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CC-11-1296Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 162200 Permit Number: CC -7 -11 -1296 Scheduled Inspection Date: January 11, 2012 Inspector: Rodriguez, Jorge Owner: Job Address: 9475 NE 2 Avenue Miami Shores, FL 33138- Project: <NONE> Permit Type: Commercial Construction Inspection Type: Final Building Work Classification: New Contractor: GOLDEN SANDS CONSTRUCTION MANAGEMENT & MAINTI Phone Number Parcel Number 1132060133760 Phone: (305)633 -3336 Building Department Comments BREAKROOM: NEW ACOUSTICAL CEILING, KITCHEN CABINETS AND COUNTER TOP, NEW VCT FLOOR TILES AND PAINTING Inspector Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. January 10, 2012 For Inspections please call: (305)762 -4949 Page 7 of 37 1 1,11111 BUILDING Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 PERMIT APPLICATION FBC 20 Permit Type: BUILDING ROOFING OWNER: Name (Fee Simple Titleholder): Bank of America Phone#: Address: 525 North Tryon City: Charlotte State: North Carolina Zip: 28202 Tenant/Lessee Name: Phone#: Finail- L JUL 192911 BY: o..o Permit NEC)) _ I 2-9 Master Permit No. JOB ADDRESS: 9475 NE 2nd Ave (Also referenced as 9499 NE 2nd Ave) City: Miami Shores County: Miami Dade Folio/Parcel #: 11- 3206 -013 -3760 Zip: 33138 Is the Building Historically Designated: Yes NO k Flood Zone: CONTRACTOR: Company Name: Golden Sands General Contractors, Inc. Phone#: 305 - 633 -3336 Address: 2500 NW 39th Street, Suite 104 City: Miami State: Florida Qualifier Name: Mary F. Maguire State Certification or Registration #: Zip: 33142 Phone#: . 305 -633 -3336 CGC062617 Certificate of Competency #: Contact Phone#: 305 -633 -3336 Email Address: aaliferis @gsands.net DESIGNER: Architect/Engineer: Phone#: IX /00 Value of Work for this Permit: $ Square/Linear Footage of Work Type of Work: °Addition °Alteration °New !Repair/Replace °Demolition Description of Work: Breakroom: New acoustical ceilings; new kitchen cabinets and counter top; New VCT floor tiles; Painting *** * * ****** : *** *** ale * * ****** ***** **** *Fees**** ******* * • ***** * * * * * * * * * * * ** * *a ** * *** y J Submittal Fee $ Permit Fee $ �J ' CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL } EE NOW DUE 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 AF'F'IDAVIT: 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 reinspectio ° fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this 1 — day of , 20 LL, by 1'NNe. krC41.0e) who is personally known to me ems preduc -ed Asi NOTARY PUBLIC: Signature Contractor The foregoing instrument was acknowledged before me this 6th , day of July , 20 11 , by Mary F. Maguire who is personally knownYto me or who has produced as identification and who did take an oath. NOTARY PUBLIC: My Commission Expires: (Mar APPROVED BY /e,—"l Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Sign: Print: ;U, My Commission Expires: Zoning Clerk NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOUO NO. STATE OF FLORIDA: COUNTY OF MIAMI -DADE: STATE OF THE UNDERSIGNED hereby gives notice that improvements will be made property, and in accordance with Chapter 713, Florida Statutes, the follows is provided in this Notice of Commencement. NO 1 11111111111111111111111111111 1 111111 1111 1111 CFN 20 11 Ris_i!7 5o67f OR .k 27886 Ps 0942; (1ps)) REC:DF'DEC 11/07/2011 14:39:03 HARVEY RUV'INr CLERK OF COURT h1IAMI —DACE COUNTY, FLORIDA LAST PAGE )RIDA, COUNTY OF DADE FYfhet this 1S a fflie copy of office on Space above reserved for use of reco .rng office 1. Legal description of property and street/address: 9475 NE 2nd Ave, Miami Shores, FL 33138 (Also referenced as 9499 NE 2nd Ave) - Folio # 11- 3206 - 013 -3760 2. Description of improvement: BREAKROOM Minor Renovation as per plans - Includes New VCT floor tiles, painting, acoustical ceilings, cabinetrv,electrical fixtures and water line/ice maker. 