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EL2005-227Issue Date: 1/30/2006 Expires: 12/31/2006 Owner's Name: MIAMI SHORES PRESBYTERIAN CHURCH Permit Type: Imported Permit Work Classification: Electric Job Address: 602 96 Street NE Contractor(s) Phone SURE ELECTRICAL CONTRACTOR: 305 -971 -0570 Yes Primary Contractor Comments: INSTALL 12 NEW LIGHT FIXTURES IN RESTROOM AREA AND CLASS ROOM AREA INSTALL 2 RECEPTICLES IN ROOM Additional Information Miami Shores Village, FL 33138- Perm Type: Electrical Alpha Four Alpha Six: Pay Amount: 160.35 Bond Retum : Alpha Two: Alpha Five: Residential Pay Date: 7/7/2005 Pay Comments: PD CC 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 contractor to do the work stated. Fees Due Revision Fee Structural Fee Total: Amount $35.00 $3.00 $38.00 Invoice Number imp - 1 - 06 - 23656 Total: Amt Due $38.00 Amt Paid Building Department File Copy Applicant Signature Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Total Square Feet: 0 Total Valuation: $ 1,200.00 Required Inspections Rough NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. Parcel #: Block: Section: Permit Status: APPROVED Permit Number: EL2005 -227 Phone: (305)754 -9541 1132060141410 Lot: PB: Inspection Date: 06/05/2006 Inspector: Devaney, Michael Owner: CHURCH, MIAMI SHORES Job Address: 602 96 Street N Project: <NONE> Miami Shores Village, FL 33138- Contractor: SURE ELECTRICAL CONTRACTORS, INC Building Department Comments Friday, June 2, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Imported Permit Inspection Type: Final Work Classification: Electric Phone Number (305)754 -9541 Parcel Number 1132060141410 Lot: Phone: 305 -971 -0570 Page 2 of 2 Passed Inspector Comments y � ,�� // /mil'` , A 4 l ri`' S - , / L e // ‘ _J, l /----//-' IL � 7 Lr 5 .-,--5T rr / /lam I - e _ // cfP5/ Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Date: 06/05/2006 Inspector: Devaney, Michael Owner: CHURCH, MIAMI SHORES Job Address: 602 96 Street N Project: <NONE> Miami Shores Village, FL 33138- Contractor: SURE ELECTRICAL CONTRACTORS, INC Building Department Comments Friday, June 2, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Imported Permit Inspection Type: Final Work Classification: Electric Phone Number (305)754 -9541 Parcel Number 1132060141410 Lot: Phone: 305 -971 -0570 Page 2 of 2 Inspection Date: 05/31/2006 Inspector: Devaney, Michael Owner: CHURCH, MIAMI SHORES ooceo Job Address: 602 96 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: SURE ELECTRICAL CONTRACTORS, INC Building Department Comments Tuesday, May 30, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Imported Permit Inspection Type: Final Work Classification: Electric Phone Number (305)754 -9541 Parcel Number 1132060141410 Lot: Phone: 305 - 971 -0570 Page 1 of 2 Passed Inspector Comments (— V/ et Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Date: 05/31/2006 Inspector: Devaney, Michael Owner: CHURCH, MIAMI SHORES ooceo Job Address: 602 96 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: SURE ELECTRICAL CONTRACTORS, INC Building Department Comments Tuesday, May 30, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Imported Permit Inspection Type: Final Work Classification: Electric Phone Number (305)754 -9541 Parcel Number 1132060141410 Lot: Phone: 305 - 971 -0570 Page 1 of 2 EL2005 -227 Project: <NONE> Owner: MIAMI SHORES PRESBYTERIAN CHURCH Phone: (305)754 -9541 Job Address: 602 96 Street NE Parcel: 1132060141410 Miami Shores Village, FL 33138- Block: Lot: Scheduled Insp # 12/27/2005 INSP -3926 Partially Approved Michael Devaney 12/29/2005 1st & 2 floor nathroom walls pipe only nowire celings not ready NORTH EAST PREBYSTERIAN CHRUCH 02/14/2006 INSP -9748 Rough Partially Approved Michael Devaney 2/15 /2006 Partially Approved Michael Devaney 3/16/2006 03/16/2006 INSP -12230 Rough 2ND FLOOR BATHROOMS CEILING WALLS 04/18/2006 INSP -15064 Final Partially Approved Michael Devaney 