DOCK-16-1968 I
�� ���
�I
DCS X68
t! . 5 Lei Miami Shores Village1111116M NLANLAIIIIL
�S. 10050 N.E.2nd Avenue NE g
ems z�. ����� nu,•�pail�
Miami Shores,FL 33138-0000
Phone: (305)795 2204 ? �,�ttS'A � E0
COR'COp'
Issue t,at� 7120/201 is Expiration: 01/16/2017
Project Address Parcel Number Applicant
1421 NE 102 Street 1132050240190
Miami Shores, FL Block: Lot: BAY CONSTRUCTION&DEVEL( '
Owner Information Address Phone Celt
BAY CONSTRUCTION& 201 S BISCAYNE Boulevard (305)898-7882
-- - ----- - - MIAMI FL 33131-
201 S BISCAYNE Boulevard
MIAMI FL 33131-
Contractor(s) Phone Cell Phone Valuation: $ 1,200.00
GAMMA CONSTRUCTION LLC (786)252-6374
_,..._.. _ Total Sq Feet: 60
Type of Dock:REPLACE DECKS AT DOCK ONLY Available Inspections:
Additional Info:
Inspection Type:
Bond Return: Final
Classification:Residential
Scanning:3
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $1.20
Invoice# DOCK-7-16-60598
DBPR Fee $2.00 07/14/2016 Credit Card $50.00 $71.20
DCA Fee $2.00
Education Surcharge $0.40 07/20/2016 Credit Card $71.20 $0.00
Notary Fee $5.00
Permit Fee $100.00
Scanning Fee $9.00
Technology Fee $1.60
Total: $121.20
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 foregoin ' rmation is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore,I aut th o -named contractor to do the work stated.
July 20,2016
Authorized Signature:Owscant / Contractor / Agent Date
1.
Building Departure t Copy
July 20,2016 1
Miami Shores Village 7BY:
Building Department 4 2016
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 201q5
BUILDING Master Permit No.
PERMIT APPLICATION Sub Permit No.
g BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: (4z I r '�Z
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): ��5�� �4jLWCLor ►je^A' Phone#: ::4-(Z� a✓ �
Address:_ Z,8 ZS
City: 'A-I State: :PC- Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: (.g4ry"IK4' czwSxg Jj� LU, Phone#:
Address: 11618 13 f5 ern� ��-� 6 9
City: I 1 State:` L, Zip:a>31 U
Qualifier Name: �IC.� � Phone#: s� -2,5 Z_12:53
State Certification or Registration#: "c'I CSN 34�b Certificate of Competency#
DESIGNER:Architect/Engineer: l--j:�- 1)387jtr..`, Phone#:
Address: ZZ W340 �L C.E. fI� I —City:-P-" State:�'�- Zip: 3� �
Value of Work for this Permit:$ 0_2-(�O Square/Linear Footage of Work: �lJ
Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition
Description of Work: '- LKX- 1EAtP OQaL
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$ _p
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ �I
(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 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 foregoingjiment was acknowledged before me this The foregoing instrument was acknowledged before me this
L1--A—day of 120 byday of C7 20 �� , by
85 - (0(r4 ,who is ersonal n to L144z "N C.4L ho is Per56-n—aI-1v—kftwn 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 PUBLIC:
,ON1111BUHI 11i31I/ ��s>i
p31y1S
Sign: m Sign: z a�: at ""A -.-2-.
Print: = � ^�'= Print: _ :Wim;
Seal: i '.o.�a •® � Seal: = ° �, ® •° g'
7-141i
-141lI/ SIN' 'tii°` ��ii�s SIN3lbd
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
ri A & A DESIGN GROUP, INC. Phone: 561-706-5161
coNSLTLTT\'G ENGINEERS Email: aadesigng�ounl0@yahoo.com
22636 Blue Fin Trail,Boca Raton,FL 33428
July 12, 2016
Building Official
City of Miami Shores
Building Department �d"D -rA -
JUL 1-4 2016
:3y:
Re: 1421 N.E. 102 Street,Miami Shores, FL 33138
Dear Building Official:
Please be advised we have inspected the wood dock connection and structural members.
We find wood dock do not need repair and all work to be in accordance with the specifications
and general design intent.
Please accept this letter as our special inspector certification for this inspection.
If you should have any further questions please feel free to contact us at the above number.
Sincerely,
A &A DESIGN GROUP, INC.
Consulting Engineers
Certificate of Authorization#29225
f
Reza Javidan, PE •• "' '
U. ....:.
Florida Professional Engineer#60223 ; ...... .
r, �.,...
� 0000 :0 • • •
n 1"L� l • • 0000•
0000 0000•
•••••• 0.000 ..••.0000•
.
�L►l� - ��1�� 6
.•
.• .• •
I,?j:,': ?9a't 'i 3� ��Ij tai' •
•• • • 0006••
0.000•
• • • •
• • • 00000•
IDA3f` •• • 0000 • .
00 0