RC-13-1914 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-202508 Permit Number: RC-8-13-1914
Scheduled Inspection Date: November 06, 2013 Permit Type: Residential Construction
Inspector: Rodriguez,Jorge
Inspection Type: Final Building
Owner: HAMILTON, NINON Work Classification: Alteration
Job Address:9022 NE 8 Avenue 1S
Miami Shores, FL Phone Number
Parcel Number 1132060420190
Project: <NONE>
Contractor: CONVEYOR 2112 Phone: (386)793-5151
Building Department Comments
INSTALLATION OF TILES AND PAINTING OF WALLS Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-202458. No permit posted
Failed
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
November 05,2013 For Inspections please call: (305)762-4949 Page 27 of 34
1VIi
anll Shores. ores a e
Building Department A,
90050 N.E.2W Avenue
I1Tatni Shoes,Flotilla 33138
Tet:(305)795.2204 Fax:(305)756.8972
INSPECTION'S PSONE NUMBER:(305)762A949
BUILDING F 3C 20 10
-
PERMIT APPLICATION Permit No.
Mager Permit No.
Permit Type: $UR DING V
ROOFING
JOB ADDRM:
Cay: in;S
Foliom t+ ew — County:42
® ---- Zip: �d _
Is theBolldlog WSWI 4 DedpaW:Yes ANO
— .._. -J:qodd 7AW.
OWNER:Name(Fee Simple Titleholder):
Address: � ! leo" _ 3
a r
� 313
Tenant/L,e�ee Name: ip:
CONTRACTOR: y Name•
Address, cz
/ � Pho»e9: 6 ` /J�
car.- 411a State.
. QdaliB«r Nipte• --
���
State Ceadfication or RegisvWo8 e6 /2.-/2 676- .................Phan*.
C.e�mflpate of Cvanpatency w
Contact-
K Email Address: aim . �p
Value of work for tltls c
• tula�rC/iinear.Footsge ofVt►orr�
Type of World VAddidon OAhwWon 'ONew
Descrlptlon of work ;� /f� p° ;=- ODemoton
Colof "i ; j
Sub= W Fee$ Permit Fee S CCF$
Fee$ .. CO/CC$
Fee$ DSPR$ . —Bond$
Notary$ Th&ftg/Edu=tlon Fee$
--------Te+'bndogy Fee$
Doable Fee$
sb udnral 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 �
Application is hereby made to obtain a permit to do the work and installations as indicated. I ce 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,SI(;NS,
WELLS,POOLS,FURNACES BOUJM,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
COR+IMMMCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. IF YOV bdiND TO OBTAIN
FINANCING, CONSULT WITS 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 properly is subject to attachment. Also, a cer11 ad 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
Signahue, .
Owner or Agent
The foregoing instrument was acknowledged before me this 5 The fore
da of �' ps iustttun t w acknow>�d before this /0
y +• .2fl ,by Q ,� X 5 20/ by �, �aLlw
who is personally known to me or who has produced D_ who is personally►known to me or who ha&
; As identif>c don and who did take an oath, as idmfficati
NOTARY PUBLIC• NOT
•
�6* vPB.FINKLEA t LLot'at WAR S9Hh113
' oa �B•,,
Notary Public-State of Florida 33 0 NOISSW DO m4 �• �'
Sign: a,.
My Comm;Expires Jun 23,20 1)!yStl�/AVZ GHW"8
Print: r " �Yo�.r Bonded Through National No ff 71
Assn. Pont:
My Commission Expires: My commission Expires:�';
##### *############# ###### #####
R################ ############################«#################
"MovLD BY L3 1
Phtns.. Zoning
Structural Review Cledk
used 3n2/2012)MvWsed 07/l=W vhW 06n0I1O XRvdsed 3n5,091
Parcel Owner Report
Parcel Number: 1132060420190
9022 NE 8 Avenue 1S
Miami Shores FL
Tax ID: 1132060420190
Owner Information
NINON HAMILTON Current Owner:Yes
Phone:
Related Permits Permit Number Application Date Expiration Date Status
Imported Permit 04/28/2005 01/01/2999 CLOSED
Residential Construction RC-8-13-1914 8/22/2 01/01/2999 CLOSED
Related Code Cases Case Number Case Status Case Date Compliance Date
��1 V
Wednesday,April 2 2014 Page 1 of 1
f
i
Miami Shores Condominium Association Inc.
