CC-17-264 ,t nr :CC- 7-264
Miami Shores Village Permit r,ype:crtlrtniner6iai construction',
10050 N.E.2nd Avenue NE
... �.� Wr;*Classification:Alts atiop
Miami Shores,FL 33138-0000 t
Permit Status:APPROVED,
�FioRioB e Phone: (305)795 2204
Issu ; ,411112017 Expiration: 10/08/2017
Project Address Parcel Number Applicant
9140 NE 8 Avenue Number: 1H 1132060440250
Miami Shores, FL Block: Lot: LADYE KING
Owner Information Address Phone Celt
[LADYE KING 4880 CANDACRAIG
ALPHARETTA GA 30022 t}
_
Contractor(s) Phone Cell Phone
Valuation: $ 850.00
QUINTERO GENERAL CONSTRUCTIO (786)487-5738
- _....... Total Sq Feet: 64
Approved:In Review Available Inspections:
Comments: Inspection Type:
Date Approved::In Review Final PE Certification
Date Denied:
Window Door Attachment
Type of Construction:DEMOLISH EXISTING WALL AND F Occupancy Load: Tie Beam
Stories: Exterior: Slab
Front Setback: Rear Setback: Termite Letter
Left Setback: Right Setback: Framing
Plans Submitted:Yes
Certification Status: Store Front Attachment
Certification Date:
Additional Info: 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 Celling Grid
CCF $0.60 Review Planning
DBPR Fee $2.25 Invoice# CC-2-17-62794 Review Electrical
DCA Fee $2.25 04/11/2017 Credit Card $ 120.10 $50.00 Review Building
Education Surcharge $0.20 02/01/2017 Credit Card $50.00 $0.00 Review Building
Notary Fee $5.00 Review Building
Permit Fee $150.00 Review Plumbing
Scanning Fee $9.00 Review Structural
Technology Fee $0.80 Review Mechanical
Total: $170.10
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 t do the work stated.
G� April 11,2017
Authorized Signature:Owner / Applicant / Contractor rAg t r Date
Building Department Copy
April 11, 2017 1
I
Miami Shores Village RECEIVED
o�� Building Department FE! o � � ��
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
T5 ^`l INSPECTION LINE PHONE NUMBER:(305)762-4949
L lf FBC 20N
BUILDING Master Permit No. Ccri_ Z(04
PERMIT APPLICATION Sub Permit No.
BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL F-1 PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
f� �yCONTRACjT�OR DRAWINGS
JOB ADDRESS: 6 G d✓ �--� �e ' "
City: Miami Shores County: Miami Dade zip: 3D005
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
`//OWNER:Name(FFe�ey Simple Titleholder): XPhone#:
Address: ,3 Cl!dr� - 21 -
City: State: f Zip: 1e7�-�
Tenant/Lessee Name: (C Phone#: 6� � 4-2 76 q�7
Email: �106A) inTyi Za r
CONTRACTOR: C
Company Name: I'.�s` L= �,J�/�1 `�✓ �L AW Phone#:
V
Address: D SO i .)CA/ &A_
City: X14 6 State: ` Zip:
Qualifier Name: T,3e-/ A"-o Phone#: ?f6 04 9-4-71
State Certification or Registration#: CCS /��S��I Z Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
�v
Value of Work for this Permit:$ �5�� Square/Linear Footage of Work: 4/r�--5� ,=
Type of Work: EJAddition ❑ff Alteration ❑ New ElRepair/Replace �uemolition
Description of Work: � G� v� /� f'� ��t� do✓��A�� a°S'� ��
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ ( � ' Q CCF$ ®' 6 CO/CC$
Scanning Fee$ �� Radon Fee$ DBPR$ Notary$
Technology Fee$ �® Training/Education Fee$ Double Fee$ jo
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.
4/SignatureL5S Signature
WNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of /L - 20 / - byI day of FT'E!> 20 1 1 by
who is personally known to f✓ N3A&I)® &.X'Vh is anally kn w to
me or who has produced c- L ', c - as me or who has produced as
identification and who did take an oath. identification 2nd who did take an oat
NOTARY PUBLIC: NOTARY PUBLIC: \\\5 �1��'I
�C,\�5�6 2020 iq
Sign: ti.^ Sign: = ® •d==
�> d' t1
P Print: �� F� s���:oIz
Seal: l/" Seal: `! •°'••.;.�;::.•
NotaryTAMAM UNCAN 9Q e9�19tt4�\��e®
My man�s {ftn .Georgia
�-17 zed l }
APPROVED BY V ' Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
QUINTERO GENERAL CONTRACTOR CORP
Bernardo Quintero 8801 nw 112 terrace
Hialeah Gardens fl 33018
Date:
State of r1&,)44
County of
Before me this day personally appeared ���' � �`�� who,being duly
sworn,deposes and says:
That he or she will be the only person working on the project located at
Sworn to(or affirmed )and subscribed before me this (� day of .20_�,�by
rGrdo '&U1'ytcrO
Personally know
Or produced identification 053(0 -0(00 q- '(p-I✓
Type of identification produced -Pi ni&'% IVerz
MAHARPJ K.GONZALEZ .
MY COMMISSION#GG 044602
EXPIRES:November 2,2020
Bonded TlwNotaryPublfeUndsrnriters Print,type or stamp name of notary
l.., vial" Miami Shores Village
L2- -SIJ* Building Department
A RIDp' 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 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.
e
Signature:
Owner
State of Florida
County of Miami-Dade
T
The foregoing was acknowledge before me this day of '��RUR2 _,20 I R
By LRoN(E- My-z,&p,aF_-r- who is personally known to me or has produced ...••.••...
r'p,�•11 0tvy
as identification. ;r���,•••''g,4Rw''�LJi
RES a
Notary: U G O GIA =m
seT �,2o�s
SEAL:
Ile .Slaney P4V4 54a , #76W.
745 North East 91 sr Street
Miami Shores, FL 33138
305-759-9069/FAX 305-759-2101
E-MAIL spelUpatt.net
January 24, 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 1 H, at 9140 NE
81 Avenue, Miami Shores, Fla., and is authorized by the Board of Directors
of the Shores Plaza East Condominium Association to apply for the permit
application regarding the removal of the wall between the kitchen and the
dining room "after-the -fact. Also for the "tiled" kitchen floor and counter
top that was done 15+ years ago.
Should you have any questions regarding the enclosed, please feel free to
contact the condominium office.
Sincerely yours,
�
Oscar Zar oza
Say/Treasurer
cc: file
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SCOPE OF WORK: 60 SF 9301 SW 92nd Ave.
Suite A213
LIVING 1. REMOVE AND DISPOSE EXISTING Miami, Florida 3317
ROOM POCKET DOOR AND PORTION OF
MASTER BED NON-BEARING PARTITION AT KITCHEN, '
ROOM APPROX. 60 SF. c ®c �,®
2. NEW DRYWALL FINISH
3. NEW PAINT FINISH . 65 27
CODE IN EFFECT:
FLORIDA BUILDING CODE, of
EXISTING 2014. 5th EDITION °°���®
CHAPTER 4, SECTION 403 �� ' °0T.
got ° e� Q
ALTERATION LEVEL 1 od- `
o00IIf
NO STRUCTURAL WORK J
C14 NO ELECTRICAL WORK
6 -10" A/C I NO MECHANICAL WORK Q"�
- I NO PLUMBING WORK •••� ��"�'• �•• •;•
. .... •
B `:� • Does Lla•• •i ••
• •
KITCHEN .. f3 •••
0
d DINING ROOM � : C�.... .. ..
H=8'-8" TYP. i �' ••; Q .. .
00
OD 0 4 MAR R42017
LLJ
dJ 1 -7 Z4 , r wz (n
- - - I ,o . 0
V ami ShCr12S NRI'-cc �U
^, �!?O�iFr) BY DATE 0 0 Q
EXISTING WOOD NON—BEARING ?n?,ifnlr3 d
PARTITION AND POCKET DOOR ��� -_. _-___T.
TO BE REMOVED. rawn RS 03-10-17
26'-0" 7!_7C DEFT job No.: 828
SIO
SUC',JECT 10 C_(_,MRL_VNCE WI RH ALL FEDERAL NS:
",ATE ANL)C�I_if4 i'f nI�L S Ai`ID RECULATIc)PIs
DATE 03-10-17
A 1
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QENTRY Cf)
LL
SCOPE OF WORK: 60 SF 9301 SW 92nd Ave.
Suite A213
LIVING 1. REMOVE AND DISPOSE EXISTING Miami, FL 33176
ROOM POCKET DOOR AND PORTION OF
MASTER BED NON—BEARING PARTITION AT KITCHEN,
ROOM APPROX. 60 SF. a c �S. ® ®®
2. NEW DRYWALL FINISH F°°,
3. NEW PAINT FINISH tJ . 6 5
CODE IN EFFECT: n3 ��
FLORIDA BUILDING CODE. S ATE OF
EXISTING 2014, 5th EDITION_ , dOR EFIALLO
SD CHAPTER 4, SECTION 403 z'�®
to
�a Dema
ALTERATION LEVEL 1 �
_
o) Ldl�j NO E P NO ECUHANICAL WORK J!1111
N NO PLUMBING WORK ? = r•
I 6' 10" ASC I
EXISTING CERAMIC I i •� •
(�•�� • ••••••
--- f� ••�/• �s i ••
FLOOR TILE, DONE BY I
OTHERS TO BE in SO I ••` •• •• .••••`
LEGALIZED - - -
EXISTING SMOKE •+ • Lli •....
1 �� KITCHEN DETECTORS TO REMAIN MAR 9 2017 ••�••; >; •••• ••:••'
EXISTING OUTLET A o . •• Q • ....s.
ABOVE RANGE TO BE _
REPLACED W/ NEW GFCI .0 '� DINING ROOM - - __ :••� .w :..:.
AND MOVED OVER COUNTER. . H=8'-8• TYP.
• �• • •
ap 0 •� •�iJ • • •
Q I 11
•a
EXISTING BACKSPLASH, ^ = r I I - 2- Z
DONE BY OTHERS TOW
di r_�'_ �'
BE LEGALIZED
BY W
"1- EXISTING WOOD NON-BEARING ? T` DkP �, _ a a. �
� PARTITION AND POCKET DOOR 'T //I-
brown . RS 03-10-17
TO BE REMOVED. -- _-.ter i
�r,P,IPE�,TICE
26'-0" Wf 1 1 All FEVER?! 3-28-17 CO
WAENM
�N ISL S Njn %?IJL4rlrtr,r
DATE: 03-10-17
A 1