FW-09-1729Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 127477
Scheduled Inspection Date: December 16, 2009
Inspector: Bruhn, Norman
Owner: PARTNERSHIP, BIMIJA
Job Address: 160 NE 99 Street
Miami Shores, FL 33138-
Permit Number: FW -10 -09 -1729
Project: <NONE>
Contractor: BILD PROPERTIES INC
Permit Type: Fence/Wall
Inspection Type: Final
Work Classification: Wire Fence
Phone Number
Parcel Number 1132060132250
Phone: (305)271 -4339
Building Department Comments
new chain Zink
Passe
Failed
.1/9/Jrc4.
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
cL
December 15, 2009
For Inspections please call: (305)762 -4949
Page 8 of 23
Miami Shores Village
Building Department
/0050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING
PERMIT APPLICATION
FBC 2004
j Iw
DEC 0 4 2009
Permit No. l) (9` nag
Master Permit No.
Permit Type (circle): Building Roofmg /,I,,
Owner's Name (Fee Simple Titleholder) b1..IAA �(Jt�l R it Phone # c 6 -21-0 -V0((0
Owner's Address )i(Q3cl i 1 s l 11� i-
1
City WO,Aryl:i State Zip 331 —1005
Tenant/Lessee Name \J Pc 0,4if 1...-Ikt4 Phone #
Job Address (where the work is being done) l 60 (ka ST
City Miami Shores Village County Miami -Dade
FOLIO /PARCEL# 3L0(o m D1S — 2./50
Is Building Historically Designated YES NO X
Contractor's Company Name ; Id
Contractor's Address it (0 30 N
\) dims, I1Ae .
V It 1ve
Phone #
Zip 3313
30c- l-4331
City MX Ofilmk
Qualifier Name A--MNv oto d
/�
State Certificate or Registration No. t,6IC 01 43 43
State Pt-
Zip 33/3(0-/OO5
Phone# 305 - z?-1 -4331
Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
Value of Work For this Permit $
Type of Work:
Describe Work:
(Zs QD
Square / Linear Footage Of Work:
to
❑Addition ['Alteration 12(New ❑ Repair/Replace
_ lna C, . try- link- ► 1 i �,
I
❑ Demolition
******** *aa **** ** *a *** * *** * ****** **** *a Fees * * * * * * * * **** ** *** *, *, *** *** *** **** *gaga ***
CCF $ '
Training/Education Fee $ Technology Fee $
Submittal Fee $ Permit Fee $
Notary $
Scanning $ •0 Radon $
,840951-
ar
DPBR $
CO /CC
1.620
Zoning $
Bond $ Code Enforcement $ Double Fee $
Structural Review. $ Total Fee Now Due $ °
See Reverse side ->
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
c:16-21- Agent "f't'''e
The foregoing instrument was acknowledged before me this 2 3
day of (fikl b &r , 20 / ! by 41 ,
who is personally known to me or who has produced Pt.
• L i C • As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: r7 4Mf
My Commission ' xpires:
Signature
Contractor
The foregoing instrument was acknowledged before me this2f
day of eM , 20 ``, by Ar
who is personally known to me or who has produced tai .
116 • as identification and who did take an oath.
111/4 ELAINE PENAGOS
.+r_ MY COMMISSION # DD 825118
4 EXPIRES: September 22, 2012
Boned T ru Notary Public Underwriters
Sign:
0.5 Print: euffive- P
1-22° Z OI 2 My Commission Expires: q _ ZZ _ zb 2,
**** sir* sir*** * **** ** * * **** **** ** **** * **** *** * * ***** * ** * * **** * ** * ** * * * * * *** ** ** ** * ***** *sir *,t***** ***W*** ** ** *****
APPLICATION APPROVED BY:
(Revised 07/10/07)
le /de
Plans Examiner
Engineer
Zoning
in an ni j COI r a
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax (305)756 -8972
Folio Number:1132060132250
Owner's Name: BIMIJA PARTNERSHIP
Job Address: 160 99 Street
Miami Shores, FL 33138-
Contractor(s)
HOME OWNER
Phone
Owner's Phone:
Total Square Feet:
Total Job Valuation:
Primary Contractor
Yes
115
$ 1,200.00
Planning and Zoning Criteria and Comments
Approved: Yes Date Approved: 12/8/2009 : Yes
Comments: WHAT IS HEIGHT OF FENCE. FENCE IN FRONT YARD CAN NOT EXCEED 3.5 FEET OTHERWISE 5 FOOT
HEIGHT LIMITATION.
NOTE TO PROPERTY OWNER: THE PROPERTY IS PART OF AN AREA BEING CONSIDERED FOR DESIGNATION AS
PARKING ON THE FUTURE LAND USE MAP. A HEARING WILL BE HELD IN NOVEMBER. YOU MAY CONTACT
PLANNING FOR MORE INFORMATION.
12/8/09
4 FOOT FENCE ALLOWED IN SIDE YARD 25 FEET BACK FROM FRONT LOT LINE AND IN REAR YARD.
Miami Shores Village
Building D epartment
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
BUILDING
PERMIT APPLICATION
FBC 20O"
Permit Type:
ROOFING
la OCT 21 2009 AY
Permit No. .O fl2 l
Master Permit No.
Owner's Name (Fee Simple Titleholder) emit L; Mt ( (&kt Phone # 3 > 2-}0 -Q 4 1(o
Owner's Address 1j(03(. N icLKd&)( O vL
City Mi 6tMet i State FL
Tenant/Lessee Name
Email �la�ne btld pope /lies . &oil
Job Address (where the work is being done) UFO h1 k" - q "S1
Zip 33t ?4og -1CJOS
City iami Shores Villa•e County %ami -Da Zip
FOLIO / PARCEL # (1- 32010 - 013 - 22,
Is Building Historically Designated YES 0
Contractor's Company Name
Contractor's Address
City
Qualifier Name
State Certificate or Registration No.
Contact Phone
Phone #
mail
Flood Zone
VA-
Zip
Phone #
Certificate of Competency No.
Architect/Engineer's Nam \(if applicabl �. �� Phone #
Value of Work For this Per ". $ k. 3 Square / Linear Footage Of Work: / f
Type of Work: ['Addition ■ ;aeration ❑New ❑ Re air/Re lace
p ' p ID Demolition
Describe Work: f)c2 a 1 2 ,v?
** **** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * *,r *. *** * * * * * * * * *x * *.,*** * * * * * *,r * * * * *,r * * * * **
Submittal Fe $ Permit Fee $ CCF $ CO /CC .$
Notary $
Scanni ' g $ Radon $ DPBR $ Bond $
Double Fee $ Violation date:
Training/Education Fee $
Technology Fee $
Structural Review. $ Total Fee Now Due $
i
See Reverse side —*
and 5012vey 2 0.8/6y
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
r Agent Contractor
The foregoing instrument was acknowledged before me this 1(0 The foregoing instrument was acknowledged before me this
day of lAtiL, 20 eft, by kiNPLo kl! day of , 20 , by
I � � C?� 'R3
who is personally known to me $ r who 1 hf s F pro use� ns � d L riv1G{I7 who is personally known to me or -who has produced
�. LeA, As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:.
My Commission Expires:
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
* * * * * * * *x**** ** *use * * ** * * ** * * * **** **********************************,**,*** x * * * * * ** *x * * * * * * * * * * * * * * * * * * * **
APPROVED BY
Plans Examiner
Engineer
(Revised 07 /10 /07)(Revised 06/10/2009)
Zoning
Clerk checked
AFFIDAVIT
STATE OF FLORIDA )
COUNTY OF.MIAMi -DADS )
BEFORE ME, the .ur dersigned authority, personally appeared ALFRE 0 BILDt who,
ter having been first duly sworn upon his oath states as follows:
1. That your Affiant is the President of SWAMI ., INC„ Florida Corporationn; the sole
General Partner of BIMIJA LIMITED PARTNERSHIP, A Florida Limited Partnershi} - rlimited`
Partnership "),
2. The Limited Partnership, rs stilt in existence.
.. There have been > no changes in the partnership since it was formed .on: March 1 t3
1999.
The only general partner of the partnership consists of:
BIJAMJ, INC. a Florida Corporation:
TheliMited Partnership has approved the general partners to _sign ctiritracts'to rent,
sale, 'manage the properties, sign lines. of credits, sign, mortgages and notes and
change /cancel insurance policies on all properties owned by the partnership.
FURTHER AFF1ANTS SAYETH NAUGHT.
STATE OF FLORIDA)
}'
COUNTY OF MIAMI -DADE )
ALFREDO BILi
PRESIDENT
The foregoing instrument was acknowledged before a this 8th day of MAY, 20Q8, by Alfredo
Mid,. as president of B jami, .Inc., a :Florida Corporation, on' behalf of`the corporation. He/She
C its personally known to me; or ( ) has produced Florida. Drivers License as
identification.
N TAR PUBLIC', ; .ATE:. OF FLORIDA
Print Na" e�
Commission Number..:` �'
• , •
• . °. :roe..
• t .3 „
IN THE CIRCUIT COURT OF THE JUDICIAL
CIRCUIT IN AND FOR DADE COUNTY, FLORIDA
GENERAL JURISTICTION DIVISION
CIVIL ACTION NO. 08-60034 SEC. 11
BIMIJA LIMITED PARTNERSHIP A Florida Limited Partnership
Plaintiff (s) / Petitioner (s)
vs.
160 ENTERPRISES L.L.C., a Florida Limited Liability Company
Defendant (s) / Respondent (s)
CFH 2009R0503857
OR Bk 26937 Ps 23461 (ips)
RECORDED 07/13/2009 12:09 :51
DEED DOC TAX E70.00
SURTAX 652.50
HARVEY RUVIH, CLERK OF COURT
l7IAtfl -DADS COUNTY, FLORIDA
LAST PAGE
CERTIFICATE OF TITLE
Chapter 45
THE UNDERSIGNED CLERK OF this Court Certifies that a Certificate of Sale was executed
and filed in this action on June 24, 2009, for the property described herein and that objections to the sale
have either not been filed within the time allowed by statutory law or, if filed, have been heard by the
court. The property in Dade County, Florida and described as follows:
Lot 6 and the East 1/2 of Lot 7, Block 17, MIAMI SHORES SECTION NUMBER ONE AMENDED, according to the
plat thereof, as recorded in Plat Book 10 at Page 70, of the Public Records of Miami -Dade County, Florida.
was sold to:
BIMIJA LIMITED PARTNERSHIP A Florida Limited Partnership C/O ROBERT WAYNE ESQ, 1225 SW 87
AVENUE, MIAMI, FL 33174
WITNESS my hand and seal of this Court on July 7, 2009
By:
Harvey Ruvin, Clerk
Book26937/Page2346 CFN #20090503857 Page 1 of 1
Permit No: 09- / 7)
Job Name:
db , 2009
CO 1- /"'c'e---14--
Miami Shores Village
Building Department
Building Critique Sheet
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Page 1 of 1
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
3o5
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138-0000
Phone: 305 795 -2204 Fax: 756 -897
l ) 2
c3o�?
Permit NO. FW -10 -09 -1729
Issue Date: Not Issued
POW &MN
Expires:Not issued
Folio Number:1132060132250
Owner's Name: 160 ENTERPRISES LLC
Job Address: 160 99 Street Total Square Feet: 115
Miami Shores, FL 33138- Total Job Valuation: $ 1,200.00
Owner's Phone:
Contractor(s) Phone Primary Contractor
HOME OWNER Yes
Planning and Zoning Criteria and Comments
Approved: No Date Denied: 10/21/2009
Comments: WHAT IS HEIGHT OF FENCE. FENCE IN FRONT YARD CAN NOT EXCEED 3.5 FEET OTHERWISE 5 FOOT
HEIGHT LIMITATION.
NOTE TO PROPERTY OWNER: THE PROPERTY IS PART OF AN AREA BEING CONSIDERED FOR DESIGNATION AS
PARKING ON THE FUTURE LAND USE MAP. A HEARING WILL BE HELD IN NOVEMBER. YOU MAY CONTACT
PLANNING FOR MORE INFORMATION.
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138-0000
Phone: (305)795-2204 Fax: (305)756-8972
Permit NO. FW-10-09-1729 FenceMtatt
Peti Type.
issue.Date: Not Issued
Expires:Not issued
Folio Number:1132060132250
Owner's Name: 160 ENTERPRISES LLC Owner's Phone:
Job Address: 160 99 Street
Total Square Feet: 115
Miami Shores, FL 33138-
Total Job Valuation: $ 1,200.00
........... •••
Contractor(s) Phone Primary Contractor
HOME OWNER Yes
Planning and Zoning Criteria and Comments
Approved: No Date Denied: 10/21/2009
Comments: WHAT IS HEIGHT OF FENCE. FENCE IN FRONT YARD CAN NOT EXCEED 3.5 FEET OTHERWISE 5 FOOT
HEIGHT LIMITATION.
iJ
ALEX SINK STATE OF FLORIDA
CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORKERS' COMPENSATION
* * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW *
CONSTRUCTION INDUSTRY EXEMPTION
This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law.
11 -30 -2007
EFFECTIVE DATE:
PERSON:
FEIN:
11/30/2007 EXPIRATION DATE: 11/29/2009
BILD ALFREDO
650007886
BUSINESS NAME AND ADDRESS:
BILD PROPERTIES INC
11636 N KENDALL DR
MIAMI FL 33178
SCOPES OF BUSINESS OR TRADE:
1— CONSULTANT
2— CERTIFIED GENERAL CONTRACTOR
*
IMPORTANT: Pursuant to Chapter 440 . 05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this
section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(121, F.S., Certificates of election to he exempt... apply only within the
scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of
election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or
certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person
named on the certificate to meet the requirements of this section. QUESTIONS? (850) 413-1609
DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09 -06
11-16-2009
ALEX SINK STATE OF FLORIDA
CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORKERS' COMPENSATION
* * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW
CONSTRUCTION INDUSTRY EXEMPTION
This certifies that the individual listed below has elected to be exempt from Florida Workers° Compensation law.
EFFECTIVE DATE:
PERSON:
FEIN:.
11/16/2009 EXPIRATION DATE: 11/16/2011
BILD ALFREDO
650007886
BUSINESS NAME AND ADDRESS:
BILD PROPERTIES INC
11636 N KENDALL DR
MIAMI FL 33176
SCOPES OF BUSINESS OR TRADE:
1- CONSTRUCTION 2- REAL ESTATE DEVELOPER
IMPORTANT: Pursuant to Chapter 440 . 05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election ander this
section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.06112), F.S., Certificates of election to be exempt... apply only within the
scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of
election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or
certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person
named on the certificate to meet the requirements of this section. QUESTIONS? (850) 413-1609
DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09 -06
PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE
STATE OF FLORIDA
DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORKERS' COMPENSATION
CONSTRUCTION INDUSTRY
CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA
WORKERS' COMPENSATION LAW
EFFECTIVE: 11/18/2009
PERSON: ALFREDO BILD
FEIN: 650007886
BUSINESS NAME AND ADDRESS:
BILD PROPERTIES INC
11636 N KENDALL DR
MIAMI. FL 33176
EXPIRATION DATE: 11/16/2011
SCOPE OF BUSINESS OR TRADE
1- CONSTRUCTION 2- REAL ESTATE DEVELOPER
IMPORTANT
F Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who
elects exemption from this chapter by filing a certificate of election
L under this section may not recover benefits or compensation under this
D chapter.
Pursuant to Chapter 440.05(12), F.S., Certificates of election to be
H exempt... apply only within the scope of the business or trade listed on
Rthe notice of election to be exempt
E Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt
and certificates of election to be exempt shall be subject to revocation
if, at any time after the filing of the notice or the issuance of the
certificate, the person named on the notice or certificate no longer meets
the requirements of this section for issuance of a certificate. The
department shall revoke a certificate at any time for failure of the
person named on the certificate to meet the requirements of this
section.
QUESTIONS? (850) 413 -1609
CUT HERE
* Carry bottom portion on the job, keep upper portion for your records.
DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09 -06
.l2. _sir" ' P 14: 41 3052747041
Fs:alTy f•: +b, mtcordeH Fa,dD:4iaemer Insurantut.
BILD PROPERTIES
mane .1 CT 1
CERTIFICATE OF LIABIL
Tneuraauce Agcy
) 1 Itgd
17o„e, 190669
.r =' : ; := � udezdale Ei. 3331.9
7a1n C °954 - 731 -5566 fa :954- 731 -8488
1,4,z.,141 rti 8, Inc
1.636 1d Keuda�1 Drive
,t. `,eai FXi 33178
.......,, , _ PAGE 01/01
ITY INSURANCE OP ID AM
EILLD
eaTEiM1AIDAM�17
12/01/09
OR
BELOW.
