FW-11-907Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 159956
Scheduled Inspection Date: June 07, 2011
Inspector: Bruhn, Norman
Owner: RODRIGUEZ, JOHN
Job Address: 5 NW 106 Street
Miami Shores, FL 33150-
Permit Number: FW -5 -11 -907
Project: <NONE>
Contractor: EBENEZER FENCE INC
Permit Type: Fence/Wall
Inspection Type: Final
Work Classification: Wood Fence
Phone Number (305)776 -0889
Parcel Number 1121360060240
Phone: (305)273 -8930
Building Department Comments
BOARD ON BOARD FENCE INSTALLATION AROUND THE
PROPERTY
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
CC_
June 06, 2011
For Inspections please call: (305)762 -4949
Page 7 of 11
51cA 4_14
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
BUILDING
PERMIT APPLICATION
FBC 20
Permit Type: BUILDING
OWNER: Name (Fee Simple Titleholder):
Address: 9 /
City: / u e, 0 //s 2 `� d
Permit No. °w "1 O1
Master Permit No.
OFINGSiaW/C7 rnane:&-`141•VaQ11_
State:
7.a •
Zip: /.
Tenant/Lessee Name: Phone #:
Email:
JOB ADDRESS: ' /6- &
City:
Folio/Parcel #:
Miami Shores County:
Miami Dade
Zip: S
Is the Building Historically Designated: Yes
NO Flood Zone:
CONTRACTOR: Company Name: e >7 622' •
Address:
6 L9 c 6 5 C ) 6(2 Z d7C
Phone#: 34)5 ?7 3 8 gal:
City: , � fit' 0 State: °7°'
Qualifier Name: „ 6 q c-ck /5, e/
Certificate of Competency #: ,3).e e/44-0
Zip: .3 5 / .
Phone #: 2 6 4 •'e, 2
State Certification or Registration #:
Contact Phone #: / t9C °,d 7c Email Address:
DESIGNER: Architect/Engineer:
Value of Work for this Permit: $ 41 9e ' e
Type of Work: ❑Addition
❑Alteration
Description of Work: 4 / ®"--) et
Phone #:
Square/Linear Footage of Work: 7 '. S°W
❑Repair/Replace
4JE /e 0 /'
❑Demolition
* * * * * * * **** **********m **+ x************** Fees**********: x******* *****.x** ******* *** *** * ****
Submittal Fee $ Permit Fee $
Scanning Fee $ Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
c %>u
CCF $ CO /CC $
DBPR $ Bond $
Technology Fee $
TOTAL FEE NOW DUE $
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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved ar4l a reinspection fee will be charged.
The forgo
day of
wh is p, rsonal
NOTA
Sign:
Print:
My Commission Expires:
,b
kpo to me or who has produce
islidentification and who did take an oath.
LIC:
y5)11
�ti31"
Signature
Contractor
The foregoing instrument was acknowledged before me this e 7
day of f:1'i 20, by ' ""."�-� = ,
who is personally known to me or who has produc 7
co
�Il�lll
1i >�fly�r�uvho did t
� 2s �N • 9
NOTARY a•: +M
, , Aj • / i
Sign:
Print: ;� #DD 664244 • c
9 My Comm j ?fires: . p��v°°
i� //14#,111111100‘ke \®� ®�\
************ * * * * * * * * * * * * * * * * * * * * * *t * *** * * ** *** * * * *** ****** * * * ****** *** * * * * ** x* :: * * * *** ** * * ** *** ** * **** ** **
APPROVED BY
Plans Examiner
Structural Review
(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)
5--
4/ Zoning
Clerk
SKETCH OF BOUNDARY SURVEY
c715. 421)a. 33 SCALE: i "= 20 PE4z,, �,
IS
gay
7S, 6..0 (0
coi4anD'1
4 M4oev.:a&
orr coca
FIP
FR
SF
SR
FI&i
RL
FD
PCP
P15t
PC
OH
a
ENCR
str
ear
W/F
(M)
(Rill )
Fj1
SShH
SH6i
C/&
IV
Found km Pipe
Farad Iron Reber
Set bra Pipe
Set ken Reber
Fwd MA Hale
Fold Noi
Farad
Permanent Control Point
Permed Reference Mawnad
Pont of Cans
Ild Hde
Car
Eaanna.aent
Story
Centers*
Rammed Lie
Section tine
Chris tick Feral
Wood Fence
Mere
Catalated
Record
Platted
Water Meter
Fire Hydrant
Sanitary Sewer Manhole
Stem Madwte
Catch boon
Water Wm
Pt. Planter
Electrt Meter
sN Gos Meter
s/v Gas vane
tans. &aiding
FF. ELEV. Rash Floor Eteretim
A/C Air Ccaliticner
P13. PP$ot Bock
P&
HIS Scale
L ORT,at Arc, Delta. Rados: lave, Chord
UL Utity Easement
DYE. Drainage. LSwtenma Easement
E/0/If Edge of t
EfOf Edge et Pavement
VOA Top of Bank
R/O/an
FEC
Iii}
SEC
TF�
R
MDa5D
MIND
fPL
CBS
SBIY{
MM
CONC
O/H
W/P
No.
Fe Vat of SVY
florid, East Coast Rai Road
Ofiidd Records Bank
Section
Township
Rage
taami Dade at & Sera Depwtatmt
Soalb Rondo Water Menaynmt District'
Souham Mouth Wilde
Waiola
Florida Pea & light
Cmaeta block sire,
Cow
Pentad
Wood Pale
Date
M.r�Sa7t'
L i�tt "FS 0 F Q iht
j *),P&. 7e sy'xsN�
4 )(5
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64
N
swill ltt
Sett
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/22 436 `l i)t )
�3' cgss FA./
314
If
o'\
1
N
APrsAAW
Revis
ZONING DEPT
Y
DATE
on Uescription
414M l;T K)- ,Enron,
MIAMI -DADE COUNTY, FLORIDA
DEPARTMENT OF PLANNING AND ZONING
MAIN OFFICE
❑ 111 NW 1 STREET, SUITE 1210
MIAMI, FLORIDA 33128
(305) 375 -2800
Date:
To whom it may concern:
r'
PERMITTING AND INSPECTION OFFICE
11805 S.W. 26 Street
MIAMI, FLORIDA 33175
❑ IMPACT FEE SECTION
(786) 315 -2670 • SUITE 145
❑ ZONING INSPECTION SECTION
(786) 315 -2660 • SUITE 223
❑ ZONING PERMIT SECTION
(786) 315 -2666 • SUITE 106
❑ ZONING PLANS PROCESSING SECTION
(786) 315 -2850 • SUITE 113
Process Number
The undersigned, as owner of the property located at V
r ,
Miami -Dade County, Florida, hereby absolves Miami -Dade County of any and all legal
responsibility for any claims, loss, damage or expense which may arise as a result of the
placement of a in the utility easement area. Furthermore, I have contacted the
following utilities and have received their consent.
Sunshine Network
Ticket Number
1- 800 - 432 -4770
/
Date d0 5 G^ t,/'
*NOTE: Please allow a minimum of four working days after last call for field check before
returning to the Department of Planning and Zoning for fina zoning approval.
Sincerely,
Property Ow
Print Naf ne
Rev.54051/02 er
N nor/
May. 11. 2011 -1 1:IfIIVl Emmanuel insurance -- - o.
AQOR� CERTIFICATE OF LIABILITY INSURANCE OP ID 19
EBENE -1
1.
UAIb(N1Nt0D
1/
05/17/11
PRODUCER
Emmanuel Insurance Agency
Sarni Medina
2370 E 0 Ave
Hialeah FL 33013
Phone:305- 693 -0003 Fax:305- 691-4381
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
NAIC#
IN3UREO
Ebenezer Fence, Inc.
6200 8W 122 Avenue
Miami FL 33183
INSURER A: North Point Ins . Co.
27740
INSURER B:
GENERAL
INSURER C:
AU05172011E 120405
INSURER D:
PPREMISES (Ea oca,rence)
INSURER E:
' THE
ANY
MAY
POLICIES.
1NSWICIAIZ
LTR
POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR
PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIEED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PALO CLAIMS.
INSRE
TYPE OF INSURANCE
POLICY NUMBER —
i�1l,�
PQL CY EFFE�, ilv_e
DATE (MMIDD Yl'YY1I
05/17/11
POLICY EXPIRPLTiQ
DATE_(MMM1IDDrrT
05/17/12
LIMITS
EACH OCCURRENCE
$ 1 000 000
A
GENERAL
LIABILITY
COMMERCIAL GENERAL LIABILITY
AU05172011E 120405
X
PPREMISES (Ea oca,rence)
$ 100,000
S 5,000
CLAIMS MADE X OCCUR
MED EXP (My one person)
PERSONAL &AOV INJURY
$ 1,000,000
$ 2,000,000
$ 2,000,000
GENERAL AGGREGATE
GEN'LAGGREGATE LIMIT APPLIES PER
PRODUCTS - COMP/0P AGG
X POLICY ■ PO.
JERCT LOC
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
COMBINED SINGLE LIMIT
(Eaacctdent)
BODILY C INJURY
$
_
BODILY INJURY
(Per accident)
$
_
rR FE 7�1 OyCMAGE—
(Per accident)
GARAGE
LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
AUTO ONLY: AGO
$
—
t
EXCESSNMBRELLA
LIABILITY
OCCUR E CLAIMS MADE
EACH OCCURRENCE
S
AGGREGATE
$
_
DEDUCTIBLE
RETENTION $
8
$
WORKERS COMPENSAT1oN AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
Byes, describe under
SPECIAL PROVISIONS below
'TORY LIMITS i I ER
E.L. EACH ACCIDENT
$
E,l, DISEASE - EA EMPLOYEE
$
E.L DISEASE - POLICY LIMIT
$
OTHER
DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT 1SPECIAL PROVISIONS
1Qence contractor __ ...................... .
CERTIFICATE HOLDER
CA
Miami Shores Village Building
Department
fax:305 -756 -8972
10050 NE 2nd Avenue
- Mi ami 8hoxeS -E L 33.130 __..._.
SHOULD ANY OF THE ABOVE DESC D POLICIES BE C N
DATE THEREOF, THE ISSUING INSU ER WILL ENDEAVOR O
NOTICE TO THE CERTIFICATE HOL ER NAMED TO THE LE
IMPOSE NO OBLIGATION OR LIABI ITT OF ANY KIND UPON
"REPRESENTATIVES:. -
ELLED BEFORE THE EXPIRATION
AIL 30 DAYS WRITTEN
BUT FAILURE TO 00 30 SHALL
E INSURER, ITS AGENTS OR
AUTHORIZED REPRESENTATIVE
8arai Medina
ACORt 2112.11Q11p$j
.fa.. 471 47'0". e,
Return
to:
Name:
Address:
This Instrument Prepared by:
Brad Moyer
Integrity Title Services, Inc.
5500 Bee Ridge Road
Suite 102
Sarasota, Florida 34233
as a necessary incident to the fulfillment of conditions
contained in a title insurance commitment issued by it.
Property Appraisers Parcel I.D. (Folio) Number(s):
11- 2136- 006 -0240
File No: 20110221 / #0684309909
SPECIAL WARRANTY DEED
(CORPORATE)
This Special Warranty Deed Made the 9th day of May, 2011, by Wells Fargo Bank, NA as
Trustee for WAMU Mortgage Pass - Through Certificates Series 2005 -PR2 Trust organized
under the laws of United States of America, and having its place of business at 270 Park Avenue,
New York, NY 10017, hereinafter called the Grantor,
to Esteban Matias Stavile, a single man, whose post office address is: 5 NW 106th St., Miami
Shores, FL 33150, hereinafter called the Grantee,
WTITTESSETH: That Grantor, for and in consideration of the sum of $138,000.00 Dollars and
other valuable considerations, receipt whereof is hereby acknowledged, by these presents does
grant, bargain, sell, alien, remise, release, convey and confirm unto grantee, all that certain land
situate in Miami -Dade County, Florida, viz:
Lot 16, Block 206, of DUNNING'S MIAMI SHORES EXTENSION NO. 2, according to the Plat
thereof as recorded in Plat Book 41, Page 78, of the Public Records of Miami -Dade County,
Florida.
AIK/A 5 NW 106x` Street, Miami Shores, FL 33150
TOGETHER. with all the tenements, bereditaments and appurtenances thereto belonging or in
anywise appertaining.
To Have and to Hold, the same in fee simple forever.
GRANTOR WILL WARRANT and forever defend the right and title to the above - described real
property unto the. Grantees against the claims of all person, claiming by, through or under
Grantor, but not otherwise.
(Wherever used herein the terms "Grantor" and "Grantee" included all the parties to this
instrument, and the heirs, legal representatives and assigns of individuals, and the successors and
assigns of corporation.)
IN WITNESS WHEREOF, the Grantor has caused these presents to be executed in its name, and
its corporate seal to be hereunto affixed, by its proper officers thereunto duly authorized, the day
and year first above written.
Signed, sealed and delivered • our presence:
ATTEST:
Kandie Nicole Georae
Witnes
in ame: /14
Witness .
Secretary
Signature:
Wells Fargo Bank, NA as Trustee for WAMU
Mortgage Pass - Through Certificates Series
2005 -PR2 Trust, By its Attorney in Fact,
JPMorgan Chase Bank, National Association
BY:
Signature:
Carol ' Cloud
Vice President
STATE OF FLORIDA
COUNTY OF DUVAL
The foregoing instrument was acknowledged before me this 10 day of March 2011, by
Carolyn K. CiOLIC1 as Vice President of JPMorgan Chase Bank, National
Association, Attorney in Fact for Wells Fargo Bank, NA as Trustee for WAMU Mortgage
Pass - Through Certificates Series 2005 -PR2 Trust, on behalf of the corporation. He /she is
personally known to me or who has produced driver license(s) as identification.
y7.///l/if
My Commission Expires:
Printed Name:
Notary Public
Serial Number
Richard Dodd
�vldy. 11. LUI I- 11'L�Hldl-
III III w I l u Y I 1 11 J Y I W I I V Y
AGORA, CERTIFICATE OF LIABILITY
!mu. 7 V J I
INSURANCE OP ID 19
EBENE -1
I I
UAlkIMMlDONYYYj
05/17/11
TYPE OF INSURANCE
PRODocEa
Emmanuel Tnl3urance Agency
Sarai Medina
2370E 6 Ave
Hialeah FL 33013
Phone:305 -693 -0003 Fax
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
NAIC#
INSURED
Ebenezer Fence, Inc .
62U0 SW 122 Avenue
Mi,'9tai FL 33183
INSURER A: North Point Ins, Co ,
27740
INSURER B: ,
AU05172011E 120405
INSURER C:
/ 5/17/12
INSURER D:
s1,000,000
INSURER E:
COMMERCIAL GENERAL LIABILITY
THE
ANY
MAY
POLICIES.
r'
POLICIES
REQUIREMENT,
PERTAIN,
r�. l,1 ,yy__
1.
OF INSURANCE LISTED BELOW HAVE REEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDINQ
'TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
AGGREGATE LIMIT$ SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
TYPE OF INSURANCE
POLICY NUMBER
_ _
r
DATE DO
• E "PI
DATE MMI.p
71 I N
LIMITS
A
GENERAL LIABILITY
AU05172011E 120405
1
/ 5/17/12
EACH OCCURRENCE
s1,000,000
X
COMMERCIAL GENERAL LIABILITY
111rr •-
3 100, 000
ICLAIMS MADE g OCCUR
~,=,,
S 5 0 0 0
PERSONAL a . •
r
$1, 000, 000
GENERAL AGGREGATE
$2,000,000
GEN'LAGGREGATE LIMIT APPLIES PER
PRODUCTS - C• •
s 2 000 000
X POLICY 1111 j i II. LOC
, ,
LIABILITY
ANY AUTO
HIRED AUTOS
COMBINEDAUTOMOBILE
(Ea
$
BODILY INJURY
$
■
BODILY INJURY
(Per 2ccidettl)
GARAGE
LIABILITY
ANY AUTO
AUTO ONLY I
$
OTHER THAN EA ACC
AUTO ONLY; AGG
EXCESS/UMBRELLA
LIABILITY
OCCUR CLAIN1S MADE
EACH OCCURRENCE
$
AGGREGATE
■
DEDUCTIBLE
RETENTION S
$
$
$
ElN DYERS LWBIL9TY ON AND
ANY PROPRIETORIPARTNERIEXECUTNE
OFFICERlMEMBER EXCLUDED?
byes describe under
SPECIAL PROVISIONS Deiow
TORY LIMITS 1 I°
El. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
$
E.L DISEASE - POLICY LIMIT
$
OTHER
DESCRIPTION OF OPERATIONS! LOCATIONS 1 VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS
Fence contractor
CANCELLATION
Miami Shores Village Building
Department
fax
10050 NE 2nd Avenue
Miami Shores El 33138
ACORD•25 (2001109)
SHOULD ANY OF THE ABOVE bESC b POLICIES BE C
DATE THEREOF, THE ISSUING INSU ER WILL ENDEAVOR
NOTICE TO THE CERTIFICATE HOL ER NAMED TO THE LE
IMPOSE NO OBLIGATION OR LIABI ITY OF ANY KIND UPON
REPRESENTATIVES.
ELLED BEFORE THE EXPIRATION
AIL 30 DAYS WRITTEN
BUT FAILURE TO DO SO SHALL
E INSURER, ITS AGENTS OR
AUTHORIZED REPRESENTATIVE
Sarai Medina