZATION: 28792 uplift= 539# 8' -4" 2 X 12 # 2 SW 16" 0.C. ATTACH TO EXIST. W/ 16D6 "O.C. 12 2 X 6 # 2 SW COLLAR TIE 32" O.C. — 3/8" BOLT uplift= 539# REMOVE CEILING RAFTER simpson htsm20 4— 1/4" x 2 "tapcons to t.b. 10 —10d to joist. 13' -8" SECTION AT MASTER BEDROOM DESIGN CRITERIA ALL STRUCTURAL ELEMENTS, EXPOSED TO WIND, HAVE BEEN DESIGNED PER THE GUIDELINES OF THE ASCE 7 -05 FBC 2007 WITH 2009 SUPPLEMENTS WIND SPEED = 146 MPH 3 SEC GUST EXPOSURE C IMPORTANCE FACTOR = 1.00 BUILDING CATEGORY - II MEAN ROOF HEIGHT IS 12' -0' PART. OPEN STRUCTURE LIVE LOAD 30 PSF DEAD LOAD .... .... 25 PSF CALCULATIONS PLF =55 PSF X 1.33 = 73.5 PLF FB FOR SYP# 2 = 1500 PS1 MOMENT= 73,5 PLF X 6 2 8 X 12 = 3969 SECTION OF MODULUS REQ. = 3969 = 2.6 1500 SECTION OF MODULUS AVL. = 1.5 X 11.25 2 6 = 31.64v/ DRAWN BY: CARLOS V IJ CA 1000 S DIXIE HWY WEST POMPANO BEACH FL 33060 PHONE: 561- 445 - 9661 EMAIL carlosvilaca@live.com DATE 11.48_41 N.T.S PROJE _ ROBBIO CEILING MODIRCATION PROPERTY ADDRESS S20 GRAND C7ONCOUSE, MIAMI SHORES FLA. MASTER BEDROOM CARL O. FORMS b� III~ �1 Miami Shores Village Building Department /0050 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 Permit Type: BUILDING OWNER: Name (Fee Simple Titleholder): Address: City: ROOFIN e � Master Permit No. Tlt>' L '� State: `-- Phone#: 3 S 1-22-k Zip: S /R r Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: 20 6/T City: Miami Shores County: Miami Dade Zip: /..3,4? Folio/Parcel #: C 1, 2.000 I-711+30 Is the Building Historically Designated: Yes NO Flood Zone: --r CONTRACTOR: Company Name: I, /0ST4 S . , a213/a / - C... . Phone#: 93-9-66 3-- ‘..) 71 3 Address: y0O s. /y&4 did c.JSS Cie/e. City: ./6/114 (4-A., ,, State: f /o4L/%.4 Qualifier Name: lJ Sfr1 ST ' b / is State Certification or Registration #: C 6 C b S V to Z_. Certificate of Competency #: Contact Phone #: 5 S'� /� (� 3- 6%`l3 Email Address: LIOSQ4i�i' 4S /a %✓C., ( HIV L. ---- l . DESIGNER: Architect Engineer:c / s . (.c✓1'1 / 5 011 F A; )I71 Phone#: i --5-2.2-^ (Y y.6 Zip: (33 a Phone #: js'y - G tai- 6 7 y3 Value of Work for this Permit: Type of Work: DAddition e .Iteration Desc ' Lion of Work: //Z 4)4 . d Ft AT 1 Square/Linear Footage of Work: New DRepair/Replace e ODemolition ********* ** * *****a:* * ***** * **O***** ***** Fees************* ******* *** ******* *******m**** ** Submittal Fee $ SD •b Permit Fee $ 17�(.N fib CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE 1� 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 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. Aka, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs sevn (7) days after the building permit is issued. In the absence of such posted notice, the inspection wil e i t &Se approvj / and a reinspection fee will be charged. Signature wner or Age The foregoing instrument was ac owledged before me this day of „ 2011_, by I 0 ".1 % who is personally known to me or who has produced I' D As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: \ \1%II I u//• / /, �P� " fie" 1; . My Commission Expires: APPROVED BY /o-2- (( Signature Contractor / The foregoing instrument was acknowledged before me this l day of , 20 (�, by c> OXLP ( 1 �0"" 641 who is personally known to me or who has produced /�t( D as identification and who did take an oath. NOTARY PUBLIC: Sign: • Q, Print: a y ° u d o a o "O �_ My Commission Expires: :�� ✓� . v •. � Plans Examiner Zoning Structural Review Clerk (Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09) • NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OFFIFIRST INSPECTION PERMIT NO. TAX FOLIO NO. (( —4911 —In) 1 11111 11111 1111111111 11111 11111 1111111111111 STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. CFN 21011R0543239 OR EIS 27792 Ps 0168; C. l is s r) RECORDED 03/15/2011 12.34.23 HARVEY RUVIN? CLERK OF COURT MIAMI-DADE COUNTY? FLORIDA LAST PAGE Space above reserved for use of recording office QLegal description of property and street/address: rj(312,v(1 C .-- rrs�► Description of improvement: Owner(s) name and address: � ll2o *t(<_ f Jt4 4'tl' terest in property: Name and address of fee simple titleholder: %4'. Contractor's name, address and phone number: `;gyp 5. Surety: (Payment bond required by owner from contractor, if any) Name, address and phone number: Amount of bond $ 6. Lender's name and address: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name, address and phone number: risk, C►„ ( +; --na,; o I A)c_ Cr— 63 STET'= FLO y COit Q OA (g3 8. In addition to himself, Owners designates the followirawmg*Wmpftive a copy of_tha iefior' 713.13(1)(b), Florida Statutes. 2p Name, address and phone number. WITNESS n .-.:. G /< :���.. ' HARVEY VAN, CLERK, of Crr 9. Expiration date of this Notice of Commencement: 9 any Gour,8 (th ed in Section xpiration date is 1 , ear from the date of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, 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 SITE BEFORE THE FIRS INSPEC • N. IF YOU INTE OR �' 1 , • • e - ), 0 OF COMMENCEMENT. Sig a ur ..) •f Own. ; or Owner(s)' Authorized Officer/Director/Partner/Manager Prepared By V--- P i 1� G•ilCii►i TT Prepared By Print Name Print Name Title /Office e IN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK Title /Office STATE OF FLORIDA COUNTY OF MIAMI -DADS The foregoin instrument w acknowledged before me this day of iJ ; ©) I By— ,3RT/eic, . 16i)Wrtt ❑ Individually, or ❑ as for .00t "' "S «�f�i4 Li Personally known, or roduced the following type of identification: ° C. L ( ��.� \\ p`1,6/.//8 6'f7/ %: Signature of Notary Public: xplr f� Print Name: (SEAL) VERIFICATION PURSUANT TO SECTION 92.525. FLORIDA STATUTES Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true, to the best of my knowledge and belief. at /4' 1 Signature(s) of Ow r(s) or Owner(s)'s Authorized Officer/Director/Partner/Manager who signed above: By By Miami Shores Village Building Department 10050 N. E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION FORM ALL CONTRACTORS MUST PROVIDE COPIES OF LICENCES AND INSURANCES EACH TIME A PERMIT IS SUBMITTED OR THE VILLAGE MAY MAINTAIN A FILE WITH YOUR INFORMATION FOR A $30.00 FEE PER YEAR IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. COPY OF QUALIFIER'S STATE LIC CARD B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF LIABILITY INSURANCE (CERTIFICATE HOLDER TO BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKERS COMPENSATION (EITHER CERTIFICATE OR EXCEMPTOON) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICE OF COMPETENCY OF QUALIFIER B. COPY OF MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT C. COPY OF LIABILITY INSURACE (CERTIFICATE HOLDER MUST BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKER COMP INSURANCE (EITHER CERTIFICATE OR EXEMPTION) YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE HOLDER AS FOLLOW: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 COMPLETE CONTRACTOR'S INFORMATION BUSINESS NAME: Joseph S. Robbio, Inc BUSINESS ADDRESS: 9400 S. Meadows Circle CITY Miramar STATE Florida ZIP CODE 33025 BUSINESS PHONE: ( 954 ) 663 -6743 FAX NUMBER ( 954) 704 -1829 CELL PHONE (9`4) 663 -6743 QUALIFIER'S NAME: Joseph S. Robbio QUALIFIER'S LIC NUMBER: CBC 059462 E -MAIL ADDRESS (IF APPLICABLE): josephsrobbioinc(o aol.com Created on 3119X19 BY KM I RV 312M)9 MLD1t OP ID: AM `�k.,... -- CERTIFICATE OF LIABILITY INSURANCE I °"'�`�iD'"'"'' 08M2M1 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 the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the tams and conditions of the policy, certain policies may requhe an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 954431.5566 - W.F Roomer Insurance Agentyr William F. Dowd 964- 7314438 P.O. Box 190669 Fort Lauderdale, FL 33319 William F. Dowd III CONTACT FAX MN& . Ear: (AN. No): E� PRODUCER CUSTOMER ID It ROBB14 INSURER(S) AFFORDING COVERAGE NAIL II INSURED Joseph S. Robblo Inc P. O. Box 8173T6 Hollywood, FL 33081 INS A :11110d-Continent Casualty Co 23418 INSURER B 04GL000818665 INSURER c 03/24112 INSURER D : $ 1,000,000 INSURER E : PRENt88 17E,RENTED ) INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM 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 L'M TYPE OF INSURANCE INSR WI N POLICY NUMBER IM +YYYI IMMIDDIYY� YYI A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY OCCUR 04GL000818665 03/24111 03/24112 EACH OCCURRENCE $ 1,000,000 X PRENt88 17E,RENTED ) $ 100,000 CLAIMS-MADE X MED EXP (Any are person) $ Excluded PERSONAL s ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,0 GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/DP AGO $ 2,000,000 POLICY JERC LOC $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea ecddan) $ BODILY INJURY (Per person) $ BODILY INJURY (Per acddert) $ PROPERTY DAMAGE (���) $ $ $ UMBRELLA LIAB EXCESS LIAR CXIR CLAIMS-MADE EACH OCCURRENCE S AGGREGATE $ DEDUCTIBLE RETENTION $ $ — $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXC-CUTIVE OFFICEWME BER EXCLUDED? (Mandatory fit NH) If a DESCRIPTION OF OPERATIONS Y IN !A WC STATU- I OTH- TORY UNITS I ER E.L. EACH ACCIDENT $ I (N EL DISEASE- EA EMPLOYEE $ below EL DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS / VISE:LES (Attach ACORD 101, Additional Remarks Schedule R more space Is required) Village of Mimi Shores 10050 NE 2 Ave. Miami Shores, FL 33138 I MIAMIS2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WIJ. BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED RINTATIVE G - f J ACORD 25 (2009109) © 1988-2009 ACORD CORPORATION. All The ACORD name and logo are registered marks of ACORD STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD 1940 NORTH MONROE STREET TALLAHASSEE FL 32399 -0783 ROBBIO, JOSEPH S JOSEPH S ROBBIO INC P 0 BOX 817376 HOLLYWOOD FL 33081 -6009 Oongi fulafiO sr With this license you - -become one of—the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better. For information about our services, please log onto www.myflaridalicense.com. Thcrc you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and learn more about the Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! (850) 487 -1395 BATCH NUMBER BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm. A -100, Ft. Lauderdale, F L 33301 -1895 — 954 - 831 -4000 VALID OCTOBER 1, 2010 THROUGH SEPTEMBER 30, 2011 DBA: Business Name: JOSEPH S ROBBIO INC Owner Name: JOSEPH S ROBBIO Business Location: 9400 S MEADOWS CIR MIRAMAR Business Phone: 954 -647 -6743 Receipt #:180 -9029 Business „GENERAL CONTRACTOR CONTRACTOR) Business Opened:12/23/1997 State/County /Cert/Reg:CBC 059462 Exemption Code:NONExEmPT Rooms Seats Employees Machines Professionals 1 For Vending Business Only Number of Machines: Vending Type: (BUILDING Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paid 27.00 0.00 0.00 0.00 0.00 0.00 27.00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT WHEN VALIDATED Mailing Address: JOSEPH S ROBBIO P 0 BOX 817376 HOLLYWOOD, FL 33081 This tax is levied for the privilege of doing business within Broward County and is non - regulatory in nature. You must meet all County and/or Municipality planning and zoning requirements. This Business Tax Receipt must be transferred when the business is sold, business name has changed or you have moved the business location. This receipt does not indicate that the business is legal or that it is in compliance with State or local laws and regulations. 2010 - 2011 Receipt #05A- 09- 00027814 Paid 08/17/2010 27.00 114411.1 DVV AKt I It .