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CHANGE OF CONTRACTOR (3) � , � . ������ ��'����`"��'.��.,� °� C� '��l�.., t � t � 1�� �� � � a �� 1 r . �:��� ��' a �A.....n���:����wu,.. �� 20Q�0 N.E.2nd Auenu�,Niiami Shores,Flvrida 33138 ���:(�os)���-�ac�F a(�os}�s s�z ��us�� ��E�r����o���un��ER:��as}�s2-a�s � ��`�� F�C 2Q � � 1 I a�t�r P�rr�it N�. � �° � /�' � � � � Sub P�rmit f�o. � °`�'� � � �" ��u������ ���.�cr��c � �c������ � ��v�sac�� � �xe��sg��v �,R�r��w�� �� t"�°�� [�P�un�a�rv� � �n�c���«�� ���ra�.�cw��� ��aa��� c�� ����c���-rEca� � ���� c��T��c�-�� ���w���s .rcas ao���s�: .� �• � ��� � �� �i�1'� (Vliami Shores Countv� �''l� Miami�ade Z�� � � f� � Foti�/P�rce1#:� ,� � � � fs the�uifding Histari Ily °s�n� :Y�s_____�NC} (�ceupancy Type: Laad: Constructi��Type�� �Flood Zone: �FE� FFE: � ��� OV1/t+tEEt:Name(Fe�Sirr�pl�TitEeho[d�r}; Phone#: Address: � � ��° � �� � �ity: t� � t�t�: � Zip: � E Tenant/l�essee�Vame: Ph4n�#: Email: �� � � � �` e+��r ��:c��,��ny����: � �,�15 t�� r �n� �no�, : �`?�'� ����`3 S - Address; C�� � 5tat�: �� c� .a /.�t�- Zip, `� c���. Quali�er Nam�: GL c'"� ��� �j� i ~f�'f c� Ahc�n�#: • �" �� c� State C�rtifcation c�r Registratic�rr#: �� /� ,�11"� ,�� Ceetific�te of C�mp�t�ncy#: ,� ��7�'��C� `� DESI�RIER;,4rchit En�ine�r: Rhone#: O Address: Cit)°� State: Z p: �� Vatu�of Wc�rk fur thi�Pe it:$ ��- `��qaar�/L`rn�ar Faoia�e o�1Nark: Type of W�+rk: ❑ �dditic�n [� Alteratiora IVew ❑ Repaie/Rep{ac� � [7e nolition DBSGCI�LiO►1 Of WC)PIC: ��� �� ���F��� �,- �p�ei c�1�r o,�ca►la��l�ru ��1e: s���� t��e� P� ����� ceF� e�/ec� Scannit��Eee� Radan F�e$ E?�PR$ M�t�ry$ T hnologY 5 Tr�iningjEduc�tacsn Fee$ Qaubl�Fee$ StructuraE Revie $ ��nd$ T�T FEE filQV4t C�LIE$ �� . (Reuts�cl02I��J2C�24} \ Z 2 �� {�� \'. �.� ; � � � �� ti V � �`�� � � . �, �,����' . � �����L� � A l \ ����L � � � � ��� �� �cg � �.� �. � � � v 1 � � � y �5���l�Z\ � �� iVt��rrrl Shor�s 1Bfllage � � � � � � , � ,'��� �`� „m„�'� � c'� �� �� z � �1����� �� �ZO"� ��`����� ti��. �o 100`a0 NE 2 Ave � s �� � �1 � c�1'���Z\� ���.� � x ��� Miami Shores EL 33138 � ���'�'��'�������� ��, � � �. ,,, �as-��s-�zaa > > ` � ���� ����� "��� �� � �ryxLR tN � � � � � 2 � �., > 1 ,.�:�: \,......... . .:� . � V�, A�V �Y g�; ����t'4��' � �� � �� � �` ti � � �� ��:,�,<;��,��� ,���`�������� Expiratisan: 12/21/2f�29. Laeation Address Parcel fUumber e��. �.x_,���__Me���.� �.��...��. �We��.�.m� �,._.__w._.��e_�..M��_.�.����..�wY. ......,. . ��� �._. � . �_ . �..,..w_,�.,.�w�.._ ..�.��v__�__��.���� � 123 P�tE 99 ST 12320602321�1 � � . .:.. �� �.��. ��, � C4ft��CtS � THE OLfViNE 6R�UF HOMES LEC C#wn�r SUNSHINE EIECTRICAL GONTRACTC�RS Cc�ntractcrr � zs���sz sr,n��,�n�i,������� eo�� � �usin�ss:3Q53005174 MARIANO SANTI�STE�AN � 13QQ SW 85 CT,MEAMI,FL 33144 , � Business:3Q52654958 Ncame:7864439590 � Other:7fi62736194 i z �Ll A�OUT CC}NSTRUCTIQN IM1lC A�ent i o�iel toleda � 455 s biscayn�river dr,miami,F�33169 ; �usiness 305-3QQ-5174 aacelectricaEe@gmail.eom Mobile:305-3Q0-5174 s . „ a�a�a w.w_._wa.m__.�_.��.M._�..mw_.__.._�w.......��......_.._...�...__.........._._..._....._,_._..,__.___.�....._._..._�..�_.............._................_.........._.......�..� F...,,_..._.�.__..�....�.....n......__....r_.....__.._.�_..�....�_....�._.w...._.._._......_.�.....,.., ' !ns �ct�ern Re��s � E��seription: NEW SENCa�E STORY,4 B�DROOMS,3 i V�lu�tian: �29,000.00 � ���',������ � � ; BATHROQMS,SfNGLE FAMELY NQME 36QQ SC2FT QF TOTA� � ` ` " \��<��°�� E CONSTRUCTION � 'Fotat Sq Fe�t: 3,604=�0 � ,,_ , � ,, � � <� � �� ?;� : � �. �.. .. , ,., � ; 123NE94ST � ; ��-��as-az�-�2�z � ` ��Y Rur� F�es Amount �a�ments �ate Paid Amt Faid Appiicatian Fee-Qther $50.00 Tota1 F�es $1,1��.7� eeF $57.40 Check#1020 Q1/13J2021 $2,�3$.?Q Char�ge af Can[ractor $110.00 Credit Card 06/21/2021 �110.Q0 DBPR Fee 513.45 QCA Fee 58.70 A€�tc�urtt Du�: $4.�0 Educat�on Sureharge S5.$0 � � Permit Fee $82Q.0� Scanning Fee SSQ2.dQ Techno[agy Fee $21.75 Tc�tal: $1,248.7Q uil In e nt En consideration of the issuance to m� of this permit, ! agree to perform the work couered her�under in compiiance with all ordinances and regulations pertaining th�reto and irt striet confctrmity with the plans, drawings, statsments or specifiicatio�s submitted to th� prpper authori#ies af Miami Shor�s Village. In acc�pting this p�rmit I assume responsibility for a!l work done by eitt��r my�elf, my agent, servants, or�mp�oyes. { under�t�nd that sepaeafe permits aee required fcar�L�CTRIGA�, PIUM�IPJG, MECHANICAL,WINDflWS, DQQRS, RC3QFING and SWItv�MING POOLwork. �WN�RS AFFIC?AVIT: I certify that al! the foregoing informatita� iS acc te and tha all wark will be done in compliance with alI applicable Iaws regu(�ting constructian and zoning. Futhermare, I authorize the�bove nam cont a�t �t do th�work stated. ,� Ruthorized Signature:t?wn�:r ( Applieant f Cantraetor ! ge Date lune 21,2021 �_ Page 2 of 2 �andin�Company`s Name(if a{aplicabl�} Bonding Campany's Address __� _ City _State Zip Morigage�ender's Narrre(if applieabie} Mort�ag�Lend�r's Address City State Zip Applieation is h�ereby made to obtain a permit ea da the wc�rk and installations as indic�ted. I certify ehat nQ�rork or installac'sc�n has eommeneed prior ta the iss€aance of a permit and that aN wr�rk will be perfarmed to meet the standards af ail iaws regulating canstruction in this jurisdiction. I understand that a separate permit must be secured for EIECTRIC, PttJMBING, SIGNS, PQC}LS, FURNACES,BC71t�ERS, HEATERS,TAM1IKS,AIR CQRIC?ITIdNERS, ETC..... �WNER'S AFFID�VIT`: E cerLify that all the fnre�oing informatian is aceurate and that aEl work will he don� in camplianee with alE applicabl�laws regulating construction and zoning. tf M�N� .13 i 4f ��1'4. T i.�Li(1 1"�I��R� F LO �im48.P(14J tY i.lT�i+E 6Jf S.� � 44 � ( M� RESULT IN YC}UR PAY�NG T ICE FpFt I RR�VEMEN`TS T Y UR PROPER , IF Yt?U t TEN T� C> TA1 FIN�NCING, C�RISULT WITH Y4l�R CEN�ER �R AN A �RNEY EF�RE RECQ �1lV� Yql1R N TICE �F C ENCE E T." � IVoziee to Apptieant; �s a ctzrtdition to the rssuance af a building permit wrch an estimatet�valr��exc�eding�25Q0, the appfieant must prornise in good�nith that a eopy t�f the nQtice a�eamm�neerr�ent t�nd construction tien law brocht�re wlll b� delivered ta the person vuhc�se pro�aerty is subject tc�aftachr�a�nt. ,4tso, c�eertified eopy e�f fhe recorded notiee of commerac�ment must be posted at the jvb site for the first inspection which oecurs seuen (7� days after the 6uildrng permit is issued. Ir� the cabsence of such pasted notice, the inspeetion wi((nat be ap�rroved and c�reinspeccron fee will be chcrrged. �_��..._.��.,� .-' `� :$ �..- � _e �� ,, �� . �,�--. ,r Signature_ � Si�nature �_`�`,��`�,��"��'�'���� �„M �.�������`� , �•��� ��.�; OWNER or�E�ENT CQRJTftACTC}R The foregaing insteument was acknawledged befare me this The fore�ain�instrumen�was ael<na�ledged b�fore me this day of ,20 t� , by ��� day o ____�.�,2� �� f , �Y � � � i � _,wha is personall known�to ,�vhc�is personally knawr�ta me or wha has produced as me or who has produc�d �..'�� ,��° '.�� �as id�n�iffc�tic�n and who did take an oath. ide�tifica�ion and whc�did take ar�Qath. NC?'��RY RtJ�LIG: lVOTARY PU�LIC: , f" � Sign: Si�n: � + . m � , Print: � , ��� Prin �� ` �� � �f��'�;�'�—� ,�-���`� � �; S�al: ,�a*�•"4e. NaY�ry 6'uCs1�c�t�ta�f Ftor�d� SeaE '*� k^ C�mm6ssion k�i6 9fi2f353 �yR z� ����v���.�f1�.���,.��� „.�,� ,�'< �}+�Ctt11CXt. �M(?IE@�a�}3���?'�Q2A 'R �'at�?fl11TY1 �����4�� �F��t�t{4��,' �QPI(��('��h[QU�t1 ��� ��p�r�� 2� huckleb�try E4ae�ry Banding tnc *���a���� � � � � * � � �����a���*�*�a��**�s��e�*��:�w*����:���:���+��:+������������**�a��z�������a������ � � � , APPR�VED BY � � � ' ���^����PEans Ex�miner ZQning Structura) Review Clerk {Revisedaztz4lzo��} ��,�o��� � ��a�' iarni h�r�s �I1� � �.t! � ,iiiE� �' � �j���$t��4� 10050 N.E.2nd ,�v�nu� Miami Shcar�s, Flc�rida 33138 1"�t. {345) 795.2.2Q4 F : (3Q5) 756.�972 CHANGE Q� C�►NTI�.A�Tt�R / ARCFII�t�'E��' Per it .�L-01-21487 C}wner's Name (Fee Simple Title Halder):TNE Q�IVIN� GRQIlP HOMES LLG Ph�ne #:305430Q-5174 Owner's Address: 293 NQRTNEAST 615T STREET City. MIAMf State : F�- _ �ip Code:33137 ,�ob Addr�ss (C�f where w�rk is b�ing done);�23 NE 99th Street �it}�: M�a i Sh�r�� Scat�:�Flarida Zip Cc�d�:33138 C�ntract�r's Company Name: AL�.A�OUT Ct�NSTRUCT(QN Phone#:7�6-487�6133 Address: 13375 N� 4 CT City: NC?RTH MIAMI State:F� Zip Code:33161 Quali�er's Name � �RNA�DC� A. TEXI�dR �ic. Number: Ar�hit�eel Engineer of Record Name: Ph�ne #: Addr�ss: City. State: ��� Zip Cod�: � � � � � ' D���P'1�@ QCIC: ��� � ' � 1 n�r� y �� °r t at t � ��k M�.s een a �r� ora� �r� 1�r t +� ��ntracto�/ar�nit�e� is un�. I� o�r un illi� �c� I�t� �h� �cc�ntr�.�t. 1 0� the uil in E�i�l �.r� t � ��'�` � ia � ���-es harr�less of all �e� al invol�r� �r�t. ... ,��,.._ � ��� ..�,�' � S�gnature �� a��n��ure �. � wner Apent Coneraetar or Architect �h�f�regaing instrum�nt was aknowledged befare me � The fore�oing instrument was aknowledged before me �,: this��day of ���'�=c.-�� ,20`���,by �������� ��.�� this day of � , 20,�by . ��� �E ��'� Who is�parsonally kn��c� me ar whc� has produced wha is perse�nall�known to me or who has �ra�dueed � o ;� �.a � `��` �< €.-��� �=� �-` ntification� as indenrification. � y�"��E� ������. �.����� �C?�� �tt �i ° NUt� �,�ffi��c�ry P�bii�aSt�t�o# Fl�rid� �"}` �� *� ��s�rr�i��ian # �IM 22743 " SI�CI: � ' I( Sl�tt: __ �- °Ek�i°riit«°� ���t��Y1�3�C��, �f}2� t; . � a .,tP, ��i�� ; 3�EL����i Seal: Seal: � �� �t�����;t�1���Sit» ��t��t�a�fts "'aaa�`` EiX]'El�t 5 \Rareh 24,2C12� 1 � � � � � � L�� �� 1 �1C1C1� 7 �q-� � (�ate: State Qf Florida C�unty: E�efore m� this day p�rsc�r�al�y appeared ���°����� ��'.���.� ��� ��� ���--� Whc� la�in�duly sworn, depc�ses and says: Th�t he �r she will be the only person wc�rking in the prajeet located at � �� ���.� � �� ��� � � �,,r � � ;' �ontra te�r Signature Swcarn t� (or affirm} and s�bscribed before me this � day c�f � 20 �- � �����'1�;?-� �, � �_:���'����,�`.�-{` "� Persc�nally Know �..� Or prc�duc�� identificatie�n � Typ� identific�tion Prr�d�aced s�. "1 �:� „ ,,,�,,,' RAUL NAVA�R� ;�,�Y"�+`�>,y Natary Public-5c�t�s af F4orid� Rrint, tY�J� OC S��t11p Ci�i11� Of�10���� ='�' �'= Cammi��ion� �G 962953 p�y "= My Gamm. Expires 03-20-202� '�,��,��`op��` Bond�d The�ugh Nuckleberey Nercary Esonding Ine ������ ,� c�c.as��� � � i�r�i har�� ill�g� .... �.'..� I 1 �. -������'� ��a�o �.�.�nd a��nu� �� � � Mearr�i �r,car��, Floriaa �31 s� � T�t: {3Q5} 795.2204 F�x. (3Q5}756.�972 '�1� � t" °�- t" 1" ' �1 � !" �1 � �� ,,. >„�.� ,. �. ...m � .,,,� �� . ....... ,�� � .�.,, ., ht .,� Ftorid� I,��u requires 1�Vc�rkers' Cc�n�pensezti��� if7slu:�zzce �«v°e�-<�ge t��lder Chapter �=�0 of tl�e k�loi-ida Statutes. FI<e. Stat. � 44t).Q5 ai(aws co�-�or�te c�fficers is�the cozlstruetion indu�try tc�exena�t theniselces fronl this rec�uireme��t fot�an�°ec��stnzctic�n p���j�ct��rior tc� � c�bt�i�tizig�buticting p4.rtnit. Pursuatrt to the Fforida Divisic�tl of Vvc�rkers"�at»peilsation El���lc�yer I��cts Brochure: .�t3 emplo}���� ir� tlle constructioi� indust�-� ���ho emglo}�� c�ne or rnore ��a��t-time c�r full-tirne etZ�p�ovees, i�7clt2din�the o�uner,mt�st obtaiz7 workers' campensatian co�era�e. Corpot�ate officers or z�ea�E�er4 of a lisnited liability com�any (LLC� in the cc���structic�i� ii�dustry may �lect tt� I�� exert�p[i1: 1. The c�fEicer c�wns at l�ast 1 Q�>ercent e�E�tix�stack af the c�rpo�•ation. �r iz���i�case of an LLC,a st��terl�ent att�sting to tl�e nlir�i���un� 1�perceE�t ou=i�eE-sllip; 2. `I'fae ofhcer is list�d <�s aii ot�icec �f tl�e corpc>r�tion irz t�ie records a��the Flarida L�epartm�nt ot�State,I�ileision of C'or��r�tions;�nd 3. T1�e corpotatian is registei•ed at�d (isteci as �cti4e �°ith the I�lorida I�e�artrrlent of Statc,,I�ivisiail af Corpotations. No mc�ie Cl�an tiuee cc�rporatc offlcers �er corp�t-ati�i� ar li�slited lixbility com���ny ��aembers are alla���ed to t�e �xeinpt. C;c�zl,truction exez�l�tic�ns are ti�alici for a periad af two years �r uaitil a v�luiltary revaeation is fit�d or the exeinption is revoked by the I)ivision. Yc>u��c;antractc�r is eec{uesti�i�a�ez-nzit undez�t1�is wc���k�rs'conz�ensatian exen�ptiotl a��c�ha�acki�o��teci�e that t��or sh�wi11�lot use day�labc�k-,��rt-time��nplc���ees or s���contr�ct�f•�far i�c�tar�a��c�j�e.t. Tlle ec�ntractor has prc���id�d an affickavit statin�tl�at l�e e�r�he v�fill be kl�c;onty person ailow�ed to woek on your prajece. ln t]lese ciX-cuiTistar�ces,ivlian�i Sho�-es Vi(I��e ctoes nvt req�ure tir�ri�catio�7 uf� u��orkers'�c>m�aer�s�tic�n insurance cc�l�era�e fz-e�in tl�e cc�ntraetor'�coi��ai�y tar ciay laboi�,part-tzzne�;m�lc�}`ees or sl�bcantr�ctai-s. I3�' �IG1�IN(� I3L�:L,C�I�u` YE�tt ,1(;KNC?G�'LL:I�€;L TII.��T YC�t; It.<1L`L; I�LrII� TIIIS NtITICL: �1Nt) L.TNI>EI2ST.�NI� ITS C;()NTF,NTS. �,,.. .r'" � i Si�nati�re: �net• State c>f P!«rida C'o��nty af i'��i�emi-L}ade � Thc�t«re�c>i ��vas ackne�lil�dge bef<>re m4 this c�t�y af ,20 ��. B�� � � �t` _w(zo is persc�nally krlow�7 to ti�e or has praduced ,f � � as iciez�t'tficatit�n. �c�tarv: i+d ry�`'�tt4ic St�i��9 FS SL;�L: � �,�E�Cs�L C T�IL�N ` , •'s �y�arnma k#k6 097435 �•�r�s �xPre���6 24