3.Owner(s) name and address: Bank of America - 525 North Tryon, Charlotte. North Carolina, 28202 Interest in property: Banking Center Name and address of fee simple titleholder. 4. Contractor's name, address and phone number. Golden Sands General Contractors, Inc. 2500 NW 39th Street, Suite 104, Miami, FL 33142 - Ph. 305 -633 -3336 5. Surety. (Payment bond required by owner from contractor, if any) Name, address and phone number. Amount of bond $ 6. Lender's name and address: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name, address and phone number. 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Uenor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name, address and phone number. 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF CO ENCEMENT. Signature(s) of *, , or ' A ' orized Officer/Director/Partner/Manager Prepared By Print Name Title/Office STATE OF FLORIDA COUNTY OF MIAMI -DADE !'� 1 The foregoin instrument wa acknowledged before me this 9 day of 11 11-14-/ . 7011 dividually, or �as ,t telrll" for/ Personally known, or ❑ produced the following type of identification: Signature of Notary Public: Print Name: (SEAL) VERIFICATION PURSUANT TO SECTION 92.525. FLORIDA STATUTES Under penalties of perjury, I d = ' are that I have read the foregoing and that the facts stated in It are e, to the best of my knowledge and belief. Prepared By Print Name Title/Office r .1"„ Notary Public State of Florida Nicole Glass P, My Commission EE0325$7 e� Expires 18/05/2014 )'s Authorized Officer/Director/Partner/Manager who signed above: By 127.91.52 PAGE 9 3'10 11/10/2011 17:48 3056348000 GOLDEN SANDS PAGE 01 MtT- Now - C i M( A40 S o &Den.- kojoit krea GS0-KeZs. C440-04 CulfactOtr Limas COMM? Golden Sands General Contractors, Inc. 2500 NW 39 Street, Suite 104 Miami FL 3314 306 633-3 To: CB Richard Ellis 1425 NW 62 Street Ft. Lauderdale, Fl. 33309 Contract contract#: Date: 1599 4/19/2011 Project; 1599 - Miami Shores-Shores Village Ereakroom RC! 9499 NE 2nd Ave Miami Shores, FL 33138 Desertption Price Job: 1599 Scope of work shall include but not be limited to the following in accordance with SOV: - Removal of existing ceiling tiles and replace with new suspended 2x4 lay in acoustical ceiling Removal of existingkitchenette cabinets and counter tops - New plastic laminate under counter cabinets - Removal and resetting of the existing SS sink and hardware - Removal of the exposed copper water line servicing ice maker in the freezer. Replacement with a new copper water line run nabove the suspended ceiling - Replacement of damaged VCT floor tiles, adding of new GFI outlets at the counter top level. - Complete, repaintall the breakroom walls and trim - Removal of existing Tight fixtures. Installation of new 2x4 fiourescent lights Subtotal 813,100.00 All work to be performed so as not to interfere with banking center operations. Please begin execution of the Scope of Work for the project listed above Amount of Contract $13,100.001 All work to be completed in a workmanlike manner according to standard practices_ Customer agrees to the contents or this document and hereby contracts Gordan Sands General Cantaractors, Inc. to complete thewetk outlined in this document and agrees to all terms and conditions herein. Contractor CSRE Authorization Page 1 of 1 Date 4119/2011 Date 411.0 'zo t, Permit No: 11 -1296 Job Name: November 10, 2011 Miami Shores Village Building Department Building Critique Sheet 3rd 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 1) Provide a copy of the contract. The price shown on application is low. Page 1 of 1 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 DR RUC ,j6zr. GI. ASS E M260 -5' 3 S4 -7 1 -0 MARY FRANCES MAGUIRE 828OSCEOLA ST LAKELAND FL 33801 08- 114894 SEX F 10. 3a a ma.. a, ,a al... vet M c,V14MUlya renCeey tt any crtr,ety Um, reuWrxi by Mae Acs 5064911 STATE OF FLORIDA DEPARTMENT' O? BUSINESS ` AND PROFESSIONAL . REGULATION CONSTRUCTION INDUSTRY LICENSING =B fl E " NBR a` ` BATCH NUMBER SEQ# vioo8020 ;;rt CGC:0626'; The GENERA.+ C'0N'RA'cTOR Naaned below IS CERTIFIED Under the provisions of 'Chapt:; Expiration date, AUG 31 2012' . MAGUIRE, MARY FRANCES wb GOLDEN SANDS GENERAL CONTRAt p 2500 N W. 39TH ST MIAMI'' FL 33142 " CHARLIE"CRIST GOVERNOR. DISPLAY AS REQUIRED BY LA CHARLIE.; LIE SECRETARY MIAMI -DADE COUNTY TAX COLLECTOR 140 W. FLAGLER ST. 1st FLOOR MIAMI, FL 33130 2010 LOCAL. BUSINESS TAX RECEIPT 2011 MIAMI -DADE COUNTY - STATE OF FLORIDA EXPIRES SEPT. 30, 2011 MUST BE DISPLAYED AT PLACE OF BUSINESS PURSUANT TO COUNTY CODE CHAPTER 8A - ART. 9 & 10 FIRST- CLASS U.S. POSTAGE PAID MIAMI, FL PERMIT NO. 231 THIS IS NOT A BILL — DO NOT PAY 463228-8 RENEWAL BUSINESS NAME / LOCATION RECEIPT NO. 483625 -1 GOLDEN SANDS GENERAL CONTRACTORS STATE* CGC062617 INC 2500 NW 39 ST 33142 UNIN DADE COUNTY OWNER GOLDEN SANDS GNRL CONTRACTORS IN Sec. Type at Business WORKER /S 196 GENERAL BUILDING CONTRACTOR 3 THIS IS ONLY A LOCAL BUSINESS TAX RECEIPT. IT DOES NOT PERMIT THE HOLDER TO VIOLATE ANV EXISTING REGULATORY OR ZONING LAWS OF THE COUNTY OR CITIES. NOR DOES IT EXEMPT THE HOLDER FROM ANY OTHER PERMIT OR LICENSE REQUIRED BY LAW. THIS IS NOT A CERTIFICATION OP THE HOLDER'S OUALIFICA. .IONS. PAYMENT RECEIVED MIAMI-DADE COUNTY TAX COLLECTOR: 07/09/2010 60070000544 000075.00 SEE OTHER SIDE DO NOT FORWARD GOLDEN SANDS GENERAL CONTRACTORS INC MARY F MAGUIRE PRES 2500 NW 39 ST MIAMI FL 33142 1,I I1„ 111, 1 111111, 1111111,1,1,,11111 I III,, IlI,1,1L l 11.001 II0ri, in r , 7"".hirtc Stair 'N DRIVER __%/1260-5' UV CL .f.,4-7 1-0 MARY FRANCE4 MAOURE 828OSCEOLA ST LAKELAND, FL 338014560 003 -11;• SEX F CNN. •.ixciet remu.ur r...csla rn w,y ... m. .. M.4 a wa STATE OF FLORIDA D RT N'T X. � O ON ISRUC ON 10 R ZC s N: 8 SEQE L.00802O 14. 90451 21 GENERAL ,: ACC TRA"CTO famect below xS CERTIFIED c T3'N,der 'the provisions cwt Ci3a t f�:; Expiration date AUG 33",.‘2012 D(SRJ AY AS REQUIRED Ai, LA1P�;':' 65.1M-]AIDE COUNTY 29r1 - LOCA. DUSYUESS TAIL FtetAI T 1c,t7 FIRST-CLASS TAX-COLLECTOR. MIAPII.0A13E COUNTY - STATE OF FLt7�RiDA 0 740 W_ FLACLER. ST, DOMES SEPT, 30_, 2012 14t FLOOR MUST DE DI SPLAYED AT PLACE OF P1IC►1VF! S MLAMI �L M MAW. FL 31130 PURSUANT TO COu TY CODE C)9 PTER 8A - ART 9 & 1 PERMIT' t40 231 1 *115 ES UOT A WILL — QC) NOT PAY RENEWAL SOS N NAME f U oyy caPT HO 483629-1 GOLDEN SANDS GENERAL CONTRACTORS STATES CSCO62612- INC -2500 NW 39 ST 33142 UNIN DADE COUNTY OpOIDEN SANDS CURL CONTRACTORS IN ST 6 EEn AL BUILDING CONTRACTOR WORKER/5 3 I$ ter NN W% aie�°r�, �` tit rv.w* tee IMOLA TS WWI ASV DraTRG rssamappr co ZOOM. LAW SF TWA COMM OP WES tem um a' EPSOM MP laiDEA Mil AM AEC* MAT Sp kr TWA 61 ei rr -A CelinritaTida OP THE POLDERS SPI.LIFIFA. MOO, PAtYdl�iPfl£6E.IAES