DS-15-1758 Miami Shores Village FRjTf__ 1
1 JUL 14 095
Building Department
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tei:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20 E O
BUILDING (waster Permit No.D S 1 S—f_7 58
� r RMIT APPLICATION Sub Permit No.
: UILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
F-1 PLUMBING ❑ MECHANICAL F-1 PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: �t✓ 1�' / '�aft
City: Miami Shores County: Miami Dade Zip: 33139
Folio/Marcel#: (/- 32o6- ala" 3 i'D Is the Building Historically Designated:Yes NO V'
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): Y � �1 Phone#: JOY-7910`5#0
Address:
City: Ift—A S/drAiES State: 6L Zip: 33/38
Tenant/Lessee Name: Phone#:
Email: yodihAkerrympAAA • Gd
CONTRACTOR:Company Name: .S• gic AGK /kS Phone#: q 77;? 7Z
Address MY �l�✓�°''
City: Q 2 State: �L Zip:
Qualifier Name: mES XONA Phone#:
f a
State Certification or Registration#: 61910r8s— Certificate of Competency#: ?441700 do qV
DESIGNER:Architect/Engineer: Phone#:
Address: p City: —State:e� Zip:
Value of Work for this Permit:S L a Square/Unear Footage of Work: 2i f4
Type of Work: 0'Addition Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: 0W 41J4eM MAKWA• V A-610 Ta /NST*LL AlvfWYNd E►qW�
Specify color of color thru tile: 90?APCJY_,0.e 1#17A6e �� T,�>
Submittal Fee$ Permit Fee$ CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FIX NOW DUE$
(Revised02/24/2014)
a,..— J
Sondinj 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 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 fist inspection which occurs seven (7) days after the building it is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
4.
Signatur Signature
OWNER or AGENT iONTRACTOR
The for Ing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
_7 day of JUS .20 IS' ,by day of of Alf ,20 /S" ,by
✓k 86510 who is personally known to D who i personally known t
me or who has produced 41L as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign:- 1gn:
Pri c. - 4 Print
Se =i
P Seal:
C.AB801T
STANOTARYPUBLIC
FLORA STATE OF FLORM
• 1n= Canrra1FF118030
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
6/18/2015 Propertv Search Application-Miami-Dade Countv
xs�7::t APPRAISER
Summary Report
Generated On:6/18/2015
Property Information
Folio: 11-3206-013-3470
Property Address: 295 NE 91 ST
Owner NICKOLAS C BERRY&W YELBA M
Mailing Address 295 NE 91 ST
MIAMI SHORES,FL 33138-3127
Primary Zone 1000 SGL FAMILY-2101-2300 SQ
Primary Land Use 0101 RESIDENTIAL-SINGLE
FAMILY:1 UNIT
Beds I Baths I Half 4/2/0
Floors 1
Living Units 1
a;
Actual Area Sq.Ft
Living Area Sq.Ft
Adjusted Area 2,807 Sq.Ft
Lot Size 13,734.5 Sq.Ft
Year Built 1947 Taxable Value Information
2015 2014 2013
Assessment Information County
Year 2015 2014 2013 Exemption Value 1 $50,000 $50,000 $50,000
Land Value $329,307 $288,678 $255,534 Taxable Value $126,654 _ $125,252 $122,663
Building Value $180,509 $175,818 $175,818 School Board
XF Value $880 $880 $880 Exemption Value $25,000 $25,000 $25,000
Market Value $510,696 $465,376 $432,232 Taxable Value $151,654 $150,252 $147,663
Assessed Value $176,654 $175,252 $172,663 City
Exemption Value $50,000 $50,000 $50,000
Benefits Information Taxable Value $126,654 $125,252 $122,663
Benefit jType 20151 2014 2013 Regional
Save Our Homes 'Assessment Exemption Value $50,000 $50,000 $50,000
Cap ;Reduction !$334,042 $290,124 s$259,569 _-
.__� uctioi___. Taxable Value $126,654 $125,252 $122,663
Homestead 1 Exemption $25,000 $25,000 $25,000
Second Homestead lE emption $25,000 $25,0001 $25,000 Sales Information
Note:Not all benefits are applicable to all Taxable Values(i.e.County,School Previous OR Book-
Board,City,Regional). Sale Price Page Qualification Description
02/01/1994 1$140,000 16254-4867 2008 and prior year sales;Qua[by exam
Short Legal Description of deed
MIAMI SHORES SEC 1 AMD PB 10-70 12/01/1992 $110,000 15774 3437 2008 and prior year sales;Qual by exam
LOTS 22&23 BLK 25 of deed
LOT SIZE 105.650 X 130
OR 16254-4867 0294 1
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:
Miami Shores Village
mile, o111.M Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
I�R ► Tel: (305) 795.2204
Fax: (305) 756.8972
PREPARED BY:
DECLARATION OF USE
KNOW ALL MEN BY TH SEPRESENTS:
WHEREAS,the undersigned_ LY� is/are the fee simple owner(s)of the following described property(°Property')
situated and bang in Miami Shores Village,Florida:
Lots) 4 9 3 Block ZS of A 1AM( 5980SSG. (Subdivision),according to the platthereof,as recorded in the Plat Boric
J.Q_Page ?d of the Public Records of Miami-Dade County,Flamm,(address) 2-TS ACT and
WHEREAS,the undersigned owner(s)have sought certain development approval from Miami Shores and are providing this document in consideration thereof
and to induce the Village to grant same.
NOW,THEREFORE,for good and valuable consideration,the receipt and sufficiency of which is admowlsdg4 the undersigned do(es)hereby declare and
agree:
1. That the Properly will not be used in violation of any ordinance of Miami Shores Village or Mimi-Dade County now in effect or hereinafter eructed.
2. That the property will be used for a single family residence only.
3. That he/she will not convey or cause to be conveyed the title to the above properly without requiring the successor in title to abide by all terns and
conditions set forth herein.
FURTHER,the undersigned declare(s)that this covenant is Intended and shall constitute a restrictive covenant concerning the use,enjoyment and title to the
above Property and shall constitute a covenant running with the land and shall be binding upon the undersigned,hislher successors and assns and may only be released
by Miami Shores Village,or its successors,in accordance with the codes,rules and regulations of said Village thorn in eflac.
IN WITNESS WHEREOF,the undersigned has/have caused_ hand(s)and sesl(s)to be affixed hereto on this_�day of JJ ��
WITNESS(ES) 125:
Signature Signa ure
and Print ""J
Aand W 2�
Signature Signature
and Print and Print
STATE OF FLORIDA )
COUNTY OF MIAMI-DARE ) y Q
I HEREBY CE FY that on this day personally appeared before me / � ✓ � who is personally known to me or has produced
u'7 L.- (type of Identification)as iderntification and he/she acknawle4e that he/she executed theibnoing,freely and voluntarily,for
purposes therein expressed.
SWORN TO AND SUBSCRIBED before me on this y day of J� zo 00=
My commission expires: JEFFREY Q ABBOTT
NOTARY PfJBIX
STATE OF FLORIDA ARY PUBLIC,STATE OF FLORIDA
Corson#FFIVIM
E)*n 12018
Miami shores Village
... OMNI Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
�lpgirp�► Tel: (305) 795.2204
Fax: (305) 756.8972
COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY
Whereas, (owner) )igy4- hereinafter referred to as the owner of
the following described property(address): 7195-
/y� ivv � 1/f'�( . Ft jrXIII
Legal Description l•9 • 10—V Lots Z3 Block Z's Subdivision S)/&S
Folio# 11--R06-d/3 -Wd
Requests permission to install (describe work):
Within the public right of way of(address) 295 NEE 9/ S`Taft NIA01 Sffa2 _ GL 3'3/3
IN CONSIDERATION of the approval of this permit by the Village,the owner agrees as follows:
1. To maintain and repair,when necessary,the above-mentioned item(s) installed within the dedicated right of
way. If it becomes necessary for Miami Shores Village or Dade County to make repairs or maintain said
items within public right of way including restoration of street by reason of the Owner's failure to do so,
such expense shall be paid by the Owner or shall constitute a lien against the above described property
until paid.
2. The owner does hereby agree to indemnify and hold Miami Shores Village or Dade County harmless from any
and all liability,which may rise by virtue of permitting the installation of these items within the public right of way.
1
3. The Owner does hereby agree to remove or relocate their facilities at their own expense,within 60 days
notice by the Village to do so. Failure to comply with this notice will result in the Village causing the item(s)
to be removed and a lien being placed on the property and/or assessed against the Owner for all costs
incurred in the removal and disposal of the item(s).
4. The undersigned further agrees that these conditions shall be deemed a covenant running with the land
and shall remain in full force and effect and be binding on the undersigned,their heirs and assigns, until
such time as this obligations has been canceled by an affidavit filed in the Public Records of Dade County,
Florida by the Village Manager of Miami Shores Village (or his fully authorized representative).
SIGNED, SEALED, EXECUTED AND ACKNOWLEDGE on this ay of
(Owner's re)
SIGNED,SEALED AND DELIVERED in the prese
YQ
NOTARYPuMX
STATE OF FLORIDA
40,
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Miami Shores Village
u1nii Building Department
L 10050 N.E.2nd Avenue
�l�-Ori Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
SURVEY AFFIDAVIT
STATE OF(FLORIDA)
COUNTY OF(DADE)
The undersigned Affiant, does hereby attest that
(Property ')
The attached survey,performed by -Sc/Pet#Jt S��IA16 , TAC C.
(Name of surveyor's company)
For address: 27s ate- 9� S?72' T /�11�/�/ S'ya/!� f 33i39
Performed on Z ly 9 (date of survey)is an accurate representation of the existing conditions and
locations of all structures on the property as of this date.
The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the property
without first providing a survey less than seven (7)years old old. The Affiant, as property owner, further agrees to
remove or obtain permits for any structures which now may exist on the property which are not permitted or which
may violate zoning or building code regulations. The Affiant further understands that the existence of any such
structures final inspections as applicable to this or other permits.
Furth ,A 197 eth
Pr Owner Signature / Property Owner Print Name
ORN TO AND SUBSCRIB fore me this Z day of 2# S
Affiant is__personally known to me, roduc ed as identification.
01
Notary
Revi�d on 5/22/2089/Revue 6/120 4 .E:FFREY C.AOSM
). E*mNOTARYPUBW
STATE OF FLORIDA
COTMOFF116M
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