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FW-17-1783PERMIT # 4 V V V-q - RE CONTRACTOR: T i1 s 11 SUBMITTAL DATE: �' 1 1 t 1..-- N ADDRESS: 5fl E `-'I (Q S NAME: ONE E / P L1L.41c1, - RESUBMITAL DATES: PROJECT TYPE:Q WG 1 1 PLUMBING M=7" \ (11/773 : , '-Q , /674-61% ZONING. ''' MECHANICAL STRUCTURAL ELECTRICAL , 1/I.vi:04.- y ) B 1 kip = -�- =tea-.... Miami Shores Vill Building Departm 10050 N.E.2nd A� r • - Miami Shores, Florida Tel: (305) 795 Fax: (305) 756 NOTICE OF REQUIREMENTS RESIDENTIAL SWIMMING POOL, SPA AND HOT TUB SAFETY ACT "' e (We) acknowledge that a- new ., spool, spa or hot tub will be constructed or instal a .i Miami. Shores(FL, and affirm that one of the following: methods will be used to meet the requirements of Chapte Florida Statues and the Florida Building Code R4101.17. L Please initial the method(s) to be used: The pool will be equipped with an approved safety poolrcover that complies with ASTM F1346-91. (Submit Manufacturer's Specifications). A continuous, one-piece (child) barrier meeting the requirements of Florida Building Coc 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 riot tie removable without the aid of tools. (Submit Manufactur Specifications). 4 jugs BUILDING PERMIT A ICATIO yl.BUILDI ❑ ELECTRIC ❑ ROOFING 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. RECEIVED JUL 11Vin (20 FBC 20M .�' w 83 ❑ REVISION ❑ EXTENSION ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORK CHANGE OF ❑ CANCELLATION rt►., �,; CTOR JOB ADDRESS: �t S"CtdrT ?�1J '"►� City: Miami Shores County: Folio/Parcel#: t.1— �2bt'q' (X l - °la OccupancyType:‘t-'3 Load: Construction Type: CA -AV Flood Zone: BFE: �d,�, 1-Y� OWNER: Name (Fee Simple Titleholder): �ACht�► `�Q�Phone#: Address: a''7`l� \\). • (VP City: k)."- 44--6. 0c ❑RENEWAL ❑ SHOP DRAWINGS Zip: S(3v Is the Building Historically Designated: Yes NO FFE: Pion - Cott Zip: 33 Tenant/Lessee Name: ".%� 4_ r 111 Phone#: L, Email: CONTRACTOR: Company Name: 1 F2t7 Phone#: Address: City: State: Zip: Qualifier Name: Phone#: State Certification or Registration #: Certificate of Competency #: DESIGNER: Architect/Engineer: . `6vzJ\-C,J-f 4 Phone#: Z�`�" 33` Fi Address: (,a\ t4'4 S`t- City: 1 7t ,'b State: 1.� Zip: , , Value of Work for this Permit: $ (� DDD Square/Linear Footage of Work: Type of Work: ❑ Addition ED Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: �J �IEXX _ f:�C (k-Z,•11, i D -Sk6rtv 1-7 Specify color of color thru tile: Submittal Fee $ Scanning Fee $ Technology Fee $ Structural Reviews $ (Revised02/24/2014) Permit Fee $ CCF $ CO/CC $ Radon Fee $ DBPR $ Notary $ Training/Education Fee $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ 4 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 com ncement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certif tt r. the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days I)! `•f • permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be c n.. -%; Signature CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 1.1 day of 0 1 t. , 20 (4 , by day of , 20 , by maq�0 YI Cl is personally known to , who is personally known to me or who has produced ib as me or who has produced as identification and who dig j qJc.e.; .th. identification and who did take an oath. M !'1.1 \ NOTARY PUBLIC: `.. t nMq y eo n/q • 4 1. N4 Z4Z \7%/r17'?, so yvt NOTARY PUBLIC: Sign: Print: Seal: APPROVED BY (Revised02/24/2014) Sign: Print: Seal: Plans Examiner Structural Review Zoning Clerk Property Search Application - Miami -Dade County FFI Summary Report Property Information Folio: 11-3206-017-1590 Property Address: 577 NE 96 ST Miami Shores, FL 33138-2735 Owner ONE LA LA LAND LLC Mailing Address 577 NE 96 ST MIAMI, FL 33138 USA PA Primary Zone 1400 SGL FAMILY - 3001-3250 SQ Primary Land Use 0101 RESIDENTIAL - SINGLE FAMILY : 1 UNIT Beds / Baths / Half 6/5/0 Floors 2 Living Units 1 Actual Area 5,893 Sq.Ft Living Area 4,533 Sq.Ft Adjusted Area 4,690 Sq.Ft Lot Size 19,500 Sq.Ft Year Built 1926 Assessment Information Year 2017 2016 2015 Land Value $584,430 $487,278 $467,544 Building Value $327,862 $328,067 $328,272 XF Value $11,943 $12,093 $9,083 Market Value $924,235 $827,438 $804,899 Assessed Value $675,366 $661,476 $656,878 Benefits Information Benefit Type 2017 2016 2015 Save Our Homes Cap Assessment Reduction $248,869 $165,962 $148,021 Homestead Exemption $25,000 $25,000 $25,000 Second Homestead Exemption $25,000 $25,000 $25,000 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description MIAMI SHORES SEC 4 AMD PB 15-14 LOTS 19 TO 21 INC BLK 99 LOT SIZE 150.000 X 130 OR 21750-0659 1003 1 Page 1 of 1 Generated On : 7/11/2017 Taxable Value Information 2017 2016 2015 County Exemption Value $50,000 $50,000 $50,000 Taxable Value $625,366 $611,476 $606,878 School Board Exemption Value $25,000 $25,000 $25,000 Taxable Value $650,366 $636,476 $631,878 City Exemption Value $50,000 $50,000 $50,000 Taxable Value $625,366 $611,476 $606,878 Regional Exemption Value $50,000 $50,000 $50,000 Taxable Value $625,366 $611,476 $606,878 Sales Information Previous Sale Price OR Book - Pa a 9 Qualification Description 05/19/2017 $1,200,000 30557-0528 Qual by exam of deed 05/18/2017 $100 30557-0526 Corrective, tax or QCD; min consideration 10/01/2003 $840,000 21750-0659 Sales which are qualified 06/01/1978 $170,000 10064-2436 Sales 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 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/ 7/11/2017 Detail by Entity Name Page 1 of 2 Florida Deportment of Mate :..14.e. Department of State / Division of Corporations / Search Records / Detail By Document Number / CIv ON ii r. CORPoer. ,N http://search. sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... 7/11 /2017 Detail by Entity Name Page 2 of 2 Detail by Entity Name Florida Limited Liability Company ONE LA LA LAND, LLC Filing Information Document Number L17000100491 FEI/EIN Number NONE Date Filed 05/05/2017 Effective Date 05/01/2017 State FL Status ACTIVE Principal Address 2920 SW 4TH AVENUE FORT LAUDERDALE, FL 33315 UN Mailing Address 2920 SW 4TH AVENUE FORT LAUDERDALE, FL 33315 UN Registered Agent Name & Address KAHN, DONALD, ESQ. 317 71ST STREET MIAMI BEACH, FL 33141 Authorized Person(s) Detail Name & Address Title MGR FERNANDEZ, MAGDIEL 2920 SW 4TH AVENUE FORT LAUDERDALE, FL 33315 Title MGR MELENDEZ, NICOLE 2920 SW 4TH AVENUE FORT LAUDERDALE, FL 33315 Annual Reports No Annual Reports Filed Document Images O .LQ. 01 i Florida. Limited. liability View image in PDF form Fin(Ic: [,9, :rt.^. e,t : f 5tate, Corpor,,inn http://search. sunbiz. org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... 7/1 1 /2017 /oho/JF 131-16 / L T ``/ Er) Gz riou By M ,,JJ1 DF mil/ J- &2 12€r ecT�v LC� Pcougxr Tie cafQ (10o�� o - - % -- 1 g 3 7,1 LA) o/2 /G (A-%&r /v.0 V iriz. & J &- egye_cy-4//1 , A°`kD.gZ' ,/ ON 6 69N1), LCc 14J Gv Lf» - Miami Shores Village 46' ey Building Department BUILDING 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 FBCI 20 Master Permit No.0 W 1 " 1 183 Sub Permit No. ❑ BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION RENEWAL ▪ PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF EANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 57 7 i'" 9tv JT City: Miami Shores County: Miami Dade Zip: 38/.3 ' Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: , Flood Zone: BFE: FFE: N OWNER: Name (Fee Simple Titleholder): 5C `o'� 64 r,) A%d 7 LeC Phone#: (?(35) 9`?6 `/ Address: S4Ai AS A.8C'J City: State: Zip: a Tenant/Lessee Name: Phone#: 766— 67.3 —$ Z, Z. Email: CONTRACTOR: Company Name: - Phone#: , Address: City: State: Zip: Qualifier Name: Phone#: State Certification or Registration #: Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: _ Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration --�o coinc-kll•eC Description of Work: ❑ New ❑ Repair/Replace ❑ Demolition Specify color of color thru tile: Submittal Fee $ Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ TOTAL FEE NOW DUE $ (Revised02/24/2014) Bonding Company's Name (if applicable) " �� .i Bonding`Company's Address '.. r ,, °`' City State r Zip d .J ' 1 If Mortgage Lender's Name (if applicable) j." Mortgage Lender's Address •. t: sT..... ;..i City ram•: ►. 'i"x , 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 tothe 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 ORAN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." 2 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`t ` 4a./`1 Signature OWNER or AGENT' CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 3011" day of O(A--abe• , 20 I a , by day of , 20 , by /V%l0/E4-- 1 /Z / /')€Z , who is personally known to , who is personally known to me or who has produced 1:1 C .0 4 . ,as me or who has produced as identificatd who did arwath. NOTARY Sign: �V%AN_ Print: A Seal: YANAi PRIETO a= MY COMMISSION # FP 214031 EXPIRES: March 25, 2019 Bonded Thru Notary Pubic Underwriters identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: *********************************** APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)