DS-16-1051 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores,FL
Phone. (305)795-2204 Fax: (305)756.8972
Inspection Number. INSP-259666 Permit Number: DS-4-16-1051
Scheduled Inspection Date: May 26,2016 Permit Type: DrivewayslSidewalksJSlabs
Inspector: Mesa, Michel Inspection Type: Final
Owner. ,, Work Classification: New
Job Address:102 NE 91 Street
Miami Shores,FL Phone Number
Parcel Number 1131010190010
Project <NONE>
Contractor: CONWELL&ASSOCIATES CONSULTING COMPANY Phone: (305)962-5573
BuIlding Department Comments
20'X 15' DRIVEWAY APPROACH. INSPECTOR COMMENTS False
ed mmeMs
Inspector Comments
Passed CREATED AS REINSPECTION FOR 1NSP 257194.5-2416
NO PLANS, N PERMIT ONS E, LEFT TAG AT FRONT DOOR.
SP
Failed
Correction
Needed
Re-Inspection
Fee
No Additional Inspections can be scheduled until
re-Inspection fee is paid
May 25,2016 For Inspections please call: (305)762-4949
Page 26 of 38
Fs�, Miami Shores Village '
10050 N.E.2nd Avenue NE
Miami Shores,FL 33138-0000 $
R Phone: (305)795-2204 £,. ,�. ai
a � Expiration: 1110112016
Project Address Parcel Number Applicant
102 NE 91 Street 1131010190010
JAVA HOLDINGS LLC
Miami Shores, FL Block: Lot:
Owner Information Address Phone Cell
JAVA HOLDINGS LLC 12555 BISCAYNE Boulevard
NORTH MIAMI FL 33181-
12555 BISCAYNE Boulevard
NORTH MIAMI FL 33181-
Contractor(s) Phone Cell Phone Valuation: $ 2,000.00
CONWELL&ASSOCIATES CONSULT (305)962-5673 (305)926-5673
Total Sq Feet: 300
Approved:in Review Available Inspections:
Comments:
Inspection Type:
Date Approved::In Review
Final
Date Denied: Foundation
Type of Work:20'X 15'DRIVEWAY APPROACH. Additional Info: Review Planning
Bond Retum: Classification:Residential Review Planning
Scanning:3 Review Building
Review Building
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
Bond Type-Owners Bond $500.00 Invoice# DS-4-16-59463
CCF $1.20 04/19/2016 Check#:1235 $50.00 $566.20
DBPR Fee $2.00
DCA Fee $2.00 05/05/2016 Check#:1288 $566.20 $0.00
Education Surcharge $0.40 Bond#:3074
Permit Fee $100.00
Scanning Fee $9.00
Technology Fee $1.60
Total: $616.20
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 ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS 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. t ore,I authorize the above-named contractor to do the work stated.
May 06,2016
Authorized Sign re:Owner / Applicant / Contractor / Agent Date
Building Department Copy
May 05,2016 1
Miami Shores Village
Building Department
�a g
R " ops
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 j
Tel:(305)795-2204 Fax:(305)756-8972 BY.
INSPECTION UNE PHONE NUMBER:(305)762-4949 —1
BC 20 NS —�
BUILDING Master Permit No. "
PERMIT APPLICATION Sub Permit No.
K116ILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 10-2- �JV S
City: Miami Shores County: Miami Dade Zip: S 313?
Folio/Parcel#: is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
4 OWNER:Name(Fee Simple Titleholder): T�� -fs Phone#: TO d �O d 6 ° ZOO
Address: 11 44, op 4-77
City: IN State: Zip: 33 1 iN
Tenant/Lessee Name: Phone#:
Email:
0
CONTRACTOR:Company Name� � COAsa je�6 Phone#:
Address: ? "//� (fi
City: bd+ State: �'°' Zip: j
Qualifier Name: -e nL% Phone#: Ro
.1
State Certification or Registration#: 7 Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ �a i � Square/Unear Footage of Work: X 1 0 5 Q
Type of Work: ❑ Addition ❑ Alteration [�New ❑ R
ep
air/Replace ❑ Demolition
Description of Work: k-l � -
Specify color of color thru We:
Submittal Fee$ Permit Fee$ (00 ` CCF$ /. CO/CC$ V
Senning Fee$ s� Radon Fee$ 2!' DBPR$ Wo Notary$
Technology Fee$ 1. Training/Education Fee$ '0 Double Fee$
Structural Reviews$ Bond$ ,q560��
TOTAL FEE NOW DUE$
(ReWsed02/24/2014) Z6
t
bong Corn%p ny'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: 1 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 approv d and a reinspection fee will be charged.
Signature Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foQregoIng instrument was acknowledged before me this
m day of�� 20 by � /�'day of// 'rl! 20 j. ,by
5M� /'K - 6�3�:who 1 rsonall know 101 f~ � 4%WL{ .who is personaAv k�, o
�ePwho has produced as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
-------------
NOTARY P C: man pwa sm of Pam NOTARY PUBLIC:
. Richard L DeC*
My CWAW*n FF 939=1
p ExPnes 11190/20 9
Sign: Sign:—
Print: MY hL 6 L. b ilt;C Print: . be(.fir
seal:
+ �MtiM Seal: �p
;� Ridmd L DeCeIr Ftodda ,Y L
ky FF 9: 720 • 4
***************** N ** !► * *****
APPROVED BY [ Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
Prope Search Application- Miami-Dade County Page 1 of 1
OFFICE OF THE PROPERTY APPRAISER
Summary Report
Generated On:4/19/2016
Property Information
Folio: 11-3101-019-0010 -
Property Address: 102 NE 91 ST
Miami Shores,FL 33138-2810 ,
Owner JAVA HOLDINGS LLC ,
Mailing Address 12555 BISCAYNE BLVD 877
NORTH MIAMI,FL 33181 USA
Primary Zone 1000 SGL FAMILY-2101-2300 SQ
Primary Land Use 0101 RESIDENTIAL-SINGLE
FAMILY:1 UNIT -'
Beds/Baths/Half 2/2/0
Floors 1
Living Units 1
Actual Area 2,375 Sq.Ft
Living Area 1,808 Sq.Ft
Adjusted Area 2,092 Sq.Ft
Taxable Value Information
Lot Size 10,368 Sq.Ft
2015 2014 2013
Year Built 1950
County
Assessment Information Exemption Value $0 $50,000 $50,000
Year 2015 2014 2013 Taxable Value 1 $316,600 $169,699 $166,453
Land Value $168,132 $139,848 $93,494 school Board
Building Value $146,817 $144,202 $145,384 Exemption Value $0 $25,000 $25,000
XF Value $1,651 $1,661 $1,670 Taxable Value $316,600 $194,699 $191,453
-..__..__...-....__. C
ity
Market Value $316,6001 $285,711 $240,548
Assessed Value $316,600 $219,699 $216,453 Exemption Value $0 $50,000 $50,000
Taxable Value 1 $316,6001 $169,6991 $166,453
Benefits Information Regional
Benefit Type 2015 2014 2013 Exemption Value $0 $50,000 $50,000
Save Our Homes Cap Assessment Reduction $66,012 $24,095 Taxable Value $316,600 $169,6991 $166,453
Homestead Exemption $25,000 $25,000
Sales Information
Second Homestead Exemption $25,000 $25,000
Note:Not all benefits are applicable to all Taxable Values(i.e.County, Previous Price OR Book- Qualification Description
School Board,City,Regional). Sale Page
06/03/2015 $370,200 29646- Financial inst or"in Lieu of Forclosure"
Short Legal Description 0948 stated
EL PORTAL SEC 2 PB 9-115 02/01/2007 $0 25453- Sales which are disqualified as a result
1236 of examination of the deed
LOT 1 &W1/2 LOT 2 BLK 7
LOT SIZE 76.800 X 135 10/01/2005 $0 24183- Sales which are disqualified as a result
OR 19740-2137 06 2001 1 0598 of examination of the deed
COC 25453-1236 02 2007 5 19740-
06/01/2001 $235,000 2137 Sales which are qualified
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:/Mrww.miamidade.govfiinfo/disclaimer.asp
Version:
http://www.miamidade.gov/propertysearch/ 4/19/2016
Detail by Entity Name Page 1 of 2
9 T
Detail tl
Florida Limited Liability Company
JAVA HOLDINGS LLC
Filing Information
Document Number L04000003310
FEI/EIN Number 20-0597202
Date Filed 01/13/2004
Effective Date 01/13/2004
State FL
Status ACTIVE
Principal Address
12555 BISCAYNE BOULEVARD
877
NORTH MIAMI, FL 33181
Changed: 03/20/2009
Mailing Address
12555 BISCAYNE BOULEVARD
877
NORTH MIAMI, FL 33181
Changed: 03/20/2009
Registered Agent Name&Address
Graber, Shane M
12555 BISCAYNE BOULEVARD
877
NORTH MIAMI, FL 33181
Name Changed: 04/04/2015
Address Changed: 04/04/2015
Authorized Person(s) Detail
Name&Address
Title MGRM
GRABER, SHANE M
http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... 4/19/2016
d
Mission: Rick Scott
To protect,promote&improve the health Governor
of all people In Florida through integrated lionaa Celeste Philip,MD,MPH
state,aunty&community efforts. HEALTH
Interim State Surgeon General
Vision:To be the Heatthlest State in the Nation
April 06, 2016
Westland Plumbing
101 W 24 Street
Hialeah, FL 33010
RE: Modification to a Single Family Residence-No Bedroom Addition
Application Document Number: AP1230796
Centrax Permit Number: 13-SC-1669190
102 NE 91 Street
Miami, FL 33138
Lot: 12 Block: 7 Subdivision:
Dear Applicant,
This will acknowledge receipt of a floor plan and site plan on 03/18/2016 for the use of the existing
onsite sewage treatment and disposal system located on the above referenced property. NO
OBJECTION
Driveway
AE
This office has reviewed and verified the floor plan and site plan you submitted, for the proposed
remodeling addition or modification to your single-family home. Based on the information you provided,
the Health Department concludes that the proposed remodeling addition or modification is not adding a
bedroom and that it does not appear to cover any part of the existing system or encroach on the
required setback or unobstructed area. No existing system inspection or evaluation and assessment,
or modification, replacement, or upgrade authorization is required.
Because an inspection or evaluation of the existing septic system was not conducted, the Department
cannot attest to the existing system's current condition, size, or adequacy to serve the proposed use.
You may request a voluntary inspection and assessment of your system from a licensed septic tank
contractor or plumber, or a person certified under section 381.0101, Florida Statutes.
If you have any questions, please call our office at (305) 623-3500.
Sincerely,
jsd/V. Edwards
Engineering Supervisor III
Department of Health in Dade County
Florida Department of Health www.florldshealth.gov
In Dade County• •,Florida TWITTER:HealthyFLA
PHONE: (305)623-3500 FACEBOOK:FLDeparbnentolHealth
YOUTUBE:tidoh
♦SNu I yip
;.,. U,..M Miami shores Village
Building Department
0 `1DA 10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
RECEIPT
PERMIT#: /Js 16 f� OJ DATE:
(Nene)
❑ Contractor
❑ Owner
❑Architect
Picked up 2 sets of plans and (other)
Address:
From the building department on this date in order to have corrections done to plans
And/or get County stamps. I understand that the plans need to be brought back to Miami
Shores Village Building Department to continue permitting process.
Signature:
(SIGNATURE)
PERMIT CLERK INITIAL: 2 5&�
RESUBMITTED DATE: S[S 146
PERMIT CLERK INITIAL: �5c—
••
14 uffu
• f
fees**
0
f
• of
r •• • •
•0 .00 p•
1
0000
p v i •0i • •:My'5 f To
00.00•
0000
00•960
VN.E 1st A
ti
--- _ ---�F -�7, -�- '--__�E------kms-= ••�0•s-- • 0 a•i0•
x170.00 �� • 0 000•
+. Nom. ;�2• EO,R/W 1 PROVED �"?' : CC A0*Soo*• •0 0.0•
of
135X(P) sry 2' �' aw `4 i • • ••6 0 i•
FOUND 51R81 c k XA a �, 0 •••••6
IRONROD s Yi O� , '•��' •0.00 :0006:
NO I.D. •12: •F WALK
X ��, 0 0 • 0
00 0j
l
.NAPNom, w + w 1, FOUND :(4�
38.r 26 w C" IRON RO 'C)�
C" w ;GONG GARAGE Q I.D.NO ;Z r+
cn
1 Q k 4 RNISN FLOOR z X a -I{
ELEVATION=15.55
c f °a Asa MAY
rrrr^..-�r' O 1 - O� o�' ' r W
rr�rru rrr-F N p Ai'" a ,'.. b G D
ro-- rrr
8.r
4m N' 2 k: ' � y Z y
- ,r ►-3,, o
4 WEST 1/2 OF25.0' c ° ® o
EM7 ��. 413.r .� o m rn
y
LOT 2 '
N A'' 135.00 �, h D
�2 N �O N�
REMAINDER OF ZZ cn
> Zr
m� LOT_ 135.W _—__ o z O
——w�M
r � D c
3000 F-EET LOT 3
>n : ,�• , NO OBJECTION
y° i Fbrida HOaM Miami-bade County
APR 9 2016 i O.s.T.o.s. &wen pram s
Appkaftn No.,
u+ 2 d b
--i D jj m
rn
v,
se
01i 11
1pa 1 11
'Y
c �
X.
br
6250 N.MILITARY TRAIL,SUM 1027!ii
BOUNDARY SURVEY WITH TOMGRAFWYOF
—.--passsnrveying net 102 NE 91St STREET
ASSWFST'PALM BEACH,FL 33407 ; Wiwi SHORES,FL 33138
SURVEYING
LB.7463 PHONE:561.640.4800 FAX:561.640.0576 ' DICK DeCAIR