RC-17-26151
Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit
Issue
Permit NO. RC -11-17-2615
Permit Type: Residential Construction
Work Classification.. Repair
Permit Status: APPROVED
: 11/14/2017
Expiration: 05/13/2018
Parcel Number
Applicant
1177 NE 100 Street
Miami Shores, FL 33138-
1132050190350
Block: Lot:
SHORE CREST USA LLC
Owner Information
Address
Phone
Cell
SHORE CREST USA LLC
1177 NE 100 Street
MIAMI SHORES FL 33138-
(786)210-5805
1177 NE 100 Street
MIAMI SHORES FL 33138-
Contractor(s)
PG RESTORATION COMPANY
Phone Cell Phone
(561)328-9949 (561)662-4689
Valuation:
Total Sq Feet:
$ 10,000.00
2984
•
Approved: In Review
Comments:
Date Approved:: In Review
Date Denied:
Type of Construction: STUCCO OUTSIDE
Stories:
Front Setback:
Left Setback:
Bedrooms:
Plans Submitted:
Certificate Date:
Bond Return :
Occupancy:
Exterior:
Rear Setback:
Right Setback:
Bathrooms:
Certificate Status:
Additional Info: STUCCO OUTSIDE
Classification: Residential
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$6.00
$4.50
$3.00
$2.00
$300.00
$3.00
$8.00
$326.50
Pay Date Pay Type
Invoice # RC -11-17-65538
11/02/2017 Credit Card
11/14/2017 Credit Card
Amt Paid Amt Due
$ 50.00 $ 276.50
$ 276.50 $ 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 AFFIDAVIT: I certify that all the foregoing informatibh ac rate and that all work will be done in compliance with all applicable laws regulating
AIIP
construction and zoning. Futhermore, I authorize the abov'--na e.J' on*, . -ted.
4 II! November 14, 2017
Authorized Signature: Owner / Applicant / Co
Building Department Copy
ractor / Agent
Date
November 14, 2017 1
t1)b 1 3
BUILDING
PERMIT APPLICATION
®BUILDING ❑ ELECTRIC
❑PLUMBING ❑ MECHANICAL
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
❑ ROOFING
CFJVED
NOV Q22017
apt.
FBC2014Sth
Master Permit No. r )C, '&I 1 S
Sub Permit No.
❑ REVISION ❑ EXTENSION
❑ PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION
CONTRACTOR
JOB ADDRESS: 1 (-7 ) N L 100
City: Miami Shores ,�°� County:
Folio/Parcel#: 11— 32, 0 S -019. - O 3 S
❑RENEWAL
❑ SHOP
DRAWINGS
Miami Dade Zip: 3 31 3V
Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone:
OWNER: Name (Fee Simple Titleholder): SHOW C.2L ST U S. Vci
Address:
�-�11 T 7 to /7'1'
1 a0 S
1
City: ti (Ft RI L OYt S State: r�
BFE: FFE:
Phone#: 78( 2,10
Zip: 3 3 1 37
Tenant/Lessee Name: Phone#:
Email: RDC.1-(C 2 000 e G rMQ( Co" -
CONTRACTOR: Company Name: P6 elianft_1-t pti (DN7 of
Address: 4/5"-a ,., i
City: L /Lf �r/i, State: r��
$/4 S �c.)evl-h.
Qualifier Name:
or
State Certification Registration #: C�
C 151335 Certificate of Competency#:
Phone#:o l 3��" Q�I 9
Zip: -63
Phone#: (SG 0-q,
6�-4GPCf
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: n Zip:
Value of Work for this Permit: $ � 0 c 000 Square/Linear Footage of Work: Z.; el$
Type of Work: ❑ Addition ❑ Alteration ❑ New I] Repair/Replace
Description of Work: c -4U G G a 0 I s )GIS (A i 1 ho use)
❑ Demolition
Specify color of fo thtu tilwen t nvottiMoto3 .10=
Submittal Fee $ -%�l PC " Fee $
Scanning Fee $ Radon Fee $
Technology Fee $
Structural Reviews $
(Revised02/24/2014)
CCF $ pf+vaai ts;uCOreC'$'`'
DBPR $ - Notary $
Training/Education Fee $ Double Fee $
Bond $
TOTAL FEE NOW DUE $
1 r a t
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 reinsp on fee will be charged.
Signature
OWNER or AGENT
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of , 20
kOr who is/personallllyy known to
me or who has produced ,201).-6410
identification and who did take an oath.
NOTARY PUBLIC:
by ' day of 0 - /'- , 20 0"--- , by
Sign:
Print: ��/%%�/� (Cy viCtia rd O
Seal:
************
NOM WO"
WIMP 0 NM
Expires: May 30. 20Z0
thioAron
******r*********************************
UG��I
, who is personally knov p to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
•
Sign: (_X -i ?,wC'/ ra!L e
Print: Cr=:in fCf Gip( C ictrd.°
Seal:
I
11011011, Idea
011111111.1 MI
000111i1011111011h,wdy
APPROVED BY / Plans Examiner Zoning
(Revised02/24/2014)
Structural Review Clerk
Property Search Application - Miami -Dade County
PROPERTY
„FirE OF THL
Summary Report
Property Information
Folio:
11-3205-019-0350
Property Address:
1177 NE 100 ST
Miami Shores, FL 33138-2601
Owner
SHORE CREST USA LLC
Mailing Address
833 86 ST
MIAMI BEACH, FL 33141 USA
PA Primary Zone
1100 SGL FAMILY - 2301-2500 SQ
Primary Land Use
0101 RESIDENTIAL - SINGLE
FAMILY : 1 UNIT
Beds/Baths/Half
3/3/0
Floors
1
Living Units
1
Actual Area
3,468 Sq.Ft
Living Area
2,984 Sq.Ft
Adjusted Area
3,226 Sq.Ft
Lot Size
17,550 Sq.Ft
Year Built
1950
Assessment Information
Year
2017
2016
2015
Land Value
$631,468
$588,510
$535,530
Building Value
$420,509
$374,216
$378,894
XF Value
$62,833
$63,515
$40,081
Market Value
$1,114,810
$1,026,241
$954,505
Assessed Value
$1,114,810
$1,026,241
$954,505
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
MIAMI SHORES SEC 8 REV PB 43-67
LOTS 13 & 14 BLK 177
LOT SIZE IRREGULAR
OR 21395-2954 062003 1
COC 26294-2392 03 2008 1
Page 1 of 1
Generated On : 10/27/2017
Taxable Value Information
2017
2016
2015
County
Exemption Value
$0
$0
$0
Taxable Value
$1,114,810
$1,026,241
$954,505
School Board
Exemption Value
$0
$1,114,810
$0L $0
$1,026,2411 $954,505
Taxable Value
City
Exemption Value
$0
$0
$0
Taxable Value
$1,114,810
$1,026,241
$954,505
Regional
Exemption Value
$0
$0', $0
Taxable Value
$1,114,810
$1,026,241; $954,505
Sales Information
Previous
PriceSale
OR Book-
Page
Qualification Description
08/01/2016
$1,450,000
30188-0342
Qual by exam of deed
05/20/2013
$1,100,000
28653-4935
Qual by exam of deed
02/09/2009
$100
26757-1077
Trustees in bankruptcy, executors or
guardians
03/01/2008
$800,000
26294-2392
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/info/disclaimer.asp
Version:
http://www.miamidade.gov/propertysearch/
10/27/2017
Detail by Entity Name Page 1 of 2
•
Florida Department of State DIVESEON ar' CORpORA ONS
ftr 2 .org
l,(/ .! a.,' , •.! 1 .4'NL -
Department of State / Division of Corporations / Search Records / Detail By Document Number /
Detail by Entity Name
Florida Limited Liability Company
SHORE CREST USA, LLC
Filing Information
Document Number L16000119141
FEI/EIN Number 81-3046880
Date Filed 06/21/2016
State FL
Status ACTIVE
Principal Address
1177 NE 100 Street
Miami Shore, FL 33138
Changed: 03/21/2017
Mailing Address
8818 Carlyle Ave
Surfside, FL 33154
Changed: 03/21/2017
Registered Agent Name & Address
ROCHE, OLIVIER
8818 Carlyle Ave
Surfside, FL 33154
Address Changed: 03/21/2017
Authorized Person(s) Detail
Name & Address
Title MGR
ROCHE, OLIVIER
833 86TH STREET
MIAMI BEACH, FL 33141
Title MGR
Espeche, Gael
8818 Carlyle Ave
Surfside, FL 33154
http://search. sunbiz. org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entit... 10/27/2017
Detail by Entity Name Page 2 of 2
• •
Annual Reports
Report Year Filed Date
2017 03/21/2017
Document Images
03/11 /20;1,7,..::. -._ANNUAL_ REPORT
06/212016 -- Florida Limited Liability
View image in PDF format
View image in PDF formal
Florida Ce art meal: of State, C t SQn c. ..�. �.orm�rns
http://search. sunbiz. org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entit... 10/27/2017
ANNE M. GANNON
CONSTITUTIONAL TAX COLLECTOR
Serving Palm Beach Count
Serving you.
P.O. Box 3353, West Palm Beach, FL 33402-3353 "LOCATED AT"'
www.pbctax.co
Te : 561) 355-2264
452 FONTANA DR
LAKE WORTH, FL 33461
TYPE OF BUSINESS
OWNER
CERTIFICATION # RECEIPT 0/DATE PAID
AMT PAID
BILL #
23-0051 GENERAL CONTRACTOR
PUENTES BLAS
CGC1511335
B17.486944 - 08/01/17
527.50
B40156046
his document is valid only when receipted by the Tax Collector's Office.
B1 - 474
PG RESTORATION COMPANY
PG RESTORATION COMPANY
452 FONTANA DR
LAKE WORTH, FL 33461
111111111111111111 II
STATE OF FLORIDA
PALM BEACH COUNTY
20' 7/2018 LOCAL BUSINESS TAX RECEIPT
LBTR Number: 201256864
EXPIRES: SEPTEMBER 30, 2018
—his receipt grants the privilege of engaging in or
managing any business profession or occupation
within its jurisdiction and MUST be conspicuously
displayed at the place of business and in such a
manner as to be open to the view of the public.
* * * POST THIS RE
Village of Palm Springs
226 Cypress Lane
Palm Springs, Florida 33461
561-965-4016 Fax 561-439-4132
www. villa neofpel msprinas.orq
El
PT IN A CONSPICUOUS PLACE *
3118
Notice
This receipt becomes null & void if ownership, business name
address 1s changed. Petitioner must apply within 10 days of sum
change for transfer. Fee will apply. AN applicable building an
toning regulations pertaining to business location must be followed
cr
1
Business Location: 452 FONTANA DRIVE
PG RESTORATION COMPANY
452 FONTANA DRIVE
PALM SPRINGS, FL 33461
LOCAL
BUSINESS
TAX
RECEIPT
Business Tax ID
2018-109678
Ni rnber
Type
3118
License Fee
I-OME OCCUPATION
F OME OCCUPATION
11536
:Issued
08/23/2017
"Extires
09/30/2018
LOCAL BUSINESS TAX RECEIPT
EXPIRES: 09/30/2018
0�
RICK SCOTT, GOVERNOR
TATE
OF FLORIDA
SS AND PROFESSIONAL
INDUSTRY LICENSING
•
KEN
REGULATION
BOARD
r DEPARTMENT OF BUISII
CONSTRUCTION
LICENSE NUMBER
CdC151133'5
—
,
.The'GENERAL-CONTRACTOR
Named below IS
Under:th`e provisions'of
.Expiration'date:'AUG
mow' P
f Mr . YET
�! P,IJENTES;.BLAS
2/RG'RESTORATION
,,.,- 452 FONTANA
„,, L%1KEAWORTFI.,.
7,3-'':<,,---'
?7,--T.‹..-"� v rf
ISSUED:
CERTIFIED.
Chapter 489'FS. -
31;2018'
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COMPANY•
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05/17/2016 DISPLAY
AS REQUIRED BY LAW
�_
SEQ # L1e
LAWSON, SECRETARY
0
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05170001370