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319 NE 101 St (7)• 4100 N.E. 2ND AVENUE, SUITE 313 MIAMI, FLORIDA 33137 PHONE (305) 573 -0901 April 2, 2002 RE: 319 N.B.._ 101 Street Miami Shores, FL To whom this may concern: The undersigned, Arturo H. Salow, Registered Professional Engineer No. 12626 in the State of Florida, certifies that Pan American Foundation Corporation installed 3 -3" pin piles, driven to refusal, with a maximum load bearing value of 6 tons each. All work was performed at the above address in accordance with owner's representative instructions and general procedures developed by Pan American Foundation Corporation. Issued in Miami, Florida on April 2, 2002. Sinc PAN - AMER /IC.[,N� F- OUNDATION CORPO =ON ` Arturo H. S . !� P State of Florida egistration No. 0012626 «; O° /`1,% r LIC. CC #000006251 PAN AMERICAN FONDATION CORPORATION PILE LOG & CETIFICATION P.O: BOX 610224 N. MIAMI, FL 33126 -0224 FAX (305) 573 -0587 • 4100 N.E. 2ND AVENUE, SUITE 313 MIAMI, FLORIDA 33137 PHONE (305) 573 -0901 Job No. 5 -02 Location: 319 N.E. 101 Street Miami Shores, Florida PILE NO. LENGTH 1 26' -0" APPROVED BY: 2 30' -0" 3 26' -0" Arturo H. Salo ,P.E. FI. Reg. No. 0 1 12626 LIC. CC #000006251 PAN AMERICAN FOUNDATION CORPORATION PILE LOG & CERTIFICATION Sheet No.1 of 1 Rig No. 1 Date: April 2, 2002 REMARKS 6 ton capacity each P.O. BOX 610224 N. MIAMI, FL 33126 -0224 FAX (305) 573 -0587 1 1 1 $RvC THiPtil . Hortg it 1 ') sr PHoN k , 30� 75�J . 7'0 6 b w . jj I- T • • N a ra (14r r • Network Engine ering Services, Inc. PhOne 305.663.2711 N I, I .__ f� gS" - C %IS IN(g OOT�AIG v +d , I I e Sheet 1 of Date 4 IZ 2 By T $oL Checked By DR�� Pig . piss foR PILE caps A, B, . ra NC c. �aN S,rievcr , Pw _ PILE CAP PEP4ILEb 01 ,4-r cHED 5 Hop ' peAwiw t, D4TT.D ; .. t /7e /oi 4- CAL E Lr 5 Tuuc. Network Engineering Services, Inc. Phone 305.663.2711 : r I n► or!Nl G To^!_ TA-[ C. C4,s7 o' 2k" PILE • • (I) 4I frSER,T . _. it eme :AsTM A 53 5cF1EDU.LE 4c ' j GRo‘rrED G Qo u-r • r . • PETA11— • S r.:iet 7. of!. Date By Checked By NoTE : PILE PRivEN To 11 REFUSAL I /MIN/ b,ING 145 )44MMER ENCASE LNTrRE A- 15EM8m 1N (TN . 3Coo Psi fEA foc K ;C 4 ft+CR T S TNgouc: i. TOP of PILE (5) 4 STIKKvPs ® 6 "o.c. TOP Alit , $oTToN► # 4 69 EACH CeENER (z4" LoNG, WELPE_y gE.4m SLEEvE TE D INTO GRDuT _ F�►►ED ply PI LE TEfi- cou PL.,N 4 AT. ?^Ac N S PL ICE , ALL PILES THREADED Fog CouPL IN4 WEcPED PI,. FRE PO 11401 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 3/12/2002 Applicant: BRUCE Owner: LACROSS If there is no permit pac fee is $50.00, which must ! Building Permit Permit Number: BP2002 -502 WHETLEY LISA Contractor PAN AMERICAN BUILDERS INC Address: 3711 SW 27 ST 1/4) Local Phone: 305 - 573 -0901 Cellular: C> Parcel # 1132060135200 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 16 & 17 BLK 38 LOT SIZE 100.000 X 115 Job Address: 319 NE 101 ST Fees: Description Amount FEE2002 -1446 Building Permit Application F460.00 FEE2002 -1447 CCF $1.80 \ FEE2002 -1448 Notary Fee $5.00 N Total Fees: $66.80 Permit Status: Approved Permit Expiration: 9/7/2002 Construction Value: Work: UNDERPIN EXISTING FOUNDATION REPLACE CONCRETE SIDEWALK $2,250.00 •CrF7- r .L =7 , !._' �° -T�fi1 5 r r o r i, v •1» h a n r rd A n r u' r n � . 5 r r F a r k A r f a i f s. (1 PAN AMERICAN FOUNDATION CORP. 4100 N.E. 2ND AVE., SUITE 313 MIAMI, FL 33137 Page 1 of 1 Total Fees: $66.80 Total Receipts: $0.00 This Permit is granted to the cor ordinances pertaining thereto and and approved by the proper munic authorization. A further condition t PAY 1 ordinances and regulations pertain m f OR THE C n _ \ 11 Q g p 1 ORDER OF CAJH/1` 1 (� G�, � `\.) p� / 6 O by his agents, servants or employe I $ 6 EL Six Oot '‘f t DOLLARS 8 ad c(.lb K1 LAK -� Signed: (yip NATIONAL BANK In consideration of the issuance 1550 NE Miami Gardena Dr., N. Miami Beech. FL 33170 O with the y plans, agent, servants s or em 4-� ^ ` `e4• r myself, my agent, servants or em � FOR 5 // yV ) � ' � w�p„'" m a w 1 1'nI 4.. J hof e lI'00049511 � , 1:06700 L 2751 Signed: — u- u•u _ - �u_�:, -s t =�j 63-127/670 01 DATE a� (�� 01 CONTRACTOR Name r 0.Y1 rnv.e CCa-Y1 " PQ V a�1 Q C License No. R .. O 1 Address 4 a o N • a,.. , 4 6,4,4. ' M r 1 CL . 7319 Telephone 3 6 93 Fax / , 5 - n . O s-Q � V' I `kveco Qualifier Name /1 � n • S � 1 PROPERTY OWNER New Construction -.Name Back) `L to 0-714. 6- / Enclosure Address \ c Kam. 1 of 51:1 A .Vai 1 6Q,-.2 3 /C42_ 1 ) a213 Home Telephone 305/?•5 -_ 903E J '7 O Business Telephone Alteration Interior Fax Demolish TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'l Detachment Other • INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Step 1. Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted along with this permit application. Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the processing of your application, you may be asked to submit additional information. APPLICATION Job Address: 31 -1 WE-. 1 0 1 7 (e1' &\ 4-1t.\ Li'u 6 Folio Number‘ 1 .7d•0(`o1 - 5aoo (x Description of Work Ur% v\ '3761 •, Lot 6'( 1 Block 3 8 r. . _ Subdivision PB 1 0 PG 30 Zoning Linear Feet Current Use of Property R 'VS • eer.JOC -Q if Square Feet a Units Proposed Use of Property Soon e._. - Value of Work t c //�� J 0 dSZ Bldg Value Tenant Information Tax Assessed/Appraised Value Flood Zone Base Floor Elev. PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other Address Apt. City Chg. Contractor Renewal Revision Extension Supplement Reinspection PERMIT CHANGE (✓ ) ARCHITECT Name License No. Address Telephone Fax Master Permit No. Subsidiary Permit No. f3 P • 0., ,5-1) �. State Zip PERMIT APPLICATION 3313/3 ENGINEER Name License No. Address Telephone Fax 313 Page 2 IMPORTANT NO'T'I DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SAN TARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND EBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHI ES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without a. eroyal from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pave -nt. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications i volving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval i required for applications involving sewers. AFFI I)AN'1'1' - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indic ted. I, the OWNER of the property, certify that all work will be performed to meet the standards of all laws regulating construction i this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, CHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other g vernmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative ost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware at if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement ost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COM I: NCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or inten to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. Th Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Com encement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. S T . OF FLORIDA Sig at of Owner Print Name / u Sworn to and subscribed before me this G day of t j. ' ture o 1 otary Pub SEAL: - State of Florida Personally known _ . t) Produced Identification r Personally own / OR, Produced Identification Type of Identification Produced: F j Y�' h 3Do se'f?5 ' 1 -. Type of Iden4ification Produced: Pet S. Quintana 6 Commission # CC 751277 Expires June 14, 2002 BNDED ATLANTIC BONDING CO., INC. .OF CV MIAMI -DADE STAT ; d4 YOMIDADE D \Signature of Print Name S orn t• a ' 9 subscribed before me this Signature of SEAL: Notary - State ck Flo Weans � lizabe th S . ` ocommission # CC %IW } ' EXp BONDEDTHR ATLANTIC BONDING CO•. INC PERMIT APPLICATION day of ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. TYPE Outlet, Appliance QTY. 'TYPE Service Repair QTY. A/C Central 1 -3 Ton Dryer Vents, Number of Fan Ventilation, Cost Outlet, Wall Ductwork, Cost of Service, Temporary Periodic Inspections A/C Central 4 -7 Ton Fire Sprinter System Fire Pump Outlet, Switch Fireplaces, Number of Signs A/C Central 8 -15 Ton Fixture - Fluorescent Oven Space Heater (kw) A/C Central 16-20 Ton Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL TYPE QTY. Minimum Fee 'TYPE Condensate Drain QTY. TYPE Generator QTY. '1'YI'E QTY. Refrigeration, Tons A/C Central, Tons Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinter System Process/Pressure Piping Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel PLUMBING 'I'YI'E A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QT't. TYI'E Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: SECTION BY, DATE ))� DATE, Zoning 1 !� /1 Electrical Mechanical Plumbing Fire Public Works Structural Building Official . /)` Page 4 [OFFICE USE ONLY Li OWNER - BUILDER FORM U FIRE DEPARTMENT APPROVAL (Commercial / multi - family) U CONCURRENCY (New Construction) LI OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond (Attach) Metropolitan Dade County (C.C.F.) $ Inspector State Educational Fund State DCA (Radon) Code Enforcement Fine REVIEWED AND PREPARED BY: $ (0.005 /sq.ft.) ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) Po Zoning Review o (sq.ft. = x/1000 x 0.60) (0.01 / sq.ft.) 10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) (Attach) PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) • TOTAL $ CONDITION OF APPROVAL DATE: Revised July 2001 56 -8972 • http : / /www.miamishoresvillage.com BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building !i r .t MIAMI SHORES VILLAGE, FLORIDA ❑ DATE t 19 PERMIT 4059 Contractor's License No. Architect Contractor 1 or Builder I Legal Lot Description Work to be performed under this Permit II Bl Subdi- vision Address of j Value of r Amount of Building . ' i J ', i` `. / Project $ :- II Permit $ `. This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. 7 ' _ 4 x`�` 'k. Signed j , INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in complianc - with all ordinandes. and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper aut$orities of Miami Shores Village. In as cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY AI OT MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Owner's Name and Address._.. 47 4/1/.1 Registered Architect and /or Engineer Name and address of licensed contractor Street and Number where work is to be done Disapproved (Signed) Permit No State work to be done and purpose of building (by floors) zr Date Building Inspec Date /1 .2-q" ,19 6 ' 1 No +0 /Vd. /21 / I/41 Location and legal description of lot to be built on: Lot Block Subdivision ,s/ /o/ S 7 Street_,h'.� /Q/ sr and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ 7 • t e Amount of Permit $ Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on th:r`te of the work .rch public notice or notices as are required by the Act. The undersigned agrees to employ only such subco a ors, k to - .ermed �.�' this permit, as are licensed by Miami Shores Village. Remarks (Sign • � - - - - - - -- -. -- - -- -- - - � , STATE OF FLORIDA, 1 COUNTY OF DADE. j ss• Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the_ of the above described construction. that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Date Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires LANNING BOARD DATE Chainnan Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.