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DEMO-15-1418 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-236498 Permit Number: DEMO-6-15-1418 Scheduled Inspection Date: July 08, 2015 Permit Type: Demolition Inspector: Rodriguez,Jorge Inspection Type: Final Owner: PARIS,KENNY Work Classification: Building Job Address: 11004 NW 2 Avenue Miami Shores, FL 33168- Phone Number Parcel Number 1121360020240 Project: <NONE> Contractor: DEMOLITION SERVICES INC Phone: (305)828-3767 Building Department Comments TOTAL DEMOLITION OF SINGLE FAMILY RESIDENCE Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. July 07, 2015 For Inspections please call: (305)762-4949 Page 21 of 52 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-236649 Permit Number: DEMO-6-15-1441 Scheduled Inspection Date: July 07,2015 Permit Type: Demolition Inspector: Diaz,Osvaldo Inspection Type: Final Owner: PARIS, KENNY Work Classification: Plumbing Job Address:11004 NW 2 Avenue Miami Shores,FL 33168- Phone Number Parcel Number 1121360020240 Project: <NONE> Contractor: ALL AROUND PLUMBING ENTERPRISES INC Building Department Comments Infractio Passed Comments SEPTIC TANK ABANDOMENT INSPECTOR COMMENTS False Inspector Comments Passed 6V Failed I Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. July 06,2015 For Inspections please call: (305)762-4949 Page 12 of 33 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-237781 Permit Number: DEMO-6-15-1596 Scheduled Inspection Date: July 07, 2015 Permit Type: Demolition Inspector: Devaney, Michael Inspection Type: Final Owner: PARIS, KENNY Work Classification: Electric Job Address: 11004 NW 2 Avenue Miami Shores, FL 33168- Phone Number Parcel Number 1121360020240 Project: <NONE> Contractor: KILBY ELECTRIC CO Phone: (305)233-2965 Building Department Comments VERIFY ELECTRICAL DISCONNECTION Infractio Passed Comments INSPECTOR COMMENTS False Inspector Com ents t. Passed Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. July 06, 2015 For Inspections please call: (305)762-4949 Page 14 of 33 y e �eK°RES rr Miami Shores Village "� x° t� CII 10050 N.E.2nd Avenue NW 0 Btilldin Miami Shores,FL 33138-0000 3 ✓ r y Phone: (305)795-2204 �. ` ,-0, fLORtRA a g Expiration: 12/26/2015 Project Address Parcel Number Applicant 11004 NW 2 Avenue 1121360020240 LSP HOMES LLC Miami Shores, FL 33168- Block: Lot: Owner Information Address Phone Cell LSP HOMES LLC 455 NE 210 Circle Terrace (305)527-3643 MIAMI FL 33179- 455 NE 210 Circle Terrace MIAMI FL 33179- Contractor(s) Phone Cell Phone Valuation: $ 5,000.00 DEMOLITION SERVICES INC (305)828-3767 Total Sq Feet: 1376 Type of Demo:Building Available Inspections: Additional Info: 133130 Inspection Type: Classification:Residential Final Scanning:3 Review Electrical Review Electrical Review Planning Review Building Review Mechanical Review Plumbing will Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $3.00 DBPR Fee Invoice# DEMO-6-15-55923 $2.25 DCA Fee $2.25 06/10/2015 Check#:3154 $50.00 $ 121.50 Education Surcharge $1.00 06/29/2015 Credit Card $ 121.50 $0.00 Permit Fee $150.00 Scanning Fee $9.00 Technology Fee $4.00 Total: $171.50 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is aqpur#te and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore,I authorize the above-named c r c r o do the work stated. June 29, 2015 Authorized Signature:Owner / Applicant / C [` / Agent Date Building Department Copy June 29,2015 1 \3cMiami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 _ INSPECTION LINE PHONE NUMBER:(305)762-4949 ;6C 20 (b BUILDING Master Permit No.—T)"I S-iyt 9 PER IT APPLICATION Sub Permit No. UILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL F-1 PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: M�7f�/ /Jou ';1 �yP/10 p City: 1Miami Shores County: Miami DadeZip i3-3/( Folio/Parcel#: ' 009 -©DVB Is the Building Historically Designated:Yes NO Occupancy Type:r "/JLAoad: Construction Type: Flood Zone: BFE: FFE: OWNER: Name(Fee Simple Titleholder): �-�? ��DeS C Phone#: Address: ��� ( Cil{ , ��a._2 City: A:itG r*A- State: Zip: 3Jv'7� Tenant/Lessee Name: Phone#: 3(26-5�Dr?-_310'(`,, Email: CONTRACTOR:Company Name:.S�)— V0z) 1 / iw-) Phone#: 30S- �(A- -396`7 Address: ►3 U City: (���U` State: Zip; 3 / QualifierName: i S ( Czr' Phone#: X05 A a 7617 State Certification or Registration#: Certificate of Competency#: 0(03Sz1 a DESIGNER:Architect/Engineer: f Phone#: Address: City: State: — Zip: Value of Work for this Permit:$ -5,OoD' oo Square/Linear Footage of Work: 137 6 S Type of Work: ❑ Addition ❑ Alteration J ❑ New Repair/Replace emolition Description of Work: �J Q yr i old (J r1 rr)I kI YQS i r� Specify color of color thru tile: F Submittal Fee$ Permit Fee$ ! CCF$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) Bonding Company's Name(if applicable) p / Bonding Company's Address / City State Zip Mortgage Lender's Name(if applicable) f 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 ELECTRIC, PLUMBING, SIGNS, POOLS, . FURNACES,BOILERS, HEATERS,TANKS,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 building permit is issued. In the absence of such posted notice, the inspection will not be op oved and a reinspection fee will be charged. Signature Signature 0OWNER or AGENT CONTAC OR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this _ day of t� 20 IV by ,�A1,��,Q,��c_,�._da/y�oof�.�&K—E 120 `5 by I�9 ( � who is personally known to ty�.ftUS QRS l Q who is personally known to me or who has produced L as me or who has produced R�qjVex_ UIQX-N �as : identification and who did take NOTARY PUBLIC: iAPPROVED Sign: ?L Qni r I Print. ARALYS CAS7Seal; Notary PubliC State or Florida Notary Public Stat �, my CiaAlvarez Commisaton ry FF My Commission FF 156750 res JorF�dl� Expires 09103/2018 BYUf Plans Examiner ` / / Zoning Structural Review Clerk (Revised02/24/2014) ,SNORtic.I ES .... .....� Miami shores Village Building Department 0R1Dp' 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. COPY OF QUALIFIER'S STATE LICENCES B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF LIABILITY INSURANCE* D. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER Affidavit) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICATE OF COMPETENCY OF QUALIFIER B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF STATE REGISTERED CONTRACTOR LICENSE OR MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT. D. COPY OF LIABILITY INSURACE* E. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER Affidavit) *YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE AS FOLLOW: Certificate Holder: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 Certificate must specify the description of operations or contractor license number. BUSINESS NAME: nnOrfi BUSINESS ADDRESS: CITY A a 1PCtk STATE CF� ZIP33�' ' BUSINESS PHONE: ( 3�5) a -3 l�'7 FAX NUMBER( 3OS ) �a ? - q`710 ' CELL PHONE L( a 73 QUALIFIER'S NAME: 0_0 Ct k/S oGs�I k QUALIFIER'S LIC NUMBER: � � a _ D I O i '1 CTOB c, truc#ion Trades QualifyinG Board GERTIFiCATE OF COMPETENCY 06BSOiOl7 F; DEMOLITION SERVICES INC D.B.A— P C TILLG MARALYS 's certified under the provisions of Chapter 10 of Mia lmi-C3� ; � 5': .. QUALIFYING TRADE(S) 0015 DEMOLJTMON `�,Siana!i&a=as P E. '"�Oapc CbwSY'eta:ns ay propery ng�s MEMO 2 77 Local Business Tax Receipt Miami-Dade County, State of Florida —THIS IS NOT A BILL — DO NOT PAY 5854311 BUSINESS NAMEILOCATION RECEIPT NO. DEMOLITION SERVICES INC RENEWAEXPIRES L 150 E 63 ST SEPTEMBER 30, 2015 HIALEAH FL 33013 6104897 Must be displayed at Place of business Pursuant to County Code Chapter 8A—Art.9&10 OWNER SEC.TYPE OF BUSINESS DEMOLITION SERVICES INC 19E SPECIALTY BUILDING CONTRACTOR PAYMENT RECEIVED Worker(s) I 068S01017 BY TAX COLLECTOR 545.00 07/16/2014 CREDITCARD-14-027847 This Local Business Tax Receipt only confirms payment of The Local Business Tax. The Receipt is not a license permit,or a certification of the holder's qualifications,to do business. Holdermust comply with any governmentat of nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT NO,above must be displayed OR all co commercial vehicles—Miami—Dade Code Sac 8a-276, For more information,visit www.MjMjdadV.0OvAa&q,0,,j, Municipal Contractor's Tax Receipt Miami—Dade County, State of FloridaM C -THIS IS NOT A BILL-DO NOT PAY CC NO: 06BSO1017 BUSINESS NAME/LOCATION RECEIPT NO. EXPIRES DEMOLITION SERVICES INC 150 E 63 ST 7467358 SEPTEMBER 30, 2015 HIALEAH,FL 33013 Pursuant to County Code Sec 10-24 OWNER TYPE OF BUSINESS PAYMENT RECEIVED DEMOLITION SERVICES INC SPECIALTY BUILDING CONTRACTOR BY TAX COLLECTOR 12.50 06/02/2015 0226-15-004705 Restricted to City of North Miami MIMI®D For more information,visit www.miamidade govAoxcollector AC-"R"' CERTIFICATE OF LIABILITY INSURANCE DATEIMMIDDNYYY) 06/03/2015 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 poticy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME; Maritza Inclan E9uin0 3 Associates PHONE Arc,No,Ext}: (305)266-1700- FAX C.No): (305)267-1197 7229 Coral Way �pQREss: mincian@eguino,com Miami..FL 33155 INSURER(S)AFFORDING COVERAGE NAIC is Phone (305)266-1700 Fax (305)267-1197 INSURERA: Arch Specialty Insurance Company INSURED -- INSURERB. Infinity_Insurance Company Demolition Services Inc INSURER C: Scottsdale Insurance Company P.O. Box 133130 INSURER D: Hialeah, FL 330133 INSURER E INSURER F: COVERAGES _ CERTIFICATE NUMBER: REVISIO1.N 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 REOUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 ADDLSUBR LTR TYPE OF INSURANCE INSR NND. POLICY NUMBER {MPOLICY YEFF (PO`ICY EXP Y) LIMITS ,✓ tdH11NIERCIAL GL_Ni RAL LIABILITY EACH OCCURRENCE s 1,000,000.00 CLAIMS MADEi ,V OCCUR OAMAGF TO RENTED 100,000.00 PREMISES(Ea occurrence) $ AN Y AGL003327.01 08I13/2014 0811312015 PERSONAL&ADV INJURY s 1,000.000.00 GE^II 'rf i RF,A L. IFLT A+F t Ii-;PER GENERAL AGGREGATE. S 2,000,000,00 OTHER FIR - JE/;7 LOC PRODUCTS-COhAPlOP AGO 5 100,000.00 s AUTOMOBILE LIABILITY COP:.BINED SINGLE LIMIT (Eaaccdentt e 1,000,000,00 JTC BODILY INJURY(Per person) $ B i It )i�N[D HFDLlLE'D :xccidenq L" I« 509800009125007 08/15/2014 08115!2015 BODILY INJURY(Per S JON f)rJNED J AUTOS DA6LIGE{Para�;uen:} S $ UMBRELLA UAB OCCUR EACH OCCURRENCE 3 EXCESS LIAR .. (LAINIS4.1ADr AGGREGATE S JECI iqE TENTtON $ WORKERS COMPENSATION Fi PER OT AND EMPLOYERS'LIABILITY YIN - -' STATUTE OT NY Pr;f3i ti lETOkJPARTNERtLXf:CuT h'E EXC LUDED NIA EL EACHACCIDENT $ 7FFi,^,(F t E-.MBEcR (Mandatary in NH) E L,DISEASE.EA EMPLOYEE 5 DI"i i:I3tP7lON OF tlPLiRaTIONS G,acw E L DISEASE-POLICY LIMIT S C Inland Marine CPS2052893 08/13/2014 08/13/2015 80,500 __.. DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES (Attach ACORD tOT,Addrttonal Remarks Schedule,if more space is required) Oernolition Services LIC 4 06BS01017 CERTIFICATE HOLDER CANCELLATION SHOULD ANYF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE MIAMI SHORES VILLIAGE BUILDING THE EXPIR ON DATE THEREOF,NOTICE WILL BE DELIVERED IN 10050 NE 2ND AVENUE ACCORDA CE WITH THE POLICY PROVISIONS. MIAN-11 SHORES.FL.33138 Aug o E ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101)QF The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE DATE[MMI 06/03/2015 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(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME. PHONE A/C,No,Ext): 1-800-277-1620 x4800 FAX(A/C,No): (727)797-0704 FrankCrum Insurance Agency,Inc. E-MAIL ADDRESS. 100 South Missouri Avenue INSURER(S)AFFORDING COVERAGE NAIC# Clearwater,FL 33756 INSURER A: Frank Winston Crum Insurance Co. 11600 INSURED INSURER B: INSURER C: FrankCrum L/C/F Demolition Services,Inc. INSURER D: 100 South Missouri Avenue INSURER E: Clearwater,FL 33756 INSURER F: COVERAGES CERTIFICATE NUMBER: 318439 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAME 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 AD DL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSRD WVD (POLICY (POLICY GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ CLAIMS-MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGO $ POLICY PROJECT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO ALL OWNED SCHEDULED BODILY INJURY(Per person) $ ' AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident UMBRELLA LIABOCCUR EACH OCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED I RETENTION$ $ WORKERS COMPENSATION AND WC201500000 01/01/2015 01/01/2016 X we STATUTORY o A EMPLOYERS'LIABILITY Y/N LIMITS ERR ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N/A E.L.EACH ACCIDENT $1,000,000 (Mandatory in NH) If yes,tlescribe under E.L.DISEASE-EA EMPLOYEE $1000000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1000000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks,Schedule,if more space is required) Effective 04/23/2007,coverage is for 100%of the employees of FrankCrum leasep-6 Demolition Services,Inc.(Client)for whom the client is reporting hours to FrankCrum.Coverage is not extended to statutory employees. (Client Reference:License No.06BS01017) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores Village Building Dept. AUTHORIZED REPRESENTATIVE Miami h 2nd AL 33138 ^^-- Miami Shores,FL 33138 ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Detail by Entity Name http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetai... 443. FLORIDA DEPARTMENT OF STATE 01 Home Contact Us E-Filing Services Document Searches Forms Help Detail by Entity Name Florida Limited Liability Company LSP HOMES, LLC Filing Information Document Number L13000092359 FEI/EIN Number 46-3138445 Date Filed 06/27/2013 Effective Date 06/26/2013 State FL Status ACTIVE Principal Address 455 N.E. 210 CIRCLE TERRACE BLDG.18-202 MIAMI, FL 33179 Mailing Address 455 N.E. 210 CIRCLE TERRACE BLDG.18-202 MIAMI, FL 33179 Registered Agent Name &Address PARIS, KENNY J 455 N.E. 210 CIRCLE TERRACE BLDG.18-202 MIAMI, FL 33179 Authorized Person(s) Detail Name &Address Title MGR PARIS, KENNY J 455 N.E. 210 CIRCLE TERRACE, BLDG.18-202 MIAMI, FL 33179 Annual Reports Report Year Filed Date 2014 04/14/2014 Copyright ©and Privacy Policies State of Florida,Department of State I of 3 6/10/2015 7:33 AM June 5th, 2015 I, Kenny J. Paris (manager) and owner of LSP Homes LLC hereby authorize Demolition Services Inc. to demolish above reference property. If you have any questions please feel free to contact me at 305-527-3643. Sincerely yours, Kenny J. Paris LSP Homes LLC •����• . ...... . . . .... . ..... STATE OF FLORIDA • . ..•... .... •.... COUNTY OFDADE ••'•.' ••••.• •••.•• • • • • •••••• SWORN TO AND SU4_VRIBED before me this day of 2019g ••••.• By J. hS • • _Personally Known / P duced Identification 42gnatiur,of Notary ,�'o"'" H•, MARALYg CAS71LL0 = Notar Commission Expires: _ - y Public State of Florida sIon#FIF 18840 , MY Comm.Expires Jan 11 ...... 2 ' �„ ,2019 1�oeph NaQlOW Notary Assn. 1111111 11111 1111111111 II111 Ilill IIIA IIII IIII CF-N IN THE CIRCUIT COURT OF THE ELEVENTH JUDICIAL '-f L` fk RECORDRD "i_iRECORDED iih/ Ips)'/g5'?Ui:?i 11.4 t1:1il-1 6:`;0 CIRCUIT IN AND FOR MIAMI-DADE COUNTY, FLORIDA DE::ED DOC: TAX 766.80 HARVEY RUVIN• CLERK OF C:OURf t1IANI-DAVE (MJNTY, FLORIDA I._AST PAGE NATIONSTAR MORT LLC GENERAL JURISDICTION DIVISION Plaintiff(s)/Petitioner(s) Case No: 13007924CA01 VS. Section: 05 HOOKS,WAYNE S ,et al. Doc Stamps: $766.80 Defendant(s)I Respondents(s) surtax: $0.00 Consideration: $127,800.00 CERTIFICATE OF TITLE The undersigned clerk of the court certifies that a Certificate of Sale was executed and filed in this action on May 28, 2014,for the property described herein and that no objections to the sale have been filed within the time allowed for filing objections. The following property in Miami-Dade County, Florida: LOT 21 OF SHORU A ND RROPITS,AS REODRDED IN'PLAT 11K)OK 43.PAGE 0,AND NOR 1125 FEET OF TRAAT PAkT OF NORTHWEST 110TH STREET-BETWFLi LOTS 20 AN021_LOT SIZE 93.(10(►X 125.AS RECORDED IN THE P IBUC RECORDS OF DADE C UNW,FWRIDA. 0000 • • •••• 0000•• • • • Prop" address: 11004 Nw 2nd Ave •••••• .. 0000.. Miami Shores, FL 33168 0.00• • • 0000.. 0000 • • 0000•. 0000 • •000• 0000•. 0000 ..•.. •• •• 0000 0000.. was sold to: 000000 • LSP HOMES LLC 0000.• 455 ne 210 circle ter. Bldg 18-202 •••• 0 • ••• :0000: Miami, FL, 33179 •••• • WITNESS my hand and the seal of this court on June 11, 2014. ci couN� t tlt N co Harvey Ruvin, Clerk of Courts Miami-Dade County, Florida Rev.1015/2009 1 Book29200/Page3495 CFN#20140441432 Page 1 of 1 Demolition Services , Inc . .ec"hi C — June 9th, 2015 Building Department Miami Shores Village 10050 NE 2nd Avenue Miami Shores, Fl. 33138 Re: No Existing Air Conditioning Units for removal onsite. _ 11004 NW 2 A VENUE Miami Shores, Fl. 33138 We hereby notify the Miami Shores Village (Building Dept.) that there are no air conditioning units at the above reference address. If any questions, please do not hesitate to contact our office. 6666 • 6 6666 0 0.6 6• .. 6666 . . 6666.. .. . 000000 Sincerely, • 6666.. •0 0 0•6 6666 0 • •606.6 6666 . 6666. EBlvin astillo 6666.. 6666 6666. Demolition Services Inc. ...6 6 6 6 • . . . 6 6666.. 6666.. • • • •0000• STATE OF FLORIDA COUNTY OF DADE SWORN TO AND SUBSCRIBED before me this day of 201 ByElvin J. Castillo. "Personally Known Produced Identification Signature of Notary Commission Expires: ,��o��"�°�e�•., MARALYS CASTILLO c_ N0Id1YPUbIjC.State of Flowi, y is ►'c Commisslon#FF 188402 My Comm.Expires Jan 11. ?r, �,,, "•� Bonded throe 9h National Notary Asp,: P.O. Box 133130 - Hialeah, Florida 33013 Phone: 305-828-3767 Fax: 305-828-9767 Email: demoservna.bel[south.net cc#06BSO1017 cc#07-D-14234-X 0 PPL June 9, 2015 To Whom It May Concern Re: 11004 NW 2nd Ave, Miami, FL 33168 Effective 06/09/2015, FPL has removed the meter and disconnected the FPL service wire to the above referenced address. However, before demolishing the structure, you shouid_have the premises checked by a qualified individual to assure that electricity is not being supplied to the structure from any possible source. If there are any questions, or if I may be of further assistance in this matter, please contact me at the telephone number below. Sincerely, y II • • •••• •••••• •••••• •• • •••••• AI ��ndro Rodriguez • Associate Engineer •••••• 305-770-7938 •••••• .... . ..... .. .. .... ...... An FPL Group company 06105/2015 10:01 11F4 P.0011001 P r1 Inw=901IL-IMS MALS June 5, 2015 Demolition Services Inc. P.O. Box 133130 Hlaleah, FI. 33013 Proposed Demolition : 11004 NW 2nd Avenue, Miami Shores. After a review of our facilities within the above referenced areas,we would like to inform you that Teco Peoples Gas has no service lines to the said property. If you are planning to excavate the surrounding area of the work site, please contact Sunshine State One Call of Florida by dialing 811811 at least 48 hours in advance, there might be other underground utilities. By contacting SSOCOF, the risk of personal injury and property damage can be reduced. You can get the latest information on SSOCOF by visiting their web site at www.calisunshine.com. •••• . . 0000 0000.. Should you have any additional questions concerning the above, please contadt7ne0at 30 7; •0 3857, extension 77247. 600:60 00 • :00"0: 0000.. 0000.. 0000 0 .0000. 0000 . 0000. 0000.. 0000 Sincerely, • 0000. .. .. 00:0••• W et . . . . .0000. . 0000.. olande Hong Ting for . • . 0000. Jesus Vega Prepared by:Yolandd Nong Ting 0 0 :0: • Territory Manager 00 0 North Miami Division PEOPLES GAS 15779 W DWe Hwy FAX 305-957-3604 NORTH MIAMI,FL 33162 HTTP:/NWWU.TECOENERGY.COM AN EQUAL OPPORTUNITY COMPANY Pest Control Inspection Report Al Bug Killers—JB5354 1614 N W 188 Ter., Miami Gardens, FL 33169 Address of the inspected property: 11004 N.W.2 Avenue,Miami Shores,FL Date of Inspection: 06/03/2015 OBSERVATIONS NO YES X I observed indications of live insects: X I observed indications of dead insects,insect parts,mud tubes,holes,or staining. X___ I obg=ed indication-,of possible rodent activity i ADDITIONAL COMMENTS:HOUSE IS IN DEMOLIATION STAGE •••• OBSTRUCTIONS and RESTRICTED AREAS " ' "•• • ....•. •. . .... . • Crawlspace: NA ALL AREAS ARE IN UN$�CONDITION$ • Main Level: NA— *00000 .. . • Attic: NA ...... 000000 .. . • Exterior: NA •• •• •••• •• • • Porch: NA •••••• • • Garage: NA • • •• • • Addition: NA .'• ;• ; • Outbuilding: NA • INSPECTOR and CONTACT INFORMATION Otis Latimer JE 62191 786-287-7666. Important Consumer Information This report documents the inspector's observations at the time of the inspection.This report is not a structural-integrity report,and there is no warranty expressed or implied,included with this report. This report provides no assurances with regard to work performed by other companies and/or service greements/warranties offered by other companies. Owners should try to correct conditions that promote wood-destroying organisms,including:wood in cont let th soil;poor grading and/or drainage;firewood and/or debris stored near or inside the structure;insufficient ventilation;and/or moisture,condensation,pluml ing leaks,foundation leaks,roof leaks and/or standing water. Limitations of Liability The liability of the inspection company,its agents or employees,for claims,damages or expenses arising out of the inspection,including errors and omissions in the report,shall be limited to liquidated damages in an amount equal to the fee paid to the inspection company. I have read and understand the Im octant Consumer In ormation above and agree to the Limitation of Liabilt . CLIENT'S Signature: Date: 0 2013 Intemational Association of Certified Home Inspectors,Inc. 41 I, 1 PERMIT #: 13-SC-1611503 r APPLICATION #:AP1192150 STATE OF FLORIDA DEPARTMENT OF HEALTH 'r DATE PAID: ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM FEE PAID: CONSTRUCTION PERMIT RECEIPT #: WE DOCUMENT #: PR977480 CONSTRUCTION PERMIT FOR: OSTDS Abandonment L. APPLICANT: Kenny J. Paris(LSP Homes LLC) T PROPERTY ADDRESS: 11004 NW 2 Ave Miami,`FL 33168 LOT: 20,21 BLOCK: SUBDIVISION: Shoreland Height PROPERTY ID #: 11-2136-002-0240 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] [OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION 381.0065, F.S. , AND CHAPTER 64E-6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS, WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS, -PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIQ�S MAY RESULT, iN THIS PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE, OR LOCAL PERMITTING REQUIRED FOR bEVELOPMENT OF THIS PROPERTY. SYSTEM DESIGN AND SPECIFICATIONS T [ ] GALLONS / GPD CAPACITY •••• A [ ] GALLONS / GPD CAPACITY • • •••• •••••• N [ ] GALLONS GREASE INTERCEPTOR CAPACITY • • • • [MAXIMUM CAPACITY SINGLE TANK:1255 GRLLONSJ•••• • K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS LI. ]DOSES PER•24:" #"Imp% [ ••}••• •••• • • • • D [ ] SQUARE FEET SYSTEM s • • •••••• R [ ] SQUARE FEET SYSTEM ' A TYPE SYSTEM: [ ] STANDARD [ 1`.FILLEB [ ] MOUND [ ] ••:••: •••• ••i••• •• •••• •••••• I CONFIGURATION: [ ] TRENCH [ ] '.BED [ ]` - • N • • • • • F LOCATION OF BENCHMARK: • • :•••:• •••••• I ELEVATION OF PROPOSED SYSTEM SITE [ ] [ / ] [ ABOVE/BELOW]BEN;41xeFVREFERENCE POINT•••••• • ••• • • E BOTTOM OF DRAINFIELD TO BE [ ] [ / ] [ ABOVE/BELOW]BENCHMARK/REFE•RTiW& •t?DINT L D FILL REQUIRED: [ 0.00] INCHES EXCAVATION REQUIRED: [ ] INCHES Have the tank abandoned in accordance with the following procedures:(a)The tank shall be pumped out.(b)The bottom O of the tank shall be opened or ruptured,or the entfre:tank collapsed so as:to prevent the tank from retaining water, and(c) T The tank shall be filled with clean sand or other suitable matena(, and completely covered with soil.Have the system inspected by the health department after it has been pumped and'�upt'ured,'but.be*ore it is filled with sand and covered. H P c: E R nl SPECIFICATIONS BY: TITLE: APPROVED BY: TITLE: Engineering Specialist II Dade CHD i i s DATE ISSUED: 06/10/2015 EXPIRATION DATE: 09/08/2015 DH 4016, 08/09 (Obsoletes all previous editions which'raay not be;used) Incorporated: 64E-6.003, FAC Page 1 of 3 'e IRIP ,JUN 2015 BY:_ �IC.mi ,S�D�eS� u �� s —T� Lec ,tea GV1 0 G4Une— Cz c- 0000 • oaf0000•• •• • 0000•• • 0000 •06606 • • • • •66• • 66.6• ••66•• • • ••6• 0000• •• •• 6000 •6••6• • • ��� � • • 0000•• •r••66 • • •000 06.96• G►�Ct S �� �