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RC-16-1706 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-267821 Permit Number: RC-6-16-1706 Scheduled Inspection Date: September 23,2016 Permit Type: Residential Construction Inspector: Mesa, Michel Inspection Type: Final Building Owner: PUYANIC, DAVID Work Classification: Alteration Job Address:9259 N BAYSHORE Drive Miami Shores,FL Phone Number Parcel Number 1132050270580 Project <NONE> Contractor: SNAPP INDUSTRIES INC Phone: (305)635-0687 Building Department Comments CONCRETE REPAIRS FOR WALLING UNDERSIDE OF Infractio Passed Comments HOUSE TO RIB LOIST&GREDE BEAM INSPECTOR COMMENTS False Inspector Comments Passed 954-818-4579 JASON LETTER IS GOING TO BE IN PERMIT PACKAGE NEXT TO THE FRONT DOOR Failed o tose qWW Correction Needed Re-Inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid. 6 �b September 22,2016 For Inspections please call: (305)762-4949 Page 19 of 27 a_c— H6 -- D06 AMERICAN SOCIETY NATIONAL SOCIETY OF OF CIVIL ENGINEERS , PROFESSIONAL ENGINEER: NATIONAL ACADEMY FLORIDA ENGINEERING OF BUILDING INSPECTION CONSULTING ENGINEER SOCIETY ENGINEERS PROFESSIONAL BUILDING INSPECTION 12420 S.W.75th AVE.,/MIAMI, FLORIDA 33156 TELEPHONE: (305)378-1244 Established 1976 1 September, 2016 Village of Miami Shore Building Department RC-6-16-1706 10050 N.E. 2nd Avenue 9259 N. Bayshore Drive Miami Shores, Florida 33138 Snapp Industries Dear Building Official I, J.N. Sheingold, P.E., having performed and approved the required inspections, hereby attest that to the best of my knowledge and belief,the structural repairs to the reinforced concrete members located in the crawl space under the interior floor comply with the permitted documents. I also attest to the best of my knowledge and belief,the approved permit plans represent the as-built condition of the structural and envelope components of said structure". This document is being prepared in accordance with the 2014 Florida Building Code 5th Edition, and is being submitted to the Village of Miami Shores building department at the time of final inspection for the above referenced structure. Should you have any further questions or need any additional information,please do not hesitate to contact me. jP.E. 21181 9259 North Bayshore Drive Permit RC-6-16-1706 Date of Inspection 9/1/2016 Time of Inspection Location Repair of Reinforced Concrete By Unit# e of work inspected FINAL ✓ Demolition I ✓ IRebar Prep L.LJ Rebar Splice L3LJ Dowel/co re drilling ✓ Rebar/Concrete Epoxy Coating ✓ Concrete Pour =Finish Plaster []Other(Specify) DApproved =Rejected Comments see attached inspection sheets Note: Rib Joists are precast, not post tensioned. Miscellaneous repair of exterior wall at grade on North Side to seal off crawl space 9/1/2016 Final Inspection Enginng 'rm J.N. SHEINGOLD Engin r ector Name J.N. SHEINGOLD, P.E. Signatu J. N. SHEINGOLD & ASSOCIATES, INC. CONSULTING ENGINEERS 12420 S.W. 75th Avenue, Miami, Florida 33156 Tel: (305) 378-1244 • Beeper: SdAJMJW INSPECTION REPORT PERMIT N JOB ADDRESS ' JOB No. DATE: ARRIVED AT JOB SITE: DW/PARTED FROM JOB SITE: REMARKS:- 4. � n , 6' 0 ACCEPTED AS NOTED ACCOMPANIED BY J ' ACCEPTED INSPECTION REINSPECTION NECESSARY ❑ SUPERINTENDENT J. N. SHEINGOLD & ASSOCIATES, INC. CONSULTING ENGINEERS 12420 S.W. 75th Avenue,Miami, Florida 33156 Tel: (305) 378-12444 • Eg" "{NSPECTION REPORT PERMIT No.rZG "''67"/ / JOB ADDRESS �✓ �, �' JOB NO. DATE: Y�� ARRIVED AT JOB SITE: DEPARTED FROM JOB SITE: REMARKS: ACCEPTED AS NOTED ❑ ACCOMPANIED `BY. ACCEPTED INSPECTION REINSPECTION NECESSARY ❑ SUPERINTENDENT J. N. SHEINGOLD & ASSOCIATES, INC. CONSULTING ENGINEERS 12420 S.W. 75th Avenue, Miami, Florida 33156 Tel: (305) 378-1244 • Beeper INSPECTION REPORT / PERMIT JOB ^DDRESS- j C��`'/ v✓ j� 12-t'(013 NO. DATE: ARRIVED AT JOB SITE: DEPARTED FROM JOB SITE: REMARKS: ' j/r'�� r ACCEPTED AS NOTED ❑ ACCOMPANIED BY le ACCEPTED INSPECTION BY /► �L� REINSPECTION NECESSARY ❑ SUPERINTENDENT J. N. SHEINGOLD & ASSOCIATES, INC. CONSULTING ENGINEERS 12420 S.W. 75th Avenue,Miami, Florida 33156 Tel: (305) 378-1244 • Beeper. -INSPECTION REPORT PERMIT JOB ADDRESS �� ,! �v JOB NO. DATE: ,�� /� ARRIVED AT JOB SITE ' /^© DEPARTED FROM J03 SITE:`;- REMARKS: lit , i ACCEPTED AS NOTED ❑ ACCOMPANIED BY J ACCEPTED INSPECTION BY REINSPECTION NECESSARY ❑ SUPERINTENDENT J. N. SHEINGOLD & ASSOCIATES, INC. CONSULTING ENGINEERS 12420 S.W. 75th Avenue, Miami, Florida 33156 Tel: (305) 378-12 r:44 • Beepe INSPECTION REPORT PERMIT NOI�—U24 � 7c!—,C2 C3� JOB AD 7R ESS � 1 , �' �- JOB NO. DATE: ARRIVED.AT SITE: DEPARTED FROM JOB SITE: REMARKS: dW jv ACCEPTED AS NOTED ❑ ACCOMPANIED_BY � ACCEPTED INSPECTION REINSPECTION NECESSARY ❑ SUPERINTENDENT r a J Inspection WorksheetNJ Miami Shores Village p 10050 N.E.2nd Avenue Miami Shores, FL C) Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-267426 Permit Number: RC-6-16-1706 Scheduled Inspection Date: September 16, 2016 Permit Type: Residential Construction Inspector: os-c_ Ppv Inspection Type: Tie Beam Owner: PUYANIC, DAVID Work Classification: Alteration Job Address:9259 N BAYSHORE Drive Miami Shores, FL Phone Number Parcel Number 1132050270580 Project: <NONE> Contractor: SNAPP INDUSTRIES INC Phone: (305)635-0687 Building Department Comments CONCRETE REPAIRS FOR SPALLING UNDERSIDE OF Infractio Passed Comments HOUSE TO RIB LOIST&GREDE BEAM INSPECTOR COMMENTS False Inspector Comments Passedis Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. September 15,2016 For Inspections please call: (305)762-4949 Page 19 of 20 4 AMERICAN SOCIETY NATIONAL SOCIETY OF OF CIVIL ENGINEERSe'� PROFESSIONAL ENGINEER NATIONAL ACADEMY GGL FLORIDA ENGINEERING OF BUILDING INSPECTION CONSULTING ENGINEER SOCIETY ENGINEERS PROFESSIONAL BUILDING INSPECTION 12420 S.W. 75th AVE.,/MIAMI, FLORIDA 33156 TELEPHONE: (305)378-1244 Established 1976 1 September, 2016 Village of Miami Shore Building Department RC-6-16-1706 10050 N.E. 2nd Avenue 9259 N. Bayshore Drive Miami Shores, Florida 33138 Snapp Industries Dear Building Official I,J.N. Sheingold, P.E.,having performed and approved the required inspections, hereby attest that to the best of my knowledge and belief,the structural repairs to the reinforced concrete members located in the crawl space under the interior floor comply with the permitted documents. I also attest to the best of my knowledge and belief,the approved permit plans represent the as-built condition of the structural and envelope components of said structure". This document is being prepared in accordance with the 2014 Florida Building Code 5th Edition, and is being submitted to the Village of Miami Shores building department at the time of final