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DEMO-15-219Miami Shores Village 10050 N.E. 2nd Avenue NW Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Parcel Number Applicant 166 NW 100 Terrace 1131010230280 ILEANA GODOY GONZALEZ Miami Shores, FL 33150- Block: Lot: Owner Information Address Phone Cell ILEANA GODOY GONZALEZ 166 NW 100 Terrace (786)390-9503 MIAMI SHORES FL 33150- 166 NW 100 Terrace MIAMI SHORES FL 33150- Contractor(s) Phone Cell Phone K CONSTRUCTION AND DEVELOPME (954)457-9212 of Demo: Building ional Info: DEMOLITION KITCHEN, BATHROOM AND OP ification: Residential nine: 3 Fees Due Amount CCF $0.80 DBPR Fee $2.00 DCA Fee _ $2.00 Education Surcharge $0.20 Permit Fee $100.00 Plan Review Fee (Engineer) $40.00 Plan Review Fee (Engineer) $40.00 Plan Review Fee (Engineer) $40.00 Plan Review Fee (Engineer) $40.00 Plan Review Fee (Engineer) $40.00 Plan Review Fee (Engineer) $40.00 Scanning Fee $9.00 Technology Fee $0.80 Work without Permit Fee $100.00 Total: $454.60 Valuation: $ 900.00 Total Sq Feet: 89 Pay Date Pay Type Amt Paid Amt Due Invoice # DEMO -1-15-54326 05/11/2015 Credit Card $ 404.60 $ 50.00 01/30/2015 Credit Card $ 50.00 $ 0.00 Avaiiame Inspection Type: Final 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 thepla s, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for al ork done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANI / , WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the forego hg info �n is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authoriz e a e-na ed contractor to do the work stated. May 11, 2015 Authorized Signature: Owner May 11, 2015 1 Miami Shores Village 1 �O � �`k`k Building Department ,� p 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 FBC 20tO Master Permit No- VE t4) - I5- 219 Sub Permit No. ❑ REVISION ❑ EXTENSION ❑ RENEWAL ❑ PLUMBING ❑ MECHANICAL ❑ PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP N�� (� f �^� `� CONTRACTOR DRAWINGS JOB ADDRESS: t'l� 1 0 o l'co —T4(— City: Miami Shores County: Miami Dade Zip: 373(Sn Folio/Parcel#:T - a-2.:342 ko Is the Building Historically Designated: Yes NO _ Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple � Titleholder): 1�1 �Phone#: —j-3�0-9503 Address: 1. ('o f) (0 !co 1 ery— City: M i rA_M'k S h o State: Zip: 3316(= Tenant/Lessee Name: Phone#: Email: l�(®(i l �i�� �r%1 �v el CONTRACTOR: Company Name: / d Phone#: �� it Address: /®�v_ ��i� %/�1�7'P' f/l�ii f�A0z/ City: i`1r� � �/� State: [ Zip: Q Qualifier Name: _`�C�' © yt/! Phone#: State Certification or Registration #: .11on'o'o `'/ �� 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 ❑ Re air/Replace Demolition Description of Work: Specify color of color thru tile: Submittal Fee $ �r Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ TOTAL FEE NOW DUE $ (Revised02/24/2014) Bonding Company's Name'(if applicable) f oiv S-ryG d✓ /JA/ /����L Oy�//fi�C4ol( ®�gP Bonding Company's Address City _!�c/rF_: /7C State fie- Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State 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 reinspe ion fe will be charged. The foregoing instrum nt was acknowledged before me this day o- a AICA T 20 f • by Imo' l� who is personally known to me who has produced as Signatu re The foregoing instrument was acknowledged before me this -29 day of %%Y/ Via 20 I_E , by ::% ed r s ersonal known to me or who has pro ced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: -' Sign: Sign: Print: Print: .2o`P`b,: ELIODORO VALJO public Seal: `'...." ,��Pallotary ��,•�«!�: - -State of Florida My Comm. Expires Notte of Florida '_ MY Juf 9 2017 #FF04890%lCFfc004890Borried =AEALLEJOSeal: ; Jut 9, 2017Commission Thr u `ex�* i S APPROVED BY Plans Examiner Zoning Structural Review Clerk (RevisedO2/24/2014) WL Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. X COPY OF QUALIFIER'S STATE LICENCES B..X COPY OF LOCAL BUSINESS TAX RECEIPT C. X COPY OF LIABILITY INSURANCE* D..X COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER Affidavit) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICATE OF COMPETENCY OF QUALIFIER B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF STATE REGISTERED CONTRACTOR LICENSE OR MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT. D. COPY OF LIABILITY INSURACE* E. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER Affidavit) *YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE AS FOLLOW: Certificate Holder: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 Certificate must specify the description of operations or contractor license number. BUSINESS NAME: k construction and development BUSINESS ADDRESS: 906 w hallandale beach blvd Clnhallandale BUSINESS PHONE:91 54 ) 4579212 CELL PHONE (_) STATEfl 7jp33009 FAX NUMBER (954 ) 4569812 QUALIFIER'S NAME:lacobo kligman QUALIFIER'S LIC NUMBER: cgc1510175 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 KLIGMAN, JACOBO K CONSTRUCTION AND DEVELOPMENT CORP 8950 DICKENS AVENUE SURFSIDE FL 33154 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business In order to serve you better. For information about our services, please log onto www.myfloridalicense.com. There you can find more Information about our divisions and the regulations that impact you, subscribe to department newsletters and loam more about the Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! (850) 487-1395 STATE OF FLORIDA DEPAR OF BUSINESS AND A PROFES �ULATION CGC1510175 35/'h8/2014 KUGMAN, JACO K CONSTRUC*�, COR IS CER=TIFIED under the provisions o1 -h.469 -FS. Expimflon dato : AUG 31.-2916 L14061SM265 . DETACH HERE RICK SCOTT, GOVERNOR KEN LAWSON, SECRETARY lV1ENT CORP n DISPLAY AS REQUIRED BY LAW 115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895 — 954-831-4000 VALID OCTOBER 1, 2014 THROUGH SEPTEMBER 30, 2015 DBA: K CONSTRUCTION & REMODELING CORP Business Name: Owner Name: JACOBO KLIGMAN Business Location: 906 W HALLANDALE BEACH BLVD HALLANDALE Business Phone: 954-274-2936 Receipt #:1GENE1� 7CONTRACTOR Business Type:(CONTRACTOR/REMODELING) w' Business Opened:10 / 03 /2011 State/County/Cert/Reg:CGC1510175 Exemption Code: Rooms Seats Employees Machines Professionals 2 For Vending Business Only Number of Machines: Vandina TvnA- THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within`Broward County and is w: non -regulatory in nature. You must meet all County and/or Municipality planning WHEN VALIDATED and zoning requirements. This Business Tax Receipt must be transferred when the business is sold, business name has changed or you have moved the business location. This receipt does not indicate that the business is legal or that it is in compliance with State or local laws and regulations. Mailing Address: JACOBO KLIGMAN 8950 DICKENS AVENUE SURFSIDE, FL 33154 2014 -2015 Receipt #OIA-13-00005228 Paid 07/11/2014 27.00 Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paid 27.00 0.00 0.00 0.00 0.00 0.00 27.00- f;. THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within`Broward County and is w: non -regulatory in