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DS-19-1542Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Issue Location Address Parcel Number 415 NE 105TH ST, Miami Shores, FL 33138 1122310430010 Contacts Permit NO.: DS -07-19-1542 Permit Type: Driveways/Sdevks/Slabs Work Classification: Addidon/Ak eradon Permit Status: Approved Expiration: 01/27/2020 EDWARD AM CARTHY ARCHBISHOP Owner ASSOCIATED SEAL AND COATING, INC Contractor JUAN ANTONIO FRANCO 7805 CORAL WAY 106, MIAMI, FL 33155 Business: 3056656692 Description: SEAL COATING &STRIPPING Valuation: $ 20,721.00 Inspection Requests: 305-762-4949 Total Sq Feet: 100,000.00 Fees Amount Application Fee - Other $50.00 CCF $12.60 Concrete/asphalt/pavers, slabs, dways, $5,025.00 swalks $0.00 DBPR Fee $76.13 DCA Fee $50.75 Education Surcharge $4.20 Planning and Zoning Review Fee $35.00 Scanning Fee $9.00 Technology Fee $126.88 Total $5,389.56 Payments Date Paid Amt Paid Total Fees $5,389.56 Credit Card 07/05/2019 $50.00 Check # 51499 07/29/2019 $5,339.56 Amount Due: $0.00 Building Department Copy 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. OWN ER&IFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regula ng construction and zoning. Futhermore, I authorize the above named contractor to do the work stated. / Applicant / Contractor / Agent Date July 29, 2019 Page 2 of 2 2019 FLORIDA NOT FOR PROFIT CORPORATION ANNUAL REPORT FILED DOCUMENT# N99000001604 Jan 26, 2019 Entity Name: ARCHDIOCESE OF MIAMI, INC. Secretary of State 025418989OCC Current Principal Place of Business: 9401 BISCAYNE BOULEVARD MIAMI SHORES, FL 33138 Current Mailing Address: 9401 BISCAYNE BOULEVARD MIAMI SHORES, FL 33138 FEI Number: 65-0909504 Certificate of Status Desired: No Name and Address of Current Registered Agent: FITZGERALD, J. PATRICK ESQ. 110 MERRICK WAY SUITE 3-B CORAL GABLES, FL 33134 US The above named entity submits this statement for the purpose of changing its registered office or registered agent, or both, in the State of Florida. SIGNATURE: Electronic Signature of Registered Agent Date Officer/Director Detail Title PD Name WENSKI, THOMAS GERARD Address 9401 BISCAYNE BOULEVARD City -State -Zip: MIAMI SHORES FL 33138 Title T Name CATANIA, JOSEPH A Address 9401 BISCAYNE BOULEVARD City -State -Zip: MIAMI SHORES FL 33138 Title AT Name CASCIATO, MICHAEL A Address 9401 BISCAYNE BOULEVARD City -State -Zip: MIAMI SHORES FL 33138 Title VPD Name WORLEY, ELIZABETH SISTER Address 9401 BISCAYNE BOULEVARD City -State -Zip: MIAMI SHORES FL 33138 Title SD Name JEANTY, CHANEL REV Address 9401 BISCAYNE BOULEVARD City -State -Zip: MIAMI SHORES FL 33138 Title AS Name FITZGERALD, J. PATRICK ESQ. Address 110 MERRICK WAY, SUITE 3-B City -State -Zip: CORAL GABLES FL 33138 I hereby certify that the information indicated on this report or supplemental report is true and accurate and that my electronic signature shall have the same legal effect as i/ made under oath; that I am an officer or director of the corporation or the receiver or trustee empowered to execute this report as required by Chapter 617, Florida Statutes; and that my name appears above, or on an attachment with all other like empowered. SIGNATURE: SISTER ELIZABETH A. WORLEY VPD 01/26/2019 Electronic Signature of Signing Officer/Director Detail Date Property Search Application - Miami -Dade County Page 1 of 1 OFFICE OF THE PROPERTY AP RAISER Summary Report Property Information Folio: 11-2231-043-0010 Property Address: 10690 NE 5 AVE Miami Shores, FL 33138-2000 Owner EDW A MCCARTHY-ARCH BISHOP Mailing Address 9401 BISC BLVD MIAMI, FL 33138-2970 PA Primary Zone 8000 COMMUNITY FACILITIES Primary Land Use 7144 RELIGIOUS - EXEMPT: RELIGIOUS Beds / Baths / Half 0/0/0 Floors 2 Living Units 0 Actual Area Sq.Ft Living Area Sq.Ft Adjusted Area 86,472 Sq. Ft Lot Size 1358,934 Sq. Ft Year Built I Multiple (See Building Info.) Assessment Information Year 2019 2018 2017 Land Value ! $1,076,802 $1,076,802 $1,076,802 Building Value $9,256,204 $9,283,721 $9,311,238 XF Value $1,489,822 $1,505,321 $1,520,818 Market Value $11,822,828 $11,865,8449 $11,908,858 Assessed Value 1 $11,822,828 $11,865,844 $11,908,858 Benefits Information Benefit Type 2019 2018 2017 Religious Exemption 1 $11,822,828 $11,865,844 $11,908,858 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). IShort Legal Description I 31 52 42 8.24 AC MIAMI SHORES SEC 5 PB 43-48 TRA LOT SIZE 358934 SQUARE FEET Generated On : 7/5/ Taxable Value Information 2019 2018 2 County Exemption Value $11,822,828 $11,865,844 $11,908 Taxable Value $0 $0 School Board Exemption Value $11,822,828 $11,865,844 $11,908. Taxable Value $0 $0 City Exemption Value $11,822,828 $11,865,844 $11,908. Taxable Value $0 $0 Regional Exemption Value $11,822,828 $11,865,844 $11,908 Taxable Value $0 $0 Sales Information Previous Sale I Price I OR Book -Page Qualification Descriptioi 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 hftp://www.miamidade.gov/info/disclaimer.asp Version: https://www8.miamidade.gov/Apps/PA/propertysearch/ 7/5/2019 Property Search Application - Miami -Dade County Page 1 of 1 OFFICE OF THE PRGFrtRTY APPRA,SER Summary Report Property Information Folio: 111-2231-043-0010 2019 Property Address: 10690 NE 5 AVE !Miami Shores, FL 33138-2000 Owner EDW A MCCARTHY-ARCH BISHOP Mailing Address 9401 BISC BLVD MIAMI, FL 33138-2970 PA Primary Zone 8000 COMMUNITY FACILITIES Primary Land Use 7144 RELIGIOUS - EXEMPT: RELIGIOUS Beds / Baths / Half 0/0/0 Floors 2 Living Units 0 Actual Area Sq.Ft Living Area Sq.Ft Adjusted Area 86,472 Sq. Ft Lot Size 358,934 Sq.Ft Year Built Multiple (See Building Info.) Assessment Information Year 2019 2018 2017 Land Value $1,076,802 $1,076,802 $1,076,802 Building Value $9,256,204 $9,283,721 $9,311,238 XF Value $1,489,822 $1,505,321 $1,520,818 Market Value $11,822,828 $11,865,844 $11,908,858 Assessed Value $11,822,828 $11,865,844 $11,908,858 Benefits Information Benefit Type 2019 2018 2017 Religious Exemption 1 $11,822,828 $11,865,844 $11,908,858 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description I 31 52 42 8.24 AC MIAMI SHORES SEC 5 PB 43-48 TRA LOT SIZE 358934 SQUARE FEET Generated On : 7/5/ Taxable Value Information 7771 2019 2018 2 County Exemption Value $11,822,828 $11,865,844 $11,908 Taxable Value $0 $0 School Board Exemption Value $11,822,828 $11,865,844 $11,908. Taxable Value $0 $0 City Exemption Value $11,822,828 $11,865,844 $11,908 Taxable Value $0 $0 Regional Exemption Value $11,822,828 $11,865,844 $11,908 Taxable Value $0 $0 Sales Information Previous Sale Price OR Book -Page Qualification Descriptioi 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 Version: https://www8.miamidade.gov/Apps/PA/propertysearch/ 7/5/2019 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. Signature Signatu OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing inLtrument was acknowledged before me this 17 day of 20 161 by dayofC i .20 IQ by who is p rson I y k�o _�' �� i fal') CC) , who is personally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: Print: 7'�t / eQ_✓I 1 ID S Seal: Public State of Florida Kathleen M Boat Kathleen My Commission GG Expires 04/0212023 Lnj 306814 * APPROVED BY (Revised02/24/2014) as me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign: f Print: a Seal: 3 `' as Plans Examiner O Zoning Structural Review Clerk 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 RECEIVED JUL 0 51019 FBC 201 BUILDING Master Permit No.19 "'611Z PERMIT APPLICATION Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL F-1 PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: HI -15- "I I —15 06-7 10":3n+ City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: C__j 1C) Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Phone#: Address: 9wo 0 gl lnr T; 1 y c�) City: rnI(Z>vYi I State: TL Zip: Tenant/Lessee Name: Phone#: ' Email: CONTRACTOR: Company Name: [, IQ� I'ol LD�IrA Phone#: 130� CO&/ Cj:. Address:L�`� - V2 (C_X? \ V\lC N +i- 1 CD10 City: Y n i C4 ---i i State: _F1 zip:,_(��5� Qualifier Name: _Gvcr, Phone#: State Certification or Registration #: E' vl' �25 I On Certificate of Competency #: DESIGNER: Architect/Engineer: k )) 14r Phone#: Address: City: State: Zip: Value of Work for this Permit: $ Square/Linear Footage of Work: (DO, oca Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition Description of Work: �C'Z 1� i��� 1 rtic lam, �� jam' I � �� 1'Yc- L-Xl�+ly=lA Specify color of color thru tile: Submittal Fee $452�Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Technology Fee $ Structural Reviews $ (Revised02/24/2014) Radon Fee $ Training/Education Fee $ DBPR $ Notary Double Fee $ Bond $ TOTAL FEE NOW DUE $ Q• - 1 1/2- RADcuS'(Til?.) NGlZ�. TOP POA71011 W S1Ut SS4AU NAVA A J;L, _1oar LD •� — 9 UE 9A7CCi0UNJ MTH WH17E RUUCIOCW"P'lc cN� ANO 6OROU. P•=,Rr } —> rDri,I J _ 9aTTGu PORTION Or $1CN SHALL NA�� A , REZCT0;t1.Eo riMITE BACXZAOUNo 1KTH O' -ACK IDPAOUC rI r O�LY LZCLNO Al<0 BOROER. a TOW AWAY ZOti_ <. PROMDE Ot<E SIGH rOR EACH MAN-1CAP PAAKIPAG SLAC` uoul;r D ON A C.ALY. 1RC<, PlP� NITH I' in FIE „250.00RCUNO BY }S- LONC COY:JIT_' rOJ11OA:lO.Y. BOTIOu CI 57CH 9.t BE 7_0- A90VI- rw1s>4 CRADC.. HANDICAP STALL & 'SIGN N.T.S. ;e . Pe • � t s s7-vr CO