RC-17-42 epw Np. RC-1 17-42
Miami Shores Village Pe nit l ype: VAiii ll"!tia"Oonstfu tion
w 10050 N.E.2nd Avenue NW la�f�hbh,Addition/A)xe,rcatiop
las
�
Miami Shores,FL 33138-0000 it
Phone: (305)795-2204 PerimtSts:JC4� .,.
�coR
Expiration: 9/27/2017
I a C2al 01:7 P�
Project Address Parcel Number Applicant
[,29 NW 94 Street 1131010340140
Miami Shores, FL 33150- Block: Lot: STEPHEN HARPER ODALYS AC
Owner Information Address Phone Cell
STEPHEN HARPER ODALYS ACOSTA 29 NW 94 Street
MIAMI SHORES FL 33150-2237
Contractor(s) Phone Cell Phone
NC BUILDERS INC (954)803-1335 Valuation: $ 10,000.00
.. Total Sq Feet: 121
Approved:In Review Available Inspections:
Comments:
Inspection Type:
Date Approved::In Review
Final PE Certification
Date Denied: Drywall
Type of Construction:KITCHEN REMODELING Occupancy:Single Family Miscellaneous
Stories: Exterior: Window Door Attachment
Front Setback: Rear Setback: Tie Beam
Left Setback: Right Setback: Final
Bedrooms: Bathrooms: I Framing
Plans Submitted:Yes
Certificate Status: Insulation
Certificate Date: Additional Info:KITCHEN REMODELING Truss Insp
Bond Return: Classification:Residential ColumnsFoundation
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Window and Door Buck
CCF $6.00Fill Cells Columns
DBPR Fee $4.50 Invoice# RC-1-17-62549 Wire Lathe
DCA Fee $4.50 01/06/2017 Cash $50.00 $290.00 Review Electrical
Education Surcharge $2.00 02/28/2017 Check#: 166 $290.00 $0.00 Review Electrical
Permit Fee $300.00 Review Building
Scanning Fee $15.00 Review Building
Technology Fee $8.00 F.Termite Letter
Total: $340.00 F.Elevation Certificate
Review Planning
Review Mechanical
Review Plumbing
Review Plumbing
Declaration of Use
Review Structural
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility-,for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAW ANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: oregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zo T.
rize the above-named contractor to do the work stated.
February 28, 2017
Autho her / Applicant / Contractor / Agent ate
Buildi g D p irtment Copy
February 28,2017 1
• Miami Shores Village
ti
1Building Department X _FC_F1`111 rI
IV � 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 JAN 0 6 2017
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949Y: +__1
FBC 20 i4
BUILDING Master Permit No. p_C I �.
PERMIT APPLICATION Sub Permit No.
BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: `�'� A-1dj `�9 7 ty• ST-.
City: >Miami Shores County: Miami Dade Zio:
/
Folio/Parcel#: /3/®/® 3zl® Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name(Fee Simple Titleholder): 1 � �'e, Phone#: 05
Address: A)UJ 1 ���/, ��r• a
City: /f$r7f. Ser,,� State: ;L_/„ Zip:
Tenant/Lessee Name: Phone#: 3 05 Vim! &5lv*r
Email:
CONTRACTOR:Company Name: AIC Phone#: -,5
Address: 6 Z 747 /fit'W /&1!X
City: 1A e e L 4 top Stater Zip:_5 307,&
Qualifier Name: 66g t1AA1 A,,1J+1//-090 Phone#: '9�5y &75 "
State Certification or Registration#: ea e- . 0 o®d"),V5 Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: Stat//e: Zip: y
Value of Work for this Permit:$ ��� ®�® ° Square/Linear Footage of Work: /,2/ � /8e'
Type of Work: ❑ Addition ❑ Alteration ❑ New ® Repair/Replace ❑ Demolition
Description of Work: /� � �� ) l?r r �7✓��
Specify color of color thru tile: '
2
Submittal Fee$_ SO P f41 1� • Permit Fee$ J00 CCF$ _ CO/CC$
Scanning Fee$ S Radon Fee$ y . 9 C) DBPR$ L.( • S ® Notary$
Technology Fee$ Training/Education Fee$ 2 Double Fee$
Structural Reviews$ e Bond$
TOTAL FEE NOW DUE$ 2 + —
(RPViSPdm1?417n141
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$2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law rochure will be delivered to the person
whose property is subject to attachment. Also,a certified copy of the recorded notice of com ncement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In he absence of such posted notice, the
inspection will not be approved a reinspection fee will be charged.
Signature Signature
"WNER or AGENT 4TRACTOR
Thefpretoing instru �ent was a knowledged before' a this The forggoing instrument was acknowledged before me this
day 20 l by day of D¢CItL ,20 � by
who is personally known to auUL') f4sw awlo who is personally known to
me or who has produced ° 7�` as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: u Sign: 1
Print: n Print: ✓�• �� `�
M.LALANE
Seal: } �`�'• FF 0373 '°SPA.PSB` COMMISSIONs� AJF
;::
Commission# 2017 ® Seal: DIY 024224
octow 5' _XPIR�
°= �gd1NuTmyFainhoutenoe800 cS:June 5,2017
,fJ;, Bonded Thru Notary Public Underwriters
.kkk�k>Kgek.k?kik.k�k>t:k$kffi8ck+k(e(eekk[eIIekkkrk .Iek�[eY.#itekIekIe�.kge+kFekYegc(efle.k(eaNakek*;eRk'kIIeIs[eategs(c#8e.k8e.kdck#ktkYeIIc>l:Iekk%>K�#.hkkkkkkk>Kkk(skak.kkIc
APPROVED BY o'—i)4/k-3 flans Examiner Zoning
Structural Review Clerk
ta—i—An,)MA hna Al
♦SNOR
C.I �r
I.n " Miami shores Village
um�
.mow
ylo�� Building Department
RID 10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
CONTRACTORS' REGISTRATION
IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR:
A. COPYOF TATE LI
B. CO LOCAL BUSINESS TAX RECEIPT
C. COPY OF LIABILITY INS
D. COPY OF WORKERS COMPENSATION INSURANCE*
(Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit)
IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY:
A. COPY OF CERTIFICATE OF COMPETENCY OF QUALIFIER
B. COPY OF LOCAL BUSINESS TAX RECEIPT
C. COPY OF STATE REGISTERED CONTRACTOR LICENSE OR MIAMI DADE COUNTY MUNICIPAL
CONTRACTOR'S TAX RECEIPT.
D. COPY OF LIABILITY INSURACE*
E. COPY OF WORKERS COMPENSATION INSURANCE*
(Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit)
*YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE AS FOLLOW:
Certificate Holder:
MIAMI SHORES VILLAGE BLDG DEPT
10050 NE 2ND AVE
MIAMI SHORES, FL 33138
Certificate must specify the description of operations or contractor license number.
BUSINESS NAME: /VC OU11-o"'?5;
BUSINESS ADDRESS: 0275— 1VW `d CITY ��%�J STATE F7 ZIP -5507,6
BUSINESS PHONE: �� �� �� s FAX NUMBER .
CELL PHONE C�) 60 w f�35 QUALIFIER'S NAME: Qec 9,1,4,^1,, A/A(IXaCO,
QUALIFIER'S LIC NUMBER:—,r-1;6 060065
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395
2601 BLAIR STONE ROAD
TALLAHASSEE FL 32399-0783
NAVARRO, GERMAN ANDRES
NC BUILDERS INC
6275 NW 104TH WAY
PARKLAND FL 33076
Congratulations! With this license you become one of the nearly
one million Floridians licensed by the Department of Business and
Professional Regulation. Our professionals and businesses range STATE OF FLORIDA
from architects to yacht brokers,from boxers to barbeque DEPARTMENT OF BUSINESS AND
restaurants,and they keep Florida's economy strong. ` PROFESSIWL REGULATION
Every day we work to improve the way we do business in order CBC060085 ISUED 08/09/2016
to serve you better. For information about our services,please �
log onto www.myfloridalicense.com. There you can find more CERTIFIED BQ11W �N NTRACTC3R
information about our divisions and the regulations that impact NAVARRO G ,, i�FiES
you,subscribe to department newsletters and learn more about NC BUILDERS°IM,,
the Department's initiatives.
Our mission at the Department is:License Efficiently, Regulate
Fairly.We constantly strive to serve you better so that you can
serve your customers. Thank you for doing business in Florida, IS CERTIFIED under the provisions of Ch.488 FS.
and congratulations on your new license! Expiration data:AUG 91,2018 L1608090001645
DETACH HERE
RICK SCOTT,GOVERNOR KEN LAWSON, SECRETARY
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD
CBC060085
The BUILDING CONTRACTOR
Named below IS CERTIFIED
Under the provisions of Chapter 489 FS.
Expiration date: AUG 31,2018
NAVARRO, GERMAN ANDRES-y zt`*^°'"'
NC BUILDERS INC r"*k"
6275 NW 104TH WAY
- PARKLAND FI*, 3y64 4
ISSUED: 08/09/2016 DISPLAY AS REQUIRED BY LAW sEQ# L1608090001645
NC Builders, Inc.
6275 NW 104th Way, Parkland FL 33076
License#: CBC060085
December 27,2016:
State of Florida
County of Broward
���vdl�� GaeGovt`l
Before me this day personally appeared who,being duly
sworn,deposes and says:
That he or shenw_ilcl be the only,,p,-e$rsonh�working on the project located at:�
Vo
--p
Sworn to or affirmed and subs'dized before me this of
Q
(����vifl�� d�✓�
20 by
Personally know
l7 *10
OR Produced Identification
�l® l1� � 2. K �17v
Type of Identification Produced
Print,sign, or stamp name of Notary
M
_* eyeq Co mission# FF 037
a338
P; Expires October 5,2017
P, , Banded Tf.T,Fain I-am I;W n5aIq
OR
' Miami shores Village
Building Department
10050 N.E.2nd Avenue
�lpRpA 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.
f1. 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 ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS
CONTENTS.
Signature:
'4Ow er
State of Florida
County of Miami-Dade
The foregoing was acknowledge before me thisA9_!�Vof ,20A.
By Tom' who is personally known to me or has produced
as identification.
��� tl ', :�:: ,, M.LALANE
_..A_*']
*: Commission#FF 037338
Notary: Expires October 5,2017
` Bo W Tiw Troy Fein hmrmm 89x385-7048
SEAL: ,
WE
JEFF ATWATER
CHIEF FINANCIAL OFFICER STATE OF FLORIDA
DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORKERS'COMPENSATION
**CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS'COMPENSATION LAW
CONSTRUCTION INDUSTRY EXEMPTION
This certifies that the individual listed below has elected to be exempt from Florida Workers'Compensation law.
EFFECTIVE DATE: 1/10/2015 EXPIRATION DATE: 1/9/2017
PERSON: NAVARRO GERMAN
FEIN: 651050244
BUSINESS NAME AND ADDRESS:
NC BUILDERS INC
1906 NW 79 AVE
MARGATE FL 33063
SCOPES OF BUSINESS OR TRADE:
LICENSED BUILDING
CONTRACTOR
Pursuant to Chapter 440.05(14),F.S.,an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section
may not recover benefits or compensation under this chapter.Pursuant to Chapter 440.05(12),F.S.,Certificates of election to be exempt...apply only
within the scope of the business or trade listed on the notice of election to be exempt.Pursuant to Chapter 440.05(13),F.S.,Notices of election to be
exempt and certificates of election to be exempt shall be subject to revocation if,at any time after the filing of the notice or the issuance of the certificate,
the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate.The department shall revoke a
DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS?(850)413-1609
1 to�:t-Iar... _ 1 rrrt - + rwllq /r —.s,.. .rer' 4! �J'7lA r�--'�_ -
��{�71'�� .{.:_: r,""'+..a�.,,,__
mow
,
BROWARI) COUNTY LOCAL BUSINESS 'TALC RECEIPT
115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895 — 954-831-4000
VALID OCTOBER I. 2016 THROUGH SEPTEMBER 30, 2017
DSA: Receipt#: 8�4-22'7403 ;.,,
i�U3ineSS iV1n18: NC BUILDERS INC .GEN) R 2 CONTRACTOR (BUILD"NG
Business Type.CONTRACTOR) b
Owner NSMO GERMAN ANDRES NAVARRO Business Opsned:0 9/I 0/2 0 0 9
Business Location: 6275 NW 104 WAY State/County/Cert/Reg:CBC060085
RGAfiE Exemption Code:
Business Phone:
Rooms Seats Employees Machines Professionals
For Vending Business Only
Number of Machines: Vending Type:
x
Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paid
27. 00 3 . 00 0 . 00 0 . 00 0 . 00 0 . 00 30 . 00 1,
' I
acro o CERTIFICATE OF LIABILITY INSURANCE 121DATE
2712016/DDIYYYY}
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to
the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder In lieu of such endorsement(s).
PRODUCER CONTACT
REEL INSURANCE AGENCY PHONE(AM Me 954 956.0006 FAz 954 956.0555
DIBIAI COVER ALL INSURANCE EAnngEss.-MAIL realinsuranc ahoo.com
5800 W.ATLANTIC BLVD. I s t o COVERAGE NAIC 0
MARGATE FL 33063 IN . FEDERATED NATIONAL INSURANCE COMPANY 10790
INSURED INSURER 8:
NC BUILDERS,INC. INSURER c
6275 NW 104TH WAY INSURER D
PARKLAND FL 33076 NSURER E:
F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE DL UB UCY Nqn BER POLICY EFF POLICY EXP LIMITS
LTRX COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000
A CLAIMS-MADE rX I OCCUR DAMAGE TO RENTED $100,000
GL-0504013473-0.1 618/2016 61812017 MED EXP am $6,000
PERSONAL&ADV INJ RY 1 OWW WW0
GEML AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 2 000 000
POLICY PRO-
JECT LOC PRODUCTS-COMP/OP AGG $2,000,000
OTHER: $
AUTOMOBILE LLABILI Y COMBINED SINGLE LIMIT $
ANY AUTO BODILY INJURY(Per person) $
ALL OWNED SCHEDULED BODILY INJURY(Per aacklent) $
AUTOS AUTOS
HIRED AUTOS NON-OWNED PROPERTY DAMAGE $
AUTOS
$
UMBRELLA LIAR OCCUR EACH OCCURRENCE $
EXCESS LIARCLAIMS-MADE AGGREGATE $
DED R $
STATUTE
WORKERS COMPENSATION PEROTH-
PR
AND EMPLOYERS LIABILITY Y I N
ANY PROPRIETOR/PARTNER/EXECUTIVE N I A E L EACH ACCIDE $
OFFICERIMEMSFR EXCLUDED? El
(Mandatory In NH) E.L.DISEASE-EA EMPLOYE
If yes describe under
r DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICX UMrf S
I
f
i
DESCRIPTION OF OPERATIONS I.LOCATKMIS 1 VEHICLES(ACORD 101,AddlUonal Remarks Schefte,may be attached If more apace Is requtred)
REMODELING
CBC060085
CERTIFICATE HOLDER CANCELLATION
MIAMI SHORES VIALLAGE BUILDING DEPT SHOULD ANY OF THE ABOVE DESCRIBED POLICIM BE CANCELLED BEFORE
THE EXPIRA'nCW DATE THEREOF, NOTICE WILL BE DELIVERED IN
10050 NE 2ND AVENUE ACCORDANCE!kTH&M*0H3Y PROVISIONS.
MIAMI SHORES FL 33138
AUTHORIZED REPRES A
ncbuildersipmsn.com
01988-2014 ACORD CORPORA'T'ION. All rights reserved.
ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD
i W
(Ire
•1 l! I I✓ �.✓0
. . • • • •
. . . . . . . ...
• •. •••
. . .. . . . ..• .
P O ••• ••• ••• ••• •: - os" °�e�' FRANCISCO R PALACIOS
L I G I.1 T I N G ;, ��, Notary Public-State of Florida
_- Kitchen Remodel -N1 Commission#FF 178347
••• i a ••• i•• i• !•4'iF ����°�� My Comm.Expires Nov 20,2018
• ••• • • • • ••
•• • • • • • ••• • li
a �
1�'—�jBLOCK OFENINC V1ITH CBS
HLOCK
i EXIST.
r
REF - EX. PORCH
1 -e
INDICATE EASTP.0 SPA?E CIRCUIT 1' IN EXIST � f
HCJSE PANEL EXACT 'INC-11T#TC FE u`ERIFED BY A I r J
FLORIDA LICE,:;EI: ELE.CTNICAL COtTRA;,TOR
x d 0
Ln
EX. KITCHEf.
E'I:'. ;LE. EL T .Jti.EkCA..i ET Ll,-HT-,, H M
C J
E. -1-T,
tl ~ V
Ex. _)I%JING ��O "v'
z •-
EAST ELECT.
EX. LglA,DRY
Ci. POWEP2
l
CJ POWER !"
EC#13004765
Alan Wolf
Master Electrician EX. GA-%A E
T
12/20/2016 /
29 NW 90
Street
Mimi
Shores 33150