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FW-03-22-577Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address Parcel Number 10050 N MIAMI AVE, Miami Shores, FL 33150 1131010210110 ^ontacts OSCAR SIMMONDS Owner P&H Group Corp Contractor 10050 N MIAMI AVE Rodolfo Hernandez Mobile: 3058070123 OSCAR.SIMMONDS@GMAIL.COM 3937 SW 143 PL, Miami, FL 33175 Business: 3058043947 PHGROUPRUDY@GMAIL.COM -A Inspection Re uests Description: 2 WOODEN GATE INSTALLED IN FRONT OF Valuation: $ 500.00 PROPERTY. NO PERMIT. REMEDY: OBTAIN PERMIT FOR GATES Total Sq Feet: 0.00 fl� i9 OR REMOVE. CASE11-8137 Fees Amount Application Fee - Other $50.00 CCF $0.60 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.20 Planning and Zoning Review Fee $35.00 Scanning Fee $9.00 Structural Review ($45) $45.00 Technology Fee $2.50 Wire and Wood Fence Fee $50.00 Work without Permit - Permit Fee x2 $100.00 Work Without Permit Fee - Plus $100 $100.00 Total: $396.30 Payments Date Paid Amt Paid Total Fees $396.30 Credit Card 03/24/2022 $346.30 Credit Card 03/03/2022 $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 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 regu,W�ction and zoning. Futpl-lelrmore, I authorize the above named contractor to do the work stated. Signature: Owner / Applicant / Contractor / Agent Date March 25, 2022 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 INSPECTION LINE PHONE NUMBER: (305) 762-4949 F-'� k.. 3'aIz1 BUILDING PERMIT APPLICATION OBUILDING ❑ ELECTRIC ❑ ROOFING ENTEnED MAR 0 8 2021 FBC 20 Master Permit No. f�d--us— Z 2 --5—%7 Sub Permit No. ❑ REVISION ❑ EXTENSION RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 10050 N. Miami Ave City: Miami Shores County: Miami Dade Zip: 33150 Folio/Parcel#:1131010210110 Is the Building Historically Designated: Yes NO X single family power washed fence Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Oscar Slmmonds Address: 10050 N. Miami Ave. City: Miami Shores state: Florida Tenant/Lessee Name: Email: oscar.simmonds@gmail.com CONTRACTOR: Company Name: P&H Group Corp Address: 3937 SW 143 PL. City: Miami State Qualifier Name: Rodolfo Hernandez State Certification or Registration #: CGC1526184 DESIGNER: Architect/Engineer: Phone#:305-807-0123 Zip: 33150 Phone#: Phone#: 305-225-5011 Zip: 33175 Phone#: �3j05-8044-3947 Certificate of Competency #: _r P 614,�UP EUV 6 Phone#: & %ZI'l1Ql/, CU/r Address: City: State: Zip: Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑0 Repair/Replace ❑ Demolition Description of work: Fence was power washed looked new and thought it was replaced. Specify color of color thru tile: Florida T Submittal Fee $ Permit Fee $ 109 CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ ouble Fee $ f D , PIC) + 1a0 Structural Reviews $ Bond $ TOTAL FEE NOW DUE $ 0 (Revised 02/24/2014) . 11 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 Zi Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation hays 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 K%N' RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEPJE) 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-- ____ Signatu OWNER or AGENT le,flegoing instrume it was acknowledged befor me this T foregoing instr6mern as acknowledged before me this day of u✓ G � 20 'Z by �.. - day of / G 20 � 2'- by /h®AJ who i ersonally know to d.�ir' 0 l/Crliq' tt who is ersonally kn rw I to me or who has produced as me or who has produced _ �' W ilri/L°�� ..- -- identification and who did take an oath. NOTARY PUBLI � CRITTER//////i �`O?•'•SON ` V 00�t / s Sign:_ ? ;moo Prin /` — ►•� •� * ;-----�86 _--fin-: Seal: i'L %04 Bondes�tp •F �i �j. •.:YPublic�� �k ############################ APPROVED BY identification and who did take an oath. •,•a� —�nae� ev y Publi0Y\ - �•�� � //i... BLIC, SIN..,\\S #####,i A,:l:;, f: Plans Examiner 71.1111r" 3✓ !Structural Review (Revised02/24/2014) Miami shores Village Building Department 10050 N. E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 SURVEY AFFIDAVIT STATE OF (FLORIDA) COUNTY OF (DADE) The undersigned Affiant, Oscar Simmonds , does hereby attest that The attached survey, performed by (Property owner) ExAting survey (Name of surveyor's company) For address:10050 N. Miami Ave. Miami Shores, FL. 33150 Performed on 15th of Febru (date of survey) is an accurate representation of the existing conditions and locations of all structures 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. Fu,.Affi nt�s� ay nth naught. Oscar Simmonds Property Owner Signature Property Owner Print Name SWORN TO AND SUBSCRIBED before me this 15 day of February, 202: Affiant is personally known to me, Oscar produced Florida License as identification. Revised on 5/22120091 Revised on 6/12/09 ROBERTO SUAREZ MY COMMISSION # GG 367952 EXPIRES: August 20, 2023 Bonded Thru Notary Public Underwriters Notary UNRA'R Y" S UR VE Y TZ I'm A. t SCALE: 1 "= 30' LEGEND: =MONUMENT LINE =NATIONAL GEOOE77C VERTICAL DATUM ,- =NAIL & DISC .. =NOT TO SCALE ). =NUMBER _� ... =OFFSET =OVERHEAD =OFFICIAL RECORD 800K =PLANTER =PROPERTY LINE =POINT OF COMPOUND CURVATURE =POINT Of' CURVE =POINT OF COMMENCEMENT ' =POINT OF BEGINNING v =POINT OF REVERSE CURVATURE =POWER POLE } c) =PERMANENT CONTROL POINT � eL' Z =PLAT BOOK F.I.P1120'3 Ki =PAGE (NO ID) ' 1 = PARKWA Y =PERMANENT REFERENCE MONUMENT .00 P =PROFESSIONAL LAND SURVEYOR ::: rim 25.00 } 6' =RECORDED DISTANCE W F =RAILROAD 40.00' =RIGHT-OF-WAY =RAD1U5 -RANGE rrncr:i:; =SECT)ON - h 2 7.50' = TORY S �- LLLLL LLLLLLL =SIDEWALK h::...........::::::::.... LLLLLLL LLLLLLLLI LL =SET IRON PIPE L:._:: '%: LLLL LLLL115.01 LLLLLL =SET IRON ROD =TANGENT TT � .''.:z LLLLLL LLLLLL LLLLLL = TOWNSHIP =UTILITY EASEMENT :_:. ` `9 LLLLLL LLLLLL LLLLLL 'LLLLI' =UTILITY POLE =WATER METER ':: 0. �i LLLLIo LLLLIO LLLLIQ PO( =INTERIOR ANGLE =CENTERLINE I': �- O LLLLI LLLLL LLLLLL ralrY HOUSE .: 'r r;: LLLLLL =u O LLLLLL =AIR CONDITIONER PAD O LLLLLL LLLLLL LLLLLL =ASPHALT '=BUILDING _ 6' LLLLLLLLLLLLLLLLLLT/LE LLL =BENCH MARK � W.F LLLLLLLLLLLL LLLLLLLLLLLL =CATCH BASIN 16.00' =CONCRETE BLOCK STRUCTURE =CHAIN LINK FENCE = CONCRETE =DRIVEWAY ..... .=DISTANCE 6 =ELEVATION =FIRE HYDRANT W.F =FOUND IRON PIPE =FOUND IRON ROD. =FIELD BOOK =FINISH FLOOR ELEVATION F.I.P1120 =FOUND (NO ID,} =UNDER. CONSTRUCTION TOTAL R/W=50' Z =FEET =FOUND BLOCK CORNER - =FOUND NAIL & DISC =FOUND DRILL HOLE =FOUND NAIL L. =GARAGE ELEVATION =Wt700 POLE =LIGHT POLE =LENGTH =MEASURED =MONUMENT =OVERHEAD WIRE =BASIS OF BEARINGS =SANITARY SEWER MAN -HOLE MN N =WATER VALVE =CATCH BASIN —C POLE 14NCHO4 =UTILITY -UTILITY POLE -MIOD FENCE ` eCONCRETE =FIR£ HYDRANT -CHAIN -LINK. FENCE. -- =ELEVA.IION C B S WALC - - TILE ___ }fEREBY ER77FY THAT ,THE BOUNDARY' -Y- HE B9Vf ,D R -ED, FROPER =AS?HACT - AND CORRECT-JO THE BEST. OF MY'KNOWLEDGE .ANL7 BELIEF •�AS $ECEN.7L r.SLTRVEYE TOTAL R/W=80' • =GRASS .- =- -•r IIIRECI(pN i 95 /IISO. MY PROFESSIONAL ;f1PIN/ON:?ifAT iH/5 SURVEY MEETS THE MINIMUM 7FCHIVIGAL , : _, __ CEf.TI CA7E'i _3TANOAROS SET FOR71I-_BY THE,. fLOR/DA BOARD 'G jyRGYFE5510N_AL.:tSURVEYI�RS AND MAPPERS IN - ' ' ST.I TE .DF: FL = - I A A MIlJI t1iA� `T'URi IQA1NT TO SEC 472-027 -.OF. 7tiE =- Y tiERLOA. 4S NOT ,_Ct1APT£R �t G-f7_ 6 OF mil£LOR D D . 5 .. VE CODE.-. lHE :SURVE _, SHOWN, _ `... - - cce rvamA -- .....DA SFAIiITES_. - : ORtpNAL.RA/SE� O` � Ft n_ otey �5 19e- ,\\a 00\oko Go��ti� PROPERTY .ADDRESS: 10050 N. MIAMI AVE. MIAMI FL 33150 CERTIFIED TO: LA RA M. DIAZ UNITED, FSB, ISAOA/ATIMA N NATIONAL TITLE & TRUST, FlD LITY NATIONAL TITLE SURVEYORS NOTES: INC. 1—OWNERSHIP IS SUBJECT TO OPINION OF TITLE 2—EXAMINATION OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED INSTRUMENTS, IF ANY, AFFECTING THIS PROPERTY 3—NO UNDERGROUND IMPROVEMENTS WERE LOCATED 4—ELEVATIONS ARE REFERRED TO NATIONAL GEODETIC VERTICAL DATUM OF 1929 (UNLESS ASSUMED). 5—THERE MAY BE ADDITIONAL RESTRICTIONS NOT SHOWN IN THIS SURVEY THAT MAY BE FOUND IN THE COUNTY PUBLIC RECORDS 6—LEGAL DESCRIPTION PROVIDED BY CLIENT 7—UNLESS OTHERWISE NOTED RECORDED AND MEASURED 0A TA ARE IN SUBSTANTIAL AGREEMENTS. `V 8—BEFORE ANY CONSTRUCTION THE SET BACKS MUST BE CHECKED 9— THIS SURVEY IS FOR USE AS PER REQUEST OeQ AND NOT FOR ANY OTHER PURPOSE. .10—FLOOD ZONE X BASE N/A PANEL 0093 1— DATE OF FIELD WORK : 11117105 O CARIBBEAN BUILDING INSPECTIONS & SURVEY LB 736;2 Qet 7911 NW 72nd AVE., SUITE 105. MEDLEY, FL 313166 JOB # E2-10050 DRAWN: J. T REV: N.A. - MIAMI DADE/MONROE BRO WARD . . `,(30b) 889-> 100 (954) 435=0220 _ = FAX (305) 889=2900 FAX . (954) ` 438 7272 PALM BEACH ST. LUCIE INDIAN RIVER --- 561 - 9 41 _4260 _MARTIN (772 j= 398 6533 - .09 772 : 398=6532.:- _: R _- JRpEYOR -AAA PP__� :;,- --WESTCOAST OPERATIONSO - - - -35ir-- -=---=----- _ .._ ..:. . .--_ ��OLLIER LEE...:. 1 . _ : 5911 FAX: 239 _=:549. _S _.... _. ,..- . __... . r._ - FREE-STATE WIDE 1 _..__. ._ "_. . :18-JF17ilOUT;_'_-- N2VE"YDR=ANDv[T9E - <- PP R :_, - :.:.:. - .� - _- - - - - - --�-= WWW.CBI000RP.COM' — - --- _.. _._ --- - - a Fence Good Side Out. The vertical and horizontal supporting members of a fence shall face the interior of the plot on which the fence is located and the finished side shall face the adjoining lot or any abutting right- of-way. fi a i l �ai� V) g BuIlding Department WOOD FENCE DETA Shadow Box vertical Picket Board on Board 100-50 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756,8972 APp'ov Fences < = 6 high posts spaced at 4' on center maximum Fences < = 5' high posts spaced at 5' on center maximum Fences < = 4' high posts spaced at 6' on center maximum . Fence must not exceed 6' in height I x I,ic kt-ts fa A(,ne d wiII r two cot r oston r C•S(stan[ fastemwrs pr-r 4z4 pu•.sun- tr.,itr_d � �� Imst •, e•n�brrld,Y.i .� irtt<��'�� runrn•tr InoUtxj iU" �^.!{, dnm"It'l x 2"k-ep I f ALL wood must be pressure treated All fasteners must be cottosion resistant No less than two fasteners in any connection Itmwd Irt j.(j2016AS 2x4 horizontal pressure treated wood invmberrs with two corrosion n-tistanl fastf-I)efs pc+ corm(: von Cu O ,,n �o O 4-; c E J u = a) N w U O W ) GC a O U3 w w Lu P O � m J pp o Z D p� a O N Z �' 0 Q N O Z a� LL OLLI U (� 0 Z W I— w� � O O CV)" N NO " `"' Q) LL V U o LL n- � a M �Co � cn C co O J Z LL o= `` c� -° 4 L J a LL �u C CC)E a U u Q 2 _Q2 LL O �w W LU m c O O= Oc O w � ~ c � I— cn Z o Q N �zs O D z oLLJ z a 4-1 W I— Z — Z a= � v W ava O N O c o O z o Z oo w c� _ `D m P V o� Z � c�v J a o° LL w W �' O ce o ~ � z _� � _ WLn a F W Z O U - 0 V w 2 L ce ~ ° N v , 0 W N 4 �LORXp G 1 tw Mill �...... CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 03/02/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Insurance Specialists Of South Florida 2750 SW 87 Ave #204 CONTACT P,Carrera NAME: PAHio°NNO E : (305)264-0003 FAX, No): (305)226-7614 E-M AIL peter@isosf.net Miami, FL 33165 Phone (305)264-0003 Fax (305)226-7614 INSURERS AFFORDING COVERAGE NAIC# INSURER A: ASCENDANT INSURANCE COMPANY INSURED INSURER B : P&H Group Corp INSURER C : INSURER D: 2010 Country Club Prado INSURERE: Coral Gables FL 33134- INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDLISUBR INSR WVD POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP MMIDDIYYYY LIMITS A © COMMERCIAL GENERAL LIABILITY ❑ CLAIMS -MADE n OCCUR ❑ N GL-58244-4 12/05/2021 12/05/2022 EACH OCCURRENCE $ 300,000.00 DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000.00 MED EXP (Any one person $ 5,000.00 ❑ PERSONAL a ADV INJURY $ 300,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: ❑ POLICY ❑ PRO- JECT LOC ❑ OTHER GENERAL AGGREGATE $ 600,000.00 PRODUCTS - COMP/OP AGG $ 300,000.00 BI Ded $ 500.00 AUTOMOBILE LIABILITY ❑ ANY AUTO OWNED ❑ SCHEDULED ❑ AUTOS ONLY AUTOS ❑HIRED ❑ NON -OWNED AUTOS ONLY AUTOS ONLY ❑ ❑ COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ ❑ UMBRELLA LIAB ❑ OCCUR ❑ EXCESS LIAB ❑ CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ ❑ DED ❑ RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PRIETOR/PARTNER/EXECUTIVEi OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA PER OTH- ❑ STATUTE ❑ ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) General Contractor Lic# CGC1526184 CERTIFICATE HOLDER CANCELLATION Miami Shores Village Bldg Dept 10050 NE 2 Ave Miami Shores, FI 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Ins Specialists of S. FI - Pedro Carrera (digital © 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 26 (2016/03) QF The ACORD name and logo are registered marks of ACORD 4, Al It Iq STATE OF FLORIDA DES RTMENT OF FINAANCIAL SERVICES DIVISION OF WORKERS' CO NI PEN SATIO N * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPE NSATION LAW` CONSTRUCTION INDUSTRY EXEMPTION E F F E C f 1 V E D A T E: 'i 2 22, `22 01'e., 0 PERSON: RO) D 0 L F Cj A Z FEIN: 82.31,117 7 5 1 BUSINESS NAME AND ADDRESS: SCOPE OF BUSINESS OR TRADE: EXPIRATION DATE: EMAIL: SIapNopun o!lqnd tiglUN N41 PaPu08 £ZOZ'OZ Isn6n :SMldX3 Z9619£ 00 # NOISSIWW00 AW zauv 1S Om213S0?! •uoTluoglluapl SE asuaaiZ saaniaQ paonpo.Td suq .To au of umou)l flluuosjad si oqm u I W J {J ,ig ZZ OZ ` ifatnagaA 30 CEP SI sTgl aui oiojaq o2polmou3Iou sum BuioSazo3 aql aaumo apEQ-lumlyj3o Aiuno0 Epuoid3o 3MS 'S.LNg.LN00 S.LI QN` ISURCMI QNV 3DIZON SIHI CIVU aAVH f10A IVHI aDGH'IM0NIXDV 00A MO'IdS JNINJIS Ag szolou4uoogns jo =Aolduu aunt;-ITud `zoqui ,Cup io3 fuuduuo s,aolou.Tluoo aql uzog a;Iuaanoo aouumsuT uollusuaduToo ,simpom 3o uollEoglzaA azTnbal lou saop DBRI fl sa.TogS turelW `soouMswnouo asagl ul •Ioofo.Td moA uo Niom of pamollu uosiod fluo aql aq 111M aqs .To aq lugl 2ulMs IlnupWu us papiAo.Td suq aoloupum aq 1, -Ioofo.Td anofi .To3 saolou.Tluoogns .To soaAolduxa auTll-I.TEd `.TogEl Arp osn lou Illm aqs io aq lugl o2palmou-3ioE suq put, uollduraxo uollusuaduToo ,saa3I.rom srgl Tapun InuTad $utlsanbaa sT aoloEzluoo mom •uoTsiATQ oql Kq pWIona.T sl uoTlduzaxo aql .To polg sl uollEoonaa ImunloA u Illun To sauafi oml 3o pouad u ao3 pIIEA a.Tu suollduzaxo uoilon.TlsuoD •Iduzaxo aq of pamollE on, s.Tagtuotu Awdium fIlllqull palnull .To uolluaod.Too nd s.TaolUo aluaod.Too oojgl uugl a.Tow oN 'suoilu.Tod.ToD jo uoisiATQ `alulS Jo IuauTl.TEdaQ EPIJOIJ aql gllm aAilou sE palsll puu paaalsISQ1 sl uoTluaod.Too aqs •C PUT! `suollu.Tod.ToO Jo uots►AlQ `;)ImS jo IuavaIndaQ upuold mp jo spzooax oqj ul uollu.rodzoo oqj jo aaoUjo we su polsll sl aaogjo oqj .Z `.d.gs.Taumo luooaad 0I wnwiunu aql of 2upsollu IuauTaluls u `O,I.l uu jo asuo ail ul To `uollu.Todzoo agl3o 3lools oqj jo Iuao.Tad 01 Isual lu sumo moglo oqj, -I :3l Iduzaxa aq of loolo Am k4snpui uollon4suoo aql ut (OZ-l) Xuudwoo fllllgull polluzll E 3o saagwow ao szaoTWo 01E.Tod10O •a$E.Ianoo uollusuodwoo simpom ululgo lsnw `.Taumo oql Bulpnloui `soololduza auzll-IIng zo auzll-pud aaoLu ao ouo sAoldwo oqm faIsnpul uollorumoo aql ul joAoldwo uy :amgoo.Tg sloEd n4olduig uollusuaduzo0 ,s-iwjToM jo uolslniQ Eplaoid oqj of luunsmd •Iluzaod SuTplmq u BuluTElgo of .loud loafoid uoTlonalsuoo Auu To3 Iummimboa slgl uTog sanlosuzagl lduiaxa of fxlsnpul uoTlorulsuoo aql ul s.TaoUjo olu.TocLioo smollu wott § 'IEIS 'lid 'salnl IS Epl.Toi3 aql 30 Oty aaldug0 .Tapun a&uzanoo oauumsuT uoilusuoduzo0 ,sia)IjoAk swinba.T muj upl.Told uoijawax3 aaueinsul uoi}esu ZL69'99L (900 :xe4 VOZZ'96L (900 :lal 99 �E9 epiaol=j `SaaogS peln enuany puZ'3'N 09006 juaw:pedaa Buippq ebell!A saaoq S pq w WOO saa)IaoM — aaunnp 01 aoi}oN � �: r M ■ ,ilk P & H Group Corp. Residential & Commercial Contractors 2010 Country Club Prado Coral Gables FI. 33134 Te1.786-683-6340 Te1.305-804-3947 CGC1526184 Date: .2-28-2022 State of: Florida County of: Dade Before me this day personally appeared Rodolfo Hernandez who, duly sworn, that he or she will be the only person working on the project located at: 10050 N. Miami Ave Miami Shores,Fl. 33138. Contra rs ure affirmed) subscribed s / Sworn t• (�r a ed) and suMsc f,ed before me thi day of &/'%4 20 2 . Personally know Or Produced Identification 1 f It-64f L&O '1 e Type of Identification Produced NE i j OER 12 20 V&ac * • • y � �gZs � cam• • B°nded�ae,•�4V p Oj9 •. YPubIIGV�• • �� `��� i�V/ 1/UBllc, MON� \\\\ 111111IV Print,Type or Stamp Name of Notary