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WS-19-1581Location Address Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 700 NE 101ST ST, Miami Shores, FL 33138 Contacts Issue state. 09/01/2019 Parcel Number 1132060172220 Permit No.: WS -07-19-1581 Permit Type: Windows/Shutters Work Clanfication: Shutters Permit Status: Approved Expiration: 01/28/2020 OSCAR MIRANDA Owner SHUTTER DEPOT LLC Contractor 700 101 CHRISTY ABAY Home: 7863299871 Business: 3058223575 Inspection Requests: Description: SHUTTERS 10 OPENINGS TO REPLACE Valuation: $ 3,100.00 305.762 4949 WS -5-18-1470 Total Sq Feet: 0.00 Fees Amount Payments Date Paid Amt Paid 100% Permit Renewal Fee $200.00 Total Fees $300.00 Lost Plans Review Fee $100.00 Credit Card 08/01/2019 $300.00 Total: $300.00 Amount Due: $0.00 Building Department Copy 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. AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws construction and zoning. Futhermore, I authorize the above named contractor to do the work stated. Sig / Applicant / Contractor / Agent Date August 01, 2019 Page 2 of 2 BUILDING PERMIT APPLICATION UILDING ❑ ELECTRIC Miami Shores Village �L,,-�- vEIS Building Department JUL 10 2019 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949n FBC 2011 Master Permit No. VV S—o l 1 S� Sub Permit No. ❑ ROOFING F-1 REVISION ❑EXTENSIONRENEWAL F-1 PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP }�-- CONTRACTOR DRAWINGS JOB ADDRESS: 70O A)C 10 / St City: Miami Shores County Miami Dade Folio/Parcel#:I 13-zo oc 17zzl-o Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simp'- Titleholder): Scor o-) I rU n 4G( Phone#: Address: N % 1) 1 0 S F City: rn) m / '1410 /cy State: f7 Zip: Tenant/Lessee Name: Email: one#: CONTRACTOR: Company Name: S1'1(r>"-Os ..IJ-wz) l Phone#: '5m;-3? J ►� Address: ��1 (0 City: Qualifier Name: C'h n State Certification or Registration #: DESIGNER: Architect/Engineer: U9 150 Zip: �3—JZ% 2 i Phone#: � I� 1510q I -t) Certificate of Competency #: 1912600 23 !f Phone#: City: State: Zip: Value of Work for this Permit: $ ) oc) Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace Description of Work: Specify coltile: Submittal Fee $= Permit Fee $ Scanning Fee $ Technology Fee $ Structural Reviews $ Radon Fee $ Training/Education Fee $ CCF $ DBPR $ ❑ Demolition CO/CC $ _ Notary $ Double Fee $ _ Bond $ TOTAL FEE NOW DUE $ 24�01 iD (Revised02/24/2014) 0 Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip 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. Signatre OWNER or AGENT The foregoing instrument was acknowledged beforee me this I day of U, 20 � 1 by r6ca M I ✓G( who is personally known to me or who has produced ,V as identification and who did take an oath. Signature CONTRACTOR The foregoing instrumen was acknowledged befolree me this I day of I� 20 1 I by ChO' V, '�, who is personally known to me or who has produced identification and who did take an oath. 11 NOTARY PUB NOTAR U IC: Sign: Sign: Print: z��: Notary Public State of Florida print: 1d "or om '� F M Comm. Expires Apr 18, 2023 ?°�`��`: Nota Pu Seal: of�.. Y u •• •, Notary blit State of Florida Seal' Commission x GG 325349 Bonded through National Notary Assn. y� ort.: My Comm. Expires Apr 18, 2023 Bonded through National Notary Assn. L APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) s► LIU 'Local -Business Tax Receipt Miami -Dade County, State of Florida -THIS is NOT A BILL - fit? NOT PAY C ' 6466825 BUSINESS tvAMEILOCATION AE CEtt9T NC). EXPIRES , SHU17 S POT, LLC REN1! AL SEPTEMBER 30,.Wi9 1776 W 41 ST S 735774 Moot be disptav'00 at place of business HIALEAH FL 33013 Pursuant to County Coca ftapter tit - Ara. 9 & 10 0 OWNE pPRSL PAYMENT�RECEIVEDFRANCI TANGIBLEEONAPROP DLR OTAX. T OR Employee(s) t S45, 07/06/2018 FPPUOS 18--020577 This local Business Tax Receipt only confirms payment of the Local Business Tax, The Receipt is not a license, the holds ,e to do business. Holder permit, or s certification of uslificotions, must comply whit any governmental .' 9r"Parggpyerpmental regulatory low nd iequirernonts which apply to tiro business. A The RECEIPT NO. above must be displayed on all commercial vehicles - Miami -Dade Code Ser -27& For more information, visit ' 1 N I0 LOI• • • < • EFFECTIVE DATE. 4P3=DI9 PERSON, CHRISTY A13AY FEIW. 4544379056 BUSINESS NAME AND ADDRESS-- SHUTTERS DDRESS:SHUTTERS DEPOT, LLC 1776 W 41 STREET HIALEAH, FL 33412 SCOPE OF BUSINESS OR TRAM =Yyg an Mae .41 eall LTE CD, a r_ a T, ari iT«'71Tj=� Carant_ a, t aaa:w� .r.l. mc5m taw ftm ofoyct a wtft oa+ andw an modm ffwy rat mcow bww4b w a' x &rdwtaxa c kvwt, z lt sxa r , . a to be "amtat... appy awP9 *W -*n a* .. w u of ko W u t* b ChWW 4,*44 § F,& A• tk O CH R ma to zamm #aa+apt tv*d ` ` aN s'W Dv 9 & > a 4 � aev a R+e � tl:M �'�Kt of tMt cartlt, on rA tw cam: » aE tt q a s Yh* doputnom ":rev" a varGt'a��sarf.�e�t�rYt at est; Y • Y ! F- 6 e • CrS • w ' . SHUTTERS DEPOT, LLC July 29, 2019 State of Florida County of Dade Before me this day personally appeared C;hy'/s OID6V who, being duly sworn, deposes and says: That he or she will be the only person working on the project located at: 70v OF 10i 3t Oilomi ft. r Si'jz(iatu Sworn to (or affirmed) and subscribed before me this I day of 2019. Personally known Produced Identification Type of Identification or Stamp Name of Notary 1776 W 41 ST. HIALEAH, FL 33012 1 TEL. 305.822.3575 1 FAX. 305.822.3731 EMAIL: SHUTTERSDEPOT2006@GMAIL.COM ROEL LUCIANO Notary Public - State of Florida Commission 2 5349 My Comm. Expires Apr 18, 2023 Bonded through National Notary Assn. or Stamp Name of Notary 1776 W 41 ST. HIALEAH, FL 33012 1 TEL. 305.822.3575 1 FAX. 305.822.3731 EMAIL: SHUTTERSDEPOT2006@GMAIL.COM 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: I . 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. Signatur Owner State of Florida County of Miami -Dade The foregoing was acknowledge before me this day of N L 120 . By MOW M 4-()r)(*1 who is personally known to me or has produced DL SEAL lan enitcatWL LUCIANO e��`: Notary Public - State of Florida Commission # GG 325349 My Comm. Expires Apr 18, 2023 Bonded through National Notary Assr.