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ELC-14-1023 (2)p Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-226361 Scheduled Inspection Date: January 13, 2015 Inspector: Devaney, Michael Owner: MILITANA, JOHN AND ADRIENNE Job Address: 8980 BISCAYNE Boulevard Miami Shores, FL 33138 - Project: <NONE> Permit Number: ELC-5-14-1023 Permit Type: Electrical - Commer ial Inspection Type: h Work Classification: Addition/A eration Phone Number Parcel Number 1132060110150 Contractor: TERRA GROUP INTERNATIONAL INC Phone: 305-774-9405 tsuiming uepartment comments EXIT SIGNS CONNECTION INSPECTOR COMMENTS False Inspector Comments Passed�� Failed Correction ❑ Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. January 12, 2015 For Inspections please call: (305)7624949 Page 25 of 29 Miami Shores Village 4 Building DepartmeQj 10050 N.E.2nd Avenue, Miami Shores, Florida Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 BUILDING PERMIT APPLICATION VAYi92014 BY: -�- FBC 20 t O Master Permit No.LC � �;2 —� 3 Gam` Sub Permit No. 14 -- � 0?_"3 ❑ BUILDING gELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [:]RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLICWORKS ❑ CHANGE CONTRACTOR ❑ CANCELLATION ❑ SHOP DRAWINGS JOB ADDRESS: U q ( D Vb City: Miami Shores County: Miami Dade Zip: 53 13R�_ Folio/Parcel#: Occupancy Type: Load: OWNER: Name (Fee Simple Titleholder): a Address: fo� jsc City: Is the Building Historically Designated: Yes Construction Type: Flood Zone: BFE NO FFE: --xs8 669 _State:: T tod-4`01 ' Zip: / /)3P3 �^ Tenant/Lessee Name: _ )(p/( J r% U,-.>71 1C Phone#: 7-6 V y / - /-(0 '-'J Email: ;1>000kes!0914-2- AD bA'(47 6 &,0/-/ CONTRACTOR: Company Name: rE""f 6toy"a _79 VA-7one#: Address: 3 (� S 2 >e ft-_' A,,"- City: 7/ City: f" State: rz Zip: 22 Qualifier Name: '1_0"-9 L4'Lp �v e Phone#:30_3 State Certification or Registration #_ Certificate of Competency M. DESIGNER: Architect/Engineer: Phone#: Address: —KyCity: State: Zip: Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace- ❑ Demolition Description of Work: �'7_ � `6Ns C®9/ " SIGp- t �iMM 41 ,."'� Specify co or of color thru tile: irk ,a<M ripuc+T Submittal Fee , Permit Fee $ / �' LaL� CCF $ CO/CC $ Scanning ..Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) Bonding Company's Address City $� �. Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zi 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 oLtQnotice of commencement and cons�cfion lien law brochure will be delivered to the person whose property is subject to at t me Also, a certified copy of th�rec ed notice of commencement must be posted at thejob site for the first inspection whic occur seven (7J days after the builmit is issued. In the absence of such posted notice, the inspection will not be appr ed a a reinspection fee will be ch ed. / \ Signature / Z / / / Signatu or Aa_p ' / ( % Contractor The foregoing instr�U'r"�s akno dged before me this day of 20 by -] eft,) M i L I who iserso I known to me or who has produced As identification and who did take an oath. NOTARY PILI Sign Print: �•�;, RUTH A. BYDASH Notary Public State of Florida s •= My Comm. Expires Mar 27, 2018 •* * *C49 OWIiAP*419 91IMM& * ' , • 6w4ed Tiroudt NftW Notary Assn. APPROVED BY The foregoing instru4nt was acknowledged before me this / day of L V 20itby who is personilly known to me or who has produced p Y NOTARY PU Sign: Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)(Revised 5/2/2012)(Revised 3/12/2012) )(Revised 06/10/2009)(Revised 3/15/09)(Revised 7/10/2007) ACOREY CERTIFICATE OF LIABILITY INSURANCE �.,.