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CC-17-965 Pemrt MC .''DC-4-17.965 Miami Shores Village AL Permit Type: t7tCiltT orcial Cionstrtt'ption 10050 N.E.2nd Avenue NE WorkOlassificadon:Alteration. Miami Shores,FL 33138 0000 %vEN c� Phone: (305)795 2204 Permit Status.APPROVED �roR 1 Expiration: 17 41 Exp. Project Address Parcel Number Applicant 717 NE 91 Street Number: 1-B 1132060440030 �ka Miami Shores, FL Block: Lot: JUAN EDUARDO VAYAS Owner Information Address Phone Cell JUAN EDUARDO VAYAS 717 NE 91 ST UNIT 1 B MIAMI SHORES FL 33138-3242 6918 NE STH Avenue MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $4,800.00 ARCO CONSTRUCTION 305-892-6507 _.. Total Sq Feet 91 Approved:In Review Available Inspections: Comments: Inspection Type: Date Approved::In Review Final PE Certification Date Denied: Window Door Attachment Type of Construction:NEW KITCHEN CABINETS REMOV Occupancy Load: Tie Beam Stories: Exterior: Slab Front Setback: Rear Setback: Termite Letter 9 Left Setback: Right Setback: Framing Plans Submitted:Yes Certification Status: Store Front Attachment Certification Date: Additional Info:NEW KITCHEN CABINETS REMOVA Insulation Bond Return: Classification:Residential Drywall Screw Fill Cells Columns Scannin :3 Window and Door Buck Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Ceiling Grid CCF $3.00 Review Planning DBPR Fee $2.25 Invoice# CC-4-17-63610 Review Electrical DCA Fee $2.25 04/24/2017 Check#:418 $ 126.50 $50.00 Review Plumbing Education Surcharge $1.00 04/06/2017 Credit Card $50.00 $0.00 Review Building Notary Fee $5.00 Review Structural Permit Fee $150.00 Review Mechanical Scanning Fee $9.00 Technology Fee $4.00 Total: $176.50 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 foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above-named contractor to do the work stated. April 24, 2017 Authorized Signature:Owner / Applicant / Contractor / Age Date Building Dep ment Copy April 24,2017 / ®,S 2 r �� ®S � 6 ® 1 AV a a . . .... ...... ...... .... ...... o• • • V Y S 717 ci �� c CILO 15 ELECTRICAL REVIEW OV: pp : _DATE— N F, [APPROVED DATE— � M I& V-LA�E APPROVED DATES BY DATE ZONING ] BY -T -RAL 00000 0 • '0 0 0 *:::o 0000:0 0 0 TT-r ". lNT5'9-l0it 'rv_lkltS wku- I I *so: :00000 -- T ELECTRICAL 0.:::• .... :....: 0 W cl*%ep I %� -'rO V>- 6 IN 15�TA U ED 0 0 L. 0. 00*009 l)eoo* LOCAT10t'J (./4d— / 'y 000:00 69:000 ER PLUMBING 0 000 0 04000*0, me 0 : 0 0 O tL--� 0 :00000 00 0 0*9 0 0 0 MECHAN--A4 ol • EIDG. Ivi yt 15 y ti F30L. °�c 5 c a I lQ (;'-MeLlAN,E 411H iLL iluERAL. 77 -AN-7c)UN'(Y RlJLf-S AND REGI A-- Fz c-f. �Jew JL flo-s 61t4c#Tts lasIc AcLe 20 #ktT5 2EP 1 A-61> Ow T t t Q 3 -pj?LS6 'To "M folp, .01 TL 40 C4% Eq 9-CC*,?l AC KL OU LZI -ET w I TL-4-1 st -tk\IiZ-0 01)k MML AKSkn Ae Co 9C ADD SMOKE/CARBON MONOXIDE DETECTORS ANY AND ALL CLOTH AND RUBBER INSULATED CONDUCTORS TO BE REPLACED RECEIVED 2 NOFEET POINFROM G.F.1 PROTECTED CRECEPTACLE TO BE IMORE THANj APR 0 6 2017 PUT DM RECEPTACLE UNDER SINK, ALL FIXED APPLIANCES ON DEDICATED CKTS �<i ti 6N 6U N CT- (f Loo%4� u P, + C-TV. k r,C- ti 0'9 loom :5 - -'- M y4l Na #... Perms nrQ.� C-4-17-966 Miami Shores Village _#�eTf1?ff Type:Electrical-CCit1ll�erG)al 10050 N.E.2nd Avenue NE �' s Cla 5iftcatfb&Addition/Alteration Miami Shores,FL 33138-0000': •• oFN' c Phone: (305)795-2204 P [Tt?rttO 'APPROVED C . 4124CC17; Ex iration: 1 8212017Issue tae: Project Address Parcel Number Applicant 717 NE 91 Street Number: 1-13 1132osoa4003o w� JUAN EDUARDO VAYAS Miami Shores, FL Block: Lot: Owner Information Address Phone Cell JUAN EDUARDO VAYAS 717 NE 91 ST UNIT 1B MIAMI SHORES FL 33138-3242 1 6918 NE 5TH Avenue MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone . $ 800.00 Valuation: LS CURTIS INC (305)892-6501 Total Sq Feet: 91 j 3� Type of Work:4 HIGH HATS 1 MICROWAVE OUTLET SMOK Available Inspections: Additional Info:4 HIGH HATS 1 MICROWAVE OUTLET SMOK Inspection Type: Classification:Commercial Final Scanning:3 Meter Box Alteration Relocation Fire Alarm Service Change Review Electrical Underground W.W. Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.60 Invoice# ELC-4-17-63611 DBPR Fee $2.25 DCA Fee $2.25 04/24/2017 Check#:418 $109.10 $50.00 Education Surcharge $0.20 04/06/2017 Credit Card $50.00 $0.00 Permit Fee $150.00 Scanning Fee $3.00 Technology Fee $0.80 Total: $159.10 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 foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above-named contractor to do the work stated. April 24,2017 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy April 24,2017 1 P Permit fq: LC-41796 " ' Miami Shores Village $�emot'T} '�iTfl1 ing � :otrtit Ettoi;i 10050 N.E.2nd Avenue NE Work C#assifrccaflon.Add ition/Alteration Miami Shores,FL 33138-0000 Permit Status:APPROVED Phone: (305)795-2204 �'�oRivA u> 412412�"[ Expiration: l /21/2617 Project Address Parcel Number Applicant L717 NE 91 Street Number: 1-B 1132060440030 JUAN EDUARDO VAYAS Miami Shores, FL Block: Lot: Owner Information Address Phone Cell JUAN EDUARDO VAYAS 717 NE 91 ST UNIT 1B MIAMI SHORES FL 33138-3242 6918 NE STH Avenue MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 200.00 EPOCA CORP (305)778-5103 Total Sq Feet: 65 Type of Work:CONNECTING THE NEW SINK Available Inspections: Type of Piping: Inspection Type: Additional Info:CONNECTING THE NEW SINK Top Out Classification:Commercial Re Pipe Scanning:3 Main Drain Heater Water Service Final Water Main Lavatory Review Plumbing Underground Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.60 Invoice# PLC-4-17-63612 DBPR Fee $2.00 04/06/2017 Credit Card $50.00 $64.60 DCA Fee $2.00 Education Surcharge $0.20 04/24/2017 Check#:418 $64.60 $0.00 Permit Fee $100.00 Scanning Fee $9.00 Technology Fee $0.80 Total: $114.60 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 foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore,I authorize the above-named contractor to do the work stated. April 24,2017 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy April 24, 2017 1 I2� Miami Shores e Rt Villa ftiv�b � g � BuildingDepartment p 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 20 tC4 BUILDING Master Permit No.CC PERMIT APPLICATION Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 4 gL tJ Cit : Miami Shores County: Miami Dade zip: 3 Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type:: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): ? k-�-> (J `�� Phone Address•c�� 1S 0-) �, A City: l (� ( �-�{C`91Q E Stater Zip: Tenant/Lessee Name: Phone#: Email: n CONTRACTOR:Company Name:AQ L-40 WV)5AWA d4'Ic.L� `,( (O o • Phone#: Address: 62 9 q ]�E I LQ 1 S-V City: State: Zip: Qualifier Name: 75,y �'—La J Phone#: LIZ State Certification or Registration#: ,L I C—3-Certificate of Competency#: DESIGNER:Architect/Engineer: Ai /f- Phone#: Address: City: State: Zip: -T Value of Work for this Permit:$ g o 0 . 00 Square/Linear Footage of Work: �� =-q . Type of Work: ❑ Addition ❑ Alteration ❑ New -.5;F Repa i r/Rep lace ❑ Demolition I r u Description of Work: Q E y-4 (.I'] N K l +co e t4 �� P d- <- If"P-{A 1Q( c c9 I 4e A I 1A DO` Specify color of color thru tile: Submittal Fee$ Permit Fee$ p �`1 - CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ ,-6. 50 (Revised02/24/2014) Bonding Company's Name(if applicable) NV 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. Signatur Signa NER or AGENT CO' Qacnowledged R The foregoing instrument was acknowledged before me this The foregoing instrument wbefore me this 22rC' day of MQrCh 20 �- by t-l" day of Mard) 20 `� by )OGY) G- �A0,9 who is personally known to kT& - fAStV\ who is personally known to me or who has produced L r''V'eY �,1 C'e�T as me or who has produced DrN f-' U CeAS4-- as identification and who did take an oath. identification and who did take an oath. NOTARY C: NOTARY P rD Sign Sign 6 Print: -� Print: a , Seal: Seal: P ' Y YPRIEIo P i` 1,h^ a. MY COM 510N#FF 214031 EXPIRES:March 25,2019 Bonded Thor Notary Public Underwriters APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Arco Construction Corporation March 30, 2017 State of Florida County of Miami Dade Before me this day personally appeared Lester Jensen who, being duly sworn, deposes and says: All work to be performed by Lester Jensen or I' arrject Ingest; 717 NE 91 Street, Miami Shores, FL 33138 Sworn to (or affirmed) and subscribed before me this 30 day of March 2017 ,by AP g 2017 �y Personally know --'J Or Produced Identification 0 Type of Identification Produced DriV i ce►n.S-e- Print,Ty a or Stam-pAVame of Notary ;pY PUp YANADY PRIMO MY COMMISSION#FF 214031 Q: EXPIRES:March 25,2019 ;V b., Bonded Thru Notary Public Underwriters R„F�` General Contractors/CGU50516311665 N.E. 137`h Terrace/N. Miami, FL 33181 305.892-6507 ,,,® ,,,„ Miami shores Village z� rim Building a artment BO>s8l'Q 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner — Workers' Compensation Insurance Exemption Florida Law requires Workers' Compensation insurance coverage ge under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full-time employees,including the owner,must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if: 1. The officer owns at least 10 percent of the stock of the corporation,or in the case of an LLC,a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State,Division of Corporations;and 3. The corporation is registered and listed as active with the Florida Department of State,Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use day labor,part-time employees or subcontractors for your project.The contractor has provided an affidavit stating that he or she will be the only person allowed to work on your project.In these circumstances,Miami Shores Village does not require verification of workers'compensation insurance coverage from the contractor's company for day labor,part-time employees or subcontractors. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: _ ner State of Florida County of Miami-Dade The foregoing was acknowledge before me this I q day of l)IA4d 0 '20 By C`7 l7 V!1 who is onally known to a or has produced CASSANDRA NEBBIA NotaryPublic-State of l kation. •= Commission#FF 979238 Notary:'y r P�Oa' My Comm.Expires Jul 25,2020 nn,nq- Sonded through0 SEAL: t � JEFF ATWATER CHIEF FINANICAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION **CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS'COMPENSATION LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers'Compensation law. EFFECTIVE DATE: 4/2/2017 EXPIRATION DATE: 4/2/2019 PERSON: JENSEN LESTER FEIN: 650353747 BUSINESS NAME AND ADDRESS: ARCO CONSTRUCTION CORPORATION 1665 NE 137 TERRACE NORTH MIAMI FL 33181 SCOPE OF BUSINESS OR TRADE: Licensed General Contractor IMPORTANT:Pursuant to Chapter 440.05(14),F.S.,an officer of a corporation who elect exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter.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 the notice of election to be exempt.Pursuant to Chapter 440.05(13),F.S.,Notices of election to be exempt and certificates of election to be exempt shall be subject 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 no longer meets the requirements of this section for Issuance of a certificate.The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS?(850)413-1609 7lre Shared ;D&P E46e e4md m&"m x"eel wm. 9na. 745 North East 91 st Street Miami Shores,FL 33138 305-759-9069/FAX 305-759-2101 E-MAIL spe123@att.net April 3, 2017 Miami Shores Village Building Dept. 10050 NE 2nd Avenue Miami Shores, FL 33138 Dear Sir/Madam: This letter will serve as your confirmation that "Arco Construction, Corp." in North Miami, Fl., has been contracted by the owners of apartment 1B at 717 NE 91 Street, Miami Shores, F133138, to perform "kitchen remodeling" at said apartment. The contractor, "Arco Construction, Corp." is fully authorized by the Board of Directors of the Shores Plaza East Condominium Association to perform the "kitchen remodeling" at the referenced apartment. Should you have any questions regarding the enclosed, please feel free to contact the condominium office. qd ly yours, e Rojas President cc: file 4. C _ : ter_ ; ®, ' ►'°'�� _