Loading...
EL-12-2193 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-181758 Permit Number: EL-11-12-2193 Scheduled Inspection Date: September 25,2013 Permit Type: Electrical- Residential Inspector: Devaney, Michael Inspection Type: Final Owner: LLERENA, MARK Work Classification: Generator Job Address: 1550 NE 103 Street Miami Shores, FL 33138- Phone Number (786)981-1301 Parcel Number 1132050310110 Project: <NONE> Contractor: RAVEN ELECTRIC INC Phone: 305-221-3339 Building Department Comments ELECTRICAL SERVICE FOR THE HOUSE AND NEW Infractio Passed Comments GENERATOR INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. September 24,2013 For Inspections please call: (305)762-4949 Page 1 of 37 Miami Shores Village Building Department Lvov 19 2092 10050 N.E.2nd Avenue,Miami Shores,Florida 331.38 1 Tel:(305)795.2204 Fax:(305)756.8972 INSPECTION'S PHONE NUMBER:(305)762.4949 Tel FBC 20/0 UILIDING Permit No. �C PERMIT APPLICATION Master Permit No. Permit Type: Electrical JOB ADDRESS:. l � �° ° 10 .3 S4 City: Miami Shores County: Miami Dade Zip: Folio/Parcelt Is the Building Historically Designated:Yes NO Flood Zone: OWNER:Name(Fee Simple Titleholder):t 1 �l \ \�. X_ Phone#: . Address: 4 '�'so y\ E 1(0-� City:x-�%Ce�-k 5\ State: - Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: ��. \ '� � �• Phone#: Address: 3. CV�� �. City: Qr' State: Qualifier Name:1J�UA& Phone#:I(S'S OM l k rJ State Certification or Registration#: �'Z) Certificate of Competency#: Contact Phone#: Email Address: DESIGNER:Architect/Engineer: _ Phone#: Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: ❑Address ❑Alteration New ❑Repair/Replace ❑Demolition Description of Work: LAII-� —� Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$ Bonding Company's Name(if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGNS, WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS and AIR CONDITIONERS,ETC..... OWNER'S 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$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement t be posted at the job site for the first inspection which occur seven (7) days after the building permit is issued. In e e of such posted notice, the inspection will not be"approved a reinspection fee will be charged. Signature ��' Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before�me tthis, day Z J 0�,by M(,,�[Cr �°(� day of J a%l 2d',by who is sonally known` me or who has produced who is pe onally known me or who has produced As identification and who did take an oath. as identification and who did take an oath. NO Y PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: U-e— 1.4- My Commission Expires: y e; DAMAYlvrGA My Commiss' �• MY COMMISSION#EE 066066 "1yw.y D&�6AYI VEGA EXPIRES:Apr#1,2015 *ze = hAY GOMMiSSi0NQ66066 �? q1 Fq� Bonded Thru NO WY Public undenMttes "�,�•. Pa EXPIRES:April 1,2015 akaAnkI+skskkkAakksIsskakskdasksIak 'k+k$ask'Ia �kkaIasksksa8aakkkkkd+kkakakdffid+d+kkkkkakak �i,•F`c;.�• BonfledThruN Pu Iaabsk�s APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) C FN 2013RO 19 X821 OR Bk 28526 Ps 1884; t 1Ps) RECORDED 03/12/2013 11:57=53 HARVEY RUVINt CLERK OF COURT NOTICE OF COMMENCEMENT MIAMI-DADE COUNTYP FLORIDA A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION LAST PAGE PERMIT NO. O Z'21t95 TAX FOLIO NO. 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. Space above reserved for use of recording office `1.Legal description of property and streettaddress. K'50 2.Description of improvement: Q' Uk_Q,,-C ,/ Gc P& J�S P.Owners)name and address: G,f IC IS-xo iii /175 dy 'p9p"T SA,0, lzL 3 31'- „interest in property: Name and address of fee simple titleholder 4.Contractor's name,address and phone number u21VAv7 e fe cAnIc I h C -C wmv e -7 S f, 7� Ili 3 Cw " 00 /V9 5.Surety:(Payment bond required by owner from contractor,If any) Name,address and phone number. Amount of bond$ STATE OF FLORIDA,ODUI41 Y Of DADE 6.Lender's name and address: B HMEBY CER77FYthat IS4 urea GW of(he Qj 7.Persons within the State of Florida designated by Owtner 11 � �20 ay be ed Section 713.13(1)(a)7.,Florida Statutes, i Name,address and phone number. 00 W2'm Ccw� 8.In addition to himself,Owners designates the following perfq n­- �i9otice as provid action 713.13(1)(b),Florida Statutes. Name,address and.phone number. 9.Expiration date of this Notice of Commencement: (tile expiration date is 1 year from the date of recording unless a different date is.sPwMed) 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. Signature(s)o s)or Owner(s)'Authorized Officer/Director/Partner/Manager Prepared By Prepared lay Print Name Cr. t ,i Print Name Title/Office Titre/Office STATE OF FLORIDA COUNTY OF MIAMI-DADE The foregoing Instrument was acknowledged before me this 'Zy day of �-Individually,or ❑as for ❑Personally known,or ❑produced the following'type of identification: Signature of Notary Public: Print Name: ss\ (SEAL) - a VERIFICATION PURSUANT TO SECTION 92425.FLORIDA STATUTES 1 ': Under penalties of'perjury,I declare that I have read the foregoing and that the facts stated in ft are us,to the best of my knowledge and belief. ///`, '�°�8A j• S`�2\e\�. c, Signature( of Owns or Own s s Authorized Officer/Director/Partner/Mana er whd' bovb: 9 � � ) 9 �8 D� SY By 123.01-52 PAGE 3 9/10 Y IAN 2I "I SN 0 ■n■ on.� %7Z! OR CUMULATIVE SUBSTANTIAL IMPROVEMENT VERIFICATION WORK SHEET In accordance with FEMA regulation and Miami Shores Village Flood Damage Prevention Ordinance the costs of all improvements must be monitored. The costs of any improvements in the past 12 months and the costs of any proposed improvements must be shown on the worksheet. The cost of improvements must include demolition, raw and finished materials (include those donated), labor(including volunteer and self- performed), construction supervision and management, and overhead and profit. A list of items the costs of which are to be included as well as those excluded is attached for your reference. (A Copy of the Contract must be attached). PROPERTY OWNER: PERMIT# rz_11 1 'L— Z L ADDRESS: FOLIO NUMBER: FLOOD ZONE: BASE FLOOD ELEVATION: FREEBOARD: EAST OF FL.CCCL: COST OF PAST IMPROVEMENTS(12 MONTHS): COST OF PROPOSED IMPROVEMENTS: r (ATTACH COPY OF CONTRACT) TOTAL CUMULATIVE COST OF IMPROVEMENTS(past and proposed) � VALUE OF PRINCIPAL STRUCTURE(attach appraisal) :��� OWNERS SIGNATURE: DATE: 6 Z P PLANREVIEWER• PLAN REVIEWER SIGNATURE: DATE: ■ou au SUBSTANTIAL IMPROVEMENT/DAMAGE LIST (NOTE: THIS LIST IS INTENDED FOR GUIDANCE ONLY,AND IS NOT ALL INCLUSIVE) ITEMS TO BE INCLUDED ALL STRUCTUAL ELEMENTS, INCLUDING ' ALSO: Foundations including; Spread footing, Continuous footing, All Labor and other Costs associated with isolated footing, piles and pile caps Demolition, Removing, Replacing, Slabs including; Monolithic, floating, Installing Building or Altering Building elevated Components Walls including; Exterior walls, Bearing Construction Management/Supervision walls, Shear walls Overhead and Profit Beams, Tie Beams, Columns and Posts Equivalent cost for: Wood decking, Floor and Roof Sheathing Donated Materials Trusses, Joist Volunteer Labor(including owners and Windows/Doors friends) Any Improvements Beyond Pre-damaged ALL BUILDING ELEMENTS, INCLUDING Condition, including; Interior Partitions Walls Columns > Utility Upgrades Drywall, Ceilings, Code Upgrades Built in Furniture, Cabinets, Vanities All Fixtures ITEMS TO BE EXCLUDED Flooring, Tile, Carpet, Stone, Linoleum, ect. Plans and Specifications All Finishes including Drywall, Paint, Survey Costs Stucco Plaster, Paneling, Tile, Marble, Elevation Certificate Costs and.Moldings Permit fees Roofing Material Debris Removal ALL HARDWARE Items not considered to be REAL Property Rugs, Furniture, Refrigerator, ALL UTILITY and SERVICE Appliances not Built-in EQUIPMENT Outside Improvements, Including; HVAC Landscaping Electrical System and Equipment Sidewalks Plumbing System and Equipment Patios Security System and Equipment Fences Central Vacuum System Yard lights Plumbing Fixtures Sheds Lighting Fixtures and Ceiling Fans Gazebos Water Systems including Irrigation Softeners/Filtration Pool Created on June 2009 MIAMI-DADE COUNTY t OFFICE OF THE PROPERTY APPRAISER 1AM i PROPERTY SEARCH SUMMARY REPORT Honorable Carlos Lopez-Cantera Property Appraiser Folio 11-3205-031-0110 Property Address 1550 NE 103 ST ' Owner Name(s) MARK LLERENA Mailing Address 1550 NE 103 ST MIAMI SHORES FL 33138 Primary Zone 1400 SGL FAMILY-3001-3250 SQ Use Code 0001 RESIDENTIAL-SINGLE FAMILY Beds/Baths/Half 4/5/1 Floors 1 Living Units 1 Adj.Sq.Footage 4,468 A Lot Size 15,269 SQ FT Year Built 1958 Legal Description 5 53 42 A Aerial Photography 2012 RE-PLAT OF TR C MIAMI SHORES BAY PARK ESTS PB 64-97 LOT 20 BLK 5 1,.