BPP-17-781Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
311 NE 103 Street
Miami Shores, FL 33138-
Owner Information
SERGIO SIGALA
Address
Permit NO. BPP-3-1 7-781
p aPermit Type: Pools/Whirlpools/Hot Tubs
rme'' Work Classification: Addition/Alteration
Permit Status: APPROVED
Expiration: 10/09/2017
Issue, Date. 4/12/2017
Parcel Number
1121360130240
Block: Lot:
311 NE 103 Street
MIAMI SHORES FL 33138-
311 NE 103 Street
MIAMI SHORES FL 33138-
Contractor(s)
ROSMEL POOL INC
Phone
(305)592-7900
CeII Phone
Phone
Approved: In Review
Comments:
Date Approved: : In Review
Date Denied:
Type of Work: Swimming Pool
Additional Info: NEW POOL & SUN DECK
Classification: Residential
Occupancy: Private
Bond Return :
Scanning: 5
Fees Due
Bond Type - Contractors Bond
CCF
CO/CC Fee
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Plan Review Fee (Engineer)
Scanning Fee
Technology Fee
Total:
Amount
$500.00
$17.40
$50.00
$13.05
$13.05
$5.80
$870.00
$80.00
$15.00
$23.20
$1,587.50
Pay Date Pay Type Amt Paid Amt Due
Invoice # BPP-3-17-63408
03/22/2017 Check #: 14180 $ 200.00 $ 1,387.50
04/12/2017 Check #: 781 $ 1,387.50 $ 0.00
Bond #: 3368
Applicant
SERGIO SIGALA
Cell
(786)546-1356
Available Inspections:
Inspection Type:
Fence
Final
Pool Deck
Wall Steel
Review Building
Review Building
Review Planning
Review Planning
Review Electrical
Review Structural
Review Plumbing
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 accura and ' -t all w k will . pone in compliance with all applicable laws regulating
construction and zoning. Futhermore, I authorize the above-na '
Authorized Signature: Owner / Applicant / Contra,: / Agent
Building Department Copy
ril 12, 2017
Date
April 12, 2017
1
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
BUILDING
PERlyIT APPLICATION
UILDING ❑ ELECTRIC ❑ ROOFING
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS
JOB ADDRESS: 311 NE 103 ST
City:
ECEJVED
MAR _2 2 2017
BST= Jai.
FBC 201 4
Master Permit No. )PQ 8
Sub Permit No.
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
Miami Shores County:
Folio/Parcel#:11-2136-013-0240
Occupancy Type:
Load: Construction Type:
Miami Dade I
Zip: 3313
Is the Building Historically Designated: Yes
Flood Zone: BFE:
NO
FFE:
OWNER: Name (Fee Simple Titleholder): SERGIO SIGALA Phone#:
Address: 311 NE 103 ST
City: MIAMI SHORES State: FL Zip: 33138
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: ROSMEL POOLS INC. Phone#: 305-592-7900
Addres: 9300 NW 25 ST
City: DORAL State: FL
Qualifier Name: WILFREDO LEIVA JR.
State Certification or Registration #: CPC 10 5 $g It
DESIGNER: Architect/Engineer:
Zip: 33172
Phone#: 305 389 —Co1 V-
Certificate of Competency #:
ICl�ro O P.4ipte, t41
Address: c1-1 S•UQ9 • 1aa--Pak,
Value of Work for this Permit: $ Zct , 000
Phone#: ?D--7I5- 7 /.a5
City: P1/44IG,ri1(
State: FL- Zip: J' a0
Square/Linear Footage of Work: A • -Fr
Type of Work: ❑ Addition ❑ Alteration New
Description of Work: 11 n )3(4
❑ Repair/Replace ❑ Demolition
Specify color of color thru tile:
Submittal Fee $ 200 c U Permit Fee $ -Gn
Scanning Fee $ Radon Fee $
Technology Fee $ ` Training/Education Fee $
Structural Reviews $ eA-Cth
CCF $ CO/CC $ 50-Cb
DBPR $ Notary $ 9
Double Fee $
Bond $
TOTAL FEE NOW DUE $ REA .53
(Revised02/24/2014)
1� 389 so
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 whic occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approvd and a reinspection fee will be charged.
Signature
WNER or AGENT
The foregoing instrument was acknowledged before me this
16 day of JANUARY 20 17 by
Xc,\O S\C 0,\C._ , who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: MAC
460
. ; fRTINEZ
s w%',. Jeer'vr PP o08S89
EXPIRES: May 15, 2017
Bonded Thru Notay Publc Underwriters
**********`*******************
APPROVED BY
as
Signature
CONTRAC
The foregoing i trument was acknowledg- < efore me this
16 day of JANUARY 20 17 by
rsonally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign: K/IQ4c0
Print: MAR M iR 11V,,1C A mARTINEZ
Seal:
CO'1AtiSS 1N y FF 008989
EXv r - . i1!!.1, 15, 2017
bond.d Tn:u Notary. Public Underwriters
as
******************************************************************
Plans Examiner 3/4//7 Zoning
Structural Review Clerk
(Revised02/24/2014)
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
nspection Number: INSP-288661
Permit Number: BPP-3-17-781
Inspection Date: August 28, 2017
Inspector: Dacquisto, David
Owner: SIGALA, SERGIO
Job Address: 311 NE 103 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: ROSMEL POOLS INC
Permit Type: Pools/Whirlpools/Hot Tubs
Inspection Type: Survey Final
Work Classification: Addition/Alteration
Phone Number
Parcel Number 1121360130240
Phone: (305)592-7900
Building Department Comments
NEW POOL & SUN DECK
Infractio
Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction
Needed
Re -Inspection
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
August 28, 2017
For Inspections please call: (305)762-4949
Page 1 of 1
1355 N.W. 97th AVE SUITE 200
MIAMI, FLORIDA 33172
TELEPHONE: (305) 264-2660
FAX. (05) 264-0229
gs'atnt PurueuIIrs ;Inc.
SURVEY No. 12-0000917-2
DRAWN BY: T.D.(AL.)
LAND SURVEYORS
SHEET No. 2 OF 2
F.
'37.50' /An in
0.80'CL.
r >O'
? 24.20'
BOUNDARY SURVEY
SCALE = 1 " = 30'
RECEIVED
AUG 2 8 2017
PERMIT #:
M ami Shores Village
APPROVED
BY
DATE 1_
ZONING DEPT
*i(n
BLDG DEPT
SUBJECT TO COMPLIANCE WI H ALL
STATE AND COUNTY RULES AND RFGULATiONS
FEDERAL
90°28'20"'
27.20'
10.29
0.80'CL.
F.I.P'/.4"
NO CAP
10.08 10.08
89°3139"'
5.00'
0
y
13.65'
15' PWY
10.08
123 29' 5' CONC. SWK
2
ym
It y
co
F.F.E.=10.54'
41.75'
POOL
PUMP
10.70'
10.60'
89°29'22"
10.07
LOT -13.
BLOCK -118
10.24
LOT -14
BLOCK - 118
"\ 10.54
A.C. 10.26
77.08' LOT- 15 9.62
BLOCK- 118
123.19'
N LOT -16
BLOCK -118
r-
57.26'
, 10.52
RECEIVED
AUG 2 8 2011/,
CX'
10.59
F.I.P 3/4" 10.01
- NO CAP :. .
10.08
POOL 10.5w
34.60' •
FI
•• .. ..• • • ••• . . ..
•
•
4,0 600 • • • • v . • • • •
• ••0
• • ••• ••• •
•• � • • •• • •
. . •• •
• ±• •• • • • •
y•
• • •Y
•
ENCR.
LOT - 12
BLOCK - 118
9.97 LOT -11
BLOCK - 118
LOT -10
BLOCK - 118
1'34' ENCR.
••
• •
• •
• •
9.97
LOT-9
BLOCK - 118
SURVEYORS NOTE:
• There may be Easements recorded in the Public Records not shown on this Survey.
•s• .
• U • • • • •••
••• •
••• ••• •
•
• • • • • •
•
••• •• • •• • c •
• • •••
• •
• •
• •
• Y •
•• ••
1355 NW 97TH AVE, SUITE 200
MIAMI, FL 33172
TELEPHONE: (305) 264-2660
FAX: (305) 264-0229
DRAWN BY: A.A.
Nova Surveyors, Inc.
LAND SURVEYORS
SURVEY NO
12-0000917-2
SHEET NO 1 OF
SURVEY OF LOT 13-15, BLOCK 118, OF MIAMI SHORES SECTION FIVE, ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 10,
PAGE 47, OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY, FLORIDA.
PROPERTY ADDRESS: 311 NE 103 ST, MIAMI SHORES,'FL 33138
FOR: SERGIO SIGALA
IS
SD
LOCATION' SKETCH Scale 1" = NT.S.
105
20121
2.2
be'
6
N
Zia
So
FIE
ZEN
•
ze'
1 $
5 �+
10 3 R ,, 89- 26-2,o
2 .W. cor..4 B,Y.4%Ser.31-52- 4
•
ABBREVIATION AND MEANING
A = ARC
NC = AIR CONDITIONER PAD
A.E. = ANCHOR EASEMENT
A/R = ALUMINIUM ROOF
A/S = ALUMINIUM SHED
ASPH =ASPHALT
B.C. = BLOCK CORNER
B.C.R. = BROWARD COUNTY RECORDS
B.M. = BENCH MARK
B O.B. = BASIS OF BEARINGS
C = CALCULATED
C.B. = CATCH BASIN
C.B.W. = CONCRETE BLOCK WALL
CH = CHORD
CH.B. = CHORD BEARING
CL = CLEAR
C.L.F. = CHAIN LINK FENCE
C.M.E. = CANAL MAINTENANCE
EASEMENTS
CONC. = CONCRETE
C.P. = CONCRETE PORCH
C S. = CONCRETE SLAB
D.E. = DRAINAGE EASEMENT
D.M.E. = DRAINAGE MAINTENANCE
EASEMENTS
DRIVE = DRIVEWAY
ENCR. = ENCROACHMENT
E.T.P. = ELECTRIC TRANSFORMER PAD
F.F.E. = FINISHED FLOOR ELEVATION
F.H. = FIRE HYDRANT
F.I.P. = FOUND IRON PIPE
F.I.R. = FOUND IRON ROD
F.N. = FOUND NAIL
F.N.D. = FOUND NAIL & DISK
TH
So
8
T
6
5
133 •�. 2 ''
4
3
So
2
521
'•
N
-
1fr-
IV
T
1
I
r lS
N
lb
9
la
ii I to
at
at
23H
;
ao
•.
..
•
•• l ••
•.
so
5za0
STRE.El.
m.
.,,o
..
..
..
..
..
Sd
52a
'rr19
4
8
1
45
4
3
aim;
at
•
4 A
J
IM5
s
So
1b
11
1S
11
43.gTRE.E.T
FNIP. = FEDERAL NATIONAL INSURANCE
PROGRAM
IN.&EG. = INGRESS AND EGRESS
EASEMENT
L.F.E. = LOWEST FLOOR ELEVATION
L.M.E. = LAKE MAINTENANCE EASEMENT
L.P. = LIGHT POLE
M. = MEASURED DISTANCE
M/H = MANHOLE
N.A.P. = NOT A PART OF
NGVD = NATIONAL GEODETIC VERTICAL
DATUM
N.T.S. = NOT TO SCALE
O.H.L. = OVERHEAD UTILITY LINES
O.R.B. = OFFICIAL RECORD BOOK
O/S = OFFSET
OVH. = OVERHANG
P.B. = PLAT BOOK
P.C. = POINT OF CURVE
P.C.C. = POINT OF COMPOUND CURVE
PL. = PLANTER
P.L.S. = PROFESSIONAL LAND
SURVEYOR
P.O.B.. = POINT OF BEGINNING
P.O.C.. = POINT OF COMMENCEMENT
P.P. = POWER POLE
P.P.S.. = POOL PUMP SLAB
P.R.C. = POINT OF REVERSE CURVE
PRM = PERMANENT REFERENCE
MONUMENT
PT. = POINT OF TANGENCY
PVMT. = PAVEMENT
PWY = PARKWAY
R. = RECORD DISTANCE
22 11144
N
So 52,/
STHEE.T-
r,S.
li12
..
IS
10
9
8
3
6
-
S
_• L••7
t13
4 L
1
14
15
16
1'j
1Q
11
RAD. = RADIUS OF RADIAL
RGE. = RANGE
R.P. = RADIUS POINT
R.O.E. = ROOF OVERHANG
EASEMENT
R/W = RIGHT-OF-WAY
SEC. = SECTION
S.I.P. = SET IRON PIPE L.B. #6044
SWK. = SIDEWALK
T = TANGENT
TWP = TOWNSHIP
U.E. = UTILITY EASEMENT
U.P. = UTILITY POLE
W.M. = WATER METER
W.R. = WOOD ROOF
W.S. = WOOD SHED
= ANGLE
A = CENTRAL ANGLE
= CENTER LINE
= MONUMENT LINE
LEGAL NOTES TO ACCOMPANY SKETCH OF SURVEY ("SURVEY"):
- THERE MAY BE EASEMENTS RECORDED IN THE PUBLIC RECORDS NOT SHOWN ON THIS SURVEY.
- THE PURPOSE OF THIS SURVEY IS FOR USE IN OBTAINING TITLE INSURANCE AND FINANCING, AND SHOULD NOT BE
USED FOR CONSTRUCTION PURPOSES.
- EXAMINATIONS OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED INSTRUMENTS, IF ANY,
AFFECTING THE PROPERTY. THIS SURVEY IS SUBJECT TO DEDICATIONS, LIMITATIONS, RESTRICTIONS, RESERVATIONS
OR EASEMENTS OF RECORD, AND LEGAL DESCRIPTIONS PROVIDED BY CLIENT OR ATTESTING TITLE COMPANY.
BOUNDARY SURVEY MEANS A DRAWING AND / OR A GRAPHIC REPRESENTATION OF THE SURVEY WORK PERFORMED IN
- THE FIELD, COULD BE DRAWN AT A SHOWN SCALE AND / OR NOT TO SCALE.
EASEMENTS AS SHOWN ARE PER PLAT BOOK, UNLESS OTHERWISE SHOWN.
- THE TERM "ENCROACHMENT' MEANS VISIBLE AND ABOVE GROUND ENCROACHMENTS.
- ARCHITECTS SHALL VERIFY ZONING REGULATIONS, RESTRICTIONS AND SETBACKS, AND THEY WILL BE RESPONSIBLE
- FOR SUBMITTING PLOT PLANS WITH THE CORRECT INFORMATION FOR THEIR APPROVAL FOR AUTHORIZATION TO
AUTHORITIES IN NEW CONSTRUCTIONS, UNLESS OTHERWISE NOTED. THIS FIRM HAS NOT ATTEMPTED TO LOCATE
FOOTING AND/OR FOUNDATIONS.
FENCE OWNERSHIP NOT DETERMINED.
- THIS PLAN OF SURVEY HAS BEEN PREPARED FOR THE EXCLUSIVE USE OF THE ENTITIES NAMED.
- HEREON, THE CERTIFICATE DOES NOT EXTEND TO ANY UNNAMED PARTY.
THE SURVEYOR MAKES NO GUARANTEES AS TO THE ACCURACY OF THE INFORMATION BELOW. THE LOCAL F E.M.A.
AGENT SHOULD BE CONTACTED FOR VERIFICATION. THEINI441.OQ1 •MAPS HAVE DESIGNATED THE HEREIN DESCRIBED
LAND TO BE SITUATED IN ZONE(, •COMMUAI /PO4U$UFFIX: 120�52 0321 L DATE OF FIRM: 09/11/2009
BASE FLOOD ELEVATION: N/A. • •
• • •••- • • . • •• ••
••••
• Y . •• 4•• ••
CERTIFIED TO: SERGIO SIGALA
4 • ••• •••
• • • • • • •
• • • •• • • •
• • • •• • •
•
• • • -
• •
• -
• -
• • ►•
•
„ • • •
• - 4 •• • ••• • • •
• • • • • • • •
•• 4 • • / . • ••• • •• •
•• •• •••
••• • • • • • -
LEGEND TYPICAL
—OH- OVERHEAD UTILITY LINES
z
-0-0-
CBS = WALL (CBWI
C.L.F. = CHAIN LINK FENCE
I.F. = IRON FENCE
W.F. = WOOD FENCE
• 0.00 = EXISTING ELEVATIONS
SURVEYOR'S NOTES
1) IF SHOWN, BEARINGS ARE REFERRED TO AN ASSUMED
MERIDIAN, BY SAID PLAT IN THE DESCRIPTION OF THE
PROPERTY. IF NOT, THEN BEARINGS ARE REFERRED TO
COUNTY, TOWNSHIP MAPS.
2) THIS IS A SPECIFIC PURPOSE SURVEY.
3) THE CLOSURE IN THE BOUNDARY SURVEY IS ABOVE
1:7500 FT.
4) IF SHOWN, ELEVATIONS ARE REFERRED TO
MIAMI-DADE COUNTY.
