DEMO-17-2733 4
r =.
' ,Inspection Worksheet I
Miami Shores Village
10050 0;2nd Avenue Miami Shores,FL
Phone:(308)795-2204 Fax: (306)7564972
Inspection Number:IN3P-292391 Permit Number: DEMb-11-17-2733
Scheduled Inspection Date:April'19,2018 Permit Type' Demolition
Inspector. Naranjo,Ismael InspeCtlon+Typt ; Final
Owner. , Work Classification: Building
Job Address:842 NE 96 Street
Miami Shores,FIL 33138- Phone Number
Parcel Number 1132060142900
Project <NONE.>
Contractor: L CORTES CONSTRUCTION'SERVICE LLC Phone:(305)454-3894
'Building Department Comments
DEMOLITION OF WOOD FRAMING ON EXISTING SHED: n rac o Passe comments
SITE THAT WAS DESTROYED BY HURRICANE IRMA INSPECTOR COMMENTS False
' C
A
Inspector Comments
Passed
,
Failed
Correction
Needed a
Re-Inspection-
Fee
+ No Additional Inspections can be scheduled until
F re-inspection fee is paid
,
i
`April 18,2016 For Inspections please call:(305)782-4949 Page 4 of 26
I
F Permit NO. DEMO-11-17-2733
Miami Shores VillagePermit Type:Demolition
10050 N.E.2nd Avenue NE '
Work Classification:Building
Miami Shores,FL 33138-0000 Per , 1
b�EN— ems Phone: (305)795-2204 Permit Status:APPROVED
FtortroA
issue Date- 12/7/201'7 Expiration: 06/05/2018
Project Address Parcel Number Applicant
842 NE 96 Street `1132060142900
i PINNEAPLE AND OSITO LLC
Miami Shores, FL 33138- Block: Lot:
Owner Information Address Phone Cell
PINNEAPLE AND OSITO LLC 842 NE 96 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone
L CORTES CONSTRUCTION SERVICE 305 454-3894 Valuation: $ 100.00
( ) (305)454-3894
Total Sq Feet: 1
Type of Demo:Building Available Inspections:
Additional Info:DEMOLITION OF WOOD FRAMING ON EXIST Inspection Type:
Classification:Residential Final
Scanning:3
Review Building
Review Building
I
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $0.60
DBPR Fee Invoke# DEMO-11-17-65678
$2.00 11/16/2017 Cash $50.00 $69.60
DCA Fee $2.00
Education Surcharge $0.20 12/07/2017 Cash $69.60 $0.00
Notary Fee $5.00
Permit Fee $100.00
Scanning Fee $9.00
Technology Fee $0.80
Total: $119.60
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.
OWNER I I certify that all th going-ii brmation is accurate and that all work will be done in compliance with all applicable laws regulating
constr tion ing., Futhe re,Ij med contractor to do the work stated. I
C22% i r� December 07, 2017
Authorized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
December 07, 2017 1
I P;=parIT _ff• - -1
SKETCH OF BOUNDARY SURVEY M amiShr_r�s Village GALS DESCRIPTION:'
SCALE: 1" =20' LOTS1 5& 6 BLOCK 75
SUHDMSION MIAMI SHORES SECTION NO. 3
APFRO�'ED BY
DATE ACCORDING TO THE PLAT THEREOF AS RECORDED DI PUT BOOK 30 AT PAGE 37
OF THE PUBLIC RECORDS OF MIAMI-DARE COUNTY,FLORIDA.
ZONING DEPT . LocaTION SKETCH
....,....�..�.� .. N.T.S.
BLDG DEPT
SUBJECT O CGNIPL_IA.MCE WITH AL1.FEDERAL
Win
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...N E 88th BTREET "O
mt
-�.,,.... � N.E. 96th STREET
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ADDRESS: 842 NE 96th t•T 1, SHORES. .•3338
•- I ^g - 1, A':' //V� � SURVEY CERTIFY TO: CLINTON STAPLES AND K/Ij JTOW" • •
RD0 pp r / / �`C0 • • • 0'000••
! v Q // 6/1� — 10004/•
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REPRESENTATION
SET FORTH BY THE FLORIDA OARD OF�I2DFE33I NAL =R00PER7Y IS A PTRUE OCHAPfER 0
CQR�F{7•
REPRESENTATION OFA FIELD SURVEY MADE UNDER p O AND URVEY RS41
MD77�dIJM TECHflyCAL •
F ddd SURVEYORS�A[r'r,_0,•,.Yfly-s- FRS D7
it 'yam\ I, OIG17-6 FLORIDA ADMINISTRATIVE CODE, PURSUANT TO SECTION 472.027,FLORIDA ,F.S.
FOR:C11NTON STAPLES AND-KIMSTAPLES
JOB NUMBER 0305-63. .. - DATE OF THE F1F.ID SURVEY 5 20-2003
I
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-
- / F.E.No. _- REVISION DATE: B-17-20
07
.-GKED BY:DRAIN BY: EAE
2octoor,n _
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_// { N �� i `� �b_.' // N V D 'E.BELTRAN&ASSOCIATES,INC.
�J (y 12533 SIT.'30th STREET
Fw PHONE:
sA -8 ra Auer a, / COI/ .MMIAMI,FLORID4 33175
I�� to AaalAtrPA 'MS'A'f I ANpI .. / [717. (305) 552-7450
.0 1
CERTIFICATE OF AUTHORIZRIZ AflON NUYBIR LR 5239
vM°a00e �r smA SURVEYOR'S NOTES:
ZYGAL DESCR"om NAB FORMS=By CLffilT.
rSANMATION OF'IHC A ttRACY OP T 7 M HAVE TO DE MADt TO DE'TENI NN NECOROBO INETNUNED.V ANT APPECTWG THIS FROPEiCIY.
]HERE ARE NO VtS3pE ENCNOA�O1HFJi TITIAN MO=$MOWN.
LEGAL DESCRIPTION SUBIECT TO A.NY DIMN.dTION,LIMITAITONB,REMICTION9.RESERrATNNT9 OR EASFAIREI9 OF RECORDS.
NO UNDENGROUND INSTALIATIONS OR DffRORAYL BEEN UIOATED,EXCEPT a NOM.
0—6—are Relerrcd to N-CVD. EI- emtiN s PENCE 0"MMEW BY VL9UAL YEA.'LS ONLY(Ir ANY).LEGAL OwNBR91D'NOT
OCA/al MARK U5ED: DETERN31,11).
xw= �ANT ® I
OCA7Er:
Dotle County ELN.No.N-WO(E(0—t—(0—t—=9.JJ) Aar. ao+ro saA ABBREVIATIONS OF )
LOCA rED A ( -twN1TY toot .IldA6 B.t -atOTTY tASooflvY
US'WY 11(BiscoJrie Bovfewrd)---134"Wes1 of centMare. t -nBOtIIrt IpE -R1�ao11�1t .WALL NAM DRAW.c[usNr
NE 96th Street---J4•North of con,os
v PK cerate Mina
Bw/a tbxr-OT-weY uai amx-n,II Was mioNUT,so:
cJ.r __auu rniE TONS cow roRxQ ERNESTO BE
ench Mark is -d&D/aa9 har vtcutch 1)Osln. wT. woaos PIiCi 1 =ouNetu r.8.Na=PDR i11DRAN}
PROFESSIONAL OR&MAYPER No.4885
-rawm m01 eaw a,v. -IIT 78011 PIDa BI.B
AaB-IIr te-e.R -rou0m 1Ns1A Mas aetL -se Dau Nrna S'L'ATE OF F7.ORI
BEARINGS HEREON(IF ANY) ARE REFERRED TO AN ASSUMED VALUE OF A/c FOR THE -aroAn II.®,e A/c -eQ rn7®,owN,mr cuc rA7tvu0E0
SAID BEARING IS IDENTICAL WITH THE PUT OF RECORD assn- � IIc -IOroa® rs - srm DATE: 8-17-2007
�rxA9�a» D-IooED Nov.•>tmc Rao -Pmda, NOTE:YIDS 15 NOT A YAIID SURVEY NITAOOT
ACCORDING TO THE SN.FJP.THE SUBJECT PROPERTY FALLS WITHIN FLOOD ZONE: R r-c w. FODIOI an raw. - THE CMU14AL RAISED SEAL AND
SIGNATURE OF A FLORIDA LICENSED
SURVEYOR AND MAPPER
Miami Shores Village <77F,IvF,D
Building Department Nov 2017
10050 N.E.2nd Avenue, Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 200
BUILDING Master Permit No br-mo
PERMIT APPLICATION Sub Permit No.
®BUILDING ❑ ELECTRIC ❑,ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
F-]PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
r CONTRACTOR DRAWINGS
JOB ADDRESS: W a F q b ST
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: I ( - 3 SOL - 6 14 = a q n O Is the Building Historically Designated:Yes NO f/
Occupancy Type: 12e S Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name(Fee Simple Titleholder): J DQ[][� A . �1 e�o it, Phone#:oZ!'a'
Address: E C( L s T w
City: M I A M I knpt rknA State: -F Zip: 331 39
Tenant/Lessee Name: 'Phone#:
Email:
CONTRACTOR:Company Name: L e R-P_Stc,,bAg'1 S
'0..la.c �o u (;R V Phone#: 8 U S'14 S Z-(- $
Address: S 1 i s (- t'.1 W n R til A
City: State: Zip: S 0 ( 5-
Qualifier Name: 1J A IJ C t,(zip-S Phone#: 3® S- 4 S A - -q Fi q y
State Certification or Registration#: r G C 15 DA q C Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ 1 cl o Square/Linear Footage of Work: 1 5 VV
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace Demolition
Description of Work: -ZD&-m-cn1 .Ti o N n f= _�I�e (11v pl
• � c \ � `�til t�J cas e��R,m e.r�� b�e tiu..t�2.R�r. A �r 1�K b ° S ((��"
Specify color of color thru tile:
n
Submittal Fee$ zcgpaid Permit Fee$ CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
i
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$2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved 2reinspecion fee will be charged. I p
�1
Signature Signatu
z� t
0/ErAGEN CONTRACTOR
The foregoing instrumennowledged before me this The foregoing instrument was acknowledged before me this IZo day of Y 20 ,Z by /:5 day of A)n (ee,s,��c��L 20 7 by r
�brC Y�Ut 0 ,who is personally known to tVA NC V Co�L�N� � .viho is personally known to 1
me or who has produced Dr Vte ►C`ens'e as me or who has produced F� ' as j
identification and who did take an oath. identification and who did take an oath.
NOTARY LIC: NOTARY PUBLIC:
Sign: Sign / //
Print: r, A O Print: IqH �O2pO hA
Seal: YANADI RIEfO Seal:
y4 -• AMBER CORDOBA
s., il'COMMISSION#FF 214031 * * pMY COMMISSION#CG 06339'�
f T,
EXPIRES:March 25,2019 g �,` P :Jmkvy23.2021
;p�
Bonded Thru Notary Pubic Underwriters '�`,
APPROVED BY 7 Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
1
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r
f
5NORE
Miami shores Village
loss,,,, Building Department
10050 N.E.2nd Avenue
a7'a$,NB� Miami Shores, Florida 33138
FLORIDA Tel: (305) 795.2204 y
Fax: (305) 756.8972
SURVEY AFFIDAVIT
STATE OF(FLORIDA)
COUNTY OF(DADE)
A. Rebuffo e
The undersigned Affiant, Jorge ,does hereby attest that
(Property owner)
The attached survey, performed by E. Beltran & Associates, Inc.
(Name of surveyor's company)
For address: 842 NE 96Street
2007 17-
Performed on 8- (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
I
Without first providing a survey less 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 f inspections as applicable to this or other permits.
Further,Affian y e naught.
J.A.Rebuffo
Property Owner ignature Property Owner Print Name
SWORN TOA D SUBSCRIBED before me this day of /j
ati,n.
Affiant is � P//0 ya/�-3 as i ti
/Ufi
personally known to me,-produced p
I
ota
Revised on 5/22/2009/Revised on 6/12/09
ELIZABETHYELIN
Notary Public-State of Florida
Commission a GG 148525
V` My Comm,Expires Oct 16.2021
8ordedCPMYCrhatioralNotaryAssn,
C_Fhl 2 i 1 r7RO64r 1 Ct96
Prepared by and return to: OR BK 30755 Fs s 224E-2249 (2Pss)
Jorge A.Rebuffo ► RECORDED 11f 14/2►i17 15:02:50
i
' 842 NE 96 Street DEED DOC TAX $0.60
HARVEY RUVINY CLERK: Of COURT
Miami Shores,FL 33138 MIAMI-DADS COUNTY? FLORIDA
y 4• a...
(Space Above This Line For Recording Data) �� c:®Rr:
Gr ,�
Quit Claim Deed P
9� ban sve nun
F�
This Quit Claim Deed made this 10th day of November, 2017 between Pineapple&Osito LL '
limited liability company,whose post office address is 842 NE 96 Street, Miami Shores,FL 33138, gran or, and Jorge:
Alejandro Rebuffo and spouse Luis Enrique Rebuffo whose post office address is 842 NE 96 Street,Miami Shores,
FL 33138,grantees:
(Whenever used herein the terms"grantor"and"grantee"include all the parties to this instrument and the heirs,legal representatives,and assigns of individuals,
and the successors and assigns of corporations,trusts and trustees) i
Witnesseth, that said grantor, for and in consideration of the sum TEN AND N0/100 DOLLARS ($10.00) and
other good and valuable consideration to said grantor in hand paid by said grantee, the receipt whereof is hereby
acknowledged, does hereby remise, release, and quitclaim to the said grantee, and grantee's heirs and assigns forever,
' all the right, title, interest, claim and demand which grantor has in and to the following described land, situate, lying
and being in Miami-Dade County,Florida to-wit:
,Lots 5 and 6, Block 75, of MIAMI SHORES, SECTION 3, according to the Plat thereof, as
recorded in Plat Book 10,at Page 37,of the Public Records of Miami-Dade County,Florida.
N
1
Parcel Identification Number: 11-3206-014-2900
Property Address:842 Northeast 96th Street,Miami Shores,FL 33138
To Have and to Hold, the same together with all and singular the appurtenances thereto belonging or in anywise
appertaining, and all the estate,right, title, interest, lien, equity and claim whatsoever of grantors, either in law or equity,
for the use,benefit and profit of the said grantee forever.
F
In Witness Whereof,grantor has hereunto set grantor's hand and seal the day and year first above written.
Signed,sealed and del' red in our presence:
1
.. 4
1
Jorge A. lie uffo Luis E.Rebuffo
Pineapples&Osito,LLC Pineapple&Osito,LLC }
Witness Name and Signature:
Witness Name and Signature: L - J �
OR BK 30755 PG 224?
UAST PAGE
(Seal)
Jorge A jandro Rebuffo
Witness Name and Signature: "b/< L., /'�^
I Witness Name and Signature: CZ ���� >3 r�.tf•�1YJ.t/�
STATE OF FLORIDA
COUNTY OF MIAMI-DADS
The foregoing instrument was acknowledged before me this 10th day of November, 2017 by Jorge
Alejandro Rebuffo, who has produced a FL Driver License# 1 =42 - 3-011-0 as identification.
„5}z';�•., ELIZABETHYELIN
Not
Pub l' _' ":`
' ` Commission;GG 148525
`-•r' e` Co Expires Oct 16,202t
Y
Printed N e: h ucH n t oral nct:v�ssr.
[Notary Seal] My Commission Expires: 10
Y
(Seal)
Luis'Enrique Re/buffo
Witness Name and Signature: �te3
Witness Name and Signature: �-�`� ``� '�✓' `UO
I STATE OF FLORIDA
COUNTY OF MIANH-DADE
The foregoing instrument was acknowledged before me this 10th day of o�vember, 2017 by Luis Enrique
Rebuffo, who has produced a FL Driver License#R110-525-88- 0 a ide tification.
I
ELIZABETH YELIN
Notary Public-State of rloricla
commission; 5
Not Public
My Comm.Expires Oct 16.2021
gokdthrouChnaticralhamiAssr.
P • ted Name: t
[Notary Seal] My Commission Expires:
y 1 A 1 E OF FLORIDA,COUNTY OF DADE coUNr
h1ERE8Y CERTIFY that this is a trju! "of the S�� Cl6KK y Q4�
angina/filed rrt th/r.office on--_l y of
//,/uL AD 20 f�
N17N6SS my hand and Official Seal.
1ARVEY RUVIN,CL K r uit and County Courts r'"'r'D W1 It=
RX 4� y D.C. FC011Y ,
Quit Claim Deed-Page 2 of 2