[ DI envy r I! It .Lai rut snya nor -2f\ I /AA KP'I JEFF ATWATER CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION 06 -01 -2011 * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: PERSON: FEIN: 07/13/2011 EXPIRATION DATE: 07/12/2013 ROBBIO JOSEPH S 650824459 BUSINESS NAME AND ADDRESS: JOSEPH S ROBBIO INC 9400 S MEADOWS CIRCLE HOLLYWOOD FL 33025 SCOPES OF BUSINESS OR TRADE: 1- BUILDER IMPORTANT: Pursuant to Chapter 4411 . U5(141, F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt... apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01 -11 QUESTIONS? (850) 413- 1609 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION CONSTRUCTION INDUSTRY CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW EFFECTIVE 07 /13/2011 EXPIRATION DATE: 07/12/2013 PERSON: JOSEPH S ROBBIO FEIN: 850824459 BUSINESS NAME AND ADDRESS: JOSEPH S ROBBIO INC 9400 S MEADOWS CIRCLE HOLLYWOOD, FL 33025 SCOPE OF BUSINESS OR TRADE 1- BUILDER IMPORTANT ®Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election L under this section may not recover benefits or compensation under this D chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be H exempt.. apply only within the scope of the business or trade listed on E the notice of election to be exempt E Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section f or issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. QUESTIONS? (850) 413-1609 CUT HERE * Carry bottom portion on the job, keep upper portion for your records. DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01 -11 09/13/2011 14:17 FAX 1 800 685 7530 DATA SCAN FIELD SERVICES I?' in * * * * * * * * * * * * * * * * * * * * * * * * * ** * ** ERROR TX REPORT * ** * * * * * * * * * * * * * * * ** * * * * * * * * ** TX FUNCTION WAS NOT COMPLETED TX /RX NO 1784 RECIPIENT ADDRESS 19547041829 DESTINATION ID ST. TIME 09/13 14:17 TIME USE 00'00 PAGES SENT 0 RESULT NG #0018 BUSY /NO SIGNAL Permit No: 11 -1500 Job Name: September 13, 2011 Miami Shores Vitiage 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 all sub permit applications (electric, plumbing, mechanical) prior to any further reviews. Plan review is not complete, when all items above are corrected, we will do a complete On 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 $3 I t Permit No: 11 -1500 Job Name: September 13, 2011 Miami Shores Viiiage 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 all sub permit applications (electric, plumbing, mechanical) prior to any further reviews. Plan review is not complete, when all items above are corrected, we will do a complete On 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 fAx et "1 ®y I 6 Miami Shores Viiiage Building Department RECEIPT PERMIT #: SC'JJOQ DATE: 1 ❑ Contractor ❑ Owner ❑ Architect Pic6d up 2 sets of plans and Address: 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 9,1 JD) N GLA- 52n ermVi Cnc��' • 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 Department to continue permitting process. Acknowledged by: PERMIT CLERK INITIAL: RESUBMITTED DATE: b I1 • PERMIT CLERK INITIAL: V _ ZMUCI SEP 0 8 2011 Memorandum Twenty First Century Engineering Corp Date: September 1, 2011 To: Village of Miami Shores Re: 520 Grand Concourse Permit # 11 -1500 From: Gerry Cataldo Comment Response Notes Zoning Department Att: David Dacquisto, AICP 1) The exterior work has been separated from the interior renovations. Front elevations have been provided for the existing step and new slab. The dimension to the front property line is shown. Building Department Att: Norm Bruhn, CBO 2) The plan has been separated as noted above. 3) Scope of work expanded to include all aspects of project. 4) Sub permits to come from GC 5) Interior bearing walls are shown 6) Energy caics attached 7) Roof framing plan shows existing joists. Alterations to joists ad strapping shown on Anatolia Eng drawings 8) Window /door schedule and buck details included 9) Approved NOA's attached 10) Correct Sliding Glass Door NOA attached 11) Infill details noted Pease contact the office with any further questions at 954 - 522 -6446 Thank You Gerry Permit No: 11 -1500 Job Name: August 25, 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) The plans that have been submitted include a variety of work. The scope of work on the plans does not match the plans as drawn. Provideseparate permit and plans for work not related to the interior renovaton. This includes a separate permit and plans for the feppe, pool deck and front patio. The pool and front patio can be one permit with HRS /DOH approval. The plans show the fence 6' tall. The maximum height for the fence is S This review is for the interior alteration and windows and door alteration. 2) Corrections must be made for Zoning. 3) Provide all sub permit applications (electric, plumbing, mechanical) prior to any further reviews. 4) Provide a completed proposed floor plan. 5) The plans must identify all the interior bearing walls in the altered areas. 6) Provide energy calculations for the altered areas. 7) Provide a complete roof framing plan. This must include existing layout and identify all altered joists. Provide connection details of the existing joists to the beam. 8) Provide a window schedule showing what type of window /door will be used in each opening, the size, and the waterproofing method (buck). 9) The product approvals for the windows and doors must be reviewed and signed approved by the designer of record. 10) The sliding glass door PA does not meet the large impact rating, provide a new approval or shutters. 11) Provide an infill detail for the openings being blocked up. 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 08/25/2011 10:49 FAX 1 800 885 7530 DATA SCAN FIELD SERVICES eI001 * * * * * * * * * * * * * * * * * * * ** * ** TX REPORT * ** * * * * * * * * * * * * * * * * * * * ** TRANSMISSION OK TX /RX NO 1715 RECIPIENT ADDRESS 919547041829 DESTINATION ID ST. TIME 08/25 10:49 TIME USE 00'30 PAGES SENT 2 RESULT OK Permit No: 11 -1500 Job Name: August 25, 2011 Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Pagel of 1 Building Critique Sheet 1) The plans that have been submitted include a variety of work. The scope of work on the plans does not match the plans as drawn. Provideseparate permit and plans for work not related to the interior renovator. This includes a separate permit and plans for the fence, pool deck and front patio. The pool and front patio can be one permit with HRS /DOH approval. The plans show the fence 6' tall. The maximum height for the fence is S This review is for the interior alteration and windows and door alteration. 2) Corrections must be made for Zoning. 3) Provide all sub permit applications (electric, plumbing, mechanical) prior to any further reviews. 4) Provide a completed proposed floor plan. 5) The plans must identify all the interior bearing walls in the altered areas. 6) Provide energy calculations for the altered areas. 7) Provide a complete roof framing plan. This must include existing layout and identify all altered joists. Provide connection details of the existing joists to the beam. 8) Provide a window schedule showing what type of window /door will be used in each opening, the size, and the waterproofing method (buck). 9) The product approvals for the windows and doors must be reviewed and signed approved by the designer of record. 10) The sliding glass door PA does not meet the large impact rating, provide a new approval or shutters. 