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DS-15-1632 Miami Shores Village 10050 N.E.2nd Avenue NW Miami Shores,FL 33138-0000 Y � Y yCa tt; Phone: (305)795 2204 i A Expiration: 04113/2016 Project Address Parcel Number Applicant 125 NW 100 Street 1131010220320 JACOB GRIESBACH Miami Shores, FL 33150- Block: Lot: Owner Information Address Phone Cell JACOB GRIESBACH 275 NE 18 Street (305)444-6563 MIAMI FL 33132- 275 NE 18 Street MIAMI FL 33132- Contractor(s) Phone Cell Phone Valuation: $ 4,000.00 AMENGUAL ELECTRIC INC .. ....... Total Sq Feet: 1200 Approved:In Review Available Inspections: Comments: Inspection Type: Date Approved::In Review Final Date Denied: Foundation Type of Work:PAVER DRIVEWAY Additional Info: Review Planning Bond Return: Classification:Residential Review Planning Scanning:3 Review Planning Review Building Review Building Review Building Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Bond Type-Owners Bond $500.00 Invoice# DS-6-15-56172 CCF $2.40 DBPR Fee $2.25 10/16/2015 Check#: 1394 $769.90 $50.00 DCA Fee $2.25 06/30/2015 Check#: 1317 $50.00 $0.00 Education Surcharge $0.80 Bond#:2879 Permit Fee $150.00 Scanning Fee $9.00 Technology Fee $3.20 Work without Permit Fee $150.00 Total: $819.90 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 AI IT: 1 ce 'fy that e f egoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction a z nin . F t r ore, u o ize the above-named contractor to do the work stated. October 16, 2015 Autho ze Sig nature:Owner / Applicant / Contractor / Agent Date Building Department Copy October 16,2015 1 I � - Miami Shores Village (101 JUN 3U 015 Department De Building p V . �,A 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 �I }� Tel: (305)795-2204 Fax: (305)756-8972 c INSPECTION LINE PHONE NUMBER:(305)762-4949 FBc Zo CO� BUILDING Master Permit No. PERMIT APPLICATION Sub Permit No. 14 BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS 10B ADDRESS: 12--S ki(j {�o I v® S+ City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 1 I -_ 1@)- 0_5 zo Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type:7C2,iz (Flood Zone: BFE:,,� (FIFE: / OWNER: Name(Fee Simple Titleholder): A _S H Phone#: 33. - 7 6,%3 Address: ...,) QUC_ City: /A M I State: I Zip: Tenant/Lessee Name: Phone#: Email: jbs`e �1 1z A/i CONTRACTOR:Company Name: Amelugozd 2-,Vc Phone#: " 63�V Address: . / 5 U) ` �' �Z j i Y City: f / A A-,'/ State:_ �/ Zip: Qualifier Name: j . Aly e/y CJUA` Phone#: 25V V10 _�- 34 l` State Certification or Registration#:Ce .13 ® Y Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ /i 000 . 11 0 Square/Linear Footage of Work: / c) Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ lace Re air Re p / p ❑ Demolition Descriptio:+of Work: ��ry Specify color of color thru tile: Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ VZ Structural Reviews$ Bond$ _ �_ TOTAL FEE NOW DUE$ 2-6 q . 