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PL-19-141Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Issue Date: 04/29/2019 Location Address Parcel Number 401 NE 94TH ST, Miami Shores, FL 33138 1132060140480 Contacts Permit NO.: PL -01-19-141 Permit Type: PluMbiog - Residerrt'ial Work L('ossification: Alteration Permit status: Approved Expiration: 10/28/2019 JACQUELINE BECERRA Owner SYSTEMATICS PLUMBING & DESIGN INC Contractor 401 NE 94 ST, MIAMI SHORES, FL 331382845 KAREL VALDES 2211 W 52 St unit 202, Hialeah FI , FL 33016 Business: 7863267354 Inspection Requests: Description: REMOVE AND REPLACE KITCHEN PLUMBING Valuation: $ 1,200.00 Inspec-4449Re FIXTURES. Total Sq Feet: 0.00 Fees Amount Application Fee - Other $50.00 CCF $1.20 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.40 Permit Fee $50.00 Scanning Fee $3.00 Technology Fee $2.50 Total: $111.10 Building Department Copy Payments Date Paid Amt Paid Total Fees $111.10 Credit Card 04/29/2019 $111.10 Amount Due: $0.00 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 1 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 AFFIDA IT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating cqqstruc1i4 and zoning. Futhermore, I authorize the above named contractor to do the work stated. Signatu�: Owner / Applicant / Contractor / Agent Date April 29, 2019 Page 2 of 2 10 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 msu ce coverage from the contractor's company for day labor, part-time employees or subcontractors. BY SIGNINfe--SSLOW/Y)OU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS Signature: Owner State of Florida County of Mianfi-Dade The foregoing was acknowledge before me this /'? day of 107 20 10 . By 1'V� who is personally known to me or has produced as identification. Notary: Vana C Bauer X4FFlonde SEAL: 1A Expirm`� ess0. Gs 91eMt BUILDING PERMIT APPLICATION ❑ BUILDING �LUIVIBING JOB ADDRESS: 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 ❑ ELECTRIC ❑ ROOFING cJV BY. FBC 20 1� Master Permit No.A7.(2- 19 : . Sub Permit No.+A-1 q (a 1 t ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF CONTRACTOR ZI 01 tVE 9 L-/ ❑ CANCELLATION ❑ SHOP DRAWINGS 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: OWNER: Name (Fee Simple Titleholder): �� Phone#: Address: ivr mf- civ 4, .: SL"vs, F/ 53 1315 City: ��r-c't��� State:- Zip: c331 Tenant/Lessee Name: Phone#: Email CONTRACTOR: Company Name: �ys%ecutvC,�� �u� '1oz, Phone#: glwo Address: City: �/iFl���QQ __�QI�t'�, / ' I State: �'4AG Zip: Qualifier Name: lfl Ylpl �lCJ1f�e::�j Phone#: State Certification or Registration #: G� %Aa'16000 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: Valu 'of Work forth Permit: $ Ty pe�of W or k:. ✓- Ow,Ad dkt i o n, Description of Work: i• Iteration 1� t' City: 4 y State:. - Zip: Square/Linear, Footage. of Work: .. '•`moi ❑ New °, ,,.• ❑,;Repair/Replace ,, ❑ Demolition Specify color of color thru tile: th Submittal Fee $ ,..__ Permit Fee $ 160 CCF $ 1 - 2y CO/CC $ Scanning Fee $ 3 Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ (Revised02/24/2014) DBPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ II • I ''ll V 3. � 1 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 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 bV-dppTved and a reinspection fee will be charged. Signature Signature OWNER or AGENT CONT ACTOR. The foregoin instrument was acknowledged before me this The foregoing in rum ent was acknowledged before me this day ofQT 20 / by day of 'Q c 20 11 by w"�''�>� Owho is personally known to t who is personally known to me or who has produced s me or who has produced t4,1423 s identification and w oe"i .,,yyppyyppgg����ublic State of Florida identification and w o ,gyp a ��pp�yNyblic State of Florida `1�'oY� . Jose Paredes +� " l2obedo Jose Paredes NOTARY PUBLIC: I4My Commission GG 20e47s NOTARY PUBLIC: "p' PMy Commission GG 208475 or Expires 04/18/2022 is ted' Expires 04/1812022 Sign: ✓ Sign:_ Print: Print: Seal: Seal: i ************************************************************************************************************ APPROVED BYtA,01Plans Examiner Structural Review (Revised02/24/2014) Zoning Clerk Property Search Application - Miami -Dade County Page 1 of 1 OFFICE OF THE PROPERTY APPRAISER Summary Report Property Information Folio: 11-3206-014-0480 Property Address: 401 NE 94 ST Miami Shores, FL 33138-2845 Owner JACQUELINE BECERRA Mailing Address 401 NE 94 ST MIAMI SHORES, FL 33138-2845 PA Primary Zone 1100 SGL FAMILY - 2301-2500 SQ Primary Land Use 0101 RESIDENTIAL - SINGLE FAMILY: 1 UNIT Beds / Baths / Half 2/2/0 Floors 1 Living Units 1 Actual Area 2,413 Sq.Ft Living Area 1,799 Sq.Ft Adjusted Area 2,032 Sq.Ft Lot Size 9,675 Sq. Ft Year Built 1958 Assessment Information Year 2018 2017 2016 Land Value $290,008 $290,008 $241,547 Building Value $141,427 $141,427 $141,427 XF Value $31,470 $27,676 $28,017 Market Value $462,905 $459,111 $410,991 Assessed Value $342,953 $331,235 $324,423 Benefits Information Benefit Type 2018 2017 2016 Save Our Homes Assessment $119,952 $127,876 $86,568 Cap Reduction Taxable Value $292,953 $281,235 Homestead Exemption $25,000 $25,000 $25,000 Second Exemption $25,000 $25,000 $25,000 Homestead $299,423 City Exemption Value Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description MIAMI SHORES SEC 2 PB 10-37 LOT 13 & W1/2 LOT 14 BLK 52 LOT SIZE 75.000 X 129 OR 13271-2746 0587 1 COC 24895-1229 08 2006 1 Generated On : 1/18/2019 Taxable Value Information 2018 2017 2016 County Exemption Value $50,000 $50,0001 $50,000 Taxable Value $292,953 $281,235 $274,423 School Board Exemption Value $25,000 $25,000 $25,000 Taxable Value $317,953 $306,235 $299,423 City Exemption Value $50,000 $50,000 $50,000 Taxable Value $292,953 $281,235 $274,423 Regional Exemption Value 1 $50,0001 $50,000 $50,000 Taxable Value $292,953 $281,235 $274,423 Sales Information Previous Sale Price OR Book -Page Qualification Description 08/01/2006 $600,000 24895-1229 Sales which are qualified 05/01/1987 $85,000 13271-2746 Sales which are qualified 08/01/1976 $72,000 00000-00000 Sales which are qualified 07/01/1975 $68,900 00000-00000 1 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 Version: https://www.miamidade.gov/propertysearch/ 1/18/2019