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MC-16-3265$ 1,500.00 0 assumensuada 1 Project Address Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 9701 BISCAYNE Boulevard Miami Shores, FL 33138- Owner Information Perm it Permit NO. MC -12-164266 Permit Type: Mechanical - Residential Work Classification: Addition/Alteration Permit Status: APPROVED Issue Date: 12/15/2016 Expiration: 06/13/2017 Parcel Number Applicant Address 1132060143320 Block: Lot: MARIA GABRIELA ALE CASTRC Phone Cell MARIA GABRIELA ALE CASTRO 9701 BISCAYNE Boulevard MIAMI SHORES FL 33138-2540 9701 BISCAYNE Boulevard MIAMI SHORES FL 33138-2540 Contractor(s) Phone MIAMI ELECTRICAL SERVICES. INC (305)778-3578 Cell Phone Valuation: Total Sq Feet: Tons: Additional Info: REVISION TO AIR DISTRIBUTION DUE TO Classification: Residential Approved: In Review Comments: Date Denied: Scanning: 3 Date Approved: : In Review Type of Work: REVISION TO AIR DISTRIBUTION DU Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Scanning Fee Technology Fee Total: Amount $1.20 $2.00 $2.00 $0.40 $100.00 $9.00 $9.00 $1.60 $125.20 Pay Date Pay Type Amt Paid Amt Due Invoice # REV -12-16-62228 12/15/2016 Credit Card $ 75.20 $ 50.00 12/12/2016 Credit Card $ 50.00 $ 0.00 Available Inspections: Inspection Type: Review Mechanical 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 MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDA IT: I c construction and zo rmore. I oregoing information is accurate and that all work will be done in compliance with all applicable laws regulating rize the above-named contractor to do the work stated. Authorized Signat re: Owner / Applicant / Contractor / Agent Building Dep. rtment Copy December 15, 2016 Date December 15, 2016 1 F Miami Shores Village (6 -cc Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 BUILDING PERMIT APPLICATION ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑PLUMBING El MECHANICAL El PUBLIC WORKS JOB ADDRESS: 9701 BISCAYNE BLVD RE`'D DEC 1 2 2016 BY._ 1--4V) FBC 2010 Master Permit No. RC -15-1024 0 REVISION Sub Permit No. WIC 2 " 1 6 -� ❑ EXTENSION ❑ RENEWAL ❑ CHANGE OF CONTRACTOR ❑ CANCELLATION ❑ SHOP DRAWINGS City: Miami Shores County: Miami Dade Zip: 33138 Folio/Parcel#:11-3206-014-3320 Is the Building Historically Designated: Yes Occupancy Type: R-3 Load: Construction Type: V Flood Zone: X BFE: OWNER: Name (Fee Simple Titleholder): JOSE G. CASTRO & MARIA G. ALE Address:9701 BISCAYNE BLVD NO X FFE: Phone#: 305-582-2836 City: MIAMI SHORESState: FL Zip: 33138 Tenant/Lessee Name: NIA Email: info@r-method.net Phone#: CONTRACTOR: Company Name: \iCiM►l C (Cc \ --R,‘ CIS \ 3 'vi C Phone#: Address. b-T44\ /j0` UJ 1 to gl . City: f (l 1�}) c�cT1 - State: "r(0/2, i eta - Qualifier Name: T VA\ State Certification or Registration #: CAC, ($ tG N- 2.0k Certificate of Competency #: DESIGNER: Architect/Engineer: JOSE RUBEN JIMENEZ, ARCHITECT Phone#: 305-582-2836 50z-- - R-F'-,3s`-3-8` Zip: Phone#: Address: 300 OAKWOOD LANE SUITE 100 City: HOLLYWOOD State: FL Zip: 33020 Value of Work for this Permit: $ F 500 ' Square/Linear Footage of Work: 955 ADDITION / 655 ALT. Type of Work: ❑� Addition ❑� Alteration ❑ New El Repair/Replace ❑ Demolition Description of Work: Revisions to air duct distribution due to existing conditions and truss orientation. Specify color of color thru tile: ✓•I Submittal Fee $ Permit Fee $ Tht CCF $ ' CO/CC $ Scanning Fee $ Radon Fee S DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ (Revisedo2/24/2014) TOTAL FEE NOW DUE $ 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. Signature Signature ''OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day �of" , 20 (to , by t day of d/ , 20 ca , by (11254- inlit , who is pers• ' nown to r a vvi'(b (,toga_, who is p me or who has produced as me or who has produced as identification and who did take an oath. NOTARY PUBLIC: nown to Sign: Print: Seal: NATHALIE CEPERO Notary t'uwtc • stab of fior10a Commission o 66 049218 My Comm. Expires Clic 19.2018 °,,; o' Bonded through National Notary Assn. ************************ **************** APPROVED BY (Revised02/24/2014) identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: 4.4 NATHALIE CEPERO u rc State of Florida Commission a GC 049216 1141"+ da,. My Comm. Expo:.,, 0,T19, 2018 "'L ` Bonded through !v ' A' Notary Assn. **•****************************************************** s aminer Structural Review Zoning Clerk STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD 2601 BLAIR STONE ROAD TALLAHASSEE FL 32399-0783 ALCALDE, RAMIRO MIAMI ELECTRICAL SERVICES.INC 6733 NW 193 LANE MIAMI FL 33015 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better. For information about our services, please log onto www.myfloridalicense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and learn more about the Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! RICK SCOTT, GOVERNOR (850) 487-1395 STAT.E=OF•FLORIDA- -" ;- -DEPA_ RTME , F :BUSINESS_AND---- 115ROFE6 � ' L k GULATION= 916729 I `lQt, a 8/Q8/2016 I rE'1 D under t e'protiisi ns -of CCh,489 FS.. Exx¢atif'n j:I a AUG 31 2018 11608$6000084 DETACH HERE KEN LAWSON, SECRETARY _? "�- _ —STATE-OFUSINES 7 DEPARTMENT OF.BS'AND PROFESSIONAL REGULTION�'� CONSTRUCTIOiV INDUSTRY:L`IGENSING.BOARD.� A :'��,,\� LICENSE NUMBER >. . �.. --- '`--.-4:--c—'---- _ _` - - ±h0t�-"-+.Z . Z.CAC 8,1672 `-.� -- �--,--.- -T,he.CL'ASSAaIR:C©NDITIQNING:CONTRACTOR N �ned be9owJS;,CERTIFIED 'Under`thie provisions of -Chap ert 48r•.FS. r. ,...-Er201.8 d5 ef"3.1 --20;1,8 \. \ ' �,/'_ LCAEDE:tRA + RO EtE 6779 NGT141Cf� .S� 1N.1.89..TER , '". IAMI� --F1r3301• --.......s..--7.--.,„ '^ ~j Mr ISSUED: 08/08/2016 p. DISPLAY AS REQUIRED BY LAW SEQ # L1608080000845 JEFF ATWATER CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 11/3/2015 EXPIRATION DATE: 11/2/2017 PERSON: ALCALDE FEIN: 680553561 BUSINESS NAME AND ADDRESS: MIAMI ELECTRICAL SERVICES INC RAM I RO 6779NW 189 TERR HIALEAH FL 33015 SCOPES OF BUSINESS OR TRADE: CERTIFIED AC CONTRACTOR HEATING, VENTILATION, AIR-COND Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt... apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS? (850)413-1609 MIAMI ELECTRICAL SERVICES INC. DATE: 12/08/2016 STATE OF FLORIDA COUNTY OF MIAMI DADE. BEFORE ME THIS DAY PERSONALLY APPEARED RAMIRO ALCALDE WHO, BEING SWORN, DEPOSES AND SAYS: THAT HE OR SHE WILL BE THE ONLY PERSON WORKING ON THE PROJECT LOCATED AT 9701 BISCAYNE BLVD.MIAMI SHORES,FL 33138. 1Z. TO SWORN TO (OR AFFIRMED) AND SUBSCRIBED BEFORE ME THIS DAY OF 2016 BY 1 PERSONALLY KNOW OR PRODUCED IDENTIFICATION AU N. 42_o- -ols4--o TYPE OF IDENTIFICATION PRODUCED f oYidU c1riUcrs tfLCY Sc PRINT, TYPE OR STAMP NAME OF NOTARY 1 :40t*t t -►MAHARAI K. GONZALEZ,r .•, MY COMMISSION !1 GG 044602 EXPIRES: November 2, 2020 !;'.'r Bonded Thru Notary Public Undenvftsre as el. r rr r ow 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 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 , CKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: State of Florida County of Miami -Dade The foregoing was acknowledge before me this Vt By ()tat— j4--, Notary: SEAL: a- day of 1),Q piVi'ti+ as ident. who is perso ,20 . wn to me or has produced NATMAUE COM 4� Nary hMk • SIMs01AM OS Commission N 08 041210 f , My Comm. Expires Dec 19, 2010 • At 0Bonded through National Notary Assn. 0.4 Local -Business Tax Receipt Miami—Dade County, State of Florida —THIS IS NOT A BILL —DO NOT PAY 7176297 BUSINESS. NAMELLOCATIOW" -MIAM I: `ELECTRICAL•'SERVICESI N C 6779 NW=1.89TER _ MIAMI FL 33015 OWNER MIAMI ELECTRICAL SERVICES INC C/O ALCALDE, RAMIRO Worker(s) 1 RECEIPT NO. RENEWAL 7456130 LBT EXPIRES SEPTEMBER 30, 2017 Must be displayed at place of business Pursuant to County Code Chapter 8A — Art. 9 & 10 SEC. TYPE OF BUSINESS 196 SPEC MECHANICAL CONTRACTOR CAC1816729 PAYMENT RECEIVED BY TAX COLLECTOR $90.00 12/02/2016 CREDITCARD-17-013904 This Local Business Tax Receipt only confirms payment of the Local Business Tax. The Receipt is not a license, permit, or a certification of the holder's qualifications, to do business. Holder must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT NO. above must be displayed on all commercial vehicles —.Miami -Dade Code Sec 8a-276.4' For more information, visit www.miamidade.govftaxcollector