•.,. a LOT SIZE 15269 SQ FT Current Previous OR 18032-1120 0398 4 »> y Year 2012 2011 Current Previous Exemption/Taxable Exemption/Taxable Year 2012 2011 County $50,000/$1,236,963 $0/$1,407,536 Land Value $732,912 $850,000 School Board $25,000/$1,261,963 $0/$1,407,536 Building Value $554,051 $557,536 City $50,000/$1,236,963 $0/$1,407,536 Market Value $1,286,963 $1,407,536 Regional $50,000/$1,236,963 $0/$1,407,536 Assessed Value $1,286,963 $1,407,536 "' x yy � ,r %, Date Amount Recording Qualification Code a\ Book-Page Current Previous 11/2011 $1,500,000 27914-3956 Sales qualified as a result of Year 2012 2011 examination of the deed Homestead $25,000 $0 3/2010 $1,500,000 27237-0563 Deeds to or executed by trustees in bankruptcy, 2nd Homestead $25,000 $0 executors,guardians,or receivers Senior $0 $0 3/1998 $0 18032-1120 Sales which are disqualified as a result of examination of the Veteran Disability $0 deed Civilian Disability $0 $0 Widower) $0 $0 Disclaimer: The Office of the Property Appraiser and Miami-Dade County are continually editing and updating the tax roll and GIS data to reflect the latest property information and GIS positional accuracy. No warranties,expressed or implied,are provided for data and the positional or thematic accuracy of the data herein,its use,or its interpretation. Although this website is periodically updated,this information may not reflect the data currently on file at Miami-Dade County's systems of record. The Property Appraiser and Miami-Dade County assumes no liability either for any errors,omissions,or inaccuracies in the information provided regardless of the cause of such or for any decision made,action taken,or action not taken by the user in reliance upon any information provided herein. See Miami-Dade County full disclaimer and User Agreement at http://www.miamidade.gov/info/disclaimer.asp. Property information inquiries,comments,and suggestions email: pawebmail @miamidade.gov GIS inquiries,comments,and suggestions email: gis @miamidade.gov Generated on:Monday,January 28,2013 � � 1 3913 SW 90 AVE . Miami . Florida 33165 Telphone. 305.951.1210 License#02E000622 Client: Mark Llerena Job Address: 1550 N.E 103 street Miami Shores. Florida 33138 Telphone 786.290.8051 Scope: 1.Change existing service to new 400 amp.Service 120/240 volt. 2. Install one One new lema 4 panel to supply pool and deck. 3. Install one combo 400 amp to main breaker. 4.Run new pipe to generator and pool panel as per plans and specs. 5. Run Power to new pedestal and lift motors.Supplied by dock company. 6.lnstall new generac generator 45kw supplied by owner and transfer switch. TAII labor and materials are included except see exclusions.All work to be done as per plans and specs. 8.Cost of generator 15,260.00 supplied by owner. 9.cost of electrical work to be billed to owner is 11,000.000 50•/6 deposit due upon mobilization and all permit fees to be paid by owner. Accepted by Accepted b p Y ,gt�ORgS Miami m shores s� Building Department NIN nown 10050 N.E.2nd Avenue y O, y Miami Shores, Florida 33138 J��r�e1N� Tel: (305) 795.2204 LORtDA Fax: (305) 756.8972 December 7, 2012 Permit No: EL12-2193 Building Critique 1) Provide generator foundation details. Norman Bruhn CBO 305-762-4859 Zoning Critigue 1) GENERATORS, POOL EQUIPMENT AND THEIR PADS MUST BE LOCATED NOT LESS THAN 10 FEET FROM SIDE PLOT LINES. 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. SNORES l'I Miami shores Village ,x�i93 a Building Department 10050 N.E.2nd Avenue `^ ,yam Miami Shores, Florida 33138 �Nres«,� Tel: (305) 795.2204 LOR1DA Fax: (305) 756.8972 December 12, 2012 Permit No: EU 2-2193 Mechanical Critigue—Jan Pierre Perez 1) Exhaust must be 10 feet from property line and need more information on fuel tank . 