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RC-11-2302
Inspection History Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Project: <NONE> Owner: MARIA LEBOWITZ Phone: Job Address: 1285 NE 102 Street Miami Shores, FL Parcel: 1132050250120 Block: Lot: Scheduled Ins • # Ins • ection T Ins • ection Status Ins • ector Date Com, leted 02/27/2012 INSP- 167709 Drywall Kitchen beam area only. NB 02/22/2012 INSP- 167717 Miscellaneous PARTIAL APPROVED Norman Bruhn 2/27/2012 Norman Bruhn 2/22/2012 APPROVED METAL BEAM IN THE KITCHEN TO BE INSPECTED. 02/28/2013 INSP- 167707 Final APPROVED Norman Bruhn 2/28/2013 02/22/2012 INSP- 167715 Framing APPROVED Norman Bruhn 2/22/2012 05/24/2012 INSP- 167716 Insulation APPROVED Norman Bruhn 5/25/2012 06/12/2012 INSP - 170441 Drywall APPROVED Norman Bruhn 6/14/2012 CREATED AS REINSPECTION FOR INSP- 167709. Kitchen beam area only. NB 04/30/2012 INSP- 172856 Floor Trusses DENIED Norman Bruhn 5/1/2012 Sheathing ok. Joist attachment is not per plan. The wrong hangers were used. NB 05/24/2012 INSP- 174070 Framing APPROVED Norman Bruhn 5/25/2012 CREATED AS REINSPECTION FOR INSP- 167715. Monday, April 1, 2013 Page 1 of 1 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 174070 Permit Number: RC -12 -11 -2302 Scheduled Inspection Date: May 24, 2012 Inspector: Bruhn, Norman Owner: LEBOWITZ, MARIA Job Address: 1285 NE 102 Street Miami Shores, FL Project: <NONE> Contractor: JOHN DALTON LLC Permit Type: Residential Construction Inspection Type: Framing Work Classification: Addition /Alteration Phone Number Parcel Number 1132050250120 Phone: (561)394 -2619 Building Department Comments BATHROOM REMODEL (MASTER BATH) AND NEW FLITCH PLATE REMOVAL OF STEEL 4X4 COLUMN IN KITCHEN JOIST REPAIR. 3/14/2012 - LETTER ON FILE TO PLACE PERMIT ON HOLD. INSPECTION REQUESTWED ONLY BY JOHN CUNNIFF QUALIFIER. CHAN(;F OF CONTRACTOR n4/94/2M9 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- 167715. May 23, 2012 For Inspections please call: (305)762 -4949 Page 32 of 33 James F. Bi u. PE Consulting Engineer Date: May 23, 2012 City of Miami Shores Building Department Miami Shores. FL Ref: Double Floor Joist Hangers Permit # 11 -2302 Lebowitz Residence 1285 NE 102nd Street Miami Shores, FL Dear Building Official: Please be advised the allowable combined gravity load on a LUS 210 -2 Joist Hanger is 1830#. The actual tributary gravity load on the hanger is 798#. The LUS 210-1 was used Instead of the HU 210 hanger. All fasteners are in accordance with the manufacturers recommendations 1915 NE 45TH STREET, SUITE #107 FT. LAUDERDALE, FL 33308 PH/FAX 954 776 8004 Miami Shores Villag �� `•�?' Buildin g De artme �� p ? 10050 N.E.2nd Avenue, Miami Shores, Florida 33 38 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949'' ,ZK12 -40w pow BUILDING PERMIT APPLICATION FBC 20 Permit No. Master Permit No. Re Permit Type: BUILDING ROOFING JOB ADDRESS: /6 S N C /62 cr City: Miami Shores County: Miami Dade Zip:33 5Y Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: /tok2 OWNER: Name (Fee Simple Titlehold er):17 /4(1 ` ti 12. / C 1pzvi 'hone #: 305- 0 029'6 6 Address: F,-CT / 2 S f City: /MO i in / 6 /10tr'le, State: Zip: e.13 R' Tenant/Lessee Name: Phone #: Email: e LL ,, , D ® PC-4— CONTRACTOR: Company Name.• -J o )414 Val.' " r - o U C o r r t Phone #: 3. ! . - * - - Z 3 Address: f re' S (A) T i -tk Ski City: 0,9e" coo State: R Qualifier Name: "off �tp, vro Phone #: ZG t g State Certification or Registration #: �'� f'� 4-71-14— Certificate of Competency #: Contact Phone #: 6501 Email Address: ®J - ��' -- CZs �c-� ► Amu . Coo DESIGNER: Architect/Engineer: Phone #: Zip: 5. 4k-C Value of Work for this Permit: $ l 7,,000 - Square/Linear Footage of Work: Type of Work: Addition ❑Alteration New Description of Work: ` -Pet rZooV 12-12401 oP ,e epair/Replace emolition ** ** * *** r***** * * * * * * * * * * * * * * * ** * * * * * ** Fees************* * * * * * * *** * * * * * * * * * * * * *** * * * * *** Submittal Fee $ Permit Fee $ 4 CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 1 O i iJ 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 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 &Lim' ,61976/ Owner or Agent The foregoing instrument was acknowledged be e thi v� day of (I(,d, 20 i d-, by 't�� Kc c ► i c 21, who is personally known to me or who has produced FL As identification and who did take an oath. NOTARY PUBLI 1 ,i,, . 111\I '1L' Sign: Print: My Commissi ININarY Public State of Florida. Przulcois Mezil m . Commission 00837921 Expires 11/12/2012 ************** APPROVED BY Signature r_v Contractor The foregoing instrument was acknowledged before me this C day of _M 1. , 20 (1-, by JDsZ / DA'G- r o- #i/ who s personally kno to me or who has produced as identificatio � >a� d who did take an oath. NOTARY PUBLIC• Sign: Print: ;,leei pirdl�cob ::,�, Finkel •�: = M►� IOH DD929068 My Co �� �o EXPIRES: OCT.19, 2013 WWW A A,,,, Q ak9eakatakaleaYaY ieaYaYatiakaYaYaY9YataYaYataY * # *aY&aYaY�Y� �k�x�Y9r�Ydesir�t�Ysira ?dear**** Plans Examiner Zoning Structural Review Clerk T & K "II eajote z (Revised 3/ 12 /2012XRevised.07 /10 /07XRevised 06 /10 /2009XRevised 3/15/09) ei� G, Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CHANGE OF CONTRACTOR / ARCHITECT Permit N. Owner's Name (Fee Simple Title Holder): / 11 c i J oa Owner's Address: ; ,, — New /b S 7- City. `d ,q Phone #:(3b5) Job Address (Of where work is being done): City: Miami Shores State : Zip Code: 51 VIM State: Florida Zip Code: Contractor's Company Name: T5+1- — .D/} -L-'� L, Cn hone #: 66/ -391 /, ' Address: 1.5" f SvJ s Z s City: 1E3©c 41. R iciEtn ni State: `1q. Zip Code: 33 ¥8C5 Qualifier's Name : Lic. Number: C-'G ®/2 4/09' Architect/ Engineer of Record Name: Phone #: Address: City: State: Zip Code: Describe Work: I I J, A,06),11 /)'1 g 04414 I hereby certify that the work has been abandoned and/or the contractor /architect is unable or unwilling to complete the contract. I hold the Building Official and the Miami Shores harmless for all legal involvement. Signature /7 owner or Agent The foregoing instrument was aknowledged before this 113 day ofA(] ,201kby Plano; £46 V Who is personally known to m or who has produced Ft. Notary Public: as indentification. g Nota!y Public Frannie Mn21 hMv Gnrn nissiort 00837 *of of Expires 11/12J2012 Signature Contractor or Architect The foregoin strument was aknowledged before me this l ° day of /99°lli L , 20 t1by,lorsd (-- )W who i ersonally known me or who has produced as indentification. Notary Public: Sign: Seal: ��.+0"�pvn6a,,, Jacob Finkel 1 '• `- C0MM6s oM# 0D929068 )EJWIREsa Oa 19, 2013 r WW'IM.AARONN0TARCaom rom:Mary Norton FaxID: Date:4 /3/2012 03:40 PM Page: 2 of 2 OP ID: MN ,4`oI L CERTIFICATE OF LIABILITY INSURANCE DATE 04 /03DlYYYY) 04/03/12 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) 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 this certificate does not confer rights to the certificate holder In Ileu of such endorsement(s). PRODUCER 561 -395 -1435 The Plastrldge Agency -BRO 2100 N. Dixie Hwy. 561-395-4755 Boca Raton, FL 33431 CNAME CT PHONE FAX (A/C, No. Extl: (A/C, No): E-MAIL ADDRESS: CUUSsTOMER ID N: JOH ND -3 INSURER(S) AFFORDING COVERAGE NAIC ft INSURED John Dalton Construction, LLC 1581 SW 17th St Boca Raton, FL 33486 INSURERA: Mid - Continent Group LIABILITY COMMERCIAL GENERAL LIABILITY INSURER B : Retail First Ins. Co. INSURER C : 04GL000828995 INSURER D : 08/23/11 INSURER E : EACH OCCURRENCE INSURER F : 1,000,000 CERTIFICATE NUMBER: • THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL NMI SUBR WW POLICY NUMBER POLICY EFF (MMIDDIYYYY) POLICY EXP (MM/DDIYYYY) LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY OCCUR 04GL000828995 08/23/11 08/23/12 EACH OCCURRENCE $ 1,000,000 X DAMAGES( occurr PREMISES (Ea occurrence) $ 100,000 CLAIMS -MADE X MED EXP (Any one person) $ EXCLUDED PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS- COMP /OP AGG $ 2,000,000 POLICY PRO- JECT LOC $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 04GL000828995 08/23/11 08/23/12 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 — BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ X $ $ UMBRELLA LIAB EXCESS LIAB _ OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ B WORKERS COMPENSATION EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS YIN N 1 A 52040755 07/29/11 01/03/12 TOR TORY LIMITS X ER E.L. EACH ACCIDENT $ 500,000 below E.L. DISEASE - EA EMPLOYEE $ 500,000 E.L. DISEASE- POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) P`en rlr,,-a-re I IP.I e�I-w CANCELLATION MIAMISI Miami Shores Village Building Department 10050 NE 2nd Avenue Miami Shores, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE O 1988 -2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD Maurice D. Lebowitz, M.D. 1285 North East 102nd Street Miami Shores, Florida 33138 To Whom It May Concern: F@MgW/Ei la APR 1 6 2012 IV April 16, 2012 This is to certify that Mr. Robert Carcione is to be my representative and has not now nor has never acted as the contractor on any work done during the reconstruction of the bathroom, or the remodeling my home at the above address. Maurice D Lebowitz 1r tr-2.12AI�� �► BUILDING Permit No. PC-A -X)CTL.7 PERMIT APPLICATION Master Permit No. FBC 20 a)1 1--Dr(v� Permit Type: _. L OWNER: Name Fee Simple Titleholder ( P ) .12:t klY) >e f:s©tom ;42, 2. Phone #:2 e17 ^ et l O 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 ILII DEC 1 3 2611_... B Y: Address: 2S5 1•.) 102. csi- City: V t*Av., a l v State: V.1 Zip: 33 138 Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: 1 gS . 4" City: Miami Shores County: Miami Dade Zip: .2..? /38 Folio/Parcel #: Is the Building Historically Designated: Yes CONTRACTOR: Company Name: Address: 1,544 `'Fk. ®tj t44 11 'Rot City: ?LA h *L t lus State: Ft A Zip: 3332 2. Qualifier Name: WE)/4A-7 ` t..WdL.t t F1Z Phone #: q�'� 9f Fj Cia010 State Certification or Registration #: L. 6 C. (05-1 OrCertificate of Competency #: Contact Phone #: DESIGNER: Architect/Engineer: Phone#: NO Flood Zone: Phone #: 95.1 -818 - ?zo,� Email Address: Value of Work for this Permit: $ L i 5-60 Square/Linear Footage of Work: 768 T of Work: ❑Address ®Alter 'on Type e o °New °Repair/Replace °Demolition Description of Work: t��h 'C�GM t_° 1 (P 4e t k) tJCu 1 RG 1,11/4 ‘'.<140C-6 PP r l�fi ` ►.pi R. ***************************************Fm************** +x***** * * **** ***** *** * *** **** a Submittal Fee $ Permit Fee $ c/62.) CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ '�'� (0 0 TOTAL FEE NOW DUE $ 560-1 .5ZO 0 e C Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) <r ' • 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 FT ECTRICAL WORK, PLUMBING, SIGNS, SPOOLS, FURNACES, BOJJ,,F.RS, HEATI1RS, TANKS andy AIR CONDITIONERS, ETC CAf h. !. 9, "1'0' OWNER'S AFFIDAVIT: I certify that all the foregoing information is'accuratejd that an wgf4 \ uI4 be j c�Ompliance with all i 1 cable laws regulating construction and zoni ng , r "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 YekTR ER.Mg. !!AlS° T ORNEY BEFORE ;RE RPJNG YOUR NOTICE OF CO CEMENT." - -, . 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 trs1 inspection which occurs even (7) days after the.,building permit i issued. Iln the absence,,!' such posted notice, the ell svt approved and a imprifeeitee u+i1 cldarged. $ ' '7I j 1,• & w • ± - ' Signature �-� „P _ •9 J A.���c -7.e t- .,t onll:a4tor 'S'4 'ie fore"goanitrument was acknowledged 'efore me this , day of ip °t'v '' , 26: , by k Po C e., No 4� '.� ,%14, Owner or Agent The foregoing instrument was acknowledged be lmTe `* day o : .� 20 // , by a)/ who is personally know to me or who has produced who is known to or who has produced *�T(l�,j tification and who did take an oath. a1iV A. ! 3oPUBLIC: As identification and who did take an oath. NOTA .° C: - -- APPROVED BY /i 1" * * ******* *********************** Plans Examiner /1/17,14/44-134 " / 2-i /9 StructuralReview (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Clerk NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRSTJNSPEGTiON 1111111111111111111111111111111111111111111111 PERMIT NO.' `C) 11 — 2A 'rAXFOLIO 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 CFN 201280108420 OR Bk 27998 Ps 29651 (1ps) RECORDED 02/15/2012 14:01:32 HARVEY RUVIN, CLERK OF COURT MIAMI -DADE COUNTYr 'FLORIDA LW PAGE Space above reserved for use of recording office 1. Legal description of property and street/address: I (2'35 ID 2 bi. $ t AA"' 4 " • Sier,+►e S 2. Description of improvement: MX1S+ev 'i r). h g Mdota 3. Owner(s) name and address: t Interest in property: / ©a S'• 1M i tOh* i S PIA re.5 Name and address of fee simple titleholder. 4. Contractor's name, address and phone number: :.. , L Oh. _ r t) /.) 1,S f t■%c. 'Natt at St4i-v 2 1/1164.% ,10^4 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(1Xa)7., Florida Statutes, Name, address and phone number rr 343f 8. In addition -to himself, Owners designates the following person(s) to receive a copy of the Uenor'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 unless 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 1, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Signatures. of Owne s) *Prepared By Print Name Title/Office STATE OF FLORIDA COUNTY MIAMI �. • - > $, ,. ,r.Je , ■e/. /. cer/Dlrector/Partner/Manager Prepared By Print Name* Title/Qfficd ually, or ® as for Personally known, or k7 produced the following type Of identifl Signature of Notary Public: Print Nance: (SEAL) 'Under penalties of perfary, I declare that I have read the foregoing that the facts stated in It are true, to the best of my knowledge and Signatures) of Owner(s) or Owner(s)'s Authorized Officer /Director/Partrler/Manager who signed above: By By 123.01.62 PAC-2:3 3/10 STATE OF FLORIDA, COUNTY OF DADE HEREBY CERTIFY that this is a true copy of the iii in t bled in this office on day of F. 5 2 , A D 20 NiTNESStand and Official Seal. HAM/ t/ n IN, CLERK, of Circuit and County Courts ay i L/ 175- (-5 D.C. r IVI iami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIPT PERMIT #; ✓ --A3 0 ;‹. - DATE: /02 .1 3�/� 0■512,2-0,/ rCi Contractor o Owner o Architect Picked up 2 sets of plans and (other) Address: /0.1 95--- D (ea From the building department on this date in order to have corrections done to plans And /or get County stamps. 1 unde d that the plans need to be brought back to Miami Shores Village Buildi ■eparime •n40; ue permitting process. Acknowledged PERMIT CLERK INITIAL: RESUBMITTED DATE: PERMIT CLERK INITIAL: Permit No: 11 -2302 Job Name: December 22, 2011 Miami Shores Vivage Building Department Building Critique Sheet ovide all permit applications prior to any further reviews. rovide the address of the property on each sheet of the plans. /his structure is located in a flood zone. Provide a substantialimprovement verification orksheet. (available a front counter) rovide a floor plan showing the location of the work. ))/rovide scope of work does not match the plans submitted. he wind load design criterion is wrong. Provide structural calculations for the new plate including details of existing construction at does the wall support? Is this a single story house or two story? Is the work on the first floor or second? The scope of work shows no mechanical but the plans show removing mechanical services. 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Page 1 of 1 REVIEW STOPPED; PROVIDE A DETAILED SET OF PLANS. 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 FROM : 0CAAAAAA- 4444444444 PHONE NO : 954 742 4793 ACOR THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT B>=1WEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE FOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the poilcy(1as) must be endorsed. If SUBROGATION IS WAIVED, subject Eo Feb. 06 2012 02:31AM P1 CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDi(YYY) 1/24/2012 the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endarsenren s mamas Incurs -Link 14050 NW 14th St Suite #180 Sunrleo N0/ ° stephaule Smith P 'XE {954) 308 -1348 ass: $'t ophanie l insure -i ink . oom FAX 054)209-1950 FL 33323 mom Atlantic Development & Construction, Inc. 1844 N Woks Hill Rd, Ste 224 Plantation F13 33322 RauRERO AFFORar4G COVEwuaE issunanatAtlantio Casualty INSURER B lNSURERC! awes 42846 MUREX to • COVERAGES INSURER E • 11431420—F CERTIFICATE NUMBER:Master 12 -13 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED; NOTWITHSTANDING ANY REQUIREMENT, `GERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CIAN& Tit TM OFI$SURAN0E r1 POLICY 'Ju.;i. ■ ` y EFF aa� �" i_,c' ITV n73 lea GENERALLUADILRY L030003119 -1 1/19/2012 ,iaaai h/13/2013 OCCURRENCE S 1,000,000 X COMMERCIAL 1ADEGY ^? s 100,00' I 1111 CLAINIS.MADB © OCCUR _ I,1t= bE,1(P ,y $ 3, 000 PERSONAL$ AM INJURY $ 1,000,000 El cENERALncsotaB3A7g $ 2,000,000 GENL AGGREGATE UMW APFIJF..$PEit X . P(iLu0Y f C f L�oc eaantleTS.CO :7OPAGG $ 1 000 000 $ AUTOMOBILE LIABILITY -- coLo (!ED crate umir MI III ANYAufo ooDILYAWURYIPerpersoa) $ AU t2 HIREOALMOS $CE ED$C ED AuroS AI D • BODILY INJURY(pet'avdkient) $ w.. S UMBRELLA LIAR SAMOS UM - Cl.PThtS NADE Wm OCCLRRENCE 5 AGGREGATE S CEO RETENTIONS $ INDEXERS COTIPEN$ATION AND EMP1.OYen,uMILItY OYFi- [.t;e i., 0. EL EAGKAGaDENT ANY PROPRISToRIPARINBRExectinvo OFECorrail sER excusoom N/A $ •..^ --- iY aaahlialocosa* WOW PEON 9f'03LRATIOIVS �eTmv EL DiSEAsE- Elk MM. I - $ EL °DFLA„tt - POLICYIlMat $ _ DESCRIPTION OP OPERATIONS/ LocintoN$ /MUCUS (Anach ACORD 101, Additional Rernmies SdmBn[e; if mom space iB regoited) • AWNbi M,A A• • .w. r.•• (305) 756.8972 •Ntani Shores Village Building Department 10050 NE 2nd Ave. Miami. Shores, 3T 33138 ACORD 24 (2010/08) IN8026 (2 noos)m SHOULD ANY CIPIHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL SE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTROREIRDREPRESANTATIVE laratt Liakteig /ICZRF 019862010 ACORD CORPORATION. AU rights reservetL The ACORD name and logo are registered marks of ACORD Maurice D. Lebowitz, M.D. 1285 NE 102nd Street Miami Shores, Florida 33138 Atlantic Development & Construction, Inc. 1844 North Nob Hill Road Suite # 224 Plantation, Florida 33322 ( D I Mr. John Mincielli: March 12, 2012 Notice of Termination: To Atlantic Development & Construction, Inc. This letter is to advise Atlantic Development & Construction, Inc. ("Atlantic") that I will not accept any further demands for payment from this company and furthermore my wife and I are no longer comfortable with your performance as our general contractor. We have paid Atlantic a substantial amount of money since December 2011 just as Atlantic has requested. Now Atlantic is requesting further sums for projects in progress: plumbing (not completed), insulation (not completed) and electric (which are not included within the scope of our construction contract. Indeed, several months ago I paid one of our subcontractors that I have dealt with directly, that being Genesis Electric, for all the electrical work in the Master Bathroom. Moreover, I also paid another subcontractor directly for framing which work remains to be completed and, obviously, is yet to be inspected. The plumbing is, at best, 15 -20% completed. That is after the plumber and his assistant worked on that project for three days Atlantic promised that its subcontractors would be at our home to work promptly in the early mornings. Instead they actually only arrive hours later, if they ever arrive. The plumber, for example, arrived at 9:15AM on March 3rd and left fifteen minutes later promising to return within thirty minutes and never did! Demanding payment for work that it not completed is, in my view, a fraudulent and deceptive trade practice and one that I assume also constitutes a violation of the Florida Construction laws on professional standards by which Atlantic and its licensees must honor in order to maintain professional licenses. Accordingly you should treat this letter as notice of my election to terminate our agreement and that I am dismissing Atlantic as our general contractor effective immediately March 12, 2012. You are also hereby notified that Atlantic and its agents are no longer permitted to access to our property or seek to gain access to our home. Maurice Lebowitz U.S Postal Service,. CERTIFIED MAIL, RECEIPT (Domestic Mail 0171Y; No insurance Coverage Provided) FordeliOninformationvishourwebsiteahwmusPsx0m (:) 0 F F littru4 . Atk• ... rtAat%n 2.1 PS FO t /11 3800 August 2008 See Reverse for InstructIons PRIVATE POSTAL SYSTEMS, INC. 12555 BISCAYNE BLVD. N. MIAMI, Ft 33181-2957 (305)895-6974 opspost@earthlink.net LISPS First Class Mall 9.15 SUBTOTAL 9.15 TAX 0.00 TOTAL 9.15 TEND Ca'- Costow, #9275; J'2012 12:15 12:15 PM .,"*4********************** LJ ivur bu:dnes:s R" O� F�� c- —. q7-z- - -1� 06 -23 -2011 \'t. .• +d'�a wx1 JEFF ATWATER 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: 06/23/2011 EXPIRATION DATE: 06/22/2013 DALTON JOHN W JR 200689634 BUSINESS NAME AND ADDRESS: JOHN DALTON CONSTRUCTION LLC 1581 SW 17TH STREET BOCA RATON FL 33486 SCOPES OF BUSINESS OR TRADE: 1- CONSTRUCTION * * 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 440.05(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 01 -11 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: 06/23/2011 EXPIRATION DATE: 06/22/2013 PERSON: JOHN W DALTON JR FEIN: 200689634 BUSINESS NAME AND ADDRESS: JOHN DALTON CONSTRUCTION LLC 1581 SW 17TH STREET BOCA RATON, FL 33486 SCOPE OF BUSINESS OR TRADE: 1- CONSTRUCTION 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 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 E the 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 01 -11 USPS.com® - Track & Confirm Page 1 of 1 English Customer Service atISMCOM Quick Tools Track & Confirm GET EMAIL UPDATES PRINT DETAILS YOUR LABEL NUMBER 70111570000203822340 Check on Another Item What's your label (or receipt) number? USPS Mobile Register! Sign In Search USPS.com or Track Packages Ship a Package Send Mail Manage Your Mail Shop Business Solutions SERVICE LEGAL ON USPS.COM Privacy Policy > Terms of Use > FOIA > No FEAR Act EEO Data > Copyright© 2012 USPS. All Rights Reserved. STATUS OF YOUR REM DATE & TIME LOCATION FEATURES Delivered March 14, 2012, 9:15 am i FORT Certified Mar' : LAUDERDALE, FL 33322 Depart USPS Sort , March 14, 2012 FORT Facility 1 LAUDERDALE, FL33310 Processed through ! March 14, 2012, 1:58 am 1 FORT USPS Sort Facility ( LAUDERDALE, FL 33310 Government Services > Buy Stamps & Shop > Print a Label with Postage > Customer Service > Site Index Find ON ABOUT.USPS.COM OTHER USPS SITES About USPS Home > Newsroom > Mail Service Updates > Forms & Publications > Careers > Business Customer Gateway > Postal Inspectors > Inspector General > Postal Explorer https: // tools. usps .com /go/TrackConfirmAction ?qtc tLabels1= 70111570000203622340 3/27/2012 OL111U01 City of Boca Raton License File Changes - General Information Type information, press Enter. Business control . . . . 13426 Business name & address LLC ••n 1* 1581 SW 17 ST 33 BOCA RATON FL 33486 License number • 112_::_0008097 T Appl, issue, expir . . 111405 110911 113.0,I2' License status (F4) AC ACTIVE Classification (F4) 2332 CONTRACTOR,GENERAL Exemption (F4) License comments . . . License restrictions . Gross receipts Reprint this license . N Y =Yes, N =No Additional charges . . N * Y =Yes, N =No Extra requirements . . N * Y =Yes, N =No Last activity: Renewed: 11/U9/11 by Mailing address 1.581 SW l/ ST BOCA RATON F3 =Exit F5 =Code description FlO= Business maintenance 4/05/12 11:27:17 JWRIGHT FL 33487 Miscellaneous . . N * Y =Yes, N =No Sub codes . . . . N Y =Yes, N =No More... F9=Applicant/Qualifier F12= Cancel F24 More keys OL111U01 City of Boca Raton License File Changes - General Information Type information, press Enter. Business control . . . . 13426 Business name & address LLC 0.1 •A 0\ •\ 1581 SW 17 ST 33 BOCA RATON FL 33486 License number •i' 1200013728j Appl, issue, expir . . 81898 100311 ; 930421 License status (F4) . AC ACTIVE Classification (F4) . HOMOCC HOME OCCUPATION Exemption (F4) License comments . . . License restrictions Gross receipts Reprint this license N Y =Yes, N =No Additional charges . N Y =Yes, N =No Extra requirements . N * Y =Yes, N =No 4/05/12 11:28:15 Last activity: Renewed: U9/29/11 by JWRIGHT Mailing address 1.581. SW I./ S'1' BOCA RATON FL 33487 CHANGE OF COMPANY NAME FROM JOHN W. DALTON JR JOHN W. DALTON QUALIFIER F3 =Exit F5 =Code description F10= Business maintenance Miscellaneous . . N Y =Yes, N =No Sub codes . . . . N Y =Yes, N =No More... F9=Applicant/Qualifier F12= Cancel F24 —More keys FROM : 1*CAAAAAA— AAAAAAAAAA PHONE NO. : 954 742 4793 Mar. 31 2012 08:38PM P1 ATLANTIC DEVELOPMENT & CONSTRUCTION INC. Florida State Certified General Contractor CGC 057648 Custom Building & Repairs Mold Certified 1844 North Nob Hill Road Office 954 818 -9206 Suite 224 Fax 954 742 -4793 Plantation, Fla. 33322 E -mail Johnonestop()aoLcom Established 1996 Framing, Drywall, Finishing FAX COVER Date: April 2, 2012 To Miami Shores Building Department Attention: Buiidint official Norman Bruhn Fax Number: 305 756 -8972 From: John Minden VP Reference: Permit # 12412302 Pages including Cover 3 Message: Ri Mr. Bruhm, Please see attached FROM : - CAAAAAA— AAAAAAAAAA PHONE NO. : 954 742 4793 Mar. 31 2012 08:38PM P2 ATLANTIC DEVELOP1VIENT & CONSTRCJCTION INC. Florida State Certified General Contractor CGC 057648 Custom Building & Repairs Mold Certified Framing, Drywall, Textures April 2, 2012 Miami Shores Village 1005 NE 2 avenue Miami Shores, Florida Attention: Building Department Building Official Noonan Bruhm 1844 N. Nob Hill Road Suite 224 Plantation, Fl. 33322 Established 1996 Complete interiors Office 954 818-9206 Fax 954 7424793 F -Mail Johnonestop(aot.com Indoor Air Quality Residential & Commercial Re Permit Number 12 -11 -2302 1 received a call from your office this past Wednesday inquiring about the letter you requested regarding the Flitch plate in the Kitchen, She could not understand why it did not go to your desk immediately. She advised me that you would be out until Monday and she would get it to you immediately. When We took over this job for the second floor Bathroom some of the framing was completcxl, nay partner just assumed that it was done by the old contractor who we replaced, and I might also add that it was all done improperly. While 1 was cleaning out my truck this Saturday 1 found a file that obviously Bob left it In my Truck, as one day when 1 arrived on the job in the mio i g he asked me fora snide to the Gas station for cigarettes. In the foie was just one paper, it is a bill from a company called AMA 2 Corp for removal of the column in the Kitchen authorized by Bob Carcione and signed. Please fmd this invoice attached_ As I mentioned this Bob Carcione is Mr. Lebowitz Construction manager and he is having unlicensed people work in this home. FROM : OCRAAAAA- AAAAARARAA 1 PHONE NO. : 954 742 4793 Mar. 19 2012 07:20PM P1 ATLANTIC DEVELOPMENT & CONSTRUCTION INC Florida State Certified Genera) Contractor CGC 057648 Custom Building .Bc 'Repairs Mold Certified 1844 North Nob Bill Road Suite 224 Plantation, Fla. 33322 Established 1996 Framing, Drywall., Finishin Office 954 818 -9206 Fax 954 742 -4793 FAX COVER Date: March 20, 2012 To Miami Shores Building Department Attention: "Bua0d pp official Norman Bruhn. Fax Number: 305756 -8972 From John Cunniff Reference: Permit # 12 -112302 Pages including Cover 5 Message: Attached please tin as requested a letter regarding the flitch plate in the kitchen. Attached please The scope of work signed by the homeowner. FROM : OCAAAAAA- AAAAAAAAAA PHONE NO. : 954 742 4793 Mar. 19 2012 07:20PM P2 -)10PI,L Maur a3ne8 sZ aq of InlJeluuu nuking niv ATLANTIC DEVELOPMENT & CONSTRUCTION INC. Florida State Certified General Contractor 1844 N. Nob BIU Road twice 954 818 -9206 CGC 057648 Suite 224 Fax 954 742 -4793 Custom Building & Repairs Plantation, Fl. 33322 E- -Mail Johnonestup(a�aol.com Mold Certified Established 1996 Indoor Air Quality Framing, Drywall, Textures Complete interiors Residential & Commercial March 20, 2012 Miami Shores Village 1005 NE 2 Avenue Miami Shores Florida 33138 Attention: Building Department Building Ufecial Norman Bruhn RE: Permit # 12-11-2302 In reference to the above mentioned permit please be advised the Atlantic Development & Construction has never been contracted to perform any work in the kitchen. ,,attached please find the scope of work that was signed by Mr. Lebowitz. All the work Atlantic Development & Construcdon was hired for was the second floor Bathroom only. When we asked for the drawings, my partner was told that they were misplaced this excuse went on for days. One afternoon my partner noticed the drawings in the kitchen on a lower shelf, he told Mr. Lebowitz and took them home that evening to copy. That is when we noticed the beam in the kitchen on the drawings, the last page. That evening we received a call from Mr. Lebowitz yelling at my partner for removing the permit package from his home. The following morning my partner questioned him regarding the Column in the kitchen being removed and questioned who did the work and why weren't we advised the there was additional work on the drawings, that we did not include on our scope of worts. At that point his unlicensed Construction. Manager jumped into the conversation and the yelling began., at that point it was time to leave. This Flitch plate was never installed by Atlantic Development & Construction nor did Atlantic Development or its representatives call for any inspections. All this underhanded illegal activities were and continuing to be performed by Bob Carcione Mr. Lebowitzz's Construction Manager who is unlicensed and he has unlicensed uninsured this home six days a week performing all different people working In Exploitation. of work . This homeowner is a victim of If there any qu 1ons please feel free to call • ATLANTIC DEVELOPMENT & CONSTRUCTION INC. Florida State Certified General Contractor 1844 N. Nob Hill Road CGC 051648 Suite 224 Custom Building & Repairs Plantation, FL 33322 Mold Certified Established 1996 Framing, Drywal Textures Complete interiors SCOPE OF WORK November 25, 2011 Dr. & Mrs. Maurice Lebowitz 1285 NE 102 Street Miami Shores, Florida Office 954 818 -9206 Fax 954 742.4793 )E -Mail Johnonestop a,aoLcom Indoor Air Quality Residential & Commercial Architectural / Engincur Drawings All Architectural / Engineered drawings to be provided by owner for permit processing_ Permit All permit processing to be performed by Contractor at no charge to owner, an allowance of $600.00 is included for permit fees. Floor Jst. Install new 8 floor jst. 3 X 8 approximately 20' exact size to be checked at field as per Drawings with all necessary mounting hardware. Second floor decking 4 plywood with % wonder board (decking and wonder board to be secured to new floor jst) with ring shank Nails and Teflon screws. Prattling All framing material to be 25 gauge metal studs & Track. Vd WdZZ:LO ZTOZ 61 'avW 26417 E174 VS6 : ON 2NOHd tiddtidddtidd— tiddddd)0 : NONA Drywall All wall wet areas to be dense shield or wonder board i/2 all other areas to be 'A drywall with a level 4 finish. Garage Ceiling to be 5/8 as per Florida building code. lkaitthg All painted to be primed with two coats of nigh build primer and two coats of paint to be selected by owner. All paint to be Latex one color except for ceiling. .Plumbing AlI plumbing to be done by a licensed plumber, all existing plumbing fixtures to be reinstalled except for any new fixtures supplied by owner. All water lines to be copper. Bath tub to be refm;ehcd by owner and installed by plumber. glectric Electric to be done by owner Tile Owner to supply all wall & floor tile all labor to be performed by contractor with all setting materials. Owner's responsibility Access during normal work hours Electric Water Select all colors and tile and or marble Ed WdTZ:LO ZTOZ ET 'aeW £6L.17 EPL P56 : '0N 2NOHd ddtit tlddtltiti— titldddU) 0 : woad t1 Note= upon approval a draw schedule to be set, and an Insurance certificate to be sent to owner naming owner as an additional insured. Exclusions Floor & wall tile All plumbing fixtures All electric including fixtures Any items not mentioned Contractor Home owner Date 1% A gill Date AR/ ATLANTIC DEVELOPMENT & CONSTRUCTION INC Florida State Certified General Contractor CGC 057648 Custom Building & Repairs Mold Certified Framing, Drywall, Textures 1844 N. Nob Hill Road Suite 224 Plantation, Fl. 33322 Established 1996 Complete interiors Office 954 818 -9206 Fax 954 742 -4793 Indoor Air Quality Residential & Commercial March 12, 2012 Miami Shores Village 10050 NE 2' d Avenue NE Miami Shores Florida 33138 Attention: Building Official RE: RC -12 -11 -2302 In reference to the above mentioned permit I respectfully would hike you to please place a hold on the above mentioned permit no work will be performed and no inspections will be requested unless by this qualifier John Cimniff. My partner John Mincieli has advised me of illegal Construction activity being performed on the premises on a daily bases, by unlicensed, uninsured people who claim to be Contractors and we want no involvement is this type of activity. I am sure that you are aware as we are the second Contractor the first contractor named Motti Max who is unlicensed stole thousands of dollars from these home owners. Mr. Lebowitz has a Construction Manager on site who worked for Motti Max six days a week by the name of Bob Carcione who did referred us to Mr. Lebowitz we have known Bob for years, many years ago he worked for ma as a Sub. In the few weeks I have been working on this project Bob the Construction manager has scammed thousands of dollars from this man in cash to pay for work being done and he never pays the workers. I can not deal with those problems and want nothing to do with this kind of activity. Go to find out Bob also had a problem in Palm Beach with stealing money from homeowners as an unlicensed Contractor. I had no idea that this man was hie this, and we must get as far away as possible. I just feel horrible for Mr. & Mrs. Lebowitz, who Bob has under his thumb, what ever Bob Says goes I do not understand the attraction. Although I had nothing to do with the drawings, including submitting them to the building department, I did pick them up and pay for the permit. I immediately brought them to the house. I have been asking Mr. Lebowitz and Bob for the drawings for over a week and was told that they were misplaced. I never looked at the approved set and wanted to review the complete set. All I ever saw was the two pages pertaining to the second floor bathroom. This past Wednesday I saw the drawings on a shelf in the kitchen and took them to copy. This extremely upset the homeowner. Go to find out that there was a page I never saw with the Flitch plate and removing the column in the kitchen this work has been done and not by me and I never had anything to do with this portion of the job, there is no indication of any of this work in my scope of work. Page one of two This entire job has been a Nightmare and as tough as it is to find work in these hard times, it is just not worth the problems that come with these kinds of jobs, especially with all this scamming and unlicensed people working all around the house. I Hope that one day the authorities catch up with Bob Carcione, or the home owners wake up and realize the type of person he is and hopefully not to late. If there are any questions please feel free to call my office anytime. Page two of two Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 lZC- I1 - 23b2 Inspection Number: INSP - 182495 Permit Number: EL -1 -12 -154 Scheduled Inspection Date: December 06, 2012 Inspector: Devaney, Michael Owner: LEBOWITZ, MARIA Job Address: 1285 NE 102 Street Miami Shores, FL Project: <NONE> Contractor: GENESIS ELECTRIC, INC Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alteration Phone Number Parcel Number 1132050250120 Phone: (754)638 -1564 Building Department Comments MASTER BATH REMODEL INSTALL LIGHTING Relocate Existing SWITCHES Infractio Passed Comments INSPECTOR COMMENTS False Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments December 05, 2012 For Inspections please call: (305)762 -4949 Page 26 of 31 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 RECEIVED JAN 272012 BUILDING Permit No. �'-- Sa PERMIT APPLICATION FBC 20 Master Permit No. 1 Permit Type: Electrical OWNER: Name (Fee Simple Titleholder): Jeri/ eL c )tL Phone#: 305-2 98 -9222, Address: / 2 8s Ale /CA ,..§T72. 7" City: )4114,h; 6 //O L4 S i )/ /l4 :y State: PL Zip: 33 /3 8 Tenant/Lessee Name: Phone#: Email: JOB ADDRESS: /2 1S /1! /0 A ,S'77t ,-G1- City: Miami Shores County: Miami Dade Zip: 33/c3 6' Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: 5C' nit t -477c Phone#: 3d ?' /X56 Y Address: Se /C2 04 1 q--- 9CI 1 City: N . L4 avE-4, 94 t E State: CZ Zip: 330 (a a' Qualifier Name: (.) /low -7 /4L&e `' h'T Phone #: 534 JSP /5d State Certification or Registration #: 46 43 0 b 35o/ Certificate of Competency #: c$ _e/ Cr- -'C e -� %ia6, .srv7` Contact Phone#: 157-/-364?-156 V Email Address: DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ 2A co Square/Linear Footage of Work: Type of Work: OAddress UAlteration 0 ew ORepair/Replace l]Demolition Description of Work: 1144S11Ot ,64f/2ervw /re o.Pe-e--i -;;;;dii //e4.) /icjocc %47.4e) 01(1-0 Lr ce 1 j Submittal Fee $ Permit Fee $ /6't' CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 1 a L BondingCompany's Name (if applicable) Bonding Company's Address e 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 properly 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. li The foregoing instrument was acknowledged before me this Contractor The foregoing instrument was acknowledged before me this 7-e day o .i. 0 -20 day of 'e 20 _� , by L ? -ri z `e1ifc4+'r who) s i., rsonally known to me or who has produced ho is personally known tom s or who has produced — As ide cation and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: Sign: 7 d ° ` a �'? a' J / /U Print: �! • baC44 My Commission Expir * * * * * * * * * * * * * * * * * ** APPROVED BY rk ar O Wb1ISSION # EE 158312 IRE& February 3, 2018 ,RAb • Bow Thru Nay Public Underwriters NOTARY PUBLIC: Sign: Print: C A.; l ***** * * * * * * ** *** * ** * * *a* * ** ** **** ** ** * *:* ** ** /r1/ .74 •-t: laps Examiner Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) / GL T Comm# 000811233 I moires 8/3/2012 *�lp�1 * * * * * * * * * ** ' `to p.u.�r�nunf eYUUUo uuun..0000 ° °.ro Zoning Clerk BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301 -1895 — 954 - 831 -4000 VALID OCTOBER 1, 2011 THROUGH SEPTEMBER 30, 2012 DBA: Business Name: GENESIS ELECTRIC INC Owner Name: WILLIAM J ALBRIGHT /QUAL Business Location: 6810 OARHILL NORTH LAUDERDALE Business Phone: 954 -443- 4620 Rooms Receipt #:181-1553 Business Type:ELECTRICAL /ALARMS /CONTRA (ELECTRICAL CONTRACTOR) Business Opened:07 /12/1999 StatelCounty /Cert/Reg:EC130 03 501 Exemption Code:NONExEM2T For Vending Business Only Number of Machines: Vending Type: Tax Amount Transfer Fee NSF Fee Penalty ' . Prior Years Collection Cost Total Paid 27.00 0.00 0.00 2.70 0.00. 0.00 29.70 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Broward County and is non - regulatory in nature. You must meet all County and/or Municipality planning WHEN VAUDATED and zoning requirements. This Business Tax Receipt must be transferred when the business is sold, business name has changed or you have moved the business location. This receipt does not indicate that the business is legal or that it is in compliance with State or local laws and regulations. Mailing Address: WILLIAM J ALBRIGHT /QUAL 6810 OAKHILL N LAUDERDALE, FL 33068 2011 - 2012 Receipt #01A -11- 00000039 Paid 10/03/2011 29.70 ACCNFirEr ,THIS CERTIFICATE IIS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND EXTEND OR ALTRRt THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS' CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEri THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND TIE CERTIFICATE HOLDER. CERTIFICATE . OF LIABILITY INSURANCE oATRIm ur+rYY) 12/1/2011 N TANT: If the certificate holder Is an ADDITIONAL INSURED, the pt (Ies) must be endorsed. R SUBROGATION IS WANED, subject tD Tim terms and conditions of the pansy, certain potcles map requie an endorsemment. A statement on this certificate does not confer rights to the certficate bolder in of suchendaaemmd{sj. CONTACT NAME: MIME (954} 345 -2600 i.Nor- -(954) 345 -2614 , ss;coralfinl @aol.com PRODUCER CORAL FINANCIAL GROUP 1017 6 W Sample Rd Coral Springs, FL 33065 -3942 mMumeisFMANSmarmaImm INSURER A : ACCIDENT INSURANCE CO NMl INSURED GENESIS ELECTRIC, INC 6810 OARHILL NORTE LAUDERDALE, FL 33068 -3'720 IrsURER B :ASCENDENT p c : ASCENDENT INSURER 0 : INSURER E INSURE; F : REVISION NUMBER: THIS IS TO CERTIFY THAT 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 WrfH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED 011 MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND COMMONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED CLAIMS..�p Mse TYPE OF INSURANCE POLICY NUMBER �.��CBYPAID {ArMIDDIYYYY) ( DD YYYY) LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABIU TI a Y AGL9009907 11/14/1111/14/12 EACH OCCURRENCE $ 1,000,000 $ 100,000 °MAGER/ RENTED PREMISES occurrence) MEDEItP (Any one person) $ 5,000_ 1 CLAMS-MADE B OCCUR $ 1,000,000 PER$GNALa Acv INRIRY GENERAL AGGREGATE $ 2 000,000 PROIXtcls - (mmm P AGG $ 1,000,000 GENE AGGREGATE LIMIT APPLIES PER — I POLICY n & n LOC $ C I D _L $ ALIT — — 1 E UAH Rlr ANYAUTO ALL OWNED IRED AUTOS SCHEDULED NDN BODILY INJURY (Per Knorr) BODILY INJURY (Per =ideal) $ (per DAMAGE UMBRELLA LIAR EXCESS UM — OCCUR CI -MADE EACH OCCURRENCE $ AGGREGATE $ $ DED I I RETENTION $ B WORKERS COMPENSATION ANO EMPLOYERS' LABILITY YtN T NIA y 312092 0$/11J11 03/11/12 I WC SiATU- I TORYLIAm7S 071I- ER E.L. EACH ACCIDENT $ 100 000 r EL DISEASE - EA EMPLOYEE$ 100 , 000 ExcL� t m mo ffo S�RW11O OF OPERATIONS t EL DISEASE - POIJCY LIMIT $ 500 , 000 DESCRIPTION OF OPERATIONS 1 LOCATIONS r VEHICLE$ (Attadt ACORD 101, Adder Sdedide, 7 mare Is required) ELECTRICAL CONTRACTOR , CERTIFICATE HOLDER CANCELLATION Miami Shores Village Building Dept. 10050 NE 2nd Avenue Miami Shores, Fl 33138 SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATflE [Ali :Tr) cL.4-cA_k ,11 ACORD25(2010/05) ®1ga8 -2010 ACORD CORPORATION. Ah rights nerved. The ACORD name and Igo are registered marks of ACORD Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 11 -119L6P Inspection Number: INSP- 166655 Permit Number: DEMO -11 -11 -2111 Scheduled Inspection Date: August 06, 2012 Inspector: Devaney, Michael Owner: LEBOWITZ, MARIA Job Address: 1285 NE 102 Street Miami Shores, FL Project: <NONE> Contractor: GENESIS ELECTRIC, INC Permit Type: Demolition Inspection Type: Final Work Classification: Electric Phone Number Parcel Number 1132050250120 Phone: (754)638 -1564 Building Department Comments DEMO WALL THAT HAVE ELECTRIC PLUGS 7 SWITCHS. Passed ill Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments i/te'/.7--• August 03, 2012 For Inspections please call: (305)762 -4949 Page 5 of 61 \it 141/Lit)1W1 BUILDING PERMIT APPLICATION FBC 20 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 tEmo Permit No. c 1) "' 2 t 1 1 Master Permit No. DrL K ' (l 11%3 Permit Type: Electrical OWNER: Name (Fee Simple Titleholder): ��� 1 C'� �I aae#: OS 7 7 zS -. Address: LYE" E)2_ City: u" Q VUDr ,,S State: r Zip: 33 Q 3 8 Tenant/Lessee Name: Phone#: Email: JOB ADDRESS: b4- City: Miami Shores Folio/Parcel #: County: Miami Dade Zip: Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: rgA/ s',,," EEec r7Zr C 4iv _ Address: 4 '9/0 04il% City: ^/'Q Lift 20,E4 ® State: /cZ Qualifier Name: &), °`Jt.4 i /¢t,3 361)-/S67 Zip: 3,3 . 64" Phone#: 25r --Je' /SW' y State Certification or Registration #: L. C . / c3' 00 3 c.-5-0/ Certificate of Competency #: ,% eteS.45- CC..e-Cro-4'ee )% /Yar- Contact Phone#: %S c f 15-0 Email Address: DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ lf) . Square/Linear Footage of Work: 99� Type of Work: DAddress DAltterailon ONew ORepair/Replace C emolition Description of Work: l� e ® UU j,4 C� 4/ .46 e /eG //Q/ *********** * *** * * * ***** *** * * *** * * *F * **** * *** ***** * *s*x * *** a **m:s *******+s* Submittal Fee $ Permit Fee $ /04P "'' CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology 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 —I Application is hereby made to obtain a, 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 pefrformed 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, $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded, notice of commencement must be posted at the job site for the first inspection which occurs sever days after the building permit is issued. In the absence of such posted notice, the inspection will no ; approv> «« a reinspection will be charged , The foregoin instrument was acknowledged before me this f day of / , 20 11, by M OW: Cs , cut �, f1 LJ9faiitaay of who is personally known to me or who has produced who —041 1Irks Signatur �s Contractor The foregoing instrument was acknowledged before me this /? aro. , 20 LL, by Ltd °a ` 44 4i74f o me or who has produced as identification and who did take an oath. As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: t u u'6AIME Pitt/ I j3 Notary Public, State of Florida Commission# DD876701 comm. expires Apr. 1, 2013 APPROVED BY NOTARY PUBLIC: Sign: Print: lies 1 /N t - Et" My Commission Expires: gel /i/ a ® rorrrroorrP'rHRI$TINE PIGUETrrrrrrrrr. *******************************************4** fret/ cif /° L/ Plans Examiner Structural Review (Revised 07 /10 /07XRevised 06110 /2009)(Revised 3/15/09) Expires 81312012 NoterYAt Boni n,rrnrr rr +rroors"rrrwuuurrruororrowoiir Clerk Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 2-5oL Inspection Number: INSP- 164983 Permit Number: DEMO -9 -11 -1796 Scheduled Inspection Date: August 07, 2012 Inspector: Bruhn, Norman Owner: LEBOWITZ, MARIA Job Address: 1285 NE 102 Street Miami Shores, FL Project: <NONE> Contractor: CREATIVE DIRECTIONS, INC Permit Type: Demolition Inspection Type: Final Work Classification: Building Phone Number Parcel Number 1132050250120 Phone: (305)933 -9392 Building Department Comments DEMO MASTER BATH FLOOR AND SHOWER TILE AND REPLACE WITH NEW (NO PLUMBING OR ELECTRIC) Inspector Comments Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. August 06, 2012 For Inspections please call: (305)762 -4949 Page 1 of 30 4wra.i�..a�► l7 --1Q" IaI4 • ••• .� . • •Al • •.• 3. 114`t FI L GiC ION • ... • • -. , • .s. • I Shores Village knyzo BY DATE ma Oas ' itZr- 1\k SLIME :TTO CC STATE " No cot RIJt_ S. AND REGULATIONS 14(vci« Miami Shores Village n R Y Building Department a SEP 2 9 2011 y 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 07 Permit No H .9 Master Permit No. Permit Type: BUILDING ROOFING Phone b J a OWNER: N e (Fee Simple Titleholder): /9k l �i�� ST- 5 Address: /' ,� J City: 4 117 Pi' Er State: f" h!° Zip: Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: (kCc�C� t t) e- �� EtC` I ; hone #: Address: d 91( 10 9 t 7q —7 City: j a 1 ryk 71 State: fi Zip: ,?3I Qualifier Name: Phone #: State Certification or Registration #: Certificate of Competency #: Contact Phone #: DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ Square/Linear Footage of Work: 7 ?t P Email Address: Type of Work: ❑Addition DAlteration DNew DRepair/Replace Description of Work: 0073kA 0 t . , - Fl elQ° emolitio fs , ‘C.) iddat lleA 7 11 * 1 Submittal Fee $ Permit Fee $ /CO al. CCF $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ CO /CC $ TOTAL FEE NOW DUE $ \ ID 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 Owner or Agent Signature A-° Contractor The foregoing instrument was acknowledged before me this ( The foregoing instrument was acknowledged before me this± day of J J't\ . 20' , by V' I c v l lX 1Oa Wit k , day of 5 � fJ- • , 20 �\ , by .P rn� who is personally known to me or who has produced �'I ci°��k LlC�1Se who is personally known to me cis@ `510'4 a tification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: ` ®o,�®� toviN Tst ! i, NOTARY PUBLIC: Sign: U 4�o s9' Slgn:t .9 c.1...., 6./ Print: -..1a�r� (a--, g..3.-• �' EE265t5 a, • F Print: ,, \k... �s•‘r --� cif 1 z`'4 �'' °�n 1sts ' Q °�� R81 E i>�&� a ��n ai r a l�n My Commission Expires: •''• p �. My Commissi ®�' ® ®l �8si alei i 11 `� �`' Leslie Frindel ,, , Commission #DD859445 • es. R,.,,Q7 2013 C APPROVED BY ! a i Plans Examiner Zoning (Revised 07 /10 /07XRevised 06 /10 /2009XRevised 3/15/09) Structural Review Clerk 389326 -1 susams HAVE / LoormoN CR ATIVE DIRECTIONS INC THIS I i NOT A BILL - DO NOT PAY RENEWAL �► - - 29-0 SIAM CNX151374 F ST CLASS U.E P TAGE PAID 1lMMI, FL ? NO 231 1 TC1ivii .1-41771140.4.1_ N1/4 C4NTRACTOR -Entia TAX 09,19 /2011 04010105001 • _ 000043.00 SEE OTHER. SEM 00 P407 0ORWARD tREA-UVE DIRECTIORS tNC JAM AY Ali PROS 2991 NE 194 R MIAMI FL 331/4 z • Uhullu itlh.lidnNl1aI tli IlN hlmHall 900Z/0Z/L0 9Z6ZLE650E SWV3dG AO S303Id 01,45 feA At ?WA oo e4A e MAL; 4.5.54) (-e- /2.85 N'• /02. 57,-/teir- mit110/ SIZ4,65 ,c,-es VhFqe BY SUD .17 IC :ANCE Al_L FEDERAL f' US AND REGULATIONS — - - - o jari Lit&Yr t,t - s t 1/4 2 T Py - 45-fl w 140"R Ll. 11-0A■ e rAci ts4.5 6 EA, 6: 5, :5 64 e cro- • c, e c /3 oo350( 1P,44,1 mzitie-iter ch ze...1 dz,wts-f.//4 .. CHRIST P%GUE °Ta 8" 16 is 2336" commit 4*. es 83 " E3cor 1 Florida NotaiyArr 12an°1.2. Inc P1011118111aW100051216110.110.1.113S7110C810108816.1919116151011 James F. Biagi PE Atl-Loc4-, Consulting Engineer t. 1(7,414 29,E f � 7 173 iS-1-73 = 1,0 102. 7 In, 04, `'T, 5y.t2 4 45 .7._ X4,2 _ice 145` 1,01:- 14 00 6 X S7/ #.- 19t r s-56 /et vA-2. U.J z X4/3-s" sae; Wtsr0.4 idx R 5-V) at),, 8 ® © ®�'�6990a9g3i9/g0 421 '! , Sgy'temx• _s, ll Ve\AC,�\ ecz 1915N.E46THST1 rSTE107FT.LALAB .E,FL33306 R-1 264776E004 FAXT4776W15 FND 1/2" IP NO ID LOT 6 BLOCK 186 0 tti FND 1/2" IP NOIO 156.00' ASPHALT DRIVEWAY 81.0' POOL UTILITY 25:x. 25.0' 6'WF 75.0' 33.0 ONE STORY STRUCTURE. #1285 I 23.0' CONCRETE DECK 38.1 2' CBS WALL LOT 5 BLOCK 186 81.0' E PLANTER 156.00' LOT 4 BLOCK 186 75.0' 38.1' 'CBS WALL FND 1/2" IP NO ID 0/S 4.75' WEST FND 3/4" IP NO ID INVOICE NO.: 11 -35514 PROPERTY ADDRESS: 1285 NE 102 STREET, MIAMI SHORES, FL. 33138 J 1 O LICENSE NO., 66 Office: (954) 777 -4747 Fax: (954) 777 -2707 P 5950 W. Oakland Pk. Blvd. - Suite 309 - Lauderhill, FL 33313 LEGAL DESCRIPTION: LOTS 4 & 5, BLOCK 186 OF "BAY BREEZ~ SECTION MIAMI SHORES" ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 42, PAGE 25 OF THE PUBLIC RECORDS OF MIAMI -DADE COUNTY, FLORIDA. CERTIFICATIONS: MAURICE LEBOWITZ z FLOOD ZONE DATA: COMMUNITY NUMBER: 120652 PANEL AND SUFFIX: 0306 L DATE OF FIRM: 9/11/09 BASE FLOOD ELEVATION: AE 8 LOWEST FLOOR EL7EVATION: 10.92 NE 102nd STREET 75' R/W 21 ASPHALT *.00' BLOCK CORNER SE CORNER OF TR 186■C (NOT A PART OF THIS PLAT) FND 1/2" IP NO ID MAP OF BOUNDARY SURVEY SCALE: 1 " =20' GENERAL NOTES: (1) THIS SURVEY IS BASED UPON RECORDED INFORMATION AS PROVIDED BY CLIENT. NO SPECIFIC SEARCH OF THE PUBLIC RECORD HAS BEEN MADE BY THIS OFFICE. (2) UNDERGROUND IMPROVEMENTS HAVE NOT BEEN LOCATED EXCEPT AS SPECIFICALLY SHOWN. (3) ELEVATION ARE BASED UPON NATIONAL GEODETIC VERTICAL DATUM 1929 (N.G.V.D. 1929). (4) IN SOME CASES, GRAPHIC REPRESENTATIONS HAVE BEEN EXAGGERATED FOR CLEARER ILLUSTRATION. MEASURED RELATIONSHIP SHALL HAVE PRECEDENCE OVER SCALE POSfI1ONS. (5) ALL DIMENSIONS SHOWN ARE FIELD MEASURED AND CORRESPOND TO RECORD INFORMATION UNLESS SPECIFICALLY NOTED OTHERWISE (6) UNLESS OTHERWISE SPECIFIED, THIS SURVEY IS NOT TO BE USED FOR CONSTRUCTION PURPOSES. (7) WELL - IDENTIFIED FEATURES IN THIS SURVEY AND MAP HAVE BEEN MEASURED TO AN ESTIMATED HORIZONTAL POSITIONAL ACCURACY OF 0.10 (FT) NOTE: 1 HEREBY CERTIFY" IS UNDERSTOOD TO BE AN EXPRESSION OF PROFESSIONAL OPINION BY THE SURVEYOR AND MAPPER BASED ON THE SURVEYOR AND MAPPER'S KNOWLEDGE AND INFORMATION. AND IT IS NOT A GUARANTEE OR WARRANTY EXPRESSED OR IMPUED. (9) ATTENTION IS DIRT -CTED TO THE FACT THAT THIS SURVEY MAY HAVE BEEN REDUCED OR ENLARGED IN SIZE DUE TO REPRODUCTION THIS SHOULD BE TAKEN INTO CONSICIERATION WHEN OBTAINING SCALED DATA (8) I HEREBY CERTIFY THAT THIS BOUNDARY & PARTIAL TOPOGRAPHIC MEETS THE MINIMUM TECHNICAL STANDARDS FOR SURVEYS, AS SET FORTH BY THE FLORIDA BOARD OF SURVEYORS AND MAPPERS IN CHAPTER 61317 -6 OF THE FLORIDA ADMINISTRATIVE CODE, PURSUANT TO SECTION 472.027, FLORIDA STATUES. DATE OF ORIGINAL FIELD WORK; 4/11/11 GINO FURLANO, PROFESSIONAL SURVEYOR & MAPPER FLORIDA REGISTRATION NO. 5044 (NOT VAUD WITHOUT SIGNATURE AND ORIGINAL RAISED SEAL OF THE FLORIDA LICENSED SURVEYOR AND MAPPER SHOWN ABOVE)