REV-17-723D�--� 1-7
6
k
M
Miami Shores Village
V .�A 1_47 Building Department
� g p
�\ 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
PERMIT APPLICATION
BUILDING ❑ ELECTRIC ❑ ROOFING
Master Permit No
RECEIVED
OCT 2 4 M17
QWIO�
FBC §)Lf
RC- 3-1-7-723
Sub Permit No..� l�' 253c►
REVISION EXTENSION [—]RENEWAL
❑ PLUMBING ❑ MECHANICAL [:]PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP
� \ {{ CONTRACTOR- DRAWINGS /_
JOB ADDRESS: 4 n Q 11 �� � 2� T ` v t l� M 1 P ��O YES L 3� i 6 U
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated: Yes NO�
Occupancy Type: Load: Construction Type: J Flood Zone: BFE:'% FFE:
OWNER: Name
(Fee Simple Titleholder): ����� � A ` � Phone#: ` �� ��
Address: ++ O 2 Wo S � S� -(�' 1
City: "\ k Q �-1 State: 4: LO —1 Dim Zip: � � 14 L
Tenant/LesseQ Name: Phone#:
Email: �C�i/1(/ �(-1 CAS l a-/ ��,CD O `
CONTRACTOR: Company Name:' 75 --� d Phone#: 776yJ `G-�b
Address: 0I 4-si�
City: `'- tate:� Zip
Qualifier Name: ___sjL(�' Z-- Phone#: 7 (o 2,593
State Certification or Registration #: t---\ 0"I Certificate of Competency #:
DESIGNER: Architect/Engineer: (01 -7' Phone#:
Address: City: State:
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New
Description of Work: _
--v UpV')Wrtk10
Specify color of color thru tile:
Submittal Fee $
Ia
a
❑ Repair/Replace ❑ Demolition
Permit Fee $ _:::� " &__�) CCF $ CO/CC $
Scanning Fee $ !Ej Radon Fee $
Technology Fee $
Structural Reviews $ Q-0 , Go
Training/Education Fee $
DBPR $
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ `
(Revised02/24/2014)
Bonding Company's Name (if applicable)
Bonding Cjompany's Address
City
State
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 exce ding 12500, 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 commencem u t be posted at the job site
for the first inspectio which occurs seven (7) days after the building permit is issued. In the b en a uch posted notice the
inspection will not be pproved and a reinspection fee will be charged.
3
Signature Signature
WNER AGENT CONTRACTOR
Th�efforegoing instr entt,w�a�s acknowledged before me this The foregoing instrument was acknowledged before me this
`j H day of � � t� 4i 20 by day of 02J Y- 20 1 by
eudid r-�_ 14ncVe, who is personally known to who is personally known to
me or who has produced as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Print:I T -' WJ J Print: trume, taj iriqurt.
JIICOUEUNERODRIt3UEZ
Seal: Seal: JAMEUNEROOROM
MY COMMISSION i FF 9166* "?;� W COMMISSItNI t FF 916M
• EXPIRES: September 9, 2019 EXPIRES: September 9, 2019
`• ,A4.Bonded Thro Nohry Pubte Undreei0ne Bonded Thn+ NoWy Pubk UrdmNUM
n
APPROVED BY �� Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
Elevation Certificate
\k�,, ilssmiates Senr ms, lnc,
Land Surveyors & Engineers
U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE
FEDERAL EMERGENCY MANAGEMENT AGENCY
National Flood Insurance Program IMPORTANT: Follow the instructions on pages 1-9.
SECTION A - PROPERTY INFORMATION
Al. Building Owner's Name LYONEL NOEL &W ANNE MARIE 15-1044937 YM
�WWIA
OMB No. 1660-0004.7....... _
Expiration Date: July's , 20o15
•• • •••••
•
FOR IN631RANGE COMPi;J tJSf • •
PolicyN%?ht&!'• •
. • •
A2. Buildingg NW 110 ST Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or PO. Route and Box No. Com �I CIwtmber: 0 • •
43 ••••
...
City MIAMI SHORES State FL ZIP Cc�� K A8 , • •0*000
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) • • • • • • i • • • • • • • •
MIAMI SHORES EXT PB 43-40 LOT 29 BLK 220 LOT SIZE 75.000 X 122 - 11-2136-003-0610 • . • •
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL • ; •. ❑ •T� • • •�; •
A5. Latitude/Longitude: Lat. N25°52"�4" Long. W80°11'56 Horizontal Datum: 9 %,D 192T NAD 198.3 •
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. ' • • • • • • • • • •
A7. Building Diagram Number R • • • ; •
A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage:
a) Square footage of crawlspace or enclosure(s) 1000 +- sq ft a) Square footage of attached garage N/A sq ft
b) No. of permanent flood openings in the crawlspace or 9 b) Number of permanent flood openings in the attached garage
enclosure(s) within 1.0 foot above adjacent grade within 1.0 foot above adjacent grade hl 1/4
c) Total net area of flood openings in A8.b 2592 +- sq in c) Total net area of flood openings in A9.10 NIA sq in
d) Engineered flood openings? ❑ Yes ®No d) Engineered flood openings? ❑ Yes N No
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NAP Community Name & Community Number
B2. County Name
B3. State
I
MIAMI SHORES - 120652
MIAMI-DADE
FL
B4. Map/Panel Number
65. Suffix
B6. FIRM Index Date
B7. FIRM Panel Effective/
B8. Flood Zone(s)
B9. Base Flood Elevation(s) (Zone
Revised Date
AD, use base flood depth)
12086C 0139
L
09/11/2009
09/11/2009
X
N/A (NGVD 1929)
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9:
❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other/Source:
Bll. Indicate elevation datum used for BFE in Item 69: ® NGVD 1929 ❑ NAVD 1988 ❑ Other/Source:
B12.Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes N No
Designation Date: N/A /N/A / N/A ❑ CBRS ❑ OPA
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Cl. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction*
® Finished Construction
*A new Elevation Certificate will be required when construction of the building is complete.
C2. Elevations - Zones Al-A30, AE, AH, A (with BFE), VE, V1-V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO. Complete Items
C2.a-h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters.
Benchmark Utilized: N-566 Vertical Datum: NGVD 1929
Indicate elevation datum used for the elevations in items a) through h) below. ® NGVD 1929 ❑ NAVD 1988
❑ Other/Source:
Datum used for building elevations must be the same as that used for the BFE. Check the measurement used.
a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 11 25 N feet
❑ meters
b) Top of the next higher floor 13 12 ® feet
❑ meters
c) Bottom of the lowest horizontal structural member (V Zones only) N/ A N feet
❑ meters
d) Attached garage (top of slab) N/ A N feet
❑ meters
e) Lowest elevation of machinery or equipment servicing the building 11 30 N feet
❑ meters
(Describe type of equipment and location in Comments)
f) Lowest adjacent (finished) grade next to building (LAG) 11 00 N feet
❑ meters
g) Highest adjacent (finished) grade next to building (HAG) 11 20 N feet
❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including N/ . A N feet
❑ meters
structural support
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation
information. I certify that the informatics) on this Cartificate , s:presents my best e; `orts to interpret the data = vailable.
1 understand that any false statement may be punishable by fine
or imprisonment under 18 U.S. Code, Section 1001.
❑x Check here if comments are provided on back of form.
Were latitude and longitude in Section A provided by a
❑ Check here if attachments.
licensed land surveyor? N Yes ❑ No
Certifier's Name
License Number
EFRAIN C. LOPEZ
2300 & LB 7538
Title
Company Name
P.L.S.
D'AVILA & ASSOCIATES SERVICES, INC
Address
City
State
ZIP Code
14750 NW 77 CT, STE 204
MIAMI LAKES
FL
33016
Signature
Date
Telephone
G
10/26/2015
(305) 953-2600
rrertrrrr://+rrr r
•` t�� SF Nli+1<j,;ir'r�
Ir�C, 23300
!'V
I I
STATE OF + ,
r%
FLORIDA ' 1
rrrrrri{�I sf I k.., rIMi�Nti�"`�
FEMA Form 086-0-33 (7/12) See reverse side for continuation. Replaces all previous editions.
lD A VALA
ELEVATION CERTIFICATE, page 2
IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR IN°:URANEE GOMP,Tf'JY,VIE'
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or PO. Route and Box No. Policy NurRAr: • • • •"
43 NW 110 ST •••• •.
city State ZIP Code CompaM#"&Wmber: • • • •
MIAMI SHORES FL 33168 •... •
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINNE4 • • ' •
.• •...•
Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner.. • • ..� . • • • • .
Comments • • ' • • • •� • • •
C.2.E REFERS TO AIR CONDITIONER MACHINERY SERVICING BUILDING • • • • •....
LATITUDE AND LONGITUDE OBTAINED BY GPS/FLOOD ZONE DETERMINATION IS FURNIIHEUP FEMA • .'
C.O. R = 11.05 FT
DIAG 1 162 SQ FT, FF 11.87 FT ••••e :••••:
...0
Signature G Date • 10l26/2015 • • • : •
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zones AO and A (without BFE), complete Items El-E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B,and C.
For Items El-E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters.
El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent
grade (HAG) and the lowest adjacent grade (LAG).
a) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG.
b) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG.
E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Iterns 8 and/or 9 (see pages 8-9 of Instructions),
the next higher floor (elevation C2.b in the diagrams) of the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG.
E3. Attached garage (top of slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG.
E4. Top of platform of machinery and/or equipment servicing the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG.
E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management
ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G.
SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA-issued or community -issued BFE) or
Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge.
Property Owner or Owner's Authorized Representative's Name
Address City State ZIP Code
Signature Date Telephone
Comments
❑ Check here if attachments.
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and
G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8-G10. In Puerto Rico only, enter meters.
G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect
who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.)
G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA-issued or community -issued BFE) or Zone AD.
G3. ❑ The following information (Items G4-G9) is provided for community floodplain management purposes.
G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued
G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement
G8. Elevation of as -built lowest floor (including basement) of the building: ❑ feet ❑ meters Datum
G9. BFE or (in Zone AO) depth of flooding at the building site: — ❑ feet ❑ meters Datum
G10.Community's design flood elevation: ❑ feet ❑ meters Datum
Local Official's Name Title
Community Name Telephone
Signature Date
Comments
❑ Check here if attachments.
FEMA Form 086-0-33 (7/12) Replaces all previous editions.
ELEVATION CERTIFICATE, page 3 Building Photographs
See Instructions for Item A6. •
IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR IN�i:f AN'tE COWPAX104JSE • •
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy ►!z,r; "• • • •
43NW110ST �•• • • • .
••••
City MIAMI State FL ZIP Code 33168 Cornpar!p-NA Numb% • •
If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below Wpr it g to the'rSstru!tions • ....
for Item A6. Identify all photographs with date taken; "Front View" and "Rear View", and, if required, "Righj Siufb 'view" and "Left Side •
View." When applicable, photographs must show the foundation with representative examples of the flood gpenings4r.Y4r;ts, as ....
indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. •.. ;. •
FEMA Form 086-0-33 (7/12) Replaces all previous editions.
ELEVATION CERTIFICATE, page 4 Building Photographs
Continuation Page •
IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INAIRANCE COMPAWYJJSE
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. PolicyN� W`� + • • • •: •
43NW110ST +
City MIAMI State FL ZIP Code 33168 Comp"t;)AMI£Numhe?''"`" o•"
••s•
If submitting more photographs than will fit on the preceding page, affix the additional photographs below.•Ideatify all pl-%oOrarhs ' ""•
with: date taken; "Front View" and `Rear View"; and, if required, "Right Side View" and "Left Side Yie"", When applicable, "; •
photographs must show the foundation with representative examples of the flood openings or vents, as indic;ed in lection•A8. '.
r
L
4,
w e
W
dS
,
�
�
� �
r
�
a r
'
4
.;i 3 f
'S
q
r
FEMA Form 086-0-33 (7/12) Replaces all previous editions.
LOCATION SKETCH
BOUNDARY SURVEY
NW 111 ST SCALE •N.TS.
SCALE - 1:20 k` �— —
CLIENT:LYONELNOELaWANNEMARIE -r--• • --•-•: •�-�
PPCPFRTY ADDRESS•)ON: 43 NW 110 ST MIAMf SHORES FL 3J788 • • •j • • I
LEGAL. DESf. R:PT20 • • • • •
LOT 29, BLOCK 220, MIAMI SHORES EXTENSION SUBDIVISION, ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 43, PAGE 40, OF THE PUBLIC LOT d•;• LOT r LOT LOW 0,00
: � 1 W •
RECORDS OF MIAMI DADE COUNTY, FLORIDA. • • • • i • y •
ELEVATION 1NFDNMATION'
B.M. USED N-566 ELEVATIONS 10.78' (NGVD 19291 LOCATED NE III ST -91.5' SOUTH OF CIIL 1 • • € 0 Q
BASED ON THE FLOOD INSURANCE RATE MAP OF THE FEDERAL EMERGENCY MANAGEMENT AGENCYDATED OR REVISED ON DLf.1.2WY THE HEREIN DESCRIBED }--"'-r-'-r" {. """ ' """""""+ """"""" is< •
PROPERTY IS SITUATED WITHIN ZONE X BASE FLOOD ELEVATION M%h COMMUN)TY 12UE52 PANEL NUMBER J939 SUFFIX 1 EFFECTIVE PANEL DATE 09_1!-_w4_ •
CERTIFIED TO: LOT 28 LD LOT 3D LL•3• • LOT 32 i • •
LYONEL NOEL ii W ANNE MARIE I•
'—•.._ • •
i_..,..,..... L_-ar_ 6000
_._....
�•••
• • NW 110 T• • • • •
P.P =•• —_ �r _ 000
•• • 0000
--"—.._____....,.:.___.....___..........__._._...___..._....._._..__........_.._.____............................_..._....._.._._.__..__._....__......_.................__....._ - •
•
•
�rr � •y�r:':'r:irr:riirrir:`: rr: r:'rrr::':'::':'rrr:: �:::i'i:'r. r:. �.: r:::� ':':{:{:�rrrrrr: _ r:.� . .'rrrrr:': ':':'::cr:�: rrr:�rr .rrr: r
1 0 .......... I .::::::::::::::: '...'::::::::. �0 . ' .. :::::: :::::..............• •
;...11.0' ASPH. P'•✓fdT.::::::.,�:::�::::.:::::::::::::'::.'.:'.::::::::.
......,_.. ..................................... ..::::::::. �::::::::::::::::. ..:.. -:.�:. .......::....15'ALLEY :::.-:: :. •
...................................
.. r:... irii:..........::: ...... I....rrirrririri: ir:.....::....:::........:...I..::... z .... ... �"::: irk:. • •
.......................
FIpx
i D --,.NO CAP • • • • •
- I
F.I.P )li
4' CLF 0
NO CAP
0. 2'CL\s1
•`�
U 0
Z
00
4' CLF
I 00,
^O6
•. j I \
2
3E'-.
10.0'
.GONG. 00
UTILITY
•
18.10, / 22
0^ o 3.6,��. O0
• AC
LOT 215
0
�/
o aD a 7.0'
BLOCK 220 (O
c''',
V
P*T
nj 22.40'
N
k
ONE STORY
RES 11143 0
LOT 29 17
_ 10.00,
BLOCK 220 N
F.F. ELEV. 13.12
0
lr
,...
. L. J _
10.'
00
v
o 20'
N 15.25.30' - '
c
O^
•6.3'
H �b
N
F.I.P
NO CAP '•, m '�'�
l CONC SWK. a4 . 75.00(R&M)
24.5' PARKWAY
............_.._._.......................... •••• •••
W.F.
ad
Q'
LOT 30
BLOCK 220
W
Q
Q
N Z
in
3F.LP K2-
,.j110CAP .o�xrF
254.32.
f
.. ........................ h::::.:::::::::::.:::::.::::'::::':::
......................................................... .
-(( :.: W 11 T }rr rf :rr"14.5' ASPH. ?VM1??.::: :r: i' is is is r.:.{.r.:'i' ......................
r:_ i
f N 0 S l_..
'.:::.
�'. (?5.0' :ORAL f2/W 8Y?LATirrrrrrciririii::�:ii:cr::':i'r'i:i"::.:::.':: _.. ..
...................
?riiirrir "r : cr : ..�... O"r:iiiirr::'r::::: rrr: r::::{: r:iiC. r:.. r::':
LEGEND 8 ABBREVIATIONS -
A-AA[mTAux eu.v-mIAxLTeunmlYxE cuE•uxE auxrtxAvs v.ne-Iu(vrp• swa•swswuA • OVERHEAD UTIJIYUNES -�
A. DNDDN�� LP-�„AD E,a „ DNNDAENDD soaates Services, Inc. CONCRETE FE CIf r-LL(CBS) �.Ya
AavpRu� '-uAAno roufroreEWNrxAi ..._«.....�.. .CHAIN LIMN FENCE IC.LF) Lant1 $UlVE k Eft IR!!fe
LS-tnIAwElEsua StvsEi RDNNPE ................ ..
ALE---
vEAfuAFOD—ANR D.C-NWIDFREK0.5E -r -a— . IRON FENCE(LF.)
WOOD FENCE(W.FJ CERTIFICATE OF AUTHORIZATION NO.29056
NRREr v- p�-ELEVAMNS CERTIFICATE OF AUTHORIZATION NO.7538
Nu uvo 14750 N W 77 CT SUITE 204
LAKES, FL u..DY r CONTACT YOUR PROCESSOR MIAMI HONE:(305) 9516
3 2800
cu nmlaAS.I `iR-RRENroRAN. .Q ..DE
csw.mxGErtaau WALL F.F�E-fYMSN[DRDdI DYFRNFAD ph MWRO DSrANCF �: Q
CN•CUNPpAD lux prNuu uauvm -RAU RDADV111,
�+•
NLLf osx N•o1EmwAi lllllD' R6•RFSgENDE
M.g-CYgRO LVARN RARfl M •AiDNTOFwAY
RADau BY:
C0. Fa'LE�3N roNH �'� E-"R"uwE°R '•PRDPERrvIRIE ❑ EFRAINC. LOPEZ., P.L.S. (10-26-2015)
vA
cLr. cNAPI Aw eDRns aan. umNAxwo ERAS alTRww
Wf EMw1 NAxR"•"= AG-PDRRDFOAHARAIF SEC-SECnON
NC Ctl/A'RE1E P.CT•iOW10ETANSFMY 31Y. sIPW
✓E towcsrRwoAUEVAttw LEGAL NOTES TO ACCOMPANY SKETCH OF SURVEY: 2300
EMENrs RECPUSUC RECDR01 NDi9UNHON R45UmEY.
usurxNAS OT mEAasTRAC—TOFTlTiREWAt HAVE ro aE uADE roDETERIwa'nECMDED
65SUSIctTTO—nDlas.lunt'ArrorS.REsmcrgxawE3FrtVArg -rwtSu[rrtsar
lPT0lSPRowDEo SVCUENTORAn I—mtECOw•Aw
°P Ow[o IUiIR,aE�Eio LOlao eEa+ : autEa—HOT;D.vAt¢:
PuraLn WAESrDEncrEDDRRRwuE.
A mwrfucwo.ueRAra EA.—A-
-N— SHALL
IERIFrrDNRro REDuuTARIs, RESTRx:RDNs. SETeACNSAND wx(SERESPaNSaAE
. AArx,esso�RwuwEr.O uroiws�i+uilAs xorArTeuPTeDrolaurE worvc AlaoRralAo.mNs.
v NAs BEEN PREPARED FOR mE fXCWSHEUSEOFME ENmESNAemi,EREaa mE
DJES NpTEMEND ro ANY UNNAMED PARTY.
SVRVEYOR'S NOTES: IR
PROFESSIONAL LAHO SURVEYOR NO.: STATEOFFLORRAA
(VALID COPIES OF THIS SURVEY WILL BEAR THE EMBOSSED SEAL OF THE ATTESTING
LAND SURVEYOR).
SURVEYOR'S CERTIFICATION:
HEREBY CERTIFY TO:
THAT THE ATTACHED BOUNDARYSURVEY OF THE ABOVE DESCRIBED
PROPERTY, IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
AND BELIEF, AS RECENTLY SURVEYED AND PLOTTED UNDER MY
RESPONSIBLE DIRECTION, AND THAT THERE ARE NO ABOVEGROUND
ENCROACHMENTS UNLESS SHOWN THEREON. I FURTHER CERTIFY THIS
SURVEY MEETS THE STANDARDS -OF -PRACTICE FOR BOUNDARY -SURVEYS,
PURSUANT TO SECTION 472.027, FLORIDA STATUTES, AND ADOPTED IN
CHAPTER 5J-17.050, FLORIDA ADMINISTRATIVE CODE. EFFECTIVE DATE
JANUARY 1, 2010; AS AMENDED FEBRUARY 23, 2005.
•