RCRT-09-437BUILDING
PERMIT APPLICATION
FBC 20
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
W W W.MIAMISHORESVILLAGE.COM
Permit No. Zo'10 J 451
Master Permit No.
Permit Type (circle): Building Roofing
Owner's Name (Fee Simple Titleholder) ''� JY LS O 1. #
Owner's Address
City State Zip
Tenant/Lessee Name Phone #
Email
Job Address (where the work is being done) - 1 v0 /V. ' 0 .
City Miami Shores Village County Miami -Dade Zip
FOLIO / PARCEL # 11 ° 3.2000 " O13' 391
Is Building Historically Designated YES NO Flood Zone
Contractor's Company Name Phone #
Contractor's Address
City State Zip
Qualifier Name Phone #
State Certificate or Registration No. Certificate of Competency No.
Contact Phone E -mail
Architect/Engineer's Name (if applicable) Phone #
Value of Work For this Permit $ Square / Linear Footage Of Work: 24 q35 .
Type of Work: ['Addition ['Alteration :New
❑ Repair/Replace ❑Demolition
Describe Work:
10 CaywAa\
***************************************F * * * * * *x *** ***** * **** ** * * * * ** * * * * ** ** * * * ****
Submittal Fee $ Permit Fee $ CCF $ CO /CC
Notary $ Training/Education Fee $ Technology Fee $
Scanning $ Radon $ DPBR $ Zoning $
Bond $ Code Enforcement $ Double Fee $
Structural Review. $ Total Fee Now Due $
See Reverse side -
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State
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 F.I.ECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 Signature
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of , 20 _, by , day of , 20 _, by
who is personally known to me or who has produced who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:
Print:
Print:
My Commission Expires: My Commission Expires:
* * * * * * ** * *** ***** *********** ******** * * ** * * * *** * **** * ** * * *** **************** ****** * ** * * *** * *** * * ** ** ** *****
APPLICATION APPROVED BY . Plans Examiner Zoning
(Revised 07/10/07)
Engineer Clerk checked
i
Osctober 14th, 2010.
Cesar A. Jofre Engineering
Claudio A. Jofre P.E. 28531
334 NE 102 Street
Miami Shores FL. 33138 �'J�
Phone:CelC 786 -382 -1695 Fax: 305 - 835 -0951 /
/e `71
Attention: Building Official.
City of Miami Dade County
RE: Building Recertification Engineer Statements.
Building Address: 9501 NE 2 Ave. Miami — FL. 33138
Folio Number: 1132060133920 and 1132060133890
To whom it may concern:
The building(s) located in the address above are structurally and electrically safe
for its intended use and occupancy.
Disclaimer: `As a routine matter, in order to avoid possible misunderstanding, nothing in this report
should be construed directly or indirectly as a guarantee for a any portion of the structure. To the best of
my knowledge and ability this report represents an accurate apraisal of the condition of the building at the
date of the inspection, based on evaluation of observed conditions, and to the extent reasonably possible".
CLAUDIO A. JOFRE
IP.E. 28531
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CERTIFIED MA RECEIPT
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or PO Box No. 14 NYE-
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See Reversetorlostruclions
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or on the front if space permits.
1. Article Addressed to
5110/ 5 Vi1lac u.G
114 - N 5►°I St"
MIAM\1 , F. ?51bT - 22p
2. Article Number
(Transfer from service label)
PS Form 3811, February 2004 Domestic Retum Receipt
COMPLETE THIS SECTION ON DELIVERY
A. Signature
X4❑ Agent
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D. I 'deiive ' address � •m it= ❑ - '
if YES, enter delivery
beloYp ❑ N • ,
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102595-02-M-1540 II
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LISPS
Permit No. G -10
• Sender. Please print your name, address, and ZIP +4 in this box •
MIAMI SHORES VILLAGE
10050 N. E. 2nd AVENUE
MIAMI SHORES, FL 33138
MINIMUM INSPECTION PROCEDURAL GUIDELINES FOR
BUILDING'S ELECTRICAL RECERTIFICATION
INSPECTION COMMENCED INSPECTION MADE B
DATE:10 /05/2010
,
1
INSPECTION COMPLETED SIGNATURE:
DATE: 10/07/2010 PRINT NAME: Claud' I�+ Jofre
TITLE: Electrical Engineer
ADDRESS: 334 NE 102 Street
Miami -FL. 33138
(786) 382 -1695
a. Names of Title: SHORES VILLAGE LLC & AVEV HOLDING & LIELLE HOLDING INC.
b. Street Address: 9501 NE 2 AVE MIAMI — FL 33138
C. Legal Description: Legal Description: MIAMI SHORES SEC 1 AMD PB 10-70 LOTS 12 TO 17 INC BLK 29
LOT SIZE 40200 SQ FT COC 225 25-40 24 07 2004 6 OR 22525 -4024 0704 03
d. Owner's Name: SHORES VILLAGE LLC & AVIV HOLDINGS & LIELLE HOLDING LLC
e. Owner's Mailing Address: 714 NE 59 ST. MIAMI, FL. 33137 -2526
f. Folio Number of Building:11- 3206 -013 -3920 and 11 3206 - 013 - 3890
g. Building Code Occupancy Classification: 0013 and 6100 RESTRICTED COMMERCIAL.
h. Present Use: OFFICE BUILDING
L General Description, Type of Construction, Size, Number of Stories and Special Features: One
continuous structure, one story, slab on grade foundation, CBS walls, exposed red brick finish , flat
wood roof deck with parapet walls. ADJ. SQ, FT: 24,935
Additional Comments: None
j. Additional Comments: Engineer Recertification Statement: At this date, to the best of our
observations and knowledge, this building electrical installation complies with the
requirements of the F.B.C. and the N.E.C., and Chapter 8C-3 of the Miami Dade County
Code.
istration #28
Professional Inspection U
Supervision of:
Claudio A. Jofre. P
Florida Re
t
GUIDELINES AND INFORMATION FOR RECERTIFICATION OF ELECTRICAL
SYSTEMS OF FORTY (40) YEARS OR OLDER STRUCTURES
1. ELECTRICAL SERVICE
1. Size: Amperage ( 800) Fuses ( 4) Breakers ( )
2. Phase: Three Phase ( 4) Single Phase ( )
3. Condition: Good ( 11 ) Fair ( J ) Need Repair ( )
4. Comments: One meter room , with a main fused disconnect, PASS
2. METER AND ELECTRICAL ROOM
1. Clearances: Good ( 'I ) Fair (
2. Comments: PASS
3. GUTTERS
)
4. ELECTRICAL PANELS
Requires Correction ( )
1. Location: Meter Bank Main EL. Rm. Good ( 4 ) Requires Repair ( )
Location: Meter Bank EL. Rm. Office Bldg. Good (•I ) Requires Repair ( )
2. Taps and Fill: Good ( ) Requires Repair ( )
3. Comments: All repairs completed at re- inspection of 10/07/2010 PASS.
1. Panel #( 1) Location: Corridor, office space area.
Condition: Good( J) Fair ( ) Needs Repair ( )
2. Panel # (2) Location: Corridor. Office space area..
Condition: Good ( d ) Fair ( ) Needs Repair ( )
3. Panel # (3) Location: Empty space. Former pharmacy.
4. Panel # (4) Location: Empty space. Under interior construction.
Comments: PASS.
5. BRANCH CIRCUITS
Condition: Good ( d) Fair ( ) Needs Repair ( )
Condition: Good ( ) Fair ( 4) Needs Repair ( )
5. Panel # ( B) Location: Empty Space. Former °Chase Bank"
Condition: Good ( J ) Fair ( ) Needs Repair ( )
6. Panel # (C) Location: Retail Spaces: Ice Cream Parlor and Boutique
Condition: Good ( 4 ) Fair ( ) Needs Repair ( )
1. Identified: Yes ( J ) Must be Identified ( )
2. Conductors: Good (4 ) Deteriorated ( ) Must be replaced (
3. Comments: PASS
1
6. GROUNDING OF SERVICE
Condition:
Comments:
7. GROUNDING OF EQUIPMENT
Condition: Good (/ ) Repairs Required( )
Comments: PASS
8. SERVICE CONDUITS /RACEWAYS
Condition: Good ( 4 ) Repairs Required( )
Comments: All repairs to backboard in the elect rooms completed by second inspection on
10/07/ 2010 PASS
9. SERVICE CONDUCTORS AND CABLES
Condition:
Comments: PASS
10. TYPES OF WIRING METHODS
Condition: Good ( J ) Repairs Required(
Conduit Raceways Good ( 4 ) Repairs Required(
Conduit PVC: Good (N /A) Repairs Required(
NM Cable Good (N /A) Repairs Required(
BX Cable Good (N/A) Repairs Required(
Comments:
11. FEEDERS CONDUCTORS
Condition:
Comments:
12. EMERGENCY LIGHTING
Condition:
Comments:
Good (4 ) Repairs Required( )
PASS
Good (11 ) Repairs Required(
Good (J) Repairs Required (
)
Good (J ) Repairs Required( )
PASS
)
2
13. BUILDING EGRESS ILLUMINATION
Condition:
Comments:
14. SMOKE DETECTORS
Condition: Good ( ) Repairs Required ( )
Comments: Not Available.
15. FIRE ALARM SYSTEM
Condition: Good ( ) Repairs Required ( )
Comments: Not Available
16. EXIT LIGHTS
Condition:
Comments: PASS
17. EMERGENCY GENERATOR
Good (' 1 ) Repairs Required(
PASS
20. SWIMMING POOL WIRING
Good ( Repairs Required (
18. SERVICE CONDUCTORS AND CABLES
Condition: Good ( ) Repairs Required( )
Comments: Not Applicable. No Generator.
Condition: Good ( ) Repairs Required( )
Comments: Not Applicable
19. OPEN OR UNDERCOVER PARKING SURFACE AND SECURITY LIGHTING
Condition: Good ( J ) Repairs Required ( )
Comments: Parking lights meets Miami Dade County Chapter 8C3 Ordinance. See photos.
Condition: Good ( ) Repairs Required ( )
Comments: Not Applicable
•
21. WIRING OF MECHANICAL EQUIPMENT.
Condition: Good ( I ) Repairs Required( )
3
Comments: PASS
ENGINEER'S RECERTIFICATION STATEMENT:
To the best of our observations and knowledge, this building electrical installation
complies with the requirements of the F.B.C. and the N.E.C. , and Chapter 8C-3 of the
Miami Dade County Code. A recertification of the electrical system for 40 years or older
structures is granted.
Claudio A. Jofre. P.E.
Florida Registration #28531
334 NE 102 street
Miami - Florida. 33138
(786) 382 -1695
4
v
CERTIFICATION OF COMPLIANCE WITH PARKING LOT ILLUMINATION
STANDARDS IN CHAPTER 8C OF THE CODE OF MIAMI -DADE COUNTY
DATE: October 14 , 2010.
RE: Case No. RCRT 3 -09 -437.
Property Folio No's. 1132060133920 and 1132060133890
Property Address: 9501 NE 2 Avenue. Miami Shores. Miami Dade County.
Building Description: One structure. single story, flat roof. CBS construction 24,935 ADJ S.F.
The undersigned states the following:
1. I am a Florida registered professional engineer or architect with an active license.
2. On October 5 2010, 9 pm, I measured the level of illumination in the parking lot(s) serving the
above referenced building.
3. The level of illumination provided in the parking lot(s) meets the minimum standards for the
occupancy classification of the building as established in Section 8C -3 of the Code of Miami -
Dade County.
Signature and S . of
Architect or Engineer
Claudio A. Jofre
(Print Name)
MINIMUM INSPECTION PROCEDURAL GUIDELINES FOR
BUILDINGS STRUCTURAL RECERTIFICATION
INSPECTION COMMENCED INSPECTION MADE BY
DATE:10 /051/2010
INSPECTION COMPLETED SIGNATURE:
DATE: 10/07/2010 PRINT NAME: Claudio A. J
TITLE: Professional Engineer
ADDRESS: 334 NE 102 Street
Miami -FL. 33138
(786) 382 -1695
a. Names of Title: SHORES VILLAGE LLC & AVEV HOLDING & LIELLE HOLDING INC.
b. Street Address: 9501 NE 2 AVE MIAMI - FL 33138
C. Legal Description: Legal Description: MIAMI SHORES SEC 1 AMD PB 10-70 LOTS 12 TO 17 INC BLK 29
LOT SIZE 40200 SQ FT COC 225 25-40 24 07 2004 6 OR 22525 -4024 0704 03
d. Owner's Name: SHORES VILLAGE LLC & AVIV HOLDINGS & LIELLE HOLDING LLC
e. Owner's Mailing Address: 714 NE 59 ST. MIAMI, FL. 33137 -2526
f. Folio Number of Building: 11- 3206 - 013 -3920 and 11- 3206i013 -3890
g. Building Code Occupancy Classification: 0013 and 6100 RESTRICTED COMMERCIAL.
h. Present Use: OFFICE BUILDING
i. General Description, Type of Construction, Size, Number of Stories and Special Features: One
continuous structure, one story, slab on grade foundation, CBS walls, exposed red brick finish , flat
wood roof deck with parapet walls. ADJ. SQ, FT: 24,935
Additional Comments: None
j. Additional Comments: Engineer Recertification Statement: At this date, to the best of our
observations and knowledge, this building structure complies with the requirements of
the F.B.C. and shall be granted a recertification.
Professional Inspection Under
Supervision of:
Claudio A. Jofre. P.E.
Florida Registration #28531
334 NE 102 Street.
Miami - Florida. 33138
(786)382 -1695
GUIDELINES AND INFORMATION FOR RECERTIFICATION OF BUILDING'S
WITH FORTY (40) YEARS OR OLDER STRUCTURES
1. DESCRIPTION OF STRUCTURE
a. Names of Title: SHORES VILLAGE LLC & AVEV HOLDING & UELLE HOLDING INC.
b. Street Address: 9501 NE 2 AVE MIAMI — FL 33138
C. Legal Description: Legal Description: MIAMI SHORES SEC 1 AMD PB 10-70 LOTS 12 TO 17 INC BLK 29
LOT SIZE 40200 SQ FT COC 225 25-40 24 07 2004 6 OR 22525 -4024 0704 03
d. Owner's Name: SHORES VILLAGE LLC & AVIV HOLDINGS & LIELLE HOLDING LLC
e. Owner's Mailing Address: 714 NE 59 ST. MIAMI, FL. 33137 -2526
f. Folio Number of Building: 11- 3206 - 013 -3920
g. Building Code Occupancy Classification: 0013 and 6100 RESTRICTED COMMERCIAL.
h. Present Use: OFFICE BUILDING
General Description, Type of Construction, Size, Number of Stories and Special Features: One
continuous structure, one story, slab on grade foundation, CBS walls, exposed red brick finish , flat
wood roof deck with parapet walls. ADJ. SQ, FT: 24,935
Additional Comments: None.
2. PRESENT CONDITION OF STRUCTURE
a. General alignment (good, not good, fair, poor, explain if significant)
1. Bulging: Good.
2. Settlement: Good.
3. Defections: Good.
4. Expansion: Good.
5. Contraction: Good.
b. Portion showing distress: (Note: Beams, columns, structural walls, floors, roofs, other):
None observed. See pictures attached.
c. Surface conditions: (describe general conditions of finishes, noting cracking, spalling, peeling,
signs of moisture penetration and stains.) Surfaces are even. Not evidence of stress or
deterioration.
d. Cracks — note location in significant numbers. Identify crack size. HAIRLINE if barely
dissemble; FINE if Tess than 1 mm in width; MEDIUM if between 1 and 2 mm in width; wide if over
2 mm in width.:
•No cracks in exteriors. See pictures.
• Hairline cracks on slabs on escape alley, outdoor.
1
e. General extent of deterioration — cracking or spalling of concrete or masonry; oxidation of metal;
rot or borer attack in wood. NONE. Concrete is firm and in place.
f. Previous patching or repairs. Brick finish and painted surfaces are very good. See pictures.
g. Nature of present loading, indicate residential, commercial, other. Estimate magnitude.
Restricted commercial loading. 1.5 person per each office space.
3. INSPECTIONS
a. Date of required inspection: N/A
b. Date of actual inspection: 10/05/2010
c. Name and qualification of individual submitting an inspection report: Cesar A. Jofre,
under the supervision of Claudio A. Jofre. P.E. #28531.
d. Description of any laboratory or other formal testing, if required, rather than manual or
visual procedures: Not required.
e. Structural repair note appropriate line:
1. None required: ( 4 )
2. Required: ( )
4. SUPPORTING DATA
a. 7
sheet written data.
b. 15 4X3" photographs. Attached.
c. drawings or sketches.
5. MASONRY BEARING WALL = Indicate good, fair, poor, on appropriate lines:
a. Concrete masonry units: Good.
b. Clay tile or terracota units: N/A.
c. Reinforced concrete tie columns: Good
d. Reinforced concrete tie beam: Good
e. Lintel: Fair
f. Other type bond beams. None.
g. Masonry finishes — exterior.
1. Stucco: Good. See pictures.
2. Veneer: N/A.
3. Paint only: Good
4. Other (describe): Exposed red brick wall finish: Good.
h. Masonry finishes — interior. ' 1
2
a. Roof:
1. Vapor barrier: Fair
2. Furring and plaster: Fair.
3. Paneling: Fair
4. Paint only: Good
5. Other (describe): N /A.
i. Cracks:
1. Location: NONE
2. Description: NONE.
j. Spa!ling:
1. Location. (note beams, columns, other).
2. Description: None
k. Rebar corrosion — check appropriate line:
1. None visible: NONE.
2. Minor: None.
3. Significant: but patching will suffice. None.
4. Significant: Structural repairs required. None.
Comments:
I. Samples chipped out for examination in spall areas:
1. No. (4 )
2. Yes ( ) Describe color texture, aggregate, general quality:
6. FLOOR AND ROOF SYSTEM
1. Describe (flat, slope, type roof deck, condition). The building has a FLAT
WOOD DECK, WITH W.P. ROOFING PAPER IN GOOD CONDITION. SEE
PICTURES.
2. Note water tanks, cooling towers, air - conditioning equipment, signs, other
heavy equipment and condition of support: Air conditioning units,
antennas and other communication hardware are firmly strapped See
pictures.
3. Note type of drains and scupper and of condition cooling towers, air condition
units: Scooped flow drains toward the rain gutters. Air conditioning
units are in fair to good condition.
b. Floor System(s)
1. Describe (Type of system framing, material, spans, condition):
• Slab on grade, in good condition. Reinforced concrete slabs floors. No
deflections. Good condition.
• Spans: wall to wall floor. NO DEFECTIONS OBSERVED. GOOD.
c. Inspection — note exposed areas available for inspection, and where it was found
necessary to open ceilings, etc, for inspection of typical framing members: The third unit from
the comer of NE 95"' street, on NE 2ave, door #9513, the ceiling furring and plaster is
partially removed. The Trusses are flat type, at 16" O.C. made of Dade County Pine wood.
ALL TRUSSES AND ROOF FRAME ARE CLEAN, FREE OF DEFECTS, IN SOLID
CONDITION.
3
7. STEEL FRAMING SYSTEM:
a. Description: Elevator shafts has steel frame. N/A
b. Exposed Steel — describe condition of paint & degree of corrosion: N/A.
c. Concrete or other fire proofing — note any cracking or spalling, and note covering was
removed for inspection: Not Applicable.
d. Elevator's sheave beams & connections, and machine floor beams. Note condition.
N /A.
8. CONCRETE FRAMING SYSTEM:
a. Full description of structural system: Reinforced concrete columns and tie beams for
the entire shell space structure, with cinder block walls, all sides.
b. Cracking:
1. Not Significant.
2. Location and description of members affected and type of cracking. Some
comer columns inside the building show superficial cracks after interior demolition.
Column integrity is safe.
c. General condition: Good.
d. Rebar corrosion — check appropriate line:
1. Non visible: No rebar corrosion evident.
2. Location and description of members affected, and type of cracking:
3. Significant but patching will suffice:
4. Significant, structural repairs required (describe repairs):
9. WINDOWS
a. Type (wood, steel, aluminum, jalousie, single hung, casement, awning, pivoted, fixed,
other): Fixed and Aluminum hung windows. Good condition.
b. Anchorage — type & condition of fasteners and latches: Screws. Average condition.
c. Sealant —type of perimeter sealant and at mullions: Silicone caulking. Fair
condition.
d. Interior seals — type & condition at operable vents: Silicone caulking. Good.
e. General conditions: Good.
4
10. WOOD FRAMING : N /A.
a. Type — fully describe if mill construction, light construction, major spans, trusses: N/A.
b. Note metal fitting, i.e. angles, plates, bolts, splint pinties, other, and note condition:
N /A.
c. Joints — note if well fitted and still closed: N/A
d. Drainage: note accumulations of moisture: N/A
e. Ventilation - note any concealed spaces not ventilated: N/A
f. Note any concealed spaces opened for inspection:
11. OTHER ENGINEERING COMMENTS:
To the best of my knowledge and abilities, this building complies with structural
guidelines as described in the F.B.C. A 40 Years, or older, Structural
Recertification shall be granted at this date.
Claudio A. Jofre
P.E. 28531
5
PHOTOS: RECERTIFICATION 9501 NE 2 AVE. BENNET BLDG.
l��
Above: Medium crack on outdoor slab is superficial, not structurally critical. Patch and paint will
suffice.
f
Above: Parapets are solid and aplomb. Weather damage is superficial. Painting will preserve the wall.