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EL-12-760Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 173572 Permit Number: EL -4 -12 -760 Scheduled Inspection Date: May 16, 2012 Inspector: Devaney, Michael Owner: LEIGHTY, THORSTEN Job Address: 109 NW 95 Street Miami Shores, FL 33150- Project: <NONE> Contractor: LANGER ELECTRIC COMPANY Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alteration Phone Number (786)360 -2530 Parcel Number 1131010240270 Phone: (786)251 -8585 Building Department Comments PROVIDE & INSTALL NEW ELECTRICAL PANEL AND BREAKERS Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comm (6/-(gY2•6?° May 15, 2012 For Inspections please call: (305)762 -4949 Page 19 of 22 -311 Miami Shores Village Building Department RECEIVED APR S n 201Z 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Telt (305) 795.2204 Fax: (305) 756.8972 C l LA 11���1 INSPECTION'S PHONE NUMBER: (30S) 762.4949 ±� Permit No, ;1 (00 Master Permit No. BUILDING PERMIT APPLICATION FBC 20 L-c), Permit Type: Electrical OWNER Name (Fee Simple Titleholder): MA R. CA4I AnkO Phonc#: Address: 10°1 ¢. City; M i l i 21.rleS T State: , Zip :. , 3(50 Tenant /Lessee Name: Phone #: Email: JOE ADDRESS: 109 NW ct ST City: Miami Shores Folio/Parcel #: 11 5101°2.402 70 Is the Building Historically Designated: Yes County: Miami Dade Zip: NO - Flood Zone: CONTRACTOR: Company Name: LAN DER, ELF I C.. Co Phvne#: 9s 4 8c4 Address: (cSDO NW ZI''T 4..Vr= .Je) l= $u i Te City:.Voar 1..AtMe.CALE, Qualifier Nanie: _graird__LAg% State: FL zip: 3330 Phone#{: 41.9 State Certification or Registration #: ; 1 0 00011 Certificate of Competency #: Contact Phone#: Email Address: DESIGNER: Archite4t/f3ngineer: P11tme #: Value of Work for this Permit: $101,,S0 Square/Linear Footage of Work: Type of Work: ❑Addrress ❑Alteration ONew BRcpair /Replace 0 I7ei olition Description of Work: thyI eI a 16S 1_ rtC.vi i c J .pane 1 bi-ea S 9•*0p ** * * * *•** * * * ** * ** * * * * * * * * * ** *** * ** Fee's * * * * ** sap****** * ******* * * * * **** *M*** ** **** **Io Submittal Fee $. Permit Fee $ CCF $. , CO /CC $ n Fee �^ l� Radon Fee DBPR $ Bond $ Scanning $ $ ...._ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ „ TOTAL FEE NOW DUE $ 110 ( ( 0 Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage lender's Address City Stag 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 dune 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 un estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of conrntencement 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 co ncentent must be posted at the job site for the first inspection which occurs seven (7) drays after the building permit is issued the abseil - of such posted notice, the inspection will not be approved rut u reinayection fee will be charged. G irfr Signature Signature Owner or Agent ! Contractor The foregoing instrument was acknowledged before me this ash The foregoing instrument was acknowledged before me this day of Apt,-41 , 20 % L, by Mark CO U{lO , day of , 20L . by Laztkikts1 _, who is personally known to me 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. NOTARY PUBLIC: Sign: Print: My Commission Expires: STEPHANIE ISAM , MY COMMISSION #00998170 EXPIRES: JUN 07, 2014 *APifig 0191421110440441449440 NOTARY PUBLIC: Sign: Print: My Commission I3xpires: MI6 l (,` 2'i T. B. PLYLER Commisslon # EE 114295 *I *** **** *** * ** *** reap*** yes ***** **** * ** ********* ** ** ** lyeejcPlans Examiner Structural Review (Revised tVh110107XRevised 06 /10R009)(Rcviscd 3113109) Zoning Clerk CERTIFICATE OF LIABILITY INSURANCE LANGE -2 OP ID: J3 DATE (MM/DDIYYYY) 03107/12 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE ODES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES 'LOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED ,PRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on Ws certificate does not confer rights to the certificate holder hi lieu of such endorsement(s). PRODUCER Brown & Brown of Florida, Inc. 1201 W Cypress Creek Rd # 130 P.O. Box 5727 Ft. Lauderdale, FL 33310-5727 Andrew Nalco, CiC, CRIS 954-776 -2222 954- 776-4446 CONTACT NAME: PHONE (AIC. N .EatY EMAIL ADDRESS: MUM Langer Electric Company dba Langer Electrical Services Co 6500 NW list Ave, Suite #1 Fort Lauderdale, FL 33309 NSURER(S) AFFORDING COVERAGE INSURER A; Hanover American Insurance Co+ INSURER B: *Hanover Insurance Co.+ INSURER c : *FFVA Mutual Insurance Co.+ INSURER NAIC A 36064 22292 10385 INSURER E ; INSURER F COVERAGES CERTIFICATE NUMBE • THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE INDICATED. NOTWITHSTANDING ANY REQUIREMENT. CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, EXCLUSIONS AND CONDITION$ OF SUCH POLICIES. LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ABDL JNSR•YWD SUER POLICY NUMBER PoucriEFl• IMM@DIYVYY1 POLICY EXP (MANDDIYYYD uwrs A GENERlU. UABIt.117 721765$36502 03110/12 03/10113 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY 'DAMAGE TO RENTED MISES.(ED oscwrence) $ 100,000 _ • J CLAIMS•MADE X OCCUR MED EXP (AM ate pew) S 5,000 PERSONAL s ADV INJURY S 1,000,000 — GENERALAGOREOATE $ 2,000,000 OENL AGGREGATE LIMIT APPLIES PER. PRODUCTS • COMP/OP AGO $ 2,000,000 POLICY © PRO- LOC Emp Ben. $ 1,000,000 t i AUTOMOBILE LIABILITY AHJ947590200 03110/12 03/10/13 (Ea oq SINGLE LIMIT 1.000.000 X — X ANY AUTO _ soOtI.Y INJURY (Per parson) $ �OOWNED NIRF,p AUTOS X AUTOS SCHEDULED NON—OWNED BODILY INJURY (Per accident) $ ((Par P (dGE accident) $ $ X UMBRELLA LIAR EXCESS UAB X OCCUR CLAULIts•MADE UHJ765636002 03110/12 03110/13 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5.000.000 BED X RETENTION $ -0- $ C INOR)CR5 COMPENSATION AND EMPLOYED' LIABILITY Y / N ANTPROPRIETOR/PARTNER/EXECUTlVE OFFICEtfMMEEMBER EXCLUDED? ❑ (Men+tatmy JAWS If DESCRIPTION ON OF OPERATIONS below N / A WC84000183242012A 01101/12 01/01/13 W0 STATU• OTH- X r• 17$_ ER E.L. EACHACCNENT s 500,000 E•L, DISEASE - EA EMPLOYEE $ 500,000 E.L DISEASE • POLICY LIMIT $ 500,000 A Equipment Floater =J65536502 03110/12 03110113 Leased 1 Rented Eq 100,aoo DESCRIPTION OF OPERATIONS t LOCATIONS/VEHICLES (Attach ACORD 101, AddSIonM RemerIs Schedule it mord space M uupdrigs CERTIFICATE HOLDER LATION • MIAMI -1 Miami Shores Building & Zoning g g 10050 NE 2nd Ave Miami Shores, FL 33128 I SHOULD ANY OF TINS ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE THl ACORD 25 (2010/05) 1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD II' Miami -Dade County. Real Estate Tax Information http: / /egvsys.mi ami dade.gov:1608 /wwws ery /ggvt/txcaw 01. di a ?folio =... Show Me: I PropertyTaxes Search By: Select Item ............_ ........ .........._.................... Detail Tax Information: Real Estate Tax Info 2011 Taxes Prior Years Taxes Due 2011 Ad Valorem 2011 Non -Ad Valorem 2011 Back Assessments 2011 Enterprise Folio 2011 Historical Abatements 2012 Quarterly Payments 2011 Tax Notice /Memorandum O 2002 Nfiami -Dade County. All rights reserved. Real Estate Tax Information Today's Date: 04/25/2012 Last Update: 04/23/2012 Tax Year: 2011 Folio Number: 11 31010240270 MIAMI SHORES Owner's Name: THORSTEN LEIGHTY Property Address: 109 NW 95 ST Mailing Information : THORSTEN LEIGHTY 109 NW 95 ST MIAMI FL 33150 Legal Description : BONMAR PARK PB 17 -11 LOT 7 & S1/2 OF LOT 6 BLK 5 LESS R/W FOR 95 ST LOT SIZE 74.500 X 113 To view 2011 Tax Notice /Memorandum click here 2011 Taxes are in paid status. Paid by mortgage company: WELLS FARGO HOME MORTGAGE Amounts due are subject to change without notice. Contact