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CC-19-106 (2)
Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address N -r- �jdajtc Issue Date: 01/25/2019 Parcel Number 415 NE 105TH ST, Miami Shores, FL 33138 1122310430010 Contacts Permit NO.. CC-01-19406 Permit Type: Building (Commercial) Work Classification: Alteration Permit Status: Approved Expiration: 07/15/2019 ED H OLLIE 1R &W & MARCIA OLLIE Owner MODERN MIDWAYS Contractor EDW MCCARTHY-ARCH BISHOP BRIAN MORRISSEY 9401 BISCAYNE BLVD, MIAMI, FL 331382970 879 JOUST ST 102, DYER, IN 46311 Other: 3057597750 Business: 3052347776 Description: SPECIAL EVENT Valuation: $ 850.00 Inspection Requests: 05-762-4949 TEMPORARY CHURCH CARNIVAL AT ST. ROSE C CHURCH JAN 25-27 2019 Total Sq Feet: 0.00 Fees Amount CCF $0.60 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.20 Permit Fee $100.00 Planning and Zoning Review Fee $35.00 Scanning Fee $9.00 Structural Review ($45) $45.00 Technology Fee $2.50 Total: $196.30 Building Department Copy Payments Date Paid Amt Paid Total Fees $196.30 Credit Card 01/25/2019 $196.30 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 AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above named contractor to do the work stated. n _ r-'N Owner / Applicant / Contractor / Agent Date January 25, 2019 Page 2 of 2 Shackelford Structural Engineers & Planners CA 29483 9719 South Dixie Hwy, Pinecrest, FL 33156 Telephone: 305-778-7306 January 23, 2019 Miami Shores Building Department Structural Review Section RE: Temporary Tents Client Name: St. Rose of Lima Event Address: 415 NE 105 Street Dear Building Official, As a part of the attached Wind Load Calculations for the above referenced Temporary Tents(s), this letter shall as my certification that said structure is in compliance with the provisions of 2017 Florida Building Code, Chapter 31 NFPA 102, Chapter 8. Based on these calculations I hereby certify that the supporting guys, stays and stakes for -die above referenced tent will remain "in -place" for design pressures based on a basic wind speed of 105 mph, 3-second wind gusts. For Precautionary measures, in the event that wind speeds are found or anticipated to be approaching "75 MPH". the Contractor hereby agrees to remove the tent fabric from the tent frame and safely secure same. I hereby certify the capacity of this design as meeting or exceeding criteria set forth in the 2017 Florida Building Code, Chapter 31, Section 3105.4.2.1 and NFPA 102, Chapter 8 relating to Temporary Tents. If you have any questions, please feel free to call me at 305-778-7306. Re Thomas Moe .E. 63863 -Valid only for one (1) permit. -Valid only with raised PE seal. -Any corrections, ink marks, white out or stick-ons will void these drawings and calculations. *Prior to the event installer shall notes Engineer in writing when tents are erect, anchored down and ready for inspection. Shackelford Structural Engineers & Planners CA 29483 9719 South Dixie Hwy, Pinecrest, FL 33156 Telephone: 305-778-7306 30 Lto x Varies, Temx�orary Tent Wind UyQt Calculation 30 ft. 10 ft. Varies Corners Ends 15 ft. o.c. typical Rate] Tent Stal Wind Uplift Calculation: Tent Size: 30 ft. X Varies (Bays @ 10 ft. o.c.) Anchoring Strata Asphalt Stakes @ 10 ft. o.c. Sides,15 ft. o.c. Ends Uplift Pressure =13.8 psf (LRFD) Uplift Design Pressure =13.8 psf / 0.9 =15.33 Sides Contributing Area: Uplift @ Design Pressure Typical Section (Use 20 psf — Conservative) 15ft. x10ft. =150s.f. 3,000 lbs. Use I ell. 1 1/4" x 39 %" Steel Stake(s): Capacity = 4,666 lbs. O.K. Corners and Ends Contributing Area: Uplift @ Design Pressure Total no, of Attachments: Uplift per Attachment: 30 ft. x 5 ft. =150 s.f. 3,000 lbs. 3 ea. 1,000 lbs. Use I ell. 1 1/" x 39 %" Steel Stake(s): Capacity = 4,666 lbs. O.K. Thomas Moe P.E. 63863 Shackelford Structural Engineers & Planners CA 29483 9719 South Dixie Hwy, Pinecrest, FL 33156 Telephone: 305-778-7306 January 23, 2019 Miami Shores Building Department Structural Review Section RE: Temporary Tents Client Name: St. Rose of Lima Event Address: 415 NE 105 Street Asphalt Engineering Certification Tent Stake Withdrawal To Whom It May Concern, As part of the permit package for the structural approval of the above referenced tent(s) with regard to tent stake withdrawal capacities, I submit for your review the following; Asphalt: Site/Soil characteristics are similar to the Doral. i.e. the withdrawal capacity is equal to or greater than the capacity of the attached test as performed by Fenestration Testing Laboratory, Inc. (Test attached, August 27, 1998). I hereby certify the tent stake withdrawal capacity, as stated in the attached tent stake calculation, as being in excess of 4,6661bs. per stake. I hereby certify the capacity of this design as meeting or exceeding criteria set forth in the 2017 Florida Building Code, Chapter 31, Section 3105.4.2.1 and NFPA 102, Chapter 8 relating to Temporary Tents. If you have any questions, please feel free to call me at 305-778-7306. Respe , Thomas Moe P.E. 63863 -Valid only for one (1) permit. -Valid only with raised PE seal. -Any corrections, ink marks, white out or stick-ons will void these drawings and calculations. Quality Accuracy Assurance Fenestration Testing Laboratory, Inc. RT 1677 West 31st Place Hialeah, FL 33012 Phone: 30518I9-7877 Fax 3051819-7998 Ted Locatien: CommercW Asphalt Parking Lot (Std. Limerock Base) OFFICIAL TEST REPORT MANOFACTURER Roder USA SPECIFICATIONS: ADDRESS; 1954 N. 30th Road JOB STTEt Hollywood, Florida 33021 DESCRII?7.iON OF UMT Lab, Number 2133 August 27, 1998 Report Number 1 File Number 98-172 I.3079 Job Specifications Doral Miami, Florida Model Designation: Steel Plate Team Anchor Overall She of Steel Plate: 19 5/8" by 19 5/8' high by W tliiola' Number and.Sin of 3takas Sim 1 1/4" diameter by 39 34' W4 Steel t mushroom with a nshrnom head Location of Steel Stakes: Three on the north aide and t m*m the south.side. Adschme nt HaW Two 4 SA' by 3/4' by 5 5/8" high steel plates, tub w t a 1 1/16" hole. 7bo plates wine welded to the a char plate 3 3/80 f am ft east and west edge of the plate; leaving a distance of 1:1 %1 between attachment places. Plates were centered between north and soudr edge of astchar plate. Test Procedarest A 4" by 10' by 4" steel."I" :beam was itVported abdvtsthe fficrt anchor plate; a chain wag attached to one attachment plate over "r beam and attached to other plate. A hydraullo jack with a ring farce gauge was cantered oft the steel'T beam on the east and west side of the anchor plat& OFFICIAL TEST RESULTS Title of Test: Measured Load; Remarks Uplift Test 28,000Ibs, Passed (14,000 lbs. per jack) More: Measured load was held for IO seconds. #y of Each Sta[ee - 28.Otf0 # / 6 Testing Completed - August 25, 1999 Remarks: The above test results were obtained in accordance with the instructions received $oat your mWeseutative eWitnessedby- Mr. Kit steKeithKrzetuinski FENESTRATION IZSTING LABORATORY, INC. Mr. Mike PtitcharelLaboratory Juan Hernandez Manny Satschez - Roque Zavata Presidcnt 2 - Roder USA MECAWind Version 2.1.0.7 per ASCE 7-10 Developed by MECA Enterprises, Inc. Copyright 2019 www.mecaenterprises.com Date 1/23/2019 Project No. 10' - 40' Tents Company Name Shackelford Engineering Designed By Tom Moe PE 63863 Address 9719 South Dixie Hwy Description Temporary Tents City Pinecrest Customer Name State FL Proj Location File Location: C:\Program Files (x86)\MECAWind\Tents\20ft.wnd Directional Procedure Open Building (Ch 27 Part 1) All pressures shown are based upon STRENGTH Design, with a Load Factor of 1 Basic Wind Speed(V) = 105.00 mph Structural Category = II Exposure Category = C Natural Frequency = N/A Flexible Structure = No Importance Factor = 1.00 Kd Directional Factor = 0.85 Alpha = 9.50 Zg = 900.00 ft At = 0.11 Bt = 1.00 Am = 0.15 Bm = 0.65 Cc = 0.20 1 = 500.00 ft Epsilon = 0.20 Zmin = 15.00 ft Slope of Roof = 5 : 12 Slope of Roof(Theta) = 22.62 Deg L: Roof Hor. Width = 40.00 ft D: Roof Length along Ridge= 100.00 ft Ht: Mean Roof Ht = 15.00 ft Type of Roof = Pitched Gust Factor Category I Rigid Structures - Simplified Method Gustl: For Rigid Structures (Nat. Freq.>l Hz) use 0.85 = 0.85 Gust Factor Category II Rigid Structures - Complete Analysis Zm: 0.6*Ht = 15.00 ft lzm: Cc*(33/Zm)^0.167 = 0.23 Lzm: 1*(Zm/33)^Epsilon = 427.06 ft Q: (1/(1+0.63*((B+Ht)/Lzm)^0.63))^0.5 = 0.89 Gust2: 0.925*((1+1.7*lzm*3.4*Q)/(1+1.7*3.4*lzm)) = 0.86 Gust Factor Summary Not a Flexible Structure use the Lessor of Gustl or Gust2 = 0.85 Figure 6-18B Opon Building -Pitched Roof h yeZr�' Gamma = 0 degrees, Clear Wind Flow Load Cnw Cnl Windward Wind Pres. Leeward Wind Pres. Case Psf Psf --------------------------------------------- ------------------ A 1.100 0.100 19.041 1.731 B -0.100 -0.800 -1.731-13.848 Gamma = 180 degrees, Clear Wind Flow Load Cnw Cnl Windward Wind Pres. Leeward Wind Pres. Case Psf Psf --------------------------------------------- ------------------ A 1.100 0.100 19.041 1.731 B -0.100 -0.800 -1.731-13.848 Notes: 1) Cnw- Net Pressures (contributions from top and bottom surfaces for windward roof surfaces. Notes: 2) Cnl- Net Pressures (contributions from top and bottom surfaces) for leeward roof surfaces. Gamma = 90 degrees, Clear Wind Flow Length Along Roof Angle Load Cn Wind Pressure Along Ridge Ridge of Roof (Theta) Case Psf Psf ----------------------------- ------------- ------------------------- <=15.0 Theta<=45 deg A -0.80-13.848 B 0.80 13.848 >15.0&<=2*15.0 Theta<=45 deg A -0.60-10.386 B 0.50 8.655 >2*15 Theta<=45 deg A -0.30 -5.193 B 0.30 5.193 Notes: 1) Cn- Net Pressures (contributions from top and bottom surfaces). Notes: 2) Plus and minus signs signify pressures acting towards and away from the top roof surface, respectively. BUILDING PERMIT APPLICATION Miami Shores Village Building Department AN 16 Z01 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 BY: INSPECTION LINE PHONE NUMBER: (305) 762-4949 BC 20 j Master Permit No. I Sub Permit No BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [:]RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 9` 5 rug 1 0S w S i City Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Al1r yi b t U c 6s E V f M I NM I Phone#: 3 bS—7Z-1 " G Z 9,,� Address: City: M t Yo m l 9 N 6AC�S State: zip: 3313 Tenant/Lessee Name: gi. yZ6�ir (3f L -y1jj4 Crj-06t4c C(atrr2C� Phone#: Email: M I A nrzc tN 9 1"1i 7N7-n1 r7"-,C 114 UrP$ CONTRACTOR: Company Name: ri b+GY (LN M 1 t9tiJA;'s i1:N el - Phone#: 3 Q-5— --n 74 Address: ) b L{ Z o T� City "M( rm State: rL , Zip: 3 1- Qualifier Name: Phone#: State Certification or Registration #:1 _Certificate of Competency #: DESIGNER: Architect/Engineer: —T )fLGC V1 Phone#: ) a Address: 0z1IgL( S 0 `*V�A ST, City:rV\'Pmk Stater Zip: l� Value of Work for this Permit: $ i S O, - __�_ Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: 1 Gu11©aiR,r,,1/ Q�VAUgr-N E AR WtyAL A T 5`j )Q-D5g �v1'f�76t.1 C I-s Wzc- N i-A v, Z. 5 -r21 201 Specify color of color thru tile: Submittal Fee $ Permit Fee $ CCF $ Scanning Fee $ Technology Fee $ Structural Reviews $ Radon Fee $ Training/Education Fee $ DBPR $ CO/CC $ _ Notary $ Double Fee $ _ Bond $ TOTAL FEE NOW DUE $)9w -30 (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 which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature OWNER or AGENT Signature CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this _ day of T&A A L !4 20 I q by �_ day of Jar) . 2 by ,C/ who is personally known to 6(1, -AW M U�'Q' � . who isersonally know to me or who has produced identification and who did take an oath. NOTARY PUBLIC: as me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign: It r 1 , / Sign:_ Print: R r Print: Seal: '•a.., �gYCCOn�nllsI tS'CFI # FF2lGs26 Seal: y EXPIRES Nord C 2G19 a APPROVED BY Plans Examiner Structural Review CATHERINE ELIZABETH NYLUND MY COMMISSION # GG023712 EXPIRES August 23, 2020 as ***##### Zoning Clerk V (Revised02/24/2014) Property Search Application - Miami -Dade County Page 1 of 1 A 'ff APPRAISER OFFICE OF THE PROPERTY <. Summary Report Property Information Folio: 11-2231-043-0010 Property Address: 10690 NE 5 AVE Miami Shores, FL 33138-2000 Owner EDW A MCCARTHY-ARCHBISHOP Mailing Address 9401 BISC BLVD MIAMI, FL 33138-2970 PA Primary Zone 8000 COMMUNITY FACILITIES Primary Land Use 7144 RELIGIOUS - EXEMPT: RELIGIOUS Beds / Baths / Half 0 / 0 / 0 Floors 2 Living Units 0 Actual Area Sq.Ft Living Area Sq.Ft Adjusted Area 86,472 Sq.Ft Lot Size 358,934 Sq.Ft Year Built 1960 Assessment Information Year 2018 2017 2016 Land Value $1,076,802 MM $1,076,802 $1,076,802 Building Value $9,283,721 $9,311,238 $8,894,051 XF Value $1,505,321 $1,520,818 $1,536,316 Market Value $11,865,844 $11,908,858 $11,507,169 Assessed Value 1 $11,865,844 $11,908,858 $11,316,020 Benefits Information Benefit Type 2018 2017 2016 Non- Assessment Homestead $191,149 Reduction Cap Religious Exemption $11,865,844 $11,908,858 $11,316,020 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description 31 52 42 8.24 AC MIAMI SHORES SEC 5 PB 43-48 TR A LOT SIZE 358934 SQUARE FEET Generated On : 1/15/2019 Taxable Value Information 2018 2017 2016 County Exemption Value $111865,844 $11,908,858 $11,316,020 Taxable Value $0 $0 $0 School Board Exemption Value $11,865,844 $11,908,858 $11,507,169 Taxable Value $0 $0 $0 City Exemption Value $11,865,844 $11,908,858 $11,316,020 Taxable Value $0 $0 $0 Regional Exemption Value 1 $11,865,844 $11,908,858 $11,316,020 Taxable Value $0 $0 $0 Sales Information Previous Sale Price OR Book -Page Qualification Description 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 https://www.miamidade.gov/propertysearch/ 1 /15/2019 POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That the most Reverend Thomas Wenski, as Archbishop of the Archdiocese of Miami, his successors in office, a corporation sole, has made, constituted and appointed, and by these presents does hereby make, constitute and appoint Sister Elizabeth A. Worley, C.O.O., his true and lawful attorney for him and in his name, place, and stead. Giving and granting unto Sister Elizabeth A. Worley, C,O.O., his said attorney full power and authority to do and perform all and every act and thing whatsoever requisite and necessary to be done in and about the premises as fully, to all intents and purposes, as he might or could do if personally present, with full power of substitution and revocation, hereby ratifying and confirming all that Sister Elizabeth A. Worley, C.O.O., his said attorney or his substitute shall lawfully do or cause to be done by virtue hereof. In Witness Whereof, I have hereunto set my hand and seal this 8 day of March, A.D., 2017. Signed, sealed and delivered in the presence of-, Witness: / Witness Sri naturreei Printed Name Witness/Signature f' Printed Name STATE OF FLORIDA SS: COUNTY OF DADE The Most Reverend Thomas Wenski As Archbishop of the Archdiocese of Miami his successors in office, a corporation sole I hereby certify that on this day, before me, an officer duly authorized to administer oaths and take acknowledgements, personally appeared The Most Reverend Thomas Wenski, as Archbishop of the Archdiocese of Miami, his successors in office, a corporation sole, known to me to be the person described in and who executed the forgoing instrument, who acknowledged before me that he executed the forgoing instrument, who acknowledged before me that he executed the same, and an oath was not taken. ✓ _ Said person is personally known to me Said person provided the following type of identification: - Witness my hand and official seal in the County and State last aforesaid this 8 day of March, A.D., 2017. My Commission Expires: e. Notary Public State of Florida Mayra Neulina Rossell �. •_ ` Mp Commission FF 19e149 - �' a �.� Expires 02/1012019 Prepaed by and Ram w: J. Patti& n agaAt &q. I Patrick PitWMW A Assockft. P.A. I 1 o MWft WAY. Suite 3-8 Con! GAbks, FL 33134 STATE OF FLORIDA 1111111110 1I oil, 1110 it'll Ip mt tint 27F2A Fs 07iJlt Lis_ai NARWY Ni ti.M OF CqW LAST PAGE CQtRiTYi t'L!lRspA AFFMAVIT OR ARCHBISHOPS SUCCESSION COUNTY OF MIAMi-I?ADE ' SS: Before me, the undersigned authority, personally appeared The Moat Reverend Thomas G. Wenski, who being duly sworn according to Jaw, deposes and says as follows: 1. • that on June 1, 2010,1 was installed as the Archbishop ofthe Archdiocese of Miami, succeeding The Most Reverend John C. Favalora. 2. that effective June 1, 2010;1 am the Metropolitan Archbishop of the Archdiocese of Miami which embraces the counties of -Miami -Dade, Broward and Monroe in the State of Florida, 3. that pursuant to the Gabor) Law of the Roman Catholic Church, I have all rights of succession to TLe Most Revarcnd John C. Favalon. , 4. that under the doctrine of corporation sole, the title to all property in the Archdiocese of ivliami, which encompasses the counties of Miami -Dade, Broward and Monroe. was held by The Most Reveetnd John C. Favalora, as Archbishop of the Archdiocese of Miami, his successors in office, a corporations sole, as of Dec -ember 20, 1994 through April 20, 2010, and as the Apostolic Administrator from: April 20, 2010 through June 1, 2010. - 5. that under the doctrine of corporation sole:, the title to all property in the Archdiocese of Miami, which encompasses the counties of Mami-Dade, Browsed and Monroe, is hold by The Most Revemd Thomas G. Weadd, dd, as Archbishop of the Archdiocese of h2=4 his snemnors in office, a enTontion sole, as of June 1, 2010. b. That under p"tics of perjtuty, I declare that I have examined this certification and to the. best of my knowledge and belief it is true, corset, and complete. FURTHBR AFFIANT SAYETH NOT. The Most Reverend Thomas G. Weruki The foregoing instrutnent was acknowledged before me-this-1.�.._._ of June, 2010, by The Mort Reverend Thomas G. Weinski. (c*ta oat) j e,s personally known to ma or j jHe has produced _-__ as identification. uraan.►na�ujaria�Ma� wI goal, Weer,,fi�sr,urr�cMegtror•vroatdsucas,pu.�ssyoR�rr IMAGER : FL-99-117360-2 4910311999 02:51:5?pm 11 AP�zVhvIt ax�,ss or er,si�zai►: SSs COMOT or MM s Page 1 of 2 $"C" =I the vad*tsignsd ambocity, personally apppp�etaced &CV6iiM Nf 140M MAL PoGMT, wbo being on oath* firat all swca. deposes and &ayes s 1. Sat to is a resident of Dade County, rlorid&, a orient of the ibaera Catisolie Church and Vicar General sne Chancellor of the Axabdioceee of Aiasi, llorida. 2. 'ilea Attiant further says that on the twenty- sixth (26) daft of duly, ISM "a Bost Reversed Coleman P. Carroll, Archbishop Of the Arcbdiocese of Miasi, County of b�•sgsgoomedad by "m st Reverendof noridap as" to" ibit • a rAwardA. NcCartni ast 11hich Arcbbia'top of the Archdiocase of Mari. pursuant to a Papei Bull issued by sis Golinexs pope Paul VI on 3uly 7, 1974 in vhicb Archbishop advard A. MCC&rtb was designated as Ca-Adjator Arebbt*h*p of the Archdiocese of Masi, with rIgnc of successioh aoa, se such. %he non Aevecend Edward A. Recarthy assumes, all right. title and interest to all property, real, personal and/or mixed, together with, vnatever else is afficiuiiy registered in the as" of Sae host xevertuu colessn P. Carroll as Archbishop of the Archdiocese of Miami. 3. ?be Affient tustber says that tale Archdiocese o, llioet cwWrisea the tollowing carntiess Gladeu, Martin, SeVACY, Palm Beach, 0aliera Brovard, Lead* and soar**, all vitein the State of Florida. rUiRTB$R MPZANi SAYSTH NiUaGeT... {SEAL} rOMM, Vicar General and chancellor of the Archdiocese of Maot aw" To and SUBS rRIBAD before rat thi&,�_�aay a[ �,�, PUBLIC - state o E"1 as, at Lars* My Commission Bspiress . ... .:.•_uiwonKetariais+Mrs.w►isrrawRw.wecxwmv.++s�ctunow+�.w+uw,rtowm+»iu H IMAGM : FI99-1173W2 09/03/1994'bZ;S1:S7p. Page 2 of 2 Detail by Entity Name Page 1 of 3 Florida Department of Slate 't`,A , 11 w1i 1Y� • �/I��tr �%.i i �i 'tta� �,;F%� r.J..itr:r9'•R!J /+�rU'Tr/e't t::.tillrFr Department of Stale / Division of Corporations / Seerch Records / Detail By Document Number / Detail by Entity Name Florida Not For Profit Corporation ARCHBISHOP EDWARD A. MCCARTHY HIGH SCHOOL, INC. Filing Information Document Number N00000006763 FEI/EIN Number 65-0787338 Date Filed 10/11/2000 State FL Status ACTIVE Principal Address 5451 S FLAMINGO RD SOUTHWEST RANCHES, FL 33330 Changed: 02/05/2013 Mailing Address 5451 S FLAMINGO RD SOUTHWEST RANCHES, FL 33330 Changed: 02/05/2013 Reaistered Aaent Name & Address FITZGERALD, J PATRICK 110 MERRICK WAY, SUITE 3-B CORAL GABLES, FL 33134 Officer/Director Detail Name 8r, Address Title President JEAN, RICHARD P 5451 S FLAMINGO RD SOUTHWEST RANCHES, FL 33330 Title VP MOLINA, KEVIN 5451 S FLAMINGO RD SOUTHWEST RANCHES, FL 33330 Title Treasurer, Director DIVISION OF CORPORATIONS http://search.sunbiz.org/Inquiry/CorporationSearchISearchResultDetail?inquirytype=Entity... 1 /15/2019 Detail by Entity Name Page 2 of 3 C8GCIATO.Kx|CHAEL A 8401B|GCAvNEBLVD xxN\M|SHORES, FL33138 Title Director EDVKARDS.DONALD.Dr. 9401 8|S{AYNEBLVD xxIAM|SHORES, FL3O13D Title Director VVORLEY.SISTER Eu3ABET*.GGJ 94010GCAYNE8LVD xxIAM|SHORES, FL5315B Title Secretary Pryzbybh.Kim, Phd 9401 Biscayne Boulevard Miami Shores, FL55138 Annual Reports Report Year Filed Date 2016 03/23/2016 2017 0208/2017 2018 01/25/2018 Document Images OV2512018 ANNUAL REPORT View image in View image. in 03/2X2016 ANNUAL REPORT View image in PDF form t 0110812015 — ANNUAL REPORT View image in P�DFforma�t 02105/2013 ANNUAL REPORT View imaqe .LNNU&.REaQK View image in PDF formal 01/11/2011 —ANNUAL REPORT View image in PDF form t 08124/2010 —ANNUAL REPORT View image in 01/15/2010 ANNUAL REPORT View image i 01/24,12008 —ANNUAL REPORT View image in PDF format 01/2412007 —ANNUAL REPORT View image in 01117/2006 ANNUAL REPORT View image i 01/29/2005 ANNUAL REPORT View image i Q!�0112004.-- ANNUAL E RT View image in 01/2012004 -- ANNUAL RE -PORT View image i:n �PDFforma�t 01/23/2003 — ANNUAL REPORT View image it 02111/2002 -- ANNUAL REPORT View image in PDF format Detail by Entity Name Page 3 of 3 031OV2001 --ANNUAL REPOR I View imaqe in PDF f,,mt .LO,'1 IjaQQQ Q!jMg§jj.c N.pjn.-.P_rqfitj View image in PDF rl.�;(J,. of �U'u?, Di�.":;:o'. of C—p� �"t's"11. http://search.sunbiz.org/Inquiry/CorporationSearchISearchResultDetail?inquirytype=Entity... 1/15/2019 Department of Regulatory and Economic Resources CONTACTMiami-Dade INFORMATION FOR FIRST NA riot cle ly) LAST NA print cle ly) h JIr MOBI PONE 9 5", OFFICE/HOME PH� 58.015 EMAIL (required so you can be notified on the status of your plans) l sd�a�� rn 0 ( n c#�@s L corms COMNIENTS if you are submitting a municipal plan, please provide the municipal process number(s) and ensure the municipal application is in the office set of plans. C q — lVW ' pp Please indicate if plans qualify for the following expedited plan reviews: ❑ GOV'T PROJECT/DEPT ❑ GREEN BLDG* (new construction only) ❑ PACE PROJECT* ❑ AFFORDABLE/WORKFORCE HOUSING* ❑ ECONOMIC SIGNIFICANCE* ❑ CONCIERGE (*Pursuant to Ordinace 99-140; Ordinace 05-115; and Ordinance 08-51. Project may have additional requirements.) REQUESTED PLAN REVIEWS (check all that apply for rework only) ❑ ALL ❑ BLDG/HCAP ❑ DERM ❑ ELEC ❑ ENRG ❑ FIRE ❑ ROOF ❑ LANDSCAPING ❑ MECH ❑ PLUM ❑ PWKS ❑ PWCC ❑ SIGN ❑ STRU ❑ ZNPR ❑ WASD ❑ PWIF ❑ LPGX ❑ PERMIT AFFIDAVIT CHECK ❑ SHORT TERM EVENT AFFIDAVIT OPTIONAL PLAN REVIEWS (check all that apply) ❑ BLDG ❑ ELEC ❑ MECH ❑ PLUM ❑ STRU OPR DERM INITIAL REVIEWS (check all that apply) ❑ DERM CORE ❑ DERM SPECIALTY (You will be notified after core review is complete for additional fees) OPR DERM REWORK (OPR for specialty only available at PIC) ❑ TREE ❑ GREASE ❑ ASBESTOS ❑ COASTAL ❑ AIR ❑ TANKS ❑ INDUSTRIAL ❑ WETLAND ❑ PRETREATMENT ❑ CORE ❑ FLOOD ❑ PAVING & DRAINAGE FOR OFFICE USE ONLY To be completed by Permit and Occupancy Representative or Plans Processing Specialist ARRIVALTIME APPLICATION DATE CLERK NAME � V-0� �• O PROCESS NUMBER PROCESS NUMBER PROCESS NUMBER M U tCi UO i PROCESS NUMBER PROCESS NUMBER PROCESS NUMBER ❑ RE -ISSUE ❑ PLAN REVISION ❑ REWORK ❑ SHOP DRAWING MIAMFDiADE T Ml Herbert S. Saffir Permitting and Inspection Center,11805 SW 26th Street, Miami, Florida 33175-2474 786-315-2100 miamidade.gov/permits L] UI-24V IVib Miami Shores Village RECEIVED Building Department' JAP 18 2019 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 BY: -j&rdA/2- INSPECTION LINE PHONE NUMBER: (305) 762.4949 �-T4+ FBC 20 !� BUILDING Master Permit No. � I CT - /0(0 PERMIT APPLICATION Sub Permit No. Z2-- 1 , • ❑BUILDING O-EIECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF [:]CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: /U,S S/ , City: Miami Shores County Miami Dade Zin�� S A Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type a7 Load: Construction Type: Flood Zone: BFE: FFE: DOWNER:<Name4 e'unpie Titleholder): MI AM I _Phone#� 3� City. M (" St1d 5 State: IP5I. Zip: 3 '1 Tenant/Lessee Name: ') 5 ; 2-0X WE L-1 Jl(- a f A = Phone#: CONTRACTOR: Company Name: 6 Phone#: _ Address: �1rni X City: o! '✓v o State: �-T- Zip: --3w0 Qualifier Name: CJO '1 V ' State Certification or Registration #: 0og Certificate of Competency # ~" DESIGNER: Architect/Engineer: _ Phone#: Address: City: State: Zip: Value of Work for this Permit: $� L�1/�1/�p� Square/Linear Footage of Work: Type of Work: ❑Addition ❑ Alteration ❑New ❑ Repair/Replace ❑Demolition Description of Work: �- specify co/or of co or i ru tile: Submittal Fee $ V Permit Fee $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ (Revised02/24/2014) DBPR $ Notary $ Double Fee $ Bond $ _ TOTAL FEE NOW DUE $ l:"... v.. s. 1 .ram ... ..,. n. Y1 .. .. ;i .. t -.,. .... ...n .....� ...._...._ ._. -... .,a. ..._ _...e.i.nn»....._....,_. n. ..-.e..... �.. ~.. . .. -r^�-. .. �. -1; -`� � �}��..-..rMT.•.F. 1 /24/2019 RAWjpg T Certificate of Flame Resistance u4. It i 1r f Ar;t P��p Registered Fabric Issuer! By: Trivantage, LLC 1831 North Park Ave. or Concern Number l Date treated or manufactured: i F-12123 Glen Raven, NC 27217 04/30/2,0141 This is to certify that the materials described below have been treated with a Name -retardant chemical or are inherently nonflammable. FOR: A 1 TENTS AND STRUCTURES ADDRESS: 234 WEST 24TH ST ciTy: HIALEAH STATE: FL 33010 Certification is hereby made that: (Check "a" or "b") —� (a) The articles described at the bottom of this Certificate have been treated with a flame -rota ja^t chemical 'I approved and registered by the State Fire Marshal and the application of said chemical was done in conformance —J with the laws of the State of California and the Rules and Regulations of the State Fire Mar.;hal Name of chemical used: Method of application. Chemical Registral'c rk o. (b) The articles described at the bottom of this Certificate are made from a flame -resistant fabric material ' X registered and approved by the State Fire Marshal for such use Trade Name of flame -resistant fabric or material used: RENTERS CHOICE 16 OZ Registration #: F-12123 The Flame -Retardant Process Used Will Not Be Removed By Wash,ng ALBERT E JOHNSON VICE PRESIDENT, BUS. DE [_-!