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CC-11-8264, Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 CC-11-8a.0 Inspection Number: INSP- 161212 Permit Number: ELC -6 -11 -1128 Scheduled Inspection Date: June 29, 2011 Inspector: Devaney, Michael Owner: , SHORES SQUARE INVESTMENTS Job Address: 9017 Biscayne Boulevard Miami Shores, FL 33138 -0000 Project: <NONE> Contractor: MOE'S ELECTRIC INC Permit Type: Electrical - Commercial Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132060110070 -17 Building Department Comments INSTALL ONE ULTRAPOST LOW VOLTAGE ANTITHEPT Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments June 28, 2011 For Inspections please call: (305)762 -4949 Page 27 of 38 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 BUILDING PERMIT APPLICATION FBC 20 Permit No tr- 1 2011 Master Permit No: Zoo Permit Type: Electrical q� OWNER: Name (Fee Simple Titleholder): t/ �2?v "eAt 7i4 Phone#: 3 or - 3 3 3_ 449 rr Address: /I d/ /1J L' 2 0 /4? iv,e- City: State: / L Zip: Tenant/Lessee Name: /e/9 .5A4 k e 9 0 / Phone #: Email: JOB ADDRESS: go/ 7 /3/SL v1 Apiihts a e `P 0 I City: Miami Shores County: Miami Dade Zip: 3 3 / 3P Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: Re 5 C /e�' e- . C Phone#: 3 ' 2 3 - '��!/ Address: / t% 0/ q P iQ S 2 ,1 -i/e- City: f 4 4l/ L 4_ Z State: /� �- Zip: 3 3 010 Qualifier Name: dQ —' ,®oej4lo 'DM- Z Phone#: 9 or 23/-3-P/ State Certification or Registration #: /Z / 30 47-r 9 ® Certificate of Competency #: 03 Ed" v /39 Contact Phone#: 50.f - 7q d Al/3 /1 Email Address: i; /G� e itu e, /2.4 7 e 4a- .. e-e'fr1 DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ g6° Square/Linear Footage of Work: Type of Work: ❑Address ❑Alteration Blew ❑Repair/Replace ODemolition Description of Work: .co.S 7 # tell %.jd,it -,d s law I i 1A9-, ***** **** ****+x*************** ** ** six: * *** Fees** * * ** * *** :****** ********** * *:x*****.x***** * ** Submittal Fee $ Permit Fee $ /4/0 PAP Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ CCF $ CO /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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOIL.RRS, 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 je. to attachment. Als a certified copy of the recorded notice of commencement must be posted at the job site for the first inspec in which occurs seven/ days after the building permit is issued. In the absence of such posted notice, the inspection will not �' ' app •. ved on fee will be charged. Signature Owner o The foregoing instrum was acknowledg day of ' - , 201 I , by \\ As id NOT i'UBLIC: LI Signature Contractor The foregoing instrument was acknowledged before me this / day of °Z� ,20 fi,by /"t t-)of r who has produced who r who has produced as identification and who did take an oath. NOTARY PUBLIC: cation and who did take an oath. Sign: Print: d Fa-) My Commission Expires: NOTARY PUBLIC -STATE OF FLORIDA Victor I. Fuentes %commission*U101929 2015 LET; r 5 nre* THRU ♦* AN **B:BONDING CO..: • •'�"}, ' '•� " IIaN: �k+ R+ k�k�N�k�k*�k�k+ R�h�k+ kA��k*akLQ�@= h$$ ��k�k�kN��k$ ��k�k#1 �b�k+ k�# �k�k�k�k�i�R�k*+ R$ #�k+�k�k�R�k�h�RR'��k$d��k+k�k� gum * ****** ***** *** APPROVED BY Sign: t Print: ./some A I t T$RY PUBLICITTOFFEOTTITA My Commission Expires: .' y P