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CC-02-20-302Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address 9020 NE 8TH AVE, Miami Shores, FL 33138 Contacts Permit No.: CC-02-20-302 Permit Type: Building (Commercial) Work Classification: Alteration Permit Status:. Approved Issue. Date: 02/18/2020 Expiration: 08/10/2020 Parcel Number 1132060420001 MIAMI SHORES CONDOMINIUM Owner 9020 8 AVE, MIAMI SHORES VILLAGE, FL 33139 DON BAILEY CARPETS INC Contractor ALBERT HINSON Business: 3057571568 Description: REMOVE AND DISPOSE TILE IN LOBBY. INSTALL Valuation: $ 33,590.00 Ins ection Requests: TILE IN LOBBY REMOVE CARPET & PAD IN HALLWAY. INSTALL 305-762-4949 FELT PADDING AND NEW CARPERT IN HALLWAYS IN BOTH Total Sq Feet: 8,200.00 BUILDINGS 9020-9022 NE 8 AVE Fees Amount Application Fee - Other $50.00 CCF $20.40 Commercial Application Fee $800.00 DBPR Fee $15.12 DCA Fee $10.08 Education Surcharge $6.80 Permit Fee $157.70 Planning and Zoning Review Fee $35.00 Scanning Fee $9.00 Technology Fee $25.19 Total: $1,129.29 Payments Date Paid Amt Paid Total Fees $1,129.29 Credit Card 02/18/2020 $1,129.29 Amount Due: $0.00 RK t.5 &%12AG. 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 1 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. I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws and zpning. Futhermore, I authorize the above named contractor to do the work stated. I Applicant / Contractor / Agent Date February 18, 2020 Page 2 of 2 BUILDING PERMIT APPLICATION Miami Shores Village FNTERED Building Department FEB 1 O'6'Zo 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY: Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 //FB��C 2on Master Permit No.l..l_ - ()-?--242) " 307- Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [—]RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP JOB ADDRESS: Occupancy Type: Load:,Clonstruction OWNER: Name ifee Simple City: I 1Lt_. if It Tenant/Lessee Name: Email: G trio W v --Is the Building Historically Designated: Yes Type: Flood Zonp: T BFE: _ L . C 0—^ r CVo NO- FFE: 3 3;3 joj'� -7O Address: 1 v ( IUCN p City: BA \ State: i 1^ Zip: Qualifier Name:( jibe 1 ns Q n Phone#: State Certification or Registration M Certificate of Competency q: tti/L/ XJS J DESIGNER: Architect/Engineer: Phone#: Address: pCity: State: Value of Work for this Permit: $ U Square/Linear Footage of Work: Type of Work: ❑ n (�ition{�Altera/t�iionn ❑�{ N�e/w� � � p❑ Rep it/Replace Demolition Descriotion of Work: luf l° 1 l l.N 1 4 (Ar. / 00Qy— I � Specify color of color thru tile: l JI I C Submittal Fee $ Permit Fee $ `l Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ _ a(l CCF $ CO/CC $ DBPR $ Notary $ Double Fee $ _ Bond $ �7 C1 n TOTAL FEE NOW DUE $ � � Ln (Rmsed02/24/2014) Bonding Company's Name (if applicable) Bonding Company's Address City State 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charger' j &WILLRTC.Ki Signature OWNER or AGENT The foregoing instrument was acknowledged before me this �3 da�Lgf V 20 c,`by JiFw o is personally known me or who has produced Th foregoing instrt�mGGent was acknowledged before me this 3 day of J 0( 200D . by rtF564— M V '. o is personally known to as me or who has produced identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: // n /J / NOTARY as Prin Print: U /may / iJ a rJJWI OVY Seal: Seal: Joshua Darrow ALBERTT. HINSONJAA MY COMMISSION # GG 246829 _ c` • EXPIRES: OcM w 7, 2022 ,,; EC/yOPMMMIFScSI014 Z-1 GnG232[2!2�6 is #};ii}} #'1'Po'#}##############}#####'yi4$��/p��• ##YiilvlYR}�N�kf��6'L�` 1 � """^` nded Thru Aaron Notary APPROVED BY �3 Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Property Search Application - Miami -Dade County Page 1 of 1 �� OFFICE OF THE PROPERTY APPRAISER Summary Report Property Information Folio: Property Address: 11-3206-042-0001 Owner REFERENCE ONLY Mailing Address PA Primary Zone 3000 MULTI -FAMILY - GENERAL Primary Land Use 0000 REFERENCE FOLIO Beds I Baths I Half 0/ 0/ 0 Floors 0 Living Units 0 Actual Area 0 Sq.Ft Living Area 0 Sq.Ft Adjusted Area 0 Sq_Ft Lot Size 0 Sq.Ft Year Built 0 Assessment Information Year 2019 2018 2017 Land Value $0 $0 $0 Building Value $0 $0 $0 XF Value $0 $0 $0 Market Value $0 $0 $0 Assessed Value 1 $0 $0 $0 Benefits Information Benefit I Type 1 2019 2018 2017 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description MIAMI SHORES CONDO ASBURY PARK PB 4-110 LOTS 1 & 2 & E30FT LOT 5 LESS N25FT Generated On: 2/10/2020 Taxable Value Information — 2019�..,. - 2018 2017 County Exemption Value $0 $0 $0 Taxable Value School Board Exemption Value sol $0 $0 $0 $0 $0 Taxable Value $0 $0 $0 City Exemption Value $0 $0 $0 Taxable Value $0 $0 $0 Regional Exemption Value I $0 $0 $0 Taxable Value I $0 $0 1 $0 Sales Information Previous Sale Price OR Book -Page Qualification Description 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:/Aw .miamidade.govfiinfo/disdaimer.asp Version: https://www.miamidade.gov/Apps/PA/propertysearch/ 2/10/2020 Florida Department of State t e.Cc ` Dr/131oii of ri Department of State I Division of Corporations / Search Records I Detail By Document Number I Detail by Entity Name Florida Not For Profit Corporation MIAMI SHORES CONDOMINIUM ASSOCIATION INC Filinq information Document Number 725521 FEI/EIN Number 59-1484538 Date Filed 02/12/1973 State FL Status ACTIVE Principal Address 9020 NE 8TH AVENUE MIAMI SHORES, FL 33138 Changed: 04/21/2010 Mailinq Address 1234 Washington Ave SUITE 305 MIAMI BEACH, FL 33139 Changed: 04/20/2017 Reaistered Aaent Name & Address TUCKER AND TIGHE P.A. 800 EAST BROWARD BLVD. #710 CUMBERLAND BLVD. FT LAUDERDALE, FL 33301 Name Changed: 01/09/2012 Address Changed: 01/09/2012 Officer/Director Detail Name & Address Title Treasurer Mims, Victor 9020 NE 8TH AVENUE MIAMI SHORES, FL 33138 Title President DIVISION OF CORPOPA1ION Fickett, Daniel 9020 NE 8TH AVENUE MIAMI SHORES, FL 33138 Title SEC Ramirez, Haydee 9020 NE 8TH AVENUE MIAMI SHORES, FL 33138 Title DI R MYERS, KATHLEEN 9020 NE 8TH AVENUE MIAMI SHORES, FL 33138 Title Director Lynch, Michael 9020 N E 8 Ave Miami Shores, FL 33138 Title vp Hackett, Christine 9022 NE 8 AVE Miami Shores, FL 33138 Title Director Rastelli, Guillermo 9020 Ne 8 Ave miami shores, FL 33138 Annual Reports Report Year Filed Date 2018 04/27/2018 2019 04/29/2019 2020 02/05/2020 Document Images 02J0WON --ANNUAL REPORT View image in PDF format 0412912019 -- ANNUAL REPORT View image in PDF format 04/2712Q1.0 �ANNIJAL R�1! View image in PDF format 04/2012017 --ANNUAL REPORT View image in PDF format 04/0712016 -- ANNUAL REPORT View image in PDF format 02i24/201.5 -- ANNUAL REPQRTIView image in PDF format 0412$I2014 -- ANNUAL REPORT View image in PDF format 04/30/2013 -- ANNUAL REPORT View image in PDF format 0110912012 —ANNUAL REPORT View image in PDF format Miami Shore Condominium Association, Inc Managed by UO REGATTA REAL ESTATE MAuccfwFur IRE Rick Aller, CAM Rick@regattarealestate.com February 5, 2020 Miami Shores Village Building Dept. 10050 NE 2nd Avenue Miami Shores, FL 33138 Dear Sir / Madam: This letter will serve as your confirmation that "Don Bailey Carpets Inc." has been contracted by Miami Shores Condominium Located at 9020- 9022 Ne 8 Ave Miami Shores FI 33138 and is fully authorized to do scope of work below: Scope of work is as follows: Remove tile in lobby area, install porcelain tiles with wood -plank appearance in the lobbies of both buildings. Install felt padding and new carpet in all hallways in both buildings. Should you have any questions regarding the enclosed, please feel free to contact Rick Aller 306-673-1940 or rick@regattarealestate.com at your earliest convenience. Sincerel rs, Daniel Fickett, President Miami Shores Condo 1234 Washington Ave, Suite 300, Miami Beach, Florida 33139 Telephone (305) 673-1940 Fax (305) 673-8889 info(b)regattarealestate.com www.regattarealestate.com DON BAILEY FLOORING CARPET • TILE * LAMINATE • HARDWOOD "The People You Can Trust" "The Only Flooring Company Serving South Florida For Over 50 Years " INVOICE # 290015 SUBMITTED TO: Miami Shores Condominiums DATE: January 8, 2020 RE: 9022 NE 8t' Ave ATTN: Miami Shores Miami Shores, FL 33138 PHONE: 5164742359 EMAIL: chackettart@gmail.com We hereby propose to furnish the materials and perform the labor necessary for the completion of. - FLOORING Areas: Selected Product: V.I.P. Commercial Carpet — Color Eclipse Scope of Work: Supply selected commercial carpet and felt padding in hallways Tack Strip Transition moldings — Silver Install Baseboard — Prime white (same as halls) — unpainted Lobby Areas : Grand Total Please Note: Payment Terms: Remove and dispose existing tile Supply and install tile in lobby in both buildings $33,590.00 No floor prep included, installation over existing flooring Customer responsible to move all furniture, electronics and personal items 50% Deposit required upon Acceptance 50% Balance due upon Completion of Work All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and specifications submitted for above work and completed in a substantial workmanlike manner for the sum indicated above plus sales tax, if applicable. Accepted by: Daniel Fickett- Resident Respectfully submitted: Don Bailey Jr. Office: 305-757-1578 Date: • DON BAILEY WILL BEAT ANY WRITTEN ESTIMATE • 14831 NW 7th Ave, Miami, FL 33168 • Phone: (305) 757-1578 9 Fax: (305) 681-1268 P-c;9-09-09 14:19 Don Bailey Carpets 3056811268 >> Don Bailer t isle a43 i� T ; 1 Lobby a SlL.v%Lr2AAaM!1 %vFL. (_sLJJ 005842 Local Business Tax Receipt Miami —Dade County, State of Florida -THIS IS NOT A BILL - DO NOT PAY LB 588618o ROSINESS NAME/LOCATION BAILEY -DUN CARpM.1NG Al RECEIPT NO. EXPIRES EXPIRES 14833 Nw:7.T LAVE - :;� RENEWAL MIAW FL 33.M 6139786 �,� 30, 2020 . • �, Must be displayed at place of business Pursuant to County Code Chapter BA- Art. 9&10 OWNER ` BAILEY DON CARPETS INC SEC. TYPE OF BUSINESS 196 SPECIALTY 8UILDINO CONTRACTOR 'AYMENTRECEIVED 06BS00859 BYTAA COLLECTOR Worker(s) 2 $75.00 08/06/2019 This Local ceeiness Tax CREDITCARD-19-063440 Permit or a rtificationo the holder'soqqualfcetions,ladohusnment of the eu. Holder moat comply l Business Tax. The wjhan"govercense or nongovernmentakreguletery lawsandrequlwments_which apply tothe bminese. l The RECEIPT No. e60vo must be displayed an all commercialvahicles Mlemi-O For more ildormalion, visit Lmm Off.,,!do aarra , ►Municipal Contractor's Receiple- Miami—Dade County, State of FloridaM C -THIS IS NOT A BILL -DO HOT PAY t� �a EXPIRES BAILEY DON CARPETS INC NEW SEPTEMBER 30, 2020 14833 NW 7TH AVE 7579007 Mud be displayed at place of businase MIAMI FL 33168 Pursuant to County Coda Chapter BA - An. 9 & t0 aw i[C TT�af LlifY[Eef BARE( DON CARPETS INC MMOSPECIALTY BUILDING CONTRACTOFNw�I�WCTOO8 OBB$ 669 $175.00 10/01/2019 Category(s) 1 CREWCA[1D-20-000490 ThIs Load Bulness Tax Baca1yt salt cc, Brea ppa�eesd aldw Last BaslaasTaL The Rscstpt Is ante t1csesa, psaxtaraoertelaadondthelroldsiequa cstiooartado! ory�R�Oethdsr aaaepffesid�airyQoweaRsatsl ar esagoreramotal repatataq llw/lladrelrsmests which e The RECEIPT KO. aho»=0he dtgbpd an ell oemsaereld "Was -iRaw"adeCode Sec ft-alk. Far mere Idermatlea. *0 DONBA-2 DATE(MMIDDNYYY) 0211012020 ACORO` CERTIFICATE OF LIABILITY INSURANCE `..r/ 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 endorsements . PRODUCER 305-262-0086 BUTLER, BUCKLEY, DEETS INC. 6161 BLUE LAGOON DR., STE 420 c ACT BRANDON W BUTLER PHONE 306-262-0086 FAX 305-262-0187 (AIC, No, Ext): I (AIC, No): E-MAI ADDR MIAMI, FL 33126 Brandon W Butler INSURERS AFFORDING COVERAGE NAIC # INSURER A: THE HARTFORD INS GROUP 38261 INSURED DON BAILEY CARPETS INC. INSURERS: EMPLOYERS ASSURANCE DBA DON BAILEY FLOORING 14831 NW 7 AVENUE INSURER C : INSURER D : MIAMI, FL 33168 INSURER E : INSURER F : r_nV=QAn=c (_I=RTI=IrATF NIIMRFR- RFVISIrIN NLIMRFR- 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 TYPE OF INSURANCE DDL UBR POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE �X OCCUR Y 21SBMTY7624 10M412019 10M412020 EACH OCCURRENCE $ 1,000,000 DAMAGE TO PREMISES (Ea occurrem) - S 1,000,000 MED EXP (Anv one rson) S 10,000 PERSONAL & ADV INJURY S 1,000,000 GEN1 AGGREGATE LIMIT APPLIES PER: POLICY [X] jp& LOC OTHER: GENERAL AGGREGATE S 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE LIABILITY AUTO OWNED X SCHEDULED AUTEO�S ONLY AUTOS p AUTOS ONLY AUTO O&LY 21 UECHH7702 10/14/2019 10/14/2020 COMBINED SINGLE LIMIT (Ea accident)ANY $ 1,000,000 BODILY INJURY Perperson) S BOODILY INJURY Per accident BODILY S PPerOacEciRdertt AMAGE S A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 21SBMBM624 10/14/2019 10114/2020 EACH OCCURRENCE S 6,000,000 AGGREGATE $ 5,000,000 DED RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS* LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y� W8I d$t ry�� lrjt EXCLUDED? ((MM nl It yes. describe ender DESCRIPTION OF OPERATIONS below N 1 A 21 WECAE4YS2 12/23/2019 12/23/2020 PEART OTH- uTE ER E.L. EACH ACCIDENT 1,000,000 S E.L. DISEASE - EA EMPLOYE $ 1'000'O0O E.L. DISEASE - POLICY LIMIT S 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additlenal Remarks Schedule, may be attached If more space Is required) CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED WITH RESPECTS TO THE GENERAL LIABILITY POLICY LICENSE#06BS0085G r_=szTI=IrAT= unl nl:Q CANCFLLATICAN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE MIAMI SHORES VILLAGE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. BUILDING DEPARTMENT 10050 NE 2 AVENUE MIAMI SHORES, FL 33138 AUTHORIZED REPRESENTATIVE ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD