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REV-18-3705Miami 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 ❑ ROOFING F-IPLUMBING ❑ MECHANICAL PUBLIC WORKS REICEIVED DL' 18 «i3 `r"' 1 FBC 201�+ Master Permit No. D S - I l - ) 8, - �3:5 (0 2 Sub Permit No. 2 IvS REVISION ❑ EXTENSION ❑ RENEWAL CHANGE OF CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: \ 3 2, 1) (e � o cl S City: Miami Shores County Miami Dade Zip: 3 3 Folio/Parcel#: 1 ' 2136 - 001 - 0130 Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): :6: 61- r n IJ Q ('4 Y"I eV% 4 Phone#: Address: I�i�}��i ai5ch�vle $ VD 5--- T 5 3• City: State: -:IFL Zip: 3 3 I Tenant/Lessee Name: Email: CONTRACTOR: Company Name: ©vie _TV\.r- Phone#: -7 8� 2-95 A3ASJ Address: (03 /� � ��3 $� City: �j • rJ Stater- Zip: 3 3 (v z Qualifier Name: cla'A a S -t s c Phone#: -7 Zq i I3 s�i State Certification or Registration #:(6C t5 k-�>1 (�I Certificate of Competency #: Z31 5C)0 DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $JF-0 O , rl ° Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New Jam' Repair/Replace ❑ Demolition Description of Work: r,S 4cl-e o V. V� \11 �tI Specify color of color thru tile: Submittal Fee Scanning Fee $ Technology Fee $_ Structural Reviews $ Permit Fee $ Radon Fee $ Training/Education Fee $ CCF $ DBPR $ S T-2 CO/CC $ _ Notary $. Double Fee $ _ Bond $ TOTAL FEE NOW DUE $ ' (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 re' ection fee will be charged. Signature Signature WNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this �_ day of Dq C- 20 ,� � by �Q r C Cp 0 `c� who is personally known to me or who has pr duced as identification and who did take an oath. NOTARY PUBLIC: Sign:_ Print: Seal: The foregoing instrument was acknowledged before me this day of 20 1 � , by OS t , who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: _ il�� ♦ WN BARBARo SOBRINO Seal: MY COMMISSION # FF 1W4 EXPIRES: February 3, 2019 %nded Thfu NotaoubYc Undwwrden: s*ss**ss*ssssssss*sss**sss sssssss**s ****ssssssss***s*sss*s*s*s*s APPROVED BY Plans Examiner _ Structural Review (Revised02/24/2014) 0 SARBAPA SONi1NO My COMMISSION r FF 10M EXPIRES: February 3, 2019 Bonded Thm MMY Pubic Undwwiftm I V I t(4 _ Zoning Clerk OFFICE OF THE PROPERTY APPRAISER Summary Report Property Information Folio: 11-2136-009-0130 Properly Address: Owner 138 NE 109 ST Miami Shores, FL 33161-7042 EAL INVESTMENT INC Mailing Address 13499 BISCAYNE BLVD # TS3 NORTH MIAMI, FL 33181 USA PA Primary Zone 1000 SGL FAMILY - 2101-2300 SQ Primary Land Use 0101 RESIDENTIAL -SINGLE FAMILY: 1 UNIT Beds I Baths I Half 2/2/0 Floors 1 Living Units 1 Actual Area 1,780 Sq.Ft Living Area 1,412 Sq.Ft Adjusted Area 1,588 Sq.Ft 9,300 Sq.Ft 1951 Lot Size Year Built Assessment Information Year 2018 2017 2016 Land Value $232,690 $232,690 $199,874 Building Value $110,525 $110,525 $110,525 XF Value $1,800 $1,800 $1,800 Market Value $345,015 $345,015 $312,199 Assessed Value $345,015 $110,523 $108,250 Benefits Information Benefit Type 2018 2017 2016 Save Our Homes Cap Assessment Reduction $234,492 $203,949 Homestead Exemption $25,000 $25,000 Second Homestead Exemption $25,000 $25,000 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description I DUNNINGS MIAMI SHORES EXT NO 5 PB 48-21 LOT 5 BLK 216 LOT SIZE 75.000 X 124 OR 12587-754 0785 4 Generated On : 12/18/2018 Taxable Value Information 2018 2017 2016 County Exemption Value $0 $50,0001 $50,000 Taxable Value $345,015 $60,5231 $58,250 School Board Exemption Value $0 $25,000 $25,000 Taxable Value $345,015 $85,523 $83,250 City Exemption Value $0 $50,0001 $50,000 Taxable Value $345,015 $60,523 $58,250 Regional Exemption Value $0 $50,000 $50,000 Taxable Value $345,015 $60,523 $58,250 Sales Information Previous Price OR Book - Qualification Description Sale Page Atypical exposure to market; atypical 10/05/2017 $325,000 30770-3185 motivation Atypical exposure to market, atypical 10/05/2017 $303,000 30714-2530 motivation 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: Florida Department of State ;Org 00�� C� r f f1)�I un oa"_rW- 3h#r of Roilrttt ss•rj vhe Department of State / Division of Corporations / Search Records / Detail By Document Number / DIVISION OF CORPORATIONS 13499 BISCAYNE BLVD TS3 NORTH MIAMI, FL 33181 Title VP COPPOLA, SERGIO A 13499 BISCAYNE BLVD TS3 NORTH MIAMI, FL 3314 Annual Reports Report Year Filed Date 2016 01 /05/2016 2017 04/29/2017 2018 03/27/2018 Document Images 03127/2018 — ANNUAL REPORT 0412912017 — ANNUAL REPORT View image in PDF format View image in PDF format 04/25/2016 -- Off/Dir Resignation View image in PDF format 01/05/2016 —ANNUAL REPORT 04/24/2015 -- ANNUAL REPORT 04/29/2014 — ANNUAL REPORT View image in PDF format View image in PDF format View image in PDF format 02/18/2013 -- ANNUAL REPORT View image in PDF format 10/23/2012 — ANNUAL REPORT View image in PDF format 03/04/2012 — ANNUAL REPORT 05/05/2011 — Domestic Profit I View image in PDF format View image in PDF format Florida Department of State, Division of Corporations r NIAP OF BOUNDARY SURVEY - . • ••• • • • • • • • • w .— � ; r' • � e... +:• is � S:: t7 • • I w ' ' - • ' • • ° • -..Z 'ASPHALT PAV _ .EMENT FND.I . J aut auL — our JIL •• w '�t• •w•" Apv- o � 04 SOD 0 2t.7 �Id 1 ;� CONCRETE : W w aSLAB.. N uj N 2 QD 21.9' rc .� . ' U — W ::C LLB D Q 1,)D t L L, • m PORCH 9.7' s.o } o J SOD �-- eo .. �aw�IPA oRATIVEJ W ,-n S-6mVed Cog Lr. w �;�oorwres� .p� � 3ood s�T9, 1.P.01/2" g� b (NO _- e - 5' SIDEWALK 75,00' < - points of interest: None visible. %'17 MOD..,LM Dom UL 1 j� 1 121 pry <ti X :;. N _ ?.. CL L AC&L AV Ping 224.64" �. ND.I.P.O /i '{TfD.1.P:01 2" (NO ID.) (NO ID.) BLOCK CORNER E ABBREVIATIONS & LEGEND A FND Arc Found Pg. R/W Page Right -of -Way ® Unknown Manhole Fire Hydrant U.E. Utility Easement Center Line Qs Sewer Manhole E Electric Box IP Iron Pipe Monument Line TQ Telephone Manhole #NLP Light Pole IR Iron Rebor TBM Temporary Benchmark ® Water Meter cQ, Utilit Pole y N&D Nail & Disc PWY Parkway v Water Valve LP Concrete Light Pole COL. Column W/P Water Pump s P 8 PLot Book C E hment ® Catch basin ® Property Corner —x—x— Chain Link Fence —Wood Fence -o--o-- Metal or plastic Fence — ouL — Overhead 00 Utility line O- + Spot Elevation N n c. Job # 1$-10090 Scale: 1 20' FormTech Date: 10-25-2018 " = Land Surveying, Inc. State of Florida LB # 7980 0 ` 10' 20' 40' 12209 S.W.129th Court, Miami, Florida, 33186 GRAPHIC SCALE Ph:(786)429-3034 (786)443-0285 (786)443-0678 www.fofmtechsurveyors.com email:info@formtechsurveyors.com Page 2 of 2