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
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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.
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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
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THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Miami Shores, FL
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UTHORIZED REPRESENTATIVE
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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
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