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DS-18-230Permit NO.. DS-1-18-230 permit IVR Number: 608554 Miami Shores Village - Permit Type: Driveways/Sidewalks/Stabs 10050 NE 2 Ave:i� Miami Shores FL 33138 jW Work Classification: Addition/Alteration 305-795-2204 Permit Status: Approved' issue Date:10/09/2018 Expiration: 03/18/2019 Location Address Parcel Number Project 123 NW 109 ST, Miami Shores, FL 33168-4316 1121360030220 <NONE> Contacts MARIE BOBO Owner MARIE BOBO Applicant 123 NE 109 ST, MIAMI SHORES, FL 33138 123 NE 109 ST, MIAMI SHORES, FL 33138 HOME OWNER Contractor HOME OWNER Description: REDO DRIVEWAY REMOVE EXISTING BRICKS AND Valuation: $ 8,500.00 Inspection Requests: REMOVE TREE ROOTS. PREPARE AND COMPACT GROUND PUT 305-762-4949 DOWN PAVERS. Total Sq Feet: 2,900.00 Fees Amount CCF $5.40 DBPR Fee $3.38 DCA Fee $2.25 Education Surcharge $1.80 Notary Fee $5.00 Permit Fee $225.00 Scanning Fee $9.00 Technology Fee $7.20 Total: $259.03 Payments Amt Paid Total Fees $259.03 Credit Card $209.03 Credit Card $50.00 Amount Due: $0.00 Building Department Copy 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 a}* required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. AFF`DAVfj: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws ;onstruct% 671nq. Futhermore, I authorize the above named contractor to do the work stated. er / Applicant / Contractor / Agent Date 09, 2018 Page 2 of 4 P BUILDING PERMIT APPLICATION 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 TISCs IVED 4JN S 0 018 I( BY so FBC 20 1 _- Master Permit No C ,9'?_30 Sub Permit No. BUILDING ELECTRIC ROOFING REVISION EXTENSION DRENEWAL PLUMBING MECHANICAL F PUBLIC WORKS CHANGE OF CANCELLATION SHOP %-%1 A I TD A f-rr%D Mn A I A l l IU /- f Folio/Parcel#: Is the Building Historically Designated: Yes Occupancy Type: Load: Construction Type: Flood Zone: BFE: _ OWNER: Name (Fee Simple Titleholder): Address: / 7 -3 AltJ City: 7EL If Tenant/Lessee Name: Email: 172119 2119 2 Phone#: CONTRACTOR: Company Name: -4orn-C V W V Phone#: Address: ip: City: State: Zip: Qualifier Name: Phone#: State Certification or Registration #: Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: ffej FFE: �� /-ao 83 Address: City: State: Zip: Value of Work for this Permit: $ v Square/Linear Footage of Work: UD Type of Work: ❑ Add' 'on Alteration ❑ New ❑ Repair/Replace/ ❑. Demolition De ription of Work: P / t'6�W Specify color of color thru tile: Submittal Fee $� I � Permit Fee $ ��� ' CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ _�• Notary $ _4::� • 00 Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ �(7MW TOTAL FEE NOW DUE $ 00 c-T . 03 (Revised02/24/2014) If 1' ' Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature OWNER or AGENT The foregoing instrMm�-ent was acknowledged before me this 3U day of �1 (�NIL� 20 by i�s�perrsonally known, to � me or who has produced �J8s identification and who did take an oath. NOT BLIC: Sign: Print: �o ( NT) Seal: *************** APPROVED BY (Revised02/24/2014) z66 Ay P& Notary Public State of Florida Sind;a N—ii-ez Na11`�oa �oN Expifmy 71ec0910312C 18 =56750 Signature CONTRACTOR The foregoing instrument was acknowledged before me this day of , 20, by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: Plans Examiner Zoning Structural Review Clerk Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNER BUILDER DISCLOSURE STATEMENT J� NAME:/ 210 /��/�C� DATE: j a I / Gj , ADDRESS: / �J 1y,/f/ /o / ��J J� ;��� 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 municipal 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 prescribed by law. Your construction must comply with all applicable laws, ordinances, buildings codes and zoning regulations. Please read and initial each paragraph. 