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RC-13-74405' Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION Permit Type: BUILDING FBC 20 ,tx Permit No. ",+y 4 Master Permit No. ROOFING JOB ADDRESS: -7709 N C— 1(O 15—f City: Miami Shores County: OAbr- Miami Dade Zip: Z31 Folio/Parcel#: Is the Building Historically Designated: Yes NO Flood Zone: OWNER. Name (Fee Simple Titleholder): VA@ I OA A WLLA D 10 0 Phone # :"7Wo ° -ICR 941 Address: �b e) tj !T f., a City: Yl S State: Tenant/Lessee Name: Phone #: Email: CONTRACTOR: Company Name: /G Al" llJl/l d UAt t:2' B AJ Phone #: " -gig Address- 0& �O S j City- M. t Phone #: ;t,/A 4 06'q4 State Certification or Registration #: 05(o �90 Certificate of Competency #: Contact Phone #: %� - q 6 q !�t Email Address: DESIGNER: Architect/Engineer. Phone #: Value of Work for this Permit: $ �, C%D U'� Square/Linear Footage of Work: Type of Work: UAddition OAlteration ONew ORepair/Replace ODemoli#on ��-rlbr; Color thru tz'le: Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ D a� CCF $ CO /CC $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature rloa) 6,40 ®l a Signature � �kZ�. Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of _G? , 201 by i1C2 f I n 1'� �n t�2 ° day of 20/� , by a who is personally known to me or who has produced who is nally known to me or who has produced As identification and who did take an oath. p L as identification and who did take an oath. NOTARY PUBLIC: ..1 / �-I NOTARY PUBLIC: M r Print: Print: w My COmm1S �° 4L ROMERO 4 My Co L %1ISSION # Efi136a® COWSSION # EE136473 15 EXP- 2RM: D 03, 2015 n- L=03,20 q. Co. 14IM3- NOTARY Ft. Notary Discount Assoc. Cc , 4ttTroTnY9tJe�lnksktktk oYaM6At4t9tAttfnk& tk9tiF, Ytk4nY4nY, k9ieYaY4nk�oYde4r�YdedetkdatkskiYxY& 9e4t�Y9Ydrda$ e�Y�Y�Y�k9rokirdt�` t�YdnYiYabtL• �YaY3nYtkdo4edr4t9t9BeYaY4e�Y3nY4t7Y3e &sYeYaF &4tSY�ari@�YaYda9rsY3t APPROVED BY ��/ Plans Examiner Zoning Structural Review (Revised V2/2012XRevised 3/12/2012) XRevisW 06 /10/2009XRevised 3 /15 /09XRevised 7/10/2007) Clerk , NOTICE OF COMMENCEMENT A RECORDED COPY NNST BE POSTED ON THE JOB SITE AT T1.I,AE.QF , PECTION PERMIT NO. C .7 ! TAX F01iO NO. STA ' OF kbAIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives rtottre lnat .liriMovements will be made to certain real propeity, and In acxxud A F~c�� following is provided in this Notice " d>a A %olff VAYW f1�0 to dds mice �tl OR Bk 28611 Ps 2930; (fps) RECORDED 05/02/2013 13:16 :34 HARVEY RU` +INN CLERK OF COURT MIAMI -DADS COUNTY; FLORIDA LAST PAGE 4 ' D.C. Space above reseaved fpr use of recording offiee 1. Legal description of pro d aidra'ss: 2. Description of improve erfi 3. Qwner(s} Heine and addr' f 'aZ g Pfe interest in property: Narris and addressoffee simple titleholder 4. Contractor's - .name, :add and,ph number erg'+ 17 ° 30L 0— 5. Surety. payment bond required by owner from contractor, if any} Name, address and phone number Amount of bond $ 6. Lender's name and address: 7. Persons within the ?State of Florida designated by Owner upon whom notices or other documents maybe served as provided by Section 713.13(1)(a)7.,, Florida Statutes, Name, address and phone number. S. In addition to himself, Owners designates the following person(s) to receive a copy of the Uenor's Notice as provided In Section 713.13('1)(6), Florida Statutes. Name, address and phone number 9. Expiration date of this Notice of Commenoemont: (the exphtion date is 1 year from the data of recording arias a di ferent date is spedfledl