Ramiro Leonard ' ' Commission #DD723901 o Expires: DEC. 01, 2011 / Plans Examiner Structural Review (Revised 07 /10/07)(Revised 06 /10/2009)(Revised 3/15/09) Zoning Clerk ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DO/YY1'Y) 0211812011 mf nt PRODUCER C & C Insurance 1921 NW 150TH AVENUE SUITE 101 Pembroke Pines FL 33028 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED MOE'S ELECTRIC, INC 14014 NW 82 AVE SUITE 17 MIAMI LAKES FL 33016 INSURER A: BANKERS INSURANCE GENERAL INSURER B: Castel Point Florida Insurance Co 090005331308104 INSURER C: ZURICH 0212012012 INSURER D: $ 1000000 INSURER E: PRFFMMISES (Ea RENTED COVERAGES 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 CONDr11ONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADDI. pdSRB TYPE OF INSIIRANCF POLICY NUMBER POLICY EFFECTIVE DATF IMM/DfIYYJ POLICY EXPIRATION DATE (MIJIDDIYYI LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY 090005331308104 0212012011 0212012012 EACH OCCURRENCE $ 1000000 X PRFFMMISES (Ea RENTED $ 100000 CLAIMS MADE X OCCUR MED EXP (Anyoneperson) $ 5000 PERSONAL BADVINJURY $ 1000000 GENERAL AGGREGATE $ 2000000 AGGREGATE LIMIT APPLIES PER: PODGY f IF�CT fl LOC PRODUCTS - COMP/OP AGG $ 2000000 �GE�N'L —X1 C AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS SCP002216515 02128/2011 0212812012 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ X X BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ —1 OCCUR I I CLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? describe under If SPECI PROVISIONS below WCP760401500 0810612010 0810612011 ,( WC IMrr I I OTH TnCY I ATU- FR E.L EACH ACCIDENT $ 500,000 E.L DISEASE - EA EMPLOYEE $ 500,000 E.L DISEASE - POUCY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION CITY OF MIAMI SHORES 10050 NE SECOND AVE MIAMI SHORES, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRES €NTATIV€S. AUTHORIZED REPRESENTATIVE .1. IZ 0 ACORD 25 (2001108) "°' ©ACORD CORPORATION 1988 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Mnspection Number: INSP - 159494 Permit Number: CC -5 -11 -826 Permit Type: Commercial Construction Inspection Type: Final Building Work Classification: Alteration Inspection Date: July 01, 2011 Inspector: Bruhn, Norman Owner: , SHORES SQUARE INVESTMENTS Job Address: 9017 Biscayne Boulevard Miami Shores, FL 33138 -0000 Project: <NONE> Contractor: LARRY TAYLOR CONTRACTORS INC Phone Number Parcel Number 1132060110070 -17 Phone: (817)415 -0576 Building Department Comments TENANT IMPROVEMENT TO BRING NEW RADIOSHACK IN BUSINESS Passel Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments eo • For Inspections please call: (305)762 -4949 July 01, 2011 Page 1 of 1 Certificate of Occupancy Miami Shores Village 10050 NE 2 Ave, Miami Shores FI, 33138 Tel: 305 - 795 -2204 Fax: 305 - 756 -8972 Building Inspection Department 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: Contractor LARRY TAYLOR CONTRACTORS INC 9017 Biscayne Boulevard Miami Shores FL 33138 -0000 Not Transferable POST IN A CONSPICUOUS PLACE Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Honda 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 Permit No. rr BUILDING PERMIT APPLICATION FBC 20 Permit Type: BUILDING ROOFING OWNER: Name (Fee Simple Titleholder): l f: 1`rt �"i ii[� 1?hone# t 'lL \Y 0 2011 Y: ********** 11066••■••• Mester Permit No. Address: City: Tenant/Lessee Name: Email: Q JOB ADDRESS: 0 I I (3 S ,fJ + C City: Miami Shores County: Miami Dade Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: Zip: [e C CONTRACTOR: Company Name: �1 C r c,3e Phone#: Address: Ai City: 1 c. ++ _ State: Qualifier Name: 0 ,- 1,U . __ 1 k Zip: 3 L( 11 Phone#: State Certification or Registration #: 93 Q (7 C 6 (' -7c: of Competency #: Contact Phone#: 70'1 k-4(2/ 1 (, 3 1 y Email Address: / --ic., ,r IC e CC Pr) e v-erc- e FP DESIGNER: Architect/Engineer: ` 63,1),:o "---C, Phone#: 17 Lif l S g4O , v57 CC Value of Work for this Permit: $ ( O( C> Square/Linear Footage of Work: Type of Work: ®Addition '1Alteratiou ONew ORepair/Replace ❑Demolition Description of Work: L- t.—pA, OA del Tees Submittal Fee $ Permit Fee $ . t f �/ CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ Technology Fee $ TOTAL FEE NOW DUE $ .4 MOP 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 ELECTRICAL 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: a c 'ndition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good fa• >` t= _ opy of the notice.of commencement and construe i4gtil�t n law brochure will be delivered to the person i whose property is .jet € _ achment. Also, a certified copy of the reco ,eta ; Ito lb ncement must be posted at the job site for the first inspe tion occurs seven (7) days after the buiidin4$e . t1 • •i. ' • Ve absence of such posted notice, the inspection will no !be p= `, and a reinspection fee will be c harged �. � / • • • ' 3 .... 4.a... • s 6i 2 Signature r or Agent The forego g instrument was acknso ed bef a me this day of "y ,2O0k , by 0s�n���Y��1r*".3 • Sight • NOTARY • • n - PUBUC { fog .' r5 acknowledged before me this day s .11i [ ' ~• Neil., by ttttt ttttttt who is personalle wu to me or who has produced an oath. as identification and who did take an oath. NOTARJBLIC: "*"-C:*:Z.\\/\. Sign: "`� �^�,',�► Print g Lot ,�• [ Ari�4C 'Q.,... ho is personally known to me or who has e NOT Sign: My Commission Exp APPROVED BY MJAOEUN ALFONSO t% Notary Public - State of Florida •; Nly Comm. Expires Nov 2, 2014 Commission I EE 39415 1 My Commi E fires: ape n Expires: 'ember 19, 2013 r'ege egag+ 0a+,AR'� c': &3A s4 02+ xv **** *mss *ate ** Fir?' Plans Examiner Structural Review (Revised 07 /10107XRevised 06/10t2009)(Revised 3115/09) �� Zoning Clerk Gay Wade Taylor Mango Blvd. West Palm Beach, FL 33411 To Whom It May Concern: I, Gay Wade Taylor, qualifier for Larry Taylor Contractors, Inc., give my permission to Jordan Morgan to apply for and to pick up any permits issued to Larry Taylor Contractors, Inc. — �``` ���LOPEq�'A „,,, Sign: Q •. • Srq ' • 'Sp''�� GaP44.7 ' o _� rF ,� NO a FF •. pt/g�” • Gay Wade Taylor C �' License #CGCB07564 �����,�'�/rn �N��` \����� Subscribed and sworn to before me, by the said 6d e_t tar.1 (o R_, this 11t4 day of h.,190.4 L , 2011 to certify which witness my hand and seal of office. $R-k My commission expires My Conswkdon Expires: November 19, 2013 PERMIT # CONTRACTOR: SUBMITTAL DATE: ADDRESS: NAME: ormiffrilmremal • armairszwilm RESUBMITAL DATES: PROJECT TYPE: ZONING STRUCTURAL ELECTRICAL/ /' Y// C4' 1/ PLUMBING \.\\-11\ MECHANICAL FIRE IMPACT FEES HRS/DERM NOC BLDG Permit No: 11 -0( Job Name , 2011 Miami Shores Viiiage Building Department //J� �� ,j/ Building Critique Sheet C/J �LOC.�OI/(G ��l /vsd �/ ��� Pea . 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Page 1 of 1 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. Norman Bruhn CBO 305 - 795 -2204 04/25/2011 14:30 9314550642 ROGERS INSURANCE PAGE 01/01 A CERTIFICATE OF LIABILITY INSURANCE I DATE(Mn1 =OlY�'��) 04/25111 THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS aPoN THE CERTIFICATE HOLDER. TPUS 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 poltcy(Iea) must be endorsed. 0 SUBROCA110N IS WANED, subJect LO the terms and conditions or the policy, certain Poles mey require an enbor*ement A statement an this celtlikate does not caMaf rights to the certificate holder In lieu Of such endorsement(s). PROR Rogers Insurance 117 South Jackson 5t. • itous PRODUCER Tullahoma. TN 3731 r�IS,T MER IDik. Phone (931)455.0644 Fax (931)455 -0642 j INSURER(a) AFFORDING COVERAGE_ —, NAIC.0 _-. INSURED INSURER A : Franke imuth Idtduot (nsurance.� - --•. 13928 Larry Taylor Contractors, Inc dvguatwa 5 ! • P.O. Sox 1748 INSURER C : Tullahoma, TN 37388.8923 pORM o ` — INSURER E : WSURERF: . --____._ 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. LIPAITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAWS. - -- ___N _ ._— .. —. —__ .. — OoNrACT Roger5Insurance NATAE: �p ... - -- - -- eW,. (931) 455. 0644 - �1Ate51e) (931) 455 -0642 PRotiE • LTR A A TYPE OF INSURANCE GENERAL LIABILITY ❑/ COMMERCIAL GENERAL LWBIUIT ❑ ❑ •LANNSMADE ® OCCUR 0 GEML AGGREGATE LIMIT APPLIES PER POLICY E ❑ LOC. AUTOMOBILE LIABILITY n ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS ❑ UMBRELLA LIAR ( I.IR .1. EXCESS LIAB ❑ CLAIM$MADE ❑ DEDUCTIBLE RETENTION s WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ERR � OFFICER/MEMBER EX L (MandalMyf NM ESwoN OF OF OPERATIONS below Policy NUMBER BOP 6118334 BA 6118334 (G?I YiIIS YYT , ( DDF/TYY) L M fs _.._. . sAt 1 OCCURRENCE a 1,000,000 300,000 s _ 5,000 S 1 000_0 • 2.000,000 f 2,000.000 $ 1.000,000 • WC 8118334 10/1412010 10(14/2011 •T • _a ' yr S PREMISES (EOM: u a/ma MED EMa (Any MO PeMan) PERSONAL 8 ADV INJURY GENERAL AGGREGATE PRODUCTS . cOMPIOP AGO 10/1412010 10/1412010 10/14/2011 10/14/2011 COMBINE(] DINGLE LIMIT (EA ec6 Ueta) _ BODILY INJURY (Per per-an) BCJI.Y INJURY (Par aced PROPERTY DAMAGE (Per oc dnnij EACH 4GCuRRENCE AGGREGATE R s r` WG STATU• O TORYUNOS ❑ EP E.L. EACH ACCIDENT 8 50,000 E L DLmASE . EA EMPLOYE $ 500.000 . El. DISEASE • POLICY Mir I 500,000 DESCRIPTION OF OPERATIONS I LOCATII 1 V HICLes (MO ACORO 141, soomilPa1 Remarks SWResel& IT Alm sp®rx Is Inquired) CERTIFICATE HOLDER City of Miami Shore 10050 NE 2nd Ave Miami Shores, FL 33138 ACORD 26 MGM) CIF CANCELLATION SHOULD ANY OF THE AMINE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL SE DELIVERED IN AC 0RDANCE tarot THE POLICY PROVISIONS. AUTHORIZED R Brian Rogers 009 ACORO CORPORATION. AU rights reserved. The ACORD name and logo are registered marks of ACORD 1 Planning and Zoning Criteria Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit NO. CC -5 -11 -826 Issue Date: Not Issued Expires:Not Issued Folio Number:1132060110070 -17 Owner's Name: SHORES SQUARE INVESTMENTS Job Address: 9017 Biscayne Boulevard Miami Shores, FL 33138 -0000 Owner's Phone: Total Square Feet: Total Job Valuation: 0 $ 15,000.00 Contractor(s) TBA Phone Primary Contractor Yes Planning and Zoning Criteria and Comments Approved: Yes Comments: Date Approved: 5/10/2011: Yes 1 1111111111111111 11111 11111 111111111111111111 =� 1 2011R0334889 NOTICE OF COMMENCEMENT ORRBk ,276960E 3i14 (1Pa ,,o; (A RECORDED COPY MUST BE POSTED ON Ita JOB SITE AT TIME OF FIRST INSPECTIOP HARVEY RUVI N r {CLERK OF COURT I1IAAMI -DADE COUNTY. FLORIDA NOTICE OF COMMENCEMENT MUST BE FILED LAST PAGE IF THE JOB VALUATION IS $ 2,500.00 OR MORE IN LABOR AND MATERIAL. PLEASE FILE AT 22 NW 1ST STREET, 1ST FLOOR, MIAMI, FLORIDA (305) 275 -1155 Permit Number: Tax Folio Number: State of Florida County of Miami -Dade THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statute, the following information is provided in this Notice of Commencement. 1. Legal description of property and street address: 9011 -1 1 13 i 3 c. 01 ri E 131.v cL . INI awt i 5 W�67J!S l FL. S►c-rn m SNoartals umwsar 3313 2. Descnption of improvement: 'T w A 0-r _ t."r ect.7- 0 - �•14\ ><'i►es . 6 i ,t:1 Vg 3. Owner(s) name and address: -R04,6z, S140,444, c + pr\ Soo i b u SWACJ.0,icLC)$€ cos.-T- Vosa.�''M1 (ot o'Z Interest in property: "T E •a A '4S �` Name and address of fee simple titleholder: 4. Contractor's name and address: 'r y LAN- (ot.retqczro t 425 Spw e -vtP$r L 9.C1. 5. Surety: (Payment bond required by owner from contractoz$TATE t ., FLORIDA, Name and address: I HEREB 44, IF t t this Amount of Bond: $ _—.� h h`v'' 17 I WWI WITNE ^Intyhaard , r, A 7. Persons with the State of Florida designed by Owner upon who notices or other documents may be erved as provided by Section 713.13(1) (a) 7, Florida Statute: Name and address: Mq tie MACS 144A to SNcecK i STat.� W-'hn 4 l� t3T a 3 tO 9725 'SW 111 TC. 6>ve svri-E 4o) 1' leaLcy , F1.., 305_882.111$ 8. In addition to himself/herself, Owner designates the following permit(s) to receive a copy of a Lienor's Notice as provided in Section 713.13(1) (b),� o>� a Statute: Name and address: tv original fried 6. Lender's name and address: �'... .1a 37388 9. Expiration date of Notice of Commencement: (the expirations date is one (1) year from the date of recording unless a different date NiNgst it M 0. -' aski 54PCM. Cori O Ottri oiN ignature of Owner) Print Owner's Name: 'Per Gm 'Co N0\NAC Prepared by: ithEy „. toNy.„ Sworn to and subscribed before me this Address: Day of, mph'- I Q , 200 I Notary Public: Y Personally Know, or Print Notary's Nan Produced Identification Commission Expires: � . XA. n Oath taken Oath Not Taken SEAL: sir, w' RANDY S. KEENAN *...1� • "i Notary Public, State of Texas ,m;;. %� Fir My Commission Expires .44.1 IP July 03, 2012 June 21, 2011 To Whom It May Concern Re: 9017 Biscayne Boulevard Al/leaiWAL CPI Kt6A ataa9 10050 C/ (p. 2' C iiuUe aleainu abweed., C ' 88188 Please be advised that this location was previously occupied by a retail telephone store, On The Go Cellular. Prior to the telephone retail store, the space was occupied by another retail store. If I can be of any additional assistance, please do not hesitate to contact my office directly. Sincerely, Barbara A. Estep, MMC Village Clerk BAE:ms Pkwe: (305) 7.95- 2207 C uic (805)756 -8972 W-a& esteld@oninmialeareaviaer.com