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. i ♦5�o�s mill amp Miami Shores Village � �o Building Department Rio- 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIPT PERMIT#: • `Z I DATE: Z" ( ) IZ Contractor • Owner •Architect Picked up 2 sets of plans and (other) "1 car] Address: �. S 5-D • IV cc' l O 3 s-(-- 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 Department to continue permitting process. �-T Acknowledged by: PERMIT CLERK INITIAL: RESUBMITTED DATE: 1 PERMIT CLERK INITIAL: s: { FIRST-CLASS da U.S POSTAGE PAID y MIAMI FL r_ PERMIT NO.23 THIS IS NOT A BILL-DO NOT PAY 489472-2 RENEWAL BUSINESS NAME/LOCATION RECEIPT NO. 510906-1 RAVEN ELECTRIC INC CC # 02E000622 3913 SW 90 AVE 33165 UNIN DADE COUNTY OWNER RAVEN ELECTRIC INC Sec.Type of Business WORKER/S T11 IB Uf AU&TRICAL CONTRACTOR 1 BUSINESS TAX RECE rr.IT DOES NOT PERkf1T THE HOLDER TO VIOLATE ANY ° REGULATORY zONQ LA DO NOT FORWARD COUNTY OR CITIES. NOR DOES IT EXEMPT THE HOLDER FROM ANY OTHER PERMIT OR LICENSE REWIRED BY LAW.THIS IS NOT A CERnPICATM OF RAVEN ELECTRIC INC THE QUALIFICA- TIONS. °D OSCAR HERNANDEZ PRES 3913 SW 90 AVE PAYM MT RECEIVED MIAMI FL 33165 MIAN 1-DADE COUNTY TAX COLLECTOR: 08/10/2012 3j tt}} p! !! }} jj y jj ii j jjii }}{} t t 00007510001 liil!ltil ifii 7�tf�ftilflif ifliif�l4tf i171t1lf if 1 1 1 1 1 111611} SEE OTHER SIDE CTQB Construction Trades Qualifying Board BUSINESS CERTIFICATE OF COMPETEN! 401, OU4,44,231 3 h 02EO00622 HE i 411 ��SO111 m RAVEN, E . ' R1 JN 21 fir - C.Q ►.. ; $ 001 _ ,jt f E'fo i' kER DEZ OSCAR . IV1 R Is certified under the provisions of Chapter 10 of Mlam-Dade STATE OF FLORIDA AC# '&:-40 7 7 L- DF�'1t 0�` Bi73TNS8 A PROPRS8Z�0 1 moft.'AT30N ` BR13012531 4,8 2 126004544 RRG .3sL� TOR HERNAND (ZNDXVID ALL. LOS. LIC}3N3ING'4 _ 3 P1tIOR TO CONTRAC'�' : Ate+). 8A13• RSCIS ;R�O RiS1Ql3f 1«he povi1314ae of Ch 48� *;ft7tg3i'8ti0o1 flate:"ALTGI -3�1., 26r4 LrxoSasollTa - "`•'•°R 1 AX RECEIPT U.S.POSTAGE 18t FLOOR FLAGLER S 140 T: MIAMI-DADE COUNTY-STATE OF FLORIDA MIAIK FL 33130 PURSUANT TO COUNTY CODE SEC.10-24 MIAMI,FL EXPIRES SEPT.30,2012 PERMIT NO.231 THIS IS NOT A BILL-DO NOT PAY ! RECEIPT NO. 02E0006-2W­._--_ BUSINESS R sits a AV BU = = OWNER -- iRt - -- _ - SEE BACK APT._FQ� ._ ELECTRICAI�NTRACTOK A LIST PARTICIPATING MUNICIPAL - -- Rc hoer mvV DO NOT FORWARD whm r,, - RAVEN ELECTRIC INC` r, dome. OSCAR HERNANDEZ PRE ` m- 3913 SW 90 AVE MIAMI FL 33165 PAYMBaRmmw -;; 4MM00URNTAx ° 08/2011 U2230001OQ2 000200:oo i„list 111111,lirli,111,1„Li,,,i III,,li„li,1„ii1,li„li, l t; t I <t V f� .�sa.� _ �N.,K• T� ,.:r ... .gar•;.• � m•--_r__:s -- t4tl U.S.POSTAGE - 1st ROQB �s PAID 4 E1, M t?<E I 4Cfi MIAMI,FL PERMIT NO.294 ' '.4.-6::. ...-_ _ :•sit:» „ to �.:'` 489472=2 THIS IS NOT A BILL—DO NOT PAY BUspawNAMIli R.EN DIAL _— 7.�9ii6-1 RAVEN ELECTRIC INC` -- CCkR_:: ti �62 -. 3913 SSW``9'# AVE 33165 UNIN DADE COUNTY OWNER RAVEN ELf C INC - sea Type alO�tiC / t 19'6 EL L CONTRACTOR .. BUSNIM TTAAX RECEPI�.rr <_o- 0066 NOT P6Rw THE �• WWM TO VIOLATE ANY S 0 PTA NoR DO NOT FOWARU co NY NOLMM FROM A OTC oR LICE,ISE .art:: of a Tm op RAVEN ELECTRIC INC °""L” " OSCAR HERNANDEZ FIRES 3913 SW 90.AVE Pcra�69TAX ` _ MIAMI FL 33165 o COLU z a , 08/ 4g� _ 12/300 —nnnn7 n-_ ti 5 (�. ---.-��rlilrril�,.„!ltl�tulilirl�-lskt�aai+l+te{ - CK ui _ 0 Ism to wow Zo In Owl �0 LL N o O i CERTIFICATE DF LIABILITY INSURANCE DATE(MMIDD/YYYY) 11/17/12 THIS 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: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WANED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: GRICEL GONZALEZ G&E Insurance Consultants,inc. PHONE (305)228-8988 FaA7cc Nol. (305)228-8969 9880 S.w.40th Street E-MAIL gdce15620@c omcaknet Miami,FL 33165 INSURERS)AFFORDING COVERAGE NAIC e Phone (305)228-8988 Fax (305)228$969 INSURER A: UNDERWRITERS AT LLOYDS OF LONDON INSURED INSURER B: Raven Electric Inc INSURER C: 3913 SW 90 Ave INSURER 0: Miami,FL 33165 (305)951-1210 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR' TYPE OF INSURANCE ADD BR WVD POLICY NUMBER POLICY EFP POLICY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000.00 0 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 100,000.00 El F1 MADE PREMISES Ea ocaarence $ A V OCCUR AMTE021294 MED ExP(Arty one Person) $ 5,000.00 0 09/09/2012 09/09/2013 PERSONAL&ADV INJURY $ 1,000,000.00 0 --- I I GENERALAGGREGATE $ 2,000,000.00 i GEN'.L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1,000,000.00 ❑ ❑POLICY PRO- El $ AUTOMOBILE LIABILITY INd SINGLE LIMIT —� ❑ ALL OWNED SCHEDULED BODILY INJURY(Per Person) $ ❑ AUTOS ❑ AUTOS BODILY INJURY(Per aodderrt $ ❑ HIRED AUTOS ❑ A QED P�t�OY nl�AMAGE $ UTOS❑ ❑ $ ❑ UMBRELLA LIAB ❑OCCUR EACH OCCURRENCE $ ❑ EXCESS UA9 ❑CLAIMS-MADE AGGREGATE $ -- ❑ DED ❑ RETENTION$ $ WORKERS COMPENSATION WCSTATU- OTH- AND EMPLOYERS'LIABILITY YIN ❑ L I ❑ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? ❑NIA E.L.EACH ACCIDENT $ (Mandatory In NH) E.L.DISEASE-EA EMPLO $ Kyes desetibe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMB I $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) ELECTRICAL WORK CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE MIAMI SHORES VILLAGE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN BUILDING DEPARTMENT ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2 AVE AUTHORIZED REPRESENTATIVE MIAMI SHORES FL 33138 I ©1988-2010 CORD CORPORATION. All rights reserved. ACORD 25(2010105)QF The ACORD name and logo are registered marks of ACORD dr4/01/2013 15:10 3056431186 C&S PAINT �_. APR 1 a 2"152 Miami shores Vi ' —---------- 9 Pa rt Building De mi nth a 3 • 10M N.LaW Avows M W Sham% FkwWa=W Toil:(W5)'M.2M4 Fax: r")766.8972 W I SIORS G_E NO -E TO B &D,ING DEPARTMENT_ s i� o THE FLORIDA WL , CdDE l{Ylte)haue been by Mdr k- m pertann apgmw buipg1dw I rardw the D code at dte !r r�_�E_4 o!� s EtUZ:_ project an On bdw 110d as of (dMj 1 on a r d 6eot cr ®rrgineer in tfte d Florida. PASS Nth D SPECK WGRCTOR FOR MM FED 1=111(RA404 L O SPEWL WSPECTOR FORTRL ND 45 LOFT OR S'HIGH 2MV7.2.42 P44M.S.172.42i SKML M&PECTOR FOR MWOOM MASONRY,FRO 2122,4(R4407.S.Ai SPEOL iNMOTORF-OR WM oMECTRM,FRO MU(R44flB IM >cr, SPEt2AL OMCTCR FOR KL(FACT M FRC 1510.3,1(RM.4AI) D SPECIAL INSPECTOR FOR PREGpL^+T LM&ATTAoaaffS.FOG 1827.12(R4416A121 n SPEIw► MPECTORFOR Iliads:Q►On boxes " Paw Inspeceore uti6zi dieted� � ileac tfre wtamd repamMa h qmOed by 80MOR or tae perm by the Opedd inwpecmr.The quMoagm shah hwkWe ate ari s WOW or fiaa ea � In dud ar dnmW t'� 9 tiros" 9r Ftatd ai wft bqmft argool f ptie�y t�,�� g a�ordzed p�retel pale s d I bwpqft hope"bg for m:h btlgtg nW be dWOW to a cdff"g ►t loon on the Oft by the Mani t3hores V%V AI"MM" ae n by the Fkw da Coda,rural be paraterr4 by the CMV-The ViatF brtdfdrtg�rod be abed for at e# y ft P by the bapub hied by ft OWW 01%In etddlbn b tie rtteatd t �, Dom,Fes,"M oarrtpiden of Sw work under each Peter 1 v8 su6rw to the e d ft I ewrdat=viSr the approsed pests. SiderredStd ft1fwWAfcMbSd 4oe1L:1— T. f&✓'-/� t ✓y .Laif rze Fl 33I�y Address 2 L2T Sw Lf i]E4'1'E: v jf Phase d,a 6` Z- YO-0 2 Cfaftd an SO4 -1 ��EERIE GE All State Engineering &Testing Consultants, Inc. . TESTING LABORATORIES-ENGINEERS-INSPECTION SERVICES-CHEMISTS-DRILLING-ENVIRONMENTAL SERVICES Revised March 20,2013 February 10,2012 Mark Llerena 1550 NE 103 Street Miami Shores, FL 33183 RE: Subsurface investigation for proposed Generator slab to be located at: 1550 NE 103 St,Miami Shores, FL Dear Sir Pursuant to your authorization, All State Engineering & Testing Consultants, Inc.(ASETC), conducted a subsurface investigation at the above referenced project. The investigation was performed on February 9,2012. The purpose of the investigation was to develop preliminary information about the site and the subsurface conditions existing in the vicinity of the proposed swimming pool location in order to evaluate site preparation procedure and foundation design criteria. To achieve the desired objective one(1)standard penetration test boring was performed and the log is enclosed in this report. TEST METHOD: The borings were conducted in accordance with procedures outlined for standard penetrations test and split spoon sampling of soils by ASTM Method D-1586. A two (2) feet two (2) inches O.D. Split Spoon Sampler was driven into the ground by successive blows with 140 lb. Hammer dropping thirty (30) inches. The soil sampler was driven two (2) feet at a time then extracted for visual examination and classification of the retained soil samples. The number of blows required for one (1)foot penetration of the sampler is designated as"N" (known as the standard penetration resistance value). The"N"value provides an indication of the relative density of non-cohesive soils and the P ) P tY consistency:of cohesive soils. Suitable corrections are applied to this number in order to include the effects of soil overburden pressure and other factors. A general evaluation of soils is made from the established correlation between"N"and the relative density or consistency of soils. This dynamic method of soil testing has been widely accepted by foundation engineers and architects to conservatively evaluate the bearing capacity of soils. A continuous drilling and sampling procedures was used therefore,the samples were taken at intervals of two(2)feet or at every change in soil characteristics. The types of foundation material encountered have been visually classified and are described in detail in the boring logs. The results of the field penetration tests are presented in the boring logs in numerical forms. The average ground water level at the site was found at five(5)feet,zero (0) inches, below the existing surface(see logs). Fluctuation in the observed ground water level should be expected due to seasonal climatic changes rainfall variation,surface water run-off and other,specific factors related to the site in question. una",' 0100st ,,Stirit .H lea ;i='11t d .X016',<,,.Phor>lex, Page 2—Revised March 20,2013 February`10,2012 Nark Llerena FOUNDATION RECOMMENDATIONS FOR GENERATOR SLAB: Our recommendations for foundation of the front addition to be constructed: 1. Excavate entire building area plus V-0" outside the perimeter of construction and remove all top soil and unsuitable subsurface material to the necessary depth. We anticipate an average excavation depth of approximately two(2)foot six(6)inches. 2. Compact excavated area to a minimum compaction of 98%of the optimum dry density as per AASHTO T-180. Verify densification procedures by taking an adequate number of field density compaction tests. The excavated area should be inspected prior to the commencement of the backfilling operation to ensure that all the unsuitable material has been removed. 3. Backfill building area, plus 6-0" outside the perimeter of the structure to the required elevation with a clean mixture of sand and lime rock fill (or approved fill material) in compacted layers not to exceed twelve (12) inches in thickness. Compact each layer to a minimum of 98% of the optimum dry density as per AASHTO T180. Verify densification procedures by taking an adequate number of field density tests, especially by the footing area. 4. Excavate footing trenches to the required depth from the ground elevation. 5. Compact the bottom of the footing trench to a minimum compaction of 98%of the optimum dry density as per AASHTO T-180. Verify densification procedures by taking an adequate number of field density compaction tests. DESIGN RECOMMENDATIONS FOR GENERATOR SLAB: The above foundation recommendation having been achieved and verified we anticipate that the foundation and footings may be appropriately proportioned for a safe soil bearing capacity not to exceed 2000 pounds per square foot (pso. The use of spread footings and single column pads is suggested. A monolithic slab foundation may also be adopted. CONCLUSION: Regardless of the thoroughness of our geotechnical exploration there is always a possibility that conditions on the subject property(site) may be different from those at the test locations. Therefore,ALL STATE ENGINEERING AND TESTING CONSULTANTS, INC. is not responsible for any sub-soil conditions different from those reported in our boring logs. This report was prepared exclusively for the use of Mark Llerena. The conclusions provided by All State Engineering & Testing Consultants, Inc. are based solely on the information presented in this report. As a mutual protection to clients, the public and ourselves, all reports are submitted as the confidential property of clients, and authorization for publication of statements, conclusions or extracts from or regarding our reports is reserved pending our written approval. We appreciate the opportunity to have been of service to your company. Please feel free to contact us if there are any questiorts or comments pertaining to this report. Sincerely yours, W, eem Quadd, P.E.#51,481 Pre a d y All State Engineering And - - Rajesh Sharma Vesting Consultants,Inc. _ I I I i Wes4,78a!;St�ee#/,.Hialeahlodda::3301CPhane ALL.S ATE All State Engineering &Testing Consultants Inc. ENGINEERING TESTING LABORATORIES-ENGINEERS-INSPECTION SERVICES-CHEMISTS-DRILLING-ENVIRONMENTAL SERVICES 2380 West 78'Street,Hialeah,Florida. 