4/18/2006 CEILING ROUGH. THIS PERMIT ONLY FIRE ALARM NOT COMPLETED CANNOT PUT CEILING TILES IN. 05/31/2006 INSP -18691 Final Tuesday, May 30, 2006 Inspection History Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Type Rough Inspection Status Imported Permit Inspector Date Completed Pending Inspection Michael Devaney Not Complete Page 1 of 1 ITEM BATH TUB UNIT FEE ITEM' SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT OUTLETS / ;Z CENTRAL HEATING DISHWASHER - - RECEPTACLES 2 A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION GREASE TRAP INTERCEPTOR LAVATORY APPLIANCE OUTLETS RANGE TOP OVEN PROCESS AND PRESS PIPING UNDERGROUND TANKS ABOVE (ROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS 0- 1 HP STEAM BOILERS SHOWER MOTORS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 If MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 HP ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MOTORS OVER 100 HP VIOLATION INDIRECT WASTES - A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER- REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4` TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN - DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING (AN APPLICATIOlt FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ADDENDUM TO BUILDING PERMIT APPLICATION ELECTRICAL MECHANICAL Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 7/7/2005 Applicant: Owner: JOB ADDRESS: 602 NE 96 Contractor Local Phone: Parcel # 1132060141410 Signed: (INSPECTOR) Electrical Permit Permit Number: EL2005 -227 ST Contractor's Address: Page 1 of 1 Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOTS 1 TO 10 INC BLK 61 LOT SIZE Fees: Description Amount FEE2005 -9306 Building Fee $150.00 FEE2005 -9307 CCF $1.20 FEE2005 - 9308 Training and Education Fee $0.40 FEE2005 -9309 Technology Fee $3.75 FEE2005 -9310 Notary Fee $5.00 Total Fees: $160.35 Total Fees: $160.35 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 1/1/2006 Construction Value: $1,200.00 Work: INSTALL 12 NEW LIGHT FIXTURES IN RESTROOM AREA AND CLASS ROOM AREA INSTALL 2 RECEPTICLES IN ROOM JUL 0' PAID 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 responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: MJA M I•DADE BUILDING CODE COMPLIANCE OFFICE METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 PRODUCT CONTROL NOTICE OF ACCEPTANCE (305) 3375 29 1U FAX (305) 375 -2908 Fleming Steel Door & Frames CONTRACTOR LICENSING SECTION 20 Barr Rd. (305) 375 -2527 FAX (305) 375 -2558 Ajax Ontario ,On L1S 3X9 CONTRACTOR ENFORCEMENT DIVISION (305) 375-2966 FAX (305) 375-2908 PRODUCT CONTROL DIVISION (305) 375 -2902 FAX (305) 372 -6339 Your application for Notice of Acceptance (NOA) of 18 ga. Outswing Commercial Steel Door - Impact under Chapter 8 of the Code of Miami -Dade County governing the use of Alternate Materials and Types of Construction, and completely described herein, has been recommended for acceptance by the Miami -Dade County Building Code Compliance Office (BCCO) under the conditions specified herein. This NOA shall not be valid after the expiration date stated below. BCCO reserves the right to secure this product or material at any time from a jobsite or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, BCCO may revoke, modify, or suspend the use of such product or material immediately. BCCO reserves the right to revoke this approval, if it is determined by BCCO that this product or material fails to meet the requirements of the South Florida Building Code. The expense of such testing will be incurred by the manufacturer. ACCEPTANCE NO.: 01- 0129.09 EXPIRES: 02/05/2006 Raul Rodriguez Chief Product Control Division THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECINIC AND GENERAL CONDITIONS BUILDING CODE & PRODUCT REVIEW COMMITTEE This application for Product Approval has been reviewed by the BCCO and approved by the Building Code and Product Review Committee to be used in Miami -Dade County, Florida under the conditions set forth above. APPROVED: 05/03/2001 MIAMI-DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING /zilLairo Francisco J. Quintana, R.A. Director Miami -Dade County Building Code Compliance Office \\s0450001 \pc2000\ \templates\ notice acceptance cover page.dot Internet mail address: postmaster ®buildingcodeonline.com Homepage: http : / /www.buildingcodeonline.com S. W. Fleming Limited 2 ACCEPTANCE No.: 01- 0129.09 APPROVED MAY 0 3 2001 EXPIRES : February 05, 2006 NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS 1. SCOPE 1.1 This renews the Notice of Acceptance No. 97- 0327.01 which was issued on February 05, 1998. It approves a commercial steel door, as described in Section 2 of this Notice of Acceptance, designed to comply with the South Florida Building Code (SFBC), 1994 Edition for Miami -Dade County, for the locations where the pressure requirements, as determined by SFBC Chapter 23, do not exceed the Design Pressure Rating values indicated in the approved drawings. 2. PRODUCT DESCRIPTION 2.1 The 18 ga. Outswing Commercial Steel Door - Impact (D -18 Series Door & F-16 Series Frame) and its components shall be constructed in strict compliance with the following documents: Drawing No HDF, Sheets 1 through 6 of 6, titled "18 ga. Outswing Commercial Steel Door", prepared by manufacturer, dated April 2001, bearing the Miami -Dade County Product Control approval stamp with the Notice of Acceptance number and approval date by the Miami -Dade County Product Control Division. These documents shall hereinafter be referred to as the approved drawings. 3. LIMITATIONS 3.1 This approval applies to single unit applications of single door only, as shown in approved drawings. 4. INSTALLATION 4.1 The commercial steel doors and its components shall be installed in strict compliance with the approved drawings. 4.2 Hurricane protection system (shutters): the installation of this unit will not require a hurricane protection system. 5. LABELING 5.1 Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami Dade County Product Control Approved ". 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance 6.1.2 Duplicate copies of the approved drawings, as identified in Section 2 of this Notice of Acceptance, clearly marked to show the components selected for the proposed installation. 6.1.3 Any other documents required by the Building Official or the South Florida Building Code (SFBC) in order to properly evaluate the installation of this system. Manu 1 erez, P.E. Produ . :ill . of Examiner Product Control Division } S. W. Fleming Limited ACCEPTANCE No.: 01- 0129.09 APPROVED MAY 0 3 2001 EXPIRES : February 05.2006 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS 1. Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the original submitted documentation, including test supporting data, engineering documents, are no older than eight (8) years. 2. Any and all approved products shall be permanently labeled with the manufacturer's name, city, state, and the following statement: "Miami -Dade County Product Control Approved ", or as specifically stated in the specific conditions of this Acceptance. 3. Renewals of Acceptance will not be considered if a. There has been a change in the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with the code changes. b. The product is no longer the same product (identical) as the one originally approved. c. If the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product. d. The engineer who originally prepared, signed and sealed the required documentation initially submitted, is no longer practicing the engineering profession. 4. Any revision or change in the materials, use, and/or manufacture of the product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been requested (through the filing of a revision application with appropriate fee) and granted by this office. 5. Any of the following shall also be grounds for removal of this Acceptance: a. Unsatisfactory performance of this product or process. b. Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purposes. 6. The Notice of Acceptance number preceded by the words Miami Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the Notice of Acceptance is displayed, then it shall be done in its entirety. 7. A copy of this Acceptance as well as approved drawings and other documents, where it applies, shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all time. The engineer needs not reseal the copies. 8. Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. 9. This Notice of Acceptance consists of pages 1, 2 and this last page 3. END OF THIS ACCEPT CE 3 Manuel ' ere , P.E., Product Con Examiner Product " . ntrol Division S. W. Fleming Limited ACCEPTANCE No.: 01- 0129.09 APPROVED . MAY 0 3 2001 EXPIRES : February 05, 2006 NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED (For File ONLY. Not part of NOA.) A. DRAWINGS 1. Manufacturer's die drawings and sections. 2. Drawing No IMF, Sheets 1 through 6 of 6, titled "18 ga. Outswing Commercial Steel Door", prepared by manufacturer, dated April 2001. B. TESTS 1. Test reports on 1) Air Infiltration Test, per PA 202 -94 2) Uniform Static Air Pressure Test, Loading per PA 202 -94 3) Forced Entry Test, per SFBC 3603.2 (b)5 and PA 202 -94. along with installation diagram of a single commercial steel door, prepared by Hurricane Test Laboratory, Inc., Test Report No. HTL -0096- 0909 -96, dated 09/13/96 and 07/08/96, signed and sealed by Timothy S. Marshall, P.E. 2. Test reports on 1) Large Missile Impact Test per SFBC, PA 201 -94. 2) Cyclic Wind Pressure Loading Test per SFBC, PA 203 -94. along with installation diagram of a single commercial steel door, prepared by Hurricane Test Laboratory, Inc., Test Report No. HTL -0096- 0709 -96, dated 07/25/96, signed and sealed by Timothy S. Marshall, P.E. C. CALCULATIONS 1. Anchor calculations prepared by Tilteco, Inc., dated 2/24/97, signed and sealed by Walter A. Tillit Jr., P.E. D. MATERIAL CERTIFICATIONS 1. Tensile Test prepared by QC Metallurgical, Inc., Report No. QCM-7BM-337 dated March 17, 1997 , for steel samples, tested per ASTM E8 -93, signed and sealed by J. Bankemper Jr., P.E. E. STATEMENTS 1. Statement letter certifying that Walter A. Tillit, Jr., P.E. is still the engineer of records and is still in practice, dated April 6, 2001, signed and sealed by Walter A. Tillit, Jr., P.E. F. OTHERS 1. Notice of Acceptance 97- 0327.01 issued to S. W. Fleming Limited for their 18 ga. Outswing Commercial Steel Door - Impact, dated 02/05/98, expiring on 02/05/01. E -1 azfize Mann el�P rez, P.E. Produ Product Control Division of Examiner 1. 11. Jun 02 05 08:20a NOTICE OF ASBESTOS RENOVATION OR DEMOLITION TYPE OF NOTICE (oHECK ONE ONLY); C7 ORIGINAL ti TYPE OF PROJECT (CHECK ONE ONLY) :0 DEMOLITION IF DEMOLITION, WAS ITAN ORDERED DEMO IF RENOVATION: is ITAN EMERGENCY RENOVATION OPERATION 2 0 IS IT A PLANNED RENt7VATICIN tIPFRATItNJ MIAMI SHORES PRES. Facility Name _ CHURCH Address 602 NE 96 TH ST city MIAMI SHORES, FL 33138 site : .10 - 4' l i r 1! Bu iIding Size (Square Feet) tl of Flours Prior Use: SLliuul/Cu1teg /Unlversity Residence Present Use School/College/University Residence Facility Owner CT Address .._) ' City III. Contractor's Name Address N Address e C City C IX. Amount of RACM or A L square feet surfacing material linear feet pipe cubic feet of RACM cuff facility components I _ square feet cementitious material fr L 1 174 square feet resilient flooring Square feet asphalt roofing DERM USE ONLY State Postmark/Date Received Florida Department of Environmental Protection E'"`"°'h"°"'"`es°""'""` as 5.W. 2.d Ainmc, Suite 9 - 273 Division of Air Resource Management Want Florida 331 »0.1540 LVISED 0 CANCELLATION ENOVATION ❑ ROOFING ON? \ 0 YES D NO OP me.. 1 . rr.;�!_.� 'r,a. ° ice (signature of Owner /Operator o Dat File # c Zip County Consultant Inspecting Site Age in Years 1 Small Business Other Small Business Other tl"I Aw Phone e# � City t State � Zip Florid t irenra Nrt C t * . Is the contractor exempt from ltcensure under section 469.004(7), FS,? 0 YES O IV. Scheduled Dates; Asbestos Removal (rnm/dd/yy) Start: 7 ish: r Finish: . V. Procedures tu he Used (Check All That Ap ly}: WW Strip and Removal Glove Bag Wet Method * Dry Method 0 ER: MUST OBTAIN PRIOR DERM APPROVAL BEFORE USING A DRY METI-lO V[. Procedures for Unexpected RACM: Name WORTECH ASSOCIATES, INC. 3151 W. ATLANTIC BLVD. VII. Asbestos Waste Transporter: Address City PIANO BEACH EL 33$9 VIII. Waste Disposal Site: Name L. J.- C'. , , et... Process # emo'Renovation (ntm/dd/yy) Start: Bulldozer Explode . Phone Zip�„�LL -7 I certify that the alcove information is correct and that an individual trained in the provisions of this regul.stiur, (4t)CFR Part Fit, Subpart M) will. be on -site during the demolition or renovation and evidence that the required training has been accomplished °by t}jis person wi be vailable for inspection during normal business hours. IDq 0 COURTESY Wrecking Ball Bum Down 0.„ p. 2 Jun 02 05 08 :20a Wortech ASSOCIATES, Inc. 3151 W. Atlantic Blvd. Pompano Beach, FL 33069 TO: FROM THE DESK OF: COVER MESSAGE: FAX COVER SHEET DATE: _.lct ' ,__.. PAGES (INCLUDING THIS PAGE) THANKS I IMPORTANT: THIS MESSAGE iS INTENDED ONLY FOR THE USE OF THE INDIVIDUAL OR ENTITY TO WHICH IT IS ADDRESSED, AND MAY CONTAIN INFORMATION THAT IS PRIVILEGED. CONFIDENTIAL AND EXEMPT FROM DISCLOSURE UNDER APPUCAeLE LAW. IF THE READER OF THIS 18 NOT THE INTENDED RECIPIENT, YOU ARE HEREBY NOTIFIED THAT ANY D1$SEMINATTK)N, DISTRIBUTION OR COPING OF THIS COMMUNICATION I5 STRICTLY PROHIBITED. IF YOU HAVE RECEIVED THIS COMMUNICATION IN ERROR, PLEASE NQTFY US IMMEDIATELY BY ENE, AND RETURN T'HE ORIGINAL MESSAGE TO US AT THE ABOVE ADDRESS IAA THE UMTr*) STATES POSTAL SERVICE. THAW YOIJ IF YOU DO NOT RECEIVE ALL PAGES, PLEASE CALL 954-969 -5154 3151 W Atlantic Blvd. - Pompano Beach, FL 33069 - TEL: (954) 969 -5154 • FAX: (954) 984 -0576 p.1 FROM: 1(crtz., 3 NUMBER OF PAGES INCLUDING COVER L BUILDING DEPARTMENT 10050 N.E. SECOND AVENUE MIAMI SHORES, FLORIDA 33138 - 2382 TELEPHONE: (305) 795 - 2204 FAX: (305) 756 - 8972 FAX TRANSMITTAL BLDG DEPT DATE: lD /dos TO: 9 FAX: 303YeS 9aa/ FAX: (305)756 -8972 MESSAGE: Ag-y:ts-vo THANK YOU Miami Shores Village Hall T, # Permit E . ■ Date :) 1 1 / 1 ® 5 i . a Prosxsds , , ent Ap • ligation d YES NO _ NIA LOCATIDHICOMMENTS Fire Name: NI {t cw \ 51�(D QE � i' �.6 rE� I A A� 1 k 2. i>N ■ - . p • ect Ad 6, �e /(e, a g ( r ao St- iore:J . i 4 A copy of the contract is provided or an r avit from the owner showing:the to mist ii tan • Ins '.: Cost $ ' ■ .. - 10 the y .. S MIS rO. re , 1.: - ;_i gO0 are sealed or a , . a Ita R • y � - DLO Vann: ��y� to r _ 1 I1 Chad. EC jF ii a • -� , -, e Thtst a!ann .Is mgUtre un f � J " i... _ d i is;a iiliee Mil . ,4 • 7 s at_ . iced ... a ,., or.a 4r . .." .. . ¢ � $' r ice' ngi11►; c o: or AHJ iSee dat MU in iIP1 'is .regiu lri the sys 1' compon and .. {he r t :.. r. _ -' co t Horde* '` Co . et; if 4 1 i Seldiplit-Orth5- d. • , L 4 , Plan is e fife sob of Ils!odt IS d l n' • • 1*. • , ss :.<••s • s e , . - .. + . 3. - ..- ?! 11 A COM dnept,mf . ,J. .. p sf r. i ces ) _ � � d L . - ' ' . ' , i ,. -,yr �. - � � , r' o -�� a M il` 7 �3 y ay systems, d storl ,'square p of 1t' g� . iyover 5 r . � 3 . a ... r, :' . a _ , t • as g t , h •� Y s $ fir. -I'E* ti rre t7 .'. f 1 4 15 c ttoot / . ` a, � F� IS . r oyl a? e : 5 ec• " f , : I ) r �+� lL yyy .� f t '�.y�t i . i � � ens stated i aAl a �iis . 101 a Y 3 ` e a "d idectkti. Dp - ` el : , . ., : R T 25. : . < 3 e ,--i 4 A:sp�uence Of ratio*' 1" .- udtng ' 'a . funcd, s such as fire sUppresalon, door release, matte owl , are se p�`ied the • • 17 98 A es • ec on of • ower -Ant ed Or .on • ower.1 ted is includ • on the • Lan. . Entergertcy forces notification or sprin er supervision - X, is required. or — Is provid - • but is not reflVir®[i. Mil ■ ■ is not • novided. to °ft site monitorin ! s' is • ed The method of communication' < ,ttr:.monitdcrl _ n. is Ngcluded on the •La Complete specifications sheets are provided for all devices, control units, and UU .� - • - — ri components. documentation o fdeylce c ompatibility h t aen provided.• . t2 is ea N Each device and component:. QdeI number is : ; eft , i tt► - .• •,I le n end. Floor phew are drawn to i a" steel or, if us ng another e, ali- , • vice coverage is : Ea ir d on the •Lan and all dimensions are With � , i ft ` ., Eacevice, appliance and component Is is identi fied ve'ith d.'a oilVFi! unique number and the floor plan and riser? ffil il ■ ■ -- • - - - . � -- 1 — — — Is !a !r e Indicated on o(relocated devices are indicated on the floor plan. All new, ern", replaced All rooms A spaces are labeled Indicating their use and the occupant load has been : rovided far all assembl use roo s with an occu • ant load of SO or neater- Ceiling condition and height is provided for all ceiling mounted devices. A riser dflagram is provided showing each floor and building with all zones and circuits — - - - - - -- - - - - . -- -- s o labeled The wire size, type, and number Is provided for each circuit. The FACP or remote annunciator is located near the main entrance/lobby when required ,._ - .._. -..__. 1.�..4.41•1 01.14nra -_ ■ _ F /Apm Ubffl Raw. 1[107102 or MIAMI DADE FIRE RESCUE FIRE ALARM PRE - SUBMITTAL CHECKLIST Designer to fill in and answer aft ibme and provide lacattonlcommsnts as appropriate. Page Lill YES N NO N NiA L LOCATIONCOMIYIENTS ® The FACP and all sub panels in unoccupied rooms are protected with a smoke detector. !' if a complete automatically activated system, there is at least 1 pull station each floor or 2 im n for lar • e buildin , � � ■ ■ MI if a manually activated system, the travel distance to reach a pull eta con is less than 200' MIN and near all exits. All automatic In • . tine device n a s are shown ar'etocatecl in accord with NFPA T2, the. n lanufa . s s . clficaflons; .and..-.; 7 e to •. en 1, � = a I1 citces. : t • Mil Ail visi • Ins devices are placed per tf t - err NFPA an . ems st'obs has is candela :. ratfn 1 , Orr ,, -,11. ._ .and M .co dorspaced strobesl Plaice �imurn of :1 1 f' a - ft ah within l6' fry: id . . : All s • aces riiee Ilia ddible 'characterfstids of NFPA 7`2,and'N 101 _. `. Walls, partition, racks shelves and equlpment•which may bidck.devices,are shown with h et 1 � , . -, -, , ,,• :4 3n S S 'ty - ' 5r % - . y & • e re pump i mart • for ruin, asp reversal iv I Ills$ to .:;, a cart nuous , , ;; 9to 4�, dt is � . Eil M - t p .F 'a, d; i i , 9 x s . � 9 � �•,- a F ,u • y �� p ' > j � � < • ,'� t' 9rdtlatins ae v dre l c � MIAMI DADE FiRE RESCUE FIRE ALARM PRE - SUBMITTAL CHECKLIST Designer to tin in and answer an items and provide iocation/cornments as appropriate. F /ApresuDmillal Rev.10/07/02 Page 2 Inspection Date: 03/16/2006 Inspector: Devaney, Michael Owner: CHURCH, MIAMI SHORES one *Q IT I Job Address: 602 96 Street N Miami Shores Village, FL 33138- Project: <NONE> Contractor: SURE ELECTRICAL CONTRACTORS, INC Building Department Comments Wednesday, March 15, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Imported Permit Inspection Type: Rough Work Classification: Electric Phone Number (305)754 -9541 Parcel Number 1132060141410 Lot: Phone: 305 - 971 -0570 Page 2 of 2 � L h7 f ' Passed Inspector Comments ,- AV plAe api, / // 1 1�� G � ��, � CV Failed Correction Needed Re- Inspection Fee ' ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Date: 03/16/2006 Inspector: Devaney, Michael Owner: CHURCH, MIAMI SHORES one *Q IT I Job Address: 602 96 Street N Miami Shores Village, FL 33138- Project: <NONE> Contractor: SURE ELECTRICAL CONTRACTORS, INC Building Department Comments Wednesday, March 15, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Imported Permit Inspection Type: Rough Work Classification: Electric Phone Number (305)754 -9541 Parcel Number 1132060141410 Lot: Phone: 305 - 971 -0570 Page 2 of 2 NORTH EAST PREBYSTERIAN CHRUCH V� �j :�%A� Passed Insp ector Comments I C' T p �� /+ .� / _� ®�� o ® �A� ?� / � �,% / ��' /P- �G _ . ) if 2 Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Date: 12/27/2005 Inspector: Devaney, Michael Owner: Job Address: 602 96 Street NE Project: <NONE> Contractor: Miami Shores Village, FL 33138- Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: verA Permit Type: Imported Permit Inspection Type: Rough Work Classification: <NONE> Phone Number Parcel Number 1132060141410 Lot: Thursday, December 22, 2005 Page 2 of 2 BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Total Fee Now Due $ (Continued on opposite side) Miami Shores Village Building Department 10050 N. .2nnd_Axenue ami S . - , Florida 33138 Tel (�:o` .a �' �a5) 756.8972 Zoning Owner's Name (Fee Simple Titleholder) )4 I h 14 sN o 2 US P dt.11%syre414tJPhone # Owner's Address (.02 ocf eio Tenant/Lessee Name ****************************F Submittal Fee $ Permit Fee $ Cep Notary $ Training/Education Fee $ Scanning $ Radon $ Code Enforcement $ Structural Plan Review. $ Plumbing Mecha . Roofing Permit No.E •• ZZ l Master Permit No. Esro 4 - 14% 0 CNV2e.N Zip • Phon Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO Contractor's Company Name 5(/re t / LC/r/ca/ G f) f j hr 5 Phone # 305 - ) 7/' 0570 Contractor's Address 1 053 SO, (0 Ave , City kra nit State Ft Zip 39/57 Qualifier RBberTh Dom n /Ge State Certificate or Registration No. b C 3 0 13 g • Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit 4 rDt2 Square Footage Of Work: Type of Work: ❑Addition ❑Alteration ❑New ❑ R R lace ep air/ ep 0 Demolition Describe Work: Zip * * * * * * * * * * * * * * ** CCF $ Technology Fee $ Bond $ CO /CC Bonding Company's Name (if applicable) Banding 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 oc - seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will be approved a .. reins e ion fee will be charged Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this VI The foregoing instrument was acknowledged before me this /9 day of f4 iJ , 200 G, by FAt2 M4 & A LC' wt, , day of Si it V4 7 , 20 6, by who is personally known to me or who has prodttuletup who is personally known to me or who has produced .�`��1, 3.ZAP. - As identification and ,+ �� +:a°�.;, c"�stl o�,Gt i My Commission Expires:: J 4 r Signature NOTARY PUBLIC: Sign: as identification and who did take an oath. NOTA Sign: v v ^• 'r. Prin ' !�� /.�at'>r $ - .Q Print: : *ft ,P My Commission Exp o Nebewa Rodngue2 My Cosarniacinn DD37'3O7 Expires November 20, 2008 APPLICATION APPROVED B Chc 05/13103 * 1 ,..7.4 - Plans Examiner Engineer Zoning * R. r Inspection Date: 02/14/2006 Inspector: Devaney, Michael Owner: CHURCH, MIAMI SHORES noeeovTCn�ws� Job Address: 602 96 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: SURE ELECTRICAL CONTRACTORS, INC Building Department Comments Monday, February 13, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Imported Permit Inspection Type: Rough Work Classification: Electric Phone Number (305)754 -9541 Parcel Number 1132060141410 Lot: Phone: 305 - 971 -0570 Page 1 of 2 Pa s sed /�� Passed Inspector Comments / y— F A�eyr� (. s1 - �e ✓ �"' /3 W" Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until R. r Inspection Date: 02/14/2006 Inspector: Devaney, Michael Owner: CHURCH, MIAMI SHORES noeeovTCn�ws� Job Address: 602 96 Street NE Project: <NONE> Miami Shores Village, FL 33138- Contractor: SURE ELECTRICAL CONTRACTORS, INC Building Department Comments Monday, February 13, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Imported Permit Inspection Type: Rough Work Classification: Electric Phone Number (305)754 -9541 Parcel Number 1132060141410 Lot: Phone: 305 - 971 -0570 Page 1 of 2