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RC-17-2014Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Permit Permit NO. RC -8-17-2014 Permit Type: Residential Construction Work Classification: Alteration Permit Status: APPROVED Issue Date: 10/30/2017 Expiration: 04/28/2018 Parcel Number Applicant 1441 NE 102 Street Miami Shores, FL 1132050240170 Block: Lot: SUSAN & WILLIAM HOWELL Owner Information Address Phone Cell SUSAN & WILLIAM HOWELL 1441 NE 102 Street MIAMI SHORES FL 33138-2621 Contractor(s) A BOARD UP SERIVCE Phone (305)595-9206 Cell Phone Valuation: Total Sq Feet: $ 8,000.00 45 Approved: In Review Comments: Date Approved: : In Review Date Denied: Type of Construction: GUEST BATHROOM RENOVATION Stories: Front Setback: Left Setback: Bedrooms: Plans Submitted: Yes Certificate Date: Bond Return : Occupancy: Single Family Exterior: Rear Setback: Right Setback: Bathrooms: Certificate Status: Additional Info: Classification: Residential Fees Due CCF ' DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $4.80 $3.60 $2.40 $1.60 $240.00 $9:00 $6.40 $267.80 Pay Date Pay Type Invoice # RC -8-17-64820 10/30/2017 Credit Card 08/09/2017 Credit Card Amt Paid Amt Due $ 217.80 $ 50.00 $ 50.00 $ 0.00 Available Inspections: Inspection Type: Final PE Certification Window Door Attachment Framing Insulation Drywall Screw Fill Cells Columns Window and Door Buck Review Planning Review Plumbing Review Electrical Review Electrical Review Building Review Structural Review Mechanical 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. t all the I aut r / Applicant Build • Department Copy on is accurate and that all work will be done in compliance with all applicable laws regulating amed contractor to do the work stated. / Contractor / Agent October 30, 2017 Date Octo • er 30, 2017 1 u,1 ',BUILDING PERMIT APPLICATION t*BUILDING n ELECTRIC in PLUMBING ❑ MECHANICAL Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 JOB ADDRESS: 1441 NE 102 Street ❑ ROOFING nPUBLIC WORKS RECEIVED AUG 09 ?017 FBC 20.441‘ Master Permit No.V-C,1 ,011 Sub Permit No. n REVISION n EXTENSION URENEWAL H CHANGE OF ❑ CANCELLATION n SHOP CONTRACTOR DRAWINGS City: Miami Shores County: Folio/Parcel#:1-3205-024-0170 Occupancy Type: Load: Construction Type: Miami Dade Zip: ,5-2)1 Se) Is the Building Historically Designated: Yes NO X Flood Zone: BFE: FFE: 'OWNER: NameI// l L ((Fee Simple Titleholder): II l+VA /4._'e_jI Phone#: S-75 7 a `TT 'Address: f 444/ /VC -7 / 0 2. S ity: Tenant/Lessee Name: Email: ONTRACTOR: Company Name: Up Grade Renovations, Inc. DIB/A A Board Up Service Address: 8400 SW 106 Street 4-714 / S� XI , I�'� State: Zip: J 8 !`tPhone#: Phone#: 305-595-9206 City: Miami State: FL zip: 33156 Qualifier Name: David J. Bacher, Phone#: 305-342-7681 State Certification or Registration #: CRC049107 Certificate of Competency #: LBT - 2383008' Phone#: Address: (�% City: State: Zip: Value•of Work'for'this Permit:$ _ � Square/Linear Footage of Work: 45 SF �j Type of Work: l 1 Addition 1 1 Alteration U'New ICI Repair/Replace ❑ Demolition DESIGNER: Architect/Engineer: N/A Description of work: Guest Bathroom - Replace in same location plumbing fixtures, electrical fixtures, and tiles. Paint ceiling and Wails. .Specify color of color thru tile: Submittal Fee $ S • CO ' O Permit Fee $ 2-(40 CJ••• 'CCF $ f 1 9 Scanning Fee $ Radon Fee $ i f� ) DBPR $ . Technology Fee $ TrainingjEducation Fee $ Structural Reviews $ (Revised02/24(2014) CO/CC $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ .c.7.-( 9 _ C� •c 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 r inspection will not be approved and a reinspection fee will be charged. Signature i;,(.7) 44' OWNER or AGENT The foregoing instrument was acknowledged before me this '3 day of -- LA I 20 / 7 by //40tV t ( /, who is personally known to me 0 Viand who did take an oath. NOTARY Ata Sign: Print: Seal: B C: / Ilii ;61,111P7MIREIIE i t i 4 i / 1011/W% ro3M;.P�k�, IRA LYNN TAYLOR MV COMMISSION t FF 192031 * -(_ m+ EXPIRES: March 16, 2019 4jA,,°oF Floe Bonded Thru Budget Notary Services ****************************** Signature, l�s� v CONTRACTOR The foregoing instrument was acknowledged before me this OS day of tic) OS ,20 1 7 ,by I -� e --P4-c/ '1c U/'c .e j. - who is personally known to me or who has produced 1t4,,t4 as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: Notary EGfic State of Florida My Commission Expires 10/27/2020 APPROVED BY "> Plans Examiner Zoning Structural Review Clerk (Revisedo2/24/20a) Property Search Application - Miami -Dade County iFFICE Of THE P`t0 Page 1 of 2 TV APPRAISER Summary Report Property Information Folio: 11-3205-024-0170 Property Address: 1441 NE 102 ST Miami Shores, FL 33138-2621 Owner WILLIAM JAMES HOWELL JR TRS WILLIAM JAMES HOWELL JR REV WILLIAM JAMES HOWELL JR LIVING TRUST Mailing Address 1441 NE 102 ST MIAMI SHORES, FL 33138 USA PA Primary Zone 1300 SGL FAMILY - 2801-3000 SQ Primary Land Use 0101 RESIDENTIAL - SINGLE FAMILY : 1 UNIT Beds / Baths / Half 3 /2 /1 Floors 1 Living Units 1 Actual Area 3,130 Sq.Ft Living Area 2,251 Sq.Ft Adjusted Area 2,638 Sq.Ft Lot Size 9,605 Sq.Ft Year Built 1955 Assessment Information Year 2017 2016 2015 Land Value $528,622 $528,622 $446,321 Building Value $286,223 $288,531 $290,840 XF Value $21,424 $21,496 $15,465 Market Value $836,269 $838,649 $752,626 Assessed Value $383,384 $375,499 $372,889 Benefits Information Benefit Type 2017 2016 2015 Save Our Homes Cap Assessment Reduction $452,885 $463,150 $379,737 Homestead Exemption $25,000 $25,000 $25,000 Second Homestead Exemption $25,000 $25,000 $25,000 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description MIAMI SHORES BAY PK ESTS AMD PB 56-86 LOT 21 BLK 1 LOT SIZE 85.000 X 113 OR 17194-3902 0496 1 http://www.miamidade.gov/propertysearch/ Generated On : 7/26/2017 Taxable Value Information 2017; 2016 2015 County Exemption Value $50,000 $50,000 $50,000 Taxable Value $333,384 $325,499 $322,889 School Board Exemption Value $25,000 $25,000 $25,000 Taxable Value 1 $358,384 $350,499 $347,889 City Exemption Value $50,000 $50,000 $50,000 Taxable Value $333,384 $325,499 $322,889 Regional Exemption Value $50,000 $50,000 $50,000 Taxable Value $333,384 $325,499, $322,889 Sales Information Previous PriceSale OR Book- Page Qualification Description 10/15/2014 $100 29359- Corrective, tax or QCD; min 0881 consideration , 06/01/2005 $0 23724- Sales which are disqualified as a result 1746 of examination of the deed 04/01/1996 $298,000 17194- Sales which are qualified 3902 04/01/1986 $157,000 12878 -Sales which are qualified 1939 7/26/2017 Local Business Tax Receipt Miami -Dade County, State of Florida -THIS IS NOT A BILL - DO NOT PAY 2265999 BUSINESS NAME/LOCATION A BOARD UP SERVICE 8400 SW 106 ST **** MIAMI FL 33156 OWNER UP GRADE RENOVATIONS INC Workers) 2 RECEIPT NO. RENEWAL 2383008 LBT EXPIRES SEPTEMBER 30, 2017 Must be displayed at place of business Pursuant to County Code Chapter 8A - Art. 9 & 10 SEC. TYPE OF BUSINESS 196 SUB -BUILDING CONTRACTOR CRC049107 PAYMENT RECEIVED BY TAX COLLECTOR $75.00 08/08/2016 CREDITCARD-16-046301 This Local Business Tax Receipt only confirms payment of the Local Business Tax. The Receipt is not a license, permit, or a certification of the holder's qualifications, to do business. Holder must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT NO. above must be displayed on all commercial vehicles — Miami—Dade Code Sec 8a-276. For more information, visit www.miamidade.gov/taxcollector UC 1/1L.rl r7CKC RICK SCOTT. GOVERNOR KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD LICENSE NUMBER The RESIDENTIAL CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2018 BACHER, DAVID JOHN A BOARD -UP SERVICE 8400 SW 106 ST MIAMI FL 33156 ISSUED: 07/04/2016 DISPLAY AS REQUIRED BY LAW SEQ # L1607040002019 ACORN CERTIFICATE OF LIABILITY INSURANCE L----. DATE(MM/DD/YYYY) '01/03/17 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 1. 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 Amtnist Insurance Group 81001SW 81 Drive, Ste 280 Miami, FL 33143 Phone (305)275-0810 Fax (305)275-0890 CONTACT NAME: ((A//cc. HONo. Ext): (305)275-0810 FAX No): 1 (305)275-0890 ADDRESS: info@amtrustinsurance.net , INSURERS) AFFORDING COVERAGE NAIC # INSURER A : Evanston Insurance Company Y INSURED Up Grade Renovations Inc. DBA A Board Up Service 8400 SW 106th Street Miami, FL 33156- INSURER B : 1 12/31/2016 INSURER C : , EACH OCCURRENCE INSURER D : VCOMMERCIAL GENERAL LIABILITY ❑ ❑ CLAIMS -MADE s' OCCUR ❑ INSURER E $ 100 000.00 INSURER F : $ 5,000.00 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 LTR 1 TYPE OF INSURANCE ADDLSUBR INSR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS A GENERAL LIABILITY Y Y 3EH4728 12/31/2016 12/31/2017 EACH OCCURRENCE $ 1,000,000.00 VCOMMERCIAL GENERAL LIABILITY ❑ ❑ CLAIMS -MADE s' OCCUR ❑ DAMAGE SES ( ( S ERaa occurrence) PREMISES $ 100 000.00 MED EXP (Any one persori $ 5,000.00 PERSONAL & ADV INJURY $ 1,000,000.00 ❑ GENERAL AGGREGATE $ 2,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY • PRO- JECT ❑ LOC PRODUCTS - COMP/OP AGG $ 1,000,000.00 $ AUTOMOBILE LIABILITY ❑ ANY AUTO 'ALLOWNED ❑ SCHEDULED ❑ AUTOS AUTOS HIRED AUTOS NON -OWNED ❑ ❑ AUTOS ❑ ❑ COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ ❑ UMBRELLA UAB ❑ OCCUR ❑ EXCESS LIAB ❑ CLAIMS -MADE EACH OCCURRENCE '$ AGGREGATE $ ❑ DED ❑ RETENTION $ $ WORKERS COMPENSATION ANDER EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE N 1 A , ❑ TWC STU- ORY L T TS ❑ OTH E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE - EA EMPLOYE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) + General Contractor - • I CERTIFICATE HOLDER CANCELLATION } I Miami Shores Village Building & Zoning 10050 NE 2 Avenue Miami Shores, FI 33138 Fax: 305-756-8972 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 l ACORD 25 (2010/05) QF © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CERTIFICATE OF INSURANCE This certifies that ® STATE FARM FIRE AND CASUALTY COMPANY, Bloomington, Illinois ❑ STATE FARM GENERAL INSURANCE COMPANY, Bloomington, Illinois insures the following policyholder for the coverages indicated below: Name of policyholder ^ UPGRADE RENOVATIONS INC DBA A. BOARD UP SERVICE Address ofpolicyholder 8400 SW 106TH ST Location of operations MIAMI FL 33156-3570 Description of operations Residential or general contractor The policies listed below have been issued to the pol cyholder for the policy periods shown. The insurance described in these policies is subject to all the terms exclusions, and conditions ofthose policies. The limits of liability shown may have'been rPri�irpri by any paid claims POLICY NUMBER TYPE OF INSURANCE POLICY PERIOD Effective Date Expiration Date LIMITS OF LIABILITY (at beginning of policy period) i Comprehensive Business Liability BODILY INJURY AND PROPERTY DAMAGE This insurance includes: ■ Products - Completed Operations 1 ■ Contractual Liability • ■ Underground Hazard Coverage Each Occurrence $ • Personal Injury • Advertising Injury * General Aggregate $ ■ Explosion Hazard Coverage f Products - Completed ■ Collapse Hazard Coverage Operations Aggregate $ i • General Aggregate Limit applies to each project s EXCESS LIABILITY POLICY PERIOD Effective Date Expiration Date BODILY INJURY AND PROPERTY DAMAGE (Combined Single Limit) • Umbrella Each Occurrence $ ■ Other Aggregate $ 98-BT—P202-3 F 12/31/16 12/31/17 Part1 STATUTORY Part 2 BODILY INJURY Workers' Compensation and Employers Liability Each Accident $ 100,000 Disease Each Employee $ 100,000 Disease -Policy Limit $ 500, 000 POLICY NUMBER TYPE OF INSURANCE POLICY PERIOD Effective Date Expiration Date LIMITS' OF LIABILITY (at beginning of policy period) Name' and Address of Certificate Holder MIAMI SHORES VILLAGE BUILDING & ZONING 10050 NE 2ND AVENUE MIAMI SHORES, FLORIDA 33138 558-994 a 2-90 Printed in USA if any of the describedpolicies are canceled before its expiration date, State Farm will try to mail a written notice to the certificate holder days before cancellation. If, however, we fail to mail such notice, no obligation or liability will be impo ed on State Farm or its agents or repre'-ntative 1 alllid LA .4.44 S 4 nature of onzed rJ-pr:sentative Title { Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756.8972 Inspection Number: INSP-296977 Scheduled Inspection Date February 08, 2018 Inspector:.Riveron, Alexis Owner HOWELL, SUSAN & WILLIAM Job Address: 1441 NE 102 Street Miami Shores, FL Project: <NONE> Contractor: A BOARD UP, SERIVCE Permit Number: RC -8-17-2014 Permit Type: Residential Construction inspection Type: Final Work Classification: Alteration Phone Number Parcel Number 1132050240170 Phone: (305)595-9206, Building Department Comments GUEST BATHROOM RENOVATION lnfractio Passed' Comments INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction Needed Re -Inspection Fee No Additional Inspections can be scheduled until reinspection fee is paid February 07, 2018 For llnspeotions please call: (305)762-4949 Page 37 of 37