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RC-16-2244 (2)Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Permit Permit NO. RC-8-16-2244 Peit Type: Residential Construction tri oik Classification: Alteration Per►itStatus: APPROVED Issue Date: 11/28/2016 Expiration: 07/23/2018 Parcel Number Applicant 135 NE 98 Street Miami Shores, FL 33138- 1132060132310 Block: Lot: FLORIDA MINORITY COMMUNIT Owner Information Address Phone CeII FLORIDA MINORITY COMMUNITY 7210 N MANHATTAN Avenue TAMPA FL 33614- (813)598-6361 7210 N MANHATTAN Avenue TAMPA FL 33614- Contractor(s) AVIS BUILDERS CORP. Phone CeII Phone (305)283-6019 (305)283-6019 Valuation: Total Sq Feet: $ 35,000.00 2880 Approved: In Review Comments: Date Approved: : In Review Date Denied: Type of Construction: REMODEL FLOORING , NEW WINO Stories: Front Setback: Left Setback: Bedrooms: Plans Submitted: Yes Certificate Date: Bond Return : Occupancy: Single Family Exterior: Rear Setback: Right Setback: Bathrooms: Certificate Status: Additional Info: Classification: Residential Fees Due CCF Change of Contractor Fee CO/CC Fee DBPR Fee DCA Fee Education Surcharge Lost Plans Fee Permit Card Replacement Fee Permit Fee Plan Review Fee (Engineer) Plan Review Fee (Engineer) Scanning Fee Technology Fee Total: Amount $21.00 $110.00 $50.00 $15.75 $15.75 $7.00 $250.00 $0.00 $1,050.00 $120.00 $120.00 $12.00 $28.00 $1,799.50 Pay Date Pay Type Invoice # RC-1-18-66219 02/02/2018 Credit Card Invoice # RC-12-17-65823 Invoice # RC-8-16-60932 08/09/2016 Credit Card 11/28/2016 Credit Card Amt Paid Amt Due $ 360.00 $ 0.00 $ 0.00 $ 200.00 $ 1,239.50 $ 1,239.50 $ 0.00 Available Inspections: Inspection Type: Framing Framing Final PE Certification Window Door Attachment Insulation Drywall Screw Window and Door Buck Fill Cells Columns Framing Framing Foundation Review Mechanical Review Planning Review Mechanical Review Structural Review Structural Review Structural Review Plumbing Review Plumbing Review Electrical Review Electrical Review Building Review Building Review Building Review Building 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 AFFI construction an T: ify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating „zoning. Futh: rmorei).authorize the above -named contractor to do the work stated. Authori ure: Owner / Applicant / Contractor / Agent February 02, 2018 Date Building Department Copy February 02, 2018 1 le)e6r VA-LFL5 36TEn-n1 vs J `� f Miami Shores Village 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 BUILDING PERMIT APPLICATION ❑BUILDING ❑ ELECTRIC ❑ ROOFING El PLUMBING ❑ MECHANICAL PUBLIC WORKS RECEIVED 51) JAN 4 2 1 FBC 201 Master Permit No. g C- 6. -2 2- (I Li Sub Permit No. ❑ REVISION ❑ CHANGE OF CONTRACTOR JOB ADDRESS: 135 NE 98 ST MIAMI SHORES, FL 33138 ❑ EXTENSION ❑RENEWAL ❑ CANCELLATION ❑ SHOP DRAWINGS City: Miami Shores County: Folio/Parcel#:1132060132310 Occupancy Type: SFR Load: Construction Type: Miami Dade Zip: , 3) 3 G Is the Building Historically Designated: Yes Flood Zone: OWNER: Name (Fee Simple Titleholder): Florida Minority Community Reinvestment Coalition, Inc. Address:701 SOUTH HOWARD AVENUE #106-147 NO BFE: FFE: Phone#: 786-488-8898 City: TAMPA State: FL Zip: 33606 Tenant/Lessee Name: Email: vic2669@aol.com CONTRACTOR: Company Name: Avis Builder's Corporation Address: 13633 SW 142 TERRACE Phone#: j-or2L tlmt6s- Phone#: 30S -3- (Soo City: MIAMI State: FL Zip: 33186 Qualifier Name: Alec J Valdes Phone#: 305-283-6019 State Certification or Registration #: CGC1524230 Certificate of Competency #: DESIGNER: Architect/Engineer: Address: City: Value of Work for this Permit: $ Type of Work: ❑ Addition ❑ Alteration ❑ New Description of Work: C(OA/ 7 i2i 7 Y Phone#: State: Zip: Square/Linear Footage of Work: 1,%qg ADs/ 2,,;60 Sr tb7 L. ❑ Repair/Replace ❑ Demolition Specify color of color thru tile: Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ TOTAL FEE NOW DUE $ CCF $ DBPR $ 110• $ 25 0 1 QSA- P I OnS £ r,YG. CO/CC $ Notary $ (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 OWNER or AGENT The foregoing instrument was acknowledged before me this ' 'K day of januavy ,20 I 0 ,by U o Y u§ h K a o rte q a, who is personally knownl/to me or who has produced � VJ)2--R (O ( - (�0 5/ as O identification and who did take an oath. NOTA PUBLIC: Sig *' Seal: "'% JEIDY SOSA •, Commission # FF 944543 My Commission Expires %�;a�";•'� Decemb : r 16, 2019 ********** APPROVED BY * CONTRACTOR The forgoing instrument was acknowledged before me this /Z day of/ T o n � to y , 20 I U , by ll 1 tC , J V cj 16 LS , who is personally known to me or who has produced P (tr90 n d 1)y identification and who did take an oath. NOTARY PUBLIC: Sign: / Print) 3--(eyF Seal: ************** Plans Examiner K-noIAIn kilr::41-1r111,„" z My Commission Expires December 16, 2019 s"frniiS JEIDY SOSA Commission # FF 944543 ,...,.....,.. als ass* ** as ********** Zoning (Revised02/24/2014) Structural Review Clerk CORPORATE RESOLUTION THE UNDERSIGNED OFFICER OF FLORIDA MINORITY COMMUNITY REINVESTMENT COALTION, INC., a Florida non-profit corporation, (the "CORPORATION"), does hereby certify that the following is a true and correct copy of a Resolution duly and unanimously adopted by the Board of Directors of the CORPORATION at a duly called meeting of the Board (VIA EMAIL), at which a quorum of the Board was present and voting throughout: BE IT FURTHER RESOLVED that AL PINA, the Director of this CORPORATION, AND OR VERUSHKA ORTEGA be and is hereby authorized and directed to negotiate specific terms and conditions and to execute and deliver on behalf of this CORPORATION leases, sales and acquisitions of real estate properties, housing development of FMCRC properties, bank accounts and such other instruments and documents as may be necessary or required in order to consummate the transaction all of which shall contain such terms and conditions as said officer of this CORPORATION, shall determine to be in the best interests of this CORPORATION, with the signature of said Director, AL PINA AND OR VERUSHKA ORTEGA to be conclusive evidence of such determination and of the authority of said Director, AL PINA AND OR VERUSHKA ORTEGA to execute and deliver the same. THE UNDERSIGNED PRESIDENT FURTHER CERTIFIES that the foregoing Resolution was duly and regularly enacted at a meeting of the Board of Directors (3/28/17) called for that purpose that authorizes FMCRC Chair Al Pina and Verushka Ortega full authority to represent FMCRC full authority to represent FMCRC assets and held in accordance with the By -Laws of the CORPORATION and the laws of the State of Florida; that the Director of the CORPORATION has full power and authority to bind the CORPORATION pursuant hereto; and that the Resolution is in full force and effect as of the date of this Certificate and has not been altered, modified or rescinded. THE FOLLOWING BOARD VIA BOARD VOTE VIA EMAIL FURTHER CERTIFIES that the following is the duly elected and acting Officer of the CORPORATION, and that the name of certain of the Officer and Director below, who has executed and/or will be executing documents in connection with the transactions authorized by the foregoing resolution are the genuine signature of such Officer or Director: President: JOLIE GONZALEZ Chair and Director: AL PINA IN WITNESS WHEREOF, I have affixed my name in my capacity as the Treasurer of the CORPORATION set forth below my signature Treasurer: Victor Padilla Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CHANGE OF CONTRACTOR / ARCHITECT Permit N. gC Owner's Name (Fee Simple Title Holder): , M. C e 'Y C. SNC Owner's Address: 70% soo fti jAj/V I kIO Avg !i7b �; y7 City: fi 1Nl,? Pr State : 1M14) P 1 r 1 F/_ Zip Code: 006 Phone#: I71b" qUg— 9g9c3 • Job Address (Of where work is being done): ` i' r(A 57— City: Miami Shores State: Florida Zip Code: 35 t 50 Contractor's Company Name: N P T E Address: City: State: Zip Code: 3 t 6 2- Qualifier's Name : �� \ 1 E E, Lic. Number: C G (. I S 17 2 4L 2 Phone 41S CIE7E12 Architect/ Engineer of Record Name: Address: City: State: Zip Code: Describe Work: teal D/C F-t"m6DEL /v/4- Phone #: I hereby certify that the work has been abandoned and/or the contractor/architect is unable or unwilling to complete the contract. I hold the Buildin • Official and the Signature Owner or Agent The foregoing instrument was aknowledged before me this friday of,20 t$,by VERR.US 4-101- a tt f(4). Who is personally known to me or who has produced as indentification. es harmless of all legal) i�nvolve�� Signature Notary P f i-�,�. Sign:'1,--�- �s Seal: 4.PcA . ern ,401,041141 _ *Nedll9 '. Contract• I/O" chit - The foregoing instrument was aknowledged before me this day of!,hli , 201$by rl) j 1,044 r, 14i'PL who is personally known`to/ me or who has produced 360— 8'8 —67 Z 7 Oas indentification. Miami Shores Village Building Department 10050 N.E. 2ND Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Change of Contractor/Architect or Engineer A change of contractor, architect or engineer must be done under a permit number. There is a $75.00 charge for a change of contractor. The owner will submit a Change of Contractor Form completed with notarized signatures. If the signature of the previous contractor cannot be obtained the owner must send a certified letter/return receipt notifying the previous contractor, architect or engineer the reason for the change. The owner must allow I business days for th'e contractor, architect or 'engineer to respond. A permit application must accompany the change of contractor form, with the information and signature of the new contractor. The new contractor must be registered with the Village or -must submit the required documents to register with the Village. . Change of Contractor form completed, signed and notarized. 2. Permit application by new contractor. 3. Required fees. 4. Copy of original letter sent via certified mail along with the returned receipt. In addition to the requirements above the architect or engineer of record must authorized the new architect or engineer to reproduce his documents. The authorization must be in writing and must be signed and sealed. Miami Shores Village Building Department 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. _ ��— Signature: Owner State of Florida County of Miami -Dade The foregoing was acknowledge before me this lb "day of 3 a h t.6 r y , 20 I CS . BY Y rU "J h o rt`�-�'! O +e32.81� Nota SEAL: who is personally known to me or has produced as identification. JEIDY SOSA Commission # FF 944543 ': „ My Commission Expires °''� �hIlI1H���.0.0December 16, 2019 � BUILDER'S CORP January 25th, 2018 State of Florida County of Miami -Dade Before me this day personally appeared Alec J. Valdes who, being duly sworn, deposes and says: That he will be the only person working on the project located at: 135 NE 98 ST Miami Shores, Florida 33136 Parcel # 11-3206-013-2310 Contractor Signature Sworn to (or it ed and subscribed before me this Z5�day of Jan �G Yy , 20 1 $ by e�c Da1cI,6s Personally known \/OR Produced Identification Type of Identification s:::744. JEIDY SOSA '3c Commission # FF 944543 My Commission Expires December 16, 2019 juuTr5 o sq rint, Type or Stamp Name of Notary