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DS-18-397 Miami Shores Village Building Department e�oz 5ti a�� \ �v 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 ®3 A`3 3 3 b Tel:(305).795-2204 Fax:(305),756-8972 ✓✓ INSPECTION LINE PHONE NUMBER:(30S)762-4949. �� M - FBC 201� BUILDING ,. � ..� Master.Permit No. - PERMIT APPLICATION Sub Permit No. E?qBUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION SHOP b ' CONTRACTOR DRAWINGS JOBADDRESS: ILO �/• (•ya CDS SfPet� City: Miami Shores �1 County: Miami Dade Zip: Folio/Parcel#: ��4WQL —0d3_®3 7 Q Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder):�J 7ef-1J'JUA Phone#: Address`:QI'S-0 k) •-U) City: K QWIj c�k6y-eS State: [ Zip: 33/ © Tenant/Lessee Name: SQ me- QS• ®uO me C . Phone#: Email: n�' 1 CONTRACTOR:Company Name: G U �!/ L � `Wion'"e# Tal- S�� Address:��/��_�/5/ W ���1 W �( ;k /y�9 City: /7`iC,ZI6a4 State: Zip: Qualifier Name: /�Qy1'e e 'Jlgcc SP_j Phone#: State Certification or Registration#: llX.1;d 18 6 Q Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ T A DV Square/Linear Footage of Work: �( Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition `' Description of Work: e � 1ST j'c tt_ U e i oevj . a3a y, Specify color of color thru tile: Submittal Fee$ Permit Fee$ J25 ' W CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ F Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ GOO ' TOTAL FEE NOW DUE$ � C) 1 ` 00 (Revised02/24/2014) b 0 I' ` oo I i ' � I Bonding Company's Name(if applicable) Bonding Company's Address _ 1 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 i 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. ZSignature Signature 1 OWNER or AGENT CO TRAC R The foregoing instrument was acknowledged before me this The foregoing instrumee^nt as ac owledged before me this day of � 20_19 by l� day of f/-U6 r 20 � by personally known to i who is personally known to me or who has produced '1� ( I�CQ�'1P as me or who has produced �16�! � VPlS 2�t.as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: i t/ • Sign MAHARAI K,GONZALEZ Sign MYC Print: _ EXPIRES:November2,2020 Prin Bonded-Ml o N • Seal: • Seal: Y°°•� , EMMANUEL JUSTO�n MY COMMISSION#GG 105745 EXPIRES:May 17,2021 ...... .....4P• Bonded Thru Notary Public UndervMters APPROVED BY Plans Examiner Zoning i Structural Review Clerk s (Revised02/24/2014) 1 2/15/2018 Property Search Application-Miami-Dade County x "'W" O"'ERT"' APPRAI"ER OFFICL U THLIP UP .: Summary Report Generated On:2/15/2018 Property Information Folio: 11-3101-023-0370 150 N W 100 ST Property Address: Miami Shores,FL 33150-1206 RIGOBERTO GOMEZ&W Owner CLEMENTINA 150 NW 100 ST Mailing Address MIAMI SHORES,FL 33150-1206 f PA Primary Zone 0800 SGL FAMILY-1701-1900 SO s, Primary Land Use 0101 RESIDENTIAL-SINGLE `r FAMILY: 1 UNIT , Beds/Baths I Half 2/1/1 Floors 1 ' Living Units 1s Actual Area 1,343 Sq.Ft � f - Living Area 1,335 Sq.Ft Adjusted Area 1,283 Sq.Ft Taxable Value Information Lot Size 8,072.08 Sq.Ft 2017 2016 2015 Year Built 1940 County Assessment Information Exemption Value $85,291 $83,537 $50,000 Year 2017 2016 2015 Taxable Value $0 $0 $32,957 Land Value $177,574 $177,574 $130,986 School Board Exemption Value $25,000 $25,000 $25,000 Building Value $89,297 $89,297 $89,297 XF Value $1,229 $1,238 $1,098 Taxable Value $60,291 $58,537 $57,957 City Market Value $268,100 $268,109 $221,381 Exemption Value $50,000 $50,000 $50,000 Assessed Value 1 $85,291 $83,537 $82,957 Taxable Value $35,291 $33,537 $32,957 Benefits Information Regional Benefit Type 2017 2016 2015 Exemption Value $50,000 $50,000 $50,000 Save Dur Homes Assessment Taxable Value $35,291 $33,537 $32,957 Cap Reduction $182,809 $184,572 $138,424 Sales Information Homestead Exemption $25,000 $25,000 $25,000 ' Previous Sale Price OR Book-Page Qualification Description Second Homestead Exemption $25,000 $25,000 $25,000 Senior Homestead Exemption $33,537 11/01/1989 $68,500 14328-2526 Sales which are qualified $35,291 06/01/1988 $67,000 13728-0387 Sales which are qualified Note:Not all benefits are applicable to all Taxable Values(i.e.County,School Board,City,Regional). 08/01/1983 $56,000 11884-0304 Sales which are qualified 08/01/1981 1 $56,000 11188-0973 Sales which are qualified Short Legal Description BONMAR PK ADD A RE-SUB PB 24-71 LOT 12&E1/2 LOT 11 BLK 5 LOT SIZE 75.440 X 107 OR 14328-2526 1189 1 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: C .r S�OR Ate' 9j2 -I s� Miami shore's Village e ""'?" Building Department 10050 N.E.2nd Avenue to ORIDp' 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 jemployees,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. r Signature: Owner State of Florida County of Miami-Dade The foregoing was acknowledge before me this day of �� ,204e. B, 'T) �icrt&_e:z who is personally known to me or has produced as identification. ! N a . SEAL: ?iRr t MAHARAI K.GONZALEZ 1 *: MY COMMISSION#GO 044602 ,r p EXPIRES:November 2,2020 ° Fo;F;°••' Bonded Thru Notary Public Underwriters i i AEGB ENGINEERING & GENERAL CONTRACTORS INC 1275 W 47TH PL SUITE 449 HIALEAH FL 33012 - CGC1521360 02/05/2018 i State of,Florida k. County of Dade Before me this day personally'appeared Isany Quincoses who, being duly sworn, deposes and says: That he or she will be the only person working on the project located at: 150 NW 100th ST MIAMI SHORES FL 33150. J Cont for Signa re Swor to (or of rme and subscribed before me this G day of teal-V r 20_48by (,tL r Personally know OR Produced Identification Type of Identification Produced t7 � .Ppe or 9 ry :,- MY COM SION#GG 105745 EX ES: a ••.,;i::�o..• Y 17.2021 • Bonded Thru Notary Publlc Underwriters r i • .t PAGE 2 OF 2 MAO SERVICES, INC. NOT VALID WITHOUT'PAGE 1 OF 2 JOB No. _ Professional Land Surveyors. Mapper 18-01150 _--�_— CERTIFICATE IOFoFLORIDA64 ESCALD 1' = 20' Main Line. 305) 901-1317 ® � Fax: (30 901-1323 is SN U L`flne3,d ONd S3-iNLIl 1W00 Ol _03(,e(1S Irm :j-1-IV HJ D ld3 ld30 ONINOZ i / - 03AOaddd 3Ld0 Sa1oGS e i a6e11in "�' STREET::.::::: )TAL . ...�f::.:: :.::: •:::: :. :..::.:.:::..:::.:. PA .:: T ..:.PHAL .�: AS :•15 17.1' PARKWAY )4 1)0 ; 75.22' (R&M) a' IFnd.LP. u61 B/ 200.0' 0112• W 1 �`i,�• .'�`+� I tib �+� (��' N CV w J62' 15.93' 1. I3.01' x ` 11.54' 14.65' U G; �J 10.67 ONE S Y pc Z C 0.1 ENCE I c ^' #150 x C)f F.FLEL 12.48 D I o74 d f I n i p :P. 52.98' N b ! Vii ' 1O go BIOl 1833 CONC;!. (13AI3338 N I 22.00".' A P T I LOT 10L BLOCK 5 *' x REMAINDER OF LOT 12 BLOCK 5 10.0 x � Y LOT 11 BLOCK 5 0 o x c. 10.0 ' o U' 0 �, ,�•� 1.40' FI.I.P. Fnd.1.P. 75.22' (R M) a 0112• 0112• im u LOT 14 BLOT 15 ^BLOCK 5 - _ - _/0S, �f//l(�`� r- . U ' ZIA LEGEND AND ABBREVIA'nONS '. E..: ,ELIECriRC YEM%; •• ®- CONCRETE FOUNDATION j ' • j jNT•0F•iNTd2SLCTION . . CENTRAL ANGLE OVERHEAD ELECTRIC- ELEVATION F.N. FOUND NAIL " PRC POINT OF REOERSE MVE //—- WOOD FENCE C Q� UTILITY CONC. POLE DRWY.. DRIVEWAY P.O.C. POINT OF COMMEN-CEMENT P.C. POINT OF CURVATURE —X--CHAIN LINK FENCE U.P. UTILITY POLE F.D.H. FOUND DRILL HOLE F.N.O. v FOUND NAIL/DISK ®-C.B.S. WALL ® WATER METER B.O.B.- BASIS OF.BEARINGS P.T. a POINT OF TANGENCf ••P.C.C. -•POINT,QF•COMP%4%CURVE B/C -BLOCK CORNER A/C - AIR CONO"RIONING PAD E.N.C. ENCROACHMENT MA MIONUMENT LINE • • • R - RADIUS A - ARC DISTANCE' F.H. FIRE HYDRANT • • N.GV.O.%%AT1ONjL GE90 OVER1K'.M!DATUM RAD. - RADIAL BLDG. BUILDING F.I.P. FOUND IRON PIPLO • •4O.E. - OMERH6Q ELECOIC.UNE • RES. - RESIDENCE C.B. CATCH BASIN F.I.R. FOUND REBAR • • P.B. %•PLAT BOOK • •' R/W - RIGHT OF WAY C.B.S.m CONCRETE BLOCK STRUCTURE I.F.E. s LOWEST FLOOR ELEVATION P.C.P. - PERMANENT CONTROL POINT SEC. - SECTION CH. CHORD DISTANCE I.P. LIGHT POLE P.G. - PAGE S.I.P. - SET IRON PIPE CL m CLEAR (M) MEASURED ••• .O.S. POINT'OF BEGINNING STY : STORY C/L CENTER UNE (R) RECORD • .P/L QROIERR'•L% • • SWK - SIDEWALK CONC.- CONCRETE (R&M)- RECORD & MEASURED •N.T.S.•�&IWeTO SALE UE. - UTILITY EASEMENT