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DEMO-07-23-1665Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Permit NO.: DEMO-07-23-1665 Permit Type: Demolition Work Classification: Residential Permit Status: Approved Issue Date:09/06/2023 Expiration: 03/06/2024 Location Address Parcel Number 1205 NE 91ST TER, Miami Shores, FL 33138 1132050010220 Contacts KRIST110, LLC Owner FLORIDA DEMOLITION INC Contractor LARISA ZIVENKO ROBERT HAMBERGER 1205 NE 91ST TER, Miami Shores, FL 33138 245 SE 1 ST 326, MIAMI, FL 33131 Business:7864709061 ZIVENKOLARA@GMAIL.COM Business:3053294174 floridademolition@msn.com j Description: TOTAL DEMOLITION IF HOUSE AND POOL Valuation: $ 28,500.00 Inspection Requests. 30a-762�1949', . ' Total Sq Feet: 2,500.00; m Fees Application Fee -Other Building Demoloition Fee CCF DBPR Fee DCA Fee ]An Education Surcharge Scanning Fee Technology Fee Total: Payments Date Paid Amt Paid Total Fees $544.35 Check# 14110 07/03/2023 $50.00 Check# 14225 09/06/2023 $494.35 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. / FFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws ulating c nstruction and zgning. Futhermore, I aut rize the above nameo, contractor to do the work stated. Authorized Signature: Owner / Applicant / Contractor / Agent Date September 06, 2023 Page 2 of 2 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 BUILDING PERMIT APPLICATION BUILDING ❑ ELECTRIC ❑ ROOFING F—] PLUMBING ❑ MECHANICAL ❑ CHANGE OF JUL 0 3 2023 By *—'Tli\_I "1+41 FB-C 2o2a Master Permit No.DE•C'M--22—';&g Sub Permit No. ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: l aaT- 'V 1- / l e- '�^ j- Miami Shores Miami D n_ , Folio/Parcel#: / - j.O' — �� /�Is the Building Historically Designated: Yes NO _ Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): L /�//�/ Ofi%�✓c-� Phone#: Address: SIWlr l & UC- City: ni -.1 Ck. ilA , State: F Zip: 3.3 l '3 d, Tenant/Lessee Name: Email: Phone#: 18& '1 �b - qo& CONTRACTOR: Company Name: Ff n ci dar d e mz) I t o" 2tu e Phone#:,�� -3.3,3 l % U Address: � + �,5 6 t 15 t "c-t3 a 4, f F e3.3 13 f Email: t- �t��'��u e f'�c f t• 0 VKSeI,&cI" Qualifier Name: �.wt 14cAAl ben; e r Phone#: 30s -33:' 619 State Certification or Registration #: DESIGNER: Architect/Engineer: Certificate of Competency #: hone#: Address: 4 City: State: Zip: Value of Work for this Permit: $ Square/Linear Footage of Work: Q,5"(��� Type of Work: ❑ Addition ❑ Alteration 1 ❑ New ❑ Repair/Replace Demolition Description of Work: 1ba � [ i 1 AlvC)i). ?v u I Specify color of color thru tile: Submittal Fee $ So- Del Permit Fee $ CCF $ (1 ` 6 CO/CC $ Scanning Fee $ f 2. 00 DCA Fee $ w DBPR $ (P Notary $ Technology Fee $�.� Training/Education Fee $ Is. -To Double Fee $ Structural Reviews $ P&Z Review $ Bond $ TOTAL FEE NOW DUE $ (Revised04/05/2022) 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 Zi 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 approve and a reinspection fee will be charged. Signature Signature O�VNER or AGENT CONTRACTOR The foregoing in ment was acknowledged before me this The foregoing instrument was acknowledged before me this day of %,v, 20 D-3 by day` of `N�u,.