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EL-18-1510 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-305632 Permit Number: EL-6-18-1510 Scheduled Inspection Date: June 21, 2018 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: QUEVEDO VELEZ, PAULA A Work Classification: Addition/Alteration Job Address:1060 NE 92 Street Miami Shores, FL Phone Number (786)281-8405 Project: <NONE> Parcel Number 1132050130030 Contractor: CITY LIGHTS ELECTRIC, INC. Phone: (305)495-3198 Building Department Comments ELECTRICAL SERVICE REPAIR 200 AMPS Infractio Passed Comments INSPECTOR COMMENTS False r I r Inspector Comments Passed El !" Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. June 20, 2018 For Inspections please call: (305)762-4949 Page 19 of 37 Permit No. EL-6-18-1 510 Miami Shores Village M Permit Type:Electrical -Residential 10050 N.E.2nd Avenue NE ' Work Classification:Addition/Alteration - Miami Shores,FL 33138-0000 P 1oDt n I I Permit Status:APPROVED Phone: (305)795-2204 lNieg N 8 F�ORtDp` issue Date:6/7/2018 Expiration: 12/04/2018 Project Address Parcel Number Applicant 1060 NE 92 Street 1132050130030 Miami Shores, FL Block: Lot: PAULA A QUEVEDO VELEZ Owner Information Address Phone Cell PAULA A QUEVEDO VELEZ 1060 N 92 Street (786)281-8405 MIAMI SHORES FL 33138- 1060 N 92 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 1,400.00 CITY LIGHTS ELECTRIC, INC. (305)495-3198 Total Sq Feet: 0 Type of Work:ELECTRICAL SERVICE REPAIR 200 AMPS Available Inspections: Additional Info:ELECTRICAL SERVICE REPAIR 200 AMPS Inspection Type: Classification:Residential Final Scanning:3 Meter Box i Alteration Relocation I Fire Alarm Service Change Review Electrical W.W. Underground r Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.20 DBPR Fee Invoice# EL-6-18-67779 $2.25 06/07/2018 Credit Card $ 116.45 $ 50.00 DCA Fee $2.00 Education Surcharge $0.40 06/01/2018 Credit Card $50.00 $0.00 Permit Fee-Additions/Alterations $150.00 Scanning Fee $9.00 Technology Fee $1.60 Total: $166.45 1 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and oning. Futher ore, I authorize the above-named contractor to do the work stated. June 07, 2018 Aut6orized Sid-nature:Owner / Applicant / Contractor / Agent Date Building Department Copy A June 07, 2018 1 Miami Shores Village Building Department JUN 01 2018 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 BY. INSPECTION LINE PHONE NUMBER:(305)762-4949 FB 20 V7- BUILDING Master Permit No. ( v PERMIT APPLICATION Sub Permit No. ❑BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL [:]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP �/ q CONTRACTOR DRAWINGS JOB ADDRESS: 1060 !�E !Z ,+ City: Miami Shores County: . Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load:t Construction Type: !� Flood Zone: BFE: FIFE: ly OWNER: Name(Fee Simple Titleholder): PLP► teAC Na .. L)L,*� Phone#: 786-'?SI -STSs• Address: 1060 NIF q2 S7" City: AI0,6"i 54,reS State: FL- Zip: 33 3$ Tenant/Lessee Name: Phone#: n Email: t C, ` 4 CONTRACTOR:Company Name: e�'f"/ L�q ti fs G L-C7 0, Phone#: ?86 -Z&( '8Y05 Address: 16 I3 G -s:-U/ �6 -�cr7� City: A4 ict#"i State: FL zip: 3 3(93 Qualifier Name: Tor Q& Ca,bre-ro, Phone#: State Certification or Registration#: C 13b0 JO GO Y Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ I1400 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition Description of Work: Electr;�aJ Sery�Ge Rcpa;r zoo 4Mo '�. y Specify color of color thru tile._ ,rf�',r r. c, ,,�,s.' r y'• h P Submittal Fee$a.:»»C�t Y,. x..a+ to a�.-.Permitf�ee$. /�©�cy 0 CCF$ COO/CC$ i ScanningFee Radon Fee Z � DBPR ��"tN t $ $ $ �.��: x � ry$ Technology Fee$ Training/Education Fee$ Double Feer$" Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ 0 • 14S (Revised02/24/2014) Bonding Company's Nam -e(if applicable) 1 Bonding Compan'y's Address City.' r. n State Zip Mortgage Lender's Name(if applicable) t 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." F I. 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 a absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. t _ Signature Si nature FSF OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this ! day of A 20 J by I day of M 20 �S by IP e 2 h\o is personally known to a'.el-7,t ' who is person/ally known to me or who has produced �� U 1'! V Q G as me or tho has produced- Yl X G as identification and wh ake an oath. identification and who did take an oath. 1 NOTARY PUBLIC- NOTARY PUB : Sign: Sign: Pr i P MAGG19 MONTOYA seal: V '— — —— — — Seal = � x' 'r"e"•.,, MAGGfE MONTOYA Notary Public-State o`Florida Commissior,t GG?626,0± .' Notary Public-State o!Florida a, `My Comm.Expires Mar 17.2022 Commissior.#GG 16260± 'Fac ` Bonded through Na ore Noay A;sn. • My Comm.Expires Mar 17.2022 ********** *fs� sf��1 'Fin** **************************s ** * * * * * r******* APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Property Search Application - Miami-Dade County Page 1 of 1 e007*kk OFFICE OF THE PROPERTY APPRAISER :. Summary Report Generated On :6/1/2018 Property Information j Folio: 11-3205-013-0030 ` Property Address: 1060 NE 92 ST � ,�•� � Miami Shores, FL 33138-2933 Owner MANUEL SEBASTIAN REVEIZ PAULA A QUEVEDO VELEZ Mailing Address 1060 NE 92 ST E MIAMI,FL 33138 USA ��, PA Primary Zone 1400 SGL FAMILY-3001-3250 SQ .` Primary Land Use 0101 RESIDENTIAL-SINGLE FAMILY: 1 UNIT PSI Beds/Baths/Half 3/2/0 Floors I zL Living Units 1 Actual Area 2,032 Sq.Ft r , Living Area 1,424 Sq.Ft Adjusted Area 1,776 Sq.Ft Taxable Value Information Lot Size 9,440 Sq.Ft 2017' 2016' 2015 Year Built 1950 County Exemption Value $0 $50,000 $50,000 Assessment Information Taxable Value $446,805 $100,633 $99,586 Year 2017 2016 2015 School Board Land Value $339,597 $316,548 $288,120 Exemption Value $0 $25,000 $25,000 ....._.........._ ..__...._ _._ Building Value $106,533 $133,910 $134,940 Taxable Value $446,805 $125,633 $124,586 XF Value $675 $683 $552 City Market Value $446,805 $451,141 $423,612 Exemption Value $0 $50,000 $50,000 Assessed Value $446,805 $150,633 $149,586 Taxable Value $446,805 $100,633 $99,586 __.............. . ®.._.. Regional Benefits Information Exemption Value $0 $50,000 $50,000 ............... Benefit Type 2017 2016 2015 Taxable Value $446,805 $100,633 $99,586 _._____......................m._.........._..... --_.. .... __.._ Save Our Homes Assessment Ca Reduction $300,508 $274,026 Cap Sales Information Homestead Exemption $25,000 $25,000 Previous Sale Price OR Book-Page Qualification Description .............. Second Homestead Exemption $25,000 $25,000 08/10/2017 $705,000 30664-4659 Qual by exam of deed Note:Not all benefits are applicable to all Taxable Values(i.e.County, 11/22/2016 $515,000 30328-4483 Qual by exam of deed School Board,City,Regional). 08/01/1971 $35,000 00000-00000 Sales which are qualified Short Legal Description PL OF REPPENHAGENS PB 41-100 LOT 4 LOT SIZE 80.000 X 118 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 hftp://www.miamidade.gov/info/disclaimer.asp Version: https://www.miamidade.gov/propertysearch/ 6/1/2018 I 5�►OR1F,� A fl i'3s mills Miami shore's Village Building Department -- �d 10050 N.E.2nd Avenue ORNA Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax:'(305) 756.8972 Notice to Owner — Workers' Compensation Insurance Exemption 1 Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 4 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 on 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. f Signature: Owner State of Florida County of Miami-Dade The foregoing was acknowledge before me this 3' day of 64 ,20149 . l By a v IJ2✓Jt7 who is personally known to me or has produced as identification. Notary: SE :':�QY P' MA IE MONTOYA -`: Notary Publ c—State of Florida Comm, "GG 162601 .=My Comm.Expires Mar 17.2022 onded hrough Naona•Noary Assn. CITY LIGHTS ELECTRIC,INC. 14026 SW 13 Street Miami,Florida 33184 Date: IM a 31 t8 State of: Florida County of: Miami-Dade Before me this day personally appeared Jorge Cabrera who, being duly swom, deposes and says: That he or she will be the only person working on the project located at 1060 NE 92 Street, Miami Shores, Florida 33138. Sworn to (or affirmed) and subscribed before me this 31 day of May, 2018 by Jorge Cabrera . Print:�tealxw Signatur Identification Produced 1'C_ IJX(0 Print, Type or Stamp Name of Notary MAGGIE MONTOYA Notary Public—State of Florida : Commissior=GG 16260'! 4 r My Comm.Expires Mar 17.2022 Bended through NaJora Notary Assn, t 4 -- - _ - ° - ° - ~ ° ° - ~ ° _~~ F ZFE7C�-,- RE JUN -0 12018 200 AMP 200 MAIN EXT. Job Site: 3-20 THW 1060 NE 92 ST IN 2-CONDUI f City Lights Electric Inc. Jorge Cabrera -8405 (786)281 44 WRE IN VZCONDUIT .� -771 W-1, N V '. I, W- 26'DEEP TRENCH 2'PVC FPL CONDUIT TO POSTBY DATE APPROVED � ' ZONING DEPT BLDG DEPT '3('RJFCT To COMPLIANCE NTH ALL FEDERAL STATE AND COUNTY RULES AND REGULATIONS ` - - ^ ` '