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FW-10-154 ma Miami Shores Village g I 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 a , w Phone: (305)795 -2204 p a Itlt� 9 sy 9 � .. .. v Expiration 08(0 01 Project Address Parcel Number Applicant 1 110 Street 1121360030640 DEUTSCHE BANK NATL TRUST Miami Shores, FL 33168- Block: Lot: Owner Information Address Phone Cell DEUTSCHE BANK NATL TRUST CO TRS 3476 STATEVIEW Boulevard FT MILL SC 29715 - Contractor(s) Phone Cell Phone Valuation: $ 6 ,375.00 CLAUSING BUILDERS (305)546 -2016 Total Sq Feet: 315 Approved: No For Inspections please call: Comments: PLEASE IDENTIFY THE CORRECT LOCTION OF THE FENCE ON THE LOT AND THE CORRECT 1 (305)762 -4949 Date Approved:: No Available Inspections: Date Denied: 202010 Inspection Type: Type of Construction: Wood Fence Additional Info: 5' HIGH Final Classification: Residential Foundation Fees Due Amount Invoice# Total Amt Paid Amt Due CCF $4.20 FW -2 -10 -36937 $ 329.20 $ 279.20 Education Surcharge $1.40 Permit Fee - Wire & Wood $315.00 FW 2 - 36937 $ 329.20 $ 329.20 $ 0.00 Scanning Fee $3.00 Check #: 7242 Technology Fee $5.60 Total: $329.20 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. February 05, 2010 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy February 05, 2010 _ 1 Miami Shores Village Building Department FEB 01 2010 10050 N.E( ndj venue, Miami Shores, Florida 33138 - , Tel: 305 795.2204 Fax: 305 756.8972 BY Ala.... - *. - - - INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING Permit No. FW 10 l PERMIT APPLICATION Master Permit No. FBC 20 Permit Type BUILDING ROOFING- it Owner's Name m (Fee Simple Titleholder) . 1j40ej ���; a Ufa Phone # a(!2�_ Owner's Address City State zi -m , - p 33 dt r Tenant/Wsee Name ""~' Phone # Email �- Job Address (where the work is being done) IV 4) ,�- city _Miami Shores Villaae County Mi ' -Dade - zip - 33/z/ FOLIO / PARCEL # Is Building Historically Designated YES NO Flood Zone Contractor's Company Name ,1' r ' . ..LAC Phone # Contractor's Address Q S!� C L/ Ci 4kRes State r6- Qualifier Name �/ (�$ �� (.f /y�q Phone # State Certificate or Registration No. �� // ��� Certificate of Competency No. it Contact Phone ��j(,a j -�/� °/b E -mail Architect/Engineer's Name (if applicable) Phone # - Value of Work For this Permit $ Square / Linear Footage Of Work: Type of Work; ❑Addition aeration DNew Q Repair/Replace 0 Demolition Describe Work: dL 1�2( rin_2.- L� Lt.>� �n Aonx II ,� ������������� *�������,���:�����������,���+ Fees, ���• x�����* ��x�����x�����x������ *,����������,�� i� VV C, . Submittal Fee $ Permit Fee $ . .' CCF $ COTCC* Notary $ Training/Rdtication Fee $ Technology Fee $ it Scanning $ Radon $ DPBR $ Bond $ Double Fee .$ Violation dates Structural Review. $ Total Fee Now Due $ it See Reverse side -� I, 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 YO PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING Y OUR NOTICE OF COMMEN C EMENT." 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 111 _ �f�� Si gnature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of 20 , by day of. its , 20I�, by + r' l 6JA y t � , who is ersonally known to me or who has produced who i ersonal own to me r "who has produced -As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC. NOTARY PUBLIC: iSD.. M►L� fia s. Sign: ® 6, 9 Sign: •17. F.' Print: l.4 "16 V - Print: 2,5W g �y • 1�r r # � = � t �, J My Commission Expires: 99 24 ; My Commission Expires: _� ®� ®" E roi ° °.•Q \d��`, i ��x�• �, ���r�• x, ���r��r���r��r�r�r ,���,��r,���r�,���•x,��r���r: ���, x• x�a�a��ar�*• x, ��, ���r, ����r��r, ��r; k, �• x• x*, x* ��• �e�, ��� ,a�o,x *�,�'',��yeA'' x� 7/t llttt 11tR��``� APPROVED BY CJ Plans Examiner .3 honing Engineer Clerk checked (Revised 07!10 /07)(Revised 06/10/2009) .SN ' Miami shores Village smog Buy r nc partment 1QQ0 N,E:2nd Avenue °w° IkAarn� Shores; Florida 33138 "Ir"el; =(305) 795.2204 F;t: (305) 756.8972 WOOD :FENCE DETAIL FEB 0 1 2010 C — ft d _ ; w Box BY .................... • Vertical Picket • Board on Board 4x4 Post Spacing Fences <= 5' high posts spaced at Yon center maximum Fences <= 4' high posts spaced at 6"on center maximum Fence must not exceed Yin height 1x pickets fastened With two corrosion resistant fasteners per Connection 2�c4 horizontal pressure treated wood members with two corrosion resistant fasteners V 00 0 per connection • 0000 0000 4040.••• v` • 4040.••. 40.40••• • . • ! • - - • • 4040 4040 4040•..• •• •. 4000••• • • • : • • • • • • • • 4x4 pressure treated ,4040•• 40••." 40 posts embedded Tinto :40066: • • • 0 • • concrete footing 10" • • • •• diameter x 2'deep •s0..• 4040 6. 4040 • s • • ..6..• 4040•• • • ALL wood must be pressure treated • 4040 All fasteners must be corrosion resistant No less than two fasteners in any connection Mav 2009 M iami si�rq it a e I g Buiid,hig eparkment 1 "0050 N E2nd Avenue +� Miami Shores, Florida 33138 R Tel: (305) 795.2204 Fax: (305) 756.8972 REQUIRENMENTS FOR `FENCE PERMIT Permit application must be accompanied by: ❑ 2 copies of your survey (not older than 7 years). ❑ If survey is older than 7 years fill out Survey Affidavit form. Y ❑ If owner is doing the job, owner must fill and notarize Owner Builders Disclosure form (This form must be signed and notarized in the building department only). ft ❑ Show the proposed size on survey including, required 40 sq ft of garbage area, location of gates if any, and height (can not exceed 5' ft height). ❑ Include wood or chain link specs form (one with each survey). $50.00 submittal fee when submitting your permit. NOTICE: .... ALL OTHER TYPES OF FENCES WHICH DO NOT COMPLY WITH ESPECVTGATION§ • • • • ; • • • •; MENTIONED ABOVE, MUST PROVIDE 2 SIGNED AND SEALED ARCHITCCTORAL OR* ...... ENGINEERING DESIGNED` DRAWINGS, OR MIAMI DADE COUNTY PRO[i akPPROVALS. •0 •• •• • 060066 • 0 ••6.0• 000000 • • 00.06 0 • s00• 0000 00.00 • • • 0 0000 0000 :000*: 000.00 • • 6000• • s••00• • •e •• •• • •• a • 0000•• RevWW on5/22P1009 0 • 0000•• r p J I "F — — — LEGEND (. ` �G i► � '' /'d*+� = Central Angle N.W.111tkiSTREET A A =Rrc "TEL �J il� �� A/C = Ai Conditioner 'V �� ASPH = Asphalt BBQ = Barbecue 1 �� s aos ^§ 6 5 4 3 2 1 ( C = Calculated CB =Catch Basin na ,iss g` aaa a a_ I P.P. °sa I ;II °aaa= s pc t PAR C� c< CBS = Concrete Block Structure CH = Chord — �i�eh° a a iae °s Lu W O N Chatta. Chattahoochee = - H I M , S-aaasasan`a7a 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 :.. .. _ ^ x ,s x § ....:. §.. _... ° . ° . ; ,x,x ° ", ^ ° " =x "a " °,:° , " " -, ,x. ^•x• ^ ..... ,;.x.a.x.a. s... _ _ .. . _ _ _ ..ds ^im _ ° ^ §• §•§•§• §•a• °• "• -a ° +a a aas" ° aaaaa.._ "�" " - - S SISsSa S ai a aaaaaaaaaa.aS .SaS "aaeaearia a §ie6iGi2aaaSeSaSaS3S§SaS ° S aas' aaaaaaaa alas " ° zeaaa S S' aaaxaxa "a a aaaasa aaalasaaaaaaasaa• ° ° , , , , . ^taro " ".•,.," . s : a -a a sae § § ff W aaa�aaaa =a sas „ §. a.. s3. §...•, °, e - - i... ^ a - a aasaaaaaaaaasa aaa "s s' t° t °aa :a - a ;aa aeaaa'aaa ° a .aaaa . a asa asa” ^aaaa a aaaa asaaaaaeaaa a a s •as'a aaaasaa^ aaa as aaaa CLF — Chain Link Fence aaaaaa.e.s.s..�.i °I° " §•." , ° ai• ...i. " ,§�_ ° - " ^i ° - " . , . - " - ° - ^ ° ^ " , • - ,.... ^ - " " ° ° . , tiai §i i ° ° - isi i ° iiiii : 1 - - ; aaasala ala�aa •aa e - - - - -a �I�I . .. a anal.. € . § ... § . , a.... ea. s.s.;l•�.I.In § . § ..a. § ...i�..a.e .a. § .. s.l.�, a ..... . -a ^aaaaaaaaaaaaxaaa aaaa a sects s - � . - °xaa - E "�^ " ,, ,,��ii N _s�_" . ° .5 °. "- �. -• . �° ° ° °�° =a §• _ e as^ - - _ , € _ I ala a as ale ^ a .I, .x° a °aka- ago §a "asa aaaaa aatala - ;. §. a • � _ a- aaaaaaxaa3aaaaaalaala ss•I °. ° - ^ s . Elael ", , " - " ", a a oases sl °s ". §. °�. a a• °�a §e . "" °_ "aii•a°_^ "_" ".. °. ° ° ".. " ° • iiiii i a axaa�a ax^ CI. Clear .•, a.a.l.as sea a asa is a air s s s a " i, -,- R .1..x. §.x..�. a.•.eee ..oar aaa Saaaaaaaaae a i ° & °° as ca saaaa'. •ra§ax: §a a§a , -" , -" . -, . S .e. "la " i SiSaSla aSa_. ° .a °8" " " °_• ° • ° •_° ° ° " ._° . 3 ° .• @.a.a• . 6 .$._ SgiS' i e s §a § °..•- ..• -. -, -° • m ^ -,9 " -, " - a'aasaaaxexa a_ °_.••�• -, , -, -,�. ..a.a,., ..a ,�s aria °aa�.x. a s � sa, , , -" " -, I " ",� .�, , . .. _ I...... aaaa ^a a a al "sai •�• -• , , :. , a. ,e .liisaa ?a a s s " §,_ ",.� e€ .. .a.s.a.aalaaaa§ laaaiaiaEsa Easax as §aa° ..)..a ars€�aaaaaaaaa al a'. a "�ai; a - x,i - ° §•_ " € .................. aa° alala s §aas § " s s, " 1, . �.. ;, , € -" , ^ . a. Conc. Concrete :.i... ..�..a,a .a.�.. a als , §•g , , , . - ea.a.l..l.i. "i "a. a�aaaaaataaa aaaa €s aa.�.a.a, .a.a.. . aaaa �a aaaaaaaaaaa a�..ea.a,l. axsaa= aaasaE•a•,•a. " a a ° §.�• ^a ^ -•,s . -. -^ I.a.., aaalaaaaaa xs a =a a "a . . .. . .. ..... . . a s a . a a s s ssts ° sls sac : ;a; i § ; "i'a- 3eiti_i ii,s, " ,.., • ^ ,�. -. -. ^ -° ^ -^ .t,i, •. §,- ° §.s.- •- .- .... ° -^ " •.. "_,. °.: 27 28 29 30 31 32 "x .a. §.a.. � Q ® a ". a . a §s, s�a als §; ,ir x , x ^ ; s ;s EsF " °..° ° aaa § S' ;t, • lii� °s a ° "sE a §i — .� I D Deed a aaa a a ° 0J = Diameter 0.75' 6. 50 " =� °aic °" s a ° a Z DH = Drill Hole Fnd. W I.P. / Fnd. Nail aaaa °gaa° ° is e =;_ = § 3 kl § a� DME = Drainage &Maintenance Easm t (No I.D.) / . D.) 3 n) €I Era Easml = Easement I ' U.L. a^ aas " — N.W. 110th STREET — ° 'a ^�eeaai . Enc. = Encroachment '9 0 F.H. = Fire Hydrant �S �''1 ° R =Found 112" Iron Reber F O FIP =Found 112" Iron Pipe Location Sketch I FPL = Florida Power & Light NTS ID = Identification �.: I.P. = Iron Pipe LB = Licensed Business 5 ` LME = Lake Maintenance Easement �• LEGAL DESCRIPTION: L.P. = Light Pole a. A D 25.50' Lot 32, Block 220, MIAMI SHORES EXTENSION, according to the Plat thereof, as recorded M Measured 17.40'. MAINT. = Maintenance 2 I in Plat Book 43, Page 40, of the Public Records of MIAMI -DADE County, Florida. ME = Maintenance Easement 'n m f j' = Monument Line Z. • ro Mon. = Monument ,• �� z,' A CERTIFIED TO: ce. Romano Monica Romano; Ana aria An ulo, A Old n � � � ^ Mitchell A R & M R A M g •�l N/A =Not Applicable Republic National Title Insurance Company; SunTrust Mortgage Company, its successors N/D =Nail & Disc N° = Number +FFH m ... m .: and /or assigns, as their interests may appear. NTS = Not to Scale w o .. PREPARED FOR: Mitchell A. Romano & Monica Romano 1 N.W. 110 Street Miami O U.L. = D ead uti lity Line. J Gi�PtG.:. . — X m� :tea Shores, FL 33168 PB = Plat Book j 0 14 65 one -sto V 9 n PC = Point of Curvature ' I r - PCP = Permanent Control Point -� Residence o Encroachments: PG T Page fl 1 P.I. = Point of Intersection No. 1 1 1 �' 25 5dt 0 1.Overhead utility lines. PKWY = Parkway 2..Portion of the concrete drive is encroaching over the North boundary line into the abutting = Property Line 15 foot alley. PL = Planter 14.65' 15.50' O PLS = Professional Land Surveyor 3. Portion of the abutting 5 foot wide concrete sidewalk is encroaching over the South P.O.B. = Point of Beginning boundary line. P.O.C. = Point of Commencement [ P.P. = Power Pole l • All clearances and/or encroachments shown hereon are of apparent nature. Fence ownership b visual means. Legal PRC = Point of Reverse Curvature PLANTER pp p y PRM = Point of Reference Monument ownership of fences not determined. g ONC. + ° ar PT = Point of Tangency � - POR •Encroachments Noted: 3 R = Radius W ® 1�ttNo I.D.) •60' CI. • Underground structures, if any, not located. Res. = Residence 40.00' • Bearings, if shown, are based on assumed meridian or Plat of Record. R.L.S. = Registered Land Surveyor Miami Shores Vi age . Lands shown hereon were not abstracted for easements and/or right -of -ways of record. RNG = Range °- = Railroad • Legal description provided by client. RS = Registered Surveyor &Mapper APPRO DA •This certification is only for land as described. It is not a certification of title, zoning, easements, or freedom from R/W =Right of Way - o I encumbrances. ABSTRACT NOT REVIEWED. Sdwk = Sidewalk o ZONING ° �� i • There may be additional restrictions not shown on this survey that may be found in the public records of this county. sec. = section M 01 _ F d n ABSTRACT NOT REVIEWED. T = Tangent Find. 1 /2" I.P. • BLDG DE T : ( ® a i § • This BOUNDARY SURVEY has been prepared for the exclusive use of the entities named hereon. The Certificate TvvP = Township No IZ.) .... • •. a i does not extend to any unnamed party. U.E. = Utility g4s' SnI t, ( a • This survey as based on the monuments found on the field. No construction in an manner should be made without. �It • utility a*** • • • • • .rr . ' �7�F�CT •`i"O �C�MP f1� i � • ; e y y I.F. . = Wood t;'ence • • the prior written consent of the Surveyor. ••! • ::':.'. :::'.. :. I W.M. - Water N26t6A•• •: • • STATE AND C UL4TI0 NS ° ° a ° 4 §1ME• r Wall Maintenance Easeih%14 0:0*00 "" •�' D — 90 °05'0T `� a•l • SURVEYOR'S SEAL BOUNDARY SURVEY MOJARENA & ASCIA:T�, INE? "" • • • • • • • • °a E 1 HEREBY CERTIFY: That the attached survey was made 4, 00:00 5' — e a a Unless it bears the signature and Land bArveyors & Nfappe � � • � • 88006 �'� ' " A = 39.31 i ° s s s ° under my responsible charge and substantially meets the • • • • • • • • • -4 0 : : the original raised seal of a minimum technical standards as set forth the FLORIDA • v~ a : to Cert ificatepf Ftuthoriz ipYrNo. 6 98 0 o r a a Florida licensed surveyor and BOARD OF LAND SURVEYORS in Chapter 81G17 8, Florida .... 12$2.5 $.W. 132n Avenu • . ��� . T = 25.04 . a s � I I y � w E • appearing on the plat or visible easements other than as • ...... • • •__ a Administrative Code, pursuant to Section 472.027, Florida • V e • •••••• �•i _, ' • .v:. °•° a ° „ i. g °g mapper, this map /report is for P g ' • a =: ° a i ° a a informational purposes only and �' There are no encroachments, overlaps, easements Miami, Pla4eii,33186 Q3 278- .2424• • • i a i 6 ®i a • • E . i s a is not valid. 6 °6•S °: °S. S S °. ° a a° a s A a a° a a •• • • °, °a° S .as eSae 6 : •aA S ° a a a ° as •S•.9,6 vaE a as I�.cy1./ • • • •••••f did a ga y ° °° a s s , ° a as iasas s REVISED: /� r FLOOD ZONE: X BASE: *• s• s a •is° aa.aa.a ° a •a” ,a ; ^, I.�a^. II, °a _° °a a NELSON MOM NA (PUBLICLY DEDICATED) Registered Surveyor & Mapper No. 5504 DATE: SCALE: DWN. BY JOB NO. State of Florida 12 -23 -09 1 " = 20' O.M. 09 -0290 Planning and Zoning Criteria Miami Shores Village Permit NO. FW -2 - 1 0 - 1 54 10050 N.E. 2nd Avenue .... Miami Shores, FL Phone: (305 )795 -2204 Fax: (305)758 -8972 a.'" �' .. �� " > 61, s,> tRiR Issue Date: Not Issued , Expires: Folio Number) 121360030640 Owner's Name: Owner's Phone: Job Address: 1 110 Street Total Square Feet: 315 Miami Shores, FL 33168 Total Job Valuation: $ 6,375.00 Contractor(s) Phone Primary C Planning and Zoning Criteria and Comments Approved: No Date Denied: 2/2/2010 Comments: PLEASE IDENTIFY THE CORRECT LOCTION OF THE FENCE ON THE LOT AND THE CORRECT WIDTH OF THE GATES. 2/3/10 NEW PLAN OK Planning and Zoning Criteria Miami Shores Village Permit No. FW- 2 -10 - 1 54 10050 N.E. 2nd Avenue Miami Shores, FL 331384=0 Phone: (305)795 -2204 Fax: (305)758 - 8972,., , It Issue Date: Not Issued Expires: Folio Number) 121360030640 Owner's Name: Owner's Phone: Job Address: 1 110 Street Total Square Feet: 315 Miami Shores, FL 33168- Total Job Valuation: $ 6,375.00 Contractor(s) Phone Primary Con Planning and Zoning Criteria and Comments Approved: No Date Denied: 2/2/2010 Comments: PLEASE IDENTIFY THE CORRECT LOCTION OF THE FENCE ON THE LOT AND THE CORRECT WIDTH OF THE GATES. % 5 ° 0 Miami shores Village some au M Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No: 10- /Sy Job Name , Page 1 of 1 Building Critique Sheet Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305 - 795 -2204 02/01/2010 14;08 7862681007 FREQUENCY FOODS LLC PAGE 01104 STATE OF FLORIDA DEPARTMENT O BUSINE AND PROFESSIONAL REGULATION 1940 R UCT ION INDUSSTRELXCENSING BOARD (854.) 487 - 1395 +� »x PTALtJUqASSEX FL 32399 -0783 CLA.USING, CHRISTOPHRR DEAoX- CLAe7SING BUILDERS INC 470A0 SW 74TH STREET FL 33343 Congratulations! With this Ilcense you become one of the nearly one milllott Fidced by the Oepartmerrt afi Busin ess and businesses range from �tchue restaurants, and they keep Florida's ecanarny s#rong. Every day we work to improve the way we do business In order to serve you beater. For information about our services, please log onto www.m oridailcense.com. There you can find more information abcnA tam divisions and the regulations that impact you, subscribe to department niwsietters and learn more about the Department's initiatives, Our mission at the Department is. Uc#nse Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your now license! DETACH HER j� . . ^ 1,� 5 . L • .&i v 'a, •� •� � .7iYA •. r .. :•�r, :.i ; •' r � «t j • � :•• A ' :!i � � *a. ,9 . \ Py+.Ni; (K:k wV: s,ssr ✓ • ' i ::' !fir 45 •.1.� 7,. t7•'.: Q ^. r t•, "r .ie' J'• �'. }C. C •' ^•*' • -% T b ' t. r + •{•'< ry ° 'i.. °�. • \j./'r •+.., .,. T '.. !.'• � ,.,{', ^ ^ ' �' • : ' t � • A . a 3 • &.Y t: 3 ^ Y rf l'. ?«`s• ♦ ,r t .i•. •:•.�,• _ULAaT ON ,'; •sn• q•; fC .ry'o: . ,;•,. 'sas , :•k': yt1: •••t •..� aEi. •t A '.eJ :NLN L7�J+R'llCiJ ' '� ' w • <•• : !7'�+ .. :�• L L "s?,:. 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I'.?/.. f .C:� ,° F 5 :.�Yit. �•,<•� 02/01/2010 14:08 7862681007 FREQUENCY FOODS LLC PAGE 02104 01/2717010 Wed 15:18 Nancy Caen 305 2211.3= ID: #29762 Page 1 of 1 ° CERTIFICATE OF LIABILITY INSURAN 01127/70 PRODUCER All Nation THIS CI INTIFICATL IS INUEO AS A MATTER OF INFORMATION 832D S.W. 40th SL ONLY AND CONFM Nil R OKM UPON THE CERTFMAIT13 HOLDEX THIS CERTIFICAIM DOES NOT AMM, EXTEND OR M IAMI . FL 33155 ALTIER THE COVERAGE APFO Ucl BELOW. Phony (805) 22"OW Fax (305) ZM4=9 AW4ERS AFFOR MNO COVERAGE NAIC S EzsuR® CIAIfSNf3 BUILDERS INC Rekk APPAIACHLAN UNOERWRI'TERS -- T 4700 SW 741h Stmet tNSF1 MIWW, Ft_ .lri"143- INWJPJM a: (7W 870 -3642 ©J3URI7i E: CMRAGES D F. THE POLICIES OF INSURANOa; LL4TED HA1lE 11tEEN ISSUED fO THE lNI3URED NAOFO ASOVB FOR THE POLICY POWD MIDICATM NOTVWITHSTANOM ANY RCAUIROMRT. 7VMA OR CONDMON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THis MTV90ATS MAYBE MUeD OR MIAY PERTAIN. WE INSU AFFORDED SY THE POLICIES 068CWD HEREIN Is SUBJ5CT TO All. THE TERMS. EXCIANK S AND CONDRIGNs OF SUCH POI.(CMS. ASOKOA7E LN"S SHOWN MAY HAVE BEEN REDUCM BY PAID CLAM INIM Aar& TYPE PDLICrnwoER M OTME INTWOW820 UNITS 004VRAL LUUMIX IY EACH OCCURRENCE 1.0w,o00 E&CMIAERMALGENERALLIABIL[IY '15MU11541200 X09 08/ omo PR1AAISGB Ear 1f� • ❑❑ Cum ON ® OCCUR MED IV "am pnm) 5•fld0 ' ❑ [] PERSO Ai, & AM INJMY 7.M0,000 GEENERALAGGREGATE 1.iSow OWL AGMEGATS UWAPPLIEB PER PRODUM- COMPICIPA00 1.000.000 POLICY ❑ PF10JECT ❑ LOO El ANYA t sad ❑ ALLOWEDAUTOS ❑ BODB.Y AIRY ❑ SCHEDULEDAVI S p lmm ❑ HIREDAuToe ❑ NON OWNED AVrW � DB. Y ItVJttI7Y (Par aCCUIBltQ ❑ — PROPOVYDAMAGE MARAGE LUWLITY AUTO ONLY- EAACCIDEW ❑ ❑ MVAUTO OTHMTHAN ❑ AUTO ONLY AIM �OCESSNeA9IfEl.LA LARBILITY EACH 0OCURRENO11 ❑ OCCUR ❑ oiAw MUto6 A00MCATS ❑ CIE ❑ RE7'LN'f1ON E WORKEM EKKJ0YE ❑ ANY OFPIGEPi�A R�lE70CLUDED4 CtlTiilE I;l EACHACCfDENT IfYee.4e iutdet EL DWAS9- FAVA'i.OYEE U0.L PROYI610N& h6law 071iE.tt F-L. VIGSW - POLICY UMIr DESCRIFTION TI0N8t 1 SPEOIAt Fu0�610tt18 CERTINCATE HOLDER CANCEL.LAVION SHOULD ANYOF7K ARM DESCRIMA .MS BECANCIMIMR THE EXPIRATI011I PATE THEREOF, THE 918UM I MMR WLL ENDFAVOR 70 MW City Of 100 5 0 Nl NE 2 Shams 30 wrF Tovo �xw%LLLI. mo oa Tm uAmuTr 7Ofl0 � Ave OF ANY KNJO uaoll THE eaSIIR�t ITS ASS oR IE�+RE�10"fA Miami, FL 33738 AVfHORGMD REPRESENTATIVE 7B6 28f3.4QQ7 MANUEL, GONZALEZ ACM 25 (M1 i2P OAICM CORPOUTION Me Y ��... .. .. .. ....t .. ..... ..:. .... .. , y min I y e ' 0 zL - J � t, ✓ ti r II I + ! 4.Cr'SD '',`yea '' dir t�� N 6 ti + ✓ 3 + S'/, r'i'V4 a k a f`�4ri y > »Ft+ar�1� ,: 'a7µi: '� " a k ✓ 4f; - W ^ a {, Pt R^G�� # t ff$�. sk r r '''lf � '"A f��' rx ecn'n;. at a 4 - v 'crra Yw t � 0, A ll, yry 3> h § 3 3 X � pu,. M <aC',rw.�! 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'c �� � a' 1� �������iJ��rA ''G t x5 % n�ti (ar �a�4, }�� ����°�q�'yF� k�� ���rx'r �.t �' +�` �.' , ��r } xrr� �p �.� .�,�• r!�Cp��`� v ��F��r ''u , R '$Wk ir,,'. ;r:}„2, .ir5 ;.,��y„ ✓ r !J1�.�3x � �:�, iM n .,s�Yi ^t�'� �'..^ /�",j°!�, �Y,li,,�} ✓'FA >a;�'�,Yr � r;��7y,� �g� °(�'���r � . j�, �'AY iro, �A r�.�fN�r�'ria4 'tly,��>�{�yrtan �s:��n��' 7 ;. fF> 3 fi ��+jfi � stu: t � � , �,, r • � � y y �. � 'G � �,�fi'rS? • 02/01/2010 14:08 7862681007 - _ FREQUENCY FOODS LLC PAGE 04/04 OS - 2S -2008 ALEX SINK STATE OF FLORIDA CHtf'.p RNANCL4L OFFICEtZ DEPARTMENT OF FINANCIAL SERVICES • DIVISION OF WORKEFW COMPENSATION ClUITIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERV COMPENSATION LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies that the ifldividUal listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 08125 /2008 EXPIRATION DATE: 0 812512010 PERSON:. CL.AUSiNG CHRIS D FEIN: 261735060 BUSINESS NAME AND ADDRESS: i CORAL QMLES FL $3146 SCOPES OF BUSINESS OR TRADE: 1 CERTIFIED W NERAL. CONTRACTOR IMPORTANT- Persuaat to Chapter 440 . 0604), F.S., an officer of a corparatioo elna eleata exemption fecal this ebapter by fill" a certificate of election ev4er this sactigo may sat recover benefits or compensatioa under this obapter, Purssaht to c h apter 440.05(12), F.S., rmt9ficates of elective to be egempL.. apply only within this scope of the business or trade listed an the w1ce of election to be exempt. Pursuant tv Chaptwf' 440.0503), F.S„ Noticos of election to be exeew mod cereificetas of election Io. be exempt shall be subject to revocation it, at any time after the filing of the notice or the lssuvace of the eertrftast$ the person named no the notice at cortillcote on longer meets the requirements of into section for issewace of d cerlificste. 'me depsrtmeat shall revoke It certificate at any time for failure of the Versos amed en the certificate to meet the fegairemeuts of this sec tiob. allESTMNS? (850) 413 -1609 DWI: -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09 -06 PLEASE OUT OUT THE CARP BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA IMPORTANT DI_PARTUIEVY OF FMANCiAL SERVICES DIVISION OP WOE CMPMSATIM F Pursuant to Chapter 440.D5(14), F.$„ an officer of a corporation who CONSTRUCTION INDUSTRY O elects exemption from this chatter by filing s certificate of election CanrifFIC.ATE OF BLLaCMGN To 6E faJ(M" rRM F7AKmA I. under this section male not recover benefits or compensation under this WORKlE V COMPE34SATION LAW D chapter. EFFECTIVE: 08/26/2008 EXPIRATION DATE: 08/28/2010 Pursuant to Chapter 440.05(12), P.S., Certificates of electloft to be PERSOIt CMIS D CLAUSZNS H exempt... apply only within the scope of the business or trade fisted on PEIN: 261735060 E the notice of 61000oO to be exempt R BUSINESS NAME AND ADDRESS: JE Pursuant to Chapter 440.05(33), F.S., Notices of election to be exen*t CLAUSING BUIDER i14C and certifica of election to be exempt shall be subject to revocation 1172 s olxtc DEWY $408 if, at any time after tfte filing of the notice or the issuance of the LORAL GABLES, FL 33145 certificate, the person reamed on the notice or cettifll dte no longer meets the requirements of this section for isstutrtce of a certificate. The 4"artmitt shall revoke a certificate at any time for failure of thin SCOFF OF BUSINESS OR TRACe person named on Vin certificate to meet the requirements of this I- CERTIFIED QNERAL CONTRACTOR section. QUE01ONS4 (850) 413-1608 CUT HERE +� Carry bottom portion on the job, keep upper portion for your re aorcie. OWC -252 CERTIFICATE OF ELECTION TO BE LXEWT REVISED US -08 Y a Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 134568 Permit Number: FW -2 -10-154 Scheduled Inspection Date: February 16, 2010 Permit Type: Fence/Wall Inspector: Bruhn, Norman Inspection Type: Final Owner: , Work Classification: Wood Fence Job Address: NW 110 Street Miami Shores, FL 33168 - Phone Number Parcel Number 112136003064 Project: <NONE> Contractor: CLAUSING BUILDERS Phone: (305)546 -2016 Building Department Comments Inspector Comments Passed Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. February 12, 2010 For Inspections please call: (305)762 -4949 Page 15 of 25