MC-06-22-1529Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address Parcel Number
Permit NO.: MC-06-22-1529
Permit Type: Mechanical - Residential
Work Classification: A/C Replacement
Permit Status: Applied
Issue Date: I Expiration: 12/12/2022
1029 NE 104TH ST, Miami Shores, FL 33138 1122320290120
Contacts
SHAWN ST PRIX Owner PROSERV AMERICA Applicant
1029 NE 104 ST, MIAMI SHORES, FL 331382655 TAMARA RUBIO-URQUIZA
Other: 3055255827 shawnstprix@gmail.com 392147 AVE 1006, Davie, FL 33314
tamara@proservamerica.com
PROSERV AMERICA Contractor
OCTAVIO J FIGUEROA
3921 SW 4 AVE STE 1006, DAVIE, FL 33314
Description: STRAIGHT A/C CHANGE -OUT. Valuation $ 3 800.00 Inspection Requests:
305-762-4949
Total Sq Feet: 0.00
Fees
Payments
Date Paid Amt Paid
100% Permit Renewal Fee
A$66.50
Total Fees
$66.50
Credit Card
06/17/2022 $66.50
Total:
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 POOLwork.
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 c9pstruction and zoning. Futhermore, I authorize the above named contractor to do the work stated.
�7- PR
/ Applicant / Contractor / Agent
June 17, 2022 Page 2 of 2
RECEIVED
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
BUILDING
PERMIT APPLICATION
F—IBUILDING ❑ ELECTRIC ❑ ROOFING
PLUMBING ❑ MECHANICAL PUBLIC WORKS
JOB ADDRESS: 1029 NE 104TH STREET
Master Permit
Sub Permit
JUN 1 5 022
BY:
FBC 20
MC-09-20-2155
[T-OLP-Zz Iz I
❑ REVISION ❑ EXTENSION QRENEWAL
CHANGE OF CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
City: Miami Shores County Miami Dade Zip:
Folio/Parcel#:11-2232-029-0120 Is the Building Historically Designated: Yes NO X
Occupancy Type: residemial Load: Construction Type: Flood Zone:
OWNER: Name ( Fee Simple Titleholder): S HAW N ST. P RIX
.,,-_ -.1029 NE 104TH STREET
City: MIAMI SHORES
State: FLORIDA
BFE: FFE:
Tenant/Lessee Name: Phone#:
Email" 15 HAw►✓5T PrZ i X � Ly )-j
(305)525-5827
33138
CONTRACTOR: Company Name: MF INVEST LLC D/B/A PROSERV AMERICA phone#: (954)450-5323
Ad8m,,. 3921 SW 47TH AVENUE, SUITE 1006
City: DAVIE State: FLORIDA
Qualifier Name: OCTAVIO J. FIGUEROA
State Certification or Registration #: CAC1820373
DESIGNER: Architect/Engineer: N/A
AdA.0 N/A
Value of Work for this Permit: $ 3,800,00
33314
(954)450-5323
of Competency #:
_City: N/A State: N/A Zip: N/A
Square/Linear Footage of Work: N/A
Type of Work: ❑ Addition ❑ Alteration ❑ New M Repair/Replace ❑ Demolition
Description of Work: STRAIGHT A/C CHANGE -OUT / RENEWAL OF PERMIT MC-09-20-2155
Specify color of color thru
Submittal Fee $
Scanning Fee $
Technology Fee $
Structural Reviews $
(Revised02/24/2014)
Permit Fee $
Radon Fee $
CCF $ CO/cc $
DBPR $
Notary $
Training/Education Fee $ Double Fee $
Bond $ n
TOTAL FEE NOW DUE $ �DL • Jll
�-en-ervaef�.e,
Bonding Company's Name (if applicable) NATIONWIDE MUTUAL INSURANCE CO.
Bonding Companys Address 1 NATIONWIDE PLAZA
City COLUMBUS State OHIO Zip 43215
Mortgage Lender's Name (if applicable) N/A
Mortgage Lender's Address N/A
City N/A State N/A
N/A
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 low broth re -will livered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of Comm r ce zsj.4�p at the job site
for the first inspection which occurs seven (7) days after the building permit ' sued. / the abbsce of such poste notice, the
inspection will not be approved and a reinspection fee will be charged. /`_
The foregoing instrument
3 r) AW N a t'(1 Y " . who is personally known to
me or who has produced 1f L as
identification and who did take an oath.
NOTARY PUBLIC:
Seal: ,�" oy Notary Public Sate of Florida
Tamara Rubio -Ur uiza
9411I My Commiss,w G W352
ur w Expires 0410312024 \
APPROVED BY
CONTRACTOR
The foregoing instrument was acknowledged before me this
12 day of MAY . 20 22 by
Octavi J. Figueroa who is personally known to
me or who has produced Personally owned as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: Tamara M. ub _U _uiza
Seal:
++rr++rr++r+rr***
Plans Examiner
<,yf.+vr„ Notary Public State of Florida
Tamara Rubio-Urquica
My Commisson GG 961352
�'?ur Y`e�n Expurs 04103/2024
*********************************
Zoning
(Revised02/24/2014)
Structural Review
Clerk
OFFICE OF THE PROPERTY APPRAISER
Summary Report
Generated On: 08/04/2023
Folio: 11.2232-029-0120
Sub -Division: EVENINGSIDE
Property Address:
1029 NE 104 ST
Owner: SHAWN ST PRIX
Mailing Address:
1029 HE 104 ST
MIAMI SHORES, FL 33138-2655
PrimaryZone: 1100
SGL FAMILY - 2301-2500 SO
PrimaryLand Use:
0101 RESIDENTIAL -SINGLE FAMILY; 1 UNIT
Beds / Baths ]Half
41310
Floors
1
Living Units
1
Actual Area
3,527 Sq.FI
Living Area
2,775 Sq.Ft
Adjusted Area
3,151 Sq.Fl
Lot Size
11,700 Sq.Ft
Year Built
Multiple (See Budding Info.)
Year 2023
201
2021
Land Value $1,052,685
S596574
S450,846
:;, ; i I ,.. i.
Bullding Value $390,504
$393;738
$285,061
Year
2023
2022
2021
Extra Feature Value $23.834
$24,031
524227
'COUNTY
Exemption Value
$50.000
S50,000
$50A00
Markel Value $1,467.223
$1.014.343
$760.134
Taxable Value
$398.243
$385,188
S372513
Assessed Value $448,243
$435188
S422,513
SCHOOLSOARD
• I.. .i,
Exemption Value
S25,000
$25,000
$25.000
Benefit Type 2023
2622
2021
Taxable Value
S423,243
$410,188
$397,513
Save Our Assessment $1018,980
$579,155
$337,621
.CITY'.
Homes Cap Reduction
Exemption Value
S50,000
$50,000
$50.000
Homestead Exemption $25,000
$25,D00
$25,000
Taxable Value
5398,243
5385,188
$372,513
Second Exemption $25.000
S25,000
$25.000
REGIONAL
Homestead
Note Not all benefits are applicable to all Taxable: Values (i.e.
County,
Exemption Value
$50,000
$50,000
S50,000
School Bodrd. CriyaRagional)•
..Taxable Value
S398,243-.-.I$365,166
$372.513,
see
EVENINGSIDE Re 44-53
OR
OR Book-
Previous gale Fria,,
Oualiflwllon Description
W30FT LOT 12 & E80FT LOT 13
BLK1
10/01/1998 $227,000
18313-1
Other disqualfied
LOT SIZE 90.000 X 130
10/01/1996 $345,000
18313-3
Other disqualified
OR 18313-3 1098 6.
Sales which are disqualified
as a result of examination of the
12/01/1994 $0
16629-4304
deed
Sales which are disqualified
as a result of examination of the
01/01/1994 $0
16252-2857
deed
The Office of the Property Appraiser is continually editing and updating the lax roll. This webshei 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 hmp:lt~.miemidade.govMlo/disclaimer. sp