CC-17-1187 6 17418,7
Miami Shores Village M Pian,
10050 N.E.2nd Avenue NE V"T
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fr�rk 0/8551�rG8t1(1rt lAltel'aof1
Miami Shores,FL 33138-0000
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hfi �e Phone: (305)795-2204
01 Expiration: 11/19/2017
Project Address Parcel Number Applicant
9120 NE 8 Avenue Number: 4G 1132060440330m
Miami Shores, FL Block: Lot: ROBERT GONZALEZ
-�_
Owner Information Address Phone Cell
ROBERT GONZALEZ 9120 NE 8 AVE UNIT 4G
MIAMI SHORES FL 33138-3247
3
Contractor(s) Phone Cell Phone Valuation: $ 1,300.00
QUINTERO GENERAL CONSTRUCTIO (786)487-5738
.... .. ___ Total Sq Feet: 0
Approved:In Review Available Inspections:
Comments: Inspection Type:
Date Approved::In Review Window Door Attachment
Date Denied: Tie Beam
Type of Construction:REQUEST PERMIT TO BE IN COMP Occupancy Load: Slab
Stories: Exterior: Termite Letter
Front Setback: Rear Setback: Framing
Left Setback: Right Setback: Store Front Attachment
Plans Submitted:Yes
Certification Status: Insulation
Certification Date:
Additional Info: REQUEST PERMIT TO BE IN COMP Drywall Screw
Bond Return: Classification:Commercial Final PE Certification
Window and Door Buck
Scannin :3
Gelling Grid
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Fill Cells Columns
CCF $1.20 Review Building
DBPR Fee $2.25 Invoice# CC-5-17-63863 Review Planning
DCA Fee $2 25 05123/2017 Cash $271.70 $50.00 Review Electrical
Education Surcharge $0.40 05/01/2017 Cash $50.00 $0.00 Review Plumbing
Notary Fee $5.00 Review Structural
Permit Fee $150.00 ° Review Mechanical
Scanning Fee $9.00
Technology Fee $1.60
Work without Permit Fee $150.00
Total: $321.70
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
constructioand zonin Futhermore,I a orize the above-named contractor to do the work stated.
May 23, 2017
Author ed Signatu .Owner Applicant / Contractor / Agent Date
Buildi g Department Copy
May 23,2017 1
(5lvNO
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PoP A7
Miami Shores Village RECEIVED
Building Department ED
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 v v
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20 l�
BUILDING Master Permit No. C C
PERMIT APPLICATION Sub Permit No.
BUILDING ❑ ELECTRIC ❑ ROOFING . ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL F-1 PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
1 /( �( /C'ONTRACTOR DRAWINGS
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JOB ADDRESS:_ g t 1�1� /T /k-VT T -4 lX
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City: Miami Shores County: Miami Dade zip: ✓D►38
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Ty Flood Zone: BFE: t FFE:
OWNER:Name(Fee Simple Titleholder): Rbtrzrtz bN Z'!4r�(.Z Phone#: 5.2. '�b�4
Address: 9 2p T 4
City: JAWA( ��D�5 State: L Zip: 3-31138
Tenant/Lessee Name: Phone#:
Email: �Q
CONTRACTOR:Company Name: l,_)tL iMTCA-0 C'. ?rA.Cit��LSt_Phone#:786) 4 7M
Address: �
N N W 112 Tf_'f r•
u r
City: ` i*_jCA fi &.A4045
p
-State: f Zip: 3301 S �
Qualifier Name: a//o°° wifocro Phone#: �� 's�J
State Certification or Registration#: L..0 /• 9 2 Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: ii �r City: State: Zip:
v
Value of Work for this Permit:$ 1 ® r Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace Demolition
Description of Work: k-6jwe sV- a4rnj ",--VO 6e- IN C(hM p l i"LQ, ANA QprrlrCT
a- &CViI,�,a+t a. hoc l ► .o 4 I�tJu-Q�., r c� .* M&ArC,1
K '46N-W day rota, ;Is v"V Lk.4,Hf-
Specify color of color thru tile:
Submittal Fee O�3 Permit Fee$ � ° CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$ G ,
Technology Fee$ Training/Education Fee$ Double Fee$ ) ` 0�1
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ :4
(Revised02/24/2014)
Bonding Company's Name(if applicable) s
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.
�—rSignature Signature
NER or AGENT CONTRACTOR
The foregoing instru ent was acknowledged before me this The foregoing instrument was acknowledged before me this
. 2-1 day of PM[Z — 020 (4 by :I& day of eviL 20—("7-----,by
' T (20ty�ALtZ who is personally known to ��ie�&-U Qi uUwho is personallyknown o
me or who has produced j&ZS 1.CN3E as meor who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLI NOTARY PUBLIC:
Sign: ^ Sign:
Print: Print:
Seal: �-, -=.. ^v � �' al: tyotaryPu StateolFl�ide
PAY'4s Nola Public State of Florida
''p % Oscar M Zaragoza
'Fa a s ind a Alvarez ` My�^ FF 938187
tc" My Commission FF 156750 Expires 12/08J2019
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
Quintero General Contractor Corp.
Bernardo Quintero, President
8801 NW 112 Terrace
Hialeah Gardens, FL 33016
May 22, 2017
State of r
Lea ►'UA
County of
Before me this day personally appeared — ' u ho, being duly sworn,
deposes and says: L9 /9-
That he or she will be the only person working on the project located at: 01/a-V )vE
Sworn to (affirmed) and subscribed before me this Z2. day of 20I, by
5 V
Personally knowA, TV h'I G
OR Produced Identification
Type of Identification Produced
,3►*r�i Wary Pubic Stott of Fbddn
�P Oscar M Zaragoza
y, My Commission FF 939287
a,w Expires 12/o W19
Print,Type or Stamp Name of Notary
Re's'c�
raEe
MiamiShores Village
Building Depattmenf
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel.• (305)795.2204
Fax: (305)756.8972
Notice to Owner — porkers' Compensation Insurance Exemption
IF, iliiiiiii,i,i111 1 11 J!
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 pelt-time or fall.-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 ibis 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:
OwnerState of Florida
County of Miami-Dade `^ I
The foregoing was acknowledge before me this�M day of �"t(t ,20-13-.By P)Dber- nnZGtl�Q Z who is personally own to me or has produced
Y' f I 1 h as identification.
� Y PAN! YANADY PRIEro
Notary: '"• ;eg MY COMMISSION#PF214031
..,,,,oma EXPIRES:March 25,2019
�4f�1ti"' Bonded Tbm Notary PUbQc Undenwibm
SEAL:
?IW Slrare4 Alda 54a e4adomc&vaw x"aaiaam. 9".
745 North East 91 s<Street
Miami Shores,FL 33138
305-759-9069/FAX 305-759-2101
E-MAIL spe123@att.net
April 22, 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 "Quintero General
Contractor, Corp" has been contracted by the owner of Unit 4G, 9120 NE 8th
Ave., Miami Shores, Fla., and is authorized by the Board of Directors of the
Shores Plaza.East Condominium Association to apply for permit application
for the "demolition/removal of Kitchen/Dining Room "Pocket Door' which
was removed by the owner in March, 1995, when he purchased the unit.
Should you have any questions regarding the enclosed, please feel free to
contact our office at your earliest convenience.
Sincerely yours,
6scaUTag ?-o/ Treasurer
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SCOPE OF WORK: 100 SF 9301 SW 92nd Ave.
Suite A213
1. LEGALIZE REMOVAL OF EXISTING Miami, FL 33176
BED ROOM ILI POCKET DOOR AND NON—BEARING 305. d1//®/
#1 PARTITION AT KITCHEN, APPROX. 100 2�
SF. ®® � ®®
SMOKE DETECTOR LIVING
W/ BATTERYROOM 2• INSTALL BATTERY BACKUP SMOKE N0.655
DETECTOR IN EACH BEDROOM '
BACK-UP. MIN. 3 r �' ► 17
FT. FROM A.C. I CODE IN EFFECT: `� ` ATE F
VENT. I FLORIDA BUILDING CODE, '®®
<
SD ( EXISTING SMOKE EXISTING 2014, 5th EDITION®�
< I DETECTOR WITH EXIT CHAPTER 4, SECTION 403 and
o I BATTERY BACKUP ALTERATION LEVEL 1
I TO REMAIN 00
NO STRUCTURAL WORK _j
N I INO MECHANICAL WORK Q (f)
/C 7�,Mj
NO PLUMBING WORKw
EXISTING POCKETDOOR AND
NON-BEARING ORIGINAL WOOD Ld ^ -J
PARTITION WAS I PINE FLOORING TO RECEIVED � wLLREMOVED W/O REMAIN
SDPERMIT o o °) EXISTING GFCI MAY 1 101 z Q (n
I
OUTLETS REMAIN DETECTOR W/ Q
O 00 O
BATTERY BACK-UP. MIN. I =
3 FT. FROM A.C. VENT. < ( z ❑ (� _
EXISTING CABINETS O [--
z cn
BED ROOM 2 I MW 6'-10" TO REMAIN f—
< :2
PERMIT #: � Q p T_ Q
®® Miami Shires Village on
32'-0" APPROVED BY DATE VEVIMNS.
n RS 04-26-17
ZONING DEPT No.. 834
LIVING AREA = 754 SF 5 , ,
EXISTING FLOOR PLAN , BLDG DEPT
SCALE: 1/4" = 1'-0"
SUBJECT i0 CCNIPI_WNCE Wl M ALL FEDERAL DATE: 04-26-17
STATE ANv C IOW",Y rill S AND REGULATIONS A 1