nature. You must meet all County and/or Municipality planning WHEN VALIDATED and zoning requirements. This Business Tax Receipt must be transferred when the business is sold, business name has changed or you have moved the business location. This receipt does not indicate that the business is legal or that it is in compliance with State or local laws and regulations. Mailing Address: JACOBO KLIGMAN 8950 DICKENS AVENUE SURFSIDE, FL 33154 2014 -2015 Receipt #OIA-13-00005228 Paid 07/11/2014 27.00 J!Etry CERTIFICATE OF LIABILITY INSURANCEgAiEil� 01[29 2015 THIS CERTIFICATE 18 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLIOI*f( 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 INSURE(S), AUTHORIZED REPRESENTATNE OR PRODUCER, AND THE CERTIFICATE HOLDER, PORTANT: If the Ce holder is an ADDITIONAL INSURED, the policy(tee) must be endorsed. If SUBRO—GRAT-0–W ig MW SUWO to Ow terms and conditions of the policy, certain policies may ratiutre an endorsement A statement on this cerci tsato dog not cwftr rift ; tw, cotl#leote holder Ot Ileu of such endorseemg. PROWJCeR HIALEAH GENERAL INSURANCE 1432 WEST 49 ST 44P LEAH FL 33012 Hialeah General Insurance PHONE 305-821-2777 305-822-M EAAaAmmm. hiagen(bel►sauth.riet INsuRERtSI AFFaRDANG COVERAGE_ e INSURER A: Granada Irrsurance Company INSURED K Construction and Development 8950 Dldwns Avenue Surfside, FL 33154 INSURER B! FIER C: INSURERO* INSURER E: INSURER F : MVFRAr.FS r_GRTII:ICdT'E NIIMRr-R- REVISION NUMBEW. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD ` INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH T1 CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE SHOULD ANY OF THE ABOVE DESCRIBE, POLICIES RE CANCELLED HEFO POLHW NUMBER;wpm%EFF ACCORDANCE WITH THE POLICY PRO NS. rt8 GENERAL UABILiTY COMMERCIAL GENERAL LIABILITY CLAIMS AAADE CK OCCUR AUTHORIZED REPRESENTATIVE j 01.86FLOW21828 091=014 09130/2015 OIX? EACH OCCURRENCE $ 1.00D.TO F -P � Ea " $ 1f10't MED EXP MIS POM"$,5,000 , PERSONAL & ADV INJURY $ 1 OOO,t>DO GENERAL AGGREGATE S 2,000, GEN'L AGGREGATE LIMIT APPLIES PER; POLICY PRO- LOG i PRODUCTS - COMPRO' AGG $ EXC AUTOMOBILE UASLITY ANYOrIED LED AUTO AUTOALL S AUTOS HIRED AUTQS NTNG ff E ( I L $ t _ BODILY INJURY (P� +} S BODILY INJURY i $ P 6Ca�nr !S $ A UMBRELLA LIAR EXCESS LIAB HCLAIMS-MADE i EACH OCCURRENCE & AGGREGATE RETENTION DEDi $ A WORKERS COMPENSATION AND EMPLOYERS WABILITY ANY PROPRIETOR/PARTNEWEXECUTIVE YQ MRe=s �= CLUDEDI DESL�RIPTION OF PE TIONS NIA I I � T71 T• E .L EACH ACCIDENT $ E.L DISEASE - EA EMPLOY _ $ E.L. DISEASE - POLICY LMT It f� II I a MOMWvnONGF OPERATIONS I LOCA7=S I VEHICLES tAAdach ACORD tut. Addmonm Remarks Sehedut% S > ee tomwkedl COC1510176 ws«ras.w.w a.w ,�w. earw [•A-IUk-=1 I kInn t lQJ7N00'417'lVA4Vl;#wna-W avResanu,�,aua.w*ke:..w� At ORD 26 (2010105) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBE, POLICIES RE CANCELLED HEFO THE EXPIRATION DATE THEREOF, POTICE 99 DELIVERED IR ACCORDANCE WITH THE POLICY PRO NS. Miami Shores Village Building Department 10050 NE 2 AVE AUTHORIZED REPRESENTATIVE Miami Shores, FL 33138 lQJ7N00'417'lVA4Vl;#wna-W avResanu,�,aua.w*ke:..w� At ORD 26 (2010105) The ACORD name and logo are registered marks of ACORD f JEFF ATWATER CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 1/26/2014 EXPIRATION DATE: 1/26/2016 PERSON: KLIGMAN JACOBO FEIN: 134304052 BUSINESS NAME AND ADDRESS: K CONSTRUCTION AND DEVE 8950 DICKENS AVE SURFSIDE FL 33154 SCOPES OF BUSINESS OR TRADE: LICENSED GENERAL