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DS-17-675 c 3 � t/Vo " � PM-T' o, Miami Shores Village Pe1flll Tp 1r'�Y �� a 10050 N.E.2nd Avenue NE d mont teritibill Miami Shores,FL 33138-0000 "mss m Phone: (305)79x2204 kp�OVED., �� to: 17 Expiration: 09/24/2017 Project Address Parcel Number Applicant 186 NE 106 Street 1121360050010 Miami Shores, FL 33138- Block: Lot: CK PROPERTY SOLUTIONS, LLi Owner information Address Phone Cell CK PROPERTY SOLUTIONS, LLC 209 NE 95 Street (305)758-3133 MIAMI SHORES FL 33138- 209 NE 95 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 1,900.00 JOHNSON&JOHNSON CONSTRUCT[ (786)930-1235 Total Sq Feet: 191.2 Approved:In Review Available Inspections: Comments: Inspection Type: Date Approved::In Review Final Date Denied: Foundation Type of Work:REMOVING EXISTING SOIL AND POURIN Additional Info:REMOVING EXISTING SOIL AND PO Review Planning Bond Return: Classification:Residential Review Building Scanning:3 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.20 Invoice# DS-3-17-63294 DBPR Fee $2.00 03/28/2017 Credit Card $116.20 $0.00 DCA Fee $2.00 Education Surcharge $0.40 Permit Fee $100.00 Scanning Fee $9.00 Technology Fee $1.60 Total: $116.20 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 zo ' Futheoreore,l�the above-named contractor to do the work stated. March 28,2017 TuthqOed Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy March 28,2017 1 ` ` % vkb Miami Shores Village 3� Building Department artment 10050 N.E.2nd Avenue,Miami Shores, Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 ��F,Bc�C 20 IQ BUILDING Master Permit No. '(6 PERMIT APPLICATION Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP / ! CONTRACTOR DRAWINGS JOB ADDRESS: / /� Z!L�- /_12 City: Miami Shores County: Miami Dade Zip: Ste/ Folio/Parcel#: // ! Z/ —,::;2 v 5 — Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): 6,11- M011- e' / 44&Phone#: ®S 7�/ U 3 Z Address:_ 2 y/r/®= 95'5 i CUs i 7 City: /�//�i S/�oic�—S State: Ate- Zip: �37/ Tenant/Lessee Name: Phone#: Email: ' CONTRACTOR:Company Name: 2oh(U�,n 2 :Johrt,,-a-) nc�(,J ,.n Phone#: Address: City: "Q'CYN 1 State: Zip: Qualifier Name: - 12 Pf C-6AV A t 0 r �� `� Phone#: t� '��j State Certification or Registration#: �C 0' o L (O;�-C) Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: 5r„ 2TValue of Work for this Permit:$ Square/Linear Footage of Work: t51. 2— Type ype of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: but a &11 1 Q L)/1 Specify color of color thru tile: Submittal Fee$ Permit Fee$ CCF$ CO/CC$' Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ ° (Revised02/24/2014) aE' ♦ a .� 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 not be approved and a reinspection fee will be charged. aLSignature Signatur OWNER or AGENT CONTRACTOR The fore oing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of11�&C H 201-7 by day of 20 by ( ©O�L(N�1�(, .�o is personally known to ��"�`64,Q&I 7SOhAho is personally known to me or who has produced 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: _ t e- Sign: Sign: ---- Print v 1�Ny U v 1 e11tr'C�— Print: LILOWTIE LALMAN Seal: Seal �t,_� di�a "_ Notary Public-State of Florida ORENDAVID DINKEL,11 1'„ My Cornm.Expires Apr 15,2017 MY COMMISSION kPY147331 '< Commission FF 008519 MIMS:August 03,2915 I) Vr APPROVED BY Plans Examiner Zoning Structural Review Clerk (RevisedO2/24/2014) Detail by Entity Name http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetai... Detail by Entity Name Florida Limited Liability Company CK PROPERTY SOLUTIONS, LLC Filing Information Document Number L10000091747 FEI/EIN Number 27-3374777 Date Filed 09/01/2010 Effective Date 09/01/2010 State FL Status ACTIVE Principal Address 209 NE 95TH ST SUITE 7 MIAMI SHORES, FL 33138 Changed:04/26/2011 Mailing Address 209 NE 95TH ST SUITE 7 MIAMI SHORES, FL 33138 Changed:04/26/2011 Registered Agent Name&Address KOOTTUNGAL,VIJU 209 NE 95TH ST SUITE 7 MIAMI SHORES, FL 33138 Address Changed: 04/26/2011 Authorized Person(s)Detail Name&Address Title MGRM KOOTTUNGAL,VIJU 209 NE 95TH ST SUITE 7 MIAMI SHORES, FL 33138 Title MGRM CROOKS, ENRIQUE 723 CRANDON BLVD#406 KEY BISCAYNE, FL 33149 Annual Reports Report Year Filed Date 2014 03/10/2014 2015 03/24/2015 1/1A In /1'11-11/1w1 2 of 3 3/13/2017 10:47 AM N. E. �106M777 :I t^`r 75.00'P a RN f/2' Sn�roNc. s/w J5.47'(M . o°ro 2� NO i�2. Ap IP-- - - - 2 M 94. 'bf) a E SUR�F�"i WPEWAY J ,� - 4 J� a J 15.10' RN 112, 17.80' NO ® p� C.- , RES 1186 ��•�® BLOCK 201 LOT 1 •p'a'y' o, `) � � '� oo `;'�I I29.82' 17.14' z A Wo"i r a 0 ••• ...'�� 0.•,•`.;;- :. 0000 W f A •.,.:•. �. • L� _ - �� 0000•• ��..•.•s..'': ,' 0000 H • 0000•• .�: :.' ''.`y Im 1' 18.23' _ Ci •••• `...'s•:`..".:r'.., ` � f .0 0000 .;� ..•��. ',��•••• SS �1 a.. • ® 0000•• ,..�• s .i•••• 0 J i ( • • • • z =' rr CL - g PP(W 14.00 . . O r • • • 0000 ® W ® c •r;• 'ON 1{1II a: z0 wX w z ON 5 � X x � C.LF. x x n 1 CL ® 1 d .' • '•••.'•'�. RIYO.IQ• • 3 • 0:0 RR 112 000 :0.. BLOCK 201 I 20 0 10 2a BLd" 2J7 NO.'.. {• LOT 15 ( •LDT•16• • SCALE:1"=20' • •• ••• ••• PAGE:2 OF 2 FILE NUMBER: MIA.SH.08-15 •. BOUNDARY SURVEY • a • • . • •