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RC-17-2789cI1 Project Address Miami Shores Village 10050 N.E. 2nd Avenue NW Miami Shorbs, FL 33138-0000 Phone: (305)795-2204 Permit Permit NO. RC -11-17-2789 Permit Type: Residential Construction Work Classification: Addition/Alteration Permit Status: APPROVED Issue Date: 11/28/2017 Expiration: 05/2712018 Parcel Number Applicant 82 NW 98 Street Miami Shores, FL 33150- 1131010330230 Block: Lot: NYCE DANIEL Owner Information Address 82 NW 98 Street MIAMI SHORES FL 33150- 82 NW 98 Street MIAMI SHORES FL 33150- Phone Cell Contractor(s) DILBERT ENTERPRISES, INC Phone Cell Phone 786/256-6434 (305)945-0727 Valuation: Total Sq Feet: $ 21,060.00 324 Approved: In Review Comments: Date Approved: : In Review Date Denied: Type of Construction: CONVERT EXISTING GARAGE INT Stories: Front Setback: Left Setback: Bedrooms: Plans Submitted: Certificate Date: Bond Return : Occupancy: Exterior: Rear Setback: Right Setback: Bathrooms: Certificate Status: Additional Info: CONVERT EXISTING GARAGE INTC Classification: Residential Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee L Total: Amount $13.20 $9.48 $6.32 $4.40 $631.80 $3.00 $17.60 $685.80 Pay Date Pay Type Invoice # RC -11-17-65737 11/27/2017 Check#: 4126 $ 200.00 $ 485.80 11/28/2017 Check #: 18126 $ 485.80 $ 0.00 Amt Paid Amt Due Available Inspections: Inspection Type: Drywall Miscellaneous Window Door Attachment Tie Beam Final Framing Insulation Final PE Certification Truss lnsp Foundation Window and Door Buck Columns Fill Cells Columns Wire Lathe Review Building Review Mechanical Declaration of Use F. Termite Letter F. Elevation Certificate Review Planning Review Structural Review Electrical Review Plumbing 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 zoni . Futhermore, I authorize tl}q above-named contractor to do the work stated. rr November 28, 2017 Authorized Signature: Owner / ant / Contractor / Agen Building Department Copy Date November 28, 2017 1 PA--r � CeS-) 46Y--i-Se 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 St*FBC-2O14 Master Permit No. RC 1/41- 2:181 Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ER/RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS �C CF NGE—OF ❑ CANCELLATION ❑ SHOP DRAWINGS JOB ADDRESS: City: Folio/Parcel#: Miami Shores 9 S-7. County: 11•-34ol- 033 - Occupancy Type: LEI_ Load: Miami Dade Zip: 3.3 JPO Is the Building Historically Designated: Yes NO Construction Type: Cs Flood Zone: BFE: FFE: M AM i4 -/&-CE fr-J K �► b Phone#: 7 g6) 577-74f5' OWNER: Name (Fee Simple Titleholder): (.yC!c C. bft / EZ_ Address: 6?---- N U.9 R $ • 712_F� 7 . rr City: He,4-iw' ( Cr State: 7Z Zip: 7b5" ---L) Tenant/Lessee Name: 141,4 Phone /4 Email: � bt. q � 0.4—Se-Lwel A Nf CONTRACTOR: Company Name: 7//'h/ c --/27.-a.,-/3"..<4. /,-7' / Phone#! 6 ash 64'? Address: 2 Stc) S7 A✓e (,./es 71 pe'r - m State: (--L City: p.21 / q y It State Certification or Registration #: Certificate of Competency #: 0.51345D D �3 DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Qualifier Name: 01/bit Zip:'3 Phone#:. pc// ash 3 (-1 Value of Work for this Permit: $ • 1 f to 0 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration/ 1:] New Description of Work: Cth(%t l'ti 6,4 &aro tip n•� J y❑ D aRepair/Replace / i7��,o171) vm i' 6eith- 3�� ❑ Demolition Specify ailbebfrOlcii. thr`u£tile 4..,..42.'." rs Submittal Fee $ 2.0 6 l . Permrt=ee, $f� 6 31 E ` 4x3", ,�F0 Scanning Ft* $ Ra"deOee''$'Q' • 32, Technology Fee $ *ir iii1 ucation Fee $ Structural Reviews $ (Revised02/24/2014) lac' it to • - :33,Jun IMO! / CCF $ " ' ; a 901taij°.nr CO C DBPft $• ,� ,, Ngtary•$,; Double Fee $ r t?,4.. i2cis-30 R u4 Y - i Bond $ TOTAL FEE NOW DUE$ 485 �jD8. 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 czg411--(4.:4Z (OWNER o AGENT Signatur CONTRACTOR 7// - The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this a G7 t day of N r , 20 1 ) , by d A5 s-`" day of , 20 ) " L.4 . D "-'1" -t L , who is personally known to ``j"'.,; fes- D; I ' .%L , who is personally known to me or who has produced -9-1• Dr; -S &- t -r.- ..—,_as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: by Sign: Print: I-- Seal: Seal: c L, F= ► oy4 sa > s LISA CHRISTINA FLORES Notary Public - State of Florida My Comm. Expires Jan 28. 2019 Smldodtleoua fictional Notary 4ssn APPROVtDMA. Plans Examiner NOTARY PUBLIC: Sign: ti Print: Seal: c Ft (Revised02/24/2014) « a `�0 ,,,,,,,�- LISA CHRISTINA FLORES !! ti1, "�,�••. `Notary Public - State of Florida •t**C8rTirf►1s*srdfi*a"F 9'9ilnr************** , V4. aF My Comm. Expires Jan 28, 2019 I j ( 's.,QF,n t Bonded through NadonalNotary Assn. r 1 Zoning Structural Review Clerk 11/20/2017 oiastto Property Search Application - Miami -Dade County OFFICE OF THE PROPERTY APPRAISER Summary Report Property Information Folio: 11-3101-033-0230 Property Address: 82 NW 98 ST Miami Shores, FL 33150-1737 Owner NYCE C DANIEL MAMAILLE FELIX Mailing Address 82 NW 98 ST MIAMI SHORES, FL 33150 USA 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 1,629 Sq.Ft Living Area 1,224 Sq.Ft Adjusted Area 1,426 Sq.Ft Lot Size 7,650 Sq.Ft Year Built 1949 Assessment Information Year 2017 2016 2015 Land Value $168,558 $168,558 $124,474 Building Value $83,849 $83,849 $83,849 XF Value $0 $0 $0 Market Value $252,407 $252,407 $208,323 Assessed Value $182,641 $178,885 $177,642 Benefits Information Benefit Type 2017 2016 2015 Save Our Homes Cap Assessment Reduction $69,766 $73,522 $30,681 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 ( .e. County, School Board, City, Regional). Short Legal Description MIAMI SHORES SEC 6 PB 10-39 LOT 11 & E1/2 LOT 12 BLK 129 LOT SIZE 75.000 X 102 OR 14026-2157 0389 1 Generated On : 11/20/2017 Taxable Value Information Prev'ous Sale 2017 2016 2015 County Exemption Value $50,000 $50,000 $50,000 Taxable Value $132,641 $128,885 $127,642 School Board Exemption Value $25,000 $25,000 $25,000 Taxable Value $157,641 $153,885 $152,642 City Exemption Value $50,000 $50,000 $50,000 Taxable Value $132,641 $128,885 $127,642 Regional Exemption Value $50,000 $50,000 $50,000 Taxable Value $132,641 $128,885 $127,642 Sales Information Prev'ous Sale Price OR °k PageBook- ualification Description Qualification 11/15/2013 $103,500 28915-0679 Corrective, tax or QCD; min consideration 09/13/2013 $215,000 28824-3013 Qual by exam of deed 03/01/1989 $73,000 14026-2157 Sales which are qualified 08/01/1983 $80,500 11871-1381 Other disqualified 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: DUFFY �Rty.o wm PATRICK L. DUFFY BROKER 9718 N.E. 2ND AVENUE / MIAMI SHORES, FL 33138 OFFICE: 305.758.5600 / FAX: 305.758.6276 / DIRECT: 305.904.4803 patduffy@usa.net 5 oREs h rnanuS/ore G la DAVID A. DACQUISTO, AICP PLANNING 6, ZONING DIRECTOR DEVELOPMENT ORDER 10050 N.E. SECOND AVE, MIAMI SHORES, FLORIDA 33138-2382 Telephone: (305) 795-2207 Fax: (305) 756-8972 File Number: PZ -12-13-201373 Property Address: NW 98th Street Property Owner/Applicant: Address: Agent: Address: Nyce Daniel 82 NW 98th Street, Miami Shores, FL 33150 Rufus Orindare 14610 S. Spur Drive, Miami, 33161 Whereas, the applicant Nyce Daniel (Owner), has filed an application for site plan review before the Planning Board on the above property. The applicant sought approval as follows: Pursuant to Articles IV, V and VI of Appendix A Zoning, Sec. 400 and Sec. 600. Site plan review and approval required. Garage conversion attached garage. Whereas, a public hearing was held on January 23, 2014 and the Board, after having considered the application and after hearing testimony and reviewing the evidence entered, finds: 1. The application was made in a manner consistent with the requirements of the Land Development Code of Miami Shores Village. 2. The conditions on the property and the representations made at the hearing merit consideration and are consistent with the requirements of the Land Development Code. The Board requires that all further development of the property shall be performed in a manner consistent with the site plan, drawings, and the conditions agreed upon at the hearing: 1) Approval is granted as shown on the plans submitted and made a part of this approval to construct 1 master bedroom, 1 master bathroom and to retain the laundry area as separate room. 2) Applicant to obtain all required building permits before beginning work. 3) Applicant to obtain all required permits and approvals from the Miami -Dade Department of Regulatory and Economic Resources, Environmental Plan Page 1 of 2 DO PZ -12-13-201373 Daniel Review Division (DRER, EPRD) and the Miami -Dade Department of Health (DOH/HRS) as required. 4) Applicant to meet all applicable code provisions at the time of permitting. 5) This zoning permit will lapse and become invalid unless the work for which it was approved is started within one (1) year of the signing of the development order by the board chair, or if the work authorized by it is suspended or abandoned for a period of at least one (1) year. The application with conditions was passed and adopted this 23rd day of January, 2014 by the Planning and Zoning Board as follows: Mr. Abramitis YES Mr. Busta YES Mr. Reese YES Mr. Zelkowitz YES Chairman Fernandez YES DO PZ -12-13-201373 Daniel Page 2 of 2 STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION CONSTRUCTION INDUSTRY EXEMPTION CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW EFFECTIVE DATE: 10/29/2015 PERSON: FEIN: LUBIN 650790737 BUSINESS NAME AND ADDRESS: PRACTICALITY INC 4331 NE 48 AVE POMPANO BEACH SCOPES OF BUSINESS OR TRA EXPIRATION DATE: YVES FL 33064 10/2812017 Proof of Coverage Page 1 of 1 JEFF ATWATER, CHIEF FINANCIAL OFFICER FLORIDA DEPARTMENT OF FINANCIAL SERVICES WC dome WC Databases CEO dome Business Activities Detail Page This database was last updated Wednesday, January 13, 2016 12:16 AM. Return to Exemption Detail Page Business Activities on Exemption for YVES LUBIN HEATING, VENTILATION, AIR-COND LICENSED ELECTRICAL CONTRACTOR LICENSED GENERAL CONTRACTOR LICENSED PLUMBING CONTRACTOR LICENSED ROOFING CONTRACTOR Return to Search Page https://apps8.fldfs.com/proofofcoverage/BusinessActivitiesDetail.aspx?EffectDate=10/29/... 1/13/2016 GC-CGC1508386 Roofing-CCC1326760 Electrical-EC13004092 Plumbing-CFC1428324 Engineering-PE6 I 745 Mechanical CMC 1250145 Home inspector HI5270 III Efi RACTICALITY Date: Dec 10, 2015 State of Florida County of Broward CONTRACT www.PracticalityConstruction.com Before me this day personally appeared V&"s L t/4h who, being duly sworn, deposes and says: That he will be the only person working on the project located at: Sworn to (or affi d subscribed before me this /Oday of E 2 20 /,by Personally Known OR Typ olow��•en 1 ica 1. MYRTELLE PERRAULT MY COMMISSION #FF035074 af; eation tixpireS1 1„ 1y 10. 2017 (407) 398-0153 FloridaN. aryService.c; Prin Ty .,, or Stamp Nam- of Notary Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner — Workers' Compensation 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: Owner State of Florida County of Miami -Dade The foregoing was acknowledge before me this gay of Q. �„ ,��, , 20 is By 1.—/Y G G !O?' who is personally known to me or has produced ntification.