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RF-18-2205Miami Shores Village AUG O 18 � Building Department Y:_ 10050 N.E.2nd Avenue, Miami Shores, Florida 33138J Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 ' FBC 2011 BUILDING Master Permit No.?) )� ' �ZUS PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS [:]CHANGE OF [:]CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOBADDRESS: lqo M W IOO Sk City: Miami Shores County: Miami Dade Zip: 33150 Folio/Parcel#: 11 - 301 - 023-0330 Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder):) ) V) U I Y ( due-Z- Phone#:'415 - 95- 8664 Address: 1(640 N W 1 5i r City: Pembra-c Pines State: -t� Ioii(C)d- Zip: OZC}- Tenant/Lessee Name: Phone#: Email: 0.IXI'7-Pn(a6 Wjt . (200q CONTRACTOR: Company Name: Address:'575 Rw IF City: M I Qnn 1 Qualifier Name: _A)E!a" State Certification or Registration #: C_C1r-0L zj 9C Certificate of Competency #: DESIGNER: Architect/Engineer: Address: State: Zip: Value of Work for this Permit: $IL-i I. 2-�0. Square/Linear rFFootage of Work: 16.!S 0 S � Type of Work: ElAddition ❑ Alteration ElNew LYJ Repair/Replace ❑ Demolition Specify color of color tru tile: C� Submittal Fee $ ISI Permit Fee $ _�S�' Q CCF $ 2 CO/CC $ Scanning Fee $ Radon Fee $ 2 ' SO DBPR $3 �� Notary $ Technology Fee $ Structural Reviews $ Training/Education Fee $ Double Fee $ Bond $ Soo - o TOTAL FEE NOW DUE $ Z3 / . (Revised02/24/2014) Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip 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. o-o c Signature t���iCt.� (�/C Signature Pe k OWNER or AGENT The foregoing instrument was acknowledged before me this 1 day of S 20 �� by IaViQ r i a u ez.., who is personally known to me or who has produced flay c, TA as identification and w d' a ce a a h NOTARY PUBLIC: :'#0 Notary Public State of Florida Rolando Cruz Jr c My Commission GG 1265M Expires 07/20/2021 Sign: Print: 0, 0 ctrvjo C I-L.% L 3 Seal: CONTRACTOR The foregoing instrument was acknowledged before me this B day off/ 20 k? by M&V) Perym in who is ersona Y nown me or who has produced identification and who did take an oath. NOTARY PUBLIC: ar N Notary Public State of Florida : Rolando Cruz Jr + My Commission GG 126536 of Expires 07/20/2021 Sign: Print: Pola,-do erto,.�r S r Seal: •**.****rssr*s**:s*r*s*s**s**s**sss *ss [sss s rrsss:*ss**rssssss:s*ssrssssssrsssssssssssssrssss*sss*rsssss*s APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Miami Shores Village Building Department 10050 N.E,2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNERS'S AFFIDAVIT OF EXEMPTION ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE - BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PERSUANT TO SECTION 553.844 F.S. To: Miami Shores Village Building Department Date: �1S 10050 NE 2nd Ave Miami Shores, FI 33138 Re: Owner's Name: Li V I A Property Address_19b M W lWo Roofing Permit Number: Dear Building Official: I �I V 1 a RCY�Yi Qu>eZ certify that I am not required to retrofit the roof to wall connections of my building because: V/The just valuation for the structure for purpose of ad valorem taxation is less than $300,000.00, Please attach proof of ad valorem taxation. ❑ The building was constructed in compliance with the provisions of the Florida Building Code (FBC) or with the provisions of 1994 edition of the South Florida Building Code (1994 SFBC) o -o i Signature v Print Name State of Florida County of Dade The undersigned, being the first duly sworn, deposes and says that he/she is the owner for the above property mentioned. Sworn to and subscribed before me this _ S day of Awt, s4 :rylj & r Wy R"c SMb a Fbdaa RoWft Cruz Jr Notary Public, Sate of Florida at Large:y►i�'zes'° When the just valuation of the structure for purpose of ad valorem taxation is equal to or more than $300,000.00, and the building was not constructed with FBC nor a 1994 SFBC. Then you must provide a building application from a General Contractor for the Roof to Wall connection Hurricane Mitigation, Revised on 5/21/2009 Property Search Application - Miami -Dade County Page 1 of 1 4`OFFICE OF THF PROPERTY APPRAISER Summary Report Property Information Folio: 11-3101-023-0330 Property Address: 190 NW 100 ST Miami Shores, FL 33150-1206 LIVIA RODRIGUEZ 7640 NW 7 ST Owner Mailing Address PEMBROKE PINES, FL 33024 USA 0800 SGL FAMILY - 1701-1900 SQ PA Primary Zone Primary Land Use 0101 RESIDENTIAL -SINGLE FAMILY: 1 UNIT Beds / Baths / Half - 2 / 1 / 0 Floors 1 Living Units 1 Actual Area 1,299 Sq.Ft _. ..... _... . 1,027 Sq.Ft Living Area Adjusted Area 1,154 Sq.Ft Lot Size 8,025 Sq.Ft Year Built 1940 Assessment Information Year 2018 2017 2016 $176,539 $176,539 $80 318 $80,318 $0! $0 $256,857i $256,857 $80 676 $79,017 Land Value Building Value XF Value Market Value Assessed Value $176,539 $86,550 $0 $263,089 $263,089 Benefits Information Benefit Type 2018 20171 2016 Save Our Homes Assessment Cap Reduction $176,181 j $177,840 Homestead Exemption $25,000 $25,000 Second Homestead Exemption $25,0001 $25 000 Widow (Exemption $500i $500 Note. Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description BONMAR PK ADD A RE -SUB PB 24-71 W75FT OF LOTS 1 TO 4 INC 5 SIZE IRREGULAR 10700-913 0380 1 Generated On : 8/13/2018 Taxable Value Information 20181 2017 2016 County v Exemption Value _ $0 $50,500 $501500 Taxable Value $263,089 $30,176 $28,517 School Board Exemption Value $0 $25,500 $25,500 Taxable Value $263,089 $55,176 $53,517 City Exemption Value $0 $50,500 $50,500 Taxable Value $263,089 $30,176 $28,517 Regional Exemption Value Taxable Value $0 $50,500 $263,089 $30,176; $50 500 $28,517 Sales Information Previous OR Book - Sale Price Pa a Qualification Description 9 04/25/2018 $325,000 30963-4804 Qual by exam of deed 09/30/2016 $1001 30284-2856 ',Corrective, tax or QCD; min consideration 03/01/11. 980 $40 00-0 10700-09111 3 Sales which are ualified 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 hfp:ltwww.miamidade.gov/info/disclaimer.asp Version: https://www.miamidade.gov/propertysearch/ 8/13/2018 C 'VF I Miami Shores Village JUN 1 Building Department BY: 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC20 o.. BUILDING Master Permit N—(3— ��7iV5 PERMIT APPLICATION Sub Permit No. ❑ BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑ RENEWAL ❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS [:]CHANGE OF CANCELLATION [—]SHOP CONTRACTOR DRAWINGS JOB ADDRESS: / �o A/W W /00 S_�- City: Miami Shores County: Miami Dade Zip: folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): / l/ / d ri Ct U C ?J Phone#: � Address: � J- City: rt, 4e el A Cj L ` J QL Zip: Tenant/Lessee Name: Phone#: Email: AOL-' CONTRACTOR: Company Name: l r� AC01"100r<-gbh Phone#:'34s — 4a7 GS.1 Address: City: Qualifier Name: hone#: 30-&V `-'bf•I � State Certification or Registration #: C C C _ 05 1 %y G Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address:•..s=<<., City: State: Zip: wValue of.Work for this Permit: $ 1 `7 0 . Square/Linear Footage of Work: �b Type of Work:•, ❑ Addition ❑ Alter tion r�1❑ New Repair/Replace ❑ Demolition Description of World. — .'�' 9 e, — I "o :� Gnc� _g- I - ZZOi Spec fy,color of color thru tile: Submittal Fee $ 6Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Structural Reviews $ Training/Education Fee $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ (Revised02/24/2014) Banding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and con n lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recor o commencement must be posted at the job site for the fir 4�n oj� hich occurs seven (7) days after the building perm 4, the absence of such posted notice, the ctt I vi71 nb I ved and a reinspection fee will be charged. Signatu OWNER or AGENT The foregoing instrument was acknowledged before me this day of , 20 by who is personally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: as Signature CONTRACTOR The foregoing instrument was acknowledged before me this da 20 by • ��K, who is p �,rsonally known to me or as roduced , v Q ✓ I(Utl SN as identif cation nd wh did take an oath. I \%gNp1uNp!Ift Sign: Sign: Print: Seal: APPROVED BY Print: Seal: Plans Examiner Structural Review PUBLI •� • O ��i u r ' • B0 do.. ! v64c Una 0 �2$ Ai-;.'E C, STAi� Zoning Clerk (Revised02/24/2014) 06 -Yfnt C6t-rof��loh �l s7s IIJw lsa sA 1141491n r � 7r-i 33/�1� p k 3 o--r- o 7- �s2 CCG 0 ��2 7n SAoVi�ICJrG ate, J �n e, �I�I QED E UN 2g19 BY • t i 1 Dean CudiifierLi �04d;-fielr` �� P'L/7�in 7 1 � A0041 Coi-pordj;,. � Ct'T/ e1 -l- lse Q b -744 r n e� r�� j �P.rini � � �-��/6'-��OS �,✓-� o�,� rlo��eJc�n P,,�ork -TAe. OWnv 1 dr�ve2� GcnceffPd -AXe Wok vs, S' ocercly� Phi Il C/urji� �EYK �wJ