0 (Revised02/24/2014) Q o 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$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. y Signature "� �(y�° Signat OWNER or AGENT ONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this Z�1 dayof ,) K'�� ,20 iJ by day of 20 P by who is personally known to who is person I�� to me or who has produced t JS t�'I 6`( "i _as me or who has produced (!3 as t identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: i Sign: Print: Print: �EAt?$WAU Line Lassa �.- a s Seal: `•a� : ° �' > 'et�I�Y0. 0M e° MMISSION FFO ON Seal: �an,M s>s oiss lAmfh►rotayservieacom EXPIRES:AUG 05,2017 i rl APPROVED BY / i Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULA'nO CONSTRUCTION INDUSTRY LIGENStF+IG BOARD , I ------------- cr_U< 13F The GEN. CCIyTRACTO Named below lS GFR7IFIEip Under the provisions Of Chapter 483 l'S f:X,Xrat+.rsn crate: AUG ,€MENGUAL, BERNARD AMENGUAL ELECTRIC INC s 3862 NW 12TH TERR MIAMI F.3,,112 ISSUED` 07r24,12014 DISPLAY AS REQUIRED BY LAW }E04 1.1407240001127 BROWARID COUNTY LOCAL BUSINESS TAX REMPT 115 S. Andrews Ave., Rm. A-100, Ft, Lauderdale, FL 33301-1895 - 954-831-4000 VALID OCTOBER 'I,2©14 THRQUGH SEPTEI�BER3 30,2 015 DSA: Receipt#-180-'1938: Business Name:` srrtrA>� ELECTRIC INCBusiness'typte;c�t�"PAL rcrrl ext NTRACrOR ;e " Owner Name:BERNARD At, tEN uAL Business Opened:a 0/0 g/20 o Business Location: 3853 MW 12 TERx State/CouintylCert/Reg:CGC0037011 MIAMI DADS COUNTY Exemption Code.. Business Phone:642 -2s..12 Rooms Seats Employees Machines Professionals. 7 For Venting Business:only Number of Machines: Vending Type: _.� T$x Arrtount ' Transfer i ee ~ NSF F=ee Penalty I I Prior Years C_VIe ton Co_vs-, Total Paid 27.03 0 TOO THIS RECEIPT MUST BE POSTED CO NSOICUOUSLY IM YOUR PLACE OF P"—A HIS 13ECo MES A TAX RECEIPT This tax is levied for the pr viip— non-regulatory ir, ani WHEN VALIDATED and zoning reg nni the business business locatit it is in oornpGian, Mailing , lot Address. -� ERRNARD AME;,-gGUA? 41 , ; NW 12 TERRACE „ . 33126 MIAMI•DIADE MIAMI-DADE COUNTY - STATE OF FLORIDA N/A October 01,2015 LOCAL BUSINESS TAX RENEWAL 654724 2015 -2016 APPLICATION RECEIPT.654724 STATE#CGCO03704 DBA/BUSINESS NAME: BUS.COMMENCEMENT DATE:08/24/1988 AMENGUAL ELECTRIC INC SEC TYPE OF BUSINESS BUSINESS LOCATION: BLDG1 GENERAL BUILDING CONTRACTOR 3851 NW 12 TERR**** 10 MIAMI,FL 33126 OWNER/CORP. APPLICATION DETAILS AMENGUAL ELECTRIC INC FEE AMOUNT PHONE# 305-642-2612 Receipt Fee 30.00UMSA Fee 0.00 3851 NW 12 TERR Beacon Council Fee 15.00 MIAMI,FL 33126 Bingo Permit Fee 0.00 Nightclub Permit Fee 0.00 Multi-Municipal Contractor Fee 0.00 Restricted Contractor Fee 0.00 Library Fee 0.00 Transfer Fee 0.00 NAICS CODE: 2389 Doing Business without a License Penalty 0.00 Late Penalty 0.00 Collection Cost 0.00 NSF Fee 0.00 Prior Years Due 0.00 Amount Recently Paid - 45.00 TOTAL AMOUNT DUE: 0.00 ................................................................................................................................................................................................................................................................................................................. If