inspection for the above referenced structure. Should you have any further questions or need any additional information, please do not hesitate to contact me. liefingold, P.E. 21181 e 9259 North Bayshore Drive Permit RC-6-16-1706 Date of Inspection 9/1/2016 Time of Inspection Location Repair of Reinforced Concrete By Unit# p , , e of work msVe�ec,ted FINAL bQ Demolition � ebar Prep LLJ Rebar Splice LLJ Dowel/core drilling L✓]Rebar/Concrete Epoxy Coating LiLj Concrete Pour =Finish Plaster Other(Specify) QApproved =Rejected Comments see attached inspection sheets Note: Rib Joists are precast, not post tensioned. Miscellaneous repair of exterior wall at grade on North Side to seal off crawl space 9/1/2016 Final Inspection Engin ri J.N. SHEINGOLD Engine r/In ctor Name J.N. SHEINGOLD, P.E. Signatu J. N. SHEINGOLD & ASSOCIATES, INC. 1 CONSULTING ENGINEERS 12420 S.W. 75th Avenue, Miami, Florida 33156 Tel: (305) 378-1244 • Beeper:S .�J INSPECTION REPORT PERMIT NO -,4 JOB ADDRESS � JOB NO. DATE: ARRIVED AT JOB SITE: DE/PARTED FROM JOB SITE: REMARKS• h ACCEPTED AS NOTED ❑ ACCOMPANIED BY ACCEPTED INSPECTION BY 1, ( sJP 1 REINSPECTION NECESSARY ❑ SUPERINTENDENT I N. SHEINGOLD & ASSOCIATES, INC. CONSULTING ENGINEERS 12420 S.W. 75th Avenue, Miami, Florida 33156 Tel: (305) 378-1244 • DISPECTION REPORT PERMIT NO.��a�67 Z JOB ADDRESS � �_c JOB NO. DATE: Y 6 ARRIVED AT JOB SITE: DEPARTED FROM JOB SITE: REMARKS: r-s d 1 e ACCEPTED AS NOTED ❑ ACCOMPANIED eBY, ACCEPTED INSPECTION BY REINSPECTION NECESSARY ❑ SUPERINTENDENT J. N. SHEINGOLD & ASSOCIATES, INC. ` CONSULTING ENGINEERS 12420 S.W. 75th Avenue, Miami, Florida 33156 Tel: (305) 378-1244/• Beepe'r: 5, 2 INSPECTION REPORT �j PERMIT N /t JOB A /L*ORESS G� �✓ +j�� I�JOB NO. DATE: ARRIVED AT JOB SITE: DEPARTED FROM JOB SITE: REMARKS: 'v .g�✓ .2 • L ACCEPTED AS NOTED ❑ ACCOMPANIED BY ACCEPTED INSPECTION BY REINSPECTION NECESSARY ❑ SUPERINTENDENT J. N. SHEINGOLD & ASSOCIATES, INC. CONSULTING ENGINEERS 12420 S.W. 75th Avenue, Miami, Florida 33156 Tel: (305) 378-1244 • Beeper: "INSPECTION REPORT PERMIT Nc,2- ✓16-/70L',- JOB ADDRESS /�✓� Ply JOB NO. .•1 DATE: ARRIVED ATJOBSITE DEPARTED FROM J03 SITE:/-�- ✓�� REMARKS: ACCEPTED AS NOTED ❑ ACCOMPANIED BY ACCEPTED INSPECTION BY REINSPECTION NECESSARY ❑ SUPERINTENDENT J. N. SHEINGOLD & ASSOCIATES, INC. CONSULTING ENGINEERS 12420 S.W. 75th Avenue, Miami, Florida 33156 Tel: (305) 378-1244 • Beeper: 54 INSPECTION REPORT PERMIT NOl67 C,ZGE JOB AD7RESS 7i �(�641i; JOB NO. DATE: ! ARRIVED AT JQB SITE: DEPARTED FROM JOB SITE: REMARKS: ✓+/// h �-s tZI ACCEPTED AS NOTED ❑ ACCOMPANIED BY ACCEPTED INSPECTION B REINSPECTION NECESSARY ❑ SUPERINTENDENT r lip ' a �s °f; Miami Shores Village Permit-, ��z l��s�d���t�yil�igtlLi 4rj �3 10050 N.E.2nd Avenue N Miami Shores,FL 33138-0000 Phone: (305)7952204 f�+�!'!'wStatus:A E .. � JBj'2t?1tr,. Expiration: 12J26/2016 Project Address Parcel Number Applicant 9259 N BAYSHORE Drive 1132050270580 Miami Shores, FL Block: Lot: DAVID PUYANIC Owner Information Address Phone Cell DAVID PUYANIC 9259 N BAYSHORE Drive MIAMI SHORES FL 33138-2948 9259 N BAYSHORE Drive MIAMI SHORES FL 33138-2948 Contractor(s) Phone Cell Phone Valuation: $ 15,000.00 SNAPP INDUSTRIES INC (305)635-0687 Total Sq Feet: 727 ` f' Approved:In Review Available Inspections: Comments: Inspection Type: Date Approved::In Review Final PE Certification Date Denied: Window Door Attachment Type of Construction:CONCRETE REPAIRS FOR SPALLI Occupancy:Single Family Framing Stories: Exterior: Insulation Front Setback: Rear Setback: Drywall Screw Left Setback: Right Setback: Window and Door Buck Bedrooms: Bathrooms: Fill Cells Columns Plans Submitted:Yes Certificate Status: Review Planning Certificate Date: Additional Info: Review Plumbing Bond Return: Classification:Residential Review MechanicalReview Electrical Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Review Building CCF $9.00 Review Structural DBPR Fee Invoice# RC-6-16-60262 $6.75 06/20/2016 Check#:3057 $50.00 $566.50 DCA Fee $6.75 Education Surcharge $3.00 06/29/2016 Check*3058 $566.50 $0.00 Permit Fee $450.00 Plan Review Fee(Engineer) $120.00 Scanning Fee $9.00 Technology Fee $12.00 Total: $616.50 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 Aincurate,and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore,I authorize the above-named ractor to do the work stated. June 29, 2016 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy June 29,2016 1 �I �oij (b Miami Shores Village a Building Department JUNE �a,� ' 10050 N.E.2nd Avenue,Miami Shores,Florida33138 , Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 201q jffiL BUILDING Master Permit No. /Zig 1h ' ® 7®i� PERMIT APPLICATION Sub Permit No. F7ABUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL QPLUMBING ❑ MECHANICAL r-1 PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP / CONTRACTOR DRAWINGS JOB ADDRESS: Com: Miami Shores County: Miami Dade Zip: 3 3l 3 Folio/Parcel#: a 0)--7 -- 0��� Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE:cFFE: OWNER:Name(Fee Simple Titleholder): 9 � �� �� ��� � Phone#: �d� 9'S7- -2 S—7 e� 9 Address:_ �-/,_'-zS y/ /Iv, &. ;Ao&E- City: f��� � � �a✓�-�5 State: f�l- Zip: 3 3 7 3 e Tenant/Lessee Name: Phone#: Email: ��Li- L��)M14tod0 0 a-ea C O1(:•1 CONTRACTOR:Company Name: H � � �� Phone#: 6� I Address: c:�%)2- t4f,) City: 0° °8 d Stater ° Zip: 3 -3 Qualifier Name: ���� S J-k Phone#: '09 State Certification or Registration M S-0 7 (1 d Certificate of Competency#: DESIGNER:Architect/Engineer: --A ��I-J"L<�Z�I C1 Phone#: . c4ls-" " ?Doc — Address Z Z® �� 10City: State—� Zip: 9 S 4� Value of Work for this Permit:$ l 0L L� , 0 Square/Linear Footage of Work: 0, Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition Description of Work: C-e)j't CVzC 4-E- 1'2-Ea1 S�',L Sj/ A'j Ltvk.4 ® CkIL b ?- Specify color of color thru tile: Submittal Fee$ _-rt Permit Fee$ � CCF$ CO/CC$ Scanning Fee$ Radon Fee$ (c3- DBPR$ 6 ' �� Notary$ Technology Fee$ 12 Training/Education Fee$ - Double Fee$ Structural Reviews$J 20. CX3 Bond$ _ TOTAL FEE NOW DUE$ (Revised02/24/2014) i� # 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 on 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 f such posted notice, the inspection will not be air'ved an eInspection fee will be charged. f Signature -� Signature OWNER or AGENT CONYWOV The foregoing instrument was acknowledged before me this The fore oing instrument was acknowledged before me this %S day of -T,uxe 20 ►k,,o by day of ay m ,20 by who is personally knowno 5-,3 �];.k.4CJ4 .who is ersonally know to me or who has produced as me or who has produced as identification and w $TINA MARIA PANEQUE identification and who did take an oath. NOTARY PUBLIC: ° 1111puM'State 01 Florida NOTA BL C R 198099 of 6om. Feb 1�0.2019 ••, i1r>Is,a. Sign: Print:},,.`��,. _. Q Print: !!P�� nWbIA,I EGAN * * MY COMMISSION#FF 849076 Seal: Seal: 9 cQ EXPIRES:February 22,2020 BWWedTin N0tySerW= ############################# ############################################################################# APPROVED BY Plans Examiner Zoning Z,9f111,' Structural Review Clerk (Revised02/24/2014) Roo vu RICK SCOTT, GOVERNOR KEN LA°.:90N. SFCRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD `4 CGC1507671 s. The GENERAL CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 4139 FS h- Expiration date. AUG 31, 2016 SNAPP, JASON S SNAPP INDUSTRIES INC 2902 NW 22ND STREET MIAMI FL 33142 ISSUED 0900,2014 DISPLAY AS REQUIRED BY LAW SE0# 1-140010C.002347 000075 Local Business Tax Receipt Miami—Dade County, State of Florida -THIS IS NOT A BILL - DO NOT PAYLBT 264812 \� 7__j �/ BUSINESS NAME/LOCATION RECEIPT NO. EXPIRES SNAPP INDUSTRIES INC RENEWAL SEPTEMBER 30, 2016 2902 NW 22 ST 264812 Must be displayed at place of business MIAMI FL 33142 Pursuant to County Code Chapter 8A-Art.9&10 OWNER SEC.TYPE OF BUSINESS PAYMENT RECEIVED SNAPP INDUSTRIES INC 196 SPECIALTY BUILDING CONTRACTOR BY TAX COLLECTOR Worker(s) 20 CGC1507671 $125.00 09/02/2015 CREDITCARD-15-043692 This Local-Business Tax Receiptonly confirms payment of the Local Business Tax,The Receipt is not a license, permit,or a certification of,*&holder's qqunlificadons,to do business. Holder must comply with any governmental or nongovernmental regulatory taws.aad'regpirefnents which apply to the business. The RECEIPT'N0.above must be-displeye'd on all commercial vehicles-Miami-Dade Code Sec Ba-270. For more information,visit www.miamidade.aov/taxcollector 001586 Local 10LIsinei Tex ReceiptVW Miami—Dade County, to of Florida -THIS IS NOTA BILL - NOT PAY 4774031 L..',BT N1__ / __1/ BUSINESS NAME/LOCATION CEIPT NO. E. -'ES SNAPP INC R WAL SE PT B E R 30, 2016 UNINCORPORATED LOC 498 89 M e displayed at place of business MIAMI FL 99999 Pursuant to County Code Chapter 8A-Art.9&10 T- YON OF BUSINESS OWNER 19$ CfijM1u�1EACUINDUST/OFF E SPACE PAYMENT RECEIVED NAPP INC BY TAX COLLECTOR Aggregate sq.ft. 3180 8125.00 09/02/2015 CREDITCARD-15-043692 Is Local BuatnessTax Receipt only ganlirms paymentobthe Local Business Tax.The Receipt is not a license• pemdt:ora certiRcauon ofshoidars''uaiifittioas to tlo business Holder must comply with any governmental or ndngoverrimantal`regulatory'laves ti requ iremetits wdich apply to the business. The RECEIPT N0.above must-be displayed on all commercial vehicles-Miami-Dade Code Sac 88-276. For more information,visit www.miamidademov/toxcollector SNAPP-1 OP ID:SCR ACORO `,� CERTIFICATE OF LIABILITY INSURANCE DATE(MMmnmYY) 03/31/2016 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 CONNAMME:cT Lynda Turner Brown&Brown of FL,Inc. PHONE 850-556-3747 FAX 3520 Thomasville Rd#500 A/ No ar.No):8504564065 Tallahassee,FL 32309 A Greg Jeep ;ltumer@bbtally.com INSURER(S)AFFORDING COVERAGE NAIC O INSURER A:Phoenix Insurance Company 25623 INSURED Snapp Industries,Inc. INSURER B:Landmark American ins Co 33138 2902 NW 22nd Street Miami,FL 33142 INSURER C:Philadelphia Indemnity 18058 INSURER D:Brid efield Employers Ins Co 10701 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. /NSR TYPE OF INSURANCE LIMITS TR POLICY NUMBER M M B X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1 ASO, CLAIMS-MADE X OCCUR LHA110499 12130/2015 12/30/2016 DAMENTED AGESOERa ca) g 50100 MED EXP(Any one person) $ EXclud PERSONAL&ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00 PPOLICY X JECT �LOC PRODUCTS-COMPIOPAGG $ 2,00,0 OTHER: Emp Ben. $ 1000/100 AUTOMOBILE LIABILITY EeMBIa N®DISINGLE LIMIT $ 1,000,0 C X ANY AUTO PHPK1438102 12130/2015 12/30/2016 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNEDPROPERTY DAMAGE X Peracadent $HIRED AUTOS X AUTOS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIMS4MDE AGGREGATE $ DED I RETENTION$ $ WORKERS COMPENSATION X I PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER D ANY PROPRIEfORIPARTNERIEXECUTIVE YIN 83041481 04/01/2016 04/01/2017 E.LEACH ACCIDENT $ 1,000,00 OFFICERlMEMBEREXCLUDED? NIA (Mandatory M NH) EL DISEASE-EA EMPLO $ 1,000, If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,00 A Equipment Floater QT6604E897035PHX15 12/30/2015 12/30/2016 R/L Equip 100, DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CGC 1507671 CERTIFICATE HOLDER CANCELLATION VILLMIA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Villages of Miami Shores ACCORDANCE WITH THE POLICY PROVISIONS. Building Department 10050 NE 2nd Avenue AUTHORIZED REPRESENTATIVE Miami Shores,FL 33138i��� C7 ©"1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD S o�1 G Ing Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 d' MIAMI SHORES VILLAGE NOTICE TO BUILDING DEPARTMENT OF EMPLOYMENT AS SPECIAL INSPECTOR UNDER THE FLORIDA BUILDING CODE I(We)have been retained by DAVID PUYANIC to perform special inspector services under the Florida Building Code at the 9259 N.BAYSHORE DRIVE SFR project on the below listed structures as of 6/1W016 (date).I am a registered architect or professional engineer licensed in the State of Florida. . •• 0000 0000:0 .. PROCESS NUMBERS: 0000 . ❑ SPECIAL INSPECTOR FOR PILING,FBC 1822.1.20(R4404.6.1.20) ••0:0• ". ' 000000 ❑ SPECIAL INSPECTOR FOR TRUSSES>35'LONG OR THIGH 2319.17.2.4.2(R4409.6.17.2.4.�j""' • • • ❑ SPECIAL INSPECTOR FOR REINFORCED MASONRY,FBC 2122.4(R4407.5.4) °••• •• • :0000: ❑ SPECIAL INSPECTOR FOR STEEL CONNECTIONS,FBC 2218.2(R4408.5.2) •0000' : ' ' 0000. ❑ SPECIAL INSPECTOR FOR SOIL COMPACTION,FBC 1820.3.1(R4404.4.3.1) 0000.. •.••.• so:*** ❑ SPECIAL INSPECTOR FOR PRECAST UNITS&ATTACHMENTS,FBC 1927.12(R4405.9.12) ..'. ' •@•e•• •• • • 0 SPECIAL INSPECTOR FOR STRUCTURAL REPAIR OF REINFORCED CONCR E AE!• Note; 0000.. Only the marked boxes apply. • The following individual(s)employed by this firm or me are authorized representatives to perform ms pApri* sees• :0 0 0 0 1, J.N.SHEINGOLD,P.E. 2, sees 3. 4. *Special Inspectors utilizing authorized representatives shall insure the authorized representative is qualified by education or licensure to perform the duties assigned by the Special Inspector. The qualifications shall include licensure as a professional engineer or architect; graduation from an engineering education program in civil or structural engineering; graduation from an architectural education program;successful completion of the NCEES Fundamental Examination;or registration as building inspector or general contractor. I, (we)will notify Miami Shores Village Building Department of any