CC-15-2008 P trtlf NCS, CC-8-1,,'$'-' 2008
oR£s PeM4.rype: o1lx mer ial.Co stru tion
1g�}rt�., Miami Shores Village
n�M 10050 N.E.2nd Avenue
work classification:Alteration
Miami Shores,FL 33138 0000 Permit SfafttS:APPROVED
ys Phone: (305)795-2204
f`°R'°A Expiration: 03/07!201
I"ue gate:9/912015 p
Project Address Parcel Number Applicant
10000 BISCAYNE Boulevard 1132050200010
MIAMI SHORES VILLAGE
Miami Shores, FL Block: Lot:
Owner Information Address Phone Cell
MIAMI SHORES VILLAGE
Contractor(s) Phone Cell Phone Valuation: $ 50,000.00
i
ARCO CONSTRUCTION 305-892-6507 Total Sq Feet: 750
Approved:In Review Available Inspections:
Comments: Inspection Type:
Date Approved::In Review
Window Door Attachment
Date Denied: Tie Beam
Type of Construction:BAR RENOVATION Occupancy Load: Slab
Stories: Exterior: Termite Letter
Front Setback: Rear Setback: Framing
Left Setback: Right Setback: Store Front Attachment
Plans Submitted:Yes Certification Status: Insulation
Certification Date: Additional Info: Drywall Screw
Bond Return: Classification:Commercial Final PE Certification
Window and Door Buck
Scannin :4
Gelling Grid
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Fill Cells Columns
CCF $30.0o Review Planning
Invoice# CC:-8-15-56662 Review Electrical
DBPR Fee $22.50
09/09/2015 Check#:70209 $ 1,637.00 $0.00 Review Plumbing
DCA Fee $22.50
Education Surcharge $10.00 Review Plumbing
Permit Fee $1,500.00 Review Plumbing
Scanning Fee $12.00 Review Building
Technology Fee $40.00 Review Building
Total: $1,637.00
Review Plumbing
Review Structural
Review Mechanical
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 zoning. Futhermore,I authorize the above-named ontr or to the work stated.
September 09, 2015
Authorized Signature:Owner / Appli nt Contracto / Agent Date
Building Department Copy
September 09,2015 1
Miami Shores Village
Building Department� g p Aug 10 ZotS
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972 E5Y —
INSPECTION LINE PHONE NUMBER:(30S)762-4949
FBC209 `�
BUILDING Master Permit No. LE- =,- y
PERMIT APPLICATION Sub Permit No.
BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [:]RENEWAL
❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: i® ®®® f 'I S�giAl6 11�1L,13 i�!
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: 2zJ ` �---, Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name(Fee Simplerr))Titleholder): �1L < Phone#:� `7-:)-5
Address: 12 ���� �7 r 5� �, s2 C� (JA
City: �s :.=I ` � C-� f State:_ Zips �}�
Tenant/Lessee Name: , • Phone#f��� 2:6L�
Email: d\
CONTRACTOR:Company Name:AQOD 6014
GW C 1rJ Phone#:
Address:, o(;�:; NA;,
City: Jm )).],iV t State: Zip: 22
Qualifier Name: I't 7 Phone#:
State Certification or Registration#: G �?M®�jI &OS—Certificate of Competency#:
DESIGNER:Architect/Engineers: )(; '26 c, ';-1 ON Phone#:
Address: I (OZ O® _' SLLU ?11 City: Do State: Y-1 Zip:32
r�
Value of Work for this Permit:$_ 7 c �� Square/Linear Footage of Work: z�
Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition
Description of Work: :?2 A,-'h- V_�G b0 0 A=2C 1,QA3
Specify caor of color thru tile:
Submittal Fee'$ Permitfei V CCF$ CO/CC$
Scanning Fee$ Radon-Jrec =�+- DBPR$ �Notary$- ,
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$�0
TOTAL FEE NOW DUE$ I
(Revised02/24/2014)
Bonding Company's Name(if applicable) 04A `
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 proved and a reinspection fee will be charged.
a
Signatur l Signatur �-
OWNER or AGENT CO RACT R
The foregoing instrument was acknowledged before me this The foregoing instrument w owledged before me this
11 5 day of 20 )-�D by day of l is^ 20 1 by
�''C=22-1 who is personally known to 701j�6`I �" ,who is personally known to
me or who has produced as me or who has produced N ►k,�l s as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC• r
Sign: -'L l Y Sign. C- I
Print: re-)i juU rt-'rz -112co Print: Aiutv7- 1
Seal: "n'.'n TERESA NUNEZ-APONTE Seal:
°�= Notary Public-State of Florida •o� ^k�� iE�r
My Comm.Expires Jan 26.2018Frnfl�fb�l�l
witi<* � $J
APPROVED BY _ Plans Examiner - Zoning
Structural Review Clerk
(Revised02/24/2014)
5N CR
ES Lr
Miami shores Village
A
..aaiw
Building Department
tpRipA 10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Notice to Owner — Workers' Compensation Insurance Exemption
Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05
allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to
obtaining a building permit. Pursuant to the Florida Division of Workers'Compensation Employer Facts Brochure:
An employer in the construction industry who employs one or more part-time or full-time
employees, including the owner,must obtain workers'compensation coverage. Corporate officers
or members of a limited liability company (LLC) in the construction industry may elect to be
exempt if
1. The officer owns at least 10 percent of the stock of the corporation, or in the case of
an LLC,a statement attesting to the minimum 10 percent ownership;
2. The officer is listed as an officer of the corporation in the records of the Florida
Department of State,Division of Corporations;and
3. The corporation is registered and listed as active with the Florida Department of
State,Division of Corporations.
No more than three corporate officers per corporation or limited liability company members are
allowed to be exempt. Construction exemptions are valid for a period of two years or until a
voluntary revocation is filed or the exemption is revoked by the Division.
Your contractor is requesting a permit under this workers'compensation exemption and has acknowledge that he or she will not use
day labor,part-time employees or subcontractors for your project.The contractor has provided an affidavit stating that he or she will
be the only person allowed to work on your project. In these circumstances,Miami Shores Village does not require verification of
workers' compensation insurance coverage from the contractor's company for day labor,part-time employees or subcontractors.
BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS
CONTENTS.
Signature:
Owner
State of Florida
County of Miami-Dade
The foregoing was acknowledge before me this day of A4 UA ,20 I S .
By � J q n e l V PC-z 2'k who is personally known to me or has produced
as identification.
Notary: 4/V
SEAL:
;,kA "�e�a, TERESA NUNEZ-APONTE
0
•°�= Notary Public-State of Florida
COMM.EAPIMian 26.2016
•r 1 �,Jf
Commission#FF 086355
• Arco Construction Corporation
August 5, 2015
State of Florida
County of Miami Dade
Before me this day personally appeared Lester Jensen who, being duly sworn, deposes and
says:
All work to be performed by Lester Jensen or licensed and insured subcontractors.
Sworn to (or affir ed)and subscribed before me this day of 20 I,L7 by
�P /
v
Personally know
Or Produced Identification
Type of Identification Produced
Typ or amp Name of Notary
noe/unosandx3 ovdo%
CSLZ90 dA u0iss1ww06 AW ao�
ouerjyad yy euueo� $
eppold;o a3e3S o!IQ�d AMON nd
Geileral Contractors/CGU50516311665 N.E. 137` TerraceIN Miami, FL 3318
305.892-6507
TM
A Subsidiary of
Lab Tech Research and Development.
Subterranean
T
er M1 a Treatment
Date: September 22, 2015
"The building has received a complete treatment for the prevention of subterranean termites.Treatment is in
accordance with rules and laws established by the Florida Department of Agriculture and Consumer Services."
Company: Aco Contruction
Job Name:
Job Address: 10000 Biscanye Bvld Miami Shore 33138
Lot #: Block #:
Dragnet lea FT X jo I Wc�r
Chemical Used Squa a ootage Invoice Number
9/22/15
or Roach Busters Date
FLORIDA KSTCONTROL ASSN.
r
P.O. BOX 941285 Miami, FL 33194 • 1-800-761-BUGS (2847) • Fax: (305) 552-0406 P+sleaeteuaBPKaEecliex
www.roachbusters.org
Miami Shores VillagNOV 12 �01�
Building Department $Y�
10050 N.E.2nd Avenue,Miami Shores, Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20
BUILDING Master Permit No.
PERMIT APPLICATION Sub Permit No.
UILDING ❑ ELECTRIC ❑ ROOFING _�:a REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: -D I S>;,) b
City: Miami Shores Count/ Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated:Yes NO_
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): �y,l Phone#,,�,3—�-7 1al ,
Address:
City: 6' �', 4 n J �.¢ � State: Zip.
Tenant/Lessee Name: c� y z5 Phone#�—_T�S
Email: _ o r` F71
CONTRACTOR:Company Name: ,AQA.® �R9�+�M� ]�i� � K'3(1-y . Phone#: `��- � -y��,���7
Address: I "?--? -i lu ;5, 1 L-)4 _`
City: State: l Zip: 0 %
Qualifier Name: D Phone#: ISS- "
State Certification or Registration#: Certificate of Competency#:
DESIGNER:Architect/Engineer: �j ;rl9 t� �, ; 10 c%`�'P Av �d Phone#:
Address: �'� d 16® '6 PP L-),.0 City: 0<e State: Zip: l A
Value of Work for this Permit:$ Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work:
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$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
(Revised02/24/2014)
Bonding Company's Name(if applicable) 4�2
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 a proved and a reinspection fee will be charged.
Signature J�(i Sin �e.,L
g gt,
OWNER or AGENT -- CO TRA OR
The foregoing instrument was acknowledged before me this The foregoing instrument w fl wledged before me this
CA' day of �o������� 20 IS by 1 9 day of Q00 01420 20��by
-n A(12e;k> P&2 Z who is personally known to L,PL( —�Je,13 m 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:
Sign: —
�� Sign: J
Print:-- l e�C�J< ,/ k/;t�Z -�- A)P)"C Print:
Seal: Seal:
TERESA NUNEZ APONTE "o'B'•, TERESA NUNEZ-APONTE
_ Notary Public-State of Florida
My Comm.ExpiresJan 26,2018 1ANuotary Public
nl-�pState
„of Florida
p
k#k kk k k k# *Af,� •�*k#MCNn.DfiO�`��'J Jk k k k k+k#k k+k ak+k k k k k k ak k ak k . ♦ P`,� k*'eR�+kMM1k'+Fa��R�k�l�*1k k#k k k k&*
Commission 8 FF 086355
it"
"
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-252119 Permit Number: CC-8-15-2008
Scheduled Inspection Date: February 03,2016 Permit Type: Commercial Construction
Inspector: Rodriguez,Jorge
Inspection Type: Final
Owner: VILLAGE, MIAMI SHORES Work Classification: Alteration
Job Address: 10000 BISCAYNE Boulevard
Miami Shores, FL Phone Number
Parcel Number 1132050200010
Project: <NONE>
Contractor: ARCO CONSTRUCTION Phone: 305-892-6507
Building Department Comments
BAR RENOVATION Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-251166. CREATED AS
REINSPECTION FOR INSP-251106. No permit on site
PLEASE GO TO THE OFFICE FOR THE PERMIT
Failed ❑ MR. ALBERTO POCCI CALLED TO CANCELLE
Correction a
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
February 02,2016 For Inspections please call: (305)762-4949 Page 40 of 42
71 ii.
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M5
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
Website:www.miamishoresvillaae.com
TEMPORARY CERTIFICATE OF OCCUPANCY APPLICATION (T.C.0)
Please be advised that the TCO expiration date is based on conditions from Miami-Dade County Fire Dept.
