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FW-15-3204 1sn°i s ws� Miami Shores Village l W-051 10050 N.E.2nd Avenue NE " 466d Fence Miami Shores,FL 33138-0000 Phone: (305)795-2204 Pf{27xi� ggd -61 Expiration: 07/03/2016 leeu C��It�rt 1f5l21f�141 Project Address Parcel Number Applicant 1094 NE 91 Terrace 1132050010380 Miami Shores, FL 33138- Block: Lot: WATERSEDGE SHORES LLC Owner Information Address Phone Celt WATERSEDGE SHORES LLC 1094 NE 91 Terrace (305)336-7100 MIAMI SHORES FL 33160-3313 72 GOLDEN BEACH Drive GOLDEN BEACH FL 33160- Contractor(s) Phone Cell Phone Valuation: $ 4,000.00 ABL CONTRACTOR CORP (786)718-9935 _.... . _.....,..,. Total Sq Feet: 215 Approved: Available Inspections: Comments: Inspection Type: Date Approved:: Final Date Denied: Foundation Type of Construction:Wood Fence Additional Info:NEW HORIZONTAL WOOD FENCE JE Review Planning Classification:Residential Scanning:3 Review Building Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $2.40 DBPR Fee Invoice# FW-12-15-68190$3.23 01/05/2016 Credit Card $ 191.86 $50.00 DCA Fee $3.23 Education Surcharge $0.80 12/30/2015 Credit Card $50.00 $0.00 Notary Fee $5.00 Permit Fee-Wire&Wood $215.00 Scanning Fee $9.00 Technology Fee $3.20 Total: $241.86 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 s and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futherm ore,I authorize the above-n tr to do the work stated. January 05, 2016 Authorized Signature:Owner / Applican o ractor / Agent Date Building Department Copy January 05,2016 1 • ���� Miami Shores Village eel Building Department ®EC 30 2015 (\ 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 1� Tel:(305)795-2204 Fax:(305)756-8972 )� INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20N BUILDING Master Permit NoTw is-:1,zo PERMIT APPLICATION Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 10 '3Y /U F q I to aA A,QEk City: Shores Countv: Miami Dade Zip: 3313B 0 `f Folio/Parcel#: )[-3Ric;- GCS(- b180 Is the Building Historically Designated:Yes NO Y Occupancy Type.`gm",,&Y Load: Construction Type: Flood Zone: BFE: FFE: •�®Q"`''� W1�T�RSfD6�'S1-tOR6'.� OWNER:Name(Fee ,Simple Titleholder): Phone#: S 33 6--41 n D Address: q�Z. [90w AeCL CA' tri✓2 V City: bRotk aftak State: 4Cc1P4'PA Zip: W 6 0 Tenant/Lessee Name: J - - Phone#: Email: 5-e!2W0WV- /k/AK1 w a gmdad - UMAIX CONTRACTOR:Company Name: ALL C /'LaG /Z Cop/7 Phone#: ?26" !73 S Address: 1 o V0 Wo ) 6 ci T City:"f 4A'o/I State: T- Zip: -3-3 Z S Qualifier Name: HIh Phone#: '4'56 :;�?Sgg35 State Certification or Registration#: C.&C Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: /ICity: State: Zip: n Value of Work for this Permit:$ y00 917 Square/Linear Footage of Work: 2 S Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: �1s�11 Wod :(^cJ? 6i' Wr( wi4k 2 a.47 V' w,'�� . Specify coloc or ru i e: Submittal Fee$ Permit Fee$ 0Q1CCF$ "G CO/CC$u I ) Scanning Fee$ `rR Radon Fee$ 91 DBPR 3 •�)3 Notary$__E . Technology Fee$ Training/Education Fee$ 0 Double Fee$ Structural Reviews$ Bond$ rr� TOTAL FEE NOW DUE$ G (a 6 . (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$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved a id a reinspection fee will be charged. E Signature Signature OWNER oENT V ONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of ,20 ,by day of bffr '20 by .who is personally known to ,who is personally k� "nownn to me or who has produced ( �l_•as me or who has produced - I LA 1. as identification and who did take an oath. identification who did take an oath. NOTARY BL NOTA LIC 0 Sign: Sign: Print: murr Print: Seal: t Seal: �a`Pa�'n't"i'•., ,•tiA� ;'• YINET CAMPBELL •o< er, YINET CAMPBELL ,o B,a, N::;ar Public-State of Florida 'r Notary Public -S!ate of RJr � 1] i%, *****$**�*�****�� ***�*�"�.ro'9t�Fl♦`.'