Otunclok O7ti3/ZU11 60080000587 :0000/5:00 SEE OTHER SIDE 00 UOT FORWARD GOLDEN SANDS GENERAL CONTRACTORS MMARY F MAGUIRE PRES 2500 NW 39 ST MIAMI Ft 33142 1..I1, 1111.,.J 1i1.. I., I .l.1.1, .DA6R ACORD CERTIFICATE OF LIABILITY INSURANCE 0f /(31/2011 PRODUCER (305) 822 -7800 FAX (305) 558 -4294 Collinsworth, Al ter, Fowler & French LLC 8000 Governors Square Blvd p Suite 301 Miami Lakes, FL 33016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Golden Sands General Contractors, Inc. 2500 NW 39th Street Miami, FL 33142 INSURER A: Ameri sure Insurance Co 19488 INSURER B: Arne riMire Mutual Ins Co 23396 INSURERC: Federal Insurance Company 01295 INSURER D: 02/01/2012 INSURER E: $ 1,000,000 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 ,, ADD' 1, : r TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE 1. _ , „i„ „ 4 A A, POLICY EXPIRATION ... , ,I, I, ..6“ LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY GL2066108 02/01/2011 02/01/2012 EACH OCCURRENCE $ 1,000,000 X DAMAGE TO RENTED PREMISES (Fa xravanra) $ 100,000 CLAIMS MADE X OCCUR MED EXP (Any one person) $ 10,000 X BLANKET ADDTL INSD PERSONAL & ADV INJURY $ 1,000,000 X BLANKET WOS GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PO I FJWa n LOC PRODUCTS - COMP /OP AGG $ 2,000,000 7 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS CA2071489 02/01/2011 02/01/2012 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ B EXCESS/UMBRELLA LIABILITY CU2066105 02/01/2011 02/01/2012 EACH OCCURRENCE $ 5,000 000 OCCUR CLAIMS MADE AGGREGATE $ 5,000,000 DEDUCTIBLE RETENTION $ $ $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? It yes, describe under SPECIAL PROVISIONS below WC2066106 02/01/2011 02/01/2012 X 1A02-s1 I ER E.L. EACH ACCIDENT $ 1,000,000 E.L DISEASE - EA EMPLOYEE $ 1,000,000 E.L DISEASE - POLICY LIMIT $ 1,000,000 C mein CRIME 82214761 $50,000. DED. 02/01/2011 02/01/2012 EMPLOYEE THEFT $1,500,000 PREMISES $1,500,000 IN TRANSIT $1,500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS rehlrPI 1 ATIAW Miami Shores Village Building Department 10050 NE 2nd Avenue Miami Shores, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE I /� 1 Michael Nielson /EDITH ACORD 25 (2001/08) FAX: (305) 756 -8972 ©ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2001/08) Permit No: 11 -1296 Job Name: July 26, 2011 Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Building Critique Sheet 1) Plans must be approved by Miami Dade County Fire. 2) Plans must be approved by Miami dade DERM. 3) Provide plans signed and sealed by an architect or engineer. 4) Provide the level of alterations.' 5) Provide the existing type of construction. 6) Identify if the building has a fire suppression system.'' 7) Provide a floor plan of the altered area and the egress from this area./ 8) All permit applications must be submitted prior to any further review.-' ,9) Corrections for electrical must be completed! X10) Provide the fire classification for all finishes. ■ STOPPED REVIEW Page 1 of 1 Plan review is not complete, when all items above are corrected, we will doa 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 Permit No: 11 -1296 Job Name: October 26, 2011 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Page 1 of 1 Building Critique Sheet 2nd 1) All permit applications must be submitted prior to any further review.