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BP-03-1118Miami Shores Village Building Department BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Owner's Name (Fee Simple Ti e s = r) Owner's Address g.",. '2 Z t, City Zip Tenant/Lessee Name .D/94) � Phone # Permit No. 10050 N:E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Master Permit No842 JJ4 Electrical Plumbing Mechanical Roofing 3c 7/2 t Phone #��= -.1.., Job Address (where the work is being done) / c ,�.. L. ' Cj City Miami Shores Village County Miami Dade `/ Zip Is Building Historically Designated YES NO V Contractor's Company Name /1340 G/ 7-a /^ Phone # ,95 7; 7 %.#j Contractor's Address /9, ® /3 ©i 7 .fie c$'' 6 City Cates/ 4110 U /17/1411/ State /7, /9, Zip Qualifier �J Architect/Engineer's Name (if applicable),; 4,A ,e � /",/ - Phone # Architect/Engineer's Address // /Al /9/ ,r/fr�. $ Value of Work For this Permit Number of: Bays Stories Families Type of Work: ❑Addition Describe Work: Square Footage Of Work: cl ['Alteration ❑New Bedrooms Baths 0 Repair/Replace 0 Demolition County Escrow Fee $ Permit Fee $ 3S Notary $ Education/Training Fee $ Tech $ Scanning $ Radon $ Code Enforcement $ Bond $ Sic- $ Minus Plans Check Fee $ Total Fee Now Due $ (Continued on opposite 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 PRQPERTY. 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 peimit 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 d - reinspection fee will be charged Signature er or Agent The foregoing instrument was acknowledged before me this day of 20 _, by who is personally known to me or who has produced As identification and who did take an oath. Signature Contractor The foregoing instrument was acknowledged before me this day of , 20 , by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: My Commission Expires: My Commission Expires: (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** T.******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: , /� /1-,\ l 1 Plans Examiner Chc 10/02/03 Engineer Zoning MIAMI SHORES VILLAGE BUILDING DEPARTME 305 - 795 -2204 Building Inspection Request Date! o e/ Fwvl cz04_ Permit No. bP 3— 1 g YA DlP / 5i, Mfr/ 6633. /iswi Type Insp'n Name Address Company Phone # Inspection Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305 - 795 -2204 Building Inspection Request Date Type Insp'n Permit No. Name Address Company 2, Phone # / ) For Inspector: I / / — l e & Date Approved Correction Re- Insp'n Fee Mss 1A, Plevit.- /tt. 5 _B„ �� 444 tom riAM5A Attn- 40141`— MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Dat Type Insp'n Permit No. Name /J- a Address �Q 3.3 l<c, Company Phone # D Time For Inspector 1 I Approved ❑ Correction Re- Insp'n Fee ❑ Name & Date 4.) A-s- recs`sib,, P-ad /Wm/ pe,/401 B Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fag: (305) 756.8972 PE ' ' T APPLICATION FBC 2001 Permit Type (circle): Permit No. RP63-1/18 Master Permit No. Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) ;Mb J1 AWCAI Phone # Owner's Address i City State Zip Tenant/Lessee Name f)iq v C 6 1 / Phone # 70 — 5J p t'' '67/3________ 46 --gRi#7 - 3 Job Address (where the work is being done) 3057' 7 3% ' 3 !t. 7 et, City Miami Shores Village Is Building Historically Designated YES NO County Miami -Dade Zip Contractor's Company Name Rut_ 5 7 4" Contractor's Address City State Qualifier Phone # Zip Architect/Engineer's Name (if applicable) $ Value of Work For this Permit Square Footage Of Work: Type of Work: DAddition Describe Work: ['Alteration [New ❑ Repair/Replace ❑ Demolition Submittal Fee $ Permit Fee $-- CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ Zoning Bond $ Code Enforcement °$ Structural Plan Review. $ Total Fee Now Due $� (Continued on opposite side) C `c_ Iv l v • Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD 'A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is .issued In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this day of , 20 _, by who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: ' Sign: Print: Signature Contractor The foregoing instrument was acknowledged before me this day of , 20 by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: My Commission Expires: (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. ************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** **** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Cho 12/15/03 ° MAR - 9 2004 Plans Examiner Engineer Zoning Miami Shores Village Building Department BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Owner's Name (Fee Simple Titleholder) Owner's Address City 0 d1/a 44. ` State Tenant/Lessee Name 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. Master Permit No. / /// Job Address (where the work is being done) City Miami Shores Villa Is Building I istoricaiy Designated Contractor's Company Name Contractor's Address City State Zip Qualifier YES i- e(1/1-." County Miami Dade Zip NO Phone # Architect/Engineer's Name (if applicable) Architect/Engineer's Address • Phone # $ Value of Work For this Permit Number of: Bays Type of Work: ❑Addition Describe Work: Stories_ ❑Alteration Families ❑New Square Footage Of Work: Bedrooms Baths ❑ Repair/Replace 0 Demolition. County Escrow Fee $ Education/Training Fee $_ Code Enforcement $ Minus Plans Check Fee S Permit Fee $ Nom $- Tech $ Scanning $ Bond $ Struct. $ — Total Fee Now Due $ Radon $ (Continued on opposite 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 commenced prior to the issuance of a permit and that all work will be performed to meet the standards of. allr laws �regulatin 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 comm encement 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 a , and a reinspection fee will be charged Owner = .'gent The foregoing instrument was acknowledged before me this day of ,20by who is personally known to me or who has produced NOTARY PUBLIC: Sign: Print: My Commission Expires: My Commission Expires: (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. ***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: Plans Examiner Engineer Zoning As identification and who did take an oath. Signature Contractor The foregoing instrument was acknowledged before me this day of , 20 by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Chc 10/02/03 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 U b / 41 1-- as �► 7) ie a -( /041,1,fri f -- ezeopire4-1-os. eUCrtziy 7a a\, 03 VILLAGE OF MIAMI SHORES BUILDING DEPARTMENT PROCEDURES FOR SUBMISSION OF CORRECTED PLANS 1. REPRINT PAGES WITH CORRECTIONS. 2. REMOVE OLD PAGES FROM ALL PLANS AND SUBSTITUTE WITH CORRECTED PAGES. A. MARK OLD PAGES "VOID" ON THE ON THE FACE OF EACH SHEET. B. DO NOT REMQ,VE BACK SHEET CONTAINING BUILDING DEPARTMENt'AND COUNTY STAMPS. C. RETURN ONE SET OF VOIDED PLANS TO BUILDING DEPARTMENT. 3. SUPPLY AN ERRATA SHEET SHOWING LOCATION OF CHANGES. A. HIGHLIGHT ALL CORRECTIONS ON PLANS. Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: t305) 795.2204 Fax: (305) 756.8972 • Permit Noy . BP 65.`"4//163 Job Name BUILDING CRITIQUE SHEET Nam", S' kp,..ed, Tieteelfe 1005014.2n° Ave h 1 mtShores 33133 -2332 305-795-2209 .- FAX TRANSMITTAL FAX SzgylS y_ 14 Tot i FAX: (305)756 -8972 Number of Pages Including Cover -:-- MESSAGE: • NO ..1717. TO 0 /8 S 3WI1 39tld 3Stld 3000 111101 XN'X1 321015 1 T8T Ntl * * * * *fl 14.404 Veto teaw a Slarea'rl/e =391dd 2102/13 16617179L9086 Xi 8V:9T 8Z/L0 1709 3WIl . °N NOI1tl001 300W 121tl1S 31I d —=213W I1 ZL6899L208: Xtld l I t1-S321OHS -I WW W: Q I 917:9T 80. 8Z'L0 311J. iN I21d * ** NOISSIWSNtl?JI * ** Date Legal De Owner T APPLICATION FOR MIAMI SHORES VILLAGE enue • Miami Shores, Florida 33138 • Phone: 305- 795 -2204 • Fax: 305- 756 -8972 ,ji_� /C,,,C0-1--47/ Tax Folio Jj8aeCo/ torically De�si at-d� yes No 3os_ t � P 7 Master Permit # 4 C7 o" I j 1? Owner's Address ( OL%.P Contracting Co. P\V S S 01/440 S e C ] J G Qualifier "+ C••C A` `'' S U\ ve ` 0. n State # C (, e A O S le Municipal # Competency # Ins. Coate& Phone 70 1O r ? 3 7 �J t Address •o• $ %1105341 ava ViMtf'` �p 'l VV 3307 SS# 011- q gt Phone q4 '[ 4i 'L 00.% IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one . BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING WORK DESCRIPTION: CUY1.Q Ova t— b - r:IPC - g� i Square Ft. WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN;: YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) • Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify th all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required 1 for all disciplines. O regulating IT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable law s_`_' on and zoning. Furthermore, I authorize the above named contractor to do the wo tated. OWNERS • , r . 7 1Fer and/or Condo President as to ,r s,fag,s iy . % slden Sign 03 )O APPRO AUG 08 2003 9:56AM HP LASERJET 3200 NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION d /A� PERMIT NO.Arde: c? f/` AX FOLIO NO. %A.7120eCV STATE OF FLORIDA: COUNTY OF MIAMI -DADE: 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. Legal description property an st et!address: !! ICI (I! lllnt'i I111Alt�iJL __i . CFN 2003iRo463849 OR Bic 21411 Ps 15251 Ups) RECORDED 07/09/2003 13 :13:31 HARVEY RUVIia► CLERK, OF COURT IMIAIII -DADE COUNTY? FLORIDA LAST PAGE 2. Description of Improvement: 4 3. Owner(s) name and address: Interest In property: Name and address of fee simple titleholder: 4. Contractor' ame and address: c\ jl ' S' AL S h, C b S 11 o 5 3 4 5. Surety: (Payment bond required by owner from contraotoJ Name and address: Amount of bond $ 6. Lender's name and address: . 11Jc.. Ft:ORIOA, DO OF MADQ )4- ::a . - o ft/tit co 7. Persons within the state of Florida designated by OwnikrrtrTiltiOnrnotieetpher.4410.1001eFt s rns'. t ,4. provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided In Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expirati d -" of this Notice of Commencement (the expiration date is 1 year from the date of recording unless a different d ,L� ecified) F Signature r I Print Own = ame %�' ; „? .. `I Prepared by Ja.C. IL J •�>✓ 4t u l vitw,..,. Sworn to and subscrib Notary Public Print Notary's My commission ires: 123.01 -82 PAGE 4 8/02 me this I day of � kst _CA$radley $ Mag 1 *�9Ia444 , 20e„L. Addre��ss:� ( 60-1„. 1 O �j 7Jb C+ STi .r V f5.3 ;011 Ill AUG 08 2003 J:58AM HP LASERJET 3200 Militana, Militana & Militana, P.A. A PROFESSIONAL ASSOCIATION OF ATTORNEYS !AND COUNSELLORS AT LAW SUITE 101, 8801 81SCAYNE Bq'ULEVARP MIAMI, FLORIDA 33130 DATE: SEND TO: FIRM: FAX NUMBER: }305 --756 -8972 TELEPHONE (305) 758 -6+91 FAX (305) 757-7833 FACSIMILE COVER SHEET Mab le FROM: JOHN MILITANA, ESQ. / LAURIE! GENERALLI, ESQ. REFERENCE: TOTAL PAGES INCLUDING COVER SHEET: L PLEASE CALL THIS NUMBER (05) 758 -6691 IF THE TRANSMISSION IS INCOMPLETE OR UNCLEAR IN ANY WAY MESSAGE: The information contained in this transmission is attorney piivilegeil and confidential. it is intended only for the use of the individual or entity named above. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution or copy of this) communication is strictly prohibited. If you have received this communication in error, please notify us immediately by telephone collect and return the original message to us at the above address via the U.S. Postal Service. We will reimburse you for postage. Thank you. P. OFFICIAL RECEIPT MIAMI -DADE COU - FLORIDA RECEIVED FROM �� lL��l l e ADDRESS No. 3780569 Dam / L MO H DAY YEAR CHECKS ..2-6)e), � k,v 4 i 5 MTer f/ ZIP I AMOUNT OF: DOLLARS, AND (�R I "`�' cExTS TOIAL /5// FOR PAYMENT - i 5°E?`..- THIS RECEIPT NOT VALID UNL } D, COMP TED AND SIGNED TrorpORIZED EMPLOYEE OF DEPARTMENT. Derr.: BY: L.---- FOR OFFICE USE ONLY TUNS 111111111111111101111111111111111111111111111111111111111111111111111111111111111111111111111 ■ SUBSIDIARY INDEX CODE Swim= AMOUNT SERVE • CONSERVE MAW-DADE WATER AND SEWER DEPARTMENT VERIFICATION FORM EXPIRES ONE YEAR FROM DATE OF FORM ATLAS PAGE: E-8 PSF INV #: INV #: NAME OF OWNER: YE OLDE BOSTON FISH MARKET PROPERTY ADDRESS: 8833 BISCAYNE BLVD TYPE OF USAGE\ NUMBER OF UNITS: 4 sEALTILA, RESTAURANT REPLACING STORE PREVIOUS FLOW: 62 PROPOSED FLOW: 350 PREVIOUS SQUARE FOOTAGE: N/A PROPOSED SQUARE FOOTAGE: N/A NEW CONSTRUCTION?: NO INTERIOR RENOVATION?: YES PROPERTY LEGAL: FOLIO 11-3206-011-0190 THIS IS TO CERTIFY THAT THE MIAMI-DADE WATER AND SEWER DEPARTMENT DOES mig A(N)____§._— INCH WATER MAIN ABUTTING THE ABOVE 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, ID # 12Ia) SUBJECT TO PROHIBITIONS OR RESTRICTIONS OF GOVERNMENTAL AGENCIES HAVING JURISDICTION OVER MATTERS OF WATER SUPPLY OR WITHDRAW - 0 Garcia, Jr. ‘,; *NI Business Representative, AUTHORIZED STAMP DATE: July 8, 2003 OF RESENTATIVE NEW BUSINESS COMMENTS: E 5MIGA°69"0 2°11 PLANS REVIEW COMMENTS: GPD DE NOT EXEED 0 • T 50% 0 I EN • THIS IS TO CERTIFY THAT THE MIAMI-DADE WATER AND SEWER DEPARTMENT DOES HAVE. A(N)__23___INCH GRAVITY/FORCE SEWER MAIN ABUTTING THE ABOVE SUBJECT LEGALLY DESCRIBED PROPERTY. WE ARE WILLING TO SERVE THE SUBJECT PROPERTY, (OR, IF "WILL HAVE", UPON PROPER CONVEYANCE AND PLACEMENT INTO SERVICE OF SEWER FACILITIES BY THE DEVELOPER UNDER AGREEMENT WITH THE DEPARTMENT, 11) # Ma) SUBJECT TO PROHIBITIONS OR RESTRICTIONS OF GOVERNMENTAL AGENCIES HAVING JURISDICTION OVER MATMRS OF SEWAGE DISPOSAL. FURTHERMORE, APPROVAL OF ALL SEWAGE FLOWS INTO THE DEPARTMENT'S SYSTEM MUST BE OBTAINED FROM DERM. THE ANTICIPATED DAILY WATER AND/OR SEWAGE FLOW FOR THIS PROJECT WILL BE 288 INCREASE GAL NS PER DAY. - - GOnZalo Garcia, Jr, r4•-• Business Representativq AUTHORIZED STAMP BY: SIB ' ••FREP• 41. ATIVE NEW f‘..ISINESS COMME : SUBJECT TO DERM LETTER DATED 6- 7-034§0§-612. PLANS REVIEW COMMENTS: CUSTOMER: SUSIE HENDRIX PHONE: 305-793-6706 REP: Gonzalo Garcia, Jr.. New Business Rev PHONE: 786-315-2717 FAX: 786-315-2923 SERVE * CONSERVE Miami-Dade Water and Sewer Department New Business Office P.O. Box 330316 Miami, Florida 33233-0316 3575 South Leleune Road, Room 114 Miscellaneous Charges INVOICE #: 59869 DATE: JUN 06. 2903 PeopleSofi Acci ID#: I 8693552783 Building Process #: Xi 2003151517 CUSTID: 36405 1 IN ACCOUNT WITH WiLLIAN L. COFFILL 1253.5 PALM RD NORTH MIAMI, FL 33181- REFERENCE SCCS FOR A 4 SEAT CAFE (MIN 350 GPD)REPLACING STORE 1 ER WATER: WITH 62 GPD CREDIT ON SYSTEM AT 8833 BISCAYNE BLVD ATLAS I ER SEVIER: PAGE E-8 AGMT iD: DESCIZIPTION QNTWOPD • DESCRIPTION 288 'Conn Chg WASD Sewer 1 — erlf Form- non-res exIstg (Sewer) 1 iVerlf Form- non-res exisfg (Wateri r 31 T3T13$ MS I (8)11 RI TM 'as I T9T `2$ I Mali WitI3 LTMON098691p/s80arod 7/8/2003 3:08:40 PM By: GONZG er, Yellow-General Office, Pink-Local Office, Gold-New Business DIST CODE - - NWT-olF1 -114WW k 3- NWT-VF03 ,1 UNIT PRICE 1 AMOUNT —16:66.7"; $1,612.80 $715.0390 $400.32 $75.00 $75.00 TOTAL: - $2,163.12 • 875.00 1 $75.00 WATER DEPOSITS : $0.00 SEWER DEPOSITS $0.00 1 INVOICE NO. 59869 TOTAL: r 1 83.12 "MUM IMMI W9T £ iffiatIttril %W1111 1111710,11 •1411 gft T MU? it Division of Corporations Page 1 of 2 Florida Profit ANJ FUTURE INVESTMENTS, INC. PRINCIPAL ADDRESS 650 NE 88TH TERRACE MIAMI FL 33138 Changed 04/29/2003 Document Number S57397 State FL Last Event AMENDMENT MAILING ADDRESS 650 NE 88TH TERRACE MIAMI FL 33138 Changed 04/29/2003 FEI Number Date Filed 650274300 06/05/1991 Status Effective Date ACTIVE NONE Event Date Filed Event Effective Date 04/29/2003 NONE Registered Agent Name & Address 4 ALGHANNAM,HASSAN 650 N.E. 88TH TERRACE MIAMI FL 33138 Name Changed: 04/29/2003 Address Changed: 04/22/2003 Officer/Director Detail Name & Address Title ALGHANNAM, HASSAN 650 N.E. 88TH TERRACE MIAMI FL 33138 PD MOHAMED, JULIA 650 N.E. 88TH TERRACE VSD Division of Corporations • II MIAMI FL 33138 II II Annual Reports Report Year Filed Date 2001 04/03/2001 2002 03/24/2003 2003 03/24/2003 Page 2 of 2 View Events No Name History Information Document Images Listed below are the images available for this filing. 04/29/2003 -- Amendment 04/22/2003 -- Amendment 03/24/2003 -- REINSTATEMENT 09/10/2002 -- Amendment 04/03/2001 -- REINSTATEMENT 09/30/1999 -- ANNUAL REPORT 04/15/1998 -- ANNUAL REPORT 08/07/1997 -- ANNUAL REPORT 05/01/1996 -- 1996 ANNUAL REPORT THIS IS NOT OFFICIAL RECORD; SEE DOCUMENTS IF QUESTION OR CONFLICT Division of Hotels and Restaurants Application for Pian Review LLog # STATE OF FLORIDA For Office Use Only DEPARTMENT OF RUGULATION© PROFESSIONAL r'11 ' /�1 1940 North Monroe Street Tallahassee, FL 32399 -0183 NOTE — This form must be submitted as part of an application 700( packet. Submit completed applications with plans. If you have any questions or need assistance in completing this application, please contact the Department of Business a nd Professional yq and Regulation at your local district office. A district below. and contact information sheet can be found on H &R's page of the DBPR web site at the link provided www MvFlorida.com Rightllere RightNow Reopen Food Se Establishment CI At Least 1 Year • vice Conversion of Existing Closed Extensive Remodeling of D Existing Food Service Establishment* ❑ Structure to Food Service P , initial Plan Review Mt:i..Hi Fo it76iTlVi 7 t �45 i 7 x •3 *Name of Existing Public Food Service Establishment g 044 h00 -0,v k * Division of Hotels and Restaurants' License Number 4 i •',•,,:'rier• a=r:Y 11— £;_f41a.r..g * `e.�i= : <c' + rtz.;g:; .a m- a>:t _ TiS IS _ x�. ��.. �4, Y: �V.�4tt�'y'jt"�i`;�S'�:��'i.:. `_. ...i_"w°Q.''S.•n �'%�: :1 ZY S' s- .?1'i'©wv� _:'„r - o. O t TACT INFORMATION'S :v ` Alternate Phone Number or Fax Number This form replaces DBPR Form HR 502i-010 Page 4 of 6 DBPR laR- 7005 —Division of Hotels and Restaurants Application for Plan Review 141;44 144444 . RightHere. RightNow. STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION 1940 North Monroe Street Tallahassee, FL 32399-0183 NOTE — This form must be submitted as part of an application / ( packet. Submit completed applications with plans. If you have any questions or need assistance in completing this application, please contact the Department of Business and Professional Regulation at your local district office. A district office address and contact information sheet can be found on H &R's page of the DBPR web site at the link provided below. • www.MyFlorida.com Date Received NOINIAWASTRM $150 Plan Review Fee Month Money Order # tr x: zif ..s'�� .,...- ....,.... -..... � }-.r ors " Please check the a• •ro.riate box. ❑ New Construction (initial Plan Review) Doing Business As (D /B /A) Name Extensive Remodeling of Existing Food Service Reopen Food Service Conversion of Existing ❑ Establishment Closed ❑ Structure to Food Service At Least 1 Year • Initial Plan Review) Establishment • :CIj`ONSTABL1SHiVlAiTfIFORMAT.,IONc.6t,;„- Owner Name \ D 1cl,I * Name of Existing Public Food Service Establishment * Division of Hotels and Restaurants' License Number ivy .' ,_. S z `� ;b ;' _nkv rg Zt : _ ' � ' ?£:ma c=# IS Street Address n33 8iSc to a city is i .sovagS PL. • w: � ;7,* = 'GONTACT INFORMATION =�• }:::-' NTsDD- SS >- Contact Name • SV.5iE 614b lx Primary Phone Number Primary E -Mail Address 3o5 -'793- 6706 Alternate Phone Number or Fax Number Alternate E•Mail Address •�'•� -i is'•pr i 14"21.!" F �: SS A . r,:;,.:; .. ,1 -. ,..; Vf Q ;;.,-., x. s� �� ;; •., . e. =xR} a.. - . ,. yILING ADp E u. 4e:, : 'x ..i.,.A . .„ ��.. . . 2. Gi . ;. �- ,5. ti :•.t.::_M.M.:.u.� �:. al cotrimunica f.^ e. .nu m. a '.�..k•.., t�;n `-5. w� s".o• rz� �,. - 1 eK x- N'o•c'as °.e:.C'_= �:%- '�+'�'q °�• '''�x."9• w; ucati ns•has been pr SUSAN HENDRIX 3075 MARY ST. COCONUT GROVE, FL 33133 PH. 305 - 7934707 Pay tothe Order of ko I y&&? - - t� Date � $1' -o Dollars 8 M r 1275 534375)2670 1165 untry 3&T SRX License For . mrs r1 ?In at' Laic Worth ORree 4141 Jog Raved Lake Wortb.F133447 ?DD ?D S 50 �' ? Page 4 of 6 MISCELLANEOUS NECEIPT ;40; X2003151517 CCFT-ILL RD FL 331:61 E ..2E2C,IP7TfiX UCTS 60000.00 ;1;41:i !Asr '3/2003 1.6g04 LYDIA 10307080142. faNZEZAM CENTNN_ 2163.12 M I AM I -DADE COUNTY BU I LD I Nti DEP ARTMLN1 07/OB/2003 16:04 REGISTER : RBNZBZAN CENTRAL CASHIER LYDIA TGWEACTION 0: 11307080142 PROCESS PERMIT FEE DOE X2003151517 $2,163.12 ===== TOTAL : $2,163.12 CHECK TENDERED : $2,163.12 ========== TOTAL : #2,163.12 CHAN6E, ISSUED : 10.00 CHECK 0(8): 935 $2,163.12 DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION Division of Hotels and Restaurants SPECIFICATION WORKSHEET Establishment is to meet all standards of Chapter 509, Part I, Florida Statutes, and Chapter 61C-4, Florida Administrative Code o Establishment Name: ❑ New construction Q Conversion ❑ Remodeled ❑ Closed, at least one year License Number: of applicable) -4 Wash Area Restrooms "New or remodeled establishments are required to have curved and sealed cove base at fioorfta!! luncttire. Worksheet Code Key S U - NA E C. Satisfactory Unsatisfactory Not Applicable Existing Caution: information inadequate or potential operational violation, will be checked during inspection. Comments: m Sanitizing facilities provided or three compartment sink ❑ dishmachine Wash sinks with drainboards Number shown: ❑ 4 [71 3 02 compartments Onejtwo compartment food prep sinks N,, : shown: m jland sink(s) in food prep areas) rZ Number shown: _Hand sink in remote mechanical dishmachine area Hot)coid water supplied to all sinks where required Oishmeohine type: 10 Comments: Ing Portabi + ishersarovided (ass ye i dd by NFPA 10 RE c to re sloe ildm rl ets NFPA go; C Hood . � c fife pp Y no mesh filters allowable le C Exit doors open outward ® Public access to exit does not go through kitchen, storage rooms, or restrooms gio Number of exits: _a__ ig3 Square footage of establishment: III it gas appliances shall have a nationally recognized test• 'ng laboratory seal such as AGA or lit It Comments: local tee department is the final authority having jurisd ctrnn. so Approved local exhaust ventilation installed at orn ver alall cooking units such as ranges, griddles, eep ry roc units, and other units of equipment which release appe quantities of steam, odors, grease, or smoke. Eli Restrooms ventilated or provided with windows to the out- side Renumbered 1 944 MO 25 Miami Shores Village Building Department BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Electrical Owner's Name (Fee Simple Titleholder) DoZed' • Owner's Address j3749/9 i° P r 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305)195.2204 Fax: (305) 756.8972 Permit No. Master Permit No. /// Mechanical Roofing City 12 & a State FL Tenant/Lessee Name Job Address (where the work is being done) City Mann Shores Village County Miami -Dade Zip Is Building Historically Designated YES Zip Phone # ?