DEMO-07-1593BUILDING
PERMIT APPLICATION
FBC 2004
Permit Type (circle)
Architect/Engineer's Name (if applicable)
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Permit No. ,1/CM C — I
Master Permit No.
IBiwi�i�w�l� a
Owner's Name (Fee Simple Titleholder) ,I. w • BJ4 , 1] Phone #
Owner's Address 21 3 (�► �L,o Lc-� (�.
City / Woo State Zip s 3 02. v
Tenant/Lessee Name A VQ Phone # K ( A ,
Job Address (where the work is being done)
City Miami Shores Village County Miami -Dade Zip 3 313 r3
FOLIO / PARCEL #
Is Building Historically Designated YES NO
Contractor's Company Name 1445 e Ot (k) Phone # 303 - 3 7 o -7 C? 71
Contractor's Address it 3 1 ii i G Tc L
Cit oA ()I . State C / . Zip 3,c° Z
Qualifier Name fi2 )G /k Phone # 30S - ' C5 - 7q - 7/
State Certificate or Registration No.C, (_ /SO 70.37 Certificate of Competency No.
P11
Phone #
Value of Work For this Permit $ ex Square / Linear Footage Of Work: 2
Type of Work: ['Addition ['Alteration ❑New ❑ Repair/Replace emolition
Describe Work:
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3.
Permit Fee $ 360 CCF $ 1-'Z►O CO /CC
Submittal Fee $ �1 --f .0
Notary $ Training/Education Fee $ , 40 Technology Fee $ 1 • 50
Scanning $ G Radon $ DPBR $ Zoning $
Bond $ Code Enforcement $ Double Fee $
Structural Review. $ Total Fee Now Due $ 51 6. 10
See Reverse side
r&37,-Jr\
JUL 3 0 2001 E
BY:
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 jurisdictiort I understand that a sarate permit must bg'secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS. and AIR CONDITIONERS, ETC
OWNER'S AlitiDAVIT: 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 oved and a reins. ' . ee will be charged
Owner or Agent
The foregoing instrument was acknowledged before me this t13
day of J.O b
w i is personall v w_to mle nr ivho has produced
As identification and who did take an oath.
Sign:
Print
APPLICATION APPROVED BY:
(Revised 02108!06)
"de
NOTARY PURT.TC -STATE OF FLORIDA
Hector Estrada
Sign:
Print:
commission # DD537873
Signature
x h
Contractor
The foregoing instrument was acknowledged before me this
d a y of J � , 20 0 7 by ,t r °S K / c-f9 vt) ,
who is personally known to or who has produced
as identification and who did take an oath.
NOTARY PU LIC' -STATE OF FLORIDA
Hector Estrada
Commission #DD557873
My Commission Expires: Expires: MAY 30, 2010 My Commission Expires: Expires: MAY 30, 2010
Plans Examiner
Engineer
Zoning
HOGAN
GENERAL CONTRACTING
1331 BRISTOL AVE. DAVIE, FL 33325
License # -CGC 1507037
TEL (954) 370 -6161 FAX (954) 370 -6181
Teco Peoples Gas . 111-i6-07••• •
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Please terminate services and remove meter at 899 NE 92 Street: #50875 C.N. . • • • •.
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Respectfully submitted,
James Wahl
V.P. Field Operations
De*tohtt q Fi-ittAmt
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i JUL 3 0 200/
B Y
RMIT #o ,D
Nkami Shores Vi!!i
APPROVED BY
ZONING DEPT
BLDG DEPT
SUBJECT TO COMPLIAN
WITH ALL FE
STATE AND COUNTY RULES AND REGU'_
"EXCEEDING EXPECTATIONS-NOT JUST OUR MOTTO, BUT OUR GOAL"
DAT
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Village of Miami Shores
10050 NE 2 Ave.
Miami Shores, FL 33138
HOGAN
GENERAL CONTRACTING
1331 BRISTOL AVE. DAVIE, FL 33325
License # -CGC 1507037
TEL (954) 370 -6161 FAX (954) 370 -6181
exposed.
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00410
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Attn: Claude Grande, C.B.O.
Electrical Permit not needed.
Plumbing Permit not needed.
for 2 years. New septic tank
Gas connection; see letter.
Demolition will be started on or about July 30 2007 and will be completed in 1 week.
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41414141
Temporary pole put in at property line. No electric •
in hettm. •
• 4141 . 414141 •
•
Septic abandoned and filled. No water service to building • •
ctfully submitte
es
V.P. Field Operations
"EXCEEDING EXPECTATIONS -NOT JUST OUR MOTTO, BUT OUR GOAL"
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Village of Miami Shores
10050 NE 2n Ave.
Miami Shores, FL 33138
Attn: Claudio Grande, C.B.O.
c ktnctc\c:
J.W.B.H.B. MANAGMVIENT CORP.