�'ft U�LY18#FF 173169 m Comission#FF 1181 AlPROV Plans Examinerpm IZoning Structural Review Clerk (Revised02/24/2014) Property.Search Application- Miami-Dade County Page 1 of 1 is OFFICE OF THE PR-,"OPEORTY APPRNS-,­,, ER b � Summary Report Generated On: 12/30/2015 Property Informationz x � v Folio: 11-3205-001-0380 s ` 1094 NE 91 TER Property Address: .y�. Miami Shores,FL 33138-3468 Owner WATERSEDGE SHORES LLC Mailing Address 172 GODLEN BEACH DR GOLDEN BEACH,FL 33160 USA Primary Zone 1100 SGL FAMILY-2301-2500 SQ 0101 RESIDENTIAL-SINGLE Primary Land Use FAMILY:1 UNIT y Beds/Baths/Half 3/2/0 Floors 1 Living Units 1 " 4 Actual Area 1,852 Sq.Ft re Living Area 1,852 Sq.Ft Adjusted Area 1,747 Sq.Ft Taxable Value Information Lot Size 6,250 Sq.Ft 2015 2014 2013 Year Built 1959 - - - County Assessment Information Exemption Value $0 $0 $0 Year 2015 2014 2013 Taxable Value 1 $283,345 $257,587 $234,170 Land Value $190,500 $169,000 $114,000 School Board Building Value $121,591 $118,447 $118,447 Exemption Value $0 $0 $0 XF Value $1,701 $1,712 $1,723 Taxable Value $313,792 $289,159 $234,170 ................_..._...__...... .._.._............._...._....._...._...._.. ....._...._.................._...................... Market Value $313,792 $289,159 $234,170 City Assessed Value $283,345 $257,587 $234,170 Exemption Value $01 1 $0 $0 Taxable Value $283,345 $257,587 $234,170 _............._.._......................_................._..._.................._..._...._.................................._............ . Benefits Information Regional Benefit Type 2015 2014 2013 Exemption Value $0 $0 $0 Non-Homestead CapAssessment Reduction $30,447 $31,572 Taxable Value $283,345 $257,587 $234,170 Note:Not all benefits are applicable to all Taxable Values(i.e.County, School Board,City,Regional). Sales Information Previous OR Book- Short Legal Description Sale Price Page Qualification Description WATERSEDGE PB 9-141 07/22/2015 $100 29712-3410 Corrective,tax or QCD;min LOT 12 BLK 2 consideration LOT SIZE 50.000 X 125 Financial inst or"In Lieu of OR 21058-3279 02 2003 1 06/17/2015 $418,000 29672-3566 Forclosure"stated COC 23705-4920 08 2005 6 02/05/2015 $302,100 294954306 Financial inst or"In Lieu of Forclosure"stated 08/01/2005 $595,000 23705-4920 Other disqualified 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: http://www.miamidade.gov/propertysearch/ 12/30/2015 It Detail by Entity Name Page 1 of 2 f fes, Detail by Entity Florida Limited Liability Company WATERSEDGE SHORES, LLC Filing Information Document Number L15000107597 FEI/EIN Number NONE Date Filed 06/19/2015 State FL Status ACTIVE Principal Address 172 GOLDEN BEACH DRIVE GOLDEN BEACH, FL 33160 Mailing Address 172 GOLDEN BEACH DRIVE GOLDEN BEACH, FL 33160 Registered Agent Name&Address HOWARD B. NADEL, P.A. 301 W HALLANDALE BEACH BLVD HALLANDALE BEACH, FL 33009 Authorized Person(s) Detail Name &Address Title MGR KANTOR, SEYMOUR 172 GOLDEN BEACH DRIVE GOLDEN BEACH, FL 33160 Title MGR KANTOR, JILL 172 GOLDEN BEACH DRIVE GOLDEN BEACH, FL 33160 Annual Reports No Annual Reports Filed http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entit... 