WS-18-1912Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Permit NO WS-7-18-1912
in.
o,* Classification: Window/Door Replacem
e
Permit Status: APPROVED
Issue Date: 7/17/2018
Permit.Type: Windows/Shutters
Expiration: 01/13/2019
Parcel Number
Applicant
1098 NE 98 Street
Miami Shores, FL 33138-2506
1132050180350
Block: Lot:
CODY SAVITS
Owner Information
Address
1098 NE 98 Street
MIAMI SHORES FL 33138-
1098 NE 98 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone
ALLSTATE GENERAL CONTRACTOR (305)986-2004
Cell Phone
Phone
Cell
Valuation:
Total Sq Feet:
$ 1,500.00
0
Type of Work: IMPACT WINDOWS
No of Openings: 16
Additional Info: IMPACT WINDOWS
Classification: Residential
Scanning: 5
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Notary Fee
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$0.00
$0.00
$0.00
$0.00
$5.00
$260.00
$0.00.
$0.00
$265.00
Pay Date Pay Type
Invoice # WS-7-18-68242
07/17/2018 Cash
Amt Paid Amt Due
$ 265.00 $ 0.00
Available Inspections:
Inspection Type:
Window Door Attachment
Final
Review Building
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 AFFIDAVfT'
construction pdr;fnin
ff
y that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
ermore, I aut
Aut d Signature: owner /
above-named
/,cont to do�work stated.
Applicant / Contractor / Agent
av,
July 17, 2018 ,
Date
Buil ing Department Copy
July 17, 2018 1
Address:
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
BUILDING
PERMIT APPLICATION
❑BUILDING El ELECTRIC ❑ ROOFING
RECEJvrD
JUL 17 2018
COI
FBC 20'
Master Permit No. N S 18 1 g 1 2
Sub Permit No.
❑ REVISION EXTENSION ❑ RENEWAL
❑PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF
CONTRACTOR
JOB ADDRESS:
1b e NE
'City: Miami Shores
Folio/Parcel#: Is the Building Historically Designated: Yes
Occupancy Type: Load:
g sf
County: Miami Dade
Construction Type: Flood Zone:
❑ CANCELLATION
❑ SHOP
DRAWINGS
zip: 33/7$ NO /� j/
BFE: FFE:
OWNER: Name Fee Simple Titleholder): COCAA)1 iS Pt one#: 7 U Z� 1 709 t
tox >\I c
city: h' 17n pet i Shure S
Tenant/Lessee.Name:
11-
State: rL
'Email: l in • { {S 10.1 Co vv.,
Phone#:
Zip: 33 [3
CONTRACTOR: Company Name: 4//$A /e lJ—G 7t-c, / CO / P 0-1 Phone#: 30 f ' / d U --2. O c y
Address: 1905 /CC/✓f foic %2/,./d
AZ Z
City: Mr/ h NI i` State: /� L
.Qualifier Name: ) 4 JO rl Sy ref
State Certification or Registration #: C GC l S o O 7 y Certificate of Competency #:
., J
DESIGNER: Architect/Engineer: 1 Phone#:
Zip: 7 3 / Li/
Address:
Value of Work for this Permit: $ %. ISOoO
Type of Work: ❑ Addition ❑ Alteration
Description of Work:
City:
Phone#: 3 Of - l -b _ a 00 c/
Square/Linear Footage of Work:
State: Zip:
❑ New ❑ Repair/Replace
❑ 'Demolition.f
To r-ViAikC'e •Idi9 veal tY,A;-\- 'lam 6 - 24 IS
it
Specify color of color thru tile:
Submittal Fee $ Permit Fee $
Scanning Fee $ Radon Fee $ DBPR $
Technology Fee $ Training/Education Fee $
Structural: Reviews $
CCF $ CO/CS$
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $
2 cos
(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
r �
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 delive,ed 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 apprp e�d?,nd a reinspection fee will be chaged.
Signature_
OWNER or AGENT
The foregoing instrument was acknowledged before me this 1 day of a\-,1 , 20 t d , by 191 A day of Iv`a\1
(;od1 5-(y()
Signature
CONTRACTOR
•
,The foregoing instrument was acknowledged before me this
,20 Ip ,by
, who is personally known to Sc \T'S , who is personally known to
me or who has produced as me or who has produced - as
identification and who did take an oath.
