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DOCK-12-787Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S_, • 0 _�: ER: (305) 762.4949 EeE OCT 252012 FBC 2010 BUILDING Nat T,' 12 r ; Permit No. - .�' e- -7 7 PERMIT APPLICATIO cno O aster Permit No. MIAMI SIDS VILLAGE Permit Type: BUILDING ROOFING j JOB ADDRESS:, qfgrt ti . , PPROY d City: Miami Shores County: Miami Dade Zip : 63 Folio/Parcel #: V17'52447- OtjQ1'0.c Is the Building. Historically Designated: Yes NO Flood Zone: rOWNER: Name (Fee Simple Ti eholder): % r 0 7 �% i'.� Phone#'1'31 Address: '1 -6 J�. )3 � City: 114 I1 S.Pc&C. State: i'i-Q2444 Zip: -7713 Tenant/Lessee Name: Phone #: ) 3' 4 Phone #: 7e4- 6770 Email: CONTRACTOR: Company Name plddres: s rs S - 0 UAW bill ('L, rCi ty State: f Zip: "11_, Qualifier Name rr— Cu (134,64te, Phone#: State Certification or Registration #: C et3VI (p Certificate of Competency #: Contact Phone#: *271) Email Address: 7J` DESIGNER: Architect/Engineer: �0/ Phone #: °a-'0 -co3S- Value of Work fort • Permit: Type of Work: Addition t� "DAlteration LDescription of Work 2 r, then..) itab- rep o,c0 Square/Linear Footage of Work: DNew DRepair/Replace DDemolition Color thru tile: *** * **************** * * ***** ** x *****+ * ** Fees*******, **** ***+ x*+ x********** ***+x************ Submittal Fee $ Permit Fee $ 35•c. CCF $ CO/CC $ Scanning Fee $0-00 Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ 0 TOTAL FEE NOW DUE $ . ti) 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 F.T.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 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 4j The foregoing instrument was acknowledged before me this day of ? , 20 V, by Q.i tj i , who • Sign: Print: me or who has produced As identification and who did take an oath. PUBLIC My Commiss n k4 a AIL`u �X Pi Ai e+><** **ex,eee** *** APPROVED BY : Notary Public State of Florida Paul WiOtam Schafer Ir My Commission EE070433 Expires 03/03/2015 \7' f' 'O %1 Signature i 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: Si^_^ & A-Li1 & bAl 1 Print: My Commi 'Notary Public State of FlOride Paul Wtnfam Schafer c My Commission EE070433 ow Expires 03/03/2015 ee* : escew<+ s, xs< ex, *, a****, i x, x, x, s*+><, x+ x, x**** ,x** ******,x,i<**** *e *e**eeee Plans Examiner Structural Review (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Zoning Clerk 14' 262' 14' 16,000 LB. BEAMLESS CRADLE LIFT -1'-6" E r1\ ;ED 7,--,N11^,;77; DF F, 2' DOCK PILECUT DOWN BELOW DECK riTy f% tom r ■�Iw��10��E�11�I1I11aiIIIR��II► IL 1 ! 1" let 111 NEW itx8 JESTS TED PVC Ir,a..1•.r.NuIIIII••••• •M••1 Shores Vili2ge BY DATE 1,2 �,,� �r .1 Li_� 1111 ! 1111 III Ills. ,li1N'I1IN11�:'i��l�l 111 Defre GRAM PVC ICI III ©irii■ ""'""•'0 1=112101 i© 11.4' 10.8' OCT 252012 XISTING DQCK &WALKWAY MEMBERS, 18" EXTENSION ADDED TO EXISTING DOCK 136"=11-0" TRACY CONSULTANTS, INC. CA #3958 ROBERT N TRACY, P.E., #11363, PRESIDENT 4660 SW 128 AVE., SOUTHWEST RANCHES, FL. 33330 -230 0954) 434 -5035, FAX(954) 434 -1675, MOBILE (954) 651 -2840 6.3' EXISTING PILES THIS PILE CUT IFF ! B- SECTION A —A, d"=1/-0" 13' STRAP ANCHORS SEE SPECS. 12' EXISTING PVC GRATED DECK 11S0 4� fe 0` Asp, 8. EXISTING 2x0 .MISTS SIX REQ'D. 2) THRU —BOLTS EA. CONNECTION ,e,��al a lioae�BOo PT N. m ©-0 / A U -7-- Ei Q a STATE OF •k/: i 1s'F' °. 4.O R 10 tte tea. b,,.0IVH',att Jt • L SECTION B —B i"=1/-0" GONCALVES RESIDENCE 9839NE 13th AVE., MIAMI SHORES, FL. RNT a`6 10.10.2012 SEAWALL INSPECTION SERVICES FT. LAUDERDALE, FL. OWING NO+ 12 -111 UI APPI Int Tax: total: Invoice Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 14 For Inspections please call: (305)762 -4949 , 2 I agree t according t (Merchant agr e total amount issuer agreement credit voucher) UL Merchant COPY Invoice Number: DOCK -11 -12 -45887 Invoice Date: November 08, 2012 Permit Number: DOCK -5 -12 -787 Bond Number: (Engineer) Fee Type Calculated Calculated Calculated Fee Amount $35.00 $80.00 $3.00 Total Fees Due: $118.00 Payments Date Pay Type Check Number Amount Paid Change 11/08/2012 Credit Card $118.00 $0.00 ITotal Paid: $118.00 I Total Due: $0.00 Thursday, November 8, 2012 Miami Shores Viltage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIPT PERMIT #: Qx1L DATE: 11 12- 1, \44kse—Ne\N(14(tr Contractor Owner Architect Picked • r Ilat. R'orr ctille) Address: ' 1 A jlsl9/) From the building department on this date in order to have corrections done to plans And /or get County stamps. understand that the plans need to be brought back to Miami Shores Village Building D ' a j nt to continue permitting process. Acknowledged by: PERMIT CLERK INITIAL: RESUBMITTED DATE: PERMIT CLERK INITIAL: L'/ RECEIVED M Y 0 9 2212 s6 ?.c. Coastal Resources Section Resc_:•ces Regulation & Restoration r -si+tay pii Q( 0 2al ADM pw 10 MC DERM COASTAL SECTION PRELIM m 7 / PPROVAL DUE RECEIVED MAY 31 2012 DERM Costal Resources $ectioa /IMP Of g e(¢tural Resources Regulation &t Restoration 1' °28' Div' '.n (NRRRD) 1 Mai I MEM= 1OlOOMM.I 1 COMM I MI1111•11 I o SITE PLAN 93.49' ,IV JUL 01 201 DERM Coastal Resources Section Natural Resources Regulation & Restoration Division (NRRRD) TRACY CONSULTANTS, INC, CA #3958 ROBERT N TRACY, P.E., #11363, PRESIDENT 4660 SW 128 AVE., SOUTHWEST RANCHES, FL. 33330 -2302 (954) 434 -5035, FAX(954) 434 -1675, MOBILE (954) 651 -2840 DOCK MODIFICATIONS FOR A 16K BOAT LIFT INAmfINAL DATE E, GONCALVES RESIDENC 9839NE 13th AVE., MI SEAWALL INSPECTION S. FORT LAUDERDALE, 51 -1of2 RECEIVED 2 2n17 DERP+ Cat Resources Section Se o_,'ces Regulation & Restoration E pis or INRRRD) DERIVE COASTAL SECTION P R ELII@9K! ` f - 'PRQVA DATE S� f- W A J Q WQZtO zcI=3 cu 0 CI 1:1 ) XI —I..¢ 0 0 J H 0 ?It.1 w 0 0 EPA MUM �1 MIMI ..I _ :_ -- 0 oroot 101 111— 101 TRACY CONSULTANTS, INC. CA #3958 ROBERT N TRACY, P.E., #11363, PRESIDENT 4660 SW 128 AVE„ SOUTHWEST RANCHES, FL. 33330 -2302 054) 434 -5035, FAX <954) 434 -1675, MOBILE C954) 651 -2840 DOCK MODIFICATIONS FOR A 16K BOAT LIFT ED RECEIV MA`t 31 91119 DERM Coastal Rea trce Section Mural Resources Reg & a o divis i (NRRRD) H 0 I n d V z I---4� e^-1 wX3 N LLI Q z DERM Coastal Resources Sectior Natural Resources Regulation & Restontion L7 W Division (NRRRD) z z RECEIVED JUL 032012 J BERM COASTAL SECTION 1 Z PR f7) Y DATE ,0% U Q Q CD H W qx� W CL GONCALVES RESIDENCE 9839NE 13th AVE., MIAMI SHORES, FL. 044° SHOWN 4.87.2012 '* RNT WOMB SEAWALL INSPECTION SERVICES, INC. FORT LAUDERDALE, FL. tOo 12- 051 -2of2 GENERAL NOTES: 1. ALL CONNECTIONS ARE WELDED UNLESS OTHERWISE 2. ALL HARDWARE TO BE STAINLESS STEEL 3. PILES SHALL HAVE MIN. 10' EMBEDMENT & 10 TON BEARING CAPACITY. 4. PULLEYS SHALL BE RATED FOR 5000 lb LO 5. ELECTRIC BY OTHERS. 6. DESIGN BY RATIONAL ANALYSIS. 7. ALUM. SHALL BE T -6061 ALLOY. 8. PILES SHALL BE 230 CCA PRESSURE TREA 9. ALL WORK SHALL CONFORM WITH F.B.C. NG4 IN4. DERM COASTAL SECTION PRELIIM sG '. "; PROVAL AAME DATE EC� tl VED 22012 Resources Section Regulation & Restoration v :.s:on (NRRRD) 2 * *CONTRACTOR HAS OPTION OF USING WOOD OR CONCRETE PILES IN AREAS WHERE REGULATORY POLICY APPLIES. 7 8 9 10 11 12 13 14 4P LIFT N.T.S. DERM COASTAL SECTION VINA�L ►. °PR��±?.t NAM . fr r, DATE�� RECEIVED 16000 2012 10 +, /12 rr Dia. Wd /conc. File* MAY 3 DERM Coastal Resources Section 6" x 4" x 24" Alum. I I esou•ces Regulation & Restora Divis (NRRRD) 10" x 6" x .25 Alum I -Beam 3" x 12" Wood Bunks Drive Unit HH4000 2" O.D. Sch 40 GaIhIRipe 2" x 8" Alum Bearing plate 18" L Cable Spool Winders 3 "x3 "x1/2" Alum. Angle 1/2" dia. x 8" bolt/nut 3/8" dia. x 4" bolt/nut 1/2" dia. x 6" lag /w edge achor Pulley Assy. 5/16" s.s. cable RECEIVED JUL 0 "3 2012 DERM Coastal Resources Section Natural Resources Regulation & Restoration Division (NRRRD) OWNER: ADDRESS: 6A° %b' cet t S.E. CUSTOM LIFT SYSTEMS INC. Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 MIAMI SHORES VILLAGE NOTICE TO BUILDING DEPARTMENT OF EMPLOYMENT AS SPECIAL INSPECTOR UNDER THE FLORIDA BUILDING CODE I (We) have been retained by P1 1 gf �to perform special inspector services under the Florida Building Code at the ''It " .g . ti, e,u ' ,„3 ject on the below listed structures as of (date). I am a registered architect or professional engineer licensed in the State of Florida. PROCESS N BERS: ��' l� 797 SPECIAL INSPECTOR FOR PILING, FBC 1822.1.20 (R4404.6.1.20) ❑ SPECIAL INSPECTOR FOR TRUSSES >35' LONG OR 6' HIGH 2319.17.2.4.2 (R4409.6.17.2.4.2) ❑ SPECIAL INSPECTOR FOR REINFORCED MASONRY, FBC 2122.4 (R4407.5.4) ❑ SPECIAL INSPECTOR FOR STEEL CONNECTIONS, FBC 2218.2 (R4408.5.2) ❑ SPECIAL INSPECTOR FOR SOIL COMPACTION, FBC 1820.3.1 (R4404.4.3.1) ID SPECIAL INSPECTOR FOR PRECAST UNITS & ATTACHMENTS, FBC 1927.12 (R4405.9.12) ❑ SPECIAL INSPECTOR FOR JUL 0 3 2012 DERM Caas ED The following individual(s) employed by this firm or me are authorized representatives �d d,�:� woes sago„ 1 • 2. Derision (NR RR, Restoration 3. 4. *Special Inspectors utilizing authorized representatives shall insure the authorized representative is qualified by education or Iicensure to perform the duties assigned by the Special Inspector. The qualifications shall include licensure as a professional engineer or architect; graduation from an engineering education program in civil or structural engineering; graduation from an architectural education program; successful completion of the NCEES Fundamental Examination; or registration as building inspector or general contractor. I, (we) will notify Miami Shores Village Building Department of any changes regarding authorized personnel performing inspection services. I, (we) understand that a Special Inspector inspection log for each building must be displayed in a convenient location on the site for reference by the Miami Shores Village Building Department Inspector. All mandatory inspections, as required by the Florida Building Code, must be performed by the County. The Village building inspections must be called for on all mandatory inspections. Inspections performed by the Special Inspector hired by the Owner are in addition to the mandatory inspections performed by the Department. Further, upon completion of the work under each Building Permit I will submit to the Building Inspector at the time of final inspection the completed inspection log form and a sealed statement indicating that, to the best of my knowledge, belief and professional judgment those portions of the project outlined above meet the intent of the Florida Building Code and are in substantial accordance with the approved plans. Signed argO Seele4, Engineer /Arc iitect °°�Q.- . N:..To °q °Re Name K0 1.�-f�U'1 �ay. il3`3 0 Address qUco S Li . _ b eA P-° Iz ® Phone No. JS4 3 "-CO Zr s0. OF �� yATE. _ ©11 ©SSION Ppe o°°° Note: Only the marked boxes apply. TRACY CONSULTANTS INC. 4660 SW 128th AVE FT. LAUDERDALE, FL. 33330 -2302 MAY 21,2012 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 10050 N.E. 2"d AVE., MIAMI SHORES, FL 33138. ATT: MR DAVID A. DACQUISTO RE: P &Z CRITIQUE SHEET FOR BOAT LIFT & DOCK PILE LIGHTING & MARKING. GONCALVES RESIDENCE, PERMIT #12 -787 9839 13th AVE. MIAMI SHORES, FL. DEAR DAVID, IN ANSWER TO YOUR CRITIQUE SHEET, THE FOLLOWING IS OFFERED: 1. LIGHTS WILL BE INSTALLED ON THE OUTSIDE LIFT PILINGS. 2. LIGHTS WILL BE INSTALLED ON THE INSIDE LIFT PILINGS. 3. REFLECTORS WILL BE INSTALLED ON BOTH SIDES OF THE LIFT AND DOCK PILINGS. 4. REFLECTORS WILL BE INSTALLED ON EVERY OTHER SET OF RAMP PILES. IF THERE ARE ANY QUESTIONS PLEASE ADVISE.. SINCERELY, ROBERT N. TRACY, P.E., #11363 PRESIDENT L12 -043IS RECIVD JUL O' 2012 DERM Coastal �� Resources Sex ton oatural Resources & Restoration uoRD PH.(954) 434 -5035 , MOBILE - (954) -651 -2840, FAX -(954) 434 -1675 11111111111111111 11111 11111 11111 11111 1111 1111 NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION - PERMIT NO. .�.: = '2 lY AX FOLIO NO. 1 /�''- "-CJ"`b1 CRC) 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 This Notice of Commencement should be recorded at The Clerk of Courts MBami -!fie Gourd)/ Recorder Courthouse,East, 22 NW Fbst Street, 1st Floor, Miami, FL 33128 1 1. Legal • M �, • do of property and street/address: 0 ♦ . 6 d 1 �'1 ice.. 2O12RO483889 OR 8l; 28182 Ps 0632; (1Po) RECORDED 07/10/2012 14:26:02 HARVEY RUVINr CLERK OF COURT MIAMI -DADE COUNTY? FLORIDA LAST PAGE 2. Description of improvement �Lt 1 S l ) f Interest in property Name and address of fee simple titleholder 4. Contractor's name and address: 5. Surety. (Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 6. Lender's name and address: 7. Persons with the state of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes. Name 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. Expiration date of this Notice of Commencement (the expiration date is 1 year from the date of recording unless a d' - . -nt date is s Signature • Owner Print Owner's Name \A i� E"A e . v + F -1 Prepared by RJ Sj ki S w o r n t o and o` •.-• b e f o r e me this °I1 ` day of-S0 (_t , 20 /2.-- . it . Notary Public Print Notary's Name _ ' -. l O ;, •iI :i'f CIr WE TRW 6 ro„Got fv, Notary Public State of Florida Paul William Schafer M c� My Commission EE070433 ' os F.,av Expires 03/0312015 s Miami Shores Village Building Department ( I Z 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 5 3 1 1 12. - 14e5satyp Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 s�`ii�I2lv` PERMIT APPLICATION FBC 20 Permit No. Master Permit No. rirEgiC20 La MAY 02 Li2 Permit Type: BUILDING ROOFING p OWNER: Name (Fee Simple Titleholder): AGE 7j b L.t.�-� Phone#: 75 "-J7/� Address: Moo I4I 36 AJ( Sit ZOO �ee City: �U o State: i�-o Zip ,8d Tenant/Lessee Name: Phone#: Email: JOB ADDRESS: Q1 831 AI City: Miami Shores County: Miami Dade Folio/Parcel #: 1st -;24:;C:- ®09 "e5 ® Is the Building Historically Designated: Yes NO Flood Zone: zip: 33(09 CONTRACTOR: Company Name: A VtittA WAS icigeC TI DwX 4)I Phone#: 511-76Y-1770 Address:Zoc, S. oumnl _Ow/L. City: LAJAlcr A State: Ft- a Z9ip 3311G Qu alifier Name: � .� �' � � �R� L- Phone#: 347°7 State Certification o�PrRegistration # V : Q c 1 L Certificate of Competency #: C�d Contact Phone#: t'4 °' 34-7 Email Address: S .. CAM11,4 RI..f1� " B DI rI Pi en DESIGNER: Architect/Engineer: A a-deo �a Pe . o � aT Phone#: Value of Work for . :'' emit: $ 1 1.- SquarelLinear Footage of Work: Vq (9 5k "4 Type of Work: rl Addition DAlteration UNew DRepair/Replace ODemolition Description of Work: Ve NZ gjeot LA Ng— num ® Ill UJhig--N ©M ***************************************F * * ** ** * * **** * ********* *** **** * * **** ** *use *wm Submittal Fee $ Permit Fee $ o CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ 50 rR TOTAL FEE NOW DUE $ V 1 l + ca 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 FLPCTRICAL WORK, PLUMBING, SIGNS, WET JS, 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. Ay-xevii LNivicki Signature Owner or Agent The foregoing nstrument was acknowledged before e this M ite day of , 20 , by Atc- i 11� jrG , o is personally kno :, to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: $klviZtts-4tIviS4Asxki, Print: 0 L— W't1.$AA= My Commission Expires: APPROVED BY ,vs . Notary Public State of Florida Paul Milan) Schafer My Commsslon EE070433 ' om no Expires 03/0312015 (Revised 07 /10 /07)(Revised 06 /10t2009)(Revised 3/15/09) Signature Contractor The foregoing instrument was acknowledged before me thi day of M 4 , 20IZ, by 5eefrai d who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: AO \.-%0 Sc-ail AAA My Commission Expires: ************N** *''* ***** * * �j % P ans Examiner Zoning ...OBI Poe, Notary Public State of Florida a i . PauIWilllam Schafer o` My Commission EE070433 '^ or 0.00 Expires 03/03/2015 Structural Review Clerk Miami Shores Village Building Department RECEIPT PERMIT #: • br- if. DATE: cit.\447. Contractor Owner Architect Picked up 2 sets of plans and (other) 11 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Address 1 t.„ r LL From the building departmen on this date in order to have corrections done to plans And/or get County stamps. I derstand that the plans need to be brought back to Miami Shores Village Building Depa en o continue permitting process. Acknowledged by: PERMIT CLERK INITIAL: RESUBMITTED DATE: PERMIT CLERK INITIAL: 3 01,().i? PERMIT #: 1, Contractor o Owner o Architect P Address: From the building department on this date in order to have corrections done to plans And /or get County stamps. I understand that the plans need to be brought back to Miami Shores Village Building Depa ent to continue permitting process. Acknowledged by: IVIiamShores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIPT 6..E' ScilaPrir- PERMIT CLERK INITIAL: RESUBMITTED DATE: PERMIT CLERK INITIAL: Permit No: 12 -787 Job Name: May 31, 2012 1111 iami Shores Village Building Department Building Critique Sheet 2nd 1) Provide Final approval from Miami Dade County DERM. 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Page 1 of 1 Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305 - 762 -4859 5111 )12.--U1 Permit No: 12 -787 Job Name: May 11,2012 Miami Shores Viiiage Building Department Building Critique Sheet 1) Zoning approval is required. 2) Provide Final approval from Miami Dade County DERM. 6 (3) Provide electrical permit and plans. 01(4) Provide a special inspector form for the pilings. 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Page 1 of 1 Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305 - 762 -4859 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Date: L72 3//2 Permit #: /2— 7 ?7 Planning & Zoning Critique Sheet Date: ,`fai3l l2 Review Completed by: David A. Dacquisto Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Date: Date: 3 /2 Permit #: % 2 7 P Planning & Zoning Critique Sheet SA //9- i/� ' ,///1/%0� !n �. �Yl /j/f Plp 1l�(�✓�r q N CPJ 4 . t(2 . 'a d�� .St 4t) Z,„v/Al &r fl c‘ JA6 C U-071 d_ i'I4 Stby tor L\ C -( 'S 11 ,.�s i3 bu O'\! v44 S� �c�, t✓� " " P►L4061.-\, L eu -od 1),)ick_ vy, in S,A bt\ ‘ 9 0c p -c1-11z, i.1 i` r AAA 0 dc /( (21,L ti_ Zr- 161&chtiA_01 *) okiyerrtiapeL._- vvaiviit Review Completed by: David A. Dacquisto Permit Number: RER Project Manager: Department of Regulatory and Economic Resources Coastal Resources Section 701 NW 1st Court, Suite 400 Miami, FL 33136 -3912 305 -372 -6575 Class I Construction Permit CLI -2012 -0081 Alain Alonso Issue Date: 7/3/12 Expiration Date: 7/3/14 Permittee Bagon 3850, LLC c/o Margarita Vieiera, Manager 9839 NE 13 Avenue Miami Shores, Florida 33141 Contractor A Seawall Inspection Service, Inc. c/o Paul Schafer License # CGC050816 27 Isa Bahia Drive Ft. Lauderdale, Florida 33316 Phone: 954- 764 -2770 Bond Engineer Performance Bond: N/A Robert N. Tracy, P.E. License # 11363 Mitigation Bond: N/A Phone: 954- 764 -2770 BBEETF Contribution: N/A Alan Garcia, RE. License # 42564 Phone: 954 -304 -0098 THE ABOVE NAMED PERMITTEE IS HEREBY AUTHORIZED TO PERFORM THE WORK SHOWN ON THE APPLICATION AND APPROVED DRAWINGS, PLANS, AND OTHER DOCUMENTS ATTACHED HERETO OR ON FILE WITH THE DEPARTMENT AND MADE PART HEREOF, SUBJECT TO THE ATTACHED GENERAL AND SPECIFIC CONDITIONS. Plans Entitled: Date Signed and Sealed: Project Location: Project Description: DOCK MODIFICATIONS FOR A 16K BOAT LIFT 04/03/2012 04/30/2012 9839 NE 13 Avenue, Miami Shores Removal and relocation of 2 wood mooring piles. - Installation of a 4 post 16,000 pound capacity boatlift located on the waterward edge of the existing terminal platform between 9.6 and 23.6 linear feet from the north property line. Said boatlift will be supported by 1 wood dock pile, 2 re -used wood piles, and 1 new wood pile. Attachment A: Mooring Prohibited Area THIS PERMIT AND PLANS SHALL BE KEPT ON SITE DURING ALL PHASES OF CONSTRUCTION CLI- 2012 -0081 Page: 1 of 6 Specific Conditions 1. The existing mooring piles intended to be removed must be properly stored or disposed of in accordance with all federal, state, and local regulations should the structures are not used to support the new 4 -post boatlift. 2. Due to shallow water depths and the presence of benthic resources, vessels shall be restricted from mooring in areas designated as a "Mooring Prohibited Area." Mooring of vessels anywhere along the area designated as a "Mooring Prohibited Area," shall be strictly prohibited (Attachment A). Failure to comply with this specific condition may be subject to enforcement by the Department. See General Permit Conditions General Permit Conditions 1. This permit must be kept on -site during all phases of construction. 2. All work shall be performed in accordance with the above referenced plans and in accordance with the attached specific and general permit conditions. If a General Condition(s) conflicts with a Specific Condition(s) in this . permit document, the Specific Condition shall be the controlling condition for work authorized by this permit. 3. This permit only authorizes the work described in page 1 under PROPOSED WORK. Any additional work in, on, over or upon tidal waters or coastal wetlands at the property shall require additional Class I approval. 4. Any deviation from the approved plans for this project shall be submitted in writing to, and approved by RER prior to the commencement of this project. The contractor and the permittee shall take whatever remedial action is necessary to bring the project into compliance with the permit and approved plans upon determination by RER that the structure is not in compliance with such. 5. RER shall be notified no later than 48 hours and no earlier than 5 days prior to the commencement of the work authorized by this permit, unless otherwise noted herein. The permittee and /or contractor may notify RER by calling (305) 372 -6575 or by submitting the attached Notice of Commencement of Construction via hand delivery, U.S. Mail, or facsimile at (305) 372 -6479. 6. Prior to performing any work, the contractor shall verify the location of all underground and overhead utility lines and verify that no utilities will be damaged by the work. Contact Sunshine State One -Call of Florida at 1 -800- 432 -4770 or on the web at http: / /www.callsunshine. corn /corp/before /submitting.html for locating underground utility lines. 7. The permittee and the contractor are hereby advised that under Florida law, no person shall commence any excavation, filling, construction, or other activity involving the use of sovereign or other lands of the State, title to which is vested in the Board of Trustees of the Internal Improvement Trust Fund or the Florida Department of Environmental Protection (FDEP), until such person has received the required authorization for the proposed use from the Board of Trustees or FDEP. If such work is done without consent, or if a person otherwise damages state land or products of state land, the Board of Trustees may levy administrative fines of up to $10,000 per offense pursuant to the Florida Administrative Code. 8. The permittee and contractor shall obtain all required approvals from all local, state and federal agencies prior to performing the work authorized by this permit. 9. Trimming or alteration of mangroves, buttonwoods or wetland' vegetation other than what is authorized by this permit is prohibited. Work not authorized by this permit shall require additional Class I approval. THIS PERMIT AND PLANS SHALL BE KEPT ON SITE DURING ALL PHASES OF CONSTRUCTION CLI- 2012 -0081 Page: 2 of 6 10. All work authorized by this permit shall be performed by the contractor and/or subcontractor holding an applicable certificate of competency and shall be licensed in Miami -Dade County to perform such work. Any work which is subcontracted shall require that the permittee and contractor (i.e. the contractor who is listed on this permit) notify the project manager at RER at (305) 372 -6575 or by facsimile. at (305) 372 -6479 a minimum of 72 hours prior to the subcontractor performing any work. Notification shall include the name of the subcontractor performing the work, the subcontractor's Miami -Dade County license number or state general contractor license number, and scope of work. Failure to comply with this condition is a violation of the Class I permit and may result in enforcement action by the Department. 