RF-16-3438Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-273569 Permit Number: RF -12-16-3438
Scheduled Inspection Date: December 27, 2016 Permit Type: Roof
Inspector: Riveron, Alexis Inspection Type: Final
Owner: DATES, MATTHEW Work Classification: Gutters
Job Address: 53 NW 97 Street
Miami Shores, FL 33138 -
Project: <NONE>
Phone Number (305)490-1984
Parcel Number 1131010330280
Contractor: GUTTERMAN'S SERVICES INC Phone: (305)301-0729
Building Department Comments
INSTALLATION OF GUTTERS AND DOWNSPOUTS
AROUND THE HOUSE
Passed
Infractio Passed Comments
INSPECTOR COMMENTS
/Inspector Comments
Failed
Correction
Needed
Re -Inspection
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
False
December 27, 2016
For Inspections please call: (305)762-4949
Page 19 of 28
Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NW
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit
Permit NO. RF -12-16-3438
Permit Type: Roof
Work Classification: Gutters
Permit Status: APPROVED
Issue Date: 12/22/2016
Expiration: 06/20/2017
Parcel Number
Applicant
53 NW 97 Street
Miami Shores, FL 33138-
1131010330280
Block: Lot:
MATTHEW DATES
Owner Information
Address
Phone
Cell
MATTHEW DATES
53 NW 97 Street
MIAMI SHORES FL 33150-
(305)490-1984
Contractor(s) Phone
GUTTERMAN'S SERVICES INC (305)301-0729
CeII Phone
Valuation:
Total Sq Feet:
$ 1,133.00
296
Type of Work: Re Roof
Additional Info: INSTALLATION OF GUTTERS AND DOWNSPO
Classification: Residential
Scanning: 3
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee - Repairs
Scanning Fee
Technology Fee
Total:
Amount
$1.20
$2.00
$2.00
$0.40
$100.00
$9.00
$1.60
$116.20
Pay Date Pay Type
Invoice # RF -12-16-62436
12/22/2016 Credit Card
Amt Paid Amt Due
$ 116.20 $ 0.00
Available Inspections:
Inspection Type:
Final
Review Building
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction armore, I authorize the above-named contractor to do the work stated.
AutgforizedSignature: Owner " / Applicant / Contractor / Agent
Building Department Copy
December 22, 2016
December 22, 2016
Date
1
BUILDING
PERMIT APPLICATION
❑ BUILDING ❑ ELECTRIC
Miami Shores Village
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
Master Permit No.
Sub Permit No.
FBC 20H5�
t 541'-34
❑ ROOFING ❑ REVISION ❑ EXTENSION
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS
JOB ADDRESS:
City:
Miami Shores
County:
Folio/Parcel#:
Occupancy Type: Load: Construction Type:
❑ CHANGE OF
CONTRACTOR
❑ CANCELLATION
❑ RENEWAL
❑ SHOP
DRAWINGS
Miami Dade Zip: -33150
Is the Building Historically Designated: Yes NO
Flood Zone: BFE:
OWNER: Name (Fee Simple Titleholder): G( (,O 6 I rj Phone#:
Address:.65 /NIp1.� q r% G,7
1ore i �
City: �i--'� � own �✓' State:
Tenant/Lessee Name: Phone#:
Email:
FL
FFE:
)'.fqo-I Sy
Zip:
1
CONTRACTOR: Company Name: 6 r�I-e�irm'Qi�1 S S(U) C9 L Phone#:
Address: q `S• W. t Lig C.�x'
&0""s -)Do/ 07Z9
City: OM
Qualifier Name: jr
-e-k.)) vc0n
State Certification or Registration #:
DESIGNER: Architect/Engineer:
State:
Zip:
Phone#: (7`6) �U /
Certificate of Competency #: OS I S 00 yc7c2
Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ t, 13
Square/Linear Footage of Work: aR6 Uneq r
Type of Work: ❑ Addition ❑ Alteration ® New ❑ Repair/Replace n Demolition
Description of Work: Y1 ► I 110-700 0(f
YOGI rlo\ —‘4\-e 1-4v
61 n d downsr oo l S
Specify color of color thru tile:
ib -`.ani+^ L
Submittal Fee $ Permit Fee $ CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $ j r_ r�
TOTAL FEE NOW DUE $ t i Y� • !/0
(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
OWNER or AGENT
The for oing instr ent was acknowledged before rrae this
e,
1q day of
I1 ,20 / ,by
ma* S ,who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
Signature
CONTRACTOR ()
The fodegoing instrument was acknowledged before me this
day of Q CQj7i) 42 , 20 / Y , by
014/ 3V /VA 6 A , who is personally known to
me or who has produced a (4.1112-1 as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
A
MY COMMISSION 8 FF132950
EXPIRES: August 30, 2018
************************************************************************************************************
APPROVED BY
(Revised02/24/2014)
Plans Examiner Zoning
Structural Review
Clerk
• •••• • •
•• •• • •••• •
• • • •• •• •• •• •
• •• •••• •
•
• • •
•••••••
•
•
•
•
JOB APPOINTMENT
�rvc,utrinan°es
STOMER Crit GU �
••• •• •
EMAIL (
(I)g7sT;)-y'ar'n)
L Hq0-IcBt C3Y) O MDNCF..
L •(orn
c,rr('iore
sr i
DATE l2
CC# 03 = 500490
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cnIF?)
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In event it becomes necessary for Gutterman's Services, In to employ the services of an attorney to effec . •-trorrdrt e aon nt
or balance due, under this contract, purchaser agrees to pay se - -es arrd.aII expenses it cident t e eto.
When executed and signed by both parties, this proposal becomes a contract. ,.
Gutterman's Services, Inc., will honor a five year guarantee upon completion of installation of your co tinuqus gutters`syste . This
4.5
guarantee covers the installation and materials. Our suppliers guarantees the baked on enamel finr. ih'fotwenty. ars gainst
to
cracking, chipping or peeling. We will repair or replace any part necessary if it is a direct result of faultjgtmate�l'.e do t cover
damage due to neglect or lack of proper maintenance. We do not cover damages that have occurred fro' b�fse-or is of ture.
THIS ESTIMATE 15 VALID FOR ONE MONTH
COLOR
6"j
GUTTERS O Lv foss W hi l
DOWNSPOUTS (.G [,,ass whl`1�
TOTAL FEET i et
CUSTOMER
WWW
Amount 4) It c`-� 3
Deposit
—iv"�00
Total c 15B 1
j'co) caJgod
WaT E MAN's SERV' : ,447‘71-7-
MaIlgnLIf SECO ci IIaiMII o = DEC 2 2 10
e-mail: info@rainguttersmiami.net BY:
938 S.W. 149 COURT - MIAMI - FLORIDA - 33194
Prepared by:
Eric J. Grabois, Esq.
Pinnacle Title Group, LLC
1666 79th Street Cswy. Ste. 500
North Bay Village, FL 33141
305-891-2029
File Number: 16-0150
Return to:
Sandra M. Ferrera, Esq.
SMF Law
500 S. Dixie Highway, Suite 304
Coral Gables, Florida 33146
Parcel Identification No. 11-3101-033-0280
[Space Above This Line For Recording Data)
CFN: 20160695983 BOOK 30332 PAGE 844
DATE:12/06/2016 08:51:24 AM
DEED DOC 3,330.00
HARVEY RUVIN, CLERK OF COURT, MIA-DADE CTY
Warranty Deed
(STATUTORY FORM - SECTION 689.02, F.S.)
This Indenture made this 2nd day of December, 2016 between Kevin C. Killough and Alexia Blicklee
Rouquette, husband and wife whose post office address is 55 Riverwalk Place, Apt. 706, West New York, NJ
07093 of the County of Hudson, State of New Jersey, grantor*, and Matthew C. Dates, a single man , whose post
office address is 53 N.W. 97th St., Miami Shores, FL 33150 of the County of Miami -Dade, State of Florida,
grantee*,
Witnesseth that said grantor, for and in consideration of the sum of TEN AND NO/100 DOLLARS ($10.00) and
other good and valuable considerations to said grantor in hand paid by said grantee, the receipt whereof is hereby
acknowledged, has granted, bargained, and sold to the said grantee, and grantee's heirs and assigns forever, the
following described land, situate, lying and being in Miami -Dade County, Florida, to -wit:
Lot 20 and East 1/2 of Lot 19, Block 129, MIAMI SHORES SECTION NO. 6, according to
the Plat thereof as recorded in Plat Book 10, Page 39, Public Records of Miami -Dade
County, Florida.
