PL-18-2247Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-310854 Permit Number: PL-8-18-2247
Scheduled Inspection Date: September 10, 2018
Inspector: Massanet, Maykel
Owner: RICHARD E MELLETT & ERIKA BATEY,
DIP`YADII C MCI 1 CTT 4 CCIVA QATCV
Job Address:1090 NE 104 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: A -TEAM PLUMBING SERVICES CORP
Permit Type: Plumbing - Residential
Inspection Type:Einal 1
Work Classification: Addition/Alteration
Phone Number (305)984-7069
Parcel Number 1122320290190
Phone: (305)4844934
Building Department Comments
REPLACE WATER SERVICE FROM WATER METER TI
HOUSE
Infractio Passed Comments
INSPECTOR COMMENTS
False
Passed
d
Failed
Correction
Needed
Re -Inspection
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
Inspector Comments
September 07, 2018
For Inspections please call: (305)762-4949
Page 12 of 33
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Permit
Parcel Number
Permit NO. PL- -18- 247
Permit Type: Plumbing - Residential
Work Classification: Addition/Alteration
Permit Status: APPROVED
Expiration: 03/04/2019
Applicant
1090 NE 104 Street
Miami Shores, FL 33138-
1122320290190
Block: Lot:
RICHARD E MELLETT
Owner Information
Address
Phone
Cell
RICHARD E MELLETT
1090 NE 104
MIAMI SHORES FL 33138-
(305)984-7069
1090 NE 104
MIAMI SHORES FL 33138-
Contractor(s) Phone
A -TEAM PLUMBING SERVICES CORP (305)484-4934
Cell Phone
Valuation:
Total Sq Feet:
$ 1,650.00
50
•
Type of Work: REPLACE WATER SERVICE FROM WATER ME
Type of Piping:
Additional Info: REPLACE WATER SERVICE FROM WATER ME
Bond Return :
Classification: Residential
Scanning: 3
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$1.20
$2.25
$2.00
$0.40
$150.00
$9.00
$1.60
$166.45
Pay Date Pay Type
Invoice # PL-8-18-68642
08/22/2018 Credit Card
09/05/2018 Credit Card
Amt Paid Amt Due
$ 50.00 $ 116.45
$ 116.45 $ 0.00
Available Inspections:
Inspection Type:
Top Out
Final
Review Plumbing
Review Plumbing
Underground
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 i ' VIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
constructiand zoning. thermore, I authorize the above -named contractor to do the work stated.
Au orrzed Signature: Owner / Applicant / Contractor / Agent
September 05, 2018
Date
Building Department Copy
September 05, 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 ❑ ELECTRIC ❑ ROOFING
[PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS
JOB ADDRESS:
Master Permit No.
Sub Permit No.
❑ REVISION ❑ EXTENSION ❑RENEWAL
RECEIVED
AUG 2 2 2018
Fac io I -1.
‘8
▪ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
)090 Ne Iny street
City: t Miami Shores
Folio/Parcel#: I(- a 3 3 a- oat - 0 i 1
Occupancy Type: Load:
OWNER: Name (Fee Simple Titleholder):
Address: I o 90 r e
City: MictMt .SV)OceS
too
County:
Construction Type:
Miami Dade
zip: 3313S'
Is the Building Historically Designated: Yes NO ✓
E r; K a Becfey
S free t
State: r 1
Flood Zone:
BFE: FFE:
Phone#: 3OS - 98 q -7069
Zip: .3 3138
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: A - T e c v
Address: 'Pa go x 90 158 S
City:1-borle.S-+eo. S
PIVMbi n9 SPritceS Phone#:-3bS-'18'1-y93Y
State: F 1
Zip: 33090
Qualifier Name: 10•1 -1:0SSP I ,N e Phone#:
CTState Certification or Registration #: O /v? & [pl/Q ? Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
. value of Work for this Permit: 4 165U• _Square/Linear Footage of Work z 5-0
Type of Work] ❑ Addition ❑ Alteration ❑ New — al-Repair/Replace
—Description"of WoTki RC r,/}('P 6.).4e(' .iefLP(C`{ -i(j7
a•��e� rn-eter- �!}
❑ Demolition
Specify:; color of color thru;tle:
Submittal Fee $ Permit Fee $
Scanning Fee $ Radon Fee $ 2' ' 00 $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $ I 1 G • '-
CCF $ CO/CC $
•-)
DBPR
(Revised02/24/2014)
r
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 foregoinginformation 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 bpplicant 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 afthe 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
r
The foregoing instrument was acknowledged before me this
�z
day of
r i 1h E
me or who has produced
, 20 ' J by
who is personally known to
l I CMA
identification and who did take an oath.
NOTARY PUBLIC:
� Sign. \�,�%/7
Print: •�j�aiTH K. GONZAL
* _# MY COMMISSION # GG 044602
ithe
'•. .1 EXPIRES: November2, 2020
?' Bonded Thru Notary Public Underwriters
Seal:
as
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
day of Au j ja.• , 20 1 S , by
Itey , who is personally known to
me or who has produced of y as
identification and who did take an oath.
NOTARY PUBLIC:
cryPcc4 r t_rm
?00 P11% YVONNE PEDRERO
•
* MY COMMISSION IICIO 034301
EXPIRES: October 16, 2020
FOO Bonded TAN Budget Nary SVMeee
************************************************************************************************************
Sign:
Print:
Seal:
APPROVED BY —� e�y,rt Plans Examiner
*
Zoning
(Revised02/24/2014)
Structural Review Cle'rk
8/22/2018 Property Search Application - Miami -Dade County
Summary Report
Property Information
Folio:
11-2232-029-0190
Property Address:
1090 NE 104 ST
Miami Shores, FL 33138-2656
Owner
RICHARD E MELLETT JTRS
ERIKA BATEY JTRS
Mailing Address
1090 NE 104 STREET
MIAMI SHORES, FL 33138 USA
PA Primary Zone
1100 SGL FAMILY - 2301-2500 SQ
Primary Land Use
0101 RESIDENTIAL - SINGLE
FAMILY : 1 UNIT
Beds/BathslHalf
3/2/0
Floors
1
Living Units
1
Actual Area
2,208 Sq.Ft
Living Area
1,672 Sq.Ft
Adjusted Area
1,931 Sq.Ft
Lot Size
8,250 Sq.Ft
Year Built
1951
Assessment Information
Year
2018
2017
2016
Land Value
$288,964
$288,964
$288,964
Building Value
$120,494
$120,494
$120,494
XF Value
$1,492
$1,507
$1,522
Market Value
$410,950
$410,965
$410,980
Assessed Value
$391,667
$383,612
$375,722
Benefits Information
Benefit
Type
2018
2017
2016
Save Our Homes Cap
Assessment Reduction
$19,283
$27,353
$35,258
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
EVENINGSIDE PB 44-53
LOT 5 BLK 2
LOT SIZE 75.000 X 110
OR 20377-1291 04 2002 1
Generated On : 8/22/2018
Taxable Value Information
20181 2017
2016
County
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$341,667
$333,612
$325,722
School Board
Exemption Value
$25,000
$25,000
$25,000
Taxable Value
$366,667
$358,612
$350,722
City
Exemption Value $50,000
$50,000
$50,000
Taxable Value $341,667
$333,612
$325,722
Regional
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$341,667
$333,612
$325,722
Sales Information
Previous
Sale
Price
OR
Book-
Page
Qualification Description
01/17/2014
$430,000
29018
2251
Qual by exam of deed
04/01/2002
$206,000
20377
1291
Sales which are qualified
09/01/2000
$150,000
19312
3116
Sales which are qualified
01/01/1994
$0
16261-
1865
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:
A- LPL U/44E1P C ISEl2I iCES
CCEL)
PO BOX 901585
HOMESTEAD, FL 33090
Date: - ,1-- fff
State of P L
County of Daae.
Before me this day personally appeared Roy Ro Sse 11 J ( who, being duly
sworn deposes and says:
That he or she will be the only person working on the project located at:
logo Ne 1o'-I Si (Ilicktini S1,oreS FI 33138
C tractor si n
g afure
Sworn to (or affirmed) and subscribed before me this 2) day of
20j, by k Rt."AiejI Paz
Ak gU`si'
Personally Know
Or produced identification
Type of identification Produced
YYgnr>< Peelre,,ro
Print, type or stamp name of notary
u WONNE PEDRERO
° • W COMMISSION S GG 034301
•
* - p(PIRES:00ber 16.2020
Bonded Vim BudONNo1aY Panto
Notice to
wner
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 I day of v3031- , 20 )
By . r1 ,. who is personally known to me or has produced
rt 1 as identification.
Notary: YV Onrr Pecir-e r- ; c.� . 1 L'
L
SEAL:
%O40Pt YVONNEPEDRERO
• * * MY COMMISSION #00034301
Al N. EXPIRES: October 16, 2020
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