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PLC-18-45 permit PLC-1-18-45 Miami Shores Village ot Pennit Type.-Plumbing-Commercial 10050N.E.2nd Avenue NE Work Classification:Add it!I on/Alteration Miami Shores, FL 33138-0000`AFH -, Phone: (305)795-2204 Pennit Status:APPROVED -Sam ORI'D Expiration: 09/17/2018 Issue Date: 3121/2018 11 Project Address Parcel Number Applicant 9475 NE 2 Avenue 1132060133760 BANK OF AMERICA NA Miami Shores, FL 33138- Block: Lot: —,Owner Information Address Phone Cell LBANPK OF AMERICA NA 13510 BALLANTYNE CORP Place CHARLOTTE NC 28277- 9475 NE 2 Avenue MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone [Val Valuation: $ 150,000.00 A-1 PARADISE PLUMBING INC (954)563-0110 Total Sq Feet: 0 Type of Work:CONNECT TO PUBLIC FORCE MAIN AND SE Available Inspections: Type of Piping: Inspection Type: Additional Info:CONNECT TO PUBLIC FORCE MAIN AND SE Top Out Classification:Commercial Re Pipe Scanning:7 Main Drain Heater Water Service Final Water Main Lavatory Review Building Review Plumbing Underground Fees Due Amount Pay Date Pay Type Amt Paid Amt Due BondType-Contractors Bond $500.00 Invoice# PLC-1-18-66066 CCF $90.00 DBPR Fee $67.50 03/21/2018 Check#:32593 $ 5,323.50 $50.00 DCA Fee $45.00 01/08/2018 Credit Card $ 50.00 $ 0.00 Education Surcharge $30.00 Bond#:3691 Permit Fee $4,500.00 Scanning Fee $21.00 Technology Fee $120.00 Total: $5,373.50 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-na ed tractor to do the work stated. March 21, 2018 Authorized Signature: Owner / Applicant / Con actor / Agent Date Building Department Copy March 21, 2018 1 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 FBC 201 UILDING Master Permit No. LC is — 4s PERMIT APPLICATION Sub Permit No. [7]BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: NE 2nd Avenue 94-7-S N-E Z B-v City: Miami Shores County: Miami Dade Zip: 33138 Folio/Parcel#:11-3206-013-3760 Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: IIB Flood Zone: X BFE: FFE: OWNER: Name(Fee Simple Titleholder):BANK OF AMERICA NA Phone#: Address: 101 N.Tryon Street City: Charlotte State: North Carolina Zip: 28277 Tenant/Lessee Name: Same as Fee Simple _ Phone#: Email: Ellie.Sanchez@am.jlI.com _ CONTRACTOR:Company Name: A-1 Paradise Plumbing, Inc. Phone#:(1521 _S11122 —0 f/0 Address: 260 SW 21st Terr City: Ft. Lauderdale ,)) State: FL Zip: 33312 Qualifier Name:I��GF �)\� . k I C Phone#: 954-563-0110 State Certification or Registration#: C 'slocj u Certificate of Competency#: DESIGNER:Architect/Engineer: infinity Enyineeriry Group, LLC. Phone#: 313-A34-4??C Address: 1208 E Kennedy Blvd, Suite 230 City: Tampa State: FL Zip: 33602 Value of Work for this Permit:$ / 56 , Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ElNew ❑ Repair/Replace Q Demolition Description of Work: Deme connect to public force main and sewage pump station. Specify color of color thru tile: ,�y�j Submittal Fee$ � I'd Permit Fee$ aG'l.' CCF$ (� CO/CC$ Scanning Fee$ Radon Fee$ DBPR Notary$ Technology Fee$ Training/Education Fee$ Double Feed$ Structural Reviews$ Bond$ r:m ' 1Q� TOTAL FEE NOW DUE$ CJ'23 (Revised02/24/2014) �� 3Z 3 . -D 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 appr d a a reinspection fee will be charged. '1 f, Signature Signature_ OWNER o AGE CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of 20 l 7 , by 04:J` day of C4\Q V)u-1 20 by Alan Duryea _ who is personally known to ` (AA ,,_I J(� who is personally known to me or who has produced as me or as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sig Sign: Print: — Print: c ;y Wo =os., IE UCY GUTRREZ MATOS OZOZILZ!6 s + s Seal: MYCOMMfSSION#FF127876 Seal 69fl�£cJ0#uoiSS.wwo0 Qo epuclAloalelS-oflgndARION u� EXPIRES June 1, 2018 ntlol:eg uu\f Ajjayl d tb (407)•395-0153 FIOfIdaNOtarySENice.COm APPROVED BY lriT _ Plans xaminer Zoning G�� ruc u Clerk (Revised02/24/2014) Property Search Application - Miami-Dade County Page 1 of 1 FFICE OF THE..: PROPER Summary Report Generated On : 1/8/2018 Property Information } Folio: 11-3206-013-3760 9475 NE 2 AVE E v, Property Address: s� ' Miami Shores,FL 33138-2702 Owner BANK OF AMERICA NA 101 N TRYON STS°' Mailing Address CHARLOTTE,NC 28277 PA Primary Zone 6400 COMMERCIAL-CENTRAL ` 2313 FINANCIAL INSTITUTION: Primary Land Use OFFICE BUILDING m. Beds/Baths I Half 0/0/0 Floors 2 Living Units 0 Actual Area Sq.Ft Living Area Sq.Ft Adjusted Area 20,067 Sq.Ft Taxable Value Information Lot Size 35,425 Sq.Ft 2017 20162015 Year Built 1962 County Assessment Information Exemption Value $0 $0 $0 Year 2017 2016 2015 Taxable Value $1,622,277 $1,474,798 $1,340,726 Land Value $921,050 $921,050 $779,350 School Board Building Value $1,738,950 $606,950 $561,376 Exemption Value $0 $0 $0 XF Value $0 $0 $0 Taxable Value 1 $2,660,000 $1,528,000 $1,340,726 city Market Value $2,660,000 $1,528,000 $1,340,726 Assessed Value $1,622,277 $1,474,798 $1,340,726 Exemption Value $0 $0 $0 Taxable Value $1,622,277 $1,474,798 $1,340,726 Benefits Information Regional Benefit Type 2017 2016 2015 Exemption Value $0 $0 $0 Non-Homestead Assessment Taxable Value $1,622,2 $1,474,798 $1,340,726 Cap Reduction $1,037,723 $53,202 77 Note:Not all benefits are applicable to all Taxable Values(i.e.County, Sales Information School Board,City, Regional). Previous Sale Price OR Book-Page Qualification Description Short Legal Description 07/01/2007 $1,225,000 25801-4510 Other disqualified 10/01/2004 $1,825,000 22766-0601 Other disqualified MIAMI SHORES SEC 1 AMD PB 10-70 LOTS 13 THRU 17 INC BLK 28 LOT SIZE 35425 SQUARE FEET OR 22766-0601 10 2004 6(3) COC 25801-4510 07 2007 6(3) The Office of the Property Appraiser is continually editing and updating the tax roll.This website may not reflect the most current information on record.The Property Appraiser and Miami-Dade County assumes no liability,see full disclaimer and User Agreement at hftp://www.miamidade.gov/info/disclaimer.asp Version: http://www.miamidade.gov/propertysearch/ 1/8/2018 Albert Superintendent 6850 Lyons Technology Circle Coconut Creek,FL 33073 Mobile: (954)716-2079 Office: (954)564-0655 Fax: (954)564-0667 A division of Cal Development,Inc. Toll Free:(855)CAL-DEV1 www.cal-const.com againes@caldevelopment.com A division of CAL Development,Inc. Licensed General Contractor FL CGC1512095 www.calconst.com NOTARY ACKNOWLEDGMENT (Attached to Authorization Letter datedi�� STATE OF FLORIDA COUNTY OF DUVAL On thi day of M ,200 before me,a Notary Public in and for the above state and county, personally appeared Sheila Crib GFLI�li YJce_ President of Bank of America,National Association,a national banking association, o is personally known to me to be r who provided as evidence o ► entl ►cation es a ►s ►ng that she is,the same