no longer in business,please notify us in writing. To pay online go to www.miamidade.gov/taxcollector Review and correct the information shown on this application. To pay by mail, make check payable to: Miami-Dade County Tax Collector A 25%penalty will be assessed to anyone found operating Business Tax without a paid local business tax, in addition to any other 200 NW 2nd Avenue penalty provided by law or ordinance(Sec 8A-176(2)). Miami FL 33128 To pay in person go to A Certificate of Use and/or City Business Tax 200 NW 2nd Avenue Receipt may also be required. (305)270-4949,fax(305)372-6368 A service fee of not less than$25.00 up to a minimum of 5% will be charged for all returned checks. t RETAIN FOR YOUR RECORDS t ................................................................................................................................................................................................................................................................................................................. MIAMI-DADE COUNTY- + DETACH HERE AND RETURN THIS PORTION WITH YOUR PAYMENT + N/A October 01,2015 STATE OF FLORIDA LOCAL BUSINESS TAX RENEWAL 2015 -2016 APPLICATION I RECEIPT.654724 654724 STATE#CGC003704 BUSINESS LOCATION: 3851 NW 12 TERR**** MIAMI,FL 33126 BUS.COMMENCEMENT DATE:08/24/1988 SEC TYPE OF BUSINESS OWNER/CORP. BLDG1 GENERAL BUILDING CONTRACTOR AMENGUAL ELECTRIC INC 10 APPLICATION IS HEREBY MADE FOR A LOCAL BUSINESS TAX RECEIPT OR PERMIT FOR THE BUSINESS PROFESSION OR OCCUPATION DESCRIBED HEREON.I HAVE BEEN INFORMED OF ALL ZONING RESTRICTIONS IMPOSED ON THIS RECEIPT, I SWEAR THAT THE INFORMATION IS TRUE AND CORRECT. AMENGUAL ELECTRIC INC AMENGUALBERNARD 3851 NW 12 TERR SIGNATURE REQUIRED SEE INSTRUCTIONS ABOVE MIAMI,FL 33126 Please pay only one amount.The amounts due after Sept 30th include penalties per FS 205.053. If Received By Oct 31,2015 Nov 30,2015 Dec 31,2015 Jan 31,2016 Please Pay $0.00 $0.00 $0.00 $0.00 7000000000000000000000000654724201600000004500000000000003 THIS MOST BE ON A B L T G EKING AND TESTING CONSULTANT E ING IES ERS-INSPECTION SERVICES-CHEMIST-DRILLING-ENVIROMENTAL S ICES 7ENGPINEERING -Phone: 305-888-3373 Fax: -4 Hialeah Gardens,Florida 33018 Pho � est oait C-4, H?INS"PECTIU"'tl OCTOR COMPACTION TEST ASTM D-1557 0� ' py Date October 215`, 2015 Order Number 15-375 Client AMENGUAL Electric,Inc. Address 3851 1 NW 12t'Terrace,Miami,Florida 33126 Pro'ect "SFR" Address 125 NW 1001 Street,Miami,Florida Sam le Location Stock pile at the 'ob site Soil Descri tion Sub rade: Grey Sand with Rock Sampled b Asad Re orted to TEST RESULTS � _`� �s_(p� �S=l� ��; Laboratory Number 15-375 Sample Number: 01 and�o The following compaction test was conducted m accordance with the standard methods for Moisture/Density relations of soil using a 10 to aamme crop A-ASHTO designation T-I80-C. Moisture Dry Density7 p nsii vs % Moistu� 11 12 7 101.1 5 6 9.2 105.5 11,1 103.3 Optimum Moisture 9.2 100%Max,Dry Density 105.5 98%Dry Density 103.4 95%Dry Density 100.2 