(JP ( c57 ?,7 Contractor's Company Name NO Phone # Contractor's Address City State �rP Qualifier Architect/Engineer's Name (if applicable) Architect/Engineer's Address - Phone # $ Value of Work For this Permit Number of: Bays Type of Work: (]Addition Describe Work: Stories_ Families ['Alteration []New Square Footage Of Work: Bedrooms 0 Repair/Replace Baths______ ❑ Demolition * * * Mk* * * * * * * * * * * * * * * * ** County Escrow Fee $ Permit F Education/Training Fee $ Tech $ Code Enforcement $ Bond $ Minus Plans Check Fee $ Total Fee Now Due $ Scanning $ Struct. $__ Radon $ (Continued on opposite side) Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City Zip State Zip Application is hereby made to obtain a permit to do the work and installations as indicated; I certify commenced prior to the issuance of a permit and that all work will be performed to meet thee standards of all laawws�reguloatin has construction in this jurisdiction. I understand that a separate permit must be secured for Fr.F.CTRICAL 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 w ' oc s seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be ',proved an a reinspection fee will be charged Signature Owner or Agent The foregoing instrument was acknowledged before me this day of , 20 , by who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: Signature Contractor The foregoing instrument was acknowledged before me this day of , 20 by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: (Certificate of Competency Holder) State Certificate or Registration No. , Certificate of Competency No. * * * * * * * * * * * * * * * * * * * * * * * ** ; , r ** r ************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED B Chc 10/02/03 Plans Examiner Engineer Zoning MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305-795-2204 Building Inspection Request Dat Type Insp'n Permit No. Name Pk• NiVV/ Time Company Phone # For Inspector: 1 1 I OJ, Name & Date Approved Correction Re-Insp'n Fee 73 4.) P-seei A-S rems1b, NAts- pluNtioivv 1 i^ A/4474 T APPLICATION FOR MIAMI SHORES VILLAGE enue • Miami Shores, Florida 33138 • Phone: 305- 795 -2204 • Fax: 305 - 756 -8972 Date ca Legal De Owner Owner's Address re ?? £ //, C , Tax Folio J /g 426 C o /0/9 torically Designated es No Master Permit # p P i J /11? Phone ,7C j 7 er C CA VGA Address ' �%, � � 114 r7341 l�v'r�X V 1!h t -3341 ss# 011- d . Phone q 9 Competency # Ins. Co.C10'e. jhLei Vii .., Contracting Co. {'� V S ' f�� . S e 1AA C CS ] Qualifier J ci.C, k(_ J S {A. w` A state # C CAL i O S 3 l S Municipal # IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB S FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle onne�. BUILDING /ELECTRICAL PLUMBING MECHANICAL ROOFING WORK DESCRIPTION: \JUri'0" dv—r d �,, j - tiV0614.41. VASS 'Thilt Square Ft. t'0 0ro 100 cr y Estimated Cost (value) L. Tek, cr,� �° WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN-- YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for all disciplines. OWNERS regulating IT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws on and zoning. Furthermore, I authorize the above named contractor to do the worms. tated. Signa er and/or Cond esident ate ature of Co, i'ctor ate No My 0 Lh6) o wrier Builder // A/ir r r or Owner Builder 1 lira 'f n Expires" % FEES: PERMIT APPROVED: Zoning Building Mechanical RADON C.C.F 8 (9, 60 NOTARY s0o$r de.Y 4Fir, $Po 4 00 198 At{j ito • lq, TOTAL DUES 1 e - Date 1133\ +1/03 ate SERVE • CONSERVE MIAMI-DADE WATER AND SEWER DEPARTMENT P.O. Sox 330316, Morn, Flonda 33233-0316* 35755. LeJeune Road • Tel: 305-665-7471 VERIFICATION FORM EXPIRES ONE YEAR FROM DATE OF FORM ATLAS PAGE: F,-8 PSF INV #: NAME OF OWNER.: PROPERTY ADDRESS: TYPE OF USAGE\ NUMBER OF UNffS: PREVIOUS FLOW: PROPOSED FLOW: PREVIOUS SQUARE FOOTAGE: PROPOSED SQUARE FOOTAGE: NEW CONSTRUCTION?: INTERIOR RENOVATION?: PROPERTY LEGAL: INV #: DATE: July 8, 2003 YE OLDE BOSTON FISH MARKET 8833 BISCAYNE BLVD 4 SEAT ONLY RESTAURANT REPLACING STORE 62 350 N/A N/A NO YES FOLIO 11-3206-011-0190 THIS IS TO CERTIFY THAT THE M1AMI-DADE WATER AND SEWER DEPARTMENT DOES HAVE A(N) 6 INCH WATER MAIN ABUTTING THE ABOVE 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, ID # A) SUBJECT TO PROHIBITIONS OR RESTRICTIONS OF GOVERNMENTAL AGENCIES HAVING JURISDICTION OVER MAITERS OF WATER SUPPLY OR WITHDRAW WIThDRAWJM, Garcia, Jr. Representative BY: ‘7244- IGNA OF RPRESENFATWE NEW BUSINESS COMMENTS: EXISTING ACC # 3698902200 PLANS REVIEW COMMENTS: GPD • • $ AUTHORIZED STAMP OES NOT D 1 t THAT 50% OF THE EN 0 P THIS IS TO CERTIFY THAT THE MIAMI-DADE WATER AND SEWER DEPARTMENT DOES HAVE A(N) 8 INCH GRAVITY/FORCE SEWER MAIN ABUTTING THE ABOVE SUBJECT LEGALLY DESCRIBED PROPERTY. WE ARE WILLING TO SERVE THE SUBJECT PROPERTY, (OR, IF "WILL HAVE", UPON PROPER CONVEYANCE AND PLACEMENT INTO SERVICE OF SEWER FACILITIES BY THE DEVELOPER UNDER AGREEMENT WITH THE DEPARTMENT, ID # IN/A) SUBJECT TO PROHIBITIONS OR RESTRICTIONS OF GOVERNMENTAL AGENCIES HAVING JURISDICTION OVER MATTERS OF SEWAGE DISPOSAL. FURTHERMORE, APPROVAL OF ALL SEWAGE FLOWS INTO THE DEPARTMENT'S SYSTEM MUST BE OBTAINED FROM DERM. THE ANTICIPATED DAILY WATER AND/OR SEWAGE FLOW FOR THIS PROJECT WILL BE 288 INCREASE G NS PER DAY. BY: NEW BUSINESS CO Garcia, Jr. RepreSentiltivti REPREEf4TATIVE AUTHORIZED STAMP : SUBJECT TO DERM LETTER DATED 06-17-03 # 2003060615455643 PLANS REVIEW COMMENTS' CUSTOMER: SUSIE HENDRIX PHONE: 305-793-6706 REP: Gonzalo Garcia. Jr.. New Business Rey PHONE: 786-315-2717 AX: 786-315-2923 .2age: 1 of 2 MIAMI-DADE COUNTY, FLORIDA MIAMI- 1,11111111111 111111111111111111,111011111111111111111111111111111111111E1111111111111 2003060615455643 Issued Date: 17-JUN-2003 Expiration Date: 15-SEP-2003 MS SUSIE HENDRIX 3075 MARY ST MIAMI, FL Tel- 3057936706 Fax- (305) ENVIRONMENTAL RESOURCES MANAGEMENT WATER AND WASTEWATER DIVISION 33 SW. 2nd AVENUE SUITE 500 MIAMI. FLORIDA 33130-1540 RE: Sewer System Treatment and Transmission Capacity Certification Dear MS HENDRIX: The Dade County Department of Environmental Resources Management *(DERM) has received your application for approval of a sewer service connection to serve the following project which is more specifically described in the attached project summary. Project Name: YE OLDE BOSTON FISH MARKET Project Location: 8833 BISCAYNE BLVD VILLAGE OF MIAMI SHORES lie Proposed Use: 4 SEAT CAFE/FISH MARKET Previous Flow: 54,' GPD aZ Calculated Sewage Flow: 3170 GPD 2.1=44S Sewer Utility: MIAMI DADE WATER & SEWER DEPARTMENT Receiving Pump Station: 30-0049 DERM has evaluated the request in accordance with the terms and conditions set forth in Paragraph 16 C of the First Partial Conserve. Decree (CASE NO. 93-1109 CIV-MORENO) between the United States of America and Miami-Dade County. DERN hereby certifies that adequate treatment and transmission capacity, as herein defined, is available for the above described project. Furthermore, be advised that this approval does not constitute Departmental approval for the proposed project. Additional reviews and approval may be required from sections having jurisdiction over specific aspects of this project. Please be aware that this certification is subject to the terms and conditions set forth in the Sewer Service Connection Affidavit filed by the applicant, a copy of which is hereby attached. By copy of this certification we are advising the appropiate building official of our Department's determination. ?age. 2 of 2 Issued Date: 17- JUN -2003 Expiration Date: 15 -SEP -2003 Sincerely, JI!iI 1 I lif IF 11 11111 11111 II 111 J I1111 18111111ia 2003060615455643 John W. Renfrow, P.E. Director Department of Environmental Resources Management Sy: e Lopez, P.E. Chief, Water & Wastewater Division Attachements (2) cc: Building Official (w /Attachments) Utility Official (w /Project Summary Attachment) GREASE DISCHARGE OPERATING (GDO) PERMIT APPLICATION Miami -Dade County - DERM 33 SW 2nd Avenue, Suite 500 Miami, Florida 33130 -1540, Ph. # (305) 372 -6508 Notes: Please complete information as necessary and you MUST return this form properly SI ED, along with your corresponding fee. fraMir Facility Natze: Location: "`"�c » D�► �)c� Unit: Corporate Name: City: \ ' cy m► � c:'-e Zip Code: Telephone: `12) 6 -2;5 Property Tax Folio No.: \ \ - 3 2 C3 4a -- ©� \ c� t Cs Opening Date: PERMITTEE INFORMATION: Permittee: � Cr,--k \L Title: d (Biiairless Owner Name) Mall Address: - ?,e, '3'3 • 7,f,: •�.,�,, .)l,Dc-,A C City: V\ :.-r,', %\note.,, State: F 1 Zip Code: Phone: " -t�� °; ` ' %9'1 f.. ``k tts�J WORKSHEET TO CALCULATE FEE IS ON THE BACK OF THIS PAGE. *Facility Area (sq. ft): t C) c~- C' **# of Seats: 1 I • GDF: ***Calculated Sewage Flow: (gal) # of Grease Interceptors: ._4 Grease Recovery Links): GPM: NGT: Please attach a check In the amount of: $60 Less than 1001 GPD calculated sewage flow ❑ $250 Greater than 1000 GPD and less than 5001 GPD calculated sewage flow ❑ $300 Greater than 5000 GPD and less than 15001 GPO calculated sewage flow Made payable to "Miami -Dade County." This fee amount is based on the fee schedule approved by the Board of County Commissioners. The undersigned owner or authorized representative of: ).z• ( . \e' @'55.�'L�1 i-..L. is fully aware that the statements made in this application for an operation permit are true, correct, and complete. Furthermore, the undersigned agrees to maintain and operate the pollution source and pollution control facilities In such a manner as to comply with the provisions of Chapter 24, Miami -Dade County Code, and all the rules and regulations of the department and also understands that a permit, If granted by the department, will be non - transferable and will notify the department upon sale, ch. nge of location, or legal transfer of the permitted facility. Signature, Owner or Authorized Person Print Name Subscribed & sworn to and subscribed before me this (-$ day of 't'•1•e... • Personalty known , or produced identification DL#: V-t\•- �\ K'',, C... •---1 1 -- S --? _ S \ .