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FW-19-1431Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 i issue Date: 08/13/2019 Location Address Parcel Number 10390 NE 2ND AVE, Miami Shores, FL 33138 1121360130751 Contacts Permit NO.: FAV -06-1 -Wi Permit Type: Ferlee/Wall Werk Classification: Wire Fence Permit Status: Approved Expiration: 02/10/2020 Advent Church of Miami Shores Owner ON CONSTRUCTIONS CORP Contractor 10390 NE 2 AVE, MIAMI SHORES, FL 33138-2055 ALESIA ORTEGA Business: 7863567184 OPJCONSTRUCTION@GMAIL.COM Description: U HIGH CHAINLINK FENCE Valuation: $ 400.00 Inspection Requests: 36062-499 Total Sq Feet: 0.00 Fees Amount Application Fee - Other $50.00 CCF $0.60 DBPR Fee $2.06 DCA Fee $2.00 Education Surcharge $0.20 Planning and Zoning Review Fee $35.00 Scanning Fee $9.00 Technology Fee $3.43 Wire and Wood Fence Fee $87.00 Total: $189.29 Building Department Copy Payments Date Paid Amt Paid Total Fees $189.29 Check # 2070 08/13/2019 $189,29 Amount Due: $0.00 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 construction and zoning. Futhermore, I authorize the above named contractor to do the work stated. Authorized Signature: Owner / Applicant / Contractor / *'fat Date August 13, 2019 Page 2 of 2 BUILDING PERMIT APPLICATION ;48UILDING [3 ELECTRIC Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 JUN 2 1 2019 BY: -- Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (30S) 762-4949 FBC 201 i Master Permit No. rVy �)� _ T3 Sub Permit No. ROOFING REVISION EXTENSION ,[—]RENEWAL PLUMBING ❑ MECHANICAL PUBLIC WORKS '❑ CHANGE OF [3 CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: �0 3em lip, 2 k () City:_ Miami Shores County Miami Dade Zin• Folio/Parcel#: 4 Is the Building Historically Designated: Yes NO Occupancy Type: ' if oad: Construction Type: Flood Zone: BFE: FFE: f" OWNER: Name (Fee Simple Titleholder): Sa . 1 A � LA •�-L. � Y a w �I�ne#: � p Address: (0 3 9 0 96 Z City: LA --.!u State: C— Zip: Tenant/Lessee Name: 11�o.V . T !a.,rc— �� . .�_N Phone#: Email: CONTRACTOR: Company Name: ` Phone#: / d'(la 5-h 71 i 54/ Address: qzve City' State: Zip ,,moi. f Qualifier Name: �s / /� Phone#• $/kl 3 J" 10.7/ oV State Certification or Registration #: 66,152 ;? Certificate of Competency #- --1-N DESIGNER: Architect/Engineer: GL Phone#: Address ea �• 3/J t� City state: Zip: 3p: 346 � O 7 Value of Work for this Permit: $ �l4 Square/Linear Footage of Work: / L- . Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑Demolition Description of Work: 9=0— J �l as I �_ Q r r / ew / - 7/. _ -177 / "V —' i/ Gi t Specify color of color thru tile: Submittal Fee $ Permit Fee $ CCF $ CO/CC $ Scanning fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $__ Structural Reviews $ Bohd $ (Revised02/24/2014) TOTAL FEE NOW DUE $ e Scanned with CamScanner Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address Zip 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: 1 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 on estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien low 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 occur seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not b a prove and ohinspecdgp fee will be charged. "UW11r Of AGtNT The foregoing instrumen was acknowledged before me this �_ day of 20 / /'-, by — who is personally known to e or who has produced/gj 0 as identification and who did take an oath. NOTARY PUBLIC: Print: Seal: ]��((JEFFRY P K114 ■?�1 MY COMMISSION # FF947167 ", C00' EXPIRES: Dmz6a 30, 2019 OF Signature CONTRACTOR The foregoing instrument was acknowledged before me this o� day of 20-/ by G r who is perso t�evv to me or who has produced as identification and who did take an oath NOTARY PUBLIC: Print: Seal: APPROVED BY / v Plans Examiner _ Structural Review (Re-ised02/24/2014) JEFFRY PEREZ MY COMMISSION # FF947167 EXPIRFS: D --ba 30, 2019 Zoning Clerk Scanned with CamScanner Property Search Application - Nliami-Dade County Page 1 of 1 OFFICE oF THE PROPERTY APPRAISER Summary Report Property Information Folio: 11-2136-013-0751 Property Address: 10390 NE 2 AVE Miami Shores, FL 33138-2055 Owner ADVENT LUTHERAN CH OF MIA SHORES Mailing Address 10390 NE 2 AVE MIAMI SHORES, FL 33138.2055 PA Primary Zone 1000 SGL FAMILY - 2101-2300 SQ Primary Land Use 7144 RELIGIOUS - EXEMPT: RELIGIOUS Beds I Baths I Half 0/0/0 Floors 1 Living Units 0 Actual Area Sq.Ft Living Area Sq.Ft Adjusted Area 11,807 Sq.Ft Lot Size 46,499 Sq.Ft Year Built 1950 Assessment Information Benefit Type 2018 Year 2018 2017 2016 Land Value $1,160,674 $1,160,674 $998,936 Building Value $666,854 $666,854 $635,099 XF Value $47,362 $47,377 $47,392 Market Value $1,874,890 $1,874,905 $1,681,427 Assessed Value $1,671,859 $1,519,872 $1,381,702 Benefits Information Benefit Type 2018 2017 2016 Non -Homestead Cap Assessment Reduction $203,031 $355,033 $299,725 Religious Exemption $1,671,859 $1,519,872 $1,381,702 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description MIAMI SHORES SEC 5 PS 10-47 LOTS 1 THRU 6 8 LOT 23 BLK 122 LOT SIZE IRREGULAR Generated On : 6/3/2019 Taxable Value Information 2018 2017 2016 County Exemption Value 1 $1,671,859 $1,519,872 $1,381,702 Taxable Value $0 $0 $0 School Board Exemption Value $1,874,890 $1,874,905 $1,681,427 Taxable Value $0 $0 $0 City Exemption Value 1 $1,671,859 $1,519.8721 $1,381,702 Taxable Value $0 $0 $0 Regional Exemption Value $1,671,859 $1,519,872 $1,381,702 Taxable Value $0 $0 $0 Sales Information Previous Sale 7 Price OR Book -Page Qualification Description 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 http:ihvww.miamidade.govfinfo/disclaimer.asp Version: https://www8.miamidade-gov/Apps/PA/propertysearch/ 6/3/2019 Scanned with CamScanner (Requestor's Name) (Address) (Address) (City/StatWip/Phone #) PICK-UP ❑ WAIT [:] MAIL (Business Entity Name) (Document Number) Certified Copies Certificates of Status Special Instructions to Filing Officer. Office Use Only 07/12/06--011304--014 *#52.50 r... r►s u' Iw ... M C- -r- r- CP co 4D--% •. s ; I/ i ,NN FLORIDA DEPARTMENT OF STATE Division of Corporations June 27, 2006 Rev. Jean-Pierre F. Marc -Charles Advent Lutheran Church 10390 N.E. 2nd Avenue Miami Shores, FL 33138 SUBJECT! ADVENT LUTHERAN CHURCH OF MIAMI SHORES, FLORIDA Ref. Number: 702758 j We have received your document for ADVENT LUTHERAN CHURCH OF MIAMI SHORES, FLORIDA and check(s) totaling $52.50. However, the enclosed document has not been filed and is being returned to you for the following reason(s): The name of the corporation must contain a corporate suffix. This suffix may be: CORPORATION, CORP., INCORPORATED, or INC. Sections 617.0401(1)(a) and 617.1506(1), Florida Statutes, prohibits the use of the word COMPANY or CO. in the name of a non-profit corporation. The written amount on the check is Fifty -Two and 00/100, but the numberical amount is $52.50. Please correct. Please return a copy of this letter along with your document to ensure proper handliPg. 0 Iou't�ave any questions concerning this matter, please either respond in writing o all P50) 245-6901. Su n Bayne Se r $action Administrator Letter Number: 606AO0042445 1 ' Division of Corporations - P.O. BOX 6327 -Tallahassee, Florida 32314 COVER LETTER ' Il TO: Amendment Section Division of Corporations DOCUMENT NUMBER: 702758 The enclosed Articles ojAmendment and fee are submitted for filing. Please return all correspondence concerning this matter to the following: Rev. Jean—Pierre F. Nare—Charles (Name of Contact Person) Adyent-_Iutheran r1m7rch (Firm/ Company) 10390_N.E. 2nd Avenue (Address) Miami Shores,, F7. 33735 (City/ State and Zip Code) For further information concerning this matter, please call: F j ;krc-rhnrjp- at 305 i 757-1 R9 iP t'y (Name of Contact Person) (Area Code & Daytime Telephone Number) -7 Enc osed_ . is a check for the following amount: !• ❑i35 Filing Fee ❑$43.75 Filing Fee & ❑$43.75 Filing Fee&$52.50 Filing Fee Certificate of Status Certified Copy of Status (Additional copy is Certified Copy enclosed) (Additional Copy is enclosed) Mailine Address Amendment Section Division of Corporations P.O. Box 6327 Tallahassee, FL 32314 Street Address Amendment Section Division of Corporations Clifton Building 2661 Executive Center Circle Tallahassee, FL 32301 Articles of Amendment to Articles of Incorporation of r' L]✓YldYl ILMAM 0=0 (F 4M TAM1 y7MM50 FM+1�,lMA, NC -- (Name of corporation as currently filed with the Florida Dept. of State) 702758 (Document number of corporation (if known) Pursuant to the provisions of section 617.1006, Florida Statutes, this Florida Not For Profit Corporation adopts the following amendment(s) to its Articles of Incorporation: NEW CORPORATE NAME (if changing): .;T- MN T 7lT MAN C'4 MCH QF MTAM1 SW , F QRIM, TN[` _ (must contain the word "corporation," "incorporated," or the abbreviation "corp." or Inc." or words of like import in language; "Company" or "Co." may not be used in the name of a not for profit corporation) AMENDMENTS ADOPTED- (OTHER THAN NAME CHANGE) Indicate Article Number(s) and/or Article Title(s) being amended, added or deleted. (BE SPECIFIC) (continued) The date of adoption of the amendment(s) was: 6 2-3 106 Effective date if a i� ice„ cable: 6/23/06 (no more than 90 days after amendment file date) Adoption of Amendment(s) (CHECK ONE) The amendment(s) was (were) adopted by the members and the number of votes cast for the amendment was sufficient for approval. j] There are no members or members entitled to vote on the amendment. The amendment(s) was (were) adopted by the board of directors. Signature (Sy the chairman or vice chairman of the board, president or other officer- if directors have not been selected, by an incorporator- if in the hands of a receiver, trustee, or other court appointed fiduciary, by that fiduciary.) ARTAN E. Qr TVTER (Typed or printed name of person signing) PRESIDENT (Title of person signing) Detail by Entity Name Florida Department of Slate � ti� ��.., . . .lrjp ,jfl��,„r�,; Departnlenl of State / Division of Corporations / Search Reeords / Detad By Docunwl Number / Detail by Entity Name Florida Not For Profit Corporation ST. JOHN LUTHERAN CHURCH OF MIAMI SHORES, FLORIDA, INC. FlIft Information Document Number 702758 FEI/EIN Number 59-6522047 Date Filed 08/04/1961 State FL Status ACTIVE Last Event REINSTATEMENT Event Date Filed 02/20/2014 Principal Address 10390 NE 2ND AVE MIAMI SHORES, FL 33138 Changed: 01/19/2000 Mailing Address 10390 NE 2ND AVE MIAMI SHORES, FL 33138 Changed: 01/19/2000 Realstered Agent Name 3 Address MARC -CHARLES, JEAN -PIERRE F, REV. 10390 NE 2ND AVENUE MIAMI SHORES, FL 33138 Name Changed: 05/01/2003 Address Changed: 05/01/1996 Officer/Director Detail Name 3 Address Title T JOSEPH, NIKYE 36801nverrary #3A Lauderhill, FL 33319 Pagel of 3 D'.V,iIC.N .F CORP ATiJ'/y http://search.sunbiz.org/Inquiry/CorpomtionSearchISearchResultDetail?inquirytype=Entity... 6/3/2019 Scanned with CamScanner Detail by Entity Name Page 2 of 3 Title President Camille, Boris 84 NE 150 Street MIAMI, FL 33161 Title D AZOR, JUANO 810 NW 96 STREET MIAMI, FL 33142 Title T CHARLOT, DANIELLE 84 NE 150 STREET MIAMI, FL 33161 Title REV. I�MQARC C� H— ARLES, JEAN -PIERRE- FF 8601 SW 123RD STREET MIAMI, FL 33156 Title D PRESUME,MARC 919 HILLCREST DRV HOLLYWOOD, FL 33021 Annual Reports Report Year Filed Date 2017 01/19=17 2018 03/01/2018 2019 02/05/2019 Document Images 021052019 - ANNUAL REPORT View image in PDF format 03/01/2018 - ANNUAL REPORT View Image in PDF format 01/19/2017 - ANNUAL REPORT View linage In PDF lormat 03/10!2016 - ANNUAL REPORT View Image in PDF format 0326/2015 -- ANNUAL BEPORT View image in PDF formal 02/022012 - ANNUAL REPORT View image in PDF format 02/112011 - ANNUAJ REPORT/ V*w image in PDF format 022612010 - ANNUAL REPORT Mew Image in PDF format Olin MM .. ANNUAL REPORT View image in PDF format Q=- 20Rf_ANNUAL REPORT View image in PDF !armor! 02/152007 - ANNUAL REPORT View image m PDF format 07/122006 - Name Chanae View image in PDF format 02107 - ANN A R P_= View Image in PDF format http://search.sunbiz.ori Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... 6/3/2019 Scanned with CamScanner Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner —Workers' Compensation 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: 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; The officer is listed as an officer of the corporation in the records of the Florida Department of State, Division of Corporations; and 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 ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS �% /7 Signature: State of Florida County of Miami -Dade The foregoing was acknowledge before me this day of l .c. 20�*% By G4/1? �/ �iCC • who isersonally known to me or has produced 77 30 -7 as identification. Notary: -L JJEFFRY P Z, SEAL: MY COMMISSION '�0MOV` EXPIRES: Dmcmba 30, 2019