N Gradation test passing 3/4"Sieve 93.00% Z W Sampled By Asad j Tested By SS Checked By ss % MOISTURE Typed By we -------— - Respec,0 -a rrlitted by, . . . . . . . . �` ,"I MCTe 2415 QCT' 3 0 2015 Gilber o Gauarrete, P.E. #51371 • ••• ... ALL STATE ENGINEERINIG & -- % •.. •, TESTING CONSULTANTS, INC. Should any subsoil conditions in the property(area)tested be found different from those encountered on the tested locations reported on our Density Test, All State Engineering&testing Cons&i44ptsolnc.iv�nqj to be held responsible. — As a mutual protection to client,the p4lic Ind ou i el:es,�11 r•port4i are s• mitted as the confidential property of clients,and authorization for publication of statements,conclusions or extracts fro ffli ou erer%r e e e rvea ;•.�; s , ALL STATE ENGINEERING AND TESTING CONSULTANTS, INC. ALL Cy"C E, TESTING LABORATORIES-ENGINEERS-INSPECTTON SERVICES-CHEMIST-DRILLING-ENVIROMENTAL SERVICES �NEfEIilfi 12949 West Okeechobee Road,Unit C-4,Hialeah Gardens,Florida 33018-Phone: 305-888-3373 Fax:305-888-7443 Field Density Test of Compacted Soils ASTM D-5195 Client: AMENGUAL Electric,Inc. Order# 15-1 1 Address: 3851 NW 12' Terrace,Miami,Florida 331.26 Date: 10-21-15 Pro'ect. "SFR" Gau e# 23599 Address: 125 NW 1001 Street,Miami,Florida Phone No: Attention: Lab ID # Location 15-2126 Driveway Slab East Area 15-2127 Driveway Slab Center Area 15-2128 Driveway Slab West Area Descri tion o Material Gre Sand with Rock Back Fill Sub rade x Base rock Sampled By: Tested BY: Laboratory Identification Number 15-2126 15-2127 15-2128 Test Number 1 2 3 Depth in Inches 12" 12" 12" Field Density LB/Cu Ft. (Dry Density) 106.1 106.4 105.7 Moisture Contents 8.0 8.2 7.9 Maximum Density In the Field(%) 100.6 100.9 100.2 Compaction Requirement by Specs % of 98% 98% 98% Maximum Density 100%Maximum Density (Lab) 105.5 105.5 105.5 Proctor T-180 AASHTO Method C 15-375 15-375 15-375 rTypoisture (%) 9.2 y Asad SS we dr Respect���,s�,s�,i�t�Ce 'Y, I� .. ... o . 0292015 . . . . . . . . .. ... .. . . . .. Gilberto Gavarrete,P.E. #51371 ••• ••• ALL STATE ENGINEERING & •• % % % �• : : TESTING CONSULTANTS, INC. 0.0 Should any subsoil conditions in the property(area)tested be found different from those encountered on the tested locations reported on our Density "fest,All State Engineering&testirlg,iVpn zltant I c.is not to beheld responsible. r publication of As a mutual protection to client,the pudic 2t d ousel�e� all r�port�are s miffed as the confidential property of clients,and authorization fo statements,conclusions or extracts from ougreport`i e:rvea :• 00 gs dnau') /00 < �` -�r��� Gwot s Fl_ LOT 2 LOT 3 A1= 89'48'13" (P) SET 1/2" BLOCK 4 BLOCK 4A2= 90'11'47" (P) t * IRON ROD SET 1/2- LB# 7893 IRON ROD LB# 7893 0.4' 7&W 0.7' • .t x _x x x x x Al ! A2 O 4 O W. 1/2 OF E1 OF LOT 11 11 BLOCK 4 BLOCK 4LOT 10 LOT 9 NOT 1C1 UDI I BLOCK 4 BLOCK 4 INCLUDED STORAGE o ; X 1 0 STORAGE a 0 { I LU 1� ^ 1r, AC SrBUILDING 5' tq 11.7' 9.7, 9.2 0.7'-_ 00 9! #125 N O N i t 56.1' FOUND 1/2" 9'0, IRON PIPE 0 g S.W. CORNER OF LOT 12 0.p ca BLOCK BLOCK 4 tV CORNER �r 25.00' A2 50.4Al 160.38' (P) 75.00' (P) ®ww t FOUND 1/2' SET 1/2- IRON /2"fRON PIPEh �Ivi o U3#N 7RO 89D3 FOUND 1/2- E6 IRON PIPE `-4 0.5' EAST s-_- N.W. 100th STREET I —{ — FOUND 1/2" RAW IRON PIPE 0 N.E. CORNER 77­ - OF THE W. 1/2 SURVEY NOTES OF LOT 4 THERE ARE FENCES NEAR THE `� `-------__ � BLOCK 5 BOUNDARY OF THE PROPERTYHA2 BRICK DRIVE CROSSING PROPERTY — -- 75.00' (P) BOUNDARY ON SOUTHERLY SIDE OF LOT ��� of PROPERTY SUPPLIED BY CITY WATER AND SEWER PAGE 2 OF 2 PAGES . ,. A 9 E ° I `N BOUNDARY... _ ►3 V 1\�1.:� 1 LB#7893 9w 1 F I C4, •• r•• • • t �� 4 No.2883 � • • •• • • • • • _ . 7ARGET SURVEYORSCERtlFlCgn!• •' • • • •• ������� � LLC IHEREBYCER77FYTHAT THIS BOUNDARYSURVEY � ISA TRUE AND i A fNON a ••• •i• 0e STATF0 ' revNOT jj/j� ,{ A7ME CT l�� ; SERVING ALL FLORIDA COUNTIES q s u a v c Y ORA RAISED EMQQ*ED Ok AND SPAR)IFA • • •• Digitally signed by • • 6250 N.MILITARY TRAIL,SUITE 102 Clyde O•DNac0=Clyde McNeal WEST PALM BEACH,FL 33407 (561 0.48W McNeal.c=us PHONE )64 McNeal 4b oe i t • • • ••• • • FACSIMILE (561)640-0576 (S/GNED) STATEWIDE PHONE (600)226.4807 STATEWIDE FACSIMILE (800)741-0576 CLYDEO.udwAt,PROFESSIONAL SURVEYORANDAwrER •; ; ; • • • J,Z S Ajo /00 5� 5-//O."?os S6 A1= 89'48'13" (P) ' LOT 2 LOT 3 2��� SET 1/2" BLOCK 4 BLOCK 4 SET 1/2" A2= 90'11'47" (P) AUGQ IRON ROD IRON ROD fa l] LB# 7893 LB# 7893 s t 0.4' MOW 0_7 Z Al A2 o iI w � 6 W. 112 OF j E. 1/z OF U BLOC11 4 4 C 1+1 C +q u ,�-� Z O INCL (NC1D ' BLOOCt 4 wd- r STORAGE t CIO ~ 11 Wf a �j -STORAGE`• Nd o } RC LLL T G 24.5' T 11.T n �SPA Z1 `e`� t0 d '_, 9.2 10.T'r c6 c5 c�a BUILDING m 0 0) 9.2' #125 0 +-- Z u_ Q O cn S 56.1' ZINC leocA FOUND 1/2" 9.0' In 9.9' A 4 1� IRON PIPE CSD ? f S.W. CORNER OF LOT 12 x w G $5ti +o BLOCK BLOCK 4 N ' J (V CORNER m Al 25.00' 25.00 fl.3' 00 160.38' (P) � 75.00' (P) ® M FOUND 1/2" SET 1/2" IRON PIPE a Q IRON ROD FOUND 1/2" ui LB# 7893 IRON PIPE L- N 0.5' EAST N.W. 100th,.STREET —50.0' R W — IRON NPIPE/ N.E. CORNER T ti OF E W. 1/2 SURVEY NOTES OF LOT 4 THERE ARE FENCES NEAR THE BLOCK I5 BOUNDARY OF THE PROPERTY A2 I 75.00' (P) 1 BRICK DRIVE CROSSING PROPERTY BOUNDARY ON SOUTHERLY SIDE OF LOT PROPERTY SUPPLIED BY CITY WATER AND SEWER PAGE 2 OF 2 PAGES A 9 ° I C N BOUNDARY SITRV.EY LB; rsga Z I F I � F 4y 6R AT9< 4 No 2883 F TARGET SURVEYORS CERTIFICATE �vw�fifi� C 9 W ° a I HEREBY CERTIFY THAT THIS BOUNDARY SURVEY ISA TRUEAND CORRECT REPRESENTATION OFA s t SURVEYPREPARED UNDER MYD/RECnON eA��+ R� f F STATE OF „ NOT VALID WITHOUTANAUTHEN TICATED ELECTRONIC SERVING ALL FLORIDA COUNTIES �p t 0 R I D P p� SIGNATUREANDAUTHENTICATED ELECTRONICSEAL., A L S U R V e ORA RAISED EMBOSSED SEAL AND SIGNATURE Clyde de O.Digitany signed by 6250 N.MILITARY TRAIL,SUITE 102 Clyde o.McNeal WEST PALM BEACH,FL 33407 7 DN:CN=Clyde O. PHONE (561)640 M -4M p i McNeal C=US (SIGNED) CNBa� Date:2014.04.11 FACSIMILE (561)640.0576 13:11:08.04'00' STATEWIDE PHONE (800)226.4807 CLYDE O.McNEAL,PROFESSIONAL SURVEYOR AND MAPPER#2883 STATEWIDE FACSIMILE (80D)741-0576