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