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PL-18-2386Miami Shores Village 10050 NE 2 Ave Miami Shores Village FL 33138 305-795-2204 Location Address Issue Date: 09/25/2018 Permit NO.: PL-9-18-2386 Permit Type: Plumbing - Residential;, Work Classification: Sprinkler System Permit Status: Approved Expiration: 03/11/2019 Parcel Number Project 1460 NE 102 ST, Miami Shores, FL 1132050240250 <NONE> Contacts GLENWOOD AND JEANNE EKLUND 1460 NE 102 ST, MIAMI SHORES, FL 331382622 (305)758-9095 Owner CENTRAL IRRIGATION INC (305)255-5090 Contractor GLENWOOD AND JEANNE EKLUND 1460 NE 102 ST, MIAMI SHORES, FL 331382622 (305)758-9095 Applicant Description: ADD 4 NEW LAWN SPRINKLER ZONES TO EXISTING SYSTEM (4 ZONES-56 SPRINKLER HEADS ON EXISTING BACKFLOW PBV) Fees Amount CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: $1.80 $2.63 $2.00 $0.60 $175.00 $9.00 $2.40 $193.43 Valuation: $ 2,100.00 Total Sq Feet: 0.00 Payments Total Fees Credit Card Credit Card Amt Paid $193.43 $143.43 $50.00 Amount Due: $0.00 Inspection Requests: 305-762-4949 Inspections: Inspection Type Plumbing Final Review Plumbing Permit Received By Date Building Department Copy 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 zoning. Futhermore, I authorize the above named contractor to do the work stated. L "9r120s /2 i,7 Authorized Signature: Owner / Applicant / Contractor / Agent Date September 25, 2018 Page 2 of 4 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Ave, Miami Shores, Florida 33138 Tel: 305-795-2204 Fax: 305-756-8972 Inspection Number: INSP-001171-2018 Permit Number: PL-9-18-2386 Scheduled Inspection Date: October 30, 2018 Inspector: Massanet, Maykel Owner: GLENWOOD AND JEANNE EKLUND Address: 1460 NE 102 ST Project: Miami Shores, FL Contractor: CENTRAL IRRIGATION INC CARLOS VICTORIA Permit Type: Plumbing - Residential Inspection Type: Plumbing/Final/ Work Classification: Spri nklerSystem Phone Number: 3057589095 Parcel Number: 1132050240250 Phone Number: 3052555090 Building Department Comments ADD 4 NEW LAWN SPRINKLER ZONES TO EXISTING SYSTEM (4 ZONES-56 SPRINKLER HEADS ON EXISTING BACKFLOW PBV) Checklist Item General Comments Passed False Comments Inspector Comments Passed Failed Correction Needed Re -Inspection Fee No Additional Inspections can be scheduled until re -inspection fee is paid. October 29, 2018 For Inspections please call: 305-762-4949 Page 24 of 42 N. TESTER: -Certified BackFlow Test Certification Date: ((A • V7 l NAME OF PReIISE: 3EpA..3 K.t. uop € lot LOCATION OF DEVICE: lv • e • cou C tt . o f 114e i kc S E . Mdntru WP Y'i"S Nodel: 103 %h't Afrild ND ©l Qcss 4o sue: (12, Pliez CHECK VALVE #1 RELIEF VALVE CHECK VALVE #2 PRES VACUUM BREAKER a beaked e( aosed tightcliff. Pressure a across chedc valve psi Opened at a closed tight dam. Pressure across chedc valve psi Air tnI Opened at 1. k psi Did not open 0 died( valve lealetd 0 . held at t • 2, psi a Cleaned only thillIQ g 0000000 00 a Cleaned only Rubber kit 0 CV assembly 0 Or Disc 0 (wings 0. seat 0 spring 0 sterryg Ice 0 retainer 0 lad( rods 0 outer CI a Cleaned only . Rubber kit 0 CV assembly 0 . Or MSC O o-rfngs 0 feat 0 spring 0 stem/gudde 0 retainer • 0 lock nuts 0 outer 0 Rubber kit 0 - 0 N assembly Disc, air in 0 Dim CV 0 Sprh air O Spring, CY . 0 Guide O o-rings 0 otter 0 Dill. Pressure across chedc valve psi Opened at i Dill. Pressure across check valve psi Air Wet psi Check valve psi ,� METER# (4ZZ itS NOTE ALL REPAIRS SHALL BE COMPLETED W1TYh1 TEN (10) DAYS. REMARKS I HEREBY CERTIFY THAT THIS DATA IS ACCURATE AND RERECIS THE PROPER OPERATION! AND MAINTENANCE OF THE ASSEMBLY. THIS REPORT DOES NOT RERIETTHE PROPER INSTALLATION N QF HIS ASSEMBLY QR THE CONDITIONS OF WHICH THIS DEVICE PROTECTS. - cerr. NO. `A7-0 �33 DATE; 1-25- -LOW 17921 NW 82e6 Comet Imo, FL 33015 Phone (305) 218.11078 • Fax (305) 822-2844 State Certification or Registration #: DESIGNER: Architect/Engineer: Address: City: 410) .0 s 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 RECEIVED SEP 0 7 2016 FBC 201 Master Permit No. 121 l`8` 238Y' Sub Permit No. El REVISION ❑ EXTENSION ❑RENEWAL OPLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR JOB ADDRESS: 1460 NE 102Nd Street. DRAWINGS Citv: Miami Shores Folio/Parcel#: 11-3205-024-0250 Occupancy Type: Resid Load: OWNER: Name (Fee Simple Titleholder): Address:1460 NE 102Nd Street County: Miami Dade " Zip: Is the Building Historically Designated: Yes Construction Type: Flood Zone: Jeanne R. Eklund NO X BFE: FFE: Phone#: 305-758-9095 city: Miami Shores State: FL Zip: 33138 Tenant/Lessee Name: Phone#: Email: Glenjeanne@aol.com CONTRACTOR: Company Name: Address: P.O Box 970251 City: Miami Central Irrigation Inc State: FL Phone#: 305-255-5090 Qualifier Name: Carlos Victoria CFC-1428365 Value of Work for this Permit: $ 2,100.00 Type of Work: 1=1 Addition ❑ Alteration Zip: 33197 Phone#: 305-505-0019 Certificate -of Competency#: Phone#: State: Zip: Square/Linear Footage of Work: El New ❑ Repair/Replace ❑ Demolition Description of Work: Add 4 new lawn sprinkler zones to existing system. (4 zones-56 Sprinkler heads on Existing Backflow PBV) Specify color of color thru tile: Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ 2 - C3 ) Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ TOTAL FEE NOW DUE $ ' 14-3 • (aevised02/24/2014) 11s•CCF$ DBPR $ - ' 6,3 CO/CC $ Notary $ 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. in the absence of such posted notice, the Inspection will not be approved and a relnspection fee will be charged. Signature OWNER or AGENT The foregoing instru ent was acknowledged before me this rl. day of *)fl&')" , 20 / ?5 �j. by i o /Q. 1/1 Gi who is personallyknown to �l `lot', me or who has produced as identification and who did take an oath. NOTARY PUBUC: Sign: Print: Seal: 2oti�a� PUBec ROSAVASCO Seal: * ;�_}e * MY COMMISSION # FF 973493 « , "um oe EXPIRES: July 21, 2020 r" OF 00' Bonded Thru Budget Notary Services Signature CONTRACTOR The foregoing instrument was acknowledged before1m his �day of SC� , 20 t , by Y 1 IS v 1 G` 1 1 w`fid is personnaa'll�%known to 4l me or who has produced 11 (Q4'\ d'L� as identification and who did take an oath. NOTARY PUBLIC: '0 '1PpY � Prim �•.EOF FAO �: MAHARAI K. GONZALEZ 4602 EXPIRES: November 2, 2020 Bonded Thru Notary Nubilc underwriters zww •s****s•ss**ssss*sss*•s*s*s*s*******s**sss*ss*ass*s**s*s*••***s**s*s*ss**s***s.s*sass:*****s*****ss**a**ss** APPROVED BY g /i/1 (Revised02/24/2014) Plans Examiner Zoning Structural Review Clerk 9/7/2018 Property Search Application - Miami -Dade County Summary Report Property Information Folio: 11-3205-024-0250 Property Address: 1460 NE 102 ST Miami Shores, FL 33138-2622 Owner GLENWOOD C EKLUND &W JEANNE R Mailing Address 1460 NE 102 ST MIAMI SHORES, FL 33138-2622 PA Primary Zone 1400 SGL FAMILY - 3001-3250 SQ Primary Land Use 0101 RESIDENTIAL - SINGLE FAMILY: 1 UNIT Beds / Baths / Half 4/3/1 Floors 1 Living Units 1 Actual Area 3,368 Sq.Ft Living Area 2,253 Sq.Ft Adjusted Area 2,869 Sq.Ft Lot Size 11,700 Sq.Ft Year Built 1956 Assessment Information Year 2018 2017 2016 Land Value $421,391 $421,391 $391,693 Building Value $215,175 $199,682 $199,682 XF Value $1,651 $1,651 $1,651 Market Value $638,217 $622,724 $593,026 Assessed Value $269,897 $264,346 $258,909 Benefits Information Benefit Type 2018 2017 2016 Save Our Homes Cap Assessment Reduction $368,320 $358,378 $334,117 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 ('.e. County, School Board, City, Regional). Short Legal Description MIAMI SHORES BAY PK ESTS AMD PB 56-86 LOT 8 BLK 3 LOT SIZE 75.000 X 156 OR 17102-2031 0196 1 Generated On : 9/7/2018 Taxable Value Information 2018 2017 2016 County Exemption Value $50,000 $50,000 $50,000 Taxable Value $219,897 $214,346 $208,909 School Board Exemption Value $25,000 $25,000 $25,000 Taxable Value $244,897 $239,346 $233,909 City Exemption Value $50,000 $50,000 $50,000 Taxable Value $219,897 $214,346 $208,909 Regional Exemption Value $50,000 $50,000 $50,000 Taxable Value $219,897 $214,346 $208,909 Sales Information Previous Sale Price OR Book- Page Qualification Description 01/01/1996 $198,000 17102- 2031 Sales which are qualified 06/01/1992 $0 15560- 1213 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: 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: I. 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 Florid County of Miami -Dade The foregoing was acknowledge before me this Ip day of Owner By Nota SEAL: eanne. ev.1u�r�� lJ` �!V PATRKIASOTO MY COMMISSION # Fff 906539 EXPIRES: November 1, 2019 Bonded T us Hai PubricUldiflrlhefi who is personally known to me or has produced identification. Z _ _ CUM L I RROGATfON INC. P.0 Box 970251 Miami, F133197-0251 State Lic: CFC1428365 Phone/Fax: (305) 255-5090 Email: carloscentralirrigation@gmail.com www.Central-Irrigation.com Date: 1'z1tS State Of: - (v Y l d County of : MOT) 'fl Before me this day personally appeared C_4'r I o S V V C O,?_ , who, being duly sworn, deposes and say: That he or she will be the only person working on the project located at: 1460 NE 102 St. Miami Shores, FL 33138 Sworn to (Or affirmed) and subscribed before me this day of �.z .20 16 by Ccn-\ci M Vic,-tdria isaMilisairmailkat ,•�i�:'.P� •'•, MAHARAI K. GONZALEZ *' ial '; MY COMMISSION # GG 044602 _ fa EXPIRES: November 2, 2020 ':FOF F�?P' Bonded Thru Notary Public Underwriters Yrams WaterSense greenreturn IULY--- \ SMART MONTH — Personally Know Or produced identification Type of identification produced. i Q fl E - (*3( s� •e Find us on Facebook1 or stamp name of Notary. �tieTSP'\ At Irrigation f / �ssacurton- Mennhet WWW.CENTRAL-IRRIGATION.COM