Loading...
RC-12-566 Wis. Miami Shores Village Building Department 10050 N.Elnd Avenue,Miami Shores,Florida 33138 Y Td:(305)795.2204 Fax:(305)756.8972 INSPECTION'S PHONE NUMBER:(305)762..4949 BUILDING FBC 20 PERMIT APPLIC Permit xo._ APPLICATION Master Permit No. Permit 7�pe: BUILDING ROOFING JOB ADDRESS: ` I City: Miami Sbmu County: ' mi Dade Zip: f�� Folio/Parcelll; Is the Building Historledy Dedgmted:Yea NO_ glued Zone: OWNER:Name(Fee Simple Titleholder):_ Address: Tcfz N 6 j I L Pbono#• City:_ I F�n*k State: Tenant/Lessee Name: Email: Phoma' CONTRACTOR:Company Name:Ja Address: Gs-�G1 Gu".; 'z` Phones: City: *� State: �-- 4: 330 23 Qualifier Name: UU 1� - \fin Phonofl: State Certification or Registration#: C�C foci 3 Certificate of Competency g:— Contact Phoned: Email Address: ` DESIGNER:Ardutect/Engineer: Phone# V"of Work for this Permit:$ -L'50SgwZ `� P- rNi.inear•Footage of Work: c Type of Work: OAddition OAheration ClNew ORepair/p,,,lac e n of Work: a ,`..r' O lidon Color thru sibs: Submittal Fee$ Permit Fees CCF CO/CC$ Swift Fee S Radon Fees DBPRs Bond$ Notary$. T raluing/Educadon Fee$ Technology Fee$ Doable Fee s Sgvdural Review, TOTAL FEE NOW DUE s 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 thePe rson whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be1 e osted at the job site P 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 app v a ref spection fee will be charged. Sign8 $i Owner or Contractor f The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this-2?— day hisday of ,20V-1,by 6-1; day of 20 L,by tzm to r who has produced who is personally known to me or who has produced nifi 5 as identificationand who did take an oath. NOTARY PUBLIC: ;o`�"�° LETICIA TERRY fs : ARY PUBLIC: Notary Public-State of Florid My Comm.Expires Sep 7,201yP Notary Public State or Florida of �° Commission#DD 991938 Nerelys Perez Sip: 4n�". MY Commission FF 003532 Print: Print: My Commission Expires: My Contmiss on Expires: fLi t*ttt*tt**ttttttttttttt tAtkttttt t tttttttttttttttttttttttttttttttttttttRtttttttttttt+ktttttttt#tttttttttt APPROVED BY Phins E ' erilZoning Structural Review Clerk (Revises 3/1212012)(Revised 07/10/07XRevises 06/10=0 )(Revised 3/15/09) VIC.193 S�oRFS G Miami Shores V11age also uusM �-- Building Department 10050 N.E.2nd Avenue �OR[DA Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CHANGE OF CONTRACTOR 1 ARCHITECT Permit N. -�- Owner's Name (Fee Simple Title Holder):161 i MR 13 1-{ i )ill Phone#: -1 4 -7 Owner's AddressL,I ti£ °1 I T� I I c— City: State : FL Zip Code: '-�)3 ) - Job Address(Of where work is being done):_ (A1i 12 City: Miami Shores State:—Florida Zip Code:3)91R Contractor's Compan Name: r`C I� SP S � � Phone#:� L1 Z6 Address: _ (S 1� SCJ ;�,l City: ', State: ( Zip Code:�—:30 Z,3 Qualifier's Name : L - 1 n Lic. Number: ff4C, 61 1()q Architect/Engineer of Record Name: Phone#: Address: City: State: Zip Code: Describe Work: 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 mi ores harmless for all legal involvement. Signat 9 Signatui4ju owner or Agent Contractor or A hitect The foregoing instrument was aknowledged before me The foregoing instrument was aknowledged before me this—Y—day of L,�-T,2013,by t this 00 day of Q�t 2013by A mow') Who is persona v mown o who is personally known to me or who has produced as indentification. t L-Q-cl-Vaj as indentification. Notary lic: Notary Publi Sign: Sign: Seal: r LETICIA TERRY Seal: ��►�"" Notary public State or Fbrida Nere s Perez . Notary Public-State of Florida IY My Comm.Expires Sep 7,2014 M Commission FF 003632 A• Y om q Expires 03/31/2017 Commission#DD 991938 r August 7, 2013 To: RC Construction Invest, Inc. ' 12700 SW 40 St Miami, FI 33175 Re: Miami Shores Village Permit# RC 12-566 1 Elise Fable representing Montana Holdings, LLC and owner of 941 NE 91 terrace am sending this letter to inform you of the following. I will be applying a change of contractor to the above referenced permit and due to personal reasons will no longer be In need of your companies services. Regards, Elise Fable U.S. Postal Service r. Montana Holdings, LLC CERTIFIED MAILT. RECEIPT (DomesticcO Only; CO C3 rr p^ Postage $ Certified Fee OPostmark C3 Return Receipt Fee $2..1!i O (Endorsement Required) Here C3 Restricted Delivery Fee C3 (Endorsement Required) Er" $6.11 (IE/07/2013 !, C3 Total Postage&Fees r- _ Sent To --------- --- ----------------------------`--.----,-- T LETICIA ------ ,,punpStreet,Apt.No.; /2300 c Y�/ �T %L LETICIA TER O or PO Box No. 3 ? Notary POW -State of Fbr r city siaie,ZlP+4 ------J` �; ---------- 's i My Comm.Expires Sep 7,2014 ssonCommii # OD 991938 PS Form 3800, rr. See Reverse for Instructions �MluY �` ` BY...------ •- R, { 7 N121 TO J L N .fl � N ( QS • • II i••••i •••• •••• d Z2.lei • ...... � 23:IS� • . . •••• August 7, 2013 To: Comfortech, Inc. Oscar Rodriguez 12289 Pembroke Rd#113 Pembroke Pines, FI 33025 Re: Miami Shores Village Permit# MC 12-569 I Elise Fable representing Montana Holdings, LLC and owner of 941 NE 91 terrace am sending ,this letter to inform you of the following. I will be applying a change of contractor to the above referenced permit and due to personal reasons will no longer be In need of your companies services. Regards, Elise Fable Montana Holdings, LLC P SNI 1, NO'S LETICIA TERRY .= Notary Public-State of Flim] ) My Comm.Expires Sep 7;2014 %„ahr Commission#f DD 991938 Postal CERTIFIED MAILW RECEIPT U.S. Postal ServiceT. (Vomestoeman J] CERTIFIED MAILM RECEIPT t� (Domestic C3 V1 O tr 3 r9 Y Q' Postage $ r 9 t _113 p" Postage $ Certified Fee J•1�{ 1tl •� 1�1 C7 Certified Fee C] Return Receipt Fee ��•rc Postmark O p (Endorsement Required) Here C] Return Receipt Fee $?,5 Postmark C3 C] (Endorsement Required) Here Restricted Delivery Fee � (Endorsement Required) 1.11t! Restricted Delivery Fee $��•(Ill (Endorsement Required) Q' C] M Total Postage&Fees 1 lav/I1'•'/?i113 0" $5,11 08/07/2013r-q C] Total Postage&Fees LS�entTo.� --- ��C-----C CRP mLSent013G� �L�GG--------- -------- - — r No. -- �/ N � oNo.; p to. 1�G t� JP4 ------------- ----- w "ER RIP+4 ----------------------------------------------------- M�i9M33/96 1 Ir. U.S. Postal Servicew CERTIFIED MAILW RECEIPT (Domestic Mail only;No ins 0 2 -min S HULLTWMFt64757 rq 11• U ll {T Postage $ ..0 Certified FeeJ.11-I 111 O M Return Receipt FeePostmark p (Endorsement Required) $2.5-' Here C7 Restricted Delivery Fee (Endorsement Required) $0.0U C] Q-• C3 Total Postage&Fees $ $6.11 08/07/2013 rq Fi�'Oltia a ----- --------------/ -- (/�_ pt.No.; `------------------6-�`0=-- Nox N-- - --- -------------------------- 5�___7 ' /��/ te,ZIP+4 6 01 S C 33oZj :rr rr. August 7, 2013 To: All Phase Elec, Corp. Pedro Lopez 11889 NW 91 st Ave Bay E Hialeah Gardens, FI 33018 Re: Miami Shores Village Permit# EL 12-568 I Elise Fable representing Montana Holdings, LLC and owner of 941 NE 91 terrace am sending this letter to inform you of the following. I will be applying a change of contractor to the above referenced permit and due to personal reasons will no longer be In need of your companies services. Regards, Elise Fable Montana Holdings, L r - LETICIA TER Y _. Notary Public-state of Florida My Comm.Expires Sep 7,2014 a,,,a b.• Commission#DD 991938 August 7, 2013 To: Alfonso,Jorge J 16016 SW 149 Terr Miami, FI 33196 Re: Miami Shores Village Permit# PL 12-567 41 Elise Fable representing Montana Holdings, LLC and owner of 941 NE 91 terrace am sending this letter to inform you of the following. I will be applying a change of contractor to the above referenced permit and due to personal reasons will no longer be In need of your companies services. Regards, Elise Fable Montana Holdings, LLC a* LETICIA TERRY ' :�• _= Notary Public-State of Florida �,� ' 11•, My Comm.Expires Sep 7.2014 n••` Commission#DD 991938 �°/a3 w RC CONSTRUCTION AND INVESTMENTS, INC 1408 Brickell Bay Dr, #815, Miami, FL 33131 Ph: 305-975-4156, e-mail: rcconl4 c gmail.com 5EP 2 2U13 September 23, 2013 BY: Miami Shores Village Building Department 10050 NE 2nd Ave, Miami Shores, FL 33138 RE: 941 NE 91St Terr, Miami Shores—Permit#RC-4-12-566 I, Ricardo Cabrera, Owner and Qualifier of RC Construction and Investments, Inc would like to place a hold on the Permit# RC-4-12-566 due to the fact that my company and I have a disagreement with the Owner of the property which makes it difficult for me to continue to work on the job site. I would like to stop all work on the property.No work is to be done without further notice.Nobody supposed to be working on the property. I am the only one who can call for inspections. Sincerely, 1� Ricardo Cabrera =2 Ak JULIA AMOSOVA MY COMMISSION*-FF047280 0 � /" '''FOFFeP EXPIRES August 21,2017 / (407J 398-0153 FloridallotaryService.com �st!OR y� Miami Shores Village 3', f° 10050 N.E.2nd Avenue NE ,' Miami Shores,FL 33138-0000 is r�i� ofD Phone: (305)795-2204 k rx k " Expiration: 02/20/2013 Project Address Parcel Number Applicant 941 NE 91 Terrace 1132060030050 Miami Shores, FL 33138-3219 Block: Lot: HUGO&ERIN CORRALES Owner Information Address Phone Cell HUGO&ERIN CORRALES 490 NE 102 Street MIAMI SHORES FL 33138-3219 Contractor(s) Phone Cell Phone Valuation: $ 95,000.00 RC CONSTRUCTION&INVEST,INC 305/975-4156 Total Sq Feet: 939 Approved:Yes Available Inspections: Comments: Inspection Type: Date Approved:4/3/2012:Yes Final PE Certification Date Denied: Drywall Type of Construction:NEW ADDITION AND INTERIOR RE Occupancy:Single Family Miscellaneous Stories: Exterior: Window Door Attachment Front Setback: Rear Setback: Tie Beam Left Setback: Right Setback: Final Bedrooms: Bathrooms: Framing Plans Submitted:Yes Certificate Status: Insulation Certificate Date: Additional Info: Truss Insp Bond Return: Classification:Residential ColumnsFoundation Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Window and Door Buck Bond Type-Contractors Bond $500.00 Fill Cells Columns CCF $57.00 Invoice# RC-4-12-43809 Wire Lathe CO/CC Fee $150.00 09/14/2012 Credit Card $3,922.50 $50.00 Declaration of Use DBPR Fee $42.75 04/03/2012 Credit Card $50.00 $0.00 F.Termite Letter DCA Fee $42.75 Bond#:2159 F.Elevation Certificate Education Surcharge $19.00 Permit Fee $2,850.00 Plan Review Fee(Engineer) $160.00 Scanning Fee $75.00 Technology Fee $76.00 Total: $3,972.50 Applicant Copy For Inspections, Call(305) 762-4949 or Log on at https://bldg.miamishoresvillage.comicap/. Requests must be received by 3 pm for following day inspections. NOTICE: In addition to the requirements of this permit, there may be AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER additional restrictions applicable to this property that may be found in GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT the public records of this county. DISTRICTS,STATE AGENCIES,OR FEDERAL AGENCIES. September 14,2012 2 R Comfonech, Inc e 12289 Pembroke Rd,#113 Pembroke Pines,R 33025 SLP 2 2013 I Ph:305-345-8686 e-mail:oscarodz@aol.com September 17, 2013 TO: MIAMI SHORES VILLAGE BUILDING DEPARTMENT 10050 NE 2"D AVE, MIAMI SHORES, FL 33138 RE: 941 NE 91ST TERR — PERMIT# MC-4-12-569 — HOLD ON PERMIT My Name is Oscar Rodriguez, Qualifier of Comfortech, Inc. Please put a HOLD on my mechanical permit number MC-4-12-569 because I have problems with the owner of the house at 941 NE 2nd Ave, Miami Shores and I can't work there any more. I would like to stop all work on the property. No work is to be done without further notice. Nobody supposed to be working on the property. I am the only one who can call for inspections. Thank you, f�v Oscar Rodriguez jt�lBsc12, e �� �� AUs C2_1 11-711 A2 13 i A AMQSAVA (/ MIY COMMISSION#FF047280 �/�' Z '•'.'�ofo?;: EXPIRES August 21.2017 � � (407)398-0153 Florid allotaryService.com Miami Shores Village Building Department AP R o 3 2012 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel: (305)795.2204 Fax: (305)756.8972 Iz INSPECTION'S PHONE NUMBER: (305)762.4949 ll 2. -1 - FBC 2010 B IL ING Permit No. fcJ 1 Z � PERMIT APPLICATION Master Permit No. Permit Type: BUILDING ROOFING JOB ADDRESS: _ _l /I/ S ���C�G� City: Miami Shores County:�7� Miami Dade Zip: Folio/Parcel#: � Is the Building Historically Designated: Yes NO Flood Zone: OWNER:Name(Fee Simple Titleholder): f J Phone#: Address: �� "t�1�af,g lC City: `' State: Zip: ✓012 Tenant/Lessee Name: w��� Phone#: Email: CONTRACTOR: Company Name: � �� �� "-i Ph ne#: Address: � � d 1y �Pg OUT City: Q11&Ce Wz1' State: F-V Zip: Qualifier Name: !' . �C G� ��oo��C� Phone#: � �S7y j — State Certification or Registration#: 00 �C '50. Certificate of Competency#: Contact Phone#: �3es- 9)yo Email Address: /J�7c 1 / 1'`' ��'' Z � DESIGNER: Architect/Engineer: I 6� ny Phone#: ` cs- w.Value of Work forAhis Permit: $ rVCIL (200, �J Square/Linear Zc age of Work: �`��yType of Work: ddition ❑Alteration 'New pair/Replace ❑Demolition Descr'ptio of Work: ✓�D(Z)'7 i��9i hr� etw yel-/e� 91c A-,,e&-, ' zlae 1)e �-Pol?7 . Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ C TOTAL FEE NOW DUE$ -C 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$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspe which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection wil of b a pro d a reinspection fee will be charged. Signature Signature �# O er or k gentContractor The foregoing instrument was acknowledged before me this son The foregoi g instrument was acknowledged befo me thisA �y� �� iC /� C° /�/Cc- day of "� � 20 7Je,by �T �L�(JLC' n Cl C-Gl�e� gday of > 20� ,by who i ersonally known t me or who has produced �'�Z7�IQ ho is personally known to me or who has produced R�/, a / d� /CQi�i il, As identification and who did take an oath. ���Q � dentification and who did take an oath. NOTARY PUB NOTARY UB IC: Sign: Sign: Print: Print: G My Commission Commission Expire --- - My Commission Int IA p�MO$O!/A JULIA AMOSOVA MY COMMISSION#DD913804 MY COMMISSION#DD913804 EXPIRES August 04,2013 9c**ir*9c**�t�c*fie�eeY9c is*** * �le&9t k7Pk`k iF�R #iFiP F'�F k�7c ,P*V** is i�ic 9c 9c�k ie ie*iF�eic*et ie ie i�eFic9c�c*�c 398-O (407)398-0153 FlondallotaryService.com (407) // APPROVED BY Plans Examiner ) L (k Zoning Structural Review Clerk (Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) NOTICE OF COMMENCEMENT liltilllllil��111NIl11111lI1!(Illiilllll� A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION C_F N 2012RO654828 _ OR. Bk 28272 P9 2867► (1p9) PERMIT NO.� 12 - 6� TAX FOLIO NO. / �/� � RECORDED 09/14/2012 11:47:54 HARVEY RUVIN► CLERK OF COURT MIAMI-DADE COUNTY► FLORIDA STATE OF FLORIDA LAST PAGE COUNTY OF MIAMI-DADE THE UNDERSIGNED hereby gives notice that improvement 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. I.Legal description of property and street address: C L P,d6c-- P A L.o r6' A, 6722 FT Lo-r of 5 Llc Goi s/z� l o r2-.060A, /S YK6y0- R_ Z�SZ-2`�9Z 2.General dlescription of improvement Pt"Ntl R�/ZeA o t1= 7rJ 2r'so�v o�/sY/b ti 3.Owner(s)name and address: 13, Z;A0 7 7— Interest Interest in property: Oul ,e 2_ Name and address of fee simple titleholder(if other than owner): 4.Contractor's name,address,and phone number: 2c.GT+otitiY 1X� /Z7G�O S WO�/� S7R c� ��ri �f- /• _33/7� 5.Surety:(Payment bond required by owner from contractor,if any) Name and address: Amount of bond:$ 6.Lender's name,address,and phone number: 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(I)(a)7.,Florida Statutes: Name,address,and phone number. 8.In addition to himself or herself,Owner designates the following person(s)to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes: Name,address,and phone number: 9.Expiration date of the Notice of Commencement(the expiration date is I 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, AVD CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COM EMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST F PE TIO Y NTEN TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY O O MEN WO OR RECORDING YOUR NOTICE OF COMMENCEMENT. Si na ur Owner or ner's Authorized Officer/Director/Partner/Manager Signatory's Title/Office �' Print Name The foregoing instrument was acknowledged before me this 7 Z day of �j� p u�U�- 20 Q_by (� - l�CJ,c E11�.�:� as l�'h�>i-Q-r-f Y✓.�+ lr (type of authority,e.g.officer,trustee,attorney in fact)for (name of party on behalf of whom instrument was executed). Personally Known OR Produced I entification_,[Type of Identification Produced: FL-NL_���1111111111 . Print,Type,or Stamp Signature of Notary Public—State of Florida Commissioned Name0�per 1520 .• of Notary Public: VERI TI R TO SEPION 92.525 FLORIDA STATUTES. sire #EEM9156 0, Under ies r I decla hat I have read the foregoing and that the facts stated in it are true to th-L; mbelief. i�96A�; u. .••�FT Signa a of Natural Person Signing Ab .,.,?fIllyollo11 HAF2V Y i:IMN Ci :yk;01 _ rcf r Dep,jt'Clerk �tio,urv�n.'✓ IMPORTANT: In these spaces, copy the corresponding information from Section A For Insurance Company kJse Building Street Address(including Apt.,Unit,Suite,andlor:Bidg.No.)or P.O.Route and Box:No. IP olicy Number 941 N.E. 91ST TERRACE City State P Code Cpmpariy�NAIG Number MIAMI SHORES FLORIDA 3313 SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) 'Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agent/company,and(3)building owner. Comments LATTTTTIIF ANTI T nNC'TTTTT)F (IRTATNEn BY—Mf1CT F C2 E) A/C ELEVATION CROWN OF THE ROAD ELEVATION• 9.28' ON CENTERLINE ON CENTER OF ROAD 400 LOCATOR; 3251 N ELEV: 14.75' Signature J � Date 11/10/11 ® Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) r For Zones AO and A(without BFE),complete Items E1-ES. If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B, and C. For Items E1-E4,use natural grade,if available. Check the measurement used. In Puerto Rico only,enter meters. E1. Provide elevation information forthe following and check the.appropriate boxes to show whether the elevation is above or below the highest adjacent grade(HAG)and the lowest adjacent grade(LAG). a)Top of bottom floor(including basement,crawlspace,or enclosure)is ._ []feet Ometers ®above or ]below the HAG. b)Top of bottom floor(including basement,crawlspace,or enclosure)is__ _ ❑feet Orneters [above or ❑below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 andlor 9(see a as 8-9 of Instructions),the next higher floor (elevation C2.b in the diagrams)of the building is Y_._Q feet [:J meters ❑above or below the HAG. E3. Attached garage(top of slab)is feet©meters 0 above or [] below the HAG_ E4. Top of platform of machineryandlor equipment servicing the bulding is feet C]meters '❑above or Q below the HAG. 1=5. Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance?.0 Yes []No ,[]Unknown. The local official.mustceriify this information in Section G_ SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's authorized representative who:completes Sections A,B,and E for Zone A(without a FEMA-issued or community-issued BFE) or Zone AO must sign here. The statements In Sections A,B,and E are correct to the best of my lmowledge. Property Own8l S or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments Check here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E), and G of this Elevation Certificate. Complete the applicable item(s)and sign below. Check the measurement used in Items G8 and G9. G1. F-1 The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer,or architect who is authorized by law to certify elevation information. (indicate the source and date of the elevation data in the Comments area below.) G2. El A community official completed Section:E for a building located in Zone A(without a FEIJiA-issued or�community issued BFE)or Zone AO. G3. © The following information(items G4-G9)is provided for community floodplain management purposes. G4.Permit IUumber G5. •Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for F� New Construction Substantial Improvement G8. Elevation of as-built lowest floor(including basement)of the building Q feet ❑meters(PR) Datum G9. BFE or(in Zone AO)depth of flooding:at the'build Ing site ❑feet D meters(PR) Datum G10.Community's design flood elevation :feet ❑meters(PR) Datum Local Official's Name Title Community Name Telephone Signature ,Date Comments ❑Check here if attachments FEMA Form 81-31, Mar 09 Replaces all previous editions U S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 Federal Emergency Management Agency Expires March 31,2012 National Flood Insurance Program Important: Read the instructions on.pages 1-9. SECTION A-PROPERTY INFORMATION For lnsurance:Company use Al. uildin Owner's Name Policy Number< ONTANA 13 HOLDINGS III 11-786 A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company NALC Number 941 N.E. 91ST TERRACE City State ZIP Code M7AMT HORES FLORIDA 33138 A3_ Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) LOT 6 _& E22' LOT 7 & W3' LOT 5, BLOCK 1, PLAT OF BISCAYNE RIDGE, P B 39 PAGE 41 A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) RESIDENTIAL A5. Latitudell-ongitude:Let. N25'51'35.47" Long. W80'10'40.97" Horizontal Datum: E]NAD 1927 ®NAD 1983 A6. Attach at least 2 photographs of the building If the Certificate is.being used to obtain flood insurance. A7. Building Diagram Number A8 A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosures) 2.>]64 sq ft a) Square footage of attached garage N/A sq it b) No.of permanent flood openings in the crawlspace or 11 b) No.of permanent flood openings in the atracbedgarage enclosure(s)within 1.0 foot above adjacent grade within l_0 foot above adjacent grade N//A c) Total net area of flood openings in A8.b 1_,�3T sq.in c) Total net area of flood openings in A9.b N/A sq in d) Engineered flood openings? [D Yes K]No d) Engineered flood openings? Q Yes [2 No SECTION B-FLOOD INSURANCE RATE MAP{FIRM)INFORMATION Bi.NFIP Community Name&Community Number B2.County Name B3.State VILLAGE OF MIAMI SHORES 120652 1 MIAMI-DADE FLORIDA B4.Map/Pane[Number B5.Suffix B6.FIRM Index B7.FIRM Panel 88.Flood B9.Base Flood Elevation(s)(Zone te ffectivelRevised Date Zone(s) AD,use base flood depth), 1208600306 L 9/11209 9/11/09 X N/A B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depthentered in Item B9. FIS Profile ®FIRM Community Determined Q Other(Describe) Bl 1. Indicate elevation datum used for BFE in Item B9: ZI NGVD 1929 NAVD 1988 []Other(Describe) B12. Is the building located i �Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? Q Yes No Designation Date A ❑CBRS Q'OPA SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) Cl. Building elevations are based on: 0 Construction Drawings* 'F]Building Under Construction* 'Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations-Zones Al-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,ARAE,AR/AI-A30,AR/AH,ARIAO. Complete Items C2.a-h below according to the building diagram specified in Item A7. Use the same datum as the BFE. Benchmark Utilized Vertical Datum I NGVD 1929 Conversion/Comments N/A Check the.measurement used. a) Top of bottom floor(including basement,oraw#space,or enclosure floor) 9 75feet meters(Puerto Rico only) b) Top of the next higher-floor 7$RXfeet meters(Puerto Rico only) C) Bottom of the lowest horizontal structural member(V Zones only) N/A ' feet meters(Puerto(Puerto Rico only) d) Attached garage(top of stab) N/A feet ❑meters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 9. 50feet meters(Puerto Rico only) (Describe type of equipment and location in Comments) f]l Lowest adjacent(finished)grade next to building(LAG) 9. 70 1 feet E]meters(Puerto Rico only) g) Highest adjacent(finished)grade next to building(HAG) 9. 45-1X-I fee+ Q meters(Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs,including N/A _E]feet E]meters(Puerto Rico only) structural support SECTION D-SURVEYOR,ENGINEER, OR tARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by lav to certify elevation information. /certify that the information on this Certificate represents my best efforts to interpret the data available. I understand trai any false statement maybe punishable by fine or imprisonment under 18 U.S.Code,Section loot. Check here if comments are provided on back of form. Were latitude and longitude in Section A.provided by a licensed land surveyor Z]Yes Q No Certifier's.Name License Number ADIS N. NUNEZ 5924 11/10/11 Title Company Nam REGISTERED LAND SURVEYOR BLANCOSZRVEYORS, INC. ISiugInatur dress City State IP Code ORR DRIVE MIAMI RRACT4 FLORIDA 3141 PLS#5924 1. r1hon 710/11 30517965E 1200 FEMA Form 89-31, [liar 09 See reverse Side for con inuation. Pepiaces all previous editions Building Photographs See Instructions for Item A6. -Fflr�n�rar�eay BuOdrng Street Address(including Apt,Unit,Suite,and/or Bldg. No.)or P.O.Route and Box No. Pony Nur�rt�e� �_ 941 N.E. 91ST TERRACE ------11-786 y � City State ZIP Code = MIAMI SHORES FLORIDA 33138 _E O If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to the instructions for Item A6. Identify all photographs with: date taken; "Front View"and "Rear View";and, if required, 'Right Side View"and"Left Side View."If submitting more photographs than will fit on this page, use the Continuation Page on the reverse. DATE TAKEN: 11/9/11 FRONT VIEW f REAR VIEW ►ORES a 5 ApC.1931 G� ones iami Shores Village Building Department At ORIDp' 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 MIAMI SHORES VILLAGE NOTICE TO BUILDING DEPARTMENT OF EMPLOYMENT AS SPECIAL INSPECTOR UNDER THE FLORIDA BUILDING CODE I (We) have been retained by 'P—�&e FCW� �'Aa'-'7 lilt 7 to perform special inspector services under the Florida Building Code at the 941 NE 91St Terr project on the below listed structures as of 0_5/i/ tip/i?—(date). I am a registered architect or professional engineer licensed in the State of Florida. PROCESS NUMBERS: ❑ SPECIAL INSPECTOR FOR PILING,FBC 1822.1.20(R4404.6.1.20) ❑ SPECIAL INSPECTOR FOR TRUSSES>35'LONG OR 6'HIGH 2319.17.2.4.2(R4409.6.17.2.4.2) EX SPECIAL INSPECTOR FOR REINFORCED MASONRY,FBC 2122.4(R4407.5.4) EX SPECIAL INSPECTOR FOR STEEL CONNECTIONS,FBC 2218.2(R4408.5.2) ❑ SPECIAL INSPECTOR FOR SOIL COMPACTION,FBC 1820.3.1(R4404.4.3.1) ❑ SPECIAL INSPECTOR FOR PRECAST UNITS&ATTACHMENTS,FBC 1927.12(R44 .1 ❑ SPECIAL INSPECTOR FOR Note:Only the marked boxes apply. The following individual(s)employed by this firm or me are authorized representatives to pi 1. 2. OPI 3. 4. *Special Inspectors utilizing authorized representatives shall insure the authorized representative is qualified by education or licensure to perform the duties assigned by the Special Inspector. The qualifications shall include licensure as a professional engineer or architect; graduation from an engineering education program in civil or structural engineering; graduation from an architectural education program;successful completion of the NCEES Fundamental Examination;or registration as building inspector or general contractor. I, (we)will notify Miami Shores Village Building Department of any changes regarding authorized personnel performing inspection services. I, (we) understand that a Special Inspector inspection log for each building must be displayed in a convenient location on the site for reference by the Miami Shores Village Building Department Inspector. All mandatory inspections, as required by the Florida Building Code, must be performed by the County.The Village building inspections must be called for on all mandatory inspections. Inspections performed by the Special Inspector hired by the Owner are in addition to the mandatory inspections performed by the Department. Further, upon completion of the work under each Building Permit I will submit to the Building Inspector at the time of final inspection thec mpI ted inspection log form and a sealed statement indicating that,to the best of my knowledge, belief and professional judgme those portions of the project outlined above meet the intent of the Florida Building Code and are in substantial acco with the approved plans. Signe ����, Engineer/Architect 04 df Name Youssef Hachem Ph.D. , P.E. , S . I . • (PRINT) 12151 SW 128Ct Ste 104 .Miami, F1 33186 �1 fl Address Cn t 6 6:Jt . �aOEa n : Phone No. (305) -969-9423 / (305) 287-9120 0Do ,49 Z : coo t 2ao9 • • *Goose•• �C • NG NEER •��� CWH 2011RO675419 DR Bk 27652 Pes 2492 - 2493: (lass) IN THE CIRCUIT COURT OF THE ELEVENTH JUDICIAL CIRCUIT IN RECQRM 10107/2031 12:57:29 AND FOR MIAW RADE COUNTY,FLORIDA MHARD TAX lt"7.PANIMP +7�0 CONT HIAHI-DARE CO1WYr FLORIDA WELLS BANK(NA) GENERAL JURISDICTION DMSION plaintiff(s)plaintiff(s)(s)I pe Petitianer(s) VS. Case No: 10032511CA01 SAES,JAMES,et al. Section! 25 Defendant(s)/Respondents(s) tax st—ps $1.6+7.00 War f0.00 Consoan"n: 6274,600.00 CERTIFICATE OF TITLE The undersigned clerk of the court Certifies that d Certificate of Sale was executett and 6W,n this action on September 22, 2011,for the properly described herein and that no objections to the sale have been fded within the time allowed for filing otgections. The following property in Miami-Dade County,Florida: -SEE ATTACHMENT- was sold to: MONTANA 13 HOLDINGS 111 LLC 407 LINCOLN RD SUITE 2K MIAMI BEACH,FL.33139 WTNESS my hand and the seal of this court on October 03,2011. Harvey Ruvin,Clerk of Courts ca Miami-Dade County,Florida :.r v Rw,1N517011D 1 Book27852/Page2492 CFN#20110675419 Page 1 of 2 R OR SK 27852 PG 2493 LAST PAGE CERTIFICATE OF TITLE Case NO:10032511CMI 1111:WI-",V3 1't E f OF L(']1'5 1.68,E ME NOW111 7.i FEh'I' !HL•Ki.UF.I,t i 1'6 I.CSS't711C NOR,(H 7.5 Flil,'I'1'IIF.RFOF AND I HP EAS 1 22 F-F T UI'I.t.YF 1 LESS ME NUR I"!t 7.5 FEE l' 1'I II:Rl:t)I'.iv HI,(,K K I or HISCAYNE RIUCH ACCORDING TO Tl IF PI.A'I !'IIFKF:Ot AS RIWORIMI)11 I'LA1 14I.M 39.PAGE 1101; Flll•:1'LIHI,IC RECORDS(*MIAMI•UAUL• COL-NTY.FLORIDA Pr•§perly addres%:9.11 KE 41ST MR,MIAMI 51-10141-,S.11.33119.including the building.appurtenane s,and fixtures tucaseJ Ihmin. kati,tWSIe00B 2 Book27852/Page2493 CFN#20110575419 Page 2 of 2 w-w-w.sunlliz.org - Department of State Page 1 of 2 u, Home Contact Us E-Filing Services Document Searches Forms Help PreyiOUS on List Next on List Return 1-0 1 ist Entity Name Search No Events No Name HistorySubmit -------------- by Florida Limited Liability Donip MONTANA 13 HOLDINGS III LLC Filing Information Document Number L11000113406 FEI/EIN Number NONE Date Filed 10/04/2011 State FL Status ACTIVE Effective Date 10/04/2011 incipal Address }07 LINCOLN ROAD SUITE 2K MIAMI BEACH FL 33139 US Mailing Address 407 LINCOLN ROAD SUITE 2K MIAMI BEACH FL 33139 US Registered Agent Name & Address MACALUSO, ELISE 407 LINCOLN ROAD SUITE 2K MIAMI BEACH FL 33139 US Manager/Member Detail Name &Address Title MGRM MONTANA 13 HOLDINGS LLC 407 LINCOLN ROAD, SUITE 2K MIAMI BEACH FL 33139 FL inual Reports ..o Annual Reports Filed Document Images 10/04/2011 Florida,Limited Liabilit 1 View image in PDF format www.sunbiz.org iz.org -- Department of State Page 2 of 2 nNoo. This is notofflciaFrecord, See dOCUrnents if question or conflict. eviou-s on Li-M Next on List Return To List Entity Name Search No Eventg No Name History FSubmit- :0, !