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RC-16-1707 � f f z J • sME ll� k'sA 3 � t � Miami Shores Village 10050 N.E.2nd Avenue NE rrklF "^+ Miami Shores, FL 33138 0000P,%; Permit Stat ' j, Phone: (305)795-2204 guy FCORIDp' teensl3atr�:9/1312t�1 Expiration: 3!12!2017 R Project Address Parcel Number Applicant 390 NE 91 Street 1132060190190 KENNETH WILKINSON Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell KENNETH WILKINSON FL (973)632-2529 Contractor(s) Phone Cell Phone $ 55,000.00 Valuation: SKY BUILDERS GROUP LLC (305)206-8928 Total Sq Feet: 800 Approved: In Review Available Inspections: Comments: Inspection Type: Date Approved: : In Review Final PE Certification Date Denied: Window Door Attachment Type of Construction:REPAIR OF WOOD FLOORS WOO[ Occupancy:Single Family Framing Stories: Exterior: Insulation Front Setback: Rear Setback: Drywall Screw Left Setback: Right Setback: Window and Door Buck Bedrooms: Bathrooms: Fill Cells Columns Plans Submitted:Yes Certificate Status: Review Planning Certificate Date: Additional Info: Review Planning Review Building Bond Return: Classification: Residential Review Building Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Review Building Bond Type-Contractors Bond $500.00 Review Building CCF $33.00 Invoice# RC-6-16-60263 Review Mechanical CO/CC Fee $50.00 06/20/2016 Credit Card $200.00 $2,527.50 Review Mechanical DBPR Fee $24.75 09/13/2016 Check#:3699 $2,527.50 $0.00 Review Electrical DCA Fee $24.75 Bond#:3208 Review Electrical Education Surcharge $11.00 Review Structural Permit Fee $1,650.00 Review Structural Plan Review Fee(Engineer) $80.00 Review Structural Plan Review Fee(Engineer) $120.00 Review Structural Plan Review Fee(Engineer) $160.00 Review Structural Scanning Fee $30.00 Review Plumbing Technology Fee $44.00 Review Plumbing Total: $2,727.50 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. September 13, 2016 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy September 13, 2016 1 Miami Shores Village CEIVE Building Department SEP, 06 201 . 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY. r'` Tel: (305)795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 �n}-�- FBC 20 ► 1" BUILDING Master Permit No._V_CAG— \_10-4 PERMIT APPLICATION Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION E:]RENEWAL 17 PLUMBING ❑ MECHANICAL [_1 PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: '�"tC' " L �l City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholder):k-er\n-��1� i.,`�;\k����c,c� i3 •t�v�5 Phone#: Address: 13_,�p City: State: '� Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: `( (buACV= k:mj'7c�,� C c� Phone#: Address: 4k4,1<_, 4k l\n fa City: Stater Zip: Qualifier Name: �\rt rc��� �1 ; Co G`p�V-\-, Phone#: °2)0'-- b'�'t-Z-1E) State Certification or Registration#: CS G\"A 1?j\\`tel Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ ' i = Square/Linear Footage of Work: Type of Work: ❑ Addition Alteration ❑ -New ❑ Repair/Replace ❑ Demolition Description of Work: 12 �oc02..\ `���<� `�7G,1f"V\r c�)c��-Af, Specify color of color thru tile: Submittal Fee$ ���) - {EY Permit Fee$ 1 i CCF$ ,�� W CO/CC$ Scanning Fee$ �d V Radon Fee$ DBPR$ l Notary$ Technology Fee$ 1 - CA-) �T,r-.aining/Education Fee$ I � Double Fee$ Q2 Structural Reviews$ � (C7( 1. CC' Bond $ TOTAL FEE NOW DUE$2-, G� ' [ 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 a reinspection fee will be charged. Signature W". A Signature OWNER or AGENT NTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this qday of 0kvuu5 20 , by / day of �L4-,—zJ7 20 1., by �r1—Ovho is pon�JTjrnown to �'Gl � f'�2�� <-ter ,who is pry known to me or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: my COMM l�Q; QTARJ�••.F9 • june Sign: Sign: _/ • Print: RO XFO E SOSA Prjrft: ��.eC C ' c' NAIM Notary blic State of Flo rida Seal: _ _ My Comm Expires May 4, Seal: 'V��Commis ion#EE 8736,.°;`�°�`�%� Bonded Through National Notar APPROVED BY Plans Examiner Zoning ` A Structural Review Clerk STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION y!y , 3 CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 CUD 2601 BLAIR STONE ROAD TALLAHASSEE FL 32399-0783 PYROVOLAKIS, PETROS SKY BUILDERS GROUP LLC 1800 PURDY AVENUE#1106 MIAMI BEACH FL 33139 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and , STATE OF FLORIDA Professional Regulation. Our professionals and businesses range from architects to yacht brokers,from boxers to barbeque DEPARTMENT OF BUSINESS AND restaurants,and they keep Florida's economy strong. PROFESSIONAL REGULATION Every day we work to improve the way we do business in order CGC1518119 ISSUED: 07/05/2016 to serve you better. For information about our services, please log onto www.myfloridalicense.com. There you can find more CERTIFIED GENERAL CONTRACTOR information about our divisions and the regulations that impact PYROVOLAKIS, PETROS you,subscribe to department newsletters and learn more about SKY BUILDERS GROUP LLC 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, CERTIFIED under the provisions of Ch 705 FS. Ex and congratulations on your new license! Expiration date AUG 31 2018 L1607050001636 DETACH HERE RICK SCOTT, GOVERNOR KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD CGC1518119 The GENERAL CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. = Expiration date: AUG 31, 2018 ' PYROVOLAKIS, PETROS SKY BUILDERS GROUP LLC 1800PURDYAVENUE#1106< MIAMI BEACH FL 33139 ISSUED: 07/05/2016 DISPLAY AS REQUIRED BY LAW SEQ# L1607050001636 ACOOR0 CERTIFICATE OF LIABILITY INSURANCEDATE(MMIDD/YYYY) 08/26/16 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 pol)cy(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 confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT AME: Lucia Estrella N Accurate PHlArCNNo E:t (305)226-8727 I No; (305)226-8767 8300 West Flagler Suite 114 p lu laestreila@bellsouth.net Miami,FL 33144 INSURER(S) AFFORDING COVERAGE NAIC# Phone (305)226-8727 Fax (305)226-8767 INSURER A: Endurance American Specialty Insurance Company INSURED INSURER B: Sky Builders Group LLC INSURER C: 1670 Bay Rd Unit 6C INSURER D: Miami Beach,FL 33139- 305-206-8928 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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, i EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR IADDNSR W8R POLICY EFF POLICY EXP LTR TYPE OF INSURANCE gR ILWVp POLICY NUMBER I MOLIC YYYY FOLIC LIMITS GENERAL LIABILITY _ EACH OCCURRENCE $ 1,000,000.00 Q COMMERCIAL GENERAL LIABILITY P—REDAMAGES E—�ERENTEDa occurrence) $ 1,000,000.00 M—IS ❑ ❑ CLAIMS-MADE Q OCCUR CBC10001835401 MEQ D EXP(Any one person) $ 5,000.00 A ❑ _ Y Y 01!29!2016 01/29/2017 PERSONAL&NAL ADV INJURY $ 1,000,000.00 ❑ _ GENERAL AGGREGATE s 2,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1,000,000.00 O POLICY ❑ EG ❑ LOC $ AUTOMOBILE LIABILITY =SINGLE LIMIT $ ❑ ANY AUTO BODILY INJURY(Per person) $ ❑ ALL AUTOS OWNED ❑ AUTOS BODILY BODILY INJURY(Per accident $ ❑ HIRED AUTOS ❑ AUTOS NON-OWNED Peer accide DAMAGE $ ' ❑ $ ❑ UMBRELLA LIAB ❑OCCUR EACH OCCURRENCE $ ❑ EXCESS LIAB ❑CLAIMS MADE AGGREGATE $ ❑ DED ❑ RETENTION$ $ WORKERS COMPENSATION I❑WC STATU- ❑OTH- AND EMPLOYERS'LIABILITY YIN LIMITSER ANY PROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? NIA Y (Mandatory In NH) o E.L.DISEASE-EA EMPLOYEE$ If yes,describe under DESCRIPTION OF OPERATIONS below E L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) Certified General Contractor CGC 1518119 f CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES CELLED BEFORE Miami Shores Village THE EXPIRATION DATE THEREOF,NOTICE WILL BE D IN ACCORDANCE WITH THE POLICY PROVISIONS. Building Department 10050 NE 2nd Ave AUTHORIZED REPRESENTATIVE Miami Shores,FL 33138 Lucia Estrella ©1988-2010 ACORD CORPORA II rights reserved. ACORD 25(2010/05)OF The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE DATE` ) THIS CERTIFICATE 18 tS3UED ASA MATTI~R OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER,THIS C6RT(FICATE 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. ANT:M the certificate hoidr is an ADDITIONAL INSURED,Me policy(in)must haveADDITTONAL INSURED provisions or be endorsed If SUBROGATION IS VANED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate doss not confer rights to the Ow0floate Noidar in lieu of such endorsement(s). RRDDUCi?1t CONTACTNAM£. PHONE AIC EA)' 1-90(Q77-i020 x4600 FAx AIC No. (727)797-0704 FronkCrum linilWilOCe Apenay.If1C. E-MAILADDRESS: 100 S011fh .