17275 COLLINS .AVE.
SUNNY ISLES, FL
a
`a.
07 -16 -07
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I hereby authorize Hogan Construction to demolish house located at 899 rg3" Street'
Miami Shores, FL.
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aao maommuoemmmaa■uuuep.sne.pgn
JAGQUEUNE MARIAPERDOMO
ou rk% Coma*
Expires 7/20/010
Florida Nary AN tie e
epeene.•
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Bent By: ;
305 944 4060;
CERTIFICATION OF DESIGNATION OF J s Au; .. ,q ', -, 9• °
REGISTERED AGENT / REGISTERED OFFICE
ASSES FLORIDA
PURSUANT TO THE PROVISIONS OF SECTION 607.0501, FLORIDA STATUT S.
THE UNDERSIGNED CORPORATION, ORGANIZED UNDER THE LAWS OF THE, • •
STATE OF FLORIDA, SUBMITS THE FOLLOWING STATE WT
DESIGNATING THE REGISTERED OFFICE / REGISTERED AOENJ.. pl. THE •.:
STATE OF FLORIDA.
The name of the corporation is: JWBH8 MANAGEMENT CORP.
The name and address of the registered agent and office is:
Barry Barak
2223 Pembroke Road
Hollywood, FL 33020
Having been rid" 6 tsgi igthfarid" b set'i+ia of procefettl dtriboVe .
stated corporation at the place designated in this certificate. I hereby accept the
appointment as registered agent and arc to act in this capacity. I further agree to
comply with performance of my duties, and I am &miller with and accept the obligations
of my position as registered agent.
The undersigned resident agent has executed this Certificate of Designation of Resident
Agent / Registered Office this Fourth Day of August, 2005.
Resident Agent
oct•27 -48 8:19K; wage
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Jul 23 2007 11:21AM HP LASERJET FAX
Juiy23, 2 1
RE:
JAME
899 N.
Mt fAM
To who
Sin
Eddy Pe
MIAMI DADE EXTERMINATO
WAHL
. 92 ST.
FL 33138
it may concern:
A rodent control inspection was made at the location l'
activity as not found at the time of inspection. No dr
barrows ere found. Property has no roof / attic where
nest in.
We, Mia i Dade Exterminators recommend six tamper
stations t ► be placed outside, around perimeter of the h
monitori g program.
Post de cation, an inspection will be made of the prop
rodents • re found: proper action will be taken to remov
INC.
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ted above. Rodent
pping. rub marks or
dents 'would use to
root rodent
use, just as a
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rty and it,any
and disposed.
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ARS E IV(/IIWNMENTAL, INC.
Asbestos Consulting • Lead Assessments • Radon Gas Measurements • Indoor Air Quality • Mold Investigations
July 25, 2006 Project #: 2007 -0975
Jim Wall
Hogan Constructions
849 NE 92 Street
Miami Shores, FL 33138
REFERENCE: Residential Dwelling
899 NE 92 Street
Miami Shores, Florida
A NUIRONMENTAL, INC.
Tim Delay, Certified Asbestos Surveyor
Certificate #:122157
Page 1
Mailing Address: 10097 Cleary Boulevard • #305 • Plantation, Florida 33324
Asbestos Business License #ZA- 0000164
Environmental Consulting Services
n1 _ �_. inr_ n% nn nnr\n - r_... nr_ n 1 nnnn - r_u r_.... n I. nn, nnni
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Pursuant to your request; ARS Environmental, Inc., has performed an Asbesos Builtlit'Ig on •
July 19, 2006, at the above referenced location.
The purpose of our inspection was to secure bulk samples for analysis to determine the presence
of Asbestos Containing Building Materials.
Suspect building material which was accessible at the time of inspection and will be disturbed as
part of renovation or demolition were sampled for analysis.
Based on the laboratory analysis, no asbestos fibers greater than 1% were detected in the secured
bulk samples.
This report is limited to the interior and exterior of the structure and does not include roof materials.
If the roof material will be disturbed by renovation or demolition samples of the roofing materials
that will be affected should be obtained and analyzed to determine asbestos content prior to any
disturbance.
It has been a pleasure working with you and we look forward to working with you once again in the
future.
A IBS ENO RONMENTAL INC
July 25, 2006 Project #: 2007 -0975
I hereby certify that the building survey conducted on July 19, 2006, at Residential Dwelling, 899
NE 92 Street, Miami Shores, Florida, was performed by Tim Delay an E.P.A. Accredited A.H.E.R.A.
