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BPP-14-2773 Miami Shores Village - j 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 SRC 20 BUILDING Master Permit No-?) --11:7-2:� PERMIT APPLICATION sub Permit No. QBUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS [:] CHANGE OF ❑ CANCELLATION ❑ SHOP �y CONTRACTOR DRAWINGS JOB ADDRESS: City Miami Shores County Miami Dade Zip: 3 3 l3 Folio/Parcel#: I- or.,-a/ "`'V�Z J=--) Is the Building Historically Designated:Yes NO r Occupancy Type: Load: Construction Type: Flood Zone: I3FE: FFE: OWNER:Name(Fee Simple Titleholder): Address: nSV� - I O©4• City: � ( E--1 C A V I� State �! c ,i 1 c � Zip: 3 !S Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: ESSIG POOLS, INC _ �— Phon 305-949-0000 Address: 1800 NE 151 ST City: NORTH MIAMI state: FL ip; 33162 Qualifier Name: DANIEL ESSIG phone#• State Certification or Registration#: CPC052505 Certificate of Competency#: DESIGNER:Architect/Engineer:W��n� ��' �l-�� _ Phone#: `+ E>- )2 " c,! Address -l`� •�� cX�+t I '�• City: - State: FL- Zip: 3344-1 Value of Work for this Permit:$ 3n Square/Linear Footage of Work: �- Type of Work ❑ Addition [] Alteration ew ❑ Repair/Replace ❑ Demolition Description of Work: Specify color of color thru tile: �} Submittal Fee$ Permit Fee$ 'V •00 CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee�ee$`( Structural Reviews$ Bond$ Jlly TOTAL FEE NOW DUE$ (Revised02/24/2014) ` f ejO 4. 001 L 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 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 ft 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 OWNER or AGENT CON CTOR The foregging instrument was acknowledged before me this The foregoing Inst u ent was acknowledged before me this r, Z day o 20 ` . ,by �G day of r.20 1¢:by who is personally known to DANIEL ESSIG who is personally known to me or who has produced �! I r� as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: - ----- - NOTA Y PUBLIC: - 9I1Li1G9e0ale�/ e 41G Sign: ?` Sig CPR Print: ° Print: �a ° 9 °a B0n°edthN Sea `®o.o`a° Un "oFd� eaL AGr%°°•�' SAW STNV© O°•°°°° �On� ,�/'�9d0 E8691tR�d@��o APPROVED BY i Plans Examiner /v �oning Structural Review Clerk (Revised02/24/2014) ESSIG-3 OP ID: DJ A�Rom CERTIFICATE OF LIABILITY INSURANCEDATEWMIDDIYYYY) 12/16/2014 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(les) 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 Phone:305-364-7800 MEACT BROWN&BROWN OF FLORIDA INC Fax:305-714-4401 PHONE a 14900 NW 79th Court Sutte#200 FN0 Miami Lakes, FL 33016-5869 ADDRESS: Robert Hollander INSURER(S)AFFORDING COVERAGE NAIL# INSURERA:*FCCIInsurance Company* 10178 INSURED Essig Pools,Inc. et al INSURERB:*Amerisure Insurance Company* 19488 Essig Properties 1,Inc. INsuRERc:*Amerlsure Mutual Insurance Co 23396 Artistic Paver Manufacturing Artistic Paver Properties Inc. INSURER D: 1800 NE 151 Street INSURER E: Miami,FL 33162-6010 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. a3R TYPE OF INSURANCE ADDL POLICY NUMBER POLICY EFF POLICY EXPLTR LOYDI S GENERAL LIALITY EACH OCCURRENCE $ 1,000,00 DAMAG.E TO RENTED B X COMMERCIAL GENERAL LIABILITY GLOO17377 12/01/2014 12/01/2015 PREMISES oopmence $ 100,00 CLAIMS-MADE Fwrl OCCUR MED EXP(Any one person) $ 10,00 PERSONAL&ADV INJURY $ 1,000,00 X Per Proj Agg GENERAL AGGREGATE $ 2,000,00 GENT AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOP AGG $ 2,000,00 POLICY X m LOC $ AUTOMOBILE LIABILITY (CFO,MBIa N (SINGLE LIMIT 10000,00 A IX ANY AUTO CA0028481 12/01!2014 12/01/2015 BODILY INJURY(Per person) $ ALLOWNED SCHEDULEDBODILY INJURY eracddent $ AUTOS AUTOS )HIRED AUTOS Ix NON-0WNED PROPERTYDAMAGE $ AUTOS Per amderrt UMBRELLA LIAR OCCUR EACH OCCURRENCE_ $ EXCESS[JAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ WORIORSCOMPENSATIONX WCSTA%L IM OTH- AND EMPLOYERS'LIABILITYYINER B ANY PROPRETOWARTNEwExECUMM WC20SUBMOI(FL/AZ) 12/01/2014 12101/2015 EL EACH ACCIDENT $ 1,000,00 OFFICERIMEMBER EXCLUDED? N I A C (Myyanndatary In NH) WC20948630002(CA) 12/01/2014 12/01/2015 EL DISEASE-EA EMPLOYEE $ 1,000,00 DESCRI-nbePTION urtdOPERATIONS below EL DISEASE-POLICY LIMIT $ 1,000,00 A Equipment Floater CM0008441 12/01/2014 12/01/2015 Leased/ 50,00 Rented DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Addittonal Remarks Schedule,if more apace is required) RE: Swimaing Pool Contractor/Paver Mannfactnr1mg CERTIFICATE HOLDER . CANCELLATION MIAMISH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shores Village THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN g ACCORDANCE WITH THE POLICY PROVISIONS. 10050 Northeast 2nd Avenue Miami Shores,FL 33138 AUTHORUEDREPRESENTATWE =dam_ ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Property Search Application-Miami-Dade County Page 1 of 1 . tI, . tiOFFICE. THE Summary Report Generated On:10/28/2014 Property Information Folio: 11-3206-013-3020 Property Address: 131 NE 93 ST + Owner MSM REALTY ASSETS LLC gl y Mailing Address 10155 COLLINS AVE#1004 BAL HARBOUR,FL 33154 Primary Zone 1100 SGL FAMILY-2301-2500 SQ Primary Land Use 0101 RESIDENTIAL-SINGLE - FAMILY:1 UNIT Beds/Baths I Half 3/2/0 Floors 1 Living Units 1 Actual Area 2,810 Sq.Ft A. Living Area 2,102 Sq.Ft r :r Adjusted Area 2,456 Sq.Ft Lot Size 12,800 Sq.Ft Taxable Value Information Year Built 1947 2014 2013 2012 Assessment Information County Year 2014 2013 2012Exemption Value $50,000 $50,000 $50,000 Land Value $242,735 $166,188 $142,720 Taxable Value 1 $148,905 $145,966 $142,691 School Board Building Value $166,517 $166,517 $185,512 Exemption Value $25,000 $25,000 $25,000 XF Value $2,707 $2,734 $3,379 -- -- --- -- - - Taxable Value 1 $173,905 $170,966 $167,691 Market Value 1 $411,959 $335,439 $331,611 City Assessed Value $198,905 $195,966 $192,691 Exemption Value $50,000 $50,000 $50,000 Benefits Information Taxable Value 1 $148,905 $145,966 $142,691 Benefit Type 2014 2013 2012 Regional Save Our Homes Assessment Exemption Value $50,000 $50,000 $50,000 Cap Reduction $213,054 $139,473 $138,920 Taxable Value 1 $148,905 $145,966 $142,691 Homestead Exemption $25,000 $25,000 $25,000 Sales Information Second Exemption $25,000 $25,000 $25,000 Homestead Previous Price OR Book- Qualification Description Note:Not all benefits are applicable to all Taxable Values(i.e.County, Sale Page School Board,City,Regional). 08/20/2014 $455,000 29288-1991 Qual by exam of deed 08/01/1989 $107,000 14227-1208 2008 and prior year sales;Qual by Short Legal Description exam of deed 1534165342 MIAMI SHORES SEC 1 AMD PB 10-70 LOTS 19&20 BLK 22 LOT SIZE 100.000 X 128 OR 14227-1208-07 0889 1 The Office of the Property Appraiser is continually editing and updating the tax roll.This website may not reflect the most current information on recons.The Property Appraiser and Miami-Dade County assumes no liability,see full disclaimer and User Agreement at http://www.miamidade.govfinfo/disclaimer.asp Version: http://www.miamidade.gov/propertysearch/index.htmi 10/28/2014 Detail by Entity Name Page 1 of 2 1 FLORIDA DEPARTMENT OF STATE x Detail by Entity Name Florida Limited Liability Company MSM REALTY ASSETS LLC Filing Information Document Number L14000114294 FEI/EIN Number NONE Date Filed 07/18/2014 State FL Status ACTIVE Principal Address 10155 COLLINS AVE, STE. 1004 BAL HARBOUR, FL 33154 Mailing Address 10155 COLLINS AVE, STE. 1004 BAL HARBOUR, FL 33154 Registered Agent Name&Address KENNEY, JUDITH,ATTY JUDITH KENNEY&ASSOCIATES, P.A. 2001 BISCAYNE BLVD, STE. 2620 MIAMI, FL 33137 Authorized Person(s) Detail Name&Address Title MGR SLATE, RAYMOND 10155 COLLINS AVE, STE. 1004 BAL HARBOUR, FL 33154 Title MGR FORRY, CHRISTOPHER 2001 BISCAYNE BLVD, STE. 2620 MIAM 1, FL 33137 Annual Reports No Annual Reports Filed http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail/EntityName/flal-1... 10/28/2014 Detail by Entity Name Page 2 of 2 • Document Images 07/18/2014 -- Florida Limited Liability View image in PDF format Copyright©and Privacy Policies State of Florida,Department of State http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail/EntityName/flal-1... 10/28/2014