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BPP-19-331 (2)•-; �� Miami Shores Villa e cE g rhos �kh Building Department FEB 1 Zo . 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY: -- Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 wi- FBC 20 �� BUILDING Master Permit No. CJPPIL-1 q I -331 PER IT APPLICATION Sub Permit No. 7UILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑EXTENSION RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF CANCELLATION SHOP CONTRACTOR DRAWINGS JOB ADDRESS: Z� I1JF,�I(%�!jT City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: - 3206 - m - Rftq Is the Building Historically Designated: Yes NO Occupancy Type: toad: Construction Type: Flood Zone: BFE: FFE: OWNER: Name(FeeSimple Titleholder): -0lb WINA I�EtIQ� 1�5 )(( P Phone#: CIS'1 a q6M Address: J1.014 W_ D ti t c— A W'1 City: State: Tenant/Lessee Name: Phone#: p: 55go Email: 11 Qp, CONTRACTOR: Company Name: CDAiSrLVe�r10� (�V 4Phone#: ��✓� -! `3-�� Address: 1oorw su) _ City: L 1 Qualifier Name: State Certification or Registration #: DESIGNER: Architect/Engineer: te: Certificate of Competency #: _ Phone#: p: -.3 n,3 Address: �J City: State: Zip: Value of Work for this Permit: $ �100o Square/Linear Footage of Work: 448 Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ RRepair/Replace❑ Demolition Description of Work: C 0 i&+ ty� 4 SS D &lI,* tk-,b W 14 4 V &VJ ROD 11 Art Specify color of color thru tile: Submittal Fee $ S a 1 j Permit Fee $ 940 CCF $ Scanning Fee $ Technology Fee Structural Reviews $ Radon Fee $ Training/Education Fee $ DBPR $ CO/CC $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ 1 l v �u (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 WE 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 _ Signature . IG�-L or A ENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 0110 day of ++-- � 20 J !N by --R day of � 120 tq1. by n.'� V Inert ice• who is personally known to GQ�tiV?S '$9V who is personally known to me or who has produced identification and who did take oath. NOTARY PUBLIC: KATHERINE CHEIRP :0 o MY COMMISSI '`O #G 7f Sign: PIR S: MA 06, 2 Bon h 1s at I u Print: Seal: as me or who has Droduced iden N 07 Sign Print Seal as APPROVED BY L Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) PERMIT: i T I, Miami shores Village Building Department 10050 NE 2 Ave, Miami Snores, Fi 33138 Tel: (305)795-2204 • Fax; (305)756-8972 RECEIPT DATE: q IZ11 9 o son ❑ Contractor ❑ Owner ❑ Architect Picke sets of plans a (other) Address: 1~rorri the building department on this date in order to have corrections done to plans And/or get County stamps. I understand that the plans need to be brought back to Miami Shores Village Building Department to continue permitting process. Acknowledged by: PERMIT CLERK INITIAL- ��Q[4. RESUBMITTED DATE: PERMIT CLEARK NITIAL Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Permit NO.: BPP-02-19-331 FD�r^� Permit Type: Pools/Whirlpools/Hot Tubs jjtnnii. I Work Classification: New Permit Status: Approved Issue Date: 04/02/2019 1 Expiration: 08/12/2019 Location Address Parcel Number 278 NE 103RD ST, Miami Shores, FL 33138 1132060134860 Contacts HB GROWTH PROPERTIES LLLP Owner JR CONSTRUCTION & CONSULTANT INC Contractor HB GROWTH PROPERTIES LLLP CARLOS JOUBERT 17071 W DIXIE HWY, NORHT MIAMI BEACH, FL 33160 10970 SW 73 ST, MIAMI, FL 33173 Business: 9549934788 project@jrcac.com Description: POOL 3/5 14X32 SPA 7X7 NEW POOL Valuation: $ 28,000.00 Requests: Inspection 305-4949 COMPLETE WORK ASSOCIATED WITH NEW POOL FOR EXPIRED PERMT BPP-8-17-2083 Total 5q Feet: 448.00 Fees Amount Application Fee - Other $50.00 Permit Fee $790.00 Total: $840.00 Payments Date Paid Amt Paid Total Fees $840.00 Credit Card 04/02/2019 $790.00 Credit Card 02/13/2019 $50.00 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 a5psqing this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits a regwr d for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. ify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws ing. Futherm I authorize the above named contractor to do the work stated. 