PL-18-3374 (2)BUILDING
PERMIT APPLICATION
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
Master Permit No.
Sub Permit No.
MEC
018
BY:_ _�G •
BC 20n r�
\'LI9-3314-,
BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION EXTENSION
❑RENEWAL
LUMBING ❑ MECHANICAL ❑ PUBLIC WORKS 0 CHANGE OF ❑ CANCELLATION ❑ SHOP
S CONTRACTOR
JOB ADDRESS: / 2 23 L / C7 Z g
City: Miami Shores County: Miami Dade
Folio/Parcel#: Is the Building Historically Designated: Yes" NO
,Occupancy Type: Load: Construction Type: Flood Zone: BFE:
OWNER: Name (Fee Simple Titleholder):
Address: I ZZ.! -/19 C O2 S'
City: LLl/YU/ S6f1I'LI
DRAWINGS
zip: LS ri.F8
FFE:
<444coff C, Phone#:'7310 J ' Y — ° I Y
State: g e—
Zip: 3 3(3
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: v 'Company Name: /
Address: 0 Lam% 1 �p
City: . ► CA nn State:
Qualifier Name: 1, r 4d y C G nr
State Certification or Registration #:
DESIGNER: Architect/Engineer:
c.
Grrt• SWe,i) 1 Cr c Q X PiL Phone#: 3G 7 1 1
7 C
Zip:,6 9
Phone#:
Certificate of Competency #: // 1 coo? yo
Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $
/5oO CO
Type of Work: ❑ Addition ❑ Alteration
Description of Work:
a .,
Square/Linear Footage of Work:
❑ New
111 Repair/Replace ❑ Demolition
• /'75kJ- y
se Y/ h efEs .
•i 4 :
Specify color of-colort ru the {
Submittal Fee $. 42,77pqC
Radon Fee $
Training/Education Fee $
Scanning Fee $
Technology Fee $
CCF $
i.1q;s
' CO/CC $ `... ".
DBPR $ Notary $
Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE$ C
(Revised02/24/2014)
Bonding Company's Name (if applicable)
$ :1 t<<.
Bonding Company's Address
City ..i. State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City .-.-0 • 1 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 pEior 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. �. , , i� f ‘,
"WARNINVTO 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." ,. 1 , , , ,, _ h,,
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 occ _ -ven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not bpproved nd a re nspection fee will be charged.
Signature
OWNER or AGENT
Theforegoing instrument was acknowledged before me this
e/
le -• day of /LAJ/ fll s +e , 20 is , by.
L' g`1 S4JGN4EZ , who is personally known to
me or who has produced Ft -D/.\f L. /C.VTSE as
5522-.520-8V--cRI-0.
identification and who did take an oath.
NOTARY PU
Sign:
Print:
Seal:
4
f"A et ,- HENRY J: GARCIA, JR.
.: �•` :*% Commission # FF 235205
= Expires May 27, 2019 a
APPROVED BY
r s,
Signature
The foregoing instrumen__t�wwaass acknowledged before me this
rp
b day of /��rtC7''7 66/L /
, 20 (d , by
OY Aell-Ahlti , L AlLJ l who is personally known to
me or who has produc d Ft- -1-1 Jam..11 as
Ste -z$1-62—V g- 0
identification and who did take an oath.
i { S i i '
NOTARY PUBLIC:
y Print:
Seal:
((- 7-1/ Plans Examiner
. « Structural Review
etih:t ., HENRY J. GARCIA, JR.
�•` Commission # FF 235205
Expires May 27, 2019
. ` Bo,dsdThruTroy Fin !mienal00355.T0,O
*s*********.
Zoning
Clerk
(Revised02/24/2014)
•
Page 1 of 1
Property Search Application - Miami -Dade County
Summary Report
Property Information
Folio:
11-3205-025-0140
Property Address:
1223 NE 102 ST
Miami Shores, FL 33138-2617
Owner
ALEJANDRA SANCHEZ
LEMAY SANCHEZ
Mailing Address
1223 NE 102 ST
MIAMI SHORES, FL 33138 USA
PA Primary Zone
1400 SGL FAMILY - 3001-3250 SQ
Primary Land Use
0101 RESIDENTIAL - SINGLE
FAMILY : 1 UNIT
Beds / Baths / Half
3 / 2 / 0
Floors
1
Living Units
1
Actual Area
2,193 Sq.Ft
Living Area
1,843 Sq.Ft
Adjusted Area
2,076 Sq.Ft
Lot Size
9,123 Sq.Ft
Year Built
1950
Assessment Information
Year
2018
2017
2016
Land Value
$328,428
$328,428
$305,620
Building Value
$189,435
$222,755
$225,765
XF Value
$907
$917
$926
Market Value
$518,770
$552,100
$532,311
Assessed Value
$518,770
$543,489
$532,311
Benefits Information
Benefit
Type
2018
2017
2016
Save Our Homes
Cap
Assessment
Reduction
$8 611
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
PB 42-25
BAY BREEZE SEC MIAMI SHORES
LOT 6 BLK 186
LOT SIZE 74.170 X 123
OR 12624-634 0785 4
Generated On : 11/6/2018
Taxable Value Information
2018
2017
2016
County
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$468,770
$493,489
$482,311
School Board
Exemption Value
$25,000
$25,000
$25,000
Taxable Value
$493,770
$518,489
$507,311
City
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$468,770
$493,489
$482,311
Regional
Exemption Value I $50,000
$50,000
$50,000
Taxable Value $468,770
$493,489
$482,311
Sales Information
Previous Sale
Price
OR Book -Page
Qualification Description
07/23/2018
$776,000
31082-1555
Qual by exam of deed
06/04/2015
$695,000
29656-3755
Qual by exam of deed
11/11/2008
$380,000
26656-3794
Sales which are qualified
09/01/2005
$649,500
23901-3447
Sales which are qualified
The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Property Appraiser
and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http://www.miamidade.gov/info/disclaimer.asp
https://www.miamidade.gov/propertysearch/
11/6/2018
BERNIE'S SPRINKLER, INC.
THE FULL SERVICE COMPANY THAT CARES!
LICENSED & INSURED CC# 96P000355
3531 NW 170TH STREET
OPA LOCKA, FLORIDA 33056
(305) 620-1111 CELL (305) 345-7058
/n`wq F
State of C 1 O rib
Date:
County of IN klA'(Yll-
Before me this day personally appeared b.Ad INYI��,r who, fr,ng duly sworn,
deposes and says:
That he or she will be the only person workigarefe.pje 1ited at:
\223 \N� \ YL - MicvM'i Skt is 138
Contractor Qf' ature
Sworn to (or affir._ d) and subsu
by
Cjraej‘A_ , ..IYIi'� v
day of N v 0*emb•Q.►' . 20 t$
Personally know
OR Produced Identification
Type of Identification Produced �r+Y li
Print, Type or Stamp Name of Notary
t';s,,c YANADYPRIETO
.,. MY COMMISSION # FF 214031
• EXPIRES: March 25, 2019
Bonded Thru Notary Public UnderJritera
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 . on your .roject. In these circumstances, Miami Shores Village does not require verification of
workers' compensation ' surance overa, e fro e contractor's company for day labor, part-time employees or subcontractors.
BY SIGNING BEL I, W YO . ACKN WLEDG : THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS
CONTENTS.
Signature:
Owner
State of Florida
County of Miami -Dade ^ 1 '
The foregoing was acknowledge before me this q day of 1 V O` .
By L Q`''1 SAh C,I 2,%
Notary:
SEAL:
20 le
who is personally known to me or has produced
ICR 1 1 . _ as identification.
MAHARAI K. GONZALEZ
' • - MY COMMISSION # GG 044602
~ ` EXPIRES: November 2, 2020
:Fdr'i�°.•' Bonded ThN Notary Public Underwriters