NOTARY PUBLIC:
Al
Si: : 11' Ar
Print.
Seal•'�'� Commission # GG 118087
$. MyCommission Expires
1�
%OF �``� June'22, 2021
/111111
identification and who did take an oath. ,-
1
NOTARY PUBLIC:
Sign:
i•
i
Print:L
Seal:
********************************* ******** **************
APPROVED BY 1 P Plans Examiner
Structural Review
rU
s""'LIZETTE LLORET,
°c„-. State of Florida -Notary Public
/_'!, Commission # GG 118087
): ++; My Commission Expires
**************
Zoning
Clerk
(Revised02/24/2014)
Notice to Owner — Workers' Corn
p
f
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores:Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
ensation 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 inthe 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 in - average from the contractor's company for day labor, part-time employees or subcontractors.
BY SIGNING BE . YOU CKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS
CONTENTS.
Signature:
er
State of Florida
County of Miami -Dade
The foregoing was acknowledge before me this 14 day of
By CA-1)1R 5 N t 1 S who is personally known to me or has produced
0111111111! I%,
Notary:
SEAL:
, 20
JEFF ATWATER
CHIEF FANANICAL 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: 727/2016 EXPIRATION DATE: 7P27/2018
PERSON: SIPES JASON
FEIN: 260790044
BUSINESS NAME AND ADDRESS:
ALLSTATE GENERAL CONTRACTORS & DEVELOPERS LLC
1905 KEYSSTONE BLVD
NORTH MIAMI FL
SCOPE OF BUSINESS OR TRADE:
licensed General Contractor
33181
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
onty within the scope of the business or trade fisted 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
certificate at any time for fame of the person named on the certificate to meet the requirements of this section. - - — —
DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS? (850)413-1609
Property Search Application - Miami -Dade County
Summary Report
Property Information
Folio:
11-3205-018-0350
Property Address:
1098 NE 98 ST
Miami Shores, FL 33138-2506
Owner
CODY SAVITS
Mailing Address
1098 NE 98 ST
MIAMI SHORES, FL 33138 USA
PA Primary Zone
1100 SGL FAMILY - 2301-2500 SQ
Primary Land Use
0101 RESIDENTIAL - SINGLE
FAMILY : 1 UNIT
Beds / Baths / Half
2/2/0
Floors
1
Living Units
1
Actual Area
2,086 Sq.Ft
Living Area
1,691 Sq.Ft
Adjusted Area
1,881 Sq.Ft
Lot Size
8,475 Sq.Ft
Year Built
1948
Assessment Information
Year
2018
2017
2016
Land Value
$305,135
$305,135
$284,188
Building Value
$141,075
$130,918
$130,918
XF Value
$29,016
$29,328
$29,640
Market Value
$475,226
$465,381
$444,746
Assessed Value
$475,226
$295,633
$289,553
Benefits Information
Benefit
Type
2018
2017
2016
Save Our Homes
Cap
Assessment
Reduction
$169,748
$155,193
Homestead
Exemption
$25,000
$25,000
Second Homestead
Exemption
$25,000
$25,000
Note: Not all benefits are applicable to all Taxable Values (i.e. County,
School Board, City, Regional).
Short Legal Description
REV PL MIAMI SHORES SEC 8
PB 43-69
LOT 18 BLK 180
LOT SIZE 75.000 X 113
COC 26018-3960 10 2007 1
Page 1 of 1
Generated On : 7/17/2018
Taxable Value Information
20181 2017
2016
County
Exemption Value
$0
$50,000
$50,000
Taxable Value
$475,226
$245,633
$239,553
School Board
Exemption Value
$0
$25,000
$25,000
Taxable Value
$475,226
$270,633
$264,553
City
Exemption Value
$0
$50,000
$50,000
Taxable Value
$475,226
$245,633
$239,553
Regional
Exemption Value
$0
$50,000
$50,000
Taxable Value
$475,226
$245,633
$239,553
Sales Information
Previous
Sale
Price
OR Book -
Pa a
9
Qualification Description
05/17/2017
$321,200
30544-2944
Atypical exposure to market; atypical
motivation
10/01/2007
$440,000
26018-3960
Sales which are qualified
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:
https://www.miamidade.gov/propertysearch/
7/17/2018