RC-10-2232 Peftj
g Miami Shores Village 'e17ti31 7 � II t1S II"1vo
'WE
"k,
r 10050 N.E.2nd Avenue NEMIA ,
Miami Shores,FL 33138-0000tor 3 in
Phone: (305)795-2204 �q Mft
,£
_. ...,s
p .
Ex Iration6125/2011
Sate 1C�C
e '
Project Address Parcel Number Applicant
122 NE 101 Street 1132060132010
Miami Shores, FL 33138- Block: Lot: ANDREW STEFANICK
Owner Information Address Phone Cell
ANDREW STEFANICK 122 NE 101 Street (305)318-4094
MIAMI SHORES FL 33138-
122 NE 101 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone
Valuation: $ 10,000.00
HOME OWNER
Total Sq Feet: 0
Approved:In Review Available Inspections:
Comments: Inspection Type:
Date Approved::In Review Drywall
Date Denied: Final
Type of Construction:KITCHEN&BATHROOM REMODEL Occupancy:Single Family Framing
Stories: Exterior: Insulation
Front Setback: Rear Setback:
Left Setback: Right Setback:
Bedrooms: Bathrooms:
Plans Submitted: Certificate Status:
Certificate Date: Additional Info:CEILING&DRYWALL REPLACEMEI
Bond Return: Classification:Residential
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $6.00
DBPR Fee Invoice# RC-12-10-39709
$4.50 12/27/2010 Credit Card $284.00 $50.00
DCA Fee $4.50
Education Surcharge $2.00 12/20/2010 Check* 155 $50.00 $0.00
Permit Fee $300.00
Scanning Fee $9.00
Technology Fee $8.00
Total: $334.00
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore,I authorize the above-named contractor to do the work stated.
December 27,2010
Authorized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
December 27,2010 1
1
Miami Shores Village
Building Department
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 �seg8
Tel:(305)795.2204 Fax:(305)756.8972 ••�oBB`Q�
INSPECTION'S PHONE NUMBER:(305)762.4949 °
BUILDING Permit No.gc_)10— 02,
PERMIT APPLICATION Master Permit No.
FBC 20
Permit Type: BUILDING /� 1 (�
OWNER:Name(Fee Simple Titleholder): HrAmw �1'tUl�► �J Phone#: 30) 31p p
" y0f
Address: laz z Air- 10
City: ) s`1atts State: Zip: 33138
Tenant/Lessee Name: r �_A Phone#:
Email: A"rte S�f-SQN: Gk- 1. N oAA . o U
JOB ADDRESS: Joll Ai e i 1 64.
City: Miami Shores County: Miami Dade Zip: N1139
Folio/Parcel#:
Is the Building Historically Designated:Yes NO X Flood Zone: /11f
CONTRACTOR:Company Name: A—Vae 06017,4f— Phone#:
Address:
City: State: Zip:
Qualifier Name: Phone#:
State Certification or Registration#: Certificate of Competency#:
Contact Phone#: Email Address:
DESIGNER:Architect/Engineer: Phone#:
�/4 Ooh
Value of Work for this Permit:$ --Square/Linear Footage of Work:
Type of Work: ❑Address ❑Alteration ONew ORepair/Replace ❑Demolition
Description of Work: j.4
V eAS .
4
Ili
COLOR THROUGH ROOF TILE IS REQUIRED acknowledged by.
Submittal Fee$ Permit Fee$ ®�C CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Bond$
Notary$ Training/Education Fee$ Technology Fee$
Double Fee$ Structural Review$
TOTAL FEE NOW DUE$ Uj
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 inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature Signature
caner or Agent Contractor
The foing instrument was ac owl dged b for e s The foregoing instrument was acknowledged before me this
day o ,20 L\J,by of ,20_,by
1 who irsonall known Ime
or who has produced o is personally known to me or who has produced
� M
� entification and who did take an oath. as identification and who did take an oath.
NOT Y UBLIC: N NOTARY PUBLIC:
Sign: #� nA.` Lu Sign:
Print: - Print:
My Commission Expires: � ds.r1 My Commission Expires:
gs eeo-
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)(rev6/4/10)
1
tee ° Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
OWNER BUILDER DISCLOSURE STATEMENT
NAME: A e)4e4 kV %V DATE: a20 ed-
ADDRESS: / 4ZF- ill/ 51 /til 4 Mm y
Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida,KS 489.103(7).
