DOCK-19-2313_ btx�c I0-1q-2313Cob
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Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
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Issue Date:10/15/2019
Location Address Parcel Number
1300 NE 94TH ST, Miami Shores, FL 33138 1132050100120
Contacts
Permit NO.: DOCK-10-19-2313
Permit Type: Dock
WorkClossifcotion: Repair
Permit Status: Approved
Expiration: 04/13/2020
CHRISTIAN & EMMANUELLE BERNARD Owner
1300 NE 94 ST, MIAMI SHORES, FL 33138
Mobile: 7864913926
SHORE CONSTRUCTION INC Contractor
JOSE CALVO
4488 PRAIRIE AVE, MIAMI BEACH, FL 33140
Business: 3052199530
Inspection Requests:
ti n Re
Description: RECONSTRUCTION OF 15.5' X29' TIMBER DOCK
-
Valuation:
$ 19,000.00
Inspe
HURRICANE IRMA DAMAGE TO REPLACE PERMIT
49
WSW17-2314 TO REPLACE PERMIT#DOCK-02-19-260
Total Sq Feet:
419.00
Amt Paid
Fees Amount
Payments
Date Paid
Permit Fee $570.00
Total Fees
$570.00
Check # 5196
10/15/2019
$570.00
Total: $570.00
Amount Due:
$0.00
Building Department Copy
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 accurate and that all work will be done in compliance with all applicable laws
regulating constructiori and zoning. Futhermore, I authorize the above named contractor to do the work stated.
/6//5/, 4-
re: Owner / Applicant / Contractor /
October 15, 2019 Page 2 of 2
RECEIVED
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (30S) 762-4949
BUILDING
PERMIT APPLICATION
FE-IBUILDING ❑ ELECTRIC ❑ ROOFING
CT O 1 2019
BY
FBC 201� n
Master Permit No.�UC�^fo (9 L313
Sub Permit No.
❑ REVISION ❑ EXTENSION QRENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 1300 NE 94 STREET
City: Miami Shores County:
Miami Dade Zip:
Folio/Parcel#:11-3205-010-0120 Is the Building Historically Designated: Yes NO X
Occupancy Type: Load: Construction Type:
Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): EMMANUEL BERNARD
Phone#: 305 244 0595
Address:1300 NE 94 STREET
City. MIAMI SHORES State: FL
Zip: 33138
Tenant/Lessee Name: N/A
Phone#:
Email:
CONTRACTOR: Company Name: SHORE CONSTRUCTION
Phone#: 305 219 9530
Address: 4488 PRAIRIE AVE
City: MIAMI BEACH State: FL
Zip:
Qualifier Name: JOSE CALVO
Phone#:
State Certification or Registration #: E-1700508
Certificate of Competency #:
DESIGNER: Architect/Engineer: LUIS ROSAS-GUYON, PE
Phone#: 305-386-3858
Address:11401 SW 40TH STREET, # 245
City: MIAMI State: FL Zip: 33165
Value of Work for this Permit: $ 44,400 Square/Linear Footage of Work: 152
Type of Work: ❑ Addition ❑ Alteration ❑■ New
❑ Repair/Replace ❑ Demolition
Description of Work: RENEW PERMIT DOCK-02-19-260
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 $ S 0
(Revised02/24/2014)
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
Zip
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.
Signature Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
26 day of SEPT 120 19 by 26 day of SEPT 20 19 by
CHRISTIAN BERNARD who is personally known to JOSE CALVO who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: BIBI N LLA iANAVILLAZON
Seal: NOTARY PUBLIC • STATE OF FLORIDA
• COMMISSION # FF 935184
My Commission Expires November 22, 2019
as me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal: NOTARY PUBLIC • STATE OF FLORIDA
COMMISSION # FF 935184
My Commission Expires November 22, 2019
******************************** **** *********************************************************************
1 G�
APPROVED BY Plans Examiner Zoning
as
Structural Review Clerk
(Revised02/24/2014)