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RF-18-494Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address 2812it1`8 P it NO. Rf-2-18-494 Permit Type: Roof Work Classification: Gutters Permit Status: APPROVED Expiration: 08/27/2018 Parcel Number Applicant 440 GRAND Concourse Miami Shores, FL 33138- 1132060170030 Block: Lot: EDUARDO & XIMENA CALLE Owner Information Address Phone Cell EDUARDO & XIMENA CALLE 440 GRAND Concourse MIAMI SHORES FL 33138 (305)751-2707 440 GRAND Concourse MIAMI SHORES FL 33138 Contractor(s) Phone CRESPO SEAMLESS GUTTERS AND I (305)781-2301 Cell Phone Valuation: Total Sq Feet: $ 1,800.00 350 Type of Work: Gutters Additional Info: installation of the rain gutters an Classification: Residential Scanning: 3 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Notary Fee Permit Fee - Repairs Scanning Fee Technology Fee Amount $1.20 $2.00 $2.00 $0.40 $5.00 $100.00 $9.00 $1.60 Total: $121.20 Pay Date Pay Type Invoice # RF-2-18-66586 02/28/2018 Credit Card 02/27/2018 Credit Card Amt Paid Amt Due $71.20 $50.00 $ 50.00 $ 0.00 Available Inspections: Inspection Type: Final Review Building 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 AFFIDAV . certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction an .� ing. uthermore, I authorize the above -named contractor to do the work stated. ature: Owner / Applicant / Contractor / Agent Buil • T ' epartment Copy February 28, 2018 Date February 28, 2018 1 r, 4 Miami Shbres Village .... : g-: \g-*% • ., • „ FE , 2V 018: Building Department . 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 ° BY: „.. • t : 'Tel: (305) 795-2204 Fax: (305)756-8972 - INSPECTION LINE PHONE NUMBER: (305) 762-494B , • , .. , .. . FBC 20 k:*-)------' , Master Permit Not e - ., . BUILDING f N., PERMIT APPLICATIdN, Sub Permit No. . . .. N ' 31BUILDING, Ell ELECTRIC 0 ROOFING ,, 0 REVISION 0 EXTENSION 0 RENEWAL - • , 0 PLUMBING 0 MECHANICAL E PUBLIC WORKS :0 CHANGE OF 0 CANCELLATION E SHOP CONTRACTOR.' , DRAWINGS. . JOB ADDRES21OS: tr V .bicble8, Coroci-ci,e__, I City: Miami Shores ' . - County: Miami 'Dade ..., Zip: b.p I ,,i4IIIIII, ° * , Folio/Parceli: Is the Building Historically Designated : Yes NO . ; V °LIJA).- , . - • Occupancy Type: ' Load: -Construction.Type: Flood Zone: ', -I" , BFE: _ FFE:" 4 . ...i.-. ,- )0, -8b (--463)0 >0 4., . . , OWNER: Name (Fee Simple Titleholder): —AS3Cta... 0.__A-tbei:- -- Phone# '16-4S6.-E,62.k, re • Address: 4-(40 e'vals-Q5ox\csoo,c City: ‘1\.\\ ,/xxylf1J) State: ' Zip: Tenant/Lessee' Name: A Phond#: Email: 'A 0. sC.cX,13 V\1103.C: COVV\ CONTRACTOR: Company Name: 0..715-2WO Cflk,PSCUS1.36kb cJihone# 34S 477-301 Address: CDZ ‘C-3.-) Se :City-, • State: — r • Zip: Qualifier Name: Q.Y\-(1..C3- Pk . CA-7..-5/%0 , ; Phone#: ?)as---rIA --no (- State Certification or Registration #: Certificate of Competency # I 2/3S 002-2/3 w, . .. v,., DESIGNER: Architect/Engineer: A u ... . Phone#: . . Address': City: State: . Zip: L'' Value of Worklathis Permit: $ t goo Square/Linear Footage of Work: t firrigtia5fa*, '-'0 r 0 . , Type of Work: 0 Addition El Alteration E New E Repair/Replace , 0 Demolition Description of Work: J S 7a)/2-461 774: ri-;/LJ Cileki2i ,_,nD CUPS/0 ej-rS A.) .1.9-6 okf 6C6_,SS' /9-€6i9S% Specify color of color thru tile: Submittal Fee $ Permit Fee'$ C3 • OD- CCF $ co/cc $ Scanning Fee $ Radon Fee $ DBPR $ . Notary $ Cit-N Technology Fee $ Training/Education Fee'$ Structural Reviews $ Double Fee $ ° orid$ (Revised02/24/2014) - TOTAL FEE Now DUE $ • 2-0 , 'k Bonding Company's Name (if applicable) Bonding Company's Address City ' State Zip Mortgage, Lender's Name (if applicable) Mortgage Lender's Address _City State ° Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify`that no work orinstallation 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 incompliance 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 WITI-1YOUR 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 arcopy 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 ihspection _ 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. Signature OWNER or AGENT • Signature CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrumen was acknowledged beforeme this 3 1St, day of � Yv� 20 1'6 by • A r / day of NU , 20 J'7 , by E...N:1 t;-,\)dp Vkv %C Mom-., who is personally known to (, f� 7t - el pt) vxho'is personally known to me or who has produced as me or who has produced 7O b identification and who did take an oath. NOTARY PUBLIC: Sign: ."�1J`�a` :Print: -A Seal: .'e MY COMMISSION # FF960312 • EXPIRES April 13, 2020 i4o7; 398-0153 Mco.00m identification and who did take an oath. NOTARY PUBLIC: • Sign: Print: Seal: *******************************#** **# ***** ***************** APPROVED BY Plans Examiner 5A 464-7 !M Irig- LfJm[j 1 - kr'RJAA, RODRIGUEZ PAY COMMISSION t FF 983832 yLXR PIW ES: May 8,, 20�20�,y. Bondcd Ihni Notary PIN Underwriters as Zoning '(Revised02/24/2014) Structural Review rq Clerk Page 1 of 1 Property Search Application - Miami -Dade County FFI Summary Report Property Information Folio: 11-3206-017-0030 Property Address: 440 GRAND CONC Miami Shores, FL 33138-2463 Owner EDUARDO IVAN CALLE XIMENA ASTRALAGA CALLE Mailing Address 440 GRAND CONCOURSE MIAMI SHORES, FL 33138 USA PA Primary Zone 1300 SGL FAMILY - 2801-3000 SQ Primary Land Use 0101 RESIDENTIAL - SINGLE FAMILY : 1 UNIT Beds / Baths / Half 3/2/0 Floors 1 Living Units 1 Actual Area 2,774 Sq.Ft Living Area 2,202 Sq.Ft Adjusted Area 2,247 Sq.Ft Lot Size 13,000 Sq.Ft Year Built 1945 Assessment Information Year 2017 2016 2015 Land Value $457,525 $415,932 $286,396 Building Value $182,007 $182,007 $169,929 XF Value $0 $0 $0 Market Value $639,532 $597,939 $456,325 Assessed Value $639,532 $597,939 $456,325 Benefits Information Benefit Type 2017 2016 2015 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description AMD PL OF MIAMI SHORES SEC 4 PB 15-14 LOT 5 & 6 BLK 86 LOT SIZE 100.000 X 130 OR 20423-0381 03 2002 5 Generated On : 2/27/2018 Taxable Value Information 2017 2016 2015 County Exemption Value $0 $0 $0 Taxable Value $639,532 $597,939 $456,325 School Board Exemption Value $0 $0 $0 Taxable Value $639,532 $597,939 $456,325 City Exemption Value $0 $0 $0 Taxable Value $639,532 $597,939 $456,325 Regional Exemption Value $0 $01 $0 Taxable Value $639,532 $597,9391 $456,325 Sales Information Sale Prev05/26/2017 Price Price O Pa e Book 9 Qualification Description $100 30614-1803 Corrective, tax or QCD; min consideration 10/28/2016 $100 30300-2502 Corrective, tax or QCD; min consideration 04/06/2015 $645,000 29585-1736 Qual by exam of deed 04/30/2014 $620,000 29158-4089 Qual by exam of deed The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not effect 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: http://www.miamidade.gov/propertysearch/ 2/27/2018 CRESPO SEAMLESS GUTTERS AND PAINT CORPORATIONS G281 SW 58 CT Maud Florida Ceti 305-7812301 wwar .00m Emati: CresporairenutterseholmaLoom February 212018 State of the Florida County of Miami Dade Before me this day personally appeared CARLOS A_ CRESPO who, being duly sworn, deposed and say: who awns of the Crespo Seamless Gutters and Paint Corp. That he will be the only person working on the project located: 440 Gran Conc.. Pliami Shores, Florida 33138 United Slates. Sworn and subscribe before me this 71 day of -i-d- 2018 By r Personally know OC Produced identthcation Type of identification RICARDO ROSALES lPav PVe��i Notary Public - State of Florida • • ; •= Commission # FF 901 : 04 ri1 . s'"9, ��►� �c My Comm. Expires Jul 20, 2019 ��'OF; °`V's Bonded through National Notary Assn. 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. err L Signature:' Owner State of Florida County of Miami -Dade The foregoing was acknowledge before me this °(- day of N2.k, , 20 I g . By 'Kj (vJ ll 1 kS (26tA G - ` a_.w who is personally known to me or has produced -L -0Y2-tt) r\kAJ2. &) S:C as identification. Notary: SEAL: t\ clev p!/e_, Notary Public State of Florida V, Sindia Alvarez `giA ` My Commission FF 156750 {, -�`OFfr�O • Ex-pIreSO9/U31GO1° ,;�; �'4f`:�p',t�'`.R-a�,:!`.rr".r4-�`.: �'-...PVJ'.Mll-J+..• Downspouts • Accesories • C re s p o Seamless Gutters Splash Block • Extensions Se Habla Espanol & Paint Corp. Aluminum - Galvaniized - Copper - Stainless Steel - All Colors - Installation - Cleaning & Repair Cr Free Estimate Licensed & Insured Off: 305-815-9375 Cell: 305-781-2301 Lic # 12BS00213 www. cresporaingutter. com / Facebook PROPOSA L cresporaingutters@hotmad.com Customer Name •C9N1Q>s`Q9 Address: ZittO eALWSD QootJ' N�Uv s Mi'jIAR1CF;WI \ I�� /. !I)':( )(PI! I Ill I F5 nI n 7r,O..ir n on ,t. . ..wo• 3•...rt,..y.. • • R • : .•l • }• •••• • l • • . JOB AND MATERIAL DESCRIPTION Total Feet: 3.50 Rain Gutters Color. j,ee> Splash Guards / ( 2 Electrical Access eO Total Downspouts (3x4) E37 Downspouts Color (4x5) Total Comer Outside Inside Sales Person 14P Price Installed 6' $720 LADDER. SIZES: 6' 8' 10'iPy 32' 40' Warranty: Labor5 Material Total Feet 350 TIN snare understailing and agnomen( between di parties ate unstained twein no verbal agreements recognized. This agnomen( is subject to office approval. Ronda tew recognized that *Oar petty b hams improvements contrail may canal the ooniad wel * saeentHeo hours daacuaan by giving widen ancelMeaon by registered nil b the case petty. The pert, invoicing this paagteph chat no be Babb b the other tor any damps incurred bycenaMeaon under the provision of the Florida law. Except ere madded by the Nut in Lending Reedsaion Disclosure weaned edibility ban this corded on are drys This Me shall apply sbny aAaaaoi ordeiefor► born above specrKcabbn involving eerie cost *sibs Avow °ovum', wow on* end stal beam* an extra dome cow and above erg IDNY+q, accident; or delays the ee87nab. Owner b arty bR Wade and other nscsesay iwrrana upon above era* b be takwr. corapRein Guilan will not be respond* kw any danaga at roof, lase. ahinass, wood or sins Aasling. h• NParts and Labor GuaantedIbr3Years. agrees that he/she has teed Iris proton/ and fully understands the contents and sketch. • ♦ • • •CLssomer Signature • • • Contractor Signature Date• 'if" •Amount:., Tax: Sub Total . 7? • • . ; ••„ 4. .. deposit: Balance: