PL-18-1889Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Permit
Issue Da
Permit NO. PL-7-18-1889
Permit Type: Plumbing - Residential
Work Classification: Sprinkler System
Permit Status: APPROVED
7/3912018
Expiration: 01/26/2019
Parcel Number
Applicant
384 NE 94 Street
Miami Shores, FL
1132060136140
Block: Lot:
PENN DAVIS
Owner Information
Address
Phone
Cell
MICHELLE CANERO
384 NE 94 Street
MIAMI SHORES FL 33138-
384 NE 94 Street
MIAMI SHORES FL 33138-
Contractor(s)
AT FIRST IRRIGATION INC
Phone
(786)925-8837
Cell Phone
Valuation:
Total Sq Feet:
$ 2,000.00
0
Type of Work: 4 ZONE INSTALLATION
Type of Piping:
Additional Info:
Bond Return :
Classification: Residential
Scanning: 3
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Notary Fee
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$1.20
$2.25
$2.00
$0.40
$5.00
$150.00
$9.00
$1.60
$171.45
Pay Date Pay Type Amt Paid Amt Due
Invoice # PL-7-18-68218
07/30/2018 Credit Card $ 121.45 $ 50.00
07/13/2018 Credit Card $ 50.00 $ 0.00
Available Inspections:
Inspection Type:
Final
Underground Sprinkler
Miscellaneous
Review Plumbing
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 either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL, PLUMBING, MECHANICAL, WINDO , DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing informati
construction and zoning. Futhermore, I authorize the above-na
is acc rate and that all work will be done in compliance with all applicable laws regulating
d con . - .. = tated.
Authorized Signature: Owner / Applicant / tra• 1 / Agent
July 30, 2018
Date
Building Department Copy
July 30, 2018
1
Address:
City:
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 ❑ ELECTRIC ❑ ROOFING
PLUMBING ❑ MECHANICAL pPUBLIC WORKS
JOB ADDRESS:
q<f5(
FBC 20 ( 9
014
Master Permit No.1— 13 -I e e9
Sub Permit No.
(l REVISION ❑ EXTENSION
❑ CHANGE OF
CONTRACTOR
❑ CANCELLATION
❑RENEWAL
❑ SHOP
DRAWINGS
City: Miami Shores County:
Folio/Parcel#: (- 32.
��-v►3 - C0140
Occupancy Type: Load:
OWNER: Name (Fee Simple Titleholder):
J(—Y &f y
Construction Type:
State:
Miami Dade
Zip:
Is the Building Historically Designated: Yes
Flood Zone: BFE:
Phone#:
Tenant/Lessee Name: Phone#:
Email: � 4.-e_ p&042p'%% LL//! S n� d!i✓�
CONTRACTOR: Company
,1 NameP\\ -cM\
Address: `\ `--VO Nt/ \C1\
City: \14:-:c.k\\:� ( State:
Qualifier Name: _ a"?
State Certification or Registration #: Certi
:
NO
FFE:
sss L( Q-2-
zip: g3J 3 1S
Phone#:
Zip: -)Jr\--MCl
Phone# "-(o`
ficate of Competency
DESIGNER: Architect/Engineer: Phone#:
Address:
Value of Work for this Permit:
Type of Work: 0 ❑. Addition ❑ Alteration
Description of Work: �..
City: State: Zip:
.Dvpoa Square/Linear Footage of Work:
New ❑ Repair/Replace
2"°1 - 7��\
❑ Demolition
Specify color of color thru tile:
Submittal Fee $ 3•00 Permit Fee $ ( 5 0 - CCF $
Scanning Fee $ Radon Fee $ DBPR $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE$ (-0' I . 15
CO/CC $
Notary $ 5
(Revised02/24/2014)
Bonding Company's Name (if applicable)
J
Bonding Cmpany's Address
City- , 7,— 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 i issued. In the absence of such posted notice, the
inspection will not be droved and a reinspection fee will be charged.
c -
Signature
- OWNER or AGENT
The foregoing instrumentrwas acknowledged before me this
t� day of JV , 20 __ , by
�,� ►7dNl �{ , who is personally known to
me or who has produced r-LA-Doi Kam'
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
as
Signature
,) /
l
CONTRACTOR
The forego' trument`was acknowledged before me this
I day of�r,�LJ (,201 , by
-5 pa) `J 3A -C�s..) , who is personally known to
me or who has produced — 64 - as
identification and who did take an oath.
, +.7
111111111111
Print: �N ,_: T o.•,N:
.g n,o:r-!
Seal::tea !s <. �—
" ; ,. 4 ff'"Sr: �.
,ea :.��
**************************************************************************************r*** kmme him***ssss
NOTARY PUBLIC:
Sign:
APPROVED BY 7 '�-� 4../t/ Plans Examiner
Structural Review
001
Zoning
Clerk
(Revised02/24/2014)
Page 1 of 2
Prope Search Application - Miami -Dade County
Summary Report
Property Information
Folio:
11-3206-013-6140
Property Address:
384 NE 94 ST
Miami Shores, FL 33138-2832
Owner
PENN E DAVIS TRS
PENN E DAVIS REVOC LIVING TR
MICHELLE S CANERO TRS
MICHELLE S CANERO REVOC
LIVING TR
Mailing Address
384 NE 94 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
5/5/0
Floors
1
Living Units
1
Actual Area
Sq.Ft
Living Area
Sq.Ft
Adjusted Area
5,875 Sq.Ft
Lot Size
25,400 Sq.Ft
Year Built
1925
Assessment Information
Year
2018
2017
2016
Land Value
$761,638
$761,638
$635,034
Building Value
$285,525
$285,525
$285,525
XF Value
$19,082
$19,082
$19,082
Market Value
$1,066,245
$1,066,245
$939,641
Assessed Value
$819,262
$802,412
$785,908
Benefits Information
Benefit
Type
2018
2017
2016
Save Our Homes
Cap
Assessment
Reduction
$246,983
$263,833
$153,733
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
MIAMI SHORES SEC 1 AMD PB 10-70
LOTS 1 TO 4 INC BLK 46
LOT SIZE 200.000 X 127
OR 9909 1258 1277 3
PPRAISER
Generated On 7/13/2018
Taxable Value Information
20181 2017i 2016
County
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$769,262
$752,412
$735,908
School Board
Exemption Value
$25,000
$25,000
$25,000
Taxable Value
$794,262
$777,412
$760,908
City
Exemption Value
I $50,000
$50,000
$50,000
Taxable Value
$769,262
$752,412
$735,908
Regional
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$769,262
$752,412'
$735,908
Sales Information
Previous
Sale
Price
OR Book -
Pa 9a
Qualification Description
01/28/2017
$100
30407-
2489
Corrective, tax or QCD; min
consideration
07/17/2012
$740,000
28191
3475
Qual by exam of deed
03/01/1977
$1
09708-
1763
Sales which are disqualified as a result
of examination of the deed
02/01/1976
$1
00000-
00000
Sales which are disqualified as a result
of examination of the deed
The Office of the Property Aooraiser is continually editina and uodatina the tax roll. This website may not reflect the most current information on record. The Property Aooraiser
https://www.miamidade.gov/propertysearch/ 7/13/2018
At First Irrigation Inc
786.925.8837
P.O. Box# 601001
North Miami Beach, FI 33166
7-13-18
State of Florida
County of Miami -Dade
Before me this day persoanlly appeared Jacob Jackson who, eing duly sworn, deposes and says:
That he or she will be the only person working on the project located at:
384L .E. 94 St Miami hores, FI 33138
Contra or Signature
orn t. (or affirmed) and subscribed before me this 13th day of July 2018, By
Notary Public State of Florida
Sindie Aivavez
My Commission FF 156750
Of gto1 Expires 09/03/2018
w ' .A, .A
Personally Know 1
Or Produced Identification L
Type of Identification Produced
Print, Type or Stamp Name of Notary
Notice to Owner — Workers' Com
p
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 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.
Signature:
State of Florida
County of Miami -Dade
The foregoing was acknowledge before me this l day of S—`) , 20 l%":
Bye who is personally known to me or has produced
L. 72\.411(1—.
Notary:
SEAL:
,..:, aE1'idet'fication.
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