- 0. Notary Signature f G•-0. , If signed by a Contractor or Representative, pI a check here:, v' / l Compa 20 C37:: e I Ffe AiiT A Tt SEALy Jan WILMA SYLVES I r ( Telephone: ) C--.)S° - —19 L'1 C.3 NOTARY PUBLIC SPATE OF FLORIDA COMMISSION NO. DD03%34 1 rMY COMMISSIq I x AIT v ZIJ For DERM Use OM / �i e Process Date: 6 7/ 0 ?! Permit Check #: Bill of Sale: Status: Session: Construction Completion: DERM Official: A/ Date: 06-16-2003 Page; Applicant's Name: MS SUSIE HENDRIX Applicant's Address: 3075 MARY ST DERM Number: 2003-0606-1545-5643 Project: YE OLDE BOSTON FIS MARKET 8833 BISCAYNE BLVD Proposed Use: 4 SEAT CAFE/FISH MARKET Pump Station: 30 -0049. Allocated flows: Projected NAPOT: 4.89 (HR) # Folio === 1 11-3206-011-0190 Lot Block Flow (GPD) = 300 300 (GPD) ofiere;V# (AI Y %seder's MIAMI —DADE COUNTY BUILDINt DEPART *Al 97/16/21113 RESISTER IHIER : TRANSACTION Is MUCUS 1219351317 16:94 ReNIBIAN CENTRAL LYDIA 19317989142 PERMIT FEE DUE $2,163.12 TOTAL : $2,:63.12 DECK TENDERED : 12,163.12 TOTAL s 42,163.12 $9.11 935 12,163.12 CHAISE ISSUED : CHECK IOS3: 13 P 03 -WO VIA .HAND DELIVERY July 30, 2003 Village of Miami Shores 10050 N.E. 2nd Avenue Miami Shores, Florida 33138 Attn: Building Dept. Re: Ye Olde Boston Fish Market 8833 Biscayne Boulevard Miami, Florida 33138 Dear Sir/Madam: I hereby authorize work to be performed for the Ye Olde Boston Fish Market, one of my tenants, at 8833 Biscayne Boulevard, Miami, Florida 33138, as per Master Plan No. BP20031118 and any and all revisions pertaining to such Master Plan in accordance with all applicable codes. All work performed will be at the expense of the tenant. OFFICIAL NOTARY SEAL RUTH A. BYDASH NATARY PUBLIC STATE OF FLORIDA COMMISSION NO. DD103980 MY COMMISSION EXP. MAR, 27,2006 Sincerely, Hassan Al annam, President g(kr CER'1IF'.IED COPY OF CORPORATE RESOLUTION I, AHMED MOHAMED, Vice President/Director, of SOUTH FLORIDA FIDELITY, INC., a Florida corporation, (hereinafter referred to as the "Corporation "), DO HEREBY CERTIFY, that the following Resolution was duly adopted at a special combined meeting of the Board of Directors and Shareholders of the Corporation, duly and regularly held at the office of the Corporation on the ls` day of April, 2003. WHEREAS, the Corporation has agreed to enter into a lease of 8833 Biscayne Boulevard, Miami, Florida 33138, by and between SOUTH FLORIDA FIDELITY, INC., as Landlord, and YE OLDE BOSTON FISH MARKET & SMOKE HOUSE, INC., as Tenant, in accordance with the Lease Agreement by and between the parties. BE IT RESOLVED that MARK IBRAHIIVI, ,,..<;e,e r f the corporation, is hereby authorized razed and directed to execute an y and all documents necess�arto effectuate the Lease. I FURTHER CERTIFY that the foregoing Resolution remains in full force and effect, has not been rescinded or modified, and was adopted in conformity with the Articles of Incorporation and By -Laws of the Corporation. IN WITNESS WHEREOF, I have hereunto set my hand and seal and the seal of the Corporation this 1T` day of April, 2003. (CORPORATE SEAL) SOUTH FLORIDA FIDELITY, INC., a Florida corporation D MOHAMED, Vice President/Director -Dee sLoti)( G, q,A;52 • .,„,.11 rz--) eptc ek5 uoLo Pco-t--eAoeir,e\b A-o St tt--4:740L- ce-- D recten PesykA:k-sv $0(% - Cor pse_Acf„Acycieo-x e iRk0 k ?es IPA:-6 cos-- VeaS) - Aso ptee besoloe owea) LA-0,"kAA0... 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 Job Name1 S ? A/A2A -,P"e/ ELECTRICAL CRITIQUE SHEET STATE OF FLORIDA COUNTY OF MIAMI -DADE CERTIFICATE } } ss: } On this 4th day of November, 2003, I, the undersigned authority, certify that the attached building permits were signed by Julia Mohamed, as Secretary of South Florida Fidelity, Inc., a Florida corporation. th A. Bydash otary Public - Statef Flo OFFICIAL NO TAIIY SEAL RUTH A. BYDmSH NATARY MIX STATE OF Fi CRIDA COMMISSION NO. DDI039S0 MY COMMISSION F.V. MAR. 27,2901 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795 -2204 Fax: (305) 756 -8972 Permit No. BP 03 -1118 Date 11 -26 -03 Temporary Certificate of Occupancy The following address is issued a Temporary Certificate of Occupancy Address 8833 Biscayne BLVD "Ye Old Fish Market" City Miami Shores State Florida Zip This Certificate of Occupancy is issued for the above address and is good for ninety (90) days only. This certificate verifies that the building or structure has met the requirements of Florida Building Code 106.1.2. The following items must be addressed and a re- inspection scheduled and passed within ninety (90) days before this certificate expires. If a complete Certificate of Occupancy is not obtained within ninety (90) days the building is presumed unsafe and the public cannot occupy any portion thereof. 1. Need an as -built revision submitted and approved. 2. Need rear wood deck completed as shown on plans. 3. Need a permit pulled for alarm system installed. Building Officials Approval: PERMIT APPLICATION FOR MIAMI SHORES VIL 10050 N.E. 2nd Ave nue • Miami Shores, Florida 33138 • Phone: 305 -795 -2204 • F Date 7 / 'phi i/. ' ^ Job Address RIZi gfi•JrC �.-/ fC Tax Folio Legal Description 1514 , I KT- Historically Designated: Yes . - e-4 Owner/Lessee/Tenet Owner's Address Phone 7 ? •se7r 4" , 73 Contracting Co. 5W E S1 L S / k GT3 1 N c- Address e `0 ` i,� V) 05 ; G..6.44 y, R Qualifier J O...(J , J - SG4, `41 H'1. An./ SS# Phone ¶ 5 cis flif- state# t -c- L'Q Z•Z. 5 3 ti Municipal # Master Permit #` (20 1 Competency # Ins. Co.0 14W-4'1 IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): , BUILDING n, WORK DESCRIPTION: 1 I ELECTRICAL %vt- lA— p(oos MECHANICAL ROOFING Square Ft. e Estimated Cost (value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for all disciplines. OWNER? ' ,AVIT: I certify that all the foregoing information is accurate and that all work will i= done in compliance with all applicable laws Signa o President faiji ee,ezel Date 1n13 i • pore er Builder Date regulati ins tion and zoning. Furthermore, I authorize the above named contractor to do the wor fated. �<<, 1tINDW6ilio Comig$llagti MY COMMISSI N MAIL, 27,2006 of —I too Date No .',�/ ty o (4 actor or Date My o II ' ssion Expires FEES: PERMIT 1� RADON C.C. APPROVED: Zoning Building Mechanical Plumbing t\cl NOTARY BOND"°. 01.048 910444 2004 �u TOTAL DUE Electrical Structural Engineer SJ He 000S -t 2r3 , C jl)S of') AGREEMENT FOR THE ISSUANCE OF A BUILDING PERMIT THIS AGREEMENT entered into on this /j-lday of September, 2003, by and between (Applicant), and Miami Shores Village, a Florida municipal corporation (Village): WHEREAS, the Applicant in the capacity of tenant leasing space at 8833 Biscayne Blvd., Miami Shores, Florida, has applied to the Village for certain building permit(s) relating to a business at that location to be known as "Ye Old Fish Market ', and WHEREAS, the Applicant(s) applications do not contain, as required, an authorized signature of the Applicant(s) landlord (the owner of the property) due to certain issues concerning the corporate status of the property owner, and WHEREAS, the Applicant and third parties purporting to be authorized representatives of the landlord have advised the Village that the landlord does, indeed, consent to the applications by the Applicant. NOW THEREFORE, for and in consideration of the mutual covenants contained herein, Ten ($10.00) Dollars in hand paid, and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the parties hereto agree as follows: 1. The Applicant represents and warrants to the Village that it has the consent of the property owner to proceed with the pending applications for building permit(s). In reliance upon this representation and the other covenants contained herein, the Village agrees to issue the permit(s) in question, on a temporary basis, for a period of no more than 30 days from the date of issuance. The Applicant agrees and acknowledges that these permits in accordance with the Village Code, may be revoked by the Village at any time. The Applicant also agrees to diligently devote its good faith efforts to obtaining for the Village proper documentation reflecting and confirming the consent of the property owner to the applications at issue as soon as possible and, in any event, within thirty (30) days from the date of this agreement. 2. The Applicant agrees to hold harmless and indemnify the Village from any and all liabilities, claims, causes of action, or damages of any kind arising out of the issuance of aforesaid temporary certificate of occupancy. IN WITNESS WHEREOF the parties hereto have executed this en• the date hereinabove written. MIAMI SHORES VILLAGE, a Florida municipal corporation BY: Tom Benton, Village Manager APPROVED: Richard Sar.'.� APPLI BY: ,. l tt#^TOBC PJ61IIiKPRDaF ` M :4 U C Outside openings protected igrj C Doors to exterior self•closing ® c Ice machine installed in protected area and properly drained `" Displayed food protected ping water dipper well for bulk ice cream service Equipment to maintain proper food temperatures Refrigeration Hotihoiding units 26 28 Laundry facilities properly located 30 Designated area(s) for employees' personal articles Designated storage area for maintenance and cleaning equipment 44 45 *Mr Type of supply: Municipal /Utility Supplier Name: A WI On -si e Well ❑ Qt Aryik )41.1. i' Written approval for use Issued by: Ks Public well permit number: 48 49 50 Type of system: g Municipab/Utllity 0 Package Plant 0 Septic Tank System Written a "AT d b ,h System name: Septic Tank System permit number: Tank size: gallons Drainiield: ® Grease Trap: gallons Location: wash facility with hot and cold run to sanitary sewer Locations _ .M►% cc c C\ Faucets with hose fitting and hose bibs to have back flow protection device Backsiphonagelbackflow protection if no air gaplbreak 34 Refrigeration waste piping shall discharge Indirectly into floor drain or other approved receptor Adequate number of public restrooms provided E C Hotjcold water to all lavatories utilized by employees CDoors to be self•closing Restrooms accessible by customers without going through food preparation, food storage, or ware washing areas Comments: 38 is square feet ® Seating capacity as indicated by plan: ®❑ Plans approved as is date: ( I OPlans approved with noted provisos date: t 12 Q Plans denied data I I Resubmit corrected plans as Indicated Provisoslc ments: 42 Waste container, grease receptacle, compactor on non•ab• sorbent surfaces. Compactor area drained to sanitary sewer IEE Comments: light fixtures required to be shielded, coated, or covered where food is stored, prepared, dispiayed, or where food Is open or exposed. aPR Form ER 5021 -011 (Formerly JaP.R I) All items will he veEifier Plan review by: date: tiff; fug ni,ert�s�g snsgection " Applicant name: Please print —" Applicant signature: date: j Renumbered 1999 Mav 25 MUNICI ALIT thS PLAN REVIEW 6/16/2003 1:55 :09PM 2003060615455643 PROJECT: YE OLDE BOSTON FIS MARKET REVIEWER: SYLVEW REVIEW TYPE: PLAN REVIEW CONTACT INFORMATION: MS SUSIE HENDRIX 8833 BISCAYNE BLVD VILLAGE OF MIAMI SHORES, FL 3057936706 ORIGIN: RECEIVED: 6/6/2003 FOLIO: 1132060110190 COI: N Water Abutting ?: Y COI ID: NONE WE #: n/a COI Zone: 0 Sewer Abutting ?: Y COI Covenant: N SE #: n/a Covenant on File?: N Gravity or Force: G Current use of property: RETAIL Improvement ALTERATION, INTERIOR Description of Work: FISH MARKET W/4 SEATS Well : Septic Tank: N Ft2 Existing Bldg: 1000 Ft2 Proposed Bldg: 1000 COMMENTS: 06 -13 -2003, By: sylvew PLANS "APP" BY AIR 6/13/03 (NO CHARGE) DERM LETTER- - - -GDO PERMIT /APPLICATION- - &DADE WATER SEWER VERIFICATION ARE REQUIRED BEFORE SIGN OFF. 06 -16 -2003, 13:55:08, By: sylvew FEES OWED MISCEL -------- D016 -- 70.00 ALLOCATION 50.00 GREASE DISCHARGE - -60.00 MI-- -- --- ---- D062 ---- 80.00 -- -TOTAL - 260.00 OWED WHEN PLANS ARE SIGNED TAPE DESCRIPTION STATUS DATE /TIME 1. REVIEWS D016 MISCELLANEOUS PRO2 ALLOCATION 0P03 GREASE TRAP D062 MI D015 AIR/MINOR SOURCES 2. CR- SIGNOFFS N/A 3. HOLDS N/A sl,z6D \49 c.)1°- fey A A A A 6/16/2003 I :45 :16PM 6/13/2003 2:19:54PM 6/13/2003 2:19 :51PM 6/13/2003 2:19:47PM 6/13/2003 2:19:41PM BY sylvew sylvew sylvew sylvew sylvew 4FEE 70.00 50.00 0.00 80.00 0.00 0.00 0.00 a: -1 Ooqument Name: untitled 3CAPL BUILDING DEPARTMENT 718/2003 ADD MISCELLANEOUS APPLICATION 13:32:22 APPLICATION DATE 06/18/2003 CONTACT NAME SUZY HENDRIZ ADDRESS 8833 BISC. BLVD CITY MIA SHORES SALES FEE UNIT TYPE CODE UNITS DESC FIRE F053 23250 EACH FIRE FEE BNZM1142 PAGE 1 TOLAT PROCESS NO. X2003138879 OTHER DEPT. APPLICATION NO. 4765 SUB TOTAL STATE FL ZIP FEE DESCRIPTION $232.50 PHONE 3057936707 COUNTY AGENCY USER PAID ID FEE IND TOLAT 232.50 PFI = UPDATE NEXT SCREEN NEXT KEY MISC APPLICATION ACCEPTED...ENTER NEXT KEY TO CONTINUE PF9 = MOD MISC APL ,).1iltSS PM Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795 -2204 Fax: (305) 756 -8972 Permit No. BP 2003 -1118 Date: 611/04 Certificate of Occupancy The following address is issued a Certificate of Occupancy Address: 8833 BISCAYNE BLVD "YE OLD FISH MARKET" City Miami Shores State Florida Zip This Certificate of Occupancy is issued for the above address. This certificate verifies that the building or structure has met the requirements of Florida Building Code 106.1.2. However, this certificate does not constitute any representation or warranty. Building Officials Approval: (Rev. 5/7/03) 7/17/2003 2:13:14PM MUNICIPALITIES PLAN REVIEW 2003060615455643 PROJECT: YE OLDE BOSTON FISH MARKET REVIEWER: SYLVEW REVIEW TYPE: PLAN REVIEW CONTACT INFORMATION: MS SUSIE HENDRIX 8833 BISCAYNE BLVD VILLAGE OF MIAMI SHORES, FL 3057936706 COI: N COI ID: NONE COI Zone: 0 COI Covenant: N Covenant on File ?: N Current use of property: RETAIL Improvement ALTERATION, INTERIOR Description of Work; FISH MARKET W/4 SEATS COMMENTS: 06 -13 -2003, By: sylvew PLANS "APP" BY AIR 6/13/03 (NO CHARGE) DERM LETTER - - -GDO PERMIT /APPLICATION- - &DADE WATER SEWER VERIFICATION ARE REQUIRED BEFORE SIGN OFF. Water Abutting ?: Y WE #: n/a Sewer Abutting ?: Y SE #: n/a Gravity or Force: G ORIGIN: RECEIVED: 6/6/2003 FOLIO: 1132060110190 Well : Septic Tank: N Ft2 Existing Bldg: 1000 Ft2 Proposed Bldg: 1000 06 -16 -2003, 13:55:08, By: sylvew FEES OWED MISCEL ----- ----- D016 -- -70.00 ALLOCATION ------- ------- 50.00 GREASE DISCHARGE- -60.00 MI ---- .,._.. D062---- 80,00 --- -TOTAL - 260.00 OWED WHEN PLANS ARE SIGNED 06 -17 -2003, 14:00:34, By: sylvew UNABLE TO CONTACT CLIENT ONE SET AT DESK- -ONE SET W/LETTER/GDO UP FRONT 06 -19 -2003, 13:54:51, By: campajo Sussie Hendricks picked up disapproved project - 07 -17 -2003, 14:13:13, By: sylvew W/S VERIFICATION SUBMITTED PLANS SIGNED OFF STATUS DATE /TIME TYPIr. DESCRIPTION 1. REVIEWS D015 AiR/MINOR SOURCES D062 MI PRO2 ALLOCATION DO16 MISCELLANEOUS OP03 GREASE TRAP PROS VERIFICATION FORM 2 CR- SIGNOFFS A A A A A 6/13/2003 2:19:41PM 6/13/2003 2:19:47PM 6/13/2003 2:19:54PM 6/16/2003 1:45:16PM 7/15/2003 1:31:25PM 7/17/2003 2 :09:59PM A 7/17/2003 2:12:06PM By FEE sylvew sylvew sylvew sylvew sylvew sylvew 0.00 80.00 50.00 70.00 60.00 0.00 sylvew 260.00 MIAMI SHORES VILLAGE BUILDING DEPARTM _305- 795 -2204 Building Inspection Reques 62 ?D Type Insp'n„ Permit No. P i 03v Name A- AddresZ Company Phone # Inspection Date Approved Correction Rc- Insp'n Fee BUILD PERMI APPLICATION FBC 2001 Miami Shores Village uilding Department 050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit Type (circle): Building Electrical Permit No. ?POD " 2s Master Permit No. Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) Phone # Owner's Address City State Zip Tenant/Lessee Name Phone # Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name , told P/am 4/fy /hone # ©.-) ?-e?/-6/ 4 V Contractor's Address 1.-6 S City 44 1-1 State P% Zip 3 3 Qualifier Perna r, e_pdi% 0.i, L Architect/Engineer's Name (if applicable) Phone # $ Value of Work For this Permit Square Footage Of Work: Type of Work: ['Addition ['Alteration ONew 0 Repair/Replace ❑ Demolition Describe Work: * *, * * * * * * *** * ** * * * ** * * * * *** Fees * * ** * * * * * * * * **** * ** * * * * * *** ** Submittal Fee $ Permit Fee $ CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ Total Fee Now Due $ (Continued on opposite side) Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD 'A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Owner or Agent The foregoing instrument was acknowledged before me this day of , 20 _, by who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: Contractor The foregoing instrument was acknowledged before me this day of ,20 ,by who is personally known to me or who has produced as identificati who did take an oath. NOTARY PUBLIC: Sign: Print: My Co nQ: Expires May 6, 2004 SS104� S: Hpsdcd m Ada Thg Co., Inc (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. ********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ******************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ** APPLICATION APPROVED BY: Plans Examiner Engineer Zoning Chc 12/15/03 Miami Shores Village Building Department BUILDING PERMIT APPLICATIO FBC 2001 Permit Type (circle): Building Electrical Owner's Name (Fee Simple Titleholder) Owner's Address #7 9 City "i�! Tenant/Lessee Name State 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. PLOD() 3 a5 ( : Master Permit No. Mechanical Roofing X17 Zip ��f /dam e Phone # Job Address (where the work is being done) City/e1:14-or Miami Shores Village �1 County Is Building Historically Designated YES Miami -Dade Zip NO Contractor's Company Name Phone # Contractor's Address City State Zip Qualifier Architect/Engineer's Name (if applicable) Architect/Engineer's Address City Phone # $ Value of Work For this Permit t State Zip Number of: Bays Stories Type of Work: dition DAlte Describe Work: Families on [New ,,.-. _ 7 Square Footage Of Work: Bedrooms Baths Repair/Replace D Demolition 0' ****** **.* * *** * **** **** ** **Fees * * ** * ** * *** County Escrow Fee $ ° 4 Permit Fee $ 0 * * * * ** * * * * * * ** Education/Training Fee $ Tech $ Code Enforcement $ Bond $ Minus Plans Check Fee $ Total Fee Now Due Notary $ S •00 - Scanning $ Radon $ Stud. $ $ (Continued on opposite 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 ad_ ) days -the building permit is issued In the absence of such posted notice, the inspection will not will be charged. or Agent The foregoing ins . ; ent was acknowledged before me this IC) , day of 20 , by who is personally kno►rn NOT �e �n Sign: ►.r Print YYl Q e Commission lt? hddlg±,r, l;;b 0;z Bonded Atlantic Bond g Co., Inc. ��s Signature Contractor The foregoing instrument was acknowledged befo a me this 1 ' day of OQ,"1 , 20( byt jl In ' I a fl rW who is personall , own to me or who has produced ((i ( take an oath. NOTARY PUB Sign:. Print My Commission Expires: ** *, ter* ** ** * ** *** ********* * * *** ********** * *, * ***** * * *,t********at**************** **** * *** *** ****** ** **,t******* (Certificate of Competency Holder) State Certificate or Registration No. i Certificate of Competency No. dentification and who did take an oath. My Commission Expires: Expires: Jul 13, 2007 Atlantic Bonding Co., Inc. **************IM*************** ** *4. * **./**************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: A , MI Irtn. Plans Examiner I;I Engineer x f' Zoning chc7P7/03 Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 3122/2004 Plumbing Permit Permit Number: PL2003 -256 Applicant: Owner: FUTURE INVESTMENTS ANJ JOB ADDRESS: 8849 BISCAYNE BLVD. Contractor QUALITY PLUMBING CONTRATOR Contractor's Address: 1565 w 35 place Local Phone: 305- 821 -0104 Parcel # PARC2003 -23 Legal Description: Page 1 of 1 Fees: Description Amount FEE2003 -5513 Building Fee $200.00 FEE2003 -5514 Notary Fee $5.00 FEE2003 -5516 CCF $0.60 Total Fees: $205.60, Total Fees: $205.60 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 9/22/2004 Construction Value: $400.00 Work: INSTALL GREASE TRAP Signed: (INSPECTOR) 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 responisibillty for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: MIAMI SHORES VILLAGE BUILDING DEPAR NT 305 - 795 -2204 Building Inspection Re Date S,2C Type Insp'n Permit No. P 1 03 Name Address gtS tIq 6 iscaqkq Skid Company G V Phone # 30 • Inspection Date Approved • Correction Re- Insp'n Fee Date PERMIT APPLICATION FOR MIAMI SHORES VILLAG 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138 • Phone: 305 -795 -2204 • Fax: 3 3 J01'4 ,ma c Folio // 3 6:0/,70/ / Legal Description Historically Designated: Yes ssee/Tenet Y _ a Master Permit # % ', Z�D3 )1 ` *. 51 ' T 6 q p �� od i Phone 7J! e :Tc4 c yav C ,Pcr)1°r . Owner's Address Contracting Co. m 7,14e, C Qualifier SS# State # Municipal # Address 0 Phone 93-( f' . ,e, Z.. Competency # Ins. Co. IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANIC ROOFING Square Ft. Estimated Cost (value) /50'e WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for all disciplines. OWNERS regulatin VIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws on and zoning. Furthermore, I authorize the above named contractor to do the work stated. Signatur N V ner and/or Condo Presid- t as tI'r 7'r7`T`j9:'' 3" siden YD H ' NOTARY F1JB AT OF ' ORIDA COMMISSION NO. DD103 MY COMMISSION EXP. MAR 27 ! r 6 FEES: PERMIT (CO APPROVED: RADON Date tCNOT SEAL RI � -- Date No tgr �gtt gl,OC' #� 14 4 (FLORIDA M Commies BTiON,jO.l) 03980 MY COMMISSION EXF. ' 27,2006 NOTARY Date BOND TOTAL DUE ) s 0 Zoning Building Electrical Mechanical (L‘,,,, (• rl ` D). Plumbing Structural Engineer RAO ‘C 3 M057 ket-tote, c -(er 47 ro-7-7, ( £d v 3 5'4 U 114" (A-lv v `iV-- s ec /L- 17 wA-/f ti Blaze Natural Gas Service 8045 NW 7 Street, Apt#107 Miami, FL 33126 / (305) 216 -2703 CCN 97P000315 / LPG017847 49 14 a.5 6t o ss b li) Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 11/24/2003 Plumbing Permit Permit Number: PL2003 -284 Page 1 of 1 Applicant: ANJ Owner: FUTURE INVESTMENTS JOB ADDRESS: 8849 BISCAYNE FUTURE INVESTMENTS ANJ BLVD. Contractor BLAZE NATURAL GAS SERVICES Contractor's Address: 8045 NW 7 STREET #107 Local Phone: Parcel # PARC2003 -23 Legal Description: Fees: FEE2003 -6173 FEE2003 -6174 FEE2003 -6175 FEE2003 -6176 FEE2003 -7396 Description Building Fee CCF Inpector State Educational Fund TECHNOLOGY FEE Notary Fee Total Fees: Amount $150.00 $0.60 $0.20 $3.75 $5.00 $159.55 Total Fees: $ 9:55 Total R ceipts: •N $�I:U0 ii LA"( Permit Status: APPROVED Permit Expiration: 4/11/2004 Construction Value: Work: GAS PIPING Signed: (INSPECTOR) $1,000.00 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 responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: PERMIT APPLICATION FOR MIAMI SHORES VILLAG 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138 • Phone: 305 - 795 -2204 • Fax: 30 Date ob Address ol tsy 3 i f( 4f<•ir x Folio Legal Description Historically Designated: Yes No sseell'enet a'� 4/S /4 10 c 4! Master Permit # Owner's Address Contracting Co. Qualifier SS# Phone geLd Phone Address ?fie Ay'? a �6�i°r State # Municipal # Competency # Ins. Co. IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): BUILDING ELECTRICAL WORK DESCRIPTION: • a Ce' -`.r'i' PLUMBING MECHANICAL ROOFING Square Ft. Estimated Cost (value) 49 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for all disciplines. OWNERS regulatin: '7ry' !i1 nsS VIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws on and zoning. Furthermore, I authorize the above named contractor to do the work stated. e y . ner and/or Condo Presid Signature as t, s tt n'tf 7Vr, ot'' 'II : Y- s esiden YD H% NOTARY PUB ATE OF Y ORIDA COMMISSION ND. DD103 MY COMMISSION EXP. 27 r r,6 PERMIT (Co APPROVED: ! Date RADON ,mac Date No 1 ►tYC3 IB G M mini P1 >N No/18. D MY COMMISSION EXP. 1.ORIDA 03980 27,2006 NOTARY BO ND TOTAL DUE )sO Date Zoning Building Electrical Mechanical e& % 7. rI ' J" Plumbing Structural Engineer �0‘ \C C4) 30 R-11,_=_,_ ECEOVED OCT 2 7 2003 Miami Shores Village Building Department BUILDING PERMIT APPLICATION FBC 2001 .1:, • 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. He CS -- LO Master Permit No. Permit Type (circle): Building Electrical Plumbing Roofing Owner's Name (Fee Simple Titleholder) ICC.D C7eltif li}?Qf�#T Phone # Owner's Address "fer:33 ire BAD) City / / ' State Zip Tenant/Lessee Name Phone # 7 (7‘ LC, y t' 3 Job Address (where the work is being done) X83.3 /S Cisty # City Miami Sores Villa= County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name iii 1)2 &' awe l e i ) -Tia— Phone # 3 'r 9'0-34.9/ Contractor's Address Xrit5 #F.: /,77 City /V") C L /6 State fit' Zip 33/6 2 Qualifier (f WO /9 c.,/ /fl, 4 /^! IJes Architect /Engineer's Name (if applicable) Phone # Architect/Engineer's Address City State - Zip $ Value of Work For this Permit / - (" Square Footage Of Work: Number of: Bays Stories ,,.