REV-17-2542Miami 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
BUILDING
PERMIT APPLICATION
BUILDING ❑ELECTRIC ❑ ROOFING
RECEIVED
ocr, 2017
2Y:
Sth
FBBC20i4
Master Permit No. FW— "1 ^7 22c2.
Sub Permit No. i2)-CVF 1- 25 4z
REVISION 0 EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL El PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: / 2 / /V1 7 S i
City: Miami Shores County: Miami Dade Zip: 3 5/
Folio/Parcel#: // - 7 2 E2 G r o A3 - Os " --c.) Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone:
BFE: FFE:
OWNER: Name (Fee Simple Titleholder): /'/( UJB 2-7' SUGZT�v -.s Phone#:
Address: 5 'e/ 7--j 7 &JS - 75 ,- 3133
City:
7�1 ; 4,c;c•
Tenant/Lessee Name:
State: Zip:
Email: 07v 62 `/j/--4. /fay,//z: s
Phone#:
?
CONTRACTOR: Company Name: G1t11 may. 1111A -/C -X2 j-1
Address: tit 51-106€ € Grlye L
City: ()At 04-4) State:
Qualifier Name:
State Certification or Registration #:c a--4""3 �3
DESIGNER: Architect/Engineer:
Phone#: 3C7 rq t6 3 �y
Phone#:
zip: 3'b 1 33
St s� b c.. 3' 1
Certificate of Competency #:
Phone#:
Address:
Value of Work for this Permit: $
City: State: Zip:
Square/Linear Footage of Work: (2. 1-F
Type of Work: ❑ Addition ❑ Alteration ❑ New
Description of Work: 1:#-574W J " by
VjSlo1-\-o Show on pl nc„ 0)11- 10CA4'ioi,
and a ci d I N\ 2 c proper
Specify color of color thru tile:
pQ
Permit Fee $ �-- CCF $ CO/CC $
Radon Fee $ DBPR $ Notary $
Training/Education Fee $ Double Fee $
Bond $
TOTAL FEE NOW DUE $ 94-
❑ Repair/Replace ❑ Demolition
Submittal Fee $
Scanning Fee $ 9
Technology Fee $
Structural Reviews $
(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
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
Z day of a 7-1,.../, 20 / 7 , by c"2,- day of �; ''6'""+— , 20 / 7 , by
iJ'u kit r t-((4' Jc-(4' , who is personally known to eleoed 6p ,ipl-, who is personally known to
me or who has produced F'L_ 41-- as me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Seal:
SMS
****** **s
APPROVED BY
(Revised02/24/2014)
JIM D PAMPUN
Notary Public • State of Florida
•= Commission N GG 041934
.:411142131,111W ,04,94.az
bonded through N
"MI Now
(= L J) L—
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
as
***************
Plans Examiner
Structural Review
00
0
0%4, JIM D PAMPUN
Motu), PubIfc . State of Florida
M Commission 0 GB 041934
'� :ALCthrough National Notary kin.
***********
Zoning
Clerk
Property Search Application - Miami -Dade County
OFFICE OF THE PROPERTY APPRAISER
Page 1 of 2
Summary Report
Property Information
Folio:
11-3206-013-2580
Property Address:
121 NE 96 ST
Miami Shores, FL 33138-2725
Owner
CK PROPERTY SOLUTIONS LLC
Mailing Address
209 NE 95 ST 7
MIAMI, FL 33138 USA
PA Primary Zone
1100 SGL FAMILY - 2301-2500 SQ
Primary Land Use
0101 RESIDENTIAL - SINGLE
FAMILY : 1 UNIT
Beds 1 Baths / Half
3/3/0
Floors
1
Living Units
1
Actual Area
2,714 Sq.Ft
Living Area
2,186 Sq.Ft
Adjusted Area
2,549 Sq.Ft
Lot Size
8,625 Sq.Ft
Year Built
1949
Assessment Information
.Year
2017
2016
2015
Land Value
$215,711
$215,711
$164,082
Building Value
$144,872
$168,481
$168,481
XF Value
$624
$632
$480
Market Value
$361,207
$384,824
$333,043
Assessed Value
$361,207
$384,824
$141,594
Benefits Information
Benefit
Type
2017
2016
2015
Save Our Homes
Cap
Assessment
Reduction
$50,000
$50
$191,449
Homestead
Exemption
$91.
$25,000
$25,000
Second Homestead
Exemption
$25.
$25,000
$25,000
Note: Not all benefits are applicable to all Taxable Values (i.e. County,
School Board, City, Regional).
Short Legal Description
1 53 41 6 53 42
MIAMI SHORES SEC 1 AMD PB 10-70
LOT 18 & E1/2 LOT 17 BLK 19
LOT SIZE 75.000 X 115
OR 18638-3720 05 1999 5
Generated On : 10/23/
Taxable Value Information
Previous
2017
2016
2
County
Exemption Value
$0
$50,000
$50
Taxable Value
$361,207
$334,824
$91.
School Board
Exemption Value
$0
$25,000
$25.
Taxable Value
$361,207
$359,824
$116.
City
Exemption Value
$0
$50,000
$50.
Taxable Value
$361,207
$334,824
$91.
Regional
Exemption Value
$0
$50,000
$50.
Taxable Value
$361,207
$334,824
$91
Sales Information
Previous
PriceSale
OR Book-
Page
Qualification Description
01/12/2016
$460,000
29925-Qual
0005
by exam of deed
11/01/2007
$0
26169-
4900
Sales which are disqualified as a res
of examination of the deed
05/01/1999
$0
18638-
3720
Sales which are disqualified as a resp
of examination of the deed
06/01/1971
$37,000
00000 -Sales
00000
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 Appra
http://www.miamidade.gov/propertysearch/
10/23/2017
f
Detail by Entity Name Page 1 of 2
Florida Department of State
•
Divl: t i, t 1J
5f7 7.org ' p-pb.1;
-!'
ill tin Okla! 3 r,rj- s?f.!'Tr+rid t we/alit'
Department of State / Division of Corporations / Search Records / Detail By Document Number /
DIVISION OF CORPORATIONS
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
http://search. sunbiz. org/Inquiry/CorporationSearch/SearchRe sultDetail?inquirytype=Entit... 10/23/2017
Detail by Entity Name Page 2 of 2
CROOKS, ENRIQUE
723 CRANDON BLVD #406
KEY BISCAYNE, FL 33149
Annual Reports
Report Year Filed Date
2015 03/24/2015
2016 02/08/2016
2017 04/11/2017
Document Images
04/11/2017 — ANNUAL REPORT
02/08/2016 -- ANNUAL REPORT
03/24/2015 -- ANNUAL REPORT
03/10/2014 --ANNUAL REPORT
04/03/2013 -- ANNUAL REPORT
04/24/2012 — ANNUAL REPORT
04/26/2011 — ANNUAL REPORT
09/01/2010 -- Florida Limited Liability
View image in PDF format
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Florida Department of State, Division of Corporations
http://search. sunbiz. org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entit... 10/23/2017
N I
1 inch = 30 ft.
ABBREVIATIONS LEGEND
A = ARC
(C) = CALCULATED
CH = CHORD
C.N.A. = CORNER NOT ACCESSIBLE
CONC. = CONCRETE
A = DELTA
F.C. = FENCE CORNER
F.D.H. = FOUND DRILL HOLE
F.E. = FENCE ENDS
F.F.E. = FINISHED FLOOR ELEVATION
F.I.P./F.I.R. = FOUND IRON PIPE/ROD
F.N. = FOUND NAIL
F.N&D. = FOUND NAIL AND DISC
F.Pk.N. = FOUND PARKER KALON NAIL
I.D. = SURVEYOR'S IDENTIFICATION
L = LENGTH
(M) = MEASURED
0/5 = OFFSET
(P) = PLATTED
P.C. = POINT OF CURVATURE
P.C.C. = POINT OF COMPOUND CURVATURE
POINT OF BEGINNING
P.O.C. = POINT OF COMMENCEMENT
P.R.C. = POINT OF REVERSE CURVATURE
P.R.M. = PERMANENT REFERENCE MONUMENT
P.T. = POINT OF TANGENCY
R = RADIUS
(R) = RECORD
R/W = RIGHT-OF-WAY
S.I.R./S.I.P. = SET 1/2' IRON ROD/PIPE
S.N.D. = SET NAIL AND DISC
TAN = TANGENT
(rYP.) = TYPICAL
U.E, = UTILITY EASEMENT
34 OVERHEAD IMRE UNE
WOOD FENCE
CHAIN UNK FENCE
IRON/ALUMINUM FENCE
POLYVINYLCHLORIDE FENCE (PVCF)
MONUMENT UNE
CENTERUNE
PROPERTY UNE
ASPHALT PAVING
CONCRETE
CONCRETE BLOCK STUCCO
OVERHANG (0/H) OR ROOF
//
x
SCALE:1 "=30'
SYMBOL LEGEND
= AIR CONDITIONER
O = BELLSOUTH BOX
f�1 = CABLE BOX
= CATCH BASIN
a = CONCRETE LIGHT POLE
rfti = CONTROL VALVE BOX
= ELECTRIC BOX
▪ ov = EXISTING ELEVATIONS
= ELECTRIC METER
® = ELECTRIC SERVICE BOX
sero = FIRE HYDRANT
DRAWN BY: L.R.
= FLORIDA POWER
& UGHT BOX
= HANDICAP SPACE
III = INLET
= UGHT POLE
• = METAL UGHT POLE
= POOL PUMP
SQ = SANITARY MANHOLE
• = SPRINKLER PUMP
E= WATER METER
pd = WATER VALVE
`T1 = WOOD PALE
CHECKED BY: G.F.
SCALE: = 3C'
LOT -13 I LOT -12
BLOCK -191 BLOCK -19
LOT -11
L BLOCK -19
LOT -10
BLOCK -19
LOT -16 0 0
BLOCK -19 1=
O r
0
J
EAT HALF
LOT 17 L BLOCK
(1)
O_
�I
13.8
LOT -18
BLOCK -19 ---
ThLEQ_.
• 6. 71
In 17.5
17.2'
dNE STORY
RE4DENCE N°121
3
89'49'54" r.
P.C. 0- --
FIR. 1/2" - 106.23' '/
No I.D. 9IR. 1/2"
2'
V -W I i - iio
48-11,4.
h
1
Ln
4'
ILri i 5.4' ,4.p
�I I
90'10'06"
CJ
(0
V)
.2' 1
ISI
2 LOT -19
BLOCK -19
v
1.0'
75.00
5''SJDEWALEK. r FIR.,1 /29 \
VALLEY GUTTER 7 PARKWAY I No I.D. \
'ERMIT #: ?Nev t -2S4Z
Miami Shcres Village
APFRO\'ED
BY
DATE
ZONING DEPT
BLDG DEPT
f
fr DENT'
-96jh -STREET
et , 7E S }dui - ,�R^ _y:,, -12f.
-! f.
LAATTEQ(SHORELA D;tpOULEVARO)
I r
11' GRASS MEDIAN
80' TOTAL RIGHT—OF—WAY
LIF,..ECT 10 CC,NIPI VNICE WI FH ALL FEDERAL
AN.J ril.�LS AND REGULATIONS
1 REVEISEI
—J 111
% R1W Te JCS IMITM7-li
• •
• • •
•• •
•
••••
• •
•.••
• •
•• ••
• • •
• •
• •
• • •
•• •
FLOOD ELEVATION INFORMATION:
Date of Field Work: 01 —03-2016
DATE OF FIRM: Cl4 /1 1 /?rlrl4
(r.�L ( I ( -
71.
01-.1rr 1:S 10 20 121
I I
LOCA1
SC
FOLIO NO: 11-3206-01
PROPERTY ADDRES:
121 N.E. 96tH STREET
MIAMI SHORES, FLORIDA
CERTIFIED TO:
1. ENRIQUE J. FERNANC
2. OLD REPUBLIC NAT(
3. ATTORNEY'S TITLE IN
4. CK PROPERTY SOLU.
5. CLAIRE E LA ROCHE
LEGAL DESCRIPTION:
Lot 18 and the East Half
SHORES" according to the
Page 70 of the Public Re(
SURVEYOR'S NOTES:
1. LEGAL DESCRIPTION FUR
WAS MADE BY THIS OFFICE
2. ANY ELEVATIONS SHOW
VERTICAL DATUM) OF 1929
3. NO EXCAVATIONS WERE
• iNCROACHMENTS.
••••¢.•DISTANCEj,41Q ANGLES
:•
• • •jECOP,D DATA J. JLE SS NC
•... •-HIS SVW::NUAS PREF
o. IN SOME INSTANCES, GF
• TO MORE L;Ai .l: iLLUSTF
• • WROVEVI'_NTS A1D/OR LC
• •CCNTROL 111 tAT10N 01
•••:)., ADDITION R DELETIO
•• SIGNING P'A}Pfirpft PARTIE'
• THE SIGNING P1jLTY OR P.
• ADMIN STF?AiT / '0CDE PUR
• STATUTES! •
•.••I ZIEREBY GER -4Y THAT
TATE OFFICE SHOWN HERI
RESPONSIBLE CHARGE R
ADDITIONALLY, THIS SUR
MINIMUM TECHNICAL STA
5J-17 OF THE FLORIDA
SECTION 472.027 OF TH