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RC-18-20234 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 PERMIT APPLICATION UILDING ❑ ELECTRIC ❑ ROOFING JU 3 0 2018 ((A� BY: FBC 200 ' Master Permit No.l U O " Z07- 3 Sub Permit No. ❑ REVISION ❑ EXTENSION EJRENEWAL ❑PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP # CONTRACTOR DRAWINGS JOB ADDRESS: Z 7&, � AD 7 S /— City: Miami Shores Countv: Miami Dade ZiD: --?-71r5"/ Folio/Parcel#: 11ZZ.1—?6" M 7 Qf /K is the Building Historically Designated: Yes NO _ I&e-I Occupancy Type: A Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (FeeSimpleTitle me Address: ti") Pal ' /�' � City: ^�Arn Tenant/Lessee Name: Email: �i`1281,V 12 ` CONTRACTOR: Company Name: Address: /E-7-f-7 - City: SivJl`' K /zt/- add�- State: AZ Zip: Qualifier Name: State Certification or Registration #: DESIGNER: Architect/Engineer: Address: /%/�.�- City: State.ip: Value of Work for this Permit: $ ,—,/14t2(Ae!`� Square/Linear Footage of Work: Type of Work: ❑ [19 Addition Aiteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: /�F,��i/C ��Cc/G✓il� an Z �,e�f/I`�s 0",7 Specify color of color thru tile: Submittal Fee Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ DBPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ %/ 7 (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 Signature ��p Ht(4)0 t Y i 24 ERo tiE The ffo�Wing instrume"a cknowledged before me this vJ day of 20 _ JJ by o is perrsoonally known to me or who has produced -a! S K tfl?as identification and who did -take an oath. NOTARY PUBLIC: Print: Signature CON ACTOR The ;7going instrument as acknowledged before me this I _ day of C/ ( 20 by who is personally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: Pri as _ Notary Pu Iic - ate of Florida Seal: �'° Seal: �l s; My Comm. b6ires Sep 24, 2018 ''•;`oc vS:•` COmmISSIOn N FF 162847 ,a wylyfa, ,,/ Marta Sanchez rt*rtrtrtrtrtrtrtrtrtrtrtrtrt*rtrtrtrtrtrtrtrtrtrtrtrtrtrtrtrtrtrt*rtrtrtrt*rtsrt**rt*rtrt*rt*rt*rtrtrtrtrt*****rtrt**e#V* rt'r*frt��K#;MMM'M�IrskSKt►#YM�A�fr�lrM+rt*rt***rt** xpireS: May 26, 2021 ,,�..�,,..��Bonded thru Aaron Notary APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) G< 7/26/2018 Property Search Application - Miami -Dade County `E '**F THE PnOPERTYA" Aff"RA U �r�,' 1"ER Summary Report Property Information Folio: 11-2136-007-0340 Property Address: 17 NE 107 ST Miami Shores, FL 33161-7029 Owner HOWARD HENRIQUES Mailing Address 565 NE 53 ST MIAMI, FL 33137 USA PA Primary Zone 1000 SGL FAMILY - 2101-2300 SQ Primary Land Use 0101 RESIDENTIAL -SINGLE FAMILY: 1 UNIT Beds / Baths / Half 3/2/0 Floors 1 Living Units 1 Actual Area 2,042 Sq.Ft Living Area 1,540 Sq.Ft Adjusted Area 1,758 Sq.Ft Lot Size 9,225 Sq.Ft Year Built 1948 Assessment Information Year 2018 2017 2016 Land Value $230,638 $230,638 $198,007 Building Value $138,672 $139,691 $140,710 XF Value $1,979 $2,002 $2,024 Market Value $371,289 $372,331 $340,741 Assessed Value $371,289 $372,331 $304,863 Benefits Information Benefit Type 2018 2017 2016 Non -Homestead Cap Assessment Reduction I 1 1 $35,878 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description 36 52 