Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
CC-12-156
Certificate of Completion Miami Shores Village 10050 NE 2 Ave, Miami Shores FI, 33138 Tel: 305- 795 -2204 Fax: 305 -756 -8972 Building Inspection Department This certificate issued pursuant to the requirements of the Florida Building Code 106.1.2 certifying that at the time of issuance this structure was in compliance with the various ordinances of the jurisdiction regulating building construction or use. For the following: NONE Date Issued Occupancy h B Load Occupancy 2,190 SQ FT Type Not Transferable POST IN A CONSPICUOUS PLACE Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 s i (a-1cm-- DING PERMIT APPLICATION MAY 30U ► FBC 20 Permit No. / `- 4r6 Master Permit No. Permit Type: BUILDING ► ROOFING JOB ADDRESS: ?i9 7/ 06/5 `E GJ /V1 City: Miami Shores County: Miami Dade Zip: q3/3 Folio/Parcel #: /1 ` 3 Z of 0/, - 620,> / Is the Building Historically Designated: Yes NO X Flood Zone: OWNER: Name (Fee Simple Titleholder): S �r�s (Nate, o"n a/ ji�es L_LC Phone #: /- Address: 6,4 // L d , City: 4 /, Pi /4 Al / Tenant/Lessee Name: Uie4 it /(4-S' Phone #: .> %CP- Email: i-/ a-V % ,4--77 State: Zip: 33/Z / CONTRACTOR: Company Name: E ! 4:• i. 6 it I j, /t'Phone#: 30, 6 JQ - F. C75 Address: 9 / / A/ . few a ✓1 6— ` City: In ; a r)^1 State: r L - zip: s 3 7,y Qualifier Name: SO U--r" CL._ 0 p..----7 Phone #: State Certification or Registration #: CAP-5 f 5' 9 Certificate of Comp nc #: Contact Phone #: S off" 6 3 -E 75 2 Email Address: (• "'7 t°t p r i DESIGNER: Architect/Engineer: M` 2.$ 451Wiliqk Phone #: -i 5+ • 2117 • 4.41" Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: Addition OAlteration ONew ORepair/Replace Description of Work: i �' " r 1 • 40.41 eerAtit Casio. (P 144 ..11 ODemolition ***** * * * * * * * * * * ** * * * * * * ** * * ** * * * * * ** * *********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ J CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ Lke 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 com cement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. I the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature Owner or Agent The foregoing instrument was acknowledged before me this day of ,20_,by who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: The fore day of who i • er ally for ent was ckno edged before e thi 201r1;by liteo me or who has pr • duced ntification and who did take an oath. NOT RY PUBLIC: J / State o �`NYPUB� Pubhc- Print: •;�; •Ti Notary e, 23,2015 My Commission �� : ` 4Qc My Commission •# EE 12881Assn. %� "s'n ■ : °• Bo need Through National Notary ************** : ************+ x***** *+ x*x: x:******** e<**** ** **********************+ x* ****** *m e: ****** ** *** * *+x******** APPROVED BY 372/-41.— Plans Examiner Zoning Structural Review Clerk (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Mark Sever, Archited 5580 NE 28th Avenue Ft. Lauderdale, FIorkda,33308 (954) 270.4082 Florida License, AR 0011828 Project # : 11070 Garage Door Retrofit 9089-9071 Biscayne Blvd Miami Shores, Florida 04/17/12 Page 1 of 3 Equivalent uniform load on 9'-4" lintel. Bar .nisi Roof Loading, psf: DL = 22 ; LL = 30. Aq cells above lintel grouted solid. W, pff = (1/2 x 36.5 ft. x (52psf)) + (8" x 36" conc. section @ 144pcf) = 1237. « 8F18 -1B allowable = 1843 pif, O.K 042-• #97,- 4 . 'i 7 4.7,,,,, Mark Sever, Architect 5580 NE 28th Avenue Ft. Lauderdale, Flortda,33308 (954) 270 -4062 Florida License, AR 0011828 Project # :11070 Garage Door Retrofit 9069 -9071 Biscayne Blvd Miami Shores, Florida 04/17/12 Page 2 of 3 Description Masonry Rush Wall Pilaster /Column Gravity Analysis, DL +LL : Beam reaction distributed on 16" walVcolumn width each side of opening. (minimum wind Toad applied) General Information Wall Height Thickness Reber Size Reber Spacing Reber Location Seismic Factor Seismic Zone Code Ref. ACI 530-05 11.000 ft 8 in 5 8.000 in Center 0.000 0 Biotic Type Bearing Plate Width Col./wall Width CoIJwaII Width used Load Duration Factor Wall Wt Multiplier Normal {Aft 6.000 in 16.000 in 16.000 In 1.000 1.000 fm 1,500.0 psi Fs 24,000.0 psi Em =fm* 900.0 Special Inspection Grout @ Reber Only E 1350,000.0 psi n 21.481 Uniform Loads Dead Load Live Load eccentricity ...load Type Wind Load 0.00 #/t 0.00 #/ft 0.000 in Roof 40.00 psf Girder Load Dead Load Live Load ...eccentricity ...load Type 3,672.00 Ibs 2,920.00 Ibs 2.000 in Roof Allow Brg. Stress Allow Axial Stress Reduction Fedor Allow Masonry Bending Max. Allow Moment w/o Axial Load Max. Axial Load w/o Moment 390.00 psi 338.92 psi 0.82 495.00 psi 1,924.02 ft-ft 41,212.20 Ibs Reber Area Rebar Depth VialI Weight np 1 Radius of Gyration Moment of Inertia 0.620 1n2 3,810 In 84.000 psf 0.2185 k 0.4777 0.8408 2/14 4.9795 2.205 in 4-43.320 1n4 Load Combinations & Stress Details Top of Wall DL + LL Btwn. Base & Top of Wall DL + LL + Wind DL + LL + Seismic Required Bearing Area Summaty Moment axial ft-# Ibs 1,098.67 6,592.0 1,112.67 4,288.0 306.00 4,288.0 16.901n2 Steel 6,638.32 M asonry Axtai Stress 282.66 54.21 6,722.91 286.26 35.26 1,848.90 78.73 35.26 Req'd Bearing Length 2.82 in Design OK 11.00ft high, 8.00in thick w/ 245 at each side of opening, Special Inspection, Grout © Rebar Only Max Bending + Axial Comp. Stress Allowable Max Axial Only Compressive Stress Allowable Max Steel Bending Stress Allowable 336.87 psi 495.00 OK 54.21 psi 338.92 OK 6,722.91 psi 24,000.00 OK 441 7 404. 1 Mark Sever, Architect 5580 NE 28th Avenue Ft. Lauderdale, Florida,33308 (954) 270 -4062 Florida License, AR 0011828 Description Masonry Flush Wall Pilaster /Column Project # :11070 Garage Door Retrofit 9069 -9071 Biscayne Blvd Miami Shores, Florida 04/17/12 Page 3 of 3 Wind Analysis, W : opening pressures distributed on 48" maxwall/column width each side.. Contributing area = 88 sq.ft., w, psf = -43.9 & +39.9 ; ** Wmax= -87.8 psf General Information V4aII Height Thickness Rebar Size Reber Quantity Reber Location Seismic Factor Seismic Zone Code Ref. ACI 530-05 11.000 ft 8 in 5 2 Center 0.000 Block Type Bearing Plate Width Col./wall Width Col./wall Width used Load Duration Factor 0 Wall Wt Multiplier Normal Wt 8.000 in 48.000 in 48.000 In 1.330 1.000 fm 1,500.0 psi Fs 24,000.0 psi Frn =fm* 900.0 Steal Inspection Grout @ Reber 4nhy E 13W,000.0 psi n 21.481 Uniform Loads Dead Load Uve ...eccentricity ...load Type Wind Load 0.00 #/ft 0.00 0/ft 0.000 in Roof 87.80 psf Girder Load Dead Load Uve Load ...eccentricity ...load Type 0.00 lbs 0.00 Ibs 0.000 In Roof Design Values Allow Brg. Stress Allow Axial Stress Reduction Factor Allow Masonry Bending Max. Allow Moment w/o Axial Load Max. Axial Load w/o Moment 390.00 psi 335.65 psi 0.85 495.00 psi 4,059.53 ft-0 83,777.40 Ibs Rehr Area Reber Depth Wall Weight np 1 Radius of Gyration Moment of Inertia 0.620 In2 3.810 in 61.000 psf 0.0728 k 0.3157 0.8948 2/kJ 7.0801 2.443 In 372.510 in4 Load Combinations & Stress Details Top of Waft DL + LL Biwm. Base & Top of Wall DL + LL + Wind DL + LL + Seismic Moment dada! It-ft Its 0.00 0.0 5,311.89 1,342.0 0.00 1,342.0 Required Bearing Area 0.00 1n2 Summary Stet 0.00 Jammu_ _AidaL 0.00 0.00 30,158.19 647.71 5.38 0.00 0.00 5.38 Req'd Bearing Length 0.00 In Design OK 11.00ft high, 8.00in thick w/ 245 at each side of opening, Special Inspection, Grout © Rebar Only Max Bending + Axial Comp. Stress Allowable Max Axial Only Compressive Stress Allowable Max Steel Bending Stress Allowable 653.08 psi 658.35 OK 5.38 psi 446.41 OK 30,158.19 psi 31,920.00 OK Wmax= (( 8'12 x - 43.9psf) / 4' width) + -43.9 psf = -87.8 psf IvV "" 4a�/1 ?4•10 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 174729 Permit Number: CC -1 -12 -156 Scheduled Inspection Date: June 13, 2012 Inspector: Rodriguez, Jorge Owner: Job Address: 9031 -9069 BISCAYNE Boulevard 9069 Miami Shores, FL 33138- Project <NONE> Contractor: E -GREEN BUILDERS INC Permit Type: Commercial Construction Inspection Type: Final Work Classification: Alteration Phone Number (305)779 -8040 Parcel Number 1132060110051 -31 Phone: (305)632 -8453 Building Department Comments INTERIOR BUILT UP FOR NEW RETAIL STORE FOR PINCH A PENNY Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP - 174654. CREATED AS REINSPECTION FOR INSP- 174631. CANCELLED BY GEORGE LOPEZ provide ladder for roof and entry door must swing unimpeded for egress. NB June 13, 2012 For Inspections please call: (305)762 -4949 Page 17 of 19 Miami Dsie County Building ant e- Permitting Search: httpi /egvsys.co miami -dade fl us:1608/WWWSERV /ggvt/BNZAW... MUNICIPAL INSPECTION REQUIREMENTS AND RECORD 06101/2012 MUNICIPAL NO.2012- 041881 FOLIO: 1132060110060 JOB SITE ADDRESS 9069 BISCAYNE BLVD PROPOSED USE RETAIL SALES /ALTERATION INTERIOR LEGAL 853 42 ASBURY PARK PB 4 -110 APPLICATION TYPE ALTER INTERIOR 2100 SQFT 1 UNITS 1 FLOORS OWNER NAME SHORE SQUARE PROPERTIES LLC CONTRACTOR E -GREEN BUILDERS INC QUALIFIER PERMIT TYPE MUNICIPAL BLDG CATEGORIES 0001 MUNICIPAL GENERAL BUILDING DATE: 6101/2012 PROCESS NUMBER: M2012005330 NEW "AMOUNT PAID 142.00 FIRE 45000 ALTERATIONS & 104.00 FIRE 45000 FIRE UPFRT FE 32.00 FRWK 1 1ST FIRE MINO 70.00 UPMU 1 UPFRONT FEE F 25.00 61 1/2012 07:15 BNZWEBI 181206010008 WEBIPAS 142.00 MUNICIPAL INSPECTION REQUIREMENTS AND RECORD 06101/2012 MUNICIPAL NO.2012-041881 PROCESS NO. M2012005330 FOLIO: 1132060110060 JOB SITE ADDRESS 9069 BISCAYNE BLVD PROPOSED USE RETAIL SALES /ALTERATION INTERIOR REQUIRED INSPECTIONS INIT DATE FIRE 0001 FIRE INSPECTIONS RECOMMENDED 200 FIRE HYDRANTS 208 FIRE TCO INSPECTION 211 PRELIMINARY 209 FIRE FINAL MUNICIPAL INSPECTION REQUIREMENTS AND RECORD 06101/2012 MUNICIPAL NO.2012- 041881 PROCESS NO. M2012005330 FOLIO: 1132060110060 JOB SITE ADDRESS 9089 BISCAYNE BLVD PROPOSED USE RETAIL SALES /ALTERATION INTERIOR TO SCHEDULE A FIRE INSPECTION, PLEASE VISIT THE WEB AT WWW.MIAMIDADE.GOVBUILDING. YOU WILL NEED TO PROVIDE YOUR TEN DIGIT MUNICIPAL NUMBER AND THREE DIGIT INSPECTION TYPE. THE INSPECTION TYPE CAN BE FOUND ON YOUR INSPECTION REQUIREMENTS AND RECORDS CARD NEXT TO THE REQUIRED INSPECTION. IF YOU HAVE ANY QUESTIONS OR CONCERNS REGARDING AN INSPECTION, PLEASE CALL FIRE PREVENTION AT (786) 331 -4798. 61ora MIAMIDADE 1 of 2 6/1/2012 7:21 AM (2- BUILDING PERMIT APPLICATION FBC 2001 Permit T; e: BUILDIN ; " ROOFING Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 Permit No. it(a Master Permit No. OWNER: Name (Fee Simple Titleholder): 1D S(kua 2 PIA 19 1E7 L Phone #: 365 -3°5 - • t( l Address: 6 9-G. NE i ? g s'E` City: PiCL, M.:`7dLA a State: Ft- _ 1 Zip: i C 1 Tenant/Lessee Name: �e✓ 601cSs -SC die Pool 4' li ow) MOIf)4pkoket Phone #: 30 5 °- S W' --al ail Email: km Iv CaS a5 a) ct-W. n e+ p►3 Nick 4 Penny Lo u vel I..v(et S JOB ADDRESS: I 0 I ! + !O 7( S ∎ S(u Tu. Miami Dade Zip: 3 City: Miami Shores County: Folio/Parcel #: R 3J04, Ot4 005 Is the Building Historically Designated: Yes NO 4 Flood Zone CONTRACTOR: Company Name: L ° a r(° en 8.4\ d e rS, Tai% e.. _ Phone#: Address: qji iJ. U�/1 e, -11 an Z.) r- • I City: ) , Cu n e e ct Cam, State: P10 F:. c Zip: - 3 13 Qualifier Name: e, 0'3 e- L cz)p �-2, Phone: 30s-- 6 3. ° R (5: State Certification or Registration #: Ca, C.- d g- 6 c2 9S ' Certificate of Competency #: Contact Phone #: ®S-- 62 la - S ° / 5 3 Email Address: . Ce e/7 b o 1 k e e s (_-- 4O4 C b DESIGNER: Architect /Engineer: 01V' e-J e ei Phone# ° ° S4— 02 1i) a— LI ®10 2-- Value of Work for this Permit: $ Li 3, aim Square/Linear Footage of Work: Type of Work: DAddition ittAlteration ,/ ONeyw ORepair/Replaace �1 ®Demolition Description of Work: ®4f1'o, bc)t/ Oa iv /'t0b) Beck ,41 homy , re i 1 Srta r�r sir ***** Hack**** aija3c******************** ** Submittal Fee $ Permit Fee $ / e Scanning Fee $ Radon Fee $ Notary $ Training/Education Double Fee $ Structural Review *+k*** d+ **** *+ k******Na& ***********+N**:N*+k+kd:**** a CCF $ CO /CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) i\J) f Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) N 1 A 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the folegomg i formatioT is acdivat&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 e,xce.eding $2,P0, 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 comme went must be posted at the job site for the first inspection which occurs s,ven (7) days after the building permit is issued. In absence of such posted notice, the inspection will not be approved and r ' nspection fee will be charged. Signature Owner or Ag The foregoing instrument was ackno day ofavwtiot , 20 \Z_ , by ®K � �� day o who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: before me this 60-Itt The ■ Sign: � •� Print: e.,e) cAC My Commission Expires: r tary Public State • Fl Claudia M Lopez r My Commission DD993321 via, op* Expires 05/18/2014 tractor ment acknowledged before me thi 20/A, by JTiQ 412.. me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: ow) ". dte Print: ,2W %� 1-772077 LJ My Commission Expiresr�C'SVTE oFFI*IDA 11 Tana MAR. 31,a ** a*******************eee *> k*********************** * ** *** * * * * *** * * ***** * * * * * * * **** APPROVED BY (Revised 07 /10 /07)(Revised 06/10/2009)(Revised 3/15/09) Plans Examiner / 9i,7 Structural Review, • Zoning Clerk NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION C PERMIT NO. C.'(+ 12. QTAX FOLIO NO. 1\ - '32a to � all ,6O 60 STATE OF FLORIDA: COUNTY OF MIAMI -DADE: STATE OF F I HERESY CE THE UNDERSIGNED hereby gives notice that improvements will be made to ceiglaiti r property, and in accordance with Chapter 713, Florida Statutes, the following i WITNESS my is provided in this Notice of Commencement. HARVEY RU $ •u11 .1 11 By 111111111111111111111111111111111111111111111 C FN 2012R0287466 OR Bk 28083 Ps 08851 (fps) RECORDED 04/23/2012 14 %33 :39 HARVEY RUVIH, CLERK OF COURT MIAMI —DARE COUNTY? FLORIDA LAST PAGE CCUNTY OF DADE Y thst this copy of to A D 20 and (Wrist Seat CLERy..,r C+rc'_a` .:f. c Owls 770Yr D.c. (� +� Space above reserved for use of recording office 1. Leal description of property and street/a dress: 7 �� -903 l Ll�5rGQ1 X12 Q L-V /v1,i ay. t'b 4.01�.e, s F t. 531.n 2. Description of improvement: ! A T62 id a. e4,41O4411 3. Owner(s) name and address: _ Interest in property: 0 V+n4,R. Alapttlarw, ` 3316 ( Name and address of fee simple titleholder ist, L . 6 CIL V 4t. . Plop. LG. C 4. Contractor's name, address and phone number: e . (Ceen 43Ui Icd ev. ; ."n C. 3o.rg p Lop e z cm i�, Vent -Ian 'Xive latio\vw; Beach �L 3 3g 3eDS- fn3� -Q�yS; 5. Surety: (Payment bond required by owner from contractor, if any) Name, address and phone number iJ f� Amount of bond $ N J!} 6. Lender's name and address: N / Ir 7. Persons within the State of Florida designated by Owner upon whom notices or other documents n3ay- be-served as provided by Section 713.13(1)(a)7., Florida Statutes, Name, address and phone number dA b+ 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. + Name, address and phone number. - IAt t t,--'U CC' � �a iJ 7 (04 I" t'almi 313 5-- _c 3A_ —O 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER Al- i ER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND T OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE 0 MMENCEMENT. Signature(s) of Owner(s) or Prepared By Print Name Title /Office STATE OF FLORIDA COUNTY OF MIAMI -DADE The ff9regoing instrument was acknowledged before me this day of By 1t:1'CAN-r .1ZYtitj� Individually, or ❑ as for Personally known, or ❑ produced the following type of identific Signature of Notary Public: Print Name: (SEAL) VERIFICATION PURSUANT TO SECTION 92.525, FLORIDA STATUTES Under penalties of perjury, I declare that 1 have read the foregoing and that the facts stated in it are true, to the best of my knowledge and belief. ' Authorized Officer /Director /Partner /Manager Prepared By Print Name Title/Office A-tnc._)a i y 0 Signature(s) of Owner, By 123.01-52 PAGE 3 3)10 , Notary Public State of Florida Claudia M Lopez My Commtaslan 00993321 0,009 Expires A5 /18/2014 or Owner(s)'s Authorized Officer /Director /Partner /Manager who signed above: By PERMIT # CSC, f Z - jam, CONTRACTOR: ; �° C �'�;e_ (,A-r r L L_A r SUBMITTAL DATE: ,y`) ooJ 2 rj 2 . ADDRESS: IQ F C �-1 1 ` 11 rolv�C L NAME: l-(') J( C►f 7,1/\ -VW: ws' RESUBMITAL DATES: vi PROJECT TYPE: 1 �t(- - A ticj, t r L 7 trv_ti ZONING FIRE f)\!)-. sp2ev%a /3Jj STRUCTURAL 0-..' IMPACT FEES ELECTRICAL /7 ;/2 \,‘ HRS/DERM 1 PLUMBING ge,j, 1-3c-11.-- NOC MECHANICAL C-ed. N ■ BLDG XCEMTVIII SHORE SQUARE PROPERTIES, LLC APR 0 4 2092 J 696 N.E. 125th Street , Miami, Florida 33161 February 21, 2012 Re: Shore Square Properties, LLC Upper East Side Pool Supply and Maintenance, Inc D/B/A Pinch A Penny 9069 & 9071 Biscayne Blvd. North Miami, FL 33138 To Whom It May Concern: Please be advised that Shore Square Properties, LLC as owner of the above referenced property, hereby authorizes Upper East Side Pool Supply and Maintenance, Inc DB /A Pinch A Penny (Tenant) and/or Jorge Lopez and/or E -Green Builders, Inc. their General Contractor and/or Subcontractor to apply for and obtain permits for various alterations as necessary for the above referenced property. STATE OF FLORIDA ) COUNTY OF MIAMI -DADE ) I HEREBY CERTIFY that l0+arn -1.aiak- , to me personally known or who has/have produced as identification and who did take an oath., this day acknowledged before me that they executed the foregoing Guaranty this Z1 day of i®rubit i , 2012. My Commission Expires: Pu Notary Public State of Florida �tl Claudia M Lopez _ °- ` My Commission DD893321 .4 ort� Expires.05f18/2014 Notary Miami -Dade My Home My Home tat Show Me: Property Information Search By: Select Item Text only Property Appraiser Tax Estimator Property Appraiser Tax Comparison Summary Details: Folio No.: 11 -3206- 011 -0051 Property: 9031 BISCAYNE BLVD Mailing SHORE SQUARE Address: PROPERTIES LLC Living Units: 696 NE 125 ST MIAMI FL Adj Sq Footage: 33161- Property Information: Primary Zone: 6200 ARTERIAL BUSINESS CLUC: 0011 RETAIL OUTLET Beds/Baths: 0/0 Floors: 1 Living Units: 0 Adj Sq Footage: 47,749 Lot Size: 2.90 ACRES Year Built: 1962 $0/ $3,358,109 853 42 ASBURY PARK City: PB 4 -110 BEG 30FTW $0/ $3,274,989 OF SE COR LOT 5 RUN L L Legal W272.08FT N177FT esription: W260.97FT TO E R/W /L BISC BLVD NELY139.58FT E290.02FT N124.93FT E152.16FT ALG Assessment Information: Year: 2011 2010 Land Value: $1,394,008 $1,394,008 Building Value: $1,964,101 $1,991,477 Market Value: $3,358,109$3,385,485 Assessed Value: $3,358,109$3,274,989 Taxable Value Information: Year: 2011 2010 Applied Applied Taxing Authority: Exemption/ Taxable Exemption/ Taxable Value: Value: Regional: $0/ $3,358,109 $0! $3,274,989 County: $0/ $3,358,109 $0/ $3,274,989 City: $0/ $3,358,109 $0/ $3,274,989 School Board: $OI $3,358,109 $0/ $3,385,485 Sale Information: Sale Date: 11/2011 Sale Amount: $8,000,000 Sale O /R: 27902 -4847 Sales n, ,..rr.....:.... Sales qualified at time of sale, but transaction Page 1 of 2 ACTIVE TOOL: SELECT Aerial Photography - 2009 0 63 ft My Home 1 Property Information 1 Property Taxes 1 My Neighborhood 1 Property Appraiser Home 1 Using Our Site 1 Phone Directory 1 Privacy 1 Disclaimer If you experience technical difficulties with the Property Information application, or wish to send us your comments, questions or suggestions please email us at Webmaster. Web Site © 2002 Miami -Dade County. All rights reserved. Legend Property Boundary Selected Property Street oso Highway Miami - Dade County Water http: / /gisims2. miamidade .gov /myhome /propmap.asp 1/30/2012 Miami -Dade My Home Page 2 of 2 1 Uu niLauuu NNNNI�VV�IVOU IIIU111FM (J R.cl Description: muttfple tax entffication numbers View Add#ional Salas Additional Information: Click here to see more information for this ReRNIC Community Development District Community