RF-13-21Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 183749
Permit Number: RF- 1 -13 -21
Scheduled Inspection Date: February 01, 2013
Inspector: Bruhn, Norman
Owner: VASTARDIS, ANTHONY
Job Address: 1175 NE 105 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: BELJAY ROOFING INC
Permit Type: Roof
Inspection Type: Final Roof
Work Classification: Repair Roof
Phone Number
Parcel Number 1122320280281
Phone: (305)305 -7663
Building Department Comments
REPAIR TILE LEAKS. FLAT WHITE TILE 9"
Infractio
Passed Comments
INSPECTOR COMMENTS
False
Inspector Comments
Passed
Failed
(7/1,7
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
February 01, 2013
For Inspections please call: (305)762 -4949
Page 5 of 8
01/07/2013 MON 13:57
FAX
Zion
* * * * * * * * * * * * * * * * * * * **
* ** FAX TX REPORT * **
* * * * * * * * * * * * * * * * * * * **
TRANSMISSION OK
JOB NO. 2573
DESTINATION ADDRESS 13057568972
PSWD /SUBADDRESS
DESTINATION ID
ST. TIME 01/07 13:55
USAGE T 01' 38
PGS. 4
RESULT OK
COVER SHEET
REFERENCE: 1175 NE 105 ST Miami Shores
PERMIT NUMBER RF- 1 -13 -21
Bel Jay roofing
1
Consideration: $243,539.00
This document prepared by (and after
recording return to):
Name: Eric Evans
Premium Title Services, Inc.
Firm
2002 Summit Boulevard, Suite
600
Atlanta, GA 30319
Phone: (855) 339 -6325
After
recordin 7841 Hood St, Hollywood, FL
return tog 33024
Asset No. 70844634
File No. CE1210 -FL- 452013
CFN: 20120945004 BOOK 28424 PAGE 2000
DATE:12131/2012 08:41:36 PM
DEED DOC 1,461.60
HARVEY RUVIN, CLERK OF COURT, MIA -DADE CTY
Above This Line Reserved
For Official Use Only
SPECIAL WARRANTY DEED
AND
SUPPORTING AFFIDAVIT OF POWER OF ATTORNEY
STATE OF FLORIDA
COUNTY OF Miami -Dade
THIS DEED, made this 1 day of Nblei t _. 2012, by and between U.S.
BANK NATIONAL ASSOCIATION as Trustee for the registered holders of ABFC 2007 -WMC1 Trust Asset
Backed Funding Corporation Asset Backed Certificates, Series 2007 -WMC1, a national banking association,
organized and existing under the laws of The United States of America; hereinafter called the Grantor, whose
mailing address is: c/o Ocwen Loan Servicing, LLC, 1661 Worthington Road, Suite 100, West Palm Beach, FL
33409; and Avid Development INC , A Florida Profit Corporation and Kenneth Gomulka A Married Person and
Anthony Kaniewski, A Married Person, as tenants in common hereinafter called the Grantee, whose mailing
address is:
7841 Hood St, Hollywood, FL 33024
WITNESSETH, that the Grantor, for and in consideration for the sum of Ten Dollars ($10.00) and other
valuable consideration, the receipt whereof Is hereby acknowledged, hereby grants, bargains, and sells unto
the Grantee, and Grantee's successors, heirs, and assigns forever, all that certain parcel of land in the County
of Miami -Dade, State of Florida, to wit:
SEE EXHIBIT "A" ATTACHED HERETO AND MADE A PART HEREOF
PARCEL ID #: 11 22320280281
Located at 1175 NE 105th Street, Miami Shores, FL 33138
TOGETHER, with all of the tenements, hereditaments and appurtenances thereto, belonging or in anywise
appertaining.
TO HAVE AND TO HOLD, the same in fee simple forever.
AND the grantor does hereby fully warrant the title to said land, and will defend the same against lawful claims
of all persons claiming by, through or under said Grantor but against none other.
