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RF-14-1536Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-217681 Permit Number: RF -7-14-1536 Scheduled Inspection Date: August 12, 2014 Permit Type: Roof Inspector: Rodriguez, Jorge Inspection Type: Final Roof Owner: FISHER, JOCELYNE Work Classification: Repair Roof Job Address: 1270 NE 92 Street Miami Shores, FL Phone Number 305-757-1006 Parcel Number 1132050270510 Project: <NONE> Contractor: CURTIS SMITH CONSTRUCTION LLC Phone: (561)768-2409 ttunaing uepartment comments TILE REPAIR BOTH SIDES OF ROOF EAVE TO FIX LEAK AND SMALL TORCH DOWN PATCH ON GARAGE FLAT (ROOF INSPECTOR COMMENTS False August 11, 2014 For Inspections please call: (305)762-4949 Page 35 of 39 Inspector Comments Passed Failed Correction Needed ❑ Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. August 11, 2014 For Inspections please call: (305)762-4949 Page 35 of 39 Tel: 786-398-9179 Fax 7864800-2627 a1 roofinscedioMftarmil.com LAB CERTIFICATION #10-0512-01 SITE SPECIFIC INFORMATION UPLIFT TEST — TAS #106 Roofing Contractor CURTIS SMITH CONSTRUCTION Job Address 1270 NE 92 ST MIAMI SHORES, FL Owner's Name FISHER JOCELYNE Type of Tile FLAT Approximate Roof Height 12, feet Roof Pitch 3/12 Approximate Square Footage of Roof 1 ftz Date Tested 08/0711-4 Number-ofTests14 Contact Name CHELE Permit # RF -7-14-15360 Date Installed Type of Access to Roof Required Testing Force 35 Lbs Testing EquipmentF.G.E.100 Phone # 71499-0422 LOCATION # OF TEST PASS # OF TEST FAIL Corner 4 Tests 4 Pass Test Fall Perimeter 0 Tests 0- Pass Test Fail Field 10 Tests 10 Pass Test Fail Ridge 0 Tests 0 Pass Test Fall TOTAL 14 Tests 14 Pass Test Fail IN ACCORDANCE WITH THE CRI MOF PROTOCOL PA 106, THIS RAF ASSEMBLY HAS PASSED THE SrATtC UPLIFT MWHY LDA MTEST.TWSTAS 10S TEST HAS BEEN PERIMM IN FULLACCOADANCETOTHE NWRENENTS OF DADE COUWK WiH NO DEVWTIONS.THIS REPORT IS NOTGUARAWEED iN CASE OF CASE OF NATURAL DMAS M THIS REPORT R ISNOT VALID FOR INSURM CE aA[MS. i 1 �eJ YENAN EV E, 4 674115 A-1 Engineerin§ Inspection Services, Inc 7066 SW 44 Street Miami, FL 33155 Tel: 786-398-9179 Fax: 786-800-2627 al roofiWectionggmail.com LAB CERTIFICATION # 10-0512.01 08/07/14 PERMIT. # RF -7-14-15360 1270 NE 92 ST MIAMI SHORES, FL. T T T T T T T T T 7066 SW 40 Street Miami, FL 33155 Tel: 786-398-9179 Fax: 786-800-2627 . f ' . Aiami Shores Villa e1' tA %,A Building Department 90050 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 JUL 16 2014 FBC 2010 Permit No. & /'/-- 15,36 Master Permit No. Permit Type: BUILDING ROOFING JOB ADDRESS: /070 /✓,' `?2ND 45-1— City: Miami Shores County: Miami Dade Zip:a331.3 4A Folio/Parcel#: 9 I— 3 -Za 5'A ®Z '- 06-10 Is the Building Historlcally.Designated: Yes NO ✓ Flood Zone: 1d�S OWNER: Name (Fee Simple Titleholder): UOCOELf e� Y�;S,/292& Phone#: Address: / X 7 O /YZ:- 92--Y4> -SA . City: t � / 9 s 4 u'ee-s State-.. —Zip -t--3-3/-4 SA Tenant/Lessee Name: Phone#: Email: - - -- CONTRACTOR: Company Name: SVMIIS Sf`% a 7?q Ct�Q S77LkJr--r)0 J -J Phone#: 5'6/-761F - Z'Y09 Address: 101144 :-1-AN):>t✓ i-zwj RD City: ,ILi�M- State: Qualifier Name: r-Axt— E.s sM' TP Phone#• SB1-76V --ZtdOQ State Certification or Registration #: of Competency #: Contact Phone#: S-61 •-70 Z I O4Email Address: S: i'rP— ��SZ7zL)�i � ��''�AJ "', DESIGNER: Architect/Engineer: Phonek Value of Work for this Permit: $ W� SquareUnear Footage of Works S'b W N. F=4—e Type of Work: ❑Addition OAlteration ❑New Ofiepair/Replace ODemolition