The URL can be used to link to this page

DGT-17-654 Miami Shores Village ' s POO 7y "� P�'r �1 �8 10050 N.E.2nd Avenue NE n Wc�� aS Pergola Miami Shores,FL 33138-0000 ' permit tat r `' Pl RYED Phone: (305)795-2204 ' � .: fioxinA Issue ac . l 8f ' Expiration: 09/24/2017 Project Address Parcel Number Applicant 766 NE 96 Street 1132060142070 LISA GUINOVART ANDREA COL Miami Shores, FL Block: Lot: Owner Information Address Phone Cell LISA GUINOVART ANDREA COLON 766 NE 96 Street MIAMI SHORES FL 33138- 766 NE 96 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 6,000.00 J &E CONSTRUCTION (786)514-4377 (305)229-0935 __..._.. _..... ._ _r...__. _,...,__ ...__ ..:.. ..._ ._.._ _. _. _ _.., _ Total Sq Feet: 220 Approved:In Review Available Inspections: Comments: Inspection Type: Date Approved::In Review Slab Date Denied: Final Type Const:Pergolas Additional Info:NEW PERGOLA TO BE CONSTRUC Framing Classification:Residential Scanning:1 Footing Scanning: 1_ Review Building Review Planning Review Structural Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $3.60 Invoice# DGT-3-17-63267 DBPR Fee $4.50 03/28/2017 Credit Card $307.60 $100.00 DCA Fee $4.50 Education Surcharge $1.20 03/10/2017 Credit Card $ 100.00 $0.00 Permit Fee-Gazeborrreliise/Pergola $300.00 Plan Review Fee(Engineer) $80.00 Scanning Fee $9.00 Technology Fee $4.80 Total: $407.60 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFID4ningthe ify th t all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and e,I authorize the above named contractor to do the work stated. March 28, 2017 Autho n wner / Applicant / Contractor / Agent uate Building Department Copy March 28,2017 1 Miami Shores Village � Z � 5 Building Department MAR 10 2017 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 ---- - INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 14 BUILDING Master Permit No. T l-i ' 4 PERMIT APPLICATION Sub Permit No. F-JBUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF [:]CANCELLATION ❑ SHOP r 1 CONTRACTOR DRAWINGS JOB ADDRESS: J b6 dU F Sf City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: F/FE: OWNER:Name(Fee Simple Titleholder):: f U l o o I A Phone#: 20�" C4 001.� Address: 7b6 euF q,,1 `7t" City: M"AM %ne 5 State: FL- Zip: 3313$ Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: l of\s�rur_ n 0 Phone#: -7$G /r (317 Address: ` 2_ 5W- s--ra. jefr City: M.i W\*_% -State: �c- Zip: 33 kOO S Qualifier Name: nQ KIZIL G Q i t"1\OVOI^f-t- Phone#: State Certification or Registration#: L° �)L. �� Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ w®-\Sb Square/Linear Footage of Work:_:1 Z© Type.of Work: ❑ Addition ❑ Alteration New ❑ Re air/Replace ❑ Demolition Description of Work: Cogs Specify color of color thru die: Submittal Fee$ �.0 i` Permit Fee$ 0 0 CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ (j • J 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. f� a Signature Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this �b day of EQr1,N 20 « "by ��--�® day of e�(✓A( 20 �� ,by /* SC4 r ru t'Adv-t�,who is personally known to :1 AtrohO -ne,o✓w✓4/7t who is personally known to me or who has produced as me or who has produced PL as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC Sign: Sign: Print: C%CA Print: n cafe t Seal: .' ' ;. DANNY GARCIA Seal: +�v DANNY D GARCIA ON MY COMMISSION#00088675 MY COMMIES '•A EXPIRES Jan #00088&75 ,., Y�.2021 EXPIRES APPROVED BY 77t-7 Plans Examiner ` Zoning L;i I I I /41/1` Structural Review Clerk (Revised02/24/2014) J & E Construction State of County of A11.4m , Nle Before me this day personally appeared l ez(,-c who duly sworn, dispose that he or she will be the only one working at : Sworn to this day : 3 Personally known DANNY GARCIA Print N e of Notary •'=My COMMISS►pN*OGOOW5 EXPIRES January 2g,2021 3 l R� r,« MOW Mfame Shores Y illage � $p�� Building Department ink 10050 N.E.2nd Avenue Miami Shores, Fiorida 33138 Tel: (305)795.2204 Fax: (305)756.8972 Notice t® Owner — Workers' Compensation Insurance Exemption EMPIRE Florida Law requires Workers' Compensation insurance coverage 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 vmifiication 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. s � Signature: Owner State of Florida County of Miami-Dade l The foregoing was acknowledge before me this�day of A-A 61 . ,20�. By `sa 6XJ- a,%a Ya/1' who is personally known to me or has produced I� as identification. Notary: A 11 "C' Z1. SEALNNY: �a 'y"•`+ p ARC MY Q0 MMJSS1oN M(36005 78 ry 28,ZA21