WARNING NTS TO OWNER: ANY PAYMENTS MADE BY THE OwidER:AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENTARE CONSIDERED 1MPROPE.A PAYME UNdER dAAPTER 713, PART I, SECTION 713.13. FLORIDA$TATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR- PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION, IF YOU INTEND TO OBTAIN,FINiWCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Signature(s) of Owner(s)' Authorized Officer /Director/Partner/Managet Preptd =By .: Prepares By Print Name Print Name Title /Office. Title/Office STATE O FLORIDA fl COUNT_ 1( OF MIAMI -DADE the fo o - h merit. was me this day o e ❑ Individually, or U as for U Personalty known, or q praiuced the following typa:.ofddentiftcatio SignatAm of.Notary,PUblk:: Print Name: (SEAL) Under penalties of perjury,,I dock" that I have read the foregoing and that the facts stated in It are true, to the beat of my knowledge and belief. RPM tic = State of Florida y C xpires Sep 23, 2015 a.�;e Commission # EE 128810 � to"* Boruled Through National Notary Aqv, Signatures) of Owners) or Owner(s)'s Authorized Officer /Director/Partner/Manager who signed above: By BY 12"1 -52 PME3 3n0 .Record and Return to: , Darin W Mellinger PA Attn: Natacha Alberghina 2340 NE 192 Street Miami Fl 33180 Rrenared by and return to: Enrique J. Fernandez, Esq. Enrique J. Fernandez, P.A. 8925 Sw 148 ST STE 200 Miami, FL 33176 305 - 226 -4529 File Number: 13 -3007 Will Call No.: (Space Above This Line For Recording Data] Warranty Deed OR 8k 28576 Pss 1044 - 10451 (2p9s) RECORDED 04/11/2013 10 :27 :59 DEED DOC TAX 4s500.00 HARVEY RUVIH: CLERK OF COURT MIAMI--DADE COUHTY t FLORIDA This Warranty Deed made this 21st day of March, 2013 between Alexandre Burkhardt, a married man, joined by his wife, Ayala Yefet - Burkhardt whose post office address is 6815 Biscayne Blvd., Suite 103 -108, Miami, FL 33138, grantor, and Pablo Minces and Karina Andrea Palladino, husband and wife whose post office address is 308 NE 96th ST, Miami, FL 33138, grantee: (whenever used herein the termdd "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, trusts and trustees) Witnesseth, that said grantor, for and in consideration of the sum of TEN AND NO /100 DOLLARS ($10.00) and other good and valuable considerations to said grantor in hand paid by said grantee, the receipt whereof is hereby acknowledged, has granted, bargained; and sold to the said grantee, and grantee's heirs and assigns forever, the following described land, situate, lying and being in Miami -Dade County, Florida to -wit: Lot 8 and 9, Block 44, An Amended Plat of Miami Shores Section No. 1, according to the plat thereof as recorded in Plat Book 10, Page 70, of the Public Records of Miami -Dade County, Florida. Parcel Identification Number: 11- 3206 -013 -5990 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; that the grantor hereby fully 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, 2012. In Witness Whereof, grantor has hereunto set grantor's hand and seal the day and year first above written. DoubleTime® WA &-nom� Property Information: Current Previous Folio 11- 3206-013 -5990 2011 Property Address 308 NE 96 ST Exemption/Taxable Owner Name(s) ALEXANDRE BURKHARDT $50,000 /$359,323 Mailing Address 308 NE 96 ST MIAMI SHORES FL 33138- $25,000/$384,323 Primary Zone 1400 SGL FAMILY - 3001 -3250 SQ $50,000/$359,323 Use Code 0001 RESIDENTIAL -SINGLE FAMILY $50,000/$359,323 Beds/Batha/Half 3/3/0 Amount Floors 1 9/2011 Living Units 1 Sales qualified as a