12/30/2015 Detail by Entity Name Page 2 of 2 Document Images 06/19/2015-- Florida Limited Liability View image in PDF format Copyright @ and Privacy Policies State of Florida,Department of State http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entit... 12/30/2015 ABL CONTRACTOR CORP Date: 1 Z-`301 1�-G 5 State off�2 CD(S County of I A.M tL)iL1,V E Before me this day personally appeared ha, - LjbNS-D who,being duly sworn,deposes and says: That he or she will be the only person working on the project located at: 0 9 LJ T� Sworn to(or affirmed)and subscribed before me this—�O day 20 ,by p` L-7Fotv�U Personally know OR Produced Identification Type of Identification Produced F" Print4e or Stamp Name of Notary ao ny�n Notary Public State of Florida Sindia Alvarez wog MY commission FF 156750 of! µ Expires 09/03/2018 ♦S�uR I Ingo ° Irl iami Shores Village Building Department x2 R`ipP► 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner — Workers' Compensation Insurance Exemption Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full-time employees,including the owner,must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if: 1. The officer owns at least 10 percent of the stock of the corporation,or in the case of an LLC,a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State,Division of Corporations;and 3. The corporation is registered and listed as active with the Florida Department of State,Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers'compensation exemption and has acknowledge that he or she will not use day labor,part-time employees or subcontractors for your project.The contractor has provided an affidavit stating that he or she will be the only person allowed to work on your project.In these circumstances,Miami Shores Village does not require verification of workers' compensation insurance coverage from the contractor's company for day labor,part-time employees or subcontractors. BY SIGNING BELOW YOU CKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: Owner State of Florida County of Miami-Dade --per_ g ® y �r�l`�CMR The foregoingwas acknowledge before me this 3 da of ,20 By�M 0'Je— who is personally known to me or has produced VI_ as identification. Notary: SEAL: s%gc7 pLey� N�rTN�of Sintti f y-or" o « ;nn oFc+� Expires 09!0312018 Jt)HN;;lBA1 # A;' SSQ91ATES INC. Profedslanal Land! Sur oyprp& Mappers i W WW.MMRALANDSUfiV8YOR8.:4dM ' 777 N.W.72nd AVENUE - 2864 AVENUE =Ann swo t20UTH &b{7Ei 9026 SURE Nq:QO2 timm i 4 - -MIAMI,FLORIDA 33126 CAMVDRAL,-33.Oa PH% (308)?02-0400 PM: 42393 940-i98fJ, FA%t,1369}'Q92.0401 FA%:(Q.7,i1j 54Q-2894 AlAP.01tBOUNDAMYSURVEY 71�14 NE9tSE'TERRACE..IN".FL 33138 • • NYf I r�t1 ''! • • • 0000•• .. • • •. • -NE 9Ut :TERRACE .•l...• ' .. ...... ••:fir• • • • 90 TOTAL RE,^i M4F-WAY •••••• } ,/ , A � ..�..._� __ . .. _ .._.�. _.. !f1!','' •• •• 0000• ' F ' t � +� jyC�}j .. .j .� *Mpl�l�•:' 000!0• 0000• -vrq N. t��•�.: .0000 0000.• itita WM• r;PWY• • • • •••0•• . . .. •0000• 556.40•' .-. . 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