�,,// Families Bedrooms Baths L�A Type of Work: ❑Addition iteration :New ❑ Repair/Replace ❑ Demolition Describe Work: le. kr re .3t ahr sr; f T-el • A -D ****************************Fees****************************** County( Eserokkv Fee $ ' 0 0 C� Permit Fee $ / O Q • Notary $ Education/Training Fee $ 0 Tech $ S O Scanning $ Radon $ Code Enforcement $ Bond $ Struct. $ Minus Plans Check Fee $ Total Fee Now Due $ • 9 0 (Continued on opposite 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 a., ,.. , and a re' ection fee will be charged. Signature 9 r Agentee...2 e� The foregoing instrument was acknowledged before me this Ir day of Vc..._Medli, 2 , by 7) l 6 4J/ who is personally known to me or who has produced NOTARY P Sign: Prin My Com * * * * * ** As identification and who did take an oath. It, Toy r0 Belicits@ Ittes lion ;< co ° a.r, M • '` m-cy t 1, y Contractor The foregoing instrument was acknowledged before me this day of , 2065L , by Loti).9-a7-1/74einb:v G,geg who is personally known to me or who has produced as identification and who did take an oath. NOTARY P : LIC: Si State Certificate or Registration No. RV 04, (Certificate of Competency Holden" Asiandc B°11d1/11geA.ffie www w* wwww wwww wwww***** *************************wwwvww APPLICATION APPROVED BY: Chc7l7 /03 Certificate of Competency No. wwww*** www*wwww ww www +wwwwwwwwwwwwwwwwwwwwwwwwwwww ans Examiner Engineer Zoning CONTRACTOR: A A FIRE EQUIPMENT CO,.INC. 480 NE 159th STREET NORTH MIAMI BCH,FLA.33162 Phone :305 - 949 - 3691- Fax:305- 354 -3937 JOB NAME:OLD BOSTON MKT. ADDRESS:8833 BISCAYNE BLVD. MIAMI,FL. DRAWING BY: PIERRE MEMBRIVES PERMIT # : 01520800051985 HOOD SIZE: 10' 3" X 3.5' DUCT SIZE: 16" X 12" SCOPE OF WORK: INSTALLATION OF AUL 300 WET AGENT FIRE SYSTEM. 1/2" EMT PRO 4.6 G. Manual pull 4' hig i Gas valve ELK 360 FLK 360 NL -1 F N FLK 360 NL -1 IJ-,P 3/8" Black iron pipe \ NL -2H NL -2H NL -1 H • NL -2L Fryer 185(18" Fryer 18 "x18" Griddle . 24 "x24" Stove 24 "x24" Nozzle coverages as per manufacturer's spec sheet attached Nozzle coverage Duct- NL -2D- 100 "Perimeter Plenum -NL -1 H -8'x4' Fryer -NL -2H -19.5 "x19" Stove- NL -2L -28 "x28" Griddle -NL -1 H -24 "x30" UL 300 PROTEX 4.6 G. POINTS ALLOWED 14 POINTS POINTS USED 11 POINTS PROTEX WET AGENT FIRE SUPPRESSION SYSTEM WITH DUCT, PLENUM AND SURFACE PROTECTION WITH SHUT -OFF GAS VALVE AND ELECTRIC MICRO - SWITCH FOR SUPPLY AIR SHUT DOWN //VP d/2" NFPA 96& 17A AND ALL STATE i/ff P #'IVY et-iMpty NOTES: NFPA 17A 3 -2.1.4 All devices Indoor 17A 3 -2.1.5 Alarm and Indicator provided. 17A 3 -2.1.6 Manual pull at egress. 17A 3 -6.1.3 All pipe penetrations sealed by UL listed quick seals. 17A 4C Appliances UL listed. 17A 4D Baloon test per Manufacturer 17A 4E. See plan for appliances layout. 17A 4-2. 1.2.3 Plan details and function sequence listed. WAN-DADE CO. FIRE DEPARTMENT ENT APPLICATION # ' 3J3Y —dp. 5"y FIRE SYSTEM INSTALLED ACCORDING TO MANUFACTURER'S SPECS AND MEETS AND LOCAL CODES %e rry eA`''— It Manual pull 4' high Exit Gas valve /fee 47`01**1/41- jd,�� Tank. • Hood size: 10'3 "x3.5' K Rated Fire extinguisher less than 30`from hood FLOOR PLAN APPROVED BY MIAMI -DADE CO. 1 7 FIRE DEPARTMENT SPK BLDG. PERMIT WATER IN XTEN ION DATE %/7 #76Y ON-SITE a C. APPLIANCE PROTECTION Note: When protecting appliances which are larger than sin- gle nozzle coverage, multiple nozzles can be used. Larger appliances can be divided into several modules, each Chapter 3 — System Design. equal to or smaller than single nozzle coverage. Exception: Fryers must not exceed a maximum of 864 sq. in. For modularizing fryers, refer to "Protecting Large Fryers by Dividing Their Area Into Modules," page 22. Design Index Chart and Nozzle Coverage Summary Sheet Appliance Deep Fat Fryer - Vat Deep Fat Fryer - Vat Deep Fat Fryer w/ drip board (Condition 1) Deep Fat Fryer w/ drip board (Condition 2) Deep Fat FrYer w/ drip board (Condition 1) Deep Fat Fryer w/ drip board (Condition 2) Tilt SkilletBraising Pan Tilt SldlleVBralsIng Pan Four Burner Range r` Two Burner Range. Two Burner Range, Small Wok Small Wok Large Wok Large Wok Small Griddle Small Griddle Large Griddle Large Griddle Gas Radiant Char - Broiler Gas Radiant Char- Broiler Large Gae Radiant Char- Broiler Large Gas•Radiant Char - Broiler Lava Rock Char - Broiler Lava Rock Char - Broiler Natural Charcoal Char - Broiler (max. fuel depth 6 ") Natural Charcoal Char - Broiler Mesquite Char - Broiler (max, fuel depth 6 ") Mesquite Char - Broiler UprighVSalamander Broiler Nozzle Flow Mount Figure Type Points H 3-3 NL2H 2 L 3-4 NL2L 2 H 3-5 NL2H 2 H 3-5 NL2H 2 L 3-5 NL2L 2 L 3-5 NL2L 2 Chain Broiler (Internal Chamber) III cVAA01 Lan. ua n.4 OMO H L H L • •H H 3-7 NL2H 2 3-8 NL2L 2 3-9 ' NL2L 2 3 -10 NL1H 1 3-11 NL1L 1 3 -12 NL1H 1 3-13 NL1L 1 3 -14 NL2H 2 3 -15, NL2L 2 3-16 NL1H 1 3-17 ; NL1L 1 3 -18 NL2H 2 L 3-19 NL2L 3-20 NL1H 1 3 -21 NL1L 3-22 NL2H L ;;3- 23.x, H 3 -24 NL2L L 3-25 rNL2L H 3 -26 NL1 H 3 -27 NL1 L 1 3 -28 NL1H 1 3-29 ' NL1 L. 3 -30 NL1L 3 -31 NL1L Max Max Width Depth (in) .. (in) 19-1/2 Deep Vat. Overall Cooking Area , Deep Vat Overall Cooking Area Deep Vat' Overall Cooking;Area 27 -3/4 19-1/2 25-3/8 Max Length (in) 19 19 18. , 27.3/4 19-1/2 25-3/8 Min Max Max . Nozzle Nozzle Area Height Height (in2) (in) (in) 24 . 48 13 24 324 24 48 24. 48 371 24 48 495 24 : 48 4 13 24 13 24 371 13, 24 495 13 24 500 24 48 500 13 24 34 48 40 50 13 23 -1/2 24 - 48 13 24 24 48 13. 24 24 48 10 24 24 48 13 24 26 24 48 13 24 36 864 36 48 13 36 26 624 24 35 624 15 24 24 480 24 35 Deep Vat Overall Cooking Area 27 -3/4. 27 -3/4 12 12 24" dia.. 24" dia. 30" dia. 36 6 28 28 28 1080 1080 1440 1440 624 4. 24.; 24 480 15 24 480 24 35 _480 15 24 36 28 Front Edge • 27 above the chain Front Edge 11-3" above the chain Page rev. A Chapter3 - 'System Design PIPING LIMITATIONS Once the nozzle placement and quantity of tanks has Wan determined, it is necessary to determine the piping, configurations between the tank and the nozzles. This section contains the guidelines and limitations for designing the distribujtion piping so that the wet chem4calagenLwill discharge from the nozzles at a proper flow rate. These limitations must also be referred to Yihen selecting the mounting location for the tanks. a r The maximum pipe lengths are based on internal pipe. volume. Each size tank is allowed aminimum and maximum total volume of piping, calculated in milliliters. There is no need to distinguish between "whaf portioh df the'' piping is supply line and what portion is branch line. Only the total volume of the complete piping network has to be considered. VOLUME CHART 1/4 in. pipe = 20.5 mis./ft. 3/8 in pipe = 37.5 mis./ft. 1/2 in. pipe = 59,8 misift. 3/4 in. pipe = 105.0 Misift. TANK CHART Maximum Tank Flow Size Numbers 3.0 Galion • 10 L3000 4.6 Gallon 14 L4600 4.6 Gallon 15 L4600 6.0 Gallon 19 L6000 6.0 Gallon 20 L6000 Maximum Pipe Volume (milliliters) 1910 Maximum Volume Mowed Between First Nozzle & Last Nozzle (milliliters) 1125 3400 2600 4215 3465 3000 2000 1688/side 1313/side UL EX4521 January 15, 2002 46 GENERAL PIPING REQUIREMENTS 1. Split piping and straight piping are both allowed on an L3000 and an L4600 system. 2. L6000 systems must use split piping only, with no nozzle located before the `split, and with a maximum . of 14 flow points per side. 1/2 in. minimum piping must be used up to the first split. 3. Maximum volume for 1/4 In pipe between a nozzle and the preceding tee is 410 mis. 4. Maximum flow numbers for 1/4 in. pipe is 6. 5. Maximum number of elbows between a nozzle and the preceding tee. is 5. . 6. Maximum of 25 elbows are allowed in the total " piping system :. — 7. Maximum difference in elevation between the tank' outlet and any nozzle is 10 ft. 8. No traps are allowed in the piping network. 9. Pipe lengths are measured from center to center of fittings, 10. The Internal equivalent length volume of fittings does not have to be considered as part of the total pipe volume. 11. When utilizing different size pipe in the system, the largest size must start first and the additional pipe must decrease as it approaches the nozzle. 12. Elbow(s) or swivel adaptors located at the nozzles do not have to be counted in the 25 elbow maxi- mum requirement. 13 Reducing bushings are allowed when reducing to a smaller pipe size. 14. Additional piping requirements when protecting a range, wok, or a fryer; L3000 - Minimum of 300 ml and four (4) flow numbers required in total system. Of that minimum, 239 ml and two (2) flow numbers must be utilized at or before the range, wok, or fryer. L4600 - Minimum of 660 ml and ten (10) flow numbers required in total system. Of that minimum, 180 ml and two (2) flow numbers must be utilized at or before the range, wok, or fryer. L6000 - Minimum of 960 ml and fourteen (14) flow numbers required in total system. Of that.. minimum, 120 ml and 2 flow numbers must be utilized at or before the range, wok, or fryer. Page rev. A Part it 10053 MIAMI-DADE co. FIRE DEPARTMENT APPLICATION # 3.33--6PeP2,-4/ APPROVED BY MIAM1-DADE CC i.!‘111 FE DEPARTMENT SPK BLEIG. r;:-..7.WT ON-SITE WATE1717XTENSIO DATE//'BY ,,,44477 ic PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138 • Phone: 305 -795 -2204 • Fax: 305 -7 Date 7 Legal Description Owner/Lessee/Tenet Tax Folio / X- Historically Designated: Master Permit # 1 6/2A-9 c 7 Yes No Owner's Address cyPor23 3,,re. c jr, it, Phone 7 C —S-7 r C 7 Contracting Co. A V C S T r... 5 +,/ I CMS i N C- Address 'WV S 0 `"•■•• Cos' 1 fl, Qualifier sJ a.t/K. . V ` 5G/1,,, W' 1,, , SS# . —phone q J'[ «3 'V 4 61 State # C" C. 0 2A 3 01 Municipal # Competency # Ins. C 7 & C ' 1' IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. MECHANICAL ROOFING Permit Type (circle one): BUILDING ELECTRICAL PLUMBING LiN/1 A .14"..- (0 dot.) "1)4 401/ WORK DESCRIPTION: Square Ft. 00 Estimated Cost (value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for all disciplines. OWNERS A 7r• . VIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating co / • I n and zoning. Furthermore, I authorize the above named contractor to do the work stated. } Signature o r ' r and/or Condo ' • s' ent D No e ommis9ll�ril PT': ' YS R� B > ASH NOTARY PUBLIC ST - OF FLORIDA COMMISSION NO. DD103980 MY COMMISSION EXP. MAR 27,2006 FEES: PERMIT c, s RADON C.C.F APPROVED: !/ Zoning / •' of Con' , ( ' �I r /f :o %ontractor o ii ssion Expires Sig � `yp..O� r or Owner Builder No My NOTARY Date .3 Owner Builder 460 snago By � • V _f CO�rild+�l y • . L' h ?A8 Date TOTAL DUE Building Electrical Mechanical 7-*� �' ('J ) Plumbing Structural Engineer tCCk- 8 (O't `° Pe r m ��- I3 —` /55 .,4 PLAN REVIEW COMMENTS PROJECT NAME : &CAI 4 I eI'/ PROJECT ADDRESS : p v REVIEWER: J1' (=To 451) SHEET NUMBER: DATE: 3 /1c 2OC) - /30 I 4, Signature of Inspector Title 7. ')3 Date Signed Total Number of Hours (PLEASE TURN-IN A COPY OF THIS FORM AS YOUR TIME SHEET: FOR ALL PLAN REVIEW) PERMIT APPLICATION FOR NIIAMI SHORES VILLAGE 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138 • Phone: 305 - 795 -2204 • Fax: 305- 756 -8972 Date .S ct 3 Job Address Tax Folio 1 1 OF (00? I , 'p 0 Legal Description S C w-4 Historically Designated: Ye 114 1-(x .v, C'4 1 IS Gts 1 * �`' Master Permit # 11) 2 C2,93 �OwnerJL ssee/Tenet S Owner's Address ? 5 - i.� i S G °A )3 ( Phone — Z -g — 3c1gl Contracting Co. Address Qualifier SS# Phone State # Municipal # Competency # Ins. Co. IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): cl3iIILDING EL CTRICAL PLUMBING MECHANICAL ROOFING WORK DESCRIPTION: S q u a r e Ft. V ' ' ( ! O-O0 S . ri & J-(.lfrimv. 0'7' Estimated Cost (value) tj 0° WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating constntction in this jurisdiction. I understand that separate permits are required for all disciplines. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulatin.. onstraction and zoning. Furthermore, I authorize the above named contractor to do the work stated. 4 Signl t !' 0 ent Date Signature of Contractor or Owner Builder Date Date Notary as to Contractor or Owner Builder My Commission Expires FEES: PERMIT Y'` r APPROVED: Zoning37/16 wilding / Mechanical Plumbing Date C.C.4414 NOTARY BOND TOTAL DUE AUG — 1 2003 Electrical Structural Engineer PERMIT APPLICATION FOR MIAMI SHORES VIL 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138.305- 795 -22 Date 03 Job Address Tax Folio Legal Description '1; Historically Designated: Yes Owner/Lessee/Tenet Y"C D L fi S11 `' 1ar - 1( 4J 'L Master Permit # p&OC J 1 Owner's Address 8 S 33 as,",,, giVal Contracting Co. AD % Seet, 1 J _TS real 1 01. Qualifier SS# Phone Address 30S- Ise • Phone3 V� - , State # IFOroO# (( Municipal # Competency # Ins. Co. IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): BUILDING V �I'. WORK DESCRIPTION: 110 U i �u -2. PLUMBING c -: MECHANICAL ROOFING Square Ft. Estimated Cost (value) j 5E> WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for all disciplines. OWNERS AFFIDAVIT: I certify that all the foregoi /info on accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning;,Ftr rmore, I thonze..e ab v' 6 named contractor to do the work stated. 7 s °G Date Signature of Contractor or Signature of owner and/or Condo Presi JFt,p�1 2007 • > SuiY 46, es1 sores Notary as to OtPtier and/or Condo President My Commission Expires `°'( sbt octo s1'oso Alba Gaona • My Commission 0/)224104 •a Expires July 26, 2007 Notary as to ontractor or Owner Builder My Commission Expires APPROVED: Zoning Building Electrical- Mechanical Plumbing 2r -72.7 C.C.F d NOTARY Q,So Date BOND Structural Engineer ADDENDUM to BUILDING PERMIT APPLICATION AN APPLICATICON FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) • PLUMBING ELECTRICAL MECHANICAL iEM 4TH TU6 UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE IDET LIGI{f OUTLETS CENTRAL HEATING ISI{LASHER RECEPTACLES A/C (WILD) ISPOSAL SERVICE TEMPORARY A/C (CENTRAL) MIXING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK LOOK DRAIN SERVICE REPAIR/METER CHANGE REFRIGERATION REASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING NTERCEPTOR RANGE TOP UNDERGROUND TANKS AVATORY OVEN ABOVE GROUND TANKS AUNORY TRAY WATER HEATER U.F. PRESSURE VESSELS LOTHES WASHER MOTORS 0- 1 FP STEAM BOILERS 4-10WER MOTORS OVER 1- 3 FP HOT WATER BOILERS :INC, POT /3 COMP. MOTORS OVER 3- 5 HP MIECHANICAL VENTILATION ;INK, RESIDENCE MOTORS OVER 5- 8 If TRANSPORTING ASSEMBLIES .INK, SLOP MOTORS OVER 8- 10 If ELEVATORS/ESCALATORS 'EMPORARY WATER CLOSET MOTORS OVER 10- 25 If F IRE SPRINKLER SYSTEMS JRINAL MOTORS OVER 25-100 If COOLING TOWERS {ATER CLOSET MOTORS OVER 100 FP VIOLATION OIRECT•WASTES A/C WINDOW RE INSPECTION LATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER F IRE SPRINKLER GENERATORS TRANSFORMERS 'HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER- REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIM41ING POOL OUTLETS COMJIERCIAL WATER SERVICE SIGN TUBES ;EWER CONNECTIONS SIGN TRANSFORMERS JTILITY -SEWER SIGN TIME CLOCK JT IL ITY -WATER F IXTt. RES ;EPTIC TANI( ANTENNA RELAY TELEVISION OUTLETS )RAINFIELO, 4' TILE/RES. VIOLATION 'UM" & ABANDON SEPTIC TANK REINSPECTION OAKAGE PIT W. FT. gul 6,r (4 v,1°' :ATCH BASIN r (06,,,,.e._ ) I SCHARGE WELL dew ;� e s SST IC WELL AREA DRAIN 100F INLET t SOLAR WATER HEATER `, =IRE STANDPIPE 'OOL PIPING _AWN SPRINKLER SYSTEM 3AS RAKE METER SET (GAS) 3AS PIPING Miami Shores Village 10050 NE 2nd Avenue Phone: 305-795-2204 Printed: 12/16 /2003 Electrical Permit Permit Number: EL2003 -376 Page 1 of 1 Applicant: ANJ FUTURE INVESTMENTS Owner: INVESTMENTS ANJ FUTURE JOB ADDRESS: 8833 BISCAYNE BLVD. Contractor ADT SECURITY SERVICES INC Local Phone: Parcel # PARC2003 -18 Contractor's Address: 7747 NW 48 ST 160 Legal Description: Fees: Description Amount FEE2003 -8348 Building Fee $200.00 FEE2003 -8349 CCF $0.60 FEE2003 -8350 Training and Education Fee $0.20 FEE2003 -8351 Technology Fee $1.50 Total Fees: $202.30 Total Fees: $ g.3O Total Receipts $ A0 a.3b Permit Status: APPROVED Permit Expiration: 6/8/2004 Construction Value: Work: LOW VOLTAGE BURGLAR ALARM $350.00 OLIN cz '62 Signed: (INSPECTOR) In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305 -795 -2204 Building Inspection Request Date 1 b Time Type Insp'n Permit No. Name f Company Phone # For Inspector:I I )2$ f 03 Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTME 305 - 795 -2204 )Bui ding Inspection Requ Date I Z+ t Time Type Insp'n Permit No. Name Address Comp Phone # For Inspector/ %/ 2 / o3 EName & Date Approved Correction Re- Insp'n Fee 137' RECEO EWE PERMIT APPLICATION FOR MIAMI SHORES VIALALI4 i 003JUt it 2003 • Fax: 305 -7 i6 -8972 10050 N.E. 2nd Avenue • Miami Shores, Florida 3 3138 • Phone: 305 - 795 -2204 _) Date Job Address Tax Folio Legal Description J% Owner/LesseelTenet Owner's Address Contracting Co. oF/I Historically Designated: Yes r CO j// Master Permit # / Qualifier # ' "l a tv3 us-tcs State # dZ- Cr-)IZ-'76C Municipal # Phone / ifitrAlY Address SS# Phone -Ks. 4 - ! LL ? Competency # d 7 , 51 Ins. Co. IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS 850.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. ELECTRICAL. ) PLUMBING MECHANICAL ROOFING Permit Type (circle one): WORK DESCRIPTION: BUILDING Square Ft. (2 4 (9 Estimated Cost (value) -.po WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for all disciplines. OWNERS A�VIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating co)truc on and zoning. Furthermore, I authorize the above named contractor to do the work stated. Signature of ntractor or Owner Builder 7— Z-3 71 Date .. r r Iii . ire ,i .111t..1, :wets) � li irs , -. I • to ' 44,„ ; I!N�r.DD1980 L_MYCOMMLSSION 'tl. P. MAR 27,2006 j FEES: PERM c2 RADON 7-,z3 -d3 Date Date No NATARYMBLIE M CommillIOMMISSION MY COMMISSIO C.C.F/ ;!111._ NOTARY APPROVED: Zoning Building Mechanical 2cdGt,. C(3 0301 nd Plumbing BOND Structural Engineer ADDENDUM TO BUILDING PERMIT (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDS OBTAINED, T WNER,'S NOTARIZED SIGNATUP. NEED NOT BE PRES PLUMBING ELECTRICAL UMJ U L E2 ! R fT ON SUBSEQUENT ERMIT HAS B. PLICATIONS.) MECHANICAL ITEM BATH TUB . UNIT FEE ITEM SWITCH OWLETS .UNIT �� .FEE ::ITEM:. � � • SPACE HEATERS WIT FEE BIDET LIGHT CUTLETS 8 X2 CENTRAL HEATING DISHWASHER RECEPTACLES 10 Aa A/C (WIND) DISPOSAL SERVICE TEWORARY A/C (CENTRAL) DRINKING FOUNTAIN • ` SERVICE SIZE IN AMPS 3DO 6' DUCT WORK FLOOR DRAIN SERVICE REPAIRMTER CHANGE REFRIGERATION GREASE TRAP _ APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN • ABOVE (MOUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MOTORS ;; 0- 1 HP STEAM BOILERS SHOWER MOTCRS OVER 1- 3 HP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP _ TRANSPORTING ASSEMBLIES SINK, SLOP _ MOTCRS OVER 8- 10 HP ELEVATORS/ESCALATORS TE ORARY WATER CLOSET MOTORS OVER 10- 25 HP FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MGTCRS' CNER • 100 NP _ VIOLATION INDIRECT WASTES A/C WII(0W REINSPECTION WATER SUPPLY TO: .AIR CONrITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER 1 GENERATORS TRANSFORMERS ' HEATER -NEW INST. GENERATORS TRANSFORMERS HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIM+IINiG POOL OUTLETS COMERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS 1 r SIGN TRANSFORMERS SIGN TIME CLOCK UTILITY -SEWER UTILITY - WATER FIXTURES SEPTIC TANK ANTENNA ; RELAY TELEVISI'JN OUTLETS ORAINFIELO, 4' TILE/RES. VIOLATION PUMP S ABANDON SEPTIC TAN( RE INSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER `IRE STANDPIPE 'COL PIPING ` _AWN SPRINKLER SYSTEM 3AS RANGE AETER SET (GAS) BAS PIPING TYPE: SO. D 00C42` MOUNTING: RECESSED LOCATION: WALL- BACKRM, PANEL: B NEW 10.000 AMPS RMS SYM I.C. • - VOLTS: 120/240 /1PH / 3W MAINS:_ 2 - 3/0 COPPER TYPE MAINS: MLO 225 AMPS NEUTRAL:1 - 3/0 CIRCUIT DESIGNATION A (VA) LOAD B (VA) LOAD WIRE/CONDU. BREAKER SIZE -POLE QR NO. QR. NO. BREAKER SIZE -POLE WIRE/COND A (VA) LOAD B (VA) LOAD CIRCUIT DESIGNATION FRONT DOOR EXIT LIGHT 200 #12 / %z 20 -1 1 2 30 - 2 #10 / V2 -- 6000 STEAMER DIN. RM. LTG. 1440 #12/%2 20 -1 3 4 - - - - it FRONT HALL LTG 500 #12 / 1/2 20 -1 5 6 20 - 2 #10 /' /z 3000 - SMOKER SPARE - - - 20 -1 7 8 - - - - if ICE MACH. 2200 -- #12 / %2 20 - 2 9 10 30 - 2 #12 / %2 2200 - ICE MACH. if -- -- -- 11 12 - - - - SPARE -- -- -- -- 13 14 20 -1 #12 / i/2 720 RECEP. :a -- -- -- 15 16 -- -- -- -- SPARE if -- -- -- -- 17 18 -- -- -- °` -- -- -- 19 20 -- - - - SPARE K. EXH. FAN 3000 #10 / %2 30 - 2 21 22 -- -- -- if -- -- -- 23 24 -- - - - SPARE FIRE SUPPEESS. 2000 #12 / 1/2 20 -2 25 26 -- - - - SPARE K.HOOD MAKE -UP - 2000 #12 / 1/2 20 - 2 27 28 -- - - - SPARE K. HOOD EXH. 2400 #10 / 1/2 20 -1 29 30 -- - - - SPARE GAS FRYER REC. - 1000 #12 / 1/2 20 -1 31 32 20 -1 #12 /' /z 1200 SIGN LOBSTER TANK 1000 - #12 / 1/2 20 -1 33 34 20 -1 #12 / %z 500 DELI FISH CASE N. WALL REC. - 1080 #12 / %z 20 - 1 35 36 20 -1 #12/i/2 630 KITCHEN LTG. S. WALL REC. 1080 - #12 / %2 20 -1 37 38 20 -1 #12 / %z 600 KITCHEN REFRI. AIR- CONDITION. - 7200 #8 / 3 40 -2 39 40 20 -1 #12 / 1/2 500 K. HOOD LIGHTS 64 - - - -- 41 42 20 -1 #12 / 1/2 500 BACK HALL LTG. CONNECTED LOAD: 12380 12720 TOTAL CONNECTED LOAD (VA): 40950 TOTAL DEMAND LOAD (VA): AMPS: 171 8250 7600 :CONNECTED LOAD -?y -07 e 730,J7-Q A.) eg 33 /sceirm-, (? tc,6' 5/9 7 93) /90/-Vooir-e),,e=z A/c oete 1, /0 4.) j,-,-,-„i7,,v ..g.e, /If /;:eel /J-- ,,,/e,-,'-,1C--' / i-e- /15'7 Ce f le-" -e 94 S /7 7A,4,47 /J /2/-e7.