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RC-14-1825 (2)
P - Miami Shores Village . ; Building Department Oct 222014 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 -- INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC20 00 BUILDING Master Permit Nog �L? " '?" '�30 PERMIT APPLICATION Sub Permit No.&L �L- — ISA�— ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: /�/ /VVV A-�u City: Miami Shores County: Miami Dade Zip: 35/ �5 Q Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: / FF�,E:: ry OWNER:Name(Fee Simple Titleholder): �0 9 �5 a' r""7� SPhone#: 7,k k 2-�6 Address:_ �� �/1 �` A-V-e— City: State: Zip: ? Tenant/Lessee Nam Phone#: Email: 1Z CONTRACTOR:Company Name: 1" , I No 0o b1ICI oCfj Phone#: Address: 6 �� �'-, bi:�e— City: �Ao t State: FL- Zip: 3315 Qualifier Name: ���� ®� Phone#: l e State Certification or Registration#: I ��:1161 Certificate of Competency#: DESIGNER- rc Phone#: Address: �3np2 ""4j City: State: Zip: ted , �'' Value of rk,* h'A P f tt' ZI A L./ Square/Linear Footage of Work: Type of WorAlteration< F-1New ❑ Repair/Replace ❑ Demolition Description of Work: tk7 Specify color of color thru tile: / ®� Submittal Fee$ 0' Permit Fee$ ? 5 y CCF$ ( " 200 CO/CC$ Scanning Fee$ eZ Radon Fee$ D�BPyR$ Notary$ Technology Fee$ t - GO Training/Education Fee$ ® ' TV Double Fee$ Qb Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ I (Revised02/24/2014) 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. —//� iln Signature Signature NER or AGENT C N RACTOR The foregoing instrument was acknowledged before me this The foregoing instrum t as ackn ledged before me this AS day of 20 I' , by day of 20 1- by who is per 5ff n to -1 who is perso nown to me or who has produced as me or whr �'�~ as identification and who did take an oath. identificatio P+tl1t ' ,�Comm►•�� NOTARY PUBLIC: NOTARY PU Si a Sign: Print: re sial. � Seal: APPROVED BY �� /r`ZZ /-( Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) FAX NO. : Jan. 01 1999 12:01AM P2 FROM f-tHl`IHSbk� FL 82399-0783 LOZANO, FRANK PIPELINE PLUMBING SERVICES INC 2050 SW 64TH AVE MIAMI FL 33155 Congratulations! Wdh 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 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 learn more about the Department's initiatives. Our mission at the Department is: license Efficiently.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 license) The Department of State is leading the commemoration of Florida's 500th anniversary in 2013. u For more inforMation, please go to www.VivaFlorida.org. DETACH HERE STATE OF FLORIDA DEPARTMENTCONSTRUCTION IINDUSTRAND Y LICENSING BOARDU�YfON ^• RF11067161 { The.PLUMBING CONTRACTOR ` r Named below HAS REGISTERED Under the provisions of Chapter 489 FS. �� Expiration date: AUG 31,2015 (INDIVIDUAL MUST MEETALL LOCAL LICENSING REQUIREMENTS PRIOR TO CONTRACTING IN ANY AREA) LOZANO, FRANK PIPELINE PLUMBING SERVICES INC 2050 SW 64TH AVE MIAMI FL 33155 � RICK SCOTT ISSUED. 09/16/2073 GOVERNOR SEQ# L9309760007134 DISPLAYAS REQUIRED BY LAW KEN 1 A SECRETARY FROM FAX NO. Jan. 01 1999 12:01AM P1 Local Business Tax Receipt Miami—DadeCounty, State of Florida -Tkts is NOTA BILL-t7d NOT PAY LBT 4939592 BUSINESS PIPELINE PLUMB G SERVICES tti cE1P N� EXPIRES INC R°y�'L SEPTEMBER 30,2015 9545 SW 21 ST Must bo 4isptayed at place of bwoness MIAMI,FL 33is5 Pursuant to cwniv code Chapter RA-An.9&10 OWNER SEC.TYPE of RUSINflSS PIPELINE PLUMBING$ERVICESINC 198PLUiV19iNG PAYMENT RECEIVED R BY TAXCCII6QTOR �NTBING Worker{s} 02P004894 32.50 10103/2014 CREOITCARI115-000636 This Local Basiaess Tax 8eeaiptoaly contimra payment of We Local Husiaesm Ta;,The Rocelptb nota tlaaaw, aermit ora ee"c:ativa ofthe WOWS Qualification,to do hWmm.Holder mast tam ply with anygovernmeatal r ooagoverumeotal wplawry lave and regairemeals whlc6 apptyto the business. The RECEIPT no,above mmhedispiavedto&1leerumania,vehicleo-Mi mi-ImeCode$atea-2 X For mare ipNrmatlen,vb&—WWw�iamid�dp.aov/tauo9aeter i m , %2/2013 PRODUCER -THIS CERTIFICATE'TS ISSUED AS A MWER OF INFORMATION IISOERITDA 15SUR��3 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE'DOES NOT AIRSD, SND OR 7377 Co=al 45lati ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. £Blasi .Z 35155 30E 2fi m INSUPFRS AFFORDING.COVERAGE MAIC' INSURED �ia�3 EG3 b��1i �J g Se-r'Yi 3c@S !a•?C'' ' 1 LYSURmA• 0=0adu z=-'=== Insv--sacs Cc=:'.,-v I ¢845 Ssw 21 St. _ n)SURER S. Miami R11, 33165 tn�suRFRc INSURER 0. 1 INSURER E: (. CO%IERAGES THE POUCIES OF INSU MCE LWED BELOW HAVE SSE ISSUED TO THE INSURED AL4i1ri133 ABOVE FOR THE POLICY PERIOD INDICATED.NOTU17rHM-A lDINO Aw REQUIRIuY,ENT.T-ERWf OR CONDITION OF ANY CONTRACTOR OTHER.DOCUMENT WITH RESPECT 70 WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTNN,THE INSORANCEAFFORDED BY THE POUCH=S DESCRIBED HEREIN IS SUBdECTTO ALL THE TERMA.WWSIONS ANI)CONDITIONS OF SUCH POUCIES.AGGREGA F-LI?MTSSNOX4MMAYHAVESEENREDUCEDBYPAIDCL&M LTR WL POLICY14219ERnrE Pflt CY ON !G�9irS 09-14F.AL,LTA9NTY D EACI•I OCCURMiCE •�-s-•-•—4 ,—0 D 0 0 I 7x Co.' GENP.RALLlRBF.frY PrT6tSISESrr^a� ot I s LIIO'000 j cIA TSIrADE OCCUR MEDWI(Acy—pe-n) j S 51009. 0.1,asm,00054600 11 f'19/1 �117��?! PERSDNALaADvul�iURY s h 0 OLEO PPODU=-COMMOPAGG ENSRA.AfOdAEGATE s OQ @OQ G9PL•AGGREGAiEUWAPPLIc.SP : S 2,000',000 POLICY ED 52-2F E-1 LOC AtfrC?14HREUAHBJSY - COfdSINEDSItiGlsL>n:ti S AN,raUTo I rzeaers) } ,u.wahleDATtI•os . . — Mbn.YINAIRY s SCMULO A nos (Peraa�n) %HM AUTOS 60DLYfNJU)IY i FIO.i•OYJ,�EDRLITOS - � �) S . • 1 MOPEIrti Y OALMSE "PAGEUAS UTY R=ONLY-FAAC=M4T `S ANYAUTO OTHETHA., EAACC S jI AUTOOKY. AGG•S EXCESaJI3R4 Fau UA9I� }Mu occxrA cs Is OCCUR. cm'.M.films AGGREGJ.T'e S Romucno- REritAh70N S i ; S vI+DRxscoa�EnlshTTo iAND ;oRs E;,t?LOYrO'S'LfABRITY _ . 18fi-22270 i i 1031201.3' 11,103120' ZL EA HACOMMr s i 00 000 1Dw' .Fi DISEASE-'FA EUPLO •S' b00 0d0 UIQ` ovsiar�Imt� " Eials -PuucYLTIa>i s 100,000 OMCL'.IP=,tOFCPF-M,7ONSILOCATIONS/V$iiCLx-Sr-�2XCLUSIOriSADDmBYENDOR¢<Sseffi9p=AI PROVISIONS I✓?zzmlo g.�eside�;�=T o= comen^Cie? CER t IFICME HOI-DEF� _ CANCELLA1101d SEi0UL0 PAlY OF T FiH A90Ve O:SCRIBED FOUCIES iM CWCRIM BEFDRE THEEiC M.TIDN IUNami Shores Village .OAic�EOF.-lim t5SU147G tIISURi7t4UILL ENDteAVOR TO fdAIL�DRYS tA�Rti`ila�7 Building Zoning Dept. NOTICE To TFL CERTI=iCATE HOLDER Im to TO THE LES.alnr mm To DO so sHALI 10050 NE 2 Ave DAPOSE IVa OBLi6 TION oR L%s Lr[Y of ANY mz)LI oti THE mst1M Rs Asetife.OR Amami Snores,FL 33138 R � i AI,DTt{O R� •' ATIVE ACOPZWS(2001108) vACOP.D CORPOaMMON 1988 Village Miami hores Building Department soon "BIN 10050 N.E.2nd Avenue Miami Shores,Florida 33138 Tel: (305) 795.2204 ASR' Fax: (305)756.8972 r� Page 1 of 1 Permit No: N � , Structural Critique Sheet i" eA BL yo 8 r LIZ— _� ��` �� '��i.e.J�►� ems. , 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 Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 �'� o•� Tel: (305) 795.2204 Fax: (305)756.8972 Permit No: R..Clq g a- Page 1 of 1 Structural Critique Sheet I A H cL/�--rA-f� bAo ck- -c-pt�Lcp )- ,v) P — �nn� e 4� ti�,r�Q�,re�.•.-t' �b',r LP�.,,r�Q w �^� °� Y- L� y s �3r J v pp p� I j7 p o...a...., J'rG4v..' Ol/�- zt/�eC,� T�e�wr�+•� Ate,.. o,.Q,� 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 Ify F YAZDANI Inc REGISTERED PROFESSIONAL ENGINEER STRUCTURAL ENGINEERING DESIGN & ANALYSIS September 13,2014 Building Department 10050 NE 2 Avenue Miami Shores,Florida 33136 Re: Responses to Structural Critique Castro Residence 9811 NW 1 Avenue Miami Shores,Florida Permit No.: RC14-1825 Dear Building Official; Please find the following responses to the structural critique comments dated 9/27/14: 1. Provide shoring details. Shoring details are added to the structural sheet 1 of 1. 2. Graphically,the connection of steel tube to existing wall is not possible. This is a standard detail of attaching structural steel tubing to existing concrete/masonry walls. As indicated on the New Steel Beam B2 Details,there will be 1.5" cutouts made in the front face of proposed steel tubing to install new anchors bolts onto the back side of the tubing attached to the existing wall. 3. How are the wood headers connected to the top plate of the columns. There is only one wood header that is bearing on one side on the existing concrete tie beam with the details shown and on the side is attached with hangers to 2x 10 wood nailers that are bolted to the proposed steel beam. Please see view 1 as indicated on structural sheet 1 of 1. The wood header will not bear on the steel columns. 4031 NW 54th Court, Coconut Creek, Florida 33073 Phone: 561-271-0832 Fax: 954-775-0534 FYAZPE®GMAIL.COM Page 2 of 2 4. The dimensions for the span of the beams on the plan and elevations are different. The dimensions are corrected to match. Design calculations accompany this critique response letter. 5. C 1,B 1,B2,Hangers A&B are not identified on plan. Please see structural sheet 1 of 1 that clearly identifies all new columns,beams,and hangers. 6. In the elevation(3-2x)wood beam is shown. Where is it located on plan. The (3)-2x10 wood header is beam B1 and it is marked in the plan. 7. There is no importance factor in ASCE 7-10. Very good comment. Design load table is corrected on structural sheet 1 of 1 and design calculations. 8. Specify codes of practice for the materials. The applicable codes references are added to the General Notes of structural sheet 1 of 1. The revised plans, design computations,and this responses sheet to the structural critique is submitted for your review and approval. If you have any questions,please feel free to call me. Sincerely, PZAD Y /,��� O �.�CEI�s •. 2 Farza.d Yazdani,PE No 42988 : * — Florida PE No. 42986 o * STATE OF ; do "41 4;pN i i , Miami Shores Village RECEIVED Building Department JUL 11014 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 BUILDING J Master Permit No.-y'0 —� PERMIT APPLICATION Sub Permit No. BUILDING ® ELECTRIC ® ROOFIr--�: ❑ REVISION ® EXTENSION ❑RENEWAL PLUMBING ❑ MECHANICAL MPLIBLIC ❑ CHANGE OF CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 9811 NW 1 St Ave yr4w _.� City: Miami Shores County: Cis Miami Dade Zip: Folio/Parcel#:11-3101-033-0080 Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: X BFE: FFE: OWNER:Name(Fee Simple Titleholder): Cibi( IA-)w ST' Avg- Phone#: '3CS 47't Hrfo k i Address: ON 11 P k) I S-1 A✓E City: M I or"I S 169-QS State: FC- Zip: 33 tSz� Tenant/Lessee Name: Phone#: Email: E�L,Pt2 i0. Urc�n�7.+4[-G�.oZ3 �. a M+14i 1.,. Gomel CONTRACTOR:Company Name: / (1 �L�3�y �°� Phone#: 3 q5--7176 1 Address: z 1 00 .5--1 1 3 & City: /r4,1f State: Dy Zip: ?s/ Z?G Qualifier Name: `'°b'"q q 1 Phone#: �`t 3(/T- g768 State Certification or Registration#: Certificate of Competency#: DESIGNER:Architect/Engineer: CSpace Architecture and Design Inc. Phone#: 305 433 2210 Address:4530 N. Hiatus Rd Suite 101 City. Sunrise state: FL Zip: 33351 Value of Work for this Permit:$ t'OP . °" Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace Demolition Description of Work: J2`'' "'� °`rah `��r, �>'�e.�, f'�'��'�'•~t Specify co r a er��l hIfh Nti 4 � id R � Submittal Feel e,! F'`t i 'S° �'Pertnit'1 e $ CCF$ CWC $ rt+ Scanning Fee J ` Redon Pee$ DBPR Technology Fee 5 Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Revisedo2/24/2014) 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. F "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 reinspe ion fee will be charged. Signature Signature --_. O ERrENT CO CT0R The foregoing instrument was ac nowledged before me this The foregoing instrument was acknowledged before me this day of 20 14- ,by �day of 20��by who is personally known to t/ ,who 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: e , Sign: Sign: Print: Irt+�l iU a Print: Seal: Seal: TRINA UReAEZ-RIERTES ` L-9;r Notary Public-State of Florida �!;' a.,,, TRINA URBAEZ•RIER7:!2 fMly Comm.Expires Apr 19,2018 •` i Notary Public-Sats ofgs' " aspep'J 1)JJn F Ires 11���.,.. . . .a . ... ...s...+r+r.�t..�+...w� . , � ORIIti8e �isCC 11Ided Through Nadoml Notary Assn. -1M °p• Bonded Through National Not APPROVED BY lsb Plans Examiner zoning Structural Review Clerk (Revised02/24/2014) r , STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 1940 NORTH MONROE STREET •� � `- TALLAHASSEE FL 32399-0783 VALLEJO, ROBERT JESUS ALLIGATOR CONSTRUCTION INC 7749 SW 34 TER MIAMI FL 33155 STATE OF FLORIDA AC# 635544. 1 Congratulations! With this license you become one of the nearly one million DEPARTMENT OF BUSINESS AND Floridians licensed by the Department of Business and Professional Regulation. PROFESSION REGULATION Our professionals and businesses range from architects to yacht brokers,from boxers to barbeque restaurants,and they keep Florida's economy strong. CGC150`9421 -10 1,14 :12 127016015 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. CERTIFIED ;GONTRACT4R There you can find more information about our divisions and the regulations that VALLEJO, R(3�8R `'JNS�TBj impact you,subscribe to department newsletters and learn more about the ALIGATOi '" U, 140N INC Department's initiatives. Our mission at the Department is:License Efficiently, Regulate Fairly.We constantly strive to serve you better so that you can serve your customers. IS CERTIFIED Under the provisions of chA89 Fs Thank you for doing business in Florida,and congratulations on your new license! Sxpiratioa dates AUG 31, 2.014 L- 1109.1102236 DETACH HERE THIS DOCUMENT HAS A COLORED -.- 3 :5 4 "1 STATE OF FLORIDA DEPARTMENT..`"OF 8USINES AND PROFESSIONAL >REGULATION CONSTRUCTION INDUSTRY LICENSING $OARD SEQ#L12091102236 �. LICENSE NBR,,� y 'Dg:...11. Q2, 127015015 CGC150Q4. , . : � Y _ The 0$XERW CONTRACTOR ^' t Nimed belOw I`SCERTIFIED "Under the provisions of Chap tt Expiration date: AUG 31, 2014 - F VALLEJO r RQSNR.T JESUS ALLIGATOR CONSTRiTCTIQN .INC 7749 SW 34 TER MIAMI FL 33155 RICK SCOTT+ KEN LAWSON GOVERNOR SECRETARY DISPLAY AS REQUIRED BY LAW �r r. Local Business Tax.Receipt. ... Miami-Dade County, State of Florida 1 -THIS IS NOT A BILL-DO NOT PAY LBT '� .5881561 gLaMES$NAME/LOCATt011i RECEIPT'00. EXPIRES AWGATORCONSTRUMN INC RENEWAL SEPTEMBER 30, 2014 2500 SW 92 PLACE 6134803 kAuat be displayed at paean of business MM,R 33165 Pursuant to County Codd Chapter$A-Art.9&10 SEC.TYPE OF BUSINESS OtNh1ER PAYMEN TANCEIVED ALS MR CONSTRUC»`RC)hi INC 196 G IERAL BUILDING BY TAX COLLECTOR T ' 82.50 10/07/2013 Warket(s) 1 CGC1�t 4210227-14-gW l30 This l'inea Loam asss Tax pecipt only eon tl4$peymeataf the Loeal8twiaesa Tax.'h Receipt is tat a license, Perm it,o a cafiEeatioo the header's gdallocations,to do business.Holder mast 410ply with as governmental er song—seweotal regq story laws and�egalraaiegtswklob apply t5 the buslueS The RECEIPT N0.above most be dispoyed on btion,visMlaaE commercial ve6daa Mlawl4ade C Tar more Info ode Sga$a�7fi: itwuvwmidedgaorftaysAdtactor l ' 110701-30 4/13 10-12-2012 JEFF ATWATER STATE OF FLORIDA CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 10/12/2012 EXPIRATION DATE: 10/12/2014 PERSON: VALLEJO ROBERT J FEIN: 202736948 BUSINESS NAME AND ADDRESS: ALLIGATOR CONSTRUCTION INC DBA ALLIGATOR CONSTRUCTION INC 12100 SW 132 COURT SUITE 101A MIAMI FL 33183 SCOPES OF BUSINESS OR TRADE: 1- LICENSED GENERAL CONTRACTOR IMPORTANT: Pursuant to Chapter 440 . 0504►, F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05112►, F.S., Certificates of election to be exempt... apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.0503), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. QUESTIONS? (850) 413-1609 DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01-11 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA IMPORTANT DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS'COMPENSATION Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who CONSTRUCTION INDUSTRY 0 elects exemption from this chapter by filing a certificate of election CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA L under this section may not recover benefits or compensation under this WORKERS'COMPENSATION LAW 0 D chapter. EFFECTIVE: 10/12/2012 EXPIRATION DATE: 10/12/2014 Pursuant to Chapter 440.05(12), F.S., Certificates of election to be PERSON: ROBERT J VALLEJO H exempt.. apply only within the scope of the business or trade listed on FEIN: 202736948 E the notice of election to be exempt R BUSINESS NAME AND ADDRESS: E Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt ALLIGATOR CONSTRUCTION INC and certificates of election to be exempt shall be subject to revocation DBA ALLIGATOR CONSTRUCTION INC if, at any time after the filing of the notice or the issuance of the 12100 SW 132 COURT SUITE 101A certificate, the person named on the notice or certificate no longer meets MIAMI, FL 33183 the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the SCOPE OF BUSINESS OR TRADE: person named on the certificate to meet the requirements of this 1- LICENSED GENERAL CONTRACTOR section. QUESTIONS? (850) 413-1609 CUT HERE Carry bottom portion on the job, keep upper portion for your records. DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01-11 DATE CERTIFICATE OF LIABILITY INSURANCE 07/18/M/DD/YYYY) 07/18/14 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WANED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CAME:ONTACT DAVID E.GIL N Gil&Associates Insurance PHONE (305)279-7665- F C No: 9485 S.w 72 St Suite A-120 E-MAIL Miami,FL 33173 PRODUCER CUSTER ID Phone (305)279-7665 Fax (305)279-9705 INSURER(S)AFFORDING COVERAGE NAIL n INSURED INSURER A: GRANADA INSURANCE COMPANY ALLIGATOR CONSTRUCTION,INC. INSURER B: TRAVELERS 7749 SW 34 Ter INSURER C: Miami,FL 33155- INSURER D: INSURER E: 305 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. INTYPE OF INSURANCE LTR ADDL SUB P LI EFF POLICY EXP LIMITS INSR WVD POLICY NUMBER M D (MM/DD GENERAL LIABILITY EACH OCCURRENCE $ 1000000 0 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED nce $ 100000 PREMISES Ea occurre ❑ ❑ CLAIMS-MADE ® OCCUR 0185FL00039550 MED EXP(Any one person) $ 5000 A ❑ Y 09/25/2013 09/25/2014 PERSONAL&ADV INJURY $ 1000000 ❑ GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 0 ❑ POLICY ❑ PRO- ❑ LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 500,000 (Ea accident) ❑ ANY AUTO BODILY INJURY(Per person) $ ❑ ALL OWNED AUTOS BA-1A848262-13 BODILY INJURY(Per accident) $ B V SCHEDULED AUTOS Y 05/20/2014 05/20/2015 El HIRED DAMAGE $ HIRED AUTOS (Per accident) NON-OWNED AUTOS COMP/COL $ ACV ❑ UMBRELLA LIAB ❑ OCCUR EACH OCCURRENCE $ ❑ EXCESS LIAB ❑ CLAIMS-MADE AGGREGATE $ ❑ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION W C Y LIk OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ Ifyes,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) General Contrator CGC 1509421 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Village of Miami Shores ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2 Ave Miami Shores Village FL 33138 AUTHORIZED REPRESENTATIVE ©1988.2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09)OF The ACORD name and logo are registered marks of ACORD F YAZDANI Inc JOB gril 61W A&2mv, 4031 NW 54th Court SHEET NO OF #' Coconut Creek, Florida 33073 CALCULATED BYE � �s DATE -7 Phone: 561-271-0832 Fax: 954-775-0534 CHECKED BY ���;`T� '' FYAZPE®GMAIL.COM / SCALE p^� ®1 • 7` • • i • R_ fT �• A s O .� 0 STATE OF 41 Z N40 RID %NAL ' o® _. live- foaJl, kap a® � _ _. .v111111.o����� � .. ......... s.p . . Q ®._. .�a.�........ Vie ... ......... ................ ... ......__. .......... .. _. _ _.. �� � '........ Zvs..a'._��...'.®.�'�..._................. .._ ............ ... ..........:.............. .. .._ .�...,�.....���_.... :............... .. .. ................... .............. ... 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PI�d1.721F1(9ep6S6tlt��S1 IP�Ald) . . . • . . . • : : xl-j r-e yr xa-o+a • 0 0 .. _.N. fig /6' _'_ • • ••• ••• m000 00 Famigr Room • ••• • :••0.1 00 • • 0 ` • • • • + ,8 Sag' 14•,5��/ a Q` i 16p I i �Xg mit 12 � b • p l000AenOWN ROOM { e i y aAll { t3 b aachmd suff000m 4uvkgv RD= m x I to xr-o+rr 1e O•x+Y• O � � � Yed�Bedroom e b c � ®� 4 u-e+m xs•a is-+r r -1 Lev 1 Pto 1 Miami Shores Village 7UG EW Building Department 1201410050 N.E.2nd Avenue,Miami Shores,Florida 33138 CBY Tel:(305)795-2204 Fax:(305)756-8972 ° INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 201® BUILDING Master Permit No. . /Z/— PER IT APPLICATION Sub Permit No. UILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP / \ CONTRACTOR DRAWINGS JOB ADDRESS: _ / /� *e--- City: Miami Shores County: Miami Dade Zip: 55/50 Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simplle.Titleholder : Phone#: Address: � I`l�l l / /��J / r 1��y,1'e - 2� City: 9 ' ���(',r�5 State: '�/ Zip: �J�S Tenant/Lessee Name: p� Phone#: Email: y1 -o 0 5 mou CONTRACTOR:Company Name: rT�-` ��Q o,dJ• Phone#: Address: City: State: Zip: Qualifier Name: Phone#: State Certification or Registration#: Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ i'V ? ®� Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑] New ElRepair/�R�e/,place El Demolition Description of Work�1/ M LI ®� K1` e_7 n Q'--'T/1 aw m-t' :F (�D�j �! 1 f� 1 D66a -I , Specify color of color thru tile: Submittal Fee$ e 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$ (Revised02/24/2014) 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 f Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of 20 by day of 20 by o is personally kn�own to who is personally known to me or who has pro ed as me or who has produced as identification and4w o identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Si tint: state of Flordda Print: Joanna M Feliciano Seal: v My commission FF 082751 Seal: OF ft� Fxpires 01/12/2018 APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Joanna Feliciano From: Vanessa Castro <vlcastro03@gmail.com> Sent: Friday, September 05, 2014 8:53 AM To: Joanna Feliciano Subject: 9811 NW 1st Ave 1. Provide code legend. Code in effect, level of alteration,construction type, and use. Code legend located on sheet A001 in the upper right side under scope of work and applicable code. 2.On site plan reflect the location of the utilities servicing the building. This is being added to the site plan sheet A101. 3. Provide details and specifications for the improvement or modification of the existing aluminum porch. The modification should comply with the requirements of the Florida Building Code Residential. Provide details from the foundation to the roof. Note that wood is not allowed under Miami Shores Ordinances as a structural member on the exterior walls of the building. Details for the porch are located on sheet A502. The only wood in the structure of the porch is the 5/8" CDX plywood sheathing, this will be changed to another suitable sheathing material. 4.Provide width of the corridors. The dimensions of the corridors will be added to sheet A103. 5. Provide roof framing plans with details and specifications including the roof slope. The existing roof structure is not going to be modified, with the exception of the aluminum porch, details of porch framing located on sheet A502. The existing ceiling joist will be modified, details of ceiling joust modification located on sheet A503 i JOB i F YAZDANi !nc 4031 NW 54th Court SHEET NO f OF_4+ Coconut Creek, Florida 33073 Phone: 561-271-0832 CALCULATED BY_ rK F'w DATE f Fax: 954-775-0534 CHECKED BY DATE FYAZPE®GMAIL.COM —�-- - SCALE Fri _ _ A 42986 - • do ST t � _ O ATE _ � • • 's to 'o• ' RID•,,. •...... `e % 1 MAT,XZ e_. p . r€ �� _. X.� ..... .... 75 . .F E ®c _. .................... ... .. .. .. '�.�.`•cam. - -110 ... ... ........... ........ .. �� ,.__�.t..l..:r.-.8' p.._ ._� � ............... 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