RC-16-1083 (3) Miami Shores Village
`N\ �� BuildingDepartment 1 015
p ���
\Q, 10050 N.E.2nd Avenue,Miami Shores,Florida 33138
V Tel:(305)795-2204 Fax:(305)756-8972 $�•
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20Iti Ski
BUILDING Master Permit No.egc to - ICB3
PERMIT APPLICATION Sub Permit No.
[�rgUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
�} CONTRACTOR DRAWINGS
JOB ADDRESS: I&5 AI u -!a a 5 t
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): 'kie IIi/VhA047" LLG Phone#:
Address: l't4V AW !}zw- !� RV/!2
City: State: Zip:
Tenant/Lessee Name: Phone#:
Email: yy-
CONTRACTOR:Company Name: L57G Vn/j,,71t4j�f 7.1!'1e_ Phone#: (�5).2sa 7313
Address: `75-5v -5� /13 C_z
City: M i State: F4.-- Zip: 3 317'3
Qualifier Name: C pilo S 01V Phone#•
State Certification or Registration M e6c 0351,/4140 Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address• City: State: Zip:
Value of Work for this Permit:$16, Square/Linear Footage of Work: k40J-cXN
Type of Work: ❑ Addition ❑ Altera 'o ❑ New ,.
y � El Demolition
Description of Work: _17 ��2^� -L' '�� �7 i�!c �j etr kv
all el /'Je���C✓� {,%' 6 /73 0C 7 amt X 119
S'
Spedkcolor of color thru tile:
Submittal Fee$ Permlt Fee$ CCF$ 'l CO/CC$ o
Scanning Fee$ Radon Fee$ DBPR$_ 6-:T�� Notary$ 66
Technology Fee$ Training/Education Fee$ J OZ) 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, 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.
D �
SignatureQSignature
OWNER r_oAGE4 CONTRA OR
The foregoing instrument was acknowledged before me this The foregoing instrument�w�was acknowledged before me this
=Ptd day of 20 MP by o/��a day of �/k- ��i. ,20 1& by
dLl� /7'3aDLl�7� who is personally known to UZI� ZO el0 .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 UBLIC: NOTARY PUBLIC:
/ INIIpI
JORGEIIJANGO
otary Public-State of Florida Sign: ,•���
Sig i esNOV ,2016 NGO
?'. _ �l�tary Public_
Commission # EE 848847 Pri "* State of
xpires Nov 1,2016
Se ; $ j; C0171missian#EE 848847
############################################################################################################
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
Electronic Artic�l�es of Organization L15000082859
FILED 8:00 AM
Florida Limited Liability Company
May oz's ate
smmason
Article I
The name of the Limited Liability Company is:
WE BUY MIAMI, LLC
Article II
The street address of the principal office of the Limited Liability Company is:
5409 CORTO DRIVE
GRANBURY, TX. US 76049
The mailing address of the Limited Liability Company is:
5409 CORTO DRIVE
GRANBURY, TX. US 76049
Article III
The name and Florida street address of the registered agent is:
UNITED STATES CORPORATION AGENTS, INC.
13302 WINDING OAK COURT
A
TAMPA, FL. 33612
Having been named as registered agent and to accept service of process for the above stated limited
liability company at the place designated in this certificate, I hereby accept the appointment as registered
agent and agree to act in this capacity. I further agree to comply with the provisions of all statutes
relating to the proper and complete performance of my duties, and I am familiar with and accept the
obligations of my position as registered agent.
Registered Agent Signature: CHEYENNE MOSELEY, US CORP. AGENTS
Article IV L15000082859
The name and address ofperson(s) authorized to manage LLC: FILED 8:00 AM
May 11 2015
Title: AMBR Sec. Of State
DAVID M SEYMOUR smmason
5409 CORTO DRIVE
GRANBURY, TX. 76049 US
Signature of member or an authorized representative
Electronic Signature: CHEYENNE MOSELEY, US CORP. AGENTS
I am the member or authorized representative submitting these Articles of Organization and affirm that the
facts stated herein are true. I am aware that false information submitted in a document to the Department
of State constitutes a third degree felony as provided for in s.817.155, F.S. I understand the requirement to
file an annual report between January 1 st and May 1 st in the calendar year following formation of the LLC
and every year thereafter to maintain "active" status.
ORjt,r
Y93J
lists usnom Miamishores 'aVillage
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 Exem tion
IR
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:
I. 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'compensationexemptiop 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
CONTENTS. THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS
Signature: �z
6 e�vn r�—
State of Florida
County of Miami-Dade
The foregoing was acknowledge before me this a:?nd day of InWc t. 20.&,
By ,�,Wa V,— who is personally known to me or has roduced
as identification. ,J,o`P�r a`9a ,
JORGE LUANGO
Notary Public-State of Florida
Notary .�» .oQ My Comm.Expires Nov 1,2016
': uar�",•° Commission#EE 848847
SEAL:
E.T.C. UNLIMITED, INC
C.G.C.#035966
7554 SW 113 Ct MIAMI,FL 33130
(305)282-7313
March 28 2016
State of Florida
County of Miami-Dade
Before me this day personally appeared Carlos A. Otero who, being duly sworn,
deposes and says:
That he will be the only person working on the project located at:
165 NW 92 St
SWORN TO AND SUBSCRIBED
before me this 28`x' day of March, 2016
by A��
Carlos A. Ofero
ERE
RGE LUANGOlic-State of FloridaPersonall known ►"y Expires Nov 1,ion 2016EE 848847
SEAL
Jo u o