changes regarding authorized personnel performing inspection services. I, (we)understand that a Special Inspector inspection log for each building must be displayed in a convenient location on the site for reference by the Miami Shores Village Building Department Inspector. All mandatory inspections, as required by the Florida Building Code,must be performed by the County.The Village building inspections must be called for on all mandatory inspections. Inspections performed by the Special Inspector hired by the Owner are in addition to the mandatory inspections performed by the Department. Further, upon completion of the work under each Building Permit I will submit to the Building Inspector at the time of final inspection the completed inspection log form and a sealed statement indicating that,to the best of my knowledge, belief and professional judgment those portions of the project outlined above meet the intent of the Florida Building Code and are substantial accordance with the approved plans. , Signed and Sealed Engineer/Architect Name J.N.SHEINGOLD,P.E. Address 12420 S.W.75 AVENUE,MIAMI,FLORIDA 33156 . 6/15/2016 Phone No. 305-986-7002 Created on 6/10/2009 JUN �� Zb11; ' ` -..� <.� _ off``'✓ _ � `' ., 7 ...... .... . . ...... . .. ...... ...... .... ..... .. . .... ...... .... .. .. ...... . . . . Soo . AMERICAN SOCIETY NATIONAL SOCIETY OF OF CIVIL ENGINEERS /�� „• so ___Q � R. PROFESSIONAL ENGINEER: NATIONAL ACADEMY ` � i FLORIDA ENGINEERING OF BUILDING INSPECTION CONSULTING ENGINEER SOCIETY ENGINEERS PROFESSIONAL BUILDING INSPECTION 12420 S.W.75th AVE.,/MIAMI,FLORIDA 33156 TELEPHONE:(305)378-1244 Established 1976 15 June, 2016 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, Florida 33138 000000 ••.•.• Att: Building Official Ref: 9259 N. Bayshozib;i;ve •;; •; • Miami Shores, Randa 0000.. 0000 .. I, J.N. Sheingold, P.E. have prepared the repair plans and specifications to correct the structural deficiencies for the above referenced single family residence. P*SAbe advy • 0000.. that the work as described will not reduce the structural strength or the st*43Vf the .' structure, or any individual member,thereof as per FBC 2014, 5th edition; existing ; •••••• buildings, Section 606. The structural repairs are less than 25%of the rep;4geriFnt value 0 0 0 0 of the building. Structural damage does not exceed 50%of the market value (FBC Existing Building section 202). pely, J. old,P.E. 21181 0000 0000.. 0000 . . 0000.. 0000.. . .. 0000 0000. .. . 0000 0000. 00.00 0000.. . 0000.. 0000 .. .. . ...... .0000. 00..0. . 0 00 0000.. 0000 . .. AMERICAN SOCIETY -e' NATIONAL SOCIETY OF OF CIVIL ENGINEERS �f� 17ij� ��dGR.r ��• PROFESSIONAL ENGINEERS NATIONAL ACADEMY % FLORIDA ENGINEERING OF BUILDING INSPECTION CONSULTING ENGINEER SOCIETY ENGINEERS PROFESSIONAL BUILDING INSPECTION 12420 S.W.75th AVE.,/MIAMI, FLORIDA 33156 TELEPHONE:(305)378-1244 Established 1976 15 June, 2016 Village of Miami Shores Building Department 10050 N.E. 2nd Avenue Miami Shores, Florida 33138 Att: Building Official Dear Sir: 0000 We have been retained by the owners of 9259 North Bayshore Drive, Migni,}ores,U .. provide special inspector services as defined in section 105 of the 2014 F.Ir.C.'5th .••;•. •; ..... edition. The repairs are to be performed by Snapp Industries under contragt xQ.t�a owner. The repairs will consist of the following: 00000 •••••• 0000 0000.. 0000 0000. 0000 0000 0000.. 1. Structural repair of 110 Lineal Feet of reinforced concreteJaWpists 0• 2. Structural repair of 607 Lineal Feet of reinforced concrete�rad4 beans 3. Structural repair of 10 spalled pile caps :0000* • .. 0000.. 0000 Area of repair is shown on attached site plan Repair Procedure-Structure 1. Remove all loose and spalling concrete using a light chipping hammer. Note: no additional chipping without approval of Engineer. 2. Inspect exposed interior reinforcing steel and replace any steel damaged in excess of 10%. Should laps be required, at least 48 bar diameters or 30 inch minimum is required as per ACI 318-14. Concrete strength to be 5000 psi. Steel is to be 60 KSI. Concrete cover for steel rebar is to be a minimum of 1.5 inches. 3. Should steel replacement be required, embedment of rebar into existing concrete structures is to be a minimum of 9 inches and Sika 31 Gel epoxy is to be used. No areas are to be concealed without Engineer's approval. 4. Sandblast existing exposed rebar and coat with Epochem 110 or equivalent. 5. Restore to original dimension using pneumatically applied concrete (Gunite). Engineer's inspection required to verify removal of all loose debris and adequate coating of rebar prior to application of Gunite. Concrete batch mix must comply with ACI Table 4.2.2 for locations subject to salt spray. Rebar cover must comply with FBC 2010- 1926.5. No work to be concealed without inspection by the Engineer-of-record. The engineer's inspections are in addition to those required by the Building Department AMERICAN SOCIETY NATIONAL SOCIETY OF OFCIVIL NATIONAL G "ACA ACADEMY � Sued' os�INEERSPROOR DA ENGINEERING OF BUILDING INSPECTION CONSULTING ENGINEER SOCIETY ENGINEERS PROFESSIONAL BUILDING INSPECTION 12420 S.W.75th AVE.,/MIAMI,FLORIDA 33156 TELEPHONE:(305)378-1244 Established 1976 Page 2 9259 N. Bayshore Drive All work to comply with the 2014 Florida Building Code, 5th Edition, ICRI,ACI 318- 14, and ACI 562-13. A work log will be maintained and a letter of final acceptance will be submitted upon.... • completion o . 0000.. e work. ... 0000 90 • 0000 . 0000•• •• • 0000•• S' c ly 0.0:0. • 0000•• 0000 •• • • • 0000 . .• 0000• heingold, P.E. 21181 0.00•• 0.00 •.:.0• •• •• 0.00 0966.• 0000.. • 00 0000.. . . •6.66• •6 . 6069 . . 6..6 6666.. . 6666 .. . 6 . 6666.. .. ..�... 006... .6060. . .. 6666 66660 6666. 6666 6666.. . 6666.. 6666 .. .. 6 . 6666.. .0000. 66. . . . 66.. a 6 . . 6666.. „ � a 9s I _. 0 0000 C• - •�� • 0000 0000•• - -6--- ..w •• • 0000 • I _w- 0000•• •• • 0000•• • 0000{• 0000 •• • • • ••{• • •• 0000• w - Q ` ' ��� .•,{I _ Y �.•6' 0• .... .000.0 _ i •w • • • ••••,• 00 ,sem .' - -•7 --rT' JAINg I G ) r I � J t AMERICAN SOCIETY'"" j NATIONAL SOCIETY F. OF CIVIL ENGINE RS; w ...- i r -' '�' '�/�, ,. PROFESSION.AL'ENGINFERS NATIONAL•ACA EMY-. __ Q -• _ ----.+,...._.L�_. ..., FLORIDA-ENGINE BUILDING INSgECT10 CONSULTING ENGINEER ;_. t N :SOCIETY { I ENGINEERr�?- -"RROFE$SIQNAL-BUILDING INSPECTION ----- -� --; _ _;_ .__;.._..:__....x_242.0 S.W. .5th_AV.E.;./MIAMI, FLORIDA.33156 TELEPHONE: (305) 378-1244 1.• I -�-•�Established 1976 - --. - q2� ,c/r • l • _ 0000 ..�11.. •., ,. , • 0000 �. ••ii•• •• • .00!00• :0...000 0. ... I ,•• .: • r ..t 0000 •.1••• t . . t A •• • 0000 • ! •' • � i LET C ._. I! t