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PL-09-21-2478
� �\�\�1 1�\>�(\� }� \ � � \ 1\ � �,��\ ��. \ � ��� � Ci � � A1 � � � til � ���A�t \� A�t \ti ti �� o t z`�� �� � � °�`t�����j����� \�� � z �s i V � �, �' �� ��� f.�'� �{��.� \�'� � � �� \ � L t.�A �� �ti� �t� L 4 V �`t \V� 1 �$ .- �,� 1r � � ` i � �� � �`t`:���z �, ,�.�, iarr��S�or���ill��� , � >�� � ,� :��� �� '� ; ; `* � ,� � � � �� �ti � ` y `�\ lv10 1���, � � � , 10050 NE 2 Rve �� . s � t l,� �� � �1� � � � � �� ,� � � b \ z � � ��� Miarni Shores€L 3313� � � � �'����� � � \ �Q � �. �� . � �Z �� 1ti li �VA��.A t �� ��, � � t �� � � � V � A ��ti� � z ����� � QL w �. �,�, 3Q5-795-2204 �> > � t� , � �� � `,t, � � � `�s � <>� � � , ��� � ZL � � � � �� c � �7E�a{N' � f \. 1 7 V� � � ; .........t. ��, . �������i����� A ��f}i&@C9�' �� \\s tt �t}ti�� � < � �� ` �.... . � ���1 ��,�,���,����°�`�����'I��`;���������;� Expirafion: QA�j01f 2022 z.. ��� ��, � LcacaAion Address Parc�!Number �,�,e� � ��w,��.w.��.e ,�w��ua�,.����A.�.�_�..��.� .m�.a a��� � __n._��.m����.,_.�� _� v��. � � i 223!VE 99 5'f 2132064i32182 Conta�ts � TM�QCIVIN�GRQUP NGMES LLC Owner 1t�Planning and Buildin� �pPlic�nf 293 NE 61 ST,MIRMI,Ft.33137 Jairo D�Igado Business;3053005174 2865 S.OCEAN DR,HalEandale Beach,FL 33009 �usiness:7�628535II5 jairo�ajdplanningandbuilding.cc�rr� ; INFINITY CONSTRUCTION SEftVIC�S lNC Contractor Daniel Latour A��nt � ANTONIO�l1V�RA 5935 IVE 2 AYE,Miami,FL 33137 � 4156 96 AV�,MIAMI,FL 33165 danieP@latourdesign�com �usiness:7864439590 t ..m,..._.,.,e,.�.:.....�.,.R,.�.�..� ...�....�� , �....aw�_..,,.„..,....._,.,.,.,.�.. r �.._�....,.,w,.,_....,..�.,,.,,............,� . .. � Deseri�atie�n:NEW GAS CINE � V�luation: $ 2,720.00 kns eet�on Re uests , � ���� �� ` �� 1�,� �� , � � ' � TatalSq�eet: 3,6QO.QA � � � � � �a<.. o��� �� Fees Arn�csnt �ayr�ents Date PaEd Amt Raid Applicatio�Fee-Other $SQ.00 TotaE Fe�S $111.44 CCF $1.80 Cash 09J27f2Q21 ��p.Q� e��Pft�ee $2.40 Credi�Card 10/�1f 2022 $61.9Q aca F�� �2.ao Ed�eation Sureharge $0.60 Am4tt�nt Due: $E�.QQ Permit Fee $SQ.OQ Scanning Fee $3.04 TechnaEogy Fee $2S0 Ttttal: $111.94 uil tr� �pa ent y In con�ideratian of the issuance to me of this permit, f agree to perform the woek covered heeeund�r in eompliance with al! ordinances and reguiations pertainir�g th�refca and in strict conf�rmity with the pEans, drawings, statements or sp�cifications submitted to the prc�per au4horiti�s of P�li�mi Shares Viliage. In acc�pting this permit I assume r�spQnsibility for aIi waek dane by eifiher myself, my agent, servants, or emplayes. I understand tha4 s�parat� permits are r�quired for E�ECTRICAL, PIUtU��31N�,N1�CHAN(CR�,WINDOWi, DOOFdS, R�OFING and SWIM�+1lN�PCaQL work. �WN�RS �FFIDAVIT: I certify that all th� for�gaing information � accurate and t t all work will be done in compliance with ali applicabie laws regulating con�truction and zoning. Futhermore, I authorize the a ve na d eontractor do the work stated. Ftuthorized Signature:tlwner l �pplicant 1 Gontractor ! Agen � �aEe E�ctober 0�,2021 �a�e 2 caf 2 � i i r� s ill � �� : ,�* . . � . � . . . , � ��� . .� �� a ��I�d�r�� +ep�r�t ��►t �t � t n t �� �.�� � ..�` � lt�}5��1.�.��d�+v�nu�J Miarni Sh�r�es.Flor�d���13� � � Tel.{3tt5}T�5�Z2t�4 F�x;(�tl a�75f-$9�2 ������ � _.n . �r�����c���.����t�canr�������:(��►s��sx��� ��oH a � C � ����.����i I��st��r Pe�°m1t Itilc�.F2�-(��-���t�Q� IT LI 1 s���������. rv;��.���� `��_ �� ��u������ � ������c ��ca��n�� � R���tc�� � �a�-��s«� �������� ���.�n��i�� £' ������t � �u��:ev����s � ����v�� �� �����°ra�� s��� � e���r c�r�� c��w���s ���a�,�� ; 123 N� ��9th �t CI : i i 5h C+� n : M� i e ��t�����r��o�.1����(J�-Q13-�1�1 �s���ut���r���tt ��►��s��r+e�:v�� �� � Ac�up�r�cy Type: Laad: Ccsnstructican Typ�. �@W Fl�od Z���: �FE: FFE: �r�v���:��m��F��s�m����r�t�enc�i���):�LIVIN� t�Rf�UI� H�}R��� L�,C ���ne�:(30�}��3-�119 �c�dress:�9�5 N� 2rtd �ve ���y; M��m� st�te° F� �,�. 3��37 � .�. � ,,,, ;a_ Ten�r►tJl��ss�e Nam�: �f� Ph�ne#. Email: �� �'T��.C�mp�ny t��rro�: '". �� � r � ' ,r � c� � � P�o��; � � �' �ddr�ss. �. � �3, � �. y City; �1�tfi11 Stat�. ��° ZEp. _ � `�� Qu�tif�r�1amc, P� -� , .� Ph�ne#: �3Q5} 975�-�49 5� � �, St�te C+�rtif�c�tlon csr Re��stratix�n#: � � � ' ���.��� ��rtiflcat��f C�mpet�ncyy#: ���._� ����.� '',� � " ��sr����:�rcn���c�/�n�ir���r. Pr���hel ���s�r� �tu�ic� L�G ���„�: (5fi1} 3�1�Q3�4 1��(?5 �I��AY�E ��. ��11T� �Q6 � � ���� FL. 331 fi� A�dr�ss: �ity; St�t�a Zip� tl�1u��f Wo�k f�r th�s P�rm�t.$ �,7�� Sq jt�r�+e�r F t���af 1N�rk: Type Q#W+�rk: � Addition ,0.lteration � N�w ❑ R�p�irjRepl�c� ❑ C}�mcal�tican � ��c���o�w�r�. New �a� �ene ,Sp�ci �a�l+�r���afo�thru �ile: s��m������5 �erm�� S cc�� c�l�c� n�€ng F+e�S ��don F�e S ��P�$ tdot�ry$ T+��hnolo�y Fee$ 'Tr��ningfEdta��tt�n F+�e S �+�ub#+�Fe�$ �tr�ctur�l Revi� � n�� ror,��.�����w a��� �� � t� ����z�lz�x�� ����dwn���mpany's Narn��if�pplicabl�} �candin���mp�ny's Addr��� G1ty S��e� Z�p f��rt���e�.end�r's Narr�e(if�pplicabl�} MQrt�a��G�nd��°s Adc#r�ss City St�te Zip �pplieaticsn is h�e�by rr�ad�t��btain a p�r�it to d�the w�rk�nd i�s�allati�ris�s indl t�d. I c�rtify that n�w�rk ar 1�st�El�t��n h�s cor�am�nced pr��r to the t�su�nce �f � p�rmit and that �!1 w�rk wall be p�rformed to m�et th� st�nd�rds c�f all I�ws r���alat'sn� constructi�n En this jurisdictlon. ! �nderst�nd th�t a s�parate p�rmft must b� s��ur�d fQr EE�ECFRIC, PtUR��ING, SIGNS, POQtS, FURNAGES,B[tILERS,HEAI"ERS,T'A�NKS,�IR�qN�iTIQNERS,ET�..... +�Wt��ft"S Flt?�VIT: E c�rt�fy that all the fore�oin� inf�rm�ti�n is �ccur�t� �nd that �11 w��k w�ll be do�� ir� c�mpl€�nc� �rith all app�ic�ble Eaws r�gul�ti�s���nstruction and zc�nin�. ` ������ ��} Q����: ���� ����.�R� �� �����'� � ��'���� Q� ������������ ��1� �����.T �� Y��� ������ ��� ��}R '�����/������ T� YQ�� �R���� . �� �Qu �����Q T�} ��TAI� �INAN�IIVC�, Ct�t1�S�lLT V�'11'H YQU� LE�I�EFt tl►R ARI ATT�RNE"Y BE�{�►RE RECt��C�IN� Y�U�t Nt�`TI�E tJF C+C? MEfV�CE EIVT." N�trc+�t,�Applicca�rt: Rs a cc�ndFtic�n tc�the fssua��e c�f�bui#a+r'n���rrrrffi wit�r art�sta�nat��vafue�xce��irag$�SQG+, the�p�li��rrt�u�t p rr�ise ir� g��d,f�rath that���py nf ch�r���r' �f c�mr»erac�a�er�t c�rad �s c�ti�ra lfen f�ry 6r ha�r� wi1!�e d�liv�r�d t�th��ea��� wrhos�property ts subjec�t�trtPa�hm�nt. ,Als�,a rtd��d cca�y nf th�*r�ccrrd�nQtice o,f cvmmen ment rnust�a�pc�st�d at�th�J�6 site f�r t�he�rst ins�aec�t�on which accurs s�v�n (7� days a„�'t�r th� br�ilding g� it 1 issa��d. !n the absence of scrch post�c� ncatic�, �h� irt.sp�etic�n wPdl n�t be�pp v�d�nr�a r�^�ns�r�cti�an,�ee��vill be ei�arg�ed. N ���� � .�---�-��-�--`��_� ���._,_. ��- � � � Signatur� � n -- Si�natsa t�WtdER car AC�ENT" CONTRt��TC?R The fcaregc�in��nstrum�n�was acknc►wl�dg�d bef�re m�this The for���air��instrument was��kn�wl�d��d b�for�m�this 1�#h ��y��S�pt+�mb�r �� �� �� 15th ��y��S�pt�mb�r �� ��1 �,y �1 I�S ��"Q�11�E`1� whcs 6s personally knovvr�tcs who is p�rs�nally knc�wn t� m��r wh�h�s produced as me�r wh�has produ�ed as � id�nti�c�tio�and w o d�d t�ke�n��th, �dent�fi ti�r�and wh��ci ;tak�an�ath'�' � ,� {�IC?'TAtftY Pt��l.IC: ��*`� H!Q'�ARlf'PUE�I�IC:�F°` ��' � ��� � ��� ��` � ` �� ��� �£ � �� ��� � ,� �- �� ,, s���,: s���. ��,nt; D r I ��,n�: C}�r�el C����Ilon -� � �, ����F� s���. ���� ���� se��: �,�, .�, � * a�t�a���s� � � �, � � ��� ��,� �� � zo� � �� �' � � �R�+I� t2; �, x��*��a�a�*�a��a���a�a�a���*�rt:*��:**a�+�a:*�*�e�:�s��+����:*�*���*��**�**+�asss *** �r�+��r�a����:*�+�����rs�► 'i��;+�'� � �PPRQVEI'��Y � �� � �-°'� ....,.,�„� Plans Ex�rn'tn�r Zaning Structural Review Cl�rk {R�visedo21241zo14� ,.. Y. ��`.� ` � � � �.. � � `�� �'� a� Y �D i a,� C�G�C?��C �.� �f��� ��a���'(3��=�f�t"Pd�� ���r�ty ca�C�ia�i ��d� €3��c�r� €���this€��y persc�r��l�y�p���r�� �i�a�c�r�€cs k.�v�r�v��c�, �a�6����I� s�vc����, ��pe�s���r�� s�ys: T���t ���nril, b��6���r�l�p���c�n a�c�r�it��c�r����� �rc���e��t�c�t�c� �t �2� �� �9 S�. � 1 r � ; �� �g 'l� �� u •� . . . ...ww�»»a�� ��««.m �f�[1�E"c��'��}f�I��6��Ll�'� S�c�r��€���d�c�b�cr�b��4 b�f�r� r�����is 1 d�y c�f�c�c��er, 2Q21, �y�n��sr��c� �,���r�, t� F'�rsc�r�ally �r�ca� � C�r Prc�s��s�� �c��r��€�rc��i��� `T�����8d�s�tif�e�t€csr� P��d���c� _� �� �� � � � �,° ,� . ___ �� � � � � �� «�v.. +:;u^&x,� . . , � ., ��; f��,���-.. �r�ir�t,�yp� ear���rr��a �Varra�c���c���s� yw"4��4.y E};Y !-^ �i itP t?f h'lUt'iCii'� � �!'�� t . �,�n e r;i�,i53 ����°'� z I t.� _ ;3��,w r: `4'� t ;�,t ,�;�in��� 1 v�+�_..�, �;F.�' m,r.v�.a -aa,� �A � ,„.�- ❑ t p�s rt! lhf�P�t� 4��trtit.�r�� F�t�.i,d4. lV�VfME�it'1�.1 �,�,`�aY���``� f'otae�Ru�iia-Stat�a�FlQrlda �` �"^ "�n`tmis�iQn # C;G 9�2�353 mx �� r�� �? A�Y Carn€r�. Expiros 03-2(3-<"42k `�'�"`�ti;�<<� �onc��d Thr.^,u�h �;t<ck(�cerr}�;;�t�ry�3orc�ing tc±c ' ������� iar�i hor�s �Il�g� �.�� � �� 1� t � � �o��� �.�.��a A��r,�� � '�`�C � �� � Miami ��oee�, Florid� 3313� Tel; (3Q5} T95.22Q4 Fax: {305) 756.�972 ti � r � r r ' #i n 1 ur n ti � � ��> , l � , � �� , ��,. � �� �t 3 ��� �.�� � � ��� 1 � � z , � � �, . � � � � ti � ���� � ��� s at� �,�.�� � ,��. � V��,,: '1��, � .fty. . t ..C.�s < .`.��.. �`:s�. ;,a� . ��„ .i.. .�. .T.. . i�'a. t .} 4 , ti. .�i,. ..��. �,A Z �;�,-�. z ti.��. .-., cn,c. �11 1��<�,c„zr, � �� r �, �� � . ��� ,e�\. , �,1..: ,�r \�<,� Y �� ti i s�� .,�,, r��, �� ;t� e�t;..,. �Z:��l,2k .�<`�.�,c*4����:.\,���..�;�`�.\s��..�`z��.S ,ti��4 .1�'\.:'������ \.�`b��,'��g:�i���s��;S,�.�,,.'�i,.'i�;� j�'Y�`$y. 1 . "y` `r}o�'�.Sts�� ti���4�� a�l�t .`.��� �v, \��.�.,:��:'� `\, :.�. t��,..� �`i' b �, l i.., �, 5.. � ���. '�`�, `.�. �V�. �x`�"�:�' `�c Florida Law ree�uires Workers' �a�npensation insuranc� covera�� under Chapt�r 44Q of the Florida Statutes. Fla. Stat. § 440.05 �licsws corpor�t�offic�rs i�the coras ction zndustry to exempt them�elv�s Ero�n this requirement for any canstruction praject prior to obt��ning a buildin�p� �t. su t to the Ficarida I)ivision of Workers'Gompe�sation E�aployer F�cts BrQchur�: t�n e�player in th� constructiaz� iz�dustry who �rnplays �n� or more part-time or full-tiYzae employees,inciuding the o �r,must obtain warkers'compens�tion cover��e. Corporate of�icers Qr m��nbers of� limited liability campany (LLC� in the cons �tioz� iradustr� m�y etect to be exempt if 1. Th�of�"icer o s at least 1 Q percent of the sto�k caf the carporatian,ar in the case of an LLC,a statement a�testutg to the miuimEun IQ percent o �rshipA 2. Z'he officer is list�d as a�� officer �f the cotpt�ration in the records of the Fic�rida Dep merat af State,L?ivisior�of Corporatians;and 3. The eorparatiQn is regast�r�d and listed as activ� with the Flc�rida Dep �nt of State,Divisican of Cor�oratioz�s. No more tha� e� cor�aorate officers per carpara.tian or liinited liability company znembers ar� allawed to be exempt. Consfiruction exempt�ons �re valid for a period of'two years or until a voI t revoc�tion is fi1�d or the exeffiptican is revs�ked by ttt�I}ivisic��. Your con�ractar is r�questin�a pe °t under this�vorkers'compens�tion�xemptzcan and h�s�cknowiedg�th�t he or she vritl not use day labor,p -time ernptayees car subcon�ractt�rs for your proj�ct.�'he ct�ntracxor has provrded an aftid�vit statin�chat he or she wi11 be the only person aiic�wed to work on your pro��ct.In these cire stances,Miarnz Shores Vitiage dcaes not r�qui�e ve�ifi�ation af workers°cc��z�ensation i ce covera�e frc�rz�th�contractor's co y for ciay tabo�,g -time e Ic�yees or subcontractors. BY SICaNII�iG BEL,C}W YC}U t�CKNOWLEDG� T'HAT YC}U VE t�I) THIS NC?TICE I�ERST D ITS GQNTENTS. Si�nariu�; � Own�r Stat�of Fiorida County of Miami-Dade The fore�c�in�was acknowledge before me this � day of ��� ,20 BY � � �� a A � wha is persanally knawn to me or h�s produced as identifacatian, �. � {f} ,,,�f,�,, �i�EJ�. �€;a?�`R 6�R C� Not ,,������� ,; 4� ��� 3Jatary Pablic-Staee of F I�ri��a Ccknrr�i�slon d4 [ati �tt�Z3�3 SEAL: ; �y Garn�n. E�pira���:3 �Q-20��5 ,�c��� 3cnci9���re�ucii %ii��rti�`* t-i.,Cklv�E;r�ry� N:;iacY�e�^.�`�inc �`�r,