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RC-11-161Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 164008 Scheduled Inspection Date: September 01, 2011 Inspector: Bruhn, Norman Owner: GUZMAN, CARLOS Job Address: 30 NE 93 Street Miami Shores, FL 33138- Project: <NONE> Contractor: HOME OWNER Permit Number: RC -1 -11 -161 Permit Type: Residential Construction Inspection Type: Final Work Classification: Alteration Phone Number Parcel Number 1132060130200 Building Department Comments KITCHEN REMODEL Passed, %`� 7 7 /y Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments August 31, 2011 For Inspections please call: (305)762 -4949 Page 23 of 25 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 Permit No. \ICU H CO '1 Master Permit No. BUILDING PERMIT APPLICATION FBC 20 Permit Type: BUILDING OWNER: Name (Fee Simple Titleholder): (.i 1 k ( (3S O ?"..0 '°\ Phone #: 7 6- Address: 0 t' St' .trP, - City: s■Oo "tna , Sk—N, `S, State: r/ - p o, a a 6 Q Zip: S3 / .f Tenant/Lessee Name: Phone #: Email: CAA CS V (1 U lL"% J . *01 . c_c3 IVO • JAN 3 1 2011 Cl r)0,Q 722 JOB ADDRESS: L City: Miami Shores Folio/Parcel #: Is the Building Historically Designated: Yes County: Miami Dade Zip: NO Flood Zone: CONTRACTOR: Company Name: C ')W V ' Phone #: Address: City: State: Zip: Qualifier Name: Phone #: State Certification or Registration #: Certificate of Competency #: Contact Phone #: Email Address: DESIGNER: Architect/Engineer: _ Phone #: Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: DAddress PA1 ration Description of Work: V\ ( c ONew DRepair/Replace ODemolition COLOR THROUGH ROOF TILE IS REQUIRED acknowledged by: ******** * * * * * **** * * * * * **** * *** *** * * * * ** Fees************* * * * ** ** * * **** **** * **** *** * * * * ** Submittal Fee $ S 0 0 , CrXI Permit Fee $ C%) CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 6 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 c. of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subje at 'a c' ent. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspect i, >n 'hich . cu s seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not , e a' rov ;and • reinspection fee will be charged. Signature Signature Agent Contractor The foregoing ins n'� owledged before me this 4J J The foregoing instrument was acknowledged before me this -ng day of S) ,20U, ay of ,20 ,by who is personally known to me or who has produced It l who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: ``� Silver Sign: _ — >\C_� +� Sign: Print: ' o�,�6�1 Ue��� Print: My Commission Expires: = ': 0���� % ; — My Commission Expires: Vi t 1 .• Q- Nrr /nrn�/ APPROVED BY ad'V. ,/✓ Plans Examiner Zoning Structural Review Clerk (Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09)(rev6 /4/10) Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 0 NER BUI!, R DISCLOSURE STATEMENT NAME: �, S Z V■� DATE: % J 30 Ore �3 '.6 s+- ADDRESS: 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 residence. You may also build or improve a commercial building at a cost of $25,000.00 or less (The new form states 75,000). 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 for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as a contractor. It is your responsibility to make sure the people.employed by you have licenses required by state law and by county or municipal licensing ordinances. Any person working on your building who is not licensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.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 understand that state law requires construction to be done by a licensed contractor and have applied for an owner - builder permit under an exemption from the law. The exemption specifies that I, as the owner of the property listed, may act as my own contractor with certain restrictions even though I do not have a license. Initial k-- 2. I understand that building permits are not required to be signed by a property owner unless he or she is responsible for the construction and is not hiring a licensed contractor to assume responsibility. 3. I understand that, as an owner builder, I am the responsible party of record on a permit. I understand that I may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own name. I also understand that the contractor is required by law to be licensed in Florida and to list his or license numbers on permits and contracts. Initial 4. I understand that I may build or improve a one family or two- family residence or a farm outbuilding. I may also build or improve a commercial building if the costs do not exceed $75,000. The building or residence must be for my use or occupancy. It may not be built or substantially improved for sale or lease. If a building or residence that I have built or substantially improved myself is sold or leased within 1 year after the construction is complete, the law will presume that I built, r substantially improved it for sale or lease, which violates the exemption. Initial 5. I understand that, as the owner - builder, I must provide direct, onsite supervision of the construction. Initial \V "e-'1 t 6. I understand that I may not hire an unlicensed person to act as my contractor or to superve persons working on my building or residence. It is my responsibility to ensure that the persons whom I employ have the license required by law and by county or municipal ordinance. 7. I understand that ft is frequent practices of unlicensed persons to have the property owner obtain an owner- builder permit that erroneously implies that the property owner is providing his or her own labor and materials. I, as an owner - builder, may be held liable and subjected to serious financial risk for any injuries sustained by an unlicensed person or his or employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner- builder and am aware of the limits of my insurance coverage for injuries to workers on my property. �, • Initial 8. I understand that I may not delegate the responsibility for supervising work to be a licensed contractor who is not licenses to perform the work being done. Any person working on my building who is not licensed must work under my direct supervision and must be employed by me, which means that I must comply with laws requiring the withholding of federal income tax and social security contributions under the Federal Insurance Contributions Act (FICA) and must provide workers compensation for the employee. I understand that my failure to follow these may subject to serious financial risk. 9. I agree that, as the party legally and financially responsible for this proposed Construction activity, I will abide by all applicable laws and requirement that govem owner - builders as well as employers. I also understand that the Construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. Initial 01/(-- 10. I understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service, the United States Small Business Administration, and the Florida Department of Revenues. I also understand that I may contact the Florida Construction Industry Licensing Board at 850.487.1395 or http:// www. mvfloridalicense .com /dbpr/pro /cilbrindeitm_I Initial v 11. I am aware of, and consent to; an owner- builder building permit applied for in my name and understands that I am the party legally and financially responsible for the proposed construction activity at the following address: 5-007-; 73 r S-e 2 d wry , ; sL svo-S, (--( Initial 12. I agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of the informa have provided on this disclosure. Initial tiaL Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who does not have a license, the Constr4uction Industry Licensing Board and Department of Business and Professional Regulation may be unable to assist you with any financial loss that you sustain as a result of contractor may be in civil court. It is also important for you to understand that, if an unlicensed