PL-19-2190Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Issue Date: 09/30/2019
Location Address Parcel Number
561 NE 106TH ST, Miami Shores, FL 33138 1122310140140
Permit MO.: PL -0$11941.90
Permit Type: Pli king - Residential
Mork Classification: Gas
Permit Status: Approved
Expiration: 03/30/2020
Contacts
DAVID AND ANGELAIBENJAMIN Owner PRECISION GAS SERVICE INC Contractor
561 NE 106 ST, MIAMI SHORES, FL 33138 ROBERTO GARCIA
2160 SW 143 PL, MIAMI, FL 33175
Business: 3052970943
Description: QUALIFY GAS VENT FOR WATER HEATER (ROOF) Valuation: $ 400.00 Ins ection Requests:
3015-762-4949
Total Sq Feet: 2,100.00
I
Date Paid Amt Paid
Fees
Amount
Application Fee - Other
$50.00
CCF
$0.60
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.20
Permit Fee
$50.00
Scanning Fee
$3.00
Technology Fee 1
$2.50
I
Total:
$110.30
Payments
Date Paid Amt Paid
Total Fees
$110.30
Check# 1583
09/20/2019 $50.00
Check# 1625
09/30/2019 $60.30
Amount Due:
$0.00
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 I certify that all the foregoing information is accurate and that all ork will be done in compliance with all applicable laws
regulating construction and zoning. Futhermore, I authorize-"Wbo* named contractor to do the work stated.
Authorized Signature
/ Applicant
Agent
Date
September 30, 2019 Page 2 of 2
• r°�
Miami Shores Village RECEIVED
x � �
Building Department SEP 2 0 019
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
BY:
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949 TT
'0
FBC 0 (�
BUILDING
Master Permit No. z -0-:k I l��l
PERMIT APPLICATION
Sub Permit No :Y-Oq -1"7- 219 d
❑BUILDING ❑ ELECTRIC
❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
E04PLUMBING ❑ MECHANICAL
F-1 PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 561 NE 106th Street
City: Miami Shores
County' Miami Dade Zip:
Folio/Parcel#:11-2231-014-0140
Is the Building Historically Designated: Yes NO X
Occupancy Type: Load:
Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder):
David and Angela Benjamin Phone#:786-200-5220
Address:561 NE 106th Street
City: Miami Shores
State: Florida Zip: 33138
Tenant/Lessee Name: n/a
Phone#:
Email:
CONTRACTOR: Company Name: _
Address: -2-/ & 0- S "0
City
Quali
hone#: � � .2 D '-� - 3s5'�
State Certification or Registration #:
DESIGNER: Architect/Engineer:
21(51
—Zio: 931-7-S
ne#:��o= 2 V.� ' 35
Certificate of Competency #: _
Phone#:
Address: /� City: State
Value of Work for this Permit: $ va 06 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Rep�ce
Description of Work:
Specify color of color thru tile:
Zip:
❑ Demolition
.--,> A --
Submittal Fee $ b—� Permit Fee $ 1
00 CCF $ 0-4D — CO/CC$ yj
Scanning Fee $ �' �Radon Fee $ o+. no DBPR $ 00 Notary $
Technology Fee $ �' Training/Education Fee $ 0 -1 Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $ 190 -1))C)
(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
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.
Signature U
OWNER or AGENT
The foregoing instrument was acknowledged before me this
iday of0 20 by
sw
who is personally kno
me or who has produced as
identification and who did take an oath.
Signature
CO TRACTOR
The foregoing instrument was acknowledged before me this
`day of 20 % by
6 t9l2 o is personally k n o 0
me or who.bas as
identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLI
-7
Sign: Sign:
Print:
+:
My COMMISM # IFF pig5
.ilk „mss a rEXPIRES: Octoxgy, 2#1S
Nogry relic UrwrrrRro
Print:
-----------------------
Seal: MINET T. PEREZ
i t MY COMMISSION 0 GG 127202
�oF®n'oP° EXPIRES: July 23, 2021
APPROVED BY CiI 9 �� Plans Examiner
Structural Review
(Revised02/24/2014)
*******************
Zoning
Clerk
Property Search Application - Miami -Dade County Page 1 of 1
V.
017FICE OF THE PROPERTY APPRAISER
Summary Report
Property Information
Folio:
11-2231-014-0140
Property Address:
561 NE 106 ST
Miami Shores, FL 33138-2045
Owner
DAVID BENJAMIN
ANGELA BENJAMIN
Mailing Address
561 NE 106 ST
MIAMI SHORES, FL 33138
PA Primary Zone
1000 SGL FAMILY - 2101-2300 SQ
Primary Land Use
0101 RESIDENTIAL -SINGLE
FAMILY: 1 UNIT
Beds / Baths / Half
3/2/0
Floors
1
Living Units
1
Actual Area
1,920 Sq.Ft
Living Area
1,559 Sq.Ft
Adjusted Area
1,727 Sq.Ft
Lot Size
9,150 Sq.Ft
Year Built
1949
Assessment Information
Year
2019
2018
2017
Land Value
$216,021
$205,735
$228,594
Building Value
$121,201
$122,203
$123,204
XF Value
$1,441
$1,461
$1,481
Market Value
$338,663
$329,399
$353,279
Assessed Value
1 $252,352
$247,647
$242,554
Benefits Information
Benefit
Type
2019
2018
2017
Save Our Homes
Cap
Assessment
Reduction
$86,311
$81,752
$110,725
Homestead
Exemption
$25,000
$25,000
$25,000
Second Homestead
I 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
36 52 41 31 52 42 PB 10-47
AMD PL MIAMI SHORES SEC 5
E1/2 LOT 20 & LOT 21 BLK 109
LOT SIZE 75.000 X 122
OR 21187-4776 03 2003 1
Generated On : 9/20/2019
Taxable Value Information
2019
2018
2017
County
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$202,352
$197,6471
$192,554
School Board
Exemption Value
$25,000
$25,000
$25,000
Taxable Value
$227,352
$222,647
$217,554
City
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$202,352
$197,647
$192,554
Regional
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$202,352
$197,647
$192,554
Sales Information
Previous Sale
Price
OR Book -Page
Qualification Description
03/13/2009
$416,000
26788-3531
Qual by exam of deed
03/01/2003
$259,000
21187-4776
Sales which are qualified
03/01/1997
$124,500
17577-3415
Sales which are qualified
06/01/1989
$110,000
14167-1983
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 hfp:ltwww.miamidade.gov/info/disclaimer.asp
Version:
https://www8.miarnidade.gov/Apps/PA/propertysearch/
9/20/2019
A
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:
Owner
State of Florida
County of Miami -Dade // j
The fore goin as acknowledge before me this �CD day of < �� 4&0�20�.
By / 1 �/ G •�u✓ho is rsonally known t nte-ar� �uced
J1�4 aii identification.
Notary:
r���� MWET T. PEREZ
SEAL: � MY COMMISSION#GG127202
*004"y EXPIRES: July 23, 2021
L.iansed OVER 35 YEARS OF EXPERIENCE
Insured
Precision Gas Service. Inc.
Installation and Service of LP and Natural Gas Equipment
Industrial • Commercial • Residential
786-205-3558 2160 S.W. 143 Place, Miami, Florida 33175 305-297-0943
Date:
State ofD.e.
County of
Before me this day personally appeared o;s o, being duly sworn,
Deposes and says:
That he or she will be the only person working on the pro
c
Contractor Signature
�,,""% MINET T. PEREZ
MY COMMISSION # GG 127202
EXPIRE& dN1x 23, 2921
Or Produced Identification
Type of Identification Produced
Print, Type or Stamp Name of Notary