-ec--4.3,(1 elf, xo 0 cf e-; &.,s- 7,2),,--c--,7 ,,, "g/S 1,,,,.t. ove_ oPyr .141 /j- / ifq MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305 - 795 -2204 Building Inspection Request Date f'n lb�k'U'1 Type Insp'n Permit No. E L ° 3- Name G 5 Address n-12)5 Ib(Q 5 jf 2 -bL J h Company T S.12.,e4Mti Phone # —M ° 3 5j ( — 3) (o J Inspection Date t0) 0°1 t o + Approved Correction Re- Insp'n Fee -.MM I, NOT R IWPKTO BEE DANCE CHANCAL ROOFING Square WARNING (WINTER; YOB MIST RDA NOTICE OF COMMENCEMENT Ake: YOUR FAILURE TO. SO MAY RESULT IN YOUR PAYING TWIGS FO t > +RO S TO YQIJR PROPERTY (IF YOU TO OBTAIN FINANCING, CONSULT WITH YO L. OR ANY ATTORNEY BEFORE RECORDING YOUR. NOTICE OF COMMENCEMENT.) hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable), I certify that performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required : I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws ion and zof ling. Torre, I authorize the above named contractor to do die work stated. . Date Signature of Contractor or Owner Builder FEES: PERMIT RADON APPROVED: C.C.F Notary as to Contractor or Owner Builder My Commission Expires NOTARY BOND TOTAL DUE.. Zoning Building Electrical Mechanical Plumbing Structural Engineer t MI AM I 7DADE COUNTY BUILDING DEPARTMENT ST/17/203 11z22 1011021. CHM& COM 014021 TIOMITEM #: 03#711031 PIM% PEWIT FM ME 12031E603 $55.0 ========= MX a $55.0 OtOt isms I 05.0 ===z======= writ = 155.0 OWE DUB WeW at(ttS)I 120 f ROCESS NO: X2003166483 OLOE BOSTON FISH MARKET /SUZY N 3833 BISCAYNE BLVD. 3IAMI SHORES, FL MIAMI -DADE COUNTY MISCELLANEOUS RECEIPT 07/17/2003 REVIEW FEE TYPE CODE FIRE F053 FIRE FEE UNIT • FEE 0ESC AMOUNT 55.00 55.00 7/17/2003 11 : yam : DAMSON 90307170032 NbNZ453L CENTRAL 55.00. MIAM IDADE bCESS t 0 r X2 3138.5 79 21' HENDRI2 3 1ISC. BLVD A SHORES, FL. EVIEN FEE T VPE , CODE FIRE F053 FIRE FEE MIAMI-DADS COUNTY I' °ZSCELLANEOUS RECEIPT 06/19/2003 UM7T FEE OES C AMOUNT 232.50 232.50 6/19/2003 16:02 YOEHI S 20306110134 RBWZ82NY CENTRAL 232.50 7 CHEM M I AM I -DADE COUNTY BUILDING DEPARTMENT 66/19/3/13 16:82 RESISTER : RBNZBZNY CENTRA CASHIER : YDB4IS TRA4SPL-11M 1: 23661134 MISS PERMIT FEE DIE X2883138879 $232.5 TOTAL : $232.5 NCH TENDERED $232.5 TOTCL : $232.58 CHANGE ISStED DECK DIM : 1278 $232. Miami -Dade County — DERM 33 SW 2nd Avenue, Suite 500 Miami, Florida 33130 -1540, Ph. # (305) 372 -6508 Notes: Please complete information as necessary and you MUST return this form properly SI , along with your corresponding fee. s Facility Name: Location: Corporate Name: City: \ \ ■ ex.re i Unit: cs-e. g Zip Code: Telephone: —1 2, 6 . 'j t y. L1 Tj Property Tax Folio No.: t \ — 2 c:3 L- O \ 1 tom1 112N .Opening Date: PERMITTEE INFORMATION: Permittee: ,r\ . , \` (Bilsiness Owner Name) Mail Address: %€, ° '� ,,� \DA City: h\ \kcsiv State: t Zip Code: Phone: "-t E3'.. C; ` t L4-7t Title: r\e.S WORKSHEET TO CALCULATE FEE IS ON THE BACK OF THIS PAGE. *Facility Area (sq. ft): i ©c7 0 **# of Seats: 1-4- -. GDF: ***Calculated Sewage Flow: (gal) # of Grease lntffrceptors: Capacity: Please $ ash a check In the amount of: �0 Less than 1001 GPD calculated sewage flow o $250 Greater than 1000 GPD and less than 5001 GPD calculated sewage flow o $300 Greater than 5000 GPD and less than 15001 GPD calculated sewage flow Grease Recovery tlnit(s): GPM: NGT: Made payable to "Miami -Dade County." This fee amount is based on the fee schedule approved by the Board of County Commissioners. The undersigned owner or authorized representative of t e t'31c -Ne e�� ,. is fully aware that the statements made in this application for . an operation permit are true, correct, and complete. Furthermore, the undersigned agrees to maintain and operate the pollution source and pollution control facilities In such a manner as to comply with the provisions of Chapter 2.4, Miami -Dade County Code, and all the rules and regulations of the department and also understands that a permit, if granted by the department, will be non - transferable and will notify the department upon sale, ch nge of location, or legal transfer of the permitted facility.t ■ . Signature, Owner or Authorized. Person Print Name Subscribed & swom to and subscribed before me this t,-, day of 4 20 0" Personally known , or produced 1 entification V--.40\- K 3 `� S "? - S 3 C i Notary Signature - ,,�% ./ If signed by a Contractor or Representative, pl se check here: t/ Compa y Name' �i • Telephoner QS` — '� 3 (4=3:1 6)4 NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. DD039614 MY COMMISSION EXP Ji IT le Sn For DERM Use Oni Process Date: (� 7/6 Status: 111 Session: Construction Completion: DERM Official:1a Permit Check #: Bill of Sale: Worksheet To Calculate GDO Fee Amount' Determine the correct land use item for the facility. Land Uses : o Full service restaurant: o Bar or cocktail lounge: o Fast food restaurant: o Take -out restaurant: o Stadium, race track, ball park: o Theater (indoor): o Banquet Halls: o Gas station/mini -mart: o Food preparation outlets: o School with cafeteria: Land Use Type: Land Use Rate 50 (GPD /seat) 15 (GPD /seat) 35 (GPD /seat) 50/100 (GPD /sq. ft.) 3 (GPD /seat) 3 (GPD /seat) 25 (GPD /seat) 450 (GPD /unit) 50/100 (GPD /sq. ft.) 5 (GPD /student) Grease Discharge Factor .50 .40 .40 .50 .20 .20 .20 .20 .50 .20 Land Use Rate: GDF: Calculate the facility area by multiplying: Total Facility Length x Total Facility Width = Facility Area (L) (ft.) x (W) L W (ft.) _ (sq. ft.) Length x Width = Area Example: Your bakery is 55 feet long (L) and 100 feet wide (W) You multiply 55 x 100. The answer is: 5500 square feet (sq. ft) Calculate sewage flow for food preparation outlet area multiply facility area by the land use rate for GPD /sq. ft. Facility Area x Land Use Rate x (501100): x GDF = Calculated Sewage Flow (sq. ft.) x (GPD /sq. ft.) x (GPD) (Place this number on the application where it says ** *Calculated Sewage Flow on application) o7r Calculate sewage flow based on seats (for land uses that have GPD /seat only): Number of Seats x Land Use Rate x GDF = Calculated Sewage Flow (* *Seats) x (GPD /seat) = (GPD) (Place this number on the application where it says ** *Calculated Sewage Flow on application) To determine the GDO permit fee: Multiply the Calculated Sewage Flow (GPD) from above by the Grease Discharge Factor (GDF). Calculated Sewage Flow (GPD) x Grease Discharge Factor ed Flow (GPD) x (GDF) W1 Example: A fast food restaurant has 89 seats recorded on its occupational license. The calculated sewage flow is determined to be 3115 GPD, however using the GDF the GDO rated flow is 1246 GPD (3 ?15 x 0.40 = 1246). Furthermore, the owner has a current water bill stating that the metered flow is 756 GPD. The GDO permit fee is $60 per year for FY 2002 -03. If the water bill was not provided by the owner, then the permit fee would be $250 instead of $60. Page. 31 of 2 MIAMI -DADE COUNTY, FLORIDA IIIIIIIIIIIIIIIIIIIII IIIIIIIIINIIIIII VIII IIRIIIIIIA11 IIII111III 2003060615455643 Issued Date: 17 -JUN -2003 Expiration Date: 15 -SEP -2003 ,MS SUSIE HENDRIX 3075 MARY ST MIAMI, FL Tel- 3057936706 Fax- (305) - ENVIRONMENTAL RESOURCES MANAGEMENT WATER AND WASTEWATER DIVISION 33 S.W. 2nd AVENUE SUITE 500 MIAMI, FLORIDA 33130 -1540 RE: Sewer System Treatment and Transmission Capacity Certification Dear MS HENDRIX: The Dade County Department of Environmental Resources Management (DERM) has received your application for approval of a sewer service connection to serve the following project which is more specifically described in the attached project summary. Project Name: YE OLDE BOSTON FISH MARKET Project Location: 8833 BISCAYNE BLVD VILLAGE OF MIAMI SHORES Proposed Use: 4 SEAT CAFE /FISH MARKET Previous Flow: 50 GPD Calculated Sewage Flow: 300 GPD Sewer Utility: MIAMI DADE WATER & SEWER DEPARTMENT Receiving Pump Station: 30 -0049 DERM has evaluated the request in accordance with the terms and condition set forth in Paragraph 16 C of the First Partial Consent Decree (CASE NO. 93 -1109 CIV- MORENO) between the United States of America and Miami -Dade County. DERM hereby certifies that adequate treatment and transmission capacity, as herein defined, is available for the above described project. Furthermore, be advised that this approval does not constitute Departmental approval for the proposed project. Additional reviews and approval may be required from sections having jurisdiction over specific aspects of this project. Please be aware that this certification is subject to the terms and conditions set forth in the Sewer Service Connection Affidavit filed by .the applicant, a copy of which is hereby attached. By copy of this certification we are advising the appropiate building official of our Department's determination. WARNING TO t WNER: Yo 11 f BI:C A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO 1)0 St) „,'14 RESULT IN YOUR PA II G TWICE FOR VEl NTS TO YOUR PROPERTY (IF YOU INTEND T4' OBTAIN FINANCING, CONSULT WITH YOUR LENDER ORANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that performed to meet thg: standards of all laws regulating construction in this jurisdiction. I understand that separate perndts are required � OWNERS AFFIDAVIT I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws • and robing. Purthamote, I authorize the above named contractor to do the work stated. . Date Signature of Contractor or Owner Builder APPROVED: C.C.F Notary as to Contractor or Owner Builder My Commission Expires NOTARY BOND TOTAL DUE a • 4e Zbning Budding Electrical Mechanical Plumbing Structural Engineer PERMIT APPLICATION FOR MIANII SHORES VILLAGE 10050 N:E: 2nd Avenue • Miami Shores, Florida 33130 • Phone: 305495-2204 • Fax: 305-756-8972 Date 5.2 % -d3 Job Address Tax Folio 1 I '32O (CM i of 4 O gal Description S (4�" Pc7)4044e74 Historically Designated: Yes No enet 16$1.A I fi 10%-. Master Permit # Owner's Address 3 3 615 G.Art try Phone SiR g le 'j " , ti 'J (,s Contracting Co. Address Qualifier SS# Phone State # Municipal # Competency # Ins. Co. IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION viz 550.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): BUILDING... ELECTRICAL PLUMBING MECHANICAL ROOFING WORK DESCRIPTION:. 1•11,14 t/.J0G40 0f. CAL 4 e i (Z'1 .. Poiko / 1 / 4v.a pM92K I if • SPAS . 1117'0.. witliS /A/4 . t'tA4-c71L4A/4-L pilaw Square Ft. S 7) N ( ) 000 %r . ricammtorer Estimated Cost (value) 413 • WARNING TO 6WNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permiss are required for all disciplines. } OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws re a nstruction and zo ting. Furthermore, I authorize the above named contractor to do the work stated. . Adk itt Si , ' 1,1 a er and/or Condo ' nt Date Signature of Contractor or Owner Builder i.� r vapyy �... aS :� • in uy- � 'i� alii'�t1�6w.'�1 FEES: PERMIT RADON APPROVED Zoning Building Electrical Mechanical Plumbing Structural Engineer C.C.F Notary as to Contractor or Owner Builder My C'nmmission Expires NOTARY BOND . TOTAL DUE :