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FW-14-2798 \QP4b64 Miami Shores Village �-Fj Ir ,N Building Department DEC 2094 VACY— 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION UNE PHONE NUMBER:(305)762-4949 FBC20 [4 BUILDING Master Permit No. ILA- �;� `8 PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING [] REVISION E] EXTENSION RENEWAL PLUMBING ❑ MECHANICAL ]PUBLIC WORKS [:] CHANGE OF ❑CANCELLATION ❑ SHOP y CONTRACTOR DRAWINGS JOB ADDRESS: 103c) w c I{) !s T r City Miami Shores County Miami Dade Zip: 3132 Folio/Parcel#: 4.�� q ®�L Is the Building Historically Designated:Yes NOy Occupancy Type: Load: Construction Type: Flood Zone: BFE: F'FE: -mac `` i t._-- OWNER:Name(Fee Simple Titleholder): 10S (_W CIES� 1 r� _ Phone#:3� � 1�� Address: OC 44v 0 is City: i oil:i State: Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: l4wr- c®9 007 tz Phone#: Address: City: State: Zip: Qualifier Name: Phone#: State Certification or Registration M Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: —State: Zip: Value of Work for this Permit:$ Square/Unear Footage of Work: lot 2 Type of Work: ❑ Addition ❑ Alteration New ❑ Rep6 air[Rept ce aDrolition Description of Work: _ – F v – _ Specify color of color thru tile: Submittal Fee$ Permit Fee$ d 00 •. (D CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ L LO,4 . is o (RevMW2/24/2014) P. R 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 constriction 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 cernfled 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 approve �aection fee will be charged SignatureSignature Owner or Agent Contractor The foregoing instrument was acknowledged before me this 9- The foregoing instrument was acknowledged before me this day of ,20 4 by !6 Pdt►�, day of .20—,by— who 20_,bywho 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: Sign: Sign: Print: Print: 2017 My Commission & 14 My Commission Expires: ***************************** **** *** *************************************** ***************** ******** �p� CA VZoning APPROVED BY Plans Examiner � Structural Review Clerk (Revised 3/12/2012XReAsed 07/1WIXRevised 06(1&2MXRevised 3/15/09) s Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel:(305)795.2204 Fax: (305)756.8972 OWNER BUILDER DISCLOSURE STATEMENT NAME: JOS ( NVCSl , LLC_ _ DATE: ADDRESS: ' 1® 3 C ® S ���� (�` 3 3 8 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. 1. 1 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 I 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- 3. I 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—M)2 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- S. nitial5. I 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 persontQ.,act as my contractor or to supervise persons working on my building or residence.It Is my responsibility to ensure that the.persons whdmi employ have the hcensd required by law and by county or municipal ordinance. _ Initial_���� , 7. I 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 contract r 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. Initial— 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- 10. nitial10. 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 htto://www.mvfloridalicense.com/dbor/oro/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: Initial 12. 1 agree to notify Miami Shores Village immediately of any additions,deletions,or changes to any of the information that 1 have provided on this disclosure. Initial 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 41 day oftM-jZ , 20 By �&R Q �� f3(��� �G who was personally known to me or who has Produced there License or as identification. OWNER + Dtl'�E�M , BMW Property Search I Miami-Dade County Page 1 of 2 OFFICE Of TRE PR PERTY APPRA ER Summary Report Generated On:4/6/2014 Property Information Folio: 11-2232-028-0040 Property Address: 1030 NE 105 ST Owner 105 INVEST LLC �� 1 Mailing Address 100 N BISCAYNE BLVD#2904 •a ` MIAMI,FL 33132 Primary Zone 1100 SGL FAMILY-2301-2500 SQ Primary Land Use 0101 RESIDENTIAL-SINGLE _ FAMILY:1 UNIT Beds/Baths/Half 3/2/0 Floors 1 Living Units 1 Actual Area 2,821 Sq.Ft Living Area 1,948 Sq.Ft Adjusted Area 2,308 Sq.Ft Lot Size 11,250 Sq.Ft Taxable Value Information Year Built 11963 2013 2012 2011 Assessment Information County Year 2013 2012 2011 Exemption Value $0 $50,000 $50,000 Land Value $281,426 $244,960 $163,306 Taxable Value $493,859 $349,955 $338,3061 School Board Building Value $199,550 $227,407 $228,868 XF Value $12,883 $16,553 $16,665 Exemption Value $0 $25,000 $25,000 Taxable Value 1 $493,859 $374,955 $363,306 Market Value 1 $493,859 $488,920 $408,839 City Assessed Value $493,859 $399,955 $388,306 Exemption Value $0 $50,000 $50,000 Benefits Information Taxable Value $493,859 $349,955 $338,306 Benefit Type 2013 2012 2011 Regional 1 Save Our Homes Cap Assessment Reduction $88,965 $20,533 Exemption Value $0 $50,000 $50,000 Homestead Exemption $25,000 $25,000 Taxable Value $493,859 $349,955 $338,306 Second Homestead Exemption $25,000 $25,000 Sales Information I Note:Not all benefits are applicable to all Taxable Values(i.e.County, I Previous OR Book- School Board,City,Regional). Sale Price Page Qualification Description Short Legal Description Financial inst or"In Lieu of Forclosure" 9 P 01!02/2014 $643,000 28992-4120 stated MIAMI SHORES ESTATES PB 47-58 11/01/2013 $0 289924115 Financial inst or"In Lieu of Forclosure" - LOT 4 BLK 1 stated LOT SIZE 75.000 X 150 10/11/2012 $380,200 28334-3791 Financial Inst or"in Lieu of Forclosure" OR 15944-0065 0693 1 stated COC 21627-4133 07 2003 6 07/01/2003 $477,500 21627-4133 2008 and prior year sales;Qual by exam of deed 06/01/1993 $160,000 15944-0065 2008 and prior year sales;Qual by exam of deed 09/01/1987 $150,000 13428-0728 2008 and prior year sales;Qual by exam of deed ___ ___ 00000- 2008 and Drior vear sales:Qual by h4://www.mianiidade.gov/propertysearch/ 4/6/2014 Detail by Entity Name Page 1 of 2 Detail by Entity Name Florida Limited Liability Company 105 INVEST LLC. Filing Information Document Number L13000119186 FEI/EIN Number 41-2282671 Date Filed 08/22/2013 State FL Status ACTIVE Effective Date 08/22/2013 Principal Address 44 W FLAGLER STREET SUITE 1100 MIAMI, FL 33130 Changed: 04/22/2014 Mailing Address 44 W FLAGLER STREET SUITE 1100 MIAMI, FL 33130 Changed: 04/22/2014 Registered Agent Name & Address MASSAT CONSULTING FLORIDA LLC 44 W FLAGLER STREET SUITE 1100 MIAMI, FL 33130 Name Changed: 04/22/2014 Address Changed: 04/22/2014 Authorized Person(s) Detail Name &Address Title MGRM DARGENCE, MARC 44 W FLAGLER STREET SUITE 1100 MIAMI, FL 33130 Title MBRM http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetaiI/EntityName/flal-1... 12/23/2014 Detail by Entity Name Page 2 of 2 SUTTON, RICHARD 44 W FLAGLER STREET SUITE 1100 MIAMI, FL 33130 Annual Reports Report Year Flied Date 2014 04/22/2014 Document Images 04/22/2014--ANNUAL REPORT View image in PDF format 08/22/2013— Florida Limited Liability View image in PDF format CD12yright C and Privacy Policies State of Florida,Department of State http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail/EntityName/flal-1... 12/23/2014 ,tea � *�::• .�,: a� lb N.E. 105th STREET o� `,c\ 19.5 AMW4U PAVE MW--T \am Q,��'c r r��� Mir PARMr � `'� ,ate r�A r EYP .} DE 2014 cove . BY=-- �` gJ 0pt Vaslaw �o m 1 ®t S-1 /l- t0 Y cor Q an adY Ate yam. a� Pst.¢1� � y [?LR.1 f•9.a CANAL Br x x tA=pbd Sr. Address: 1030 N.E.105 STREET NOTES:NO NOTES MIAAAt SHORES,FL 33138 • • • • Aa WI6I/Rf:7MW tfORMYp 6UiWMT1WI�W►01Y ...-. ... •• • •• •• 0 • • • Miami Shores Village "" ' 000 •••••• • • ••••• ••'••� '••••i •••••• APPROVED BY DATE •00000 • 0' • . • ZONING DEPT �' ' • . . •..... 0* BLDG DEPT G7 •••• • SUBJECT TO COMPLIANCE WITH ALL FEDERAL STATE AND COUNTY RULES AND REGULATIONS !s y rb. R Miami Shores Village Boom p,,,M Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305)795.2204 Fax: (305)756.8972 WOOD FENCE DETAIL o Shadow Box o Vertical Picket o Board on Board 4x4 Post Spacing Fences<=5' high posts spaced at Yon center maximum Fences<=,V high posts spaced at 6"on center maximum Fence must not exceed Yin height 1x pickets fastened with two corrosion resistant fasteners per connection 2x4 horizontal pressure treated wood members with two corrosion resistant fasteners per connection 4x4 pressure treated posts embedded 21 Into concrete footing 10" diameter x 2'deep ALL wood must be pressure treated All fasteners must be corrosion resistant No less than two fasteners in any connection May 2009 � .. _ __.__ '� 4 n -' . _ �, �., i .._ l,F'`'" , .� / _ _ . `�. r'' �,� �,,4 � � �!) ��`�� _ �, .. ii:' ' y� '. �' ,�� '� -. .�,. -�, :� ., .. .� � „ir �� .to r - a�<,' M^f 1 Y� ��^��` fp - ";{a pk