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DS-17-2286Project Address Miami Shores Village 10050 N.E. 2nd Avenue NW Miami Shores, FL 33138-0000 Phone: (305)795-2204 Permit NO. DS -9-17-2286 Permit Type: Driveways/Sidewalks/Slabs rrr'i' Work Classification: New Permit Status: APPROVED Issue Date: 11/212017 Expiration: 05/01/2018 Parcel Number Applicant 134 NW 93 Street Miami Shores, FL 1131010330920 Block: Lot: RYAN MCDOWELL Owner Information Address Phone Cell RYAN MCDOWELL 134 NW 93 Street MIAMI FL 33150-2235 (305)785-1441 Contractor(s) ONE STOP PAVING Phone (786)299-1354 Cell Phone Valuation: Total Sq Feet: $ 2,000.00 204 • Approved: In Review Comments: Date Approved: : In Review Date Denied: Type of Work: NEW BRICK PAVERS AT BACK YARD Bond Return : Scanning: 3 Additional Info: Classification: Residential Fees Due Bond Type - Contractors Bond CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $500.00 $1.20 $2.00 $2.00 $0.40 $100.00 $9.00 $1.60 $616.20 Pay Date Pay Type Amt Paid Amt Due Invoice # DS -9-17-65138 09/22/2017 Check #: 1770 $ 50.00 $ 566.20 11/02/2017 Check #: 1803 $ 566.20 $ 0.00 Bond #: 3544 Available Inspections: Inspection Type: Final Foundation Review Planning 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 1 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 AFFIDAVI : I certi at all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zo .47 e, I authorize the above-named contractor to do the work stated. orized Signature: Owner / Applicant / Building Department Copy Agent November 02, 2017 Date November 02, 2017 1 BUILDING PERMIT APPLICATION 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 OP- FBC 20 �P Master Permit No.R Sub Permit No. FUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 1 ?A L) W 3 S City: Miami Shores County: Miami Dade Zip: 3 3 15 O Folio/Parcel#: t t 3i01 t733 Oct 20 Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): 2-1 a vl C LkC Dowell Phone#: C 99 v 0950 Address: I ?J4 k) 'f v.) 1 3 3 City: LL G v. I S l x'10 r C S State: -L-- Zip: 3 3 1 SD Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: OV1 e STD PGU iv-II—LAC- Phone#: —1 GG 29'1 1354 Address: 4G?!J @ ,113 , + City: . V`-�a G 1 Vv'' r laxvc N ( State: .�- Zip: 3 7--,‘ fa Z Qualifier Name: Car Vo S 0.. (...0 s TG Phone#: 1 VP Z91 l 3 59 State Certification or Registration #: G6C- G X37 (1 Certificate of Competency #: - 7 3 I SO 6 DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ 2 00O • al)Square/Linear Footage of Work: 2 0 d} s f Type of Work: ❑ Addition ❑ Alteration New E Repair/Replace ❑ Demolition Description of Work: (sJQ- 7v,ck_ c2Gv1 c.4 lock ci. Specify color of color thru tile: Submittal Fee $ " a) 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) 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 OWNER or AGENT The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this ZO day of � , 20 , , by nZ^O j day of `)- , 20 11 by IJc Dow ,, �'I , who is personally known to �.Firl "�'� a SCf24-05 , who is personally known to me or who has produced as me or who has produced as Signature CONTRACTOR identification and who did take an oath. identification and who did take an oath. NOTARY PUB IC: NOTARY PUBLIC: Sign: Print: Seal: =4;:Y."11.4; Grade— Concrete Edge Restraint — 8" estraint-- 8" x 8". • •••• • • • •.• •• •• • 11• • •• • •• •. •• •• • • •• . • • • • • •••• •. • • • . • •• • • •. • • • •.. • •• • • ••• • •. • . •.• .. .. • • •• • • • • • • • • • • •• • . •• . • • • . ..1 ••• • . ••. ... • •• • • • •• ••• •• • •..• •k;Contreti Paver 2 3i8!''xFCiC ••• • •• .......• 11111111111110011---- radilffiNg 1 05 rod cont. at center SECTION B: Exposed Edge Restraint Contact Name Address Phone 0 DriVe• Sketch 2 • 1" Sand Bed Well Compacted 6" Limerock Base Owner Name Job location Page of Subject sample cross sections showing edge restraint 34 i • ••• • • • • • •• • •• • • ••,� ••• ••• • • • • • • • • • c•• • • • • av • •• • • • • • • • Legal Description • Lot,4•¢ ul therest 1/2 of Lot 5, Block'. 134, MIAMI SHARES SEc7J3ON NO. 6, according to the Plat thereof, •as reerwkd in Plat Bouk 10, Page 39, of the Public RecortL rMiami-Dade County, Florida. • Cojjzj�tjnity flW ntrer: 120652 Panel: 12025C0093 Suf c: J FIRM Date: 3/2/94 Flood Zone: X Field Work: 12/11/01 Completed: 12/12/01 Certified To: Ryan. Mc Dowell; Danusa Mc Dowell; Security First Title Partners; First American Title Insurance Company; Freedom Mortgage Corporation, its successors and/or assigns. Property Address: 134 N.W. 93rd ,Street Miami, Florida 33150 Survey Number: G-26972 Notes: Accepted By: N X71 S. W 93rd STREET 75' R/W FD. DRILL HOLE 69'37'40" M. 75.Q0' FD. 2"1P 902220' M. 5Q00' P ttll 06. t 20.00' BLOCK 134 6. zs.00' 0. 25.00' D. 1 P W 25.0' af. '• •OF SINDT 1 '.,TORY BLOCK 134 1,.1497' ! ae CE Y o 7'I^ A/c A /T:t4 I 8.5' 15.0' 20.05' ' '3{ .) If 120" 4 6 10.0' � o 300' 5 C.B. WALL, TYP. PLIN1ER BLOCK 134 19 E 25.0' OF LOT BLOCK 134 r , 5 1 1 I UL 169023'01' 25.00' O. 25.00' 0. — '----- pp, O.H.L. 15' ALLEY BLOCK 134 20 b GARBAGE IREA as, 892639" ]<50.00' P. • 75. 0' BLOCK 134 21 . NO OBJECTION. Ftorida Haelth Miami -Dade Cdursty O.S.T.D.S. eII Program Application No.: Date: Signature w N 156.60' M. 156.56' P. QLOCK 13� ..3 r• 3 PD. 1/2' /.P. BLOCK CORNER • FD. P.I. 1"/.P. 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EWLW ELT PCWTIMWEBTORMETOM MI/TMMORAIIMA NIYMIOTAMELVEDIOR 3 OFFICE OF THE PROPERTY APPRAISER Summary Report Property Information Folio: 11-3101-033-0920 Property Address: 134NW93ST Miami Shores, FL 33150-2235 Owner RYAN C MCDOWELL Mailing Address 134 NW 93 ST MIAMI SHORES, FL 33150-2235 PA Primary Zone 0800 SGL FAMILY -1701-1900 SQ Primary Land Use 0101 RESIDENTIAL - SINGLE FAMILY : 1 UNIT Beds / Baths / Half 2 / 1 / 0 Floors 1 Living Units 1 Actual Area 1,255 Sq.Ft Living Area 833 Sq.Ft Adjusted Area 1,044 Sq.Ft Lot Size 9,225 Sq.Ft Year Built 1938 Assessment Information Year 2017 2016 2015 Land Value $203,198 $203,198 $149,803 Building Value $72,662 $72,662 $72,662 XF Value $728 $735 $594 Market Value $276,588 $276,595 $223,059 Assessed Value $136,847 $134,033 $133,102 Benefits Information Benefit Type 2017 2016 2015 Save Our Homes Cap Assessment Reduction $139,741 $142,562 $89,957 Homestead Exemption $25,000 $25,000 $25,000 Second Homestead Exemption $25,000 $25,000 $25,000 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description MIAMI SHORES SEC 6 PB 10-39 LOT 4 & E1/2 OF LOT 5 BLK 134 LOT SIZE 75.000 X 123 OR 20189-0865 12 2001 1 COC 23964-3714 09 2005 5 Generated On : 9/20/2017 Taxable Value Information 2017 2016 2015 County Exemption Value $50,000 $50,000 $50,000 Taxable Value $86,847 $84,033 $83,102 School Board Exemption Value $25,000 $25,000 $25,000 Taxable Value $111,847 $109,033 $108,102 City Exemption Value $50,000 $50,000 $50,000 Taxable Value $86,847 $84,033 $83,102 Regional Exemption Value $50,000 $50,000 $50,000 Taxable Value $86,847 $84,033 $83,102 Sales Information PreviousOR Sale Pace Book - PageQualification Description 09/01/2005 $0 23964- 3714 Sales which are disqualified as a result of examination of the deed 12/01/2001 $160,700 U865 Sales which are qualified 06/01/1987 $55,000 13326 -Sales 0165 which are qualified 01/01/1981 $51,000 102 065 Sales which are qualified 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/nfo/disclaimer.asp Version: Miami Shores Village Building Department SURVEY AFFIDAVIT 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 STATE OF (FLORIDA) COUNTY OF (DADE) The undersigned Affiant, Eavt ^• t 0 ►�, does hereby attest that (Properrty ower) The attached survey, performed by y—r�s¥l7OnGk/ £1 1/.e ` o, 4 -vim (Name of surveyor's company) For address: /.7,4 /O/OWq3 S 74 g[ b' i L ,33/5D Performed on / 0 / (date of survey) is an accurate representation of the existing conditions and locations of all structures on the property as of this date. The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the property without first providing a survey Tess than seven (7) years old old. The Affiant, as property owner, further agrees to remove or obtain permits for any structures which now may exist on the property which are not permitted or which may violate zoning or building code regulations. The Affiant further understands that the existence of any such structures may affect final inspections as applicable to this or other permits. Further . say eth naught. Property Ower Signature SWORN Tw AND SUBSCRIBED before me this 2.r.) day of Affiant is personally known to me, produced Ce v! o r Property Owner Print Name za(7 Revised on 5/22/2009/ Revised on 6/12/09 C '?y''', BARBARPSOBRINO .�, MY COMMISSION # FF 195634 EXPIRES: February 3, 201 ;fx•.` Bondad Thor Notary Public ;,medsrwr ters entification. Notice to Owner - Workers' Com p Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 ensation 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. Signature: _ State of Florida County of Miami -Dade 1 The foregoing was acknowledge before me th' Z V day of * �j T ,` , 20 11. By , ` a 1� c b, "� ""� who is personally known Pe y to me or has produced er Notary: SEAL: as identification. :`..°i%a% BARBAROSOBRINO _+. :f= MY COMMISSION # FF 195634 ,,. a=' _ EXPIRES: February 3, 2019 fy: �' Bonded Thu Notary Public Umaareiters l',.a�aassx:.0 -Ws n.oa.ra.”7, 4a tr, One Date: 7/00//,� State of TL County of 1..)FJ Paving Inc . CGC 1513719 Before me this day personally appeared (rd,- `a S au) S � who, being duly sworn, deposes and says: That he or she will be the only person working on the project located at: / g XJ w 13 S / / 'Q d►-) c L 3 3 /) V - Sworn to (o/r' affirmed) and subscribed before me this -24) day of Cc, l0 S 6" S 7Z BARBARo Cant O :f; MY COMMISSION FFI1956344 EXPIRES: February ,�;,• ry 3 X01te Funded An, Motaly Public Und5r ,mars . 2012, by Personally know OR Produced Identification Type of Identification Produced 6.19.21 -e) k aro L--;‘,„ Print, Type or Stamp Name of Notary