Date: USC /f zo h� Folio#:11-
Master Building Permit#: C'C— �""`rr ®O Square Footage of Space: L �� 0-
Miami-Dade Municipal Process#: Miami-Dade Municipal Permit#: [/
Contracting Company: �cC� �o��/'�I� IF—>
Owner/Tenant: f`l1ace .,
Lot: Block: Subdivision: �A
Street Address: `® ® ® 0 d✓1'S��—1 10+-2 A 1 l0 �c�Ot.�u / ��[®—r-4 .
Signature of applicant verifies the above information is true and correct.The Temporary Certificate of Occupancy is issued to the
above named for building at the above location only upon the express provisions that the applicant will be able by and comply
with all conditions of the Zoning ordinances and all ordinances of Miami Shores Village and/or Florida Building Code pertaining to
erection,construction or remodeling of buildings or structures. This also certifies that the electrical wiring and or equipment,and
the plumbing work has been inspected and approved.
AVI
Print Name of Applicant•or Qualifier Signature of A is nt or Qualifier
FOR OFFICE USE ONLY LZ
TCO Number: Fee: 1
Expiration Date: Technology Fee:
Approved Use for Occupancy: Total:
Remarks:
Building Official/Designee:
Inspections:
Zoning Yes/No Plumbing 3YesNo
Building Yes o Fire Sprinkler Yes/No
Electrical Yes/No Fire G)No
Mechanical Yes/No
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
UNIFORM MUNICIPAL TCO/TCC INSPECTION REPORTING FORM
Master Permit No. CC _ �� 2®U v Miami-Dade County )
from Municipality: ® Municipal Permit No. :
Job Address: CDD D lJ�rSC�i�-�yf1 �J,f Unit: Project Name:
Qualifier's Name,,: r � �LAualifier's Phone: i �} mail:
Owner's Name: Vo//tD AJ4 G-r6l;vOwner's Phone: Email:
This Uniform Municipal TCO/TCC Inspection Reporting Form is used to gather trade approvals for Temporary Certificate of
Occupancy(TCO) or Completion (TCC). Once validated by the Municipal Building Department personnel,the form must be
present at the job site for the field inspectors. When all approvals have been obtained,take the signed form back to the
Municipal Building Department for TCO/TCC issuance.
y /S/w A� I dr P$
O Form Validated b �� Date:
Bldg Dept Personnel: Print Name Signature
OAll "Required"TCO/TCC inspections indicated below must be signed "Approved" before certificate issuance.
Req'd. Trade Inspector's Approval Date Comments
Name Signature
Building
❑ EI ctrical
Fire
❑ Mechanical
Plumbing
❑ Public Works
❑ Zoning
❑ Other '
Important Note: The TCO/TCC is not valid and building and/or space may not be occupied unless signed by the Building
Official. Occupying the building and/or space without obtaining a TCO/TCC issued by the Municipal Building Department is
prohibited and is in violation of the Florida Building Code Section 110.3.
OBuilding Official's Approval: Date:
❑ 1S`TCO/TCC A Extension TCC/TCO Duration:
CS
Conditions of TCO/TCC:
• If Master Permit expires,the TCO/TCC will automatically be revoked and the space must be vacated.
• A TCO/TCC may be revoked if any action by the contractor, owner or tenant creates any code violation affecting the proper
occupancy of the area.
• Any TCO/TCC that expires without renewal or has been revoked can result in a notice of violation, civil violation and/or
disconnection of utility services.
• Other conditions:
04/09D I.OSFBOA
Miami Shores Tillage
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
Website:wwvr.miamishoresvillage.com
TEMPORARY CERTIFICATE OF OCCUPANCY APPLICATION (T.C.0)
Please be advised that the TCO expiration date is based on conditions from Miami-Dade County Fire Dept.
A
Date: / e �DC�� Folio#:ll-_2?-?? (10
Master Building Permit#:�f d �-��®� Square Footage of Space:_=d�[p 4- -
Miami-Dade
- -Miami-Dade Municipal Process#: �� 1 Sia �D Miami-Dade Municipal Permit#.-.k;D i
Contracting Company: :.'
Owner/Tenant:gk
Lot: Block: �—T Subdivision:
Street Address: h/' �/ I t Sh� 5
Signature of applicant verifies the above information is true and correct.The Temporary Certificate of Occupancy is issued to the
above named for building at the above location only upon the express provisions that the applicant will be able by and comply
with all conditions of the Zoning ordinances and all ordinances of Miami Shores Village and/or Florida Building Code pertaining to
erection,construction or remodeling of buildings or structures. This also certifies that the electrical wiring and or equipment,and
the plumbing work has been inspected and approved.
Print Name of Applicant or Qualifier Signatof pplicant or Qualifier
FOR OFFICE USE ONLY
TCO Number:2-0-15 - 2_V3 Fee: 41 rJ
Expiration Date: Technology Fee:
Approved Use for Occupancy: Total:
Remarks:
Building Official/Designee:
Inspections:
Zoning Yes/No Plumbing es/ o
BuildingYes No :Fire Sprinkler Yes/No
Electrical Yes/No Fire Ye No
Mechanical Yes/No
Miami Shores Village
Building Department
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
UNIFORM MUNICIPAL TCO/TCC INSPECTION REPORTING FORM
Master Permit No. Miami-Dade County
from Municipality: GC — ���—�0®X Municipal Permit No.(MELD):
Job Address: /Lo O o 0 W5 s-� J-51lnit: Project Name: ( �`VA OCU'
Qualifier's Name: Qualifier's Phone:
Owner's Name: 6 wner's Phone: Email:
a
This Uniform Municipal TCO/TCC Inspection Reporting Form is used to gather trade approvals for Temporary Certificate of
Occupancy(TCO) or Completion (TCC). Once validated by the Municipal Building Department personnel,the form must be
present at the job site for the field inspectors. When all approvals have been obtained, take the signed form back to the
Municipal Building Department for TCO/TCC issuance.
1
Form Validated by /syr �G� Date: h
Bldg Dept Personnel: Print Name Signature
OAll "Required"TCO/TCC inspections indicated below must be signed "Approved" before certificate issuance.
Req'd. Trade Inspector's Approval Date Comments
Name Si re
Building -ua,�.0ISa
� Electrical °�
Fire
0 Mechanical
Plumbing ,
❑ Public Works
❑ Zoning
❑ Other
Important Note: The TCO/TCC is not valid and building and/or space may not be occupied unless signed by the Building
Official. Occupying the building and/or space without obtaining a TCO/TCC issued by the Municipal Building Department is
prohibited and is in violation of the FI [ding Code Section 110.3.
3 Building Official's Approval: Date:
1s`TCO/TCC ❑ Extension TCC/TCO Duration:
Conditions of TCO/TCC:
• If Master Permit expires,the TCO/TCC will automatically be revoked and the space must be vacated.
• A TCO/TCC may be revoked if any action by the contractor, owner or tenant creates any code violation affecting the proper
occupancy of the area.
• Any TCO/TCC that expires without renewal or has been revoked can result in a notice of violation, civil violation and/or
disconnection of utility services.
• Other conditions:
04/09D I.OSFBOA
VAM-amto
A
Miami Dade Fire Rescue Department
Fire Prevention Division
New Construction Inspection Bureau
October 12,2015 T C(3 APPROVED
Miami-Dade Fire Rescue '• '
Fire Prevention Division DAT
9300 NW 41st Street SIGNATURE
Doral, Florida 33178-2414
RE: Request for Fire temporary certificate of Occupancy
Miami Dade Fire Permit#2015-06481
Miami Shores Village Permit#CC8-15-2008
Miami Shores Country Club
10000 Biscayne Blvd
Miami Shores, FL 33138
ACT/Capt. P. Hicks:
Please accept this correspondence as a formal request for Fire Temporary Certificate of Occupancy of the above
referenced job previously inspected and approved for TCO by Inspector Johnson on 10-9-15.
This request is for commencement of regular business including retail sales to the public, and plan revision.We are
requesting 90 days for the TCO, and within this time,every attempt will be made to obtain the final CO. If the Final
CO is not obtained;another Fire inspection and Request for TCO Extension will be obtained.
During this time all means of egress shall be kept clear and accessible,and all life safety system will be maintained
and operable at all times. Miami Shoes Country Club will"Hold Harmless"and release the Miami-Dade Fire
Department from any liability that may occur from the occupancy during the TCO period.
Sinc rel ,
i�
J1 ,
Alberto Pozzi
General Manager
STATE OF FLORIDA
COUNTRY OF MIAMI-DADE gg
On this i ,), day of C(�Ad2-(/ 2015,the undersigned authority personally appeared
before me T-f m 01i u,,, L -A C 'L.A�' ,who,after being duty sworn and deposed, upon oath,executed the
foregoing certification and acknowledge the contents thereof to be true and to be for the purposes therein mentioned.
v
,�::ae';., TERESA NUNEZ-APONTE
}� ° Notary Public-State of Florida
a •
My Comm.Expires Jan 26,2018
;`r Commission FF 086355
M.S.C.C. OPERATED BY
PROFESSIONAL COURSE MANAGEMENT
10000 BISCAYNE BOULEVARD - MIAMI SHORES, FLORIDA 33138 - 305-795-2360 - FAX 305-795-2384
,_SV MIAMI-DADE COUNTY FIRE RESCUE
FIRE PREVENTION DIVISION
TEMPORARY CERTIFICATE OF OCCUPANCY(T.C.0)
STATUS FORM
PROJECT INFORMATIONWOO
Municipal Permit#: CC 8 15 2008 Miami-Dade Process# M2015-013528
Miami-Dade Permit#: 2015-056087
Business Name: Miami Shores Golf Course
Contact Name: Alberto Pozzi Phone# 786-348-3858
Address: 10000 Biscayne Blvd
city: Miami Shores State: FL zip code:
T.C.O. INFORMATION
REASON
Handrails at both ends not install per the plans.. Provide occupant load signage 101; 12.7.9.3.3.
Length: 1130 Days ® 60 Days ❑ 90 Days Other(# of days)
FIREW,TCH
:,
Required: �0 Yes No
RESTRICTIONS/COMMENTS (If Applicable)
FWo fire alarm work
SUBSIDIARY PERMITS (Fire Alarm,Sprinkler,etc.)
FOLLOW UP INSPECT
NOTE: Submit this completed TCO Status form with a TCO Hardship letter(not applicable for municipalities), Fire Inspection Report,and a
TCO Application from Miami-Dade County Building or Municipality Building Department to The Fire Prevention New Construction Bureau OIC
or designee for approval.
D.Johnson 10/9/15
Inspector's Signature DATE
1,7- 1u eC
.2 A h1 s
OIC's Signature DA
MAW
QADE
Rev 7/13 Crook pw-tce
Arco Construction Corporation
October 8, 2015
Building Official
Mr. Ismael Naranjo
Miami Shores Village
Building Department
10050 NE 2"d Ave
Miami Shores, FL 331438
Re : Permit#CC-8-15-2008
Job address: 10000 Biscayne Blvd, Miami Shores, FL 33138
Dear Mr. Naranjo,
We are herby presenting you a request for Temporary Certificate of Occupancy(T.C.0)
According to Mr.Alberto Pozzi, Miami Shores Country Club' s manager,there are made already
reservations for the space and if it would not be available for the public use then there would
be a substantial financial loss incurred. We would like to request the T.C.O for 30 (thirty) days.
We herby hold harmless and release Miami Shores Village Building Department and Miami-
Dade Fire Department from any liability that may arise during the use of designated areas in the
aforementioned facility while under the limitation of the Temporary Certificate of Occupancy.
We herby certify that all means of egress shall be kept clear and accessible and that all like
safety systems will be maintained and operable at all times while the building is being occupied.
Best regard I
, G
"Lester tense Alberto Pozzi
For Arco Con ruction Corporation For Miami Shores Country Club
(305) 892-6507
General Contractors/CGC150516311665 N.E. 13;0 Terrace/N. Miami, FL 33181
305.892-6507