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PL-16-3404
Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 NO. PL -12 Plumbing - Residen Addition/Alteration Status: APPROVED Parcel Number 2016 Expiration: 06/20/2017 Applicant 10634 NE 10 Place Miami Shores, FL 33138-2104 1122320280850 Block: Lot: MATTHEW KOLOKOFF Owner Information Address Phone Cell MATTHEW KOLOKOFF 10634 NE 10 Place MIAMI SHORES FL 33138- (323)972-5145 10634 NE 10 Place MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone THE NEW MIAMI SHORES PLUMBING (305)751-2446 (786)553-5424 Valuation: Total Sq Feet: $ 2,780.00 0 Type of Work: WATER PIPPING AND SEWER REPAIR UNDE Type of Piping: Additional Info: WATER PIPPING AND SEWER REPAIR UNDE Bond Return : Classification: Residential Scanning: 1 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $1.80 $3.38 $3.38 $0.60 $225.00 $3.00 $2.40 $239.56 Pay Date Pay Type Invoice # PL -12-16-62397 12/22/2016 Check #: 2714 12/19/2016 Credit Card Amt Paid Amt Due $ 189.56 $ 50.00 $ 50.00 $ 0.00 Available Inspections: Inspection Type: Top Out Final Review Plumbing Underground 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 t - all. construction and zoning. Futh- I a he foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating .ithorize the above-named contractor to do the work stated. Authorized Signature: OwrTed / Applicant / Contractor / Agent Building Department Copy December 22, 2016 Date December 22, 2016 1 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 FBC 20 14- 611n BUILDING PERMIT APPLICATION Permit Type: Neetrical CEIV D 19 2016 BY• Permit No.4) L. 16-34 04 Master Permit No. JOB ADDRESS: O0 4031-( (C 10 Rtt q City: Miami Shores County: Miami Dade Zip: 3313 S Folio/Parcel#: 11- D -)--32-0 e g� Is the Building Historically Designated: Yes// NO / 6 . Flood Zone: OWNER: Name (Fee Simple Titleholder): �G I hd4) / / 1 D /" Phone#: 325 •`)71. ' Ff54: Address: !O(3i _ 11) /4 PL City: J'4PM. - 01-1 E State: F L Zip: 331 3 Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: lilt Address: q a Q bU� City: M, 1 GLN•l Qualifier Name:.) Q %) Q 14 Ne LjIQrn/ Phone#: 301r.V/4 114. 5159 State: FL Zip: 33 D \)c; MA1 /' 1 Phone#: 31V 1 Certificate of Competency #: State Certification or Registration #: l 0 / 'Mr Contact Phone#: Email Address: DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ _ a� D ' up Square/Linear Footage of Work: MAt/ l t IiJ � Type of Work: ❑Address ❑Alter Description oWork: huif LJile,r / (r/i,/1 ❑New epair/Replace ❑Demolition ****amu**1�xx****�x�x:x�x*********�xx�:x�x�x�xx�x�*x�***Fees+x************************* ***x:x�*�x�x:�:x******* Submittal Fee $ 30 Gid Permit Fee $ ;225' CCF $ 1 - �� CO/CC $ --- Scanning ®Scanning Fee $ 3 Radon Fee $ 3. 3 8 DBPR $ S • 3 Bond $ `® Notary $ Training/Education Fee $ ' (4)Qechnology Fee $ 2_ . L( Double Fee $ Structural Review $ S1C.." TOTAL FEE NOW DUE $ ;15 .e,l 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and MR 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 commenc: ent must be posted at the job site fQr the first inspection which occurs seven (7) days after the building permit is issued. In t e a sence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature /11 Owner or Agent The foregoing instrument was acknowledged before me this 1 S day of D ec. , 20 'i , by 1f t 11i l P.u) k.O1.11 K.0 CV' , who is personally known to me or who has produced License. As NOTARY P I • • II e Sign: fs ii Print: ink el ' bili r/. My Commission Expires: o RP' C"*"A. RIVE Florida public state FF 985547 mmisston M m. Wino Mar 18, 2020 a Signature Contractor The foregoing instrument was acknowledged before me this lei day of Mc. , 20 110 , by Dennis MCL4U Maio), who is personally known to me or who has produced Dri I *************************** ******************************************************************************* APPROVED BY l;' Plans Examiner Structural Review (Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) Zoning Clerk Property Search Application - Miami -Dade County Page 1 of 1 Summary Report Property Information Folio: 11-2232-028-0850 Property Address: 10634 NE 10 PL Miami Shores, FL 33138-2104 Owner MATTHEW E KOLOKOFF Mailing Address 10634 NE 10 PL MIAMI SHORES, FL 33138 USA Primary Zone 1000 SGL FAMILY - 2101-2300 SQ Primary Land Use 0101 RESIDENTIAL - SINGLE FAMILY : 1 UNIT Beds / Baths / Half 3 /2 /0 Floors 1 Living Units 1 Actual Area 2,202 Sq.Ft Living Area 1,828 Sq.Ft Adjusted Area 1,957 Sq.Ft Lot Size 9,750 Sq.Ft Year Built 1949 Assessment Information Year 2016 2015 2014 Land Value $177,606 $141,174 $195,063 Building Value $115,072 $116,031 $113,408 XF Value $1,538 $1,184 $1,192 Market Value $294,216 $258,389 $309,663 Assessed Value $284,227 $258,389 $256,174 Benefits Information Benefit Type 2016 2015 2014 Non -Homestead Cap Assessment Reduction $9,989 $0 $53,489 Note: Not all benefits are applicable to all Taxable Values ('.e. County, School Board, City, Regional). Short Legal Description MIAMI SHORES ESTATES PB 47-58 LOT 14 BLK 5 LOT SIZE 75.000 X 130 OR 20073-2566 12 2001 1 COC 25705-2446 08 2006 1 Generated On : 12/19/2016 Taxable Value Information Previous Sale 2016 2015 2014 County Exemption Value $0 $0 $0 Taxable Value $284,227 $258,389 $256,174 School Board Exemption Value $0 $0 $0 Taxable Value $294,216 $258,389 $309,663 City Exemption Value $0 $0 $0 Taxable Value $284,227 $258,389 $256,174 Regional Exemption Value $0 $0 $0 Taxable Value $284,227 $258,389 $256,174 Sales Information Previous Sale Pnce OR Book - Page Qualification Description 11/07/2016 $532,500 30306-3553 Qual by exam of deed 03/30/2011 $227,000 27659-2201 Financial inst or "In Lieu of Forclosure" stated 07/07/2010 $172,100 27360-4805 Financial inst or "In Lieu of Forclosure" stated 08/01/2006 $665,000 25705-2446 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://www.miamidade.gov/info/disclaimer.asp Version: http://www.miamidade.gov/propertysearch/ 12/19/2016 RICK scorr, GOVERNOR KEN ,> AWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD The PLUMBING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 4 9 FS. Expiration date: AUG 31, 2019 MCLAUGHLIN, DENNIS MI Af '- THE NEW MIAMI SHORES'PLUMBING_ 900 NW 144TH STREET ' 7?'7.7'. MIAMI . vFt, 33168. ISSUED. 07l04r2016 DISPLAY AS REQU ED Local Business Tax Receipt Miami -Dade County, State of Florida -THIS IS NOT ASU - DO NOT PAY )7301 GUINNESS NAMrA.00AT1ON MIAMI SHORES PWMBtNG S00 Nw 144 Sr i40'4M' ` 4168 RECEIPT NO. RENEWAL 17301 EKPIRES SEPTEMBER pix 2047 Must be *Wood et post cif bumt+srsa Purauuttt t* Coto* Cede Chaps i SA - An, 9 & til OWNER S C. TYPE CAS BU8iNP88 THE NEW MLA SHORES PLBG 1146 MOM CONTRACTOR Ct�11# Worker(s) 10 PAYMENT ISIENtVED BY TAX COt .ECTOR S75,00 C11EC(21-1644I93E65 • Oen Local Basims Tax Sectipt only contuse pleyotse4st the Local System Tex T 4teowl is not a items, potent, or a tostitteseen of the holdtWo qsa e*lmo& to I e bustn s:i. fielder otentetioafty was arty f rmrvnardat or Natio regulatory laws arrd satltttrearnnta which apply tot. the bovines); . , The RUIPT SO *Woo moat be Waved as sii comiNs 1 Wm -4N eisie See 6-276. for mote ietoottott m. WWI 5 33t i#iiOiet410ittt MIAMSHO-03 SSIMEON A` QRDP lV.:- CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) 12/19/2016 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(ies) 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 Alter, Fowler & French, LLC 8000 Govemors Square Blvd Suite 301 Miami Lakes, FL 33016 CONTACT NCollinsworth, PHONE 305 822-7800 FAX (305)362-2443 (ac. No, Ext): ( ) (A/c, No): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Hanover American Ins Co 36064 INSURED The New Miami Shores Plumbing, Inc 900 NW 144th Street Miami, FL 33168 INSURER B : Associated Industries Ins Co 23140 INSURER C : 08/23/2017 INSURER D : $ 1,000,000 INSURER E INSURER F : DAMAGEES ((EaSRENTEDoccurrence) PREMIS COVERAGES CERTIFICATE 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 POLIC ES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/VYYY) LIMITS A X COMMERCIAL GENERAL LABILITY X X LZJ384105009 08/23/2016 08/23/2017 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR DAMAGEES ((EaSRENTEDoccurrence) PREMIS $ � 100 000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE POLICY OTHER: X LIMIT APPLIES JECT PER: LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE X X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS X SCHEDULED AUTOS NON -OWNED AUTOS X X AZJA04214904 08/23/2016 08/23/2017 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE X UHJ38410507 08/23/2016 08/23/2017 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 DED X RETENT ON $ 0 $ B WORKERS COMPENSATION AND EMPLOYERS' LABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N N / A X AWC1050216 08/23/2016 08/23/2017 Xy PER STATUTE OTH E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Addltlonal Remarks Schedule, may ba attached If more space Is required) Plumbing Work. CERTIFICATE HOLDER CANCELLATION Miami Shores Village Bld. Department 10050 NE 2nd Ave Miami Shores,FL.33138 I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2014/01) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CFN: 20160656335 BOOK 30306 PAGE 3553 DATE:11/14/2016 02:54:13 PM DEED DOC 3,195.00 SURTAX 2,396.25 HARVEY RUVIN, CLERK OF COURT, MIA-DADE CTY Prepared by and return to: Edward L. Myrick, Jr. Attorney at Law Beighley, Myrick, Udell & Lynne, P.A. 1255 West Atlantic Boulevard Office 314 Pompano Beach, FL 33069 954784-3298 File Number. 16 -1412 -0001 -RE Will Call No.: (Space Above This Line For Recording Data) Warranty Deed This Warranty Deed made this 7th day of November, 2016 between Randall C. King and Barbara M. Bondra, husband and wife whose post office address is 3925 Sombra Morada Road, Las Cruces, New Mexico 88012, grantor, and Matthew E. Kolokofi a single man whose post office address is 10634 NE 10th Place, Miami Shores, FL 33138, grantee: (whenever used herein the terms "grantor' and "granue" include all the parties to this instrument and the heirs, legal representatives, and assigns of individuals, and the successors and assigns of corporations, trusts and trustees) Witnesseth, that said grantor, for and in consideration of the sum of TEN AND NO/100 DOLLARS (510.00) and other good and valuable considerations to said grantor in hand paid by said grantee, the receipt whereof is hereby acknowledged, has granted, bargained, and sold to the said grantee, and grantee's heirs and assigns forever, the following described land, situate, lying and being in Miami -Dade County, Florida to -wit: Lot 14, Block 5, MIAMI SHORES ESTATES, a subdivision according to the plat thereof recorded at Plat Book 47, Page 58, in the Public Records of Miami -Dade County, Florida Parcel Identification Number: 11 2232-028-0850 Subject to taxes for 2016 and subsequent years; covenants, conditions, restrictions, easements, reservations and limitations of record, if any. Grantor warrants that at the time of this conveyance, the subject property is not the Grantor's homestead within the meaning set forth hi the constitution of the state of Florida, nor is it contiguous to or a part of homestead property. Grantor's residence and homestead address is: 3925 Sombra Morada Road, Las Cruces, New Mexico 88012. Together with all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining. To Have and to Hold, the same in fee simple forever. And the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple; that the grantor has good right and lawful authority to sell and convey said land; that the grantor hereby fully warrants the title to said land and will defend the same against the lawful claims of all persons whomsoever, and that said land is free of all encumbrances, except taxes accruing subsequent to December 31, 2015. In Witness Whereof, grantor has hereunto set grantor's hand and seal the day and year first above written. Signed, scaled and delivered in our presence: Witness Namc: L�/GC%LP er ndall C. King Witness Witn ss N. e: 0 GO' As* Witnc. ' ame: I11711Z0U7 State of County of CFN: 20160656335 BOOK 30306 PAGE 3554 (Seal) Barbara M. Bondra The foregoing instrument was acknowledged before me this 3 day of November, 2016 by Randall C. King and Barbara M. Bondra, who [j are personally known or [X] have produced a driver's license s ide/titication. [Notary Scal] OFFICIAL SEAL DEaRA Y. t!UMF3 ,IOTARY PUBLIC - STATE 0 My Commission Expires Warrant', Deed - Page 2 zo Notary Public Printed Name: My Commission Expires: Doubleiime4