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DEMO-19-266l EMO-02-Iq-210 6 t Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Issue Date: 02/21/2019 Location Address Parcel Number 913 NE 95TH ST, Miami Shores, FL 33138 1132060143090 Contacts Permit NO.: DEMO -02-19-266 Permit Type: Demolition Work Classification: Residential Permit Status: Approved Expiration: 08/20/2019 Description: ASBESTOS ABATEMENY FLOOR TILE AND DRYWAL Valuation: $ 9,850. Inspection Requests: 00 1305-762-4949 Total Sq Feet: 800.00 Fees MARINA GONELLA Owner 913 NE 95 ST, MIAMI SHORES, FL 33138 Home: 7543660828 APEX ENVIRONMENTAL RESOURCES INC Contractor BRIAN MORELL 1111 AZTEC CT, MARCO ISLAND, FL 34145 Business: 5612142983 300.00 CCF 6.00 Description: ASBESTOS ABATEMENY FLOOR TILE AND DRYWAL Valuation: $ 9,850. Inspection Requests: 00 1305-762-4949 Total Sq Feet: 800.00 Fees Amount Building Demoloition Fee 300.00 CCF 6.00 DBPR Fee 4.50 DCA Fee 3.00 Education Surcharge 2.00 Scanning Fee 9.00 Technology Fee 7.50 Total: 332.00 Payments Date Paid Amt Paid Total Fees 332.00 Credit Card 02/21/2019 $282.00 Credit Card 02/06/2019 $50.00 Amount Due: 0.00 Building Department Copy 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 that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above named contractor to do the work stated. Authorized Signature: Owner / Applicant / Contractor / Agent Date February 21, 2019 Page 2 of 2 0W\ Miami Shores Vill-age Building Department 1000 N.E.2nd Avenue, N-1jami Shortj, Florida 3313a Teti f3bSI 795-2204 -Fax: (305) 756-8972 INSPECTION UNE PHONE NUMBCR(30S) 762.4949 BUILDING PERMIT APPLICATION dBUILDING ELECTRIC 0 ROOFING 1Z1ECZ1VF1D F14 0 6 20119 BY- f PC 201 - 02LtMasterPermitNatmc) _ le_l-2k Sub Permit No. 0 REvisjot4 0 EXTENSION (DRENEWAL OPLUMBING C] MECHAMCAL 0 PUBLIC WORXS CHANGE OF 0 CANCELLATION n SHOP CONTRACTOR DRAWINGS JOB AODRESS: I Z -A KI g : C un lam! R e 71w 11Z A Folio/Parceill: Is the Building Historlically Designated: Yes NO -A/ occuparicy Type, gji0&e4to-a&_ConsteuctIon Type, Flood Zone: F r'E' OWNER: Name (FecSitnpIeTA1eh0ker)-, Phonek Address: State: P: city: T'erjant/testee Name: PhoneU., Ernall. CONTRAMR'COMPany Name< Address- Zip, city" State - Pon#* 5* 1 L. he _. _W_ 22 Certificate of Competency Ji: State Cerofication or Registration ,#: DESIGNER, ArtblleO/Enginver. Address; zip" squarv/Unear Footage of Work: Value of Work for this PetmiL' $ i` ..- — TV" of Work: 0 Aeditjan Altera ion 0 New Q Repafr/AePlace Description of -Work - specify color of color thru We: Submittal Fee _00 Permit Fee $ Radon Fee $ 08PR $. Notary $__ CCF, $--. co/cr-$, Scanning Fee $ TecirmolOP. Fee $ . Training/Educotion Fee Double Fee Structural Reviews S. Bond $ TOTAL FEE NOW DUE AtvhWV24t'2014) Bonding Company's Name (if app'ltablej Bonding Company's Address - City State Zia Mortgage Lender's Name jif applicable? Mortgage tender's Address city. state Z;P Application is hereby made to obtain a permit to do the work and 111$181ibtiom as Indicatted. t tertify that no work or installation etas commented prior to tete issuance of a permit and that all work will be performed to m#,et the standards Of all lays regulating, construction in this jurisdiction. 1 understand that a separate permit must be secured for ELECTRIC, PtUM11MG, %N.S, POOLS, PtlRNACEs, BOILERS, NEA f.RS, TANKS, AIR CONDITION ERS, ETC ---- OWNER'S AMoA4't7: t certify that, all the foregaid& Enfarmation is accurate and that all work will be done in comoliattce with all appr" to laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE Of COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE :FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULTWITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." M atice to AppFront: As a rand+tion to tete is$uvrict of a baiiding permit with an estimated volue exceeding S2500, the etpplfcant Must prom[re in good fai'th't"t a Copy of rile notice of C0mme4c••emme" and cortstr m"ridn lien low broehure will be delivered 16 the person Whose prop•"rty is subject to attochm .ent. Also, aCertified copy of the.recorded notice of tvr»menCerrtrnt rrtuse be pbsitd ai tla a ftib site for the first lospeerion which Occurs seven (7) gays after tine building permit Is Issued_ in the dbwnce of such pasted notice, the inspection Wdl not be dpproued and a reinspection fee wilt be charged. signature ' tAINER or AGENT The furegofng Inst day/of ttl ilr...& me or wbo has produced rder;1lflC3t 0r1 and who did NOTARY PUBLIC: acknowledged Ware me this tih' O aS er'soitaltyattn ttr1 t4 Y l'tY dJts o. 1",• U take an .. '`,4l, a 111 .1 TS Ssbnattzre,_ _..-, CONTRACTOR The frs 7W Ing Instrument + acknowledged before roe this day of i4`ttd tl' by rieln rfjpersonally known to M? or who has prodtiiced r"• C b L .w. ati ir4owti'xration and who slid take an Oath- I,j,r IS r Print: Z—.- -- -- CARMEN SLARCl Seat': seat. . aye tf iy P&%' State 0 pp!'.• ; ' !n't#ssbnAGGS?#$.i80 f r d C ` •i' Jtycom co" mw- t'M2 sit fii•ti*±Rb#•A r t#.Wr#kid#rM1dt#.> kts4 y'd6P4l#tM'triA#tlLt Rf+t+MFX+t##'t 4i i Ri4 rdk t"b'M-#i W""#i' APPROWD SY f Plans Examiner fcrtdalRarrfa? Zoning; structural Review _ _____ _ _ _ Clerk RICK SCOTT, GOVERNOR JONATHAN ZACHEM, SECRETARY bFlorida dpr STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ASBESTOS LICENSING UNIT THE ASBESTOS CONTRACTOR HEREIN iS LICENSED UNDER THE PROVISIONS OF CHAPTER 469, FLORIDA STATUTES MORELL, BRIAN M 1111 AZTEC COURT MARCO ISLAND FL 34145 LICENSE NUMBER: CJC056708 EXPIRATION DATE: NOVEMBER 30, 2020 Always verify licenses online at MyFloridaLicense.com Do not alter this document in any form. This is your license. It is unlawful for anyone other than the licensee to use this document. RICK SCOTT, GOVERNOR JONATHAN ZACHEM, SECRETARY Florida RA pf a STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ASBESTOS- LICENSING;`UNIT THE ASBESTOS BUSINESS ORGANIZATION HEREIN IS LICENSED UNDER THE PROVISIONS OF CHAPTER 469, FLO RI DA, STATUTES APEX ENVIRONMENTAL RESOURCES INC BRIAN MORELL 1111 aztec c 1111 AZTEC COURT MARCO ISLAND FL 34145 LICENSE NUMBER: ZA305 Ljr.,...._ .« EXPIRATION DATE: NOVEMBER 30, 2019 Always verify licenses online at MyFloridaLicense.com Do not alter this document in any form. This is your license. It is unlawful for anyone other than the licensee to use this document. AN_NE_M. _GANN_ ON CONSTITUTIONAL TAX COLLECTOR Serving Palm Beach County Serving you. P.O. Box 3353, West Palm Beach, FL 33402-3353 www.pbctax.com Tel: (561) 355-2264 TYPE OF BUSINESS OWNER 23-0152 ASBESTOS CONTRACTOR MORELL BRIAN M This document is valid only when recelpted by the Tax Collector's Office APEX ENVIRONMENTAL RESOURCES INC APEX ENVIRONMENTAL RESOURCES INC 1111 AZTEC CT MARCO ISLAND, FL 34145 LOCATED AT'* 1111 AZTEC CT MARCO ISLAND, FL 34145 CERTIFICATION # RECEIPT #!DATE PAID AMT PAID BILL # CJC056708 B18.500734-07126118 $27.50 B40118182 STATE OF FLORIDA PALM BEACH COUNTY B3 - 2679 2018/2019 LOCAL BUSINESS TAX