person whose name is subscribed to the foregoing authorization letter,and she acknowledged that she signed and delivered the authorization letter as Senior Vice President of the national banking association as her own free and voluntary act,and as the free and voluntary act of the association,for the uses and purposes set forth therein. Subscribed and sworn to before me this day of 201 Notary Public: 01 [1,. Y (SEAL) AMD.HatFR MY COMMISSION r FF 938312 EXPIRES:January 11,2o2o Gln BonedTMuNotuyPub0cUndewftm t S ASSISTANT SECRETARY'S CERTIFICATE OF BANK OF AMERICA, NATIONAL ASSOCIATION The undersigned, Carlese E. Linker, an Assistant Secretary of Bank of America, National Association (the "Association"), a national banking association organized and existing under the laws of the United States of America and having its principal place of business in the City of Charlotte, County of Mecklenburg, State of North Carolina, does hereby certify that: 1. The following person has been duly elected or appointed to the office in the Association as indicated; and that such person holds such office at this time. Name Title Sheila Cribb Senior Vice President 2. The following is a true and complete copy of an excerpt from the Bylaws of said Association, and the same is in full force and effect as of the date hereof. Section 5.2. Execution of Instruments. All indentures, mortgages, deeds, conveyances, contracts, notes, loan documents, letters of credit, master agreements, swap agreements, guarantees, discharges, releases, satisfactions, settlements, affidavits, bonds, undertakings, powers of attorney, and other instruments or contracts may be signed, executed, acknowledged, verified, attested, delivered or accepted on behalf of the Association by the Chairman of the Board, the Chief Executive Officer, the President, any Vice Chairman of the Board, any Division President, any Managing Director, any Director (as described in Section 4.7 of these Bylaws), any Principal, any Executive Vice President, any Senior Vice President, any Vice President, any Assistant Vice President, any Officer, or any individual who is listed on the Association's personnel records in a position equal to any of the aforementioned officer positions, or such other officers, employees or agents as the Board of Directors, the Chief Executive Officer or any officer reporting directly to the Chief Executive Officer may direct in a written delegation kept in the minute book of the Association. The provisions of this Section 5.2 are supplementary to any other provision of these Bylaws and shall not be construed to authorize execution of instruments otherwise dictated by law. IN WITNESS WHEREOF, I have hereupon set my hand and affixed the seal of said Association this 26th day of October, 2017. (SEAL) ` Carlese E. Linker Assistant Secretary J (JjF October 27,2017 Bank of America Jones Lang LaSalle Americas,Inc. 200 E.Randolph Drive Chicago,IL 60601-6436 Attn: Mr.Pat Rainey Re: Authorization for Jones Lang LaSalle Americas, Inc.to act as Representative for Project Management Services for Bank of America,National Association("BANA')and its affiliates Dear Pat: Bank of America,National Association,a national banking association, hereby authorizes Jones Lang LaSalle Americas,inc.and its affiliates CULL")to act as BANA's authorized representative in connection with matters related to BANA's construction and improvement projects, including but not limited to the following: • Signing Notices of Commencement in requiring notification to building owners that a construction project is commencing on/in a property • Signing waivers of claims for CAD drawings • Signing Lien Agent Assignments in states requiring lien agent assignments • Completing,signing,and submitting permit applications in jurisdictions requiring permits, design review applications,and/or disclosure documents. • Participating in Energy Rebate programs on behalf of BANA,where a rebate is assigned to a project contractor and a change order is issued to the contractor for the rebate amount The authority outlined in this letter will remain in effect until revoked in writing;by Bank of America, National Association. The designation or use of"authorized representative" in the context outlined herein does not affect BANA's responsibility to perform and satisfy all other obligations applicable to BANA for services rendered by JLL Project Management. The appointment of JLL as an authorized representative shall not designate to JLL any rights beyond those BANA itself would have under any applicable regulations. You are authorized to provide this letter as necessary to fulfill any project-related services. Further,any recipient of this letter who is an employee or associate of JLL and/or who is authorized to cooperate with JLL, including but not limited to Alan Duryea,is likewise authorized to act as agent on behalf of BANA, and any governmental entity or authority to whom this letter is delivered may rely on it as evidence of BANA's designation of JLL to act as BANA's agent for the purposes outlined herein. 3 cerely, t Bila rib s Senior Vice President for Bank of America,National Association (Notary Acknowledgment attached) Rmyded Pape, f Professional Servicetl .s... . .• . ... nterte 0 a , : • : Report No: FDR:03951887-2 7950 N.W.64th Stre4t • • ••• • • • Miami,FL 33166 • • • • • • • • Issue No: 1 • • ALI Eng Certificate Of Au horiza IonR39 4 These test results apply only to the specific locations and materials noted and may Phone:(305)471-7725 not represent any other locations or elevations.This report may not be reproduced, Fax:(305)593-1915 except in full,without written permission by Professional Service Industries,Inc.If a • •• • on-compliance appears on this report,to the extent that the reported • • • • • • on-compliance iropaos the project,the resolution is outside the PSI scope of Field Density Test Report : ; roangalemel. :•: Client: CAL DEVELOPMENT, LLC CC: DENNIS HIGGS ••• • 98 SE 7TH STREET DEERFIELD BEACH, FL 33441 .• • • .•. .. Project: BAC MIAMI SHORES •• • • • ••• • Approved Signatory:Andrew May(Staff Engineer) Date of Issue: 4/25/2018 Testing Details Tested By: Lamar Case Date Tested: 4/21/2018 Field Methods: ASTM D 6938 Gauge Type: Troxler Test Mode: Direct Transmission Model Number: 3430 Standard Count: Density: 2039 Serial Number: 32427 Standard Count: Moisture: 669 Proctor Information Sample ID Supplier Material Method MDD OWC(%) (Ib/ft') 03951887-1-S1 On Site Brown Sand with Rocks ASTM D 1557(C) 116.4 9.8 Test Results Test Proctor Sample ID Probe Wet Density Water OWC Var Dry Density Comp(%) Comp Spec Results No. Depth (Ib/ft) Content(%) (lb/ft-) (in.) 1 03951887-1-Sl 12 119.8 5.4 -4.4 113.7 97.7 >95 A 2 03951887-1-S1 12 118.7 5.2 -4.6 112.8 96.9 >_95 A 3 03951887-1-S1 12 119.3 6.8 -3.0 111.7 96.0 >_95 A Location General Location: 6"Sewer Connection Test Location Lift Material/Layer No. 1 South East of Building 1 Backfill 2 Southeast 2 Backfill 3 Southeast of Building 3 Backfill ee�eee s®a'a® `GEN 2 No 77659 Q: STATE OF :•�/ ` 4 . '® � • C? . S;O N A;f1110% eeee Comments Legend OWC=Optimum Water Content MOD=Maximum Dry Density A=TEST RESULTS COMPLY WITH SPECIFICATION Form No:110244,Report No:FOR 03951887-2 ©2000-2016 QESTLab by SpectraQEST.com Page 1 of 1 tnterteK Professional Service uglrrs,Ir;. •' 0 Report No: PTR:03951887-1-S1 7950 N.W.64th Street • • •• Miami,FL 33166 • • • • • • • • Issue No: 1 Eng Certificate Of AuIhorizat,on 384 • • These test results apply only to the specific locations and materials noted and may Phone:(305)471-7725 not represent any other locations or elevations.This report may not be reproduced, Fax:(305)593-1915 except in full,without written permission by Professional Service Industries,Inc.If a • •• • on-compliance appears on this report,to the extent that the reported • • • • • • on-coml*ghce irRpadts the project,the resolution is outside the PSI scope of Proctor Report : •• engalemel ••• 0000 00 . . . Client: CAL DEVELOPMENT, LLC CC: DENNIS HIGGS 98 SE 7TH STREET DEERFIELD BEACH, FL 33441 .. . . . . 000 .. Project: BAC MIAMI SHORES •• • • • • •'• • Approved Signatory:Andrew May(Staff Engineer) Date of Issue: 4/25/2018 Sample Details Sample ID: 03951887-1-S1 Date Sampled: 4/21/2018 Sampled By: Lamar Case Specification: Base. Supplier: On Site Source: Existing Material Material: Brown Sand with Rocks Sampling Method: Stockpile/Trans-ASTM D 75-5.3.3 Location: Tested By: (unknown) Dry Unit Weight -Water Content Relationship Test Results ASTM D 1557 Maximum Dry Unit Weight(Ibf/ft'): 116.4 116.4 Optimum Water Content(%): 9.8 ---------------------- ------------ Method: C r 116.2 Preparation Method: Dry Retained Sieve 3/8"(9.5mm)(%): 29 116.0 ; Retained Sieve 3/4"(19mm)(%): 17 Passing Sieve 3/8"(9.5mm)(%): 71 115.8 Passing Sieve 3/4"(19mm)(%): 83 ' ASTM D 4718 115.6 1 Corrected Maximum Dry Unit Weight 116.4 c 115.4 . . .; t r Corrected Optimum Water Content(%): 9.8 r 115.2 , Sieve Size(Oversize): 3/4 Oversize Particles(%): 17 � 115.0 0000 . . . 0000 . . . . . . . ... . . . . . . . . . . .. . . ,`O>1111111111'r 114.8 . . . . . . . . . ♦,,v� v: CAGG/q ♦ ,'V 114.6 ♦♦♦�?,��G E N SF p 4: No 77659 `` 114.4 2, N o 11a2 /3a ;�'•, STATE OF 114.5 8.0 8.5 9.0 9.5 10.0 10.5 11.0 '��Oi�••.�4 AQP• \� �� F •. O R C?♦♦ Vater Content(%) S IO N A\- Comments \-Comments Form No:110031,Report No:PTR 03951887-1-Sl ©2000-2016 QESTLab by SpectraQEST com Page 1 of 1 r ••• • • ••• Report No: MAT:03951887-1-S1 interte Professional ServiceIffl�a9Mes,II0 • • •• •• • Y r� 7950 N.W.64th Streot a : :• r • t Miami,FL 33166 •• 1+1 • • • • • Issue No: 1 Eng Certificate Of Authorization 364 • • These test results apply only to the specific locations and materials noted and may Phone:(305)471-7725 not represent any other locations or elevations.This report may not be reproduced, Fax:(305)593-1915 except in full,without written permission by Professional Service Industries,Inc.If a • •• w on-compliance appipars on this report,to the extent that the reported • • • • • • on-coml*dhce irRoa4ls the project,the resolution is outside the PSI scope of Material Test Report : :•. • : : engagemeII. ••• Client: CAL DEVELOPMENT, LLC CC: DENNIS HIGGS 98 SE 7TH STREET DEERFIELD BEACH, FL 33441 .• . • 0 • fee .• Project: BAC MIAMI SHORES ••• • • ••• • • 069 • Approved Signatory:Andrew May(Staff Engineer) Date of Issue: 4/25/2018 Sample Details Particle Size Distribution Sample ID: 03951887-1-S1 Lift: Method: ASTM C 136,ASTM C 117 Client Sample ID: Drying by: Oven Date Sampled: 04/21/18 Date Tested: Sampled By: Lamar Case Tested By: Specification: Base. Supplier: On Site Source: Existing Material Sieve Size %Passing Limits Material: Brown Sand with Rocks %in(19.Omm) 83 Sampling Method: Stockpile/Trans-ASTM D 75-5.3.3 3/8in(9.5mm) 71 Soil Description: Brown Sand with Rocks No.4(4.75mm) 63 General Location: No.10(2.Omm) 62 Location: No.20(850pm) 61 Other Test Results No.40(425pm) 57 No.60(250pm) 31 Description Method Result Limits No.100(150pm) 7 Maximum Dry Unit Weight(Ibf/ft') ASTM D 1557 116.4 No.200(75pm) 2.0 Corrected Maximum Dry Unit Weight(Ibf/ft') 116.4 Finer No.200(75Nm) 2.0 Optimum Water Content(%) 9.8 �Op0111t/� Corrected Optimum Water Content(%) 9.8 ee��o CA 1.*..## Method C eee �l C'C'/ ss Preparation Method Dry ®®00?• G E N SF�;I'p� Retained Sieve 3/8"(9.5mm)(%) 29 ,`'ZZ • No 77653 '•• Retained Sieve 3/4" (19mm)(%) 17 Tested By (unknown) Group Symbol ASTM D 2487 Group Name Tested By (unknown) S/,ty/Jq -p'•• STATE OF Ash Content(%) ASTM D 2974 99.7 ��✓�• '�� O R \ P•'�� 0 Organic Content(%) 0.3 �s�S' •... •• \'\��% Furnace Temperature(°C) 400 i,,Slr0NA;'E,,eee Moisture Content(/o) 1.0 Chart Moisture contents are proportioned by oven-dried mass Moisture Content Method(A or B) A Ash Content Method(C or D) C Tested By (unknown) --------------------------------- „h Comments N/A Form No:18909,Report No:MAT:03951887-1-S1 ©2000-2016 QESTLab by SpectraQEST.com Page 1 of 1 Intert�k Professional Service Industries,Inc. Report No: FDR:03951887-2 7950 N.W.64th Street Miami,FL 33166 Issue No: 7 Eng Certificate Of Authorization 3684 These test results apply only to the specific locations and materials noted and may Phone:(305)471-7725 not represent any other locations or elevations.This report may not be reproduced, Fax:(305)593-1915 except in full,without written permission by Professional Service Industries,Inc.If a non-compliance appears on this report,to the extent that the reported non-compliance impacts the project,the resolution is outside the PSI scope of Field Density Test Report engagement. Client: CAL DEVELOPMENT, LLC CC: DENNIS HIGGS 98 SE 7TH STREET DEERFIELD BEACH, FL 33441 Project: BAC MIAMI SHORES Approved Signatory:Andrew May(Staff Engineer) Date of Issue: 4/25/2018 Testing Details Tested By: Lamar Case Date Tested: 4/21/2018 Field Methods: ASTM D 6938 --^ Gauge Type: l'rox er Test Mode: Direct Transmission Model Number: 3430 Standard Count: Density: 2039 Serial Number: 32427 Standard Count: Moisture: 669 Proctor Information Sample ID Supplier Material Method MDD OWC(%) (lb/ft-) 03951887-1-S1 On Site Brown Sand with Rocks ASTM D 1557(C) 116.4 9.8 Test Results Test Proctor Sample ID Probe Wet Density Water OWC Var Dry Density Comp(%) Comp Spec Results No. Depth (Ib/ft') Content(%) (Ib/ft') (in.) 1 03951887-1-S1 12 119.8 5.4 -4.4 113.7 97.7 A 2 03951887-1-S1 12 118.7 5.2 -4.6 112.8 96.9 A 3 03951887-1-S1 12 119.3 6.8 -3.0 111.7 96.0 A Location General Location: 6"Sewer Connection Test Location Lift Material/Layer No. 1 South East of Building 1 Backfill 2 Southeast 2 Backfill 3 Southeast of Building 3 Backfill Comments Legend OWC=Optimum Water Content MDD=Maximum Dry Density A=TEST RESULTS COMPLY WITH SPECIFICATION I I Form No:110244,Report No:FOR:03951887-2 ©2000-2016 QESTLab by SpectraQESTcom Paoe 1 of 1 tntertek Professional Service Industries,Inc. Report No: PTR:03951887-1-S1 7950 N.W.64th Street Miami,FL 33166 Issue No: 1 Eng Certificate Of Authorization 3684 These test results apply only to the specific locations and materials noted and may Phone:(305)471-7725 not represent any other locations or elevations.This report may not be reproduced, Fax:(305)593-1915 except in full,without written permission by Professional Service Industries,Inc.If a non-compliance appears on this report,to the extent that the reported non-compliance impacts the project,the resolution is outside the PSI scope of Proctor Report engagement. Client: CAL DEVELOPMENT, LLC CC: DENNIS HIGGS 98 SE 7TH STREET DEERFIELD BEACH, FL 33441 Project: BAC MIAMI SHORES Approved Signatory:Andrew May(Staff Engineer) Date of Issue: 4/25/2018 Sample Details Sample ID: 03951887-1-S1 Date Sampled: 4/21/2018 Sampled By: Lamar Case Specification: Base. Supplier: On Site Source: Existing Material Material: Brown Sand with Rocks Sampling Method: Stockpile/Trans-ASTM D 75-5.3.3 Location: Tested By: (unknown) Dry Unit Weight -Water Content Relationship Test Results ASTM D 1557 Maximum Dry Unit Weight(Ibf/ft'): 116.4 116.aOptimum Water Content(%): 9.8 -------------------- ------------ Method: C 116.2 . . . . . . . . Preparation Method: Dry Retained Sieve 3/8"(9.5mm)(%): 29 116.0 Retained Sieve 3/4"(19mm)(%): 17 Passing Sieve 3/8"(9.5mm)(%): 71 115.8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . � Passing Sieve 3/4"(19mm)(%): 83 — ASTM D 4718 115.6 . . . . . . . . .. . . . . . . . . . . . Corrected Maximum Dry Unit Weight 1 (Ibf/ft'): 116.4 — 115.4. . . . . . . ... . . . . . . . . . . . ... . . . . . . . . . . �. L Corrected Optimum Water Content(%): 9.8 115.2 Sieve Size(Oversize): 3/4 1 C , Oversize Particles(%): 17 115.0 . . . . . . .. . . . . . . . . . . . ... . . . . . . . . . . �. . . . . . . . . . . . . . . T 1 , 114.8 . . . . . . . . . . . . ... . . . . . . 1 : 1 114.6 . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .. . . 1 114.4 . . . . . :. . . . . . . . . . . . . . . . . . . . . . . . . ,. . : . . . 1 . 1 114.2 . . . . .. . . . . . . . . . . . . ... . . . . . . . . . . ! . . . . . . . . . . . . . 1 . 1 . . 1 . 114.0 �- 7.5 8.0 85 9-0 95 10.0 10.5 110 Water Content(%) Comments Form No:110031,Report No:PTR 03951887-1-St ©2000-2016 QESTLab by SpectraQEST.com Page 1 of 1 tntertek Professional Service Industries,Inc. Report No: MAT:03951887-1-S1 7950 N.W.64th Street Miami,FL 33166 Issue No: 1 Eng Certificate Of Authorization 3684 These test results apply only to the specific locations and materials noted and may Phone:(305)471-7725 not represent any other locations or elevations.This report may not be reproduced, Fax:(305)593-1915 except in full,without written permission by Professional Service Industries,Inc.If a non-compliance appears on this report,to the extent that the reported non-compliance impacts the project,the resolution is outside the PSI scope of Material Test Report engagement. Client: CAL DEVELOPMENT, LLC CC: DENNIS HIGGS 98 SE 7TH STREET DEERFIELD BEACH, FL 33441 Project: BAC MIAMI SHORES Approved Signatory:Andrew May(Staff Engineer) Date of Issue: 4/25/2018 Sample Details Particle Size Distribution Sample ID: 03951887-1-S1 Lift: Method: ASTM C 136, ASTM C 117 Client Sample ID: Drying by: Oven Date Sampled: 04/21/18 Date Tested: Sampled By: Lamar Case Tested By: Specification: Base. Supplier: On Site Source: Existing Material Sieve Size % Passing Limits Material: Brown Sand with Rocks 3/,in (19.Omm) 83 Sampling Method: Stockpile/Trans-ASTM D 75-5.3.3 3/8in (9.5mm) 71 Soil Description: Brown Sand with Rocks No.4(4.75mm) 63 General Location: No.10 (2.Omm) 62 Location: No.20(850pm) 61 Other Test Results No.40(425pm) 57 No.60(250pm) 31 Description Method Result Limits No.100(150pm) 7 Maximum Dry Unit Weight(Ibf/ft3) ASTM D 1557 116.4 No.200(75pm) 2.0 Corrected Maximum Dry Unit Weight(Ibf/ft') 116.4 Finer No.200(75pm) 2.0 Optimum Water Content(%) 9.8 Corrected Optimum Water Content(%) 9.8 Method C Preparation Method Dry Retained Sieve 3/8" (9.5mm)(%) 29 Retained Sieve 3/4"(19mm)(%) 17 Tested By (unknown) Group Symbol ASTM D 2487 Group Name Tested By (unknown) Ash Content(%) ASTM D 2974 99.7 Organic Content(%) 0.3 Furnace Temperature(°C) 400 Moisture Content(%) 1.0 Chart Moisture contents are proportioned by oven-dried mass Moisture Content Method (A or B) A �, a Ash Content Method (C or D) C Tested By (unknown) e� �f r se.. Comments N/A Form No.18909,Report No:MAT:03951887-1-S1 ©2000-2016 QESTLab by SpectraQESTcom Page 1 of 1 '",�...° •- � ��f �fA?I��Ill ilii I I k `,� �I���II���� I�� III�,';I, #� •'`�-. ff �i�'�yr r +• l 1 I ' yx.> i w. HI s i r { NOW On w _uawow t � � a +.p 'K Y , W-AMA BMW d , 4 IwY u y eE �a� U77 ! v k � F al 1 +, w i � �• s a :A ate'r +��<` � '> � » r e Y q t Fn m a u � I n a 8 _ Y / • .- � ,, . o '� ...: :gig .,.. eT� 764 -!Ooow 7.1 Dull, Ft, z " s€ f e 4 �'v �, _ T � •' ,:, ��„ � � �� ,: �w�����,.: I "„•:fid ' ': �• '$ fix. I '�� �� �•�rM �� �' e" ���� moi. � � r M E � � i y Y a RW T' , @ a w •i >�_✓ � ill vee` , ave i E:a 3 s N ^�, E t E-' 3 b 3 _/i .' N r f s a r ..: , . r a s F mx.. •,. .., �, � _ � of-. � ��-, M Op LL- Ao, F „ t a, yr; ., : ' m � a G �. �� CKs.•. Y - s3:. � �$)+`� �,. IP a� a s r a , i a IIIc vV �, •�� ,. Jaid.. \ �� � "'➢ ? £fir" ;g. Bank October 20 1'7 of America,1 Jones Lang LaSalle Americas,Inc. 200 E.Randolph.Dri.ve Chicago, IL 60601-6436 Attn: Mr.Pat Rainey Re: Authorization for Jones Lang LaSalle Americas; Inc. to,actas Representative for Project Management Services for Bank of America,National.Association("BANA")and its affiliates i Dear Pat: Bank of America,National Association,a national banking association, hereby authorizes Jones Lang LaSalle Americas, Inc.and its affiliates("JLL")to act as BANA's authorized representative in connection with matters related to BANA's construction and improvement projects, including but-,not limited to the following: • Signing.Notices of Commencement in states requiring notification to building owners',that a construction project is commencing ori/iii a property • Signing waivers of claims for CAD drawings •, Signing Lien AgentAssignments instates requiring..lien agent.assignments Completing, signing,and submitting permit applications in jurisdictions