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DEMO-18-1725Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address Permit NO.: [}EMO-6-1&1725 } Permit Type: Demolition Work Classification: Commercial Permit Status: Approved Issue Date:12/04/2018 ` Expiration: 06/03/2019 Parcel Number 9534 NE 2 AVE, Miami Shores, FL 33138 1132060132630 Contacts LEOCAVA LLC Owner LEOCAVA LLC Applicant LEOCAVA LLC LEOCAVA LLC BUILDING CONCEPTS OF FLORIDA Contractor VICTOR LEONI 8089 NW 67 Street, Mlami, FL 33166 Business: 3057960096 vleoni@aol.com Description: DEMOLISH EAST FACING FACADE Valuation: $ 5,000.00 Inspection Requests: _ 305-762-4949 TotalSq Feet: 0.00 Fees Amount CCF $3.00 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $1.00 Permit Fee $100.00 Scanning Fee $9.00 Technology Fee $4.00 Total: $121.00 Building Department Copy Payments Date Paid Amt Paid Total Fees $121.00 Check # 4058 06/25/2018 $50.00 Credit Card 12/04/2018 $71.00 Amount Due: $0.00 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 AFFIDAVI certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constructi n ning. F thermo e, I authori a the above named contractor to do the work stated. ' << 2u1� Authorized Signature: Owner / Applicant / Contractor / Agent ate December 04, 2018 Page 2 of 2 �0 BUILDING 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 PERMIT APPLICATION (BUILDING ❑ ELECTRIC ❑ ROOFING JUp2 5TO�C, 44-� FBC 201-. Master Permit No. 1:� K-10 ( �r ` n ZS Sub Permit No. ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 1 � - 32 0 6 - vi 3 -7-63o Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): L2oeC,jJG LLL Phone#: JDS• �5b • ti -+i X(-b j Address: ` D &)( City: Mt'&AhI State: zip: 33'Z3� Tenant/Lessee Name: Phone#: Email: I �--0► O' GO M CONTRACTOR: Company Name: Q��k3 ('�n5 Cc Q}s Phone#: 305.1�0. 13U4b Address: - 6;rJ W City: B Qualifier Name: M It r l.,co': r-L State Certification or Registration #: C13c. o3 � $141- Certificate of Competency #: DESIGNER: Architect/Engineer: Ad City: ne#: Zip: 33 oib 30S •-)Ato • 0-DI1b e: Zip: Value of Work for this Permit: $ 500 0 - Oro Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace Demolition Description of Work: Ii�Mo�� 5� J(¢� )�,c n1 4caje- A*70r� Specify color of color thru tile: Submittal Fee $ Scanning Fee $ Permit Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ CCF $ DBPR $ CO/CC $ Notary $. Double Fee $ Bond $ ''') TOTAL FEE NOW DUE $ { I . C� (Revised02/24/2014) Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) _ Mortgage Lender's Address City State Zip 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 wfich occurs seven (7) days after the building permit is issued. In a absence of such posted notice, the inspection will not be app oved and a reinspection fee will be charged. If Signature / /y(/ V l Signature OWNER or AGENT The foregoing instrument wa acknowledged beforemethis day of y 20 by SOD L IVI who is personally known to rror who has produced identification and who did take an oath. NOTARY PUBLIC: Sign: Print: &LemJ Seal: -"""` ANDREW VOGEL MY COMMISSION # FF91 %93 EXPIRES: Nomnba,25, 2019 APPROVED BY CONTRACTOR The foregoing instrument was acknowledged before me this / Y day of -7'Z/) 20 by Whl"' 1�yl , who is personally known to as me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sig n: Print: as Seal: =Novenba ************ Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) 11- 3Zd�- 013 - z (3 0 ( w ovL, fC,- -Jt F, v --n I-? "Cl fl -- ZS JUN 2 5 2018 i%n-)r-)vim o ' rlv DATE 05 1617 ' � 1 /I• :�•�• ��• -; �i�iii ii�lti hv 4 • ••• • ••• • • • • • • • • • • • • • • • •• • • •• • • • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • T ' CO)' W IA'.(;I- �%'I'H ALL FL D;AIAL MIAMFDADE Florida Department of Department of Regulatory and Economic Resources Environmental Protection Environmental Resources Management F A 701 NW 1 st Court, 2nd Floor Division of Air Resource Management12 54 NOTICE OF DEMOLITION OR ASBESTOS RENOVATION T:FP7!.w `X 7 ov mla ov TYPEOFNOTICE (CHECKONEONLY) 0 ORIGINAL ❑ REVISED ❑ CANCELLATION T SY�o�� TYPEOFPROJECT (CHECKONEONLY) O DEMOLITION ❑ RENOVATION ❑ ROOFING IF DEMOLITION, IS ITAN ORDERED DEMOLITION? ❑ YES NO IF RENOV ATION: Air Quality IS ITAN EMERGENCY RENO VATION OPERATION? ❑ YES ❑ NO File #_Mana9prn nt Division IS ITA PLANNED RENO VATION OPERATION? ❑ YES ❑ NO Process # I. Facility Name Miami Shores Medical Center Address 9526 Ne 2nd Ave City Miami Shores State �FIL�� Zip 33138 County Dade Site FC-e t,� VkM nIJ,,, e� tit rsiaFJ f'J Ii1+) 5frlsultant Inspecting Site Building Size 19,229 (Square Feet) # of Floors 2 Building Age in Years 93 Prior Use: ❑ School/College/University ❑ Residence ❑ Small Business Other Present Use: ❑ School/College/University ❑ Residence ❑ Small Business Other Medical Office II. Facility Owner Leocaya LLC Phone 305.756.1177 x 10 Address PO Box 381703 City Miami State FL Zip 33238 III. Contractor' s Name Building Concepts of Florida Phone 305.796.0096 Address 7650 W. 26th Ave City Hialeah State Florida Zip 33016 Is the contractor exempt from licensure under section 469.002(4), F .S.? ❑ YES 21 NO IV. Scheduled Dates: (Notice must be postmarked 10 working da ys before the project start date) Asbestos Removal (mm/dd/yy) Start, Finish: Demo/Renovation (mm/dd/yy) Start, 09/04/18 Finish: 10/05/18 V. Description of planned demolition or reno vation work to be performed and methods to be employed, including demolition or renovation techniques to be used and description of affected facility components. Removal Of mansard roof from bulldinq side Procedures to be Used (Check AIIThat Apply): ❑✓ I Strip and Removal I ❑ I Glove Bag ❑ I Bulldozer ❑ Wrecking Ball ❑ I Wet Method I ❑ I Dry Method ❑ Explode ❑ Burn Down OTHER: VI. Procedures for Unexpected RACM: Cease and renotify VII. Asbestos W asteTransporter: Name Progressive Waste Solutions Phone 305.638.3800 Address 3840 NW 37th Ct City Miami State FL Zip 33142 Vill. Waste Disposal Site: Name Miami Dade County Resources Recovery Facility Address 6990 NW 97th Ave AIR QUALlrY MIt city Miami State Zip fi� tM t th IX. RACM or ACM: Procedure, including analytical methods, employed to detect the presence of R�IlanJ�a eis tol aijt�n0'rl�tia7Sl'de�v Uired o mcat on(gs�Vgarding asbestos have been rcte in omp lance with Amount of RACM or ACM" square feet surfacing material square feet cementitious ma ri pllcab regulations. linearfeetpipe square feet re'I',�t0 orin Q '�2 18 cubic feet of RACM off facility components square feet a pK ltir000 ng Date VV "Identify and describe surfacing material and other materials as applicable:,�I iZ I certify that the above information is correct and that an individual trained in the provisions of this regulation (40 CFR Part 61, Subpart M) will be on - site during the de�Jvl ion or renovation and evidence that the required training has been accomplished by this person will be available for inspection during normal bus hours. I have read and understood the additional information provided on the back of this form. (aJ?D (Print Name of O er/Operat r) (Signature of er/Operator) ( ate) (Contact phone #) RER USE ONLY Postmark/Date Received ID # 161_01-158 10/10 DISTRIBUTION: White-RER Yellow -Applicant Pink -Reserve Gold -Reserve LEOCAVANLLC LEVEL 2 ALTERATION EXTERIOR FASCADE 9526 NE 2 AVE WIMAI SHORES. FL 33158 FOuO11 -3206-0132630 L--- ATIONSANDWINDOV.l DETAILS REVISION NO. �.�E I oRA CIEC [D. A- l08 NO P OWNERSHIP A2