Subject to taxes for 2017 and subsequent years; covenants, conditions, restrictions,
easements, prohibitions and limitations of public record, if any, but this reference shall not
act to reimpose same.
and said grantor does hereby fully warrant the title to said land, and will defend the same against lawful claims of all
persons whomsoever.
* "Grantor" and "Grantee" are used for singular or plural, as context requires.
CFN: 20160695983 BOOK 30332 PAGE 845
In Witness Whereof, grantor has hereunto set grantor's hand and seal the day and year first above written.
Signed, sealed and delivered in our presence:
ik
State of Florida
County of Miami -Dade
llf
The foregoing instrument was acknowledged before inc this., day of December, 2016 by Kevin C. Ki!lough, who (_i is
personally known or [x] has produced a driver's license as idcutific;ttipn. .
[Notary Seal]
A°r. REBECCA BRISTOL SANCHEZ
MY COMMISSION #FF106752
EXPIRES March 26. 2018
(407) 398-0153 FloridallotaryServfce com
State of Florida
County of Miami -Dade
!l.
'Notary Public
Printed Name: (2e k --c ed. '(3 SIC'
My Commission Expires:
Alexiicklee Rouquette
(Seal)
Nov-e-rnb-ex
�
The foregoing instrument was acknowledged before me thi4day of h)ccemFler— 2016 by Alexia Blicklee Rouquette, who
[_] is personally known or [x] has produced a driver's license as identilfi• tion.. .,u.Cc ('` /./ lj
Notary Public
[Notary Seal]
REBECCA BRISTOL SANCHEZ
My COMMISSION #FF106752
EXPIRES March 26. 2018
1.w) 398-0153 FlnridaNnturvService.com
Printed Name:2R.I�jC'o_ ck eV)d tD s(t''1C •L L-/''
/'
l.,
My Commission Expires:
Local Busi ness Tax Fecei pt
Miami -Dade County, State of Florida
THIS IS NOT A BILL - DO NOT PAY
5097811
BUSINESS NA M E/LOCATION
GUTTERMANS SERVICES INC
938 SW 149 CT
MIAMI, FL 33194
OWNER
GUTTERMANS SERVICES INC
Worker(s) 1
MIAMI -DD
RECEIPT NO.
RENEWAL
5325006
EXPIRES
SEPTEMBER 30, 2017
Must be displayed at place of business
Pursuant to County Code
Chapter 8A - Art. 9 & 10
SEC. TYPE OF BUSINESS
PAYM ENT RECEIVED
196 SPECIALTY BUILDING BY TAX COLLECTOR
CONTRACTOR 75.00 07/13/2016
03BS00490 0202-16-001578
This Local Business Tax Receipt only con"rns payment of the Local Business Tax. The Receipt is not a license,
permit, or a certi "cation of the holder's qual i "cati ons, to do business. Holder must comply with any governmental
or nongovernmental regulatory laws and requi rements which apply to the business.
The RECEIPT NO. above must be displayed on all commercial vehicles - Miami -Dade Code Sec 8a-276.
For more information, visit www.mi ani dade.govftaxcol I ector
CTC>1B
Construction Trades ualifying Board
BUSINESS CERTIFICATE OF COMPETENCY
03BS00490
UTTERMAN'S SERVICES INC
D.B.A.:
ZULUAGA JORGE
Is certified under the provisions of Chapter 10 of Miami -Dade County
Municipal Contractor's Tax Pecei pt
Miami -Dade County, State of Florida
-THIS IS NOT A BILL - DO NOT PAY
CC NO: 038900490
BUSINESS NA M E/LOCATION
GUI I B-4MANS SERVICES INC
938SN149CT
MIAMI, FL 33194
OWNER
GUTTERMANS SERVICES INC
MIAMF�E]
RECEIPT NO.
7500077 '
MC
EXPIRES
SEPTEMBER 30, 2017
TYPE OF BUSINESS
CCIALTY BUILDING CONTRACTOR
Restricted to City of Miami Shores
For more information, visit www.rri ami dade.gov/taxcoI l ector
Pursuant to County Code
Sec 10-24
PAYM ENT RECEIVED
BY TAX COLLECTOR
62.50 12/19/2016
0202-17-001236