�eard-)ES I E-f-11(IQ Seivices I Fo,rns 1-1--Ic C(-JF1',-EJ U-, — - - - i I Cruvr;r;ht@ nd Ptivacy Po!iJs State of Florida, Department of State -4-*----T-'1-r-TT1TT 0 * - - I I T 11-- -, - www.sunbiz.org - Department of State Page 1 of 2 ,',AV IS ION OF CORPORATIONS Home Contact Us E-Filing Services Document Searches Forms Help Previous on List Next on List Return 10 List Entity Name Search No Events No Name History Submit Florida Limited Liability Company MONTANA 13 HOLDINGS, LLC Filing Information Document Number L11000019076 FEI/EIN Number NONE Date Filed 02/14/2011 State FL Status ACTIVE Effective Date 02/14/2011 -A d al Address �-;/O ROSENBAUM INTERNATIONAL LAW FIRM PA 755 W 41 ST STREET MIAMI BEACH FL 33140 US Mailing Address C/O ROSENBAUM INTERNATIONAL LAW FIRM PA 755 W 41 ST STREET MIAMI BEACH FL 33140 US Registered Agent Name & Address ROSENBAUM INTERNATIONAL LAW FIRM PA 755 W 41 ST STREET MIAMI BEACH FL 33140 US Manager/Member Detail Name&Address Title MGR MACALUSO, ELISE 755 W 41 ST STREET MIAMI BEACH FL 33140 US Annual Reports Annual Reports Filed Document Images 02/14/2011 -- Florida Limited Liability View image in PDF format vw w.suxjbiz.org Lepartmei of Mato Page 2 of 2 Note:This is not official record. See documents if question or conflict. evious on List Next on List Retuin To List Entity Name Search No Events No Name History Submit i D�- �t -:crt_P,eS I F-F;Iiivq S�tv6ces I F()5I&I_ Coovriaht© and Privacv Policies State of Florida, Dc-partment of State 'nttn•//ennhi7 nro/err;nte/nnrriPt ava75rtinn=T1FTPTT Rrinn rinc, n„rn�kpr=T I 1 nnnni amtiRr;t)„ ai—a -P,- i i f 1 AA3569 UESIGN ARCHITECTURE '"' ' ; t June 28.2012 _ 941 N.E.91"Terrace Miami Shores,FL 33138 PERMIT No. 12-566 PLANNING&ZONING: APPROVED ELECTRICAL: APPROVED MECHANICAL: APPROVED BUILDING: 1.) Provide approval from Miami-Dade County Health Dept. (DOH/HRS) RESPONSE: Shall be provided by Plans Expediter. 2.) Provide receipt from Miami-Dade County Planning &Zoning for Impact Fees. RESPONSE: Shall be provided by Plans Expediter. 3.) Provide corrections for Structural and Plumbing. RESPONSE: All required corrections have been made, and are included herein. 4.) The product approvals submitted must have all components to be used highlighted for each opening. RESPONSE: Submitted product approvals are all highlighted as required. 5.) PA must be valid not expired. RESPONSE: Valid product approvals have now been provided. 6.) Provide a high velocity roofing application. RESPONSE: Roofing done under separate Permit#: RF-2-06-346. See attachment. PLUMBING: 1.) Pending H.R.S. review and approval. RESPONSE: Shall be provided by Plans Expediter. STRUCTURAL: 2.) Mullion NOA has expired. RESPONSE: A new NOA has now been provided. See revised Architectural sheets. 3.) Show the details of existing wall footing and new pad footings. NOT ADDRESSED. RESPONSE: Clarified as per meeting on 06.22.12 at Miami Shores Bldg. Dept. 9.) Why are TB(s)specified for existing portion of the building? NOT ADDRESSED. RESPONSE: Clarified as per meeting on 06.22.12 at Miami Shores Bldg. Dept. 10.) What is the span of 3x8 rafters? A new lay-out is provided. Show coordination with Architectural plans. Provide written explanations. Show supports of W12 x 22. RESPONSE: Clarified as per meeting on 06.22.12 at Miami Shores Bldg. Dept. 11.) What is the beam supporting the 3x8 rafters? A new lay-out is provided. Show coordination with Architectural plans. Provide written explanations. Show supports of W12 x 22. RESPONSE: Clarified as per meeting on 06.22.12 at Miami Shores Bldg. Dept. 17.) Use current versions per FBC 2010. Arrange for a meeting with Engineer. RESPONSE: Meeting took place on 06.22.12 at Miami Shores Bldg. Dept. See attached responses from YHCE. 4300 Biscayne Blvd.#G-04, Miami, FL 33137 1 Phone: 305.438.9377 Fax: 305.438.9379