9020 NE Wh Ave., Miami Shores, FL 33138
August 16, 2013
To Whom It May Concern,
This letter will serve as approval from the Board of Directors of Miami Shores
Condominium Association Inc. for MRP Investing LLC located at 9022 NE 8t'Ave.
#1S, Miami Shores, FL 33138 to have Conveyor 2 %2, Inc. make only the following
alterations to Unit#1 S:
1. Remove old and install new floor tiles
2. Remove old and install new doors
3. Remove old and install new baseboards
4. Install wire shelving in closets
5. Paint the interior
6. Collect and remove all trash.
If you have any further questions please feel free to contact Rafael DeLaRosa at our
management company, Regatta Real Estate Management, Inc. His office number is
305-673-1940.
Sincerely,
Name: Michael Dean
President of Miami Shores Condominium Association Inc.
Sworn and subscribed before me this day of 2013.
Produced Identification ID
Personally known by me
Name it Nottky
JASON SCHOENHOLTZ
Notary Public-State of Florida
y My Comm.Expires Dec 14.2015
Commission#EE 153231 4
Bonded Through National Notary Ac
I`
OR 8k 28785 Ps 4780; t i p s)
RECORDED 08122/2013 12:55:34
HARVEY RUtPINP CLERK OF COURT
NOTI E OF COMMENCEMENT MIAMI-DADE COUNTYP FLORIDA
A RECORDED COPY MUST BE POSTED ON TNR„J00 S1TE.AT TIME.OF FIRST INSPECTION LAST PAGE
PERMIT NO TAXFOUO`NO.-
STAIt OF FLORIDA:
COUNTY OF MIAMI-DADE: STATE OF FLORIDA,C NTY OF DADE COd
I HEREBY CERI7FY that Ise y offhe ♦ CIA"
THE UNDERSIGNED hereby gives notice'that.im rovements will day of• v�
property,and in accordance NM Chapter 713,Florida Statutes,th A. u
is provided In this Notice of ommenoement. WITNESS my haW and c Sed 3
HARVEY RUVIN and County Cilurts ��0 O W"I
sy D.C.
Space above reserved for use of recording office
I.Legal description of pro" rty and street/address:
2. escription of Improveme IAI sve IC41VII df? v
3:Owner(s)name and addre ": ®I
Interest in property:
Name and address of fee sir ple titleholder.
4. Contractor's name,addre 8 and phone number
/3 3 —3,16
5.Surety:(Payment bond rei juirad by owner from contractor,if any)
Name,address and phone n tuber:
Amount of bond$
6. Lender's name and add
7. Persons within the State c f Florida designated by Owner upon whom notices or other documents may be served as provided by
Section 713.13(i)(a)7.,Florid Statutes,
Name,address and phone n imber
8-In addition to Fm_seltomiers designates the following Person(s)to receive a copy of the Lienor's Notice as provided in Section
713.13(1)(6),Florida Statutes,
Name,address and phone rt mber.
9.Expiration date o'this Not ce of Commencement:
(the woetion date is 1 year from the date of recording uNew a differerd date is specified)
WARNING TO OWNER:ANY PA MENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED
IMPROPER PAYMENTS UNDER CHAPTER 113, PART 1,SECTION 713.13:FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PR PERTY.'A NOTICE OF COMMENCEMENT MUST BE RECORDED AND,POSTED ON`THE'ZB SITE BEFORE THE
FIRST INSPECTION.IF YOU I ND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK
OR"RECORDING YOUR NOTiC OF COMMENCEMEN G
Signature(s)of er s)'A , prized Officer/Dtrector/Partner/Manager
Prepared Ety . , lire
Print Name pared By .
= =� Print Name
Title/Office Title/Office
STATE OF FLORIDA
COUNTY OF MIAMI-DADE
The foregoing In
strrum% acknowledged before me this. day of l
❑Individually,or �0 as for
O_Perso tally knoy+n,br, p oduced the following type ofAdentificati n:
Signature of.Notary.Public:
Print Name: i
S
(
MAW
e a
.FNtt YP
8 I LEA
Under h aoa Lo 0
pe cities of perjury,I eclare that I have read the foregoing and `1+s: Notary Public-State of Florida
that the facts°stated in it are rue,* the best of my.knowiedge and belief. ®=`My Comm.Expires Jun 23,2015
Signatures)of owners)or0 vner(s)'s Authorized Officer/Director/Partner si Commission#EE 105971
W A National Notary Assn.
13y By
i23.01-s2 PAWs srjo s�
1
Property Search- Report Page 1 of 2
MIAMI-DADE COUNTY
OFFICE OF THE PROPERTY APPRAISER
_ PROPERTY SEARCH SUMMARY REPORT
Carlos Lopez-Cantera
Property Appraiser
Property Information: � E
Folio 11-3206-042-0190 a
Property Address 9022 NE 8 AVE 1 S 1L
Owner Name(s) MRP INVESTING LLC
Mailing Address 9022 NE 8 AVE#1 S
MIAMI FL F
33138
Primary Zone 3000 MULTI-FAMILY-GENERAL s
Use Code 0007 CONDOMINIUM-RESIDENTIAL '
Beds/Bathe/Half 010/0E
�e
Floors 0
Living Units 0101
Adj.Sq.Footage 1,024
Lot Size 0
EEE „,., EE 3.. .. �:�.� i.�a.�� .. �•\�Z. ... ...: t�..., '.
Year Built 1973
Full Legal Description MIAMI SHORES CONDO
UNIT 1-S-1ST FLOOR Aerial Photography 2012
UNDIV 1.89189%INT IN COMMON
ELEMENTS
CLERKS FILE 73R 187347 Taxable Value Information:
OR 15547-1706 0592 1
COC 25471-2492 78/80182/84 1206 6 Current Previous Previous 2
COC 25471-2486/88/90/94 1206 4 Year 2013 2012 2011
Assessment Information: Exemption/ Exemption/ Exemption/
Current Previous Previous 2 Taxable Taxable Taxable
Year 2013 2012 2011 County $0/$56,670 $31,670/$25,000 $31,6701$25,000
Land Value $0 $0 $0 School Board $0/$56,670 $25,000/$31,670 $25,000/$31,670
Building Value $0 $0 $0 City $0/$56,670 $31,670/$25,000 $31,670/$25,000
Market Value $56,670 $56,670 $56,670 Regional $0/$56,670 $31,670/$25,000 $31,670/$25,000
Assessed Value 1 $56,670 $56,670 $56,670
Sale Information:
Benefits Information: Date Amount OR Book-Page Qualification Code
Current Previous Previous 2 2/2013 $100 28532-2058 Corrective deed,quit claim deed,
Benefit Type 2013 2012 2011 or tax deed;Deed bearing Florida
Documentary Stamp at the
Homestead Exemption $0 $25,000 $25,000 minimum rate prescribed under
Chapter 201,F.S.;Transfer of
Second ownership where no doc stamps
Exemption $0 $6,670 $6,670
Homestead were paid;or,Transfer of
ownership by other than a deed
Note:not all benefits are applicable to all Taxable Values(Is County, such as a final judgement or court
School Board,City,Regional). order.
12/2012 $54,000 28532-2066 Deeds to or from financial
institutions
10/2012 $1,100 28334-3838 Deeds to or from financial
institutions
12/2006 $170,000 25471-2492 Other disqualified
5/1992 $40,000 15547-1706 Sales which are qualified
10/1981 $70,000 11257-1160 Sales which are qualified
9/1973 $32,000 00000-0000 Sales which are qualified
Disclaimer:
The Office of the Property Appraiser and Miami-Dade County are continually editing and updating the tax roll and GIS data to reflect the latest property information and GIS
positional accuracy.No warranties,expressed or implied,are provided for data and the positional or thematic accuracy of the data herein,its use,or its interpretation.Although this
website is periodically updated,this information may not reflect the data currently on file at Miami-Dade County's systems of record.The Property Appraiser and Miami-Dade
County assumes no liability either for any errors,omissions,or inaccuracies in the information provided regardless of the cause of such or for any decision made,action taken,or
action not taken by the user in reliance upon any information provided herein.See Miami-Dade County fiill disclaimer and User Agreement at
http://www.miamidade.gov/info/disclaimer.asp.
http://gisweb.miamidade.gov/PropertySearch/printMap.htm 8/22/2013
9022 NE8
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goal Miami shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
CONTRACTORS' REGISTRATION
ALL CONTRACTORS MUST PROVIDE COPIES OF LICENCES AND INSURANCES EACH TIME A PERMIT IS SUBMITTED.
