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EL-12-284 �Tiami Shores Village Building Department -E-1ED 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel: (305)795.2204 Fax:(305)756.8972 MAY 0 8X013 INSPECTION'S PHONE NUMBER: (305)762.4949 3 UILDING Permit No. O L— --- PERMIT APPLICATION Master Permit No. FBC 20 Permit Type: Electrical OWNER: Name(Fee Simple Titleholder): ����`� Phone#: Address: 1- �j 1 City: 1 &-F State: �to ( 0. zip:�L�=?/� LiTenant/Lessee Name: ( ✓�$ r�r r 1 nQ-1 r o Phone#: �"I "®2� Email: JOB ADDRESS: I-05 3 d• 1 j C✓LA -S-Twe-T Citv: Miami Shores County: Miami Dade Folio/Parcel#: Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR:Company Name: V)71 C Phone#: q,4-j-`r*-5 1.0 Address: ^\�� �� / l� 'ZI City: ` '� `� ( State:����O^ Zap: 3d ZS Qualifier Name:�� 1Q�2 �Y�01 V16Z1 r�xr--` Phone#: State Certification or Registration#: EFOyy� �- I Certificate of Competency#: Contact Phone#: Email Address: DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: ❑Address ❑Alteration ❑New ❑Repair/Replace ❑Demolition Description of Work: fv - Sub- _ - _ lE —- mittal Fee$ - - Pernut Fee$ A GGF --- _ Scanning Fee$ - -- -- -Radon Fee$ - --- -- -- DBPR$ Bond$ — - ---— Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$ Lundin Cnuih:ui� . .A;iinc i(.111ph"thl'i Bonding Company s Address City State 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 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 frith 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) da}•s 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 Signature Owner or Agent Con actor The foregoing instrument was acknowledged before me this The foregoing instrument was acknow edged befor me this day of , 20—,by , day of / ' t t`v ��"�20/ by who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: pLct_��_ Sign: Sign: Print: Print: My Commission Expires: My Commission E c` u MARIA D.PEREZ Notary Public-State of Florida err ..1E - s� s�* �x*�x �xx��xx��xa<�xs<a<�xx� �xx�>Kx�m �xa��s«s<x�a<x��xx� x��x �x* ��x �xma<*aWx�s av 'd �x54. — -- —APPROVED-BY �1 - ----- — - -Plans xaminer Zoning Structural Review Clerk (Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) 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 OCT 2 9 2012 BUILDING Permit No. —� = PERMIT APPLICATION Master Permit Nof�— FBC 20 L(---> Permit Type: Electrical OWNER:Name(Fee Simple Titleholder): Gerardo Pineiro/Beatriz Borregales Phone#: Address: 1532 NE 104 St City: Miramar State: FL Zip: 33138 Tenant/Lessee Name: Phone#: Email: JOB ADDRESS: 1532 NE 104 Street City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 1122320320370 Is the Building Historically Designated:Yes NO Flood Zone: CONTRACTOR:Company Name: ADT LLC Phone#: 954-266-5275 Address: 10785 Marks Way City: Miramar State: FL Zip: 33025 Qualifier Name: George Manginelli Phone#: 954-266-5275 State Certification or Registration#: EF0001121 Certificate of Competency#: Contact Phone#: 954-266-5275 Email Address: mdperez@adt.com DESIGNER:Architect/Engineer: Phone#: Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: ❑Address ❑Alteration ❑New ❑Repair/Replace ❑Demolition Description of Work: Renew Permit#EL-2-12-284 x��xxx:xx�:�:�x�xxx�xx:�:����x���xx�xxx��xxxFees�x�xxxx�xxxxxxx�xxx�xxxxx�:x��x�:xx�x�x�xx���� Submittal Fee$ Permit Fee$ lci-),d-� CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE i0 t/1 , Bonding Company's Name(if applicable) Bonding Company's Address City State 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 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$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the forst inspection which occurs seven (7) days after the building permit is issued. In the absence of s h posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 24 day of ,20_,by day of October ,20 12,by George Manginelli , who is personally known to me or who has produced who is personally knower to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY UBLIC: Sign: Sign: lJ �' Print: Print: -di- laad" di My Commission Expires: My Com ski s: MARIA D.PEREZ Notary Public-State of Florida My Comm.Expires May 7,2016 Commission#EE 196354 �kak%k�kAask�kak�k�k�k�kak�k�k�k �k �k�ksksksk8:�k�k�k�k�kM��kak�kakak8askskT$:k�kak�a�k=kHa9k'k�k�ksle$:�k�k9k:k�%k�k�k�k�k�k �k' �� ak�k $: ik�k �k �k �k�k �k �kXa%� APPROVED Plans Examiner i Zoning Structural Review Clerk (Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) ' Miami Shores Village e� �� ��2 Building Department My. 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel: (305)795.2204 Fax: (305)756.8972 INSPECTION'S PHONE NUMBER:(305)762.4949 e-4 BUILDING Permit No. ZPERMIT APPLICATION Master Permit No. FBC 20 Permit Type: Electrical OWNER:Name(Fee Simple Titleholder): GE7 A-C b t`�A �� �" 1 Phone#: 3 S 66 -7 S`7 3 Address: S3 L �9 E 1 04 STiL-4-1E i City: e rt*-11 S �k. c S State: Zip: �� 1?✓<' Tenant/Lessee Name: Phone#: Email: JOB ADDRESS: I S 31 J= 10 S mzt T- City: Miami Shores County: Miami Dade Zip: 3 13 12-1 Folio/Parcel#: I I • -L'-Z-3 2 03-L U 3-7 0 Is the Building Historically Designated: Yes NO r Flood Zone: CONTRACTOR:Company Name: 1 `' V,n J 010th Phone#: � �Zee :`- vis z Address: P /e ) �* �j City: '" C 0 State: IPL !Zip: 30 K S7 Qualifier Name: 6- G­( Phone#: jjr'y-Zf, �- State Certification or Registration#: C.r j 1 2 / Certificate of Competency#: / � Contact Phone#: ` 46" Email Address: DESIGNER:Architect/Engineer: Phone#: Value of Work for this Permit:$ s Z' Square/Linear Footage of Work: Type of Work: ❑Address ❑Alteration ❑New ❑Repair/Replace ❑Demolition Description of Work: �1t.Sh �f�� (Aa �xxx�:xx�:�������:����x������x��:��xxx�xx�xFees:xx:xxx�xxxxxxx��:xxx�:�:xx*xx=xxx�xxxxx��xxxxxx�:� Submittal Fee$ Permit Fee$ ®o r d� CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$ �-1*g3Lj Bonding Coimpany's Name(if applicable) Bonding Company's Address City State 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 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$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. ��ii�� Signature .• •• z /moi Signature Owner *�'•�y� y 10'aoS Contractor The foregoing ins en was ackno •ed l Mfeame t`i'i= The foregoing instrument was acknowledged before me thisff day of ,201Z- ,by day of &t2 _ ,20 Jam,by 1,4e GYM Ma FI C s� /// •�/!0 f•M•OQ who is personally known to me or who h�j Y JJ � who isersonally kn o me or who has produced bt-- As identification and�wht�l' ake an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: a Sign: Sign: Print: "t Print: ADAM NMI My Commission Expires: My Commission Expir Y;t�Mr^t5s+.rr EE c'' �2+ 9.20'15 d� Bonded 7hru Notaq Public Underwriters APPROVED BY — Plans Examiner Zoning Structural Review Clerk (Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) My Home A I�. 10 NONNI 111-11m, MIAMI-DADE j Show Me: Propertylnformation ti ' "'' � Legend Search By: �"' "' t .NE 105TH$T , ' rrir�' '�• Property • Boundary Select Item ' "� Selected �r • ' A� _ ... _ -` Property Text only Property Appraiser Tax Estimator ti Street Property Appraiser Tax " 9"� �— sr /✓ Highway Comparison +-- NE t0a1H ST ' r. _ ::�,,�� Miami-Dade .+� $. ro County t a Summary Details: - water Folio No.: 11-2232-032-0370 -+' ri �' ' Vw Property: 1532 NE 104 ST N AL Mailing MARK HANSON 8W Address: GLORIA J SEVILLA l ` `" r WE 313 LAKE CR#214 NORTH �pE 103RD&T ' ' - _ m,.�,� PALM BEACH FL er^'Eea' '!'' as �� " �t 33408- { Property Information: Primary Zone: 1100 SINGLE FAMILY ,_� . _ wd"i�` i i. - •'' RESIDENCE �•,t 0001 RESIDENTIAL- CLUC: SINGLE FAMILY ' Beds/Baths: 3/3 Floors: 1 - *s _ Living Units: 1 d'Sq Footage:12,643 Lot Size: 8 850 SQ FT Aerial Photography-2009 0 112 ft Year Built: 1970 2 52 42 RIVER BAY PARK ADD PB 40-72 Legal LOT 16 BLK 4 LOT SIZE Description: 75.000 X 118 OR 18739- My Home I Property Information Property Taxes 293 08 1999 1 COC I My Neighborhood I Property Appraiser 3704-2788 07 2005 1 Assessment Information: Home I Using Our Site I Phone Directory I Privacy I Disclaimer Year: 2011 2010 Land Value: $127,493 $106,604 Building Value: $227,667 $229,08 If you experience technical difficulties with the Property Information application, Market Value: $355,160 $335,687 or wish to send us your comments,questions or suggestions Assessed Value: $355,160 $335 687 please email us at Webmaster. Taxable Value Information: Year: 2011 2010 Applied Applied Web Site Exemption/ Exemption/ ©2002 Miami reser County. reserved. Taxing Authority: Taxable Taxable All rights ed. Value: Value: Regional: $0/$355,160$0/$335,687 oun $0/$355,160 0/$335,687 i $0/$355,160 0/$335,687 chool Board: $0/$355,160 0/$335,687 Sale Information: Sale Date: 7/2005 Sale Amount: $720,000 Sale O/R: 3704-2788 Sales Qualification Sales which are qualified ,Description: 1111111111111111111111 INN 1111111111 Bill 1111 C:FN 2012R1-_11:004'-_574 OR Bk 27949 Pss 3710 - 3711► (2R9s) RECORDED 01/0412012 11:29:45 DEED LOC TAX 2x490,00 HARVEY RUVINr CLERK OF COURT This document prepared by: MIAMI-€lAOE COUNTY► FLORIDA Alfredo Domingo xiques,Esq. Eduardo Jose Garcia,P.A. Suite 300,Grove Professional Building 2950 SW 27"Avenue Miami,Florida 33133 Folio No. 11-2232-032-0370 Space above this line for recording WARRANTY DEED This Warranty Deed executed thisday of December.2O11 by Mark Hanson and Gloria J.Sevilla,husband and wife whose post office address is: 313 Lake Circle #214 North Palm Beach,FL 33408 party of the first part and hereinafter referred to as the grantor;to Gerardo Mena Pineiro and Beatriz Carolina Borregales Malavea,husband and wife whose post office address is: 1532 NE 104 Street,Miami Shores FL 33138 party of the second part and hereinafter referred to as the grantee. (Wherever used herein the terms "grantor" and "grantee" include all the parties to this instrument and the heirs,legal representatives and assigns of individuals). WITNESSETH:That the grantor,for and in consideration ofthe sum of$10.00 and other good and valuable consideration, receipt whereof is hereby acknowledged, hereby grants, bargains, sells, remises, releases, conveys and confirms unto the grantee,all that certain land,and the improvements erected thereon,situate and lying in MIAMI-DADE County,Florida,to wit(the"Property"): Lot 16,Block 4,River-Bay Park Addition,according to the plat thereof as recorded in Plat Book 40,Page(s)72,Public Records of Miami-Dade County,Florida. SUBJECT TO: Taxes for the year 2012 & subsequent years; restrictions, conditions, limitations and easements of record,if any,none of which are re-imposed by this conveyance;and zoning ordinances and other restrictions and prohibitions imposed by applicable governmental authorities without seeking to re- impose same. Page 1 of 2-Warranty Deed LAST PAGE ` TOGETHER with all the tenements, hereditaments, 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 the Property in fee simple;that the grantor has good right and lawful authority to sell and convey the Property;that the grantor hereby fully warrants the title to the Property and will defend the same against the lawful claims of all persons whomsoever;and that the Property is free of all encumbrances,except taxes accruing subsequent to December 31,2011. IN WITNESS WHEREOF,Grantor has caused these presents to be executed the day and year first abov en. i al and delivered in es o Witnek#YSig�> UQS Mark Hanson Witness#1 Print Name Witness 2 Signature ria J.Se la _C_ 1010 Ynan ez. Witness#2 Print Name STATE OF FLORIDA ) ss.. ) COUNTY OF MIAMI-DADE I HEREBY CERTIFY that on this day personally appeared before me, an officer duly authorized to administer oaths and take acknowledgments Mark Hanson and Gloria J.Sevilla,husband and wife to me well known to be the persons described in and who executed the foregoing Warranty Deed, or who has produced E(. D t i V Q t 5 I��.�� ,as identification,and acknowledged before me dw the Warranty Deed was executed freely and voluntarily for the purpose therein expressed and did so by taking an oath. WITNESS my hand and official seal4theounty tat last aforesaid,this Z�aay ofDecember. 2011. Public,, e.qf Florida LESLIEFERNANDQ MY COMMISSION#DD 866743 Page 2 of 2— E Bonded ThN No"Public Undenv tens