DEMO-13-1495 (2)Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-216663 Permit Number: DEMO -7-13-1495
Scheduled Inspection Date: September 10, 2014 Permit Type: Demolition
Inspector: Rodriguez, Jorge Inspection Type: Final
Owner: WILLIAM J. JURBERG, R. ANDREW DE Work Classification: Building
oece
Job Address: 9350 NE 12 Avenue
Miami Shores, FL 33138- Phone Number (305)609-3851
Parcel Number 1132050070150
Project: <NONE>
Contractor: PALMER HOLDINGS, INC Phone: 305-310.4673
comments
11111-YVV I-.7.7VVII IIIIVIIW
DEMOLITION OF A SINGLE FAMILY HOME, PORTION INSPECTOR COMMENTS False YY
EXTERIOR WALLS TO REMAIN AND EXISTING SLAB TO
REMAIN
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-216565. CREATED AS
REINSPECTION FOR INSP-194666. No permit on site
No permit on site. Second time
Failed
Correction ❑
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
September 09, 2014 For Inspections please call: (305)762-4949 Page 16 of 44
NOTICE OF COMMENCEMENT
ENT
A REDORDED COPY Midi BE POSTEO ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT N0. P — TAX FOLIO NO.
STATE OF FLORIDA: l S
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 Commencement.
1. Legal description of property and
1711
3.Owner(s) name and address:
Interest In property:
Name and address of fee simple titleholder
5. Surety: (Payment bond required by
Name, address and phone number:A
Amount of bond $
6. Lender's name and address:
7. Persons within the State of Florida
Section 713.13(1)(9)7., Florida Statute
Name, pddress and phone number -,o
2—HA
CFN 201 RO614662
OR Bk :8757 Ps 42444 (fps)
RECORDED 08/05/2013 15:18156
HARVEY RUVIid1 CLERK: OF COURT
nIAnI-DARE COUNTYP FLORIDA
LAST PAGE
Space above resemed for use of recording ofHoe
4-1 ?a S
by Owner upon whom notices or other
may be served as grpvided by
8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provit
713.13(1)(b), Florida Statutes.
Name, pf" and`phone number ILLI � 11 -0
Ote
9. Expiration date of this Notice of Commencement:
A
(the expiration date is 1 year from the date of recording unless a different date Is specified)
WARNING TO OYMER: 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.
Signature(s) er(s r Owne )' prized Officer/Director/ParthedManager
Prepared By Pre*ed By .1 ��---�
Print Name Pfnt Name
Title/Office LSAA2%— Title/Office A •
STATE OF FLORIDA
COUNTY OF MIAMI-DADE
The for o nstru o ged before me thIsQ2 day
By, •• fYfatk - Stow -"
ndividuaily, or C3 as for
Personally (mown, or ❑ produced the following type of identification: COMM. WN May 23, 20'16
Signature of Notary Public:
n ,2
Print Name-
if
ame:
if A I E OF FLORIDA, COUNTY OF DADE
HEREBY CERTIFY that this is a true copy of 1148
irr I filed in this olR a on 1e_ d of
&ems , AD 20
WITNESS and flicial Seal.
4AR . of Ci uit and County Courts
qv D.G.
PERMIT #
1t ''� Q
CONTRACTOR: j
SUBMITTAL DATE: 3 — G 2—
ADDRESS:q3,.I)o- Cc
NAME: Prell
RESUBMITAL DATES:
PROJECT TYPE:
a �FIRE
r_
STRUCTURAL IMPACT FEES
EL TRI • HRS/DERM
PLUMB �t '�
NOC
-
EC
ICALrT .
V . ' Miami Shores Village
Building Department
10M KEW Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.9972
INSPECTION'S PHONE NUMBER: (305) 762.4949
�� JUL 0 3 203
Byo old a�00000�00000�o
Permit No. ✓ ��
PERMOMaser Permt No
Pmt .
.ROOFING
JO» 935o Ng� AVG*
whmtsbaw county: Daft zip:
mio/l'aiTel#
is the Buihling Historically Designated: Yes NO _ Flood Zone: ,
OWNER; Name iFee Simple Titleholder): �'� • Kn
Addrew- 9 3 s0 W 2,r, I�v�
City. I4 f QAq S if Aol state:
TenanVLessee Name
Fw
AeJ bePA sS phare#:_3o - 5-
'.,t t,. e. co
CONTRACTOR: Cwpany Name:
State Ceartiftcafum or Registration *.C -C. '�., ' ft-Gw Certificate of COMPMUCY
Coauwt Phone#.Iorp- 10 .44� Email Address: V-A FACL AG C. A)
Value of Work for this Permit: $ ` Footage of Works
Tyke of Work: ClAddition OAheradon t7New O g*A1eplace _ lition
of WOOL-
Sttal Fee $ Pmt Fee
Scanning Fee $ - Radon Fee $
G
CCF $ COlCC $
DBPR $ Boml $
Notary $. TraininglEtucatiaa Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE s ATT
I
Bouft Company's Nam (if applicable)
Bonding Conopany's. Address
City
State
mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
Tap
Application is hereby made to obtain a permit to do the work and installations as indicated I certify dist 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 BLECMCAL WORK, PLUNSINO,.SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR COMMONERS, ETC.....
OWNER'S AFFIDAVff: I certify that all the foregoing information is mate 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
IMPROVENIENTS 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 applicW 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 ofc st be posted at the job site
for the first inspection wlsich occurs seven (7) after the building permit is issued the absent of such posted naaM die
inspection will not be approve and a reinspec ' fee will be charged 51N
Owner or Agent
The foregoing instrument was acknowledged before me this (1
Who is Ftswlally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Contmetor
The foregoing instrument was acknowledged bVbre me
day of U , 20.4 by
who is y known to me or who has producers_______
'-11 mow.
i If 11' fi • Y, w -t'
I �
APPROVED BY �1o'rJ Plans Examiner
Structural Review
(Revised 3/12r2012XRevised 071IM7*Wvisa 0V11U20 %Mevixed 3/1510
i and who did take an oath,
zoning
Clerk
Retum to:
Instrument Prepared By:
CHRISTOPHER P. KELLEY, Esquire
1101x8 Biscayne Boulevard, Suite 205
Miami, Florida 33161
Folio #11-3205-007-0150
WARRANTY DEED
CFN 2012R0776533
OR Bk 28335 Pss 0257 - 258'v (2p9s)
RECORDED Irl '1 0/201':, 15.,37., ? .
C)ECD DOC TAX W,36 � 60
HARVEY RUUINP C=LERK OF COURT
MIAMI -DARE COUNTY9 FLORIDA
THIS INDENTURE, Made this AD ► ddayof 2012, Between CAROL AMAYA
KING SELIGSON, a single woman, GRANTOR, and R. ANDREW de PASS and WILLIAM J.
JURBERG, as Joint Tenants with Rights of Survivorship, whose post office address is 9350
NE 12 Avenue, Miami Shores, FL 33138, GRANTEES,
WITNESSETH, That said GRANTOR, for and in consideration of the sum of Ten and
Noll 00 ($10.00) Dollars, and other good and valuable considerations to said GRANTOR in hand
paid by said GRANTEES, the receiptwhereof is hereby acknowledged, has granted, bargained and
sold to the said GRANTEES, and GRANTEES' heirs and assigns forever, the following described
land, situate, lying and being in Miami -Dade County, Florida to -wit:
From the Southwest comer of Lot "L" of "PLAT OF GOVERNMENT LOT 4 OF
SECTION 5, and N 1/2 OF NE 1/4 of SE 1/4 OF SECTION 6, of TOWNSHIP 53
SOUTH, RANGE 42 EAST, DADE COUNTY, FLORIDA, according to the Plat
thereof, recorded in Plat Book 5, at Page 90, of the Public Records of Dade County,
Florida; then East, along South line of said Lot "L", a distance of 100.00 feet to the
Point of Beginning of the Tract of land hereinafter described:
From the said Point of Beginning, continue East, along South line of said Lot "L", for
a distance of 120.80 feet to the Southeast comer of said Lot "L"; thence N 12016'40
E, along East line of said Lot "L" and "K", for a distance of 151.79 feet to a point;
thence run West parallel to and 80 feet North of the South line of said Lot "K", a
distance of 184.74 feet to a point; thence run S 12002'15"E a distance of 151.76 fest
to the South line of Lot "L", being the Point of Beginning.
SUBJECT TO: Applicable zoning and/or restrictions and prohibitions imposed by
governmental authority; Conditions, Restrictions limitations, reservations,
easements, and other matters appearing on records, if any; Utility easements of
record, taxes for the year 2012 and subsequent years.
and said GRANTOR does hereby fully warrant the title to said land, and will defend the same
against the lawful claims of all persons whomsoever.
IN WITNESS WHEREOF, GRANTOR has hereunto set GRANTOR'S hand and seal the
2
Warranty Deed - King Seligson st dePass & Jurberg
Page 2
day and year first above written.
Signed, sealed, and delivered in our presence:
vvu11000 aIy11aw10
ss*r nrT7P IMFT
Print
STATE OF FLORIDA
COUNTY OF MIAMI-DADE )
I HEREBY CERTIFY that on this day, before me, an officer duly authorized in the State
aforesaid and in the County aforesaid to take acknowledgments, personally appeared CAROL
AMAYA KING SELIGSON, who produced r, as identification, and
who executed the foregoing instrument and acknowledged before me that he executed the same.
