DS-17-161 ams e
f � ,
ey�oRFs r,� Miami Shores Village A,P8t»!)1wyp pciaft+rsy�zt:� �nf�tiilat ..
10050 N.E.2nd Avenue NE �7 � tflAlter4tion
Miami Shores,FL 33138-0000 �pROVIED
Phone: (305)795-2204 '
issuet3ate:3/7IaQ1T Expiration: 09/03/2017
Project Address Parcel Number Applicant
873 NE 96 Street 1132060142840 MARK DEAN
Miami Shores, FL 33138- Block: Lot:
Owner Information Address Phone Cell
MARK DEAN 873 NE 96 Street (786)262-2370
Miami Shores FL 33138-2521
873 NE 96 Street
Miami Shores FL 33138-2521
Contractor(s) Phone Cell Phone Valuation: $ 2,490.00
ANTHONY BOBCAT SERVICE INC (786)709-3622
Sq.. __.... _.._... Total SFeet:
__ _ ._....... .____........_. 810
Approved:In Review Available Inspections:
Comments:
Inspection Type:
Date Approved::In Review
Final
Date Denied: Foundation
Type of Work:PLAIN CONCRETE AS SHOWN IN SURVE Additional Info:PLAIN CONCRETE AS SHOWN IN S Review Planning
Bond Return: Classification:Residential Review Building
Scanning:3
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
Bond Type-Owners Bond $500.00
CCF $1.8o Invoice# DS-1-17-62678
DBPR Fee $2.00 03/07/2017 Check#:1958 $500.00 $ 142.80
DCA Fee $2.00 01/20/2017 Cash $50.00 $92.80
Education Surcharge $0.60 03/07/2017 Check#: 1959 $92.80 $0.00
Permit Fee $125.00 Bond#:3327
Scanning Fee $9.00
Technology Fee $2.40
Total: $642.80
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFIDA IT: I certify th II the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and oning. Futhe I au ori the above-named contractor to do the work stated.
March 07, 2017
Authorized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
March 07,2017 1
Miami Shores Village JAN 12017
Building Department --
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20 1`•�-"
BUILDING Master Permit No.1)S 1— 1 l 1 b I
PERMIT APPLICATION Sub Permit No. /
®BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION�ORENEWAL
PLUMBING ❑ MECHANICAL PUBLIC WORKS CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: �� /V,�Lr 96 {f -
City: Miami Shores County: _ AJ A Miami Dade Zip: 3 ! �
Folio/Parcel#: D "®���� ® Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: 60-Ae. Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): t"/$ �e= Phone#:
Address: 7,24
�w
City: "4A'pi State: ` Zip: 3 / 3-P
Tenant/Lessee Name: Phone#:
Email: /� , �/ r
CONTRACTOR:Company Name: A N-� a/q Vf� klA 7 Phone#��®�� T 2?J10�
Address: Z3,57 AjK1 W44t" f O"z C=C'71
City: NIA % State: Zip: 3z,14?—
Qualifier Name: �'��/ -�4 �P3L`/!VA Phone#:
State Certification or Registration#: Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ (Square inear Footage of Work:ref/®
Type of Work: ❑ Addition' ';Q Alteration F-1 New Repair/Replace •. ❑'`'bemolition
Description of Work:. /��r / Ar ®f�c T�G'7' A r oS �ZQ Al �'►J��+!� j
a
Specify color of;colopr thru tile:
n 6 CCF$ . b D CO/CC$
Submittal Fee$ t. Permit Fee$_j
Scanning Fee$ L Radon Fee$ 2 DBPR$ Notary$
Technology Fee$ 7 ry Training/Education Fee$ • b® Double Fee$
Structural Reviews$ Bond$ �/d
TOTAL FEE NOW DUE$ L1C.
(Revised02/24/2014) lb 1
2 �� /,
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 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 of be approved and a reinspection fee will be charged.
Signature °ic � 1� Signature I
—Pk
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
C� day of 20by day of � � by
who is personally known to ���' /ylOZ1 - who i pers Wally kn wn to
me or who has produced •S% � iL ? as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: ������ /�//// NOTARY PUBLIC:
i ••• `�� P•••. �••� /
•
4r' n.
Sig Si.* g •a. ,�. �
Print: • Print: C1t4,Z1-t1,-
!r.f
Seal �y'�.• eo'„• -eu� •,o�o� Seal: . OT 950862 :It
.•��••.
STATSNN��
I1 r Zoning
APPROVED BY Plans Examine o g
Structural Review Clerk
(Revised02/24/2014)
OR
Miami Shores Village
... u,..� Building Department
,ye 10050 N.E.2nd Avenue
RNMiami Shores, Florida 33138
LOp`
Tel: (305) 795.2204
Fax: (305) 756.8972
COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY
Whereas, (owner)
hereinafter referred to ag the owner of the following described
property (address): �7 ..�����r=` S-72Z
Legal Description: Lot Black Subdivision
Folio #
Requests permission to install (desXibe work):
— A )1AX
Within the public right of way of (address
IN CONSIDERATION of the approval of this p rmit b e Village, the owner agrees as follows:
1. To maintain and repair, when necessa , he above-mentioned item(s) installed within the
dedicated right of way. If it becomes cess for Miami Shores Village or Dade County to
make repairs or maintain said items, ithin publi right of way including restoration of street by
reason of the Owner's failure to so, such ex erise shall be paid by the Owner or shall
constitute a lien against the a ve described prope until paid.
2. The owner does hereby:a ee to indemnify and hol iami Shores Village or Dade County
harmless from any and,, I liability, which may rise by irtue of permitting the installation of
these items within the ublic right of way.
3. The Owner does � reby agree to remove or relocate the' facilities at their own expense,
within 60 days n ice by the Village to do so. Failure to comp) with this notice will result in the
Village causi the item(s) to be removed and a lien being aced on the property and/or
assessed ainst the Owner for all costs incurred in the removal d disposal of the item(s).
4. The and signed further agrees that these conditions shall be med a covenant running
with t land and shall remain in full force and effect and be binding n the undersigned, their
heirsand assigns, until such time as this obligations has been cancele by an affidavit filed in
the' Public Records of Dade County, Florida by the Village Manager of Miami Shores Village
(or his fully authorized representative).
Signature
er or Agent
State of Florida
County of Miami Dade
The foregoing instrument was acknowledged before me this day of �,9 , 20 J�7_, by
. DLA who is personally known to me or who has produced
a identification.
NOT AR BLIC: `��������tt►�NM�ri�;�
Sign:
. ......q(-4"""
Print: � Sir Y���rt.,� SEAL: ����oe� ss�oN .� '�9';
AFF9-50852 �
s
lill
01/19/2017 12:42 TND P.0011001
CERTIFICATE OF LIABILITY INSURANCE °A E ie o f'
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT. If the WIttflents hokter In an ADDITIONAL INSURED,the polcy(Ies)must be wldor3st I SUBROGATION IS WANED,OUb)ect to
an toren and conditions of the policy,cerWn policies may require an andorssment.A etetement on this cwtlflwlm docs not confer room to the
cw#ftdu hohter In Ileo of such endorsement(a).
vRO Rook WTa, Luds Eslrob
Accurate Group Lic FAIL. (306)2868727 No P65526.67tiT
6300 West Flagler SuOe 114 dn,�t
Miami,FL 33144 INSURERS)AMORDINQ COVItRAGE Naee
Phone (305)22ti-8727 Fox (305)226.8767 w,quRER A!__ROCkhM Insurance Company
INSURED INSURER 9:
Anthony Bobcat Service Inc INBURERC:
P 0 Box 443353
E:
Miaml Ft. 33144- Mu
RER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER;
THG IS TO CERTIFY TWAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANOM ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LWM SHOWN MAY HAVE BEEN REDUCED IFY PAID CLAIMS.
ISR
LIR TYPROPINFURANr� D WR CTNUM4Lgt POLRIY6FF IJCY UMITB
® COMMERcn GENERAL LIABILITYEA�y.p000RRENCE 300 000.00
❑ CLAMO.10DE Q OCCUR PREMBF81 xv� EQ a 100,000,00
A ❑ N N VBM14423 W102016 DMOM017 MEDS °"°1110"1 s 5,000.00
❑ PERSONAL a ADV INJURY s 300. .00
GENL AOOREOATE LIAR APPLIED PER: [NMIMMUCTS
RAL AGGREGATE s 600 000.00
C3POUCY ❑ Pmpa ❑ LOC -COMP(OPAM s 300,000.00
❑ OTHER I I i
AUTOaIOae.E LIABD ITY IABD 1 D MOLE L&
i
❑ ANYAUTO BODILY INJURY(Per person) $
❑ ALL D ❑ BODnY INJURY(Per eeewenq a
AUTO$❑ HIRED AUTOS ❑ AUT03
s
❑ UMBRELLA LIAR ❑occun EACH OCCURRENCE s
❑ MwEvoLIRE ❑CLAIMBmas A0GRtGATE $
❑ QED ❑ ROVI TION _
WORKEWCOMPENSAMON ❑PER ❑ TNS
AND PNPIAYare;'LPJM rrY Y I N
ANY FROPRIETORIPARTNERfE7MUTM�--I NIA EL EACH ACCIDENT s
OFi1GERrf ER EXCLUDED? L]
IMamLrOolt►h,NH) E.L DISEASE-FA 1EYIPLO S
DESCCRWI N Of OOPERATONe bwaw EL OSEABE-POLICY LIMIT s
DISCR�170N�OPi9rATpNe I t.00ATI0Ne l YEHICL6e(Atwell AOORD 101.Adtltasnei Remsrty Bo(wdula,H mora apace Is regtthee)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY CF THE ABOVE DESCRIBED POLICE$13E CANCELLED BEFORE
Miami Shores Village THE EXPIRATION DATE THEREOF,NOTICE WILL BE DWVEREO IN
Building Department ACCORDANC11 WITH OUCY PROVISIONS.
10050 NE 2nd Ave AUTHOR7.ED Ranuseurq � wr\ h
Miami Shone,FL 33138
Fex 305.223-0346
®1980 dORPORATION, All rights reserved.
ACORD 25(2014101)OF The ACORD name and logo arm registered merles of ACORD
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JEFF ATWATER
CHIEF FINANCIAL OFFICER STATE OF FLORIDA
DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORKERS'COMPENSATION
**CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS'COMPENSATION LAW*
CONSTRUCTION INDUSTRY EXEMPTION
This certifies that the individual listed below has elected to be exemptfrom Florida Workers'Compensation law.
EFFECTIVE DATE: 8/12/2016 EXPIRATION DATE: 8/12/2018
PERSON: MOLINA BELINDA
FEIN: 813114283
BUSINESS NAME AND ADDRESS:
ANTHONY BOBCAT SERVICE INC
8690 GRAND CANAL DR
MIAMI FL 33144
SCOPES OF BUSINESS OR TRADE:
CONCRETE CONCRETE OR CEMENT WALLBOARD,SHEETROC
CONSTRUCTION NOC WORK-FLOO K,DRYWALL,P
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DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS?(850)413-1609
httpsJ/apps8.fldfs.com/erreportviewer/repwtVieweraspx?data=kdvpgirtc9D7Q3gH6TER69P1 KMZa/o2rSzSbXKYfBxkrekeESop1ylv4NPOPN42XeirDRGXVW I... 1/
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Constructian Trades ua6fying Board
BUSINESS CERTIFICATE OF COMPETENCY
<`e
T---1600448
z16 ANTHONY BOBCAT SERVICE,INC
p fir/ D.B_A_:ANTHONY DRIVEWAYS
MOLINA, BELINDA
Is mored under the proeisions of Chapter 10 of WmA-Dade County
VAUD-FORR.;CON RACTING € NTILGS!10120 7
QUALIFYING TRADE(S)
0008 CONCRETE ENGINEER
Mom K Satas P£ ""'mo
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Semb"atthe Haazd �`r4, www.mwadmd.gmftcmwmy
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Local Busi ness Tax Pecei pt
Miami-Dade County, State of Florida
-THIS IS NOT ABILL-DO NOT PAY RT
7211170
BUSINESS NAM E/LOCA TION RECEIPT NO. EXPIRES
ANTHONY DRIVEWAYS NEW BUSINESS SEPTEMBER 30, 2017
2337 NW 41 ST 7494723
MIAMI, FL 33142 Must be displayed at place of business
Pursuant to County Code
Chapter 8A Art.9& 10
OWNER SEC.TYPE OF BUSINESS
PAY M ENT ANTHONY BOBCAT SERVICE INC 196 SPECIALTY BUILDING BY TAX COLLECTOR
CIO BELINDA MOLINA PRIES CONTRACTOR 75.00 10/21/2016
Worker(s) 1 E1600448 CREDITCARD-17-001768
This local Business Tax Receipt orgy con-ms paymeatt of the local Business Tax.The Fticeipt is not a license,
pernit or a certi"caffot of the holder's qual0cation%todo busirtess.Holder r-st conoywith anygovernmantal
ornortgovermnentaI regulatory taws and requiret entswhichapplytot to bust.3s&
TheFEEPTNQabommusibedisplayedonailconrrl dalvehides-Miami-Dade GudeSec8a-276.
.1M. stDE= Fomore inforrratiot,visit wwwrriarddgde,gov/tmtcdiedm
2di.1q '.r-�tf'
Property Search Application- Miami-Dade County Page 1 of 1
OFFICE OF
Summary Report
Generated On:1/20/2017
Property Information
,6 , 'ate
Folio: 11-3206-014-2840 r
873 NE 96 ST
Property Address:
Miami Shores,FL 33138-2521
h
Owner MARK DEAN ax
Mailing Address 873 NE 96 ST
MIAMI SHORES,FL 33138 USA
Primary Zone 1100 SGL FAMILY-2301-2500 SQ ay �
Primary Land Use
0101 RESIDENTIAL-SINGLE ' -l.
FAMILY:1 UNIT W-
Beds I Baths I Half 3/2/0
Floors
Living Units 1N
Actual Area Sq.Ftf
Living Area Sq.Ft
Adjusted Area 2,993 Sq.Ft
Taxable Value Information
Lot Size 11,500 Sq.Ft
2016 2015 2014
Year Built 1940
County
Assessment Information Exemption value $0 $0 $0
Year 2016 2015 2014 Taxable Value $518,9241 $448,327 $407,570
Land Value $298,931 $276,299 $195,201 School Board
Building Value $187,481 $188,870 $185,338 Exemption Value $0 $0 $0
XF Value $32,512 $26,770 $27,031 Taxable Value $518,924 $491,939 $407,570
_.._...._................ ............_.............._.._.__-._ . .__...�......__......---
Market Value $518,924 $491,939 L::$407,570 city
Assessed Value $518,924 $448,327 $407,570 Exemption Value $0 $0 $0
Taxable Value 1 $518,924 $448,327 $407,570
Benefits Information Regional
Benefit Type 2016 20151 2014 Exemption Value $0 $01 $0
Non-Homestead Cap Assessment Reduction 1 1 $43,6121 Taxable Value 1 $518,9241 $448,327 $407,570
Note:Not all benefits are applicable to all Taxable Values(i.e.County,
School Board,City,Regional). Sales Information
Previous Price OR Book- Qualification Description
Short Legal Description Sale Page
565342 06/15/2016 $650,000 30115-4363 Qua[by exam of deed
MIAMI SHORES SEC 3 PB 10-37 03/05/2015 $575,000 29625-4171 Financial inst or"In Lieu of
LOTS 25&26 BLK 74 1 Forclosure"stated
LOT SIZE 100.000 X 115 12/17/2013 $440,200 28976-3647 Financial inst or"In Lieu of
Forclosure"stated
OR 20426-4436 05 2002 1
08/22/2013 $100 28787-4953 Corrective,tax or QCD;min
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 http://www.miamidade.gov/info/disclaimer.asp
Version:
http://www.miamidade.gov/propertysearch/ 1/20/2017
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— — — — — — - — NOT VALID WITHOUT SHEET 1 OF 2
GUNTER GROUP, INC. (SHEET 1 OF 2 CONTAINS LOCATION MAP AND SURVEY NOTES)
LAND SURVEYING - LAND PLANNING
FLORIDA CERTIFICATE OF AUTHORIZATION NO. LB 4507 873 NE 96th Street DATE: JOB No.: SKETCH No.: SCALE: SHEET:
9350 SW. 22nd TERRACE
MIAMI, FLORIDA 33165 Miami Shores Florida 33138. 06-07-2016 14-29816 2717- 111=20' 2 OF 2
(305) 220-0073 /
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