�1 AVar1Ue CharW. FL 3 INSURERS AFFORDING COVERAGE NAIC8 INSURED INSURER A: Frank Winston Crum insurance Co 11800 INSLRER B. INSURER C Missouri AvBt�lden 1100 Group,LLC INSURER E CIN FL 7 INSURER E COVERAGE$ INSURER F. CERTIFICATE NUMBER: 388840 REVISION NUMBER THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOWATHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. INeR TYPE OF WaLRAN CE ADOL SURR Lill INBRD VVVD POLICY NUMBER POLICY EFF POLICY EXP LailTs (I�MIODIYYYY) (MMODYYYY) Oe14a�t1Al Ot/NML LIASILII'Y EACH OCCURRENCE i ClA1NFWIDE �OCCUI DAHAGE ToRENTED PREMISES Es ottwrat�p = MEO EJP(Ay ane pNan} Y PER£ONALaADVINJURY s aaNt ABOREOATEiJMT APPLIES PER. GENERM AGGREGATE s -- POLICY Q PROJFCT QLOC OTMq: PRODULTSLOMDrOP AGO t s A LMM.ITV COMBINED SINGLE OMITMs acciewng i qy D ros OCHEDULSD BODILY WAURY fPw S WILY AUTOS O BODILY IMAM(PM ONLYW NON Oso AUTOS ONLY (PROM +uREMII) 3 PROPERTY DAMAGE _ s Us4111Et.LA LM 00" EACHDetXaIENCE we CLAMS-MADE AooaEwTE s bEo RETEJiTwN s s A �°S.Lwas'"'n°"jTy "N0 YINWC201600000 01101f2015 01/01/2017 x PE':sTaTlrrE ANY PROPMETWVPARTNEIOMcuTive OFFTCENMEMSER EXCLUDED? O NIA El.EACH 1 GOB. (Awddary M NMI RV".9PEe eudo E..OISEASE-EAE i1 CCO EEC DESCRIPTION Of OPERATIONS Edaw L T a DESCRIPTION OF OPERA IONS I LOCATIONS I VEHICLES(ACORD 101,Additional ROMA$Schedule,may be attached It more space is required) EfFictrve 0 511 9/2 01 4,Doverap is for 100%of the employees of FrankCrum leased to Sky Builders Group,LLC(Client)for whom the client is reporting hours to FrankCrum.Coverage is not extended to statutory ernpl yees. CE RnFICA TE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WTH THE POLICY PROVISIONS Miami Shores Village Building Department AIITHOR12E0'r/rI Mian Shores, 2nd Ave. Miami Shores,FL 33138 O 1088-2010 ACORD CORPORATION All rights reserved AGORA 25(201603) The ACORD name and logo are repisbrad marks of ACORD �.eca Business TaxReceipt Miami-Dade County, State of Florida --THIS IS NOT A BILL -DO NOT PAY 6601521 BUSINESS NAME/1_OCATION RECEIPT NO. EXPIRES SKY BUILDERS GROUP LLC RENEWAL SEPTEMBER 30, 2017 1800 PURDY AVE 1106 6872262 Must be displayed at place of business MIAMI BEACH, FL 33139 Pursuant to County Code Chapter 8A - Art. 9 & 10 * q �0 SEC.Type OF BUSINESS OWNER PAYMENT RECEIVED SKY BUILDERS GROUP LLC 196 GENERAL BUILDING BY TAX COLLECTOR PETROS PYROVOLAKIS MGR CONTRACTOR 45.00 09/0112016 Worker(s) 1 CGC1518119 CREDITCARD-16-050563 ;This Local Business Tax Receipt only confirms payment of the local Business Tax.The Receipt is not a license, permit,or a certification of the holder's qualifications,to do business.Holder must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT NO.above must be displayed on all commercial vehicles-Miami-Dade Code Sec 8a-276. AtWtt For more information,visit www.miamidade.go !y taxc 11pstor Local Business Tax Receipt L or Miami—Dade County, State of Florida -THIS IS NOT A BILL. -DO NOT PAY 6601521 0+ BUSINESS NAME/LOCATION RECEIPT' NO. EXPIRES SKY BUILDERS GROUP LLC RENEWAL SEPTEMBER 302016 1800 PURDY AVE 1106 6872262 , MIAMI BEACH, FL 33139 Must be displayed at place of business Pursuant to County Code Chapter 8A - Art. 9 & 10 OWNER SEC TYPE OF BUSINESS SKY BUILDERS GROUP LLC 196 GENERAL BUILDING PAYMENT RECEIVED PETROS PYROVOLAKIS MGR BY TAX COLLECTOR CONTRACTOR 45-00 09J21J2g15 Worker(s) 1 CGC1518119 CREDITCARD-15-047559 This Local Business Tax Receipt only confirms payment of the Local Business Tax,The Receipt is not a license, permit,or a certification of the holders qualifications,to do business.Holder must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. MIAM The RECEIPT N0.above must be displayed on all commercial vehicles-Miami-Dade Code Sec Ba-276. �D For more information,visit 'fig �.�1+-'!ty.m_i�.mi ov/taxcoilector Miami Shores Village Building Department LBY N 2e 2019 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 _,__j FBC 201�t BUILDING Master Permit No. -K.c,i(o -y 1-7CY1 PERMIT APPLICATION Sub Permit No. BUILDING N ELECTRIC NJ ROOFING ❑ REVISION ❑ EXTENSION E]RENEWAL PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP //�� CONTRACTOR DRAWINGS r� JOB ADDRESS: 7!d IVri ql City: Miami Shores County: Miami Dade Zip: 33 3 Folio/Parcel#: If 32���` �/g` G('qD Is the Building Historically Designated:Yes NO •X Occupancy Type: 4e5 Load: Construction Type: ZUkf Flood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholder):� ��s�ivj.�Gn�N � Y, �L� vsov Phone#: ��3 X32 252 Address: 33o G✓mss 4421- City: 21City: P Mj 2e27C-1/ State: Zip: 33 i 3 Tenant/Lessee Name: /YPhone#: Email: l j CONTRACTOR: Company Nam / Phone#: Address: i I City: State: Zip: Qualifier Name: Phone#: State Certification or Registration#: Certificate of Competency#: DESIGNER:Architect/Engineer. Phone#: 17 3 Address:i3'3C, (r/G 5T�>! , �� X0/3 _ City: 1711<91V State: FL Zip: 33i3�i' Value of Work for this Permit:$ (p 0, 000 Square/Linear Footage of Work: f 42flSI ' Type of Work: ❑ Addition a/Alteration ❑ New / /��Repair/Replace [St-Demolition Descriptio®n of�Work: � ��P% 4"'?_ D7 200 / or�/-/r/7�D-i t 7 /, _�l �9�2p�/.�.cec -�lo�� /, l�No✓q-�j�, c�7^ � 1:��Y�l/L.� �'7 4�o�i�l✓c �N���t.r7 � ��'7C2.r� Ado Specify color of color thru tile: IPAIMIEDM T, qWWM_w_____ Submittal Fee$ lY� `� Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ _ Double Fee$ Structural Reviews$ _ Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) Bonding Company's Name(if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) /-V9 Mortgage Lender's Address /F?` 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 a reinspection fee will be charged. k Signatu ` ignature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was nowledged before me this ��- day of ���-�` 20 , by day of 20 , by 'P JAS tA,1'nJ;3V2-�who is personally known to who is personally known to me or who has produced C ?A\A0 as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: kw /l� ARLEN/�z//,i \N '4;� Cohf,, •SSS�s Sign: = Mare S6�•_ �y Sign: Print: Print: Seal: ' ` 954�� Z Seal: IJi/•• dihrU r, ' !//JIl I 1111�� C� APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised 02/24/2014) David Dacquisto From: Microsoft Outlook on behalf of 9736322529 Sent: Thursday, July 07, 2016 8:44 AM To: David Dacquisto Subject: Voice Mail from 9736322529 (1 minute and 14 seconds) Attachments: 9736322529 (1 minute and 14 seconds) Voice Mail.mp3 Voice Mail Preview: David hi this is David scampering from 10 papers that we actually met on another property that we had purchased in this site's outskirts a question came up to five from a construction standpoint QuickTime another home and I am shorts and it's 3:19 north east 91st street. And the renovating the kitchen -- the bathrooms and bedrooms and resubmit the plans come ID comments from guess mail was that -- we need some either approval so I'm not exactly sure why I need to name approval -- I'll give me a call as we are actually and anything on the driver is conforming making at that she parking spaces on our property not in just well -- we are repairing the roofer appearance at the stucco Walton painting on the exterior it exactly sure what we need to do to get your approval. On the no clarification here so if you could please give me a call I'd appreciate it my number here is 973 632-2529. Created by Microsoft Speech Technology.Learn More__, You received a voice mail from 9736322529 Caller-Id: 9736322529 (D k h � � -IP All Florida PEST CONTRO 1866-981-1204 www.A11F1oridaPests.com �o STATE LICENSE NUMBER:JB4106 2950 N. 281h Terrace Hollywood, Fl. 33020 Phone 954 378 2325 Fax 954 926 2620 CONTRACTOR'S NOTICE OF TERMITE PRE-TREATMENT FINAL TREATMENT NOTICE ALL FLORIDA PEST CONTROL has performed a soil pre-treatment at: � � TREATMENT PREMISES: �O �� �� S7"X4 33139 NAME: S)Z T3() ! t A�-fS GrV,T DATE: TIME: SPECIFIC AREA/S TREATED: "Specific Area/s Treated (as noted above) have received a complete treatment for the prevention of subterranean Termites. Treatment is in accordance with the rules and laws established by the Florida Department of Agriculture and Consumer Affairs." Period of guarantee(if blank then there is no guarantee): 1 year PRODUCT TO BE APPLIED: Termidor SC-Fipronil at.06% Dragnet FT--Permethrin at 0.05% Premise 75,-IImidacloprid at 0.05% Equity-Chlorpyrifos at 0.75% Product Name: /U6' ! CSS (Active Ingredient)4,r04 L (%) IT IS THE CONTRACTOR'S RESPONSIBILITY TO NOTIFY CONSTRUCTION WORKERS AND OTHER INDIVIDUALS TO LEAVE THE TREATMENT AREA DURING APPLICATION AND TO REMAIN OFF THE TREATED AREA UNTIL THE TERMITICIDE IS ABSORBED INTO THE SOIL. Signature o ontra�r, Construftion Superintendent, or similar responsible party: X DATE: q AFPCAF REPRESENTATIVE: PRINT NAME: ID# _j 6 /�J AFPCAF REPRESENTATIVE: DATE: �� All Flor7tN ' PEST CCo1V'T> 0, 1 866-981-1204 www.A11F1oridaPests.com TERMS AND CONDITIONS 1. EXISTING DAMAGE: AFPCAF is not responsible for the repair of either visible or hidden damage existing as of the date of this Agreement.Because damage maybe present in the areas which are inaccessible to visual inspection.AFPCAF does not guarantee that the damage disclosed on the Inspection Graph(if included),represents all of the existing damage as of the date of this agreement. 2. FUTURE DAMAGE,LIMITATION OF LIABILITY:Due to the nature of construction,the extent of existing damage,the degree of termite activity and/or application restrictions.AFPCAF DOES NOT GUARANTEE AGAINST AND AFPCAF SHALL NOT BE RESPONSIBLE FOR,PRESENT OR FUTURE DAMAGE TO PROPERTY OR CONTENTS NOR FOR REPAIRS OR COMPENSATION THEREOF.In consideration of the sums charged by AFPCAF hereunder and as a liquidated damage and not as a penalty,and NOTWITHSTANDING ANY CONTRACT,TORT OR OTHER CLAIM AFPCAF SHALL NOT HAVE PROPERLY PERFORMED IT'S DUTIES TO PURCHASER,THE SOLE RESPONSIBILITY OF AFPCAF IN THE EVENT OF A CLAIM SHALL BE TO PROVIDE FURTHER AF AF DRYWOOD TERMITE TREATMENT FOUND NECESSARY BY AFPCAF FREE OF CHARGE(within the guarantee period).PURCHASER EXPRESSLY RELEASES AFPCAF FROM,AND AGREES TO INDEMNIFY AFPCAF WITH RESPECT TO,ANY OTHER OBLIGATION WHATSOEVER.THIS PLAN DOES NOT GUARANTEE,AND AFPCAF DOES NOT REPRESENT,THAT TERMITES WILL NOT RETURN. 3. WATER LEAKAGE: Water leakage in treated areas,in interior areas or through the roof or exterior of the Structures,may destroy the effectiveness of treatments by AFPCAF and is conducive to new infestation.Purchaser is responsible for making timely repairs as necessary to stop the leakage.Purchaser's failure to make timely repairs will allow AFPCAF to terminate this Agreement at any time without notice to purchaser. 4. ADDITIONS,ALTERATIONS:This Agreement covers the Structures described on the Inspection Graph as of the date of the initial AFPCAF Drywood Termite Treatment. In the event the premises are structurally modified,altered or otherwise changed,Purchaser will notify AFPCAF prior to such event and will purchase the additional treatment required-by thg change incurred.Failure to do so will terminate this Agreement*utomatically without further notice.In the event of any such change.AFPCAF reserves the right adjust the annual extension charge.The failure ofAFPCAF to notice any such changes does notrelease Purchaser from the obligations set forth in this paragraph. S. NOTICE OP CLAIMS,ACCESS TO PROPERTY:Any claim arising out of or related to thi's Agreement must be made to AFPCAF during the term of this Agreement. The only obligation of AFPCAF to Purchaser arising out of or relating to this Agreement must be made to AFPCAF are to retreat the structure,and then only if a valid claim is made during the term of this Agreement.In the event of any claim by Purchaser for anything other than for AFPCAF to retreamhe Structure..Purchaser shalt pay all of the costs and expenses of AFPCAF,relating to or arising out of such claim.PurchavT must allow AF,� PCAF access to the identified property for any pulposecontemplyted by this Agreement,including but not limited to reinspection,whether the inspections were requested by the Purchaser or considered necessary by AFPCAF`The failure to allow AFPCAF such access will terminate this Plan without furthir notice. 6. DISCLAIMER: A. The liability of AFPCAF under this Agreement will be terminated if AFPCAF is prevented from fulfilling its responsibility under the terms of this Agreement by reason of delays in transportation,shortages of fuel and/or materials,strikes.embargos,fres,floods,quarantine restrictions,earthquakes,hurricanes,or any other act of God or circumstances or causes beyond the control of AFPCAF, This Agreement provides for treatment and retreati4ent(as stated herein)for Drywobd.Termitea(Kalotermes spp.,Incisitermes spp.,Cryptotermes spp).This plan does no control or protect against Subterranean Termites(Reticulitermes spp..Helerotermes spp.)or againsrl Formosan Subterranean Termites(Coptotermes spp.)or against Asian Subterranean Termites(Coptotermes gestroi sppJ,or other wood destroying organisms such as carpenter ants,beetles,powder-post beetles,wood decay fungi,etc. B. This Agreement does not cover,and AFPCAF will not be responsible for damage resulting from or services required for: 1) Any and all damage resulting from termites and/or any other wood destroying organisms. 2) Moisture conditions,including but not limited to fungus or mold damage and/or water leakage caused by faulty plumbing,roofs,gutters,downspouts, and/or poor drainage,or other causes not related to the sole negligence of AFPCAF. 3) Masonry failure or grade alterations. 4) Inherent structural problems,including but not limited to,wood to ground contact. 5) Termites entering any rigid foam,wooden or cellulose containing component in contact with the earth and the Structures regardless of whether the component is part of the Structures. 6) The failure of Purchaser upon notice from AFPCAF to promptly and properly cure at the Purchaser's expense any condition which prevents proper treatment or inspection or is conducive to termite infestation. EXCEPT AS OTHERWISE PROHIBITED BY LAW,AFPCAF DISCLAIMS AND SHALL NOT BE RESPONSIBLE FOR,OR ASSUME ANY LIABILITY FOR DIRECT,INDIRECT,SPECIAL,INCIDENTAL,CONSEQUENTIAL,EXEMPLARY,PUNITIVE AND/OR LOSS OF ENJOYMENT DAMAGES.THE OBLIGATIONS OF AFPCAF SPECIFICALLY STATED IN THIS AGREEMENT ARE GIVEN IN LIEU OF ANY OTHER OBLIGATION OR RESPONSIBILITY, EXPRESS OR IMPLIED,INCLUDING ANY REPRESENTATION OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. 7. Change in law: AFPCAF performs its services in accordance with the requirements of law.In the event of a change in existing law as it pertains to the services herein,AFPCAF reserves the right to revise the annual extension charge or terminate this Agreement. S. NON-PAYMENT,DEFAULT:In case of non-payment or default by the Purchaser.AFPCAF has the right to terminate this Agreement and or pursue legal action to collect all amounts outstanding.In addition,cost of collection and reasonable attorneys fees shall be paid by the Purchaser,whether suit is tiled or not.In addition,interest at the maximum rate as allowed by law will be assessed for the period of delinquency. 9. ENTIRE AGREEMENT:This Termite Plan,these Terms and Conditions and the Inspection Graph constitute the entire Agreement between the parties and no other representations or statements will b6—binding upon the'parties. 10. The prevailing party in any litigation arising out of this agreement shall be entitled to recover its reasonable attorney's fees and costs whether pre-trial,or at the trial or appellate levels. 11. This Agreement will not be binding until executed by both parties. 12. The Agreement shall be governed by the laws of the State of Florida and any legal proceeding arising from this Agreement shall be brought only in a court of competent jurisdiction in Broward County,Florida. 13. This Agreement constitutes the sole understanding and working arrangement between the parties hereto and any changes must be agreed to,in writing,by both parties. 14. All time limits stated in this Agreement shall be of the essence. "BUYER'S RIGHT TO CANCEL" This is a home solicitation sale,and if you do not want the goods or services,you may cancel this Agreement by providing written notice to the seller in person,by telegram,or by mail.This notice must indicate that you do not want the goods or services and must be postmarked before midnight of the third business day after you sign this Agreement.If you cancel this Agreement,the seller may not keep all or part of any cash down payment. Miami Shores Village k }` r 4 n Building Department 10050 NE 2nd Ave. Miami Shores, FL 33138 k , 305-795-2204/Fax 305-756-8972 N NOTICE TO MIAMI SHORES BUILDING DEPARTMENT OF EMPLOYMEI k AS�§P INSPECTOR UNDER THE FLORIDA BUILDING CODE. 'k F , I(We)have been retained by ��vlye77f6✓IC-kso✓ or to perform special inspector services under the Florida Building Code 5t^Edition(2014)and Miami ade ounty Administrative Code at the3qa/ve-- 9/std project on the below listed structure as of -7 -- (date). I am a registered architect/professional engineer licensed in the State of Florida. Proce s Number: RA, .. ��• � • • •• ..00% Special Inspector for Reinforced Masonry,Section 2122.4 of the FBC 51"Edition,(2014) 00000* Miami Dade County Administrative Code,Article 11 Section&22 Special Inspector for 0•• '• "": _Trusses>35 ft.long or 6 ft.high •••••• 000.0. _Steel Framing and Connections welded or bolted ...... _,)oil Compaction 1+CEJ p*c ....:. _Precast Attachments JUL •.' ;•• _Roofing Applications,Lt.Weight. Insul.Conc. •• • Other — Note: Only the marked boxes apply. The following individual(s)employed by this firm or me is authorized representative to perfo in �` �rj )YA inspection* _ *Special inspectors utilizing authorized representatives shall insure the authorized representative is qualified by education or licensure to perform the duties assign by Special Inspector. The qualifications shall include licensure as a professional engineer or architect:graduation from an engineering education program in civil or structural engineering; graduation from an architectural education program;successful completion of the NCEES Fundamentals Examination; or registration as building inspector or general contractor. I(we)will notify the Miami Shores Building Department of any changes regarding authorized personnel performing inspection services. I(we),understand that a Special Inspector inspection log for each building must be displayed in a convenient location on the site for reference by the Miami Shores Building Department Inspector. All mandatory inspections,as required by the Florida Building Code,must be performed by the Miami Shores Building Department.Inspections performed by the Special Inspector hired by the owner are in addition to the mandatory inspections performed by the department. Further,upon completion of work under each Building Permit,I will submit to the Building Inspector at the time of the final inspection the completed inspection log form and a sealed statement indicating that,to the best of my knowledge,belief and professional judgment those portions of the project outlined above meet the intent of the Florida Building Code and are in substantial accordance with the approval plans. 4L Engineer/Architect 1 ned Name`s 1717-5 r i3c t2i�✓ SiganSe" _ Print Date: --?I Jt7L I I( Address i !3e�4et/ rZ FLORIDA BUILDING CODE,ENERGY CONSERVATION i Residential Building Thermal Envelope Approach 1 FORM 8402-2014 Climate Zone D 1A 1 Scope:Compliance With Section 8402.1.1 of the Florida c'iufldfng Coda.Energy Consmwti an,shall be demonstrated by the use of Farm 8402 1 for single-and multiple-farniiy residences of three stories or less in Height_additions to existing residential buildings,alterations,renovations, 1 and building systems in existing buildings,as applicable_To comply,a building must meet or exceed all of the enemy efficiency requirements 1 on Table R402A and all applicable mandatory requirements summarized in Table R402B of this form.If a building does not comply with this method,or by the UA Atternative Method,it may still compty under Section R405 of the Fonda Bra lding Code,Energy Conservation. 1 PROJECT NAME: Tamburin Residence BUILDER: 1 AND ADDRESS: 390 91 St 1 OWNER: Miami Shores, FL 33138 PERMrMNG QMMt Miami Shores 1 Davis Tamburin StfRigDICTION NEIMBER: PERMIT NUMBM- General InsVuctions: 1.Fill in all the applicable spaces of the"To Be Installed"column on Table P402A with the inforrrration requested.All'to Be lnsta le&valuestit* be equal to or more efficient than the required levels. i0 0 0 0000 2.Complete page 1 based on the'To Be Installed-column information. •' • 000 . • 3.Read the requirements of Table R402B aril check each box to indicate your intent to comply with ail applicable Sterns. •*•••• • • 1 • 4.Read,sign and date the`Prepared$ certification statement at the bottom of page 1.The owner or owner's • &' 1•••••• y� R g agerr muslaiacyejgp amt date#n8 form. • • •r.•• L••••: 1. New construction,addition,or existing building 1- xlstlng _'�- • • • • 2. Single-family detached or multiple-family abaci hed 2- - Single family • •• 1.•••• 3. If mtt(tlpte family,number of units covered by this submission 3 -..__._-_ � e: •• • • • 4. Is this a worst case?(yestno) 4, -i ••••• i•••• 5. Conditioned tloorarea(s4 )ft •iii"�'• �•••.• s 1.512(Existing) • 6. Windows,type and area • • • x) wactw .. 6s. Existing • . ••••0, �••• • b) Sitar Beat Gain Coefficient(SHGG) 6b. _-- •�' , • c} Areasc 7. Skylights •• • a) 0-factor: 7a. N/A 1 b) Soler Neat twain Coefficient(SHGC) 7b. _ _ 1 & Room ---- __... -- type,area or perimeter,and Insulation: 1 a) Slab-on-grade(R-value) Ba, b) Wood,raised(R-value) Bb- Existing c) Wood.common(R-valve) ec. 1 d) Concrete,raised(R-value) 8d. s) CGrG"te,common(R-vapte) ge_ 9. Wall type and insulation: - 1 a) Exterior. 1. Wood frame(Insulation R-value) 9a1. 2. Masomy(trsulaiiat R-value) gat_ 1 b) Adjaowit 1. Wood f..raime(insulation Rvalua} 9bl. 2, Masonry;Insuiation R-value) 9b2. 10. Celling typo and insulatto o 1 a) Attic(Insulation n-,nh,e) 10a, Existing b) Single assembiy(Insulatio n 7-valw) lob. 1 11. Air distribution system: 1 a) Duo location,insulation 11F, 13-8(i enw only)_ 1 b) AHU location 11b. c) TOW dud leakage.Test report attached, 110. `cftnR00 s.1. Yes 0 No EJ 1 12.Cool"system: a)type 12a. -Split DX(Fxisitnq) 1 b)efficiency 12b, 13. Meeting system: a)We 13a- Electric Strip(Existing). 1 o)efficiency. 13b. 1 14. HVAC sizing calculation:attached 14. N/A Yes E3 No D 1 15.Water heater system: a)type 15a. Electric b)efficiency I hereby certify that the puns and specifications covered by this form are Review of plans and specifications covered by this form indicate 1 in compliance with the Florida awkUr g lode,Energy conserwafiorz compliance With the Florida Bandlag Code,Erlb.W Corrservatrgn,Before 1 PREPARED BY: Alam Dae 4/4/2016 construction is complete,rnls building will be inspected for compliance In I hereby certify thatthis building its in compliance%with the Florida Building accordance with Section 553.9(18,F.S. 1 Code,Energy Conservation CODE OFFIML: 1 OWNEWAGENT: Date: Slate: FLORIDA BUILDING CODE-ENERGY CONSERVATION,5th EDITION(2014) ��*,k,f��t5 J t nil r$��r �„ � ..... R-C.3 Ne _ t C MA ' FE(IL1�, s,s `�/Atf1[rr