And I have read and understood the following disclosure statement,which entitles me to work as my own contractor;I further
understand that I as the owner must appear in person to complete all applications.
State Law requires construction to be done by a licensed contractor.You have applied for a permit under an exception to the law.The
exemption allows you,as the owner of your property,to act as your own contractor even though you do not have a license.You must
supervise the construction yourself.You may build or improve a one-family or two-family residence.You may also build or improve a
commercial building at a cost of$25,000.00 or less(The new form states 75,000).The building must be for your own use and
occupancy.It may not be built for sale or lease.If you sell or lease a building you have built yourself within one year after the
construction is complete,the law will presume that you built for sale or lease,which is a violation of this exemption.You may not hire
an unlicensed person as a contractor.It is your responsibility to make sure the people employed by you have licenses required by state
law and by county or municipal licensing ordinances.Any person working on your building who is not licensed must work under your
supervision and must be employed by you,which means that you must deduct F.I.C.A and with-holdings tax and provide workers'
compensation for that employee,all as prescribed by law.Your construction must comply with all applicable laws,ordinances,
buildings codes and zoning regulations.
Please read and initial each paragraph.
1. I understand that state law requires construction to be done by a licensed contractor and have applied for an owner-builder
permit under an exemption from the law.The exemption specifies that I,as the owner of the property listed,may act as my own
contractor with certain restrictions even though I do not have a license.
Initial
2. 1 understand that building permits are not required to be signed by a property owner unless he or she is responsible for the
construction and is not hiring a licensed contractor to assume responsibility.
Initial
3. 1 understand that,as an owner builder,I am the responsible party of record on a permit.I understand that I may protect myself
from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own
name. I also understand that the contractor is required by law to be licensed in Florida and to list his or license numbers on
permits and contracts.
Initial I&
4. 1 understand that I may build or improve a one family or two-family residence or a farm outbuilding.I may also build or improve
a commercial building if the costs do not exceed$75,000.The building or residence must be for my use or occupancy.It may
not be built or substantially improved for sale or lease. If a building or residence that I have built or substantially improved
myself is sold or leased within 1 year after the construction is complete, the law will presume that I built or substantially
improved it for sale or lease,which violates the exemption. it/
�
Initial
5. 1 understand that,as the owner-builder,I must provide direct,onsite supervision of the construction.
Initial
6. 1 understand that I may not hire an unlicensed person to act as my contractor or to supervise persons working on my building or
residence.It is my responsibility to ensure that the persons whom I employ have the license required by law and by county or
municipal ordinance.
�J
Initial
7. 1 understand that it is frequent practices of unlicensed persons to have the property owner obtain an owner-builder permit that
erroneously implies that the property owner is providing his or her own labor and materials.I,as an owner-builder,may be held
liable and subjected to serious financial risk for any injuries sustained by an unlicensed person or his or employees while
working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an
owner-builder and am aware of the limits of my insurance coverage for injuries to workers on my property.
Initial
8. 1 understand that I may not delegate the responsibility for supervising work to be a licensed contractor who is n t licenses to
perform the work being done.Any person working on my building who is not licensed must work under my direct supervision
and must be employed by me,which means that I must comply with laws requiring the withholding of federal income tax and
social security contributions under the Federal Insurance Contributions Act(FICA)and must provide workers compensation for
the employee.I understand that my failure to follow these may subject to serious financial risk.
t�
Initial
9. 1 agree that,as the party legally and financially responsible for this proposed Construction activity,I will abide by all applicable
laws and requirement that govern owner-builders as well as employers.I also understand that the
Construction must comply with all applicable laws,ordinances,building codes, and zoning regulations.
t�
Initial
10. 1 understand that I may obtain more information regarding my obligations as an employerfrom the Internal Revenue Service,the
United States Small Business Administration,and the Florida Department of Revenues.I also understand that I may contact the
Florida Construction Industry Licensing Board at 850.487.1395 or htto://www.myfoddalicense.com/dbar/aro/cilbfiindex.html
Initial
11. 1 am aware of,and consent to;an owner-builder building permit applied for in my name and understands that I am the party
legally and financially responsible for the proposed construction activity at the following address:
/aa N� �o�.� �: S��Se fl- 33/3C" >✓
Initial
12. 1 agree to notify Miami Shores Village immediately of any additions,deletions,or changes to any of the information that I
have provided on this disclosure. W
Initial JK
vu-
Licensed contractors are regulated by laws designed to protect the public.If you contract with a person who does not have a
license,the Constr4uction Industry Licensing Board and Department of Business and Professional Regulation may be unable to
assist you with any financial loss that you sustain as a result of contractor may be in civil court.It is also important for you to
understand that,if an unlicensed contractor or employee of an individual or firm is injured while working on your property,you may
be held liable for damages.If you obtain an owner-builder permit and wish to hire a licensed contractor,you will be responsible for
verifying whether the contractor is property licensed and the status of the contractor's workers compensation coverage.
Before a building permit can be issued,this disclosure statement must be completed and signed by the property owner and
returned to the local permitting agency responsible for issuing the permit.A copy of the property owner's driver license,the
notarized signature of the property owner,or other type of verification acceptable to the local permitting agency is required when
the permit is issued.
Was acknowledged before me this day of , 201k J _
By ho was personally known to me or who has
Produced there License or 4TA IXS:01 '�V� identification.
r.I/ -V1 �Iy'
A.? Ul
OWNER 7��/� �M
OFOTARY
NQ TA T ?' amro C.V SaT: E
!./,)717923
•�•,.; . "��� �' "3,2011
.�i1!td dBitumlae�,uaiiNl�Gl�.y�QCw
1111111111 1111!11!!1!l111�!!!!1161!1!!1!11!
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION OR Btu 2752? Ps 05186 (IRs)
i
RECORDED 12/21/2010 14.07=11
HARVEY RUVINY CLERK OF COURT
PERMIT NO. Fr-- 12-1®- 2232-TAX FOLIO NO. W-3ao(v -0/3-070/8 i`iIAMI-DADE COUNTYe FLORIDA
LAST PAGE
STATE OF FLORIDA:
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.
Space above reserved for use of recording office
1.Legal d cription of property and streettaddress: f�f du ��tES `�Ve- / A�1g PIS /O 20 Ler 1/oad/a
(3 5 .I2a N€/o/"hrK a1 6Aores X33134
2.Description of improvement:_AAA) A car% . Ya r^l %00 rL
3.Owner(s)name and address: AAdr'Cw 'John `Jk*c.66A IV IZZ ill; jol 61 6� 1Mii..Mi Slnec PL
Interest In property: 3313q
Name and address of fee simple titleholder
4.Contractor's name,address and phone number. (AgAQ r /22 �E (y 1 If' 64-. Y11 r CiM f2 anR 3X13
5.Surety:(Payment bond required by owner from contract r If any)
Name,address and phone number .JV�
Amount of bond$
6.Lender's name and address: ^/
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(1)(a)7.,Florida Statutes,
Name,address and phone number.
8.In addition to himself,Owners 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 this Notice of Commencement:
(the expiration date is 1 year from the date of reoording 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 I,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.
Signatures)of O n o O er 'A orized Officer/Director/Partner/Mana
Prepared By. Prepared B
Print Name Print Name
Title/Offlce-(w 1\t/ Title/Office l 33LZ
STATE OF FLORIDA
COUNTY 9F MIAMI-DADE
Ther i m w c 4e e this_ day of -
Ely'
Individually,or ❑ark for
Personally known,o'rW produced the following type of Identificatl
Signature of Notary Public:
Print Name:
(SEAL)
VERIFICATION PURSUANT TO SECTION 92525 FLORIDA STATUTES
, .
