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DEMO-18-737 1 i Inspeiction.Works ee Miami Shores Village 10050'N.E.2nd Avenue Miami Shores,FL Phone:(305)795-2204 Fax:(305)756-8872 inspection Number.INSP-299931 PerrritNumber. ©EMG1-3- "$-737 Scheduled Inspection gate:Aprii.26,2018. Permit Tyle: Demolition Inspector: Naranjo,ismael Inspection Type: Final orivner NAGY,'BRIAN.JQtIN Work Classificatlon: Bui ding Job Address:187 NE:100 Street Miami Shores,FL Phone Number (305)804-8424 Parcel Number 1132060132071 Project: <NONE> Contiklor: DEERE INDUSTRIES LLC Phone:(305)986-8632 Building Department Comments MEMO ALL EXISTING FLOORING."NO PLUMBING,NO in Pawed Comments ELECTRICAL` INSPECTOR COMMENTS False ti Inspectac Comments Passed Eld' Failed El Correction # Needed: El , Re-Inspection Fee { NoAdditionaf Inspections can be scheduled until re-inspee on fee is paid t l Apri125,2018 For Inspections,please call:(305)762-4948 Page 13 of 34 r Permit No. DEMO-3-18-737 Res Miami Shores VillageM Permit Type:Demolition 10050 N.E.2nd Avenue NE r ' Work Classification:Building Miami Shores,FL 33138-0000 Permit Status:APPROVED Phone: (305)795 2204 FCDRIP Issue date:4/412018 Expiration: 10/01/2018 Project Address Parcel Number Applicant 187 NE 100 Street 1132060132071 Miami Shores, FL Block: Lot: JESSICA WADE PFEFFER Owner Information Address Phone Cell BRIAN JOHN NAGY 187 NE 100 Street (305)804-8424 MIAMI SHORES FL 33138- 187 N E 100 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 2,000.00 � DEERE INDUSTRIES LLC (305)986-8632 ..� . ._...w., ..m..� _ ..__..., Total Sq Feet: 1500 Type of Demo:Building Available Inspections: Additional Info:DEMO ALL EXISTING FLOORING.'NO PLU Inspection Type: Classification:Residential Final Scanning:3 Review Building Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.20 " Invoice# DEMO-3-18-66873 DBPR Fee $3.00 DCA Fee $2.00 03/22/2018 Check#: 109 $50.00 $ 167.20 Education Surcharge $0.40 04/04/2018 Check#: 110 $ 167.20 $0.00 Permit Fee $200.00 Scanning Fee $9.00 Technology Fee $1.60 Total: $217.20 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. r OWNERS AFFIDAVIT: certi that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zon' g h re, I authC e above-named contractor to do the work stated. April 04, 2018 Authorized na Owner / Ap icant / Contractor / Agent Date Building Department Copy April 04,2018 1 i i r 2 �� Miam' i Shores Village �R'(7 --T—V F,D Building Department AR 2 2o1s 10050 N.E.2nc1 Avenue, Miami Shores,Florida 33138 BY: Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 /T, i\ FBC 20R BUILD NG Master Permit No. M�. PE IT APPLICATION Sub Permit No. r BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ` ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP Jf CONTRACTOR DRAWINGS JOB ADDRESS: l NE- /00, �4 ' +City: 11 )JMiami Shores County: Miami Dade Zip: 1 2g i Folio/Parcel#: -32040— 013Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: ,�c�� n Flood Zone: BFE: (�F�F�E'G OWNER: Name(Fee Simple Titleholder):-n'--<Z �1 Ca ^M 1J� P �.�Phone#: 6qL Address: l O -7 IBJ 0 2 ' City: r State: Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: t Phone#:-;�pS Address: r � /— City: State: Zip: Qualifier Name: {� /,&S- Phone#: State Certification or Registration#: G( 1 OO i�� Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: aGity.'�'. *�"w,r°.*ww,NState:,,., Zip! ;;r �6r�+?!o g:ct.,a•+u"�-sto;+; wsa r.•�,1` �Y� � Value of Work for this Permit:$ C�I�W Square/Linear Footage;of,Work: fd. , 1 S j`�4 ,� Type of Work: ❑ +Addition El Alteration [—INew0%Repair/Replace'�n �A_ Demolition Descr•ption of Work: ; us, r rcl not rz�J� •a.,+ , hi. r. ° d,Spec►fy;color'of colorlhru tile: Submittal Fee$ Permit,.Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$, , (SO DBPR$ Notary''$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ ^� TOTAL FEE NOW DUE$( —C (Revised02/24/2014) { Bonding Company's Name(if applicable) . ,Bonding Company's Address 3' City' ' f 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. s "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$1500, 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 and a reinspection fee will be charged. Signature � Signature > - OWNER or AGENT CONTRA R 4 The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this Qol day of 20 1 J by day of odc 20 , by "TC who is personally know to who is personallyknown to ZI me or who has produced"P\(q0 qJ i:�-��O me or who has produced L P l(J53--+3Q- 82-- aas 'a-0. identification and who in ry Public State of Florida identification and who did take an oath. r �� "Helsel Alvarez 'NOTARY PUBLIC:' �N MyCommisslon 206003203 NOTARY PUBLI r � Sign: Sign: Print: y Print: eryds Seal: Seal: !A Helsel Alvarez c�+ My Commission GG 003203 V ao� Expires 08118!2020 APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) 4 Property Search Application - Miami-Dade County Page 1 of 1 OF'1' E OF THE PROPERTY Summary Report Generated On:3/22/2018 Property Information 4 ;.' ► Folio: 11-3206-013-2071 Property Address: 187 NE 100 ST Miami Shores,FL 33138-2316 � � F JESSICA WADE PFEFFER '• "" Owner BRIAN JOHN NAGY F " ' 187 NE 100 ST Mailing Address MIAMI SHORES,FL 33138 USA PA Primary Zone 1000 SGL FAMILY-2101-2300 SQA Primary Land Use 0101 RESIDENTIAL-SINGLE s FAMILY: 1 UNIT Beds/Baths/Half 3/2/0 ` r> 7 Floors 1 4 �h Living Units 1 Actual Area 2,040 Sq.Ft Ar ethyl P to Living Area 1,710 Sq.Ft Adjusted Area 1,860 Sq.Ft Taxable Value Information Lot Size 5,750 Sq.Ft 2017 2016 2015 Year Built 1972 County Exemption Value 1 $50,000 $50,000 $50,000 Assessment Information Taxable Value $54,945 $52,787 $52,073 Year 2017 2016 2015 School Board Land Value $143,808 $143,808 $109,388 Exemption Value 1 $25,000 $25,000 $25,000 Building Value $122,336 $123,307 $124,278 Taxable Value $79,945 $77,787 $77,073 XF,Value $1,735 $1,764 $1,609 City Market Value $267,879 $268,879 $235,275 Exemption Value $50,000 $50,000 $50,000 Assessed Value $104,945 $102,787 $102,073 Taxable Value $54,945 $52,787 $52,073 Regional Benefits Information Exemption Value $50,000 $50,000 $50,000 Benefit Type 2017 2016 2015 Taxable Value $54,945 $52,7871 $52,073 Save Our Homes Assessment Cap Reduction $162,934 $166,092 $133,202 Sales Information Homestead Exemption $25,000 $25,000 $25,000 Previous Price OR Book- Qualification Description Second Sale Page Homestead, Exemption $25,000 $25,000 $25,000 30852- 02/01/2018 $470,000 3876 Qual by exam of deed Note:Not all benefits are applicable to all Taxable Values(i.e.County, School Board,City,Regional). 16914- 09/01/1995 $110,000 3321 Sales which are qualified Short Legal Description 16545- Sales which are disqualified as a result w 10/01/1994 $0 1 MIAMI SHORES SEC 1 AMD PB 10-70 509 of examination of the deed LOT 23 BLK 15 00000- Sales which are disqualified as a result OR 16914-3321 09951 12/01/1992 $0 00000 of examination of the deed 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/ 3/22/2018 STATE OF FLORIDA �= DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CGC 1508779 ISSUED: 09/04/2016 CERTIFIED GENERAL CONTRACTOR PRENDES, RYAN JASON DEERE INDUSTRIES LLC IS CERTIFIED under the provisions of Ch.489 FS. Exprration da.e AUG 31.2018 L1609040002367 I I I 004275 Local Business Tax Receipt Miami—Dade County, State of Florida —THIS IS NOT ABILL—DO NOT PAY. 6687918 BUSINESS NAME/LOCATION RECEIPT NO. EXPIRES DEERE INDUSTRIE5 LLC r:-NEWAU S E PTEM B E R 30r 2-®18 4601 SW 71 AVE 6960802 Mus;be displayed at place of business MIAMI FL 33155 Pursuant to County Code Chapter SA—Ar..9&10 OWNER SEC.TYPE OF BUSINESS DEERE INDUSTRIES LLC 196 GENERAL BUILDING CONTRACTOR, PAYM`NT RECEIVED C/O PRENDES RYAN JASON CGC1508779 ._ sY TAX COLLECTOR Worker(s) 1 575.00 08/04/2017 CHECK21-17-075178 This Local Business Tax Receipt only confirms payment of the Local Business Tau.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 as-276. For more information,visit www.miamidade.00vltaxcollector c I I l I Date CERTIFICATE OF LIABILITY INSURANCE 3/15/2018 Producer: Plymouth Insurance Agency This Certificate is issued as a matter of information only and confers no 2739 U.S. Highway 19 N. rights upon the Certificate Holder. This Certificate does not amend,extend Holiday, FL 34691 or alter the coverage afforded by the policies below. ` (727) 938-5562 Insurers Affording Coverage MAIC# Insured: South East Personnel Leasing, Inc. &Subsidiaries Insurer A: Lion Insurance Company 11075 2739 U.S. Highway 19 N. In B: Holiday, FL 34691 Insurer C: Insurer 0- Insurer E, Coverages ; 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 Aggregate limits shown may have been reduced by paid claims tNSR ADDL Policy Effective Policy Expiration Limits LTR INSRD Type of Insurance Policy Number Date Date (MM/DD/YY) (MM/DD/YY) GENERAL LIABILITY Each Occurrence Commercial General Liability Damage to rented premises(EA Claims Made ❑ Occur occurrence) Med Exp Personal Adv Injury General aggregate limit applies per: Policy ❑Project 1:1 LOC General Aggregate Products-Comp/Op Agg AUTOMOBILE LIABILITY Combined Single Limit Any Auto (EA Accident) Bodily Injury All Owned Autos Scheduled Autos (Per Person) i Hired Autos Bodily Injury Non-Owned Autos (Per Accident) i Property Damage (Per Accident) EXCESS/UMBRELLA LIABILITY Each Occurrence Occur Claims Made Aggregate k Deductible A Workers Compensation and WC 71949 01/01/2018 01/01/2019 x WC Statu- OTH- Employers'Liability to Limits OR Any proprfetorlpartner/executive officer/member E.L.Each Accident si 000 000 excluded? NO E.L.Disease-Ea Employee si 000.000 If Yes.describe under special provisions below. E.L.Disease-Policy Limits I 51.000.000 Other I I Lion Insurance Company is A.M.Best Company rated A(Excellent). AMB#12616 Descriptions of Operations/LocationsNehicles/Exclusions added by Endorsement/Special Provisions: Client ID: Oa-'80-D57 Coverage only applies to active employee(s)of South East Personnel Leasing,Inc&Subsidiaries that are leased to the following"Client Company": I Deere Construction LLC dba Deere Industries LLC Coverage only applies to Injuries incurred by South East Personnel Leasing,Inc.&Subsidiaries active employee(s),while working in:FL. Coverage does not apply to statutory employee(s)or independent contractor(s)of the Client Company or any other entity. A list of the active employee(s)leased to the Client Company can be obtained by faxing a request to(727)937-2138 or by calling(727)938-5562. r Project Name: i ISSUE 03-15.18(TD) Begin Date:7/27/2016 CERTIFICATE HOLDER CANCELLATION VILLAGE OF MIAMI SHORES Should any of the above described policies be cancelled before the expiration date thereof the issuing insurer will endeavor to mail 30 days written notice to the certificate holder named to the left.but failure to BUILDING DEPARTMENT do so shall impose no obligation or liability of any kind upon the insurer,its agents or representatives 10050 NE 2ND AVENUE -- MIAMI SHORES. FL 33138 ' w v ---k {