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RC-2-18-317, 20 NE 104 StMiami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address 20 NE 104 Street Miami Shores, FL FRANCINE PIERRE LOUIS PIERRINE Parcel Number Applicant 1121360130910 Block: Lot: Address 20 N E 104 Street MIAMI SHORES FL 33138-2027 Contractor(s) Phone Cell Phone JOSEPH A. MARCELIN CONSTRUCTI( (305)562-7926 roved: In Review Date Approved:: In Review Date Denied: Type of Construction: WOOD FLOOR LAMINATE t Setback: Setback: ns Submitted: Yes tificate Date: Fees Due Amount CCF $1.20 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.40 Permit Fee $100.00 Scanning Fee $9.00 Technology Fee $1.60 Total: $116.20 Occupancy: Single Family Exterior: Rear Setback: Right Setback: Bathrooms: Certificate Status: Additional Info: WOOD FLOOR LAMINATE Classification: Residential FRANCINE PIERRE LOUIS PIERI Phone Cell Valuation: $ 1,500.00 Total Sq Feet: 600 Pay Date Pay Type Amt Paid Amt Due Invoice # RC-2-18-66377 02/07/2018 Check #: 1006 $ 50.00 $ 66.20 02/14/2018 Check #: 1007 $ 66.20 $ 0.00 Avauaore ins Inspection Type: Drywall Miscellaneous Window Door Attachment Tie Beam Final Framing Insulation Final PE Certification Truss Insp Foundation Window and Door Buck Columns Fill Cells Columns Wire Lathe Review Building Review Mechanical Declaration of Use F. Termite Letter F. Elevation Certificate Review Planning Review Structural Review Electrical Review Plumbing 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 tjl work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above-named•'rontractor d t e ork stated. February 14, 2018 Authorized Signature: Owner / Applicant / Building Department Copy February 14, 2018 1 Miami Shores Village FEB 07 2018 Building Department 4-1 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 L_ Tel: (305) 795-2204 Fax: (305) 756-8972 (� �✓ INSPECTION LINE PHONE NUMBER: (305) 762-4949 `.(J FBC 201`4 BUILDING Master Permit No. TLC 18 PERMIT APPLICATION Sub Permit No. j BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑ PLUMBING ❑ MECHANICAL ❑ PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: t C) /U + c 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: o2_0 /v , E / ®�v .f�lerra 7 City: //,, o" /' _-5Z © A Es State: IL Zip: 3 3 / 3 Y Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: Address: City: Jam// h'-/7 Qualifier Name: r% State 'Certification or ne#: _zip: 33 -2 7 ne#: (3dS, 56,22yJL istration #: 6 6 G /. /y / c !2 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ �� Square/Linear Footage of Work: Type of Work: ❑ Addition LJ�/Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: L.,jDjQd:aOCA i1a A^ 1 u Specify color of color thru the: Submittal Fee $ Scanning Fee $ Technology Fee $_ Structural Reviews $ (Revised02/24/2014) Permit Fee $ M. CCF $ CO/CC $ _ Radon Fee $ • 03 DBPR $ oC - CX� Notary $ Training/Education Fee $ Double Fee $ _ Bond $ TOTAL FEE NOW DUE $(30 • Q 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. , li Signature OWNER or AGENT The foregoing instrument was acknowledged before me this // day ofIT4"y�'20 by who is personally known to me or who has produced �/ �' �` "~ as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Signature RV1 `R T ` The foregoing instrumen was acknowledged before 0 % day of Q� 20 , 9 who is personally kn me or ho has produced identification and who did take an oath. NOTARY PUBLIC: ASign: � ori��%�..�, � u Print: LT�7,l1/pf c�v�rJ, /B- me this _ alc, Seal: a°••�Lo �J•�� Seal: —a�f,,j �ar MyC1M8ft#F'FWM !'oFr��� AMThu NAVY iMW 1 ? {y APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Joseph A. Marcelin State Certified Contractors/Architectural Design State of Florida General Contractor License No CGC1514109 Active Good Standing State of Florida Roofing Contractor License No CCC1327299 Active Good Standing State of Florida Plumbing Contractor License No CFC1427735 Active Good Standing State of Florida Mechanical Contractor License No CMC1250225 Active Good Standing State of Florida Home Inspector License No H15339 Active Good Standing State of Florida Underground and Excavation Contractor License No CUC1225029 Active 16561 SW 144 Court Miami, Florida 33177.1772 Tel. 305.562.7926 E-mail jmarce1062�aa,aol.com 1.25.2018 State of Florida County of Miami -Dade Before me this day personally appeared Joseph A Marcelin who, being duly sworn, deposes and says: That he will be the only person working on the project located at: 20 NE 104 Street Miami Shores, FL Sworn to (or affirm) and subscribed before me this 114 day of -3&,A�� 2018 AA, t/ By /cVh.� Personally know Or Produced Identification Type of Identification Produced Notary Stamp IV'iY CO,Q'dL�Et%n1E JPd k FF 1 IR 5 + . 86831 EP Bonded Thr . t .uarY 1, 2019 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: A�oa 4 OL owner State of Florida County of Miami -Dade The foregoing was acknowledge before me this r By (" ( , R 0 SEAL day of 0. who is personally known to me or has produced identification. ao •••ot;°�, JUAN4pUF,2AM * * WCOWMION/FFMM p� oP r1o��Q` 9a4wT," k*d* yftF4 M 2/7/2018 Property Search Application - Miami -Dade County C 1F FICE OF THE PROPERTY APPRAISER Summary Report Property Information Folio: 11-2136-013-0910 Property Address: 20 NE 104 ST Miami Shores, FL 33138-2027 Owner Mailing Address FRANCINE PIERRE LOUIS PIERRINE LEONEL & ALFRED LYONEL 20 NE 104 ST MIAMI SHORES, FL 33138-2027 PA Primary Zone 1000 SG FAMILY - 2101-2300 SQ Primary Land Use 0101 RESIDENTIAL -SINGLE FAMILY: 1 UNIT Beds / Baths / Half 4/3/0 Floors 1 Living Units 1 Actual Area 3,124 Sq.Ft Living Area 2,319 Sq.Ft Adjusted Area 2,692 Sq.Ft Lot Size 13,613.6 Sq.Ft Year Built 1954 Assessment Information Year 2017 2016 2015 Land Value $340,185 $292,496 $241,627 Building Value $192,934 $193,262 $193,589 XF Value $32,609 $33,074 $20,037 Market Value $565,728 $518,83.2 $455,253 Assessed Value $327,724 $320,984 $318,753 Benefits Information Benefit Type 2017 2016 2015 Save Our Homes Assessment $238,004 $197,848 $136,500 Cap Reduction Homestead Exemption $25,000 $25,000 $25,000 Second Homestead Exemption $25,000 $25,0001 $25,000 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description 36 52 41 31 52 42 MIAMI SHORES SEC 5 PB 10-47 LOTS 10 & 11 BLK 123 LOT SIZE 104.720 X 130 OR 16725-0997 0295 4 Generated On : 2/7/2018 Taxable Value Information 2017 2016' 2015 County Exemption Value $50,000 $50,000 $50,000 Taxable Value $277,724 $270,984 $268,753 School Board Exemption Value $25,000 $25,000 �$293,753 Taxable Value $302,724 $295,984 City Exemption Value 1 $50,000 $50,000 $50,000 Taxable Value $277,724 $270,984 $268,753 Regional Exemption Value $50,000 $50,000 $50,000 Taxable Value $277,724 $270,984 $268,753 Sales Information OR Previous Price Book- Qualification Description Sale Page 16725- Sales which are disqualified as a result of 02/01/1995 $0 0997 examination of the deed 06/01/1989 $119,000 14162- Sales which are qualified 0017 11/01/1986 $125,000 13101- Sales which are qualified 3241 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