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PL-14-1285i� 0 0 Miami Shores Village �, Building Department Nov o4 2014 2nd Avenue, Miami Shores, Florida 33138 (305) 795-2204 Fax: (305) 756-8972 L: I CT ON LINE PHONE NUMBER: (30S) 762-4949 FBC 204 . BUILDING Master Permit No. kc__ C.--1 ->�, PERMIT APPLICATION Sub Permit No.pI z ❑BUILDING ❑ ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION []RENEWAL M/PLUMBING ❑ MECHANICAL [—]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: _ , � u_7 S City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder) W��l &Vy /a e— Phone#:4!eJJ 25'Y1d 11 Address:/ !Z 6 V0 6_ ita/ City: H1A?14i0We2<Z )26 3307 State: Zip: Tenant/Lessee Name: Phone#: ik_y Lj Email: rkCONTRACTOR: Company Name Phone#: SDr _ --1 9 Z(,O Address S City: State: Zip: Qualifier Name: l M �� fir' -1 1 VI Phone#: a®S• S b-2, -7Q? ZlV State Certification or Registration #:��� �i 1 ?✓ Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $_ %240` Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration Ia ❑ New [Repair/Replace ❑ Demolition Description of Work:, Specify color of color i}hrU"- .We. Submittal Fee $ Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Radon Fee $ Technology Fee $• Training/Education Fee $ Structural Reviews $ (Revised02/24/2014) DBPR $ _ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Zip Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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 ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, 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 Signatu e O or T ONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instr a was acknowledged before me this day of 20J by da o 120 [ '-4, by who is personally known to J V w is personally known to me or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: �[ Sign: � Sign: Print \.Print - Seal: ?4 Mli :;cj AMISS!0N # EE177498 Seal: a = MY COMMISSION # EE177498 Mwch 30, 2016 ,q{„ EXPIRES March 30, 2016 !M39 0163 FWe&NotwySwviw.00m Ne*�k�k4�N�k4*�k�k*�k�k�kNe�k4*�k�k�kM�kN�*�kffi�k�k�k***�Ie�k�k+k�Ie�Ieak�kak�k4�k**�R�k**+krkNeek�k�k�k4�k�k�kffi�k�k�k�k+k*�k&�k�k�k�k�ktl�*�k�kak�kNe**�Ie�k�k�k+k#�k�k�k�k+R*�k*�k�k�k4�k�kffi4 APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) GENERAL STRUCTURAL NOTES �/p I. CONCRETE: G�/ A ALL CONCRETE WORK $HALL CONFORM TO ALL OF AGI 301 AND ACI -318 'SPECIFICATIONS FOR STRUGTUIRAL COKCMTE FOR BUILDINGS'. ' ATTAIN ALL Ca4CFWM SHALL h�FIVIE T°A78'a MIX DWIGNS SHALL BEnTM TOiAPPROVAL OR O NOV 2 0 2014 aF ANY CONC*wTE WORK D. NO WATER WALL BE ADDED TO THE CONCRETE AT THE JOB SITE. E. TRANSPORTING, PLACING, CURING AND DEPOSITING OF CONCRETE SHALL COMPLY WITH BY: ACI -30L 2. COTE COVER: TO BE AS FOLLOWS: BOTTOM TOP SIDES FOOTINGS 3' 2' 3' BEAMS 1 INTERIOR SLABS 94' 5/4' I F L EXTERIOR SLAB 1' I 3. STR=RAL STEEL: I 14, V3' SHALL CONFORM TO ASTM A-36 DETAILED"05f KATE AND ERECTED M ACCORDANCE WITH THE LATEST At§SPEff (CATIONS ALL STEEL GOLM INS TO SE ASTM A-500 FILL WTTH 3OW P�Sl. CONCRETE. SUBMIT SHOP DRAWINGS COPY FOR APPROVAL PRIOR TO FABRICATION. 4. REWWNG STEEL: TO BE NEW HIGH STRENGTH BILLET STEEL DEFORMED AS PER ASTM A-305 AND CONFORMING TO ASTM A -61b, GRADE 60 LAP CONTINUOS BARS 36 BARS DIAD ETERS . HOOK DISGONTINUOS ENDS OF ALL TOP BARB. ALL WWOW_NG STEEL TO BE DETAILED AND FABRICATED M ACCORDANCE WITH MANUAL OF STANDARD PRACTICE OF DETAILM REINFORCED CONGFREIE STRUCTURES AND T14E ACI BUILDNG CODE 318 SUBMIT SHOP DRAWINGS FOR APPROVAL PRIOR TO FABRICATION. ettrog etn�ro to �ama� ax EY W mk►clow i' mtl= I ` ' IWO �IN. I d LSCOPE OF WORK CLOSET I t qn'6 ae bat ro m I%MMINGPIMS Approved ate,. �-r sc" W. ?�ii.sanpro ed a.t.�. PUN FOR: POLLACK INVEST_, LLC 7f225 NW 5 A VE_ M/R1M/, FL©R/l:>A IBATHROOM CHECKER EP KEY: U SmL. I/4" = I'-0` REMolD�inu�a OW►WW .Ilei DAIS: MAY 1% X14 FILE NAME: 14.30 Miami Shores Village 18 Building Department ��. JUN 201 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (30S) 762-4949 FBC 2010 BUILDING Master Permit No.A0, /!Z /2 PERMIT APPLICATION Sub Permit No %2` Z/ z BUIL ING ELECTRIC ROOFING ❑ REVISION ❑ EXTENSION RENEWAL PLUMBING ❑ MECHANICAL [—]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes NO _ Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder :40' �1�� �� �.�� ` Phone#: ®����✓� 11) J City: 1124) State: Tenant/Lessee Name: Email: 0 CONTRACTOR: Company Name 3'3 c�27 Z. Address: city: State: �o' Zip: ?212>) Qualifier Name�00_— °_ Phone#: s (u'L•Til-Ap State Certification or Registration #: Certificate of Competency M �Cf- C h12-:0 3& DESIGNER: Architect/Engineer: Phone#: Address: City: State; Zip: Value of Work for this Permit: $ Square/Linear Footage' of Work: Type of Work: F-1AdditionFJ, Alteration El New ❑ Repair/Replace„ ❑ Demolition Description of Work:�¢ ��„Q. iCi tf fG��� n 9 n Specify color of color thru the: Submittal Fee $ Permit Fee $ Af X00' CCF Scanning Fee $ Technology Fee Structural Reviews $, (Revised02/24/2014) Radon Fee $ Training/Education Fee $ CO/CC $ DBPR $ Notary Double Fee $ Bond $ TOTAL FEE NOW DUE $ • V') Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip 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 ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, 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 wW aet �pved and a rejnspectionke will be charged. OWNER The foregoing instrument was ac7eRo*ledged belDrei"e-Wis day of 1yN.9V --,2014 • by who is personally known to me or who has produV� as identification and wh1;73QW'! ' n JALUEN A DERIU3 R MY COMMISSION # EE17949g 40 NOTARY PUBLIC: t m EXPIRES March 30.2016 a Print: Seal: 41�411/�/� Signatur CTOR The foregoing instfore Lentwasacknowled'edbemethis dayof20�= .by , who is personally known to me or who has pr as identification and a aMN A DERIUS a MY COMMISSION # EE177498 NOTARY PUBLIC: EXPIRES Mand, 3o, 2e16 see ota9 w,,, Sign: Print: S ai��p v` '� fit% ilk C Seal: APPROVED BY _4,.®� G /8-/ S% Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) IS CERTIFIRD nnd®r- the provi®io.. of Ch. 4.89 Fs sspiratiwa dater AUG 31, 2014 7+1200500817 003179 Local Business Tax Receipt (Miami -Dade County, State of Florida —THIS IS NOT A BILL — OO NOT PAY 6549571 LBT BUSINESS NAME/LOCATION RECEIPT NO. EXPIRES MARCELIN JOSEPH A RENEWAL SEPTEMBER 3O, 2014 16561 SW 144 Cr 8820279 Must be displayed at piece of business MIAMI FL 33177 Pursuant to County Code Chapter 8A — Art. 9 & 10 OWNER SEC_ TYPE OF BUSINESS PAYMENT RECEIVED MARCEUN JOSEPH A 196 PLUMBING CONTRACTOR 9Y ME COLLECTOR Worker(s) 1 CFC1427735 $75.00 09/11/2013 FPPU08-13-001980 This Local Business Tax Receipt only confirms payment of the Local Business Tax. The Receipt is not a license, permit, or a certification of the holders qualifications, to do business. Holder must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT N0. above must be displayed on all commercial vehicles Miami -Dade Code Sec 8a 278:. For more information, visit Www miamidade dsa/taxcollactor