WS-13-802Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
BUILDING
PERMIT APPLICATION
Permit Type:
RECEIVED
APR 1 013
BY:
FBC 2010
Permit No.
Master Permit No.W ) -e0ea.
ROOF
JOB ADDRESS: O QS NC qc sr ��
Miami Shores County: Miami Dade z 13
Flood Zone:
City:
Folio/Parcel#: 1 l' ��0�— aas 00 S7
Is the Building Historically Designated: Yes NO X
OWNER: Name (Fee Simple Titleholder): V C la R1 ►Phone#:
qq0 16ISC
Address: •��.��� . /
_ . • • rr I S hd re S State: FZ
nant/Lessee Name: Phone#:
0 f
Email ..`•
CONTRAd ompany Name: `) Q C7491.rage Poo i s Phone#:
Address: I r c In
q/I Ave "
City: g (' 1 . (Yn CC' rc.k t'7S State: Pei Zip:
�J Qualifier Name: o.c 1 h IJ e 1 Phone#:
State Certifica ' or Re istration #: Certificate of Competency #: 0000 ` 02
r 17l ��
Contact Pho e#: J - (d'"Sl 1 ( Email Address: 1e/ - Gc&r ct3 �D oo rs •�
DESIGNER: rchitect/En ineer: `/ 1�� v
g
Zip: 3313k1
ion
Value of Work for this Permit: $ Doti q 0 n Square/Linear Footage of Work:
Type of Work: ❑Addition
Description of Work:
❑ 1teration
Replace
New ❑Repair/Replace ❑Demolition
raP boor.
Color thru tile:
•**************************************** F��******************************************
Submittal Fee $ Vim/ Permit Fee $ 70 CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ 1(0. fik0
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 ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 WIT YOUR LENDER ! AN ATTORNEY BEFORE
RECORDING YOUR NOTICE VOMMENCEME
Notice to Applicant: As a condition to the issuance of v t1tng permit with an estima
promise in good faith that a copy of the notice of comme7'G4171 t <nd construction lien la
whose property is subject to attachment. Also, a certified colt ,'-.-. ecorded notice of com
for the first inspection which occurs seven (7) days after the '7j' g permit is issued. In
inspection will not be approved and a reinspection fee will he charged.
Owner or Agent
The foregoing instrument was acknowledged before me this
day of .__ _ ,201 ,by)1,., EL 0
who is personally known to me or who has produced As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: Mo...\/ r of 13 Q JJ \k nC ?-1oS S
Signature
, day of
exceeding $2500, the applicant must
r hure will be delivered to the person
nt must be posted at the job site
ence of such posted notice, the
Contractor
The foregoing instrument was acknowledged before me this
, 20 by' /ST-4e 7fe/j e
o has produced (?h.(h fL)
as identification and who did take an oath.
who is personally known to me
NOTARY PUBLIC:
MAYRA NEULINA ROSSELL
Notary Public, State of Florida
Commission #EE59299
. 27, 2015 Sign:
My Commission Expires: SQ, ,, . Z 2 01 S
mission
xpires: :
a
•s
*************************************************************************************
APPROVED BY
Plans Examiner
Structural Review
ueCID
hemen-Awut to
Y PUBLIC
.STATE OF FLORIDA
Comm# EE095931
Zoning
Clerk
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:
That the most Reverend Thomas Wenski, as Archbishop of the Archdiocese of Miami, his successors in
office, a corporation sole, has made, constituted and appointed, and by these presents does hereby make,
constitute and appoint Sister Elizabeth A. Worley, C.O.O., his true and lawful attorney for him and in his
name, place, and stead
Giving and granting unto Sister Elizabeth A. Worley, C.0.0., his said attorney full power and authority to
do and perform all and every act and thing whatsoever requisite an necessary to be done in and about the
premises as fully, to all intents and purposes, as he might or could do if personally present, with full
power of substitution and revocation, hereby ratifying and confirming all that Sister Elizabeth A. Worley,
C.O.O., his said attorney or his substitute shall lawfully do or cause to be done by virtue hereof.