-� 20 2�, by 1 G r`'� ��.Z� r w•�Lv who is personally known to �o�, � L \c."who is personally known to �r 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 PUBLIC: NOTARY PUBLIC: Sign: ��}�� Sign: U , Print: Print: r_ Notary Public State of Florida ,�►+w Notary Public State of Florida Douglas Scott Colwell Seal: Dou las Scott Colwell Seal: 9 y� My Commission GG 965711 My Commission GG 965711 pp w Expires 03/04/2024 OF A Expires 03/04/2024 APPROVED BY — Plans Examiner Structural Review Zoning Clerk (Revised04/05/2022) Return to: Samuel S. Blum, Esq. SAMUEL SPENCER BLUM, ATTORNEY AT LAW 2666 Tigertail Avenue, Suitel05 Miami, FL 331334651 1_1 Instrument Prepared By: Christopher P. Kelley, Esq. CHRISTOPHER P. KELLEY, P.A. 11098 Biscayne Boulevard, Suite 205 Miami, FL 33161-7486 Folio No. 11-3205-001-0220 JUL 0 3 2023 WARRANTY DEED CFN: 20230337147 BOOK 33713 PAGE 3553 DATE:05/19/2023 09:14:58 AM DEED DOC 7,800.00 LUIS G. MONTALDO, CLERK AD INTERIM MIAMI-DADE COUNTY. FL THIS INDENTURE, made this 27 2�4 day of '/ �, 2023, Between LYDIA T. SANDOVAL, a single woman, herein called the GRANTOR, and KRISTII U, LLC, a Florida limited liability company, whose post office address is 851 NE First Avenue, Unit 4001 Miami FL 33132, GRANTEES: (Wherever used herein the terms °grantor" and "grantee" include alI the parties to this instrument and [fie heirs, legal representatives and assigns of individuals and the successors and assigns of corporafions) WITNESSETH, That said GRANTOR, for and in consideration of the sum of TEN AND 00/100 ($10.00) DOLLARS, and other good and vaivable considerations to said GRANTOR in hand paid by said. GRANTEES, the receipt whereof is hereby acknowledged, has granted, bargained and sold to the said GRANTEES, and GRANTEES' successors and assigns forever, the following described land, situate, lying and being in Miami -Dade County, Florida to -wit: Lot 26 less the West 20 feet thereof, and all of Lot 27, Block 1, Waters Edge, according to the plat thereof as recorded in Plat Book 9, Pape 141. Public Records of Miami -Dade County, Florida. Commonly known as: 1205 NE 91'¢ Terrace Miami Shores FL 33138 SUBJECT TO: Applicable zoning and/or restrictions and prohibitions imposed by governmental authority; Conditions, restrictions, limitations, reservations, easements, and other matters appearing on records, if any without reimposing the same; Utility easements of record, taxes for the year 2023 and subsequent years. TOGETHER, with all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining. Page 1 of 2 CFN: 20230337147 BOOK 33713 PAGE 3554 Warranty •Deed Sandoval slt:Kristl1b,1W TO HAVE AND TOHOLD, the same in flee sirriple forever. AND the GRANTOR hereby covenants with' said .:GRANTEES that, the GRANTOR is lawfully seIz8d-of said land in•fee�simple; lhat'the GRANTOR has good right and fawk l authority to sell and convey said: rand; that. the GRANTOR hereby fully warrants the title to said land and will defend the ramie against. the lawfui claims. of 211 persons.,wharnsoever; `and ,theft. said land is free o'f all 6hcumbrances, except -taxes accruing subsequent to Decettiber 31, 2022. IN -WITNESS WHEhEQF, GRANTOR, has hereunto set GRANTOR'S hand and seat the day an firs$ above Wvritten. Sfgned,.sealed anaf,de11vered In, our presence: Signature. Lantor 112 'NE'.. is ` Mh PL 331: Print Na . Print Name ' STATE OF .FLORIDA } COUNTY OF-MIAMI-QADE } 1 HEfZ BY CERTIF'r''-that':the.'. oregdjng mstr�irn i-: w0s. aekndwled ' 6d,: sitbscObed and sworn .to before me bar.L�physlcal: presence :ot . •. online. notarization, this - day of � .:. 2023; ''by: LYIj(A - . - ANDaVAL, ...who produced as identification. A . V PQ»[Cf .' -of F1��1•I?A :at Jwarge My commission.: xpires: P!=N; CNRiSTOi',kR KELi,€Y * ,; • 'Carmilssio{►.(�'O.i360TbB. . p moo° 11. 'S*Y2.14024 �nFfl� 6Ona�GJlxuAwlD��aa.�'�Nwces Pag6.2bf 2 CFN: 20230337147 BOOK 33713 PAGE 3555 MIAMI SHORES VILLAGE Building Department ��,+Q'� 10050 N.E. 2ndAve, Miami Shores, Florida 33138 Tel: 305-795-2204 Fax: 305-756-8972 Permit No. REOCC-04-23-958 Certificate of Re -Occupancy Address: 1205 NE 91 ST TER City: Miami Shores State: FL Zip: 33138 This certificate verifies that the reference property has been Inspected by Miami Shores Village and has been determined to presently comply with schedule"" of regulations of Miami Shores Land and Development Code pertaining solely to the requirement that each one -family dwelling is used and intended to be used for a one -family dwelling purpose only, however, this certificate does not constitute any representation or warranty as to the condition of the dwelling or other structures on the premises described herein, or any aspbd of such conditlon, and interested persons are advised and encouraged to make their own Inspections of the premises in order to d6termine the condition thereof. Please avoid unnecessary expenses. As per section 6-4 of Miami Shores Village Code of Ordinances and section 105.1 of the 2020 Florida Building + Code, Permits are required for New, Alteration, Modification and Renovations. Please visit our web site or contact the Miami Shores Building Department at 305-795-2204 for requirements before you start a project Buildings and structures located in a flood hazard areas may be subject to higher standards. Building Approval: 'r .erg Department of State / Division of Corporations / Search Records / Search by Entity Name / Detail by Entity Name Florida Limited Liability Company KRISTI10, LLC Filing Information. Document Number L23000204367 FEI/EIN Number NONE Date Filed 04/25/2023 Effective Date 04/25/2023 State FL Status ACTIVE Principal Address 851 NE 1 AVENUE UNIT 4001 MIAMI, FL 33132 Mailing Address 851 NE 1 AVENUE UNIT 4001 MIAMI, FL 33132 Registered Agent Name & Address BLUM, SAMUEL S, ESQ. 2666 TIGERTAIL AVENUE SUITE 106 COCONUT GROVE, FL 33133 Authorized Person(s)_Detail Name & Address Title MGR ZIVENKO, SERGEY 851 NE 1 AVENUE, UNIT 4001 MIAMI, FL 33132 Title MGR ZIVENKO, LARISA 851 NE 1 AVENUE, UNIT 4001 MIAMI, FL 33132 JUL 4 3 %.i�: Summary Report Property Information Folio: 11-3205-001-0220 Property Address: 1205 NE 91 TER Miami Shores, FL 33138-3405 Owner KRISTI10 LLC Mailing Address 851 NE FIRST AVE UNIT 4001 MIAMI, FL 33138 USA PA Primary Zone 1100 SGL FAMILY- 2301-2500 SQ Primary Land Use 0101 RESIDENTIAL- SINGLE FAMILY: 1 UNIT Beds I Baths / Half 3/2/0 Floors 1 Living Units 1 Actual Area 2,636 Sq.Ft Living Area 2,324 Sq.Ft Adjusted Area 2,269 Sq.Ft Lot Size 10,000 Sq.Ft Year Built Multiple (See Building Info.) Assessment Information Year 2023 2022 2021 Land Value $900,000 $580,000 $378,400 Building Value $242,367 $242,956 $173,961 XF Value $23,931 $24,105 $24,323 Market Value $1,166,298 $847,061 $576,684 Assessed Value $269,601 $261,749 $254,126 Benefits Information Benefit Type 2023 2022 2021 Save Our Homes Assessment $896,697 $585,312 $322,558 Cap Reduction Homestead Exemption $25,000 $25,000 $25,000 Second Exemption $25,000 $25,000 $25,000 Homestead Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description WATERSEDGE PB 9-141 E30FT LOT 26 & ALL LOT 27 BLK 1 LOT SIZE IRREGULAR OR 17990-1857 0298 4 Generated On : 7/3/2023 Taxable Value Information 2023 2022 