REV-16-1511‘0\`'
BUILDING
PERMIT APPLICATION
El BUILDING ❑ ELECTRIC
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
❑ ROOFING
JUN 01 2016
JoaA
FBC�20
Master Permit No. 1)Crt- - - / 3,;?7
Sub Permit Nc /7 1 /
REVISION ❑ EXTENSION ❑ RENEWAL
El PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF
CONTRACTOR
JOB ADDRESS:
26 q '9'4/ 5 r._e1
City: / Miami Shores County:
Folio/Parcel#: l/_ .3 G. a/O Qi N/J
Occupancy Type:
Load: Construction Type:
❑ CANCELLATION ❑ SHOP
DRAWINGS
Miami Dade Zip: 33/3.R
Is the Building Historically Designated: Yes NO X'
Flood Zone: BFE: FFE:
51 /ti
OWNER: Name (Fee Simple Titleholder): We -ply
Address: % 49 ��� Q 5 ?e /E 7
Phone#:3O4 7' �-6 3,,
CO: 4'1 19M / SIA,ReS State: I J.
Zip: 7
Tenant/Lessee Name: Phone#:
Email: vUC PAS IcR,L`7/!2ely:,.SO SI: 77E1
CONTRACTOR: Company Name: Phone#:
Address:
City: State: Zip:
Qualifier Name: Phone#:
State Certification or Registration #: Certificate of Competency #:
DESIGNER: Architect/Engineer: ' e 041OJ'//cJ/'LPP
Address:/ g 17. 69 CS icy /5'4
Value of Work for this Permit: $
City
Phone#:72/ `4-4 _6-64/.6
State: FL Zip: 3/2/1
3//
Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: e U I Sx�o l,Iy — Ch1/1-ne C` ( B(7'..
Zvi + Cxivl-iv .ctt 12 WAS e --Q-) Pt NI 6,If -FRO-on 14u, llut - 'WV:11o to cu
imIFSON 11-1A-5-0.2.7---- ,
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ �'. . CO CCF $ CO/CC $
Scanning Fee $ - CO Radon Fee $
Technology Fee $
Structural Reviews $ (4,c) ' CO
(Revised02/24/2014)
Training/Education Fee $
DBPR $
Notary $
Double Fee $
0
Bond $
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 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 Signature
OV f R or AGENT CONTRACTOR
The foregoing instru t was acknowledged before me this The foregoing instrument was acknowledged before me this
/ day of 20 , 2013,0_, by day of , 20 , by
\Jeln A,\ 1, who is pers6onally known o , who is personally known to
me or who has prbduced � ' L'� p PI 49 -7 me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign:
Print:
Seal:
OtpRY'P,B c H. BARBARA ZEEMAN
MY COMMISSION # EE 860789
EXPIRES: February 15, 2017
'FOF we Bonded Tin Budget Notary Services
****************************************
APPROVED BY
(Revised02/24/2014)
Sign:
Print:
Seal:
*******************************************************
Plans Examiner Zoning
Structural Review Clerk
S STRUCTURAL DESIGN LLC
(CONSULTING ENGINEERS
7850 NW 146'Street, `Suite.305, Miami Lakes, FL 33016
T..305;512.5860 F._ 305.512:5861
E-mail: optimussd@bellsouth.net
•
1269 NE 94th STREET
MIAMI SHORES, FLORIDA
DECK REPLACEMENTREVISED CALCULATIONS
- CONNECTOR SUBSTITUTION
ISTRUCTURAL
PP RCV„i
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May 9th, 2016
S STRUCTURAL DESIGN LSC
4CONSUT TING ENGINEERS
7850 NW 146 Street, Suite 305, Miami Lakes, FL 33016
T.:305312:5860 F. 305.512.5861
E-mail: optimussd@bellsouth.net
City of Miami Shores
Building Department
STRUCTURAL REVISION #3 NARRATIVE:
The following is a brief description of items that were changed in revision #3:
ITEM No.
RESPONSE
1.
At the contractor's request, the joist connector was changed from a Nu -
Vue "NVJH26" to a Simpson "LUS-28Z". See attached supplemental
calculation showing the Simpson connector to be adequate.
Please let us know if you have any further questions or require additional information.
Best Regards,
SIGNED:
anya Homleid, P.E.
REG. NO. STATE: FL. 61706
COMPANY: Optimus Structural Design LLC
ADDRESS: 7850 NW 146 Street, Suite 305
Miami Lakes, Florida 33016
S.I. NO: # 7021292
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S'STRUCTURAL DESIGN LLC
CONSULTING ENGINEERS
7850 NW 146 Street, Suite 305, Miami Lakes, FL 33016
T.305.512.5860 F. 305.512.5861
www:optimussd.com
JOB I26q s1
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