MC-15-560 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-230246 Permit Number: MC-3-15-560
Scheduled Inspection Date: June 29, 2015 Permit Type: Mechanical - Commercial
Inspector: Perez, JanPierre
Inspection Type: Final
Owner: MILITANA,JOHN AND ADRIENNE Work Classification: Addition/Alteration
Job Address:8900 BISCAYNE Boulevard
Miami Shores, FL Phone Number
Parcel Number 1132060110160
Project: <NONE>
Contractor: PRIME MECHANICAL SERVICES Phone: 954-971-2444
Building Department Comments
INSTALL WALK IN FREEZER Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
June 26,2015 For Inspections please call: (305)762-4949 Page 3 of 28
12
ORE Miami Shores Village "
f
10050 N.E.2nd Avenue
Miami Shores,FL 33138-0000 k
Phone: 305 79x2204 ?. r `
FLBRIDP' I 3r i �� ugh .fir
a� � Expiration: 09/14/2015
Project Address Parcel Number Applicant
8900 BISCAYNE Boulevard 1132060110160
JOHN AND ADRIENNE MILITANT
Miami Shores, FL Block: Lot:
Owner Information Address Phone Cell
LfJ0!H.NA.NDADRIENNE MILITANA 8801 BISCAYNE Boulevard
MIAMI SHORES FL 33138-3381
8801 BISCAYNE Boulevard
MIAMI SHORES FL 33138-3381
Contractor(s) Phone Cell Phone $ 28,529.00
Valuation:
PRIME MECHANICAL SERVICES 954-971-2444
_... ..,_.., _,._ . _.._.... .. .... _....... .... Total Sci Feet: 0
Tons: Available Inspections:
Additional Info:INSTALL WALK IN FREEZER
Inspection Type:
Classification:Residential
Ventilation
Approved: In Review Final
Comments: Date Approved: : In Review Rough
Date Denied: Type of Work: Rough Duct
Scanning:3 Duct Detector Test
Review Mechanical
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $17.40
Invoice# MC-3-15-54797
DBPR Fee $12.84
DCA Fee $12.84 03/18/2015 Credit Card $886.95 $50.00
Education Surcharge $5.80 03/13/2015 Credit Card $50.00 $0.00
Permit Fee $855.87
Scanning Fee $9.00
Technology Fee $23.20
Total: $936.95
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans,drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS 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' ning. F thermore, I authorize the above-named contractor to do the work stated.
jrzMarch 18, 2015
A ize ature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
March 18, 2015 1
REVI•ION• OY
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M® MIAMI-DADE COUNTY
PRODUCT CONTROL SECTION
DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES 11805 SW 26 Street,Room 208
BOARD AND CODE ADMINISTRATION DIVISION Miami,Florida 33175-2474
T(786)315-2590 F(786)315-2599
NOTICE OF ACCEPTANCE (NOA) www.miamidade.eov/buildiwz
American Panel Corporation
5800 S.E.78`x' Street
Ocala,Florida 34472
SCOPE:
This NOA is being issued under the applicab16 rules and regulations governing the use of construction materials.
The documentation submitted has been reviewed and accepted by Miami-Dade CountyRER-
Product Control
Section to be used in Miami Dade Countyand other areas where
allowed by the Authors tyHaving Jurisdiction
(AHJ).
This NOA shall not be valid after the expiration date stated below. The Miami-Dade County Product Control
Section (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to
have this product or material tested for quality assurance purposes. If this product or material fails to perform in
the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately
revoke,modify, or suspend the use of such product or material within their jurisdiction. RER reserves the right to
revoke this acceptance, if it is determined by Miami-Dade County Product Control Section that this product or
material fails to meet the requirements of the applicable g
licable buildin code.
This product is approved as described herein,and has been designed to comply with the High Velocity Hurricane
Zone of the Florida Building Code.
DESCRIPTION: Walk-In Cooler/Freezer
APPROVAL DOCUMENT: Drawing No. 12-APC-01,titled"Walk-In Cooler/Freezer",sheets 1 through 5 of
5,prepared by Knezevich Consulting,LLC,dated May 14,2012,signed and sealed by J. W.Knezevich,P.E.,on
May 14,2012,bearing the Miami-Dade County Product Control Revision stamp with the Notice of Acceptance
number and the expiration date by the Miami-Dade County Product Control Section.
MISSILE IMPACT RATING: Large and Small Missile Impact Resistant
LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo,city,state and the
following statement: "Miami-Dade County Product Control Approved",unless otherwise noted herein.
RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no
change in the applicable building code negatively affecting the performance of this product.
TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the
materials,use,and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any
• •.prodi;j,.-for�ales,advertising or any other purposes shall automatically terminate this NOA.Failure to comply
.with any segtion of jhis I;IOA shall be cause for termination and removal of NOA.
•;••••ADVVAY*EMTNT: The NOA number preceded by the words Miami-Dade County, Florida, and followed by
the expitation date hW be displayed in advertising literature. If any portion of the NOA is displayed,then it shall
*be donb.iMiss entir P."
'..:..INSPECTI,ON:AAW of this entire NOA shall be provided to the user by the manufacturer or its distributors
•• -and sfiAl1 Ve:avail&efof inspection at the job site at the request of the Building Official.
: 00. . 0000..
......This W LrevisesS:renews NOA#07-0301.04 and consists of this page 1,evidence submitted page E-1 as well
• as approval'document-mentioned above.
• •••
*The submkted docwnenktion was reviewed by Helmy A.Makar,P.E.,M.S.
MIAMMADECOUNONOA No. 12-0516.18
• � t� f7' Expiration Date: 08/30/2017
Approval Date: 08/16/2012
Page 1
American Panel Corporation
NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED
1. EVIDENCE SUBMITTED UNDER PREVIOUS APPROVAL#07-0301.04
A. DRAWINGS
1. Drawing No. 06-541, titled "Walk-In Cooler/Freezer", sheets I through S of S,
prepared by Thornton Tomasetti, dated February 15, 2007, last revision #1 dated
July 17, 2007, signed and sealed by J. W. Knezevich, P.E.
B. TESTS
1. Test report on Uniform Static air Pressure Test, Large Missile Impact Test, Cyclic
Load Test, and Racking Load Test on Galvanized Steel Sheathed Polyurethane
Foam Filled Modular Panel Walk-in Coolers/Freezers,prepared by
Construction Testing Corporation, Report No. 06-018, dated 01/1512007, signed
and sealed by Yamil Kuri, P.E.
C. CALCULATIONS
1. Calculation titled "Walk-In Cooler/Freezer Calculations", dated February 15,
2007, sheets I through 22 of 22,prepared by Thornton Tomasetti, signed and
sealed by J. W. Knezevich, P.E.
D. QUALITY ASSURANCE
1. By Miami-Dade County Building Code Compliance Office.
E. MATERIAL CERTIFICATIONS
1. Tensile Test by Certified Testing Laboratories, Report#198, dated 01105107,
signed and sealed by Ramesh Patel, P.E.
2. NEW EVIDENCE SUBMITTED
A. DRAWINGS
1. Drawing No. 12-APC-01, titled "Walk-In Cooler/Freezer" sheets I through S o
g .f
S,prepared by Knezevich Consulting, LLC dated May y 14, 2012, signed and
sealed by J. W. Knezevich, P.E., on May 14, 2012.
B. TESTS
1. None.
• C;.: UALCUiATIONS
• ..0.07. 'Norte.
•• D. Q
• UAL1'1T ASSURANCE
...... . .. .. ..
..... '.'..'1. %,gyXiami-Dade County Department of Regulatory and Economic Resources.
..... . ....
• E::"'MATTRJAL CERTIFICATIONS
...... .. .. ......
""• elmy A.Makar,P.E.,M.S.
Product Control Unit Supervisor
NOA No. 12-0516.18
Expiration Date: 08/30/2017
Approval Date: 08/16/2012
E- 1
• ... ...
.. .. . . . .. .. .
. . . . . . . . . .
. . ... . . . . ...
GENERAL NMS: 2.2 PCF URETHANE FOAM CORE
1. THESE PRODUCT EVALUATION DOCUMENTS REPRESENT A WALK-IN COOLER/FREf2ER SYSTEM ANALYZED WITH THE PROVISIONS SET FOR HC GALVANIZED STEEL(MIN.1.0,035") 25„ 2 u1
THE ISSUANCEOFAN OF D BYM�I-QIDECWIIiI'PERMITTING IRON AYD REGUTAT(1RY AFFAIRS EXTERIOR
,PRODUCT CONTROL SEC'TI PLY ISI THE F�RII�BUILDINGS(FBCOFARION,H[pl VELOLIII� �,�. u ver. r,.s /♦Z
URRICANE ZONE H14R SI S. • • • • • • •• •tt F•'u '.�'`�i.'V`y, •;n�ycl- 2•• 5„ 2,• V_ N c
2. FOR ARES OUTSIDE OF THE 2 ECS ENGINEERINSIS R REDO VERIFY THMITE SPECIFIMESIGN WIND LOADS AND E
x
PANELTESTING COMPLY W1 71(ETESTIIIG RLQ\REMENTS OT FBC &*7l5,1L. • • • m Z8
• • 000 • ••• • H H
AL MINUM A OY(MIN.1.0.0 2") ..I F
3. THESE PRODUCT EVALUATION CO DOCUMENTS ADCRESSTHE STRUCTURAL RE REMENTS FOR COMPLIANCE WITH THE STRUCTURAL 1NLILr OR W J {
_ 9' >>e ne,L
PORTIONS Of THE NOTED CODES,MECHANICAL.FI,ECTRICAL AND WATER •OFING RREEpIN ENTS ARE NOT PART OF THE ro
EVALUATION.SPECIFIC 115E OF THE EVAI.UATIO{N AEpuIRES THE ARCHITECT 00.ENWNEBL OF RECORD TO ADDRESS THE MECHANICAL, 5" 12" 12" 12 5"
ELECTRICAL,ANO WATERPROOFING REQUIREMENTS FOR THE INSTALLATION. __._...._._.__ _....
4. DESIGN LOADS: •• • • • •• ••• •• 46"MAX. tv14 GA.GAL1/,(0.075h to 14 G&GALV.(0.075q W AA ME N
STRUCTURAL SUPPORT STRUCTURALSUPPORT U 9
A.ROOf: • 000 • • • • •• • da
L DEAD LOAD: • • oPs0 • •• • • • _ROOF PANEL "HAT CHANNEL STEEL) DOOR PANEL REINF.CHANNEL z Q
n.LIVE LOAD; .Y.R_ pyy ST�CE i:ice' 3 •T o' RC -
B WALLS: MECHANICAL� "�:• TO LBS VI�MU41ROIOE T•�T�flY4 4'� ACING. :� $m $
1,DEAD LOAD:WALL PANEL 16 PSF
C.FLOORS'I,DEAD LOAD2.2 PCF URETHANE FOAM CORE 4" '4 a
:FLOOR PAIR 4,0 PSF 'I 'I N
11.LIVE LOAD:INSULATED FLOOR 250 PSF ALUMINUM ALLOY(MIN.1.0.032")
FLOORLFSS ISO PSF EXTERIOR&INTERIOR -�*x- L'R f0.. gg
D.WIND LOADS SHALL BE DETERMINED IN ACCORDANCE WITH THE CODE PROVISIONS AT THE TIME OF PERMIT BASED,ON THE ",arx -�XL•'ti• ,'F'.'r'4 �_ I•J x
SMD
CONDITIONS.SEE TABLE 3 ON SHEET 2 FOR ALLOWABLE WIND LOADS USED IN THE DESIGN OUTLINE WNFIW `1 F" >J,3 i„"` .'� S. M ,t M,y+`c',.'.�•'vy rb {{{AAl�IIf •�.x �,,`A
THESE UUUJMRT5.THESE LOADS ARE ALLOWABLE LOADS BASED ON WIND LOAD RESISTANCE TESTING.INAC W1TI
FBC 2010 EDITION,SECTION 1609.L5 LOADS DETERMINED IN ACCORDANCE WITH ASCE 7-10 pR SECTION Him ARE PERMUTED 12"
TOM MIILI'1PLb BY 0.6 WHEN USE WITH TFE'SE DOCUMENTS, O vi
46"MAX, tv14 GA.GALV.(0.075) UP TO 24" C
S. THESE APPROVAL DOCUMENTS ARE GENERIC AND DO NOT INCl110E ION INFORMATFOR SITE SPECIFIC APPLICATION OF THIS WAIL(-IN
COOLEA/FREEZER SYSTEM. STRUCTURAL SUPPORT
WALL PANEL ODOOR.CHANNEL(STEEL) WALL RNER SECTION U
6. THESE DOCUMENTS REPRESENT THE S(IpR(UCIURAL MD)MpiFA pW/.EREOITKtL NOT BE APPLIED BY THE CON CFIMt,E US OF THE WANE-LN CN A SPECIFIC SITE WIT0HVFREE&R STRUCTURE. WP 'moi".�a"- DC �3" " .;MW
COF AN
O E REQUTRMTHESE VMIEEJN SCOFF p SSPPEOIMENTS FICRI ALLLTTION WCLUD NG f NOOY LLIIMMITEDSHALL TO THE RESPONSIBLE
LLLOOWN THOFt1RUTCOM INVOLVEMENT
THE
A
VERIFY THE SITE SPECIFIC WIND LOAD REQUIREMENTS ARE WITHIN THE CRITERIA USED TO DEVELOP THESE DOCUMENTS 2.2 PCF URETHANE FOAM CORE 24" (.T
AND THE UNIT IS CONFIGURED IN COMPLIANCE WITH THE LIMITATIONS HEREIN. Z 5
B VERIFY THE FOUNDATION DESIGN IS TETO RESISTTHE FOWDATION LOADS IDENTIFIED IN TABLE 1. ALUMINUM ALLOY(MIN.t-0.100") a
C. VERIFY THE DUSTING BUILDING IS A ATE TO RESIST TIESUPERIMPOSED LOADS IDENTIFIED IN TABLE /;-TOP(INTERIOR) �[
D. WEATHER PROTECTION ARCHITECT\ MECHANIGL,ANDEIECTRYaL IRMENTS ARE OUTSIDE THE SCOPE OF THESE s"".. •".- a,.., ;,;F,, J C) ,C
DOCUMENTS.DETERMME AND/OR PROVIDE FOR COMPLIANCE WITH THEREQII REMENTS OF THE AUTHORITY HAVING n P."- '` '+ �a .' ?, 144`�`. .• F .'�'� �"•'y
R <r `•-'„ SL ,, k;" k r•'. M 1 i��f,7,Slt; , "J, �,..; xId„s"4 M Z 0
IURLSDICf10N,6. _ - •` s �+
O (ED
7, THESE APPROVAL DOCUMENTS ODMPLY WITH CHAPTER 6IGIS-23 OF THE FLORIDA ADMINISTRATIVE CODE BVAN( STEEL(MIN.1.0.019") w
BO TOM(EXTERIOR) m
B ANY MODIFICATIONS OR ADDITIONS TO THESE PRODUCT EVALUATION DOCUMENTS WILL VOID THE PRODUCT EVALUATION DOCUMENTS.
9. WHEN THE SITE CONDITIONS DEVIATE FROM THESE APPROVAL 15,THEBUILDING"Clf 1ALSHALLR1MUTRETHAT AONE•TIME
SITE SPECIFIC APPROVAL BE APPLIED FOR AND SECURED FROM INE MSI MI4ADE ODUNTY PERPTIILTNG,EPA7RONMENT AND RE(iJ1ATORY MOTIF
AFFAIRS,PRODUCT WIROL SECTION.
10. ALL BOLTS AND SCREWS SMALL BE A2444 ALUMINUM ALLOY ELECIRO GALVANIZED STEEL,HOT DIPPEOGALVARM STEEL OR 300 WALL FP 11PANEL EE SECTION
SERIES STAINLESS STEEL WITH A MIN,TENSILE STRENGTH OF 60 KSI, FLOOR PANEL
It, All CONCRETE ANOW SHALL BE AS SPECIFIED ON THE DRAWINGS.EM8EDMENT LENGTHS NOTED ON THE DRAWINGS SHALL HOT '1ll• -01,
-
INCLUDE FINISH MATERIAL. _
12. DISSIMILAR METALS IN CONTACT WITH EACH OTHER SMALL BE PROTECTED IN ACCORDANCE WITH THE FIC OMER 20,SECTION
2003.8.4.
13. AN ALLOWABLE STRESS MEW IS NOT USED IN THE DESIGN Of THE COOLER/FREEZER UNIT NOR ITS ATTACHMENTS.
RIGID URETHANE FOAM SANDWICH PANEL SPECIFICATIONS
1. WALL I ROOF COMPOSITE SANDYM PANELS ARE COMPRISED OF ALUMINUM OR STEP.FACINGS WITH POURED URERHANE PLASTIC L
CORES.THICKNESS AND MATERIAL OF FACINGS SHALL BE AS SHOWN ON THE DRAWINGS. ` PRODUCT REVISED N9
ac 8
2. ALUMINUM FACINGS ON WALL AND ROOF PANELS SMALL BE 31051\54 ALLOY(MIN.FY-26.7 KSI)FOR IMERIORAND EXTERIOR USE, complying with the Florida
Duilding Codo 8
3, ALUMINUM FACINGS(I7 FLOOR PANELS SWIl1 BE 5052104 ALLOY WITH A MINIMUM FY-30.6 KSI FOR INTERIOR USE. ( Ac�- `,'R)
6xpJ.W.Knetevlch
4. STEEL FAONGS USED ON ROOF PANELS SMALL COMELY WITH ONE OF TFIE FOLLOWING: .KzovicyAASTM A653 CS,IYPE B WITH A MIN.FY-48 KSI,MIN.TH[OMESS OF 0.035"AND G90 COATING. M'
B ASTM A6S3 SS,GRADE SO,CLASS 1,WITH A MIN,THICKNESS OF 0,035'AND G90 COATING, i -.
S. STEEL FACINGS USED ON FLOOR PONDS SHALL BE ASTM A653 S$GRADE 33 WITH A MINIMUM THICKNESS OF 0.017 AND A G90 COATING
FOR EXTERIOR USE,
6. AVERAGE DENSITY OF URETHANE FOAM CORE SHALL BE 2.3 PCF WITH A RANGE OF ANY GIVEN MEASUREMENT OF+h 10%.
7. URETHANE FOAM CORE SMALL HAVE A FUME SPREAD RATING OF NOT MORE THAN 75 AND SHALL HAVE A SMOKE-DEVELOPED RATTING OF �• ARv gas NOTi:o
NOT MORE THAN 450.
a,. 05/14/2012
B METAL FACINGS PER SQ BE ADHERED TO FOAM WITH AN AIR SPRAY C(ATING OF\PACO YIB82(3001881X) SIVE AT A RATE OF 0.197 .erx.xa ro.
FLUID
OUNCES
PER SQUARE FOOT.
9. FOR SPECIFIC REQUIRBABNTS OF FOAM PLASTICS IN WALK-IN COOLERS,SEE FBC SECTION 2612.3.2,1 AND 2612.3.21. 12-APC-01
sheet 1ofS
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A LLFZ A MINIMUM NUMBER OF 46" A TABLE INOTES: 'T
B aL7 B UNI;W DTH PANELS ON EXTERIOR B ALLOWABLE WIND LOADS(PSS L. NET WIND FORCES REPRESENT THE REACTIONS FROM ALLOWABLE STRESS Y U C
E q�Q@W NET WIND FORCES L FT-IN WALL FOR L WIND LOAD COMBINATIONS ASSUMING MAXIMUM ROOF PANEL SPANS AND S y
oOo E A GIVEN UNIT IWIIDTH(W) E ROOF WALL MAYOMUM WALL PANEL HEIGHTS. E
PT 1 2 3 MAX.LENGTH 11'-7' MAK HEIGHT Y-e• 2. PV REPRESENTS THE VERTICAL WIND REACTION a
Pv s 860#/FT s 9'-0" 2 ZONES 1 2 3 4 S 3• PH REPRESENTS THE HORIZONTAL WIND REACTION.
PH s 250#/FT 9•-0"<W s 10'-9" 3 NEGATIVE -44.0 -60.7 -75.5 -43.0 -50.5 TABLE 2NOTES:
L THIS TABLE SPECIFIES THE MINIMUM NUMBER OF%'PANELS REQUIRED
10'-9"<W s It'-7" 4 POSITIVE .16.4 -39.4 ON THE FRONT WALL OF THE UNIT TO ESTABLISH THE LATERAL LOAD
RESISTANCE NECESSARY FOR AGIVEN ROOF SPAN.
SEE DETAIL 2 SEE DETAIL 1 TABLE 3 NOTES:L. ALLOWABLE WIND LOADS SHOWN REPRESENT THE COMPONENT WIND
Rp LOADS USED IN THE DESIGN SHOWN HEREIN.TO DETERMINE
COMPLIANCE,SITE SPECIFIC WIND LOADS SHALL BE MULTIPLIED BY THE
LOAD FACTOR 0.6 WHEN COMPARING TO THESE VALUES.
1 1 2. SITE SPEOFIC WIND LOADS DETERMINED M ACCORDANCE WITH GENERAL �
NOTES 1.1)AND 6,A SHALL BE LESS THAN OR EQUAL TO THESE LOADS.
CONNECTED3. ALLOWABLE WIND LOADS ARE BASED ON A FACTOR OF SAFETY OF 1.5 FOR
PH T TO ADJACENT WALL PANELS AND 2.0 FOR ROOF PANELS WITH A MINIMUM RECOVERY OF
BUILDING .� '2,3 6D%IN ACCORDANCE WITH TAS 202 AND THE MIHZ PROVISIONS OF THE _
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FP FLOORLESS UNIT (SEE TABLE 1 FOR LOADS) 3'-0'• •• ••• ••
LPr tion DateQA7T'7.Sr'_/S
EXISTING BUILDING W
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(SEE TABLE 2 FOR WIDTIVLENGTH LIMITATION) • • • ••• • •••• • • an rw.
- OSECTION(TYP.) D ELEVATION E ISOMETRIC WITH WIND ZONES ••• • • • . 12-APC-01
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Tt
Miami Shores Village MAR 13 2015
Building Department 6Y:-_e _ -
100S0 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(30S)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949 ^f 1^
FBC 20 10
BUILDING Master Permit No.CC-6-14-1397
PERMIT APPLICATION Sub Permit No. cn C'�
F,BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION F-]RENEWAL
❑PLUMBING 0 MECHANICAL OPUBLICWORKS CHANGE OF CANCELLATION SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 8900 Biscayne Blvd
City_ ___....________Miami Shores County: Miami Dade Zip'
Folio/Parcel#: 11-3206-011-0160 Is the Building Historically Designated:Yes NO
Occupancy Type: _Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): John Mllitana Phone#:
Address. 8801 Biscayne Blvd
City: Miami Shores state: FL zip; 33138
Tenant/Lessee Name: Koning Restaurants International, LC Phone#:305-430-1200
Email: etunis@aol.com
CONTRACTOR:Company Name: Prime Mechanical Services Phone#: 954-971-2444
Address: 1854 N.W 21 Street
City: Pompano Beach state: FL zip: 33069
Qualifier Name: Charles J. Raymond 954-448-8870
Phone#:
State Certification or Registration#: CAC1815993 Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ �d g5'c29 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration (❑ New ❑ Repair/Re lace
p ❑ Demolition
Description of work: Install walk-in freezer
Specify color of color thru tile:
Submittal Fee$ Permit Fee Ll V c
CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$_ - Training/Education Fee$ Double Fee$
Structural Reviews$ _ _ Bond$_
TOTAL FEE NOW DUE$ `�
;RevisedG2,'Z�ti20?4)
Bonding Company's Name(if applicable)
Bonding Company's Address
City State Zip _..
Mortgage Lender's Name(if applicable)
Mortgage Lender's Address
CityState 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 beerformed to meet the standards of all laws re ulatin
P g g
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 o 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 s ) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved a a reinsp ction fee will be c ged.
Signature _._ _ Signatures
OWN AGENT CONTRAC
The foregoing instrument was acknowledged before me this The foregoing inV,.mnt was acknowledged before me this
day of 20 2Q f by 11 day of March20 15 by
Lt ,+ho is personally known to Charles J. Raymond ,who is personally known to
me or who has produced _ _as me or who has produced Personally Known as
identification ho did take an oath, identification and who did take an oath.
NOTARY P LIC: NOT UBLIC: �_ 1
7
Si 1 Sigr}. 0uu�p.
Pr 'Vary F9bliC t r Print I �� `��.��iNN GON�.,,�-'
•• ttt:EX . `moo o....s IN i
5e "',� moo' Commission Ar ff 97586 Seal: NUMBER -
.,,or��•,. EE 112795 ;
•� �• BonM(tough National Notary Assn. -* EXPIRES
Juh'
A
17,2015 .,y;
-Z;
i��•'•9 6 .4 C
, •'
I.0
1�2APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Rev,sed021124/207 4)
SHORES
o� J_ ����� Miami shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
CONTRACTORS' REGISTRATION
IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR:
A. COPY OF QUALIFIER'S STATE LICENCES
B. 4/ COPY OF LOCAL BUSINESS TAX RECEIPT
C.X OPY OF LIABILITY INSURANCE*
D. COPY OF WORKERS COMPENSATION INSURANCE*
(Workers Compensation EXEMPTION must have NOTICE TO OWNER Affidavit)
IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY:
A. COPY OF CERTIFICATE OF COMPETENCY OF QUALIFIER
B. COPY OF LOCAL BUSINESS TAX RECEIPT
C. COPY OF STATE REGISTERED CONTRACTOR LICENSE OR MIAMI DADE COUNTY MUNICIPAL
CONTRACTOR'S TAX RECEIPT.
D. COPY OF LIABILITY INSURACE*
E. COPY OF WORKERS COMPENSATION INSURANCE*
(Workers Compensation EXEMPTION must have NOTICE TO OWNER Affidavit)
*YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE AS FOLLOW:
Certificate Holder:
MIAMI SHORES VILLAGE BLDG DEPT
10050 NE 2ND AVE
MIAMI SHORES, FL 33138
Certificate must specify the description of operations or contractor license number.
BUSINESS NAME: pe,I t-A \
BUSINESS ADDRESS: ki.Li-) LI k�`�C CIT Q14O STATE r'l, ZIP
BUSINESS PHONE: (CI54) q-1+ -2444:- FAX NUMBER(Com ) -7
CELL PHONE(�5�) 44t - %-1p QUALIFIER'S NAME: Chcrlet2 T ayln
QUALIFIER'S LIC NUMBER: '>A`J5UE?1*i
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395.
�. 1940 NORTH MONROE STREET
TALLAHASSEE FL 32399-0783
RAYMOND, CHARLES J
PRIME MECHANICAL SERVICES LLC
2855 MORNING GLORY CIRCLE
DAVIE FL 33328
Congratulationsl With this license you become one of the nary
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 FkxWs economy strong.
Every day we work to improve the way we do business in order to
serve you better. For information about our services,please log onto
www myfloridalicense.com. There you can find more information
about our divisions and the regulations that impact you,subscribe
to department newsletters and loam more about the Department's
Initiatives.
Our mission at the Department is:License Efficiently,Regulate Fairy.
We cons"strive to serveyou better so that you can serve your
customers. Thank you for doing business in Florida,
and congratulations on your new license!
DETACH HERE
RICK SCOTT,GOVERNOR KEN LAWSON, SECRETARY
IT D _
R O
�" fttCTi
GT,I�1NN�
S� M1'S
J' �''r ori"__ .I� rr+'r'..,mx.yy.,.�e..a. "^.. �"•�, •`4 1 �. - �
icci ir-n• n7lI AMIA nleni AV Ac ocnianccn OV I AAA/ Dene s rnnnnnnnn
915 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-.1895—954-831-4000 "
VALID OCTOBER 1,2014 THROUGH SEPTEMBER 30,2015
51M
DBA: Receipt#:183-1904
5._ Business Name:PRIME MECHANICAL SERVICES LLC Business T g.HEATING/AIRCONDITION CON CTl
YP •(CLASS A A/C CONTR)
Owner Name:CHARLES J RAYMOND Business Opened:05/28/1990
Business Location:1854 NW 21 ST State/County/Cert;/Reg:CAC1815993
POMPANO BEACH Exemption Code: s
' Business Phone:954-971-2444
r 1 Rooms seats E ployees Machines Professionals
4 t
4 32 >;
y t
For Vonding Business only
Number of Machines: Vending Type:
Tax Amount Transfer Fee NSF Fee Penally Prior Years Collection Cost Total Paid
108.00 0.00 0.00 0.00 0.00 0.00 108.00
� r ,
i
�. ; THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS
THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Broward County and is
non-regulatory'in nature.You must meet all County and/or Municipality planning
WHEN VALIDATED and zoning re�pirements. This Business Tax Receipt must be transferred when
the business s sold, business name has changed or you have moved the
business location.This receipt does not indicate that the business is legal or that
it is in compliaooe with State or local laws and regulations.
Mailing Address:
CHARLES J RAYMOND Receipt #01A-13-00006489
1854 NW 21 ST Paid 09/02/2014 108.00
POMPANO BEACH, FL 33069 .
.. d
2014. - 2015
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THIS CERTIFICATE 19 ISSUED AS A MATTER Off INFORMATION ONLY AND CONFERS'I O RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE ODES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OALTFR THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRAC3' ETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. II
IMPORTANT,, If the cerllficate holder Is an ADDITIONAL INSURED,the policy(ies)must i,� endorsed. If SUBROGATION IS WAIVED,subject to
the terms and conditions of the Policy,certain policies may require an endorsement. A stm,ament on this cartlficatte does not confer rights to the
certificate holder In lieu of such endoreement(s),
PRODUCER CONTACT
Keyed COverage lnsutance NAME- S 1
5900 Hiatus Road PHONE
Tamarac ITL 33321
ADORES; 3Uzie k e o ri�4.P�..9M.PRODUCER
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1854. N.W. 21st street_ IN/UR£RO: .meq ri d, IQdu-stzic�Ina. Co. 123140
Pompano Ranch FL 33069 IN/URAR0:
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j, Follow Corm $
B WORKIII COMPENBATICd4 Y AWG1035'191 $
AN DEMPLOYHRS'LIABILITY "1112/2014 '1 /12/2015 x L " U- OTH-
L'TORJPARTNER/EXECUTIV@ Y 1 N
4 andaWME
ANY PROPRIMBEREXCLU>SED7 r N/A
E.L +EACHACCIpENT 51.,000,000
Mntlalory In NH)
Ir yyes Ueacrihe ander E.L.DISEASE-EA EMPLOYE S'1,000,000
DF,A('RIPTION OF OPERATIONS pg101y _-. „
B.L-OISEASf.•POLICY LIMIT $1 000,000 --
DESCRIPTION OF OPERATIONS/LOCATIONS/VEMCLCS(A"Q?-ACORD 101,Addldun 1
mom space
Certificate holder ie .included an an Additional insUtCd dz,Iares
License 11 CAC1815993 Pec , liablliCy cOvoragea
CERTIFICATE HOLDER
CANCFLL,ATIO
SHOULD ANY OFT I ABOVE DESCRIBED POLICIES BE CANCELLED
BEFORE!THE EXPI TION DATE THEREOF,NOTICE WILL BE DELIVERED
Miami Shc.res Village Bldg Dept IN ACCORDANCE .1 H THE POLICY PROVISION&
10050 N.0 2nd Ave
Miami Shoies FL 33138
AUTHOR990 REPRIK ATIVE
'i
ACORD.25(2009/09) 0 10 6-2009 ACORD CORPORATION. All rights reserved.
The ACORD name and logo aro registered me of ACORD
Miami Shores Village
A KIP
Building Department .Y
10050 N.E.2nd Avenue,Miami Shores, Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20
BUILDINGMaster Permit No.(-r-,"4_ 13q�
PERMIT APPLICATION
Sub Permit No.
QBUILDING ❑ ELECTRIC ❑ ROOFING 0 REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL [:3 PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 8900 Biscayne Blvd
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: 11-3206-011-0160 Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): John Mllitana Phone#:
Address: 8801 Biscayne Blvd
Miami Shores FL 1
City: State. Zip: 33 38
Tenant/Lessee Name: KOning Restaurants Intemational Phone#: 33138
Email: etunis@aol.com
CONTRACTOR:Company Name: David Landy Construction Phone#: 305-662-3888
Address: 7215 SW 48th St
City: Miami State: FL 33155
Zip:
Qualifier Name: David Landy Phone#: 305-662-3888
State Certification or Registration#: CGC047202 Certificate of Competency#:
DESIGNER:Architect/Engineer: Felix Pardo Phone#: 305-4454555
Address: 255 University Drive City: Coral Gables State: FL Zip: 33134
Value of Work for this Permit:$_TO.y�y Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New lace Re air Re
p / p ❑ Demolition
� 0 �-►� icI✓Description of Work: p .
Specify color of color thru tile: I
Submittal Fee$ Permit Fee CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
Banding Company's Name(if applicable) I`
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 section fee will be charged.
P f aged.
Signature Signature
OW arA T CONTRA
The foregoing inst as acknowledged before me this The foregoing instrument was acknowledged before me this
_day of 20- F by r day of &)00 20 114 by
JC f4 A) M 11✓l -r#J a who is personally known to ►1� -� whis.personallyknow
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 P 1 NOTARY PUBLIC:
Sign: Sign:
—3
Print-. jouS Print: o`M:�:�4r REBECCA GARCIA
Seal:
Seal: EXPIRES:AP613,2018
RUTH A.9YDASN �f�-,f O"FOV
Bonded Thru BWO Nobly SKYW
•"'"�
Not,ry PUNIC-Shb of Florida
�L'blMni.' iY�1`��,*+�If s* .e+#+» s*►r.» Ar
ss*r
Commission x FF 097M j v4
Tilroo National Notary AsK K/w1�� ` ! �'
Planl
s Examen Z� �(/-'�4honing
t �y Structural Review Clerk