Redevelopment Area Empowerment Zone Enterprise Zone 4onhtg Land Use Urban Development Boundary Zoning Non-Ad Valorem Assessments ,Environmental Con ratio http: / /gisims2. miamidade .gov /myhome /propmap.asp 1/30/2012 602002 -8 911 N VENETIAN INC 33139 MIAMI THIS IS NOT A BILL —DO NOT PAY RENEWAL STATereO 12954 GREEN BUILDERS INC seems limn THIS IS ONLY A LOCAL SUMMERS REPEPT. DOES NOTT PERMIT WE EXERTING REOIRATDRY ANY OR MEMO LAWS OF THE COUNTY OR CITIES. NOR DOES IT WIMPY THE HOLDER FRS ANY OTHER PERM' OR LICENSE REQUIRED BY NOT A LAW. t Op THE HOLDER'S MAURO& PAYMENT REVIEWED c COUSIN TAX 60050000088 000045.00 SEE OTHER SIDE BUILDING CONTRACTOR WORKER /S 1 DO NOT FORWARD E GREEN BUILDERS INC JORGE L LOPEZ PRES 911 N VENETIAN DR MIAMI FL 33139 (tt11ttt11et't11ttj1J111ttatint 111111111114111111M FlRST -CLASS U.S. POSTAGE PAID MIAMI, PERMIT NO 231 628071 -3 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD 1940 NORTH MONROE STREET TALLAHASSEE FL 32399 -0783 LOPEZ JORGE LUIS E -GREEN BUILDERS INC 911 N VENETIAN DR MIAMI -BEACH FL 33139 Congratulations! licensed ions! With this the license you become one of the nearly one million • Our professionals and busing range architects to yacht brokers, Regulation. boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to Improve the way we do business in order to serve you better. For inform atfon about our services, please kg onto www.myflcridalicense.com. There you can find more information about our divisions and the regulations that impact subscribe to department newsletters and team more about the Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! DETACH HERE (850) 487 -1395 s.ATi;;)i NUMBER M iami Shores Viiiage Building Department RECEIPT PERMIT MCC/ 12- 1 DATE: at 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 IZ ,Contractor o Owner o Architect Address: From the building department on this date in order to have corrections ''•ne to plans And /or get County stamps. I understand that the plans need to be brought back to Miami Shores Village Building Departme) o continue • rmitting process. Acknowledged by: PERMIT CLERK INITIAL: RESUBMITTED DATE: PERMIT CLERK INITIAL: Permit No: 12 -156 Job Name: February 13, 2012 Miami Shores Village Building Department Building Critique Sheet 2nd 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Page 1 of 1 1) Provide structural plans showing the alterations to the structure including new columns, beams and details. The details provided are insufficient without the calculations to show compliance. 2) Provide structural calculations. 3) Provide design wind loads for each opening including calculations. The design wind loads provided must be shown for each opening being altered. 4) Provide product approvals that have been reviewed and signed approved by the designer of record for all altered /new openings. State of Florida product approvals or Miami Dade product approvals are required for all openings being altered /new. The roll up door PA is ok but the new entry is not a valid product approval. Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new reined sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305 - 762 -4859 Permit No: 12 -156 Job Name: February 13, 2012 4 - Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Page 1 of 1 Building Critique Sheet Provide letter of acknowledgement from the building owner. The letter provided has several exclusions. Provide a letter of acknowledgement without any conditions. Do you give the contractor the right to act as your agent for this space for the prescribed work or not. Provide approval from Miami Dade Fire. Provide approval from Miami Dade County DERM. Provide approval from Miami Dade County Health Dept. (DOH /HRS) All notes that refer to typical details must provide the details for this job. Simply stating the code requirement is insufficient. 44 Provide energy calculations. Provide product data for the chemical being stored. ��- 8) Provide details for the storage containers and containment tubs. Vhazardous. ) Provide the type of occupancy for the storage room. The product being stored is considered Identify the hazard in chapter 3 and 4 and show all required details. /Prov/Provide corrections for plumbing and mechanical. ide occupancy type does not match the FBC. It is mercantile. RI 'I�) The occupant load is incorrect. The loads must be determined using table FBC 1004.1.1. ) Provide structural plans showing the alterations to the structure including new columns, beams and details. r".% V) Provide the design wind load criterion. Provide 5) Provide structural calculations. ) g 7) Provide product deign approvals wind loads for that have each been opening revieweincludind and calculations. signed approved by the designer of 4 ecoird for all altered /new openings. Indicate the fire resistive design number for the existing wall. 1 Provide the methpddof compliance with the FL accessibility code for the handle and latch on the pocket door. PAW ) The details for the accessible features in the bathroom must be for this bathroom not "typical" /including all accessories and mounting height and locations. 1/11) /Including the elevation of the exterior grade with respect to finish floor at each door. All doors in a ath of egress must be accessible. rovide an interior wall detail including attachment and bracing of all components. Provide a reflective ceiling plan. Provide maneuvering clearance at all doors. Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 1 Planning and Zoning Criteria Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit NO. CC -1 -12 -156 Issue Date: Not Issued Explres:NOt Issued Folio Number:1132060110051 -31 Owner's Name: Job Address: 9031 -65 BISCAYNE Boulevard Miami Shores, FL 33138- Owner's Phone: (305)779 -8040 Total Square Feet: 0 Total Job Valuation: $ 43,000.00 Contractor(s) E -GREEN BUILDERS INC Phone (305)632 -8453 Primary Contractor Yes Planning and Zoning Criteria and Comments Approved: Yes Comments: Date Approved: 2/13/2012 : Yes PIlI iami Shores Vniage Building Department RECEIPT 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 PERMIT #: C-c 1 2 5 L ) DATE: 2 - ( 1 - 7 0 1 2 I, L • ccz 1 o Contractor 'Owner o Architect Picked up 2 sets of plans and (other) Address: °106 �t .0 ?( 12Di`ScI-t) 1 M S11 `' 3 °313 From the building department on this date in order to have corrections done to plans And /or get County stamps. l understand that the plans need to be brought back to Miami Shores Village Building Department to continue permitting process. Acknowledged by: PERMIT CLERK INITIAL. RESUBMITTED DATE: 4I4—h � 7C PERMIT CLERK INITIAL: nklu Plus 7010pAtu frd Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. ;2. ^' 6fr Job Name CRITIQUE SHEET A Miami Shores Village Building Department 10050 N.E 2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. CG (2 -/5te• Job Name PLUMBING CRITIQUE SHEET yam; SEVER DESIGN ARCHITECTS March 29, 2012 Miami -Dade Fire Department - Plan Review 11805 SW 26th Street Miami, Florida Re: Tenant Improvements - Pinch A Penny 9069 & 9071 Biscayne Blvd. - Miami Shores Process #M2012005330 Dear Mr. Gonzalez, The following are items that have been addressed as per the plan review comments dated 3/26/12 1. Response letter provided 2. Occupant load factor changed to 30 SF / Person shown on sheet 1 of 7 3. Storage room with (2) 950 gallon bleach tanks comply with N.F.P.A. table 60.1.26.3.1b - information shown on sheet 1 of 7 - new 1- hour fire rated enclosure - refer to sheet 1 of 7 and mechanical exhaust fan shown on sheet 7 of 7 - refer to attached Material Safety Data Sheet regarding toxicity of stored bleach 4 Process of dispensing bleach shown on sheet 4 of 7 (filling of jugs) 5 Bleach storage room shown as 1 -hour fire rated walls refer to sheet 1 of 7 6 List of other stored chemicals shown on sheet 4 of 7 If you have any questions or comments regarding these revisions please call me at your convenience. Thank you. 954- 270 -4062 Mark Sever - Architect Sever Design 5580 NE 28th Avenue - Fort Lauderdale, Florida 33308 (954) 270 -4062 Cell - (954) 489 -0822 Fax Co ;,►,,� A- ^^ \ , FIRE REVIEW M2012005330 3/26/12 R. GONZALEZ 1. PROVIDE RESPONSE SHEET ADDRESSING EACH OF THE COMMENTS AND INDICATE THE SHEET IN WHICH CORRECTION IS FOUND - IF NOT PROVIDED ORIGINAL FULL REVIEW FEE WILL BE ASSESSED AGAIN OCCUPANT LOAD FACTOR FOR 1ST FLOOR MERCANTILE IS 30 SF - TABLE 7.3.1. COMPLY WITH THE STORAGE OF BLEACH AS PER FPA REQUIREMENTS INDICATE THE PROCESS INVOLVED FOR THE DISPENSING OF BLEACH C-ro t_ - h etJe_ BLEACH STORAGE ROOMS TO BE PROVIDED WITH A 1 HOUR FIRE RATED ENCLOSURE PROVIDE A LIST OF ALL OTHER FLAMMABLE OR COMBUSTIBLE MATERIALS TO BE STRORED - (TOTAL AMOUNTS - CONTAINER SIZES - ETC) v L how - I -! ; d - pr r a ADDITIONAL COMMENTS MAY FOLLOW ONCE ALL INFORMATION IS PROVIDED ALL CODE REFERENCES MENTIONED IN THESE COMMENTS ARE FROM FFPC/NFPA, FLORIDA FIRE PREVENTION CODE AND NFPA 101 LIFE SAFETY CODE, UNLESS OTHERWISE NOTED.. PROVIDE NEW SHEETS WITH ALL CORRECTIONS AND CHANGES HIGHLIGHTED OR CLOUDED. • RETURN VOIDED SHEETS-WITH FIRE DEPT. STAMPS FOR COMPARISON, OR FULL REVIEW FEE WILL BE ASSESSED • COORDINATE ALL CORRECTIONS & CHANGES THROUGHOUT THE ENTIRE SET OF PLANS. • PROVIDE ALL INFORMATION ON THE PLANS • FAST TRACK FOR REWORK 1 INSPECTION RECORD Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 POST ON SITE Permit NO. CC -1 -12 -156 Issue Date: 4/23/2012 INSPECTION REQUESTS: (305)762 -4949 or Log on at https : / /bIdg.miamishoresvillage.com /cap REQUESTS ARE ACCEPTED DURING 8:30AM - 3:30PM FOR THE FOLLOWING BUSINESS DAY. Requests must be received by 3 pm for following day inspections. Construction i caijan AIterdtiof Expires: 10/20 /2012 Commercial Construction Parcel #:1132060110051 -31 Owner's Name: Job Address: 9031 -65 BISCAYNE Boulevard Miami Shores, FL 33138 - Bond Number: Owner's Phone: (305)779 -8040 Total Square Feet: 0 Total Job Valuation: $ 43,000.00 Contractors) E -GREEN BUILDERS INC Phone Primary Contractor (305)632 -8453 Yes WORK IS ALLOWED MONDAY THROUGH SATURDAY, 7:30AM - 6:OOPM. NO WORK IS ALLOWED ON SUNDAY OR HOLIDAYS. BUILDING INSPECTIONS ARE DONE MONDAY THROUGH THURSDAY. ROOFING INSPECTIONS ARE DONE MONDAY THROUGH FRIDAY. NO BUILDING INSPECTIONS DONE ON FRIDAY. THIS 1ST BE ON JOB AT TIME Of INSPECTIUN NO INSPECTION WILL BE MADE UNLESS THE PERMIT CARD IS DISPLAYED AND HAS BEEN APPROVED. PLANS ARE READLY AVAILABLE. IT IS THE PERMIT APPLICANTS RESPONSIBILITY TO ENSURE THAT WORK IS ACCESSIBLE AND EXPOSED FOR INSPECTION PURPOSES. NEITHER THE BUILDING OFFICIAL NOR THE CITY SHALL BE LIABLE FOR EXPENSE ENTAILED IN THE REMOVAL OR REPLACEMENT OF ANY MATERIAL WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. DATE INSPECTION RECORD STRUCTURAL INSPECTION Foundation Stemwall Slab Columns 1 st Lift CoI a (2 d- l=ift-' INSP Tie Beam Truss /Rafters Roof Sheathing Bucks Doors Interior Framin Insulation Ceiling Grid D all Firewall Wire Lath my,T MYR Pool Steel Pool Deck Final Pool Final Fence Screen Enclosure Driveway Driveway Base Tin Cap Roof in Progress Mo in Pr Final Roo Shutters Final Shu Raits and ADA con F IN l_ • • ess PISP1. 11 Roof Cif Attachment Shutters Guardrails EMI !M U lance LIME Soil Bearing Cert Soil Treatment Cert Floor Elevation Surve Reinf Unit tvtas Cert Z ZONING INSPECTION DATE INSP Zoning Final ZONING COMMENTS 4 ELECTRICAL INSPECTION DATE INSP Temporary Pole 30 Day Temporary Pool Bonding Pool Deck Bonding Pool Wet Nich Underground Footer Ground Stab Wall Rau! •j ffAit N11■74c 7'" /Z. Fnsulation Certificate Spot Survey Final Survey rTruss Certification C• ME Ceiling Rou Rough Tele • hone Rou Tele • hone Fin TV Final Cable Rough Cable Final Awe' ntis Intercom Rough Intercom Final Alarm Final Fire Alarm Rough MINIM IMOMIZIEWP ZA MOWN Service Work With VIF ?f lii1 4 ' DATE H MEr Final rrkder PLUMBING INSPECTION Rough Fire Sprinklers Septic Tank Sewer Hook -up Roof Drains Gas LP Tank Well Lawn Sprinklers Main Drain Pool Piping Backflow Preventor Interceptor Catch Basins Condensate Drains HRS Final FINAL • INSP Istforrao .r ../ rgirmirgU 11 PLUMBING ' 0 ' ENT MECHANICAL Cvl /I /.�"/_tl OMNI INSPECTION Rou entilation Rough Pressure Test Final Hood Final Ventilation Final Pool Heater Final Vacuum DATE E AN CAL OMME / 2 12. REC 'W ED I MAY 302012 sir DASH DOOR & CLOSER SERVICE *_ 7801 NW 29th Street Miami, FL 33122 P: 305.477.1164 F: 305.477e2502 <PO ' gat Pinch -A -Penny - 9071 Biscayne Blvd., Miami Shores, FL Submittal: Auto Door / Storefront Calculations 05/29/12 REV1 — Existing Conditions Pinch -A -Penny - 9071 Biscayne Blvd. TABLE OF CONTENTS, AUTO DOOR / STOREFRONT - ELEVATION STEEL STRUCTURAL CALCULATIONS Dash Door & Closer Service, Inc. 7801 Northwest 29th Street EXIST. CIP COLUMN 11' -8 &c /o2g//i TS 6X4XA <TYP.) 7,#s 44 14.5 (cry: ,1 44":114) ,avover& 01 Ss� EFRONT BS. 5' -3/4') RVICE REV1 TS 6x2xa ATTACH AT TOP AND BOTTOM ONLY PER DETAILS EXIST. SLAB TS 6X4Xa <TYP,) EXTERIOR VIEW X. CLR, DOOR OPENING ACCESS COVER SIDE SO EXTERIOR ELEVATION /PLAN AUTOMATIC DOOR NOA #: 11- 1115.07 STOREFRONT NOA #: 11- 0720.09 NOTES. 1> DOOR FINISH• CLEAR ALUM. 2) GLASS COLOR. CLEAR 3) SEE STOREFRONT AND AUTOMATIC DOOR NM DOCUMENTS FOR ANCHOR SPACING AS SHOWN 4) ALL ANCHORS FOR AUTOMATIC DOOR SHALL BE DOUBLE ROWS PER NOA, Ma. REV1 ` �M etodeCi'il 'o f+l.So4'S /4r) lhaNC : «I.ayt` Use. 54 Aetz• 45 "REV1" - 05/29/12 - FIELD CONDITIONS Dash Door and closer service Inc. Protect Nama, Protect Number. 89(Number. PINCH -A -PENNY @ 9071 BISCAYNE BLVD. ELEVATION 04/20/12 NONE DD01 Addrcex 7801 NW 29111 Street, Wood, Florida 33122 Telephone: (305) 477 -1164 Fax 477 -2502 www.daehdoor.eam A -A DD5 \ 3" Dash Door & Closer Service, Inc. 7801 Northwest 29th Street NMI FL 33122 BASE PL 6 "X2 „X0' -8„ STEEL TUBE POST —SEE ELEVATI ❑N (2) z” DIAM, ANKR —TITE CCA WEDGE ANCHORS WITH 2" EMBEDMENT (3z" ANCHOR LENGTH E70XX 1 � 5 � DETAIL SCALE: NONE 3n/ 6" 1� "REV1" — 05/29/12 — FIELD CONDITIONS ' Des:4,1 Z y. y (S"ce. O . , na� eak Sv4A :+41 �$ r 4 4c4o r c�Sa; ) Cce:"'' - 7 %'4 --� "ia ' `1k �cr-' a 6.: 3.75"—I'14/1= Ci ��.Y6•Yb= 4.S-eat p.S I kr J4k firs `1 �, �, 1411:- D.lva k 0-6.0))6,1z /oe 41.14 /a G.Q .`'Grec 6e 11' -8 2 SPC. @ 3' ANCHOR SPACING 12' MAX. 1 SPC. 1 SPC. @ 3' N @ 3' TS 6X4XA (TYP.) EXIST. CIP - -. COLUMN z CL _MI U z a 1•1 MN MN ■0"irillIO Ai I:NI .:I /%f•��L� EXISTING MSY PIER REV1 STOREFRONT (JAN BSI 5' X 1 -3/4') ELECTRICAL S _RVICE AL TOMATIC DOOR AUTOMATIC DOOR GLAZING 3LAZING 5 SPCS @ 3' 4' 2 SPC. @ 3' 2 SPCS. @ 3' EXIST, SLAB TS 6X4XA (TYP.) EXTERIOR VIEW 3' -6' 7?-i0'AIX. CLR. DOOR OPENING 0 0(Y >- -J °o r q y 0�W° I— d r U00J fXI t_1 ~ V) X I TS 6x2xj ATTACH AT TOP AND BOTTOM ONLY PER DETAILS REV1 de-AL-16-1{ ACCESS COVER CINTERIEND SIDE SD SX EXTERIOR ELEVATION /PLAN AUTOMATIC DOOR NOA #: 11- 1115.07 STOREFRONT NOA #: 11- 0720.09 NOTES: 1) DOOR FINISH: CLEAR ALUM. 2) GLASS COLOR: CLEAR 3) SEE STOREFRONT AND AUTOMATIC DOOR NOA DOCUMENTS FOR ANCHOR SPACING AS SHAWN 4) ALL ANCHORS FOR AUTOMATIC DOOR SHALL BE DOUBLE ROWS PER NOA. 4- 713r o37 —P "REV1" - 05/29/12 - FIELD CONDITIONS Dash Door and closer service inc. Prolect Name: Protect Number. Drawing Name: Scale: SSK Number: PINCH -A -PENNY @ 9071 BISCAYNE BLVD. Address: 7801 NW 29th Street, 6dimnf, Florida 33122 Telephone: (303) 477 -1164 Roc (305) 477 -2502 www.doshdoar.com ELEVATION 04/20/12 NONE DD01 STEEL TUBE POST —SEE ELEVATION BASE PL + NS GROUT CL CIP BEAM / STEEL TUBE 3 ' MIN. (FIELD VERIFY) DETAIL, A -A 'REV1' — 05/29/12 — F ELD CONDITIONS DETAIL SCALD NONE REMOVE CONCRETE AS REQUIRED TO CREATE FLUSH CONDITION AS SHOWN E70XX BASE PL 6'X'X0' -8' STEEL TUBE POST —SEE ELEVATION (2) ' DIAM. ANKR —TITE CCA WEDGE ANCHORS WITH 2k' EMBEDMENT (3' ANCHOR LENGTH E70XX STEEL TUBE POST —SEE ELEVATION CL CIP BEAM / STEEL TUBE DETAII1 B -B E70XX BASE PL 6'X'X0' -8' STEEL TUBE POST —SEE ELEVATION (2) h' DIAM. ANKR —TITE CCA WEDGE ANCHORS WITH 2' EMBEDMENT C3' ANCHOR LENGTH E70XX DETAIL SCALD NONE CUT EXCESS BOLT FROM TOP OF ANKR —TITE NUT SUCH THAT NUT ONLY PROTRUDES k' FROM CONCRETE BEAM /PLATE Dash Door and closer service inc. Protect Name: Protect Number Drawing Name: Date: Scale: SSK Number: PINCH -A -PENNY @ 9071 BISCAYNE BLVD. Address 7801 NW 29th Street, Muni. Florida 33122 Telephone: (305) 477 -1164 Fox (305) 477 -2502 www.da hdow.com DETAILS 04/20/12 NONE DD06 CL CIP BEAM / STEEL TUBE E70XX STEEL TUBE GIRT —SEE ELEVATION STEEL TUBE POST —SEE ELEVATION DETAIL E70XX SCALD NONE v v v STEEL TUBE POST —SEE ELEVATION BASE PL + NS GROUT CL CIP BEAM / STEEL TUBE DETAIII, A -A 3b' MIN. (FIELD VERIFY) REMOVE CONCRETE AS REQUIRED TO CREATE FLUSH CONDITION AS SHOWN STEEL TUBE POST —SEE ELEVATION BASE PL 6'Xi'X0' -8' STEEL TUBE POST —SEE ELEVATION (2) ' DIAM. ANKR —TITE CCA WEDGE ANCHORS WITH 2' EMBEDMENT (3' ANCHOR LENGTH E70XX SCALES NONE "REVI" — 05/29/12 — FIELD CONDITIONS CL CIP BEAM / STEEL TUBE DETAIN, B -B BASE- PL 6'Xi'X0' -8' STEEL TUBE POST —SEE ELEVATION (2) ' DIAM. ANKR —TITE CCA WEDGE ANCHORS WITH 2e EMBEDMENT (3' ANCHOR LENGTH E70XX DETAIL SCALED NONE CUT EXCESS BOLT FROM TOP OF ANKR —TITE NUT SUCH THAT NUT ONLY PROTRUDES '. FROM CONCRETE BEAM /PLATE "REVI" — 05/29/12 — FIELD CONDITIONS Dash Door and closer service inc. Protect Name: Prolect Number: Ore wkrp Name: Scale: 8SK Number: PINCH -A -PENNY @ 9071 BISCAYNE BLVD. DETAILS 04/20/12 NONE DD07 Addre"x 7801 NW 29th Street, Miami. Florida 33122 Telephone: (305) 477 -1164 Fax: (305) 477 -2502 www.daehdoor.com Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 inspection Number: INSP- 174866 Permit Number: CC -1 -12 -156 Inspection Date: June 14, 2012 Inspector: Bruhn, Norman Owner: Job Address: 9031 -9069 BISCAYNE Boulevard 9069 Miami Shores, FL 33138- Project: <NONE> Contractor: E -GREEN BUILDERS INC Permit Type: Commercial Construction Inspection Type: F. Insulation Certificate Work Classification: Alteration Phone Number (305)779 -8040 Parcel Number 1132060110051 -31 Phone: (305)632 -8453 Building Department Comments INTERIOR BUILT UP FOR NEW RETAIL STORE FOR PINCH A PENNY Passed 81-46„ezerj9, Inspector Comments Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until For Inspections please call: (305)762 -4949 June 14, 2012 Page 1 of 1 „ lagasfAr AfAl :41 INSULATION & FIREPROOFING, LLC. SANTA ROSA INSULATION & FIREPROOFING, LLC. 6130 N.W. 74 AVE. Miami, FL 33166 (305) 592 -5249 (305) 592-9615 Fax: (305) 592 -0925 Toll Free: 1-800-879-5915 BUILDING PERMIT No.: Project Name.,, — — POM rt.”( iN Job Address:qf1, ti i ' e+\; - Lot Block 1045 STATEMENT OF COMPLIANCE: We, the undersigned, hereby certify that the THERMAL INSULATION has been installed in the above referenced project, in compliance with the latest edition of the STATE OF FLORIDA ENERGY CODE, the APPROVED ENERGY CALCULATIONS, and Plans, and in accordance with good construction practice, The insulation furnished and installed has the characteristics shown below: (Check only applicable boxes) Ye o ❑ 1.- Exterior CBS walls Insulation: 3/4" ❑ ❑ Thickness: N/A inch(es): Density: ❑ 2.- Exterior Frame /Metal Stud Walls: T fckness: 3 -1/2" o inch(es): Density: x R -3 ❑ R -5 ❑ R -5.4 ❑ R. ❑ R. ❑ R.11 ❑ R -4.t�p CELL ❑ HER ❑ VR + FOIL R -7.1 ❑ FI -FOIL ,�� ENERGY (Min.); Material; BATTS ❑ SHIELD ❑ 2.9 ❑ 0.6 ❑ N /A� Ib /ft3; Mfgr: R -3 ❑ R -5 ❑ ❑ 3. Exterior solid concrete walls: R. ❑ (Min.); Material: 3/4" ❑ Thickness: o inch(es): Density: o Ib /ft3; Mfgr: ❑ 4.- Interior walls separating A/C from non -A/C spaces insulation: R. 1, in.) ❑ ❑ 0.6 M terial: FIBERGLASS BATTS ° ; Thickness: 3.1/2" ❑ inch(es): Density: Ib /ft3 0.6 ❑ 0 0 (Min.); Material; ❑ DOW SUNCOAST FI -FOIL. MAINVILLE ❑ FIBERGLASS BATTS ❑ ❑ OTHER ❑ Ib /ft3; Mfgr: MANVILLE ❑ 13 0 ❑ SPRAY CELLULOSE FI -FOIL 2.9 SUNCOAST ❑ FI -FOIL. 5.- CO ❑ ❑ COMMERCIAL & RESIDENTIAL CONSTRUCTION ONLY: The COMMON (PARTY) walls separating different tenants shall be insulated as follows: FRAME/METAL STUD WALLS R -11 (Min.); CBS or Concrete walls R -3 (Min.) by Energy Code requirements. See ENERYGY CODE, Rev. 1/87, paragraph 903.2(b), on page 9 -17, latest edition. These minimums levels of insulation ", are not included in the Energy Calculations, but shall be installed in the field. ❑ 6. Above deck type ROOF INSULATION: R. ❑ (Min.); Material: Thickness: inch(es): Density: Ib /ft3; Mfgr: R.30 ❑ FIBERGLASS BATTS ❑ R.19 ❑ BLOWN -IN FIBERGLASS ❑ ❑ 7.- Ceilling Insulation: R. ❑ (Min.); Material: BLOWN -IN CELLULOSE ❑ 6.1/2" ❑ 0.6 ❑ MANVILLE ❑ 5.4" ❑ 2.9 ❑ KNAUF ❑ TJkness: ❑ inch(es): Density: ❑ Ib/ft3; Mfgr: CERTAINTEED ❑ 8.- NOTE: Densities of sprayed -on, loose fill, or any other composed -on site insulation shall be the P.C.F. (Ib /ft3) average of three (3) "DRY SAMPLES" of actual installation. Installed by: Santa Rosa Insulation & Fireproofing, LLC. Insulation Company Name Insular rfContractor Signature Insulation Contractor CC #: 000018264 / 89- 5305 -1 -X Certified on: (-P1 ) Date G.C. /Builder: Company Name Building Contractor CC #: Certified on: Date G.C./Builder's Signature Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 172823 Permit Number: CC -1 -12 -156 Scheduled Inspection Date: May 08, 2012 Inspector: Bruhn, Norman Owner: Job Address: 9031 -65 BISCAYNE Boulevard Miami Shores, FL 33138- Project <NONE> Contractor: E -GREEN BUILDERS INC Permit Type: Commercial Construction Inspection Type: Fill Cells Columns Work Classification: Alteration Phone Number (305)779 -8040 Parcel Number 1132060110051 -31 Phone: (305)632 -8453 Building Department Comments INTERIOR BUILT UP FOR NEW RETAIL STORE FOR PINCH A PENNY Passed ����d Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP- 169335. Work does not match plans. South filled cells are existing column. Provide revision. OK to pour at own risk. NB May 07, 2012 For Inspections please call: (305)762 -4949 Page 17 of 24 SEVER DESIGN AR C H I T E C TS ET NEW PRECAST LINTEL INTO EXISTING TIE COLUMN MIN. 4" EMBED FILL EXISTING CONCRETE BLOCK ABOVE LINTEL WITH 3,000 PSI CONCRE EMBED HORIZONTAL 1#5 INTO EXISTING TIE CO WITH EPDXY CEMENT .EXISTING CONCRETE BEAM M A, ROLL - UP DOOR OPENING 3/8 " =1' -0" A PENNY . r CH A 9069 & 9071 BISCAYNE BOULEVARD EMBED INTO EXISTING CONCRETE FOUNDATION AND TIE BEAM ABOVE MITT. 7" EMBED WITH EPDXY CEMENT PROVIDE 1 #5 SPLINCE MIN. 30" PROVIDE PRECAST CONCRETE LINTEL WITH 1 #5 HORIZONTAL /_ PROVIDE (2) CONCRETE FILLED BLOCK CELLS WITH 1 #5 VERTICAL EXISTING MASONRY WALL EXISTING 8 "x 12" CONCRETE TIE COLUMN EXISTING FINS FLOOR 7" EMBED MN. WITH i EPDXY CEMENT INTO EXISTING CONCRETE FOUNDATION 5580 N.E. 28TH AVENUE FT. LAUDERDALE, FL 33308 (954) 489 -1045 FAX (954) 489 -0822 Mark Sever, Architect 5580 NE 28th Avenue R. Lauderdale, Florida,33308 (954) 270 -4062 Florida License, AR 0011828 Rev: 580000 Project # :11070 Garage Door Retrofit 9069-9071 Biscayne Blvd Miami Shores, Florida 04/27/12 Page 1 of 2 Rectangular Concrete Column Description Existing 8x12 TC: Wind Analysis, W : opening and attributed wall pressures distributed to column, contributing area > 88 sq.fL, w, psf = -43.9 & +39.9 ; Wmax= -351 plf 1 General Information Width 12.000 In Depth 8.000 in Reber. 2- # 5 d = 2.250 in 2- # 5 d = 5.750 in Code Ref: AC1318 -6, 2007 FBC, 2006 IBC fc 3,000.0 psi FY 60,000.0 psi Seismic Zone 0 LL & ST Loads Act Separately Total Height Unbraced Length Elf. Length Factor Column is BRACED 12.000 ft 12.000 ft 1.000 1 Loads Note: Load factoring supports 2008 IBC and 2007 FBC by virtue of their references to ACI 318-05 for concrete design. Factoring of entered loads to ultimate loads within this program is according to ACI 318-05 C.2 d Load Live Load Short Term! Eooentrtcity 0.000 k k k in Start Loc ga Loc k!ft 0.351 k/ft k/ft 12.0008 kilt k/ft klft ft Axial Loads Lateral Uniform Loads #1 #2 Summary Column is OK 12.00 x 8.00in Column, Reber. 245 @ 2.25in, 245 c 5.75in ACI C -1 ACI C-2 ACI C-3 Applied : Pu : Max Factored 0.00 k 0.00 k 0.00 k Allowable : Pn * Phi ! Design Ecc. 0.16 k 0.16 k 0.16 k M- critical Combined Eccentricity Magnification Factor Design Eccentricity Magnified Design Moment Po * .80 P : Balanced Ecc : Balanced 10.74 k-ft 10.74 k-ft 10.74 k-ft 32062248.889 in 32062248.889 in X2082248.889 in 1.00 1.00 1.00 32062250.019 in 32082250.019 in 32082250.019 in 10.74 k-ft 10.74 k-ft 10.74 k-ft 252.83 k 252.83 k 252.83 k 68.01 k 68.01 k 88.01 k 4.710 in 4.710 in 4.710 in 1 • 0111.12 -411111441 1-- I 1‘7.4 /�-s.. • Mark Sever, Architect 5580 NE 28th Avenue Ft. Lauderdale, Florida,33308 (954) 270.4062 Florida License, AR 0011828 Project# :11070 Garage Door Retrofit 9069 -9071 Biscayne Blvd Miami Shores, Florida 04/27/12 Page 2 of 2 284.167 255.750 227.334 198.917 170.500 142.083 113.667 85.250 56.833 28.416 1'u,MUM.: &1) Pu, ullttQg92)) Pu, u 9 3 1.4k, 10.7kk-ft. 1.4k, 10.7k -it 1.4k, 10.7k-ft 00020 Axial : Pn "phi (k) 24 4S 9E' 12.6.15 14• 5 1 16.3 Moment : Mn•pnl (k ft 4fflffL&Mr (SLUM Miami Shores Village >t 7 " Building Department 2 2 90050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION Permit Type: BUILDING JOB ADDRESS: FBC 200 7 Permit No. Master Permit No. C . (� - 4, ROOFING 06 9 4- 70 7/ &isca y,L alua' H/o►wt 5ho r s F4-- 3 313 City: Miami Shores County Miami Dade Folio/Parcel #: /1 — 32474 0 % 1 - co (o® Is the Building Historically Designated: Yes Zip: 3 3/39 NO ✓- Flood Zone: OWNER: Name (Fee Simple Titleholder): Shore Squ;tte Iro»•64 LL-C_ Phone #: 3D5 °305--9 7 if Address: t9 % /t 6- (a. S 4 51- City: Dom Meg"; `y_+j State: C--- Zip: 3 31 iv ( Tenant/Lessee`Name: ey t w , Oyia MW QN• Phone #: —'SD S -S!D`D -09eY Email: t en IVCa S S.S o . � f" �� ��� �Ij .P-0- ?frith A ?emu./ / CONTRACTOR: Company Name: e.-- (careen 3t7i bI eta P 2nC. Pho�n�e� #::' ��Os� (v - �� 5;t_ Address: l Ve e��� &. 3L .54',1* L4 City: Miami Sect.dit State: -C' 1,. - Zip: 3 3135' Qualifier Name: 1? iril e 1,4411>e v 1� Phone #: 3Q5-!o 3 2,-045 a_. State Certification or Registration #: C& ^-15 } 12q 5- Certificate of Competency #: Contact Phone #: 305 - 11:)2,--- 4 5 3 , Emvi1'Address: a ctr i V6l dArS Oct o 1 • Cov'- DESIGNER: Architect/Engineer: UK 5Ot n Cp J Phone #: 305 - WO- li q Value of Work for this Permit: $ ' 1 01006..00 Square/Linear Footage of Work: Type of Work: DAddition-°� OAlteration New O epair/Replace Ct]iremolition Description of Work: ery+ot/z_ G%✓/C/ kni- it 2e .51D re.- F at LOIYA (1^►u 7S 4,;,.. AP p R ** * * *** * * *** * * *** * ** *are, ** * * * * * * * * * * ** ** Fees,************* ** * * **** ** ** * *** *** * ** * *** ** *** Submittal Fee $ Permit Fee $ CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ C3003... Bonding Company's Name (if applicable) N,A , Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) ti .4. 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S A}k'IDAVIT: 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 afier the building permit is issued. I he absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature Owner or Agent The foregoing instrument was acknowledged before me this The for day of , 20 _, by , day of who is personally known to me or who has produced w is p'-rsona As identification and who did take an oath. NOTARY PUBLIC: trument was ackn ,20 by lly known to me or who has produced Q Sign: Print: My Commission Expires: APPROVED BY identification and who did take an oath. Structural Review (Revised 3 /12/2012)(Revised 07 /10 /07XRevised 06 /10/2009XRevised 3/15/09) Sign: Print: My Co LIC: 'Ir� A�N I � �1, • My Comm. Expires Sep 23, 2015 omm ss on : 8 0 iib:Soied Through National Notary Assn. Zoning Clerk PERMIT #: MiamiShores Building ' uilding Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIPT DATE: 4 25 /2___ ❑ Contractor o Owner Pi cit- ed up 2 sets of plans and (o Address: 1,-fernIs From the building department on this date in order to have corrections don to plans And /or get County stamps. I understand that the plans need to be brought back to Miami Shores Village Building Departme t to continue permitting process. Acknowledged by: O PERMIT CLERK INITIAL: RESUBMITTED DATE: PERMIT CLERK INITIAL: 11. 04/23/2012 16:00 3055564354 ALL INSURANCE SERV LABILITY INSUR,A CERTIFICATE OF LI THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT GONSTITUT REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER IMPORTANT: If the certificate holder Es an ADDFTIONAL INSURED, the poll the terms and conditions of the policy, certain poileias may require an endorse aertlficste holder In lieu of such endorsements). PRODUCER All insurance Servlcas 1548 W. 37 St. Hialeah, FL 33012 Phone (305) 822 -4472 INSURED E Green Builders Inc 911 N Venetian Or PAGE 01/01 NCE r DATE (tlM/DD/YYYY} 04/23/12 AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS AND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED must be endorsed. If SUBROGA IS WAIVED, subject to nt. A statement on this certificate cloos not confer rights to the Fax (305) 556 -4384 Miami Bach, FL 33139- (305) 632 -8453 COVERAGES CERTIFICATE NUMBER: L REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAbt= BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDmON bF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDE6 BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDmONS OF SUCH POLICIES. LIMITS SHOWN MAY NAME BEEN REDUCED BY PAID CLAIMS. pJrF POUav EXP INTTR_— POUcy NUM It_. MMiP�! ►�' 'AMrYY► TYPE OF INSURANCE '1T WAR- p�•gm�(305) 622.4412 •.9DMARgsst • Jfemandez@alsnr.com _ N�REIi(5) AFFORDING COVRRAGE INSURER A: FLORIDA CITRUS, BUSINESS & INDUSTRIES FUND (308) 556-4354 INSURE B : INSURER °I _ INSURER D INSURER E : INSURER P NAIL It ADD � •:, v, t! GENERAL LIARILnY ❑ COMMERCIAL GENERAL LIABILITY [ ❑ cuums -nMDP. ❑ OCCUR Li ❑ - GEML AGGREGATE WAIT APPLIES PER; ID POLICY ❑ WTI, Ll LOG I II A AUTOMOBILE LIABILITY ❑ ANY AUTO ❑ U AL Ot�MVED I-1 O ❑ DESCRIPTION OP OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, AtttliSocaidtcottAte Schoddle, a morn Mace le rnqulroe) • HIRED AUTOS NON-OWNED S AUTOS ❑ UMBRELLA LIAS 0 OCCUR ❑ IDIMESSLAAB ❑ CLAIM= Qt.= ❑ RETENTION$ woman COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PRO RI OR/PAR CUTAM OFFICER EM E EXCL D7 ((M6ndetory In NH} C i��f yyeoes,, deao/1be tntder I7OSCI;IPTION OF OPERATIONS below 10643568 Limns EACH OCCURRENCE PR• E(E enS�L $ MED EXP (My+ one parson) $ PERSONAL a ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - cOMP /OP AGO $ COMBINED SINGLE LIMN BODILY INJURY (Par pence) $ B ODILY INJURY (Per accident) $ 0PERTY DAMAGE r�aopttl 04/01/2013 EACH OCCURRENCE 8 AGGREGATE $ O JJMI pp $ ❑✓ I &S ❑.Ea_ E,L, EACH ACCIDENT $ 100,000.00 E L. DISEASE EA EMPLOYEE $ 100,000.00 E.L. DISEASE - POLICY LIMIT t 500,000.00 .CERTIFICATE HOLDER VILLAGE OF MIAMI SHORES 10050NE2AVE MIAMI SHORES,FL ACORD 25 (2010/05) QF CANCELL TION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRO ATIVE _I .1988 -201, t,t • • RD COR TION. All rights reserved. The ACORD name and logo ara registered marks of ACORD Miami Shores Village 2 23/04/12 12:59:31 `�`°R° CERTIFICATE OF LIABILITY INSURANCE DATE 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. HIS 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 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 The Contractors Choice Agency PO Box 13645 Chandler AZ 85248 CONTACT Jon Rock NAME: PHON o Ext): (800) 918 -3584 la No): (877)684 -9951 AL Jon@n nsuranceonline.com ADDRESS: 9�- INSURER(S) AFFORDING COVERAGE NAIC 0 INSURER :Nat'l Contractors Insurance 12293 INURED E -Green Builders, Inc. 911 N. Venetian Drive Miami Beach FL 33139 INSURER B : LF000008945 -05 INUURERC: 2/5/2013 INSURER : $ 500,000 INSURER E : $ 50,000 INSURER F: I CLAIMS -MADE X • 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. INSR LTR TYPE OF INSURANCE ADDL INSI{ S != WVD POLICY NUMBER (MMDD/YYYY) (MMIDD/ YYY) LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY LF000008945 -05 2/5/2012 2/5/2013 EACH OCCURRENCE $ 500,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 50,000 I CLAIMS -MADE X OCCUR MED EXP(Any one person) $ 5,000 PERSONAL &ADVINJURY GENERAL AGGREGATE $ 500,000 $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY n PRO- O- n LOC PRODUCTS - COMP /OP AGG $ 500,000 AUTOMOBILE — _ -- LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO ALL OWNED AUTOS HIRED AUTOS — _ _ SCHEDULED AUTOS NON -OWNED AUTOS BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED 1 1 RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY FRC,ER/MEMBEERR PROPRIETOR/PARTNER/EXECUTIVE C�I� (Mandatory NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A 1 WC STATU- 0TH I TORY LIMITS 1 I ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ EL. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, It more space Is required) CERTIEICATP IdAI r - _ -.--- - _ — (305)756 -8972 Miami Shores Village 10050 NE 2nd Ave Miami Shores, EI, 33138 ACORD 25 (2010/05) I NS025 /901005101 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Robert Rock /BOB O1988-2010 ACORD CORPORATION. All rights reserved. Tha Arlin names and Innn ara raniataraH marina of arnRn