RCR-09-2090-A tlik
BUILDING
PERMIT APPLICATION
FBC 20
Permit Type: BUILDING ROOFING.
Owner's Name (Fee Simple Titleholder)
Owner's Address �.
City State . Zip
Tenant/Lessee Name
Email
Job Address (where the work is being done)
City Miami Shores Villa
FOLIO / PARCEL #
Is Building Historically Designated
Value of Work For this Permit $
Type of Work: ['Addition
Describe Work:
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
YES NO
Contractor's Company Name
Contractor's Address
City State
Qualifier Name
['Alteration
Architect/Engineer's Name (if applicable) Phone #
Master Permit No.
Phone #
Phone #
County Miami -Dade 1 Zip
Phone #
Double Fee $ Violation date:
Structural Review. $ Total Fee Now Due $
Permit No. KAZTOR Jv2c 6 o
nc, 64vd
Flood Zone
Zip
Phone #
State Certificate or Registration No. Certificate of Competency No.
'Contact Phone E -mail
Square / Linear Footage Of Work:
['New ❑ Repair/Replace ❑ Demolition
******** * * * * * * * * * * * * * * ** * * * * * * * * * * * * * ** F * * * * * * * * * * * * * * * * * * * ** * * * * * * * * **
O
Submittal Fee $ Permit Fee $ 1Q CCF $ CO /CC $
Notary $ Training/Education Fee $ Technology Fee $
Scanning $ Radon $ DPBR $ Bond $
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: Sign:
Print: Print
My Commission Expires: My Commission Expires:
APPROVED BY
(Revised 07 /10 /07)(Revised 06/10t2009)
c 97 V Plans Examiner Zoning
Engineer Clerk checked
Esmi J. Market
Controller
10000 Biscayne Boulevard
Miami Shores, Florida 33138
Email: emarket @miamishoresgolf.com
(305) 795 -2360 ext. 103
Fax (305) 795 -2384
www. miamishoresgolf.com
Date: December 17, 2009
Address: Miami Shores Village
Building and Zoning Department
10050 NE 2nd Avenue
Miami Shores, Florida 33138
Attn: Building Official
Re: Building Recertification
10000 Biscayne Blvd.
Miami Shores, Florida
Gentlemen;
Folio No. 11 -3205- 020 -00
Edwar A. Landers, P.E. has performed a Structural Inspection and an Electrical
Inspection of the Miami Shores Golf Club, 10000 Biscayne Blvd., Miami Shores Village, Florida
in accordance with the Florida Building Code Administration, Chapter 8 of Miami. -
Dade County Ordinance No.02 -44.
We conclude from our inspection that the above structure is both
structurally and electrically safe and is in good condition.
As a routine matter, in order to avoid possible misunderstanding, nothing in this
report should be construed directly or indirectly as a guarantee for any portion of
the structure. To the best of my knowledge and ability, this report represents an
accurate appraisal of the present condition of the building based upon careful
evaluation of observed conditions, to the extent reasonably possible.
Should you have any additional questions please call Edward A. Landers, at
305423 -3938
Florida P.E. # 038398
Edward A.
LANDERS P.E
CONSULTING ENCINEERS
7850 NW 146TH STREET, SUITE 509 * MIAMI LAKES FL 33016 * (305)823 -3938 * FAX (305)823 -9355
MINIMUM INSPECTION PROCEDURAL GUIDELINES FOR BUILDING
1. Description of Structure:
a. Name of title:
b. Street address:
Legal description:
J-
2. Present Condition of Structure:
3. Defections: GOOD
4. Expansion: GOOD
5. Contraction: GOOD
STRUCTURAL RECERTIFICATION
Miami Shores Golf & Country Club
10000 Biscayne Blvd.
Lot 5,6,53,42 , Block , Miami Shores Sec 8 REV, PB 31-41
d. Owner's name: Miami Shores Village
e. Owner's mailing address: 10050 NE 2nd Avenue, Miami Shores, Florida 33138
f. Building Official Folio Number: 11 -3205- 020 -0010
Building Code Occupancy Classification: GROUP A
h. Present use; Golf& Country Club
General description, type of construction, size, number of stories, and special
features.
TWO (2) STORY CBS STRUCTURE ON A SPREAD FOOTING FOUNDATION, WOOD
FRAMED ROOF SYSTEM, CONCRETE FIRST AND SECOND FLOOR AND WOOD
FRAMED SECOND FLOOR OFFICE (ABOVE LOBBY)
Additions to original structure: NONE VISIBLE
a. General alignment (note good, fair, poor, explain if significant)
1. Bulging: GOOD
2 Settlement: GOOD
b. Portions showing distress (note, beams. columns, structural walls, floors, roofs.
other).
NO DISTRESS VISIBLE
c.
f.
g.
e.
Surface conditions - describe general conditions of fmishes, noting cracking,
spalling, peeling, signs of moisture penetration & stains.
GOOD CONDITION
Cracks - note location in significant members. Identify crack size as HAIRLINE if
barely discernible; FINE if less than I mm in width: MEDIUM if between I and 2
mm in width; WIDE if over 2 mm.
NONE
General extent of deterioration- cracking or spalling of concrete or masonry;
oxidation of metals; rot or borer attack in wood.
NONE
Previous patching or repairs:
b. Date(s) of actual inspection: I2- 17 -09
minor patching and repairs
Nature of present loading - indicate residential, commercial, other stimate
magnitude.
COMMERCIAL SPACE
3. Inspections:
a. Date of notice of required inspection: UNKNOWN
c. Name and qualification of individual submitting Inspection report:
EDWARD A. LANDERS. P. E. #038398
d. Description of any laboratory or other formal testing, if required, rather than
manual or visual procedures.
VISUAL PROCEDURES ONLY
e. Structural repair - note appropriate line:
1. None required NONE REQUIRED
2, Required (describe and indicate acceptance) N/A
4 Supporting data;
a. 12 sheets written data
b. 0 photographs
c . 0 drawings or sketches
5. Masonry Bearing -, Walls - indicate good, fair. Door on appropriate lines:
a. Concrete masonry units GOOD
b. Clay tile or terra cotta units GOOD
c. Reinforced concrete tie columns GOOD
d. Reinforced concrete tie beams GOOD
e. Lintels GOOD
f. Other type bond beams GOOD
g.
Masonry finishes - exterior:
1. Stucco GOOD
2. Veneer GOOD
3. Paint only GOOD
4. Other (describe) N/A
h. Masonry finishes - interior:
1. Vapor barrier GOOD
2. Furring and plaster GOOD
3. Paneling GOOD
4. Paint only GOOD
5. Other (describe) NIA
Cracks:
J•
k.
I.
Location - note beams, columns, other NONE
2. Description N/A
Spalling:
1. Location - note beam, column, other NONE
2. Description N/A
Rebar corrosion - check appropriate line:
1. None visible NONE VISIBLE
2. Minor - patching will suffice N/A
3. Significant - but patching will suffice N/A
4. Significant - structural repairs required
(describe) N/A
1. Samples chippied out for examination in snail areas:
1. No NONE
2. Yes - describe color texture, aggregate, general quality N/A
6. Floor and Roof Systems:
a. Roof:
1. Describe (flat, slope, type roofmg, type roof deck, condition):
SLOPED WOOD FRAMED ROOF WITH EXPOSED DECKING IN
GOOD CONDITION.
2. Note water tanks, cooling towers, air conditioning, equipment, sings, other
heavy equipment and condition of supports:
NONE OBSERVED
3. Note types of drains and scuppers and condition:
DRAINS & SCUPPERS IN GOOD CONDITION
b. Floor system(s):
1. Describe (type of system framing, material, spans, condition):
CONCRETE FLOORS FOR SECOND FLOOR DINING AREA IN GOOD
CONDITION. GROUND FLOOR CONCRETE SLAB IN GOOD CONDITION
Inspection - note exposed areas available for inspection, and where it was found
necessary to open ceilings, etc. for inspection of typical framing members.
ACCESS AREAS IN CEILING
7. Steel Framing Systems:
a. Description: STEEL BEAMS, COLUMNS, AND BAR JOISTS AND METAL
DECKING IN GOOD CONDITION.
b. Exposed Steel - describe condition of paint & degree of corrosion:
NO CORROSION OBSERVED.
c. Concrete or other fireproofmg - note any cracking or spalling, and note where an
covering was removed for inspection: NONE
d. Elevator sheave beams &- connections, and machine floor beams - note condition:
N/A
8. Concrete Framing Systems:
a. Full description of structural system: ' 1'1B COLUMNS AND '1'1E BEAMS W /CONCRETE
c. General condition: GOOD CONDITION.
e. Samples dipped out in spall areas:
1. No.: NONE
BLOCK
b. Cracking:
1. Not significant: NONE
2. Location and description of members affected and type cracking: N/A
d. Rebar corrosion - check appropriate line:
1. None visible NONE VISIBLE
2. Location and description of members affected and type cracking N/A
3. Significant but patching will suffice N/A
4. Significant - structural repairs required (describe) N/A
2. Yes describe color, texture, aggregate, general quality:
9. Windows:
a. Type (wood, steel, aluminum, jalousie, single hung, double hung, casement,
awning, pivoted, fixed, other): ALUMINUM FIXED AND SINGLE HUNG -TYPE
WINDOWS IN GOOD CONDITION
b. Anchorage - type & condition of fasteners and latches: FASTENERS IN WOOD
BUCKS INTO MASONRY STRUCTURE.
c. Sealants - type & condition of perimeter sealants & at mullions: SEALANTS IN
GOOD CONDITION.
d. Interior seals - type & condition at operable vents: GOOD CONDITION.
e. General condition: GOOD CONDITION.
10. Wood Framing
a. Type - fully describe if mill construction- light construction, major spans, trusses:
PAR IIHON WALLS IN GOOD CONDITION.
b. Note metal fittings i.e., angles, plates, bolts, split pintles, pintles, other, and note
condition: GOOD CONDITION.
c. Joints - note if well fitted and still closed: WELL FI I I'BD & CLOSED
d. Drainage - note accumulations; of moisture: NO ACCUMULATION OF MOISTURE
e , Ventilation = note any concealed spaces not ventilated: NONE
f. Note any concealed spaces opened for inspection: NONE
MINIMUM INSPECTION PROCEDURAL GUIDELINES FOR BUILDING
INSPECTION COMMENCED
Date: 12 -17 -09
INSPECTION COMPLETED
Date: 12 -17 -09
- ELECTRICAL RECERTIFICATION -
1. DESCRIPTION OF STRUCTURE:
INSPECTION MA
SIGNATURE:
MIAMI LAKES, FL. 33016
PRINT NAME: EDWARD A. LANDERS
TITLE: PROFESSIONAL ENGINEER
ADDRESS: 7850 NW 146TH STREET #509
a. NAME OF TITLE- Miami Shores Golf & Country Club
b. STREET ADDRESS: 10000 Biscayne Blvd., Miami Shores, Florida 33138
C. LEGAL DESCRIPTION- Lot 5,6,53,42, Block, Miami Shores SEC 8 REV PB 31-41
d. OWNERS NAME: Miami Shores Village
e. OWNERS MAILING ADDRESS: 10050 NE 2nd Avenue, Miami Shores, Florida 33138
f. FOLIO NUMBER OF BUILDING. 11- 3205 - 020 -0010
BUILDING CODE OCCUPANCY CLASSIFICATION: GROUP A
h. PRESENT USE: Golf & Country Club
i. GENERAL DESCRIPTION, TYPE OF CONSTRUCTION, SIZE, NUMBER OF
STORIES, AND SPECIAL FEATURES. ALSO ADDITIONAL COMMENT.
TWO (2) STORY CBS STRUCTURE ON A SPREAD FOOTING FOUNDATION. CONCRETE
SLAB ON GROUND FLOOR, CONCRETE SLAB AND STEEL BAR JOIST SECOND FLOOR
AND WOOD FRAMED OFFICE AREA ABOVE ENTRANCE LOBBY. ROOF IS WOOD
FRAMED W/BUILT UP MEMBRANE.
GUIDELINES AND INFORMATION FOR RECERTIFICATION OF ELECTRICAL SYSTEMS OF FORTY
(40) YEARS STRUCTURES
1. ELECTRIC SERVICE:
1. SIZE, AMPERAGE: ( 160 ) 0
2. PHASE: 30 ( * )
3 CONDITION: GOOD ( * )
4. COMMENTS: SEE BELOW
2
METER AND ELECTRIC ROOMS:
1. CLEARANCES: GOOD ( * ) FAIR (
2. COMMENTS:
3. GUTTERS:
1. LOCATION:
BASEMENT OF BUILDING
3. COMMENTS:
4. ELECTRICAL PANELS
IN Ink
FUSES
10 (
FAIR (
BREAKER
(
NEEDS REPAIR
) REQUIRES CORRECTION ( )
GOOD ( * ) REQUIRES REPAIR (
GOOD ( ) REQUIRES REPAIR (
)
LOCATION GOOD ( * ) NEEDS REPAIR ( )
1. PANEL # ( 1 ): HOUSE PANEL
GOOD ( * ) NEEDS REPAIR ( )
PANEL # ( 2 ). A/C PANELS
GOOD ( * ) NEEDS REPAIR ( )
3. PANEL # ( 3 ): LIGHTING PANELS
GOOD ( * ) NEEDS REPAIR ( )
4. PANEL # ( 4 ). FLOOR PANELS
GOOD ( ) NEEDS REPAIR ( )
5. PANEL # ( 5 ). KITCHEN PANELS
GOOD ( ) NEEDS REPAIR ( )
6. COMMENTS # 1600 AMP THREE PHASE SERVICE FOR KITCHEN
800 AMP THREE PHASE SERVICE FOR RESTAURANT AND BAR
400 AMP THREE PHASE SERVICE FOR BUILDING
ELECTRICAL:
PAGE 2.
5. BRANCH CIRCUITS:
1. IDENTIFIED: YES( * ) MUST BE IDENTIFIED ( )
2 CONDUCTORS: GOOD ( * ) DETERIORATED ( ) MUST BE REPLACED ( )
3. COMMENTS:
6. GROUNDING OF SERVICE
COMMENTS:
7. GROUNDING OF EQUIPMENT:
COMMENTS:
COMMENTS:
10. TYPES OF WIRING METHODS: CONDITION.
GOOD ( * ) REPAIRS REQUIRED ( }
GOOD ( * ) REPAIRS REQUIRED ( )
8. CONDUIT RACEWAYS: CONDITION: GOOD ( * ) REPAIRS REQUIRED ( )
9. CONDUCTOR AND CABLES: CONDITION : GOOD ( * ) REPAIRS REQUIRED ( )
COMMENTS.
CONDUIT RACEWAYS: RIGID: GOOD ( * ) REPAIRS REQUIRED ( )
CONDUIT PVC: GOOD ( ) REPAIRS REQUIRED ( )
NM CABLE: GOOD ( * ) REPAIRS REQUIRED ( )
B X CABLE: GOOD ( ) REPAIRS REQUIRED ( )
ELECTRICAL:
PAGE 3.
11. CONDUCTORS: CONDITION:
COMMENTS:
12. EMERGENCY LIGHTING:
COMMENTS
13. BLDG. EGRESS ILLUMINATION:
COMMENTS:
14. FIRE ALARM SYSTEM:
COMMENTS:
15. SMOKE DETECTORS.
COMMENTS:
16. EXIT LIGHTS:
COMMENTS.
17. EMERGENCY GENERATOR:
COMMENTS:
GOOD ( * ) REPAIRS REQUIRED ( )
GOOD ( * ) REPAIRS REQUIRED ( )
GOOD ( * ) REPAIRS REQUIRED ( )
GOOD ( * ) REPAIRS REQUIRED ( )
GOOD ( * ) REPAIRS REQUIRED ( )
N/A
GOOD ( * ) REPAIRS REQUIRED.( )
GOOD ( ) REPAIRS REQUIRED ( )
22.
ELECTRICAL:
PAGE 4.
18 • WIRING IN OPEN OR
TINDER COVER PARKING
GARAGE AREAS:
COMMENTS:
19. OPEN OR
PARKING GARAGE AREAS
AND EGRESS I LLUMINATION: GOOD * REQUIRE ADDITIONAL
( ) ILLUMINATION
COMMENTS:
20. SWIMMING POOL WIRING:
COMMENTS:
N/A
21. WIRING TO MECHANICAL E UIPMENT:
COMMENTS:
GENERAL ADDITIONAL COMMENTS:
GOOD CONDITION.
GOOD REQUIRE ADDTIIONAL
( * ) ILLUMINATION ( )
GOOD ( * ) REPAIRS REQUIRED ( )
GOOD ( * ) REPAIRS REQUIRED ( )
CERTIFICATION OF COMPLIANCE WITH PARKING LOT ILLUMINATION
STANDARDS IN CHAPTER 8 C OF THE CODE OF MIANII -DADE COUNTY
Date: 12 -17 -09
Re: Case No.
Property Address:
Building Description:
The undersigned states the following:
038398
Seal of Architect or Engineer Executing the
Certification Must Be Affixed in the Above Space
10000 Biscayne Blvd, Miami Shores, Florida 33138
FOLIO # 11 -3205- 020 -0010
1. I am a Florida registered professional engineer or architect with an active license.
2. On 12 -17 , 20 .1 measured the level of illumination in the parking lot(s)
serving the above referenced building.
3. The level of illumination provided in the parking lot(s) meets the minimum standards for
the occupancy classification of the building as established in Section 8 C -3 of the Code of
Miami -Dade County.
EDWARD A. LANDERS
(Print Name)
Date: December 17, 2009
Address: Miami Shores Village
Building and Zoning Department
10050 NE 2nd Avenue
Miami Shores, Florida 33138
Attn: Budding Official
Re: Building Recertification
10000 Biscayne Blvd.
Miami Shores, Florida
Gentlemen;
Folio No. 11- 3205 - 020 -0010
Edwar A. Landers, P.E. has performed a Structural Inspection and an Electrical
Inspection of the Miami Shores Golf Club, 10000 Biscayne Blvd., Miami Shores Village, Florida
in accordance with the Florida Building Code Administration, Chapter 8 of Miami -
Dade County Ordinance No:0244.
We conclude from our inspection that the above structure is both
structurally and electrically safe and is in good condition.
As a routine matter, in order to avoid possible misunderstanding, nothing in this
report should be construed directly or indirectly as a guarantee for any portion of
the structure. To the best of my knowledge and ability, this report represents an
accurate appraisal of the present condition of the building based upon careful
evaluation of observed conditions, to the extent reasonably possible.
Should you have any additional questions please call Edward A. Landers, at
,.305423 -3938
Very trul
Edward " _ ders, P.E.
Florida P.E. #038398
Edward A.
LANDERS P.E
CONSULTING ENGINEERS
7850 NW 146TH STREET, SUITE 509 * MIAMI LAKES FL 33016 * (305)823 -3938 * FAX (305)823 -9355
MINIMUM INSPECTION PROCEDURAL GUIDELINES FOR BUILDING
1. Description of Structure:
a. Name of title:
b. Street address:
c. Legal description:
J-
3. Defections: GOOD
4. Expansion: GOOD
5. Contraction: GOOD
STRUCTURAL RECERTIFICATION
Miami Shores Golf & Country Club
10000 Biscayne Blvd.
d. Owner's name: Miami Shores Village
Lot 5,6,53,42 , block , Miami Shores See 8 REV, PB 31-41
e. Owner's mailing address: 10050 NE 2nd Aveauxe, Miami Shores, Florida 33138
f. Building Official Folio Number: 11- 3205 -020 -0010
Building Code Occupancy Classification: GROUP: Ae,
1.
h. Present use: Golf & Country Club
General description, type of construction, size, number of stories, and special
features.
TWO (2)` STORY CBS STRUCTURE ON A SPREAD FOOTING FOUNDATION, WOOD
FRAMED ROOF SYSTEM, CONCRETE FIRST AND SECOND FLOOR AND WOOD
FRAMED SECOND FLOOR OFFICE (ABOVE LOBBY)
Additions to original structure: NONE VISIBLE
2. Present Condition of Structure:
a. General alignment (note good, fair, poor, explain if significant)
L Bulging: GOOD
2 Settlement: GOOD
b. Portions showing distress (note, beams. cohimns, structural walls, floors, roofs.
other).
NO DISTRESS VISIBLE
c.
e.
Surface conditions - describe general conditions of finishes, noting cracking,
spalling, peeling, signs of moisture penetration & stains.
GOOD CONDITION
Cracks - note location in significant members. Identify crack size as HAIRLINE if
barely discernible; FINE if less than I mm in width: MEDIUM if between 1 and 2
mm in width; WIDE if over 2 mm.
NONE
General extent of deterioration- cracking or spalling of concrete or masonry;
oxidation of metals; rot or borer attack in wood.
NONE
f. Previous patching or repairs: minor patching and repairs
g . Nature of present loading - indicate residential, commercial, other stimate
magnitude.
COMMERCIAL SPACE
3. Inspections:
a. Date of notice of required inspection: UNKNOWN
b. Date(s) of actual inspection: I2 -17 -09
4.
c. Name and qualification of individual submitting Inspection report:
EDWARD A. LANDERS. P. E. #038398
d. Description of any laboratory or other formal testing, if required, rather than
manual or visual procedures.
VISUAL PROCEDURES ONLY
e. Structural repair - note appropriate line:
1, None required NONE REQUIRED
2. Required.. (describe and indicate acceptance) N/A
Supporting data;,
a. 12 sheets written data
b. 0 photographs
c. 0 drawings or sketches
5.. Masonry Bearing -, Walls - indicate good, fair. poor on appropriate lines:
a. Concrete masonry units GOOD
b. Clay tile or terra cotta units GOOD
c. Reinforced concrete tie columns GOOD
d. Reinforced concrete tie beams GOOD
e. Lintels GOOD
f. Other type bond beams GOOD
g. .
Masonry finishes - exterior:
1. Stucco GOOD
2. Veneer GOOD
3. Paint only GOOD
4. Other (describe) N/A
h. Masonry finishes - interior:
1. Vapor barrier GOOD
2. Furring and plaster GOOD
3. Paneling GOOD
4. Paint only GOOD
5. Other (describe) N/A
i. Cracks:
1. Location - note beams, columns, other NONE
2. Description N/A
k.
Spalling:
1. Location - note beam, column, other NONE
2. Description N/A
Rebar corrosion - check appropriate line:
1. None visible NONE VISIBLE
2. Minor - patching will suffice N/A
3. Significant - but patching will suffice N/A
4. Significant - structural repairs required
(describe) N/A
1. Samples chippied out for examination in spall areas:
1. No NONE
2. Yes - describe color texture, aggregate, general quality N/A
6. Floor and Roof Systems:
a. Roof:
1. Describe (flat, slope, type roofing, type roof deck, condition):
SLOPED WOOD FRAMED ROOF WITH EXPOSED DECKING IN
GOOD CONDITION.
2. Note water tanks, cooling towers, air conditioning, equipment, sings, other
heavy equipment and condition of supports:
NONE OBSERVED
3. Note types of drains and scuppers and condition:
DRAINS & SCUPPERS IN GOOD CONDITION
b. Floor system(s):
1. Describe (type of system framing, material, spans, condition):
CONCRETE FLOORS FOR SECOND FLOOR DINING AREA IN GOOD
CONDITION. GROUND FLOOR CONCRETE SLAB IN GOOD CONDITION
Inspection - note exposed areas available for inspection, and where it was found
necessary to open ceilings, etc. for inspection of typical framing members.
AGCFSS AREAS IN CEILING
7. Steel Framing Systems:
a. Description: STEEL BEAMS, COLUMNS, AND BAR JOISTS AND METAL
DECKING IN GOOD CONDITION.
b. Exposed Steel - describe condition of paint & degree of corrosion:
NO CORROSION OBSERVED.
c. Concrete or other fireproofing - note any cracking or spoiling, and note where any
covering was removed for inspection: NONE
d. Elevator sheave beams &- connections, and machine floor beams - note condition:
N/A
8. Concrete Framing Systems:
a. Full description of structural system: TIE COLUMNS AND T1E BEAMS W /CONCRETE
b. Cracking:
1. Not significant: NONE
2. Location and description of members affected and type cracking: N/A
c. General condition: GOOD CONDITION.
BLOCK
d. Rebar corrosion - check appropriate line:
1. None visible NONE VISIBLE
2. Location and description of members affected and type cracking N/A
3. Significant but patching will suffice Na
4. Significant - structural repairs required (describe) N/A
e. Samples dipped out in snail areas:
1. No.: NONE
2. Yes describe color, texture, aggregate, general quality:
N/A
9, Windows:
a. Type (wood, steel, aluminum, jalousie, single hung, double hung, casement,
awning, pivoted, fixed, other): ALUMINUM FIXED AND SINGLE HUNG -TYPE
WINDOWS IN GOOD CONDITION
b. Anchorage - type & condition of fasteners and latches: FASTENERS IN WOOD
BUCKS INTO MASONRY STRUCTURE.
c. Sealants - type & condition of perimeter sealants & at mullions: SEALANTS IN
GOOD CONDITION.
d. Interior seals - type & condition at operable vents: GOOD CONDITION.
e. General condition: GOOD CONDITION.
10. Wood Framing
a. Type - fully describe if mill construction- light construction, major spans, trusses:
PARTITION WALLS IN GOOD CONDITION.
b. Note metal fittings i.e., angles, plates, bolts, split pintles, pintles, other, and note
condition: GOOD CONDITION.
c. Joints - note if well fitted and still closed: WELL Fl ED & CLOSED
d. Drainage - note accumulations; of moisture: NO ACCUMULATION OF MOISTURE
e . Ventilation - note any concealed spaces not ventilated: NONE
f. Note any concealed spaces opened for inspection: NONE
MINIMUM INSPECTION PROCEDURAL GUIDELINES FOR BUILDING
ELECTRTCAL RECERTIFICATION
INSPECTION COMMENCED
Date: 12 -17 -09
INSPECTION COMPLETED
Date: 12 -17 -09
1. DESCRIPTION OF STRUCTURE:
INSPECTION
MA
SIGNATURE:
� _ :•
• / � r
Wit, o
PRINT NAME: EDWARD A. LANDERS
TITLE: PROFESSIONAL ENGINEER
ADDRESS: 7850 NW 146TH STREET #509
MIAMI LAKES, FL. 33016
a. NAME OF TITLE- Miami Shores Golf & Country Club
b. STREET ADDRESS: 10000 Biscayne Blvd., Miami Shores, Florida 33138
C. LEGAL DESCRIPTION• Lot 5,6,53,42, Block, Miami Shores SEC 8 REV PB 31-41
d. OWNERS NAME: Miami Shores Village
e. OWNERS MAILING ADDRESS: 10050 NE 2nd Avenue, Miami Shores, Florida 33138
f. FOLIO NUMBER OF BUILDING. 11- 3205 -020 -0010
BUILDING CODE OCCUPANCY CLASSIFICATION: GROUP A
h. PRESENT USE: Golf & Country Club
i. GENERAL DESCRIPTION, TYPE OF CONSTRUCTION, SIZE, NUMBER OF
STORIES, AND SPECIAL FEATURES. ALSO ADDITIONAL COMMENT.
TWO (2) STORY CBS STRUCTURE ON A SPREAD FOOTING FOUNDATION. CONCRETE
SLAB ON GROUND FLOOR, CONCRETE SLAB AND STEEL BAR JOIST SECOND FLOOR
AND WOOD FRAMED OFFICE AREA ABOVE ENTRANCE LOBBY. ROOF IS WOOD
FRAMED W/BUILT UP MEMBRANE.
GUIDELINES AND INFORMATION FOR RECERTIFICATION OF ELECTRICAL SYSTEMS OF FORTY
(40) YEARS STRUCTURES
L ELECTRIC SERVICE:
1. SIZE, AMPERAGE: ( 160 ) 0 FUSES ( ) BREAKER ( * )
2. PHASE: 30 ( * ) 10 ( )
3. CONDITION: GOOD ( * ) FAIR ( ) NEEDS REPAIR ( )
4. COMMENTS: SEE BELOW
2
METER AND ELECTRIC ROOMS:
1. CLEARANCES: GOOD ( * ) FAIR ( ) REQUIRES CORRECTION (
2. COMMENTS:
3. GUTTERS:
1. LOCATION:
BASEMENT OF BUILDING
3. COMMENTS:
4. ELECTRICAL PANELS
1. PANEL # (
PANEL #
3. PANEL #
4. PANEL #
5 PANEL #
6. COMMENTS #
GOOD ( * ) REQUIRES REPAIR
GOOD ( ) REQUIRES REPAIR
)
LOCATION GOOD ( "` ) NEEDS REPAIR ( )
1 ). HOUSE PANEL
/n PANELS
( * ) NEEDS R R
EPAI ( )
2 )a A/C PA�*`IELS
GOOD ( * ) NEEDS REPAIR ( )
3 ). LIGHTING PANELS
GOOD ( * ) NEEDS REPAIR ( )
4 ). FLOOR PANELS
GOOD ( ) NEEDS REPAIR ( )
5 ). KITCHEN PANELS
GOOD ( ) NEEDS REPAIR ( )
1600 AMP THREE PHASE SERVICE FOR KITCHEN
800 AMP THREE PHASE SERVICE FOR RESTAURANT AND BAR
400 AMP THREE PHASE SERVICE FOR BUILDING
ELECTRICAL:
PAGE 2.
5. BRANCH CIRCUITS:
1. IDENTIFIED: YES( * ) MUST BE IDENTIFIED ( )
2 CONDUCTORS: GOOD ( *) DETERIORATED ( ) MUST 13E REPLACED ( )
3. COMMENTS:
6. GROUNDING OF SERVICE
COMMENTS:
7. GROUNDING OF EQUIPMENT:
COMMENTS:
8. CONDUIT RACEWAYS: CONDITION: GOOD ( *) REPAIRS REQUIRED ( )
COMMENTS:
10. TYPES OF WIRING METHODS: CONDITION.
GOOD ( * ). REPAIRS REQUIRED ( )
GOOD ( * ) REPAIRS REQUIRED ( )
9. CONDUCTOR AND CABLES: CONDITION : GOOD ( * ) REPAIRS REQUIRED ( )
COMMENTS.
CONDUIT RACEWAYS: RIGID: GOOD ( * ) REPAIRS REQUIRED ( )
CONDUIT PVC: GOOD ( ) REPAIRS REQUIRED ( )
NM CABLE: GOOD ( * ) REPAIRS REQUIRED ( )
B X CABLE: GOOD ( ) REPAIRS REQUIRED ( )
ELECTRICAL:
PAGE 3.
11. CONDUCTORS: CONDITION:
COMMENTS:
12. EMERGENCY LIGp'TING:
COMMENT&
13. 73I.IIG: EGRESS ILL L ' ATIOI�t'_
-- ---- -- IN ----_ GOOD`(
COMMENTS:
14. FIRE ALARM SYSTEM:
COMMENTS.
COMMENTS:
N/A
GOOD ( * ) REPAIRS REQUIRED ( )
GOOD ( * ) REPAIRS REQUIRED ( )
REPAIRS REQUIRED ( )
GOOD ( *) REPAIRS REQUIRED (
15. S OKE DETECT
GOOD ( * ) REPAIRS REQUIRED ( )
COMMENTS:
16. EXIT LIGHTS:
GOOD ( * ) REPAIRS REQUIRED . ( )
COMMENTS:
17. EMERGENCY GENERATOR: GOOD ( ) REPAIRS REQUIRED ( )
22,
ELECTRICAL
PAGE 4.
18. WIRING IN OPEN OR
FIFER COVER PARKING
GARAGE AREAS:
COMMENTS:
19. OPEN OR
PARKING GARAGE AREAS
AND EGRESS ILLUMINATION:
COMMENTS:
Z SWIMMING POOL WIRING:
GOOD ( * ) REPAIRS REQUIRED ( )
COMMENTS:
N/A
21. WIRING TO MECHANICAL E UIPMENT:
COMMENTS:
GENERAL ADDITIONAL COMMENTS:
GOOD CONDITION.
GOOD ( * ) ILLUMINATION ANAL
GOOD ( *
REQUIRE ADDITIONAL
ILLUMINATION C )
GOOD ( * ) REPAIRS REQUIRED ( )
CERTIFICATION OF COMPLIANCE WITH PARKING LOT ILLUMINATION
STANDARDS IN CHAPTER 8 C OF THE CODE OF NHAMI -DADE COUNTY
Date: 12 -17 -09
Re: Case No.
Property Address:
Building Description:
The undersigned states the following:
10000 Biscayne Blvd, Miami Shores, Florida 33138
FOLIO # 11- 3205- 020 -0010
1. 1 am a Florida registered professional engineer or architect with an active license.
2. On 12 -17 , 2009 , 1 measured the level of illumination in the parking lot(s)
serving the above referenced building.
3. The level of illumination provided in the parking lot(s) meets the minimum standards for
the occupancy classification of the building as established in Section 8 C -3 of the Code of
Miami -Dade County.
038398
Seal of Architect or Engineer Executing the
Certification Must Be Affixed in the Above Space
EDWARD A. LANDERS
(Print Name)