DEMO-17-1875BUILDING
PERMIT APPLICATION
m BUILDING ❑ ELECTRIC
El PLUMBING MECHANICAL
JOB ADDRESS: 1053 NE 94th Street
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
ncri
'11
C 20 NA
DSO R - l-4Ou
❑ ROOFING ❑ REVISION ❑ EXTENSION ❑ RENEWAL
PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
City: Miami Shores
Folio/Parcel#: 11-3205-012-0090
Occupancy Type: Res. Load:
aT - r � li•�
Is ti h.tigj istarig ly Designated: Yes
Construction Type: CBS Flood Zone: AE
County:
OWNER: Name (Fee Simple Titleholder): David J. Coviello, Luis C. Lopez
Address: 1053 NE 94th Street
City: Miami Shores
Tenant/Lessee Name: N/A
Email:
State: FL
Zip:
BFE: 8.0
NO X
FFE: 8.56
Phone#: 786-38953
r4/1f
Zip:
33138 # to'
kti
E®
Phone#:
CONTRACTOR: Company Name: Florida One General Contractors`
Address: 2205 Arch Creek Drive
Phone#: 305-505-4015
City: North Miami
Qualifier Name: Robert Fleming
State: FL
State Certification or Registration #: CGC#1520690
DESIGNER: Architect/Engineer:..Max Wolfe Architect
Address:107 NE 96th Street
zip: 33181
Phone#: 305-505-4015
Certificate of Competency #:
a
Value of Work for this Permit: $ r� / 00
Type of Work: ❑ Addition ❑ Alteration
Square/Linear Footage of Work:
❑ New ❑ Repair/Replace
Phone#: 305-216-9641
City: Miami Shores State: FL;; ZiP: 331,38
3 a w ..
❑■ Demolition
,,..,-. Selective demolition er:drawin s (see attached)
Desc�iptiori:ofUVork: p g
._. T 33AM ) AA7u2,44 e e:,,,'.. d;bI1ol4 to a:r,:% jildu9 y,r:ot- :'''
Specify color of color thru tile: t,+8a�@'a a ru emiKnn:} _ • ;JItt, ,1•
u]u, , 2 UNi „..,,, „1 ,,,,,,f,J k, ;..„,,, ,,•Ir:'. 1
7? .. trvD'h-�f'i!iOte.Fl� r�iipll �'..„„„, ` s.
cc fl
Submittal Fee $ Permit Fee $
Scanning Fee $ Radon Fee $ DBPR $
Technology Fee $ Training/Education Fee $
Structural Reviews $
. Notary $
Double Fee $
Bond $
(Revised02/24/2014)
TOTAL FEE NOW DUE $
BondingrCompany's Name (if applicable)
Bonding Company's Address
+vt>> t t. iiV
City State Zip
Mortgage Lender's Name (ifapplicable)
Mortgage Lender's'Address
City r - ' t 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 1TO,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 $2500, the applicant must
'Promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not b�C/iproved a reinspection fee will be charged.
Signature_
vti5
C4
L$Yib C4IV'Euo
OWNER or AGENT
Signature
TRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrum " t was acknowledged before me this
28 day of June ., , 20 17 by 29 day of J e 20 17 by
David Coviello and Luis Lopez , who is personally known to Robert Flemin . , who is personally known to tO
me or who has produced as me or who has produced -RA 5 S — (0(0— //(as� - S t
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
kbn CI1tllf
�.a°°P+.,, SUSAN C. MACET
.r �� Notary Public. Statb of Florida
Commission Al Ff 969844
►= My Comm. Expires Feb 11, 2020
identification and who did take an oath.
NOTARY PUBLIC: UCJI , d
Sign.
Print:
Seal:
MAHARAI K. GONZAl.F7
MY COMMISSION # GG 044602
EXPIRES: November 2. 2020
%f,p r??:` ` Bonded Thru Notary Public Underwriters
***************************************************************
APPROVED BY �� 1/" �/! f Plans Examiner
Zoning
(Revised02/24/2014)
Structural Review Clerk
Miami -Dade Official Records - Print Document Page 1 of 3
CFN: 20170017919 BOOK 30380 PAGE 2266
DATE:01/11/2017 11:48:27 AM
DEED DOC 4,995.00
HARVEY RUVIN, CLERK OF COURT, MIA-DADE Cr?
THIS INSTRUMENT PREPARED BY:
Daniel Diaz Leyva, Esq.
FOLEY & LARDNER LLP
2 South Biscayne Blvd., Suite 1900
Miami, Florida 33131
RETURN TO:
Laura Bourne Burkhalter, Esquire
LAURA BOURNE BURKHALTER, P.A.
201 N.E. 95th Street
Miami Shores, Florida 33138
Tax Parcel I.D. No.: 11-3205-012-0090
WARRANTY DEED
THIS WARRANTY DEED, made this IO"h day of January, 2017, by MARY LESLIE
SMITH, a unmarried woman, whose address is c/o Brockhouse, 8525 SW 96th Street, Miami,
Florida 33156 (the "Grantor"), in favor of DAVID J. COVIELLO, an unmarried man, and
LUIS C. LOPEZ, an unmarried man, whose address is 1053 NE 94th Street, Miami Shores,
Florida 33138 (collectively, the "Grantees").
(Whenever used herein, the terms "Grantor" and "Grantee" shall be deemed to include
the parties to this Warranty Deed and the heirs, legal representatives and assigns of individuals,
and the successors and assigns of corporations. The singular shall be deemed to include the
plural, and vice versa, where the context so permits.)
WITNESSETH:
That the Grantor, for and in consideration of the sum of Ten Dollars ($10.00) and other good and
valuable consideration, to it in hand paid, the receipt whereof is hereby acknowledged, by these
presents do grant, bargain, sell, alien, remise, release, convey and confirm unto the Grantees,
their successors and assigns forever, all of that certain parcel of land, in its "as -is", "where -is"
conditions without any representations regarding same, all that certain land lying, being and
situate in Miami -Dade County, Florida, to wit:
Lot 9 of KIRBY'S ADDITION TO MIAMI SHORES, according to the Plat thereof,
recorded in Plat Book 41, Page(s) 44, of the Public Records of Miami -Dade County,
Florida.
Property Address: 1053 NE 94th Street, Miami Shores, Florida 33138
TOGETHER WITH all the tenements, hereditaments, and appurtenances thereto
belonging or in anywise appertaining.
SUBJECT TO real estate taxes for 2017 and all subsequent years, and all covenants,
easements, restrictions and reservations of record.
http s: //www2. miami-dadeclerk. com/offic ialrecords/PrintDocument. aspx?Q S=YaoUfOzxry ... 6/3 0/2017
Miami -Dade Official Records - Print Document Page 2 of 3
CFN: 20170017919 BOOK 30380 PAGE 2267
TO HAVE AND TO HOLD the above described premises, with the appurtenances, unto
the said Grantees, their successors and assigns, in fee simple forever.
AND Grantor hereby covenants with Grantees that Grantor is lawfully seized of the
Property in fee simple; that Grantor has good right and lawful authority to sell and convey the
Property; and that Grantor hereby fully warrants the title to the Property and will defend the
same against the lawful claims of all persons whomsoever claims by, through or under Grantor,
but not otherwise.
IN WITNESS WHEREOF, the Grantor has caused these presents to be duly authorized in
its name and by those thereunto duly authorized the day and year first above written.
By:
Print Name: Maryyeslie Smith
c/o Brockhouse
8525 SW 96th Street
Miami, Florida 33156
STATE OF FLORIDA
COUNTY OF MIAMI-DADE
The foregoing instrument was acknowledged before me this day of January, 2017,
by MARY LESLIE SMITH, an unmarried woman, who is personally known to me or has
produced a driver's license as identification.
[SEAL]
OTARY PUBLI.,
Name iPr,CL t� �McrL(.iC—
My Commission expires:
2
rYk"e, CRLEMED.SMELLIE
.�• MY COMMISSION /FF9T33M
•. . DIPIRES:July 19,2020
$tf Bonded Thu NdnyPut* Undr*AMn
https : //www2. miami-dadeclerk. com/officialrecords/PrintDocument. aspx?Q S=YaoUfO zxry... 6/30/2017
Miami -Dade Official Records - Print Document Page 3 of 3
CFN: 20170017919 BOOK 30380 PAGE 2268
MIAMI SHORES VILLAGE
Building Department
10050 NE 2 Ave, Miami Shores FI, 33138
Tel: 305-795-2204• Fax: 305-756-8972
Permit No. REOC-12-16-3371
Certificate of Re -Occupancy
Address: 1053 NE 94 Street
City: Miami Shores
State: FL
Zip: 33138-
This certificate verifies that the reference property has been inspected by Miami Shores
Village and has been determined to presently comply with schedule of regulations of
Miami Shores Land and Development Code pertaining solely to the requirement that each
one -family dwelling is used and intended to be used for a one -family dwelling purpose
only; however, this certificate does not constitute any representation or warranty as to the
condition of the dwelling or other structures on the premises described herein, or any
aspect of such condition, and interested persons are advised and encouraged to make
their own inspections of the premises in order to determine the condition thereof.
Building Approval:
https://www2.miami-dadeclerk.com/officialrecords/PrintDocument. aspx?QS=YaoUfOzxry... 6/3 0/2017
-,
FBC 20 I`I
BUILDING Master Permit No.JOm. I1-1101
PERMIT APPLICATION
ID BUILDING gi ELECTRIC ❑ ROOFING
Sub Permit No.
exr p va-1g �S
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLA SHOP
JOB ADDRESS:
City:
Folio/Parcel#:
Occupancy Type:
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
/053 ,V E 3 L/ Si=
Miami Shores County:
�1-3205-012.-0090
CONTRACTOR
Miami Dade Zip: 33/
Is the Building Historically Designated: Yes NO <
r
f— Load: Construction Type: GISS Flood Zone: A-& BFE: FFE:
JJa ID /oVlGLtd
OWNER: Name (Fee Simple Titleholder): /_, tJ I S LOP 6-a- Phone#: 3�S-89S 3
Address: / 0S 3 N6 S b
City: i)')7 on'n-i 7�rb`�e� State:
Tenant/Lessee Name: (J Ia----
Email: )cuA � c
g NI E(�r-- zcc � CDLtf icotc`f D 11-
CONTRACTOR: Company N�arme: , one#:
Address: ►t os l'{'�
City: L 1. State: +
Qualifier Name: M. ( AGi111 ? n-CO r
State Certification or Registration #:
Zip• 3 313 S-
14/ Phone#:
30S 2-'77642-S
a- (3c0 37D Z
Zip: 33rRoLf
Phone#: 30f 2-q 7 28
Certificate of Competency #:
DESIGNER: Architect/Engineer: tcY) One v/ O A-((i. I Q-A Phone#: 30S-2 /6 --Qg (
Address: J o 2- f\--16 ci -b r •-) City: C0 a11h .‘br r State: -Fr, Zip: 33/ 3 V
Value of Work for this Permit: $ 300 Square/Unear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration/ /�'� •� ❑NewElRepair/R/eplace ❑ Demolition
Description of Work: a I S C fl) 3C' M- rrki pgly,,, ' O e1 P%1,w oe e04c(
w/ 2 G PLI iuTZ /i 1146i 1 ,,.irk( ()IUbq t(Gv5I A
Specify colorofcolor thru tile:
Submittal Fee $ 5O pci i d Permit Fee $ /O m / D U CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
r" 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 an a reinspection fee will be charged. ri
1 s-1-Ijve
Signature �� ,QAI/b cdv(E�C.t.n Signature y
OWNER or AGENT
CONTRACTOR
The foregoing instrument
��
was acknowledged before methis The foregoing instrument was acknowledged before me this
/ 5 day of 7UL / , 20 ( 7 , by (J day of o �vLy , 20 ( 7 , by
LLT/S ,L- P , (r
)1 t
/] A�> >ovl S C.f-o , who is personally known to M1•ka-I ( I , who is personally known to
me or who has produced as me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
************************
APPROVED BY
o•*''� P**.,, SUSAN C. MACET
Q.= Notary Public -- State of FloirM� it
Commission N FF 959844
My Comm. Expires Feb 11, 2020
t� ��` Bonded 1brou l National Notary Assn.
rr (�lopr400 /_"r/e1worgil******its******+r*******************************
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
i it
92,
z.r .1 = Notary Public - State of Florida
7.
•a Commission 0 FF 986358
$art ..��
, My Comm. Expires Apr 26, 2020
S't (rah Y4Plans Examiner
Zoning
Structural Review Clerk
(Revised02/24/2014)