RC-17-1858C�� V�'v to
BUILDING
PERMIT APPLICATION
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Te1: (305) 795-2204 Fax9 (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949 --% k--"
BUILDING ❑ ELECTRIC ❑ ROOFING
FBC201W
Master Permit No. WS ( _ t
Sub Permit No.
❑ REVISION ❑ EXTENSION EJRENEWAL
❑PLUMBING ❑ MECHANICAL DPLIBLICWORKS [:]CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS:
ql-- ler
Folio/Parcel#: I I - 9�k%Q— 00,85-0 '7 0 Is the Building Historically Designated: Yes NO_
Occupancy Type: 55 Load: Construction Type: C13-'5 Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): A' Q i o Josc Phone#: (-7eL6)-75-9 !
Address: 815 Ne q 1-4 T-cK
City: MiAmi SV-1CrPS State: FL Zip: 33158
Tenant/Lessee Name: `, �,M Phone#:
Email: I oSe 02I 6 L Yahco• cC./I 1 l
CONTRACTOR:: Company Name: A6 rr 6fnera I Grstru an "Phone#:
T
Address: l qf171 Sj,r) 14(O Tery
City: li �'LQuderdAke State: FL zip: 333 /-7�
Qualifier Name:
hone#:
t!0*S
State Certification or Registration #: GC / c Y" 5Certificate of Competency #:
DESIGNER: Architect/Engineer: rlrchi-f-,d i"e' -AA-n s 061rt4a UCr&*- C?A1CAho,,n/ee#(�[� �d�s ski
Address: O Y,2:Q .SGU ��' irJVe?j)0P C City: �'DYf �(L-klV k 1:t:- zip: 333 / 7--
Value of Work for this Permit: $ 'On� • C0 Square/Linear Footage of Work:
Type of Work: ❑ Addition Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work:
i�e'r
ARM
' ne) +0 a
c re A- co)Ce nn
2 Xf'2NQ(" I,51'UC�O �'p :')2�n f.7u.5¢►�f'• � J ,
Specify color of color thru tile:
Submittal Fee $ �V Permit Fee CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $
Bond $ �0
TOTAL FEE NOW DUE $ . j - �
J
(Revised02/24/2014)
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
Zip
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 reinspection fee will be charged.
i
Signature '
OWNER or AGENT
The foregoing instrume was acknowledged before me this
day of 20J by
06 who is personally known to
e-w I
me or who has produced as
identification and who did take an oath.
NOT
Sign
Prini
Seal
2foring
CONTRACTOR
ent as acknowledged before me this
20 by
.--�d who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY P
Sign:_
Print:
Seal: ,�; MY COMMISSION # FF97'4952
%�aa,.• EXPIRES April 05, 2020
as
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
Property Search Application - Miami -Dade County Page 1 of 1
MIN
OFF -ICE OF THF P90PrR,,4Y O>.. APPRAISER
Summary Report
Property Information
Folio:
11-3206-005-0240
Property Address:
815 NE 91 TER
Miami Shores, FL 33138-3217
Owner
ALAIN JOSEP
Mailing Address
815 NE 91 ST TER
MIAMI, FL 33138-3217
PA Primary Zone
0900 SGL FAMILY - 1901-2100 SQ
Primary Land Use
0101 RESIDENTIAL -SINGLE
FAMILY: 1 UNIT
Beds / Baths / Half
2/1/0
Floors
1
Living Units
1
Actual Area
1,932 Sq.Ft
Living Area
1,404 Sq.Ft
Adjusted Area
1,668 Sq.Ft
Lot Size
10,500 Sq.Ft
Year Built
1950
Assessment Information
Year
2017
2016
2015
Land Value
$283,331
$231,322
$157,579
Building Value
$77,062
$104,083
$104,083
XF Value
$0
$0
$0
Market Value
$360,393
$335,405
$261,662
Assessed Value
$360,393
.........
$176,887,
$175,658
Benefits Information
Benefit
Type
2017
2016
2015
Save Our Homes
Cap
Assessment
Reduction
$158,518
$86,004
Homestead
Exemption
$25,000
$25,000
Second Homestead
IExemption
$25,000
$25,000
Vet Disability
Exemption
$5,000
$5,000
Note: Not all benefits are applicable to all Taxable Values (i.e. County,
School Board, City, Regional).
Short Legal Description
GOLDEN GATE PARK ADDN PB 6-130
LOT 17 & E1/2 LOT 16 BLK 2
LOT SIZE 75.000 X 140
OR 18624-4072 25182-1456 0599 1
Generated On : 7/20/2017
Taxable Value Information
2017
2016r 2015
County
Exemption Value
$0
$55,000
$55,000
Taxable Value
$360,393
$121,887
$120,658
School Board
Exemption Value
$0
$30,000
$30,000
Taxable Value
$360,393
$146,887
$145,658
City
Exemption Value $0
$55,000
$55,000
Taxable Value 1 $360,393
$121,8871
$120,658
Regional
Exemption Value $0
_.. _____.._..._..._...___._..__.._...__._._.._....__--.
Taxable Value $360,393
$55,000
__._.._.__..................__......_
$121,887
$55,000
._..._.____.__.
$120,658
Sales Information
Previous
OR Book -
Price
Qualification Description
Sale
Page
11/07/2016
$395,000
30314-4365
Qual by exam of deed
Corrective, tax or QCD; min
01/20/2015
$105,500
29479-3358
consideration
Financial inst or "In Lieu of
08/14/2009
$175,000
27011-1420
Forclosure" stated
Financial inst or "in Lieu of
05/01/2009
$100'
26866-2568
Forclosure" stated
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 hftp://www.miamidade.gov/info/disclaimer.asp
Version
http://www.miamidade.gov/propertysearch/ 7/20/2017
Miami shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Inspection requirements for:
Windows, Doors, Skylights or Fixed Glass (cladding) Permits
Upon issuance of permits for the scope of work involving the removal, changing and/or
replacement of any type of windows, doors, sidelites, skylights or fixed glass (cladding)
the permit holder or qualifier bearing his signature on the permit application shall abide
by the requirements of this department and comply with the following statement:
Upon obtaining window and/or door permits for the installation of same, it is the
responsibility of the permit holder to request window/door framing in -progress
inspection, prior to concealment of any horizontal or vertical clip mullion, bucks, shims,
etc. Inspector will also verify anchor type, edge distance, embedment and spacing. The
purpose for this inspection, is for the verification of conformance with Product
Approval (NOA).
Acknowledgeme t: --
a /_�/-
(i4-ii✓
Qualifier/Owner Signature Date Print Name
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 Exemation
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:
l . 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.
r
Signature: r
e-, -
Owner
State of Florida
County of Miami -Dade
The foregoing was acknowledge before me this s 0 day of J U , 20
By &I=A.I n% 10MDF who is personally known to me or has produced
u-05 as identification.
Notary:
SEAL:
' V'd1 Y luouc State of Florida
Sindia Alvarez
My Commission FF 156750
Expires 09/03/2018
GUSTAVO ALCANTARA/
RICARDO ACOSTA
1961 SW 46 TERR
FORT LAUDERDALE FL 33317
E-
IviAII.,:Gt;s'1'At'O,-XLC,kN 1'ARA771,'ri`G'�1 kit Co I
PHONE 954-235-1345
Date: 7 /2 ,f f t
State of i1t-1417, r e
County of % rtrl-
AG & GENERAL
CONSTRUCTION INC.
i
Before me this day personally appeared Iwho, being duly sworn deposes
and says that:
Thathe or she will be the only per n working on the project located at: 815 NC 91 st Ter Kami Shores,
FL 33138
Conti actor
Sworn to (or affirmed) and subscribed before nee this
v.._. .2017, byfq
Or Produced Identification
r° day of
'r'v'•. JORGE MORALq03620
' MY COMMISSION # G
EXPIRES: December ` Bonded ihru Notary Public
Personally kno
Type of Identification c ced
q�
u rint, "type or Stamp Name of Notary
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
FCORiD4`
Permit NO. RC-7-17-1858
Permit Type: Residential Construction
Pen t Worts Classification: Alteration
Permit Status: APPROVED
issue Date: 7/26/2017
Expiration: 01/22/2018
Project Address Parcel Number Applicant
815 NE 91 Terrace 1132060050240
ALAIN JOSEPH
Miami Shores, FL 33138- Block: Lot:
Owner Information Address Phone Cell
ALAIN JOSEPH 815 NE 91 Terrace
MIAMI SHORES FL 33138-
815 NE 91 Terrace
MIAMI SHORES FL
Contractor(s) Phone Cell Phone
AG & GENERAL CONSTRUCTION INC (954)203-9219
ValLSqFeet:
$ 2,000.00
Tot80 �j
Approved: In Review
Comments:
Date Approved:: In Review
Date Denied:
Type of Construction: EXPANDING FRONT OPENING FRC
Occupancy: Single Family
Stories:
Exterior:
Front Setback:
Rear Setback:
Left Setback:
Right Setback:
Bedrooms:
Bathrooms:
Plans Submitted: Yes
Certificate Status:
Certificate Date:
Additional Info:
Bond Return :
Classification: Residential
Fees Due
Amount
CCF
$1.20
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.40
Notary Fee
$5.00
Permit Fee
$100.00
Plan Review Fee (Engineer)
$80.00
Scanning Fee
$9.00
Technology Fee
$1.60
Total:
$201.20
Pay Date Pay Type Amt Paid Amt Due
Invoice # RC-7-17-64634
07/20/2017 Cash $ 50.00 $ 151.20
07/26/2017 Credit Card $ 151.20 $ 0.00
Available Inspections:
Inspection Type:
Window Door Attachment
Framing
Insulation
Drywall Screw
Final PE Certification
Window and Door Buck
Fill Cells Columns
Review Structural
Review Building
Review Planning
Review Electrical
Review Plumbing
Review Mechanical
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 for*ing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning—Putheomore. I author' altheabove-named contractor to do the work stated.
July 26, 2017
Authorizeb-SigRatuie:wner / Applicant / Contractor / Agent
Building DepartOent Copy
July 26, 2017