Loading...
MC-18-606Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Permit Permit NO. MC-3-18-606 Permit Type: Mechanical- Residential. Work Classification: Addition/Alteration Permit Status: APPROVED Issue Date: 3/15/2018 Expiration: 09/11/2018 Parcel Number Applicant 1060 NE 105 Street Miami Shores, FL 33138-2106 1122320280070 Block: Lot: DUPLEX 900 LLC Owner Information Address Phone Cell DUPLEX 900 LLC 44 W FLAGLER Street MIAMI FL 33130- 44 W FLAGLER Street MIAMI FL 33130- Valuation: Total Sq Feet: $ 600.00 0 Tons: Additional Info: INSTALLATION OF 3 DUCTS 3 CEILING M Classification: Residential Approved: In Review Comments: Date Denied: Scanning: 1 Date Approved:: In Review Type of Work: INSTALLATION OF 3 DUCTS 3 CEILII' Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $0.60 $2.25 $2.00 $0.20 $150.00 $3.00 $0.80 $158.85 Pay Date Pay Type Invoice # MC-3-18-66725 03/15/2018 Credit Card 03/08/2018 Credit Card Amt Paid Amt Due $ 108.85 $ 50.00 $ 50.00 $ 0.00 Available Inspections: Inspection Type: Final Rough Duct Review Mechanical Underground 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 str ct conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I as , e responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL ii UMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I [ rtify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction an ermore, I authorize the above -named contractor to do the work stated. re: Owner / Applicant Buil •-''g Department Copy / Contractor / Agent March 15, 2018 Date March 15, 2018 1 c_c Miami Shores Village ; ` V Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 \\v Tel: (305) 795-2204 Fax: (305) 756-8972 ,`, INSPECTION LINE PHONE NUMBER: (305) 762-4949 BUILDING PERMIT APPLICATION RECEIVED MAR 0 8 2018 OA 4'1 FBC 201L1 Master Permit No. RC-5-17-1397 Sub Permit No.VC kC.J ("QCp ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION El RENEWAL El PLUMBING 0 MECHANICAL El PUBLIC WORKS ❑ CHANGE OF El CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 1060 NE 105 Street City: Miami Shores County: Miami Dade Zip: 331 3 R Folio/Parcel#: 1122320280010 Is the Building Historically Designated: Yes NO X Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): DUPLEX 9OO,LLC Phone#: 786 302 0103 Address: 44 WEST FLAGLER STREET City: MIAMI State: FL Zip: 33130 Tenant/Lessee Name: Phone#: Email: capitalinter@gmail.com CONTRACTOR: Company Name: ALISAEZ AIR CONDITIONING, INC. Address: 12973 SW 112 Street Phone#:` 78 4 City: MIAMI State: FL Qualifier Name: Hector Oscar ALBALLO Zip: 33186 Phone#: State Certification or Registration #: CAC 058020 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ 600.00 Square/Linear Footage of Work: Type of Work: El Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: Installation of 3 ducts , 3 ceiling maounted cabinet exhaust fans (one 6x4 in bath #1, one 10x8 in bedroom #3, one 8x6 in master bathroom) as stipulated in master permit. Specify color of color thru tile: Submittal Fee $ Permit Fee $ 1 5 0 i/6 V CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ TOTAL FEE NOW DUE $ JOB " (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 atta ent. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which o � seven (7) days after the building permit is.issg?n the absence of such posted notice, the inspection will not be approved a�f ' reinspection fee will be charged. Signature OWNER or AGENT The foregoing instrument was acknowledged before me this _a_ day of C4IIIA R e � , 20 J by 014,C p �CCM4-ry who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: 1L NMI • * MY COMMISSION 07119045 EXPIRES May 4 2018 407)398-0153 Flootta .utoNStivK8'Xfln Signature CONTRACTOR :j,2A-40" e044 AvLw/(D The foregoing instrument 'was �c�kn`oyvledged before me this 3 day of M�,- �f 'j /1 , 20 (11 , by � dL OJC}9d(C?nrho is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: JORGE ROSSEAU 1• MY COM1 IS¢tnrs x xi tatfas 3;,;, EXPIRES May 4 2018 (40) 3934153 FIM c10191d+Y5 tCO Mtn ......................................................................................................... tb APPROVED BY Plans Examiner Structural Review Zoning Clerk (Revised02/24/2014) Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to ,O� erg7 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 .rk on your project. In these ci mstances, Miami Shores Village does not require verification of workers' compensation insur. e coverage from the c. • .ctor's company for day labor, part-time employees or subcontractors. BY SIGNING BELOW YI i ACKNOWL ! - 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 day of 4 t f , 20 I . By K ?P-TR;ee SCE- NIA A Notary: SEAL: • who is personally known to me or has produced as identification. ; - r JORCE R©SS gU aiv cor,Cmrssiorr,xFF S EXF'1„ 9oas Nonass70tSJ v �� 43Y 4 20/ ALISAEZ AIR CONDITIONING, INC. a Date: ©?j 0 / 2010 State of Fl� R ,c)fl County of C Before me this day personally appeared Pc[ia%Z f1Q L U who, being duly sworn, deposes and says: That he or Ile will be the only person working on the project located at: 'Go 14-< IDS -*StArt. S(-kLe5 EL 331'31 Contractor Signatur Sworn to (or affirm ) and subscribed before this ), day of wt4i-Cff . 20 1 pj by Le �i 5. 0--,c-- A, ;‘0. (r' c� Personally known OR Produced Identification Type of Identification Produced JORGE ROSSEAU MY COMMISSION #FF119O45 µa>7a58-0fS3 FWnttiMMIri%Ery e'run , ype or tamp Name of Notary 12973 SW 112 Street Miami FL 33186 Tel: 786 414 9284