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RC-12-16-3304, 9200 NE 6th Ave`SHORES L�� Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Ems` F�orii"vA Phone: (305)795-2204 Permit NO. RCA 2-16-3304 Permit Type: Residential Construction Per mit work Classification: Addition/Alteration Permit Status: APPROVED Issue Date: 12/19/2016 1 Expiration: / i -1 Project Address Parcel Number Applicant 9200 NE 6 Avenue 1132060150020 Miami Shores, FL 33138- Block: Lot: LAWRENCE STANFILL Owner Information Address Phone Cell LAWRENCE STANFILL 9200 NE 6 AVE (405)751-7919 MIAMI SHORES FL 33138-2835 Contractor(s) Phone Cell Phone Valuation: $ 242.00 E W REED INC (305)759-5271 Total Scl Feet: 0 Approved: In Review Comments: Date Approved:: In Review Date Denied: Type of Construction: AS TO ENGINEERS LETTER NOV 2 Occupancy: Single Family Stories: Exterior: Front Setback: Rear Setback: Left Setback: Right Setback: Bedrooms: Bathrooms: Plans Submitted: Yes Certificate Status: Certificate Date: Additional Info: Bond Return : Classification: Residentiai Fees Due Amount CCF $0 60 DBPR Fee $2 00 DCA Fee $2.00 Education Surcharge $0.20 Permit Fee $100.00 Plan Review Fee (Engineer) $80.00 Scanning Fee $9.00 Technology Fee $0.80 Total: $194.60 Pay Date Pay Type Amt Paid Amt Due Invoice # RC-12-16-62277 12/19/2016 Check #: 34243 S 144.60 $ 50.00 12/06/2016 Check #: 34231 S 50.00 $ 0.00 Availahla IncnarfinnQ- Inspection Type: D rywa I I Miscellaneous Window Door Attachment Tie Beam Final Framing Insulation Final PE Certification Truss Insp Columns Foundation Window and Door Buck Fill Cells Columns Wire Lathe Review Building Review Structural Declaration of Use F. Termite Letter F. Elevation Certificate Review Planning Review Mechanical Review Electrical Review Plumbing 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 al construction and zoning ermo'e, 1 Authorized Signature: Owner Loing_information is accurate and that all work will be done in compliance with all applicable laws regulating the above -named contractor to do the work stated. / Applicant / Contractor / December 19. 2016 Building Department Copy December 19, 2016 1 0 10 C I S /\U v �� BUILDING PERMIT APPLICATION ABUILDING ❑ ELECTRIC 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 DEC a6 2oas 1 11BY C F LI Master Permit No. P, C_ 12 —V.P — S�H Sub Permit No. ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL [—]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP Gj CONTRACTOR DRAWINGS JOB ADDRESS: 1 a O 0 N. F, (p AJ e.• City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: I 1 — 3ROW — 0)6- - 00ao Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: OWNER: Name (Fee Simple Titleholder): L,CLW (e✓ Address: q-a00 WG LO Ku- e- City: N\\ wv\ % '�Nu ms State Tenant/Lessee Name: Email IV BFE: FFE: hone#: Phone#: Zip: CONTRACTOR: Company Name: e. W. ]�"e'k T - Phone#: 30S " 1 59 — S a 7) f Address: City: N0(+ArN Stater Zip: Qualifier Name: EcLkyn ee- • Phone#: State Certification or Registration #: C.y C• 000 4-,S 9 Certificate of Competency #: DESIGNER: Architect/Engineer: Address: Phone#:. State: Zip: Value of Work for this Permit: $� ®c Square/Linear neaar,Footage of Work: !1 ` 6 �pK e,4jtC2C A . Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition Description of Work: 04S VL0 i?�IeriG caa l /< �� be6�P !l 6 �' x,��" •s?�G telex ufe-s� s ��l Q- City: Specify color of color thru tile: Submittal Fee $ C50 Permit Fee $ ,00 CCF $ 0 CO/CC $ _ Scanning Fee $ Radon Fee $ 2 DBPR $ Notary $ Technology Fee $ �� Training/Education Fee $ © Double Fee $ _ Structural Reviews $ Bond $ tt Q TOTAL FEE NOW DUE $ 1 (Revised02/24/2014) 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 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 Signat� OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this day of �C,ye�i�� 20 LQ by \-c-at-�t er-c'e, %-rA Ah�who is personally known to me or who has produced X>C- as The foregoing instrument was acknowledged before me this t7 Q�- day of -ew 'L-ft 20 IS by S�&uXA) l , who i a Mynon to me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: P Sign: Sign: lia Print: / Print: � �� i{��jt �µ�/ y aLNot"ary RANn949227 t"aY °us FRANK WOLLAND Seal: �� ublicSeal: ?° : "'•.`'� issioMY COMMISSION # FF 128362 . expEXPIRES: June 2, 2018 Nj'�sQrr�oa`O� BoWed Thru Budget Notary Services LL APPROVED BY Plans Examiner Zoning _ g Structural Review (Revised02/24/2014) Clerk ACORO® CERTIFICATE OF LIABILITY INSURANCE `.� . DATE 1/29/2016 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: JOSette Toussaint NSI Insurance Group PHONE (305)556-1488 (FAXA/C No:(305)556-3680 E-MAIL osettet@nsi rou or ADDRESS: g p • g 8181 Northwest 154th Suite 230 INSURERS AFFORDING COVERAGE NAIC 4 INSURER A. -United Specialty Insurance Cqg!pany 112537 Miami Lakes FL 33016 INSURED INSURER B Commerce & Industry Ins Co 119410 INSURER C : E.W. REED, INC 13 400 N.E. 17 th Avenue INSURER D : INSURER E : North Miami FL 33181 INSURERF: COVERAGES CERTIFICATE NUMRER-16-17 GL/WC RFVI_CInN NIHIARFR- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM/DD/YYY POLICY EXP MWDD/YYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 5,000 DCG0288400 4/13/2016 4/13/2017 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO JECT LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG 2 000 000 $ r r $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per acc dent $ HIRED AUTOS NON -OWNED AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE S EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N 8 PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 500,000 B ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? ❑ (Mandatory in NH) N/A WC 003-63-7014 1/11/2016 1/11/2017 E.L. DISEASE- EA EMPLOYE $ 500,000 "yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT I $ 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Edwin W. Reed General Contractor GCG #004598 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shores Village Building Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2nd Ave AUTHORIZED REPRESENTATIVE Miami, FL 33138 Oscar Seikaly/JOSETT ACORD 25 (2014/01) INSn25 r?mAnn @ 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD KILA bUU 1 I, UUVtKNUK STATE OF FLORIDA KLN LAWSUN, SLUKLIAKY DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD LICENSE NUMBER The GENERAL CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2018 REED, EDWIN W III E W REED INC 13400 NE 17TH AVE NORTH MIAMI FL 33181 ISSUED: 06/20/2016 DISPLAY AS REQUIRED BY LAW SEQ # L1606200000759 100142 Local -Business Tax Receipt Miami -Dade County, State of Florida -THIS IS NOT A BILL - DO NOT PAY 392209 LBT BUSINESS NAME/LOCATION RECEIPT NO. EXPIRES REED E W INC RENEWAL SEPTEMBER 30, 2017 13400 NE 17 AVE 392209 Must be displayed at place of business NORTH MIAMI FL 33181 Pursuant to County Code Chapter 8A - Art. 9 & 10 OWNER SEC. TYPE OF BUSINESS REED E W INC 196 GENERAL BUILDING CONTRACTOR PAYMENT RECEIVED CGC004598 BY TAX COLLECTOR Worker(s) 10 $45.00 08/17/2016 CHECK21-16-114030 This Local Business Tax Receipt only confirms payment of the Local Business Tax. The Receipt is not a license, permit, or a certification of the holders qualifications, to do business. Holder must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT NO. above must be displayed on all commercial vehicles - Miami -Dade Code Sec Ba-276. For more information, visit www.miamidade.gov/taxcollector -4 `FRONTIER ENGINEERING I DEVELOPMENT MIAMI SHORES VILLAGE BUILDING DIVISION 10050 NE 2 Avenue Miami Shores, FL 33138 Tel: 305-795-2204 Fax: 305-756-8972 Attn: Ismael Naranjo, Building Director Re: Lawrence Stanfill Commercial Building 9200 NE 61h Avenue North Miami, Florida 33181 Folio 11-3206-015-0020 Permit no: 16-2145 This letter is to provide the requested specifications for the permit applied for and referenced above. The scope described in detail is to be as follows: 1. The sidewalk on the interior property: Cut, raised, fallen, and crack sections across five foot walk way to the current elevation level. Reform new concrete with control joints to provide expansion joints. Finish should be light broom across the sidewalk with % radius corn edge trowel with a slope no more than total 20 to 1. Concrete to be minimum 4" thick without W.W.M. and strength to be minimum 3,000 PSI. C 2. Provide construction joint between main building and addition section by providing %" x depth %2" deep grinding and install elastomeric caulking bead with a V back rod with a flexible caulking. Paint and match the color of the area when completed. 3. Electrical repairs which are have not part that could be replaced on exterior of the bL'Xkckm;! a. Remove and replace two exterior wall -mounted entry light fixtke3,; the east side entrance. •• b. Remove and replace exterior fascia mounted spot light at south;A_ with a neo 150 watt intensity bulb. • • • ° c. Provide new water proof cover plate at existing irrigation pump 1-box. , • °. d. Provide new water proof cover plate at existing west side recepj�dlp. . • • 4. Area above acoustical ceiling grid has old phone and computer cables. Rem©ve fill unused low voltage and/or data cables. The remaining balance of active cables must be supportecdaboLe ceiling grid every 5 feet. Remove all un-used power romex wiring and if active? re -place Aitl� new, #12 gauge wire in min. %" EMT pipe for 20 amp circuits. For 30 amp circuits provilde•miot. #10 gauge wiring The above described scope is to meet FBC 2014, 51h Edition and NEC 2011. If you have any additional qu-stions re rding the above, please do not hesitate to contact me. V 02 Zwo Francisco A. Aguirre, P.E. Florida Reg. No: 35457 FRONTIER ENGINEERING DEVELOPMENT, LLC FL C.A. NO: 30629 • LBB042 P.O. Box 222023, HOLLYWOOD, FL 33022 OFFICE (9S4) 67B-2030 • FAx (9S4) 67B-2032