BPP-09-19-2293, 10603 NE 11th Ave(� 7� Miami Shores Village RECEIVED
Building Department JAN212021
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972 BY:
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 202D
BUILDING Master Permit No. RC-9-17-2299
PERMIT APPLICATION Sub Permit No. BPP-09-19-2293
BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 10603 NE 11 AVE
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: 1122320380390 Is the Building Historically Designated: Yes NO X
Occupancy Type: Load: Construction Type: RESIDENTIAL Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): EL PILAR INVESTMENT 2 LLC
Address: 250 CATALONIA AVENUE SUITE 702
hone#: 786-489-9333
City: CORAL GABLES State: FL Zip: 33134
Tenant/Lessee Name: N/A Phone#:
Email
CONTRACTOR: Company Name: DIMANY CONTRACTOR & FLOORING INC Phone#: 786-514-2010
Address: 8765 SW 168TH STREET
City: MIAMI LAKES State: FL Zip: 33018
Qualifier Name: ERNESTO C. SANCHEZ Phone#: 786-514-2010
State Certification or Registration #: CGC1517068 Certificate of Competency #:
DESIGNER: Architect/Engineer:
Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $j �I I . Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑■ New ❑ Repair/Replace ❑ Demolition
Description of Work: New POOI
Specify color of color thru tile:
Submittal Fee $
Scanning Fee $
Permit Fee $ CCF $_
Radon Fee $ DBPR $
Technology Fee $ Training/Education Fee $
Structural Reviews $
CO/CC $ .
Notary $
Double Fee $ _
Bond $
(Revised02/24/2014)
TOTAL FEE NOW DUE $ ` j 0 > l.J"
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
E
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) day er the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspec ' fee will be charged.
Signature Signatur
OWNER or AGENT.,CONTRACTOR
The foregoing i Jru t was acknowledged before me this
dayQ 20 by
C &I who is personally known to
e or who has produced _ —as
identification and who did take an oath.
NOTARY PUBLIC:
Sig(
ya�
Print ~ Ih
Seal:
Are oQ:
The foregoing ins fume was acknowledged before me this
T day o n 20 C� I , by
or who has produced
who is personally known to
as
identification and who did take an oath.
NOTARY
Examiner
Zoning
(Revised02/24/2014)
Structural Review
Clerk
Miami shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
CHANGE OF CONTRACTOR / ARCHITECT
Permit N. BPP-09-19-2293
Owner's Name (Fee Simple Title Holder): EL PILAR INVESTMENT II, LLC
Owner's Address: 250 CATALONIA AVENUE SUITE 702
City: CORAL GABLES State : FL
Phone #: 786-489-9333
Zip Code: 33134
job Address (Of where work is being done): 10603 NE 11 AVENUE
City: Miami Shores State: —Florida Zip Code: 33138
Contractor's Company Name: DIMANY CONTRACTOR & FLOORING INC Phone #: 786-514-2010
Address: 8765 SW 168TH STREET
City: MIAMI LAKES State: FL Zip Code: 33018
Qualifier's Name: ERNESTO CESAR SANCHEZ Lic. Number: CGC1517068
Architect/ Engineer of Record Name:
Address:
City:
Describe Work: NEW CONSTRUCTION
State:
Phone #:
Zip Code:
1 hereby certify that the work has been abandoned and/or the contractor/architect
is unable or unwilling to complete the contract. I hold the Building Official and the
is ' hores harmless of all legal involvement.
Signature Signature
O er or Agent Contractor or Architect
The foregoing i s ument was akno9wo
bef e me The foregoing instrument was aknowledged before me
this JZ day o 204,bl this day of , 20 by
Who is personal y known to me ors roduced who is personally known to me or who has produced
as irylen fication.
Nofar,L PA bUc:
KATHERINE SHARbN MACIAS
MY COMMISSION # GG 270837
EXPIRES: October24, 2022
Bonded Thnr Notary Public Underwriters
Notary Public:
Sign:
Seal:
as inclentification.
El Pilar Investment II, LLC
10603 NE I I"' Avenue
Miami Shores, FL, 33138
.January 12, 2021
7020 1810 0000 7435 4657
Joel Perez
Versatile Structure Inc.
16111 SW 72 Terrace
Miami, Florida 33193
Re: Job: Single Residence 10603 NF', 1 I"' Avenue
Replacement or Contractor
Permit No.
RC-9-17-2299
WS-06-19-1276
WS-03-20-611
F W-O l-20-163
DS-01-20-209
FW-03-19-612
BPP-09-19-2293
Dear Mr. Perez,
We have been informed that you and Versatile Structure Inc. have decided to no longer act as
general contractor for the job at "Single Residence 10603 NE llti' Avenue Miami Shores FL
33138". We have no choice but to accept your decision and we have terminated you effective
December 2, 2020.
We will soon provide the building department with the infc
Sincer
Dev to In lit,T,L,C
Copy: Miami Shores Building Department
Postal Service'M
TIFnin MAILS
Domestic Mail Only
For delivery information, visit our wrebsite at wwwwaps.com®.
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Tracking Number: 7020 1810 0000 7436 4657
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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 tXemption
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:
l . 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 tiled 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 proiect. In these circumstances, Miami Shores Village does not require verification of
workers' compensation insurance coverage fi•om the contractor's company for day labor, part-time employees or subcontractors.
BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS
CONTENTS.
Signature:
Owner
State of Florida
County of Miami -Dade
The foregoing was acknowledge before me this 0 day of 20 S1
By whg,is personally known � or has produced
as identificXtion.
Notar :
SaY?� KATHERINE M#l4eb�3'
SEAL: *�° °*_ MY COM SSMf ION # GG 270837
EXPIRES: October 24, 2022
`FOF.P`O Bonded Thru Notary Public Underwrites
DIMANY CONTRACTOR AND FLOORING INC
Date: 02/25/2021
State of Florida
County of Miami Dade
Before me this day personally appeared Ernesto C. Sanchez who, being duly sworn,
deposes and says:
That he or she will be the only person working on the project located at:
10603 NE 11th Avenue Miami Shores, FL 33138.
Contractor Signature
S or (or affirmed) and subscribed before me this 25 day of February 2021.
y .its i�%CGCGCl�,Ci
Personally known X
Or Produced Identification
Tvne of Identification
KATHERINE SHARON MkCIAS
:•; MY COMMISSION # GG 270837
9•G:-
EXPIRES: October 2a, 2022
":Fo�Fr.�:' gOnda
Notary public Underwriters