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RC-14-2702 (2) Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 inspection Number: INSP-254000 Permit Number: RC-12-14-2702 Inspection Date: March 04, 2016 Permit Type: Residential Construction Inspector: Rodriguez,Jorge Inspection Type: Final Owner: MUSTAD, KRISTEN Work Classification: Alteration Job Address: 1260 NE 94 Street Miami Shores, FL 33138- Phone Number (305)661-6633 Parcel Number 1132050100180 Project: <NONE> Contractor: QUIRINO CONSTRUCTION CO Phone: (305)892-1987 Building Department Comments RENOVATION OF KITCHEN AND ALL BATHROOMS AND Infractio Passed Comments MASTER WALK IN CLOSET INSPECTOR COMMENTS False ADDITION OF BATH#3 UNDER EXISTING STRUCTURAL ROOF REPLACE WINDOWS AND DOORS AND FRONT FACADE Inspector Comments Passed4��o r5l �'OD_P_� �DOA4 to Tt�:02_plv_v_� Failed kWLJA-L Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. For Inspections please call: (305)762-4949 March 03,2016 Page 1 of 1 � - , � ,� P� � Vf"u, 5 'r 1 � �-- 1 y,�t T r y� '`M� 3 a i •V l 9x�i .l4' 7 4.Y -?'?M. � s �1 *r r� �,,, r �.' �;� .. an :.�.,,,.i •-," vi-. F;;�. #`�+r�rr,�,l ,..A_d .�n - �.-`'�.e :� • h � �.,� -.. ,. .;ae :..a ., ,. - ,rf e}i # i.. r x. �- i'�rE'__}•`,t s „' bs. 4$.y ,' r ,,e ��l�� Certificate of Completion Miami Shores Village r ;i • 10050 NE 2 Ave, Miami Shores FI, 33138 k, Tel: 305-795-2204 Fax: 305-756-8972 Building Inspection Department �f Y1 This certificate issued pursuant to the requirements of the Florida Building Code 106.1.2 certifying that at the time of issuance this structure was in compliance with the various ordinances of the jurisdiction regulating building construction or use. For the following: � z .a t r Permit Type RESIDENTIAL CONSTRUCTION Bldg. Permit No. RC-12-14-2702 _ + Owner KRISTEN MUSTAD Contractor QUIRINO CONSTRUCTION CO }� � � �-- Subdivision/Project NONE Date Issued 06/17/2016 r, Occupancy Construction Type VI Load N/A , ` I Occupancy Square Footage 800 R-3 � ' Type , .A." Description of INTERIOR RENOVATION Applicable Code y r Work 2014 FLORIDA BUILDING CODE Location Flood Zone X F.F.E N/A ' .z ,q } 1260 NE 94 ST Miami Shores FL 33138 ` ` `1 a � some vim M Building Officials Approval Ismael Naranjo,CBO Not Transferable O`gip POST IN A CONSPICUOUS PLACE -�F�.9u 1j.,�_= cv - - i'I td-<.:: L t:,:^ t.,..: r:: 1 ti.C,;. ... .. ,"� 7 '•:'-`..1' , _ j l - - f � .:-'� . _-�.,�::. -. -22 .+•.R+ry �',`y,,.--...e�'-"�'e,:'�f..-I' z. �k.*K; �'ry�• ,.a,. r±:s.'e'r.�.� ....n.; t�3.; ..+c:` :�=.�d-..;.�-::�. ��.'�'+•*%c''rte+"' P: ;!__ ''�,�-. � �..,, '� ,_. ,�� ,., . .•� . 0 ' �. "`-' ,^n{ -- .v< j f?._ ....,y t;.,•�- '+w...—. i. =,tsw `°' l..-� _ * �_#""- S. {_- s`, _i ; �..,, �•� �' .�.i&�- 's� #�r ' i P--.`f�'Y �a _�`•`�,. =.�' Y?"" ." ,''ice '.� �:�'r.�.. -..'!� >�` '�,^+.' ., F"a'-c�.,.:',��: y. .•tom-#�'�r«m ,�?u . .}^•"ba`. n �s f �:�:,i „�x'sf �5 ^; - ..fir nSf��.`�3�'_., s"�'�,, •"1 .:i�A' �'' _��C ��t�P3�`f -"�*k�* I ;' °,+- i f"�, -'}°n`a"+r5:.- yr �,'�} - € .s' .:MAa 6,�°�, s' .Y._ 3 - *�,. `�♦,. �,, ,,.�,y.). ..ro° `F c;'� -� ��,r; ,�_ �,� .er.,. ��5' r➢� i �6'1?',. � s 'et-.i II• a�s..c i' a -r_:�. i rf:. ?�- •'�•�` h. - #�. #� � ;c:�.�: ,,.f< �';, �rr t+ .� �e Y',e�. +�- ,ys, =�f'... �. d Int, �i,�n, . -p [ �eri�*�'�>�.o-c. �be;�� n - `� +4,8 !;.i cr1.5' .. r 'rd -- ^X, :.ti�t• � A 1�pq'.a _ �, � . �.Iyy� ;: �' ��:a�y hs�(IS� 4 ��yN'!�Y .Y, — y ♦i�f '_ky74i'•`+.. Y ""'� '+S� l fi. c 1`�4 -d - i.+1'fq+ ` - I f *� .�: 'll!` i�p,4 �.#TION RECORD , - POST ON SITt r' + PermitNO. RC-1 214 2702 !Miami Shores Jiliage Permit Type:Residential Construction ! F 10050 N.E.2nd Avenue Miami Shores,F!_33138-0000 !Mork Classification:Alteration Phone (305)795-2204 Fax (305)756-8572 p`oK�t` Issue Date: 2LL *�� -Una— Expires: 12/0 /2015 INSPECTION REQUESTS: (305)762-4949 or Log on at https://bicig.miamishoresvillage.com/cap RE-QUESTS ARE ACCEPTED DURING 6:30AM-3:30PM FOR THE FOLLOWING BUSINESS DAY. Requests must be received by 3 pm for following day inspections. Residential Construction Parcel #:1132050100180 Owner's Name KRISTEN MUSTt''D Owner's Phone: (305)661-6633 jobAddress: 1260 NE 94 Stre t Total Square Feet: 800 Miami Shor s F '3. 1 _ Bond Number: — Total Job Valuation: $ 145,000.00 _ ,_..�-a WORK IS ALLOWED MONDAY THROUGH SATURDAY, € Contractor(s)Phone P,imary Contractor 7:30AM-6:OOPM.NO WORK IS ALLOWED ON OUIRINO CONSTRUCTION CO — SUNDAY OR HOLIDAYS. (305)892-198; Yes BUILDING INSPECTIONS ARE DONE MONDAY ' THROUGH THURSDAY. ROOFING INSPECTIONS ARE DONE MONDAY THROUGH FRIDAY. NO BUILDING INSPECTIONS DONE ON FRIDAY. 11 a lI NO INSPECTION WILL BE MADE UNLESS THE PERMIT CARD IS DISPLAYED AND HA5 REEK APPROVED. PLANS ARE READLY AVAILABLE. IT IS THE PERMIT APPLICANT'S RESPONSIBILITY TC EP1z'URE THAT WORK IS ACCESSIBLE AND EXPOSED FOR INSPECTION PURPOSES. NEITHER THE BUILDING OFFICIAL NOR THE CITY SHALL BE LIABLE FOR.EXPENSE ENTAILED IN THE REMOVAL OR REPLACEMENT OF ANY MATERIAL REQUIRED TO ALLOW INSPECTION. - WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY 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. i INSPE f- STRUCTURAL INSPECTION DATE INSP I. DATE INSP INSPECTION . DATA INSP Foundation Zr-, 3 Stemwall ZONING COMMENTS Rough Slab _ Columns 1st LiftWater Service _ 2" Rough Columns 2nd Lift To Out Tie Beam _ Fire S rinkler Truss/Rafters Se tic Tank _ Roof Sheathing — I Sewer Hook- _ Bucks � Roof Drains _ Windows/DoorsELECTRICA.' Gas Interior Framin 000 INSPECTION DATE INSP LP Tank Insulation Tem ora Pole Well Drn Grid 30 Da Tem orar Lawn S rinklers Firewall _ all Pool Bondin Main Drain Frewall Pool Deck Bondin Pool Pi in Wre Lath g Pool Wet Niche Backflow Preventor Pool.Steel Underground Interceptor Pool Deck Footer Ground Catch Basins Final Pool Slab Condensate Drains Final Fence Wall Rou h HRS Final Screen Enclosure Ceiling Rou Driveway Rough j PLUMBING COMM S Drivewa Base Telephone Rou h co Tin Ca q Telephone Final Roof in Pro — — — - - --a TV Rough Mop in Progress TV Final Final Roof Cable Rou Shutters Attachment Cable Fina Final Shutters Intercom Rough 14 C rFiails and GuardrailsIntercom Final ADA compliance Alarm Rou h INSPECTIO DATE INSP Alarm Final Underground Pipe DOCUMENTS Fire Alarm Rough -- Soil Bearing Cert Fire Alarm Final Rough _ Soil Treatment Cert Service Work With ' Floor L-levation Survey Ventilation Rough Reinf Unit Mas Cert ELECTRICAL COMMENTS Hood Rough Insulation Co_rtificate _ Pressure Test Spot;,urve Final Hood Final Survey Final Ventilation Truss Certification Final Pool Heater STRUCTURAL COMMENTS Final Vacuur.1 e MECHPNICAL COMMENTS INSPECTION DATE INSP Final S rinkler _ Final Alarm toy Miami Shores Village DEC fl2014 ►� 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 FBC 20 LA- BUILDING Master Permit No. yc-1 -4 PERMIT APPLICATION Sub Permit No. fjqBUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS 0 CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: l Z60 IVC-- ly-, S* City: Miami Shores County: Miami Dade Zip: 38 Folio/Parcel#: 1 1 -320!;--01 Q a 01'?0 Is the Building Historically Designated:Yes NO X _ Occupancy Type: Load: Construction Type: Flood Zone: AC BFE: FFE: OWNER:Name(Fee Simple Titleholder): 1�e—I ST7Fy'j ��S'f 1+ J Phone#: 305 452 16 3 Address: &O Ate yy 11^ Sf City: .SH"I-ate S State: -'FL Zip: 3713 S Tenant/Lessee Name: Phone#Ir/��! Email: JtR15MI ,Nr iicylJQE&S• CoM CONTRACTOR:Company Name: 0LA Vr%*%10 C&14rU C-k%O r CO Phone#: �Q�$ !' 9 8' Address: lar-9L 119 fd City: Moron `M I&MI State: FL- Zip: 31181-1 Qualifier Name: Phone#: . -30$'-0-14ir State Certification or Registration#: C&C, 1619q-12, Certificate of Competency#: DESIGNER:Architect/Engineer:�l TO I. �R�l.� Phone#: 305. 3 I O. 5030 Address:3:�3 r+E 10+'� S-fi City: k(W( 56%Q State:6, 112� Value of Work for this Permit:$ 1 4r,.o Gid — Square/Linear Footage of Work: gpo Type of Work: ❑ Addition ❑ Alteration ❑f New 1'❑I Repair/Replace o❑ Demolition( D_esQcr�ti`on of Work: AAUP&CcW ��9 1�1T -�"` ��►w� j(M 1� �. bc�1 V. +IQs�J 'KM Specify color of color thru tile: Submittal Fee$��• Permit Fee$ CCF$ CO/CC$ 'W Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ _"l/' TOTAL FEE NOW DUE$ l 100 (Revised02/24/2014) 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 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 NER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The ff000reg . g instrum��enntwas acknowledged before me this day of d' " 20 by // /% day of 40afn&4e ,20 ! y ,by 9 1 SV ��iv o�personallyo �Jo`il &MeZ �lGll'//IO ,who is personally known to me or who has produced as me or who has produced X!4&,M-%V: -047-00 identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: aA r ►�-idODI�H�D��1110 .®� Print: :�`t ° y Print: 2 .L My.Comm.Expires"Jnh 13:2017 `,. � "• R8MLAR Tt NER Seal: Seal: `" Commission#f FF 013940 ,�: .= W COMWSSiON#FF 1=2 ttilouph Nional Notary Assn. � `- EXPIRES:August 24,418 �o ' • Boned TM Nal PU*Undenr�6 m APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) 12/11/2014 01:07 3058917722 QUIRINO PAGE 02 15TATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY:LICENSING BOARD (850) 487-3395 1940 NORTH MONROE STREET. TALLAHASSEE FL 323990783 QUIRINO, JOHNPAUL QUIRINO CONSTRUCTION COMPANY 2050 N HIBISCUS DR NORTH MIAMI FL 33181 Congratulations[ With this.license you become one of the nearly .<'�2'a`,:�•F,... •' <_SW;S',rr' rF _�.3:rf•7a:i'v:;.;a;:�_::r'r'-_:?.''18:.,f;i'�•k,%`??.,i "r�=`-.. %:r;,;: one million Floridians Goensed by the Department of Business and Professional Regulation. Our professionals and businesses range s` . STA TI✓:OF.FLORIDA'• from ardtiteets to yacht brokers,from boxers to barbeque restaurants, =" " DEPAR. � 1 :p k:;BUSINESS AND and they keep Florida's economy strong. =' '.-PROF UI�TroN Eve da we world to improve the way we do buslness in order to Every Y y .. ..COG1 'C947Z' serve you better. For information about our services,please log onto www.myflorldalleense.com, There you can find more information 1•; about our divisions and the regulations that impact ou,subscrib® A GERTMlep�G to department newsletters and lean more about the De artmeM's :": . ° QUIRINQ,;JO Initiatives. p °' Q(JlRINt 'Cb Our mission at the Department is:License Efficiengy,Regulate Fairly. ::�:• 'r„: �:.�'�',:i :.��: : We constantly strive to serve you better so that you can serve your }}r , •;r^''.•^..,.I..••..y�••�: ..;: „�"�' exYb'•,�f�=i��'�•'.• =:;.,� .. ..`:,'... .. ',•gip. customers_ Thank you for doing business in Florida, • i:�;�,"�`• i5_C'�R'T1F1'ED..vndll.�.•tti'e..pi:ovisi'Cn��f',�•h..4.@8°FS:�.,',''.• .. �' and congratulations on your new licenses �� •-'' °" as ...•,E�1tBfiotY'dole':,AUd3'3xn20't9.::.,:•..•._,:^•,-.• ..414070000'1190•.., ...":':�'s ,.y:1,'�'?'.;;:arril� :.-. ..r^" y:y`,-Y'y.,�'.,�}•.w . �y�, rtGoa.•^•'.,r: _ .=:hr'4t^'�.....° •..i::<.--:.:.'•;,4fiA�lf;c„r�r;:i..: .. ..::.. -�;y:,.>'.',(u;;w,%Ai;r: DETACH HERE RICK SCOTTNGOVERNOR KEN LAWSON SECRETARY STATE :., D • ,, v. : • EI ARTMENT:O •BUS/ES.AND PROS$SIONiAL:REGUV4 'ISN.: . CbISITRt3CT101 : 1DEJS`CRY'LICENSrNG BOQI�D'::' The.'GENERAl:`GOI+tTRACTO R” ,�, EUXnapdmiet3rd'M�b0e::piarvoit.v:lS9to'CaERo'Tf�GF.,.I ea�D..":6:'•�',4...:.8....g. ....F... 'trdd4Y1G 342 ' .. :.��a_:''.',..;': ;•.. . .. 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M.. .':,7,!..•�. �, i�.sr�sn: 07/10/2014 DISPLAY AS REQUIRED BY LAW SEQ# L1407100001130 ♦ E SORS pf �t IM Miamishores Village,,, ,,,,,,� Building Department alpt`iDA 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner — Workers' Compensation Insurance Exemption Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full-time employees,including the owner,must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if: 1. The officer owns at least 10 percent of the stock of the corporation,or in the case of an LLC,a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State,Division of Corporations;and 3. The corporation is registered and listed as active with the Florida Department of State,Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers' compensation exemption.In these circumstances,Miami Shores Village does not require verification of workers' compensation insurance coverage from the contractor's company. Therefore,you may be personally liable for the worker compensation injuries of any person allowed to work under this permit. Please check with your insurance carrier since most property insurance policies DO NOT cover this type of liability. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. '/ Owner , J Contractor Print Name: L"--%—(5TZ�74j l U TAI) Print Name: G 10 Signature: Signature: State of Florida) State of orida) County of Miami-Dade) County of Miami-Dade) Sworn to and subscribed before me this G Sworn to and subscribed before me is i day of r3=CR-rR ,20 ! day o � "8�"�-- ,20 I By By public Ib SCC —OCi� -`�r� •'� f4otary -State of Florida . � � (SEAL) M Com (SE State a' T e of Identi c ce&09 ' n% T e , nn � - A@Aotary Assn. S. commission # FF 0?3940 I,.�%1, Bonded Through National No[a,�Assn QUIRI-1 OP ID:SG CERTIFICATE OF LIABILITY INSURANCE DA0512012015Y) 05!2012015 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 CONCTNAME William F.Dowd W.F.Roemer Insurance Agency 3775 NW 124 Avenue AtcNNo •954-731-5566 a Ne:954.731-8438 Coral Springs,FL 33065 F-MAIL William F.Dowd bdowd@roemer-ins.com INSURMS AFFORDING COVERAGE NAIC U INSURER A:Mid-Continent Casualty Co 23418 INSURED Qulrino Construction Co INSURERS: 1987 NE 119 Road North Miami,FL 33181 INSURERC: INSURER D: INSURER E 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. IN TYPE OF INSURANCE POLICY NUMBER MM0 1 F / MMuDO EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000. CLAIMS-MADE T OCCUR 7 04-GL-000928768 05/11/2015 05/11/2016 PREMISES Ea occurrence $ 100,00 MED EXP(Arty one person) $ Exclude PERSONAL&ADV INJURY $ 1,000,00 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00 POLICY a E T LOC PRODUCTS-COMP/OP AGG $ 2,000,0 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLELIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE HIRED AU $TOS AUTOS Peracdde UM13RELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LaB CLAIMS-MADE AGGREGATE $ DEO I I RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/N STER ER ANY PROPRIETOR/PARTNERlEXECUTNE OFFICER/MEMBER EXCLUDED? I N/A E.L EACH ACCIDENT $ (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Addlltonal Remarks Schedule,my be attached It more space Is required) Subject to policyy terms and conditions. John Anthony Ruirino#CGC031466 JohnPaul Quirino#CGC1519472 Fax:305-756-8972 CERTIFICATE HOLDER CANCELLATION MIAMIS2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Village of Miami Shores ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2 Avenue Miami Shores,FL 33138 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 26(2014/01) The ACORD name and logo are registered marls of ACORD �g Permit ll(OC-� -'l�•� ;V Miami Shores VillagePt ?1! — 9�I�id lltiai constrt tion, i � 10050 N.E.2nd Avenue NEP � '� lff3'S�ai#lgii A(t@r �C?t1 Miami Shores,FL 33138-0000PA Pf —�� Phone: (305)795-2204 eoRm� _ Expiration: 12/09/2015� � n Issue gate p Project Address Parcel Number Applicant 1260 NE 94 Street 1132050100180 Miami Shores, FL 33138- Block: Lot: KRISTEN MUSTAD Owner Information Address Phone Cell KRISTEN MUSTAD 1260 NE 94 Street (305)661-6633 MIAMI SHORES FL 33138- 1260 NE 94 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone $ 145,000.00 QUIRINO CONSTRUCTION CO (305)892-1987 (305)308-0748 Valuation: Total Sq Feet: 800 Approved:In Review Available Inspections: Comments: Inspection Type: Date Approved::In Review Final PE Certification Date Denied: Window Door Attachment Type of Construction:RENOVATION OF KITCHEN AND A Occupancy:Single Family Framing Stories: Exterior: Insulation Front Setback: Rear Setback: Drywall Screw Left Setback: Right Setback: Window and Door Buck Bedrooms: Bathrooms: Fill Cells Columns Plans Submitted:Yes Certificate Status: Review Electrical Certificate Date: Additional Info: Review Planning Bond Return: Classification:Residential Review Plumbing..1111 Review Plumbing Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Review Plumbing CCF $87.00 Review Plumbing CCF Fee Invoice# RC-12-14-53881 Review Planning $50.00 06/12/2015 Credit Card $5,160.50 $130.00 DBPR Fee $65.25 Review Building DCA Fee $65.25 12/11/2014 Credit Card $ 130.00 $0.00 Review Building Education Surcharge $29.00 Review Building Permit Fee $4,350.00 Review Building Plan Review Fee(Engineer) $40.00 Review Mechanical Plan Review Fee(Engineer) $80.00 Review Mechanical Plan Review Fee(Engineer) $120.00 Review Structural Plan Review Fee(Engineer) $160.00 Review Structural Plan Review Fee(Engineer) $80.00 Review Structural Scanning Fee $48.00 Review Structural Technology Fee $116.00 Total: $5,290.50 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 th all 1he foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermo a au orize the above-named the work stated. June 12, 2015 Authorized Signature:O r Applicant / ontractor Agent Date Building Depart ent Copy June 12,2015 1 ,f Rick Scott Mission: Governor To protect,promote&improve the health of all people in Florida through integrated state,county&community efforts. d a John H.Armstrong, MD, FACS HEALTHState Surgeon General&Secretary Vision:To be the Healthiest State in the Nation April 07, 2015 Statewide Septic po box 54 0856 Opa Locka, FL 33054 RE: Modification to a Single Family Residence- No Bedroom Addition Application Document Number: AP1180110 Centrax Permit Number: 13-SC-1593009 1260 NE 94 Street Miami, FL 33138 Lot: 20 21 Block: na Subdivision: Dear Applicant, This will acknowledge receipt of a floor plan and site plan on 03/12/2015 for the use of the existing onsite sewage treatment and disposal system located on the above referenced property. Interior renovation. No objection letter was issued by C. Icaza on 04/07/15. This office has reviewed and verified the floor plan and site plan you submitted, for the proposed remodeling addition or modification to your single-family home. Based on the information you provided, the Health Department concludes that the proposed remodeling addition or modification is not adding a bedroom and that it does not appear to cover any part of the existing system or encroach on the required setback or unobstructed area. No existing system inspection or evaluation and assessment, or modification, replacement, or upgrade authorization is required. Because an inspection or evaluation of the existing septic system was not conducted, the Department cannot attest to the existing system's current condition, size, or adequacy to serve the proposed use. You may request a voluntary inspection and assessment of your system from a licensed septic tank contractor or plumber, or a person certified under section 381.0101, Florida Statutes. If you have any questions, please call our office at (305) 623-3500. Sincerel Carl s Ic Engineer III Department of Health in Dade County Florida Department of Health www.floridahealth.gov in Dade County• •,Florida TWITTER:HealthyFLA PHONE: (305)623-3500 FACEBOOK:FLDepartmentofHealth YOUTUBE:fldoh Oti/tslOK Of M Environment l Health Florida Health Miami-Dade County OSTDS/Well Divsion 11805 SW 26`" Street - Miami, FL 33175 to 7-cpr;xb -YrDate Ins actor e A �, ► OSTDS # Address Comments: Signature - lelk%ft.. n MIAMI-DADE COUNTY DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES MIAMI-DADE PERMITTING AND INSPECTION CENTER 11805 SW 26 STREET MIAMI,FL 33175-2474 NOTICE TO MIAMI-DADE COUNTY BUILDING OFFICIAL OF EMPLOYMENT AS SPECIAL INSPECTOR UNDER THE FLORIDA BUILDING CODE I (We) have been retained by Kristen &Maria Adreina Mustad to perform special inspector services under the Florida Building Code at thel260 NE 94th Street in Miami Shores project on the below listed structures as of 02-05-15 (date). I am a registered architect or professional engineer licensed in the State of Florida. PROCESS NUMBERS: RC-14-2702 ❑ SPECIAL INSPECTOR FOR PILING,FBC 1822.1.20(R4404.6.1.20) ❑ SPECIAL INSPECTOR FOR TRUSSES>35'LONG OR 6'HIGH FBC 2319.17.2.4.2(R4409.6.17.2.4.2) SPECIAL INSPECTOR FOR REINFORCED MASONRY, FBC 2122.2.4(R4407.5.4) ❑ 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(R4405.9.12) (For tilt-up walls systems,inspect reinforcement as well) ❑ SPECIAL INSPECTOR FOR CURTAIN WALL,FBC 2414.7(R4410.5.7) ❑ SPECIAL INSPECTOR FOR STRUCTURAL GLAZING,FBC 2415.7.2(R4410.6.6.2) ❑ SPECIAL INSPECTOR FOR LIGHTWEIGHT INSULATING CONCRETE,FBC 1917.2(R4405.12.2) ❑ SPECIAL INSPECTOR FOR Note: Only the marked boxes apply. The following individual(s)employed by this firm,or me are authorized representatives to perform inspection 1. 2. 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 Fundamentals Examination;or registration as building inspector or general contractor. I (We) will notify the Miami-Dade County Building Official 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-Dade County Building Inspector. All mandatory inspections, as required by the Florida Building Code, must be performed by the County. The County 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 the completed inspection log form and a sealed statement indicating that to the best of my knowledge, belief and professional judgment those portions of the project outlined above meet the intent of the Florida Building Code and are in substantial accordance with the approved plans. Engineer/Architect Name Victor J. Bruce (PRINT) Address 370 NE 101st Street in Miami Shores Si'gnV and Sealed � k Date 02-05-15 Phone No. 305-310-5030 fdef $ e Cama T 1{,4 ttsskkeveryopportunKy pmsible to thank our M r �samazing dients > for their ort... EMPIRE T I T 1. 9 S V R V t N.E. 94th STREET i 20' ASPHALT PAVEMENT 0 0 N 15' PARKWAY N 470.22'br 100.00'(PXM) .. rFi b M h b h 11. 6' 24.85 aaa h x ' Mr. ^ 37.95' O ONE STORY J RESIDENCE U- O ti #1260 ti O ti 44.60' x " W LU Z 51 1 f. &' a ,ra it", .. Q .. M 3. 0' Q cc sw a :« as ss ffi 0 � a- 1 all 7 ' rasa• 8„m• a �z..a•3� izio a� � 0 of 100^28(P)(M) NOT INCLUDED Accepted By: roparty Address: 1260 N.E.94 STREET NOTES:NO NOTES MIAMI SHORES,FL 33138 BBRVEYOR'B CERTIFICA3ION1 THATTHIS'BOUNDARYSURVEY'ISATRUEAND CORRECT REPRESENTATION OF A ARID MY DIRECTION.THIS COMPLIES WITH THE MINIMUM M.E.Land Services,Inc. TECHNICAL STANDARDS, T FORTH BY 1HE TE OF FLORIDA BOARD OF PROFESSIONAL LAND SURVEYORS IN CHAP 17.FI,f$tiOAWiS1 TIVE CODE PURSUANTT0472.027,FLORIDA STATUTES. 10665 SW 190TH STREET SUITE 3110 SIGNED FOR THE FIRM MIAMI,FL 33157 MIG�UEtS Ad+.:Ie y. P.S.M.No.5101 FAX:PHONE:05)660-319033 6931gp 19 'Nor VAR7DVCRHODT 7fC ElEL JATUREANHE O AUTHENTICATED ELECTRONIC SEAL ANDIOR LB*6463 THISMAPIS NOTVALIDWIT APID TORIGINAL RAISED SEAL OF A LICENSED SURVEYOR AND MAPPER. ` 1y5� Not valid without all pages. Survey:A-46435 Client File#: E14-0051 Page 1 of 2 U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMS NO. 1660-0008 .Federal Emergency Management Agency I Expires March 31,2012 National Flood Insurance Program Important: Read the instructions On pages 1-9. SECTION A-PROPERTY INFORMATION Al, Building Owner's Name my KRISTEN A2. Building Street Addresstincluding Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. raprry 1!tt Nltber" 126(Y N.E. 94 STREET city MIAMI SHOZIP Code t9 FLORIDA 33138 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) Folio#: N/A A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) Residential A5. Latitude/Longkude:Lat. N25°51'44" Long. W80°10'22" Horizontal Datum: ❑ NAD 1927 IN NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number8 A& For a building with a crawispace or endosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace orenclosures) 2711 sq it a) Square footage of attached garage 400 sq it b) No.of permanent flood openings in the crawlspace or 12 b) No.of permanent flood openings in the attacf ed garage enclosure(s)within 1.0 foot above adjacent grade within 1.0 foot above adjacent grade c) Taal net area of flood openings in A8.b X72 sq in c) Total net area of flood openings in A9.b = sq in d) Engineered flood openings? ❑ Yes 91 No d) Engineered flood openings? ❑ Yes 91 No SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NF1P Community Name&Community Number 132.County Name B3.State 120652 MIAMI-DADE COUNTY 7FLORIDA B4.Map/Panel Number B5.Suffix 86.FIRM Index B7.FIRM Panel B8.Flood B9.Base Flood Elevation(s)(Zone Date Effective/Revised Date Zone(s) AO,use base flood depth) 12086CO306 L 9/11/2009 9/11/2009 AE 9.0 B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in item B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other(Describe) 1311. Indicate elevation datum used for BFE in Item 139: M NGVD 1929 ❑ NAVD 1988 ❑ Other(Describe) B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes ® No Designation Date N/A ❑ CBRS ❑ OPA SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* Pg 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,V1430,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO. 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 DatumNGVD 1929 Conversion/Comments N/A Check the measurement used. a) Top of bottom floor(including basement,c rawispace,or enclosure floor) 6.01 ®feet ❑meters(Puerto Rico only) b) Top of the next higher floor 8.32 ®feet ❑meters(Puerto Rico only) c) Bottom of the love horizontal structural member(V Zones oily) N/A ®feet ❑meters(Puerto Rico only) d) Attached garage(top of slab) 5.96 ®feet ❑meters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 6.84 ®feet ❑meters(Puerto Rico only) (Describe type of equipment and location in Comments) f) Lowest adjacent(finished)grade next to building(LAG) 5.81 ®feet ❑meters(Puerto Rico only) g) Highest adjacent(finished)grade next to building(HAG) 6.01 ®feet ❑meters(Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs,including N/A ®feet ❑meters(Puerto Rico only) structural support SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information. 1 certify that the Warnmiion on this Certiftate represents my best efforts to interpret the data avadable.l understand that any false statement may to punishable by fine or irWisonment under 18 U.S.Code, Section 1001. ®Check here if comments are provided on back of form. Were latitude and longitude In Section A provided by a JAL ESs licensed land surveyor? ® Yes ❑ No Certifier'sName MIGUEL ESPINOSA License Number 5101 Titlepany Name c9, PROFESSIONAL SURVEYOR&MAP Espinosa �� =�sc�• Addfg6g5 SW 190TH STREET ITE 3110 city State ZIP Code MIAMI FL 33157 Signature < Date Telephone Teiepttote(305)740-3319 FEMA Form 81- 1, Mar 09 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces,copy the corresponding information from Section A. Building Street Address(including Apt., Unit,Suite,and/or Bldg. No.)or P.O. Route and Box No. Polis #Mw 1260 N.E.94 STREET , City State ZIP Code `t UO m ,. , <. . .. MIAMI SHORES, FL 33138 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 LATITUDE LONGTITUDE PER GOOGLE,ATTACHMENTS=BUILDING PICTURES C2E=AC UNIT Signature Date 2/27/2014 ® Check here if attachments SECTION 5 ABUILDNG ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE),complete Items E1-E5. 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 for the 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 ❑meters ❑above or❑below the HAG. b)Top of bottom floor(including basement,crawlspace,or enclosure)is ®feet ❑meters ❑above or❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(seepages 8-9 of Instructions),the next higher floor (elevation C2.b in the diagrams)of the building is ®feet ❑meters ❑above or ❑below the HAG. E3. Attached garage(top of slab)is ®feet ❑meters ❑above or ❑below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ®feet ❑meters ❑above or❑glow the HAG. E5. 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? ❑Yes ❑ No ® Unknown. The local official must certify 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 test of my knowledge. Property Owner'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.❑ 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.❑ A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO, G3.❑ The following information(items G4-G9)is provided for community floodplain management purposes. G4.Permit Number G5. Date Permit Issued ["G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: ❑New Construction ❑Substantial Improvement G8. Elevation of as-built lowest floor(including basement)of the building: ®feet ❑meters(PR)Datum G9. BFE or(in Zone AO)depth of flooding at the building site: ®feet ❑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 Building Photographs Continuation Page For Insurance Company Use: Building Street Address(including Apt,Unit,Suite,and/or Bldg.No.)or P.O. Route and Box No. Policy Number 1260 N.E.94 STREET City State ZIP Code CornpanXNAICNumber MIAMI SHORES, FL 33138 If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken;"Front View"and"Rear View";and, if required, "Right Side View"and"Left Side View." D t3 � . evety opportunity sibleto thank po- , _ , amaz n , c I 1-+ C 00- for their support... all nk Yo,& ,& . Tha L re i Building Photographs Continuation Page For insurance Company Use: Building Street Address(including Apt, Unit,Suite,and/or Bldg. No.)or P.O. Route and Box No. Policy Number 1260 N.E.94 STREET City State ZIP Code Company NAICNumber MIAMI SHORES, FL 33138 If submitting more photographs than will fit on the preceding page, affix the additional photographs Blow. Identify all photographs with: date taken;"Front View"and"Rear View";and, if required, `Right Side View"and"Left Side View." ..I \(D 4-0 N I • ��TE THIS■ Complete items 1,2,and 3. A. Signature ■ Print your name and address on the reverse Xgent so that we can return the card to you. �7 Addressee ■ Attach this card to the back of the mailpiece, B. Rete y(Printed Name) C. [r ate of Delivery or on the front If space permits. 1. Article Addressed to: D. Is deliveryaddress different from ftem 7 ❑Yes 6;2- CONSO L(I r4 G`' GWV P� I N L If YES,enter delivery address below: ❑No PM: 3OAdr�v� 61425- Sw -33 (4y 111111111IIIIIIIIIIIIIIIIIIIIIIilllllllll IIIII 3. ServiceTye ❑Norlty Mall Bcp , ❑AdultSlgnature CReOstered McUT^" ❑Adult Signature Restricted Delivery ❑Registered Mall Restrioted 9590 9403 0604 5163 5726 62 p CertMed Mell Restricted Delivery 13Relietumv Receipt for ❑collect on Delivery Merchandise 2. Artfele Number(Transfer from sendae lahan 10 Couectnn DeQvety RasMatad naw— ❑ Co firnm iorim allon V Ps Form 381'' Mlpt UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No.G-10 • Sender: Please print your name, address, and ZIP+4®in this box• f��Ol� � Cov�v�y �✓� �/�-��a� USPS TRACKING# l I�IIi Ifll 11111111 ll 1111 111111 l I II III I II III I11��111�111111�11�i��llll�i]It��,{��IIIIIIItSIi}�l�jllil��jt,i 9 DEC 11 2014 judgment and knowledge of local/regional wage scales can provide additional guidance to determine reasonable labor rates for professional trades (i.e. electricians, plumbers, block masons, framing, HVAC). SUBSTANTIAL IMPROVEMENT OR SUBSTANTIAL DAMAGE ITEMS TO BE INCLUDED (Please check off each line) ALL STRUCTURAL ELEMENTS INCLUDING: [J Spread or continuous foundation footings and pilings [] Monolithic or other types of concrete slabs [] Bearing walls, tie beams and trusses []Wood or reinforced concrete decking or roofing [] Floors and ceilings []Attached decks and porches �] Interior partition walls [-4 Exterior wall finishes (e.g., brick, stucco or siding) including painting and decorative moldings �]Windows and doors [] Re-shingling or re-tiling a roof (� Hardware ALL INTERIOR FINISH ELEMENTS, INCLUDING: [] Tiling, linoleum, stone or carpet over sub-flooring 5(] Bathroom tiling and fixtures J]Wall finishes (e.g., drywall, painting, stucco, plaster, paneling, marble or other decorative finishes) [� Kitchen, utility and bathroom cabinets [] Built-in bookcases, cabinets and furniture [4 Hardware ALL UTILITY AND SERVICE EQUIPMENT, INCLUDING: [+� HVAC equipment fit] Repair or reconstruction of plumbing and electrical services fie] Light fixtures and ceiling fans [] Security systems [] Built-in kitchen appliances [J Central vacuum systems [J Water filtration, conditioning or recirculation systems L r ALSO: �.] Labor and other costs associated with demolishing, removing or altering building components [] Overhead and profit ITEMS TO BE EXCLUDED Plans and specifications Survey costs Permit fees Debris removal, (e.g., removal of debris from building or lot, dumpster rental, transport fees to landfill and landfill tipping fees), clean-up (e.g., dirt and mud removal, building dry out, etc.) Items not considered real property such as: throw rugs (carpeting over finished floors), furniture, refrigerators, appliances which are not built-in, etc. OUTSIDE IMPROVEMENTS, INCLUDING: Landscaping Sidewalks Fences Yard lights Swimming poolslspa Screened pool enclosures Sheds Gazebos Detached structures (incl. garages) Landscape irrigation systems Docks and Davits Seawalls Driveways Decks ITEMS REQUIRED TO EVALUATE YOUR APPLICATION APPLICANT MUST SUBMIT ALL OF THE FOLLOWING (please check off each item): 0 1. Completed and signed application for substantial damage/improvement review (included in this package). D 2. Elevation certificate if property is located above base flood elevation. 3. Property Owner's Substantial Damage or Substantial Improvement Affidavit signed, notarized and dated (included in package). 4. Contractor's Substantial Damage or Substantial Improvement Affidavit signed, notarized and dated (included in package). 5. Estimated Cost of reconstruction/improvement form (included in package) and all required backup. Include subcontractor's bids and itemized cost lists (see footnote on Cost Estimate Form). 6. This checklist. 7. Copy of construction contract. If the owner is the contractor, submit all subcontractor bids to document the cost estimate. SUBSTANTIAL IMPROVEMENT OR SUBSTANTIAL DAMAGE APPLICATION FOR SUBSTANTIAL DAMAGE OR SUBSTANTIAL IMPROVEMENT REVIEW Property Address: IZLO 06 q41 �c <S'�ES � �L 331�� Property Owner's Name* 1STF&J k�jsT)k� Property Owner' Address: A�0v lZJ" , FL- 33 (60 Pronerfy Owner's Phone lN6um r: S a Con ractor s Name: Contractor's _ Address: /�jL A) H9 rj N•l Jjc.%m, Contractor's Phone Number: -917 /q 877 Flood Zone C BFE Lowest Floor Elevation (Excluding garage or carport) Check one of the following: fit] I am attaching a State Certified Appraiser's report, valuing the structure at: [] I am not attaching a State Certified Appraiser's report and I accept the use of the valuation of my property that has been recorded by the County Property Appraiser's Office. SIGNATURES: Property Owner: Date: Contractor: Date: r2�Ty SUBSTANTIAL IMPROVEMENT OR SUBSTANTIAL DAMAGE PROPERTY OWNER'S SUBSTANTIAL DAMAGE OR SUBSTANTIAL IMPROVEMENT AFFIDAVIT Property Address: )' D N 6 qT2 , A491 Stinnes f 33/3 Contractor's Name. Properly Owner's Nafnp. I L-f mj ;AoTO Property Owner's Address: 900 C Lcv�1i7�H CLJQ PK AiOV AdENTV94 Ii Property Orer's5hone ' Number: (?aS L�39 16b 3 I hereby attest that the list of work and cost estimate submitted with my Substantial Damage or Substantial Improvement Application reflects ALL OF THE WORK TO BE CONDUCTED on the subject structure including all additions, improvements and repairs and, if the work is the result of Substantial Damage, this work will return.the structure at least to the"before damage"condition and bring the structure into compliance with all applicable codes. Neither I nor any subcontractor or agent will make any repairs or perform any work on the subject structure other than what has been included in the attached list. I UNDERSTAND THAT I AM SUBJECT TO ENFORCEMENT ACTION, WHICH MAY INCLUDE FINES, IF ANY INSPECTION OF THE PROPERTY REVEALS THAT 1, OR MY CONTRACTOR, HAVE MADE REPAIRS OR IMPROVEMENTS NOT INCLUDED ON THE ATTACHED LIST OF REPAIRS OR THE APPROVED BUILDING PLANS. See attached itemized list. STATE OF k COUNTY OF Before me this day na ly appeared a who, being duly sworn, de oses and says that he/she has read, understands, and agrees to comply with all the aforementio onditions. Property n istd ture Sworn su before me this day of ^c ��(� , 20 r y Notary blic State of Piet My commission expires JUDITH DEMILIO ' Notary Oublic-State of Florida • My Comm.Expires Jun 13,2017 Commission 8 FF 013940 ''� BOW ftuilkNational Notary MO. v 1 SUBSTANTIAL IMPROVEMENT OR SUBSTANTIAL DAMAGE CONTRACTOR'S SUBSTANTIAL DAMAGE OR Property Address: SUBSTANTIAL IMPROVEMENT AFFIDAVIT /26-0 Al$= Q4 S Contractor's Name: Contractor's Company Na e: - �(iA9d'9VgQ ��a�,$ �l®� Cie• Contractor's Address: /197 AIF— /« � ' Contractor's Phone Number: . �— Contractor's State Registration or Certification Number: r6-C Contractor's We Registration Number(if applicable): I hereby attest that I, or a member of my staff, personally inspected the subject property and produced the attached itemized list of repairs, reconstruction and/or remodeling which are hereby submitted for a Substantial Damage or Substantial Improvement Review. The list of work contains ALL OF THE WORK TO BE CONDUCTED on the subject property. If the property sustained Substantial Damage, this list of Work, will return the structure to at least its condition prior to damage and bring the structure into compliance with all applicable codes. I further attest that all additions, improvements or repairs proposed for the subject building are included in this estimate and that neither I nor any subcontractor or agent representing me will make any repairs or perform any work on the subject structure other than what has been included in the attached list. I UNDERSTAND THAT I AM SUBJECT TO ENFORCEMENT ACTION, WHICH MAY INCLUDE FINES, IF ANY INSPECTION OF THE PROPERTY REVEALS THAT I, OR MY CONTRACTOR, HAVE MADE REPAIRS OR IMPROVEMENTS NOT INCLUDED ON THE ATTACHED LIST OF REPAIRS OR THE APPROVED BUILDING PLANS. See attached itemized list. STATE OF C-L-�r,—, % i-^, COUNTY OF r% Before me this day personally appeared Cep I u �,.D who, being dul orn, dep�says she has read, understands, and a rees to comply��with�a}j�he afo ntioned g ' C ra rs Signature v� , S rn t and subscribed before me this day of ��L� ' ''p =er � -= Notary Pu a My commission expires: '% r Application Cost Estimate of Reconstruction / Improvement Number Date Address This cost estimate of reconstruction/improvement must be prepared by and signed by the contractor or by the owner if the owner acts as the contractor. Owners who act as their own contractors must estimate their labor cost at the current market value for any work they intend to perform. Sub-Contractor Bids Contractor or Owner Material Labor Costs Estimates 01V Costs_ -Z ®®D _I 15,000�� Bid Amounts (see note '$D") 1. Masonry 2. Carpentry Material (rough) 3. Carpentry Labor(rough) 4. Roofing 5. Insulation and Weather-strip 6. Exterior Finish (stucco) 7. Doors, Windows & Shutters 8. Lumber Finish 9. Hardware 10. Drywall 11. Cabinets(Built-in) 12. Floor Covering 13. Plumbing 14. Shower/Tub/Toilet 15. Electrical& Light Fixtures 16. Concrete 17. Built-in Appliances 18. HVAC 19. Paint 20. Demolition & Removal 21. Overhead & Profit Summary Appraisal Report Uniform Residential Appraisal Report File# 140301DEC 11 2014 The Purpose of this surnrnary appraisal report is to provide the lender/client with an accurate, and adequately su rted, opinion of the market value of the sub ect oropertv. E Property Address 1260 NE 94 STREET city MIAMI SHORES state FL zip code33138 i BorrowerN/A Owner of Public Record MUSTAD CounbM1AM1-DADE Legal Description ***See Additional Comments*** S: Assessor's Parcel# 11-32-05-010-0180 Tax Year 2013 R.E.Taxes$6,435 U Neighborhood Name MIAMI SHORES Map Reference5342-05 Census Tract 12.06 io—pantFILE;wner Tenant Vacant s al Assessments$ N/A PUD HOA$ r year r month J :.jE Property Rights Appraised X I Fee Simple L_jLeasehold L_jOther(describe) C Assignment Type I I Purchase Transaction Refinance Transaction I X I Other(describe) ASSET EVALUATION TLender/Client PRIVATE Address N/A Is the subject property currently offered for sale or has it been offered for sale in the twelve months prior to the effective date of theappraisal? Dil Yes 71 No Report data source(s) used, offering price(s), and date(s). MLS- SUBJECT WAS LISTED FOR SALE FOR $799,000 AND SOLD LAST WEEK I did did not analyze the contract for sale for the subject purchase transaction. Explain the results of the analysis of the contract for sale or why the analysis was not C performed. N/A Ni T° contract Price$N/A Date of Contract N/A Is the property seller the owner of public record? Yes No Data Source(s) N/A A`'.. Is there any financial assistance(loan charges, sale concessions,gift or downpayment assistance,etc.)to be paid by any party on behaff of the borrower? Yes No `, If Yes,report the total dollar amount and describe the items to be paid: N/A T Note:Race and the racial com sition of the net hborhood are nota ralsal factors. Nakiliborhood C One-Unk Trends One-Unit Housi Percent Land Use% N Location Urban X Suburban Rural Property Values X Increasing Stable Dedining PRICE AGE One-Unit 100.0 I Built-Up X Over 7.5% 25-75% Under25% DemX and/Supply Shortage InBalanceLai OverSupply $(000) (yrs) 2-4 Unit �(�` Growth Rapid X Stable Slow Marketing Tirrre I X I Under mth3-6mths Over6mihs 175 Low 30 Multi-Farit .H Neighborhood Boundaries NORTH OF NE 91 TERR SOUTH OF NE 105 ST EAST OF NE 2 2 1,300 High 95 Commerdal B O VE WEST OF THE BAY. 450 Prod. 60-65 Other % R Neighborhood Description PUBLIC PARKS SCHOOLS HOUSES OF WORSHIP SHOPPING TRANSPORTATION AND RECREATION REAS LOCATED NEARBY BUT DO NOT INTRUDE ON RESIDENTIAL AREAS. DOWNTOWN MIAMI IS LOCATED 5-10 MILES O SOUTH OF MIAMI SHORES WITH 1-95 AND BISCAYNE BLVD BEING THE MAIN ROADS. `D Market Conditions (including support for the above conclusions) MARKET VALUES ARE NOW INCREASING IN THE SUBJECT AREA WITH DEMAND HIGH AND INVENTORY LOW. MARKETING TIME IS LESS THAN 90 DAYS FOR PROPERTIES PRICED —ACCORDING TO CURRENT MARKET- PRICE PER SO FTSQI.DQ HA RISENIN I AW41. 110RESINTHR ST 12 MONTHS Dimenslons/OOx 151 Area 15100 shape RECTANGULAR View STREET/AVG Specific Zoning ClasslflcationR-25 Zoning Description SINGLE FAMILY Zoning Compliance X Legal Legal Nonconforming(Grandfathered Use) No Zoning Illegal(describe) Is the highest and best use of the subject propertyas improved(oras proposed per plans and specifications)the present use? LXJY. No If No,describe s: Utilities Public Other describe Public Other(describe) Offsite Improvements—TypoImproventents—Typo Public Private I Electricity X water FYIstreet ASPHALT X T'; Gas L_X_1 L I sanitary sewer X SEPTIC TANK AlleyNONE FEMA Special Flood Hazard Area Wyss No FEMA Flood Zone AE FEMA Map No.12086CO306L FEMA Map Date 09/11/2009 Are the utilities and off-site improvements typical for the market area? FX]Yes I I No. It No,describe Are there any adverse site conditions or external factors(easements,encroachments,environmental conditions.land uses,etc.)