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CC-13-1397Pon BUILDING Miami Shores Village D M��� g �B JUN 2 0 20"13 Building Department By,... `�omepj00. 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 7952204 Fag: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 C 20 Permit No. `J 1 PER W APPLICATION Permit Type:- BUILDING JOB ADDRESS: 9899 NE 2ND AVE Master Permit No. ROOFING City: Miami Shames County: Miami Dade zip. 33138 Folio/Parcel#: Is the Building Historlcally Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): Wells Fargo /Gil Veliz phone#. 954 - 598-8883 A:1950 Hillslmro Blvd City: earl' eid Beach State• Florida zip; 33445 Tenantff-essee Name. Phone#: Email CONTRACTOR: Company Name: Naroca Con &than CO I phone#. 305- 232 -5275 Add: 13140 SW 134 ST #12 City: MIAMI State: FL gyp; 33188 Quatirm Name: Roy F.Senic al pipe#: 305 -232 -5275 State Certification or 12egistration #: CGC032911 Certificate of Competency#: ConW phone#: 305- 232 -5275 Email Address: naroca1@beIIscwIh.net DESIGNER: ArchitectlEngmew Reynolds Smith & Hills phones; 954 -474 -3005 Value of Work for this Pe mft $ Gem • SgnareffAm r Footage of Work Type of Work: UAddition OAlteration ONew *Tw/Replace ODemolition Deeeripilon of Work: >,95fa'ZAg P y A>O oUlule- 5'�PkfiO�a Color don Me: Submittal Fee $ Permit Fee $ '-I LA--J - U*-) CCF $ CO/CC $ Scanning Fee $ Radon Fee $1 S s �50 DBPR $ Band $ Notary Fee $ TeehnolW Fee $ Double Fee $ SbvctwW Review $ TOTAL FEE NOW DUE $ • ✓' 4muft i, Bonding Company's Name (if applicable) NIA Bonding Company's Address city ,= Mortgage Lender's Name (if applicable) Mortgage Lender's Address City zip State zip Application is hereby made to obtain a permit to do the work and installations as indicates. 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. ,,cWARNING 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 as subject to attachment , a ce>fned copy of the recorded notice of commencement mast be posted at the job site for due first inspection which occurs en (7) days after the building permit is ' In the absence such posted rnotice, due inspection will not be approved reinspecdon fee will be charged Signature Signature Owner or Agent The forego' instrument was acknowledged me this day of =s� � . 20 � by f F �/ i Z who is personally known to me or who has produced " � Ky%o > *As wenmeation and who did take an oath.. NOTARY PUBLIC: Sign: Print: Myc APPROVED BY PERLE My Comm. Expires Nov 17, 2013 Commission # DO 940881 The f ing instrument was acknowledged befo�` me this r' day of � � 20 � by' I C> r• tr1t CO� who is personally known to me or who has Plans Examiner Structural Review Mevnzd 3/12120120evised 07/10W(Revised 06/1012M)Wavised 3/15/09) r as identification and who did take an oath. NOTARY PUBLIC: Sign 42aiaLk Ptjn , °ot 0 . = Notary Public - State of Florida MM. Expires Nov 17, 2013 °••FOFF „nd ,o? Commission # DD 940881 •h�� Zoning Cleric Miami Shores Village Building Department 10050 N.E2nd Avenue Miami Shores, Florida 33138 Tel: (305) 7952204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION FORM ALL CONTRACTORS DUST PROVIDE COPIES OF LICENCES AND INSURANCES EACH TIME A PERMIT is SUBMITTED OR THE VILLAGE MAY MAINTAIN A FILE WITH YOUR INFORMATION FOR A $30.00 FEE PER YEAR. IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. X COPY OF QUALIFIER'S STATE LIC CARD B. X COPY OF LOCAL BUSINESS TAX RECEIPT C. X COPY OF LIABILITY INSURANCE (CERTIFICATE HOLDER TO BE MIAMI SHORES VILLAGE BLDG DEPTI D. .X COPY OF WORKERS COMPENSATION OTHER CERTIFICATE OR EXCEMPTION) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICE OF COMPETENCY OF QUALIFIER B. COPY OF MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT C. COPY OF LIABILITY INSURACE (CERTIFICATE HOLDER MUST BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKER COMP INSURANCE OTHER CERTIFICATE OR EXEMPTION) YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE HOLDER AS FOLLOW: MIAMI SHORES VILLAGE BLDG DEPT 11050 NE 2ND AVE MIAMI SHORES, FL 33138 ■■ rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr� COIBPLETE CONTRACTOR'S INFORMATION BUSINESS NAME: Naroc a Construction Co I BUSINESS ADDRESS: 13140 SW 134 ST #12 Cffy MIAMI yTA-m FLORIDA Zip CODE 33186 BUSINESS PHONE: 3t 05 ) 232 -5275 FAX NUMBER 3( 05 1238 -2329 CELL PHONE (_ QUALIFIER'S NAME: Roy F.Senical QUALIFIER'S LIC NUMBER: CGCO32911 E-MAIL ADDRESS (IF APPLICABLE).. naroca1 @bellsouth.net SENICAL, ROY F NAROCA CONSTRUCTION COMPANY I 6101 WISTERIA LOOP LAND O LAKES FL 34638 Congratulationsl 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 bette 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 Efficlently, 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 licensel Wr)A t�n'r'ru n�ii S"T`ATE OF. FLORIDA id g g S N 8ND T P IOXI( 'axe M 8AL 0010, T CTQR '« " Taitecl trader' the ` "'provisioa� of Chapter Expiration date: AUG 31, 2014;$� { eml a °{ il' i t4 5 - NAROIr ANY .; 18701 SW 82 AVENGE Y' , t C��TSI�TOR _h . (850) 487 -1395 SS1D R33GiTION �1S] BO3 D SEA L1x0$2102102 �s St E KEN .L MON SECtARY FlIW4XASS U.S. POSTASE PA® FL .PPWNO.231 ��4�I6��7ss6s35-0 THIS IS NOT A BILL - DO NOT PAY RENEWAL "VIV C ON RUCTION COI STATE? o 2911 488252-4 13140 SW 134 ST 12 33186 UNIN DADE COUNTY OWNER NOROCA CONSTRUCTION CO I so" WORKE5 /STO . NA THE B ONLY A LOCAL eusgum TAX RECElPf. R DOES HOT PERW TIM - HOLM TO VIOLATE ANY E081DXL REOLILATORY OR ZOHN Q LAWS OF THE DO NOT FORWARD COLMRY OR Cffm HOt DOES R E7tMW THE HOLDER F1t0IN AHY OIM PERWT OR WH RMMI) M LAW. T=IS NOROCA* CONSTRUCTION CO I O HflM & RAMON NESTRE PRES Tuna 13140 SW 134 ST 12 PAYWWLRECEM MIAMI FL 33186 WAMPI)ADE COUNTY TAX COLLECTOR: 09/11/2012 000 00 0047 ).* Ill, L, 11,,.. 111„!., life .).,1, lot t.lt„t,.,1.,,lI..L)i 1 SEE OTHER SIDE �Rd CERTIFICATE OF LIABILITY INSURANCE 6/6/20 °"'Y""' 6/6/2013 THIS CERT¢ICATE 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 certiflcabea holder Is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. N SUBROGATION IS WAIVED, subject to the berms and conditions of the policy, certain policy may require an endorsenrent A statement on this certificate does not confer rights to the certificate holder in lieu of such endonrement(s ). PRODUCER Gil, Garden, Avetrani Insurance Group 10689 N. Kendall Drive Suite 208 Miami FL 33176 NTA OT Liesette Hernandez PHONE (305) 630 -4777 F (305)279 -3022 Ka_ .lhernandes @ggaig.cam INSURER(S) AFFORDING COVERAGE NAIL 9 INSURERA:Starr Indemnity & LiabilitY 38318 INSURED Naroca Construction Company 1 Naroca Development LLC 13140 SW 134 Street Suite #12 Cutler Ba FL 33157 INsuRERO-yrogresolve Express Ins. Co. 10193 [NsuRERc.Nbrm=cbr Harbor Insurance 13012 INSURER Dimerican Zurich Insurance 40142 INSURER E: PREMISES a t I F• MED EXP (AM one penwn COVERAGES CERTIFICATE NUMBER:CL1292003152 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. INSR TYPE OF INSURANCE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN POLICY NUMBER IR UMnS rA GENERAL UA LITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 0 OCCUR AUTHORIZED REPRESENTA7INE Miami Shores, FL 33138 II=A0425 -00 /19/2012 /19/2013 EACH OCCURRENCE $ 1,000,000 PREMISES a t $ 50,000 MED EXP (AM one penwn $ 5,000 PERSONAL BADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: X POLICY PRO- LOC PRODUCTS - COMP/OPAGG $ 2,000,000 $ B AUTOMOBILE LUU9UTY ANY AUTO ALL OWNED SCHEDULED AUTOS X AUTOS X NON -OWNED HIRED AUTOS AUTOS 2125468 -0 /23/2013 /23/2014 COMBINED I M 500,000 BODILY INJURY (Par person) $ BODILY INJURY (P�aCddeto $ O DAMAGE (Persogwatm $ Medical $ 5,000 UMBRELLA LIAR EXCESS LIM OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED R NTION $ $ C woRKERS COMPENSAnON AND EMPLOYERS' LIABILITY ANY PROPRIETOR(P� a OFFICERIMEMBER EXCUJDED7 (Mandatory in NH) I} y� dC"* under DESCRIPeaTION OF OPERATIONS below NIA A 130975 /26/2013 /26/2014 TA OTH- ER E. L EACH ACCIDENT $ 11 00,000 EL DISEASE - EA EMPLOYEE $ 11000,000 EL DISEASE - POLICY LIMIT $ 1.000,000 D Inland Marine C71564712 1/16/2012 1/16/2013 EuipmentFlOater $1,000,000 DESCRIPTON of OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, AddBiorrel Pjaaaft Shcm td% B more apace is requinedl) CGC032911 Roy 8 Seniaal 11s0T1R11_ATF unl rum f_AIM(%FI 1 ATInN ACORD 25 (2010105) IN8025 onimm to ©1918 -2010 ACORD CORPORATION. All rights r68erV8d. Tho Annan nerrm and burn era rnnictonrad nmrlm of AMRn SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shore Village Building Department 10050 N.E. 2nd Avenue AUTHORIZED REPRESENTA7INE Miami Shores, FL 33138 Joe Avetrani /LISSET ACORD 25 (2010105) IN8025 onimm to ©1918 -2010 ACORD CORPORATION. All rights r68erV8d. Tho Annan nerrm and burn era rnnictonrad nmrlm of AMRn ®�z� < �� »» � « �t »«z� :� «wa5£�.a. ;� � : � � \� \ \ e Miami Shores Village Building Department RECEIPT 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 PERMIT #: CC �%3 3 q rl DATE: A All i M (NAME) ,Contractor • Owner • Architect Picked up 2 sets of plans and (other) Address: 9B9g N ►� ��, 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. Acknowledged by: PERMIT CLERK INITIAL: RESUBMITTED DATE: PERMIT CLERK INITIAL: (Signature) MiaMi Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 June 25, 2013 Permit No: CC13 -1397 Building Critique Review 1. Provide Miami Dade County DERM /PERA approval. 2. Provide Miami Dade County Fire approval. Norman Bruhn CBO 305 - 762 -4859 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. . . , • Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 June 26, 2013 Permit No: CC13 -1397 Electrical Critique — Michael Devaney 1. Need permit application. 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. Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 202454 Scheduled Inspection Date: November 05, 2013 Inspector: Rodriguez, Jorge Owner: , Job Address: 9899 NE 2 Avenue Miami Shores, FL Project: <NONE> Permit Number: CC -6 -13 -1397 Permit Type: Commercial Construction Inspection Type: Final Building Work Classification: Alteration Phone Number Parcel Number 1132060134360 Contractor: NAROCA CONSTRUCTION CO Phone: (305)232 -5275 Isunaing uepartment comments INTERIOR REMODEL TO RELOCATE WALLS AND CREATE NEW PARTITIONS FOR WORKSTATIONS INSPECTOR COMMENTS False November 04, 2013 For Inspections please call: (305)762 -4949 Page 36 of 40 Inspector Comments Passed _�gz Failed Correction Needed ❑ Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. November 04, 2013 For Inspections please call: (305)762 -4949 Page 36 of 40 ACC>Ra CERTIFICATE OF LIABILITY INSURANCE 9/19/2013 n 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 pollcy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A Statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER Gil, Garden, Avetrani Insurance Group 10689 N. Kendall Drive Suite 208 Miami FL 33176 =ACT Vanessa Davila PHONE (305) 630 -4777 FAX . (305)279 -3022 ADIMMvanessaftgaig. MWRMMAMRD94GCOVEMGE N=# INSURERA:Starr Xndemn:LtY & Liability A BRED Naroca Construction Conpany 13140 SIN 134 Street Suits #12 Miami FL 33186 INSURER B :Pr ssive Express Ins. Co. 10193 w=RERc.Normancbr Harbor Insurance /19/2013 INSURERDAmerican Zurich Insurance EACH OCCURRENCE INSURER E: PREMISES OVMMOMM INSURER F: MED EXP are person COVERAGES CERTIFICATE NUMBER:CL1391904422 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. Mw TYPE OF INSURANCE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN �� POLICY EFF POLICY EXP LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FxI OCCUR AUTHORIZED REPRESENTATIVE Miami Shores, FL 33138 OLBOM0205000 /19/2013 /19/2014 EACH OCCURRENCE $ 1,000,000 PREMISES OVMMOMM $ 50,000 MED EXP are person $ 5,000 PERSONAL& ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEWL AGGREGATE LIMIT APPLIES PEW X POLICY PRO LOC PRODUCTS - COMPIOPAGG $ 2,000,000 $ B AUTOMOBILE LUUNLITY ANY AUTO ALL OWNED X SCHEDULED AUTOS AUTOS X HIRED AUTOS WNED A 2125468 -0 /23/2013 /23/2014 N D SINGLE LIMIT 500,000 BODILY INJURY (Per person) $ BODILY INJURY (Peracdderd) $ PROPERTY DMGE � $ Medical payments $ 5,000 UMBRELLA UAB EXCESS LUIS OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION$ $ C WORKERS COMPE NSA71ON AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORfP� O Mandatory In N )EXCLUDED? (Mandatory In NH) If yes desGibeunder DESCRIPTION OF OPERATIONS below NIA A 130975 /26/2013 /26/2014 S ATU OTH TWORY ER E.L. EACH ACCIDENT $ 1, 00,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 EL DISEASE - POUCY LIMIT $ 1,000,000 D Inland Marine MC71564712 1/16/2012 1/16/2013 DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES (Attach ACORD 101, Additional Remarks Schedule, B more space Is required) Roy F.Senical CGC032911 CFRTIFICATF FIOLbER CANCELLATION ACORD 25 (2010105) IN9025 rim ruin m © INO -2010 ACURD C&OKPO iATIVN. Ali ngnr8 reservea. Tha AP.npn nanra ante Inn^ ana ronict"rwl merit- of Ar mn SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shore Village Building Department 10050 N.E. 2nd Avenue AUTHORIZED REPRESENTATIVE Miami Shores, FL 33138 Joe Avetrani /VD ACORD 25 (2010105) IN9025 rim ruin m © INO -2010 ACURD C&OKPO iATIVN. Ali ngnr8 reservea. Tha AP.npn nanra ante Inn^ ana ronict"rwl merit- of Ar mn /�172�l--300037 NOTE: ALL SHEET MUST BE REVI WED MIAMI -DADE COUNTY DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES Herbert S. Safflr Permitting and Inspection Center 11805 SW 26th Street (Coral Way) • Miami, Florida 33175 -2474 • (786) 315 -2000 APPLICATION FOR MUNICIPAL PERMIT APPLICANTS THAT REQUIRE PLAN REVIEW FROM MIAMI -DADE FIRE RESCUE AND /OR ENVIRONMENTAL SERVICES PROVIDE MUNICIPAL PROCESS NUMBER HERE ^0 e— Contractor No. q ®I a o z Job Address .2 ,4'y Folio '®6"®0b ° q0 it z o o F Last four (4) digits of Qualifier No. O F Lot j Block Contractor Nam C YOCR 1 9 o Subdivision PBpg Qualifier Name f 3 S% $ Address 1J Metes and bounds city � .t.t t, Stat —ZiP ) [ ] New Construction on Vacant Land [ j Demolish [ j Shell Only Current use of property' U. [] Alteration Interior [ ] Addition Attached Description of work, J B .� O W [ ] Alteration Exterior [ j Addition Detached o [ ) Relocation of Structure [ ] Re -Roof [ ] Enclosure [ ] Repair [ ] Foundation Only [ ) Tent Sq. Ft.2 Y V1 Units Floats [ ] Repair Due to Fire Value of Work LX MBLD• ®� H [ ] Chg. Contractor Owner Category a [ ] Re -Issue Addrq 9s MELE [ J Re -Stamp U) City tate Zip 3 &cam (0 ° p [ ] MLPG [ ] Revision Phone ` a [ ] MMEC [ ] Not Applicable for Last four (4) digits of [ ] FIRE Fire Owner's Social Security No. Name f(e r 1 a c7 Kj .