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND coNFERS NO RIGHTS UPON THE CERTIFICATE
HOLDEF L THI$ CERTIFICATE DOES NOT AMEND, EXTEND
ALTER THE COVERAGE AFFORDED BY THE ROUGES
INSURERS AFFORDING COVERAGE
NAIC 8
minim A: mid - continent casualty Co
23418
INSURER E:
INSURER C:
INSURER D:
iNStAtER E:
;A, ! ° ° >° INC3 RANGE LISTED BELOW HAVE PEEN ISSUED TOTE INSURED NAMED Ar2OVE FOR THE F01.14"y PERIOD INDICATED. Nol'API 4STAI DI NG
TNt Cd'. CONDI -Row OF ANY COMPACT OR 01I4 DOCLAENT WITH Rk' °CT TO WHICH THIS CERTIFICATE MAY SE 15FUED OR
i:;• P€ INSURANCE AFPORDGO SY THE POL(CIEB DESCRIBED FERElN 19 tAIECT TO ALL THE TERNS. ETCCLUSIO S AND CONDITIONS OF SUCH
vv.P.EGATE Uw :.•44owN MAY HAIM SON REDUCED BY PAID CLAIMS.
'id;"L19rLNSURANCE
MADC [I] OCCUR
POLICYNIAdEER
L L1tL5.tTY
ri
•Ccu4: []CLAMS MME
^:Jt1CTIGt! E
;r: , tsi 7:5 ter,
LGU't+9 LTAaA,ITY v
R. ,s, ORIPAFT: ER/EXECVEVE
ET �EWTRgxt.IWRx1?
rra iR wH)
meitr
aDvi,i[•NS aniaai
04013000748072
DATE WYYY1'►' DATE f MYYY)
02/25/09
LINTS
EACH OCCURRENCE
02/25/10' {EaUraaa)
MED IV WY w g Ramp)
PERSONAL & AM/ INJURY
GENERALA'GREGATE
RRODUGT^B - COMWOP AS4
1,000,000
100,000
$Excluded
$1,000400
2,000,000
2 r000,000
04011000748072
COM61NSD SINGLC UMTT
(Ea eeeldent)
BODILY INJURY
(Perpen;E1
02/25/09 02/25/10 BODILY IN>uRY
(Par ar..ito t)
,000,000
PROPERTY DAMAGE
{Par ateldent)
AUTO CGNLY - EA ACCIDENT a
OTPCRTHAN
AUTO ONLY:
aA ACC
AEG F
EACH OCCURRSNCE
AGGREGATE
vvt.
T iimt8 uL
E,L. PAN ACCIDENT
L.L. DISEASE - EA EMPLOYEE $
E.L. DISEASE - POLICY UMIT $
Csi "WW I/ t,DCATioNIi 1 va41d.ES / EX ADDED SY ENDOREE'ANT 1 EPECMI. PRDMSIONS
91€3,ge o!,' Miam& laborers
10050NZ 2Ave.
= s <4, i Shores FL 33138
-tIJOi) ..
tr
CANCELLATION
s2
MLLE ANY OF THE MOVE DESCRIBED POLICIES BE CANCELLED WORE TH EORAT(ON
DATE TFE3R -ffra mum INSURER WILL ENDEAVOR To MAL 2.0 DAYS Witrrrav
ROT10E 70 THE CERTIFICATE HOLDER NAM$0 TOME LEFT, GUT PAWNS TO 0o SO SHALL
Rem No osu0AT10N oR LUIBELRY OF ANY NIND uPON THE fPb ACA. ITS AGENTS OR
REPRESS ITATIYEE.
1819118.21109 ACORD CORPORATION. AA Wits resarvel.
The ACORD name and logo an reglshred marks of ACORD
05/e6/2007 22:31
- ■rons■14441,114.1.1..
3052747a41
BILO PROPERTIES INC
1p0M3V1Eri
la OCT 44 21?' LJ
SKETCH OF SURITtY '
— ci.:%1* 9 -I- S. '7C-x
■11111•■ .1■1
tRASS
0
E
• •
• •
• •
• •
•
0
0
0
cc
SUBJECT TO COMPLIANCE WITH ALL FEDE
STATE AND COUNTY RULES AND REGULATIONS
MPAMINIM6vemiii
20
SCALE: 1 II
1 o.,07.481 *ISM
REV• 1)6T-C".0..
4.*:;••
• • • 44:4•4V 04 00
• 1.0
• • ••• • •
••• •
Egi/TErd 0S82 V9E GBE
3NAUM ImmoN S33IAA0 MTfl
61:91 600E-80—IX
Z0'd 1&101
A. R. Tt IJSSAiNT & ASSOCIATES. INC.
LAND SURVEYORS
FtDRIDA CERTIFTCA1E OF AUTHORIZATION NO, L8- -173
520 H.E. 1 S 5T. NORTH MAYO. FLORIDA MIS
Fe: 505 P0. 7U DATE: APRIL 201 2005
ORDER Nu. 13722 SCALE: 1" = 20'
talr -
LOCATI7N 14I�AP'
SCALE: 1'= 100'
4A.M.rfl Lk RI OTEs
ELEVATIONS SHOWN HEREON REFER 70 THE
NATt0tNAM, GEODETIC VERTICAL DATUM, 1329.
LEGEND..:
IP
E r PROPERTY LINE
uht
mor
• •• • ••• • •. 50 • •� • • • 0 • •• • • ••
••" O FEET
• • •••
•• • • • • • • • •
• • • •••• •
• W ELEVATIONS
;OPTION _ .,
• • •
•
i
VILLAGE OF MIAMI SHORES
OWNER BUILDER DISCLOSURE STATElYIENT
NAME: I Li Imp t fai iiushl l 6 DATE:
� Q 1 DPI
ADDRESS: Re0 NE ctiq ST, Mi pMti Slioris) FL
Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws
of the State of Florida, F.S 489.103(7). And I have read and understood the following disclosure
statement, which entitles me to work as my own contractor; I further understand that I as the
owner must appear in person to complete all applications.
State Law requires construction to.be done by a licensed contractor. You have applied for a
permit under an exception to the law. The exemption allows you, as the owner of your property,
to act as your own contractor even though you do not have a license. You must supervise the
construction yourself. You may build or improve a one - family or two- family relidbnce. You may
also build or improve a commercial building at a cost of $25,000.00 or leas. The building must be
for your own use and occupancy. It may not be built for sale•or lease. If you sell or lease a
building you have built yourself within one year after the construction is complete, the law will
presume that you built fot sale or lease, which is a violation Of this exemption. You may not hire
an unlicensed person as it contractor. It is your responsibility to mike sure the people employed
by you have licenses required by state law.atid by county or municipal licensing ordinances. Any
person working on your building who is not licensed ttrgst work under your sgpervision and must
be employed by you, which means that you must deduct F.LC.A and with- holdings tax and
provide workers' compensation for that employee, all as prescribed by law. Your construction .
must comply with all applicable laws, ordinances,.buildings codes and zoning regulations.
Please read and initial each paragraph.
1. I hold. title to the above property and I am planning on doing this construction
Myself.
2. I understand that as an owner- builder I must abide by all zoning ordinances and
building regulations in effect at the time of permit application. Inactive
permits for a period of over 180 days will become null and void (expired)
and a new permit will be required. to be issued for reinstatement of the
permit.,
Initial
3. I have an understanding of the 2004 FB C & FRC and understand that this
department and its inspectors are there to help enforce and interpret the code.
There is a copy of the code in this office for review.
Initial
4. h understand that the building official and inspectors .are not there to design,
alter or give advice on how to meet code — only if the structure meets the
minimum code.
Initial /11
5. 1 understand that as an owner - builder, that any contractor disputes with sub-
contractors and myself must be handled in a civil court with the advice of i
attorney. The department will not mitigate any contract disputes.
Initial
6. I understand that if I compensate any person or company for work performed
they are requited to hive a business license in the county. If for any reason they
do not posses a business license I will be responsible and liable for any wrong
doing from this unlicensed company or person.
Initial
7. I understaiad'that if any person gets injured on my construction project they are
entltled to workmen's compensation.. And if they do not posses a workmen's
policy I could be held liable for all doctor and related cost which could include
kiss of wages during recovery from injury.
Initial A
8. .I understand .that under state and local laws I can not do . any Electrical,
Plumbing, Heating, Air & Roof work on my 'property with out first obtaining
the proper permits by licensed contractors.
Was acknowledged before me this 1 Id day of 0 l✓hk( ,
By Att !');10 t(-�t tit C'ijamt , �V1 @ whop person lly known to me or who has
eill
it �,YQl�f OF rh,d,Gx Ptifrefilk
Produced there License or rt. b 12. L 1 C . as identification.
,,,(/".e-04 Or /4 WNER �►
ELAJNE PENAQOS
MY COMMON B DD 825118
EXPIRES: September 22, 2012
• • ' • Bonded Ttau Noffi y Public Underwriters