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BPP-17-2270 (2)Miami Shores Village Building Department FBC 201 4 BUILDING Master Permit No.c).:0 11 2Z10 PERMIT APPLICATION 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 Sub Permit No. E(BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: City: Folio/Parcel#: 111lo NE 612 5I Miami Shores County: Miami Dade Zip: il-32,05"027- oyzz Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone:�BFE: FFE: OWNER: Name (Fee Simple Titleholder): s,L,b t-lA N T�i,A Da\1 Address: III (6 42 s—r Phone#: City: IN 4L1) s (+brie' 5 State: Zip: Tenant/Lessee Name: Phone#: NEL) TOO 0./ IN1 a cif-i L., Email: CONTRACTOR: Company Name: Phone#: /02 Address: 2,3 Zy SU..1 ly1 +`tom # Z) L City: M I Ad-1 1 State: -FtZip: 33/ i(6 Qualifier Name: A Cf 6 0 -vdd Q 1 �,, ii/E Z- Phone#: State Certification or Registration #: �•_ l LI 51 ' `15 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $/®6 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace n Demolition Description of Work: r / Qei���6aJ)4 el; J l`�� JL�1lt-rr'fi/JV� Specify color of color thru tile:(' Submittal Fee $ 50 p i d Permit Fee $ 1 i O&D • GO CCF $ CO/CC $ le Scanning Fee $ Radon Fee $ iU " 93 / DBPR $ 1 7 0 Notary $ i' Technology Fee $ Training/Education Fee $ Double Fee $ XJ -�:%''�� n Structural Reviews $ Bond $ � • l TOTAL FEE NOW DUE $ I / 2 a 9 ' 60 (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 V' OWNER or AGENT CONT CTOR \(STh Signature The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 1 q day of 56+, , 20 f 7 , by ( day of SF. , 20 11 , by 1/06/0 NA Mg 1J , who is personally known to A 1- f40 0 O6c1m 11 U8 I —, who is persona r.wn to me or who has prodt&d 9c identification and who did take an oath. NOTARY PUBLIC: Sign: s Print: C/N i j h i __ "14�f�IW Z— Seal: ( `"AYP` RODR IGUEZ 0 Notary Public - State of Florida Commission # GG 105164 `ems My Comm. Expires May 16, 2021 1 7.yoff Fs,'': Bonded through National Notary Assr. ************* as me or who has produced as identification and who did take an oath. NOTARY PUBLIC: APPROVED BY (Revised02/24/2014) r- Pev Sign: Print: Seal: gutiLtAA fL/$-f) r d L �• � lSTINA a RIGUEZ Notary Public State of Florida Commission # GG 105164 1 ;uy,• nnr: mooe: ; My Comm. Expires May 16, 2021 **************************`40' **Vildit!`tfirSV 4fEti6r',xafful MfArSil`.* Plans Examiner Zoning Structural Review Clerk Property Search Application - Miami -Dade County Page 1 of 1 Summary Report Property Information Folio: 11-3205-027-0420 Property Address: 1116NE92ST Miami Shores, FL 33138-2935 Owner SYLVAIN FABER VICTORIA NEWTON DUNN Mailing Address 1116 NE 92 ST MIAMI SHORES, FL 33138 USA PA Primary Zone 1100 SGL FAMILY - 2301-2500 SQ Primary Land Use 0101 RESIDENTIAL - SINGLE FAMILY : 1 UNIT Beds / Baths / Half 4/3/0 Floors 1 Living Units 1 Actual Area 3,030 Sq.Ft Living Area 2,675 Sq.Ft Adjusted Area 2,840 Sq.Ft Lot Size 9,375 Sq.Ft Year Built 1956 Assessment Information Year 2017 2016 2015 Land Value $337,500 $314,250 $285,750 Building Value $197,663 $197,663 $197,979 XF Value $24,702 $24,928 $18,481 Market Value $559,865 $536,841 $502,210 Assessed Value $559,865 $536,841 $502,210 Benefits Information Benefit Type 2017 2016 2015 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description BAY LURE PB 44-63 LOT 3 BLK 3 LOT SIZE 75.000 X 125 OR 17973-0245 0198 4 Generated On : 9/20/2017 Taxable Value Information 2017; 2016' 2015 County Exemption Value $0 $0 $0 Taxable Value $559,865 $536,841 $502,210 School Board Exemption Value $0 $0 $0 Taxable Value $559,865 $536,841 $502,210 City Exemption Value $0 $0 $0 Taxable Value $559,865 $536,841 $502,210 Regional Exemption Value $0 $0 $0 Taxable Value $559,865 $536,841 $502,210 Sales Information Previous Sale Price OR Book - Pa 9a Qualification Description 05/08/2017 $985,000 30529- 3376 Qual by exam of deed 09/25/2015 $630,000 29800 1422 Qual by exam of deed 05/26/2015 $435,000 29634- 0088 Qual by exam of deed 01/01/1998 $0 17973- 0245 Sales which are disqualified as a result of examination of the deed 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: http://www.miamidade.gov/propertysearch/ 9/20/2017 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 NOTICE OF REQUIREMENTS RESIDENTIAL SWIMMING POOL, SPA AND HOT TUB SAFETY ACT I (We) acknowledge that a new swimming pool, spa or hot tub will be constructed or installed at \'' , NrZ 'a ST Miami Shores, FL, and hereby affirm that one of the following methods will be used to meet the requirements of Chapter 515, Florida Statues and the Florida Building Code R4101.17. Please initial the method(s) to be used: The pool will be equipped with an approved safety pool cover that comp lies with ASTM F1346-91. (Submit Manufacturer's Specifications). A continuous, one-piece (child) barrier meeting the requirements of Florida Building Code R4101.17.1.15 will protect the pool perimeter. The plans shall show the fence location and method of attachment, including one end that shall not be removable without the aid of tools. (Submit Manufacturer's Specifications). A combination of non -dwelling walls and fences (screen enclosure, child fence, masonry fence walls, chain link or wood fence, etc.) will protect t he pool perimeter. The plans must specify t he type and location of all non dwelling walls. Florida Building Code, R4101.17.1 ✓/ Any combination of protection which incorporates dwelling walls with openings directly into the pool perimeter and all windows and doors will be equipped with exit alarms complying with Florida Building Code, R4101.17.1.9 (Submit Manufacturer's Specifications). Any combination of protection which incorporates dwelling walls with openings directly into the pool perimeter and all doors will be equipped with a self -latching device with positive mechanical latching/locking installed a min. 54" above the threshold. If this option is selected, submit plans showing all types and location of all perimeter protection. The plans must also show the location and type of all openings, and the hardware type for each location. (Submit Manufacturer's Specifications). In accordance with the Code, the pool may not be filled with water without compliance with the Private Swimming Pool Safety Requirements, and upon expiration of the permit, the pool shall be presumed to be unsafe . I understand that not having one of the above installed will constitute a violation of Chapter 515, F.S ., an d will be considered as committing a misdemeanor of the second degree, punishable as provided in Section 775.082 or Section 775.08 F.S . This form must be signed by the owner/agent and the prirpecontractor. CONTRACTOR'S NATUF31l~ AND DATE OWNER SIGNATURE AND DATE Pd(iRc✓e-- CONTRACTOR'S NAME (PLEASE PRINT) NOTARY PUBLIC CRISTINA RODRIGUEZ Notary Public - State of Florida Commission : GG 105164 My Comm. Expires May 16, 2021 Bonded through Naecrai Mary Assr. V!c1b%Li4 talW,J OWNER'S NAME (PLEASE PRINT) NOTARY PUBLIC ;;" ''a. :, CRISTINA RODRIGUEZ Notary Public - State of Florida .0 Commission it GG 105164 ': ; : ` My Comm. Expires May 16, 2021 "' OPT Borded through National Notary Assn. Miami Shores Village Building Department SURVEY AFFIDAVIT STATE OF (FLORIDA) COUNTY OF (DADE) 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 The undersigned Affiant, `i) ()V hiA D t 4 , does hereby attest that (Property owner) The attached survey, performed by (Name of surveyor's company) 111(g Or gzsy For address: Performed on (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 without first providing a survey Tess 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 final inspections as applicable to this or other permits. eurt er Affiant eth naught. Property Owner Signature Property Owner Print Name SWORN TO AND SUBSCRIBED before me this iq day of 50/--. Affiant is personally known to me, prodtdd as identification. Revised on 5/22/2009/ Revised on 6/12/09 ;•ti;RY'P� CRISTINA RODRIGUEZ I := Notary Public - State of Florida • • "• Commission # GG 105164 My Comm. Expires May 16, 2021 Bonded through National Notary Assn. j Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 SWIMMING POOL OWNER'S CERTIFICATION Date — 1�-- Miami Shores Village Building & Zoning Department Attention: Building Official certify that I am the legal owner of the property described as , located at I l 1(9 N q Z- 5 T In accordance with Section 33-12(f), Code of Metropolitan Dade County, I certify that I understand and agree that the swimming pool to be constructed at the above address cannot be used or filled with water until separate permit has been obtained for an approved safety barrier, and such barrier erected, inspected and approved. I further understand that this certification, however, does not eliminate the need for obtaining a permit and erecting and approved barrier prior to final inspection and use of the pool. Legal Owner kt Note: This certification is to be submitted with a swimming pool permit application in duplicate.