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CC-13-1818 (2) v\,3Miami Shor es Village Building Department ,: yd r? 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795.2204 Fax:(305)756.8972 INSPECTION'S PHONE NUMBER:(30S)762.4949 ID FBC 20 lO' BUILDING Permit No. PERMIT APPLICATION Master Permit No. L G l 3 —' I'(S' Permit Type: BUILDING ROOFING JOB ADDRESS:, 6C7 City: Miami Shores County: Dade Zip:.3313,T Folio/Parcel#: Is the Building Historically Designated:Yes O Flood Zone: OWNER:Name(Fee Simple Titleholder): - Phone#:�IC •7d ld ��� Address: —7 -- City: city: S state: Zip: a Tenant/Lessee Name: Phone#: Email: 1- e v&A w � CONTRACTOR:Company Name:1POM .r 6O2-9X62 MA-0JX MA-AXC. Phone#: Address 2 "-cu ' City: State• Zip:775-3(.2- 4C Qualifier Name: Phone#: State Certification or Registration#: 4:26- C9512V Certificate of competency#: Contact Phone#: I hs ��e'� Z�? Email Address:_Pe[o201rCYn CP �tyc At L- C&"-- DESIGNER:Architect/Engineer: c 0-te, Phone#: d2 —%(f) `ZZ [� Value of Work for this Permit:$ �'�� Square/Linear Footage of Work: Type of Work: OAddition DAlteration DNew DRepair/Replace DDemolition Description of Work: Color thru tile: Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$ 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: AIL!�FURE TO RECORD A NOTICE OF COMMENCEMENT T IN YOUR PAYING TWICE FOR IMPROVEMENTS TO J 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 h' ccars-sere days after the building permit is issued. In the absence of such posted notice, the 5nspection will no e a e d e' echo fee will be charged. x` - Si�na Signature Owner or Agent a- Contractor The fore o'ng instrument was acknowledged before me this The foregoing instrument was ackno ged before e this day of�,2011,by 17 Gl__s� 4 ICefi&. 'df , day of 20 ,by who' rso ally kno to me or who has produced who' pers na y cno to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Si S' Prmt: A, Print- My Commission Expires: q�•�,�� LAuRAawkwam My Commission Exp°t ""-B`'O LAURA BOURNE BURIMTER * MY COMMISSION I DD ONI MY COMMISSION 8 DO 859461 �. EXPIRES:June 9,2013 EXPIRES:June 9,2813 9r8pp o�``Q Bauled Pvu BWV O V M ��'�� o�``Oe BOrm Tluu Budget Notary Services $aak+k,kB+R*+�&d8daN&+kk,k,k,k&wddkk $��#Hk,k �+Q,k kk H�kk,kkkkkk9dk,k,k+SERB+B,BdR#B,kik[+ReF#8B8kkklkk,B+d#9,kRk��&Hnk�q&A,k,kkd+k,3k,k&kH, APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) Aug, 29. 2013 8:49AM No. 2175 P. 3 CERTIFICATE OF LIABILITY INSURANCE DAYE(MMfODKYYV) 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 RI!PRESENTATfVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT; If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not Border rights to the Certificate holder In lieu of such endorsement(s). pRObUCER ALL CITY INSURANCE INC-ACI cAONTACT Javier Gutierrez 275 FONTAINEBLEAU BLVD. PHONE (305)463-9431 PAX (305)436-6797 SUITE 190 uuarrez(r�allutylns.com MIAMI FL 33172 Ns E RA[d -fN'UMRA:MID-CONTINENT CASUALTY CO INSURED — ERBi PRIORITY CONSTRUCTION MANAGEMENT,INC. RC- 4631 NW 5 ST MIAMI FL 33126- COVERAGES CERTIFICATE NUMBER;06 REVISION NUMBER:01 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,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. M TYPE OF INSURANCE ADOL au POLICY EFF CY TIP LIMITS A GENSRALLIABIUTY 04GLB83563 06/24/2013 08/2412014 S 1,000,000 T— X COMMERCIAL GENERAL4A81LITY I DAMAGE TO RENTED 100000 PRFMIqF-quCepc cLA1MSMADE OCCUR aEW*An one eraon EXCLUDED PERSONALaADVINJURV 1,000,00�-- GENERAL AGGREGATE 110001000 EN'LA00REGATELIMITAPPLIESPER: li PRODU T - P X POLICY L $ AUTONCBILE I-UIBILITy COMBINEDSINGLE LIMIT �d ANY AUTO BO DI LYINJURY(PerPwaon) s UTSED SCHEDULED OWDA OS BODILY INJURY(Per soddeno SONNEHIREOAU703 _ AUTOS IROPERTYDAMAOE uAlER6LLALIAO OCCUR I r CURRENCE EXCESS LIAB lAIM3 MADE AGGREGATE RETENTIONS 1VORKERSOOMFENOATION Wl;STA OTH- MID EMPLOYERS'LIABILITY ANY PROPRIEYOR/PARTNER/EXECUTNE r OFRCERRA6MBER EXCLUDED? NIA aL.EACH (Mandalcry In IIH) _ -- Ir e9,deaC(Me under. D)SEASE-EA EAiPLOYEE TIAN F OPERATIONS below EL DISEASE-POLICY LIMIT DE CRIPTION OP OFERATIONO I LOCATIONS I VEHICLES(Aaaah ACORD lot.Additional Remarks Schedule,If more spxc#li regUlpd) G NERAL CONTRACTOR CERTIFICATE HOLDER CANCELLATION Al COMMMQ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE MIAMI SHORES VILLAGE THE EXPIRATION DATE THEREOF, NOYICE WILL BE DIELIVERED IN 10050 NE 2ND AVE ACCORDANCE WITH THE POLICY PROVISIONS, MIAMI SHORES FL 33138- AUTHOR1zEDREPRESENrAT1VE a O 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 26(2010/05) The ACORD name and logo are registered marks of ACORD Aug, 29. 2013 8:48AM No. 2175 P. 1 .TEFF ATWATER STATE OF FLORIDA CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS'COMPENSATION * ' 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: 8/12/2013 EXPIRATION DATE: 8/12/2016 PERSON: DEARMAS OMAR F FEIN: 650697045 BUSINESS NAME AND ADDRESS: PRIORITY CONSTRUCTION MANAGEMENT INC 4631 NW 5 ST MIAMI FL 33126 SCOPES OF BUSINESS OR TRADE: LICENSED GENERAL CONTRACTOR Pursuant to Chapter 440.05(14),F.S.,an officer of a corporation who elects exemption from this chapter by filing a certificate or election under this section may not recover benefits or compensation under this chapter.Pursuant to Chapter 440.05(12),F.S.,Cerilficates of elscllon to be exempt,.,apply only wilhin 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 or 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 or this section, DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 07-12 QUESTIONS?(850)413-1609 1 `` �.���1..• f•.•kf ,. Aug, 29. 2013 8:48AM No, 2175 P. 2 00122& :`soca:. �•us, �, .�` ,.� ::•: mi=ba"de o .tY�;Sta.#6.,, _'� •.STI.11S{S.,IVOTA.PILCDON�j;PAY.�.; ..t:•= ,:�:•` `.�• ;'�: �37�•1 pr Q''. Fi e SYNESS NAMI:%C oWN Nri`N ,iecEt .N PRiotimr cNs uchbid:MANAGE n1�n��1C i•g63t;.NW5 ;. •:,•zi`'."•:>•„;;,s.,•'� •�'3BJ ;•73+x, :; �:,•. �.•' ' :,�;. •.�•,: .•fill�+st,be:di`sblBYed�at;piaopof,'blraF'n�..s,•• MfAljlll [331.'26. "' =:} ;>:.'.. 'Pu►si'sii't'.ko Cottnty'C,ode'' ;:. :l;haptar;6pti Art 9&10 OW111Eti' 'BEC.TYPE or-13306[NESS.: PAYMEi1ii'MCRNED pwORmr CONmucrum MGMT INC .::: 196 GENEM.B�IILDING CONTRACTOR BY TA?c•COLLECTOR • CGC458991' UyOwr(s) 1 $45.00':.07/24/2013 • •,: TXH 3 4 41Is1pi el BusliioFf Tnx Aecaicto111v Coofirma paY•�e11RQl44.6cal Businsia Tax The R�pe1F[is not$licence, permitoracertificatidnaIAacldarsqualilicatfons;todo.6iialness.HaldsFmuslcomp;twithany go"romenielor :,io►�{oYernaarnralraguJatorylawsand;requlremeorawhich,applyrorhe>wslneas,' :>:: : . Thu RECEIall comree'rclal vehlcPss c�Iie` l=p�dg Cd&Sec$ay226•'. adB FOI•ntore7hlprmatioi6AM www. iamldrt eeRectbr. : ` CF114-11 20i3P�.08201?40 OR Bk 28868 Ps 2453; (fps) RECORDED 10/16/2013 10952:20 HARVEY CLERK OF NOTICE OF COMMENCEMENT MIAMI-Y DADERUVINCOUNTYr FLORIDACOURT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIMEOFFIRST INSPECTION LAST PAGE PERMIT NO.CjLII TAX FOLIO No.1�37 3 STATE OF FLORIDA: COUNTY OF MIAMI-DADE: THE UNDERSIGNED hereby gives notice that Improvements win be made to certain real property,and In accordance with Chapter 713,Florida Statutes,the following Infomiation Is provided In this Notice of Commencement Space above reamed for use of recording offic, 1.Legal description of property and streaVaddress: 2.DeI 3.Owner(s)name and address: Interest In property: Name and address of fee simple titleholder: j r, 4.CO,ntractor's name,ad and phon u bar: 5.Surety. 3MY-4: ent bond required by owner from ontractor,R 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. I 9 F-1 L 3mteris -4..-,C; -e&7- 11; _XrS 44,6111 J&_701�1.M 41,9773 8.In addition to himself,Owners designates the following person(s)to receive a copy of thd Lienor's Motice as provided in Section 713.13(1)(6),Florida Statutes. Name,address and phone number 9.Expiration date of this Notice of Commencement, (the expiration date Is 1 year from the date of recording untess a different date Is Specified) WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMIENTARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART 1,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 FIRST INSPECTION.IF YOUR! . D TO OBTAINTINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDINGTICE O COMMENCEMENT. Signatu s,df Officer/Director/Partner/Manager Prepared"BY Prepared By Print Nqme Print Name TMG/Office Title/Office *STATE OF FLORIDA COUNTY OF MIAMI-DADE The foregoing instrument was acknowledged before.me this__LL day of I'J, BY- U Individually,or U as for aPersOnally known,or LJ produced the following type of identificatiom. Signature of Notary Public: Print Name: t (410 (SEAL) VERIFICATION PURSUANT'M SECTION 9211 FLORIDA ITAUM OLGA ALVARADO jAy COWASSION 0 FF056162 Under penalties of perjury,I declare that I have read the foregoing and WWgtM.S�cqpotxd*w 22,2017 on that the facts stated In It are true,to the best of my knowledge and belief. 999---Y Signature(S)Of Owner(s)or Owner(s)'s Authorized Officer/Director/Partner/Manager who signed above. By By 123.01-S2 PAGES 3/10 A ,T QRF;gp ,ft,COUNTY OF DADS c F I HE, IFY that thts Is a Me copy of the CL64W Idgibw Aw#f ft office,M-day of nrr .16 2013 A.D.20� dvlTNr:SS my hand and OffloW Sod. HJERK,of amuft a CaLoft 32'M" 541�.RES Miami shores Village s� Building Department las 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 R1VA Fax: (305)756.8972 Page 1 of 1 Permit No: e C- 13 -1 'Z I Structural Critique Sheet �fl� IJ�.Q/W\ BBV►v, Cl rC�,� ��-,� t �l�'�. mac,.,;, ham• In. 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. Mehdi Asraf t 5�►oREs G M iami Shores village Building Department . „ n� 10050 N.E.2nd Avenue Miami Shores, Florida 33138 �hMrm So .��� Tel: (305) 795.2204 LORIpA Fax: (305) 756.8972 October 25, 2013 Permit No: CC13-1818 Building Critique Review 1. SIGN AND DATE CORRECTION MADE TO DETAIL 6/A-8 2. DETAIL PROVIDE FOR THE NEW CMU WALL SHOWS A STEM WALL ABOVE THE EXISTING FOUNDATION WITH THE NEW VERTICAL REINFORCEMENT EMBEDDED A MINIMUM OF 6" INTO THE FOOTING AND THE BLOCK WALL STARTING ABOVE THE SLAB. PROVIDE DETAIL FOR THE STEM WALL OR SHOW NEW WALL EXTENDING DOWN TO THE FOUNDATION. Ismael Naranjo Building Official 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. Miami shores Village Building Department 10050 N.E.2nd Avenue .�,. Miami Shores, Florida 33138 Tel: (305)795.2204 OR'Ipp► Fax: (305) 756.8972 August 12, 2013 Permit No: CC13-1818 Building Critique– Syed Ashraf 1. 1) Provide approval from FIRE, DERM & HEALTH DEPT. I 2. 2) These appear to be separate tenant spaces. Wall type '3' needs to be a fire wall. Show complete details of wall type 3. 3. 3) Provide details of the new CMU wall addition. — se.� sa/A-%z r w t1 +a4�e 'D3Tr*A lm Plumbina Critique– Osvaldo Diaz a� •r(-.� -7rcti yla�� 1. 1. FBC 107.1 PROVIDE DERM APPROVAL 2. 2. FBCP 604. PLUMBING FIXTURES SHALL COMPLY W/MIAM-DADE WATER EFFICIENCY CODE 8-31 3. 3.FBCA 605.1 URINAL RIMM SHALL BE SET NO HIGHER THAN 17 INCHES Electrical Critique 1. Send to Miami Dade fire first. Mechanical Critique 1. Need Fire Approval 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-submittall drawings. oC.n I L move Miami shoresVillage L�N P Building Department lOR1UA 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIPT PERMIT#: v I ATE: (� Contractor • Owner •Architect Picked up 2 sets of plans and (otl Address: 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: PERMIT CLERK INITIAL: OR Mianil hores Village Building Department some 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 ��OR1DA Fax: (305) 756.8972 Date: 8- 13-11 Permit No: *C C - 12, ./i f Q Plumbing Critique G J/ F BC. pCC L ' ig Ijdl CS l- N i Osvaldo "Ozzie" Diaz Chief Plumbing Inspector 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.