PL-17-688 !ORESMiami Shores Village t "irjif 7,y �tliNnbmg �esfi)erltlS }
10050 N.E.2nd Avenue NE � C;�04& dd#n11�1 term
....
Miami Shores,FL 33138-0000
— P :SaiYts:APPRo Ei '
Phone: (305)795-2204
fiLOA11 ' t \4t r.
„ 31� Expiration: 09/1912017
Project Address Parcel Number Applicant
1096 NE 97 Street 1132050170180
Miami Shores, FL 33138-2556 Block: Lot: DANIEL JIMENEZ
Owner information Address Phone Cell
DANIEL JIMENEZ 1096 97 Street (650)996-8767
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone Valuation: $ 2,500.00
TITAN PLUMBING REPAIR LLC (786)487-9288
._.._.__.,_ ...._ .... .:..,. _. ...,m_ ._ .:x _ ...: _ ......._... Total Sq Feet: 0
Type of Work:REPLACE 5 FOOT SECTION OF CASTIRON Available Inspections:
Type of Piping: Inspection Type:
Additional Info:
Bond Return: Top OutFinal
Classification:Residential Scanning:3 Review Plumbing
Underground
Fees Due LAount Pay Date Pay Type Amt Paid Amt Due
CCF $1.80
DBPR Fee Invoice# PL-3-17-63309
$2.25 03/15/2017 Check#:301 $50.00 $118.30
DCA Fee $2.25
Education Surcharge $0.60 03/23/2017 Check#:0991 $ 118.30 $0.00
Permit Fee 150.00Scanning Fee $9.00Technology Fee $2.40Total: 8.30
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 AFFID V : I . that II e f egoi g information is accurate and that all work will be done in compliance with all applicable laws regulating
construction an ning., ermore,I ut ri a th above-named contractor to do the work stated.
March 23,2017
Au ri Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
March 23,2017 1
Miami Shores Village RECEIVED
Building Department MAR 9. 5 �O1a
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 20H J�
BUILDING Master Permit No.?U -7
PERMIT APPLICATION sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
�
i p �� CONTRACTOR DRAWINGS
JOB ADDRESS: I O -6(D mc-' 1Y1 Ail
`j��_5zg6
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): Z7wtW o��- S�'��`��� Phone#: (05O 991(0 S�6
Address: Vie c'llk� 'Gzn C-S
City: M%R'M" 51k0 State: Zip: 3�
Tenant/Lessee Name: Phone#:
Email: c�
CONTRACTOR:Company Name: -T ITPfN Lim Q0��i N f�E�rR Phone#: -1 u 476,7 9��6
Address: 1 L—15 TA E 1060\ 'ff'SCi—'ECS
City: I%\Rsw\ State: LA . Zip:
Qualifier Name: ) kPkc9— 11 ei OaMC Z— Phone#: 'IM-412611A
State Certification or Registration#: iq Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State Zip:
Value of Work for this Permit:$ D, SO 0 Square/Linear
Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New [J Repair/Replace ❑ Demolition
Description of Work: Z V��F �O 0� s ECT %0yA D r C_�5'y�VL_OtA Aw D -wEP L P'-CE
P*Lj— ,
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ ��� CCF$ CO/CC$
Scanning Fee$ Radon Fee$ 2.�s DBPR$ Z Z Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ H
(Revised02/24/2014)
L
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.
Signature ( Signature
OW R or AGEN CONTRACTOR
The foreping instrument as acknowledged before me this The foregoing instrument w s acknowledged before me this
01 day of Y• 20 f by day of Ga d 20 a by
IO✓1 con -C � ,who is ersonall n to
D 11 t �i t`ll�rle who is personally known to P
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:
pign V /�Y V1,/I a Pit. "JI, q
Seal: �.•�,� Seal: 17INk KLILLY J VILLA
KELLY J VILLA
MY COMMISSION 0 00071524
MY COMMISSION 4 GG071524
EXPIRES Februa 2SMPIRES RgOryaw p
*x**r** **► *+ * r **** ***+ 8
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
lies kiMment Pry by:
ELMOETH HUTSON,ESQ.
LAW OFFICES OF EUZABErK J.HUTSON,P.A.
7700 North Ka"Drive,Suite 702
Miami,Florida 33156
Rdurrt to:
Cohen Legal Group of Florida.PLLC
1250 South Pint Wand Road,Suite 375
Planation,Florida 33124
FolioNumbet H-320-017-0180
WARRANTY DEED
This Indenture made this_6 day of Match,2017 between RICARDO BLONDET,a married roan,joined
by his wife ZASKIA DEL ROSARIO BLONDET whose post office address is 2000 N.Bayshore Drive,Unit 415,
Miami,Florida 33137.Grantors,and DANIEL ENRIQUE JIMENEZ and SHEBA R. KUMBHANI, husband and
wife,whose post office address is. 1096 NE 97 Street,Miami Shores,Florida 33138,Orantees.
WITNESSETH, that said Grantors, for an in consideration of the sum of TEN AND 001100 (510-00)
Doll= and other good and valuable considerations to said grantors in hand paid by said grantees, the receipt
whereof is hereby acknowledged,have granted,bargained and sold to the grantees and grantees' heirs and assigns
forever the following described land situated,lying and being in Miami-Dade County,Florida,to-wit:
Lot 6,in Block 181,of REVISED PLAT OF MIAMI SHORES SECTION 8,according to the
Plat thcmf,as recorded in Plat Book 43,Page 51,of the Public Records of Miami-Dade County,
Florida.
TOGL—nIER WITH all easements,tenements,hereditaments and appurtenances belonging to the Property.
Subject to taxes for the year 2017 and all subsequent years including restrictions,limitations,easements of
record, and zoning ordinances,if any.
TO HAVE AND TO HOLD,the same in fee simple forever.
And said grantor does hereby covenant with said grantees that the grantor is lawfully seized of said land in
fee simple;that the grantor has good right and lawful authority to sell and convey said land;that the grantor hereby
fully warrants the title to said land,and will defend the same against the lawful claims of all persons whomsoever,
and that said land is free of all encumbrances.
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IN WITNESS WHEREOF,Grantors have hereunto set grantor's hand and;teal the day and year first above wriue n.
Si sealed liver the presence of:
as. th RICARDO BLONDET
fnarne). J
Witness as to _ ZASrbEL ROSARIO BLONDET
(Print name:
STATE OF FLORIDA �t
COUNTY OF MIAMI-DADS
The foregoin ins ent vas a wledge d before me this day of March,2017 b RICARDO BLONDET
and o are personally known to me or who have produced
identifications and who did'did not take an oath.
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