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RC-19-2910Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 issue Date: 01/02/2020 Location Address Parcel Number 715 NE 91ST ST 4A, Miami Shores, FL 33138 1132060440060 Contacts Permit NO.: RC-12-19-2910 Permit Type: Building (Residential) Work Classification: Alteration Permit Status: Approved Expiration: 06/30/2020 RAFAEL IRA Owner G.Q.M.INC Contractor 715 NE 91 ST 4A, MIAMI SHORES, FL 33138 JOHN VILLAMIZAR 10496 NW 50 ST, sunrise, FL 33351 Business:3054870071 msanchez@premierguestservices.co m ns ecti Description: THE SCOPE OF WOPRK IS TO REPLACE THE Valuation: $ 3,000.00 Ion Requests: BATHTUB, TOILET AND SINK FAUCET IN MASTER BATHRROM NO FIXTURES WILL BE MOVD, NO PIPE LINES WILL BE Total 5q Feet: 40.00 EXTENDED. NO ELECTRICAL WORK WILL BE DONE Fees Amount Application Fee - Other $50.00 CCF $1.80 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.60 Permit Fee $50.00 Scanning Fee $9.00 Technology Fee $2.50 Total: $117.90 Payments Date Paid Amt Paid Total Fees $117.90 Credit Card 12/09/2019 $50.00 Credit Card 01/02/2020 $67.90 Amount Due: $0.00 Building Department Copy In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above named contractor to do the work stated. _7 —7n re: Owner / Applicant / Contractor / Agent Date January 02, 2020 Page 2 of 2 ENTERED 0212�� till BUILDING PERMIT APPLICATION Miami Shores Village Building Department BY: 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20 J_+ Master Permit No. �C �Z— 19 - 2-910 FE]BUILDING ❑ ELECTRIC ❑ ROOFING ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS JOB ADDRESS: 715 NE 91 STREET #4A Sub Permit No. ❑ REVISION ❑ EXTENSION ❑ RENEWAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS City: Miami Shores County: Miami Dade Zip: '33 13$ Folio/Parcel#:11-3206-044-0060 Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): PENSCO TRUST COMPANY LLC FBO RAFAEL FELIZ IRA Phone#: 080-502-0392 Address: PO BOX 173859 City: DENVER State: CO Zip: 80217 Tenant/Lessee Name: Phone#: Email: PA50dXKEZ Q Offx��Q�ayLS{ S4r�! ct5 Goo^ CONTRACTOR: Company Name: G.Q.M., INC. Phone#: 305-487-0071 AddrPtc: 10496 NW 50 Street City: Sunrise State: FL Qualifier Name: John Villamlzar State Certification or Registration #. CGC1524968 DESIGNER: Architect/Engineer: Address: Value of Work for this Permit: $ 3 , (3 y d _Zip. 33351 ne#: 305-487-0071 Certificate of Competency #: City: State: Zip: Square/Linear Footage of Work: yb SF Type of Work: ❑ Addition ❑ Alteration ❑ New A Repair/Replace ❑ Demolition nacrrinrinn of Work: The scope of work is to replace the bathtub, toilet, and sink faucet in Master Bathroom. No fixtures will be moved. No pipe lines will be extended. No electrical work will be done. Specify color of coloc►rytbru tile: r /� %J{ Submittal Fee $ n �w Permit Fee $ too CCF $ I. �.1 _ CO/CC $ fy Scanning Fee $ —1 • l_JU Radon Fee $ � • C)d DBPR $ 2—.0y Notary $ Technology Fee $ 2' 15 Q Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ !CJ TOTAL FEE NOW DUE $ iv (Revised02/24/2014) 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 Zi 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 t ence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. n Signature _ Signature V \ W R or ENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 3 day of pec2M(;19f 20 19 by 22 day of November 20 19 1 by 4,64 Fa l 12 who is personally known to John Villamizar who is personally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: as me or who has produced identification and who did take an oath. NOTARY PUBLIC: as Sign: Sign: Print: Ale -rondo C.o' ° Alejandro Castillo =fit = Commission#GG247537 T.` ( Print: :+• •�*- ; P 9 ,r.. , p`,•' fires August , ZW Seal:«YP•. ALEJANDROCASTILLO Seal: FOF! :° ' Bonded Thru Troy Fain insurance e00,985.7019 Commission # GG 247537 22 ' 9 P Expires August Bonded Thru Toy FaiInsurance 8W385.7019 ****************** C ******************************************************* APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) An*"* PL Mte* P.A. #'I'db W. nkow $a, swdtt 12# 11lkM Pi,3SIw4 3r34q%4Wl WIM i i w # IMIRM3 yy1MI1� pyls ry��1y flu ilfit�� �i1'e*6d.tlfi JJs6c Iyyk 21"$ArP��syTMl-yy3�♦' I gt3i�W AEOMEC wo7r"ll 161%3157 oLto OOC. TAX 3".00 HMMY k!M*- CLERK W COURT tllAlll CflllilTYt Flofrlf+A IU Warranty Dwd oak dIw ISO awry of fwlweb. 2011 wwwo WAW Gamer Aln"it uA Muvye Gw om ItuAind mad Wthe vtAw w pot oMm address b ISM SW 163 A'WM& Iw WAd. Pi; 33141, pwtw, aad LINWI.N TRUST COMPANY Prifl: R FACL MAY. IRA *40w pm ofr" *Abm It PID BOX 17 !?l, ritrvato, CO W17, {*UwK#0 mW Nw4o dm waw *ate* Md 'Pare tad i& ail vk pnift a ft AWOMoo apt ft kwlft 41W *ooe * w vw aad map at -6>5-k-aatwaft nrtiax**raw'oepwwia*,wouaad OVAMNA '9iitatsulk d* wit ap oww, fix read iw eomw dcet>tlotw of 6c mast of TLN AND NO1100 DOLLARS (t10.00) and valuer good wd raiW ft coadderadoaw ed Wd patriot in kind paid by aid Igrnu#, *s i vo* wtbtrtof is hw%by w*4pd, has gmrw4 beqorwd.add said i& ft owd gstttet sad Ermcek *am and tseWs fi oar, dht tt k Aw6tk &w6W Aza4 ttiaaawt, lyiK tmd bw* is 14ibel—IItade , P'wwa 1 : V*4 Pk& *-A. •f Shama r4 t frA CnW9wbk%k a mdoaatlmloat, *fto*r4 arTiar Dabrstitm of ca diskisl ur erar'dat to OX rink SU3. Pale 13% mod all "Idbin and tomd"wa■ thereof. PWW itt orris of minsmsocmq, liar Patcd ldewdftsOos No when 114296444404 Tog!atbw w all Out Onvowl,% haWkwwou aad apportwwwu &ftvba tee tlt in wymnic appaukm To Hsft mW to Mold, the am in n* tog r. 1Md flit Vw*x Eby consoft wi& Vid FlAw a rise VIWW k A *N* sebod of Wd lmdd in ks wkvfia; rhel tiler gioem Ara Vwd r4M twd kwkl sodwt�y to se'k wA cmwq raid had; Maas dwe grArA r it w* aiA'!y wanuft tlwe Wo a s9d Ind and will dtftd dwe a aea^ri The W 4h1 cW= of all pmow whwwsocvwt . , wdd due uW Ikrtd is ftft of WI' +x awbtaao spa a Paw3 toEwiwtmaMs31,2010, wsw .,• " a» it i rK,TC.iEN — N v el ec-4 r; cc -,I wuri(- laR, 'I `l u�ll m •• ••• •• • ••• Or • • • • • • • • • • . • • • • • • • • • • • • • • • • • • • • • • • • 00 •• • • 0 •• 09 . •. . ...... .... s GQM Inc. 10496 NW 50th St. Sunrise, FL 33351 954.541.5733 mcelis@gqmservice.com www.gqmservice.com ADDRESS Maria Sanchez Premier Guest Services, LLC 715 NE 91st St, Miami Shores, FL 33138, USA GENERAL MANAGEMENT DESCRIPTIONAMOUNT 715 NE 91st St, Miami Shores, FL 33138, USA Unit # 4A ............. ............_........ _...._...............................................__..............................._..................._............................_............____............... .... ... _... ................................. --- ............................ ..........................................................._................... ................... _........ ................._..._....................................... .............. ............... . Bathroom Replacement- This includes: Demolition Replace shower walls Replace Grout tiles Replace valves Replace bathtub Remove and replace Install new to ---- Remove and replace Install new vanity .........._......_................_..._......._................... ............. Remove and replace Install new faucet Accepted By Accepted Date Q-2-19 4,710.00 150.00 ................... 540.00 45.00 The Shores Plaza East Condominium Asso. 745 NE 915` Street Miami Shores, FL 33138-3215 305-759-9069 December 5, 2019 info@shoresplazaeastcondo.com Miami Shores Village Building Dept. 10050 NE 2nd Avenue Miami Shores, FL 33138 Dear Sir/Madam, The enclosed will serve as your confirmation, that GQM INC., General Contractor License: CGC 1524968, Plumbing License: CFC 1430026, has been contracted by the owner of Unit 4A at 715 NE 91 Street, Miami Shores, FL 33138. Work to be performed at said unit consisting of: Painting of whole unit, installation of blinds, and new light fixtures. Bathtub replacement, toilet replacement, faucet replacement and installation of tile on shower wall. The work to be performed is fully authorized by the Shores Plaza East Condominium Asso., 745 NE 91 ST, Miami Shores, FL. Should you have any questions pertaining to the enclosed, please feel free to contact our office. Sincerely yours, fc �� Carlos Talavera Vice -President