-
-Under penalties of perjury,I declare that I have read.theforegoing and IQauci V. CUbiila
nd �Cflmn13ss1on�DD717923 -
that the facts stated in it are true,to the best of my knowledge and belief. �Co mf gip 23,7911
Signatur ) s) r Owns s's Authorized Officer/Director/Partner/Manager who signedIl°a�'"
By. I Fv^-5OY C RTFY TM Far-Is Atme
e0A)id fibd
in "&Q an dayof
MIVESS my 4wd ssr dlia
HARVEY t LERK,of CCkoO i 'rd C€tu;,7sy Ct#uals
L
4 Y ���—D.C. �t° ccur
CFN:20100836786 BOOK 27521 PAGE 1737
DATE:12115/2010 09:21:36 AM
DEED DOC 1,290.00
HARVEY RUVIN,CLERK OF COURT,MIA-DADE CTY
Prepared by and Romm to:
Flounlaeker Law Firm,
Christie Oumapas
314 N.Spring Street
Pensacola,Florida 32501
Oar Flle Numbar.I0-15017
For official use by Clerk's ofilee only
STATE OF Florida )< SpECLA1,WARRANTY DEED
COUNTY OF Miami-lade ) (Corporation)
THIS INDENfUFA made thisa"day of `( ,2030 belwean TIiK BANK OF NEW YORK MCLLON
FKA THE BANK OF NEW YORK,AS TRUSTEE FOR THE CERTIFICATEHOLDERS,CWALT,INC.ALTERNATIVE
LOAN TRUST 2005-62 MORTGAGT�PA55-THItOUC,H CERTIFICATICS,SEItIE3 2003-62.,whose maz7ing address Is:7105
Corporate Drive,Plano,TX 75024 party of the first part,and Andrew J.Stefanlck IV,and Crista Stefoutck,husband and wife,
whose mailing address is:122 NE 101 Street,Miami Shores,Florida 33138,parly/parlies of the second pan,
Witnesseth: First party,for and in OMM40ra40U of the sum of TEN AND NO/100 DOLLARS ($10.00) and other valuable
considerations,receipt whereof is hereby acknowledged,does hereby grant,bargain,sell, aliens,rernises,releases, conveys and
confinns unto second party/partics,his/buttheir hairs and amigos,the following described property,town:
Lots 11 and 12,Block 15,AN ATvDMRD PLAT OF Af AIVII SHORES SECTION NO.1
according to the flat thereof,recorded in Plat Book 10,Page 70 of the Pablie Records of
Miami-Dade County,Florida.
Property Address:122 NE 101 Street,Miami Shores,Floridu 33138
Property Tag M#r 1132060132030
Subject,however,to oil covenants,conditions,restriction,reservations,Iimitations,easernents and to all applicable zoning ordinances
and/and restrictions and prohibitions imposed by governments)authorities,irony.
Together with. all the tenements, hereditaments and: appurtenances thereto belonging or in anywise appertaining.
To Have and to Hold,the same in fee simple,ferever.
And the party of the first part hereby covenants with said pariy of the second part,that it is lawfully seized of said land in fee simple:
that it has goal right and lawful authority to sell and convey said lend;that it hereby My warrants Ore title to said land and will defend
the same again the lawfirl claims of all persons claiming by, through or under the party of the fust part.
Page 1 of 2
I i
• a IN
11-1'0( CAU9 06tL (A-O& 'L-fi.
ace, '�t ` �r► %gee;ho
Q ce, Dias 04
A nix
•�.. IL;
...
sthn
'.Erp,�
14,5'
� _ r2 Bye IoAl '2 r
i G leG elf`' Iry �C aG�y
L®o� lO -
1 q.
M4 6�e*QL A I CIL
NE 8 i s �
° UO
Ail
rt
I W.Aa
oh
t�
`Ir �
9
i
p 9990.• • •• ` .
••Y66• 9,009•
'� • • • • 9900•
9009 • •• e •
9099•
.•,
• • A' 9006 •
•
• s 0
0.60 •
•
• • ••.0
4�ti S 9009 . 000,0
0000
-17
All
US POSTAGE :":
�w 00,33,
P za�t I*
A0,1240-2232
-
Premlit Type i e ei ial coustmetion
Ex /102014
rji
t .1- �'z,:et 9n�Xt - �, ^��C�� ?,x w'�R m,✓ ,� � ',rx.R� -"�zs�li� ��,�'s � �.e�, :.e; ,�� ?,x w'�R m,✓ ,� i '.�.R� -"�zs�li� ���'s � �.e�,' :..�; ,e,,,,
� 1s crj
°O�— 6µ1 rr•"'i r✓
Co
r 2/