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RC-13-36 Miami Shores Village Building Department 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 ` JAN Tel:(305) 795.2204 Fax:(305) 756.8972 INSPECTION'S PHONE NUMBER: (305)762.4949 _ FBC 20 49 BUILDING jjge,�83 v HeAl jq6 j K Permit No. PERMIT APPLICATION Master Permit No. Permit Type: BUILDING ROOFING JOB ADDRESS: 11!5 I v E W -' sT e City: Miami Shores County: Miami Dade Zip: Folio/Parcel#:\1 L E'Y L ®9-4i Q'2-$ l Is the Building Historically Designated:Yes NO Flood Zone: L OWNER:Name(Fee Simple Titleholder): PN L7 T)CA hone#: Address: �5S Q 44-t6 :Tem?, City: Vj , N Q0-k(k U- Stater° Zip: Tenant/Lessee Name: Phone#:q6Lt 277C Email: PC Lt>yJrcUf-Lop M�-C'4 VXA<_bt .oeT CONTRACTOR:Company Name: Phone#:`I b u ank UASLf Address: 4 9-0 y g5t4 City: M t PMA State: L Zip: J Lo c Qualifier Name: t 1 0 � Phone#:��CQ a 4 u -` State Certification or Registration#: t�JJ�� Certificate of Competency#: Contact Phone#: Email Address:\-yesk rbv\-�� � C owl DESIGNER:Architect/Engineer: Phone#: Value of Work for this Permit:$ Irpeo•l7® Square/Linear Footage of Work: Type of Work:. []Addition ❑Alteration q New gRepair/Replace ❑Demolition Description of Work: �R;5'-X)L'Pr l G SM (5, rC)6ocm� Color thru tile: �n rti 00 Submittal Fee$ Permit Fee$� y'-- CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$ T, Bonding Company's Name(if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name if applicable) ( PP ) 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$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the buildin permit is issue o, In the absenc such posted notice,the inspection will not be approved and a reinspection fee will b urged. Signature Signature Owner gent Contractor The foregoing instrument was ackkr o ledged 4efore me The foregoing instrument was acknowled ed before me this day of 204 by �- tl A�$N- 1�is�_3 day of � � 2013 by �'"�C 9TH g who is personally known to me or who has produced ,�N,, who is personally known to me or who has produced F bL - as identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: ^" Print: b Print: � a tt' atom of plortua MyCom M natlsei�n E fi0o9®t9 My Commissi34 vxPp is resBARAJ.BRUW&1T FCommISSION#EE 1149H y OF IV EXPIRES:August8,2015 ,����F`�\Oa BondedTfwBudgeiNotmy3ervices APPROVED BY < 131anExaminer Zoning Structural Review .Clerk (Revised 5/2/20 12)(Revised 3/12/2012))(Revised 06/10/2009)(Revised 3/15/09)(Revised 7/10/2007) Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-183895 Permit Number: RC-1-13-36 Scheduled Inspection Date: May 23, 2013 Permit Type: Residential Construction Inspector: Rodriguez,Jorge Inspection Type: Final Building Owner: KENNETH GOMULKA,ANTHONY Work Classification: Addition/Alteration T 'Twown Job Address: 1175 NE 105 Street Miami Shores, FL 33138- Phone Number (786)294-0954 Parcel Number 1122320280281 Project: <NONE> Contractor: DAVID HESLER INC Phone: (786)294-0954 Building Department Comments REPLACE AND REPAIR SOME DAMAGED DRYWALL ON Infractio Passed Comments THE SOUTH WALL, AND REPLACEMENT OF COUNTER INSPECTOR COMMENTS False TOPS IN KITCHEN. PERMIT ON HOLD BY CONTRACTOR. NO NE IS ALLOWED TO SCHEDULE ANY INSPECTIONS ONLY THE CONTRACTOR IN WRITTING. 3/18/13 Inspector Comments Passed Failed Correction ❑ Needed Re-inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. May 23,2013 For Inspections please call: (305)762-4949 Page 11 of 29 Arlenis Silvera From: Lori Hester<hesterbuilder@gmail.com> Sent: Friday, May 10, 2013 1:17 PM To: Arlenis Silvera Cc: Viviana Cubillos Subject: Release of Permit Hi Arlenis, I am writing to you so that you and the rest of the office staff are aware that David Hester, Inc., is no longer holding permit authorization for Avid Development 1175 NE 105th Street, RC-1-13-36.Any sub-contractor can now call for inspections on this property. Thank you, Lori Hester David Hester, Inc. 786.294.0954 hesterbuilder(ftmail.com i CFN:20120945004 BOOK 28424 PAGE 2000 DATE:12/31/2012 08:41:36 PM DEED DOC 1,461.60 HARVEY RUVIN,CLERK OF COURT,MIA-DADS CTY Consideration:$243,539.00 This document prepared by{and after ) recording return to): Name: Eric Evans Premium Title Services,Inc. Firm 2002 Summit Boulevard,Suite } Soo Atlanta,GA 30319 Phone: (855)339-6325 After recording 7841 Hood St, Hollywood,FL return to 33024 } Asset No. 70844634 File No. CE1210-FL-452013 Above This Line Reserved For Official Use Only SPECIAL WARRANTY DEED AND SUPPORTING AFFIDAVIT OF POWER OF ATTORNEY STATE OF FLORIDA COUNTY OF Miami-Dade THIS DEED, made this day of No PXYit,�. 2012, by and between U.S. BANK NATIONAL ASSOCIATION as Trustee for the registered holders of ABFC 2007-WMC1 Trust Asset Backed Funding Corporation Asset Backed Certificates,Series 2007-WMC1,a national banking association, organized and existlng under the laws of The United States of America;hereinafter called the Grantor,whose mailing address is:cto Ocwen Loan Servicing,LLC,1661 Worthington Road,Suite 100,West Palm Beach,FL 33409;and Avid Development INC,A Florida Profit Corporation and Kenneth Gomulks A Married Person and Anthony Kaniewski,A Married Person,as tenants in common hereinafter called the Grantee whose mailing address is: 7841 Hood St,Hollywood,FL 33024 WITNESSETH, that the Grantor, for and in consideration for the sum of Ten Dollars ($10.00) and other valuable consideration,the receipt whereof is hereby acknowledged,hereby grants,bargains,and sells unto the Grantee,and Grantee's successors,heirs,and assigns forever,all that certain parcel of land In the County of Miami-Dade,State of Florida,to wit: SEE EXHIBIT"A"ATTACHED HERETO AND MADE A PART HEREOF PARCEL ID#:11 22320280281 Located at 1175 NE 105th Street,Miami Shores,FL 33138 TOGETHER,with all of the tenements, hereditaments and appurtenances thereto, belonging or in,anywise appertaining. TO HAVE AND TO HOLD,the same in fee simple forever. AND the grantor does hereby fully warrant the title to said land,and will defend the same against lawful claims of all persons claiming by,through or under said Grantor but against none other. David Hester, Inc. 420 NE 115'h Street-Miami,FL 33131 786.294.0954-Office hesterbuilder @gmail.com CRC1330537 �° � March 18,2013 City of Miami Shores 10050 NE 2nd Avenue Miami Shores,FL 33138 Dear Building Department, I am the contractor for permit RC-1-13-16,and I am requesting that any inspection requests for the Residential Construction on this property be requested in writing by me, David Hester. If you have any questions or comments please contact me on my cell phone, 786-246- 9. t Thank you, David Hester, David Hester, Inc. 420 NE 115th Street-Miami,FL 33131 D O E 786.294.0954-Office MAR 2 2013 hesterbuilder @gmail.com CRC1330537 BY:--- ...... F � I March 28, 2013 Miami Shores Building Department 10050 NE 2"d Avenue Miami Shores, FL 33138 To whom it may concern, I'd like to schedule a final plumbing inspection for permit#PL-1-13-37 at address 1175 NE 105th Street, Miami Shores, FL 33138. you. David Hester 786.246.6429 David Hester, Inc. 420 NE 115t`Street-Miami,FL 33131 786.294.0954-Office �e hesterbuilder@gmail.com CRC1330537 March 25,2013 Miami Shores Building Department 10050 NE 2nd Avenue Miami Shores,FL 33138 To whom it may concern, I am writing to schedule a DRYWALL SCREW inspection for permit#RC1-13-136, property address: 1175 NE 1&Street. ou, David Hester 786.246.6429 c Date CERTIFICATE OF LIABILITY INSURANCE 1/2/2013 Producer: Lion Insurance Company This CwWccate Is hatued as a matter of information only ar!oprtNers rw rights 2739 U.S. Highway 19 N. upon the Certillicaft Boller. Thl$Certificate does not amen!,eider!or after Holiday, FL 34691 the coaerage afforded by the ponies below. (727)938-5562 Insurers Affording Coverage NAIL# Insured: South East Personnel Leasing, Inc. &Subsidiaries Insurer A: Lion Insurance Company 11075 2739 U.S. Highway 19 N. Insurer B: Holiday, FL 34691 InsurerC: Insurer D: Insurer E: Coverages The es ofInsuranoe listed below hM bewlesued to To Insured named ebm Wrthe POW period Indicated NOWMwWftngariyreqtdMMentterMorcmiMC)nafWVoorffactorofiWdoDiMrtvwMMspedtomrm this certificate may be issued or may pertain,tte Insurance aHordai byti Ye policies described herein is subject to all to terms,exclusions,and conditions of mich policies.Aggregate limits shown may lave been reduced by paid dains. MR ADDL Policy Effective Policy Expiration Date Limits LTR INSRD Type of Insurance Policy Number Dam (MM/DD/YY) (MM/DD/YY) GENERAL LIABILITY Each Occurrence I Commercial General Liability Damage to carded premises(EA Claims Made 0 Occur t Mod Up eneral aggregate Emit applies per Personal Aav Injury General aggregate PoBcy Project LOC Produ=-Comp/Op Agg UT®MOBILE LIABILITY Combined Single timtt (EA Acxddend) An y Auto Btdity bluy Ali Owned Autos (Per Person) Sdedcded Autos Hired Autos Bodily ttkury Non-Owned Autos (Pa Accident) Property Damage (PerAc cidend) EXCESSIUMBRELLA LIABILITY EachOaaurerce 00— Claims Made Aggregate Deductible A Workers compensation and WC 71949 01/01/2013 01/0112014 X I WC StEdIl OTH- Employers"Liabft to Limits ER Any proprietor/partner/executive officer/member E.L.Each Accident exduded? NO E.L.Disease_Ea Employee �1•t1urJ,a3(3 If Yes,describe under special provisions below. E.L.Disease-Policy Limits $1400.0dQ 011her Lion Insurance Company is A.M.Best Company rated A-(Excellent). AMB#12616 i.!,2Vk_`ria--e ot-111 ii ifir—tO,_'!t_11 vet'c_°ISIS!t'SgY__Y(�n�tSf�!ookh Ra' -c Lk'.';'3 ji-t!