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RC-19-2594 (2)
Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 D r- � ,[[[[(((( 4 Issue Date: 01/02/2020 Location Address Parcel Number 360 NE 91ST ST, Miami Shores, FL 33138 1132060190210 Contacts Permit NO.: RC-10-19-2594 Permit Type: Building (Residential) Work Classification: Alteration Permit Status: Approved Expiration: 06/30/2020 SAM RISSMAN Owner 360 NE 91 ST, MIAMI SHORES, FL 33138 Home: 5107172306 sam@sambr.com LASORSA ENTERPRISES INC Contractor ANTHONY LASORSA 2071 SW 70 AVE G-19, DAVIE, FL 33317 Business: 3057765109 Re Description: REMOVE AND INSTALL KITCHEN CABINETS Valuation: $ 10,000.00 Requests: Ins 305-ectition Re Total Sq Feet: 0.00 Fees Amount Application Fee - Other $50.00 CCF $6.00 DBPR Fee $4.50 DCA Fee $3.00 Education Surcharge $2.00 Permit Fee $250.00 Scanning Fee $9.00 Technology Fee $7.50 Total: $332.00 Payments Date Paid Amt Paid Total Fees $332.00 Credit Card 01/02/2020 $282.00 Credit Card 10/29/2019 $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 to and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I auttlefige the above amed , ntractor to dokhe work stated. W"- r, • Authorized Signature: Owner / Applicant / Contractor / Agent January 02, 2020 Page 2 of 2 -k.3 Miami Shores Village r Building Department f� v''�2��� 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 �� 2 9 Z019 Tel: (305) 795-2204 Fax: (305) 756-8972 ' INSPECTION LINE PHONE NUMBER: (305) 762-4949 BY. BUILDING Fsc 20 � Master Permit No- -- PERMIT APPLICATION Sub Permit No. BUILDING ELECTRIC (� ROOFING REVISION EXTENSION RENEWAL PLUMBING MECHANICAL �PUBLICWORKS CHANGE CANCELLATION SHOP CONTRACTOR DRAWINGS /10B ADDRESS: 36 ° toe ar 1 Sfi City: Miami Shores Count 1 Y Miami Dade -Zip: 33t 38 Folio/Parcel#: V " �p 0 -� 0 � Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: d Zone: BFE: FFE: /OWNER: Name (Fee Simple Titleholder): Sa.Nuo/ f p�,yGs.- - �•��^ Address: 34o N e R1 rr Phone#:��/�� City: ✓Lt c A -Al ( S gaAZFT State: _ �(_ Zip: Tenant/Lessee Name: DL.'.....4. Email c.UNTRACTOR: Company Name: � j n Address: (i °> � �\,� . City: I __'Q��. %�, v Qualifier Name: te: Mc hone#: (�1g5 ��OQS Phone#: State Certification or Registration #: Certificate of Competency #: DESIGNER: Architect/Engineer: N E�\ Phone#: Address: City: State: Zip: Value of Work for this Permit: $_ ��, �� Square/linear Footage of Work: Type of Work: ❑ Addition Description of Work: Alteration ❑ New opectty color of color thru tile: i0 4 Repair/Replace ❑Demolition, J_ \\-%-Vu\ (\-(ka \6Np --\-c� Submittal Fee $ .• �% Permit Fee $ 1300 CCF $ L p. CO/CC $ Scanning Fee $ . VO Radon Fee $ 3.0b DBPR $ T• So Bond $_ Notary $ Training/Education Fee $ L •W Technology Fee $mil Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ �2Z2. 00 Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) (J�,Q,q �r✓A �A/STAIz- / 4yA-r CA,64 Mortgage Lender's Address 1 D 1S a Iy(� �/M . { r /GC-v4 � —7 0 CityS41 4A O/t• • State T x 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 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 comme cement must be posted at the job site for the first inspection which occurs seven (7) days after the building permi is issp�e In tV sence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. � V I Signature .<. -- Owner or Agent The foregoing instrument was aqkqowledged before me this day of , 20 q, by W110 is person 11y known to me or fhas roduc - r As identification and who did take an oath. NOTARY PUBLIC: t. Sign: Print: My Commission Expires: APPROVED BY `�ta�°>y�•;, DIANESCHW TZ . Notary Public - Stde of Florida d` • 5 Comminion # GG 142572 ;:.. My Comm, Expires May 6, 2020 6crded ftuo Nabpnai Notary Am ' 4i The foregoing instrument was acknow dg before me this day of V 20 [ I , by !