RCRT-18-1346Miami Shores Village 7BY.
2�. 1Building 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 (,f 4
BUILDING
PERMIT APPLICATION
j BUILDING ❑ ELECTRIC ❑ ROOFING
FBC 20
Master Permit IN L� �
Sub Permit
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑ PLUMBING ❑ MECHANICAL ❑ PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
,� f CONTRACTOR DRAWINGS
JOB ADDRESS: C.J I V � OS � �
City- Miami Shores Coun : Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated: Yes NO
❑ccupancy Type: Load: Construction Type: Food Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): /� S CrL�r�`�p`J 3 fl���p y �S
Address:
�i 0 " S F �7 3D22
City: /lL �1%/%l/ 49157� Stater Zip: 33��%
Tenant/Lessee Name:
Email:
CONTRACTOR: Company Name: XJ A' 1_ , � 5' J_ IL [Jc-7-AVIy phone#: 0 6- 7y U" 13 Y
Address: 3 13 ,,�A E r`—'� S7— � //0_s
City: r-1p State: Zip: I
Qualifier Name:%�-I �- 1`CI.� E�Sa'� Phone#: 3��g7L1-
State Certification or Registration #: S724 -3Ortifi cat e ofCornpetency M
DESIGNER: Architect/Engineer: 4,QZejA-A-,V L 045 k�,! Phone#:'5�v
Address:?S.s o Pk) % �14 ST City: 6E C State: kL Zip: _3;3 6,�6
Value of Work for this Permit: $
Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work:--?u t#6T
Specify color of color thru tile:
Submittal Fee $ Permit Fee $
Scanning Fee $
Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $.
CCF $ CO/CC $
DBPR $
Notary
Double Fee $
Bond $
(Rev1sed02/24/2014)
TOTAL FEE NOW DUE $� ' (30
Bonding Company's Name (if applicable)
Bonding Company's Address Zip
City State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address Zip
City State
work will be performed to meet the standards of all laws regulating
Application is hereby made to obtain a permit to do the walk and installations as indicated. I certify that no work or in GNISation as
PP
commenced prior to the issuance of a permit and that
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC. PLUMBING,
FURNACES, 901LERS, 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 YOUR TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT
ENF YOU INTEND
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
DR AN ATTORNEY BEFORE RECORDING
TO OBTAIN FINANCING, CONSULT WITH YOUR
YOUR NOTICE OF COMMENCEMENT:' applicantpermit must
Notice to Applicant: As a condition to the issuance of building
uil commencement and olnsith p cr on lietn lowed ib ochureue dwill be ing de deliveredthe o the person
site
promise in good faith that a cnpY of the notice of cam
is subject to ot[achmerFt. Also, a Certified copy of the recorded notice of commence
must b� >�°�Dd�� the notice, the
whose property ' s after the building Permit is issued. In th absence of
for the first inspection which occurs seven f71 day
inspection will not be approved and a reinsp ti n fee will be charged.
Signature
Signature CONTRACTOR
OWNER or AGE k wiedged before me this
The foregoing instrument was acknowledged before m this by
20
day of �
who s personally known to
me or who has produced � �
identification and who did take an oath.
NOTARY PUBLIC:
Print:
Seal:
�f�dF FL
rrrillrki
APPROVED BY
L
I\ V" O
The foregoing instrument was at.no • r
_ day of
is personalty
who has produced
.A—tifiratinn and who did take an oath.
as
ORIT MIMOUN Seal:
y n ; ,4Y per' •.. STACY OSKOLSKI
MY COMMISSION ti GG 162406 � Notary Public - State of Florida
December EXPIRES: Decem Commission a GG071356
Bonded Ttwu No�rY Public Under dWill +r ��fiiek�IRi*Alfi'hf! l" ■ ii `} it i*r * r
rai�irrrsrrirrrrrrr • F"`'' Banded through NationalNotaryAssn.
Zoning
Plans Examiner
Clerk
)� Structural Review
(Revisedo2/24/2014)
Property Search Application - Miami -Dade County Page 1 of 1
PROPERTYEE
.. f
�FT�
Summary Report
Generated On : 8/21/2018
The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reneCt uie 111—-
and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http://www.miamidade.gov/info/disclaimer.asp
Version:
6/21/201
https://v;ww.miamidade.gov/propertysearch/
Page 1 of 2
Detail by Entity Name
CiVlfil O.4 DI' �;OfyVbRn":DNS
Ffnndn r/z 't vnn[.H_�,t�
arg
nnnarlinant aS 5l:ttc: I pwisio a} a / srRMC Records I Delsii Br D1— inn er /
Detail by Entity Name
Florida Limited Liability Company
MIAMI SHORES CENTER, LLC
Filina Information
Document Number
L02000000072
FEI/EIN Number
02-0533246
Date Filed
12/26/2001
State
FL
Status
ACTIVE
Last Event
LC AMENDMENT
Event Date Filed
05/31/2017
Event Effective Date
NONE
Principal Address
210 - 71 ST STREET
SUITE 309
MIAMI BEACH, FL 33141
Changed: 04/03/2009
M4 ri Address
210 - 71 ST STREET
SUITE 309
MIAMI BEACH, FL 33141
Changed: 04/03/2009
Re istered A erst hlame &Address
PIOTRKOWSKI, JOEL SESQ
317 71 ST STREET
MIAMI BEACH, FL 33141
Name Changed: 01/04/2011
Address Changed: 01/04/2011
Authorized Person s Detail
Name & Address
Title Manager
Mussaffi Investments, Inc.
http://search.sunbiz.orglInquiry/CorporationSearchISearchResultDetail?inquirytype=Entity... 6/21 /2018
Detail by Entity Name
Page 2 of 2
210 71 ST STREET, SUITE 309
MIAMI BEACH, FL 33141
Title Manager
Yehezkel, Haim
210 - 71 ST STREET
SUITE 309
MIAMI BEACH, FL 33141
Annual Reports
Report Year
Filed Date
2016
02/10/2016
2017
02/23/2017
2018
04/18/2018
Document llnaQes
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http://search. sunbiz.org/Inquiry/CorporationSearchISearchResultDetail?inquirytype=Entity... 6/21 /2018
June 11, 2018
Miami Shores Village
Building and Zoning Department
10050 NE 2nd Avenue
Miami Shores, Florida
Attn: Building Official
Re: Building Recertification
9830 NE 2nd Avenue
Surfside, Florida
Gentlemen;
j D R
CIYY
j 2018
Sire
Folio No.11-3206-013-2240
Edward A. Landers, P.E. has performed a Structural Inspection and an Electrical Inspection of
the Commercial Building, 9830 NE 2"d Avenue, Miami Shores, Florida in ac;uo-'Uance w;th the
Florida Building Code Administration, Chapter 8 of Miami- Dade County Orainance No.02-44.
We conclude from our inspection that the above structure is both structurally end
electrically safe for its intended use and occupancy.
As a routine matter, in order to avoid possible misunderstanding, nothing in this repo-f should
be construed directly or indirectly as a guarantee for any portion of the structure. To t`re best
of my knowledge and ability, this report represents an accurate appraisal of the presel)i
condition of the building based upon careful evaluation of observed conditions, to the extent
reasonably possible.
Should you have any additional questions please call Edward A. Landers, at 305-823-3938.
Very truly you L�`•`���R° a. ��,* ,,��
f
� y
rs, P.E. Na 38398
Florida P.E. # 038398 = ~
STATE of w
N 4 •F,
Q ' STATE
Q F
�.�.C3 i".��'-[`" �l•1'1 F•: !!�): �'�'�,+.tilf {_:�iar:� i-L a.ii�ii',
'•� s '.o R t.•ti
tm1lr1111Is0ata
�0
E...'PI iG By DATE
1 c) c;cN"T li,01-SANDWGUIATIONS
E WITH ALL�T 1FPAL
Afi,� � (n)N
Y4S=Y, 63/"V24d,-, /
MINIMUM INSPECTION PROCEDURAL GUIDELINES FOR BUILDING
STRUCTURAL RECERTIFICATION
1, Description of Structure:
a. Name of title: Commercial Building
b. Street address: 9830 NE 2nd Avenue, Miami Shores, Florida 33138
C. Legal description: Lots 2,3, 4 and 5.. Block 17, Miami Shores Sec 1 AMD PB 10-70
d. Owner's name: Miami Shores Center. LLC
e. Owner's mailing address: 210 71st Street. # 309. Miami Beach, Florida 33141
f. Building Official Folio Number: 11-3206-013-2240
Building Code Occupancy Classification: GROUP M
h. Present use: COMMERCIAL SPACES
�. General description, type of construction, size, number of s,wil-s, and spolcial
features.
TWO (2) STORY CBS STRUCTURE ON A SPREAD FOOTING FOUNDATION, FLAT
WOOD FRAMED ROOF AND WOOD FRAMED FLOOR. ONE (1) STORY ATTACHED
BUILDING AT SIDE WITH STEEL FRAMED ROOF AND CONCRETE FLOOR.
J_ Additions to original structure: NONE VISIBLE
2. Present Condition of Structure: ��� ARo A. LgAro
a• General alignment (note good, fair; poor, explain if significant) `�; . �eV-Nsf
1. Bulging: GOOD Z No 38398
c�o.�sa�sea�c,►ad
1 Settlement: GOOD ti� ,, �+ �� —
J �
,. Defections:
GOOD =°i "�En��<�f';i. y�•• F
4. Expansion:
GOOD i�SSfHN
5. Contraction: GOOD �?
o
r� Q
b. Portions showing distress (note, beams. columns, structural walls, floors, roofs.
other).
NO DISTRESS VISIBLE
C. Surface conditions - describe general conditions of finishes, noting cracking,
spalling, peeling, signs of moisture penetration & stains.
GOOD CONDITION
d. Cracks - note location in significant members. Identify crack size as HAIRLINE if
barely discernible; FINE if less than I mm in width: MEDIUM if betwee,i J and 2
mm in width; WIDE if over 2 mm.
NONE — ----
e General extent of deterioration- cracking or spalling of concrete or _nasonry;
oxidation of metals; rot or borer attack in wood.
NONE
f. Previous patching or repairs: MINOR PATCHING AND REPAIRS
g. Nature of present loading - indicate residential, commercial,
ma nitude.
3. Ins_ eections;
a.
b,
Date of notice of required inspection:
Date(s) of actual inspection: 05-31-20;
;%
¢RQ A. LAp, ire
No 38398
STATE OF l:
jeiraa11111 -
C. Name and qualification of individual submitting Inspection report:
EDWARD A. LANDERS. P. E. #038348
d. Description of any laboratory or other formal testing, if required, rather than
manual or visual procedures.
VISUAL PROCEDURES ONLY
e. Structural repair - note appropriate line:
1. None required NONE REQUIRED
2. Required (describe and indicate acceptance) N/A
4. Su ❑rtin data:
5
a.
12 sheets written data
b 0 1 photographs
0 drawings or sketches
Masonr Bearingy-. Walls - indicate good. fair_ poor on al2propriate lines:
a.
Concrete masonry units GOOD
b.
Clay tile or terra cotta units GOOD
C.
Reinforced concrete tie columns GOOD
d.
Reinforced concrete tie beams GOOD
e.
Lintels GOOD
f.
Other type bond beams GOOD
g
Masonry finishes - exterior:
A. t'AA•O +i
1. Stucco GOOD
Y`,�
��0 f
2. Veneer GOOD
No 38398
A.
3. Paint only GOOD
4. Other (describe) N/A
.-1
d -� • y�
{,®'F®,v
h. Masonry finishes - interior:
Vapor barrier GOOD
2. Furring and plaster GOOD
3. Paneling GOOD
4. Paint only GOOD
5. Other (describe) NIA
i. Cracks:
I. Location - note beams, columns, other NONE
2. Description NIA
walling:
1. Location - note beam, column, other NONE
2. Description NIA
k. Rebar corrosion - cheek appropriate line:
1. None visible NONE VISIBLE
2. Minor - patching will suffice NIA
3. Significant - but patching will suffice NIA
4. Significant - structural repairs required
(describe) NIA
�Rp A, LAjV,0
Sam ples cbippied out for examination iIt spall areas: �.
1 iV
No NONE o 3839E3 .�';1•t>:�i:, fir.! .•_, _ �. `
2. Yes - describe color texture, agatFr'eeal::gality, N' �'• o�
w� r
PLO lop, .■:
S
�., j'Ji�... ,
G'l
7
Floor and Roof Svstems:
A Roof:
1, Describe (flat, slope, type roofing, type roof deck, condition):
FLAT WOOD FRAMED ROOF AND A BUILT UP MEMBRANE -
GOOD CONDITION.
Note water tanks, cooling towers, air conditioning, equipment, sings, other
heavy equipment and condition of supports:
NONE OBSERVED
3. Note types of drains and scuppers and condition:
DRAINS & SCUPPERS IN GOOD CONDITION
b. Floor system(s):
Describe (type of system framing, material, spans, condition):
CONCRETE FIRST FLOOR AND WOOD SECOND FLOOR- GOOD
CONDITION.
Inspection - note exposed areas available for inspection, and wheic it was found
necessary to open ceilings, etc. for inspection of typical framing raembers.
ACCESS AREAS
Steel Framin Svstems:
a. Description: NONE OBSERVED
b. Exposed Steel - describe condition of paint & degree of corrosio?�D A. tA,.t.`'ffr
NO CORROSION OBSERVED
No 38398
77
711
ti.,� ,n A � ��� � STATE OF
A t
C. Concrete or other fireproofin °nate'any crac m �r:5 ailing, t no .a
covering was removed for ins eeti�on: N6A.—
(71
'41j'
•roa.n�o►'r
d. Elevator sheave beams &- connections, and machine floor beams - note condition:
N/A
8. Concrete Framing Systems:
a. Full description of structural system: TIE COLUMNS AND TIE BEAMS W/CONCRETE
b. Cracking'.
c
BLOCK
l , Not significant: NONE
2. Location and description of members affected and type cracking: NIA
General condition: GOOD CONDITION.
d. Rebar corrosion - check appropriate line:
1. None visible NONE VISIBLE
2. Location and description of members affected and type cracking NIA
3. Significant but patching will suffice N/A
4. Significant - structural repairs required (describe) N/A
rr
e. Samples dinned out in spall areas:
No 38398
1. No.: NONE _
�te4tlltPr �, STATE F
2. Yes describe color, texture, age '•. �ru
G
N/A
t`� stir.
9 Windows:
a. Type (wood, steel, aluminum, jalousie, single hung, double hung, casement,
awning, pivoted, fixed, other): ALUMINUM FIXED STOREFRONT -TYPE WINDOWS
b. Anchorage - type & condition of fasteners and latches: FASTENERS IINi WOOD
C.
11
BUCKS INTO MASONRY STRUCTURE.
Sealants - type & condition of perimeter sealants & at mullions: SEALANTS IN
GOOD CONDITION.
Interior seals - type & condition at operable vents: GOOD CONDITION.
e. General condition: GOOD CONDITION.
10. Wood Framin
a. Type - fully describe if mill construction- light construction, major spans, trusses:
PARTITION WALLS IN GOOD CONDITION.
b. Note metal fittings i.e., angles, plates, bolts, split pintles, pintles, other, and ncte
condition: GOOD CONDITION.
C. Joints - note if well fitted and still closed: 'ArELL FITTED & CLOSED
d. Drainage - note accumulations; of moisture: NO ACCUMULATION OF MOISTURE
e. Ventilation - note any concealed spaces not ventilated: NONE _�`� ��.•��,EPlSE'' .�` r'.
�Ae9'6dBt'3�� e �:
f. Note any concealed spaces opened for insp�4jr afi: N ,IE,- - STATE OF Z
to
.!!� •, �•n • Al
• � Iy
aa�°naa..
MINIMUM INSPECTION PROCEDURAL GUIDELINES FOR BUILDING
ELECTRICAL RECERTIFICATfON
INSPECTION COMMENCED
Date: 05-31-2018
INSPECTION COMPLETED
Date: 05-31-2018
INSPECTION MA
SIGNATURE: VI
PRINT NAME: EDWARD A. LANDER& P.E.
TITLE: PROFESSIONAL ENGINEER
ADDRESS: 7850 NW 146TH STREET 4509
MIAMI LAKES; FL. 33016
DESCRIPTION OF STRUCTURE:
a. NAME OF TITLE- Commercial Building
b. STREET ADDRESS: 9830 NE 2nd Avenue, Miami Shores. Florida 33138
C. LEGAL DESCRIPTION: Lots '3,3, 4 AND 5 Block 17, Miami Shores SEC. 1 AMD PB IC-70
d. OWNERS NAME: Miami Shores Center, LLC
e. OWNERS MAILING ADDRESS: 210 71st Street, # 309, Miami Beaci., 1713rida 32141
f. FOLIO NUMBER OF BUILDING: 11-3206-013-2240
9.
h.
If
BUILDING CODE OCCUPANCY CLASSIFICATION. GROUP M
PRESENT USE: COMMERCIAL SPACE
GENERAL DESCRIPTION, TYPE OF CONSTRUCTION, SIZE, NUMBER OF
STORIES, AND SPECIAL FEATURES. ALSO ADDITIONAL COMMENT.
TWO (2) STORY CBS STRUCTURE ON A SPREAD FOOTING FOUNDATION. CONCRETE
SLAB FIRST FLOOR, WOOD SECOND FLOOR & WOOD FRAMED ROOF W/BUILT UP
MEMBRANE. ►►►+itiutrrrr�r
r_
.®►►t9beatce®r..
GUIDELINES AND INFORMATION FOR RECERTIFICATION OF ELECTRICAL SYSTEMS OF FORTY
(40) YEARS STRUCTURES
ELECTRIC SERVICE:
1. SIZE, AMPERAGE: ( 400 ) FUSES ( ) BREAKER ( X )
2. PHASE: 30 ( X ) 10 ( )
').CONDITION: GOOD( X ) FAIR ( ) NEEDS REPAIR ( )
4. COMMENTS:
2 METER AND ELECTRIC ROOMS:
1. CLEARANCES: GOOD ( X ) FAIR
2. COMMENTS:
3. GUTTERS:
1. LOCATION:
WEST WALL OF BUILDING
3. COMMENTS:
4. ELECTRICAL PANELS
) REQUIRES CORRECTION ( )
GOOD ( X ) REQUIRES REPAIR ( )
GOOD ( ) REQUIRES REPAIR ( )
LOCATION GOOD ( X )
1. PANEL 4 ( 1 1: HOUSE PANEL
GOOD( X )
PANEL r ( 2 ): A,/C PANELS
GOOD( X )
3. PANEL # ( LIGHTING PANELS
GOOD ( X ) NEEDS REPAIR ( }
►�������ti�eutrer�i�
4. PANEL # ( 4 ), FLOOR PANELS 4+ '° 1
GOOD ( ) NEEDS RFA�L��SF'
5. PANEL # ( GOOD( NEEDS EJE*AIR Z
STATE: OF
b. COMMENTS # -
g
NEEDS REPAIR ( )
NEEDS REPAIR ( )
NEEDS REPAIR ( )
ELECTRICAL:
PAGE 2.
5
BRANCH CIRCUITS:
1, IDENTIFIED: YES( X )
2 CONDUCTORS: GOOD( X )
3. COMMENTS:
6, GROUNDING OF SERVICE
COMMENTS:
7
8.
9.
GROUNDING OF EQUIPMENT:
COMMENTS:
MUST BE IDENTIFIED ( )
DETERIORATED ( ) MUST BE REPLACED ( )
GOOD ( X ) REPAIRS REQUIRED ( )
GOOD( X ) REPAIRS REQUIRED ( )
CONDUIT RACEWAYS: CONDITION: GOOD ( X) REPAIRS kEQIJIRED ( )
COMMENTS:
CONDUCTOR AND CABLES: CONDITION: GOOD( X) REPAIRS REQUIRED ( )
COMMENTS.
10. TYPES OF WIRING METHODS: CONDITION.
CONDUIT RACEWAYS: RIGID:
GOOD ( X ) REPAIRS REQUIRED ( )
CONDUIT PVC:
GOOD ( ) REPAIRS REQUIRED�(titillim"y'�rr
NM CABLE:
GOOD( X ) REPAIRS REQ.€
B X CABLE:
GOOD ( ) REPAIRS RE$UIRi ( )
No 38398 —
s ST ATE OF
A.
k iL
ELECTRICAL:
PAGE 3.
IL CONDUCTORS: CONDITION
COMMENTS:
12. EMERGENCY LIGHTING:
COMMENTS:
BLDG. EGRESS ILLUMINATION:
COMMENTS:
14. FIRE ALARM SYSTEM:
COMMENTS:
15. SMOKE DETECTORS:
COMMENTS:
16. EXIT LIGHTS:
COMMENTS:
17. EMERGENCY GENERATOR;
COMMENTS: NIA
GOOD( X ) REPAIRS REQUIRED ( )
GOOD ( X ) REPAIRS REQUIRED ( )
GOOD ( X) REPAIRS REQUIRED ( )
GOOD( X) REPAIRS REQUIRED ( 1
GOOD ( X ) REPAIRS REQUIRED ( }
GOOD ( X ) REPAIRS REQUIRED ( )
GOOD ( ) REPAIRS REQUIRED ( )
left,
'
►��' a .... F !rr fi J
► '-eL�•SR,
'��t�stie0ti�
A
= No 38398
— — _
STATE OF y
wN
Sil ic
ELECTRICAL:
PAGE 4.
18. WIRING IN QPEN GR
UNDER COVER PARKING
GARAGE AREAS:
COMMENTS:
19. OPEN OR
PARKING GARAGE AREAS
AND EGRESS ILLUMINATION -
COMMENTS:
20. SWIMMING POOL WIRING:
COMMENTS: N/A
21. WILING TO MECHANICAL EOUIPMENT_:
COMMENTS:
22. MUM ADDITIONAL COMMENTS:
GOOD CONDITION.
REQUIRE ADDITIONAL
GOOD ( X) ILLUMINATION ( j
REQUIRE ADDITIONAL
GOOD( X 1 ILLUMINATION )
GOOD ( ) REPAIRS P.I Q'—`IRED ( )
GOOD( X ) REPAIRS REQUIRED ( )
,,k�111111 l l l lfll��,
�y
� �jFyfr!
• II
w �
l�;11i1FiL�l
STATE OF
LORION
30
lot
J
1
•Y b
1"r a
t
CERTIFICATION OF COMPLIANCE Wrji PARKING LOT GUARDRAILS
REQUIREMENTS
IN CHAPTER i3C OF THE CODE OF MIAMI-DADS COUNTY
DATE: a
Re: Case No
Property
Address:
Building �6 O 3
Description:
The undersigned states the following:
I am a Florida registered professional. engineer or architect with an active license. On ! �. 3 t . Z. ?�. I
inspected the parking lots servicing the above referenced building for compliance with Section 8C-43 and
determined the following (check only one):
XThe parking lot(s) is not adjacent to or abutting a canal, lake or other booy o1 water.
C The parking lot(s) is adjacent to or abutting a canal; lake or other body of water and
parked vehicles are protected by a guardrail that complies with Section K-6 of the
Miami -Dade County Code.
The parking lot(s) is adjacent to or abutting a canal, lake or other body of water and
parked vehicles are not protected by a guardrail that complies with Section 8C-6 of
the Miami -Dade County Code. i have advised the property owner that he/she mus=
obtain a permit for the installation of the guardrail and obtain all required inspecti V pB A. C J�C�3���`�`�i
approvals to avoid enforcement action. 4� ..
1-1 n ''4EPJ$'' 1A
Signature and Seal'
of Architect or Engineer
f
CERTIFICATION; OP COMPLIANCrE WITH PARKING LOT ILLUMINATION
s i ANOARDS IN CHAPTER 8C OF T14E CODE Or. MIANN-DADS cOuNTY ANQ OUTQ : R
LIG TI IC C3 ,`FRSP Ll +1 ECTIOI 33x#. # OF THE'605E OF KJAMI-i7A CVG�3�I�IT'
DATE: f--31-te
Re: cease No.
PCB 100.:
Prowti' address:
Ti-ie r�dexslp,ed s;<,tes the `ci
l a m a Roiride registered selotal erg: = er ardlftea fib an asks ricepse,
vkvg— !hs above re�� �buidirg. °
SP. {
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