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FW-13-478Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 187136 Permit Number: FW- 3- 13-478 Scheduled Inspection Date: June 11, 2013 Inspector: Rodriguez, Jorge Owner: Job Address: 289 NE 104 Street Miami Shores, FL 33138- Project: <NONE> Contractor: PAUL DAVIS RESTORATION OF GREATER MIAMI INC Permit Type: Fence/Wall Inspection Type: Final Work Classification: Wood Fence Phone Number Parcel Number 1121360130610 Phone: (305)260 -0034 Building Department Comments INSTALLATION OF HORIZONTAL WOOD FENCE AROUND PROPERTY WITH THREE GATES. Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. June 11, 2013 For Inspections please call: (305)762 -4949 Page 2 of 27 • • Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION Permit Type: BUILDING JOB ADDRESS: 2- 9 N /0 c/7-1( (5 FBC 20 Permit No. r5-417g Master Permit No. ROOFING City: Miami Shores County: Miami Dade Zip: 3 3/2 Folio/Parcel #: i ' 1/ l 3 6 -0/3 -- 06 /O Is the Building Historically Designated: Yes OWNER: Name (Fee Simple Titleholder): Address: 235- 802- ,(46 NO Flood Zone: iq o c A c590` 5-; 7'i c 4 S- a C Phone #: 7 2 0— 9 7e? -V6'6y City: �''yt !,¢//t j,` 6e4C/I' State: Fe- Zip: 331517 Tenant/Lessee Name: Phone #: Email: Pcc 2G. p &et(Soc.T f CONTRACTOR: Company Name: A 0 L b,41/l -S /2- ',5170,4��1 o4-41 Phone #: 30 S ^ 72-6-3 7Y6 Address: a. 6 99 c. j. 7 971/ s G/ // City: H eALPAII state: ,G,l Zip: 3 3 ©/6 Qualifier Name: /de 7:e /4;4113.6j / 44) Phone #: State Certification or Registration #: CG C Off' 7793 Certificate of Competency #: Contact Phone #: 30 S • 7 6 37V8 Email Address: P/< mg; 4-u COen DESIGNER: Architect/Engineer: Pe -e' 4 /1 G / b b ,T;4"ti Phone #: ;C S — 726- 3 7 g Value of Work for this Permit: $ -Z, 3 Square/Linear Footage of Work: Type of Work: ❑Addition DAlteration ONew ORepair/Replace zl ODemolition Description of Work: ,3,>/nelf y ' SG j /t�-t 7toD 4v\ 2 4 C CA4,046 - PdC -C.. Color thru tile: ********* * * * * * * * * * * ** ** *** * ** * * * * * * * * * *F U ********* * * * * * * * * * * * * * * *** * * * * ** * * * * * * ** Submittal Fee $ Permit Fee $ f.J 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 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 vale 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. ;7n the absence of such posted notice, the inspection will not be approved and a reins e Lion fee will be charged. Owner or Agent The foregoing instrument was acknowledged before me this day of V. , 20 (.3, by , who is personally known to me or who has produced CJ --1 t 1 $As identification and who did take an oath. NOT 4111040 _w My Co ,, ",,,,"'' Bonded Through 1 g National Notary Assn. APPROVED BY Signature Contractor The foregoing instrument was acknowledged before me this day of , 20��, bye' ; df31'4'+.� who is personally known to me or who has produced as identification and who did take an oath. Plans Examiner Structural Review (Revised 5 /2 /2012)(Revised 3/12/2012) )(Revised 06 /10 /2009)(Revised 3 /15 /09)(Revised 7/10/2007) rsoF Commission # EE 12432 014 • ' "es: Bonded Through National Notary Assn. Zoning Clerk www.sunbiz.org - Department of State FLORIDA DEPARTMENT OF STATE DIVISION OF CORPORATIONS Page 1 of 2 Home Contact Us E- Filing Services Document Searches Previous on List Next on List Return To List No Events No Name History Detail by Entity Name Florida Limited Liability Company ROC ACQUISITIONS, LLC Filing Information Document Number L12000152886 FEI /EIN Number NONE Date Filed 12/06/2012 State FL Status ACTIVE Effective Date 12/05/2012 Principal Address 235 82ND STREET MIAMI FL 33141 Mailing Address 235 82ND STREET MIAMI FL 33141 Registered Agent Name & Address CURA, PETER 235 82ND STREET MIAMI FL 33141 US Manager /Member Detail Name & Address Title MGRM CURA, PETER 235 82ND STREET MIAMI FL 33141 Annual Reports No Annual Reports Filed Document Images 12/06/2012 -- Florida Limited Liability [ View image in PDF format Note: This is not official record. See documents if question or conflict. Previous on List Next on List Return To List No Events No Name History Forms Help Entity Name Search Submit Entity Name Search http://www.sunbiz.org/scripts/cordet.exe?action=DETFIL&inu doc number =L 120001528... 12/7/2012 Electronic Articles of Organization For Florida Limited Liability Company Article I The name of the Limited Liability Company is: ROC ACQUISITIONS, LLC L12000152886 FILED 8:00 AM December 06, 2012 Sec. Of State bbostick Article II The street address of the principal office of the Limited Liability Company is: 235 82ND STREET MIAMI, FL. 33141 The mailing address of the Limited Liability Company is: 235 82ND STREET MIAMI, FL. 33141 Article III The purpose for which this Limited Liability Company is organized is: ANY AND ALL LAWFUL BUSINESS. Article IV The name and Florida street address of the registered agent is: PETER CURA 235 82ND STREET MIAMI, FL. 33141 Having been named as registered agent and to accept service of process for the above stated limited liability company at the place designated in this certificate, I hereby accept the appointment as registered agent and agree to act in this capacity. I further agree to comply with the provisions of all statutes relating to the proper and complete performance of my duties, and I am familiar with and accept the obligations of my position as registered agent. Registered Agent Signature: PETER CURA Article V The name and address of managing members /managers are: Title: MGRM PETER CURA 235 82ND STREET MIAMI, FL. 33141 L12000152886 FILED 8:00 AM December 06, 2012 Sec. Of State bbostick Article VI The effective date for this Limited Liability Company shall be: 12/05/2012 Signature of member or an authorized representative of a member Electronic Signature: PETER CURA I am the member or authorized representative submitting these Articles of Organization and affirm that the facts stated herein are true. I am aware that false information submitted in a document to the Department of State constitutes a third degree felony as provided for in s.817.155, F.S. I understand the requirement to file an annual report between January 1st and May 1st in the calendar year following formation of the LLC and every year thereafter to maintain "active" status. 000-000-0000 HP LASERJET FAX 14 2013 12:12PM FSC City of Hialeah Business Tax Receipt Mayor Caritas Hernandez 2012 -13 15::17: - i rcor� ed hat luit pfd = :.:::: ti yr: `:.y���- 4! itss$p.'2-08..40 0,s:PIt1IS PiiI18TCm5; ibrii�a .'-..: .. u:•'•. -t.. . : B si�esx New Mu1ta.fapily =: usz 'tritet.4A::'#ex t .. a . rat L•: '� •:DA "..Z Er.aTION OF - CREATE • ,L :33:016 v`a�iaatingNo, 0000 TRUISM? ABILL Mar 07 2013 11:2SRM HP LRSERJET FRX 000 - 000 -0000 Aiicicincr CERTIFICATE OF LIABILITY INSURANCE p.1 PAULD -1 OP ID: AJ OATS (MWDIrYrrY) 03/0712013 THIS CERTIFICATE 18 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON 7148 CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OP INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the curtlticste holder Is an ADDITIONAL INSURED, the pollcy(le must be endorsed. If SUBROGATION 10 WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate OCRs not confer rights to the certificate holder in lieu of such ondoresmin • PROOUCEA Brown & Brown of Florida, Inc. Won* Beach OffIce No. Box 2412 Daytona Beach, FL 321184413 Danny DIChlara INSURED PAUL DAVIS RESTORATION OF GREATER MIAMI, INC. 2898 W. 79TH ST. BAY 1 HIALEAH, FL 33016 RAGES Phone: 388- 282.9601 Fax: 366. 230- 8729 `,,:; APRIL D, PRUITT' CPSR a, gsra 388. 239.7298 or, 386-238.8919 "u- APRUITr�BaDAVTONA.coM INSURERIsi AFFORDING COVERAea IFICATE NUMBER: WsuRsR A: Ni11111us Ins Co julestee,AmerICliln States Insurance Co SOME CITravelers Prop & Ca* of Amer mingo:Erldgafleld Employers NN&UNI[R e: NAM S 17370 19704 25874 10101 ROUSER P: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAME/? ABOVE FOR THE POLICY PERIOD INDICATED. NOIVATHSTANDINO ANY RECUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WI -HIGH THIS CERTIFICATE MAY BE Rouen 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 fgr TYPE or INSIURANG' ,NmD wvn POLICY NUMa©( TIN : I Limn A A oarleMAL LIAIILITY ECP200787700 ECP200707700 LIMIT 51,000,000 02/15/2013 02/1512013 02115/2014 0211512014 EAGN 5 1,000,000 X COMMBRCIAI.0ENERAL UAEILITY tQCCURsRENCE IE ,9SE9 �curr.n:,) . 100,000 CLAIMS -MADE 7 OCCUR MEDE11P (Any an aWl) E 5,000 X POLLUTION PERSONAL &ADV INJURY t 1,000,000 GENERAL AGGREGATE $ 2,000,000 Ann. TELIMITAPPLIESPER; POLICY I I j JEpA -,.Lx PRoDUGrs - COMP/OP AGO $ 2,000,000 $ B AtN70N05M UAeLSIY 010H8840125 08/ 0112012 0510//2013 ' ' t ;m ant) -- 8 1:000,000 X ANYpAUurrp — Emu INJURY (Plttpnon) $ AU'r88 ED HIRED AUTOS — SCFI�pm�uLED N•UWNED BODILY INJURY (Per . IdM;) E PP re0 _ GE rn7 $ EACI4COMMRRENCE $ A X UMaRe14 Ewa UMW" X OCCUR OLAIMS-MADE FFX200767600 021102013 —^ 1 02/10/2013 02/18/2014 at 2,000,000 AGO MOATS $ 2,000,000 DEO I X ,RETENTION s _ 0 e D WORKERS OPNP'EN5ATION AND IEMPLAIY1P3' LtAAIurr ANY PROPRII ART NBRIEXEOLITIVE Y 1 N IMU C-IenNERISCWDED7 N/A 083050360 02116/2094 X TATIV E.L., EACH ACCIDENT y 1,000,000 E.L. D16EASSE -EA EMPLOYE; I 1,000,000 q�� y14 riati l`" OF OPERATIONS 4�Iaw E.L. DISEASE - POLICY UM• ® 1,000,000 C Equipment Floater QT66000231-792TIL12 0912812012 0912812013 DERORIPT1ON OP II/FIXATIONS / LOCATIDNS / VSHIOLES (AtlaaR AODRD 151, AtldWonal Remarlui aolsdula, If men Apace IP HIGIIMdl CERTIFICATE Nord= 10 Bao0CIZ$XZEID A8 anoITION AL vast= IN RE0AMDB TO OENNBAL LIABILITY COVET/ABB. a CERTIFICATE HOLDER MIAMSO4 MIAMI SHORES VILLAGE SUILDING DEPARTMENT 10090 NE 2ND AVENUE MIAMI SHORES, FL 33138 CANCELLATION_ SHOULD AMY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY ritOV18IONa. AuTNORVED REPRESENTATIVE ®1988.2010 ACORD CORPORATION. All rights reserved. ACORD 28 (2010/05) The ACORD name and logo are registered marks of ACORD 000 - 000 -0000 HP LASERJET FAX 2013 11:2SAM AC# 6327526 THIS DO U ?;ENT HAS A COLORED B ACKGROUN D * MI CROP R.NTI,I G LIN EF., R K'' PATENTED PAPER STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD ; SEQ#L120831034I BATCH NUMBER s/CENSE NBA 08/31/2012 127008737 CGC057783 The GENERAL CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter. 441 FS. Expiration, date: AUG 31, 2014 KILIDDJIAN, PETER PAUL DAVIS RESTORATION OF GREATER MIAMI INC 2699 N 79TH STREET BAY#1 HIALEAH FL 33016 RICK SCOTT GOVERNOR _DISPLAY AS_ REQUIREO_BY. LAW_ _ KEN LAWSON SECRETARY 9- 10' PAVEMENT " 15' ALLEY PPW FOUND 318' IRON PIPE LOT 21 END OF WIRE FENCE / I WEST tb 15.15 ONE STORY RESIDENCE # 289 F.F.E =12.65 NGVD. 10.09' M M 1 25' GARAGE =10.2T CONCRETE POST 0.15' CLEAR. DRIVEWAY PAVEMENT FOUND 3/4' IRON PIPE 50' 75,00' 5' SIDEWALK u. 0 25' 15.40' SOD 52.00' BOUNDARY SURVEY SCALE 1".•=20' LEGAL DESCRIPTION: Lots 21 and the West 1/2 half of Lot 22 in Block 120, MIAMI SHORES SECTION 5, according to the Plat thereof as recorded in Plat Book 10, at Page 47 , of the Public Records of Miami Dade County, Florida. 0 ui N- CY) NE 104TH STREET 18.50' PAVEMENT 75 RIGHT OF WAY 52' PROPERTY ADDRESS: 289 NE 104TH STREET MIAMI SHORE, FLORIDA 33138 NE 3RD AVENUE BLOCK CORNER FOUND 314' IRON PIPE SURVEYORS NOTES: 1 -OWNERSHIP IS SUBJECT TO OPINION OF TITLE. 2- EXAMINATION OF THE ABSTRACT OF TITLE WILL BE HAVE TO BE MADE TO DETERMINE RECORDED INSTRUMENTS, IF ANY, AFFECTING THIS PROPERTY 3-NO UNDERGROUND IMPROVEMENTS WERE LOCATED 4- ELEVATIONS ARE IN N.G.V.D.VERTICAL DATUM. 5 -THERE MAY BE ADDITIONAL RESTRICTIONS NOT SHOWN IN THIS SURVEY THAT MAY BE FOUND IN THE PUBLIC RECORDS OF MIAMI DADE COUNTY. 6 -LEGAL DESCRIPTION PROVIDED BY CLIENT 7- UNLESS OTHERWISE NOTED RECORDED AND MEASURED DATA ARE IN SUBSTANTIAL AGREEMENTS. 8- BEFORE ANY CONSTRUCTION THE SET BACKS MUST BE CHECKED 9 -FLOOD ZONE 'X" PANEL 12086C0302 I 10 THIS SURVEY IS INTENDED EXCLUSIVELY FOR THE USE BY THOSE TO WHOM IT IS CERTIFIED. 11- BEARING ARE BASED OF PB 10- 47(PER PLAT) 12- DATE OF FIELD WORK 12/07/2012 LOCATION MAP N.T.S. NE 105TH STREET 9 8 7 6 5 4 • 3 2 1 15 16 17 BLOCK • 18 120 19 20 02 23 CERTIFY TO: 1- .Rapid Title Services Company. 2 -.Old Republic National Title Insurance Company. 3 -.Roc Acquisitions, LLC. 3- .Peter Cura. CARLOS SILVA P.S.M. P.S.M. #3630 JOB:1- 12/07/2012 11010 SW 140TH AVE MIAMI FM 33186 PH: (305) 388 -4098 PAL (305) 388 -4098 THE SURVEY DEPICTED HERE IS NOT COVERED BY PROFESSIONAL LIABILITY INSURANCE. NE 104TH STREET WV =WATER VALVE —t =UTILITY POLE ANCHOR =CONCRETE —0----- =CHAIN. LINK FENCE, --0 -- WOOD FENCE LEGEND: A/C =AIR CONDITIONER PAD C.B.S. = CONCRETE BLOCK STRUCTURE DH = DRILLHOLE F.I.P. =FOUND IRON PIPE F.N.D. =FOUND NAIL & DISC F.N. =FOUND NAIL L.P. =LIGHT POLE N/D =NAIL & DISC N.T.S. =NOT TO SCALE PPW =POWER POLE WOOD TS = TIN SHED S.LP. =SET IRON PIPE LB.# 3630 W.M. =WATER METER C = DENOTES ELEVATIONS. I HEREBY CERTIFY: THAT THE BOUNDARY SURVEY OF THE ABOVE DESCRIBED PROPERTY IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF, AS RECENTLY SURVEYED UNDER MY DIRECTION. IT IS ALSO MY PROFESSIONAL OPINION THAT THIS SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS SET FORTH BY THE FLORIDA BOARD OF PROFESSIONAL SURVEYORS AND MAPPERS (DOACS) IN CHAPTER 5J -17 OF THE FLORIDA ADMINISTRATIVE CODE PURSUANT TO SECTION 2099-66 OF THE FLORIDA STATUTES. 12/07 2012 LOS. PROFEti.ONAL LAND SURVEYOR CER7IRCATE No 3630 STATE OF FLORIDA 771E SURVEY SHOWN HEREON IS NOT VALID WITHOUT THE SIONAlURE AND ORIGINAL RAISED SEAL OF A FLORIDA SURVEYOR AND MAPPER NE 3RD AVENUE