��50k who s�ersonally known t me or who has produced 0/- / Plans Examiner Structural Review identification and who did take an oath. NOTARY PUBLIC: Sign: Print: / (Y2 My Commission Expire DIANE SCHWART2 Notary Public - State of Flori a Commission 0 GG 142572 My Comm. Expires May 6, 2020 Zoning Clerk (Revised3/12/2012)(Revised 07/10/07XRevised 06/10/2009)(Revised 3/15/09) Property Search Application - Miami -Dade County Page 1 of 1 uFFICE OF THE PROPERTY APPRAISER .M Summary Report Property Information Folio: 11-3206-019-0210 Property Address: 360 NE 91 ST Miami Shores, FL 33138-3130 Owner SAM BLOOMBERG RISSMAN REBEKAH MAY Mailing Address 50 SW 10 ST 15344 MIAMI, FL 33130 USA PA Primary Zone 1000 SGL FAMILY - 2101-2300 SQ Primary Land Use 0101 RESIDENTIAL -SINGLE FAMILY: 1 UNIT Beds / Baths / Half 2/3/0 Floors 1 Living Units 1 Actual Area Sq.Ft Living Area Sq.Ft Adjusted Area 1,620 Sq.Ft Lot Size 10,125 Sq.Ft Year Built Multiple (See Building Info.) Assessment Information Year 2019 2018 2017 Land Value $303,831 $303,831 $303,831 Building Value $113,680 $113,709 $113,738 XF Value $5,718 $5,780 $5,842 Market Value $423,229 $423,320 $423,411 Assessed Value $423,229 $423,320 $265,500 Benefits Information Benefit Type 2019 2018 2017 Save Our Homes Cap Assessment Reduction $157,911 Homestead Exemption $25,000 Second Homestead Exemption $25,000 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). (Short Legal Description 6 53 42 EL PORTAL PB 9-101 LOT 4 & E1/2 LOT 5 BLK 2 LOT SIZE 75.000 X 135 OR 20315-2652 04 2002 1 Generated On : 10/29/2019 Taxable Value Information 2019 20181i 2017 t _........... ........_..--_...... ..... ._. _.... ........................._... County Exemption Value $0 $0 $50,000 Taxable Value 1 $423,2291 $423,3201 $215,500 School Board Exemption Value $0 $0 $25,000 Taxable Value 1 $423,229 $423,320 $240,500 City Exemption Value $0 $0 $50,000 Taxable Value $423,229 $423,320 $215,5 10 Regional Exemption Value $0 $0 $50,000 Taxable Value $423,229r $423,320 $215,500 Sales Information Previous Sale Price OR Book -Page Qualification Description 03/02/2017 $515,000 30445-1050 Qual by exam of deed 04/01/2002 $220,000 20315-2652 Sales which are qualified 04/01/1998 $115,000 18080-4523 Sales which are qualified . 06/01/1985 $80,000 - ...._ 12564-1518 . _.............. 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:/twww.miamidade.gov/info/disclaimer.asp Version https://www8.miamidade.gov/Apps/PA/propertysearch/ 10/29/2019 ME .* Remodeling Kitchens F3athronme Cabinets -new-resurtaced (bunter tops - iAIl types l btvpletc Interiors * Installations Tile aMouldings Wtndow * Painting htt. Ext. Ftaux 8mehing * Minor Repairs Proposal submitted to: DIAMOND REMODELERS 9024 Dickens Ave., Surfside, FL 33154 Lasorsa Enterprises, Inc 383 SW 12 St., Boca Raton, FL 33432 Licensed General Contractor CGC 031497 (305) 865-9005, Fax. (305) 865-0934 Work to be Performed at: INVOICE Number: 3596 Sheet No.: 1 of 1 DATE: Oct 14, 2019 Name: Sam Bloomberg-Rissman and Becky May Address: SAME Address: 360 NE 91 Street _ ____ (Bloomberg-MayREVPer) Miami Shores, FL Contact: sam@sambrcom Phone No: 510-717-2306 Phone No. Fax No. We hereby propose to furnish the materials and perform the labor necessary for the completion of Kitchen work 1) Remove cabinets, quartz countertops and 4" backsplashes Remove pocket door and frame. Remove all trash. 