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Filing Information
Document Number
FEI /EIN Number
Date Filed
State
Status
Effective Date
P09000049786
270330346
06/08/2009
FL
ACTIVE
06/08/2009
Last Event REINSTATEMENT
Event Date Filed 10/07/2011
Event Effective Date NONE
Principal Address
5510 SW 44TH TERRACE
DANIA FL 33314
Mailing Address
7841 HOOD ST.
HOLLYWOOD FL 33024
Changed 10/07/2011
Registered Agent Name & Address
HOFFMEIER ACCOUNTING & TAX SERVICES, INC.
1925 S. PERIMETER ROAD
SUITE 125
FORT LAUDERDALE FL 33309 US
Officer /Director Detail
Name & Address
Title P
VASTARDIS, ANTHONY J
5510 SW 44TH TERRACE
DANIA FL 33314
Title P
VASTARDIS, ANTHONY J
5510 SW 44TH TERRACE
http: / / www.sunbiz.org/ scripts /cordet.exe ?action= DE'1'N'1L&inq_doc number= P090000497... 1/18/2013
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
14 h-,, —
PERMIT APPLICATION
Permit Type: BUILDING
JOB ADDRESS: // 7.5 A/ E I 05 s
FBC 200
Permit No, 5 cQ, t
Master Permit No.
ROOFING
City: Miami Shores County: Miami Dade
Folio/Parcel #:. fig° a 3,. ,-4f 0 kg -0 3 1
Is the Building Historically Designated: Yes NO Flood Zone:
OWNER: Name (Fee Simple Titleholder): Ii at b tJEy VAsIA R (e S Phone#: ° l S 'i'' a
Address: -Si. 1 1) �l U q `l T i J
City: State: VI #t Zip: 3 3 3 `y Li
Phone#:
zip: 33/ 3
Tenant/Lessee Name:
Email: ����
CONTRACTOR: Company "lam,
-�/ gip► �-� l ` Zia
a
J
6 v a
l � Phone#: i
Address: l 0 a L0 2, I d ® C
City: _ i J 6 State: . i Zip 3 1 CS
Qualifier Name: ' 1 (11r 6 (46 E (� — Phone#: 06-17 /7
State Certification or Registration #: Q� CJ 3 gacIsi Certificate of Competency #:
Contact Phone #: 7S tl a V j" 'L� .)■ S Email Address:
DESIGNER: Architect/Engineer:
Value of Work for this Permit: $ CR j6 C O Square/Linear Foota
Type of Work: DAddition DAlteration DNe
Description of Work: 1 €, • ■ i A
Phone #:
e of Work:
eplace
sop sA--
TA) -/-4/4 it 4 L%
1541111 IrietAirt
4.004 4 '.,e 301.•
ioG aini -4 * x000
lOWILUak
o-,
Fee $
Color thru tile:
** * * * * ** * * * * * ** **
t,tos k a
Feet' ' •11111 i 1`*r * 'A. **
;r9i„r:t, ', in; :s
Permit Fee $
Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
* ** * ** * * * ***
CC $
DBPR $ Bond $
Technology Fee $
TOTAL FEE NOW DUE $
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 FI FCTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature Signature
Owner • Agent Contract
The foregoing instrument was ac • wl ',led before I. - 1 ' a e The foregoin • strument was acknowl - . ged be
day of , 20 0, by 1 A illi'% / i C day of , 2015, by t 1 ;•
who is personally known to me or who has produced who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC:
Sign al) OtA t aPaA/L/
Print: - I-I: }C es eA i- --
My Commission Expires: De.T• /ea/ Z-6 ! 5
40„ ■•• • — -- r
* * * * * * ** * * * ** ** * ** * * * * ** ** .tir�x�x *�x�x�S4 t* * **
..� �g•,
�•� Notary Pubh' - State Ot•FNxlaa
• z My Comm. Ex s S
e
APPROVED BY
I••4: ,� ;IV Bonded Through Net011111NOWYMmt
Structural Review
(Revised 3112/2012)(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)
NOTARY PUBLIC:
Sign: ah
Print: ,,��yy
My Commission Expires: V �% .24/ 6
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO. TAX FOLIO NO. / / . �°E � O
STATE OF FLORIDA:
COUNTY OF MIAMI -DADE:
SATE OF FL
1 HEREBY CERT
THE UNDERSIGNED hereby gives notice that improvements will be made tttid
property, and in accordance with Chapter 713, Florida Statutes, the following information
is provided in this Notice of Commencement. AR nly
H SS
AlRVEY RUM,
111111111111111111111111111111111111111111111
CFN 2O 13R9_ @O 15 7 2 e7
OR Bk 28433 Ps 01772; (1ns't
RE1_ :ORRC'EC' 01/08/2013 11:43:36
HARVEY R:UVINr CLERK. OF COURT
IIIAIII— CDACDE COUNTYr FLORIDA
LAST PAGE
, COUNTY OF L.AC£
t1 let
this is e of the
t rr °1 day of
Sy
Courts Comity
B.C.
1. Legal description of property and street/address: / / e /05
S ce above reserved for use of recording office
2. Description of improvement:
3. Owner(s) name and a ddress:
Interest in property:
Name and address of fee simple titleholder.
4. Contractor's name, address d hone number:
i e- /
gS
5. Surety: (Payment bond required by owner from contractor, if any)
Name, address and phone number:
Amount of bond $
6. Lender's name and address:
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)7., Florida Statutes,
Name, address and phone number:
A r
AL Li a. 1111
8. In addition to himself, Owners designates the following person(s) to receive a copy of the Uenor's Notice as provided in Section
713.13(1)(b), Florida Statutes.
Name, address and phone number:
9. Expiration date of this Notice of Commencement:
(the expiration date is 1 year from the date of recording unless a different date is specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER Al- I ER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED
IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK
OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Signature(s) of Owner(s) r O
Prepared By
Print Name
er(s)' Authorized Officer/Director/Partner/Manager
Prepared By
Print Name
Title /Office
STATE OF FLORIDA
COUNTY OF MIAMI -DADE
The foregoing instrument was acknowledged before me this
By
Title /Office
y
_day of oafwcarLf ` o i
❑ I dividually, or ❑ as for
Personally known, or ❑ produced the following type of identificatio,,
Signature of Notary Public: �14T l 1 all U1 L . '
Print Name: �11fr !' -
(SEAL)
VERIFICATION PURSUANT TO SECTION 92.525. FLORIDA STATUTES
Under penalties of perjury, I declare that I have read the foregoing and
that the facts stated in it are true, to the best of my knowledge and belief.
Signature(s) of Owner(s) or
By
133.01-52 PAGE 3 3110
wner(s)'s Authorized Officer/Director/Partner/
By
E. CLARE
PubIld State ot.
a'91 „L
rye/ Oct to. tots
.: Commission / EE 136231
��'' +mi P' i" Bonded Tlbaugh NaiWal -t s .
!APPR
DIVED
ROOF ASSEMBLIES AND ROOFTOP STRUCTURES
Jtrii,N 97013 !ZONING N DEPT
BLDG DEPT
Florida Building Code Edition 907JECr , o a:r,i 0i. ,, N ,
rFwlr;-;Al_LFL 'C=
High - Velocity Hurricane Zone Uniform Permit Applln F,orin.
Sarttinn A (Gent2ral Information)
Mirni Shores
Master Permit No.
Contractor's Name FLLJA) ft
Job Address 1 I —7 5 IV ( t OS
BY
Process No.
❑ Low Slope ❑ Mechanically Fastened Tile ��' MortarlAdhesly
❑ Asphaltic ❑ Metal Panel/Shingles ❑ Wood Shingle
Shingles
❑ Prescriptive BUR -RAS 150
ROOF TYPE
❑ New Roof ❑ Reroofing ❑ Recovering
ROOF SYSTEM
INFORMATION
Low Slope Roof Area (SF) N ilk Steep Sloped Roof Area (SF)
Repair ❑ Maintenance
Se rtion R (Rnnf Plan) o6
Sketch Roof Plan: illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains.
Include dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and location of
parapets.
■■■1111■ ■ ■ ■ ■■ •1111•1111■■■■■■■■
■■■■■■■■■■■■■■■■■■■■■■■■■
■ ■ ■■ ■iii ice® ;iial�lr ®`•1 /� ■ ■ ■ ■■■
■■■■■11 %I ■ ■%I// ■0/ ■ ■■'■11■■ ■ ■■■
■ ■weaves■ ■ M. ■% O! IM MU•
■
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■ ►A■il%■ ■ /2101.311111M1111
■1 ►e■ eeeeeesec 1 4 ■
■■ C■% 1 '! ■ <�!tM!11�1i1! ■I�IS■�' ■� % ■ ■I■
•1 !'N151 1■► M I1rr ■■rr ■miff■ ■ I■
■ ■il�fl�I :%fir ■�� ■ ■�� ■�■r� /�� "�
■ ■P ■I /1! l :,111■11111111111f 1 � 1PLIM /■■■0
■ ■I ■sri ■
111111111111M1122agillILAIMMIll
FLORIDA BUILDING CODE — BUILDING
ROOF ASSEMLIES AND RCOFrOP STRUCTLAES
Florida Building Code Edition 2004
High-Velocity.florrfcane Zone Uniform Permit Application Form.
Section D (Steep $loped Roof System)
Roof System Manufacturer:
Notice of Acceptance Nu 1 :i.
•
Minimum Design P re!. Applicable (From RAS 127 or
Calculations):
It.
P3:
mok
\ ■
Maximum Desi n Pre r
(From the Product Appr • val Specific System):
f Slope: 1
: 12;
ateep_Sipped..
es_c ton
\ Deck Type:
Type Underlayment:
\ .
Insulation: ;
, Fire Barrier:
';„; Fastener Type & Spacing: 1 1 7/317 c4P &nes 74, go
Avitt—Aftligg'
Adhesive Type:
Mean Roof Height:
Type Cap Sheet:
Roof Covering: i
Type & Size Drip
Edge:
ILII
2007 FLORIDA BUILDING CODE—BUILDING
15.35
SECTION R4402.13
HIGH VELOCITY HURRICANE ZONES — REQUIRED OWNERS NOTIFICATION FOR ROOFING
CONSIDERATIONS
R4402.131 Scope. As it pertains to the Win, it is the responsibility of roofing contractor to provide the owner
with the required roofing permit, and to explain to the owner the dent of the section. The provisions of Section
R4402 govern the minimum requirements and standar& of the industry for rizfev system installations.
Additionally, the following items should be addressed as part of the agreement between the owner ant the
co ( The owner's initial in the designated space indicates that the item has been ems.
W R4402 are
1. °s�! Aesthetics-Workmanship: rte woatar�nshmp � of Section 4402 for the purpose of
pro that the roof system meets the wed reskitance and water instruction performance standards.
Aesthetics (appearance) are not a consideration with respect to workmanshlp provisions. Aesthete issues
such as color or ar chiteckiral appearance, that are not part of a zoning axle, should be addressed as part of
between the owner and the c
Rending wood dedcs: When replacing roofing, the existing wood ref &xi may have to be
accordance with the current provisions of Section R4403. (The roof deck is malty concealed prior
the existing rot system).
Common roofs: Common roofs are those which have no visible demotion between neighboring
(Le., townhouses, condominium, s, etc.) In buldings with common roofs, the roofing contractor and/or
should notify the occupants of adjacent units of roofing to be performed.
Exposed Ceiling: Erb, open beam dings are where the underside of the mof decking can
be ° :;1 from below. The owner may wish to maintain the wchftectural appearance; therefore, roofing nail
penetration of the underside of the decking may not be meltable. This provides the option of maintaining the
Pond water. The current roof system andlor deck of the building may not drain well and may
water to pond (accumulate) in low4ying areas of the roof Pounding can be an indication of structural
&dress and may require the review of a professional structural engineer. Pounder may shorten the tife
e 4, :,1,r:, and pertcrmance of the new roofing system. Pounding COMMIS may not be evident untll the
roofing system is removed. Pounding conditions should be coffected.