2021 County Exemption Value $50,000 $50,000 $50,000 Taxable Value $219,601 $211,749 $204,126 School Board Exemption Value $25,000 $25,000 $25,000 Taxable Value 1 $244,601 $236,749 $229,126 City Exemption Value $50,000 $50,000 $50,000 Taxable Value J $219,601 $211,749 $204,126 Regional Exemption Value $50,000 $50,000 $50,000 Taxable Value $219,601 $211,749 $204,126 Sales Information Previous OR Book Price Qualification Description Sale Page 33713 04/27/2023 $1,300,000 Qual by exam of deed 3553 17990- Sales which are disqualified as a result 02/01/1998 $0 1857 of examination of the deed 16711- 03/01/1995 $174,900 Sales which are qualified 0414 15955- 06/01/1993 $160,000 Sales which are qualified 1501 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 f—I _U (_6.5—ILO c_ AU5 16 2023 A DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR: OSTDS Abandonment APPLICANT: (KRIST110 LLC) PROPERTY ADDRESS: 1205 NE 91 Ter Miami, FL 33138 LOT: 26 BLOCK: 1 SUBDIVISION: PROPERTY ID #: 11-3205-001-0220 PERMIT # :13-SC-2764293 APPLICATION # : AP 1982856 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT # : PR1983188 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] [OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION 381.0065, F.S., AND CHAPTER 64E-6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS, WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY. SYSTEM DESIGN AND SPECIFICATIONS T [ A [ N [ K [ CAPACITY CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ ] PERMIT TO ABANDON D [ ] SQUARE FEET SYSTEM SEPTIC TANK MUST BE PUMPlD BY A STATE R [ ] SQUARE FEET SYSTEM REGISTERED SEPTIC TANK CONTRACTOR OR STATE LICENSED PLUMBER, BOTTOM OF TANK OPENED OR A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [ ] MOUND [ TJPT I CONFIGURATION: [ ] TRENCH [ ] BED [ ] O R SUITABLE MATERIAL. CONTRACTORMUST A' � WORK AND N SCHEDUI-E INSPECTION WITH THE F LOCATION OF BENCHMARK: MIAMI-DADE COUNTY HEALTH DLPARTMENT I ELEVATION OF PROPOSED SYSTEM SITE [ ][ / ][ABOVE/BELOW] BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ ][ / ][ABOVE/BELOW] BENCHMARK/REFERENCE POINT L D F O T H E R ] GALLONS / GPD ] GALLONS / GPD ] GALLONS GREASE INTERCEPTOR CAPACITY ] GALLONS DOSING TANK CAPACITY [ ILL REQUIF'Eu: t U.uu I INUH65 EXUAVATIUN xEyUlk(EU: t J IVL:H :> Have the tank abandoned in accordance with the following procedures:(a) The tank shall be pumped out. (b) The bottom of the tank shall be opened or ruptured, or the entire tank collapsed to prevent the tank from retaining water, and (c) The tank shall be filled with clean sand or other suitable material, and completely covered with soil. Have the system inspected by the health department after it has been pumped, ruptured, and filled with sand and covered. SPECIFICATIONS BY: TITLE: APPROVED BY: TITLE: Engineering Specialist II Dade CHD Eduardo CastilloSalcedo DATE ISSUED: 08/10/2023 EXPIRATION DATE: 11/08/2023 DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC v 1.1.4 AP1982856 Page 1 of 3 L JUL 0 3 2023 r N4�- FPL June 26, 2023 Robert Arena 245 SE 1st St Suite 326 Miami, FL 33131 Re: 1205 ne 91 st Ter Effective 6/07/2023, FPL has removed the meter and disconnected the FPL service wire to the above referenced address. However, before demolishing the structure, you should have the premises checked by a qualified individual to assure that electricity is not being supplied to the structure from any possible source. If there are any questions, or if I may be of further assistance in this matter, please contact me at the telephone number below. Sincerely, Jordan Culp Associate Engineer 305-626-7673 A NEXTera ENERGY Company TECO PEOPLES CAS AN EMERA COMPANY TO: FLORIDA DEMOLITION HUT JUL 0 3 2023 D By l�vl 6-29-2023 Address: 1205 NE 91TH TERRACE MIAMI SHORES FLORIDA 33138 () After a review of our facilities within the above referenced area, TECO Peoples Gas is informing you there is no natural gas service at the property mentioned above. (x) After a review of our facilities, TECO Peoples Gas has completed a Cut and Cap at the property mentioned above. In addition, please contact 811-Sunshine State One Call of Florida. 1-800-432- 4770 at least 48 hours in advance, as there might be other underground utilities. By contacting 811, the risk of personal injury and property damage can be reduced. You may obtain the latest information by visiting the SSOCOF website at: www.callsunshine.com Should you have any questions concerning the above, please contact me at: iqonzalez(a�ecoenerc/tl.com. Sincerely, V113 c�f7Tl!t Prepared by Ily Gonzalez for: Raul Vega Supervisor N Miami Division RV//1 G Administrative Specialist Lead - Dade — Broward Counties 15779 W Dixie Hwy, North Miami Beach, FL 33162 igonzalez@tecoenergy.com Cell: 239-292-6485 LOCATI ON MAP N.TS N c a s m /-.? Aa HreK n ra remY/ nmat as mmm 64MIDKa£ AVEME a a rr ? ra r4 A a: n re re s � a+ m n n m a• •e Nee A S[BLa1?_st'W /N TFE SW>4 a^EC7XW 5�i?41, COLfJI FU1. LEGAL DESCRIPTION: Lot 26 less the West 20 feet thereof and all of Lot 27, Block 1, WATER'S EDGE, according to the Plat thereof, as recorded in Plat Book 9, Page 141 of the Public Records of Miami -Dade County, Florida. CERTIFIED TO: • KRIST110 LLC, A LIMITED LIABILITY COMPANY • SAMUEL SPENCER BLUM, ATTORNEY AT LAW • OLD REPUBLIC NATIONALTITLE INSURANCE COMPANY SURVEYOR'S NOTES: 1. There may be additional restrictions that are not shown on this survey that may be found in the public records of this county. 2. Examination of abstract of title will have to be made to determine recorded instruments, if any, affecting property. 3. This certification is only for the lands as described, it is not a certification of title, zoning, easements, or freedom of encumbrances. Abstract not reviewed. 4. Location and identification of utilities, if any, are shown in accordance with recorded plat. S. Ownership is subject to opinion of title. 6. Type of Survey: BOUNDARY SURVEY 7. The herein captioned property was surveyed and described based on the shown legal description: provided by client. 8. Survey map and report or the copies thereof are not valid and for reference only, unless signed and sealed with the original raised seal of a Florida licensed surveyor and mapper. 9. This plan of survey has been prepared for the exclusive use of the entities named hereon. The certificate does not extend to any unnamed parties. 10.Underground utilities are not depicted hereon, contact the appropriate authority prior to any design work or construction on the property herein described. Surveyor shall be notified as to any deviation from utilities shown hereon. 11.The surveyor of record does not determine ownership offences. measurements shown hereon depict physical location offence. 12.Accuracy: The expected use of land as classified in the Minimum Technical Standards (51-17 FAC), is "suburban". The minimum relative distance accuracy for the type of boundary survey is 1 foot in 7,500 feet. The accuracy obtained by measurement and calculation of a closed geometric figure was found to exceed this requirement. 13.In some instances, graphic representations have been exaggerated to more clearly illustrate relationships between physical improvements and/or lot lines. In all cases, dimensions shown shall control the location of the improvements over scaled positions. 14.No attempt has been made to locate any foundation beneath the surface of the ground. 15.Contact the appropriate authority prior to any design work on the herein described parcel for building and zoning information. 16.Additions or deletions to survey maps or reports by other than the signing party or parties is prohibited without written consent of the signing party or parties. 17.Bearings shown are assumed and are based on the North Right -of -Way line of NE 91 Terrace, being N90°00'00"E. le a a GR20 APHIC SCALE 4080 BOUNDARY SURVEY ( IN FEET ) 1 inch = 20 ft. ron PI No Ed. Remainder Lot 26 Block 1 (P.B.9 - PG.141) 6' Wood Found W Iron Pipe CITY 6' Wood Fenc $ •Jood PolCopy pound%" Iron Pipe + No I.d. tt3 a .10' 163' ^� Pool I PoolPumpConcrete fool Deck 23.15, 122.6WO' Roo rrace Lot 8 OBlock1 jyt (P.8.9 - PG.141) 3� N I One story Z Residence No. 1205 Lot 26 & 27 Block 1 ' Wood Fence Finlah Floor Elev.:+9.08' 0.25' 3.19, 27.3 ' -Gate planter 0 " 34.3 ' ate T 9 G Asphah Driveway _ Found W Block Iron Pipe Corner No I.d_ �R=300.18' Water 15'N,kway _ eter 20'Pavement — I — N.E. 91ST TERRACE LEGEND ® WATER METER N CATCH BASIN w FIRE HYDRANT O CLEAN OUT O SANITARY MANHOLE O STORM MANHOLE Q FPL MANHOLE O BELL SOUTH MANHOLE Will INLET DO WATERVALVE I% GAS VALVE 'n, WOOD POLE 0 CONCRETE UTILITY POLE 19 TRAFFIC BOX g TREE P.B. PLAT BOOK PG. PAGE SQ.FT. SQUARE FEET f MORE OR LESS ELEV. ELEVATION INV. INVERT CL CENTERLINE M CITY OF MIAMI MONUMENT LINE R PROPERTY LINE ENCR. ENCROACHMENT (M) MEASURED (P) PLAT (A) ATLAS SHEET -- OVERHEAD POWER LINES —°— WATER MAIN —� SEWER MAIN TELEPHONE LINE ------ GAS LINE —»-- CHAIN LINK FENCE BACKFLOW PREVENTER HANDICAP PARKING ® ELECTRIC BOX ® COLUMN TBM TEMPORARY BENCH MARK ® STREETLIGHT POLE 1. +0.00' Indicates existing Elevations BENCHMARK INFORMATION: NAME: B-62. DESCRIPTION: BRASS BAR IN 2. Elevations are referred to the National CONCRETE MONUMENT. LOCATION: NE 96 ST-- 66' NORTH OF NE 10 AVE--- Geodetic Vertical Datum of 1929 23.5 WEST OF C/L ELEVATION: +8.66' REVISIONS: ) JOB NO.: ) DATE: I REVISIONS: I JOB NO.: ( DATE: wa zo 3aao o� 2. z ii �+ria a pm3F-� sa om� xa az�zw NO BOO tj au�^> o� Kj mul= p2o- ¢F¢v�i ,ni py2 m oOZ�a Z¢ >Ga� o� i ao w�Doa° W 4 oizo�� Ou¢ Q� ow t�l'n o>�u� C aia-o m 3 gym>?O ioW aaz,�„zzo Zzn C, xg^a �dem o~oz U),dmW sfo ow y �wummw, � n<= m... "do y aN E m pM. w' Z�3q� o sa�� u QY1n n Q z o m z 3 a W m a x 5 o" Q o � a u z z Q p zLu ON o Q on ti ¢ o °o M Z n K 2$ W z z LL �Wc z o o a p° d �o LLG°c o > i 4 u SHEET: 1 OF 1 SHEET(S) 05-02-2023 L 4 3 2023 23-0111 Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Permit NO.: PL-07-23-1692 Permit Type: Plumbing - Residential Work Classification: Alteration Permit Status: Approved issue Date: 09/18/2023 Expiration: 03/18/2024 Location Address Parcel Number 1205 NE 91ST TER, Miami Shores, FL 33138 1132050010220 Contacts KRISTI10, LLC Owner ALL AROUND PLUMBING ENTERPRISES Contractor LARISA ZIVENKO INC 1205 NE 91ST TER, Miami Shores, FL 33138 RENE HERNANDEZ Business: 7864709061 ZIVENKOLARA@GMAIL.COM 10345 SW 112 ST, MIAMI, FL 33176 Business: 3052793127 RHerna3@gmail.com Mobile: 7862626345 Description: SEPTIC PUMP ABANDONMENT LValuation: $ 1,000.00 Inspection Requests: 305�76� 4949 I t: 2,500.00j� Fees Amount Application Fee - Other $50.00 CCF $0.60 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.30 Permit Fee $50.00 Scanning Fee $12.00 Technology Fee $10.00 Tota I : $126.90 Building Department Copy Payments Date Paid Amt Paid Total Fees $126.90 Check # 14236 09/18/2023 $126.90 Amount Due: $0.00 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 regula�'Rg oc'sructon an zoni Futhermore, I auth the above named contractor to do the work stated. 4Z�2�- Authorized Signature: Owner / Applicant / Contractor / Agent Date September 18, 2023 Page 2 of 2 Miami Shores Village g Building Department 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� FBC 20M BUILDING Master Permit No.DF—MD..101-'2VPSS PERMIT APPLICATION Sub Permit No. Pt- -0i -2-3 y(Wq2, ❑BUILID ING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL 14 PLUMBING ❑ MECHANICAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: / �% N U <4 i l ce-i - City: Miami Shores County: Miami Dade Zip: Folio/Parcel#:� e�rr�S � ���� Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FIFE: OWNER: Name (Fee Simple Titleholder): K r-"—'A_i lU LL-c Phone#: Address:y��I City: I ►\ �,&M ( State: _ ('------- _._._----------- Zip: 3 J i 3Q Tenant/Lessee Name: Phone#: -786 - q'7,0- q66, t Email: CONTRACTOR: Company Name: All Kroo"' ��um�.r<<i �-L1�J�- Phone#:' 6 -a7�•-3i7 7 Address: 10 iy 1 I IS 1 I�L� iw., � � 33176 Email Qualifier Name: t- L Lc r ac ✓lei e-2- Phone#: - 3 12 7 State Certification or Registration #: C F C— IN31s'21 1-4 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ t oc)c)ov Square/Linear Footage of Work: Type of Work: ❑ Additions ❑ ;i Alteration ❑ New 1 ❑ Repair/Replace ❑ Demolition Description of Work: Sr—SrpM P C,^Ct C10 cwy.o-YI Specify color of color thru tile: Submittal Fee $ ��•� Permit Fee $ CCF $ ©-�0� CO/CC $ Scanning Fee $ Z. �� DCA Fee $ 2• ^^ .�,D;;BB�PR $ •� Notary $ Technology Fee $ �� �� Training/Education Fee $ Cam./ Double Fee $ Structural Reviews $ P&Z Review $ Bond $ TOTAL FEE NOW DUE $ lC,b.-l� (Revised04/05/2022) 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 approvoanq a reinspection fee will be charged. Ph t Signature Signature 0 NERorAGENT CONTRACTOR The foregoing instr ent was acknowledged before me this ThF foregoing instrument was acknowledged before me this day of �Q� , 20 _, by ��� day of TA.20 �L 3 , by who is personally known to _J_�_ �'f �� yrU� �+ ;2_ who is personally known 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 PUBLIC: NOTARY PUBLIC: Sign:_ Print: Seal: ; pouglas Scott Colwell My Commission GG 965711 j_a to Expires 03/04/2024 APPROVED BY Sign:¢ Print: 4,U Seal: `f' Douglas Scott Colwell My Commission GG 965711 ?� n Expires 03/04/2024 Plans Examiner Structural Review Zoning Clerk (Revised 04/05/2022) ACORH CERTIFICATE OF LIABILITY INSURANCE �..r DATE (MMIDD/YYYY) 09/05/2023 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 CONTACT Delfo Delatorre NAME: Delatorre Insurance PHONN Ex : (305) 400 8746 FnIC No): (786) 362-6851 AIL ADDRESS: Delfo04@delatorreinsurance.net 12900 SW 128 ST Suite 207 INSURERS AFFORDING COVERAGE NAIC # INSURER A: PROGRESSIVE INSURANCE CO. 24260 Miami FL 33186 INSURED INSURERB: OBSIDIAN SPECIALTY INSURANCE CO. 16871 INSURER C: SUTTON SPECIALTY INSURANCE COMPANY 16848 FLORIDA DEMOLITION INC / TRINITY EQUIPMENT RENTALS INSURERD: MID CONTINENTAL CASUALTY COMPANY 23418 245 se 1st INSURER E : Suite 326 INSURER F : Miami FL 33131 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 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 POLICY EFF MMIDDIYYYY POLICY EXP MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000.00 CLAIMS -MADE �X OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000.00 MED EXP (Any one person) $ 5,000.00 PERSONAL & ADV INJURY $ 1,000,000.00 B Y Y SCB-GL000032952 07/03//2023 07/03/2024 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000.00 POLICY �X JEO- D LOC PRODUCTS - COMP/OP AGG $ 2,000,000.00 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea cident ac $ 1,000,000.00 X BODILY INJURY (Per person) $ ANY AUTO A OWNED SCHEDULED AUTOS ONLY AUTOS 02137098-1 05/15/2023 05/15/2024 BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ HIRED IxNON-OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000.00 X AGGREGATE $ 10,000,000.00 C EXCESS LIAB I CLAIMS -MADE Y Y ISCCX030000001746 07/03/2023 07/03/2024 DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N I A PER OTH- STATUTE I I ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ $277,000.00 D Contractor Equipment Y 04-CIM-000035972 07/03/2023 07/03/2024 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The Certificate holder is listed as additional insured CGC033909 Contractor Demolition of structure L,r-K I IrIL A I t r1ULUr—K GAN(aLLA I WN Miami Shores Village Building Dept. 10050 NE 2nd 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. AUTHORIZED REPRESENTATIVE @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD AtC'ROB �,,. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 09/06/2023 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 Discovery Enter. Insurance Agency CONTACT NAME: Adriana Gomez PHONIE Ex ): (305) 718-8919 Fn c No : (305) 718-3584 8245 NW 36 Street Unit 1 E-MAIL adriana@discovery-insurance.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: ATEGRITY SPECIALTY INS CO 16427 Miami FL 33166 _ INSURED INSURER8: TECHNOLOGY INSURANCE COMPANY, INC 524210 INSURERC: All Around Plumbing Enterprises INC INSURER D : 10345 SW 112 Street INSURER E INSURER F Miami FL 33176 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 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 POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY � CLAIMS -MADE � OCCUR � Y Y 01-C-PK-P20065833-0 10/16/2022 10/16/2023 EACH OCCURRENCE $ 1,000,000.00 DAMAGE TO RENTED PREMISES Ea occurrence $ 1 OO,000.00 MED EXP (Any one person) $ 5,000.00 PERSONAL & ADV INJURY $ 1,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC JECT OTHER: GENERAL AGGREGATE $ 2,000,000.00 PRODUCTS - COMP/OP AGG $ 2,000,000.00 $ AUTOMOBILE LIABILITY A ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLYI r COMBINED SINGLE LIMIT Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N D? OFFICER/MEMBER EXCLUDE� (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA` TWC4134588 08/23/2023 08/23/2024 PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYEE $ 100,000 E.L. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) PLUMBING LICENSE No CFC044154 CERTIFICATE HOLDER UANL r_LLA I JUN MIAMI SHORES VILLAGE BUILDING DEPT 10050 NE 2nd 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. AUTHORIZED REPRESENTATIVE @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD