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RC-18-223Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Permit Permit NO. RC4-18-223 Permit Type: Residential Construction Work Classification: Repair Permit Status: APPROVED Issue Date: 113112018 Expiration: 07/30/2018 Parcel Number Applicant 549 NE 106 Street Miami Shores, FL 33138- 1122310140130 Block: Lot: NICOLAS GERTIE Owner Information Address Phone Cell NICOLAS GERTIE 549 NE 106 Street MIAMI SHORES FL 33138- (305)609-8461 Contractor(s) HOME OWNER Phone Cell Phone Valuation: Total Sq Feet: $ 1,500.00 0 Approved: In Review Comments: Date Approved: : In Review Date Denied: Type of Construction: RE STUCCO EXTERIOR OF THE H Stories: Front Setback: Left Setback: Bedrooms: Plans Submitted: Certificate Date: Bond Return : Occupancy: Single Family Exterior: Rear Setback: Right Setback: Bathrooms: Certificate Status: 'Additional Info: Classification: Residential Fees Due CCF DBPR Fee DCA Fee Education Surcharge Notary Fee Permit Fee Scanning Fee Technology Fee Amount $1.20 $2.00 $2.00 $0.40 $5.00 $100.00 $3.00 $1.60 Total: $115.20 Pay Date Pay Type Invoice # RC-1-18-66263 01/31/2018 Check #: 2205 01/29/2018 Check #: 5015 Amt Paid Amt Due $ 65.20 $ 50.00 $ 50.00 $ 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 AFFIDA : I cert construction an g. Fut foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating orize the above -named contractor to do the work stated. January 31, 2018 Authorized Signature Owner / Applicant / Contractor / Agent Date Building Depart ent Copy January 31, 2018 1 BUILDING PERMIT APPLICATION jUILDING ELECTRIC ❑ ROOFING E REVISION 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 Master Permit No. Sub Permit No. ❑ PLUMBING ❑ MECHANICAL ❑ PUBLIC WORKS CHANGE OF CONTRACTOR JOB ADDRESS: J'41 % N E 106 ST City: _ Miami Shores County: Miami Dade , Zip: 3 31 3� / Folio/Parcel#:' I 1 — 223 I -D14 -Q / 3O Is the Building Historically Designated: Yes NO V .• RECEIVED JAN 29 2018 l i4. 4-11 FBC 2011t RC4B • .23 • EXTENSION ❑ RENEWAL ❑ CANCELLATION ❑ SHOP DRAWINGS Occupancy Type: ,. Load: D �Constructiion Type: /. Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): N I (,o 1 o 5 tOL 2-1e Phone#: 5-.(oc - ��b I Jr Address: `? )% t/O6 s t City: /ti(/A/Li 1 Si/0 k 5 State: Zip: 3 13 g Tenant/Lessee Name: Phone#: Email: - CONTRACTOR: Company Name: ©03 )3 Address: Phone#: City: State: Zip: Qualifier Name: Phone#: State Certification or Registration #: Certifica'te of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Value of Work for this Permit: $ 15Square/Linear Footage of Work: Type of Work: ❑ Addition fri Alteration ❑ New ❑ Repair/Replace • ❑ Demolition Description of Work: ZG srUc_ca EDCr-EZi o4Z OF me 0 L`, LA), 7 ,:,A!!FLoki- i 06 1-CxrufZG Zip: '*r .�q Specify color of color thru tile: '_` `ate W Submittal Fee $�D ' `O' : Permit Fee $ CCF $ CO/CC $ r Scanning Fee $ Radon Fee $ DBPR $ . Notary $ J •' + ilm, Technology Fee$ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ TOTAL FEE NOW DUE$ 7• 210 (Revised02/24/2014) S Bonding Company's Name Jif applicable) .. A Bonding Company's Address City } State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City z 4 , . State y 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: A 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 Signature OWNER or T CONTRACTOR The foregoing instrument was ackno -dged before me this The foregoing instrument`was acknowledged before me this rR day of rr , 20 a k , by _ day of , 20 , by ILor4- , who ispersonallyknown to , who is personally known to �uff me or who has produced' . Dv v as rre or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: _ NOTARY PUBLIC: 0011 Sign: Print: 1-4.* • _ )) Seal: #FF 95060 . e l� •. � Borged �INHIII111N0` , APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Miami Shores Village Building Department :a 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305).756.8972 OWNER BUILDER DISCLOSURE STATEMENT NAME: !v 1 G rJ /i ,5 t j&E'% j[� DATE: � � 9 /OE i©h r Hard S io (Z Es FL- 3 3 / a Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, F.S 489.103(7). And I have read and understood the following disclosure statement, which entitles me to work as my own contractor; I further understand that I as the owner must appear in person to complete all applications. State Law requires construction to be done by a licensed contractor. You have applied for a permit under an exception to the law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one -family or two-family residence. You may also build or improve a commercial building at a cost of $25,000.00 or less (The new form states 75,000). The building must be for your own use and occupancy.'lt may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the construction is complete, the law will presume that you built for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as a contractor. It is your responsibility to make • sure the people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any person working on your building who is not licensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A and with -holdings tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, buildings codes and zoning regulations. ADDRESS: Please read and initial each paragraph. 1. I understand that state law requires construction to be done by a licensed contractor and have applied for an owner -builder permit under an exemption from the law. The exemption specifies that I, as the owner of the property listed, may act as my own contractor with certain restrictions even though I do not have a license. Initial 2. I understand that building permits are not required to be signed by a property owner unless he or she is responsible for' the construction and is not hiring a licensed contractor to assume responsibility. Initial 3. I understand that, as an owner builder, I am the responsible party of record on a permit. I understand that I may protect myself from potential 'financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own name. I also understand that the contractor is required by law to be licensed in Florida and to list his or license numbers on permits and contracts. Initial 4. I understand that I may build or irnprove a one family or two-family residence or a farm outbuilding. I may also build or improve,a commercial building if the costs do not exceed $75,000. The building or residence must be for my use or occupancy. It may not be built or substantially improved for sale or lease. If a building or residence that I have built or substantially improved myself is sold or leased within 1 year after the construction is complete, the law will presume that I built or substantially improved it for sale or leasehich violates the exemption. Initial )0, � 5. I under`s'tarid that, as the owner -builder, I must provide direct, onsite supervision of the construction. 4�.�.. = ‘ 'tr . 'rig;' = i -c 6. I understand that -I may not hire an unlicensed person to act as my contractor or to supervise persons working on my building or residence. It ` is my responsibility to ensure that the persons whom I employ have the license required by law and by county or municipal ordinance. " . �... Initial Initial 7. I understand that it is frequent practices of unlicensed persons to have the property owner obtain an owner -builder permit that erroneously implies that the property owner is providing his or her own labor and materials. I, as an owner -builder, may be held liable and subjected to serious financial risk for any injuries sustained by an unlicensed person or his or employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner -builder and am aware of the limits of my insurance coverage for injuries to workers on my property. Initial 8. I understand that I may not delegate the responsibility for supervising work to be a licensed contractor who is not licenses to perform the work being done. Any person working on my building who is not licensed must work under my direct supervision and must be employed by me, which means that I must comply with laws requiring the withholding of federal income tax and social security contributions under the Federal Insurance Contributions Act (FICA) and must provide workers compensation for the employee. I understand that my failure to follow these may subject to serious financial risk. Initial 9. I agree that, as the party legally and financially responsible for this proposed Construction activity, I will abide by all applicable laws and requirement that govern owner -builders as well as employers. I also understand that the Construction must comply with all applicable laws, ordinances, building codes, and zoning regulations.p l Initial (V )O 10. I understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service, the United States Small Business Administration, and the Florida Department of Revenues. I also understand that I may contact the Florida Construction Industry Licensing Board at 850.487.1395 or http://www.myfloridalicense.com/dbpr/pro/cilb/index.html Initial 11. I am aware of, and consent to; an owner -builder building permit applied for in my name and understands that I am the party legally and financially responsible for the proposed construction activity at the following address: C4cl r\dz" Io�� Initial 12. I agree to notify Miami Shores Village imthediately of any additions, deletions, or changes to any of the in rmation that I have provided on this disclosure. Initial Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who does not have,a license, the Constr4uction Industry Licensing Board and Department of Business and Professional Regulation may be unable to assist you with any financial loss that you sustain as a result of contractor may be in civil court. It is also important for you to understand that, if an unlicensed contractor or employee of an individual or firm is injured while working on your property, you may be held liable for damages. If you obtain an owner -builder permit and wish to hire a licensed contractor, you will be responsible for verifying whether the contractor is properly licensed and the status of the contractor's workers compensation coverage. Before a building permit can be issued, this disclosure statement must be completed and signed by the property owner and returned to the local permitting agency responsible for issuing the permit. A copy of the property owner's driver license, the notarized signature of the property owner, or other type of verification acceptable to the local permitting agency is required when the permit is issued. Was acknowledged before me this 3 ( day of ---5-AN20 t By CcD (Th ry Produced there License or who was personally known to me or who has r-( NOTA S A�SILVF44 i•as jdentjficatiek�•ssiorE4, .> :a= .� �•� •o- f�P�BLIC S�Q-i �r�rf.f111E1i\O" CFN: 20180052532 BOOK 30841 PAGE 2164 DATE:01 /25/2018 09:03:21 AM DEED DOC 0.60 HARVEY RUVIN, CLERK OF COURT, MIA-DADE CTY PREPARED BY: Record and Return to: Tyler A. Gold, Esq. Tyler A. Gold, P.A. 1250 South Pine Island Road, #450 Plantation, Florida 33324 PARCEL IDENTIFICATION #11-2231-014-0130: QUIT CLAIM -DEED THIS INDENTURE made thisdll day of January 2018, between, NG REAL ESTATE INVESTMENTS, LLC A FLORIDA LIMITED LIABILITY COMPANY GRANTOR, whose mailing address is 3300 DEER CREEK ALBA CIRCLE, DEERFIELD BEACH, FL 33442 and NICOLAS GERTIE, A SINGLE MAN, whose mailing address is 3300 DEER CREEK ALBA CIRCLE, DEERFIELD BEACH, FL 33442. W IT N ESSET H, That said Grantor, for and in consideration of the sum of Ten and No/100 ($10.00) Dollars, and other good and valuable consideration to said Grantor in hand paid by said Grantee, the receipt of which is hereby acknowledged, does hereby remise, release and quit -claim unto the said Grantee forever all of the right, title, interest, claim and demand which the said Grantor has in and to the following described land located in the County of MIAMI-DADE, State of Florida, to wit: LOT 19 AND THE WEST 'A OF LOT 20, BLOCK 109 OF AN AMENDED PLAT OF SECTION NO. 5 OF MIAMI SHORES, ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 10, PAGE 47, OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY, - FLORIDA. A/K/A: 549 NE 106TH STREET, MIAMI SHORES, FL 33138 SUBJECT TO (1) Zoning and/or restrictions and prohibitions imposed by governmental authority; (2) Restrictions, Easements and other matters appearing on the Plat and/or common to the subdivision; and (3) Taxes for the year 2018 and subsequent years. In Witness Whereof, Grantor has hereunto set Grantor's hand and seal this l?day of January 2018. Witnesses: 341.5.1eAs- fit--L'1 -- (printed name of witness) Tlcc &jbin (printed name of witness) STATE OF FLORIDA COUNTY OF BROWARD SS: NG REAL ESTATE INVESTMENTS, LLC a Florida Limited Liability Company By: NICOLAS GERTIE As: Managing Mem This instrument was acknowledged before me by NICOLAS GERTIE, as Managing Member of NG REAL ESTATE INVESTMENTS, LLC o Florida Limited Liability Company, on this ,-,2y day of JANUARY 2018, who is personally known to me or who produced as identification and who did take an oath. NOTARY PUBLIC My commission expires: I MRUIIN '- TA �'+ [omission0.1111.0110.4111..1 9 1/23/2018 ' Miami -Dade Official Records - Print Document CFN: 20180044820 BOOK 30837 PAGE 1665 DATE:01/22/2018 01:01:09 PM DEED DOC 1,980.00 HARVEY RUVIN, CLERK OF COURT, MIA-DADE CTY THIS INSTRUMENT PREPARED BY AND RETURN TO: TYLER A. GOLD, P.A. 1250 S PINE ISLAND RD #450, SUITE 450 (954) 565-5577 PLANTATION, FL 33324 Property Appraisers Parcel Identification (Folio) Number: 11-2231-014-0130 SPACE ABOVE THIS LINE FOR RECORDING DATA WARRANTY DEED THIS WARRANTY DEED, made the 17tk day of January, 2018 by Karen Barger -Thomas, a married woman**, whose post office address is 125 PLANTATION TRACE DRIVE, DULUTH, GA 30096 herein called the Grantor, to NG Real Estate Investments, LLC A Florida Limited Liability Company whose post office address is 3300 DEER CREEK ALBA CIRCLE, DEERFIELD BEACH, FL 33442, hereinafter called the Grantee: (Wherever 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 ofcorporations) WITNESS ET H: That the Grantor, for and in consideration of the sum of TEN AND 00/100'S ($10.00) Dollars and other valuable considerations, receipt whereof is hereby acknowledged, hereby grants, bargains, sells, aliens, remises, releases, conveys and confirms unto the Grantee all that certain land situate in MIAMI-DADE County, State of Florida, viz.: Lot 19 and the West 1/2 of Lot 20, Block 109 of AN AMENDED PLAT OF SECTION NO. 5 OF MIAMI SHORES, according to the Plat thereof as recorded in Plat Book 10, Page 47, of the Public 1 Records of MIAMI-DADE County, Florida. Subject to easements, restrictions and reservations of record and taxes for the year 2018 and thereafter. **Grantor warrants that at the time of this conveyance, the subject property is not the Grantor's homestead within the meaning set forth in the constitution of the State of Florida, nor is it contiguous to or a part of homestead property. Grantor's residence and homestead address is l25 Plantation Trace Drive, Duluth, GA 30096** TOGETHER, with all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining. TO HAVE AND TO HOLD, the same in fee simple forever. AND, the Grantor hereby covenants with said Grantee that the Grantor is lawfully seized of said land in fee simple; that the Grantor has good right and lawful authority to sell and convey said land, and hereby warrants the title to said land and will defend the same against the lawful claims of all persons whomsoever; and that said land is free of all encumbrances, except taxes accruing subsequent to December 31, 2017. 1 IN WITNESS WHEREOF, the said Grantor has signed and sealed these presents the day and year first above written. Signed, sealed an..e► ' eredjlruelrp-presence of: Witness #1 S gna ""� Wi ess #1 PrinttNa • Witness #2 Signature Witness #2 Printed ame Karen Barger -Thomas STATE OF FLORIDA COUNTY OF BROWARD The foregoing instrument was acknowledged before me this 17d' slay of January, 2018 by Karen Barger -Thomas who is personally known to me or has produced ex. l !L... as identification. SEAL Notary Public Printed Notary Name My Commission Expires: hops://www2.miami-dadeclerk.com/OfficialRecords/PrintDocument.aspx?QS=YaoUfOzxry0he3ipOVFW MY4zteHwAz41g0cg2JTAGbSbsxxuSwa%2b8k... 1/1 Ifi- ME LAND ® 75.00'(P) 75.03'LM) Fa.P.1/2' (NO ID) , CNR 4" CHAR! LINK FENCE LOT 18 BLOCK F.LP.1/Y (NO 10) 5 CONC. SIDEWALK 23' PARKWAY Accepted By: 1205' f 10.50' LOT 19 LOX WO 27.50' CONCRETE„_.., 42.95 ONE STORY C.B.S. RESIDENCE No. 549 4 PORCH ..---4.0 }u I6 1 1 75.00'(P) 75.05'(M) ASPHALT 1520'- 10.50' ' moo* 1 10.00' 19' ASPHALT PAVEMENT .J/ f 1 75' TOTAL RIGHT-OF—WAY 7i, (T Proudly Serving the Florida Real \. (r Estate Community for Over 20 Years WLY W.M EIANDSE R V ICES.COM F.I.P.1/2' (NO C) 4.50' N N • • • • 1• • • •• •• • ••• F.LP.1/2 p MOCK CORNER (NO A2) O 22 •(F) /227.161111) `)O. -14 9OL kNO SAT N.E. 1�06th STREET ) �`% Properly Addres>K 549 N.E. 106 Street Miami Shores, FLORIDA 33138 a1IRr6ThreceR•tCaNft 1119mrS-•rrMiff 0831MQMRrWNE1'hATROEAND MIEWITOFAW� L..r r� UNDER wOIRECIE I. THS COI�IJFB Mr* THEYWa••F TEIafaCALZ•vh'' FORTH•rT1E=MEW FICROACQ DOF maFesolvstmosumEvcov(itcAOrm� oyuntouotsaaaszanRa AOYNSiRATWECOOEFVRBW.TS9!�T� M TOg SIGNED I �j11 1° FOR THE FIRM EFRAIN IAPET F : wnr sv STATE OF FLORIDA \ P.S.M. No. ST92 BECTROPEIC4L o®TEffiIWORENDTIEORKaAL RN WHLAL ANO rMSL Notes: idt0 NOTES M.E. Land Surveying, Inc. 10665 SW 190th Street Suite 3110 Miami, FL 33157 Phone: (305) 740-3319 Fax (305) 669-3190 LB#: 7989 Survey 8:B-36850 Chem file N: TG181529 Survey w Emotion i0 ti6 Page I of 2 Not valid without as pages Sh • •• • • ••• • • • •• • • • • • •• • •• • • • •. Wes• • • • fro •• • • • • • • .• • • • K�E�/VF ✓4N2g?o 18 00 •