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FW-12-681
Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 172474 Permit Number: FW -4 -12 -681 Scheduled Inspection Date: July 03, 2012 Inspector: Bruhn, Norman Owner: MONTERO, CARLOS Job Address: 1245 NE 92 Street Miami Shores, FL 33138- Project: <NONE> Contractor: ISLAND FENCE OF FLORIDA INC Permit Type: Fence/Wall Inspection Type: Final Work Classification: Wood Fence Phone Number (786)282 -4809 Parcel Number 1132050270280 Phone: 305 -888 -9090 Building Department Comments CHAINLINK AND WOOD Inspector Comments Passed rid Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. July 02, 2012 For Inspections please call: (305)762 -4949 Page 7 of 19 ' CERTIFICATE OF LIABILITYINSUANCE °� '6 �"r' o2/12 • THIS oERTIFICATE IS ISSUED AS A MATTER, OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON 11-IE 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. . TYPE OF INSURANCE IIWPO T: If the certNicate holder Is an ADDITIONAL. INSURED, the Follcy(Ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and Conditions of the polity, certain popsies may require an endorsement A statement on this certificate dogs not confer rights to the • certificate holder In Ileu of such enttorsement(s). • PRODUCER Blanco Insurance Associated Inc. 1460 E 4th Ave. Hielaah, FL 33010 • Phone (305) 085.0524 Fax (305) 88346218 CONTACT NAME: Mara POLUCY•exp MIDDWYYyt PHONE 858 -0524 FAX �..r .c 86 272-0044 i • Ap ,e_ mane (tbisncoinsutance cpm . '• tN8uAERRAFFORDINB COVERA ©E NAIG>;! GL00812510 .. INSURER A : • GOTH INSURANCE COMPANY • • 11/24/2012 - • EACH CCXIUR'RENCE INSURED PALDAMA INVESTMENT, INC DBA ISLAND FENCE OF DADE 711 E Okeechobee Road Hialeah, FL 33010 (305) 812-7386 ' rnvcown_iee ................... ... •..___ INSURER a! COMMERCE AND 1NDYSTRY INSURANCE" DAMAGE TO-RENTED PREMISES !Ea (5eeun'ence) S 100400,00 INSURERC: SUMMIT ■ ■ CLAIMS -MADE 0 OCCUR MEDE (Any ow person). • INSURER D : BRIDGEFIELD EMPLOYED INSURANCE • INSURER E . $ 1,000,000.00" • INSURER F: GENERAL AGGREGATE $ 2.000,000.00 THIS INDICATED. CERTIFICATE EXCLUSIONS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE FQLICY 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 INSURANGE•AFFORDED BY THE POLICIES DESCRIBED HEREIN 16 SUBJECT TO ALL THE TERMS, AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. • LT_R TYPE OF INSURANCE ADDLSUER POLICY NuNlIsER • POLICY EF tMMmamyr! POLUCY•exp MIDDWYYyt LIMITS A GEIVERAt.LWBI1 nY ® COMMERCIAL GENERAL LIABILrY GL00812510 .. 19!24/2011 • • 11/24/2012 - • EACH CCXIUR'RENCE $ 1.000.000.00 . DAMAGE TO-RENTED PREMISES !Ea (5eeun'ence) S 100400,00 ■ ■ CLAIMS -MADE 0 OCCUR MEDE (Any ow person). $ 5,000.00 • PERSONAL BADVINJURY $ 1,000,000.00" • • GENERAL AGGREGATE $ 2.000,000.00 GENE AGGREGATE LIMIT APPLIES PER: • PRODUCTS - COMP/DA A6G S 2,000,00040 A POLICY • ■ LOC g B AUTOMOBILE LIABILITY t a W1NGLE UMW j $ ■ ANY AUTO BODILY INJURY (Per Perran) $ • . ALL OWNED SCHEDULED ❑ AUTOS ❑ AUTOS BODILYINJURY (Par acciden} $ AUTOS A PsP� �E P $ • a .$ C ❑ UMBRELLA IJAB ©Excess 1 ]A6 ©Cx cuR C� CLAIM &MAADE Be0241 53374 • •. 11/24/2011 11/24/2012 EACH OCCURRENCE . $ 4,000,000.00 AGGREGATE S 4,000,000.00 4,0001 000.00 la ma ❑ REr m*10N$ PRODUCTS /COMPLE WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN vRETpA ANY o OFFICER/MEMBER NIA 6830144120 02/26/2011 02/20/2012 WC STATi. ❑ bR TH • JTDRY Mr3 $ E L EADH ACCIDENT • $ 100.006.00 . (mandatory in NH) I r l M deusibe RI DISEASE - EA EMPLOYEE $ 100,000.00 under O IPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT' $ • 500,000.00 DESCRIPTION OF OP ERATIONS I LOCATICNds /VEHICLES (Attach ACORD 101. AdditiohnI Remarks Sehedule, if mans apace Is required) a • CERTIFICATE HOLDER CANCELLATION MIAMI SHORES VILLAGE 10050 NE. 2ND AVE MIAMI SHORES, FL 33150 ACORD 25 (2018/08) QF SHOULD ANY OF THE ABOVE DESCRIBED FOLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. . AUTHORIZED REPRESENTATIVE MARIA A NI rights reserved �' A . Iog • are teg - eyed marks•of ACORD `�— CERTIFICATE OF'LIABILITY INSURANCE DATE (MtAIDDNYYY) 04/28/12 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 POL--ICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT SEMEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. • IMPORTANT: If the certificate holier is an ADDrrIONAL INSURED, the pol(cy(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 certlflcsde does not confer tights to the certificate holder in Ilea of such endoraernent($). PRODUCER Blanco Insurance Associated Inc. 1400 E. 4th Ave. Hialeah, FL 33010 Phone 5305)1588-0524 _ Fax (305) 883 -6218 INSURED PALDAMA INVESTMENT, INC DM ISLAND FENCE OF DADE 711E Okeechobee Road Hialeah, FL 33010 COVERAGES (305) 812 -7386 CERTIFICATE NUMBER: CONTACT NAME: PHONE Marla t- ( - Bee -0524 FAX 86) 272 -0044 L ADnRFSS W8Wi>:R191 AFFDRDINO COVERASE iNeuloR A: GOTHAM INSURANCE COMPANY martattbiant ninsvrBnce.com RAIDS INSURER 61: COMMERCE AND INDYSTRY INSURANCE INSURER G: StinArr • URER D : BRIDGEHELD EMPLOYERS INSURANCE .INSURER E :, INSUR: - F: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES *DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED EY PAID OLAiMS. ILTRR TYPE of INSURANCE IANSR W D POLICY $UMMFR GL00812510 (MM/D 11124/2009 rMOUD DIYYTYPY} 11124/2010 • _ . UNITS EACH QCCURRENCE s 1,000,000.00 A °ENERAL LIABILITY © CoMMERckAL GENFRAL LIABILITY Q 0 CLAIMS-MADE 9 OCcuR 0 PREMISES tEa Drrenm) $ 100,00.00 MED EV' (MY one Pelson) $ 6,000 -00 plaRsoNAL s ADV INJURY s 1000,000.00 GENERAL AGGREGATE $ 2.000,000.00 GEN L AGGREGATE UMIT APPLIES PER © POLIGY DR& • LOC PRODUCTS - cQMPIOP AGG $ 2,000,00.00 $ B AUTOMOBILE LIABILITY 0 ANY AUTO r-1 Al 7� ED uy AM OS • HIREDAUTOd LJ AUT S • 0 _ _ CO BIINA ED siNGLE LIMIT . . BODILY INJURY (Per person) 3 . BODILY INJJU�RYq(Per aoNdong $ rRa tienfl GE $ . s •' C • UMBRELLA MB 2 O ,OUR 1112412009 1112 /2010 EACH URRENCE $ 4,000,000.00 ©exGEss r 0 CLAaesMADE ActeRicate $ 4,000,00-00 .0 MD • R1g13TION $ . PRODUCTS/GOMPLE $ 4,000,000.00 D WORKERS COMPENSATION AND EMPLOYERS' LIAHIUTY A� PROPRlt1p�p ARTNER1DIECLMVE I N (MeOFF 1 µBER17CGUJDED7 7 ffe�e�n` NIA 0830.044120 02/26/2009 02!26/2010 • T RYrLIMTP1'S Js.1 el. EAGI-1 ACCIDENT 3 :_100,000.00 ., 3 10(3,000.(X} • E.L. DISEASE - EA EMPLOYEE �d��scnbe urid DESGRIPT10N OF OPERATIONds belew E.L DISEASE - POLICY UMTC s 600,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHIOLRAI (Attach ACORD 101, AM:Menai Remarks Schedule, If there space la required) ' • • ftW T,C,r.ATCTaror,CO - - -- - - -- - - - --- • MIAMI SHORES VILLAGE. 10050 NE 2ND AVE MIAMI SHORES, FL 33150 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE, THE EXPIRAI'ICN DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WI'T'H Tk1E POLICY PROVISIONS. • AtrrHORIZED REPRESENTATIVE MARIA ALMdLDA • ACORD 26 (201010S) QF tights reserved. name : ire registered marks bf ACORD 4� AN* 5I 12� A� B ILDING PEAPPLICATION FBC 20 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 No. V2- Master Permit No. APR 17 2012 Permit Type: BUILDING OWNER: Name 1 ee Simple Titleholder): CON SOLD 305 - Q R -5053 � P ) Phone #: 7 Address: l 29 S 106 q 2- 5-/- City: 4 (*V■A-k S 1tY-- eJ State: I L Zip: 3 3 // Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: 1 245 toe el 2 S i City: Miami Shores Coun Folio/Parcel #: t t° 3 j 5 0 "2---7 0 2,k5 Miami Dade zip: 3 3 Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: / /� °—/7C,� -' f.�7'" G. L Address: j� 7 /1 G ° ® l `��g- City: A 41.-- State: C'e--- Qualifier Name: net CS() Lpsz- State Certification or Registration #: Phone #: erg'gern Contact Phone #: P /t.Gdt z ' Address: DESIGNER: Architect/Engineer: Zip: 33 6/0 Phone #: )OS ° f(f. t 0 20 Certificate of Competency #: V01.3 5-00 24-7 /Sly c f51' . 4641 Phone #: o ¢� Value of Work f o r this Permit: $ 1 150 Square/Linear Footage of Work: 82- Type of Work: $1.641dress DAlteration ❑Demolition Description of Work: '2/ `' `Mi il%/r6 /1I [C- ° , 6-# 1) Pew ; j ` f ' 6e-14 DNew DRepair/Replace COLOR THROUGH ROOF TILE IS REQUIRED acknowledged by: ******** * * * * * * * * * * * * * * * * * * * * * * * * * * *se ** Fees* * * * * * *** ********** * * ** * *e ******* * *** *** Submittal Fee $ °00 Permit Fee $ /c CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ 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 ich ' ccurs en (7) days after the s uilding permit is issued. In the absence of such posted notice, the inspection will not a. rov -d a ` einspection fee will b arged. Signature Owne /. r Age n Contractor The foregoing s � s. ent w,-. acknowledged before me this ' The foregoing instrument was acknowledged before me this 54 20 �by ® 1p(J50 /0 , day of f ,20f 7153r to me or who has produced day of who is pe NOTARY Sign: Print: /A . r My Commission E As identification and who did take an oath. BLIC: MY COMMISSION # DD 940519 EXPIR January 2, 2014 Bonded Th Natal Publla lindonters who is p r�snally kno to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Co ***** *****B **Ni**** Hi***** ***b ******* ***** *********** d4*deK ,**+R*****b+k*** APPROVED BY Plans Examiner Structural Review (Revised 07 /10/07)(Revised 06 /10 /2009)(Revised 3/15/09Xrev6/4/10) MY COMMISSION # DD 940519 a EXPIRES January 2, 2014 Bonded Thtu Natary Wublic Un e'}' t •fyC. fi Zoning Clerk 1 Planning and Zoning Criteria Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Folio Number:1132050270280 Owner's Name: CARLOS MONTERO Job Address: 1245 92 Street Miami Shores, FL 33138- Owner's Phone: (786)282 -4809 Total Square Feet: 82 Total Job Valuation: $ 1,150.00 Contractor(s) ISLAND FENCE OF FLORIDA INC Phone 305 -888 -9090 Primary Contractor Yes Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 4/19/2012 : Yes Comments: 637891 -3 BU MSAIS EL RATbCP DADE 711 E OKEECHOBEE RD 33010 HIALEAH THIS IS NOT A BILL — DO NOT PAY RENEWAL OWNER PALDAMA INVESTMENT INC Sec 9 �8 gfPEM AtTY THIS IS ONLY A LOCAL BUSINESS TAX RECEIPT. IT DOES NOT PERMIT THE HOLDER TO VIOLATE ANY EXISTING REGULATORY OR ZONING LAWS OF THE COUNTY OR CmES. NOR DOES IT