11. The contractor shall take all necessary precautions to prevent construction or demolition debris from falling into the water or adjacent wetlands. Any debris that falls into the water and /or adjacent wetlands shall be removed immediately. Construction and demolition debris shall be disposed of in accordance with all federal, state and local regulations. 12. Turbidity controls (such as, but not limited to, turbidity curtains) shall be implemented whenever visible plumes are present to ensure compliance with the water quality standards stipulated in Section 24 -42(3) of the Code of Miami -Dade County. Turbidity controls shall be employed and maintained in the most effective manner possible to prevent turbidity from extending beyond the control mechanism in place. 13. Turbidity may not exceed 0 Nephelometric Turbidity Units (NTU) within the Aquatic Preserve or 29 NTU outside of the Aquatic Preserve, above background beyond the turbidity control device or 50 feet from any point of discharge. Turbidity levels shall be monitored. If the turbidity levels exceed the above standards, all construction shall stop and additional turbidity controls shall be implemented. Work shall not resume until the contractor has implemented adequate turbidity control methods and has received authorization from RER to recommence work. At RER's discretion, turbidity samples may be required to be collected in accordance with Section 24- 44.2(3) of the Code of Miami -Dade. County. 14. If any work or activity associated with this project is to take place in navigable waters, the contractor shall instruct all personnel associated with the project of the potential presence of manatees and the need to avoid collision with manatees. All vessels associated with the project must operate at "Idle Speed/No Wake" at all times while in water where the draft of the vessel provides less than a 4 foot clearance from the bottom. Additionally, all vessels will follow routes of deep water whenever possible. All in -water construction activities shall cease upon the sighting of a manatee(s) within 50 feet of the project area and will not resume until the manatee(s) has departed the project area. Any collision with and /or injury to a manatee shall be reported immediately to the "Manatee Hotline" (1- 888 - 404 - FWCC), the U.S. Fish and Wildlife Service, Jacksonville Field Office (904) 791 2580, and PERA (3,05) 372 -6854. 15. The contractor shall ensure that all vessels associated with the construction shall operate within waters of sufficient depth so as to preclude bottom scouring or prop dredging and shall maintain a minimum of 1 foot of water between the vessel bottom and submerged aquatic resources. 16. The contractor shall ensure that there are no impacts to seagrass, hard corals, or soft corals as a result of construction operations, such as, but not limited to, propeller scouring; and vessel or barge anchoring, grounding or spudding. The marine contractor and permittee shall be held jointly liable for any of these unauthorized impacts. For any impacts caused by the construction operation, RER shall require, at a minimum, restoration and mitigation. 17. For the purposes of this permit, "vessel" is herein defined as any craft designed to float or navigate on water, including but not limited to: sailboats, powerboats, rowboats, boats, ships, skiffs, houseboats, personal watercraft and inflatable boats. THIS PERMIT AND PLANS SHALL BE KEPT ON SITE DURING ALL PHASES OF CONSTRUCTION CLI -2012 -0081 Page: 3 of 6 18. Pursuant to Section 24 -48.10 of the Code of Miami -Dade County the work or structures authorized under this permit shall be privately maintained by the permittee, his successors and assigns. Whenever, in the opinion of the Director of the RER, said work or structures are not maintained in such a manner so as to prevent deterioration to the extent that they become a hazard to the public or to navigation, or create an obstruction of flow, or prevent access for drainage maintenance purposes, or may damage adjacent property, then the owner is required to perform any necessary remedial work. 19. Unless otherwise authorized in this permit and pursuant to Sections 24 -48.23 and 24 -48.24 of the Code of Miami -Dade County, the installation or construction of non- water- dependent floating or fixed structures (e.g. covered structures, canopies, helicopter pads, commercial signs, etc.) is prohibited in, on, over or upon any of the tidal waters of Miami -Dade County and constitutes a violation of this permit. Failure to comply with this condition may subject the permittee to enforcement action without further warning. 20. The time allotted to complete the work for which this permit has been issued shall be limited to the period stipulated on the permit unless the permittee requests an extension of time from the Department in writing at least 30 days prior to the date of permit expiration. Applications for extensions of time that are not timely filed pursuant to Section 24- 48.9(2)(b) of the Code of Miami -Dade County will be returned to the permittee. 21. An application for Transfer of a Class I permit may be filed with RER at any time prior to the transfer of property ownership up to 120 days after the date of transfer of fee simple ownership of the property that is the subject of the permit. The Application for Transfer must be signed by both the transferee and transferor. Applications for Transfer shall be filed in the form prescribed by RER and shall not be processed if the filed Application for Transfer is not fully complete in all respects pursuant to Section 24- 48.18, of the Code of Miami -Dade County within 120 days of the date of transfer of property ownership. 22. If the project involves construction, replacement, or repair of a seawall, the new seawall cap shall be .a minimum of 6 inches above the final grade of the uplands immediately adjacent, and in order to prevent positive drainage of stormwater into the waterway, all uplands immediately adjacent to the new seawall shall be graded away from the waterway. 23. To further reduce the possibility of injuring or killing a manatee during construction, work within portions of the Biscayne Canal, Little River, and the Coral Gables Waterway shall be performed only between May 1 and November 15. 24. A minimum of 1 foot of clearance shall be maintained at all times between the submerged bottom, and any existing benthic resources, and any vessels moored within the slip area(s) authorized by this permit. 25. If railing is required to be installed pursuant to this permit, it shall be installed within 30 days of completion of the permitted work, and prior to the use of the structure(s) authorized by this permit, including the mooring of vessels. 26. A performance and/or mitigation bond may be held to ensure compliance with the aforementioned conditions and the completion of any required mitigation. Failure to comply with any of these conditions may result in the revocation by Miami -Dade County of all or a portion of the bond without further notice. THIS PERMIT AND PLANS SHALL BE KEPT ON SITE DURING ALL PHASES OF CONSTRUCTION CLI -2012 -0081 Page: 4 of 6 M IAM IDDADE COUNTY Department of Regulatory and Economic Resources 701 NW 1st Court, Ste 600, Miami, FL 33136 Phone 305472 -6575 Fax 305 - 372 -6479 NOTICE OF COMMENCEMENT OF CONSTRUCTION PERMIT NO.: PERMITTEE'S NAME: PROJECT LOCATION: PERMIT ISSUANCE DATE: CONTRACTOR NAME: PROPOSED DATE OF COMMENCEMENT: ANTICIPATED DATE OF COMPLETION: COMMENTS: THIS PERMIT AND PLANS SHALL BE KEPT ON SITE DURING ALL PHASES OF CONSTRUCTION CLI- 2012 -0081 Page: 5 of 6 ATTACHMENT A MOORING PROHIBITED AREA b15CAYNE IAY UPLANDS THIS PERMIT AND PLANS SHALL BE KEPT ON SITE DURING ALL PHASES OF CONSTRUCTION CLI- 012 -0081 Page: 6 of 6 COUNTY Carlos A. Gimenez, Mayor JUL 032012 Bagon 3500, LLC c/o Margarita Vieira, Manager 9839 NE 13 Avenue Miami Shores, Florida 33141 Department of Regulatory and Economic Resources Environmental Resources Management 701 NW 1st Court, 6th Floor Miami, Florida 33136 -3912 T 305- 372 -6567 F 305- 372 -6407 Miami -Dade County Department of Regulatory and Economic Resources (RER) RER File Number: CLI- 2012 -0081 Applicant: Bagon 3500, LLC Folio No.: 11- 3205 -009 -0500 miamidade.gov Dear Ms. Vieira: RER staff has reviewed your application to install a 4 post boatlift in Biscayne Bay at 9839 NE 13 Avenue, Miami Shores, Miami -Dade County, Florida, Section 05, Township 53 south, Range 42 east. We have reviewed the information you provided and determined that the project qualifies for consent of use of state -owned submerged lands. Pursuant to Memorandum of Agreement MA -13 -114 between the State of Florida and Miami -Dade County, please consider this the authority sought under Section 253.77, Florida Statutes, and Chapter 18 -21, Florida Administrative Code, to use state -owned submerged land (if applicable). Prior to the commencement of construction and/or activities authorized herein, you must obtain a U.S. Army Corps of Engineers (ACOE) permit if it is required by the ACOE. Any modifications to the construction and/or activities authorized herein that may be required by the ACOE shall require reconsideration by and prior written approval of the Department of Regulatory and Economic Resources and may require that your application be submitted to and approved by the Submerged Lands and Environmental Resources Program of the Florida Department of Environmental Protection (FDEP) prior to commencement of construction and/or any activities on sovereign, submerged lands. This letter of consent in no way waives the authority and /or jurisdiction of any government entity, nor does it disclaim any title interest the state may have in the project site. This letter does not constitute authority to proceed with your project under Chapter 403, Florida Statutes. If your project requires an Environmental Resource Permit (ERP) as defined in Chapter 403, F.S., then you must obtain an ERP from the FDEP or South Florida Water Management District prior to the commencement of construction. Please retain this letter as it constitutes consent to use sovereign submerged lands by PERA on behalf of the Submerged Lands and Environmental Resources Program of the FDEP. Your project may be inspected by authorized county or state personnel in the future to insure compliance with appropriate statutes and administrative codes. If your project is not in compliance, you may be subject to penalties under Chapter 24 of the Code of Miami -Dade County and Chapter 18 -14, Florida Administrative Code. Sincerely, Lk CO Nicole Fresard, Biologist II Coastal Resources Section Attachment: General Consent Conditions cc: Leigh O'Shields, FDEP, Tallahassee Jennifer Smith, FDEP, West Palm Beach Page2of4 DEPARTMENT OF ENVIRONMENTAL PROTECTION SUBMERGED LANDS & ENVIRONMENTAL RESOURCES PROGRAM GENERAL CONSENT CONDITIONS Project No. CLI- 2012 -0081 No activities other than those set forth in the attached letter datedUL 0 3 2012 are authorized. Any additional activities on state -owned sovereignty submerged lands must receive further consent from the Governor and Cabinet, sitting as the Board of Trustees of the Internal Improvement Trust Fund (hereinafter the "Board ") or their properly designated agent. Grantee agrees that all title and interest to all lands lying below the historical mean high water line or ordinary high water line are vested in the Board, and shall make no claim of title or interest in said lands by reason of the occupancy or use thereof. Grantee aggress to use or occupy the subject premises for those purposes specified herein, and Grantee shall not permit the premises or any part thereof to be used or occupied for any other purpose or knowingly permit or suffer any nuisances or illegal operations of any kind on the premises. Grantee agrees to maintain the premises in good condition in the interest of the public health, safety and welfare. The premises are subject to inspection by the Board or its designated agent at any reasonable time. Grantee agrees to indemnify, defend and hold harmless the Board and the State of Florida from all claims, actions, lawsuits and demands arising out of this consent. No failure, or successive failures, on the part of the Board to enforce any provision, waiver or successive waivers on the part of the Board of any provision herein, shall operate as a discharge thereof or render the same inoperative or impair the right of the Board to enforce the same in the event of subsequent breach. Grantee binds itself and its successors and assigns to abide by the provisions and conditions set forth herein. In the event Grantee fails or refuses to comply with the provisions and conditions of this consent, the consent of use may be terminated by the Board after written notice to the Grantee. Upon receipt of such notice, the Grantee shall have thirty (30) days in which to correct the violation. Failure to correct the violations within this period shall result in the automatic revocation of this Letter of Consent. All costs, including attorneys' fees, incurred by the Board in enforcing the terms and conditions of this consent shall be paid by the Grantee. Grantee agrees to accept service by certified mail of any notice required by Chapter 18 -14, Florida Administrative Code, at the address shown on page one of this Agreement and further agrees to notify the Board in writing of any change of address at least ten days before the change becomes effective. Grantee agrees to assume responsibility for all liabilities that accrue to the sovereignty submerged land or to the improvements thereon, including any and all drainage or special assessments or taxes of every kind and description which are now or may be hereafter lawfully assessed and levied against the property during the effective period of this consent. Grantee agrees that any dispute arising from matters relating to this consent shall be governed by the laws of Florida and initiated only in Leon County, Florida. Page3of4 Submerged Lands & Environmental Resources Program General Consent Conditions Project No. CLI- 2012 -0081 Page Two The Letter of Consent associated with these General Consent Condition as well as these conditions themselves are subject to modification after 5 years in order to reflect any applicable changes in statutes, rule or policies of the Board or its designated agent. In the event that any part of the structure(s) consented to herein is determined by a final adjudication issued by a court of competent jurisdiction to encroach on or interfere with adjacent riparian rights, Grantee agrees to either obtain written consent for the offending structure from the affected riparian owner or to remove the interference or encroachment within 60 days from the date of the adjudication. Failure to comply shall constitute a material breach of this consent and shall be grounds for its immediate termination. Page 4 of 4 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 DOCK- 12 --1e7 Inspection Number: INSP - 177721 Permit Number: EL -5 -12 -846 Scheduled Inspection Date: October 18, 2012 Inspector: Devaney, Michael Owner: LLC, BAGON 3850 Job Address: 9839 NE 13 Avenue Miami Shores, FL Project <NONE> Contractor: MEGA ELECTRIC INC Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alteration Phone Number Parcel Number 1132050090500 Phone: (305) 828 -5205 Building Department Comments 200 LINE WITH 50 AMPS. TO THE END OF THE DOCK. Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP- 177313. CREATED AS REINSPECTION FOR INSP- 177201. Dock wired corectley. SUB PANEL NOT WIRED. Sub panel still not wired. October 17, 2012 For Inspections please call: (305)762 -4949 Page 7 of 23 f41— CA R e" Miami Shores Villaze Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 7952204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 z24.0 Permit No. '-t ip�� Master Permit No.g C r 12 ~ 6SZ BUILDING PERMIT APPLICATION FBC 20 Permit Type: Electrical +sW;+'''EV JUL 3 o.21:62'-1 Phone#: 95q--3-36 -3797 OWNER: Name (Fee Simple Titleholder): ear') Lvgkdil GGG Address: -117 3 9 ,t/ 13t4 Ave ✓✓ City: 11;a144; v 1iare s State: Zip: 3313F. Tenant/Lessee Name: Phone#: Email: JOB ADDRESS: Re.51 d'eYl i 1 aA q? 3? N4- lb t' Ave City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: Address f2- 44W 9 4 e* City: Qualifier Name: State Certification or Registration #: Contact Phone #: Email Address: DESIGNER: Architect/Engineer: Phone#: gC State: ..e> - 4 Y:' jam, Phone#:. 9J P/2 — s2o(r- Zip: ..30/ 6 Phone#: 0 d7z Certificate of Competency #: Value of Work for this Permit: $1 Square/Linear Footage of Work: Type of Work: ❑Addresss- ❑Alteration UNew ❑Repair/Replace E Description of Work: rec\ -`C' ■ CAa\ •nS ?G /41i A ❑Demolition Submittal Fee $ Permit Fee $ /310 "4'4 CCF $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ CO/CC $ Bond $ TOTAL FEE NOW DUE $ '73.00—• 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, BOIT.FRS, 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 promise in good faith that a copy of the notice of commencement and constru whose property is subject to attachment. Also, a certified copy of the record for the first inspection which occurs seven (7) days after the building pe inspection will not b pproved and a reinspection fee will be charged. , Signature f� W(' I%i tirl/ / 1 �'!� gent The foregoing instrument was acknowledged before me this ‘ft-- day of- t Li , 2fi Yby &-i 04* 6 who is personally known to me or who has produced '111.4 J..1L h -..Lew As identification and who did take an oath. NOTARY PUBL • ,. Sign: Print: My Commission * * * * * * * * * * * ** APPROVED BY *Pk' ANA M. ESTRELLA E Notary Public - State of Florida *= My Comm. Expires Apr 29. 201 ing $2500, the applicant must '11 be delivered to the person ust be posted at the job site uch posted notice, the Contractor The foregoing instrument was acknowledged before me this27 day of SJAl , 20V2- , by /60t 644 6 s t t1ee .C.rtwiloA who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Plans Examiner Structural Review (Revised 07110 /07)(Revised 06 /10/2009)(Revised 3/15/09) Print: � + + ° Marylin Acosta My Commis inn MMlssIoN#DD849375 �� EXPIRES: JAN. 0$, 2013 op of �s� int ++"' WWW.AARONNOTARY.com Zoning Clerk } s NCR CONSTRUCTION CORPORATION General Contractor CGC #1507681 14835 SW 54th St , Miramar , Fl 33027 Phone: 954- 536 -3897 Fax: 954- 441 -1028 July 19, 2012 Metro Electric Service Inc 15050 NE 20 Ave North Miami, Fl 33181 Attn. : Sarrow, Douglas Ref . Goncalvez Residence 9839 NE 13 Ave Miami Shores, F133138 Permit # RC- 4- 12-622 Permit # EL -5-12 -846 SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY i. complete items 1; 2, and 3 Also complete. item 41if Restdoted Delivery is desired. - Print your name and address on the reverse so that we can return the card to you. a Attach this card to the back of the nailpiece or on the front if space permits ire Addra s nt Addres Del* delivery address different *cm "item 12 0 Yes YES, enter deitvery address below; - . 1:3 No cress Mali Re RecelPtfor Merohand insured Man `" 0 C.O.D. 4. ":Restricted Dewey/ Oka Pee 0 Yes 2. "ArNcle-Number� (rr rfrom ervfce /abeQ S'Form 3811, February 2004 Domestic Return Reeelpt Due to the fact that you are occupied with other projects, I wanted to notify you that you are unfortunately no longer part of this project. Thank you for your time and understanding. Carl s ; ' o guez NCR onstruction Corp Pretident f o 595-02 -1$4 -1 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CHANGE OF CONTRACTOR 1 ARCHITECT Permit N. (� Owners Name (Fee Simple Title Holder): ?A O'n �� S0 L'L C Owner's Address: Gc 3°I 1V E 13* Ave City: M;um, 5)-x) -es State : F--- Phone #:q5y -536.3 -7 Zip Code: 37,3 r Job Address (Of where work is being done): '1O' 1 NE 1 3Th Ave City: ' Miami Shores State: Florida Zip Code: 1313$ Contractor's Company Name: Mep E1ecA r; c arc, Phone #: 305.8Z 8 - 5205 Address: \62.-52 N� --79.' Ave City: /vVia,m t.gkeS State: r 4- Zip Code: 330)6 Qualifier's Name : ,4 - s - 4.es Pel es - Cav % lan Lic. Number: £G -00017 Z$ Architect/ Engineer of Record Name: Phone #: Address: City: State: Zip Code: Describe Work: -I-` er 0 I hereby certify that the work has been abandoned and/or unable or unwilling to complete the contract. I hold the Miami S ► -s harmless for all legal in ; • jili /j /,/ rfr Signatur Signature t contractorlar uil • 'ng Official a Iv -. ent hitect is d e Contractor or Architect The foregoing aknowl: • ged before me The foregoing instrument was aknowledg this �d�ay of 1. 01,2(1 1,4 t& 2.. %PLA is 1-6 day of StAl , 20 by Who is personally known to me or who has produced Notary Public: Sign: Seal: ``t►tuNU1rri /i N‘‘ g Sily r tlet as indentification. s''��EE111t59 c), q befor �Z- who ispenallv known to me or who has produced as indentification. Notary Public: Sign: Seal: Miami Shores Village Building Department 90050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION Permit Type: Electrical ^ JOB ADDRESS: l� (� q d ►' '/ Ci "-' j City: Miami Shores County: Miami Dade Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): +aA ,6o,' 3asTI LL C Phone#:30-5- 733 342(9 Address: g0 99 ,DO N''�' 3 0 ice" l S v %T� W-O �, + t%T�'T"✓/L,4 City: / 1 v° "'t om �-'� State: 94-040-4:04 Zip: 33 l d' 0 Tenant/Lessee Name: Phone#: Email: .€7 'p Ele+riL Stu Phone#:30 ?(4S l C ?f FBC 20 MAY 11201 BY t /L� Permit No. C 2 "— tom' Master Permit No. S-11 —7 S 7 Zip: 33/ 3 P Zip: CONTRACTOR: Company NNa�me:, Address: S ( ( ) / v .p Avila City: /11 L State: Qualifier Name: U0 U 6 cet-S girt f t-) State Certification or Registration #: � F 0 0 f' 1 Certificate of Competency #: Contact Phone#: 3 a,s (qq( Email Address: ®..e.lt fr d �/ 7 " Q// DESIGNER: Architect/Engineer: Phone#: ;R•( Phone#: M r— KJ— l f Zf/ Value of Work for this Permit: $ t/-S0 u 9° Square/Linear Footage of Work: Type of Work: DAddress iBAlteration ONew ❑Repair/Replace ODemolition Description of Work: 22.0 L .#s4. /Wry .. .4M 'J . , EA./ D OF T! - 2)0c& , * ********* ************** * *** * *** *** * ** Fees * ******** * * * * * * * * ** * **** **** * * * * ** * * * ** *** ** Submittal Fee $ y Permit Fee $ /i 'e, 62 CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 110 t 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 FT.F,CTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOIL FRS, 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 I G- (41Gre Contractor ,y�/ The foregoing instru ntw• acknowledged before me this i t The foregoing instrument was acknowled ed before me this /40j-4 day of MAY , 20 t2 , by el,w_tc t oPtA-r C�<V.,UIS, day of 4'` Z, by �ti6 ° l i' Or.c►) who is personally known to me or who has produced 'P- l�iz Lt C . As identification and who did take an oath. NOTARY PUBLIC: NOTAR Si My Commission Expires.,,,,, pVB4 LIJZHENRIQUEZBURGOS MY COMMISSION # EE 031331 EXPIRES: January 31, 201,; tom: "Plans Examiner Zoning Clerk or who has produced entification and who did take an oath. PUBLIC: 0, Ivor ;kabs Notary Public - State of Florida ►� .E ; , j't'ma pr ? 016 AS Commission # EE 194096 Bonded Through National Notary Assn. ommission E * * * * * * * * * * * * * * * * * ** APPROVED BY Structural Review (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)