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BP-04-897 (2)Inspection Number: INSP - 152320 Permit Number: BP2004 -897 Scheduled Inspection Date: October 18, 2010 Inspector: Bruhn, Norman Owner: BURNSIDE, JEFFREY Job Address: 290 NE 98 Street Miami Shores, FL 33138- Project: <NONE> Contractor: ARCO CONSTRUCTION Building Department Comments October 15, 2010 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 Permit Type: Imported Permit Inspection Type: Final Building Work Classification: Addition /Alteration Phone Number (305)757-4955 Parcel Number 1132060134150 Phone: 305 - 8924507 NEW ADDITION OF WALKING AREA AND INTERIOR REMODELING AS PER BUILDING OFFICIAL OK TO REINSTATE PERMIT FEE OF 1/3 AMOUNT OF $2,200.00. JOB IS 1/2 COMPLETED. CG PERMIT RE- INSTATED AS PER LAST INSP IN MC PFRMIT (4/70/10) Passe Z/o --/ Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments L 4 Page 11 of 14 CERTIFICATE OF OCCUPANCY /COMPLETION CHECK LIST ❑ Building permit card. I+IS .c.11®t 44isTO 2)' Surveys (2 copies) Final as built - Required Items: Elevations of buildings showing all intended setbacks from property lines and other existing structures. Ingress+ Egress, required parking spaces, Wheel stops, stripping, and all paving to exterior. Certificate of Elevation — (Sealed by surveyor). Expiration date required on the form. ❑ Certificate of Insulation. Certificate of Soil Treatment (Final treatment- original)1 CHAPTER 2913 -5 TERMITE PROTECTION: "This Building has received a complete treatment for the prevention of subterranean termites. Treatment is in accordance with the rules and lawn as established by the Florida Department of Agriculture and Consumer Services." ❑ Health Department Approval Letter (On septic or private water). Note: If the house is on septic tank, approval letter is required from Health Dpt. Soil Compaction Letter (Density report is required) X Final certification letter from the Engineer /Architect (on masonry, trusses, special structure, etc) 14(6, Backflow preventor certificate (Required on commercial projects only) Certificate of use. (Recorded in Miami -Dade Clerk of Courts) PLEASE NOTE THAT THE SAME ITEMS ARE REQUIRED FOR TEMPORARY CO • Emergency CO (Without 24 Hrs Processing) Additional fee is $80.00. • Temporary CO (Up to 90 days max) $75.00. • Residential CO fee is $150.00 • Commercial CO is $200.00 panClt 690 4 �� . OCT 1 2 2010 iami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Inspection History Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 Project Owner: Phone: <NONE> JEFFREY BURNSIDE (305)757 -4955 Job Address: 290 98 Street Miami Shores, FL 33138- Parcel: 1132060134150 Block: Lot: Scheduled Insp # Inspection Type 12/21/2004 INSP2004 -5067 New Construction concreter cells 12/21/2004 INSP2004 -5071 Framing Inspection Status APPROVED Date Completed 12/21/2004 Inspector None None APPROVED None None 12/21/2004 stairs outside 12/21/2004 INSP2004 -5068 Framing APPROVED None None 12/21/2004 stairs outside 12/21/2004 INSP2004 -5074 Insulation APPROVED None None 12/21/2004 concreter cells 03/03/2005 INSP2005 -742 Drywall APPROVED None None 3/3/2005 stairs outside 05/20/2005 INSP2005 -2083 Columns APPROVED None None 5/20/2005 NO GRASS 02/08/2006 INSP -9140 Slab APPROVED Claudio Grande 2/8 /2006 SLAB REINFORCEMENT 02/08/2006 OINSP -9138 Columns APPROVED Claudio Grande 2/8 /2006 03/28/2006 INSP -13266 Framing APPROVED Claudio Grande 3/28/2006 04/03/2006 INSP -13689 Insulation APPROVED George 4/3/2006 Desharnis 04/06/2006 INSP -14143 Drywall Screw APPROVED Claudio Grande 4/6/2006 09/05/2006 INSP -25895 Foundation APPROVED Claudio Grande 9/5/2006 Friday, October 8, 2010 Page 1 of 2 10/30/2006 I NS P -30964 10/30/2006 I NS P -30962 01/25/2007 I NS P -38071 Slab Columns Columns column re- inforcement NEED DOWN C/S INTO EXISTING 01/30/2007 INSP -38519 Columns APPROVED APPROVED DENIED APPROVED RE- INFORCEMENT 04/03/2007 INSP-44953 Steel APPROVED STEEL REINFORCEMENT AT ROTUNDA TIE BEAMS TOP AND 06/20/2007 INSP -53172 Roof Sheathing APPROVED Roof cricket by existing roof next to new tower. 6/20/07 CG. 08/17/2007 INSP -59075 Trusses Plan Submittal APPROVED my 09/10/2007 INSP -60697 Truss lnsp DENIED 10 Strap missing in jack by door 2) Bend all nails thru straps. 3) Bottom cord bracing is missing. 4) Place cats in sheathing joints where plywood is not level. 9/10/07 CG. 09/11/2007 INSP -61030 Truss Insp CREATED AS REINSPECTION FOR INSP - 60697. 10 2) Bend all nails thru straps. 3) Bottom cord bracing is missing. 4) Place cats in sheathing joints where plywood is not 9/10/07 CG. CC ROOF FRAMING 09/11/2007 INSP -61065 Roof Sheathing cc APPROVED Strap missing in jack by door level. APPROVED CC 03/03/2008 INSP -76311 Windows PARTIAL APPROVED Claudio Grande 10/30/2006 Claudio Grande 10/30/2006 Jorge Rodriguez 1/26/2007 Claudio Grande 1/30/2007 Claudio Grande 4/3/2007 BOTTOM. 4/3/07 CG. Claudio Grande 6/20/2007 Nelson Lonsdale 8/17/2007 Claudio Grande 9/10/2007 Claudio Grande 9/11/2007 Claudio Grande 9/11/2007 Claudio Grande 3/3/2008 Only windows and door at new entry construction. No NOAS available for inspection of the remainder of the house. 3/3/08 CG 03/04/2008 INSP -76418 Windows APPROVED Claudio Grande 3/4/2008 CREATED AS REINSPECTION FOR INSP- 76311. Only windows and door at new entry construction. No NOAS available for inspection of the remainder of the house. 3/3/08 CG HOME OWNER WILL BE HOME AFTER 10:00 3/4/08 Windows and doors in existing home OK, CG 01/26/2009 INSP- 104721 Drywall Screw APPROVED Norman Bruhn 1/26/2009 Friday, October 8, 2010 Page 2 of 2 NEW ADDITION OF WALKING AREA AND REMODELING AS PER BUILDING OFFICIAL OK TO REINSTATE FEE OF 1/3 AMOUNT OF $2,200.00. JOB COMPLETED. CG -,, INTERIOR PERMIT IS 1/2 11 o _ - PERMIT (4/20/10) ° / �/ Passed f7 0 Inspector Comments s Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until nspection Number: I NS P- 152234 Permit Number: BP2004 -897 Inspection Date: October 13, 2010 Inspector: Bruhn, Norman Owner: BURNSIDE, JEFFREY Job Address: 290 NE 98 Street Miami Shores, FL 33138- Project: <NONE> Contractor: ARCO CONSTRUCTION Building Department Comments October 13, 2010 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 Permit Type: Imported Permit Inspection Type: Survey Final Work Classification: Addition /Alteration Phone Number (305)757 -4955 Parcel Number 1132060134150 Phone: 305-892-6507 Page 1 of 1 15.00'(R) &(M) L L 1 1T /to FLOOD ZONE: X MAP & PANEL= 12086CO302 COMMUNITY No.: 120652 SUFFIX: L DATE OF FIRM: 9 -11-09 BASE ELEV.= N/A C1 R= 25.00' L= 39.29' Tan = 25.02' d =90 °03'00" CH= 35.37' CHB =N44 °58'30 'W S00 °03'00 'W N n w w 115.00'(R) &(M) w 19.00' - 290 NORTHEAST 98th STREET MIAMI SHORES, FLORIDA 33138 PROPERTY OF: GISELLE LESLIE KOVAC 75.00' TOTAL R/W 3250' NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER. BY: CERTIFIED TO: RAPID TITLE SERVICES COMPANY; COMMONWEALTH LAND TITLE INSURANCE COMPANY; GISELLE LESLIE KOVAC A BOUNDARY SURVEY 1 HEREBY CERTIFY THAT THE SURVEY REPRESENTED HEREON MEETS THE MINIMUM TECHNICAL STANDARDS SET FORTH BY THE FLORIDA BOARD OF LAND SURVEYORS IN CHAPTER 61G17 -6, FLORIDA ADMINISTRATIVE CODE PURSUANT TO SECTION 472 -027, FLORIDA STATUTES, THERE ARE NO ENCROACHMENTS, OVERLAPS, EASEMENTS APPEARING ON THE PLAT, OTHER THAN AS SHOWN HERETO. FRANCISCO F. FAJARDO #4767 FLORIDA PROFESSIONAL SURVEYOR AND MAPPER REG. NO. 4767. POB: POC: (R) D.U.E-: U.E.: PRM-• PCP FND: CL: (C) W.U.P. a 1111111811111 ammo mS H 0 N, E. N. E. N. E. P0uE MIEN N. E. to gems mom zoom mosmag 011 R MOM MOEN O�O000Q0 E L A nom mom z LEGEND 9 IICE ICE 9 GEZ LOCATION SKETCH NOT TO SCALE Nue ZIE MEE 70 100Th 9a MCIO 99T.. aAL 97TH N D Et gallant %not mu EA: anew= ii Nom LINTIO A 10 _ MEL wav/ OoOO 1OI�AOE notimor gratim ® OOAOO00% �•OOOO ooOd ' OuAA= nsmaoA®QA ST RE OOAAOOOO 1111111110 OOA�IIO�i 2111018111111 RAMMIERM 0 U L E VAPID gray nar$41 x MOON 95 .b�g" TH ECM AIM aktiC EMI OEN MGM B N. E LEGAL DESCRIPTION: LOTS 1 AND 2, BLOCK 31, "AN AMENDED PLAT OF MIAMI SHORES SECTION NO. 1 ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 10, PAGE 70, OF THE PUBLIC RECORDS OF MIAMI -DADE COUNTY, FLORIDA. SURVEYOR'S NOTES: 1) NOT VALID UNLESS SIGNATURE IS EMBOSSED WITH THE REGISTERED LAND SURVEYORS SEAL. 2) LEGAL DESCRIPTION PROVIDED BY OTHERS. 3) PROPERTIES SHOWN HEREON WERE NOT ABSTRACTED FOR EASEMENTS OR OTHER RECORDED ENCUMBRANCES NOT SHOWN ON THE PROPERTY PLAT OF RECORD. 4) MEASUREMENTS TO WOOD FENCES ARE TO OUTSIDE OF WOOD. 5) UNDERGROUND UTILITIES, FOUNDATIONS, OR OTHER IMPROVEMENTS, IF ANY, WERE NOT LOCATED. 6) ELEVATIONS, IF SHOWN ARE BASED ON NATIONAL GEODETIC VERTICAL DATUM 1929. 7) FENCE OWNERSHIP NOTDETERMINED UNLESS OTHERWISE NOTED. 8) MEASUREMENTS TO WIRE FENCES ARE TO CENTER OF WIRE. 9) WALL MEASUREMENTS ARE TO/FROM FACE OF WALL 10) DRAWING DISTANCE BETWEEN WALLS AND /OR FENCES AND PROPERTY LINES MAYBE EXAGGERATED FOR CLARITY. 11) FLOOD ZONE INFORMATION WAS DERIVED FROM FEDERAL EMERGENCY MANAGEMENT AGENCY FLOOD INFORMATION RATE MAPS 12) BEARINGS IF ANY SHOWN ARE BASED ON ASSUMED MERIDIAN AT :: CENTERLINE NE 98th STREET = N90°00'00E INDICATES CONCRETE INDICATES OVERHEAD LINES INDICATES WIRE FENCE INDICATES WOOD FENCE INDICATES PROPERTY CORNER INDICATES POINT OF BEGINNING INDICATES POINT OF COMMENCEMENT INDICATES PROPERTYLINE INDICATES RECORD MEASUREMENT INDICATES DRAINAGE & UTILITY EASEMENT INDICATES UTILITY EASEMENT INDICATES PERMANENT REFERENCE MONUMENT INDICATES PERMANENT CONTROL POINT INDICATES FOUND INDICATES CLEAR INDICATES MEASURED CALCULATED INDICATES WOOD UTILITY POLE LM. INDICATES LAKE MAINTENANCE CL INDICATES CLEAR ENCR INDICATES ENCROACHMENT RP: INDICATES FOUND IRON PIPE FRB.: INDICATES FOUND REBAR SRB: INDICATES SET fir DIAMETER REBAR TYP-: INDICATES TYPICAL R/W: INDICATES RIGHT - OF-WAY ORB: INDICATES OFFICIAL RECORD BOOK INDICATES MORE OR LESS F.F. ELEV.: INDICATES FINISHED FLOOR ELEVATION N.T-S.: INDICATES NOT TO SCALE N INDICATES NORTH S INDICATES SOUTH INDICATES CENTERLINE (M) INDICATES FIELD MEASUREMENTS GONG: INDICATES CONCRETE ON/PL: INDICATES ON PROPERTY UNE O. U.L INDICATES OVERHEAD UTILITY LINES PROFESSIONAL SURVEYING AND MAPPING LANNES & GARCIA, INC. LB # 2098 FRANCISCO F. FAJARDO PSM # 4767 359 ALCAZAR AVENUE, CORAL GABLES, FLORIDA 33134 PH (305) 666 -7909 FAX (305) 559 -3002 FIELD DATE:09 -30 -20101 SCALE: 1 "= 20' DRAWN BY: M. PIO I DWG. No.: 218815 NEW ADDITION OF WALKING AREA AND REMODELING AS PER BUILDING OFFICIAL OK TO REINSTATE FEE OF 1/3 AMOUNT OF $2,200.00. JOB COMPLETED. CG INTERIOR PERMIT IS 1/2 PERMIT (4/20/10) Passed 0 Inspector Comments FA Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until )nspection Number: INSP - 152236 Permit Number: BP2004 -897 1 Inspection Date: October 13, 2010 Inspector: Bruhn, Norman Owner: BURNSIDE, JEFFREY Job Address: 290 NE 98 Street Miami Shores, FL 33138- Project: <NONE> Contractor: ARCO CONSTRUCTION Building Department Comments October 13, 2010 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 Permit Type: Imported Permit Inspection Type: F. Insulation Certificate Work Classification: Addition /Alteration Phone Number (305)757 -4955 Parcel Number 1132060134150 Phone: 305 -892 -6507 Page 1 of 1 October 11, 2010 Building Official Village of Miami Shores 10050 NE 2nd Ave. Miami Shores, FL 33138 Re: Burnside property located at: 290 NE 98th St. Miami Shores, FL 33138 Dear Sir: Sincerely, Lester Jeren for Arco ction Corporation Arco Construction Corporation This is to confirm that the thermal insulation was installed (the walls have R-4.2 and ceiling R -19) according with approved plans and according to appropriate South Florida Building Code. General Contractors/CGC 1505163/1665 N.E. 137th Terrace/N. Miami, Fl 33181 305.892- 6507/Fax 305.892 -2379 NEW ADDITION OF WALKING AREA AND INTERIOR REMODELING AS PER BUILDING OFFICIAL OK TO REINSTATE PERMIT FEE OF 1/3 AMOUNT OF $2,200.00. JOB IS 1/2 COMPLETED. CG PERMIT RE INSTATED AS PER LAST INSP IN-MC PERMIT (4/20/10) Passed / qc Inspector Comments Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until nspection Number: I NSP- 152238 Permit Number: BP2004 -897 1 Inspection Date: October 13, 2010 Inspector: Bruhn, Norman Owner: BURNSIDE, JEFFREY Job Address: 290 NE 98 Street Miami Shores, FL 33138- Project: <NONE> Contractor: ARCO CONSTRUCTION Building Department Comments October 13, 2010 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 Permit Type: Imported Permit Inspection Type: F. Termite Letter Work Classification: Addition /Alteration Phone Number (305)757 -4955 Parcel Number 1132060134150 Phone: 305 -892 -6507 Page 1 of 1 A Subsidiary of Lab Tech Research and Development. Subterranean Termite Treatment Date: March zs, zo o This Building has received a complete treatment for the prevention of subterranean termites. Treatment is in accordance with the rules and laws as established by the Florida Department of Agriculture and Consumer mpany: Arco Construction Corp Job Name: Job Address: 290 N.E. 98TH STREET MIAMI SHORES, FLORIDA 33138 Lot #: Block #: Dragnet Chemical Used oach Buster 14 Square Footage 3/25/10 Date 142014 Invoice Number FLORIDA PEST CONTROL ASSN. w FICA P.O. BOX 941285 • Miami, FL 33194 • 1- 800 - 761 -BUGS (2847) • Fax: (305) 552 -0406 PkubeeeinuiPnetp' www.roachbusters.org NEW ADDITION OF WALKING AREA AND INTERIOR REMODELING AS PER BUILDING OFFICIAL OK TO REINSTATE PERMIT FEE OF 1/3 AMOUNT OF $2,200.00. JOB IS 1/2 COMPLETED. CG PERMIT RE INSTATED AS PER LAST INSP IN MC PERMIT (4/20/10) Passed Inspector Comments Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until nspection Number: INSP- 152239 Permit Number: BP2004 -897 I Inspection Date: October 13, 2010 Inspector: Bruhn, Norman Owner: BURNSIDE, JEFFREY Job Address: 290 NE 98 Street Miami Shores, FL 33138- Project: <NONE> Contractor: ARCO CONSTRUCTION Building Department Comments October 13, 2010 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 Permit Type: Imported Permit Inspection Type: Soil Compaction Letter Work Classification: Addition /Alteration Phone Number (305)757 -4955 Parcel Number 1132060134150 Phone: 305 -892 -6507 Page 1 of 1 October 08, 2010 Building Official Village of Miami Shores 10050 NE 2nd Ave. Miami Shores, FL 33138 Re: Permit it BP 2004 -897 290 NE 98 Street Miami Shores, FL 33138 Dear Sir: Sincerely,' Lester 7r.e for Arco onstruction Corporation Arco Construction Corporation Compaction report on this project is not provided due to the fact that entire addition was erected over existing concrete slab. General Contractors/CGC 1505163/1665 N.E 137th Terrace/N.Miami, Fl 33181 305.892- 6507/Fax 305.892-2379 NEW ADDITION OF WALKING AREA AND INTERIOR REMODELING AS PER BUILDING OFFICIAL OK TO REINSTATE PERMIT FEE OF 1/3 AMOUNT OF $2,200.00. JOB IS 1/2 COMPLETED. CG PERMIT RE INSTATED AS PER LAST I.NSP I.N MC PERMIT (4/20/10) Passed 0/0e Inspector Comments Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Date: October 13, 2010 Inspector: Bruhn, Norman Owner: BURNSIDE, JEFFREY Job Address: 290 NE 98 Street Miami Shores, FL 33138- Project: <NONE> Contractor: ARCO CONSTRUCTION Building Department Comments October 13, 2010 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 152237 Permit Number: BP2004 -897 1 For Inspections please call: (305)762 -4949 Permit Type: Imported Permit Inspection Type: Final PE Certification Work Classification: Addition /Alteration Phone Number (305)757 -4955 Parcel Number 1132060134150 Phone: 305 -892 -6507 Page 1 of 1 October 4, 2010 Miami Shores Village Building and Zoning Department 10050 NE 2 " Avenue Miami Shores, Florida Attn: Building Official Re: Special Inspection Project: Burnside Residence 290 NE 98 Street Miami Shores, Florida Dear Sir; Very trul LETTER OF COMPLIANCE Edward A. Lande , P.E Edward A. LANDERS, RE. CONSULTING ENGINEERS Permit No. te,' ZQO4- 89 7 I, Edward A. Landers, P.E. having performed and approved the required inspections, as indicated in the attached approved inspection log, hereby attest that to the best of my knowledge, belief and professional judgement, the structural envelope components of the above referenced structure is in compliance with the approved plans and other approved permit documents. I also attest that to the best of my knowledge, belief and professional judgement, the approved permit plans represent the as -build condition of the structural and envelope component of said structure. This document is being prepared in accordance with Florida Building Code and is being submitted to the Building Code Compliance Department at the time of the final inspection for the above referenced structure. Should you have any questions or need any additional information please do not hesitate to contact me. 7850 NW 146TH STREET, SUITE 509 * MIAMI LAKES FL 33016 * PHN: (305)823 -3938 * FAX: (305)823 -9355 NEW ADDITION OF WALKING AREA AND INTERIOR REMODELING AS PER BUILDING OFFICIAL OK TO REINSTATE PERMIT FEE OF 1/3 AMOUNT OF $2,200.00. JOB IS 1/2 COMPLETED. CG PERMIT RE INSTATED AS PER LAST INSP IN MC - PERMIT (4/20/10) Passe /6-/ Inspector Comments za Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INSP - 152245 Permit Number: BP2004 -897 Inspection Date: October 13, 2010 Inspector: Dacquisto, David Owner: BURNSIDE, JEFFREY Job Address: 290 NE 98 Street Project: <NONE> Miami Shores, FL 33138- Contractor: ARCO CONSTRUCTION Building Department Comments October 13, 2010 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 Permit Type: Imported Permit Inspection Type: Declaration of Use Work Classification: Addition /Alteration Phone Number (305)757 -4955 Parcel Number 1132060134150 Phone: 305 - 892 -6507 Page 1 of 1 PREPARED BY: agree: Signature and Ps nt Signature and Print // STATE OF FLORIDA COUNTY OF MIAMI -DADE 1 HEREBY CERTI purposes therein expressed. SWORN TO AND SUBSCRIBED before me on this M commission expires: 01) ) 3101 CFN 201oR0,6788F:9 DR Bk 27445 F's 3642; iiPs) RECORDED 10/06/2010 13:28 :21 HARVEY R1JVIN: CLERK OF COURT LAST I PAG d > OCT 0I2010 BY NOTARY. 17,TRLIC -7.ATF 67 FLORIDA. V C itlos Comm :v 4iDD 11 u rt F ,, :. ; SFS. 23, 2 w BONDED •• ric BONDING OND TEED t117,!>N` BY :.. ......... sa._s G cr key.. STAT- OF FLORIDA, couNTY Or DADE 1 Ui RE8Y CERTIFY that this t ©•n. ; vpy of the "ylnol t11,d in this Ogre on y day of 14'1Tl•A:o S my h, HARVEY RUV day of M iami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Flonda 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 6PO4---rn DECLARATION OF USE KNOW ALL MEN BY THESE PRESENTS: WHEREAS, the undersignedd' 4 0C')J5 / /are the fee simple owner(s) of the following described property CProperty' ) situated and being in Miami Shores Village, Florida: Lot(s) 4 Block of r%tA 1M S N'ate5 (Subdivision), according to the plat thereof, as recorded in the Plat Book Seel Page t O •10 of the Public Records of Miami -Dade County, Florida, (address) L9 0 W� 9 8 sr: irvi 1 vrin 5 nd WHEREAS, the undersigned owner(s) have sought certain development approval from Miami Shores and are providing this document in consideration thereof and to induce the Village to grant same: NOW, THEREFORE, for good and valuable consideration, the receipt and sufficiency of which is acknowledged, the undersigned do(es) hereby declare and 1. That the Property will not be used in violation of any ordinance of Miami Shores Village or Miami -Dade County now in effect or hereinafter enacted. 2. That the property will be used for a single family residence only. 3. That he/she will not convey or cause to be conveyed the title to the above property without requiring the successor in title to abide by all terms and conditions set forth herein. FURTHER, the undersigned declare(s) that this covenant is intended and shall constitute a restrictive covenant conceming the use, enjoyment and title to the above Property and shall constitute a covenant running with the land and shall be binding upon the undersigned, his/her successors and assigns and may only be released by Miami Shores Village, or its successors, in accordance with the codes, rules and regulations of said Village then in effect. IN WITNESS WHEREOF, the undersigned has/have caused hand(s) and seal(s) to be affixed hereto on this '3® day of 5 f✓°,pf , 20046 I ' ' t(1 A� _ P, O 2 and Official Sea CLERISoY Coul(s. `�'.471yd ©n, we !kL'67�" ignatu tt 1 and Print J Sy' 1 4 e that on this da 1 • rsonally appeared before me Gt \ r �l euivistbho //�� � Ls personally known to me or has produced 3 V of identification) as identification and he/she acknowledge that he/she executed the foregoing, freely and voluntarily, for NOTARY PUBLIC, STATE OF FLORIDA Ii s �D