1. 1 understand that state law requires construction to be done by a licensed contractor and have applied for an owner -builder permit under an exemption from the law. The exemption specifies that 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. 1 understand that building permits are not required to be signed by a property owner unless he or she is responsible for the construction and is not hiring a licensed contractor to assume responsibility. Initial 3. 1 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. 1 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, w 'ch violates the exemption. Initial 5. 1 understand that, as the owner -builder, I must provide direct, onsite supervision of the construction. Initial 6. 1 understand that I may not hire an unlicensed person to ad as my contractor or to supervise persons working on my building or residence is my responsibility to ensure that the persons whom I employ have the license required by law and by cou ' or municipal ordinance. Initial 7. 1 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. 1 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 1 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. 1 understand that my failure to follow these may subject to serious financial risk. Initial 9. 1 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. 1 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.myflorida license.com/dbpr/pro/cilb/index.htmI Initial 11. 1 am aware of, and consent to; an owner -builder building permit applied for in my name and understands that I am the party legally and financially responsible for the proposed construction activity at the following address: Initial 12. 1 agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of the information that I have provided on this disclosure. Initial — f / Licensed contractors are regulated by laws designed to protect the public. If you contract with a person 2does 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 maybe 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 —:—�'O day of QO 20 1 G By � iE -M`Tt. _R( who was personally known to me or who has Produced there License or i Vr �i r ON as identification. Y n Notary Public State of Florida 5 le Sindia Alvarez NOTARY ;« My commission FF 156750 K tit, o� Expires 09/0312018 ^_ x�a.,,n.,.x, w.h.h,l,./�r+.,�k.,A.,11_►�e.11...A.Jk.. , Miami shores Village Building Department SURVEY AFFIDAVIT STATE OF,(FLORIDA) COUNTY OF (DADE) 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 The undersigned Affiant,%�/j �l%� oes hereby attest that If (Property owner) The attached survey, performed byC (Name of surveyor's company) For address: Performed on (date of survey) is an accurate representation of the existing conditions and locations of all s ructures on the property as of this