Information E -Mail: proptax@ miamidade.gov (305) 270 -4916 Downtown Office: 140 W Flagler St., Room 101 Miami, FL 33130 Office Hours: Mon - Fri 8:00 AM - 4:30 PM Related Links: Tax Collector Property Appraiser Florida State Dept of Revenue 0 Property Tax Home I Real Estate Tax Info 12011 Taxes 1 Prior Years 12011 Non -Ad Valorem 2011 Back Assessments 1 2011 Enterprise Folio 12011 Historical Abatements 12012 Quarterly Payments 1 2011 Tax Notice/Memorandum Mlami -Dade Home 1 Using Our Site 1 About 1 Phone Directory 1 Privacy 1 Disclaimer E -mail your comments, questions and suggestions to Webmaster 1 of 1 4/25/2012 11:40 AM Prepared by and Return to Richard A. Golden, Esq. Kramer & Golden, P.A. 1175 NE 125 STREET Suite 512 North Miami FL 3j3i61 RISC File #27 -12P Parcel ID Number: 11 -3101- 024 -0270 Warranty Deed This Indenture, Made tiffs day of March Thorsten Leighty and T Kerby, his wife , 2012 La . Between of the County of BROW RD , State of Florida Mark Castano and Diana L. Lara, his wife grantors, sad vitom mhhess ix 109' N.W. 95 STREET, MIAMI SHORES, FL 35150 of the Comity of M AMT DADL Smto of Florida , grantees. Wrltnesseth that the GRANTORS, for and as considuntion ofthc sum of TEN DOLLARS ($10) DOLLARS, and other good and valuable oansfdotation to GRANTORS fa Lend paid by GRANTEES. the receipt winreef is hereby admowledgal, have granted, bargained and sold to the said GRANTEES ami GRANTEE& heirs, successors and assigns forever the following described land, situate, lying end beiagin tie County of MIAMI -DADE state of Florida Wyk Lot 7 and the South 1/2 of Lot 6, in Block 5, of Bonmar Park, according to the Plat thereof, recorded in Plat Book 17, at Page 11, of the Public Records of Miami -Dade County, Florida; excepting therefrom a portion for Right-of-Way purpose mote particularly described as foliOws Beginning at the Southwest corner of Lot 7, thence run South 89 °10' 28" along the South line of said Lot 7 for a distance of 88.30 feet, to the Point of Curvature of a circular curve to the left; thence run Northeasterly along the aro of a said circular curve to the left, having a radius of 25.00 feet, through a central angle of 90 °12' 08" for an arc distance 39.36 feet, to the Point of Tangency with the last line of said Lot 7; thence run North 0° 37' 24" East, along the East line of said Lot 7, for a distance of 6.57 feet, to the Point of Curvature of a circular curve concave . to the Northwest, having a radius of 20.00 feet, through a central angle, of 83° 13' 06" for an arc distance of 29.05 feet, to a Point of Tangency; thence tan South 83° 50' 30" West for a distance of 96,40 feet, to the Southwest Corner of said Lot 7 and the Point of Beginning. and the grantors do hereby folly warrant the title to said l and, and will defend the same against lawful claims of all perms whomsoevax lac Om ade*,aDhp]ar s, m., lac. 2012 CM) 7042113 Tom Warranty Deed -Page 2 Parcel m Number: 1X-3101-024-0270 In Witness Whereof, the seem have hereon% set their bands and seals to &my and year fast above written. and delivered In our presence Pr _.. N_t:,,- ,49.12P'..As.ar Witness as to - Printed Name: Witness as to Thorsten Printed ems: ° '7 t Witness a s to Eske Printed Name: Witness as to STATE OF Florida COUNTY OF BROW= The foregoing instrument was acknowledged before me this Thorsten Leighty Thorsten Leigh P.O. Address: 593 PlgeonPIum t . C• (Seal) Tike Kerby P.O. Address: 593 Pigeon Plea: Way, WES'TQ 33327 day of March be is personally known tome cab has produced his Florida driver's license as idea aI'In Pte4 • ° STACYS}m * * MY COMMISSION #DR Printed .e.. ` ,* EXPIRES: May orF os`- Bou y 23' 28e 3 Notary STATE -OF CC' C1' 'U\ �''T� 'j 10�k � c. COUNTY OF The faegomg instmmcmt was acknowledged before me this 9 Tike Kerby day of ,2012 by March , 2012 by she is personally knowmto meor shehaspmincedher Florida driver % %z/, � MANZ $ SAY COMMISSION 8112015 MON97138308 � 27 -12p inted Name: Notary PnblicX My 'u44..q 2.015 lasa(20a by *DkisySysaars,Ina. 2012 0163)761555S To PLwD -I Bill of Sale Know All Men By These Presents, That this 30th day of March , 2012 A.D. , That Thorsten Leighty, a married man of the County of BROW RD , State of Florida Mark Castano and Diana L. Lara, his wife whose address is: 109 N.W. 95 STREET, MIAMI SHORES, FL • 33150 of the County of MIAMI—DADE Witnesseth that the FIRST PARTY, for and in consideration of the sum of TEN DOLLARS ($10) DOLLARS, and other good and valuable consideration to FIRST PARTY in hand paid by SECOND PARTIES, the receipt whereof is hereby acknowledged, has granted, bargained, sold, transferred and delivered to the said SECOND PARTIES and SECOND PARTIES' heirs, successors and assigns forever, the following goods and chattels: as per contract 'first party, and State of Florida , second parties. To Have and to Hold the same unto second parties, and the second parties' heirs, personal representatives, successors and assigns forever. And the first party covenants with the second parties, and the second parties' heirs, personal representatives, successors and assigns that the first party is the lawful owner of the said goods and chattels; that they are free from all encumbrances; that the first party has good right to sell and transfer said property, goods and chattels; and that the first party will warrant and defend the sale and transfer of the said property, goods and chattels hereby made to the second parties, and the second parties' heirs, personal representatives, successors and assigns, against the lawful claims and demands of all persons whomsoever. This covenant shall be binding upon the first party and the first party's heirs, personal representatives, successors and assigns. Laser Generated by 0 Display System, leo, 2012 (363) 763 -SSS3 Form FLBOS -1 Bill of Sale - Page 2 In Witness Whereof, the first party has hereunto set his hand and seal the day and year first above written. Signed, sealed and delivered in our presence: Printed Name: Witness Printed Name: Witness STATE OF Florida COUNTY OF mom= The foregoing instrument was acknowledged before me this Thorsten Leighty, a married man Thorsten Leigh P.O. Address: 593 Pigeon Phan Way►, W THIN, FL33327 (Seal) day of March , 2012 , by he is personally known to me or he has produced his Florida driver' s lie se as identification 27 -3.2p Printfi Name : Notary Public My Commission Expires: *052N STACYSNAMM *, < •,% * MY COMMISSION E00855945 *, og EXPIRES: May 29, 2013 'Fomo" aaitted Tlw Budget Way Santis Lases Generated by 0 Display Systems, Ioc, 2012 (863) 763 -5558 Fonn FLBOS -I Permit No: 12- >" ‘t, Job Name: SA- 570-1-4"-- Date: yo hi-PA -249 (2- Miami Shores 'iIIage Building Department ELECTRIC Critique Sheet 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Y, 'J, 2 / - 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. Review Complete by: Michael A. Devaney SR. Chief Electrical Inspector • L L2 -11? RECEIVED MAY 032012 BY: Of,' O a EXI TItt0 �� RXSER WITH THREE X 1 EMI IHG 150A i+i I1N BREAKER E <1STING GROUND Miami Shores Village APPROVED BY DATE ZONING DEPT BLDG DEPT .Ff'ls,K .2e'r SUBJECT TO COMPLIANCE WITH ALL FEDERAL STATE AND COUNTY RULES AND RMULATIONS NON 150A Id. L.O. PANEL TO REPLACE FISTING DUE TO, CORROSION AR D 110T ENOUGH SPACES MARK CASTANO 1O LT IT P5TH SIREN MIA?iii SHORES, FL 33150 LANGER AGE I93t+ Project: egoing in f - r& was Ockknawt ed 0 rrur tl1i day of� rZe br. ..�,EL PO #EE1 personneity kn ,rn - or or prc uced filmtbn lyPe i ti ri rtion produced Jim DeecI1 iort For: Drawrnq: