The URL can be used to link to this page

CC-10-2045PARTITION TO DIVIDE LIBRARY ABD OFFICE SPACE. LOW WALL PARTITION Passe 12/1 Inspector Comments Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INSP- 154348 Permit Number: CC -11 -10 -2045 I Inspection Date: December 16, 2010 Inspector: Bruhn, Norman Owner: Job Address: 9801 NE 2 Avenue Project: <NONE> Contractor: FRANK ADRIAN CONSTRUCTION CORP Building Department Comments December 17, 2010 Miami Shores, FL 33138- Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 Permit Type: Commercial Construction Inspection Type: Final Work Classification: Alteration Phone Number ()- Parcel Number 1132060134380 Phone: (305)796 -6090 Page 1 of 1 41,e5k10_1 BUILDING PERMIT APPLICATION FBC 20 Permit Type: BUILDING OWNER: Name (Fee Simple Titleholder): c rik ( ;�_�� , Phone #: ""C �' \j Address: o /136 1 City: / S r .� � State: r Zip: ]]/ c' Tenant/Lessee Name: l + { ,� l /�. , /� iwl l/ �'yh. Phone #: 7& Email: JOB ADDRESS: City: Folio/Parcel #: Miami Shores Is the Building Historically Designated: Yes CONTRACTOR: Company Name: Address: City: ,, j ;i't Qualifier Name: Contact Phone #: Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 ermit ee $ County: Phone #: Certificate of Competency #: DESIGNER: Architect/Engineer: AG t\ 1\ a u State Certification or Registration #:C ' C State: r Zip: 3 A s Email Address: NO Flood Zone: Value of Work for this Permit: $ F� Square /Linear Footage of Work: Type of Work: ❑Address ❑Alteration a _ ❑Repair /Replace Description of Work: r7 tom'v T j r c, p \Atzk t:`4 Vii. . y COLOR THROUGH ROOF TILE IS REQUIRED acknowledged by: Miami Dade c Master Permit No. Phone #: TOTAL FEE NOW DUE $ Permit NocC Zip: 33/ 3 1 Phone #: 5 +:_ r ._ J i e fc31'.1 ❑Demolition * * * * * * * * * * * * * * * * * ** w * ** * * * * * * * * * * * *** F *********** * ** * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ 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 ELECTRICAL 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 ' u In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature ..F `:`� :►_ t "� { Sign Sign: Print: My Commission Expires: Owner or Agent The foregoing instrument was acknowledged before me this .a day of , 20 t by ► ' ,,5)"'t 47) L6 who is personally known to me or who has produced if As identification and who did take an oath. NOTARY PUBLIC: (Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09)(rev6/4/10) 1 ,, c".*. = Print: rn �, 6 sp %* Structural Review ontractor The foregoing instrument was acknowledged before me this 17 day of f , 20 1t), by - E- lr ,4 t' who is personally known to me or who has produced ....- i L as identification and who did take an oath. NOTARY PUBLIC: \\\`\ �Uyiuirwo k ( 1 ens Sign: �_ ' "�- _._- .,.�`: .. A. 1i/0111110 fifiiimill‘I' APPROVED BY ma y/ - 1 / / lJ , v Plans Examiner Zoning My Commission Expires: Clerk Miami Shores Village 10050 NE 2nd Avenue Miami Shores, Florida 33138 November 17, 2010 RE: Approval of Contractor for Property: 215 NE 98 Street Miami Shores, Florida 33138 'T tiVsa To Whom It May Concern: I am aware that Frank Adrian Construction Corp. (`FACC) 15380 SW 19 Terr Miami, Florida 33185, has been hired by my tenant to perform work at the above referenced location and approve of said contractor. Sincerely, Ned Shandloff For. Shapar Realty Co. (owner) Te,o).01- u avy. . -Mod-V-5-26 ha 7S-b' 7 733 1X7 Nov 1 9 2010 cc4o2o95 ©F • c y fi o \c,• Mk i..i09,. Rot THE ANY MAY POLICIES. �I\ A p0L0E8 R PERTAIN, - .. s. . 0UIREMENT, AGGREGATE GENERAL OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE TERM OR CONDITION OF ANY CONTRACT OR OTHER THE INSURANCE AFFORDED eY THE POLICIES DESCRIBED HEREIN LJMITS SHOWN MAY HAVE BEEN REDUCED GY PAD CLAIMS. INSURED NAMED ABOVE DOCUMENT WITH 18 SUBJECT 07/1812010 FOR THE POLICY PERIOD INDICATED. NOTWITHSTANOI G RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH LIABILITY ,, :, , "RCM GENE 1AaILIrr POLICY N mum } P ni�r r }�, FXP rw i 07/1012011 win 04-GL- 000796272 EACH OCCURRENCE 3 X LSFS(F NNi r.e cr,) 5100,000 $ EXCLUDED CLAIMS MADE UU OCCUR MEP EXP Oro enslaelaml PER aADY 3 1,000,000 3 2,000,000 $ 2,000,000 ■ depaiu AeaRE0ATE I` _. X AUTG11081LE ■ PER AOGRr LIMIT AP AR; PRO (B - COMP e e j ; POLCY .7/ 11 LOC LIABILITY ANYAUTO ALL OWNED AUTOS 9CREDULED AUTOS HIRED AUTOS NON -OWNED AUTOS (E OTABSELNITr 3 BODILY INJURY (Pp P.g4°) $ ■. BODILY INJURY (Peraalden8 $ (Par AlI140E OARA4E LIABILITY ANYAUTO AUTO ONLY - EAAOWDENT $ ■ EA ACC 3 OM ERT AI3 AUTO ONLY: AGO RAcH OCCURRENCE } 3 E BILTrY OCCUR CLAIMS MADE DEDUCTIBLE RLTEMTION 3 AGGREGATE 5 $ $ :aimal , Ft 3 WORKERS COM PEN5ATtONAND EMPLOVSRC' LIABILITY ANY PROP UETOAIPARTNERJE%ECIJTIVE oFFumumEABIER EX,XUDED? • i Imo . - :: • : +� ISIONS 6a at+ E.L EACH ACOR]f NT $ EX. DISEASE • EA EMPLOYEE 3 EL DLPASE • POLICY LAIR $ OTHER D! ICAIPflON OPERATIONS /LOOM IONS /Wm:Am,txVLU$KJW AUUtu urtetuumeNtN 1 1 5P.I.3AL pit mama Certified General Contractor ACORD CERTIFICATE OF LIABILITY INSURANCE 1 DATE(MWDDIYYYYI 11/1512010 PRODUCER AB.S. Insurance Consultants 11402 N W 41st Street Suite 213 Miami FL 33178 THIS .CERTIFICATE 1S ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC N INSUaEO Frank Adrian Construction Corp. 16300 SW 1 9th Terrace Miami FL 33185 INSURER A: MWd•Contlnent Casualt r�Co. INSURER B. INSURER C; Mutter: D. INSURER E: GES Nov. 15 2010 9:27AM CERTIFICATE HOLDER City of Miami Shores 10050 NE 2nd Ave. Miami Shores, 33138 ACORD 26 (2001108) CANCELLATION 3HOUIPANY OP TH ABOVEDESORIBEOPOLICIE SBEOARCELLEf ®ER NIETNEEXPE5ATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BIIT FAIWR6 TO GO SO 6RUALL IMPOSE Ne OSLIBATION OR LIABILITY 8P ANY MR UPON THE INSURER ITS AGENTS bA REPRESENTATIVES AUTHORIZED REPRESENTATIVE No. 1971 P. 1 ACOR CORPORATION i 9 r;,8