RECEIPI LBTR Number: 200606160 EXPIRES: SEPTEMBER 30, 2019 This receipt grants the privilege of engaging in or managing any business profession or occupation within its jurisdiction and MUST be conspicuously displayed at the place of business and in such a manner as to be open to the view of the public. APFXFNV4U DAILA ACORN CERTIFICATE OF LIABILITY INSURANCE DATE (MMroD/YYY1 02/05/2019 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 CO ACT A/CC NEN , Ext): (407) 788-3000 A/c, No :(407) 788-7933InsuranceOfficeofAmerica, Inc. 1855 West State Road 434 Longwood, FL 32750 MAI INSURERS AFFORDING COVERAGE NAIC X 02/20/2019 INSURER A: Admiral Insurance Company 24856 DAMAGE TO RENTED $ 50,000 INSURED INSURER B : INSURER C : Apex Environmental Resources, Inc. INSURER D: 4095 State Road 7, #212 Lake Worth, FL 33467 INSURER E INSURER F: AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOSONLY AUTOS pAUTOSONLYAUOTOSONLY rrniCoAncc CCQTICICATC KI"RARFR• RFVISInN NIIMRFR' 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 LTRA TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X Pollution Liability FEIECC'1318"S 02/20/2018 02/20/2019 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED $ 50,000 MED EXP (Any oneperson) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 L AGGREGATE LIMIT APPLIES PER: POLICY7jE F7 LOCI'OTHER:Hired & Non -owned Auto GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 H&NO Auto $ 1,000,000 AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOSONLY AUTOS pAUTOSONLYAUOTOSONLY COMBINED acciden SINGLE LIMIT $ BODILY INJURY Perperson) $ BODILY INJURY Per accident $ PROPERTY DAMAGE Per accident $ AUMBRELLA X LIAB EXCESS LIAB OCCUR CLAIMS -MADE FEI-EXS-25276-00 08/14/2018 02/20/2019 EACH OCCURRENCE $ 4,000,000 AGGREGATE $ DED I I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE FICER/MFMBER EXCLUDEDWandatorym ) Ifes, describe under DESCRIPTION OF OPERATIONS below N/A PERTUTE I OTH- STA ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) State of Florida Asbestos Contractor CJC056708 description of operations is Asbestos Remediation f C TIG ^ATG unr nco CAIJCFI I ATIr1N ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 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 Miami Shores Village Bldg Dept 10050 NE 2nd AveIMoamiShores, FIL 33138 ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 1 0 A O CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 2/5/2019 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 Insurance Associates, aPHONE Marsh & McLennan Agency LLC company One Church Street, Suite 500 CONTACT NAME: Shannon Batson FAX Alc No • 301-838-8827 A/CNo):3O1-838-9095 ADDRESS: sbatson@insassoc.com INSURERS AFFORDING COVERAGE NAIC # Rockville MD 20850 INSURER A: Starr Surplus Lines Insurance Company 13604 EACH OCCURRENCE $ 1,000,000 INSURED STAFF -1 INSURER B: Starr Indemnity & Liability Company 38318 Peak Performance USA, Inc. PO Box 5888 INSURER C GEN'L AGGREGATE LIMIT APPLIES PER: POLICY I JECT F__] LOC OTHER: Bethesda MD 20824 INSURER D INSURER E: B INSURER F : COVERAGES CERTIFICATE NUMBER: 136917195 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICYM DDYEFF / YYYY POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1 1 OCCUR Y 1000065909181 9/17/2018 9/17/2019 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED Ea occurrence) $ 100,000PREMISES MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY I JECT F__] LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOSNONOWNED X HIRED AUTOS X AUTOS 1000626142161 9/17/2018 9/17/2019 COMBINED SINGLE LIMIT $ Ea accident _1,000 000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY tDAMAGE $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOWPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A 1000002968 9/17/2018 9/17/2019 X STATUTE ERH E.L._EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $1,000,000 E.L. DISEASE -POLICY LIMIT $1,000,000 A A Pollution Liability Professional Liability 1000065909171 1000065909171 9/17/2018 9/17/2018 9/17/2019 9/17/2019 Limit $1,000,000 Limit $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) RE: Work performed for Apex Environmental Resources, Inc. - Asbestos Abatement Project located at Gonella Residence located at 913 NE 95th Street, Miami Shores, FL 33138 t'CDTICIr`ATC L.IAI 1111=0 cANCFI I ATION U 1988-2014 AGURD QURPUKA I IUN. All rignts reservea. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES FL 33138 I AUTHOR1 ED REPRESENTATIVE 1 t"v'Q U 1988-2014 AGURD QURPUKA I IUN. All rignts reservea. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD Property Search Application - Miami -Dade County Page 1 of 1 OFFICE OF THE PROPERTY AP11, 10RAISER v Summary Report Property Information Folio: 11-3206-014-3090 Property Address: 913 NE 95 ST Miami Shores, FL 33138-2517 Owner MARCELO ALDO BIASUTTO MARINA AURORA GONELLA Mailing Address 913 NE 95 ST MIAMI SHORES, FL 33138 USA PA Primary Zone 1400 SGL FAMILY - 3001-3250 SQ Primary Land Use 0101 RESIDENTIAL - SINGLE FAMILY: 1 UNIT Beds / Baths / Half 3/2/0 Floors 1 Living Units 1 Actual Area Sq.Ft Living Area Sq.Ft Adjusted Area 3,247 Sq. Ft Lot Size 17,082.78 Sq.Ft Year Built 1950 Assessment Information Year 2018 2017 2016 Land Value 461,634 461,634 477,809 Building Value 225,991 225,991 225,991 XF Value 1,095 1,095 1,095 Market Value 688,720 688,720 704,895 Assessed Value L_ I$ 248,638 243,524 238,516 Benefits Information Benefit Type 2018 2017 2016 Save Our Homes Assessment 50,000 50,000 Taxable Value 198,638 193,5241 440,082 445,196 466,379 Cap Reduction 25,000 Taxable Value 223,638 Homestead Exemption 25,000 25,000 25,000 Second 50,000 Taxable Value 198,638 193,524 188,516 Exemption 25,000 25,000 25,000 Homestead Taxable Value 198,638 193,524 188,516 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description MIAMI SHORES SEC 3 PB 10-37 LOT 17 & W21.03FT OF LOT 18 BLK 76 LOT SIZE 119.460 X 143 75R 154174 Generated On : 2/6/2019 Taxable Value Information Previous Sale Price OR Book -Page 2018 2017 2016 County Exemption Value 50,000 50,000 50,000 Taxable Value 198,638 193,5241 188,516 School Board Exemption Value 25,000 25,000 25,000 Taxable Value 223,638 218,524 213,516 City Exemption Value 50,000 50,000 50,000 Taxable Value 198,638 193,524 188,516 Regional Exemption Value 50,000 50,000 50,000 Taxable Value 198,638 193,524 188,516 Sales Information Previous Sale Price OR Book -Page Qualification Description 07/25/2018 $715,000 31103-2937 Qual by exam of deed 07/01/1975 $90,000 00000-00000 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 hftp://www.miamidade.gov/info/disclaimer.asp https://www.miamidade.gov/propertysearch/ 2/6/2019 40"SLILLA RESt06NaE 2 ND V-aoa2 0 R%MoVgt. OF t4O.YWALA A+O pt.00,R.dNCti iD N PPRO E C_- BY DATE ZONING DEFT; BLDG DEFT ZF/ SI 1f1JI CT 10 COMPI LANCE WITH ALL FERALD i'AiE 11 M C(" iNTY RULFS AND RFGUI AlIONS T-0" I BY: Off'. 5vis 5, Zoiq 16'-2" RP-t'WAbL 01: OaYWAA4 AajO 0 L