41 PB 42-33 DUNNINGS MIAMI SHORES EXT NO 3 LOT 10 BLK 210 LOT SIZE 75.000 X 123 OR 21939-1162 122003 1 Generated On : 7/26/2018 Taxable Value Information 2018 20 77 2016 County Exemption Value $0 $0 $0 Taxable Value 1 $371,289 $372,331 $304,863 School Board Exemption Value $0 $0 $0 Taxable Value $371,289 $372,331 $340,741 City Exemption Value $0 $0 $0 Taxable Value $371,289 $372,331 $304,863 Regional Exemption Value $0 $0 $0 Taxable Value 1 $371,289 $372,331 $304,863 Sales Information PrevPrev Price OR Book- Qualification Description Pious 9e Financial inst or "In Lieu of Forclosure" 07/15/2018 $354,700 31013-3785 stated Financial inst or "In Lieu of Forclosure" 10/27/2016 $100 30290-0971 stated 01/01/2006 $480,000 24164-3253 Sales which are qualified 12/01/2003 $205,000 21939-1162 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 Appraiser and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http://www.miamidade.gov/info/disclaimer.asp Version 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 PERMIT APPLICATION ❑BUILDING ❑ ELECTRIC 0 ROOFING • Y �-D—I JUL 3 0 018 IdA FBC 201-1 Master Permit No. R (A- Z.o?--j Sub Permit No. Pl- «— ZDZl REVISION ❑ EXTENSION DRENEWAL EaKUMBING (] MECHANICAL ❑PUBLIC WORKS [:] CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS:— 17 Za7"4'11r:7_ City: Miami Shores County: Miami Dade Zip: ,f 161 Folio/Parcel#: ZZe�' 007 Q F3! i 2' Is the Building Historically Designated: Yes NO ,'(IdOccupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name(Fee Simple Titlehold(er�:j_ V.W/p 1Phone#: 7,ZQ 0.J 7Z96 Address: City: 1�/141"7/ State: Tenant/Lessee Name: /V Phone#: Email: &C/m%(LP d' - �/7 lw D �Jl �z ' CONTRACTOR`: Company Name: I-1014 Address: 6�53 _S-&' 1_5-5e /?y forge _Ph ne#:����Q�7 City: �vf�j / Sta A�/—/1� V 1 1 U) Zip; Qualifier Name: �i Phone#: State Certification or Registration : �iZ _ ��% ,� Certificate of Competency M DESIGNER: Architect/Engineer: ���� ' / Phone#: /�r���/t Address: City: N _State:1440: Value of Work for this Permit: $ uaV ' Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: X6244d"'" .�'J 04G - 4/41' 0- Specify color of color thru tile: Submittals Fee $ Permit Fee $ Scanning Fee $ Technology Fee $_ Structural Reviews $ (Rev1sed02/24/2014) p Radon Fee $ Training/Education Fee $ CCF $ CO/CC $ DBPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) Bonding Company's Address /L City, ��� State Mortgage Lender's Name (if applicable) Mortgage Lender's Address 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 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 Signat OWNER or AGENT The foregoing instru w s acknowledged before a this day of , 20 7 by ,Aio�is`personally known to C.l me or who has produced mr ( as identification and who did ake an oath. NOTARY PUBLIC: Sign: Print Signatur �/ CONTRACTOR 4,�r G �� The fore oing instrument as acknowledged before me this day of I l 20 l ,� by who is personally known to me or who has produced as identification and who did toke an oath. NOTARY PUBLIC: Sign:_ Print: 4 DORYS M. OROZCO Seal: ''_ Comrnir�ston GGOB4388 Seal: =•? = Notary _ • . = r Public -state or Florida f Expires; P�Ra�/ 26, 2021 �= My Comm. Ex Tres Sep 24, 2018 �° p �'1�11�;�„�� Bonded thru Aaron Notary -'•:,�;,°•• Commission #~ FF 162847 APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) ACOICO' MIDDIYYY %-• ' CERTIFICATE OF LIABILITY INSURANCE DO61272t01 » THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. H CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATERE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED TIVE OR PRODUC, INSURANCE DOES ND CERTIFICATE HOLDER. IMPORTANT: if the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the teens and conditions of the policy, certain polleles may require an endorsement A statement on this certificate does not confer rights to the certificate holder In lieu of such endLxaemenI s . PRODUCER CONTACT paychex Insurance Agency Inc PAYCHEX INSURANCE AGENCY, INC. 150 SAWGRASS DRIVE PH NE 877-288-8850 FAx 585-389-7426 EMAIL Certs®paychex.com ROCHESTER, NY 14620 INSURERS) AFFORDING COVERAGE HAIC a INSURED INSURER A: Technology Insurance Company 42376 FLOW MASTERS PLUMBING SERVICE INC 6153 SW 154 CT INSURER B: INSURER C: MIAMI, FL 33193 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS s TYPE OF INSURANCE %OD UBR POLICY NUMBER `P�CYY EDNYm IMMIDONYY» LIMITS GENERAL LIABILITY I COMMERCIAL GENERAL LIABILITY =�LAIMS-MAOEC 7 CUR EACH OCCURRENCE S aAM ,T r RENTED f MED EXP (Am any Person) S PERSONAL i ADV INJURY S GENERALAGGREGATE S r.EN*L AGGREGATE UMIT APPLIES PER POLICY O PROJECTO LOC PRODUCTS • COMPK)P AGG f $ AUTOMOBILE LIABILITY ANY AUTO ALLOYMED SCNFD1 M 1 AUTOS AUTOS HIRED AUTOS O 969W— 1 � Come 1NEDSINGLE LIMIT (Ea arJdelNl f BODILY INJURY $ B(per ODIL ODIL INJURY BODILYURY NJ aCCdM11) f PROPERTY DAMAGE (Per accident) f f OMa1tU AUAN O OCCUR EACH OCCURRENCE S EXCESSUAa CLAMS-MADC AGGREGATE S DED I I RETENTIONS S WOMRS, COLNEMATION AND EMPLOYERS• LIABILITY TWC3677773 01nOn018 D1nDt2019 X WC aTATu• OTTF E L. EACH ACCIDENT S 1,000,000.00 ANY PROPRRiT01 WNI1NE111E%£CUIIVE OFFI RAfEMSER EXCUIUDT INS NIA E.L. DISEASE • EA EMPLOYEE S 1,000,000.00 E L. DISEASE • POLICY LIMIT S 1,000,000.00 e►w,erolM une„ DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES (AtUah ACORD 101, Adddlaml Remwks Schedule, V mon span Is nqulred) CFC 057121 CERTIFICATE HOLDER CANCELLATION Miami Shores Village Building Department 10050 NE 2nd Avenue Miami Shores, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, BUT FAILURE TO MAL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR UAaKM OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE �1c�.•L��.I P�+Lu�.: ACORD 25 (2010/05) 1988-2010 ACORD CORPORATION. AN rights reserved. The ACORD name and logo are registered marks of ACORD Aco O 0 CERTIFICATE OF LIABILITY INSURANCE °"'�'' "'°°'"Y"' 06/28/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: N the certificate holder Is an ADDITIONAL INSURED, the pollcy(ies) must be endorsed. It SUBROGATION IS WANED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsements . PRODUCER ""'^ 1 SusanCamacho E: Just Insurance Brokers 305 418.4701 1 �`(305) 419.4706 1200 NW 78 Ave Suite 105 VHCM MEsa: scamacho® ibfl net WSURERiSJ AFFORDNIo COVERAGE NAIL Miami FL 33126 SURER A;_ GRALWA INSURANCE CO INSURED SURER a: .. - _... Flow Masters Plumbing Services, Inc. NSURFRC: 6153 SW 154 CT NsuRERo: MIAMI, FL 33193 URER E ; 11"SUIVER Ft (`nVFRAPFS r9PT191(_ATF AIINee l4FR• CFVICInY YIIYRIFC• THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _..._ l}DLIS UBRi EFF POIJ R AOULI TYPE OF INSURANCE <YVD_ , POUCYN M /�Y l LIMfTS IGENERALLIABILITY EACHOCCURRENCE S 2,000,000.00 X 6MMERCIALGFNERAL LIABILITY PREMISES (Ea oraereroel S 100,000.00 I CLAIMS -MADE � OCCUR MEDEXP AnVtauperw) S 5.000.00 1 A X PD S 500 Ded per dalm 0185FL00013871 05f06/2018 0510812019 pER�ONAI RADV INJURY s� 1,000,000.00 1 GENERAL AGGREGATE i_ 2,000,000.00 bErfL AGGREGATE LIMIT APPLIES PER PRODUCTS ,COMPIOP AGG f 2,000_000.000 POLICY PRO LOC _ S kUTOMOBILELIABILM ansL LG NMI es+r S _ NY AUTO BODILY INJURY (Per penonl rLL OWNED5 7- SSCC EDULED BODILY INJURY (Per awda q S MIRED AUTOS '_ -- UTOS ED PROPERTYDAMAGE S S +_6MBRELLA LJAB OCCUR EACH OCCURRENCE S {t1{ XCESs LJA6 CLAIMS -MADE AGGREGATE $ -� I— RETENTIONS S ORRERa COMPENSATION I EB NO EMPLOYERS' LIABILITY Y J N �1.,�sL7;SL� f NYPROPRIETORIPARTNER/EXECUTIVE E.L.EACH ACCIDENr FICER/MEMBER EXCLUDED? MIA -- - andatory in NH) E L. DISEASE - EA EMPLOYEE S as de*cnbe undo - — - - S '.P 1 L. DIS Y LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, AdtAtlonai Remarks Schedule, If more apace Is mWirod) CFC 057121 r cottctewTc unl nCo rANrFI I ATInN Miami Shores Village BUIk11ng Department Miamih res SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Avenue Avenue THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Miami Shores, FL ACCORDANCE WITH THE POLICY PROVISIONS. UTHORIZED REPRESENTATIVE ,,,J/ ACORD 25 (2010105) W 19t1a-ZUID AL;URLI QURNORATION. An ngnts reserves. The ACORD name and logo are registered marks of ACORD 000664 Local Business Tax Receipt Miami —Dade County, State of Florida -THIS IS NOT A BILL - DO NOT PAY 4610045 BUSINESS NAME/LOCATION- RECEIPT NO. EXPIRES FLOW MASTERS PLUMBING SERVICES INC RENEWAL SEPTEMBER 30, 2018 6153 SW 154 CT 4812971 Must be displayed at place of business MIAMI FL 33193 Pursuant to County Code Chapter 8A — Art. 9 & 10 OWNER SEC. TYPE OF BUSINESS PAYMENT RECEIVED FLOW MASTERS PLUMBING SVCS INC 196 PLUMBING CONTRACTOR BY TAX COLLECTOR Worker(s) 10 CFC057121 $82.50 10/03/2017 CREDITCARD�-18-000761 This Local Business Tax Receipt only confirms payment of the Local Business Tax. The Receipt is not a license, permit, or a certification of the holder's qualifications, to do business. Holder must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT NO. above must be displayed on all commercial vehicles - Miami -Dade Code Sec 8a-276. For more information, visit www miamidade aov/taxcollector RICK SCOTT, GOVERNOR JONATHAN ZACHEM, SECRETARY doF rida or STATE OF FLORIDA DEPARTMENT OF BUSINESSiAP..ROFESSIONAL REGULATION CONSTRUCUft.NSF 1 s G BOARD THE PLUM61 ` ►► R 4GTOI AtR�1N S C i* UNDER THE PROVISyt7NySF+CFf_fCt?T R,48�ST UTES 4 EXPIRATI 00 31, 2020 Always verify licenses online at MyFloridaLicense.com R Do not alter this document in any form. ■&.: This is your license. It is unlawful for anyone other than the licensee to use this document.