requiring permits, design review applications,and/or disclosure documents. • Participating in Energy Rebate programs on behalf of BANA,Vvhere a rebate is assigned to a project contractor and,a change order is issued to the contractor for the rebate amount The authority outlined in this letter will remain in effect tnntil revoked in writing by Bank of America, National Association. The designation or use of"authorized representative" in the context Outlined herein does not affect/ BANA's responsibility to perform and satisfy"all other obligations applicable to' BANA for services re►idered by JLL Project Matiagemeiit. The appointment of JLL as an authorized representative sliall not designate to JL;I.,any rights beyond those BANA itself would have under any applicable regulations. You are authorized.to provide this letter as necessary to fulfill any project-related services. Further, any recipient,of this letter who is an employee or associate of JLL and/or who is authorized to cooperate with JLL, including but not limited.to Alai!Duryea, is likewise authorized to act as agent on behalf of BANA, and any governmental entity or authority to whom ibis letter is delivered may rely on it as evidence of BANA's designation of JLL to act as BANA's agentforthe purposes outlined herein. cet ely f ieila �•i6 )" Senior Vice President for Bank of America,National Association (Notary Acknowledgment attached) E ! 4 Ac Y,Ied Paper RICK SCOTT,GOVERNOR KEN LAWSON, SECRETARY ' STATE OF FLORIDA ; DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ! CONSTRUCTION INDUSTRY LICENSING BOARD i CFC035695 The—PLUMBINGCONTRACTOR , Named 6elbW I.Sl CERTIFIED r �; b`Yiw Under the pr6isions-6f'Chapter 489 FS,,: Expiration date: AUG 31,-2018 4. 1 RICH MATTHEWIAWRENCE .w- A-i.PARADISE PLUMBINC,gINC 2613 SW21STTERRACE .r��c e •, 1 FORTlAUDERDALE' �L 33312 N' _ i TIM 4- .A ,p.af ,,J ' ,y } ,� •_ ❑yJ �. f ..: _ ... � ,ice �PL rSsuEo: 0611612016 DISPLAY AS REQUIRED BY LAW Secy# L16061600oo�36 t i . r f i i t I I i i I I f t I � " { I � 1 I f j i i 3 i i I { i 1 1 1 t � f 1 i i t . i • 1 I ° 1 M " k d f ! f 1 t I I S ' I i { Y 1 Y i I i I 1 I j{ i f ! { 1 I k ( i ! I U EU 115 S.AndrewsAve.,Rm, A-100, Ft. Lauderdale -- FL 33301-1895—954-831-4000. VALID OCTOBER 1 2417 THROUGH SEPTEMBER 30,-2018 1 DBA: Receipt# 1sz_�,y6 Business Name:�` L L?F,:%Ii`.5e PLUMB NG i tiC ,{7}1Lk.f��,� tip a�n:Y,f,��ut'? C`I°i F? I + Business Type:. ; 1 t P1.Jt4Bj NG C'i7id_ i Owner Name r,,vrt 1-.w t, iz rctt Business Opened:c�s/er1'j 19 1 ' Business Location 260 :..W, 21 TIr� + State/County/Certlkeg.-CFC63 56 96 1 i, LAUDERDALE Exemption Code: Business'Phone: 9;4.13c,3-c1 I. ! 1 Rooms Seats ! I Employees Machines Professionals i For Vending Business only _ s 'Number of Machines: ; �— — Vending Type: r i T Tax kmount Transfer Fee NSF:t=ee Penalty Prior Years Collection Cost Total Paltl' I o.00, 0.00 0:00. rt ' • t t, ! THIS'RECEIPT MIST BE POSTED. CONSPICUOUSLY IN YOUR PLACE OF BUSINESS i THIS BECOMES A fiAX RECEIPT This tax isevled for the privilege of doing business within Woward County and is non-regulatory in nature,_:You must meet alt County and/or Municipality planning r i WHEN VALIDATED and zoning requirements,This Business Tax Receipt must be transferred when the business is sold, business name has changed or-you haveritoved the business location.This receipt does not indicate that the business.is legal or that itis in compliance with State or local laws and regulations: i a Mailing Address:' ! j I ! ! 5 SW. 1 `i> t Receij t: VOaA-x;6-000ass4o i i�"(;R1' LAUD1 RDA*LE} =I 3a31?_ Paid 09/19/2017 29.00 i � } 2017 - 2018 T ! � i t i 4 I M I 1 I I 1 i l ! 1 i f t 3 I ! 7 j 1 i • i j .. 1 1 1 i f f i l ® DATE(MWDDIYYYY) ' A 4 Ro CERTIFICATE OF LIABILITY INSURANCE I 04/19/2017 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 ANSURER(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 terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the i certificate holder in lieu of such endorsement(s). PRODUCER NAME CT Tom Rogan ' PHONE FAX t ' Hooper,Hayes and Rogan,Inc. , (954)476-5995 ac No 5440 NW 33rd Avbnue Ste 110 noo esS: ANGELB@HHROGANINSURANCE.COM I * INSURER(S)AFFORDING COVERAGE NAIC 0 Fort Lauderdale FL 33309 INSURER A, TOKIO MARINE SPECIALTY INSURANCE CO 23854 INSURED INSURERB: COMMERCE AND INDUSTRY INSURANCE CO 19410 A-1 Paradise Plumbing,Inc.,dba INSURER C: Paradise Service Technologies INSURER D: 260 SW 21 Terrace INSURER E: Fort Lauderdale FL 33312 INSURER F: a COVERAGES , CERTIFICATE NUMBER: REVISION NUMBER: } I 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MM/DDY EFF MM1DD EXP LIMBS LTR X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 RENTED CLAIMS-MADE FXI OCCUR PREMISES Ea occurrence $ 100,000 BI/PD Ded$5000. MED EXP(Any one person) $ 0 A PPK1640811 04/24/2017 04/24/2018 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 9 $ 2,000,000 POLICY❑X PRO-JECT �LOC PRODUCTS-COMP/OP AGG $ 2,000,000 8 r $ OTHER: y AUTOMOBILE LIABILITY' (Ea acciJdentSINGLE LIMIT $ ANY AUTO BODILY INJURY(Per person) $ I ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AU OWNED PROPERTY DAMAGE $ Per accident HIRED AUTOS AUTOS $ UMBRELLA LUU3 IX OCCUR EACH OCCURRENCE $ 3.000.000 B X EXCESS LIAB CLAIMS-MADE EBU022712926 04/24/2017 04/24/2018 AGGREGATE $ 3,000,000 DED RETENTION$ PR/COMP OPS AGG $ 3,000,000 PER OTH- WORKERS COMPENSATION STATUTE ER AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ N/A E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS below 4 I F i DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) PLUMBING CONTRACTOR CFC035696 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED_ IN ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores Village 10050 NE 2 Ave AUTHORIZED REPRESENTATIVE 1. , 1 Miami Shores FI 33138 �� 1 r ©1988-2014 ACORD CORPORATION.All rights reserved. arks of ACORD ACORD 25(2014/01) The ACORD name and logo are registered m D , CERTIFICAT DATE(MWDLMYYYY( 1 E OF LIABILITY INSURANCE 071051„ 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 REPRESENTATIVE OR PRODUCER;AND THE CERTIFICATE HOLDER: S}, AUTHORIZED IMPORTANT:1f the certificate holder Is an ADDITIONAL'-INSURED, the policy(ios).must have ADDITIONAL INSURED rovisions or be endorsed If SUBROGATION IS WAIVED,'subject to the terms and conditions of the policy,certain policies may require an endoisement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements. PRODUCER Aon Risk Services.Inc of Florida. CONTACT 1001 BrickdiBay DtiVeSiete ut it)D NAME:. Aon Risk Services;Inc of Florida ; Miami,FL 33131.4937 AIC'I'MUNF Ext):800-743-6130 AIC No:800-522-7514 ADDRESS: _ADP.COI.Cente Aon.com 4 INSURER(S)AFFORDING COVERAGE - NAIC a INSURED INSURER A:INirols National Insurance Co' 23817 ADP Totalsouras DE IV,Inc, INSURER S- 1 102(X}Sunset.Dive ht:a n,FL 33173 INSURER C. 4 AtTI RNATE EMPLOYER' INSURER D; AA PARADISE PLUMBING.INC:OBA Pafadiso Service Tach oto es GOSW 2ist'Tprraca, INSURER E: I an t aud©rdale,FL 33372 ENSURER F COVERAGES CERTIFICATE NUMBER: 1672005 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,TERMOR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT.WITH RESPECT TO WHICH THIS CERTIFICATE MAY 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$Y PAID CLAIMS: LTtv1tTS$tf01J^i ARE a,5 REtUESTEtI INSR TYPE INSURANCE ADDL SUER POLICY EFF POLICY£XP LTR INSR W VD POLICY NUMBERS MWDO MMlOD/YYYY - Lows ' COMMERCIAL GENERAL UABItITY r EACH OCCURRENCE S { .CLAIMS-MADE OCCUR: OAMAGE70RENTED ' PREMISES Ea occurrence S MEO EXP(Any one son S ` PERSONAL&-ADV INJURY.. S - 1 ;GEN'L hGGREGATE LIMITAPPLIES PER: GENERALAGGREGATE OTS' OTHERa PROJECT❑LOC PRODUCTS-COMO&AGG S HER S_ AUTOMOBILE LIABILITY ANYEa accident) I S OWNED__ SCHEDULED 130 LY INJURY-Per arson S YVf e, AUTOS ONLY AUTOS BODILY INJURY-(Par'acdderd S AUTOSONLY .AUTOSS N HIRER NON-OWNED PROPERTY DAMAGE ONLY Per accident - S S UMBRELLA LIAB. OCCUR EACH OCCURRENCE + S EXCESS UAB CLAIMS-MADE AGGREGATE S DEC RETENTION$ WORKERS COMPENSATION AND EMPLOYERS,LIABILITY - .YIN X STATUTE. ORIS A ANY PROPRIF`tGQ?PA.RTNE1Lt'.XF CVT IV We 026160313 FL 71(/2017 7!112018 OFricFRIMEMBER:EXCLUDED? N)A EL EACH ACCIDENT (Mandatoy in NH) $ 2000,000 - - nyn;eoscnOeunCrr E.L.DISEASE-EA.EMPLOYEE $; 2,000,000 DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT S 2,000,000 , s 4 1 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached If more space Is required) .. All W&Ns,te employees werking for A-1-PARADISE-PLUMBING.INC,-DBA PARADISE SERVICE TECHNOLOGIES,paid under ADP TOTALSOURCE;INC.'s payroN,am co4vmd umxtortho above stated policy.,A-1 PARADISE PLUMBING,INC,OBA PARADISE SERVICE TECHNOLOGIES is an alternate employaf under thsprAcy I CERTIFICATE HOLDER CANCELLATION ' Miami Shores Village, SHOULD ANY'OF THE ABOVE DESCRIBED POLICIES BE.CANCELLED BEFORE 10050 NE 2nd Ave THE EXPIRATION DATE. THEREOF., NOTICE WILL BE DELIVERED IN Miami Shores,FL 33138 " ACCORDANCE WITH THE POLICY PROVISIONS:'` AUTHORIZED REPRESENTATIVE ` 040lL oko 80—tivice.6, n nin.O Of 4fLOtLf:Lj Q ®1988-2015 ACORD CORPORATION.All rights reserved. ACbRD 215'.(2016103)' The ACORD name and logo are registered marks of ACORD I F d 1 * DRIVER LICENSE CLASS E - R200-552-61 -064-0 MATTHEW LAWRENCE RICH 4901 NW 75 CT COCONUT CREEK. FL 33073 Doe 02-24-1961 s�., I� sw' ISSUED:1244-2011 *4-2020 PEs MX*SE: IN safe r :kr_;, i y r; •. PRIVATE SANITARY SEWERS OPERATING (PSO) PERMIT PROGRAM - Permit Cycle 2015-2016 MIAMU ADE New Permit Application RER -Miami-Dade County P 701 NW I"Court. Floor 7 Miami,Florida 33136-3912 Phone:(305)372-6600 Fax(305)372-6944 t HOW TO SUBMIT THE ELAPSED TIME (ET) READINGS PSO- Class: 1. The Mianti-Dade County Code and the Specific Condition No.2 of the PSO Permit require the submittal of the ET Readings. RER will initiate Enforcement actions if you fail to submit the ET Readings. 2. The Elapsed Time (ET) Readings for the 2013-2014 PSO Permit Cycle MUST be submitted utilizing an ET WEB Filing i Application. 3. The Elapsed Time(ET)readings must be submitted to RER-Division of Environmental Resources Management(DERM)by the 7'h day of the following month.The application runs from the following WEB address: https://www.miamidade.gov/rer/pso_psu et filings/ 4. If you need help providing the ET readings,please contact the PSO Program at(786)372-6600. r i PERMITTEE INFORMATION (Please print or type) Permittee Name: Bank of America4ill@ e4ieT National Association (owner orauthorized owner representative with a nohrtua letter attached to the application) Mail Address: 101 N.Tryon Street City:Charlotte State:NC Zip Code:28255 Phone No.: 954-541-6773 Ext: e-mail address(if any): EIIie.Sanchez@am.jll.com Facility Name: Bank of America-Shores Village (Include Store/Suite Number If applicable) r Company Name: Bank of America Corp, National Assembly (As it appears in Fl.Division of Corporations) Facility Address: 9499 NE 2nd Avenue City: Miami Shores State:FLORIDA Zip Code:33138 Property Owner:BANK OF AMERICA NA Facility Phone:() ) Ext. (As it appears in Property Appraiser-MDC records(individual owner or corp.).if the owner is a corp.,it must match FL Div.of Corp Database)-- Property atabase)--Pro a Tax Folio No. all applicable folio : 1132060133760 EMERGENCY CONTACT INFORMATION: (You Must Complete/Update this box) Emergency Contact Person: Ellie Sanchez Phone(24 HRS): 954541-6773 MaintJService Contractor and Ph.No.(REQUIRED): 954-541-6773 SIGNATURE STATEMENT:(THE FORM MUST PROPERLY SIGNED-SEE REMARK**) The undersigned property owner(individual or corp.)or representative with notarized letter from property owner••: Alan Duryea (print legible-name of owner or authorized representative with notarized letter) is fully aware that the statements made in this application for an operation permit are true,correct,and complete to the best of his/her knowledge and belief. Further,the undersigned agrees to maintain and operate the pollution source and pollution control facilities in such a manner as to comply with the provisions of Chapter 24,Metropolitan Dade County Code,and all the rules and regulations of the department. He/She also understands that a permit,if granted by the department,will be non-transferable and heishe will notify the department upon sale,change of location,or legal transfer of the permitted facility. "Attach a notarized letter from the property owner or a valid corporate officer granting authorization to act as a representative,if the undersigned is not the property owner individual or a valid registered coorate officer of the company name Corp,LLC LLP eta if the property owner is a corporation ** I certify under penalty of law that this document was prepared by me or under my direction or supervision in accordance with a s stem designed to assure that qualified personnel properly gather and evaluate the information submitted.Based on my inquiry of the person or persons who tnanagc y pc t�ctly responsible for gathering the information,that the information submitted is,to the best of my knowledge and belief,we,accurate and complete. I am aware rc nt penalties for submitting false information,including the possibility of fine and imprisonment for knowing violations. Property Owner or Authorized Representativ"Notarized Letter 'Alan Dury'ea Agent for Bank of America Signature Print Name: LEGIBLE Title: Date: 1 PSO- I. SYSTEM DESCRIPTION A. Type of Use. Ice / Retail / Warehouse Manufacturing Residential Other Business Hours: 8 hours per day __5_days per week Other: II. RECORDS A. If there have been any changes in the collection system during the last year,attach current Sanitary Sewer Collection System Drawing or Plumbing Plan(outside buildings only). Copy attached: Yes I I No B. Has the Sanitary Sewer System within the property/facility been evaluated for a future rehabilitation work or due to the SSES requirement? Future Work: Yes No ✓ SSES Requirement: Yes No u e If yes,provide sche and scope o work. If necessary,use a separate sheet 7-paper C. Has any rehabilitation work been completed within the past year,to correct Infiltration/Exfiltration /Inflow within the property? Yes I No ✓ If yes,provide scope of work. If necessary, use a separate sheet of paper D. Nuisance problems. Has the property/facility experienced any sewer overflows and/or sewer back-ups,etc.,within the last 12 months? Yes M No If yes,explain. If necessary, use a separate sheet of paper E. Is there a LOG BOOK,for recordin AL l_ L ACTIVITIES at the Private Sanitary Sewer System, available on-site? Yes- No Indicate the exact location of the Log Book or phone number and name of person who can ell where it can be found: Available upon request. CONTACT REWDERM-PSO PROGRAM AT(305)372-6600 IF YOU NEED CLARIFICATION ABOUT THE LOG BOOK. TABLE 1-REPORT/LIST THE SANITARY SEWERS COLLECTION SYSTEM(SSCSs)PARAMETERS AND PUMP STATIONS) 4 in. 6 in. 8 in. fo in. 12 In. >12 in. #of Sanitary PS-Pump Station(s) Report piping(it), Manholes Ws,PSs parameters isneeded,adi I any clarification notes in re ereence to the modification of the exis m s—an-frary sewers collection system(s)and pump station(sl in this space.Please do not list the force main(s)parameters(n/a). Page 2 of 3 r The form must be submitted with the corresponding fee. Please attach a check in the corresponding amount made payable to "Miami-Dade County". This fee amount is based on the fee schedule approved by the Board of County Commissioners. See table below. FEE SCHEDULE The permit fee for a facility is the sum of the Sanitary Gravity Sewers Piping Fee plus the Private Pump Station(s)Fee. The piping fee is required ONLY if the facility has more than 1,000 feet of pipe, six inches or larger in nominal diameter. Otherwise,the fee will be only based on the number of private pump stations in the facility. Piping-Fee(for g facility with'.rnoxe'than'IOOD ff'o f Piping) ® 4 in. pipe: No Charge • 6 in.pipe: $0.12/LF S 8 in.pipe: $0.20/LF >8 in.pipe: $0.26/LF Private Pump Station Fee o Sanitary Pump Station fee is now at$175.00 per each pump station for all type of facilities,regardless if they meet the 1,000 feet criteria. Abbreviations: SSCS:Sanitary Sewers Collection System in a facility with a PSO permit. LF:Lineal feet of pipe. PSO:Private Sanitary Sewers Operating Permit. Remarks for PSO permit and piping fee requirements: FORCE MAIN PIPES)ARE NOT CONSIDERED FOR PIPING FEE. THE PIPING FEE IS CONSIDERED FOR THE SANITARY SEWERS PIPING(ACCORDING TO PIPE SIZE AND LINEAL FT.)IN THE SSCS. Contact the Private Sanitary Sewers Operating (PSO) Program at (305) 372-6600 if you need assistance calculating the fee or if you have any other questions about the PSO Program. Page 3 of 3 � K SEWER SERVICE CONNECTION AFFIDAVIT I/we, the undersigned, being first duly sworn, depose and say that Itwe have applied for a sewer service connection for (project description) Demo septic and connect to public sewage pump station in accordance with the provisions of Appendix A of the Consent Decree (CASE No. 1:12-CV-24400-FAM) between the United States of America and Miami-Dade County. I/we understand and attest that we are ready,willing and able to initiate construction as required below: 1. Apply for a building permit with the appropriate building official(s)within ninety(90)days from the date of issuance of written approval of the newly authorized sewer service connection. If I/we fail to apply for a building permit as specified above, pursuant to the provisions of Appendix A of the Consent Decree(CASE No. 1:12-CV-24400-FAM)between the United States of America and Miami-Dade County the newly authorized sewer service connection shall automatically be null and void on no further force and effect. 1 2. Obtain the approved building permit within one hundred and eighty (180) days of having filed the application I of a building permit pursuant to the current Florida Building Code or as it may be amended from time to time. If I/we fail to obtain the approved building permit as specified above, and fail to obtain an extension of time from the appropriate building official(s)the newly authorized sewer system connection and building permit approval shall automatically be null and void and of no further force and effect and 3. Commence construction of the project within one hundred eight(180)days of issuance of the building permit pursuant to the current Florida Building Code or as it may be amended from time to time. If I/we fail to commence such construction as specified above, the building permit and the newly authorized sewer system connection shall automatically be null and void and be of no further force and effect. Once work has commenced and the permit is revoked or becomes null and void, the newly authorized sewer service connection shall automatically be null and void and be of no further force and effect. If the building permit expires the newly authorized sewer service f connection shall expire within 150 days of the expiration date of the building permit. tSimilarly,I/we understand and attest that we are ready,willing and able to obtain a Certificate of Use or Municipal Occupational License i for any changes in a facility's use that results in an increase of wastewater flows within ninety(90)days from the date of issuance of written approval of the newly authorized sewer service connection. If I/we fail to obtain a Certificate of Use or Municipal Occupational License as specified above, the newly authorized sewer service connection automatically shall be null and void of no further force and �.effect. Furthermore, I/we hereby acknowledge and recognize-that the newly authorized sewer service connection does not constitute the approval of a building permit application, Certificate of Use or Municipal Occupational License by the Department, but rather only a certification that adequate capacity exists in the sanitary sewer collection,transmission,and treatment system for the proposed project in accordance with the provisions of Appendix A of the Consent Decree(CASE No. 1:12-CV-24400-FAM)between the United States of America and Miami-Dade County. I/we are hereby duly informed that the building permit application, building construction plans, Certificate of Use application,Municipal Occupational License application and/or any supporting or required documentation may require the review and approval of the Division of Environmental Resources Management in accordance with the requirements of Chapter 24 of the Miami-Dade County Code,as may be amended from time to time. Property Owner ' Eithne Catherine Keane Alan Duryea wr I Name in Print and Title Name in Print and Title CAL Development,Inc. Bank eri rp,N onal Association Co ray N me Co a nature Sigriat State of Florida County of Miami-Dade State of Flon a County of Miami-Dade l' { �{n °and subscri ed befo me this day of Sworn to and subscribed befQ[e me this 3 day of C—tel ,201 by � Ct iZ--� r 20L9_by ri ' taof1T�M(!_A, 1-Person known Produced Identification Y or_ y known or_Produced Identification i Notary lOublic (SEAL) Notary Pu (SEAL) TARYN L RE]Notaf 'Ye Notary Public-StateftULUCY GUTIERREZ MATOS Commission#FFMY COMMISSION#FF127876 My"Cortim.Expires J04� '>i- F �`D` EXPIRES June 1, 2018 through Nationalssn, t407t 398-0153 FloridallotaryService.com O� 1.2) � NOTE: A SHEETS HEETS MUST BE REVIEWER y> MIAMI-DADE COUNTY DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES Herbert S.Saffir Permitting and Inspection Center 11805 SW 26th Street(Coral Way) • Miami, Florida 33175-2474!(786)315-2000 APPLICATION FOR MUNICIPAL PERMIT APPLICANT'S THAT REQUIRE PLAN REVIEW FROM MIAMI-DADE FIRE RESCUE AND/OR ENVIRONMENTAL SERVICES PROVIDE MUNICIPAL PROCESS NUMBER HERE 1 N Job Address 9499 NE 2nd Avenue,Miami Shores,FL 33138 Contractor No. CFCns. gra_ 0 z o o Last four 4 digits of Qualifier No. 1097 w Folio 11-3206-013-3760 0 ] g o a, a Contractor Name A-1 Paradise Plumbing, Inc. ao Lot Block zo : Qu Matthew Matthew Rich 0.cc Subdivision PBpg, 0 z Address 260 SW 21 st Terrace ! Metes and bounds City Ft. Lauderdale State FL Zip 33312 [JC] New Construction on ( ] Demolish Current use of property Financial Institution F Vacant Land j J Shell Only w ( ) Alteration Interior ( ] Addition Attached U.( 02 [ ] Alteration Exterior [ j Addition Detached Description of Work Demo existing septic tank and WLM Q-> [ ] Relocation of Structure [ J Re-Roof connect to public force main and sewage pump station 0 a [ ] Enclosure ( ] Foundation Only Sq.Ft. Units Floors [ ) Repair ( J Tent ' Value of Work $150,000 I ( ] Repair Due to Fire [ ] MBLD- [ ] Chg.Contractor w Owner Bank of America NA y101 N.Tryon Street W Category ( ] Re-issue a Address ry l ( ] MELEF [ ] Re-Stamp N City Charlotte State NC Zip' 28277 ~ j3d MPLU 3 [ ] Revision W Phone [ j MLPG wj ] Not Applicable for 3 Last four(4)digits of [ ] FIRE x Fire O Owner's Social Security No. I Q� Name' Rick Peters � Owner Nisit Sapparkhao-Infinity Engineering Group,LLC cr ►-:5 7486 Pinewalk Drive South F z Address 1208 E.Kennedy Blvd.,Suite 230 o a Address 0:3 City Margate State FL zip 33063 UZ City Tampa State FL zip 33547 WCC w U 954805-6802 a Phone 813-4344770 a Phone J z u I am requesting a Special Request Plan Review(SRI)to be scheduled as soon as passible.There is a minimum charge of e a one-hour.Please contact the Fre Department for current rate. a,I„3 1"'Request: Date: Will w>> Date: X w¢ 2nd Request: ¢ 316 Request: Date: If the applicant is a known named violator with:unpaid civil penalties;unpaid administrative costs of hearing;unpaid County investigative,enforcement,testing,or monitoring costs;or unpaid liens, any or all of which are owed to Miami-Dade County pursuant to the provisions of the Code of Miami-Dade County, Florida,a hold on the review may be placed on this application. , 1?3_ol-y92 -"7 i I � k l t 7 ^ J MIAMI'DIRC}E .... Miami-Dade County Department of Regulatory&Economic Resources Division of Environmental Resources Management DERM#: 1 { Sewer Capacity Certification Letter Application dermplanreviewPmiamidade.gov West Office(PIC)786-315-2800 Downtown Office(OTV)305-372-6789 Instructions:You must fill out this application to obtain a sewer certification allocation letter which is a required step in obtaining your building permit. Step 1:Completely fill out sections 1a,1b,and 1c;and complete the affidavit on the reverse side of this application including the notarized signature of the property owner or the authorized representative. Please note:Assignment of the authorized representative must be in the form of a notarized authorization letter from the property owner. Sten 2:Have your utility(if not part of the MDWASD utility service area)certify the pump station information for your project in Section 2. Step 3:Once your application has been certified by your utility,bring the completed application to one of the DERM Plan Review offices for processing RESIDENTIAL(SINGLE FAMILY&DUPLEX)FEE up to 5 building sites:$90.00 plus$10 per additional building site. COMMERCIAL FEE:$120 for the first site plus$10 for each additional building site. Please make checks payable to:Miami•Dade County APPLICATIONS WILL NOT BE ACCEPTED IF THE NECESSARY INFORMATION AND SIGNATURES ARE NOT PROVIDED. Section la Contact Name: Rudolph Runge Phone: 813-434-4770 Email: Permitting@IEGroup.net Applicant Information Property Owner Information Name(title): Eithne Catherine Keane Name(title): Alan Duryea Company name: CAL Develo ment,Inc, BANK OF AMERICA NA M P Company name: Address: 6850 Lyons Technology Circle Address: 101 N Tryon Street - �,; City: Coconut Creek State: FL Zip: 33073 City: CHARLOTTE State: NC Zip: 28277 Phone: 954-564-0655 Phone: 813-434-4770 Email: dhiggs@caldevelopment.com Email:Ellie.Sanchez@am.jil.com Section lb Property Information Project/Business Name: Bank of America Corp,National Association Address: 9499 NE 2nd Avenue City: Miami Shores Zip; 33138 #of units: Type of units: Folio: 1132060133760 Lot&Block#(s): / Subdivision: Be sure to include a Lot&Block#for each unit to be developed. You may attach an additional list if necessary. If Lot&Block are unavailable,submit a track number, survey,site plan or sketch that includes all property boundaries. For undeveloped land,you may submit a master folio number for the entire property. { Section 1c Project Details Proposed Flow: 2,028 GPD GPD Previous Flow: 0 GPD Estimated Completion Date: 01/15/2018 Process#: City: Miami Shores Sewer Extension#; Previous Use: Financial/Bank f Proposed Use/Project Description (Including SQ FT): connect the existing Bank of America located at 9499 NE 2nd Ave,Miami Shores,FL to lift station.2 Stories,total Square footage:13,202. Section 2 To e completed by utility company onto Utility Providing Service: Date: Pump Station Receiving Flow: Located at: Sewer abutting the Property(YES/,NO ) (FORCEMAIN/GRAVITY) Lateral Connection ( NEW/EXISTING ) Point of Connection: Utility Official Name: Signature: Phone#: