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PL-10-21-2819 � ����� � � � � � ����m������������ x ; � � . ,����` ����°�`� iar�i Shcares Villa�� � � �� ��?�� � � � ` ,� � � �,: � � � �� "'"�' � 10050 NE 2 Ave � � � ";�, s � ��$4� 4����,� L�� � IVIIdPTII��lOfES�����,�$ �, �' .. g � . .. ��t���������w 1������ � �V � � � -�,� 3E}5-'T9S-2204 � � � z�� � ��?���������!�'����'; o,�;.__..,N.: '.a .�... ..: ,. . .:�.. :. ��l��4�� � � �� ,. . . . . ..... ....`..�,> � �'�������������. E?(p1F�a�K3n. Q5��Q4�2022 �,�. �,.� �ocation Address Farcel Number �.en�_��..�m��.�..�_. m,�v, m.m.� ..... ___�� . �.r.,w . �.�.�. mm_�� ��� �m.�.._�. ... ,.. �._M. �v_� _.... m � _ ��_� �.�r. ; 1251 PIE 991'H ST,h�iara�i Shor�s,FL 3313� 1132050i�0070 . � E ��� C�ntaees ���m��..m��.�,�,�d��__�� . _..��.�. e_.�� �r�. ..u_w.�..w._����.�,.��,,_�_�_�...���....._.��.,�wU wr�� , _m� �.,_�,,. �w.��.w�,..,_,_�__._v_�„_�_��___,��_,� AQA�VI CARRICQ TRS t3�uuner fNFlNlTY CQNS�RUCT(t�N SERVlCES ENC C�ntraetcrr 1151 NE 99TH ST,Miami ShQres, FL 3323$ �NT�NlO E�UVARR C}ther:4155338653 4156 96 AVE,MIAMI,Fl 33165 � Business;7�6443959Q ���aa���� �..��.��a�'�. �. . ��_......_._.._..�._._�__�...�...._._„__....._.,.,.._..,____�.w,�...�...�._..,. ��.....,....._..............n..mmR.,_..._�..,�.,.........._..... �._�......._._,�_.�._m M._.,..__...... .....,..... � Descriptiorr:TOILET ftEMOVAC RND REFIACE,VANITY RFMOVE ( Valuation:� $ 2,6QO.OQ � �nx �cti�n Re u�sts. i ANp R�P�ACE,SHOWER VAtVES,N�W SHOWER PAN REMOVE �� ������ � : � AAND REPL�CE. �= Total Sq Feet: 300.Q0 ����� , = ' <� �� Fees Rm�un� Payments Date Faid Amt Raid Applieatian Fee-Qther $SO.QO 1"ot�l Fees $251.90 CCF $1.80 Credit Card 11/Q4f 2�21 $111.4� DBPR Fee $2.00 DCA Fee S2.QQ p.tttot�nt Dtte: $0.0� Educatian Se�rcharge $C3.6Q Permit Fee $54.00 Seanning Fee $3.fl0 Technology Fee $2.50 Tot�l: $111.90 uil in t y In eonside€atian c�f the issuance to me o#this p�rmit, I �gree Ee� perform the woek eavered hereunder in camp�ianc�with aIl �rdin�nces and regulations pertaining thereto and in strict conformity with the pl�ns, drawrings, statements or specifications submiEted to th� peoper autharities af Miarni Shores Viliage. In accepting fihi� permit I �ssume respansibility�Qr alE wark done by either myself, my agenf, servants, or employes. I under�tand thaf separat� permits are required for E�ECTEtICAL, �'f�CJtViBI(dG, NE�CHANkCA�,V1tIN[�Clti\fS;€�OQRS, RC�QFING�nd SWI(tt��11iNG F'C}OL work. QWM1IERS AFFIDRVIT: I certify that ali the f�r�g�ing infoemation is accueate and that ork will be done in compiiance with all �pplieable laws regulating censtruction and zoning. Futl�ermore, k�uthari,ze the above n irac o d e work stated. .-�„"`� Authorized Signatur�: Uwnee I Appiicant t Gontractor 1 ' ent Date November OA,2421 P��e 2�f 2 r � i� i h�res iII� � �������������-������� 1 � ild � r� �p�a �tm��� 1QQ50 �I.E.2nd Avenue, Miami SE�ores, Flt�ricia 33138 ��� ��, � �.m. ���° ' T�1: (30S} 795-2204 Fax: {3QS) 75f-�972 If�SPE��'9€?I� LIIVE P'�G�[dE RVUM�EFta �3�15}762-49�9 `� �� � �11S��C ��t'�'t'tl� 1�d�. �`��� �'� �- � IT LI 1 ��� ������ ��. �� - �� � �����.���� � ��.�c�-��� ❑ Rc������ � ��v�s�Q� }� �xi���ic�� ��E���v�� �cu����� ❑ ��c�,���c�a� QPu���c wQ��s ❑ c�,���� �� ❑ c,��cE«a-r:o� � sH�� COR1T�iA�TQR �RAWlNGS ����a€s���ss� � t�� �``� � �� � Cit : �iarni Shores Count : Miar�i �ade Z� : ���� F�[io�Parc�l#a � °� �,���" ���"` �� 7� �s the����d���i��t�riead6}��es�g�a��d:Yes NO C}�cu���cy�'ype: Load. Constr�ction��pe: F{c�Qd Zo�r�: �FE: FF�. �9�IIVER: i�lame(F�e Sir��le iitfel�ol er): ����' � �� ��"� Phone#; Addr�ss: � � �� �� �- �.'�', �ity� �� � ���� State:, �� Zi�: ��.� � ��� Tenaa�t/�esse�4�ame: PhanQ#�; Em�ii: �� � i� f: �°�8 C���'����'��: Company Name`� � t����.�� �.����������€��`� �°��� Rhone#�: `��°�.•,E�����`.�_��� �dc4ress: �� , . . `� � ,,��� �� ��� City: �°�< �:.� � State: �� Zip: `�`�?� �'� � � � Quaiifier Name� �``����C�` ��-�����z�- _Phone#: "� � `���� �� '7 � R�` State Certific�tion or R��is�ration #: �' � ������ � Certifieate af Campet�ncy#: �SES9�IviE€�; Arch(t�ct/Engineer: Phone#: Address: �ity: State: Zip: 11alca�o��l�s�k f�r t�sis P�r�€t.� �.�E��, d�i.� S��aa��J�°s�aear F�c���ge a��V41��'k: �°y�e��V1f��'�ao ❑ Additian Q Alteration ❑ New ❑ RepairfReplace � l7emolition ��s�ri�fiiea��f inl�aeke �����°C �� �"� � ��.c� �Q� �� � ��� � � � C�.�i,�� ���?� � ��'� f�=�"°� t"�. C�, � � � �v�{,^�.� ��e���'y ��1��° �������°�h�c� �i#�a �u�rnttta6 ���$ Perra�i�Fee� ��F$ ������ Scaras�ia���ee$ �iad�s� Fe�$ C�Bi�F�� i��star�� 1'echrr�4�gy Fee $ �"�aac�e�agf�dsa�atcc�n ��e$ t�o�abl� Fe�$ S�a-�s��u�al ���i��r�$ Sorad $ ��������������� �� � a �� a q B�nclirt�G�r�?�art�'s[�arrs��if�p�alic����� _ Bancfing Cc�mp�ny's Addr�ss CitY St�te �k� Mort��ge Lender's Name(if applic�ble� Mo�tgage tender's ffie�`dre�� CitY St��� �}p Application is h�reby rr�ade to obt�ln a p�rmit to c4o the wc�rk and ir�sta!(atians as Endtcated. I cprtify that no w�rk or instalEatie�n has eornmeneec� �a���r �� the issc���e� o� a �terrr��t and t�ta� ��� �rk will b� p����r��d �c� r�eeC th� s��r�=����s �€ a�l f�v�s r�g��atin� constructdon in this jurisdiction. ! unders�ar�d that a separate permit must be secured for ELECTRIC, P�UM�ING, SIG�tS, POC�L�, FUR��lACESx €3QIs���S,k��AT�RS,TA�l�S,A1�GE}t�E1iT�6�VE�S,E1`C..... CIUVNER'� AFFi�AV3T: I certify that all �he for�gc�ir�g information is accurate �nd that aEl work will be done in compliance with all applicable Eaws regulatin�constructi�n and zoning, rs������� �� �����: Y�}�� �a�� �Q ������ � ������ �� ���� . `��:����� ��� ����:.��.�" �� ���� ���`��� ����� ��� �� ����������� �� ���� ������ F e �� ��� ������� 1`� ���A�� �1�AF��� t ,;:A C������` °��1 `�E��� �� ` °�R ��i��f ��"�����` ��� �� ��� ��� � � �°��� �� � � � � �>�� tVoti�e to,4p�Facc��tt: As ca c��c��°�crra �c�tf��issuance c��cr 6uitding�rera��t u�r�f�e�n �stir�es��d�c��r�� ex�eed�rtg.�2��(1, tfae ap�6ic��t rr�ctse' prc�rrrise �n gocrd;aith rh��a �apy c�f the ncrticg of corrt,-rrence�rent and car�sfruetta�a (ierr /aw r�roci�ure wilt 6e deli�ered �Q �he perse�n w#�ose pro,��r�ty fs scr�jeet to a���rc,��ent. A�so,a cer�i}`�ed eapy a,�t�he reec�re�ed rrof�ce af camrr�encerrl�nt�c�st be posted at the j€�6 site far ��e�irst ��sgect�ran �k�r`ck� c���c�r-s se�era �7t �`�ys c���r t�� hu�����ag �err�r�� is i u�d. !r� tf�e at�serrce c�f su�� ����es� r�����, ��e inspection !rt�ii!rtot be ap�araved c�nd a reinspectian�ee��rit/be char�ed. � r Signat��e � ��gna�ure ��. C}�it�lER or AGE�11" CC��iTRACTOR Tf-��for���i �in�iri��-r��r}t w�s�cknaw��d�ed i�etor�m�thi� l h���r��oing ir,srrtame!�?t��v�s �rkn��fle�g�d �efnre r,-}�r�-;�� d�y of � 2Q � � �Y �� c�ay of �C � 20 ,�,I , �� C����"•�v��is�t�sa�ally k�awn to ��c�•c��i�� �+�'�.?�r��, ���c�i��e�sc�€ia�sy k�ov�ti�to �-�, {,. ��.���. me or wh�has praduced �.--'r''�(�..t'"�- t�-`C���,!� rr�e ar wF�o has produeed as identifi�ation �nd krrho did t3ke an ca�tl�. identifivation�n�i , �„ �j}�y p{ y� g�gg {(^ � f'�q pgg(/��gp g p}^ � > ���a�� �,stilr`l�� � �. 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Fta. Stat. � �40.�}5 �Ila�s cor��r�t�c�fficers in t��e conseructian in�ustry to�x�rz��t thern��l��s fr�rn tl�is requiren�ent fc�r any cc�t�stk�action prc�j�et�rior to obtaining a building pern�it. Fur�u�nt t�a tla�;Florida Divisican of Wc�r-kers' C'ocrtp�ns�tic�n�.n�plt�yc;r F�ct�Rrocl�ure: An ernplayer in the cc�nstruetion industry who employs one Qr nsore pa�t-time c�r f�ll-time eniploye�sr includin�the o�vn�r,n�ust t�btain�orkers� compensatic�n ccsvera��. CorpQrate c�fFicers c�r menzb�rs of a limited lial�ility �c�r��par�y {I.I.C) it� tl�� cc�nstz�uctioti industry rnay e1�ct tc� be exem�t if: 1. The o�ffieer o�vns at le��� S 0 perc�nt c�f the st�ck�f the cc�rporagic�n, c�r i�� the case af �n LL.G,�statezn�nt attestin�;�o t}��rni�limun� I O p�r��nt c�wtlersllip; 2. The c�ffic�r is liste�i as an e�ffic�r c�f t��e ear-��aration in t�e records af the Flos-icia I3�partnle��t t�fState,Divisit�n ofCor�±�rat�ons; ar�d 3. Tl�e cczr�ara�ior� is �°egist�red ar�d listecl �s �eeiv� u�ith tl�e Fiorid� L�epartm�nt crf State,L}ivisian of Ct�r�or�ati€�ns. Nc� more �I�an tl�ree corpor�t� c�t`Pic�rs per ce�rperration c�r iin�ited liability cQr�n��n� rt�emt�ers ar� allou=ed to bc �xe�r�pt. Conseru�tior� �x�mptions �r� ��alid fc�x� a peric�d c�f tu�� ��ears c�r until a volua�tary revocatio�x is t31ed vr tl�e�x�m�tio�l is revc�ked l�y tlze I?ivisio�l. Your eantractot-i�requesting a pennit tander�llis wcarkers' conzpensati�sn�x�mpticn and has aeicnos�Fledg�t1�ae he Qr she wi1] r�at us� day labQr,part-tiz��e�r�ptoyees ar subcc�ntractors f�r yaur proj�ct.TI��cc�n�ra�tor}�a,�prc�vided a��affidavit statirl�t11�t he c�r s}�e��i1i be tl�e c�nnly pers�n ailovaed to z�Tork oi�your praj�ct. In these eircc�mstar��es,Mia�i Stlares Village does nat rec�uire vex•i�cation af wag-kers'colz�pensation insuranee couerage fram tl�e contr�ct�r`s�o�npar�y for day 1aEior,�aat��tin�e employe�s t�r�ubcc�ntractc�rs. BY SIGNING £iEL4W YC?U �CKNOWLEDGE TNAT YC}U HAV� R�,�11� TI-�I� 1�1E�TT�E ANI} LTI�L?��2�'T`AND ITS �C11iTENTS. �T�12�tUI"�: �W ll l'P State of Florid� ��uagty af Mian�i-I?ade `I"l�e fore�oin��vas acknoufiedge b�fore me�}�is day�of � � C._ ,20� �. �y �'���. � wl�o is�ersc�nally k��own�o�e oz-h�s prad�zc�d ,_ ��, �e u'"� 'r���--� as id�z�ti�cario�s. 3� ; � I�o ��.s � �7 1 �.__._ e E e,,,� �� `•<.q, t�� ���� G�FiOYttS � �Et1L: � � �ar�misslon���2�7209 `"r �Q� Explr�a Au�u�@ fr,2022 �er�t.4� ad Tl�u 9u6g�t r