WITNESS my hand and official seal in the County and State last aforesaid this .�day
of2012.
d
NOTARY PtMLIC, Stake df FLORIDA at Large
My commission expires:
Nobw puft R
EE
1pgp �A'
f'C
M (P1
Idl
0
T
1 ° L AMAYA KING SELIGSON
C,
I HEREBY CERTIFY that on this day, before me, an officer duly authorized in the State
aforesaid and in the County aforesaid to take acknowledgments, personally appeared CAROL
AMAYA KING SELIGSON, who produced r, as identification, and
who executed the foregoing instrument and acknowledged before me that he executed the same.
WITNESS my hand and official seal in the County and State last aforesaid this .�day
of2012.
d
NOTARY PtMLIC, Stake df FLORIDA at Large
My commission expires:
Nobw puft R
EE
TO: Miami Shores Village Building Department
FROM: R. Andrew de Pass & William Jurberg
DATE: JUNE 6t', 2013
RE: Authorization for Demolition
9350 NE 12th Avenue, Miami Shores, FL
R. Andrew de Pass and William Jurberg, the owners of the property at 9350 NE12th
Avenue in Miami Shores, Florida, hereby authorize Palmer Holdings, Inc. Martin J.
Palmer and his construction crew to demolition the property and prepare the site
for the renovation project.
Regards,
R. Andrew dePass William Jurberg
NOTARY: �c��{t2c � fie fes( (�-t eA ",Cj 3
=°
'•� •* MnraaMtr
s EXPM Apra 2, 2M'
Miami Dade ExtemniIIators CO.
Eddy Peru
P.G. Box 650855
MiarA Florida 331265
July 5, 2013
Palmer Holdings Inc.
To WhomIt May Concern:
This letter is to inform you that the property located 9350 NE 12 Ave, Miami Shore, Fl.
33138 has been inspected and ue4ftd for Rodents. Tamper proof rodent stations were
placed o 'de. Glue traps and snap taps were; also placed inside to monitor rodent
activity. rodent program was monitored for one month and no activity was found at
the time o hadment.
Sincerely,
ME
MIAMI DADE
Exterminators
P.O. Box 650855
MIAMI, FL 33265
PH: (305) 256-9519
EMAIL: MIAMIDADEEXTERMINATORS@LIVE.COM
PEST CONTROL SERVICE REPORT
ClTOMER:
TYPE OF SERVICE
REGULAR E=ODD JOB CALLBACK START
INVOICE
N? - 7252
Q'/"v,j-Co'�)
THIS SERVICE $
TAX
$
PRIOR BALANCE
$
TOTAL AMOUNT
$
AMOUNT PAID
$
CASH / CHECK (CK # )
SPECIFICATIONINFESTATION FOUND CHEMICAL
COMMENTS:
t1-&-13
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REPAIRS/ SANITATION CONDITIONS J
DATE: - TIME IN: 4,30 TIME OUT:
CAY- :JAL►,
SIGNATURE
YMOM : ABOVE CHECKED AREAS HAVE BEEN TREATED
WITH PESTICIDES. DO NOT WALK BARE FOOTED ON TREATED
AREAS. DISCARD ANY FOOD OR BEVERAGES THAT HAVE
BEEN
DO NOT TOUCH TREATED AREAS TILL DRY
DO NOTTAMPER WITH RODENTICIDE PLACEMENT
DO NOT RETURN TOA L AFTER VENTILATION
SIGNATURE
COMMENTS:
t1-&-13
Ad Akw�-
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144
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Ud J IV -
® 4icde
-� Iv — 13 ®�t}�' V�}•� vol..
REPAIRS/ SANITATION CONDITIONS J
DATE: - TIME IN: 4,30 TIME OUT:
CAY- :JAL►,
SIGNATURE
YMOM : ABOVE CHECKED AREAS HAVE BEEN TREATED
WITH PESTICIDES. DO NOT WALK BARE FOOTED ON TREATED
AREAS. DISCARD ANY FOOD OR BEVERAGES THAT HAVE
BEEN
DO NOT TOUCH TREATED AREAS TILL DRY
DO NOTTAMPER WITH RODENTICIDE PLACEMENT
DO NOT RETURN TOA L AFTER VENTILATION
SIGNATURE
PALMER HOLDINGS INCORPORATED
GENERAL CONTRACTORS
STATE LICENSED CGCO59420
Miami Shores Building Department, July 15, 2013
10050 NE 2-d Avenue,
Miami Shores, Fl. 33138.
Re: Process/ Permit # 13-1495 DEMO
Dear Sir,
As the General Contractor on the above demolition project, we plan to begin the demolition of the above
project located at 9350 NE12 Ave., within 30 days after issuance of the demolition permit.
Please be advised that this is not a total demolition and approximately 80 per cent linear footage of the exterior
walls and the ground floor slab will remain.
1900 S. Bayshore Drive, Miami, Fl. 33133
T. 305-310-4673 F. 305-856-8266 C. 305-310-4673 mpalmgc a@aol com