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DS-16-253
Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 nspection Number: INSP-251916 Permit Number: DS-1-16-253 Inspection Date: February 16, 2016 Permit Type: Driveways/Sidewalks/Slabs Inspector: Rodriguez,Jorge Inspection Type: Final Owner: , BARRY UNIVERSITY Work Classification: Addition/Alteration Job Address: 11300 NE 2 Avenue Miami Shores, FL 33138-0000 Phone Number Parcel Number 1121360000050 Project: <NONE> Contractor: ZTI LLC Phone: (954)462-0226 Building Department Comments NEW BRICK PAVER OVER EXSITING PATIO DECK Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments t Passed Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. For Inspections please call: (305)762-4949 February 16,2016 Page 1 of 1 perm t Aid DS-1-'1-16-25311, Miami Shores Village I�elt171f Type arivevtrays✓Sld+ alkslglaiis 3g 10050 N.E.2nd Avenue NE �t ClassifrcatiN AddiitiQnlAiteration Miami Shores,FL 33138-0000 Per it • Phone: (305)795 2204 perrtritStatu A�?�OVEO"', AR;� .. „ bite-V1012016 - Expiration: 08/08/2016 Project Address Parcel Number Applicant 11300 NE 2 Avenue 1121360000050 Miami Shores, FL 33138-0000 Block: Lot: BARRY UNIVERSITY INC Owner Information Address Phone Cell BARRY UNIVERSITY INC 11300 NE 2 Avenue MIAMI SHORES FL 33161-6628 11300 NE 2 Avenue MIAMI SHORES FL 33161-6628 Contractor(s) Phone Cell Phone Valuation: $ 28,516.00 ZTI LLC (954)462-0226 ......_- Total Sq Feet: 5500 Approved:In Review Available Inspections: Comments: Inspection Type: Date Approved::In Review Final Date Denied: Foundation Type of Work:NEW BRICK PAVER OVER EXSITING PAT Additional Info: Review Building Bond Return: Classification:Commercial Review Planning Scanning:3 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $17.40 DBPR Fee Invoice# DS-1-16-58501 $2.00 02/10/2016 Credit Card $ 109.40 $50.00 DCA Fee $2.00 Education Surcharge $5.80 01/29/2016 Credit Card $50.00 $0.00 Permit Fee $100.00 Scanning Fee $9.00 Technology Fee $23.20 Total: $159.40 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate an t r it b done in compliance with all applicable laws regulating construction and zoning. Futhermore,I authorize the above-named contractor to t e February 10, 2016 Authorized Signature:Owner / Applicant / Contractor Date Building Department Copy February 10,2016 1 Miami Shores Village �A . Building Department JAN 2 9 2 15 d 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 - INSPECTION LINE PHONE NUMBER:(305)762-4949 S FBC 2014 BUILDING Master Permit No. D PERMIT APPLICATION Sub Permit No. _BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL r-JPLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION SHOP �/��.l CONTRACTOR DRAWINGS JOBADDRESS:_ �)'300 NE e:2 Adk kkL1 )/ City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: �BFEE::- FE: (�/Fyj OWNER:Name(Fee Simple Titleholder): Phone#•. �`"1 �� Address: I (3( o /V E- a At Zip: � �! City: ��lnli.l State: � - Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company jName: r �` c Phone#: Address: � /V E City C_ state: r:::1= Zip: 36 C1 11 Qualifier Name: —� �� Phone#a%(�� J" State Certification or Registration#: Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ 361 S/ /p Square/Linear Footage of Work: Type of Work: ❑ Addition P Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: b c Specify color of color thru tile: /�, Submittal Fee'5(3 Permit Fee$ �°W'�' CCF$ CO/CC$ Scanning Fee$ Radon Fee$ ®`- DBPR$ Notary$ Technology Fee$ 'D3 • Training/Education Fee$ `�'�� Double Fee$ Structural Reviews$ Bond$ ltd° 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature " Signature OWNER or AGENT CON CTOR The foregoing instrument was acknowledged before me this The foregoing instru was acknowledged before me this 20y- day of 20 lfn by day of '� 20 �by - >A ,who is personally known to I\r V ,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 noath.NOTARY PUBLIC: NOTARY PU �. i-J.MM R 'AV Cf1AtiM11S5111'9 FF r,-1 t •� ht a ,;'.« r. Sign• Sign Print: Print: a Seal: Jay JYao Seal: My CammhWw FF 188481 aw Expifft 11112/2018 ******************************** ***************************************************** ****** APPROVED BY flans Examiner ****** **** * **Zonins Structural Review Clerk (Revised02/24/2014) DETACH HERE RICK S;-07 GOVERNOR KFN 1 AWSON.StCKt ANY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD cPcteSeuga '� s. '., w The COMMERCIAL PCIOJSPA CONTRACTOR Narredd Lvl:jw IS CLRIIVIE[I Undre Wa piwa stars of Chapter 485 FS Exsirathn date: AUCs 31,20 6 TANNER ZACHARY COLL Zn. LLC � 2813 NE 21 At+-NUL FORTLAUDERDALE FL33306 1 0 BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT l 115 S. Andrews Ave., Rm.A-100, Ft. Lauderdale, FL 33301-1895—954831-4000 { VALID OCTOBER 1,2015 THROUGH SEPTEMBER 30,2016 j j188-251633 DBA: Receipt#:POOL/MARINE CONTRACTOR Business Name:ZTI LLC Business Type:(CONTRACTOR ) II ,I Owner Name:zAcHARY C TANNER/QUAL Business Opened:10/18/2012 Business Location:2813 NE 21 AVE State/County/CertfReg:CPC1458094 FT LAUDERDALE Exemption Code: i Business Phone:954-275-8656 Rooms seats Employees Machines Professionals 2 SII I j For Vending Business Only Number of Machines: Vending Type: j Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paid j 27.00 0.001 0.00 0.00 0.00 0.00 27.00 I I . THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS . I 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 j WHEN VALIDATED and zoning requirements. This Business Tax Receipt must be transferred when the business is 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 compliance with State or local laws and regulations. Mailing Address: ZTI LLC Receipt #138-14-00010390 j ! 2813 NE 21 AVE Paid 09/04/2015 27.00 FORT LAUDERDALE, FL 33306 2015 - 2016 l� r Qonw n r�n17NIN�n�c�ei �eTr-gTjag4z TO-CRFr-FtP ZTILL-1 OP ID:DE ACORUn �� CERTIFICATE OF LIABILITY INSURANCE DATE(M�aYYYn 0210PJ2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIPICATE 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 pollcy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER �E:CT David R.Griffiths Insurance By Ken Brown,Inc. PHONE 321-397-3870 FAX No:321-397.3888 PO BOX 946117 N Ext Maitland,FL 32794-8117 David R.Griffiths ADDRESS: INSURER( AFFORDING COVERAGE NAIC# INSURER A:Amerlsure Mutual Ins.Co 23396 INSURED ZTI,LLC INSURER B:Amerlsure Ins Company 19488 2813 NE 21st Ave. Ft Lauderdale,FL 33306 INSURER c INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTp TYPE OF INSURANCE POLICY NUMBER POLICY EFF POLICY EXP LIMITS EW_ (MMODROYYYY) A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTE19- CLAIMS-MADE 0 OCCUR X GL20838110302 0109/2015 O&I M016 PREMISES Ea oca rrerice $ 100, X Pool Pop MED EXP(Any one pamn) $ 5, PERSONAL&ADV INJURY $ 1,000, GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,00 X POLICY❑PRO-JECT LOC PRODUCTS-COMPIOP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED accident) SINGLE LIMIT $ 1,000,000 B ANY AUTO CA20838100301 06/09/2015 06109)2016 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOSAUTOS X X NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident X UMBRELLA UAB X OCCUR EACH OCCURRENCE $ 1,000,000 A EXCESS Lm CLAIMS-MADE CU20883910202 06/09)2015 OBM9/2016 AGGREGATE $ 1,000,00 DED I X I RETENTION$ 0 $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY X STATUTE X ER B ANY PROPRIETORIPARTNERIEXECUTIVE YN/A WC206361302 06109=15 08/09)2016 E.L.EACH ACCIDENT $ 1,000,00 OFFICERIMEMBER EXCLUDED? El (Mandatory In NH) E.L.DISEASE-FA EMPLOYE $ 1,000, If describe under der DESG� un RIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe altschW Hamm space Is required) Clay of Miami Shores is additional Insure with respect to General Liability as required per written contract. Licence#CPC1458094 CERTIFICATE HOLDER CANCELLATION MIAMISH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE C of Miami Shores THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City ACCORDANCE WITH THE POLICY PROVISIONS. 10050 N.E.2nd Avenue Miami Shores,FL 33138 AUTHORED REPRESENTATIVE �aJ�d • j ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD N IIQ ��I �s�3 a•Rw�' , ��Fg ILiC■ .O ,O .O O O A O !`n.r �e �.. ..:.: ` v � Ll SHEET 3 A �. � �r 'r �',. / fe�f'S�3:Ji3 '::=➢fit �t@SEtY.E37fs:1=A.4Ii°s'�fi���0_=AZLA1I IW MLW kAV 311110W3���� �s11'- Hoo �I ��3P^" _ _ ��f•�IKii67- ';, �►-' �t \ r - uuRu�u�aarJ IlEel 2: rWAM ° �� +� WT TO sc.6 ®r, vlolo MIMI PREPARED FOR 0110=1=15 B n . ., � ►.� `o. : \\\ � - i +v : :� ���� � i ° 0��.' - v&. � .S � �%/j 1G'�``��\\\\`,���+\\\;a�\�A.\\\\�����►\\V IiL-Y�A�� ��ll - I�'i /ifs .r / ■ € I � PREPARED BY: A. R. TOUSSAINT & ASSOCIATES. INC. LAND SURVEYORS /�/ �9 �l� -E�i' /J/�/////�\l :R!: < r .:9 .,.rzon"molowl 620 N.E. 126 ST.NORTH MIAMI.FLORIDA 33161DATE:JUNE 2013PIZIFLORIDA CER"FICATE OFAUTHOMMON No.LB-273 v'_i�..t'��.k` •��L /% \ �I /� �iPs,•-. a �, \t ea-.�cr :�:rx..s•, \�':;, !f �'i� '`O O O _ \i` ME Moil � 7 �� O '��O — / .!/�'��'�o - „Ifjn 'I � /► .47 a�rF?�,9-=�..-. �f.,. � :\\\\2.'�.\\\0.►� �} �_.e �'��•� / r� ��i�i�� ;►. �f1� �°�� _ � � I �I � 1` �� �1� I,/I'�/n�� \�..��� f ���+e .y��_ / %�-.���--y I■�i/j���// 1� ����- .�"1 j� �.M• ��� III S "` i`.i .r�Ps3xae;:; 0 4 '♦i'. +� q alI !. -- A / • / p ol 0 .� ® Oho 3!39 i®■ �■ISA�O'i� � � ��s :�'�r`i�Tr.;'�. G?�:"f.�� .,,�� 7r1 � i�. �P x vE, i / � '� AND PLWIED UNDER 0111 DOMMION AND THAT THIS SLIRWY W VWJD WITMIT IRE SGWURE AM RAISED SM OF THE REGWEREI)LM MAMM="RUMOR. A.R. TOUSSAINT & ASSOCIATES. INC. a k 11:14 MEN MEMO Liz EffillM. ,./ ,eSKETCH OF TOPOGRAPHY LOCATIONMl0 AIRMI- �1 agg` ;�� ��_�,��eM�a�.����.! aaa s ��i► �'1i