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DS-10-507 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 i nspection Number: INSP- 144294 Permit Number: DS -3 -10 -507 Inspection Date: June 02, 2010 Permit Type: Driveways /Sidewalks/Slabs Inspector: Bruhn, Norman Inspection Type: Final Owner: LEGO, JAMES REGIS Work Classification: New Job Address: 163 NW 100 Street Miami Shores, FL Phone Number Parcel Number 1131010230310 Project: <NONE> Contractor: PAVER CENTER & SHUTTERS INC Phone: (954)776 -3338 Building Department Comments INSTALL 1450 SQ PAVERS TO DRIVEWAY Inspector Comments Passed Z CREATED AS REINSPECTION FOR I NSP-1 39025. 14'setback required per ,. plan. NB Failed El 6 C.- Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. For Inspections please call: (305)762 -4949 June 02, 2010 Page 1 of 1 � 4 S Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 3 z Phone: (305)795 -2204 r , ` • Expiration: 110612010 Project Address Parcel Number Applicant 163 NW 100 Street 1131010230310 Miami Shores, FL Block: Lot: JAMES REGIS LEGO Owner Information Address Phone Cell JAMES REGIS LEGO 163 NW 100 ST MIAMI SHORES FL 33150 -1205 Contractor(s) Phone Cell Phone Valuation: $ 7, PAV CENTER & SHUTTERS INC (954)776 -3338 m_ — Total Sq Feet: 1450 Approved: Yes Available Inspections: Comments. PLEASE RECHECK DRIVEWAY WIDTH AND DRAW TO SCALE, CAN NOT EXCEED 12 FEET IN W Inspection Type: Date Approved: 3/29/2010: Yes Final Date Denied: Sidewalk Type of Work: DRIVEWAY Additional Info: PAVERS Landscaping Bond Retum : Classification: Residential Foundation Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Bond Type - Contractors Bond $300.00 Invoice # DS -3-10 -37407 CCF $4.20 05/13/2010 Check #: 34602 $ 467.20 $ 0.00 Education Surcharge $1.40 Permit Fee $150.00 Bond #: 1964 Scanning Fee $6.00 Technology Fee $5.6 Total: $467.20 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 May 13, 2010 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy May 13, 2010 1 CF#q 201 OR0211421 OR Sk 27232 Ps 1634i { ps ) NOTICE OF COMMENCEMENT RECORDED 03/30/2010 12* 948 A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION HARVE f` UVIN a CLERK O COURT IDI a�?�•o�l� #1IACI LAST ME STATE COI��TYP FLORIDA IT PERM NO. TAX FOLIO NO. ' STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. L I scri tion of pr a str ddress: 2. Description of improvement: 3.Owner(s) name and address: Interest in property: jA Name and address of fee simple titleholder 4. Contra tor's name a d addres V I 5. Surety: (Payment bond required by owner from contr ctor, if any) Name and address: COUN TY OF DADE cou Amount of bond $ 1 HEREBY CE T1FY that this i yo 8 f «=yx oc� 6. Lender's name and address: .691081 tiled in t r c day of n TNESS rr 1 nd and Otfrcial Se - ,P � c3rn vG lauar tY � Fi VEY RU IN, o 7. Persons within the state of Florida designated by Owner upon W om no ces or ther do u y se provided by Section 713.13(1)(a)7., Florida Statutes, By Name and address: 8. In addition to himself, Owners designates the following person(s) to rece ve a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement: (the expiration date year from the date of recording unlessa different date is s ecif'ied) SignatLlmkf Owner ! Print Owner's Nam C'I S LEGO prepared Sworn to and subscribed before me this A3 day of &L9_U_A__X , 20 ID, ti-It.rit ---� Address: Notary Public �"S G'� Print Notary's Name _/�i . /6lar5 9,gtw0j67j# My commission expires: � 723A1 -b2 PAGE4 8J02 , ' � d2.I3Tltf iLDD i ,� @e MY COta1MISS10N 73 '$pfp0� EXPIRES: A1 110MW"183 MrWal�ery '5101C3 � Miami Shores Village Building Department..... 