date. The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the property without first providing a survey less than seven (7) years old old. The Affiant, as property owner, further agrees to remove or obtain permits for any structures which now may exist on the property which are not permitted or which may violate zoning or building code regulations. The Affiant further understands that the existence of any such structures may affect final inspections as applicable to this or other permits. *urther, Affian a nau ht. y Owner Signature SWORN TO AND SUBSCRIBED before me this day ofA Affiant is personally known to me, ✓ produced T iv v Revised (6/25/12)Revised on 5/22/2009/ Revised on 6/12/09 Rlavit Xs4ic%e �Obo Property Owner Print Name LIE> -as identification____ `Notary YANADYPRIErO MY COMMISSION # FF 214031 EXPIRES: March Bo rry2nrwriiers • • • WORK PERFORMED AT: T0: f (� DATE I � YOUR WORK ORDER NO. OUR BID NO. if �o r � 37 b t v All Material is guaranteed to be as specified, and the above work was performed in accordance with the drawings and specifications pro ded for the above work and was completed in a substantial workmanlike manner for the agreed sum of This is a ❑Partial ❑Full invoice due and payable by: Month in accordance with our El Agreement ❑Proposal No. Dated -.adams- TC8122 Day Year Month Day Year 11-12 1150 E. ATLANTIC BLVD. POMPANO BEACH FLORIDA 33060 ACCURATE LAND SURVE:YQRS;• Ud.C:. ,: -r:t. (954) 782-1441 L.B. #3635 SHEET 1 OF 2 • ' -'- "' • = F4X. (954) 782-1442 TYPE OF SURVEY: BOUNDARY &TOPOGRAPHIC ','JDB NI'JJMBER: 4i-18-0380 .... .... . .. LEGAL DESCRIPTION: LOT 22 IN BLOCK 219 OF MIAMI SHROES EXTENSION, ACCORDING TO•l"E;P�Aj'4THpRE4F, AS•RECORDED IN PLAT BOOK 43, PAGE 40, OF THE PUBLIC RECORDS OF MIAMI-DADE CCNN", f;LgFVP}A;• •• .. . . . . . ... . . ADDRESS: 123 NW 109TH STREET -MIAMI SHORES, FL 33168 FLOOD ZONE: X BASE FLOOD ELEVATION: N/A CONTROL PANEL NUMBER: 120652-0139-L EFFECTIVE: 9/11/2009 REVISED: LOWEST FLOOR ELEVATION: SEE SURVEY GARAGE FLOOR ELEVATION: SEE SURVEY LOWEST ADJACENT GRADE: SEE SURVEY HIGHEST ADJACENT GRADE: SEE SURVEY REFERENCE BENCH MARK: DCBM#N-566 ELEV:10.78'NGVD CERTIFY TO: 1. MARIE BOBO 2. 3. 4. 5. 6. NOTES: 1. THIS SURVEY CONSISTS OF A MAP AND A TEXT REPORT. ONE IS NOT VALID WITHOUT THE OTHER. 2. OWNERSHIP OF FENCE AND WALLS IF ANY, NOT DETERMINED. MADE FOR THE EXCLUSIVE USE OF THE CERTIFIED HEREON. TO BE VALID ONE YEAR FROM THE DATE OF SURVEY AS SHOWN HEREON. 3. THIS SURVEY IS _ CENTRAL ANGLE OF ABBREVIATIONS: MIAMI-DADE COUNTY NGVD192 A ARC LENGTH oo LEGEND CB. CHORD BEARING ^ • '� • += _ D.B. DEED BOOK R = RADIUS OR ELEVATIONS BASED ON NGVD 1929 MAINT. = MAINTENANCE CLF = CHAIN LINK FENCECVALID RNV P.C. = RIGHT OF WAY = POINT OF CURVATURE SO. FT. = p.C.P. = SQUARE FEET PERMANENT CONTROL POINT B.C.R. = BROWARD COUNTY RECORDS WF = WOOD FENCE P.T. = POINT OF TANGENCY P.B.C.R. = PALM BEACH COUNTY RECORDS D.C.R. = DADE COUNTY RECORDS BLVD. = BOULEVARDWITHOUTyyM ASSUMED DATUMURE WATER METER P = PLAT P.B. = PLAT BOOK AD ANOOH = OVERHANG N&D = NAIL & DISC O.R.B. OFFICIAL RECORDS BOOK I.M. IRON PIPE L RAISEDN = NORTH P.O.C. = POINT OF COMMENCEMENT F.F. = FINISHED FLOOR I.R. - IRON ROD FLORIDAS GARAGE - SOUTH P.O.B. - POINT OF BEGINNING ENCH. ENCROACH GAR. = C/L URVEYORE = CENTERLINE = EAST A/C = AIR CONDITIONER —.X—X—X—X— = CHAIN LINK FENCE (M) PPER. = MEASURED W = WEST FND. = FOUND _ �,l_ 44--1A _ 1A_— = WOOD FENCE LP = LIGHT POLE B.M. = BENCHMARK CHATT. = CHATTAHOOCHEE = METAL FENCE U.E. = UTILITY EASEMENT FH = FIRE HYDRANT F.P.L. FLORIDA POWER & LIGHT O O —0- = PVC FENCE 0 _ D.E. DRAINAGE EASEMENT o/y = OFFSET ELEV. = ELEVATION —11—I1—I _ CONCRETE FENCE I —I I— A E _ ANCHOR EASEMENT SEC. = SECTION MH = MANHOLE _ CONCRETE WALL _ P.R.M. PERMANENT REFERENCE MONUMENT TWP, = TOWNSHIP ESMT. = EASEMENT _ - WIRE FENCE N.G.V.D. NORTH GEODETIC VERTICAL DATUM RGE. = RANGE ELEC. = ELECTRIC • ••• w ••• ACCURATE LAN[;-SUR'VEYOR& INC. #► 1150 E. ATLANTIC BLVD. POMPANO BEACH, FLORIDA 33060 W N W L.B. #3635 SfjEET,2 OF I 20 0 10 20 GRAPHIC SCALE 1 '=20' NO REVIEW REQUIRED Florida Health Miami -Dade County O.S.T. D.S. & Welo r Application No.: Date: y �� Signature FOUND 5/8-IRON ROD NO ID o/s S-0.49' fence / o/s E-0.20' S-0.56' 1/2-IRON ROD W-0.00' & CAP LB 3635 I 11 \ a FOUND 5/8-IRON A, \ 379.96'� ROD NO ID oo -8------ POINT OF V. • ••• • • • • •• • lami ores Village APPROVED py DATE ZONI=DE B1_DG DEPT (7, I I,I It i,,t CST TTn COMPI IAN ,E WITH ALL FED IC I ,' A I I AN') CnI INTY RULES AND REGULATIONS h`Q �iC J c� J� ELEVATIONS SHOWN THUS + REFER TO NGVD WEST SITE.,,: . ' ::BENCHMARK .. SET NAIL df ' .DISC LB3635 '- NOTES: 1. UNLESS OTHERWISE NOTED FIELD MEASUREMENTS ARE IN AGREEMENT WITH RECORD MEASUREMENTS. 2. BEARINGS SHOWN HEREON ARE BASED ON A BEARING OF NIA. 3. THE LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR OWNERSHIP, RIGHTS -OF -WAY, EASEMENTS, OR OTHER MATTERS OF RECORDS BY ACCURATE LAND SURVEYORS, INC. 4. OWNERSHIP OF FENCES AND WALLS IF ANY NOT DETERMINED. & THIS DRAWING IS THE PROPERTY OF ACCURATE LAND SURVEYORS, INC. AND SHALL NOT BE USED FOR REPRODUCTION IN WHOLE OR IN PART WITHOUT WRITTEN AUTHORIZATION, 6, THIS SURVEY CONSISTS OF A MAP AND TEXT REPORT. ONE IS NOT VALID WITHOUT THE OTHER. 7. THIS SURVEY IS MADE FOR THE EXCLUSIVE USE OF THE CERTIFIED HEREON, TO BE VALID ONE YEAR FROM THE DATE OF SURVEY AS SHOWN. 6. THE FLOOD ZONE INFORMATION SHOWN HEREON IS FOR THE OWELLABLE STRUCTURE ONLY UNLESS OTHERWISE INDICATED. 9. THE LOCATION OF OVERHEAD UTILITY LINES ARE APPROXIMATE IN NATURE DUE TO THEIR PROXIMITY ABOVE GROUND, SIZE, TYPE AND QUANTITY MUST BE VERIFIED PRIOR TO DESIGN OR CONSTRUCTION. + 10. DUE TO THE UNDERGROUND CONDITION SEPTIC TANK LOCATIONS ARE APPROXIMATE IN NATURE, THE POSITION SHOULD BE VERIFIED BY UNDERGROUND LOCATION SPECIALISTS BEFORE DESIGN OR CONSTRUCTION, LOCATION BY ACCURATE LAND SURVEYORS, INC DONE BY PROBE METHOD WITH NO VISUAL VERIFICATION. LOT 11, BLOCK 219 TEL. (954) 782-1441 FAX. (954) 782-1442 wopd po e h. RFCFRVPn Al I FY FOUND 5/8-IRON ROD NO ID S-0.2e E-0.00' conc wall 0 d FOUND 5/8" IRON ROD NO ID _NWV 109TH STREET (UNKNOWN RIGHT OF WAY) '--SOUTH LINE OF W 1/2 OF N 1/2 OF N 1/2 OF SE 1/4 SECTION 36-52-41 C CERTIFICATION: This is to certify that this above ground sketch of boundary survey was made under my responsible charge and is accurate and correct to the best of my knowledge and belief. I further certify that this sketch meets the Standards of Practice, established by the Board of Professional Surveyors and Mappers, Chapter 5J-17, Florida Administrative Codes, pursuant to current Section 472.027, Florida Statutes. Ej Not valid without the signature and the / original raised seal of ��/ f a Florida Licensed Surveyor ROBERT L. THOMPSON (PRESIDENT) and Mapper. PROFESSIONAL SURVEYOR AND MAPPER No.3869 - STATE OF FLORIDA REVISIONS DATE BY REVISE SKETCH TO SHOW DRAINFIELD PER HOMEOWNER 08-01-18 AL/RLT DATE OF SURVEY 02-06-2018 DRAWN BY ER CHECKED BY RLT FIELD BOOK 18-0380 SCALE 1 ��=20' SK BCERSU_1 $—�JUO POST OFFICE 13OX $432 HIALEAH, FLORIDA 33012 June 15, 1989 MIC14AEL A. CURREA ATTORNsy A-r LAW 4980 WEST 101h AVENUE SU{TE 205 HIALEAH. FLOPIDA 13012 Mr. and Mrs. Henry Bobo 2395 Northwest 97 Street Miami, FL 33147 TELEPHONE 305/556-2996 064S69 Bobo, Henry. et al- purchase from Barr, Roxanne - Re.: BoPrbo, Address: 123 N.W. 10g St Miami, FL 33168 Our File Number 89-1460 Dear Mr. and Mrs. Bobo: this This letter will confirm officeon, conferencwhene discussedgthenoan e of on the above -captioned technical zon�above-referenced property. n�ations lected in the attached survey, concerning th re do not As you will iequirementstet the set 5ofntheeVillageuOf Miami Shores, meet the distance� These require pursuant to the zoning code of said munici.pa_i ti' the following distances between the structures/improvements and the respective boundary lines of the lot: 25 feet - on front set backs; 10 feet - on side set backs; 5 feat - on rear set backs; and 15 feet -- away from main building for storage shed. Based, however, upon my conversation with the City inspector (Mr. Lupian) at City Hall this morning, due to the length of time that as of thepoyiniennthaththesegviolationstarerior technical to 1950} he ways in nature and would not result in enforcement proceedings being brought by the village of Miami Shores. Furthermore, the finding prrmitifereanyhat he would have no improvements/repairspwhichmmaysbeng a building permit needed in the future• SYcould you have any questions on this matter, please do not hesitate to contact me. Very truly yours, MICHAEL A. CURREA MAc/dmm/ enc:ls . l errrlls�f� /V lei 4e 4ve. i. Reproductions of thin acefth am not valid f7 rG i" unleos sealed 9Mith an embowrtd wrveyo6 Awl C. Lands ohown hereon were rot aboirocted for �8 �� emento and/or• rhe�on S. Elevat ons ohown am Weed on tha National Geodetic Vertical Datum cF 1929. d. 8¢aringa refer to the pjat of N/.4 23 1d Locat on AAa la++a iscr't ter? ;: j5jj2cb m-arH ReierenC2, NIA G: o r� �'2 �/ac.4 �/ 9, "�Hlorr►i $hor es E,��iwisro,�s ;' cyctorr,�'�r,+ a�a r eo�o� s�,�.s�eto�'asr�ca►� i'ss �'/�f 04011F Al f fags -Attie A4A. AWeArL"s'rs'Ojpz OQOf ��e��rareaf t�i'v. r. • L a+'�+�' I� t j Crif l��a�C.�aed ,t r1p, A wwr-oo, G'h»90 T.'We Certifiggfew We hereby certify that the a ¢d 51 deacribed pr is tree and correct he beat Agve .ed..In-fhe4 .M-j..,—.der"..O' rdi ton-oi i. thin a rvey meat] the minimum eChnical s ndq of Florida accor�dinq to Chapter Z i N N -6 6 tha Flog Arn rw% nhmo of v in onr1"`nnchmantsi o t c - 'Oradr.-Aw hV 5ur 'or nngg i� the ftts ir►istnr ti Co&.T'h4 3OUKquuiifKAiiv, is iiviry sN41,20+1. .Forth¢ Firm gy a r r 0/F" f '$' 'Fie1d $ook s� o P!a ¢ r9 Florida ¢ tof on N eo Rupored For: t.►►.Y• ��o t.�.,�,•t r�r...� �✓. �r. A»� r. ,sr'.• fig• �r.,,•�da Jackson € Murphy wy J .and 6urv¢y�ng nc. 6755 Sunset. ; trip $Unrtse, Florida 53313 ' 5'1Z - 74f Z s.Y 80- v w. 0 r tt n rowsDom NO.