�h_ltrlt_M°��!PC,tlh-- f4 aa:7YI S.i!!,Dii-fullf-Wil !—l.tfH!!i_�t_tE31t Je?fIV . !)aL A L £9 4?36_T— Cg}?e:omhj applies gn,..:��.-: e C ,M-i c -.f-Per i! si Tnc cq c S-....;;... ! eel ! a�tY _.L.na n..�.�.. t.Z�.YLrgyc. T vF :Ct.iC-.::T Nle.J 1:'I�'odrr ..i!�ilU1 iZ'�i3Z Cd L!i13c:c.cca:itxn, _ t• ate uI idrf �.M,.v�d 2nfa`3.ct^�ivcs, avY;.iv :D::.i.ix, Coverage does not ap ly to s1ah to!V CYtY�ji[Yt C(3 Of-!1!Y�CIJCi N7C1!i corlb-Adof St OF LYE'l.tfC/Yi ofFinany fir ar-iv }!•�i cie`ci!v. lie:_/`fr;4':{+ r fu1G;iY4.-f64E Pud°:.5 I!?34 -ell(w CaiiGi'jt?-!)i!1��3rii/!aS Yff](Y `.y in L� S Yif?'3 F�agt e5r Eav! l j5 C!,7-?' ..�#tF'F)l rR;}iitE its s p Set {}�-�sE`f_ 5PmJect Name, iJJLL ii!-{JE f,J 1cJitt in Date:1011912 11 CERTIFICATE HOLDER CANCELLATION MIAMI SHORES VI LLAGE Should any of ft above described polideS be Caruelled before the exaxirabon date hereof,tte issdng irsirer wil ..rsL-&tn,t—,!na!i'i! a... .i_'..;.a.;. t.^_n!itvL s_j:I f.':t,1G5.:F hood.f._.mv_i to_r-e. i-::ifLLilr4v r tz!'y a. .r3 Sr e•:r _T_S_- r» DEPART ll�ifEaT!Rn( GPY Nnf 4✓±L ?T31£IM R!4:!':s?!�� is°^°.Ec^ P1FR.H....a<t S . 100Stt f4c 2N!)AVE rdttAMI Ce ORLS. FL 33iy8 r DATE(MMiDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 1/2/2013 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 WANED, subject to the terms and conditions of the policy, certain policies may require an endorsement. Astatement on this certificate does not confer rights to the certificate holder In lieu of such emiorsement(s). PRODUCER Sarai Medina NAME EMMANUEL INSURANCE&ASSOC INC C No 305 693-0003 A" N.):(305)6914381 2370 E 8th Ave sarai mmanue Insurance.(:om ( No).� 691 ) ADDRESS: Hialeah,FL 33013 INSURER(S) AFFORDING COVERAGE NAIL# INSURER A: Preferred Contractorslns Co 12497 INSURED DAVID NESTER,INC. INSURER B: INSURER C: 420 NE 115 Street INSURER D: Miami,FL 33161 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 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 TYPE OF INSURANCE R $ POLICY NUMBER (MM/DD/YYYY) (M DNYYY) LIMITS LTR GENERAL LIABILITY EACH OCCURRENCE $1,000,000.00 X COMMERCIAL GENERAL LIABILITY PREMISES Ea ocaarence) $50,000.00 ICLAIMS-MADE ff]OCCUR MED EXP(Any weperson) $ 5,000.00 A Y PC2605926-00 016/2012 016/2013 PERSONAL&ADV INJURY $1,000,000.00 GENERAL AGGREGATE $2,000,000.00 GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000.00 X I POLICY 11 E LOC $ AUTOMOBILE LIABILITY a accident) $ ANYAUTO BODILY INJURY(Per person) $ ALLOOWNED SCHEDULED BODILY INJURY(Per accident) $ A AUTOS NON-OWNED PROPER E $ HIRED AUTOS H $ AUTOS (Per accident) UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION VVU ti IAI U- OTH- AND EMPLOYERS'LIABILITY YIN TORY LIMITS I I ER ANY PROPRETORIPARTNER/FXECUTIVE ❑ NIA E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ Ifyes,describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remala;Schedule,M morespece is regWred) General Contractor CERTIFICATE HOLDER CANCELLATION Miami Shores Building Dept 10050 NE 2nd Avenue SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Miami Shores,FL 33138 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REP ATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD25(2010/05) The ACORD name and logo are registered marks of ACORD I ' STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 1940 NORTH MONROE STREET ���� • TALLAHASSEE FL 32399-0783 HESTER, DAVID PAUL DAVID HESTER, INC 4MII 115TH STREET MI FL 33161 air*�t ; Congratulationsl With this license you become one of the nearly one million n £I BF fR'j� �1F B INESS Floridians licensed by fits Department of Business and Professional Regulation. PSOFE Our pro fessionals and businesses range from architects to yacht brokers,from GQATION ` boxers to barque restaurants,and they keep Florida's economy Strang. i " cRC1330s3 = 062 7.26000301 Every day we work to improve the way we do business in order to serve you better For li-dormation about our services,please lag onto www.myflorldallcense.com._ : azRT101:1 � OD7' RAIrTOR There you can find more Info on about our divisions and the regulations that _ > HSST R ADS Impact you,subscribe to department newstettem and learn more about the DAVE > I t Departments Initiatives. Our mission at the Department is:License Efficiently,Regulate Fairly.We , constantly strive to serve you better so that you can serve your customers. as, F , sovisioO.og cn 409 gs It iiiiiiiii Thank you for doing business in Florida,and congratulations on your new licensedl AUG li, 20-14 t;i2o.ros(f1193 r DETACH HERE an NMI I I 1 :. STAVE..OF FLORIDA f x AR F , ZQ2 PROF SI NAL BOARD T O D EL12o70601193 STI 75A T DATE BATCH NUMBER LICENSE NBR r 7 A y/y (yam[ (/�■ q` -.0 T V. iT.�4. 1X600-a36 C. C1. V'S. 1 a- 3 .. . R$SIDNTIlL GE)NTRAC`TOR 1�a�d beT�ow I� CERTIFIED � r � s Under the �rovisats. of Chap�ter4$ E7C 7Ira t ion. 4c:tE3. . M t 3 F to _ HEvri`` s i J j D PAS : $1 5 _ T�r.. INC... DAVID 115 STREET` . � 11 OM" F. - MIAMI FD .33161 ! r RIB s+ OT - LA'WSON tbV7RNOR SECRETARY. DISPLAY AS REOUIRED BY LAW J + r V PPO.STAGE PAD MIAW FL PERMIT NO.231 691974-1 THIS IS NOT A SILO.-DO NOT PAY RENEWAL BUMESS NAME tLOCATM RECEIPT NO. 719582-9 DAVID HESTER INC STATE# CRC1330537 420 NE 115 ST 33161 UNIN DADE COUNTY OWNER DAVID HESTER INC sue.Type Of Buwt'ws WORKER/S I' - 6A ! -BUILDING CONTRACTOR 1 BUStNE�TAX t1H�Pl:R fN'?ES. NOT PEl�Y TfN: NOLO AWRATOWOR �y OR DO NOT FORWARD H F.RF t NO OFNTM :PENNY OR t! um HEnUHiEV BY t AW.TtE&� Noy A sT�v of DAVID HESTER INC Tlow DAVID HESTER PRES 420 HE 115 ST uAcauNnrT,uc MIAMI EL 33161 60060000533 000075.00 �st�ltsrisatttl�t�itsstt�lt�tstt7�set��tt� tstttt���tttt� SEE OTHER SIDE t I I (3 LYN Miami ��®�e� �J!!la�e CO f= &ALARM M t 131" u Bk*&*313 PPRQ V ® 13Y DATE N.V6✓mkw sw e6, L 33181 70NI NU bPy C W , 7 t- 0 BLDG DEPT /°'���� © -bs e. � I SUBJE T TC,CO+LIANCE WITH ALL FEDERAL COl tNTY RULES AND REGULATIONS �aCpaa O,.t C1D�t�T"�lt?e� >gr."!1- C©fly" fLa _ Q, -O-rnft ADD SMOKE/CARRON MONOXIDE Q INSUA AD NDUGLM AND RU BER ®RS. �1 %P� �kt�00\ CTORS TO EE REPWED. NO POINT ALONG COUNTER TO BE MORE THAN 2 FEET FROM G.EI PROTECTED RECEPTACLE. ®� ° �. PUT DIW RECEPTACLE UNDER SINK. ALL FIXED APPLIANCES ON DEDICATED CKTS. ,p ���� 'r 6cd� 3 ow P 6-40 CA a r ! Aso �• JA v � 6vt A J I l "lam Ll ��V Q JA& WA P-o o�� Ol llar4ark as �� �1 � ® Avid CLAUDIA V•CUBvLLOS State of Florida Notary Public "•'" gyres Sep 23.2015 :.:my Comm.Exp •g Commission#EE 12881Assn. h National Notary Bonded Through 1 www.sunbiz.org-Department of State Page 1 of 2 Home Contact Us E-Filing Services Document Searches Forms Help Previous on List Next on List Return To List Enf Name Search Events No Name History Detail by Entity Florida Profit Corporation AVID DEVELOPMENT,INC. Filing Information Document Number P09000049786 FEI/EIN Number 270330346 Date Filed 06/08/2009 State Fl- Status ACTIVE Effective Date 06/08/2009 Last Event REINSTATEMENT Event Date Filed 10/07/2011 Event Effective Date NONE Principal Address 5510 SW 44TH TERRACE DANIA FL 33314 Mailing Address 7841 HOOD ST. HOLLYWOOD FL 33024 Changed 10/07/2011 Registered Agent Name &Address HOFFMEIER ACCOUNTING&TAX SERVICES,INC. 1925 S.PERIMETER ROAD SUITE 125 FORT LAUDERDALE FL 33309 US Officer/Director Detail Name&Address Title P VASTARDIS,ANTHONY J 5510 SW 44TH TERRACE DANIA FL 33314 Title P VASTARDIS,ANTHONY J 5510 SW 44TH TERRACE DANIA FL 33314 US Annual Reports Report Year Filed Date 2010 02/04/2010 2011 10/07/2011 2012 01/11/2012 Document Images 01/11/2012--ANNUAL REPORT a . . u. 10/07/2011 --REINSTATEMENT http://www.sunbiz.org/scripts/cordet.exe?action=DETTIL&inq_doc_number=PO900004978... 1/9/2013 A. SettWn-at Staftwrot LM Deparbmert of FioWng w d aVB Approval W.25M2 M form oft 2 3 QQX1v irB U 6AFkM rW. ZLOWAAW. /. OR14 QFrttY1 Cfi1210fL 13 Cm11 4 ❑VA 5.❑07w trt&. $11,750.00 CL NOW lWjamisturi9 Io#evwaMm,w4daaueiaeId, I ,Imo.�a�ea�+oyu8 r� a�,s aw=r,aaado, them,daf"We storltcrear teornsaorerwaos�aroaertdsra,mdmOteoolax. 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Seltlerlettt Agent��� OB[B 122D=2 Of'�eiE7E0OlE VIpRJIV@ kbaotmebMrtohirBljadmidsattaerra�blh eUtwSm cnftoran d ftsmUbanpovkte sLpmwrwcAoncankducbanmemipwo..w•Fddw-ms9mTdeteUSCode Su tbt too+a'ds>sWon ioto Lott Nurbor Cesh Poe N Tier: CE1210-FL-452013 Page 3 d 3 a , I � 3y: Eggs ..... CUMULATIVE SUBSTANTIAL IMPROVEMENT VERIFICATION WORK SHEET In accordance with FEMA regulation and Miami Shores Village Flood Damage Prevention Ordinance the costs of all improvements must be monitored. The costs of any improvements in the past 12 months and the costs of any proposed improvements must be shown on the worksheet. The cost of improvements must include demolition, raw and finished materials (include those donated), labor(including volunteer and self- performed), construction supervision and management, and overhead and profit. A list of items the costs of which are to be included as well as those excluded is attached for your reference. (A Copy of the Contract must be attached) I PROPERTY OWNER: PERMIT# ADDRESS: { FOLIO NUMBER: 1 -n 2 9 1 FLOOD ZONE: BASE FLOOD ELEVATION: FREEBOARD: EAST OF FL.CCCL: COST OF PAST IMPROVEMENTS(12 MONTHS): 0 COST OF PROPOSED IMPROVEMENTS: (ATTACH COPY OF CONTRACT) TOTAL CUMULATIVE COST OF IMPROVEMENTS(past and proposed): VALUE OF PRINCIPAL STRUCTURE(attach appraisal): 17—!Z 0 A A , OWNERS SIGNATURE: �'� DATE: PLANREVIEWER: PLAN� REVIEWER SIGNATURE• DATE: ¢ 3 OR ♦5��c.DES G anal um� ln ►v� A RIDA SUBSTANTIAL IMPROVEMENT/DAMAGE LIST (NOTE. THIS LIST IS INTENDED FOR GUIDANCE ONLY,AND IS NOT ALL INCLUSIVE) ITEMS TO BE INCLUDED ALL STRUCTUAL ELEMENTS, INCLUDING ALSO: Foundations including; Spread footing, Continuous footing, All Labor and other Costs associated with isolated footing, piles and pile caps Demolition, Removing, Replacing, Slabs including; Monolithic, floating, Installing Building or Altering Building elevated Components Walls including; Exterior walls, Bearing Construction Management/Supervision walls, Shear walls Overhead and Profit Beams, Tie Beams, Columns and Posts Equivalent cost for: Wood decking, Floor and Roof Sheathing Donated Materials Trusses, Joist Volunteer Labor(including owners and Windows/Doors friends) ALL BUILDING ELEMENTS, INCLUDING Any Improvements Beyond Pre-damaged Condition, including; Interior Partitions, Walls, Columns Utility Upgrades Drywall, Ceilings, Code Upgrades Built in Furniture, Cabinets, Vanities All Fixtures ITEMS TO BE EXCLUDED Flooring, Tile, Carpet, Stone, Linoleum, ect. Plans and Specifications All Finishes including Drywall, Paint, Survey Costs Stucco Plaster, Paneling, Tile, Marble, Elevation Certificate Costs and Moldings Permit fees Roofing Material Debris Removal ALL HARDWARE Items not considered to be REAL Property Rugs, Furniture, Refrigerator, ALL UTILITY and SERVICE Appliances not Built-in EQUIPMENT Outside Improvements, Including; HVAC Landscaping Electrical System and Equipment Sidewalks Plumbing System and Equipment Patios Security System and Equipment Fences Central Vacuum System Yard lights Plumbing Fixtures Sheds Lighting Fixtures and Ceiling Fans Gazebos Water Systems including Irrigation Softeners/Filtration Pool Created on June 2009 T . °� MIAMI-DADE COUNTY t _ } OFFICE OF THE PROPERTY APPRAISER ( PROPERTY SEARCH SUMMARY REPORT 1 Honorable Pedro J. Garcia € Property Appraiser p inf dart+ N \OF 7-5 Folio 11-2232-028-0281 Property Address 1175 NE 105 ST " Owner Name(s) U S BANK NATL ASSOC TRS i aE\\ ER 61h'' Mailing Address 1661 WORTHINGTON RD#100 WEST PALM BEACH FL 33409 ' a . Primary Zone 0800 SGL FAMILY-1701-1900 SQ Use Coale 0001 RESIDENTIAL-SINGLE FAMILY Beds/Baths/Half 3/2/0 , Floors 1 Living Units 1 a' " Adj.Sq.Footage 1,956 Lot Size 8,412.80 SQ FT Year Bunt 1955 Legal Description MIAMI SHORES ESTATES PB 47-58 N Aerial Photography 2012 E1/2 OF LOT 12 BILK 2 LOT SIZE 76.480 X 110 z OR 18673-0216 04 1999 4 Tzufb tigrlfltt)Ofi y OR 28263-2306 0812 12 Current Previous nt It fQrtn W,...,\ Year 2012 2011 �� i Current Previous Exemption/Taxable Exemption/Taxable Year 2012 2011 County $50,000/$52,234 $50,000/$49,257 Land Value $56,982 $71,821 School Board $25,000/$77,234 $25,000/$74,257 Building Value $122,068 $122,179 City $50,000/$52,234 $50,000/$49,257 Market Value $179,050 $194,000 Regional $50,000/$52,234 $50,000/$49,257 Assessed Value $102,234 $99,257 SIl��4'It��l'tt18t�Q11. ���t�F R : 1p '- Date Amount Recording Qualification Code Book-Page Current Previous 8/2012 $200,000 28263-2306 Deeds to or from financial Year 2012 2011 institutions Homestead $25,000 $25,000 4/1999 $0 18673-0216 Sales which are disqualified as a result of examination of the 2nd Homestead $25,000 $25,000 deed 7/1993 $79,900 15999-2537 Sales which are qualified Senior $0 $0 7/1980 $60,000 10821-0231 Sales which are qualified Veteran Disability $0 1211975 $38,800 00000-0000 Sales which are qualified Civilian Disability $0 $0 2/1973 $37,000 00000-0000 Sales which are qualified Widow(er) $0 $0 Disclaimer: The Office of the Property Appraiser and Miami-Dade County are continually editing and updating the tax roll and GIS data to reflect the latest property information and GIS positional accuracy. No warranties,expressed or implied,are provided for data and the positional or thematic accuracy of the data herein,its use,or its interpretation. Although this website is periodically updated,this information may not reflect the data currently on file at Miami-Dade County's systems of record. The Property Appraiser and Miami-Dade County assumes no liability either for any errors,omissions,or inaccuracies in the information provided regardless of the cause of such or for any decision made,action taken,or action not taken by the user in reliance upon any information provided herein. See Miami-Dade County full disclaimer and User Agreement at http://www.miamidade.gov/info/disclaimer.asp. Property information inquiries,comments,and suggestions email: pawebmail @miamidade.gov GIS inquiries,comments,and suggestions email: gis @miamidade.gov Generated on:Wednesday,January 09,2013 David Hester,Inc. 420 N.E. 115N Street Miami,Florida 33161 786-294-0954-Office CRC1330537 Contract Agreement To: Avid Development Attention TJ Re: Electric and plumbing Address: 1175 ne 105 street Contract#: 20358 Date: January 4, 2013 SCOPE OF WORK: PLUMBING 1. Plumbers permit to do work. 2. Install owners supply kitchen sink&faucet 3. Hook up dish washer water&waste line. 4. Purchase&install 30 gallon water heater,with drain pan&overflow valve. NOTE: electrical hook up NOT included. 5. Install 2"P trap on existing washer drain line. $1092.50 Electrical 1. Install 4 smoke detectors,one carbon/smoke detector,wired together. 2. Tail for hood fan 3. Two GFI Kitchen circuits 4. Dishwasher outlet. 5. Add switch&disposal circuit 6. Two outlets at counter 7. Counter outlet near refrigerator. 8. Dining area outlet. 9. Remove Spa Circuit 10. Permit Fee $1955.00 NOTE: 1. any&all plaster damage repairs are not included 2. Panel is Not up to code Total Cost: $3047.50 Payment Schedule:$SWA$1523.75 50'A$1523.75upon wort completion&before final inspection is called Authorized Agent: Da e• 1 Acceptance of Proposal The above prices,terms and conditions are here y accepted. You are authorized to do the work as specified. Acceptance: A aA i , 0&