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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and con n lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recor o commencement must be posted at the job site
for the fir 4�n oj� hich occurs seven (7) days after the building perm 4, the absence of such posted notice, the
ctt I vi71 nb I ved and a reinspection fee will be charged.
Signatu
OWNER or AGENT
The foregoing instrument was acknowledged before me this
day of , 20 by
who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
as
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
da 20 by
• ��K, who is p �,rsonally known to
me or as roduced , v Q ✓ I(Utl SN as
identif cation nd wh did take an oath. I \%gNp1uNp!Ift
Sign: Sign:
Print:
Seal:
APPROVED BY
Print:
Seal:
Plans Examiner
Structural Review
PUBLI •� • O ��i
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v64c Una 0 �2$
Ai-;.'E
C, STAi�
Zoning
Clerk
(Revised02/24/2014)
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