In Witness Whereof, I have hereunto set my hand and seal this 14g. day of Kv
A.D., 2011
Signed, sealed and delivered
in presence of:
Witness:
Witness Signature
TAyLo2
Printed Na
W. ess Si re � CP/ I itJ')
'r'nted Name
STATE OF FLORIDA
SS:
COUNTY OF DADE
The Most Reverend Thomas Wenski
as Archbishop of the Archdiocese of Miami his
successors in office, a corporation sole
I hereby certify that on this day, before me, an officer duly authorized to administer oaths and
take acknowledgements, personally appeared The Most Reverend Thomas Wenski, as Archbishop of the
Archdiocese of Miami, his successors in office, a corporation sole, known to me to be the person
described in and who executed the forgoing instrument, who acknowledged before me that he executed
the same, and an oath was not taken. X Said person is personally known to me Said person
provided the following type of identification:
Witness my hand and official seal in the County and State last aforesaid this 1 day of l_ _
A.D. 2011.
My Commission Expires:
29-,.zGI5
Nolary Pubic, OM °IMO&
MAYRA NEUUNA ROSSELL
Commission OISINSO
MyJat 17.R1I
Detail by Entity Name
Page 1 of 4
FLORIDA DEPARTMENT OF STATE
DIVISION OF CORPORATIONS
Home Contact Us E-Filing Services Document Searches
Events No Name History
Return to Search Results
Detail by Entity Name
Florida Non Profit Corporation
PROVINCIAL REALTY ASSOCIATES, INC.
Filing Information
Document Number 720307
FEI/EIN Number 451470889
Date Filed 02/22/1971
State or Country FL
Status ACTIVE
Last Event AMENDED AND RESTATED ARTICLES
Event Date Filed 01/08/1988
Event Effective Date NONE
Principal Address
9401 BISCAYNE BLVD
MIAMI SHORES, FL 33138
Changed: 03/21/1984
Mailing Address
9401 BISCAYNE BLVD
MIAMI SHORES, FL 33138
Changed: 03/21/1984
Registered Agent Name & Address
FITZGERALD, J. PATRICK ESQ.
110 MERRICK WAY, SUITE 3-B
CORAL GABLES, FL 33134
Name Changed: 04/29/2009
Address Changed: 04/29/2009
Officer/Director Detail
Name & Address
Title PD
JEANTY, CHANEL
9401 BISCAYNE BLVD
MIAMI SHORES, FL 33138
Title VPSD
Forms Help
Entity Name Search
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Detail by Entity Name Page 2 of 4
ORLEY, ELIZABETH
401 BISCAYNE BLVD
MIAMI SHORES, FL 33138
itle TD
ASCIATO, MICHAEL A
401 BISCAYNE BLVD
MIAMI SHORES, FL 33138
itle AS
FITZGERALD, J. PATRICK
110 MERRICK WAY, SUITE 3-B
CORAL GABLES, FL 33134
nnual Re ' orts
Report Year Filed Date
2011 02/28/2011
2012 03/28/2012
2013 01/22/2013
Document !ma • es
01/22/2013 -- ANNUAL REPORT
03/28/2012 -- ANNUAL REPORT
04/05/2011 -- ANNUAL REPORT
02/28/2011 -- ANNUAL REPORT
09/17/2010 -- ANNUAL REPORT
03/02/2010 -- ANNUAL REPORT
04/29/2009 -- ANNUAL REPORT
01/16/2008 -- ANNUAL REPORT
01/18/2007 -- ANNUAL REPORT
01/23/2006 -- ANNUAL REPORT
01/26/2005 -- ANNUAL REPORT
02/17/2004 -- ANNUAL REPORT
01/22/2003 -- ANNUAL REPORT
01/23/2002 -- ANNUAL REPORT
01/25/2001 -- ANNUAL REPORT
01/24/2000 -- ANNUAL REPORT
02/08/1999 -- ANNUAL REPORT
02/03/1998 -- ANNUAL REPORT
01/23/1997 -- ANNUAL REPORT
01/29/1996 -- ANNUAL REPORT
01/27/1995 -- ANNUAL REPORT
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g i sweb. mi ami dade.g ov/PropertySearch/printMap.htm
Property Information:
Folio
11-3206-005-0052
Property Address
825 NE92 ST
Owner Name(s)
PROVINCIAL REALTY ASSOCIATES INC -
Mailing Address
9401 BISCBLVD
MIAMI SHORES FL
33138-2970
Primary Zone
0900 SGL FAMILY - 1901-2100 SQ
Use Code
0001 RESIDENTIAL - SINGLE FAMILY
Beds/Baths/Half
3/2/0
Floors
1
Living Units
1
Adj. Sq. Footage
2,906
Lot Size
12,345.2 SQ FT
Year Built
1955
Legal Description
GOLDEN GATE PARKADDN PB 6-130
E19.395FT M/L OF LOT 10 & ALL LOT
9 & W18.79FT M/L LOT 8 BLK 1
LOT SIZE 88.180 X 140
OR 11154-2 0781 6
OR 11154-0002 0781 03
Assessment Information:
Current Previous
Year
2012
2011
Land Value
$99,800
$73,926
Building Value
$265,074
$266,568
Market Value
$364,874
$340,494
Assessed Value
$364,874
$340,494
Exemption Information:
Current Previous
Year
2012
2011
Homestead
$0
$0
2nd Homestead
S0
$0
Senior
$0
$0
Veteran Disability
S0
$0
Civilian Disability
$0
$0
Widow(er)
$0
$0
Disclaimer:
MIAMI-DADE COUNTY
OFFICE OF THE PROPERTY APPRAISER
PROPERTY SEARCH SUMMARY REPORT
Carlos Lopez-Canlera
Property Appraiser
Perial Photography 2012
Taxable Value Information:
Current Previous
Year
2012
2011
Exemption/Taxable
Exemption/Taxable
County
$364,874/$0
$340,494/$0
School Board
$364,874/$0
$340,494/$0
City
$364,874/$0
$340,494/$0
Regional
$364,874/$0
$340,494/$0
Sale Information:
Date
Amount
OR Book -Page
Qualification Code
7/1981
$170,000
11154-0002
Other disqualified
The Office of the Property Appraiser and Miami -Dade County are continually editing and updating the tax roll and GIS data to reflect the latest property information and
GIS positional accuracy. No warranties, expressed or implied, are provided for data and the positional or thematic accuracy of the data herein, its use, or its interpretation.
Although this website is periodically updated, this information may not reflect the data currently on file at Miami -Dade County's systems of record. The Property Appraiser
and Miami -Dade County assumes no liability either for any errors, omissions, or inaccuracies in the information provided regardless of the cause of such or for any decision
made, action taken, or action not taken by the user in reliance upon any information provided herein. See Miami -Dade County full disclaimer and User Agreement at
http://www.miamidade.gov/info/disclaimer.asp.
Property information inquiries, comments, and suggestions email: pawebmail@miamidade.gov
GIS inquiries, comments, and suggestions email: Os@miamidade.gov Generated on: Wed Apr 17 2013
g isweb.miamidade.g ov/PropertySearch/printMap.htm
1/1
Miami Shores.Village •
198
0%, ED
1G DEPT
BY
GDEPTCONSUL
DATE
BY -
RECEIVED
APR jL���013
Q CORPO
G FNGINEERS & PRODUCT DEVELOPMENT
T 10 CCMIP(1FNCE Wfrf-I ALL. FEDERAL
WIND LOAD TABLE.
AM) UCIJN"i'f RULES AND REGULATIONS
County :
Wind Speed :
Risk Category :
Exposure Category :
1. Client
2. Project Name:
3. Project Address:
4. Building Height:
Miami Dade
175 MPH
11
D
FOR COMPONENTS & CLADDING
ASCE 7-10, FBC 2010 EDITION
GARAGE DOORS ONLY
4f ara_eor
Church
g9s NE QA S-froz -
�V1 (Cu'Y1 ko rei F(-
CITY STATE
/ 5 (See Figure 1 above)
ZIP
ICCX- Si a)
(Residential Projects Only)
17'
MAXIMUM DESIGN LOADS FOR BUILDINGS EQUAL OR LESS THAN 25 FEET.
MEAN
ROOF
HT.
(FT)
FOR BULIDING WITH ROOF SLOPE > 10 DEGREE
FOR BULIDING WITH ROOF SLOPE <10 DEGREE
DOOR WIDTH
DOOR WIDTH
8 FT.
9 FT.
12 FT.
16 FT.
18 FT.
8 FT.
9 FT.
12 FT.
16 FT.
18 FT.
PSF(+)
PSF(-)
PSF(+)
PSF(-)
PSF(+)
PSF(-)
PjF(+)
PSF(-)
PSF(+)
PSF(-)
PSF(+)
PSF(-)
PSF(+)
PSF(-)
PSF(+)
PSF(-)
PSF(+)
PSF(-)
PSF(+)
PSF(-)
15
46.1
60.3
45.5
58.8
43.6
55.2(41.8
51.5)41.1
50.0
42.3
55.0
41.7
53.7
40.0
50.4
38.4
47.1
37.7
45.8
16
46.7
60.9
45.9
59.4
44.1
55.7
42.2
52.0
41.5
50.5
42.7
55.5
42.1
54.2
40.4
50.9
38.8
47.6
38.1
46.2
17
47.1
61.5
46.3
59.9
44.5
56.2
42.6
52.5
41.9
51.0
43.1
56.1
42.5
54.7
40.8
51.4
39.1
48.0
38.4
46.7
18
47.6
62.0
46.8
60.5
44.9
56.8
43.0
53.0
42.3
51.5
43.6
56.6
42.9
55.2
41.2
51.9
39.5
48.5
38.8
47.1
19
48.0
62.6
47.2
61.1
45.3
57.3
43.4
53.5
42.7
52.0
44.0
57.1
43.3
55.7
41.6
52.3
39.9
48.9
39.2
47.6
20
48.4
63.2
47.7
61.6
45.8
57.8
43.9
54.0
43.1
52.5
44.4
57.7
43.7
56.3
42.0
52.8
40.2
49.4
39.5
48.0
21
48.9
63.8
48.1
62.2
46.2
58.4
44.3
54.5
43.5
53.0
44.8
58.2
44.1
56.8
42.4
53.3
40.6
49.9
39.9
48.4
22
49.3
64.4
48.5
62.8
46.6
58.9
44.7
55.0
43.9
53.4
45.2
58.7
44.5
57.3
42.7
53.8
41.0
50.3
40.3
48.9
23
49.8
65.0
49.0
63.4
47.0
59.4
45.1
55.5
44.3
53.9
45.6
59.3
44.9
57.8
43.1
54.3
41.4
50.8
40.6
49.3
24
50.2
65.6
49.4
63.9
47.5
60.0
4.5
56.0
44.7
54.4
46.0
59.8
45.3
58.3
43.5
54.8
41.7
51.2
41.0
49.8
25
50.7
66.1
49.3
64.5
47.9
60.5
45.9
56.5
45.1
54.9
46.4
60.3
45.7
58.9
43.9
55.3
42.1
51.7
41.4
50.2
Notes :-
- h = Eave height for roof slope < 10 degree.
- Table above shows maximum design load for shown building height in end zone.
For any other conditions/ zones, design loads to be evaluated on project basis
Disclaimer :-
- This document is not valid without the embossed seal of an engineer employed
by Al-Farooq Corporation
- No portion of this document may be used or reproduced in any manner.
(except, however, for that portion ofASCE 7-10 set forth herein).
JAVAD AHyMAD, P.E.
FL# 70592 EB CAN # 3538
1235 SW 87th Avenue 1 Miami, FL 33174 I T: 305.264.8100 I F: 305.262.6978 I www.afceng.com I alfarooq@afceng.com