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ELC-15-2010 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-241069 Permit Number: ELC-8-15-2010 Scheduled Inspection Date: September 30, 2015 Permit Type: Electrical - Commercial Inspector: Devaney, Michael Inspection Type: Final Owner: VILLAGE, MIAMI SHORES Work Classification: Addition/Alteration Job Address:10000 BISCAYNE Boulevard Miami Shores, FL Phone Number Parcel Number 1132050200010 Project: <NONE> Contractor: E&C ELECTRICAL SERVICES INC Phone: (305)594-2605 Building Department Comments REPLACE EXISTING OUTLETS INSTALLING NEW ONE Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed ER Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. September 29,2015 For Inspections please call: (305)762-4949 Page 6 of 41 Permit . EL G•8- 5.2010 Miami Shores Village Pelmif'ryp glect1`(ca[-Commercial ... 10050 N.E.2nd Avenue it?' u 'Per rrk /a7n: 1Ic� iAlteratic �. Miami Shores,FL 33138-0000 Permit Status APPROVE , Phone: (305)795-2204 FLORIDA 0 Expiration: 03/07/2016 Project Address Parcel Number Applicant 10000 BISCAYNE Boulevard 1132050200010 Miami Shores, FL Block: Lot: MIAMI SHORES VILLAGE Owner Information Address Phone Cell MIAMI SHORES VILLAGE Contractor(s) Phone Cell Phone Valuation: $ 3,000.00 E&C ELECTRICAL SERVICES INC (305)594-2605 Total Sq Feet: 00 Type of Work:REPLACE EXISTING OUTLETS INSTALLING Available Inspections: Additional Info: Inspection Type: Classification:Commercial Final Scanning:3 Meter Box Alteration Relocation Fire Alarm Service Change Review Electrical Underground W.W. Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.80 Invoice# ELC-8-15-56664 DBPR Fee $3.38 09/09/2015 Check#:70209 $239.56 $0.00 DCA Fee $3.38 Education Surcharge $0.60 Permit Fee $225.00 Scanning Fee $3.00 Technology Fee $2.40 Total: $239.56 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 accur and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore,I authorize the above-named contra or to do the work stated. September 09, 2015 Authorized Signature:Owner / Applicant Contractor / A n Date Building Department Copy September 09,2015 1 } Miami Shores Village C I D Building Department AUG 11. 2015 10050 N.E.2nd Avenue,Miami Shores, Florida 33138 B � Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 BUILDING Master Permit No.(1 d• © NJ�1(1� PERMIT APPLICATION Sub Permit Nop, ❑BUILDING gf ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP /� CONTRACTOR DRAWINGS JOB ADDRESS: /�0 00 /.3/ rC"4y/,/6 /5 44 City: rr Miami Shores County Miami Dade Zio• GTR Folio/Parcel#: I —1"7 ) => Is the iidingHistorically Designated:Yes NO Occupancy Type: Load: Construction Type: ood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholder): I..,IA rte, %Af `Sr Phone#v� Address: ► ,Y, tLvi `N' City: k-zr-q�,.1 State/ Zip: �--- Tenant¢Lessee Name. `-' Phone#�_ aE--X5--9, Email: CONTRACTOR:Company Name: L S al(, /&L Phone#:7g,/p "'S®-2- 117.5 Address: 51�9 s'�! City: bL� Stat ,� `'L� Zip:. Qualifier Name: �.1 C7-f"L:e 13 Phone#: 7 4 --3 Z //75 State Certification or Registration#: E �? ���! Certificate of Competency#: DESIGNER:Architect/Engineer: P, b Phone#;za_1;_—0— L}g T—� Address: 2�37� 114 City: t'-) M P--,TStater � }} 25 Value of Work for this Permit:$ ��� Square/Linear Footage of Work:4 Type of Work: ❑ kAddition Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description•of Work: Specify color of color thru tile: Submittal Fee$ Permit Fee$ CCF$ CQ/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notar }fig Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ e � j (Revised02/24/2014) 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 app/ipant 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. Signature Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this J day of �ac�r' ,20 by _�day of 20 ,by who is personally known to ,who is personally known to me 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 PU IC: en' WOM 881MOM Sign Sign: M . Print: I tV _�S�' °L�L_Tl_f-2_- Ape'(d-c- Print: Seal: Seal: — —.. --- TERESA NUNEZ•APONTE . ' c Notary Public-State of Florida Commission N FF 086355 APPROVEDB Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) SNoREs y` Isis Miami shores Village Building Department AtOR 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. `/COPY OF QUALIFIER'S STATE LICENCES B. COPY OF LOCAL BUSINESS TAX RECEIPT C. /COPY OF LIABILITY INSURANCE* D. ✓ COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICATE OF COMPETENCY OF QUALIFIER B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF STATE REGISTERED CONTRACTOR LICENSE OR MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT, D. COPY OF LIABILITY INSURACE* E. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit) *YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE AS FOLLOW: Certificate Holder: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 Certificate must specify the description of operations or contractor license number. BUSINESS NAME: �% �G�G/�2/GNU ����/� ,/,y&- BUSINESS ADDRESS: X 33/N�/ �� ,[ 7, CITY D oA1116 STATE ��, ZIP 331�z BUSINESS PHONE: ( 7 t ) 33 z y7 W/ FAX NUMBER 796 3 72- --7�Z CELL PHONE 102---1175 QUALIFIER'S NAME: �7e-.1 Le QUALIFIER'S LIC NUMBER: 6—G 1,3,,)d, sy7 RICK SCOTT, GOVERNOR KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD EC13006547The ELECTRICAL CONTRACTOR71 Igo Named below IS CERTIFIED A Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2016 + BARROSO, JOSE E &C ELECTRICAL-SE bi- 8334 NW 56T1-1 DORAL ISSUED: 02/02/2015 DISPLAYAS REQUIRED BY LAW SEQ# L1502020000538 m m rL w V H D Q owubs V - Local Business Tax Receipt Ld Miami-Dade Courity, State of FloridaLBT. . r> THIS.IS NOTA BIL. - DO NOT PAY W 5240627 ,y BUSINESS NAM EAMCAT90.N f POKPT No. EXPIRES - E&C*ELEaRiCAI:SEItVawc WNEWAL SEPTEMBER 34, 2015 15398 SW 19 TERR E476940 Must be displayed at piece of business MIAMI FL 33185 Pursuant to County Code Chapter 8A-Art 9&10 I - r, OWNER 850.TYPE.OF BUSINESS PAYMEWrFMCRIV90 LOE 8 C ELECTRICAL 5ERUICE Ih1C 198 ELECTRICAL CONTRACTOR BY TAXCOLLeCMIt 04E000109 %85.00 08/14/2014 ® 1N°rker(s) 12 CHEWI-i4-050540 LO ED I We pegarentaltheUteFBuaisessTaxThe Reoalptlenola1100s, �` pamiit,oracerllbeaHoa9fitre older''squaliltaeUoee.todo6uslnoss Halder mustcomply wamay puramentel orrtsogmemmamalragulatorylevraandragelrentetdawatchapplytoida6uslee� no RECE7rMD.above rawlhe d1spined aneR ammmereial raUfdea-KMI-fade Code Seo Ba m � FotmePeUdarmalian,uidt�tlanrtdad rlraxoallector - io ' to m N rt m N m - A� $ CERTIFICATE OAF LIABILITY INSURANCE DATE 08/03I03O/YYYY) 115 THIS CERTIFICATE IS ISSUED ASA MATTER OF iNFORMATI(SN 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)mit be endorsed. b SUBROGATION IS WAIVED,su ed 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 cartlfic0te holder in Ileo of such endorsement(s) 888 0524 — — �A✓�NpZ-_.�— �YA�TMaria - vseaovicea NE 305;683 6218 Bianco Insurance Associated Inc. Ylh ( ) marie@blancoinsurance.com 1462E 4 Aire Hialeah,FL 33010 _--__• 0MRER(S)AFFORDINGCOVERAGE —. _.—}. w►IC0 Phone (305)888-0524 Fax (305)883-6218 -+INSURER A: Wei Insurance Company INSURED — lINSURER 6 Pr receive real Insurance Company — : 09 �P i - E&C Electrical Services,Inc. INSURER C: Commerce and Industry 15398 sw 19 terrace -- '-�-_ 305 INSURER E: —_ -------— Miami FL 33185 INSURER F: CAVERAGES CERTIFICATE NUMBER: REVISION NUMBER- _ 7H15TO is CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PER100 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� IADDL BR - EFF PO—LICY �Tq{ TYPE OF 093URANCE j'N POL Y NUMBER YY�lb)MfDDH GENERAL LIABILITY I --- EACH OCCURRENCE i i i I $ 100,000.00 - COMMERCIAL GENERAL LIAa0.1TY ❑ cu+mas I4ttADE ® OCCUR WPP1373832 05/25/2015 05/25/2016 MED EXP(Any orre , $ 5,000.00 A I N N I PERSONAL 8 ADV INJURY $ 1,000,000.00' GENERAL AGGREGATE s 2,000 000-00,. GEML AGGREGATE LIAR APPLIES PER: ` PRODUCTS-COMPiOP AGG� $ 1.000.000.00 $ _ -- POLICYniiE ❑ LDCI I - ( BI, D SINGLE LHAR 1 AUTOMOBILE LIABILITY I a�p 000.000.00, — t ! I � BODILY INJURY(Psr person) $ ANY AUTO ALL OWNED — SCHEDULED N N 04356403-5 09/23/2014 O9/23rL015 ^BODILY INJURY(Per M) $ B Au r05 �h ON-0NED I PP OPER GE $ —T HIRED AUTOS ❑ AUTOS $ C UMBRELLA LMB OCCUR EACH OCCURRENCE $ 5,000 000.00 — BE011237568 05!2512015 105/25/2016 AGGREGATE $ 5,000,000_00 C EXCESS LL48 CLAIMS-MADE NLN � $ TH- - WORKERS COMPENSATION ` FrnevitMITS ❑ER AND EMPLOYED'LIAMIRM Y/N ! ANY PROPRIETORIPARTNERIEXEC°JTNE I E.L.EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED4 7i I/Ai I ~���_E�L (Mandatory in� j-_E.L.DISEASE-EA EMPLOYE $ Ddes E.L.DISEASE-POLICY LIMIT $ ESCRTION OF OPERATIONS tier .— _ _- i DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additlonai Refnerite Schedule I more ePaxa requhed) Electrical State License: 13006547 CERTIFICATE HOLDER —_— — _�_�_ -CANCELLATION "Miami Shores Village T SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Building Dept. ACCORDANCE WITH THE POLICY PROVISIONS.Vitally signed by Maria E Aimolda,CPIA 10050 NE 2nd Ave. — Miami Shores,Fl.33138 Insurance Assoc.,Inc.,ou-Agent A004560, Cemail-maria@Wancoinsurance.com,c-US Jnd Almolda Date:2015.08.0311:45:35 04'00' ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05)OF The ACORD name and logo are registered marks of ACORD Ate'®r CERTIFICATE OF LIABILITY INSURANCE 08/04/20115 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, MMMO 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: H the cattificate holder Is an ADDITIONAL INSURED,the pollcyties)nest be aadorsed. H SUBROGATION IS WAIVED.subject to the temts and Conditions of the 0011Cy,COMM POR CIOS may require an endorsement A stiftawnt on 00 cert does not confer rights to the CortiBcM holder in lieu of such endorsemen s. LalMedi na 3U5 836-3151 FA" 305 691-4381 Emmanuel Insurance Agency,Inc. ° �o El .MAIL t ..� .. .. ._ uL� � �._. .}- 2370 E.8th Avenue . . ._.. Hialeah,FL 33013 __ s1O _.. . _ • n@4A„ efleld Employers insurance Company, 10701 INSURED aroma: _ ......-_.. __ E&C Electrical Service.Inc. IXSURERC: __.. 15398 SW 19th Ter Miami,FL 33185-5725 P. COVERAGES CERTIFICATE NUMBER: REVISION NUMBER;- ,HIS UMBER:THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOWN 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 WTH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POtIC15S DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOM MAY HAVE BEEN REDUCED BY PAID CLAIMS — —._..._..._.. . ._. POLVVEW __...�.. . _ .... __ . m aR TYPE OF&/SALABLE ACEI BU$R POLICY N_y _p ._...... UYRS TRrap MAID COAL GENERAL LIAMLJTY OCCURRENCE --- CLAW-4 MADE O w;I $ � ( '6rE0 EN?IMIY.aTie petsafi _.5 4PERSOXAL6ADV UdiLRY 4 ..___._. G1 N AGGREGATE LIMIT APPLIES PER GEWRAL AGGMGATE S POLICY: L '. LOG PRODUCTS•gM?15 P AGG.S. OTHER AUTO/IOBtL•E LANUr/ _ ANY AUTO ,BODILY IKJURY(Ppi pwwt :S AIL O•MaED SCKOULED .Y_..-...__.. -._-._._._.._. ". .. A BODILY INJURY fear aaaaeldl`.5 UTO$ ..' 'yQN-u'bvNfO DAIRhGE g *IRED AUTOS ;_AL105 •g UY9RELLA LIAR �.. .Or-CUR FAGM OGLURAFNGE, S - OED -`T S 0830-51299 07!1712015 07!17/2018,X' a AND ErPLorees�Lweam ..�. T.t1T�.:.._..1 __..,i......_..�___...__._._.. __ ANY PROMETOAMARM. RExECUTIVe Y/X, EL£ACl•1 AtX:tDENT 1 8 1.000,000 AOfFIG4R+MEYBEREXCLUD9D" �'Xra Y .............._.".__.._._.,..._-_ A"UmbbMVIn NI EL DISEASE_IiA •rt aeaahbe ataar i SCRIPv Oc RATKNV 'E L DISEASE-POLICY UkTf S 1,OOD,ODO DESCRIPTION OF OPERATIONS I LOCATME I VENIMM(ACORD 101.AddWWO Awwka Scrodasta.MW ba a0whed d mGM SOM m ft*AYG.M i Electrical State License: 13006547 CERTIFICATE HOLDER CANCELLATION i Miami Shores Village SHOULD Aar OF THE AWM[ABED POLICIES BE CANCELLED BEFORE THE EXPIRATIM DATE THEREOF, NOTICE gga Building Dept. ACCORDANCE MTH THE POLICY PROYMM. HWLL BE oEuvERED IN 1 10050 NE 2nd Ave. Miami Shores,fl.33138 AUTHOR®RIYPftMTATTM Carol Sipe �cUJ�91c 01988.2014 ACORD CORPORATION. All d9ft resamed. ACORD 25(2014101) The ACORD narne and fta,are reghaered marNta of ACORD I` t MR.Architect, LLC Miguel Rionda, Architect, AR 94189 16300 NE 19th Avenue, Suite 211, North Miami Beach, FL 33162 M :: . . • 8/20/2015 Miami Dade County Review Miami-Dade County Permitting and Inspection Center Fire Review 11805 SW 26th Street Miami, Florida 33175 RE: Process# m2015013528 Project— Miami Shores Bar Renovation Mr. Juan Rivas, This letter is to accompany the drawing A0.00 for Life Safety. As per nfpa 101 chapter 43, building rehabilitation the scope of work in thir project is to be classified as a renovation. This is noted in the General Notes Section on page A0.00. No sprinkler system is existing in the building. No door is existing into the bar area. The bar is open at both ends. There are 2 steps into the bar at 6" each. Space will be vacated, however the egress paths will be maintained. The bar will be closed off from the public during construction with some temporary barriers. No separation exists from the adjoining areas. Please expedite the approval of this permit as quickly as possible. I believe all the comments have been responded to in kind. The facility is currently in operation and has a certificate of operation from the governing municipality of Fire Department. Respectf II , Miguel Rio da, AIA, AR 94189, MR. Architect, LLC, AA 26002308 miguel@mr-architect.com 305-527-8815 16300 NE 191 Avenue, Suite 211 by North Miami Beach, FL 33163 `} z 4 • DADE FIRE RESCUE DEPARTMENT - INSPECTION REPORT FIRE PREVENTION DIVISION ,p MIAWDADE 9300 NW 41 STREET,MIAMI,FLORIDA 33178 . PHONE 786.331.4800 FAX 786.331.4801 PERMIT# 99120-02018 Permit Type:Assemblies Inspection Month:April Inspection Date:03/09/2015 Billing Address: Inspector:JAVIER CAMPS MIAMI SHORES COUNTRY CLUB Inspector phone:(786)336-6845 10000 BISC BLVD MIAMI SHORES, FL 33138 RESULT: Inspected/Approved MIAMI SHORES COUNTRY CLUB 10000 BISCAYNE BLVD MIAMI SHORES, FL 33138 NOTICE OF VIOLATIONS AND O-. CORRECTThe hazards noted are in violation of the Florida Fire Prevention Code and/or .. previously written,still existing violations for this occupancy. You are ordered to comply with the corrective measures within the time Please Note: A Iffe safety permit required by County Code#14-53 to operate within Miami-Dade County will be issued upon correction of all outstanding violations and payment of fees assessed.Failure to obtain the required Life Safety Permit will result in Enforcement Actions including fines, citations,liens and/or orders to cease and desist operation. APPEALS Any person that believes they were incorrectly issued a violation or that the violation cited is not applicable to their occupancy classification or believes aggrieved by any action or decision of this code may appeal to the Miami-Dade County Fire Prevention and Safety Appeals Board by filing a written notice within 15 days of receiving the Notice of Violation and Order to Correct.The appeal request must be submitted in writing to the Secretary of the Board.Information on filing an appeal can be obtained on the web at: htto:/Avww.miamidade.,qovtrire/request-apceal.asp or by calling 786-331-4820. Filing of a written notice of appeal shall not stay the effect of any such action or decision which is the subject to the appeal. Code of Miami-Dade County,Part III,Chapter 14,Section 14-48 Viol. Inspection Comply Date by VIOLATION,CORRECTION&COMMENTS Date CUSTOMEROFF Title:Representative Name:TERESA APONTE Printed: Please Note:A life safety permit will be issued upon compliance of outstanding violations and payment of fees assesed. One(1) Page 1 of 1 3/9/15 re-inspection will be performed at no additional cost. All subsequent re-inspections will be billed at one-half the original peril fee amount ..fill fi MIAMI•DADE 1 FIRE ENGINEERING & WATER SUPPLY BUREAU 11805 SW 26 STREET, SUITE 150, MIAMI, FL. 33175 TELEPHONE (786) 315-2771 EMAIL: www.miamidade.tzov/md FIRE REVIEW DISAPPROVAL COMMENTS DATE: 8/13/15 REVIEW BY: J. RIVAS PROCESS NUMBER: M2015013528 NAME OF PROJECT: MIAMI SHORES COUNTRY CLUB ADDRESS: 10000 BISCAYNE BLVD. ALL CODE REFERENCES MENTIONED IN THESE COMMENTS ARE FROM FFPC/NFPA,FLORIDA FIRE PREVENTION CODE 5`h ED.AND NATIONAL FIRE PROTECTION ASSOCIATION LIFE SAFETY CODE,UNLESS OTH WISE NOTED. 1, PROVIDE WRITTEN RESPONSE TO COMMENTS. pp. 2. PROVIDE NEW SHEETS INCLUDING ALL CHANGES. t� t—7 r `� ��r ��-l�• 3. RETURN VOIDED SHEETS FOR COMPARISON. ft5. COORDINATE THE WORK THROUGHOUT THE WHOLE SET PROVIDE NEW SHEETS INCLUDING ALL CHANGES. 6. PROVIDE ALL INFO.ON PLANS PROVIDE RESPONSE SHEET ADDRESSING EACH OF THE COMMENTS AND INDICATE THE SHEET IN WHICH CORRECTION CAN BE FOUND. w�1 IDENTIFY CLASS OF REHABILITATION,PER CHAPTER 43. INDICATE IF BUILDING HAS A FIRE SPRINKLER SYSTEM.IF SO,CONCEPTUAL FIRE SPRINKLER PLANS SHALL BE PROVIDED SHOWING LAYOUT.INDICATE WHETHER ALTERATIONS WILL REQUIRE FIRE SPRINKLER ALTERATIONS. l J CLARIFY WHETHER A DOOR IS PROVIDED IN BAR AREA.IF NOT,SHOW DIMENSION OF OPENNINGS. 11. CHANGE OF ELEVATION SHALL NOT EXCEED 1/2 INCH.INDICATE IT ON PLANS.NFPA 101:7.2.1.3. __-�,12. SPACE IS ASSUMED VACANT DURING WORK SCOPE;CONFIRM ON PLANS.IF OCCUPIED,HOW IS WORK SCOPE SEPERATED FROM OCCUPIED AREAS AND UNOBSTRUCTED EGRESS MAINTAINED AT ALL TIMES? 11 CLARIFY THE USE OR AREA NEXT TO BAR AND IF ANY SEPERATION EXISTS. P14. CHANGES TO BE MECHANICALLY REPRODUCED. 15. MORE COMMENTS MAY FOLLOW ONCE INFORMATION IS PROVIDED. 16 FASTRACK. r s CONSULTING R l r4C a July 10, 2015 Mr. Alberto Pozzi Miami Shores Country Club 10000 Biscayne Boulevard Miami Shores, FL 33138 RE: Limited Interior Asbestos Survey Report# 1507-004 Miami Shores Country Club/Lounge-Bar Renovation 10000 Biscayne Boulevard Miami Shores, FL Mr. Pozzi: Pursuant to your request, EE Consulting Group, Inc. — in association with ETS Environment, Inc. — has performed an Interior Asbestos Survey at the above referenced site on July 9, 2015. The Scope of the project was to identify & quantify the presence, extent, and condition of any Asbestos Containing Building Materials (ACBM) which may require special treatment prior to the planned renovation activities. Therefore our Certified Asbestos Surveyor secured bulk samples for analysis of the building materials affected by these activities. Bulk sampling was conducted according to the following sampling plan: Sampling Strategy r The bulk sampling procedures used for the collection of suspect materials first required the establishment of homogenous sampling areas, which are defined as areas of materials of the same type and applied during the same general time period. The homogenous sampling areas were then examined and representative samples of materials were obtained. The U.S. Environmental Protection Agency (EPA) has published guidelines and recommendations for obtaining samples of asbestos-containing materials. These guidelines and recommendations were followed during our survey, where appropriate. Additionally, samples of these materials were obtained at our discretion based on past experience. Bulk sample specimens of materials suspected of containing asbestos were collected and submitted for analysis by Polarized Light Microscopy (PLM) in conjunction with dispersion staining as outlined in 40 CFR, Part 63, Subpart F dated January 1987. Analysis was conducted by ETS Environment, Inc.. Samples were analyzed on a positive stop basis. Using this method, samples from the same homogenous area are analyzed until one is determined to contain greater than 1% asbestos. Once this occurs, no additional samples are analyzed from that homogenous area and the material is classified as an asbestos-containing material (ACM). For additional details on analytical results, please refer to the Analytical Results section of this report. Building Description The building is a golf course club house building. Structural components consist of an on-grade concrete floor slab,masonry block walls, and a sloped deck roof system. The area surveyed occupies approximately 500 W. 4211 SW 74 AVENUE - DAVIE, FLORIDA 33314 - PHONE (954) 474-1710 - FAX (954) 474-1711 Suspect ACM Descriptions Flooring Materials: Flooring materials consisted of concrete and carpet throughout the areas inspected. Four(4) samples of suspect flooring materials were collected for analysis. All samples of suspect flooring materials were determined to contain no detectable quantities of asbestos. Please refer to the Analytical Results section of this report for additional details. Miscellaneous Materials: Suspect miscellaneous materials consisted of wood panel mastic on the bar facade. Two (2) samples of suspect miscellaneous materials were collected for analysis. All samples of suspect miscellaneous materials were determined to contain no detectable quantities of asbestos. Please refer to the Analytical Results section of this report for additional details. Closing Remarks The Scope of the project was to identify & quantify the presence, extent, and condition of any Asbestos Containing Building Materials (ACBM) which may require special treatment prior to the planned renovation activities. However comprehensive this survey report may appear, we do not claim to have identified all materials which may exist within the building. Therefore, if in the course of the planned renovation activities, suspect materials become exposed, all activities should immediately cease and the suspect material brought to our attention for evaluation and recommendations if necessary. EE Consulting Group, Inc. — in association with ETS Environment, Inc. — greatly appreciates the opportunity to provide quality environmental services at a reasonable cost. It has been a pleasure working with you and we look forward to doing so in the near future. Should you have any questions or comments, please do not hesitate to call. Respectfully submitted rson . Seni oject Manager I hereby certify that the Interior Asbestos Survey conducted on March 4, 2015, at Miami Shores Country Club / Lounge-Bar Renovation, 10000 Biscayne Boulevard, Miami Shores, Florida, was performed by Evan J. Emerson an A.H.E.R.A. Certified Inspector utilizing the code of the Federal Regulation Standards, 40 C.F.R., Part 763, Subpart E, Section 763.80-763.99 and the State Asbestos Regulations, Florida Statues 469.003. Review by, 4 �, Tft ruce Marc tte CIH Licensed Asbestos Consultant ZA-0000048, IA0000041 2 EE Consultint! Group, Inc. BULK SAMPLE TRANSMITTAL FORM Client: Miami Shores Country Club Project: Miami Shores Country Club/Lounge-Bar Renovation 10000 Biscayne Boulevard Miami Shores, FL Report#: 1503-001 Date Collected: 03/04/15 SAMPLE# LOCATION OF SAMPLE DESCRITION CONDITION ASBESTOS 1 Bartender Floor Concrete F.C. NAD 2 Bartender Floor Concrete F.C. NAD 3 Bar Area Floor Carpet Mastic F.C. NAD 4 Bar Area Floor Carpet Mastic F.C. NAD 5 Bar Facade Wood Panel Mastic F.C. NAD 6 Bar Facade Wood Panel Mastic F.C. NAD Sampled by: Evan J. Emerson NAD =No Asbestos Detected SAMPLE CONDITION CODES G.C.=Good Condition F.C.=Fair Condition P.C.=Poor Condition P.D:Physical Damage W.D.=Water Damage F=Friable N.F.=Non-Friable H.Con.=High Contact M.Con.=Moderate Contact L.Con=Low Contact 3 ETS Environment Inc. 12334 73 Court North Project: Miami Shores Country Club West Palm, FL 33412 Report#: FL 15-0728PDAS (561) 333-0624 Lab Code: 0486 Sample Anal. Sample Item Description Asbestos Percentage Percentage & Type Non- Percentage Number Init. & Type Identified Asbestos Fibers Non-Fiber Mat. 1 EJE Concrete NAD 100 Matrix 2 EJE Concrete NAD 100 Matrix 3 EJE Carpet Mastic NAD 100 Matrix 4 EJE Carpet Mastic NAD 100 Matrix 5 EJE Wood Panel Mastic NAD 100 Matrix 6 EJE Wood Panel Mastic NAD 100 Matrix an J erson H. NAD =No Asbestos Detected Anal Deane'' H. Quality Control 4 'INJOTE: ALL SHEETS MUST BE REVIEWED MIAMI-DADE COUNTY DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES Herbert S.Saffir Permitting and Inspection Center 11805 SW 26th Street(Coral Way) • Miami, Florida 33317 -- 5-2474 • (786)31582000 APPLICATION FOR MUNICIPAL PERMIT APPLICANTS THAT REQUIRE PLAN REVIEW FROM MIAMI-®A®E FIRE RESCUE AND/OR ENVIRONMENTAL SERVICES yyam� PROVIDE MUNICIPAL PROCESS NUMBER HERE LL H Job Address i®®®® D)�Ce ot IdQ� z Contractor No. z LU Folio L —?_Za61 102 o Last four(4)digits of Qualifier No. Ow a Contractor Name AP-W (Did �> Lot Block 4a'M IT 0 1—Z o Qualifier Named O a Subdivision PBpg O LL � v? Address — Metes and bounds City 'State Zip [ ] New Construction on [ ] Demolish Current use of property u> Vacant Land [ ] Shell Only 1,, _ /� LL w Alteration Interior [ ] Addition Attached — f�6 Lam`AA ww [ ] Alteration Exterior [ ] Addition Detached Description of Work [ ] Relocation of Structure [ ] Re-Roof � h ����� or a [ ] Enclosure [ ] Foundation Only [ ] Repair [ ] Tent Sq. Ft. Units Floors [ ] Repair Due to Fire Value of Work� go r.), �t�J LU �] Category N [ ] Chg.Contractor w Owner orV% VL6� V 1 (i�_P MZ i0 [ ] Re-Issue a Address [ ] MZ-E MPLU v~i [ ] Re-Stamp w City. State ip a [ ] MLPG w [ ] Revision w Phone LU [ ] Not Applicable for 3 Last four(4)digits of a [ ] MMEC [ ] FIRE Fire O Owner's Social Security No. O z Name ��i���� �9�J��1 /� Owner 1 ISI CX191LL P!5 a.. Address I �� �, �� I V l- uii w s w w Address CL W=) City State, Zip o z City9. State_ejZip- 16 CL 0 K Phone w a Phone z I am requesting a Special Request Plan Review(SRI)to be scheduled as soon as possible at the rate of$209 for the first hour n cc c and$71.50 per each additional hour in addition to the review fees. Minimum charge one-hour. OILS twL Cn w w 111 Request: Date: LLw¢ 2^d Request: Date: Ir 31d Request: Date: z l am requesting Optional Plan Review(OPR)to be scheduled as soon as possible at the rate of$75 for each discipline. a Additional review fees may apply. O o w 15{Request: Date: o w 2nd Request: Date: cc LU 31 Request: Date: a 123_01-192 4115 BUILDING PERMIT CATEGORIES CATEGORY DESCRIPTION PERMIT TYPE BUILDING 01 GENERAL BUILDING—COMMERCIAL MBLD 02 SUB—GENERAL BUILDING—RESIDENTIAL MBLD 08 CANVAS AWNING MBLD 10 COMMUNICATION TOWER MBLD 15 DEMOLITION MBLD 29 METAL AWNING &STORM SHUTTER MBLD 48 SCREEN ENCLOSURES MBLD 55 SWIMMING POOL MBLD 56 TENNIS COURTS (SURFACE PAVING) MBLD 86 TRAILER TIE DOWN MBLD 88 WALK-IN COOLER MBLD 91 MARINAS MBLD 92 LOW SLOPE APPLICATIONS (GRAVEL, SMOOTH MODIFIED, SINGLE PLY) MBLD 95 SHINGLES (ASPHALT, FIBERGLASS) MBLD 96 SHINGLES (METAL ROOFS/WOOD SHINGLES&SHAKE) MBLD 97 STAGE 2 VAPOR RECOVERY SYSTEM MBLD 99 SOIL IMPROVEMENT MBLD " 0100 BULK STORAGE PROPANE TANK MBLD 0101 REMOVABLE STORM PANELS MBLD ro 0107 TILE ROOF MBLD 0110 WATER MAIN MBLD 0111 SITE PLAN MBLD 0112 INDOOR EVENT/EXHIBIT MBLD ELECTRICAL 04 FIRE ALARM SPECIALTY MELE 16 SPECIALTY WIRING MELE 38 GENERATORS MELE PLUMBING 0024 INTERCEPTOR/GREASE TRAPS (REPLACEMENT OR INSTALLATION THAT IS NOT PART OF A BUILDING PERMIT) MPLU LPGX 01 LIQUEFIED PETROLEUM GAS MLPG 02 MISCELLANEOUS MLPG 04 LIQUEFIED PETROL. GAS/STATE MLPG MECHANICAL 09 ABOVE/BELOW GROUND TANKS/PUMPS &POLLUTANT STORAGE SYSTEM MMEC 38 COMMERCIAL HOODS MMEC 43 FIRE CHEMICAL MMEC 46 SPRAY BOOTHS MMEC 48 SMOKE CONTROL MMEC 52 RESIDENTIAL ELEVATOR MMEC FIRE 32 FIRE SPRINKLER FIRE