1 Authorized g ture: Owner / Applicant / Contractor / Agent April, 02, Date Page 2 of 2 Property Search Application - Miami -Dade County https://www.miarnidade.gov/propertysearch/index.html#/report... OFFICE OF PROPERTY APPRAISER Summary Report Property Information Folio: 11-3206-013-4860 1278 NE 103 ST Property Address: !Miami Shores, FL 33138-2431 Owner HB GROWTH PROPERTIES LLLP 17071 W DIXIE HWY Mailing Address MIAMI, FL 33160 USA PA Primary Zone -----._...-_,......--- .... --- - --- ...._._..-- IN1000 SGL FAMILY - 2101-2300 SQ . --:---------- ---------.-.------- - ----- 0101 RESIDENTIAL -SINGLE Primary Land Use FAMILY:1 UNIT Beds / Baths / Half 2 / 2 / 0 Floors 1 Living Units 1 Actual Area 1,955 Sq.Ft Living Area 1,294 Sq.Ft Adjusted Area 1,670 Sq.Ft Lot Size 18,625 Sq.Ft Year Built 11938 Assessment Information Year Land Value 2018 $232,968 20171 2016 $232,968 $194,140 Building Value $93,186 $93,186 $93,186 XF Value $3,548 ............ _.......... ......... _........................._-.._-....................... $3,595 $3,643 ....... _................. ................... __... Market Value $329,702 $329,7491 $290,969 Assessed Value $3219,7021 $320,0651 $290,969 Benefits Information Benefit Type 2018 2017 2016 Non -Homestead Cap Assessment Reduction $9,684 — Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description MIAMI SHORES SEC 1 AMD PB 10-70 LOT 3 & E1/2 LOT 4 BLK 36 LOT SIZE 75.000 X 115 COC 25698-0705 04 2007 1 Generated On : 10111/2018 Taxable Value Information 2018 20171 2016 County Exemption Value $0 $0i $0 Taxable Value $329,702 $320,0661 $290,969 School Board Exemption Value $0 _............... ---.---------r--...._._._..-- $0 ._--...______._ $0 Taxable Value $329,702 $329,749i $290,969 City Exemption Value $0 $0 $0 Taxable Value $329,702 $320,065i $290,969 Regional Exemption Value $0 $01 $0 Taxable Value $329,702 $320,065 $290,969 Sales Information Previous OR Book - Price Qualification Description Sale Page 09/08/2014 $295,000 29300-0463 Qual by exam of deed 08/26/2014 $225,000 29294-2331 Qual by exam of deed Corrective, tax or QCD; min 08/12/2013 $100 29124-1730 consideration 04/01/2007 $660,000 25698-0705 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:/Mrww.miamidade.govfinfo/disclaimer.asp Version: Detail by Entity Name http://search.sunbiz. org/Inquiry/CorporationSearch/SearchResu... Detail by Entity Name Florida Limited Partnership HB GROWTH PROPERTIES LLLP Filina Information Document Number A13000000318 FEI/EIN Number 80-0933999 Date Filed 06/17/2013 Effective Date 06/17/2013 State FL Status ACTIVE Last Event LP AMENDMENT Event Date Filed 10/28/2014 Event Effective Date NONE Principal Address 17071 W. DIXIE HIGHWAY NORTH MIAMI BEACH, FL 33160 Mailing Address 17071 W. DIXIE HIGHWAY NORTH MIAMI BEACH, FL 33160 Registered Aaent Name & Address Kalchman, Charles Z, Esq. 17071 W. DIXIE HIGHWAY NORTH MIAMI BEACH, FL 33160 Name Changed: 04/21/2015 General Partner Detail Name & Address Document Number P12000076069 EAGLE RHGP, INC 17071 W. DIXIE HIGHWAY NORTH MIAMI BEACH, FL 33160 Annual Reports Report Year Filed Date 2016 03/27/2016 2017 04/20/2017 2018 04/25/2018 Document Images 04/25/2018 ANNUA_LREPORT. View image in PDF format 04/20/2017 ANNUAL REPORT View image in PDF format 03/27/2016 --ANNUAL REPOR_T', View image in PDF format 2 of 3 10/11/2018, 6:03 PM Detail by Entity Name http: //search.s unbiz.org/Inquiry/CorporationSearch/S earchResu... Detail by Entity Name Florida Profit Corporation EAGLE RHGP, INC. Filing Information Document Number P12000076069 FEI/EIN Number 46-0981421 Date Filed 09/06/2012 State FL Status ACTIVE Principal Address 17071 West Dixie Highway North Miami Beach, FL 33160 Changed. 