CC-19-95 (2)Miami Shores Village
REC4ATED
P
BUIL ING
PERMIT APPLICATION
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (30S) 762-4949
BUILDING ❑ ELECTRIC ❑ ROOFING
❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS
JOB ADDRESS:
JAN 115 1019
FBC2jq 0
Master Permit No. C— l— I 1 I Q
S
Sub Permit No.
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
Concoucs --&18
V 3E�) t �s
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: I 32 -o��- < GO Is the Building Historically Designated: Yes V NO
Occupancy Type:(Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): �0_" la V L� aIe__ Phone#:1F56?_ej0 `"1
Address
City: '(am "6 / State: Zip: _3J(_35
Tenant/Lessee Name: Phone#:
Email
CONTRACTOR: Company
"Name: W tl• '!)i- j Lrs V'5N ,l�C. Phone#:
Address: 'r)T
City: State: k_ Zip: �3 31 c 0
Qualifier Name: U Wl'rQk\ (n iv. ann" Phone#: s0l0
State Certification or
DESIGNER: Architect/Engineer:
Address
Certificate of Competency #:
City:
hone#:
_State: Zip:
Value of Work for this Permit: $ �r�17 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ® Repair/Replace ❑ Demolition
Description off Work:
Specify color of color.t+ru.tile:
Submittal Fee $ 20b 1 Permit Fee $ _
Scanning Fee $ " 1 Radon Fee $ _
Technology Fee $ 9 - 1 r3 Training/Education Fee $
`Z cc�
6W
63CCF $ 3- 60 CO/CC $
DBPR $ • l Notary $��j�
Z Double Fee $ COS • 0':�
Structural Reviews $
(Revised02/24/2014)
Bond $
TOTAL FEE NOW DUE $ 2 ` /
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
r
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 mu t e posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issue l� In the absence f uch posted notice, the
inspection will not bekpproved and a reiryspection fee will be charged. I I /�
Signature
OWNER or AGENT
The foregoing instrument was acknowledged before me this
day of 34,1C4 Qv 20 I9 by
Pa U k VI 4-A ('- who is personally known to
me or who has produced fit- p(� 0 y,)C% O i/�Ebas
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
1110yi K-.
_ +\o(J—a
Seal:
"""'�
04�Y Pf ••
IVONNE LANDERO
'r: .°•:
Notary Public - State of Florida
• `
Commission # GG 006859
oFF.d;R`
My Comm. Expires Jun 28, 2020
******
** No
APPROVED APPROVED BY
Signatu
CONTRACTOR
The foregoing instrT
ent was acknowledged beforemethis
12f day of AW u 20 191 by
60.--Z . , who is personally known to
JV
me or who has produced i L 9� L: (' as
identification and who did take an oath.
NOTARY PUBLIC:
Print:
XV, I'!"^1 VICTOR J. WCERO
Seal: :�. • _ WCOMMI ONiGG167510
EXPIRES: Apra 8.2022
••�'I%4! f :••'' Bonded ltwu NoEsn Pablo tl��drwrr
********************************************************************
r g
Plans Examiner
Zoning
(Revised02/24/2014)
Structural Review
Clerk
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, @III MetroPCS LTE 10:29 AM 47% 00
Done Uniit 18 permit authorization I...
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The Grand Concourse
Condominium Association, Inc.
January 10.2019
Subject: Kitchen Renovation 11n11 IS Permit Application
To Whom It Concern:
111case be advised that the renot;ttion to chunge kitchen cabinctc in Unit 19 as renceted on the
attached plan has been rcvicwcd and aMoved by the 11ourd of Grund Concourse Condominium
Asu,etation. Feel free to contact its if you should need any additional info in reference to this
pemtit application authorization letter.
Sincerely.
O
Authorized Signor —
Marcos LOCat*111 President
Nmnc and Title
The Grand Conciwnt Condominium Assneiation
R.Mrd cti'iiiftvUw%
Contact Info:
Mytiine Aristil
t
GCCA Busine s Manager
amyl n�ctti emn'il.cont +
786r290-1441
1
1
4 t 'he-a,s.. rt. '.a1-19 s
www.c._-
FTI
https://mail.google.com/mail/u/O/#inbox/FMfcgxwBVDJhQFNpfvGswnnvptXzITMQ?projector=1 &messagePart1d=O.1 1/2
1 /14/2019,
file-2:jpeg,
https://mail.goggle,sorrelmaiVu/Ot#inboxiFMfc,gxwBVDJhOFNpfvGswnnvptXzjTMQ?projector-1&messageP.artld=D.1 w
Notice to Owner — Workers' Com
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
nsation 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 ACKN WLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS
CONTENTS. /1 - n /1 %1 I
Signature:
Owner
State of Florida
County of Miami -Dade
The foregoing was acknowledge before me this �f day of / anaa �' , 201q
By P, , q (q If l -� Ij'e-, who is personally known to me or has produced
In as identification.
Notary: "' IVONNE LANDERO
Notary Public - State of Florida
SEAL: =s' �.5 Commission # GG 006859
;'o; ��d;A`, My Comm. Expires Jun 28. 2020
N \
MIAMI ENGINEERING 8 INSPECTION
June 28,2019
Miami Shores Village
Building Department
10050 NE 2"d AVE,
Miami Shores, FL 33138
Re: Paula Vintale
421 Grand Conc 18
Miami Shores FL 33138
Permit: CC-01-19-95
Approximate Date of Construction: May, 2019
Dear Building Official:
I, Ricardo A. Neyra, having performed a visual inspection of the originals plans referenced
project with the propose of to helping with the installation of new wall tiles over the existing
ones on the interior remodeling with original permit CC-01-19-95, hereby attest that to the best
of my knowledge, belief and professional judgment, the visible components of the above
referenced structure that we going to remain for future use are structurally sound and satisfy
the requirements of the FBC 2017 edition in effect at the time of construction as stated above.
I furthermore certify that this structure complies with all the requirements of the above
mentioned FBC that are applicable such as; Building, Electrical, Mechanical and Plumbing
requirements of FBC 2017 edition in effect at this time, our letter are submitted with a purpose
of obtaining approval of the Government Authorities having jurisdiction over the project.
This structure is also in compliance with the requirements of the original plans and other permit
documents. I also attest to the best of my knowledge, belief and professional judgment, the
permit plans represent the as -built condition of the components of said work that will be
remain and used.
Following is the methodology used to ascertain the previous inspection results:
Wall tiles in bathroom:
• New tiles was installed over the existing one using a fortified Thin -set Mortar as
explained on the original plans. r
4�r
MIAMI ENGINEERING AND INSPECTIONS INC
8850 SW 25 ST, MIAMI, FL 33165
DIRECT: 305-905-9601; FAX 786-703-8774
WEB: WWW.MEINSPECTIONS.COM: EMAIL: MEI@MEINSPECTIONS.COM
MIAMI ENGINEERING &INSPECTION
This document represents an accurate appraisal of the present condition of the project base
upon careful evaluation of observed condition and was prepared to submit to the Permitting
and Inspection Department at the time of the inspection for the above referenced structure.
Should you have any questions or need any additional information please do not hesitate to
contact me at your convenience.
Sincerely,
Ricardo A. Neyra, P.E.
License No. 78475
MIAMI ENGINEERING AND INSPECTIONS INC
8850 SW 25 ST, MIAMI, FL 33165
DIRECT: 305-905-9601; FAX 786-703-8774
WEB: WWW.MEINSPECTIONS.COM: EMAIL: MEI@MEINSPECTIONS.COM