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RC-17-67 P 7-47 711 Miami Shores Village �' w pleank lypa Resor fttttlil gonstT'ctlon �� 10050 N.E.2nd Avenue NE ��,�; �si�tion:,AdEiiti011;'Alta�tlir3t`t Miami Shores,FL 33138-0000 Porro ,Stetus APPROVED tis Phone: (305)795-2204At ` 21712017, Expiration: 08/06/2017 Project Address Parcel Number Applicant 1036 NE 95 Street 1132050120060 Miami Shores, FL 33138- Block: Lot: DANIEL JORGE AGUTAR Owner Information Address Phone Cell DANIEL JORGE AGUTAR 1036 NE 95 Street (786)797-4041 MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 21,000.00 HOME OWNER Total Sq Feet: Approved:In Review Available Inspections: Comments: Inspection Type: Date Approved::In Review Final PE Certification Date Denied: Drywall Type of Construction:REPLACE KITCHEN CABINETS/CO Occupancy:Single Family Miscellaneous Stories: Exterior: Window Door Attachment Front Setback: Rear Setback: Tie Beam Left Setback: Right Setback: Final Bedrooms: Bathrooms: Framing Plans Submitted:Yes Certificate Status: Insulation Certificate Date: Additional Info:REPLACE KITCHEN CABINETS/COL Truss Insp Columns Bond Return: Classification:Residential Foundation Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Window and Door Buck CCF $12.60 Fill Cells Columns DBPR Fee $9.45 Invoice# RC-1-17-62578 Wire Lathe DCA Fee $9.45 01/11/2017 Credit Card $50.00 $644.50 Review Electrical Education Surcharge $4.20 02/07/2017 Credit Card $644.50 $0.00 Review Electrical Permit Fee $630.00 Review Electrical Scanning Fee $12.00 Review Plumbing Technology Fee $16.80 F.Termite Letter Total: $694.50 F.Elevation Certificate Review Planning Review Mechanical Review Building Review Building Declaration of Use Review Structural 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. OWNE IDT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constr tion and i uthermere,I authorize the above-named contractor to do the work stated. February 07, 2017 Auth rzed ignatur • wner / Applicant / Contractor / Agent Date Building Dep rtment Copy February 07,2017 1 Miami Shores VillageaI Building Department 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 20iC4 BUILDING Master Permit No.Q, .C_ i PERMIT APPLICATION Sub Permit No. OBUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [—]RENEWAL ❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS [:] CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 1036 NE 95th Street City: Miami Shores County: Miami Dade zip: 33138 Folio/Parcel#:11-3205-012-0060 Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: g FFE: OWNER:Name(Fee Simple Titleholder):Daniel Aguiar Phone#: G' �7TLIT Address: 1036 NE 95th Street City: Miami Shores State: Florida Zip: 33138 Tenant/Lessee Name: Phone#: Email: +� CONTRACTOR:Company Name: "W-C cy_�r%r f Phone#: Address: City: State Zip: Qualifier Name: Phone#: State Certification or Registration#: Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$21,000 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition Description of Work: replace kitchen cabinets/countertops Specify color of color thru tile: Submittal Fee$ 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$ (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 NER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this / 1*4 day of 20(r' by day of 20 .by ni¢j rN Lk►o►/ who is pers rj_a1y nown to who is personally known 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: Sign-. Sign: C S os TOPHER COSTAE PrintPrint: •� Commission#►Pf 954327 Seal: Seal: sWlvo: My Comm.Expires Apr 6,2020 Bonded through National Notary Assn. APPROVED BY A� Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Miami Shores Village Building Department 10050 N.E.2nd Avenue R Miami Shores, Florida 33138 Tel:(305)795.2204 Fax: (305) 756.8972 OWNER BUILDER DISCLOSURE STATEMENT NAME: Daniel Agular DATE: 1/10/17 ADDRESS: 1036 NE 95th Street, Miami Shores, FL 33138 Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida,F.S 489.103(7).And I have read and understood the following disclosure statement,which entitles me to work as my own contractor;I further understand that I as the owner must appear in person to complete all applications. State Law requires construction to be done by a licensed contractor.You have applied for a permit under an exception to the law.The exemption allows you,as the owner of your property,to act as your own contractor even though you do not have a license.You must supervise the construction yourself.You may build or improve a one-family or two-family residence.You may also build or improve a commercial building at a cost of$25,000.00 or less(The new form states 75,000).The building must be for your own use and occupancy.It may not be built for sale or lease.If you sell or lease a building you have built yourself within one year after the construction is complete,the law will presume that you built for sale or lease,which is a violation of this exemption.You may not hire an unlicensed person as a contractor.It is your responsibility to make sure the people employed by you have licenses required by state law and by county or municipal licensing ordinances.Any person working on your building who is not licensed must work under your supervision and must be employed by you,which means that you must deduct F.I.C.A and with-holdings tax and provide workers'compensation for that employee,all as prescribed by law.Your construction must comply with all applicable laws,ordinances,buildings codes and zoning regulations. Please read and initial each paragraph. 1. I understand that state law requires construction to be done by a licensed contractor and have applied for an owner-builder permit under an exemption from the law.The exemption specifies that I,as the owner of the property listed,may act as my own contractor with certain restrictions even though I do not have a license. Initial 2. 1 understand that building permits are not required to be signed by a property owner unless he or she s responsible for the construction and is not hiring a licensed contractor to assume responsibility. Initial 3. 1 understand that,as an owner builder,I am the responsible party of record on a permit.I understand that I may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own name.I also understand that the contractor is required by law to be licensed in Florida and to list his or license numbers on permits a contracts. Initial 4. 1 understand that I may build or improve a one family or two-family residence or a farm outbuilding.I may also build or improve a commercial building if the costs do not exceed$75,000.The building or residence must be for my use or occupancy. It may not be built or substantially improved for sale or lease.If a building or residence that I have built or substantially improved myself is sold or leased within 1 year after the construction is complete,the law will presume that I built or substantially improved it for sale or lea h violates the exemption. Initial 5. 1 understand that,as the owner-builder,I must provide direct,onsite supervision of the construction. Initial 6. 1 understand that I may not hire an unlicensed person to act as my contractor or to supervise persons working on my building or residence.It is my responsibility to ensure that the persons whom I employ have the license required by law and by ounty or municipal ordinance. Initial 7. 1 understand that it is frequent practices of unlicensed persons to have the property owner obtain an owner-builder permit that erroneously implies that the property owner is providing his or her own labor and materials.I,as an owner-builder,may be held liable and subjected to serious financial risk for any injuries sustained by an unlicensed person or his or employees while working on my property.My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner-builder and am aware of the limits of my insurance coverage for injuries to workers on my property. Initial 8. 1 understand that I may not delegate the responsibility for supervising work to be a licensed contractor who is not licenses to perform the work being done.Any person working on my building who is not licensed must work under my direct supervision and must be employed by me,which means that I must comply with laws requiring the withholding of federal income tax and social security contributions under the Federal Insurance Contributions Act(FICA)and must provide workers compensation for the employee I understand that my failure to follow these may subject to serious financial risk. Initial 9. I agree that,as the party legally and financially responsible for this proposed Construction activity,I will abide by all applicable laws and requirement that govern owner-builders as well as employers.I also understand that the Construction must comply with all applicable laws,ordinances,building codes, and zoning regulatio Initial 10. 1 understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service,the United States Small Business Administration,and the Florida Department of Revenues.I also understand that I may contact the Florida Construction Industry Licensing Board at 850.487.1395 or http://www.mvfloridalicense.com/dbpr/pro/cilb/index.htmI Initial 11. I am aware of,and consent to;an owner-builder building permit applied for in my name and understands that I am the party legally and financially responsible for the proposed construction activity at the following address: 16 3(- AAK IN-1k 6+,-� Initial — in , WZ.-Ill 12. 1 agree to notify Miami Shores Village immediately of any additions,deletions,or changes to any oft i formation that I have provided on this disclosure. Initial Licensed contractors are regulated by laws designed to protect the public.If you contract with a person who does not have a license,the Constr4uction Industry Licensing Board and Department of Business and Professional Regulation may be unable to assist you with any financial loss that you sustain as a result of contractor may be in civil court.It is also important for you to understand that,if an unlicensed contractor or employee of an individual or firm is injured while working on your property,you may be held liable for damages.If you obtain an owner-builder permit and wish to hire a licensed contractor,you will be responsible for verifying whether the contractor is properly licensed and the status of the contractor's workers compensation coverage. Before a building permit can be issued,this disclosure statement must be completed and signed by the property owner and returned to the local permitting agency responsible for issuing the permit.A copy of the property owner's driver license,the notarized signature of the property owner,or other type of verification acceptable to the local permitting agency is required when the permit is issued. Was acknowledged before me this � day of _11intAwy , 20 By Wnie_( Avu,la,( who was personally known to me or who has Produced there License or as identification. 00 ussy ARION leuollIIN 4OMW POM 0909'9 Jdy sejldx3*wwoo All LZBbS6 dd#uolsslwwo3 �. N ER ARY IN 110$0115-OIIYnd AMON r wism HiNdolsINIC '� '' A+k°� CERTIFICATE OF LIABILITY INSURANCE DATE /06/2/17 ovo6/2o17 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: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CNAME:ONCT Grate[]Gonzalez TA Usa General Insurance PHO N c . (305)386-3305 aC No): (888)330-1123 13631 SW 26st -MAIL gretellgonzalez[rmyahoo.com Miami,FL 33175 INSURER(S)AFFORDING COVERAGE NAIC# Phone (305)386-3305 Fax (888)330-1123 INSURERA: WESTERN WORLD INSURANCE COMPANY INSURED INSURER B: NAUTILUS INSURANCE COMPANY YD TECH INC/YASSER DURAN INSURER C: PROGRESSIVE EXPRESS INSURANCE COMPA 14921 sw 140 ct INSURER D: ZENITH INSURANCE COMPANY INSURER E: Miami FL 33186 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH 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. INSRR TYPE OF INSURANCE ADD UBR POLICY NUMBER MMOLICY EFF FOLIC EXP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000.00 F-1CLAIMS-MADE 0 OCCUR PMAGE TO REM SES EaEoccurrence) $ 100,000.00 ❑ MED EXP(Any one person $ 5,000.00 A ❑ N N NPP8397765 01/11/2017 01/11/2018 PERSONAL&ADV INJURY $ 1,000,000.00 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000.00 ❑ POLICY JECT ❑ LOC PRODUCTS-COMP/OPAGG $ 2,000,000.00 ❑ OTHER $ AUTOMOBILE LIABILITYMBINED SINGLE LIMIT Ea accident 1,000,000.00 ❑ ANY AUTO BODILY INJURY(Per person) $ C D ALL AUTOS OWNED ❑ SCHEDULED AUTOSN N 03303233-2 10/01/2016 10/01/2017 BODILY INJURY(Per accident) $ FV HIREDAUTOS NON-OWNED PROPERTY DAMAGE $ ❑ © AUTOS Per.accident 0 UMBRELLA LIAR 0 OCCUR EACH OCCURRENCE $ 1,000,000.00 C ❑ EXCESS LIAB ❑CLAIMS-MADE N N AN034795 01/11/0207 01/11/2018 AGGREGATE $ 1,000,000.00 ❑ DED ❑ RETENTION$ $ WORKERS COMPENSATION PER ❑OTH- AND EMPLOYERS LIABILITY Y I NTUTEER ANY PROPRIETOR/PARTNER/EXECUTI E.L.EACH ACCIDENT $ 500,000.00 D OFFICER/MEMBEREXCLUDED? NI NIA N Z133985601 01/20/2017 01/20/2018 (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 500,000.00 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) Electrical Contractor Lic#EC 13006898 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shores Village Bldg Dept THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN 10050 NE 2ND Avenue ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores,FL 33138 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101)QF The ACORD name and logo are registered marks of ACORD RICK SCOTT. GOVERNOR KEN LAWSON,SECRETARY N STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION &, g ELECTRICAL CONTRACTORS LICENSING BOARD .� EC130MO98 "i!"4z ,'u- Y� .- Z� - ' + The ELECTRICAL CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2018 DURAN, YASSER YD TECH INC 14921 SIN 140TH CT � MIAMI FL 33186 ISSUED 09104/2016 DISPLAYAS REQUIRED BY LAW SEQ n 1.1609040003040 I �. � � ,,F z E ? ` _-, Lo Re � e,,,, _ .' .p ,� r r - - �,,,l .- ,-� cTiP � ­_ -1 - ,;� - � "I � ­ I � 117 llll,._� ��:- � _,:� , 'I, - ,, ''I �­' ---- �-, , __�­ I � - - 1-1111 I ­ _11� - - �­­- I' ll, �,_-�,-�, 4__-_-_-_ ­,� ,:�:", ",-,.., �, ll"_�­­_ � " , '.. 11 I -; - - - -_ 1 _ _ , -1 - -11 _­_ ­_ ­� _ I 11 , -1 � _ - ,� - ,�.z I---- - -- -1 ?�Wl-, 0, C7 t - - t • � ` I I �. - e -- � 11 a., - - - _�, , - - 11 - ­- -1- - _- __; I V-­�,_- 11 I THIS �- OT"A B .L`�D N T f'A ' , _��,I" � , - � __-,-1" - I __ 3� - '1,�,-,���-"': , ,� -- N" , - _; - k , '., .. - _ , 11 /�pp���y,�■s .:'"'�'Y yet /1y,� 1I■ --!Gi'y■' yy� _ p:p__ = k. axEO",'(S:�� I I� - '� _' PTEM �-" ­,11 a ll} �: � glut b > 7�,� � fit_ i �=t = Prsuatt tti �uiityr � _. - _ � r a �, r �- � ` _ ��' �, � : '� '� - _ - , t � ; - € � � TYPE t . ' � E t G� F - .. 7 ­ ii wln � . Y Loyal_Businass Tax RAPS; b I .tb�Local Business Tai,Tb � 1. � o ' - r�ois-fication of Abe b bush .Hol r ►us ;+ + c [ -{_ } w; mental ro Matahuli�i 1 to tlsoAlla M � �� H P ��. _'1f besr - 11� _ �_ � It �+ �� . :fir a n , i � I t � ' IN Ir 4 D � JAN , ZOIl W1530 W2430 F330 i BY' - W361824 I � 4848 B27 F330All j �- - - (A) N J Cabinet Series: Estate L11 Boxed in Door Style: Oxford Maple klL o Refridgerator Cabinet Color: Ivory Q Wall Cabinet Height: 30 r I 1 Crown Molding: Flat > ¢ Design Add-Ons: o .01) y. 74 c Trash-pullout next to sink � Ili ADD SMOKE/CARBON MONOXIDE DETECTORS Box in took on Ref ANY AND ALL CLOTH AND RUBBER '� Y IVO POINT ALONG COUNTER TO BE MORE THAN o O z INSULATED CONDUCTORS TC•BE REPLACED FEET FROM G.F.I PROTECTED RECEPTACLE, LU PUT D/W RECEPTACLE UNDER SINK. CD ALL FIXED APPLIANCES ON DEDICATED CKTS. 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