DS-17-2969Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Permit NO. DS-12-17-2969
Pe r
■ Permit Type: Driveways/Sidewalks/Slabs
ii'i I Work Classification: Addition/Alteration'
Permit Status: APPROVED
Issue Date: 12/20/2017
Expiration: 06/18/2018
Parcel Number
Applicant
475 NE 91 Street
Miami Shores, FL 33138-3150
1132060140142
Block: Lot:
AVANT PLACE , LLC
Owner Information
Address
Phone
Cell
AVANT PLACE , LLC
7845 W 2 Court
HIALEAH FL 33014-
(786)566-2454
7845W2Court
HIALEAH FL 33014-
Contractor(s) Phone Cell Phone
CONWELL & ASSOCIATES CONSULT (305)962-5673 (305)926-5673
Valuation:
$ 4,500.00
Total Sq Feet: 400
ApproveEd: In Review
Comments:
Date Approved: : In Review
Date Denied:
Type of Work: DRIVEWAY WITH WALKWAY INSTALLATI
Bond Return :
Scanning: 3
Additional Info: DRIVEWAY WITH WALKWAY INSTA
Classification: Residential
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$3.00
$2.00
$2.00
$1.00
$100.00
$9.00
$4.00
$121.00
Pay Date
Invoice #
12/19/2017
12/20/2017
Pay Type
DS-12-17-65939
Credit Card
Check #: 1710
Amt Paid Amt Due
$ 50.00 $ 71.00
$ 71.00 $ 0.00
Available Inspections:
Inspection Type:
Final
Foundation
Review Building
Review Planning
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 certi at all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. f ermo , I authorize the above -named contractor to do the work stated.
December 20, 2017
Authorized Signet ,'Owner / Applicant / Contractor / Agent
Date
Building Department Copy
December 20, 2017 1
Miami Shores Village
Building Department
BUILDING
PERMIT APPLICATION
NOV : 2016
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY:
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 201`-i
Master Permit No. D3 t - 31 t
Sub Permit No.
LDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
JOB ADDRESS:
❑ PLUMBING ❑ MECHANICAL ❑ PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
s% sT
-47 c-iJt--
City: Miami Shores
Folio/Parcel#: Is the.Building Historically Designated: Yes NO
Occupancy Type: Load: Construction'ti-7
Type T Flo d Zone: BFE:FFE:
).+ " OWNER: Name (Fee Simple Titleholder - ! Phone#: / v 6 �� 2/Sy
Address: 7( �T A 1:SJ . T
City: ( Sta zip: _O L
Tenant/Lessee Name: Phone#:
Email: L,
CONTRACTOR: Company Name:
Address:
City:
Qualifier Name: Phone#:
State Certification or Registration #: Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: ip:
Square/Linear Footage of Work: r Fr --
Type of Work: ❑ Addition ❑ Alteration i New Repair/Replace ❑ Demolition
Value of Work for this Permit: $ ct:P-,50P
Description of Work:/k✓L1
vti 71Lk-v✓L1
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ 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)
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 yofcommencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit. is:,issuedln the absence of such posted notice, the
inspection will not be approve g spection fee will be charged.
Signature
OWNER o(AGENT CONTRACTOR
The foregoing instrument was acknowledged befforegoing instrument was acknowledged before me this
ZA day of N 0 V , 20 I_ by day of , 20
f rN CS t -At fott who is p
by
onally k own to. , who is personally known to
me or who has produced `1 / as me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sig
print: 4 ohO fQI f-r. w LY7 f e.7 _
Seal:
EZ
irkM, MY COMMISSION # GG�044802
EXPIRES: November 2, 2020
APPROVED BY Plans Examiner
AZ
Structural Review
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
Zoning
Clerk
(Revised02/24/2014)
NAME:
OWNER BUILDER DISCLOSURE STATEMENT
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
/(2(c/(
ADDRESS: 7 -e(7 /- % t?i / I /'iA
Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, F.S 489.103(7). And I have
read and understood the following disclosure statement, which entitles me to work as my own contractor; I further understand that I as the owner
must appear in person to complete all applications.
State Law requires construction to be done by a licensed contractor. You have applied for a permit under an exception to the law. The exemption
allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the
construction yourself. You may build or improve a one -family or two-family residence. You may also build or improve a commercial building at a
cost of $25,000.00 or less (The new form states 75,000). The building must be for your own use and occupancy. It may not be built for sale or
lease. If you sell or lease a building you have built yourself within one year after the construction is complete, the law will presume that you built
for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as.a contractor. It is your responsibility to make
sure the people employed by you have licenses required by state law and by county or municipai-licensing ordinances. Any person working on
your building who is not licensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A and
with -holdings tax and provide workers' compensation for that employee, all as prescribeiiby law. Your construction must comply with all
applicable laws, ordinances, buildings codes and zoning regulations. i err
Please read and initial each paragraph.
DATE:
1. I understand that state law requires construction to be done yip licensed co,ntractt r and have applied for an owner -builder permit under an
t exemption from the law. The exemption specifies tha t I�as the.owner of the?property listed, may act as my own contractor with certain
restrictions even though I do not have a license.
Initial
2. I understand that building permits are not required t5 e signed by a property owner unless he or she is responsible for the construction and
is not hiring a licensed contractor to assume responsibili de
Initial
3. I understand that, as an owner builder, I am the responsible party of record on a permit. I understand that I may protect myself from potential
financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own name. I also understand that the
contractor is required by law to be licensed in Florida and to list his or license numbers on permits and contracts.
Initial
4. I understand that I may build or improve a one family or two-family residence or a farm outbuilding. I may also build or improve a commercial
building if the costs do not exceed $75;000. The building or residence must be for my use or occupancy. It may not be built or substantially
improved for sale or lease. If a building or residence that I have built or substantially improved myself is sold or leased within 1 year after the
construction is complete, the law will presume that I built or substantially improved it for sale or lease, which violates the exemption.
Initial
5. I understand that, as the owner -builder, I must provide direct, onsite supervision of the construction.
Initial
6. I understand that I may not hire an 'unlicensed person to act as my contractor or to supervise persons working on my building or residence. It
is my responsibility to ensure that the persons whom I employ have the license required by law and by county or municipal ordinance.
Initial
A
7. I understand that it is frequent practices of unlicensed persons to have the property owner obtain an owner -builder permit that erroneously
implies that the property owner is providing his or her own labor and materials. I, as an owner -builder, may be held liable and subjected to
serious financial risk for any injuries sustained by an unlicensed person or his or employees while working on my property. My homeowner's
insurance may not provide coverage for those injuries. I am willfully acting as an owner -builder and am aware of the limits of my insurance
coverage for injuries to workers on my property.
Initial
8. I understand that I may not delegate the responsibility for supervising work to be a licensed contractor who is not licenses to perform the
work being done. Any person working on my building who is not licensed must work under my direct supervision and must be employed by
me, which means that I must comply with laws requiring the withholding of federal income tax and social security contributions under the
Federal Insurance Contributions Act (FICA) and must provide workers compensation for the employee. I understand that my failure to follow
these may subject to serious financial risk.
Initial
9. I agree that, as the party legally and financially responsible for this proposed Construction activity, I will abide by all applicable laws and
requirement that govern owner -builders as well as employers. I also understand that the
Construction must comply with'all applicable laws, ordinances, building codes, and zoning regulations.
Initial
10. I understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service, the United States
Small Business Administration, and the Florida Department of Revenues. I also understand that I may contact the Florida Construction Industry
Licensing Board at 850.487.1395 or http://www.myfloridalicense.com/dbpr/pro cilb/index html
Initial
11. I am aware of, and consent to; an owner -builder building permit applied for,in\my narfie and understands that I am the party
legally and fina cially res on able for the proposed construction activity at'the following address:
12. I agree to notify Miami Shores Village immediately many addi
this disclosure.
Initial
ons, deletions, or changes to any of the information that I have provided on
Initial '2\y
Licensed contractors are regulated by laws designed;to protect the public. If you contract with a person who does not have a license, the
Constr4uction Industry Licensing Board and Department of Business and Professional Regulation may be unable to assist you with any financial
loss that you sustain as a result of contractor may be in civil court. It is also important for you to understand that, if an unlicensed contractor or
employee of an individual or firm is injured while working on your property, you may be held liable for damages. If you obtain an owner -builder
permit and wish to hire a licensed contractor, you will be responsible for verifying whether the contractor is properly licensed and the status of
the contractor's workers compensation coverage.
Before a building permit can be issued, this disclosure statement must be completed and signed by the property owner and returned to the local
permitting agency responsible for issuing the permit. A copy of the property owner's driver license, the notarized signature'of the property
owner, or other type of verification acceptable to the local permitting agency is required when the permit is issued.
Was acknowledged before me this ( day of ,110J�M64
By 6iYtsi- s
who was personally known to me or who has
Produced there License or .P10 ( dO Cif Ntsj t I C. as identification.
C
WNER
NOTARY
De ail by Entity Name
•
Page 1 of 2
Florida Department of State
Y
Department of State / Division of Corporations / Search Records / Detail By Document Number /
Dsv:rtic
)F CORPORA?
Detail by Entity Name
Florida Limited Liability Company
AVANT PLACE , LLC
Filing Information
Document Number L09000116376
FEI/EIN Number 27-1436411
Date Filed 12/08/2009
State FL
Status ACTIVE
Principal Address
7845 W 2ND COURT
#3
HIALEAH, FL 33014
Changed: 04/29/2016
Mailing Address
7845 W 2ND COURT
#3
HIALEAH, FL 33014
Changed: 04/29/2016
Registered Agent Name & Address
JONES, EARNEST
7845 W 2ND COURT
#3
HIALEAH, FL 33014
Address Changed: 04/29/2016
Authorized Person(s) Detail
Name & Address
Title MGRM
JONES, EARNEST
7845 W 2ND COURT #3
HIALEAH, FL 33014
Annual Reports
Report Year Filed Date
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Detail by Entity Name Page 2 of 2
.
2014 03/31/2014
2015 05/01/2015
2016 04/29/2016
Document Images
04/29/2016 -- ANNUAL REPORT
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03/31/2014 --ANNUAL REPORT
04/27/2013 -- ANNUAL REPORT
04/06/2012 -- ANNUAL REPORT
04i30/2011 --ANNUAL REPORT
05i0412010 --ANNUAL REPORT
12/08/2009 -- Florida Limited Liability
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�\\01 2'e)0 \--P\Q`
BUILDING
PEFjMIT APPLICATION
Ply
BUILDING BUILDING
PLUMBING
JOB ADDRESS:
City: Miami Shores Zip:
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load:
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
RECEIVED
DEC 18 1�
FBC 20(0
Master Permit No. TMS f " Z
gCp
Sub Permit No.
❑ ELECTRIC ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION El RENEWAL
❑ MECHANICAL El PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
OWNER: Name (Fee Simm'Lpll Titleholder):
Address: W t�
Construction Type: Flood Zone: BFE: FFE:
k —PL74— cL
City: State: r Zip: 33,0 14
Phone#:76 56: —2
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: /" w'1 71—CS'
Address: / 1-1 7I
City: frt( .A -PS
Qualifier Name:
c L) /511` P
State:
(L CAOA)L✓ t--L
Phone#:
Phone#:
766 C6C-2-cj(riq_
Zip:
State Certification or Registration #: C CvC S 5—E/ lc:certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: �'Zi�p::-�
Value of Work for this Permit: $ /50 a Square/Linear Footage of Work: �c,/n
Type of Work: ❑ Addition
Description of Work:
❑ Alteration
❑ Ne ❑ Repair/Replace
❑ Demolition
haA'Z-IC-w• 7' I.4J cr.
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ t 00 • GC) CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $ —CI :c, -) 2___O8
TOTAL FEE NOW DUE $
County: Miami Dade
(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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which o even (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be appr. - ed a d a inspection fee will be charged.
Signature
OWNER or AGENT
The foregoing instrument was acknowledged before me this
i C� day of CCei'`4 B$e , 20 ( C7 , by
,CP Ear —a0J C , wh is personally know to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
**********
APPROVED BY
!d^; Zettie Jones
COMMISSION # ' : • 1
EXPIRES: March
*•Vii�OfA'�tR
2019
.h
as
CONTRACTOR
The foregoing instrument was acknowledged before e this
V— day of , 20 / , by
Ld " ( r^'"".-, who is personally known to
me or who has produced p Ot, as
identification and whe
NOTARY PUBLIC:
Sign:
Print:
Seal:
Plans Examiner
Structural Review
rol n M. Conwell
,fin oaErF1 y
' Commission # GG001091
• Expires: October 7, 2020
Bonded thru Aaron Notary
1S (6twe,k
Zoning
Clerk
(Revised02/24/2014)
12/18/2017 Detail by Entity Name
Department of State / Division of Cnr orations / Search Records / detail B .Document Number /
Detail by Entity Name
Florida Limited Liability Company
AVANT PLACE , LLC
Filing Information
Document Number L09000116376
FEI/EIN Number 27-1436411
Date Filed 12/08/2009
State FL
Status ACTIVE
Last Event REINSTATEMENT
Event Date Filed 09/27/2017
Principal Address
7845 W 2ND COURT
#3
HIALEAH, FL 33014
Changed: 04/29/2016
Mailing Address
1341 NW 81st Terrace
#3
Miami, FL 33147
Changed: 09/27/2017
Registered Agent Name & Address
Jones, Earnest
7845 W 2ND COURT
#3
HIALEAH, FL 33014
Name Changed: 09/27/2017
Address Changed: 04/29/2016
Authorized Person(s) Detail
Name & Address
Title MGRM
JONES, EARNEST
II A C ,a/ nfl,n I-' IrYT 1{/)
http://search.sunbiz.org/Inqui ry/Corporate onSearch/SearchResultDetai I?i nqui rytype=EntityN ame&di rectionType= Initial&searchN am eOrder=AVANTPLAC E%20 .. 1/2
12/18/2017
sletx
Property Search Application - Miami -Dade County
Summary Report
Property Information
Folio:
11-3206-014-0142
Property Address:
475 NE 91 ST
Miami Shores, FL 33138-3150
Owner
JAVA HOLDINGS LLC
AVANT PLACE LLC
Mailing Address
7845 W 2 CT BAY 3
HIALEAH, FL 33014 USA
PA Primary Zone
1100 SGL FAMILY - 2301-2500 SQ
Primary Land Use
0101 RESIDENTIAL - SINGLE
FAMILY : 1 UNIT
Beds / Baths / Half
3/2/0
Floors
1
Living Units
1
Actual Area
2,244 Sq.Ft
Living Area
1,920 Sq.Ft
Adjusted Area
1,912 Sq.Ft
Lot Size
6,350 Sq.Ft
Year Built
1966
Assessment Information
Year
2017
2016
2015
Land Value
$190,410
$158,758
$152,227
Building Value
$133,378
$134,487
$135,596
XF Value
$1,170
$1,185
$960
Market Value
$324,958
$294,430
$288,783
Assessed Value
$324,958
$294,430
$288,783
Benefits Information
Benefit ,Type
2017
2016
2015
Note: Not all benefits are applicable to all Taxable Values (i.e. County, School
Board, City, Regional).
Short Legal Description
MIAMI SHORES SEC 2 PB 10-37
LOT 22 BLK 49
LOT SIZE 50.000 X 127
OR 17969-1368 0198 4
Generated On : 12/18/2017
Taxable Value Information
20171 2016' 2015
County
Exemption Value
$0
$0
$0
Taxable Value
$324,958
$294,430
$288,783
School Board
Exemption Value
$0
$0
$0
Taxable Value
$324,958
$294,430
$288,783
City
Exemption Value
$0
$0
$0
Taxable Value
$324,958
$294,430
$288,783
Regional
Exemption Value
$0
$0
$0
Taxable Value
$324,958
$294,430
$288,783
Sales Information
Previous
Sale
Price
OR
Book-
Page
Qualification Description
04/14/2016
$375,000
30044-
3013
Qual by exam of deed
01/01/1998
$0
17969-
1368
Sales which are disqualified as a result of
examination of the deed
12/01/1996
$0
00000-
00000
Sales which are disqualified as a result of
examination of the deed
01/01/1992
$85,000
15339-
2221
Sales which are qualified
The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Property
Appraiser and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http://www.miamidade.gov/info/disclaimer.asp
Version:
Miami Shores Village
Building Department
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 and has acknowledge that he or she will not use
day labor, part-time employees or subcontractors for your project. The contractor has provided an affidavit stating that he or she will
be the only person allowed to work on your project. In these circumstances, Miami Shores Village does not require verification of
workers' compensation insurance coverage from the contractor's company for day labor, part-time employees or subcontractors.
BY SIGNING BELOW ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS
CONTENTS.
Signature:
0�'*'r
State of Florida
County of Miami -Dade
The foregoing was acknowledge before me this day of
w
as identification.
SEAL:
, 20
to me or has produced
MAHARAI K. GONZALE7
+..P ;- MY COMMISSION # GG O44' .
„w
; � '`' EXPIRES: November 2, 2021t
Zrr a BondedThruNotary Public Unc r. ^^'
'a
CACC GENERAL
CONTRACTORS
CONWELL & ASSOCIATES CONSULTING COMPANY
DATE: /2— "d /7
Before me this day personally appeared Kenneth F. Conwell who, being duly authorzied and says:
That he or she will be the only person working on the project located at:
Sworn to (or affirmed) and subscribed before me this / 2 %.6' "` / 7
tz
gnature) (Date)
k-eipiPfti F. C we[ r
(Print ,..w..ny►► Hamel,•• SOtiSt�J►'''►►,
r`:;:c.> •••".. ORA 7'...cs8N.
(Corp.' . = seal) �►_ j
STATE OF °'''''
COUNTY OF MIAMI-DADE
The foregoing instru ent was acknowledged before me this _/S d y of et, 20 /7 by
4fiee/M e i co tern on behalf of Calve 550('i i. [ 1 who is
personally known to me orias produced
Notary Signature:
Type or Print Name:
17)
as identification.
, 9"di%,,, Carolyn M. Coma,•, �'= Commission # GG001091
�' Expires: October 7, 2020
Bonded thru Aaron Notary
11771 SW 137 PLACE Miami, FL 33186 Tel: 305-926-5673 Fax: 305-385-7827 Email: info@caconsultingc.com
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Property Address:
475 N.E. 91 Street
Miami Shores, FLORIDA 33138
Notes: NO NOTES
SURVEYOR'S CERTIFICATIQI• I HEREBY CERTIFI THAT MIS 'BOUNDARY SURVEY IS A TRUE AND CORRECT
REPRESENTATION OF A SURNEYivrawka, LNCE R MY DIRECTION. THIS COMPLIES ATM THE MINIMUM TECINICAL
STANDARDS. AS SET PORTNOY 11.E STATE OF FLORIDA BOARD DF PROFESSIONAL L RAO IRRIEYORS W CHAPTER
S3-17. FLORIDA ADMINISTRATIVE r59FPURSUANT TO 472.027, FLORIDA STATUTES.
SIGNED ' FOR THE FIRM
EFRAIN LOPEZ 74. .rz
STATE OF E • P.S.N. No. 6R92
Saar VALID WITRDUVnND ? rjEB. I .IC SIGNATURE AAUTHBECT ORTICATED RONIC SEAL AEOTOR THE
MAP IS LID NOT VAtR RSiE MO TrE ORIGINAL RAISED SEAL OP A LICENSED SURVEYOR NO
MAPPER-
M.E. Land Surveying, Inc.
10665 SW 190th Street
Suite 3110
Miami, FL 33157
Phone: (305) 740-3319
Fax: (305) 669-3190
LB#: 7989
Survey #:B-16431
Client File #: 16-0139
Page 1 of 2 Not valid without all pages
PROPERTY UNE
Surveyor's Legend
END FOUND WON PPE / B.R. SEWING REFERENCE TEL. TELEPHONE PAGILRiES
PIN AS NOTED ON PLAT CENTRAL ANGLE OR DELTA U.P. UTIUTY POLE
119 LICENSE f - BUSINESS R RADIUS OR RADIAL E.U.B. ELECTRIC UTILITY BOX
ISA LICENSE I - SURVEYOR HAD RADIAL TIE SEP. SEPTIC TANK
CALC CALCULATED POINT N.R. NON RADIAL D.F. DRAINFIELD
SLY SET PIN TYP. TYPICAL A/C MR CONDITIONER
a CONTROL POINT I.R. IRON ROO S/W SIDEWALK
• CONCRETE MONUMENT I.P. IRON PIPE OWN DRIVEWAY
EPI BENCHWNX DAD NAIL & DISK SCR. SCREEN
ELEV ELEVATION PI( NW PARKER-KALON NM GAR GARAGE
P.T. POINT OF TANGENCY O.H. DOLL HOLE ENCL ENCLOSURE
P.C. POINT OF CURVATURE ® WELL N.T.S. NOT TO SCALE
P.R.Y. PERMANENT REFERENCE MONUMENT a FIRE HYDRANT K.P, FINNISHED FLOOR
P.C.G. POINT OF COMPOUND CURVATURE a M.N. MANHOLE T.0.8. TOP Or BANK
O.R.C. POINT OF REVERSE CURVATURE O.N.L. OVERHEAD LINES C.O.W. EDGE OF WATER
P.O.0. POINT OF BEGINNING TX TRANSFORMER E.O.P EDGE OF PAVEMENT
P.O.C. POINT OF COMMENCEMENT CAT/ CABLE Tv RISER C,/,O, CONCRETE VALLEY GUTTER
P.C.P. PERMANENT CONTROL POINT W.M. WATER METER BS.L. BUILDING SETBACK LINE
M FIELD MEASURED P/E POOL EOUIPYENi
/ S.T.L. SURVEY TIE UNE
P PLATTED MEASUREMENT r
CONC. CONCRETE SLAB Y CENTER LINE
0 DEED .,.. R/W RIGHT-OF-WAY
I CALCULATED .. ,.
STRUCTURE
. -.-. --• 1 CONC. BLOCK WALL
- -x - CHAIN -LINK FENCE OR WIRE FENCE
� . WOOD FENCE
IRON FENCE
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Property Address:
475 N.E. 91 Street
Miami Shores, FLORIDA 33138
• •
General Notes:
1.) The Legal Description used to perform this survey was supplied by others. • • •
This survey does not determine or is not to imply ownership • • • • •• • • •
2.) This survey only shows above ground improvements. • • •
• • •
Underground •utilities, footings, or encroachments are not located on this survey map •
3.) If there is a septic tank, well, or drain field on this survey, •
the location of such items was shown to us by others and the information was not verified. . • • •
4.) Examination of the abstract of title will have to be made to determine recorded instiuments, if any, effect iili• prop*
rty.The lands shown herein were not abstracted for easement or other recorded encumbrance% not shownS n the plat
5.) Wall ties are done to the face of the wall. •
• • 6.) Fence ownership is not determined. • • • • •
7.) Bearings referenced to line noted B.R • • • • • • • •
8.) Dimensions shown are platted and measured unless otherwise shown. •
9.) No identification found on property corners unless noted. • • •
10.) Not valid unless sealed with the signing surveyors embossed seal. • • • •
11.) Boundary survey means a drawing and/or graphic representation of the survey work perfcsmed in the field, could
be drawn at a shown scale and/or not to scale • • •
•
12.) Elevations if shown are based upon NGVD 1929 unless otherwise noted • • • • • • a •
13.) This is a BOUNDARY SURVEY unless otherwise noted. • it
14.) This survey is exclusive for the use of the parties to whom it is certified. The certifications do not extend to any un
named parties.
15.) This survey shall not be used for construction/permitting purposes without written consent from the land surveyor
who has signed and sealed this survey.
Flood Information:
Community Number: 120652
Panel Number: 12086C0302L
Suffix: L
Date of Firm Index: 09/11 /2009
Flood Zone: X500
Base Flood Elevation:
Date of Field Work: 04/19/2016
Date of Completion: 04/25/2016
Legal Description:
Lot 22, of Block 49, of MIAMI SHORES SECTION NO. 2, according to the plat thereof, as recorded in Plat Book 10, Page
37, of the public records of Miami -Dade County, FLORIDA
Printing Instructions:
While viewing the survey in any PDF Reader, select the File
Drop -down and select "Print". Select a color printer, if
available; or at least one with 8.5" x 14" (legal) paper.
Select ALL for Print Range, and the # of copies you would
like to print out.
Under the "Page Scaling" please make sure you have
selected "None".
Do not check the "Auto -rotate and Center" box.
Check the "Choose Paper size by PDF' checkbox, then
click OK to print.
Certified To:
Java Holdings, LLC and Avant Place, LLC
Title Guaranty of South Florida, Inc.
Westcor Land Title Insurance Company
PMZ Real Estate Investments, LLC
its successors and/or assigns as their interest may appear.
Please copy below for policy preparation purposes
only:
This policy does not insure against loss or damage by mason of the following
exceptions: Any rights, easements, interests, or claims which may exist by reason
of, or reflected by, the following facts shown on the survey prepared by_
EFRAIN LOPEZ dated 04/25/2016 bearing Job # B-16431 :
a. NO NOTES
M.E. Land Surveying, Inc.
10665 SW 190th Street, Suite 3110 Miami, FL 33157
iE Phone: (305) 740-3319
vAligi Fax: (305) 669-3190 X
LB#: 7989
Survey #:B-1643 1
Client File #: 16-0139 Page 2 of 2 Not valid without all pages