11) Provide an infill detail for the openings being blocked up. I Planning and Zoning Criteria Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Folio Number:1132060171430 Owner's Name: PATRIK PENKWITT Job Address: 520 GRAND CONCOURSE Miami Shores, FL 33138- Owner's Phone: Total Square Feet: 700 Total Job Valuation: $ 75,000.00 Contractor(s) HOME OWNER Phone Primary Contractor Yes Planning and Zoning Criteria and Comments Approved: No Date Denied: 8/18/2011 Comments: STEPS CAN NOT EXTEND MORE THAN 4 FEET INTO THE FRONT YARD. PLEASE PROVIDE FRONT AND SIDE ELEVATIONS FOR STEPS AND ENTRY. PLANNING BOARD APPROVAL MAY BE REQUIRED. f Miami Shores Villaie ` M 3 7 \ 7 P , 5 2011 Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 7614949 BUILDING PERMIT APPLICATION FBC 20 Permit No. RC11 -1500 Master Permit No. RC11 -1500 Permit Type: BUILDING ROOFING OWNER: Name (Fee Simple Titleholder): Patrick Penkwitt Phone# Address: 500 Grand Concourse City: Miami Shores State: Florida zip: 33138 Tenant/Lessee Name: Phone#: Email: JOB ADDRESS: 520 Grand Concourse City: Miami Shores County: Miami Dade Zip: 33138 Folio/Parcel#: 1132060171430 Is the Building Historically Designated: Yes NO X Flood Zone: CONTRACTOR: Company Name: Joseph S. Robbio, Inc. Phone#: ( 954) 663 -6743 Address: 9400 S. Meadows Circle City: Miramar State: Florida Qualifier Name: Joseph S. Robbio zip: 33025 Phone#: (954) 663 -6743 State Certification or Registration #: CBC 059462 Certificate of Competency #: Contact Phone#: (954) 663 -6743 Email Address: josephsrobbioinc @aol.corn DESIGNER: Architeet/Engineer. Twenty First Century Design & Build Phone #: (954) 522 -6446 Value of Work for this Permit: $ 15,000 Square/Linear Footage of Work: Type of Work: CI Addition ❑Alteration ❑New ORep Description of Work: Revision to existing plan. Change master bath bedrooms. Change insulation in ceilings to 5" of po yiso boa ********w ****** ************** ********** Feesa��x��+ a��x* a�a��x�a* �x�x�x***** r** **w�ra��a�+�awx�a�x� *�a**** **** ‘/.(0 UlJ Permit Fee $ CCF $ CO/CC $ Radon Fee $ DBPR $ Bond $ Submittal Fee $ Scanning Fee $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review TOTAL FEE NOW DUE $ if 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 re' 1, action fee will be charged Owner or A The foregoing instrument was acknowledged before me this ag day of , 20 11_, byOYI e_36. T'4 , who e or who has produced As identification and who did take an oath. NOTARY PUBLIC: Contractor The fore `g instrument was acknowledged before me drill day of Y �--- , 7A, by�� L�.. who is personally known to me or who has produced 1 as identification and wygid: Jake. an oath. Sign: \\:::....Ze'..,.... NOTARY PUBLIC: ,• ®,` d a 1 0 7 '°', NOTAi2" pt..,; tCSi.JAT r■r r ,OR/DA "' 2 a''' TT AI1U1 Bcakemaii `` •� ; l.oairni5 ion # DD933300 Si gn: �iy-"1�,.,,�� g.. &.YLtii.Q�� �S: NOV. 30, 2013 �q G ATLAtii1c BoNllLnu VO.,1N0. Print �� �y ,N nn.er 4�' Q�.�'`' My Commission Lr' 30I,3 Print: :. ,0:,.0 0, "' • My Commission Expires: %•s :• 053 `r" ,.• A*9****4**+b****** *4U•• ******* Y****9.**** R4****t• k• R• k*****************k+ MO ••R�t+4••k•►*******�l•+YiR *+k+ ****** *******•k�M****•M** APPROVED BY /r /�/"(C Plans Examiner Zoning A Vit1/4� (Revised 07/10f07)(Revised 06/10t2009)(Revised 3/15/09) Structural Review Clerk Project Address Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Parcel Number Applicant 520 GRAND CONCOURSE Miami Shores, FL 33138- 1132060171430 Block: Lot: PATRIK PENKWITT i Owner Information Address Phone Cell PATRIK PENKWITT 520 GRAND Concourse MIAMI SHORES FL 33138- I 520 GRAND Concourse MIAMI SHORES FL 33138- Contractor(s) JOSEPH S. ROBBIO INC Phone Cell Phone (954)663 -6743 Valuation: Total Sq Feet: $ 45,000.00 700 Approved: No Comments: STEPS CAN NOT EXTEND MORE THAN 4 FEET INTO THE FRONT YARD. Date Approved: : No Date Denied: 8/18/2011 Type of Construction: CEILING IN LIVING ROOM Stones: Front Setback: Left Setback: Bedrooms: Plans Submitted: Yes Certificate Date: Bond Return : Occupancy: Single Family Exterior: Rear Setback: Right Setback: Bathrooms: Certificate Status: Additional Info: REMODEL 2 BATHS Classification: Residential Fees Due CCF CO /CC Fee DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $27.00 $150.00 $20.25 $20.25 $9.00 $1,350.00 $21.00 $36.00 $1,633.50 Pay Date Pay Type Invoice # RC -8 -11 -41753 10/12/2011 Credit Card 08/16/2011 Credit Card Amt Paid Amt Due $ 1,583.50 $ 50.00 $ 50.00 $ 0.00 Available Inspections: Inspection Type: Final PE Certification Shutter Final Window Door Attachment Tie Beam Slab Termite Letter Framing Insulation Drywall Screw Shutter Attachment Window and Door Buck Ceiling Grid Fill Cells Columns Declaration of Use 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. October 12, 2011 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Date October 12, 2011 1 q-- k)E5— SbSr74,H (Z°00i31c7 Miami Shores Village Building Department 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 Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 nspection Number: INSP- 163364 Permit Number: RC -8 -11 -1500 Inspection Date: November 28, 2012 Inspector: Bruhn, Norman Owner: PENKWITT, PATRIK Job Address: 520 GRAND CONCOURSE Miami Shores, FL 33138- Project: <NONE> Contractor: JOSEPH S. ROBBIO INC Permit Type: Residential Construction Inspection Type: Final PE Certification Work Classification: Alteration Phone Number Parcel Number 1132060171430 Phone: (954)663 -6743 Building Department Comments FRAME CEILING IN LIVING ROOM, REMODEL 2 BATHS, REPLACE WINDOWS Passe • /� // //: Inspector Comments ��� Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until November 28, 2012 For Inspections please call: (305)762 -4949 Page 1 of 1 i r ! I ECE'I,1k ce IV'V 282012 Twenty First Century Engirt= = =, 2-2-6446- 826 N.E. 20th Avenue I Fax: 954 524 -0555 Fort Lauderdale, Florida 33304 Website: ffceng.com November 27, 2012 Village of Miami Shores Building and Zoning Department Miami Shores, FL Penkwitt Residence 520 Grand Concourse Permit # RC- 8 -11 -1 # i .5.9 -11 -1788 Dear Sir, Twenty First Century Engineering Corp recently performed a site visit to the above noted single family home renovation project. From our observations we can conclude that the work has been completed within substantial conformance with the approved plans. Please contact the office with any questions or comments. Best Re Tw First ertificate o entury Engineering Corp. Authorization #5959 John Presi JC /g arroll, Jr., PE, FES ,Gerry Cataldo, SMI Vice President Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 nspection Number: INSP- 182118 Permit Number: RC -8 -11 -1500 Inspection Date: November 28, 2012 Inspector: Bruhn, Norman Owner: PENKWITT, PATRIK Job Address: 520 GRAND CONCOURSE Miami Shores, FL 33138- Project: <NONE> Contractor: JOSEPH S. ROBBIO INC Permit Type: Residential Construction Inspection Type: F. Insulation Certificate Work Classification: Alteration Phone Number Parcel Number 1132060171430 Phone: (954)663 -6743 Building Department Comments FRAME CEILING IN LIVING ROOM, REMODEL 2 BATHS, REPLACE WINDOWS Infractlo Passed Comments INSPECTOR COMMENTS False Passed ir 14 Inspector Comments Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until November 28, 2012 For Inspections please call: (305)762 -4949 Page 1 of 1 Joseph S. Robbio, Inc State Certified Building Contractor Licensed and Insured CBC 059462 November 27, 2012 Miami Shores Building Dept. 10050 NE 2nd. Ave. Miami Shores, Fl. 33138 Re: Permit # RC -8 -11 -1500 Insulation Certification Letter This letter is to inform you that Joseph S. Robbio, Inc. ( General Contractor) on the renovation for Patrick Penkwitt 520 Grand Concourse Miami Shores, Fl. Installed the following insulation. Ceilings Dow Thermax Polyisocayanurate 5" thick R value 32.5 Walls 3/4" R value 5.0 Sincerel eph S. Robbio (Pres.) 9400 South Meadows Circle Miramar, Florida 33025 Phone (954) 663 -6743 Fax (954) 704 -1829 E -mail josephsrobbioinc @aol.com