33016 / Phone:305-888-3373 Fax:305-888-7443 TEST BORING REPORT CLIE110 Mark Llerena Ordef No. ADDRESS,; 1550 NE 103 Street Miami Shores, FL Re port,No. 1 PROJECT. SFR-Addition of Pool :Hole Igo; :' B-1 ADDRESS 1550 NE 103 St Miami Shores FL -pate 02109/12 L�DCATION l 10'west from existing house Driller :, Ac DEp7H t t kp _� S b 1 0'-0"to 0'-2"top soil 6 7 0'-2"to 8'-0"tan medium silica sand with some rock 2 0'-2 8 7 15 3 5 4 4 24 4 5 8 5 3 4 6 4'-6' 4 6 8 7 7 6 $' 5 4 11 $ 6' 9 8'-0"to 15'-0"gray medium beach sand with some rocks and 4 3 shells 10 8'-10' 2 5 5 11 8 9 12 10'-12' 11 12 20 13 13 10 14 12'14' 10 17 20 15 36 31 16 15'-0"to 18'-0"gray fine beach sand with some shells 14'16' 22 23 53 17 30 25 18 16'-18' 26 27 51 19 18'-0"to 30'-0"tan cemented lime sand and lime stone 28 26 20 18'-20' 27 23 53 21 21 30 22 20'-22 36 31 66 23 22 28 24 22'-24' 25 27 53 25 28 32 26 24'-26' 31 36 63 27 39 41 28 26'-28' 40 43 81 29 41 40 30 28'-30' 41 42 81 31 End of boring @ 30'-0" 32 WATER LEVEL: 5'-0"below surface Respectfully Submitted, At Date: 02109/12 � ' -� Wa em-Quadri,P.E.#-51481 As a mutual protection to clients,the public and ourselves,all reports are submitted as the confidential pr�rty of dents,end auttiorGation for publication of statements. Conclusions or extracts from or regarding our reports is reserved pending our written approval. G2 Consulting Group,lnc. ROBERT T. GARCIA, P.E 9725 SW 4 th TERR., Miami, Florida 33174 PH (786)2940032, Fax(786)2940032 Lic#51370,CA 25882 BY: RG DATEA/01/13 SUBJECTUerena Res SHEET 1 OF 10 CHECK BY:RG DATE4/01/13 Miami Shores, Florida CALCULATION TITLE SHEET Job Name : GENERATOR CONCRETE SLAB Client : Mr. MARK LLERENA 1550 ne 103 th STREET MIAMI SHORES, FL 33138 Job Type : RESIDENTIAL Building Code : .F.B.C.-2010-Edition Building Dept : Miami Shores The undersigned hereby certifies that the enclosed structural calculations were prepared either by myself or under my direct supervision.For the computer runs,if any,input was prepared and the output data analyzed and interpreted in the same manner prior preparation of the construction documents. Therefore, I accept professional responsibility for my interpretation of any computer outputs. P g2 consulting group,inc JOB:Mark Llerena robert t garcia,p.e SHEET __2,- OF 8725 sw 4 terr miami fl 33174 CALC. BY:RTG DATE:03r,2/13 phtfax:786-2940032 Check by RTG Date:03/2213 lic#:51370 a WIND LOADS PER ASCE7-10 EXPOSURE :D Generator wind pressu r , ,= 17y mph mean height of building hz:= 6.75ft Topographic Factor Kzt= 1.0 Velocity pressure Exposure 2 2 h a — z a Kz:= if (hz<15ft), 2.01 x (L5) 2.01 x � 1.03 Wind Directionality Factor Kd:= 1.0 Basic Velocity Pressure qz:_ 10.00256 x Kz x Kzt x Kd x (V)2 x psf qz=80.77 x psf qz:= qz x 0.6 qz=4$.462 x psf ROOFTOP STRUCTURE FOR BUILDING WITH h<60ft h,:= 45in heigth of rtu B1:= 34in least horiz.dim. of rtu Af :Projected area normal to the wind B2:= 77in max dim. of rtu 2 Af:= B2 x he Af=24.06 ft B:= 77in Dimension of the building normal to wind direction h:= 3ft Height of the building g2 consulting group,inc JOB:Mark Uerena robert t garcia,p.e SHEET _,)_OF 9725 sw 4 terr miami M 33174 CALL.BY:RTG DATE:03/22/13 ph/fax:786-2940032 Check by RTG Date:03/22/13 lic#:51370 -Lateral Force on Rooftop GC,= = 1.9 if Aft:= O.iB x h Ail = 1.93 ft2 GC,mi,:= 1 if: Aft:= B x h Ate= 19W GCr:=1.9 Because : Ar<0.1 x B x h Fh= qz x GCr x Af Equation 29.5-2 chapter 29.5.1 Fb=22161bf Lateral Force on rooftog Vertical Uplift Force on Roofstop : Imo..= 4.83ft Dimension of the buidina at the wind direction Ar:= Bl x B2 Horizontal projected Area of rooftop Ar=18.2 ft2 B L=31 ft C = 1.5 Because : Ar<O.lx Bx L 0.1x B L=3ft2 F,:= qz x GCr x Ar Vertical Uplift Force Fj=13221bf g2 consulting group,inc JOB:Mark Llerena robert t garcia,p.e SHEET OF 9725 sw 4 terr miami,fl 33174 CALC. BY:RTG DA E:03122/13 ph/fax:786-2940032 Check by RTG Date:03/22/13 lic#:51370 -Determine the force per lea n 2 Number of legs for each side 15161bf Weight of the equipment Fb x be F-, W Tl� + — - Uplift force per lec Bl n 2n 1.5 x 2n T,4-- 15441bf -Using (Bolts A307 STD D=1 12"(Manual of Steel Construction) Vallowable 1.9kip Allowable Shear Force TaRowable 3.8ldp Allowable Tension Force Ratio:= TIM + Fb TaRowable 2 x n Vallowable it io=x:698 control:= if(Ratio:5 1.33,"ok" ,"Not good") cootrol.="ok" g2 consulting group,inc JOB:Ma k Llerena robert t garcia,p.e SHEET OF 9725 sw 4 terr miami,fl 33174 CALL. BY:RTG DA (03/22/13 ph/fax:786-2940032 Check by RTG Date:03/22/13 lic#:51370 WIND LOADS PER ASCEM 0 EXPOSURE :D 0:= Odeg Vim= 175 mph mean height of building U.= 6.75ft Topographic Factor 11.5 7�:= 700 M&;= 1.0 Velocity pressure Exposure 2 2 h a — Z a = if (hz<15ft�, 2.01 x r 5) 2.01 x ft l J = .Q.- Wind Directionality Factor .= 1.0 Basic Velocity Pressure %:= 10.00256 x Kz x Kzt x Kd x (V)21 x psf qZ=80.77 x psf JOB:Mark Uerens g2 consuking group,inc SHEET OF robert t garcia,p.e CAM BY:RTG DA7E:03122L13 9725 sw 4 terr miaml M 33174 Check by RIG Qate:03122/13 phffax:7W2NW32 Iict.51370 MWFRS qz qe_90a7 x psf - 0.85 G 221 For: 0 5 45deg -Vindwa 2 32.95 Fti r 'f CPW 0.8 - Pwmawaru;= qz x G x Cpw x 0.6 pw;nawslyd°X2.9$K P I' =0.559 -Leeward : = 4.75ft ,:= 8.5ft R Cpl.= —0.5 pleew,rd= qb x.G x Cpl x 0.6 pk,,ardt=-20.6 x 'psi Z X Y XTJ i { VMS d ` gj RIF r C 9 S` n � j d � u , , M s F r X s Results for LC 2,0.6dl+wl ROBERT T. GARCIA, PE LLERENA RES Apr 1, 2013 at 9:00 PM GENERATOR MODEL generator.r3d Y -1.388k .0211(s -.5 k -.5 -.033ksf -.021 ksf -.033ksf -.021 ksf -.033ksf -.021 ksf 1.544k -.033ksf -.021 ksf -.033ksf -.021 ksf -.033ksf Loads:BLC 2,WIND LOAD Results for LC 2,0.6dl+vA ROBERT T. GARCIA, PE LLERENA RES Apr 1, 2013 at 9:02 PM WIND LOADS generator.r3d 2 X Y -1.388k a -.654k -.021 ksf k -1.388k 1,544k 554k ,_.554k Y-.033ksf 1.5"k Loads:BLC 2,WIND LOAD Results for LC 2,0.6dl+vA ROBERT T. GARCIA, PE LLERENA RES Apr 1, 2013 at 9:05 PM WIND LOADS generator.r3d 2 X Y 1.8 4.6 0.8 0.1 0.4 1 -1.8, 4.6 0.$ 0.4 Loads:BLC 2,WIND LOAD Results for LC 2,0.6dl+wl Reaction units are k and k-ft ROBERT T. GARCIA, PE LLERENA RES Apr 1, 2013 at 9:07 PM PILE REACTION FORCES generator.r3d i Miami Shores Village Building Department 10050 N.E2nd Avenue Miami Shores,Florida 33138 Tel: (305) 795.2204 1pRTpA Fax: (305) 756.8972 Permit No: F.L(2 -2-19 3 Page 1 of 1 Structural Critique Sheet 4 (�J Q V i®C 5-0 i I— (.t;F0 9- d 5P : W S PC,e-`l%®N -Fv P-rl-5 -Fp a Po'LC,f ` A A�U, t N C.Q-U D ti FmyN ce -ro S0('1' PI:?o 9--T C%A-I'A-ci-f t r S 9 &O o f Re fffcw T IE S4CO M Pa p-D C4L 1 'f%-9A Ar . >u 1-7 AOz-� 0/-- `t LL-7113 -L: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. Mehdl Asraf Miami Shores Village ' ' Building Department AFR 90050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795.2204 Fax:(305)756.8972 ' INSPECTION'S PHONE NUMBER:(305)762.4949 FRC 20 BUILDING Permit No —' 10 nt PERMIT APPLICATION Master Permit No Permit Type: BUILDING ROOFING JOB ADDRESS: City: Miami Shores County: Miami Dade Zip: Foho&arcel#: Is the Building Historically Designated:Yes NO Flood Zone: OWNER:Name(Fee Simple Ti holder): �� —�- Phu • 3 Address: �� ' o City: .\" State• —� Zip: TenantdAwee Name Phone#: Email: Cc—r CONTRACTOR:Co `mil Sf' Company Address: 30 x' -�� � 4q ��� City: state: L Zip: Qualifier Name 05' _. az$ Phone# State Certification or Re CSC®1 a Certificate of Competency# Contact Phone#: q " S'�.`, Z Email Address: y DESIGNER: Phone#. Value o ermit:$ I SgaareaAnear Footage of Work: • Type of W on OAlteration ONew ORepair/Repl= ODemoli on Descripdon of o / COZOT duw dk. Submittal Fee$ Permit Fee$ 1' CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$ i Bondrrg Company's Name(if applicable) Bondift 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 m 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 roved and a reinspection fee will be charged Signature Signature i Owner or Agent R The fore ' g instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of 7 20•�,by k Q e'l4 day of A 20 l'�by o is personally known me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: G Pmt; y pUBLIC•STATE OF FLORIDA ca My Commission Expires: My Commissi mmission#EE091055 GYP'' _ Expires: MAY 0 5,2015 N � ��E(714 OONDFD`�� rG CO.,INC. .tr: MY COMMISSION II EE 066pgg BONDID THRC ATL�'"CiC Ev\'Si C• may:•. ,.Q;� EXPIRE TS R881i«�MR� +3#�#i w �!�� SkqBAffi#9�ASa�nM88�ffiOle $,HEBR+R@R�#i�t� RBBiR $8«& APPROVED BY �` Plans Examiner Zoning Structural Review Clerk (Revised 3/1=012)Revised 07 110/07)(Revised 06✓ 2009)Mavised 3/15/09)