ALL ELEVATIONS SHOWN ARE REFERRED TO
NATIONAL GEOGRAPHIC VERTICAL DATUM OF 1929
CITYOF MIAMI BENCH MARK#N-802
LOCATOR# 3250 W
ELEVATION 8.98 FEET OF N.G.V.D OF 1929
SURVEYOR'S CERTIFICATION
I HEREBY CERTIFY: THAT THIS "BOUNDARY SURVEY" OF
THE PROPERTY DESCRIBED HEREON, AS RECENTLY
SURVEYED AND DRAWN UNDER MY SUPERVISION,
COMPLIES WITH THE MINIMUM TECHNICAL STANDARDS
AS SET FORTH BY THE FLORIDA BOARD OF
PROFESSIONAL LAND SURVEYORS IN CHAPTER 61G17-6,
FLORIDA ADMINISTRATIVE CODE PURSUANT TO 472.027,
FLORIDA STATUTES.
BY:
GEORGE!BARRA
(DATE OF FIELD WORK)
PROFESSIONAL LAND SURVEYOR NO. 2534
STATE OF FLORIDA (VALID COPIES OF THIS SURVEY WILL
BEAR THE EMBOSSED SEAL OF THE ATTESTING LAND
SURVEYOR).
REVISED ON:
REVISED ON:
SURVEYOR'S SEAL
S
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION F N 2 0 1 7 R 01=1.7 2 9 6
OR BY. 30409 Ps 38 t68 (1F'9s )
PERMIT NO.V/�-3-IT-70p1/ 13:O,ti;:I:I<<
�(-TAX FOLIO NO. 11-2136-013-0240 HARVEY RUV1N CLERK OF COURTRECORDED 02/03/201
'IIAMI--DADE COUNTY? FLORIDA
STATE OF FLORIDA:
COUNTY OF MIAMI-DADE: STATE OF FLORIDA. COUNTY OF . DE
I HEREBY CERTIFY that this is a tru o of the
;
THE UNDERSIGNED hereby gives notice that improvement nclgst9 ,.;r� n redayo
property, and in accordance with Chapter 713, Florida Statutes, the followi s 1510 2
is provided in this Notice of Commencement. WITNESS my hand and Official Seal.
HARVEY RUVI t ERK/' a, County
3y ► Z�y D.C.
1. Legal description of property and street / address:
MIAMI SHORES SEC 5 PB 10-47 LOTS 13 TO 15 INC BLK 118 LOT SIZE 150.000 X 123 OR 16994 ' 23 1195 3
1111111IIIIIIIIIIIIIIIIlilldill IIIII IIIIIIII
311 NE 103 ST MIAMI SHORES, FL 33138
2. Description of improvement:
NEW POOL
3. Owner(s) name and address:
SERGIO SIGALA
311 NE 103 ST MIAMI SHORES, FL 33138
Interest in property: RESIDENTIAL
Name and address of fee simple titleholder:
4. Contractor's name and address:
ROSMEL POOLS INC.
9300 NW 25 ST SUITE 103 DORAL, FL 33172
5. Surety: (Payment bond required by owner from contractor, if any)
Name and Address:
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 and Address:
8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided
in Section 713.13(1)(b), Florida Statutes.
Name and Address:
9. Expirati% date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
differen date is specified)
Si nature of Owner Print Owner's Name $E i? U>' o JC
) 6)3 L4
Sworn to and subscribed before me this 16 day of JANUARY , 20 17
Notary Public:
Print Notary's
My commission e . es:
ame:
MARCOS A. MARTiNE
MY COMMISSION # FF 00S989 la
Eri'IRES: May 15, 2017
c%4waiy Uu utwdteio
Address:
9300 NW 25 ST
Prepared by b Ma Cez
SUIT 103
DORAL, FL 33172
1' 1 1' 1111111111111111111111111111111111111111
Tax Folio Number: 11-2136-013-0240
This instrument prepared by
Joseph C. Frechette, Jr.
10800 Biscayne Blvd., Suite 620
Miami, Florida 33161
Record and Return to:
G•h11s o Dher R °.�. ie�; , RA.
Mornay Law
1093 ;scc . 4 .Bo llEvar ,
l
Florida 3316 •.
CFN 2012R0725193
OR h 28309 F'9s 1259 - 1261; (3p9s)
RECORDED 10/11/2012 13:29:42
DEED DOC: TAX 2r970.00
HARVEY RUVINr CLERK OF COURT
M I AI1I-4AOE COUNTY? FLORIDA
W4RANTY DEED
••.•
•
THIS INDENTURE, made this 3. day of October, between Renee L. Koch, aaingge woman, . . •
whose address is: 2611 Beal Street NW, Warren, OH 44485, Grantor*, and Sergio Sigalaard•Lisa \ atey pp wilt • •
husband and wife, whose address is: 311 NE 103 Street, Miami Shores, FL 33138, Grants*' • ` ,f
WITNESSETH:
•..• •• •
•• • •
.••• . .•
..
• • •
•
That said Grantor, for and in consideration of the sum of Ten and 00/100.$jp,QO) Dollar%,•and
other good and valuable consideration to said Grantor, in hand paid by said Grantee'the•feceipt wherepf is
hereby acknowledged, hereby grants, bargains, sells, aliens, remiss, releases, conveys.and confirms tihM the
said Grantees, and Grantee's heirs and assigns forever, all that certain land, situata%•lyiag and.leti•n$ in • •
Miami -Dade County, in the State of Florida, to -wit: • •
•
•
•
•
Lots 13, 14 and 15 in Block 118, of AMENDED PLAT OF MIAMI SHORES,
SECTION NO. 5, according to the plat thereof, as recorded in Plat Book 10,
at Page 47, of the Public Records of Miami -Dade County, Florida.
more commonly known as: 311 NE 103 Street, Miami Shores FL 33138.
SUBJECT TO:
1.
2.
Taxes for the current and subsequent years.
Conditions, restrictions, reservations, easements and limitations and zoning ordinances, if
any, but not to reimpose same.
TOGETHER with all the tenements, hereditament and appurtenances thereto belonging or in any
wise appertaining.
TO HAVE AND TO HOLD, the same in fee simple forever.
AND the Grantor hereby covenants with said Grantee that the Grantor is lawfully seized of said
land in fee simple; that the Grantor has good right and lawful authority to sell and convey said land; that the
Grantor hereby fully warrants the title to said land and will defend the same against the lawful claims of all
persons whomsoever; and that said land is free of all encumbrances.
*"Grantor" and "Grantee" are used for singular or plural, as context requires.
}' , s4initials of seller)
IN WITNESS WHEREOF, the said grantor has signed and sealed these presents the day
and year first above written.
Signed, sealed, and delivered in our presence:
Witness Siggna rTG e Re -e L. Koc
'F/? - CFr A-r.J
Printed Name of Witness
State of Florida
County of Miami -Dade
•.. •
• •
•.•.
• . • •
.•
•
•• ••
•
•
• •
•... .. . • •
• • •
• • • • • •.
•. ••
•• •
• • •
•
• •
• ••
• • • •
I HEREBY CERTIFY that on this day before me, an officer duly qualified to stake ecknowle gments • •
appeared Renee L. Koch, a single woman, who is personally known to me or presented • • • • • •
as identification. ' • •
WITNESS my hand and official seal in the County and State last aforesaid this�Eday of October, 2012.
Signed:
Print:
Notary P5b,1ie
My Cpni u
OR Bk 28309 PG 1241
L. T PAGE
MIAMI SHORES VILLAGE
Building Department
10050 NE 2 Ave, Miami Shores FI, 33138
Tel: 305-795-2204• Fax: 305-756-8972
Permit No. REOC-9-12-1737
Certificate of Re -Occupancy:..:
Address: 311 NE 103 Street
City: Miami Shores Village
State: Florida
Zip: 33138
. .
.• ..
•
.... .. .
. .. .
.... . •
..
. .
....
.. .
•. .
• •
..
.
• .
. .
•
. •
• •. .
This certificate verifies that the reference property has been inspected by PliamE 64 wes
• ..
Village and has been determined to presently comply with schedule Cif rbguldtibns of
Miami Shores Land and Development Code pertaining solely to the requirement that
each one -family dwelling is used and intended to be used for a one -family dwelling
purpose only; however, this certificate does not constitute any representation or
warranty as to the condition of the dwelling or other structures on the premises
described herein, or any aspect of such condition, and interested persons are advised
and encouraged to make their own inspections of the premises in order to determine the
condition thereof.
Building Officials Approval:
7rfozowniu n. CBO