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Item S06 BOARD OF COUNTY COMMISSIONERS AGENDA ITEM SUMMARY Meeting Date: August 20. 2008 Division: Growth Management Bulk Item: Yes No ...K- Department: Planning and Env. Resources Staff Contact: Tiffany Stankiewicz. Ralph Gouldv AGENDA ITEM WORDING: A public hearing to consider a request for Administrative Relief for Twin Lakes Key Largo LLC on Lot 14. Block 1, Twin Lakes, Key Largo. Real Estate Number 00548130.000000. ~ ITEM BACKGROUND: A building permit was applied for on 10/14/2003 and a ROGO application was applied for on 4/6/2004. The applicant applied for administrative relief on 9/7/2007 and is within the allowable time frame to be eligible for administrative relief under Section 9.5-122.2(f) of the Monroe County Code. 0' /I Staff recommends that administrative relief be awarded in the form of one (1) dwelling unit allocation. PREVIOUS RELEVANT BOCC ACTION: N/ A CONTRACT/AGREEMENT CHANGES: N/A STAFF RECOMMENDATIONS: Approval in the form of one (1) dwelling unit allocation. TOTAL COST: N/A BUDGETED: Yes N/A No COST TO COUNTY: N/A SOURCE OF FUNDS: N/A REVENUE PRODUCING: Yes No AMOUNTPERMONTH_ Year APPROVED BY: County Atty _X, ,'_. OMB/Purchasing N/A Risk Management _ N/ A_ DOCUMENT ATION: Included X Not Required_ DISPOSITION: AGENDA ITEM # Lt 14, Bk 1, Twin Lakes, Key Largo RE # 00548130-000000 Applicant: Twin Lakes Key Largo LLC NA ~ ~N"""'''''''''''~ ......11II............ __ ".c::J.~ ~lt:::I,_i c=JoWI...........c:::J. t:::;J1c:::::l4 ~._. ~..._ C=:J '"-.. ~ 1:1 '~ y -- ;I' O.\!~.fj~~E Environmental Resources Mangrove . This map is for uae by lheMom06 County Growth Management Division only,The data contained herein is not a legal repesentation of boundaries. pU'Cela, ~oada right of ways or other geognphical data, ~.) AI'Pl.I( ..\'1'10\ r--J:-_ /.... (:'p .~" il~J ...III"~I '~') .1 .1"'!1~ \. _~ _ -L-"" .. ' ", .,......--- V II ADMlNISTRAT~~EF APPUCATION j~ ... .J.1.~ Administrative Reiieffee:~~l QA?~ p,tI. Property Owner's Name: 'l..4...);'("',. L ... \.c!.p ~ \{Pj L..?.rr~ 0 LL C Property Owner's mailing address: A~n' ]"e.'\l"lS GCt""l"'\e:? IOC"'l-4 Phone: .~ OS "?? Q :-. '5 1- ~ ') Fax: Agent's Name: ..1 0 'i (e ~r.a ~ ~ / .pc. I' l 'Dr- ~("'K ,"">LIJ ~3 "'ct "SJ MiA 1A I ~31 b.S Agent's mailing address: ~') :\c~~':h~ ~T 1~~tQr- t='L -::,~a;Jcj " Phone: 3cR~:;)." ~ 0, ~ Fax: '"'$>15 (~L 41C\~ (please attach a statement authorizing representation of this application by someone other than yourself The statement should read: "I. (owne~s name) authorize (individual you are authorizing to represent you) to represent my property for this application for Administrative Relief' PROPERTY DESCRIPTION: Lot [4 Block \ Subdivision Tw II-\. l&KQ."S