? Yea X No It Yea,describe SEPTIC TA NKS ARE COMMON FOR THE AREA SEWER NOT AVAILABLE. Qwwwal Description Foundation Exterior Description rnstartabacondition Grterlor nuderlawcondtton units I X I one One with Accessory unit Concrete slab 7X7 Crawl Space Foundation Walls CONCRETE/AVG Floors CUBAN TLE/AV #of stories 1 Full Basement Partial Basenteni Exterior Walls CBS/AVERAGE Walls PLASTER/A VG Type X Det Att. S-DettEndUnit Basement Area sq.it Roof surface CONCTILE/AVG TrinVFinish WOOD/AVG X Existing Prounder Consi Basement Finish % Gutters&Downspouts ADE /AVG Bath Floor CER/AVG Design(style) RANCH I I Outside Entry/Exit Sump Pump Window Type SINGLE HUNG/AVG *Bath Walnscot CFRIA VCYear Built 1956 Evldnm of Infestation Storm Sash/Insulated NONE Stora a None Effective A e rs 2 Dam Tress Settlement Screens Driveway #of care 2 Attic None Heating X FWA HWBB Radian Armenitles Woodstove(s)# way Surface BRKPVR Drop Stair Stairs Other Fuel Flreplaco(s)# X Fence CILGarage #of Cars 2 MFloor X scuttle Cooling X Central Air Conditioning X Patio/DeckBRK X Porch OPNCa rt #of CarsP Finished Heated Individual Other X Pool OtherAtt. Det X Built-In 0Appliances Refrigerator X Range/Oven 1 X 1 Dishwasher XI DisposalDisposall X I Micrawa-1 X I Washer/Dryer I X I Other(describe) GENERA TOR V_ Finished area above grade contains: 7 Rooms 3 Bedrooms 2 Bath(s) 2,640 Square Feet of Gross Living Area Above Grade Additional features (special energy efficient items, etc.) FULL SERVICE GENERATOR E H,' Describe the condition of the property (including needed repairs, deterioration, renovations, remodeling, air.). 1 STORY HOUSE WITH ORIGINAL T CUBAN FLOORS PLASTER WALLS LARGE BRICK PAVER DRIVEWAY AND PATIO AROUND POOL, ACCORDION SHUTTERS Are there any physical deficiencies or adverse conditions that affect the livability,soundness, or structural integrity of the property? I IYea X No If Yes,describe Does the property generally contorn to the neighborhood (functional utility, style, condition, use, construction, etc.)? X Yes Lj No if No,describe Freddie Mac Form 70 March 2005 Page 1 of 6 Fannia Mae Form 1004 March2005 TAYLOR MADE APPRAISALS Summary Appraisal Report Uniform Residential Appraisal Report Filen 1403012 There are I I comparable properties currently offered for sale in the subject neighbori.oad ranging in price from$ 560 000.00 to $ 1,500,000.00 There are 16 cora arable sales in the sub ect nei hborhood within the Pastt twelve months naina in sale prim from$ to $ FEATURE SUBJECT COMPARABLE SALE#1 COMPARABLE SALE#2 COMPARABLE SALE#3 1260 NE 94 STREET 1020 NE 99 STREET 1006 NE 97 STREET 1270 NE 98 STREET Address MIAMI SHORES FL 33138 MIAMI SHORES MIAMI SHORES MIAMI SHORES Proximity to Subject 0.38 miles NW 0.31 miles NW 0.25 miles N Sale Price $ N/A Is 840,000 Fs 751 750 $ 775.000 Sale Price/Gross Liv.Area$ sq.R. $ 355.78 sq.ff. $ 328.71 sq-ft- $ 355.02 sq.ff. Data Source(s) REAL VEST/MLS REAL UESTMITS REAL UEST/NILS Verification Soures(s) 21 DOM 150 DOM 91 DOM VALUE ADJUSTMENTS DESCRIPTION DESCRIPTION +_)$Adjustrnent DESCRIPTION Adjustment DESCRIPTION +-}$Adjustment Sale or Financing CONVENTIONAL CONVENTIONAL CONVENTIONAL Concessions ONE NOTED NONE NOTED NONE NOTED Date of Sale/Time 11/13 1/14 8/13 Location GOOD A VG/GOOD +50 000 A VG/GOOD +50,000 GOOD '., Leasehold/Fee Simple Fee&M"l Fee Sjm le Fee Sim le Fee Simple site 15,100 12,965 110,500 12,263 View STREET/AVG STREET/AVG STREET/AVG STREET/AVG Design(Style) RANCH RANCH RANCH RANCH Quality of construction CBS/AVG CBS/AVG CBS/AVG CBS/AVG Aural Age A58IE20 A541E15 ADJBLWA661E A 55IE20 Condition AVERAGE/GD GOOD -100 000 A VG/GOOD+ -50 000 VG/GOOD+ -50,000 8d..Above Grade Total Bd . Baths Total Bdrms. Baths Total Bd.. Baths Total Bdrrna. Baths S Room Count 7 3 2 8 4 3.5 /5 000 6 3 2 ADJHLW 6 1 3 1 2 ADJBL A Gross Living Area 1640 sq.ft. 2,361 sq.ft. +34,900 2,287 sq.ff. +44100 2,183 sq.ff. +57100 L Basement a Rnished NONE NONE NONE A TTACHED 5 Rooms Below Grade 1 BED/I BATH -10,000 Functional Utility AVERAGE A VE AGE AVEAGE AVEAGE C HeatinglCooling CENTRAL CENTRAL CENTRAL CENTRAL O MI Energy Efficient Items STANDARD STANDARD STANDARD STANDARD P Garage/carport. 2 CAR GARAGE 2 CAR GARAGE 2 CAR GARAGE 2 CAR GARAGE A Porolwatiomed, POOL/PATIO POOL/PATIO POOLIPA TIO POOL/PATIO R I S' Q Net Adjustment(Total) X - $ -30100 X $ 44.100 F X A Adjusted Sale Price Net Adj. 3.58 % Net Adj. 5,87 % Net Adj. 0.37 % of Com tables Gross Ad. % $ Gross Ad. /9 % $ 7 Gross Adl. 1 % $ / P.. I X did did not research the sale or transfer history of the subject property and comparable sales. If not,explain R- 0 A H.. M research X did did not reveal an riot salsa or transfers of the subject property for the three ars dor to the effective date of this a reisal. Data Sourm(s) REAL UEST My research did X did not reveal any prior sales or transfers of the comparable sales for the prior year to the date of sale of the comparable sale. Date Source(s) REAL UEST Report the results of the research and analysis of the prior sale or transfer history of the subject property and comparable sales(report additional prior sales on page 3). ITEM I SUBJECT COMPARABLE SALE#t COMPARABLE SALE 92 COMPARABLE SALE#3 Date of Prior Salerrmnsfer 1312014 NIA NIA NIA Price of Prior Salerrransfer 780,000 Date Source(s) PUBLIC RECORDS PUBLIC RECORDS PUBLIC RECORDS PUBLIC RECORDS Effective Date of Data Sources 312112014 312112014 312112014 31 112014 Analysis of prior sale or transfer history of the subject property and comparable sales SUBJECT HAS TRANSFERRED IN THE LAST 36 MONTHS. Summary of Sales Comparison Approach ***See Additional Comments *** COMPS USED IN THE REPORT ARE ALL EAST OF BISCAYNE BLVD. HOWEVER CO MPS 1 AND 2 ARE VERY CLOSE TO BISCAYNE BLVD AND DEEMED TO HAVE AN INFERIOR LOCATION. COMP I WAS EXTREMELY UPGRADED AND ADJUSTED FOR CONDITION. COMPS 2 AND 3 HAD MORE UPGRADES THAN THE SUBJECT BUT NOT AS MANY AS COMP 1. Indicated Value by Sales Comparison roach$780.000 -R lxacated value by: Sates comparison Approach$ 780,000 cost Approach (if devaloped) $ 789,700 Irmens Approach (ff $ 15 EMPHASIS WAS PLACED ON THE SALES COMPARISON APPROACH WHICH BEST REFLECTS THE ACTIONS OF BUYERS 0 AND SELLERS IN THE MARKET PLACE. N C This appraisal Is made X "as is," subject to completion per plans and specifications on the basis of a hypothetical condrdon that the Improvements have been completed,= subject to the following repairs or alterations on the basis of a hypothetical condition that the repairs or alterations have been completed,or =subjectto the I-'. following required inspection based on the extraordinary assumption that the condition or deficiency does not require alteration or repair: INCOME APPROACH NOT APPLIED. LACK OF RENTAL DATA TO ESTABLISH A RELIABLE GRM. ***See Additional Comments *** -.'.:I..' Based m a complete visual- Inspection of the Irrtmior and exterior areas of the subject property, defined scope of work, statement of assumptions and amking p: conditions, and apprelseYs cerUflcellm my (our) opinion of the market value, as defined, of the real property that Is tM subject of this report Is N $ 8 as of2014 which Is the date of inspection and the effective date of Nis a Freddie Mac Form 70 March 2005 Page 2 of 6 Fannie Mae Forml 004 March2006 TAYLOR MADE APPRAISALS Summary Appraisal Repon Uniform Residantial Appraisal Report Fife# 1403012 COMPLETE VISUAL INSPECTION:A complete visual inspection includes a viewing o the readily accessible areas o the sub'ect proj2erty. The appraiser has made an exterior and interior walking tour of the prol2erty, identified relevant amenities viewed the general quality and condition of the amenities evaluated the conformity of the sub'ect property to the neighborhood. and noted the effective age o the fm rovements. This is not a home ins ection and the appraiser is not actiniz as a home inspector when preparing the report. It is recommended that the borrower have the i2roi2erly inspected by professional home inspector. When inspecting the sub'ect property, the appraiser visually observed areas of the residence that were readily accessible and tested a random sample ohouses stem components in accordance with FHA jzuidelines. The appraiser is not required to disturb or move anything that obstructs access or visibility. The inspection is not technicalji exhaustive and does not ojEer warranties or guarantees ofaM kind. A D 0` 1< T (: O N L C 0 N T' S` COST APPROACH TO VALUE (rot requlred by Fannie Pme) Provide adequate infomuation for the lender/client to replicate the below coat figures and calculations. Support for the opinion of site value(summary of comparable land sales or other methods for estimating site value) LAND VA UE TAKEN FROM ONE LAND SALE ON NE 94 ST AND SA LE ON 91 TERRACE FROM THIS YEAR. C 0 IS '"(`'. ESTIMATED REPRODUCTION OR X REPLACEMENT COST NEW OPINION OF SITE VALUE..........................................................................._$, 350,000 source of cost dam LOCAL BUILDERS Dwelling 2,640 sq.Ft.0$ 200 .._$ 528,000 A dm Quality rating from cost service GOOD EHeve data of cost data ................ 3/21/2014 Sq.Ft.0$ .._$ ..... P Comments on Cost Approach(gross living area calmlatlons,depredation,etc.) APPLIANCES/GENERATOR 15,00 R''SEE SKETCH FOR LAYOUT OF SUBJECT. REMAINING Gamae/Carport 625 Sq.Ft.a$ 50 .......................=$ 31,250 ECONOMIC LIFE IS 40 YEARS. Tocol Estimate _$ 574250 G'. Less Physioal Functional EA. I H Depredation 189 503 =$( 189,503 ) Depredated Cost of Improvements..............................................................=$ 384,747 'As-is' Value of Site Improvements.............................................................:$ 55,000 POOLIPATIO .......................=$ Estimated RernaWng Economic Lim HUD and VA only) 0 Years Indicated Value Ry Cost Approach.........................................................=$ 789.747 tl: WCOWAPPROACH TO VALUE (rot reWred by Fannia Mao N C Estimated Monthly Market Rent$ X Gross Rent Multiplier =$ Indicated ValuebylncomeApproach 0. Summary of Income Approach(including support for market rent and GRM) M E PROJECT UffORMATIM FOR PUDs (If ) PIs the developer/builder in control of the Homeowners' Association (HOA)7 F 1Y.. No Unit type(s) Detached Attached V Provide the following Information for PUDs ONLY if the developer/builder is in control of the HOA and the subject property is an attached dwelling unit. D Legal name of project Total number of phases Total number of units Total number of units sold Total number of units rented Total number of units for sale Data Source(s) F- Was the project created by the conversion of wdsting building(s)Into a PUD? Yes No If Yes,date of conversion 0 Does the project contain any multi-dwelling units? I Yes No Data Souroe(s) R Are the units, commm on elements,and recreation facilities complete? Yes =No If No,describe the stcompletion.. atus of A T Q_ Are the common elements leased to or by the Homeowners'Assodation? Yes No If Yes,describe the rental temas and options. N Describe common elements and recreational mdlities Freddie Mac Forth 70 March 2005 Page 3 of 6 FannieMae Form 1004 March2005 TAYLOR MADE APPRAISALS Summary Appraisal Report Uniform Residential Appralsal Report File# 1403012 This report form is designed to report an appraisal of a one-unit property or a one-unit property with an accessory unit; including a unit in a planned unit development (PUD). This report form is not designed to report an appraisal of a manufactured home or a unit in a condominium or cooperative project. This appraisal report is subject to the following scope of work, intended use, intended user, definition of market value, statement of assumptions and limiting conditions, and certifications. Modifications, additions, or deletions to the intended use, intended user, definition of market value, or assumptions and limiting conditions are not permitted. The appraiser may expand the scope of work to include any additional research or analysis necessary based on the complexity of this appraisal assignment. Modifications or deletions to the certifications are also not permitted. However, additional certifications that do not constitute material alterations to this appraisal report, such as those required by law or those related to the appraiser's continuing education or membership in an appraisal organization, are permitted. SCOPE OF WORK: The scope of work for this appraisal is defined by the complexity of this appraisal assignment and the reporting requirements of this appraisal report form, including the following definition of market value, statement of assumptions and limiting conditions, and certifications. The appraiser must, at a minimum: (1) perform a complete visual inspection of the interior and exterior areas of the subject property, (2) inspect the neighborhood, (3) inspect each of the comparable sales from at least the street, (4) research, verify, and analyze data from reliable public and/or private sources, and (5) report his or her analysis, opinions, and conclusions in this appraisal report. INTENDED USE: The intended use of this appraisal report is for the lender/client to evaluate the property that is the subject of this appraisal for a mortgage finance transaction. INTENDED USER: The intended user of this appraisal report is the lender/client. DEFINITION OF MARKET VALUE: The most probable price which a property should bring in a competitive and open market under all conditions requisite to a fair sale, the buyer and seller, each acting prudently, knowledgeably and assuming the price is not affected by undue stimulus. Implicit in this definition is the consummation of a sale as of a specified date and the passing of title from seller to buyer under conditions whereby: (1) buyer and seller are typically motivated; (2) both parties are well informed or well advised, and each acting in what he or she considers his or her own best interest; (3) a reasonable time is allowed for exposure in the open market; (4) payment is made in terms of cash in U. S. dollars or in terms of financial arrangements comparable thereto; and (5) the price represents the normal consideration for the property sold unaffected by special or creative financing or sales concessions' granted by anyone associated with the sale. 'Adjustments to the comparables must be made for special or creative financing or sales concessions. No adjustments are necessary for those costs which are normally paid by sellers as a result of tradition or law in a market area; these costs are readily identifiable since the seller pays these costs in virtually all sales transactions. Special or creative financing adjustments can be made to the comparable property by comparisons to financing terms offered by a third party institutional lender that is not already involved in the property or transaction. Any adjustment should not be calculated on a mechanical dollar for dollar cost of the financing or concession but the dollar amount of any adjustment should approximate the market's reaction to the financing or concessions based on the appraiser's judgment. STATEMENT OF ASSUMPTIONS AND LIMITING CONDITIONS: The appraiser's certification in this report is subject to the following assumptions and limiting conditions: 1. The appraiser will not be responsible for matters of a legal nature that affect either the property being appraised or the title to it, except for information that he or she became aware of during the research involved in performing this appraisal. The appraiser assumes that the title is good and marketable and will not render any opinions about the title. 2. The appraiser has provided a sketch in this appraisal report to show the approximate dimensions of the improvements. The sketch is included only to assist the reader in visualizing the property and understanding the appraiser's determination of its size. 3. The appraiser has examined the available flood maps that are provided by the Federal Emergency Management Agency (or other data sources) and has noted in this appraisal report whether any portion of the subject site is located in an identified Special Flood Hazard Area. Because the appraiser is not a surveyor, he or she makes no guarantees, express or implied, regarding this determination. 4. The appraiser will not give testimony or appear in court because he or she made an appraisal of the property in question, unless specific arrangements to do so have been made beforehand, or as otherwise required by law. 5. The appraiser has noted in this appraisal report any adverse conditions (such as needed repairs, deterioration, the presence of hazardous wastes, toxic substances, etc.) observed during the inspection of the subject property or that he or she became aware of during the research involved in performing this appraisal. Unless otherwise stated in this appraisal report, the appraiser has no knowledge of any hidden or unapparent physical deficiencies or adverse conditions of the property (such as, but not limited to, needed repairs, deterioration, the presence of hazardous wastes, toxic substances, adverse environmental conditions, etc.) that would make the property less valuable, and has assumed that there are no such conditions and makes no guarantees or warranties, express or implied. The appraiser will not be responsible for any such conditions that do exist or for any engineering or testing that might be required to discover whether such conditions exist. Because the appraiser is not an expert in the field of environmental hazards, this appraisal report must not be considered as an environmental assessment of the property. 6. The appraiser has based his or her appraisal report and valuation conclusion for an appraisal that is subject to satisfactory completion, repairs, or alterations on the assumption that the completion, repairs, or alterations of the subject property will be performed in a professional manner. Freddie Mac Form 70 March 2005 Page 4 of 6 Fannie Mae Form 1004 March2005 TAYLOR MADE APPRAISALS Summary Appraisal Report Uniform Residential Appralsal Report File# 1403012 APPRAISER'S CERTIFICATION: The Appraiser certifies and agrees that: 1. 1 have, at a minimum, developed and reported this appraisal in accordance with the scope of work requirements stated in this appraisal report. 2. 1 performed a complete visual inspection of the interior and exterior areas of the subject property. I reported the condition of the improvements in factual, specific terms. i identified and reported the physical deficiencies that could affect the livability, soundness, or structural integrity of the property. 3. 1 performed this appraisal in accordance with the requirements of the Uniform Standards of Professional Appraisal Practice that were adopted and promulgated by the Appraisal Standards Board of The Appraisal Foundation and that were in place at the time this appraisal report was prepared. 4. 1 developed my opinion of the market value of the real property that is the subject of this report based on the sales comparison approach to value. 1 have adequate comparable market data to develop a reliable sales comparison approach for this appraisal assignment. 1 further certify that I considered the cost and income approaches to value but did not develop them, unless otherwise indicated in this report. 5. 1 researched, verified, analyzed, and reported on any current agreement for sale for the subject property, any offering for sale of the subject property in the twelve months prior to the effective date of this appraisal, and the prior sales of the subject property for a minimum of three years prior to the effective date of this appraisal, unless otherwise indicated in this report. 6. 1 researched, verified, analyzed, and reported on the prior sales of the comparable sales for a minimum of one year prior to the date of sale of the comparable sale, unless otherwise indicated in this report. 7. 1 selected and used comparable sales that are locationally, physically, and functionally the most similar to the subject property. 8. 1 have not used comparable sales that were the result of combining a land sale with the contract purchase price of a home that has been built or will be built on the land. 9. 1 have reported adjustments to the comparable sales that reflect the market's reaction to the differences between the subject property and the comparable sales. 10. I verified, from a disinterested source, all information in this report that was provided by parties who have a financial interest in the sale or financing of the subject property. 11. 1 have knowledge and experience in appraising this type of property in this market area. 12. 1 am aware of, and have access to, the necessary and appropriate public and private data sources, such as multiple listing services, tax assessment records, public land records and other such data sources for the area in which the property is located. 13. 1 obtained the information, estimates, and opinions furnished by other parties and expressed in this appraisal report from reliable sources that 1 believe to be true and correct. 14. 1 have taken into consideration the factors that have an impact on value with respect to the subject neighborhood, subject property, and the proximity of the subject property to adverse influences in the development of my opinion of market value. 1 have noted in this appraisal report any adverse conditions (such as, but not limited to, needed repairs, deterioration, the presence of hazardous wastes, toxic substances, adverse environmental conditions, etc.) observed during the inspection of the subject property or that I became aware of during the research involved in performing this appraisal. 1 have considered these adverse conditions in my analysis of the property value, and have reported on the effect of the conditions on the value and marketability of the subject property. 15. 1 have not knowingly withheld any significant information from this appraisal report and, to the best of my knowledge, all statements and information in this appraisal report are true and correct. 16. 1 stated in this appraisal report my own personal, unbiased, and professional analysis, opinions, and conclusions, which are subject only to the assumptions and limiting conditions in this appraisal report. 17. 1 have no present or prospective interest in the property that is the subject of this report, and 1 have no present or prospective personal interest or bias with respect to the participants in the transaction. I did not base, either partially or completely, my analysis and/or opinion of market value in this appraisal report on the race, color, religion, sex, age, marital status, handicap, familial status, or national origin of either the prospective owners or occupants of the subject property or of the present owners or occupants of the properties in the vicinity of the subject property or on any other basis prohibited by law. 18. My employment and/or compensation for performing this appraisal or any future or anticipated appraisals was not conditioned on any agreement or understanding, written or otherwise, that 1 would report (or present analysis supporting) a predetermined specific value, a predetermined minimum value, a range or direction in value, a value that favors the cause of any party, or the attainment of a specific result or occurrence of a specific subsequent event (such as approval of a pending mortgage loan application). 19. 1 personally prepared all conclusions and opinions about the real estate that were set forth in this appraisal report. If I relied on significant real property appraisal assistance from any individual or individuals in the performance of this appraisal or the preparation of this appraisal report, 1 have named such individual(s) and disclosed the specific tasks performed in this appraisal report. 1 certify that any individual so named is qualified to perform the tasks. 1 have not authorized anyone to make a change to any item in this appraisal report; therefore, any change made to this appraisal is unauthorized and I will take no responsibility for it. 20. 1 identified the lender/client in this appraisal report who is the individual, organization, or agent for the organization that ordered and will receive this appraisal report. Freddie Mac Form 70 March 2005 Page 5 of 6 Fannie Mae Form1004March2005 TAYLOR MADE APPRAISALS Summary Appraisal Report Uniform Residential Appraisal Report File# 1403012 21. The lender/client may disclose or distribute this appraisal report to: the borrower; another lender at the request of the borrower; the mortgagee or its successors and assigns; mortgage insurers; government sponsored enterprises; other secondary market participants; data collection or reporting services; professional appraisal organizations; any department, agency, or instrumentality of the United States; and any state, the District of Columbia, or other jurisdictions; without having to obtain the appraiser's or supervisory appraiser's (if applicable) consent. Such consent must be obtained before this appraisal report may be disclosed or distributed to any other party (including, but not limited to, the public through advertising, public relations, news, sales, or other media). 22. 1 am aware that any disclosure or distribution of this appraisal report by me or the lender/client may be subject to certain laws and regulations. Further, I am also subject to the provisions of the Uniform Standards of Professional Appraisal Practice that pertain to disclosure or distribution by me_ 23. The borrower, another lender at the request of the borrower, the mortgagee or its successors and assigns, mortgage insurers, government sponsored enterprises, and other secondary market participants may rely on this appraisal report as part of any mortgage finance transaction that involves any one or more of these parties. 24. If this appraisal report was transmitted as an "electronic record" containing my "electronic signature," as those terms are defined in applicable federal and/or state laws (excluding audio and video recordings), or a facsimile transmission of this appraisal report containing a copy or representation of my signature, the appraisal report shall be as effective, enforceable and valid as if a paper version of this appraisal report were delivered containing my original hand written signature. 25. Any intentional or negligent misrepresentations) contained in this appraisal report may result in civil liability and/or criminal penalties including, but not limited to, fine or imprisonment or both under the provisions of Title 16, United States Code, Section 1001, et seq., or similar state laws. SUPERVISORY APPRAISER'S CERTIFICATION: The Supervisory Appraiser certifies and agrees that: 1. 1 directly supervised the appraiser for this appraisal assignment, have read the appraisal report, and agree with the appraiser's analysis, opinions, statements, conclusions, and the appraiser's certification. 2. 1 accept full responsibility for the contents of this appraisal report including, but not limited to, the appraiser's analysis, opinions, statements, conclusions, and the appraiser's certification_ 3. The appraiser identified in this appraisal report is either a sub-contractor or an employee of the supervisory appraiser (or the appraisal firm), is qualified to perform this appraisal, and is acceptable to perform this appraisal under the applicable state law. 4. This appraisal report complies with the Uniform Standards of Professional Appraisal Practice that were adopted and promulgated by the Appraisal Standards Board of The Appraisal Foundation and that were in place at the time this appraisal report was prepared. 5. If this appraisal report was transmitted as an "electronic record" containing my "electronic signature," as those terms are defined in applicable federal and/or state laws (excluding audio and video recordings), or a facsimile transmission of this appraisal report containing a copy or representation of my signature, the appraisal report shall be as effective, enforceable and valid as if a paper version of this appraisal report were delivered containing my original hand written signature. APPRAISER SUPERVISORY APPRAISER(ONLY IF REQUIRED) Signature ��. Signature Name Scott J.Taylor Lr Name Company Name TAYLOR MADE APPRAISALS Company Name Company Address 6517 TAFT ST 4205 Company Address HOLLYWOOD.FL 33024 Telephone Number 9543261811 Telephone Number Email Address TA YLORMADE1996@AOL.COM Email Address Date of Signature and Report March 25,2014 Date of Signature Effective Date of Appraisal MARCH 21,2014 State Certification# State Certification# CERT RES RD2881 or State License# or State License# State or Other E;Wirafion Date of Certification or License State FL E piration Date of Certification or License 1113012014 SUBJECT PROPERTY ADDRESS OF PROPERTY APPRAISED E] Did not inspect subject property 1260 NE 94 STREET 0 Did inspect e)dedor of subject property from street MIAMI SHORES.FL 33138 Date of Inspection APPRAISED VALUE OF SUBJECT PROPERTY $ 780,000 0 Did inspect interior and a#erior of subject property LENDER/CLIENT Date of Inspection Name COMPARABLE SALES Company Name PR/NATE Company Address N/A Q Did not inspect e)denor of comparable sales from street 0 Did inspect e)dedor of comparable sales from street Email Address Date of Inspection Freddie Mac Form 70 March 2005 Page 6 of 6 Fannie Mae Forrn 1004 March2005 TAYLOR MADE APPRAISALS File No. 1 03012 Borrower or Owner N/A Property Address 1260 NE 94 STREET city MIAMI SHORES County MIAMI-DADE state EL zip code 33138 Lender or C6erd PRIVATE LEGAL DESCRIPTION MIAMI SHORES BAY VIEW PB 40-16 W 60FT OFLOT 20 &E40FT OFLOT 21 NEIGHBORHOOD DESCRIPTION SCHOOLS FOR ALL AGES ARE LOCATED WITHIN MIAMI SHORES BOTH PUBLIC AND PRIVATE. BARRY UNIVERSITY, A FOUR YEAR COLLEGE ISLOCA TED IN MIAMI SHORES. SALES COMPARISON APPROACH THE SUBJECT HAS A CURRENT MARKET VALUE OF$780,000. WITH A RECENT LAND SALE LOCATED AT 1275 NE 94 STREET WITH 9,375 SQ FT SOLD FOR$300,000, ITAPPEARS THE SUBJECT WOULD HA VE A LAND VAL UE OF$375,000 SINCE IT IS A LARGER LOT BUT SAME LOCATION NEAR THE BAY. THERE IS ANOTHER RECENT SALE ON NE 91 TERRACE FOR $145,000 BUT IS NOT NEAR THE BAY OR EAST OF NE 10A VE THEREFORE, THE MARKET VALUE OF THE SUBJECT'S STRUCTURE WITHOUT THE LAND IS$405,000 AS OF MARCH 21, 2014. CONDITIONS OF APPRAISAL DIGITAL SIGNATURES ARE PASSWORD PROTECTED AND CONSIDERED ORIGINAL. TAYLOR MADE APPRAISALS File No. 1 03012 SKETCH ADDENDUM Borrower or Owner N/A Property Address 1260 NE 94 STREET city MIAMI SHORES county MIAMI-DADE state PL zip code 33138 Client PRIVATE Y U W 0 aPool Y t0 BRK PVR DECK 35' BRK PVR DECK Brkfst Area 18, Family Room 45' MasterBedroom Kitchen 40' Bedroom Bedroom 28' Living Room Dining Room Master 25' Bath Bath 4. W. 40' 25' 2 CAR GARAGE 25- 25* LMV Area First Floor First Floor 2640 248 35.0 X 40.0 = 1400.0 45.0 X 24.0 = 1080.0 Garage 40.0 X 4.0 = 160.0 Garage 625 100 Total 2640.0 a,R ON,.r s�raur r�os�aaare TAYLOR MADE APPRAISALS File No. 1403012 PHOTOGRAPH ADDENDUM Borrower or Owner N/A Property Address 1160 NE 94 STREET City MIAMI SHORES county MIAMI-DADE State FL zip code 33138 client PRIVATE - y i FRONT VIEW OF SUBJECT PROPERTY REAR VIEW OF SUBJECT PROPERTY z STREET SCENE OF SUBJECT PROPERTY TAYLOR MADE APPRAISALS Fila No 140301 PHOTOGRAPH ADDENDUM' Borrower or owner N/A Property Address 1260 NE 94 STREET City MIAMI SHORES county MIAMI-DADE state FL Zip Code 33138 Client PRI VATE COMPARABLE#1 .: 1020 NE 99 STREET MIAMI SHORES p, a Price $840,000 s Price/SF 355.78 Date 11/13 Age A54/E15 r ° Room Count 8-4-3.5 LivingArea 2,361 Value Indication $809,900 1 r, COMPARABLE#2 1006 NE 97 STREET MIAMI SHORES Price $751,750 "-- - �✓ Price/SF 328.71 Date 1114 Age A66/E Room Count 6-3-2 LivingArea 2,287 Wall Value Indication $795,850 77 COMPARABLE#3 1270 NE 98 STREET MIAMI SHORES Price $775,000 Price/SF 355.02 Date 8113 Age A55IE20 js. Room Count 6-3-2 Living Area 2,183 ` Value Indication $772,100 u TAYLOR MADE APPRAISALS File No 1403012 PHOTOGRAPH ADDENDUM Borrower or Owner N/A Property Address 1260 NE 94 STREET City MIAMI SHORES county MIAMI-DADS state EL zip Code 33138 Cl.—I PRIVATE z LIVING ROOM/DINING ROOM r � 00 m y BEDROOM '. A.r'l r TAYLOR MADE APPRAISALS File No, 1403012 Location Map Borrower or Owner N/A Property Address 1260 NE 94 STREET City MIAMI SHORES county MIAMI-DADS State PL zip Code 33138 Client PRIVATE HIGHLANDS till :i BRIAN r xaa Eer 3caNE 135th S€E# } st . ,_. GREEN OAKS ;"� txr?rdr ttd «3 tyII IRONS MANOR 3c�aa€sara� � � - .a S;ERa�'t'�t`O[7 Twa�,0.NOR ke�t.T�sxtt�cr� �vadex a Untiueasiiy 3'apw' GLADES a .a_ Aitrst4x. ''�*7 9A VERBROOK NE 125 x:922 x, Ini=39ra� i_, , NE 123 d St- vE a2*,ee,St _ SHORES s NE 121ST St ., s _ 1 - SAN SESa#0 � ...._ .. E'STA"b'ES § W 11-9ok s't. ^R2b t Y, Y3} � E&CAy E PARK NW 115th St / fisE t14if St NE 113th St Badry << ` N 1111th Sit 3 University m av - cS CL ry t NE 1a8cnt � �� " STREETk E �a � rEET " M~SHORES FL 33 M 4D.�25 mz;r-Pu.ES FL 337 3& NE 1: 038mksNW ""3r.?€t .. d'P1SC54SIC.fl &moi rn > SHORES .�.,6a mE a °c a s" conw2 Sat _ NE 141st SL 1008 4+�.Eta STREET 1250NE94STREES T r MIAM SHORES.FL 33138 WP,}rHORES FL 33,U ffwes,d+m ,= EL POMAL NE S80)St tsfzx NE 861h St Z „ c 8 8 5th t #t 2nd St LITTLE RIVE;, t � NE 82nd 5i_ Slat St NIET9thS# € cacE, r�34� .: g� yrtvE'79th' t __ �y aPttenec5q NW 79th St m ivp a UPPER EAST NE S7 , t� NW 62 t ' CFNTER N� W,,d 5t NE(,I-,t St r 41 2B x %� ORNfNC'"5i6E - �. # rtesgsef Sr/�1: , , �^ Nu. 541H 5# NE 154th S#- ParkM 4 E52ndS# = r #” t TAYLOR MADE APPRAISALS File No. 1403012 a ATE OF FLORAM vao"SoXMIAL MA P9r 33317 b Of 1 ,&;MW lir". rtrl 6iri, '' 4$ . m fang to ib $ 3 51960 =w i tt me sanAcm,fjkwi&ftkkU aar**awwmar "mmom them you Irt ra 01044 our tt: a that a „ �3, " Our Posom at tie DepwvrWA a ucwwe Effwmcly,Rawale relay,%va "Tlear=k vo,fb,daftV bussr yum new scma d 'T;' r? •4mw or oL,4* s " 3"ACH HOW 'DLSPCA Y AS REst BY LAW TAYLOR MADE APPRAISALS Miamishores Villae Building Department 10050 N.E.2nd Avenue ITY Miami Shores, Florida 33138 pb Tel: (305)795.2204 A�R� Fax: (305) 756.8972 cV- 10y Q�1Page 1 of 1 Permit No: 4- �� Structural Critique Sheet °rte VWr% �ko%.. e c-1,"� 40-•4k,,j -2 el. o tet, c�,r e-L Inc Ad n o m 01 S co t AC-1 3.I b f AQ 930-05 a--,re, P,,V , N, � L9- ?IJ AA. A4 STOPPED RE EW Plan review Is not complete,when all Items above are corrected,we will do a complete plan review. If any sheets are voided,remove them from the plans and replace with new revised sheets and Include one set of voided sheets in the re-submittal drawings. Mehdi Assaf w k Miami Shores Village - -- Building Department OCT 2 1 2015 _, 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 -__ __ INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20ko BUILDING Master Permit No. 4 ` Z70'2- PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 174d #J, s ci4 5yIzaEl City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: n Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): W ITM J'�WA S Phone#: Address: 12160 N.f 94 sr City: Ift4k1 71j*e4 State: F4 Zip: 311 C Tenant/Lessee Name: Phone#: ' Email: CONTRACTOR:Company Name: _Dyj JLf Ju0Phone#: $01VIOL 1qf7 Address: 7 . f e 1 1? g o-t 7 City: 1J, R/AM* State: �"rt'' Qualifier Name: 10 N43 A v t2011EWO Phone#:5os-9101 1qq' State Certification or Registration#: q D; Certificate of Competency#: -� DESIGNER:Architect/Engineer: . � E06. P,r.3T44 0 Phone#: 3o 1'.Q 4 0- 3d B o Address: �3�3 �• • /65 sr City: N Statef" Zip:33 1 L Value of Work for this Permit:$ 1,519040 Square/Linear Footage of Work: 44pe ° Type of Work: ❑ Addition [Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: 15411 f GEI t(14 6 A/ JJ✓fNl• R/A• Specify color of color thru tile: Submittal Fee$ Permit Fee$ r,--).6Q) CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ ° (Revised02/24/2014) k 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 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 O or AGENT CO TRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this f day of Cy c C .,200 by . ( day of a cT GQ� ,20 `r by wh 's personally kno n to --:1r-06-54 fill"'`,Tie ,who is personally known to f»1Qe-<-J L.1 C J' ff- me or who has produced as me or who has produced Q- Ild S G-Y(,1 •3d•a41 as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: 9 Sign: Sign: „ 4, Ted C, 1.�41,,i JTuI}FMILIO Print: Print: r a >� Mary u rc -State of Floficda a p My Comm. Expires Jun 13,2017 Seal: _ ?My Comm. Expires Jun 13,2017 Seal: •oQ; a, Commission# FF 013940 C•.9� , Commission.#FF 013940 X14%.,.` Bonded Through National Notary Assn. Bonded Thrl,ugh National Nolary Assn. ********************************* ************************************************************************ APPROVED BY �tf✓I Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Kristen Mustad 1260 NE 94th St Miami Shores, FL 33138 10/6/15 G2 Consulting Group 9725 SW 4th Ter Miami, FL 33174 c/o Joaquin Montesino Lic#69969 Dear Mr.Montesinos, I write to you to inform you that we have decided to hire an alternate engineering firm.Your proposed scope of work for the renovations at 1260 NE 94th St. is not feasible with the budget we have in mind and we have chosen to accept a proposal for a less expensive project by an alternate firm. Sincerely, 44 Kristen Mustad > r� Miami Shores Village � �\ 1�9 Building p De artment ��P � r zot5 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 Y:' LINE PHONE NUMBER:(305)762-4949 E FBC 20 BUILDING i'j r ermit No. F� b PERMIT APPLICAT Z� ub ermit No. dBUILDING ❑ ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP ,�i � CONTRACTOR DRAWINGS JOB ADDRESS: 1940 /�'' c-, R# d�s1 City: Miami Shores County Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Rte ®ER f oad: Construction Type: Flood Zone: _ BFE: FFE: OWNER:Name(Fee Simple Titleholder): isT-ATA) & Phone#: Address: l0 6 0. 6 q� 5. City: Afl 4 44 / .51y 0)7-E S State• zip: 3 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: 0 V'1L tA1 D C•>/10N 5 r Phone#: R5 09 d U Address: / 99 7 Imo' E > /I '1249 City: Z4? X►'1) State: �^ Zip: 33171;l Qualifier Name: .1C9 Nd A �Po l a l ry-0 Phone#: 341$ 99a P707 State Certification or Registration M GGC 151 t Y 7 Certificate of Competency#: DESIGNER:Architect/Engineer:_&( k 2 R 6b XUs•. Phone#: �� 9TD 3o Address: 3��i� �• J�3 S' mff lye 3 (® • City: N. /�- � State: ��- Zip:_> Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: ❑ Addition M Alteration ❑ New ❑ /Re lace Re air p p El Demolition Description of Work: 9PoI if 64'1A-IdV i 1�� /�7 �t V1 A14 ga&.'f �•�� Specify color of color thru tile: Submittal Fee$ Permit Fee$"74 Ct-3 CCF$ CO/CC$ Scanning Fee$ !j .CK) Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ L2—() • C l Bond$ ( TOTAL FEE NOW DUE$ (Revised02/24/2014) 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 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 0ER or AGEN CONT CTOR The foregoing instrument was acknowledged before me this The foregoing instrument was ck/nowlledged before me this t� day of ! 20 15 by day of '20 15 by {i r1 who is personally known to �D�Irt �tirl il(J wh ersonally known me or who has produced 1AA,u- S 1®-',"1®'nX 3C) me or who has produced as 4±7 identification and who did take an oath. ��-- identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: t- &J4L Sign: Print/AG K' Print: �e Gl REBWA1. OA-TURNER Seal: " REBECAI.ARTIAQA- Seal: MY COMMISSION S FF 13 M52 � MY COMMISSION#FFn1R30N2b2 etAugust Bonded Tw nde ntm , EXPIRES:August 24,2018 s Bonded T*u NdW Public Underwriters APPROVED BY Plans Examiner Zoning i Structural Review Clerk (Revised02/24/2014) �e 201 ��: Project: MUSTARD RESIDENCE 1260 NE 94th Street Miami Shores, Flo P o/ arni w lr_ros 1/iIlage Z-;PLze _ BY 21".jING DEP-r SATE _y DEPT p su cr ro cctilPL SCE STA 7F q Nil WfM ALL E REGULATIONS Date: 08/31/2015 . ,�I1111111111f//�� Alt 01 s • All computations and written materials herein constitute original wor�f�.rr�0/�A Gg�1� `��`: of the engineer and may only be duplicated with the written consent: �,a,,��11 „la``�` t DESIGNED BY: •• I AL1 ARBAB CC)NSULTING Ei,iGiNEERS ':• 3363 W 163.5YRV;F, SUITE 701 FL P.E. NO. 35460 : WR-M M1:NMI.BMFt t,(ARIDA 33160 • PHONso E No (305; 940-3061 •f-.ASC. NO. (305) 940-3273 EB NUMBER: 0007488 PE N0. 35460 311/ , . . . . . ... . . . . . . . . . . . . . .. .. . . . .. .. Table of Contents 1) Key Plan, Details 1.1 thru 1.2 2) Calculations 2.1 thru 2.6 .. ... . . . . . .. . .. . . . . ... . .. ... .. . . . .. . ... ... ..• .• . . .. . . . .. .. .. . . . . ... . . . . ... . . . . . . . . . . . . . .. .. . . . .. .. ... . . . ... . . • 1 . Key Plan, Details BBAB ENGNMG, INC* Sheet c.r CONSULTING ENGINEERS Prot MUDEN 1260 NE 94th STREET 3363 HE 163rd SiRFET. WHE 701 MIAMI SHORES. FLORIDA AGM ~ SAM' FLOWA 3MG0 Date AUGUST 31. 2015 Wi011ff RM(3DB 910—XW FAX NM(303)940-32'73 --------------i r--- 1' 1 1 OK I ! N ` 1 1 11 1 , I 11 1 ( 11 1 I ' 1 { I .I 1 1 - 1 } v' --------- ------ 1 F- — "I s f I I I f I/�• - i � I is - so .X I 1 1 '—i f 1 1 I i i t t t s 1 t i E S ) ! 1 f s f j 1 1•' ! i t 1 i i I 1 ! ) 1 ) i 1 1 1 1 j 1 1 1 1 1 1 1 f i • 1 I 1 1 ! i 1 i i 1 t 1 l 1 1 s t 1 � t ) i I ) i 1 i 1 1 1 1 1 ' --- - -------- 000 ------ •• . • . . . .• • • .. . . . . . . . . . KEY PLAN ... ... N.T.S. ge . . . . . . . . . . .. ARBAB ENGINEERING, INC. Sheet: CONSULTING ENGINEERS Project: MUSTARD RESIDENCE 1260 NE 94th STREET 3363 NE 163rd STREET, SURE 701 MIAMI SHORES, FLORIDA —oo NORTH MIAMI BEAM, FLORIDA 33160 PHONE NO.(305)940-3088 FAX NO. (305)940-SM Date: AUGUST 31, 2015 EXIST.2x10 RIDGE MEMU R EXISTING 2x10 2M lb'-0'L)AT EACH EXISTING bt6 AT RAKER W/"MLS o EVERT OTHMs' cc.sty TIS TO F61AIN , ,' %: 12 (2)-V1'0148. –14 (2)-4/2'0 HB. TM BOLTS !�' ';� TM 801-T8 i; - L—------- ------------------ -- EXIST.t0 BE EXIST.STEEL EXIST.TIE BEAM BEAM FREMOVEV NEW 2x10 HMMEMUR ZaNTAL EXIST MASONRY WALL s23'-8' TO BE VIED AT 114E JOB SITE TYP. SECTION OF MODIFIED ROOF TRUSSES AT STEEL BEAM SUPPORT SCALE : 1/4"= 1'-0" • •• •• •• •• • • • ••• •• • • •• •• •• • • • • ••• • • • • ••• • • • • • • • • • • • • 0 00 00 0 0 0 00 •• • 2. Calculations .. ... . . . . . .• . .. . . . . ... . .. ... .. . . . .. . •.. ... .•• .. . . . • . . . . . • .. . . . .. . , . . ... . . . . ... . . • •• •• • • • •• .• JOB 9 2 (n 1. >� ��-zP ---- ARBAB ENGINEERING, INC. SHEET NO. 7 -OF CONSULTING ENGINEERS CALCULATEDBY DATE 9, r 3363 NE 163i0 STREET,SUITE 701 N.MIAMI BEACH,FLORIDA 33160 CHECKED BY DATE [305]940-30BB•FAX[305]940.3273 SCALE 000 0 r . . ........ �. • • •1• • • • _res_• • • 400. • _ • JOB 126n Al . g- JT- ARBAB ENGINEERING, INC. SHEET NO. OF ta CONSULTING ENGINEERS r— CALCULATED BY DATE-9,� 3363 NE 163RD STREET,SUITE 701 N.MIAMI BEACH,FLORIDA 33160 CHECKED BY DATE (305)940.3088 FAX:[305)940-3273 SCALE Jl �- Iz 4 ,1 coo 3 3,77 00 00 OGG so a 0.9 I - i I µ _ _ �y • • • • •• • • •♦• 0 0 • • • ARBAB ENGINEERING, INC. Sheet: CONSULTING ENGINEERS Project: MUSTARD RESIDENCE 1260 NE 94th STREET 3363 NE 163rd STREET, SUITE 701 MIAMI SHORES, FLORIDA NORTH MIAMI BEACH. FLORIDA 33160 FHOW N0.(3M)940-MW FAX N0.(305)940--3273 Date: AUGUST 31, 2015 EXIST.2W RlVsE 3! r MEMBER ExiSrNrs 2xi0 ! 16,cc 2x10 W-0°L)AT EACH ® =®• RAFMR W/"NAILS S GAG.STAID 12 W-W0 HB. —�4 [2)-1/24 H.S. TI-m BOLTS THM BOLTS ------------------------- –----- ------- ------------------ TO = EXIST.TE BEAM EXIST.p EXIST.TIE BEAM NEW 2xI0 HORIZONTAL = MEMBER EXIST.MASONRY EXIST.MASONRY WALL WALL 23'-8' TYP. SECTION OF MODIFIED ROOF TRUSSES SCALE: 14'= 1'-0" .. ... . . . . . .. . .. . . . . ... . .. ... .. . . . .. s . ... •t• •t• .. . .. . . . . . . . . . . .. .. .. so* see ... . . . . ... . . . . . . . . . . . . ,106 ��n 1 i►�. �Q-�A r o ARBAB ENGINEERING, INC. SHEET NO. - /i OF CONSULTING ENGINEERS , CALCULATED BY • DATE_��i 3363 NE 163` STREET,SUITE 701 zj N.MIAMI BEACH,FLORIDA 33160 CHECKED BY DATE (305)940-3088•FAX(305)940.3273 SCALE Cv 1�_i7 Zo �Q F'fes '-I n04 _ 1 G''(,. 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