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CC-17-2303Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 ft)a Q r JI , Issue Date:11/13/2018 Location Address Parcel Number Permit NO.: CC-9-17-2303 Permit Type: Building (;Commercial) Work Classification: Alteration Permit Status: Approved Expiration: 03/11/2019 9710 NE 2 AVE, Miami Shores, FL 33138 1132060132350 1 Contacts SHORES LANDING LLC Owner SHORES LANDING LLC Applicant GLADYS MATZ GLADYS MATZ Other:3055258816 GLADYSMATZ@AOL.COM Other:3055258816 GLADYSMATZ@AOL.COM DRAAM CONSTRUCTION INC Contractor FERNANDO ARIAS Business: 3052196459 Other:7867155044 Description: INTERIOR RENOVATION OF EXISTING MEDICAL Valuation: $ 6,000.00 Inspection Requests: OFFICE SPACE TO BE USED AS AN INSURANCE OFFICE . "AFTER THE FACT" Total Sq Feet: 2,193.00 UNIT 9730 Fees Amount CCF $3.60 DBPR Fee $2.70 DCA Fee $2.00 Education Surcharge $1.20 Notary Fee $5.00 Penalty Fee $100.00 Permit Fee $180.00 Plan Review Fee (Engineer) $90.00 Plan Review Fee (Engineer) $160.00 Preliminary Plan Review $200.00 Scanning Fee $15.00 Technology Fee $4.80 Work without Permit Fee $150.00 Total: $914.30 Payments Date Paid Amt Paid Total Fees $914.30 Cash 11/13/2018 $354.30 Cash 08/24/2018 $200.00 Credit Card 09/26/2017 $360.00 Amount Due: $0.00 Building Department Copy 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: A certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating gonstructiW d zoning. Futhermore, I authorize the above named contractor to do the work stated. a / Applicant / Contractor / Agent Date November 13, 2018 Page 2 of 2 ACOREP CERTIFICATE OF LIABILITY INSURANCE `.►/1 DATE(MMIDD/YYYY) 11 /09/2018 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 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 certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: LISSET BETANCOURT Floridian Choice Insurance Group 2353 Coral Way A ; : (305) 857-9880 AAc No): (305) 857-9836 aDORESS: LISSET@FLORIDIANCHOICE.COM INSURE S AFFORDING COVERAGE NAIC N INSURERA: UNITED SPECIALTY INSURANCE COMPANY Miami, FL 33145 INSURED INSURERS: INSURER C : DRAAM CONSTRUCTION INSURER D : 7530 SW 36 ST INSURER E : INSURER F : MIAMI FL 33155 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTRR TYPE OF INSURANCE ADDLSUBR mim POLICY NUMBER MlWD� EFF MPMILIDO1 EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR N N SIZGL1004B207288 09/09/2018 09/09/2019 EACH OCCURRENCE $ 1,000,000.00 DAMAGE TO RENTED - PREMISES Ea occurrence $ 1,000,000.00 MED EXP (Any one person) $ 5,000.00 PERSONAL BADVINJURY $ 1,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑ jRa LOC OTHER: GENERAL AGGREGATE $ 2,000,000.00 PRODUCTS -COMP/OPAGG $ 2,000,000.00 $ AUTOMOBILE UA131UTY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS L COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per acadent $ $ UMBRELLA LIAB EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A ER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) GENERAL CONTRACTOR I.CK I Irit;A I C MULLICK GANL;LLLA I IUN MIAMI SHORES VILLAGE 10050 NE 2 AVE MIAMI SHORE FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD 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 FBC 20M� Master Permit No. GC 17-Z 36 PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: Z- "L City: Miami Shores County: Miami Dade Zip: \:5o' j Folio/Parcel#: l �3�`�`P —()% -"' 23 Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): S V1O4`Q-- Phone#: -2-0.S Address: 59 <2A City: State: 7-7 Zip: �3 �1 Tenant/Lessee Name: Phone#: Q /1 Email: 2A-A CONTRACTOR: Company Name: Q1��1�� �o�tS � o� \f� C_ Phone#: CO2 Cy\©o Address: `Z3SZ w '80 SN QCity: c`�a State: �� �ti ��o Zip: �� a Qualifier Name: Phone#: ZCN-- \ Sc44-� �J State Certification or Registration #: Certificate of Competency M DESIGNER: Architect/Engineer: Phone#: Address: Cit : S Zip: Value of Work for this Permit: Square/linear Footage of Wor c: 2 Type of Work: ❑ Addition Al-t (e ration El New ❑ Repair/Replace ❑ Demolition Description of Work: `V'Ncq-Vv- \`0 v�Vc,�c�,y� ®k Specify color of color thru tile: Submittal Fee $ ! o) OD Permit Fee $ 19a % CCF $ -:R CO/CC $ Scanning Fee $ Cn1 Radon Fee $ 0- - CRC DBPR $ Notary $ Technology Fee $ �} - F Training/Education Fee $ Zo Double Fee $ Structural Reviews $ of . Gp ((� p Bond $ Sy �N -T`� o TOTAL FEE NOW DUE $ (Revised02/24/2014) —POEU M I N 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 Zi 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. IP 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 reiraspection fee will be charged. Sign ER or/AGENT The foregoing instru//1med was acknowledged before me this �_ day of AU 20 Ik- , by GAD-( ) , who is pe na y cno to me or who has produced I as identification and who did take an oath: " • , Signature CONTRACTOR The foregoing instrument was acknowledged before me this a 1 day of V' 20 by �Q nJ who is personally known to me or who has produced PUprz, \/,Q as identification and who did take an oath. NOTARY PUBLIC: Sign:_ Print: Seal: �V7- *****� �� APPROVED BY Plans Examiner Structural Review Zoning Clerk (Revised02/24/2014) RICK SCOTT, GOVERNOR JONATHAN ZACHEM, SECRETARY : Florida Idop.� r STATE OF FLORIDA DEPARTMENT OF BUSIN A ,�N,V4WFESSIONAL REGULATION CONSTR THEGENE G BOARD Always verify licenses online at MyFloridaLicense.com NDER THE UTES Ell Do not alter this document in any form. This is your license. It is unlawful for anyone other than the -licensee to use this document. Level Business Tex. Receipt "ami--Dade County, State of Poet& xgr1,S40TA LIL-DONOTPA,Y 6008445 UUSION&VA, Asa t+aedtiarrta Ott No M swST 6269104 MNM R 331155 EXPIRES SEPT'EMBER 30, 2019 MUM 1o&.piLa W pAwA®, 1tm ow TA cmanty co& CiVW07 $A - An. $ 610 DRAMICIONSTRUCION INC 1 G NERAL Bt1t. IXNE OF NG Ti CONTRAUM PAVMENTIRECEIVED UVAIAS, FERNANDO (Odtl5M- 80 rev TAX COLLECT" " S75.00 OV16/2018 Vftfker(s) q CREDITCARD-18--054652 Tltish"I MusineXsUOReceipt t+x cudirms payment of the kital 'Businas Tax. The Rectipt,is not a'I ttwjk' IpWak,PA a certifi:.ifi of the hdtbf' aI icatians,4o do lass 'Holder must comply aft any govetawe" WrWaWY"ernmenvilwoulatory'Is�u8:�rlr9 requirembnts vvhid%Wk ly-to the'bia4bM. 'Aa RECEIPTUD. above nNO Wlisplayed an all commWaiial vehicles—Wmvi-Maf C?bte Sec Sa-2.76. Formant 'Arrmation, viEit www.miamidade:a$4�8Xt R1173LTpi V PMiami Shores Village .( Building Department BUILDING PERMIT APPLICATION ME BUILDING ❑ ELECTRIC 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 ZI 1_1 17 -- INSPECTION LINE PHONE NUMBER: (3V3) 162-4949 FBC 2011 S+h Master Permit No. CC 11- 2-3 03 Sub Permit No. ❑ ROOFING ❑ REVISION ❑ EXTENSION RENEWAL r_jPLUMBING MECHANICAL FIPUBUC WORKS JOB ADDRESS: 9726-9730 NE 2nd Avenue 11-3206-013-23W Occupancy Type: Office Load: OWNER: Name (Fee Simple Titleh AAA-,,. 714 NE 59thevar+r city. Miami, Tenant/Lessee Name: Email: CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS ko � 2- -ate sated: Yes NO _ BFE: FFE: ,ne#. Cell. ( 9LI-a815 :... 33137 CONTRACTOR: Company Name: BY HIS GRACE CONSTRUCTION, INC. PhoneO: (954) 654-0665 Address: 3361 NW 154 Terrace City: Opa Locka, State: FL Zip: 33054 Qualifier Name: Charlps Memmott Phone#: (305) 642-3520 State Certification or Registration #: CGC 1516455 Certificate of Competency #: DESIGNER: Architect/Engineer: Belhnson Gomez Architect (Jose L. Gomez) Phone#: (305) 559-1250 Address: 8101 Biscayne Blvd. Suite #309. CitV: Miami state: FL zip: 33138 Value of Work for this Permit: $ )K ;j U Ua . a d Square/LinearrRei ge of Work 2,193 Type of Work: ❑ Addition © Alteration ❑New air/Replace Demolition Description of Work: Interior Renovation of eAsting medical office space to be used as an insurance office. `After the Fact". Specify color of color thjru tile: Submittal Fee $�t,U Permit Fee $ CCF $ CO/CC $ Scanning fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ DBPR $ Notary $ Double Fee $ Bond $ (ReviseW2/24/2014) 4,16o ) S -irvCVV 1u 1 i �ZCO T)r(j Rvv, TOTAL FEE NOW DUE $ 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 construc tion lien 1 w brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of co mencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. n the abs ce of such posted notice, the inspection will not be approved and a reinspection fee will be charged. I� Signature ch(jl f4 6r- - [ OWN or AGENT The foregoing instrument was acknowledged before me this day of "RIA6U% i 20 by GI.APNs MAT'2- who is personally known to me or who has produced as Signature The foregoi /rur day of I me or who has produ CONTRACTOR was acknowledged before me this vIt 20 1, I by wh is Dersonallv known to identification and who did take an oath. identification and whb did take an NOTARY PUBLIC: NOTARY, PUBLIC: as Sign: %V Sign: Print: m�i1�y- C U�i�= Print: 1 n� in State of Florida Y'p' MARY-EVE VENDRYES tea` My Commission FF 160029 Seal: o, Seal:oF�d' Expires 09/15/2018 „�. Notary Public - State of Florida • • ' • = Commission # GG 083866 �''� =�� P My Comm. Expires Jun 17, 2021 as m lh*4 National Notary Assn. APPROVED BY Plans Examiner Zoning lotlhq� A7�lq Structural Review (Revised02/24/2014) G ' Clerk Property Search Application - Miami -Dade County Page 1 of 1 '7*OFFICE OF THE PROPERTY APPRAISER Summary Report Property Information Folio: 11-3206-013-2350 Property Address: 9710 NE 2 WE Miami Shores, FL 33138-2332 Owner SHORES LANDING LLC Mailing Address 714 NE 59 ST MIAMI, FL 33137-2326 PA Primary Zone 6400 COMMERCIAL - CENTRAL Primary Land Use 1913 PROFESSIONAL SERVICE BLDG : OFFICE BUILDING Beds / Baths / Half 0/0/0 Floors 1 Living Units 0 Actual Area Sq.Ft Living Area Sq.Ft Adjusted Area 13,544 Sq.Ft Lot Size 19,5)0 Sq.Ft Year Built 11946 Assessment Information Year 2017 2016 2015 Land Value $507,000 $507,0007$429,000 Building Value $943,000 $770,000 $731,616 XF Value $0 $0 $0 Market Value $1,450,000 $1,277,000 $1,160,616 Assessed Value $1,315,975 $1,196,341 $1,087,583 Benefits Information Benefit Type 20171 2016i1 2015 Non -Homestead Assessment Cap Reduction $134,025 $80,659 $73,033 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). (Short Legal Description 1 534165342 MIAMI SHORES SEC 1 AMD PB 10-70 LOTS 3-4 & 5 BLK 18 SIZE 150 X 130 23462-2095 06 2005 1 Generated On : 9/5/2017 Taxable Value Information 2017 20161 2015 County Exemption Value $0 $0 $0 Taxable Value $1,315,975 $1,196,341 $1,087,583 School Board Exemption Value $0 $0 $0 Taxable Value $1,450,000 $1,277,000 .... _........ .. $1,160,616 City Exemption Value $0 $0 $0 Taxable Value $1,315,975 $1,196,341 $1,087,583 Regional Exemption Value ____....._ Taxable Value ... $0�$�1, $1,315,975196 $0' $0 __... ........... 341 $1,087,583 Sales Information Previous Sale Price OR Book -Page Qualification Description 06/01/2005 $2,165,000 23462-2095 Sales which are qualified 02/01/2001 $1,035,000 20224-2435 Sales which are qualified 07/01/1985 $788,000 12574-1861 Sales which are qualified 06/01/1976 $230,000 00000-00000 Sales which are qualified 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 http://www.miamidade.gov/info/disclaimer.asp Version http://www.miamidade.gov/propertysearch/ 9/5/2017 Detail by Entity Name Page 1 of 2 Florida Department of State D3vIaio:q r.)f co' HPORI ':":rWs Department of State / Division of Corporations / Search Records / Detail By Document Number / Detail by Entity Name Florida Limited Liability Company SHORES_ LAN DING, _LLCJ Filing Information Document Number L04000070308 FEI/EIN Number 20-1672500 Date Filed 09/27/2004 Effective Date 09/27/2004 State FL Status ACTIVE Last Event REINSTATEMENT Event Date Filed 10/07/2010 Principal Address 714 NE 59TH STREET MIAMI, FL 33137 Mailing Address 714 NE 59TH STREET MIAMI, FL 33137 Registered Agent Name & Address MATZ, RUBEN 714 NE 59TH STREET MIAMI, FL 33137 Authorized Person(s) Detail Name & Address Title MGRM MATZ, RUBEN 714 NE 59TH STREET MIAMI, FL 33137 Title MGRM M_i4TZ,;GI.XDY' .S� 714 NE 59TH STREET MIAMI, FL 33137 Annual Reports http: //search. sunbiz. org/Inquiry/CorporationSearchISearchResultDetail?inquirytype=Entity... 9/5/2017 5/22&18 Miami -Dade County Building Department e-Pennitting r_rfi Search: m `yy Status of Plans Process: M2017018180 Application Dater 09/27/2017 Storage Location: By: Date Picked up: MIAMI,DADE Review Reviewed By Est Comp Date Disp Date Disposition DERM DIAZ, LOURDES M 09/27/2017 09/29/2017 A FA FIRE CARLOS RODRIGUEZ 09/27/2017 10/30/2017 PWIF RICHARDSON, KEITH 09127/2017 10/102017 N WASA FERRERO, ISABEL 09/272017 1025/2017 A PAYU FEE COL 09272017 09272017 A HRS GONZALEZ, LOANIS 09/282017 05Mn018 A Disposition Legend: A=Approved, D=Disapproved, N=N/A, P=Approved as Noted Note: PAYU relates to payment of up -front fees only. Page: 1 REVIEW STATUS INQUIRY SUCCESSFUL (NO MORE ENTRIES) BLDG Home Pagg I BLDG Main Menu I BLDG Permit Menu I BLDG Plans Processing Menu I ja§pgction TypM I Address Format Home e i A ut I Phone Directory I Privacy I Disclaimer Email your comments, questions and suggestions to Webmaster This page was last edited on: February-23, 2004 Web Site 0 2004 Miami -Dade County. All rights reserved. http:llegvsys.co.miami-dade.fl.us:1608ANWV iSERVIggvtlBNZAM72.DIA?KEY=M2017018180 1 /1 5/22ral8 Miami -Dade County - E-perrnitting - Category Description Building 7fi; �L��caaaE Internet Permit Application System Permit Status Inquiry - Categories Description Date. 05/22/2018 Revision Type Category Description FIRE jj 0001 IF FIRE INSPECTIONS RECOMMENDED Permit Status Get another Permit Status Home i Online Services i Permits i Fees i Performance Statistics i Contact Us Plans Tracking i Today's Routes & Results i Track Enforcement i Pay Re -inspection E-mail your comments, questions and suggestions to Webmaster This page was last edited on: August 2015 http:fAY85exp.miamidade.gov/permitingWeb/RequestController?cmd=PROJECTIN(_CAT DESC_COMMAND&revType=FIRE 1/1 Certificate of Completion Miami Shores Village 10050 N.E. 2nd Ave, Miami Shores, Florida 33138 Tel: 305-795-2204 Fax: 305-756-8972 Building Inspection Department This certificate issued pursuant to the requirements of the Florida Building Code 106.1.2 certifying that at the time of issuance this structure was in compliance with the various ordinances of the jurisdiction regulating building construction or use. For the following: Description: INTERIOR RENOVATION OF EXISTING MEDICAL OFFICE SPACE TO BE USED AS AN INSURANCE OFFICE. "AFTER THE FACT" UNIT 9730 Permit Type Owner Subdivision/Project Construction Type V-A Square Footage Location 9710NE2AVE Miami Shores, FL 33138 Building (Commercial) GLADYS MATZ 2,193.00 Bldg. Permit No. CC-9-17-2303 Contractor DRAAM CONSTRUCTION INC Date Issued 04/16/2019 Occupancy B Type Flood Zone X 21 Occupants If the building is located in a special flood hazard area documentation of the as -built lowest floor elevation or lowest horizontal structural member has been provided and is retained in the records of Miami Shores Village. This certificate issued pursuant to the requirements of the Florida Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the jurisdiction regulating building construction or use. _.i 1 Building Officials Approval Not Transferable f Ismael Naranjo, CBO Miarrii Shores Village Type: Building (Commercial) �cr i � if Building Department Workdass: Alteration 10050 NE 2 Ave Miami Shores FL 33138 Permit Staters: Approved F1oilo) Issue Date: 11 /13/2018 Expires: 03/11 /2019 INSPECTION REQUESTS: (305)762-4949 or log on at https:Hbldg.msvfl.govienergov_pr OnST ON SITE Requests must be received by 3:30pmTHIS MOST of WORK IS ALLOWED MONDAY THROUGH FRIDAY, 8:00AM - T.00PM 060132350 SATURDAY 8:OOAM - 6:OOPM. NO WORK IS ALLOWED ON SUNDAY OR HOLIDAYS BUILDING AND ROOFING INSPECTIONS ARE DONE MONDAY THROUGH FRIDAY . E INSPECTION WL I B SITHEE PERMIT APPLICADE UNLESS THE ANT'S REARD IS SPONSIBILITY S BIILT YY TODENSURE TF;AT IS A ISLE a i READILY AVAILABLE. E f OF' EXPOSED FOR INSPECTION PURPOSES. NEITHER THE BUILDING OFFICIAL NOR THE CITY SHfL , +!� EXPENSE ENTAILED IN THE REMOVAL OR REPLACEMENT OF ANY MATERIAL REQUIRED TO Fl O (f p'Ll � — 11- P-MI&I Owner's Name: GLADYS MATZ Owner's Phone: (305)525-8816 Job Address: 9710 NE 2 AVE Sv 5� �' Total Square Feet: 2,193 Miami Shores, FL 33138 total Job Valuation: $ 6:r90Q.00 Contractor(s) Phone Address DRAAM CONSTRUCTION INC (305)219-6459 Description: INTERIOR RENOVATION OF EXISTING MEDICAL OFFICE SPACE TO BE USED AS AN INSURANCE OFFI� "AFTER THE FACT" UNIT 9730 WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK. OR RECORDING YOUR NOTICE OF COMMENCEMENT. Page 1 of 1 INSPECTION RECORD STRUCTURAL INSPECTION DATE INSP Foundation Stemwall Slab Columns (1st Lift) Columns (2nd Lift) Tie Beam Truss/Rafters Roof Sheathing Bucks Interior Framing Insulation Ceiling Grid Drywall Firewall Wire Lath Pool Steel Pool Deck Final Pool Final Fence Screen Enclosure Driveway Driveway Base Tin Cap Roof in Progress Mop in Progress Final Roof Shutters Attachment Final Shutters Rails and Guardrails ADA compliance DOCUMENTS Soil Bearing Cert Soil Treatment Cert Floor Elevation Survey Reinf Unit Mas Cert Insulation Certificate Spot Survey Final Survey Truss Certification STRUCTURAL COMMENTS WINDOWSDOORS INSPECTION DATE INSP Attachment INSPECTION WORKSPUBLIC DATE INSP Excavation ELECTRICAL INSPECTION DATE INSP Temporary Pole 30 Day Temporary Pool Bonding Pnn1 Derk Rnnriing Pool Wet Niche Underground Footer Ground Slab Wall Rough Ceiling Rough Rough Telephone Rough J Telephone Final TV Rough TV Final Cable Rough Cable Final Intercom Rough Intercom Final Alarm Rough Alarm Final Fire Alarm Rough Fire Alarm Final Service Work With ELECTRICAL COMMENTS INSPECTION DATE INSP Final Sprinkler Final Alarm PLUMBING !NSPECTION I DATE I INSP Rough j Water Service 2nd Rough Top Out Fire Sprinklers Septic Tank Sewer Hook-up Roof Drains Gas LP Tank Well Lawn Sprinklers Main Drain Pnpl Pinino ro Backflow Preventor Interceptor Catch Basins Condensate Drains HRS Final Oy PLUMBING COMMENTS INSPECTION DATE INSP Underground Pipe Rough Ventilation Rough Hood Rough Pressure Test Final Hood Final Ventilation Final Pool Heater Final Vacuum MECHANICAL COMMENTS MUNICIPAL NO.2018-052131 PROCESS NO. M2017018180 FOLIO: 1132060132350 JOB SITE ADDRESS 9710 NE 2 AVE PROPOSED USE RETAIL SALES /INT/ALT REQUIRED INSPECTIONS INIT DATE FIRE 0001 FIRE INSPECTIONS RECOMMENDED 200 FIRE HYDRANTS 208 FIRE TCO INSPECTION 211 PRELIMINARY 209 FIRE FINAL THE FOLLOWING REQUIREMENTS (OR CONDITIONS) HAVE BEEN PLACED ON THIS PROPOSED IMPROVEMENT, UPON COMPLETION OF THIS PROJECT IT SHALL BE THE RESPONSIBILITY OF THE OWNER/CONTRACTOR TO CONTACT THE APPROPRIATE DEPARTMENT TO RESOLVE ANY OUTSTANDING ISSUES. COMPLETION HOLDS INIT STATUS DATE 079 HRS INSPECTION REQUIRED A MUNICIPAL INSPECTION REQUIREMENTS AND RECORD 04/12/2019 MUNICIPAL NO.2018-052131 PROCESS NO. M2017018180 FOLIO: 1132060132350 JOB SITE ADDRESS 9710 NE 2 AVE PROPOSED USE RETAIL SALES /INT/ALT INSP INSP INSPECTION DISP RESULT INSP TYPE DATE !------------ COMMENTS -------------! CODE DATE INIT 209 4/11 /2019 036 4/11 /2019 MOLNAR 209 0/ 0/ 0 000 0/ 0/ 0 MUNICIPAL INSPECTION REQUIREMENTS AND RECORD 04/12/2019 MUNICIPAL NO.2018-052131 PROCESS NO. M2017018180 FOLIO: 1132060132350 JOB SITE ADDRESS 9710 NE 2 AVE PROPOSED USE RETAIL SALES /INT/ALT TO SCHEDULE A FIRE INSPECTION, PLEASE VISIT THE WEB AT WWW.MIAMIDADE.GOV/BUILDING OR WWW.MIAMIDADE.GOV/FIRE. YOU WILL NEED TO PROVIDE YOUR TEN DIGIT MUNICIPAL INSPECTION NUMBER AND INSPECTION TYPE. THE INSPECTION TYPE CAN BE FOUND ON YOUR INSPECTION REQUIREMENTS AND RECORDS CARD. IF YOU HAVE ANY QUESTIONS OR CONCERNS REGARDING AN INSPECTION, SCHEDULING A PRELIMINARY INSPECTION, OR LOAD BANK TEST INSPECTION, PLEASE CALL FIRE PREVENTION AT 786-331-4800. IF YOU HAVE ANY QUESTIONS OR CONCERNS REGARDING A PLAN REVIEW, PLEASE CALL FIRE ENGINEERING AT (786) 315-2771. **BE ADVISED THIS IS NOT A PERMIT. PERMIT IS TO BE ISSUED BY YOUR CORRESPONDING MUNICIPAL BUILDING DEPARTMENT. Back to Main Menu BLDG Home Page I BLDG Main Menu I BLDG Permit Menu I BLDG Plans Processing Menu I Inspection Types I Address Format Home I About I Phone Directory I Privacy I Disclaimer E-mail your comments, questions and suggestions to Webmaster This page was last edited on: February 23, 2004 Web Site © 2004 Miami -Dade County. All rights reserved. e-Permitting Search: 5 �O MUNICIPAL INSPECTION REQUIREMENTS AND RECORD 04/12/2019 MUNICIPAL NO.2018-0521.31 FOLIO: 1132060132350 JOB SITE ADDRESS 9710 NE 2 AVE PROPOSED USE RETAIL SALES /INT/ALT LEGAL 1 53 41 6 53 42 MIAMI SHORES SEC 1 AMD PB 10-70 APPLICATION TYPE ALTER INTERIOR 2193 SQFT 1 UNITS 1 FLOORS OWNER NAME SHORES LANDING LLC CONTRACTOR QUALIFIER PERMIT TYPE MUNICIPAL BLDG CATEGORIES 0001 MUNICIPAL GENERAL BUILDING DATE: 4/12/2019 PROCESS NUMBER: M2017018180 NEW *AMOUNT PAID 676.68 DERM 2 ASBESTOS REVI 350.00 DERM 1 UP FRONT FEE- 80.00 DERM 1 MIN COMM REV(90.00 FIRE 2000 ALTERATIONS & 117.00 FIRE 117 WORK DONE WIT 117.00 FIRE 2000 FIRE UPFRT FE 34.32 FRWK 117 1ST FIRE MAJO 117.00 UPMU 1 UPFRONT FEE F 25.00 5/10/2018 10:22 E320047 291805100036 CENTRAL 676.68 MUNICIPAL INSPECTION REQUIREMENTS AND RECORD 04/12/2019 e-Permitting Search: MIAMI-DADE j= Resident Visitor Business Employee Permit Application Fees Process Number: M2017018180 Permit Number: 1E2018052131 Contact Name: CEETA POLIAH Total fees due .00 Address: 400 NE 164 TERRACE Total fees paid 816.00 Sales Type Fee Code Fee Description Units Unit Desc Fee Amount Date Paid DERM7 D015 ASBESTOS REVIEW `1 ABREV 350.00 05/10/2018 1 DERM D034 UP FRONT FEE -APPLICATION FEE1 = APFEE 1 80.00 09/27/2017 DERM D062 MIN COMM REV(ADDITION/WET USES _REVW 90.00 05/10/2018 FIRE F006 -]jALTERATIONS & REPAIRS TO BLDG 2000 $ 117.00 05/10/2018 FIRE 71 F034 WORK DONE WITHOUT PERMIT 117 $ 117.00 05/10/2018 FIRE F051 [FIRE UPFRT FEE (OTHER THAN NEW 2000 $ 11 34.32 09/27/2017 1 FRWK A707 1ST FIRE MAJOR REWORK EE ORIG 117.00 05/10/2018 UPMU IF B199 [UPFRONT FEE FOR MUNICIPALITY IL 11 EACH11 25.00 11 09/27/2017 THE TOTAL DISPLAYED HAS BEEN PAID BLDG Home Page I BLDG Main Menu I BLDG Permit Menu I BLDG Plans Processing Menu I Inspection Types I Address Format Home I About I Phone Directory I Privacy, I Disclaimer