contractor or employee of an individual or firm is injured while working on your property, you may be held liable for damages. If you obtain an owner - builder permit and wish to hire a licensed contractor, you will be responsible for verifying whether the contractor is properly licensed and the status of the contractor's workers compensation coverage. Before a building permit can be issued, this disclosure statement must be completed and signed by the property owner and returned to the local permitting agency responsible for issuing the permit. A copy of the property owner's driver license, the notarized signature of the property owner, or other type of verification acceptable to the local permitting agency is required when the permit is issued. Was acknowledged before me this day oft , 20 B LO3 I'n who was personally known to me or who has icense or as identification. NOTICE OF COMMENCEMENT A RECORDED CCOP�Y MUST BE POSTED 014 THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. Cam✓`, r C ` 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. 4 _ Legal description of property and street/address: 111111111I1 I 1111111111111111111111111 1111 111I CFN 201 1 80066003 OI+ Bk 27570 Ps 1682* (fps) RECORDED 01/31/2011 14:40:02 HARVEY RUVIHp CLERK OF COURT MIAMI -DADE COUMTY► FLORIDA LAST PAGE _ above reserved for use of recording office 30 13 e 3" r of • Vi a"' 5 .. rod �(- 33/ 3* Description of improvement: Orb „fe c- a^ C.o,i, a C Owner(s) name and address: L ;q ,1 cam VLv7 o� Interest in property: `'.? © L) 3c kr i-k; o •- ; Name and address of fee simple titleholder: 41-Contractor's name, address and phone number: 1 5.'Surety: (Payment bond required by owner from contractor, if any) Name, address and phone number: Amount of bond $ 6. Lender's name and address: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(47., Florida Statutes, Name, address and phone number. S LA /'O / { —( 33 /7Y 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name, address and phone number: 9. Expiration date of this Notice of Commencement: (the expiration date Is 1 year from the date of recording Mess a different date Is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13. FLORIDA STATUTES, AND CAN. RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOU • ROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF OR RECORDING YO nature(s) of epared By Print Name Title/Office !eAAA, 1 BY The . r of 'to ent was aclowwl before me this •' day of By Cot Z / N D TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK i OF • •MMENCEMENT. STATE OF FLORIDA, COUNTY OF DAM F;� e s' Authorized Officer/Director/Partner`� c RELY CF-,I. -- that this f • «� the p,�01'...---....: �� �) c r�c'rn L r olre un r °a Uf y u� y Prepar Print Na+tip Title/Off�. RVEy R it Individually, or ❑ as la Personally known, or c -.a to.. for „ r•. WeRto.duced the following type of identification: • Signature of Notary Public: Print Name: (SEAL) S 0 0 1. _ I Under penalties of perjury, I declare that l have read the foregoing and that the facts stated in it are true, to the best of•my knowledge and belief. Signature(s) of Owner(s) or Owner(s)'s Authorized Officer/Director/Partner/Manager who signed above: By By. 123.01-52 PAGE 3 3/10 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 163316 Permit Number: EL -2 -11 -168 Scheduled Inspection Date: August 18, 2011 Inspector: Devaney, Michael Owner: GUZMAN, CARLOS Job Address: 30 NE 93 Street Miami Shores, FL 33138- Project: <NONE> Contractor: MOODY ELECTRIC INC Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alteration Phone Number Parcel Number 1132060130200 Phone: (305)758 -2000 Building Department Comments new receptacles in kitchen & appliances circuits Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP- 163211. 