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WSW-12-70Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 168795 Permit Number: WSW-1 -12-70 Scheduled Inspection Date: April 09, 2012 Inspector: Bruhn, Norman Owner: CONDOMINIUM, SHORES Job Address: 1700 NE 105 Street Miami Shores, FL Project: <NONE> Contractor: DOT CONSTRUCTION CORP Permit Type: Retaining Walls /Seawalls Inspection Type: Final Work Classification: Seawall Phone Number Parcel Number 1122300500010 Phone: (786)295 -0499 Building Department Comments REPLACE EXISTING DETERIORATED WODDEN FENDER ON SEAWALL Inspector Comments Passed gi6 Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. April 09, 2012 For Inspections please call: (305)762 -4949 Page 5 of 24 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 � 2 1 .LJ1 B ILDING % �.- PERMIT APPLICATION FBC 20 07 Permit Type�UILDING , ROOFING qq OWNER: Name (Fee Simple Titleholder): �%�®,lr�e5 ��4e) 5d 5f Phone#: Address: /?4,0 /V /69-5- 5 r2 7: City: 1/4v41® , 5704/2:700 5 State: Zip: Tenant/Lessee Name: Phone #: Email: Permit No. WV `N ) O Master Permit No. 33/34' JOB ADDRESS: / ,E - /0 5. 57e90-7-: City: Miami Shores Folio/Parcel #: County: Miami Dade Zip: 55/3 Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name- Drat-micra41 Ate-. Address: 731/ S-4c) 52-6 4' City: /1,//4 f/ State: ordota. a -9/r Qualifier Name: /4902 . f /+• Phone#: ( a4 4-2,1-87.0 State Certification or Registration #: c C'ODfe,8O % Certificate of Competency #: Contact Phone # .3a) W^¢3 8 WO Email Address: Nstemizi.ro 6 41 AIM . C-0M DESIGNER: Architect/Engineer: Phone #: Phone #: Oar) 5d1 ∎894v0 Value of Work for this Permit: $ 2/O �°� Square/Linear Footage of Work: 2/ ����� 5. Type of Work: ❑Addition ❑Alteration ❑New ❑Repair/Replace ❑Demolition Description of Work: Re /0/4.e e r/5 71424: 2.5 ***** * * ** ********* *+ x***** ********** **Fees+x********** * *** x****+ x**+ x**•xa:***+x*+x*******s. ** Submittal Fee $ Permit Fee $ /Q 0 c'‘) CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ Technology Fee $ TOTAL FEE NOW DUE $ _ ° �. Bonding Company's Name (if applicable) Bonding Company's Address City !'nth 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 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 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 approv:r1 and a reinspection fee will be charged. Signature Owner or Ag Signatur6`�'� 4 E4.1"t Contractor The foregoing instrument was acknowledge' before me this The foregoing instrument was acknowledged before me this day of S 4iO , 20 (1, , by / . / c SeO 4 ( who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUB _ C: day of , 20 by ti who is sonally known to me or who has produced v As identification and who did take an oath. NOTARY PUBLIC: Sigma '� Print: Ltd t.g e -p , 14 5 PA N My Commission Expires: APPROVED BY 490 ° Natary Publlo State of Florida Payton My Commission My OD898711 '40,011P Expires 07/12/2013 , == =" te'1 7--)0-4,, - Plans Examiner Sign: Print: .1 2 14-t: My Commission Egi. IRAIDA SECO MY COMMISSION 0 EE 023738 EXPIRES: Jenua 7 2018 "mum ?RA MA SI_'Cu MY COMMISSION 7 FE EXPIRES: January ° Eon^ d Thru Ncr v . r * **** ** ** ************* ** q * * *** ** * * * * ** ** Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Clerk To: Mr. Jorge Rodriguez Page 4 of 5 2012 -01 -17 14:46:50 (GMT) From: Hector Samlut ALEX SINK CHIEF FINANCIAL OFFER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES _DIVISION OF WORKERS' COMPENSATION * CERTIFICATE..fF.:ELECTION ;TO..BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW CONSTRUCTION INDUSTRY EXEMPTION This .cartif ies that :the individual...Iisted belo y ,has .e.Ieeted. to tre exempt from Florida Workers'. Compensation law. EFFECTIVE DATE: 10/04/2010 EXPIRATION DATE: 10fO3/2012 PERSON: ;SAMLUT FEIN: 651104.55.7 BUSINESS NAME AND ADDRESS: DOT CONSTRUCTION INC 9311 SW 62ND TERRACE MIAMI FL. 33195 SCOPES OF BUSINESS OR TRADE: 1- CERTIFIED GENERAL CONTRACTOR HECTOR E IMPORTANT: :Persona to Chapter 440 . 06114% F, S., ao oflioor of a.carperation who elects exeeptroo from this chapter by Ming .a certificate of election under this secttoe way not recover benefits er camponoattoe under this chapter. Pursuant to '.Chapter 440.061124 P.S, Certificates of election...to :be sxempt,., apply only within the scope et the toopinees or trade listed ea the•.natic0 of etactien 10 be exempt. Pursuant to Chapter 440.061131 'F.S., Nattcea•ef.?lecfion to :On exempt ant canificatas . t election to pe •exempt'shall he {eh}eet.`tp reaacetton ll'at any time after the filing of the notice or the iasaaac0 of the'rarriffcete,.•,lim person named oa the notice or certificate on longer meats the regalreetnntl• •aF this 'section. for lsauapta of a centticete. The department shall rarake• it tcerttficnte at any Nene for failure :nf the person named on the. conitteatn :to meot.•the iegeiregtema •Pihris tnatioo. • • (IUESTIONS? (850) 413-1609 DWC -252 CERTIFICATE OF ELECTION TO OE, ffXENIPT REVISED 09-06 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA DEPARTMENT OF FINANCIAL SSRYiCES DIVISION OF WORKERS' COMPENSATION :CONSTRUCTION INDUSTRY CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW EFFECTIVE: 10/04/2010 EXPIRAT.ION DATE: 10/03/2012 PERSON: HECTOR E SAMLUT FEIN: 951104597 BUSINESS NAME AND ADDRESS: DOT CONSTRUCTION INC 9311 $W 52ND TERRACE MIAMI, FL 33105 SCOPE OF BUSINESS OR TRADE: 1- CERTUFJED GENERAL CONTRACTOR 0 Pursuant to Chapter 440,05(14), F.S., an. officer of a corporation who elects exemption from this chapter by filing a certificate of election ( - under this Section may not recover benefIts or compensation under this D chapter. H Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt.. apply only within the scope of the business or trade listed on Rthe notice of election to be exempt. E Pursuant to Chapter 440.05(13), F.S., Notices of election • to :be exempt and certificates of election to be Oxempt -shall :be. subi01 to revocation if at any time. after: the filing of the ;notice. or the :issuance -of the certificate, the person named on the notice or-certificate-do longer meets. • the requirements of this.. section : for -issuance .of a 'certificate. The department shall revoke a certificate at any titre for •failure -of the • • :person..nnrned..en. the certificate to Meet the requirements of `this .s'ectiarl,.... "' • IMPORTANT QUESTIONS? (850) 413 -1609 CUT -HERE bottom.:portion on the job, keep upper portion . for.:yottr. records. i1WC -252 CERTIFICATE OF ELECTION TO RE EXEMPT .REVISED p9 -.06 From: Hector Samlut 2012 -01 -17 14:46:50 (GMT) To: Mr. Jorge Rodriguez t�l H NUM s? • :..... ,.:fib'• �ESii To: Mr. Jorge Rodriguez Page 5 of 5 2012-01-17 14:46:50 (GMT) From: Hector Samlut • ' . * • ' • ' ••• ••.****-*•:-. 's "' ••••••••: • . . • -----"'"of Poky •NUOlberiaar.-.10013620. CERTIFICATEOF LIABILITY • INSURANCE „ wammumomyyp . 10/1/2oll AACC•Rir> . . • . • • ' , . •„. "- • late Entered:10/21/2011 • • • • THIS 'CERTIFICATE /S ISSUED AS A fi9ATTERCF.INFORNIATION ONLY'AND CONFERS NO RIGHTS UPON THE CERTIFICATE THIS. CERTIFICATE Dom; NOT :AFFIRMATIVELY OR NEGATIVELY AMEND, e*TEND QR ALTER- THE COVERAGE 'AFFORDED BY THE POLICIES. BRUM.. TI-US :CERTIPICATE_OF INSURANCE -DOES .N& 'CONSTITUTE 'A CONTRACT • BETWEEN THE ISSUING INSURERS). -AUTHORIZED • REPRESENTATIVE OR PRODUCER, A/407HE CERTIFICATE HOLDER. IMPORTANT:. If the -oerOficeite -/bAder is an 'ADDITIONAL INSURED,. ths..poiley4les).:must be.endorSetl: II-SUBROGATION ] 4. WAIVED,. subject to The:terms:and terkditkele Of the polIcy,..geOsin poRcies. rnai:rovAresn-endorsorpent, AstiAteTeot: on thIs•pertiticate does :hot :confer rights to -the .: certIfIcate 'holder fn Hsu of such endersehien0s). :DeleYee- Xneuraere • 7349-.."T:144% Street . . • CdkrAet HAW: PHONE. .. ZAIAIL AP.9.W... • 14410-, •,g7g..A31.44. • I FAX tArC. mis4fteFt WT. -PPIli!!!'t•ructi4w.TA OPFP. . zttectex Sargolt '.9311 SR 52 Terr Miami 'FL 33115 COVERAGES CERTIFICATE NUMBER: UREia A 3 '50 18888E8 8 INSURER sf INSURER D INSIMERE IVISURERISI,AFPO808418 OOdERAOE Da- INSURER : :REVISION NUMBER: THis.is TO CERTIFY THAT 'THE ,p0LICIES. OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED:NAMED ABOVE FOR THE 'POLICY PERIOD INDICATED. NOTWITHSTANOINP 6NY :REQUIREMENT. TERM. OR toNDITION OF.. ANY .:co:Kumar '..oR.-0T.i- DOCUMENT WITH RESPECT:TO WHICH: 'THIS. DERTIFIcATE MAY 8E ISSUE D �R MAY PERTAIN, THE INSuPANDE AFFORDED SY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL TME TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIESWAIT& SHOWN MAY HAVE BEEN REDUCED BY FAH) GLANS_ kiii I , 11r4 GP III Yrk Noun:ince , 000., 000 BBG-340 462 0 ' 000,000 $5,000 $1,000,000 , 000 000 $2,000,000 PauicY LOC 91001LCrIrOURY. (s Omani OCCUR Cl..fidrat&MADE waRhaeRmatimpoismiou ANDEMPLOYERS" LAMM ANIY PROFfRiET0ROARTNEWEXECUTIVE 1==1 OFFICERIMEMBER EXCLUDED? - . . ... '• 0,14alostary In Mt . . ... 0.yas, tiescribeurider DESMPIICH OF OPERAllONS bektOs , • • • EACH OCCURRENCE WC. ATLI. DTH IOW LRAM • El. EACH ACCIDENT E.L. ZdSEASE EA EIAPLOYEE s E.L. ISEAE PCLIC NIT DasonsAnoa OF OPERATKITOIlLOOprOWS4yEw. 0 . (Await ACORD.01, Adatkinal Remark. Saistb.sla; tr. nuafe swam, IthrA3ulrod) ' • • • • . ... . . . . • GFLipT8.2....POIStraCtge. * • '. '.. • • • .. ... . .. .. . . . .. , • ---.... " • s'-• ... . . . . • , CERTIFICATE HOLDER • • ' • • " 11Memi Dade CeusitY-24114ing cP4.11-1P4P144,41qP 240 W Wlacfter St.IrA4.4c., 70603 k443m4.., •-rz,••••alsCs. • • • • • • • .• CANCELLATION , . ,••••■•■■., SHOULD ANY OFTHE ABOVEDESCRIBED POLICIES sEcANCELI,X0 BEFORE. .• THE 'E)PIRATION DATE THEREOF, NOTICE WILI. 3E. :pp,frizstso -ACCORDANCE MTH 11.4eFDLIDYPROVISIONS. 4447.11PRal.611"4"W.4..T.4"Mt4 • • • • . . , . . .. . . ..1 . 7?010 APPPOIroR4TPN- AP.Ig!46!./.r.WATY-ect. • tv..20..(7410105) -- . - • • The ACRD nante.e.ed. legs averegleteresi merks.of ADS)RD ' . %., ..... Produced using FtiMIS Boss Plus:soitissra. vngiv:forrnsposs.cont: inliessbje Publishing 800,208-1en From: Jmrpapin <Jmrpapin @aol.com> To: derma <dermcr@miamidade.gov> Cc: delgaj <delgaj @miamidade.gov >; jmrpapin <jmrpapin @aol.com> Subject: Fwd: 1700 NE 105 STREET MIAMI SHORES SEAWALL Date: Wed, Dec 7, 2011 7:42 pm Attachments: DSC 0165.JPG (5659K), DSC_0166.JPG (5758K), DSC 0167 JPG (5992K), DSC 0168.JPG (55881<) Page 1 of 7 JAN 1 7 .. v • Enclosed please find pictures of the existing seawall bumpers at 1700 NE 105 Street Miami Shores. 1 first contacted Mr. Carlos Hemandez, he in tum referred me to Mr. Roberto Abraham and he requested from Mr. Jesus Delgado to contact me. Mr. Delgado has requested from me to email photos of the site to the following email: derma a>miamidade;gav My question is if we need a derm permit to replace those exiting deteriorated sea wall bumpers with same . Please notify me with your answer thank you Miami Shores Village APPROVED ZONING DEPT BY DATE BLDG DEPT SUBJECT 10 C(.MPIJANCE WI rH ALL FEUERAL STATE AND CC UNI.( RULES AND°FGLiL_ 'r':, "Ifl CITY COPY http: / /mail.aol.com/ 35138 - 111/ aol- 6 /en- us /maiLPrintMessage.aspx 12/14/2011 Page 2 of 7 http: / /mail. aol.com/35138- 111/ aol- 6 /en- us /mail/PrintMessage.aspx 12/14/2011 Fwd: 1700 NE 105 STREET MIAMI SHORES SEAWALL Page 3 of 7 http: / /mail.aol.com/35138- 111/ aol- 6 /en- us /mail/PrintMessage.aspx 12/14/2011 Fwd: 1700 NE 105 STREET MIAMI SHORES SEAWALL Page 4 of 7 http:// mail.aol.com/ 35138 - 111/ aol- 6 /en- us /mail/PrintMessage.aspx 12/14/2011 Fwd: 1700 NE 105 STREET MIAMI SHORES SEAWALL Page 5 of 7 Jorge Rodriguez 305 323 2688 4 Attached Images http: / /mail. aol. com/3 513 8 -111 /aol- 6 /en- us /mail/PrintMessage. aspx 12/14/2011 Fwd: 1700 NE 105 STREET MIAMI SHORES SEAWALL Page 6 of 7 http: / /mail.aol.com/ 35138 - 111/ ao1- 6 /en- us /mail/PrintMessage.aspx 12/14/2011 Fwd: 1700 NE 105 STREET MIAMI SHORES SEAWALL Page 7 of 7 http: / /mail.aol.com/ 35138 - 111/ aol- 6 /en- us /mail/PrintMessage.aspx 12/14/2011 Planning and Zoning C Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 eria Permit NO WSW-1-12-70 Issue Date: Not Issued Expires:NOt Issued Folio Number:1122300500010 Owner's Name: SHORES CONDOMINIUM Job Address: 1700 105 Street Miami Shores, FL Owner's Phone: Total Square Feet: 21 Total Job Valuation: $ 2,100.00 Contractor(s) DOT CONSTRUCTION CORP Phone (786)295 -0499 Primary Contractor Yes Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 1/17/2012 : Yes Comments: