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CC-15-2177 (2) Miami Shores a SEP 162015 ��. g : 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 FBC 20 BUILDING Master Permit No. ('2'-/5 -'D?�77 PERMIT APPLICATION Sub Permit No. OBUILDING F-1 ELECTRIC E ROOFING F-] REVISION EXTENSION RENEWAL F-IPLUMBING F-] MECHANICAL PUBLIC WORKS 7 CHANGE OF CANCELLATION [:] SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 9055 Biscayne Blvd. City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated:Yes NO X Occupancy Type: M Load: 345 Construction Type: II Flood Zone: BFE: FFE: OWNER:Name(Fee simple Titleholder):IMC Property Management & Maintenance phone#:305-893-9955 EXT-107 Address:696 ME 125 Street North City: Miami State: Florida Zip: 33161 Tenant/Lessee Name: Dollar Tree Stores Phone#:757-321-5218 Email: cgomez@dollartree.com CONTRACTOR:Company Name: CAM Construction Services Inc. Phone#: 813-626-8643 Address: 8109 E. Martin Luther King, Jr. Blvd. City. Tampa State: Florida Zip: 33619 Qualifier Name: Christine Lemons Phone#: 813-626-8643 State Certification or Registration#: CGC1505471 Certificate of Competency#: DESIGNER:Architect/Engineer: RRMM Architects Phone#: 757-622-2828 Address: 1317 Executive Blvd. Suite 200 City: Chesapeak State: VA Zip: 23320 Value of Work for this Permit:$IM-27-2--tt 75 W`6)'6) Square/Linear Footage of Work: 12,477 Type of Work: ❑ Addition ❑■ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: Interior alteration for tenant improvement Specify color of color thru tile: . Submittal Fee$ Permit Fee$2, CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) Bonding Company's Name(if applicable) N/A R Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. ?lrSignature Signature 44� OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this T foregoing instrument was acknowledged before me this H day of Qi`- d®QP-,20 15- by Z—day of _ �-�t��Cy�'+6 P�' 20 j`7 by 41 who is personally known to �ki'���t� '-6> who is persson_ally knn�n to m or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: �� GLL1 -to msµ - Print: �'�C— �Gn Y PU luu- Seal• �o,�? •.e LU ' $ MY COMMISSION#EE 164923 Seal: � EXPIRES:April 19,2016 o Notary Public State o1 Florida > p ,� Banded Thru Budget Notary Services f Duc Phan Q My Commission FF 232617 14or 1 Expires 05/19/2018 APPROVED BY GAO Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) 8/14/2015 Detail by Entity Name DADEPARTMENT OF 4 [ a DivISION, OF CORPORATION'S �► 4'. t4@iti Detail by Entity (dame Florida Limited Liability Company SHORE SQUARE PROPERTIES, LLC Filing Information Document Number L11000076982 FEI/EIN Number 45-2672348 Date Filed 06/30/2011 Effective Date 06/28/2011 State FL Status ACTIVE Principal Address 696 NE 125TH STREET NORTH MIAMI, FL 33161 Mailing Address 696 NE 125TH STREET NORTH MIAMI, FL 33161 Registered Agent Name & Address Reyes, Daisy 696 NE 125TH STREET NORTH MIAMI, FL 33161 Name Changed: 03/20/2014 Authorized Person(s) Detail Name &Address Titl IZHAK, YORAM 696 NE 125TH STREET NORTH MIAMI, FL 33161 Title MGR LIPTON, ALAN 649 OCEAN BLVD GOLDEN BEACH, FL 33160 Annual Reports hUp://search.surbz.orglInquiry/CorporabonSearch/SearchResUtDeWl?ingLiryty EntityNarne&directionTypemlydtal&searchNameOrder=ENORESQUARE... 1/2 8/14/2015 Detail by Enbty Name Report�Ybar Filed Date 2013 04/04/2013 2014 03/20/2014 2015 03/31/2015 Document Images 03/31/2015 —ANNUAL REPORT View image in PDF format 03/20/2014 --ANNUAL REPORT View image in PDF format 04/04/2013 —ANNUAL REPORT View image in PDF format 03/29/2012 --ANNUAL REPORT View image in PDF format 06/30/2011 -- Florida Limited Liability_ View image in PDF format CDpvrlght s,and Pnvacv Policies State of Honda,Department of State httpl/search.smbiz.org/Inqui ry/Corpord onSearcWSearchResultDeW l?irigd rytype=E"N ameMi recti onType=hili al&searchNam eOrder=SH ORESQUARE... 2/2 Permit ivo. G+C-8-15-2177. Miami Shores Village Tjrpe.,Oommerclai Construction 10050 N.E.2nd Avenue ��/��.J� "YYtJl ff��J�17e 'I:� V* 9 #e1,(tlon Miami Shores,FL 33138-0000 M tie6 Phone: (305)795-2204 �� 10 Expiration:Expiration: 04/04/2016 Project Address Parcel Number Applicant 9055 BISCAYNE Boulevard 1132060110051-55 Miami Shores, FL 33138- Block: Lot: SHORE SQUARE PROPERTIES I Owner Information Address Phone Cell i SHORE SQUARE PROPERTIES LLC 9055 BISCAYNE BLVD. Contractor(s) Phone Cell Phone Valuation: $ 74,913.91 CAM CONSTRUCTION SERVICE, INC. (813)626-8643 Total Sq Feet: 12477 Approved:In Review Available Inspections: Comments: Inspection Type: Date Approved::In Review Final PE Certification Date Denied: Window Door Attachment Type of Construction:INTERIOR TENANT BUILD OUT FO Occupancy Load: Tie Beam Stories: Exterior: Slab Front Setback: Rear Setback: Termite Letter Left Setback: Right Setback: Framing Plans Submitted:Yes Certification Status: Store Front Attachment Certification Date: Additional Info: Insulation Bond Return: Classification:Commercial Drywall Screw Window and Door Buck Scannin :22 Gelling Grid Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Fill Cells Columns CCF $45.00 Review Electrical CO/CC Fee $33.72 Invoice# CC-8-15-56856 Review Electrical DBPR Fee $33 $ .00 10/07/2015 Check#:3367 $2,720.86 $50.00 Review Structural DCA Fee $33.72 09/15/2015 Check#:2174 $50.00 $0.00 Review Mechanical Education Surcharge $15.00 Review Mechanical Permit Fee $2,247.42 Review Planning Plan Review Fee(Engineer) $120.00 Review Building Scanning Fee $66.00 Review Building Technology Fee $60.00 Review Plumbing Total: $2,770.86 Review Mechanical 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 info tionate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore,I authorize the ab ov narnr3d r or to the work stated. October 07, 2015 Authorized Signature:Owner / Applicant C r. / Agent Date Building Department Copy October 07,2015 1 Miami Shores Village g Building Department I AUG t5 2015 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 r Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 ,P� 1 FBC 20 BUILDING Master Permit No. P PERMIT APPLICATION Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL [—]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 9055 BISCAYNE BLVD. City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 11-3206-011-0051 Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): SHORE SQUARE PROPERTIES, LLC Phone#: Address: 9031 BISCAYNE BLVD City: MIAMI SHORES State: FL Zip: 33138 Tenant/Lessee Name: _DOLLAR TREE Phone#: 407-654-2521 Email: RSANCHEZ SWPSINC z;� CONTRACTOR:Company Name: OUTj D Phone#: Address: City: State. Zip: Qualifier Name: Phone#: State Certification or Registration#: Certificate of Competency#: DESIGNER:Architect/Engineer: RRMM ARCHITECTS Phone#: 757-622-2828 Address: 1317 EXECUTIVE BOULEVARD, STE 200 city: CHESAPEAKE State: VA_Zip: 23320 Value of Work for this Permit:$ 90,000 9 Square/Linear Footage of Work: 12,477 Type of Work: ❑ Addition ® Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: INTERIOR TENANT BUILDOUT FOR DOLLAR TREE STORE Specify color of color thru tile: Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Revisedu2/24/2414) Bonding Company's Name(if applicable) N/A Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) N/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 ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES,BOILERS,HEATERS,TANKS,AIR CONDITIONERS,ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued in the absence of such posted notice, the inspection will not be approved and a rein-snection fee will be charged. Signature Signature OrAGENT CONTRACTOR The foregoing instrume acknowledged before me The foregoing instrument was acknowledged before me this day of 20 day of 20 ,by �16affi t-h �c who is personally kno_wn�t� who is personally known to me or who has producedasOification r who has produced as identification and who did take an oath. and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: s� Print: Print Seal , ;,,`'•' BMW Thu Troy Fetr�i hrewenoe 800 MM9 Seal: wwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwww it APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)