02/05/2015 Mailing Address 17071 West Dixie Highway North Miami Beach, FL 33160 Changed: 02/0512015 Registered Agent Name & Address Kalchman, Charles Z, Esq. 17071 West Dixie Highway North Miami Beach, FL 33160 Name Changed: 02/05/2015 Address Changed: 02/05/2015 Officer/Director Detail Name & Address Title President, Secretary NAHON, JAMES 17071 West Dixie Highway North Miami Beach, FL 33160 Title VP, Treasurer LIZAROWSKI, BARTOSZ 17071 West Dixie Highway North Miami Beach, FL 33160 Annual Reports Report Year Filed Date 2016 03/27/2016 2017 04/20/2017 2018 04/25/2018 Document Images 04125'2018---ANNUAL_R.E.vQRT. View image in PDF format 0412.012017 — ANNUAL F2EF'ORl View image in PDF format 03r2712016--ANNUALR.E.PQRT View image in PDI' format 02105r015 -- ANNUAL REPORT View image m PDF format 2 of 3 10/11/2018, 6:03 PM Property Search Application - Miami -Dade County Page 1 of 1 OFFICE OF THE PROPERTY APPRAISER K� Summary Report Property Information Folio: 11-3206-013-4860 Property Address: 278 NE 103 ST Miami Shores,FL 33138-2431 Owner HB GROWTH PROPERTIES LLLP Mailing Address 17071 W DIXIE HWY MIAMI,FL33160USA 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 1,955 Sq.Ft Living Area 1,294 Sq.Ft Adjusted Area 1,670 Sq.Ft Lot Size 8,625 Sq.Ft Year Built 1938 Assessment Information Year 2017 2016 2015 Land Value $232,968 $194,140 $186,502 Building Value $93,186 $93,186 $93,186 XF Value $3,595 $3,643 $2,183 Market Value $329,749 $290,969 $281,871 Assessed Value $320,065 $290,969 $281,871 Benefits Information Benefit Type 2017 2016 2015 Non -Homestead Cap Assessment Reduction $9,684 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description MIAMI SHORES SEC 1 AMD PB 10-70 LOT 3 & E1/2 LOT 4 BLK 36 LOT SIZE 75.000 X 115 COC 25698-0705 04 2007 1 Generated On : 8/16/ Taxable Value Information 2017 2016 2 County Exemption Value $0 $0 Taxable Value $320,065 $290,969 $281. School Board Exemption Value $0 $0 Taxable Value 1 $329,749 $290,969 $281. City Exemption Value $0 $0 Taxable Value $320,065 $290,969 $281. Regional Exemption Value $0 $0 Taxable Value $320,065 $290,969 $281, Sales Information Previous OR Book Price Qualification Description Sale Page 09/08/2014 $295,000 29300-0463 Qual by exam of deed 08/26/2014 $225,000 29294-2331 Qual by exam of deed Corrective, tax or QCD; min 08/12/2013 $100 29124-1730 consideration 04/01/2007 $660,000 25698-0705 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 Version: http://www.miamidade.gov/propertysearch/ 8/16/2017 Detail by Entity Name Florida Department of State Page 1 of 2 DIVISION OF CORPORATIONS ti 6011 A,. rg J0 RZ —Lr�j J, �G v ;.z,'i «iii' �J1w .&j7'u'rM''r -w:7: u Department of State / Division of Corporations / Search Records / Detail By Document Number / Detail by Entity Name Florida Limited Partnership HB GROWTH PROPERTIES LLLP Filing Information Document Number A13000000318 FEI/EIN Number 80-0933999 Date Filed 06/17/2013 Effective Date 06/17/2013 State FL Status ACTIVE Last Event LP AMENDMENT Event Date Filed 10/28/2014 Event Effective Date NONE Principal Address 17071 W. DIXIE HIGHWAY NORTH MIAMI BEACH, FL 33160 Mailing Address 17071 W. DIXIE HIGHWAY NORTH MIAMI BEACH, FL 33160 Registered Aqent Name & Address Kalchman, Charles Z, Esq. 17071 W. DIXIE HIGHWAY NORTH MIAMI BEACH, FL 33160 Name Changed: 04/21/2015 General Partner Detail Name & Address Document Number P12000076069 EAGLE RHGP, INC 17071 W. DIXIE HIGHWAY NORTH MIAMI BEACH, FL 33160 Annual Reports http://search. sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=EntityName&directi... 8/ 16/2017 Detail by Entity Name Florida Department of State Pagel of 2 DIVISION OF CORPORATIONS r �`iJY1:,IC.3 4� .0W3)Wbrg Department of State / Division of Corporations / Search Records / Detail By Document Number / Detail by Entity Name Florida Profit Corporation EAGLE RHGP, INC. Filing Information Document Number P12000076069 FEI/EIN Number 46-0981421 Date Filed 09/06/2012 State FL Status ACTIVE Principal Address 17071 West Dixie Highway North Miami Beach, FL 33160 Changed: 02/05/2015 Mailing Address 17071 West Dixie Highway North Miami Beach, FL 33160 Changed: 02/05/2015 Registered Agent Name & Address Kalchman, Charles Z, Esq. 17071 West Dixie Highway North Miami Beach, FL 33160 Name Changed: 02/05/2015 Address Changed: 02/05/2015 Officer/Director Detail Name & Address Title President, Secretary NAHON,JAMES 17071 West Dixie Highway North Miami Beach, FL 33160 Title VP, Treasurer UZAROWSKI, BARTOSZ 17071 West Dixie Highway North Miami Beach, FL 33160 Annual Reports Report Year Filed Date 2015 02/05/2015 2016 03/27/2016 2017 04/20/2017 http://search. sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=EntityName&directi 8/16/2017 _ WI L L C A I I T 6 S F 4430 WESICN RD CAVIE Fl. 31311 THIS INSTRUMENT PREPARED BY AND RETURN TO: VtkL` 5 oo V 5-1 e t VA Title G aranty of South Florida Inc. 4430 WESTON ROAD DAVIE, FL 33331 CFN 21 D 14RO62'279 7 OR Ok 29300 Pss 0463 - 464; (2p9s) RECORDED 09/08/2014 11:31):Ji DEED DOC TAX 1070.00 0►t HARVEY RUVIN► CLERK. OF COURf MIAMI-DADE COUNTY► FLORIDA Property Appraisers Parcel Identification (Folio) Number: The actual purchase price or other valuable consideration paid for the real property or interest conveyed by this instrument is $320,000.00 . Florida Documentary Stamps in the amount of $1920.00 have been paid hereon. Space Above This Line For Recording Data THIS WARRANTY DEED, made the day of August, 2014 by Pro Capital Management LLC, a Florida LLC, whose post office address is 10898 NW 7TH AV, MIAMI, FL 33168 herein called the grantor, to HB Growth Properties LLLP, a Florida Limited Liability Limited Partnership, whose post office address is 17071 W Dixie Highway, North Miami Beach Fl. 33160, hereinafter called the Grantee: OYherever used herein the terms 'grantor" and 'grantee" include all the parties to this instrument and the heirs, legal representatives and assigns of individuals, and the successors and assigns of corporations) W 1 T N E S S E T H: That the grantor, for and in consideration of the sum of TEN AND 00/100'S ($10.00) Dollars and other valuable considerations, receipt whereof is hereby acknowledged, hereby grants, bargains, sells, aliens, remises, releases, conveys and confirms unto the grantee all that certain land situate in MIAMI-DADE County, State of Florida, viz.: Lot 3 and the East One Half (1/2) of Lot 4, Block 36, MIAMI SHORES SECTION ONE, according to the Plat thereof, as recorded in Plat Book 10, at Page 70, of the Public Records of Miami -Dade County, Florida. Subject to easements, restrictions and reservations of record and taxes for the year 2014 and thereafter. TOGETHER, with all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining. TO HAVE AND TO HOLD, the same in fee simple forever. AND, the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple; that the grantor has good right and lawful authority to sell and convey said land, and hereby warrants the title to said land and will defend the same against the lawful claims of all persons whomsoever; and that said land is free of all encumbrances, except taxes accruing subsequent to December 31, 2013. IN WITNESS WHEREOF, the said grantor has signed and sealed these presents the day and year first above written. file \o: 14-0655 OR BK 29300 PG � �464 LAST F•AGE Pro Capital Management LLC, a Florida LLC Harr 'Met ole Manager Sole Member Witness #2 Printed Name STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me thi ay, of August, 2014 by Harr 221dayLr Sole Manager Sole Member of Pro Capital Mane ent LLC, a Flori LLC on behalf of the co oration. He/S s personally known to me or has produced 1— as identif SEA ��;; MARK BOOKSTEIN • Notary Public - State of Florida N rY s: •'. •o;;= My Comm. Expires May 10, 201a Commission N FF 11966a Printdd Nothry N&ne My Commission Expires: File No: 14-0655 Charles C. Mitchell, P.E. 924 N. Federal Hwy. Hollywood, Fla. 33023 Civil/Structural # 11127 305-336-5069 "Special Inspector Report" Nov. 14, 2017 Building Official Building & Zoning Dept. Village of Miami Shores Miami Shores, Fla. Re: 278 NE 103`d St Miami Shores, Fla. Dear Building Official, • This statement is to advise that in accordance with Section 1820.3.1 (R4404.4.3.1) of the FBC, the characteristics of the soil at the above reference site has been observed to be soil, sand, and rock and is capable of supporting a load of 2,000 psf. The design load of this project does not exceed 2,000 psf. Sincerely, Charles C. Mitchell, P.E.