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 $Y Tel: (305) 795.2204 Fax: (305) 756.8972 1� BUILDING Permit No. 1 0 "50 PERMIT APPLICATION Master Permit No. FBC 2004 Permit Type (circle) Building j�oofing Owner's Name (Fee Simp Ider) ° ) Phone # • )�3 Owner's ddress City t4" V rK Oe Z Zip Tenant/Lessee Name Phone # Job Address (where the work is being done) City Miami Shores Villa e ✓ County Mia Zip 1 1 FOLIO / PARCEL # U ( Is Building Historically Designated YES NO Contractor's Company Name t/I�i I I C /' ' Phone # Contracto ' Ad ess W City ' State Zip Qualifier Name Phone # / State Certificate or Registration No. . of Competency No. Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ " - Square / Linear Footage Of Work: - Type of Work: ❑A ditio ❑Alteration ❑New Repair eplace ❑ Demolition Describe W rk:� C) (j Submittal Fee $ Permit Fee $ CCF $ s. • CO /CC Notary $ Training /Education Fee $ ,_ Technology Fee $ Scanning $ I f Radon $ DPBR $ Zoning $ 4 } Bond $ ''� t' L - Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ See Reverse side -� __ .¢ w� 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 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 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 Signature Owner or ent Contractor The foregoing instrument was acknowledged before me this� -� The foregoing in'' ment was acknowledged before me this ­A da of y ;�' ";."�, 20��.,.� , by �,,. m �- day of �`��'��'.`�.,,. , 20" � , by � "�.�> who is personally known to me or who has produced who is'T rsonally known to'trie..or who has produced As identification and who did take an oath, as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC NOTARY PUBLIC -STATE OF FLORIDA NOTARY PUBLIC -STAB' Of K 14IdA � Rosemar Rost>tgr M� '�r� y McKee K ee I1. CoinrrlWon 6� #13C�110 � Cammis� ion #DD806715 ` r' f' F.xpir e AUG. 14, 2012 Sign `. °� t, -..v�. 1 ��`' "�;` ("xp�i �tIG. 14, 2012 Sign: `'', 11 � C 4 . ; 80NW1TNftU pll„�Ntlt li+?h ) Print � ; t 1 i`.� Print: r �CYic its 1�1 is My Commission Expires: My Commission Expires: APPLICATION APPROVED BY: �J ��U Plans Examiner Engineer (G U Zoning (Revised 07/10/07) Planning and Zoning Criteria i °Rte jr Miami Shores Village Permit NO. D S - 3 - 1 0 - 50 7 F 10050 N.E. 2nd Avenue .... PE�tiCflt gilt f6tvi(a rS ode #ktiJ$1 bs --^ - Miami Shores, FL 33138 -0000 ,M irk eiassifiafion: New Phone: (305)795 -2204 Fax: (305)756 -8972 FLOR[6� Issue Date: Not Issued Expires: Folio Number 1131010230310 Owner's Name: JAMES REGIS LEGO Owner's Phone: Job Address: 163 100 Street Total Square Feet: 1450 Miami Shores, FL Total Job Valuation: $ 7,000.00 ,tea Contractor(s) Phon Primary Contractor .Mj Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 3/29/2010 : Yes Comments: PLEASE RECHECK DRIVEWAY WIDTH AND DRAW TO SCALE, CAN NOT EXCEED 12 FEET IN WIDTH WITH 2 FOOT FLARES. 4/6/10 NEW PLAN OK P I Zl lanning and Zoning Criteria R Miami Shores Village Permit N0. DS-3-1 0-507 10050 N.E. 2nd Avenue W" f Wffl Tpe., 0, saidewa][abs, perynd y nVL Miami Shores, FL 33138-0000 Work Classfflcafion: New, Phone: (305)795-2204 Fax: (305)756-8972 Issue Date: Not Issued ExpiresNot Issued Folio Number:1131010230310 .. ...... ...... ..... ... . .. .. I Owner's Name: JAMES REGIS LEGO Owner's Phone: Job Address: 16310OStreet Total Square Feet: 1450 Miami Shores, FL Total Job Valuation: $7,000.00 i Contractor(s) Phone Primary Contractor Planning and Zoning Criteria and Comments Approved: No Date Denied: Comments: PLEASE RECHECK DRIVEWAY WIDTH AND DRAW TO SCALE, CAN NOT EXCEED 12 FEET IN WIDTH WITH 2 FOOT FLARES. OKA U-T 10050 NE 2 nd Ave Miami Shores, Fl 3313 Phone 305. 795.2204; Fax 305.762.5253 www.miamishoresvillage.com CONTRACTOR LICENSING/ REGISTRATION REQUIREMENTS FOR ALL CONTRACTORS TO REGISTER IN THE VILLAGE OF MIAMI SHORES THE FOLLOWING REQUIREMENTS ARE NEEDED: DADE COUNTY CONTRACTORS A. Certificate of Competency B. Dade Municipal Occupancy C. Dade Occupational Occupancy D. State Registration E. Liability Insurance Certificate F. Workers Compensation Insurance or Exemption STATE CONTRA ORS: A. V State License B. Occupational License C. Liability Insurance Certificate D V Workers Compensation Insurance or Exemption * * * * * * ** ** ALL INSURANCE CERTIFICATES MUST BE MADE OUT TO THE FOLLOWING * * * * * * * * * ** Miami Shores Village 10050 NE 2 AVE Miami Shores, FI 33138 ALL PERMIT APPLICATION REQUIRE THE QUALIFIERS NOTARIZED SIGNATURE Business Name: t1 Q Business Address: Iii a Business Telephone ) Fax Number: Qualifier Name: 0 STATE OF FLORIDA DEPARTMENT OF'BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487 -1395 TALLAHHAASSEE STR FL T 32399 -0783 GALLO, JAMES VINCENT PAVER CENTER & SHUTTERS INC 12209 83RD RD NORTH WEST PALM BEACH FL 33463 one million .sTar� Congratulationsi With this license you become one of the near! Q'4 14 Y DEPARTMENT.*;•OF `HL'JSINLSS.,� Ai�D.;. Floridians licensed by the Department of Business and Professional Regulation. PROFESSIONAL;',REQUT+AT�QIT;i; ::;`::: r•. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. s r CGC1506787 0:$/09.0!3 088010167;' Every day we worfc to improve the way we do business in order to serve you better. .5 For information about our services, please tog onto www.myflorldalicense.com. ':: CERTIFIED.`- _,G=3RA?is CON °•:: There you can find more information about our divisions and the regulations that `- �° GALLO; ' impact you, subscribe to department newsletters and loam more about the PAVER ; CENTER:& SHIITTER3:' INC 4' ' :'; -. Department's initiatives. Our mission at the Department Is: Ucense Efficiently, Regulate Fairly. We constants strive to serve o y g y y y ou better so that you can serve your customers. ' Thank you for doing business in Florida, and congratulations on your new licenses 2s `CERTxBrEn: w,aer.. . soas oi:•ca;489 ••: s:pirsCioa date�`' 31' ": 2.Q7,.� '. �.LQ88889QC386' � � =. DETACH HERE ACS . 9 0 40 Ei.OFFt-ORIDA DEPARTMENT OF•BUSS SS AND PROFESSIONAL► - REGULATION CONSTRUCTZOINDUSTRY LICENSING,:BOARD; SEQ#L08080900386 • LICBNS 'NBR ° �rx= . 0 �: 8 Q9 .20Q8 {3880.1Q1fi cac15`_.. t . Thee C�ENERPiL CE?NTRAGT R x:» :•. Q w .. t- ' Naze @. @ ' O � ps► }� =F: I D -'' l II -� . e h ..w. nd r: e ' � z'ov • "as a ; :� a S• ,.rat;ioii',�date�� p .,• -�:: ' ::;,:' � �f�.'�......,..�.. .;� >,. - j�' ..r"4: ;. 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'^�'' .,r•. t- � h': •r :•{ twie'f' ."f•.`a:;��}'.�•- rC�•4• :�' slw .rt�;:. . ?• tn;.: •;a.- .i fi::r „5:' ?:L;;a• - _ .... 'E 'es. : :y% ^ >:e�'.:J•,•• 1a.. .....! ��.., �k. ¢y'r� Lit ��..• ���{ � - ��� 7�i�' =.r .µ:. �i•.4� �r.^�a9s%''^ ^'• -'�' ti .•^x': .. J'l,', .:?`,w .s.:. ;_.,.�.,,,;.�,?�.. y;;�,L�t�- `�X�91.�k, ,,r �•���-- �'z•j�•+.�IIGL'I�,,iils �,� •� / ..r... & ta:..t {. :.! i . • i i iii J P T R A NS F R 1 •fir Z Z 5 Board of County Commissioners, Broward County, Florida BROINARD COUNTY LOCAL BUSINESS TAX RECEIPT F � (Re AC�2) FOR PERIOD OCTOBER 1, 2008 THRU SEPTEMBER 30, 2009 I . O RENEWAL D TRANSFER SEC # PENALTIES IF Para X 18 r' 18 0 TAX "7 . Q 0 OCT. -10% NOV -15yr BACK TAX ' DEC. - 20% ' After DEC. 31- 25% i X p NEW DATE BUSINESS OPENED 0 6/ 1 1/97 PENat TY ' Plus Tax Collection Fee of up to 525.E T.C. FEE Based on Cost of Business Tax K Paid STATE OR COUNTY CERTIREG *- TRANSR On or After November 30. Business Location Address: ' "` �+ ACCOUNT NUMBER �� •i :`a r+i r I- .r)r' 1••1 1. , 1 Y TOTAL 2 7. n FT I,•,A(i()E1 r)1ti !`. ?3`08 F 1 ' r' •c+ z BUSINESS F•I..I�i1:E: t'`i'��i'1 r'ifa- ..�;-�.;�; :N EEC � PAVER V. E N T r. R f. SIJUTTC:1: S ING GALLO .JAKS V /QIJAL THIS RECEIPT MUST BE CONSPICUOUSLY DISPLAYED 4- 460 N FEDERAL t W Y TO PUBLIC VIEW AT THE LOCATION ADDRESS ABOVE. FORT LAUDERDALE FL I) a ��� � � f,"• BR ARD TYPE OF BUSINESS TAX PAID •*.- couNTY;FMERAL CONTRACT BROWARD COUNTY REVENUE COLLECTION 2008- 2009 115 S. Andrews Avenue, L 301 PAYMENT RECEIVEDAS VAUDATEDABOVE *SEE INSTRUCTIONS ON REVERSE SIDE FORT LAUDERDALE. FL x3301 I " ' www.broward.org /revenue r. rr:I0-Of'1Cl(JIM - ) ri::a(Jf.'HJ(j2 100 0000001,3 00'005730 9 nOl 4 , ' M 3/1/2010 2:27 PM FROM: Southgate Insurance TO: 9544928769 PAGE: 002 OF 003 ACDRD CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYY) 03/01/2010 PRODUCER (954) 942 -4400 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Southgate Ins of Po Bch Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE g A gy HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 639 North Federal Highway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P 0 Box 728 P ano Beach FL 33062- INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A. Landmark Insurance Co Paver Center & Shutters, In INSURER B 4460 North Federal Highway INSURER C' INSURER D FORT LAMERDALE FL 33308 - INSURER E: COVERAGES 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 NTH 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I LTR NSRO TYPE OF INSURANCE POLICY NUMBER DATE (MMIDp�IYY) P DATEE CY (MMIDD1W) LIMITS A GENERAL LIABILITY LBA4739000 05/17/2009 05/17/2010 EACH OCCURRENCE $ 1,000,000 1 XrM. D ME RCIALGENERALLIABILITY AMAG TORENTED Eaoccurrence $ � 100 000 PREMIS CLAIMS MADE E1OCCUR / / / / MEDEXP(An one person $ 5,000 PERSONAL &ADV INURY $ 1, 000, 000 ducts - Included / / / / GENERALAGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 1,000,000 X POLICY ACT LOC AUTOMOBILE LIABILITY / / / / COMBINED SINGLE LIMIT $ ANY AUTO (Ea acc dent) ALL OWNED AUTOS / / / / BODILY INJJRY SCHEDULED AUTOS (Per person) $ ® HIREDAUTOS / / / / BODILY INJURY NON -OWNED AUTOS (Perecadent) $ PROPERTY DAMAGE (Peraoddent) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO / / / / OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLALIABILITY / / / / EACH OCCURRENCE $ OCCUR F-1 CLAIMS MADE AGGREGATE $ DEDUCTIBLE / / / / $ RETENTION $ $ WORKERS COMPENSATION AND / / / / TORYLPAITS ER EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? / / / / E.L. DISEASE -EA EMPLOYEE$ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONSILOCATIONS NEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS SCOPE OF WORK : Pavers & Shutters installlations. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT Miami. Shores village FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE Building Department INSURER, ITS AGENTS OR REPRESENTATIVES. 10050 NE 2nd Ave AUTHORIZED REPRESENTATIVE Y � -, ' t P:r ._ _ .• — Miami Shores Fi 33138- } " ;F: ACORD 25 (2001 /08) 0 ACORD CORPO 19 _ __INS025 (TIW04 -- -- - - — - - -- Page t of 2 y Certificate of Insurance This certificate is issued as a matter of information only and confers no rights upon the Certificate Holder. This certificate does not amend, extend, or alter the coverage afforded by the policies described herein. Named Insured(s): TriNet HR Corporation and all its affiliates & subsidiaries* Paver Center & Shutters Inc (Endorsed as alternate employer) Insurer Affording Cov erage COMMERCE AND INDUSTRY INSURANCE COMPANY (Aj 9000 Town Center Parkway -- — - ----- - - - - -- - - -- Bradenton, FL 34202 Coverages: 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 the 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. Aggregate limits shown may have been reduced by paid claims. Type of Effective Expiration Limits Insurance Insurer Policy Number State Date Date ® WC statutory Limits A 0 23259191 91 FL 07 -01 -2009 07 -01 -2010 - - - - - -- - -_ —_- - - - -- - - - - -- - - - - - -- Employers Liability Compensation Bodily Injury By Accident $2,000,000 Each Accident Bodily Injury By Disease $2,000,000 Policy Limit Bodily Injury By Disease $2,000,000 Each Person Others: Client Number 12090 The above referenced workers' compensation policies provide statutory benefits only to the employees of the Named Insured(s) on such policies, not to the employees of any other employer. TriNet HR Corporation; Gevity HR V, LP Cancellation: Should any of the above described policies be cancelled before the expiration date thereof, the insurer affording coverage will endeavor to mail 30 days written notice to the certificate holder named herein, but failure to mail such notice shall impose no obligation or liability of any kind upon the insurer affording coverage, its agents or representatives. Certificate Holder: Miami Shores Village AON Risk Services Northeast, Inc. Building Department Authorized Representative of AON Risk Services 10050 NE 2nd Ave Miami Shores rl 33138 (866) 443 -8489 01/12/2010 - -Phone . . - - • - - Date Issued — - - •— — Miami -Dade My Home Page 1 of 2 My Home s MIAMI- D7AD3E Show Me: Property Information Legend �x Search By ttl tST,S r y1 :i GisT ST Property Select Item Boundary Selected Property Text only m Property Appraiser Tax Estimator i TH Tf 3` _ #xW luatti TER Street Property Appraiser Tax '" Highway Comparison Miami -Dade County m Portability S.O.H. Calculator ® Water �r Summary Details: +tuj" NW-10 i s t Folio No.: 11- 3101- 023 -0310 a: fM Alk Property: 1163 NW 100 ST W E Mailing JAMES REGIS LEGO A ddress: S 163 NW 100 ST MIAMI SHORES FL 3150 -1205 f1iM,, T`i ET. titM 9�'F � Property Information: Primary Zone: 800 SINGLE FAMILY RESIDENCE CLUC: 0001 RESIDENTIAL - SINGLE FAMILY Beds /Baths: 3/1" Floors: 11 Living Units: 11 d' Sq Footage: 11,350 Digital Orthophotography - 2007 0 111 ft Lot Size: 18,025 SO FT Y ear