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FW-20-283i 1-j AlVC) ST Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Permit NO.: FW-02-20-283 Q 'r Permit Type: Fence/Wall Work Clossifrcotion: Ornamental/Metal Permit Status: Approved Issue Date:02/14/2020 Expiration: 08/12/2020 Location Address Parcel Number 1430 NE 102ND ST, Miami Shores, FL 33138 1132050240230 Contacts LESZEK WNUK Owner UNIQUE PATIOS AND POOLS INC Contractor 1430 NE 102 ST, MIAMI SHORES, FL 33138 ALDO DUCCI Home: 954-330-8686 5246 SW 8, CORAL GABLES, FL 33134 Business: 3059298845 uniquepandp@gmail.com Mobile: 7862905434 Description: NEW FENCE AROUND THE PROPERTY Valuation: $ 16,745.00 Inspection Requests: (GALVANIZED) TotalSq Feet: 486.00 Fee Application Fee - Other CCF DBPR Fee DCA Fee Education Surcharge Planning and Zoning Review Fee Scanning Fee Technology Fee Wire and Wood Fence Fee Total: Amount $50.00 $10.20 $4.50 $3.00 $3.40 $35.00 $9.00 $7.50 $250.00 $372.60 Building Department Copy Payments Date Paid Amt Paid Total Fees $372.60 Credit Card 02/14/2020 $322.60 Credit Card 02/06/2020 $50.00 Amount Due: $0.00 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, JA NICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the fore mUefie fo mation is accurate and that all work will be done in compliance with all applicable laws ermore regulating construction and zoning. Futh, I h abAe named contractor to do the work stated. Authorized Signature: Owner / Applicant February 14, 2020 / Agent Date Page 2 of 2 BUILDING PERMIT APPLICATION BUILDING ❑ ELECTRIC Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 �2ECE?�J�D fi BY: i rf INSPECTION LINE PHONE NUMBER: (305) 762-4949 F BC 20 1 "' Master Permit No.Ea - -09 v,C"( `v5(o Sub Permit No."fw —0 7—`20 - 2( 3 ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF [:]CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 1430 NE 102 ST City: Miami Shores County: Miami Dade Zia: Folio/Parcel#:11-3205-024-0230 Is the Building Historically Designated: Yes NO X Occupancy Type: Sgle F Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Deniese Miranda Phone#: 9543308686 Address:1430 NE 102 ST City: Miami Shores State: Florida Zip: 33138 Tenant/Lessee Name: Phone#: Email: deniese.miranda@gmail.com CONTRACTOR: Company Name: Unique Patios & Pools Phone#: 7862905434 Address: 5246 sw 8th st Ste 102 D city: Coral Gables Florida Zip: 33134 Qualifier Name: Aldo Ducci Phone#: 3059298845 State Certification or Registration #: CGC1525547 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $16.745,00 Square/Linear Footage of Work: 30-C) Type of Work: ❑ Addition ❑ Alteration Q New ❑ Repair/Replace ❑ Demolition Description of Work: New Fence around the property V� 0* Specify color of colorthru tile: r Submittal Fee $ GO ' ,GiO Permit Fee $ CCF $ CO/CC $ ' Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ _ Double Fee $ Structural Reviews $ Bond $ (Revised0212412014) TOTAL FEE NOW DUE $ :3 ZZ - GO 90 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: 1 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 low 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 Signature OWNER or AGENT CONTRACTOR The foregoing instru ent was acknowledged before me this day of C `� , 20 , by 1 , who is personally known to me or who has produced T�-I�) L as identification and who did take an oath. NOTARY PUBLIC: The foregoing instrum t was acknowledged before me this /ZU,w� day 20 Q� , by GC/1 , who is personally known to me or who has produced GL-!� L as identification and who did take an oath. NOTARY PUBLIC: Sign: Sig Print: Print:AAA A INELY MAYO Kv n Seal: �'{ ' �. Seal: 41 °erf, ANINELY YORAL Commisslon ar GG 242094 Expires November 3, 2022 Commisslon # GG 242094 lhr F�� Bonded Rau eudk* NourySwAn Expires November 3, 2022 For Fvu eonded Thru eudpet Notary Spvt00e �L6IAD APPROVED BY Plans Examiner *-2(2 Zoning Structural Review Clerk (Revised02/24/2014) Proof of Coverage Page 1 of 1 WC Mobile App WC Home Search Our Data CFO home Employer List Page This database was last updated Wednesday, February 12, 2020 12:08 AM. Return to Search Page Federal Employer ID Number Information 1 records found for federal employer id number 822022967. Click the IWks below the Employer Name column for more detailed information. Record Employer Name lEmployer Address iCov Exem Elec 1 UNIQUE PATIOS & POOLS INC 5246 SW 8 ST, 204-D, MIAMI, FL 33134 Exem 1 records found for federal employer id number 822022967. Return to Search Page https:Happs8.fldfs.com/proofofcoverage/EmployerList.aspx 2/12/2020 Proof of Coverage Page 1 of 1 WC Mobile App WC Home Search Our Data CFO Home Employer Detail Page This database was last updated Wednesday, February 12, 2020 12:08 AM. Carrier Location Information Return to Search Page Employer Information Employer Name Employer Type NAICS Code (UNIQUE PATIOS & POOLS INC (CORPORATION IN/A Coverage History No Coverage History Exemption Listings Exemption Holder Name - Click on the name(s) below to view more detailed information ALDO DUCCI HIRAM LEYVA QUINONES RAFAEL A GATTORNO Owner Election Listings No Owner Election of Coverage Listings Employer Name History Employer Name Name Type Change Date UNIQUE PATIOS & POOLS INC I Legal Icurmnt Return to Search Page https:Happs8.fldfs.com/proofofcoverage/EmployerDetail.aspx?EmpID=XO0205361 2/ 12/2020 Proof of Coverage Page 1 of 1 6V(:Mobile r pp WC Home Search Our Data CFO FFome. Exemption Detail Page This database was last updated Wednesday, February 12, 2020 12:08 AM. Return to Previous Page Exemption Details Name Title Effective Date 'Termination Date Exemption Type a "Business Activities Employer Name ...__._._.......---._.._....... _..................... .._.....�.�.__._._......... ...... ____._ ._.._ __......._................._._.__.._. I Click Here to View ALDO DUCCI Aug 29 2019 Aug 28 2021 Construction Activities Listed on ARKITEKO CO Exemption Click Here to View , UNIQUE PATIOS ALDO DUCCI Jan 28 2020 Jan 27 2022 Construction I Activities Listed on g POOLS INC Exemption i Click Here to View 'UNIQUE PATIOS ALDO DUCCI Jan 18 2018 Jan 18 2020 Construction Activities Listed on j & POOLS INC I Exemption 'Termination may be through the revocation of the exemption, or expiration of the exemption. '"The exemption only applies to the business activities listed on the exemption. Return to Search Page https:Happs8.fldfs.com/proofofcoveragelExemptionDetail.aspx?pr_person_id=XO0227492 2/12/2020 Proof of Coverage Page 1 of 1 WC Mobile App WC Hoare Search Our Data CI`O home Exemption Detail Page This database was last updated Wednesday, February 12, 2020 12:08 AM. Return to Previous Page Exemption Details Name Title Effective Date 'Termination Date Exemption Type "Business Activities Employer Name A RAFAELA Click Here to View GATTORNO GATTORNO PR Jul 15 2004 Jul 15 2006 Construction Activities Listed on MARBLE & TILE Exemption CORP RAFAELA Click Here to View GATTORNO TILE GATTORNO DI May 8 2002 Dec 31 2003 Construction Activities Listed on CORP Exemption RAFAELA Click Here to View UNIQUE PATIOS GATTORNO Jan 28 2020 Jan 27 2022 Construction Activities Listed on g POOLS INC Exemption RAFAELA Click Here to View UNIQUE PATIOS GATTORNO Jan 18 2018 Jan 18 2020 Construction Activities Listed &POOLS INC Exemption "Termination may be through the revocation of the exemption, or expiration of the exemption. "The exemption only applies to the business activities listed on the exemption. Return to Search Page https://apps8.fldfs.com/proofofcoveragelExemptionDetail.aspx?pr_person_id=000072097 2/12/2020 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 ACK DGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTE Signature: er State of Florida County of Miami -Dade The foregoing was acknowledge before me this day of�I'Al , 20_Z�7. By �'�/� S5 - who is personally known tome or has produced �y( _ as identification. Notary: _ SEAL: Not�memandez State of Florift ;p *� Hel- -- a,,e Expires 02/0212020 LlI BOUNDARY AND TOWGRAPHIC SULRVEY• •r F� 1 • • s • • • •• • • • • jw, _ __ o ` ('rE 432n� „iTREEi - '— y -: N(r�.'-•i •• ��4i •,s Th• r F'T w L• ^Ct "L4 T 5 a 11C �f F.F �v� N oA� "v oT3 V NN Ni i _ ( 4 1 1 LOCATION SKETCH V ONE-STORY �" r4ff In :5' e n OTES 4 HE EOEC'EO L-X OF HE J .b 1 J7 ', r tD A x ANVAP' Of (.c -/7 F .') 4 'FE 'JE`(P.AL" TN Lwf:9(lA1 Efl A`{VE C : ANLE LOCIMAG ,111, 7 4 -' ECiJh AAY SURVEY1 '00: IN ' S00 'El " 71,E N.Cxf Y TAINE� \\ -ANO J�.f A,:,W7 Of A CLOSED GEGIETilO nGJRE *As -o_- O Eh R -l^f.ED FEA7l. iE5 A$ 0c'Y TC W 'TM E• • �•Ef'F '4F^ , FCRIZUN7AL P0'sih7NAL ACCLPAC, OF 0'. FEET f it h -LAW MOM+ NEJEON WERE NOY APSTRM TEn iWC. F01r TMS SUBJECT T' EAXNENTS, RIGHT N x t� Mrd OT ERS QA'!E. ' NM']1 WHT : E -: f, t:lEtC r A n. •• EL ,A' -C'VA' JF ;('l TO la SU6JEOT W.73. -KJ AT7'FV°' WAS LADE'-) LW:hTE .40ER•T+^(.r..F' MINMP` Of ANY SCR RE 0.% ` . 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