EL-15-485 (2) i E
Miami Shores Village
♦ i4
10050 N.E.2nd Avenue NE �' +
R 3 f
Miami Shores,FL 33138-0000 t
•`ti.' Phone: (305)795-2204i �
�`°R` s Expiration: 09/08/2015
Project Address Parcel Number Applicant
597 NE 93 Street 1132060141040
SMP REAL ESTATE ADVISORY
Miami Shores, FL Block: Lot:
Owner Information Address Phone Cell
SMP REAL ESTATE ADVISORY 555 NE 15 Street
MIAMI FL 33132-
555 NE 15 Street
MIAMI FL 33132-
Contractor(s) Phone Cell Phone Valuation: $ 1,100.00
YORK ELECTRIC CORP (786)287-7380 Total Sq Feet: 00
Type of Work: Available Inspections:
Additional Info: Inspection Type:
Classification:Residential
Review Electrical
Scanning:3
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $1.20
Invoice# EL-3-15-54685
DBPR Fee $2.25
DCA Fee $2.25 03/12/2015 Check#:235 $ 10.00 $156.70
Education Surcharge $0.40 03/12/2015 Check#: 1185 $ 156.70 $0.00
Permit Fee-Additions/Alterations $150.00
Scanning Fee $9.00
Technology Fee $1.60
Total: $166.70
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 wofk wilt be dbne in compliance with all applicable laws regulating
construction and zoning. Futhermore, I authorize the above-named contractor tadoth kated.
/ (. \` March 12, 2015
Authorized Signature:Owner / Applicant / Contractor / Agent l ' ate
Building Department Copy
March 12,2015 1
s
Miami Shores Village ;;-
Building Department MAR z01
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 2010
BUILDING Master PermitNo9f _��--• LO��
PERMIT APPLICATION Sub Permit NoE_I I
F-]BUILDING fRELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [—]RENEWAL
❑PLUMBING ❑ MECHANICAL F-]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 157Q lD IST-
City: Miami Shores ,County: Miami Dade Zip: 7J
Folio/Parcel#: 2-n� 1 4YC.�r Is the Building Historically Designated:Yes NO
Occupancy Type: Load: l Construction Type:
c /n Flood Zone: BFE: (/ FFE:
OWNER: Name(Fee Simple Titleholder): M C.S Y� F �� Phone#:
Address:: SS S &�E , ` ' za200
City: V'\y �l V'Y\� State: 1 Zip: 7 132
Tenant/Lessee Name: ,^ Phone#:
Email:
CONTRACTOR:Company Name: f 1�C Phone#:
Address-2 _s' 1 '—DA-) I '� S-
City: State: �� Zip:
Qualifier Name: Phone#:
State Certification or Registration#: C 3C"� �Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ �. Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
!C
Description of Work: u b 10 �.e 2-7
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ 6 G' CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
(Revised02/24/2014)
Bonding Company's Name(if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name(if applicable)
Mortgage Lender's Address
City State Zip
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, RE
IN 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 absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument wasacknowledgedbefore me this The foore ing instrument was acknowledged before me this
5 day of 20�, by S day of f . , 20�S by
?,zaws;d A who is personally known to who is personally known to
me or who has produced as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
I � i
Sign: Sign:
Print: +.. Print:
Asea^' ON#EE116499 da, SAPv .aAJ. PORTILLO
Seal 6 MYry..Nl�,�1 Seal:
"Tzr ;f`= EXPIRES,u .8,2015
MY COMMOSION#EE11Fi499
EXPIRES July�c8,2015
`loricL%NaferyService.o".
APPROVED BY �� Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
96
♦SNoeFs
logo googol" Miami shores Village
�n�.�+ Building Department
ORIDA 10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Notice to Owner — Workers' Compensation Insurance Exemption
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:
1. 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 filed 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 project.In these circumstances,Miami Shores Village does not require verification of
workers' compensation insurance coverage from 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 AA
The foregoing was acknowledge before me this S day of t"��c � 20�.
By C( ( / 1f 4 C C��Q who is personally known to me or has produced
as identification.
Notary: "-.
SAF 1 rA J. P RTiLt
SEAL: MY^OMMOSION#EE 116499
EXPIRES Juh �8,2015
•,i98-01"7 FWrdaN m service.00m
YORK ELECTRIC CORP
2517 SW 13 TERRACE
MIAMI, FL. 33145
EC13064787
PHONE (305) 8152735
I ROBERTO MORENO Qualifier for York Electric Corp confirm thru this letter that I
will be the only worker under this license for the job located at 597 NE 93 St owner
SMP Real Estate Advisory.
Yours truly,
Roberto Moreno
A-AI,,
Sw rn to and subscribe before me this s day of A WW k .20by
vo r
AW
Personally know
— \L
'09"Ps'k,. AN,f7VA J. PORTILLO
MY COPANQ13ION#EE116499
oEXPIRES July 26.201S
(•:AI198-01 Fkx&"&.eryService.oem
Detail by Entity Name Page 1 of 2
Detail by Entity Name
Florida Limited Liabilitv Company
SMP REAL ESTATE ADVISORY LLC
Filing Information
Document Number L13000030080
FEI/EIN Number 46-4650901
Date Filed 02/27/2013
State FL
Status ACTIVE
Effective Date 02/27/2013
Last Event REINSTATEMENT
Event Date Filed 02/09/2015
Event Effective Date 02/09/2015
Principal Address
555 NE 15 STREET, SUITE 200
MIAMI, FL 33132
Mailing Address
555 NE 15 STREET, SUITE 200
MIAMI, FL 33132
Registered Agent Name &Address
NAUTILUS LEGAL SERVICES, P.A.
1444 BISCAYNE BOULEVARD
SUITE 306
MIAMI, FL 33132
Name Changed: 02/09/2015
Authorized Person(s) Detail
Name &Address
Title MGR
ROCHETTE, MATHIEU
555 NE 15 STREET, SUITE 200
MIAMI, FL 33132
Title MGR
NICOLAI, PASCAL
http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... 3/5/2015
• Detail by Entity Name Page 2 of 2
555 NE 15 STREET, SUITE 200
MIAMI, FL 33132
Annual Reports
Report Year Filed Date
2014 02/09/2015
2015 02/09/2015
Document Images
02/09/2015 -- REINSTATEMENT View image in PDF format
02/27/2013 -- Florida Limited Liability View image in PDF format
Q)writ iL ;,.)and Nivacv Palkcies
State of Florida.Depart ocnt of Stmt
http://search.sunbiz.org/Inquiry/CorporationSearch/SearchRe sultDetail?inquirytype=Entity... 3/5/2015
RECEIVED
NOV 1 2 2013
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AND G.F.i PROTECTED
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ADD SMOKE/CARBON MONOXIDE DETECI'ORS ----- ---- a fa
_l� 1A6q S Ff� S YI/a— ANY AND ALL CLOTH AND RUBBER 9MECHAN r;pl ,
:-_--(,-4 i t? +k16n0iA) INSULATED CONDUCTORS?0 BE REPLACE;.
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