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PLC-19-1774Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Issue Location Address 725 NE 91ST ST 1D, Miami Shores, FL 33138 Contacts Permit NO.: PLC-08-19-1774 Permit Type: Plumbing - COMMerCial Work Classfflcaffow Alteration Perri Status: Expiration: 02/05/2020 VICTORIA PARKER Owner 725 NE 91ST ST 1D, Miami Shores, FL 33138 Home: 3057599069 QUINTERO GENERAL CONSTRUCTION Contractor BERNARDO QUINTERO 8801 NW 112 TER, HIALEAH, FL 33018 Business: 7864875738 Description: REPLACE P TRAP UNDER BATH TUB AS SHOWN, Valuation: $ 500.00 Inspection Requests: REPLACE 2 FEET OF 2" DRAIN PIPE TO SANITARY 305-7624949 (UNDERNEATH BUILDING IN CRAWL SPACE) Total Sq Feet: 0.00 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 $12.00 Technology Fee $2.50 Total: $119.30 Payments Date Paid Amt Paid Total Fees $119.30 Credit Card 08/09/2019 $69.30 Credit Card 08/01/2019 $50.00 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 that all work will be done in compliance with all applicable laws regulating.construction-and.zopinng. Futhermore, I authorize the above named contractor to do the work stated. Authorized Signature: Owner / Applicant / Contractor / Agent Date August 09, 2019 Page 2 of 2 Miami Shores Village AUG 12019 5 p � jKI'Building Department BY: 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 Master Permit No.? La- 08 (C PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION DRENEWAL PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP ? �n ��C.ONTRACTO�R DRAWINGS JOB ADDRESS: ^- 15 i-sf . ` , `"'�' 4t 1 { City: Miami Shores County:, ML Miami Dade Zip: 5,3155 , Folio/Parcel#: Is the Building Historically Designated: Yes NO >: Occupancy Type: Load: ��.. ttConstruction Type: Flood Zone: BFE: FFE: G OWNER: Name (Fee Simple Titleholder): ,J`N�� Q� �'� �� Phone#: Address: 1 `-�' S ti 5 \�`{-�-� � 2 City: K t State: Zip: J3 Tenant/Lessee Name: Phone#: Email: \A\ ram-► �—' /+ CONTRACTOR: Company Name:yF�11N1`��� _P one#: Address: a O 1 sJ v.J City: State: Zip: :�`5 O \ Qualifier Name: Phone#: TOG "k-\ rd-?' 5-7 3 8 State Certification or Registration #: CRC / W ?7-?3 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Add Value of Work for this Permit: $ ,5 60 o0 City: State Square/Linear Footage of Work: Zip: Type of Work: ❑ Addition ❑ Alteration ❑ New 'Repair/Replace ❑ Demolition Description of Work: ft-` UN-C� t' \ ul-, 6 M 6 '\,k ,s*K.-I I b(ZA-.•3 ��P� .SA-a�'iWrw� ialloER��T-i 8 LPA ._>, N Cp l t4 L- *to CIF - Specify color of color thru tile: Submittal Fee $ :J Permit Fee.$.. CCF $ CO/CC $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ DBPR $ Notary $ Double Fee $ Bond $ (Revised02/24/2014) TOTAL FEE NOW DUE 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. Signat�—~ OWNER or AGENT The foregoing instrument was acknowledged before me this day of v I— V 20 / q by C,4aLoS /A4AyeAA , who is personally known to --------------------- me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign: Print: 0.SC 411 tZ 01 -- �A Seal: �,,,rr P&Nary public State d Florida Oscar M Zaragoza �j�1 My Commission FF 939267 ?�pd'' Expires 1y08/2019 *********** * Signature CONTRACTOR The foregoing instrument was acknowledged before me this '2 2 day of �V L. y , 20 19 by 6FJZJVAR0- �yip ?� who is personally known to as me or who has produced r-'— as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: &N, #nNotary Pudic state of Florida Oscar M Zaragoza My Commission FF 939267 o►a Expires 12/08/2019 ******************* APPROVED BY �` C Z,9- © Plans Examiner Structural Review *********** Zoning Clerk (Revised02/24/2014) Quintero Gcoeni CMVICW QUINTERO GENERAL CONTRACTOR CORP Bernardo Quintero 8801 nw 112 terrace Hialeah Gardens fi 33018 Date: State of florida County of dade Before me this day personally appeared Bernardo Quintero who, being duly sworn, deposes and says - That working on the project locate at 73s �►�- °� i S ��4 That he or she will be the only person wo g Sworn to (or affirmed ) and subscribed before me this Z.I= of �—)-- a Q I I—, by &F&N -AR aQmot'" i NTH' R, Bernardo Quintero (��p Personally know�v ?D 'w1 E Or produced identification Type of identification produced Print, type or stamp name op4tary =Pubhc State of Floridaragozaion FF 939267W2019 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 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 The foregoing was acknowledge before me this ZZ day of V V 2—y 20 19 . By e,4Q_o S / H L A 1/Z 1- /} o is t�ersonally known to or has produced as identification. Notary: ,pV i Notary Public Sd Floridar SEAL: I Oscar M Zaragoza I My Commission FF 939267 a ^� Expires 12/0a/2019 - - - Property Search Application - Miami -Dade County Page 1 of 1 4 OFFICE OF THE PROPERTY APPRAISER Summary Report Property Information Folio: 11-3206-044-0110 725 NE 91 ST UNIT: 1-D Property Address: Miami Shores, FL 33138-3243 CASTULO REVELO JTRS VICTORIA REVELO JTRS Owner MARK PARKER JTRS VICTORIA PARKER JTRS ................ 42 NE 107 STREET Mailing Address MIAMI SHORES, FL 33161 USA 5000 HOTELS & MOTELS - PA Primary Zone GENERAL 0407 RESIDENTIAL - TOTAL Primary Land Use VALUE: CONDOMINIUM - RESIDENTIAL Beds / Baths / Half 2/2/0 Floors 0 Living Units 1 Actual Area Sq.Ft Living Area 703 Sq.Ft Adjusted Area 703 Sq.Ft Lot Size 0 Sq.Ft Year Built 1949 Assessment Information Year 2019 2018 2017 Land Value $0 $0 $0 Building Value $0 $0 $0 XF Value $0 ...................... $0 .._..... .............. ...___.._....... ........ $0 ...._.............................e............... Market Value $109,852 $103,688 $101,833 Assessed Value $108,430 $98,573 $89,612 Benefits Information Benefit Type 2019 2018 2017 Non -Homestead Cap Assessment Reduction $1,422 $5,115 $12,221 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description SHORES PLAZA EAST CONDO UNIT 1D - 1ST FLOOR UNDIV .01745% INT IN COMMON ELEMENTS CLERKS FILE 73R213197 Generated On : 8/1/2019 Taxable Value Information 2019 2018 2017 County Exemption Value $0 $0 $0 Taxable Value 1 $108,430 $98,573 $89,612 School Board Exemption Value $0 $0 $0 Taxable Value $109,852 $103,688 $101,833 City Exemption Value $0 $0 $0 Taxable Value 1 $108,430 $98,573 $89,612 Regional Exemption Value $0 $0 $0 Taxable Value $108,430 $98,573 $89,612 Sales Information Previous OR Book Price Qualification Description Sale Pa a 9 28346- 10/31/2012 $85,000 Qual by exam of deed 0748 22175- Sales which are disqualified as a result of 03/01/2004 $0 3491 examination of the deed 19804 07/01/2001 $45,000 Sales which are qualified 1584 19095- 05/01/2000 $41,500 Sales which are qualified 3259 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:/twww.miamidade.gov/info/disclaimer.asp https://www8.miamidade.gov/Apps/PA/propertysearch/ 8/1/2019 Property Search Application - Miami -Dade County Page 1 of 1 gfl�'OICE OF THE PROPERTY APPRAISER Summary Report Property Information Folio: 11-3206-044-0110 725 NE 91 ST UNIT: 1-D Property Address: Miami Shores, FL 33138-3243 CASTULO REVELO JTRS VICTORIA REVELO JTRS Owner MARK PARKER JTRS VICTORIA PARKER JTRS 42 NE 107 STREET Mailing Address MIAMI SHORES, FL 33161 USA 5000 HOTELS & MOTELS - PA Primary Zone GENERAL 0407 RESIDENTIAL - TOTAL Primary Land Use VALUE: CONDOMINIUM - RESIDENTIAL Beds / Baths / Half 2/2/0 Floors 0 Living Units ... _..... _ 1 Actual Area Sq.Ft Living Area 703 Sq.Ft Adjusted Area 703 Sq.Ft Lot Size 0 Sq.Ft Year Built 1949 Assessment Information Year 2019 2018 2017 Land Value $0 $0 $0 Building Value $0 $0 $0 XF Value $0 ......................................................................................................................................................................... $0 $0 Market Value $109,852 $103,688 $101,833 Assessed Value $108,430 $98,573 $89,612 Benefits Information Benefit Type 2019 2018 2017 Non -Homestead Cap Assessment Reduction 1 $1,422 $5,115 $12,221 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description SHORES PLAZA EAST CONDO UNIT 1D - 1ST FLOOR UNDIV .01745% INT IN COMMON ELEMENTS CLERKS FILE 73R213197 Generated On : 8/1/2019 Taxable Value Information 20191 2018 2017 County .._ .. Exemption Value $0 $0 $0 Taxable Value 1 $108,430 $98,5731 $89,612 School Board Exemption Value $0 $0 $0 Taxable Value $109,852 $103,688 $101,833 City Exemption Value $0 $0 $0 Taxable Value $108,430 $98,573 $89,612 Regional Exemption Value $0 $0 $0 Taxable Value $108,430 $98,573 $89,612 Sales Information Previous OR Book - Price Qualification Description Sale Page 28346 10/31/2012 $85,000 Qual by exam of deed 0748 22175- Sales which are disqualified as a result of 03/01 /2004 $0 3491 examination of the deed 19804- 07/01/2001 $45,000 Sales which are qualified 1584 19095- 05/01/2000 $41,500 Sales which are qualified 3259 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 https://www8.miamidade.gov/Apps/PA/propertysearch/ 8/ 1 /2019 Q � r c { J JLL =_ Q J � L I iiECEIVEL �. A G 01 2019 t ul • • •••• •••••• •••••• •• • •••••• • •••• •••• • • •••• •••• ••••• •••••• • • ••••• • • •••••• •• •• • •••••• • • • • • •••••• PLUMBING p� Approved Disapproved Date_ W�--T.Am * 9 PLUMBING PLANS Approved Date �tJ: Disapproved Date Z" S�� /dam►-� ; a