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RC-18-266 �..,..+ ...gib.. ''� - "wtay 'ti�Yy •.r.... ,..+. ....r - - _ ... . - — --` - . ,_,, r�/ 1, �• .4 ;1 ��t t 'b �'` •..s a. _ a 'i 'Rnw: ,+�. K h -fes . . +`. C'� yr Certificate of Completion Miami Shores Village 4 10050 NE 2 Ave, Miami Shores FL, 33138 r Tel: 305-795-2204 Fax: 305-756-8972 a l Building Inspection Department _ This certificate issued pursuant to the requirements of the Florida Building Code 106.1.2 certifying that at the time of issuance this structure was in compliance with the various ordinances of the jurisdiction regulating building construction or use. For the following: Y. i' ��• r ' v �4 Permit Type RESIDENTIAL CONSTRUCTION Bldg. Permit No. RC-2-18-266 - Owners BLESSED MANAGEMENT GROUP LLC Contractor SOLID BUILDERS INC Subdivision/Project NEW MIAMI SHORES ESTS Date Issued July 6, 2018 Occupancy 4 r Construction Type V-B Load. N/A d Square Footage 1400 Occupancy Type R-3 + �� ,�l�Y'•. a-arm:1 Description of INTERIOR REMODELING Applicable WorkCode 2017 FLORIDA BUILDING ' Location " 269 NW 111 TERRILI I s ' Miami Shores, FL 33138-2439 ., - 4 - NORES i Building Officials Approval f Ismael Naranjo, CBO r, nu umM Not Transferable LL ,, 'PZO ES 1Dp' POST IN A CONSPICUOUS PLACE { �� a -•c •�`r �� $... M%�H� c � .'v +• � f -� ; to af5 _ S. • �' 0 h. r L+��. F - L '',tn 4_ '^'� `. l 'M S} ' r4 �,•� '�' Y ,�'. - •. ' S1G { '�..� �� -ib�' i � � �,'j: SL'kt, . � ly -i�S��. � �.i '7j Lq'OiF' �`' 11 '! L�j � � �,+�y to ��y�l:�.ly t, � • - -. � r S aac •. � �qT` a , {a.�i it ��y."}.i � �i,�l .s•Lxt•��•+r 11,9. y.�'. tr '! i5c���i i tly• � e��t�. INSPECTION RECORD POST ON SITE PennitNO. RC-2-1 $-266 yt{OR�S Miami Shores Village I. Permit Type: Residential Construction 10050 WE.2nd Avenue Miami Shores,FL 33138-0000 Work Classification:Addition/Alteration —dy° 'Phone: (305)795-2204 Fax: (305)756-8972 �LORtpp 4. Issue Date: 2./21/2018 Expires: 10/28/2018 INSPECTION REQUESTS: (305)762-4949 or Log on at https:l/bldg.miamishoresvillage.comlcap REQUESTS ARE ACCEPTED DURING 8:30AM-3:30PM FOR THE FOLLOWING BUSINESS DAY. Requests must be received by 3 pm for following day inspections. Residential Construction Parcel #:1121360010360 Owner's Name: Owner's Phone: Job Address: 269 NW 111 Terrace- Total Square Feet: 1400 Miami Shorps- FL 33168- A" Total Job Valuation: $ 6,090.00 Bond Number: i I did lii i _ + KIS ALLOWED: Contractors PhoneAT TOM a � (FDAY THROUGH FRIDAY,8:OOAM-7:OOPM. ry RDAY 8.00AM-6:60PM. SOLID BUILDERS INC (305)986-4654. tiYez ,,+ NO WORK IS ALLOWED ON SUNDAY OR HOLIDAYS. wC f 10W BUILDING AND ROOFING INSPECTIONS ARE DONE MONDAY THROUGH FRIDAY. NO INSPECTION WILL BE MADE UNLESS THE PERMIT CARD IS DISPLAYED AND HAS BEEN APPROVED. PLANS ARE READLY AVAILABLE. IT IS THE PERMIT APPLICANT'S RESPONSIBILITY TO ENSURE THAT WORK IS ACCESSIBLE AND EXPOSED FOR INSPECTION PURPOSES. NEITHER THE BUILDING OFFICIAL NOR THE CITY SHALL BE LIABLE FOR EXPENSE ENTAILED IN THE REMOVAL OR REPLACEMENT OF ANY MATERIAL REQUIRED TO ALLOW INSPECTION. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANOING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. INSPECTIONRECORD STRUCTURAL .. DOORS INSPECTION DATE INSP INSPECTION T DATE I INSP 7 INSPECTION DATE INSP Foundation Attachment " Stemwall Rough Slab ., Water Service Columns(1st Lift) 2"d Rough Columns(2nd Lift) PUBLIC WORKSTop Out Tie Beam 1INSPECTION DATEINSP Fire Sprinklers Truss/Rafters "Excavation • Septic Tank „Roof Sheathing Sewer Hook-up Bucks Roof Drains =Interior Framing Of ELECTRICAL Gas "Insulation INSPECT10N DATE INSP LP Tank Ceiling Grid.- - _ Temporary Pole _ Well Drywall 30 Day Temporary Lawn Sprinklers Firewall Pool Bonding Main Drain Wire Lath Pool Deck Bonding Pool Piping Pool Steel Pool Wet Niche Backflow Preventor Pool Deck Underground Interceptor Final Pool Footer Ground V Catch Basins Final Fence Slab Condensate Drains Screen Enclosure Wall Rough HRS Final Driveway Ceiling Rough Driveway Base Rough MMENTS Tin-Cap — -- — - -- Telephone Rough77PLUMBING, Roof in,ProgressTelephone Final 4 y►. Mop in Progress TV Rough , Final Roof a TV Final A41I 47-FE K Shutters Attachment Cable,Rough _l :i Final Shutters Cable Final ':Rails and Guardrails Intercom Rough AaA compliance intercom Fina! i Alarm Rough INSPECTION DATE INSP Alarm Final Underground Pipe DCICUMEN Ire Alarm Rough Soil Bearing Cert Fire Alarm Final j Rough Soil Treatment Cert ' Service Work With Floor Elevation Survey Ventilation-Rough Reinf Unit Mas Cert ELECTRICAL COMMENTS Hood Rough Insulation Certificate Pressure Test Spot Survey, Final Hood Final Survey Final Ventilation Truss Certification" Final Pool Heater STRUCTURAL COMMENTS Final Vacuum MECHANICAL COMMENTS INSPECTION JDATE INSP Final Sprinkler Final Alarm Permit ivo. RC-2-18-266 Miami Shores Village Permit Type:Residential Construction Work Classification:Addition/Alteration 10050 N.E.2nd Avenue NW Miami Shores,FL 33138-0000 � � 'm"L Permit Status:APPROVED Phone: (305)795-2204 issue Date:212112018 Expiration: 08/20/2018 Project Address Parcel Number Applicant 269 NW 111 Terrace 1121360010360 BLESSED MANAGEMENT GROL Miami Shores, FL 33168- Block: Lot: Owner Information Address Phone Cell BLESSED MANAGEMENT GROUP LLC 269 NW 111 Terrace MIAMI SHORES FL 33168-3324 269 NW 111 Terrace MIAMI SHORES FL 33168-3324 Contractor(s) Phone Cell Phone Valuation: $ 6,000.00 GLOGOZ CONSTRUCTION COMPANY (786)447-8129 Total Sq Feet: 1400 Approved:In Review Available Inspections: Comments: Inspection Type: Date Approved: : In Review Final PE Certification Date Denied: Drywall Type of Construction:REPLACE KITCHEN CABINETS NE Occupancy: Miscellaneous Stories: Exterior: Window Door Attachment =6 '000 00 1400 Front Setback: Rear Setback: Tie Beam Left Setback: Right Setback: Final Bedrooms: Bathrooms: Framing Plans Submitted:Yes Cert.ificate Status: Insulation Certificate Date: Additional Info:REPLACE KITCHEN CABINETS NEV Truss Insp Columns lBond Return Classification:Residential Foundation Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Window and Door Buck Fill Cells Columns CCF $3.60 Invoice# RC-2-18-66312 Wire Lathe IDBPR Fee $2.70 DCA Fee $2.00 02/01/2018 Credit Card $50.00 $336.30 Review Electrical Education Surcharge $1.20 02/21/2018 Credit Card $336.30 $0.00 Review Electrical Permit Fee $180.00 F.Termite Letter Scanning Fee $12.00 F.Elevation Certificate Technology Fee $4.80 Review Planning Work without Permit Fee $180.00 Review Mechanical Total: $386.30 Review Building 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 ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify at ell the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zI authorize the above-named contractor to do the work stated. 1= February 21, 2018 Authorized ISignature:Owner / Applicant / Contractor / Agent Date Building Department Copy February 21,2018 1 ,SNJTW- -932 ORES moll BUILDING DEPARTMENT PDLORIp' 10050 N.E.SECOND AVENUE MIAMI SHORES, FLORIDA 33138-2382 TELEPHONE:(305) 795-2204 FAX:(305) 756-8972 h Miami Shores Village ��� RECEIVED Building Department \\ 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 MAR 3 0 1018 `J\ Tel:(305)795-2204 Fax:(305)756-8972 (� Y INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20r':+ BUILDING Master Permit Nola G 2� (�,y_ +',, PERMIT APPLICATION sub Permit No. ❑'BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS *CONTRACTOR HANGE OF ❑ CANCELLATION E] SHOP t ��( �, DRAWINGS JOB ADDRESS: �\L�`Ayo �\ , � City: Miami Shores County: Miami Dade Zip: ��1 Folio/Parcel#: � � — a\-4� - Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: M. (�eSlFlood Zone: BFE: FFE: - (� OWNER:Name(Fee Simple Titleholder): � LSC��SS �Gr1�a Yh r°'Phone#: \A �0'k4Dk0 -OUL-1 Address: :503 2(�� —Zip: Zip: 333 `���,�� State: Tenant/Cessee Name: Phone#: Email: CONTRACTOR:Company Name: SOV\A �� 1( Irk �'�C� _Phone#: b Address: '�O\ ��r --�C^ City: k­k:Arra State: L Zi IILI E Qualifier Name: `� `© Phone#: c) (o� State Certification or Registration#: I 1lDl�bI Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$_ X000 Square/Linear Footage of Work: IV Type of Work: ❑ Addition ❑ Alteration ❑ New EJ Repair/Replace ❑ Demolition Description of Work: G ` (-NV 100 o_t -eha iV,0�s-� ��-ckyh ca ; (J U (6 � Specify color of color thru tile: ?�V(SN TIM— Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (� ' OD 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 and a reinspection fee will be charged. Signature W& Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this A day of S(- 120 J by 3\ day of ,-1Qfl 20 iR) J by yCit�G who is oers^^^II��L.Hain to �grnG ko Y -jryv L -L whn is TErSOna�"i to me or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY UBLIC: NOTARY PUBLIC: Sign: Sign: n Print: Print: ° J S \(1N 5 fi...ia,.r1GP Seal: ��T..,•Yyg Nrtary public State of Florida Seal: OW P", Douglas P/tontas r° Bc� tunlary Public State t ;-IJ q tey Commission FF 173045 �y Douglas Montas ° Florida "Qofpp� Expires l0l30l201H VtfOFi1��V �pcommission FF 17;31)4$ Expires 10!30/201!, APPROVED BY Plans Examiner Zoning Structural Review Clerk search.sunbiz.org Florida Limited Liability Company BLESSED MANAGEMENT GROUP LLC Effing Information Document Number L17000122009 FEI/EIN Number NONE Date Filed 06/05/2017 Effective Date 06/01/2017 State FL statusAC TIVE Principal Address 23550 SW 207 AVE HOMESTEAD„ FL 33031 Mailing Address 23550 SW 207 AVE HOMESTEAD„ FL 33031 Registered Agent Name & Address HERNANDEZ, YAIRA 23550 SW 207 AVE HOMESTEAD, FL 33031 Authorized Persons) Detail Name & Address Title MGR HERNANDEZ, YAIRA 23550 SW 207 AVE HOMESTEAD, FL 33031 i Annual Reports No Annual Reports Filed Document Images RICK SCOTT,GOVERNOR' _. KEN'LAWSON,SECRETARY STATED F`LOlklgp'- #.� D150AR.TNIENT 0 B WAIF`SSFAND PRQFeSSIONAL REGtli_ATtON CONSTtUCT10N INDUSTRYY,LICENSiNG B0�►RD " ': , CGb1568086 The GENERAL GONTRAC70f t+a'zn6d'be!owlS,QERTAbb-'"`" ---#. `"""'a ." ,w 4 `6' • lJrider tfie provisions of Chapter 4$9yF,S" Expiration.datb ASG 31 2Q'f 8""" ,. �,, trtJ -• ` ` y� 1 0'+w e „r ��•.�+ww:;�^+1 w `�_. ti Yi yy`'1 v� N i.. ray ,�,,... ��f�, � ,,., .tw` •y, «!�„ *'��,:� � �\ �.E''�, � �. s ■ ' '56h N E 70TH°ST_STt 34 - - "'' FI x33.137 ,Owl � �.,r'r"" ` '�. •b "off � '�._ �' ' ���t l'� •��� � rSsu 0&02a 0 6 DISPLAY AS REQUIRED BY LAW SED#` 1-16080200013 y i 1 t 679 Lot al Bti T a x +R v, -,,c',6i usinte ss { Nl,�am i--.D .d e;County, State of fforida IS]S.NOT_ A�Q THILL —DUNOT PAY E , „.p.f; ��3fl4687 BUSINESS OI SS NAMEILCATI�ON RECEIQT< US40. � Es SOLID SOLD BUILDERs INC MENEW �� 20"1,8 561 NE 79 ST STE 424 -6'570817 ,Musvbe displa0d at-,place of business NM1AMI FL 3313.8 Pursuant to County Cade s8A—,Art.'9,&40 Chapter, o Q�tUNf:R SEC; TYPE _dF,OUS NESS PA-MEttitT tFi C SED SOLID BUILD,E S.;IIUC 196 A N AL BUILDING CONTRACTOR ,BY TAX,C6W5&d7A C/o. Ic�vAc u� > a z. I=s� TZ PVT .,3 s worker(s) 2 EDITCAgD-48-0t 20319 This,Locat Business Tac Receipt only canflrrr�s Py merit.of:ihe=kocal BttsinesiTak, The=Rec'eiptiis,not a`iicense, Pe a.certification:of.the.hltier s u �fi` ati:ons,,to:da busihess. folder rpt com piy wtth�ay.'g �rernitfeirtat _s to the!63i ess. or nongovernmental regulatory laws an ..reRutremerits whi+;h app - The RECEIPT N4.above;�n�-ate-di ptny�ad.an att commercibi