� DATE (MM/DD/YYYY) 11/03/2014 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 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 CONTACT NAME: Tony Cannizzaro A/CNNo Ext): (386) 775-1781 FAAjc No): (386) 775-3666 First Commercial Insurance Agency E-MAIL nsurance u ADDRESS: i 9 y@cfl.rr.com P.O. Box 295 • INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Accident Insurance Company 11573 Cassadaga FL 32706 INSURED INSURER B INSURER C Terra Group International Inc. INSURER D 3191 Coral Way INSURER E: Suite 648 INSURER F : Coral Gables FL 33145 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. INSR LTR TYPE OF INSURANCE ADDL IND SUBR WVD POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP MM/DDIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000.00 CLAIMS -MADE I OCCUR PREM SES EaEoccurrence) $ 100,000.00 MED EXP (Any one person) $ 5,000.00 PERSONAL &ADV INJURY $ 1,000,000.00 A N N CPP000499502 08/11/2014 08/11/2015 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000.00 X POLICY ❑ PRO LOC PRODUCTS - COMP/OP AGG $ 2,000,000.00 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per accident NON -OWNED HIRED AUTOS AUTOS UMBRELLA LIAB H OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVEE.L. PER OTH- STATUTE ER EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N / A (Mandatory in NH) E.L. DISEASE - EA EMPLOYE $ If yes, describe under DESCRIPTION OF OPERATIONS below - I E.L. DISEASE - POLICY LIMIT 1 $ DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) General contractor: CGC050888 Electrical contractor: EC0001218 Plumbing contractor: CFC1426856 CERTIFICATE HOLDER CANCELLATION ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Miami Shore Villages ACCORDANCE WITH THE POLICY PROVISIONS. 10050 N.E 2nd Ave AUTHORIZED REPRESENTATIVE Miami Shore FL 33138 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD a Department of Regulatory and Economic Resources Miami -Dade County Plan Review Summary Process Number: M2013007165 FINAL CORE REVIEW DATE: 5/2/2013 OVERALL STATUS: Overall Disapproval PROJECT DETAILS: CONTACT DETAILS: FOLIO: 11-3206-011-0150 NAME. DOLORES M. ROSA ADDRESS: 8980 BISCAYNE BLVD, MIAMI SHO EMAIL: PERMIT TYPE DESC.: INTER. REMODELING PHONE #: 7864991560 DISAPPROVAL CODE Disapproval Code OIEMMMequires restrictive land use covenant(s) as per Chapter 24-43.1(4)(a). See attached application. TASK REVIEWED BY STATUS DATE STATUS Initial Core Review Jose Frias 05/01/2013 Reviewed r Comments: INTERIOR RENOVATIONS TO ADD ADJACENT RETAIL BAY TO EXISTING RETAIL STORE / NO INCREASE IN SANITARY FLOWS / ASBES Review Anthony Hung 05/02/2013 Approved Comments: Demolition portion of demising wall for two new openings between two tenant spaces 8980 & 8990. Final Core Review Jose Frias 05/02/2013 Overall Disapproval Comments: Please do not hesitate to email me with any question(s) you may have regarding the review comments for this project. While I may not respond immediately to your email — because I may be assisting another customer at the time I receive your email — I will reply within 24 hours of receiving your email unless I am out of the office. My email address and that of my direct supervisor are as follows: My Email: friasj@miamidade.gov My Supervisor's Email: GuerrCh@miamidade.gov PLAN CONDITIONS: NO CONDITIONS PLAN REVIEW FEES (FEES ARE SUBJECT TO CHANGE PENDING FINAL APPROVAL): FEE CODE DESCRIPTION USER DATE UNIT TOTAL D034 FastTrack Fee ADMIN 04/23/2013 1 ►$80.00 D034R FastTrack Fee ADMIN 04/23/2013 1 ($80.00) Total . $0.00 FOR MORE INFORMATION PLEASE CONTACT: YOUR DERM CORE REVIEWER: friasj@miamidade.gov DERM PERMITTING AND INPECTION CENTER, 11805 SW 26 ST, 786-315-2800 DERM OVERTOWN TRANSIT CENTER, 701 NW 1 CT, 305-372-6899 Coastal: dermcr@miamidade.gov EQCB: egcb@miamidade.gov Specialty Engineering Reviews (industrial, storage tanks, industrial waste pretreatment, asbestos,. paving & drainage, trees): dermengreviews@miamidade.gov Tree Permit applications: dermtreeprogram@miamidade.gov Water Control: dermwatercontrol@miamidade.gov Wetlands: dermwetlands@miamidade.gov