- A lu 0 a p� Owner lbfqo5w a. Address a City ? State Zip % 0 G1 Address City tats Zip Y aK Phone 6 �� 0 r 6 " Phone ��� Lj I am requesting a Special Request Plan Review (SRO to be scheduled as soon as possible at the rate of $190 for the first hour and $65 per each additional hour in addition to the review fees. Minimum charge one -hour. v lot Request: Date: 2nd Request Date: 3'd Request: Date• I am requesting Optional Plan Review (OPR) to be scheduled as soon as possible at the rate of $75 for each discipline 10—L Additional review fees may apply. o 11d Request: Date: 00 21 Request: Date: I3'd Request: Date: 123-01-102 e/13 ii GOT Q. Department of Regulatory and Economic Resources Miami -Dade County Plan Review Summary Process Number: M2013010037 FINAL CORE REVIEW DATE: 7/8/2013 OVERALL STATUS: Overall Disapproval PROJECT DETAILS: , CONTACT DETAILS: FOLIO: 11- 3206 - 013 -4360 NAME: JOSE LUGO ADDRESS: 9899 NE 2 AVE,, FL EMAIL: PERMIT TYPE DESC.: INT RENOVATIONS PHONE #: 7862007964 DISAPPROVAL CODES: Disapproval Code 01: 0294 - Requires Air Section approval for Asbestos. Contact the West Dade office at 11805 Coral Way TASK REVIEWED BY STATUS DATE STATUS Initial Core Review Jose Debasa 07/08/2013 Reviewed Comments: Interior renovation at Wells Fargo Miami Shores office_ Building with water and septic tank services, sewer line is over 2500 If away, water acc# 9844315200. 4A covenant on record under SNOW, LLOYD /DBA SAVINGS CU no found on record, MD Tax Sys shows SOUTHTRUST BANK NAT'L ASSOC paid since 2005 Proposed no change of use. Contaminated site on site, PRS review no required, improvement inside of building. Asbestos review required ASBES Review Chi Ruey Chen 07/08/2013 Disapproved Comments: 07108/2013: Proposed work involves removal of existing partition, VCT, and ceiling tiles (> 160 sqft. of suspect surfacing materials) on Al dated 05/21/2013. Pursuant to 40 CFR 61, subpart M, section 145(a) National Emission Standards for Hazardous Air Pollutants (NESHAP) and 62 -257 F.A.C., an asbestos survey from a Florida - licensed asbestos consultant, Florida Statutes 469.001 -015, is required when the surface area being impacted by the proposed work is equal or greater than 160 square feet of surfacing materials / 260 linear:feet of ductwork. An asbestos affidavit can be filed to allow your plan approval process to continue while the asbestos survey is being obtained. Please be advised that this document is not an asbestos survey but an agreement to perform one prior to the commencement of work. For more information on asbestos, go to the following link at: http: / /www.miamidade.gov/ development /pollution /asbestos.asp. For any questions, contact:an asbestos reviewer at (786) 315 -2839 or via;e -mail at chenc@miamidade.gov. My Supervisor's Email: AbrahR; @miamidade.gov. Final Core Review Jose Debase 07/08/2013 Overall Disapproval Comments: Please do not hesitate to email me with any question(s) you may have regarding the review comments for this project. While I may not respond immediately to your email, because I may be assisting another customer at the time I receive your email, I will reply within 24 hours of receiving your email unless I am out of the office. My email address and that of my direct supervisor are as follows: My Email: debasj @miamidade.gov My Supervisors Email: guerrch @miamidade.gov PLAN CONDITIONS: PLAN REVIEW FEES (FEES ARE SUBJECT TO CHANGE PENDING FINAL APPROVAL FEE CODE DESCRIPTION USER DATE UNIT TOTAL. Total FOR MORE INFORMATION PLEASE CONTACT: YOUR DERM CORE REVIEWER: debasj @miamidade.gov j .s DERM PERMITTING AND INPECTION CENTER, 11805 SW 26 ST, 786- 315 -2800 DERM OVERTOWN TRANSIT CENTER, 701 NW 1 CT, 305 - 372 -6899 Coastal: dermcr @miamidade.gov EQCB: egcb @miamidade.gov Specialty Engineering Reviews (industrial, storage tanks, industrial waste pretreatment, asbestos, paving & drainage,: trees): dermengreviews @miamidade.gov Tree Permit applications: dermtreeprogram @ miamidade.gov Water Control: dermwatercontrol @ miamidade.gov Wetlands: dermwetiands @miamidade.gov