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 (CERTIFICATE HOLDER TO BE MIAMI SHORES VILLAGE BLDG DEPT)
D. COPY OF WORKERS COMPENSATION JEITHER CERTIFICATE OR EXCEMPTION)
IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY:
A. COPY OF CERTIFICE OF COMPETENCY OF QUALIFIER
B. COPY OF LOCAL BUSINESS TAX RECEIPT
B. COPY OF MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT
C. COPY OF LIABILITY INSURACE (CERTIFICATE HOLDER MUST BE MIAMI SHORES VILLAGE BLDG DEPT)
D. COPY OF WORKERS COMP INSURANCE(EITHER CERTIFICATE OR EXEMPTION)
YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE HOLDER AS FOLLOW:
MIAMI SHORES VILLAGE BLDG DEPT
10050 NE 2ND AVE
MIAMI SHORES,FL 33138
COMPLETE CONTRACTOR'S INFORMATION
BUSINESS NAME: eon �� /,Z/ G
BUSINESS ADDRESS: 9461,11 �/ CITY
STATE /G ZIP CODE 32-137
BUSINESS PHONE: ( Sf6 ) X-93 --5-
- 3 --5- /
FAX NUMBER�)
CELL PHONE ��� 72 3 PQUALIFIER'S NAME: le,.r
QUALIFIER'S LIC NUMBER: /.2,5-1W rf
E-MAIL ADDRESS (IF APPLICABLE):
Created on 3119109 BY MLDV 1 RV 3126109 MLDV 1 RV 6127111 AS
FL TATIANA RESTAURANT 9544541274 p.3
1 P
" M
JEFF ATWATER •sera WE
CHIEF FINANCIAL OFFICER STATE OF FLORIDA
DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORKERS'COMPENSATION
y k CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW*
CONSTRUCTION INDUSTRY EXEMPTION
This certifies that the individual listed below has elected to be exempt from Florida Workers'Compensation law.
EFFECTIVE DATE: 71912013 EXPIRATION DATE: 7/9/2015
PERSON: KOUZINE VALERI
FEIN: 593436164
BUSINESS NAME AND ADDRESS: -
CONVEYOR-2 1/2 , INC
9 BILL CT .
PALM COAST FL 32137
SCOPES OF BUSINESS OR TRADE:
LICENSED BUILDING
CONTRACTOR
Pursuant to Chapter 440.05(14),F.S.,an officer of a corporation who elects exemption from this chapter by Ming a certificate of election under this section may
not recover benefits or compensation under this chapter.Pursuant to Chapter 440.45(12),F S_,Certificates of election to be exempt..,apply only within the scope
of the business or trade listed on the notice of election to be exempt.Pursuant to Chapter 440.05(13),F.S.,Notices of elaction to be exempt and certificates of
election to be exempt shall be subject to revocation if,at any time after the filing of the notice or the Issuance of the certificate,the person named on the notice or
certificate no longer meets the requirements of ttus section for issuance of a certificate.The department shall revoke a certificate at any time for failure of the
person named on the certificate to meet the requirements of this section.
DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 07-12 QUESTIONS?(850)413-1609
THIS . . . . -.• PATENTED PAPER DOCUMENT H4S
A 16.L)4. ';1
STAMPF.,FLORID A;:Y
. ': D}1P?�RTMI�N-T° . = •rG8B9'INES�°rPrND -�~CTiJtAT=ON-
S
CON -' � t7N': INDUSTRY 'YrTC$NSZNC3 _BO�$aZ3J
TC:TISE{ I>l 2 D ti 180.U5 63
18' 243:x` 1.1.()43.436 is ..� SC12S.12'0 ` :..:: ~-.;;: =.:•.:: _ ' ;�:
;.�TThi'==mU;xd`;6
,:L`I,�ttt�d�:•i7,C,.Z' S Ci7iti X-.0 '•,r?i. % r'1. _ ��,:- •'sf' ,
tea AUG- 31 2034:' '
Expiration da. _
• ••��7���T}��jjT��f
T�� y. '!R a -'p;..:'iii`Y; ;.r• :f..•1 i':,.•
'.stVULJ1�J K�41'R:i:.?:i 't:. •.,�'• - ?.i'
:CONVEYOR' ?'
PALM. COAST FL . ;?137 = `-- -
•i: - _.ti:. +_;'_.;j y,:. _ :i..•P Y: ,v;.;:;h::s. '+:.• - :rte•-.}
AT ks. WSON
�(/'1 �\!� - �t � ]IEN -ILA
�bbR '�,.. :;v= ::: -SECRETARY.' `` DISPLAY`AS Rk)U RED BT LAW `:�
A4Y OP ID:TA
�.- CERTIFICATE OF LIABILITY INSURANCE08/12/2DA,E(121201IY3
' 3
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 POIIcles may require an endorsement A statement on this certificate dow not Confer rights to the
certificate holder In lieu Of such endorseme s.
PRODUCER
TILTON ACT
TILTON&LINGER INSURANCE AND F E:
3 CYPRESS BRANCH WAY SUITE 101 Fax:386.447-8300 y�"N ; MNor.
PO BOX 352859
PALM COAST,FL 32135 170RESsr
PATRICIA TILTON,CIC
CUSTOMER ID ifr CONVE-1
_ U S APFORCIN6 QOYERAGE
INSURED Conveyor 2 412 Inc MSNAIL 8
9 Bill Court INsuaER A.-CORNERSTONE
Palm Coast,FL 32137 INSURER B
INSURER C:
INSURER 0;
INSURER E t ~
INSURER F: -
COVERAGES CERTIFICATE NUMBER: REVISION 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 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.
im TYPE OF MSURANCE POLICY RUM=R IMMEM, NS2 �P UMrrs
GENERAL LIABQJ7'Y
CH OCCURRENCE $ 1.00010
A X COMMERCIAL GENERAL LIAM)UTY OS111908 05/20/2013 08/2012014 PREMISES Gni $ 100,00
CWMS fifADE ❑X OCCUR MED EXP ane PMMM) g 5,00
PERSONAL&AOV INJURY S 11000.00
GENERAL AGGREGATE $ ZOOO,00
09ML AGGREGATE APPLIES PEk PROAUCTS-COMKOP AGG $ 2,000,00
POLICYM F7 LOC $
AUTOMOBILE UAiMLnY
COMBINED SINGLE Ln1a1T $
ANY AUTO tea awdent)
ALL OWNEDAUTOS BODILY INJURY(Per person) $
SCHEDULEDAUTOS BODILY INJURY(Per=ddent) S
HIRED AUTOS PROPERTYDAMAGE $
(Peracdderd)
NON-0wN[EDAUTOS $
l IMERF11 A LIAp $
OCCUR EACH OCCURRENCE $
I'CCM LIAR cLW&MADE
AGGREGATE $
DEDUCTIBLE
RETENTION $
S
WORMERS COMPOISAMON S
AND JUAPLOYERS'L[AMUTYWYPROPVIN WC STATUS 07H-
OFFIC6R/MMER EXAC UDED? CUA a NIA EJ..EACH ACCIDENT $
(Mandatary U NN)
1fya
SCRIPTT a. under below E.L.DISEASE-EA EMPLOYEES
DEN F OPERATIONS
E.L.DISEASE,POLICY LIMIT S
DE$CRlpTION OF OPERATIONS/LOt.A71ONS I VEHICLES{Attach ACORO Jai,Aaditlww Remarks Satladi %If mare apace in mqulmgl
CERTIFICATE HOLDER CANCELLATION
MIASHOR
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
MIAMI SHORES VILLAGE BLDG DEPT ACCORDANCE WITH THE POLICY ARp NS.
FAX:305-756-8972
10050 NE 2SN AVE AUTMORDMRePRESENr
MIAMI SHORES,FL 33138 PATRICIA TI IC
®1988-2009 ACORD CORPORATION. All rights reserved.
ACORD 25(2009/09) The ACORD name and 1090 are registered marks of ACORD
FL TATIANA RESTAURANT 9544541274 P.1
Flagler County Business Tax Receipt
2012-13 THIS TAX DOES NOT ASSURE QUALITY-OF WORK OR CONFIRM REGULATORY OR No.
IS H OWNER'S RESPONSIBILITY TO
NI REQUIREMENTS HAVE BEEN MET, IT THE ZONING ss10
ENSURE COMPLIANCE
:oo810t8120129.90
Business O=420001•000ZFF ;D!Ni ` �
- -
_'F. _ 9.00
Business 9 BILL GT.
.. PALM COAST, FL32137 •.::,:._.. . :.. - - i - - I
KOUMN] VAiLERt
CONVEYOR 21/2INC. ." • .. , --:::;: .._ .. 0
9 BILL CF __ Penalty .90
PALM COAST.FL 32'537
- alid until 0PPMd13
Flagler County Tax Collector
Suzanne Johnston
1769 E.Moody Blvd.,Suite 102, Bunnell,FL 32110
(386)313-4160
www.flaglemoLcom
III
t
Ismael Naranjo
From: Arlenis Silvera
Sent: Tuesday, May 06, 2014 4:05 PM
To: Ismael Naranjo
Subject: FW:
Attachments: CCF05062014 00003.pdf
FYI
Arlenis Silvera
Permit Clerk Supervisor
Miami Shores Village
10050 NE 2 AVE
Miami Shores, FI 33138
305-795-2204
From:Tabb, Cheryl [maiito:Che[yl.TabbOmyfloridalicense.com]
Sent: Tuesday, May 06, 2014 3:02 PM
To: Arlenis Silvera
Subject:
Hello Arlenis,
I need your assistance, I've attached a copy of proposal for address 333 N.E. 103 Street. Can you confirm that a permit is
required. Also, do you have information on a permit for that address around that time. Any information you can
provide,would be greatly appreciated.
Thank you.
Cheryl Tabb
Investigator
Region X, Miami
8240 N.W. 52nd Terrace, Suite 304
Miami, Florida 33166
Telephone: (305) 513-3437
Fax: (305) 470-5781
Departmentof
t3
I s
flru----fessig
1 �
1
n . 1
• L PP/AN"
PROPOSAL i
Jahn Pegg 5/28/13
31frNortheastf%03 Street
.Miami,FL
• I 1
1
t
This proposal isjorWofkvo.6e done at the above•Iisted address. Scope•of work-1vfor'tKe Des7gn/Blipdbf.horhe I
-'remodel. included but no0mitetlotorare-the following1,donstructi0 -ofaddition, pproximately 6754quare feel,
outdoor entertainment arpa,.poo&ggless Pboij,impact Windows in ne*.addiii'on as.wetl as Z car.garage. Roof to
Mtchr-odstin-g: This is only.an:estl'mate:at this'`.time. Final contract viilt'be provided dncelplans are compiete.'Please
,see cost breakdown sheet for detaii's:and.allo*ances. I
Work will be done in a Umely mannerland disruption to everyday,actiyitiesWll`beAept to a minimum:Brown
Development •LLC.wouid'.tike to th"ank you fdr the dopbrtun'ity to bid,on Wvproject. We look-forward to doing �
business with'you both!now.arid.ln the'future. P°
Total gitimated price $176;259:00
I
Draw Schedule
Due updn acceptance 596
0 upo itial design approval, 5%
Aaep= a Date
Thank•you,
yle'.-Stown
President
RtcC[iC 1808228• PROM 346,8818868 Fnr. 1.8f8.2MOSS GBTAR A6L.CON
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T N
WIL
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Ofd d General Contracting and Roofing
w=1 5001 sw74ct
(305)651-6868
Fax 1.856 27-BROWN
Email b6wnbu4lds@aol com
dobMw* Pan.
Addjess:�333 ntE•103•Svaec.