EXEMPT THE HOLDER FROM ANY OTHER PERMIT OR LICENSE REQUIRED BY LAW. THIS IS NOT A CERTIFICATION OF THE HOLDER'S QUALIFICA- TIONS. PAYMENT RECEIVED MIAMI -DADE COUNTY TAX COLLECTOR: • 09/27/2011 02260016002 000045.00 SEE OTHER SIDE FIRST -CLASS U.S. POSTAGE PAID MIAMI, FL PERMIT NO. 231 CC #REC ITS t247 414634 -6 WORKER /S BUILDING CONTRACTOR 10 . DO NOT FORWARD ISLAND FENCE OF DADE PLACIDO A LOPEZ PRES 711 E OKEECHOBEE RD HIALEAH FL 33010 112 THIS IS NOT A BILL — DO NOT PAY RENEWAL • •RECEIPT NO. ; 414632-0 637889 -7 BUSINESS NAME / LOCATION ISLAND FENCE OF DADE 711 E OKEECHOBEE RD 33010 HIALEAH OWNER PALDAMA INVESTMENT INC Sec. Type of Business 220 TANGIBLE THIS IS ONLY A LOCAL BUSINESS TAX RECEIPT. IT DOES NOT PERMIT THE HOLDER TO VIOLATE ANY EXISTING REGULATORY OR ZONING LAWS OF THE COUNTY OR CmES. NOR DOES IT EXEMPT THE HOLDER FROM ANY OTHER PERMIT OR LICENSE REQUIRED BY LAW. THIS IS NOT A CERTIFICATION OF THE HOLDER'S QUALIFICA- TIONS. PAYMENT RECEIVED MIAMI -DADE COUNTY TAX COLLECTOR: 09/27/2011 02260016001 000045.00 SEE OTHER SIDE MIAMI -DADE COUNTY TAX COLLECTOR 140 W. FLAGLER ST. 1st FLOOR MIAMI, FL 33130 PERSONAL PROP DLR FIRST -CLASS U.S. POSTAGE PAID MIAMI, FL PERMIT NO. 231 EMPLOYEE /S 10 DO NOT FORWARD ISLAND FENCE OF DADE PLACIDO A LOPEZ 711 E OKEECHOBEE ROAD HIALEAH FL 33010 1285 2011 MUNICIPAL CONTRACTOR'S 2012 TAX RECEIPT MIAMI -DADE COUNTY - STATE OF FLORIDA PURSUANT TO COUNTY CODE SEC. 10-24 EXPIRES SEPT. 30, 2012 THIS IS NOT A BILL — DO NOT PAY RECEIPT NO. 30- 4146346 CC N0: 980500247 BUSINESS NAME / LOCATION ISLAND FENCE OF DADE 711 E OKEECHOBEE RD OWNER :PALDAMA INVESTMENT INC SEE BACK OF RECEIPT FOR A LIST OF NON — PARTICIPATING MUNICIPALITIES Receipt holder must register in the City where work is to be done. PAYMENT RECEIVED MIAMI -DADE COUNTY TAX QQui Q727 /2011 02260016003 000175.00 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 ISLAND FENCE OF DADE PLACIDO A LOPEZ PRES 711 E OKEECHOBEE RD HIALEAH FL 33010 10 A+C C)R110• e CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 04/05/12 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: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) 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 Blanco Insurance Associated Inc. 1460 E. 4th Ave. Hialeah, FL 33010 Phone (305) 888 -0524 Fax (305) 883 -6218 CONTACT Maria aria (PqHIONE (305)888-0524 E-MAIL ADDRESS: 1 (NC No): (786) 272 -0044 m a ria@blancoinsurance.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: GOTHAM INSURANCE COMPANY INSURED PALDAMA INVESTMENT, INC DBA ISLAND FENCE OF DADE 711 E Okeechobee Road Hialeah, FL 33010 INSURER B : COMMERCE AND INDYSTRY INSURANCE INSURER C: SUMMIT INSURER D : BRIDGEFIELD EMPLOYERS INSURANCE (305)812 -738.6 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW 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 POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDLSUBR INSR WVD POUCY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MMIDDIYYYY) LIMITS A GENERAL LIABILITY © COMMERCIAL GENERAL LIABILITY ❑ ❑ CLAIMS -MADE © OCCUR GEN'LAGGREGATE LIMIT APPLIES PER: © POLICY ❑ PE a ❑ LOC GL00812510 11/24/2009 EACH OCCURRENCE $ 1,000,000.00 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 100,000.00 MED EXP (Any one person 11/24/2010 PERSONAL & ADV INJURY GENERAL AGGREGATE $ 5,000.00 $ 1,000,000.00_ $ 2,000,000.00 PRODUCTS - COMP /OP AGG $ 2,000,000.00 B AUTOMOBILE LIABIUTY a ANY AUTO ALL OWNED AUTOS HIRED AUTOS SCHEDULED AUTOS NON-OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) C ❑ UMBRELLA UAB ❑/ OCCUR © EXCESS UAB ❑ CLAIMS -MADE ❑ DED ❑ RETENTION $ Be024153374 11/24/2009 11/24/2010 EACH OCCURRENCE AGGREGATE PRODUCTS /COMPLE $ 4,000,000.00 $ 4,000,000.00 $ 4,000,000.00 D WORKERS COMPENSATION AND EMPLOYERS'UABIUTY Y / N ANY PROPRIETOR/PARTNER /EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, escribe under DESCRIPTION OF OPERATIONS below Y N/A 0830 - 444120 02/26/2009 02/26/2010 ❑ LE TORY LIMITS ❑ R E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYE $ 100,000.00. $ 100,000.00 E.L. DISEASE - POLICY LIMIT $ 500,000.00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER CANCELLATION Certificate Holder MIAMI SHORES VILLAGE 10050 NE 2ND AVE MIAMI SHORES, FL 33150 ACORD 25 (2010/05) QF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Mq�GQ�D/jjJCS.WI:TH THE POLICY Plated by MARIA E. ALMOLDA H K DN: cn =MARIA E. ALMOLDA, o, ou= BLANCO INSUKAN(.t, A email =k1ARIA @BLANCOINSURANCE.COM, c —US Date: 2012.04.05 16:09:26 -04'00' AUTHORIZED REPRESENTATIVE © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD .verrswlrewatfemvrdfzz-grersintA Ordered By: ' So°X'iS1N•tp4fWitwP "•'•",5fX'rt•W-Ak'WtfLq.r&vritcktzi-L---„L,'f-,:„:,„,;,,•kt;.i•fzi+;F;T'2;Tfl;• , 1 s PROPERTY ADDRESS: 1245 NE 92N15 STREET MIAMI, Florida 33138 FIELD ORK DATE: 2/27/2012 FL 1202.1592 BOUNDARY SURVEY MIAMI-DADE COUNTY SURVEY NUMBER: FL1202.1592 REVISION DATE(S): (rev .0 2/27/2012) z 0 I/2 MP in NO ID ON UNE z 5 89°1 4'34' E 99.84' (M) 5 89°2245° E 100.00' ((3) • 31; • Cii-A-04- LA 0 IC- I /2" , NO ID b csj —3 CONC. DECK, 1-8.41-1;1 I /2' flr NO ID hereby certify described pro the best of m representation standards set Surveyors as d Administrative Co h dtif u has 19d made u o eC10,,:arief belief, t 61/r4:t*fitleG45 h by tirSA:Pitida Bo Ie7ter r .0. ON 11 4 AG C')9.2 9.Z 151Y. Eq FLANTFR RE5 #I 245 271 I 0.4' uN 0'.- raf-) NO tit 25.0'0 (0) ey of the hereon r my direction, and to s a true and accurate e minimum technical Of Professional Land I 7 of the Florida 4.8' I/V FIP 75.00 (P) 14/1■A t N 89°2245" i'Alyv 275.00' (P N 89°22'45" W I 00.00' (D) o N 89°2309" W 275. 17' ( N 89°2 I '27" W 99.86' (M) Miami Stift) res Village NO ID APPROVED ZONING DEPT BLDG DEPT BY 1011111Wal DATE SllfAhNgT TO COMPLANC,l, WI11 I ALL f'f,Dit igcA;.,m.NI'AR-562LsiTO 1:144?)E 5E4Rb14.84VICf0 :48'' /":1r•R1 I 40 0 20 40 Wesley 5. Haas GRAPHIC SCALE (In Feet) State of Florida Professional Surveyor and Mapper License No. 3708 1 inch = 40 ft. Use of This Survey for Purposes other than Intended, VIRthoutWritten Verification, will be at the User's Sole Risk and %Wharf Liability to the Surveyor. , , nRv ,; ( REPORT OF SURVEY FL1202.1592 T s LEGAL DESCRIPTION: Lot 17, and the East 25 feet of Lot 18, Block 2, BAY LURE, according to the plat thereof, as recorded in Plat Book 44, Page 63, of the Public Records of MIAMI -DADE County, Florida. [i JOB SPECIFIC SURVEYOR NOTES: THE PLAT BEARING REFERENCE OF NORTH 0 DEGREES 37'15" EAST IS BASED ON THE WEST LINE THE EAST 25' OF LOT 18, BLOCK 2, BAY LURE, AS RECORDED IN PLAT BOOK 44, PAGE 63 OF THE PUBLIC RECORDS OF MIAMI -DADE COUNTY, FLORIDA. GENERAL SURVEYOR NOTES: 1. The Legal Description used to perform this survey was supplied by others. This survey does not determine or imply ownership. 2. This survey on shows improvements found above ground. Underground footings, utilities and encroachments are not located on this survey map. ( ' Y lY P 9 9 9, Y F „r 3. If there is a septic tank, or drain field shown on this survey, the location is approximate, and was determined by visual above ground inspection only, and cannot be relied on for accuracy. • • 4. This survey is exclusively for the use of the parties to whom it is certified. ` 5. Additions or deletions to this survey map and report by other than the signing party or parties is prohibited without written consent of the signing party or parties. 6. - Dimensions are in feet and decimals thereof. ' - ti 7. Due to varying construction standards, house dimensions are approximate. i, 8. Any FEMA flood zone data contained on this survey is for informational purposes only. Research to obtain such data was performed at tavrw; fames Y Y P rP Y� P Sc'v- 9. All corners marked as set are at a minimum a' /z` diameter, 18” iron rebar with a cap stamped LB#7337. • 10. If you are reading this survey in an electronic format, the information contained on this document in only valid if this document is electronically signed as specified ) ;1 in Chapter 5J- 17.062 (3) of the Florida Administrative Code. The Electronic Signature File related to this document is prominently displayed on the invoice for this survey which is sent under separate cover. Manually signed and sealed logs of all survey signature files are kept in the office of the performing surveyor. If this document is in paper format, it is not valid without the signature and original raised seal of a Florida Licensed Surveyor. 11. Unless otherwise noted, an examination of the abstract of title was NOT performed by the signing surveyor to determine which instruments, if any, are affecting t j this property. 12. The symbols reflected in the legend and on this survey may have been enlarged or reduced for clarity. The symbols have been plotted at the center of the field location, and may not represent the actual shape or size of the feature. f„ LEGEND: } SURVEYOR'S LEGEND BOUNDARY UNE A/C AIR CONDIONING ID. IDENTIFICATION 50M. SEWER 15.12. BEARING REFERENCE INT. INTERSECTION S.F. SQUARE FEET BM BLOCK IR IRON ROD 5011 SET DRILL HOLE B.C. BLOCK CORNER IP IRON PIPE 51RG SET IRON ROD 4 CAP STRUCTURE 5.R.L BUILDING RESTRICTION UNE L LENGTH 5N SET NAIL T 55MT. BASEMENT LBW LICENSE S - BUSINESS SN4D SET NAIL 4 DISC 49W BAY/BOX WINDOW 154 LICENSE t - SURVEYOR STY. STORY CONCRETE BLOCK WALL (C) CALCULATED (M) MEASURED 5.T.L SURVEY TIE UNE C CURVE N.R. NON RADIAL 5V SEWER VALVE CHAIN-LINK or WIRE FENCE CATV CABLE N. RISER N.T.S. NOT TO SCALE 5NY SIDEWALK >` WOOD FENCE , C-B. CONCRETE BLOCK O.C.S. ON CONCRETE SLAB S.W. SEAWALL t - CHIM. CHIMNEY O EASEMENT - _ - C.O. CREAM OUT 0.RB. OFFICIAL RECORD BOOK TX TRANSFORMER CONC. CONCRETE 011. OVERHANG TYP. TYPICAL EDGE OF WATER C.V.G. CONCRETE VALLEY GUTTER (NA OVERALL WIC W1TNE55 CORNER q 3 01- CENTER UNE 045 054550 W/F WATER FILTER 5 T WOOD CONCRETE 05 CONCRETE SLAB 1.511 PARKER -KALON NAIL W.F. WOODEN FENCE Ii!7 i CR COVERED PORCH P5M PROFESSIONAL SURVEYOR WM WATER METER/VALVE BOX CSAW CONCRETE SIDEWALK AND MAPPER WV WATER VALVE A ryAl T BRICK or TILE COR CORNER MS PROFESSIONAL LAND SURVEYOR Y.F. VINYL FENCE edi (0) DEED (P) MAT ). DAN DRIVEWAY 4/E POOL EQUIPMENT WATER COVERED AREA D.F. DRAIN FIELD PLT - PLANTER V I ELM ELECTRIC UTILITY BOX PINCHED PIPE PEE. Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CHAIN LINK FENCE DESIGN DETAIL (ACCORDING TO THE F.B.C. SECTION R4408.11) TABLE R4408.11 CHAIN LINK FENCE MINIMUM REQUEREMENTS Fence Height (ft) Terminal Post Dimensions (in inches) (o.d. X wall thickness) Line Post Dimensions (in inches) (o.d. X wall thickness) Terminal Post Concrete Foundation Size (diameter X depth) (in inches) Line Post Concrete Foundation Size (diameter X depth) (in inches) Upto4 23/8x0.042 1 5/8x0.047 10x24 8x24 Over 4 to 5 2 3/8 x 0.042 1 7/8 x 0.055 10 x 24 8 x 24 For SI: 1 inch = 25.4 mm. NOTES: 1. This table is applicable only to fences with unrestricted airflow. 2. Fabric: 12 % gauge minimum. 3. Tension bands: Use one less than the height of the fence in feet evenly spaced. 4. Fabric Ties: Must minimum the same gauge of the fabric. 5. Fabric Tie Spacing on the Top Rail: Five ties between posts evenly spaced. 6. Fabric Tie Spacing on Line Posts: One less than height of the fence in feet, evenly spaced. 7. Either top rail or top tension wire shall be used. 8. Braces must be used at Terminal Posts if top tension wire is used instead of Top Rail. 9. Post Spacing: 10 foot (3m) on center maximum. 10. Post shall be embedded to within 6 inches (152 mm) from bottom of the foundation. 11. In order to follow the contour of the land, the bottom of the fence may clear the contour of the ground by up to 5 inch (127 mm) without increasing table values to the next higher limit. NOTICE TO PROPERTIES WITH POOLS: If the fence is to meet the criteria as a pool barrier, the fence shall not be climbable and all rails must be placed facing the inside of the property. Pedestrian gates shall have self - closing and latching devices installed at the minimum of 54" above ground. For further details see Section R4401.7.1 of FBC. CONCURRED at Created on 5/22/2009 MLDV o Shadow Box o Vertical Picket o Board on Board Miami Shores Viiiage Building Department FENCE DETAIL 4x4 Post Spacing Fences <= 5' high posts spaced at 5'on center maximum Fences <= 4' high posts spaced at 6° on center maximum Fence must not exceed 5' in height May 2009 4x4 pressure treated posts embedded 2' into concrete footing 10" diameter x 2'deep 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 lx pickets fastened with two corrosion resistant fasteners per connection ALL wood must be pressure treated All fasteners must be corrosion resistant No less than two fasteners in any connection 2x4 horizontal pressure treated wood members with two corrosion resistant fasteners per connection Miami Shores V Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 REQUIREMENTS 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. ❑ 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). ❑ 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). o Include wood or chain link specs form (one with each survey). o $50.00 submittal fee when submitting your permit. NOTICE: ALL OTHER TYPES OF FENCES WHICH DO NOT COMPLY WITH ESPECIFICATIONS MENTIONED ABOVE, MUST PROVIDE 2 SIGNED AND SEALED ARCHITECTURAL OR ENGINEERING DESIGNED DRAWINGS, OR MIAMI DADE COUNTY PRODUCT APPROVALS. Revised on 5/22/2009