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WS-19-1988Miami Shores Village AUG2 z;� 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 FBC 20 f-4 BUILDING Master Permit No. WS— 09— IC) PER IT APPLICATION Sub Permit No. UILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS [:]CHANGE OF ❑ CANCELLATION ❑ SHOP CO NTRACTO R JOB ADDRESS: � '7-0 k :)P_ -T ` 5T * 1. DRAWINGS City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 11 - 3 0 - 41"'0 - 3`a - 00-5G Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): 4o( /,6.441 JC400& S �0>r 4f7-S' Phone#: RDar- QL(o'�- 't)(0 Address: =k 40 l.3 t-, l 4-- `lf- City: M I r-v:ot r —� i�State: '= -(, C Zip: 3 3 J 3$ Tenant/Lessee Name: Phone#: O - Q4= Email: ` ICA - GSS - g SV5 CONTRACTOR: Company Name: i=- COX-) S-C •L�iZ�� Phone#: ije4 25c.. *4-155 Address: ;�'O V'o 8 , G'T ' City: lu I 6,µ I State: - Zip: 3rl ( G Qualifier Name: �74't7(o Z- Phone#: State Certification or Registration #: 46li �s'PZ �' R Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address City: Value of Work for this Permit: $ 4� SOD. Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New El Repair/Replace Zip: ❑ Demolition Description of Work: frz�t� f �+ Iyloco C' I ¢•tU�e � - ` _M� (2-6 R_rs _(C_ h1s- I I —IS - 4R Zn7 S'S Specify color of color thru tile: Submittal Fee $ Permit Fee $ cam%' CCF $ CO/CC $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ DBPR $ Notary $ Double Fee $ Bond $ (Re,Ased02/24/2014) TOTAL FEE NOW DUE $ 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 elivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement m b posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absen of s ch posted not' the inspection will not be approved and a reinspection fee will be charged. Signature _ Signatu OWNER or AGENT The foregoing instrument was acknowledged before me this bl'" day of 20 ( " by \'Ih8g!S V who is personally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: The foregoing instr ent was acknowledged before me this day �T. _�-``.`,�.' , 20 ('i , by �-P�O � �{=a�'�"Gyf'io is personally known t�� as me or who has produced identification and who did take an oath. NOTARY PUBLIC: as Sign: Sig . Print. 1�4 k-fh' ��.1~� �-E—Z PrinC�GfIEZ- Seal: r Seal: ;=�Y°° HARRY SANCHEZ HARRY SANCHEZ MY COMMISSION # GG094929 _ MY COMMISSION # GG094929 :ti, �• �7!!0, • •A EXPIRES April 17, 2021 EXPIRT April 17, 2021 ************** ***t************ APPROVED BY Plans Examiner Zoning (Re%ised02/24/2014) Structural Review Clerk Miami Shores Village ,� _;_. IVEID --y -. Building Department MAR 19 2020 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 BY: INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 2 VAS- BUILDING Master Permit No. PERMIT APPLICATION Sub Permit No. [-]BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION RENEWAL [-]PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTR CTOR DRAWINGS JOB ADDRESS: I City: Miami Shores County: Miami Dade Zip: 3 3 I t),d - Folio/Parcel#: (1 ^ 3 2 - 060 - 3 g? -- 67050 Is the Building Historically Designated: Yes NO ,< Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: ,� OWNER: Name (Fee Simple Titleholder): /"�,/ 14 M 1 �'/d re ^9/� l' I/t► '`' Phone#: Address: 2-20 5 � City: / f m ( State: C` Zip: 3f 8F Tenant/Lessee Name: Email CONTRACTOR: Company Name: P-4+FV4?_ rc �.�'C�-U�-ttm6� Phone#: �44ft! 250 37_'5S . Address: '/76l. �' 8ell �fI� City: f•i(, l P.N[ ( State: fit_ zip: 3 3i I (o . Qualifier Name: td-0_t, -r— jr 1�+011-5-2. Phone#: 3755 - State Certification or Registration #: 4�Z4 (i 002 ?7S 1 • Certificate of Competency #: DESIGNER: Architect/Engineer: City: State: Zip: Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ®, Repair/Replace ❑ Demolition Description of Work: %zW=M«C4 lGe W (tv5;0w5 Qc t Specify color of color thru the: Submittal Fee $ Scanning Fee $ Technology Fee $ Permit Fee $ Radon Fee $ Training/Education Fee $ CCF $_ DBPR $ CO/CC $ Notary $ Double Fee $ Structural Reviews $ (Revised02/24/2014) Bond $ TOTAL FEE NOW DUE $ _7' 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 exceep g'2500, a applicant must promise in good faith that a copy of the notice of commencement and construction lien law broch a will be deliver d to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commenc ent t be post d at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In th absenc f such osted notice, the inspection will not be approved and a reinspection fee will be charged. i Signature Signature, OWNER or AGENT The foregoing instrument was acknowledged before me this 120 /dra_y of �lN �{ r� 20 (S by Pabf 17ef44n �6 l Z- who is personally known to me or who has identification a NOTARY PUBLI Sign: p�pW,EDEN0 MY COM S >�tFFI51424 EXPIRES: October 19, 2018 as CONTRACTOR The foregoing instrument was acknowledged before me this ':?-O day of 20 I S by O a r known to me or who has pro MARRA MAYRA CEDENO as M identification and akViMWober19,I'll NOTARY PUBLIC: 1 Sign: Print: Print: Seal: Seal: *********.*•**s***.**..******■***.*/*�j*/*************s********s**sr********rs***********************:****s*s* APPROVED BY / `lw Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Z ©2o TO P'- IJ'4"5 a- ("- &Qcau-c( Sl ,Vne s t. ram. Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address 770 NE 91ST ST 1, Miami Shores, FL 33138 Contacts Permit NO.: WS-08-19-1988 } Permit Type: Windows/Shutters r4'k-Classification: Window/Door Replacement Permit Status: Approved Issue Date: 09/26/2019 1 Expiration: 03/24/2020 Parcel Number 1132060380010 MIAMI SHORES CO OP APTS INC Owner Mobile: 3057571018 Other: 7867624393 PAHER CONSTRUCTION CORP Contractor PABLO EMILIO HERNANDEZ 3650 SW 88 CT, MIAMI, FL 33165 Business: 7862563755 paher2013@yahoo.com Description: REPLACE 14 WINDOWS AND 1 HURRICANE PANEL. Valuation: $ 4,500.00 Inspection Requests: to replace ws-15-2959 305-�62-�49 Total Sq Feet: 0.00 Fees Amount Payments Date Paid Amt Paid 100% Permit Renewal Fee $2150.00 Total Fees $250.00 Credit Card 09/26/2019 $250.00 Total: $250.00 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 are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constryction and zoning. Futhermore, I authorize the above named contractor to do the work stated. / JApplicant / Contractor / Agent Date September 26, 2019 Page 2 of 2 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Insl2ection requirements for: Windows, Doors, Skylights or Fixed Glass (cladding) Permits Upon issuance of permits for the scope of work involving the removal, changing and/or replacement of any type of windows, doors, sidelites, skylights or fixed glass (cladding) the permit holder or qualifier bearing his signature on the permit application shall abide by the requirements of this department and comply with the following statement: Upon obtaining window and/or door permits for the installation of same, it is the responsibility of the permit holder to request window/door framing in -progress inspection, prior to concealment of any horizontal or vertical clip mullion, bucks, shims, etc. Inspector will also verify anchor type, edge distance, embedment and spacing. The purpose for this inspection, is for the verification of conformance with Product Approval (NOA). Acknowledgment: Signature Date Print Name Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 REPLACEMENT OF WINDOWS, DOORS AND SHUTTERS. Permit application must be accompanied by: — Two (2) copies of drawing of the building, showing location of the windows, doors and shutters to be replaces. Two (2) copies of the Comparison Chart, with all the required information. (NOA approval number, size of each opening, (width and height), opening design pressures, and design pressures for each component taken from the individual NOA, "Notice of Acceptance") Two (2) copies of State of Florida or Miami Dade County approved NOA for each different components being installed. (Windows, Doors, Mullions, Fixed Glass, shutter) L Florida Building Code -Existing Building, section 706.4 Replacement of windows and doors. The replacement of garage doors, exterior doors, skylight, operative and inoperative windows shall be designed and constructed to comply with Chapter 16 of the Florida Building Code, Building. Exceptions: Opening protection exception for High -Velocity Hurricane Zones. For one -and two-family dwellings constructed under codes prior to September 1, 1994, the replacement of exterior doors with glazing, sliding glass doors, glass patio doors, skylights, and operable and inoperable windows within any 12- month period shall not be required to have opening protection provided the aggregate area of the glazing in the replaced components does not exceed 25 percent of the aggregate area of the glazed openings in the dwelling or dwelling unit. Every bedroom shall have at least 1 egress opening. The minimum opening size: (20" wide x 24" high) If Owner is doing the work, include the Owner Builder Disclosure. l Require inspections: Buck (if greater than 1 x), Framing and Final. THE ABOVE REQUIREMENTS ARE FOR EXACT RETRO-FIT ONLY. WINDOWS, DOORS AND SHUTTERS MUST BE INSTALLED AS PER PRODUCT APPROVAL. GROUT OR HYDRAULIC CEMENT ARE NOT ALLOWED AS INFILL ON THE PERIMETER OF THE WINDOWS OR DOORS UNLESS SPECIFIED ON THE PRODUCT APPROVAL. Revised on 7/22/2009;11/17/2014 113 r RICK SCOTT, GOVERNOR JONATHAN ZACHEM, SECRETARY bpr a STATE OF FLORIDA DEPARTMENT OF BUSINESSAN-04MOFESSIONAL REGULATION CONSTRU THE GENE PROVI C : •;: 0 NDER THE LUTES �►� EXPIRATIONQA '" ' 31, 2020 Always verify licenses online at MyFloridal-icense.com Do not alter this document in any form. This is your license. It is unlawful for anyone other than the licensee to use this document. Local Business Tax Receipt Miami —Dade County, State of Florida —THIS IS NOT A BILL — OO NOT PAY 4507357 BUSINESS NAME/LOCATION RECEIPT NO. EXPIRES PARER CONSTRUCTION CORP RENEWAL SEPTEMBER 30, 2019 3650 SW.88TH CT 1 4705613 MIAME, FL 33165 Must be displayed at place of business Pursuant to County Code Chapter 8A — Art. 9 & 10 OWNER SEC. TYPE OF BUSINESS PAYMENT RECEIVED PAHER CONSTRUCTION CORP 196 GENERAL BUILDING BY TAX COLLECTOR CONTRACTOR 75.00 01/06/2018 Worker(s) 1 CGC062359 CHECK21-18-059341. This Local Business Tax Receipt only confirms paymerttof the Local Business Tax. The Receipt is not a license, permit, or a certification of the holders qualifications, to do business.. Holder must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT N0, above must be displayed on all commercial vehicles— Miami4ade Code Sec 6a-276. M®FDADt} For more information, visit www.miamidade.aovAaxcollector ACORD,, CERTIFICATE OF LIABILITY INSURANCE °07/10/2o 9 PRODUCER Serial # B3799 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION OVERSEAS INSURANCE AGENCY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P. O. BOX 162936 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. MIAMI, FLORIDA 33116 INSURERS AFFORDING COVERAGE INSURED PAHER CONSTRUCTION CORP INSURER A: WESTERN WORLD INSURANCE COMPANY P.O. BOX 460176 INSURER B: MIAMI FLORIDA 33245 INSURER C: INSURER D: INSURER E: C[fVFROGF-R THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVEDATE (MMtDDIYYI_ POLICY EXPIRATION DATE IMMIDD/M LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 300,000 FIRE DAMAGE (Any one fire) $ 50,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE ❑X OCCUR NPP8521073 05/14/19 05/14/20 MED EXP (Any one person) $ 6,000 PERSONAL & ADV INJURY $ 300,000 -1,000 DED GENERAL AGGREGATE $ 300,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 300,000 7X POLICY PRO-CT LOC AUTOMOBILE LIABILITY ANY AUTO I i COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ _ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND X TORY LIMITS I I ER EMPLOYERS' LIABILITY E.L_ EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS OPERATION AS GENERAL CONTRACTOR CERTIFICATE HOLDER_ X I ADDITIONAL INSURED; INSURER LETTER: MIAMI SHORES VILLAGE BUILDING DEPARTMENT 10050 NE 2 AVE. MIAMI SHORES FL. 33138 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. 0 ACORD CORPORATION 1988 JIMMY PATRONIS CHIEF FINANICAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW* * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 2/11/2019 PERSON: PABLO E HERNANDEZ FEIN: 651070048 BUSINESS NAME AND ADDRESS: PAHER CONSTRUCTION CORP. 3650 SW 88 CT MIAMI, FL 33165 SCOPE OF BUSINESS OR TRADE: Licensed General Contractor EXPIRATION DATE: 2/10/2021 EMAIL: PAHER2013@YAHOO.COM IMPORTANT: Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt... apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certifcate to meet the requirements of this section. DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS? (850)413-1609 CGC 062359 PAHER CONSTRUCTION CORP 3650 SW 88 CT, MIAMI, FL 33165 - (786) 256 7355 - paher2013@yahoo.com Date: 08-28-19 State of Florida County of Miami -Dade Before me this day personally appeared Pablo Hernandez who, being duly sworn, deposes and says: That he or sheer be the only person working on the project located at: 770 NE 91 %T, #UMiami Shores, FL 33138 re Sworn to (or affirm>?d) and subscribed before me this 281h day of August, 2019 By Pablo Hernandez Personally know Or produced Identification Type of Identi uced Prlat,type or stamprname of notary ;;:*�^� HARRY SANCHEZ k. MY COMMISSION k GG094929 =�. EXPIRES April 17, 2021 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 i£ I . 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 YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: 4 Owner State of Florida County of Miami -Dade The foregoing was acknowledge before me this $TA day of jC' , 20(9 N By Tp,"4M-S V. S¢l N X—G`"t' who is personally known to me or has produced as identification. Notary SEAL: t�"•"°'' MARRY SANCHEZ MY COMMISSION 4 GG094929 �1�i. EXPIRES Apol 17, 2021