Loading...
DEMO-15-977 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-237323 Permit Number: DEMO-4-15-977 Inspection Date: October 02, 2015 Permit Type: Demolition Inspector: Naranjo, Ismael Type: Building Inspection ype g Owner: WONG, BRIAN & MARILYN Work Classification: Building Job Address: 1236 NE 93 Street Miami Shores, FL 33138- Phone Number (305)442-8884 Parcel Number 1132050270180 Project: <NONE> Contractor: PROFESSIONAL BUILDING Phone: (305)442-8884 Buildin9 Department artment Comments INTERIOR DEMOLITION OF FLOORS AND CABINETRY Infractio Passed Comments REMOVAL OF CLOSET WALL INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-233235. Must pass trades demolition J Failed Correction Q Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. For Inspections please call: (305)762-4949 October 02,2015 Page 1 of 1 ,..:i Wim, �'i '�� ,: { %�• i� ,Y� ;<� ��,.)F�h rk� e 10 lT c \ ", -•?•s�,--•• / wr ��'e, r a 1, � �z m '� �� �,� ,�� /,r 5 �� "r F Fa h 9i y � Y i V �h y� ` a a � y 1 r n z " g <„3 / xtt f ' Miami Shores Village CRT - Building Department JUL 10 20�� l 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 _ Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 1 FBC 20Wi��_ BUILDING Master Permit No. PeW ` I PERMIT APPLICATION Sub Permit No. ABUILDING ❑ ELECTRIC ❑ ROOFING VREVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 1236 NE 93 Street 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): Brian & Marilyn Wong Phone#: Address: 1236 NE 93 Street City: Miami Shores State: FL Zip: Tenant/Lessee Name: ------- Phone#: Email: Qp CONTRACTOR:Company Name: ��81._9Q//,C �W (itq_ 9' 1t7 6{'LS Phone#: /gy �` g6`oo� Address: 7i33?i �7L16(�.fGd City: State: ��li Zip:3 112115 Qualifier Name: Phone#: State Certification or Registration#: Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ Sbo Square/Linear Footage of Work: Type of Work: ❑ Addition A eration ❑ New ❑ Repair/Replace ❑ Demolition � G Description of Work: 2 ' 4doluir2 s i/Lb ✓k 40kr Specify color of color thru the: Submittal Fee$ Permit Fee$�'�' " CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ ( Bond$ l ' TOTAL FEE NOW DUE$ (Revised02/24/2014) r 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 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 Signature 1;4z�,0246 OWNER or AGt4T CO T A OR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of VL/ 20 1s by day of U 20 /6 by �Z who is per Hall own to _&I, 10-0- ` ho is pernail wn 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: /2 Sign: Sign: Print: Print: Seal: �.�; �""�•,, SILVIA M.DURAN Seal: •;MO V""'• SILVIA M.DURAN s �4 Notary Public-State of Florida +° Notary Public-State of Florida • Commission#FF 197443 Commission#♦FF 197443 f ����= My Comm.Expires Feb 912019 Z-�, a f44• My Comm.Expires Feb 9,2019 ************ ** - - -BO�ded�lab1101FMatbAal f APPROVED BY Plan Examiner Zoning Structural Review Clerk (Revised02/24/2014) AV ® CERTIFICATE OF LIABILITY INSURANCE DATE(MMM2015YY) ACDaR+� 06/24I2015 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(ies)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). CONTACT PRODUCER NAME: ADVANCE INSURANCE SOLUTIONS INC PHIAICNE Fac No:786-431-4081 12485 SW 137 AVE SUITE 212 E-MAIL ADDRESS: MIAMI FL 33186 PRODUCER _ INSURERS AFFORDING COVERAGE NAIC 0 INSURED INSURER A:UNITED SPECIALITY INS CO PROFESSIONAL BUILDING SOLUTIONS LLC INSURER B: 2332 GALIANO ST INSURER C: CORAL GABLES FL 33134 INSURER D 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MM/DDYIYYI'Y MCY EFF MD LICY EXP LIMITS LTR A GENERAL LIABILITY DCG01774-00 06/20/2015 06/20/2016 EACH OCCURRENCE $ DAMAGE TO RFwrEIT_ X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ I 100000 CLAIMS-MADE OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 I GENERAL AGGREGATE $ 1,000 000 'L GE_N'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1(MO-0130 -- I.—�PRO- $ X !POLICY I I JECT LOC AUTOMOBILE LIABILITY (Ea accident)SINGLE LIMIT $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE $ HIRED AUTOS (Per accident) !NON-OWNEDAIITOS $ -I $ i I UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ I EXCESS LIAB CLAIMS-MADE AGGREGATE $ rDEDUCTIBLE $ t�------- RETENTION $ WORKERS COMPENSATION WC STATU- OTH- $ T IT AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNEWEXECUTIVE Y� NIA F7 E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? !IMandatory,ln NH) E.L.DISEASE-EA EMPLOYE $ ff yes,describe under E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) GENERAL CONTRACTOR FOR COMMERCIAL AND RESIDENTIAL CONSTRUCTION CERTIFICATE HOLDER CANCELLATION MIAMI SHORES VILLAGE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE BUILDING DEPARTMENT POLICY PROVISIONS. 10050 NE 2 AVE AUTHORIZED REPRESENTATIVE MIAMI SHORES FL 33138 ' ©1988- 009 ORD CORPORATION. All rights reserved. ACORD 25(2009109) The ACORD name and logo are registered marks of ACOBD 4 ,58oR>Es Miami Shores Village Building Department .,. 10050 N.E.2nd Avenue Miami Shores, Florida 33138IJITY �d Tel: (305) 795.2204 Jala, �lpR'IpA Fax: (305) 756.8972 W M OPY t 0: Page 1 of 1 Permit No: DE Ma i J'— "1 73 Pa 9 Structural Critique Sheet V\ YLe- a- �w- �. �` �e•��,... Y-�cam,t' �� � Y o.,,• Gam,,,_c.�...e,Pre., ,�,.,�,�'� . 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. Mehdi Asraf £ 30~ $ " ROGER CHAVARRIA. P.E Consulting Engineer&Planner. Ph: 305-229-3874 175 Fontainebleau Blvd. Ste.2G-5 AUG 2��5 Email : restructureCaol.com Miami.FL.33172 April 21, 2015. ETRUCTURAL CALCULATIONS Project name: Wood Floor Joists for Residence at : .... 1236 N.E. 93th. St. Miami shores, FL. •••• ••••;• ...... .. . ...... CONTEND : • 1- Floor Joists : a) 2"x10" @ 12" ox. for the Master bedroom.•; ;••�;• ••••• b) 2"x10"@16" ox. for the Bedroom #2 " " . . . . ...... 2-Wood Ledgers : L-1 for the Master Bedroom & L-2 for the•.. ;••.•; Bedroom #2 3- Florida State approval for Joist Hanger. .•GEN SF '•. :•v o? cc tit x : w = Ro havarg�p, •�� ;. at : �%f 1� '�N P�;�0" WOOD JOISTS DESIGN : 2"X10"@16" O.C. ROGER CHAVARRIA. P.E. Location : Bedroom #2 Consulting Engineer. Fla. Lic. #50712 Span, L= 11.67 ft DL= 10 psf 780 Tamiami Canal Rd. Miami, FL. 33144 Spacing, s= 16 in SDL= 15 psf Ph=305-229-3874 LL= 40 psf Joist Size : 2x10 Total= 65 psf Date : 4/20/2015 nominal width= 1.5 in Project: 1236 N.E.93TH. St. Miami Shores FI. nominal depth = 9.25 in A= 13.88 Codes : NDS 2005 FBC. 2010 Compute Section properties : Datas : Wood : Southern Pine#2 lxx= 98.9 in^4 Sxx= 21.4 in^4 Line load = s/12 x (DL+SDL+LL) = 86.67 plf Applied Moment=wl^2/8= 1475.4 ft-lb max. shear= 505.7 lbs Structural Select No. 2 G=.55 Southern Pine fb= 12*M/S = 827.7 psi Allowable= 1210 psi Repetitive Fvh = 1.5 V/A= 54.7 psi Allowable= 90 psi Dead load Deflection = 0.04 Modulus, E = 1400 ksi SDL deflection = 0.06 LL deflection = 0.16 Total deflection = 0.26 50% LL+DLs= 0.18 Deflection Allow Deflection L/360= 0.39 Max. Allowable Moment= 2156.9 ft-Ib Max. Stress Ratio = 0.684 1 OK .. ... .. . .. . . . . ... . .. ... .. . . . .. . ... ... ... • . •• • • • • • • • • • •• •• • • • • • • • • • • • • • • • • • •• •• • • • •• •• WOOD JOISTS DESIGN : 2"X10" @12"O.C. ROGER CHAVARRIA. P.E. Location : Master Bedroom Consulting Engineer . Fla. Lic. #50712 Span, L= 15 ft DL= 10 psf 780 Tamiami Canal Rd. Miami, FL. 33144 Spacing, s= 12 in SDL= 15 psf Ph=305-229-3874 LL= 40 psf Joist Size: 2x10 Total= 65 psf Date : 4/20/2015 nominal width= 1.5 in Project : 1236 N.E.93TH. St. Miami Shores FI. nominal depth = 9.25 in A= 13.88 Codes : NDS 2005 FBC. 2010 Compute Section properties : Datas : Wood : Southern Pine#2 Ixx= 98.9 in^4 Sxx= 21.4 in^3 Line load = s/12 x (DL+SDL+LL) = 65.00 plf Applied Moment=wl^2/8= 1828.1 ft-Ib max. shear= 487.5 lbs Structural Select No. 2 G=.55 Southern Pine fb= 12"M/S= 1025.6 psi Allowable= 1210 psi Repetitive Fvh = 1.5V/A= 52.7 psi Allowable= 90 psi Dead load Deflection = 0.08 Modulus, E = 1400 ksi SDL deflection = 0.12 LL deflection = 0.33 Total deflection = 0.53 50% LL+DLs= 0.37 Deflection Allow Deflection L/360= 0.50 Max. Allowable Moment= 2156.9 ft-Ib Max. Stress Ratio= 0.85 1 OK .. ... .. . .. . . . . ... . .. ... .. . . . .. . 0:0 •.• •.• •0 0. • . . . . • • • .. . . . . . . . . . .. .. . . . . 90* ... . . . . ... . . . . . . . . . . . . . .. .. . . . .. .. ... . . . ... . . ROGER CHAVARRIA.P.E. WOOD LEDGER DESIGN as ner FBC Load Qqmbination§-AngL FI.Registered Engineer.Lic#50712 and N.D.S. Equations : 4/21/2015 780 Tamiami Canal Rd. Project Name : Martinez's Addition Miami,FL 33144 Ph:305-229-3874 Project Number: 1236 N.E.93th.Ave.Miami Shores,FL. Ledger designation: L-1 (for the Master Bedroom) Load Duration Factors ,Cd Dead Load= 188 pif Cd Dead load=0.9 Live Load= 300 pit Cd Live Load= 1.0 Wind Downdraft= 0 pif Cd Wind= 1.33 Wind Uplift= 0 pif Diaphragm Shear= 100 pif Water Ponding= 5 pif Note:negative sign denotes upwards load direction Angle Vert. Horiz. Resultant to Grain Case 1 D+L 508.9 n/a 508.9 90.0 Case 2 0.6D+W„P 112.8 n/a 112.8 90.0 •••• Case 0.6D+W,+W„ 112.8 75.2 135.6 56.3 ; •�• ��•� ••••:• Case D+Wd+W„ 208.9 75.2 222.0 70.2 •� • •0••0• �• •••••• •• • •••••• Case 5 D+Wd+Water 212.6 75.2 225.5 70.5 • Case 6 D+0.75(L+W„P) 433.9 75.0 440.3 80.2 •••••• • :••••• Note:Above Loads are adjusted by load duration factors(Cd)per NDS • • • • • •••• • •• ••••• Wood Information: Southern Pine Conc.Information: •••'•• • • • ••'• G=0.55 F'c= 3000 •••••• •••••• •••••• Bolt Diameter=0.625 Bolt Embd.= 4.125 •••••• • •• Fe parallel=6160 Fyb= 45000 ; • ; . . 00000* Fe Perpendicular= 3243 Tm= 8 • ;••••• Fern= 6500 • • • •••��• Nominal Ledger Size: • • • Ts=Width=3 • Depth=9.25 Parallel Perendicular Re= 1.06 2.00 Rt= 2.67 2.67 K1= 0.93 1.57 K2= 1.05 1.51 K3= 1.12 0.95 Perpendicular Parallel to Grain: to Grain: K theta= 1.00 K theta= 1.25 NDS Eq 8.2-2 2888 NDS Eq 8.2-2 1216 NDS Eq 8.2-3 2983 NDS Eq 8.2-3 2126 NDS Eq 8.2-4 3429 NDS Eq 8.2-4 2447 NDS Eq 8.2-5 1400 NDS Eq 8.2-5 722 NDS Eq 8.2-6 1189 NDS Eq 8.2-6 787 Parallel Z= 1189 Perpendicular Z= 722 Try Bolt Spacing= 16 Vertical Horiz. Z Value Ledger Bolt Load Bolt Load Interaction Shear Case 1: 678.5 0 0.939 79.8 psi Case 2: 150.4 0 0.208 17.7 psi Case 3: 150.4 100.3 0.347 17.7 psi Case 4: 278.5 100.3 0.524 32.8 psi Case 5: 283.5 100.3 0.531 33.4 psi Case 6: 578.5 100.0 0.939 68.1 psi The above combinations include load duration factors,and therefore.interaction values shall not be increased beyond 1.00 ROGER CHAVARRIA.P.E. WOOD LEDGERDESIGN as ner FBC Load Combinations and FI.Registered Engineer.Lic.#50712 and N.D.S. Equations : 4/21/2015 780 Tamiami Canal Rd. Project Name : Malrtinez's Addition Miami,FL,33144 Ph'305-229-3874 Project Number: 1236 N.E.93th.Ave.Miami Shores,FL. Ledger designation: L-2(for the Bedroom #2) Load Duration Factors ,Cd Dead Load= 194 pif Cd Dead load=0.9 Live Load= 310 pif Cd Live Load= 1.0 Wind Downdraft= 0 pif Cd Wind= 1.33 Wind Uplift= 0 pif Diaphragm Shear= 100 pif Water Ponding= 5 plf Note:negative sign denotes upwards load direction Angle Vert. Horiz. Resultant to Grain Case 1 D+L 525.6 n/a 525.6 90.0 Case 2 0.6D+W„P 116.4 n/a 116.4 90.0 •••• U • Case 0.613+Wup+Wv 116.4 75.2 138.6 57.1 • • •••• 00••00 Case 4 D+Wd+Wv 215.6 75.2 228.3 70.8 •••• i 690699 •0 Case 5 D+Wd+Water 219.3 75.2 231.8 71.1 00 0.0• • e sees** • Case 6 D+0.75(L+W„P) 448.1 75.0 454.3 80.5 069999 • s s Note:Above Loads are adjusted by load duration factors(Cd)per NDS. 060000 •• • ` ` 0000 • •• ••••J Wood Information: Southern Pine Conc.Information: .0,s 0• • • ••:••• G=0.55 F'c= 3000 ` ` •• •• • 00.00• Bolt Diameter=0.625 Bolt Embd.= 4.125 s Fe parallel=6160 Fyb= 45000 : •:•: 0 •• • • • • 0000•• Fe Perpendicular=3243 Tm= 8 •••••• Fem= 6500 ` ` ` ` • • • • 0000•• Nominal Ledger Size: •• • •• `� ` ` Ts=Width=3 •• • Depth=9.25 Parallel Perendicular Re= 1.06 2.00 Rt= 2.67 2.67 K1 = 0.93 1.57 K2= 1.05 1.51 K3= 1.12 0.95 Parallel to Grain: Perpendicular to Grain: K theta= 1.00 K theta= 1.25 NDS Eq 8.2-2 2888 NDS Eq 8.2-2 1216 NDS Eq 8.2-3 2983 NDS Eq 8.2-3 2126 NDS Eq 8.2-4 3429 NDS Eq 8.2-4 2447 NDS Eq 8.2-5 1400 NDS Eq 8.2-5 722 NDS Eq 8.2-6 1189 NDS Eq 8.2-6 787 Parallel Z= 1189 Perpendicular Z= 722 Try Boit Spacing= 15 Vertical Horiz. Z Value Ledger Bolt Load Bolt Load Interaction Shear Case 1: 656.9 0 0.909 77.3 psi Case 2: 145.5 0 0.201 17.1 psi Case 3: 145.5 94.0 0.332 17.1 psi Case 4: 269.4 94.0 0.503 31.7 psi Case 5: 274.1 94.0 0.510 32.3 psi Case 6: 560.1 93.8 0.905 65.9 psi The above combinations include load ouration factors,and therefore,interaction values shall not be increased beyond 1 00 i lc 0*�)—rm CF TV Miami Shores Village APR 23 2015 Building Department BY: 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FRr 7n i0 BUILDING Master Permit NoD8;- PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑EXTENSION []RENEWAL F-]PLUMBING ❑ MECHANICAL [-]PUBLICWORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 1236 NE 93RD STREET City: Miami Shores County: Miami Dade Zip: . 3 /38 Folio/Parcel#: ��— 205-QZ /�7" 040 Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): &[:W it 24t&g Phone#: ! - 325-0/7 Address: /93 6 Ne 3 54 City: M;4,Lt, � State: Tenant/Lessee Name: _ Phone#: Email: � t CONTRACTOR:Company Name: Phone#: 8�b Address: /J2 %/ ( / City: 4� /?cXo 4"6ie­r State:4EI= Zip: Qualifier Name: (/ L Phone#: 30SeZ94 0629 State Certification or Registration#: Certificate of Competency#: DESIGNER:Architect/Engineer. Phone#: 305''Z8� Address:— / �"2� Ll, ,/ --1��� _. City: ���ci?iLtL�. State: /`L Zip: 3313r Value of Work for this Permit:$ 1114949 v Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New Q`­Repair/Replace I-7, u Demolition Description of Work: !A/ i lD,C -(7 OA) or FG60,�S Specify color of color thru tile: Submittal Fee$. IC�ermit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$`_.. Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE ' R � ( evised02,2a/2014) 1 i' 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 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$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signaturea�"djo�p OWNER or AG NT CTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this (day --of-- 20 LS, by /-2V�� day of --4(1 20J by / 4G1M �l�lt7 who isers:o�nallyknwn to `l7-� 411�i1M$ �,EPrL who is p sonally kn wn 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: 9iK Sign: Sign: Print: Print: rZJ LA.;i:2 t�oY►'I Seal: °'` Nogry PvW'-Stab of Florida Seal: "�'•• SILVIA M.DURAN • Co"sSion#FF 197443 �•` Notary Public-Stab of Florida ;����•`��• My Comm.Expires eb 9,2019 Z Commission i FF 197443 Somdedmrough Nation I Nei ry AssMy Comm.Expires Feb 9,2019 APPROVED BY Zz 0 Plans Examiner Zoning 4 v! �S Structural Review Clerk (Revised02/24/2014) oa 1141 r- Ur f-LUKIUA T DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD n'— 1940 NORTH MONROE STREET (850) 487-1395 TALLAHASSEE FL 32399-0783 RODRIGUEZ, GUILLERMO JOSE PROFESSIONAL BUILDING SOLUTIONS LLC 2332 GALIANO STREET CORAL GABLES FL 33134 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 a STATE OF FLORIDA from architects to yacht brokers,from boxers to barbeque restaurants, and they keep Florida's economy strong. 5. t`!= DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION Every day we work to improve the way we do business in order to CBC1252829 ISSUED: serve you better. For information about our services, please log onto 08/18/2014 www.myfloridalicense.com. There you can find more information about our divisions and the regulations that impact you, subscribe CERTIFIED BUILDING CONTRACTOR to department newsletters and learn more about the Department's RODRIGUEZ,GUILLERMO JOSE initiatives. PROFESSIONAL BUILDING SOLUTIONS LL Our mission at the Department is:License Efficiently, Regulate Fairly. We constanq strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, IS CERTIFIED under the provisions of Ch.489 and congratulations on your new license! Expiration date :AUG 31,2016 L140818000120i29i DETACH HERE RICK SCOTT, GOVERNOR KEN LAWSON,SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD ,- CBC 1252829 The BUILDING ± CONTRACTOR Named below IS CERTIFIED •. _. Under the provisions of p Chapter 489 FS. Expiration date: AUG 31, 2016 RODRIGUEZ, GUILLERMO JOSE PROFESSIONAL BUILDING SOLUTIONS L 10420 SW 99 STREET LC MIAMI FL 33176 � � t ISSUED: 0 8/1 812 01 4 DISPLAYAS REQUIRED BY LAW SEQ# L1408180001297 2014 details-Business Tax Account PROFESSIONAL BUILDING SOLUTIONS LLC-TaxSys-M... Page 1 of 1 is m lade Tax Collector Home Search P,eports Shopping Cart M`4 Detains — BusinEl ss Tax Account PROFESS1,�:;1�AL BUILD;NG- SO!UrIONS LL– Business L–Business Tax Account 45543534 Account details Account history 2014 2013 2012 2011 2010 Paid Paid Paid Paid Paid Account number: 5543534 Owner(s): PROFESSIONAL BLDG SOLUTIONS LLC Business start dater 04/01/2005 2332 GALIANO ST Business address: PROFESSIONAL BUILDING SOLUTIONS CORAL GABLES,FL 33134 LLC Mailing address: PROFESSIONAL BLDG SOLUTIONS LLC 2332 GALIANO ST GUILLERMO J RODRIGUEZ MGR CORAL GABLES,FL 33134 2332 GALIANO ST Physical business location: CORAL GABLES CORAL GABLES,FL 33134 13 Print account application(FDF) Receipts.="r:d Occupations i Paid 2013-09-25$45.00 Contracting 10/01/2013- NAICS code: Receipt#ECHECK-13-010093 0 Print this SUB-GENERAL BLDG 09/30/2014 238990 bill CONTRACTOR Units:1 Additional documentation required:CBC1252829 State/County License or Certificate 006579 Local Business Tax Receipt., : Miami—Dade County, State of Florida -THIS IS NOTA BILL - DO NOT PAY 5543534 LBTp BUSINESS NAME/LOCATION RECEIPT NO. EXPIRES PROFESSIONAL BUILDING SOLUTIONS LLC RENEWAL SEPTEMBER 30, 2015 2332 GALIANO ST 5784054 Must be displayed at place of business CORAL GABLES FL 33134 Pursuant to County Code Chapter 8A—Art.9&10 OWNER SEC.TYPE OF BUSINESS PROFESSIONAL BLDG SOLUTIONS LLC 196 SUS-GENERAL BLDG CONTRACTOR PAYMENT RECEIVED CBC1252829 BY TAX COLLECTOR - Worker(s) t $45.00 07/25/2014 CHECK21-14-035614 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 holder's 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 fla-276. For more information,visit www,miamidade.gov/taxcotlector https://www.miamidade.county-taxes.com/public/business tax/accounts/5543534 11/22/2013 WYM A�I CERTIFICATE OF LIABILITY INSURANCE °A04/221/20115 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 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 endorsements. CONT A PRODUCER NAME: CT ADVANCE INSURANCE SOLUTIONS INC PHONE 305-776-6406 1FAx 786-431-4081 AIC No): 12485 SW 137 AVE SUITE 212 ADDRESS: MIAMI FL 33186 INSURERS AFFORDING COVERAGE MAIC# INSURER A: ACCIDENT INSURANCE COMPANY INSURED INSURERS: PROFESSIONAL BUILDING SOLUTIONS,LLC INSURERC: 2332 GALIANO ST INSURER D: CORAL GABLES,FL 33134 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. INSR ADDLSUBR POLICY EFF POUCY EXP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MMIDD D GENERAL LIABILnY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY S Ea occurrence) $ 100,000 CLAIMS-MADE rx-1 OCCUR MED EXP(Any one person) $ 5,000 A CPP0003540-02 06/20/2014 06/20/2015 PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1,000,000 N-71 $PRO LOC $ AUTOMOBILE LIABILITY (Ea accident) L LIMIT ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS n AUTOS Per accident UMBRELLAUAB OCCUR EACH OCCURRENCE $ .EXCESS UAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ WC $ WORKERS COMPENSATION MIRY LIMITS E AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE Y1 N/A E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) REMODELING,RECONTRUCTION AND REPAIR 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 ACORD 25(2010/05) ©1988-2010 ACORD C PORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACOR� DATE(MM/DDNYYY) CERTIFICATE OF LIABILITY INSURANCE 04/23/2015 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 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 endomement(s). PRODUCER CONTACT NAME: PHONE A/C,No,Ext): 1-800-277-1620 x4800 FAX A/C,No): 727 797-0704 FrankCrum Insurance Agency,Inc. E-MAIL ADDRESS: 100 South Missouri Avenue INSURERS AFFORDING COVERAGE NAICA Clearwater,FL 33756 INSURER A: Frank Winston Crum Insurance Co. 11600 INSURED INSURER e: INSURER C: FrankCrum UC/F Professional Building Solutions LLC INSURER D: 100 South Missouri Avenue INSURER E: Clearwater FL 33756 INSURER F: COVERAGES CERTIFICATE NUMBER: 315545 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAME 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 ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSRD WVD (MMIDDIYYYY) (MMIDDAYYY) GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED CWMS-MADE =OCCUR PREMISES(Any ePer on $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY r 7 PROJECT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea aoddent ANY AUTO ALL OWNED SCHEDULED BODILY INJURY Per ereon $ AUTOS AUTOS BODILY INJURY(Per aoddent) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE AUTOS Per aociderd $ UMBRELLA LIAB OCCUR EACH OCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION AND WC STATUTORY OTH- A WORKSEMPLOERSOMPENSA'LIABILITY WC201500000 01/01/2015 01/01/2016 X LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICERIMEMBER EXCLUDED? 0 N/A E.L.EACH ACCIDENT $1,000,000 (Mandatory In NH) If yea,describe under E.L.DISEASE-EA EMPLOYEE $1.000.ODO DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks,Schedule,if more space Is required) Effective 02/10/2014,coverage is for 100%of the employees of FrankCrum leased to Professional Building Solutions LLC(Client)for whom the client is reporting hours to FrankCrum.Coverage is not extended to statutory employees. CERTIFICATE HOLDER CANCELLATION 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 Shores Village Building Department AUTHORIZED RErn 2nd Avenue Miami Miami Shores,FL 33138 ®1888-2010 ACORD CORPORATION.All rights reserved. ACORD 26(2010/06) The ACORD name and logo are registered marks of ACORD