RC-16-357 Miami Shores Village
10050 N.E.2nd Avenue NEy
4 i
Miami Shores,FL 33138-0000
Phone' (305)795-2204
3
� Expiration: 10/18/2016
3y
Project Address Parcel Number Applicant
161 NE 106 Street 1121360050140
FLAVIO DATORRE
Miami Shores, FL 33138-2032 Block: Lot:
Owner Information Address Phone Cell
FLAVIO DATORRE 161 NEI 05 Street (305)962-1862
MIAMI SHORES FL 33138-
161 NE 105 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone Valuation: $ 1,500.00
HOME OWNER
Total Sq Feet: 0
Approved:In Review Available Inspections:
Comments: Inspection Type:
Date Approved::In Review Window Door Attachment
Date Denied: Framing
Type of Construction:REPAIR AND INSTALL DRYWALL. Occupancy:Single Family Insulation
Stories: Exterior Drywall Screw
Front Setback: Rear Setback: Final PE Certification
Left Setback: Right Setback: Window and Door Buck
Bedrooms: Bathrooms: Fill Cells Columns
Plans Submitted:Yes Certificate Status: Review Building
Certificate Date: Additional Info: Review Building
Bond Retum: Classification:Residential Review Building
Review Structural
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Review Planning
CCF $1.20Review Electrical
DBPR Fee $2.00 Invoice# RC-2-16-58627 Review Plumbing
DCA Fee $2.00 02/09/2016 Credit Card $50.00 $191.20 Review Mechanical
Education Surcharge $0.40 04/21/2016 Credit Card $191.20 $0.00
Notary Fee $5.00
Permit Fee $100.00
Pian Review Fee(Engineer) $120.00
Scanning Fee $9.00
Technology Fee $1.60
Total: $241.20
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 the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for EL I 'PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS FIDAVIT: at 4 e for Ing information is accurate and that all work will be done in compliance with all applicable laws regulating
constructio and zo ' I'm e e above-named contractor to do the work stated.
April 21, 2016
A o Si ture: ner / / Contractor / Agent Date
But ding epartment Copy
April 21,2016 1
b
Miami Shores Village
F B 0 9
Z016
16
' Building Department
�\ 10050 N.E.2nd Avenue Miami Shores Florida 33 138
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20 !L4
BUILDING (waster Permit Nom-`e
PERMIT APPLICATION Sub Permit No.
BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑EXTENSION [—]RENEWAL
PLUMBING M MECHANICAL MPLIBLICWORKS CHANGE OF r_�CANCELLATION F] SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: Ne I�) C1 .
City: Miami Shores County: Miami Dade Zia: ItnI J�
Folio/Parcel#: I I- Ql_q 6 — D1325—ON 10 Is the Building Historically Designated:Yes NO X
Occupancy Type:W(% Load: Construction Type: MS.JC.. Flood Zone:�_BFE: FFE:
r-1QJ
OWNER:Name(Fee Simple Titleholder): i � I') JUMJ�dlW Phone#: WS-46a-V$6el- a�
Address: N1
City: MieMi 5bar
e,S State: Zip:. 9SI
Tenant/Lessee Name: �Pho'n�e�#:
Email: GIQV K&Qh9!__%SA -MIA � _�.IAr�CAQI,�s— �hZ �. r�tl�1 •C.l�
CONTRACTOR:Company Name: �a�l v t�1n Phone#:
Address: vim+ i F.J�J E W
City: State: Zip:
Qualifier Name: Phone#:
State Certification or Registration#: Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ Square/Unear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition
Description of Work:
Specify color of color thru tile:
Submittal Fee$� r C��—Permit Fee$ f Q0 • ()0 CCF$ I - v2Q CO/CC$ ZOf
Scanning Fee -(r) Radon Fee$ a -(K) / dDB''PR$ Notary$ S• Cb
Technology Fee$ 1 Training/Education Fee$ 6 `fes Double Fee$
Structural Reviews$ Bond$ y�
TOTAL FEE NOW DUE$ L �
(Revised02/24/2014)
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 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 reinspection fee will be charged.
Signature SE10Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
�I A day of 20 ��,by day of 20 by
r-1 who is rsonally kno to who is personally known to
me or who has produced 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:
Print: ICY! Print:
Seal: y1111AIIAXNMOAT01119Seal:
17,�Ots
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aaa*****aa*a*aaa*****aa* *a*******a***s*aa*ease**aa*a**a*******a****a**aa***sasses**a*ease************a*a***
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
i
CFN:20160040310 BOOK 29933 PAGE 838
QATE:0112112016 02:11:55 PM
DEED DOC 2,250.00
HARVEY RUVIN,CLERK OF COURT,MIA-DADE CTY
This Instrument Was Prepared By and
Record and Return To:
Karen S.Leopold,Esq.
REO TTTLE COMPANY OF FLORIDA,LLC
20801 Biscayne Boulevard;Suite 501
Aventura,FL 33180
Folio 411-2136-005-0140
SPECIAL WARRANTY DEED
This Special Warranty Deed is made this 10 day of January,2016,by FANNIE MAE a/k/a FEDERAL
NATIONAL MORTGAGE ASSOCIATION, organized and existing under the laws of United States of
America,whose mailing address is P.O.Box 650043,Dallas,TX 75265-0043("Grantor''),in favor of Juan
Carlos Ruiz and Flavio Datorre,both unmarried,as joint tenants with rights of survivorship,whose
mailing address is 161 N.E. 105th Street,Miami Shores,FL 33138("Grantees'),
WITNESSETH:That Grantor,for and in consideration of the sum of$10.00 and other good and valuable
consideration, the receipt of which is hereby acknowledged, by these presents does grant, bargain, sell,
alien,remise,release,convey and confirm unto Grantee the parcel of real property situated in Miami-Dade
County,Florida,described as follows:
Lot 14.Block 201,Dunning's Miami Shores Extension No. 1,according to the map or plat
thereof, as recorded in Plat Book 41, Page(s) 51, of the Public Records of Miami-Dade
County,Florida. '
a/k/a 161 N.E. 105th Street,Miami Shores,FL 33138
TOGETHER with all tenements,hereditaments,appurtenances.rights,reversions or reservations belonging
thereto.
SUBJECT to taxes for the year 2016 and subsequent years; conditions, limitations, restrictions and
easements of record which are not reimposed by this instrument and zoning ordinances and government
regulations,if any.
1
-P„I7E
� I
• i
Cl=N:20160040310 BOOK 29933 PAGE 839
TO HAVE AND TO HOLD the same in fee simple forever.
AND the Grantor hereby covenants with the Grantee that the Grantor is lawfully seized of the real property
in fee simple,that the Grantor has good right and lawful authority to sell and convey the real property,that
the Grantor hereby fully warrants the title to the real property and will defend the same against the lawful
claims of all persons claiming by,through and under the Grantor,but none other.
IN WITNESS WHEREOF,this instrument has been executed by the Grantor as of the day and year first
above written.
Witnesses as to Grantor: FANNIE MAE a/k/a FEDERAL NATIONAL
MORTGAGE ASSOCIATION
By: REO Title Company of florida,LLC,a Florida
limited Iiability company, as attorney-in-fact,
pursuant to Limited Power of Attorney
recorded in O.R. Book 28950, Page 1846,
Public Records of Miami-Dade County,
Florida
Miriam Banks By
Name: Karen S.
Print name of Witness Title: President
y �y DtBZ —
Print name of Witness
STATE OF FLORIDA
COUNTY OF MIAMI-DADS
The foregoing instrument was acknowledged before me this 19* day of January 2016, by KAREN S.
LEOPOLD,as President of REO Title Company of Florida,LLC,a Florida limited liability company, as
attorney-in-fact for FANNIE MAE alk/a FEDERAL NATIONAL MORTGAGE ASSOCIATION,who is
personally known to me.
My commission expires:, Notary Public Miriam Banks
Print name:
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ASSlOJy
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'Miami-Dade County Miami-
,',Dade County Elections
countdown to March 15,2016
PRESIDENTIAL
PREFERENCE PRIMARY
ELECTION
(35 17 (7
days hours minutes
1 i
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Translations by Microsoft®Translator
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voter Mame:(twit,first)
Datorre.FERVID,A
FL voter Reg.System V.
109772674
Registration Data:
Thursday,.kme 11.19% �
Birth Date:
Friday,April 6.1M
Strest Address:
161 NE 105Th St#402
Precinct
154
Precinct siatistics
ttWHng Address:
161 NE 105Th St#402
Miami Shores FL
33138
Par"AtfataAwn G*41187
DEM
voter status:
r
You are currerndy eH Ws m vote in Miami-DRde County.
AbsenteeNail Batbt Change 3
I wM to change my voter MgMt Rtion information
smarenoetataxi�x
: i f
F
Future Elections
I
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel:(305)795.2204
Fax:(305)756.8972
I OWNER BUILDER DISCLOSURE STATEMENT
NAME: Qy 1 ® I —�_ DATE: S91 91 I �Q _
ADDRESS: I(V I it"1),am 1 SY'cne_S R S313�
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 entities 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.
nitial2. 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. 1 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
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 leasee which violates the exemption.
Initial [r/
S. I understand that,as the owner-builder,I must provide direct,onsite supervision of the construction.
Initial V��
6. 1 understand that I may not hire an unlicensed person to act as my contractor or to supervise persons working on my building or residence.It
Is my responsibility to ensure that the persons whom I employ have the license required by law and by county or municipal ordinance.
Initial
7. 1 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 contractor 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. 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 http://www.mvflorldalicense.com/dbpr/oro%ilbAndex.htmi
Initial-
11.
nitial11. 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 I have provided on
this disclosure.
Initial 3_
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 O G day of 20 16
By �ldl60-'Q-6ho was personally known to me or who has
Produced there License or ` -� -1NS� as identification.
OWE R NOTARY
FOtO&N
Sint#ta AfvarPzafe of Florida Ally Cammission FF 158750 Expires 09/0312018