EL-19-2109Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
w
Issue Date: 09/25/2019
Parcel Number
210 NE 102ND ST, Miami Shores, FL 33138 1132060480010
Contacts
Permit NO.: EL-09-19-2109
Permit Type: Electrical - Residential
Work Classification: Alteration
Permit Status: Approved
Expiration: 03/23/2020
Cassia Lawrence Owner
210 102
TSI ELECTRIC Contractor
JAMES CHEEVER
Business: 5614295845 PERMITTING@VlNYASUN.COM
Inspection Re nests:
Description: PROVIDE WIRING AND ELECTRIC FOR Valuation: $ 500.00 Inspe ti n Re
INSTALLATION OF SOLAR PHOTOVOLTAIC SYSTEM
49
Total Sq Feet: 0.00
Fees
Amount
CCF
$0.60
DBPR Fee
$2.00
DCA Fee
$2.00
Tota I :
$4.60
Payments
Date Paid Amt Paid
Total Fees
$4.60
Check # 33392
09/25/2019 $4.60
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 certify that all the foregoing information is accurate and at All work will be done in compliance with all applicable laws
regulating construction and zoning. Futhermore, I authorize the above named coatt r to 4 the work stated.
Authorized Signature: Owner / Applicant / Contractor /
Date
September 25, 2019 Page 2 of 2
02- �`) N I A
BUILDING
PERMIT APPLICATION
Miami Shores Village RECEIVE)
Building Department SEP 112019
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 201-1
Master Permit No. F-L— C�— 19 IQ
--z-I oy
✓Sub Permit No. F�--y ,'-Iq
❑BUILDING 0 ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [—]RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF [:]CANCELLATION [:]SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 210 NE 102ND ST
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:11-3206-048-0010 Is the Building Historically Designated: Yes NO NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): DAVE & CASSIA LAWRENCE Phone#:
Address:210 NE 102ND ST
City: MIAMI SHORES State: FL Zip: 33138
Tenant/Lessee Name: N/A Phone#:
Email:
CONTRACTOR: Company Name: TSI ELECTRIC
Address: 848 W LAKEWOOD RD #A
City: WEST PALM BEACH Stat(
Qualifier Name: JAMES EDWARD CHEEVER
State Certification or Registration #: EC-13003717
ne#: 561-429-5845
FL Zip: 33405
Phone#: 561-408-6842
Certificate of Competency #:
DESIGNER: Architect/Engineer. Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ 500.00 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑■ New ❑ Repair/Replace ❑ Demolition
Description of Work: PROVIDE WIRING AND ELECTRIC FOR INSTALLATION OF SOLAR PHOTOLOVALTIC SYSTEM
Specify color aLwlor thru tile:
Submittal Fee $ Permit Fee $
Scanning Fee $
Technology Fee $_
Structural Reviews $
Radon Fee $
Training/Education Fee $
CCF $ CO/CC $
DBPR $ Notary $
Double Fee $
_ Bond $ _
TOTAL FEE NOW DUE'
(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
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.
r
Signature
OV✓\ER or AGENT
The foregoing instrument was acknowledged before me this
—�-70 day of Jw-p- , 20 Iq by
VOV-P— Lcivx) er1C JZ.— who is personally known to
me or who has produced / �-- �-- as
identification and who did take an oath.
NOTARY
S
Signature lvlv�
CONTRACTOR
The foregoing instrument was acknowledged before me this
2y day of JOt-,'P, , 20 (q by
JCS r �QQiVTJ , w is personally known
me or who has produced as
identification and who did take an oath.
NOTARY PU
Si
ea �
aMa Nowri Pubic Stele of Fbrida
Jamie Bober
My Commission GG 262735
************* *#*0 *e:*0r1*2r*29********* ******
APPROVED B lZ gt!�FP-4 Plans Examiner
e Notary Public State of Fbride
Jamie Bober
My Commission GG 252735
Y Expires 01/22/2023
********************************************
Structural Review
Zoning
Clerk
(Revised02/24/2014)
Property Search Application - Miami -Dade County Page 1 of 1
';OFFICE OF THE PROPERTY APPRAISER
.�
Summary Report
Property Information
Folio:
11-3206-048-0010
Property Address:
210 NE 102 ST
Miami Shores, FL 33138-2427
Owner
CASSIA LAWRENCE
DAVE LAWRENCE
Mailing Address
210NE102ST
MIAMI SHORES, FL 33138 USA
PA Primary Zone
0900 SGL FAMILY - 1901-2100 SQ
Primary Land Use
0101 RESIDENTIAL -SINGLE
FAMILY: 1 UNIT
Beds / Baths / Half
3/3/0
Floors
1
Living Units
1
Actual Area
3,200 Sq.Ft
Living Area
2,220 Sq.Ft
Adjusted Area
2,630 Sq.Ft
Lot Size
10,618.4 Sq.Ft
Year Built
1981
Assessment Information
Year
2019 2018
2017
Land Value
$318,242 $318,242
$318,242
Building Value
$293,640 $222,708
$225,759
XF Value
$22,691 $22,881
$23,071
Market Value
$634,573 $563,831
$567,072
Assessed Value
$634,573 $563,831
$567,072
Benefits Information
Benefit Type 2019 2018 2017
Note: Not all benefits are applicable to all Taxable Values (i.e. County,
School Board, City, Regional).
Short Legal Description
VAZQUEZ SUB
PB 115-23
LOT 1 BLK 1
LOT SIZE 81.68 X 130
OR 20464-1152 05 2002 4
Generated On : 8/27/2019
Taxable Value Information
2019
Z018
2017
County
Exemption Value
$0
$0
$0
Taxable Value
$634,573
$563,831
$567,072
School Board
Exemption Value
$0
$0
$0
Taxable Value
$634,5$0
$563,831
$567,072
city
Exemption Value
$0
$0
$0
Taxable Value
$634,573
$563,831
$567,072
Regional
Exemption Value
$0
$0
$0
Taxable Value
$634,573
$563,831
$567,072
Sales Information
Previous
OR Book -
Price
Qualification Description
Sale
Page
05/09/2018
$750,000
30996-4811
Qual by exam of deed
Corrective, tax or QCD; min
02/17/2017
$100
30430-3622
consideration
Corrective, tax or QCD; min
01/12/2015
$100
29510-0165
consideration
Corrective, tax or QCD; min
11/07/2014
$10r29510-0164
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 hftp://www.miamidade.gov/info/disclaimer.asp
Version:
https://www8.miamidade.gov/Apps/PA/propertysearch/ 8/27/2019
;._ A N N E M. G A N N O N P,O. Box 3353, West Palm Beach, FL 33402-3353 -LOCATED Ar*
CONSTITUTIONAL TAX COLLECTOR vwv+•pbctax.com Tel: (561) 355-2264
Servhw Palm lk,)rh County 848 W LAKEWOOD RD STE A
Servin t tau. WEST PALM BEACH, FL 33405-
g % 2828
TYPE OF BUSINESS OWNER - --
23.0169 ELECTRICAL CONTRACTOR CHEEVER JAMES E
This document is valid only when receipted by the Tax Collector's Office.
B2 - 333
TSI ELECTRIC INC
TSI ELECTRIC INC
848 W LAKEWOOD RD STE A
WEST PALM BEACH, FL 33405-2828
CERTIFICATION fl RECEIPT 1U0ATE PAID AMT PAID BILL B
EC13003717 619.SB9143 48!(NJ719 S2?.:i4 84414ig68
STATE OF FLORIDA
PALM BEACH COUNTY
201912020 LOCAL BUSINESS TAX RECEIPT
LBTR Number: 201103274
EXPIRES: SEPTEMBER 30, 2020
This receipt grants the privilege of engaging in or
managing any business profession or occupation
Within its jurisdiction and MUST be conspicuously
displayed at the place of business and in such a
manner as to be open to the view of the public.
RICK SCOTT, GOVERNOR JONATHAN ZACHEM, SECRETARY
ca
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
ELECTRICAL CONTRACTORS LICENSING BOARD
THE ELECTRICAL CONTRACTOR HEREIN IS CERTIFIED UNDER THE
PROVISIONS OF CHAPTER 489, FLORIDA STATUTES
Additional Business Qualification
CHEEVER, JAMES EDWARD
TSI ELECTRIC INC
848 W LAKEWOOD RD #A
WEST PALM BEACH FL 33405
LICENSE NUMBER: EC13003717
EXPIRATION DATE: AUGUST 31,2020
Always verify licenses online at MyFloridaLicense.com
R1
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