Built: 11940 SONMAR PK ADD A RE- SUB PB 24 -71 W1/2 OF My Home I Property Information I Property Taxes Legal LOT 14 BLK 4 LOT 15 1 My Neighborhood I Property Appraiser Description: LOT SIZE 75.000 X 107 OR 18715 -2220 07 1999 Home I Using Our Site I About I Phone Directory I Privacy I Disclaimer 1 OR 18715 -2220 0799 00 Assessment Information: Y ear: 2009 1 2008 If you experience technical difficulties with the Property Information application, Land Value: $132,908 $220,841 or wish to send us your comments, questions or suggestions Building Value: $152,709 $152,839 please email us at Webmaster Market Value: $285,617 $373,680 A ssessed Value: $112,417 $112,305 Exemption Information: Web Site © 2002 Miami -Dade County. ear: 2009 2008 All rights reserved. Homestead: 1 $25,000 $25,000 2nd Homestead: I YES YES Taxable Value Information: Year: 2009 2008 Applied Applied T axing Authority: Exemption/ Exemption/ Taxable Taxable Value: Value: Regional: $50,000/ $50,000/ $62,417 $62,305 County: $50,000/ $50,000/ $62,417 $62,305 City: $50,000/ $50,000/ $62,417 $62,305 School Board: $25,000/ $25,000/ $87,417 $87,305 Sale Information: c�ie nmo �i�000 http: / /gisims2. miamidade .gov /myhome /propmap.asp 3/1/2010 'Miami -Dade My Home Page 2 of 2 ro vaw. rrraaa Sale Amount: $90,000 Sale O/R: 18715 -2220 Sales Qualification ales which are qualftied Desert tion: View Additional Sales Additional Information: C lick here to see more information for this p roperty: Community Development District Community Redevelopment Area Empowerment Zone Enterprise Zone [Non- oning Land Use Ad rban Development Boundary oning Valorem Assessments http: / /gisims2. miamidade .gov /myhome /propmap.asp 3/1/2010 M iami shores V illage Building Department t 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIPT PERMIT #: r DATE: / Contractor ❑ wner ❑ Architect icke - up 2 sets of p lans and herd o Address: From the building department on this date in order to have corrections done to plans And /or get County stamps. I understan at the plans need to be brought back to Miami Shores Village Building Depart ent to tinue perm' ng pro ss. Acknowledged by: PERMIT CLERK INITIAL: RESUBMITTED DATE: L k 6 Ito PERMIT CLERK INITIAL: �' � Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 R Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No: 10 -5, 7 Job Name 2010 Page 1 of 1 uildin Critique Sheet Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305 - 795 -2204 '04/06/2010 13:13 9544928769 PAVER CENTER PAGE e2 ThIs1 propOr'ry descrIbe a The West 1/2 of Lot. 14 and all ot! Lot 15, Block 4 DONMAn PARK ADDITION, 2 aocordIng to the Plat 1--hereof, as 24 'reco�rdpc1 i� n Plat Boo] �" ae �' 71 of the Publo ds '- Dade County F7' 3. j A •�Y • 9 5 ter, ,G' r / C P i p 40;d A52 a k ® O Z'1 A 190 A-,C- • _ .Miami Shores Village W , . O f _ It ROVED o EW l7.d �. nG. N �fU�QEPT YW B DG DEPT a+ 4 B'�. r / S BJ i O CCMPUANCE WITH ALL FEDERAL E� � 1' S TI N - Y WLES AND REGULATIONS to A 0101 ���G; 1�•� - M.4o�. 1m an an ' on Vq i t— /Q. I 1 19 °mss', mom I t _ P��yy..�� �' 400 PE PROPERTY OF1 Lac game R. , 111, 163 14 W. 1�� mss, �'lor3.t !Tilt V%I tU u rrt nutcr Y 9.t: ktttt0." A $l7UN AR.x 3tikM8Y awu t9.t uttn:tnat a4txt;a at fla t t•rset.t ceraty 1t.at' t4.1.e. 14"44•- LANNES ANI) t:AIiC'1A• INC. 0'4, 149.."4 t.9.T.M •an4e4 tsa.aon —go*. et.. m4n.mu/ar !,.li. !I 218011 An9. at st•t•n tetbn ► cat ltan drfdl let tcgtf4 bt the pnard eat Land Su wayotf on chapte, siGts.a til,Il till•: Yt)L Sti- A1A1'1'I•:Ittit- 1..AN1) PLANNI -rItti 11twi Adq.tntagatfrr t fte.. pY/aq m . to ERNESTO .0 . ESPS1403A #29146 SK9.aw4.N.t.027• It., ¢laigtm, the/a am ,.