(Electrical and Plumbing) STOPPED REVIEW 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 newrevised sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305 - 795 -2204 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. G ll 1 7 P,. Job Name 13/N-//r Cre-IC CRITIQUE SHEET /F-J'' /7 ?C // Miami Shores VllIage Building Department RECEIPT PERMIT #: Cc aL 7t DATE: ‘11e2 L r� 6,c1C f/, ®.9- I, 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OVA ,Contractor ❑ Owner ❑ Architect (O-CTLQ1 Picked up 2 sets of plans and (other) P - 6 ) - 2 e - " 4 ®/7 Address: ? Y 71 se From the building department on this date in order to have corrections done to plans And /or get County stamps. l understand that the plans need to be brought back to Miami Shores Village Building Department to continue permitting process. Acknowledged by: PERMIT CLERK INITIAL: RESUBMITTED DATE: PERMIT CLERK INITIAL: 201 | L MIDADE MA-CAPktcPPNITYEroRD 10417/2011 MUNICIPAL NO.2012-002633 FOLIO: '1132060133760 JOB SITE ADDRESS 9475 NE 2 AVE OROPOSE6 USE OFFICE - PROFESSIONAL BUILDINGS AL MIAMI SHORES SEC 1 AND PB 10-70 LOTS 13 THRU 17 INC BLK 28 Ar4PLICATION TYPE NEW 1 SOFT 1 UNITS 1 FLOORS OWNER NAME BANK OF AMERICA NA CONTRACTOR QUALIFIER PERMIT TYPE MUNICIPAL BLDG CATEGORIES 0001 MUNICIP DATE: 10/17/2011 PROC TOTALS DERN 18. DERM 1 ASBESTOS R DERM 1 MIN COMM R FIRE 1 FIRE UPFRO 10/17/2011 15:50 SJS W *AMOUNT PAID 000000.00 P FRONT FEE- TERATIONS & FRONT FEE F 351110170132 TCPM939Q CENTRAL 257700 80.00 104.00 25.00 MI m .�^DE w//u,,,"". ,^ N��N��0�B�J�� q�_.... ._ '-_ '_-. . MAT• N��N� MUNICIPAL �mor��r�z�r�z��ncrnon�rr�mo��uxu zm/z//��zl 'L NO.2012-002633 PROCESS NO. M2011010216 FOLIO: 1132060133760 JOB SITE ADDRESS 9475 NE 2 AVE PROPOSED USE OFFICE - PROFESSIONAL BUILDINGS REQUIRED INSPECTIONS FIRE 0001 FIRE INSPECTIONS RECOMMENDE 200 FIRE HYDRANTS 208 FIRE TCO INSPE 211 PRELIMINARY 209 FIRE FINAL INIT DATE MUNICIPAL gi MU1 ~ A- NO.2012-002633 PROCESS NQ. M2011010216 FOLIO: 1132060133760| . JOB SITE ADDRESS 9475 NE 2 AVE PROPOSED USE OFFICE - PROFESSIONAL BUILDINGS TO SCHEDULE A FIRE INSPECTION, PLEASE VISIT THE WEB AT WWW.MIAMIDADE.G8V/BUILDING. YOU WILL NEED TO PROVIDE YOUR TEN DIGIT MUNICIPAL NUMBER AND THREE D T INSPECTION TYPE. THE INSPECTION TYPE CAN BE FOUND Of' TION REQUIREMENTS � AND RECORDS CARD NEXT TO THE w4g IF YOU HAVE ANY QUESTIONS PLEASE CALL FIRE PREVENTI IF YOU HAVE ANY QUESTIONP PLEASE CALL FIRE ENGINEE **BE ADVISED THIS IS NOT YOUR CORRESPONDING MUNIC -_~~--'-�___`._~� __ = INSPECTION, AN REVIEW, ISSUED BY fl MUNICIPAL 1 ECOU NtrfEC8RD 10/17/2011 MUOIMAL NO. 2012-002G3 3 - PROCESS NO. M2011010216 FOLIO: 1132060133760 JOB SITE ADDRESS 9475 NE 2 AVE _ | PROPOSED USE OFFICE - PROFESSIONAL BUILDINGS REQUIRED INSPECTIONS FIRE 0001 FIRE INSPECTIONS RECOMMENDED 200 FIRE HYDRANTS 208 FIRE TCO INSPE 211 PRELIMINARY 209 FIRE FINAL INIT DATE wmm DAD' > MUNICIPAL I ----- _ADEcouN fFrORB 10/17/2011 NAM NQ.2012-002633 PROCESS NO. M2011010216 FOLIO: H32060133760 JOB SITE ADDRESS 9475 NE a AVE P 'LSE OFFICE - PROFESSIONAL BUILDINGS TO SCHEDULE A FIRE INSPECTION, PLEASE VISIT THE WEB AT WWW.MIAMIDADE.GOV/BUILDING. YOU WILL NEED TO PROVIDE YOUR TEN DIGIT MUNICIPAL NUMBER AND THREE DIGIT INSPECTION TYPE. THE INSPECTION TYPE CAN BE FOUND ON CTTON REQUIREMENTS BE FOUND _ �-_� _---.__��- AND RECORDS CARD NEXT TO THE IF YOU HAVE ANY QUESTIONS PLEASE CALL FIRE PREVENTI IF YOU HAVE ANY QUESTIONS PLEASE CALL FIRE ENGINEE **BE ADVISED THIS IS NO YOUR CORRESPONDING MUNIC A INSPECTION, MIAMI —DADE COUNTY BUILDING DEPARTMENT 10/17/2511 15:50 RESISTER : TO :9639D CENTRAL ASHLER : SR TRFI TION #: 351110170132 MMESS FEE M 012011010216 2012002633 TOTAL : 1257. CREDIT TWEED: 1257.M TOM.: $257. De ORM ISEED : 10. DS