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RC-11-834
Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 159573 Permit Number: RC -5 -11 -834 Scheduled Inspection Date: February 29, 2012 Inspector: Bruhn, Norman Owner: INC, NICAMERICAN Job Address: 1360 NE 103 Street Miami Shores, FL 33138- Project: <NONE> Contractor: DIMITRI CONSTRUCTION SERVICES Permit Type: Residential Construction Inspection Type: Final Building Work Classification: Alteration Phone Number Parcel Number 1132050300070 Phone: (305)345 -1199 Building Department Comments EXTERIOR ALTERATIONS DEMO PLANTERS OPEN CRAWL SPACE OPENING Passed Failed Z2)5/4,1 Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments 6 February 28, 2012 For Inspections please call: (305)762 -4949 Page 1 of 40 NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO v 11— 634 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 al d cription of property and street/address: A .• la 111111111111111111311111111111111111111111111 :FN 2011 R0 322847 DR Bk 27690 Ps 4985; (1.4a9) RECORDED 05/17/2011 13:00:4.6 HARVEY RUVIN e CLERK OF COURT MIAMI- D1ACDE COUNTYr FLORIDA LAST PAGE Space above reserved for use of recording office 1 2. Pescription of improvement: i&ST'i At.10 R, Prt 1 R. A- J (ri 2- P -rv3 2/1' T (0 yi g p 1'44k, s PA-cc. 3. Owner(s) name and addre s: �G, .� 1 r r Interest in property: •'O i 511-1/i11. 4‘0101/4-ax° Miarni Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Y: -,. Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION FBC 20 Permit NO- fN-yc . t I Master Permit No. Permit Type: BUILDING ROOFING 6ti382� OWNER: Name (Fee Simple Titleholder): R//CA/1FR,GA-Al Phone#: Address: /50 se- 2 Ave . STE /0/0 City: M /A- /? 1 State: F L 0 R 1 b 4 zip: 3 31 3% Tenant/Lessee Name: Phone#: Email: JOB ADDRESS: 1 3 6 0 n! E / 0 3 5 T. City: Miami Shores County Miami Dade Zip: 3 3 13 8 Folio/Parcel#: 11- 32 05 - o 3 0 - 00 7 O Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR Company Name: D 1 P1 iT ► (oNS TR t/c 7 look/ SFR v.' C F$ Phone#: (30 5) 3 Y5 -119°1 Address: 6 0 6 5 /ti% W / C 7 S I. 57E - i/ City: 17 I4r? / State: P C 0 1 I fl 4 Zip: 3 3 0 )5 Qualifier Name: l i G Q D o D1 % 1 T p,) Phone#: (3c S) 3 td 5- 119 9 State Certification or Registration #: 4 6- C 15 0 q 0 9 L Certificate of Competency #: Contact Phone#: (305) 3 y S- 11 9 q Email Address: I n f o tQ d c s e r v, L e 5 e p r p" co v' D E S I G N E R : Architect/Engineer: V c RT + t 11)E.516.1•1 ST v D i o P h o n e # : X 78 6) 1/ 30 - 7 7 6 5 Valve of Work for this Permit: $ .5!"'-'' Square/ Linear Footage of Work: Type of Work: °Addition - °Alteration °New • ORepair/Replace °Demolition Description of Work: rx T e-11-e o lZ A L T Fly r a o-s r s - 6 re fl P Ar-1,' e--1__% 1 0,,6-- G✓ GT ^, L 5(1-CG ®t°-' /w' ***************************************F ***** * ** ►*x **** * ************* *** *** ** r Submittal Fee $ 0 Permit Fee $ 41 CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Technology Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 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 ap roved and einsp ction fee will be charged. Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 9 day of t 4`1° , 20 t I, by kP O 13t I1' , day of /1 4 )' , 20 l 1 , by eR 1 c' z *br h i r2,/ r 355 56 who is personally known time or who has produced L_ - who is personally known to me or who has produced 4C �� As identification vd1Wlik /diyl, take an oath. as identification and who did take an oath. NOTARY PUBLIC: :\ \ \\\ 't \O1 -YO3��'% NOTARY ' BLIC: �O V'� '9[pp•.'