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4043 Q ®. MIAMI SHORES VILLAG , BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date, C S - Type Insp'n -- Permit No. taP Name d L /I " C Address Phone # Inspection Date Approved Correction Re- Insp'n Fee /14/ 1 9 - 1 5 T Company C)\/\./ C�86 �301 - 0 2.6 a_ toe / r It ic , ID s . 9 . 3 c . � 7 ° . 5 s I .. 4 . g ' lop 2 [567stal i21.o2 t 8 I Yc.M. 0 'x. - �?5 36.4 5582 N.W. 7th STREET SUITE 202 MIAMI, FLORIDA 33126 TELEPHONE: (305) 220 -3171 FAX : (305) 264 -0229 DRAWN BY: E.M. oru1 pururqurs ;tint. LAND SURVEYORS SURVEY No 0002283 SHEET No. / OF °`' d Survey of Lot: 4 Block: 180 Subdivision: REVISED PLAT OF MIAMI SHORES SECTION 8 According to the Plat thereof as recorded in the Plat Book No. 43 at Page No. 51 of the public records of MIAMI -DADE County, Florida. Property Address: 1147 NE 97 ST, MIAMI SHORES, FL 33138 For: GAYLE PUMO A = ARC. A.C.= AIR CONDITIONER PAD. A.E.= ANCHOR EASEMENT. A.R.= ALUMINUM ROOF. A.S.= ALUMINUM SHED. ASPH.= ASPHALT. B.C. BLDG.= B.M. B.C.R.= H .O.B.= (C) = C.B C.B.S C.B.W CH = CB. B.= CL.= C.L.F.= C. M.E = CONC. C.P.= C.S. D.E. D.M.E.= DRIVE _ E.T.P.= ELEV.= ELEVATION. ENCR.= ENCROACHMENT. F.H.= F.Z.P.= F.I.R.= F.F.E.= F.N.D.= FT. FNIP F. N. = H. IN. 6EG.= L.P = Z.F.E.= L.M.E.= 14 I Z b - -14.iix Miami arms Sec _F ? s g a Pew, S aes Seea .lal: 4 i) 2.1. 82 - KS. 3eo.3 -37� SUBJECT PROPERTY BLOCK CORNER. BUILDING. BENCH MARE. BROWARD COUNTY RECORDS. BASIS OF BEARINGS. CALCULATED. CATCH BASIN. CONCRETE BLOCK STRUCTURE. CONCRETE BLOCK WALL. CHORD. CHORD BEARING. CLEAR. CHAIN LINK FENCE. CANAL MAINTENANCE EASEMENTS. CONCRETE. CONC. PORCH, CONCRETE SLAB. DRAINAGE EASEMENT. DRAINAGE MAINTENANCE EASEMENTS. DRIVEWAY. DEGREES. ELECTRIC TRANSFORMER PAD. FIRE HYDRANT. FOUND IRON PIPE. FOUND IRON ROD FINISHED FLOOR ELEVATION. FOUND NAIL 6 DISK. FEET. FEDERAL NATIONAL INSURANCE PROGRAM. FOUND NAIL. HIGH (HEIGHT) INGRESS AND EGRESS EASEMENT. LIGHT POLE. LOWEST FLOOR ELEVATION. LAKE MAINTENANCE EASEMENT. LEGAL NOTES TO ACCOMPANY SKETCH OF SURVEY (SURVEY): i rucwc MAY BE EASEMENTS RECORDED IN THE PUBLIC RECORDS NOT SHOWN ON THIS SURVEY. LOCATION SKETCH NOT TO SCALE ABBREVIATION AND MEANING = MINUTES. (Al) = MEASURED DISTANCE. M. N.= MANHOLE. N.A.P.= NOT A PART OF. NGVD = NATIONAL GEODETIC VERTICAL DATUM. N.T.S.= NOT TO SCALE. ✓I -NO.= 0/S = 0.H.= O.H.L = 0.R.B 0.V.H.= PVMT. PL.= P/L P.C.C. P.C. PT. POC.= P.0.B.= P.R.C.= PWY = PRM = P.L.S.= P.P. P.P.S.= M). RR . RES.= R/W = RAD.= RGE.= R.O.E. SEC.= STY. _ SUN.= S.I. P.= S.= T TWP UTIL. NUMBER. OFFSET. OVERHEAD OVERHEAD UTILITY LINES. ORIGINAL RECORDS BOOK. OVERHANG. PAVEMENT. PLANTER. PROPERTY LINE. POINT OF COMPOUND CURVE. POINT OF CURVE. POINT OF TANGENCY. POINT OF COMMENCEMENT. POINT OF BEGINNING. POINT OF REVERSE CURVE. PARKWAY. PERMANENT REFERENCE MONUMENT. PROFESSIONAL LAND SURVEYOR. POWER POLE POOL PUMP SLAB RECORD DISTANCE. RAIL ROAD. RESIDENCE. RIGHT -OF -WAY. RADIUS OR RADIAL. RANGE. ROOF OVERHANG EASEMENT%. SECTION. STORY. SIDEWALK. SET IRON PIPE L.B. #6044. SOUTH. SECONDS. TANGENT. TOWNSHIP. UTILITY. 3).EXAMINATIONS OF THE ABSTRACT OF TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED INSTRUMENTS, IF ANY, AFFECTING THE PROPERTY. 4).THIS SURVEY IS SUBJECT TO DEDICATIONS, LIMITATIONS, RESTRICTIONS, RESERVATIONS OR EASEMENTS OF RECORD. 5).LEGAL DESCRIPTIONS PROVIDED BY CLIENT OR ATTESTING TITLE COMPANY. 6).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. 7).EASEMENTS AS SHOWN ARE PER PLAT BOOK, UNLESS OTHERWISE SHOWN. 8). THE TERM 'ENCROACHMENT' MEANS VISIBLE AND ABOVE GROUND ENCROACHMENTS. 9). ARCHITECTS SHALL VERIFY ZONING REGULATIONS, RESTRICTIONS, SETBACKS AND WILL BE RESPONSIBLE OF SUBMITTING PLOT PLANS WITH THE CORRECT INFORMATION FOR THEIR APPROVAL FOR AUTHORIZATION TO AUTHORITIES IN A NEW CONSTRUCTIONS. 10).UNLESS OTHERWISE NOTED, THIS FIRM HAS NOT ATTEMPTED TO LOCATE FOOTING AND/OR FOUNDATIONS. 11).FENCE OWNERSHIP NOT DETERMINED. 12).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. 13). 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. THE FNIP FLOOD MAPS HAVE DESIGNATED THE HEREIN DESCRIBED LAND TO BE: U.E.= UTILITY EASEMENT. U.P. = UTILITY POLE. W.M. = WATER METER. W . F.. WOOD FENCE. W.S.= WOOD SHED. W.R. = WOOD ROOF. 1 . MONUMENT LINE. = CENTER LINE. = CENTRAL ANGLE. = ANGLE. LEGEND TYPICAL —OH- OVERHEAD UTILITY LINES Z =CBS WAI=L (CBW) . . -X —» C.L.F. = CHAIN LIAR FENCE. -0-0- I .F. = I120N FENCE. - /f--IP W. F. = WOOD FENCE. • 0.00 = EXISTING ELEVATIONS. REVISED ON: 5 g tier 4 REVISED ON: REVISED ON: Date: 03/03/2005 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 AB40 11500 FT. 4). IF SHOWN, , ELEVATIONS ARE REFERR D TO I/4d e C O�,JYf • BMk /3 - . 2. ELEV. I4 .7 FEET. OFN.G.V.D. 1929. SURVEYOR'S CERTIFICATION: I HEREBY CERTIFY: THAT THIS 'BOUNDARY SURVEY OF THE PROPERTY DESCRIBED HEREON, HAS RECENTLY BEEN SURVEYED AND DRAWN UNDER MY SUPERVISION, AND COMPLIES WITH THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF PROFESSIONAL LAND SURVEYORS IN CHAPTER 610176, FLORIDA ADMINISTRATIVE CODE PURSUANT TO 472.027, FLORIDA STATUTES. BY: IBARRAA yA (DATE OF FIELD WORK) PROFESSIONAL LAND SURVEYOR NO.: O A ✓ 1 STATE OF FLORIDA (VALID COPIES OF THIS SURVEY WILL BEAR THE EMBOSSED SEAL OF THE ATTESTING LAND SURVEYOR). � IeJ. 3 4 Situated in Zone: X Community /Panel /Suffix: 120652 - 0093 -J Date of Firm: 07/17/1995 Base Flood Elevation: Certified to: GAYLE PUMO $ SEAL 5582 N.W. 7th STREET SUITE 202 MIAMI,,FLORIDA 33126 TELEPHONE: (305) 220 -3171 FAX: (305) 264 -0229 DRAWN BY: E.M. Xnvtt puruP LAND SURVEYORS SURVEY No. 05 - 2283 SHEET No. 2 OF 2 r ,o)5 co's\oc A LOT -5 BLOCK - 180 26.75' PWY F.I.P 1/2" NO CAP 0 0 0 10.00' N 21.50' ASPHALT PVMT. BOUNDARY SURVEY SCALE = 1' : 20' 15'ALLEY (N.A.P.) CONC. ARIV . 20.40' 17.35' YOR'S NOTE: ay be Easements recorded in the Public Records not shown on this Snrvav 20.30' r r•' I I 7 1 I 1 1 1 '• r •■ • • r II 1,1 k I !...., ammmmwr ...Imam; u• --- I . Amami; 18.50' ONE STORY RES. # 1147 LOT -4 BLOCK - 180 F.F.E. = 11.3Z' 0 C X o ' 'S 16.00' 17.40' ci N.E. 97th STREET 9' ASPHALT PVMT. F.I.P 1/2" NO CAP LOT -3 BLOCK - 180 .§\'S Are 29� B/C F.I.P 1/2" NO CAP Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Permit Number: BP2005 -545 Printed: 4/18/2005 Applicant: GAYLE PUMO Owner: PUMO GAYLE JOB ADDRESS: 1147 NE 97 ST Contractor Local Phone: Parcel # 1132050170040 Signed: (INSPECTOR) Building Permit Contractor's Address: Legal Description: REV PL MIAMI SHORES SEC 8 Page 1 of 1 PB 43 -51 LOT 4 Fees: Description Amount FEE2005 -4941 Building Fee $100.00 FEE2005 -4942 CCF $0.60 FEE2005 -4943 Training and Education Fee $0.20 FEE2005 -4944 Notary Fee $5.00 FEE2005 -4945 Technology Fee $2.50 Total Fees: $108.30 Total Fees: $108.30 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 10/15/2005 Construction Value: $100.00 Work: FENCE CHAIN LINK - MASTER BP2005 -454 SEP,.3 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 responisibility for all work done by either myself, my agent, servants or employes. • Signed: (Contractor or Builder) BY: BLK 180 LOT 4 CHAIN LINK FENCE DESIGN DETAIL N.T.S. Notice to Properties with Pools: If the fence is to meet the criteria as a pool barrier, the fence shall not be climbable and all rails must be placed facing the inside of the property. Pedestrian gates shall have self - ciosiing and latching devices installed at a minimum of 54" above ground. For further details see Section 424 of FBC. General Notes: 1. This table is applicable only to fences with unrestricted airflow. 2. Fabric: 12 -1/2 gage minimum. 3. Tension Bands: Use one Tess than the height of the fence in feet evenly spaced. 4. Fabric ties: Must be minimum the same gage of the fabric. 5. Fabric Tie Spacing on the Top Rail: Five ties between posts, evenly spaced. 6. Fabric Tie Spacing on Line Posts: One Less than height of the fence in feet. evenly spaced. 7. Either top rail or top tension wire shall be used. 8. Braces must be used at Terminal Post if top tension wire is used instead of Top Rail. 9. In order to follow the contour of the land, the bottom of the fence may dear the contour of the ground by up to 5 inch without increasing 'table values to the n -x hi .h rlmit ChainLinkFenreFBC (ACCORDING TO THE F.B.C. SECTION 2224) See Table Below ( > 10'- 0" o.c. Max. Terminal Post Footing Line Post Size & Thick 10" x 24" 1 -5/8" x 0.047 10" x 24" 1 -7/8" x 0.055 Fence Height Up to 4' Over 4' to 5' Over 5' to 6' Over 6' to 8' Over 8' to 10' Terminal Post Size & Thick 2 -3/8" x 0.042 2 -3/8" x 0.042 2 -3/8" x 0.042 2 -3/8" x 0.110 2 -7/8" x 0.110 10" x 24" 10" x 24" 12" x 40" 1 -7/8" x 0.065 2 -3/8" x 0.095 Line Post ' Footing 8" x 24" 8" x 24" 8" x 24" 10 "x36" 10" x 40" 2 -3/8" x 0.130 Over 10' to 12' 2 -7/8" x 0.160 12" x 42" 2 -7/8" x 0.120 . 12" x 42" Over 12' Section 2224.1 FBC: Fences over 12' height shall be designed according to the loads specified in Chapter 16 (HVHZ). X See Table Below _ : , :R: 1) • VILLAGE OF MIAMI SHORES o I Cis . Rmo Located at: 114-1 (4c 0i Legally described as . 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 understand 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 licensed contractors. You have applied for a permit under an exemption to that 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 or a farm out - building. You may also build or improve a commercial building at a cost of 525,000.00 or less. 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 completed, the law will presume that you built it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as your contractor. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal Iicensing 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- holding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes and zoning regulations. Proof of ownership provided ( ) Was aclano By Produced OWNER BUILDER DISCLOSURE STATEMENT edged before me this BUILDING DEPARTMENT DISCLOSURE STATEMENT being the legal property owner, for the property initial of reviewing clerk. The foregoing instrument day of v • ' 20 0 S who is personally known to me or who has as identificati ad who did take an oath. • ,.... 1 aoF. _. 3'73 *°„__,.\-- � . C or� ',.)..11O114 :. ;0 tr- EAptre�• JLI - §, '=� 07 9 :��: indc'''lini • F M1 • .1= antic Bonding C:: 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance will' 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 COMM ENCEMENT." 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 pervon whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the joh Mite for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection ►mill not be approved and a reinspection fee will be charged. Signature chc 05/ 13/03 NOTARY PUBLIC: My Commission Expires: Owner or Agent The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of 20 by - , day of ,20 ,by who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY': =P,,UBLIC: Si Sign: ►► qt,! g Print: ct Print: gym APPLICATION APPROVED BY: **************************x** *********************************************•* **** ******* ******************** R *JeMJ;:ti #M * * * * * * ** ** ** * * ** * * * * * * * * * * tip * * * * * * * * * * * * ** * ** Signature e `+ 5 My Commission Expires: Contractor v APR 1 8 ES Plans Examiner Engineer Zoning BUILDING PERMIT APPLICATION . ` Master Permit No. FBC 2001 0 Permit Type (circle) Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) g, ./1_ 4 t P1/4-L E✓ Phone # :"..6 'lc' (31 Y3 Owner's Address (1.4 Y4--C. c 1 1 - SI - C ity Is.YY1i t9h -. > State �'L_ Zip ? Phone # Tenant /Lessee Name Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Is Building Historically Designated YES NO K Contractor's Company Name t�L3 ;; +__� t ` - �. Phone # Contractor's Address City State Zi p Qualifier State Certificate or Registration No. Architect /Engineer's Name (if applicable) $ Value of Work For this Permit Type of Work: ❑Addition Describe Work: \ C. Submittal Fee $ Notary $ Scanning $ Total Fee Now Due $ ii :/` (Continued on opposite side) ['Alteration * * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Permit Fee $ Training /Education Fee $ Radon $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 New Code Enforcement $ . Structural Plan Review. $ Zoning Permit No. 'r Zip _ j313I' Certificate of Competency No. Phone # Square Footage Of Work: ❑ Repair /Replace CCF$ Technology Fee $ Bond $ C O /CC ❑ Demolition U 'IAMI SHORES VILLAGE�� ' ILDING DEPARTMENT 305- 795 -2204 $ Building Inspection Request Date ''a3 i 105 dry / g' Type Insp'n - Pent Faigiv 1 I lit I 1 601 Permit No. - ?<Z6 t5 - 451 Name r RAD Address 1144 Company K&,,3-- Phone# 16- Ol - Of61 Inspection Date 9 8 8 ((�' Approved Correction Re- Insp'n Fee reA- _ „_, , MIAMI SHORES VILLAGE DING DEPARTMENT 305- 795 -2204 Bui l ' ing Inspection Request Date Type Insp'n Permit No. Name Address Compan rJ s Phone # Inspection Date Approved 6-e2 s 4-s4 3 ¶ rns \p/ Re- Insp'n Fee ❑ s i — 0 L-24;., ( , a G 1 t7; MIAMI HO ES VILLAGE T TILDING DEPARTMENT • 305- 795 -2204 Building Inspection Request Date Type Insp'nI -- S Permit No. - q Name Gam' Address < < 41 9 5 Company N S PQ DL E Phone# ( 1136 ) I - try Inspection Date /2_c4 )c Approved Correction Re- Insp'n Fee Date Type Insp'n Permit No. ?Pc 4 Name tPbnno Address 1 \ 41 NE q 5* Company 40 YS Phone # Inspection Date Correction - 16 1 MI SHORES VILLAGE I3 JILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Re- Insp'n Fee ❑ Miami Shores Village 10050 NE 2nd Avenue Building Permit Phone: 305- 795 -2204 Permit Number: BP2005 -454 Printed: 4/18/2005 Page 1 of 2 Applicant: GAYLE PUMO Owner: PUMO GAYLE JOB ADDRESS: 1147 NE 97 ST Contractor MARS POOLS Contractor's Address: 1000 E. ATLANTIC #11 Local Phone: 954 - 214 -2844 Parcel # 1132050170040 Fees: Description Amount FEE2005 -4983 Building Fee $657.00 FEE2005 -4984 CCF $13.20 FEE2005 -4985 CO /CC $50.00 FEE2005 -4986 Notary Fee $5.00 FEE2005 -4987 Training and Education Fee $4.40 FEE2005 -4988 Technology Fee $16.43 FEE2005 -4989 Scanning Fee $21.00 FEE2005 -4990 Radon $11.15 FEE2005 -4991 Builders Bond $300.00 FEE2005 -4992 Structural Fee $50.00 FEE2005 -4993 Submittal Fee ($250.00) Total Fees: $878.18 Signed: (INSPECTOR) Legal Description: REV PL MIAMI SHORES SEC 8 PB 43 -51 LOT 4 BLK 180 LOT Total Fees: $878.18 Total Receipts: $0.00 OR 19 PAM 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 responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: Permit Status: APPROVED Permit Expiration: 9/26/2005 Construction Value: $21,900.00 Work: POOL, SPA AND DECK Signed: (INSPECTOR) In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. Signed: (Contractor or Builder) BY: NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE MR SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. 1, 3 Z G S '/ X 9 ' y' STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements WU be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street/address: jI T 7 12 '0 ? 7 (i .t 2. Description of improvement: ° ®ds.* 4043. "Re .�«rd e#1 4 4,44 3. Owner(s) name and address: 40), 140 ! /Y'? , OV E � � I / 0'e *1" "!Cd fitAre> / ?.? / ?". Interest in property: /(t9 O . Name and address of fee simple titleholder. 4. Contractor's name and address: A74 0' ©4 /:$' / G 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 States, Name and address: Al 4 9e- 1: 8. in addition to himself, Owners designates the follow;ng person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: / ei 4r 0-/ 5 ep v/ /090 e 4r� , `67 /(--e-/ ief /.)eat,,, , liO� 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a iff ent date is �„oecified) ( rll t∎ Sign ure of Owner Print Owner's Name Sworn to and sub Notary Public Print Notary's My commission expire. A 6 day ' bed before me t y of 1 t �„ U l: r ' , 200S. :Q- E Aires: Jul 13. 2007 rlonded Thru A ilanhe Bonding Co.. Inc 11111111111111111111111111111111111113111111 II01111 CFN 2OO5RO35514 OR 8k 23256 Ps 1989; (1Ps) RECORDED 04/11/2005 11 :25:31 HARVEY RUVINv CLERK OF COURT i1IAUI -DARE COUNTYv FLORIDA LAST PAGE Prepared by V"C2 » 7 k . l,f0 , 'e Address: Vi`Ci /�✓� /y /y , /; Davie/ t e- 5i 32