Description of Work: �/ L4g5 PAI IL gg-W St Z2= aft jZ='F C'J4l,AIF -ro Fjx L.G`*AjZ< 5►'�e�1 L= ��f y��oi.1 p47'UN 24-' 6Ai'CA F%4� 1zXY0 - Color thru tile: ei. 1J)T;tr' Submittal Fee $ Permit Fee $ 0 • M CCF $ CO/CC $ Scanning Fee $ Radon Fee $. DBPR $ Bond $ C� Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $,%q, G 0 Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mote Lender's Name (if applicable) . Mortgage Lender's Address City I State zip Application is hereby made to obtain a permit todo the work and installations as indicatead. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be perfnrnned to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELBCTRICAL WORD PLUM MI1NG, SIGNS, W$LLS, POOLS, FMAC ES, BOILERS, HEATERS, TANKS and AIR COMMONERS, l?TC..... 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 E14PROVEMENTS TO YOUR PROPERTY. IF YOU INTENDS 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 estinwted value exceeding $2300, the applecmet must ptotniw in good faith that a copy of the notice of commencement and construction lien law brochure well be delivered to the person whom properryis subject to attachment. Also, a cenU ed copy of the recorded nodce of commencement must be posted at the job site for the first inspection which occurs seven (7) days t} firer the building permit is Issued In the absence of such posted notice, the inspection $l not be approved and a rekWctlon fee will be charged. M-41 Ira�.�-:.. The foregoing instrument was acknowledged before me ibis 46 The foregoing instrumem was acknowledged before me this /6 day of 20 & by • US U"- A F�S`NAF—, , day of --M°-Y - 20 LE by Cu who is p um ily )mown to me or who has produced F J:*--_, As identification and who did take an oath. NOTARY PUBLIC: HERBY MYRTIL tary Public - State of Florida Comm. Expires Dec 15, 2016 who is personally known to me or who has pnaduced� as identification ad who did take an oath. ' NOTARY P ^Y p HERBY MYRTIL �'r • `�': ary Public - State of Florida i - Expires Dec 15, 2016 Sign: E 833810 i Pilnt: h National Notary Assn. My commission Expires: Zoning Stntcptral $¢view Clerk Mevised 3/1212012)(Rr sed 8711MWt#VisW owtotzoo VWd9cd 3115M) STATE OF FLORIDA - " DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY'LICENSING BOARD (850) 487-1395 1940 NORTH MONROE STREET •���`e TALLAHASSEE FL 32399-0783 SMITH, CURTIS DALE CURTIS SMITH CONSTRUCTION LLC 10141 SANDY RUN RD JUPITER FL 33478 `ysTATE OF FLORIDA AC# 6 2136 9 C Congratulations! ' With this license you become one of the nearly one million DEPARTMENT OF ` BUSINESS AND Floridians licensed by the Department of Business and Professional Regulation. PROFESSIOVAL REGULATION . Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. CCC 1328544 s fl4f4 1„/12 12007289 Every day we work to improve the way we do business in order to serve you better For information about our services, please log onto www.myfloridalicense.com. There can find more information about our divisions and the regulations that _ CERTIFIED f ,EtACTOR SMITH, CN you learn about the CURTIS SMI CITPION LLC impact you, subscribe to department newsletters and more :L rf Department's 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.Ig Thank you for doing business in Florida, and congratulations on your new license! CERTIFIED under the provisions of ch.489 Sapiration d{o_ AUG 31, 2014 Li2oe2z0i712e DETACH HERE The Under Expira SK `CV 10 Chapter vS?,r 2014 ""M -r ff . T'A'T RICK SCOTT GOVERNOR ANNE G A N N O N P.O. Box 3353, West Palm Beach, FL 33402-3353 **LOCATED AT** _ __.. CONSTITUTIONAL TAX COLLECTOR www.pbctax.com Tel: (561) 355-2264 10141 SANDY RUN RD Serving Paten Beach Count JUPITER, FL 33478 Serving you. TYPE OF BUSINESS OWNER I CERTIFICATION # RECEIPT #/DATE PAID AMT PAID BILL # 23-0125 CW ROOFING CONTRACTOR SMITH CURTIS DALE I CCC1328544 B13.1409763-07/23/13 1 $185.85 640168088 This document is valid only when receipted by the Tax Collector's Office. CURTIS SMITH CONSTRUCTION LLC CURTIS SMITH CONSTRUCTION LLC 10141 SANDY RUN JUPITER, FL 33478-9336 nlln�llnlnll�nll��l�l�lnnll�nll��ll�� STATE OF FLORIDA PALM BEACH COUNTY 2013/2014 LOCAL BUSINESS TAX RECEIPT B2 - 226 LBTR Number: 200816081 EXPIRES: SEPTEMBER 30, 2014 This receipt grants the privilege of engaging in or managing any business profession or occupation Within its jurisdiction and MUST be conspicuously, displayed at the place of business and in such a manner as to be open to the view of the public. A N N E M V A N N O N P.O. Box 3353, West Palm Beach, FL 33402-3353 "LOCATED AT** ,. CONSTITUTIONAL TAX COLLECTOR www.pbctax.com Tel: (561) 355 2264 serving Palm Beach County 10141 SANDY RUN RD JUPITER, FL 33478 Serving you, TYPE OF BUSINESS OWNER CERTIFICATION # I RECEIPT #!DATE PAID AMT PAID BILL # 23-0081 ROOFING CONTRACTOR SMITH CURTIS DALE CCC1328544 I 131114098,12-07a&13 $27.50 840168089 This document is valid only when receipted by the Tax Collector's Office. STATE OF FLORIDA PALM BEACH COUNTY 61 -226 2013/2014 LOCAL BUSINESS TAX RECEIPT CURTIS SMITH CONSTRUCTION LLC LBTR Number: 200816080 CURTIS SMITH CONSTRUCTION LLC EXPIRES: SEPTEMBER 30, 2014 10141 SANDY RUN JUPITER, FL 33478-9336 This receipt grants the privilege of engaging in or managing any business profession or occupation Within its jurisdiction and MUST be conspicuously displayed at the place of business and in such a manner as to be open to the view of the public. Issue Date: 7/16/2014 FLORIDA ROOFING, SHEET METAL & AIR CONDITIONING CONTRACTORS ASSOCIATION, INC. RSA - - 1-800-767-3772 • FAX (407) 671-2520 CERTIFICATE OF INSURANCE ISSUED TO: COPY PROVIDED TO: Miami Shores Village Building Department Curtis Smith Construction, LLC 10050 NE 2nd Avenue 10141 Sandy Run Road Miami Shores, FL 33138 Jupiter, FL 33478 Attention: Curtis Smith Construction, LLC This Is to Certify that: 10141 Sandy Run Road Jupiter, FL 33478 being subject to the provisions of the Florida Workers' Compensation Act, has secured the payment of compensation by insuring their risk with the FLORIDA ROOFING, SHEET METAL $ AIR CONDITIONING CONTRACTORS ASSOCIATION SELF INSURERS FUND, 4099 Metric Drive, Winter Park, FL 32792. COVERAGE NUMBER: 870-033667 EFFECTIVE DATE: EXPIRATION DATE: 1/1/2014 1/1/2015 LIMITS Workers' Compensation: Statutory - State of Florida Employers' Liability: $100,000.00 Each Accident $100,000.00 Disease, Each Employee $500,000.00 Disease, Policy Limit REMARKS: Non -cancelable, without 30 days prior written notice, except for non-payment of premium which will be a 10 day written notice. This certificate is issued as a matter of information only, is not a policy and of itself does not afford any insurance. Nothing contained in this certificate shall be constructed as extending coverage not afforded by the policy(les) shown above or as affording insurance to any insured not named above. This provides coverage for Florida policyholders and Florida domiciled employees only. c By: By: Brett Stiegel, Administrator Debra Guidry, CPCU, Un erwriting Manager FRSA-SIF FRSA-SIF 30 From (800) 790-4065 Thu Jul 17 07:47:58 2014 MST Page 1 of 1 I II Ac Ro® CERTIFICATE OF LIAB �TY �_. INSURANCE DATE fMNI=1YYYY) 07117/ 014. 07/17/2014, THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLY AN CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, E r D OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONS71TUTEI A REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. NTRACT BETWEEN THS ISSUING INSURER(S), AUTHORIZED IMPORTANT: If the certificate holler Is an ADDITIONAL INSURED, the poli the terms and conditions of the policy, certain policies may require an endo ies) must be endorsed. If SUBROGATION IS WAIVED, subject to ment. A statement on this certificate does not confer rights to the certriicate holder In lieu of such endomeme s . r PRODUCER Robert J Kaleita Insurance -Agency, Inc i 09/25/13 09125/14 EACH OCCURRENCE _ 561-687-3761 800-790-4065 11924W Forest Hill Blvd Suite 1OA-312 11U bob@rkalefta.com INSURERLs►AFFORDIaGcovEwl(G�— _ f NAIct1 Wellington, FL 33414 GENERAL AGGREGATE A : Canal IndeINSURED gB: NaUonal General Insurance Company ~ PRODUCTS -COMPiOPAGG $ 1000000_ Curtis Smith Construction, LLC 10141 Sandy Run Road Jupiter FL 33478 gs c: Evanston Insurance Compare/ AUTOMOBILE INSU a ; IN >SU E : 09/25/15 IN u F: BODILY INJURY (Per person) PA%1=0APCC f`CDTIFII`ATR N11@IRRR- . I 1 RFVICInrd R111MRFR- E ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVFA INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION Y CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS; EXCLUSIONS AND CONDITIONS OF SUCH POLICIES- LIMITS SHOWN MAY HAVE BEEN EDUCED BY PAID CLAIMS. IN TYPFOFINSURANCE SUS POLIADDL C`rNUM13ER ' POLICY EFF PO CYEV mw YY LINM A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FRI OCCUR X GL103634 i 09/25/13 09125/14 EACH OCCURRENCE $ 1000000 PDAMAGE TO RENTEff- oa�rrenae MED EXP (Any one ereon) $ 50000 $ 5000 PERSONAL & ADV INJURY $ 1000000 GEN'L AGGREGATE LIMITAPPLIES PER: X POLICY j�j ' FLOG OTHER:$ GENERAL AGGREGATE $ 2000000 PRODUCTS -COMPiOPAGG $ 1000000_ A AUTOMOBILE LIABILITY ANYAUTO ALL OWNED SCHEDULED AUTOS X AUTOS NON -OWNED AUTOS HIRED AUTOS F] 2001598692 I 05/27/14 09/25/15 1000000 BODILY INJURY (Per person) $ ~� BODILY INJURY (Peraa�denq $ PROPERTY D GE $ $ C X UMBRELLA LIAB EXCESSL1AB X OCCUR cLAIMs-MADE. XSGL'00049710 I 1106/20/14 06/20/15 EACH OCCURRENCE $ 1000000 AGGREGATE $ 1000000 DED RETENnON -$ WORKERS COMPENSATIONI AND EMPLOYERS' LIASILn-Y ANY PROPRIETOR/PARTNER/EXECUTIVE' YIN OFFICERIMEMBER EXCLUDED? U (Mandatory)n NH) Hy�s describe under DESCRIPTION OF OPERATIONS below N / A PEAR ORTH- E.L EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE E.L. DISEASE -POLICY LIMIT $ J. DESCRNMON OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks S*Mdw% may State Certified Roofing Contractor CCC 1328544 I { t 9�ffsahed ff more space Is mqulrad) Miami Shores Village Building Department 10050 NE 2nd Ave Miami Shores, FL 33138 ACORD 2542013/04), The ACORD name and logo are ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE PIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ANCE WITH THE POLICY PROVISIONS. �D REPRESENTATIVE �� C`y"""� � ���'�✓K. i ©1988-2013 ACORD CORPORATION. All rights r red marks of ACORD Affilk ROOF ASSEMBLIES AND ROOFTOP STRUCTURES t;ITY ECF-I�TF D Florida Building Code Editioliliff8 if 2*w JUL 16 2014 High -Velocity Hurricane Zone Uniform Permit Application Form. Section A (General Infermatien Master Permit No. Process No. Contractor's Name CtJIL'n S Sr"�o 7'N C 3T1Z�G-fr al`/ Job Address 17--70 t—le 'qZ Sr ROOF CATEGORY v Low Slope ❑ Mechanically Fastened Tile ❑ Asphaltic ❑ Metal Panel/Shingles Shingles ❑ Prescriptive BUR -RAS 150 ROOF TYPE ❑ New Roof ❑ Reroofing ❑ Recovering ROOF SYSTEM INFORMATION Mortar/Adhesive Set Tile ❑ Wood Shingles/Shakes Lt Repair ❑ Maintenance Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) Total (SF) 6-Z- / ®Zo /''Z Section R Reef Plan Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets. FLORIDA BUILDING CODE — BUILDING SmaO Torch Down Rep& 1270 I E 92nd St Kari Shores Top View ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code Edition 2007 High -Velocity Hurricane Zone Uniform Permit Application Fo. Section C (Low Slope Application) Surfacing, IJ Fill In specific roof assembly components and identify manufacturer (If a component Is not used, Identify as "NA") System Manufacturer: GAP, Product Approval No.: /J A Design Wind Pressures, From RAS 128 or Calculations: Pmax1: —42 -V Pmax2: "-f'-' Pmax3: —1 Z)S -a Max. Design Pressure, from te specific Product Approval system: Deck: Type: 9�t—��x7 X17 n Gaugerrhickness: 5-1fe Slope:it Anchor/Base Sheet & No. of Ply(s): t-JA Anchor/Bas?Sheet FastenerBonding Material: Insulation Base Layer: Base Insulation Size and Thickness: t'j A Base Insula -,b astenerBonding Material: Top Insulation Layer: Top Insulation Size and Thickness: /v Top Insul4tiah FastenerBonding Material: Base Sheet(s) & No. of Ply(s): !� Base Sheet Fastener/BoAding Material: Ply Sheet(s) & No. of Ply(s): 8U�101-r Rzif'»Ek, Ply Sheet Fastener/Bonding Material: Top Ply: iZC��SFf -TLU'� �zA"QLA-Z Top Ply Fastener/Bonding Material: 4 -ICA -7' rys94.D EL) FLORIDA BUILDING CODE — BUILDING Fastener S cing for Anchor/BasseVA Sheet A chmel Field:N " oc @ Lap, # Rows @ N 46, oc Perimeter?" p" oc @ Lap, # Rowe @ 1.4 03 oc Comer!'0 " oc @ Lap, # Rows N+4 @ ' /fes" oc Number of Fasteners Per Insulation Board: Field � Perimeters Comer" -1/19 Illustrate Components Noted and Details as Applicable: Woodblocking, Gutter, Edge Termination, Stripping, Flashing, Continuous Cleat, Cant Strip, Base Flashing, Counter - Flashing, Coping, Etc. Indicate: Mean Roof Height, Parapet Height, Height of Base Flashing, Component Material, Material Thickness, Fastener Type, Fastener Spacing or Submit ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code Edition 2007 High -Velocity Hurricane Zone Uniform Permit Application Form. Roof System Manufacturer: 6t -7-F C4-zA Notice of Acceptance Number: Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations: A: P2• 133 - -!-by.% Maximum Design Pressure (From the PrOduct Approval Specific System): Deck Type: Roof Slope: Type Underlayment: 4B 1REL�7— 3 12 Insulation: !.-1—A Fire Barrier: I �,/�p Ridge tii tion? Fastener Type & Spacing: Adhesive Type: Q lE,o`t'tev� Type Cap Sheet: O zemH GRANv Mean Roof Height: 6 Roof Covering: I J=I-A-7- c. & / 15 -rlLrc Type & Size Drip 3x3 26 6a�6E Edge: FLORIDA BUILDING CODE — BUILDING Property Search Application - Miami -Dade County Page 1 of 2 ..OFFICE OF THE PROPERTY A Yr 7 tS-' Summary Report Property Information Folio: 11-3205-027-0510 Property Address: 1270 NE 92 ST < Owner JOCELYNE MARY FISHER TRS JOCELYNE M FISHER (BEN) Mailing Address 1270 NE 92 ST MIAMI SHORES, FL 33138-2937 Primary Zone 1100 SGL FAMILY - 2301-2500 SQ Primary Land Use 0101 RESIDENTIAL -SINGLE FAMILY: 1 UNIT Beds / Baths / Half 4/3/0 Floors 1 Living Units 1 Actual Area 2,998 Sq.Ft 0"Gk( =V' Living Area 2,375 Sq.Ft Adjusted Area 2,577 Sq.Ft Lot Size, 5 Sq.Ft Year Built 1956 Assessment Informatio Year 2014 13 2012 Land Value $253,500 $171,*0 $162,000 Building Value 4,721 $174, 1 $195,132 XF Value g$20,240$20 77 $22,847 Market Value 8,461 6,198 $379,979 Assessed Value 9,8 $187,093 $183,966 Benefits Information Benefit Type 2014 2013 2012 Save Our Homes Assessment $50,500 Taxable Value 1 $139,399 $136,593 $133,466 School Board $258,562 $179,105 $196,013 Cap Reduction $158,466 City Exemption Value Homestead Exemption $25,000 $25,000 $25,000 Second $133,466 Regional Exemption Value 1 $50,500 $50,500 $50,500 Taxable Value 1 $139,399 $136,593 $133,466 Exemption $25,000 $25,000 $25,000 Homestead Widow Exemption $500 $500 $500 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description BAY LURE PB 44-63 LOT 14 BLK 3 LOT SIZE 75.000 X 125 OR 17856-1218 1097 5 COC 26129-0333 12 2007 3 Generated On : 7/16/2014 Taxable Value Information 2014 2013 2012 County Exemption Value $50,500 $50,500 $50,500 Taxable Value 1 $139,399 $136,593 $133,466 School Board Exemption Value $25,500 $25,500 $25,500 Taxable Value $164,3991 $161,593 $158,466 City Exemption Value $50,500 $50,500 $50,500 Taxable Value $139,399 $136,593 $133,466 Regional Exemption Value 1 $50,500 $50,500 $50,500 Taxable Value 1 $139,399 $136,593 $133,466 Sales Information Previous Sale Price OR Book -Page Qualification Description 12/01/2007 $0 26129-0333 Qual by exam of deed 03101/2005 $0 23356-4260 Qual by exam of deed 10/01/1997 $0 17856-1218 Qual by exam of deed 08/01/1989 $0 00000-00000 Qual by exam of deed The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Property Appraiser and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http://www.miamidade.govfinfo/disclaimer. asp http://www.miamidade.gov/propertysearch/ 7/16/2014 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNERS'S AFFIDAVIT OF EXEMPTION ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE - BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PERSUANT TO SECTION 553.844 F.S. To: Miami Shores Village Building Department Date: —11,641 10050 NE 2nd Ave Miami Shores, FI 33138 Re: Owner's Name: Property Address: IZ'70 N+' c Z 5T Roofing Permit Number: Dear Building Official: Jo<--le-L4 NE FfSPg5T?— certify that I am not required to retrofit the roof to wall connections of my building because: e just valuation for the structure for purpose of ad valorem taxation is less than $300,000.00. Please attach proof of ad valorem taxation. ❑ The building was constructed in compliance with the provisions of the Florida Building Code (FBC) or with the provisions of 1994 edition of the South Florida Building Code (1994 SFBC) Signature Print Name State of Florida County of Dade The undersigned, being the first duly swom, deposes and says that he/she is the owner for Sworn to and subscribed before me this Notary Public, Sate of Florida at Large l6 L. HERBY MYRTIL Notary Pu rc - State of Florida My Comm. Expires Dec 1;. 2016 Commission # EE 833810 a�„dpd Throuah National Notary Assn. mentioned. • When the just valuation of the structure for pine of ad valooftntion is equal to or more than $300,000.00, and the building was not constructed with FBC nor a 1994 SFBC. Then you must provide a building application from a General Contractor for the Roof to Wall connection Hurricane Mitigation. Revised on 512112009