REV-16-2747rk V8\
\O Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
BUILDING
PERMIT APPLICATION
OCT 12 2016
BY:
5' '
FBC 201(4
Master Permit No. 31d- -570
Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING REVISION 0 EXTENSION 0 RENEWAL
PLUMBING ❑ MECHANICAL
❑ PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 1285 ts1)L-• GS
City: Miami Shores
County: Miami Dade
Zip:
Folio/Parcel#: 11- 326(o- ON- Lkozo
Occupancy Type: Load:
Is the Building Historically Designated: Yes
Construction Type: Flood Zone:
OWNER: Name (Fee Simple Titleholder): V.CD "" Nor-.fth {
Address: 1-751 2- NS- qVs� CJl
City: 5\001-G5. State: 1 U
NO X
BFE: FFE:
Phone#: 5 '4`t2 V443
zip: 33130
Tenant/Lessee Name: Phone#:
Email: rbO1oe,A C {�-�tl •Com
CONTRACTOR: Company Name: -1-CCh ►'JCJrloi G (97 Phone#: 3G1' $C.3 LO 2 -
Address:
Address: rtc6LA We4Wae
City: Iri (,(VYIA pUtiCjS State: Zip: 354'6
j 'Q jVaSent t.ci Phone#: �C)S -q-3 2'46.3
State Certification or Registration #: _ )CIL -4- Certificate of Competency #:
DESIGNER: Architect/Engineer: orFor, �J ('n (Kir, & a'SllY1 Phone#: 303 B"16"/
j City:IZIC( State: L Zip: 3313R -
Qualifier Name:
Address: Z- IV N. E. �� s}
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration
Description of Work: J tO,, - 711Q,rri
❑ New ❑ Repair/Replace
❑ Demolition
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ k • CO CCF $ CO/CC $
Scanning Fee $l 2 .ab Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ .7-1(3. Q Bond $
(Revised02/24/2014)
09/
6
TOTAL FEE NOW DUE$ 2.0- • ')
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 i subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first insp tion which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will n. t be approved a . a ein pection fee will be charged.
Signature
OWNER or AGENT
The foregoing instrument was acknowledged b= ore me this
ii day of OC O> it , 20 LC,
17_06er4-t C{J , who is personally known to
me or who has produced as me or who has produced as
, by
Signature
The foregoing instrument was acknowledged before me this
iI day of OC1O112., 20 I,% , by
1Zb ( o I7t1> , who is personally known to
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
.11n P'o;'o CARLOS SANABRIA
s Commission # FF 37673
° My Commission Expires
:*I
�•f OF ito •••�
•* 404:4 *******IA 1 °
APPROVED BY
(Revised02/24/2014)
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
CAtz O J St r-LL)3rzk;.
CARLOS SANABRIA
Commission # FF 37673
,q�Tjr�rP: My Commission Expires
°° July 18, 2017
********************.r*�.�.►.
Plans Examiner
Zoning
Structural Review Clerk
US STRUCTURAL DESIGN LLC
CONSULTING ENGINEERS
7850 NW 146 Street, Suite 305, Miami Lakes, FL 33016
T. 305.512.5860 F. 305.512.5861
www.optimussd.com
NARRATIVE OF REVISIONS
FOR
FREHLING RESIDENCE
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LOCATED AT: ••••``'
�• ANYA•
1285 NE 95TH STREET ••• `' •'
MIAMI SHORES, FL 33138'D 8' 0 ':
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7.4
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Tanya Hom ei
PE#61706
October 10, 2016
US STRUCTURAL DESIGN LLC
CONSULTING ENGINEERS
7850 NW 146 Street, Suite 305, Miami Lakes, FL 33016
T. 305.512.5860 F. 305.512.5861
www.optimussd.com
October 10, 2016
Building Department
City of Miami Beach
Re: Frehling Residence — REV 12
Dear Sir:
With this letter we would like to clarify the following revisions:
REVISIONS:
All revisions outlined below are due to recent owner changes.
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SHEET No.
DESCRIPTION
S-1.00
a.
Generator pad was increased in width in order for piles to avoid
some existing underground pipes. No changes in reinforcing were
required for the pad.
S-8.00
a.
Generator pad section updated as per previous comment.
Please let us know if you have any further questions or require additional information.
Best Regards,
SIGNED:
Tan
REG. NO. STATE: FL. 6170
COMPANY: Optimus Structural Design LLC
ADDRESS: 7850 NW 146 Street, Suite 305
Miami Lakes, Florida 33016
S.I. NO: # 7021292
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