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BPP-10-222BUILDING PERMIT APPLICATION FBC 20 Permit Type; BUILDING ROOFIN Owner's Name ee Simple Titleholder) S ',A N C \ CF Phone .# Owner's Address 2 1V E l : 0 . l 4 .1Y' - City Kf M , s (Led— ;: Mate PL: - zip "3 3 Tenant'Lessee Name Phone t Entail Job Address (where the Work is being done) City. Miami Shores Villas County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated : - YES NO Flood Zone . Le/ � ! o�tS G S Con #rector's Company Name � Phone 3bT °► l o Contractor's Address b 0 3 t. :. .. 'LJ...' lag L Cit :. it 4 / State:. ( Zip ... 311 Qualifier Name P'I I vi 5 j. . ;p.: Phone # ' 0J- .CI 1D " G)1 - 4 r State Certificate .Or Registration No. I" eti ,. C:( 7 . 4 (2 Certificate of Competency. No. Contact Phone E -mail .Architect/Engineer's Name (if applicable) Miami Shores Village Building Department 10050.N.E2nd Avenue, Miami Shores, Florida .33138 Tel: (305) 795.2204 Fax: (305) 756,8972 INSPECTION'S PHONE. NUMBER: (305) 762 4949 .ru c/l €As c sec i9iZ, o� Permit No. n Master Permit No. , ?A o2 )Q ?2 Phone # Value of Work For this Permit $ : t Square / Linear Footage Of Work: Type of Work:. °Addition Alteration : :. DNew 0 'Repair/Replace Describe Work: 0 Demolition ******************+t **** * *************Ft **********.k**.k rA k• kvkilrA'.$ t**** *k*** 4*3P7RdTBtlW9fiP Submittal Fee! Per►nit Fee $ CCF $ CO /CC $ Notary $ Training/Education Fee $ . Technology Fee $ Scanning $ Radon $ ' DPBR $ Bond $ Double Fee $ Violation date; Structural. Review. $ Total Fee Now Due $ -, �' .0 0 See Reverse side -a 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 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 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 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 f7) 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 e11 Signature Owner or Agent • The for owledged before me this b The fo vAC t ai day of ��', i .,,� � Q C 4 L a� 1, day o who is -' . b I '� =`�� T " ' o has produced_ who 10% ,. As identi i ca i s d who did take an oath, NOTARY PUBLIC: Sign: Print: My Commission Expires: (Revised. 07 /10 /07XRevised 06/10/2009) Zip I ec f as i NOTARY PUBLIC: Contr =ctor as acknowledged before me this 7L EjINO ;. ;• • ? gr11 ha produced Pan ho did take an oath. Sign: Print My Commission Expires: * * * * * * * * * * * * * * * * ** * * *. * * * ** * * * * ** 1 y/ o• 197 C Zoning Clerk checked b Inspection Number: INSP - 151933 Permit Number: BPP -2 -10 -222 Scheduled Inspection Date: October 05, 2010 Inspector: Bruhn, Norman Owner: CALPINI, SEAN Job Address: 312 NE 101 Street Project: <NONE> Contractor: DREAM POOLS OF SOUTH FL Building Department Comments NEW POOL CONSTRUCTION Passe /® Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP- 135526. Provide hand holds. c6- October 04, 2010 Miami Shores, FL 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: Pools/Whirlpools /Hot Tubs Inspection Type: Final Work Classification: New Phone Number Parcel Number 1132060135320 Phone: (305)910 -9595 Page 15 of 16 NEW POOL CONSTRUCTION T/Iii Passed /�y Inspector Comments CREATED AS REINSPECTION approved plans. NB M FOR INSP- 149901. Survey does not match ` �a` l -- . "z°r� T I �i R YA µ ' Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until I nspection Number: INSP - 150130 Permit Number: BPP -2 -10 -222 Inspection Date: January 01, 2999 Inspector: Dacquisto, David Owner: CALPINI, SEAN Job Address: 312 NE 101 Street Project: <NONE> Miami Shores, FL Contractor: DREAM POOLS OF SOUTH FL Building Deaartment Comments September 20, 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: Pools/Whirlpools/Hot Tubs Inspection Type: Survey Final Work Classification: New Phone Number Parcel Number 1132060135320 Phone: (305)910 -9595 Page 1 of 1 inn am ,SrG�nc. ;2:' w b 33138. LANNES AND GARCIA, INC. L.B. # 2098 SURVEYORS- MAPPERS -LAND PLANNERS FIELD DATE RENE AIGUESVIVES P.S.M. N 4327 FRANCISCO F. FAJARDO #4767 Office address: 359 Altattar Avenue, Coal Gables, Florida 33134 (305) 666-7909 (934) 523 -0663 SCALE /' /r Miami Shores Village PROPERTY OF: NO I % Al ID \'. 111101 1111. ,IGNAT11Il: AND 1111 ()I4u.INAI. KAMA) SEAL 01' LOKIDA i Ill N,k115UR%'!l'OK AND NIA PPR Bertine Lissen and Sean Calpini SEP 2 J 2010 A BOUNDARY SURVEY 1 hereby certify that the survey repre- sented hereon meets the minimum ter finical standards set forth by the Board of Land Surveyors in chapter 61G17 -6 1Iortda Administrative Code pursuant to Section 472.027. Fla. Statutes. There are no enc roar hments, overlaps, easements appearing the Plat, et than as shown he to. . r ,r c1 This property described as: The West of eom Lot 10 and ALL of Lot 11, Block 39 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 i iiami -Dade County, Florida. 3A ewe ra) a$ PPROVED ZONING DEPT BLDG DEPT /PA 14 0 ].D� rt. raw sysysvoa AND manta No. 5 -23 -08 Recertified, Certified To, Name and Flood Informatio Revised. 8 20'!o Recertified and Flood Info Revised. /'°-' 1747 23 -z ® ,'ea "fr /0611/ fiC Pew f 767 I'age 1 of .2 /©/ 5r S�• t �9� 142 /74 / -A /.1 SUBJECT TO COMPLIANCE WITH ALL FEDERAL p./ TATr AND COl1NTY RULES AND REGULATIONS 1 312 N.E. 101st Street, Miami Shores, Florida 7? 218601 `�— Miami Shores Village APPROVED • DATE ZONING DEPT IralPilffer/6 SWIMMING POOL BERTINE LINSSEN & SEAN CALPINI 12 N.E. 101st STREET, MIAMI SHORES, FL BLDG DEPT f 4 ��. 0 SUBJECT TO COMPLIANCE WITH ALL FEDERAL STATE AND COUNTY RULES AND REGULATIONS [NB No 10.8 BARRIER • ALARM ALL WINDOWS AND DOe) RESIDENTIAL ' , � SWIMMING POOL BERTINE LINSSEN & SEAN CALPINI 12 N.E. 101st STREET, MIAMI SHORES, FL - TAIN- RAMIREZ, INC ° CONSULTING ENGINEERS FREDYTAPI.P.E.SI =P. C^•V� °.M P0611.9930 'c ./( ,... , / /� 1!'@ � BARRIER Wi'tEDUC� •„ RESIDENTIAL SWIMMINt POOLS • SHALL COMPLY W1514 R•4%01.17.1 • F.B.C. 2007 • • •••••• • • • BARRIER DESCI;IF'rI N , • • • • • ALARM ALL WINDOWS AND DOe) * VARIES 4' HIGH AROUND PROPERTY EXISTING RESIDENCE. # 312 75.00' _ N.E. 101sT STREET LEGEND 0 EXISTING 4' HIGH WIRE FENCE G SELF CLOSING GATE (COMPLYING WITH F.B.C. R4101.17.1) • EXISTING WOOD DECK U EXISTING 4' HIGH C.B.S. WALL • PROPOSED SWIMMING POOJ.,.. • • PROPOSED PIVERS DECK ' *6. . • • • •• NOTE: HOUSE WAfL LJS1D AS PQQTION OF SAFETY BARRIIEiR /ItH DIRECT. ACCESS TO POO4 NEtb•ALARM QLV, • WINDOWS/DOORS • • • • • • • . ••• * UNLESS THERE IS AN EXISTING FENCE (COMPLYING WITH F.B.C. 2007 R 410t17.1 .•••• • • • .•.••• • • •.••• • • OOOOO • ••••• .•.•• • • .••••• • • •••••• • 4,0' / /es° /29/ 9/ sue Bertine Lissen and FROPERTY OF: Sean Calpini NO \ AI .IU \■ I I IN►U 1 111E SU:NA l URE ANU 111) OHILtNAI. NAMES SEAL OF I LOKIUA 1 N ►. NS1.1: SUM 't►N AM) SI AYI'a 5 A BOUNDARY SURVEY 1 heieby certify that the survey repre- sented hereon meets the minimum let hnu al standards set forth by the Board of land Surveyors in chapter 61G17 -6 Honda Administrative Code pursuant to Section 472.027. Fla. Statutes. There are no en(roar hments, overlaps, easements appearing on' the Plat, 7 - than as shown hero. t� ' A. IMF. SURVEYOR AND MArn.• NO. " .54" c"th This property described as: The West z of o' ' Lot 10 and ALL of v � Lot 11, Block 39 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. Ly eta/Ca' FIELD DATE P , 0 4 c ,jo s.D 312 N.E. 101st Street, Miami Shores, Florida LANNES AND GARCIA, INC. L.B. N 2098 SURVEYORS- MAPPERS -LAND PLANNERS RENE AIGUESVIVES P.S.M. 0 4327 FRANCISCO F. FAJARDO #4767 Office address: 359 Alcazar Avelsue, Coral Gables, Florida 33134 (305) 666-7909 (934) 323 -0663 SCALE / " r 2® . 5 Recertified, Certified 'fib, Name and Flood Informatioa, Revised. 8 2010 Recertified and Flood Info Revised. f"1 7 . 6 7 (_23 - .pP ,7 dr #ftpteb ,e df 74? /9/ sr 371 561 • •. • • • •• 4 • • 4 ,7 0 5 , ,, /a 9 •• •S... •••• • • • ••• •••• r •••••o Ll am • 0 000 •. ® ; • •• • D . NBY / .� ••• • .••• • • •••• Page 1 uf.2 33138. 476 21860 00000 •••••• DRWG. NO 82553 BUILDING PERMIT APPLICATION FBC 2004 Permit Type (circle): Owner's Address .7i )„E lo I 5+-K e e± City PIA ' 1 Showtate F la t D j4 Tenant/Lessee Name Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Roofing Zip Permit No. Master Permit No. Phone # PV /A FEB 1 6 2010 BY: 131 Owner's Name (Fee Simple Titleholder) i Y T t N e a Se_,) Phone # 30 5-182- D Od 2- Job Address (where the work is being done) 1 03 F el 1 0 1 S e e- City Miami Shores Villa a County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES Contractor's Company Name DE:e i YY\ Fd, S O E S, FL Phone # 3 0 5 - D Contractor's Address 60 3/ . . / Ci 61- - City M/ F1 7� ; State R-- Zip 3 - 3/(1 1 3 Qualifier Name male/ t 4=5 e /d✓ t Phone # 20 5 `'I 1 0 " °q s1 s State Certificate or Registration No. CPt14.5160'3 Certificate of Competency No. Architect/Engineer's Name (if applicable) - G'gQ') y - 114-1 j) p , E Phone # '3 0 ,5 — 3q.... cr Poo Value of Work For this Permit $ 1 J / 00 0 Square / Linear Footage Of Work: . l'� `7 0 Type of Work: ❑Addition Describe Work: [alteration ['New ❑ Repair/Replace ❑ Demolition ****** *************** **** *** **** ****s , p er************ ** **** *** ***** *** * * * * **** * * * *** CCF $ )0'60 CO /C Submittal Fee IT ISO • 3O Permit Fee $ 0f/ 3.620 Technology Fee $ • 14' Notary $ Training/Education Fee $ Scanning $ 1 S-0O Radon $ DPBR $ Zoning $ Bond $6C(0 Code Enforcement $ Double Fee $ Structural Review. $ 0 [-a .I. (D a ols v._ l a. vD Total Fee Now Due $ See Reverse side -) PERMIT# SF 0 coNTRAcToR: pods 0e 5 . PL SUBMITTAL DATE FE13, 9, 10 ADDRESS: NAME: R N RESUBMITAL DAI ES: PROJECT TYPE: R 001__ ZONING Ac-J• • ' nix; O s_ 7213 x- 3 Ic be, STRUCTURAL MECHANICAL eliCt ,W W 2 . a-1- 7 ; PLUMBINGD[( a 3(2 NE 101 ST" FIRE IMPACT FEES ELECTRICAL HRS/DERM NOC fir,g)5/ BLDG 0 - ? -1(5/6 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 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 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 approv •d and '' inspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this day of f !3 , 20 /Q , by '3e- lr'! U e Ll ussmiit) , who is NOTARY C: 6a1-99r Sign: I A Ai� Print: My Commission Expires: (Revised 07/10/07) to me or who has produced As identification and who did take an oath. dal popuog OAS . °+S APPLICATION APPROVED BY: I i0 711 d ) ? ! / 1 Contractor The foregoing instrument was acknowledged before me this 0 I Bondad My Comm Sio Expires: ree : �sny - Insurance. kV. j5 day of F . 20 / 0 by Hutt, iL to me or who has produced as identification and who did take an oath. * *, *** ******, rrr ,r,trr,r**** *,r**** *** *rr******** *****,r t,t** *******xrr, ****************** ***** **,r*** ** **** * * *** *,r**** ,/r3 C 7 t Plans Examiner Engineer Zoning 1- Miami Shores Village Building & Zoning Department Attention: Building Official Legal Owner irrNTRTM3 lAi■ 0 ;a Z01! Miami Shores VilTa Building Department SWIMMING POOL OWNER'S CERTIFICATION Date 3/2/ 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 I certify that I am the legal owner of the property described as B e i-1-t w t L I v ss e") , located at 3 1 a I o I St ot2A— ►p-; Sk/ j L In accordance with Section 33- 12(f), Code of Metropolitan Dade County, I certify that I understand and agree that the swimming pool to be constructed at the above address cannot be used or filled with water until separate permit has been obtained for an approved safety barrier, and such barrier erected, inspected and approved. I further understand that this certification, however, does not eliminate the need for obtaining a permit and erecting and approved barrier prior to final inspection and use of the pool. Note: This certification is to be submitted with a swimming pool permit application in duplicate. 4) ) 1 ' NOTICE OF REQUIREMENTS RESIDENTIAL SWIMMING POOL, SPA AND HOT TUB SAFETY ACT I (We) acknowledge that a new swimmin pool, spa or hot tub will be constructed or installed at 3 f �- N. E /9/ 5 '/ Miami Shores, FL, and hereby affirm that one of the following methods will be used to meet the requirements of Chapter 515, Florida Statues and the Florida Building Code R4101.17. Please initial the method(s) to be used: The pool will be equipped with an approved safety pool cover that comp lies with ASTM F1346 -91. (Submit Manufacturer's Specifications). A continuous, one -piece (child) barrier meeting the requirements of Florida Building Code R4101.17.1.15 will protect the pool perimeter. The plans shall show the fence location and method of attachment, including one end that shall not be removable without the aid of tools. (Submit Manufacturer's Specifications). A combination of non - dwelling walls and fences (screen enclosure, child fence, masonry fence walls, chain link or wood fence, etc.) will protect t he pool perimeter. The plans must specify t he type and location o II non dwelling walls. Florida Building Code, R4101.17.1 Any combination of protection which incorporates dwelling walls with openings directly into the pool perimeter and all windows and doors will be equipped with exit alarms complying with Florida Building Code, R4101.17.1.9 (Submit Manufacturer's Specifications). Any combination of protection which incorporates dwelling walls with openings directly into the pool perimeter and all doors will be equipped with a self - latching device with positive mechanical latching/locking installed a min. 54" above the threshold. If this option is selected, submit plans showing all types and location of all perimeter protection. The plans must also show the location and type of all openings, and the hardware type for each location. (Submit Manufacturer's Specifications). In accordance with the Code, the pool may not be filled with water without compliance with the Private Swimming Pool Safety Requirements, and upon expiration of the permit, the pool shall be presumed to be unsafe . I understand that not having one of the above installed will constitute a violation of Chapter 515, F.S ., an d will be considered as committing a misdemeanor of the second degree pu i ishable as provided in Section 775.082 or Section 775.083 F. °. This form must be signed by th y' rlagent ;, e prime contractor. CONTRACTOR'S SIGNA RE AND DATE MlLtK(C, es e avo CONT R' E (PLEASE PRINT) • • = e a Beltran t C om mis si. , NOTA • : LItxpires June ' t Bonded Troy M iami Shores Viitage Building Department 7 ` F GN fission ■OTAR 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 514I TURE AND DATE L1 iu ss- -ice D D 4 os Expires June 17 D5aa 22 ; , ite, Inc. 600.3: d � ru l dir M iami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RESTRICTIVE COVENANT PROTECTIVE POOL ENCLOSURE KNOW ALL MEN BY THESE PRESENTS: WHEREAS, the undersigned IS e. il-* ,i e- L1. SSQ r - is /are the fee simple owner(s) of the following described property situated and being in Miami Shores Village, Florida: Address: 312 #V, /0/ `° , p9 rte+ / S!a Whereas, the undersigned owner(s) desire to utilize said Lot(s) as a single .uilding site, and the undersigned owners) do(es) hereby declare and agree as follows: That the property will not be used in violation of any ordinances of Miami Shores Village or Miami -Dade County now in effect or hereinafter enacted. II. That the purpose of the covenant is to induce Miami Shores Village to issue a permit for a pool where the required enclosure is not on the subject property where the pool is located. III. That if any of our adjoining neighbors remove any portion of their fence or wall, or if our /my property shall fail to meet code requirements for pool barriers, we, as owners will immediately install a protective enclosure to meet code requirements and will obtain a permit for such fence. IV. That, Uwe, as owner(s) hold Miami Shores Village harmless for any negligence or injury that results from not having the enclosure. V. If enclosure belongs to said property, I agree to maintain & or replace said enclosure in the event that is damaged or removed by any case. NOW, THEREOF, for good and valuable consideration, the undersigned do(es) hereby declare 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 . • : d y ce of:id Village then in effect. 1,t lI ) w-e L4 SS-I OW`'�'' IGN : '`RINT OWNER SING & PRINT I Hereby Certify that on this day personally appeared before me 6 e2 -1 dv e L,l sse and has produced ID # tw ?Is - 1a 1 61-2. V 1 as identification and he/she acknowledge that he/she executed the foregoing, freely and voluntarily, for purposes there in expressed. SWORN TO AND SUBSCRIBED before me on this day of �- 20 L Leida Beltran cAiO� 0 M@�9 Exp , June 17, 2010 (Revised 05/2209 Bonded Tr - Insurance, Inc. 800- 385. NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. t 'P ° a_t — 2 TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 2. Description of improvement: S'La.//1)rh,,,.y /Pp 3. Owner(s) name and address: Interest in property: Name and address of fee simple titleholder: 4. Contractor's name, address and phone number 123.01 -52 PAGE 3 10/09 Signature(s) of Own r(s) or Own Aut zed Officer/Director/Partner/Manage Prepared By Prepared By Print Name Liss -ex, Print Name Title/Office Title/Office STATE OF FLORIDA COUNTY OF MIAMI -DADE The foreg na instrument was acknowledged before me this day of pace above reserved for use of recording of 1 1. Legal description of property and street/address: 34 �` �� s � �i�:�.�/`J MIA x'11 S/1 - .�12� / - 3 J / 3 f 0 t S thf�i4 ,pvo /S 6x 31 s. w q c j yni f /-c., 33/f 5. Surety: (Payment bond required by owner from contractor, if any) Name, address and phone number Amount of bond $ . 6. Lender's name and address: _ gip'6i1bri, i ' ided by ` � �T 1 �o)•°�� ° c�n'r'�� nay b,�:s��ar�� 7. Persons within the State of Florida designated by Owner v Section 713.13(1)(a)7., Florida Statutes, 1 HEREBY CERTIFY that t, is a cop o-; f' e .. ` . Name, address and phone number: original rile ti s office on '. ay of - � r J /► Al Or 'I// A.D. A. �.:: ; / �i 8. In addition to himself, Owners designates the following p rd6" s`t Vr ' �J: h n r{;a Notic as Ii action 713.13(1)(b), Florida Statutes. HART Y R'.1 � • ' �,; �, y our 'k. -� . Name, address and phone number. By I, , /_ % . 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. -r bp3) s,1. /Q__01 YY11fa° ., PL.3s /is 111111111111111111111111111111111111111111111 CFN 2010R02661369 DR Bk 27257 Ps 2746a Ups) RECORDED 04/21/2010 14:01:52 HARVEY RUVIN, CLERK OF COURT (MIAMI -DADE COUNTYr FLORIDA LAST PAGE ran ton # 0p 1220 yyl /6Yr++ 7 .s/w .$ 131 -0)n By v-e-- k IV -2}J ❑ Irydi'vidually, or ❑ as for Personally known, or ❑ produced the following type of identifi Signature of Notary Public: Print Name: (SEAL) VERIFICATION PURSUANT TO SECTION 92.525. FLORIDA STATUTES Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true, to the best of my knowledge and belief. Signature(s) of Owner(s) or Owner(s)'s Authorized Officer/Director/Partner/Manager who signed above: By By