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EL-18-1366Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Permit Permit NO. E L-5-18-1366 Permit Type: Electrical - Residential Work Classification: Solar Permit Status: APPROVED Issue Date: 6/11 /2018' Expiration: 12/08/2018 Parcel Number Applicant 1050.NE 105 Street Miami Shores, FL 33138-2106 1122320280060 Block: Lot: PHILIPPE ALLUARD • Owner Information Address Phone Cell PHILIPPE ALLUARD 1050 NE 105 Street MIAMI SHORES FL 33138- 1050 NE 105 Street MIAMI SHORES FL 33138- Contractor(s) Phone ANGEL ELECTRIC CONNECTIONS, IN (561)254-1764 Cell Phone Valuation: Total Sq Feet: $ 500.00 0 Type of Work: Additional Info: Classification: Residential Scanning: 3 Fees Due CCF Copies DBPR Fee DBPR Fee DCA Fee Education Surcharge P&Z Review Fee Permit Fee Revision Fee Scanning Fee Technology Fee Total: Amount $0.60 $1.80 $0.00 $2.00 $2.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $6.40 Pay Date Pay Type Invoice # RC-5-18-67616 06/11/2018 Credit Card Amt Paid Amt Due $ 6.40 $ 0.00 Available Inspections: Inspection Type: Final Solar Review Electrical Review Building Review Structural 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 ELECTR CAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFID V i 1 e construction and Authorized Signature: Owner ify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating ermore, I authorize the above -named contracto to do the work stated. C k / Applicant / Contractor / Agent June 11, 2018 Date Building Department Copy June 11, 2018 1 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 SIGN ELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTE Signature: State of Florida County of Miami -Dade The foregoing was acknowledge before me this day of By Notary: SEAL: (lug L who is personally known to me or has produced as identification. ?oa►r ►o,� Notary Public State of Florida Madelin Rojas r P My Commission GG 157509 poi rvd` Expire* 1110512021 Goldin Solar, LLC Certified Florida Solar Contractor, License number: CVC56965 Cell #: (305) 469 9790 dgoldin@goldinsolar.com www.goldinsolar.com GOLDIN' :SOLAR 06/04/2018 State of r'I Of Ida County of 010Til -DGCke Before me this day personally appeared deposes and says: Lc c,7 That he or she will be the only person working on the project located at: who, being duly sworn /O5 tiL 105 Si Playvii5hoires,PL. 3 3138. ntracto i natu Sworn to (or affirmed) and subscribed before me this day of ,IYie , 20(_ By pow( Lopez Personally Known -- Or Produced Identification Type of identification cam'" Print, type, or stamp name of notary '' °,. otary Public State of Florida ;, N 'P �; Madelin Rojas t. � , N�+. 7 My Commission GG 157509 ,. os r o°- Expires 11/05/2021 Co g re PNG" 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 FBC 20 a BUILDING Master Permit No.-L e "( 3GG PERMIT APPLICATION Sub Permit No. ❑ BUILDING IN ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑ RENEWAL ❑ PLUMBING ❑ MECHANICAL ❑ PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: MOO IV E to5 City: Miami Shores County: Miami Dade Zip: 3_3 138 Folio/Parcel#: 11.0a32•028. Oco0 Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: IV OWNER: Name (Fee Simple Titleholder): ahl l l �P Al luct'C1 Phone#: 13C6 ?`13+��31 Address: IO i) E". ID5 St City: /(QIM i Si/ tCrES State: FL Zip: 33 Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: Anq �cI L tectriC_ Owned -loos Phone#: Cs&bpcs'-/' I'y li e Address: 400 Ale cI -Jr. City: poky, l5 3prliState: p(_ Zip: 3314GI n Qualifier Name: /�TYrAP1 Lo lam. e7_ Phone#: State Certification or Registration #: L CIAC06533 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ 6-0- `O 0'je Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration Fl New ❑ Repair/Replace I -I Demolition Description of Work: Inal _Y I lere_oor r4tc n Specify color of color thru tile: Submittal Fee $ Permit Fee $ /' "' "e' CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ / Bond $ �( TOTAL FEE NOW DUE $ / • T 0At� ! . CJV 0 (Revised02/24/2014) 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 no •e approved and a reinsp , to ' fee will be charged. Signature OW The foregoing instrument was acknowledged before me this I G' day of t`--kQ�% , 20 'g , by ► t'►� A'1uci J , who is personally known to me or who has produced c—' L DL— as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: ************ APPROVED (Revised02/24/2014) esr rye Notary Public State of Florida Madelin Rojas . My Commission GG 157509 fl/ Expires 11/05/2021 Signature The foregoing instrument was acknowledged before me this (O' IIday of 0,ay , 20 b n, by , who is personally known to rsOr Uty kux�wh identification and who did take an oath. NOTARY PUBLIC: me or who has produced Sign: Print: Seal: as ********** Plans Examiner Structural Review �� r 411 401 Notary Public State of Florida :° Madelin Rojas My Commission GG 157509 "Pt0jos" Expires 11/05/2021 ****************************** Zoning Clerk 4 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Solar Installation Requirements Check type of Solar System to be installed: ❑ Solar Thermal Required Inspections: PLumbing Solar Final Electrical Solar Final Structural Solar Final Solar Electrical Required Inspections: Electrical Solar Rough Electrical Solar Final Structural Solar Final ❑ Solar Hybrid Required Inspections: Electrical Solar Rough Electrical Solar Final PLumbing Solar Final Structural Solar Final Owner Notification: Installation of roof mounted photovoltaic or solar support systems typically require roof system Penetrations to allow attachment to the structure which may create additional Tong -term roof system maintenance requirements and/or jeopardize roof system manufacturer's warranties. Roof mounted solar systems generally required removal and reinstallation of solar panels/arrays in order to perform routine roof system maintenance, repair or replacement. I hereby acknowledge that I have read and understand the above notification on this_ . day of S &1Il6 /Xn , 20 Print owner name Owner signature _ / / �► Property address , /O V NE f9CoA tl e Miami Shores, FL . IL' .E Permit # Notary stamp Print Notary 1116.rie 00 PC, Notary Public State of Florida Madelin Rojas , • My Commission GG 157509 +.nor\Ow' Expires 11/05/2021 Property Search Application - Miami -Dade County Summary Report Property Information Folio: 11-2232-028-0060 Property Address: 1050 NE 105 ST Miami Shores, FL 33138-2106 Owner PHILIPPE G ALLUARD Mailing Address 1050 NE 105 ST Miami Shores, FL 33138-2106 USA PA Primary Zone 1100 SGL FAMILY - 2301-2500 SO Primary Land Use 0101 RESIDENTIAL - SINGLE FAMILY : 1 UNIT Beds / Baths / Half 3/3/0 Floors 1 Living Units 1 Actual Area 2,738 Sq.Ft Living Area 2,125 Sq.Ft Adjusted Area 2,431 Sq.Ft Lot Size 11,250 Sq.Ft Year Built 1953 Assessment Information Year 2017 2016 2015 Land Value $393,997 $337,712 $309,172 Building Value $196,911 $196,911 $196,911 XF Value $1,040 $1,053 $853 Market Value $591,948 $535,676 $506,936 Assessed Value $546,925 $535,676 $506,936 Benefits Information Benefit Type 2017 2016 2015 Save Our Homes Cap Assessment Reduction $45,023 Homestead Exemption $25,000 $25,000 Second Homestead Exemption $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 ESTATES PB 47-58 LOT 6 BLK 1 LOT SIZE 75.000 X 150 Page 1 of 1 Generated On : 5/18/2018 Taxable Value Information 20171 2016 2015 County Exemption Value $50,000 $50,000 $0 Taxable Value $496,925 $485,676 $506,936 School Board Exemption Value $25,000 $25,000 $0 Taxable Value $521,925 $510,676 $506,936 City Exemption Value $50,000 $50,000 $0 Taxable Value $496,925 $485,676 $506,936 Regional Exemption Value $50,000 $50,000 $0 Taxable Value $496,925 $485,676 $506,936 Sales Information Previous Sale Price OR Book - Pa 9a Qualification Description 12/20/2013 $663,500 28990 2699 Qual by exam of deed 05/04/2009 $100 26930- 4132 Trustees in bankruptcy, executors or guardians 10/22/2008 $10 26621- 2529 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: https://www.miamidade.goy/propertysearch/ 5/18/2018