RC-16-1862 � 464 86
sem, r� Miami Shores Village al COW*
10050 N.E.2nd Avenue NE 'S ' � £
C� � 0 n
Miami Shores,FL 33138-0000
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Phone: (305)795-2204 Rr
P3
` Expiration: 01/1 2017
...
Project Address Parcel Number Applicant
1460 NE 101 Street 1132050240050
Miami Shores, FL Block: Lot: BAY CONSTRUCTION&DEVEL(
Owner information Address Phone Cell
BAY CONSTRUCTION S 201 S BISCAYNE Boulevard (305)898-7882
-- - ----- - - MIAMI FL 33131-
201 S BISCAYNE Boulevard
MIAMI FL 33131-
Contractor(s) Phone Cell Phone Valuation: $ 2,080.00
GAMMA CONSTRUCTION LLC (786)252-6374
.__._ _ r _.._,.._. -,__m.• _, ..rc _. .....•.._._ ...m...,. Total Sq Feet: 130
Approved:In Review Available Inspections:
Comments: Inspection Type:
Date Approved::In Review Review Structural
Date Denied:
Review Building
Type of Construction:INSTALL 1 X 6 E4E IPE DECK OVE Occupancy:Single Family
Stories: Exterior:
Front Setback: Rear Setback:
Left Setback: Right Setback:
Bedrooms: Bathrooms:
Plans Submitted:No Certificate Status:
Certificate Date: Additional Info:
Bond Return: Classification:Residential
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $1.80
DBPR Fee Invoice# REV-7-16-60447
$2.00 07/22/2016 Credit Card $202.80 $0.00
DCA Fee $2.00
Education Surcharge $0.60
Notary Fee $5.00
Permit Fee $100.00
Plan Review Fee(Engineer) $80.00
Scanning Fee $0.00
Scanning Fee $9.00
Technology Fee $2.40
Total: $202.80
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-d"e foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoni ._ ut&r morei I auVze the above-named contractor to do the work stated.
,� July 22, 2016
Authorized Signature:Owner / plican / Contractor / Agent Date
Building Department Copy
July 22,2016 1
Miami Shores Village r - -= -z
Noy Building Department ! JUL
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972 -
INSPECTION LINE PHONE NUMBER:(305)762-4949 S�1
F77BC 2011
BUILDING Master Permit No. t��`+ G Y�;0 1-25 4-
PERMIT APPLICATION Sub Permit No.-c I (
BUILDING ❑ ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
C L CONTRACTOR DRAWINGS
JOB ADDRESS: I AIG ID( 5 n
City: Miami Shores County: Miami Dade Zip: i `1
Folio/Parcel#: ��' 3 L05 , OZ q `00 S® Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name(Fee Simple Titleholder): BeL 1 CD m4rwf!Q 'J
h + ',l�rPhone#: Z5 z-0 4 y
Address: It{ ® AE f®/ 5�'
City: M 1 Q mi 1 5 h o r'C5 State: /CL Zip: /
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: MANS (,. /'O.A641- k 6 N , L l G Phone#: s S 63
Address: /logs A-15ra Yn e am) -t- Lic l
City: m i c(M k State: FL Zip: 33 i 6 1
Qualifier Name: M(c1,ie L l Gist r Phone#:
State Certification or Registration#: C 6C 167q ';-46 Certificate of Competency#:
DESIGNER:Architect/Engineer:_ MIA Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$gip$® Square/Linear Footage of Work: /.3®
Type of Work: 59 Addition ❑ Alteration ❑ New ❑ Repair/Re lace
p ❑ Demolition
Description of Work: leD 54a 11 b jEqE 'PC Nos- oe R- Z)t 4 p f Furl i n j
®n Fr'oon r we,!I
Specify color for thru tile:
Submittal Fee$. Permit Fee$ CCF$ / CO/CC$_
Scanning Fee$ C-1 Radon Fee$ DBPR$c Notary$
Technology Fee$ " � Training/Education Fee$ �® Double Fee$ Clio
Structural Reviews$ CA::) Bond$
TOTAL FEE NOW DUE$ 202—
(Revised02/24/2014)
a
a
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 Signat
NER or AGENT CONTRACTOR
The foregoing ins ument was acknowledged before me this The foregoing instrument was acknowledged before me this
day f ,20 1 �[a , by day of U 20 ,by
� 3c GS1 GAI�'Z S ,who is p onally no n to ,who is p sonally kn n to
me or who has produced as me or who has produced as
identification and who did take anidentification and who did take an oath.
��q��hnliigv/
NOTARY PUBLIC:
9 ••.A s NOTARY PUBLIC:
WAI
S'i 'chi; �� �����* •.•.� /�j//
Sign: ='m a_ Sign: �\� '•.ti /
{ " aMat, "p% m,
Print: ti . Print:
SJA O�C•��
Seal: Seal:
20 ORRION
APPROVED BY Plans Examiner Zoning
Piq_
Structural Review Clerk
(Revised02/24/2014)
` STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395
1940 NORTH MONROE STREET
TALLAHASSEE FL 32399-0783
JAAR, MICHAEL R
GAMMA CONSTRUCTION LLC
360 NE 103RD STREET
MIAMI SHORES FL 33138
Congratulations! With this license you become one of the nearly
one million Floridians licensed by the Department of Business and
Professional Regulation. Our professionals and businesses range STATE OF FLORIDA
from architects to yacht brokers,from boxers to barbeque DEPARTMENT OF BUSINESS AND
restaurants,and they keep Florida's economy strong. PROFESSIONAL REGULATION
Every day we work to improve the way we do business in order CGC1524376 ISSUED: 06/14/2016
to serve you better. For Information about our services,please
log onto www.myfloridalicense.com. There you can find more CERTIFIED GENERAL CONTRACTOR
information about our divisions and the regulations that impact JAAR,MICHAEL R
you,subscribe to department newsletters and learn more about GAMMA CONSTRUCTION LLC
the Department's initiatives.
Our mission at the Department is:License Efficiently,Regulate
Fairly.We constantly strive to serve you better so that you can
serve your customers. Thank you for doing business in Florida, IS CERTIFIED under the provisions of Ch.489 FS.
and congratulations on your new license! ExpkaUwdft:AUG 31,2018 L1606140000416
`
DETACH HERE
RICK SCOTT,GOVERNOR KEN LAWSON,SECRETARY
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD
�CGC1524376
The GENERAL CONTRACTOR `
Named below IS CERTIFIED '
Under the provisions of Chapter 489 FS. we
Expiration date: AUG 31, 2018
JAAR, MICHAEL R •~�
GAMMA CONSTRUCTION LCC
11098 BISCAYNE BOULEVARD,#401
MIAMI FL 33161 �. •
■
ISSUED: 06/1442016 DISPLAYAS REQUIRED BY LAW SEQ# L1606140000416
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GAMMA CONSTRUCTION LLC 196 GENS • WILDING, PAYMENT EIVED
C/O AR GONCAL`E CONTRACTOR
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pomItae a 4dtobokws is taticoaso,
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The MIAM RC Aio ate , < Sal r tCtaa Cana 8a-27&
6w,awe im' 'v
AC R® CERTIFICATE OF LIABILITY INSURANCE DATE @uMIDOInmY)
06/29/2016
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFER 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 pollcy(Iss)must have ADDITIONAL INSURED provisions or be endorsed.
N SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endormment. A statement on
tht(erdlimte does not canter rights to the certificate holder in lieu of such endorumnen s.
PRODUCER CONTACT
L. Alina Jimenez
AA Insurance Services, Inc PHONE786-518-2989 �N,).305-233-4289
12918 SW 133 CtE-MAILADDRESS: insuranceservicesO mail.Com
Miami, FL 33186 nem AFFOre1NGCOVERAGE MAIC#
INSURER A:Westem World Insurance Company 13196
INSURED
ayslnYER s
Gamma Construction LLC INS,FERC:
201 South Biscayne Blvd#285 INSURER D:
INSURER E:
Miami FL 33131 INSIIRERF:
COVERAGES CERTIFICATE NUMBER: REVLSION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERF
INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT VMTH 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.
ILTR NBR TYPE OF INSURANCE Y POLICY EFF POLICY E)F LIMITS
A x OOMMERCIALGENERALLIABILITY NP 8362096 1)3/25/2016(03125)2017 EACH OCCURRENCE $ 1,000,000
CLAIMS-MADE M OCCUR 100,000 DAMAGEe $
MED EXP(Any are $ 5,000
PERSONAL$ADV INJURY $ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
POLICY❑PRO-
JECT M LOC PRODUCTS-COMP/OPAGG $ 2,000,000
AUTOMOBILEUASMY W=SINGLELIMIT $
ANY AUTO BODILY INJURY(Per person) $
OWNED SCHEDULED
AUTOS ONLY AUTOS BODILY INJURY(Per accwie $
HIRED NON-OWNED PROPERTY DAMAGE $
AUTOS ONLY AUTOS ONLY
$
UMBRELLA LIAB OCCUR EACH OCCURRENCE $
00MUM CLAIMSdtAADE AGGREGATE $
DED I I RET 1 $
WORIUMCOIYI ENSATION
AND EMPLOYERB'LIABILITY T
YIN
ANYPROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMSEREXCLUDED? N/A EL.EACH ACCIDENT $
(Matbatory In NH) EL DISEASE-EA EMPLO $
If ltser
ESCRIPTI04
OF undOPERA ONS EL DISEASE-POUCY LIMIT $
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES IACORD 101,Ad011onal Remaft 8chedula may be 11 Ito space M requVet�
General Contractor
CERTIFICATE HOLDER CANCELLATION
Miami Shores Village Building Department SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
10050 NE 2nd Avenue THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Miami Shores, FL 33138 ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORM IEPRESFMATIVE
®1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(20166) The ACORD name and logo are registered marks of ACORD
6/27/2016 Gamma Investments,LLC.Gamma Construction,LLC DVke,Inc.AR
11098 BWzyne Boulevard#401
.—I n 11— A
CERTIFICATE OF UABIUTY INSURANCE DATE(MMIDWYYYI)
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,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:It the certificate holder Is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed.It SUBROGATION 13
WAIVED,sidled to the term and conditions of the policy,ostein policies may require an andorsmrwit.A statement on this certificate does not Confer rights to the
certificate holder In lieu of each embreement(s}
PRODUCER CONTACT NAME:
PHONE A/C No : 1277-1620 x4WQ F A/C Nu): 797-0704
FrankCrum Insurance Agency,Inc. E-MAIL ADDRESS
110 South Missouri Avenue INSURERS)AFFORDING COVWME NAf0#
Clearwater FL 33756 INSURER A: Frank Yfinsion Crum Insurance Co. 11600
INSURED INSURER B:
INSURER C
FrankCrum L/C/F Gamma Construction LLC INSURER D,
100 South Missouri Avenue INSURER E
lClearmter,FL 33756 INSURER R
COVERAGES CERTIFICATE NUM 365106 REVISION NUMBER:
THIS S TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD I DICATEC.
NOTWITHSTANDING ANY REQUIREMENT,TERAS OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RST TO WHICH THIS CrRTIFICATE MAY BE ISSUED OR MAY
PERTAIN,THE INSURANCE AFFORDED BY THE POLIOS DESMSED HERON S SUBJECT TO ALL THE TERSE,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIt6TS SHOWN
MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR R TYPE OF INSURANCE MORD SU WVD P'OUCY IBJaBDi POLICY OFF POUCV� UrafS
COMMERCd11.GENERAL LIABILITY EACH OCCURRENCE $
CLANS-MADEUR DAMAGGETORENTED ES(ER cow"Once) $
MW EXP(Arw we pmson) $
PERSONAL BADVtlUURY $
GEML AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $
POLICY M PROJECT OLOC PRODUCTSCOMPIOPAGG $
OTHER: $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $
ANYAUTO
OINNEDAUTOB SCHEOULW BODILY INJURY Per a on $
ONLY AUTOS BODILY INJURY(Per as $
HIRED AUTOS NON-OWNED PROPERTY DAMAGE $
ONLY AUTOS ONLY
UMBRELLA UAa OCCUR EACH OCURRENCE
ggg CLAUS54ME AGGREGATE $
OW I IRETENIms $
WORKERS COMPENSATION AND V&=600000 01/01/2016 01/0112017 X I
PERSTATUTE OTIR-
A EMPLOYERS'UANUTY Y/N ER
ANY PROPRMTORiPARTNERFEXECUTIVE
OFFICERRLEMBER EXCLUDED? L_j WA F-L,EACH ACCIDENT
(r+endatananmfl
NYee.deserbe under E
DESCRIPTION OF OPERATIONS 6abw
LIMIT
DIESCRIPTION OF OPE RATIO S1 LOCATIONS/VALES(ACORD 101,AddiBonai Romano Schedul%may be aaeched N mom,I is requl"
Effective 06/13/2016,coverage Is for 100%of the employees of FrankCrum leased to Gamma Construction LLC(Client)for whom the client Is reporting hours
to FrankCrum.Coverage Is not extended to statutory employees.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
POLICY PROVISIONS.
Miami Shores Village aurnoHH¢® �
Building Department
10050 NE 2nd Avenue
Mlami Shores,FL 33138
®1988 016 ACORD CORPORATION.All rights rte.
ACORD 25(2016/)3) The AOORD none and logo aro registered marke of ACORD
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NEW FINISH TO BE SELECTED CLIPS
BY OWNER ON EXISTING
VERTICAL ELEMENT.
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Running screws straight down with composite/PVC decking allows these materials to
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Thickness: .036"
Decking Compatibility
Air Dried Kiln Dried PVC/Composite
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