WSW-11-19-2759, 1420 NE 101st StMiami Shores Village
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Building Department
10050 NE 2nd Ave.
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Miami Shores, FL 33138
305-795-2204 / Fax 305-756-8972
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NOTICE TO MIAMI SHORES BUILDING DEPARTMENT OF EMPLOYMENT AS SPECIAL
INSPECTOR UNDER THE FLORIDA BUILDING CODE.
I (We) have been retained by Matthew and Elizabeth Allen to perform special inspector services under the Florida
Building Code 5th Edition (2014) and Miami Dade County Administrative Code at the 1420 NE 101st St, Miami Shores, FL 33138
project on the below listed structure as of 7-15-2020 (date). I am a registered
arch itect/professional engineer licensed in the State of Florida.
Process Number: WSW-11-19-2759
_ Special Inspector for Reinforced Masonry, Section 2122.4 of the FBC 50, Edition (2014)
Miami Dade County Administrative Code, Article II Section 8.22 Special Inspector for
_ Trusses > 35 ft. long or 6 ft. high
Steel Framing and Connections welded or bolted
Soil Compaction
Precast Attachments
Roofing Applications, Lt. Weight. Insul. Conc.
x Other
Piles and New Seawall Installation
Note: Only the marked boxes apply.
The following individual(s) employed by this firm or me is authorized representative to perform
inspection'"
I Hugo Adriazola, PE 2 Jesus Rafnls
3. 4.
"Special inspectors utilizing authorized representatives shall insure the authorized representative is qualified b)
education or licensure to perform the duties assign by Special Inspector. The qualifications shall include licensure as a
professional engineer or architect: graduation from an engineering education program in civil or structural engineering;
graduation from an architectural education program; successful completion of the NCEES Fundamentals Examination;
or registration as building inspector or general contractor.
I (we) will notify the Miami Shores Building Department of any changes regarding authorized personnel
performing inspection services.
I (we), understand that a Special Inspector inspection log for each building must be displayed in a
convenient location on the site for reference by the Miami Shores Building Department Inspector. All
mandatory inspections, as required by the Florida Building Code, must be performed by the Miami Shores
Building Department .Inspections performed by the Special Inspector hired by the owner are in addition to
the mandatory inspections performed by the department. Further, upon completion of work under each
Building Permit, I will submit to the Building Inspector at the time of the final inspection the completed
inspection log form and a sealed statement indicating that, to the best of my knowledge, belief and
professional judgment those portions of the project outlined above meet the intent of the Florida Building
Code and are in substantial accordance with the approval plans.
PISTIAN1q Engineer/Architect
E N Hugo Adriazola, PE
t' Name
Signed and Sealed =_ "o "810 0 Print
Date: AddreSS 2301 Laguna Cir, Suite 1505, North Miami, FL 33181
'fl STATE OF :• Q This Item has been digitally signed and sealed by Hugo Christian
i0•'• A O Q ; �l(7�� Adriazola, PE on 07.15.2020 using Digital Signature.
',,'�PrintedG,, sealed and document
i nson not consid
ered
a oa �veriemyss1�iiAi 1Nelectronic
To:
Miami Shores Village
10050 NE 2nd Avenue
Miami Shores, Florida 33138
From:
Dynamic Engineering Solutions
RE: 1420 NE 101" Street Seawall Project (Permit No. WSW-11-19-2759)
To whom it may concern:
vv tag; h 2 31020
�de
This is to acknowledge that I, Mr. John Omslaer (Dynamic Engineering Solutions, Inc.) am not
the special inspector for the seawall project located at 1420 NE 101st Street (Building Permit No.
WSW-11-19-2759).
Should you have any questions do not hesitate to contact me. Thank you.
Sincerely,
Digitally signed by John H Omslaer
noi Pompano Beach, Dynamic
Engineering Solutions, Inc., cn=John H Omslaer,John H Omslaer
email=des_lnc@bellsouth.net
Date: 2020.06.0813:25:53-04'00'
Mr. John Omslaer, PE, CBC, LEED AP
Dynamic Engineering Solutions
IVliami Shores Village
i ,
Building Department -7123 1207J
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 7624949 4 `�L '
FBC 201 "1
BUILDING Master Permit No. WSW-11-19-2759
PERMIT APPLICATION Sub Permit No.
[]BUILDING ❑ ELECTRIC [],ROOFING Q REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF CANCELLATION 'M SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: : 1420 N E 101 ° Street - -
City: Miami Shores County: Miami Dade Zio:33138
' Folio/Parcel#: 11-3205-023-0050 Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Matthew and Elizabeth Allen Phone#:
Address:
City: State: Zip:
Tenant/Lessee Name: Phone#:
Email:
I
i CONTRACTOR: Company Name: Case Marine Construction Int'I LLC. Phone#: 833=42277326
Address: 429 Lenox Ave.
city: Miami Beach state: Florida Zip: 33139
Qualifier Name: Joseph Woodworth Phone#: 305-613-4241 CG
f _ CGC051955
State Certification o"r Registration #: Certificate of Competency #:
DESIGNER: Architect/Engineer: ~~ - Phone#:. -
Address: City: State: Zip.
Value of Work for this Permit: $ Square/Linear Footage'of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repaii/Replace ❑ Demolition
Description of Work:
Revision to appoint",a new Special Inspector to the project.
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 $
M-Acas4M/7Ahni Al
Bonding Company's Name (if applicable)
Bonding Company's Address
City State
Mortgage lender's Name (if bpplicable)
MortgageAlender's Address
Zip
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 cert fy that all th'e 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 on estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien low 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 issU7.7
ed,/yn, the absence of such posted notice, the
inspection will not be opproved and a relnspection fee will be charged. � A
Signature 1'
Signature,
OWNER or AGENT
The foregoing instrument was acknowledged before me this
3 day of n,'_ 20 s ,L, by
Z - AAM, who is personally known to
me or who has produced FL 13L as
identification and who did take an oath.
NOTARY PUBLIC:
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APPROVED BY
CONTRACTOR
The foregoingliinstrument was acknowledged before me this
—Tod day of 3t_ 20 , by
Y _ t1 Cl t Al�%DQ4W r"ho s personally know 'o
me or who has produced w as
identification and who did take an oath.
NOTARY PUBLIC:
Seal:
SHAYE WIEGERS
Notary Public - State of Florida
Commission N GG 918344
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bonded through National Notary Assn.
Plans Examiner Zoning
l3 Structural Review Clerk
(RevisedO2/24/2014)