CONTRACTOR Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt.. appy only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation If, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for Issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the Certificate to most the requirements of this section. DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 07-12 QUESTIONS? (850)413-1609 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner — Workers' Compensation Insurance Exemption Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full-time employees, including the owner, must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if - 1. The officer owns at least 10 percent of the stock of the corporation, or in the case of an LLC, a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State, Division of Corporations; and 3. The corporation is registered and listed as active with the Florida Department of State, Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers' compensation exemption and acknowledges that he or she will not use day labor, part-time employees or subcontractors for your project. The contractor has provided an affidavit stating that he or she will be the only person allowed to work on your project. In these circumstances, Miami Shores Village does not require verification of workers' compensation insurance coverage from the contractor's company for day labor, part-time employees or subcontractors.. Therefore, you may be personally liable for the worker compensation iniuries of anv Person allowed to work under this permit. Please check with your insurance carver since most property insurance policies DO NOT cover this type of liability. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Owner jfE� State of Florida ) County of Miami -Dade) Sworn to an4�sabscribed before me this By My Comm. Expires Jul 9, 2017 Commission # FF 004890 Bonded Through National Notary Assn. on Name:Print , State of Florida) County of Miami -Dade ) Sworn to and subscribed before me this day of ,,,, -g _ , 29�1� By y • e My Comm. EfrPires Jul 9, 2017 +Q¢ F`�p;` Commission # FF 004890 Bonded Through National Notary Assn. All, ,•, 1` , January 29, 2015 State of Florida County of Miami Dade Before me this 29 Day of January, 2015, deposes and says: I Jacob Kligman President of K Construction and Development will be the only person working at the job located 166 NW 100 Terr. Miami Shores Village, FL 33150. Sworn to (or affirmed) and subscribed before me this 29 Day of January, 2015, by JACOBO KLIGMAN Personally known_ Produced identification Type of Identification k& POA M) k Print Type or Stamp Name of Notary 906 W Hallandale Beach Blvd, Hallandale, FL 33009 — Ph (305) 864-9218 — Fax (305) 861-2609 •1PH �, Pt ��i • o °�-'' ?* ANA PARRILLA ,' Notary Public - State of Florida :�;• oar My Comm. Expires Apr 21, 2017 Commission # EE 867787 0vl,sn- k& POA M) k Print Type or Stamp Name of Notary 906 W Hallandale Beach Blvd, Hallandale, FL 33009 — Ph (305) 864-9218 — Fax (305) 861-2609 Property Information Previous Folio: 11-3101-023-0280 Property Address: 166 NW 100 TER Owner ILEANA GODOY GONZALEZ Mailing Address 166 NW 100 TER MIAMI , FL 33150 Primary Zone 0800 SGL FAMILY -1701-1900 SQ Primary Land Use 0101 RESIDENTIAL -SINGLE FAMILY: 1 UNIT Beds / Baths I Half 2/1/0 Floors 1 Living Units 1 Actual Area 1,347 Sq.Ft Living Area 1,327 Sq.Ft Adjusted Area 1,250 Sq.Ft Lot Size 8,025 Sq.Ft Year Built 1940 Assessment Information Previous Benefit Type 20141 2013 2012 Year 2014 2013 2012 Land Value $108,071 $72,495 $57,996 Building Value $84,750 $84,750 $94,688 XF Value $634 $640 $804 Market Value $193,455 $157,885 $153,488 Assessed Value $81,461 $80,2581 $78,917 Benefits Information Previous Benefit Type 20141 2013 2012 Save Our Homes Cap Assessment Reduction $111,994 $77,627 $74,571 Homestead Exemption $25,000 $25,000 $25,000 Second Homestead Exemption $25,000 $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 BONMAR PK ADD A RE -SUB PB 24-71 LOT 10 & W1/2 LOT 11 BLK 4 LOT SIZE 75.000 X 107 OR 12360-1190 03841 Taxable Value Information Previous 2014 20131 2012 County Exemption Value $50,000 $50,0001 $50,000 Taxable Value $31,461 $30,2581 $28,917 School Board Exemption Value $25,000 �$55,258$53',09�017] Taxable Value $56,461 City Exemption Value $50,000 $50'� MIE Taxable Value $31,461 $28,917 Regional Exemption Value $50,000 $50,000 $50,000 Taxable Value $31,461 $30,258 $28,917 Sales Information Previous Price OR Book- Qualification Description Sale Page 01/09/2015 $203,000 29465-3842 Qual by exam of dead 2008 and prior year sales; Qual by exam 03/01/1984 $49,900 12360-1190 of deed 2008 and prior year sales; Qual by exam $54,100 10929-0789 of deed EO7'/00]1/19709 2008 and prior year sales; Qual by exam $47,500 10475-1625 of deed 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:/twww.miamidade.gov/info/discialmer.asp Version: Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 � Tel: (305) 795.2204 Fax: (305) 756.8972 is F Permit No: J)e-Mo- Is- -Z7� Structural Critique Sheet l /L A,..c,,,, ,cam b'j- W'J'(0 tx'� � b -e._ ,e, vlis - yw -V\-o �- Ate— -a -e-4 Page 1 of 1 STOPPED REVIEW 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. Mehdi Asraf K' CONSTRUCHON AND DEVELOPMENT P April 3, 2015 CITY OF MIAMI SHORES VILLAGE BUILDING DEPARTMENT 10050 NE 2 AVE f0t, MMMI SHORES, FL 33138 0 Re: Cancel demo permit DEMO -1-15-219: To Whom It May Concern: Due to the construction plan submission for this project Process No RC 15-362, at this time we are requesting to cancel the application above referenced for the demolition phase. Sincerely, �I JACOB KLIGMAN President CGC15101 14 1(011 5 r ?A'C7TL wiw. M,�Ti� • cex� �c.�2 iH� m�-T•�i 906 W Hallandale Beach Blvd. Hallandale, FL 33009 — Ph (305) 864-9218 — Fax (305) 861-2609 O 0000•. 0.000• • 0000•. 0000• 0000•• 0000•• • • W J BEDROOM ENTRY mosomi REAR REMOVE DOOR) AND CLOSE OPENING DINING ROOM FIRE PLACE DEMO IOTCHEN CABINETS. 9 % e= FRONT 6 Lu Q KITCHEN EX. MIAMI DADE COUNTY APPROVED ALTERATION (SEE ATTACHED MIAMI DADE COUNTY PROPERTY APPRAISER RECORD) OPEN WALL FOR NEW DOOR (SEE CONSTRUCTION PLANS FOR DETAILS). (SEE NOTE 4) NON—LOAD BEARING WALL MAY 0 2015 NOTES / SCOPE OF WORK 1, I. SCOPE OF WORK: REMOVE KITCHEN CABINETS, DEMOLISH BATHROOM, REMOVE DOOR TO BACKSYARD, REMOVE WINDOW (TO BE REPLACED WITH FRENCH DOOR) OPEN WALL TO EX ALTERATION. .} 2. NEW FRENCH DOOR TO BE INSTALLED BY OTHERS IUNDER A SEPARATE PERMIT. 3. DO NOT REMOVE WINDOW FOR NEW FRENCH DOOR UNTIL WINDOW PERMIT IS APPROVED AND WINDOW IS READY TO BE INSTALLED. O SHORING REQUIRED DUE TO EXISTING TIE BEAM 5. GARAGE CON VERSION WILL BEL GALIZED UNDER A SEPARATE PERMIT LEGEND OPEN WALL EXISTING WALLS TO REMAIN PROPERTY INFORMATION APT ADJ. SQUARE FOOTAGE LIVING AREA 1,347 SF APT ADJ. SQUARE FOOTAGE WORK AREA 150 SF ALTERATION LEVEL II AS PER FBEC 401 OCCUPANCY R-2 EXISTING CBS BUILDING CODES AND STANDARDS FLORIDA BUILDING CODE 2010 9 ^' FLORIDA FIRE PREVENTION CODE 2010 CITY OF MIAMI BEACH ZONING FLORIDA ACCESIBILITY CODE 2010 1r: DEVELOPMENT CORP K CONSTRUC110N AND tJ MVOTTM �: P v� DMWNBYI K C CHODLAN6 DEVELOPMBNR CORP BATH SECRETIONOE OFBWAOLL • • DEMO BATHROOM. UNDER WINDOW • • SHEET TITLE • • • FIXTURES TO FOR NEW DOOR 1� w 100 met REMAIN AT SAME •• • 3�1 • POSITION DEMOLITION FLAN DBAOUTION CONSTRUMON r • W • ' CLOSET 00.00. SHEff NUMBER b BEDROOM b • b b D-1 Q � ' 0000•• • • •••• • • 0000 .000.0 • • • • b • • 0000•• ' . • OLOSET 7 • 0 •• • V BEDROOM ENTRY mosomi REAR REMOVE DOOR) AND CLOSE OPENING DINING ROOM FIRE PLACE DEMO IOTCHEN CABINETS. 9 % e= FRONT 6 Lu Q KITCHEN EX. MIAMI DADE COUNTY APPROVED ALTERATION (SEE ATTACHED MIAMI DADE COUNTY PROPERTY APPRAISER RECORD) OPEN WALL FOR NEW DOOR (SEE CONSTRUCTION PLANS FOR DETAILS). (SEE NOTE 4) NON—LOAD BEARING WALL MAY 0 2015 NOTES / SCOPE OF WORK 1, I. SCOPE OF WORK: REMOVE KITCHEN CABINETS, DEMOLISH BATHROOM, REMOVE DOOR TO BACKSYARD, REMOVE WINDOW (TO BE REPLACED WITH FRENCH DOOR) OPEN WALL TO EX ALTERATION. .} 2. NEW FRENCH DOOR TO BE INSTALLED BY OTHERS IUNDER A SEPARATE PERMIT. 3. DO NOT REMOVE WINDOW FOR NEW FRENCH DOOR UNTIL WINDOW PERMIT IS APPROVED AND WINDOW IS READY TO BE INSTALLED. O SHORING REQUIRED DUE TO EXISTING TIE BEAM 5. GARAGE CON VERSION WILL BEL GALIZED UNDER A SEPARATE PERMIT LEGEND OPEN WALL EXISTING WALLS TO REMAIN PROPERTY INFORMATION APT ADJ. SQUARE FOOTAGE LIVING AREA 1,347 SF APT ADJ. SQUARE FOOTAGE WORK AREA 150 SF ALTERATION LEVEL II AS PER FBEC 401 OCCUPANCY R-2 EXISTING CBS BUILDING CODES AND STANDARDS FLORIDA BUILDING CODE 2010 9 ^' FLORIDA FIRE PREVENTION CODE 2010 CITY OF MIAMI BEACH ZONING FLORIDA ACCESIBILITY CODE 2010 1r: DEVELOPMENT CORP K CONSTRUC110N AND �: P v� DMWNBYI K C CHODLAN6 DEVELOPMBNR CORP WW W& GOIIZAI.EZ -- --- _-__�— SHEET TITLE K 1� w 100 met - ^ �_ 3�1 sue sem, FL 3M30 DEMOLITION FLAN DBAOUTION CONSTRUMON SURFSIDF- R 33154 W SCALE: 3/16"= 10" SHEff NUMBER AND DEVMPMM D-1 Q � ' JAI nil u 0 0 I V u F s.® .y m � V) 1 v '' - K CONSTRUC110N AND �: P v� DMWNBYI K C CHODLAN6 DEVELOPMBNR CORP WW W& GOIIZAI.EZ -- --- _-__�— SHEET TITLE K 1� w 100 met - ^ �_ 8950 DICKENS AVE sue sem, FL 3M30 DEMOLITION FLAN DBAOUTION CONSTRUMON SURFSIDF- R 33154 SCALE: 3/16"= 10" SHEff NUMBER AND DEVMPMM D-1 REAR NOTES / SCOPE OF WORK 1. SCOPE OF WORK: REMOVE KITCHEN CABINETS, DEMOLISH BATHROOM, REMOVE DOOR TO BACKSYARD, REMOVE WINDOW (TO BE REPLACED WITH FRENCH DOOR) OPEN WALL TO EX ALTERATION. % - los \P -1 - APR I 12015 K CONSTRUCTION AND PWACrosyn iCARON � Wd Imo. DRAWN BY K CONSfRUCt10N D DEVELOPMLNT COR K DEVELOPMENT CORP 166 W 160 MR SHEET TITLE 8950 DICKENS AVE WM SfM R. 33138 PEI a I T I PLAN pEMDUTION CANSTRUMON SURFSIDE, FL 33154 Y I - l/ I V SCALE. 3/16'- i 4r SHEET NUMBER MD DEM MM D-1 % - los \P -1 - APR I 12015 REAR Ln O % .0. :. .: 0: . %: 00 :00 Va so* • %* NOTES / SCOPE OF WORK I 1. SCOPE OF WORK REMOVE KITCHEN CABINETS, DEMOLISH BATHROOM, REMOVE DOOR TO BACKSYARD, REMOVE WINDOW (TO BE REPLACED WITH FRENCH DOOR) OPEN WALL TO EX ALTERATION 2. NEW FRENCH DOOR TO BE INSTALLED BY OTHERS UNDER A SEPARATE PERMIT. 3. DO NOT REMOVE WINDOW FOR NEW FRENCH DOOR UNTIL WINDOW PERMIT IS APPROVED AND WINDOW IS READY TO BE INSTALLED. 4. NO SHORING REQUIRED DUE TO EXISTING TIE BEAM PROJECTfiM�TFON DPAWNBY K CONSTRUCTION AND ARQ. K coNSTRUC71ON AND Mr. aW Mm GONZALEZ DEVELOPMENT CORP TERMA L CHAMBLESS SHEET TrrLE K DEVELOPMEW CORP 166 w 100 mat Lic.- 895D DICKENS AVE MIM® SHORES, FL, 33136 PEMOLITION PLAN DEMOLITION 13921SW74TERR CONSTRUCTION S`�' UFL 33154 SCAM 3116"= 10" MIAMI, FL33183 SHEET NUMBER AM D-1 DMWPMW � SEAL