�� i 1 ,l °u�wo�� —_'A Sign: Print: My Commission Expires: 10Z/90/Eo 17/ /S:.S lV Sign: Print: My Commission Expires: �� •.t POM /SSA • S9 2 ' ,°** . O p i1 � � •p�j '-'1 O k**** *********`• k* *********** **9F*M********* **** ***** **% k**** ************%K3C. ** APPROVED BY Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) • �/ •• c���hnr /At • C' •.�denxters •.• �_ • 4bning �� oily i� ` ������ Clerk 04 -01 -2010 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: 04/01/2010 EXPIRATION DATE: 03/31/2012 DI MITRI RICARDO 651149222 BUSINESS NAME AND ADDRESS: DIMITRI CONSTRUCTION SERVICES CORP 5349 SW 32ND WAY HOLLYWOOD FL 33312 SCOPES OF BUSINESS OR TRADE: 1- CERTIFIED PLUMBING CONTRACTOR 3- CERTIFIED GENERAL CONTRACTOR 2- CERTIFIED ROOFING 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 440.05112), 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 04- 01-2010 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: 04/01/2010 EXPIRATION DATE: 03/31/2012 PERSON: DE GIULI GERMAN FEIN: 651149222 BUSINESS NAME AND ADDRESS: DIMITRI CONSTRUCTION SERVICES CORP 6065 NW 167TH STREET B -11 MIAMI FL 33015 SCOPES OF BUSINESS OR TRADE: 1- CERTIFIED PLUMBING CONTRACTOR 3- CERTIFIED GENERAL CONTRACTOR 2- CERTIFIED ROOFING CONTRACTOR IMPORTANT: Pursuant to Chapter 440 . 05114 ►, 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(12), 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 440.05113), 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 MAIn nrn nrnrlrin ll rr nr ri rPTIf•I Tn ne ev CxaDT DCtncCrl rlQ_ne BATCH NUMBER NOT A THE ;HOLOER S': atONS SEE OTHER SIDE DO NOT FORWARD DIMITRI CONSTRUCTION SERVICES RICARDO DIMITRI PRES 6065 NW 167 ST #B11 MIAMI FL 33015 1„ 11,,,i1,1h,,,,,11,1,1„ 1„i„ii,1,i,,,i„ 1„ 1,1,,,1101%,1 Planning and Zoning Criteria Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax (305)756 -8972 Folio Number:1132050300070 Owner's Name: Job Address: 1360 103 Street Miami Shores, FL 33138- Owner's Phone: Total Square Feet: 200 Total Job Valuation: $ 4,000.00 Contractor(s) DIMITRI CONSTRUCTION SERVICES Phone Primary Contractor (305)345 -1199 Yes 1 Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 5/11/2011: Yes Comments: www.sunbiz.org - Department of State LC D D PART l 01 iAT Home Previous on List Page 1 of 2 Contact Us E- Filing Services Document Searches Next on List Return To List Events No Name History Detail by Entity Name Florida Profit Corporation NICAMERICAN, INC. Filing Information Document Number P09000007587 FEUEIN Number APPLIED Date Filed 01/23/2009 State FL Status ACTIVE Effective Date 06/09/2008 Last Event CONVERSION Event Date Filed 01/23/2009 Event Effective Date NONE Principal Address 50 BISCAYNE BLVD # 4306 MIAMI FL 33132 Changed 03/10/2011 Mailing Address 50 BISCAYNE BLVD # 4306 MIAMI FL 33132 Changed 03/10/2011 Registered Agent Name & Address PREMIER RISING, INC 800 NE 195TH STREET STE 211 MIAMI FL 33179 Name Changed: 03/10/2011 Address Changed: 03/10/2011 Officer /Director Detail Name & Address Title DP BONANNI, MARCO VIA MATTEOTTI 55 PRATO PO 59100 IT Title DVP BONANNI, MARZIO VIA MATTEOTTI 55 Forms Help Entity Name Search Submit http: / /www.sunbiz.org/ scripts /cordet.exe? action= DETFIL &inq_docnmber= P0900000758... 5/7/2011 1 www.sunbiz.org - Department of State Page 2 of 2 PRATO PO 59100 IT Title S LENOCI, SILVANA VIA MATTEOTTI 55 PRATO PO 59100 IT Title T BONANNI, MARTINA VIA MATTEOTTI 55 PRATO PO 59100 IT Annual Reports Report Year Filed Date 2010 04/29/2010 2011 03/10/2011 Document Images 03/10/2011 — ANNUAL REPORT 04/29/2010 — ANNUAL REPORT 01/23/2009 — Domestic Profit View image in PDF format View image in PDF format l View image in PDF format INote: This is not official record. See documents if question or conflict. Previous on List Events Next on List Return To List No Name History Entity Name Search Submit I Home I Contact us 1 Document Searches I E- Filing Services I Forms I Help 1 Copyright © and Privacy Policies State of Florida, Department of State http: / /www.sunbiz.org/ scripts /cordet.exe ?action =DETFIL&inq_doc number--P0900000758... 5/7/2011 05/09/2011 15:17 9547558925 HARVEY PAGE 01/01 ACORD►,, CERTIFICATE OF LIABILITY INSURANCE D TE si ) lo 0 PRODUCER 954- 755 -1480 HARVEY FIRESTEIN PO BOX 9168 CORAL SPRINGS, EL 33075 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE HOLDER- THIS CERTIFICATE DOES NOT AMEND ALTER THE COVERAGE AFFORDED BY THE POLICIES CERTIFICATE EXTEND OR BELOW. NAIC # INSURERS AFFORDING COVERAGE INSURED DIMITRI CONSTRUCTION SERVICES INC 6085 NW 167TH STREET SUITE B -11 MIAMI, FL 33015 L_ -� . INSURER A: CENTURY SURETY CO A INSURER B; GENERALLIAejUiy INSURER C: CCP664126 INSURER O: 08/18/11 INSURER E: S 1,000,000 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, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. !N5R r, T� NOTICE TO THE CERTIFICATE HOLDER NAMED 10 THE LEFT, BUT FAILURE TO DO SO SHALL. IMPOSE NO OafJGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR TATWWE&. PDUCY NUMBER Tfi l EFF o �UYID DATE IMM l DjT LIITS A GENERALLIAejUiy COMMERCIAL GENERAL LfASILITY CCP664126 08/18/10 08/18/11 EACH OCCURRENCE S 1,000,000 X PREMISES IEa ocaffenca $ 50,000 CLAIMS MADE X OCCUR MEO EXP (Airy one Person) S 5,000 — — PERSONAL R Am, INJURY S 1 ,000,000 — GENERAL AGGREGATE $ 1,000,000 GEN'L X AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGOG S 1,000,000 POLICY INF I lux AUTOMOBILE L IABIUTY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON - OWNED AUTOS ((EOMca em SINGLE LIMIT BODILY INJURY (Psi' Person) BODILY INJURY (PQ' Q p�Qanh PROPERTY DAMAGE (Per accident) ,-- GARAGE LIASIUTY -I ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/LIMBRELLAW►BIUTY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE S AGGREGATE S S $ WORKERS COMPENSATION AND EMPLOYERS' MeluTY ANY PROPRIETOR/PARTNER(P,}CECUTNE OFP10ERIMEMBER EXC,LUbEOT IM pcs, describe u dler SPECIAL PROVISIONS Wow r I TORY LIMIUTS 1 1 ER $ E.L. EACH ACCIDENT E,L. DISEASE - EA EMPLOYEE $ EL DISEASE - POLICY LIMIT $ OMER DESCRIPTION Or OPERATIONS 1 LOCATIONS 1 VEHICLES r EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVI$ION9 • • CERTIFICATE HOLDER CANCELLATION MIAMI SHORES VILLAGE BUILDING DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 I I ' SHOULD ANY OF TIE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATKIN DATE TNEREOP, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS 7NRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED 10 THE LEFT, BUT FAILURE TO DO SO SHALL. IMPOSE NO OafJGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR TATWWE&. A Z DREPR!S • .S :.. ii!i ACORD 25 f2001I081 of ACORD CORPO P11 iami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Several properties in Miami Shores Village are located in a Special Flood Hazard Area (SFHA) as determined by the Flood Insurance Rate Map (FIRM). Development in a SFHA requires special attention to help protect life and property in the unfortunate event of a flood. Miami Shores Village Flood Damage Prevention Ordinance requires that the Building Department determine if a structure will be "Substantially Improved" prior to issuing any permits for improvement or repair. "Substantial Improvement" is defined in Miami Shores Village Flood Damage Prevention Ordinance as follows: "any reconstruction, rehabilitation, addition, or other improvement of a structure, the cost of which equals or exceeds 50 percent of the market value of the structure before the "start of construction" of the improvement. This term includes structures that have incurred "substantial damage" regardless of the actual repair work performed." The starting date to determine cumulative costs will be 12 months prior to the issuance of any permit under consideration. All future work considered would require appropriate approvals prior to construction. All cumulative costs will be re- evaluated at the time the permits are issued. Q: Why was the 50% figure chosen as the substantial improvement threshold? A: The 50% threshold was chosen as a compromise between the extremes of 1) prohibiting all investment to structure in SFHA and 2) allowing structures to be improved in any fashion without regard to the hazard present. In the first alternative there is potential for causing hardship to those who have located in a SFHA without knowledge of the risk because the structure was constructed prior to the designation of the area as flood prone. These individual could not improve their structures as damage or age contributed to their deterioration. The second alternative provides no mechanism to ensure that increased investment in SFHA will receive needed protection from flood risk, thus contributing to the increased peril of life and property. The threshold is thus a compromise at a halfway point. "Market Value" is defined in Miami Shores Village Flood Damage Prevention Ordinance as follows: " the building value, which is the property value excluding the land value and that of the detached accessory structures and other improvements on site (as agreed to between a willing buyer and seller) as established by what the local real estate market will bear. Market value can be established by an independent certified appraisal (other than a limited or curbside appraisal, or one based on income approach), Actual Cash Value (replacement cost depreciated for age and quality of construction of building), or adjusted tax - assessed values." Note: The "Market Value" does not include the value of the land or other improvements on the property. (ie: pool, gazebo etc.) Created on June 2009 A "substantially improved" structure in a Flood Zone must be brought into compliance with Miami Shores Village Flood Damage Prevention Ordinance for new construction. This means a residential structure must be elevated to or above the level of the 100 -year or base flood and a commercial structure must be effectively "flood proofed" and meet other applicable requirements. These regulations are based upon the Federal Emergency Management Agency (FEMA) requirements and affect your flood insurance costs. Existing residential structures can be "substantially improved" by interior renovations or new additions or other improvements. EXAMPLE: In order to determine whether a proposed construction project would be classified as a substantial improvement, the market value of the building needs to be determined. This value is found on the official tax assessors card for the property or may be obtained by a licensed property appraiser. That number is then divided by 2 to determine the substantial improvement threshold. Therefore, a home with a market value of $100,000.00 could have no more than $50.000 worth of new construction /renovations and /or repairs before the house would have to be elevated above the 100 year base flood elevation as shown on the Flood Insurance Rate Maps. It is the responsibility of the Building Department staff to ensure that the market value estimates are accurate and the cost estimate reflects the actual costs to fully repair the damage and make any other improvements to the structure. The staff requires that the permit applicant or owner of the building supply the proposed construction cost estimate, or contractor's contract, to make the determination. The staff then uses the latest "Means Square Foot Costs" and "Means Construction Cost Data" books to determine the accuracy of the estimate. These are nationally accepted manuals, which itemize all components involved with construction. The manual provides adjustment rates to handle the varying construction costs throughout the country. Q: What should be included in a contractor's estimate? A: Basically, the only items that are not included in the cost include plans, specifications, surveys and permit fees. All materials that are permanently a part of the structure should be included in the cost estimate. These items include, but are not limited to: windows, doors, hardwood floors, wall to wall carpeting, sheetrock, lumber, roofing material, footings, pilings, kitchen cabinets and counter tops, bathroom vanities, tiling, plumbing fixtures, new furnaces, hot water heaters, heating and air conditioning systems, electrical work and labor. The cost of all materials involved in new construction or replacing and restoring a structure to its pre- damaged condition must be included. Even if volunteer labor or self -labor is used, it must be estimated based on minimum -hour wage scales for the type of construction work that is done. Created on June 2009 2 CUMULATIVE SUBSTANTIAL IMPROVEMENT VERIFICATION WORK SHEET In accordance with FEMA regulation and Miami Shores Village Flood Damage Prevention Ordinance the costs of all improvements must be monitored. The costs of any improvements in the past 12 months and the costs of any proposed improvements must be shown on the worksheet. The cost of improvements must include demolition, raw and finished materials (include those donated), labor (including volunteer and self - performed), construction supervision and management, and overhead and profit. A list of items the costs of which are to be included as well as those excluded is attached for your reference. (A Copy of the Contract must be attached) PROPERTY OWNER: PERMIT # ADDRESS: 1 off.. 0,3 r FOLIO NUMBER: 11,.3kj3°05"-FLOOD ZONE: BASE FLOOD ELEVATION: FREEBOARD: EAST OF FL.CCCL: COST OF PAST IMPROVEMENTS (12 MONTHS): COST OF PROPOSED IMPROVEMENTS: (ATTACH COPY OF CONTRACT) r�- O 90 oO TOTAL CUMULATIVE COST OF IMPROVEMENTS (past and proposed): VALUE OF PRINCIPAL STRUCTURE (attac OWNERS SIGNATURE: PLANREVIEWER: PLAN REVIEWER SIGNATURE: 6'000 Created on June 2009 DATE: SUBSTANTIAL IMPROVEMENT / DAMAGE LIST (NOTE: THIS LIST IS INTENDED FOR GUIDANCE ONLY, AND IS NOT ALL INCLUSIVE) ITEMS TO BE INCLUDED ALL STRUCTUAL ELEMENTS, INCLUDING Foundations including; Spread footing, Continuous footing, isolated footing, piles and pile caps Slabs including; Monolithic, floating, elevated Walls including; Exterior walls, Bearing walls, Shear walls Beams, Tie Beams, Columns and Posts Wood decking, Floor and Roof Sheathing Trusses, Joist Windows /Doors ALL BUILDING ELEMENTS, INCLUDING Interior Partitions, Walls, Columns Drywall, Ceilings, Built in Furniture, Cabinets, Vanities All Fixtures Flooring, Tile, Carpet, Stone, Linoleum, ect. All Finishes including Drywall, Paint, Stucco Plaster, Paneling, Tile, Marble, and Moldings Roofing Material ALL HARDWARE ALL UTILITY and SERVICE EQUIPMENT HVAC Electrical System and Equipment Plumbing System and Equipment Security System and Equipment Central Vacuum System Plumbing Fixtures Lighting Fixtures and Ceiling Fans Water Systems including Softeners /Filtration Created on June 2009 ALSO: All Labor and other Costs associated with Demolition, Removing, Replacing, Installing Building or Altering Building Components Construction Management / Supervision Overhead and Profit Equivalent cost for: Donated Materials Volunteer Labor (including owners and friends) Any Improvements Beyond Pre - damaged Condition, including; Utility Upgrades Code Upgrades ITEMS TO BE EXCLUDED Plans and Specifications Survey Costs Elevation Certificate Costs Permit fees Debris Removal Items not considered to be REAL Property Rugs, Furniture, Refrigerator, Appliances not Built -in Outside Improvements, Including; Landscaping Sidewalks Patios Fences Yard lights Sheds Gazebos Irrigation Pool 2009 Property Information Map n amid►ade,gov Property information Map My Home Miami -Dade County, Florida m NE 110TH ST 1 NE 110TH ST } ,.� �,Etfit D, Act' f r NE 109TH sTi'iilt " m" Y 1li�ii'! fish Q� NE 108ssTH ST . 2 "Mi • 4P� 1111I - QUAYSIDE TER... ..; T.,' or. ;TOWERSIDE TER tlsat, hymns IG 199 rog NE 102ND ST ■ Ulm * NE 101ST. ST, NE~1OOTH STS NE 98TH ST dine �i NE 98TH STr NE 87111 ST! Aerial Photography - 2009 0 ® 471 ft This map was created on 5/5/2011 1:59:21 PM for reference purposes only. Web Site © 2002 Miami -Dade County. AN rights reserved. a Close Page 1 of 1 Summary Details: olio No.: 11 -320 0 0 -0070 l• ro , : : 1360 NE 103 ST ling NICAMERICAN INC • ress: Floors: 1 150 SE 2 AVE STE 1010 1 MIAMI FL 3,521 131- Property Information: Primary Zone: 1300 ONE FAMILY CLUC: 0001 RESIDENTIAL - SINGLE FAMILY Beds/Baths: 4/4 Floors: 1 Living Units: 1 Adj Sq Footage: 3,521 Lot Size: 10,170 SO FT Year Built: 1956 0/$902 671 REPLAT OF TR B MIAMI SHORE BAY PARK Legal Lesa ESTS PB 63 -17 LOT 7 Description: LESS E1OFT" & E1OFT LOT 6 BU( 5 LOT SIZE 90.000 X 113 OR 18115- 1 853 0598 4 Assessment Information: uildin a Value: rmt771- TM= 2010 $356 108 $546,563 02 671 $902,671 Taxable Value Inform n: ear: 2010 2009 ;'7111177171[ Applied Applied axing Authority: Exemption/ axable Exemption/ ales Value: Value: R:_ional: 0" 02,671 GTi7�1aA.,f o 0/$902 671 '. l: .li: iew Additional Sales ,: .. e..: $0/ 02,671 ', 0/ 2,048 Sale Information: ale Date: ' 10 ;'7111177171[ 702 830 - = e O/R: +7305-3637 ales ales qualified as a resu ualification . f examination of the 1 escri•tion: geed iew Additional Sales http:// gisims2 .miamidade.gov /myhome/printmap. asp? mapurl=httpJ /gisims2.miamidade.gov... 5/5/2011 Miami May 10`", 2010 To Village of Miami Shore — Building Dept. To whom it may concern, 136o With this affidavit I acknowledge the right of performing construction work to my property at 1366 NE 103rd Street, Miami Shore to the Florida licensed General Contractor firm of "DC services Inc. ". In Faith, Marco Bonanni President of Nicamerican Inc. 118859.W.84thAVENUE �p FLORIDA 38158 FAX 112 5140087 AWE 0 INC LAND SUR S • LAND PLANNERS • YAPPERS L8 # 7555 TYPE OF PROJECT: BOUNDARY SURVEY CALE: r= 20' REVISEQ DA 03/28/11 RECORD OF REVISION PROJECT LOCATION: 1360 N.E. 103rd STREET DATE: 5/20/10 03/28/11 UP -DATE SURVEY & ADD ALL IMPROVEMENTS FOUND CITY, STATE & ZIP CODE MIAMI SHORES, FLORIDA 33138 -2624, US DRAWN BY: R.Be1Io PROJECT No: ASI 2135 -10 COMMENTS: NOTE:ONLY VALID WITH PAGE 1 NO APPARENT VISIBLE UTNITY EASEMENT VIOLATIONS WERE OBSERVE AT THE LIME OF THIS SURVEY. SHEET: 1 of 1 SHEETS NO. DATE DESCRIPTION BY NO. DATE DESCRIPTION APP. ABBREVIATIONS AND LEGEND I - N.E. 103rd STREET Baring Based on physical centerline of N.E. 103rd Street as being N89'50 54"E 201- ASPHALTPAVEMENT 50' TOTAL RIGHT—OF—WAY LEM liE31M1111.21i11 jf_? ...I 11 Ill gulp fl : ILL? Coil' Ion it 11121;031111-17-TA 1727.1■5';g:Ifill■ l d�;t�11rII. ata1l :,'LTIII: la1L. =iii j * a,4, 4 «L.. t'.:l 1;+— l2;N.A1111111. ". 2:'.: *lid3i3kisLr?l:t!:tniill FOUND IRON L11 MEASURED N F.I.R. 1/2° (No I.D.) 0.60' C 21.40' ro air ppII 22.10' ° `� 14.85' �` 14.50' RECORD RIGHT -OF -WAY 2 IRON ROD TYPICAL - --fl- -- C;. MONUMENT LINE PROPERTY LINE =AIL CONOITICRER =• BEU.SOITH Box ® =CABLE BOX =CATCH BASIN C3 =CONTROL VALVE BOX ® =ELECTRIC BOX =ELECTRIC METER =ELECTRIC SERVICE BOX + =DOSING ELEVATIONS • .FHE HYDRANT =FLORIDA PIM ®x & UGHT BO 6. =HANDICAP SPACE =INLET =LIGHT POLE =METAL LIGHT PGE 0.60' CL lihlil O LC) Cpl POOL PUMP 1n l c OJ zco 18.60' RRICK __WOOD R METAL PL GATE . \\ \.\ \..'.� 0 0 `t\ 7.10' ONE STORY RESIDENCE N° 1360 I I 19.00' N POOL 19.00' © =SANITARY MANHOLE, r =SATELLITE DISH =WATER METER =WATER VALVE 'Ty =WOOD POLE 1 J F:D.I+. 3'` 00 fV • 27.70' .0 L e 23.70' 10.00' I F LOT -7 BLOCK -5 1-7 LESS E 10 ? -STEPS DAVITS 21.3' 111' csi C.B.S. UTILITY SHED ON CONC. 6.40' Y e�U E co 4.55' O CO (p \ WOOD DOCK 46.50' -ANA r 90.00 r , 950.4 SEAWALL • 1 — .•- 'o'' —' • (0• r l▪ o O O 0 0.50' CL kN c •C j ,c 040'4. r r r , r .•• VICINITY MAP NOT TO SCALE LOCATION MAP NOT TO SCALE GRAPHIC SCALE 20 0 10 20 (IN FEET) 1 inch = 20 ft CERTIFIED TO: A) NICAMERICAN, Inc a Florida Corporation B) Finley & Bologna International C) Old Republic National Insurance Co. 0) FOLIO NUMBER: 11 -3205- 030 -0070 FLOOD ELEVATION INFORMATION This property appears to be located in a Flood Zone AE ,Base Flood Elevation 9', as per Federal Emergency Management Agency (FEMA) Community No.120652 -Map Number 12086 C, Panel No. 0306, Suffix L, Effective Date: September 11, 2009. LEGAL DESCRIPTION Lot 07 less the El0 ft. and the E10 ft. of Lot 6, Block 5 of °REPLAT OF TRACT B MIAMI SHORE BAY PARK ESTATES° according to the Plat thereof, as recorded in Plat Book 63 Page 17 of the Public Records of MIAMI —DADE County, Florida. SURVEYOR'S NOTES: 1) The above captioned property was surveyed and based on the above legal description. 2) Foundations and /or footings that may cross the boundary line of the parcel herein described are not shown. Undergound utilities are not depicted hereon. 3) The lands shown hereon were not adstracted for easement or other recorded encumbrances not shown on the plat and the some if any may not be shown on this section 4) Wall ties are to face to the wall 5) Ownership subject to opinion of the Title. 6) 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. 7) Elevations shown hereon are based on a closed level loop using third order procedures and are relative to the National Geodetic Vertical Datum 1929. 8) Survey map and report copies thereof are not valid without the signature and raised seal of the Florida Licensed Surveyor. 9) Ownership of fences are unknown. 10) This survey has been prepared for the exclusive use of entities named hereon this Certification does not extend to any unnamed party or parties. 11) The purpose of this Survey is for obtaining Title Insurance and Financing and should not be used for Construction purposes. SURVEYOR'S CERTIFICATE: I HEREBY CERTIFY THAT THE ATTACI`4ED BOUNC!ARYSURVEY OF THE ABOVE DESCRIBED PROPERTY IS CORRECT TO THE BEST OF MY KNOWLEDGE AND BEUEF AS RECENTLY SURVEYED UNDER MY DIRECTION, ALSO THAT THERE ARE Na VISIBLE ENCROACHMENTS UNLESS SHOWN, AND THIS SURVEY MEETS MINIMUM TECNNICAL STANDARDS SET BY THE FLORIDA BOARD OF LAND SURVEYORS, AS SET FORTH IN CHAPTER 472.027 (F.S) ANL) CHAPTER 5J -17 OF THE FLORIDA ADMINISTRATIVE CODE. THIS SU- a DOES OT REFLECT OR DETERMINE OWNERSHIP. NOTE:NOT VALID UNLESS SIGNED AND SEALED AND SURVEYOR STA OF FLORIDA NO. 2804