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RC-19-524Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address 566 NE 107TH ST, Miami Shores, FL 33138 rnntartc ■ issue DaiO3/21/2019 Parcel Number 1122310140020 Permit NO.: RC-03-19-524 Permit Type: Building (Residential) Work Classification: Repair Permit Status: Approved Expiration: 09/17/2019 SUSAN SERVER Owner IMBURGIA CONSTRUCTION SERVICES, Contractor 566 NE 107 ST, MIAMI SHORES, FL 331617139 INC. LOUIS IMBURGIA 12555 Biscayne Blvd #888, North Miami, FL 33181 Business: 3055255707 Inspection Requests: Description: BEAM REPAIR Valuation: $ 4,500.00 305- -4949 Total Sq Feet: 16.00 Fees Amount Application Fee - Other $50.00 CCF $3.00 DBPR Fee $2.03 DCA Fee $2.00 Education Surcharge $1.00 Notary Fee $5.00 Residential Application Fee $200.00 Scanning Fee . $9.00 Structural Review ($90) $90.00 Technology Fee $3.38 Total: $365.41 Building Department Copy Payments Date Paid Amt Paid Total Fees $365.41 Credit Card 03/11/2019 $50.00 Credit Card 03/21/2019 $315.41 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 e Jaxin s r d zonin Futhermore, I authorize the above named contractor to do the work stated. j (� A iz ner / p icant / Co / Agent Date March 21, 2019 Page 2 of 2 Miami Shores VillageZECEIVED r Building Department M� 11 ors 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 FBC 20 .p BUILDING Master Permit No. {�—e-65V 1 9 PERMIT APPLICATION Sub Permit No. ABUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL PUBLIC WORKS [:]CHANGE OF CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 15 t0 & M 6 ) 6--� QYL Miami Shores County: Miami Dade Zip: 33 k 3 9 Folio/Parcel#: Is the Building Historically Designated: Yes NO X Occupancy Type:Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Su�s�.� &_,C V E,( Phone#: `305 1 Address: 5 (0 GP k) G— I O-�- Straj City: t 148 U 920«S State: e'Ll Zip: 3 (3 p Tenant/Lessee Name: 1 ) j Phone#: N' Email: S �15Q n S� V mac' q r(1Ctt \ _ U CONTRACTOR: Company Name: 1 MbUI(��OL �t1lCN� -`U� C� Phone#: Cyr l l 46 - �y } Address: rJ1 D City: W-ty\ V1 "AA Qualifier Name: 1Wins S FL, zip: 331 8 1 Phone#: N5) 5a.5 - 57:� O--t State Certification or Registration #: k-Al7 .. JW 10 l 1 LO V 1 Certificate of Competency M \ q DESIGNER: Architect/Engineer: u-\ � `dam l IhQ Phhone#: C11Jam') 1of 3 -at Address:, C� b01 �Q CC �50n 15 � �.1.{ # a(� y City: kk= C 3 State: Zip: 3 O odd Value of Work for this Permit: $ d �7 V V Square/Linear Footage of Work: (i7 ))y Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition Description of Work: Specify color of color thru tile: Submittal Fee $ �V C� Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ DBPR $ Notary $ S DO Double Fee $ Bond $ TOTAL FEE NOW DUE $ (Revised02/24/2014) Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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. Si OWNER or AGENT The foregoing instrument was acknowledged before me this day of i ,-4 p4nA 20 —�� by �U MAC' ►E SL who is personally known me or who has produced t` L-'�2J 1)E� LA tL� a'� identification and who did take an oath. NOTAR;PUIC: Sign:Print: Seal: - APPROVED BY NDSI IA ALVAREZ MY COMMISSION # GG 23B273 r.,h,oec• sAetembet 3, 2022 The foregoing instrument was acknowledged before me this %%dam day of r' [/Q !r , 20 < / by L0tA:%5 'I%ml 1„At(GJ1 Ck , who is personally known to me or who has produced �^ as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: -LI t ' Plans Examiner b' 'o"/) , Structural Review IF (Revised02/24/2014) CATHERINE A. DUFFIN Notary Public - State of Florida „�,�,it9t6Ad(eSkiP � GCk iEhk)96 * * * y COMM, Expires May 14, 2021 11 AM Ihrough Natibnel NolaryAssn. ******************* Zoning Clerk Miami Shores Village Q`SHq`j�Q Building Department J 10050 NE 2nd Ave. Fp Miami Shores, FL 33138 305-795-2204 / Fax 305-756-8972 NOTICE TO MIAMI SHORES BUILDING DEPARTMENT OF EMPLOYMENT AS SP;,QAG • • • • INSPECTOR UNDER THE FLORIDA BUILDING CODE. 000•00 .' . IMBURGIA CONSTRUCTION • • • • •. I (We) have been retained by SERVICES, INC. to perform special inspector services undectbe Florida • Building Code 5th Edition (2014) and Miami Dade County Administrative Code at the 566 NE 167.5j.,MIAMI S• t 3. project on the below listed structure as of JAN. 28, 2019 (date). 1 am a registered • • •... arch itect/professional engineer licensed in the State of Florida. • • • • ; • • • • Process Number: Special Inspector for Reinforced Masonry, Section 2122.4 of the FBC 5th Edition (2014) _ Miami Dade County Administrative Code, Article II Section 8.22 Special Inspector for _ Trusses > 35 ft. long or 6 ft. high _ Steel Framing and Connections welded or bolted _ Soil Compaction _ Precast Attachments _ Roofing Applications, Lt. Weight. Insul, Conc. ZC-r-, -r,;,- •• •.•..• . •0 • •••. -E;2L) Nliami Shores Village I APPROVED ZONING DEPT X Other REINFORCED CONC. BEAM REPAIR RI DG D PT I- — I - Note: Only the marked boxes apply. 10 in The following individual(s) employed by this firm or the is authorized representativ to perform inspection* ^: (:( )I I-J l Y 11 l GERSHON KLIEGER, PE 2- 3. 4. BY I DATE. -)l4.rltI F WITH ANPI-'I I F S AND! It GUI Al IONS *Special inspectors utilizing authorized representatives shall insure the authorized representative is qualified by education or licensure to perform the duties assign by Special Inspector. The qualifications shall include licensure as a professional engineer or architect: graduation from an engineering education program in civil or structural engineering; graduation from an architectural education program; successful completion of the NCEES Fundamentals Examination; or registration as building inspector or general contractor. I (we) will notify the Miami Shores Building Department of any changes regarding authorized personnel perfonning inspection services. I (we), understand that a Special Inspector inspection log for each building mast be displayed in DECEIVED convenient location on the site for reference by the Miami Shores Building Department Inspector. All mandatory inspections, as required by the Florida Building Code, must be performed by the Miami Sho*A 1 1 2019 Building Department .Inspections performed by the Special Inspector hired by the owner are in addition to the mandatory inspections performed by the department. Further, upon completion of work under Building Permit, I will submit to the Building Inspector at the time of the final inspection the completed inspection log form and a sealed statement indicating that, to the best of my knowledge, belief and professional judgment those portions of the project outlined above meet the intent of the Florida Building Code and areinsubstantial accordance with the approval plans. •�•,`SEngineer/Architect \AON'Kt/, -1 `��,� G E N S�.�'>� �0Name GERSHON KLIEGER, PE Signed and Sealed '9 0 Print Date: 01/28/2019 = * :' No 36109 * Address 8300 SW 92 TERR * = MIAMI, FL 33156 'fl :cc Z P: (954) 923-2111 '.. STATE OF tc • ��.�`% JOB 9i17Air,- /dT A , 1-11,4tfI G.D. KLIEGER, INC. SHEETNO. SA OF 1909 Harrison Street, Suite 204 CALCULATED BY DATE Hollywood, Florida 33020 P: (954) 923-2111 F: (954) 923-4949 CHECKED BY DATE SCALE &rS/G— m ` • • • • • 2 J a S 6 6 1 2 9 4 5 6 7 6 1 2 J+ S 1i I I I�r••'•J �OI�G• � r �.05 Tap • • • ((4),#,r 13 0E0 r I• I aAl. �00 184r-'cle- STRUCTURAL REVIEW APPROVED : _ DATE / ,,,_ r -• •• •••••• •••, • • 6 •••• / • • x • •••• Etc 40A)c- 5 a 2 • �IIIIIIIIHffff�� 6 ` IA KLIEG x14 c+ N° • :cc K "°• FLOR\OP'�� 5 SSION P-�``\�� D PRODUCT 207 Property Search Application - Miami -Dade County Page 1 of 1 OFFICE OF THE PROPERTY APPRAISER Summary Report Property Information Folio: 11-2231-014-0020 Property Address: 566 NE 107 ST Miami Shores, FL 33138-7139 Owner SUSAN SERVER TRS SUSAN SERVER LIVING TRUST Mailing Address 566 NE 107 ST MIAMI SHORES, FL 33161 USA PA Primary Zone 1000 SGL FAMILY - 2101-2300 SQ Primary Land Use 0101 RESIDENTIAL -SINGLE FAMILY: 1 UNIT Beds / Baths / Half 2 / 1 / 0 Floors 1 Living Units 1 Actual Area 1,510 Sq.Ft Living Area 1,164 Sq.Ft Adjusted Area 1,337 Sq.Ft Lot Size 9,150 Sq.Ft Year Built 1938 Assessment Information Year 2018 2017 2016 Land Value $205,735 $228,594 $191,724 Building Value $93,055 $93,055 $93,055 XF Value $0 $0 $0 Market Value $298,790 $321,649 $284,779 Assessed Value $114,258 $111,908 $109,607 Benefits Information Benefit Type 2018 2017 2016 Save Our Homes Assessment $184,532 $209,741 $175,172 Cap Reduction Homestead Exemption $25,000 $25,000 $25,000 Second Exemption $25,000 $25,000 $25,000 Homestead Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description AMD PL MIAMI SHORES SEC 5 PB 10-47 LOT 4 & W1/2 LOT 3 BLK 109 LOT SIZE 75.000 X 122 OR 17343-1865 0996 1 Generated On : 3/11/2019 Taxable Value Information 2018 2017 2016 County Exemption Value $50,000 $50,000 $50,000 Taxable Value $64,258 $61,908 $59,607 School Board Exemption Value $25,000 $25,000 $25,000 Taxable Value $89,258 $86,908 $84,607 City Exemption Value $50,000 $50,000 $50,000 Taxable Value $64,258 $61,908 $59,607 Regional Exemption Value $50,000 $50,000 $50,000 Taxable Value $64,25 $$61,908 $59,607 Sales Information Previous OR Book - Price Qualification Description Sale Page Corrective, tax or QCD; min 10/01/2014 $100 29344-4761 consideration 1996 $92,000 17343-1865 Sales which are qualified 1973 L $41,500 00000-00000 Sales which are qualified 1971 $30,900 00000-00000 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:/hvww.miamidade.gov/info/disclaimer.asp https://www.miamidade.gov/propertysearch/ 3/11 /2019