Inspector utilizing the code of the Federal Regulation Standards, 40 C.F.R., Part 763, Subpart E,
Section 763.80- 763.99 and the State Asbestos Regulations, Florida Statutes 469.0
mothy aughey,
Florida Licensed Consultant
Cert #IA0000016
Page 2
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Sample
Id
Sample
Description
Sample
Location
Approx.
Size
Sample
Condition
I 1
Asbestos
1
Cementatious concrete
e nd
38' x 70'
No No
High
NoEast ne
2
Cementatious concrete
Throughout
West end
Included
Above
Good
No •
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None
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3
Exterior plaster coat
Throughout
East end
38' x 70'
Good
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Higf1
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N °off•
Det
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Exterior taster coat
p
Throughout
West end
Included
Above
Good
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The bulk samples were delivered to an independent laboratory that participates in the bulk sample proficiency analysis program
conducted by the United States Environmental Protection Agency and is accredited by the National Voluntary Laboratory Program
(NVLAP). The samples were analyzed using Polarized Light Microscopy (PLM) with dispersion staining to estimate the percent of
asbestos composition by volume. See attached laboratory results.
ARS ENVIRONMENTAL, INC.
July 25, 2006 Project #: 2007 -0975
ASBESTOS BULK SAMPLE ITEMIZATION SHEET
Page 3
ARS FNUIRONMENTAL, INC
July 25, 2006 Project #: 2007 -0975
GENERAL TERMS AND CONDITIONS
SCOPE OF WORK
ARS ENVIRONMENTAL, INC., inspection is limited and non - destructive in nature, Any conditions
or materials which were not able to be visually observed on the surface, or in easil'yraccessible
areas, were not inspected and may differ from those observed. It was botlaithin tMb'scopb•
this investigation to remove surface materials to investigate portions of tbe.stwcture yr gnateriAl$ :,
which lay beneath the surface. Our selection of sample locations and frequer ey is based upon.our •
observations and the assumption that like materials in the same area are IabTht genedus.: •
This inspection report is the result of a diligent search of the facility for Asbestbe.Gbntaimiiag :.
Building Materials (A.C.B.M.). The purpose of this inspection was to identr'9itse mat&ials which.
may pose a health hazard to occupants of a building and impart future liability to th wners
Insurers of the property. However, we do not claim to have identified all of'the Asbestos Gontatril':
Building Materials present in the facility. Materials such as underground pipes, any mat&tial inside
walls, ceilings, floors or other enclosed and inaccessible areas were not sampled and are not
covered in this report.
This report is designed to aid the building Owner, Architect, Construction Manager, General
Contractors and potential Asbestos Abatement Contractors in locating ASBESTOS CONTAINING
BUILDING MATERIALS. Under no circumstances is this report to be utilized as a proposal or a
project specification document.
This report is based upon conditions and practices observed at the property and information made
available to the surveyor. This report does not intend to identify all hazards or unsafe practices, nor
to indicate that other hazards or unsafe practices do not exist at the premises.
RIGHT OF ENTRY
The client will provide for right of entry of ARS ENVIRONMENTAL, INC., personnel in order to
complete the above referenced work.
INVOICES
ARS ENVIRONMENTAL, INC., will submit invoices to client upon completion of services.
OWNERSHIP OF DOCUMENTS
All reports, field data, field notes, laboratory test data, calculations, estimates and any other
documents prepared by ARS ENVIRONMENTAL, INC., as instruments of service shall remain the
property of ARS ENVIRONMENTAL, INC.
Page 4
ARS ENVIRONMENTAL, INC
July 25, 2006
ASSUMPTIONS AND LIMITATIONS
ASSIGNS
DISCLAIMER
Page 5
Project #: 2007 -0975
The results, finds, conclusions and recommendations expressed in this report are based only on
conditions which were observed during inspections by this report. ARS ENVIRONMENTAL, INC.,
makes no representation or assumptions as to past conditions or future occurrences.
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Neither the client nor ARS ENVIRONMENTAL, INC., may delegate, assign, Aeblet or transfer: his .
duties or interest in this agreement without the written consent of the other' )May. • ' •
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ROOF CUTS '
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To obtain accurate information in a roof investigation, roof cuts (approximately fqur inch,( ;'g squarest,
may be deemed necessary. It is the responsibility of our client to make apprlepriate repairs to MAW:
roof cuts, using materials consistent with the roofing system and in accordance with art} existing
material manufacturer's warranties. A roofing contractor or maintenance personnel selected by
our client should be on the roof to make any necessary repairs at the time the samples are being
obtained. Although, every attempt will be made to make these repaired areas water tight, ARS
ENVIRONMENTAL, INC., will in no way be responsible for any water damage to the roofing system,
building, or it's contents resulting from ARS ENVIRONMENTAL, INC temporary repairs.
If in the course of a renovation or demolition activity, suspect materials become exposed, ALL
FURTHER ACTIVITY SHOULD IMMEDIATELY CEASE AND THE ASBESTOS FORM STATUS OF
THE MATERIAL SHOULD BE DETERMINED BEFORE PROCEEDING
II . RS ENVI WNMENTAL, INC
July 25, 2006
EMSL Inc.
19501 NE 10th Ave. Bay A, N. Miami Beach, FL 33179
Phone. (305) 650 -0577 Fax: (305) 650 -0570 Email: miamilab a emsl.com
Attn: Alex Front
A.R.S. Environmental, Inc.
10097 Cleary Blvd. #305
Plantation, FL 33324
Fax (954) 227 -2409 Phone: (954)227 -2402
Project 2007 -0975 889 NE 92nd St. Miami Shores
EMSL Proj:
Analysis Date: 7/1912007 ••••
Report Date: 7/20/2007 • • • •
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Asbestos Analysis of Bulk Materials via EPA 600/R- 931116 Method using Polarized • • "" •
Light Microscopy • • • • • • • • • • • • • • •
iisksommi Amman . •
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Sample Location
Appearance % Fibrous % Non-Fibrous % Type
2007 -0976-01 Concrete Gray 100% Non - fibrous (other) Plane Detected
1707045450001 Non - Fibrous
Homogeneous
2007 - 0976-02 Concrete Gray
170704545 Non - Fibrous
Homogereous
2007 - 0976.03 Piaster White
170704548 Non
Heterogeneous
2007 -0976-04 Plaster White
1707045450004 Non
Heterogeneous
Analyst(s)
Kim Wallace (4)
Due to may require additional limitations te Inherent in PLM, asbestos fibers in dimensions below the resolution capalality of PLM may not be detected. Samples reported as c1% or none detected
testing byTEM to confirm asbestos quantities. The limit of detection as stated in the method is 1t The above test report relates only to the items tested and
may not be reproduced in any torn without the express written approval of EMSL Analytical, In EMSL's liability Is Malted to the cost of analysts. EMSL bears no responsibility for
sample collection activities or analytical method limitations. Interpretation and use of test results are the responsibility of Ore client. The test mutts contained wahin Oils report meet the
requirements of NELAC unless oOrerwlse noted Samples received in good condition unless othenvise rated.
Analysis performed by EMSL Miami (NVLAP Code 20(1204-0)
PLM-1
Customer ID: ARSI77
Customer PO: CC 015464
Received: 07/19/07 3:16 PM
EMSL Order. 170704546
THIS IS THE LAST PAGE OF THE REPORT.
Page 6
100% Nan - fibrous (other)
100% Non-fibrous ()
100% Non-fibrous (other)
Kimberly Wallace, Laboratory Manager
or other approved signatory
Project #: 2007 -0975
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None Detected
None Detected
None Detected
1
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COUNTY-mos. •
P.O. BOX 823271 L. 33082 -3271 (308)
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SURVEYORS NOTES:
IMOMETVIZI
NE• ° $7- t'
LOCATION SKETCH NOT TO SCALE
1929 Adjustment (NGVD29).
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772 -0766
LEGAL DESCRIPTION
Lot 1 & the East2 of Lot 2 in Block 1 of GOLDEN GATE PARK ADDITION,
according to the plat thereof,, as recorded in Plat Book 6 at Page 130
of the Public Records of Miami -Dade County, Florida.
1). Legal description provided by client.
2). Only record plat easements are shown.
3). Right of way information obtained from record plat.
4). In Federal Flood Zone X, Panel 0093 last revised 3 -2 -94.
5). Benchmark used- Dade County Benchmark #B -62.
6). Elevations are referenced to National Geodetic Vertical Datum'
BOUNDARY, IMPROVEMENTS& ELEVATION SURVEY
MAIVEY F Rt James Wahl 899 N.E. 92 St. Miami Shores, F1. 33138
CSA'PIVZCATS NOTSm • NOT VALID =UM SEALED vITH At! SNB088SD SORVBrOa SBUL.•
I HEREBY CERTIFY THAT THC SOREST A PRZSRBTED mum wows NITW Tot
MINIMON TECHNICAL STANDARDS ADOPTED BY TIM FLORIDA SOARS Of SORVtYORB AND
NA IRS IN CHAPTER 610 17 -8r FLORIDA ADNINISTNA1'IVB CODS, POBWBAN? To
SS ON 472.027, Florida Statutes.
JOSEPH L . MARTIN
PRO 'E$stcwIL auto suRVEron 4p 4368
wan OF FLORIDA
REVISIONS
BY
DATE
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