RC-18-1164sNO1! s o,� Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
1�e d Phone: (305)795-2204
F�ORtDA
Project Address
100 NE 92 Street
Miami Shores, FL 33138 -
Permit /vo. RC -5-18-1164
Permit Type: Residential Construction
Work Classification: Addition/Alteration
Pennit Status: APPROVED
Issue date: 612812018
Parcel Number
1132060133290
Block: Lot:
Expiration: 17/25/2018
SCOTT ALEXANDER
Owner Information Address Phone Cell
SCOTT ALEXANDER 100 NE 92 Street (786)282-2104 (305)414-9998
MIAMI SHORES FL 33138-
100 NE 92 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone
EPIC DEVELOPMENT & CONSTRUCTI (954)251-2590
Valuation: $ 25,000.00
Total Scl Feet: 200
Approved: In Review
Amount
Comments:
$500.00
Date Approved:: In Review
$15.00
Date Denied:
$50.00
Type of Construction: UPDATE CABINETS REMODEL MA
Occupancy: Single Family
Stories:
Exterior:
Front Setback:
Rear Setback:
Left Setback:
Right Setback:
Bedrooms:
Bathrooms:
Plans Submitted: Yes
Certificate Status:
Certificate Date:
Additional Info: UPDATE CABINETS REMODEL MA:
Bond Return :
Classification: Residential
Fees Due
Amount
Bond Type - Contractors Bond
$500.00
CCF
$15.00
CO/CC Fee
$50.00
DBPR Fee
$11.25
DCA Fee
$7.50
Education Surcharge
$5.00
P&Z Review Fee
$35.00
Permit Fee
$750.00
Scanning Fee
$9.00
Technology Fee
$20.00
Total:
$1,402.75
Pav Date Pav Tvoe Amt Paid Amt Due
Invoice # RC -5-18-67381
06/28/2018 Check #: 1188
05/02/2018 Credit Card
Bond #: 3810
$ 1,352.75 $ 50.00
$ 50.00 $ 0.00
Available Inspections:
Inspection Type:
Final PE Certification
Drywall
(Window Door Attachment
(Tie Beam
Final
Framing
Insulation
Truss Insp
Fill Cells Columns
Wire Lathe
Foundation
Window and Door Buck
Columns
Review Mechanical
Declaration of Use
F. Termite Letter
F. Elevation Certificate
Review Planning
Review Electrical
Review Building
Review Buildino
Review Mechanical
Review Plumbing
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 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 jl en actQ P do the work stated.
June 28, 2018
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
June 28, 2018 1
Miami Shores Village RECEIVED
Building Department MAY 02 1018
C7 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
BUILDING �°� �Q� Master Permit No. 12-f, 1 I l00
PERMIT APPLICATION Sub Permit No.
BUILDING F-1 ELECTRIC Ej ROOFING REVISION EXTENSION RENEWAL
PLUMBING ❑ MECHANICAL PUBLIC WORKS CHANGE OF CANCELLATION ❑ SHOP
�` c ` CONTRACTOR DRAWINGS
JOB ADDRESS: ( oO I n 1 � IQ S�
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
SC(O'ti'oaf d
t'S`,.7cAnjF�-
Kt'a
���� � ,a i °Y
OWNER: Name (Fee Simple Titleholder):
a, r,
c_
Phone#:
Address: OO
1e
City: �"� ICS M t C'V-
eS State:
��-
Zip: 3
Tenant/Lessee Name:
NI
�c��3I
�J
Phone#: 3W - Vi V' c /59 O
Email: �e_vN k-Mue C.
Z
CONTRACTOR: Company Name:
V J e �b
V S YU
►
Phone#:
Address: � � I l S
N x l p- 41,
City: i
Qualifier Name: Milt
Ziipp: 3 3 /
�� /? v Phone#: L Jay ds -1 U
State Certification or Registration #: l� �i I �' o Certificate of Competency #:
//
DESIGNER: Architect/Engineer:
hone#:
Address: City: State: Zip:
Value of Work for this Permit: $�I Square/Linear Footage of Work:
Type of Work: ❑ Addition Alter)do/n /T /❑ New [ Repair/Replace ❑ Demolition
Des cription of Work: IT�l en m n -,n
1 n.c�.JU L.c.-w. ► h li- l vii v►�. rvu� o _ _
Specify color of color thru tile: t -D
Submittal Fee $ L--:3• (M) Permit Fee $��� CCF $ 1 CDCD CO/CC $ '
Scanning Fee$�n�� Radon Fee $ -79" c DBPR $ l Notary $
Technology Fee $ 20 • Training/Education Fee $ S ' CO Double Fee $
Structural Reviews $ Bond $ Goo' 00
TOTAL FEE NOW DUE $ O S 2
(Revised02/24/2014) - 3 Es 2 . 5
(
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
Zip
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 commence ent must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In thabsence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged. �� �-
Signature w Signature
OWNER or AGENT
The foregoing instrument was acknowledged before me this
day of Ww 20 _, by
gC-e1Z who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
oxef
JERYL C. B YCESeal:MY COMMISSION # FF930543
,_ FXP?RF.S Octobd 25, 2019
The foregoing instrument was acknowledged before me this
k- day of kRL , 20 t9j , by
who is personally known to
me or who has produced `ht as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:_
Print:
Seal:JERYL C. BO
YCE
IT MY COMMISSION # FF930543
FXPIRES: October 25, 2019
APPROVED BY f/� L` Plans Examiner _
Structural Review
(Revised02/24/2014)
***********
Zoning
Clerk
5/2/2018 Propertv Search Application - Miami -Dade County
a:�w-OFFICE OF THE PROPERTY APPRAISER
Summary Report
Property Information
Folio:
11-3206-013-3290
Property Address:
100 NE 92 ST
Miami Shores, FL 33138-2814
Owner
SCOTT DAVID ALEXANDER
BRENDA KRAVEC
Mailing Address
2455 E SUNRISE BLVD 1000
FORT LAUDERDALE, FL 33304 USA
PA Primary Zone
1000 SGL FAMILY - 2101-2300 SQ
Primary Land Use
0101 RESIDENTIAL -SINGLE
FAMILY: 1 UNIT
Beds / Baths / Half
3/3/0
Floors
1
Living Units
1
Actual Area
2,341 Sq.Ft
Living Area
2,141 Sq.Ft
Adjusted Area
2,148 Sq.Ft
Lot Size
13,000 Sq.Ft
Year Built
1951
Assessment Information
Year 2017
2016
2015
Land Value $324,852
$324,852
$246,928
Building Value $149,501
$149,501
$149,501
XF Value $20,948
$21,142
$15,369
Market Value $495,301
$495,495
$411,798
Assessed Value $403,962
$395,654
$392,904
Benefits Information
Benefit Type 2017
2016
2015
Save Our Homes Cap Assessment Reduction $91,339
$99,841
$50,000
Portability Assessment Reduction
$50,000
$18,894
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 I
MIAMI SHORES SEC 1 AMD PB 10-70
LOTS 13 & 14 BLK 24
LOT SIZE IRREGULAR
OR 21141-3026 03 2003 1
COC 26521-4730 07 2008 3
Generated On : 5/2/2018
Taxable Value Information
2017
2016
2015
County
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$353,9621
$345,654
$342,904
School Board
Exemption Value $25,000 $25,000
$25,000
Taxable Value 1 $378,962 $370,6541
$367,904
City
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$353,962
$345,654
$342,904
Regional
Exemption Value $50,000 $50,000
$50,000
Taxable Value H$353,962 $345,654
$342,904
Sales Information
Previous
Price
OR Book -
Qualification Description
Sale
Page
03/05/2018
$625,000
30894-4410
Qualby exam of deed
10/31/2014
$550,000
29416-1397
Qua[ by exam of deed
Corrective, tax or QCD; min
10/31/2014
$100
29969-0239
consideration
Corrective, tax or QCD; min
12/29/2012
$0
28443-1261
consideration
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:
Notice to Owner — Workers' Com
Miami shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
nsation 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: C
Owner
State of Florida
County of Miami -Dade
The foregoing was acknowledge before me this day of , 2020J_&.By t((22—>`e r)&0_ `C C_A\1 e Q__ who is personally known t me or has produced
identification.
Notary:
SEAL:----------
JERYL C. BOYCE
EXPIRES: October 25, 2019
EPIC
RECEIVED
MAY 291018i
Development & Construction Corp.
Miami, Florida 305-414-9998 CGC 1522038
April 30, 2018
State of Florida
Miami -Dade County
Before me this day, Alvaro Posada Being duly sworn, deposes and says:
That he will be the only person from his company working on the project
located at 100 NE 92 St. Miami Shores, Fl.
Alvaro 4stada
Sworn to and subscribed before me this 1St day of May, 2018 by Alvaro Posada.
Personally known Z
1ER
yC0Q"."8`01`,^cE� �91�E
arOtob,
43
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Notice to Owner - Workers' Com
RECEIVED
I'll 2 9 2018
Miami shores e
9 Villa
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
on 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
j 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 theonly 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
State of Florida
County of Miami -Dade
The
By
was acknowledge before me this Ik day of A hd. , 201�_,
who is personally known to me or has produced
as identification.
Notary: ;
SEAL:
� OBQ 930354,3
o�RES: 010b, 25, 2019
MIAMI VILLAGE
---------------------
APPROVED 16Y DAT E
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