EL-18-1660Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Pen?* No. EL-6-18-1' 660
Permit Type: Electrical - Residential
Work Classification: Repair
Permit Status: APPROVED
Issue Date: 6126/2018
Expiration: 12/23/2018
Parcel Number
Applicant
461 NE 103 Street
Miami Shores, FL 33138-2456
1122310150170
Block: Lot:
SUGIE SUAREZ
Owner Information
Address
Phone
Cell
SUGIE SUAREZ
461 NE 103 Street
MIAMI SHORES FL 33138-2721
461 NE 103 Street
MIAMI SHORES FL 33138-2721
Contractor(s) Phone
CAMAGUEY ELECTRICAL SERVICE (305)984-1036
Cell Phone
Valuation:
Total Sq Feet:
$ 540.00
0
Type of Work: SERVICE REPAIR
Additional Info:
Classification: Residential
Scanning: 3
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee - Additions/Alterations
Scanning Fee
Technology Fee
Amount
$0.60
$2.25
$2.00
$0.20
$150.00
$9.00
$0.80
Total: $164.85 .
Pay Date Pay Type
Invoice # EL-6-18-67958
06/26/2018 Check #: 1667
06/18/2018 Cash
Amt Paid Amt Due
$ 114.85 $ 50.00
$ 50.00 $ 0.00
Available Inspections:
Inspection Type:
Final
Review Electrical
Review Electrical
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 AFF . q'IT: I ceat all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction oning. F . rmore, I authorize the above -named contractor to do the work stated.
Authoriz-. Si. ature: Owner / Applicant / Contractor
/ Agent
June 26, 2018
Date
Building Department Copy
June 26, 2018 1
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 0 ELECTRIC ❑ ROOFING
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS
JOB ADDRESS: 461 NE, 103 St
City: Miami Shores
Folio/Parcel#: // 2Z.3/"d/,S e/7O
Occupancy Type: Load:
County:
—rt-t-
l0
FBC 20 ( k
Master Permit No. i— L- 1 `l Locou
Sub Permit No.
❑ REVISION ❑ EXTENSION ❑ RENEWAL
❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
Miami Dade
zip: 33!32.
Is the Building Historically Designated: Yes NO V
Construction Type: Flood Zone:
BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Sagie / S $7u /�}/Cf Z Phone#: 306- O gS
Address: 461 At6 103 ,i t
City: it-1; 0414,, here-5 State: FL- Zip: 3 a / t
Tenant/Lessee Name: WA- Phone#:
Email:
CONTRACTOR: Company Name: Camaguey Electrical Services
Address: 6160 W, 26th CT
City: Hialeah State: Florida
Qualifier Name: Samuel J. Gonzalez
State Certification or Registration #:
DESIGNER: Architect/Engineer:
Address:
ER13014584
Phone#: (305) 984 1036
Zip: 33016
Phone#: (305) 984 1036
Certificate of Competency #: 11 E000103
Phone#:
City:
Value of Work for this Permit: $ 540.00
Type of Work: ❑ Addition ❑ Alteration
Description of Work: Service Repair
State: Zip:
Square/Linear Footage of Work:
El New
❑ Repair/Replace ❑ Demolition
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ / e,aa
Scanning Fee $ Radon Fee $ 2. • a
Technology Fee $ Training/Education Fee $
Structural Reviews $
CCF $
DBPR$ 2 • 2S
CO/CC $
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ I `• 85
(Revised02/24/2014)
t
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 a absence otsuch posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature
OWNER or AGENT
CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of J✓n2 ,20 %e ,by
16) day of 701..E, , 20 f by i3r('
UG (-1 . UA(t ;who is personally known to Samuel J. Gonzalez , who is personally known to
SC
me or who has produced .rL. 7)12.4 1I€ -- lA_C E''me or who has produced F
identifica 'on and who did take an oath.
NOTAR
BL1C:
Sign: � "+
Print: r Nri> i P
Seal: } o r Puts Notary Public State of Honda
Sindia Alvarez
y� My Commission FF 156750
} 'go, n,cr Expires 09/0312018
**************%v* •Jt'StL*.***************************************
lorid't b. L
identification and who did take an oath.
NOTARY PUBLIC:
APPROVED BY
Sign:
Print:
Seal:
/Plans Examiner
n
as
alichA &Liu
Maplin Valdes Echemendia
Coma Issbn # GG215289
E irus: May 7, 2022
*,,Rondeddvv IdsIu i*************
Zoning
Structural Review Clerk
(Revised02/24/2014)
Property Search Application - Miami -Dade County
Page 1 of 1
Summary Report
Property Information
Folio:
11-2231-015-0170
Property Address:
461 NE 103 ST
Miami Shores, FL 33138-2456
Owner
SUGIE K SUAREZ
Mailing Address
461 NE 103 ST
MIAMI SHORES, FL 33138-2456
PA Primary Zone
1000 SGL FAMILY - 2101-2300 SQ
Primary Land Use
0101 RESIDENTIAL - SINGLE
FAMILY : 1 UNIT
Beds / Baths / Half
3/2/0
Floors
1
Living Units
1
Actual Area
Sq.Ft
Living Area
Sq.Ft
Adjusted Area
1,694 Sq.Ft
Lot Size
8,250 Sq.Ft
Year Built
1953
Assessment Information
Year
2018
2017
2016
Land Value
$237,608
$264,314
$257,637
Building Value
$106,112
$106,112
$106,112
XF Value
$259
$263
$266
Market Value
$343,979
$370,689
$364,015
Assessed Value
$137,152
$134,332
$131,570
Benefits Information
Benefit
Type
2018
2017
2016
Save Our Homes
Cap
Assessment
Reduction
$206,827
$236,357
$232,445
Homestead
Exemption
$25,000
$25,000
$25,000
Second
Homestead
Exemption
$25,000
$25,000
$25,000
Note: Not all benefits are applicable to all Taxable Values (i.e. County,
School Board, City, Regional).
Short Legal Description
MIRROR LAKE SUB PB 56-15
LOT 17
LOT SIZE 75.000 X 110
OR 11640-1133 1282 4
Generated On 6/18/2018
Taxable Value Information
2018
20171 2016
County
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$87,152
$84,332
$81,570
School Board
Exemption Value
$25,000
$25,000
$25,000
Taxable Value
$112,152
$109,332
$106,570
City
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$87,152
$84,332
$81,570
Regional
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$87,152
$84,332
$81,570
Sales Information
Previous Sale
Price
OR Book -Page Qualification Description
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/
6/18/2018
Date:
CAMAGUEY ELECTRICAL SERVICES CORP.
Electrical Contractor
(305)984-1036
Lic:#E R 13014584
-JvK e
018
State of: 0
County of: l c(u•-t.Z Dct-cf
Before me this day personally appeared
sworn, deposes and says:
vcsi(4)2cz f ,who, being duly
the only person working on the project located at
Contractor signature
4.6> lD3.4 517
naiwa hore-c
Sworn to (or affirmed) and subscribed before me this day of
By�V, �' ��
Personally know
Or Produced Identification
Type of Produced Identification
't►n"J°'< ,- VLADIMIR LOP
1„, MY COMMISSION 1 20
EXPIRE . ust 17, 2021
"�0.`.;; it• Bonded Thtu Notary Public Underwriters
Print, Type or Stamp Name of Notary
l‘k)' ,2018
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 ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS
CONTENTS.
State of Florida
County of Miami -Dade
The foregoing was acknowledge
before me this 2 � S day of V , 20 k.
By S L ( M J6n19•-; who is personally known to me or has produced
as identification.
Notary: •' j'
SEA
-"N/YYYYY Y Nr-v 'V V sr, er Y Y •
} Notary Public State of Florida
} ; Sindla Alvarez
tp .di My Commission FF 158750
. OFp, Expires09/0312018
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Miami Shores Viiiage
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
JUNE 18, 2018
Permit No: RC-4-18-1120
ELECTRICAL REVIEWER COMMENTS
06/18/2018
NEEDS RISER DIAGRAM.
Michael Devaney
Chief Electrical Inspector
Plan review is not complete, when all items above are corrected, we will do a complete
plan review.
If any sheets are voided, remove them from the plans and replace with new revised
sheets and include one set of voided sheets in the re -submittal drawings.