PL-18-228Miami Shores Village
10050 N.E. 2nd Avenue NW
Miami Shores, FL 33138-0000
"a` Phone: (305)795-2204
F�ORI'D
Permit No. PL -1-18-228
Permit Type: Plumbing - Residential
Work Classification. Addition/Alteration
I
Permit Status: APPROVED
issue flow: 5114/2018 I Expiration: 11/10/2018
Project Address Parcel Number Applicant
84 NW 104 Street 1121360131070
Miami Shores, FL 33150-1238 Block: Lot: ALYKAY INVESTMENTS LLC
��n�wi��m mr mr�i nen
Owner Information Address Phone * Cell
ALYKAY INVESTMENTS LLC 84 NE 104 Street (305)219-8267
FL
Contractor(s) Phone Cell Phone
E.F. DESIGN & CONSTRUCTION INC (305)409-4581
Type of Work: PLUMBING AS PER PLAN TWO BATHROOMS
Type of Piping:
Additional Info:
Bond Return :
Classification: Residential Scanning: 1
Fees Due
Amount
CCF
$1,80
DBPR Fee
$3.38
DCA Fee
$2.25
Education Surcharge
$0.60
Penalty Fee
$100.00
Permit Fee
$225.00
Scanning Fee
$3.00
Technology Fee
$2.40
Work without Permit Fee
$225.00
Total:
$563.43
Valuation: $ 2,200.00
Total Sq Feet: 0
Pay Date Pay Type Amt Paid Amt Due
Invoice # PL -1-18-66269
05/14/2018 Credit Card $ 563.43 $ 0.00
Avaname
Inspection Type:
Top Out
nderground
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construcxion d zoning. Fut ermore, I auth a the abQv -named c ntractor to do,the work stated.
�(�(� May 14, 2018
Authorized Signature: Owner / Applicant / Contra / Agent Date
Building Department Copy
May 14, 2018 1
BUILDING
PERMIT APPLICATION
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
❑BUILDING ❑ ELECTRIC ❑ ROOFING
RFCEIVEJ
JAN # s 2e18 IL
0
FBC 20 n
Master Permit Not G I i, 2Z--7
Sub Permit NoPL.., �� '?-2-2r
❑ REVISION ❑ EXTENSION ❑RENEWAL
{PLUMBING F-1MECHANICAL ❑ PUBLIC WORKS [:]CHANGE OF ❑ CANCELLATION ❑ SHOP
; CONTRACTOR DRAWINGS
JOB ADDRESS: 8tL ,k) -W- I6 Y54---
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: 11-7/.36 0/1Z,070 Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): 1q1 / ZC19��Pn J Phone#:20 J_-2/ /" �z�
¢ !� ✓�f
Address: 10/ 7 Qi_ rg!:4'7e Qluell
City: 14(4m; Sha re./ State: Zip: 33 &L
Tenant/Lessee Name: Phone#:
Email
CONTRACTOR: Company Name: IC' -r 1bPSJV2 q ,,7 0 CUA5 �Cc 1��� �• Phone#: _�OT VzO /
Address: n 24 7 lut�/
City: " , 1—C h rrA State:y-L
Qualifier Name: '0ag / fc �6rjo Phone#:
State Certification or Registration #: r --(-c ! ti 2 9771 Certificate of Competency #: _
DESIGNER: Architect/Engineer:
ne#:
p: � ?D 2 0
Address: City: State: Zip:
Value of Work for this Permit: $ 7— 200' 40 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration F-1New Repair/Replace E:1Demolition
Description of Work: 0/&&' be e ( g f % Pr d X ,. O 4P Ale, �
e2, S ^ h
Specify color of color hru tile:
Submittal Fee $ r• R�„i,*3`r:Permit Fee $
Scanning Fee $ Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $
(Revised02/24/2014)
`f' 3uh ,47.. k2
` 'y i(� C°81� • "'.7". i ala _!" .t,�i
CCF $ , i � •'�C04/CCS$
DBPR $ Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $
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 ab ce of such posted notice, the
inspection will not be approved and a reinspection fee_wobe charged. (�D
Signatu
NER or
The foregoing instrument was acknowledged before me this
/ day of 2y46 20 Krby
Ii�Ei v&.4>0 e) 144/fA11;10 = e--, w 's personally know
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Signature
The foregoing instrument was acknowledged before me this
/ n day of ?—'74 20 %� by
Or f 9 i oio 'FQ I a �O whis personally know to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign: Sign:
Print: r Print:,��r
v'P& SANDY ROMERO
Seal: Notary Public - State of Florida Seal:
;�.` Commission # FF 915708
'�
My Comm. Expires Sep 7, 2019
�''�` `�� Bonded
APPROVED BY l�v'U Plans Examiner
Structural Review
(Revised02/24/2014)
SANDY ROMERO
Notary Public - State'of Florida
Commission # FF 915708
My Comm. Expires Sep 7, 2019
Zoning
Clerk
Property Search Application - Miami -Dade County Page 1 of 1
OFFICE OF THE PROPERTY APPRAISER
Summary Report
Property Information
Folio:
11-3206-013-0060
Property Address:
9145 N MIAMI AVE
Miami Shores, FL 33150-2262
Owner
ALYKAY INVESTMENTS LLC
Mailing Address
9017 BISCAYNE BLVD
MIAMI SHORES, FL 33138 USA
PA Primary Zone
1000 SGL FAMILY - 2101-2300 SQ
Primary Land Use
0101 RESIDENTIAL -SINGLE
FAMILY: 1 UNIT
Beds / Baths / Half
2/2/0
Floors
1
Living Units
1
Actual Area
2,819 Sq.Ft
Living Area
2,239 Sq.Ft
Adjusted Area
2,361 Sq.Ft
Lot Size
14,339 Sq.Ft
Year Built
1952
Assessment Information
Year
2017
2016
2015
Land Value
$322,481
$322,481
$245,125
Building Value
$164,325
$164,325
$164,325
XF Value
$25,057
$25,080
$20,086
Market Value
$511,863
$511,886
$429,536
.......... _-1 111- ............
Assessed Value
$184,9671
$181,163
$179,904
Benefits Information
2017 2016' 2
.......1111 ____._.__.._ t. .............. 1111 _.._1 _ _ 1__._.___...__. 1111.....
County
Exemption Value
Benefit
Type
2017
2016 2015
......... ._........... _.-.... _._...........................
Save Our Homes
-
Assessment
1111
$326,896
$330,723 $249,632
Cap
Reduction
$25,000
$25.
Homestead
Exemption
$25,000
$25,000 $25,000
Second
Exemption
$25,000
$25,000 $25,000
Homestead
Taxable Value
$134,967
$131,163
Note: Not all benefits are applicable to all Taxable Values (i.e. County,
School Board, City, Regional).
Exemption Value
1 $50,000
IShort Legal Description
MIAMI SHORES SEC 1 AMD PB 10-70
LOTS 10&11 BLK 1
LOT SIZE 110.300 X 130
OR 11238-2247 1081 1
Generated On : 1/29/
Taxable Value Information
2017 2016' 2
.......1111 ____._.__.._ t. .............. 1111 _.._1 _ _ 1__._.___...__. 1111.....
County
Exemption Value
$50,000
1 $50,000
$50.
Taxable Value
$134,967
$131,163
$129.
School Board
Exemption Value
$25,000
$25,000
$25.
Taxable Value
$159,967
$156,163
$154.
City
Exemption Value
$50,000
$50,000
$50.
Taxable Value
$134,967
$131,163
$129
Regional
Exemption Value
1 $50,000
$50,000
$50.
Taxable Value
$134,967
$131,163
$129.
Sales Information
Previous
Price
OR Book -
Description
Sale
PageQualification
Atypical exposure to market; atypic
08/24/2017
$410,000
30768-3329
motivation
Atypical exposure to market; atypic
08/16/2017
$275,000
30729-1101
motivation
Corrective, tax or QCD; min
08/23/2016
$100
30243-4048
consideration
10/01/1981
$125,000
11238-2247
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 Appra
and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http://www.miamidade.gov/info/disclaimer.asp
http://www.miamidade.gov/propertysearch/
1/29/2018
Notice to Owner — Workers' Corn
Miami shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
nsation Insurance Exemption
Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05
allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to
obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure:
An employer in the construction industry who employs one or more part-time or full-time
employees, including the owner, must obtain workers' compensation coverage. Corporate officers
or members of a limited liability company (LLC) in the construction industry may elect to be
exempt if:
1. The officer owns at least 10 percent of the stock of the corporation, or in the case of
an LLC, a statement attesting to the minimum 10 percent ownership;
2. The officer is listed as an officer of the corporation in the records of the Florida
Department of State, Division of Corporations; and
3. The corporation is registered and listed as active with the Florida Department of
State, Division of Corporations.
No more than three corporate officers per corporation or limited liability company members are
allowed to be exempt. Construction exemptions are valid for a period of two years or until a
voluntary revocation is filed or the exemption is revoked by the Division.
Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use
day labor, part-time employees or subcontractors for your project. The contractor has provided an affidavit stating that he or she will
be the only person allowed to work on your project. In these circumstances, Miami Shores Village does not require verification of
workers' compensation insurance coverage from the contractor's company for day labor, part-time employees or subcontractors.
BY SIGNING BELOW YOU ACKNOW DGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS
CONTENTS.
State of Florida
County of Miami -Dade
The foregoing was acknowledge before me this I day of ;�`� _,20
ByiQC/N/ILI,D J. fE.QN9NOE Z. who is personally known to me or has produced
as identification.
Notary:
SEAL:
,y p SANDY ROMERO
i i" Notary Public - State of Florida
My Comm. Expires Sep 1, 2019
Bonded through National Notary Assn.
KF DESIGN & CONSTRUCTION, INC.
297 NW 152ND AVENUE
PEMBROKE PINES, FL 53026
AFFIDAVIT
I, Edgar M. Fajardo, will be the only person working on the project at
84 NW 104TH ST MIAMI SHORES, FL 33150
Edgar M. Fajardo
(305) 219-8267
daviddapc@gmai
Signature:
The foregoin r t was acknowledged before me this day of 2y��
20 JL_,
By I—x ( -e, oho who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Signature: I)WW V -&W -UW
Print:,-. crb
Sea SANDY ROMERO
Notary Public .
Comm'#Slon State of Florida
,•••••°.�++.�� m, ExplresFS 915708
My Com
Bortdedvvmv; euoup �, 2019
ar1'Ass 9