2) Fix all areas on walls from Cabinet removal. Patch, prime, paint all areas. Fix area where pocket door and frame was. Close up opening. Patch, prime, paint. Install new drywall on 2 areas behind cabinet and on side wall that was cut out. Patch, prime, paint 3) Install new sink, faucet, DW All fixtures to be re -installed in exact places. TOTAL - $3,000.00 ALL LABOR AND MATERIALS INCLUDED UNLESS SPECIFIED Cabinets and countertops to be supplied and installed by others. NY ALTERATIONS OR DEVIATIONS FROM THE ABOVE SPECIFICATIONS, INCLUDING EXTRA COSTS WILL BE EXECUTED ONLY UPON WRITTEN ORDER, AND WILL BECOME AN EXTRA CHARGE OVER & ABOVE THE ESTIMATE. ALL AGREEMENTS ARE CONTINGENT UPON CCIDF,NTS OR DELAYS BEYOND OUR CONTROL. THIS ESTIMATE TURNS INTO A CONTRACT WHEN SIGNED THIS ESTIMATE IS GOOD FOR 30 DAYS AFTER DATE OF ESTIMATE PRICES ARE SUBJECT TO CHANGE UNTIL ALL DEMOLITION IS COMPLETED. PERMIT FEES, PROCESSING FEES, INSPECTIONS FEES ARE NOT INCLUDED. II material is guaranteed to be as specified. The above mentioned work is guaranteed to be performed in accordance with the drawings and specifications submitted, and completed in a substantial workmanlike manner for the sum of: Three thousand dollars Dollars: $3,000.00 With payments to be made as follows: Deposit required, Draws as work progresses, Balance o completion ACCEPTANCE OF PROPOSAL The above specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Date: / 0�qSignature: Date: f)Signature BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895 - 954-831-4000 VALID OCTOBER 1, 2019 THROUGH SEPTEMBER 30,2020 DBA, Business Name: LASORSA ENTERPRISES INC Receipt#: 180-4073 Business Type: GENERAT, CONTRACTOR Owner Name: ANTlioNy LASORSA Business OPO Business Location: 2071 SW 70 AVE G19 n6d:05/01/1982 DAVIE State/County1Cert1R99:CGC01 1.4 97 Business Phone: 954-474-5537 Exemption Code: Rooms Seats Employees Machin" Professionals 6 For�Ve-ad""Q Plumber of Machinews: M T _ . easiness tJniy Vending Typo: Tax Amount Transfer Fee NSF Fae penalty Prior �Yftm. COHOCDOn Cost Total Paid L !�27 0() 0 0.1)0 27, 00 00 L 0.00 0.00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Broward County and is non -regulatory in nature. YOU must meet all County and/or Municipality planning WHEN VALIDATED and zoning requirements. This Business Tax Receipt Must be transferred when the business 13 sold, business name has changed or you have moved the business location. This receipt does not indicate that the business is legal or that it is in compliance with State or local laws and regulations. Mailing Address: ANTHONY LASORSA 383 SW 12 ST BOCA RATON, FL 33432 2019 -2020 R*Ceipt #02A-18-00007396 Paid 07/08/2019 27.00 DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 05/03/2019 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 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 NAME: Tiffany GOWanS Finney Insurance Corporation HONE 954-966-5533 lacNo):954-989-8208 5601 Sheridan Street ADDRESS: tiffanyg@flnneyinsurancecorp.com Hollywood, FL33021 INSURER(S) AFFORDING COVERAGE NAIC# INSURED Lasorsa Enterprises, Inc. 383 SW 12th St Boca Raton, FL 33432 COVERAGES CERTIFICATE NUMBER: 00000000-0 INSURERA:Arch Specialty Insurance C( INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : REVISION NUMBER: 29 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. INSRT TYPE OF INSURANCE AINSI) D POLICY NUMBER MIDDPOLICY/WW MM/DDM/YY LIMITS A X COMMERCIAL GEN RA LIABILITY CLAIMS -MADE OCCUR AGL0044760-02 01/27/2019 01/27/2020 EACH OCCURRENCE $ 1,000,000 PREMISES Ea RENTED $ 100,000 GEN'L X MED EXP (Any one person) $ 10,000 AGGREGATE LIMIT APPLIES PER: POLICY PRO- LOC JECTPRODUCTS OTHER: PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 - COMP/OP AGG $ 2,000,000 $ LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY MBINEDAUTOMOBILE a accident) IN L LIMIT $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ $ '� WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N I A HFL0115922019 4/Ol/2019 4/Ul/202U PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,0000.00 E.L. DISEASE -EA EMPLOYEE $ 1,0000.00 -- E.L. DISEASE - POLICY LIMIT $ 1,0000.00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CGC031497 CERTIFICATE HOLDER CANCELLATION Miami Shores Village Building Department 10050 NE 2 Ave Miami Shores, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. REPRESENTATIVE © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The .ACORD name and logo are registered marks of ACORD IKEA Home Planner Printout Page 1 of 23 �KEA pT ; [ TMB1 Username (Email address or IKEA FAMILY number) rv�lu4--00641 -- . —tC4 All measurement in inches Important IKEA cannot accept any liability for the accuracy of measurements or furniture layout. Prices in this program are for products you collect from IKEA, take home and assemble yourself. All requested delivery, assembly and installation services are charged separately and not included in the price. Although we do try to ensure that the information in this program is correct, we apologise for any product alterations that may occur. DATE TH ALL FF01-11AL A V,' -orrojecc name Kitchen Measure 09/23- _Design Project number To receive a design ID number, plea:e sjve%., deign. • • • • • • • • •• Included in the total price Appliances $229 Total Price: $4109.38 zECEIVED CCT 2 9 Z019 B https,Hkitchenplanner.lkea.com/us/IJI/Pages/PrintoutsNPUISummaryPrintout.htm 10/8/2019 .y iGtchen Measure 04/23-Design - South WaN All medsurement in inches IK a�.E 0001-2103-4080 iGtchen Measure 04J23-Design - East Wall All measurement in inches K EA 0001-2103-4080 271116 32 1 12 » ! 2 25 Va ....... . .. .. . ......... . .. ... .. . .... .. ... .. ..• . ... .. .. .. . .. . .... ... . . . .. 000 . . Soo .. .... ....... . . ..... . ... . ...... . .... .... . . .... . IGtchen Measure 09/23-Design - North Watl All measurement in inches LI IKE 0001-2103-4080 2219 .. ... . . . . . .. . .. . . . . ... . .. ... .. . . . .. .. ... .. ... . ... . . . . . . . . . . . . . .. . . . . . . .. ... . . . . ... . . . . . . . . . . . . . .. .. . . . .. .. ... . . . ... . . ■KEA Kitchen Measure 09/23-Design - South Wall 0001-2203-4080 T 26 vie 21 f 21 K a _N I Ossil s0 2 Y1 14 IS 15 HI M i i i I i I SY4 ( 471616 291.2 I •• ••• • • • • • •• • •• • • • • ••• • •• ••• •• • • • •• •• ••• •• ••• • ••• • • • • • • • • • • • • • • • • • • • • • • • ••• • • • • ••• • • • • • • • • • • • • • •• •• • • • •• •• ••• • • • ••• • • All measurement in inches Kitchen Measure 09f23-Design - East Wall All measurement in inches ■ K E A 0001-2103-4080 • .. . . • . . 90 . . . . . • • .. oe ... .. . .... ..... ..... . ... .. . .... ... . .. .. .... .. .. • • • • • • • • • • • •• •• • • • •• •• Ochen Measure 09/23-Design - North Wall All measurement in inches K A 0001-2203-4080 r 25 a+ 1 s4 r 22 V9 8 I � PLUMING Appraved PLANS ''sa�Proved Date_ • • ..... ..... . ... .. . .... ... . .. .. .... .. .. .... ....... . . ..... . ... . ...... . .... .... . . .... . Krtchen Measure 09/23-Design - Plan Yew All measurement in inches 0001-2103-4080 ; 0 1 25 ra U 22 is 1 Mit 16 1o12.16 1 1 i I I a 1 B5 Is i.zl � 1 e � e I m I y N a g a _ I 17 � u dc19'i6 1t tyt9 ' N S'I4 is Nis I '9 S'S is 1 27LIS 25 •'16 T P, •• ••• • • • •• Important • • • • • • • • • • • IKEA cannot accept any f bil' for the accuracy of measurements or furniture layout. Prices in this program are for products you collect hv& IJU, 04 *4 go assemble yourself. All requested delivery, assembly and installation services are charged separately and not included in the price. Although we do try to ensure that jl♦trin&q*atipj iR LMs grTr am4s correct, we apologise for any product alterations that may occur. so •• ••• •• ••• • Or ••• • • • • ••• • • • • • • • • • • • • • •• Y• • •- • •• •• ••• • • • ••• • •