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RC-17-2103Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Permit Permit NO. RC -8-17-2103 Permit Type: Residential Construction Work Classification: Alteration Permit Status: APPROVED Issue Date: 8/22/2017 Expiration: 02/18/2018 Parcel Number Applicant 10010 NE 1 Avenue Miami Shores, FL 33138- 1132060131441 Block: Lot: CHRISTOPHER VIEIRA Owner Information CHRISTOPHER VIEIRA Address 10010 NE 1 Avenue miami shores FL 33138- Contractor(s) JOSE CORDON INC Phone CeII Phone (754)244-1358 Phone Cell (832)205-3808 (305)753-6736 Valuation: Total Sq Feet: $ 5,000.00 958 Approved: In Review Comments: Date Approved: : In Review Date Denied: Type of Construction: REMOVE AND REINSTALL 958 SQF Stories: Front Setback: Left Setback: Bedrooms: Plans Submitted: Yes Certificate Date: Bond Return : Occupancy: Single Family Exterior:' Rear Setback: Right Setback: Bathrooms: Certificate Status: Additional Info: Classification: Residential Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $3.00 $2.25 $2.25 $1.00 $150.00 $9.00 $4.00 $171.50 Pay Date Pay Type Invoice # RC -8-17-64932 08/18/2017 Cash 08/22/2017 Cash Amt Paid Amt Due $ 50.00 $ 121.50 $ 121.50 $ 0.00 Available Inspections: Inspection Type: Window Door Attachment Framing Insulation Drywall Screw Final PE Certification Window and Door Buck Fill Cells Columns Review Building Review Planning Review Electrical Review Plumbing Review Structural 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, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I ertify that e foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction andzo ./Futhermor.Pauth the above-named contractor to do the work stated. Authorized Signature: Owner pplicant / Contractor / Agent Building Department Copy August 22, 2017 Date August 22, 2017 1 4(ntik C°1 --Zn BUILDING PERMIT APPLICATION Miami Shores Village 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 FBC20I Master Permit No. -1—' 2_103 Sub Permit No. ri BUILDING D ELECTRIC ROOFING REVISION Ej EXTENSION Ej RENEWAL RI!`r nr !1 rnnlrrnTlnnl r1 CI Inn u ...__.....-•-• -- (J• ----- -- ------ u -. -- - LSI ----- _� rnNTRACTr1 R iIRA\A/INr;c inn AnnRFcc- J t O 1 bN L S 1` P \J )I i A r1 1 Stt 6Y2 -E S F L 3 t It a: ............. Iroiio/Parcel#: II —3 2 012 ^ 144 ) is the Building Historically Designated: Yes Occupancy Type: Load: Construction Type: Ci<ZAS(CONI .$l i rep+ OWNER: Name (Fee Simple Titleholder): GAN D CC- \ e 1,24a Address: i:innrl 7n..o• 23631 FiNgu--'1 vN t<R'4 TK QCC: CCC• Phone#: 11+aLt ? 32.=19C--- Tenant/Lessee Name: iFnoneff: CONTRACTOR: Company Name: . osr CcrIci Th 200'2'f yLv Litt': `✓1.'4.+ /1C G Pi. -4-1 s state: i _L ase Ctdang-, S LdLe Cel LIIIL.dLIUII 01 r egisLIdLIUII ff: Lel Li IILd Le 01 LUII1j.JCLeln.y ft; Phone#: 75-(-2 y q--- i - Ar.hitect/Lngineer: value or work ror Ihis rermlt: a J O • nAIA_-_.:.... I 1 . re, v. • •v. n. u r.vu. ..vu I_I r....,. u.. • IBJ .1wr ....).un J ...p.w.... Nnone#: Lip: 3 3 i'56.0 oyssoo57a • �r• L aquareiLinear rootage ui worn: J r -fI-Or r'q uescription or WorK: v►, -& { u ........,........ 1. 81 'i 5 fr. s� --� e -r T,'t Cnorifv rn/nr of rn/nr thrrr tUo" Submittal Fee S C1� Permit Fee S CCF S •Th 44 J.. 5 rcc J _ _. nauun rcc �a Lourn q ecnnology Fee y ctrllrt,,r9I Roariowwle $ L4/ LU14J CO/CC S AI -a---. P Iwaa/ y q )0 raining/tcwcation tees uoubie Fee Rnnr) $ 1 V 1 A rCc 1VUW l)Ut, 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: 1 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 OWNER or AGENT The foregoing instrument was acknowledged before me this 'O day of , 20 1 A- , by who is personally known to me or who has produced 1' prileY L 1 c2vAS-e, as identification and who did take an oath. NOTARY PUBL : Sign: Print: Seal: ************** POEM IgdWlfPIEUCSTATE OF1E AS Iff COWL DP IWO 130#3.451.41. APPROVED BY Signature CONTRACTOR The foregoing instrument was acknowledged before me this /,Qf4 day of A✓UST ,20 / 7 ,by To Se Cv2 n o , who (ersonaily known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: >'''`Pu.(e, NANCY C. BERGAMO MY COMMISSION # GG73994 / EXPIRES: March 10, 2021 ****************************************************************** Plans Examiner Zoning Structural Review Clerk Property Search Application - Miami -Dade County 1. OFFICE OF THE PROPERTY APP A SER Page 1 of 1 Summary Report Property Information Folio: 11-3206-013-1441 Property Address: 10010 NE 1 AVE Miami Shores, FL 33138-2308 Owner CHRISTOPHER VIEIRA CANDICE VIEIRA Mailing Address 10010 NE 1 AVE MIAMI SHORES, FL 33138 PA Primary Zone 1000 SGL FAMILY - 2101-2300 SQ Primary Land Use 0101 RESIDENTIAL - SINGLE FAMILY : 1 UNIT Beds l Baths l Half 3/2/0 Floors 1 Living Units 1 Actual Area 2,445 Sq.Ft Living Area 1,701 Sq.Ft Adjusted Area 2,073 Sq.Ft Lot Size 6,410.1 Sq.Ft Year Built 1962 Assessment Information Year 2017 20161 2015 Land Value $160,317 $160,317 $121,946 Building Value $144,281 $144,281 $144,281 XF Value $0 $0 $0 Market Value $304,598 $304,598 $266,227 Assessed Value $304,598 $292,849 $266,227 Benefits Information 1 53 41-6 53 42 Benefit Type 2017 20161 2015 Non -Homestead Cap Assessment Reduction $11,7491 $0 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). $304,598 Short Legal Description 1 53 41-6 53 42 MIAMI SHORES SEC 1 AMD PB 10-70 LOT 23 BLK 10 LOT SIZE 55.740 X 115 OR 17908-1654 1297 4 Generated On : 8/18/2017 Taxable Value Information 2017 20161 2015 County Exemption Value $0 $0 $0 Taxable Value $304,598 $292,849 $266,227 School Board Exemption Value I $0 I $0 $0 Taxable Value $304,598 $304,598 $266,227 City Exemption Value $0 $0 $0 Taxable Value $304,598 $292,849 $266,227 Regional Exemption Value $0 $0 $0 Taxable Value $304,598 $292,849 $266,227 Sales Information Previous Sale Price OR Book - PageQualification Description 05/27/2010 $293,000 27309-Qual 0291 by exam of deed 04/01/2004 $319,000 22251 -Sales 4000 which are qualified 07/01/2003 $210,500 21467- 2637 Sales which are qualified 12/01/1997 $0 17908- 1654 Sales which are disqualified as a result of examination of the deed The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Property Appraiser and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http://www.miamidade.gov/info/disclaimer.asp Version: http://www.miamidade.gov/propertysearch/ 8/18/2017 CTB Construction Trades ualifying Board BUSINESS CERTIFICATE OF COMPETENCY 04BS00570 JOSE CORDON INC D.B.A'.: -4j6pclrr>J ORDON JOSE Is certified under the provisions of Chapter 10 of Miami -Dade County Miami -Dade County - Building and neighborhood Compliance Office Page 1 of 1 Horne Product Control Contractors Building Officials Contact us Contractor Number: Contractor name: Address: City, St, Zip: Phone: Other Phone: Fax: Email: D/B/A: Contractor Status: Contractor License Information 04BS00570 JOSE CORDON INC 20024 NW 32 CT. MIAMI (305) 625-3715 ACTIVE FL 33056 Class Category Category Description Expiration Date BLDG 11 CONCRETE FINISHING 09/30/2018 BLDG 53 FINISH CARPENTRY 09/30/2018 CONTRACTOR INQUIRY COMPLETE BCCO Contractor Inquiry and Complaint Search 1 BCCO Home Page 1 State License Search Menu Horne 1 About 1 Phone Directory 1 Privacy 1 Disclaimer ® 2001 Miami -Dade County. All rights reserved. http://egvsys.miamidade.gov:1608/WW WSERV/ggvt/BNZAW941.DIA?CNTR=04BS005... 8/18/2017 Local Busi ness Tax Fticei pt M iami-Dade County, State of Florida -THIS IS NOT A BILL -DO NOT PAY 5356019 BUSINESS NAM E/LOCATION CORDON JOSE INC 20024 NW 32 CT MIAMI, FL 33056 OWNER CORDON JOSE INC Worker(s) 1 MIAMFDADEf RECEIPT NO. RENEWAL 5593695 EXPIRES SEPTEMBER 30, 2018 Must be displayed at place of business Pursuant to County Code Chapter 8A - Art. 9 & 10 SEC TYPE OF BUSINESS PAYM ENT RECEIVED 196 SPECIALTY BUILDING BY TAX COLLECTOR CONTRACTOR 75.00 08/07/2017 04BS00570 0208-17-004220 This Local Business Tax Receipt only con"rms payment of the Local Business Tax. The Fbceipt is not a license, permit, or a certi "cation of the holders qual i "cations, to do business. Holder must comply with any governmental or nongovernmental regulatory laws and requi repents which appy to the business The RECEIPT NO above must be di spayed on all commercial vehicles - Miami -Dade Oode Sec 8a-276. For more information, visit www.rriarridade.gov/taxcdtector Municipal Contractor's Tax Iecei pt Miami -Dade county, State of Florida -THIS IS NOT A BILL - DO NOT PAY CC NO: 048900570 BUSINESS NAM E/LOCATION CORDON JJSE INC 20024 NW 32 CT MIAMI, R 33056 OWNER CORDON JOSE INC MIAMME RECEIPT NO. 7514620 MC EXPIRES SEPTEMBER 30, 2018 TYPE OF BUSINESS SPECIALTY BUILDING CONTRACTOR Pursuant to County Code Sec 10-24 PAYM ENT RECEIVED BY TAX COLLECTOR 200.00 08/09/2017 0208-17-004275 This receipt is not valid in the following Municipalities: Aventura, Doral, li al eah, Key Biscayne, Miami Gardens, Miami Lakes, Palmetto Bay, Rnecrest, Sunny Isles Beach, Town of Cutler Bay. For more information, visit www.rriamidadeyw/taxcollector 03-09-2016 JEFF ATWATER STATE OF FLORIDA CHIEF FINANCIAL OFFICER 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: 04/01/2016 EXPIRATION DATE: 04/01/2018 PERSON: CORDON FEIN: 200680773 BUSINESS NAME AND ADDRESS: JOSE CORDON INC 20024 NW 32 COURT OPA LOCKA FL 33056 SCOPES OF BUSINESS OR TRADE: 1- CARPENTRY NOC 3- CONCRETE OR CEMENT WORK - FLOO JOSE 2- CERAMIC TILE, INDOOR STONE, MA * IMPORTANT: 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 tiling of the notice or the issuance of the certificate, the person named on the notice or cettiticate no longer meets the requirements of this section tor issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. QUESTIONS? (850) 413-160 OWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01-11 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION CONSTRUCTION INDUSTRY CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW EFFECTIVE: 04/01/2016 PERSON: JOSE CORDON FEIN: 200680773 BUSINESS NAME AND ADDRESS: .OSE CORDON INC 20C2A NW 32 COURT 05A LOCKA, gL 33056 EXPIRATION DATE: 04/01/2018 SCOPE OF BUSINESS OR TRADE: •- CARPENTRY NOC 2- CERAMIC TILE, INDOOR STONE, MA 3- CONCRETE OR CEMENT WORK • FLOO IMPORTANT FPursuant to Chapter 440.05(14), F.S., an officer of a corporation who O elects exemption from this chapter by filing a certificate of election L under this section may not recover benefits or compensation under this D chapter. H 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 E the notice of election to be exempt. R E 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 certificate at any time for failure of the person named on the certificate to meet the requirements of this section. QUESTIONS? (850) 413-1609 CUT HERE * Carry bottom portion on the job, keep upper portion for your records. Date: State of P� County D ote Jose Cordon Inc 20024 N. W.32 Ct. Miami, FL 33056 hervincordon@yahoo.com Before me this day personally appeared°'S�P1-L who, being duly sworn deposes and says: That he or she will be the only person working on the project located at: 00 / N >^ i s -r to,,, u , U),Ve s) r L 3.3 / 3 e' Con ractor Signature Sworn to (or affirmed) and subscribed before me this JYI4 day of Augvs-r-" . 20 / By U\ C/L box) Personally known OR Produced Identification Type of Identification Produced Print, Type or Stamp Name of Notary NANCY C. BERGAMO MY COMMISSION # GG73944 „pi EXPIRES: March 10, 2021 Miami Shores V 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 -tune employees or subcontractors. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: Owner State State of F oridn - County of Miam=i -s nae—,r' f, The foregoing was acknowledge before me this By (a,,✓p7.•et Uj e U day of ,20/. who is personally known to me or has produced entifncation. ADAM FIELD NOTARY PUBLIC STATE OF TEXAS MY COMM. 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