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ACT-10-37Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 9823 4 Avenue Miami Shores, FL 1132060170330 Block: Lot: MIAMI SHORES COMM CHURCH Owner Information MIAMI SHORES COMM CHURCH INC Fees Due CCF Education Surcharge Permit Fee Scanning Fee Submittal Fee Submittal Reversal Fee Technology Fee Total: Amount $1.20 $0.40 $100.00 $6.00 $50.00 ($50.00) $1.60 $109.20 Building Department Copy January 19, 2010 Address Expiration: 07/14/2010 9823 NE 4 AVE MIAMI FL 33138 -2402 Contractor(s) MIAMI AWNING CO Phone (305)576 -2029 Cell Phone Authorized Signature: Owner / Applicant / Contractor / Agent Phone ONEAfflfa Valuation: Total Sq Feet: Approved: Yes Comments: EXISTING AWNING TO BE RECOVERED Date Approved: 1/8/2010 : Yes Date Denied: Type of Work: AWNING Additional Info: RECOVER Classification: Residential Color Approved: In Review: Yes Code Comments: : EXISTING AWNING TO BE RECOVER Code Approved: : Yes Code Denied: Invoice # Total Amt Paid Amt Due ACT -1 -10 -36794 $ 109.20 $ 50.00 ACT -1 -10 -36794 $ 109.20 $ 109.20 Check #: 1818 $ 0.00 Date Cell $ 2,000.00 178 For Inspections please call: (305)762 -4949 Available Inspections: Inspection Type: Final 1 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 contra rtor to do the work stated. January 19, 2010 1 �,o 45 BUILDING PERMIT APPLICATION FBC 20 Permit Type: BUILDING ROOFING. /- --tronw>i., ( Owner's Name (Fee Simple Titleholder)et -nmc.) te,e / ehu -1 Phone # 3e:7*-- 7 5 --& '4( Owner's Address ?23 /(..)i . / 4/C , City /ArtAZ .'/G1' i State F Zip 3 /4&," Tenant/Lessee Name /...4/41 Phone # 01, Email i o , n c ®.;`) o jLJ Job Address (where the work is being done) `q ' 11-1 - f 4 JAN Q8 - " Miami Shores Village Building Department JAN 0 8 2010 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 B , f � Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 Master Permit No. City Miami Shores Village County Miami -Dade Zip J "b 6 ° FOLIO / PARCEL # ! i °S 6 - 01 0 0 /7i�'t 614 SiCfdr C '-1 Pe /S / heZ I-6 ff ( t- Is Building Historically Designated YES NO h- �� 1 Flood Zone Contractor's Company Name M a - M; A. vJ M tote-, t✓p„ x Phone # a 5 - 7-. ^ 2._c 2.' Contractor's Address 1-0 5 NI , C1.)'. ' ) City 1. 6 a 1, c State ..G- Zip 3 3 4 2 Qualifier Name M LG44 L i F State Certificate or Registration No. Certificate of Competency No. ele b 0 D I J 'Contact Phone `5 O 5 ° 57a - 9 pea E -mail Permit No. ACT 10-3 Ph # `5 OS- " 4 - to Z? Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit a , CJ 8 . - quarLinear Footage Of Work: 176 Type of Work: ['Addition ❑Alteration ❑New VI Repair/Replace ❑Demolition Describe Work: f p,t G ikte_ e v� +� C "T,aw F_1- 1 1t 2 -1 A.\AJ 1(x.1 e� 13646 ** * * * * * * * ** * * * * * * * * * * * * * * * * * * * * ** eas ***** Submittal Fee $ �' Permit Fee $ �� CCF $ 0 CO /CC $ Notary $ Training/Education Fee $ 0.. 2.0 Technology Fee $ D. 150 Scanning .$ : (0; ry0 Radon $ DPBR $ Bond $ Double Fee $ Violation date: Structural Review. $ Total Fee Now Due $ 1 2 . 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 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 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 The foregoing instrument was acknowledged before me this a day of ,. 2 l o®7, by who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: E o My Commission Expires: Sign: 0 Print: L &&6 * * * * * * * * * * * * * * * * * * * * ** APPROVED BY (Revised 07/1 0/07)(Revised 06/10/2009) t‘,/ der. LOIS E LINDLEY `: MY COMMISSION # DD838034 **EW4IRESINfthithiVIE4 'MP 398 -O FlondallotarySernce.com Plans Examiner Engineer Signature Contractor The foregoing instrument was acknowledged before me this t!o day of rJd1JuAtt/ , 2010 , by *ail EL ket us ( , who is personally known to me or has produced as identification and who did take an oath. NOTARY PUBLIC: • ev''••, TED A UNZE MY COMMISSION # DD 887738 4 = EXPIRES: June 30, 2013 �1j• • o?• Bonded ThrU Notary Public Underwriters Sign: Print: My Commission E • * * * * * * * * * * * * * * * * * * ** Caton- aW * * * * * * * * ** Zoning Clerk checked 01/19/2010 16:05 3055760514 1 MIAMI.DAbE COUNTY' TAX FLAGL R St. MIAMI,�F 3313D A L i S T G O F O N0N- PARTI'CIPATI NG MUNxCIPALITIES flip harder must register In the rOty where work Is to ba done. PAYMENTP 9ivEb MIAINND* COMM' ttX 50'60069 MIAMI AWNING CO 2009 MONreiPAL•?6CIekigd7'ot#`S• ...:. tlla ' iiit' i 4 • ' TAX.RECE1111 • M1AM S. PCSiT/kG� t -bAIIE Own STA`•1E :Ot= mitrl3Ib . DASD.. PURsuAN r.av: COUNTY OWE s• t -¢4• . . • EXPIRES.SEPT. Sb, 201D • • OERMTt'.Ivd. 2'3 THIS IS NOTABILL— pONOTPTAY RECEIPT NO. 50-0259788 CC NO 000012781 ° BUSINESS NAME / LOCATION MIIAM.I AWNING CO OWNER :MIAMI BEACH AWNING CO INC SPECXA.LTY nUILD tOPiTf 4CTOR DO NOT FORWARD MIAMI AWNING CO MICHAEL REILLY PRES 3905 NW 31 AVE MIAMI FL 33142 :MI 11 -. 1 kAek:44W0if .f : °, >' 9 t crALT . C Nii A mmA ''. DO NOT FORWARD nom• .;lFnowt.r_ �c+w A>Vr�c ee :isan��:sr�• - 'i� nns•:ro lvvr•:;L.•o . �. .w. • •: 61'110 0 3! 00. I SEE OTHER SIDE MIAMI AWNING CO MICHAEL REILLY PRES MIAMINF AVE 4 Iltlli!!li!l.inii 1111 !iill,.i.ioiollitt,illlttt'Ft 1„ iii! ills ill tl; l 1 lti ,1.„Ilit,ltlt,i,lll,,,,1.40ll PAGE 01 REC6P1'geg i#•wortlb .BUSINt:SS RIA f~Gt CTom • . ' i48•SpECu iao:REAeoN: 01/19/2010 15:55 ,64 3055760514 MIAMI AWNING CO CBACIA" * 1 .01:k:MiAttAt AVON . 000012 .'1' setil IJSI$E PAGE 04/04 RILL'( MIC EL 10 eit Mirli-Oatfe tort! NiALiq OR _cpaxcitt■ip ,u Wit. rso f 9 eettited undet tyie .tosipions al 1,6 0008 QUALIFYING TRADE(S) CANVAS AWNING fillin*Dasa..ccunly thtivrim.d.nrefrlY tit* itergin, L ddiiOd lierrnInle Efteretory at tba Enftra 01/19/2010 15:55 3055760514 . r>r+ yl y,Wr 'IIFI 1 '� '��'►�IYIIH 4 l•j'J,; • Ir N.17.4 �a • a'GI� • SIDE OTHER slbE DO NOT FORWTAfD MIAMI AVOWS S GS MON'ATE;I. KELLY L1 L1�' PROS 39005 'NW S�I A' e MIME F'L ISM AWNING CO I11 viih 4111V1'1f�11 '1111111111)1J1111141111111'1 I1 Gr�lLI4r "�i�' 4: PAGE 03/04 "s 0 c Polyfoant Products, .Inc. 24)0 Spring-Stachner Road Spring ,TX 77383.1132 APPROVED :„ ; 'As acceptence cover mark* Internet m address: fir® The e of such testing will be ineuned by the ACCEPTANCE NO.; WIRES: MIAMI-DADE COUNTY, FLORIDA METRO -DADE FLAMER BUILDING EIRLDING C'ODE COMPLIANCE OFFICE METRO -DADE FLAMER. BUILDING 140 WERY' FLAMER STREET, sum 1603 MJAAI, FLORIDA 33134E-1563 (305) 375 -2901 FAX (305) 375 -2908 CONTRACTOR MIMING SECTION (305) 375 -2527 PAX (305) 375 -2558 CONTRACTOR stsvortmansr DI' (305) 375-2966 FAX (305) 375 -2908 (305) 375 -2902 FAX (305) 372.6339 Your application for Notice of Acceptance (NOA) of: Two Component Polynrethene Ifs:: , Adhesive under Chapter 8 of the Code ofA -Dade Copy governing the use of Aloe Materials and Types of Construction, and completely •,: :bed hem, ,, _ > been recommended for acceptance by the Miami -Dade County Building Code Compliance Offi.ce (BCCO) under the conditions specified herein. This NOA shall not be valid after the expiration date sued below. BCCO reserves the right to secure this product or material at any time fx+om a jabsite or ntsrutf s plant for quality eomml testing. If this product or material. fails to pet6 rm in approved manner, BCCO may revoke, modify, or suspend the use of such product or material ' ° BCCO reserves the right to revoke this approval, if it is determined by BCCO that this product or material 1i Th to meet the requirements of the South Florida Building Code. Raul Rodriguez ChkfProduet Control Division »... :I I:." t. t K4ita _'A ' This application for Product Approval has been reviewed by the BCCO and approved by the Building Code and Product Review Committee tee to be used in Miami-Dade County, Florida under the conditions set forth above. Francisco L Quintana, R.A. Divackw i-Dade County g Code Cambium Office hrower.buildingeodeentinacom Owner's Name: Job Address: 9823 4 Avenue g - d Z . niig Criteria Miami Shores, FL Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 1/8/2010: Yes Comments: EXISTING AWNING TO BE RECOVERED Permit NO. ACT- 1 -10 -37 Pe nopii± en w j I �c'Clas ication: Rehr Issue Date: Not Issued t Issued Expires: Folio Number:1132060170330 Owner's Phone: Total Square Feet: 178 Total Job Valuation: $ 2,000.00 Contractor(s) MIAMI AWNING CO Phone Primary Contractor (305)576 -2029 Yes • ••• • • • ••. • • • • • • • • • •••• • • • • • • • • • •..• N.E. 99 TH. ST SITE PLAN •• • : • : ••• • • :•• ••• • • • :• • •• • • •• O• • • • • • :•• •i•• • •• • •• • • • • •• • • • • • • • • • • • • • • : • • • • : ••• • •. ••• • • •• • • • • • • ••• • • •• • • • • • • • • • •.• • , • • ;, :° : :.•: • ... • • :.. • 5 0 w 1- N LL 0 CNI 0 w LL co J vl lW T1 1T�(l l7 •1v11 IP ifi7 111��1Il 111 7l�7Ncrilllu 1)•l aTI T1 x Certitttate of ifiame 3aeitante REGISTERED APPLICATION CONCERN No. F -06901 ISSUED BY HERCULITE PRODUCTS, INC. PO BOX 435 EMIGSVILLE PA 17318 CITY CLEVELAND STATE OHIO 44113 Date Work Performed 12/04/09 —000 -0000 This is to certify that the materials described on the reverse side hereof have been flame - retardant treated (or are inherently nonflamable). FOR TRI VANTAGE;" LLC AT 2937 WEST 25th STREET 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 - retardant chemical approved and registered by the State Fire Marshal and that the application of said chemical was done in conformance with the law of the State of California and the Rules and Regulations of the State Fire Marshal. Name of chemical used Chem. Reg. No. Method of application (b) The articles described at the bottom hereof are made from a flame- resistant fabric or material registered and approved by the State Fire Marshal for such use. Trade name of flame- resistant fabric or material used RE I NFRC D V I NYLReg. No F -06901 The flame Retardant Process Used WILL NOT Be Removed By Washing (will or will not) PETER COHEN Name of Production Superintendent By STEPHANIE MUMMERT, 0 C MANAGER Title 7 AT1.: X11,.5251 ATUSTM /IP IPT11,(JJ T1417T7Tt1LLTlt . • • T1 T.... P... ItT11T1tl1.1MPITAT1. .., A .. We hereby certify this to be a true copy of the original "CERTIFICATE OF FLAME RESISTANCE" issued to us, "original copy" of which has been filed with the California State Fire Marshal. TRI VANTAGE, LLC ••• • • • • • • • • • • • • ••• •• •• • • ••• • • • • • • • • • • • • • •• • •• • Control/ lot # Quantity 33. 000 YD • : • • ••� [I.6�g • on WEBLON CP2700 -62 SAND re� CuStoer order # 9687 • • • • • .� 3937 0650 •• ••• ° • • ••• i . p • 857200 Tri Vantage, LLC Invoice # Prod ucrtode • ••• • • MIAMI AWNING C0 • • ; • • . •; ••• 3905 NW 31ST AVE ••' ; • • •• • : • : • MIAMI FL 33142 -5122 • l iZLGu veg. h i*e(6ic • •. •• • • ... ••• • ee •• ••. .. •• • • �. . • • • • • . • • : •• • • • •• • •••1 • • . • ••• • . : :..... • • • • • ••: •• • • •• •••• • • b itttholi k?Lt Qua •• ° : . . : : OOOOOO • • ISOMETRI . •:. • • •• • • ••• O OOOOO • • • ••• : • • • • • • • .: • • • • • • •• •• • • • •• •.. 0 O w 0) M U- 0 w 0 Q co vi LL W CO O tib cn U � ha A 3 P4 dl i h e U t illid 0 l0 ON CA d' VD O CA M � O O a o 0 8 O o 0 Q • O U • • ••• • • • •• :•: :. • :•; • • • • • • ••• • •••e ••• • • • • • ••• • • • • • ••• • • • • • • • • • • • • • 0 : • • •• 11 • � •• . • • •• • • • ••• . • • ISOMETRIG. 1O:• Z ' •'• 1 ' • •• . • • • • • • • • • • • •• • , • O • • . • • • • • • • ••• • • cc U 2 U co W 0 0 0 0 E2 I-- w 0 0) 0 Ere U co W co M 0 N L W x n O 'n ° am o r •—• o ON CA Q d-A a-- , In c � n "' 0 °Mo , Id zw 0 w O�" A U ° o O • Q U DU TOTEVIll JAN 0 8 2010 Miami Shores VilH _, BY /_ SUBJECT TO COMPLIANCE WITH ALL FEDERAL STATE AND COUNTY RULES AND RECULLITIC' • • • • •• •• •• • • • • •• • • . • • • • • • ••i • • • • •• •• • • • • • • i•• • i • • • •i• • •• •• • • • •• • • • • •• •S* • .•: t • • • • • •• • • •• •• • • •• •.! • • ; • .u : •• • • • •• • • : • e• ... • 0 . • • . • • • • • • 000 • • • • i• •i • • • 00 •0 .•• • • 000 • • • 1. Inspection Number: INSP - 132982 Permit Number: ACT- 1 -10 -37 Scheduled Inspection Date: March 11, 2010 Inspector: Bruhn, Norman Owner: Job Address: 9823 NE 4 Avenue Project: <NONE> Contractor: MIAMI AWNING CO Building Department Comments FABRIC RECOVER FOR TWO ENTRY AWNINGS Pasaeda 0/4 Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments permit underneath big awning on the door March 10, 2010 Miami Shores, FL 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: Awnings /Canopies/Tents Inspection Type: Final Work Classification: Repair Phone Number Parcel Number 1132060170330 Phone: (305)576 -2029 Page 9 of 20