Key (island): L ~~ (\ Street: Ifmetes and bounds, attaCh legal description on separate sheet. MM:: _ RE: CXJ~4 e 1 ~ . Cc::ocl7:3 Permit Application #: 0 ";'~a -<\ S-q s- Date of most recent ROGO application: ..L\ I 6' 0 'I What kind of administrative relief are you seeking? NOTARY: STATE OF FLORIDA COUNTYOF /1141'11- DA-tJe 1'# The foregoing signature was acknowledged before me this 1&/ J;y of J (/ ~ y By J EStis 17 . <:; p .17 ,f' ...a;,.ho is personally known to me or produced as,~.mt\fication. ,,'/ I (r~ S' atu~No .20 :J g . PERMIT # hplaf: ~1Wicl''''~1115m 201iJo-2pS-SIB ~:-, T ~,.. I ... ..... _.. I (Date) 1 hereby authorize Je.,,\ CQ... \<'t-A P{>>f'\ "~i) rrl:)( ICJ( O"f_e of Agent) be listed as authorized agCllt for the Administrative Relief application submittal for (Name ofOwa~3)/ A B""'""J.~I'" ROOO.~_' ~~~ ....,.."...,. """"""..1.0<. ~ Blodc~ SubdivisiOD: ~.~ \..: . Key: \...'1"'\ () and Real EsIate Dumber. a 0 ~ , - . This autbori2ation becomes effcctiw on the dale this affidavil is nOl8lizcd and shall remain in effect until tcnDin8red by the IDldclsigocd. This authorization ads as a dUflble power of attorney only for the purposes staled. The undersiped UDderstaads the liabilities involved in the grantiD& of this agency and aca=pIs fUlllCSJlOZlSibi1ity (thus holding Monroe CoUllty harmless) lOr IIIIY a.od the actions of the lIgClIt D8l'Dcd. relmd 10 the acquisition ofpcnllits fOr the afDraDCD1ioDcd lIpplicanl one or mote authorization Note: Authorization is Deeded from each OWllCS" of forms must be su~ with dlc lIppliamon if1bcn: Owaer(s) / Ap . j es\".l:s ',""". 66 M tS7- Priated Name ofOwacr(s)/ Appticant NOTARY: STATE OF IiLORlDA COUNTY ()If M6NItOE 11/1/ /111 ~ ]) 4J> ~ The forcgoiDg iastnmtcnt _ admowledged Wore IDe this 7." :/VL 1 / 'I ~yof .lOPS. J ES f/ ~ 17. -6 tJ 17 fi 2 is ~ penoD&Uy bOWD _ producccl identifiutiOD Type ofI~o.). did / ~ oot IIW: _ oath. 1 . r:i 201f7-2f7S-S1B 'l10 ~ .m.l 1 ned ef7S:S0 80 01 Inr n.sunbiz.org - Department of State ( Page 1 of (, Prevlous~on List Next on List Return_To List I . Offj~r/RA Name Search ~7 ...J No Events No Name History Detail by Officer/Registered Agent Name Florida Limited Liability Company TWIN LAKES KEY LARGO, LLC Filing Information Document Number L06000089129 fEI Number 205530403 Date filed 0911212006 State FL Status ACTIVE Principal Address 10040 SW33 STREET MIAMI FL 33165 Mailing Address 10040 SW33 STREET MIAMI FL 33165 Registered Agent Name & Address GOMEZ, JESUS 10040 SW 33 STREET MIAMI FL 33165 US Manager/Member Detail Name & Address Title MGR GOMEZ, JESUS , 10040 SW 33 STREET MIAMI FL 33165 Titte MGR GOMEZ, MARTHA 10040 SW33 STREET MIAMI FL 33165 <--/ Deceu~ Annual Reports Report Year filed Date 2007 03/19/2007 lttp://www.sunbiz.org/scripts/cordet.exe?action=DETFIL&ina doc numher=T.OtiOOOO~Ql ?Q&inn l".l:nnp fro 7/Un(\n~ (~~=biZ'O::~tOfS_ Page 2 of Document Images 04/08/2008 - ANNUAL REPORT 03/19/2007 - ANNUAL REPORT 09/12/2006 - Florida Limited Liability View image in PDF format View image in PDF format View image in PDF format I Note: This is not official record. See documents if question or conflict. I Pr.e.viou$ on LJ!J.t Next on List Ret....ro To Lift No Events No Name History Officer/RA Name Search Home Contact us Document Searches E-Filing Services Forms Help CopyrJght and Privacy Policies Copyright @ 2007 State of Florida, Department of State. http://www.sunbiz.org/scriots/cordet.exe?action=DETFIL&ina doc oumher=T ,06000089129&100 camp fro 7/14/'JOOli SOLD PROPERTY (TRANSFER OF ROGO/BUILDING PERMIT APPLICATION RIGHTS) We, Jesus Gomez & Martha Gomez, sold Lot(s) 14, Block t, Subdivision: Twin Lakes, Key: Laroo (RE: 00548130.000000). The new owner(s), Twin Lakes LLC have all rights on ROGO and Building Permit applications 03-30-4595. Please send all original documentation to new property owner(s) regarding ROGO to: Name(s): Twin Lakes Kev Laroo LLC Attn: Jesus Gomez. Mailing address: 10040 SW 33rd ST Miami FL 33165 Phone Number: Cell: 786-295-2091 Jose Fax: 305-262-4907 Attached is a copy of the recorded deed(s) transferring ownership. Additionally, this application (03-30-4595) includes ROGO lots which are described as: Lot 14, Block 1, win Lakes, Key Largo (RE: 00548130-000000) have also been sold to Twin Lakes Largo LLC. Attached is copy of the recorded deed transferring ownership, W ty Deed, Corporate Office Re~stered, Oasis Report, Agent Letter. : Date: ?- ?-- } t> 9, Sellers Name: p I, f : Date: Sellers Name: Martha Gomez NOTE: ALL OWNERS SIGN TO TRANSFER RIGHTS Sworn to and subscribed to before me this ~.;;- day of ~;: ~ ' 200 Y-, Jesus Vidal & Martha Vidal who are Dersonallv know If to m or has produced .- -' . mo did (did not) take an oath. l~J \fe pdS5~q ~ \-Vc1 Set? d,~J~ C\9r+ )tfc-&+e ~~ Notary Public My Commission Ex . .....1'S1<.~... VIRGINIA MIRABAl pr~'~ .~~ MYCOMMISSIONIIDD750596 ~~ , : i EXPIRES: March 29. 2012 ~. "#i:, . ,BoIldGdlluU~,~.uJ1delWrlleB . OFFICE of VITAL Slr\nSnCS CERTIFIED COPY .....-: ,~~. .LOCAL.... MOo- I........~,....,~............ Martha" ~ DA.lII:rllInM"""" _ 1WJ April 2'3, 1945 . ~~........ ".~A'_"".""'1:iIiIIIIIIIII 262-78-4647 CUba "=~':.T11 _ ll_ ~M.:.....~ .. ~~lIIIWIItfltll"""'''''''''' Baptiat Hospital .......-AL.~....., 'X_ ......e......~ ,~~....... Flor.j.da , FLOJlIDA CERTlFlCATE OF DEATH ...,.'--",,!,- ......~'-ow......_. ~..... ~~ .1.....".nMN..::..~~OlIM.r.fH Mlam1 '" - ............ MlaDli-Oscle .. ........~......... ..........- ___.__ JrJ8U"" H.a Gomes .....an.~DRUl:M1'DiI - I'" -.......... L,-='~ &lementary School ......... - 10040 South~.t 33 Street .... ...... 33165 UIL.....-rI--'CCQII'.I,JICM ..........,.,."'*......_~......... ..._~,.... 1f:f Tucffor 1~~IUICl'~"''''''''''-'''''''''''-'---'''''''''''''''--''''''''';;'''' .!.... ~1IIIIIIo&..~~: _---~.............._ _~. _.iM- _.~ _......-. _..... _"*--' _.......... ................ ....... 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RE: NOTICE OF AUTHORIZED AGENT To Whom It May Concern: I Jesus Gomez owner of the following described real property; Lot 14, Block 1, Twin Lakes RE# 00548130.000000 permit number 03304595 Jesus orize Debi Miller as my agent to conduct all business necessary to process it 03304595 from Monroe County, HRS Monroe County Public Health other neces~ agencies for the construction of a single family residence . d p rty' to file for Administrative Relief.. STATE FLORIDA COUNTY OF MONROE Sworn to and subscribed to before me this ~~ 1ft IIU: .r has produced (did net) take.an .ath. ~Of- N' :2 -day ofjv/.y 2007 ~she is personally as identification and wb..o did My commission _ F.RCJM : BOCC -0 I STR I CT-5 ww .sunbiz.org . Department of State Sep. 06 2007 02:38PM Pl "-'a. .. Hom. Contact Us E-Flllng Services Document Searches Fonns E!m.vimIJ on.J."iat No Events NexlonJ.,l8t No Name History ~r.n.Io List [_ ~~t!!Y_ ~a"!fj! .s~iJ1 -:] _. ~ .. .- _ _......- __ _. r . .. ,_. ...........--.-..... . - - . ....._.. ......_ ..~ _______ - - - ",............... ............. I -_. - .... .- Detail by Entity Name Florida Limited Liability CompanY. lWIN LAKES KEY lARGO,lLC Filing Information Document Number L06000089129 FEI Number 205530403 Date Filod 09/1212006 State FL Status ACTIVE Principal Address 10040 SW33 STREET MIAMI FL 33165 Mailing Address 10040 SW 33 STREET MIAMI FL 33165 Registered Agent Name & Address GOMEZ, JESUS 10040 SW 33 STREET MIAMI FL 33165 us Manager/Member Detail Name & Addreae Title MGR GOMEZ, JESUS 10040 SW 33 STREET MIAMI FL 33165 Title MGR GOMEZ, MARTHA 10040 SW33 STREET MIAMI Fl33165 Annual Reports Report Year Filed Date 2007 0311912007 Document Images http://www .sunbiz.org/script~fcordet.cxe?action=DE'fFIL&in'Ldoc _ number"'-L06000089129&;n~ came... 9/6/2007 _ FROM_:~QCC-DISTRICT-5 ww.sunbiz.org - Department of State ~/19120P7 -:-,ANJiU~L REP.Q.Rl )9lj2l2..00.6:- Elorij@ L.lmit~d ljabihtY Note: This 1& not offiCial record. See documents If question or conflict. FAX NO. : 3058527162 Sep. 06 2007 02: 38PM P2 . ."0 ........ ...,.. ~ ~.-... . -.,- -.....~........--..-- ......- _.,..-". r- . ........ .'.> .....~ .. +---_... "",. -.... ........... ....-.-...... .-.... Home Contllct uS Dncument Searches F.-Filing Services Forms Help Copyright and Privacy Policies Copyright @ ;2007 SUIte of FlOrida, Oeparlment of state, http://www.sunbjz.org/f.Cripts/cordet.cxe?action=DnTFIL&jn~ doc _numbcr:=L06000089129&imLcame", 9/612007 Sep-07-2~~7_ 11: 1 &am F rom-TGSV F"+erprlI8 I nc: 3058169357 ~. - 7--"---- .... 'I. .... 4 t~,t :...... ..~,.,;C;'..~ T-D08 P.DOI/002 F~794 :a:p. aJ fi.'<<J( lOb.~n t-"o!. SOLO PROPERTY ~~~~~~ar~~Q~Yk-~.~2~;:: ~~~C~110N RTOl~) ." , -, ,. .,..*~,P.",...,... '9:,', :.;,J::J;...;)::)..., ,'~ . . ,1/Wc"Jesus M, Oomcz and Martha M. Go~ sold Lot 14, Block 1, Subdivision: Twin L~. Key: Latgo(RB; 00548130.000000). .The ncwowncr(s). Twin Lakes KcyJ.argo. ' LLC. a Florida Limited Liability Company, have all rights on ROGO and Building permit applieati.on 03304595. Please send all original documentation to new property owner'(s) reeaaUina ROGO To; Name(s) Twin Lakc:s Key Largo, LLC Mailing address~ 10040 SW 33 Street, Miami, }e'13316S ~ 786--295-2091 I . !9f~ ~.9 d~d(s) tra~ing ownership, . """'~' ',;;....(, "'~. ,,1, ",~'~""-::l-..;I....\-, ,it,., " .'...,.... .' - . ~~ ~ '/4 ':~~~~.- ., Sellers Name: Martha M. Gomc7. ~~~~ NOTE: AT.L WNERS SIGN TO TRANSFnR 'R.IGIITS Sworn to and subscribed to before me this :::z....- day of September. 2007,~ 6an'V6.,)ofJ;~1 arc~eISonally known to m~ or has produced _ _as identification and who did (did nut) take an oath. ~~--'~~b~ Notary Public My Commis!lion Expires t:~'~_~;~t~',:~:'-'~V'~'.t..:...~ ';>ir'- T.~'~ -71'\~111Y""'..tt!'t VIRGINIA MIRABAl MY COMMISSION /I DO 290599 EXPIRES: MIln:n 29,2008 ac.-,"",,~lIIIIryNw;~ '~.I''9:~:''~~.,~ -.;." ~ .'"'t'-~,..~' ..~.. . . -- FOR Dl!PARndENT om Y om of filiag witII tile PllDDiog DiIa:U APPLICATION FOR ADMINISTRATIVE RELIEF . . strative Relief fee: $760.00 Owner's mailing 3RD STREET MIAMI FL 33165 Pbone:30S~-S7SS Agent's Name; Deborah Miller Agent's mailing address: PO BOX 147 TAVERNIER FL 33070 Fax: J' Phone.30S-SQ91299 Fax: p (please attach a statement autho~ ~on of this application by somaine other then yourself, statement should read: "I., (owner's name) authorize (individual you are authorizing to represent you) to represent my property for this application for Administrative Relief RE#OOS48 13?0ooooo Legal description (attach metes and bounds description ifnecessary):BK 1 LT 14 TWIN LAKES pemit II, 0330459S Date of most recent ROGO application, 4-6-04 Wbll kind of administrative relief are you seeking?pmnit aUocatiOll not purchase Additional Comments:_ , .. _ , NOTARY: STATE OF FLORIDA COUNTY OF M tu.Ji'll-e.... The foregoing signature was acknowledged before me this ~y of Sz..p. 20Q ., By~ ~ n'\.' I ~who ~allY kno~e or produced ~ as Identification. ~ soIEN I ~ cimlALFAV Myco i' ~~ < lm~:.':.~';"""""'NOIoTYpubGC::;~ - 4,. .,~ #00371663 Signature 0 otary Public, State of Florida ~~ rtJ comm~Ho\ClIYAIII'\o , f'II,.., (1. <r,.~",~ '8Qrd8d IV .......,..... ih.-. ~"""'FfJf ~~..... ,1" ~.~ Applicant's Signature ~ PREPARED BY AND RETURN TO: RARICK a ASSOCIA us, P.A. 6500 COWPEN ROAD, SUITE 204 MIAMI LAKES, FL 33014 Doca 11111247 UV3I/- 2'.- Flied I II-....._L. - --..om IICIIIIoI! COiiiY" In 0" lcoi.l ,,-,.. of' DANNY L. ICGUIIGE 11138/_ 2:4IPI'I llIID DOC 'fANI a.: JENilIFERN _... DotdI 1lte247 8IdI 2248 "'!48 PaftelldentUledoD No.(s): 00541130-0000OO (Space Above Uk UIIe ror Recordhtg Dacal WARRANTY DEEP THIS INDENTURE. made dds 6th day of Oetober, 2006, BETWEEN .lE8US II. GOMEZ allJd MARTHA M. GOMEZ, blllb_ ud wifa, GRANTORS, whose post office address is 10040 SW 33 S4rcct. Miami. FL 33165, of thll County of Miami-Dade, in the State of Florida, and TWIN LAKES Ia:Y LARGO, LLC, a no..... Umlted lblbllty Compaay, GRANTEE, whose mailing IIddress is lOO4{l SW 33 S1nlet, Miami, FL 33165, of the County of Miami-Dade, in the State of Florida. WITNESSETH: That said grantor, for BJXI in considenrtion of tile sum of TEN DOLLARS (510.00) and ocher good and valuable COIlsiderarioRll to said grantor in .hand paid by said 1JllIIIUe, the R'lCeipt whereof is hereby acJaaowIedgod, has granted, co~ bargained and sold to the said grantee, and grantee's heirs and assigns forever, the following described land, situate, lying and being in Mooroe County, Florida, to-wit: Lof FOURTEEN (14). Block ONE (I). TWIN LAKES, 00 Key Largo, MODJ'Cle Coaaty, FIo..... aeeonftlll to the PIIIt tIIereof, neorded In Plat Book 3, p.. 16D. or the PablJe Records of MOIIIVe COUIlty, Florida. NOTE: The Grantors filnher warrant that the above described property does not now and never has constituk:d Grantor's homestead, and is not now and never has been contiguous to Grantor's homestead. . Subject to nlSlrictions, mleI'VaIions, easements and limitations of record, if any, provided that this shall not serve to reimpose .same., zoning ordinances, and lues for the current year and subsequont years. Said srantor docr8 hereby fully warrant the title 10 said land, and will defend that same apinst the lawful claims of all persons whomsoever. "Grantor" and "srantee" arc used for singular 01' plum, as context requires. THIS DUD BAS BEEN PREPARED WfJ'HOVT THE BENEFIT OP TITLE I:XAMINATION. ~ JII8247 -I 2241 PtII.. Pap ..z. WARRANTY DEED: GrMtur(a): JESUS M. GOMEZ alld MARTHA M. GOMEZ GI'lUItee(I): TWIN LAKES KEY LARGO. LLC IN WITNJ:SS WIIEREOJl, Grantors have hereunto set grantors' first above written, WITNESSES SIGN: ~ SIGN: GRANTOR SIGN: s"N,k~~. ~ MARTHA M. GOM PRINT:~ ~V) STATE OF FLORIDA :is COUNTY OF MJAMI.DADE The foregoing instruJnent was aclnowledged before me this 6" day of October, 2006, by JESUS M. GOMEZ and MARTHA M. OOMEZ, who are personally known to me or have fumished 8 State of Florida Driver's License lIS identification. (NOTARY SEAL] VlIOIM~ IIY OOINSSION I 002110599 EllPlREIl: lIlldla 2lP ---.....- THIS DEED HAS BEEN PREPARED wrmOUTTBE BENEFIT OF TITLE EXAMINATION. IIOtIIOE CCIUNTY OPFICIAL IIECGRDs MONROB COUNTY ***LIVE*** Item 1 of 1 PBRMIT RBCBIPT OPBRATOR: baumanb COpy # 1 Sec:14 Twp:61 Rng:39 Sub: Blk: Lot: RE: ... '" ... 00548130000000 DATB ISSUED..... ..: 09/07/2007 RBCBIPT n.... .....: 103080 RBFBRENCB ID # ...: 03304595 SITB ADDRESS...... BK1 LT14 TWIN LAKES SUBDIVISION...... : CITy............. : IMPACT AREA .... ..: OWNBR '" .........: GOMEZ JBSUS M & MARTHA ADDRBSS '" .......: 1004 SW 33RD STREBT CITY/STATB/ZIP ...: MIAMI, FL 33165 RECBIVBD FROM ....: JOSB VIDAL CONTRACTOR .. ... ..: TATUM, CLBON HARVEY LIC # 07189 COMPANY..........: TGSV ENTBRPRISBS INC ADDRBSS ...... ....: 1301 W 6BTH STREBT CITY/STATE/ZIP...: HIALEAH, FL 33014 TELEPHONE .. ....... (305) 823-5755 FBE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- B- A PLAN FLAT RATB 1. 00 100.00 0.00 0.00 100.00 B- 0 BDUC FLAT RATB 1. 00 2.00 0.00 0.00 2.00 B- 2B APPL FLAT RATE 1. 00 750.00 750.00 0.00 0.00 B- 3 BLDG SQ FT 3,512.00 900.00 0.00 0.00 900.00 B- 7 FLATW SQUARB FOOTAG 2,085.00 75.00 0.00 0.00 75.00 B- BIO BDU FLAT RATE 2.00 4.00 0.00 0.00 4.00 8-21A FILL CUBIC YARDS 60.00 15.00 0.00 0.00 15.00 3-21B FILL FLAT RATB 1.00 80.00 80.00 0.00 0.00 3-22B L/C FLAT RATE 1. 00 35.00 0.00 0.00 35.00 3-22C L/C UNITS 1. 00 35.00 0.00 0.00 35.00 ~ 0 EDUC FLAT RATB 1. 00 2.00 0.00 0.00 2.00 ~- 3A OUT SQUARB FEET 2,380.00 240.00 0.00 0.00 240,00 J 3B OUT EACH OUTLET 22.00 220.00 0.00 0.00 220.00 ~- 3C OUT EACH FIXTURE 20.00 200.00 0.00 0.00 200.00 ~ 4A SERV TEMP SERVICES 1. 00 50.00 0.00 0.00 50.00 ~- ~- 4B SERV SBRVICES 1. 00 50.00 0.00 0.00 50.00 ;1;- 4J SUB SBRVICES 1. 00 50.00 0.00 0.00 50.00 ~- 9B A/C SYSTEMS 1. 00 50.00 0.00 0.00 50.00 ~ 9F A/c UNITS 1. 00 50.00 0.00 0.00 50.00 J ~-13 ALRMR SYSTEMS 1. 00 50.00 0.00 0.00 50.00 ~-13 LOW R SYSTEMS 1. 00 50.00 0.00 0.00 50.00 ~DR l-SFR FLAT RATE 1. 00 75.00 0.00 0.00 75.00 <f- 0 EDUC FLAT RATE 1. 00 2.00 0.00 0.00 2.00 <f- 2 2A/C SYSTEM 1. 00 65.00 0.00 0.00 65.00 <f- 3 DUCTW DROPS 18.00 180.00 0.00 0.00 180.00 )- o EDUC FLAT RATB 1. 00 2.00 0.00 0.00 2,00 )- 2 FIXTU UNITS 14.00 210.00 0.00 0.00 210.00 )- 3A SEWE PER CONNBCTIO 1. 00 50.00 0.00 0.00 50.00 MONROE COUNTY ***LlVE*** :tem 1 of 1 PERMIT RECEIPT OPERATOR: baumanb COpy # 1 Sec:14 Twp:61 Rng:39 Sub: Blk: Lot: RE: . . . . . . . .: 00548130000000 DATE ISSUED...,...: 09/07/2007 RECEIPT #. ..... ...: 103080 REFERENCE ID # ...: 03304595 SITE ADDRESS ...... BK1 LT14 TWIN LAKES SUBDIVISION ......: CITY............. : IMPACT AREA ......: OWNER .... .... ....: GOMEZ JESUS M & MARTHA ADDRESS ...... ....: 1004 SW 33RD STREET CITY/STATE/ZIP,..: MIAMI, FL 33165 RECEIVED FROM ....: JOSE VIDAL CONTRACTOR .., ....: TATUM, CLEON HARVEY LIC # 07189 COMPANY .. .... ....: TGSV ENTERPRISES INC ADDRESS. "" .....: 1301 W 68TH STREET CITY/STATE/ZIP...: HIALEAH, FL 33014 TELEPHONE ......... (305) 823-5755 FEE 10 UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ---------- ---------- ---------- ---------- 1,000.00 50.00 0.00 0.00 50.00 1. 00 20.00 0.00 0.00 20.00 4.00 48.00 0.00 0.00 48.00 1. 00 2.00 0.00 0.00 2.00 3,723.00 190.00 0.00 0.00 190.00 3,512.00 17.56 0.00 0.00 17.56 3,512.00 17.56 0.00 0.00 17.56 1. 00 200.00 200.00 0.00 0.00 1.00 760.00 0.00 760.00 0.00 ---------- ---------- ---------- ---------- 1305.12 200.00 760.00 345.12 ---------- ------------- P- 3B SITE DOLLARS P- 6 APIPE CONNECTIONS P- 6 DPIPE DOLLARS R- 0 EDUC FLAT RATE R- 9A ROOF SQUARE FEET RADON/NEW SQUARE FOOTAG RECOV/NEW SQUARE FOOTAG ROGO FLAT RATE ZONING-032 FLAT RATE TOTAL PERMIT : METHOD OF PAYMENT AMOUNT NUMBER CHECK 760.00 1422 - INTERCREDIT ------------ ------....._---- TOTAL RECEIPT 760.00 REFERENCE TYPE FEE ID THIS REC ---------- ---------- ---------- 03304595 P B- A PLAN 0.00 03304595 P B- o EDUC 0.00 03304595 P B- 2B APPL 0.00 03304595 P B- 3 BLOG 0.00 03304595 P B- 7 FLATW 0.00 03304595 P B- BIO EDU 0.00 03304595 P B-21A FILL 0.00 03304595 P B-21B FILL 0.00 03304595 P B-22B L/C 0.00 03304595 P B-22C L/C 0.00 03304595 P E- O EDUC 0.00 03304595 P E- 3A OUT 0.00 03304595 P E- 3B OUT 0.00 03304595 P E- 3C OUT 0.00 03304595 P E- 4A SERV 0.00 03304595 P E- 4B SERV 0.00 03304595 P E- 4J SUB 0.00 03304595 P E- 9B A/C 0.00 03304595 P E- 9F A/C 0.00 03304595 P E -13 ALRMR 0.00 03304595 P E-13 LOW R 0.00 03304595 P LDR 1-SFR 0.00 03304595 P M- o EDUC 0.00 03304595 P M- 2 2A/C 0.00 03304595 P M- 3 DUCTW 0.00 03304595 P P- O EDUC 0.00 03304595 P P- 2 FIXTU 0.00 03304595 P P- 3A SEWE 0.00 03304595 P P- 3B SITE 0.00 03304595 P P- 6 APIPE 0.00 03304595 P P- 6 DPIPE 0.00 03304595 P R- o EDUC 0.00 03304595 P R- 9A ROOF 0.00 03304595 P RADON/NEW 0.00 03304595 P RECOV/NEW 0.00 03304595 P ROGO 0.00 03304595 P ZONING-032 760.00 TOTAL FOR 03304595 760.00 TOTAL PERMIT FEES 760.00 DATE........... . 09/07/07 TIME........... . 14:08 RECEIPT NUMBER.. 103080 OPERATOR ID..... baumanb CHECK. . . . . . . . . . . 760.00 TOTAL. . . . . . . . . . . 760.00 r oIeU'M; VIIW. OR,CQNat..... VIDAL ,1i!Y I.MQO~ ' :;,e!IW 14ant,ct, '..". FL.' S;rl. PKyttJ1hI I ~ot ~ ' !10 ~rr lANK. N.l. : , ..,oAJi",__ I -'-'4.~ 1. ~~ ~t;t~iYN\ ~:OE. 70'" ',8 ,,~~: 1..00 jt, J80'" 14221 ~....y~l '...I,.l/Il~ $ r.'- '":'-; iiiJ f l~A . . ~...--- ..;........ - ~~