6. Overflow scuppers (wait outlets): It S required that rainwater toss off so that the roof is not
owed from a buildup of water. Perimeter/edge wall or other roof extension may block this discharge if
scuppers (wall outlets) are not provided. It may be necessary to irate overflow scuppers im
with the requirements of Smtions R4402, R4403 and R4413.
Ventilation: Most roof struckffes should have a ire ability to vent natural airflow through the
of the structure assembly (the bulling itself). The exkding amount of attic vin stall not be
reduced. It may be beneficial to consider additional renting which can result tim extend the service tife of the
Revised on 7/912IV9 LD
CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDiyyyYJ
This CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HQLDE
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFO 1/4/2013
BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT g R. THIS
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, SEEN THE ISSUING INSURER( ), AuTHORIZED
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the poliey(Ies) must be endorsed. If SUBROGATION I5 WAIVED, subJoct to
the terms and conditions ,f the policy, certain petioles may require an endorsement, A statement on this certificate does not confer rights
certificate holder in lieu of such endorsement(.).
PRODUCER g to the
Olson insurance Agency Inc.
545 N. Umatilla Ulvd
Umatilla, FL 32784
INSURED
DELJAX ROOFING, INC —.
10260 SW 48TR ST
MIAMI, FL 33165
COVERAGES
CERTIFICATE NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW NAVE BEEN ISSUED TO THE INSURED N ABOVE; FOR THE POLICY PE
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCK NAMED M T WITHRESPECT TO WHICH
CERTIFICATE ATE M1 T ISSUED OR MAY PERTAIN, T PERIOD
i EXCLUSIONS E TIFICA gND CONDITIONS HE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN is THIS
OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. SUBJECT TO ALL THE TERMS,
LTR TYPE OP INSURANCE;"" Ia _.
POLIOY NUMBER
NAl41EA
(HOP' d�-- " -`-- -.
fir N`o . , 352669 -4547
ADDRESS:OLSONINS @L A,,, COM — —
IReuRateu AFFonoolo common
INSURER A: ACCIDENT INS CO
INSURER s :
INSURER, 0 t
INSURER D : _
INSURER E
INSURER F •
NAM*
IA
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE 12i! OCCUR
MM1aDNYVY
LIMITS
CPF0004635
08/02/12
08/02/x,3
GENIL AGGREGATE LIMIT APPLIES PER:
POLICY PRO-
CT LOC
AUTOMOBILE LIABILITY
ANYAUTO
— ALL OWNED
AUTOS
EACH DCCURRENCB
PREMISES t a occurrence),
M ap GXP (Any one person)
PERSONAL & ADV INJURY
GENERAL AGGREGATE
PRODUCTS - COMP /OP AGG
SCHEDULED
AUTOS
HIRED AUTOS NON.OWNED
AUTOS
(Ea accident) �� r
)
BODILY INJURY (Per person)
BODILY INJURY (Par Accident)
UMBRELLA LIAR
_ OCCUR
EXCESS LAB
CLAIMS -MADE
ueu RETENTION S
WORKERS OOMPENSATION
AND EMPLOYERS' LIABILITY
ANY OFFIet RJfameaR EXCLuono? = CU7lVF,'
suandatory
c ym^ describe ibe uunder
DESCRIPTION OP OPERATIONS below
EACH OCCURRENCE
AGGREGATE
E.L. EACH ACCIDENT
E.L, DISEASE - EA EMPLOYE. $
EL DISEASE _ POLICY LIMIT $
DESCRIPTION OP OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If mow ,ps I, requIrecii
!ZESIDENTIA,1, & COMMERCIAL ROOFING
: ERTIFICATE OLDER
MAKE WHORES MLA= BUILDING DEPARTMENT
10050 NE 2ND AVE
MIAMI, FL
F :305- 756 -8972
CORD 25 (2010/08)
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLiclE:S BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL RE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS,
AUTHORIZED REPRESBN
®19882010 AC
The ACORD name and logo are registered marks of ACOIW
RD CORPO ` T1UN. All rights reserved.