v t cies--. i i=dada Code het 8a-21!6, ,,,.,,,�miamidadeato�ittsxccllectuf for-more hiforinWon,,visit. �•F•~ 1 of tt�e.Sr� WE JIMMY PATRONIS CHIEF FINANICAL 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: 8/5/2016 EXPIRATION DATE: 8/5/2018 PERSON: HERNANDEZ IGNACIO FEIN: 710967488 BUSINESS NAME AND ADDRESS: SOLID BUILDERS, INC 561 NE 79TH ST SUITE 420 MIAMI FL 33138 SCOPE OF BUSINESS OR TRADE: Licensed General Contractor IMPORTANT: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 certificate at any time for failure of the person named on the certificate to meet the requirements of this section. DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS?(850)413-1609 YYYY) E(MM/DDI i CERTIFICATE OF LIABILITY INSURANCE DATE 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 have ADDITIONAL INSURED provisions or 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 AME: First Class Insurance Market PHONE Ext): (305)441-2997 FA c Nol: (305)441-6443 4101 NW 9th Street MAIL - fcimc@aol.com Miami,FL 33126 INSURERS AFFORDING COVERAGE NAIC A Phone (305)441-2997 Fax (305)441-6443 INSURER A: WESTERN WORLD INSURANCE COMPANY INSURED INSURER 8: SOLID BUILDERS INC. INSURER C: 8501 NE BAYSHORE DR. INSURER D: INSURER E: MIAMI,FL 33138 INSURERF: 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 CONTRACTOR 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. ILTR TYPE OF INSURANCE ADDL UBR POLICY NUMBER MM/DDY EFF MM/DDS LIMITS 0 COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000.00 DAMAGE TO RENTED ❑ CLAIMS-MADE 0 OCCUR PREMISES Ea occurrence) $ 100,000.00 ❑ MED EXP Any oneperson) $ 5,000.00 A ❑ NPP8490042 01/18/2018 01/18/2019 PERSONAL&ADV INJURY $ 1,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000.00 POLICY ❑ PRO ❑ LOC PRODUCTS-COMP/OP AGG $ 2,000,000.00 JECT ❑ OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ E accds t ❑ BODILY INJURY(Per person) $ OWNED TO ❑ SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ ❑ HIRED ONLY ❑ NON-OWNED PROPER TYDAMAGE $ AUTOS ONLY AUTOS ONLY an ❑ UMBRELLA LIAB ❑OCCUR EACH OCCURRENCE $ ❑ EXCESS LIAB ❑CLAIMS-MADE AGGREGATE $ El DED [I RETENTIONS $ WORKERS COMPENSATION ❑SPER ❑OTH- AND EMPLOYERS'LIABILITY YIN E ANY OFFICER/MEMBER EXCLUDED?ECUTNIA E.L.EACH ACCIDENT $ (Mandatory In NH) u E.L.DISEASE-FA EMPLOYE $ If yes,describe under OESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(A(tach ACORD 101,Additional Remarks Schedule,If more space Is required) LICENSE#CGC1508086 GENERAL CONTRACTOR CERTIFICATE HOLDER CANCELLATION SHOUL Y OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE MIAMI SHORES VILLAGE BUILDING DEPARTMENT THE EXPI ON DATE THEREOF,NOTICE WILL BE DELIVERED IN 10050 NORTHEAST 2ND AVE ACCORDANC ITH THE POLICY PROVISIONS. MIAMI SHORES,FL 33138 AUT RIZED REPRES TATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03)QF The ACORD name and logo are registered marks of ACORD 2/1/2018 Detail by Entity Name D?`.'I;il Grt G7i✓if';I''il'r2P:T;;):�;: Department of State / Division of Corporations / Search Records / Detail By Document Number / r Detail by Entity Name Florida Limited Liability Company BLESSED MANAGEMENT GROUP LLC Filing Information 1 Document Number L17000122009 , FEI/EIN Number NONE Date Filed 06/05/2017 Effective Date 06/01/2017 State FL i Status ACTIVE Principal Address 23550 SW 207 AVE HOMESTEAD„ FL 33031 Mailing Address 23550 SW 207 AVE HOMESTEAD„ FL 33031 Registered Agent Name&Address HERNANDEZ, YAIRA 23550 SW 207 AVE HOMESTEAD, FL 33031 Authorized Person(s)Detail 4 Name&Address Title MGR HERNANDEZ,YAIRA 23550 SW 207 AVE HOMESTEAD, FL 33031 Annual Reports No Annual Reports Filed P Document Images i 06/05/2017-Florida Limited LlabllltV View image in PDF format http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?i nqui rytype=EntityN ame&directionType=Initial&searchN ameOrder=BLESSED MANAG... 1/2 i 2/1/2018 Property Search Application-Miami-Dade County OFFICE OF THE PROPERTYAPPRAISER Summary Report Generated On:2/112018 Property Information .=-=T Folio: 11-2136-001-0360 269 NW 111 TER Property Address: Miami Shores,FL 33168-3324 .w. 1. Owner BLESSED MANAGEMENT GROUP '" LLC >�w_ Mailing Address 23550 SW 207 AVE HOMESTEAD,FL 33031 USA PA Primary Zone 0700 SGL FAMILY- 1551-1700 SQ 6 �. 0101 RESIDENTIAL-SINGLE Primary Land Use s FAMILY: 1 UNIT Beds I Baths/Half 2/1/0 Floors 1 Living Units 1 Actual Area' 1,773 Sq.Ft w f (11fiA P wap ' Living Area 1,256 Sq.Ft ' Adjusted Area 1,473 Sq.Ft Taxable Value Information Lot Size 7,500 Sq.Ft 2017 2016 2015 Year Built 1952 t County Assessment Information 1Exemption Value $0 $0 $0 Year 2017 2016 2015 Taxable Value 1 $267,083 $186,783 $169,803 School Board Land Value $161,028 $134,829 $134,829 Exemption Value $0 $0 $0 Building Value $102,521 $102,521 $102,521 Taxable Value $267,083 $240,922 $240,057 XF Value $3,534 $3,572 $2,707 City Market Value $267,083 $240,922 $240,057 Exemption Value $0 $0 $0 Assessed Value $267,083 $186,783 $169,803 Taxable Value 1 $267,083 $186,783 $169,803 Benefits Information _ Regional Benefit Type 2017 2016 2015 Exemption Value $0 $0 $0 Non-Homestead Cap Assessment Reduction 1 1 $54,139 $70,254 Taxable Value $267,083 $186,783 $169,803 Note:Not all benefits are applicable to all Taxable Values(i.e.County,School Sales Information Board,City,Regional). I Sale Previous Price O Pa Book- Qualification Description Page Short Legal Description g NEW MIAMI SHORES ESTS PB 51-80 07/31/2017 $305,000 30647-1962 Atypical exposure to market;atypical motivation LOT 20 BILK 2 LOT SIZE 75.000 X 100 07/31/2017 $280,000 30643-3683 Atypical exposure to market;atypical OR 9693 1779 motivation COC 24998-3559 09 2.006 1 02/22/2017 $170,000 30591-4916 Financial inst or"In Lieu of Forclosure" stated 01/26/2016 $230,200 29942-4570 Financial inst or"In Lieu of Forclosure" stated 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: UNITED STATES POSTAL SERVICE. r Date: March 30, 2018 yara hernandez: The following is in response to your March 30, 2018 request for delivery information on your Priority Mail Express® item number EE138935218US. The delivery record shows that this item was delivered on March 28, 2018 at 1:33 pm in MIAMI, FL 33134 to G GLOGLOZ. The scanned image of the recipient information is provided below. Signature of Recipient Address of Recipient : Thank you for selecting the Postal Service for your mailing needs. If you require additional assistance, please contact your local Post Office or postal representative. Sincerely, United States Postal Service F Includes up to $100 insurance - TAMIAMI In a hurry? Self-service kiosks offer 8880 9W' 8TH ST quick and easy check-out. Any Retail MFXMI ( Associate can show you how. P 33144=9998 r Save this recei t evidence of 11 59040133 i nsr rr anc — rr#�r m� ' n on f i 1 i ng M/27/2018 (800)275-8777 3:35 PM an it rance claim go to htt ,�://www.usps.corn/ /claims.htm. 1 Product---------------Sale-------Final Description Oty Price All ,ales final on stamps and postage _ ________ __ I Refunds for guaranteed services only 1 PM Exp 1-Day 1 $24.70 Thank you for your business ° Flan Rate Env (Domestic) s HELP US SERVE YOU BETTER (MIAMI, FL 33134) rr (Flat Rate) TELL US T YOUR RECENT (Signature Requested) tl PO AL E ERIENCE (Scheduled Delivery Date) (Wednesday 03/28/2018 12:00 PM) Go to: (Money Back Guarantee) nttps://postalexperien e.com/Pos (USPS Tracking #) (EE138935218US) ,, 840- 30-0055-002-00031-6462 02 PM Exp 1 $0.00 y Insurance , or scan this code wi (Up to $100.00 included) ' your mobile device: Return 1 $2.75 9 Receipt �, ] (®®USPS Return Receipt #) (9590940236397305972389) Total ------------- $27.45 � f , i Debit Card Remit'd -- - $27.45 1 l F (Card Name:VISA) I (Account #:XXXXXXXXXXXX6525) (Approval #: ) or call 1-800-410-7420. (Transaction #:112) (Receipt #:022652) YOUR OPINION COUNTS (Debit Card Purchase:$27.45) (Cash Back:$0.00) g (Entry Mode:Chip) (AID:A0000000980840) (Application Label :US DEBIT) r I (PIN:Verified by PIN) (Cryptogram:70624D418EK1640) (ARC:00) 8111 #: 840-5 00055-2-3166462-2 I (CVR:420000) Clerk: 20 (IAD:06010AO3600000) (TSI:6800) — (TVR:8000048000) r r n , CUSTOMER USE ONLY � FROM:(PLEASE PRINT) PHONE(1tSto) � r �11111 VIII IIII VIII VIII VIIIVIII�11�erV�. �� VIIIVIIIVIIIIIIIIII11IIIIII ct�e Z QP , -" EE 138935218 US 2 MAR 27 201 w PRIORITY UUNITEDSTdTES * MAIL POSTALSERVICE® EXPRESS TM u . ' I USPS®Corporate Acct Federal Agency Acct.No.or Postal Service'"Acct.NO. y i❑2-pay C1 Military ❑DPO SSl - ""'^ _ i O ZIP Code Scheduled Del Date Postage DELIVERY OPTIONS(Customer Use Only) NY SIGNATURE REOUIRER.Jdo�The mailer must check the"Signature Required"box it the mailer:1j" }, Dom) $ , Re uires the addressee' a ure;OR 2)Purchases additional insurance;OR 3)Purchases COD service;OR 4 , r. - t Purchases id eipt service.II the box is not checked,the Postal Service will leave the item in the addressee's 1 eptacle or other secure location without attempting to obtain the addressee's signature on delivery. Date Acce ed(MM/DD Y) So led Deliver ime Insurance Fee COD Fee Delivery Options �t 1 ❑10:30 AM ❑3:00 PM ❑No Saturday Delivery(delivered next business day) (, /D •'OON $ $ I 11.1 .; r ❑Sunday/Holiday Delivery Required(additional tee,where available') ❑10:30 AM Delivery Required(additional fee,where available') Accepted 10:30 AM Delivery Fee Return Receipt Fee Live Animal -Refer to USPS.com®or local Post Office'"for evailabili ? / ! ❑AMransportation Fee TO:(PLEASE PRINT) PHONE( ) RM $ $ nn `� Special HandlingrFragile Sunday/Holiday Premium Fee Total Postage&Fees lam` V a C \O a e $ $ Weight at Rate Acceptance Em itials 2 i r • 411.1,61ZIL9191 ZIP+4®(U.S.ADDRESSES ONLY) Delivery Attempt(MMIDD/YY) Time Employee Signature tl t El AM ❑PM ■ For pickup or USPSTracking'•,visit USPS.coln or call 800-222-1811. - Delivery Attempt(MM/DD/YY) Time Employee Signature ■ $100.00 insurance included, ❑AM I ❑PM LABEL 11-8,OCTOBER 2016 PSN 7690-02-000-9996 2-CUSTOMER COPY DeliveryGuarantee:If the mailer submits an item a designated USPS®Priori items with"merchandise"defined b postal-regulations)a ainst'loss,'dama e, I t 9 z Priority ( , Y,P 9 ) 9 9 Mail Express acceptance locatibnon or"beforettie speafied deposit Ume the J1 or missing contents.The Postal Service includes coverage up to$100 per item PostaliService"will dehverorattempt delivery to`the�addressae oragentbefore the at no additionto al charge.The mailer may purchase additional merchandise aequliredl064:The upon del very whehr equest ddby the mailer If tlie'Postal,Service does not '�items sinsurance not availab e0uunlessitem. a si naturerisire suiredce for Priority Mail Express ,f/ deliver or attempt delivery by the specified time and theLmailer files a claim for a 3.'•The Postal Service insures"nonnegotiable documents"(as defined by postal_ refund,the Postal Service may refund the postage,-unless th6delay was caused by /, indemnity regulations)againsfloss,damage;or missing contents up to$100.per,, ` reasons including but not limited to the following:proper detention for law item for document reconstruction,subject to additional limitations for multiple } enforcement purposes;strike or work stoppage;forwardinTor return after the item k pieces lost or damaged to a single catastrophic occurrence.Document. f was available for claim;incorrect ZIP Code'or address;governmental action i ' reconstruction insurance provides reimbursement for the'reasonable costs beyond the controlbtthe Postal Service or air carriers;war;insurrection,,-or'civilg.incurred in reconstructing duplicates of nonnegotiable documents mailed. disturbance;delay or cancellation of flights;projected or scheduled transportation Document reconstruction insurance coverage above$100 per it9m is not delays;breakdown of a substantial portion of the USPS transportation network available.-The mailer should notattempt to purchase additional document�• — resulting from events or factors outside the control of the Postal Service;or acts of insurance,because additional document insurance is void. - '- God.See Mailing Standards of the United States Postal Service,Domestic Mail Manual(DMM®)114.2.0,214.3.0,314.3.0,or 414.3.0.(The DMM is available at 4. The Postal Service insures"negotiable items'(defined by postal regulations as- pe.usps.corrP.)-.y `�., 'items that can be converted to cash without forgery),currency,or bullion up to a \ � ���� ��`^�'� � ���►�- maximum of$15 per item. k. _ 0 �_.l When a mailer submits a;Priority Mail Express item requiring a signature�a d theme 5r The Postal Service does not provide coverage for consequential losses due to f Postal Service canbotdeliver the item on the first attempt,the Postal Service leaves , loss,damage,or delay of Priority Mail Express items or for concealed damage, { a notice for the addressee.If the addressee does not claim the item within spoilage of perishable items,and articles improperly packaged or too fragile to , 5 calendar days;the Postal Service returns the item to the se der;at no additional�(\,. charge. z n" V\ ti rte, _ withstand normal handling in the mail. Note:The Postal Service does not offer a guarantee for military or DPO shipments Coverage,terms,and limitations are subject to change.For additional limitations j delayed due to custonis inspections.Consult USPS.com9 or your local.Post,Office and terms of coverage,consult the DMM,which is available at pe.usps.com. f for information on de'liveryTMcommitments and Priority Mail Express Military"orgy'- Refund Claims:If delivery of a Priority Mail Express item does not meet the f Priority Mail Express DPOO services.'For details,see the DMM,which is available a scheduled delivery commitment,the mailer may apply for a postage refund withi pe.usps.com. 30 days after the date of mailing.^�) � •,,. \ �(. t e m Insurance Coverage:The Postal Service provides insurance only in accordance Indemnity Claims:Either thailer or the addressee may an indemnity claim f with postal regulations in the DMM,which is available at pe.usps.com.The DMM \ for loss,delay,damage,brmissingg contents.The claimant may submit the claim n c +4 sets forth the specific types of losses that are covered,the limitations ooverage, online at usps.com,or b7using PS Form 1000,Domestic oFlniernational Claim terms of insurance,conditibns of payment,avid adjudication procedures:Tlie DMM for more information,see Publication 122,Customer Guide to Filing Domestic consists of federal regulations,and USPS personnel are not authorized,to change or Insurance Claims or Registered Mail Inquiries.The timelinesfor claims areas/, 'Waive these regulations or'grant exceptions.A mailerwho.requires information'on' follows:claims for loss or delay—no sooner than 7 days but n6 later than 60 days Priority Mail Express insurance may contact the Postal Service before submitting an 'after the date of mailing;claims for damage or missing contents—immediately. item.Limitations prescribed in the DMM provide,in part,that: , but no later than 60 days from the date of mailing.Retain the original customer •1. Insurance coverage extends to the actual value of the contents at the time of copy of the Priority Mail Express label for claims purposes.For claims involving . mailing or the cost of repairs,not to exceed the insured limit for the item. damage or missing contents,also retain the article,container,and packaging for_ 2. The Postal Service insures the contents of Priority Mail Express"merchandise Postal Service inspection when requested. , Please do not remail.Thank you for choosing Priority Mail Express service. L.� 1 LABEL 11-B,OCTOBER 2016 PSN 7690-02-000-9996 2-CUSTOMER COPY(REVERSE) { t t ,SgOR.93it 2 Miami� shores Village into BID ""'�' Building Department RDA 10050 N.E.2nd Avenue,Y Miami Shores, Florida 33138 Tel: (305) 795.2204 i Fax: (305) 756.8972 CHANGE OF CONTRACTOR / ARCHITECT Permit N. / Owner's Name(Fee Simple Title Holder): `1Ck\�o. �2�t fl CC4- -ek- Phone#: Owner's Address: City: \N-r-"e State Zip Coder Job Address (Of where work is being done): a °� Q City: Miami Shores State:—Florida. Zip Code: Contractor's Company Name: QTS��'nC72 OnS'\rL-'C—�6--r\ Phone#: Address: City: State: Zip Code: 3�\3 Qualifier's Name : iD Y Lic. Number: Architect/ Engineer of Record Name: Phone#: Address: + City: State: Zip Code: Describe Work: hereby certify that the work has been abandoned and/or the contractor/architect is unable or unwilling to complete the contract. I hold the Building Official and the Miami Shores harmless of all legal involvement. Signature I V r :I a tI;% (r^d kZ Signature Owner or Agent Contractor or Architect The foregoing instrument was aknowledged before me The foregoing instrument was aknowledged before me this"�%day of IuaCh20 ,by this day of , 20 by Who is personally known to me or who has produced who is personally known to me or who has produced as indentification. as indentification. Notary Public: Notary Public: Sign: Sign: =o�aY auk• No u t e o Seal: Douglas Montas Seal: ! meq• My Commission FF 173045 OjtoFpor Expires 10/30/2018 USPS.com®-USPS Tracking®Results https://tools.usps.com/go/TrackConfirmAction?tLabels=eel3893... Tracking Number: EE138935218US On Time Expected Delivery on WEDNESDAY 28MARCH by 20180 8:00pmO C✓ Delivered March 28, 2018 at 1:33 pm Delivered, Left with Individual MIAMI, FL 33134 Get Updates t Text& Email Updates u Proof of Delivery OV Confirmation Your Proof of Delivery record is complete and will be processed shortly. Your confirmation will be sent to the following: yaira@bellsouth.net Tracking History March 28,2018, 1:33 pm Delivered, Left with Individual MIAMI, FL 33134 Your item was delivered at 1:33 pm on March 28, 2018 in MIAMI, FL 33134.The item: was signed for by G GLOGLOZ. March 28,2018,9:20 am 18 of 21 3/30/18, 10:01 AM USPS.com®-USPS Tracking®Results https:Htools.usps.com/go/TrackConfirmAction?tLabels=eel3893... Notice Left(No Authorized Recipient Available) MIAMI, FL 33134 March 28,2018,7:39 am Out for Delivery MIAMI, FL 33134 March 28,2018,7:29 am Sorting Complete MIAMI, FL 33134 March 28,2018.7:29 am Arrived at Post Office MIAMI, FL 33134 March 28.2018, 1:02 am Departed USPS Regional Facility MIAMI FL DISTRIBUTION CENTER March 27,2018.6:26 pm Arrived at USPS Regional Facility MIAMI FL DISTRIBUTION CENTER March 27,2018,3:34 pm USPS in possession of item MIAMI, FL 33144 Product Information u See Less Can't find what you're looking for? Go to our FAQs section to find answers to your tracking questions. 19 of 21 3/30/18, 10:01 AM I March 27, 2018 Ref: 269 NW 111 TER Miami Fl, 33138 Permit# : RC-2-18-266 To Whom It May Concern: I,Yaira Herenandez will not be using Glogoz Construcion as a general contractor due to no communication. I here by state that we will no longer be using your services. If you have any question please contact be at 786-406-0647. Thanks, k" Yaira