2 receptacles and pool light not working. Add receptacle next to hall bathroom sink. Cover junction boxes in attic and utility room. August 17, 2011 For Inspections please call: (305)762 -4949 Page 41 of 46 tlE 75'7 pro --;cfb Miami Shores Village Building Department O 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 20 Permit No. E1 i I 104 Master Permit No. gc, P I )&,J Permit Type: ELECTRICAL Owner's Name (Fee Simple Titleholder �p 5 ��Z � n Phone # i L - � l t - eS� Owner's Address C( S e �-1- City Ns-‘■cArv., S\0 State (cNC t Ac, Zip \35:S Tenant/Lessee Name IlJ e!� Phone # Email C(�c �c�So�Z� -cn so4-1 --fas C Irn Job Address (where the work is being done) 3 S� City Miami Shores Village County Miami -Dade Zip 33 FOLIO / PARCEL # ` - Is Building Historically Designated YES NO ✓ Flood Zone Contractor's Company Name`( cL o \ Contractor's Address (_gl,o S f c City i' - c- State E- Zip '33, Qualifier Name r∎ S . V 4`1 Phone # 3O - Sg- c State Certificate or Registration No. Z ®Z)U c < cp 9 Certificate of Competency No. Contact Phone E -mail V, Architect/Engineer's Name (if applicable) L. \ Phone # Phone # .bs 1 S g - (54-'•() Value of Work For this Permit $ Square / Linear Footage Of Work: Type of Work: DAddition DAl tion DNew 9( Repair/Replace 0 Demolition Describe Work: /) e 46,404-,e/e° a �Gr2 ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees*************** * * * * * *** * * *,* * * **** * *,* ** * ** * ** 4-S/'. Submittal Fee $ Permit Fee $ /f6'6 fa CCF $ CO /CC $ Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Bond $ Double Fee $ Violation date: Structural Review. $ Total Fee Now Due $ /3 6491 • 10 See Reverse side -* Bonding Company's Name (if applicable) nn Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State i 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 whose property is subject tt for the first inspection inspection will not be of the notice of commencement and construction lien law brochure will be delivered to the person ent. Also, a certified copy of the recorded notice of commencement must be posted at the job site s en (7) days after the building permit is issued. In the absence of such posted notice, the re- inspection fee will be charged. Signature Contrac)6r The foregoing instrument was acknowledged before me this 1 The foregoing instrument was acknowledged before me this day of , 2014 by C�1 \cy� �v„� � , day of r , 20 0 , by ---.1040.377700 , who is p sonally known o „e or who has produced who is personally known to me or who has produced as identification and who did take an oath. As identification and who did take an oath. 1/2_ NOTARY PUBLIC: Si Print: My Commission MY COMMISSION 00 ERT 892259 EXPIRES: July 2, 2013 f t Bonded Thou Notary Public Undou v ilea ************* * * * * * *********** ********* * ***** APPROVED BY 1 79 2e /! Plans Examiner Engineer (Revised 07 /10 /07)(Revised 06/10/2009) NOTARY PUBLIC: Sign: Print: My Co • l • � �� s . • pirMt)MMISSION # 00 979267 EXPIRES: May 11, 2014 10, • Bonded Thru Notary Public Underwriters Zoning Clerk checked Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 155375 Permit Number: PL -1 -11 -152 Scheduled Inspection Date: August 12, 2011 Inspector: Hernandez, Rafael Owner: GUZMAN, CARLOS Job Address: 30 NE 93 Street Miami Shores, FL 33138- Project: <NONE> Contractor: MARLIN PLUMBING OF MIAMI INC Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132060130200 Phone: 305 -652 -6108 Building Department Comments PLUMBING REPIPE HOT AND COLD WATER LINES Passed :)z,„ Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments August 11, 2011 For Inspections please call: (305)762 -4949 Page 6 of 18 Miami Shores Village Building Department 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 20 MgMETElpi LE JAN 2 8 2 11 Permit No.1 1 Is g_ Master Permit No. Permit Type: PLUMBING /� t/� OWNER: Name (Fee Simple Titleholder): CQ.r1O6 Ma.r1Ve..1 a9U7- IY rPhone #: 7&, - 271•og72 Address: 3() NE** 93 sf City: frt 4M; S%LOY`Ws, . —_.`. 'State: FL Zip: 3.3/or Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: 30 Ne 93 34- City: Miami Shores County: Folio/Parcel #: 11- 3 ab %- O 13 O 2Z O Is the Building Historically Designated: Yes Miami Dade Zip: 3'3/3 b'' NO Flood Zone: CONTRACTOR: Company Name: Mai' J in Plumbin" a Miami., Phone #: 305—g5? ° 3031 Address: ao 145 (; / ?I Q 0e_ q City: W. M Q 14 M. & 8 0,h State: 1 - zip: 3'317 1 Qualifier Name: Ed warcL . ANt l (lie t Phone #: ‚35-452&3j State Certification or Registration #: C FL' C)gga ?a Certificate of Competency #: Contact Phone #: 3O5 -Co$2' 303( Email Address: 1'nair' aoL, &7,Y3 DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ �' ?'.60 CEO Type of Work: ❑Address DAlteration Description of Work: Square/Linear Footage of Work: ONew - epair/Replace U)&-k r I i /B P S ODemolition ** ******* * * * * * * * * * *+x****** *** **a:*** Fees**** *************** * *** * * *** * * * * ** x********* 1 ) ► Submittal Fee $ n Permit Fee $ /52 CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $" J ' • 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 MR 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: promise in good whose property for the first in inspection will condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must copy of the notice of commencement and construction lien law brochure will be delivered to the person achment. Also, a certified copy of the recorded notice of commencement must be posted at the job site ccurs seven (7) days after the building permit is issued. In the absence of such posted notice, the and a reinspection fee will be charged. wner The foregoing instrument was acknowledged before me this day of ,) a 11 , 20 l V , by th d00 C'“2-016.4/1 , who is personally known to me or who has produced R. 625 113- 67- ft2q -c� As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expir * * * * * * * * * * * * * * * ** APPROVED BY ** THERESA MCCREERY MY COMMISSION 9 DD 943806 EXPIRES: December 6, 2013 Bonded Tin Notary Pubtle UnI9 item *************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Signature &AA_ Contractor The foregoing instrument was acknowledged before me thia'7 day of .n , 20 i l , by Ed w ,t"d 1 Qx� who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: 'A/MAW— tik Print: M ° r e My Com Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Miami -Dade My Home My Home Show Me: Property Information Search By: Select Item ® Text only ts3+l Property Appraiser Tax Estimator Property Appraiser Tax Comparison Portability S.O.N. Calculator Summary Details: Folio No.: 11 -3206- 013 -0200 Property: 30 NE 93 ST Mailing THOMAS ANTHONY CONA Address: % LORETTA A THALER Living Units: 365 SO JUNE STREET LOS Adj Sq Footage: ANGELES CA Lot Size: 90020- Property Information: Primary Zone: 1000 SINGLE FAMILY RESIDENCE CLUC: 0001 RESIDENTIAL - SINGLE FAMILY Beds /Baths: 3/2 Floors: 1 Living Units: 1 Adj Sq Footage: 2,400 Lot Size: 9,600 SQ FT Year Built: 1946 $50,000/ $101,347 MIAMI SHORES SEC 1 County: AMD PB 10 -70 LOT 9 & Legal W1/2 LOT 8 BLK 2 LOT Description: SIZE 75.000 X 128 OR City: 15666 -1954 0992 4 OR $50,000/ $97,369 15666 -1954 0992 01 Assessment Information: Year: 2010 2009 Land Value: $86,871 $96,691 Building Value: $207,367 $220,635 Market Value: $294,238 $317,326 Assessed Value: $151,347 $147,369 Exemption Information: ear: 2010 2009 Homestead: $25,000 $25,000 2nd Homestead: YES YES Senior: $50,000 $50,000 Taxable Value Information: Year: 2010 2009 Applied Applied Taxing Authority: Exemption/ Exemption/ Taxable Taxable Value: Value: Regional: $50,000/ $101,347 $50,000/ $97,369 County: $100,000/ $100,000/ $51,347 $47,369 City: $50,000/ $101,347 $50,000/ $97,369 School Board: $25,000/ $126,347 $25,000/ $122,369 Sale Information: Page 1 of 2 ACTIVE TOOL- SELECT Legend Property Boundary Selected Property Street Highway Miami -Dade County Water Aerial Photography - 2009 My Home 1 Property Information 1 Property Taxes 1 My Neighborhood 1 Property Appraiser 0 113ft Home 1 Using Our Site 1 Phone Directory 1 Privacy 1 Disclaimer If you experience technical difficulties with the Property Information application, or wish to send us your comments, questions or suggestions please email us at Webmaster. Web Site © 2002 Miami -Dade County. All rights reserved. http: / /gisims2. miamidade .gov /myhome /propmap.asp 1/28/2011 Miami -Dade My Home iaaie` uate: II W112 C.� c0 15666 -1954 ales ales which are Qualification • isqualified as a result of Desert .tion: examination of the deed View Additional Sales Additional Information: Click here to see more information for this property: Community Development District Community Redevelopment Area Empowerment Zone Enterprise Zone Zoning Land Use Urban Development Boundary Zoning Non -Ad Valorem Assessments http: / /gisims2. miamidade .gov /myhome /propmap.asp Page 2 of 2 1/28/2011 This document was prepared by (and after ) recording send to) ) Attention: Jennifer Milian ) Ad Valorem Title ) 1801 N Pine Island Road #103 ) Plantation, FL 33322 ) 954 -607 -5324 ) Parcel Identification No.: 11- 3206 - 013 -0200 ) 1 111111 11111 11111 11111 11111 11111 11111 11111111 CFN 2011R0043611 OR 8k 275559 Pss 4342 - 4343; (2Pss) RECORDED 01/20/2011 13 :40 :39 DEED DOC TAX 1/710.00 HARVEY RUVINr CLERK OF COURT CIIAt1I -DARE COUNTY/ FLORIDA —Above This Line Reserved For Official Use Only — WARRANTY DEED (STATUTORY FORM - *689.02, F.S.) THIS INDENTURE made this 1 th day of December, 2010 between CARMINE T. CALICCHIO, a single man* hereinafter referred to as "Grantor", and CARLOS MANUEL — GUZMAN, hereinafter referred to as "Grantee", whose address is 30 NW 93' Street, Miami Shores, 33138. * 11 0 -20 71 ave, FOREST HILLS, NY Itialt 11375 WITNESSETH, that said Grantor, for valuable consideration of the sum of TEN AND No /100's DOLLARS ($10.00), and other good and valuable consideration to said Grantor in hand paid by said Grantee, the receipt and sufficiency of which is hereby acknowledged, hereby grants, bargains, sells, alienates, remises, releases, conveys and confirms, to the said Grantee, and Grantee's successors and assigns forever, the following described land situate, lying in the County of Miami -Dade, State of Florida, to wit, the premises: Lot 9 and the West 1/2 of Lot 8, Block 2, MIAMI SHORES SECTION 1 AMENDED, according to the Plat thereof, as recorded in Plat Book 10, Page 70, of the Public Records of Miami -Dade County, Florida. Folio: 11- 3206 -013 -0200 SUBJECT to conditions, restrictions and easements of record, which are not reimposed hereby, applicable zoning ordinances and the taxes for 2010 and subsequent years. TOGETHER with all the tenements, hereditaments and appurtenances, with every privilege, right, title, interest and estate, reversion, remainder and easement thereto belonging or in anywise appertaining. TO HAVE AND TO HOLD, in fee simple, the same together with all singular and appurtenances thereunto belonging or in anywise appertaining, and all of the estate, right, title interest, lien equity and claim whatsoever of the said Grantors, either in law or equity, to the only proper use, benefit and behalf of the Grantee, his successors and assigns forever. -wan y need - Page 1 of 2 Book27559/Page4342 CFN #201 1 004361 1 Page 1 of 2 Prepared and Return 'co:- Jessica Milian Ad Valorem Title, LLC. 1 801 N. Pine Island Rd. Suite 103 Plantation , FL 33322 LOAN# MI CHIGA gage pr AL, I Y: Jennifer Sigler 30300 TELEGRAPH ROAD SUITE 185 BINGHAM FARMS, MI 48025 State of Florida [Space Above This Lino For Rewarding Dotal MIN 136-0000064065 -5 PARCEL TAX ID#: 11- 3208- 013-0200 MORTGAGE 1111111 11111 11111 1111 1 MN 11111 CFI 20118004.3 5 12 OR 81c 27554 Pes 4344 - 4352; (9cas) RECORDED 01/20/2011 13:40:39 MTG DOC TAX 957.25 IHTANG TAX 546.91 HARVEY RLWIN? CLERK OF COURT MIAMI -DADE COUNTY? FLDRIDA THIS MORTGAGE ( "Security Instrument ") is given on December 14th, 2010 CARLOS MANUEL GUZMAN , A MARRIED MAN AND ALISON Y. KING, HIS IMFE ( "Borrower "), whose address is 1050 NE 12TH ST, MIAMI, FL 33161 FHA Case Number 095 -190 8 -703 . The mortgagor is This Security Instrument is given to Mortgage Electronic Registration Systems, Inc. ( "MERS "). (solely as nominee for Lender, or hereafter defined, and Lenders successors and accigns), as MFRS is organized and existing under the laws of Delaware, and has an address and telephone number of P.O. BOX 2026, Flhrt, MI 485014026, tel. (888) 879 -MERS. MICHIGAN MUTUAL, INC., A MICHIGAN CORPORATION which is organized and existing under the laws of THE STATE OF MICHIGAN , and whose address is 30300 TELEGRAPH ROAD, SUITE 185, BINGHAM FARMS, MI 48025 (" Lender "). Borrower owes Lender the principal sum of TWO HUNDRED SEVENTY THREE THOUSAND FOUR HUNDRED FIFTY SEVEN AND N01100 Dollars (U.S. $ 273,457.00 ). This debt is evidenced by Borrower's note dated the same date as this Security Instrument ( "Note "), which provides for monthly payments, with the full debt, if not paid earlier, due and payable on January let, 2041 This Security Instrument secures to Lender: (a) the repayment of the debt evidenced by the Note, with interest, and all renewals, extensions and modifications of the Note; (b) the payment of all other sums, with interest, advanced under paragraph 7 to protect the security of this Security Instrument; and (c) the performance of Borrower's covenants and FLO[aDA - Single Family - FHA SECURITY IIISTRUMBOT -1196 GCC - m1590 -111 (05/011 Page 1 of 8 xnaIaIS! Book27559 /Page4344 CFN #201 1 004361 2 Page 1 of 9 e 1 1 i I . HOME DESIGN CENTER OF FLORIDA Order re: 1699 Order date: 19/10/2010 Delivery date: 19/10/2010 PROSPETTIVA MODELLO: MOD.IRIDE ANTA: ANTA IRIDE MATRIX ROVER.MORO * FRONTALI CASSETTO: CASS.IRIDE MATRIX R.MORO MANIGLIA: ZOCCOLI: MENSOLE: 30 S rep MANIGLIA SMERALDO P.160 ZOCCOLO H.15 ALLUMINIO ANODIZ. MENSOLA LAM.ROVERE MORO ref.KITCHEN CARLOS GUZMAN Pag. 1/1 FUSTO: FUSTO NOB. ROVERE MORO V.ORIZ. ANTA VETRO: ANTA VETRO IRIDE INOX TIPO DI CASSETTO: CASS.TANDEMBOX BLUMOTION BLUMOTION PER ANTA: BLUMOTION PER ANTA PIEDINI: PIEDINO H.15 IN PLASTICA PANNE ERAL TtONS toz&ok--- 1 • -• 770 450 1 00 :610 ( 91 12-04•Mo Q11, /LPL k'be■ 4".3 o11Jjl kera;-■ \Y•5\, o L42,-- ) L./.-L, f\c\to0 rcAL\ )09 /./ heefr-ovicic yap_dzve, HOME DESIGN CENTER OF FLORIDA Order n °: Order date: Delivery date: 1699 19 / 10 /2010 19/10/2010 MODELLO: ANTA: 1'\1 I Ul-ItN MOD.IRIDE ANTA IRIDE MATRIX ROVER.MORO * 1P°Di`ASRETrO: CASS.TANDEMBOX BLUMOTION SLUMOTION PER ARTA" BLUMOTION PER ANTA PIEDINI: PIEDINO H.15 IN PLASTICA PANNEWMELAMwtc°:PANNELLO MELAM.ROV.MORO V.ORIZ FUSTO: UAKLUJ UULMAN Pag. FUSTO NOB. ROVERE MORO V.ORIZ. FRONTAUcASSETTO:CASS.IRIDE MATRIX R.MORO * MANIGLIA SMERALDO P.160 ZOCCOLO H.15 ALLUMINIO ANODIZ. MENSOLA LAM.ROVERE MORO MAMOUA: zOCc°U: MENSOLE: 1 «1 5G° 7/8 -44" 1/8 DW wA-LL (7-8vD. HOME DESIGN CENTER OF FLORIDA Order n°: Order date: Delivery date: 1699 19/10/2010 19/10/2010 MODELLO: ANTA: TIPO DI CASBETTO: BLUMOTION PER ANTA: PIEDIN: PANNELU MELAMINICO I \I 1 VI IL-111 MOD.IRIDE ANTA IRIDE MATRIX ROVER.MORO * CASS.TANDEMBOX BLUMOTION BLUMOTION PER ANTA PIEDINO H.15 IN PLASTICA PANNELLO MELAM.ROV.MORO V.ORIZ V711 \I..VV •1.0L.I1 /1/-U\ F18TO: FUSTO NOB. ROVERE MORO V.ORIZ. Pag. FRONTAUCASSETTO:CASS.IRIDE MATRIX R.MORO * MANIGLIA SMERALDO P.160 ZOCCOLO H.15 ALLUMINIO ANODIZ. MENSOLA LAM.ROVERE MORO MANIOLIA: ZOCCOLI: MENSOLE: 1 4115 ACKIIL Ott €'1I1 - "auwn t 1.C74 23',5/645 A rt4I4 • 0000000, HOME DESIGN CENTER OF FLORIDA Order n°: Order date: Delivery date: 1699 19/10/2010 19/10/2010 MODELLO: ANTA TIPO DI CASSE TO: rer. KITCHEN CARLOS GUZMAN Pag. MOD.IRIDE ANTA IRIDE MATRIX ROVER.MORO * CASS.TANDEMBOX BLUMOTION SLUMOTION PER ANTA' BLUMOTION PER ANTA PIEDINI: PIEDINO H.15 IN PLASTICA PANNELL/ MELAMNCO:PANNELLO MELAM.ROV.MORO V.ORIZ FUSTO: FUSTO NOB. ROVERE MORO V.ORIZ. PROrrrALI CASSETTO:CASS.IRIDE MATRIX R.MORO * MANIGLIA SMERALDO P.160 1 ZOCCOLO H.15 ALLUMINIO ANODIZ. MENSOLA LAM.ROVERE MORO MANIOIJA: ZOCOOLI: MENSOLE: •11" CtjiUe 44'' 11e 30" n " , 47" i51t(m WALL CI?")) I I 0 tH Of _�. aim.,_., iIijI __ u ISSI L _ 1 L •11" CtjiUe 44'' 11e 30" n " , 47" i51t(m WALL CI?"))