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CC-08-1638 r Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 140176 Permit Number: CC -9 -08 -1638 Scheduled Inspection Date: April 09, 2010 Permit Type: Commercial Construction Inspector: Bruhn, Norman Inspection Type: Final Owner: CABRERIZO, TOM Work Classification: Alteration Job Address: 9063 BISCAYNE Boulevard Miami Shores, FL 33138 -0000 Phone Number (305)779 -8040 Parcel Number 1132060110051 -63 Project: <NONE> Contractor: ZIA CONSTRUCTION LLC Phone: (305)568 -8840 Building Department Comments DEMO FLOORS, WALLS PARTITION, NEW WALLS, NEW FLOORING. G &G SALON AND SPA Inspector Comments Passed 4V e. 0. Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. April 08, 2010 For Inspections please call: (305)762 -4949 Page 9 of 10 . a -per• °R..�• -° A°°" -- �° �: -�.�° -�..� �,,�, +w 4� . ^�:. � i � s y - +ate,• � .��,,.,.. �. -, R 4. � t C Certificate of Completion r= T Miami Shores Village 10050 NE 2 Ave, Miami Shores FI, 33138 Tel: 305- 795 -2204 Fax: 305 - 756 -8972 3 Building Inspection Department 5 . This certificate issued pursuant to the requirements of the Florida Building Code 106.1.2 certifying that at the time of issuance this structure was in compliance with the various ordinances of the jurisdiction regulating building construction or use. For the following: Permit Type Commercial Construction Bldg. Permit No. CC -9 -08 -1638 ' Owner TOM CABRERIZO Contractor ZIA CONSTRUCTION LLC ' Subdivision /Project <NONE> Date Issued 04 /09/2010 V A- a Construction Type INT. ALTERATION Occupancy Load BUSINESS s` 9063 BISCAYNE Boulevard i k Miami Shores FL 33138 -0000 r n r x, 3 �- ux B uilding Officials A pproval Norman Bruhn, CBO Not Transferable POST IN A CONSPICUOUS PLACE I •�' 3s � � ^ 1 a- .a.� -r �b —,._ ,ti L. ,.s ��,_._. ._. stto t, .__. 3• E ' ' ; � — Y ° ka,,, __ a �� 4� 04/02/2010 12:20 FAX. 1 800 685 7530 DATA SCAN FIELD SERVICES Q001 TX REPORT TRANSMISSION OR T% /R% NO 4854 RECIPIENT ADDRESS 918888965797 DESTINATION ID ST. TIME 04/02 12:19 TIME USE 00 PAGES SENT 1 RESULT OK Sarni Shores Village Building Department I(H)50 N.E. 2n Avenue Miami Shares, Fl 331:38 Tel: 305-795-2204 Fax: 305-756-8972) Permit No: 08 -1683 Job Name: March 30, 2010 Pagel of 1 Building Critique Sheet 1) The revision submitted is not from the architect of record. Provide a change of designer and a complete set of plans or revision from the designer of record. 2) Provide fire department plan approval. 3) The accessible counter must be minimum 36" wide at front counter. Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- Submittal drawings. Norman Bruhn CBO 3(35 - 795- 22 {. }4 t\l� \ 1 Miami Shores Village Building Department 10050 N.E.2 Avenue Miami Shores, F133138 Tel: 305- 795 -2204 Fax: 305-756-8972 Permit No: 08 -1683 Job Name: March 30, 2010 Page 1 of 1 Building Critique Sheet 1) The revision submitted is not from the architect of record. Provide a change of designer and a complete set of plans or revision from the designer of record. 2) Provide fire department plan approval. 3) The accessible counter must be minimum 36" wide at front counter. Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305 - 795 -2204 S7 ` Miami Shores Village t � Building Dep artment '� AR 2 20 g p � 70 � 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fag: (305) 756.8972 B ................ ®a® INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING Permit No. PERMIT APPLICATION Master Permit No. C C Q - G6 - 1 63 5 FBC 20 Permit Type BUILDING ROOFING Owner's Name (Fee Simple Titleholder) C A 6 92 9 , - k 20 ° Phone # Owner's Address j m saQAto i Q Q R - p KO Qi wd , City C0 4AL (D State r( Zip TenanvLessee Name 6 k Z; f�CA Phone # * 3 ®S q6 4 ° ( ?3 17 Email Job Address (where the work is being done) H06 b sc ° BI City Miami Shores Village County Miami -Dade Zip 33 1 . FOLIO / PARCEL # � � aj`� nAQ ` (® 0 51 Is Building Historically Designated YES NO Flood Zone Contractor's Company Name _z P A coo �s rg ®N L Phone # 32`3 <?, e V 10 Contractor's Address 7,3 06 C 11 i /V S A V E -tt- 26 O City M i A4--�k bCA W State __ Zip 33 ( q Qualifier Name - � AIV &®(1) 9C iAfA� P . Phone # State Certificate or Registration No. C G C 06 22-� 3 Certificate of Competency No. Contact Phone � � 1 � 6 � B O ® < E -mail Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ r Square / Linear Footage Of Work: Type of Work: ❑Addition ❑Alteration ❑New ❑ Repair/Replace ❑ Demolition Descrj[ W.MlyL. P 4iv . gkA'ii 4x JAF t <, _ Submittal Fee $ Permit Fee $ CCF $ CO /CC $ Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Bond $ Double Fee $ Violation date: Structural Review. $ Total Fee Now Due $ See Reverse side -� r � 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 fai that a y of the notice of commencement and construction lien law brochure will be delivered to the person whose property is ub ct to at chment. Also, a certified copy of the recorded notice of commencement muse posted at the job site for the first ins ctio w h ccurs seven (7) days after the building permit is issued. I Bence f such p t notice, the inspection will t ov and a r .inspection fee will be charged. Signature Signature wner or Agent Contr t The forego g instru nt was acknowledged before me this ^ The fo g 'Zy s a wledged before me this day of t '�, 20 ►� , by ((� I/l C C day y . 0NXC f4 S �. who is personally known t o me or who has produced o is personally known me or who has produced As identification ho did take an oath, as identification and who did take an oath. N ARY PUBLIC: NOTARY PUBLIC: Si gn Print: N o ou Print: �` m "rX. L'e Wires Jul 22. r Y 1� C� . My Commission t 7 �- Unimlision ;► DD 5349 Co M es. ��-✓° •, Bonded By PJational Notarj sn. IMII �IOMr rAipt APPROVED BY Plans Examiner Zoning Engineer Clerk checked (Revised 07 /10 /07)(Revised 06/10/2009) Miami Shores Village Building Department 10050 N.E. 2" Avenue Miami Shores, F133138 Tel: 305- 795 -2204 Fax: 305-756-8972 Permit No: 08 -1683 Job Name: March 30, 2010 Page 1 of 1 Building Critique Sheet 1) The revision submitted is not from the architect of record. Provide a change of designer and a complete set of plans or revision from the designer of record. 2) Provide fire department plan approval. 3) The accessible counter must be minimum 36" wide at front counter. Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305 - 795 -2204 Miami shores Village ,,,, a ,,,M Building Department 10050 N.E.2nd Avenue a te► Miami Shores, Florida 33138 fi R Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No: 09- e 9 Job Name: 6?,'ITlz �� f l-"A /® , 2009 Page 1 of 1 ELECTRIC Critique Sheet Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Mike Devaney 305 - 795 -2204 te Search gggg fg i t F lia "` �^'',. '� :� 3�, ✓ 1 z9 � `a�x�""r S Y z x� F`cb� time Enwrg acy Response Seivices Safety Into I "wsroom I8€sWe W%DFR LCOntact Us I Inspection History Inspecti History page. f Permit Number: 2009019867 i Select 110642010 1f0W010 PRELIMINARY ROUGH. CAS SANDRA � eI ct 110612010 110612010 FIRE FINAL INTERNET REQUEST � Select 1107!2010 00000000 FIRE FINAL NOT INSPECTED YET ( ` Selected Detags ins Nam. MG. COOK, MICHELLE Inslction Type. FIRE TCO INSPECTION DIs n: 047 APPROVED FOR TEMPORARY ONLY Clerk Hann. FIRE WEB APPLICATION j Requ date: 11212010 Inspec#m Date. 112612010 E Result [fate. °1126!2010 Inspectio Tir€ae: 17:24 Inspection Ceanssn"ts: Print Comments. ._ ....... . : 1/26/10 MMC 1. 'TC0 RECOMME14DED 2. ALL LIFE '. # 'SAFETY ITEMS CHECKED OX. ITEMS Lib 'T 1/81143 LT P UGH CHECKED OK. 3. PROVIDE ' AS BUILT3 APPROVED BY FIRE F GFt FINAL. �e �:`- F m� . �t f t .. �;., —w r iq�E Y ZAK A N 0� TV .p is, ZRVM5l', tz, AI air ..... . . . . . It MoT M- 9 WCM INCI. VA Z,v Wo W 'PON 5A -z,., . .' .� .. F-. '�r..� .t. u a. {. , 'l .. ,.i "�i# ., �,..:�`�.. - :. ,.. ,..,,..i`. �e < � .. r= '� r A. u'�,. kx ,.. , q v . !.. ^.. X.. t .afi =• 'i.k y...r: 'k� :e� � : '"� ?.. � ,' ,.��'` t ' e+�i.. ,�^p .- 4 . .'r� :�- Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: I NSP- 132714 Permit Number: CC -9 -08 -1638 Scheduled Inspection Date: January 28, 2010 Permit Type: Commercial Construction Inspector: Bruhn, Norman Inspection Type: Final Owner: CABRERIZO, TOM Work Classification: Alteration Job Address: 9063 BISCAYNE Boulevard Miami Shores, FL 33138 -0000 Phone Number (305)779 -8040 Parcel Number 1132060110051 -63 Project: <NONE> Contractor: ZIA CONSTRUCTION LLC Phone: (305)568 -8840 Building Department Comments DEMO FLOORS, WALLS PARTITION, NEW WALLS, NEW FLOORING. G&G SALON AND SPA Inspector Comments Passed CREATED AS REINSPECTION FOR INSP- 132608. Fire inspection is required first. Revise plans to match work. protect all penetrations in the tenant seperation walls. Failed ❑ Counter must comply with FAC. NB A al °I � Correction Needed ❑ 'V1 O� k/0 op Re- Inspection ❑ fxmo �� n Fee No Additional Inspections can be scheduled until re- inspection fee is paid. January 27, 2010 For Inspections please call: (305)762.4949 Page 12 of 27 i £- � t �� 3 � � �. c �' z s�" c lr � � d ye �'�i .5 �� ix sx 2,��` � �' ✓�'�� . b w Vt Home { Emergency Response SeMoes I Safety Info I Newsroom I traside PADFR Contact Us I its on History Inspecti ®n History Raga. i 4 Permit Humber: 2009019867 ¢ � Se 110812010 1/D$12010 PRELIMINARY POUCH. CASSANDRA S elect 110812010 1/0812010 FIRE FINAL INTERNET REQUEST S elect 1107/2010 00000000 FIRE FINAL NOT INSPECTED YET Sstected Detaft traspct®r Name. IVIC. COOK, MICHELLE lnspee u Type: FIRE TC0 INSPECTION j s n: 047 APPROVED FOR TEMPORARY ONLY Clara Han w. FIRE WEB APPLICATION Request Date: 1125 tnspectkan Date: 182812010 Result Date: 1126J201 Inspection Tlmw. 17:24 Inspects Csamments: Print Comments ;1/26/10 MKC 1 TCs RECOMMENDED 2 ALL LIFE SAFETY ITEMS CHECKED OK. ITEMS LIS I T 1/8110 LT POUGH CHECKED OE. 3. PROVIDE REVISED AS BUILTS APPROVED BY FIRE F : OR FINAL.. ProSet Systems - What's New http:// www. prosetsystems.corWwasherbox.htm E , Home 1 e Fire Guar Product Line Quote /Order Form W as h er B ox an I cema k er B ox. General Specification and the Suds Guard dasher Drainage Device User Benefits Clients ProSet continues its dedication to providing complete protection for all of your customers by extending its product About Us line with the Fie Guard Washer Box and the Fre_Gua..rd Icemaker Box fire -rated utility boxes for washing machines, Contact Us icemakers and other appliances requiring connection to a water line. Trap Guard The Fire Guard W Box ProVent Systems At last, a sturdy, Hi -Temp PVC, Fre -Rated Utility Box designed for appliances such as washing machines. No more ProSet Store Jury- rigging, stuffing w fire- resistant material and caulking to satisfy building code requirements. You can now ProSet Plastics make sure that the rating of a fire -rated wall is not reduced when installing a washing machine box opening. ProSet Rep Login ProSet has successfully fire - tested its A ` new Fire Guard Washer Box, installed within a one or two hour rated gypsum Search wall using the same, ordinary ProSet Systems Inc. installation methods used with 1355 Capital Circle non -rated plastic boxes - but without Lawrenceville, GA, the need for stuffing with fire - resistant x 30043 material or caulking. . Tel: 800 -262 -5355 The washing machine box has remained an area of vulnerability in firestopping, r Fax. 770-339-1 , which has been largely addressed with i the type of makeshift solutions referred to above. Even with this makeshift approach, a question remains about the ability of the box itself to resist fire. The ProSet Fire Guard Washer Box is constructed of sturdy, fire rated plastic 7 ; All the plumber has to do is install it using the same, ordinary installation method and all the inspector has to do to ensure the integrity of the fire -rated wall is see that it was installed properly. This is particularly important for protection from fires due to dogged lint traps in dryers and in cases where the washing machine and dryer are installed in the garage. The Fire Guard Washer Box is also important for connecting a refrigerator / icemaker on a wall that backs onto the garage or one that is located in the garage. The Suds Guard vice The "Suds Guard" device fits on the washer box drain opening and prevents any suds that might develop in the drain from backing up into the laundry room. It is like an elongated ProSet Trap Guard®, without a curl, and permits the free flow of drainage from the washing machine while preventing the backup of soapsuds. Click here to s ee a drawing. The Firs Guard Icernaker Box The Fire Guard Icemaker Box is similar to the Washer Box in that it is a sturdy, Hi -Temp PVC, Fire -Rated Box but it is designed for ice - makers, with one valve. As with the Icemaker Box, you don't have to stuff with fire - resistant material and caulk to satisfy building code requirements. You can now make sure that the rating of a fire -rated wall is not reduced by simply installing the Icemaker Box (in the approved manner ) in the opening. To Qf t11.1GCklals.ox...ljes'#�ISS_, 1 of 2 1/28/2010 12:46 AM ProSet Systems - What's New http:// www. prosetsystems.corWwasherbox.htm t Protection from Fire a n d Water Emergencies In addition, by using the ProSet low profile, wood floor, fire -rated drain with a Trap Guard you can install a floor drain in the laundry room and help protect your customers reduce or eliminate the impact of water emergencies as well as firm Fire Guard washer Box and a Trap GuardO` Drain: a total protection solution for the utility room. FIRES S Y STEMS Pt Systems, Inc. U. ,A. Design Igo. PS/PV 120-08 ' ..C- 815-2 Hm. ( )I - ( ) Tog Prame 00emfftl - 2.6 Pa (0.01 €n, of twr) Biro 4 � a t a IN BACK OF BOX I 8 "WXV H 3-11 Z 0, A a a 3 8 � Y� i � B �i # . al: Gypsum board I a or wwd sW wd. wU a m 3-Ur cav4 two4mr6mrift r Raft of sysIsm wW eq uid#M .1 'f' ading is 2 hwr. . Pipe S uppott Box and vwftW pqm WwR tw suppoftd by sftdft ft four b= brakels In a Pipe Maw ! r at l sr AI . F D . y� g m� p g P & Firs TY ` a ra 9�1i4'� 4 Intu tact d IMPORTANT: WSWW Sa x to Gsps up to Ur wound ft box can . be cat aH 4 " .. q oqjpo wt e taltj Warnoc r Iq!G i r ion Mark. Copyright © 2003 -2006 by [ProSet Systems Inc]. All rights reserved. 2 of 1/28/2010 12:46 AM Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 C Inspection Number: INSP - 105884 Permit Number: PLC -2-09 -177 Scheduled Inspection Date: December 23, 2009 Permit Type: Plumbing - Commercial Inspector: Levrock, James Inspection Type: Final Owner: CABRERIZO, TOM Work Classification: Addition /Alteration Job Address: 9063 BISCAYNE Boulevard Miami Shores, FL 33138 -0000 Phone Number (305)779 -8040 Parcel Number 1132060110051 -63 Project: <NONE> Contractor: ORIGINAL PLUMBING INC Phone: (954)274 -3041 Building Department Comments ADD 7 SINKS AS PER PLANS To schedule inspections password: Yeniss 11/17/09 Contact Number: 786-443-1723. I sp for ents Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. December 22, 2009 For Inspections please call: (305)762 -4949 Page 1 of 29 F AY Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 105875 Permit Number: ELC -2 -09 -176 Scheduled Inspection Date: December 30, 2009 Permit Type: Electrical - Commercial Inspector: Devaney, Michael Inspection Type: Final Owner: CABRERIZO, TOM Work Classification: Addition /Alteration Job Address: 9063 BISCAYNE Boulevard Miami Shores, FL 33138 -0000 Phone Number (305)779 -8040 Parcel Number 1132060110051 -63 Project: <NONE> Contractor: CEI LLC Phone: (305)722 -1881 Building Department Comments ADD AOUTLES AS NOTED ON PLANS Inspector Comments Passed EJ Failed Correction Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. December 29, 2009 For Inspections please call: (305)762.4949 Page 1 of 20 10050 NE 2nd Ave Miami Shores, Fl 33138 Phone 305.795.2204; Fax 305. 756.8972 www.miamishoresvillage.com DATE: ie C - 11 Z v HOLD HARMLESS PROPERTY LOCATED AT: 906 3 NSky 4 ; ALA 5 � , 3 j 1 0 As legal owner of subject property, I request the cancellation of permit number CC--'q-0'8—[ issued to A for the following reason: J X S rlo -- - Date of last inspection: 2 7 1 2 00 C ( I hereby apply as owner - builder, or authorize (new contractor) e„ p, to apply for such permits as necessary to construct or complete the construction on subject property. I agree to hold Miami Shores Village, its agents and authorized personnel harmless and relieve them from any, responsibility or liability for any legal action or damage, cost or expense (including attorney's fee) resulting from the cancellation of the existing permit or the issuance of a new permit. I furthermore assume responsibility for the correction, if required, of work performed under the permit for which I am r esting cancell i (Owner's Si ature) P ime Cont r or -Only ' subcontractor l hol s permi r if c nge of qualifi r) (Print Name) P'EORO `. dawE$ NOW y Mile . stale of f ��..•N� p VA ES II my Cmm. Expires Jai 13. MI Notary FWft - Sth of H� commission #► oo fN»it - W eWa f M I& $01 State of Florida (0 7 89 " ' 000 fit County of Dade` fi0tlo fft W 1W, fn The undersigned, being the first duly sworn, deposes and says that he /she is the legal owner of the above property. Sworn to and subscribed before me this j day of 1 46&4AL - 22<9�r, Notary Public, Sate of Florida at Large r � �51or �� Miami Shores g Departme 'Village LV uildin De art - kC 0 2 z00s 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.$972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING Permit No. _CC- 08 --tk 32 PERMIT APPLICATION Master Permit No. FBC 20 Permit Typ • BVILD �,'. Owner's Name (Fee Simple Titleholder) S ( $. v j Q - Q Phone # � OS ) 9710° - o4ro Y Owner Address City 1 � State Zip '33 14 fa Tenant/Lessee Name rA Q 15 A (L —r S eA , l yt C . Phone # a S T 4 9 7 1 Email Job Address) (where the work is being done) '9003 & S (Aq vZ N V City Miami Shores Village County Miami -Dade Zip 33 t 3 19 FOLIO / PARCEL # Is Building Historically Designated 'YES NO ,� Flood Zone Contractor's Company Name OA& &j`3 �1 r0j S phone # ' BIP VO Contractor's ;Address & - A/ . a 4. Y1 - - )4 City „ A wl J State Qualifier Name Phone # �3y3 State Certificate or Registration No. Certificate of Competency No. Contact Phoue E- mail l.�rj° T 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/Re lace p ❑ Demolition Describe Work: C1Aa9X 0 I mahelli I OMAV.4 ormq 4 9W WSR Submitt F er CCF $ CO /CC .$ Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Bond $ Double Fee $ Violation date: Structural Review. $ Total Fee Now Due $ See Reverse side -� r 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 CONDITIOiNERS, 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 $2500, the applicant must promise' in good faith that a copy of the notice of commencement and . construction lien law brochure will be delivered to the person Whose property is subject to attachment. Also, a certified copy of the'recorded "notice of commencement must be p ed at job site for the first 'inspection which occurs seven (7) days after the ;building permit is issued. In sence of pos notice, the inspection will not be app and a reinspe 'on fee will be charged.. Signature Signature O r or Agent /20by ntra The foregoing 'instrument w owledged before me s ��'. The foreg g ' trume ledged be re me this day of CJ 20 b .0 a �, ..^� day of who is personally known me or who has produced w i o,is personally know o me or who has produced Al tification and who did take an oath. as identification and who did take an oath. NOT PUBLIC: NOTARY PUBLIC: Sign: Sign: Print:. 0 Prim NOTARY PUBLIC-STATE OF FLORIDA y g My Commission Expires: ; '$M.�., ssion E Victor I. Fuentes � N 61� I,;' c� Commission #DD667598 Win, Jd 13, M2 Expires: JUNE 15, 2011 f 00 SMI goxniso RUAxrn aoxnuNaco. a APPROVED BY ,!~ © Plans Examiner Zoning Engineer Clerk checked (Revised 07 /10 /07)(Revised 06/10/2009) , oR Miami S hores V illage long URN Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 R Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No: 09 - /O/� Job Name: 2009 Page 1 of 1 Building Critique Sheet �iNf •e. +d ia7` �'t�it,.f•M4 G a�P /C!'t.. f lt� r' �"� B /� �fi4dl lCA" dn- 4ge- e Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305 - 795 -2204 .J Miami Shores Village Building. Department Change of Contractor Permit No. C e'-0 13-163 8 Owner's Name (Fee Simple Titleholder) 2 '+® f' '�" Phone # - A ®!-, - 9] ®ek(b� Owner's Address 9 0 iz'N P-> i a i v d City t o ev � l S � r' �o.� State Zips TenanvLessee Name Phone # `3 ®S 9 -10 a ® (P �l Job Address (of where the work is being done) 9 ® r-c0 City M a c-V-, i S r,t r County Legal Description c— Contractor's Company Name - /� Phone # Contractor's Address S City State Zip Qualifier Describe Work: '• l G' '7f � e. w (at f � I hereby certify that the work has been abandoned and/or the contractor is unable or unwilling to complete the contract. I hold the Building Official and the Village of 'ami Shores h 1 from all legal involvement. Signature Signature or or Agent /ent Con or The foregoing ' ent was acknowledged. before me this �-� The s ac wledged before me this � ® �.� cY. � j . 20 by da Lisperson�ally ' X 2 0 WA b day of ®� JA s 2, (� E W kna o me or who has produced who is personally known to me or who has produced. As i tification and who did take an oath. as identification and who did take an oath. NOTARY LIC: NOTARY PUBLIC: Sign: V Sign: Print: 1 'T. Print: My Commission Expires: NOTARY PUBLIGSTATE OF FLORIDA My Commission expires: i Victor X. Fuentes f► at Commission #DD667598 y� , job" Ad it °- ."�'�,• Expires: JUNE 15, 2011 • IJB Rev. 09 /19/03) www.sunbiz.org - Department of State Page 1 of 2 .h s Home Contact Us E- Filing Services Document Searches Forms Help Prev ious on List Next on List Return To List Entity Name Search No Events No Name History F Submit Detail by Entity Name Florida Limited Liability Company SHORE SQUARE INVESTMENT, LLC Filing Information Document Number L04000073333 FEUEIN Number 201985741 Date Filed 10/08/2004 state FL status ACTIVE Effective Date 10/08/2004 Principal Address 3850 BIRD ROAD SUITE 801 MIAMI FL 33146 US Changed 04 /1012009 Mailing Address 3850 BIRD ROAD SUITE 801 MIAMI FL 33146 US Changed 04 /1012009 Registered Agent Name & Address KANTROWITZ, HOWARD PA 3850 BIRD ROAD SUITE 801 MIAMI FL 33146 US Name Changed: 04/10/2009 Address Changed: 04 /10/2009 Manager /Member Detail Name s Address Title MGRM CABRERIZO, TOMAS 3850 BIRD ROAD, SUITE 801 MIAMI FL 33146 US Title MGRM KATTAN, JAMES 2335 N.E. 209 STREET N. MIAMI BEACH FL 33180 US http: / /www. sunbiz.org/ scripts /cordet.exe ?action= DETFIL &inq_doc_ number= L04000073... 11/23/2009 www.sunbiz.org - Department of State Page 2 of 2 Title MGRM KATTAN, OREN 19333 COLLINS AVENUE, #PH -9 SUNNY ISLES FL 33160 US Annual Reports Report Year Filed Date 2007 03/09/2007 2008 02/05/2008 2009 04/10/2009 Document Images 04/1 0/2009 — ANNUA R EPORT View image in PDF format 02 /_0.5/20.08 — ANNUAL REPORT View image in PDF format 03/09/ - ANNUA REPORT View image in PDF format 02/28 /20_06_- ANNUAL REPORT View image in PDF format 03/08/2005 -- REPORT_ View image in PDF format 10/08 /2004_ - Flo Lim Liability Yew image in PDF format Note: This is not official record. See documents if question or conflict. Previous on List Next on List Return To Lis Entity Name Search No Events No Name History ; Submit;, I Home I Contact us I Document Searches I E- Filing Services I Forms I Help I Copyright and Privacy Policies Copyright © 2007 State of Florida, Department of State. h4: / /www.sunbiz.org/ scripts /cordet. exe ?action = DETFIL &inq_doc_number= L04000073... 11/23/2009 Property Information Map Page 1 of 1 My Home Miami -Dade County, Florida MIAMI- Property Information Map Summary Details: J Folio No.: 11-3206-011-0051 Property: 9031 BISCAYNE BLVD Mailing SHORE SQUARE Ne 91 Address: INVESTMENTS LLC } �I 3850 BIRD ROAD STE 800 MIAMI FL 33146 - i ` Property Information: rn € � i �uoa' i + Grp Yw �� 200 ARTERIAL A l Primary Zone: BUSINESS CLUC: 011 RETAIL @+; Beds /Baths: /0 a . Floors: 1 Living Units: ?9F 96TH ST Adj Sq Foota e: 47,749 Lot Size: 3 ACRES Y ear Built: 1962 53 42 ASBURY PARK PB 4 -110 BEG 30FTW OF SE COR LOT 5 RUN t�lv 59T�1 ST Legal 72.08FT N177FT Description: 60.97FT TO E R/W /L BISC BLVD µET6i TER NELY139.58FT E290.02FT N124.93FT El52.16FT ALG Assessment Information: Y ear: 2009 2008 Land Value: 1,774,192 2,217,740 Digital Orthophotography - 2007 0 120 ft Building Value: 2,056,106 2,111,006 This map was created on 11/23/2009 9:45:12 AM for reference purposes only. Market Value: 3,830,298 4,328,746 A ssessed Value: 3,830,298 4,328,746 Web Site © 2002 Miami -Dade County. All rights reserved. Taxable Value Information: Y ear: 2009 2008 Applied Applied Exemption/ Exemption/ T axing Authority: Taxable Taxable Value: Value: Regional: $0/ $0/ $3,830,298 $4,328,746 C ounty: $0/ $0/ $3,830,298 $4,328,746 City: $0/ $0/ $3,830,298 $4,328,746 School Board: $0/ $0/ $3,830,298 1 $4,328,746 Sale Information: Sale Date: 11/2005 Sale Amount: 0 ale O /R: 4432 -4515 ales Sales which are ualification isqualified as a result of Descri tion: xamination of the deed View Additional Sales http: / /gisims2.co.miarni- dade.fl.us /MyHome /printmap. asp? mapurl = http: / /gisims2.miamid... 11/23/2009 Page 1 of 1 http:// www. sunbiz .org/COR/2009 /0410/80471078.tif 11/23/2009 C • o • • • • Complete items 1, 2, and 3. Also complete A�Signature item 4 if Restricted Delivery is desired. I X / l ,gent - or- • Print your name and address on the reverse 13 Aa dresses so that we can return the card to, you. pi — - -@d Nameed _ ) G. D _` y R rant ate of Delivery ® Attach this card to the back the mail ece, / � ' or on the front if space permits. t _ 1. Article Addresses to: D. Is delivery address different from Item iT Oyes If YES, enter delivery address below: E3 No y )f k N - ®v\ S :KIVN 3. Service Type 0 Certified Mail 0 Express Mail L 3 -3 ® Z 3 ® 0 Registered E3 Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. ResMctsd Delivery? E" Fee) ❑ Yes _ Article Number 7 007 0710 0001 6 4 0 3 0198 (Transfer from service PS Form 3811, February 2004 Domestic Return Receipt 102595.02 -M -1540 UNITED STATES POSTAL SERVICE First -Class Mail Postage & Fees Paid USPS Permit No. G -10 i ` Sender. Please print your name, address, and ZIP +4 in this box • I Blvd I I I SGW res rl 3313 irsl�rtdl�sr�r# f�it��fr��x�a��irl�3�rri� #aerl�s�lr ;ii��rrl4�4� �► • • COMPLETE • ON • • Complete items 1, 2, and 3. Also complete A. Signature Item 4 If Restricted Delivery Is desired. f 1 r = 13 Agent X . • Print your name and address on the reverse l°t� 6b 13 Addresses so that we can retum the card to you. B FjeqeIved by Pdnfad N of Ilvery • Attach this.card to the back of the matlpiece, U 1'] �� I or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes I If YES, enter delivery address below: 13 No 1144 %Ak CA,4aAi �yS C-0 m `OZ 57 ww 9 C-A Cky . 3. Service type IN ( �� -- � 5 13 Certined_Mail ® Fxpress Mail � O Registered ®Return Receipt for Merchandise , � , 0 insured Mail 13 C.O.D. 4. Restricted D hmrv ,Fee) 13 Yes 2. Article Number U 22 8 (rrarrsferfr CIL17 61403 PS Form 3811 F Domestic Return Receipt 102595 -02 -M -1540 UNITED STATES POSTAL SERVICE First -Class Mail Postage & Fees Paid USPS Permit No. G -10 ' Sender: Please print your name, address, and ZIP +4 in this box' _ � 0(0 , �� LAq e B 3 3 s Complete items 1, 2, and 3. Also complete A. Signature Item 4 If Restricted Delivery is desired. 0 Agent ■ Print your name and address on the reverse _ , -- 0 Ad so that we can return the card to you. B. Recenr y ( p T G. Date of Delivery ■. Attach this card to the back of the maiipiece, or on the front if space permits. - — D. Is delivery address different from Item 1? O Yes 1. Article Addressed to: If YES, enter delivery address below: 0 No S C- 3. Service Type -- 0 Certified Mail 0 Express Mail 0 Registered 0 Return Receipt for Merchandise 0 Insured Mail 13 G.O.D. 4. Restricted Delivery? Pft Fee) 0 Yes 2. Article Number - — (riansfer fromse� 70U7 0710 000 6403 0 204 PS Form 3811, ary Domestic Return Receipt 102595.02 -M -154, UNITED STATES POSTAL SERVICE First -Class Mail Postage & Fees Paid USPS Permit No. G -10 • Sender. Please print your name, address, and ZIP +4 in this box • 33 r 3 e I ® 2 2009 BY:. Gig Salon and Spa, Inc. A Arking Solutions, Inc. CGC1514191 Attn: Owners) /Officer(s) 18268 SW 3rd Street Pembroke Pines, FL 33029 -4300 10. November 2009 Subject: Change of Contractor & Subcontractors Certified Main No(s): 7007 - 0710 - 0001 - 6403 -0198 �►�f Sri ®�c�Tt ®� �`" `�� Dear Sir or Madame, Please find that we are no longer engaged in business with C -n -D Architectural, Inc and /or their construction team -to include general contractor, subcontractors and /or suppliers /vendors. We are requesting that you and /or your subcontractors _return all of our original documents to include, but not limited to: 1) permitted set of job site plans, 2) original permit cards with inspection log /signatures, 3) notice of commencement, 4) warranties and guaranties, and 5) release and /or partial release of lien(s). Forward any /all outstanding invoices. along with your supportive documents to us and we will re- spond accordingly. Sincerely, Gioribel Gonzalez cc: Air South Mechanical Systems Industrial Electrical System Corporation Navarro Plumbing Service, Inc 9063 Biscayne Boulevard, Miami Shores, FL 33138 U.S, ostal ServicerM CERTIFIED MAILrM RECEIPT ` U.S ServiceTM.. M � (Domestic Mail onry No Insurance Coverage Provided) CERTIFIED M A I L; . RECEIPT (Domestic Mail Only; No insurance Coverage Provided) r For delivery visit our website at www.usps.com� - ,� For delivery information visit our website at www,usps.com� I r - - •,op r " t 1 PS F'oa'm 3800, August 2006 See Reverse fol Ii,sGuctions PS Foim 3800. August 2006 S ` s ` ,._e Reverse (o� Instructions U.SPostal Service U.S�Postal ServiceTM;.� CERTIFIED MAIL2�RECEIPT''�> CERTIFIED MAIL RECEI PT 9 TM % y (Domestic Mail Only; No insurance Coverage Provided) "W (Domestic Mail Only; No Insurance Coverage Provided) � rt For delivery information :visit our website at www.usps.como r For delivery information: visit our website at www.usps.com@ r r _ r � _ r PS Form 3800.AUgust 2006 Sec Reverse for Instructions PS Form 3800, August 200,6 - -See Reverse for Instructions 1 t � � .. T th�l�� 73 s ��'fib r T! '�1 L tO#UdTIOOK I(r gyp O ' 40 � E T k I I I d " I y j 4 t i r «« DO NOT FORWARD ZIA CONSTRUCTION LLC i JEAN LONGCHAMPS JR PRES 7306 COLLINS AVE #260 MIAMI BEACH FL 33141 r iIEE `. 01 1 SEE OTHER SIDE dS1B$4}t i9634f�6f�4Sd1 {4��i5�il�if 4�Fi6��Sii #�i 9f16f F�f iBJtBiF Licensee Information Name: LONGCHAMPS, SEAN (Primlary Name) ZIA CONSTRUCTION LLC (DOA Name) Main Address: 725 NE 79TH STREET MIAMI Florida 33138 County: DADE i I Ucense Mailing: i I UcenseLocation: 725 NE 79TH STREET ` MIAMI FL 33138 County: DADE I License Information Ucense Type: Certified General Contractor Rank: Cert General Ucense Number: CGC062263 Status: Current,Active Ucensure Date: 03/27/2001 Expires: 08/31/2010 j Special Qualifications Qualification Effective Construction Business 04/07/2008 Fingerprint (Construction 03/14/2008 Industry Licensing Board) I I I VieiN A-loense Complaint I Terms d¢ Use Privacy Statement i I i mytloridalicense .com /UcenseDetail.asp... 1/1 i 12 -15 -2008 ALEX SINK STATE OF FLORIDA CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES . DIVISION OF WORKERS COMPENSATION CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA "WORKERS COMPENSATION LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 04/1012008 EXPIRATION DATE 04/90/2010 PERSON: LONGCHAMPS JEAN JR FEIN: 262187486 BUSINESS NAME AND ADDRESS: ZIA CONSTRUCTION LLC 7306 COLLINS AVE # 260 MIAMI BEAM FL 33141 SCOPES OF BUSINESS OR TRADE: 1- PROJECT MANAGEMENT 2- CERTIFIED GENERAL CONTRACTOR IMPORTANT: Personal to Chapter 440 . 05041, F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election Under this section may not recover benefits or compensation trader this chapter. Pursuant to Chapter 440.0502), F.S., Certificates of election to be exempt... apply only within the scope of the business or trade listed an the notice of election to be exempt. Pursuant to Chapter 440.051131, F.S., Notices of election to be exempt and certificates of election to be exempt shalt be subject to revocation if, at any time after the filing of the notice or the issuance of the certfficote, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificale. The department shall revoke a certificate at my time for failure of the person named an the certificate to meet the requirements of this section. QUESTIONS? (850) 413 -1609 )WC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09 -06 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA IMPORTANT DEPARTMENT OF FINANCIAL. SERVICES DMSION OF WORKERS cOMPENSAnoN F Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who CONSTRUCTION INDUSTRY O elects exemption from this chapter by filing a certificate of election CERTIFICATE OF EL.ECTIOAL TO 13E EXEMPT FROM FLORIDA L under this section may not recover benefits or compensation under this WORKERS' COMPENSATION LAW D chapter. EFFECTIVE 04/10/2008 EXPIRATION DATE: 04/10/2010 Pursue to Chapter 440.05(12), F.S., Certificates of election to be PERSON: JEAN LONGCHAMPS JR H exempt- apply only within the scope of the business or trade listed on FEIN: 262187486 R the notice of election to be exempt BUSINESS NAME AND ADDRESS: E Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt ZIA CONSTRucTTON LLC and certificates of election to be exempt shall be subject to revocation 7306 COLLOLS Ave 8 260 if, at any time after the filing of the notice or the issuance of the ne" BEACH, FL 33141 certificate, the person named an the notice or certificate no longer meats the requirements of this . section for Issuance of a certificate. The department shall revoke a certificate at any time for failure of the SCOPE OF BUSINESS OR TRADE person named on the certificate to meet the requirements of this I- PROJECT MMAGEWNT 2- CERTIFIED GENERAL CONTRACTOR section. QUESTIONS? (850) 413 -1609 CUT HERE * Carry bottom portion on the job, keep upper portion for your records. )WC -s252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09 -06 DATE (MMIDDIYY) CERTIFICATE OF LIABILITY IN SURANCE 11/24/09 _ __ _...... .....__. - - - - -.. .. .__...._ .............. I -- — — .......... _......_.__.. -... -- ... ........ . -. PRODUCER All In One Insurance Semices, Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY ANO CONFERS NO RIGHTS UPON THE CERTIFICATE 18409 West Dixie Hwy HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR North Miami Beach, FL 3$160 ALTER THg C0.VERAGE,AFFORDED BY,THE_PC)LICIES BELOW. _ -• __, Phone (305)947 -9633 F (305 )947 -9628 INSURERS A COVERAGE NAIC 9 -- _._,.. __........ ... _ .. ......-- - - -.._ ... _........._......... - - -- ......_..._.__...._. INSURED Zia Constr LLC INSURER A- merican Vehicle insurance Comp. 725 NE 79th Street INSUR B:.. _._.._... __... _.._..._ ................ _ INSURE R C: ................ _......._..... .... .... .......... Miami, FL 33138 INSURER D: INSURER E: _._...... ._..._..... ....... .... . ......_._ COVERAG INSURER F: THE POLICIES OF INSURANCE LISTED HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FO I THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RE SPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT r0 ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HA BEEN REDUCED BY PAID CLAIMS. INSR AWL POLICY EFFECTIVE POLICY EXPIRATION I LIMITS LTR INSRD TYPE OF INSURANCE _ POLI NU MBER PATE {MM /DDIYY) DA7E,(MMIDDM�J I GENERAL LIABILITY EACH OCCURRENCE 1,000,000 COMMERCIAL GENERAL LIABILITY GL- 0521014832 -00 10/23/09 10/23/10 PREMISES_( a_occurence) „ ,,,,_,• -- 50,000 MED EXP (Any one person) 5 ,000 ,_...�❑ CLAIMS MADE OCCUR _..... •..... — .._.. ............._.— _._.... A [_I '� PERSONAL 8 ADV INJURY 1,000,000 GENERAL AGGREGATE 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PA=R: PRODUCTS • COMP /OP AGO 1,00 0,000 [] POLICY F PROJEC T I LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT �1 ANYAUTO (Ea aocldent) — _ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) ___— ._........._ -- [_ HIRED AUTOS BODILY INJURY (_ NON OWNED AUTOS (Per accident) PROPERTY DAMAGE -- ❑ -- -- — - - _._..._. _....... _ ._...._._... (Per at cldent) GARAGE LIABILITY AUTO ONLY • EA AC CIDEN T I � ❑ ANY AUTO _....,.. ._........ OTHER THAN EA ACC — —.__ ....._ ..__.._._..__._._....... _ ........ AUTO ONLY: EXCESSIUMBRELLA LIABILITY E OCCURRENCE: _ 0 [:1 OCCUR I I CLAIMS MADE AGGREGATE — ❑ DEDUCTIBLE — _._._.. ... _..._— R S ---- -..... ..•.___ _._. KERS COMPE NSATION AND_ . .._ _...----- --- -.........- _- .... - -- •- --- -_._.... � WC STATU• L] QTH- EMPLOYERS' LIABILITY ___TORY LIMITS__—_ ER — ANY PROPRIETOR / PARTNER / EXECUTIVE E.L. EACH ACCIDENT _ OFFICER / MEMBER EXCLUDED? E.L. DISEA • EA EMPLOYEE If yes,describeunder .... _ SPECIAL PR OVISIONS below E L. DISEASE . POLICY LIMIT OTHER _ .... DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEME NT / SPECIAL PROVISIONS GC C ERTIFICATE H OI-DER CANCELLAI ION f SHOULD ANY CF THE ABOVE DESCRIBED) POLICIES BE CANCELLED BEFORE THE 1 EXPIRATION DriTE THEREOF; TWE ISSUING INSURER WILL ENDEAVOR TO MAIL MIAMI SHORES VILLAGE I 30 DAYI I WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO BUILDING DEPARTEMENT THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY 10050 NE 2ND AVENUE OF ANY KIND Li PON THE; INSURER, ITS AGENTS OR R EP RES E NTATIVES. ... AUTWORIZE D I•;E E?RE NTAT MAIMI SHORES, FL 33138 �� ACORD 25 (2001108) OF -' — —'— © ACORD CORPORATION 1938 c 1 -� f6 j;4 Fe, 045 �Cr�( �Ed. • iJ�c�S Inspection Worksheet ` Miami Shores Village yRa orr 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 MM Scheduled Inspection Date: June 18, 2009 Permit Type: Commercial Construction Inspector. Bruhn, Norman Inspection Type: Framing Owner: CABRERIZO, TOM Work Classification: Alteration Job Address: 9063 BISCAYNE Boulevard Miami Shores, FL 33138 -0000 Phone Number (305)779 -8040 Parcel Number 1132060110051 -63 Project <NONE> Contractor: ARKING SOLUTIONS INC Phone: (305)318 -7703 Building Department Comments Inspector Comments Passed El 40/ if t' P / ema ,Rcj v : `eW Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. June 17, 2009 Page 22 of 22 06/16/2009 11:53 FAX 1 800 685 7530 DATA SCAN FIELD SERVICES IM 002 /002 OR£s� Inspection Worksheet Miami Shores Village " 10050 N.E. 2nd Avenue Miami Shor h � O ti ry �'�T68 11t Phone: (305)795 -2204 Fax: {305}75 97 f M . a' n, Scheduled Inspection Date: June 16 2009 Permit Type: Electrical - Commercial Inspector: Devaney, Michael Inspection Type: W. W. Owner: CABRERIZO TOM Work Classification: Addition /Alteration Job Address: 9063 BISCAYNE Boulevard Miami Shores, FL 33138 -0000 Phone Number (305)779 -8040 Parcel Number 1132060110051 -63 Project: <NONE> Contractor: INDUSTRIAL ELECTRICAL SYSTEM C ORP Phone: 3051228 -1384 Building Department Comments e Inspector Comments Passed i Failed ,��>`i � Correction Needed Re- Inspection Fee L..._.J No Additional Inspections can be scheduled until re- inspection fee is paid. June 15, 2009 Page 5 of 31 h Inspection Worksheet 6 Miami Shores Villa 10050 N.E. 2nd Avenue Miami o , � Phone: (305)795 -2204 Fax: (30 Inspection Nurnber: INIS,P= 1105 64 Permit Number: DEMO -2 - 09 -175 Scheduled Inspection Date: June 08, 2009 Permit Type: Demolition Inspector: Bruhn, Norman Inspection Type: Final Owner: CABRERIZO, TOM Work Classification: lAla is-&Si�ns Job Address: 9063 BISCAYNE Boulevard Miami Shores, FL 33138 -0000 Phone Number (305)779 -8040 Parcel Number 1132060110051 -63 Project: <NONE> Contractor: ARKING SOLUTIONS INC Phone: (305)318 -7703 Building Department Comments Inspector Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. 1.. - nC nnnn r2__ . d _S On Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Sho e Phone: (305)795 -2204 Fax: (305)75 Scheduled Inspection Date: June 04, 2009 Permit Type: Plumbing - Commercial Inspector: Levrock, James Inspection Type: Rough Owner: CABRERIZO, TOM Work Classification: Addition /Alteration Job Address: 9063 BISCAYNE Boulevard Miami Shores, FL 33138 -0000 Phone Number (305)779 -8040 Parcel Number 1132060110051 -63 Project: <NONE> Contractor: NAVARRO PLUMBING SERVICES INC b Phone: (305)244 -5832 Building Department Comments V Inspe to C ments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspection Worksheet ru a. Miami Shores Village u .' 10050 N.E. 2nd Avenue Miami Sh e a Phone: (305)795 -2204 Fax: (305)7 2 `' Scheduled Inspection Date: June 05 2009 Permit Type: Plumbing - Commercial Inspector: Levrock James Inspection Type: Rough Owner: CABRERIZO, TOM Work Classification: Addition /Alteration Job Address: 9063 BISCAYNE Boulevard Miami Shores, FL 33138 -0000 Phone Number (305)779 -8040 Parcel Number 1132060110051 -63 Project: <NONE> Contractor: NAVARRO PLUMBING SERVICES INC Phone: (305)244 -5832 Building Department Comments 1� ly-, flR U� I r\k I spec ments Passed Failed Correction Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. I.- AA AAA^ M_-._ A ALA 05 -28 -2009 15:03 CND 3055733446 PACE2 STATE OF FLORIDA D111?XRTKMT OF BUSINESS AND PIiOF889=0NAL RMULAT =ON CON'STRUCTZOM nW1r8%= LXCENSING SOMM (850) 487 -1395 7.940 NOM MoMoz ,STRUT T ALLA " 993 FL 32399 - 0783 ARANGO, XARTxA LUCIA 1189 3 RD T INC POMROKS P7 S FL 33029 -4300 AW Y� u �� -sue �..iNF70 one YiQ one „AHINt -' q °• •'' loeflBad t119 4'�► t: •.' y , Dapartrn®nt of Buabm +aid professlorW peguletlott. boxers to � ftm to y br�Dkers from ,SRO - •: • . e Testa mft, end they keep Fkxida's economy t#QCI51��i.�t1 • - O $'/2�/�8' 'ff9Stl3 883 F� dam to impom the way we do btu in order' to sews you batter. t There you can mom � abotdI” onto IRTZV3X2D.- OEM 0 Inved you gibe to t , , 1heR �� • : , ;; sl ,• Our lriisslon at the oqm m d ls: L,ioens8 GfkC,[' arrby, Regulate Fayiy We • "'' '" ' y str "1011 WWVe YOU better' HBO VW you Can serve our cuskume. " Thank you for doing bLiskien in Elands, and oongrah"f#o an yow now Newel _ � %ft.. r :. a., s . DETACH HERE FLQ AGE`. ;�� dw�(7 / ■ ! � ' { �' r • � • • . .. .:.: ...;,. .., : ; . . •� `.• � ,a/ i t •`L.' f " '.DLP'AR .1 ' ppp . s :... r D �• .a ' r', , - ° .'' .. :> 5 ' ,:' = : .Y�•,d �S' .� '-{'�, d� f ry. •• 'y� • � �: Q8 22/2008100803-803 The GM EV" COfi1TRACron Nivad below 'I8'. CERTIF VnC�®t= the va"QV'�.B.f.l?318 ti£rz:�tap'k+ax '4$9 `��`�'. , � .'T'.t'•7f. '': 82WiratiOa datez AUG 31;.:.2010 fi • .. � lY ' tT�. • : F .j ri! ro, . et • t C; '.�,• i'. P ... ;' -,° •f.° ! .„.i �• fi t!' !n. ' • •�. ARANGO, MXR" 7.82 !!yy �• p.�py�'� \n/Rff7 e �, '• t • is i S } . 68��7�! JOi a C d ,,��t . j pd • J � taw PEMROKE PINES PL. 33429 -4300 ,: . • ~; ;- • :• •: ice;/ CA'ARLIE' CRIST ',.'P :, :..; t ; r :_ • :: ,a .} `;,.. GOVERNOR � ` �Q�, sa�S. ° t F- :,,.ety. ftd 05 -28 -2009 15:02 CND 3055733446 PRGE1 STATE OF FLORIDA DZPART20MT OF SIIgnma$ AnD PROPESSIONILL RMGMATION qw NSTRIICT ON INDUSTRY toXCSNSING BOA= (850) 497 - 1395 940 NO MONROL STRZ= T aLIAN BRE FL-32399-0783 ARKIM SOLDTiolfs INC 1. xx pims� FL 33029 or recP LOM AC# 3j. -435m , QN568�•5.'.� 49/04/0'�.';0'7��.08�.'7.�r QUWA7x= ANSINSi s ORjh$j9 w. ARKINC*' ' sozrwTl'ON'8 XINC: A: lilcmsa To. ALUMS, Compm3C'70' DO 8•Z S Xr IT NU A IRICBNS$D f b- ALZFZ89,•.• ) vxc "� . �a�l +rantt{m;'�e�.►�,�i7Q."��jf'., .'.att:;!P' �r��D�0.i.31'. DETACH HERE :, 3 5 STATE PQI= I R 10 1 • DSP. � � .S - A� • S3L r . 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(305)795 -2204 f; Expiration: 1 V1 V2009 M I Project Address Parcei Number Applicant 9063 BISCAYNE Boulevard 1132060110051 -63 SHORE SQUARE INVESTMENT Miami Shores, FL 33138 -0000 Block: Lot: Owner Information Address Phone Cell SHORE SQUARE INVESTMENT 3850 BIRD Road (305)779 -8040 (305)970 -0664 CORAL GABLES FL - Contractor(s) Phone Cell Ph one Valuation: $ 2 0,000.00 ARKING SOLUTIONS INC (306)318-7703 (305)31 &7703 _...._ w Total Sq Feet: 988 Approved: Yes Available Inspections: Comments: Inspection Type: Date Approved: 4/7/2009: Yes Final PE Certification Date Denied: Window Door Attachment Type of Construction: INT. ALTERATION Occupancy Load: BUSINESS Tie Beam Stories: Exterior: Slab Front Setback: Rear Setback: Termite Letter Left Setback: Right Setback: Framing Plans Submitted: Certification Status: Store Front Attachment Certification Date: Additional Info: GIGI'S SALON & SPA Insulation Bond Return: Classification: Commercial Drywall Screw Window and Door Buck Ceiling Grid Fees Due Amount Invoice # Total Amt Paid Amt Due Fill Cells Columns CCF $12.00 CC -5-09 -34847 $ 855.00 $ 855.00 CO /CC Fee $200.00 $ 0.00 Education Surcharge $400 Check #: 1625 Permit Fee - Addibons/Alterailons $600.00 Scanning Fee $24.00 Technology Fee $ 15.00 Total: $855.00 In consideration of the issuance to me of this permit, 1 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. June 01, 2009 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy June 01, 2009 1 NOTICE OF COMMENCEMENT CFN 2009RO339479 A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTiONOR Fk 25859 Ps 461 Ms ) RECORDED 05/OS/2009 15:49: a HARVEY RUt+INt CLERK. OF COURT PERMIT NO. CCb� �� V TAX FOLIO NO. �l �ZJ� a ` IIIAHI -DARE COUNTY`♦ FLORIDA LAST ME STATE OF FLORIDA: COUNTY OF MIAMI -DADS THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Leg Im of property and strimA t address: 2. Desc ri of Wi t: �P ®( ?IJt /L'T/ZrL�fO[��c 3. O wner (s) name and address 1 Q r �C�/ tJ� U 1 - .tZ L I z L 60x) Z- a 1= X13 1 lid Interest in aro mV. o(L:% r- [' c kNlame and address of fee simple Wdw.. 5 4. Contractor's name and ate: z d �T 5. Surly: (Payment bond required by owner from KIL mat Name aW Address: Amount of bond $ LA 020 ° 6. Lencler's name and address: a1 1 TMESS �antla� t . ft Co its ECOUS�� 7. Person within the state of Fib mated by or other documents may be served as provided by Section 713.13(1Xe )7., Florida Statutes. Name and & In addit to himself, Owners desigrot the fdkm" s} to receive a copy of the La "s Notice as prodded in Section 713.13(1)(b), Florida . Name and Address: 9. won cue of this Not of CommmTtent #he aWation data is 1 year from the date of rem unless a diffiewt date is wed} -- signabe of Owner Prim ci Name � L- f�nr� - P repare d by aif ° Swam to and subscribed before me this t l day of ,+ 20 a� Notary Public 4 Pert Noy's Name ° ' a in My emission eat d ..sr V * * MYCOMMiSWl d DD 81rA EXPIRES: October 14, 2012 t BOndedTMuBi�dgatNo�YSa�s % •• • % •. .... • • l rkin.l :50tutims Inc. • • • • • • • • • • • • • • • • • • • • • • • Date: April 27, 2009.•• ; ; ••• ;•• :•• ••• To: Miami Shores ' • V: •' V '. Building DeparVnehf Building Critique Sheet Project: GG Salon and Spa 9063 Biscayne Blvd Miami Shores, Fl. 33138 Permit #: 08 -1638 Summary of Comments addressed and noted: 1) Corrections for Mechanical and Electrical must be completed: M -1, E -1 & E -2 Attached. z) Completely dimension the existing bathroom to show compliance with the Florida Accessibility Code. Provide details of all fixtures, clear floor space and accessories. :Shown sheet A - 04 3) Indicate the toilet room interior finishes : Shown sheet A -03 4) Shown maneuvering clearances at all door: Shown sheet A -4 Thank You, - M ELECTRICAL COMMENTS: Need riser diagram and load calculations Show circuit numbers All receptacles within 6 feet of sinks or foot baths to be GFI protected Martha Arango Panel schedule to show breaker and wire size CnD MECHANICAL COMMENTS: A41. Arking Solutions Need HVAC design schedule - Miami Dade County Chapter 8 Need balanced return air - FBC -M 601.4 Outside air required, show calculations - FBC -M 403.2 Need ventilation for manicure and pedicure stations (305) 573 -1685 Fax (305) 573 -3446 46 NW 3e Street Wynwood Art /Design District Miami, FI - 33127 - martaend@ bellsouth.net �r nn uaM BUILDING DEPARTMENT �$©RI I0050 N.E. SECOND AVENUE MIAMI SHORES, FLORIDA 33136 -2382 TELEPHONE: (305) 795.2204 FAX: (305) 756.8972 xc Review Comments for Mechanical Processor job Address: 90( Permit No:Reviewer: � ✓ 1 � �. � �J Contractor: o No: Date: Only the items preceded by an (x) must be corrected. { ) I Need HVAC design schedule Miami Dade County Chapter 8. ( ) 2 No combustible in plenums. FBC -M 602.2.1. r ( ) 3 Auxiliary and secondary drain systems required. FBC -M 307.2.3. ( ) 4 Air handler shall be mechanically attached to air system. FBC -M 603.7. ( ) 5 Equipment on roof over 16' require permanent access. FBC -M 6033 ( ) 6 Need balanced return air. FBC -M 601.4. ( ) 7 Provide return air in bedroom and I" undercut door. FBC -M 601.4. ( ) 8 Bathroom shall have window (3 square feet) or be mechanically ventilated. FBC -M 402.3. I. ( ) 9 Condensate drain need to be 3/4 "in diameter larger. FBC -M 307.2.2. ( ) 10 Air handling units in attics must meet all the requirements of . (show Notice to Homeowner) FBC -M 306.3. ( ) I 1 Dryer vent shall not be longer than 25'. FBC -M 504.6. if not provide manufacturer's spec of dryer. { ) 12 Outside air intake shall not be located closer than 10' from any hazardous or noxious contaminant FBC -M 401.5. ( ) 13 Outside air required. FBC -M 403.2 ( ) 14 Smoke detector required in system greater than 2000 C.F.M. FBC -M 606. ( ) 15 Fire damper required. FBC -M 607.1.2. ( ) 16 Mechanical equipment shall be designed and installed to resist wind pressures. FBC -M 301.13. ( } 17 Appliance must be protected from damage. FBC -M 303.4. ) 20 Guards shall be provided to equipment located within 10' of edge of roof. FBC -M 304.10 ( } 21 Miami Dade Fire approval for kitchen hoods and- fire system required. Miami Dade Fire } 22 Heat Load calculations required Miami Dade County Chapter 8 & FBC -M 312.1 ( } 23 Energy calculations Miami Dade Cpunty Chapter 8 & FBC -M 312.1 �,- ( ) 24 Other A kn6jAf-ia 'A A 8 - � it Comment Sheet Mechanical Page — of ____ 07 /04RI.0 F i} A:AFPA VT t1F Charlie Crist Ana M. Viamonte Ros, M.D., M.P.H. Governor State Surgeon General January 28, 2009 LEO El Ms. Joseph B. Kaller E Shore Square Investment LLC 3850 Bird RD #800 Miami, FL 33146 Re: Letter of No Jurisdiction M2008005902 Proposed Interior Renovations GG Salon and Spa 9063 Biscayne BLVD Miami, FL 33143 Dear Mr. Kaller: This letter is in response to your inquiry regarding approval for the continued use of an existing Onsite Sewage Treatment and Disposal System ( OSTDS) on the above referenced Site. According to the Department of Environmental Resources Management, a sanitary sewer line abuts the property and the sewer is available as per 381.0065 Florida Statutes. Therefore 381.00655 Florida Statutes requires: The owner of a properly functioning onsite sewage treatment and disposal system, excluding an approved onsite graywater system, must connect the system or the building's plumbing to an available publicly owned or investor -owned sewerage system within 365 days after written notification by the owner of the publicly owned or investor - owned sewerage system that the system is available for connection. Additionally, 64E- 6.005(7), Florida Administrative Code provides that: Onsite sewage treatment and disposal systems shall be installed where a sewerage system is not available and when conditions in ss. 381.0065(4)(a) -(g), F. S., are met. Based on the above facts, the Miami -Dade County Health Department does not have jurisdiction to issue approval for continued use of the OSTDS at this site. Lastly, if the applicant does not desire to connect to the available sewer, a request should be made to the Department of Environmental Resources Management. DERM may waive the requirement for connection in accordance with 381.0065(2)(b) Florida Statutes if it is determined that "connection is not Samir Elmir, PhD, PE, DEE, CEHP, Director r � Environmental Health and Engineering a 9k Miami -Dade County Health Department 19 1725 N. W. 167' Street, Miami, Florida 33056 Tel: (305) 623 -3500 Fax: (305) 623 -3502 r„au�o UL Email: Samir — Elmir@doh.state.fl.us ww.dadehealth.org Mr. Kaller DERMApplciation No M2008005902 Page 2 of 2 1. Immediately; upon approval of said certificate of use, the property owner will be notified in writing via a Notice of Required Connection (NORC). The property owner will be required to connect to the available public sewer, pursuant to said Section 24- 43.1.(7), within ninety( (90) days of receipt of issued notice. i 2. The operations specific to those associated with the above reference facility cannot be changed fro the existing Salon and Spa without approval from the Miami -Dade County Department bf Environmental Resources Management (DERM). i Please contact Rashid Istambouli, P.E. of this office at 786- 315 -2800 for additional information concerning the afor mentioned conditions. Sincerely, Q1 P 6 - C — Hernandez", P.E. Chief, Plan Review }Services Division Department of EnvirfonmentaI Resources Management s i . t i i i. i i t i I I i s. Cc: Paul Andre, DOH i P:\Plan Review\PRSD_MDR \MINOR\2008 -107 (Dec) M2008005902.docx i r GNP, ivcc. Arkirj i®lutim, lnt. Date: March 9, 2009 To: Miami Shores Building Department Comment Review Project: GG Salon and Spa 9063 Biscayne Blvd Miami Shores, Fl. 33138 Permit Ap #: 0816 -1683 Summary of Comments addressed and noted: 11) Requested print in larger scale:& Provi a _ it 24 x 36 12) Appropriate stamps of impact fee for water and sewe C e s ac e �3) Corrections on mechanical: means an actual plan show air flow and circulation: e Sheet = „A0 Mechanical Plan. 4) Electrical: show riser diagram and GFI near sink areas: ee Sheet E,0 lectrical Plan. Place compete address of location on all pages�'See Tide b lack in all pages.`: Provide the occupancy on either side of salon space: See Sheet A.04 roposed Plan Provide the type of construction of the existing building: Occupancy Group: Group B -2 Construction Type 111 Fire Resistance: Columns H(D)(TABLE 600 OF F.B.C.) Beams/ Girders H(D)(TABLE 600 OF F.B.C.) Roof H(D)(TABLE 600 OF F.B.C.) �) Provide the fire resistance and tested assembly of tenant separation walls: aheet ` A Q.4 ( Shown existing plans information) _ 4W Provide door schedule of existing doors: fee sheet A O 4 Dimension bathroom and show c ompliance : fee's , eet A 0.4- 1, . Door swing for bathroom See; all•pai4 g het 1 Exterior grade on both exits doors. e ees Clearly show ceiling heights on all plans:" ;See sheets A'01 D 0:2 andA 1 Provide sections of counter and compliance See sheet A 6. 6tomply with 11 -7.1 & 2 F.B.C. ” a portion of the counter which is at least 36 inches in length with a maximum height of 36 inches" 15) Show clearance at all doors eeflet 4 All doors comply with figure25 11.71 F.B.C. regulations. Thank You Martha Arango CnD Arking Solutions (305) 573 -1685 Fax (305) 573 -3446 46 NW 36* Street 4. Miami -Dade Water and Sewer Department INVOICE # F 13831 New Business Office f DATE: February 05, 2009 P.O. Box 330316 Peo ZeSo Acct M# 085932611 Miami, Florida 33233 -0316 ng Process #: X 2009047457 3575 South Ledeune Road Budldi Room 114 7 ] Albeetlaneous Charges 5 909 I CUSTID: 13 ! INACCOUN?' -WITI1� CHIALMA LIFES'YLE 46 NW 36 ST Miami, FL 33117- — REFLRENCE W/S CCS 2 CHAIRS W 248 SF SPA & 201 SF MANICURE I ER ATER: N/ A j IREPLAcING 988 SF RETPIL @ 9063'BISCAYNE BLVD FOLIO 1132060110051 PD CK 1 ER' EWER: — NIA ^ f AG ff MT ID: ' DESCRIP YO, a QNTX /GPI ! D EraCFtlPT I�31d ; ! DlST CODE ` "_ PI+tICE`;IMOJJM 171 Donn Ch 9 - WASD Water I 1.39; $237.69 1 !Vedd Form- ndn-res exist' - __ ... .._. .._ 9 (Water) � 751 $75.00 TOTAL' $312.69 r i I - f c f i I i t { fi I WATER D�POSITS : ! $0.00 SEWER D�POSIS : $0.00 INVOICE NO. 113831 TOTAL: i $312.69 Invoice] L 1' z d On "_x.23:53 "By: Delia Rondon y Distrahutit+ t N its Custom Y'�W irGeneral Offlce, Pink -Local Office, Gold -New Busine$s _ f Miami Shores Village Building Department 10050 N.E. 2 Avenue Miami Shores, F133138 Tel: 305- 795 -2204 Fax: 305-756-8972 Permit No: 08 -1683 Job Name: February 13, 2009 Page 1 of 1 Building Critique Sheet 1) Provide a receipt from Miami Dade County Water and Sewer for impact fees. 'N2) Provide receipt from Miami Dade planning and Zoning for impact fees. v3) A demolition permit application is required.(Om(') ®a - 175) N4) Corrections for mechanical, electrical and plumbing must be completed. (A mechanical plan is required.) W A -C. 5) Provide the square footage of the space. V 6) The plans must be identified to the site. 'N7) The plans provided are illegible and must be shown in a larger scale to provide sufficient clarity. 8) Provide the occupancy type of all adjacent tenants. 9) Provide the type of construction for the existing building. \10) Indicate the fire resistance and tested assembly of tenant separation walls. `I 1) Provide a door schedule showing all new and existing doors including all hardware. x '12) Completely dimension the existing bathroom to show compliance with the Florida Accessibility Code. Provide details of all fixtures, clear floor space and accessories. 13) The bathroom door can not swing into the fixture clear floor space. 14) Indicate the level of the exterior grade with respect to the finish floor at both exterior doors. 15) Provide a ceiling height. 16) Provide sections of the counter to show compliance to the FBC Accessibility Code. (minimum 36" wide and no higher than 36 ") 17) Indicate the toilet room interior finishes. 18) Show maneuvering clearances at all door. Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305- 795 -2204 Miami Shores Village Building Deyartment 10050 N.E. 2 Avenue Miami Shores, F133138 Tel: 305- 795 -2204 Fax: 305-756-8972 Permit No: 08 -1683 Job Name: February 13, 2009 Page 1 of 1 Building Critique Sheet 1) Provide a receipt from Miami Dade County Water and Sewer for impact fees. 2) P receipt from Miami Dade planning and Zoni U for impact fees. . em itit3 uire . - -4) Corrections for mechanical, electrical and phtn4ping must be completed. (A mechanical �an is required.) kk The plans must be identified to the site. F The plans provided are illegible and must be shown in a larger scale to provide sufficient `N clarity. t, Provide the occupancy type of all adjacent tenants. bs Q Provide the type of construction for the existing building. 10) Indicate the fire resistance and tested assembly of tenant separation walls'' -�1 1) Provide a door schedule showing all new and axistinng door including all hardware. - .--42) Completely dimension the existing bathroom to show compliancowith the Florida Accessibility Code. Provide details of all fixtures, clear floor space and accessories. --43) The bathroom door can not swing into the fixture clear floor space. ,--+4) Indicate the level of the exterior grade with respect to the finish floor at both exterior doors. —15) Provide a ceiling height. —4 6) Provide sections of the counter to show compliance to the FBC Accessibility Code. (minimum 36" wide and no higher than 36 ") X17) Indicate the toilet room interior finishes. X18) Show maneuvering clearances at all door. Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305- 795 -2204 4 ' Miami Shores Village age :.Y. Building Department 10050 NE 2 Ave, Miami Shores, FI 33138 Tel: (305)795 -2204 • Fax; (305)756 -8972 '' RECEIPT R PERMIT #; C)b — 6% DATE: I, X Contractor • Owner • Architect Picked up 2 sets of plans an Address: 1 From the building department on this date in order to have corrections done to plans And/or get County stamps. I understand that the plans need to be brought back to Miami Shores Village Buildin Lment to co u rmitting process. Acknowledged by: � PERMIT CLEARK INITIAL: RESUBMITTED DATE: PERMIT CLEARK INITIAL: Miami Shores Village Building Department 10050 .NE 2 Ave, Miami Shores, FI 33138 Tel: (305)795 -2204 - Fax, (305)756 -8972 RECEIPT PERMIT #; � _ DATE: t� 6 I Z �o ®� I, S R�E asp 1 o Contractor Owner Architect P icked up 2 sets of plans and (other Address:____ P From the building department on this date in order to have corrections done to plans And/or get County stamps. I understand that the plans need to be brought back to Miami Shores Village Building Departure ntinue permitting process. Acknowledged by: PERMIT CLEARK INITIAL: - -°- RESUBMITTED DATE: 7 . 1 PERMIT CLEARK INITIAL: RECE C C' % �� Water & Sewer ® P.O. Box 330316 ® 3071 SW 38th Avenue M I AM I-D ADE - Miami, Florida 33233 -0316 RIFICATION FORM A T 305 - 665 -7471 y k EXPIRES ONE YEAR FROM DATE ON FORM Carlos .Alvarez, Mlayor eniamidade.gov ATLAS PAGE: E-8 IN FORM #: 2009 20041 DATE: 21 /2 009 NAME OF OWNER: :GIGI SALON & SPA PROPERTY ADDRESS: 1 9063 BISCAYNE BLVD PROPOSED USAGE / 2 CHAIR WITH 248 SF SPA & 201 SF MANICURE NO. OF UNITS: REPLACES: PREVIOUS .988 SF RETAIL USAGE / NO. OF UNITS: - _. _. -._ PROPERTY LEGAL: ,6 53 42 ASBURY PARK PB 4 -110 BEG 30FTW OF SE COR LOT 5 RUN W272.08FT N177FT !W260.97FT TO E R/W/L BISC BLVD FOLIO NUMBER: 11- 3206 -011 -0051 GALLONS PER DAY INCREASE: 171 PREVIOUS FLOW: _ 49, PREVIOUS SQUARE FOOTAGE: 988. ❑ NEW CONSTRUCTION PROPOSED FLOW: 220 PROPOS SQ FOO TAGE 988; © INTERIOR RENOVATION THIS IS TO CERTIFY THAT THE MIAMI -DADE WATER AND SEWER DEPARTMENT DOES HAVE A(N) __ 6_ INCH WATER MAIN ABUTTING THE SUBJECT LEGALLY DESCRIBED PROPERTY. WE ARE WILLING TO SERVE THE SUBJECT - PROPERTY, (OR, IF "WILL HAVE ", UPON PROPER CONVEYANCE AND PLACEMENT INTO SERVICE OF WATER FACILITIES BY THE DEVELOPER UNDER AGREEMENT WITH THE DEPARTMENT, (AGREEMENT ID # N/A) SUBJECT TO PROHIBITIONS OR RESTRICTIONS OF GOVERNMENTAL AGENCIES HAVING JURISDICTION OVER MATTERS OF WATER SUPPLY OR WITHDRAWAL. Della R on - New Business BY: Repremntative SIGNATURE OF REPRESENTATIVE AUTHORIZED BY NEW BUSINESS COMMENTS: ;WTR CC'S $237.69 VF$75 TOTAL $312.69 VALID WITW PAID INVOICE MST PS#0692697936 DOES NOT EXCEED THE 50% CRITERIA PLANS REVIEW COMMENTS: CRITERIA: THIS IS TO CERTIFY THAT THE MIA -DADE WATER AND S ER DEPARTMENT DOES NO HAVE A(N) INCH FORCE SEWER MAIN ABUTTI THE SUBJECT LEGA DESCRIBED PROPERTY E ARE WILLING SERVE THE SUBJECT PROPERTY, (OR, IF ILL HAVE ", UPON PROP R CONVEYANC/ORTHISP MENT INTO SERVIC F SEWER SEWER FACILITIES BY THE ELOPER UNDER AG EMENT WITH TMENT, (AGREEM ID # N/A ). SUBJECT TO PROHIBITIONS R RESTRICTIONS OF G ERNMENTAL AGEN JURISDICTION R MATTERS OF SEWAGE DISPOSAL. FU ERMORE, APPROVAL F ALL SEWAGE FLO DEPARTME S SYSTEM MUST BE OBTAINED FROM D.E. . . THE ANTICIPATED D Y WATER AND /OR SEW JECT WILL BE: ONE HUNDRED SEVENTY 0 [171] GALLONS PER D INCREASE. Delia R - New Business BY: Representative SIGNATURE OF REPRESENTATIVE AUTHORIZED BY NEW BUSINESS COMMENTS: LETTER OF NO JURISDICTION FROM HRS M2008005902 MINOR DEPARTMENTAL REVIEW NO 2008 -107 PLANS REVIEW COMMENTS: CONTACT NAME: SUE Printed On: 214/2009 NB: Delia Rondon CONTACT PHONE (305) 479 -5200 11:11:13 AM PR: L - Environmental Resources Management Plan Review Services Division MIAMI -DADE 11805 SW 26th Street • Suite 124 ® Miami, Florida 33175 -2474 T 786 -315 -2800 F 786 -315 -2919 Carlos Alvarez, Mayor ft, , ,' miamidade.gov December 03, 2008 C CU D INVE0 Mr. Joseph B. Kaller FE Shore Square Investement LLC 3850 Bird Road, # 800 ------- Miami, FL 33146 RE: Application for Minor Departmental Review Application Name: M2008005902 Proposed Interior renovation GG Salon and Spa 9063 Biscanyne Blvd Miami, Florida 33143 Legal 6 53 42 ASBURY PARK PB 4 -910 BEG 30Z08FTW OF SE COR Description: LOT 5 RUN W175.93FT ALG N RIW /L NE 90TH ST N177FT E175.93FT S177FT TO POB LOT SIZE 31140 SQUARE FEET FOLIO: 11- 3206 -011 -0051 Minor Departmental Review No.: 2008 -107 Dear Mr. Kaller: The Office of Plan Review Services has reviewed the referenced submittal, received November 20, 2008, for the above - reference property. Based on the information submitted your proposal does not meet the requirements of Section 24- 43.1(7) of the Miami -Dade County Code. Section 24- 43.1(7) of Miami Dade County Code requires when an approved sanitary sewer is made available and operative in a public right of way or easement abutting the property, any existing individual sewage disposal system, device or equipment shall, within ninety (90) days, be abandoned and the sewage waste from the residence or building be discharged into the sanitary sewer. Based on the information provided and available historical records for the above referenced property, the facility does comply with the sewage loading requirements as defined in Section 24- 43.1(4)(b) of the Miami -Dade County Code. The previous registered use for this address is for retail and the proposed certificate of use application is for retail, it is evident that there is no net increase in sewage flow for the above referenced property. Subsequently, an administrative approval can be granted contingent on the following: required in the public interest due to public health considerations." If DERM chooses to waive its connection req4'irement, an existing system OSTDS approval is required from the MDCHD. If you have any father questions please feel free to contact me at (786) 315-2444. Sincerely, AhuyL. A)a*e, PE Professional Engineer III Cc: Carlos Hernandez, P.E., Chief (DERM) flopizon Augus 26, 2008 P P O P f P T I f S CC j63 Miami Shores Village Hall Building and Permit Dept. 10050 Northeast 2nd Avenue Miami Shores, Florida 33138 RE: Shores Square Folio # 11- 3206 - 011 -0051 GG Salon Located at 9063 Biscayne Blvd. Miami Shores, FL 33138 To Whom It May Concern: This letter serves as confirmation that the attached plans have been approved by Shore Square Investment, LLC. c/o Horizon Properties. Note this is general minor work being accomplished, since the space was previously renovated and brought to date. • Contractor acquires the proper permits and performs the work to code and in a professional manner; • Contractor acknowledges that Landlord has no financial obligation to CnD Architectural, Inc., Michel Rodriguez, P.E or Martha L. Arango CGC or its subsidiaries or to GG Salon. GG Salon will be responsible for all payments from this job to the contractor; • Contractor must provide a Certificate of Insurance naming Shores Square Investment, LLC C/o Horizon Properties as additional insured for Liability Coverage. If you have any questions or concerns, please do not hesitate to contact the undersigned. Cordially, Ho ' operties, As Agent for, S Investment, LLC I Benes cipal /Enclosures- Letter authorizing Horizon from Shores Square Investment LLC. Signature of Notary State of Florida Printed Name A a w I 2 Os LC o , c� Or JENNIFER BIANNE OSKOIAN MY COMMISSION * DD545892 County ofMiami -Dade V0 EXPIRES: Apr. 27,2010 (407) 39"163 Rodda Notary SOVI OW Personally Known or Produced Identification My Commission Expires Park West Professional Center 7785 NW 146TH Street, Miami Lakes, Florida 33016 /11%® • t�i 3c Phone: (305) 364 -9945 • Fax: (305) 364 -9980 naiop International Council gfShopping Centers www.HorizonPropertiesFL.com The FawmfaCommec.1RadEsbre City of Miami Shores 10050 Northeast 2 nd Avenue Miami Shores, FL 33138 RE: Shore Square Shopping Center 9031 -9065 Biscayne Boulevard Miami, FL 33138 Folio#: 11- 3206 - 011 -0051 To Whom It May Concern: This letter shall serve as formal notice that Horizon Properties is the managing Agent for Shore Square Investments, LLC. Please be advised that Joel Benes as officer of Horizon Properties of Miami, Inc. is authorized to sign on behalf of Shore Square Investments, LLC. Sincere_ ly, Shor pare Inv st ents, LLC Ore Ka n Pr i n ipal OK/m NOTARY Swom to and subscribed before me This 'LI day of 41*& 20 4;Z"' NOTARY PUBLIC g` °e a n BORIS MOROZ e MY COMMISSION # DO 328354 � V r ' ! EXPIRES: August 25,20M t $00• &NOTARY Y FL No4ery Disootmt Assoo. Ca Q?'PROVED ALL Qa19IRUQlgtl Bt10N6 AKC ew.oa+a MAl®IW9 ARHiC �IAMDAClQHIHTC sr+�wo srArmnno vaAOLwe a�, AeASepe� ALL oa BTAlIDAImB carer BB AVID AfTACV®BYA a C.p.Llear LIw MIw C®pmL MIw �'w EXISTING PLAN (Flooring, walls, electrical) EXISTING PLAN (Calling & lighting) p�A81D rE z Z v Q 4� V 6 0 �a etl o O ti 9 �r 00 A �° � 01 111111 T V 'IV PRIME 9 IN �/IIIII IIIII� / ► �/�► PIN mi I I MEN ECM R�� E �� j�■ M► EXISTING PLAN (Calling & lighting) p�A81D rE z Z v Q 4� V 6 0 �a etl o O ti 9 �r 00 A �° � 01 --------- ........ MEN MEN .......... ......... ........ ....... ..... ......... ........ ...... ..... .... .............. ............ ..... . . . . . . . . . . . . . ...... ...... ..... . . . . . . . ........... . . . . . . . . . . . . .......... — - -- - - - -- — - — — - - — - ----- ------- --- -------- -- — -- -- ----- ---------- ---- ---- - --- - ------- — — -- - -- — - - - — — - i I I GENERAL NOTES i e,eanw srwrmAno asAOrbe ewm-m 000eewmm,nm aavmsa,m ssoros AB ABBBONtlD j ronsa naovranr. /LLL 1S6iMOOH OR BTANW.XDB M191 Be flfill®M®A!ID APPFOII� BY A i wya8laQ®A A.0 ;rOTANDpn I Afmw�oon�mmmn i y� O AM v S Atli®AtID A88V�@ i i - - - - -- -- ,IOI BIIBOFAIL maroerwwrnu 'tea i arArIDAADBAND eaeawoA,�. � 2 AREAS ` Fmnwme 381 eg ft < LEGEND Q PROPOSED ARCHITECTURAL PLAN i (walls) m Incandescent ggM snmu � M.IIpmVwF�im�em�wAO � $ I s�_..rv_sasm_a. py �bG6':e�. + MaenwiN�am SCOPE OF WORK 1 -2 HOUR ASSEMBLY PENETRATION i t- C erluanoN PROPOSED WALLS • ` g GENERAL NOTES e •�._�� 1- Ag proposed DRY WALL test bW WP188e FIRE MMMIANCE DESION MANUAL Om layer W 8re type« >o ^ ^mss q b i X gyWam wall board orvenow base aPWled at dgM angles w parallel to ea. Skis of a -are m8. a�rm.a..mm.m em «.,,rr• m,ew 3 Studs 18' C.C. w/1 type 8 dry wag screws or C.C. to vwdcal edges, top and bottom nav,ers and ta' C.C. to bMwmetgete BdWa _maamw..eswwme SUWW ag var8oal end hwtzw" )ob to 19' C.C. ea. Skde (M.S) & R-11 k wulatbn (mkn) DETAIL PROPOSED WALL AM�w6M1V roT 0 O I 4 I PROPOSED DROP CEILING PLAN DETAIL PROPOSED DROP CEILING GENERAL NOTES 1 ExkMng drop oeltlng tUes and hangers to be re -used and relocated SCOPE OF WORK 1. DwoP CMUNa PROPOS® INBTALATM GENERAL NOTES — gavBmlmDDN BaBOVmn� Arm mmmm MATBMNLB evedFdID ARB TO x�rArm Aalmleronm DenumArm nanorpe eDB.Dam oota�NallBta sere fIOV®rtiirm l®6mN AHA mnBB VaDamm: Au marMmAaoB wusr BB P�I®III ®MID MPPOM® BY A AV DpMQ� ABDlBI6D! ArIDJ W t BrmmB®t Alm ALDOAL BLRaB1tD p 8UlBIdBBmNp�A BID y ^ F®VOrNB06BMFOfl TBB �� A V�tIRmAl1ON W ALL 61'Am1bBmBA iMB BIIBORALL PRWO MbM AND IDIVQLD � PAWIIMIBITII ALL B1081WM nxreroAL aarmnmBM l� Arm AwrwemwlLmuDVOnm MImM. erwu W�m.wBAU OOBre Q �AfBVB6WDArIMIV• W A!ID BDDO@B,BD. AREAS — = — S- .7 888 ft .� aae aq ft V Q LEQEND 4� I W � £ at N a ° z O � ERMLA :tee e.�mb o.AOmd.,M. �r4�ub�s� ��aad mm m rvwNe b mama MM�emMmN s CAM bm s p.� � m�4b9r = 00 AI M�aY�umm�A�ii�b�0b� A -■�._ i--■ �.._---_-- ■— ►_/ �� t L�� t y0 � M �� Will t�►�t pll IN! 411 1 Mph 411 �- >. ,,,,,,,,,,,,,,,,,,,,, ��-■ I IIIIIIIIII --_-■IIIIIIIIIII--__, /■ - � VIII IIII /- `-, �-, � , -, /_ /_-II _■, PROPOSED DROP CEILING PLAN DETAIL PROPOSED DROP CEILING GENERAL NOTES 1 ExkMng drop oeltlng tUes and hangers to be re -used and relocated SCOPE OF WORK 1. DwoP CMUNa PROPOS® INBTALATM GENERAL NOTES — gavBmlmDDN BaBOVmn� Arm mmmm MATBMNLB evedFdID ARB TO x�rArm Aalmleronm DenumArm nanorpe eDB.Dam oota�NallBta sere fIOV®rtiirm l®6mN AHA mnBB VaDamm: Au marMmAaoB wusr BB P�I®III ®MID MPPOM® BY A AV DpMQ� ABDlBI6D! ArIDJ W t BrmmB®t Alm ALDOAL BLRaB1tD p 8UlBIdBBmNp�A BID y ^ F®VOrNB06BMFOfl TBB �� A V�tIRmAl1ON W ALL 61'Am1bBmBA iMB BIIBORALL PRWO MbM AND IDIVQLD � PAWIIMIBITII ALL B1081WM nxreroAL aarmnmBM l� Arm AwrwemwlLmuDVOnm MImM. erwu W�m.wBAU OOBre Q �AfBVB6WDArIMIV• W A!ID BDDO@B,BD. AREAS — = — S- .7 888 ft .� aae aq ft V Q LEQEND 4� I W � £ at N a ° z O � ERMLA :tee e.�mb o.AOmd.,M. �r4�ub�s� ��aad mm m rvwNe b mama MM�emMmN s CAM bm s p.� � m�4b9r = 00 AI M�aY�umm�A�ii�b�0b� A GENERAL NOTE8 Augatemwrwat Ttowe Arm eunmf+o NAt *M I> Alm ro llmer Atm Amffim ro TH8 eP�Pm B1AlmNm PAAQNOH t�A�PmJG PHOINt ABA roTwB . ® ln48' btP tm9P b1P b1P b1P b/P h— b/P bt$ b1P 11-tP b1P ♦ t AtrtN�AROWtBOr AIIDAR mmd)�iANOAIDON.81m.Wm ((�� (n. ♦`♦ 1 b918' � 1 �' i �/ j/ 1 OPWWFL. msevwal Panel `'- -_-.•- ...,,, ``� � � � ♦ � \�� i/ � � ` PRPONem¢IIY P ♦ \ 1 1 ' ` ______ ______ I I t 1 I ♦ ♦ � e- OF Alm MWtltG mG AIm IMVatOPAtIN1MWIN1 ALLmmiTPAt PNTBIOALCtNlNIIMNi MID ANY aaelaeclroNSro Tlm 1 _..__.,_,_., I J J .._______„, I t ! . �_��'''' ♦ItbtP WOitlt. ®PLLL WOl.W9ALLCOBIB c' A/ .bj i 1 __ ..� _____.. _ -__ OP TXHMMIm(Im•imN PRA Alm IIaA6' 1P b8P b/P IMP h-eP 11 >ti8' Ia=9P h -0B' F iw btP AREAS Grose 888 ft PROPOSED ELECTRICAL A B N Q LEGEND Prop outlet EB °""e` PLAN Q TV outlet AD A l A� 0 0 0 2 A Tim C a outlet S B AM A O O O B WE O A Emmaums um1TS V S S. 3 a Arc B 0 O B mamaamace uDRw Sprinkle a AM A Arc B O O O A m ssm my m Lame O $ B omwx ma m Limns el tNleio ` CK A/0 A O O A sma 8 If QrUi resort pert ® AD B �a ueHTS A 8 O 0 0 B emu 0 1 2 Themtostate e RECm+nw L a Limns B A O O O B O A maownm,%L a Limns l ' ' Irwendesae^tIght aeomnIcALa B O O B .dwaw.�oa.a�aaae -. °i ASOMPTICAL SUIDEPTICAL ag 13 0 COQ A 18 COMP B O 0 74 s GENERAL NOTES 19 A O B 1- mOSTINO LIGHT POC'URED 70 BE RELOCATED 13 ® RevRlemtptart g 1 T 0 2• ADDITIONAL PROPOSED LIGHT PDCUREBS 1 ® 1 S g 3- PROPOSED ADDITIONAL ELECTRICAL OUTLEIST 18 qq a � .m. a «w.... m. a....... a ddd rEPm0mUTCH B i 9 0 - -- 0 4 PROPOSED ADDITIONAL PHONE OUTLETS 3 0 O 2 B 3- P ADDITIONAL W OUTLET t a�Atl°® em.e.esae$°.e°a°00m ° b A„ B ' A O O O A .e O 2 ` B 0 t m m�° e o,�mrww° A O O ! B 0 0 28 B .. `° SCOPE OF WORK B o B B a 1. CONSTRUCTION: PROPOSED ELECTRICAL CIROURS O A O B 2- CONECTTON TO EXISTING ELECTRICAL PANEL O 1 - T - 9 INDOOR LOAD CENTER 1ST AMPS. MAIL 120/1.40 VOLTS. Am PHASE 3 WIRE 2oatt 2ovoLTS.AaPHaaeawwE DIA ®RAM ELECTFIICAL PANEL i mr E O GENERAL NOTES 1- ALL PLUMBWG WORK SHALL COMPLIANCE LVTTH THE F C Plb. code 2- THE SHOWERS MUST HAVE ANTI SCALD VALVES' 3-THE PD[IURES AND FAUCETS SHALL COMFUMCE THE FED F%. 504.4 FOR THE WATER CONSUMPTION RATES 4 THE FOCTURES SHALL COMPLIANCE WITH THE STANDARD AS PER POO PDf. CODE 406 V n 421 EXISTING PLUMBING PLAN CONVENTIONS Exist Plumbing Hot Iirre - - - - -- - Cold One Exist dTeln Vent Dne e PROPOSED PLUMBING PLAN SCOPE OF WORK PROPOSED PLUMBING PLAN 1- ADD NEW PLUMBING LINES FOR RELOCATED WASHERINON VENTED DRYER Miami Shores Village e� � • Building Department R' 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 r/( V Tel: (305) 795.2204 Fax: (305) 756.8972 Y. - r ....- j�jjjo� A701- n A NG vu �� Permit No. u S PERMIT APPLICATION Master Permit No. FBC 2004 Permit Type (circle): Building of g Ro Owner's Name (Fee Simple Titleholder) i Phone # Owner's Address City t il State p Zip llU Tenant/Lessee Name 'WO , � 9 � - Phone # Job Address (where the work is being done) S & )4A City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NQ Contractor's Company Na e 1 60 Phone # Con tor' Add •ess City State Zip V `� Qualifier Name Y Phone # • U 1 r_ I 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 Iteration ❑New ❑ Repair/Replace emolition Describe Work- Ujam ******************Fees** - - jo Submittal Fee $. Permit Fee $ 60 n 0 CCF $ p Notary $ -- Training/Education Fee $ 4 Technology Fee $ Scanning $ i_A // Radon $ "� DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ �i1`I! See Reverse side -3� Bonding Company's Name (if applicable) Bonding Company's Address City State Zip i 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 _r .i_ _ _ _ -- L...., e ..,;11 h., vtivora to ,thp rSO P. YL _. 8ia' .7fn6€j*CdWPl wtfrcft - oi r s (7)'&qy - after t7rie - buirding permit is issued In tlx� Znce of suc� poste notice, inspection will not �pproved and a reinspeetion fee will be charged Signature ..-- — Signature eG' Owner or Agent C r The foregoing instrument was acknowledged before me this 3 t a The foregoing instrument was acknowledged before me this • T fr► day of �_ , 20 A _ , by . . k 0"idL day of , '' a` , 24 'c , by o l who is personally known to me or who has produced who is p mJallX known to me or who has BLAAIV, t s As identification and who did take an oath. as identification NOTARY PUBLIC: NOTARY PUBLIC: 2'. #DD 636204 �° Q Sign: sign: ti iid ° �✓� e+i ended �bN �`. G Print: l �,. Print: ® C,STA��e°� My Commission Expires: My Coi4ssion Expires: �OF��r 0.NoWry�s�3� APPLICATION APPR0 m. - - - - • - - • - - - - • • -• • - . -rrT_. - Plaoe F.xami r APPLICATION APPROVED BY: Plans Examiner Engineer S d Zoning (Revised 07/10/07) PERMIT # CL(J�' `��8 CONTRACTOR: N SUBMITTAL DATE: RESUBMITAL DATES: 1 S PROJECT TYPE: ZONING FIRE STRUCTURAL IMPAC TFEES ELECTR GAL H / D E RM PL - r - / NOC N obl MECHANICAL BLD `� 20226 NE 10 Ct Rd Miami, FL 33179 305 -47A -5200 cell 305 -653 -1552 office 305- 652 -5956 fax sue@snsconsultinginc.com ,a 4. �. e A� r 'sue V A { A 04/02/2009 12:52 FAX 1 800 685 7530 DATA SCAN FIELD SERVICES U001 TX REPORT xc TRANSMISSION OK TX /RX NO 3268 RECIPIENT ADDRESS 93056525956 DESTINATION ID ST. TIME 04/02 12:52 TIME USE 00'39 PAGES SENT 2 RESULT OK M iami Shores Village L ildin epartment 1(}O50 N.E,21ld Avenue 1vliami Shores, Florida 33138 Tel: (30 >) 795.2204 Fax: (305) 756.897, Perinit No. Job Name --l' . 6 �� " °�; X' ELECTRICAL CRITIWE SHEET '? ./J`'E�`��.� �''�' . �'•. j J i /�' Gy�i�"r'�s� �- -�� S. ,C' , ��i f_ �'� ty c . � ' � ,/ ' ',��✓✓ '�'� ;w �� J Z ,> � y .', "' �?_ ; `A" / c::^` ,J > t�• s�•- i•.3 /� +` f C 3C6•(�J�•`f15(v. Miami Shores Village Building D ep artm.ent 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fag: (305) 756.8972 Permit loo. G o 1495; 3 � Job Name 6-d ^ a--i ELECTRICAL CRITIQUE CRITIQUE SHEET � <Pr� ��r � y��r �,� .��x�' �� r��r ��r�s Yom✓ �'�-.� `1 �y'•PC® �"�PT a f �°G��d t°_ ♦ guUEi4.� `Q rnr nmM BUILDING DEPARTMENT OR1D�` )t)050 N.E. SECOND AVENUE MIAMI SHORES, FLORIDA 33138 -2382 TELEPHONE: (3os) 795.2204 FAX: (305) 756•B972 Review Comments for Mechanical Processor Job Address: Permit No:.8 �- lG 3 Reviewer: Contractor: Phone No: Date: Only the items preceded by an (x) must be corrected. I Need HVAC design schedule Miami Dade County Chapter 8. ( ) 2 No combustible in plenums. FBC -M 602.2.1. ( ) 3 Auxiliary and secondary drain systems required. FBC -M 307.2.3. ( ) 4 Air handler shall be mechanically attached to air system. FBC -M 603.7. ( ) 5 Equipment on roof over 16' require permanent access. FBC -M 6033 W k Need balanced return air. FBC -M 601.4. ( ) 7 Provide return air in bedroom and I" undercut door. FBC -M 601.4. ( ) 8 Bathroom shall have window (3 square feet) or be mechanically ventilated. FBC -M 402.3.1. ( ) 9 Condensate drain need to be 314 "in diameter larger. FBC -M 307.2.2. ( ) 10 Air handling units in attics must meet all the requirements of . (show Notice to Homeowner) FBC -M 306.3. { } It Dryer vent shall not be longer than 25'. FBC -M 504.6. if not provide manufacturer's spec of dryer. ( ) 12 Outside air intake shall not be located closer than 10' from any hazardous or noxious contaminant FBC -M 401.5. 13 Outside air required. FBC. -M 403.2 ( ) 14 Smoke detector required in system greater than 2000 C.F.M. FBC -M 606. ( ) 15 Fire damper required. FBC -M 607.1.2. ( } 16 Mechanical equipment shall be designed and installed to resist wind pressures. FBC -M 301.13. ( ) 17 Appliance must be protected from damage. FBC -M 303.4. ) 20 Guards shall be provided to equipment located within 10' of edge of roof. FBC -M 304.10 ( ) 21 Miami Dade Fire approval for kitchen hoods and- fire system required. Miami Dade Fire ( ) 22 Heat Load calculations required Miami Dade County Chapter 8 & FBC -M 312.1 ( ) 23 Energy calculations Miami Dade County Chapter 8 & FBC -M 312.1 a 24 Other YL 1 e-k e P 'tJA C.t.+ ( 1112 — Comment Sheet Mechanical Page — of 07iO4 rokid q % SUa,'s vo�c��ca.ti� . Miami Shores Village Building Department 10050 N.E. 2 Avenue Miami Shores, Fl 33138 Tel: 305- 795 -2204 Fax: 305-756-8972 Permit No: 08 -1638 Job Name: May 7, 2009 Page 1 of 1 Building Critique Sheet 1) Corrections for mechanical and mechanical permit are required. Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305- 795 -2204 Miami Shores Village Building Deyartment 10050 N.E. 2 Avenue Miami Shores, F133138 Tel: 305- 795 -2204 Fax: 305-756-8972 Permit No: 08 -1638 Job Name: May 7, 2009 Page 1 of 1 Building Critique Sheet 1) Corrections for mechanical and mechanical permit are required. Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305- 795 -2204 Miami Shores Village Building Deyartment 10050 N.E. 2 Avenue Miami Shores, F133138 Tel: 305- 795 -2204 Fax: 305-756-8972 Permit No: 08 -1638 Job Name: April 13, 2009 Page 1 of 1 Building Critique Sheet 1) Corrections for mechanizatzmd electrical must be completed. 2) Completely dimension the existing bathroom to show compliance with the Florida Accessibility Code. Provide details of all fixtures, clear floor space and accessories. 3) Indicate the toilet room interior finishes. 4) Show maneuvering clearances at all doors. Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305- 795 -2204 Planning and Zonling Crifteri"a X" Miami Shores ViHage Permit No. C C -9 -0 8-16 3 8 10050 N.E. 2nd Avenue ............. ........... Miami Shores, FL 33138-0000 Phone: (305)795-2204 Fax: (305)756-8972 r. Issue Date: Not Issued Expires: Not Issued Folio Number: 1132060110051 -63 Owner's Name: TOM CABRERIZO Owner's Phone: (305)779-8040 Job Address: 9063 BISCAYNE Boulevard Total Square Feet: 988 Miami Shores, FL 33138-0000 Total Job Valuation: $20,000.00 ...... . ...... .. . ...... . .......... . ......... ..... . .. ..... Contractor(s) Phone Primary Contractor ig! ARKING SOLUTIONS INC (305)318-7703 Yes j!1I Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 4/7/2009: Yes Comments: Miami Shores Village Building Department 10050 N.E. 2 Avenue Miami Shores, F133138 Tel: 305- 795 -2204 Fax: 305-756-8972 Permit No: 08 -1638 Job Name: April 13, 2009 Page 1 of 1 Building Critique Sheet 1) Corrections for mechanical and electrical must be completed. 2) Completely dimension the existing bathroom to show compliance with the Florida Accessibility Code. Provide details of all fixtures, clear floor space and accessories. 3) Indicate the toilet room interior finishes. 4) Show maneuvering clearances at all doors. Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305- 795 -2204 CONSULTING, INC. i ^� z E m Building Permit Solutions 04/15/2009 12:41 FAX 1 800 685 7530 DATA SCAN FIELD SERVICES [A001 T% REPORT * *s TRANSMISSION OK T% /R% NO 3314 RECIPIENT ADDRESS 93056525956 DESTINATION ID ST. TIME 04/15 12:41 TIME USE 00'17 PAGES SENT 1 RESULT OK Miami Shores Village wilding apartment t 0050 N.I :. 2" Avenue Miami Shores. H 33138 Tel: 305_795 -2201 I`= 305 -756 -8972 Permit loo: 08 -1638 -lob Name: April 13, 2009 Pagel of 1 Building Critique Sheet 1) Corrections for mechanical and electrical must be completed. 2) Completely dimension the existing bathroom to show compliance with the Florida Accessibility Code. Provide details of all fixtures, clear floor space and accessories. 3) Indicate the toilet room interior finishes, 4) Show maneuvering clearances at all doors. Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305- 795.2204 00 gYt++a,�es Miami Shores Village _ l � 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 y.� l Expiration: 1 11112 Project Address Parcel Number Applicant 9063 BISCAYNE Boulevard 1132060110051 -63 Miami Shores, FL 33138 -0000 Block: Lot: SHORE SQUARE INVESTMENT Owner Information Address Phone Cell t SHORE SQUARE INVESTMENT 3850 BIRD Road (305)779 -8040 (305)970 -0664 CORAL GABLES FL - Contractor(s) Phone Cell Phone Valuation: $ 1 5,000.00 " ARKING SOLUTIONS INC (305)318 7703 (305)318 -7703 Total Sq Feet: .... 988 Type of Demo: Walls & Signs Available Inspections: Additional Info: Inspection Type: Classification: Commercial Final Fees Due Amount Invoice # Total Amt Paid Amt Due CCF $ 8.00 DEMO -2 -09 -33856 $ 477.50 $ 50.00 Education Surcharge $3.00 - W Permit Fee $450.00 DEMO -2 -09-33856 $ 477.50 $ 477.50 $ 0,00 Scanning Fee $3.00 Check #: 1625 Submittal Fee $50.00 Submittal Reversal Fee ($50.00) Technology Fee $12.50 Total: $477.50 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 June 01, 2009 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy June 01, 2009 1 4 Miami horeS Village Building Department IOW NX.Ud Avenue, MWW S Rmtb MM T& (VS) IM2M Few (M* 7SUM BUIL DING TE - IVED PermitNv Vft 0It PE �" LICAU Permit N& F6C 2004 Patel Tyre ow r"s NaM (Fee Sie*rWcba ) Ph e # owwes Ads = A=w N =w Job AMrew (wbewe wak is b cam) 0 (�. 3 i S �'I4 w�.t % � -.. c; w mbMiskmay cam► Z�P FCC* /FARM# I a()(., oil 005 rs BWWmg MsbwhmW Deftnabd YES No cmik~ c ,r=e Q44 �(, OPS ram 30s�_ 31 i 72 03 cotes A w "� S fi Q cam. r v-c ��-- • z r Q=MwN # 305 -3t Stfe C arR =NQ. Certificate ofCOMPOincyNO. Arebtc/E%iwWs Now Cif aplic ") ram # Vaiee of Wok For Ob Perms S ! 5 - S"are / 11 vactw 2,5-8 Type of Work: ❑A ► 'w ❑New ❑ RepaWftph= ❑ Demolftlan rework: r L-0 0 " — — to S Oft � Fee S._ P Fee S X 07''' CCF S MCC Newry $ Fee $ T Fec S O Swnwbg IL 6 _ _ R $ DPBR$ Z S BwdS Code went S Doebie Fee S shuctall Revue. $ Total Fee Now Dee $ See Reverse side --> ti ti k 3 ' t O P 1 r ° y O Boadho Copy's Nome (rf r4p) Bonding CompoWs Address city Shft zip Lendees Name (if WficabLe) Mortgage Lendee City Skate MV AppNcation is heny mode to obtdo apennict to do to work and butelladons as ice. I certify that no work or bsMWm has commenced prim' to the bsuance of a pew* and that all work will be perfimned to wAd dw shaderds of all hms tqpdafing it li in dds jmbfi dom 1 understend that a sere penwit must be secured for ELECTRICAL WORK, PLOARMM STUNS, VAUJA POOLS, FURNACE SCALERS, HEATERS, TANKS and Atli CONDITIONERS, ETC.,... OWNER'S AFFIDAVIT: 1 carBty that all dw hNgoing lion is woursto and that all wont wM be done in wiffi all apphe" hvws repleting coaftnefion andaa OWARNDW TO OWNEW YOUR FARO= TO RECORD A NOTICE OF COP43MCEMENT MAY RESULT IN YOUR PAYING TWICE FOR RMrWVENflCM TO YOUR PROPERTY. IF YOU MWIV D TO OBTAIN FINANCING, CONSULT Willi[ YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOME OF Nod= $0 App&nnt As a co re to dw Inuance perms vA* an ewtemod vdw cww&w $25M dw appOcant muo I make in goadfafth AN a copy of dw ndw of evamencement and consovedon fien km &vchury wihh he deftwvd to due p whose ► is subject to attach Ako, a died capy die receded nodice of aunt be pawed at due job sfe fee' lhe fa w nqpwgm whack nexus semen M dap air die buffAW pert Is bmsed In due absence of mwh pasted ashm dw will nat and a reh pec�i wfie wIN be cwrgad ` Sig�taeoe or The fixegulng 1 1 acknomwledged before me this Tia3 van a clk mnvle W before me day ofd 20 by 6-101t ( of ?A De by who is per+ known to me or who has proceed who is known to me or who has pro G a�2 9( J 2-L® As cgon andvha ate. as ideoWumflon and wl� ° NOTARY PUBIJQ NOTARY PUBLIC: s4w °� ti io 0 jr c g Z s r ua�, �" . 20 Sign: 04 Pfist P�,� o My �greaOO° 1 ® ® °0'A APPLICATION APPROVED BY: ' /T"D PlaS E Miami Shares Village Building D ep artm.ent 10050 N.E.2nd'Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Per-- No; --Ne: Jab Name 0-1,0�1 S,Sd®A ELECTRICAL CRITIQUE CRITIQUE SHEET �re.40�5 S� Miami Shores Village �,7� N� Building Department �' ®E-6- 0 8 2009 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 w Tel: (305) 795.2204 Fax: (305) 756.8972 BYe ®o Y/ INSPECTION'S PHONE NUMBER: (305). 762.4949 BUILDING Permit No. utoq — PERMIT APPLICATION Master Permit No. CC0 -1 � FBC 20 Permit Type ELECTRICAL Owner's Name (Fee Simple Titleholder) �� ^� I d°+ �� Phone # '10 S C 1 -1 ®� Owner's Address 3 0 g ® (-% ti r- j - ®� , t City - M t cam, fro State F ' Zip Tenant/Lessee Name �, ®�-�. �. P r� e„ Phone Email Job Address (where the work is being done) 'q ®� �� 5 ti r. sty ®tr 1 �ti3 c.��, m i " &�,A 5 City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # .. 113 f- 0 t k C3 ® .S j - &I Is Building Historically Designated YES NO Flood Zone Contractor's Company Name E T- L. L C- Phone # 3 Contractor's Address I S 6 2 S 0 11 me rm D r1 y e S1 a S City Pb M . I..V ft State L. Zip 3 g c.s-a Qualifier Name b A V'4 & V ► r A 6 Phone # 3 b S- State Certificate or Registration No. _ e. ( ®M & [ Certificate ^ of Competency Noy. Contact Phone -3 - 055 - - A 20 - 0 q % - E -mail �.1 ®S -b cq) cE Z E I eJr C . A p4 . Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ 07,000 ®® Square / Linear Footage Of Work: Type of Work: ❑Addition ❑Alteration ❑New ❑ Repair/Replace 1 p ❑Demolition Describe Work: A e M o e-1 o (� steed F c. Q1 • c Ac c jrA C o won 4 Submittal Fee $ 2W2 ,8t k!, ~ CCF $ CO /CC $ Notary $ ee $ Technology Fee $ Scanning $ Radon $ DPBR $ Bond $ Double Fee $ Violation date: Structural Review. $ Total Fee Now Due $ See Reverse side �4 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 wiil'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 certied 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 re- inspection fee will be charged. Signature Signature O er or Ag C ntractor The foregoing instrument w knowledged before m this The foreg g instrument was acknowledged before me this day of W qz V , 20 A5, by 0 rj, V eA � cou ^ day of DecteA6L , 20 ®1, by t) Aw PJ who is personally known o me or who has produced who i ersonally known o me or who has produced dentification and who did take an oath. as identification and who did take an oath. NO PUBLIC: NOTARY PUBLIC: Si Sign: r g Print: �Y 1 C_ ®/ Print: " Victor L AWxn es My Commission Expires: . Commission #DD667598 My Commission Expires: 1 ! 3 ems! �•..0...' Expires: JUNE 15, 2011 sor>Dt� xs�to nrinxxtc soxnixa cc4 nva NOW 3 0mom"I • • t APPROVED BY Plans Examiner Zoning Engineer Clerk checked (Revised 07 /10 /07)(Revised 06110/2009) R' `�' Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 p�R Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No: 09- X0, Job Name: '4:' 11,01 'O-e' 2009 Page 1 of 1 ELECTRIC Critique Sheet 9�6 Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Mike Devaney 305 - 795 -2204 M iami Shores V Building Department Change of Contractor Permit No. LL c Owner's Name (Fee Simple Titleholder) ��. air �� a Y l r Phone # Owner's Address ps wj_�,�- — City � c ris �__ State T Zip I I TenantJiessee Name � n � Job Address (of where the work is Ding done) `� t �`�`"'�► 3 3 city ri - -� �`+a — "i �� County zip 3 - Legal Description Contractor's Company Name 1... l.. Phone contractor's Address f S 6 �- S 1� V i l t ply e C r e e p r , S �e s" City Qca�r S �. -vC State FL zap er V Y • /+ ff i i Describe Work• A Ste. * G I hereby certify that the work has been abandoned and / ®r the contractor is unable or unwilling to plete the contract. I held the 'Building official and the Village of M, Shores har le om all legal involvement. Signature Signature rner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me t7 day of s 20�, by day of Dec be t.� 2 0 by ^ I� A Q , who is personally known to me or who has profluced— who i personally kno to me or who hasproduced tc..�.. As identification and who dill take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY UBL1C: Si Sign: Print. Print: �3 ALGES M Commission Ily t� 1tOtg My Commission Expires: • 1� X81 N�NIAd App. r�rA.■ My Ctpt�. J# 1�. X012 Rev. 09/19/03) Ce W#0D L bit~ 18M GO 6 4 U to QUM W"9 vi" Inspection History Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores FI_ 33138-0000 Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (306)762 -4949 Zq ., � �'S IN. k Y• 4. Project <NONE> Owner: TOM CABRERIZO Phone: (305)779 -8 Job Address: 9063 BISCAYNE Boulevard Parcel: 1132060110051 -63 Miami Shores,.FL 33138 -0000 Block: Lot: Scheduled Insp # Inspection Type Inspection Status Inspector Date Completed 01/0112999 INSP- 105875 Final NONE Default Inspector Not Complete 01/01/2999 INSP- 105872 Meter Box . NONE Default Inspector Not Complete 01/01/2999 INSP - 105868 Alteration NONE Default Inspector Not Complete 01/01/2999 INSP- 105874 Relocation NONE Default Inspector Not Complete 01/01/2999 INSP- 105873 Fire Alarm NONE Default Inspector Not Complete 01101/2999 INSP- 105871 Service Change NONE Default Inspector Not Complete 07/21/2009 INSP - 105869 Underground Rough APPROVED Michael Devaney 8/4/2009 06/16/2009 INSP - 105870 W. Vii. APPROVED Michael Devaney 7/20/2009 Page 1 of 1 Tuesday, November 3, 2009 4 d 2009 /2010 ST. LUCIE COUNTY LOCAL BUSYNESS TAX RECEIPT ACCOUNT 1001171 FACILITIES OR BOB DAVIS, CPA, CGFO, CFC, ST. LUCIE COUNTY TAX COLLECTOR EXPIRES September 30, 2010 MACHINES 0 / 0 ROOMS 0 SEATS 0 EMPLOYEES 16 TYPE OF 1731 ELECTRICAL CONTRACTOR BUSINESS BUSINESS David A Birth NAME � W DBA NAME CEI LLC. MAILING David A Birth.: ` " °..• ADDRESS 1562 SW Village Green Dr Ste 5 �t x RENEWAL Port St Lucie, FI 34952 ` �i•� "/"' NEW RECEIPT TRANSFER- ORIGINAL TAX $24.75 BUSINESS 1562 SW Village Green Dr Ste 5 , LOCATION Port St Lucie, Fl 34952 'C AMOUNT $24.75 City of Pt St Lucie Y '' "` +� PENALTY co COLLECTION COST TOTAL $24.75 0 o NO: EC000091& o 07/13/2009 33- 20090713-00129124.75 Check . CERTIFICATE OF LIABILITY INSURANCE DATEIIIN/30/09mn PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY Affiliated Agency Ops AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS 16 South River Street CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE Wilkes -Barre, PA 18702 COVERAGE AFFORDED BY THE POLICIES BELOW. Tel: (800) 673 -2465 Fax: (570) 825 -0611 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: EastGUARD Insurance Company 14702 Employee Leasing Solutions, Inc INSURER B: Phone: (941) 746 -6567 INSURER C: 1401 Manatee Ave W. Ste 600 INSURER D: Bradentton, FL 34205 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR INS LTR INS TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS DATE (MMID D DATE MWDD A ❑ GENERAL LIABILITY EACH OCCURENCE $ ❑ COMMERICAL GENERAL LIABILITY DAMAGE TO RENTED $ DO CLAIMS MADE PREMISES Ea occurrence ❑OCCUR MED EXP (Any one person) $ ❑ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GENT AGGREGATE LIMIT APPLIES PER: ❑ POLICY ❑ PROJECT ❑ LOC PRODUCTS - COMP /OP AGG $ $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ❑ ANY AUTO (Each Occurrence) $ ❑ ALL OWNED AUTOS BODILY INJURY $ ❑ SCHEDULED AUTOS (Per person) ❑ HIRED AUTOS BODILY INJURY ❑ NON -OWNED AUTOS (Per accident) $ ❑ PROPERTY DAMAGE $ (Per accident) A ❑ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ❑ ANY AUTO OTHER THAN EA ACC $ ❑ AUTO ONLY: AGG $ A ❑ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ ❑ OCCUR [:]CLAIMS MADE AGGREGATE $ ❑ DEDUCTIBLE $ ❑ RETENTION $ $ WORKERS COMPENSATION AND EMWC904495 04/12/2009 04/12/2010 - A ® EMPLOYERS' LIABILITY TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECU- E.L. EACH ACCIDENT $1,000,000.00 TIVE OFFICERIMEMBER EXCLUDED? If yes, describe under E.L. DISEASE - EA EMPLOYEE $1,000,000.00 SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $1,000,000.00 El Client Client ID: #414201017 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CEI LLC Qualifiers Name: David A Birth Aprox active employee count: 25 CERTIFICATE HOLDER CANCELLATION Miami Shores Building & Zoning SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 10050 NE 2 nd Ave EXPIRATION DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO Miami Shores Florida 33138 MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRE,04WIMS.Z AUTHORIZED REPRESENTATIVE .�cc�►�t�° CERTIFICATE OF LIABILITY INSURANCE DATE //2 10 12u2/2oo9 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY Stuart Insurance, Inc. AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS 3070 SW Mapp CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE Palm City FL 34990 COVERAGE AFFORDED BY THE POLICIES BELOW. Tel: 772 286 -4334 Fax: 772 286 -9389 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Southern Qwners 10190 C.E.I. LLC INSURER e: Auto Owners Insurance Co 18988 Kasey Walker INSURER C: 1562 SE Village Green Dr 3 5 INSURER D: Port St Lucie FL 34952 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR INS LTR INS TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS DATE M/DD DATE MWDD GENERAL LIABILITY EACH OCCURENCE $1000000 A ® 72695252 04/12!09 04/12110 ED ® COMMERICAL GENERAL LIABILITY DAMAGE TO RENT PREMISES Ea occurrence $3000000 ❑❑ CLAIMS MADE ❑ OCCUR MED EXP (Any one person) $10000 Cot,. Liability 10 Days CANC PERSONAL S ADV INJURY $1000000 NOTICE GENERAL AGGREGATE $1000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOPAGG $2000000 ® POLICY ❑ PROJECT ❑ LOC Hired/non $1000000 A ® AUTOMOBILE LIABILITY 4720619400 04/12/09 04/12/10 COMBINED SINGLE LIMIT $1,000,000 ® ANY AUTO (Each Occurrence) ❑ ALL OWNED AUTOS BODILY INJURY ® SCHEDULED AUTOS (Per person) $ ❑ HIRED AUTOS BODILY INJURY ❑ NON -OWNED AUTOS (Per accident) $ 0 PROPERTY DAMAGE $ (Per accident) A ❑ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ❑ ANY AUTO OTHER THAN EA ACC $ ❑ AUTO ONLY: AGG $ ❑ EXCESS/UMBRELLALIABILITY 4749055300 04/12/09 04/12/10 EACH OCCURRENCE $4,000,000 ® OCCUR ❑ CLAIMS MADE AGGREGATE $4,000,000 ❑ DEDUCTIBLE $ ® RETENTION $ 510.00 $ A E] WORKERS COMPENSATION AND ❑ TORY L IMITS ❑ O EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECU- E.L. EACH ACCIDENT $ TIVE OFFICERIMEMBER EXCLUDED? If yes, describe under E.L. DISEASE - EA EMPLOYEE $ SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ ❑ OTHER Client ID: #414201017 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CEI LLC Qualifiers Name: David A Birth Aprox active employee count: 25 CERTIFICATE HOLDER CANCELLATION Miami Shores Building & Zoning SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 10050 NE 2n Ave EXPIRATION DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO Miami Shores Florida 33138 MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRgFENTATIVES. AUTHORIZED REPRESENTAT ,e 11 2)040ffe4 10050 NE 2nd Ave Miami Shores, FI 3313 Phone 305 - 795 -2204; Fax 305 - 762 -5253 www.miamishoresvillage.com CONTRACTOR LICENSING/ REGISTRATION REQUIREMENTS FOR ALL CONTRACTORS TO REGISTER IN THE VILLAGE OF MIAMI SHORES THE FOLLOWING REQUIREMENTS ARE NEEDED: DADE COUNTY CONTRACTORS A. Certificate of Competency B. Dade Municipal Occupancy C. Dade Occupational Occupancy D. State Registration E. Liability Insurance Certificate F. Workers Compensation Insurance or Exemption STATE CONTRACTORS: o A. ✓ _State License B. Occupational License C. "� Liability Insurance Certificate D. `'� Workers Compensation Insurance or Exemption * * * * * * * ** * ALL INSURANCE CERTIFICATES MUST BE MADE OUT TO THE FOLLOWING * * * * * * * * * ** Miami Shores Village 10050 NE Z AVE Miami Shores, FI 33138 ALL PERMIT APPLICATION REQUIRE THE QUALIFIERS NOTARIZED SIGNATURE ********************************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Business Name: _ CIE L L� Business Address: 15 6 2 S w U, r 1 0. g e Greet Qr lve Sh Business Telephone: (3�b ,� a2 — i t� Fax Number: (3 GS 7 Z — l k8 3 Qualifier Name: _ �Ctyid tali A ::i�'-!:i�:t!j:��;Oor i 6f.6 a ': 0 4 d 6 0 dr D e '00 00, Y .Y f I ow Miami Shores Village 10050 N.E. 2nd Avenue a l off. , Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 OR g ym!, Expiration: Ill Project Address Parcel Number Applicant 9063 BISCAYNE Boulevard 1132060110051 -63 Miami Shores, FL 33138 -0000 Block: Lot: SHORE SQUARE INVESTMENT Owner Information Addr Phone Cell SHORE SQUARE INVESTMENT 3850 BIRD Road (305)779 -8040 (305)970 -0664 CORAL GABLES FL - Contractor(s) Phone Cell Phone Valuation: $ 2, 000.00 INDUSTRIAL ELECTRICAL SYSTEM C 305/228 -1384 Total Sq Feet: 988 Type of Work: ELECTRICAL Available Inspections: Additional Info: INT. REMODEL Inspection Type: Classification: Commercial Underground Rough Final Meter Box Alteration Relocation Fire Alarm Service Change W. W. Fees Due Amount Invoice# Total Amt Paid Amt Due CCF $1.20 ELC-2 -09-33855 $ 414.60 $ 50.00 Education Surcharge $0.40 *#W Permit Fee - Additions/Alterations $400.00 ELG -2 -09 -33855 $ 414.60 $ 414.60 $ 0,00 Scanning Fee $3.00 Check #: 1625 Submittal Fee $50,00 Submittal Reversal Fee ($50,00) Technology Fee $10.00 Total: $414.60 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. June 01, 2009 Authorized Signature: Owner / Applicant I Contractor I Agent Date Building Department Copy June 01, 2009 1 Miami Shores Village I l l T8 \- W M Building Department MAY 2 q.a }` f0050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972' BUILDING Permit No. PERMIT APPLICATION Master Permit No)47K 1 — FBC 2004 Permit Type Electrical // LGG Owner's Name (Fee Simple Titleholder) . 5 % 6 yr- ✓ 47a /T . .Phone # Owner's Address 3'066 �ji�'q �c� t j� W City /Z/ aol?l State 0 Dig zip 3 6 IV 6 Tenant/Lessee Name Phone # E -MAIL: / Job Address (where the work is being done) 906 3 City Miami Shores Villaee County Miami -Dade zip 9313, FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name_ .L7/7�crl1}'IGt,��cg^7S?tp #v�' Z Z8 - Contractor's Address /d03 - - ) �I ' �' S /'.2 �` ®✓~ City State G zip Qualifier Name f ��S7T�2 S C' ©/mod fv�J Phone # .+�•r 22 8 — / 3 State Certificate or Registration No.0 Certificate of Competency No. E-MAIL: % Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ '? BOO ° Square / Linear Footage Of Work: Type of Work: ❑Addition ❑Alteration ❑New Repair/Rep ❑ Demolition Describe Work: vc1c b f v 9/ t� c P ��Pi1 �- �q1 LIe,� .l�I e �'' t mv�e .6 2 f X69 e 2 vv�' Submittal Fee $ ,/' Permit Fee $ AltV eP a° D CCF $ •Cyr (NCO/ Notary $ Training/Education Fee $ V • Technology Fee $ V 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 pasted notice, the inspection will not be approved and a reinspection fee will be charged Signature Signature Owner or Agent �S rv2 --2-Co tract 1/9 A The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of , 20 _, by day of ✓ s" , 20 T by cc �� -t 1 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 identificatiqurap# who dice th. NOTARY PUBLIC: NOTARY PUBL * MY COMM10M I DD 656659 EXPIRES: October 14, 2412 oF r��P Bonded Ttn Budget Ns1ary Senkos Sign: Sign: �et) Print: Print: � L`t =� J .,r7� x U�, My Commission Expires: My Commission Expires: t4011 y f j APPLICATION APPROVED BY: ��r� !y Plans Examiner Engineer Zoning (Revised 02/08/06) W bse SAM" f/04 U4 Ve m S. " w 10050 NE 2nd Ave Miami Shores, Fl 33138 Phone 305.795.2204; Fax 305. 756.8972 www.miamishoresvillage.com HOLD HARMLESS DATE: �Zc it PROPERTY LOCATED AT: Q) Q :5 k Vk '3 As legal owner of subject property, I request the cancellation of permit number 5LC d-2- –O'q '? 46 issued to a 6A U S AA for the following reason: d An' Lpp�, ® S Date of last inspection: 200 I hereby apply as owner - builder, or authorize (new contractor) C E Z L - L, C. to apply for such permits as necessary to construct or complete the construction on subject property. I agree to hold Miami Shores Village, its agents and authorized personnel harmless and relieve them from any responsibility-- or liability for any legal action or damage, cost or expense (including attorney's fee) resulting from the cancellation of the existing permit or the issuance of a new permit. I furthermore assume respons' ity r the correction, if required, of work performed under the permit for which I am requesting cancel) do . a a (Owner's S ature) rime Contractor -Only if subcontractor holds permit or (( if change of qualifier) — F,o r � f �� a V i C� & (Print Name) - .a (Print Name) �` .� PEOao R vAU�Es ftW PdRe ON ssQ "•,••,,', PEM F. VAM Corn. MY Co. E 18 '� • a f wn Pub - SIM of PA" State of Florida � + # W oaf Z01$ my f . Jd 11% Will of Dade: r #00"M fi�tlaeM The undersigned, being the first duly sworn, deposes and says that he/she is the leg %r UF above property. Sworn to and subscribed before me this cs� day of J& ZAI" Notary Public, Sate of Florida at Large Miami Shores Village Building Department 10050 NY-2nd Avenue, Miami Shuns, Florida 33138 Tel: (305) M 2M4 Faa: (305) BUILDING Permit No. W 0 "1`1 PERMIT APPLICATIO er Permit No. U j 0 _ 1 FBC 2004 Permit Type: Eleeftrical Owner's Name (Fce Sm4ft rW&okkr) Phone # Owner's Addy= City q state T.ig TenanYLessee Name � d � �111� �9�Ir71f i G �9 t7�Lfl-�i� Z P1toe # 771 E- A�IAII,: Job A (where ft work is being done) ! s FOLIO / PARCEL r a-n �► I I 8 V r 1s g HistorimEy Destw4ed YES NO C dme Ws Cry Name k e✓ : r -eJ vic- Phone Coritrac Ws Addr= l 2(t_)j city 1 see P1 n zip Qom Nam Phow # State 'on C _ t Catifmate of Competency No. _,�: ` l'3 'Z �Q F� E- - Arcbite/'s Name (if applicable) » # vO � 0 Valve of Wow For tb$s Peru $ . Sure / Dear F Of Work: D Type of Work: ❑Addition ❑ ❑New [I Repai Repair;/Replace e r_1 Demolition Deseribe Work: ®�� * strar�rs�es�aa��asr�sa, �r* s* ar�st�aar�*, ��F�aau�s+ �r�rata+��t�,��r,�+��ttar�r *s�,ux x4asa Submittal Fee $ Permit Fee $ 4060, Cb CCF $ c0/cc Notary $ TrainlnWUuca6= Few Fee T Fee $ ' Scanning $ ' Radon $ DPBR $ Zoning $ Bond $ Cede Eof weeme nt $ Dol" Fet $ stracteral Review. $ Total Few New Dae $ See Reverse side -3 Bonding Copy's Nam (if amble) Bonder Company's Adams City State zip Mortgage LetWWsNaw (V applicable) Mortgage Lerda's Add City State zip- Application is hereby made to obtain a permit to do the work and insWistions as indicated. I certify that no vvork or installation has commenced pdr to the fiviance of a permit and that all work will be perfimned to meet the standards of aR laws regulat . construction in thisjurisdiction. I understand that a separate permit mast be secured f w ELWnUCAL WORK, SING, SIGNS, WELLS, POOLS, FURNACES, BOILI M HEATERS TANKS and AIR C DNDITIONERS, ETC..... OWNER'S AFFIDAVIT; I certify that all the foregoing inf nation is awe and that all work well be done in complimm with all apphcsdde laws regulating conskuction and zo "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMONCEMEAT MALY RESULT IN YOUR PAYING VICE FOR EOPROVEMENTS TO YOUR PROPERTY. W YOU INTEND TO OBTAIN FWANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF r Mart to Appkcant As a comUm to die inuance of a bWk&Wp&=d with an esawaled vdw emwedWS S25M dw prmdw in good f li Aw a caff of dw mdx of commaxemne and cononedw Oren law brochure wilt he ddhwvd to dw person w pnVwV fs s io eh►xw#. Also, ater4Wc4opyofMwnwordedmfteofcomwnmwewnnwbepawdedgwj f or dw jbSY hapecum whxk occum wren (7) aayw qj%r dur bud&V permit is ' wwd In dw absence of such pfd wfim dw hupeefim will not be approtvd and a reinspec0onfiv wiff be eWVM 7 m C3wner or Agent Ctlntrat r The ktregoing instrument was acknowledged bet=me this 11 The of v ad ;M o methis day of 2A 0 by day ®. 8, by who is known t o rice o r w has who is y known to im or who has . As and who did take an oath. as identificati and who did to t i��aiBB NOT PUB NOTARY PUBLIC: �,�JON ®••••,,Nc0ridf° ® \SSIOA/A Srgn: StCt • • Pr xx^ N +I '•.... . pt � Print: � DD 638204 �•� Q My Commission Est; �qayQ+► My Ex pires : °O°' ®ss` ®l c� •..... , 5T APPLICATION APPROVED BY PhwExamincr Engineer (Revised017l10AM t f t 4 t - DRVER LICENSE CLASS E A452 -2$1 -63- 203 -0 ! WY41ERMO AWEL ALONSO f alai AP.%fVAIOW WAY aGa W8 -1963 sAx 11 rot: StH ?. %i t'8' 59 ::+.+.•.r__ ia. s�t. ¢v!itoh " -iv ..cHµ':Y to :t fao«.s =_e l.t+ FROM :ARKI Solutions Inc. FAX NO. :9544429413 Sep. 29 2008 04:20AM P1 E I Oman l�li Gt Averan9 A N. NOW611 or, SWHM an I"NO 1 FL R#lt7"6 4 NWAM lam Few EG F R . sm $M 86 St •#114 MWi FL $IM -11M Owime r TO AM THE TERM EX(L Aim #raid son UUMM ems baa�etr � 1 xm14xQAp4"= a M C.r ffi 4POC�,Y.ip►P AM Y E40 OCOWWANE REMM S Q {' t wm A M2 ELBIIQIiddf �. �.� Won C1�r of oae w�a, , ram. I�frilot'#11,g � �. •,,.�,..rs,r�raea +w�a►�s�au�r, 27#p Sewwt�e meea�uciame++a�a.�wa.e+ w, safte if , 3dOUR, 1CL 33331 P VNRM wo ATI!!M 13tt , £d Wkt-O: 68 'dzS MIPM; - ON Xdd 0 1u , 4 00 13 Osm 1 09 -29 -2008 15:52 CND 305573Z3446' PA E1 TP A c � sr _ Wki z I ME c T T r-777 T Wr U 1 2 5 -1 ■ in • � , ►wr. "�+w.r., -1�� ru C I T Y CF 9 0 V 7 - # M I A 6130 80"et Or South "aom, M =143 .,may WS "3-6349 10 im2ftr 4 -4 (M PA's IONAL Lle1 m 4*6 mwMftm 33M Cn US PWAW buslymss P*xo KLXM PMERMeCTRIC Ctl abp 33" Locatlan a d dr A601 SW 430 STRM 114 Lic Mbr/r�lass CO 00004000 MOMM AND PROFESSMWE Issue data - 1tl(04/07 Eipiratim 4atv 9/30108 A L iL Foo . . . . 23t. 53 peanaltq -00 Tot-a . 231. 53 Restriction WFICE UaE COLY OFF= rM IELMTRICAL 4CM"ACTM THIS LIC09M MWT Of J31SPLAYEID IN A C(3NSPIVJDW PLACE VIXAM PIDAM ELECTRIC 6601 sm So STRIMT 1 14 SMnW MI A141 FL. 33t43 3WOW"I CM4 FROM :ARKING Solutions Inc. FAX NO. :9544429413 Sep. 29 2008 04:22PM P4 99189) =O? 92524 954 -2M964 AU3NW FAM FW E 21 M IN" 849AW 4 !!04 R &A* MT PAT ROOM *SC INC SET .. Ii � 1 R l s i mte Inc ' w i Ca ONTX I n ii0 tlar AOIIMAii� Wr 435 i' rigM1 1n �! ' t ��1��1 {It�,'!!�H►lf�MsMlflti�fl� ' a 09 -29 -2008 15:54 CND 3055733446 PAGE4 k 1 Y h _ sr `r +, �J I. ter ,K r1 MIT �,. y r 11 Rai 1 L � r � 1 r - 1'4 ' mwd s &W"tioop 10050 NE 2 nd Ave Miami Shores, Fl 33138 Phone 305 - 795.2204; Fax 305 - 756.8972 www.mlamishoresvillage.com HOLD HARMLESS DATE: IzC /00 2 O PROPERTY LOCATED AT: 206 `', ?DsS CA!RV\_E t��V� � S ®� � A 33 As legal owner of subject property, I request the cancellation of permit number �FLC- Z -0 q -1°7 2 issued to for the following reason: o D Date of last inspection: Z2 q I hereby apply as owner - builder, or authorize (new contractor) ' v4L C V 0 4 , to apply for such permits as necessary to construct or complete the construction on subject property. I agree to hold Miami Shores Village, its agents and authorized personnel harmless and relieve them from any responsibility or liability for any legal action or damage, cost or expense (including attorney's fee) resulting from the cancellation of the existing permit or the issuance of a new permit. I furthermore assume res o si I ty for the correction, if required, of work performed under the permit for which I am requesting cafi l a io . (Owne Signature) (Prime Contractor -Only if subcontractor holds permit or if change of qualifier) (Print Name) F. wUs M State of Florida of IM to Im ft ftm. Eon 40 f County of Dade: -W ' �� El 1 owl". to P The undersigned, bei g the my sworn, poses and says that he/s�e s Whe egal dhe above property. Sworn to and subscribed before me this 0 g� a o day of ® � Notary Public, Sate of Florida at Large r e S s � # 7, 7 Miami Shores Village W f ) 10050 N.E. 2nd Avenue ; Miami Shores, FL 33138 -0000 3 y � Phone: (305)795 -2204 N Expiration: 111 112009 Project Address Parcel Number Applicant 9063 BISCAYNE Boulevard 1132060110051 -63 Miami Shores, FL 33138 -0000 Block: Lot: SHORE SQUARE INVESTMENT Owner Information Address Phone Cell SHORE SQUARE INVESTMENT 3850 BIRD Road (305)779 -8040 (305)970 -0664 CORAL GABLES FL - ; Contractor(s) Phone Cell Phone Valuation: $ 4,000.00 NAVARRO PLUMBING SERVICES INC (305)2445832 q ee Total S Ft: __ _....,. ., ..,r 988 Type of Work: PLUMBMING Available Inspections: Type of Piping: INT. REMODEL Inspection Type: Additional Info: Classification: Commercial Top Out Re Pipe Main Drain Underground Rough Heater Water Service Final Water Main Lavatory Fees Due Amount Invoice # Total Amt Paid Amt Due CCF $2.40 PLC-2409 -33854 $ 231.70 $ 50.00 Education Surcharge $0.80 0 Permit Fee - Additions/Alterations $220.00 PLC- 2- M33854 $ 231.70 $ 231.70 $ 0.00 Scanning Fee $3.00 Check #: 1625 Submittal Fee $50.00 Submittal Reversal Fee ($50.00) Technology Fee $5.50 Total: $231.70 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. June 01, 2009 Authorized Signature: Owner 1 Applicant I Contractor I Agent Date Building Department Copy June 01, 2009 1 Miami Shores Village MAY 2 t� ? Building Department BY: f0050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING Permit No. f2j(:,M-jM PERMIT APPLICATION Master Permit No. 56 8 FBC 2004 Permit Type: Plumbing z /ZC Owner's Name (Fee Simple Titleholder) ��hew # Owner's Address ,- -3�' , jZ - ' , 0 , /J State zip Tenant/Lessee Name Phone # E-MAIL: Job Address (where the work is being done) City Miami Shores Village county Miami-Dade zip FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name N(X4QyY 'N I ' hone# Contractor's Address City _CalQCa� _ State� zip 33 Qualifier Name N��c Phone # 1 7 S State Certificate or Registrati 0. K2 72��' Certificate of Competency No. E-MAIL: Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ Square / Linear Footage Of Work: Type of Work: ❑Addition WAIteration F]New ❑ Repair/Replace ❑ Demolition T do t - Describe Work: ( qn All 21 LA Po� qftcl SubmittalFee$ -- Permit Fee $ CCF $ c?, • 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 WORD, 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 <wC rr i - �, day of , 20 _, by day of 20 / j`d 1 i� . LhW who is personally known to me or who has produced who is personal y known to me or who has produced As identification and who did take an oath. as identific MANIAMMUWAW NOTARY PUBLIC: NOTARY PUBLIC: MY COMMISSION # DD 506161 Oi EXPIRES; eb 10, 2010 '�ftl1: Sorbed N UnduxMgn Sign: Sign: k Print: Print: My Commission Expires: My Commission Expires: - /0 A APPLICATION APPROVf- D BY :'° �' Plans Examiner Engineer Zoning (Revised 02/08/06) Vq C/ Miami Shares Village Building Department f0050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING - R Permit No. v` PERMIT APPLICATI N FE 0 Master Permit No. FBL 2004 \ \� /�{►_ 1t ....r..wr Permit Type: Plumbing Owner's Name (Fee Simple Titleholder) Phone # Owner's Address City State Zip —y c Tenant/Lessee Name ,�� S/j (.�}w , /�'} C f (�U y� �j01Uj Phone # .3 O ,5� ? � / — / �� U E-MAIL: Job Address (where the work is being done) 9 y ( <��.0 CA City Miami Shores Village County Miami -Dade Zip 3 3 l FOLIO / PARCEL # ,_) O 05 - 1 Is Building Historically Designated YES NO Contractor's Company Name State l Tr Phone +8 -110 Contractor's Address - 7 ,3 State F / Q zip .3 Qualifier Name R q Q A O y1 �� Phone # 7 5 (o 977 5 10 State Certificate or Registration No. R F¢ p A42 `J/ Certificate of Competency No. C2 6 jO C2 0!2 9 E-MAIL: S j&2n&,� eth=.a 1. CO 2V Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit S � ,f ` �` �., t.. Square /Linear Footage Of Work: Type of Work: [Addition ❑Alteration ❑New ❑ Repair/Replace ❑ Demolition Describe Work: 16 I'k ~ Z S 1 rr, -- c ' Submittal Fee $ J� y Permit Fee $ a- CCF $ c9 ' CO/CC Notary $ Training(Education Fee $ 6o Technology Fee $ Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ See Reverse side --� r ,�,' I`� �� PlesSe ack� �0 �1c �� i� u�'1�n'i CEYJ� C0� 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 cerlfed 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 Co tractor ILC The foregoing instrument was acknowledged before me this i The fo3LK ent was acknowledged before me this day of , 24 t?�, by day of , dd4r, by who is personally known to m a or who has produced who is k nown to me or who has produced °� a t�NM esesrry As identification and who did take an oath. as identification and wh 0 0 " h die ap oa c �x a NOT7 PUBLIC: NOTAR P LIC: °jARY�,G .o'' n COMMISSIOtS�� o ¢ t 4♦ ��r. .y. J T * ,a R9vG{�VO�S1,!AlVMi Si ;;o;, �� WWW�ONNOTARYcom Sign: a gn: Print: �N' '�` 'rFOF�oP 1 h± S: Oct ('ber 00 816 65 9 Print tNotary My Commission Expires: s My Commission Expi APPLICATION APPROVED BY: r U Plans Examiner Engineer Zoning (Revised 02108/06) Miami Shores Village IVo Building Department artment g p �. 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 DEC 0 9 2009 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BY . ................ BUILDING Permit No. PERMIT APPLICATION Master Permit No. ' FBC 20 Permit Type: PLUMBING i�� . 3oS o - C� Owner's Name (Fee Simple Titleholder) � -'� � �"'- Phone # 9 t O Owner's Address S w S o a, City rh+ State F Zip 3 1 Tenant/Lessee Name V r Cy -C-, w i y 'A 1 ^ Phone # Email Job Address (where the work is being done) «+ Jr tk t l rti y. B _z ^ ••(� 1'n+ cti. , , S►.��U,S 3 i 3 City _ Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # j j1, J (J i 1 S - 8' �, Is Building Historically Designated YES NO Flood Zone p Y .�1. �- � k VA � `C e Phone # R - ! 4 -3y Contractor's Com an Name �J P N1A s(� 9_ ' Contractor's Address r D O W City t State )FL Zip Qualifier Name ga gP fS _ L.4, Rpg Phone # 13:4 -2 `7q -.3 O State Certificate or Registration N0 C F G. 0 S - 7 '7©6 Certificate of Competency No. Contact Phone 9 5��— 3 O C,F / E -mail Architect /Engineer's Name (if applicable) Phone # Value of Work For this Permit $ r Square /Linear Footage Of Work: Type of Work: ❑Addition ❑Alteration ❑New ❑ Repair/Replace ❑ Demolition Describe Work: _7_-N& r�j^,� ,a ST1S ,Et 4G6 1i, ,tyt dr#1A ! a ees ** ��* �*** ��* * * * * * *�� * *�� * * * * * *�� *�:�� *:� *� Fee $ es . CCF $ CO /CC $ Notary $ Training /Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Bond $ Double Fee $ Violation date: 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 reinspec ' ee will be charged. Signature '> Signature Owne r Agent Contractor The foregoing instrument was ac mowledged before me this 4'3f- The foregoing instrument was acknowledged before me this day of tJ c J , 20 C I , by C1,e -A., n � <� ' } Ira day of Di -09 , 20 QJ, by who inow r who has produced who�is p " r s onally kn�>to me or who has produced A ' dentification and who did take an oath. as identification and who did take an oath. NO Y PUBLIC: NOTARY PUBLIC: Sign: V L Sign: Print: d - c yl ETA F A Print: My Commission Expires: j Commission #DD667598 My Commissio KM F. VALM -z "Expires: JUNE 15, 2011 y p . gyp of Fie BONDED MU ATLAN'T'IS B®NBINO C INC MY COMM. bpkn hl I& !N! 6oloftmon i 00loom APPROVED MY P ns xa ner Zoning Engineer Clerk checked (Revised 07 /10 /07)(Revised 06/10/2009) M iami.Shores V illage Building : Department Change ®f Contractor Permit No. e�-"2 Owner's Name (Fee Simple Titleholder) � T. lv Phone # 970 —0 owner's Address City o .a,.Rw State - -�i -- ----- Zip I �/ �' Tee Name Phone # O Job Address (of where the work is being done) s City h'l a–.��. CA,� S County Zip 3 Legal Description 1 1 XaQfo- � � 00 S Contractor's Company Name t - Phone Contractor's Address State Zip Cit V1/I JI — Qualifier Describe Work: �� I hereby certify that the Work has been abandoned and/or the contractor is unable or unwilling to .replete the contract. I hold the Building Official and the 'pillage of Miami Shores h r 1 s f ono all legal involvement. Signature Signatur �' Owner or Agent Contractor The foregoing ins ent eras acknowledged before me this The foregoing i ns t rumen t was acknowledged before me this da of �S" 2t3 �, b�= day of ,�Q.�, 2Q Y who is rsonally kno to me or who has produced who. rsonally me or who has produced kno ® identification and who did take an oath. as identification and who did take an oath NOTARY P LIC: NOTARY PUBLIC: Sign: Print:.. - -A-- -- ---- ---•-' Print: V M 1 3 Z® 12- m y C Y Commission Expi�•es: �V `� ! �q f Ndiry 6hiIC • IIMt� • �COSw.011 lull Rev. 09/19103 1. low i VXM .� iq MAP am do e ce tam Wrb ,�. r t a a k t S �� d4 F 3�n , i k��! r a:,• `ki '`� -''''� � s � - �-� �� ;� >r� k 11JE Yj. ' f.T., -- "`,�' t -I �' - x °c��; Wl r Y VOW '�e -`t `'�p 'v�- z -o+y�'tiL - - ,. �4 C Y�t - fF1'+F�1, `�+L /f.h'S �f h.'nV' Sy F3� _ aYC�r,,-5ax - 'tN } " a7 'rr�fi -�- r �S s �}� 'TrT�C f�a �1,4 J:17f�74 $ t �tr3gx�� a�` {� SG u� i r�l gy a �. r .Nd �b T� �»•5_: '��`�'�'`''� _ t7 c , ^- _,`.�s.'_ {�U^�'.��r`s•""�?- � �k� cYr"z�x�.��e ...,. �: 1 � s R a g ' N 12 -05 -2008 N n ` E ALEX SINK STA'T'E OF FLORIDA N CHIEF FINAIVCIALOFFICER DEPARTMENT Of FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION r` CD # CEffrIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW to m CONSTRUCTION INDUSTRY EXEMPTION N N This certifies that the individual listed below has elected to be exempt from Florlils Workers' Compensation law. s € EFFECTIVE DATE: 01/23/2009 EXPIRATION DATE: 01123/2011 PERSON: HAUGHTON : HARRIS FEIN: 201030278 1USINESS NAME AND ADDRESS: ORIGINAL PLUMBING INC 18001 NW 2ND PLACE MIAMI FL 33169 SCOPES OF BUSINESS OR TRADE: 1- CERTSF;ED PLUMBING CONTRACTOR IMPOVAIiT: Pursuaal To Chapter 440 . 061I4), F.S„ an officer of a corporation who elecla esomptien troal this chapter by filrap a catliftcelo of eiecttau under tats Z section may out recover benef is or camponsation ender Ibis chapter. Funusnl to Chapter 440.06021, F.S., Certificoles of electron to be oxo*,pt... apply aely within the scope of the business air trade listed on the notice of eieclion to he aeampt Pursuant la Chapter 440.061131, F.S., Nallcas of election to be exev*t and cartifiealas of W eecoo e exp shell he subject to rerocatioa il, et any lime after the tills of the nettce er the issuance of the reaitftcal the arse earned A e i Z ltin t L emt t 9 � p erson a t h e notice or , p certificate an longer seats the requirsiaomts of this &action for issuance of a caranoate, •Cho department shell revile a ceatlficeto at any lime fur latlare of as parses = nosw on The cortilicete to meet the requirements of this segioe. C- QUESTIONS? 18501 413-1609 OWC ^252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09-06 z o a IA It: uP t"LUKIUA - DEPARTMENT OF BUSIME49S AM PROPBSSXOKAL REC1ULATION A CONSTRUCTION INDUBTRY LICENSTY0 BOARD (850) 487 -1395 3 . 1940 NORTH MONRO STREST .. TALLAR" PL 3 -0793 RAL1C#HTON, MtRIS aNSLTN ORIGINAL PLMEBIXG INC � 18001 K.W. 21M PL. MIAMI YL 33169 -4307 Congratuiatfansl W1tfi this license you become one of the nearly one mtflUon Ftorictians iloerrsext by: Uepartrrrent of Business and Professional Regulation. Our profe�aionale ansinesses range.from arohttacts to yacht brokers, ft�rn }. ,,� P: , : ' '�; : -• z boxers to barb ®qua rurents. and they keep ee Florida's economy Wong. .�° �` �•. Y�; "� *" y a {;�' ,�" Every day e work to Improve the way we do b ineas to r Y u$ orde to serve you beueri For information :t's3 ;r ; ;.hj4;. s . :tad 'r.• e•y =: r . 65 4.,y:r 4 j'. f y J� Jk. tion about services to . g wwer:myfle�rtdal #c�anse.cvm. � P,�' There you can find more information about our divisims and the regWations that :: � �� •�r ,�.:: impecl.you, subscibe to department newsletters and loam more about the �� ee �rartrnertt� Initi atives. • ; �' Z ,d,• '' • .._ �;. ii. •. , �. .•• • e , t ..�..:. t� 1 : ",.�,' t iy • f, : �"•ri'�::! :: : 1;.., tie. raf+i` - ' i 4ur�r oD � s: ; + ?b • •L •+y ?..,iy ?.y 4 •'�- :n. :• -'l Vii= �� ssl t the department Is., License C-tficientiy, Regulate Fairly. We �`•�+e %�'> ' �r'�� ^~ :. �'�� : }�: ;' �f:a�;�'� constantly strive to seava you better so that you can serve your customers "Z'`Y .f i �' {• l 7(, �i �' i , � . f'i G it ° • ti n (i.�t i R{ Thank you for doing business in Forlda, and congrat y o u r n ew oe °+ � !�� • ' '� " to s an �}i! n 1[ me et! :• �1 - ti � �. , y " y �.:. ; . r r•,.y::�; r .'!.! . ` �s s • S • �J! _ - r, t•' � �.4J 3 L t vv v 9 oFTaGH HERE � v T � 3 FROM : PHONE NO. May. 29 2009 07:28AM P3 OF 1NFORmwvoN ON T =!nI TI CS V.J VO!:!�. .I' .yn. C.:: 4v."T yirtVe.!.•. '' •!,t Y•i'].0 red §{ rr { aa� jj- qyy JlnK .J:.,$tyq'r, °t�h+kiS.:P•i "• .1 LCit.:. �:$:S ?il•:y :• »:swR .�_.e...o. .• . ��. e. ' 3 >x .�G�.x ^ ..vx�<r • , a.•. �. <1 1 :• a' •s�.:, v.�r. ';u'%:.: + t 3 1... ^x3.r nt c YSk �,, .i , i;^ ?.' ;.<,.:?F�i�V7 THIS CERTIFICATE iS ISSUED AS A )WATTEFI LY.AND Slt?NAL MANAGE11�1ENT ASSUl� Ci =RTIP CA Z DOES Nr AAM EXTEND OR ALTER THE COVERAGE i W 27TH AVENUE AFFORDED I3Y THE POLICIES BELOW. MIAMI, FL 33167 COMPANIES AFFORDING COVERAG COMPANY ? LETTE A Underwriters at Uo yd's > of London INSURED ~ I COMPANY" ORIGINAL PLUMsiNG. INC. ER 8 C 18001 NORTH WEST 2ND PL ACE aI3 MIAMI, FL 33188 I MPANY [ L E TTER D COMPANY t , : LETTER E �•. gy NOR; l THIS IS TO C9WIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOV • •t NTRACT FOR THE POUCY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, 'TERM OR CONDITION OF ANY CO I OTHER DOCUMENT WITH f�ESPEOT TO WHICH THIS CERTI. -MCATE MAY aE ISSUED OR WAY PEt37AIN, T INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUaJECT TO ALL THE TERMS, EXCLUSIONS 4 CCfIV>dTf SONS OP SUCH POLICIES, LIMI SHOWN MAY HAyg gSEN REI?UCEb BY PAID CLAIMS. ;CO TYPE OF INSURANCE POLICY NtlMBER' Po4Cv rxu v LTR � ;F0r1vE0a -g EXA FAVONDATS LIMITS 1 G k$RAtUAafLTCY A ! ARTE022 f 72 •u Qa, zoos �, r.s, Faso �a4— as caTS SgOp pt?17 I PRODUCT M s7P AG0. app flpp { � Pf�J�. &AOKI+VJUAY 3Q0,400 i 1 P11OAMAGE oneArr AUTOMOSILS e,"vrY &+W :Xi — kM (Any dna s.O00 EA M-- MOLE LIMB ri ,Person 80 Q1LYlk�RJRV etAacia3ertit I EXCESS U1AMP.17 Y PaiOPFR7Y E �'"'' At34AEQAT$ 1 WOR1s ERS COMPENSSAT1OtVATL70 NAT3 AND U CKACCID�NT EMPLOYERS LIABILrrY DtsCAS�•PQaCV UMT ' 4'ISEls.4E•EACH 6afP1AYcE I 1 DESCftrPTtOk O f'ERAri00083 f VEHtCt>_S I sa'Er±wRT�r Fr€MS ' PtUMBFNG RESI&ENTIA OR DOMESTIC Should any of the Obove described policies be -cancelled before the MIAMI SHORES %ftL"E sxpifaftn date, the camp" shall endeavor to mail SO days wrMen I natloe to the certifinet* hotdar named to the left, but failure to mail such KALDING DEPA"MENT "Otlea shall Impose no obligation at liability of any kind upon the compan ,#a agents, or raprosentgifts. 1005ONE.i' AVEt4UE AlfV M Slrtt?Mj:L33Ln AUTHOPIZED REPRESENTATIVE Miami Shores Village 3 B ulding Department 100501N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING Permit No. rl C -s • o •.'t 6 PERMIT APPLICATION Master Permit No. 4 t . q • ©$ - L 3 $ FBC 20 Permit T MECHANICAL YPe� '° Owner's Name (Fee Simple Titleholder) ? ��"'' "V 4 j� r4 -- tne # -!,® 5 9 Lit Owner's Address _ ® I,I �' City V!" 1 c- 0-1 1 State Zip ' Y!S i Tenant/Lessee Name Cs- & -S�� z , .S P I c... Phone # 1 0,51 - 75 1 4 - 9-1 1 Email Job Address (where the work is being done) % ®kp3 S -b ?4z- 3 ➢ �S City Miami Shores Villaee _ County Mi -Dade Zip FOLIO / PARCEL # 1 t 32-06 ® —6 � Is Building Historically Designated YES NO Flood Zone Contractor's Company Name r r T LrYI G �.� `'t L Phone # [ 5!� — !� 5 � Z Contractor's Address 1 2_0 3k Ww 3 ,' 1 P L City Y i . p State Zip � 3 2.:3 Qualifier Name, ° }- Phone # State Certificate or Registration No. CA Certificate of Competency No. Contact Phone E -mail P,A =!EgAr-_ • Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ ! Linear Footage Of Work: ry Type of Work: ❑Addition Altex'ation ❑New ❑ Repair/Replace ep El Demolition Describe Work: Q�3414Y 1 0434 llillill;;.n�ll 11 �alip aE;.! ��nA J�`1a y� � '�''�• -.'SV � RI • : �# G 4 $ q Z= Submittal Fee $ Permit Fee' CCF $ CO /CC $ Notary $ Training/Eoucation Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Bond $ Double Fee $ Violation date: Structural Review. $_ Total Fee Now Due $ See Reverse side -> t I Bonding Company's Name (if applicable) — Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgagep,LeiWe A 's dress, " . - - i , Cit* 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 accuiate 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 es imated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and coast ion li brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the record d no a of c encement must be posted at the job site for the first inspection which occurs seven (7) days after the building pe it ' 'ssued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. e,. Signature Signa e caner o gent Contractor The foregoing instrument acknowledged be � . The foregoing instrument was acknowledged before me this day of C 0 , 20 A, by ��."� �� e day of h � �� , 20 , by ? '° J dJ- , who is personally known to me or who has produced who is personally lmo me or who has produced As ' ntification and who did take an oath. as identification and who did take an oath. NOT PUBLIC: NOTARY PUBLIC: Sign:_ Sign: �� Print: d ® P Victor I. Fue My Commission Expires: s s'� �' MY - dtwo Commis : J UNE 15, 20 Expires 1 , 4 : JUNE 15, 2011 BONDEDT MUATLANnCBONDINGCO APPROVED BY Qf T1 , V / I tns Examiner Zoning I Engineer Clerk checked (Revised 07 /10 /07)(Revised 06/10/2009) 'STATE OF FLORIDA DEPARTMENT OF SuSINB$S AND PROVESSIONAL gRpULATIDrti {950} 487 _1395 CONSTRUCTION IMMSTRY LICZXSINO BOARD • 1940 NORTH MONROS STREN 32399 -0783 TALLA�iASSSE -- R MIRRZ RONCALLO E AIR XLN&UC INC 12031 N 31ST PLACE gL 33323 AW OF become on e ortthe nearly one million D$ �T.. OF. -SusnMSs. AND lationsl With this license you RBC�dLATION . FFI ns licensed by the Department of tusiness and pmt�slona! Regulation. 109 O p and busing range from architects to yacht brakens, from = :. boxers to restaurants. and they keep Flariaa's soon my c c t # aie /aelaa ossao Every day we work to improve the way at se.corn. CBRTIL?xBL CJf +LO $� R For Uformation about our services, pt laws that, RAMIRBZ, There you can find more lnforrnation about our divisions more the M t AIR S � and LSCTc - INC impact you, subscribe to department newsletter Departments ini#atives: Our mission at the o Qep riment is: License Etftciently, Regulate Fairly. We c o nstantly strive to serve you tsetter so that you can e Your ai i rs C'xt+Tan . sue' gso°• +�; cn.�4s9 $� Thank you far doing business in Florida, a oongratula ans on your now ticectse :,w ; • : . 1 -- jfo:,o :zosoaaso�a DETACH HERE -__-__ 3TATE '� .:.:�t =sir O dNA tR !'LION 3 S EQ4 LO 80tio 1'S! '� °, - i• f,•; "_ fY• 6ji�� _ _ .,''/� q " -' - z .r - fr , . _ WOO 2008 088002x93 C `C.$ : •�3�:.:: :' CLASS $AIR CONDITI EACOR::. i The , --,•- :.,.,.::.; :. � • _ . Named below IS CERTIId�! - -'- under the proviaions Expiration date: AUG 37.; 2014:. AIR -ETA TRZC<' INC f a; S2UNAI3 3:gT :: PLACE FL - 33 32 3 • -_- �+��•sRV•`sr�w M iami . hones Village Building ]Department Change of Contractor Permit No. C -5 • °� Z �.e Owner's Name (Fee Simple Titleholder) # 7� Owner's Address .S 0 Cit V![ state zip 33114 Tenand.essee Name C Phone 0 I 7SY " 97 PO Job Address (of where the work is Ming done) t�jl I � 3 City Md c County �t� � Legal Description Q °1�, � � Contractors Company Name r t Phone 2Z Contr'actor's Address City state 1. zip Z3 Describe Work: I hereby certify that the work has been abandoned an r the contractor is unable or unwilling t c m ete the contract. f hold the Buildi O c' and the Village of Miami Shores har 1 s f m all legal involvement. Signature Signature C`�wner or Agent Contractor . The foregoing ' nt was ackmowledged before me this The foregoing instrument was acknowledged before me is J day of 20Qq, b y • day of 20 D by who is personally kno to me or who has produced who is own to a or who has produced identification and who did take an oath. as identification and who did take an oath NOTARY PUBLIC: NOTARY PUBLIC: Sign: JAI Sign: J Al� Print: - efYL Print: lvly Commission Expires: � ca 1 � l� o � � ` Z"" My Co K MAAO� ftOnlF. Go* Ad A Rev. 09/19/03) OMB ANa djy � -� �.• Y 1 J l 1 it � A O tit aw.ow PIP - At Dec 11 09 02:46p Air Electric Inc 9545787858 P.1 . . ........ BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm. A -100, Ft Lauderdale, FL 33301-1895 — 954831-4000 N VALID OCTOBER 1, 2009 THROUGH SEPTEMBER 30, 2010 DBA; Receiptft 183-1644 Business Name: AIR ELECTRIC nic Busimms Typw. HEATING/ATRCONDITIQU CON PICT Owner Name: ROXCALW E p .AmImz (CERTIFIED AC CONTRACTOR Business; Location: 12031 NN 37. PL Business Opened: 03/02/2005 SUNRISE State/County/CertfReg: CAC1814432 Business Phone: 954-.957-8282 Exemption Code: NoNmcExpT Rooms Seats Employees Machines Professionals Number of Machines: For Vending Business Only Vending Type: Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paid 27.00 0-00 0.001 0.001 0.001 0.00 27.00 IT THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT This tax Is levied for the privilege of doing business within Bnward County and Is WHEN VALIDATED non-regulatory In nature. You must meet all County andfor Municipality planning and zoning requirements. This Business Tax Receipt must be transferred when the business Is sold, business name has changed or you have moved the business location. This receipt does not Indicate that the business i legal or that Mailing Address: It is in compliance with State or local laws and regulations. AIR ELECTRIC INC Receipt #012-08-00000914 12031 NW 31 PLACE Paid 09/18/2009 27.00 SUNRISE, FL 33323 Lill Dec it 09 02:46p Air Electric Inc � p.2 10050 NE 2nd Ave Main! Shores, FI 331138 Phone 305. 795-2204; Fax 305.75648972 www.rWamishoresvillage.com DATE 11 200 HOLD HARMLESS PROPERTY LOCATED AT: Qo63 f: u44 ,g gate— SL,. -R , 3 3 ( 3 As legal owner of subject property, I request the cancellation of permit number l {'-S --0q- ?? 6 issued to to �l Ay tk C. for the following reason: Date of last inspection: �1 l2'I� /So09 I hereby apply as owner-builder, or authorize (new contractor) MV-PA F,,� 111 �t to apply for such permits as necessary to construct or complete the construction on subject property. I agree to hold Miami Shores Villa9e, its agents and authorized personnel harmless and relieve them from any responsibility or liability for any legal action or damage, cost or expense (including attorney's fee) resulti from the cancellation of the existing permit or the issuance o new permit. I furthermore assume resp n ibi for the correction, if required, of work performed un er t e p for which I am requesting can flat n. (Ownees Signatore) (Prime Contractor -Only if subcontractor "holds permit or " nge of qualifier) . (Print Name) • +;n��.:ot _.. ., MM F. VALVES ,a• "��a'"a� PEQAV F VALVES Notary Pik - SIM of Floes : +` , '� Nd+uy PVW - Slit of r aft State of Florida ray Comm. E+ 18, nu py . 6�ta 18, lo Caen Bldg 0 00 • t» 1 County of Dade:trot�r�, eo�afm�at�mnr The undersigned, being the first duly swum, de � san��lth&t he s e ega o ner o the above property. Sworn to and subscribed before me this day of 2�w� Notary Public, Sate of Florida at Large Miami Shores Village r. 10050 N.E. 2nd Avenue _ F Miami Shores, FL 33138-0000 y b E Phone: (305)795 -2204 z `� Expiration: 1 1 Project Address Parcel Number Applicant 9063 BISCAYNE Boulevard 1132060110051 -63 s Miami Shores, FL 33138 -0000 Block: Lot: SHORE SQUARE INVESTMENT Owner Information Address Phone cell SHORE SQUARE INVESTMENT 3850 BIRD Road (305)779 -8040 (305)970 -0664 CORAL GABLES FL - Contractor(s) Phone Cell Phone Valuation: $ 2,200.00 AIR SOUTH MECHANICAL SYSTEMS, Total Sq Feet: 0 Tons: Available Inspections: Additional Info: DUCT WORK Inspection Type: Classification: Residential Ventilation Approved: In Review Final Comments: Date Approved:: In Review Rough Date Denied: Type of Work: Hood Rough Duct Smoke Test Smoke Det Test Fees Due Amount Invoice # Total Amt Paid Amt Due CCF $ MC -5-09 -34843 $ 236.02 $ 236.02 $ 0.00 Education Surcharge $0.60 Permit Fee - Additions/Alterations $225.00 Check #: 1625 Scanning Fee $3.00 Technology Fee $5,62 Total: $236.02 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. June 01, 2009 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy June 01, 2009 1 C II 14, LIABILITY 1 DA 3120/09 PRODUCER Tammy Umurame Agency THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 8716 S.W. 40th Street ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Miami, FL 33165 ALTER THE COVERAGE AFFORDED 13Y THE POLICI S RFLOW. Phone (305)485 -3989 Fax (305)485.3844 INSURERS AFFORDING COVERAGE NAIC # INSURED AIR SOUTH MECHANICAL SYSTEMS,INC INSURER A. First Commercial Insurance Co 11882 SW 37 Tern INSURER B: INSURER C: Miami, FL 33165 INSURER D: (305) 226-8196 INSURER E: COVERAGES INSURER F: THE POLICIES OF INSURANCE LISTED HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADS TYPE OF INSURANCE POLICY NUMBER p POLICY EFFECTIVE DA p OLICY EXPIRATION LIMITS GENERAL LIABILITY EACH OCCURRENCE 1,000 ,000 COMMERCIAL GENERAL LIABILITY GL- 19907 -1 05/16/08 05116/09 PREMISE Es occurenae 104000 ❑ ❑ CLAMS MADE ❑ OCCUR AHED EXP (Arrf! one Pin) 5,000 A ❑ ❑ PERSONAL & ADV INJURY 1,000,000 ❑ GENERAL AGGREGATE 1,000,000 GEITL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPiOP AGG 1,000,000 ❑ POLICY ❑ PROJECT ❑ Loc AUTOMOBILE LIABILITY CANED SINGLE LIFT ❑ ANYAUTO CA-20603-1 08/18/08 08/18/09 acrid ❑ ALL OWNED AUTOS BODILY INJURY 10,000 A ❑ ® SCHEDULED AUTOS (per perso ❑ HIRED AUTOS BODILY INJURY ❑ NON OWNED AUTOS (Per accldod) 20,000 ❑ PROPERTY DAMAGE 10,000 (p ar eooldent) GARAGE LIANUTY AUTO ONLY - EA ACCIDENT ❑ ❑ ANY AUTO OTHER THAN EA ACC ❑ AUTO ONLY: AGG EXCESSIUMBRELLA UASILrrY EACH OCCURRENCE _ ❑ ❑ OCCUR ❑ CLAIMS MADE AGGREGATE ❑ DEDUCTIBLE ❑ RETENTION $ WORKERS COMPENSATION AND ❑ C STA�� 0 �TH- ANY PROPRIETOR / PARTNER / EXECUTIVE E.L. EACH ACCIDENT OFFICER MEMBER EXCLUDED? If M describe under E.L. DISEASE - EA EMPLOYEE SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT OTHER DESCRIPTION OF OPERATIONS f LOCATIONS J VO4MM I EXCLUSIONS ADDED BY ENDORSEM91i T J SPECIAL PROVISIONS COMMERCIAL & RESIDENTIAL AIR CONDITIONING CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS wRnTEN NOTICE TO THE CERTIFICATE HOLDER NAMED To THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO TiON OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AG OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Jessica HechaVarria An& kbml� ACORD 25 — (2W Re) QF J ' ACOWCORPORATION 1888 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING ECE' V E Permit No. MU) I — Tz—,67 PERMIT APPLICATIO MA f19 FBC 2004 Master Permit No. Permit Type Mechanical Owner's Name (Fee Simple Titleholder) (j° L.. (,.1� Phone# Owner's Address S N l" 1V s' City IM t lgrM ( $ HaiLES State F L- Zip 901 Tenant /Lessee Name G L& ( A�G4yJ + 5QA Phone # E- MAIL: ';'Ue e SNSC COSut_..Tt 1G- Ca,,,4 Job Address (where the work is being done) 904'? 91 SC!A�C Q L V b City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name Alf4- QC7N /-.Atli¢ / e # C t 9 Co , Contractor's Address Q8Z 5CA)- �- - City State ' fi oAl.DA Zip a3 7,� Qualifier Name ,� f� ?E� -c�� Phone # 7, I f 7- --17, State Certificat or Registration No. Cc? � 93 Certificate of Competency No. 0,� 57- . E -MAIL: rY1Ct�/ i ©Z h� i)'!G 1� co"i Architect /Engineer's Name (if applicable) Phone # Value of Work For this Permit $ Square / Linear Footage Of Work: qg�j Type of Work: ❑Addition Iteration []New ❑ Repair /Replace ❑ Demolition Describe Work: r" lE b tfEj - t L x *xxxxxx *rxxxx *rxrrx Feesxpx�xj�x�xrx ,xxxxxxxx *xx�xxxxxxxxxx Submittal Fee $ Permit Fee $ v C/ V CC $_1 CO /CC Notary $ Training /Education Fee $ •rp('�_ Technology Fee $ � -_ Scanning $ 3' Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ _,°�.( p'�. 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. W 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 $2500, the applicant must promise in good _faith that a copy of the notice of commencement and construction ien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notic ommencement must be posted at the job site ,for the first inspection which occurs seven. (7) days after the building permit is is In the e of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature_ Signature Owner or Agent C for The foregoing instrument was acknowledged before me this The foregoing ii,sl r umentwas acknowledged before me this day of , 20 _, by day of 20 A by who is personally known to me or who has produced who is personally known to me or wh As identification and who did take an oath. as identification' Cr oo A 110 EXPIRE: �3cf be 14 91$ NOTARY PUBLIC: NOTARY PUBLI - ,�� pay OF Sign: Sign: Print: u S t. � n!^� My Commission Expires: My Commission Expires: x..r.r.r.rxr. iexi: x iexi:icr.�r.`i;xxxa': icxxxxxxxxxicxxi :at>:xxa•:xrxr. icxxaexxir �cxxxr.xr. Fxxxat rxxxxr.i:x': r. r. �Yxx *'c r. x': r. a'exzr. k�': is ka�xxxx4e r.�xxF APPLICATION APPROVED BY: < `� " Plans Examiner Engineer Zoning (Revised 02 /08/06) �J Y w i I i i I I a i i k r 1 e i I I I I I 1 � I bathroom ; room , a a ml Deshler computer NO I I'll"! consultation U �z menioon� wawng area hairdressers �- statls storage hair dryers • I •I I ..t I .. .I 1 GENERAL NOTES ALL QONSTRUCTION SPECIFICATIONS AND BUILDING MATERIALS SPECIFIED ARE TO MEET AND ADHERE TO THE SPECIFIC STANDARD PRACTICE BUILDING CODES WITHIN THE GOVERNING REGION AS ASSIGNED TO THIS PROPERTY. ALL METHODS OF STANDARDS MUST BE REVIEWED AND APPROVED BY AUTHORIZED ARCHITECT AND/OR ENGINEER AND A LOCAL BUILDING q1 OFFICIAL ( L N Q y THRqTQH THE SUBMISSION OF A BID = � N M CONTRACTORS AND SUB CONTRACTORS AGREE AND ASSUME RESPONSIBILITY FOR THE m VERIFICATION OF ALL SPECIFIED STANDARDS AND HAVING EXAMINED THE SITE OF ALL PROPOSED WORK 7t AND HAVING BECOME FAMILIAR WITH ALL MISTING PHYSICAL CONDITIONS a p LL AND ANY OBSTRUCTIONS TO THE C W WORK. SHALL INCLUDE ALL COSTS REQUIRED TO MEET ALL THE R STANDARDS AND SPECIFICATIONS n FOR THE SATISFACTORY COMPLETION �. 8 �. OF THE WORK HEREIN PROPOSED AND SUGGESTED. • • .. • AREAS .� Gross Space 9 „'� • • • LEGEND m V .. �•or WW �t ci ... 1 3 � �.. . as 4 1 CL 04 4 a N IL III Ic 0 W R are tae awgew s to Ow re aneamaewRkw RIM a u6 mp -6Wmy at Oft fW,t. ao r -d—bW ettppyed -WbMmd 6eaRblwd: mwtam6wn by wrong PpnVm f > aubwntrmar ..d —W sass ero not reapanibRly of mre ra,n. � neoen be made Naaopkaaro d dwasw pipwo awt E by e0 kee wewrtg N '� 'D AU Padb6 b,olttding M9atfeabPbtB A9wd 3 O he—Wb Oft Ibm ks oMlawo, dtr� ego b mw 't O t— p ewdn t mad.% d. 0 z to ana For an Wetataee vdtete approeai o f Me Ownwam — PtawWea,epreewtattvevA- e�.0 -t, an tie Owner tll W alibutetroe9 whim Ow Ow sera approves w bnpwe w wgnreUmo m O regw -L S no wlah 8%MMoe farapptoww hat bq W—W..4 R6 Pmleat QOOrdlnwar oen tot be heW aeepansWie for d,a work tar whbh-.h signm— was mquwted w tap,tlted. The any work and du p,od eM mtmm9we tlret VM be tlemlo WW pewllaagane 1r to Im pr vwotk of easy tam b a be PaaeWed uLew 6pwsllMd. S N - M b.. rook -' paodvab we aequeatea, they bee d O d Any aMan L n -pon nt .t a not bW n th. ftft ft w M b aum8 wm be WOed not Wokwed W tl,e motwaat m e The Wnt newels the fight r m w ftenw m tamatl 6 for 8 M metIn the > E w ban wp ul vab f- approval W aek a S 0 - aanp w p swam enles seas rtes dBOhrw- ert -m ae spewfPBd. spedr" owmn fwfwt6 bahwe btd era not Washed ta. Wabffty a tm ordering w � Q eddM..d Reno deeded end pr-Adw by 0. .... vnw Wa— w .0 G ¢ O morale W ftd to the mwofaabmbw atW ft h&.6 st of a dewgned Rem - aPwe eM Ulalwtethe 'PANDORA BOY@ alwue epwlHOeey wtpPeeae9 g6 toao-reep -ua0y an the pelt w 11tle fl,nt for wm nabae. Ede aaaeb'aplue tvdar A d aft bwhad WoWle 1NB /N mane e0 epeeUled htwe WM et O O and ea Sub ft— wnmaot -B Wad by eente. prav by I HAVE READ AND 1N17VN.8D ALL PROPOSED q DRAWINGS INCLUDING THESE TERMS. TIME FRAMES WHEN OWEN ARE ONLY A Rl3RERENCB AND ARE NOT SUBJECrTO THH RES EFENCE LRY FOR THIS FIRM. OO AGREED. DATE, • I •I I ..t I .. .I 1 I slifl limmulzrii -1 W. �"rm- VVMII.M- milm � I ■ C@ Ot A II DEMOLITION PLAN (Drop Ceiling) SCOPE OF WORK 1- DEMOLITION PARTIAL OF MOSTING FLOORS (Hatch floors) 2- PARTIAL DEMOLITION OF DROP CEILING (Hatch drop ceiling) 3- DEMOLITION OF SELECT WALLS (Hatch walls) 4- DEMOLITION OF ELECTRICAL FD(TURES IN HATCH WALLS 8- DEMOLITION ALL CABINETRY ALL QONSTmwnCN SPECfFICATNM AND BUILDING MATERIALS SPECWM ARE TO MEET AND ADHOW TO THE SPBOM STANDARD PRACTICE BUILDING CODES vaTm THE QGVWff NG RBSION AS ASSIGNED L7 I TO THIS PROPERTY. ALL %FMODS OF STANDARDS MUST SE 1% AEWEDAND APPROVED BY ALTHORDSDARCHITEOrANDIOR ENGINEER AND A LOCAL SUILDWQ • • • OFROML. THRgWQH THE SUBMISSIONOOF ABIOg �•y V • • • . • ' C.ONTRACEORS AND SUB • • . a • CONTRACTORS AGREE AND ASSUME • m • FIESPONSIEILITY FOR THE . • . • • . • • • . • VERUqCATION OF ALL 8 • STANDARDS AND • , HAV WG THE SITE OF ALL PROP08W AN HAVWG BECOME FAMCWAR ALL BIWMQ ` • x tL • • • • • PHYSICAL COII WVgNP AND !! • • C • • • ANY OBSTRUOTIONS TO THE WORK, SHALL INCLUDE ALLCOWN9. REQUIRED TO MEET ALL THE ` Co • • • STANDARDS AND SPOMMORMNS • FOR THE SATISFACTORY CO nta OF THE WORK HEREIN PRO • AND SUGGESTED. • • • j • W b �/ �+ • g�! • • • • • • • • .`.• � ��y • AREAS ti .. �0 ••• O q• € cross S ace � . ®' • Ism floor Wm yells 833' • ' : Ism ceiling 398 5216bami • ' . • LEGEND - so** �• ® • •• � r• z •.. �• //�� : •..I V• I GENERAL NOTES ' ALL QDImTRUCMMII SPECIFICKTKFNS Allen BUILDING MATERIAL8 SPECIFIED ARE TD MBET AND ADFIERE TO THE SPECIFIC STANDARD PRACTICE BUILIMNG CODES WRNIN THE GOVERIMIG REGION AS ASSIGNED TO THIS PROPERTY, ALL F pnmDs OF BTANDAIM MUST BEREVIEW®ANDAPPRaWWWA AUrMFW= ARCWHW ANDJOR I P O ED TI F7. R � AND A LOCAL. OULDING • t • • • t 1 • t` • • •• l UBMRFSIONpPw�F V �` • �� - CONTR ACTOi� AGREB Alm A�UME • � • l j t m� ° • COWIRACTORS AM =18 VERIFICATION ALL SPIED 0 • • • l9 t • • • • STANDARDS AND HAVgd® ®A0� • P • rr �T1HNE 817 OF ALL PROP OSED `� • • • • + A{.L RiYB�At COND�11� • yap • 1 ANY OESTRUORONB TO "lfi$ - - • • i � _� m • • • RK SH ALL INCL irk$ • • ° IIFMTO r • • STANDARDS AND SPECIPICAMM • FOR THE SAMBPACTORY COWWTIM • ° ° OF THE WORK NE 0M PROPYfSPe • • AND SUG®EBTED• : • : �: • • • I AREAS ti • °� • • • • • dross S ce if �* • • •M prop taPOOd now WA 458 ° • . PrOP merbte fionhYM4 480 '� � • • . LEGEND �F • • • PROPOSED FLOOR PLAN ®• $ •• • • •�• z •• • 1 • �� • .. . • g • a CONCRETE SLAB < 0� SUiLOIV� %AG atl s jotAs to'f'u 0� t� Z z PROPOSED MORTAR (As per FBC section 2103) v� � F �t t t� �� o PROPOSED TILE �� ?,wces, ��v GODS. - �9v :jP P" wom. m,lffta an.Po. me emwb7a.t. �� ' a � �• way' a4•'Ar n :•s• ab am nm map.enlbmgraT fteatem. ,,,_.. « • N i ds •. «• ° IM mplA.a bs nmQe to 1p t �; . ,• t4♦ _. ro ,i« ••: ..•: adr - � {.��^ m�a ��e8mamt Mm bra*m - A S., } :�. s. .. • +• •� .. ♦ �'.Fd�• Pewas bdWeB v r '� 's', • d n - a Omrb�rwSuba0arammah.ubatQmmy a+wFm ' P • r d • • r • • . L .i ^ �, 1 �� 7 n l�, t} {, tmnnMa nnr 6rm. 99 eftlms. $atoms. d d. • • y . . V fh l�� Y Z • �• , . j 'g '4: ' 'd� .s. r i� rI Y,i d _ ,1 t� ({ I, h—mW �ahst m aN6m. .. • tP• . .;. . . v - 1 �H �4, �ie�i a a� DrU� " �J �df�9na.a aeOw�. amaau ma. ��f ;'� ,� ,:✓ PartlrsMm YaB eaA on 4ehaC aw p /J / o.nor l wmm m m tn�ms mena9re mefs ei�ovntmbearaa Cm-SITE �agtuead ero aaea a tanenaeaP a hea wm� DETAIL INSTALATION '� ;:� dd U� ar ftr WhtcftWWh PROPOSED TILE 9 Ths mar aimk mw th. WammrawwnteOw w6 1 .r0 b. aWP�d am a— OW a- gmlflaeiy V!f, _ �� m- UmdtnNew6p.nOlar"O.Wammro- NPettim . . of atrytmm to b. vnWW.a urd S sPe � suffice Ie.rrltlwi emm �Mrt�mR a..nn.�n�d ' �g *M*4& Anti aamam�at .qurpm.amam,q,mw,ta nm temeiea m Ur mmo+f.abeaO aml be ten ftm WWW AV. The ttmt raem.as b teaummt - amen wommm, mama or . or equWvWmfw e a in mPm(mmassPe to � ftmd obdftdWW PrwWw bT the esmmet of f— m matt— tarama t. the mmeaamom• mw matmetbn Itmn ar ePme arm irmmae Pie of a aaz%mW NOTES SCOPE OF WORK "B0°°° nre won O .,- a firm ten eote 00 - or mmaa +ba oabbmaphp, mm. mameea.. Proposed the floor to to Instaled over mortar paste (As per FBC section 2103) 1- PROPOSED TILE FLOOR INSTALAMON � � �� 1 Pro nnn ana m evbeadmam,a,caNeea beam.. I HAVE READ AND DnTY1LED ALL PROPS DRA1 UMS INOLLUMM 7FUSE7EMA. TUA FRAMES FOR OV ONLY A R AND ARE NOTIULIEWTD'M FRAMES RNPONB®LLDYPOR TM WMA. AOR@EDO DAM 10 GENERAL NOTES • ALL gON9TRUCTION SPOMON - TIONs AND SLIILDWO MATERIALS SPECIFIED ARE TO &GIFT AND ADHERE TO THE SPECIFIC SrAnmARD PRACTICE - , r r SUILDIN18 CODES RION AS A TO THIS PROPERTY. ALL • /I `�� BE � AND APPRCIIED MUST AUTHORMED ARCHM30T ANDAOR EIISREER AND A LOCAL SUILDINO • • • OFFICIAL. + .• THRqPGH1 TH ED BUSh ISS10N=1FA CONTRACTO AWN am � • • A • •. • r � d CONTRACTORS ACRES AND A& &M • • • r m • • RESPONSISO.RTY FOR THE • f f • • • VERIFICATION OF ALL SPECIFIED • K • • • • • l7 .� 8TANDAt028 AND HAVING • • •• l . ` THE SITE OF ALL \� ♦ ♦ ' _ .. • -.•° - _ E UN TINO PHYSUMAL L �� I �� ♦ ;� ,., , _. - . - "` - ANY OBB'RRUOTIONe To � • • � • • • SHALLINCLUDEALL • TO N�Tr ALL TFB p � P C y� a h'.9 a - __� °� WA111DARDS AND SPECIFiOAj1�/N% • • • • a1 - 1011° {1 I F-. g FOR THE SATISFACTORY COMPI.b7fON e By OF THE WORK HEREIN PROF08110a • • elT• • AND SUGGESTED. AS • • • ARE •�• t• • i Gross S oe • •• rL ""�'"r a i ••••• _ • •• Prop waft em * tit '� • i • • r ♦ r r s f RY' sB °u {� �e d Y ^� •••• • • � LEGEND • . • e • • LtaL Fe.e " F 3� #t ti:. :4 v&;AoY °�s� 1 •••• y� e PROPOSED ARCHITECTURAL PLAN PARVQ84A �� F®E a'W - ..,� � • ... e �• 2 •• s 1- XOURPATWPA$ff1T CN3N87RtW77W.t ,tmiw�vaa�weom.,cwwm mn rams o.ass ,1amt•tt c , • • • • AS Pl3i tA. DID WO. W19 nttrew nuts tnm �. u • • : e � • • • R•Rlaala., -tlatb T. MTaIa• W -G1aa. W0001®1MaTteaYm9aW tWtBOtlO O!ID•Ylaba•4 M10O® ' t1a YOa0aRON'1a101Lm10(OM0.lL BYm.a Otm OmaamlOT®mltw,A04M vtWiW 1 assasoa•aaua, (p 3 z mw�sst' tua wwamo.ameRaas'm. aotmatia tall t�0 O11s�ffi�WAOL�m BRWt,lOA1101°TI46Tg111WL remtmt � mmsrmal.Aaaaa ta'or d sum• au. ntwsltm ,.vrmtaa.,.,a'°niumOO�'�m,s ,w a Q Incandescent light ® m Aa dtllsmws ere m,l.w.t ao tans aA rrt.utlaoe m me ee aaa m111. Au Isa•a,l¢`alt ml�eta.mlamnbam.mm>eee mammar�adl © � W � �mtc eonaamer er " - w „vaou,cm.amosm.max� e�m era twareoputabmamau. mm. _ `:,. - Raao a1dss >raotm amt e. rt m aamanm ar btNhaasi araPffl- maea tmbn b w ttllg m ,Imlmoau era sTplst e5aawrsllt ayaa amvea imasat. � 'O roman ,.•as,.,a"wmaea >mwpa..w,an,maa Ao pt . b • Nmattmu�� Aama anw- d nv.mammwumta,.emamwaa>mro . w. c•ttester o•usmmaoewasaa bmiry mM - barl1 — ate fl m e, anaomr.. :w1•iniaRxilwmalmtr. metro a¢eilnt all alei�i a Z SCOPE OF WORK - • � �° ° �° 1 -2 HOUR ASSEMBLY PENETRATION as bsbmea Orwlar (a1a'OWIMf Raprer�1�r °"°°°"°' 1•et.a tM*A I .Q 1- CONSTRUCTION PROPOSED WALLS wet. ,'ro�eYarroml •lsmamo..eftepp..M -h- put-- swwfts b T®rb�,a101aa 11 2- INSTALLATION DOORS °” O � d° tslNltaa em mmamanaaaemea nft aauaen 2 •WaamgmmNMYfaM vmunmm.aasessa•a. PraRatet. 111- PION. Wok Wh aml 0 is U aamala081aMTNa'POIOaG11. a 7' - r111Q11mm11 a6 mlml.aaamvmma.moaa, mv.�em aartaralwmu..am,e tm mms,®aeeltma eaoael vetmKasttsawsu,mae 9s mtllr a e Uw a d id as Plat„atamlt nretmiata ast ommmom calms da ha in dnn me ase am am vx to of a W f awlaa o e pra �mm. Ito a91- W O smi[ at W wo brats -a F-*W apafhd. a , tb. teat[ 1 -attmb era ragsMad. mwxlsa btmia rwtofmmmsd NOTES a° a ° WM be � Sat Wtw. T b m aanateo o fm aew i- All proposed DRYWALL test No. W1 210 FIRE RESISTANCE DESIGN MANUAL. One layer of 8/8 type .qtr. fW a • am rb11t metAma e4meatl.e- aWmta, as wfw. m tea! veneer base applied at right ang les or et,wm,•anW. �� b --a g parallel to ea. Side of 2 - 5/8 mtt. � � � - d X gypsum well board or veneer Studs 18° C.C. wli type S dry wall screws 8° C.C. to vertical edges, top and bottom runners and bau b dawo o—d t d—d m tma s>,fa6rq ar m r-9. ILfr 90 GV t eas 1 r C.C. to InterT edlate etude. -wwea sr are reommlta s a aarra An G alma eabbd m am aimtlda�tlsaa eat trsb�etlml IF at Stagger all vertical and horizontal joints 18a C.C. ea. Side (NLB) & R -11 Insulation (min) between WA Stu ot�iumeo. anam alem ma t�mePeaabab,n.ab.aaal 2- All proposed DRYWALL its support at the lateral exieting walla, stab floor and the upper metal stud p U by O P !"•�• mm eat a0 mmmalaeonw. -aRwet b .mae. - 3- Instlation 3 Un. Package Sliding Doors (As per owner design) 1 HAVE HMO Awn ffMA M ALL P A W WW W= aJOWDM TH5=TMM DETAIL PROPOSED WALL eT1� R FOR TIC Pa1N . wfRr�» CATS t PROPOSED DROP CEILING PLAN C®LJNG TILE 2 x 4 ARMSTRONG OR SIMILAR CEILING TILE 2 x 4 ARMSTRONG OR SIMILAR DETAIL PROPOSED DROP CEILING SCOPE OF WORK 1- DROP CEILING PROPOSED INSTALATION • . • • • .� •• •• b •• •• • • • i • • • s • •..t. ! f • ALL gONSTRUCIION HPBCIPICAnONS AND BUJIMING MATERIALS SPECIFIED ARE TO MEET AND ADHERE TO THE SPECIFIO STANDARD PRACTICE BUILDING CODES WITHIN THE GOVERNING REGION AS ASSIGNED TO THIS PROPERTY. ALL P& - THODS OF STANDARDS MUST BE REMEMIED AND APPROVED OVA AUTHORIZED ARCHITECT ANDJOR ENGINEER AND A LOCAL BUILDING OFFICIAL �qa THRCgIOH THE SUBMISSION OF A Bid CONTRACTORM; AND SUB • • CONTRACTOR AGREE AND ASSEME REBPON8IBWTY FOR nffi VEROWAMON OF ALL SPECK • • STANDARDS AND HAVING tG ` TIIE SITS OF ALL PROPOSED VYYf AND HAVING BECOME FAM6JA0] WWW ALL EIR'ITN6 KCAL CONDITIONS AND ANY OBSTRUCTIONS TO TKN • • WORK, SHALL INCLUDE ALL COSTS I8QUIRED TO MEET ALL THE STANDARR AND SPECIPI • FOR THE SATISFACTORY t �• OF THE WORK HEREIN PROPM, • AND SUGGESTED. • • • w�`I �/ ARFAR • . • • • .� •• •• b •• •• • • • i • • • s • •..t. ! f • PROPOSED REDISTRIBUTION ELECTRICAL PLAN A/C A Luc B 1 Atc p A/C 3 B AM A AtC B 5 A/C A 7 AfC B REcEFmcAL & uawm A 9 RECE1mcAL & uaHTs B RECEPTICAL & uaHTs A 1 REcEP'17cAL & uaHTs B . REcEPncAL & Li ews A 13 REcurncAI. & uGHTs B COMP A COMP 15 B REFRIGE y 7 NOTES REF RIGERATOR 17 B 18 B 19 B A 2 , i A 1 B B A 2 A 3 B B B 25 B 27 2 4 B 29 1 -T -E INDOOR LOAD CENTER 126 AMPS. MAX. 120/240 VOLT'S. ACI PHASE 3 WIRE 206/120 VOLTS. ACI PHASE 3 WIRE EXISTING ELECTRICAL DIAGRAM PANEL t, ,T X7.1 ALL QONSiRUCTION SPEDIFICATIONS AND BUILDING MATERIALS B PEcugw ARE TO MEET AND ADHERE TO THE SPECIFIC STANDARD PRACTICE BUILDING CODES VATIM THE UAWIMNINGI RERION AS ASSIGNED TO THIS PROPERTY. ALL FQBTHODS OF STANDARDS MUST BE REMEWED ANDAPPROVBD OVA AUTHOR® ARCHITECT AND/OR ENGINEER AND A LOCAL BUILDING OFFICIAL THRqPQH THE SUBMISSION SPA BI® CONTRACTOR MID SUB • • CONTRACTORS AGREE AND ASI MME REBPONSfBLLRY FOR THE VBR�ICA770N OF ALL SPE U-ft* • • STANDARDS AND HAVINQ • THE SITE OF ALL PROS AND HAVING BECOME FAMWASWWV ALL EXISTING PHYSICAL CONDITIONS AND ANY OBSTRUCTIONS TO TIM • • WORK, SHALL INCLUDE ALL COSTS REQUIRED TO MEET ALL THE PINNAMMI STANDARDS AND SPECIFICATIO118 FOR THE sATISFAOTORY COC EIA'A11 OF THE WORK HEREIN PROP.. AND SUQO W-M . ARFAI4 0000 •.•• V , T" -. N I the • c4 M ff 0 d "47,� ! taco and .p s _ 9 Pe. eo ttutarmea ,� aPwa-1 ar ebe..wwme' n-d-4 M-Or W� ffl.� often m de. -lwde e. tattle of vm* of w Wl a tstDbs bn stad,O tl. R um NO O A Trs 6 2 B Tr9 4 A EMERGENCE uaws B EMERGENCE uaHTs 5 ,, d: 6 A EMERGENCE ua HTS B EMERGENCE uaHTs p F a d p3 A:a I, 8 A slNa +� B SING A G 10 B ,T - 12 A B Le� 14 B y 7 NOTES 1 c B 1- EXISTING LIGHT FDCTURES TO BE RELOCATED: 23 CM 18 2- PROPOSED ADDITIONAL ELECTRICAL OUTLETS: 16 3- PROPOSED ADDITIONAL PHONE OUTLETS. 3 0 B 4- PROPOSED ADDITIONAL TV OUTLETS: 1 to 2 , i A B 2 A B 2 4 B 2 A B 28 A SCOPE OF WORK B 3� A 1- CONSTRUCTION: PROPOSED ELECTRICAL CIRCUITS B 2- CONECTION TO EXISTING ELECTRICAL PANEL EXISTING ELECTRICAL DIAGRAM PANEL t, ,T X7.1 ALL QONSiRUCTION SPEDIFICATIONS AND BUILDING MATERIALS B PEcugw ARE TO MEET AND ADHERE TO THE SPECIFIC STANDARD PRACTICE BUILDING CODES VATIM THE UAWIMNINGI RERION AS ASSIGNED TO THIS PROPERTY. ALL FQBTHODS OF STANDARDS MUST BE REMEWED ANDAPPROVBD OVA AUTHOR® ARCHITECT AND/OR ENGINEER AND A LOCAL BUILDING OFFICIAL THRqPQH THE SUBMISSION SPA BI® CONTRACTOR MID SUB • • CONTRACTORS AGREE AND ASI MME REBPONSfBLLRY FOR THE VBR�ICA770N OF ALL SPE U-ft* • • STANDARDS AND HAVINQ • THE SITE OF ALL PROS AND HAVING BECOME FAMWASWWV ALL EXISTING PHYSICAL CONDITIONS AND ANY OBSTRUCTIONS TO TIM • • WORK, SHALL INCLUDE ALL COSTS REQUIRED TO MEET ALL THE PINNAMMI STANDARDS AND SPECIFICATIO118 FOR THE sATISFAOTORY COC EIA'A11 OF THE WORK HEREIN PROP.. AND SUQO W-M . ARFAI4 0000 •.•• V , T" -. N I the • c4 M ff 0 d "47,� ! taco and .p s _ 9 Pe. eo ttutarmea ,� aPwa-1 ar ebe..wwme' n-d-4 M-Or W� ffl.� often m de. -lwde e. tattle of vm* of w Wl a tstDbs bn stad,O tl. R um NO O .A. 190=; Wlmd ar hegp1 W- m d 6 r.gelt-d. am mM8wM..af wapma -ihq bean www-a. th. ftwwnx w�emOw can rot m fWa teBPm -IDb faf NO awk far Mdeh amh nw-u e Th. be pp d as w Ptedaot.tad mtdn,eb "m b- ,hat .P m . d k w -. VW u -. No OM -s tattle of vm* of w Wl a tstDbs bn stad,O tl. R um NO O s - wed ato e rewwtaa, M-p M m l * p a ea,.i .tale M b to MU a9- nMUa Mw n.m.atrmm� a•aammn M- t-t a w.a ma -fao d . m m tweed mt bud t tam M- tetmnnM m ere- u3wm w vud matelot- «Mesa a to MpWve -eweauot-. 1 nl . ar nvmd U M - sand. ad. w mw q f oramt�can t- tdaWwetpea.l -d. f mspau - ftwh ft tad as —1 Rftd U6 kw-w r to ese et aim t- tlaml Gadtd~Md Q Randsd by aw - trotenendab" of OMIa M G n.dmw 16%Wd t. aw Upd�Mm1 a . da.V.md •em ar aesm teM imlud.th- oinw.Mre. ,wgountm . M tmn-a, mmM/ed h-- .M at.w-a umlmle Oft f to —d .0 subeenaa.tw. eneehl-d W mm i W W8 READ AND VWIA= ALL PROPOSE f0iF ENCE AN B D A MEN MEN AAM ONLY A R � D ARE MON. Dr �TOT►m RESPONSIMSM FOR TIM A OATS, 10 • i • • • • s A B i exist drain 0 2° GENERAL NOTES exist drain 0 4° exist 0 1/2° PVC ALL gONSTRIICTIoN sPmFICATIONs • AND roaoa�IG NIATERW�LB ePEtsIRED ARE TO MIEET AND ADHERE TO THE VER CONVENTIONS BUILO G CODE PWICIIOE exist plumbing to be removed GO CODES WITHIN THE Exist plumbing TO MOS NG RE AS ASSIGNED To THIS PROP@iTY. exist 0 112° Cu Hot line ALL IIMMMODS OF MANDARDS MUSr HE REVIEWED AND APPROVED EV A Cold line AUTMOR ®ARCF°rHOT A^mJOR ENGINEER AND A LOCAL BUILDING Exist drain % CFRCU - t � �• • Vent line • M*K5SGH THE SU NAMSION QF A H% S9 • . • CONTRACTORS AND SIM • • CONTRACTORS AGREE AND AGGIVAE 4 t0 REBPONSIWLRY FOR THE • • VER RCATION OF ALL SPECiFR0• • • • • • • STANDARDS AND HAYDiG • THE BRE OF ALL PROPOSED • \ • AND HAWSVG BECOME F b y • • • ALL EIOSTING PHYSICAL CO M C • AND ANY OBBTRUCnON8 TO • G WORK, SHALL WCLUDE ALL tXJ8T8 ' •�•' • • • (i80UHiED TO MEET ALL THE � BTANDARPS AND SPECIFICATIONS 4 7W. 0 dam.• • • • XI SAITSFACTORY ESTING PLUMBING PLAN NOTES: O THE H PRDp t� W' � ' AND SUGGESTED. • • • • • . • 1- ALL PLUMBING WORK SHALL COMPLIANCE WITH THE AREAS • • ' •� • • • • t 3 • FBC Plb. Code 2- THE SHOWERS MUST HAVE ANTI SCALD VALVES' Gross Space 1 9101 • • 3- THE FIXTURES AND FAUCETS SHALL COMPLIANCE THE ZZ • • ! • • • _ `r FBC Plb. 604.4 FOR THE WATER CONSUMPTION RATES LEGEND • • • • � • • • 4- THE FIXTURES SHALL COMPLIANCE WITH THE STANDARD so* • • • •• AS PER FBC Plb. CODE 406 thru 421 • • • • J E] l •• • Il SCOPE OF WORK F. I $ • a •• • • • I • 1- ADD NEW PLUMBING LINES FOR RELOCATED • • y • • ' WASHER/NON VENTED DRYER • Q PROPOSED GENERAL PROJECT proposed 0 2 PVC vent each 8' proposed 0 2 PVC vent each 5' o exist drain 0 2° proposed 0 2° PVC vent Z exist drain 0 4° existing stack proposed 0 1/2° Cu proposed 0 112° Cu each J kR pro C prop4 ii w3d 0 112° PVC Mdlmsnebta astevedflai �.°. ae. ad wblea exist 0 1I2° proposed 2° PVC san o 0 die ,tim A° proposed 0 3° PVC 1/4 slope h =1a Cu m @ 1i4 elope arm enfador°dett+m. 14 � exist 0 1 PVC X. exist 0 112° PVC St 0 1/2° Cu IWO" or uae t°ePaam rnseH6g proposed 0 3 PVC set 1/4 slope abaa.dw�.�dbrmPa°.,ava..d . Au puttee aet� � aaaaonamavommmmramabrtaaubaw r � tmmbn ad. ftrm, m offlaa., dbeotorq agwm- proposed 2° PVC San ` an $ $ @ 114 sloes h =1a & proposed 0 1/2" PVC pr posed 0 i/2° Cu IL Rw ae bedemq vdmte approval of pf.Owtt m.md. tn. Owmrmmo.gN off a, m d=o—ft a W wb�a.beaaa onbemv.. proposed 0 1I2° Cu ae,.. tat. w.ta.1 mma.ao.. proposed 0 1/2° PVC .mesa. a.oere adiWOVet arimWda aelpn.bde b Pmww tf ee x* almmb.eforat�evait h. been ta raw-n d a. Po-otea oat twf be dd Ter .Mat.mb.tmmbm h =14 Tbw of yak — d am Wedwbam mebebftd d vm be .appeal me ems. ame at..re°mmw deeawed in dravbg WMWspeaMMS ro Me 40M v k of aeHam b to b. Wedded antwaepaoBpd It eddownid teak a W-how — regawt"4 m w aeaXbe4Ubndted Mvaaten mne 'mnemannmC dfaWbg. Any adaeaWt equtperReaatapaumb 'm b"M~ a dm nomad eobm VM be Med meada. I w aWai value far aPpaval a er wad aeteea -M d oreemWrnRS Gan nadsMa er perfa m ae aPaafled. tnbwaate betasaamnroedbmb a are e."am w edaataml bum dea ttea bm sal PlaWftd by me teemwmn wz— of mbe m mattes slam to die maedeaaNm eat imdeoaamt v a e dwttWSd gem a aWme wm M.U."Ne 'PIRA tmoe slams. vedeh apeo®oeePaaawem tmt b.%ftr% ambl bmtm pmtofaw apnforaem O® of to b ttre, ealaato aM a a eXach a kX*W ar m ww an m map.aaNd and atmo y tremlae pd. tbm am tboaamma Pro-um b y aeeos. 1 HAVE RFAD AND MMLE ALL PROPOSE ORMN&M OKKA DING THEW TERMS . TLLMR PRAlRHB INi®11 OM311 ARE ONLY A R AND ARE NOTSUEJEDTTO THE RBSPONBBOm POA TtI� WRtd. A.AEEt DATB< PROPOSED PLUMBING PLAN 106 3a NIOFw 7 t 9 e TO COSTA cnnona d wn�ee�► ' w Rt it PROPOSED MEC14AIU1 .am n a i • '5 0000 0000. • • • 0000 • 0000. 'Ct rM. 0000 0000 � • � 4 . .. .:..at: . '. M IAMI SHORES VILLAGE . a . • • .< 0000.. ♦ .. •.•.•. - ' .... DATE . � 0000 0000. 0000 . .... 0 . .0.00 . • 0000_ .. 0.000. ' ZONING :0000: �,: �'•: � . h STRUCTUILAL ELECTRIC PWMBING MECHANICAL r BLDG. SUBJECT TO C®PAPLIANCE WITH ALL FEDERAL.. ` STATE ARID COUNTY RULES AND REG iLATI ®NS I GENERAL NOTES ALL gONSTRUCrION SPECIFICATIONS AND BUILDING MATERIALS SPECIFIED AM TO MEET AND ADHERE TO THE SPECIFIC STANDARD PRACTICE BUILDING CODES WTIHIN THE • EXISTING LITERAL WALLS WITH DOUBLE DRY WALL PARTITION EXISTING LATERAL WALLS WITH DOUBLE DRY WALL PARTITION GOVERNING REGION AS ASSIGNED TO THIe PROPERTY. - -��` \� ® ALL IITi HODS OF STANDARDS MUST BE RE AND APPR OVED BYA AUTHORIZED ARH1JTECT / \ ENGINEER AND A LOCAL BUILDING OFFICIAL • ` + g RuuamartcennenOa••"OH neC�rtarnxeA V 8 THRQjIGH THE SUBMISSION OF A BID CONTRACTOR AND SUB r WAS TRATM®iT BPATRATMf3•Qr CONTRACTOR AGREE AND ASSUME � rA \ ROOM ROOM / � 0 RESPONSIBILITY FOR THE t .., i VBETIPICATION OF ALL SPECIFIED 7 STANDARDS AND HAVING EXAMINED i THE 817E OF ALL PROPOSED WORK t DOOR "^" Y. 1 14NO HAVING BECOME FAMILIAR WITH LL 1 1 ®ISTING PHYSICAL CONDITIONS D ANY DESTRUCTIONS TO THE W I SHALL INCLUDEALL OCBTS ® 1 IRED TO MEET ALL THE REQUHUM � STANDARDS AND SPECIFICATIONS Z 9 FOR THE SATISFACTORY COMPLETION \ a NWA /I� I t OF THE WORK HEREIN PROPOSED �I • AND SUGGESTED. • • • • • • AREAS • + •.� • FM m • ®ENMOLUGHM r _! DRrm:AReA rgluasTrafrewTmw lgnLSeR+�ARrA MAw=uTmwrmA Rtrrm AReA GLOSS S Ce g88 • • • •• • • EXISTING LATERAL WALLS WITH DOUBLE SHEET DRY WALL PAR77TION EXISTING LATERAL WALLS WITH DOUBLE DRY WALL PARTITION so*** LEGEND ••• 'd)* $ • ga FIRE PLAN • f•• : 1 9 rmrwmmpnanpmmrww mw • • • •• t -HOUR RA' AS P Do M PARTRION CONSTRUCTION avoew wa�a , • oR eoHlowa® Br IA DHSION Na Matti • � • frinre I SM IRA= JFM —1 MAMOM. p. aalw. -1 ems W. ® 1 8'4r.&4ri ROOM I so I viwn r.waam.w -roam. a IL ewrawaaam op aamwm.ana•, rw.m NOT eDOBTDI• FIIr6 erplmOa.mra ST•,TitJ mm®r. Y1° araa ° 'wn raw r.ueoe- o.we�rarm O X wwMUN R FlA•® •FRrtAO ommco-�m •MOIrB.OaTretoF® Dmrof o-aeo °' m��amw�,�u m: eon m..e..or�m�. er..a "•• wmmuameuc..ar ee io�wwe®u.amumaaaam fmArr9+. SYFA=Ft MADRK •1'ATION 0®9 Incandescent light s And1,n- 1— arat.ve -wd m,.de ererrmmml.oe ;-,� z- ; m fh. ragrams0q of tide dm,. w. rwmmme � � m euwnwa aA to �4rt�on oak L (°a a..bo . or mmamrommr � a., ° �' � �3f merarfeabwr0 sear.. GENERAL NOTE. ��'fi4E�9� r ��E�ce and ar•rotreepm�Ipgr of tide gym. M s ALL THE WORKS SHALL COMPLY WITH THE FLORIDA FL Y V, K � � � w � In ; °' ""-' t A S,FT=F��TI E I maesemrmeb.mTk FIRE PREVENTION CODE AND NFPA 101 LIFE SAFET CODE U l PEE` CE t An k4madupaairm Aem. =Ww ��,�"_ 6oMeotmor& r6omdreatm.heaketmetnmreratla -a � d �FPA `d01 UFO ..> z mnpsyms tram ens mmkst warns, ame••• =wis taapaa,anw, m. %rman.aam. wawa,aoavam. - . M kutmme vdmrear— epw-w of Me Cwt — 1 2 HOUR AS ,•C —SEMBLY PENETRATION °°-' r�.aea o� R" . anan to an ® 9 SCOPE OF WORK '�`�� °A— `"" - d1 sime�.am ®w, ae w .,*aethe msu aOp M� . raumumonvaosxetee wgW,e -. S,s awhw�eYmB r >ev n. r has new pearl - e-. 8m W 0 J e = k Ran m 4e M suw,rao.wr .a.ewau reepmslW. for n ris for n-wr —h elenenae CONSTRUCTION PROPOSED WALLS .mme.nn,a o>om. � .ors v�� ,u.,rrseanmr armor - sgrsesa ar svaue -. y a .terse 7tee =V rook mw dm ymim to and nmmnaw mm 2- INSTALLATION EXIT SINGS l 3- INSTALLATION FIRE EXTINGUISHER Off —k a m,pfonnsmraw.rl-easns...p.am.a. d� G u ammmmr . s ma w k w p- me te dime mumbe subnvftd vedunammpanm ,e ormm ®- ! arm tm. aw addM W agwwpsm- a.aampevsns O� n d t trmme m ds mmn -mnwq wm bebmea NOTES d � yy ,� a nm ,t„ . �.u> Q �, "s -2 V E at0arrmdlar peotlrecte, matan es or m trmmreot ay S' equal- t- f..ppr. in ds.am.easesaaens ° woempanieeo n0deprsorpmfmm aeapeodbd. t 3 7 �� ,b Ommnemrmas kewm. due mn rrm osmed s. kmbmw i- All proposed DRY WALL test No. WP1200 FIRE RESISTANCE DESIGN MANUAL. One layer Of SIB type A w} 5 v r ; to ,,,, muadrs eddffi , dwrsaemueda� c o X gypsum wall board or veneer bass applied at right angles or parallel to on. Side of 2 - 6/6 mtl. °br m "° A0 Mkded to Studs 18 C.C. w/i type 8 drywall screws 8 C.C. to vertical edges, top and bottom runners and ®� p- t�'^ . - nu,. - ,, rAptOORA emc osv.e, wdab epaodtae0y mrprearos 12 C.C. to Intermedlete studs. u.n ..pm�lbmaandspmtmd- .dwnta.aat. OO ra:�.....�,�.:s�� -... ttra.odrermrmeeemf. Stagger all vertical and horizontal Joints 18 C.C. ea. Side (NLB) & R -11 Insulation (min) between — Aufmrnea ..pe.m.akmammadaok.d....du. studs. ram and m aubm ftvM na pearled byaems ro DRY WALL Its support I trw Reap aAM ING THE ALL 2- All A proposed Pport at the lateral existing walls, slab floor and the upper metal stud proposed. DRAwwoaerruOLwwOTTm�eTmana DETAIL �STIN© LATERAL WALL FRS LI A L RHSPONSBLLrrY FOR THIS FSN! . AOR®r DAM � I wasnNA LATERAL WALLS WITH DOUBLE SHEffr DRYWALL PAMMON FIRE PLAN SCOPE OF WORK 1- CONSTRUCTION PROPOSED WALLS 2- INSTALLATION SIGN 00ST8 ' 9- INWA"TION FIRE OffINGUISHER wwnNe LATERAL WALLS WITH DOUBLE DRY WALL PAR MON a,�waa>< � aaaa�a a..avaaa anweo� awnw�o TOYRP. aMYi 1l.Y POlw AaawaPaaaaalM rb.abaaeMaWLtwa TM aw aw{alnM NOTES 1- All proposed DRY WALL test No. WP1200 FIRE RESISTANCE DESIGN MANUAL. One layer of am type X gypsum wail board or veneer base applied at right angles or parallel to ea. Side at 2 - 8!8 mtl. Studs 18' C.C. w/i type 8 dry wall sorews Sn C.C. to vertical edges, top and bottom runners and 12° C.C. to Intermediate etude. Stagger all vertical and horizontal Joints 1S' C.O. es. Side (NLB) 8 R -11 Insulation (min) between studs. 2- All proposed DRY WALL We support at the lateral existing wails, slab Boor and the upper metal stud proposed. DETAIL EXISTING LATERAL WALL • c � Ic V a � • • • r W • L� • • 4 •• a O rraordaabang a. awdavit ' W andmnorraPx madaam. � oawmwaaorrrmnemim f 1 -XO{Ai M76D PAIt7I1IOti SON aror rest .aawna eroaa Taaaaa rows > u AS PM UL OMM Nor f1419 anwr wa+o , ail 4WhV11h tloM r- aavw.�aacxr. $ p - bwtawaa adfwa appov a1 a» Owncm T- a1neN.tpatlta M6 aiMTa9a�M'Tna YarD waYOwO oiu»a ftntwwn - « m wfmraaw•wfmraaPpr .squb sd. ano aeff a *owdh% tor appravet [worn a ftr TAIalwrt,al ;:::= fbr why awh aftnews . a,�waa>< � aaaa�a a..avaaa anweo� awnw�o TOYRP. aMYi 1l.Y POlw AaawaPaaaaalM rb.abaaeMaWLtwa TM aw aw{alnM NOTES 1- All proposed DRY WALL test No. WP1200 FIRE RESISTANCE DESIGN MANUAL. One layer of am type X gypsum wail board or veneer base applied at right angles or parallel to ea. Side at 2 - 8!8 mtl. Studs 18' C.C. w/i type 8 dry wall sorews Sn C.C. to vertical edges, top and bottom runners and 12° C.C. to Intermediate etude. Stagger all vertical and horizontal Joints 1S' C.O. es. Side (NLB) 8 R -11 Insulation (min) between studs. 2- All proposed DRY WALL We support at the lateral existing wails, slab Boor and the upper metal stud proposed. DETAIL EXISTING LATERAL WALL • c � Ic V a � • • • r W • L� • • 4 •• a O rraordaabang a. awdavit ' W andmnorraPx madaam. NaaaPMR orW - a rnwdMafaroraalbamadato f deacc W hdeamtmt pnapa/ mdaoa inwdlbq and alanad afpaamwd Mora Palm. haawm M POWs maiam v MMVmwpabq Aaord OMVor aanbawra arm own bo o.." aM hm hannmsa taaaa� dtaat'm . - a and ail 4WhV11h tloM $ p - bwtawaa adfwa appov a1 a» Owncm fwdW, ar ownaratadl aim core+ daamfwfba' oiu»a ftntwwn - « m wfmraaw•wfmraaPpr .squb sd. ano aeff a *owdh% tor appravet [worn a ftr prowdaa. to ProJaattSOard6Yta ben raA a herd ;:::= fbr why awh aftnews nm mdy wort and am P'oawfa normoLSUU ate wpi be *up~ m amore and m .pewaaaoy t dewdbodmdmwhgaatlAorspadMW8§0m6 Naaatr � watt or argrantn mta ba mdsaa grsatllsW p admwrf work a m ragYwOttl they muatba aarMpolnwdpenorfrnWfwfdaran� haafa= addlaarl aqulpaerdara�.aannti � the Vr1Q mom. W or a9a.ivaWOwr apPaad m am a and Mteorod sera a0amPWd0* nt0tAeetwrWPW1W1 "GPeaaD& awmnPwmwuwmaa butmnat9Mfmdw hwbWty to a.. aa In w addMaW +twat doraMd and p+oYtwd by to oromanwoma " of oafm. A4 C matt.. Mmd ft aw navadaefahro and hrdatisaaf 01 a dwwwd Pown ar apnea vd[I hmaamaro - PaMDO3t0.600C.elaw.whwlf apov0be8yegmgap ar �e�aa�raw pwl of ada Nmteraoes 01 +mate. ores, aafaabagwa. w ar mmef saw+. An foram a �PSemad Iwaa tad aasawd hmhms am 00 fi a0 •mard,aamra Pawded by Soma. I tatva FMM AND MUM= ALL ate A •• � M • •••1• ••" •••I•• i 1 -2 HOUR ASSEMBLY PENETRATION t - F�rh f f fsf• ••f 00 fs 9 arm' . •fff•• � • f • f e •f•• f • • • 4 .,,._� � •ff•• ff •� • •f•f • f • • • f a -a �:1 •fff•• f•f• •• •• ¢ i° DERM f f•f• f • • 6' '� - �� i _ 3 LU PLAN co REV p iP FINAL ........... APPROVAL E ` aV l w ""'• l A�Itt�3 � S�l�'.f�. �'Ri�'+5�9. �tJ �� '��3�Y`�x`d 1'�';�k { DEPARTMENT OF ENVIRONMENTAL, IWCA.� iBWW09ATOMEI �Ctf�Bll C.�u'RID tdT' 7''A"�" :Y�+� �'f�lE YNdC'i'tON. RESOURC.: MANAGEMENT CORE REVIEWER (PRINT SIGNATURE DATE -� DISAPPROVED BY: 1 p kC F A EAUI D Ito = � Es 2 1-11 IT SPK ON S ITC TY - M IAMI-D WA TER 6 H 5'NI S 10 APPROVED DATE • s i t �,. 00OM749,% iji s�4R �{ Miami Shores Village��t?Cl11�L'`7a� 10050 N.E. 2nd Avenuer Miami Shores, FL 33138 -0000 ` n "k Phone: (305)795 -2204 ?t�iS X201{? Expiration: 081071201 ..... '. „ OR s . Project Address Parcel Number Applicant 9063 BISCAYNE Boulevard 1132060110051 -63 Miami Shores, FL 33138 -0000 Block: Lot: SHORE SQUARE INVESTMENT Owner Information A Phone Cell SHORE SQUARE INVESTMENT 3850 BIRD Road (305)779 -8040 (305)970 -0664 2 CORAL GABLES FL - Contractor(s) Phone Cell Phone Valuation: $ 1,000.00 FALCON PLUMBING (305)251 -7333 Total Sq Feet: 0 Type of Work: PLUMBING For Inspections please call: Type of Piping: BACFLOW PREVENTER (305)762 -4949 Additional Info: Available Inspections: Classification: Commercial Inspection Type: Top Out Re Pipe Main Drain Heater Water Service Final Water Main Lavatory Underground Fees Due Amount Invoice # Total Amt Paid Amt Due CCF $0.60 PLC -2 -10 -36967 $ 104.60 $ 104.60 $ 0.00 Education Surcharge $0.20 Permit Fee - Additions /Alterations $100.00 Scanning Fee $3.00 Technology Fee $0.80 Total: $104.60 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. February 08, 2010 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy February 08, 2010 1 13" V Miami Shores Villag �o�o FEB 04 Building Departmen V,_- ...�.rr.�:: 10050 N.E.2nd Avenue, Miami Shores, Florida 33138BY. ......... • Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING Permit No. Acl.) )Q - 1 19 PERMIT APPLICATION Master Permit No. C C —q- t_ _ 16P 6 FBC 20 Permit Type: PLUMBING Owner's Name (Fee Simple Titleholder) TOH C A bR E R Z d Phone # 3 C> 5 77 19 0�eO Owner's Address a 6A O ZCs S CL o I8 Q E NwueV,,teKjT City 4:�09-AL M ate 1::�(_ Zip Tenant/Lessee Name 6; j 15jALOQ AtA S QWq J�j Phone # 30S -. qkg ,r� . "[ 3 ?) Email Job Address (where the work is being done) C ?0 (0 a , �Sf L&y QAV 6 City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # I I ?3'Z j!? 6 0 11 ®p 5 1 .-,6 - ,5 Is Building Historically Designated YES NO 4 Flood Zone Contractor's Company Name Pw ( &,(6 Phone # Contractor's Address 17-2-10 S Q) 1 21.10 C- t - 1 - City ( State - Zip Qualifier Name 47 / -t A,� C GAc"t- Phon # 0 6 0 61-77 5 3 j State Certificate or Registration No. C Certificate of Competency No ContactPhone I � (9 - E -mail Architect /Engineer's Name (if applicable) Phone # Value of Work For this Permit $ e co S uare / Linear Footage Of Work: Type of Work: ❑Addition ❑Alteration [New ❑ Repair /Replace ❑ Demolition Describe Work: /I�J�T /7�% (.�� OF * ** Fees * * * * Submittal Fee $ Permit Fee $ /00 /h,rti CCF $ CO /CC $ Notary $ Training /Education Fee $ 0 Technology Fee $ 0-7j2 Scanning $ A JU Radon $ DPBR $ Bond $ Double Fee $ Violation date: Structural Review. $ Total Fee Now Due d ktoc 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 co dition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good fai hat py of the notice of commencement and construction lien law brochure will be delivered to the person whose property is bj t o a achment. Also, a certified cghy�"of the recorded notice of commencement must be posted at the job site for the first in, tion hich occurs seven (7) days after the building permit is s ed. In the absence of such posted notice, the inspection will n be 7 ov d a d a reinspection fee will be charged. Signature Signature , k er or Agent J Contractor The foregoing instrument was ac before me this Z The forego, i h ment was acknowledged before me this day of { -��''� 20 by day of ��tJ 20 �� > by J &WS MC Q, I 1 w is personally kno wn to me or who has produced who is nally own to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NO RY PUBLIC: L NOTAIRY PUBLIC: Sig : Sign: - ♦ RY PV — D U A47 �1 ,/1 r, q Print: _'as. b ` Notary Public State of Flor Print: V A4 C r! .• Y i , My Commission z Commission # DD 53491t t'" " "� VIVIAN FERN NOEZ Ffi11LES aF My Commission M} coMvcrsssov r� Bonded By National ,votary Assn. EXPIRES: June 03, 2011 �`� FL Nota D%ww ssoc Co. I.B�OJ•Ntl`C"y rY APPROVED BY `�P1ans Examiner Zoning Engineer Clerk checked (Revised 07 /10 /07)(Revised 06/10/2009) STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487 -1395 1940 NORTH EE we TALLAHAS EE MONROE STI2 FL T 32399 -0783 MCCALL, JAMES JOSEPH _ FALCON PLUMBING 12210 SW 132 CT MIAMI FL 33186 STATE dF FC0 — "A_ -. - AOf" - a8 8 Congratulationsl With this license you-become one of the nearly one million DEPARTMENT OF BII3INES5 AND Floridians licensed by the Department of Business and Professional Regulation. PROFESSIONAL REGULATION Our professionals and businesses range from architects to yacht brokers, from * — boxers to barbeque restaurants, and they keep Florida's economy strong. CFC1425704 08/03/08 08$01733 Every day we work to improve the way we do business in order to serve you better. For information about our services, please log onto www.myfloridalicense.com. CERTIFIED PLUMBING. C6NNT"RACTOR There you can find more information about our divisions and the regulations that MCCALL, JAMES J099PA impact you, subscribe to department newsletters and learn more about the FALCON PLUMBING Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. IS CERTIFIED under the provisions of ch.489 I Thank you for doing business in Florida, and congratulations on your new license! sxviration date. AUG 31, 2010 L08080300171 DETACH HERE AC# 13 STATE. FLORIDA DEPARTME T. PROFESSIONAL REGULATION cows s $'RY' • . LI•CENS ING BOARD .A`..�,�`s' :i:j' :`;::.i. •,r: SEQ# LO'80803003 7: DATE BATCH NUMBER L CENS '. R 08/03/2008 08807.7334 .•..CrC.14.::-r�=7 The PLUMBING CONTRACT'.C1R Named below IS C9R*T- IF7::k '- k { :; ; ; -- = t'; Under the rovis�:ons cif ": Cha''i1: Expiration 1 date: AUG 31, 200 MCCALL, JAMFS'.OStiP r FALCON PLUM-BtNG 12210 S%d 13-2 MIAMI FL 3 318 6 CHARLIE CRIST .ct _ .f = ,' '• •'' :; CHARLES W DRAGO GOVERNOR SECRETARY D%0 LA BY LAW ACORL7 CERTIFICATE OF LIABILITY INSURANCE OP ID J3 DATE (MM / °DYYYY) �... FALCO-9 02/01/10 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Brown & Brown of Florida, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE '00 N. Andrews Ave. #300 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR F'/ ,o Box 5727 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Lauderdale FL 33310 - 5727 Phone: 954-776-2222 Fax:954- 776 -4446 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: FFVA Mutual Insurance Co. 10385 I NSURER B: Tudor Insurance Com any 37982 Falcon Plumbing INSURER C: Commerce & Industry South Dade Plumbing Inc Y Ins Co+ 19410 12210 S.W. 132nd Court INSURER D: Miami FL 33186 I NSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY ATE MM /DD/YYYY DATE (MM/DD /YYYY ) LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 B X COMMERCIAL GENERAL LIABILITY GL00006148 03/10/09 03/10/10 PREMISES (Ea occurence) $ 50, 000 CLAIMS MADE � OCCUR MED EXP (Any one person) $ 0 • Contractual PERSONAL & ADV INJURY _ $1,000,000 • XCU Included GENERALAGGREGATE 12,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS- COMPIOP AGG s2,000,000 POLICY X PRO- LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY NON -OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO EA ACC $ OTHER THAN AUTO ONLY: AGG $ EXCESS /UMBRELLA LIABILITY EACH OCCURRENCE s5,000, C X I OCCUR 1:1 0LAIMSMADE BE014624381 07/15/09 03/10/10 AGGREGATE s5,000,000 $ DEDUCTIBLE $ RETENTION $ 0 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY X TORY LIMITS ER A AN FICER/ RIETOREXCLUDEE ECUTIV� WC84000194892010A 01 /01 /10 01 /01 /11 E.L. EACH ACCIDENT $1,000,000 (Mandatory in NH) L-1 E.L. DISEASE - EA EMPLOYEE $1,000,000 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 1, 000, 000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS Certificate Holder is named additional insured with respects to general liability as required by written contract. *10 days notice of cancellation applies for non - payment of premium CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION MIAMISH DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Mi am i Shores Village 10050 NE 2nd Avenue REPRESENTATIVES. Miami Shores FL 33138 r ACORD 25 (2009/01) l 3 0RATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 02/03/2010 22:36 3052541454 FALCON PLUMBING PAGE 03/03 STATE OF FLORIDA DEPARTMENT OF BUSINESS AM PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD VM 1940 NORTH MONROE STREET (850) 487-1395 TALLAHASSEE FL 32399-0783 MCCALL, JAMES JOSEPH FALCON PLUM33ING 12210 SW 132 CT MIAMI FL 33186 Congratulations! With this license You become one of the nearly one million - STA* - & - Wj:zi0jaA - --- - 3- 88-9-21 DEPARTMENT OF BUSYNESS AND TE** Our professionals and businesses DEPARTM Floridians licensed by the Department of Business and Professional Regulation. JM nesses range from architects to yacht brokers, from PROFESSIONAL REGULATION boxers to barbeque restaurants, and they keep Florida's economy strong. E 4 Every day we work to Improve the way we do business in order to serve you better-.* rCFC1425704 •08/03/08 08801733 For information about our services, please log onto www.myfforidalicense.com. CERTIFIED PLUMBING COUTRACTOR, There you can find more information about our divisions and the regulations that MCCALL, JAMES jOSRpH impact You, subscribe to department newsletters and loam more about the FALCON PLUNBING Department's Initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can Serve your customers. Thank you for doing business In Florida, and congratulations on your new license! IS CURTIFIED candor t 1 i 4 i Pco-tviona of Ch.489 NxPirahion date, AVG 31, 2010 L08080300171 DETACH HERE AG# J 3 8 0 0 -9-* 2 0 . ...... JDE ..,..-..STATE,OF FLORIDA N ARTMENT O-P PROFESSIO REGULATION CORStAtyc - - -* Ot ' USTRY - LICENSING BOARD DATE SEWL 6 80803001 * 7' BATCH NUMBE CE S*s .......... 08 03 / 2 0 0 8 098017334 CFC1425-&- The PLUMBING CONtkACTOA Named below IS*CXR.T.Ip Under the p ions 6-f `A 4! EXpiration date: AUG 31, 2 10 MCCAj -JAMES - -,y-O PA ON PLUNLBik LC 2210 SW I 32*CT MIA141 FL CHARLIE CRIST GOVERNOR CHARLES W. DRAGO S•LAW SECRETARY S. S iA E f� ! ."Wi 4t +� - Jke " 'e a r �°ua1F kkilp a t 1 hk�r f t �� e� gig U •fr, � i z. X � " djk}��4r;. `� lvr� }4tr1 g`t� � "r i,k {y�y� " ��'< t d n+ tt w m,�c F� } ' � �r�l � tF �l7� �F �� t ST ��` 3. < �w� �'� t�S' f - 7+tj' •�"�. �� s�rsl��s�tt � ;,r. N ri;G,kk,hX ,, x '}rt t.yrSj f "` J ^' `6 P' 'y�p N S "�`'+ 17 rt �r � ��c % � 1= Y ,'��.tj 1K1d' p . � i�frv� fir, ��57 �� :F'��t� r s r • - • � '1 r r u. L��fy� ��j1 �Y ��•ao 02/03/2010 22:36 3052541454 FALCON PLUMBING PAGE 02/03 STATE OF FLORIDA 0 DEPARTMENT op BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD r 940 NORTH MONROE STREET (850) 487 -1395 T FL 32399 -0783 SOUTH BADE PLUMBING INC DBA FALCON PLUMBING 1 2210 SW 132 COURT MIAMI FL 33186 Congratulationst With this license you become one of the nearly one million STATE OF FLORI ACS 4 Floridians licensed by the Department of Business and Professional Regulation, DEPARTMENT OF BUSINESS AND Our professionals and businesses range from architects to yacht brokers, from PROFESSIONAL REGULATION boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better. 06 111109 0 87 0 6 617 3 For information about our services, please log onto www.myfloridaileense.com. There you can find more information about our divisions and the regulations that 8�r�gFbE$pLINGOTIVCNDHATFALC impact you, subscribe to department newsletters and learn more about the Department's initiatives. Our mission at the Department is: License E Regulate Fairly. We .(NQT 'A LICENSE TO PERFORM y�}ORK.. constantly strive to serve you better so that you can serve your customers. ALLOWS COMPANY ED QU BUSINESS .TF` IT Thank you for doing business in Florida, and congratulations on your new license! IS Q UAL A LICENSED QUALIFIER. } ALIETED under ehe Provisions of Ch-489 Fs Expiration date: AUG 31, 2011 L09061100707 DETACH HERE ACS .. STATE OF FLORIDA 73 Ilk BtTy- .. R47 ' ;SSIONAL REGULATION :C NS1'RVil t ON'.I.MVE R TaI'CENSSNG BOARD ' • 'LTCENSF NBR 5EQ#;' Laqo61ii5bjo7 06.11 20.09 0.87066 ,73 .• 8.15388 the BUSINEESS ORS tI2ATICJN If -tied below Txider i✓he prOV1- * aL.t" Of :Chapter 489 FS. Expiration date: AUG 31, 2011 (THIS IS NOT A.LICENSE TO PERFORM'WORK. THIS ALLOWS COXPANY To DO •Bt7g:I.NESS .ONLY IF IT HAS A SC?'1[7'T� . •DADE �IJ B046 INC D8A FALCON •P}'a��'21VG 1•.2',2.1 tl :SW � 1:3 � : C'tvSUR�`• � : . MIAMI FL . � 318 6 CHARLIE CkST GOVERNOR..: CHARLES W. DRAGO DISPLAY AS REQUIRED 8Y LAW SECRETARY Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP 134827 Permit Number: PLC -2 -10 -179 Scheduled Inspection Date: February 11, 2010 Permit Type: Plumbing - Commercial Inspector: Hernandez, Rafael Inspection Type: Final Owner: CABRERIZO, TOM Work Classification Addition /Alteration Job Address: 9063 BISCAYNE Boulevard Miami Shores, FL 33138 -0000 Phone Number (305)779 -8040 Parcel Number 1132060110051 -63 Project: <NONE> Contractor: FALCON PLUMBING Phone: (305)251 -7333 Building Department Comments INSTALLATION OF NEW 3/4" BACKFLOW PREVENTER TO EXISTING WATER SERVICE 3/4" Inspector Comments Passed 5�1 . Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. February 10, 2010 For Inspections please call: (305)762 -4949 Page 16 of 29 FALCON PLUMBING 12210 S 132 Court Miami, Florida 33188 Phone: 305-251-7333 Fam 308 -254 -14514 BACKFLOW PREVENTION ASSEMBLY FIELD TEST REPORT DATE OF TEST 2 Ids EXPIRATION DATE CUSTOMER: MANAGER OR CONTACT PERSON: STREET ADDRESS: R 0 69 5 61 5chyt , � 1 6LAJIO ® TEL.O LOCATION ASSEMBLY: kAQ 8 t1 t (4 1AJC- TYPE OF ASSEMBLY. R DC { ) PVB ( } OTHER { } SIZE: MANUFACTURER: d4 1 1 MODEL: _.SERIAL O: -- -- 4163 1�47 PERMIT NUMBER: WATER METER NO.: INLET LINE PRES: PSI CHECK VALVE #1 RELIEF VALVE CHECK VALVE #2 PRES VACUM BREAKER Yleaked { P! !ked air inlet opened Closed W tight o n PSI ( ✓) closed tight at psi dill pressure dill pressure did not open ( ) across eck across check check valve: valve L �L ____Psi did not open ( ) valve p 19 psi leaked ( } held at psi ( } cleaned only ( } cleaned only ( } cleaned only ( )cleaned only replaced: replaced: replaced: replaced: rubber kit ( } rubber kit { j rubber kit { ) rubber kit { ) CV assembly ( ) RV assembly ( } CV assembly ( } CV assembly { } Repair. Explain ( ) Repair Explain ( } Repair. Explain ( ) Repair. Explain { ) dill. pressure opened at: dill. pressure air inlet PSI across check psi across check valve psi valve psi chk valve psi NOTE: ALL REPAIRS MUST BE COMPLETED WITHIN TEN (10) DAYS. , REMARKS: 7ro 571W(yl' �C Passed Failed Repair Data 1. R pair Cart. No. Test Equip. Used U a llbration Date Testing Co. &)8rW H 6W --=A L 1 HEREBY CERTIFY THAT THIS DATA IS ACCURATE AND REFLECTS THE PROPER OPERATION AND MAINTENANCE OF THE ASSEMBLY. CERTIFIED TESTS SIGNATURE: RINT NAME: ��- CERT. NO. EX (RATION DATE: (MttTE WATER PURVEYOR ( YELLOW) PLUMBING INSPECTOR (PINK) OWNER Evolog (ccMmehe HC � vivww.@VOSac com