•a �MSPiQI,Ma "•a. .)."daps. waaa•rn•pe.lt appral lne b•. 11..• t•1a4, a•4f.�r 1t• +.. as •f."w.. , rtn � otiice adatra•aaf agg Atrwrar .venue. ('arrit tiaALya, F74.0e6t J.tt.t•t � y^ �... ;3ett l f.tr.T•tt1Y to c.tl a2 t - ttf.a t }� �JQ �'.�'_ t+'t / L y L / ,L � I L)iL'1'1{ aC'.11:8: I)RAWN LI It1Vt:. n • , � � Na_.. ►!!a M t��� '•'� / GQ,_ / / � G V � –•✓. ].069.5 1'age { of 2 This property described as: The West 1/2 of Lot 14 and all of _ Lot 15, Block 4, BONMAR PARK ADDITION, according to the Plat \ Z f thereof, as recorded in Plat Book 24, Page 71 e of the kuhlc Rords o Dade Coin F,es / �� - ,PF R O \.! Sy r DAB 1 1 BLDG D G SUBJECT i O CCMFI.IANCE TH DERAL STATE AND C;( UN iY nULFS AND PFOULATln1 i:S 14 � p i p v A/o '--rte go rp _ •�� 0 , • �3° 12. _ .�;$ • r Go y • , Q . 8.40 p �• / 3.75 � � m •.,; ; � r\ � •_ 00 14 0 Z. z 14.40 0 M o 71-- 7 C115 PROPERTY OF: Lego, James R., =P�,, ��3'N:VC• : -:01)•th Sept, Miami Shores, Florid Nile i %I III wrl il/Hrl "111l� tllt .tRt q ". s t9RYEY ,. 1 't' INC. . ►AllltiC, / /NICiN.U.(t•t!S ► I�:1 �( #r t r) end♦j, -�f 1 ►ht t rapre• , , • j' • ► 'I.uNlutt.tt'I:NS /:uSI1H11t7(f� Ut � �a� � reo t►, q ry mrryuW •• • i i - E ��� /// t ,tNU.Itrrit er1f!n`kaI and ' 1401 'bl 9 " • •tit 1 '1� 't) zS 1 :t- .� 1) MANNERS an e 3 t ha y a1G1� • • JOB urtuarR4o • • -• • _ `' NQ ,;orb ' Star t ;here are r+u �' e croac over �atemrntt a reni < INa a ter to, at "; Pt vruue ►•ai Gables. Mur(da 33134 • • • 000 llice rdd e s "1 csw�� p ��U �,.. • • • • ��� #3�{,•'9 (')fit) 23 -Sh63 � - __ =- W�j • t�.1�.1.�i/ 1) tit',1tar: 111tA�YN 1tY plttV(:, N ,. t►►.aurtvrvn t�r0►Zt ki i i on This property described as: The West 1/2 of Lot 14 and all of —_ Lot 15, Block 4, BONMAR PARK ADDITION, according to the Plat 2 �, thereof, as recorded in Plat Book 24, Page 71 of the Pub Records of�� t Dade Count v, Florida. I 45 /- VN 0, Ve LTA JECT i0 CCMF�I.IANCE WITH ALL FEDERAL ,'I / TE AND �c UN Y riULES AND PEGUTATIO ^JS f J a tee AIM) r . - IfJ/• t If r - 7. 0 �J d D r G33o C tole CG a \ Q `ter p' A. . c.9' ° (00 • _. 0 owe � �• ' gOro d . 1: 5 Xz o ZG 4 p•� Z � �z D• 4 GG � t4'� •.'• IQ.4o • t N I vey �SP� 't1y ""ut 0 IS • •�• 'O® h e , is Shores, Florid PROPERTY OE: Lego, James R., 11 •�. HIS 1 ll III N'fIIIIRrt "1IIY.SIIalt A BOUNDARY tt+¢i'^ ' L _Y NES AND GAR IA. INC. .this 1111: I►1111:INA i. 11d44Ci►Si:At. /►P I herel+s ceru(y 1h a1 II ���epr�' s, - vl.uulu► 1.11'1nsluxuus'rvull sensed hereon meaq w1 :* �• I-It. H 2098 Aauslsrt•11 technical Standard%s;l t e, a 17 • 2�►rISYOR4- 111A1'I'I�.RS -LANI) 1'I.ANNF.ItS of land Surveyors h h it 6° florida Adeninis1146 ll d ' + r is' 4 ' Section 471.017 f►a. Sea us . +er a�lv RNESTO L'''SPYNOSA #2946 encroachment.. nvcri appearing an she M 11 er i + 14 lice 4tddress: 3S9 Alcurur Aaesitle. Voral Guldrs. Morlda .1.1 Lt•1 •howo ►po • • (ans) 6f,6-7909 �r►s tl S:a.x ' - • • i +��' ��rr >1�1'i? :4<'Alas DRRA DIM.. N� A1IMYIYhM M4/ ► �G/`< /'!© �VQ7�- QAI InkX G -1 ••• • • • ••• • • • • • • • • • • • • ••• • s • • ••• • • s • • • • ••• • • • • • • • • • •• ••• •• • • • •• • •• • • • • ••• • 00 ••• • • • • • f•