FW-10-1264A C° V ..... 0„,,NAN
q4P V
BUILDING
PERMIT APPLICATION
FBC 20
Cit H ®5Aery ' ' State
Tenant/Lessee Name
Job Address (where the work is being done)
City Miami Shores Villa e
FOLIO / PARCEL #
Value of Work For this Permit $ 2.00D
Type of Work: ['Addition ['Alteration
Describe Work: ._S7 $ / if r67itt �_..
Submittal Fee $ Permit Fee $
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
Permit Type: BUILDING ROOFING
Owner's Name (Fee Simple Titleholder) i /J[a ZIA ilmyfil ( - 1 -e? Phone # � 7'‘s 1; 7-2
Owner's Address -
Email ® � I f 7 -f a j z (Q t,-9
cif cG tvo r04
County Miami -Dade Zip
. ., //i.e./ ,t k
/
Permit No.
Master Permit No.
Zip 3 f O
Phone # •
Is Building Historically Designated YES NO Flood Zone
Square / Linear Footage Of Work:
I
INIERVIS
'? it 0) '71'11
BY: ..,..,C.thg` 0...
M .,acs✓ ,0� -7780.
Contractor's Company Name
Contrac or's Address C I \ V ,1' / 7? S' �-
Cit 0A44,17 . State r Zip 3 3 ! 6"'
Qualifier Name r.r
State Certificate or Registration No. Certificate of Competency No. q C elf 0 f/
Contact Phone 7e6" E-mail
Architect/Engineer's Name (if applicable) Phone #
New 0 ' Repair/Replace [' Demolition
maica** * * * * * * * * * * * * * * * ** * * * ** * * ** * **** F ** * * * * * * * * * * * * * * * * * * * * * * * * * * * **
CCF $ CO /CC $
Notary $ Training/Education Fee $ Technology Fee $
Scanning $ Radon $
Double Fee $ Violation date: (OS Structural Review. $ Total Fee Now Due $ (OS2Q
See Reverse side
DPBR $ Bond $
Bonding Company's Name (if applicable) C. , n e z 0 m eD ta,e' /ew kw'
Bonding Company's Address of S Q / W 7 Y S {'
City � � 1q m % State re, Zip
Signature
day of
w 16 is perso
NOT
Sign:
Print:
My Commission Expires:
APPROVED BY
(Revised 07 /10 /07)(Revised 06/10/2009)
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 $2500, the app icant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be poste at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
weer or Agent
The fore instrument was ac o i1eeddgnedd befo
,20 jOby ,l\QTl
ally ��known '��to me or who has produced
0 + / 0 ks$dentification and who did take an oath ,
Y ' UBLIC:
******************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
me this - The fore oin
c,. a�a ,ip °c,,
�tra Q 1,4 ' ,fi ^ , ee
Plans Examiner
day of
who is pe
N t TARYJUBLIC:
Sign:
Print:
3 3/q7
Signature ( i tt
Contractor
strument was ackno 4 edged bef. -
2010 by (I C/1 �
� onally known to me or who has produced i 1'
ao cation and who did take an oath.
is
My Commission Expires: 609:,,,00* i) `3 co ' ��
* * *** * *** ** B & **** * ******* * * **
(c) Zoning
Engineer Clerk checked
Scheduled Inspection Date: August 16, 2010
Inspector: Bruhn, Norman
Owner: HERNIQUEZ, ZAIDA & WILLIAM
Job Address: 9906 N MIAMI Avenue
Miami Shores, FL 33138-
Project: <NONE>
Contractor: EBENEZER ORNAMENTAL IRON WORKS
Building Department Comments
August 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- 148301 Permit Number: FW -7 -10 -1264
For Inspections please call: (305)762 -4949
Permit Type: Fence/Wall
Inspection Type: Final
Work Classification: Iron/Ornamental
Phone Number
Parcel Number 1131010180540
Phone: (305)696 -7782
5 FT IRON FENCE
Passe 9 J
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
Page 6 of 26
Permit No: 10-4)0"
Job Name
7- nf , 2010
Building Critique Sheet
M iami Shores Vuiiage
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Page 1 of 1
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
, ```_° _ RL CERTIFICATE OF LIABILITY INSURANCE
DA 07/0
12,1
PRODUCER Annette Willis Insurance
18401 N.W. 27 Ave
Miami, FL 33056
Phone (305)625 -2403 Fax (305)625 -6472
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPONTHE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED Elf THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
NAIC #
INSURED Ebenezer Ornamental Iron Works Inc
2450 NW 78 St.
Miami, FL 33147
1
_
INSURER A: WESTERN HERITAGE INSURANCE
INSURER B:
INSURER C:
INSURER D:
INSURER E:
COVERAGES
INSURER F;.
THE POLICIES OF INSURANCE USTEO HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN. THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN 1'S SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
ADD L
INSRD
TYPE OF INSURANCE
POLICY NUMBER
(MWDDNY) POLICY EFFECTIVE
DATE (MWDDNY)
POLICY EXPIRATION
DATE (MWDDNY)
LIMITS
A
p
GENERAL LIABIUTY
COMMERCIAL GENERAL LIABILITY
SCP0782043
11/28/09
11/28/10
EACH OCCURRENCE
500,000
PREMISES (Ea RENTED
occu once)
50,000
• ❑ CLAIMS MADE ' OCCUR
MED EXP (Any one person)
5,000
❑
PERSONAL & ADV INJURY
500,000
•
GEN'L
GENERAL AGGREGATE
500,000
AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP /OP AGO
500,000
POLICY • PROJECT ❑ LOC
BI /PD DED $500
❑
AUTOMOBILE
•
•
❑
ED
❑
El
•
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
AUTOS
NON OWNED AUTOS
COMBINED SINGLE LIMIT
(Ea accident)
BODILY INJURY
(Per person)
BODILY INJURY
(Per accident)
PROPERTY DAMAGE
(Per accident)
❑
GARAGE LIABIUTY
❑ ANY AUTO
111
AUTO ONLY - EA ACCIDENT
THAN EA ACC
AUTO
AUTO ONLY: AGO
p
EXCESS/UMBRELLA LIABILITY
❑ OCCUR ❑ CLAIMS MADE
❑ DEDUCTIBLE
❑ RETENTION S
EACH OCCURRENCE
AGGREGATE
WORKERS COMPENSATION AND
EMPLOYERS' LIABIUTY
ANY PROPRIETOR / PARTNER / EXECUTIVE
OFFICER / MEMBER EXCLUDED?
If yes, descr a under
SPECIAL PROVISIONS below
• WC STATU-
TORY LIMITS ❑ ER -
E.L. EACH ACCIDENT
E.L. DISEASE* EMPLOYEE
E.L. DISEASE .POLICY LIMIT
OTHER
DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS
ORNAMENTAL IRON WORKS
Jul. 12. 2010 3:44PM
CERTIFICATE HOLDER
ACORD 25 (2001/08) QF
CITY OF MIAMI SHORES
10050 NE 2ND AVE
MIAMI SHORES, FL 33138
CANCELLATION
AUTHORIZED REPRESENTATIVE
No, 8220 P. 1/1
SHOULD ANY OF THE ABOVE DESCRBED POUCIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE MSSIING INSURER WILL ENDEAVOR TO MAIL
10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO
THE LEFT, BUT FAILURE TO DO SO SHAM. IMPOSE NO OBUGATION OR UABIUTY
OF ANY KIND UPON THE INSURER, ITSAGENTS OR REPRESENTATIVES.
6:ACORD COWORATION 1988
09-0 97 6
4t- 1111111 11111 11111 11111 Hill 1111111111 11111111
GFN 20101R034-25102
OR 811 27292 Pss 4086 - 4087; (2p96)
RECORDED 05/21/2010 09:50:03
DEED DOC TAX 996.60
HARVEY RUVIW, CLERK OF COURT
MIA1tI -DADE COUNTY/ FLORIDA
Tilts Mamma Prepared By and Return to:
CARL M. SUGARMAN, P.A.
17345 S. DIXIE HIGHWAY
MIAMI, FL 33157
Parat 1D Number. 11 31010180540
Special Warranty Deed
This Indenture, Made this / V day of February , 2010 AD. , Between
US MORTGAGE CORPOgRA'LION (USA), a corporation existing under the laws
of the State of Delaware
of tti,e County of Los Angeles State of California
, grantor, am
WILLIAM HENRIQUEZ and ZAIDA HENRIQUES, husband and wife
w addra 18 9906 North Miami Avenue, MIAMI SHORES, FL 33150
of the County of MIAMI -DADE State of Florida , grantees.
Witnesseth that the GRANTOR, $r and in corefdemfan of the sum of
TEN DOLLARS ($10) DOLLARS,
and other good and valuable consideration to GRANTOR in hand paid by GRANTEES, the receipt whereof is hereby acknowledged, has
granted, bargained and sold to the said GRANTEES and GRANTEES heirs, successors and assigns forever, the following desedbed land, stelae,
44ngandbiregredmCmmtyof MIAMI -DADE Sate of Florida mein
Lots 25, 26 and 27, Block 5, NAVARRO, according to the Plat thereof
as recorded in Plat Book 12, Page 59 of the Public Records of
Miami -Dade County, Florida.
Subject to restrictions, reservations and easements of record, if
any, and taxes subsequent to 2010.
Together with all tenements, hereditament and appurtenances thereto belonging o m anywise appertaining.
To Have and to Hold, the same in fee simple forever.
And the grantor hereby covenants with said grantees that grantor is iawtitlly seized of said land in fee simple; that grantor has
good right and lawful authority to sell and convey said land; that grantor hereby fully warrants the title to said land and will
defend the same against the lawt,t claims of all persons claiming by, through or under grantor.
Whereof, the glamor has hnaunto se its hand seal the day and year first above written.
ed =. d deify mi nce:
Ata.swr.
Maria A. Ayala
HSBC MORTGAGE CO
TION (USA)
a
rate Colter Dr., ' � � � � , CA 91769
"Pirate
1. Ortega
Asst. Vice President
P.O. Address
STATE OF Cal
COUNTY OF Los Angeles
The foregoing instrument was acknowledged before me this day of + _ ,2010 by
as of HSBC r.. GE
CORPORATION (USA), a Dela corporation
he is personally thrown to me or be has p,odu s . S . driver' license as idenfifcaton
Printed Name:
Notary Public
My Commission Expires:
I.oma®msNllyeD40aynymess. Imo, 2010 (863)7638495 FmmPISWD•1
(seat)
(Corporate Sew
Book27292/Page4086 CFN #20100342502 Page 1 of 2
/SURVEY NOTES
— CONCRETE DRIVE CROSSING THE SOUTH SIDE OF LOT.
—THERE ARE FENCES NEAR THE BOUNDARY OF THE PROPERTY AND CROSS THE WEST LOT UNE.
— SIDEWALK CROSSING THE EAST LOT UNE.
0
FENCE,
0.2'W
•
r FENCE,0.2'W,0.7'S
x - .
89'43'49"
—11.9' ---►
0
tri
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S.I.R. 1/2"
LB #6135
16.4'
eT
F.I.P. 1/2"
NO I.D. 9016'11"
P.P
ANCHOR
10.9''
OPEN in
PATIO.
LOT 28
BLOCK 5
3.3' 105.83' WALL,0.9'S
in
LOT 27
BLOCK 5
COVERED
PORCH
LOT 25
BLOCK 5
23.6'
•
•
• OC 9 : .
' 0
14.6'
LOT 26
BLOCK 5
80.73'
36.4'
1 STORY
RESIDENCE
#9906
35.7'
x
CORNER
FALLS IN
WALK
C.B.
ROYAL ROAD (P)
N.W. 99th STREET
50' R/W (18' ASPHALT)
F.I.P. 1/2"
NO I.D.
5.0'W
CORNER
FALLS IN
WALK
p CORNER
.1 FALLS IN
WALK
35.00'
(SIGNED)
Clyde
McNeal
CLYDE O. McNEAL, PROFESSIONAL SURVEYOR AND MAPPER #2883
PAGE 2 OF 2 PAGES
BOUNDARY SURVEY
SURVEYORS CERTIFICATE
I HEREBY CERTIFY THAT THIS BOUNDARY SURVEY
IS A TRUE AND CORRECT REPRESENTATION OF A
SURVEY PREPARED UNDER MY DIRECTION.
NOT VALID WITHOUT AN AUTHENTICATED ELECTRONIC
SIGNATURE AND AUTHENTICATED ELECTRONIC SEAL,
OR A RAISED EMBOSSED SEAL AND SIGNATURE.
Daroey eared by CIy4e
McNeal
DN. CN • Clole McNeal. C
US
0ale' 2010 01 01 15 44 49
-05720
LB #6135
TARGET
SURVEYING, INC.
SERVING ALL FLORIDA COUNTIES
5601 CORPORATE WAY SUITE 210
WEST PALM BEACH, FL 33407
PHONE (561) 640 -4800
FACSIMILE (561) 640 -0576
STATEWIDE PHONE (800) 226 -4807
STATEWIDE FACSIMILE (800) 741 -0576
•
Certified To:
WILLIAM HENRIQUEZ 8 ZA/DA HENRIQUEZ; CARL M. SUGARMAN, P.A.; FIRST AMERICAN TITLE INSURANCE COMPANY;
Property Address:
9906 N. MIAMI AVE.
MIAMI SHORES, FL 33150
Lot 25, 26 and 27, Block 5, NAVARRO, according to the Plat thereof. as recorded in Plat Book 12, Page 59, of the Public Records of MIAMI -DADE County, Florida.
Community Number. 120652 Panel: 0302 Suffix: L Flood Zone. X Field Work: 1/62010
Survey Number. 156223
LEGEND:
NC AIR COMMONER
ER SEARING RE V E
B.M. BENCH MAIM
CSYIERLINE
(C) C4LCUTATED
CATV CAME ROM
C. CATCHa4. v
Oh DRILL HOLE
17,E, DRAINAGE EASEMENT
LIM' DRIVEWAY
CeiTRALANGLE/DELTA
C.M. CONCRETES
DEED BOCMK
D.PTIO1tORDEED
ESMT EASEMENT
EO..11!
EDGE Or WATER
FINISHED �
F.F.
F.LP. FOUND AITONPFE
Fa FOUND
a Kw
WC WITNESS CORNER
FP.I( FUND PARK 7ALONAIAL
FOAL FOUND CONCRETE M OVIM9TT
F.LI EOM PONROD
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I LIMITED ACCESS EASEMENT
MANTSVANCE EASEMENT
MJ MAA OLE
FM. FOUND AWL
N!D MU 6 DISC
NR. NON RADIAL
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•
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Of ICIAL RECORDS
O RECORDS BOOK
UT7LITYEASEAI€NT
PERAMAENT CONTROL POINT
PERWNENT REFSZENCE MOfiMENT
TEMPORARY IMACHM4RX
TELEPHONE FAIIILI17ES
PONT OF BEGYAING
PONT OE COMMINCSIENT
PONT OF COMPOUND CURVATURE
PONT OPCURVATURE
POW TOFREVSISECIARVATL EE
PONT Cie TA CIACY
PROPERTY CORNER
ROOF OVERHANG EASEMENT
RAMO (RADIAL)
MV RIGHT O°WAY
S.LR SET RCN ROD d G4P
P.P. POWER POLE
1.0.81. TOP oFaaNx
WT,E WATER METER
PC. PAGE
(P) PLAT
P.8 PLAT BOOK
(LP VTILITY POLE
S FIELD MEASLIRED
AE ANCHCR ED, VT
QJLL OVFRFffAD MUTT LIAM
PROPERTY LINE
CH CHORD
COVERED AREA
.�
CONCRETE
WOOD FENCE
-X -1C METAL FENCE
PAGE 1 OP 2 PAGES
GENERAL NOTES: LEGAL DESCRIPTION AND
1 ) LEGAL OESCRPTICW PROMS) DYOTHERS
21 THE LANDS SdfOMME4EEON WERE NOTABSTRACTETI FOR EASa f£NiSOROTHER
RECORDED ENCUMBRANCE S NOT SHOWN CN MEMAT.
2 1
INDETWROUND PORTIONSORFpOTI GS WERE
NOT LOCATED.
4) PILL TIESAaETO THE PAC E 0F THE WALL AND ARE AOT TO BE USED TORECONSTRUCT
SOUNOARY LDJEs.
S/ CNlY MOLE ENCROACH1lLNTSLOCr1TED.
8) 17414 EMIONS SHOWNAfiEEPLATANDMEASUREDUSELESSOT HER C1ES OW
7) FENCE OWNS i9'JOPNOTDETgTi9L61ED
E
mr IEVATTOWNEVCATED TEDPr EAVAREAYFEFTAA®DECIMALS REHS£/►1( D TO N.8. VS. 1379
AAtr4 GRAPHIC ftEg 8ESEwTA710A0HAVEBEDYQGQGERA TED TO MORE
aEARY ILLUSTRATE RLLARMON 'S BETWEEN PHYSICAL 04PROVEMENT 9 MOOR LOTIANFSR
dNALL CASE$ OIMNEISIOALSSHALL CONTROL THE LOCATION OF TTIEMIPROVEdENTS OVER
SCAM AMR IOU
CERTIFICATION
LB /6135
TARGET
suxvEnnrO, INC.
SERVING MOST FLORIDA COUNTIES
58D1 CORPORATE WAY SUITE 210
WEST PALM BEACH, FL 33407
PHONE (581) 840 -4800
FACSIMILE (581) 840
STATEWIDE PHONE (800) 228-4807
STATEWDE FACSIMILE (800) 741-0576