_OPME Name of Applicator or Production Superintendent Title RCN # 00000000001013503434 000000000 CUSTOMER ORDER NO. J.OSE w CUSTOMER INVOICE No. 477753 YARDS OR QUANTITY 500.00 DESCRIPTION Renter's Choice Blackout 61' 16-oz White (Standarc! P' tck 100 Yards) -� - a ITEM NUMBER 968340 We hereby certify the above to accurately reflect the information contained within a "CERTIFICATE OF 7LAME RESIWANCE" issued to Trivantage. L LC from the registrant set forth above. A copy of the origina! Certificate of Flame Resis anrE tS available Don request to Trivantage. LLC and the registration information set forth above is on record with the Callk-lia :3.-Ate -ire 4rshal. A 1 TENTS AND STRUCTURES MAILING ADDRESS 234 WEST 24TH ST HIALEAH, FI- 33010 i https://mail.google.com/mail/u/0/#inbox/FMfcgxwBVMkkcGCVFGkgkMrkwtNkFgrV?projector=1 &messagePartld=0.1 1/1 MaoLcoc)(_o (-OqLf NOTE: ALL SHEETS MUST BE REVIEWED 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 APPLICANTS THAT REQUIRE PLAN REVIEW FROM MIAMI-DADE FIRE RESCUE AND/OR ENVIRONMENTAL SERVICES PROVIDE MUNICIPAL PROCESS NUMBER HERE Job Address F a J Contractor No. LL 0 w Folio ¢z 0 o Last four (4) digits of Qualifier No. o w �> a a ¢2 Contractor Name Lot Block z p Qualifier Name o a 12 Subdivision PBpg 0 LL v z Address City State _Zip - Metes and bounds [ ] New Construction on [ ] Demolish Current use of property 0 Vacant Land [ ] Shell Only LL w [ ] Alteration Interior [ ] Addition Attached 02 )P-4 Alteration Exterior [ ] Addition Detached (� Description of Work x 0- 0 [ ] Relocation of Structure [ ] Re -Roof Sq. Ft. Units^ Floors a 2 [ ] Enclosure [ ] Foundation Only [ ] Repair [ ] Tent ` Value Work '/, [ ] Repair Due to Fire of ] MBLD` N [ J Chg. Contractor w Owner %XG— a MELECategory a [ ] Re -Issue z Adds [ ]` [ ] Re -Stamp City �',YIA" State Zip ¢ [ ] MPLU w [ ] Revision w W Phone a [ ] MLPG MMEC w [ ] Not Applicable for z Last four (4) digits of [ ] FIRE Fire 0 Owner's Social Security No. Cn Na a Owner Addre S Address Qz /Pg z a 0W W W Cit + A'�- State Zip �i'3 City State _Zip 0 a. cn Y =z czi z a a Phone Phone J z 1 am requesting a Special Request Plan Review (SRI) to be scheduled as soon as possible. There is a minimum charge of a 3 E^ one -hour. Please contact the Fire Department for current rate. vam 3r. 1 9t Request: Date: can w LLw ¢ 2nd Request: Date: 31d 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. 123 01-192 5/17 BUILDING PERMIT CATEGORIES CATEGORY DESCRIPTION PERMIT TYPE BUILDING 01 GENERAL BUILDING —COMMERCIAL MBLD 02 SUB —GENERAL BUILDING —RESIDENTIAL MBLD 08 CANVAS AWNING MBLD 10 COMMUNICATION TOWER MBLD 15 DEMOLITION MBLD 29 METAL AWNING & STORM SHUTTER MBLD 48 SCREEN ENCLOSURES MBLD 51 MURAL SIGNS (NON -ELECTRICAL) MBLD 55 SWIMMING POOL MBLD 56 TENNIS COURTS (SURFACE PAVING) MBLD 86 TRAILER TIE DOWN MBLD 88 WALK-IN COOLER MBLD 91 MARINAS MBLD 92 LOW SLOPE APPLICATIONS (GRAVEL, SMOOTH MODIFIED, SINGLE PLY) MBLD 95 SHINGLES (ASPHALT, FIBERGLASS) MBLD 96 SHINGLES (METAL ROOFS/WOOD SHINGLES & SHAKE) MBLD 97 STAGE 2 VAPOR RECOVERY SYSTEM MBLD 99 SOIL. IMPROVEMENT MBLD 0100 BULK STORAGE PROPANE TANK MBLD 0101 REMOVABLE STORM PANELS MBLD 0107 TILE ROOF MBLD 0110 WATER MAIN MBLD 0111 SITE PLAN MBLD 0112 INDOOR EVENT/EXHIBIT MBLD ELECTRICAL 04 FIRE ALARM SPECIALTY MELE 16 SPECIALTY WIRING MELE 38 GENERATORS MELE 40 BUILDING PUBLIC RADIO ENHANCEMENT SYSTEM MELE PLUMBING 0020 SEWER CONNECTION TO PUBLIC SYSTEM (THIS CATEGORY IS USED WHEN NO BUILDING PERMIT EXIST) MPLU 0024 INTERCEPTOR/GREASE TRAPS (REPLACEMENT OR INSTALLATION THAT IS NOT PART OF A BUILDING PERMIT) MPLU LPGX 01 LIQUEFIED PETROLEUM GAS MLPG 02 MISCELLANEOUS MLPG 04 LIQUEFIED PETROL. GAS/STATE MLPG MECHANICAL 09 ABOVE/BELOW GROUND TANKS/PUMPS & POLLUTANT STORAGE SYSTEM MMEC 38 COMMERCIAL HOODS MMEC 43 FIRE CHEMICAL MMEC 46 SPRAY BOOTHS MMEC 48 SMOKE CONTROL MMEC 52 RESIDENTIAL ELEVATOR MMEC FIRE 32 FIRE SPRINKLER FIRE or 1p