To.I cM e a t j tce:'$i'76•,288A0 i
East bma OMM Ond 4165wances
NI I
PIefiS atfd PtOris Pr" $.
Mime
pati i'oGtlp7j' $ t 00:00
TOM & 690A0
.200.0
Std
Flnai •S 280.00•
Telmite irealmeid S 600.OD
L•aadaea e. ;
T remuv'el •S 800'00'
Exeaira0tn •$ 900!00 i
T tante I NI
W_ f
ClifibiGnk feria .Nl
M nal' - $ - "1.20WOO
59M $ 8 50.00
S '$ _7 000:00
RhImbin5500,00
lirsuta0oi►. 1 G:00
Puia'and'tbtfdt S i 0'00
Ram "tedals S 600.00 '
Form wt ani!feel labor s i 50000 '
RiEwaaWmes $ 2.00020
WOMWOSM, . . - .- . $ 45000,
MW*" a"`9nads:'atr s 60000,
rth`tFtiel' $ 750:00
Fdi Feirtent NI
os
3,500104
''rdohtr5' .Nf
NI
$nowd rdvlard
aateriealsnd ebeanan _ $ '4
$ 20000
O5•00
Sosid t
t ►
1 1
.. S:. 3.800 00' ,
' ��- 'S. 8500.00• '
eater' :NI •
S 2,500.00
• , 5W a 500.00 '
P' ed aorisiete ;Nl
c
tntazto � 21050.00
szoo oa
ExtSrWEe tebw s 11204,00,
Egeft Igo matenal§ 5 800:00'
Wood RaoM' NI
� I
TfawwoftNI ;
Baseboard S t .00. I
crammulfto �q
Vlftndawsft NI
Aeul�stlfiat �
M
8 'endoaures .850:00
IMehm" 'arid l _ $ 850:OOs
Efterbrdowand wbmrow,PirawWwOInsre S 750G00• i
abort
ola'dtets
P P 26150000
Eeo>rt ' &Wrds MI I
IQtohe»'sabhl - N l
IQtbh�an cabiniata'ir�U NI
Chun NI I
poset p0
G door 1800:00• •
C tett "M
3ulrir`` NI I
AA0n61dm a NI I
Orfire wr -
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1.'OtH a cnntraet fs aceepled Fhere.vA be a 10°h termbredon fee d eotttrect Is eaneeHed ,
� �Onh�act is,Boo�fgr•Ut6tY.I3D)¢aYs:
3:�`onsbu'etirnl'�iatmGat
etilybSntlt6'i ebov&.pr)atri�;or'tvif!ba$b914d 6s a�en8e Qrder to oviner
A.AAy eddklaraiaror&.v"r D tse�Med 6n adinwam7;metoiiet vim* $65.001ATO ttrourrmata t�
5:Any addMMW a Jbcontraa�ed wo&w1A be blDed.as a oltange wder
6:brown Deilelolmant LLC:is not re8ponla0lte,fm slrl`y tlelays out of ns oontrol.(weafher,Graft,vandaLsm,etc.)
InNafs:
i
f
Parcel Owner Report
Parcel Number: 1121360130250 333 NE 103 Street
Miami Shores FL 33138-2432
Tax ID: 1121360130250
Owner Information
JOHN PEGG Current Owner: Yes
Phone:
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Imported Permit 101 12/13/2002 01/01/2999 CLOSED
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Imported Permit BP2003-353 03/03/2003 01/01/2999 CLOSED
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Residential Construction RC-8-11-1509 08/17/2011 01/01/2999 CLOSED
Windows/Shutters WS-6-12-1080 06/13/2012 01/01/2999 CLOSED
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Related Code Cases Case Number Case Status Case Date Compliance Date
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Zoning Violation CASE-7-12-10203Case Closed -Admin. Fee Pending 07/24/2012 4/4/2013
Ordinance Violation CASE-3-13-11030Case Closed 03/07/2013 7/8/2013
Ordinance Violation CASE-3-13-11031Case Closed 03/07/2013 5/28/2013
Zoning Violation CASE-3-13-110320ase Closed 03/07/2013 3/19/2013
Wednesday, May 7,2014 Page 1 of 1