RCRT-08-1316A R C H I T E C T S
ARCHITECTURE .INTERIORS • DESIGN BUILD
CONSTRUCTION A D M I N I S T R A T I O N
UNITED STATES POSTAL SERVICE
° Sender. Please print your name, address, and ZIP +4 in this box •
VCg-TOK 310
MIAMI SHORES VILLAGE
10050 N. E. 2nd AVENUE
MIAMI SHORES, FL 33138
!HiialiJIHuiil fib 11IILI• h »tl� ;hi 111 i�r1111, MIII
SENDER: COMPLETE THIS SECTION
• Complete items 1, 2, and 3. Also complete
item 4 If Restricted Delivery Is desired.
• Print your name and address on the reverse
so that we can return the card to you.
• Attach this card to the back of the mallpiece,
or on the front spa .- permits.
iste
(am %sr
M +�mi SIB
2. Article Number
(Tiansfer from service label)
. PS Form 3811, February 2004
Domestic Return Receipt
COMPLETE THIS SECTION ON DELIVERY
A. Signature es
x ` / , �c7,- ,�� 0 Agent
B. Rece
First -Class Mail
Postage & Fees Paid
LISPS
Permit No. G -10
(Printed Name) C. Date of DQINe
I
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service ijrpe
❑ Certified Mall ❑ Express Mall
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. Restricted Delivery? (Edna Fee)
7007 2680 0001 3276 2902
❑ Yes
102585- 02- M -1540j
ru
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U.S. Postal ,Service
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CERTIFIED MAIL.
(Domestic Mail Only; No insurance Coverage Provided)
For delivery information visit our website at www.usps.come
FACIAL US
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$
CAW <
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Sent o ea
threat,
Apt IG O.
or PO Box No. a.
City, State, ZIP+4
PS Form 3800y!August 2006
See Reverse for Instructions
Postage
Certified Fee
Retum Receipt Fee
(Endorsement Required)
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(Endorsement Required)
Postmark
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P3 Form 3800, August 2008 (Reverse) PSN 7530-02-000-9047
BUILDING
PERMIT APPLICATION
FBC 2004
Miami Shores Village
Building Department
Permit Type (circle): Building Rodin
Owner's Name ee Si l e Titleholder I klO1 i #
(Fee Simple )l� �I�
Owner's Address
City State Zip
Tenant/Lessee Name Phone #
Job Address (where the work is being done)
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Itaq 114 GICo s+
Permit No. a I O )3
Master Permit No.
City Miami Shores Village County Miami -Dade Zip
FOLIO / PARCEL #
Is Building Historically Designated YES NO
Contractor's Company Name Phone #
Contractor's Address
City State Zip
Qualifier Name Phone #
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
Value of Work For this Permit $ Square / Linear Footage Of Work:
- Type of Work: ['Addition ['Alteration ['New ❑ Repair/Replace ❑ Demolition
Describe Work:
**,x:x**** ** ** x************************** 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 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 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:
Print:
My Commission Expires: My Commission Expires:
** * ***** **** ***** ****** **** * * ** * *:x****** ** *:x *:a************ ***: ******** ******** ** * *** * ***** ** * ***a:***** ***
APPLICATION APPROVED BY:
(Revised 07/10/07)
/71eo
Sign:
Print
Plans Examiner
Engineer
Zoning
t
AFFIDAVIT OF RECERTIFICATION
10/6/10
Re. Structural and electrical recertification
Miami Shores Presbyterian Church Sanctuary
Location: 601 NE 96 street Folio 113 2060141 410
Miami Shores Village, Florida 33138
Dear, Building Official
I, Mark Coltrain hereby certify that to the best of my knowledge and professional judgement the
structure and components of the structural are in fair condition and safe for the intended use and
occupancy. I also attest that to the best of my knowledge, and professional judgement the
electrical system is new and in good condition and is safe for the intended use. Inspections for
recertification required by the building officials, have been completed according to code and
submitted with this letter.
This document is prepared in accordance with Florida building code and submitted to Miami
Building Official at the time of recertification of above referenced project.
Mark Coltrain
Architect AR 13380
COLTRAIN & JONES, ARCHITECTS, P.A.
Signature of Notary Public
46 . «e4c EiOQUE CHAR
�_, * MvOOI+MIBSION 1 G!)
Date `( —7 -- ` � ` °an;' . EXPIRES:January i. ?r
4 +6F n oe BadadihuBalget Noisy
s. ,•c.
Personally known to me (--)'-‘
535 SW 8 street Suite 100, Miami, Florida 33130
Tel (305) 285 -6723
Fax (305) 285 -6722
C E B IE
p
BY:
INSPECTION COMMENCED
DATE: 10 8 10
INSPECTION COMPLETED
DATE 10 8 10
INSPECTION
SIGNATURE:
PRINT NAME
TITLE Mark Coltrain Architect
441 NE 53 Street
Miami, Florida 33137
a. Name of Title: Miami Shores Presbyterian Church
b. Street Address: 601 NE 96 th street
c. Legal Description:
d. Owners Name: Miami Shores Presbyterian Church
e. Owner's Mailing Address: 601 NE 96 street
Miami Shores Village, Florida
f. Folio Number of Building: 113 2060 141 410
g. Building Code Occupancy Classification: Assembly Group A A -3
h. Present Use: Sanctuary A -3
I. General Description, Type of Construction, Size, Number of Stories, and Special Features
Additional Comment one story large volume space with a large mezzanine. Concrete block
and beam construction and metal truss roof structure
,'
5. MASONRY BEARING WALL = Indicate good, fair, poor on appropriate lines:
a. Date of notice of required inspection
a. Concrete masonry units Good condition
c. Name and qualification of individual submitting inspection report: Mark Coltrain
b. Clay tile or terra cotta units looks to be fairly new
d. Description of any laboratory or other formal testing, if required, rather than manual or visual
procedures none was required building is in very good condition and well maintained
c. Reinforced concrete tile columns all good condition
e. Structural repair note appropriate line:
d. Reinforced concrete tile beams all beams visible at the time of inspection are in good
condition
2. Required (describe and indicate acceptance) none required, This building is in very
good condition for an old structure there has been no alterations to original structure
e. Lintel over door good condition
f. Other type bond beams Trusses in roof good condition
g. Masonry finishes — exterior or concrete addition
1. Stucco good
2. Veneer the coral is in great condition
3. Paint good condition recently painted
4. Other(describe) window caulking is fair
h. Masonry finishes
1. Vapor barrier none visible
2. Purring and plaster fair condition
3. Paneling is in fair condition this is only in some areas
4. Paint old paint
5. Other (describe)
i. Cracks:
1. Location - note beams, columns, other
2. Description
j. Spelling: None visible
1. Location - note beams, columns, other
("\
3. - INSPECTIONS
a. Date of notice of required inspection
b. Date(s) of actual inspection 10 810
c. Name and qualification of individual submitting inspection report: Mark Coltrain
Architect AR13380
d. Description of any laboratory or other formal testing, if required, rather than manual or visual
procedures none was required building is in very good condition and well maintained
e. Structural repair note appropriate line:
1. None required none
2. Required (describe and indicate acceptance) none required, This building is in very
good condition for an old structure there has been no alterations to original structure
4. SUPPORTING DATA
a. none required sheet written data
b. none required photographs
c. none required drawings or sketches:
6. FLOOR AND ROOF SYSTEM
a. Roof:
1. Describe (flat, slope, type roofing, type roof deck, condition. Slope tile roof with flat roof
at covered walks are shingle ply type , wood sheathing on steel trusses. Structure is in very good
condition
2. Minor - patching not required
3. Significant- not required
2. Note water tanks, cooling towers, air conditioning equipment, signs, other heavy
equipment and condition of support: menchanical equipment in room good condition and mounts
I. Samples chipped out for examination in spall areas:
3. Note types of drains and scupper and cooling towers, air condition: .gutters and down
spouts on flat roofs is in good condition
2. Yes - describe color texture, aggregate, general quality
b. Floor systems(s)
1. Describe (type of system framing, material, spans, condition): all floors are concrete
slab On grade in good condition
c. Inspection — note exposed areas available for inspection, and where it was found necessary to
open ceilings, etc. for inspection of typical framing members. All of the area that we were able to
inspect are in good condition, joist, beams foundations etc all are well maintained
2. Description none visible during the time of inspection
k. Rebar corrosion -check appropriate line:
1. None visible none
2. Minor - patching not required
3. Significant- not required
4. Significant - structural repairs required none required
I. Samples chipped out for examination in spall areas:
1. No. None required
2. Yes - describe color texture, aggregate, general quality
7. STEEL FRAMING SYSTEM
a. Description steel roof trusses
b. Exposed Steel describe condition of paint & degree of corrosion: very good
c. Concrete or other fireproofing — note any cracking or spalling, and note where any covering
was removed for inspection: all fire stopping has been maintained and in good safe condition
d. Elevator sheave beams & connections, and machine floor beams — note condition:
No elevator
8. CONCRETE FRAMING SYSTEM
a. Full description of structural system concrete tie columns and tie beam both areas of building
All in good condition
b. Cracking
1. Not significant good condition
2. Location and description of members affected and type cracking none
f. Note any concealed spaces opened for inspection: some drop ceilings in some spaces. All
closets, mezzanine, mechanical room are in good condition clean and well maintained
c. General condition this building is in good to fair condition looks to be well maintained over the
years,
d. Rebar corrosion - check appropriate line:
1. Non visible ok
2. Location and description of members affected and type cracking no cracking
3. Significant but patching will suffice none required
4. Significant - structural repairs required (describe) none required
e. Samples chipped out in spall areas:
1. No. no samples required
2. Yes, describe color, texture, aggregate. general quality: none required
10. WOOD FRAMING
a. Type — fully describe if mill construction, light construction, major spans, metal trusses; 2x
wood sheathing between trusses all areas visible are in good condition
b. Note metal fitting i.e., angles, plates, bolts, split pintles, pintles, other, good condition:
c. Joints — note if well fitted and still closed:
d. Drainage — note accumulations of moisture: all drainage is good no signs of ponding
e. Ventilation —note any concealed spaces not ventilated: all toilets have exhaust fan duct visible
were limited
f. Note any concealed spaces opened for inspection: some drop ceilings in some spaces. All
closets, mezzanine, mechanical room are in good condition clean and well maintained
9. WINDOWS
a. Type (Wood, steel, aluminum, single hung, double hung, casement, awning, pivoted,
fixed, other) fixed all in good condition
b. Anchorage — type & condition of fasteners and latches: screws in metal jambs
c. Sealant — type of condition of perimeter sealant & at mullions: caulking is ok
d. Interiors seals — type & condition at operable vents: caulking is good recent painting
e. General condition: well maintained good condition
Enrique L Fernandez P.E. Miami, Florida.
33186 Street suite 214
October 12, 2010
City of Miami Building and Zoning Department
(40 -year certification compliance letter)
Reference: Miami Shores Presbyterian Church
601 NE 96th street
Folio: 11- 3206 -014 -1270
And found that the building is electrically safe for its use and occupancy.
The parking has been reviewed under prior certifications and not part of this certification
This Certification is based on the present conditions and on visual inspections.
Sin eiy,
Enrique L. Femandez
Professional Engineer
Fl P.E. # 21218
910 k-i
To whom it may concern:
Dear Sirs I have inspected to the best of my abilities, the building of reference on 10/12/2010 as per
requirements under section 8 -11(f) of the Code of Miami Dade County Building and Zoning Department
40 year certification.
In order to avoid possible misunderstanding, this certification does not directly or indirectly guarantees
that the present use or any modification in the future may affect from mal functions or faults.
{
INSPECTION COMMENCED
DATE ,10 -10 -2010 1
INSPECTION COMPLETED
DATE: 10 -12 -2010
Name of Title: Sanctuary
Street address: 9405 Park drive
l egal Description: MIAMI SHORES SEC 2 PB 10 -37 LOTS 1 THRU 8 BLK 59 &
LOTS 1 THRU 5 BLK 62 & THAT PORT OF NE 95 ST LYG BET BLKS 59 & 62 CLOSED
PER ORD 50 -195 LOT SIZE 829.40 X 150
d. Owner's Name: Miami Shores Presbyterian church
e. Owners Mailing Address: 601 NE 96. th street
f. Folio Number of Building: 11 -3206 -014 -1270
Building Code Occupancy Classification: Group E and Group S light storage
h. Present Use: preschool side storage side
i. General Description, Type of Construction, Size, Number of Stories. and
Special Features one large mezzanine concrete slab on grade with concrete
postutn and beam construction and metal trusses.
1).
c.
MINIVUM INSPECTION PROCEEDURAL GUIDELINES FOR
3UILDING'S ELECTRICAL RECERTIFICATION
.Additional Coincnt:
INSPECTION MADE BY
SIGNATURE:
PRINT NAME:
Enrique Fernandez P.E.
TITLE: Electrical Engineer
ADDRESS: 14335 SW 120th Street, Ste 214
Miami, Florida 33186
/D -1B —/a
1. ELECTRIC SERVICE
1. Size: 800 A
2. Phase:
3. Condition:
4. Comments:
2. METER AND ELECTRIC ROOM
1. Clearances: Good ( ) Fair (1 1) Requires Correction (
2. Comments: inside electrical room
3. GUTTERS
I. Location:
2. "laps and Fill:
3. Comments:
4. ELECTRICAL PANELS
1. Panel # ( B ) Location:inside
300 A Good (L< ) Requires Repair
2. Panel # (DP -2) Location:inside
Good (1 >1 ) Requires Repair
3. Panel # (Ai ) Location :inside
Good (M ) Requires Repair
4. Panel # ( C ) Location:inside
Good ( ) Requires Repair
5. Panel # ( A ) Location:inside
Good (> ) Requires Repair
6. Panel # ( D ) Location:inside
Good (N) Requires Repair
7. Comments:
5. BRINCII CIRCUITS
1. Identified:
2. Conductors: Good
S. Comments:
CUIDEIUNES AND INFORMATION FOR RECERi1FICATION OF ELECTRICAL
SYSTEMS OF FORTY (40) YEAR STRUCTURES
Amperage (L< ) Fuses ((;1) Breakers
Three Phase ( ;) Single Phase ( )
Good (x) Fair ( ) Needs Repair (
Good (L!i Requires Repair (I )
Good ( \) Requires Repair ( )
)
Yes (L ) Must be identified
Deteriorated ( j ) Must he replaced (
6. GROUNDING OF SERVICE
Condition:
Comments:
7. GROUNDING OF EQUIPINIENT
Condition:
Comments:
8. SERVICE CONDUITS /RACEWAYS
Condition: Good
Comments:
9. SERVICE CONDUTORS AND CABLES
Condition: Good (
Comments:
10. 'TYPES OF WIRING METIIOI)
Condition: Good (Z )
Conduit Raceway: Good (\ )
Conduit PVC:
NM Cable:
BX Cable:
11. FEEDER CONDUCTORS
Condition:
Comments:
12. EMERGENCY LIGHTING
Condition:
Comments:
14. FIRE ALARM SYSTEM
Condition:
Comments:
15. SMOKE DETECTORS
Condition:
Comments:
Good (
G
Good(( H
Good ( )
Good (f] )
Good (
Good
13. BUILDING EGRESS ILLUMINATION
Condition: Good (X
Continents:
Good (
Good (
V.
1
) Repairs Required (
Repairs Required
Repairs Required (
) Repairs Required (
Repairs Required (
Repairs Required (
Repairs Required (
Repairs Required (
Repairs Required (
Repairs Required (
) Repairs Required (
) Repairs Required (
11
Repairs Required ([_ )
)
)
Repairs Required (r )
)
)
16. EXIT LIGIITS
Condition:
Comments:
17. EMIIERGENCY GENERATOR
Condition: Good (
Comments: N/A
18. WIRING IN OPEN OR UNDER COVER PARKING GARAGE AREAS
Condition: Good (X) Repairs Required (( 1 )
Comments:
19. OPEN OR UNDERCOVER PARKING SURFACE AND SECURITY
LIGHTING
Condition: Good Illumination Required (
Comments:
20. SWIMMING POOL WIRING
Condition: Good
Comments: N/11
21. NVIRING OF IIIECTIANICAL EQUIPMENT
Condition: Good ( y . ) Repairs Required ( 1 )
Comments:
22. GENERAL ADDITIONAL COMMENTS
Good (N) Repairs Required (
) Repairs Required
Repairs Required (
Permit No: 08 -1316
Job Name:
October 15, 2010
Norman Bruhn CBO
305 - 795 -2204
Miami Shores Viiiage
Building Depart
ent
10050 N.E.2nd venue
Miami Shores, Florid- 33138
Tel: (305) 7 5.2204
Fax: (305) 7 6.8972
Page 1 of 1
Building Critique Sheet
1) 40/50 year certification is incomplete. Please provide a complete certification for t e
building including required photos, location of inspections, electrical, parking lot Iig ting,
ect. The report provided is not in compliance with the 40 year ordinance at all.
Responses to each item must be detailed. STOPPED REVIEW
Plan review is not complete, when all items above are corrected, we will do a complete pl n
review.
If any sheets are voided, remove them from the plans and replace with new revised shees and
include one set of voided sheets in the re- submittal drawings.
7/23/2008
Dear Owner:
MIAMI SHORES VILLAGE
Building Department
Certified Mail # 7007 2680 0001 3276 2902
10050 NE 2 Ave, Miami Shores Fl, 33138
Tel: 305- 795 -2204• Fax: 305- 756 -8972
Property located at: Address: 602 NE 96 Street
Miami Shores, Florida,
Permit Number: RCRT - 7 - 08 - 1316
Folio # 11 3206 - 014 - 1410
Notice of Required Inspection /Certification
The Village has been notified by Metro -Dade Building & Zoning Department that the
above referenced property has a building or structure that is fifty (50) years old or older.
In accordance with Miami -Dade County Chapter 8 Section 8 -11, the subject property
must be inspected by a Florida Registered Architect or Engineer and a report furnished to
this office.
A report and a fee of two - hundred fifty dollars must be submitted to this office within
ninety (90) days of receiving this Notice of Required Inspection/Certification.
If you would like a copy of Minimum Inspection Procedural Guidelines for Structural
and Electrical Recertification, or if you have any questions, please call my office at 305-
795 -2204.
Sincergly,
05- 795 -2204
audio Grande, Build' g , icial