result of examination of the deed Adj. Sq. Footage 2,864 24587 -0562 Lot Size 14,200 SO FT $0 Year Built 1947 7/1996 Legal Description MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 8 & 9 BLK 44 LOT SIZE 100.000 X 142 OR 18291-1367 0798 1 COC 24587 -0562 05 20061 OR 27846 -0068 091101 Sales which are qualified Assessment Information: Current Previous Year 2012 2011 Land Value $204,398 $177,737 Building Value $307,815 $231,586 Market Value $512,213 $409,323 Assessed Value $512,213 $409,323 Exemption Information: Current Previous Year 2012 2011 Homestead $25,000 $25,000 2nd Homestead $25,000 $25,000 Senior $0 $0 Veteran Disability $0 $0 Civilian Disability $0 $0 Wlidow(er) $0 $0 Disclaimer: Page 1 of 1 MIAMI-DARE COUNTY OFFICE OF THE PROPERTY APPRAISER PROPERTY SEARCH SUMMARY REPORT Carlos Lopez - Camera Properly Appn daer Aerial Photography 2012 Taxable Value Information: Current Previous Year 2012 2011 Exemption/Taxable Exemption/Taxable County $ 50,000/$462,213 $50,000 /$359,323 School Board $25,000/$487,213 $25,000/$384,323 City $50,000/$462,213 $50,000/$359,323 Regional $50,000 /$462,213 $50,000/$359,323 Sale Information: Date Amount OR Book -Page Qualltication Code 9/2011 $670,000 27846 -0088 Sales qualified as a result of examination of the deed 5/2006 $749,900 24587 -0562 Sales which are qualified 6/2005 $0 23490 -3642 Sales which are disqualified as a result of examination of the deed 7/1996 $180,000 18291 -1367 Sales which are qualified The Office of the Property Appraiser and Miami -Dade County are continually editing and updating the tax roll and GIS data to reflect the latest property information and GIS positional accuracy. No warranties, expressed or implied, are provided for data and the positional or thematic accuracy of the data herein, its use, or its Interpretation. Although this website is periodically updated, this Information may not reflect the data currently on file at Miami -Dade County s systems of record. The Property Appraiser and Miami -Dade County assumes no liability either for any errors, omissions, or Inaccuracies in the information provided regardless of the cause of such or for any decision made, action taken, or action not taken by the user in reliance upon any information provided herein. See Miami -Dade County full disclaimer and User Agreement at http:// www. miamidade .govAnfb /dlsclaimer.asp. Property Information inquiries, comments, and suggestions email: pawebmail@miamidade.gov GIS Inquiries, comments, and suggestions small: gis@miamidade.gov Generated on: Tue Apr 9 2013 http: / /gi sweb. miamidade .gov /PropertySearch/printMap.htm 4/9/2013 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 April 18, 2013 Permit No: RC13 -744 Electrical Critique — Michael Devaney 1. Need permit application. Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 April 18, 2013 Permit No: RC13 -744 Plumbing Critique 1) PENDING PLUMBING APPLICATION. Rafael Hernandez Chief Plumbing Inspector Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. PERIAIT #: Miarni Shores Villa, ge APPROVED BY DATE ZONING DEPT C�s�r B SUBJECT to Cc;N1P1jANCE W[NI ALL FEDERAL CT AT C- .�No C( [.A i f HL,L =S Ar)D REGULATIONS EXISTING C WHxv (31N XX�5 -1') eaa x18TING 2 CABS" ANDM (1s' X 519 °1 I !sTM �GLASS, j XX WINDOW W X N -®') -3 ®B�RQOMCEf'TACLE ON p AND G.I PROTECTED AMP CKT F EXISTING T �e' lace Wes! (3'1' X 511) !� EXISTM CASEMENT- mom all X 51') 44' v Cr= ;18TING CASEMENT OM (31'X 519 i� EXISTNG 2- CASEMENT / WNDM (18' X 50 / MASTER / I / I \ _ RAM ^ I � I � � I � I )18TING 2-CA MW ��� WRWW (18' x 51') I work: mbsr� ft t4vre o n -fh >ro® r . \JIW- May, 6. 2013 10:34AM THE FIRST INS. GROUP CORP No, 0578 P. 1/1 __. CERTIFICATE OF LIABILITY INSURANCE o51OS113 THIS gERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AN - D 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: If the certiNCata holder is an ADDITIONAL INSURED, the pollcy(ies) must 11a endorsed. U SUBROGATION M WAIVED, suh)ect to _ the terms and conditions of the potioy, certain policies may require an endorsement. A statement on this cordlicate don not confer rights to the certificate holder in lieu of such endorsemogt), - PRODUCER FACT MIRIAM MESA First InsuranCe Group nnaamm 10967 SW 40 St Miami, Fl. 33165 Phone (305)221 -7878 INSURED _ RICHMOM CONSTRUCTION 7086 SW 44 St Fax (305)554 -7090 °"a°. Ertl, (305) 221- 7878 - 1 1FAMS.Ne , (305 554.7090 !-. DRESS: MIRIAMMESA@AOL.COM - -- Lwv%w R - - . -_ ... _ _ INSUREMS) AFFORDING COVERAGE URERA: AMERICAN SAFETY INDEMNITY Miami, FL 331 55- INSURE _ RD 306 INSURER E • ' INSURER F: - -- COVERAGES r 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 JiER IOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS 1 CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, i EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, f LT TYPE OF INSURANCE O "' '- - - -- lAi8Q ,_ RL_1C N_tMBSR 1 MroomYn MMIDb ! _ LIMITS GENERAL LUUru�TY RACk OCCURRENCE S 1,000 000 Q COMMERCIAL GENERAL UASILrry OfIt6NT1�- ' -' i ❑ ❑ CLAIMS-MADE [I OCCUR PREMISES iy S 100,000 A 15SAU186650 -12 MED ExP &Y &w P■rmn) g 5,000 ❑ 02/04/2013 02104=14 ❑ PERSONAL & AOV INJURY S 1,000,000 GENERAL AGGREGATE GEN'L AGGREGATE LIRMQITAPPLIESPER S 1,000,000 _ - 1,000,OOOa $ © POLICY ❑ 9T [] LOC CTS PRODU- COMPlOPAGO AUTOMOBILE LIABILITY QOMBINED SINGLE Lima ❑ ANY AUTO iEe eccidem) $ ." E3 ALL OVWIPD AUT08 I - -� $ BODILY INJURY (Per person) SCHEDULED AUTOS -- S BODILY INJURY (Pet aockienl PROPERTYDAMAGE r cci (Per adent) ❑ HIREDAUTOS 1-1 I $ NON-0WNEDAUTOS I ... ..i . __.......... ,� 1:1 - _ _ M - . I S _ ❑ UMBRELLA LIA9 ❑OCCUR ❑ BXCFES LIMB ❑ CLAIMS -MADE EACH OCCURRENCE S_ -S ❑ DEDUCTIBLE ❑ RETEN i NN AGGREGATE -- • — ' S $ WORKERS COMPENSATION AND EMPLOYERS' UABLITY Y N ._ ■ M4! ANY PROP&9RIP cLrrm oFPiCERrtv>ENSM ER ExCLIfDED7 NIA R.L- EACH ACCIDENT - (pM�eenssdatwyy in NH) Dti3t:Rl ffON F OPERATIONS Delow E.L. DISEASE • EA EMPLOYR E.L DISEASE . POLICY LIMIT $ .......... DESCRIPTION OF OPERATIONS! LOCATIONS I VEHICI -Ee (At<ttoh ACORD 101. Addhignel Remarks Stltedulo, if morQ space Is required) GENERAL CONTRACTOR. �j CERTIFICATE HOLDER MIAMI SHORES BUILDING DEPARTMENT 10080 NE 2 AVE MIAMI SHORES FL 33138-2382 ACORD 25 (2009fO9) QF CANCELLATION SHOULD ANY OF THE ABOVI: DESCRIBED POLICIES BE CANCELLED BEFORE « I THE EXPIRATION DATL' THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVIGIONS_ AUTHORIZED REPREWNTAtIVE ®1988 -2009 ACORD CO The ACORD name and logo reserved. of ACORD i I I J c� FIRST -CLASS u s. POSTAGE PAID MUUA FL PERMIT NO. 231 289744 -6 THIS IS NOT A BILL - DO NOT PAY RENEWAL � TTr�oo�yy"" RECEiPTMO. 303033 -5 ICt1XrC4 T CTION CORP STATE# C CTR6590 33155 UNIN DADE COUNTY p RICHMOM CONSTRUCTION CORP WORKER /S Sea T Business 19of r 'GENERAL BUILDING CONTRACTOR 1 P mcomx" TAX co L croFk 08/08/2012 60020000491 000075.00 SEE OTHER SIDE DO NOT FORWARD RICHMOM CONSTRUCTION CORP REMBERTO CONTRERAS PRES 7066 SW 44 ST MIAMI FL 33155 ill Hill Ill Mii1111111111 Ill 1111111111 11ii iillaak1l d 1