CC-12-782Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
nspection Number: INSP- 179827 Permit Number: CC -5 -12 -782
Inspection Date: October 12, 2012
Inspector: Bruhn, Norman
Owner: , BARRY UNIVERSITY
Job Address: 11300 NE 2 Avenue Cor Jesus Chape
Miami Shores, FL 33138 -0000
Project: BARRY UNIVERSITY
Contractor: PP3 CONSTRUCTION CORP
Permit Type: Commercial Construction
Inspection Type: Final
Work Classification: Alteration
Phone Number
Parcel Number 1121360010160 -01
Phone: (305)389 -0065
Building Department Comments
CHAPEL TOWER REPAIR POST SHORE EXISTING
BEAM, SAWCUT 3 EXISTING COLUMNS, REPLACE
WITH NEW COLUMS AS PER PLANS
Infractio Passed Comments
INSPECTOR COMMENTS True
Passed
/
/,i.
Inspector Comments
(7c—
&,
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
October 12, 2012
For Inspections please call: (305)762 -4949
Page 1 of 1
SAAD ELIA EL -HAGE
CONSULTING ENGINEERS, INC.
5601 NW 9TH AVENUE, SUITE 401 / FORT LAUDERDALE, FL 33309
OFFICE: (954) 771 -8149 / FAX: (954) 771 -8169
July 20, 2012
STRUCTURAL BUILDING DESIGN
®THRESHOLD INSPECTIONS
POOL STRUCTURE DESIGN
Final (Barry Chapel tower concrete columns replacement)
Building Official
Miami Shores Village
Building and Zoning Department
Miami Shores, Florida
Re: Barry Chapel tower columns
Miami Shores, Florida
Permit#: CC -12 -782
Dear Building Official,
1, Saad El -Hage, having performed and approved the required inspections, as indicated in the
attached approved inspection report 1, hereby attest that to the best of my knowledge, belief, and
professional judgements, the concrete restoration repair of the Chapel tower concrete columns:
doweld, vertical reinfordng and ties are in compliance with the approved plans and other approved
permit documents, ACI, and Florida Building Code.
Should you have any questions or need any additional information, please do not hesitate to contact
me.
SI
Saad El -Rage, P.E. # 42550
Special Inspector It 0965
SAAD ELIA EL -HALE
CONSULTING ENGINEERS, INC.
5601 NW 9TH AVENUE, SUITE 401 / FORT LAUDERDALE, FL 33309
OFFICE (954) 771 -8149 / FAX (954) 771 -8169
TO: Chief Building Inspector
Miami Shores Village
Building & Zoning Department
The following was noted:
RE - `
• STRUCTURAL BUILDING DESIGN
• THRESHOLD INSPECTIONS
• POOL STRUCTURE DESIGN
Date: 07 -12 -12
Permit*: cc -12 -782
Project: Barry Chapel tower columns
Location: Miami Shores
Contractor: Gabriel PP3 Const.
Owner:
Weather: Temp:
Time: A.M.
Present at job site:
File :112-009
Items inspected:
3 concrete columns replacement:
Vertical dowels and reinforcing. (o.k.)
Ties (o.k.)
See note below:
Note:
Concrete band reinforcing not in place.
G.0 is providing an alternative to concret band. EIFS foam.
G.C. to provide specifications.
Owner to approve alternative.
EIFS foam band is reviewed and approved.
la
l t 12.- 4.n -101\K
B ING
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
PERMIT APPLICATION
FBC 20
Permit Type
ROOFING
CTIEVTIThc-
AY0 2 2012 JP
Permit No C''C A 2—"-7-1 L
Master Permit No.
OWNER: Name (Fee Simple Titleholder): ErAggyumreessirry / me_ Phone#: 305-89i-300o
Address: //Jad d6 .2"4) /06ji%ffe
City: /1/ .44!/ 9/0045'
State: f"- Zip: 33/4.1
Tenant/Lessee Name: Phone#:
Email:
JOB ADDRESS:
rcfy uriiv iffy — CRAfEL — c.o2 SEs% c ape -
City: Miami Shores County: Miami Dade Zip: 331 CO
Folio/Parcel#: /
Is the Building Historically Designated: Yes NO v Flood Zone:
CONTRACTOR: Company Name: f'P3 CONSJa1.t7 ?ot o � . Phone#:.0.S- 7' 5� -S129
Address: 9. ® Nom' Yeti .
City: /tf //4111/ 0AWS State: Pe.- Zip: ,3313$
Qualifier Name: 614150, s0, aZ lam' Tit - Phone#: 3 C --313 -00695
State Certification or Registration #: CGG 15 ((a 501 Certificate of Competency #:
Contact Phone#: 36:13M' 05 Email Address: s Q ,360/4/7 ?2 Th,J» CoM
DESIGNER: Architect/Engineer: 5AAb gUA El A C•ASL2L.77A Phone#: 940' ?7?/ -BAIT
t NEE? , /../C. .
Value of Work for this Permit: $ .24 Square/Linear Footage of Work: 55 1--F
Type of Work: DAddition UAlteration UNew II �Repair/Replace ODemolition
Description of Work: C'/4PEG "TotA)eg REPAiie - PAST 54/40 extsvA/G. 1.3e-A 4, 5,40JeVe
(3) eis i4v& C.2wls1A ° ® riePZ4C6 Nero' Alp/ Got L',tI,vs AIA 74-7A Fi.A,vs.
* *** ** *mom *** * * ******* **** *** **Fees********************************************
era
Submittal Fee $ 449 Permit Fee $ CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review
0 Y 0 4 14,
TOTAL FEE NOW DUE $ 14' e U'
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 approy;f nd a reinspection fee will be charged
Signature
Owner or Agent
tic)
The foregoing instrument was acknowledged before me this ci
day of AO ILA , 20 11, by WO; .'0114,1a0 S'
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign: ' �f
Print
My Commission Expires:
Signature
C
The fore_oing instrument was acknowledged before me this 23
&I` , 20 La , by Gabriel ROci tJez
onall known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
day of
who is
Sign:
Print
My Commission Expir
ISABEL CAMEJO- SMITH
MY COMMISSION # DD982630
N�e�' EXPIRES: June 14, 2014
a
I-800-3-NOTARY
Notary Discount Assoc. Co.
************************ ** *** ********************************************* ************* ****** **** ********
APPROVED BY Plans Examiner Zoning
4 Structural Review
k 1 13
(Revised 07 /10/07)(Revised 06/102009)(Revised 3/15/09)
Clerk
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
CC /2 -713 2
PERMIT NOaffEiMIkeiltrAX FOLIO NO. / /2/ 34 c/o/ -a
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
111111111111111111111111111111 1 11111111111111
CF11 201280316095
OR.£k 28097 Ps 2722', (fps)
RECORDED 05/03/2012 16:00:44
HARVEY RUVIN, CLERK OF COURT
MIAMI -DADE COUNTY, FLORIDA
LAST PAGE
�n Space above reserved for use of recording office
1. Legal description of property and street/address: grC!ti2y uAip%aci tY > pO( Zad AJC/
MIoM: sti84 irk- 331 b 1
2. Description of improvement 044PEL EP,4,,2- Pa,srsweee /..s?7�16.1, 7{, 'f, .$44/40 7-
EXIS)/w/er COu/,NdS , EPU4GE 40/71/./40,/ ciwitl*(S As Pat
3.Owner(s) name and address: t 11 . . L "JO' ✓e.
Interest in property: ofoogelta.
Name and address of fee simple tilehblder.
4. Contractor's name, address and phone number. Pe; 1CG/J5TE11G(�?DA).GJIMe e WI. s7777
M /*!iIsue, ff. 33/32 3c1C 1.572-9
5. Surety: (Payment bond required by er from contractor, If any)
Name, address and ph number. /t/t/ 4
Amount of bond $ A
6. Lender's name arid address: 11/,i4
7. Persons within the State of Florida designated by Owner upon whom notes or other documents may be served as provided by
Section 713.13(1Ra)7., Florida Statutes,
Name, address and phone number. A/%
8. In addition to himself, Owners designates the following person(s) to receive a copy of the llenor's Notice as provided in Section
713.13(1)(b), Florida Statutes.
Name, address and phone number: �! A
9. Expiration date of this Notice of Commencement
A,'A
expiration date Is 1 year from the date of tang unless a different date is specflted)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED
IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WiTH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK
OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Prepared of Owner(s) • )' Authorized Officer/Director/Partner M
Print Name
Title/Office go frw �scs Is give blietne
STATE OF FLORIDA
COUNTY OF MIAMI -DADE
The fore oing instrument was acknowledged before me this
Inoa 1-4
Individually, or)a as for
Personalty known, or a produced the following type of Identlflc ati
ler day of ArP ,
TION PU
A an
arrili
Under penalties of perjury, l dec
that the facts stated in it are true, to the best of my knowledge and belief.
Signatures) of • Owner(s)'s Authorized Offi�/Director/Partner/M
BY I'I By
123.01.82 PAM 8H0
age w/:• =
ens
OF FLORIDA, COUNTY OF M
z•VCERIWYthettilisissinetWalffill
Of
A.D.2)
!rlliiESS1IwIlefxianA''; Seal.
sled
TANASHIA ARNOLD 1144
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487 -1395
1940 NORTH MONROE STREET
TALLAHASSEE FL 32399 -0783
RODRIGUEZ, GABRIEL
PP3 CONSTRUCTION CORP
750 NE 96TH ST
MIAMI FL 33138
Congratulations! With this license you become one of the nearly one million
Floridians licensed by the Department of Business and Professional Regulation.
Our professionals and businesses range from architects to yacht brokers, from
boxers to barbeque restaurants, and they keep Florida's economy strong.
Every day we work to improve the way we do business in order to serve you better
For information about our services, please log onto www.myfloridalicense.com.
There you can find more information about our divisions and the regulations that
impact you, subscribe to department newsletters and learn more about the
Department's initiatives.
Our mission at the Department is: License Efficiently, Regulate Fairly. We
constantly strive to serve you better so that you can serve your customers.
Thank you for doing business in Florida, and congratulations on your new license!
a 'Ammo i/o % ;.. license confillks /iidden_security/ to /Inward cou 7Nfig-.
only l6 w/llbo to (he fillestextentofBnelaw.j
The Department of Business and Professional Regulation (DBPR), issues licenses for many licensed businesses and practitioners
in the State of Florida.
DBPR is changing the way you interact with state government. Many of DBPR's services are available. online ; at
www.MyFloridaLicense.com.We encourage you to utilize these services to make address changes, licensing changes or
to renew your license.
Name changes require legal documentation verifying the name change, which must be mailed to DBPR. An original, a certified
copy, or a duplicate copy of an original or certified copy of a document that shows the legal name change will be accepted,
unless DBPR has a question about the authenticity of the document.
If applicable, DBPR will send a renewal notice to your last known address prior to the expiration date on your license. If you
have not received your renewal notice, please call our Customer Contact Center at 850.487.1395 or email us at
ca licenter@dbpr.state.fl.us.
Please refer to your profession's governing statutes and administrative codes for further information regarding renewals.
These may be viewed online at www.MyFlorida.com/dbpr.
<Revised 10/3012007>
1
MIAMI -DADE COUNTY
TAX COLLECTOR
140 W. FLAGLER ST.
lst FLOOR
WWI, FL 33130
636845 -0
BUSt %N
750 NE 96 ST
33138 MIAMI SHORES
2011 LOCAL BUSINESS TAX RECEIPT 7012
DADE COUNTY - STATE OF FLORIDA
EXPIRES SEPT. 30, 2012
MUST BE OISPLAYEO AT PLACE OF' BUSINESS
PURSUANT TO CODE CHAPTIER 8A- ART. $ & 10
sir 3S
FIRST -CLASS
US. POSTAGE
PAID
MIAMI., FL
PERMIT NO. 231
NOT A RILE —1713 h 0T PAY RENEWAL
663597 -4
CORP STAT edUirt16509
OW CONSTRUCTION CORP
secirgW"t#Wtt%I. BUILDING CONTRACTOR
THIS IS ONLY A LOCAL
ausetess TAX REC®PT. IT
DOES NOT PMT THE
HOLDER TO VIOLATE ANY
EXISTING REGULATORY OR
ZONING LAWS OF THE
COUNTY OR CITIES. NOR:
DOES IT EXEMPT THE
HOLDER FROM ANY OTHER
REED BY LAW. LICENSE
NOT A CERTIFICATION OP.
THE HOLDER'S OUALIRCA-
MONS.
PAYMENT RECEIVED
MIAMI -DADE COUNTY TAX 7
COLLECTw408 /01/2011.
Y 09010020001
000045.00
SEE OTHER SIDE
WORKER /S
1
DO NOT FORWARD
PP3 CONSTRUCTION CORP
GABRIEL RODRIGUEZ PRES
750 NE 96 ST
MIAMI SHORES FL 33138
11a11ii1l4111um1thlfhulllllmlSt }11/{tt41a
AC )Rn- CERTIFICATE OF LIABILITY INSURANCE onTipantonNYI"'
�, 10/12/11
1.- CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: U the certificate holder Wen ADDITIONAL INSURED, the poticypes) must be endorsed. N SUBROGATION IS WAIVED, subject to
t the terms end conditions of the policy, certain policies require an endorsement. A stateanent on this certificate does not confer rights to the y
certificate holier in lieu of such endorsement(s). CQN
I.-- - — i it Jam WI
A�€: �
I PRODUCER _ _...
Annette Willis Insurance , (305) 625 2403 LtI_R?Y
1 18401 N.W. 27 Ave iletassik_.....leiLwillis@annettewillisInsurance.com ,
NAIL @ _
I Miami. FL 33056 INSURER(s) AFFORDING CO1tERAI _ _. , -
i. Phone -1305) 625.2403- ___ • Fax_ (305) 625 -8472 1 iNsul A: a Spec ly Insurance Company _
1 INSURED I- INSURIst a: ... — _ — - - —
(305) 625 -13472 j
PP3 Construction Corp 1 IN R—..c
INSURER O:
750 NE 96 ST
INSURER E
Mtarni. FL 33138 _ _ INSURER F`_ • COVERAGES CERT1FICATE NUMBER: REVISION NUMBER: _
_ . THIS iS TO CERT1FY THATTI IE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
I CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BAY PAID CLAIMS. __ _ -
POtICY YY�`IL{MtAIOO11fY9Y).
sADDLSUSIt
lINSR'i TYPE `tINSR.jJ09C0• POLICYRIUMBErt +(_r1Nrn)arY --• ttMR8 — -
LIrR 1 ` _ — — i 000.000.00
I GENERAL LIABILITY j 1 EACtt OCCURRENCE a . j
I - : DAMAGE To RENTED g 100,�A0 _ I
= 1 ,V COLEAERCIAL GENERAL LIABILITY PRErAFSES Wm txri,aonse) _ —
CLAIM MADE il, OCCUR 1 ( iBAG10084� ! : mEDEXPputYm,ep on) S 5,000.00_
A , t -: - _ , N } 110/10/2011 ;10110/2012 - — -
i L_ _ _ ! ! PERSOtNAL&AMROURY $ 1, 00000
j > GENERAL AGGREGATE a 2,000.009. .00 . t
! PRODUCTS - COMP/OF AGO $ 2.000.O0II.O0 .-
$
! GERI AGGREGATE LINT APPLIES PEW
-{I V: palmy . _._.I G . LOC _ —1 •
I AUTOMOa II.E LIABILITY
1 - ANY AUTO
AI. OWNED • SCHEDULED
I_ At)TDS .J tome
HIRES* AUTOS jI AUTOS
I y UMBRELLA UM! _ OCCUR
• EXCESS HAD : CLAWS-MATTE
- OED . _ ∎ WIEN HORS
1 WORKERS COMPENSATION
AND EMPLOYERS' )IAINUTY Y / N
I ANY PROPRIETORIPARTNERIEXt:CU RYE NIA-
!
i OFFICERaM L OCCLUDED?
(Mandatory
II yes. da bounder
DE-SCR1PTION OF OPERATIONS Wow 1- -
A I Blanket Additional Insured : Y : BAG-1008496
r-ESCRIPTION OF OPERATIONS f LOCATIONS VEHICLES (Attach ACORO 1ST, AddlHonal Remarks SCh8dulo. If mare space's teguited)
General Contractor Including Management & Supervision
4
1 )SINGLEUMIT } s
BODILY BNJiR Y (Per person) 5
BODILY INJURY (Pm accident? $
EACH OCCURRENCE
"RE. SMT.E —_
ToRY
EL EACH ACCIDENT S
E.L DISEASE - EA ENIPLOYE4 S
. EL DISEASE_ POUCYUAW $
•
110/10/2011 ;10/1012012
$
s
CERTIFICATE HOLDER
The Village Of Miami Shores
10050 NE 2nd Avenue
Miami Shores, FL 33138
ACORD 25 (2010105) QF
CANCELLATION
VE DESCRIBED POUCIES BE CANCELLED BEFORE
THEREOF, NOTICE. WILL BE DEUVEREDIN
POLICY PROVISIONS.
1988 -2010 ACORD CORPORATION. AU fights reserved.
ACORD name and logo are registered marks of ACORD
11-16-2010
ALEX SINK STATE OF FLORIDA
Cif F1NAI4C1AL OFFICER DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORKERS' COMPENSATION
* * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS COMPIMSATION LAW
CONSTRUCTION INDUSTRY EXEMPTION
This certifies that the individual listed below has elected to be exempt from Florida Workers" Compensation law_
EXPIRATION DATE: 0/11512013
GABRIEL
EFFECTIVE DATE
PERSON:
FEIN:
01/16/2011
RODRIGUEZ
263328692
BUSINESS NAME AND ADDRESS:
PP3 CONSTRUCTION CORP
750 NE 36TH STREET
MuAMX —FL 33138
SCOPES OF BUSINESS OR TRADE 2- CERTIFIED GENERAL CONTRACTOR 1- GENERAL CONSTRUCTION
IMPORTANT Pummel to Chaps 440. 0R14i E.S., an officer of a catperatlon who elects exeatpdion from this clinger by Mug a emirate of cloches sudsy ibis
section may not recover benefits or compensation ender this chapter. Penitent to Chapter 440.05i12L F.S.. Certiicates of election le he exempt— apply only" within the
scope of the business or trade lisp an the notice of election to be exempt. Pasant to Chapter 440.05113), F S., Niotfces of election to be exempt and
du certificates
sulks or
cell election na be exempt salt a equlre to of this section fer issualaa of a cenificate. The department shall realm a certificate far failure of the person
namekaa b Wager meets meat t the of Ibis section. QUESTIONS? (850) 413 -1609
named on the certificate � osec the regaitenaaats
DWIC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09-06
PLEASE GUT OUT THE CARD BELO'S AND RETAIN FOR FUTURE REFERENCE
STATE OF FLORIDA
DEPARTNIEW DIVISION WORKERG' STtlON
CONSTRUCTION INDUSTRY
ATE of ELECTION PT f�M FLORIDA
c Efrfoy �
EFFECTIVE 01/16/2011 EXPIRATION DATE: 01/15/2013
PERSON: GABRIEL RODRIGUEZ
263328E192
BUSINESS NAME AND ADDRESS:
PP3 CONSTRUCTION CORP
TOO NE OM STREET
MIAW. R. 33138
SCOPE OF BUSINESS OR TRADE 2- carmancroR
1- GENERAL CONSTRUCTION
IMPORTANT
F P to C 440.05(14) F.S., an officer of a corporation who
O elects exemption from this' chapter by filing c g a Ifitate of election
!. under this sedan may not recover benefits or compensation under this
Pursuant to Chapter 440.05(12), F.S., Certificates of election to be
H exempt- apply only within the scope of the business or trade listed on
:E the notice of election to be exempt.
EPursuant to Chapter 440.0603), F.S., Notices of election to be exempt
and certificates of election to be exempt shall be subject to revocation
if, at any time after the filing of the notice or the issuance of the
certificate the person named on the notice or certificate no longer meets
the requirements of this section for issuance of a certificate. . The
department shall revoke a I ertificate at any time far failure of the
person named on the certificate to meet the requirements of this
section.
QUESTIONS? 18501 413 -1609
CUT HERE
* Carry bottom portion on the job, keep upper portion for your records.
]WIC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09 -06
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Permit No. 12 -.7g 2.
Job Name
�arr 6l�
Date_j
STRUCTURAL CRITIQUE SIrEE
T
em 3 of it Ph Q
S f �' C�r�s r‘rCti oh
caw GU1I
Cads 401 , ,e• t
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c/u
oogf Z bra of saw- cad- cop re
ero�•,.� °�cl� pnov�i/.
s it _ A0sr Permit Ltt
o: 12 -782
Job Name:
May 11, 2012
Miami Shores Vivage
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Page 1 of 1
Building Critique Sheet
1) The plan notes say remove columns and replace but details show spallingas if it is to be
repaired. Which is it? The detail is labeled stud frame infill?
2) The plan is described as chapel tower. Is this tower above grade below grade pat of
another building?
3) Provide a plan showing the location of the building (site plan). Provde a plan showing the
elevation of the structure to be repaired.
STOPPED REVIEW
Plan review is not complete, when all items above are corrected, we will do a complete plan
review.
If any sheets are voided, remove them from the plans and replace with new revised sheets and
include one set of voided sheets in the re- submittal drawings.
Norman Bruhn CBO
305 - 762 -4859
7 (
05/11/2012 14:20 FAX 1 800 685 7530
DATA SCAN FIELD SERVICES
C] 0 01
* * * * * * * * * * * * * * * * * * * **
* ** TX REPORT * **
* * * * * * * * * * * * * * * * * * * **
TRANSMISSION OK
TX /RX NO 2538
RECIPIENT ADDRESS 93057598118
DESTINATION ID
ST. TIME 05/11 14:19
TIME USE 00'25
PAGES SENT 2
RESULT OK
Permit No: 12 -782
Job Name:
May 11,2012
Miami S Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756,8972
Page 1 of 1
Building Critique Sheet
1) The plan notes say remove columns and replace but details show spallingas if it is to be
repaired. Which is it? The detail is labeled stud frame infill?
2) The plan is described as chapel tower. Is this tower above grade below grade pat of
another building?
3) Provide a plan showing the location of the building (site plan). Provde a plan showing the
elevation of the structure to be repaired.
STOPPED REVIEW
Plan review is not complete, when all items above are corrected, we will do a complete plan
review.
If any sheets are voided, remove them from the plans and replace with new revised sheets and
include one set of voided sheets in the re- submittal drawings.
Norman Bruhn CBO
305 - 762 -4859