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RC-11-21-3144, 9405 NW 2nd AveMiami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address Parcel Number __._......_------ L 9405 NW 2ND AVE, Miami Shores, FL 33150 1131010330670 Contacts Gloria Cabral Trujillo Owner HOME OWNER Contractor 9405 NW 2 AVE, Miami Shores, FL 33150 HOME OWNER Inspection Requests: Description: PLACEMENT OF LAMINATE FLOORING ON TOP OF I Valuation: $ 0.00� CURRENT FLOOR REPLACED PERMIT #RC-11-20-2525 3 Total Sq Feet: 0.00 p °t Fees Amount Payments Date Paid Amt Paid 100% Permit Renewal Fee $100.00 Total Fees $150.00 Copies Fee (Manual) $50.00 Credit Card 11/30/2021 $150.00 Total: $150.00 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 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 regulating c�+1'r�stryrt;tion_ and ng. Futhermore, I authorize the above named contractor to do the work stated. Signature: Owner / Applicant / Contractor / Agent Date November 30, 2021 Page 2 of 2 BUILDING PERMIT APPLICATION Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (30S) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20-2) i Master Permit No. Sub Permit No. [--]BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS [:]CHANGE OF ❑ CANCELLATION ❑ SHOP /� CONTRACTOR DRAWINGS JOB ADDRESS: (1 �� 00 AVF, MIAM( `�Aba5 City: Miami Shores County: Miami Dade IZip: Folio/Parcel#: 11310103 3 oS.-1 io Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): G'W-V'1-A j l Phone#: -1U(o Address: q,105 NUJ aN() f\yf City: OIAN) tIAMZ5 State: r l Zip: 33�s Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: Phone#: Address: City: State: Zip: Qualifier Name: Phone#: State Certification or Registration #: Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: PUACW"�NT Dt LAri INATF FIXOTLl Ne ohi To p of CAJRV-PjN-t Tt DV-, -11 No k-,�ECyrVAc op- PLVM151*- Specify color of color thru tile: , Ai�11iV� Submittal Fee $ Permit Fee $ CCF $ CO/CC Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Structural Reviews $ Training/Education Fee $ Double Fee $ Bond $ (Revised02/24/2014) TOTAL FEE NOW DUE $ 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 6000d OWNER rAGENT The foregoing instrument was acknowledged before me this 2'j day of lUW-e�lt.. 20 .^)-/ by 6r4yA- ky- c,—i.'�la , who is personally known to me or who has produced %-t P t- as identification and who did take an oath. NOTARY PUBLIC: zij i, r Sien: Signature CONTRACTOR The foregoing instrument was acknowledged before me this day of , 20, by , who is personally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign: Print: /i.(/}rLi1f AO �-lt/,: Cr /f Print: Seal- IAARMA GRACIA Seal: �= MY COMIMSSION # HH 120132 EXPIRES: Au%W 16, 2= APPROVED BY Plans Examiner Structural Review as Zoning Clerk (Revised02/24/2014) Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address Parcel Number 9405 NW 2ND AVE, Miami Shores, FL 33150 1131010330670 Contacts Gloria Cabral Owner HOME OWNER Contractor 9404 NW 2nd Ave, Miami Shores, FL 33150 HOME OWNER Home: 7867979766 cabralglo@gmail.com Inspection Requests: Description: PLACEMENT OF LAMINATE FLOORING ON TOP OF Valuation: $ 1,200.00 CURRENT FLOOR Total Sq Feet: 0.00 NO ELECTRICAL OR PLUMBING NO GWE , NO PADS, NO DAMAGE TO ORIGINAL FLOOR NEEDED FOR THIS LAMINATE. Fees Amount Application Fee - Other $50.00 CCF $1.20 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.40 Permit Fee $50.00 Scanning Fee $9.00 Technology Fee $2.50 Total: $117.10 Payments Date Paid Amt Paid Total Fees $117.10 Credit Card 11/20/2020 $67.10 Credit Card 11/02/2020 $50.00 Amount Due: $0.00 Applicant Copy For Inspections, Call (305) 762-4949 or Log on at hops:/Ibldg.miamishoresvillage.com/cap/. Requests must be received by 3pm for following day inspections. NOTICE: In addition to the requirements of this permit, there may be AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER additional restrictions applicable to this property that may be found in the GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, public records of this county. STATE AGENCIES, OR FEDERAL AGENCIES. November 20, 2020 Page 1 of 2 Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address Parcel Number 9405 NW 2ND AVE, Miami Shores, FL 33150 1131010330670 Contacts Gloria Cabral Owner HOME OWNER Contractor 9404 NW 2nd Ave, Miami Shores, FL 33150 HOME OWNER Home: 7867979766 cabralglo@gmail.com Description: PLACEMENT OF LAMINATE FLOORINLONTOP Valuation: $1,200.00 Rec uestsCURRENT FLOOR NO ELECTRICAL OR PLUMBING Total Sq Feet: 0.00NO GWE, NO PADS, NO DAMAGE TO ORIGINAL F NEEDED FOR THIS LAMINATE. Fees Amount Application Fee - Other $50.00 CCF $1.20 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.40 Permit Fee $50.00 Scanning Fee $9.00 Technology Fee $2.50 Total: $117.10 Payments Date Paid Amt Paid Total Fees $117.10 Credit Card 11/20/2020 $67.10 Credit Card 11/02/2020 $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 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 regulating construction and zoning. Futhermore, I authorize the above i that all work will be done in compliance with all applicable laws arr to do -the work stated. Authorized Signature: Owner / Applicant / Contractor / Date November 20, 2020 Page 2 of 2 Miami Shores Village -- --, ,ITV F-D 2 ZRO BUILDING PERMIT APPLICATION ❑BUILDING ❑ ELECTRIC Building Department onz z® non 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Q ►3ATav Dal - Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20t__T Master Permit No. \� �- 20 '2-5 -, r, - Sub Permit No ❑ ROOFING ❑ REVISION ❑ EXTENSION [—]RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: q405 NW WD APt-Mt AM i �jt LCS City: Miami Shores County: Miami Dade Zip: 331`30 Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): GWO-IA CA WU Phone#: � � 91 Address: CtyO� NW 2-NQ N, City: (\4)/iM `610Zk5 State: TU Zip: 0-0 50 Tenant/Lessee Name: Phone#: Email CONTRACTOR: Company Name: Phone#: Address: City: State: Zip: Qualifier Name: Phone#: State Certification or Registration #: Certificate of Competency #: DESIGNER: Architect/Engineer: e#: Address: City: State: Zip: Value of Work for this Permit: $ 17 Qi0 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of work: UNt-Wi OF (AN NAME V(MIZ IN(,�, O N 10 Of Cl1P_IZ� N_t � R � 1030 �tT�cftf�� C1�c. ®I¢.- i�lur�l(?�iNC-r 'r NO r,�WE , No PAps , No OAMRI�rE Ti, Specify color of color thru tile: Submittal Fee $ Scanning Fee $ Technology Fee $ Structural Reviews $ Permit Fee $ CCF $_ Radon Fee $ DBPR $ Training/Education Fee $ CO/CC $ Notary $ Double Fee $ Bond $ (Revised02/24/2014) TOTAL FEE NOW DUE $ 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 _ 4FO114 OWNER or AGENT The foregoing instrument was acknowledged before me this 02. day of Noy2V71Jp,° r 20 20 , by alQfAi 1AC.MU&I ClakAW ,Rofispersonally known to me or who has produced E(.yt— as identification and who did take an oath. NOTARY PUBLIC: Sig<:�2��? Print: �IeAc� fwaydq Seal: SELENA ARANDA MY COMMISSION # GG 971706 Pg` EXPIRES: March 22, 2024 os'� ° ' Bonded Thm Notary Pub 4lnden+riferg ********** ** APPROVED BY Signature CONTRACTOR The foregoing instrument was acknowledged before me this day of me or who has produced 20 , by who is personally known to identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: as ************************************************************* Plans Examiner Zoning (Revised02/24/2014) Structural Review Clerk PDF.js viewer Page 1 of 2 CFN: 20200514W BOOK 32095 PAGE 3214 DATE:09N 112020 03:32:25 PM DEED DOC 2,5%00 HARVEY RUVIN, CLERK Of COURT, MIA-DADE CTY dared by: Mares Lowman, Esq. President Lowman Law, P.A. 1620 NE 2 Avenue Miami, FL 33138 786-703.4162 File Number, 20-Mesiss-OW Return to: Nu World Tite, LLC 10305 NW 41 Street, Suite 229, Doml, FL 33178 Abmw 'rhb none For ttat tiding Deal Warranty Deed This Warranty Deed made this 12th day of August, 2020 between Rabau G. Paredes mad Lucia L. Mesias, husband and wife whom pant office address is 1113 Carper Street, Me Lena, VA 22101, grantor, and Gloria Manuals Cabral Trujillo, a married woman whose post office address is 3400 Lakeside Dr, SuM 100, Miramar, FL 33027, grantee: (whma w tow basin the lane "grant` and `amwe WON& 411 the patties hi this hairtammt and the hchr legal MWsentatives, and coigns of indlAdusts, and the saftemn end out" of axpowkwm o mta and truuoes) Witnesseth, that said poor, for and in consideration of the sum of Tit AND NO1100 DOLLARS (S10.00) and other good and valuable considerations to said grantor in hand paid by said grantea, the receipt whereof is hereby acknowledged, has granted, bargained, and soldto the said grantee, and grantees heirs and assigns forever, the following described land, situate, lying and being in Miami -Dade County, Florida to -wit, Lot 13 tied the West 112 of Lot 14, Block 132, MIAMI SHARES SECTION 6, according to the Plat thereof as recorded to Plat Rook 10, Pogo 39, of the Public Roeords of Miaml-Dada County, Florida. Parcel Identification Number: 11-3101-033,.%70 Also known as 9405 NW 2 Avenue, Miami, FL 33150 Subject to taxes for 2020 and subsequent yam; covenants, conditions, reest iodons, easements, reservations and limitations of record, ifany. Together with all the tenements, her sditaments and appurtenances thereto belonging or in anywise appertaining. To have and to hold, the same in fee simple forever. And die 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; that the grantor hereby fatly warrants the title to said tend and will defend the some against the lawful claims of all perms whomsoever: and that said land is free of all encumbrances, except matters of record and taxes aceruing subsequent to December 31, 2019. Doublelr m P https:Honlineservices.miami-dadeclerk. com/officialrecords/pdfj sviewer/web/viewer.html 11 /2/2020 PDF.js viewer Page 2 of 2 CM 20200514548 BOOK 32095 PAGE 3215 In Witness Whereof, grantor has herauno set granters hand and seal the day acid year first Signed, smiled acid delivered in nor presence: written. , State of VlL �t County of v; _ I;y foregoing j%trutnent was acknowledged before the by means of,X] physioaf presence or (..j online nnfarrr,atlotq tiliq na day of August, 2020 by Ruben G. C edes mid IAtoio L Medan, cuho (j art personally known or (Xj Ruve prodoccd a driver's license as identification, J/f/ �Nota Sant ....G'h ._. ary Ihiblic _,...... ...... 1O9HUA WCHELLHAMES ( NOTARY PUBUC Printed Name: Jnk REMTRATtON #7033042 .._............_.,.__ ..CC�_..._�' "/T y COMMONWEALTH OF VRQJNV. My Commission upirea: t,�dS 3 Z,0L2 MY COMMISSION E%PM5 AUGUST 31, 2023 /` ......_...._ Wti ,o <y Lwd. Pad; i DoublaTitno° https:Honlineservices.miami-dadeclerk.comlofficialrecords/pdfjj sviewer/weblviewer.htmi 11 /2/2020 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OW NER BUILDER DISCLOSURE STATEMENT NAME: got tCt Ca 1 DATE: to a, /to ADDRESS: cW5 V Zhd AVe MIAMI `ali�S FL 3-?l Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, F.S 489.103(7). And I have read and understood the following disclosure statement, which entitles me to work as my own contractor; I further understand that I as the owner must appear in person to complete all applications. State Law requires construction to be done by a licensed contractor. You have applied for a permit under an exception to the law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one -family or two-family residence. You may also build or improve a commercial building at a cost of $25,000.00 or less (The new form states 75,000). The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the construction is complete, the law will presume that you built for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as a contractor. It is your responsibility to make sure the people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any person working on your building who is not licensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A and with -holdings tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, buildings codes and zoning regulations. Please read and initial each paragraph. I. I understand that state law requires construction to be done by a licensed contractor and have applied for an owner -builder permit under an exemption from the law. The exemption specifies that I, as the owner of the property listed, may act as my own contractor with certain restrictions even though 1 do not have a license. Initial 2. 1 understand that building permits are not required to be signed by a property owner unless he or she is responsible for the construction and is not hiring a licensed contractor to assume responsibility. Initial GC 3. 1 understand that, as an owner builder, I am the responsible party of record on a permit. I understand that I may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own name. I also understand that the contractor is required by law to be licensed in Florida and to list his or license numbers on permits and contracts. Initial 4. 1 understand that I may build or improve a one family or two-family residence or a farm outbuilding. I may also build or improve a commercial building if the costs do not exceed $75,000. The building or residence must be for my use or occupancy. It may not be built or substantially improved for sale or lease. If a building or residence that I have built or substantially improved myself is sold or leased within 1 year after the construction is complete, the law will presume that I built or substantially improved it for sale or lease, which violates the exemption. Initial 5. 1 understand that, as the owner -builder, I must provide direct, onsite supervision of the construction. Initial 6. 1 understand that I may not hire an unlicensed person to act as my contractor or to supervise persons working on my building or residence is my responsibility to ensure that the persons whom I employ have the license required by law and by county or municipal ordinance. Initial 7. 1 understand that it is frequent practices of unlicensed persons to have the property owner obtain an owner -builder permit that erroneously implies that the property owner is providing his or her own labor and materials. I, as an owner -builder, may be held liable and subjected to serious financial risk for any injuries sustained by an unlicensed person or his or employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner -builder and am aware of the limits of my insurance coverage for injuries to workers on my property. Initial 8. 1 understand that I may not delegate the responsibility for supervising work to be a licensed contractor who is not licenses to perform the work being done. Any person working on my building who is not licensed must work under my direct supervision and must be employed by me, which means that I must comply with laws requiring the withholding of federal income tax and social security contributions under the Federal Insurance Contributions Act (FICA) and must provide workers compensation for the employee. I understand that my failure to follow these may subject to serious financial risk. InitialaG 9. 1 agree that, as the party legally and financially responsible for this proposed Construction activity, I will abide by all applicable laws and requirement that govern owner -builders as well as employers. I also understand that the Construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. Initial `c3< 10. 1 understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service, the United States Small Business Administration, and the Florida Department of Revenues. I also understand that I may contact the Florida Construction Industry Licensing Board at 850.487.1395 or http://www.mvfloridalicense.com/dbpr/pro/cilb/index.htmi Initial 11. 1 am aware of, and consent to; an owner -builder building permit applied for in my name and understands that I am the party legally and financially responsible for the proposed construction activity at the following address: A 4NW amo flC M(AMl `zs tbYd- TL Initial & ./ 12. 1 agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of the information that I have provided on this disclosure. Initial G Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who does not have a license, the Constr4uction Industry Licensing Board and Department of Business and Professional Regulation may be unable to assist you with any financial loss that you sustain as a result of contractor may be in civil court. It is also important for you to understand that, if an unlicensed contractor or employee of an individual or firm is injured while working on your property, you may be held liable for damages. If you obtain an owner -builder permit and wish to hire a licensed contractor, you will be responsible for verifying whether the contractor is properly licensed and the status of the contractor's workers compensation coverage. Before a building permit can be issued, this disclosure statement must be completed and signed by the property owner and returned to the local permitting agency responsible for issuing the permit. A copy of the property owner's driver license, the notarized signature of the property owner, or other type of verification acceptable to the local permitting agency is required when the permit is issued. Was acknowledged before me this day of WNCMbCr, 20 20 gy C-,Io O n V`'I(riwln C�1b l�rwho `ass personally known to me or who has Produced there License or �-- as identification. SELENA ARANDA -( COMMISSION # 971705 EXPIRES. March 22, 2024 em OWNER NOTARY BWednruNotery Unde IN 3Y D AT ,VITH ALL rEDEHAL 0 w W J < z m O 0 o� "z f. r m � 77 OM, L4 Ma) - :X) •0 O 0 z D Fo �Dn -1i F- 23 z TV O l< m 0 0 0 0 0 m 0