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FW-12-877Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: I NSP- 173664 Scheduled Inspection Date: June 18, 2012 Inspector: Bruhn, Norman Owner: KAWACHIKA, JOHN & CYNTHIA Job Address: 10526 NE 3 Court Miami Shores, FL 33138- Project: <NONE> Contractor: SAMADA FENCE INC Permit Number: FW -5 -12 -877 Permit Type: Fence/Wall Inspection Type: Final Work Classification: Wire Fence Phone Number Parcel Number 1122310130300 Phone: (305)720 -6344 Building Department Comments CHAIN LINK FENCE ON NORTH SIDE WITH TWO GATES AND NORTH & SOUTH SIDES PER DRAWING Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments June 15, 2012 For Inspections please call: (305)762 -4949 Page 14 of 27 U B 1 DING .� bING 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 APPLICATION FBC 20 tO Permit Type: BUILDING ROOFING OWNER: Name (Fee Simple Titleholder): ' ®N' /014( // 4 , / 'K4 Phone #: 63)- 0 518 U Address: / 7'7 A/ E 4 5 7, City: / r / �� e 6 .J State: F Permit No. 4 AX, I 01012 Master Permit No. Zip: 33135 Tenant/Lessee Name: Phone#: Email: v/(.// 6 Cc e ITT. A e7 JOB ADDRESS: //.1.5°Z- f k_ " City: Miami Shores 3 c_7 County: Miami Dade zip: 3338 Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: S', / F � - 3os 7' 341,1 CONTRACTOR: Company Name: Phone #: //o 3/ � r Address: City: hte.-6:474 State: Qualifier Name: Phone#: Certificate of Competency #: State Certification or Registration #: Contact Phone#: Email Address: /9 5 Qs_ p Value. of Work for this Permit: $ /d,_J Type of Work: ❑Addition ❑Alteration ❑Demolition Description of Work: C "' L' ( F /cam oN A spy- 6(2(7704 L/o 4 -res' >J 1 5-®v7 70.4 s/ oer /) Square/Linear Footage of Work: New ORepair/Replace ******** * *** * ** * * * *** ******* * ** * * * *** ** Fees************** * * * **:* ** **** ** * * * * * * * * * * ** * * ** d v Submittal Fee $ ` Q Permit Fee $ ! / , r CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ CO 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 FI.ECTRICAL 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. W 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 issue In the absence ' such po : d notice, the inspection will not be approved and a reinspection fee will be charged. Signature �ywner or Agent Contractor The foregoing instrument was acknowledged before me this f The foregoing instrument was acknowledged before me this day of -`( , 20 r2b} 5 tie.P[ 0 i1-13 ^))1 who i ersonally knowl me or who has produced / 2 who is p sonally known to ho has produced As identification and who did take an oath. as identification IMO �ifi ,'an oath. NOTARY DUTB7IC. # ` Ver t' day of /-141 , 20 12-, by S� 61-ANA-CH / l 0111111111 1/4/ t1 �.'.a1S NOTARY PUBLIC: Q1res . (% cd. 4.0 �,' �_ dt _. • r-- : ah .t44'011.:11 .lti, s Q b �r y %p9 : o; - CO : *a� a� x� a� u� a. ************** * ** * * * ** * * * * * * * *** * * * * * * * * ** * ** * * * * * **** * * * ** Zoning Sign: Print: My Commission Expires: Sign: Print: C °�13059�`z` My Commission Expires: ' >ri�.�►t """'.�0��`� li�trttt► G�Ftt111t``� APPROVED BY id-- Examiner Structural Review Clerk (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) P11 lami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION FORM ALL CONTRACTORS MUST PROVIDE COPIES OF LICENCES AND INSURANCES EACH TIME A PERMIT IS SUBMITTED OR THE VILLAGE MAY MAINTAIN A FILE WITH YOUR INFORMATION FOR A $30.00 FEE PER YEAR. IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. COPY OF QUALIFIER'S STATE LIC CARD B. ,7 COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF LIABILITY INSURANCE (CERTIFICATE HOLDER TO BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKERS COMPENSATION (EITHER CERTIFICATE OR EXCEMPTIONI IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICE OF COMPETENCY OF QUALIFIER B. COPY OF MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT C. '7 COPY OF LIABILITY INSURACE (CERTIFICATE HOLDER MUST BE MIAMI SHORES VILLAGE BLDG DEPT) D. r COPY OF WORKER COMP INSURANCE (EITHER CERTIFICATE OR EXEMPTION) YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE HOLDER AS FOLLOW: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 �J COMPLETE CONTRACTOR'S INFORMATION BUSINESS NAME: 0 S F--2.-,,t £'@- r C BUSINESS ADDRESS: P I 0 l -3 1 PT- CITY ec-6, STATE L ZIP CODE ? 3 BUSINESS PHONE: (Q Yt' ) S'rS�l ' '13 T- FAX NUMBER (2a- ) 4 g`2 / CELL PHONE CR O S- -»O 3 4' % QUALIFIER'S NAME: ge SI e /`�(• S C�� QUALIFIER'S LIC NUMBER: /"�► �'�. �► ) °JR., / 1 4- 0 0 E -MAIL ADDRESS (IF APPLICABLE): C Cam— ` S.l Created on 3119109 BY MLDV 1 RV 3126109 MLDV C_TQB Construction Trades Qualifying Board BUSINESS CERTIFICATE OF COMPETENCY 11BS00347 _ SAMADA FENCE INC - D.B.A.: MADA SERGIO MARCIAL Is certified under the provisions of Chapter 10 of Miami-Dade County 3012012 QUALIFYING TRADE(S) 0018 FECNE MIAMI -DADE COUNTY TAX COLLECTOR 140 W. FLAGLER ST. 1st FLOOR MIAMI, FL 33130 RECEIPT NO. BUSINESS NAME / LOCATION SAMADA FENCE INC 110 W 31 ST OWNER :SAMADA FENCE INC 2011 MUNICIPAL CONTRACTOR'S 2012 TAX RECEIPT MIAMI -DADE COUNTY - STATE OF FLORIDA PURSUANT TO COUNTY CODE SEC. 10-24 EXPIRES SEPT. 30, 2012 30- 7151194 THI litiOT A BILL 1 B5 yQT F'Y SEE BACK OF RECEirJ rum A LIST OF NON- PARTICIPATING MUNICIPALITIES Receipt holder must register in the city where work is to be done. PAYMENT RECEIVED train idi 1 02240020001 000175.00 MIAMI- DADE.COU.., TAX COLLECTOR 140 W. FLAGLER ST. 1st FLOOR MIAMI, FL 33130 FIRST -CLASS U.S. POSTAGE PAID MIAMI, FL PERMIT NO. 231 RECEIPT HOLDER MAY DO BUSINESS AS A CONTRACTOR AS SPECIFIED HEREON. SPECIALTY BUILDING CONTRACTOR DO NOT FORWARD SAMADA FENCE INC SERGIO SAMADA PRES 110 W 31 ST HIALEAH FL 33012 1, Ill,>„ ihllmn, 1lr,ltl,IllrtlrAJIIII,millhflut ur al-uAD COUNT!' -' TATE' EXPIRES SEPT.TA 201,2 MUST BE DISPLAYED AT3PLACE 62F BUSIN) SS PtIRSUAINi TO COUNTY CODE :CHAPTER8A - AR's': 9 & THIS IS NOT A BILL — DO NOT PAY °,z ,,��tlpP�r NEW CC *RECt1Bups47 BUS�6y8�7�661u9-8Men AF I A MFC 110 W 31 ST 33012 HIALEAH OWNER SAMADA FENCE INC 1Type SPECIALTY BUILDING CONTRACTOR WE S AX EIPIT I RCEPT. IDES NOT PERMIT THE !OLDER TO VIOLATE ANY XISTIJG REGULATORY OR OMNG LAWS OF THE AUNTY OR CITIES. NOR OES IT EXEMPT THE OLDER FROM ANY OTHER EMIT OR LICENSE EQUIRED BY LAW. THIS IS OT A CERTIFICATION OF 15 HOLDER'S QUAUFICA- ONS. %YMENT RECEIVED AM-DADE COUNTY TAX )LLECTOR: 09/26/2011 02260055001 000045.00 SEE OTHER SIDE WORKER /S 1 DO NOT FORWARD SAMADA FENCE INC SERGIO SAMADA PRES 110 W 31 ST HIALEAH FL 33012 162 FIRST -CLASS U.S. POSTAGE PAID MIAMI, FL PERMIT NO. 231 715119 -4 Client#: 1452573 132SAMADFEN ACORDIM CERTIFICATE OF LIABILITY INSURANCE I DATE(MM/DDIYYYY) 5/15/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: ff the certificate holder is an ADDITIONAL INSURED, the poiicy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER BB&T- Oswald Trippe and Company 2200 N Commerce P Pkwy, Ste 204 Weston, FL 33326 954 389 -1289 CONTACT NAME PHONE 954 389 -1289 866- 802 -8684 ( No, ' IX A/c, No): E -MAIL ADDRESS: CUSTOMER ID #: INSURER(S) AFFORDING COVERAGE NAIC # INSURED Samada Fence Inc Sergio 110 West 31st Street Hialeah, FL 33012 INSURERA: Bankers Insurance Company 33162 INSURER B: Hartford Casualty Insurance Com 29424 INSURER c INSURERD: 06/07/2012 INSURER E : $1,000,000 $100,000 $5,000 INSURER F: PREMISES Ea�occuT�rence) • THIS INDICATED. CERTIFICATE EXCLUSIONS -- -- - - .i. -•ww,. I MIVIocrt. IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCR BED HEREIN IS SUBJECT TO ALL THE TERMS, AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR 1,TR TYPE OF INSURANCE ADDLISUBR INSR iwn POLICY NUMBER 1MMlDYDD/YYYY) (MMIDYDmYY) UMITS A GENERAL LLARIUTY COMMERCIAL GENERAL LIABILITY ICLAIMS -MADE [] OCCUR PD Ded:250 090005332537604 06/07/2011 06/07/2012 EACH OCCURRENCE $1,000,000 $100,000 $5,000 X PREMISES Ea�occuT�rence) MED EXP (Any one person) X PERSONAL & ADV INJURY $1,000,000 $2,000,000 GENERAL AGGREGATE GENL AGGREGATE LIMif APPLIES PER POLICY n PECT n LOC PRODUCTS - COMP/OPAGG $1,000,000 —I $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON - OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ — — BODILY INJURY (Per person) $ — BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ $ UMBRELLA UAB EXCESS UAB _ OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ WORKERS COMPENSATION AND AND EMPLOYERS' LIABILITY Y/ N ANY PROPRIETOR'PARTNERJEXECU OFFICERIMEMBER EXCLUDED? T� (Mandatory in NH) If yes describe under DESCRIPTION OF OPERATIONS below N/A S I I OTH I TORY E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ B Surety Bonds 21BSBEB4532 09/30/2009 09/30/2012 2,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if mom space is required) Fence contractor CANCELLATION Miami Shores Village Building Department 10050 NE 2nd Avenue Miami Shores, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2009/09) 1 of 1 #586170851M7322946 (41988 -2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD LIGO 03 -14 -2012 JEFF ATWATER STATE OF FLORIDA CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed' below has elected to be exempt from Florida Workers' Compensation law. 05/12/2612 EXPIRATION DATE: 05/12/2014 PERSON: SAMADA SERGIO M EFFECTIVE DATE: FEIN: 204936039 BUSINESS NAME AND ADDRESS: SAMADA FENCE INC DBA SAMADA FENCE, INC 476 E 82 ST HIALEAH FL 33013 SCOPES OF BUSINESS OR TRADE: 1- FENCE ERECTION -METAL 2- FENCE ERECTION * * IMPORTANT: Pursuant to Chapter 440 . 05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05112), F.S., Certificates of election to be exempt... apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.0503), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. QUESTIONS? (850) 413 -1609 DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01 -11 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION CONSTRUCTION INDUSTRY CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW EFFECTIVE 05/12/2012 EXPIRATION DATE: 05/12/2014 PERSON: SERGIO M SAMADA FEIN: 204936039 BUSINESS NAME AND ADDRESS: SAMADA FENCE INC DBA SAMADA FENCE, INC 476 E 62 ST HIALEAH, FL 33013 SCOPE OF BUSINESS OR TRADE 1- FENCE ERECTION -METAL 2- FENCE ERECTION IMPORTANT 0 Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election L under this section may not recover' benefits or compensation under this D chapter. H Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt... apply only within the scope of the business or trade listed on Rthe notice of election to be exempt. E Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to, revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. QUESTIONS ? .(850) 413 -1609 CUT HERE * Carry bottom portion on the Job, keep upper portion for your records. DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01 -11 SKETCH OF BOUNDARY SUR SCALE: 1=20' LOT 5 BU< 12 499 , l i gRst „L.-4t r >m7 11,7V ro /0s L- Conc.4 Al li- b 12.75" 30.00' 35.55" 6 2 ro ri ONE STORY CBS ts1 RESIDENCE # 10526 v. Ftie. 12..55t. 4.95' CARiGE 4. 1 Q , 4 0 t' to 35.50' 1- cr 0 cY kj. 'C 0... .1 . A io.iss 9° Ai6 ) 41 ■,, .41104fflreraTOINNIP061.7411,000007.7111PAPP.PW Vita CC,IMAA %PO kiLthirVi 10 V; 1(.1'7 /0.1.1t4 vrr nnivr 1 •, • ti AT MO PUNX DADE Cowry, FLORIDA. PROPERTY ADDRESS: 10526 NE 3 COURT. MIAMI SHORES, F.. CERTIFtCA TO: 1 JON AND CYNTHIA KAWACHIKA LOCATION MAP 1-■/ . a . /0 9 t;r I. e I6.7ds4 • /16 , /g .'e 6 . y°• /2 7 t . .¢ • • • /6 3 • • • /7 1- s • • • / 4 z /mss .. /. • /6 rl . A' ; • /8 • / a6 Nd 11 -M SURVEYOR'S NOTES: 1.) DOMINATION OF ABSTRACT OF TITLE W LL HAVE TO BE MADE TO DETERMINE RECORDED N.IS1RLRUENTS, IF ANY, AFFECTING THIS PROPERTY. 2.) LOCATION AND IDENTIFICATION OF UTILITIES IF ANY ARE SHOWN IN ACCORDANCE WITH RECORDED PLAT. 3.) OWNERSHIP IS SUJECTTO OPINION OF TITLE. 4. TYPE OF SURVEY." BOUNDARY SURVEY". 5.) THIS SURVEY IS NOT VAUD UNLESS SIGNED AND SEALED BY THE SURVEYOR OF RECORD. 6. AU. RIGHT OF WAYS SHOWN ARE PUBLIC UNLESS OTHERWAISE NOTED. 7. LANDS SURVEYED AS DESCRIBED. 8.) NO UNDERGROUND INSTALLATIONS ON 4VPROVEMENTS HAVE BEEN LOCATED, EXCEPT AS NOTED. '• sz..., . v ',sas• . /o . • sas. , 9 asst A"Si 8 t * 41"747. 7. ,•a, I. e I6.7ds4 120652 , /g .'e 6 . • /•t. • 1i . ,- •. • /s• . .¢ • • • /6 3 • • • /7 2 . '$ • /a:>♦. • • / 4 z /mss FLOOD Z Community Number Panel Number Suffix ' Date of Finn Index -Firm Zone Base Flood Elev. 120652 0093 J 3-2 -94 `7C" NONE .7VUKL:t: CLt _ IUN PR�YIDED BY ►�A COUNTY SURVEY DEPARMENT RELATIVE TO MEAN SEA LEVEL NATIONAL GEODETIC VERTICAL DATUM OF 1929 LOCATOR INDEX BENCHMARK NO. ELEVATION COPYRIGHT ROBERTO BRIZUELA & ASSOCLATES, INC. "LEGEND" PERMANENT REFERENOE MCx+UMBAT P.C.P.- PERMANENT CONTROL POINT F.I.P. FOUND IRON PIPE SIP.- SET IRON PPE 'Ur STAMPED F.D.H.- FOUND DRIU. HOLE CA_ S.D.H.- -CENTER LINE RES . RESIDENCE LF.E.• LOWEST FLOOR ELEVATION F.F.E.- FINISH FLOOR ELEVATION CIF. CHAIN LIMO FENCE U.E.• UTILITY EASEMENT W.F.- WOOD FENCE M.. MEASURE RECORD S J3. & DISC STAMPED P.LS. F.N.D.• FOUND NAIL & DISC C.S.S.-CONCRETE BLOCK STRUCTURE ENC. -ENCROACHMENT RAM- RIGHT OF WAY C t. -CLEAR ROBERTO R. BRIZUELA & ASSOCIATES Land Surveyors OFFICE: 7323 -B WEST FLAGER STREET MIAMI, FLORIDA 33144 PHONE: (305) 551 -4393 FAx: (305) 266 -6112 JOB NUMB FIELD BOO FIELD WORK DA REVISIONS 1: REVISIONS 2: REVISIONS 3: DI It • i1 N._. : :C. .•s it_16 1 RENEW CERTIPY: THAT THE MACHO "SKETCH OF SURVEY* OF THE ABOVE DESCRIBED PROPERTY RI CORRECT TO THE BEST OF MY KNOWLEDGE AND BELMFAS RECENTLY SURVEYED UNDER MY DREC'I1ON, AND THAT THERE ARE NO ENCROACHMENTS OTHER THAN.'TI OSE SHOWN, AND MEETS THE INTENT OF THE MINIMUM TECHNICAL STANDARDS SET FORTH BY THE FLORIDA BOARD OF LAND SURVEYORS IN CHAPTER 81 017 OF FLORIDA ADMINISTRATIVE CODE, ^; . ,• 4:2.027FLORIDASTATUTES. ROBERTO RIZ PROFESSIO • i LAND SURVEYOR Ara• 3064 STATE OF FLORIDA